MENYESUAIKAN DENGAN PELAYANAN YANG AKAN DILAKUKAN

NO PERBEKALAN FARMASI
SETUJU TIDAK SETUJU SARAN LAINNYA
OBAT LAINNYA / BMHP

1 Alat suntik (CosmoMed) 1 mL

2 Anaesthetic Breathing System (Jackson Rees for infant 1.8m with 0.5L Bag)
3 Apron One plastik
4 Arm Sling Comfort S
5 Arm Sling Comfort M
6 Arm Sling Comfort L
7 Atraucan 26GX3 1/2''
8 AssuCryl 1 HRG 40 mM (Assut sutures) 100 cm
9 AssuCryl 1 HRG 45 mM (Assut sutures) 100 cm
10 AssuCryl 1 HSRG 45 mM (Assut sutures) 100 cm
11 AssuCryl 1 HSRG 50 mM (Assut sutures) 100 cm
12 AssuCryl 2 HRG 50 mM (Assut sutures) 100 cm
13 AssuCryl 2 HSRG 50 mM (Assut sutures) 100 cm
14 AssuCryl 2 TS 50 mM (Assut sutures) 100 cm
15 AssuCryl 2-0 HRG 38 mM (Assut sutures)
16 AssuCryl 3-0 HR 17 mM (Assut sutures) 75 cm
17 AssuCryl 3-0 HR 27 mM (Assut sutures) 75 cm
18 Bicril (Asam Poliglikolik/PGA) 2 Taper 40 mM 90 cM (BioSintex)
19 BLOOD TRANSFUSION SET
20 Bouffant Cap
21 Catgut chromic Roll 3/0 100 meter
22 CATGUT PLAIN NEEDLE 3/0
23 CATGUT PLAIN NEEDLE 2/0
24 Catgut plain 2/0 + jarum
25 CATGUT CHROMIC NEEDLE 3/0
26 CATGUT CHROMIC NEEDLE 2/0
27 Cerplast Aeofilm 45* 150 mm
28 Cerplast Aeofilm 45* 200 mm
29 CERVICAL COLLAR SR-N1
30 Chirurgic Gloves Size 6,5
31 Chirurgic Gloves Size 7
32 Chirurgic Gloves Size 7,5
33 Chirurgic Gloves Size 8
34 Connecting Tube with Yankeur (Aximed)
35 Corrugated Tubing Anak (Altera)
36 Corrugated Tubing Dewasa (Altera)
38 Daryantule
39 Dermafix non woven 10x25 cm
40 ECG Electrode (One med)
41 Endotracheal Tube No. 6,0
42 Endotracheal Tube No. 7,5
43 Feeding Tube (Aximed) 40 cm No. 8
44 Feeding Tube (Terumo) 35 cm No 3.5
45 Feeding Tube (Terumo) 35 cm No 5
46 Female Catheter No 16
47 Female Catheter No 18
48 Foley Catheter 2 Way (Cosmomed) No. 10
49 Foley Catheter 2 Way (Cosmomed) No. 12
50 Foleycath 2 Way Latex No 16
51 Foleycath Balloon Catheter 2 Way Fr 16
52 Foleycath Balloon Catheter 2 Way Fr 18
53 Foley Catheter 2 Way (Cosmomed) No. 20
54 Foley Catheter 2 Way (Cosmomed) No. 22
55 Foley Catheter 2 Way (Cosmomed) No. 24
56 Foley Catheter 2 Way (Cosmomed) No. 6
57 Foley Catheter 2 Way (Cosmomed) No. 8
58 Foley Catheter 2 Way (GEA) No. 10
59 Foley Catheter 2 Way (GEA) No. 12
60 Foley Catheter 2 Way (GEA) No. 14
61 Foley catheter 2 way no. 6 Anak
62 Foley Catheter 2 Way No.10 (Serenity)
63 Gipsona 3 / 7.5 X 3.5 CM
64 Gipsona 4 / 10 X 3.5 CM
65 Gipsona 6 / 15 X 3.5 CM
66 Guedel Airway size 3
67 Guedel Airway size 4
68 Handscoen Examination Gloves Size S
69 Handscoen Examination Gloves Size L
70 Handscoen steril (CosmoMed) No. 7
71 Handscoen steril (CosmoMed) No. 7,5
72 HARUM PLATE
73 HARUM PEN
74 Hiperskin
75 Infusion set Anak (Top Point Medical)
76 Infusion Set Dewasa (Top Point Medical)
77 IV Cannula Pen (COSMOMED) No. 20
78 IV Cannula Pen (COSMOMED) No. 22
79 IV Cannula Pen (COSMOMED) No. 24
80 IV Cannula Pen (COSMOMED) No. 26
81 IV Cannula Wing (COSMOMED) No.18
82 IV Cannula Wing (COSMOMED) No.22
83 IV Cannula Wing (COSMOMED) No.24
84 IV Cannula Wing (COSMOMED) No.26
85 IV-CATH NP, pen type, no.22
86 IV-CATH NP, pen type, no.24
87 IV-CATH WP, with wings & port, no.20
88 Jarum jahit (bedah) No. 10
89 Jarum jahit (bedah) No. 11
90 Jarum jahit (bedah) No. 12
91 Jarum jahit (bedah) No. 13
92 Jarum jahit (bedah) No. 14
93 Jarum jahit (bedah) No. 9
94 Jarum otot besar GR 6
 95 Kasa Pembalut Hydrofil 40y x 80 cm
96 Kasa Hydrofil Steril 16 cm x 16 cm
97 Kasa Pembalut Hydrofil 4y x 10 cm
98 Kapas Pembalut 250 Gram
99 Kasa Steril (Ahmadaris) 16cm x 16cm
100 Kertas EKG
101 LEVIN TUBE, 125cm, no. 12
102 LEVIN TUBE, 125cm, no. 16
103 LEVIN TUBE, 125cm, no. 18
104 Masker Oksigen Anak
105 Masker Oksigen Dewasa
106 Medical Recording Chart Paper, Kertas ECG / EKG Paper ukuran 80 MM x 30 M

107 Medical Recording Chart Paper, Kertas ECG / NST - CTG Paper ukuran 150MM
x 90MM x 150 Lembar
108 Mucus ekstraktor
109 NASAL OXYGEN CANNULA ADULT
110 Nebulizer Aerosol With Mask & Tubing - Adult
111 Nebulizer Aerosol With Mask & Tubing - Pediatric
112 Non - Rebreather Oxygen Mask - Adult
113 Non - Rebreather Oxygen Mask - Pediatric
114 Non Woven Fixation 5 cm x 10 m
115 Oxygen Face Mask Dewasa (Romsons)
116 Oxygen nasal cannula Anak (Cosmomed)
117 Octenic Body Wash Glove
118 Paper Tape (Aximed) 1.25 cm x 9.14 m
119 Paper Tape (Aximed) 2.5 cm x 9.14 m
120 Paper Tape (Aximed) 5.0 cm x 9.14 m
121 Perfusor Tubing, White, 150 cm
122 Plesterin Bulat Non Woven (Onemed)
123 Polifix (Sinaraya) 10 CM x 5 M Roll
124 Polifix (Sinaraya) 5 CM x 5 M Roll
125 Polypropylene 5/0 DS 19 mM
126 Polypropylene 6/0 DS 19 mM
127 Portex ETT Clear Cuffed 6,5 mm (Smiths Medical)
128 Portex ETT Clear Cuffed 7,5 mm (Smiths Medical)
129 Rapid Diagnostic Test Answer
130 Rapid Test Antigen
131 RECTAL TUBE, 40cm, no. 16
132 RECTAL TUBE, 40cm, no. 20
133 RECTAL TUBE, 40cm, no. 28
134 Renoderm
135 Sarung Tangan Obgyn
136 Safety Box
137 Scalpel Blade No 18
138 Scalpel Blade No 20
139 Scented Anaesthetic Mask Size 3,4,5
140 Shoe Cover: 30 x 35 cm (pair)
141 SILK BRAIDED SURGICAL SUTURES USP 3/0
142 SILK BRAIDED SURGICAL SUTURES USP 2/0
143 Silk 2/0 HR 27 75cM (CosmoMed)
144 Silk 2/0 TS 27 75cM (CosmoMed)
145 Silk Black 3/0 DS 16 mM
146 Silk Black 3/0 DS 19 mM
147 Silk Black 4/0 DS 19 mM
148 Silk Black 5/0 DS 16 mM
149 Silk No. 2/0 dengan jarum bedah
150 Silk No. 3/0 dengan jarum bedah
151 SOLUS Laryngeal Mask Airway (for Adult size 4)
152 Soft Band 3 / 7.5 cm x 2.7 m
153 Soft Band 4 / 10 cm X 2.7 m
154 Soft Band 5 / 15 cm x 2.7 m
155 Spinocan 25Gx3 1/2" (0.53x88 MM)
156 Spinocan 27Gx3 1/2" (0.42x88 MM)
157 SPINOCAN G27 x 3 1/2 inch Clear Hub
158 Stomach Tube (Aximed) No. 12
159 Stomach Tube (Aximed) No. 14
160 Stomach Tube (Aximed) No. 16
161 Stomach Tube (Aximed) No. 18
162 Suction catheter (Aximed) No. 14
163 Suction catheter (Aximed) No. 10
164 Suction catheter (Aximed) No. 12
165 Suction catheter (Cosmomed) No. 16
166 Suction Catheter (Cosmomed) No 6
167 Surgeon Cap
168 Surgical Gown (Fluid Protection) with Hand Towel MTMGN-XL
169 Surgical Gown (Fluid Protection) with Hand Towel MTMGN-L
170 Surgical Gown (Fluid Protection) with Hand Towel MTMGN-M
171 Surgicryl 910 2/0 HR 17 mM
172 Surgicryl 910 2/0 HR 22 mM
173 Surgicryl 910 3/0 HR 22 mM
174 Surgicryl 910 4/0 DS 19 mM
175 Surgicryl 910 4/0 HR 17 mM
176 Surgicryl 910 4/0 HR 22 mM
177 Surgicryl 910 5/0 DS 19 mM
178 Surgicryl 910 5/0 HR 17 mM
179 Surgicryl 910 6/0 DS 12 mM
180 Syringe 1 cc
181 Syringe 3 cc
182 Syringe 10 cc
183 Syringe 5 cc
184 Syringe 50 Cateter Tip
185 Swab 2 Ply
186 Three Way Stop Cock (Cosmomed)
187 Therabsob
188 TRITON L19 T-Lene Polyvinylidene 3-0, 76 cm Reverse Cutting, 3/8 circle, 24
mm
TRITON L20 T-Lene Polyvinylidene 2-0, 76 cm Reverse Cutting, 3/8 circle, 26
189 mm

190 TRITON V4 T-Vio Polyglycolide 3-0, 76 cm Round Bodied, 1/2 circle, 25 mm

191 TRITON V9 T-Vio Polyglycolide 2-0, 90 cm Round Bodied, 1/2 circle, 35 mm

192 TRITON S25 T-Silk Silk/Sutera 2-0, 76 cm Round Bodied, 1/2 circle, 25mm
193 Umbilical Cord Clamp
194 Urine Bag Standard (Cosmomed)
195 Urine Bag With Hanger (Cosmomed)
196 USG Paper Durico (Thermal Paper) 110 x 18
197 Ventiflow Dewasa
198 VTM (Virus Transport Media)

REAGEN DAN BMHPNYA

1 Detergent / Rinse 5 L Mindray
2 Diluent Urit 5 L
3 Diluent 20 L Mindray
4 HIV 1/2 Ab Plus Combo
5 Lytic Urit 1 Liter
6 Optimust Test Multidrug 5 Panel Urine One Step
7 Pot Urine
8 Probe Cleanzer 17 Ml
9 Quintus 5 Part Diluent
10 Quintus 5 Part Lyse 5 L
11 Quintus 5 Part Stoper 1 L
12 Urinealysis 11 G
13 Urine 10 P

APD SETNYA
1 Baju Hazmat Lokal
2 Handscoen On
3 Face Shield
4 Masker Bedah
5 Masker KN95
6 Baju Hazmat Procare Coverall
7 Face Shield
8 Sarung Tangan Steril
9 Nursecap
10 Masker N95 3 M
11 Kantong Jenasah
12 Surgical Masks 3 Ply (isi 50 Pcs) Hijab
13 Kaca Mata Google Plastik
14 Sepatu Boot
15 Kaca Mata Google
16 Sarung Tangan Pelindung
17 Thermometer Infrared (Non Kontak)

Barang Farmasi Lainnya

1 Kain Kafan
2 Plastik Jenazah
3 Peti Jenazah Dewasa
4 Peti Jenazah Anak

OBAT CAIR
1 Air Untuk Injeksi 25 ml
2 Alkohol 70% 1 liter
3 Antiseptic Handrub 500 ml
4 Ambroxol Sirup 15 Mg
5 Amikasin sulfate injeksi 250 mg/ml
6 Aminofilin (Lucas Djaja) 24 mG/mL Inj
7 AMINOFUSIN L 600 Larutan mengandung Asam Amino
8 Amiodaron (Darya) 50 mg/ml 3 ml Inj
9 Amoksisilin 100 mg/ml 10 mg Drops
10 Amoksisilin (Novapharin) 250 mG / 5 mL Syr Kering
11 Amoksisilin 125 Mg Dry Syr
12 Antasida Doen (Lucas) 60 mL Sirup
13 ANITID - Ranitidine 50 Mg/2Ml Inj
14 Asam traneksamat (Novell) 50 mG/mL 5 mL Inj
15 ASCORBID ACID - Vitamin C 1000 Mg/5 Ml Inj
16 Asering 500 mL Infus
17 Atracurium Besilate 10 Mg / ml.
18 Azithromisin 0.5 g Infus
19 Bactesyn (Ampisilin 500 mg + Sulbaktam 250 mg) (Pfizer) 0,75 mg Inj
20 Benocetam (Piracetam) (Bernofarm) 3gr/15mL 15 mL Inj
21 Benocetam (Piracetam)(berno) 200mg/ml inj
22 BENOCETAM - Piracetam 1 G / 5 Ml
BEVITA SYR -Curcuminoid 2 mg, β-carotene 10% 4 mg, dexpanthenol 3 mg, Ca
23 gluconate 300 mg, Vitamin B1 3 mg, Vitamin B2 2 mg, Vitamin B6 5 mg,
Vitamin B12 5 mcg
24 BRALIN - Citicoline 250 mg/ 2 ml Inj
25 BRALIN - Citicoline 500 Mg/ 4Ml Inj
26 BUNASCAN SPINAL - Bupivakain HCl 5 % Inj
27 Cetadop/Dopamin HCl (Ethica) 200 mG/5 mL 5 mL Inj
CERNEVIT 750 MG - Retinol 3500 IU, Cholecalciferol 220 IU, Tocopherol 11.2
IU, Ascorbic acid 125 mg, Nicotinamide 46 mg, Pantothenic acid 17.25 mg,
28
Pyridoxine 4.53 mg, Riboflavin 4.14 mg, Thiamin 3.51 mg, Folic acid 414 mcg,
D-biotin 69 mcg, Cyanocobalamine 6 mcg.
29 CERINI SIRUP - Cetirizine HCl 10 mg
30 Cepofion Injeksi
31 Chlodine Handrub 0,5% 5 L
32 Deksamethasone Inj 5 Mg / Ml
33 Diazepam Inj 5 Mg / Ml
34 Difenhidramin (Lucas Djaja) 10 mg/ml Inj
35 DIUVAR INJEKSI - Furosemide 10 Mg/ml Inj
36 Dilatamol( SALBUTAMOL)
37 Dobutamin Inj 250mg/5 ml Inj
38 Domperidone Susp 5 Mg / 5 Ml
39 Ecodine (Povidon Iodine) 10% 1000 mL (UPTD)
40 EDORISAN - Pseuefedrin Drops 15 Ml
41 Ephinefrin Inj 0,1%
42 EPEXOL - Ambroxol Drops 20 Ml
43 Ephedrine HCL Inj 50 Mg/Ml
44 ESOMAX - Esomeprazole Na 40 mg
45 Ezelin (Insulin Glargine) 100 Unit/ mL
46 Evofion Infus
47 FARSORBID - Isosorbid Dinitrad Inj 1 Mg/ Ml
48 Fenitoin Sodium 50 mg/5 Ml
49 Fentanyl injeksi 0,05 mg/ml ampul 10 mL (G)
50 FIONTIC - Cepefime Inj 1 G
51 FLUKID SIRUP- Pseudoefedrin HCL 15 mg, Chlorpheniramine maleate 1 mg
52 Flukonazole Inj 2 Mg/ml
53 Fresol (Propofol) (Fresenius) 1% MCT/LCT 20mL Inj
54 FUTROLIT - Mineral, Sorbitol Infus
55 FURAMIN INJEKSI -Fursultiamine HCL 2.5 mg, Dextrose monohydrate 200 mg
56 Glukosa 10 % Infus 500 Ml
57 Glukosa Lar Infus 5% 500 Ml
58 GAVISTAL - Metoklopramide Drops 2 Mg / Ml
59 GRAPHALAC - Lactulose 70 % 120 Ml
60 Heparin injeksi 5000 IU/ml
61 H202 3% 800 Ml
62 Ivanes (Ketamin HCl) (Ikapharmindo) 1000 mG / 10 mL Inj
63 Ka-En 3 A larutan mengandung elektrolit
64 Ka-En 3 B larutan mengandung elektrolit
65 KCL - Kalium Klorida 7,46% 25 Ml
66 Kalsium Glukonat (Ethica) 10 % 10 mL Inj
67 Ketamin injeksi 50 mg/ml (i.v.)
68 Ketorolac Inj 30 Mg/ml
69 Kidmin - Larutan Mengandung asam amino
70 Khloramphenicol Susp 125 Mg / 5 Ml
71 KLIRAN - Ondansetron Injeksi
72 Levofloksasin (Novell) 5.0 mG/mL 100 mL Inf
73 LIDODEX - Lidocaine Monohidrat 5% Injeksi 2 Ml
74 Martos 10 Larutan mengandung karbohidrat
75 MAXPRINOL SYR - Methisoprinol 250 mg/5 mL.
76 MgSo4 40% - Magnesium Sulfat
77 MgSo4 20% - Magnesium Sulfat
 78 MECLAM INJEKSI - Metoclopramid 5 Mg / ml
79 Meropenem (Mepro) 0,5 g serb inj
80 Meropenem Serb Injeksi 1 G
81 MEROSAN INJEKSI - Meropenem 1 g
82 Metilergometrin Inj 0,2 Mg/Ml
83 Methylprednisolone serb inj 125 mg
84 Metoklopropamid 2 mg/ml drop (Meprofarm)
85 Metronidazol infus 5 mg/ml
86 Metronidazole Susp 125 Mg / 5 Ml
87 Midanest - 5 (Midazolam) (Darya Varia) 1 mG/mL 5 ml Inj
88 Morfina 10 mG/mL 1 mL Inj (Kimia Farma)
89 Moxifloxacin 400 mg/ 250 mL Infus
90 Nacl 0,9 % 500 Ml
91 Natrium Seftriakson (Rama Emerald) 1 Gram Inj
92 Norepinefrin Inj 1 Mg/Ml
93 NORAGES INJEKSI - Metamizole Sodium 500 Mg
94 Octalbin (Human Albumin) (Kalbe) 25% 50 mL Infus
95 Octalbin (Human Albumin) (Kalbe) 5% 250 mL Infus
96 Oxytoksin Inj 10 IU/Ml
97 Omeprazole serb injeksi 40 mg
98 Ondansetron Inj 4 Mg/Ml
99 Pantotis (Pantoprazole sodium)(Berno) 40 mg inj
100 Paracetamol Drops 100 Mg/Ml
101 Paracetamol Syr 120 Mg/Ml
102 Parasetamol (Mersi) 1 G / 100 mL Inf
103 Phenitoin Sodium Inj 50 Mg / Ml
104 PHYFION - Vitamin K Injeksi 2 Mg / 2 Ml
105 Pirantel (Holipharma) 125 mG / 5 mL 60 mL Syr
106 Povidone Iodida (One Med) 10% 30 mL
107 Povidone Iodida (One Med) 10% 60 mL
108 Povidone Iodine (One Med) 10% 300 mL
109 PROANES - Propofol 1%
110 PROSTIGMIN - Neostigmin injeksi 0,5 mg/ml (i.v.)
111 Ringer Laktat (Satoria) 500 ml infus
112 Renxamin Cairan Infus mengandung Asam Amino 9%
113 Rivanol 300 ml
114 Rocuronium Bromide 50 Mg/5 Ml Injeksi
115 SAGESTAM INJEKSI - Gentamicin Sulfate 40 mg/ mL
116 SANBE HEST - Hydroxyethyl Starch, Na Chloride
117 SANSULIN LOG G - Insulin Glargine 100 IU/Ml
118 Salbutamol Syr 2 Mg / 5 Ml
119 Sevodex 250 Ml
120 Cefadroxil monohydrat sirup kering 250 mg/5ml
121 Ceftriaxone Sodium Serbuk Inj 1 G
122 Setirizin Hcl (Rama Emerald) 1 mG / mL 60 mL Syr
123 Sianokobalamin - Vitamin B12 injeksi 500 mcg/mL
124 Sojourin (Sevofluran) (Piramal) 250 mL Inhalasi
125 Solfion Injeksi
126 SPORETIK SIRUP - Cefixime 100 mg/5mL
127 Sucralfate (Mepro) sirup 100 mL
128 Sukralfate Susp 500 Mg / 5 Ml
129 TOCEF SIRUP - Cefixime Trihydrate 100 mg/5 mL
130 Tramadol Inj 100 Mg 2 Ml
131 Ultrasonic Gel 250 ml
132 VALAMIN - Amino acid 2.72% , D-sorbitol 50 g,
133 Valproat Sirup 250 Mg / 5 Ml
134 ZISTIC SIRUP - Azithromycin dihydrate 200 mg/5 ml
135 Zink (Meprofarm) 20 mG / 5 mL 60 mL Syr

OBAT PADAT
1 Asetylsistein 200 Mg Kaps
2 Albendazole (Indofarma) 400 mG Tab
3 Alopurinol Tab 100 Mg
4 AFREN - Ibuprofen 400 Mg
5 Alprazolam Tab 1 Mg
6 ALXIL - Cefadroxil Monohydrate 500 Mg 30'
7 ALXIL - Cefadroxil Monohydrate 500 Mg 100'
8 Aminofilin (Marin Liza Farma) 200 mg Tab
9 Aminofillin 150 mG tab Decafil
10 Amitriptilin tablet salut 25 mg
11 Amlodipine 10 mG
12 Amlodipine 5 mG
13 Amoksisilin Tab 500 Mg
14 Ambroxol 30 mg Tab
Antasida tab Komb Aluminium Hidroksida 200 Mg + Magnesium Hidroksida
15
200 Mg

16 Antihemoroid, kombinasi sup : bismut subgalat heksaklorofen lidokain seng

oksida
17 Asam folat 1 mg
18 Asam Mefenamat 500 Mg
19 Asam Traneksamat (Bernofarm) 500 mg Tab
20 Asiklovir (Phapros) 400 mG Tab
21 Asiklovir (Yarindo) 200 mG tab
22 ASTA PLUS - Astaxanthin 4 mg, selenium 15 mcg
23 Azitromisin 500 Mg Tab (Kimia Farma)
24 BECOM C - Vitamin B kompleks, Vitamin C, Nicotinamide, Pantothenic acid
25 BECOM - ZET Kaps
26 Bisoprolol Fumarate Tab 5 Mg
27 BRALIN - Citicolin 500 Mg Tab
28 CANDEFION TABLET- Candesartan 16 mg
29 Candefion 8 mG Tablet
30 Ciprofloxacin HCL 500 Mg Tab
31 Citicolin 500 Mg Tab
32 CLAMIXIN 500 Mg - Amoxicillin 500 mg dan Potassium Clavulanic acid 125 mg
33 CLOFION - Clopidogrel Tab
34 NOVADEX - Dexamethasone 0,5 Mg Tab
35 DEOLIT KAPS- Ursodeoxycholic 250 mg
DHP-Frimal (Dihydroartemisinin 40 mG + Piperaquine Phosphate 320 mG)
36 (Mersi) Tab
37 Diamicron MR (Glikazid) 60 mg Tab
38 Diazepam Tab 5 Mg
39 Digoksin (Yarindo) 0.25 mG Tab
40 Digoxin tablet 0,25 mg
41 Diltiazem HCl tablet 30 mg
42 BLOREC - Karvedilol tablet 25 mg
43 Dimenhidrinat tablet 50 mg
44 Diltiazem (Kimia Farma) 30 mg Tab
45 Domperidon (Yarindo) 10 mG Tab
46 ELKANA TAB - Calcium phosphate 200 mg, Calcium lactate 100 mg, Vitamin B6
20 mg, Vitamin C 25 mg, Vitamin D3 100 IU.

47 Eritromisin (Lucas Djaja) 250 mG Tab

48 Erythromycin kaplet 500 mg

49 ETADIUM TABLET - Loperamide HCl 2 mg
50 Fenobarbital 30 mg Tab (Kimia Farma)
51 Fenitoin 100 mg Tab
52 Fitomenadion/Vit.K (Phapros) 10 mG Tab
53 Formuno Kaplet
54 FORNEURO 6 MG KAPS - Vitamin B1 100 mg, Vitamin B6 50 mg, Vitamin B12
100 mcg, natural Vitamin E 200 IU, asam folat 400 mcg

55 Furosemide tablet 40 mg

56 Gabapentin (Novell) 300 mg Kaps

57 GARAM ORALIT 200 - Glukosa anhidrat, kalium klorida, natrium klorida,
trisodium sitrat dihidrat
58 GABATIN KAPSUL - Gabapentin 300 MG
59 Gemfibrozil (Indofarma) 300 mg Tab
GENOSTEN - Genistein 15 mg, Calcium Lactate Gluconate 250 mg, Vitamin D3
60 400 IU, Vitamin K1 0,1 mg, EPA+DHA 200 mg
61 Gliseril trinitrat kaps 2,5 mg
62 Glimepirid 4 mg Tab (Kimia Farma)
63 Glucoryl 1(glimepirid)(Berno) 1 mg tab
64 Glibenklamid Tab 5 Mg
65 Griseofulvin (Novapharin) 125 mG Tab
66 Guaifenisin Tab 100 Mg
HB VIT - β-karoten 2.700 IU, vitamin B1 mononitrate 3 mg, vitamin B2 Na
fosfat 3.4 mg, vitamin B6 HCl 10 mg, vitamin C 120 mg, vitamin E 30 IU, Ca
67
pantothenate 5 mg, nikotinamid 20 mg, Mg 50 mg, yodium 0.15 mg, Fe 30 mg,
Zn 300 mg
68 Haloperidol Tab 5 Mg
69 Hidroklorotiazid 25 mg HCT
70 INVITEC TAB - Misoprostol 200 mcg
71 Isosorbid Dinitrat (Yarindo) 5 mG Tab
72 Kalitake (Kalsium Polistirena Sulfonat) (Dipa Pharmalab) 5g Sach
73 Kalsium Laktat 500 Mg
74 Kaptopril (Kimia Farma) 12,5 mg Tablet
75 Karbamazepin Tab 200 Mg
76 Ketokonazole Tablet 200 Mg
77 Klonidin tablet 0,15 mg
78 KLIRAN - Ondansetron 8 Mg Tab
79 Kloramfeniramin (Novapharin) (CTM) 4 mG Tab
80 Kodein (Kimia Farma) 10 mg tab
81 Kolkisin (Immortal) 0,5 mG tab
82 Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg + trimetoprim 160 mg
(tab/kaptab 960 mg) (Forte)
83 Kotrimoksazol Komb Sulfametoksazol 400 Mg + Trimetoprim 80 Mg
84 Lanzoprazole 30 Mg
85 Levofloksasin (Promed) 500 mg Tab
86 Levopar (Meprofarm) (Levodopa 100 mg + Benserazide 25 mg) tab
87 Lisinopril (Novell) 10 mG Tab
88 Loratadine (Promed) 10 mG Tab
89 LOVASK 5 - Amlodipin 5 Mg Tab
90 LOVASK 10 - Amlodipin 10 Mg Tab
91 MAXPRINOL TAB - Methisoprinol 500 mg.
92 Metilergometrin kaplet salut selaput 0,125 mg
93 Metilprednisolone Kaps 4 Mg
 94 Metformin Tablet 500 mg
95 Metronidazole Tab 500 Mg
96 Metoklopramid tablet 10 mg
97 Meloxicam 7,5 Mg
98 Meloxicam 15 Mg
99 MEZATRIN TABLET - Azithromycin 500 mg
100 MINIASPI ASETOSAL - Asam Asetilsalisilat Tab 80 Mg
101 Morfin (Kimia Farma) 10 mg tab
102 Natrium Diklofenak tablet 50 mg
103 NEVRADIN E - Vitamin B1, B6, B12, E
104 New Antides (Atapulgit) (Tropica) 600 mg Tab
105 Neurosanbe Inj
106 Nitrokaf Retard Forte (Nitrogliserin) (Kimia Farma) 5 mG Kaps
107 Nystatin (Phapros) 100,000 IU Tablet Vaginal
108 Ofloksasin (Novell) 200 mG Tab
109 Ondansetron Tab 8 Mg
110 Pantrin (Pirantel Pamoat) (Harsen) 250 mG Tab
111 Parasetamol Tablet 500 Mg
112 Pirantel Tab 125 mg
113 Piracetam 800 mg Tab
114 PYREXIN EXTRA KAP- Paracetamol 325 Mg + Tramadol 37.5 Mg
115 Propranolol Tab 10 Mg
116 Prednisone Tab 5 Mg
117 PROVE D3 - Cholecalciferol (Vitamin D3) 1000 IU (25 mcg)
118 Pumpisel (Anhisan) Inj
119 Pyrexin (Parasetamol) (Mepro) 160 mG Supp
120 Pyrexin (Parasetamol) (Mepro) 80 mG Supp
121 Ramipril (Novell) 10 mG Tab
122 Salbutamol (Graha Farma) 2 mG Tab
123 Salbutamol (Graha Farma) 4 mg Tab
124 Sefadroksil (Mepro) 500 mG Kapsul
125 Cefixime tablet Selaput 200 Mg
126 Cetirizine hydrochloride(HCl) tablet 10 mg
127 Spironolactone 100 Mg Tab
128 Sianokobalamin / Vit. B 12 (Kimia Farma) 50 mcG Tab
129 Simvastatin tablet 10 mg
130 SANBE C - Vitamin C 500 MGTab
131 Sanfuliq Tab
132 SUPRAFENID - Ketoprofen Supp 100 Mg
133 Tablet Tambah Darah - Ferro Fumarat 60 Mg + As.Folat 0,4 Mg
134 Tetracycline Hydrochloride kaplet 500 mg
135 TOCEF TABLET- Cefixime 200 Mg Tab
136 TREMENZA TAB - Pseudoefedrin HCL 60 Mg + Triprolidin HCL 2,5 Mg
137 TROPISTAN TABLET - Asam Mefenamat 500 Mg
138 Trifedrin (Pseudoefedrin 30mG, Triprolidin 2,5mG) (Otto) Tab
139 Trolit (Ekstrak Angkak, Psidii, Vitamin, Mineral) (Sukses Abadi) 4 G Sach
140 Vagizole (Metronidazol) (Kimia Farma) 500 mg Ovula Supp
141 Valsartan (Etercon) 160 mG Tab
142 VERTIGOSAN TABLET - Betahistine mesylate 6 mg
143 VERTIZINE - Cinnarizine 25 Mg
144 VipAlbumin
145 Vit B Kompleks (Kimia Farma) Tab
146 Vit B1 (Novapharin) Tiamin 50 mG Tab
147 Zinc tablet dispersible 20 mg

OBAT SALEP/KRIM
1 Betametason cream 0,1% (Kimia Farma)
2 BENOSON G - Betamethasone valerat 0.1% + Gentamycin sulfat 0.1%
3 BENOSON M - Betamethasone 1 Mg + Miconazole 20 Mg
4 Bufacetin (Kloramfenikol Salep Kulit) (Bufa) 2 % 15 G tube
5 Cardio Gel
6 Desoksimetason (Etercon) 0,25 % 15 Gr Krim
7 Hydrocortisone krim 2,5%
8 Kloramfenikol 1% Salep Mata (Kimia Farma)
9 Mikonazol krim 2 %
10 My Jelly 80 gr
11 Perak sulfadiazin krim 1%
12 Salep Whitfield (Kombinasi asam salisilat dan asam benzoat) (Marin Liza
Farma) 30 gr salep
13 SAGESTAM - Gentamicin Sulfate 10 G

TOMOAGU,
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