DAFTAR NAMA OBAT-OBAT, PERBEKALAN KESEHATAN, SARANA DAN PRASARANA

A. OBAT-OBATAN

NO. NAMA OBAT KOMPOSISI

1 acetylcysteine 200 mg acetylcysteine
2 acyclovir 400 mg tablet acyclovir
3 afibramol sirup 120 mg/5ml paracetamol
4 allupurinol 100 mg allupurinol
5 allupurinol 300 mg allupurinol
6 ambeven kapsul Graphtophyllum picatum,Sophora jamponica, Rubia cordifolia, dll
7 ambroxol 30 mg tablet ambroxol
8 ambroxol sirup 15 mg/5 ml ambroxol
9 amlodipine 10 mg amlodipine
10 amlodipine 5 mg amlodipine
11 Amoxicillin 500 mg amoxicillin
12 anacetine sirup pct 120, pheylpropanolamine, gg, ctm
13 antasida doen tablet mg(oh), al(oh)3
14 antasida suspensi mg(oh), al(oh)3
15 asam mefenamat 500 mg asam mefenamat
16 aspilet 80 mg asam salicilat
17 atorvastatin 20 mg atorvastatin
18 atorvastatin calcium 40 mg atorvastatin
19 azithromycin 500 mg azithromycin
20 betahistine 6 mg tablet betahistine mesylate
21 Betametasone cream 0.1% Betametasone
22 Betason-N Cream 5 gram betamethasone valerate, neomycin
23 biolysin sirup vit A, B1, B2, B3, B5, B6, B12
24 Bioplacenton Gel 15 gram placenta extract, neomycin sulfate
25 bisolvon 8 mg tablet bromhexin hcl
26 bisoprolol 2.5 mg bisoprolol
27 bodrex migra tablet pct 350, propyhenazone 150, caffein
28 bronkris eliksir 70 mg tablet bromhexin hcl
29 bufect syrup 100 mg / 5 ml ibuprofen
30 Caladine Lotion 60 ml calamine, zn oxyde, diphenhidramine
31 Callusol 10 ml `
32 calortusin kaplet pct, dmp, phenypropanolamin, ctm
33 captopril 25 mg captopril
34 catherine booth talk
35 caviplex forte tablet vit a, vit D, B1, B2, choline, l-lysine, curcuma
36 caviplex syrup vit A, vit D, B1, B2, B6, B12, vit C, nikotinamid, dll
37 cefadroxyl 500 mg cefadroxyl
38 cefadroxyl capsul 500 mg cefadroxyl
39 cefadroxyl syrup cefadroxyl 125 mg/5 ml
40 cefixime tablet 100 mg cefixime
41 Cendo Catarlens tetes mata cacls2, kalium iodida, kalium iodida
42 Cendo Lyteers tetes mata sodium chloride, potassium chloride
43 Cendo Xytrol tetes mata dexa, neomycin, polymixin
44 cetirizine tablet 10 mg cetirizine
45 chlorpheniramin tablet chlorpheniramin
46 ciprofloxacin 500 mg ciprofloxacin
47 citocetin sirup pct 120, gg, phenylpropanolamin, ctm
48 clindamycin 300 mg kapsul clindamycin 300 mg
49 Clobetasol propionate 0.05% clobetasol propionate
50 combatrin 250 mg pyrantel pamoat
51 Combivent UDP ipatropium bromide
52 coparcetin tablet pct 120, gg 50, efedrin, ctm, alkohol
53 curcuma FCT tablet ext. curcuma
54 curcuma sirup ext. echinacea, curcuma, vit A
55 curcumin extra sirup beta carotene, vit B1, curcumin, l-lysine
56 decolsin kapsul pct 400 mg, pseudoefed, ctm, gg, dmp
57 demacolin tablet pct 500, pseudoefedrin, ctm
58 Dexa-M 0.75 tablet dexamethasone 0.75
59 digoxin 0.25 mg digoxin
60 dimenhidrinat tablet dimenhidrinat
61 disflatyl 40 mg tablet dimethylpolysiloxane
62 dobrizol 30 mg kapsul lanzoprazole
63 doxycyline 100 mg doxycycline
64 dulcolax 5 mg tablet bisacodyl
65 Eltazon 5 mg prednisolone
66 Erlamycetin tetes mata chloramphenicol
67 Erlamycetin tetes telinga chloramphenicol
68 etabion talbet fe, vit C, asam folat, B12, cu-sulfat, mn
69 etadium 2 mg loperamide
70 etafen syrup 100 mg/5 ml ibuprofen
71 etaflusin syrup pct 100 mg, gg, ctm, efedrin, natrium sitrat, ethanol
72 etoricoxib 90 mg kapsul etoricoxib
73 fadisol drops 60 mg/0.6 cc paracetamol
74 farsifen 200 mg tablet ibuprofen
75 farsifen 400 mg ibuprofen
76 farsifen plus tablet paracetamol, ibuprofen, caffeine
77 faxiden 20 mg tablet piroxicam
78 flutamol kaplet pct 500, phenylpropanolamin, ctm,gg
79 forbetes 500 mg tablet metformin
80 Forumen tetes telinga docusate na
81 furosemide 40 mg furosemide
82 Gabapentin 300 mg tablet gabapentin
83 Genoint Tetes Mata Gentamycin
84 Gentamycin salep kulit 1% Gentamycin
85 gentian violet 1% methyl rosaniline chloride
86 gg tablet 100 mg gliceryl guaicoalate
87 glimepiride 1 mg glimepiride
88 glimepiride 2 mg glimepiride
89 glucosamine 500 mg glucosamine
90 grantusif tablet dmp 15, gg, difenhidramin 5 mg
91 Gricin 500 mg Griseofulvin
92 griseofulvin 125 mg Griseofulvin
93 griseofulvin 500 mg Griseofulvin
94 histapan tablet 50 mg mebhidrolin napadisilat
95 histigo 6 mg tablet betahistine mesylate
96 Hotin dcl gel natrium diclofenac
97 hufadon syrup 5 mg / 5 ml domperidone
98 hufafural suspensi 250 mg / 5 ml nifuroxazide
99 hufagrip flu batuk tablet pct 120, pseudo, ctm, gg
100 hufagrip forte kaplet pct 500, efedrin 5 mg, ctm 2 mg, gg 50 mg
101 hufallerzine syrup prometazine, gg, tinctura ipecacuanhae
102 Hydrocortisone Cream 2.5% Hydrocortisone
103 ibuprofen 400 mg tablet ibuprofen
104 Ifitamol tablet paracetamol 500 mg
105 immunos kaplet echinacea, zn picolinate, selenium, acid ascorbic
106 inza tablet pct 600 mg, pseudoefedrin, ctm
107 isosorbid dinitrat 5 mg isosorbid dinitrat
108 Kaditic 50 mg tablet Kalium Diclofenac
109 Ketoconazole cream 2% Ketoconazole
110 ketoconazole tablet 200 mg Ketoconazole
111 Ketomed Scalp Solution Ketoconazole
112 ketoprofen 100 mg tablet ketoprofen
113 ketoprofen 50 mg tablet ketoprofen
114 Lanzoprazole 30 mg lanzoprazole
115 lasal syrup 2 mg/5 ml salbutamol
116 lerzin sirup 5 mg/ 5ml cetirizine
117 levofloxacin 500 mg levofloxacin
118 lifadrox sirup cefadroxyl
119 lodia 2 mg tablet loperamide
120 lokev 20 mg kapsul omeprazole
121 lyscavit syrup vit A, B1, B3, B6, vit D, vit C dll
122 Medi-Klin Gel 15 gram clindamycin fosfat
123 mefinal 500 mg tablet asam mefenamat
124 megatic 50 mg talbet natrium diclofenac
125 meloxicam 15 mg kapsul meloxicam
126 meloxicam 7.5 mg kapsul meloxicam
127 metamizole tablet metamizole
128 metformin 500 mg metformin
129 metformin xr 500 mg metformin slow release
130 Methylprednisolone 16 mg methylprednisolone
131 Methylprednisolone 4 mg methylprednisolone
132 metronidazole 500 mg metronidazole
133 Miconazole 2% cream Miconazole
134 Molocort 0.75 tablet dexamethasone
135 Mometasone cream Mometasone
136 muliavit syrup vit A, B1, B2, B6, vit C, D3,
137 natrium diclofenac 50 mg tablet natrium diclofenac
138 neo reumachyl tablet ibuprofen 200 mg, paracetamol 350 mg
139 neo rheumacyl neuro tablet ibuprofen 200 mg, vit B1 50 mg, vit B6 100 mg, vit B12 100 mcg
140 neuralgin RX metamizole, thiamine, pyridoxine, cyanocobalamine, trimethylxantine
141 neurodex tablet vit B1, B6, B12
142 neurodex tablet B1 100 mg, vit B6 200 mg, vit B12 200 mcg
143 New Diatabs tablet attalpulgite
144 nifedipine 10 mg nifedipine
145 Nisagon salep 5 gram betametasone, neoymicin
146 norit 40 tablet karbon aktivatus, excipients ad 325 mg
147 norvom syrup metoclopramide 10 mg / 5 ml
148 novachlor sirup 250 mg / 5 ml chloramphenicol
149 novatusin sirup pct 120 mg, dmp 5 mg, ctm 2 mg, pseudoephedrine 15 mg
150 Omedom syrup domperidone
151 Omeprazole 20 mg omeprazole
152 ondansentron 4 mg tablet ondasentron
153 oralit 200 sachet Natrium klorida 0.52 gram - Kalium klorida 0.3 gram - Trisodium sitrat dihidrat 0.58 gram - Glukosa anhidrat 2.7 gram
154 oraprofen sirup ibuprofen
155 otede tablet diphenhydramine hcl 50 mg
156 oxytetracycline salep mata 3% oxytetracycline
157 pacdin cough sirup pct 120, gg 50, ctm, ethanol
158 pacdin cough sirup pct 120 mg, gg 50 mg, ctm 1 mg, ethanol
159 Papaverin HCL tablet papaverin
160 paracetamol 500 mg acetaminophen
161 paracetamol sirup paracetamol 120 mg / 5 ml
162 Paramol Forte paracetamol 600
163 paratusin tablet noscapine 10 mg, ctm, gg. Pct 500 mg, penhylpropanolamin
164 pasaba expectorant sirup ctm 1 mg, gg 50 mg
165 Pedialyte bubble gum sol natrium, kalium, klorida, sitrat, dextrose
166 pharolit sachet Natrium klorida 0,52 g,Kalium klorida 0, 3 g,Trinatrium sitrat dihidrat 0,58 g, Glucose anhidrat 2,7 g
167 pimacolin plus sirup pct 125 mg, gg, ammonium chlorida, efedrin, ctm
168 pimacolin sirup pct 125 mg, gg, ammonium chlorida, efedrin, ctm
169 pim-tra-kol sirup pct 125 mg, gg 50, efedrin 2mg, ctm 1 mg
170 pirofel 0.5% gel piroxicam
171 piroxicam 20 mg kapsul piroxicam
172 plantacid suspensi aluminium hydroxide, magnesium hydroxide, simethicone
173 polycrol forte tablet activated methylpolysiloxane, mg(OH)2, al(OH)3
174 polysilane 8 mg tablet diemtilpolisiloksan, al(OH)3, Mg(OH)2
175 polysilane sirup dimetilpolisiloksan, aluminium, magnesium
176 Prednison 5 mg prednison
177 procold batuk flu tablet pct 500, dmp, pseudoefedrin
178 procold flu kaplet pct 500, phenylephrine, ctm 2 mg
179 procurma syrup curcuma, vitamin A, vitamin D3, vitamin B1, vitamin B2, vitamin B6, vitamin B12, beta karoten, Lysin, dan DHA
180 promag tablet isap hydrotalcite 200, mg(OH)2, simeticone
181 propythiouracil 100 mg propythiouracil
182 Pyrantel Pamoat 125 mg tablet pyrantel pamoat
183 Pyrantel Pamoat 125 mg tablet pyrantel pamoat
184 qom borax glycerine 10% borax 10%, glicerine ad 10 ml
185 ramoxyl sirup 125 mg/5 ml amoxicillin
186 ranitidine 150 mg tablet ranitidine
187 Reco tetes telinga 1% chloramphenicol
188 renadinac 50 mg tablet natrium diclofenac
189 renalyte solution 200 ml na 15 meq, glucose 4 gr, cl 13 meg, citrate 2 meq
190 Rhemafar 8 mg tablet methylprednisolone
191 roverton drops 15 mg/ml ambroxol
192 roverton syrup ambroxol 15 mg/5 ml
193 salbutamol 2 mg salbutamol
194 salbutamol 4 mg salbutamol
195 sanbe kids emulsion sirup vit A, vit D, B1, B2, choline, l-lysine, curcumin
196 Sanbe tears tetes mata dextran-70, hypromellose 3 mg
197 sanmag sirup 120 ml trisilicate, al(OH)3 colloid, simethicone 25 mg
198 sanmol drops paracetamol 60 mg/0.6 ml
199 sanmol sirup paracetamol 120 mg / 5 ml
200 scopma plus kaplet hyoscine, paracetamol
201 simvastatin 10 mg simvastatin
202 spasminal tablet metamizole, ext belladonna, papaverine
203 spironolactone 25 mg spironolactone
204 stomach suspensi aluminium hydroxide, magnesium hydroxide, simethicone
205 Sulcralfate suspensi sulcralfate 500 mg
206 tifestan forte 500 mg asam mefenamat
207 trimeta sirup 240 mg/5 ml co-trimoxazole
208 tropegesic sirup paracetamol 120 mg / 5 ml
209 unibebi sirup pct 120 mg, gg, ctm 1 mg
210 unibebi syrup pct 120 mg, gg 25 mg, ctm 1 mg
211 ventolin inhaler salbutamol
212 vesperum 10 mg tablet domperidone
213 vicks formula 44 anak sirup guaifenesin, dmp
214 vicks formula 44 dewasa sirup dmp 5 mg, dosilamin suksinat 2 mg
215 vipcol sirup pct 120,gg, chlorpeniramin maleat
216 voltadex 50 mg tablet natrium diclofenac
217 vosea syrup metoclopramide
218 yusimox sirup kering amoxicillin 125 mg/5 ml
219 zinc 20 mg tablet zinc
220 zinc sirup 20 mg /5 ml zinc
221 zultrop sirup 240 mg/5 ml co-trimoxazole
B. PERBEKALAN KESEHATAN

NO. NAMA ALAT KESEHATAN JUMLAH

1 Tempat tidur pasien 1 bh
2 Funduskopi 1 bh
3 Tensi meter aneroid 1 bh
4 Tensi meter digital 1 bh
5 Stetoskop 3 bh
6 Timbangan berat badan digital 1 bh
7 Nebulizer 1 bh

C. SARANA DAN PRASARANA

1 Bangunan seluas 20 m2 1 unit
2 Kursi tunggu pasien 10 bh
3 Tempat tidur pasien 1 bh
4 PC merk lenovo 1 bh
5 Printer 1 bh
6 TV LED untuk promosi kesehatan 2 unit
7 Tempat cuci tangan pasien 1 bh
8 AC 1/2 pk 1 unit
9 Kulkas 1 unit