MONITORING PENGGUNAAN OBAT GENERIK DI RUMAH SAKIT

RUMAH SAKIT CIPUTRA HOSPITAL BULAN : FEBRUARI

ALAMAT TANGERANG TAHUN : 2019
ITEM OBAT DALAM RESEP
STATUS TOTAL
NO PASIEN ITEM OBAT JUMLAH NAMA OBAT NON GENERIK
(UMUM/JA PER ITEM % OBAT
MINAN) LEMBAR OBAT GENERIK
RESEP GENERIK = 4/3 X 100
1 2 3 4 5
1 JAMINAN 3 1 33.33% MEDIAMER TABLET, FOLAC TABLET
MICARDIS TABLET, CPG TABLET, CEDOCARD TABLET, TRUVAS
2 JAMINAN 8 2 25.00% TABLET, Q TEN KAPSUL, DIVASK TABLET

3 UMUM 2 0.00% FOLAMIL GENIO KAPSUL, OSSORAL TABLET

4 UMUM 6 3 50.00% KALNEX TABLET, ZALDIAR TABLET, ARCOXIA TABLET

5 JAMINAN 4 1 25.00% INBION KAPSULL, OSSORAL TABLET, FOLAMIL GENIO KAPSUL

OSSORAL TABLET, RHINOS KAPSUL, SANMOL FORTE, FOLAMIL

6 UMUM 7 2 28.57% GENIO TABLET, PRIMPERAN TABLET

7 UMUM 3 0.00% ISOPRINOSIN SYR, COLERGIS SYR, TEMPRA SYR

8 UMUM 3 1 33.33% COUNTERPAIN CREAM, FORRES TABLET

GASTRIDIN TABLET, LAZ KAPSUL, VOMETA FT TABLET, SANMOL

9 JAMINAN 5 1 20.00% FORTE TABLET

10 UMUM 5 1 20.00% EPEXOL SYR

11 JAMINAN 4 1 25.00% IMUNOS TABLET, SANMOL FORTE TABLET, GASTRIDIN TABLET

NEUROSANBE PLUS KAPLET, MEZATRIN TABLET, SANADRYL DMP

12 UMUM 5 1 20.00% SYR, TUZALOZ KAPSUL

13 JAMINAN 2 0.00% FOLAVIT TABLET, CYCLOPROGYNOVA TABLET

14 UMUM 4 1 25.00% EDOTIN DRY SYR, TEOSAL TABLET, SYMBICORT INHALER

NEULIN PS KAPSUL, CANDERIN TABLET, NOVIGREL TABLET, Q

15 UMUM 6 2 33.33% TEN KAPSUL

16 JAMINAN 4 2 50.00% SANMOL FORTE TABLET, IMUNOS TABLET

PRORENAL TABLET, ARICEPT TABLET, NEULIN PS KAPSUL,

17 UMUM 7 3 42.86% METHYCOBALT KAPSUL

KENACORT TABLET, MEFINAL TABLET, BREATHY NASAL SPRAY,

18 JAMINAN 5 1 20.00% CEFSPAN KAPSUL

CORTIDEX TABLET, TREMENZA TABLET, EPEXOL TABLET,

19 UMUM 5 1 20.00% SANMOL FORTE TABLET

20 JAMINAN 6 3 50.00% PROSTAM SR TABLET, AVODART TABLET, DIKLOVIT TABLET

VOMETA FT TABLET, DOPAMET TABLET, ASPILET TABLET, NEW

21 JAMINAN 7 1 14.29% DIATABS TABLET, UTROGESTAN KAPSUL, FOLAVIT TABLET

22 UMUM 1 0.00% OTILON TETES TELINGA

23 UMUM 2 1 50.00% OSSORAL TABLET

24 JAMINAN 5 1 20.00% SILEX SYR, RHINOS KAPSUL, OSFIT TABLET, FOLAVIT TABLET

25 UMUM 4 1 25.00% NEO GYNOXA SUPP, LACTACID WOMEN, CINOLON CREAM

CORDARONE TABLET, VOMETA FT TABLET, EPISAN SYR,

26 JAMINAN 7 1 14.29% CANDERIN TABLET, LANCID KAPSUL

ZEGAVIT TABLET, RHINOS SR KAPSUL, RENALOF KAPSUL, URIEF

27 UMUM 5 1 20.00% TABLET

ORINOX TABLET, SANMOL FORTE TABLET, EPEXOL SYR, RHINOS

28 JAMINAN 5 0.00% SR KAPSUL, AZOMAX TABLET

CINOLON CREAM, LACTACYD WOMEN SOL, NEO GYNOXA

29 JAMINAN 7 2 28.57% OVULA, DIFLUCAN KAPSUL, GLISODIN KAPSUL

EPEXOL TABLET, VOMETA FT TABLET, SANMOL FORTE TABLET,

30 UMUM 6 1 16.67% AZOMAX TABLET, RNINOS SR KAPSUL

31 JAMINAN 4 1 25.00% LASIX TABLET, CANDERIN TABLET, CPG TABLET

NOVIGREL TABLET, LASIX TABLET, CANDERIN TABLET,

32 UMUM 8 2 25.00% CEDOCARD TABLET, LEVEMIR FLEX PEN , NOVORAPID FLEXPEN

POLYSILANE SYR, RILLUS CHEW, VOMETA FT TABLET, LAZ

33 UMUM 5 1 20.00% KAPSUL

34 UMUM 3 1 33.33% OSSORAL TABLET, FOLAMIL GENIO TABLET

SANMOL FORTE TABLET, RHINOS KAPSUL, AZOMAX TABLET,

35 UMUM 5 1 20.00% SANADRYL EXPETORANT

36 UMUM 3 1 33.33% URINTER TABLET, VOLEQUIN TABLET

BETASERC TABLET, LANCID KAPSUL, BUSCOPAN TABLET, CRAVIT
37 JAMINAN 5 1 20.00% TABLET
ZEGAVIT COTED TABLET, EPEXOL TABLET, SANMOL TABLET, FG
38 JAMINAN 6 1 16.67% THROCHES TABLET, RHINOS KAPSUL
SAGESTAM CREAM, HERCLOV TABLET, CATAFLAM TABLET,
39 UMUM 5 1 20.00% PROVELYN TABLET
CETINAL TABLET, KENACORT TABLET, VECTRIN KAPSUL, SANMOL
40 UMUM 6 1 16.67% TABLT, CLAVAMOX TABLET

41 UMUM 2 0.00% APIALYS DROP, FERLIN DROP

42 JAMINAN 4 1 25.00% BUSCOPAN TABLET, LANCID TABLET, NEW DIATABS TABLET

43 UMUM 5 1 20.00% OBH SYR, NAPREX SYR, KENACORT TABLET, CEFSPAN SYR

44 JAMINAN 3 1 33.33% GLISODIN KAPSUL, NOROID SMOOTHING LOTION

45 UMUM 4 1 25.00% NEUROSANBE TABLET, FORRES TABLET, VOLTAREN GEL

46 JAMINAN 3 1 33.33% PALSMINEX TABLET. BACTODERM CREAM

47 JAMINAN 4 1 25.00% HEXILON TABLET, CEPTIK TABLET, PIROTOP CREAM

KENACORT TABLET, DEXYCLAV TABLET, MEFIINAL TABLET,

48 JAMINAN 5 1 20.00% AKILEN TABLET
ALDISA SR TABLET, KENACORT TABLET, MEFINAL TABLET,
49 UMUM 6 2 33.33% BREATHY NASAL SPRAY
50 JAMINAN 1 0.00% CRESTOR TABLET

TANGERANG,04 MARET 2019

 S
PENANGGUNG JAWAB
Kepala Unit Farmasi

Melda Silvia Sari Silalahi S.Farm., Apt

446.94/022/SIPA/469-Dinkes/2017
 MONITORING PENGGUNAAN OBAT GENERIK DI RUMAH SAKIT

RUMAH SAKIT CIPUTRA HOSPITAL BULAN : MARET

ALAMAT TANGERANG TAHUN : 2019
ITEM OBAT DALAM RESEP
STATUS TOTAL
NO PASIEN ITEM OBAT JUMLAH NAMA OBAT NON GENERIK
(UMUM/JA PER ITEM % OBAT
MINAN) LEMBAR OBAT GENERIK
RESEP GENERIK = 4/3 X 100
1 2 3 4 5
1 UMUM 4 0.00% COLERGIS SYR, NAPREX SYR, ISOPRINOSIN SYR, VOMITAS SYR

2 UMUM 2 1 50.00% TEBOKAN SPESIAL TABLET

3 UMUM 3 1 33.33% HEPAMAX KAPSUL, HEPAMAX SOFT KAPSUL

4 JAMINAN 6 3 50.00% TROMBOPHOP GEL, MYONAL TABLET, CEPTIK TABLET

SANMOL TABLET, MEDIXON TABLET , COMTUSI SYR, TREMENZA
5 JAMINAN 5 1 20.00% TABLET

RHINOS SR KAPSUL, ZEGAVIT KAPSUL, SANADRYL DMP SYR,

6 UMUM 6 1 16.67% SANMOL F TABLET

7 JAMINAN 2 0.00% OSSORAL TABLET, ZEGAVIT TABLET

8 UMUM 3 1 33.33% IMUNOS TABLET, SANMOL TABLET
ORINO X TABLET, FORNEURO TABLET, KALNEX TABLET, METVELL
9 UMUM 5 1 20.00% TABLET

SILEX SYR, RHINOS SR KAPSUL, OSSORAL TABLET, OBIPLUZ

10 UMUM 6 1 16.67% TABLET, MEDIAMER TABLET

11 UMUM 4 2 50.00% SAGESTAM CREAM, DIKLOVIT TABLET

12 JAMINAN 3 3 100.00%
13 JAMINAN 1 0.00% KALNEK TABLET
14 UMUM 2 0.00% SANMOL TABLET, IMUNOS TABLET
SANADRYL EXPECTORANT SYRUP, SANMOL FORTE TABLET,
15 JAMINAN 4 1 25.00% CORTIDEX 0.5 MG TABLET

16 UMUM 3 2 66.67% CANDERIN 8 MG TABLET

17 UMUM 4 3 75.00% ASPILETS 80 MG TABLET
18 JAMINAN 4 2 50.00% SANMOL FORTE TABLET, ZEGAVIT TABLET
19 UMUM 3 2 66.67% CEDOCARD 5 MG TABLET
FORMUNO KAPLET, VOMETA FT TABLET, EPISAN SYR, SANMOL
20 UMUM 5 1 20.00% FORTE TABLET

SANMOL FORTE TABLET, SMECTA SACHET, INTERLAC STICK

21 JAMINAN 5 0.00% PACK, PEDIALYTE SOL 500 ML, L-ZINC 10 MG/5 ML SYRUP

22 JAMINAN 1 1 100.00%
CEDOCARD 5 MGT TABLET, LETONAL 25 MG TABLET, CANDERIN
23 UMUM 7 3 42.86% 8 MG TABLET, NOVIGREL TABLET

SANMOL FORTE TABLET, SAGESTAM CREAM, ELKANA CL SYRUP,

24 JAMINAN 4 0.00% CEFSPAN DRY SYRUP
25 UMUM 2 2 100.00%
CETINAL TABLET, HEXILON 4 MG TABLET, MOFACORT CREAM 0,1
26 JAMINAN 4 1 25.00% % 10 GR

27 UMUM 3 1 33.33% COMTUSI SYRUP 100 ML, VOMETA 5 MG/5 ML SYRUP 60 ML

28 JAMINAN 2 1 50.00% OSSORAL 800 MG TABLET

 KALMECO 500MCG KAPSUL, PROVELYN 75 MG, MEDIXON 16
29 JAMINAN 3 0.00% MG TABLET

30 UMUM 4 3 75.00% CANDERIN 16 MG TABLET

SANMOL FORTE TABLET, ZEGAVIT TABLET, SANADRYL DMP
31 UMUM 5 1 20.00% SYRUP 120 ML, LAZ KAPSUL

CONCOR TABLET, TRUVAS TABLET, CANDERIN TABLET, LAZ

32 JAMINAN 8 1 12.50% KAPSUL, EPISAN SYR, Q TEN KAPSUL, ZITANID TABLET,

33 UMUM 2 0.00% ISOPRINOSIN SYRUP 60 ML, COLERGIS SYRUP 60 ML

34 UMUM 4 1 25.00% LANCID KAPSUL, VOMETA FT, EPISAN 200 ML

35 JAMINAN 3 1 33.33% CHLORAMFECORT CREAM 10 GR, DEXYCLAV 250 MG DRY SYRUP

36 UMUM 2 0.00% HISTRIN DROP, PRORIS 125 MG SUPPOSITORIA

CEFSPAN 200 MG KAPSUL, CPG 75 MG TABLET, PROHYTENS 5

37 UMUM 6 1 16.67% MG TABLET, LETONAL 25 MG TABLET, STATOR 20 MG TABLET

38 JAMINAN 5 2 40.00% EPEXOL TABLET, FORNEURO KAPSUL, 4-FDC TABLET

39 UMUM 4 1 25.00% DIKLOVIT TABLET, EPEXOL TABLET, NEUROSANBE FC TABLET

ARCOXIA 60 MG TABLET, NEUROSANBE FC TABLET,VOMETA FT,

40 UMUM 6 2 33.33% CANDERIN 8 MG TABLET

41 UMUM 3 0.00%
IMUNOS SYRUP 60 ML, VECTRINE 175C MG/5 ML, CETINAL 5
42 JAMINAN 4 0.00% MG/ 5 ML SYRUP, OTILON TETES TELINGA 8 ML

43 UMUM 3 1 33.33% CANDERIN 8 MG TABLET

44 JAMINAN 3 1 33.33% ZEGAVIT TABLET, OSSORAL800 MG TABLET

ORINOX 90 MG TABLET, KALMECO 500 MCG KAPSUL, MYONAL
45 UMUM 4 1 25.00% 50 MG TABLET

46 UMUM 3 0.00% OTOPAIN TETES TELINGA, DEXICLAV SYR, TEMPRA FORTE

47 JAMINAN 3 2 66.67% POLYGRAN EYE DROP MD PACK

48 UMUM 4 1 25.00% PSIDII KAPSUL, INBION KAPSUL, VOLEQUIN TABLET

CEPTIK SYR, PEDYALITE SYR, INTERLAC STROWBERY TABLET, ODR

49 JAMINAN 5 1 20.00% SYR

ORINOX 90 MG TABLET, METVELL 125 MCG, FORNEURO

50 UMUM 4 0.00% KAPSUL, KALNEX 500 MG

TANGERANG,01 APRIL 2019

PENANGGUNG JAWAB
Kepala Unit Farmasi

Melda Silvia Sari Silalahi S.Farm., Apt

446.94/022/SIPA/469-Dinkes/2017
 MONITORING PENGGUNAAN OBAT GENERIK DI RUMAH SAKIT

RUMAH SAKIT CIPUTRA HOSPITAL BULAN : APRIL

ALAMAT TANGERANG TAHUN : 2019
ITEM OBAT DALAM RESEP
STATUS TOTAL
NO PASIEN ITEM OBAT JUMLAH NAMA OBAT NON GENERIK
(UMUM/JA PER ITEM % OBAT
MINAN) LEMBAR OBAT GENERIK
RESEP GENERIK = 4/3 X 100
1 2 3 4 5
1 UMUM 2 0.00% DEXICLAV FORTE STR, TEMPRA SYRUP

2 UMUM 4 1 25.00% CATAFLAM TABLET, LASAL EXP SYR, AZOMAX TABLET

3 JAMINAN 3 3 100.00%
VOMETA FT TABLET, SANMOL FORTE TABLET, BERASERC TABLET,
4 UMUM 6 2 33.33% TENSIVASK TABLET

5 UMUM 2 1 50.00% FORMUNO TABLET

SANMOL FORTE TABLET, FG THROCES TABLET, EPEXOL TABLET,
6 UMUM 6 1 16.67% ALDISA SR KAPSUL, ILLIADIN NASAL SPRAY

7 UMUM 3 0.00% MRDIAMER TABLET, FOLAMIL GENIO KAPSUL

PLASMINEX TABLET, MEFINAL TABLET, NEO GYNOXA OVULA ,

8 JAMINAN 6 1 16.67% LACTACID WAMEN SOLUTION, TRICHODAZOL TABLET

9 JAMINAN 2 1 50.00% ZEGAVIT TABLET

10 JAMINAN 5 2 40.00% SANMOL FORTE TABLET, TREMENZA TABLET, SANADRYL EXP SYR

CANDERIN TABLET, Q TEN KPASUL, LASIX TABLET, LANCID

11 JAMINAN 8 2 25.00% KAPSUL, TRUVAS TABLET, EPISAN SYR

12 UMUM 3 1 33.33% COLERGIS SYRUP , DESDIN SYRUP

13 JAMINAN 2 0.00% FOLAMIL GENIO, INBION KAPSUL
14 UMUM 4 4 100.00%

15 JAMINAN 4 2 50.00% SILEX SYRUP, VOLEQUIN TABLET

DIKLOVIT TABLET, REMABID TABLET, LANCID KAPSUL,

16 UMUM 5 1 20.00% PROFIBRAT TABLET

17 JAMINAN 3 1 33.33% FORRES TABLET, VOLTAREN GEL

SAGESTAM CREAM, CATAFLAM DROP, CEPTIK SYR, ALLOCLAIR
18 JAMINAN 5 1 20.00% PLUS GARGLE

19 UMUM 2 0.00% OSSORAL TABLET, FOLAMIL GENIO

POLYSILANE SYR, SANMOL FORTE TABLET, HEXILON TABLET,
20 UMUM 6 1 16.67% BETASERC TABELT, CEFSPAN TABLET

21 UMUM 4 1 25.00% PIROTOP CREAM, CETNAL TABLET, HEXILON TABLET

22 JAMINAN 2 1 50.00% CATAFLAM TABLET

23 JAMINAN 4 1 25.00% VOLTAREN GEL, NEUROSANBE TABLET, MYONAL TABLET

ALDISA KAPSUL, KENACORT TABLET, SANMOL FORTE TABLET,

24 UMUM 5 1 20.00% BREATHY NASAL SPRAY
25 UMUM 3 0.00% SANMOL TABLET, CLAVAMOX SYRUP, OCUSON TABLET
26 JAMINAN 3 1 33.33% MUCOSTA TABLET, SINCRONIK TABLET

27 UMUM 2 0.00% HYALUB MD TETES MATA, LFX TETES MATA MD

TRUVAS TABLET, CONCOR TABLET, LASIX TABLET, CANDERIN
28 JAMINAN 7 3 42.86% TABLET

29 UMUM 3 1 33.33% OSFIT DHA, ACTONEL TABLET

30 UMUM 4 2 50.00% SAGESTAM CREAM, VOLEQUIN TABLET

31 JAMINAN 4 1 25.00% AFRIN NASAL SPRAY, CETINAL TABLET, ALDISA KAPSUL

32 JAMINAN 4 1 25.00% ACTONEL TABLET, DIKLOVIT TABLET, OSFIT TABLET

33 JAMINAN 5 2 40.00% LASAL EXP SYR, SYMBICORT TURBUHALER, LAZ KAPSUL

IMUNOS SYRUP, INTRIZIN DROP, L ZINC SYR, INTERLAC DROP,
34 UMUM 6 1 16.67% CEPTIK SYR

35 UMUM 3 1 33.33% OSSORAL TABLET, FOLAMIL GENIO KAPSUL

36 JAMINAN 2 2 100.00%
37 UMUM 6 3 50.00% ZITANID TABLET, ORINOX TABLET, FELDENE GEL
38 JAMINAN 5 2 40.00% ORINOX TABLET, ERICAF TABLET, LANCID KAPSUL
BETASONE N CREAM, COMTUSI FORTE KAPSUL, AZOMAX
39 UMUM 5 1 20.00% TABLET, RHINOS SR KAPSUL

40 JAMINAN 4 1 25.00% LAZ KAPSUL, VOMETA FT TABLET, EPISAN SYR

FOLAMIL GENIO KAPSUL, GLISODIN KPASUL, OSSORAL TABLET,

41 UMUM 7 1 14.29% RHINOS SR KPASUL, SILEX SYR, TUZALOS KAPSUL

42 UMUM 4 1 25.00% ZEGAVIT TABLET, MEDIXON TABLET, RHINOS KPASUL

FORNEURO KAPSUL, RHINOFEDT TABLET, SANADRYL EXP SYR,
43 JAMINAN 6 1 16.67% MERTIGO TABLET, SANMOL FORTE TABLET

44 UMUM 2 0.00% NEULIN PS KPASUL, ERICAF TABLET

45 JAMINAN 4 2 50.00% RHINOFED TABLET, FORMUNO TABLET, COMTUSI F KAPSUL

46 UMUM 3 1 33.33% SANMOL FORTE TABLET, ISOPRINOSIN TABLET

OBI[LUS KAPSUL, OSSORAL TABLET, RHINOS KAPSUL, SILEX
47 UMUM 5 1 20.00% SYRUP
DIKLOVIT TABLET, TRICHODAZOL TABLET, AZOMAX TABLET,
48 JAMINAN 6 0.00% CEPTIK TABLET, CETINAL TABLET

FG THROCES TABLET, TREMENZA TABLET, EPEXOL TABLET,

49 UMUM 6 1 16.67% KENACORT TABLET, BEATHY NASAL SPRAY

50 JAMINAN 4 2 50.00% GLUMIN XR TABLET, NOVIGREL TABLET

TANGERANG, 02 MEI 2019

PENANGGUNG JAWAB
Kepala Unit Farmasi

Melda Silvia Sari Silalahi S.Farm., Apt

446.94/022/SIPA/469-Dinkes/2017
 MONITORING PENGGUNAAN OBAT GENERIK DI RUMAH SAKIT

RUMAH SAKIT CIPUTRA HOSPITAL BULAN : MEI

ALAMAT TANGERANG TAHUN : 2019
ITEM OBAT DALAM RESEP
STATUS TOTAL
NO PASIEN ITEM OBAT JUMLAH NAMA OBAT NON GENERIK
(UMUM/JA PER ITEM % OBAT
MINAN) LEMBAR OBAT GENERIK
RESEP GENERIK = 4/3 X 100
1 2 3 4 5
CORTIDEX TABLET, SANMOL FORTE TABLET, AMOXAN FORTE
1 UMUM 5 2 40.00% SYR
AERIUS TABLET, ELOCON CREAM, SAGAESTAM CREAM, EPISAN
2 UMUM 5 1 20.00% SYR
3 UMUM 2 0.00% FORRES TABLET

4 JAMINAN 6 3 50.00% FORMUNO KAPLET, POLYSILANE SYR, SANMOL FORTE TABLET

5 UMUM 4 1 25.00% LAZ KAPSUL, RILLUZ CHEW TABLET, NEW DIATABS TABLET
6 JAMINAN 2 0.00% HISTRIN SYR, NAPREX SYR
7 UMUM 4 2 50.00% FORRES TABLET, FORNEURO TABLET
CORTIDEX TABLET, CATAFLAM TABLET, SANMOL FORTE TABLET,
8 JAMINAN 5 1 20.00% ISOPRINOSINE TABLET

VOMCERAN TABLET, LAZ KAPSUL, KSR TABLET, RILLUZ TABLET,

9 UMUM 7 2 28.57% NEW DIATABS TABLET

RHINOS SR KAPSUL, FG TRHOCHES TABLET, BETADINE OBAT

10 JAMINAN 5 1 20.00% KUMUR, KENALOG ORBASE

OXOFERIN SOLUTION, OSSORAL TABLET, ZEGAVIT COATED,

11 UMUM 6 1 16.67% SANMOL FORTE, CEPTIK TABLET

12 UMUM 4 1 25.00% OSSORAL TAB LET, FOLAMIL GENIO KAPSUL, VENTOLIN INHALER

VENOSMIL TABLET, VENOSMIL GEL, FAKTU SUPP, ARDIUM

13 JAMINAN 6 1 16.67% TABLET, ORINOX TABLET

14 JAMINAN 4 2 50.00% LASAL EXP SYR, ZEGAVIT COATED TABLET

TUZALOS KAPLET, NEXIUM TABLET, VOMETA TABLET, EPISAN
15 UMUM 5 1 20.00% SYR

METHYLCOBALT KAPSUL, ORINOX TABLET, NEUROSANBE 5000,

16 UMUM 5 1 20.00% ZITANID TABLET

17 JAMINAN 2 1 50.00% ZYLORIC TABLET

FG THROCHES TABLET, ZEGAVIT COATED TABLET, RHINOS SR
18 JAMINAN 4 1 25.00% KAPSUL
MEFINAL TABLET, KENACORT TABLET, FG THROCHES TABLET,
19 UMUM 6 1 16.67% DEXICLAV TABLET, FORUMEN EAR DROP
20 UMUM 6 3 50.00% IMUNOS TABLET, RHINOFED TABLET, CORTIDEX TABLET
FORNEURO KAPSUL, KALNEX TABLET, MEFINAL TABLET,
21 UMUM 7 2 28.57% METVELL TABLET, CYCLO PROGYNOVA TABLET
LAZ KAPSUL, ORINOX TABLET, BETASERECT TABLET, TENSIVASK
22 JAMINAN 8 1 12.50% TABLET, NEULIS PS KAPSUL, METHYLCOBALT KAPSUL, EPISAN
SYR
LANCID KAPSUL, NEULIN PS KAPSUL, CAL 95 TABLET, BETASERC
23 JAMINAN 7 3 42.86% TABLET

LAZ KAPSUL, LETONAL TABLET, LASIX TABLET, CANDERIN

24 JAMINAN 9 2 22.22% TABLET, STATOR TABLET, CPG TABLET, CEDOCARD TABLET
CURLIV PLUS SYR, NEUROSANBE FC TABLET, FARGOXIN TABLET,
25 UMUM 10 2 20.00% LETONAL TABLET, Q-TEN KAPSUL, LASIX TABLET, LAZ KAPSUL,
CANDERIN TABLET
FORRES TABLET, OPRINOX TABLET, TRUVAS TABLET, BRAINACT
26 JAMINAN 5 1 20.00% TABLET
27 UMUM 4 2 50.00% KALNEX TABLET, ZALDIAR TABLET
28 UMUM 3 1 33.33% OSSORAL TABLET, FOLAMIL GENIO KAPSUL
 VOLTAREN SR TABLET, LANCID KPASUL, URINTER TABLET,
29 JAMINAN 5 1 20.00% CEFSPAN TABLET

30 UMUM 3 1 33.33% ARDIUM TABLET, LASIX TABLET

EPEXOL TABLET, CORTIDEX TABLET, CEFSPAN KAPSUL, HEPAMAX
31 JAMINAN 5 1 20.00% KAPSUL

OSSORAL TABLET, FOLAMIL GENIO KAPSUL, KALNEX TABLET,

32 UMUM 5 1 20.00% UTROGESTAN KAPSUL

33 JAMINAN 4 2 50.00% VOLTAREN SR TABLET, HERCLOV TABLET

34 JAMINAN 3 0.00% COLERGIS SYR, RHINOS SYR, AZOMAX TABLET
MEDIXON TABLET, CETINAL TABLET, CRAVIT TABLET, AVAMYS
35 JAMINAN 5 1 20.00% SPRAY
NAPREX DROP, PEDYALITE SOL, L ZINC SYR, INTERLAC STICK
36 UMUM 7 0.00% PACK, VOMETA DROP, CEPTIK SYR, ODR SYR
37 JAMINAN 6 3 50.00% ZITANID TABLET, CANDERIN TABLET, CONCOR TABLET
38 UMUM 4 1 25.00% TRUVAS TABLET, MYONAL TABLET, METHYCOBAL TABLET
39 UMUM 3 0.00% TILIDON TABLET, REBAMID TABLET, LANCID KAPSUL
ORINOX TABLET, CELESTAMINE TABLET, ZITANID TABLET,
40 JAMINAN 5 1 20.00% METHYLCOBAL KAPSUL

41 UMUM 2 0.00% GLISODIN KAPSUL, ALBUFORGE KAPSUL

42 UMUM 3 1 33.33% PRO TB 4 TABLET
43 UMUM 4 2 50.00% DIKLOVIT TABLET, OMZ KAPSUL
RHINOS KAPSUL, EPEXOL SYR, SANMOL FORTE TABLET, TILIDON
44 UMUM 6 2 33.33% TABELT

45 JAMINAN 4 1 25.00% CENFRESH MD DROP, MEFINAL TABLET, THROMBOPOB

LASAL SYR, ISORPINOSINE TABLET, MEDIAMER TABLET, FOLAVIT
46 UMUM 5 1 20.00% TABLET

47 UMUM 3 1 33.33% PLETAAL TABLET

CPG TABLET, CORDARONE TABLET, CANDERIN TABLET, LAZ
48 JAMINAN 7 2 28.57% KAPSUL, Q TEN KAPSUL

EPISAN SYR, LASAL EXP SYR, VENTOLIN NEBULIZER, PULMICORT

49 UMUM 8 2 25.00% SOL, CRAVIT TABLET, CORTIDEX TABLET, SANADRYL EXP SYR

50 JAMINAN 4 1 25.00% NAPREX SYR, COLERGIS SYR, ISOPRINOSIN SYR

TANGERANG, 02 JUNI 2019

PENANGGUNG JAWAB
Kepala Unit Farmasi

Melda Silvia Sari Silalahi S.Farm., Apt

446.94/022/SIPA/469-Dinkes/2017
 MONITORING PENGGUNAAN OBAT GENERIK DI RUMAH SAKIT

RUMAH SAKIT CIPUTRA HOSPITAL BULAN : JUNI

ALAMAT TANGERANG TAHUN : 2019
ITEM OBAT DALAM RESEP
STATUS TOTAL
NO PASIEN ITEM OBAT JUMLAH NAMA OBAT NON GENERIK
(UMUM/JA PER ITEM % OBAT
MINAN) LEMBAR OBAT GENERIK
RESEP GENERIK = 4/3 X 100
1 2 3 4 5
1 JAMINAN 3 1 33.33% OSSORAL TABLET, ARCOXIA TABLET
2 JAMINAN 5 2 40.00% VOLTAREN EMULGEL , NOVIGREL TABLET, NEULIN PS KAPSUL

3 UMUM 4 1 25.00% VOMETA FT TABLET, LAZ KAPSUL, TUZALOZ KAPLET

ALDISA KAPSUL, EDOTIN KAPSUL, KETRICIN TABLET, SANMOL

4 UMUM 7 2 28.57% FORTE TABELT, BREATHY NASAL SPRAY

5 UMUM 2 1 50.00% VOLEQUIN KAPSUL

LASIX TABLET, LAZ KAPSUL, SIMARC TABLET, CONCOR TABLET,

6 UMUM 9 2 22.22% ALDACTONE TABLET, FARGOXIN TABLET, CANDERIN TABLET

OTILON TETES TELINGA, MEFINAL TABLET, KENACORT TABLET,

7 JAMINAN 5 1 20.00% CETINAL TABLET

EPISAN SYR, ERICAF TABLET, ORINOX TABLET, NEUROSANBE

8 JAMINAN 6 2 33.33% TABLET

9 UMUM 5 2 40.00% VOMETA FT TABLET, IMUNOS TABLET, SANMOL FORTE TABLET

10 JAMINAN 3 1 33.33% GLISODIN KAPSUL, ORINOX TABLET

11 UMUM 4 0.00% APIALIS DROP, FERLIN DROP, INTRIZIN DROP, RHINOS NEO DROP

FELDENE GEL, ZITANID TABLET, HEXILON TABELT, ORINOX

12 UMUM 8 2 25.00% TABLET, METHYLCOBALT KAPSUL, FORMUNO KAPLET

PURECEMIA KAPLET, AMBROXOL TABLET, HISTAPAN TABLET,

13 JAMINAN 9 2 22.22% TRUVAS TABLET, Q-TEN TABLET, GLUMIN XR TABLET, CANDERIN
TABLET

14 JAMINAN 2 0.00% OCULENT A EYE OINT, EYEFRESH PLUS MD

BUSCOPAN PLUS TABLET, LANCID TABLET, NEW DIATAB TABLET,

15 UMUM 5 1 20.00% CEPTIK TABLET

16 UMUM 3 1 33.33% KALMECO TABLET, MYONAL TABLET

17 JAMINAN 4 1 25.00% LAXADINE SYR, RILLUS TABLET, ZEGAVIT TABLET
IMUNOS TABLET, SILEX SYR, SANMOL FORTE TABLET, SANADRYL
18 JAMINAN 5 1 20.00% DMP SYR

ZEGAVIT COATED KAPLET, SANMOL FORTE TABLET, AVAMYS

19 UMUM 4 1 25.00% NASAL SPRAY

NEUROSANBE PLUS KAPLET, KALMECO KAPLET, KALNEX TABLET,

20 UMUM 8 1 12.50% RANTIN TABLET, ARCOXIA TABLET, ZALDIAT FC TABLET, CEPTIK
TABLET
METHYLCOBALT KAPSUL, GLUMIN X TABLET, VOLTAREN SR
21 UMUM 3 0.00% TABLET

22 JAMINAN 2 1 50.00% ZEGAVIT COATED TABLET

CPG TABLET, TROMBOASPILET TABLET, Q TEN AKSPUL,

23 JAMINAN 6 2 33.33% BETASERC TABLET
TEMPRA FORTE SYR, RHINOS SYR, ODR SYR, SMECTA SACHET, L
24 UMUM 6 1 16.67% ZINC SYR
25 UMUM 3 1 33.33% OTILON TETES TELINGA, MEFINAL TABLET
26 UMUM 3 1 33.33% LASAL SYR, SYMBICORT TURBUHALER
VOMITAS FDT TABLET, LANCID KAPSUL, EPEXOL TABLET,
27 JAMINAN 5 1 20.00% ZEGAVIT COATED TABLET

GLISODIN KAPSUL, VOMETA FT TABLET, LAZ KAPSUL, CANDERIN

28 UMUM 6 1 16.67% TABLET, TENSIVASK TABLET

TRUVAS TABLET, TROMBOASPILET TABLET, CANDERIN TABLET,

29 JAMINAN 4 0.00% PLASMIN KAPSUL

SANMOL FORTE TABLET, ZEGAVIT COATED TABLET, CETINAL

30 UMUM 4 1 25.00% TABLET

31 JAMINAN 2 1 50.00% CENFRESH EYE DROP MD

VOLTAREN EMULGEL, SAGESTAM CREAM, TROMBOPHOP GEL,
32 UMUM 6 1 16.67% ORINOX TABLET, FORMUNO TABLET

TENSIVASK TABLET, Q TEN KAPSUL, TRUVAS TABLET, CPG

33 UMUM 6 0.00% TABLET, CEDOCARD TABLET, MICARDIS TABLET

34 JAMINAN 3 0.00% MYONAL TABLET, KALMECO TABLET, ORINOX TABLET

BREATHY NASAL SPRAY, KETRICIN TABLET, EDOTIN KAPSUL,

35 UMUM 5 1 20.00% ALDISA SR KAPSUL

LANCID KAPSUL, CRAVIT TABLET, HEXILON TABLET, AFRIN NASAL

36 JAMINAN 6 1 16.67% SPRAY, ALDISA KAPSUL

37 UMUM 3 0.00% AKILEN DROP TETES MATA, RHINOS SYR, DEXYCLAV SYR
38 JAMINAN 2 0.00% AZOMAX TABLET, OCUSON TABLET
NEW DIATAB TABLET, BUSCOPAN TABLET, RILLUS CHEW,
39 UMUM 5 1 20.00% PEDIALIDE SOL

40 JAMINAN 3 1 33.33% NEXIUM TABLET, VOMETA FT TABLET

41 UMUM 4 2 50.00% GLUMIN TABLET, JANUVIA TABLET

BETASERC TABLET, FORMUNO TABLET, FREGO TABLET, LAZ
42 JAMINAN 4 1 25.00% KAPSUL

43 JAMINAN 3 0.00% CELEBREX TABLET, FORRES TABLET, KALMECO TABLET

44 JAMINAN 4 1 25.00% VENOSMIL KAPSUL, VENOSMIL CREAM, INTERLAC TABLET

STUGERON TABLET, LANCID KAPSUL, HEXILON TABLET, CETINAL

45 UMUM 6 1 16.67% TABLET, AVAMYS NASAL SPRAY

ELKANA FC TABLETM EDOTIN KAPSUL, SYMBICORT

46 UMUM 5 1 20.00% TURBUHALER, LASAL EXP SYR

L ZICNK SYR, RANIVEL SYR, VOMETA SYR, CEFSPAN SYR,

47 JAMINAN 5 0.00% INTERLAC STICK PACK

IMUNOS SYR, KALMECO KAPSUL, SANMOL TABLET, SALICYL

48 UMUM 7 2 28.57% TALK, SAGESTAM CREAM

49 JAMINAN 3 1 33.33% BETASERC TABLET, LANCID KAPSUL

CONCOR TABLET, Q TEN KAPSUL, SIMARC TABLET, CANDERIN
50 UMUM 4 0.00% TABLET

TANGERANG ,01 jULI 2019

PENANGGUNG JAWAB
Kepala Unit Farmasi

Melda Silvia Sari Silalahi S.Farm., Apt

446.94/022/SIPA/469-Dinkes/2017
 MONITORING PENGGUNAAN OBAT GENERIK DI RUMAH SAKIT

RUMAH SAKIT CIPUTRA HOSPITAL BULAN : JULI

ALAMAT TANGERANG TAHUN : 2019
ITEM OBAT DALAM RESEP
STATUS TOTAL
NO PASIEN ITEM OBAT JUMLAH NAMA OBAT NON GENERIK
(UMUM/JA PER ITEM % OBAT
MINAN) LEMBAR OBAT GENERIK
RESEP GENERIK = 4/3 X 100
1 2 3 4 5
NEO GYNOXA OVULA, TRHICODAZOL TABLET, PRODIVA SOL,
1 UMUM 5 1 20.00% CETNAL TABLET

TENSIVASK TABLET, ARICEPT TABLET, NEULIN PS KAPSUL, DISOLF

2 JAMINAN 6 2 33.33% TABLET

3 JAMINAN 4 1 25.00% OSSORAL TABLET, FOLAMIL GENIO KAPSUL, VOMETA FT TABLET

SINKRONIK TABLET, DISFLATYL TABLET, VOMETA FT TABET,

4 UMUM 5 1 20.00% BETASERC TABLET

5 UMUM 2 1 50.00% AMARYL TABLET

ORINOX TABLET, CANDERIN TABLET, LASIX TABLET, ASPILET

6 UMUM 9 2 22.22% TABLET, LETONAL TABELT, GANNIN KAPSUL, ELKANA TABLET

7 UMUM 4 1 25.00% INTRIZIN SYR, LASAL SYRUP, ELKANA CL SYRUP

8 UMUM 4 1 25.00% MEFINAL TABLET, URINTER TABLET, LANCID TABLET
9 UMUM 2 0.00% EYEFRESH PLUS EYE DROP, TIMOL 0,5 % DROP MD
ALOCLAIR PLUS GARGLE GEL, MEFINAL TABLET, CATAFLAM
10 JAMINAN 4 1 25.00% TABLET

OTILON TETES TELINGA, DEXICLAV TABLET, KENACORT TABBLET,

11 UMUM 5 1 20.00% MEFINAL TABLET

12 UMUM 4 1 25.00% CYCLOPROGINOVA TABLET, RHINOS KAPSUL, SILEX SYRUP

LAZ KAPSUL, MEDIXON TABLET, ZITANIS TABLET, ORINOX

13 JAMINAN 7 1 14.29% TABLET, METHYLCOBALT KAPSUL, FORMUNO KAPLET

AZOMAX TABLET, SANADRYL EXP SYRUP, SANMOL FORTE

14 UMUM 4 1 25.00% TABLET

INTERLAC STICK PACK, ZINKIND SYRUP, VOMETA SYRUP, CEPTIK

15 JAMINAN 5 1 20.00% SYRUP

NEUROSANBE PLUS TABLET, SANMOL TABLET, NEW DIATABS

16 JAMINAN 6 1 16.67% TABLET, RILLUZ CHEW TABLET
GATRIDIN TABELT, EPEXOL SYRUP , RHINOS SR KAPSUL, HEXILON
17 UMUM 6 1 16.67% TABLET, SANMOL TABLET

FOMUNO KAPLET, HERCLOV TABLET, SAGESTAM CREAM,

18 JAMINAN 5 1 20.00% CALADIN LOTION

19 UMUM 3 1 33.33% CETINAL TABLET, KENACORT TABLET

20 JAMINAN 2 0.00% FOLAMIL GENIO KAPSUL, OSSORAL TABLET
ORINOX TABLET, LAZ KAPSUL, MEDIXON TABLET, CAL 95 TABLET,
21 UMUM 7 1 14.29% ZITANID TABELT, METHYLCOBALT KAPSUL

22 UMUM 5 2 40.00% VOMETA FT TABLET, TUZALOS KAPLET, CANDERIN TABLET

23 JAMINAN 4 1 25.00% CRAVIT TABLET, LASAL SYRUP, CETINAL TABLET

24 JAMINAN 4 1 25.00% KETRICIN TABLET, MEFINAL TABLET, AKILEN TETES TELINGA

25 UMUM 6 2 33.33% CORTIDEX TABVLET, FELDENE GEL, LAZ KAPSUL,TUZALOS KAPLET

LACIDOFIL KAPSUL, NEW DIATABS TABLET, EPISAN SYR ,
26 JAMINAN 5 1 20.00% TUZALOZ KAPLET
 VOLTAREN GEL , MYONAL TABLET, NEUROSANBE TABLET,
27 UMUM 5 1 20.00% PROVELYN TABLET

28 JAMINAN 4 1 25.00% MEFINAL TABLET, URISPRAS TABLET, INTERFLOX TABLET

29 UMUM 5 2 40.00% FG THROCHES TABLET, OBH COMBI SYR, RHINOFED TABLET

30 UMUM 5 1 20.00% CPG TABLET, CONCOR TABLET, CANDERIN TABLET, LASIX TABLET

BETASERX TABLET, ARCOXIA TABLET, BIOSANBE KAPSUL,

31 JAMINAN 6 2 33.33% MYONAL TABLET

BREATHY NASAL SPRAY, FORMUNO KAPLET, FG THROCHES

32 JAMINAN 6 1 16.67% TABLET, RHINOFED TABLET, SANMOL FORTE TABLET

PROVELYN TABLET, DIKLOVIT TABLET, HERCLOV TABLET,

33 JAMINAN 5 0.00% SAGESTAM TABLET, LANCID TABLET

34 UMUM 4 1 25.00% LIPROLAC SACHET, DARYAZINC DROP, VOMITAS SYRUP

35 JAMINAN 4 1 25.00% VOMETA FT TABLET, LANCID KAPSUL, VELACOM PLUS KAPLET

VOMETA FT TABLET, NEW DIATABS TABLET, RILLUZ CHEW

36 UMUM 5 1 20.00% TABLET, ZINC TABLET

KENACORT TABLET, EDOTIN KAPSUL, AERIUS TABBLET, BREATY

37 UMUM 6 2 33.33% NASAL SPRAY
LASIX TABLET, LETONAL TABLET, NOVIGREL TABLET, STATOR
38 JAMINAN 7 1 14.29% TABLET, CANDERIN TABLET, Q - TEN KAPSUL
39 JAMINAN 3 1 33.33% NEUROSANBE TABLET, ARCOXIA TABLET
40 UMUM 5 2 40.00% KALNEX TABLET, ARCOXIA TABLET, ZALDIAR TABLET
OSSORAL TABLET, ORINOX TABLET, CANDERIN TABLET, CPG
41 UMUM 7 1 14.29% TABLET, NEUROSANBE TABLET, LASIX TABLET

LAZ KAPSUL, MEDIXON TABLET, VOLEQUIN TABLET, LASAL EXP

42 JAMINAN 5 1 20.00% SYRUP

43 JAMINAN 2 0.00% ELKANA TABLET, PRO TB TABLET

44 UMUM 3 1 33.33% SANTIBI PLUS TABLET, INC CIBA TABLET
ZITANID TABLET, ORINOX TABLET, METHYLCOBALT TABLET,
45 JAMINAN 6 2 33.33% MEDIXON TABLET

46 UMUM 3 1 33.33% OBIMIN AF TABLET, OSSORAL TABLET

47 JAMINAN 1 1 100.00% OTOPAIN TETES TELINGA
48 UMUM 4 1 25.00% CONCOR TABLET, LETONAL TABLET, CANDERIN TABLET
FORMUNO KAPLET, MEFINAL TABLET, KALNEX TABLET, INBION
49 JAMINAN 4 0.00% KAPSUL

50 UMUM 5 3 60.00% NEULIN PDS KAPSUL, DISOLF TABLET

TANGERANG ,01 AGUSTUS 2019

PENANGGUNG JAWAB
Kepala Unit Farmasi

Melda Silvia Sari Silalahi S.Farm., Apt

446.94/022/SIPA/469-Dinkes/2017
 MONITORING PENGGUNAAN OBAT GENERIK DI RUMAH SAKIT

RUMAH SAKIT CIPUTRA HOSPITAL BULAN : AGUSTUS

ALAMAT TANGERANG TAHUN : 2019
ITEM OBAT DALAM RESEP
STATUS
PASIEN TOTAL
NO NAMA OBAT NON GENERIK
(UMUM/JA ITEM OBAT JUMLAH
MINAN) PER ITEM % OBAT
LEMBAR OBAT GENERIK
RESEP GENERIK = 4/3 X 100
1 2 3 4 5
1 JAMINAN 4 1 25.00% LAZ KAPSUL, VOMETA FT TAB, FORMUNO KAPSUL
2 JAMINAN 6 2 33.33% SILEX SYR, AZOMAX TAB, EPISAB SYR, LANCID KAPSUL
3 UMUM 3 1 33.33% CATAFLAM TABLET, MINOSEP OBAT KUMUR
4 JAMINAN 2 1 50.00% THYROZOL TAB

5 UMUM 4 0.00% SINCRONIK TAB, PURECIMEA TAB, ORINOX TAB, FORMUNO TAB

6 UMUM 3 1 33.33% KETESSE TAB, CORTIDEX TAB

NEW DIATABS TAB, RILLUZ TAB, SANMOL FORTE TAB, LAZ
7 JAMINAN 6 2 33.33% KAPSUL

8 UMUM 3 0.00% FOLAMIL GENIO KAPSUL, OSSORAL TAB, SILEX SYR

9 UMUM 4 0.00% ISOPRINOSIN SYR, TEMPRA SYR, COLERGIS SYR, KLAPER
10 UMUM 4 1 25.00% BETASERC TAB, SANMOL FORTE TAB, MERISLON TAB
11 UMUM 3 1 33.33% ERICAF TAB, FREGO TAB
12 JAMINAN 5 3 60.00% CURCUMA TAB, DIKLOVIT TAB
13 UMUM 3 1 33.33% STARCEF TAB, KETESSE TAB
CEETINAL TAB, PLASMINEX TAB, BREATHY NASAL SPRAY,
14 UMUM 6 1 16.67% AVAMYS NASAL SPRAY, RHINOS SR KAPSUL

LAZ KAPSUL, SANMIL FORTE, NEW DIATABS TAB, NEW DIATABS

15 UMUM 5 1 20.00% TAB, STARCEF KAPSUL

16 JAMINAN 4 1 25.00% FORNEURO TAB, SISTENOL TAB, HEPAMAX KAPSUL

17 JAMINAN 3 0.00% PROFERTIL TAB, ALBURFCE KAPSUL, GLUCOPHAGE XR TAB
KETRICIN TAB, LAZ KAPSUL, RHINOS KAPSUL, SANMIL FORTE
18 JAMINAN 7 1 14.29% TAB, ACETIN TAB, MEIACT TAB

19 UMUM 4 1 25.00% ISOPROSINE SYR, RANIVEL SYR, ODR SYR

20 JAMINAN 3 1 33.33% GLISODIN KAPSUL, GLUCOPHAGE TAB
21 UMUM 4 1 25.00% CPG TAB, NORVASK TAB, TRUVAS TAB
ACPULSIF TAB, LANCID KAPSUL, SEQUES SACHET, HEPAMAX
22 JAMINAN 6 1 16.67% SOFT KAPSUL, URDAHEX TAB

23 JAMINAN 5 2 40.00% KALMECO TAB, MYONAL TAB, KETESSE TAB

FELDENE GEL, MEDIXON TAB, ORINOX TAB, METHYLCOBALT
24 UMUM 8 2 25.00% KAPSUL, ZITANIS TAB, RANTIN TAB

CATAFLAM TABLET, EMLA CREAM, SAGESTAM CREAM, STARCEF

25 UMUM 5 1 20.00% KAPSUL

26 JAMINAN 4 1 25.00% SANMOL FORTE TAB, EPIPSAN SYR, LANCID KAPSUL

27 UMUM 4 2 50.00% VOMETA TAB , RANIVELL SYR
IMUNOS TAB, LAZ KPASUL, HEXILON TAB, VECTRIN KASPUL,
28 JAMINAN 7 2 28.57% CEPTIK TAB

29 JAMINAN 2 0.00% KALNEX TAB, CYCLOPROGYNOVA TAB

30 UMUM 4 1 25.00% HEPAMAX TAB, BETASERC TAB, URDAHEK TAB
31 UMUM 4 1 25.00% CEFSPAN TAB, OMZ KPASUL, KETESSE TAB
32 JAMINAN 5 1 20.00% TRUVAS TAB, TROMBO ASPILET TAB, LASIX TAB, CANDERIN TAB

GLUCOVANCE TAB, PROFIBRAT KAPSUL, CEDOCARD TAB,

33 UMUM 9 3 33.33% CANDERIN TAB, NOVIGREL TAB, TRUVAS TAB

34 JAMINAN 3 1 33.33% EPERINOC TAB, ORINOX TAB

35 UMUM 3 1 33.33% SMECTA SACHET, INTERLAC TAB
NAPREX SYR, RANIVEL SYR, VOMETA SYR, INTERLAC TAB,
36 JAMINAN 5 0.00% SMECTA SACHET

EDOTIN KAPSUL, CETINAL TAB, CRAVIT TAB, SANMOL TAB,

37 UMUM 7 1 14.29% KENACORT TAB, BREATHY NASAL SPRAY

FORNEURO KAPSUL, KALNEX TAB, METVELL TAB, MEFINAK TAB,

38 UMUM 6 1 16.67% CYCLO PROGYNOVA TAB

BUSKOPAN PLUS TAB, VOLEQUIN TAB, LANCID KAPSUL,

39 JAMINAN 5 1 20.00% PROFIBRAT TAB

VOLEQUIN TAB, KENACORT TAB, EPEXOL TAB, AFRIN SPRAY,

40 UMUM 7 2 28.57% RHINOS KAPSUL

41 JAMINAN 5 2 40.00% LASAL EXP SYR, HEXILON TAB, SERETIDE INHALER

EPEXOL SYR, TREMENZA TAB, SANMOL FORTE TAB, FLIXOTIDE
42 JAMINAN 7 2 28.57% NEB, VENTOLIN NEB

AZOMAX TAB, KETRICIN TAB, SERETIDE INHALER, TEOSAL TAB,

43 UMUM 6 1 16.67% FLUIMUCYL DRY SYR

44 JAMINAN 4 1 25.00% ZOTER CREAM, SANMOL FORTE TAB, HERCLOV KAPLET

ZEGAVIT TAB, TANTUM VERDE SOL, PROFIBRAT TAB, METRIX
45 UMUM 7 1 14.29% TAB, GLUCOPHAGE TABLET, CPG TAB

VOMETA FT TAB, PARIET TAB, SANMOL FORTE TAB, SMECA

46 UMUM 5 0.00% SACHET, NEW DIATAB TAB

47 JAMINAN 4 1 25.00% GLISODIN KAPSUL, OSSORAL TAB, RHINOFED TAB

ALDACTONE TAB, LASIX TAB, TROMBO ASPILET TAB, CANDERIN
48 JAMINAN 6 1 16.67% TAB, GLUMIN XR TAB

49 JAMINAN 4 1 25.00% SCABIMITE REAM, MEDIXON TAB, INERSON CREAM

50 UMUM 2 0.00% OPTIMAX TABLET, HYALUB EYE DROP

TANGERANG ,01 SEPTEMBER 2019

PENANGGUNG JAWAB
Kepala Unit Farmasi

Melda Silvia Sari Silalahi S.Farm., Apt

446.94/022/SIPA/469-Dinkes/2017