Nama Obat Jumlah Order Distributor

Amoxicillin OBG (kapsul) 2 Box Enseval Putra Megatrading

Amoxil (vial) 3 Vial Enseval Putra Megatrading
Asmacare (tablet 2 mg) 3 Box Enseval Putra Megatrading
Asmacare (tablet 4 mg) 4 Box Enseval Putra Megatrading
Aspilets (tablet 80 mg) 5 Box Enseval Putra Megatrading
Atrovent (botol larutan inhalasi) 3 Flash Enseval Putra Megatrading
Aztrin (kapsul) 2 Box Enseval Putra Megatrading
Becotide (rotacap) 2 Flash Enseval Putra Megatrading
Berotec (botol larutan inhalasi) 3 Flash Enseval Putra Megatrading
Betablok (tablet 100 mg) 2 box Enseval Putra Megatrading
Bricasma (botol sirup) 3 flash Anugerah Pharmindo Lestari
Capoten (tablet 12,5 mg) 3 box Anugerah Pharmindo Lestari
Capoten (tablet 25 mg) 2 box Anugerah Pharmindo Lestari
Cardioaspirin (tablet) 4 box Anugerah Pharmindo Lestari
Cerif (kapsul) 3 box Anugerah Pharmindo Lestari
Depakene (botol sirup) 3 flash Anugerah Pharmindo Lestari
Depakote (tablet 250 mg) 3 box Anugerah Pharmindo Lestari
Dexametason generik (tablet) 2 box Anugerah Pharmindo Lestari
Diazepam (ampul) 3 box Merapi Utama Pharma
Digoxim OGB (tablet 0,0625 mg) 2 box Anugerah Pharmindo Lestari
Digoxin OGB (tablet 0,25 mg) 3 box Indofarma Global Medika
Digoxin sandos (tablet) 4 box Indofarma Global Medika
Dilantin (kapsul 100 mg) 5 box Indofarma Global Medika
Dopamin HCL (ampul) 6 box Indofarma Global Medika
Dopamin HCL (vial) 3 vial Indofarma Global Medika
Eritromisin OGB (kapsul) 2 box Indofarma Global Medika
Erphatrocin (kapsul) 3 box Indofarma Global Medika
Erphatrocin (tablet) 4 box Indofarma Global Medika
Ethambutol OGB (tablet) 2 box Indofarma Global Medika
Extracaine (ampul) 3 box Indofarma Global Medika
Fargoxin (tablet 0,25 mg) 2 box Parit padang Global
Farnormin (tablet 50 mg) 3 box Parit padang Global
Farsorbid (tablet 10 mg) 1 box Parit padang Global
Farsorbid (tablet 5 mg) 2 box Parit padang Global
Fenobarbital (ampul) 3 box Merapi Utama Pharma
Folic acid (tablet 1 mg) 4 box Parit padang Global
Folic acid (tablet 5 mg) 2 box Parit padang Global
Furosemid OGB (ampul) 1 box Parit padang Global
Furosemid OGB (tablet) 2 box Parit padang Global
Furosix (ampul) 3 box Bina San Prima
Furosix (tablet) 3 box Bina San Prima
Glibenklamid OGB (tablet 5 mg) 2 box Bina San Prima
Glumin (tablet 600 mg) 3 box Bina San Prima
Glumin (tablet 850 mg) 3 box Bina San Prima
HCT OGB (tablet) 1 box Bina San Prima
Herbesser (tablet SR 90 mg) 2 box Bina San Prima
Inderal (tablet 10 mg) 3 box Bina San Prima
Inderal (tablet 40 mg) 2 box Bina San Prima
INH OGB (tablet) 3 box Bina San Prima
Inoxin (tablet) 2 box Bina San Prima
Kaptopril OGB (tablet 12,5 mg) 3 box Bina San Prima
Kaptopril OGB (tablet 25 mg) 2 Box Millenium Pharmacon International
Karbamazepin (tablet 200 mg) 1 box Millenium Pharmacon International
Kutoin (kapsul 100 mg) 1 box Millenium Pharmacon International
Lantus (vial) 5 vial Millenium Pharmacon International
Lasix (ampul) 2 box Millenium Pharmacon International
Lasix (tablet) 3 box Millenium Pharmacon International
Libronil (kaplet 5 mg) 3 box Millenium Pharmacon International
Medinhod (botol sirup) 3 flash Millenium Pharmacon International
Metformin HCL OGB (tablet 500 mg) 1 box Millenium Pharmacon International
Metformin HCL OGB (tablet 850 mg) 4 Box Millenium Pharmacon International
Monecto (tablet 20 mg) 5 box Millenium Pharmacon International
Neotibi (kaplet) 3 box Millenium Pharmacon International
Nitrocin (ampul) 2 box Anugerah Argon Medica
Pharozinamida (tablet) 1 box Anugerah Argon Medica
Phenytoin (ampul) 2 box Anugerah Argon Medica
Phenytoin (kapsul 100 mg) 1 box Antar Mitra Sembada
Pirazinamid OGB (tablet) 3 box Antar Mitra Sembada
Pulmicort (turbuhaler) 4 box Antar Mitra Sembada
Renabetic (tablet 5 mg) 2 box Antar Mitra Sembada
Rifam (botol sirup) 3 Flash Antar Mitra Sembada
Rifampisin OGB (kapsul) 3 Box Antar Mitra Sembada
Salbutamol OGB (tablet 2 mg) 4 box Antar Mitra Sembada
Salbutamol OGB (tablet 4 mg) 3 box Antar Mitra Sembada
Scantensin (tablet 12,5 mg) 2 Box Antar Mitra Sembada
Scantensin (tablet 25 mg) 1 box Antar Mitra Sembada
Symbicort (turbulaher) 2 box Indofarma Global Medika
Tegretol (botol suspensi) 4 flash Indofarma Global Medika
Tegretol ( tablet CR 200 MG) 4 box Anugerah Argon Medica
Tegretol (tablet kunya 100 mg) 3 box Anugerah Argon Medica
Terasma (tablet) 5 box Anugerah Argon Medica
Teril (tablet 200 mg) 4 box Enseval Putra Megatrading
Tibigon (tablet) 3 box Enseval Putra Megatrading
Tibitol (tablet) 2 box Antar Mitra Sembada
Topcillin (kaplet) 4 box Antar Mitra Sembada
Topcillin (kapsul) 1 box Anugerah Pharmindo Lestari
Topcillin (sirup kering botol) 4 flash Parit padang Global
Zithrax (kapsul) 3 box Parit padang Global
 APOTEK "SEHAT FARMA" APOTEK "SEHAT FA
SIA : 32/SIA/Sidoarjo-Jatim/P.I/V/2020 SIA : 32/SIA/Sidoarjo-Jatim
Jl. Raya Tarik No. 45 sidoarjo Jl. Raya Tarik No. 45 si
Telp. 081556715853 Telp. 08155671585

SURAT PESANAN Sidoarjo, 05 Mei 2021 SURAT PESANAN Sido

Kepada Yth, Kepa
No : 001322 PT. APL No : 001323 PT.
No. Nama Barang Jumlah No.
1. Bricasma (botol sirup) 3 flash 1.
2. Capoten (tablet 12,5 mg) 3 box 2.
3. Capoten (tablet 25 mg) 2 box 3.
4. Cardioaspirin (tablet) 4 box 4.
5. Cerif (kapsul) 3 box 5.
6. Depakene (botol sirup) 3 flash 6.
7. Depakote (tablet 250 mg) 3 box 7.
8. Dexametason generik (tablet) 2 box 8.
9. Digoxim OGB (tablet 0,0625 mg) 2 box 9.
10. Topcillin (kapsul) 1 box 10.
11.
12.
Apoteker Penanggung Jawab

Khoirun Nisa' Rahmadani. S.Farm.,Apt

SIPA : 19010300002/SIPA-37.17/FK/2019/2085

APOTEK "SEHAT FARMA" APOF1:H29TEK "SEHAT

SIA : 32/SIA/Sidoarjo-Jatim/P.I/V/2020 SIA : 32/SIA/Sidoarjo-Jatim
Jl. Raya Tarik No. 45 sidoarjo Jl. Raya Tarik No. 45 si
Telp. 081556715853 Telp. 08155671585

SURAT PESANAN Sidoarjo, 05 Mei 2021 SURAT PESANAN Sido

Kepada Yth, Kepa
No : 001325 PT. IGM No : 001326 PT.
No. Nama Barang Jumlah No.
1. Digoxin OGB (tablet 0,25 mg) 3 box 1.
2. Digoxin sandos (tablet) 4 box 2.
3. Dilantin (kapsul 100 mg) 5 box 3.
4. Dopamin HCL (ampul) 6 box 4.
5. Dopamin HCL (vial) 3 vial 5.
6. Eritromisin OGB (kapsul) 2 box 6.
7. Erphatrocin (kapsul) 3 box 7.
8. Erphatrocin (tablet) 4 box 8.
9. Ethambutol OGB (tablet) 2 box 9.
10. Extracaine (ampul) 3 box 10.
11. Symbicort (turbulaher) 2 box
12. Tegretol (botol suspensi) 4 flash
Apoteker Penanggung Jawab

Khoirun Nisa' Rahmadani. S.Farm.,Apt

SIPA : 19010300002/SIPA-37.17/FK/2019/2085

APOTEK "SEHAT FARMA" APOTEK "SEHAT FA

SIA : 32/SIA/Sidoarjo-Jatim/P.I/V/2020 SIA : 32/SIA/Sidoarjo-Jatim
Jl. Raya Tarik No. 45 sidoarjo Jl. Raya Tarik No. 45 si
Telp. 081556715853 Telp. 08155671585

SURAT PESANAN Sidoarjo, 05 Mei 2021 SURAT PESANAN Sido

Kepada Yth, Kepa
No : 001328 PT. MPI No : 001329 PT.
No. Nama Barang Jumlah No.
1. Kaptopril OGB (tablet 25 mg) 2 Box 1.
2. Karbamazepin (tablet 200 mg) 1 box 2.
3. Kutoin (kapsul 100 mg) 1 box 3.
4. Lantus (vial) 5 vial 4.
5. Lasix (ampul) 2 box 5.
6. Lasix (tablet) 3 box 6.
7. Libronil (kaplet 5 mg) 3 box
8. Medinhod (botol sirup) 3 flash
9. Metformin HCL (tablet 500 mg) 1 box
10. Metformin HCL (tablet 850 mg) 4 Box
11. Monecto (tablet 20 mg) 5 box
12. Neotibi (kaplet) 3 box
Apoteker Penanggung Jawab

Khoirun Nisa' Rahmadani. S.Farm.,Apt

SIPA : 19010300002/SIPA-37.17/FK/2019/2085
 APOTEK "SEHAT FARMA" APOTEK "SEHAT FARMA"
SIA : 32/SIA/Sidoarjo-Jatim/P.I/V/2020 SIA : 32/SIA/Sidoarjo-Jatim/P.I/V
Jl. Raya Tarik No. 45 sidoarjo Jl. Raya Tarik No. 45 sidoarjo
Telp. 081556715853 Telp. 081556715853

SURAT PESANAN Sidoarjo, 05 Mei 2021 SURAT PESANAN Sidoarjo, 0

Kepada Yth, Kepada Yth
No : 001323 PT. AMS No : 001324 PT. ENSE
Nama Barang Jumlah No.
Phenytoin (kapsul 100 mg) 1 box 1.
Pirazinamid OGB (tablet) 3 box 2.
Pulmicort (turbuhaler) 4 box 3.
Renabetic (tablet 5 mg) 2 box 4.
Rifam (botol sirup) 3 Flash 5.
Rifampisin OGB (kapsul) 3 Box 6.
Salbutamol OGB (tablet 2 mg) 4 box 7.
Salbutamol OGB (tablet 4 mg) 3 box 8.
Scantensin (tablet 12,5 mg) 2 Box 9.
Scantensin (tablet 25 mg) 1 box 10.
Tibitol (tablet) 2 box 11.
Topcillin (kaplet) 4 box 12.
Apoteker Penanggung Jawab

Khoirun Nisa' Rahmadani. S.Farm.,Apt

SIPA : 19010300002/SIPA-37.17/FK/2019/2085

APOF1:H29TEK "SEHAT FARMA" APOTEK "SEHAT FARMA"

SIA : 32/SIA/Sidoarjo-Jatim/P.I/V/2020 SIA : 32/SIA/Sidoarjo-Jatim/P.I/V
Jl. Raya Tarik No. 45 sidoarjo Jl. Raya Tarik No. 45 sidoarjo
Telp. 081556715853 Telp. 081556715853

SURAT PESANAN Sidoarjo, 05 Mei 2021 SURAT PESANAN Sidoarjo, 0

Kepada Yth, Kepada Yth
No : 001326 PT. PPG No : 001327 PT. BSP
Nama Barang Jumlah No.
Fargoxin (tablet 0,25 mg) 2 box 1.
Farnormin (tablet 50 mg) 3 box 2.
Farsorbid (tablet 10 mg) 1 box 3.
Farsorbid (tablet 5 mg) 2 box 4.
Folic acid (tablet 1 mg) 4 box 5.
 Folic acid (tablet 5 mg) 2 box 6.
Furosemid OGB (ampul) 1 box 7.
Furosemid OGB (tablet) 2 box 8.
Topcillin (sirup kering botol) 4 flash 9.
Zithrax (kapsul) 3 box 10.
11.
12.
Apoteker Penanggung Jawab

Khoirun Nisa' Rahmadani. S.Farm.,Apt

SIPA : 19010300002/SIPA-37.17/FK/2019/2085

APOTEK "SEHAT FARMA"

SIA : 32/SIA/Sidoarjo-Jatim/P.I/V/2020
Jl. Raya Tarik No. 45 sidoarjo
Telp. 081556715853

SURAT PESANAN Sidoarjo, 05 Mei 2021

Kepada Yth,
No : 001329 PT. AAM
Nama Barang Jumlah
Nitrocin (ampul) 2 box
Pharozinamida (tablet) 1 box
Phenytoin (ampul) 2 box
Tegretol ( tablet CR 200 MG) 4 box
Tegretol (tablet kunya 100 mg) 3 box
Terasma (tablet) 5 box

Apoteker Penanggung Jawab

Khoirun Nisa' Rahmadani. S.Farm.,Apt

SIPA : 19010300002/SIPA-37.17/FK/2019/2085
 APOTEK "SEHAT FARMA"
SIA : 32/SIA/Sidoarjo-Jatim/P.I/V/2020
Jl. Raya Tarik No. 45 sidoarjo
Telp. 081556715853

SURAT PESANAN Sidoarjo, 05 Mei 2021

Kepada Yth,
No : 001324 PT. ENSEVAL
Nama Barang Jumlah
Amoxicillin OBG (kapsul) 2 Box
Amoxil (vial) 3 Vial
Asmacare (tablet 2 mg) 3 Box
Asmacare (tablet 4 mg) 4 Box
Aspilets (tablet 80 mg) 5 Box
Atrovent (botol larutan inhalasi) 3 Flash
Aztrin (kapsul) 2 Box
Becotide (rotacap) 2 Flash
Berotec (botol larutan inhalasi) 3 Flash
Betablok (tablet 100 mg) 2 box
Teril (tablet 200 mg) 4 box
Tibigon (tablet) 3 box
Apoteker Penanggung Jawab

Khoirun Nisa' Rahmadani. S.Farm.,Apt

SIPA : 19010300002/SIPA-37.17/FK/2019/2085

APOTEK "SEHAT FARMA"

SIA : 32/SIA/Sidoarjo-Jatim/P.I/V/2020
Jl. Raya Tarik No. 45 sidoarjo
Telp. 081556715853

SURAT PESANAN Sidoarjo, 05 Mei 2021

Kepada Yth,
No : 001327 PT. BSP
Nama Barang Jumlah
Furosix (ampul) 3 box
Furosix (tablet) 3 box
Glibenklamid OGB (tablet 5 mg) 2 box
Glumin (tablet 600 mg) 3 box
Glumin (tablet 850 mg) 3 box
HCT OGB (tablet) 1 box
Herbesser (tablet SR 90 mg) 2 box
Inderal (tablet 10 mg) 3 box
Inderal (tablet 40 mg) 2 box
INH OGB (tablet) 3 box
Inoxin (tablet) 2 box
Kaptopril OGB (tablet 12,5 mg) 3 box
Apoteker Penanggung Jawab

Khoirun Nisa' Rahmadani. S.Farm.,Apt

SIPA : 19010300002/SIPA-37.17/FK/2019/2085
Nomor : FP 071/VI/2021 Formulir : Psikotropika
SURAT PESANAN PSIKOTROPIKA
Nomor Sp : 071/VI/2021

Yang bertanda tangan di bawah ini :

Nama : Khoirun Nisa' Rahmadani S.Farm.,Apt
Jabatan : Apoteker Penanggung Jawab Apotek
Nomor SIPA : 19010300002/SIPA-37.17/FK/2019/2085

Mengajukan pesanan obat mengandung Prekursor/Psikotropika Farmasi kepada :

Nama Perusahaan : PT. Merapi Utama Pharma
Alamat : jJln. Pergudangan Nila Alam No. 1 Waru Sidoarjo

Jenis Psikotropika Sebagai Berikut :

Diazepam (ampul) 3 (Tiga) Box

Untuk keperluan Apotek/Rumah Sakit :

Nama : Apotek Sehat Farma
Alamat : Jl. Raya Tarik No. 45 Sidoarjo
SIA : 661.51/008/APOTEK/505.4.3/2016

Sidoarjo, 05 Mei 2021

Penanggung Jawab

Khoirun Nisa' Rahmadani S.Farm.,Apt

19010300002/SIPA-37.17/FK/2019/2085
Nomor : FP 072/VI/2021 Formulir : Psikotropika
SURAT PESANAN PSIKOTROPIKA
Nomor Sp : 072/VI/2021

Yang bertanda tangan di bawah ini :

Nama : Khoirun Nisa' Rahmadani S.Farm.,Apt
Jabatan : Apoteker Penanggung Jawab Apotek
Nomor SIPA : 19010300002/SIPA-37.17/FK/2019/2085

Mengajukan pesanan obat mengandung Prekursor/Psikotropika Farmasi kepada :

Nama Perusahaan : PT. Merapi Utama Pharma
Alamat : jJln. Pergudangan Nila Alam No. 1 Waru Sidoarjo

Jenis Psikotropika Sebagai Berikut :

Fenobarbital (ampul) 3 (Tiga) Box

Untuk keperluan Apotek/Rumah Sakit :

Nama : Apotek Sehat Farma
Alamat : Jl. Raya Tarik No. 45 Sidoarjo
SIA : 661.51/008/APOTEK/505.4.3/2016

Sidoarjo, 05 Mei 2021

Penanggung Jawab

Khoirun Nisa' Rahmadani S.Farm.,Apt

19010300002/SIPA-37.17/FK/2019/2085
NO NAMA OBAT BENTUK SEDIAAN
1. Amoxicillin OGB ( kapsul ) Kapsul
2. Aztrin ( kapsul ) Kapsul
3. Becotide ( Rotacap ) Kapsul
4. Cerif ( kapsul ) Kapsul
5. Dilantin ( kapsul 100mg ) Kapsul
6. Eritromisin OGB ( kapsul ) Kapsul
7. Erphatrocin ( kapsul ) Kapsul
8. Kutoin ( kapsul 100 mg ) Kapsul
9. Phenytoin ( kapsul 100 mg ) Kapsul
10. Rifampisin OGB ( kapsul ) Kapsul
11. Topcillin ( kapsul ) Kapsul
12. Zithrax ( kapsul ) Kapsul
13. Amoxil (Vial ) Injeksi
14. Diazepam ( ampul ) Injeksi
15. Dopamin HCL ( ampul ) Injeksi
16. Dopamin HCL ( vial ) Injeksi
17. Extracaine ( ampul ) Injeksi
18. Fenobarbital ( ampul ) Injeksi
19. Furosemid OGB ( ampul ) Injeksi
20. Furosix ( ampul ) Injeksi
21. Lantus ( vial ) Injeksi
22. Lasix ( ampul ) Injeksi
23. Nitrocin ( ampul ) Injeksi
24. Phenytoin ( ampul ) Injeksi
25. Asmacare ( tablet 2mg ) Tablet
26. Asmacare ( tablet 4mg ) Tablet
27. Aspilets ( tablet 80mg ) Tablet
28. Betablok ( tablet 100mg ) Tablet
29. Capoten ( tablet 12.5mg ) Tablet
30. Capoten ( tablet 25mg ) Tablet
31. Cardioaspirin ( tablet ) Tablet
32. Depakote ( tablet 250mg ) Tablet
33. Dexametason generik ( tablet ) Tablet
34. Digoxin OGB ( tablet 0.0625 mg ) Tablet
35. Digoxin OGB ( tablet 0.25 mg ) Tablet
36. Digoxin Sandos ( tablet ) Tablet
37. Erphatrocin ( tablet ) Tablet
38. Ethambutol OGB ( tablet ) Tablet
39. Fargoxin ( tablet 0.25 mg ) Tablet
40. Farnormin ( tablet 50 mg ) Tablet
41. Farsorbid ( tablet 10 mg ) Tablet
42. Farsorbid ( tablet 5mg ) Tablet
43. Folic acid ( tablet 1 mg ) Tablet
44. Folic acid ( tablet 5 mg ) Tablet
45. Furosemid OGB ( tablet ) Tablet
46. Furosix ( tablet ) Tablet
47. Glibenklamid OGB ( tablet 5 mg ) Tablet
48. Glumin ( tablet 600 mg ) Tablet
49. Glumin ( tablet 850 mg ) Tablet
50. HCT OGB ( tablet ) Tablet
51. Herbesser ( tablet SR 90 mg ) Tablet
52. Inderal ( tablet 10 mg ) Tablet
53. Inderal ( tablet 40 mg ) Tablet
54. INH OGB ( tablet ) Tablet
55. Inoxin ( tablet ) Tablet
56. Kaptopril OGB ( tablet 12.5 mg ) Tablet
57. Kaptopril OGB ( tablet 25 mg ) Tablet
58. Karbamazepin ( tablet 200mg ) Tablet
59. Lasix ( tablet ) Tablet
60. Libronil ( kaplet 5 mg ) Tablet
61. Metformin HCL OGB ( tablet 500 mg ) Tablet
62. Metformin HCl OGB ( tablet 850 mg ) Tablet
63. Monecto ( tablet 20 mg ) Tablet
64. Neotibi ( kaplet ) Tablet
65. Pharozinamida ( tablet ) Tablet
66. Pirazinamid OGB ( tablet ) Tablet
67. Renabetic ( tablet 5 mg ) Tablet
68. Salbutamol OGB ( tablet 2 mg ) Tablet
69. Salbutamol OGB ( tablet 4 mg ) Tablet
70. Scantensin ( tablet 12.5 mg ) Tablet
71. Scantensin ( tablet 25 mg ) Tablet
72. Tegretol ( tablet CR 200mg ) Tablet
73. Tegretol ( tablet kunyah 100 mg ) Tablet
74. Terasma ( tablet ) Tablet
75. Teril ( tablet 200 mg ) Tablet
76. Tibigon ( tablet ) Tablet
77. Tibitol ( tablet ) Tablet
78. Topcillin ( kaplet ) Tablet
79. Atrovent ( botol larutan inhalasi ) Inhalasi
80. Berotec ( botol larutan inhalasi ) Inhalasi
81. Pulmicort ( turbuhaler ) Inhalasi
82. Symbicort ( Turbuhaler ) Inhalasi
83. Bricasma ( botol sirup ) Sirup
84. Depakene ( botol sirup ) Sirup
85. Medinhod ( botol sirup ) Sirup
86. Rifam ( botol sirup ) Sirup
87. Tegretol ( botol suspensi ) Sirup
88. Topcillin ( Sirup Kering Botol ) Sirup
OBAT TBC ANTIBIOTIK OBAT SALURAN NAFAS
Ethambutol OGB ( tablet ) Amoxicillin OGB ( kapsul ) Asmacare ( tablet 2mg )
INH OGB ( tablet ) Amoxil (Vial ) Asmacare ( tablet 4mg )
Inoxin ( tablet ) Aztrin ( kapsul ) Atrovent ( botol larutan inhalasi )
Neotibi ( kaplet ) Cerif ( kapsul ) Becotide ( Rotacap )
Pharozinamida ( tablet ) Eritromisin OGB ( kapsul ) Berotec ( botol larutan inhalasi )
Pirazinamid OGB ( tablet ) Erphatrocin ( kapsul ) Bricasma ( botol sirup )
Rifam ( botol sirup ) Erphatrocin ( tablet ) Pulmicort ( turbuhaler )
Rifampisin OGB ( kapsul ) Topcillin ( kaplet ) Salbutamol OGB ( tablet 2 mg )
Tibigon ( tablet ) Topcillin ( kapsul ) Salbutamol OGB ( tablet 4 mg )
Tibitol ( tablet ) Topcillin ( Sirup Kering Botol ) Symbicort ( Turbuhaler )
Medinhod ( botol sirup ) Zithrax ( kapsul ) Terasma ( tablet )
ANTI HIPERTENSI
Betablok ( tablet 100mg )
Capoten ( tablet 12.5mg )
Capoten ( tablet 25mg )
Farnormin ( tablet 50 mg )
Furosemid OGB ( ampul )
Furosemid OGB ( tablet )
Furosix ( ampul )
Furosix ( tablet )
HCT OGB ( tablet )
Herbesser ( tablet SR 90 mg )
Inderal ( tablet 10 mg )
Inderal ( tablet 40 mg )
Kaptopril OGB ( tablet 12.5 mg )
Kaptopril OGB ( tablet 25 mg )
Lasix ( ampul )
Lasix ( tablet )
Scantensin ( tablet 12.5 mg )
Scantensin ( tablet 25 mg )
ANTIKONVULSAN KOERTIKOSTEROID
Depakene ( botol sirup ) Dexametason generik ( tablet )
Depakote ( tablet 250mg )
Dilantin ( kapsul 100mg )
Karbamazepin ( tablet 200mg )
Kutoin ( kapsul 100 mg )
Phenytoin ( ampul )
Phenytoin ( kapsul 100 mg )
Tegretol ( botol suspensi )
Tegretol ( tablet CR 200mg )
Tegretol ( tablet kunyah 100 mg )
Teril ( tablet 200 mg )
PSIKOTROPIKA SUPLEMEN ANTI DIABET
Diazepam ( ampul ) Folic acid ( tablet 1 mg ) Glibenklamid OGB ( tablet 5 mg )
Fenobarbital ( ampul ) Folic acid ( tablet 5 mg ) Glumin ( tablet 600 mg )
Glumin ( tablet 850 mg )
Lantus ( vial )
Libronil ( kaplet 5 mg )
Metformin HCL OGB ( tablet 500 mg )
Metformin HCl OGB ( tablet 850 mg )
Renabetic ( tablet 5 mg )
OBAT KARDIOVASKULER OBAT ANESTESI
Digoxin OGB ( tablet 0.0625 mg ) Extracaine ( ampul )
Digoxin OGB ( tablet 0.25 mg )
Digoxin Sandos ( tablet )
Aspilets ( tablet 80mg )
Cardioaspirin ( tablet )
Dopamin HCL ( ampul )
Dopamin HCL ( vial )
Fargoxin ( tablet 0.25 mg )
Farsorbid ( tablet 10 mg )
Farsorbid ( tablet 5mg )
Monecto ( tablet 20 mg )
Nitrocin ( ampul )
 KAPSUL DAN TABLET INJEKSI INHALASI
Amoxicillin OGB ( kapsul ) Amoxil (Vial ) Atrovent ( botol larutan inhalasi )
Asmacare ( tablet 2mg ) Diazepam ( ampul ) Berotec ( botol larutan inhalasi )
Asmacare ( tablet 4mg ) Dopamin HCL ( ampul ) Pulmicort ( turbuhaler )
Aspilets ( tablet 80mg ) Dopamin HCL ( vial ) Symbicort ( Turbuhaler )
Aztrin ( kapsul ) Extracaine ( ampul )
Becotide ( Rotacap ) Fenobarbital ( ampul )
Betablok ( tablet 100mg ) Furosemid OGB ( ampul )
Capoten ( tablet 12.5mg ) Furosix ( ampul )
Capoten ( tablet 25mg ) Lantus ( vial )
Cardioaspirin ( tablet ) Lasix ( ampul )
Cerif ( kapsul ) Nitrocin ( ampul )
Depakote ( tablet 250mg ) Phenytoin ( ampul )
Dexametason generik ( tablet )
Digoxin OGB ( tablet 0.0625 mg )
Digoxin OGB ( tablet 0.25 mg )
Digoxin Sandos ( tablet )
Dilantin ( kapsul 100mg )
Eritromisin OGB ( kapsul )
Erphatrocin ( kapsul )
Erphatrocin ( tablet )
Ethambutol OGB ( tablet )
Fargoxin ( tablet 0.25 mg )
Farnormin ( tablet 50 mg )
Farsorbid ( tablet 10 mg )
Farsorbid ( tablet 5mg )
Folic acid ( tablet 1 mg )
Folic acid ( tablet 5 mg )
Furosemid OGB ( tablet )
Furosix ( tablet )
Glibenklamid OGB ( tablet 5 mg )
Glumin ( tablet 600 mg )
Glumin ( tablet 850 mg )
HCT OGB ( tablet )
Herbesser ( tablet SR 90 mg )
Inderal ( tablet 10 mg )
Inderal ( tablet 40 mg )
INH OGB ( tablet )
Inoxin ( tablet )
Kaptopril OGB ( tablet 12.5 mg )
Kaptopril OGB ( tablet 25 mg )
Karbamazepin ( tablet 200mg )
Kutoin ( kapsul 100 mg )
Lasix ( tablet )
Libronil ( kaplet 5 mg )
Metformin HCL OGB ( tablet 500 mg )
Metformin HCl OGB ( tablet 850 mg )
Monecto ( tablet 20 mg )
Neotibi ( kaplet )
Pharozinamida ( tablet )
Phenytoin ( kapsul 100 mg )
Pirazinamid OGB ( tablet )
Renabetic ( tablet 5 mg )
Rifampisin OGB ( kapsul )
Salbutamol OGB ( tablet 2 mg )
Salbutamol OGB ( tablet 4 mg )
Scantensin ( tablet 12.5 mg )
Scantensin ( tablet 25 mg )
Tegretol ( tablet CR 200mg )
Tegretol ( tablet kunyah 100 mg )
Terasma ( tablet )
Teril ( tablet 200 mg )
Tibigon ( tablet )
Tibitol ( tablet )
Topcillin ( kaplet )
Topcillin ( kapsul )
Zithrax ( kapsul )
SIRUP
Bricasma ( botol sirup )
Depakene ( botol sirup )
Medinhod ( botol sirup )
Rifam ( botol sirup )
Tegretol ( botol suspensi )
Topcillin ( Sirup Kering Botol )
NAMA OBAT PENYIMPANAN
Amoxicillin OGB ( kapsul ) ETALASE
Aztrin ( kapsul ) ETALASE
Cerif ( kapsul ) ETALASE
Eritromisin OGB ( kapsul ) ETALASE
Erphatrocin ( kapsul ) ETALASE
Erphatrocin ( tablet ) ETALASE
Topcillin ( kaplet ) ETALASE
Topcillin ( kapsul ) ETALASE
Zithrax ( kapsul ) ETALASE
Rifam ( botol sirup ) ETALASE
Topcillin ( Sirup Kering Botol ) ETALASE
Depakene ( botol sirup ) ETALASE
Tegretol ( botol suspensi ) ETALASE
Amoxil (Vial ) ETALASE
Depakote ( tablet 250mg ) ETALASE
Dilantin ( kapsul 100mg ) ETALASE
Karbamazepin ( tablet 200mg ) ETALASE
Kutoin ( kapsul 100 mg ) ETALASE
Phenytoin ( kapsul 100 mg ) ETALASE
Tegretol ( tablet CR 200mg ) ETALASE
Tegretol ( tablet kunyah 100 mg ) ETALASE
Teril ( tablet 200 mg ) ETALASE
Bricasma ( botol sirup ) ETALASE
Asmacare ( tablet 2mg ) ETALASE
Asmacare ( tablet 4mg ) ETALASE
Becotide ( Rotacap ) ETALASE
Salbutamol OGB ( tablet 2 mg ) ETALASE
Salbutamol OGB ( tablet 4 mg ) ETALASE
Terasma ( tablet ) ETALASE
Atrovent ( botol larutan inhalasi ) ETALASE
Berotec ( botol larutan inhalasi ) ETALASE
Pulmicort ( turbuhaler ) ETALASE
Symbicort ( Turbuhaler ) ETALASE
Dexametason generik ( tablet ) ETALASE
Betablok ( tablet 100mg ) ETALASE
Capoten ( tablet 12.5mg ) ETALASE
Capoten ( tablet 25mg ) ETALASE
Farnormin ( tablet 50 mg ) ETALASE
Furosemid OGB ( tablet ) ETALASE
Furosix ( tablet ) ETALASE
HCT OGB ( tablet ) ETALASE
Herbesser ( tablet SR 90 mg ) ETALASE
Inderal ( tablet 10 mg ) ETALASE
Inderal ( tablet 40 mg ) ETALASE
Kaptopril OGB ( tablet 12.5 mg ) ETALASE
Kaptopril OGB ( tablet 25 mg ) ETALASE
Lasix ( tablet ) ETALASE
Scantensin ( tablet 12.5 mg ) ETALASE
Scantensin ( tablet 25 mg ) ETALASE
Furosemid OGB ( ampul ) ETALASE
Furosix ( ampul ) ETALASE
Lasix ( ampul ) ETALASE
Glibenklamid OGB ( tablet 5 mg ) ETALASE
Glumin ( tablet 600 mg ) ETALASE
Glumin ( tablet 850 mg ) ETALASE
Libronil ( kaplet 5 mg ) ETALASE
Metformin HCL OGB ( tablet 500 mg ) ETALASE
Metformin HCl OGB ( tablet 850 mg ) ETALASE
Renabetic ( tablet 5 mg ) ETALASE
Folic acid ( tablet 1 mg ) ETALASE
Folic acid ( tablet 5 mg ) ETALASE
Aspilets ( tablet 80mg ) ETALASE
Cardioaspirin ( tablet ) ETALASE
Digoxin OGB ( tablet 0.0625 mg ) ETALASE
Digoxin OGB ( tablet 0.25 mg ) ETALASE
Digoxin Sandos ( tablet ) ETALASE
Fargoxin ( tablet 0.25 mg ) ETALASE
Farsorbid ( tablet 10 mg ) ETALASE
Farsorbid ( tablet 5mg ) ETALASE
Monecto ( tablet 20 mg ) ETALASE
Ethambutol OGB ( tablet ) ETALASE
INH OGB ( tablet ) ETALASE
Inoxin ( tablet ) ETALASE
Neotibi ( kaplet ) ETALASE
Pharozinamida ( tablet ) ETALASE
Pirazinamid OGB ( tablet ) ETALASE
Rifampisin OGB ( kapsul ) ETALASE
Tibigon ( tablet ) ETALASE
Tibitol ( tablet ) ETALASE
Medinhod ( botol sirup ) ETALASE
Nitrocin ( ampul ) ETALASE
Phenytoin ( ampul ) LEMARI HIGH ALERT
Dopamin HCL ( ampul ) LEMARI HIGH ALERT
Dopamin HCL ( vial ) LEMARI HIGH ALERT
Extracaine ( ampul ) LEMARI HIGH ALERT
Diazepam ( ampul ) LEMARI OKT
Fenobarbital ( ampul ) LEMARI OKT
Lantus ( vial ) KULKAS