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FORMULIR EVALUASI PENGGUNAAN OBAT DI FKRTL

Nama Rumah Sakit : BLUD Rumah Sakit Konawe Selatan


Kelas Rumah Sakit :C
Tipe Rumah Sakit : Rumah Sakit Umum ∑Item Obat dalam Formul
Kabupaten/ Kota : Konawe Selatan
Provinsi : Sulawesi Tenggara
Kepemilikan : Pemerintah Daerah

Nama Obat
NO Bentuk Sediaan

Bermerek Generik
1 ACARBOSE 100 MG TABLET
2 ACARBOSE 50 MG TABLET
3 ACYCLOVIR 400MG TABLET
4 ACYCLOVIR SALEP SALEP
5 AKILEN TETES TELINGA
6 AKILEN 400 MG TABLET
7 ALLOPURINOL 100 MG TABLET TABLET
8 ALLOPURINOL 300 MG TABLET
9 AMBROXOL 30 MG TABLET TABLET
11 AMINEFRON TABLET
12 AMINOPHILIN 24 MG/ML INJEKSI
13 AMLODIPIN 10 MG TABLET TABLET
15 AMLODIPIN 5 MG TABLET TABLET
18 AMOXAN DROPS DROP
19 AMOXICILLIN 125 MG/5 ML @60 ML SIRUP
20 AMOXICILLIN 500 MG TABLET TABLET
21 ANALTRAM TABLET
22 ANTASIDA DOEN 400 TABLET MG TABLET
23 ANTASIDA SIRUP SIRUP
24 APIYALIS DROP
25 APIYALIS SIRUP
26 ASAM TRANEXAMAT 500 MG TABLET TABLET
27 ASAM TRANEXAMAT 500MG/5ML INJEKSI
28 ASAM VALPROAT SIRUP
29 ATOVAR TABLET
30 ATROPIN SULFAT 0,25 MG/ML INJEKSI
31 AZITROMICIN INJEKSI
32 AZYTROMICIN 500 MG TAB KAPSUL KAPSUL
33 BECEFORT KAPLET
34 BETAMETHASON SALEP SALEP
35 BISOPROLOL FUMARAT 5MG TABLET
36 BUCAIN SPINAL 0.5% INJEKSI
37 BUSCOPAN TABLET
38 CALC-95 KAPSUL LUNAK
39 CALCIUM LACTAT 500 MG TABLET TABLET
40 CANDEFION 16 MG TABLET
41 CANDEFION 8MG TABLET
42 CANDESARTAN 16 MG TABLET
43 CAPTOPRIL 12,5 MG TABLET
44 CAPTOPRIL 12,5 MG TABLET
45 CAPTOPRIL 25 MG TABLET TABLET
46 CAPTOPRIL 25 MG TABLET TABLET
47 CEFADROXIL 125 MG/5 ML @60 ML SIRUP
48 CEFADROXIL 250 MG/5 ML @60 ML SIRUP
49 CEFADROXIL 500 MG KAPSUL KAPSUL
50 CEFAZOLIN INJEKSI
51 CEFIXIME @100 ML SIRUP
52 CEFIXIME 100 MG KAPSUL KAPSUL
53 CEFTAZIDIME INJEKSI
54 CEFTOTAXIME INJEKSI 1 GR INJEKSI
55 CEFTRIAXONE 1GR INJEKSI
56 CENDO XITROL TETES MATA
57 CERINI DROPS DROP
58 CETIRIZINE 10 MG TABLET TABLET
59 CETIRIZINE 5MG/5ML SIRUP
60 CHLORAMPHENICOL 250 MG TABLET
61 CLANEKSI SIRUP
62 CLOPIDOGREL 75 MG TABLET TABLET
63 CLYNDAMICIN 300 MG KAPSUL
64 COMBIVENT NEBU NEBU
65 COTRIMOXAZOLE 480 MG TABLET
66 COTRIMOXAZOLE FORTE 960 MG TABLET
67 CURCUMA TABLET
68 DEXAMETHASONE 0.5 MG TABLET TABLET
70 DEXAMHETASONE INJEKSI INJEKSI
71 DHP - FLIMAL KAPSUL
72 DIBEKACIN TETES MATA
73 DIGOXIN 0,25 MG TABLET
74 DIPHENHIDRAMIN 150MG/15ML INJEKSI
75 DOBUTAMINE-HAMELN 12,5 MG/ML INJECTIONINJEKSI
76 DOMPERIDON 10 MG TABLET
77 DOMPERIDONE SIRUP @60 ML SIRUP
78 DULCOLAX TABLET
79 EPEXOL 30 MG TABLET
80 EPEXOL DROPS DROP
81 EPHEDRINE 50MG/ML INJEKSI
82 EPINEPHRINE 0.1% INJEKSI
83 ERYTROMICIN SIRUP
84 ERYTROMICIN 250 MG KAPSUL KAPSUL
86 ETHAMBUTOL 500 MG KAPSUL KAPSUL
87 FARELAX INJEKSI INJEKSI
88 FARGOXIN INJEKSI
89 FIBUMIN KAPSUL
90 FIOCILAS INJEKSI
91 FIONDAZOL INFUS INFUS
92 FIOPRAZ 40MG INJEKSI INJEKSI
93 FIORAMOL 1GR/100ML INFUS
94 FOLAMIL GENIO KAPSUL LUNAK
95 FOLAMIL GOLD KAPSUL LUNAK
96 FOLIC ACID 1 MG TABLET TABLET
97 FORUMEN TETES TELINGA
98 FOSMICIN INJEKSI
99 FUROSEMIDE 10MG/ML INJEKSI
100 FUROSEMIDE 40 MG TABLET TABLET
101 GENTAMICIN INJEKSI
102 GENTAMICIN 0,1% KRIM SALEP
103 GLIMEFION 4 MG TABLET
104 GLIMEPIRIDE 2 MG TABLET TABLET
105 GLIMEPIRIDE 4 MG TABLET
106 GRAPLAC SIRUP
107 GRISEOFULVIN 125 MG TABLET TABLET
108 HEPATIN KAPLET
109 HUMAN ALBUMIN 100 ML INJEKSI
110 HUMAN ALBUMIN 50 ML INJEKSI
111 HUSTAB KAPSUL
112 HYDROCORTISON SALEP SALEP
113 IMIPENEM INJEKSI
114 IMUNOS KAPLET
115 IMUNOS SIRUP
116 INBACEF KAPSUL
118 INFENEM INJEKSI
119 INTERHISTIN TABLET
120 IREMAX KAPLET
121 ISDN 5MG TABLET
122 ISOFLURAN 250 ML INFUS
123 KTM INJEKSI
124 KETOCONAZOLE 2% CREAM SALEP
125 KETOCONAZOLE 200 MG TABLET
126 KETOROLAC 30 MG INJEKSI
127 KSR TABLET
128 LACIDOFIL SERBUK
129 LANSOPRAZOLE 30 MG KAPSUL
130 LAPIBAL KAPSUL
131 LAPIBAL inj INJEKSI
132 LAPIFED TABLET
133 L-BIO SERBUK
134 LEVEMIR FELXPEN 100 UI/ML FLEXPEN
135 LEVOFLOXACIN 500 MG TABLET TABLET
138 LIDOCAIN 2% INJEKSI
139 LIDODEX 100 MG/ 2 ML @2 ML INJEKSI
140 LORATADIN 10 MG TABLET
141 L-ZINK SIRUP
142 MEIACT KAPSUL
143 MELOXICAM 15 MG TABLET TABLET
144 MELOXICAM 7.5 MG TABLET TABLET
145 MEROPENEM INJEKSI
146 MERTIGO TABLET
147 METFORMIN 500 MG TABLET
148 METHISOPRINOL 500 MG TABLET TABLET
149 METHYLERGOMETRINE 0,125 MG INJEKSI
150 METHYLPREDNISOLON 125MG INJEKSI
151 METHYLPREDNISOLON 16 MG TABLET TABLET
152 METHYLPREDNISOLON 4 MG TABLET TABLET
153 METHYLPREDNISOLON 8 MG TABLET TABLET
154 METOCLOPRAMIDE 10MG TABLET
155 METRONIDAZOLE 500 MG TABLET
157 MGSO4 20% INJEKSI
158 MGSO4 40% INJEKSI
159 MORGIN INJEKSI INJEKSI
160 NATRIUM DIKLOFENAK 25 MG TABLET
161 NATRIUM FENITOIN INJEKSI
162 NEUROSANBE INJEKSI INJEKSI
163 NEW ANTIDES TABLET
164 NIFEDIPINE 10 MG TABLET
165 NORFION 4MG TABLET
166 NOVOMIX -30 FLEXPEN
167 NOVORAPID FLEXPEN 100 U/ML FLEXPEN
168 NYSTATIN DROP DROP
169 ONDANCENTRON 4 MG TABLET
170 ORALIT SERBUK
171 ORINOX 60 TABLET
172 ORINOX 90 TABLET
173 OXYTETRACYCLINE SALEP KULIT SALEP
174 OXYTETRACYCLINE SALEP MATA SALEP
175 PANTOPRAZOLE INJEKSI INJEKSI
176 PARACETAMOL 500 MG TABLET TABLET
177 PARACETAMOL INFUS 1 GR/100 ML INFUS
178 PARACETAMOL SIRUP SIRUP
179 PEHACAIN INJEKSI
180 PHYFION INJEKSI
181 PHYTOMINADION 10MG/ML INJEKSI
182 PIRACETAM 1G INJEKSI
183 PIRACETAM 3GR INJEKSI
184 PIRACETAM 800 MG KAPSUL TABLET
185 PREDNISON 5 MG TABLET TABLET
186 PRIMAKUIN 15 MG TABLET
187 PROMAVIT KAPSUL LUNAK
188 PROPANOLOL 40 MG TABLET
189 PROSTER 200 MG TABLET
190 PROVULA TABLET
191 PTU TABLET
192 PYRAZINAMIDE 500MG TABLET
193 RANITIDIINE 50 MG/ 2 ML INJEKSI INJEKSI
194 RANITIDINE 150 MG KAPLET TABLET
195 RECOFOL N INJEKSI INJEKSI
196 RHINOS SR KAPSUL
197 SALBUTAMOL 2 MG TABLET TABLET
199 SALBUTAMOL 4 MG TABLET TABLET
200 SANBE KIDS SIRUP SIRUP
201 SANMOL DROP
202 SANTOCYN 10 UI@1 ML INJEKSI
203 SIMVASTATIN 10 MG TABLET TABLET
205 SIMVASTATIN 20 MG TABLET TABLET
207 SPIRONOLACTON 25 MG TABLET
208 SUCRALFAT SIRUP
209 SULPEFION 1G INJEKSI
210 TABLET TAMBAH DARAH (SF) TABLET
211 TEBOKAN SP TABLET
212 THIOPENTAL INJEKSI INJEKSI
213 TROMBO ASPILET TABLET
214 URDEX KAPLET
215 VECTRIN KAPSUL
216 VECTRIN SIRUP
217 VENTOLIN NEBUL NEBU
218 VERORAB INJEKSI
219 VICILIN INJEKSI
220 VITAMIN A 100,000IU KAPSUL LUNAK
221 VITAMIN A 200,000IU KAPSUL LUNAK
222 VITAMIN B1 TABLET
223 VITAMIN C 250 MG TABLET TABLET
224 VOMETA SIRUP
225 VOPICAIN 0,5% INJEKSI
226 WIDOXIL SIRUP SIRUP
227 ZINK SULPHATE 20 MG TABLET TABLET
JUMLAH
%KESESUAIAN FORNAS
NAAN OBAT DI FKRTL

Periode Bulan
: OKTOBER
: 2019
∑Item Obat dalam Formularium RS : 250

Kesesuaian dengan
Jumlah Jumlah Formularium Ket
Persediaan Penggunaan Nasional
Y T
174 1 0
617 1 0
1000 1 0
454 1 0
30 1 0
35 1 0
2883 1 0
70 1 0
159 0 1
2458 1 0
29 1 0
5073 1 0
422 1 0
1 1 0
12 1 0
1138 1 0
504 1 0
385 1 0
4 1 0
7 0 1
60 0 1
280 1 0
258 1 0
19 1 0
59 1 0
24 1 0
8 1 0
3 1 0
975 1 0
166 1 0
1014 1 0
3 1 0
95 1 0
1736 0 1
224 1 0
300 1 0
5 1 0
3240 1 0
157 1 0
4 1 0
400 1 0
57 1 0
36 1 0
34 1 0
2010 1 0
15 1 0
5 1 0
400 1 0
1 1 0
65 1 0
1575 1 0
6 1 0
13 1 0
1707 1 0
28 1 0
396 1 0
20 1 0
590 1 0
65 1 0
301 1 0
289 1 0
15 1 0
1073 0 1
1546 1 0
102 1 0
39 1 0
4 1 0
31 1 0
5 1 0
2 1 0
760 1 0
67 1 0
31 1 0
1103 0 1
19 0 1
64 1 0
14 1 0
5 1 0
238 1 0
100 1 0
3 1 0
2 1 0
885 0 1
21 1 0
252 1 0
473 1 0
89 1 0
750 0 1
210 0 1
1319 1 0
10 0 0
130 1 0
126 1 0
2870 1 0
245 1 0
53 1 0
47 1 0
132 1 0
8 1 0
6 1 0
700 1 0
94 0 1
5 1 0
2 1 0
145 1 0
23 1 0
21 1 0
1131 0 1
41 0 1
67 1 0
7 1 0
44 0 1
7848 1 0
1416 1 0
2 1 0
2 1 0
20 1 0
28 1 0
1058 1 0
22 1 0
3 0 1
4611 1 0
1084 1 0
41 1 0
583 1 0
608 0 1
20 1 0
1254 1 0
311 1 0
5 1 0
1705 1 0
50 1 0
6 1 0
75 1 0
300 1 0
375 1 0
980 1 0
720 1 0
705 1 0
52 1 0
61 1 0
988 1 0
2987 1 0
332 1 0
7 1 0
660 1 0
9 1 0
2 1 0
14 1 0
955 1 0
15 1 0
110 1 0
306 1 0
4 1 0
2 1 0
9 1 0
37 1 0
33 1 0
643 1 0
92 1 0
636 1 0
149 1 0
32 1 0
6 1 0
260 1 0
2236 1 0
121 1 0
72 1 0
11 1 0
3 1 0
33 1 0
16 1 0
73 1 0
102 1 0
90 1 0
100 1 0
1230 0 1
2584 1 0
180 1 0
11 0 1
9210 1 0
5 1 0
312 1 0
3380 1 0
46 1 0
345 1 0
4880 1 0
12600 1 0
38 0 1
9 1 0
63 1 0
550 1 0
713 1 0
1100 1 0
191 1 0
334 1 0
2012 1 0
94 0 1
1 1 0
120 1 0
452 1 0
480 1 0
48 1 0
55 1 0
5 1 0
105 1 0
53 1 0
70 1 0
6 1 0
2476 1 0
7 1 0
2 1 0
7 1 0
205 1 0
#REF! 126296 193 20
85.02

Andoolo, September 2019


Pembuat Daftar

Danang Eko Sutrisno, S.Farm., Apt


FORMULIR EVALUASI PENGGUNAAN OBAT DI FKRTL

Nama Rumah Sakit : BLUD Rumah Sakit Konawe Selatan


Kelas Rumah Sakit : C
Tipe Rumah Sakit : Rumah Sakit Umum
Kabupaten/ Kota : Konawe Selatan
Provinsi : Sulawesi Tenggara
Kepemilikan : Pemerintah Daerah

Nama Obat Bentuk


NO
Sediaan
Bermerek Generik
1 ACARBOSE 100 MG TABLET
2 ACARBOSE 50 MG TABLET
3 ACETYLCYSTEIN 200MG TABLET
4 ACYCLOVIR 200MG TABLET
5 ACYCLOVIR 400MG TABLET
6 ACYCLOVIR SALEP SALEP
7 AKILEN TETES
TELINGA
8 AKILEN 400 MG TABLET
9 ALLOPURINOL 100 MG TABLET TABLET
10 ALLOPURINOL 300 MG TABLET
11 AMBROXOL 30 MG TABLET TABLET
12 AMBROXOL HCL 15 MG/5 ML @60 ML SIRUP
13 AMINOPHILIN 24 MG/ML INJEKSI
14 AMLODIPIN 10 MG TABLET TABLET
15 AMLODIPIN 5 MG TABLET TABLET
16 AMOXAN DROPS DROP
17 AMOXICILLIN 125 MG/5 ML @60 ML SIRUP
18 AMOXICILLIN 500 MG TABLET TABLET
19 ANALTRAM KAPLET
20 ANTALGIN 100MG/2ML INJEKSI
21 ANTASIDA DOEN 400 TABLET MG TABLET
22 ANTASIDA SIRUP SIRUP
23 APIYALIS SIRUP
24 ASAM TRANEXAMAT 500 MG TABLET TABLET
25 ASAM TRANEXAMAT 500MG/5ML INJEKSI
26 ASAM VALPROAT SIRUP
27 ATOVAR (ATORVASTATIN 20 MG) TABLET
28 ATROPIN SULFAT 0,25 MG/ML INJEKSI
29 AZITROMICIN INJEKSI
30 AZYTROMICIN 500 MG TAB KAPSUL TABLET
31 BATUGIN @120 ML SIRUP
32 BECEFORT KAPLET
33 BETAMETHASON SALEP SALEP
34 BISOPROLOL FUMARAT 5MG TABLET
35 BUCAIN SPINAL 0.5% INJEKSI
36 BUSCOPAN TABLET
37 BUSCOPAN 20MG/ML INJEKSI
38 CALC-95 KAPSUL
LUNAK
39 CALCIUM LACTAT 500 MG TABLET TABLET
40 CANDEFION 8 MG TABLET
41 CANDESARTAN 16 MG TABLET
42 CANDESARTAN 8 MG TABLET TABLET
43 CAPTOPRIL 12,5 MG TABLET
44 CAPTOPRIL 25 MG TABLET TABLET
45 CEFADROXIL 125 MG/5 ML @60 ML SIRUP
46 CEFADROXIL 250 MG/5 ML @60 ML SIRUP
47 CEFADROXIL 500 MG KAPSUL KAPSUL
48 CEFAZOLIN INJEKSI
49 CEFIXIME @100 ML SIRUP
50 CEFIXIME 100 MG KAPSUL KAPSUL
51 CEFTAZIDIME INJEKSI
52 CEFTOTAXIME INJEKSI 1 GR BERNOFARM INJEKSI
53 CEFTRIAXONE 1GR INJEKSI
54 CENDO XITROL SALEP
55 CERINI DROPS DROP
56 CETIRIZINE 10 MG TABLET TABLET
57 CETIRIZINE 5MG/5ML SIRUP
58 CHLORAMPHENICOL 250 MG TABLET
59 CIPROFLOXACIN 500 MG TABLET TABLET
60 CITICOLIN SODIUM 250MG/2ML INJEKSI
61 CLANEKSI SIRUP
62 CLOPIDOGREL 75 MG TABLET TABLET
63 CLYNDAMICIN 300 MG TABLET
64 COMBIVENT NEBU INJEKSI
65 COTRIMOXAZOLE 480 MG TABLET
66 COTRIMOXAZOLE FORTE 960 MG TABLET
67 DEXAMETHASONE 0.5 MG TABLET TABLET
68 DEXAMHETASONE INJEKSI INJEKSI
69 DEXAMHETASONE INJEKSI INJEKSI
70 DHP - FRIMAL TABLET
71 DIBEKACIN SALEP
72 DIGOXIN 0,25 MG TABLET
73 DIPHENHIDRAMIN 150MG/15ML INJEKSI
74 DOBUTAMINE-HAMELN 12,5 MG/ML INJECTION INJEKSI
75 DOMPERIDON 10 MG TABLET
76 DOMPERIDONE SIRUP @60 ML SIRUP
77 DOXYCYCLINE 100 MG TABLET
78 DULCOLAX TABLET
79 DULCOLAX SUPP
80 EPEXOL DROPS DROP
81 EPHEDRINE 50MG/ML INJEKSI
82 EPHEDRINE 50MG/ML INJEKSI
83 EPINEPHRINE 0.1% INJEKSI
84 ERYTROMICIN SIRUP
85 ERYTROMICIN 250 MG KAPSUL TABLET
86 ERYTROMICIN 250 MG KAPSUL TABLET
87 FARELAX INJEKSI INJEKSI
88 FARGOXIN INJEKSI
89 FASORBID INJEKSI
90 FIOCILAS INJEKSI
91 FIONDAZOL INFUS INJEKSI
92 FIOPRAZ 40MG INJEKSI INJEKSI
93 FIORAMOL 1GR/100ML INFUS
94 FLORAGYN KAPSUL
95 FOLAMIL GENIO KAPSUL
LUNAK
96 FOLAMIL GOLD KAPSUL
LUNAK
97 FOLIC ACID 1 MG TABLET TABLET
98 FORUMEN SALEP
99 FOSMICIN INJEKSI
100 FUROSEMIDE 10MG/ML INJEKSI
101 FUROSEMIDE 40 MG TABLET TABLET
102 GENTAMICIN INJEKSI
103 GENTAMICIN 0,1% KRIM SALEP
104 GLIMEFION 4 MG TABLET
105 GLIMEPIRIDE 1 MG TABLET TABLET
106 GLIMEPIRIDE 2 MG TABLET TABLET
107 GRISEOFULVIN 125 MG TABLET TABLET
108 HB0 INJEKSI
109 HEPATIN KAPLET
110 HUMAN ALBUMIN 100 ML INJEKSI
111 HUSTAB KAPLET
112 HYDROCORTISON SALEP SALEP
113 IMUNOS KAPLET
114 IMUNOS SIRUP
115 INBACEF SIRUP
116 INCALIN KAPLET
117 INFENEM INJEKSI
118 INTERHISTIN TABLET
119 IREMAX KAPLET
120 ISDN 5MG TABLET
121 KTM INJEKSI
122 KETOCONAZOLE 2% CREAM SALEP
123 KETOCONAZOLE 200 MG KAPLET
124 KETOROLAC 30 MG INJEKSI
125 KSR TABLET
126 LACIDOFIL SERBUK
127 LANSOPRAZOLE 30 MG KAPSUL
128 LAPIBAL INJEKSI
129 LAPIBAL INJEKSI
130 L-BIO SERBUK
131 LEVEMIR FELXPEN 100 UI/ML INJEKSI
132 LEVOFLOXACIN 500 MG TABLET TABLET
133 LIDOCAIN 2% INJEKSI
134 LIDODEX 100 MG/ 2 ML @2 ML INJEKSI
135 LORATADIN 10 MG TABLET
136 L-ZINK SIRUP
137 MELOXICAM 15 MG TABLET TABLET
138 MELOXICAM 7.5 MG TABLET TABLET
139 MEROPENEM INJEKSI
140 MERTIGO TABLET
141 METFORMIN 500 MG TABLET
142 METHISOPRINOL 500 MG TABLET TABLET
143 METHYLERGOMETRINE 0,125 MG TABLET
144 METHYLPREDNISOLON 125MG INJEKSI
145 METHYLPREDNISOLON 16 MG TABLET TABLET
146 METHYLPREDNISOLON 4 MG TABLET TABLET
147 METHYLPREDNISOLON 8 MG TABLET TABLET
148 METOCLOPRAMIDE 10MG INJEKSI
149 METRONIDAZOLE 500 MG TABLET
150 MGSO4 20% INJEKSI
151 MGSO4 40% INJEKSI
152 MICONAZOLE SALEP SALEP
153 MORGIN INJEKSI INJEKSI
154 NASALIN SIRUP
155 NATRIUM DIKLOFENAK 25 MG TABLET
156 NATRIUM FENITOIN INJEKSI
157 NEUROSANBE INJEKSI INJEKSI
158 NIFEDIPINE 10 MG TABLET
159 NORFION 4MG INJEKSI
160 NOVOMIX INJEKSI
161 NOVORAPID FLEXPEN 100 U/ML INJEKSI
162 NYSTATIN DROP DROP
163 OMEPRAZOLE INJEKSI
164 ONDANCENTRON 4 MG INJEKSI
165 ORALIT SERBUK
166 ORINOX 60 TABLET
167 OXYTETRACYCLINE SALEP KULIT SALEP
168 OXYTETRACYCLINE SALEP MATA SALEP
169 PANTOPRAZOLE INJEKSI INJEKSI
170 PARACETAMOL 500 MG TABLET TABLET
171 PARACETAMOL INFUS 1 GR/100 ML INFUS
172 PARACETAMOL SIRUP SIRUP
173 PEHACAIN INJEKSI
174 PHYFION INJEKSI
175 PHYTOMINADION 10MG/ML INJEKSI
176 PIRACETAM 1G INJEKSI
177 PIRACETAM 3GR INJEKSI
178 PIRACETAM 800 MG KAPSUL TABLET
179 PREDNISON 5 MG TABLET TABLET
180 PRIMAKUIN 15 MG TABLET
181 PROMAVIT KAPSUL
LUNAK
182 PROPANOLOL 40 MG TABLET
183 PROSTER 200 MG TABLET
184 RANITIDIINE 50 MG/ 2 ML INJEKSI INJEKSI
185 SAGESTAM INJEKSI
186 SAGESTAM INJEKSI
187 SALBUTAMOL 4 MG TABLET TABLET
188 SANBE KIDS SIRUP SIRUP
189 SANMOL SIRUP
190 SANTOCYN 10 UI@1 ML INJEKSI
191 SIMVASTATIN 10 MG TABLET TABLET
192 SIMVASTATIN 20 MG TABLET TABLET
193 SPIRONOLACTON 25 MG TABLET
194 SUCRALFAT SIRUP
195 SULPEFION 1G INJEKSI
196 TABLET TAMBAH DARAH (SF) TABLET
197 TEBOKAN SP TABLET
198 THIOPENTAL INJEKSI INJEKSI
199 TROMBO ASPILET TABLET
200 URDEX KAPLET
201 VECTRIN KAPSUL
202 VECTRIN SIRUP
203 VENTOLIN NEBUL INJEKSI
204 VERORAB INJEKSI
205 VICILIN INJEKSI
206 VITAMIN A 100,000IU KAPSUL
207 VITAMIN A 200,000IU KAPSUL
208 VITAMIN B1 TABLET
209 VITAMIN C 250 MG TABLET TABLET
210 VOMETA SIRUP
211 WIDOXIL SIRUP SIRUP
212 ZINK SULPHATE 20 MG TABLET TABLET
JUMLAH
%KESESUAIAN FORNAS
NAAN OBAT DI FKRTL

Periode Bulan
: NOVEMBER
Tahun
: 2019
∑Item Obat dalam Formularium RS : 250

Kesesuaian dengan
Jumlah Jumlah Formularium Ket
Persediaan Penggunaan Nasional
Y T
596 1 0
93 1 0
602 1 0
2160 1 0
799 1 0
79 1 0

10 1 0

403 1 0
2669 1 0
85 1 0
6086 0 1
85 0 1
9 1 0
1100 1 0
5678 1 0
1 1 0
10 1 0
1151 1 0
166 1 0
56 1 0
316 1 0
21 1 0
130 0 1
392 1 0
255 1 0
7 1 0
469 1 0
45 1 0
32 1 0
483 1 0
4 0 1
1741 1 0
88 1 0
253 1 0
17 1 0
85 1 0
33 1 0

1428 0 1

532 1 0
200 1 0
335 1 0
1200 1 0
1582 1 0
1193 1 0
17 1 0
5 1 0
1840 1 0
13 1 0
12 1 0
765 1 0
40 1 0
54 1 0
422 1 0
4 0 1
40 1 0
1901 1 0
13 1 0
383 1 0
689 1 0
126 1 0
16 1 0
275 1 0
70 1 0
704 1 0
212 1 0
20 1 0
6331 1 0
354 1 0
196 1 0
30 1 0
16 1 0
84 1 0
21 1 0
8 1 0
750 1 0
41 1 0
2470 1 0
73 1 0
11 1 0
19 0 1
116 1 0
100 1 0
20 1 0
1 1 0
75 1 0
271 1 0
56 1 0
3 1 0
4 1 0
133 1 0
17 1 0
41 1 0
151 1 0
79 0 1

890 0 1

1520 0 1

144 1 0
1 0 1
15 1 0
254 1 0
1679 1 0
258 1 0
97 1 0
40 1 0
6 1 0
725 1 0
640 1 0
106 1 0
36 0 1
11 1 0
110 1 0
370 1 0
225 0 1
32 0 1
38 1 0
462 0 1
29 1 0
110 0 1
147 1 0
520 1 0
14 1 0
19 1 0
3 1 0
366 1 0
4 1 0
170 0 1
4252 1 0
86 1 0
52 1 0
296 0 1
32 1 0
340 1 0
109 1 0
6 1 0
2009 1 0
51 1 0
1170 1 0
1665 1 0
49 1 0
501 1 0
1178 1 0
735 1 0
40 1 0
304 1 0
77 1 0
243 1 0
748 1 0
24 1 0
608 1 0
17 1 0
31 1 0
0 1 0
81 1 0
5 0 1
983 1 0
62 1 0
8 1 0
20 1 0
5 1 0
3 1 0
73 1 0
251 1 0
44 1 0
2931 1 0
25 1 0
525 1 0
20 1 0
3 1 0
50 1 0
2185 1 0
8 1 0
54 1 0
31 1 0
10 1 0
20 1 0
13 1 0
8 1 0
1301 1 0
1174 1 0
85 1 0

910 0 1

2178 1 0
192 1 0
59 1 0
150 1 0
91 1 0
466 1 0
36 0 1
17 1 0
719 1 0
354 1 0
574 1 0
456 1 0
80 1 0
109 1 0
642 1 0
79 0 1
1 1 0
1087 1 0
117 1 0
660 1 0
69 1 0
125 1 0
9 1 0
361 1 0
51 1 0
68 1 0
46 1 0
33 1 0
3 1 0
2 1 0
321 1 0
#REF! 95478 190 22
89.62

Andoolo, September 2019


Pembuat Daftar
Danang Eko Sutrisno, S.Farm., Apt
FORMULIR EVALUASI PENGGUNAAN OBAT DI FKRTL
Periode
Bulan
Nama Rumah Sakit : BLUD Rumah Sakit Konawe Selatan
Kelas Rumah Sakit :C
Tipe Rumah Sakit : Rumah Sakit Umum ∑Item Obat dalam Formularium RS : 2
Kabupaten/ Kota : Konawe Selatan
Provinsi : Sulawesi Tenggara
Kepemilikan : Pemerintah Daerah

Nama Obat Bentuk Jumlah


NO
Sediaan Persediaan
Bermerek Generik
1 ACARBOSE 100 MG TABLET
2 ACARBOSE 50 MG TABLET
3 ACETOSAL 100 MG TABLET TABLET
4 ACETYLCYSTEIN 200MG TABLET
5 ACYCLOVIR 200MG TABLET
6 ACYCLOVIR 400MG TABLET
7 ACYCLOVIR SALEP SALEP
8 AKILEN TETES TELINGA
9 AKILEN 400 MG TABLET
11 ALLOPURINOL 100 MG TABLET TABLET
12 AMBROXOL 30 MG TABLET TABLET
13 AMBROXOL 30 MG TABLET TABLET
15 AMBROXOL HCL 15 MG/5 ML @60 M SIRUP
18 AMINOPHILIN 24 MG/ML INJEKSI
19 AMLODIPIN 10 MG TABLET TABLET
20 AMLODIPIN 5 MG TABLET TABLET
21 AMLODIPIN 5 MG TABLET TABLET
22 AMLODIPIN 5 MG TABLET TABLET
23 AMOXAN DROPS SIRUP
24 AMOXICILLIN 125 MG/5 ML @60 ML SIRUP
25 AMOXICILLIN 500 MG TABLET TABLET
26 ANALTRAM TABLET
27 ANTALGIN 100MG/2ML INJEKSI
28 ANTASIDA DOEN 400 TABLET MG TABLET
29 ANTASIDA SIRUP SIRUP
30 ANTI HEMOROID INJEKSI
31 APIYALIS SIRUP
32 ASAM MEFENAMAT 500 MG TABLET TABLET
33 ASAM TRANEXAMAT 500 MG TABLET TABLET
34 ASAM TRANEXAMAT 500MG/5ML INJEKSI
35 ASAM VALPROAT SIRUP
36 ATOVAR (ATORVASTATIN 20 MG) TABLET
37 ATROPIN SULFAT 0,25 MG/ML INJEKSI
38 AZITROMICIN INJEKSI
39 AZYTROMICIN 500 MG TAB KAPSUL TABLET
40 BATUGIN @120 ML SIRUP
41 BECEFORT KAPLET
42 BETAMETHASON SALEP SALEP
43 BI-12 INJEKSI
44 BISOPROLOL FUMARAT 5MG TABLET
45 BUCAIN SPINAL 0.5% INJEKSI
46 BUSCOPAN TABLET
47 BUSCOPAN 20MG/ML INJEKSI
48 CALC-95 KAPSUL
49 CALCIUM LACTAT 500 MG TABLET TABLET
50 CANDEFION 8MG CANDEFION 8MG TABLET
51 CANDESARTAN 16 MG TABLET
52 CANDESARTAN 8 MG TABLET TABLET
53 CAPTOPRIL 12,5 MG TABLET
54 CAPTOPRIL 25 MG TABLET TABLET
55 CEFADROXIL 125 MG/5 ML @60 ML SIRUP
56 CEFADROXIL 250 MG/5 ML @60 ML SIRUP
57 CEFADROXIL 250 MG/5 ML @60 ML SIRUP
58 CEFADROXIL 500 MG KAPSUL TABLET
59 CEFAZOLIN INJEKSI
60 CEFIXIME @100 ML SIRUP
61 CEFIXIME 100 MG KAPSUL KAPSUL
62 CEFIXIME 200 MG KAPSUL KAPSUL
63 CEFTAZIDIME INJEKSI
64 CEFTOTAXIME INJEKSI 1 GR BERNOF INJEKSI
65 CEFTRIAXONE 1GR INJEKSI
66 CENDO XITROL SALEP
67 CERINI DROPS SIRUP
68 CETIRIZINE 10 MG TABLET TABLET
69 CETIRIZINE 5MG/5ML SIRUP
70 CHLORAMPHENICOL 250 MG TABLET
71 CIPROFLOXACIN 500 MG TABLET TABLET
72 CITICOLIN SODIUM 250MG/2ML INJEKSI
73 CLOPIDOGREL 75 MG TABLET TABLET
74 CLYNDAMICIN 300 MG KAPSUL
75 COMBIVENT NEBU INJEKSI
76 COTRIMOXAZOLE 480 MG TABLET
77 CURCUMA TABLET
78 D40% INJEKSI
79 DEXAMETHASONE 0.5 MG TABLET TABLET
80 DEXAMHETASONE INJEKSI INJEKSI
81 DEXAMHETASONE INJEKSI INJEKSI
82 DIBEKACIN SALEP
83 DIPHENHIDRAMIN 150MG/15ML INJEKSI
84 DOMPERIDON 10 MG TABLET
85 DOMPERIDONE SIRUP @60 ML SIRUP
86 DOPAMET 250 MG TABLET
87 DOXYCYCLINE 100 MG TABLET
88 DULCOLAX TABLET
89 DULCOLAX INJEKSI
90 EPEXOL DROPS SIRUP
91 EPHEDRINE 50MG/ML INJEKSI
92 ERYTROMICIN SIRUP
93 ERYTROMICIN 250 MG KAPSUL KAPSUL
94 FARGOXIN INJEKSI
95 FARTOLIN 1 MG/ML INJEKSI
96 FIBUMIN TABLET
97 FIOCILAS INJEKSI
98 FIONDAZOL INFUS INJEKSI
99 FIOPRAZ 40MG INJEKSI INJEKSI
100 FIORAMOL 1GR/100ML INJEKSI
101 FLADYSTIN INJEKSI
102 FLORAGYN KAPSUL
103 FOLAMIL GOLD KAPSUL LUNAK
104 FOLIC ACID 1 MG TABLET TABLET
105 FORUMEN SALEP
106 FOSMICIN INJEKSI
107 FUROSEMIDE 10MG/ML INJEKSI
108 FUROSEMIDE 40 MG TABLET TABLET
109 GENTAMICIN INJEKSI
110 GLIMEPIRIDE 1 MG TABLET TABLET
111 GLIMEPIRIDE 2 MG TABLET TABLET
112 GLIMEPIRIDE 4 MG TABLET
113 GRISEOFULVIN 125 MG TABLET TABLET
114 HB0 INJEKSI
115 HEPARMIN KAPLET
116 HEPATIN KAPLET
117 HUMAN ALBUMIN 100 ML INJEKSI
118 HUMAN ALBUMIN 50 ML INJEKSI
119 HUSTAB KAPLET
120 HYDROCORTISON SALEP SALEP
121 IBUPROFEN 400MG TABLET
122 IMUNOS TABLET
123 IMUNOS SIRUP
124 INBACEF SIRUP
125 INCALIN KAPLET
126 INFENEM INJEKSI
127 INFUXACIN INJEKSI
128 INTERHISTIN TABLET
129 IREMAX TABLET
130 ISDN 5MG TABLET
131 KETOCONAZOLE 2% CREAM SALEP
132 KETOCONAZOLE 200 MG TABLET
133 KETOROLAC 30 MG INJEKSI
134 KSR TABLET
135 LACIDOFIL SERBUK
136 LANSOPRAZOLE 30 MG KAPSUL
137 LAPIBAL KAPSUL
138 LAPIBAL INJEKSI
139 LAPIFED TABLET
140 LAPIFED DM SIRUP
141 LAPIFED EKSPEKTORAN @100 ML SIRUP
142 LAPIFED SIRUP @60 ML SIRUP
143 L-BIO SERBUK
144 LEVEMIR FELXPEN 100 UI/ML INJEKSI
145 LEVOFLOXACIN 500 MG TABLET TABLET
146 LIDOCAIN 2% INJEKSI
147 LORATADIN 10 MG TABLET
148 L-ZINK SIRUP
149 MELOXICAM 15 MG TABLET TABLET
150 MELOXICAM 7.5 MG TABLET TABLET
151 MERTIGO TABLET
152 METFORMIN 500 MG TABLET
153 METHYLERGOMETRINE 0,125 MG TABLET
154 METHYLPREDNISOLON 125MG INJEKSI
155 METHYLPREDNISOLON 4 MG TABLET TABLET
156 METIL ERGOMETRIN INJEKSI
157 METOCLOPRAMIDE 10MG INJEKSI
158 METOCLOPRAMIDE 10MG INJEKSI
159 METOCLOPRAMIDE 10MG INJEKSI
160 METRONIDAZOL INFUS INJEKSI
161 METRONIDAZOLE 500 MG TABLET
162 MGSO4 40% INJEKSI
163 NATRIUM DIKLOFENAK 25 MG TABLET
164 NATRIUM FENITOIN INJEKSI
165 NEUROSANBE INJEKSI INJEKSI
166 NIFEDIPINE 10 MG TABLET
167 NOOCHEPAL SIRUP
168 NORESTIL TABLET
169 NOVOMIX -30 INJEKSI
170 NOVORAPID FLEXPEN 100 U/ML INJEKSI
171 NYSTATIN DROP SIRUP
172 OFLOXACIN 400 MG TABLET
173 OMEPRAZOLE INJEKSI
174 ONDANCENTRON 4 MG INJEKSI
175 ORALIT TABLET
176 ORINOX 60 TABLET
177 OXYTETRACYCLINE SALEP KULIT SALEP
178 OXYTETRACYCLINE SALEP MATA SALEP MATA
179 PANTOPRAZOLE INJEKSI INJEKSI
180 PARACETAMOL 500 MG TABLET TABLET
181 PARACETAMOL INFUS 1 GR/100 ML INJEKSI
182 PARACETAMOL SIRUP SIRUP
183 PEHACAIN INJEKSI
184 PHYFION INJEKSI
185 PHYTOMINADION 10MG/ML INJEKSI
186 PIRACETAM 1G INJEKSI
187 PIRACETAM 3GR INJEKSI
188 PIRACETAM 800 MG KAPSUL KAPSUL
189 PREDNISON 5 MG TABLET TABLET
190 PROMAVIT TABLET
191 PROPANOLOL 40 MG TABLET
192 PROSTER 200 MG TABLET
193 PROVULA TABLET
194 PTU TABLET
195 RANITIDIINE 50 MG/ 2 ML INJEKSI INJEKSI
196 RANITIDINE 150 MG KAPLET TABLET
197 RECOFOL N INJEKSI INJEKSI
198 SAGESTAM INJEKSI
199 SALBUTAMOL 4 MG TABLET TABLET
200 SALBUTAMOL 4 MG TABLET TABLET
201 SANMOL SIRUP
202 SANTOCYN 10 UI@1 ML INJEKSI
203 SIMVASTATIN 10 MG TABLET TABLET
204 SIMVASTATIN 20 MG TABLET TABLET
205 SPIRONOLACTON 25 MG TABLET
206 SUCRALFAT SIRUP
207 SULPEFION 1G INJEKSI
208 TABLET TAMBAH DARAH (SF) TABLET
209 TABLET TAMBAH DARAH (SF) TABLET
210 TEBOKAN SP TABLET
211 TROMBO ASPILET TABLET
212 URDEX KAPLET
213 VECTRIN KAPSUL
214 VECTRIN SIRUP
215 VENTOLIN NEBUL INJEKSI
216 VERORAB INJEKSI
217 VITAMIN A 200,000IU KAPSUL
218 VITAMIN BCOM TABLET
219 VITAMIN C 250 MG TABLET TABLET
220 WIDOXIL SIRUP SIRUP
221 ZINK SULPHATE 20 MG TABLET TABLET
JUMLAH #REF!
%KESESUAIAN FORNAS 86.43

Andoolo, September 201


Pembuat Daftar

Danang Eko Sutrisno, S.Farm.


AN OBAT DI FKRTL

: DESEMBER
: 2019
tem Obat dalam Formularium RS : 250

Kesesuaian dengan
Jumlah Formularium Ket
Penggunaan Nasional

Y T
140 1 0
162 1 0
497 1 0
203 1 0
2860 1 0
128 1 0
317 1 0
4 1 0
0 1 0
2143 0 1
338 0 1
2589 0 1
119 0 1
1 1 0
1440 1 0
3084 1 0
420 1 0
982 1 0
1 1 0
15 1 0
1344 1 0
400 1 0
133 0 1
1089 1 0
14 1 0
30 1 0
101 0 1
1606 1 0
2416 1 0
262 1 0
13 1 0
131 1 0
5 1 0
20 1 0
1635 1 0
1 0 1
1360 1 0
163 1 0
29 1 0
1145 1 0
22 1 0
201 1 0
1 1 0
812 0 1
1358 1 0
360 1 0
551 1 0
622 1 0
710 1 0
1147 1 0
14 1 0
13 1 0
3 1 0
1580 1 0
15 1 0
3 1 0
1486 1 0
374 1 0
88 1 0
211 1 0
433 1 0
1 0 1
32 1 0
2079 1 0
13 1 0
48 1 0
558 1 0
46 1 0
1059 1 0
977 1 0
462 1 0
360 1 0
248 0 1
20 1 0
6077 1 0
51 1 0
36 1 0
42 1 0
5 1 0
1521 1 0
26 1 0
24 1 0
1004 1 0
86 1 0
14 1 0
11 0 1
8 1 0
5 1 0
278 1 0
2 1 0
2 1 0
664 0 1
40 1 0
127 1 0
529 1 0
155 1 0
73 1 0
300 0 1
1020 0 1
433 1 0
19 0 1
54 1 0
214 1 0
968 1 0
315 1 0
1116 1 0
293 1 0
969 1 0
610 1 0
65 1 0
52 0 1
112 0 1
10 1 0
3 1 0
106 1 0
100 1 0
451 1 0
218 0 1
50 0 1
24 1 0
1252 0 1
49 1 0
63 1 0
1085 0 1
923 1 0
719 1 0
80 1 0
3 1 0
483 1 0
11 1 0
102 0 1
5249 1 0
1550 1 0
93 1 0
762 1 0
6 1 0
5 1 0
5 1 0
370 0 1
39 1 0
214 1 0
101 1 0
910 1 0
40 1 0
1593 1 0
542 1 0
485 1 0
1337 1 0
271 1 0
47 1 0
2844 1 0
16 1 0
159 1 0
120 1 0
30 1 0
209 1 0
413 1 0
12 1 0
844 1 0
8 1 0
149 1 0
106 1 0
10 1 0
5 1 0
19 1 0
43 1 0
47 1 0
25 1 0
107 1 0
4 1 0
79 1 0
230 1 0
21 1 0
4 1 0
173 1 0
3131 1 0
37 1 0
61 1 0
10 1 0
17 1 0
35 1 0
24 1 0
29 1 0
290 1 0
119 1 0
770 0 1
206 1 0
351 1 0
9 0 1
935 1 0
339 1 0
882 1 0
5 1 0
88 1 0
221 1 0
752 1 0
11 1 0
846 1 0
447 1 0
1139 1 0
250 1 0
105 1 0
56 1 0
1333 1 0
240 1 0
239 0 1
235 1 0
240 1 0
403 1 0
75 1 0
176 1 0
7 1 0
4 1 0
160 1 0
163 1 0
17 1 0
336 1 0
100388 191 26
86.43

Andoolo, September 2019


Pembuat Daftar

Danang Eko Sutrisno, S.Farm., Apt


NO Bentuk Sediaan Jumlah Penggunaan
Generik
1 ACARBOSE 100 MG TABLET 174
2 ACARBOSE 100 MG TABLET 596
3 ACARBOSE 100 MG TABLET 140
4 ACARBOSE 50 MG TABLET 617
5 ACARBOSE 50 MG TABLET 93
6 ACARBOSE 50 MG TABLET 162
7 ACETOSAL 100 MG TABLET TABLET 497
8 ACETYLCYSTEIN 200MG TABLET 602
9 ACETYLCYSTEIN 200MG TABLET 203
11 ACYCLOVIR 200MG TABLET 2160
12 ACYCLOVIR 200MG TABLET 2860
13 ACYCLOVIR 400MG TABLET 1000
15 ACYCLOVIR 400MG TABLET 799
18 ACYCLOVIR 400MG TABLET 128
19 ACYCLOVIR SALEP SALEP 454
20 ACYCLOVIR SALEP SALEP 79
21 ACYCLOVIR SALEP SALEP 317
22 AKILEN TETES TELINGA 30
23 AKILEN TETES TELINGA 10
24 AKILEN TETES TELINGA 4
25 AKILEN 400 MG TABLET 35
26 AKILEN 400 MG TABLET 403
27 AKILEN 400 MG TABLET 0
28 ALLOPURINOL 100 MG TABLET TABLET 2883
29 ALLOPURINOL 100 MG TABLET TABLET 2669
30 ALLOPURINOL 100 MG TABLET TABLET 2143
31 ALLOPURINOL 300 MG TABLET 70
32 ALLOPURINOL 300 MG TABLET 85
33 AMBROXOL 30 MG TABLET TABLET 159
34 AMBROXOL 30 MG TABLET TABLET 6086
35 AMBROXOL 30 MG TABLET TABLET 338
36 AMBROXOL 30 MG TABLET TABLET 2589
37 AMBROXOL HCL 15 MG/5 ML @60 ML SIRUP 85
38 AMBROXOL HCL 15 MG/5 ML @60 ML SIRUP 119
39 AMINEFRON TABLET 2458
40 AMINOPHILIN 24 MG/ML INJEKSI 29
41 AMINOPHILIN 24 MG/ML INJEKSI 9
42 AMINOPHILIN 24 MG/ML INJEKSI 1
43 AMLODIPIN 10 MG TABLET TABLET 5073
44 AMLODIPIN 10 MG TABLET TABLET 1100
45 AMLODIPIN 10 MG TABLET TABLET 1440
46 AMLODIPIN 5 MG TABLET TABLET 422
47 AMLODIPIN 5 MG TABLET TABLET 5678
48 AMLODIPIN 5 MG TABLET TABLET 3084
49 AMLODIPIN 5 MG TABLET TABLET 420
50 AMLODIPIN 5 MG TABLET TABLET 982
51 AMOXAN DROPS DROP 1
52 AMOXAN DROPS DROP 1
53 AMOXAN DROPS SIRUP 1
54 AMOXICILLIN 125 MG/5 ML @60 ML SIRUP 12
55 AMOXICILLIN 125 MG/5 ML @60 ML SIRUP 10
56 AMOXICILLIN 125 MG/5 ML @60 ML SIRUP 15
57 AMOXICILLIN 500 MG TABLET TABLET 1138
58 AMOXICILLIN 500 MG TABLET TABLET 1151
59 AMOXICILLIN 500 MG TABLET TABLET 1344
60 ANALTRAM TABLET 504
61 ANALTRAM KAPLET 166
62 ANALTRAM TABLET 400
63 ANTALGIN 100MG/2ML INJEKSI 56
64 ANTALGIN 100MG/2ML INJEKSI 133
65 ANTASIDA DOEN 400 TABLET MG TABLET 385
66 ANTASIDA DOEN 400 TABLET MG TABLET 316
67 ANTASIDA DOEN 400 TABLET MG TABLET 1089
68 ANTASIDA SIRUP SIRUP 4
70 ANTASIDA SIRUP SIRUP 21
71 ANTASIDA SIRUP SIRUP 14
72 ANTI HEMOROID INJEKSI 30
73 APIYALIS DROP 7
74 APIYALIS SIRUP 60
75 APIYALIS SIRUP 130
76 APIYALIS SIRUP 101
77 ASAM MEFENAMAT 500 MG TABLET TABLET 1606
78 ASAM TRANEXAMAT 500 MG TABLET TABLET 280
79 ASAM TRANEXAMAT 500 MG TABLET TABLET 392
80 ASAM TRANEXAMAT 500 MG TABLET TABLET 2416
81 ASAM TRANEXAMAT 500MG/5ML INJEKSI 258
82 ASAM TRANEXAMAT 500MG/5ML INJEKSI 255
83 ASAM TRANEXAMAT 500MG/5ML INJEKSI 262
84 ASAM VALPROAT SIRUP 19
86 ASAM VALPROAT SIRUP 7
87 ASAM VALPROAT SIRUP 13
88 ATOVAR (ATORVASTATIN 20 MG) TABLET 59
89 ATOVAR (ATORVASTATIN 20 MG) TABLET 469
90 ATOVAR (ATORVASTATIN 20 MG) TABLET 131
91 ATROPIN SULFAT 0,25 MG/ML INJEKSI 24
92 ATROPIN SULFAT 0,25 MG/ML INJEKSI 45
93 ATROPIN SULFAT 0,25 MG/ML INJEKSI 5
94 AZITROMICIN INJ INJEKSI 8
95 AZITROMICIN INJ INJEKSI 32
96 AZITROMICIN INJ INJEKSI 20
97 AZYTROMICIN 500 MG TAB KAPSUL KAPSUL 3
98 AZYTROMICIN 500 MG TAB KAPSUL TABLET 483
99 AZYTROMICIN 500 MG TAB KAPSUL TABLET 1635
100 BATUGIN @120 ML SIRUP 4
101 BATUGIN @120 ML SIRUP 1
102 BECEFORT KAPLET 975
103 BECEFORT KAPLET 1741
104 BECEFORT KAPLET 1360
105 BETAMETHASON SALEP SALEP 166
106 BETAMETHASON SALEP SALEP 88
107 BETAMETHASON SALEP SALEP 163
108 BI-12 INJEKSI 29
109 BISOPROLOL FUMARAT 5MG TABLET 1014
110 BISOPROLOL FUMARAT 5MG TABLET 253
111 BISOPROLOL FUMARAT 5MG TABLET 1145
112 BUCAIN SPINAL 0.5% INJEKSI 3
113 BUCAIN SPINAL 0.5% INJEKSI 17
114 BUCAIN SPINAL 0.5% INJEKSI 22
115 BUSCOPAN TAB TABLET 95
116 BUSCOPAN TAB TABLET 85
118 BUSCOPAN TAB TABLET 201
119 BUSCOPAN 20MG/ML INJEKSI 33
120 BUSCOPAN 20MG/ML INJEKSI 1
121 CALC-95 KAPSUL LUNAK 1736
122 CALC-95 KAPSUL LUNAK 1428
123 CALC-95 KAPSUL 812
124 CALCIUM LACTAT 500 MG TABLET TABLET 224
125 CALCIUM LACTAT 500 MG TABLET TABLET 532
126 CALCIUM LACTAT 500 MG TABLET TABLET 1358
127 CANDEFION 16 MG TABLET 300
128 CANDEFION 8 MG TABLET 200
129 CANDEFION 8 MG TABLET 5
130 CANDEFION 8 MG TABLET 360
131 CANDESARTAN 16 MG TABLET 3240
132 CANDESARTAN 16 MG TABLET 335
133 CANDESARTAN 16 MG TABLET 551
134 CANDESARTAN 8 MG TABLET TABLET 1200
135 CANDESARTAN 8 MG TABLET TABLET 622
138 CAPTOPRIL 12,5 MG TABLET 157
139 CAPTOPRIL 12,5 MG TABLET 4
140 CAPTOPRIL 12,5 MG TABLET 1582
141 CAPTOPRIL 12,5 MG TABLET 710
142 CAPTOPRIL 25 MG TABLET TABLET 400
143 CAPTOPRIL 25 MG TABLET TABLET 57
144 CAPTOPRIL 25 MG TABLET TABLET 1193
145 CAPTOPRIL 25 MG TABLET TABLET 1147
146 CEFADROXIL 125 MG/5 ML @60 ML SIRUP 36
147 CEFADROXIL 125 MG/5 ML @60 ML SIRUP 17
148 CEFADROXIL 125 MG/5 ML @60 ML SIRUP 14
149 CEFADROXIL 250 MG/5 ML @60 ML SIRUP 34
150 CEFADROXIL 250 MG/5 ML @60 ML SIRUP 5
151 CEFADROXIL 250 MG/5 ML @60 ML SIRUP 13
152 CEFADROXIL 250 MG/5 ML @60 ML SIRUP 3
153 CEFADROXIL 500 MG KAPSUL KAPSUL 2010
154 CEFADROXIL 500 MG KAPSUL KAPSUL 1840
155 CEFADROXIL 500 MG KAPSUL TABLET 1580
157 CEFAZOLIN INJEKSI 15
158 CEFAZOLIN INJEKSI 13
159 CEFAZOLIN INJEKSI 15
160 CEFIXIME @100 ML SIRUP 5
161 CEFIXIME @100 ML SIRUP 12
162 CEFIXIME @100 ML SIRUP 3
163 CEFIXIME 100 MG KAPSUL KAPSUL 400
164 CEFIXIME 100 MG KAPSUL KAPSUL 765
165 CEFIXIME 100 MG KAPSUL KAPSUL 1486
166 CEFIXIME 200 MG KAPSUL KAPSUL 374
167 CEFTAZIDIME INJEKSI 1
168 CEFTAZIDIME INJEKSI 40
169 CEFTAZIDIME INJEKSI 88
170 CEFTOTAXIME INJEKSI 1 GR INJEKSI 65
171 CEFTOTAXIME INJEKSI 1 GR BERNOFARM INJEKSI 54
172 CEFTOTAXIME INJEKSI 1 GR BERNOFARM INJEKSI 211
173 CEFTRIAXONE 1GR INJEKSI 1575
174 CEFTRIAXONE 1GR INJEKSI 422
175 CEFTRIAXONE 1GR INJEKSI 433
176 CENDO XITROL TETES MATA 6
177 CENDO XITROL SALEP 4
178 CENDO XITROL SALEP 1
179 CERINI DROPS DROP 13
180 CERINI DROPS DROP 40
181 CERINI DROPS SIRUP 32
182 CETIRIZINE 10 MG TABLET TABLET 1707
183 CETIRIZINE 10 MG TABLET TABLET 1901
184 CETIRIZINE 10 MG TABLET TABLET 2079
185 CETIRIZINE 5MG/5ML SIRUP 28
186 CETIRIZINE 5MG/5ML SIRUP 13
187 CETIRIZINE 5MG/5ML SIRUP 13
188 CHLORAMPHENICOL 250 MG TABLET 396
189 CHLORAMPHENICOL 250 MG TABLET 383
190 CHLORAMPHENICOL 250 MG TABLET 48
191 CIPROFLOXACIN 500 MG TABLET TABLET 689
192 CIPROFLOXACIN 500 MG TABLET TABLET 558
193 CITICOLIN SODIUM 250MG/2ML INJEKSI 126
194 CITICOLIN SODIUM 250MG/2ML INJEKSI 46
195 CLANEKSI SIRUP 20
196 CLANEKSI SIRUP 16
197 CLOPIDOGREL 75 MG TABLET TABLET 590
199 CLOPIDOGREL 75 MG TABLET TABLET 275
200 CLOPIDOGREL 75 MG TABLET TABLET 1059
201 CLYNDAMICIN 300 MG KAPSUL 65
202 CLYNDAMICIN 300 MG TABLET 70
203 CLYNDAMICIN 300 MG KAPSUL 977
205 COMBIVENT NEBU NEBU 301
207 COMBIVENT NEBU INJEKSI 704
208 COMBIVENT NEBU INJEKSI 462
209 COTRIMOXAZOLE 480 MG TABLET 289
210 COTRIMOXAZOLE 480 MG TABLET 212
211 COTRIMOXAZOLE 480 MG TABLET 360
212 COTRIMOXAZOLE FORTE 960 MG TABLET 15
213 COTRIMOXAZOLE FORTE 960 MG TABLET 20
214 CURCUMA TABLET 1073
215 CURCUMA TABLET 248
216 D40% INJEKSI 20
217 DEXAMETHASONE 0.5 MG TABLET TABLET 1546
218 DEXAMETHASONE 0.5 MG TABLET TABLET 6331
219 DEXAMETHASONE 0.5 MG TABLET TABLET 6077
220 DEXAMHETASONE INJEKSI INJEKSI 102
221 DEXAMHETASONE INJEKSI INJEKSI 354
222 DEXAMHETASONE INJEKSI INJEKSI 196
223 DEXAMHETASONE INJEKSI INJEKSI 51
224 DEXAMHETASONE INJEKSI INJEKSI 36
225 DHP - FLIMAL KAPSUL 39
226 DHP - FRIMAL TABLET 30
227 DIBEKACIN TETES MATA 4
1 DIBEKACIN SALEP 16
2 DIBEKACIN SALEP 42
3 DIGOXIN 0,25 MG TABLET 31
4 DIGOXIN 0,25 MG TABLET 84
5 DIPHENHIDRAMIN 150MG/15ML INJEKSI 5
6 DIPHENHIDRAMIN 150MG/15ML INJEKSI 21
7 DIPHENHIDRAMIN 150MG/15ML INJEKSI 5
8 DOBUTAMINE-HAMELN 12,5 MG/ML INJECTION INJEKSI 2
9 DOBUTAMINE-HAMELN 12,5 MG/ML INJECTION INJEKSI 8
10 DOMPERIDON 10 MG TABLET 760
11 DOMPERIDON 10 MG TABLET 750
12 DOMPERIDON 10 MG TABLET 1521
13 DOMPERIDONE SIRUP @60 ML SIRUP 67
14 DOMPERIDONE SIRUP @60 ML SIRUP 41
15 DOMPERIDONE SIRUP @60 ML SIRUP 26
16 DOPAMET 250 MG TABLET 24
17 DOXYCYCLINE 100 MG TABLET 2470
18 DOXYCYCLINE 100 MG TABLET 1004
19 DULCOLAX TABLET 31
20 DULCOLAX TABLET 73
21 DULCOLAX SUPP 11
22 DULCOLAX TABLET 86
23 DULCOLAX INJEKSI 14
24 EPEXOL 30 MG TABLET 1103
25 EPEXOL DROPS DROP 19
26 EPEXOL DROPS DROP 19
27 EPEXOL DROPS SIRUP 11
28 EPHEDRINE 50MG/ML INJEKSI 64
29 EPHEDRINE 50MG/ML INJEKSI 116
30 EPHEDRINE 50MG/ML INJEKSI 100
31 EPHEDRINE 50MG/ML INJEKSI 8
32 EPINEPHRINE 0.1% INJEKSI 14
33 EPINEPHRINE 0.1% INJEKSI 20
34 ERYTROMICIN SIRUP 5
35 ERYTROMICIN SIRUP 1
36 ERYTROMICIN SIRUP 5
37 ERYTROMICIN 250 MG KAPSUL KAPSUL 238
38 ERYTROMICIN 250 MG KAPSUL TABLET 75
39 ERYTROMICIN 250 MG KAPSUL TABLET 271
40 ERYTROMICIN 250 MG KAPSUL KAPSUL 278
41 ETHAMBUTOL 500 MG KAPSUL KAPSUL 100
42 FARELAX INJEKSI INJEKSI 3
43 FARELAX INJEKSI INJEKSI 56
44 FARGOXIN INJEKSI 2
45 FARGOXIN INJEKSI 3
46 FARGOXIN INJEKSI 2
47 FARTOLIN 1 MG/ML INJEKSI 2
48 FASORBID INJEKSI 4
49 FIBUMIN KAPSUL 885
50 FIBUMIN TABLET 664
51 FIOCILAS INJEKSI 21
52 FIOCILAS INJEKSI 133
53 FIOCILAS INJEKSI 40
54 FIONDAZOL INFUS INFUS 252
55 FIONDAZOL INFUS INJEKSI 17
56 FIONDAZOL INFUS INJEKSI 127
57 FIOPRAZ 40MG INJEKSI INJEKSI 473
58 FIOPRAZ 40MG INJEKSI INJEKSI 41
59 FIOPRAZ 40MG INJEKSI INJEKSI 529
60 FIORAMOL 1GR/100ML INFUS 89
61 FIORAMOL 1GR/100ML INFUS 151
62 FIORAMOL 1GR/100ML INJEKSI 155
63 FLADYSTIN INJEKSI 73
64 FLORAGYN KAPSUL 79
65 FLORAGYN KAPSUL 300
66 FOLAMIL GENIO KAPSUL LUNAK 750
67 FOLAMIL GENIO KAPSUL LUNAK 890
68 FOLAMIL GOLD KAPSUL LUNAK 210
69 FOLAMIL GOLD KAPSUL LUNAK 1520
70 FOLAMIL GOLD KAPSUL LUNAK 1020
71 FOLIC ACID 1 MG TABLET TABLET 1319
72 FOLIC ACID 1 MG TABLET TABLET 144
73 FOLIC ACID 1 MG TABLET TABLET 433
74 FORUMEN TETES TELINGA 10
75 FORUMEN SALEP 1
76 FORUMEN SALEP 19
77 FOSMICIN INJEKSI 130
78 FOSMICIN INJEKSI 15
79 FOSMICIN INJEKSI 54
80 FUROSEMIDE 10MG/ML INJEKSI 126
81 FUROSEMIDE 10MG/ML INJEKSI 254
82 FUROSEMIDE 10MG/ML INJEKSI 214
83 FUROSEMIDE 40 MG TABLET TABLET 2870
84 FUROSEMIDE 40 MG TABLET TABLET 1679
85 FUROSEMIDE 40 MG TABLET TABLET 968
86 GENTAMICIN INJEKSI 245
87 GENTAMICIN INJEKSI 258
88 GENTAMICIN INJEKSI 315
89 GENTAMICIN 0,1% KRIM SALEP 53
90 GENTAMICIN 0,1% KRIM SALEP 97
91 GLIMEFION 4 MG TABLET 47
92 GLIMEFION 4 MG TABLET 40
93 GLIMEPIRIDE 1 MG TABLET TABLET 6
94 GLIMEPIRIDE 1 MG TABLET TABLET 1116
95 GLIMEPIRIDE 2 MG TABLET TABLET 132
96 GLIMEPIRIDE 2 MG TABLET TABLET 725
97 GLIMEPIRIDE 2 MG TABLET TABLET 293
98 GLIMEPIRIDE 4 MG TABLET 8
99 GLIMEPIRIDE 4 MG TABLET 969
100 GRAPLAC SIRUP 6
101 GRISEOFULVIN 125 MG TABLET TABLET 700
102 GRISEOFULVIN 125 MG TABLET TABLET 640
103 GRISEOFULVIN 125 MG TABLET TABLET 610
104 HB0 INJEKSI 106
105 HB0 INJEKSI 65
106 HEPARMIN KAPLET 52
107 HEPATIN KAPLET 94
108 HEPATIN KAPLET 36
109 HEPATIN KAPLET 112
110 HUMAN ALBUMIN 100 ML INJEKSI 5
111 HUMAN ALBUMIN 100 ML INJEKSI 11
112 HUMAN ALBUMIN 100 ML INJEKSI 10
113 HUMAN ALBUMIN 50 ML INJEKSI 2
114 HUMAN ALBUMIN 50 ML INJEKSI 3
115 HUSTAB KAPSUL 145
116 HUSTAB KAPLET 110
117 HUSTAB KAPLET 106
118 HYDROCORTISON SALEP SALEP 23
119 HYDROCORTISON SALEP SALEP 370
120 HYDROCORTISON SALEP SALEP 100
121 IBUPROFEN 400MG TABLET 451
122 IMIPENEM INJEKSI 21
123 IMUNOS KAPLET 1131
124 IMUNOS SIRUP 41
125 IMUNOS KAPLET 225
126 IMUNOS SIRUP 32
127 IMUNOS TABLET 218
128 IMUNOS SIRUP 50
129 INBACEF KAPSUL 67
130 INBACEF SIRUP 38
131 INBACEF SIRUP 24
132 INCALIN KAPLET 462
133 INCALIN KAPLET 1252
134 INFENEM INJEKSI 7
135 INFENEM INJEKSI 29
136 INFENEM INJEKSI 49
137 INFUXACIN INJEKSI 63
138 INTERHISTIN TABLET 44
139 INTERHISTIN TABLET 110
140 INTERHISTIN TABLET 1085
141 IREMAX KAPLET 7848
142 IREMAX KAPLET 147
143 IREMAX TABLET 923
144 ISDN 5MG TABLET 1416
145 ISDN 5MG TABLET 520
146 ISDN 5MG TABLET 719
147 ISOFLURAN 250 ML INFUS 2
148 KTM INJEKSI 2
149 KTM INJEKSI 14
150 KETOCONAZOLE 2% CREAM SALEP 20
151 KETOCONAZOLE 2% CREAM SALEP 19
152 KETOCONAZOLE 2% CREAM SALEP 80
153 KETOCONAZOLE 200 MG TABLET 28
154 KETOCONAZOLE 200 MG KAPLET 3
155 KETOCONAZOLE 200 MG TABLET 3
156 KETOROLAC 30 MG INJEKSI 1058
157 KETOROLAC 30 MG INJEKSI 366
158 KETOROLAC 30 MG INJEKSI 483
159 KSR TABLET 22
160 KSR TABLET 4
161 KSR TABLET 11
162 LACIDOFIL SERBUK 3
163 LACIDOFIL SERBUK 170
164 LACIDOFIL SERBUK 102
165 LANSOPRAZOLE 30 MG KAPSUL 4611
166 LANSOPRAZOLE 30 MG KAPSUL 4252
167 LANSOPRAZOLE 30 MG KAPSUL 5249
168 LAPIBAL KAPSUL 1084
169 LAPIBAL INJEKSI 86
170 LAPIBAL INJEKSI 52
171 LAPIBAL KAPSUL 1550
172 LAPIBAL INJEKSI 93
173 LAPIBAL inj INJEKSI 41
174 LAPIFED TABLET 583
175 LAPIFED TABLET 762
176 LAPIFED DM SIRUP 6
177 LAPIFED EKSPEKTORAN @100 ML SIRUP 5
178 LAPIFED SIRUP @60 ML SIRUP 5
179 L-BIO SERBUK 608
180 L-BIO SERBUK 296
181 L-BIO SERBUK 370
182 LEVEMIR FELXPEN 100 UI/ML FLEXPEN 20
183 LEVEMIR FELXPEN 100 UI/ML INJEKSI 32
184 LEVEMIR FELXPEN 100 UI/ML INJEKSI 39
185 LEVOFLOXACIN 500 MG TABLET TABLET 1254
186 LEVOFLOXACIN 500 MG TABLET TABLET 340
187 LEVOFLOXACIN 500 MG TABLET TABLET 214
188 LIDOCAIN 2% INJEKSI 311
189 LIDOCAIN 2% INJEKSI 109
190 LIDOCAIN 2% INJEKSI 101
191 LIDODEX 100 MG/ 2 ML @2 ML INJEKSI 5
192 LIDODEX 100 MG/ 2 ML @2 ML INJEKSI 6
193 LORATADIN 10 MG TABLET 1705
194 LORATADIN 10 MG TABLET 2009
195 LORATADIN 10 MG TABLET 910
196 L-ZINK SIRUP 50
197 L-ZINK SIRUP 51
198 L-ZINK SIRUP 40
199 MEIACT KAPSUL 6
200 MELOXICAM 15 MG TABLET TABLET 75
201 MELOXICAM 15 MG TABLET TABLET 1170
202 MELOXICAM 15 MG TABLET TABLET 1593
203 MELOXICAM 7.5 MG TABLET TABLET 300
204 MELOXICAM 7.5 MG TABLET TABLET 1665
205 MELOXICAM 7.5 MG TABLET TABLET 542
206 MEROPENEM INJEKSI 375
207 MEROPENEM INJEKSI 49
208 MERTIGO TABLET 980
209 MERTIGO TABLET 501
210 MERTIGO TABLET 485
211 METFORMIN 500 MG TABLET 720
212 METFORMIN 500 MG TABLET 1178
1 METFORMIN 500 MG TABLET 1337
2 METHISOPRINOL 500 MG TABLET TABLET 705
3 METHISOPRINOL 500 MG TABLET TABLET 735
4 METHYLERGOMETRINE 0,125 MG INJEKSI 52
5 METHYLERGOMETRINE 0,125 MG TABLET 40
6 METHYLERGOMETRINE 0,125 MG TABLET 271
7 METHYLPREDNISOLON 125MG INJEKSI 61
8 METHYLPREDNISOLON 125MG INJEKSI 304
9 METHYLPREDNISOLON 125MG INJEKSI 47
11 METHYLPREDNISOLON 16 MG TABLET TABLET 988
12 METHYLPREDNISOLON 16 MG TABLET TABLET 77
13 METHYLPREDNISOLON 4 MG TABLET TABLET 2987
15 METHYLPREDNISOLON 4 MG TABLET TABLET 243
18 METHYLPREDNISOLON 4 MG TABLET TABLET 2844
19 METHYLPREDNISOLON 8 MG TABLET TABLET 332
20 METHYLPREDNISOLON 8 MG TABLET TABLET 748
21 METIL ERGOMETRIN INJEKSI 16
22 METOCLOPRAMIDE 10MG TABLET 7
23 METOCLOPRAMIDE 10MG INJEKSI 24
24 METOCLOPRAMIDE 10MG INJEKSI 159
25 METOCLOPRAMIDE 10MG INJEKSI 120
26 METOCLOPRAMIDE 10MG INJEKSI 30
27 METRONIDAZOL INFUS INJEKSI 209
28 METRONIDAZOLE 500 MG TABLET 660
29 METRONIDAZOLE 500 MG TABLET 608
30 METRONIDAZOLE 500 MG TABLET 413
31 MGSO4 20% INJEKSI 9
32 MGSO4 20% INJEKSI 17
33 MGSO4 40% INJEKSI 2
34 MGSO4 40% INJEKSI 31
35 MGSO4 40% INJEKSI 12
36 MICONAZOLE SALEP SALEP 0
37 MORGIN INJEKSI INJEKSI 14
38 MORGIN INJEKSI INJEKSI 81
39 NASALIN SIRUP 5
40 NATRIUM DIKLOFENAK 25 MG TABLET 955
41 NATRIUM DIKLOFENAK 25 MG TABLET 983
42 NATRIUM DIKLOFENAK 25 MG TABLET 844
43 NATRIUM FENITOIN INJEKSI 15
44 NATRIUM FENITOIN INJEKSI 62
45 NATRIUM FENITOIN INJEKSI 8
46 NEUROSANBE INJEKSI INJEKSI 110
47 NEUROSANBE INJEKSI INJEKSI 8
48 NEUROSANBE INJEKSI INJEKSI 149
49 NEW ANTIDES TABLET 306
50 NIFEDIPINE 10 MG TABLET 4
51 NIFEDIPINE 10 MG TABLET 20
52 NIFEDIPINE 10 MG TABLET 106
53 NOOCHEPAL SIRUP 10
54 NORESTIL TABLET 5
55 NORFION 4MG TABLET 2
56 NORFION 4MG INJEKSI 5
57 NOVOMIX INJEKSI 3
58 NOVOMIX -30 FLEXPEN 9
59 NOVOMIX -30 INJEKSI 19
60 NOVORAPID FLEXPEN 100 U/ML FLEXPEN 37
61 NOVORAPID FLEXPEN 100 U/ML INJEKSI 73
62 NOVORAPID FLEXPEN 100 U/ML INJEKSI 43
63 NYSTATIN DROP DROP 33
64 NYSTATIN DROP DROP 251
65 NYSTATIN DROP SIRUP 47
66 OFLOXACIN 400 MG TABLET 25
67 OMEPRAZOLE INJEKSI 44
68 OMEPRAZOLE INJEKSI 107
69 ONDANCENTRON 4 MG TABLET 643
70 ONDANCENTRON 4 MG INJEKSI 2931
71 ONDANCENTRON 4 MG INJEKSI 4
72 ORALIT SERBUK 92
73 ORALIT SERBUK 25
74 ORALIT TABLET 79
75 ORINOX 60 TABLET 636
76 ORINOX 60 TABLET 525
77 ORINOX 60 TABLET 230
78 ORINOX 90 TABLET 149
79 OXYTETRACYCLINE SALEP KULIT SALEP 32
80 OXYTETRACYCLINE SALEP KULIT SALEP 20
81 OXYTETRACYCLINE SALEP KULIT SALEP 21
82 OXYTETRACYCLINE SALEP MATA SALEP 6
83 OXYTETRACYCLINE SALEP MATA SALEP 3
84 OXYTETRACYCLINE SALEP MATA SALEP MATA 4
85 PANTOPRAZOLE INJEKSI INJEKSI 260
86 PANTOPRAZOLE INJEKSI INJEKSI 50
87 PANTOPRAZOLE INJEKSI INJEKSI 173
88 PARACETAMOL 500 MG TABLET TABLET 2236
89 PARACETAMOL 500 MG TABLET TABLET 2185
90 PARACETAMOL 500 MG TABLET TABLET 3131
91 PARACETAMOL INFUS 1 GR/100 ML INFUS 121
92 PARACETAMOL INFUS 1 GR/100 ML INFUS 8
93 PARACETAMOL INFUS 1 GR/100 ML INJEKSI 37
94 PARACETAMOL SIRUP SIRUP 72
95 PARACETAMOL SIRUP SIRUP 54
96 PARACETAMOL SIRUP SIRUP 61
97 PEHACAIN INJEKSI 11
98 PEHACAIN INJEKSI 31
99 PEHACAIN INJEKSI 10
100 PHYFION INJEKSI 3
101 PHYFION INJEKSI 10
102 PHYFION INJEKSI 17
103 PHYTOMINADION 10MG/ML INJEKSI 33
104 PHYTOMINADION 10MG/ML INJEKSI 20
105 PHYTOMINADION 10MG/ML INJEKSI 35
106 PIRACETAM 1G INJEKSI 16
107 PIRACETAM 1G INJEKSI 13
108 PIRACETAM 1G INJEKSI 24
109 PIRACETAM 3GR INJEKSI 73
110 PIRACETAM 3GR INJEKSI 8
111 PIRACETAM 3GR INJEKSI 29
112 PIRACETAM 800 MG KAPSUL TABLET 102
113 PIRACETAM 800 MG KAPSUL TABLET 1301
114 PIRACETAM 800 MG KAPSUL KAPSUL 290
115 PREDNISON 5 MG TABLET TABLET 90
116 PREDNISON 5 MG TABLET TABLET 1174
117 PREDNISON 5 MG TABLET TABLET 119
118 PRIMAKUIN 15 MG TABLET 100
119 PRIMAKUIN 15 MG TABLET 85
120 PROMAVIT KAPSUL LUNAK 1230
121 PROMAVIT KAPSUL LUNAK 910
122 PROMAVIT TABLET 770
123 PROPANOLOL 40 MG TABLET 2584
124 PROPANOLOL 40 MG TABLET 2178
125 PROPANOLOL 40 MG TABLET 206
126 PROSTER 200 MG TABLET 180
127 PROSTER 200 MG TABLET 192
128 PROSTER 200 MG TABLET 351
129 PROVULA TABLET 11
130 PROVULA TABLET 9
131 PTU TABLET 9210
132 PTU TABLET 935
133 PYRAZINAMIDE 500MG TABLET 5
134 RANITIDIINE 50 MG/ 2 ML INJEKSI INJEKSI 312
135 RANITIDIINE 50 MG/ 2 ML INJEKSI INJEKSI 59
136 RANITIDIINE 50 MG/ 2 ML INJEKSI INJEKSI 339
137 RANITIDINE 150 MG KAPLET TABLET 3380
138 RANITIDINE 150 MG KAPLET TABLET 882
139 RECOFOL N INJEKSI INJEKSI 46
140 RECOFOL N INJEKSI INJEKSI 5
141 RHINOS SR KAPSUL 345
142 SAGESTAM INJEKSI 150
143 SAGESTAM INJEKSI 91
144 SAGESTAM INJEKSI 88
145 SALBUTAMOL 2 MG TABLET TABLET 4880
146 SALBUTAMOL 4 MG TABLET TABLET 12600
147 SALBUTAMOL 4 MG TABLET TABLET 466
148 SALBUTAMOL 4 MG TABLET TABLET 221
149 SALBUTAMOL 4 MG TABLET TABLET 752
150 SANBE KIDS SIRUP SIRUP 38
151 SANBE KIDS SIRUP SIRUP 36
152 SANMOL DROP 9
153 SANMOL SIRUP 17
154 SANMOL SIRUP 11
155 SANTOCYN 10 UI@1 ML INJEKSI 63
156 SANTOCYN 10 UI@1 ML INJEKSI 719
157 SANTOCYN 10 UI@1 ML INJEKSI 846
158 SIMVASTATIN 10 MG TABLET TABLET 550
159 SIMVASTATIN 10 MG TABLET TABLET 354
160 SIMVASTATIN 10 MG TABLET TABLET 447
161 SIMVASTATIN 20 MG TABLET TABLET 713
162 SIMVASTATIN 20 MG TABLET TABLET 574
163 SIMVASTATIN 20 MG TABLET TABLET 1139
164 SPIRONOLACTON 25 MG TABLET 1100
165 SPIRONOLACTON 25 MG TABLET 456
166 SPIRONOLACTON 25 MG TABLET 250
167 SUCRALFAT SIRUP 191
168 SUCRALFAT SIRUP 80
169 SUCRALFAT SIRUP 105
170 SULPEFION 1G INJEKSI 334
171 SULPEFION 1G INJEKSI 109
172 SULPEFION 1G INJEKSI 56
173 TABLET TAMBAH DARAH (SF) TABLET 2012
174 TABLET TAMBAH DARAH (SF) TABLET 642
175 TABLET TAMBAH DARAH (SF) TABLET 1333
176 TABLET TAMBAH DARAH (SF) TABLET 240
177 TEBOKAN SP TABLET 94
178 TEBOKAN SP TABLET 79
179 TEBOKAN SP TABLET 239
180 THIOPENTAL INJEKSI INJEKSI 1
181 THIOPENTAL INJEKSI INJEKSI 1
182 TROMBO ASPILET TABLET 120
183 TROMBO ASPILET TABLET 1087
184 TROMBO ASPILET TABLET 235
185 URDEX KAPLET 452
186 URDEX KAPLET 117
187 URDEX KAPLET 240
188 VECTRIN KAPSUL 480
189 VECTRIN SIRUP 48
190 VECTRIN KAPSUL 660
191 VECTRIN SIRUP 69
192 VECTRIN KAPSUL 403
193 VECTRIN SIRUP 75
194 VENTOLIN NEBUL NEBU 55
195 VENTOLIN NEBUL INJEKSI 125
196 VENTOLIN NEBUL INJEKSI 176
197 VERORAB INJEKSI 5
198 VERORAB INJEKSI 9
199 VERORAB INJEKSI 7
200 VICILIN INJEKSI 105
201 VICILIN INJEKSI 361
202 VITAMIN A 100,000IU KAPSUL LUNAK 53
203 VITAMIN A 100,000IU KAPSUL 51
204 VITAMIN A 200,000IU KAPSUL LUNAK 70
205 VITAMIN A 200,000IU KAPSUL 68
206 VITAMIN A 200,000IU KAPSUL 4
207 VITAMIN B1 TABLET 6
208 VITAMIN B1 TABLET 46
209 VITAMIN BCOM TABLET 160
210 VITAMIN C 250 MG TABLET TABLET 2476
211 VITAMIN C 250 MG TABLET TABLET 33
212 VITAMIN C 250 MG TABLET TABLET 163
213 VOMETA SIRUP 7
214 VOMETA SIRUP 3
215 VOPICAIN 0,5% INJEKSI 2
216 WIDOXIL SIRUP SIRUP 7
217 WIDOXIL SIRUP SIRUP 2
218 WIDOXIL SIRUP SIRUP 17
219 ZINK SULPHATE 20 MG TABLET TABLET 205
220 ZINK SULPHATE 20 MG TABLET TABLET 321
221 ZINK SULPHATE 20 MG TABLET TABLET 336

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