Formulariun Review 25 Februari 2022

No Kelas Terapi
Sub Kelas terapi

Kandungan Nama Produk Bentuk dan Kekuatan
1 GASTROINTESTINAL & HEPATOBILIARY SYSTEM
1A Antacids, Antireflux Agents dan Anti-ulcerants
1 AL(OH)3, MG(OH)2, PLANTACID SUSPENSI
SIMETHICONE PLANTACID FORTE TABLET KUNYAH
SANMAG SUSPENSI
SANMAG TABLET KUNYAH
POLYSILANE SUSPENSI
POLYSILANE TABLET KUNYAH
ANFLAT SUSPENSI
ANFLAT TAB TABLET KUNYAH
2 CISAPRID ACPULSIF TABLET; 5 MG
CISAPRIDE MONOHYDRATE TABLET; 5 MG
3 ESOMEPRAZOLE NEXIUM VIAL @ 40 MG
NEXIUM MUPS TABLET SALUT SELAPUT 20 MG
NEXIUM MUPS TABLET SALUT 40 MG
EZOMEB VIAL @ 40 MG
EZOL 40 TABLET SALUT 40 MG
EZOL 20 TABLET SALUT SELAPUT 20 MG
ESOZID VIAL @ 40 MG
ESOMEPRAZOLE SODIUM VIAL @ 40 MG
4 LANSOPRAZOLE PROSOGAN SERBUK INJEKSI; 30 MG
PROSOGAN FD KAPSUL; 30 MG
LANCID KAPSUL; 30 MG
LANCID KAPSUL LEPAS TUNDA; 353 MG
LAZ KAPSUL 30 MG
LANSOPRAZOLE KAPSUL LEPAS TUNDA; 353 MG
5 MISOPROSTOL GASTRUL TABLET; 0,2 MG
NOPROSTOL TABLET; 0,2 MG
INVITEC TABLET; 0,2 MG
CYTOSTOL TABLET; 0,2 MG
MISOPROSTOL TABLET; 0,2 MG
6 OMEPRAZOLE LOSEC KAPSUL; 20 MG
OMZ SERBUK INJEKSI; 40 MG
OMZ KAPSUL LEPAS TUNDA; 20 MG
OZID I.V SERBUK INJEKSI; 40 MG
OZID KAPSUL LEPAS TUNDA; 20 MG
INHIPUMP SERBUK INJEKSI; 40 MG
TAMEZOL KAPSUL 20 MG
OMEPRAZOLE KAPSUL LEPAS TUNDA; 20 MG
7 PANTOPRAZOLE PANTOZOL IV SERBUK INJEKSI; 40 MG
PANTOZOL 40 TABLET SALUT; 40 MG
PANTOZOL 20 TABLET SALUT; 20 MG
PRANZA SERBUK INJEKSI; 40 MG
FIOPRAZ serbuk injeksi 40 mg SERBUK INJEKSI; 40 MG
VOMIZOLE 40 TABLET SALUT; 40 MG
7 PANTOPRAZOLE
No Kelas Terapi
Sub Kelas terapi
PANTOPRAZOLE SODIUM SERBUK INJEKSI; 40 MG
PANTOPRAZOLE SODIUM TABLET SALUT; 40 MG
7 POLYMIGEL STROCAIN P TAB 400 MG TAB 400 MG
8 RANITIDINE RANTIN CAIRAN INJEKSI; 25 MG/ML
RANTIN TABLET; 150 MG
RADIN CAIRAN INJEKSI; 25 MG/ML
RADIN TABLET; 150 MG
RANITIDINE CAIRAN INJEKSI; 25 MG/ML
RANITIDINE HCl TABLET; 150 MG
9 SUCRALFATE INPEPSA SUSPENSI; 500 MG/5 ML
MUSIN SUSPENSI; 500 MG/5 ML
MUSIN TABLET; 500 MG
NECIBLOK SUSPENSI 200 ML SUSPENSI; 500 MG/5 ML
SUCRALFATE SUSPENSI; 500 MG/5 ML
SUCRALFATE TABLET; 500 MG
1B GIT regulators, Antiflatulents dan Anti-Inflammatories
1 MESALAZINE SALOFALK TABLET SALUT ENTERIK; 250 MG
SALOFALK ENEMA; 4 G
SALOFALK GRANULE; 1,5 G
SALOFALK SUPPOSITORIA 500 MG
SALOFALK TABLET 500 MG
2 SULFASALAZINE SULCOLON KAPLET SALUT ENTERIK; 500 Mg
SULFITIS KAPLET SALUT ENTERIK; 500 Mg
SULFASALAZINE KAPLET SALUT ENTERIK; 500 Mg
1C Anti Spasmodics
1 CLIDINIUM BROMIDE / CLIDIAZ TABLET SALUT SELAPUT; 2,50 MG
CHLORDIAZEPOXIDE /5,00 MG
CLIAD TABLET SALUT SELAPUT; 2,5 MG /5,61

MG
2 HYOSCINE BUSCOPAN INJEKSI; 20 MG
BUSCOPAN TABLET 10 MG
SCOPAMIN INJEKSI; 20 MG
HYOSCINE BUTYLBROMIDE INJEKSI; 20 MG
3 PARACETAMOL, HYOSCINE BUSCOPAN PLUS KAPLET; 500 MG /10 MG
SPASMAL KAPLET; 500 MG /10 MG

PARIOS KAPLET; 500 MG /10 MG
1D Anti Diarrheals
1 ATTAPULGITE, PECTIN NEW DIATABS TABLET; 600 MG
ARCAPEC TABLET; 600 MG / 50 MG

2 ORALIT ORALIT 200 SERBUK
ORALIT 200 SERBUK
1D
No Kelas Terapi
Sub Kelas terapi
3 KAOLIN, PECTIN KAOPECTATE SIRUP 120 ML
NEO DIAFORM TABLET; 550 MG /20 MG
GUANISTREP SUSPENSI; 986 MG /40 MG
4 LACTOBACILLUS SP. SYNBIO SACCHET
INTERLAC SACCHET
LACTO-B SACH SACCHET
LACIDOFIL KAPSUL
5 LOPERAMIDE IMODIUM TABLET 2 MG
RHOMUZ TABLET 2 MG
DIADIUM TABLET 2 MG
LOPARAMIDE HCl TABLET 2 MG
6 ZINC SULFATE ZINFION sirup 20 mg / 5 mL SIRUP; 20 MG/5 ML
DARYAZINC DROPS; 10 MG/ML
DARYAZINC SIRUP; 55 MG/5 ML
OREZINC TABLET DISPERSIBLE; 20 MG
INTERZINC TABLET DISPERSIBLE; 55 MG
PEDIZINC SIRUP; 20 MG/5 ML
ZINC SULFATE MONOHYDRATE SIRUP; 10 MG/5 ML
1E Laxatives, Purgatives
1 BISACODYL DULCOLAX TABLET SALUT ENTERIK; 5 MG
DULCOLAX SUPP 5 MG
DULCOLAX SUPP 10 MG
CUSTODIOL TABLET SALUT ENTERIK; 5 MG
NEODULAX TABLET SALUT ENTERIK; 5 MG
NEODULAX SUPP 5 MG
2 PARAFFIN. LIQUID. GLYCEROL. LAXADINE 30 ML EMULSI; 1200 MG /378 MG /55 MG
PHENOLPHTHALEIN
3 LACTALOSA LACTULAX SIRUP; 3,335 G
DUPHALAC 45 ML SIRUP; 3,335 G

SOLAC SIRUP; 3,335 G
LACTULOSE SIRUP; 3,335 G
4 NA LAURYL SULFATE, SORBIC MICROLAX ENEMA 5 ML ENEMA

ACID, NA CITRATE
5 NA PHOSPHATE NESFOL ENEMA; 19 G /7 G
FOSEN ENEMA; 19 G /7 G
FLEET ENEMA ENEMA; 19 G /7 G
1F Digestan
1 AMYLASE, PROTEASE, LIPASE, NEW ENZYPLEX CAPL CAPL
DEOXYCHOLIC
2 DIATASE, PANKREATIN LIBROZYM CAPL
1G Cholagogues, Cholelitholytic & Hepatic Protectors
1 AMINO ACID, NITROGEN AHEP/ AMINOFUSIN HEPAR INF BOTOL 500 ML
500 ML
No Kelas Terapi
1G Sub Kelas terapi
2 ARNO ACIDS, METHIONINE, AMINOSTERIL N HEPA 8% INF BOTOL 500 ML
PHENYLALANINE, 500 ML
TRYPTOPHAN
3 AMINO ACID, XYLITOL, VIT, CO,WAFUSIN HEPAR INF 5OO ML BOTOL 500 ML
ELECTROLYTES
4 CARBOHYDRATE, PROTEIN PRECOPAR INF 500 ML BOTOL 500 ML
ELECTROLYTES, MINERALS RENOSAN INF 500 ML BOTOL 500 ML
5 CARBOHYDRATE, PROTEIN, LIVAMIN INF 500 ML BOTOL 500 ML
FAT, ELECTROLYTES
6 GLYCYRRHIZIN, GLYCINE HISHIPAGEN AMP 20 ML AMPUL 20 ML
NORPHAGEN INJ AMP 20 ML AMPUL 20 ML
SNMC/ MINOPHAGEN C INJ AMP AMPUL 20 ML
20 ML
7 L-ORNITHINE I-ASPARTATE ORNITHINE ASPARTATE SACH 3 SACCHET 3 G
8 NACL, KCL, CACL2, MGOH2 NA G
FUTROUT INF 500 ML SOFTBAG 500 ML
ACETATE
9 SCHIZANDRAE, CURCUMINOID, LIVELL CAPL CAPL
LECITHIN, SYLIBUM
MARIANUM, VIT B6
10 SILYMARIN , SCHIZANDRAE, CURLIV PLUS SYR BTL 120 ML SYRUP 120

CURCUMA, LIQUIRITIAE, VIT B6
11 URSODEOXYCHOLIC ACID URDAFALK CAPS 250 MG KAPSUL 250 MG

URDAHEX CAPS 250 MG KAPSUL 250 MG
URSODEOXYCHOLIC ACID CAPS KAPSUL 250 MG
1H Anorectal Preparation 250 MG
1 LITHOSPERMI, ENZOCAINE, BORAGINOL N OINT 15 G OINT 15 G
DIBUCAINE HCL, BORAGINOL N SUPP SUPP
DIPHENHYDRAMINE,
2 LITHOSPERMI,
CETRIMIDE PREDNISOLONE, BORAGINOL S OINT 15 G OINT 15 G
LIDOCAINE, BENZOCAINE, BORAGNOL S Supp SUPP
CETRIMIDE
3 POLICRESULEN, CINCHOCAINE FAKTU OINT TUBE 20 GR OINT 20 GR
FAKTU SUPP SUPP
1I Antiemetic
1 DOMPERIDONE MOTILIUM TABLET SALUT SELAPUT; 10 Mg
MOTILIUM SIRUP; 5 Mg/5 ML
VOMETA FT TABLET CEPAT LARUT; 10 MG

VOMETA SUSPENSI; 5MG/5ML
VOMETA DROPS; 5 MG
VOMITAS FDT TABLET CEPAT LARUT; 10 MG
VOMITAS SIRUP; 5 Mg/5 ML
VOMIPER DROPS; 5 MG
DOMPERIDONE TABLE; 10 MG
No Kelas Terapi
Sub Kelas terapi
DOMPERIDONE MALEATE SUSPENSI; 5MG/5ML
DOMPERIDONE DROPS; 5 MG
2 METOCLOPRAMIDE PRIMPERAN INJEKSI; 5,263 MG
PRIMPERAN SIRUP; 5 MG/5 ML
PRIMPERAN PAEDIATRIC DROPS; 2,36 MG
PIRALEN TABLET; 10 MG
PIRALEN INJEKSI; 5,263 MG
PIRALEN SIRUP; 5 MG/5 ML
TOMIT TABLET; 10 MG
TOMIT INJEKSI; 5,263 MG
METOCLOPRAMIDE HCL DROPS; 2 MG/ML
3 ONDANSETRON NARFOZ INJEKSI; 2 MG/ML
NARFOZ 4 TABLET; 4 MG
NARFOZ 8 TABLET; 8 MG
VOMCERAN INJEKSI; 2 MG/ML
VOMCERAN TABLET; 4 MG
VOMCERAN TABLET; 8 MG
KLIRAN INJEKSI; 2 MG/ML
KLIRAN TABLET; 4 MG
KLIRAN TABLET; 8 MG
ONDANSETRON HCL DIHYDRATE INJEKSI; 2 MG/ML
ONDANSETRON TABLET; 8 MG
HYDROCHLORIDE DIHYDRATE.
ONDANSETRON HYDROCHLORIDETABLET; 4 MG
4 PYRATHIAZINE, VIT B6 MEDIAMER B6 TAB TABLET 40 MG, 37,5 MG
ANVOMER B6 TAB TABLET 40 MG, 30 MG
2 CARDIOVASCULAR & HEMATOPOIETIC SYSTEM
2A Cardiac Drugs
1 AMIODARONE CORDARONE INJEKSI; 50 MG/ML
CORDARONE TABLET 2OO MG
KENDARON INJEKSI; 50 MG/ML
TIARYT INJEKSI; 50 MG/ML
TIARYT TABLET 2OO MG
AMIODARONE HYDROCHLORIDE INJEKSI; 50 MG/ML
AMIODARONE HYDROCHLORIDE TABLET 2OO MG
2 ATROPINE SULFATE ATROPINE SULFAT INJEKSI; 0,25 MG/ML
ATROPINE SULFAT TABLET; 0,5 MG

3 DIGOXIN FARGOXIN INJEKSI; 0,25 MG/ML
FARGOXIN TABLET; 0,25 MG
DIGOXIN INJEKSI; 0,25 MG/ML
4 DOBUTAMINE INOTROP @ 10 ML INJEKSI; 25 MG/ML
DOBUJECT @ 5 ML INJEKSI; 50 MG/ML
INODEX @ 5 ML INJEKSI; 50 MG/ML
No Kelas4Terapi
DOBUTAMINE
Sub Kelas terapi
DOBUTEL @ 5 ML INJEKSI; 50 MG/ML
DOVASTROP @ 5 ML INJEKSI; 50 MG/ML
DOBUTAMINE HCL @ 5 ML INJEKSI; 50 MG/ML
5 DOPAMINE INDOP AMPUL 200 MG INJ 5 ML
CETADOP AMPUL 200 MG INJ 5 ML
DOPAMINE AMPUL 200 MG INJ 5 ML
6 MICRONIZED PURIFIED ARDIUM TABLET 500 MG
FLAVONOID FRACTION ARDIUM TABLET 1000 MG
2B Anti-Anginal Drugs
1 GLYCERYL TRINITRAT NITROKAF FORTE CAPS 5 MG KAPSUL 5 MG
NITROKAF RETARD CAPS 2,5 MG KAPSUL 2,5 MG
2 ISOSORBIDE DINITRATE FARSORBID AMPUL 10 MG INJ 10 ML

FARSORBID TABLET 5 MG
CEDOCARD AMPUL 10 MG INJ 10 ML
CEDOCARD TABLET 20 MG
3 IVABRADINE CORALAN TAB 5 MG TABLET 5 MG
4 NITROGLYCERINE NTG INJ 10 MG AMP 10 ML AMPUL 10 MG INJ 10 ML
5 TRIMETAZIDINE TRIZEDON TABLET MR 35
TRIZEDON KAPSUL SR 80 MG
ANGINTRIZ TABLET MR 35
TRIMETAZIDINE TABLET SR 35 MG
2C Ace Inhibitors/Direct Renin Inhibitors
1 CAPTOPRIL VAPRIL 12,5 MG
VAPRIL 25 MG
DEXACAP 12,5 MG
DEXACAP 25 MG
DEXACAP 50 MG
CAPTOPRIL TABLET 12,5 MG
CAPTOPRIL TABLET 25 MG
2 LISINOPRIL LISINOPRIL TAB 10 MG TABLET 10 MG
LISINOPRIL TAB 5 MG TABLET 5 MG
3 PERINDOPRIL BIOPREXUM TAB 5 MG TABLET 5 MG
4 RAMIPRIL HYPERIL TAB 2,5 MG TABLET 2,5 MG
HYPERIL TAB 5 MG TABLET 5 MG
RAMIPRIL TAB 2,5 MG TABLET 2,5 MG
RAMIPRIL TAB 5 MG TABLET 5 MG
2D Beta-Blockers
1 BISOPROLOL
CONCOR TAB 1,25 MG TABLET 1,25 MG
CONCOR TAB 2,5 MG TABLET 2,5 MG
CONCOR TAB 5 MG TABLET 5 MG
BETA ONE 2,5 MG TABLET 2,5 MG
2D
1 BISOPROLOL
No Kelas Terapi
Sub Kelas terapi
BETA ONE 5 MG TABLET 5 MG
BISOPROLOL TAB 5 MG TABLET 5 MG
2 BISOPROLO + HCT lodoz TABLET SALUT SELAPUT; 5 MG /6.25
MG
3 CARVEDILOL BLOREC TABLET 25 MG
V-BLOC TAB 6,25 MG TABLET 6,25 MG
V-BLOC TAB 25 MG TABLET 25 MG
BLOVED 6.25 TABLET 6,25 MG
BLOVED 25 TABLET 25 MG
CARVILOL 6.25 TABLET 6,25 MG
CARVILOL 25 TABLET 25 MG
4 NIFEDIPINE ADALAT OROS TAB 30 MG TABLET SR 30 MG
NIFEDIPINE TAB 10 MG TABLET 10 MG
5 PROPANOLOL PROPANOLOL TAB 10 MG TABLET 10 MG
PROPANOLOL TAB 40 MG TABLET 40 MG
2E Calcium Antagonists
1 AMLODIPINE NORVASK TAB 5 MG TABLET 5 MG
NORVASK TAB 10 MG TABLET 10 MG
DIVASK TAB 5 MG TABLET 5 MG
DIVASK TAB 10 MG TABLET 10 MG
AMLODIPINE TAB 5 MG TABLET 5 MG
AMLODIPINE TAB 10 MG TABLET 10 MG
2 AMLODIPINE, VALSARTAN EXFORGE TAB 5 MG/80 MG TABLET 5 MG, 80 MG
EXFORGE TAB 10 MG/160 MG TABLET 10 MG, 160 MG
EXFORGE TAB 5 MG/160 MG TABLET 5 MG, 160 MG
VARDIPIN 5/80 FILM COATED TABLET 5 MG, 80 MG
TABLET
VARDIPIN 5/160 FILM COATED TABLET 5 MG, 160 MG
TABLET
3 DILTIAZEM FARMABES INJ 5 MG VIAL 5 ML VIAL 5 MG/ML INJ 5 ML
HERBESSER CD CAPS 100 MG KAPSUL SR 100 MG

HERBESSER CD CAPS 200 MG KAPSUL SR 200 MG
DILTIAZEM TAB 30 MG TABLET 30 MG
4 LERCANIDIPINE ZANIDIP 10 MG TAB TABLET 10 MG
5 NICARDIPINE NICARDIPINE INJ 10 MG AMP 10 AMPUL 10 MG INJ 10 ML
ML
6 VERAPAMIL ISOPTIN 80 MG 80 MG
ISOPTIN SR 240 MG 240 MG
2F ANGIOTENSIN II ANTAGONIS
1 AMLODIPINE, VALSARTAN EXFORGE TAB 5 MG/ 80 MG TABLET 5 MG, 80 MG
EXFORGE TAB 5/100 MG TABLET 5 MG, 160 MG
EXFORGE TAB 10 MG/ MG TABLET 10 MG, 160 MG
2 CANDESARTAN BLOPRESS TAB 8 MG TABLET 8 MG
BLOPRESS TAB 16 MG TABLET 16 MG
2F
No Kelas Terapi
Sub
2 Kelas terapi
CANDESARTAN
CANDEFIONO TABLET 8 MG
CANDEFIONO TABLET 16 MG
CANDESARTAN TAB 16 MG TABLET 16 MG
CANDESARTAN TAB 8 MG TABLET 8 MG
3 CANDESARTAN, HCT BLOPRESS PLUS TAB 16 MG TABLET 16 MG, 12,5 MG
4 IRBESARTAN APROVEL TAB 150 MG TABLET 150 MG
APROVEL TAB 300 MG TABLET 300 MG
IRVASK TABLET 150 MG
IRVASK TABLET 300 MG
IRVELL TAB 150 MG TABLET 150 MG
IRVELL TAB 300 MG TABLET 300 MG
IRBESARTAN TAB 300 MG TABLET 300 MG
5 IRBESARTAN, HCT COAPROVEL TABLET 150 MG, 12,5 MG
COAPROVEL TABLET 300 MG, 12,5 MG
CO-IRVELL TAB 150 MG TABLET 150 MG, 12,5 MG
CO-lRVELL TAB 300 MG TABLET 300 MG, 12,5 MG
6 LOSARTAN LIFEZAR TABLET 50 MG
ANGIOTEN 50 MG TABLET 50 MG
SANTESAR TABLET 50 MG
INSAAR TABLET 50 MG
LOSARTAN TABLET 50 MG
7 SACUBITRIL, VALSARTAN UPERIO TABLET 50 MG
UPERIO TABLET 100 MG

UPERIO TABLET 200 MG
8 TELMISARTAN MICARDIS TAB 40 MG TABLET 40 MG
MICARDlS TAB 80 MG TABLET 8O MG
TELMISARTAN TAB 40 MG TABLET 40 MG

TELMISARTAN TAB 80 MG TABLET 8O MG
TELSAT TAB 40 MG TABLET 40 MG
TELSAT TAB SO MG TABLET 8O MG
9 VALSARTAN DIOVAN TABLET 40 MG
DIOVAN TABLET 80 MG
DIOVAN TABLET 160 MG
VALSARTAN TAB 80 MG TABLET 80 MG
VALSARTAN TAB 160 MG TABLET 160 MG
2G OTHER ANTIHYPERTENSIVES
1 CLONIDINE CATAPRES AMPUL 250 MCG INJ 1 ML
CATAPRES TABLET; 15 MCG
CATAPRES TABLET; 75 MCG

2G
1 CLONIDINE
No Kelas Terapi
Sub Kelas terapi
CLONIDINE HIDROCHLORIDE TABLET; 15 MCG
2 METHYLDOPA DOPAMET TAB 250 MG TABLET 250 MG
2H DIURETICS
1 FUROSEMIDE LASIX INJ 10 MG/ML AMP 2 ML AMPUL 10 MG/ML INJ 2 ML
LASIX TAB 40 MG TABLET 40 MG

FARSIX AMPUL 10 MG/ML INJ 2 ML
FARSIX TABLET 40 MG
URETIC INJ 10 MG/ML AMP 2 ML AMPUL 10 MG/ML INJ 2 ML
FUROSEMIDE TABLET 40 MG
FUROSEMIDE AMPUL 10 MG/ML INJ 2 ML
2 MANNITOL OTSU MANITOL 20% INF 250 ML PLABOT 20% 250 ML
OTSU MANITOL 20% INF 500 ML PLABOT 20% 500 ML
INFITOL SOFT BAG 500ML

MANNITOL 20 % MANNITOL 20 %/500 ML
3 SPIRONOLACTONE CARPIATON 25 TABLET SALUT SELAPUT; 25 Mg
CARPIATON 100 TABLET SALUT SELAPUT; 100 Mg
SPIROLA TABLET 25 MG
SPIROLA TABLET 100 MG
LETONAL 25 MG TABLET 25 MG
LETONAL 100 100 MG TABLET 100 MG
SPIRONOLACTONE TAB 25 MG TABLET 25 MG
SPIRONOLACTONE TAB 100 MG TABLET 100 MG
2I ANTIDIURETICS
1 VASOPRESIN FAPRESIN INJ 20 IU VIAL 1 ML VIAL 20 IU INJ 1 ML
2J PERIPHERAL VASODILATORS & CEREBRAL ACTIVATORS
1 CINNARIZINE STUGERON TABLET 25 MG
VERTIZINE TABLET 25 MG
NARIZ TABLET 25 MG
PERIFAS TABLET 25 MG
MERRON 25 TABLET 25 MG
2 NICERGOLINE SEROLIN TAB 10 MG TABLET 10 MG
SEROLIN TAB 30 MG TABLET 30 MG
2K VASOCONSTRICTORS
1 EPINEPHRINE PHINEV MG/ML AMP ML AMPUL MG INJ 1 ML
EPINEPHRINE INJ 1 MG/ML AMP 1 MG INJ 1 ML
1 ML
2 NOREPINEPHRINE VASCON AMPUL 1 MG/ ML INJ 4 ML
RAIVAS AMPUL 1 MG/ ML INJ 4 ML
2K
No Kelas Terapi
Sub
2 Kelas terapi
NOREPINEPHRINE
NOREPHINEPRINE AMPUL 1 MG/ ML INJ 4 ML
2L DYSLIPIDAEMIC AGENTS
1 ATORVASTATIN LIPITOR TAB 10 MG TABLET 10 MG
LIPITOR TAB 20 MG TABLET 20 MG
LIPITOR TAB 40 MG TABLET 40 MG
ORVAST TAB 10 MG TABLET 10 MG
TRUCAST TABLET 10 MG
CHOLESTOR TABLET 10 MG
CHOLESTOR TABLET 20 MG
ATORVASTATIN TAB 10 MG TABLET 10 MG
ATORVASTATIN TAB 20 MG TABLET 20 MG
2 ATORVASTATIN, EZETIMIBE ATOZET TABLET SALUT SELAPUT; 10/10
MG/MG
ATOZET TABLET SALUT SELAPUT; 10/20
MG/MG
ATOZET TABLET SALUT SELAPUT; 10/40
MG/MG
3 EZETIMIBE EZETROL TABLET 10 MG
MIETRIN TABLET; 10 MG
EZEFER TAB 10 MG TABLET 10 MG
EZETIMIBE TABLET 10 MG
4 ROSUVASTATIN CRESTOR TABLET 5 MG
CRESTOR TABLET 10 MG
ROSUVER TAB 10 MG TABLET 10 MG
ROSUFER TAB 20 MG TABLET 20 MG
ROSWIN 10 TABLET 10 MG
ROSUVASTATIN TABLET 10 MG
5 ROSUVASTATIN, EZETIMIBE EZERO TABLET SALUT SELAPUT; 20.00 MG
/10.00 MG
EZERO TABLET SALUT SELAPUT; 10.00 MG
/10.00 MG
6 FENOFIBRATE
LIPANTHYL KAPSUL; 100 MG
LIPANTHYL KAPSUL; 300 MG
No Kelas6Terapi
FENOFIBRATE
Sub Kelas terapi
LIPANTHYL 200 M KAPSUL; 200 MG
LIPANTHYL PENTA KAPSUL; 145 MG
LIPANTHYL SUPRA KAPSUL; 160 MG
FENOFLEX KAPSUL; 160 MG
FENOFIBRATE CAPS 100 MG KAPSUL 100 MG
FENOFIBRATE CAPS 300 MG KAPSUL 200 MG
7 SIMVASTATIN VYTORIN 10 MG 10 MG
VYTORIN 20 MG 20 MG
CHOLESTAT 10 MG TABLET 10 MG
CHOLESTAT 20 MG TABLET 20 MG
ESVAT TABLET 10 MG
ESVAT TABLET 20 MG
SIMVASTATIN TAB 10 MG TABLET 10 MG
SIMVASTATIN TAB 20 MG TABLET 20 MG
2M HAEMOSTATICS
1 CARBAZOCHROME ADONA (AC-17) TABLET; 10 MG
ADONA FORTE TABLET; 30 MG
CROME AMPUL 5 MG/ML INJ 10 ML
ADROME TABLET; 10 MG
CARBAZOCHROME INJ 5 MG/ML AMPUL 5 MG/ML INJ 10 ML
AMP 10 ML
2 FACTOR IX OCTAPLEX INJ 500 IU VIAL 20 ML VIAL 20 ML
3 FIBRINOGEN, APROTININ, BERIPLAST P COMBISET INJ VIAL

4 PHYTOMENADIONE (VIT K) VITADION INJ 2 MG AMP l ML AMPUL 2 MG INJ l ML
5 TRANEXAMIC ACID TRANSAMIN KAPSUL; 250 MG 250
TRANSAMIN 250 CAIRAN INJEKSI; 50,0 MG
TRANSAMIN 500 CAIRAN INJEKSI; 100,0 MG
KALNEX 500 MG TAB TABLET 500 MG
KALNEX INJ 250 MG AMP 5 ML AMPUL 50 MG/ ML INJ 5 ML
KALNEX INJ 500 MG AMP 5 ML AMPUL 100 MG/ ML INJ 5 ML

TRANEKSAMIC ACID TAB 500 MG TABLET 500 MG
ASAM TRANEKSAMAT INJ 250 CAIRAN INJEKSI; 50,0 MG

MG AMP 5 ML
ASAM TRANEKSAMAT INJ 500 CAIRAN INJEKSI; 100,0 MG
MG AMP 5 ML
2N ANTICOAGULANTS, ANTIPLATELES & FIBRINOLYTICS (TROMBOLYTICS)
1 ACETYLSALICYLIC ACID CARDIO ASPIRIN TAB 100 MG TABLET 100 MG
THROMBO ASPILET TAB 80 MG TABLET 80 MG
2 BERAPROST DORNER TAB 20 CG TABLET 20 MCG

2N
No Kelas Terapi
Sub Kelas terapi
3 CILOSTAZOL PLETAAL TAB 50 MG TABLET 50 MG
CILOSTAZOL TAB 100 MG TABLET 100 MG
4 CLOPIDOGREL PLAVIX TAB 300 MG TABLET 300 MG
CPG TAB 75 MG TABLET 75 MG
VACLO TAB 75 MG TABLET 75 MG
CLOPIDOGREL TAB 75 MG TABLET 75 MG
5 EDOXABAN LIXIANA TAB 30 MG TABLET 30 MG
LIXIANA TAB 60 MG TABLET 60 MG
6 ENOXAPARIN LOVENOX INJ 20 MG PFS 0,2 ML PFS 20 MG INJ 0,2 ML
LOVENOX INJ 40 MG PFS 0,4 ML PFS 40 MG INJ 0,4 ML
LOVENOX INJ 60 MG PFS 0,6 ML PFS 60 MG INJ 0,6 ML
ANTITEN-A INJ 40 MG PFS 0,4 ML PFS 40 MG INJ 0,4 ML
ANTITEN-A INJ 60 MG PFS 0,6 ML PFS 60 MG INJ 0,6 ML
ANTITEN-A INJ 100 MG PFS 1 ML PFS 100 MG INJ 1 ML
7 EPTIFIBATIDE EBATID INJ 75 MG VIAL 100 ML VIAL 0,75 MG/ML INJ 100 ML
INTEGRILIN INJ 75 MG VIAL 100 VIAL 0,75 MG/ML INJ 100 ML

ML
8 FONDAPARINUX ARIXTRA INJ 2,5 MG PFS 0,5 ML PFS 2,5 MG INJ 0,5 ML
DIVITI INJ 2,5 MG PFS 0,5 ML PFS 2,5 MG INJ 0,5 ML

FORIXTRA INJ 2,5 MG PFS 0,5 ML PFS 2,5 MG INJ 0,5 ML
VASOLA INJ 2,5 MG PFS 0,5 ML PFS 2,5 MG INJ 0,5 ML
9 HEPARIN INVICLOT INJ 5000 IU/ ML VIAL 5 VIAL 5000 IU/ML INJ 5 ML
ML
THROMBOPHOB GEL TUBE 20 G GEL 20 G
10 HUMAN ANTITHROMBIN Ill KYBERNIN INJ 500 IU VIAL VIAL 500 IU

11 LUMBROKINASE DISOLF TAB 490 MG TABLET 490 MG
12 RIVAROXABAN NOSTROK TAB 10 MG TABLET 10 MG
NOSTROK TAB 15 MG TABLET 15 MG
13 STREPTOKINASE FIBRION INJ l.500.000 IU VIAL VIAL 1,5 JT IU
14 TICAGRELOR BRICLOT TAB 90 MG TABLET 90 MG
BRILINTA EC TAB 90 MG TABLET 90 MG
15 WARFARIN SIMARC-2 TAB 2 MG TABLET 2 MG
NOTISIL TAB 2 MG TABLET 2 MG
2O PHLEBITIS & VARICOSE PREPARATIONS
No Kelas Terapi
Sub Kelas terapi
2O Kandungan Nama Produk Bentuk dan Kekuatan
1 DIOSMIN, HESPERIDIN RHODIUM TAB 500 MG TABLET
2 HIDROSMIN VENOSMIL CAPS 200 MG KAPSUL
3 POLIDOCANOL VENODENOL INJ 30 MG/ML AMP AMPUL 3 % INJ 2 ML
2 ML
VENODENOL INJ 30 MG/ML AMP PCS
2 ML PLUS PILA HEMOROID
PACK
2P HEMATOPOIETIC AGENTS
1 DARBEPOETIN NESP INJ 20 MCG/0,5 ML PFS PFS 20 MCG INJ 0,5 ML
2 EPOETIN ALFA HEMAPO INJ 3.000 IU PFS 3000 IU
EPODION INJ 3.000 IU PFS 3000 IU
3 EPOETIN B RECORMON INJ 2.000 IU PFS 2000 IU
4 FILGRASTIM LEUCOGEN INJ 300 MCG PFS 1 PFS 300 MCG INJ 1 ML
ML
5 LENOGRASTIM GRANOCYTE INJ 263 MCG VIAL VIAL 263 MCG
3 RESPIRATORY SYSTEM
3A ANTIASTHMATIC & COPD PREPARATIONS
1 AMINOPHYLLINE AMINOPHYLLINE INJ 24 MG/ML AMPUL 240 MG INJ 10 ML
AMP 10 ML
2 BUDESONIDE PULMICORT 200 MCG/ DOSE INHALER 200 DOSE
INHALER 200 DOSE
PULMICORT RESP 0,25 MG/ML NEBULES 0,25 MG/ ML AMP 2 ML
AMP 2 ML
PULMICORT RESP 0,5 MG/ML NEBULES 0,5 MG/ ML AMP 2 ML
AMP 2 ML
SONIDE RESP 0,25 MG/ML AMP NEBULES 0,25 MG/ ML AMP 2 ML
2 ML
SONIDE RESP 0,5 MG/ML AMP 2 NEBULES 0,5 MG/ ML AMP 2 ML
ML
3 BUDESONIDE, FORMOTEROL SYMBICORT TURBUHALER 160 TURBUHALER 160 MCG, 4,5 MCG 120
MCG/4,5 MCG 120 DOSE DOSE
SYMBICORT TURBUHALER 160 TURBUHALER 160 MCG, 4,5 MCG 60
4 EPHEDRINE RINVELL INJ 50 MG/ML AMP 1 AMPUL 50 MG INJ 1 ML
ML
EPHEDRINE HCL INJ 50 MG/ML AMPUL 50 MG INJ 1 ML
AMP 1 ML
5 FLUTICASONE FLIXOTIDE NEB 0,5 MH/2 ML NEBULES 0,25 MG/ML AMP 2 ML
AMP
No Kelas Terapi
Sub Kelas terapi
6 IPRATROPIUM, SALBUTAMOL COMBIVENT NEBULES 2,5 ML NEBULES 0,5 MG, 2,5 MG AMP 2,5 ML
7 MONTELUKAST RYMONT GRANULE SACH 4 MG SACCHET
RYMONT TAB 10 MG TABLET 10 MG

MONARIN TAB 10 MG TABLET 10 MG
8 PROCATEROL MEPTIN MINI TAB 25 MCG TABLET 25 MCG
MEPTIN NEB 30 MCG AMP 0,3 NEBULES 30 MCG AMP 0,3 ML
ML
MEPTIN NEB 50 MCG AMP 0,5 NEBULES 50 MCG AMP 0,5 ML
ML
MEPTIN TAB 50 MCG TABLET 50 MCG
9 SALBUTAMOL VENTOLIN NEB 2,5 MG AMP 2,5 NEBULES 2,5 MG AMP 2,5 ML
ML
VENTOLIN SYR 2 MG/ 5 ML BTL SYRUP 2 MG/ 5 ML BOTOL 1 00 ML
100 ML
VENTOLIN TAB 2 MG TABLET 2 MG
FARTOLIN NEB 2,5 MG AMP 2,5 NEBULES 2,5 MG AMP 2,5 ML
ML
SALBRON 2 TABLET 2 MG
SALBRON 4 TABLET 4 MG
SALBUTAMOL TAB 2 MG TABLET 2 MG
SALBUTAMOL TAB 4 MG TABLET 4 MG
10 SALMETEROL, FLUTICASONE SERETIDE DISKUS INHALER 50/ INHALER 25 MCG, 250 MCG
250 MCG
SERETIDE INHALER 25/ 125 MCG INHALER 25 MCG, 125 MCG
SERETIDE INHALER 25/ 50 MCG INHALER 25 MCG, 50 MCG
11 THEOPHYLLINE EUPHYLIN RETARD MITE TAB 125 TABLET 125 MG

MG
EUPHYLIN RETARD TAB 250 MG TABLET 250 MG
12 TIOTROPIUM SPIRIVA RESPIMAT INH 2,5 INHALER 2,5 MCG/PUFF
3B COUGH & COLD PREPARATIONS MCG/PUFF
1 AMBROXOL
MUCOPECT SYR 30 MG/5 ML BTL SYRUP 30 MG/5 ML BOTOL 60ML
60 ML
MUCOPECT TAB 30 MG TABLET 30 MG
MUCERA DROP 15 MG BTL 15 DROP 15 MG/ ML BOTOL 15 ML
ML
MUCERA FORTE SYR 30 MG/5 SYRUP 30 MG/5 ML BOTOL 60ML
ML BTL 60 ML
MUCERA PAED SYR Q5 MG/5 ML SYRUP 15 MG/5 ML BOTOL 60ML
120 ML
MUCERA TAB 30 MG TABLET 30 MG
No Kelas Terapi
Sub Kelas terapi
TRANSMUCO TABLET 30 MG
TRANSMUCO SYR SYRUP 30 MG/5 ML BOTOL 60ML
AMBROXOL TAB 30 MG TABLET 30 MG
AMBROXOL SYR 15 MG/5 ML BTL SYRUP 15 MG/5 ML BOTOL 60 ML
60 ML
2 BROMHEXINE BISOLVON INJ 4 MG AMP 2 ML AMPUL 4 MG INJ 2 ML
BISOLVON SOL 50 ML SOLUTION 2 MG/ ML BOTOL 50 ML

3 CODEINE CODEIN TAB 10 MG TABLET 10 MG
CODEIN TAB 15 MG TABLET 15 MG
CODEIN TAB 20 MG TABLET 20 MG
4 CODEINE, PARACETAMOL CODITAM TAB TABLET 30 MG, 500 MG
5 CODEINE, CODIPRONT CAPS KAPSUL
PHENYLTOLOXAMINE CODIPRONT SYR 60 ML SYRUP 60 ML
6 CODEINE, CODIPRONT CUM EXP CAPS KAPSUL
PHENYLTOLOXAMINE, CODIPRONT CUM EXP SYR 60 ML SYRUP 60 ML
GUAIFENESIN
7 Dextromethorphan HBr, SANADRYL DMP SYR BTL 60 ML SYRUP 60 ML

Diphenhydramine HCl,
Ammonium Chloride, Sodium
citrate, Menthol
SANADRYL DMP SYR BTL 120 ML SYRUP 120 ML
8 AMMON CL, SUCCUS OBHC BATUK BERDAHAK SYRUP 100 ML

LIQUIRITIAE MENTHOL SYR 100 ML
9 ERDOSTEIN VECTRINE CAPS 300 MG KAPSUL 300 MG
VECTRINE DRY SYR 175 MG/5 ML SYRUP 175 MG/5 ML DS 60 ML
BTL 60 ML
ERDOSTEINE KAPSUL 300 MG
ERDOSTEINE SYRUP 175 MG/5 ML DS 60 ML
10 EUCALYPTUS, CAMOMILE TRANSPULMIN BABY BALSEM OINT 20 G
EXTRACT OINT 20 G
11 GLYCERYL GUAIACOLATE, COHISTAN EXP SYR 100 ML SYRUP 100 ML
CHLORPHENIRAMIN MALEATE
COHISTAN EXP SYR 60 ML SYRUP 60 ML
12 GUAIFENESIN, THYME EXTR, SILEX SYR BTL 100 ML SYRUP 100 ML
PRIMULAE EXTR, ALTHAEA
EXTR, DROSERAE EXTR,
SERPYLLI EXTR
No Kelas Terapi
Sub Kelas terapi
13 Buclizine HCl , retinol palmitate PROSPAN SYRUP 120 ML ;5 mg/ 2,000 IU/ 200
, cholecalciferol , d-α IU/ 1 IU/ 1 mg/ 1 mg/ 3 mg/ 1 mg/ 1
tocopherol acetate , thiamine mcg/ 60 mg/ 18 mg
HCl , riboflavin-5-phosphate Na
, dl-panthenol , pyridoxine
HCl , cyanocobalamin , ascorbic
acid , niacinamide
14 LEVODOPROZINE LEVOSIF SYR 60 MG/5 ML BTL SIRUP; 60 MG/10 ML

100 ML
LEVOPRONT SIRUP; 60 MG/10 ML
15 LORATADINE, RHINOS SR CAPS TABLET SR 5 MG, 120 MG
PSEUDOEPHEDRINE RHINOS SYRUP
RHINOS JUNIOR SYR BTL 60 ML SYRUP 15 MG, 1 MG/5 ML BOTOL 60
ML
ALDISA SR CAP KAPSUL SR 5 MG, 120 MG
16 N-ACETYLCYSTEINE FLUIMUCIL CAPS 200 MG KAPSUL 200 MG
FLUIMUCIL DRY SYR 100 MG/5 SYRUP 200 MG/5 ML DS 75 ML
ML BTL 75 ML
FLUIMUCIL GRANULE SACH 200 SACCHET 200 MG
MG
FLUIMUCIL INJ 300 MG AMP 3 AMPUL 300 MG INJ 3 ML
ML
ACETIN 200MG KAPSUL EFFERVESER 200 MG
ACETIN 600MG KAPSUL EFFERVESER 600 MG
N-ACE CAPS 200 MG KAPSUL 200 MG
N-ACE INJ 300 MG AMP 3 ML AMPUL 300 MG INJ 3 ML
ACETYLCYSTEINE CAPS 200 MG KAPSUL 200 MG
17 NOSCAPINE, PARATUSIN TAB TABLET

CHLORPHENIRAMINE.
GUAIFENESIN, PARACETAMOL,
PHENYLPROPANOLAMINE
18 OXOMEMAZINE, GUAIFENESIN COMTUSI SYR BTL 100 ML SYRUP 100 ML
19 PARACETAMOL, TUZALOS TAB 15 MG CAPL

DEXTROMMETHORPHAN,
PHENYPROPANOLAMINE,
CHLORPHENIRAMINE
MALEATE
20 PHENYPROPANOLAMINE, NALGESTAN TAB TABLET 15 MG, 2 MG

CHLORPHENIRAMINE
MALEATE
No Kelas Terapi
Sub Kelas terapi
21 PIPAZETATE HYDROCHLORIDE. TRANSPULMIN @100 SIRUP; 10 Mg /2.21 Mg /25 Mg /75 Mg
ISOTHIPENDYL
HYDROCHLORIDE.
GUAIFENESIN. LIQUORICE
ESSENCE
22 PSEUDOEPHEDRINE ALCO ORAL DROPS BTL 15 ML DROP 7,5 MG/0,8 ML BOTOL 15 ML

RHINOS NEO DROP BTL 10 ML DROP 7,5 MG/0,8 ML BOTOL 10 ML
23 PSEUDOEPHEDRINE, ALCO PLUS SYR BTL 100 ML SYRUP 30 MG, 2 MG/5 ML BOTOL 100
BROMPHENIRAMINE ML
24 PSEUDOEPHEDRINE, ALCO PLUS DMP SYR BTL 100 ML SYRUP 30 MG, 2 MG/10 ML/5 ML
BROMPHENIRAMINE, BOTOL 100 ML
DEXTROMETHORPHAN
25 TRIPROLIDINE, RHINOFED SYR BTL 60 ML SYRUP 1,25 MG, 30 MG/5 ML 60 ML

PSEUDOEPHEDRINE RHINOFED TAB TABLET 2,5 MG, 60 MG
TREMENZA SYR BTL 60 ML SYRUP 1,25 MG, 30 MG/5 ML 60 ML
TREMENZA TAB TABLET 2,5 MG, 60 MG
3C NASAL DECONGESTANS & OTHER NASAL PREPARATION
1 AIR LAUT EQUIVALENT NACL PHYSIOMER BABY COMFORT 115 NASAL SPRAY
ML
PHYSIOMER BABY HYPERTONIC NASAL SPRAY
60 ML
PHYSIOMER HYPERTONIC 135 NASAL SPRAY
ML
PHYSIOMER NORMAL JET 135 NASAL SPRAY
ML
STERIMAR BABY NASAL SPRAY
STERIMAR BLOCK NOSE BABY NASAL SPRAY
STERIMAR BLOCKED NOSE NASAL SPRAY
HIPERTONIK
STERIMAR ORIGINAL (COMFORT NASAL SPRAY
& HYGINE) 50 ML
2 EUCALYPTUS OIL, CAJUPUT VAPORIN INHALASI CAPS KAPSUL INHALASI
OIL, CLOVE OIL, JUNIPER OIL,
PEPPERMINT OIL,
LEVOMENTHOL
3 FLUTICASONE AVAMYS NASAL SPRAY NASAL SPRAY

4 MOMETASONE NASONEX NASAL SPRAY 140 NASAL SPRAY 140 DOSE
DOSE
NASONEX NASAL SPRAY 60 DOSE NASAL SPRAY 60 DOSE
5 NACL BNS (BREATHY NASAL SPRAY) NASAL SPRAY

BREATHY NASAL DROP 30 ML NASAL DROP
ENT CLEAR POWDER SACH SACCHET
No Kelas5Terapi
NACL
Sub Kelas terapi
NASAL WASH BOTTLE NASAL SPRAY
APPLICATOR
6 NACL, IOTA-CARRAGEENAN BETADINE NASAL SPRAY NASAL SPRAY
(GANGGANG MERAH)
7 OXYMETAZOLINE ILLIADIN NASAL DROP 0,025% NASAL DROP
BTL 10 ML
ILLIADIN NASAL SPRAY 0,05% BTL NASAL SPRAY
10 ML
3D OTHER DRUGS ACTING ON THE RESPIRATORY SYSTEM
1 BERACTANT SURVANTA INJ 25 MG/ML VIAL 8 VIAL 25 MG/ML 8 ML
ML
4 CENTRAL NERVOUS SYSTEM
4A ANXIOLYTICS
1 ALPRAZOLAM ALGANAX TAB 0,25 MG TABLET 0,25 MG
ALGANAX TAB 0,5 MG TABLET 0,5 MG
ALGANAX TAB 1 MG TABLET 1 MG
XANAX 0,25 MG 0,25 MG
XANAX 0,5 MG 0,5 MG
XANAX 1 MG 1 MG
ALPRAZOLAM TAB 0,25 MG TABLET 0,25 MG
ALPRAZOLAM TAB 0,5 MG TABLET 0,5 MG
ALPRAZOLAM TAB 1 MG TABLET 1 MG
2 CLOBAZAM FRISIUM TAB 10 MG TABLET 10 MG
3 LORAZEPAM ATIVAN TAB 1 MG TABLET 1 MG
4B HYPNOTIC & SEDATIVES
1 DEXMEDETOMIDINE ICUNES INJ 100 MCG/ML BIAL 2 VIAL 100 MCG/ML INJ 2 ML
ML
2 ESTAZOLAM ESILGAN TAB 2 MG TABLET 2 MG
3 MIDAZOLAM MILOZ INJ 15 MG AMP 3 ML AMPUL 15 MG INJ 3 ML
MILOZ INJ 5 MG AMP 5 ML AMPUL 5 MG INJ 5 ML
SEDACUM INJ 15 MG AMP 3 ML AMPUL 15 MG INJ 3 ML
SEDACUM INJ 5 MG AMP 5 ML AMPUL 15 MG INJ 5 ML

MIDAZOLAM INJ 15 MG AMP 3 AMPUL 15 MG INJ 3 ML
ML
MIDAZOLAM INJ 5 MG AMP 5 AMPUL 5 MG INJ 5 ML
ML
4 ZOLPIDEM ZOLTA TAB 10 MG TABLET 10 MG
4C ANTIDEPRESSANTS
1 ESCITALOPRAM DEPRAM TAB 10 MG TABLET 10 MG
2 FLUOXETINE KALTEXIN CAPS 20 MG KAPSUL 20 MG
3 MAPROTILINE MIPZAP TAB 30 MG TABLET 30 MG
4 SERTALINE SERLOF TAB 50 MG TABLET 50 MG
SERTALINE TAB 50 MG TABLET 50 MG
4D ANTIPSYCHOTICS
No Kelas Terapi
Sub Kelas terapi
4D Kandungan Nama Produk Bentuk dan Kekuatan
1 ARIPIPRAZOLE ABILIFY DISCMELT TAB 10 MG TABLET ODT 10 MG
ABILIFY DISCMELT TAB 15 MG TABLET ODT 15 MG
ABILIFY TAB 10 MG TABLET 10 MG
ZIPREN ODT TAB 10 MG TABLET ODT 10 MG
ZIPREN TAB 10 MG TABLET 10 MG
ZIPREN TAB 15 MG TABLET 15 MG
2 CHLORPROMAZINE CEPEZET TAB 100 MG TABLET SALUT SELAPUT; 100 MG
CHLORPROMAZINE HCL TABLET SALUT SELAPUT; 100 MG
3 CLOZAPINE CLORILEX TAB 25 MG TABLET 25 MG
4 HALOPERIDOL HALDOL DECANOAS CAIRAN INJEKSI; 50 MG/ML
HALOPERIDOL INJ 5 MG INJ 1 ML AMPUL 5 MG INJ 1 ML
5 OLANZAPINE SOPAVEL TAB 10 MG TABLET ODT 10 MG

6 QUETIAPINE QUETVELL TAB 25 MG TABLET 25 MG
7 RISPERIDONE RISPERIDONE TAB 1 MG TABLET 1 MG
RISPERIDONE TAB 2 MG TABLET 2 MG
RISPERIDONE TAB 3 MG TABLET 3 MG
4E ANTICONVULSANTS
1 CARBAMAZEPINE TEGRETOL 200 MG TABLET 200 MG
TEGRETOL TAB 200 MG TABLET 200 MG
BAMGETOL TAB 200 MG TABLET 200 MG
2 CLONAZEPAM RIKLONA TAB 2 MG TABLET 2 MG
3 DIAZEPAM VALIUM 5 MG/ML 5 MG/ML
STESOLID ENEMA 10 MG REC ENEMA 10 MG REC TUBE 2,5 ML

TUBE 2,5 ML
STESOLID ENEMA 5 MG REC ENEMA 5 MG REC TUBE 2,5 ML
TUBE 2,5 ML
STESOLID INJ 5 MG / ML AMP 2 AMPUL 10 MG INJ 2 ML
ML
DIAZEPAM INJ 5 MG/ ML AMP 2 AMPUL 10 MG INJ 2 ML
ML
DIAZEPAM TAB 5 MG TABLET 5 MG
4 DIVALPROEX NA DEPAKOTE ER TAB 250 MG TABLET ER 250 MG
DEPAKOTE ER TAB 500 MG TABLET ER 500 MG
DEPAKOTE TAB 250 MG TABLET EC 250 MG
DIVALPI TAB 250 MG TABLET EC 250 MG
DIVALPROEX NA SR TAB 250 MG TABLET ER 250 MG
5 LEVETIRACET AM DEPAKENE 250 MG / 5 ML SYRUP 250 MG / 5 ML

DEPAKENE 250 MG/5 ML SYRUP 250 MG / 5 ML
6 PHENOBARBITAL SIBITAL INJ 200 MG AMP 2 ML AMPUL 200 MG INJ 2 ML
No Kelas Terapi
Sub Kelas terapi
4F NEURODEGENERATIVE DISEASE DRUGS
1 DONEPEZIL ARICEPT EVESS TAB 10 MG TABLET ODT 10 MG
ARICEPT EVESS TAB 5 MG TABLET ODT 5 MG
DONACEPT ODT TAB 5 MG TABLET ODT 5 MG
DONEPEZIL HCL TAB S MG TABLET 5 MG
4G ANTIPARKINSONIAN DRUGS
1 LEVODOPA, BENSERAZIDE LEVOPAR TAB 125 MG TABLET 100 MG, 25 MG
MADOPAR TAB 125 MG TABLET 100 MG, 25 MG
2 PRAMIPE XOLE SIFROL ER TAB 0,375 MG TABLET ER 0,375 MG
SIFROL TAB 0, 125 MG TABLET 0,125 MG
PRAMIVEX TAB 0, 125 MG TABLET 0,125 MG

PRAMIVEX TAB 0,25 MG TABLET 0,25 MG
3 TRIHEXYPHENIDIL HEXYM ER TAB 2 MG TABLET 2 MG
4H ANTIVERTIGO DRUGS
1 BETAHISTINE MERISLON 6 MG TABLET 6 MG
MERISLON TAB 12 MG TABLET 12 MG
BETASERC TAB 8 MG TABLET 8 MG

BETASERC 8 MG 8 MG
BETASERC 24 MG TABLET 24 MG
MERTIGO SR TAB 12 MG TABLET SR 12 MG
VERTIKAF 24 MG TABLET 24 MG
BETAHISTINE MESYLATE 6 MG TABLET 6 MG
BETAHISTINE HYDROCHLORIDE TABLET 24 MG

24 MG
2 DIMENHYDRINATE DRAMAMINE TAB 50 MG TABLET 50 MG
ANTIMO TABLET 50 MG
4I ANALGETIC (OPIOID)
1 FENTANYL DUROGESIC PACTH 12,5 MCG PATCH 12,5 MCG
2 MORPHINE SULFATE MORPHIN HCL INJ 10 MG/ML AMPUL 10 MG INJ 1 ML
AMP 1 ML
MST CONTINOUS TAB 10 MCG TABLET ER 10 MG
MST CONTINOUS TAB 15 MCG TABLET ER 15 MG
3 PETHIDIN PETHIDIN INJ 50 MG/ML AMP 2 AMPUL 100 MG INJ 2 ML
ML
4 SUFENTANIL SUFENTA INJ 5 MCG/ML AMP 10 AMPUL 5 MCG/ML INJ 10 ML
ML
5 TRAMADOL TRAMAL CAPS 50 MG KAPSUL 50 MG
TRAMAL INJ 50 MG AMP l ML AMPUL 50 MG INJ 1 ML
TRAMAL INJ l00 MG AMP 2 ML AMPUL 100 MG INJ 2 ML
TRAMAL SUPP 100 MG SUPP 100 MG

5 TRAMADOL
No Kelas Terapi
Sub Kelas terapi
TRAMADOL CAPS 50 MG KAPSUL 50 MG
TRAMADOL INJ 50 MG AMP 1 ML AMPUL 50 MG INJ 1 ML
TRAMADOL INJ 100 MG AMP 2 AMPUL 100 MG INJ 2 ML

ML
6 TRAMADOL, PARACETAMOL SINCRONIK TAB CAPL 37,5 MG, 325 MG
TRAMIFEN CAPL 37,5 MG, 325 MG
4J ANALGESICS (NON-OPIOID) & ANTIPYRETICS
1 N- SISTENOL CAPL CAPL 200 MG, 500 MG
ACETYLSISTEIN,PARACETAMOL
2 PARACETAMOL PANADOL 500 MG 500 MG
PANADOL 120 MG / 5 ML 120 MG / 5 ML
PANADOL 100 MG / ML 100 MG / ML
TEMPRA DROP 60 MG / 0,6 ML DROP 60 MG / 0,6 ML BOTOL 15 ML

BTL 15 ML
TEMPRA FORTE SYR 250 MG/ 5 SYRUP 250 MG / 5 ML BOTOL 60 ML
ML BTL 60 ML
TEMPRA SYR 160 MG / 5 ML BTL SYRUP 160 MG/ 5 ML BOTOL 100 ML
100 ML
CETAPAIN INFUSION 10 MG 10 mg/1 mL Inf 100 ml
SUMAGESIC TABLET 100 PARACETAMOL 600 MG
NAPREX TASTE RITE DROPS 15 60 mg/0.6 mL Drops 15 ml
ML
NAPREX TASTE RITE SUSP. 60 ML Paracetamol (micronized) 250 mg/ 5
ml
FASGO FORTE TABLET 650 MG
FASGO TAB TABLET 500 MG
FASGO F SYR 250MG/5ML SYRUP 250 MG / 5 ML BOTOL 60 ML
FASGO SYR 160/5 ML SYRUP 160 MG/ 5 ML BOTOL 100 ML
PROPYRETIC SUPP 160 MG SUPP 160 MG

PROPYRETIC SUPP 2 40 MG SUPP 240 MG
PROPYRETIC SUPP 80 MG SUPP 80 MG
4K NON STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)
1 CELECOXIB CELEBREX CAPS 100 MG KAPSUL 100 MG
CELEBREX CAPS 200 MG KAPSUL 200 MG
CELECOXIB CAPS 100 MG KAPSUL 100 MG
CELECOXIB CAPS 200 MG KAPSUL 200 MG
2 DEXKETOPROFEN KETESSE INJ 25 MG/ ML AMP 2 AMPUL 50 MG INJ 2 ML
ML
KETESSE TAB 25 MG TABLET 25 MG
No Kelas2Terapi
DEXKETOPROFEN
Sub Kelas terapi
DEXKETOPROFEN INJ 25 MG / AMPUL 50 MG INJ 2 ML
ML AMP 2 ML
DEXKETOPROFEN TAB 2S MG TABLET 25 MG
3 DICLOFENAC K CATAFLAM DROP 15 MG/ ML DROP 15 MG / ML BOTOL 15 ML
BTL 15 ML
CATAFLAM FAST SACH 50 MG SACCHET 50 MG
CATAFLAM TAB 25 MG TABLET 25 MG
CATAFLAM TAB 50 MG TABLET 50 MG
CATAFLAM D TABLET DISPERSIBLE; 50 MG
KAFLAM 50 MG TABLET 50 MG
KALIUM DIKLOFENAK TAB 5O TABLET SO MG
MG
4 DICLOFENAC NA VOLTAREN 25 MG / ML INJ 25 MG/ML
FLAMAR GEL 1% TUBE 20 G GEL 20 G
FLAMAR TAB 25 MG TABLET EC 25 MG
FLAMAR TAB 50 MG TABLET EC 50 MG
NATRIUM DIKLOFENAC TAB 2S TABLET EC 25 MG
MG
NATRIUM DIKLOFENAC TAB 50 TABLET EC 50 MG
MG
DICLOFENAC NA GEL 20 G GEL 20 G
5 ETORICOXIB ARCOXIA TAB 60 MG TABLET 60 MG
ARCOXIA TAB 90 MG TABLET 90 MG
ARCOXIA TAB 120 MG TABLET 120 MG
ETORICOXIB TAB 60 MG TABLET 60 MG
6 IBUPROFEN PEINLOSS INJ 400 MG VIAL 4 ML VIAL 400 MG INJ 4 ML
PEINLOS INJ 800 MG VIAL 8 ML VIAL 800 MG INJ 8 ML
BRUFEN 200 MG 200 MG

BRUFEN 400 MG 400 MG
BRUFEN 100 MG / 5 ML 100 MG / 5 ML
IFEN 400 MG
IBUPROFEN SYR 100 MG/ S ML BOTOL 100 MG/ S ML BOTOL 60 ML
BTL 60 ML
7 IBUPROFEN, PARACETAMOL ALAXAN FR CAPS KAPSUL 200 MG, 325 MG
8 KETOPROFEN PRONALGES EC TAB 100 MG TABLET EC 100 MG

KALTROFEN GEL 2.5% TUBE 30 G GEL 30 G
KALTROFEN SUPP 100 MG SUPP 100 MG

KETOPROFEN TAB 100 MG TABLET EC 100 MG
KETOPROFEN TAB 5O MG TABLET EC 50 MG
9 KETOROLAC TORASIC INJ 30 MG AMP 1 ML AMPUL 30 MG INJ 1 ML
No Kelas Terapi
Sub Kelas terapi
9 Kandungan
KETOROLAC Nama Produk Bentuk dan Kekuatan
TORASIC TAB 10 MG TABLET 10 MG
TORAMIN INJ 30 MG AMP 1 ML AMPUL 30 MG INJ 1 ML
TORAMIN TAB 10 MG TABLET 10 MG

KETOROLAC TAB 10 MG TABLET 10 MG
KETOROLAC INJ 30 MG AMP 1 AMPUL 30 MG INJ 1 ML
ML
10 MEFENAMIC ACID PONSTAN CAPL 500 MG CAPL 500 MG
MEFENTAN CAPS 500 MG CAPL 500 MG
ASAM MEFENAMAT TAB SOO CAPL 500 MG
MG
11 MELOXICAM MOVI-COX TABLET; 7,5 MG
MOVI-COX TABLET; 15 MG
HEXCAM TABLET; 15 MG
MELOXICAM TAB 7,S MG TABLET; 7,5 MG
MELOXICAM TAB 15 MG TABLET; 15 MG
12 METHAMPYRONE, DIAZEPAM ANALSIK CAPL CAPL 500 MG, 2 MG
PRONEURON CAPL CAPL 500 MG, 2 MG
13 METHAMPYRONE, VIT Bl, VIT NEUROSANBE PLUS TAB TABLET
B6, VIT 812
14 METHAMPYRONE, VIT B1, VIT NEURALGIN RX CAPS CAPL
B6, VIT B12, CAFFEIN
15 PARECOXIB DYNASTAT INJ 40 MG VIAL VIAL 40 MG
16 PIROXICAM FELDENE FLASH TAB 20 MG TABLET 20 MG
FELDENE GEL 15 G GEL 15 G
PIROFEL 10 TABLET; 10 MG
PIROFEL 20 TABLET; 20 MG
PIROXICAM TABLET; 10 MG
PIROXICAM TABLET; 20 MG
17 SULFASALAZINE SULCOLON TAB 500 MG TABLET 500 MG
LAZAFIN TAB 500 MG TABLET 500 MG
4L DRUGS FOR NEUROPATHIC PAIN
1 GABAPENTIN NEURONTIN KAPSUL 300 MG
ALPENTIN KAPSUL 100 MG
ALPENTIN KAPSUL 300 MG
GABATIN KAPSUL 100 MG
GABATIN KAPSUL 300 MG
SIPENTIN KAPSUL 100 MG
SIPENTIN KAPSUL 300 MG
GABAPENTIN CAPS 100 MG KAPSUL 100 MG
2 PREGABALIN LYRICA KAPSUL 50 MG
LYRICA KAPSUL 75 MG
LYRICA KAPSUL 150 MG
PROVELYN CAPS 150 MG KAPSUL 150 MG
2 PREGABALIN
No Kelas Terapi
Sub Kelas terapi
PREGABALIN CAPS 150 MG KAPSUL 150 MG
4M ANTIMIGRAINE PREPARATION
1 FLUNARIZINE SIBELIUM - 5 TABLET; 5 MG
SIBELIUM - 10 TABLET 10 MG
FREGO TABLET; 5 MG
FREGO TABLET 10 MG
FLUNARIZINE HCL TABLET; 5 MG
FLUNARIZINE HCL TABLET 10 MG
4N NOOTROPICS &NEUROTONICS / NEUROTROPHICS
1 CITICOLINE NEULIN AMPUL 500 MG INJ 4 ML
NEULIN CAIRAN INJEKSI; 125 MG/ML
NEULIN PS KAPSUL; 500 MG
NEULIN PS O3 CAPS KAPSUL
BRAINACT 500 4 ML 5 AMP Citicholine 500 mg / 4 mL
BRAINACT 1000 8 ML 5 AMP CITICOLINE 1G
BRAINACT 250 MG 2 ML/5AMP Citicholine 250 mg / 2 mL
BRAINACT 5 SACHET @ 2 GR Citicoline 1000 mg SACT
BRAINACT O-DIS 3 STR @ 10 TAB Citicoline 1000 mg
BRAINACT ORAL 1 GR 3@10 TAB Citicoline 1000 mg
BRAINACT ORAL 30 TAB/BOX Citicholine 500 mg / tab

CITION injeksi 250 mg/2 mL Citicoline 250 mg/2mL
CITION kaplet 1000 mg Citicoline 1000 mg
CITION tablet 500 mg Citicoline 500 mg
CITICHOLINE INJ 125 MG/ ML AMPUL 250 MG INJ 2 ML
AMP 2 ML
CITICHOLINE INJ 125 MG/ ML AMPUL 500 MG INJ 4 ML
AMP 4 ML
CITICOLINE INJ 125 MG/ ML AMP AMPUL 1 G INJ 8 ML
8 ML
CITICHOLINE TAB 500 MG TABLET 500 MG
2 PIRACETAM MERSITROPIL 400 KAPSUL; 400 MG
MERSITROPIL 800 KAPLET SALUT SELAPUT; 800 MG
MERSITROPIL 1200 KAPLET SALUT SELAPUT; 1200 MG
MERSITROPIL SIRUP; 500 MG/5 ML
DEXPIRA INFUS; 200 MG/ML
DEXPIRA KAPLET SALUT SELAPUT; 800 MG
DEXPIRA KAPLET SALUT SELAPUT; 1200 MG
LATROPIL 400 KAPSUL; 400 MG
LATROPIL SIRUP; 500 MG/5 ML
PIRACETAM BOTOL 12 G INF 60 ML
PIRACETAM AMPUL 1 G INJ 5 ML
PIRACETAM AMPUL 3 G INJ 15 ML
No Kelas Terapi
Sub Kelas terapi
PIRACETAM CAIRAN INJEKSI; 200 MG/ML
PIRACETAM KAPLET SALUT SELAPUT; 800 MG
PIRACETAM KAPLET SALUT SELAPUT; 1200 MG
5 MUSCULO-SKELETAL SYSTEM
5A DISESASE-MODIFYING ANTI-RHEMATIC DRUGS (DMARDS)
1 TOCILIZUMAB ACTEMRA INJ 400 MG VIAL 20 VIAL 400 MG INJ 20 ML
ML
ACTEMRA INJ 80 MG VIAL 4 ML VIAL 80 MG INJ 4 ML
2 SULFASALAZINE SULFITIS TABLET 500 MG

SULCOLON TAB 500 MG TABLET 500 MG
SULFASALAZINE TABLET 500 MG
5B HYPERURICEMIA & GOUT PREPARATIONS
1 ALLUPURINOL ZYLORIC TAB 100 MG TABLET 100 MG
ZYLORIC TAB 300 MG TABLET 300 MG
ALLURIC TAB 100 MG TABLET 100 MG
ALLURIC TAB 300 MG TABLET 300 MG
ALLOPURINOL TAB 100 MG TABLET 100 MG
ALLOPURINOL TAB 300 MG TABLET 300 MG
2 COLCHICINE RECOLFAR TAB 0,5 MG TABLET; 0,5 MG
KOLSIN TABLET; 0,5 MG
PYRICIN TABLET; 0,5 MG
L-CISIN TABLET; 0,5 MG
COLCHICINE TABLET; 0,5 MG
3 FEBUXOSTAT FEBURIC TAB 80 MG TABLET 80 MG
FESTARIC TAB 40 MG TABLET 40 MG
FESTARIC TAB 80 MG TABLET 80 MG
5C MUCLE RELAXANTS
1 CLOSTRIDIUM BOTULINUM NABOTA VIAL 100 IU
TOXIN TYPE A LANZOX INJ 100 U VIAL VIAL 100 IU
LANZOX INJ 100 U VIAL VIAL 50 ID
2 EPERISONE MYONAL TAB 50 MG TABLET 50 MG
FORRES TAB 50 MG TABLET 50 MG
EPERISONE TAB 50 MG TABLET 50 MG
3 TIZANIDINE SIRDALUD TAB 2 MG TABLET 2 MG
TIZACOM TABLET 2 MG
MYORES TABLET 2 MG
PHARDEX TABLET 2 MG
ZITANID TAB 2 MG TABLET 2 MG
5D ANTI-INFLAMMATORY ENZYMES
1 BOSWELLIA SERRATA EXTR, NUTRIFLAM NEO CAPS KAPSUL
CURCUMA LONGA RHIZOME
EXTR, PIPERINE, VIT K2
5E NEUROMUSCULAR DISORDER DRUGS

No Kelas Terapi
Sub Kelas terapi
5E Kandungan Nama Produk Bentuk dan Kekuatan
1 PYRIDOSTIGMINE MESTINON TAB 60 MG TABLET 60 MG
5F OTHER DRUGS ACTING ON MUSCULO-SKELETAL SYSTEM (Pereda nyeri)
1 DIACEREIN ARTOFLAM KAPSUL 50 MG
ARTRODAR KAPSUL 50 MG
2 GLUCOSAMINE, FLEXAMINE CREAM 30 G CREAM 30 G
CHONDROITIN, CAPSICUM,
CAMPHOR, METHYL
SALYCYLATE
3 N-ACETYL GLUCOSAMINE FITAJOINT ROLLER GEL 35 G ROLL GEL 35 G

4 HYALLURONATE UMARONE INJ 20 MG VIAL 2 ML VIAL 20 MG INJ 2 ML
Hyruan One 60 mg/1 mL Inj 3 ml

HYAJOINT PLUS PFS 60 MG INJ 3 ML
5 METHYL SALICYLATE, COUNTERPAIN CREAM TUBE 15 CREAM 15 G
MENTHOL, EUGENOL G
COUNTERPAIN CREAM TUBE 30 CREAM 30 G
G
6 METHYL SALICYLATE, COUNTERPAN + PXM CREAM CREAM 25 G
MENTHOL, EUGENOL, TUBE 25 G
PIROXICAM
6 HORMONES
6A ESTROGENS, PROGESTERONES & RELATED SYNTHETIC DRUGS
1 ALLYLESTRENOL PREMASTONE TAB 5 MG TABLET 5 MG
PREABOR TAB 5 MG TABLET 5 MG
2 DIENOGEST VISANNE TAB 2 MG TABLET 2 MG
NELANDOZ TABLET 2 MG
3 DIENOGEST, ESTRADIOL QLAIRA TABLET
VALERATE FEMOSTON CONTI 1/5 TABLET 1/5 MG
FEMOSTON CONTI 1/10 TABLET 1/10 MG
4 ESTRADIOL, NORGESTREL CYCLO PROGYNOVA TAB TABLET
PIL KB I KOMBINASI TABLET
5 MEDROXPROGESTERONE PROVERA TAB 10 MG TABLET 10 MG
SAYANA PRESS SUSPENSI INJEKSI; 100 MG

PLANIBU SUSPENSI INJEKSI; 150 MG
MEDROX SUSPENSI INJEKSI; 150 MG
6 NORETHISTERONE PRIMOLUT-N TAB 5MG TABLET 5 MG
RETROGEST TABLET 5 MG
NORELUT TAB 5 MG TABLET 5 MG
NORETHISTERONE TABLET 5 MG
6B CORTICOSTEROID HORMONES
1 DEXAMETHASONE DEXA - M TABLET; 0,75 MG
KALMETHASONE TABLET; 0,5 MG
DEXAMETHASONE TABLET; 0,5 MG
DEXAMETHASONE CAIRAN INJEKSI; 5 MG/ML
6B
No Kelas Terapi
Sub Kelas terapi
2 HYDROCORTISONE FARTISONE INJ 100 MG VIAL VIAL 100 MG
3 METHYLPREDNISOLONE MEDROL 4 MG 4 MG
MEDROL 16 MG 16 MG
SOLU MEDROL 125 MG 125 MG
SOLU MEDROL 500 MG 500 MG
HEXILON TABLET 4 MG
HEXILON TABLET 8 MG
HEXILON VIAL 125 MG
METHYLPREDNISOLONE TABLET 4 MG
METHYLPREDNISOLONE TABLET 8 MG
METHYLPREDNISOLONE VIAL 125 MG
4 PREDNISOLONE LUPRED TAB 5 MG TABLET 5 MG
PREDNISOLONE TABLET 5 MG
5 TRIAMCINOLONE KENACORT TABLET; 4 MG
KENACORT A KRIM; 1 MG
FLAMICORT INJ 10 MG/ML VIAL VIAL 10 MG/ML INJ 5 ML
5 ML
FLAMICORT INJ 40 MG/ML VIAL VIAL 40 MG INJ 1 ML
1 ML
TRIAMCINOLONE TABLET 4 MG
TRIAMCINOLONE CAIRAN INJEKSI; 10 MG/ML
6C TROPHIC HORMONES & RELATED SYNTHETIC DRUGS
1 BROMOCRIPTINE CRIPSA TAB 2,5 MG TABLET 2,5 MG
2 CLOMIFENE PROFERTIL TAB 50 MG TABLET 50 MG
FERTION TABLET 50 MG
3 MENOTROPHIN MENOPUR INJ VIAL
MENOPUR INJ 600 IU VIAL
MENOPUR INJ 75 IU VIAL
7 CONTRACEPTIVE AGENTS
7A ORAL CONTRACEPTIVES
1 CYPROTERONE, DIANE 35 TAB TABLET 2 MG, O,O35 MG

ETHINLESTRADIOL
2 DOSPERINONE, YASMIN TAB TABLET 3 MG, 0,03 MG
ETHINYLESTRADIOL
7B DEPO CONTRACEPTIS
No Kelas Terapi
7B Sub Kelas terapi
1 MEDROXYPROGESTERONE MEDROX INJ 150 MG VIAL 1 ML VIAL 150 MG INJ 1 ML
2 MEDROXPROGESTERONE, CYCLOFEM INJ VIAL 0,5 VIAL 0,5 ML

ESTRADIOL
7C OTHER CONTRACEPTIVES
1 LEVONORGESTREL ALK MIRENA PCS IUD
2 THIN COPPER WIRE IUD ALK NOVA PCS IUD
8 ANTI-INFECTION (SYSTEMIC)
8A AMINOGLYCOSIDES
1 AMIKACIN SULFATE MIKASIN INJ 250 MG VIAL VIAL 250 MG INJ 2 ML
MIKASIN INJ 500 MG VIAL VIAL 500 MG INJ 2 ML

ALOSTIL VIAL 500 MG INJ 2 ML
AMIKACIN SULFATE VIAL 250 MG INJ 2 ML
AMIKACIN SULFATE VIAL 500 MG INJ 2 ML
2 GENTAMYCIN OTTOGENTA INJ 40 MG/ML AMP AMPUL 80 MG INJ 2 ML
2 ML
GARABIOTIC INJ 40 MG/ML AMP AMPUL 80 MG INJ 2 ML
2
GENTAMICIN SULFATE INJ 40 AMPUL 80 MG INJ 2 ML
MG/ML AMP 2 ML
3 KANAMYCIN KANAMYCIN MEIJI INJ 1 G VIAL VIAL 1 G
KANAMYCIN SULFATE INJ 1 G VIAL 1 G

VIAL
8B CEPHALOSPORINS
1 CEFADROXIL RENASISTIN DROP 150 MG/ML DROP 150 MG/ML BOTOL 15 ML
BTL 15 ML
STAFORIN 500 MG KAPSUL 500 MG
STAFORIN 125 MG SYRUP 125 MG/5ML DS 60 ML
STAFORIN 250 MG SYRUP 250 MG/5 ML DS 60 ML
LIBROCEF CAPS 500 MG KAPSUL 500 MG
CEFADROXIL KAPSUL 500 MG
CEFADROXIL SYRUP 125 MG/5ML DS 60 ML
CEFADROXIL SYRUP 250 MG/5 ML DS 60 ML
2 CEFIPIME BIOCEPIME INJ 1 G VIAL VIAL 1 G
VIPIME INJ 1 G VIAL VIAL 1 G
CEFEPIME INJ 1 G VIAL VIAL 1 G
3 CEFIXIME CEFSPAN CAPS 100 MG KAPSUL 100 MG
CEFSPAN TAB 200 MG CAPL 200 MG
CEFSPAN DRY SYR 100 MG/ 5 ML SYRUP 100 MG/ 5 ML DS 30 ML
BTL 30 ML
3 CEFIXIME
No Kelas Terapi
Sub Kelas terapi
TAXIME TAB 100 MG CAPL 100 MG
TAXIME TAB 200 MG CAPL 200 MG
STARCEF CAPS 100 MG KAPSUL 100 MG
STARCEF CAPS 200 MG KAPSUL 200 MG
STARCEF DRY SYR 100 MG/ 5ML SYRUP 100 MG/ 5 ML DS 30 ML
BTL 30 ML
CEFIXIME KAPSUL 100 MG
CEFIXIME CAPSL 200 MG
CEFIXIME SYRUP 100 MG/ 5 ML DS 30 ML
4 CEFOTAXIM BIOCEF INJ 1 G VIAL VIAL 1 G
KALFOXIM INJ 1 G VIAL VIAL 1 G
KALFOXIM INJ 500 MG VIAL VIAL 500 MG
TIRDICEF INJ 1 G VIAL VIAL 1 G
CEFOTAXIM INJ 500 MG VIAL VIAL 500 MG
CEFOTAXIM INJ 1 G VIAL VIAL 1 G
5 CEFPIROME CEFRIN INJ 1 G VIAL 1 G
BIOPROM INJ 1 G VIAL VIAL 1 G
CEFPIROME INJ 1 G VIAL VIAL 1 G
6 CEFTAZIDIME ZAVICEFTA INJ 2,5 G VIAL VIAL 2,5 G
FORTUM INJ 1 G VIAL VIAL 1 G
BIOZIM INJ 1 G VIAL VIAL 1 G

CEFTAZIDIME INJ 1 G VIAL VIAL 1 G
7 CEFTIZOXIME CEFIM INJ 1 G VIAL VIAL 1 G
TIZOS INJ 1 G VIAL VIAL 1 G
CEFTIZOXIME INJ 1 G VIAL VIAL 1 G
8 CEFTRIAXONE BROADCED INJ 1 G VIAL VIAL 1 G
BIOXON INJ 1 G VIAL VIAL 1 G
ECOTRIXON VIAL 1 G
CEFTRIAXONE VIAL 1 G
9 CEFUROXIME OXTERCID INJ 750 MG VIAL VIAL 750 MG
CEFUROXIME TAB 500 MG TABLET 500 MG
CEFUROXIME INJ 750 MG VIAL VIAL 750 MG
8C PENICILLINS
1 AMOXICILLIN WIDECILLIN KAPLET 500 MG KAPLET 500 MG
AMOXSAN PAED DROPS 100 DROP 100 MG/ ML BOTOL 15 ML
MG/ ML BTL 15 ML
Topcillin DS 125 SYRUP125 MG/ 5 ML BOTOL 60 ML
Topcillin DS 250 SYRUP 250 MG/ 5 ML BOTOL 60 ML
Topcillin 500 mg KAPSUL 500 MG
AMOXICILLIN DROP 100 MG/ ML BOTOL 15 ML
AMOXICILLIN SYRUP 125 MG/5 ML BOTOL 60 ML
AMOXICILLIN KAPSUL 500 MG
No Kelas Terapi
Sub Kelas terapi
2 AMOXICILLIN, K CLAVULANATE DEXYCLAV DRY SYR 125 MG/ SYRUP 125 MG, 31.25 MG/ 5ML DS 60
5ML BTL 60 ML ML
DEXYCLAV FORTE DRY SYR 250 SYRUP 250 MG, 62.5 MG/ 5ML DS 60
MG/ 5ML BTL 60 ML ML
DEXYCLAV FORTE TAB 625 MG TABLET 500 MG, 125 MG
3 AMPICILLIN VICCILLIN 250 MG (I.M./I.V.) 250 MG (I.M./I.V.)
AMPICILLIN SODIUM 250 MG 250 MG (I.M./I.V.)
(I.M./I.V.)
VICCILLIN 1000 MG (I.V.) 1000 MG (I.V.)
AMPICILLIN SODIUM 1000 MG 1000 MG (I.V.)
(I.V.)
4 AMPICILLIN, SULBACTAM VICCILLIN-SX 750 VIAL 750 MG
PICYN INJ 1,5 G VIAL VIAL 1 G, 500 MG
AMPICILLIN VIAL 750 MG

SODIUM/SULBACTAM SODIUM
5 BENZYLPENICILLIN BENZATIN BENZIL PENISILLIN INJ VIAL 1,2 JT IU

1,2 JUTA IU VIAL
BENZATIN BENZIL PENISILLIN INJ VIAL 2,4 JT IU
2,4 JUTA IU VIAL
6 CEFOPERAZONE, SULBACTAM SULPEFION VIAL 500 MG, 500 MG
CEFOPERAZONE SULBACTAM INJ VIAL 500 MG, 500 MG

1 G VIAL
7 PIPERACILLIN, TAZOBACTAM TAZOCIN VIAL 4000 MG /500 MG
TAZAM INJ 4,5 G VIAL VIAL 4 G, 500 MG

8D OTHER BETA-LACTAMS
1 AZTREONAM VEBAC INJ 1 G VIAL VIAL 1 G
2 DORIPENEM DARYAVEN INJ 500 MG VIAL VIAL 500 MG
DORIPENEM INJ 500 MG VIAL VIAL 500 MG
3 IMIPENEM, CILASTATIN TIENAM VIAL 500 MG, 500 MG
IMIPEX VIAL 500 MG, 500 MG

IMIPENEM CILASTATIN INJ 1 G VIAL 500 MG, 500 MG
VIAL
4 MEROPENEM MEROFEN 1 gr VIAL 1 G
MEROFEN 500 mg VIAL 500 MG
MEROPENEM INJ 1 G VIAL VIAL 1 G
MEROPENEM INJ 500 MG VIAL VIAL 500 MG
8E CHLORAMPHENICOLS
1 CHLORAMPHENICOL CHLORAMEX KAPSUL 500 MG KAPSUL 500 MG
No Kelas Terapi
Sub Kelas terapi
1 Kandungan
CHLORAMPHENICOL Nama Produk Bentuk dan Kekuatan
CHLORAMEX KAPSUL 250 MG KAPSUL 250 MG
CHLORAMEX SUSPENSI SUSPENSI 125 MG/5ML DS 60 ML
125MG/5ML BTL 60 ML
CENDO FENICOL TETES MATA TETES MATA 0,25% DS 5 ML
0,25% BTL 5 ML
CENDO FENICOL TETES MATA TETES MATA 0,5% DS 5 ML
0,5% BTL 5 ML
CENDO FENICOL TETES MATA 1% TETES MATA 1% DS 5 ML
BTL 5 ML
KALMICETINE SALEP MATA 20 SALEP MATA 20 MG
MG
CHLORAMFECORT KRIM 25 MG/ 20 MG
CHLORAMPHENICOL TETES TETES TELINGA 3% BTL 5 ML
TELINGA 3% BTL 5ML
2 THIAMPHENICOL DEXYCOL KAPSUL 500 MG KAPSL 500 MG
THIAMYCIN KAPSUL 500 MG
THIAMYCIN SYR 125 MG/5ML DS 60 ML
THIAMPHENICOL KAPSUL 500 MG
THIAMPHENICOL SYR 125 MG/5ML DS 60 ML
8F MACROLIDES
1 AZITHROMYCIN ZITHROMAX INF 500 MG VIAL VIAL 500 MG
ZITHROMAX SYR 200 MG/ 5 ML SYRUP 200 MG/ 5 ML DS 15 ML
BTL 15 ML
ZITHROMAX TAB 500 MG TABLET 500 MG
INFIMYCIN 0,5 G VIAL 0,5 G
INFIMYCIN DRY SYR 200 SYRUP 200 MG/5 ML , 15 ML
MG/5ML BTL 15 ML
Azitran TABLET 500 MG
AZITHROMICIN INF 500 MG VIAL VIAL 500 MG
AZITHROMYCIN DIHYDRATE KAPLET 500 MG

KAPLET 500 MG
AZITHROMYCIN DRY SYR 200 SYRUP 200 MG/ 5 ML DS 15 ML
MG/ 5ML 15 ML
2 CLARITHROMYCIN ABBOTIC DRY SYRUP 125 MG/ 5 SYRUP 125 MG/ 5ML DS 60 ML
ML BTL 60 ML
ABBOTIC DRY SYRUP 250 MG/ 5 SYRUP 250 MG/ 5ML DS 60 ML
ML BTL 50 ML
ABBOTIC XL TAB 500 MG TAB TABLET XL 500 MG
COMTRO SYR 125 MG/5ML SYRUP 125 MG/5ML DS 30 ML
CLARITHROMYCIN KAPLET 500 KAPLET 500 MG
MG
3 ERYTHROMYCIN ERYTHROMYCIN STEARATE KAPSUL 250 MG
KAPSUL 250 MG
No Kelas Terapi
Sub
3 Kelas terapi
ERYTHROMYCIN
ERYTHROMYCIN STEARATE KAPLET 500 MG
KAPLET 500 MG
ERYTHROMYCIN STEARATE KAPLET 500 MG
KAPLET 500 MG
ERYTHROMYCIN 200 MG/ 5 ML SYR 200 MG/5 ML DS 60 ML
BTL 60 ML
8G QUINOLONES
1 CIPROFLOXACIN CIPROXIN 500 MG 500 MG
CIPROXIN 2 MG / ML 2 MG / ML
GIRABLOC TABLET SALUT 500 MG
CIPROFLOXACIN INF 200 MG BTL SOFTBAG 200 MG INF 100 ML
100 ML
CIPROFLOXACIN TAB 500 MG TABLET 500 MG
2 LEVOFLOXACIN CRAVIT INF 500 MG SOFTBAG SOFTBAG 500 MG INF 100 ML
100 ML
CRAVIT TAB 500 MG TABLET 500 MG
CRAVIT 750 INJ SOFTBAG 750 MG INF 100 ML
CRAVIT 750 KAPLET TABLET 750 MG
Q-Vlox TABLET 500 MG
LEVIN VIAL 500 MG INF 100 ML
LEVOFLOXACIN INF 500 MG BTL VIAL 500 MG INF 100 ML
100 ML
LEVOFLOXACIN TAB 500 MG TABLET 500 MG
3 MOXIFLOXACIN AVELOX TABLET SALUT 500 MG
AVELOX BOTOL 400 MG INF 250 ML
MOXIVAR INF 400 MG BTL 250 BOTOL 400 MG INF 250 ML
ML
INFIMOX BOTOL 400 MG INF 250 ML
INFIMOX TABLET 400 MG
FLOXARIS KAPLET SALUT 400 MG
MOXIFLOXACIN INF 400 MG BTL BOTOL 400 MG INF 250 ML
250 ML
MOXIFLOXACIN TAB 400 MG TABLET 400 MG
4 OFLOXACIN TARIVID 200 MG TABLET 200 MG
TARIVID 400 MG TABLET 400 MG
TARIVID TETES TELINGA; 3 M
VOLEQUIN TABLET 250 MG
VOLEQUIN TABLET 500 MG
VOLEQUIN Vial 500mg/ 100ml
OFLOXACIN TETES TELINGA; 3 M
OFLOXACIN TAB 200 MG TABLET 200 MG
OFLOXACIN TAB 400 MG TABLET 400 MG
8H TETRACYCLINES
1 DOXYCYCLINE INTERBATDOXIN CAPS 50 MG KAPSUL 50 MG
No Kelas Terapi
Sub Kelas terapi
1 Kandungan
DOXYCYCLINE Nama Produk Bentuk dan Kekuatan
INTERBATDOXIN CAPS 100 MG KAPSUL 100 MG
DOXYCYCLINE TAB 100 MG KAPSUL 100 MG

8I ANTIBACTTERIAL CO,BINATIONS
1 SULFAMETHOXAZOLE PRIMADEX TAB 480 MG TABLET 400 MG/ 80 MG
TRIMETHOPRIM
SULTRIMMIX TAB 480 MG TABLET 400 MG, 80 MG
SULTRIMMIX DS TABLET 960 KAPLET 800 MG, 160 MG
SULTRIMMIX SUSP 200 MG/ 40 SUSPENSI 200 MG/ 40 MG BOTOL 60
MG BTL 60 ML ML
8J OTHER ANTIBIOTICS
1 CLINDAMYCIN DALACIN C 150 MG 150 MG
DALACIN C 300 MG 300 MG
ALBIOTIN 300 KAPSUL 300 MG
ALBIOTIN 150 KAPSUL 150 MG
CLINDAMYCINE CAPS 150 MG KAPSUL 150 MG
CLINDAMYCINE CAPS 300 MG KAPSUL 300 MG
2 FOSFOMYCIN FOSMICIN INJ 1 G VIAL VIAL 1 G
FOSMICIN INJ 2 G VIAL VIAL 2 G
FOSMIDEX INJ 1 G VIAL VIAL 1 G
FOSMIDEX INJ 1 G VIAL VIAL 2 G
MONURIL GRANULE 3 G SACH SACCHET 3 G
FOSFOMYCIN SOD INJ 1 G VIAL VIAL 1 G
FOSFOMYCIN SOD INJ 2 G VIAL VIAL 2 G
3 LINCOMYCIN BIOLINCOM DRY SYR 250 MG/ 5 SYRUP 250 MG/ 5 ML BOTOL 60 ML
ML BTL 60 ML
LINCOMYCIN CAPS 500 MG KAPSUL 500 MG
4 METRONIDAZOLE FLAGYL FORTE TAB 500 MG TABLET 500 MG
FLAGYL VIAL 500 MG INF 100 ML
FLAGYL SUPPOSITORIA; 1 G
METROFUSIN 100ML INFUS; 500 MG/100 ML
TROGYL TAB 500 MG TABLET 500 MG
TROGYL SYR 125 MG/5 ML BTL SUSP 60 ML
60 ML
TROGYL INF 500 MG VIAL 100 ML VIAL 500 MG INF 100 ML
METRONIDAZOLE TAB 500 MG TABLET 500 MG
METRONIDAZOL INF 5 MG BTL INFUS 5 MG BOTOL 100 ML

100 ML
METRONIDAZOLE INF 500 MG VIAL 500 MG INF 100 ML
VIAL 100 ML
8K ANTI-TB AGENS
No Kelas Terapi
Sub Kelas terapi
1 ETHAMBUTOL KALBUTOL TABLET 500 MG
TIBIGON TABLET 500 MG
ETHAMBUTOL TAB 500 MG TAB 500 MG
2 PYRAZINAMIDE NEOTIBI TABLET 500 MG
SIRAMID 500 KAPLET SALUT 500 MG
PYRAZINAMID TAB 500 MG TABLET 500 MG
3 RIFAMPICIN, ISONIAZID PRO TB 2 KID TAB TABLET KUNYAH 75 MG, 50 MG
PRO TB 2 TAB TABLET 150 MG, 150 MG
PRO TB 3 KID TAB TABLET KUNYAH 75 MG, 50 MG, 150
MG
4 RIFAMPICIN, ISONIAZID, PRO TB 4 TAB TABLET 150 MG, 75 MG, 400 MG, 275
PYRAZINAMIDE, ETHAMBUTOL MG
8L ANTIFUNGALS
1 FLUCONAZOLE DIFLUCAN CAPS 50 MG KAPSUL 50 MG
DIFLUCAN CAPS 150 MG KAPSUL 150 MG
FLUXAR CAPS 150 MG KAPSUL 150 MG
FLUXAR INF 2 MG VIAL 100 ML INFUS 2 MG VIAL 100 ML
FLUCONAZOLE CAPS 150 MG KAPSUL 150 MG

FLUCONAZOLE INF 200 MG VIAL VIAL 200 MG INF 100 ML
100 ML
2 GRISEOFUVIN GRISEOFULVIN TAB 125 MG TABLET 125 MG
3 ITRACONAZOLE SPORANOX CAPS 100 MG KAPSUL 100 MG
SPYROCON CAPS 100 MG KAPSUL 100 MG
4 KETOCONAZOLE NIZORAL CREAM 20 G CREAM 20 MG TUBE 5 G
NIZORAL CREAM 20 G CREAM 20 MG TUBE 15 G
FUNGORAL CREAM 0,20 G CREAM 0,20 G TUBE 10 G
KETOCONAZOLE TAB 200 MG TABLET 200 MG
KETOCONAZOLE CREAM 0,20 G CREAM 0,20 G TUBE 10 G
5 MICAFUNGIN MYCAMINE INJ 50 MG VIAL VIAL 50 MG

6 NYSTATIN MYCOSTATIN SUSP 12 ML SUSPENSI 100.000 IU/ ML BOTOL 12
ML
MYCOSTATIN SUSP 30 ML SUSPENSI 100.000 IU/ML BOTOL 30
ML
MYCO-Z SALEP 10 G SALEP 100.000 IU/ 200 MG TUBE 10 G
7 TERBINAFINE INTERBATBI TAB 250 MG TABLET 250 MG

TERMISIL CREAM 10 MG CREAM 10 MG TUBE 10 G
8M ANTIVIRALS
1 ACYCLOVIR ZOVIRAX 200 MG
ZOVIRAX CREAM 5%
1 ACYCLOVIR
No Kelas Terapi
Sub Kelas terapi
ZOVIRAX VIAL 250 MG
ZOTER TABLET 200 MG
ZOTER TABLET 400 MG
ZOTER CREAM 5G
ACYCLOVIR TABLET 200 MG
ACYCLOVIR TABLET 400 MG
ACYCLOVIR CR CREAM 5G
2 ENTECAVIR BUCRETIS 0,5 MG TABLET FILM 0,5 MG
BUCRETIS 1 MG TABLET FILM 1 MG
TECAVIR 0,5 MG TABLET SALUT 0,5 MG
TECAVIR 1 MG TABLET SALUT 1 MG
ENTECAVIR TAB 0,5 MG TABLET 0,5 MG
ENTECAVIR MONOHYDRATE 1 TABLET 1 MG
MG
3 FAVIPIRAVIR AVIGAN TAB 200 MG TABLET 200 MG
FAVIKAL TAB 200 MG TABLET 200 MG
FAVIPIRAVIR TAB 200 MG TABLET 200 MG
4 GANCICLOVIR VALCYTE TABLET 500 MG TABLET SALUT 500 MG
CYMEVENE VIAL 500 MG
5 LAMIVUCINE 3 TC HBV TAB 100 MG TABLET 100 MG

3 TC TAB 150 MG TABLET 150 MG
6 METHISOPRINOL ISPRINOL SYR 250 MG/ 5 ML BTL SYRUP 250 MG/ 5 ML BOTOL 60 ML
60 ML
ISPRINOL TAB 500 MG TABLET 500 MG
MOPRIN TABLET; 500 MG
MOPRIN SIRUP; 250 MG/5 ML
METHISOPRINOLSYRUP 250 SYRUP 250 MG/5ML, DS 60 ML
MG/5 ML, BTL 60 ML
METHISOPRINOL TABLET 500 TABLET 500 MG
MG
7 OSELTAMIVIR TAMIFLU CAPS 75 MG KAPSUL 75 MG
OSEVELL 98,528 MG KAPSUL 98,528 MG

FLUVIR CAPS 75 MG KAPSUL 75 MG
OSELTAMIVIR CAPS 75 MG KAPSUL 75 MG
8 REMDEIVIR COVIFOR INJ 100 MG VIAL VIAL 100 MG
REMEVA INJ 100 MG VIAL VIAL 100 MG
9 TENOFOVIR RICOVIR TABLET 300 MG TABLET 300 MG
10 VALACYCLOVIR VALTREX TABLET 500 MG
VALASIKLOFIR TAB 500 MG TABLET 500 MG

8N ANTELMINTIK
1 MEBENDAZOLE VERMOX CHEW TAB 500 MG TABLET KUNYAH 500 MG
No Kelas Terapi
8N Sub Kelas terapi
2 IVERMECTIN IVERMAX CAPL 12 MG TABLET 12 MG
3 PYRANTEL COMBANTRIN TABLET 125 MG
COMBANTRIN TABLET 250 MG
COMBANTRIN SUSPENSI 125 MG 5 ML
8O ANTIMALARIALS
1 HYDROXYCHLOROQUIN ALUQUINE TAB 200 MG TABLET 200 MG
2 PRIMAQUINE PRIMAQUINE TAB 15 MG TABLET 15 MG
9 GENITO-URINARY SYSTEM
9A PREPARATIONS FOR VAGINAL CONDITIONS
1 METRONIDAZOLE, NYSATIN FLAGYSTATIN OVULA 500 MG, 100.000 IU
TROGYSTATIN OVULA 500 MG, 100.000 IU
FLADYSTIN VULA OVULA 500 MG, 100.000 IU
9B URINARY ANTISEPTICS
1 PHENAZOPYRIDINE NEXURIN TAB 100 MG CAPL 100 MG
2 PIPEMIDIC ACID URINTER TABLET400 MG
9C DRUGS ACTING ON THE UTERUS
1 ISOXSUPRINE DUVADILAN TAB 20 MG TABLET 20 MG
DUVADILAN 5 MG/ ML AMPUL 5 MG/ ML INJ 2 ML
HYSTOLAN TAB 20 MG TABLET 20 MG
2 METHYLERGOMETRINE POSPARGIN INJ 0,2 MG AMP 1 AMPUL 0,2 MG / ML INJ 1 ML
ML
METVELL INJ 0,2 MG AMP 1 ML AMPUL 0,2 MG / ML INJ 1 ML
METVELL TAB 0, 125 MG TABLET 0,125 MG

MEHYLERGOMETRIN TAB 0, 125 TABLET 0,125 MG
MG
METHYLERGOMETRIN INJ 0,2 AMPUL 0,2 MG / ML INJ 1 ML
MG AMP 1 ML
3 OXYTOCIN SYNTOCINON 10 IU / ML 10 IU / ML
SYNTOCINON 1 ML 1 ML
OXYTOCIN INJ 10 IU AMP 1 ML AMPUL 10 IU / ML INJ 1 ML
9D DRUGS FOR ERECTILE DYSFUNCTION & EJACULATORY DISORDER

1 SILDENAFIL VIAGRA 50 MG 50 MG
REVATIO TAB 28 MG TABLET 28 MG
REVATIO 10 MG / ML Sirup 11 MG / ML
VIAJOY TAB 100 MG KAPLET 100 MG
9E DRUGS FOR BLADDER & PROSTATE DISORDER
1 DUTASTERIDE AVODART CAPS 0,5 KAPSUL 0,5 MG
RENIPID CAPS 0,5 MG KAPSUL 0,5 MG
DUTASTERIDE SOFT CAPS 0,50 KAPSUL LUNAK 0,50 MG
MG
2 FINASTERIDE FINPRO TAB 5 MG TABLET 5 MG
3 FLAVOXATE URISPAS TAB TABLET
4 IMIDAFENACIN URITOS TAB 0,1 MG TABLET 0,1 MG
No Kelas Terapi
Sub Kelas terapi
5 SILODOSIN URIEF TAB 4 MG TABLET 4 MG
6 SOLIFENACIN VESICARE TAB 5 MG TABLET 5 MG
VESICARE TAB 10 MG TABLET 10 MG
7 TAMSULOSIN HARNAL D TAB 0,2 MG TAB TABLET 0,2 MG
HARNAL OCAS SR TAB 0,4 MG TABLET SR 0,4 MG
PROSTAM SR TAB 0,4 MG TABLET SR 0,4 MG
TAMSULOSIN HCL SR TA 0,4 MG TABLET SR 0,4 MG
8 DUTASTERIDE , TAMSULOSIN DUODART 0,5 MG 0,5 MG
9F OTHER DRUGS ACTING ON THE GENITO-URINARY SYSTEM

1 ESSENTIAL KETOA ACIDS KETOSTERIL KAPLET SELAPUT
NOCID CAPL CAPL
PRORENAL CAPL CAPL
2 SODIUM HYALURONATE 40 CYSTISTAT INJ 40 MG VIAL 50 ML VIAL 40 MG INJ 50 ML

MG/ 50 ML
10 ENDOCRINE & METABOLIC SYSTEM
10A INSULIN PREPARATIONS
1 INSULIN ASPART NOVOMIX 30 INJ 100 IU/ ML PEN PEN 100 U/ ML INJ 3 ML
3 ML
NOVORAPID INJ 100 IU/ ML PEN PEN 100 U/ ML INJ 3 ML
3 ML
2 INSULIN DEGLUDEC, INSULIN RYZODEG 100 UI / ML INJ 3 ML PEN 100 U/ ML INJ 3 ML
ASPART
3 INSULIN DETEMIR LEVEMIR INJ 100 U/ ML PEN 3 PEN 100 U/ ML INJ 3 ML
ML
4 INSULIN GLARGINE LANTUS SOLASTAR INJ 100 IU/ PEN 100 U/ ML INJ 3 ML
ML PEN 3 ML
LANTUS XR INJ 300 UI / ML PEN PEN 100 IU/ML INJ 1,5 ML
1,5 ML
LANTUS 100 IU/ ML , VIAL 10 ML VIAL 100 IU/ ML , VIAL 10 ML
EZELIN INJ 100 U / ML PEN 3ML PEN 100 U/ ML INJ 3 ML
5 INSULINE GLUSINE APIDRA SOLOSTAR INJ 100 IU/ PEN 100 IU/ML INJ 3 ML
ML PEN 3 ML
6 INSULINE LISPRO HUMALOG KWIKPEN INJ 100 IU/ PEN 100 IU / ML INJ 3 ML
PEN 3 ML
HUMALGO INJ 100 IU/ ML PEN 3 PEN 100 IU / ML INJ 3 ML
ML
7 INSULINE LISPRO, INSULIN HUMALOG MIX 25 INJ 100 IU/ PEN 100 IU/ML INJ 3 ML
LISPRO PROTAMINE ML PEN 3 ML
HUMALOG MIX 50 INJ 100 IU/ PEN 100 IU/ML INJ 3 ML
ML PEN 3 ML
7 INSULINE LISPRO, INSULIN
No Kelas Terapi LISPRO PROTAMINE
Sub Kelas terapi
HUMALOG MIX25 KWIKPEN INJ PEN 100 IU/ML INJ 3 ML
100 IU/ ML PEN 3 ML
HUMALOG MIX50 KWIKPEN INJ PEN 100 IU/ML INJ 3 ML
100 IU/ ML PEN 3 ML
10B ANTIDIABETIC AGENTS
1 ACARBOSE GLUCOBAY TAB 50 MG TABLET 50 MG
GLUCOBAY 100 MG TABLET 100 MG
ACARBOSE TAB 100 MG TABLETA 100 MG
ACARBOSE TAB 50 MG TABLET 50 MG
2 EMPAGLIFLOZIN JARDIANCE TAB 25 MG TABLET 25 MG
JARDIANCE TAB TAB 10 MG TABLET 10 MG
3 GLIBENCLAMIDE RENABETIC TABLET; 5 MG

GLIBENCLAMID TAB 5 MG TABLET 5MG
4 GLICLAZIDE DIAMICRON MR TAB 60 MG TABLET MR 60 MG
GLICLAZIDE TAB 80 MG TABLET 80 MG
5 GLIMEPIRIDE AMARYL TAB 1 MG TABLE 1 MG
AMARYL TAB 2 MG TABLE 2 MG
Metrix 1mg TABLE 1 MG
GLIMEPIRIDE TAB 1 MG TABLE 1 MG
6 GLIMEPIRIDE, METFORMIN AMARYL M TAB 1 MG/250 MG TABLET 1 MG, 250 MG
AMARYL M TAB 2 MG/500 MG TABLET 2 MG, 500 MG
GLUVAS M TABLET 1 MG, 250 MG
GLUVAS M TABLET 2 MG, 500 MG
7 GLIBENCLAMIDE, METFORMIN GLUCOVANCE TAB 250 MG/ 1,25 TABLET 1,25 MG / 250 MG
MG
GLUCOVANCE TAB 500 MG/ 2,5 TABLET 500 MG/ 2,5 MG
MG
GLUCOVANCE TAB 500 MG/ 5 TABLET 500 MG/ 5 MG
MG
7 GLIQUIDONE GLURENOM TAB 30 MG TABLET 30 MG
GLIQUIDONE TAB 30 MG TABLET 30 MG

8 LINAGLIPTIN TRAJENTA TAB 5 MG TABLE 5 MG
9 METFORMIN GLUCOPHAGE TAB 500 MG TABLETA 500 MG

No Kelas Terapi
Sub Kelas terapi
Kandungan
9 METFORMIN Nama Produk Bentuk dan Kekuatan
GLUCOPHAGE TAB 850 MG TABLETA 850 MG
GLUCOPHAGE XR TAB 500 MG TABLET XR 500 MG
GLUCOPHAGE XR TAB 750 MG TABLET XR 750 MG
NEVOX XR TABLET XR 1000 MG
DIABIT TABLETA 500 MG
GLUMIN TABLETA 500 MG
GLUMIN XR 500 TABLET XR 500 MG
GLUMIN XR TABLET XR 750 MG
METFORMIN TAB 500 MG TABLETA 500 MG
METFORMIN TAB 850 MG TABLET 850 MG
10 PIOGLITAZONE ACTOS TAB 15 MG TABLET 15 MG
ACTOS TAB 30 MG TABLET 30 MG
Pionix 15 mg TABLET 15 MG
Pionix 30 mg TABLET 30 MG
PIOGLITAZONE TAB 15 MG TABLET 15 MG
PIOGLITAZONE TAB 30 MG TABLET 30 MG
11 METFORMIN, PIOGLITAZONE Pionix M 500mg TABLET 500 MG/15MG
Pionix M 850mg TABLET 850 MG/15MG

12 SITAGLIPTIN JANUVIA TAB 50 MG TABLET 50 MG
JANUVIA TAB 100 MG TABLET 100 MG
13 SITAGLIPTIN, METFORMIN JANUMET XR TAB 50 MG/ 500 TABLET XR 50 MG, 500 MG
MG
JANUMET XR TAB 50 MG/ 1000 TABLET XR 50 MG, 1000 MG
MG
JANUMET XR TAB 100 MG/ 1000 TABLET XR 100 MG, 1000 MG
MG
14 VILDAGLIPTIN GALVUS TAB 50 MG TABLET 50 MG
VILDI TAB 50 MG TABLET 50 MG
VILDAGLIPTIN TAB 50 MG TABLET 50 MG
10C THYROID HORMONES
1 LEVOTHYROXINE THYRAX TABLET 100 MCG
EUTHYROX TAB 100 MCG TABLET 100 MCG
LEVOTHYROXINE SODIUM TABLET 100 MCG
10D ANTITHYROID AGENTS
1 THIAMAZOLE THYROZOL TAB 10 MG TABLET 10 MG
THYROZOL TAB 5 MG TABLET 5 MG
THIAMAZOLE TABLET 10 MG
10E ANTI-OBESITY AGENTS
1 DIETHYLPROPION, VIT B1, VIT APISATE TAB TABLET 75 MG
B2, VIT B6, NICOTINAMIDE
2 ORLISTAT VISTAT CAPS 120 MG CAPSUL 120 MG

10F AGENTS AFFECTING BONE METABOLISME
1 ALENDRONATE ALOVELL TAB 70 MG TABLET 70 MG
No Kelas Terapi
10F Sub Kelas terapi
1 Kandungan
ALENDRONATE Nama Produk Bentuk dan Kekuatan
NICHOSPOR TABLET 10 MG
2 CALCITRIOL OSCAL CAPS 0,25 MCG KAPSUL 0,25 MCG
OSCAL CAPS 0,5 MCG KAPSUL 0,5 MCG
3 IBANDRONIC BONVIVA TABLET SALUT SELAPUT; 150 MG
BONVIVA CAIRAN INJEKSI; 3 MG/3 ML
FORSOBAN PREFILLED SYRINGE 1MG/ML INJ 3ML
IBANDRONIC SODIUM VIAL 1MG/ML INJ 6 ML

MONOHYDRATE
4 RISEDRONATE ACTONEL ONCE A WEEK TABLET 35 MG
ACTONEL ONCE A MONTH TABLET 150 MG
OSTEONATE OAW TAB TABLET 35 MG
5 ZOLEDRONIC FONDRONIC VIAL 0.8 MG/ML INJ 5 ML
ZOLENIC INJ 4 MG VIAL 5 ML VIAL 4 MG INJ 5 ML

ZOLENIC INJ 4 MG VIAL 100ML VIAL 4 MG INJ 100ML
11 ALLERGY & IMMUNE SYSTEM

11A ANTIHISTAMINES & ANTIALLERGICS
1 BETAMETHASONE, CELESTAMINE SYRUP 60 ML SYRUP 60 ML
DEXCHLORPHENAMINE
CELESTAMINE TABLET TABLET 0,25 MG, 2 MG
COLERGIS SYRUP BTL 60 ML SYRUP 60 ML
CORTAMINE SYRUP BTL 60 ML SYRUP 60 ML
CORTAMINE TABLET TABLET 0,25 MG, 2 MG
2 CETIRIZINE XYZAL TABLET 5MG TABET 5 MG
INCIDAL OD SYRUP 5 MG/ML SYRUP 5 MG/ML
INCIDAL OD TABLET 10 MG KAPSUL 10 MG
CETINAL 10 MG CHEW TABLET TABLET 10 MG
CETINAL SYRUP / 60 ML SYRUP 60 ML
CETIRIZINE DROP 10 MG/ ML BTL DROP 10 ML
10 ML
CETIRIZINE SYRUP 5 MG/ 5 ML SYRUP 60 ML
BTL 60 ML
CETIRIZINE TABLET 10 MG TABLET 10 MG
3 CETIRIZINE, RYVEL PLUS TABLET TABLET 5 MG, 120 MG
PSEUDOEPHEDRINE
4 CYPROHEPTADINE ENNAMAX TABLET 4 MG TABLET 4 MG
PRONICY KAPLET 4 MG KAPLET 4 MG
5 DESLORATADINE AERIUS TABLET 5 MG TABLET 5 MG
AERIUS SYRUP 0,5 MG/ML SYRUP 0,5 MG/ML
DESLOTINE TABLET 5 MG TABLET 5 MG
DESLORATADINE TABET 5 MG TABLET 5 MG
DESLORATADINE TABET 5 MG TABLET 5 MG
5 DESLORATADINE
No Kelas Terapi
Sub Kelas terapi
DESLORATADINE SYRUP 0,5 MG/ SYRUP 0,5 MG/ML
ML
6 DIPHENHYDRAMINE IKADRYL INJ 10 MG / ML AMP 10 AMPUL 10 MG/ ML INJ 10 ML
ML
IKADRYL FLU SYRUP 60 ML SYRUP 60 ML
DIPHENHYDRAMINE INJ 10 MG/ AMPUL 10 MG/ ML INJ 15 ML
ML AMP 15 ML
7 LORATADINE CLARITIN 10 MG 10 MG
ALLOHEX TABLET 10 MG
LORATADIN TABLET 10 MG TABLET 10 MG
8 LORATADINE, DISUDRIL PED
PSEUDOEPHEDRINE
RHINOS SR CAPS TABLET SR 5 MG, 120 MG
11B VACCINES, ANTISERA & IMMUNOLOGICALS
PLASMA IMMUNE GLOBULIN GAMMARAAS INF 5% VIAL 50 ML VIAL 5 % 50 ML
IV (HUMAN)
HUMAN IMUNOGLOBULIN INF VIAL 5 % 50 ML
5% VIAL 50 ML
IMMUNE GLOBULIN IV PRIVIGEN INJ 10 % VIAL 25 ML VIAL 10 % 25 ML
(HUMAN)
PRIVIGEN INJ 10 % VIAL 50 ML VIAL 10 % 50 ML
GAMUNEX-C VIAL 10 ML
GAMUNEX-C VIAL 50 ML
HEPATITIS B IMMUNE HYPERHEP INJ 0,5 ML PFS PFS 0,5 ML
GLOBULIN HUMAN
FOVEPTA pfs 0,4 ML
HEPATITIS B IMMUNOGLOBULIN PFS 1ML
INTERFERON BETA-1A HUMAN REBIF PFS 22 MCG/1ML

(RECOMBINAN)
REBIF PFS 44 MCG/1ML
HUMAN NORMAL IG INTRATECT VIAL 50 ML
28 HUMAN RHO (D) IG HYPERRHO-D 300 MCG INJ VIAL
3 ATS ATS 1500 UI INJ VIAL
4 HUMAN TETANUS IG VAKSIN TETAGAM INJ 1 MLPFS AMPUL 1 ML
7 HUMAN HEPATITIS B IG VAKSIN HEPATITIS B PFS 1 ML

IMMUNOGLOBULIN BEHRING
8 TOKSOID TETANUS VAKSIN BIO TT INJ 0,5 ML AMPUL
No Kelas Terapi
Sub Kelas terapi
9 JERAP TETANUS VAKSIN TETANI 5 ML VIAL
(TOXOID)INJ VIAL
10 JERAP DIFTERI TETANUS VAKSIN DT 5 ML (DIFTERI VIAL
TETANUS) INJ VIAL
11 VAKSIN DPT VAKSIN ADACEL TdaP VIAL 0,5 ML
TRIPACEL VIAL 0,5 ML
VAKSIN JERAP DPT VIAL
12 VAKSIN BCG VAKSIN BCG VIAL

13 VAKSIN DPT, POLIO VAKSIN TETRAXIM (DPT+POLIO) PFS 0,5 ML
14 JERAP TETANUS DIFTERI JERAP TD (TETANUS DIFTERI) VIAL
VAKSIN TD VAKSIN BIO TD 0,5 ML AMPUL
15 VAKSIN CAMPAK
VAKSIN CAMPAK VIAL
16 VAKSIN DPT, HB, HIB VAKSIN PENTABIO (DTP-HB-HIB) VIAL 0,5 ML
17 VAKSIN DPT, HB,HIB, IPV VAKSIN HEXAXIM PFS 0,5 ML

VAKSIN INFANRIX HEXA PFS 0,5 ML
18 VAKSIN DPT, HIB, IPV VAKSIN INFANRIX-IPV HIB PFS 0,5 ML
19 VAKSIN DPT, HIB, POLIO VAKSIN PENTAXIM PFS 0,5 ML
(DPT+HIB+POLIO)
20 TUBERKULIN PPD RT VAKSIN PPD VIAL
22 VAKSIN DENGUE VAKSIN DENGVAXIA VIAL 0,5 ML
23 VAKSIN HEPATITIS A VAKSIN AVAXIM 160 ADULT PFS 0,5 ML
VAKSIN AVAXIM 80 PAED PFS 0,5 ML
VAKSIN HAVRIX ADULT 1440 PFS 1 ML
VAKSIN HAVRIX YUNIOR 720 PFS 0,5 ML
24 VAKSIN HEPATITIS A, THYPOID VAKSIN VIVAXIM PFS 0,5 ML
25 VAKSIN HEPATITIS B VAKSIN ENGERIX B 1 ML VIAL 1 ML

VAKSIN ENGERIX B 0,5 ML VIAL 0,5 ML
VAKSIN EUVAX B 0,5 ML VIAL 0,5 ML
VAKSIN EUVAX B 1 ML VIAL 1 ML
VAKSIN HBV 0,5 ML INJ PFS 0,5 ML
VAKSIN HBV 1 ML INJ PFS 1 ML
26 VAKSIN HEPATITIS B, VAKSIN TWINRIX PFS 1 ML
HEPATITIS A
SALMONELLA TYPHI TYPHIM VI PFS 0,5 ML
29 VAKSIN HPV VAKSIN CERVARIX PFS 0,5 ML
VAKSIN GARDASIL PFS 0,5 ML
30 INFLUENZA VAKSIN FLUBIO VIAL 0,5 ML
VAKSIN INFLUVAC NH PFS 0,5 ML
VAKSIN INFLUVAC TETRA PFS 0,5 ML
VAKSIN VAXIGRIP TETRA PFS 0,5 ML
No Kelas Terapi
Sub Kelas terapi
31 VAKSIN JAPANESE VAKSIN IMOJEV VIAL 0,5 ML
ENCEPHALITIS
33 VAKSIN MENINGITIS MENACTRA INJ 0,5 ML VIAL 0,5 ML
MENIVAX INJ 0,5 ML VIAL 0,5 ML
VAKSIN MEASLES RUBELLA VAKSIN MR VIAL 0,5 ML
34 VAKSIN MMR MMR Ii VIAL 0,5 ML
VAKSIN MMR VIAL
VAKSIN VARICELLA VAKSIN VARICELLA VIAL 0,5 ML
VAKSIN VARIVAX PFS 0,5 ML
VAKSIN VARILRIX VIAL 0,5 ML
35 VAKSIN PNEUMONIA VAKSIN PREVENAR 13 PFS 0,5 ML
VAKSIN SYNFLORIX PFS 0,5 ML
VAKSIN SYNFLORIX VIAL
36 VAKSIN POLIO IPV VAKSIN POLIO IPV INJ VIAL
37 VAKSIN POLIO ORAL VAKSIN POLIO (SABIN) BIVALENT VIAL
28 VAKSIN RABIES VAKSIN VERORAB VIAL 0,5 ML

39 VAKSIN ROTAVIRUS ORAL VAKSIN ROTARIX SUSP 1,5 ML
VAKSIN ROTATEQ SUSP 1,5 ML
40 VAKSIN TDAP VAKSIN BOOSTRIK TdaP 0,5 ML PFS 0,5 ML
41 VAKSIN TYPOID VAKSIN THYPIM PFS 0,5 ML

43 VAKSIN YELLOW FEVER VAKSIN STAMARIL INJ ≥1000 PFS 0,5 ML
U/DOSE
12 NUTRITION
12A PARENTERAL NUTRITIONAL PRODUCTS
1 AMINO ACIDS B FLUID INF 500 ML SOFTBAG 500 ML
OTSU KIDMIN INF 200 ML SOFTBAG 200 ML
PAN AMIN G INF 500 ML SOFTBAG 500 ML
AMINOFUSIN L 600 INF 500 ML FLES 500 ML
AMINOFUSIN PAED INF 250 ML FLES 250 ML
KALBAMIN INF 500 ML FLES 500 ML

AMINOSTERIL 10% INF 100 ML FLES 100 ML
AMINOSTERIL 6% INF 100 ML FLES 100 ML
2 AMINO ACIDS, GLUCOSE, CLINIMIX N9G15E INF 1000 ML SOFTBAG 1000 ML
ELECTROLYTES
CLINIMIX N9G20E INF 1000 ML SOFTBAG 1000 ML
3 AMINO ACIDS, GLUCOSE, OLIMEL INF 1000 ML SOFTBAG 1000 ML

ELECTROLYTES, FAT
4 AMINO ACIDS, GLUCOSE, FAT KABIVEN PERIPHERAL INF 1920 SOFTBAG 1920 ML
ML
No Kelas Terapi
Sub
4 Kelas terapi
AMINO ACIDS, GLUCOSE, FAT
SMOFKABIVEN PERIPHERAL INF SOFTBAG 1448 ML
1448 ML
5 CARBOHYDRATE, PROTEIN, ENTRAKID COKELAT 185 GR / 1 BOX
VITAMIN, MINERAL
ENTRAKID VANILA 185 GR / 1 BOX

ENTRAMIX COKELAT 174 G /3 BOX
ENTRAMIX VANILA 174 G /3 BOX
ENTRAMIX BIG BOX 555 G/3 BOX
6 FAT EMULSION CLINOLEIC INF 20% 100 ML SOFTBAG 100 ML
CLINOLEIC INF 20% 250 ML SOFTBAG 250 ML
7 MEDIUM CHAIN LIPOFUNDIN INFUS 20% INFUS 10 gram / 100 ML
TRIGLYCERIDES. SOYBEAN OIL
8 EGG PHOSPHATIDE. PURIFIED, OMEGAVEN INFUS INFUS 10 gram / 100 ML

GLYCEROL, HYDROGENATED
FISH OIL
9 FRUCTOSE, DEXTROSE, XYLITOL TROMIX 1600 INF 500 ML FLES 500 ML
TROMIX 500 INF 500 ML FLES 500 ML

10 FRUCTOSE, DEXTROSE, TRIOMIX E 1000 INF 500 ML FLES 500 ML
XYLITOL, ELECTROLYTES, VIT
13 EYE
13A EYE ANTI-INFECTIVES & ANTISEPTICS
1 ACYCLOVIR CENDO HERVIS EYE OINT 3,5 G EYE OINT 3% 3,5 G
2 CHLORAMPHENICOL CENDO FENICOL ED 0,25 % 0.6 EYE DROP 0,25% MD

ML @5'S MINIDO5E
CENDO FENICOL EYE DROP EYE DROP 0,25% 5 ML
0,25% BTL 5 ML
CENDO FENICOL ED 0.5% 0.6 ML EYE DROP 0,5% MD
@ 5'5 MINIDO5E
CENDO FENICOL EYE DROP 0.5% EYE DROP 0,5% 5 ML
BTL 5 ML
CENDO FENICOL EYE OINT 3,5 G EYE OINT 3,5 G
3 CHLORAMPHENICOL, CENDO MYCETINE EYE OINT 3,5 EYE OINT 3,5 G

POLYMYXIN B G
4 CIPROFLOXACIN CENDO ULCORI 0,6 ML @5'S EYE DROP 0,3% MD
MINIDO5E
CENDO ULCORI BTL 5 ML EYE DROP BOTOL 5 ML
5 GENTAMYCIN CENDO GENTA ED 0,3% 0,6 EYE DROP 0,3% MD
ML@5'S MINIDO5E
CENDO GENTA EYE DROP 0.3 % EYE DROP 0,3% 5 ML
BTL 5 ML
5 GENTAMYCIN
No Kelas Terapi
Sub Kelas terapi
CENDO GENTA ED 1% BTL 5 ML EYE DROP 1% 5 ML
CENDO GENTA EYE OINT EYE OINT 0,3% MD

MINIDO5E 5'5
CENDO GENTA EYE OINT 3,5 G EYE OINT 0,3% 3,5 G
GENTAMICIN SULFATE EYE OINT EYE OINT 5 MG TUBE 3,5 G

3,5 G
6 IDOXURIDINE CENDO CENDRID EYE DROP BTL 5 EYE DROP 5 ML
ML
7 LEVOFLOXACIN CENDO LFX EYE DROP BTL 5 ML EYE DROP 0,5% 5 ML
8 NATAMYCIN CENDO NATACENT 0,6 ML @ 5'S EYE DROP 50 MG / ML MD

MINIDOSE
9 OFLOXACIN CENDO FLOXA 0,6 ML @5'S EYE DROP 0,3% MD
MINIDOSE
10 POLYMYCIN B, NEOMYCIN, CENDO POLYGRAN 0,6 @5'S EYE DROP MD
GRAMICIN MINIDOSE
CENDO TOBRO ED 0,5% 0,6 ML EYE DROP 0,3% MD
@ 5'S MINIDOSE
11 TOBRAMYCIN CENDO TOBRO BTL 5 ML EYE DROP 3 MG/ ML BOTOL 5 ML
13B EYE ANTISEPTICS WITH CORTICOSTEROIDS
1 CHLORAMPHENICOL, CENDO MYCOS EYE DROP BTL 5 EYE DROP 5 ML
HYDROCORTISONE ML
CENDO MYCOS EYE OINT 3,5 G EYE OINT 3,5 G
2 NEOMYCIN CENDO POLYNEL EYE DROP BTL 5 EYE DROP 5 ML

FLUOROMETHOLONE ML
3 POLYMYCIN B, NEOMYCIN, CENDO POLYDEX 0,6 ML @5'S EYE DROP MD
DEXAMETHASONE MINIDOSE
CENDO POLYDEX EYE DROP BTL 5 EYE DROP 5 ML

ML
CENDO XITROL O,6 ML @5'S EYE DROP MD
MINIDOSE
CENDO XITROL EYE DROP BTL 5 EYE DROP 5 ML
ML
CENDO XITROL EYE OINT 3,5 G EYE OINT 3,5 G
CENDO XITROL EYE OINT EYE OINT MD
MINIDOSE 5'S
4 TOBRAMYCIN, CENDO TOBROSON 0,6 ML @5'S EYE DROP MD
DEXAMETHASONE MINIDOSE
CENDO TOBRO 0,6 ML @5'S EYE DROP MD
MINIDOSE
CENDO TOBRO BTL 5 ML EYE DROP BOTOL 5 ML
4 TOBRAMYCIN,
DEXAMETHASONE
No Kelas Terapi
Sub Kelas terapi
CENDO TOBROSON EYE OINT EYE OINT MD
MINIDOSE 5'S
CENDO TOBROSON EYE OINT 3,5 EYE OINT 3,5 G
G
13C EYE CORTICOSTEROID
1 FLUOCINOLONE FLUMETHOLON EYE DROP 0,1 % EYE DROP 5 ML
BTL 5 ML
2 FLUOROMETHOLONE CENDO POSOP 0,6 ML @5'S EYE DROP MD
MINIDOSE
3 PREDNISOLONE CENDO P-PRED 0,6 ML @5'S EYE DROP MD
MINIDOSE
13D MYDRIATICS DRUGS
1 ATROPIN SULFATE CENDO TROPIN EYE DROP 0,5 % EYE DROP 0,5% MINIDOSE 0,6 ML
MINIDOSE 0,6 ML
CENDO TROPIN EYE DROP 0,5 % EYE DROP 0,5% 5 ML
BTL 5 ML
CENDO TROPIN EYE DROP 0,5 % EYE DROP 0,5% 15 ML
BTL 15 ML
CENDO TROPIN EYE DROP 1 % EYE DROP 1% MINIDOSE 0,6 ML
MINIDOSE 0,6 ML
CENDO TROPIN EYE DROP 1 % EYE DROP 1 % 5 ML
BTL 5 ML
CENDO TROPIN EYE DROP 1 % EYE DROP 1 % 15 ML
BTL 15 ML
2 HOMATROPIN CENDO HOMATRO EYE DROP BTL EYE DROP 2% 5 ML
5 ML
3 PHENYLEPRINE CENDO EFRISEL EYE DROP 10% EYE DROP 10% 5 ML
BTL 5 ML
4 TROPICAMIDE CENDO MYDRIATHIL EYE DROP EYE DROP 0,5% MINIDOSE 0,6 ML
0,5 % MINIDOSE 0,6 ML
CENDO MYDRIATHIL EYE DROP EYE DROP 0,5 % 5 ML
0,5 % BTL 5 ML
CENDO MYDRIATHIL EYE DROP EYE DROP 1 % 5 ML
1% BL 5 ML
13E ANTIGLAUCOMA PREPARATION
1 ACETAZOLAMIDE CENDO GLAUCON TABLET250 MG
2 BETAXOLOL CENDO TONO 0,25% 0,6 ML EYE DROP 0,25% MD
@5'S MINIDOSE
CENDO TONOR 0,5% 0,6 ML EYE DROP 0,5% MD
@5'S MINIDOSE
CENDO TONOR EYE DROP 0,5% EYE DROP 0,5% MD
BOTOL 5 ML
3 BRINZOLAMIDE CENDO GLOPAC 0,6 ML @5'S EYE DROP MD
MINIDOSE
No Kelas Terapi
Sub Kelas terapi
4 LATANOPROST XALATAN EYE DROP BTL 2,5 ML EYE DROP 2,5 ML
CENDO GLAUPEN 0,6 ML @5'S EYE DROP MD

MINIDOSE
5 LATANOPROST, TIMOLOL XALACOM EYE DROP 2.5 ML
CENDO GLAOPLUS 0,6 ML @5'S EYE DROP MD
MINIDOSE
6 PILOCARPINE CENDO CARPINE EYE DROP 1% EYE DROP 1% 5 ML
BTL 5 ML
CENDO CARPINE EYE DROP 2% EYE DROP 2% 5 ML
BTL 5 ML
7 TIMOLOL CENDO TIMOL EYE DROP 0,5 % EYE DROP 0,5 % 5 ML
BTL 5 ML
13F OPTHALMIC DECONGESTANT, ANESTHETICS, ANTI-INFLAMATORIES
1 DICLOFENAC NA CENDO NONCORT 0,6 ML @5'S EYE DROP 0,1% MD
MINIDOSE
2 NA HYALURONATE CENDA HYALUB 0.6 ML @5'S EYE DROP 0,1% MD
MINIDOSE
3 NAPHAZOLINE CENDO VASACON EYE DROP BTL EYE DROP 0,1 % ML
15 ML
4 NAPHAZOLINE, ANTAZOLINE CENDO VASACON-A 0.6 ML @5'S EYE DROP MD
MINIDOSE
5 OLOPATADINE CENDO PATACEN 0.6 ML @5'S EYE DROP MD
MINIDOSE
6 OXYMETHAZOLINE CENDO ASTHENOF 0.6 ML @5'S EYE DROP MD
MINIDOSE
CENDO ASTHENOF EYE DROP BTL EYE DROP 5 ML
5 ML
7 PEMIROLAST ALEGYSAL EYE DROP BTL 5 ML EYE DROP 5 ML
8 PHENYLEPHRINE CENDO EFRISEL ED 10% 0.6 ML EYE DROP 10% MD
@5'S MINIDOSE
9 TETRACAIN CENDO PANTOCAIN EYE DROP EYE DROP 0,5% 5 ML
0,5% BTL 5 ML
CENDO PANTOCAIN EYE DROP EYE DROP 0,5% 15 ML
0,5% BTL 15 ML
CENDO PANTOCAIN EYE DROP EYE DROP 2% 5 ML
2% BTL 5 ML
13G OPHTHALMIC LUBRICCANTS
1 CARBOXYMETHYLECELULOSE CENDO CMC 2% EYE DROP 5 ML EYE DROP 2% 5 ML
CENDO CENFRESH EYE DROP EYE DROP MINIDOSE 0,6 ML

MINIDOSE 0,6 ML
CENDO CENFRESH EYE DROP BTL EYE DROP 0,5% 5 ML
5 ML
13G
1 CARBOXYMETHYLECELULOSE
No Kelas Terapi
Sub Kelas terapi
CENDO CENFRESH EYE DROP BTL EYE DROP 0,5% 15 ML
15 ML
2 DEXTRAN, HYDROXY CENDO EYE FRESH 0,6 ML @5'S EYE DROP MD
METHYLCELLULOSE MINIDOSE
3 NACL, KCL CENDO LYTEERS 0.6 ML @5'S EYE DROP MD
MINIDOSE
CENDO LYTEERS EYE DROP BTL EYE DROP 15 ML
15 ML
4 POLYVINYL PYROLIDON CENDO PROTAGENTA EYE DROP EYE DROP 5 ML
BTL 5 ML
13H OTHER EYE PREPARATIONS
1 NA HYALURONATE ADANT DISPO SYRINGE 10 MG/MLINJ 2,5 ML
CENDO HYALUB EYE DROP 10 ML
3 NACL, KCL, CACL2, MGCL2, NA LENTIKULAR EYE DROP MD 0.05 MG BOTOL 0.6 ML
ACETATE, NA CITRATE, WFI
4 PIRENOXINE LENTIKULAR EYE DROP 5 ML

5 POTASSIUM IODIDE CENDO CATARLEND EYE DROP EYE DROP 15 ML
BTL 15 ML
6 POTASSIUM IODIDE, SODIUM CENDO VITROLENTA EYE DROP EYE DROP 5 ML
IODIDE BTL 5 ML
7 VITAMIN A CENDO OCULENTA EYE OINT 5 G EYE OINT 5 G
8 VITAMIN A, ZN, CENDO AUGENTONIC EYE DROP EYE DROP 15 ML

PHENYLEPHRINE BTL 15 ML
14 EAR & MOUTH/ THROAT
14A EAR ANTI-INFECTIVITIES & ANTISEPTIC
1 OFLOXACIN TARIVID EAR DROP 5 ML EAR DROP 0,3 % 5 ML
ERFLOX EAR DROP BTL 5 ML EAR DROP BTL 5 ML
14B EAR ANTISEPTIC WITH CORTICOSTEROIDS
1 POLYMYXIN B, NEOMYCIN, OTOZAMBON EAR DROP BTL 8 EAR DROP 8 ML
BETAMETHASONE, LIDOCAINE ML
2 POLYMYXIN B, NEOMYCIN, OTOPAIN EAR DROP BTL 8 ML EAR DROP 8 ML

FLUDROCORTISONE,
LIDOCAINE
14C OTHER EAR PREPARATION

1 DOCUSATE SANTADEX EAR DROP BTL 20 ML EAR DROP 20 ML
14D PREPARATION FOR ORAL ULCERATION & INFLAMATION

1 Aloe Vera Extract, Sodium Aloclair Plus Mouthwash ORAL RINSE 60 ML
Hyaluronate, Glycyrhettinic
Acid, PVP
Aloclair Plus Gel GEL 8 ML

Aloclair Plus Spray
14D
No Kelas Terapi
Sub Kelas terapi
2 BENZYDAMINE TANTUM VERDE ORAL RINSE BTL ORAL RINSE 60 ML
60 ML
TANTUM VERDE ORAL RINSE BTL ORAL RINSE 120 ML
120 ML
3 CLORHEXIDINE GLUCONATE MINOSEP GARGLE BTL 60 ML BOTOL 60 ML
MINOSEP GARGLE BTL 150 ML BOTOL 150 ML

4 DEQUALINIUM DEGIROL TAB 0,25 MG TABLET 0,25 MG
5 FRADIOMYCIN, GRAMICIDIN FG TROCHES TAB TABLET
6 HEXETIDINE HEXADOL MINT ORAL RINSE 60 ORAL RINSE 60 ML

ML
HEXADOL MINT ORAL RINSE 120 ORAL RINSE 120 ML
ML
HEXADOL MINT ORAL RINSE 100 ORAL RINSE 100 ML
ML
7 POVIDONE IODINE BETADINE GARGLE 1 % BTL 190 ORAL RINSE 190 ML
ML
8 TRIAMCINOLONE KENALOG IN ORABASE 0,1 % GEL 5 G
OINT 5 G
KETRICIN ORAL OINT 0,1 % TUBE GEL 5 G
5G
TRIAMCINOLONE GEL 5 G GEL 5 G
14E OROPHARYNGEAL ANTI-INFECTIVITIES
1 MICONAZOLE DAKTARIN ORAL GEL 10 G CREAM 10 G
15 DERMATOLOGIC THERAPY
15A TOPICAL ANTIBIOTICS
1 CHLORAMPHENICOL KALMICETIN OINT 20 MG TUBE OINT 15 G
15 G
2 FUSIDIC ACID AFUCID CREAM 2 % CREAM 5
FUCIDIN CREAM 20 M G CREAM 20 G
3 GENTAMICIN GENTAMICIN SULFATE CREAM 5 CREAM 5 G
G
4 Silver sulfadiazine BURNAZIN CR 35 G 10 mg/1 g Cream 35 g
BURNAZIN CR 500 G 10 mg/1 g Cream 500 g
5 HYALURONIC ACID, SILVER BURNAZIN PLUS CREAM TUBE 25 CREAM 25 G
SULFADIAZINE G
6 MUPIROCIN BACTODERM CREAM 10 G CREAM 10 G
BACTODERM CREAM 5 G CREAM 5 G
7 NA FUSIDATE FUTADERM OINT 10 G OINT 10 G
8 NEOMYCIN, BACITRACIN NEBACETIN OINT 5 G OINT 5 G
NEBACETIN POWDER 5 G TALK 5 G
9 NEOMYCIN SULFATE, EXT BIOPLACENTON GEL 15 G GEL 15 G
PLACENTA
15B TOPICAL ANTIFUNGALS &ANTIPARASITES
No Kelas Terapi
Sub Kelas terapi
15B Kandungan Nama Produk Bentuk dan Kekuatan
1 KETOCONAZOLE NIZORAL CREAM 20 MG TUBE 5 GR
NIZORAL CREAM 20 MG TUBE 15 GR
MYCORAL TABLET SALUT 200 MG

MYCORAL CREAM CREAM 2 % TUBE 5 GR
MYCORAL SCALP SOLUTION SCALP SOL 2% BOTOL 60 ML
KETOCONAZOLE CREAM 2% CREAM 10 G
TUBE 10 G
2 MICONAZOLE DAKTARIN CREAM TUBE 10 G CREAM 10 G
DAKTARIN DIAPERS OINT 10 G OINT 10 G
KANESOL CREAM 5 G
MICONAZOLE NITRATE CREAM 10 G
MICONAZOLE NITRATE CREAM 20 MG TUBE 5 G
3 NYSTATIN, ZN OXIDE MYCO-Z TUBE 10 G OINT 10 G
4 PERMETHRIN SCABIMITE CREAM TUBE 30 G CREAM 30 G
SCABICID CREAM 10 G
5 TERBINAFINE INTERBATBI CREAM 5 G CREAM 5 G
15C TOPICAL ANTIVIRALS
1 ACYCLOVIR ZOVIRAX CREAM 5% TUBE 5 G CREAM 5 G
VIRPES CREAM 5 G
ACYCLOVIR CREAM 5% TUBE 5 G CREAM 5 G
15D TOPICAL ANTI-INFECTIVES WITH CORTICOSTEROIDS

1 CHLORAMPHENICOL, CHLORAMFECORT H CREAM CREAM 10 G
HYDROCORTISONE TUBE 10 G
CHLORAMFECORT CREAM TUBE CREAM 10 G
10 G
2 FUSIDIC ACID, FUCICORT CREAM TUBE 5 G CREAM 5 G
BETAMETHASONE
3 GENTAMYCIN, DIPROGENTA CREAM 5 G CREAM 5 G
BETAMETHASONE
DIPROGENTA CREAM 10 G CREAM 10 G
4 GENTAMYCIN, FLUPREDNIDINE GENTACORTIN CREAM 10 G CREAM 10 G
5 MICONAZOLE, VASLONE CREAM 5 G CREAM 5 G

HYDROCORTISONE
6 NEOMYCIN, BETAMETHASONE BENOSON N CREAM 5 G
BETASON N CREAM 5 G CREAM 5 G

OVISKIN-N CREAM 5 G CREAM 5 G
7 NEOMYCIN, DESONIDE APOLAR N CREAM 10 G CREAM 10 G
No Kelas Terapi
Sub Kelas terapi
15E TOPICAL CORTICOSTEROIDS
1 FLUTICASONE MEDICORT CREAM TUBE 5 G CREAM 5 G
BETASON CREAM 5 G CREAM 5 G
2 CLOBETASOL DERMOVATE CREAM 5 G CREAM 5 G
3 DESONIDE APOLAR CREAM 10 G CREAM 10 G

DERMANIDE CREAM 10 G CREAM 10 G
4 DESOXIMETASONE ESPERSON OINT 5 G OINT 5 G
DESOXIMETASONE CREAM 15 G CREAM 15 G
5 HYDROCORTISONE DERMACOID CREAM 10 G CREAM 10 G

HYDROCORTISONE CREAM 2,5% CREAM 5 G
TUBE 5 G
6 MOMETASONE ELOCON CREAM 10 G CREAM 10 G
ELOCON OINT 10 G OINT 10 G
MOMEFION CREAM 5 G CREAM 5 G
MOMETASONE CREAM 10 G CREAM 10 G
15F ACNE TREATMENT PREPARATIONS
1 CLINDAMYCIN CLINIUM GEL 1% GEL 15 G
CLINIKA GEL 10 G GEL 10 G
2 CLINDAMYCIN, BENZOYL BENZOLAC-CL GEL 10 G GEL 10 G
PEROXIDE
3 NICOTINAMIDE NIACEF GEL 4% TUBE 15 G GEL 15 G
4 TRETINOIN VITACID CREAM 0,025% TUBE 15 CREAM 0,025% TUBE 15 G
G
VITACID CREAM 0,05% TUBE 20 CREAM 0,05% TUBE 20 G
G
VITACID CREAM 0,1% TUBE 20 G CREAM 0,1% TUBE 20 G
15G TOPICAL ANTIHISTAMINES/ ANTIPRURITICS

1 DIPHENHYDRAMINE, CALADIN LOT 60 ML LOTION 60 ML
CALAMINE, ZN O
CALADIN POWDER 60 G TALK 60 G
2 PHYSILOGIC LIPID, ZINC OXIDE, CERADAN DIAPERS CREAM TUBE CREAM 50 G
OCTENIDINE 50 G
15H PSORIASIS, SEBORRHEA & ICHTHYOSIS PREPARATIONS
1 CALCIPOTRIOL, DAIVOBET OINT 30 G OINT 30 G
BETAMETHASONE
15I SKIN ANTISEPTICS & DISINFECTANS
1 OCTENIDINE, ALLANTOIN OCTADIN GEL 20 G GEL 20 G
2 POLICRESULEN ALBOTHYL SOL BTL 5 ML BOTOL 5 ML
ALBOTHYL SOL BTL 30 ML BOTOL 30 ML
3 POLYHEXAMETHYLENE KILLBAC SPRAY ANTISEPTIC BTL BOTOL 60 ML
BIGUANIDE, 60 ML
LAURAMIDROPHYL
15I
No Kelas Terapi
3 POLYHEXAMETHYLENE
Sub Kelas terapiBIGUANIDE,
LAURAMIDROPHYL
KILLBAC WOUND IRRIGATION BOTOL 350 ML
BTL 350 ML
4 POVIDONE IODINEBETADINE SABUN BTL 100 ML BOTOL 100 ML
BETADINE SOL 1 LITER BOTOL 1000 ML
BETADINE SOL 30 ML BOTOL 30 ML
BETADINE SOL 5 LITER BOTOL 5000 ML
BETADINE SOL 60 ML BOTOL 60 ML
16 ANAESTHETICS, SURGICAL PREPARATIONS & WOUND CARE
16A ANAESTHETIC - LOCAL & GENERAL
1 ARTICAINE, EPINEPRINE ORABLOC INJ 4% AMP AMPUL
2 BUPIVACAINE MARCAIN SPINAL 0.5 % AMPUL 0,5% INJ 20 ML + Glukosa 8%
MARACAIN INJ 0,5% AMP 20 ML AMPUL 0,5% INJ 20 ML
MARACAIN INJ 0,5% AMP 4 ML AMPUL 0,5% INJ 4 ML
bucain
BUPIVACAINE HCL MONOHYDRATECAIRAN INJEKSI; 5 MG/ML
REGIVELL INJ 0,5% AMP 4 ML AMPUL 0,5% INJ 4 ML
3 FENTANYL
FENTANYL INJ 50 MCG/ ML AMP AMPUL 50 MCG/ ML INJ 10 ML
10 ML
FENTANYL INJ 50 MCG/ ML AMP AMPUL 50 MCG/ ML INJ 2 ML
2 ML
4 KETAMINE KETALAR 100 MG / ML 100 MG / ML
KETAMINE INJ 50 MG/ ML VIAL VIAL 50 MG/ ML INJ 10 ML
10 ML
5 LEVOBUPIVACAINE LEVICA INJ 5 MG/ ML VIAL 10 ML VIAL 5 MG/ ML INJ 10 ML
6 LIDOCAINE XYLOCAIN SPRAY SPRAY

LIDOCAIN INJ 2% AMP 2 ML AMPUL 2% 2ML
7 LIDOCAINE, ADRENALINE PEHACAIN INJ AMP 2 ML AMPUL 2 ML
9 PROPOFOL PROPOFOL (KALBE) INJ 10 MG/ AMPUL 10 MG/ ML INJ 20 ML
ML AMP 20 ML
RECOFOL N INJ 10 MG/ ML AMP AMPUL 10 MG/ ML INJ 20 ML
20 ML
PROPOFOL INJ 10 MG/ ML AMP AMPUL 10 MG/ ML INJ 20 ML
20 ML
10 ROPIVACAINE NAROPIN 7,5 MG/ ML 7,5 MG/ ML
ROPIVEL INJ 7,5 MG/ ML AMP 20 AMPUL 7,5 MG/ ML INJ 20 ML
ML
11 SEVOFLURANE SEVODEX (SEVOFLURANE) INH INHALASI LIQUID 250 ML
LIQ 250 ML
SEVOFLURANE BAXTER INH LIQ INHALASI LIQUID 250 ML
250 ML
No Kelas Terapi
Sub Kelas terapi
12 DESFLURANE SUPRANE LIQ 240 ML INHALASI LIQUID 240 ML
16B NEUROMUSCULAR BLOCKING AGENTS
1 ATRACURIUM TRAMUS INJ 10 MG/ ML AMP 2,5 AMPUL 25 MG/ 2,5 ML
ML
TRAMUS INJ 10 MG/ ML AMP 5 AMPUL 50 MG/ 5 ML
ML
2 NEOSTIGMINE PROSTIGMIN INJ 0,5 MG/ ML AMPUL 0,5 MG/ ML INJ 1 ML
AMP 1 ML
3 POLYMYCIN B, NEOMYCIN, NEOSTIGMIN INJ 0,5 MG AMP 1 AMPUL 0,5 MG/ ML INJ 1 ML
4 PREDNISOLONE
VECURONIUM ML
ECRON INJ 10 MG VIAL 1 ML VIAL 10 MG INJ 1 ML
16C SURGICAL DRESSINGS & WOUND CARE
1 CHLORHEXIDINE ACETAT TULLE ALK BACTIGRAS 10 X 10 CM PCS
ALK BACTIGRAS 15 X 20 CM PCS
2 DRESSING ADHESIVE SILICONE ALK ALLEVYN LIFE 15,4 CM X 15,4 PCS
3 GEL
DRESSING ALGINATE CM
ALK THERASORB ALGY PLUS PCS
4 ECO HONEY, GLYCERIN, SANOSKIN MELLADERM PLUS GEL 20 G
PROPYLENE GLYCOL, PEG GEL 20 G
5 FRAMYCETINE ALK DARYANTULLE 10 X 10 PCS
6 LAPISAN POLYURETHANE ALK THERASORB-C PCS
FOAM
7 MOISTURE RESPONSIVE ALK OPSITE IV 3000 7 X 9 CM PCS
DRESSING ALK OPSITE IV 3000 P, 5 X 6 CM PCS
8 O2 (CONVERTED TO OZONE), SANOSKIN OXY GEL 30 G GEL 30 G

OLIVE OIL
9 OCTENIDINE OCTADINE SOL 1 L SOLUTION 1 L
OCTADINE SPRAY SPRAY
10 OCTENIDINE, ALLANTOIN OCTENIC GEL 15 G GEL 15 G
OCTENIC GEL 5 G GEL 5 G
11 POLYURETAN TRANSPARAN HIPERSKIN TR FILM DRESSING ROLL
ROLL
12 POLOXAMER & SODIUM GUARDIX / MEDICLORE INJ 5 G PFS 5 G
ALGINATE PFS
13 POLYURETANT FOAM MATRIX ALK ALLEVYN NON ADHESIVE 10 PCS
X 10
ALK ALLEVYN NON ADHESIVE 10 PCS
X 20
14 REGENERATIVE DURAL REPAIR ALK REDURA PATCH 40 MM X 60 PCS
PATCH MM
15 TRANSPARENT INCISE DRAPE
ALK OPSITE INCISE 45 X 28 CM PCS
ALK OPSITE INCISE 55 X 45 CM PCS
16 TRANSPARENT WATERPROOF ALK OPSITE 15,5 X 8,5 CM PCS
DRESSING WITH ABSOBENT ALK OPSITE 6,5 X 5 CM PCS
PAD
ALK OPSITE POST -OP 25 X 10 CM PCS
16 TRANSPARENT WATERPROOF
DRESSING WITH ABSOBENT
No Kelas Terapi
PAD
Sub Kelas terapi
ALK OPSITE POST OPS 9,5 CM X PCS
8,5 CM
16D NEUROMUSCULAR BLOCKING AGENTS
1 ROCURONIUM ROCULAX 10 MG/ML AMPUL 50 MG/ 5 ML
2 SUGAMADEX BRIDION AMPUL 100 MG/5 ML INJ
17 ANTIDOTE, DETOXIFYING AGENTS & DRUGS USED IN SUBSTANCE DEPENDENCE
17A ANTIDOTES & DETOXIFYING AGENTS
1 CA POLYSTRENE SULFONATE KALITAKE SACH 5 G SACHET 5 G
CALCIUM POLYSTRENE SACH 5 G SACHET 5 G
2 CALCIUM FOLINATE CALCIUM FOLINATE INJ 10 MG / VIAL 10 MG/ ML INJ 5 ML

3 LIANTHANUM ML VIAL 5 ML
FOSRENOL CHEW TAB TABLET KUNYAH
4 MESNA UROMITEXAN INJ 400 MG AMPUL 400 MG/ 4 ML
AMPUL 4 ML
5 N-ACETYLCYSTEINE RESFAR INF 200 MG / ML VIAL 25 VIAL 200 MG/ ML INF 25 ML
ML
6 PROTAMIN SULFATE FRESEPRO AMP AMPUL 400 MG/ 4 ML
7 SEVELAMER RENVELLA TAB 800 MG TABLET 800 MG
17B DRUGS USED IN SUBSTANCE DEPENDENCE
1 NALOXONE NOKOBA INJ 0,4 MG/ ML AMP 2 AMPUL 0,4 MG/ ML INJ 2 ML
ML
18 INTRAVENOUS & OTHER STERILE SOLUTIONS
18A INTRAVENOUS & OTHER STERILE SOLUTIONS
1 CALCIUM CA GLUCONAS INJ 10% AMP 10 AMPUL 10% 10 ML
ML
2 DEXTROSE, 1/2 NACL OTSU D5, 1/2 NS PLABOT 500 ML
3 DEXTROSE, 1/4 NACL OTSU D5 1/4 NS BOTOL 500 ML
4 DEXTROSE, NACL OTSU D5, N5 PLABOT 500 ML
5 KCL ASPAR K TAB 300 MG TABLET 300 MG
KSR TAB 600 MH TABLET SR 600 MG
OTSU KCL 7,46 INF 25 ML PLABOT 25 ML
6 MGSO4 OTSU MAGNESIUM SULFAT 20% PLABOT 25 ML
(MGSO4) INF 25 ML
OTSU MAGNESIUM SULFAT 40% PLABOT 25 ML
(MGSO4) INF 25 ML
7 NACL, KCL, CACL2, DEXTROSE OTSU-RD5 BS RUBBER CAP; 500 ML
8 NACL, KCL, NA LACTATE, OTSU KA-EN 1B INF 500 ML PLABOT 500 ML

DEXTROSE OTSU KA-EN 3A INF 500 ML PLABOT 500 ML
OTSU KA-EN 3B INF 500 ML PLABOT 500 ML
OTSU KA-EN 4A INF 500 ML PLABOT 500 ML
OTSU KA-EN 4B INF 500 ML PLABOT 500 ML
OTSU KA-EN MG3 INF 500 ML PLABOT 500 ML
9 NACL, KCL, NA LACTATE, OTSU-RL D5 BS RUBBER CAP; 500 ML
GLUCOSE
No Kelas Terapi
Sub Kelas terapi
10 NACL, NA LACTATE, DEXTROSE KAEN 4A INF 500 ML PLABOT 500 ML
11 NACL, KCL, CACL2, NA LACTATE OTSU-RL BS RUBBER CAP; 500 ML
TOTILAC (HYPERTONIC SODIUM SOFTBAG 250 ML

LACTAT) INF 250 ML
12 DEXTROSE 10% OTSU D10 BS RUBBER CAP; 500 ML
13 DEXTROSE 40 % OTSU D40 AMPUL; 25 ML
14 DEXTROSE 5% OTSU D5 BS RUBBER CAP; 500 ML
OTSU D5 INJ PIGGYBAG; 100 ML
15 GELATIN, NACL GELAFUSAL INF 500 ML PLABOT 500 ML
16 GLUCOSE, AMINO ACID, BFLUID INF 500 ML SOFTBAG 500 ML
NITROGEN
17 HIDROXY ETHYL STARCH TERASTARCH INF 500 ML SOFTBAG 500 ML
FRAHES INF BOTOL 500 ML
18 HUMAN ALBUMIN PLASBUMIN IF 5% BTL 250 ML FLS 5% 250 ML
PLASBUMIN INF 20% BTL 100 ML FLS 20% 100 ML
PLASBUMIN INF 20% TBL 50 ML FLS 20% 50 ML
PLASBUMIN INF 25% TBL 100 ML FLS 25% 100 ML
OCTALBIN INF 25 % BTL 100 ML FLS 25% 100 ML

ALBUMINAR INF 25% BTL 100 ML FLS 25% 100 ML
19 L-ALANINE, L-GLUTAMINE GABAXA INF 100 ML FLS 100 ML

GLUTIVEN INF 100 ML FLS 100 ML
20 MALTOSE MARTOS 10% INF 500 ML PLABOT 500 ML
21 NA BICARBONATE OTSU MEYLON 8,4% INF 25 ML PLABOT 25 ML
22 NACL 0,9% OTSU NACL 0,9% INF 100 ML PLABOT 100 ML

OTSU NACL 0,9% INF 1000 ML PLABOT 1000 ML
23 NACL 3% OTSU SALIN NACL 3% PLABOT 500 ML
24 NACL, KCL, CACL2 OTSU RS BS RUBBER CAP; 500 ML
No Kelas Terapi
Sub Kelas terapi
25 NACL, KCL, CACL2, NA LACTATE ASERING INF 500 ML SOFTBAG 500 ML
26 NACL, KCL, CACL2, NA ASERING 5 INF 500 ML PLABOT 500 ML

LACTATE, DEXTROSE
27 NACL, KCL, CACL2, NA POTACOL-R SOFTBAG 500 ML
LACTATE, MALTOSE
28 WATER OTSU WFI INF 25 ML AMPUL; 25 ML
OTSU WFI INF 10 ML AMPUL; 10 ML
STERILE WATER FOR IRRIGATION PLABOT 1 L
U.S.P.
19 RADIOGRAPHIC & DIAGNOSTIC AGENTS
19A RADIOGRAPHIC & DIAGNOSTIC AGENTS
1 GADOBENATE DIMEGLUMINE MULTHIHANCE INJ 529 MG/ML VIAL 529 MG/ ML INJ 10 ML
VIAL 10 ML
2 GADOBUTROL GADOVIST INJ MMOL/ ML AMP 5 PFS 5 ML
ML
3 IODIXANOL METACOSFAR INJ 320 MG I/ML VIAL 320 MG 1/ML INJ 100 ML
VIAL 100 ML
METACOSFAR INJ 320 MG I/ML VIAL 320 MG 1/ML INJ 50 ML
VIAL 50 ML
4 IOHEXOL IOHEXOL INJ 300 MG I/ML VIAL VIAL 300 MG I/ML INJ 20 ML
20 ML
IOHEXOL INJ 350 MG I/ML VIAL VIAL 350 MG I/ML INJ 100 ML
100 ML
IOHEXOL INJ 350 MG I/ML VIAL VIAL 350 MG I/ML INJ 50 ML
50 ML
OMNIPAQUE 350 MG 1/ML BOTOL 350 MG 1/ML INFUS 100 ML
INFUS 100 ML
XOLMETRAS INJ 350 MG I/ML VIAL 350 MG I/ML INJ 100 ML
VIAL 100 ML
XOLMETRAS INJ 350 MG I/ML VIAL 350 MG I/ML INJ 50 ML
VIAL 50 ML
5 IOMEPROL IOMERON 400 MG/ML VIAL 100 VIAL 400 MG/ ML INJ 100 ML
ML
IOPAMIRO INJ 350 MG I/ML VIAL VIAL 350 MG I/ML INJ 100 ML
100 ML
IOPAMIRO INJ 370 MG I/ML VIAL VIAL 370 MG I/ML INJ 100 ML
100 ML
20 VITAMINS & MINERALS
20A VITAMIN D dan E
1 VITAMIN D3 BOOST D TABLET 1000 IU
PROVE D3 DROP DROP 400 IU/TETES
PROVE D3 TAB 1000 IU TABLET 1000 IU
PROVE D3 TAB 5000 IU TABLET 5000 IU
FORTI-D-1000 KAPSUL; 1000 IU
20
20A
No Kelas Terapi
Sub Kelas terapi
2 VITAMIN E PROVE E SPFTCAPS 400 IU SOFTCAP 400 IU
NATURE-E 100 IU SOFT CAPS 100 IU
NATURE-E 300 IU SOFTCAPS 300 IU
3 VITAMAIN E, ASTASANTIN NATURE-E ADVANCED SOFTCAPS
20B VITAMIN B COMPLEX / DENGAN VITAMIN C ATAU VITAMIN E
1 FOLIC ACID (B9) FOLAVIT TABLET 400 MCG
STARFOLAT TABLET 400 MCG

FOLIC ACID TAB 1 MG TABLET 1000 MCG
2 B1, B6, MECOBALAMIN REBAL PLUS KAPSUL
3 B1, B6, B12 NEUROBION 5000 INJ AMP 1 ML AMPUL
NEUROBION 5000 TAB TABLET

FARBION AMPUL
FARBION 5000 TABLET
NEUROBION DUAL AMPUL AMPUL
NEUROBION FORTE 5000 TABLET
DANEURON TABLET
NEURODEX AMPUL
ZYFORT INJ AMPUL
4 MECOBALAMIN (CO ENZIM COBAZIM CAPS 1000 MCG KAPSUL 1000 MCG
B12) BI - 12 injeksi AMPUL 500 MCG INJ 1 ML
KALMECO CAPS 500 MCG KAPSUL 500 MCG
KALMECO INJ 500 MCG AMP 1 AMPUL 500 MCG INJ 1 ML
ML
MECOBALAMIN CAPS 500 MCG KAPSUL 500 MCG
MECOBALAMIN INJ 500 MCG AMPUL 500 MCG INJ 1 ML

AMP 1 ML
5 FURSULTIAMINE, VIT B12 ALINAMIN FORTE TAB TABLET
6 B1, B2, B3, B5, B6, B12, C FARMADEX C TABLET
SURBEX T TABLET
ENERVON-C PLUS SYR BTL 120 SYRUP 120 ML
ML
ENERVON-C TAB TABLET
7 B1, B6, B12, E FUNDAMIN-E TAB TABLET
LAPI BION TABLET
20C VITAMIN C
1 VITAMIN C V-C AMPUL 500 MG
V-C AMPUL 1000 MG
PROVE-C 1000 AMPUL 200 MG / ML INJ 5 ML
HEVIT C 500 TABLET 500
HEVIT C 1000 TABLET 1000
VITAMIN C INJ 1000 MG AMP 5 AMPUL 1000 MG INJ 5 ML
ML
1 VITAMIN C
No Kelas Terapi
Sub Kelas terapi
VITAMIN C TAB 250 MG TABLET 250 MG
VITAMIN C TAB 500 MG TABLET 500 MG
20D KALSIUM / DENGAN VITAMIN
1 CALCIUM, VITAMIN D3 CAVIT TAB D3 TABLET
OSFIT (FILCO) TAB TABLET
FORMICAL-B CAPL CAPL
CALCIDIN FILM-COATED TABLET TABLET
HI-BONE ACTIVE CHEW TAB TABLET KUNYAH

GRAPE
HI-BONE ACTIVE CHEW TAB TABLET KUNYAH
STRAWBERRY
HI-BONE KIDS CHEW TAB TABLET KUNYAH
2 CALCIUM, VITAMIN D3, CALCIGEN KAPLET

GENISTEIN OSTEOFORTIS KAPSUL
GENOSTEN KAPSUL
HI-BONE 600 CAPL CAPL
BONESCO KAPLET
3 CALCIUM, VITAMIN D3, VITAMINCAL-95 KAPLET
4 CALCIUM, VITAMIN D3, ISOFLAVO CALBON KAPLET
5 CALCIUM CARBONATE CALOS KAPLET
6 CALCIUM, PHOSPHORUS, OSSORAL TABLET
OSSEIN OSSOPAN TAB 800 MG CAPL 800 MG
20E MULTI VITAMIN & MINERAL
VITAMIN 1C, VIT B3, CA, VIT B1, VIT B2, VIT B6,ENERVON
VIT B12, Zn
ACTIVE TABLET
ENERVON C TABLET TABLET
ENERVON C EFFERVESCENT TABLET EFFERVESCENT
2 VITAMIN A, VITAMIN C, VIT B3, CENERVON C PLUS TABLET
3 FE FERRIZ DROP BTL 15 ML DROP 15 ML
FERRIZ SYR BTL 100 ML SYRUP 100 ML
NEFROFER INJ 100 MG AMP 5ML AMPUL 100 MG INJ 5 ML
FERRO - K DROP BTL 15 ML DROP 15 ML

FERRO - K SIRUP BTL 120 ML SYRUP 120 ML
IRON SUCROSE INJ 100 MG AMP AMPUL 100 MG INJ 5 ML
5 ML
MALTOFER CHEW CAPS TABLET KUNYAH 100 MG
MALTOFER DROP 30 ML DROP 30 ML
MALTOFER SYR BTL 150 ML SYRUP 150 ML
VENOFER INJ 100 MG AMP 5 ML AMPUL 100 MG INJ 5 ML
4 GLUTATHIONE, VIT E, VIT C, SE GLUTAFIT KAPSUL

5 ECHINACHEA, ZN, SELENIUM, VIT C
IMUNOS SYR SYRUP
IMIUNOS KAPLET
No Kelas Terapi
Sub Kelas terapi
6 ECHINACHEA, GLUCAN, ZN, SELEIMUNOS SYR SYRUP
IMUNOS PLUS KAPLET
7 ZN, VITAMIN C IMUNPED DROP 15 ML DROP 15 ML

IMUNPED SYR 60 ML SYRUP 60 ML
8 BETA CAROTENE, VIT C, VIT E, LYCOXY CAPL CAPL
ZN, SE SELOXY CAPL CAPL
9 LECITHIN, VIT B1, B2, B6, B12, LESIPAR SOFTCAPS
VIT E, NICOTINAMIDE
10 VIT E, VIT C, VIT B1, B2, MEGAZING KAPLET
NICOTINAMIDE, B6, B12,
ASAM FOLAT, CA, ASAM
PHANTOTHENIC, ZN
11 BETA CAROTEIN, SELENIUM, OXYVELL KAPLET

ZN, CA, ASAM LIPOIC,
12 GINGSENG, VIT A, VIT B1, VIT PHARMATON FORMULA SOFTCAPS

B2, VIT B6, VIT B12, VIT C, VIT
D, VIT E, NICOTINAMIDE, CA,
FE, MG, ZN, LECITHIN, VIT K,
RUTIN, MANGANESE,
13 GINGSENG, BETA CAROTEN, PHARMATON VIT KAPLET

BIOTIN, ASAM FOLAT, COOPER,
SELENIUM, VIT A, VIT B1, VIT
B2, VIT B6, VIT B12, VIT C, VIT
D, VIT E, NICOTINAMIDE, CA,
FE, MG, ZN, LECITHIN, VIT K,
RUTIN, MANGANESE,
14 VIT E, ASAM FOLAT, ZN, PLUSFORTIL KAPSUL

SELENIUM, COENZYM Q10, L-
CARNITIN, L-ARGININ,
GLUTATHIONE
15 VIT B1, VIt B6, VIT B12, VIT E, PROVEN Z KAPSUL

ASAM FOLAT
16 VIT B1, VIt B6, VIT B12, VIT E, PROVE Z TABLET
ASAM FOLAT, ZN
17 SELENIUM, BETA CAROTEIN, SELEFIT PLUS KAPLET
VIT C, VIT E, ZN
18 B1, B2, B3, B5, B6, B12, C, SURBEX Z TABLET
19 ASAM FOLAT,
VIT A, VIT VIT B2,
B1, VIT E, VIT B6, THERAGRAN M TAB TABLET
PHANTOTENIC
VIT B12, VIT C, VIT D, ZN
ACID, CA, K
IODIDE, FE, MG, CO, ZN
No Kelas Terapi
Sub Kelas terapi
20 CHICKEN CARTILAGE UC-FLEX TABLET
POWD ,VIT C, VIT D,
21 VIT E, VIT C, BETA CAROTEIN, VIOXY-FM KAPLET
ZN, COPEER, SELENIUM,
MANGANESE, ASAM FOLAT,
22 VIT E, VIT C, B1, B2, B6, B12, VITAZET KAPLET

NICOTINAMIDE, CA, ASAM
FOLAT, CALSIUM CARBONATE,
ZN
20F VITAMIN & MINERAL (PEDIATRIC)

1 VIT A, VIT B1, B2, B6, B12, VIT APIALYS SYRUP
C, VIT D, NICOTINAMIDE,
LYSIN, PANTOTHENOL, ASAM
GLUTAMIC,
APIALYS DROP DROP

2 FE, B1, B6, B12, ASAM FOLAT FERLIN SYRUP
FERLIN DROP DROP

3 NATURAL FISH OIL, EPA, FOLILAC SOFTCAPS
ARACHIDONIC ACID,
4 VIT A, B1, B2, B6, B12, VIT C, JOVIAL MULTIVITAMIN GOLD SYRUP
VIT D3, CA PANTOTHENAC,
DHA,
FRUCTOOLIGOSACCHARIDE,
MANUKA HONEY, ASAM
FOLAT,
5 VIT A, VIT D, VIT E, B1, B2, B6, GROWEE SYRUP

B12, NIACINAMIDE, TAURIN,
LYSIN, CHOLIN, CHLORELLA
EXTRACT
6 VIT A, VIT B1, VIT B2, VIT B3, ZAMEL SYR BTL 60 ML SYRUP 60 ML
VIT B6, VIT B12, VIT E, FOLIC
ACID, CHOLINE, INOSITOL,
BIOTIN, FE, ZN,MG, CO, SE,
LYSINE, L-GLUTAMINE
7 FERRAZONE, VIT B1, B2, B6, B3, SANGOBION KIDS SYRUP

B7
8 FE, ASAM FOLAT SANGOBION BABY DROP
20G VITAMIN & MINERAL (UNTUK MASA HAMIL & NIFAS) / ANTIANEMIA
1 FE GLUCONATE, MANGANESE, COPADFER KAPSUL
2 FE, ASAM FOLAT, BETA CAROTEIN
FERITRIN KAPLET
No Kelas
20G Terapi
Sub Kelas terapi
3 ASAM FOLAT, VIT D3, CA FOLAMIL GOLD SOFTCAPS
CARCONATE, DHA ALGAE
4 BETA CAROTEIN, CA LACTAT, CAFOLAMIL KAPLET
5 BETA CAROTEIN, CA LACTAT, CAFOLAMIL GENIO SOFTCAPS
6 FE, ASAM FOLAT, B12, VIT C, HEMOBION KAPSUL
7 FE, VIT C, NIACINAMIDE, CA PA IBERET FOLIC - 500 TABLET
8 NATURAL FISH OIL, EPA+ DHA, LACTAFAR SOFTCAPS
9 VIT A, VIT B1, VIT B2, VIT B6, OSFIT PLATINUM (OSFIT DHA) SOFTCAPS
VIT C, VIT D3, VIT E, ASAM SOFTCAPS
FOLAT, FE, CA, I, MG,ZN, DHA,
EPA
10 MINYAK IKAN TUNA, OMEGA 3, PROMAVIT

DH SOFTCAPS
11 FE MANGANESE, COPEEER, VIT SANGOBION KAPSUL
C, ASAM FOLAT, B12
12 FERRIC, ZN, MG, VIT C, B1, B2, SANGOBION FIZZ EFFERVESCENT
13 FERAZONE, ELEMENTAL FE, COPE SANGOBION VITA-TONIK SYRUP
14 ASAM FOLAT, VIT A, B6, B12, V VITAMAM 1 KAPSUL
6 COD LIVER, EPA, DHA, VITS, CALOMA PLUS SOFTCAPS SOFTCAPS

FOLIC ACID
7 DHA, VIT A, VIT B1, VIT B2, VIT IC DROP 10 ML
B3, VIT B6, VIT D3
8 VITAMIN A, VIT B1, VIT B2, VIT VIVENA-9 INJ VIAL
B3, VIT B5, VIT B6, VIT B12, VIT
C, VIT D3, VIT E, ASAM FOLAT,
LECITHIN
11
VIT CERNEVIT INJ 750 MG VIAL VIAL
A,D,E,B1,B2,B6,B12,FOTACID,
PANTHOTENIC AC, BIOTIN,
NICOTINAMID
12
13 CARDIOMIN SOFT CAPS
14 VIt B6, VIT B12, VIT E, ASAM FORNEURO SOFTCAPS SOFTCAPS
FOLAT
15
VIT B1, B2, B3, B6, B12, VIT C, ZEGAVIT CAPL CAPL
VIT E, FOLIC ACID, CA, ZN
16 A-LIPOIC ACID, CALCIUM, ZN, SELOXY AA CAPL CAPL
SE, B-CAROTENE
17
No Kelas Terapi
Sub Kelas terapi
19 VIT A, VIT B1, VIT B2, VIT B6, OBIMIN TAB CAPL
VIT C, VIT D3, VIT E, ZN,
BIOTIN, CALCIUM, CR, CU,
FOLIC ACID, IODINE, FE, MG,
MN, SE
20 SILIBININ PHOSPHOLIPIDS, VIT LIVERPRIME CAPS KAPSUL

B1, VIT B2, VIT B3, VIT B6, VIT LIVOPI KAPSUL
B12, VIT E, CALCIUM, ZN
LIVERCARE KAPSUL
21 HEALTH SUPPLEMENTS & FOOD
21A PERANGSANG NAFSU MAKAN
1 VIT A, B1, B2, B6, VIT C, VIT D3, JOVIAL MULTIVITAMIN PLATINUMSYRUP
CA PANTOTHENAC, DHA,
FRUCTOOLIGOSACCHARIDE,
MANUKA HONEY, ASAM
FOLAT, FOS, CURCUMA,
TAURINE
2 CURCUMA EXTRACT CURVIT CL EMULSION SYR 175 SYRUP 175 ML

ML
CURVIT SYR 60 ML SYRUP 60 ML
LIKURMIN SYR 100 ML SYRUP 100 ML
3 CURCUMINOID, BETACAROTENE,VITACUR
V SYRUP 60 ML
21B SUPLEMEN DAN TERAPI PENUNJANG
1 ASTAXANTHIN ASCAVIN KAPSUL
2 NATURAL ASTAXANTHIN, EXTR ASTHIN B-OND 4 SOFTCAPS
3 HEMATOCOCCUS PLUVIALIS EXTASTHIN B-OND 6 KAPSUL
4 NATURAL ASTAXANTHIN ASTHIN FORCE KAPSUL
5 EXTR CURCUMA LONGA, EXTR BBIOCURPAIN FORCE KAPLET
6 EXTR JAHE, VIT B6 AVOGIN KAPLET
7 UBIDECARENONE, LEVOCARNITICORSEL KAPLET
8 EXTR CURCUMA XANTHORRIZAE, CURCUMA FORCE TABLET
9 D ALFA TOKOFEROL DALFAROL SOFTCAPS
10 LAGESTROEMIA SPECIOSA FOL DIABETADEX TABLET
EXTR BLACK
11 ELDERBERRY, Zn, PHYLANTHUS HERBANIRURI
GLIMUNOS KAPLET
GLIMUNOS SYRUP SYRUP 30 ML
12 ASTAXANTHIN, ECHINACEAE PUR GOLDTRION KAPSUL
13 NIGELLA SATIVA, PHALERIA, M HERBACOLD TABLET
14 PHALERIA MACROCARPA PERICAR HERBAKOF TABLET
15 PHALERIA MACROCARPA PERIC HERBAPAIN TABLET
16 EXTRACT EURYCOMA LONGIFOLIHERBAPOTEN TABLET
17 ZINGIBER OFFICINALE RHIZOMAHERBAVOMITZ KAPLET
HERBAVOMITZ SYRUP
18 ECHINACEA EXTRACT IMBOOST FORCE SYR BTL 60 ML SYR 60 ML
IMBOOST FORCE TAB CAPL

No Kelas Terapi
18 ECHINACEA EXTRACT
Sub Kelas terapi
IMBOOST TAB CAPL
STARMUNO KIDS SYR BTL 60 ML SYR 60 ML
IMMUCEA SYR BTL 60 ML SYR 60 ML

19 ECHINACEA EXTRACT, SAMBUCUSIMBOOST FORCE COUGH KAPLET
20 ECHINACEA EXTRACT, IMBOOST FORCE EXTRA STRENGT KAPLET
BLACKELDERBERRI
21 STRIATIN DRY FRUIT VIPABULMIN DRY SYRUP BOTOL
ZINC
VIPALBUMIN KAPSUL
FIBUMIN CAPS KAPSUL

INBUMIN CAPS TABLET
22 SAUROPUS ANDROGYNUS LACTALAN CAPL
FOLLIUM,COLEUS
AMBOINICUS HERBA
23 EXTRACT PLACENTA, B12, LAKTAFIT TABLET

CALCIUM PHOSPHAT
24 BIFIDOBACTERIUM LAKTIS LIPROLAC DROP
25 EKSTRAK KULIT MANGGIS, MANGOFLAM KAPSUL
26 ALPA LIPOIC ACID, B12 MECOLA KAPLET
27 ALPA LIPOIC ACID MECOLA FORTE KAPLET
28 B12, EXTRACT PLACENTAL MOLOCO + B12 TABLET
29 GLISODIN, ZEAXANTHIN, BILBERINUTRIVISION KAPSUL
30 EXTRACT BILBERI, RETINOL, BETOPTALVIT SYRUP
31 EXTRACT BILBERI, RETINOL, BETOPTALVIT PLUS TABLET
32 CAMELLIA, SINENSIS BRASSIC POMIFAR KAPSUL
33 SAW PALMETTO, LYCOPENE PROMIN KAPLET
34 EXTRACT PSIDII FOLIUM PSIDII KAPSUL
PSIDII SYRUP SYRUP 60 ML
35 CINNAMOMUM BURMANNII REDACID KAPLET
36 EXTRACT MAITAKE SANOTAKE TABLET
37 EXTRACT OPHIOCEPHALUS STRI VIPALBUMIN KAPSUL
38 TRIBULUS TERRESTRIS L VITAN TABLET
Coenzyme Q10 Q-TEN SOFTCAPS 60 MG SOFTCAPS 60 MG
Q-TEN (NU Q-TEN) 100 MG SOFTCAPS 100 MG
COENZYME Q 10, L. carnitin CAR-Q100 CAPL
CITICOLINE SERFAC INJ 125 MG/ML AMP 2ML
SERFAC INJ 125 MG/ML AMP 4ML
SERFAC INJ 125 MG/ML AMP 8ML
RG CHOLINE SYR 500MG/5ML SYRUP 60 ML
BTL 60 ML
RG CHOLINE TAB 1 G TABLET 1000 MG
BRAINOLIN INJ 125 MG/ML AMP 2 ML
BRAINOLIN 500 KAPLET 500 MG
NEUCITI 250 INJ 125 MG/ML AMP 2 ML
No Kelas Terapi
Sub Kelas terapi
CITICOLINE 500 MG KAPLET 500 MG
CITICOLINE 1000 MG KAPLET 1000 MG
CITICOLINE INJ 125 MG/ML AMP 2 ML
Monoammonium HISHIPAGEN IV AMPUL; 20 ML
glycyrrhizinate, glycine, L-
cysteine Hydrochoride Hydrate
FENUGREEK SEED EXTR, KATUK LACTAMOR KAPLET

LEAVES EXTR, VIT B 12
NATURAL ASTAXANTHIN TRUXANTHIN KAPSUL

COMBINATION ASTHINFORCE 4 KAPSUL
ASTHINFORCE 6 KAPSUL
ASTHINFORCE 12 KAPSUL
ASTHIN COR 6 KAPSUL
ASTATIN CAPS KAPSUL
INTERBATXANTHIN TAB TABLET 4 MG, 300 MG
SILYMARIN, L-GLUTATHIONE, HEPAMAX CAPS KAPSUL
N-ACETYLSISTEIN, L-
CARNITINE, CO-ENZYME Q10,
L-ORNITHINE, L-LYSIN
SUCRALOSE SIRPLUS ANGGUR SYR 100 ML SYRUP 100 ML

SIRPLUS JERUK SYR 100 ML SYRUP 100 ML
SIRPLUS ORIGINAL TAB TABLET
SIRPLUS STROWBERRY SYR 100 SYRUP 100 ML
ML
22 PERAWATAN KULIT & DIRI
22A EMOLIEN, PEMBERSIH KULIT & PELINDUNG DIRI
1 ELASTOREGULATOR, LUPEOL, MUSTELA STELATOPIA BOTOL 200 ML
AVOCADO, ZN, A-HIDROXY, CLEANSING CREAM BTL 200 ML
SHEA
MUSTELA STELATOPIA BOTOL 200 ML

EMOLIENT CREAM BTL 200 ML
2 PSEUDO-DERMAL LIPIDS NOROID CREAM BTL 80 ML CREAM 80 ML
NOROID DERMA RASH CREAM CREAM 60 ML
BTL 60 ML
NOROID LOTION BTL 200 ML LOTION 200 ML
3 LINOLEIC TRIGLYCERIDE SACCH EZERRA KRIM CREAM
4 UREA CARMED CREAM 10% TUBE 40 G CREAM 40 G
CATMED CREAM 20% TUBE 40 G CREAM 40 G
5 UREA, EXTRACT PORTULACA, PHDERMAFOOT CREAM

No Kelas Terapi
Sub Kelas terapi
6 OCTENIDINE OCTADIN SC BTL 50 ML BOTOL 50 ML
Pabrik
KALBE
KALBE
SANBE
SANBE
PHAROS
PHAROS
HEXPHARM JAYA
HEXPHARM JAYA
DEXA
DEXA
ASTRAZENECA NEXIUM
ASTRAZENECA
ASTRAZENECA
KALBE
KALBE
KALBE
DARYA VARIA
DEXA MEDICA
TAKEDA SELANZ (UNDER TAKEDA)
TAKEDA INDONESIA
KALBE
KALBE
DEXA
HEXPHARM JAYA
FAHRENHEIT
NOVELL PHARMACEUTICALS
KALBE
COMBIPHAR
MAHAKAM BETA FARMA
ASTRAZENECA
FERRON LOSEC & PRILOSEC (UNDER ASTRA ZENECA)
FERRON
DARYA VARIA
DARYA VARIA
PHAROS
HEXPHARM JAYA
HEXPHARM JAYA
TAKEDA INDONESIA PROTONIX(SMITH KLINE)
TAKEDA INDONESIA
TAKEDA INDONESIA
KALBE
INFION
DEXA MEDICA
Pabrik
HEXPHARM JAYA
DEXA MEDICA
EISAI INDONESIA
KALBE ZANTAC (GLAXO SMITH KLINE)
KALBE
DEXA MEDICA
DEXA MEDICA
HEXPHARM JAYA
HEXPHARM JAYA
FAHRENHEIT carafate
ABBOTT
ABBOTT
KALBE
DEXA MEDICA
DEXA MEDICA
DARYA-VARIA
DARYA-VARIA
DARYA-VARIA
DARYA-VARIA
DARYA-VARIA
BERNOFARM
FAHREINHEIT
BERNOFARM
INTERBAT
AVENTIS PHARMA
AVENTIS PHARMA
ABBOTT
BERNOFARM
AVENTIS PHARMA
DARYA VARIA
HEXPHARM JAYA
DARYA VARIA
MEPROFARM
PHAPROS
INDOFARMA
Pabrik
PFIZER INDONESIA
CORSA
ITRASAL
KALBE
INTERBAT
DEXA MEDICA
TAISHO PHARMACEUTICAL
INDONESIA
PHAROS
LAPI
NOVAPHARIN
INFION
DARYA VARIA
DARYA VARIA
INTERBAT
DEXA MEDICA
PHAPROS
SANOFI AVENTIS
SANOFI AVENTIS
SANOFI AVENTIS
PHAROS
TEMPO SCAN PACIFIC
TEMPO SCAN PACIFIC
GALENIUM PHARMASIA
IKAFARMINDO
ABBOT
SOHO
IKAPHARMINDO PUTRAMAS
PHAPROS
FAHREINHEIT
COMBIPHAR
DARYA VARIA
HEXPHARM JAYA
Pesan bila ada permintaan dari dokter
KALBE Pesan bila ada permintaan dari dokter
Pabrik
FRESENIUS KABI INDONESIA Pesan bila ada permintaan dari dokter
SANBE Pesan bila ada permintaan dari dokter

DARYA VARIA Pesan bila ada permintaan dari dokter

FAHREINHEIT Pesan bila ada permintaan dari dokter
DEXA MEDICA Pesan bila ada permintaan dari dokter
FAHREINHEIT Pesan bila ada permintaan dari dokter

NOVELL PHARMACEUTICALS Pesan bila ada permintaan dari dokter
SOHO Pesan bila ada permintaan dari dokter
DARYA VARIA Pesan bila ada permintaan dari dokter

DEXA MEDICA Pesan bila ada permintaan dari dokter
TAKEDA
TAKEDA
TAKEDA
TAKEDA
PHAPROS
PHAPROS
INDONESIA
INDONESIA
DEXA
DEXA
DEXA
KALBE
KALBE
INFION
DEXA
Pabrik
BERNO
BERNO
SOHO
SOHO
SOHO
OTTO
OTTO
OTTO
INTERBAT
INTERBAT
BERNOFARM
PHAROS
PHAROS
PHAROS
KALBE
KALBE
KALBE
BERNOFARM
BERNO
BERNO
HEXPHARM JAYA
NOVAPHARIN
NOVAPHARIN
DARYA VARIA
DEXA MEDICA
AVENTIS PHARMA
AVENTIS PHARMA
DARYA-VARIA
FAHREINHEIT
FAHREINHEIT
ETHICA
INDOFARMA
FAHREINHEIT
FAHREINHEIT
FAHREINHEIT
DEXA MEDICA
FERRON
Pabrik
KIMIA FARMA
DEXA MEDICA
FAHREINHEIT
ETHICA
DEXA MEDICA
SERVIER
GENERO PHARMACEUTICALS
KIMIA FARMA
KIMIA FARMA
FAHREINHEIT
FAHREINHEIT
DARYA VARIA
DARYA VARIA
DARYA VARIA
DARYA VARIA
SERVIER
FERRON
SERVIER
SERVIER
PHAPROS
PHAPROS
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
HEXPHARM JAYA
HEXPHARM JAYA
DEXA MEDICA
DEXA MEDICA
SERVIER
FERRON
FERRON
DEXA MEDICA
DEXA MEDICA
MERCK INDONESIA
MERCK INDONESIA
MERCK INDONESIA
KALBE
Pabrik
KALBE
HEXPHARM JAYA
merck
FAHREINHEIT
KALBE
KALBE
DARYA VARIA
DARYA VARIA
DARYA VARIA
DARYA VARIA
BAYER INDONESIA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
PFIZER INDONESIA
PFIZER INDONESIA
KALBE
KALBE
HEXPHARM JAYA
HEXPHARM JAYA
NOVARTIS
NOVARTIS
NOVARTIS
OTTO PHARMACEUTICALS
FAHREINHEIT
TANABE INDONESIA
TANABE INDONESIA
DEXA MEDICA
ABBOTT INDONESIA
BERNOFARM
ABBOTT INDONESIA
ABBOTT INDONESIA
NOVARTIS
NOVARTIS
NOVARTIS
TAKEDA
TAKEDA
Pabrik
INFION
INFION
DEXA MEDICA
DEXA MEDICA
TAKEDA
SANOFI AVENTIS
SANOFI AVENTIS
KALBE
KALBE
HEXPHARM JAYA
AVENTIS PHARMA
AVENTIS PHARMA
DARYA -VARIA
KALBE
SANBE
INTERBAT
HEXPHARM JAYA
NOVARTIS
NOVARTIS
NOVARTIS
BOEHRINGER INGELHEIM
INDONESIA
INDONESIA
FERRON
FERRON
NOVARTIS
NOVARTIS
NOVARTIS
HEXPHARM JAYA
HEXPHARM JAYA
INDONESIA
INDONESIA
INDONESIA
Pabrik
KIMIA FARMA
ACTAVIS
SANOFI AVENTIS
SANOFI AVENTIS
FAHREINHEIT
FAHREINHEIT
BERNOFARM
KIMIA FARMA
DEXA MEDICA
OTSUKA INDONESIA
OTSUKA INDONESIA
INFION
KALBE
FAHREINHEIT
FAHREINHEIT
KALBE
KALBE
ABBOTT INDONESIA
ABBOTT INDONESIA
DEXA MEDICA
DEXA MEDICA
FAHREINHEIT
INDONESIA
BERNOFARM
TEMPO SCAN PACIFIC
MERSIFARMA
KALBE
KALBE
PHAPROS
PHAPROS
FAHRENHEIT
DEXA MEDICA
Pabrik
HEXPHARM JAYA
PFIZER INDONESIA
PFIZER INDONESIA
PFIZER INDONESIA
DARYA VARIA
DARYA VARIA
DARYA VARIA
KALBE
KALBE
KALBE
DEXA MEDICA
DEXA MEDICA
HEXPHARM JAYA
HEXPHARM JAYA
MERCK SHARP & DOHME
PHARMA
MERCK SHARP & DOHME
PHARMA
MERCK SHARP & DOHME
PHARMA
MERCK SHARP & DOHME
PHARMA
FAHRENHEIT
FERRON
DEXA MEDICA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
FERRON
FERRON
DARYA VARIA
DARYA VARIA
DARYA VARIA
MEIJI
MEIJI
ABBOTT INDONESIA
ABBOTT INDONESIA
Pabrik
ABBOTT INDONESIA
ABBOTT INDONESIA
ABBOTT INDONESIA
DARYA VARIA
DEXA MEDICA
HEXPHARM JAYA
MERCK SHARP & DOHME
PHARMA
MERCK SHARP & DOHME
PHARMA
KALBE
KALBE
FERRON
FERRON
HEXPHARM JAYA
HEXPHARM JAYA
TANABE INDONESIA
TANABE INDONESIA
FERRON
PERTIWI AGUNG
HARSEN OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU SP.PD KGEH / HD
DEXA MEDICA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU SP.PD KGEH / HD
KALBE
KALBE
KALBE
KALBE
BERNOFARM
DEXA MEDICA
BERNOFARM
BAYER INDONESIA
DARYA VARIA
ASTELLAS OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU SP

Pabrik
OTSUKA INDONESIA
BERNOFARM
SANOFI AVENTIS
KALBE
DEXA MEDICA
HEXPHARM JAYA
KALBE OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU SP
SANOFI AVENTIS
SANOFI AVENTIS
SANOFI AVENTIS
BIOFARMA
BIOFARMA
BIOFARMA
DEXA MEDICA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU SP
TRANSFARMA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU SP
TANABE INDONESIA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU SP
DEXA MEDICA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU SP

FAHREINHEIT OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU SP
FAHREINHEIT
TUNGGAL IDAMAN
DEXA MEDICA MASUK DATABASE TAPI TIDAK DIPESAN. BILA ADA REQUEST DOKTER BARU DI AKTIF KAN.
FAHREINHEIT MASUK DATABASE TAPI TIDAK DIPESAN. BILA ADA REQUEST DOKTER BARU DI AKTIF KAN.
ASTRA ZENECA MASUK DATABASE TAPI TIDAK DIPESAN. BILA ADA REQUEST DOKTER BARU DI AKTIF KAN.
FAHREINHEIT
Pabrik
FAHREINHEIT
KALBE MASUK DATABASE TAPI TIDAK DIPESAN. BILA ADA REQUEST DOKTER BARU DI AKTIF KAN.
DEXA MEDICA
INFION MASUK DATABASE TAPI TIDAK DIPESAN. BILA ADA REQUEST DOKTER BARU DI AKTIF KAN.
ROCHE MASUK DATABASE TAPI TIDAK DIPESAN. BILA ADA REQUEST DOKTER BARU DI AKTIF KAN.
SANOFI AVENTIS MASUK DATABASE TAPI TIDAK DIPESAN. BILA ADA REQUEST DOKTER BARU DI AKTIF KAN.
PHAPROS
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
FAHREINHEIT
FAHREINHEIT
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ETHICA
GIAXO SMITH KLINE MASUK DATABASE TAPI TIDAK DIPESAN. BILA ADA REQUEST DOKTER BARU DI AKTIF KAN.
Pabrik
INDONESIA
NOVELL PHARMACEUTICALS MASUK DATABASE TAPI TIDAK DIPESAN. BILA ADA REQUEST DOKTER BARU DI AKTIF KAN.
NOVELL PHARMACEUTICALS MASUK DATABASE TAPI TIDAK DIPESAN. BILA ADA REQUEST DOKTER BARU DI AKTIF KAN.
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
GIAXO SMITH KLINE
GIAXO SMITH KLINE
GIAXO SMITH KLINE

FAHREINHEIT
HEXPHARM JAYA
HEXPHARM JAYA
PHAPROS
PHAPROS
GIAXO SMITH KLINE
GIAXO SMITH KLINE
GIAXO SMITH KLINE
PHAPROS
PHAPROS
INDONESIA
SANOFI AVENTIS
SANOFI AVENTIS
Pabrik
HEXPHARM JAYA
HEXPHARM JAYA
PHAPROS
PHAPROS
SANOFI AVENTIS
SANOFI AVENTIS
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
SANBE
SANBE
COMBIPHAR
DEXA MEDICA
DEXA MEDICA
LAPI
LAPI
TRANSFARMA
DARYA VARIA
DARYA VARIA
DARYA VARIA
Pabrik
SOHO
DEXA MEDICA
COMBIPHAR
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
SANBE
ZAMBON
ZAMBON
ZAMBON
ZAMBON
SANBE
SANBE
FAHREINHEIT
FAHREINHEIT
DARYA VARIA
COMBIPHAR
SANBE
DARYA VARIA
Pabrik
MENARINI INDRIA
LABORATORIES
INTERBAT
DEXA MEDICA
INTERBAT
INTERBAT
DEXA MEDICA
DEXA MEDICA
SANBE
SANBE
INTERBAT OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR PARU
HYPHENS OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR PARU

NOVELL PHARMACEUTICALS OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR PARU
GIAXO SMITH KLINE

TRANSFARMA
TRANSFARMA
HYPHENS
Pabrik
HYPHENS
MUNDIPHARMA
MERCK INDONESIA
MERCK INDONESIA
ABBOTT INDONESIA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR PARU
GUARDIAN
GUARDIAN
GUARDIAN
PFIZER INDONESIA
PFIZER INDONESIA
PFIZER INDONESIA
DEXA MEDICA
SANOFI AVENTIS
SUNTHI SEPURI
NOVELL PHARMACEUTICALS OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
TAKEDA
DEXA MEDICA
DEXA MEDICA
ETHICA
ETHICA

OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
KALBE OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
KALBE OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
MEPROFARM OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
Pabrik
OTSUKA INDONESIA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
MERSI FARMA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
KIMIA FARMA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
MERSI FARMA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
SOHO OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA
DEXA MEDICA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR JIWA

DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
NOVARTIS
NOVARTIS
MERSI FARMA
MERSI FARMA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf
INDONESIA
ACTAVIS
ACTAVIS
ACTAVIS
MEPROFARM
MERSI FARMA
ABBOTT INDONESIA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf
KALBE OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf
NOVELL PHARMACEUTICALS OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf

OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf
Pabrik
EISAI INDONESIA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf
EISAI INDONESIA OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf
MEPROFARM OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf
ROCHE OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf
BOEHRINGER INGELHEIM OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf
INDONESIA
BOEHRINGER INGELHEIM OBATNYA MASUKAN KE SISTEM TAPI ORDER TUNGGU DR SARAf
INDONESIA
EISAI INDONESIA
EISAI INDONESIA
ABBOTT INDONESIA
ABBOTT INDONESIA
ABBOTT INDONESIA
DEXA MEDICA
KIMIA FARMA
TAISHO
PHAPROS
JOHNSON & JOHNSON

KIMIA FARMA
MAHAKAM BETA FARMA

MAHAKAM BETA FARMA
KIMIA FARMA
DEXA MEDICA
PHAPROS
PHAPROS
PHAPROS
PHAPROS
Pabrik
MERSI FARMA
BERNOFARM
KALBE
ABBOTT INDONESIA
DEXA MEDICA
GLAXO WELLCOME INDONESIA
TAISHO
TAISHO
TAISHO
DARYA VARIA
DARYA VARIA
DARYA VARIA
DARYA VARIA
HEXPHARM JAYA
HEXPHARM JAYA
HEXPHARM JAYA
HEXPHARM JAYA
COMBIPHAR
COMBIPHAR
COMBIPHAR
PFIZER INDONESIA
PFIZER INDONESIA
HEXPHARM JAYA
HEXPHARM JAYA
FERRON jam 10:03
FERRON
Pabrik
DARYA VARIA
NOVARTIS
NOVARTIS
NOVARTIS
NOVARTIS
NOVARTIS
HEXPHARM JAYA
MEPROFARM
NOVARTIS
SANBE
SANBE
SANBE
PHAPROS
PHAPROS
TRANSFARMA
TRANSFARMA
TRANSFARMA
FAHREINHEIT
FAHREINHEIT
ABBOTT INDONESIA
ABBOTT INDONESIA
ABBOTT INDONESIA
HEXPHARM JAYA
BERNOFARM
DARYA VARIA
DEXA MEDICA
KALBE
KALBE
BERNOFARM
KALBE
Pabrik
KALBE
BERNOFARM
PHAPROS
PFIZER INDONESIA
HEXPHARM JAYA
HEXPHARM JAYA
HEXPHARM JAYA
HEXPHARM JAYA
HEXPHARM JAYA
SANBE
MEPROFARM
SANBE
KALBE
PFIZER INDONESIA
PFIZER INDONESIA
PFIZER INDONESIA
SANBE
SANBE
KIMIA FARMA
KIMIA FARMA
BERNOFARM
PFIZER INDONESIA
ACTAVIS
ACTAVIS
BERNOFARM
BERNOFARM
MERSI FARMA
MERSI FARMA
MERSI FARMA
PFIZER INDONESIA
PFIZER INDONESIA
PFIZER INDONESIA
KALBE
KALBE
Pabrik
KALBE
TAISHO
TAISHO
KALBE
KALBE
BERNOFARM
BERNOFARM
FERRON
FERRON
FERRON
FERRON
KALBE
KALBE
KALBE
KALBE
KALBE
KALBE
KALBE
INFION
INFION
INFION
BERNOFARM
BERNOFARM
BERNOFARM
HEXPHARM JAYA
MERSIFARMA
MERSIFARMA
MERSIFARMA
MERSIFARMA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
LAPI
LAPI
BERNOFARM
BERNOFARM
BERNOFARM
Pabrik
HEXPHARM JAYA
HEXPHARM JAYA
HEXPHARM JAYA
ROCHE
ROCHE
FAHREINHEIT
BERNOFARM
BERNO
GIAXO SMITH KLINE

GIAXO SMITH KLINE
KALBE
KALBE
HEXPHARM JAYA
HEXPHARM JAYA
FAHREINHEIT
KOLSIN
PYRIDAM FARMA
LAPI
PYRIDAM FARMA
ASTELLAS PEMESANAN SETELAH ADA PERMINTAAN DOKTER
DEXA MEDICA PEMESANAN SETELAH ADA PERMINTAAN DOKTER
DEXA MEDICA PEMESANAN SETELAH ADA PERMINTAAN DOKTER
DAEWOONG INFION PEMESANAN SETELAH ADA PERMINTAAN DOKTER

KALBE PEMESANAN SETELAH ADA PERMINTAAN DOKTER
EISAI INDONESIA
KALBE
NOVARTIS INDONESIA PEMESANAN SETELAH ADA PERMINTAAN DOKTER
COMBIPHAR PEMESANAN SETELAH ADA PERMINTAAN DOKTER
MEPROFARM PEMESANAN SETELAH ADA PERMINTAAN DOKTER
PRIMA MEDIKA PEMESANAN SETELAH ADA PERMINTAAN DOKTER
NOVELL PHARMACEUTICALS PEMESANAN SETELAH ADA PERMINTAAN DOKTER
TROPICA MAS PEMESANAN SETELAH ADA PERMINTAAN DOKTER

Pabrik
TRANSFARMA
ETHICA
COMBIPHAR
COMBIPHAR
FAHREINHEIT PEMESANAN SETELAH ADA PERMINTAAN DOKTER
INFION PEMESANAN SETELAH ADA PERMINTAAN DOKTER

TAISHO
TAISHO
TAISHO

SANBE PEMESANAN SETELAH ADA PERMINTAAN DOKTER
BAYER INDONESIA PEMESANAN SETELAH ADA PERMINTAAN DOKTER
BAYER PEMESANAN SETELAH ADA PERMINTAAN DOKTER
ABBOTT INDONESIA PEMESANAN SETELAH ADA PERMINTAAN DOKTER
ABBOTT INDONESIA PEMESANAN SETELAH ADA PERMINTAAN DOKTER
BAYER INDONESIA PEMESANAN SETELAH ADA PERMINTAAN DOKTER
KIMIA FARMA PEMESANAN SETELAH ADA PERMINTAAN DOKTER
PFIZER INDONESIA PEMESANAN SETELAH ADA PERMINTAAN DOKTER
PFIZER INDONESIA PEMESANAN SETELAH ADA PERMINTAAN DOKTER

BERNOFARM PEMESANAN SETELAH ADA PERMINTAAN DOKTER
BAYER INDONESIA
PHAROS
DEXA MEDICA
PROMEDRAHARDJO FARMASI
DEXA MEDICA
KALBE FARMA
BERNOFARM
BERNOFARM
Pabrik
FAHREINHEIT
PFIZER INDONESIA
PFIZER INDONESIA
PFIZER INDONESIA
PFIZER INDONESIA
KALBE
KALBE
KALBE
BERNOFARM
BERNOFARM
BERNOFARM
FAHREINHEIT
BERNOFARM
TAISHO
TAISHO
DEXA MEDICA
DEXA MEDICA
DEXA
SANBE PEMESANAN BILA ADA PERMINTAAN DARI DR
KALBE PEMESANAN BILA ADA PERMINTAAN DARI DR
INFION PEMESANAN BILA ADA PERMINTAAN DARI DR
DIPA PHARMALAB PEMESANAN BILA ADA PERMINTAAN DARI DR
PEMESANAN BILA ADA PERMINTAAN DARI DR
BAYER INDONESIA PEMESANAN BILA ADA PERMINTAAN DARI DR

Pabrik
BERNOFARM PEMESANAN BILA ADA PERMINTAAN DARI DR
TUNGGAL IDAMAN PEMESANAN BILA ADA PERMINTAAN DARI DR
KALBE
KALBE
DARYA VARIA
DEXA MEDICA
DEXA MEDICA
BERNOFARM
BERNOFARM
MEIJI
HARSEN
FAHREINHEIT
KALBE
KALBE
KALBE
HEXPHARM JAYA
BERNOFARM
MEPROFARM
KALBE
DEXA MEDICA
KALBE
KALBE
KALBE
Pabrik
HEXPHARM JAYA
HEXPHARM JAYA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
KIMIA FARMA
DEXA MEDICA
BERNOFARM
KALBE
KALBE
BERNOFARM
DEXA MEDICA
PHAPROS
DEXA MEDICA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
OTTO PHARMACEUTICALS PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
PHAPROS PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
PFIZER INDONESIA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
GLAXO WELLCOME INDONESIA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER

LAPI LABORATORIES PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
BERNOFARM PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
KALBE
BERNO
HEXPHARM
INTERBAT PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
MEIJI
SANBE
HEXPHARM JAYA
HEXPHARM JAYA
HEXPHARM JAYA
BERNOFARM
BERNOFARM
HEXPHARM JAYA
Pabrik
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
MEIJI
MEIJI
MEIJI
PHAPROS
MEIJI PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
MEIJI PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
INFION PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
HEXPHARM JAYA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
PFIZER INDONESIA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
KALBE PEMESANAN BILA ADA PERMINTAAN DARI DOKTER

PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
FAHREINHEIT PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
DARYA VARIA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
ORGANON PEMESANAN BILA ADA PERMINTAAN DARI DOKTER

KALBE
KALBE
HEXPHARM JAYA
DEXA MEDICA
ACTAVIS PEMESANAN BILA ADA PERMINTAAN DARI DOKTER

Pabrik
ACTAVIS PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
ACTAVIS
CENDO
CENDO
CENDO
KALBE
KIMIA FARMA
ERELA

PYRIDAM PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
PFIZER INDONESIA
PFIZER INDONESIA
PFIZER INDONESIA
INFION
INFION
HEXPHARM JAYA
BERNOFARM
BERNOFARM
ABBOTT INDONESIA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER

COMBIPHAR PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
ETERCON PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
KIMIA FARMA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER

Pabrik
YARINDO PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
BAYER
BAYER
HEXPHARM JAYA
BERNOFARM
HEXPHARM JAYA
KALBE
KALBE
KALBE
KALBE
HEXPHARM
BERNOFARM
BERNOFARM
BAYER PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
BAYER PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
DARYA VARIA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER

FAHREINHEIT PEMESANAN BILA ADA PERMINTAAN DARI DOKTER

KALBE
KALBE
KALBE
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
HEXPHARM

Pabrik
DEXA MEDICA
BERNOFARM
BERNOFARM
BERNOFARM
PFIZER INDONESIA
PFIZER INDONESIA
HEXPHARM JAYA
HEXPHARM JAYA
PHAPROS
BERNOFARM
MEIJI
MEIJI
DEXA MEDICA
DEXA MEDICA
ZAMBON
BERNOFARM
BERNOFARM
PHAPROS
SANOFI AVENTIS
SANOFI AVENTIS
SANOFI AVENTIS
KALBE
BERNOFARM
PHAPROS
HEXPHARM JAYA
Pabrik
MERSIFARMA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
PFIZER INDONESIA
PFIZER INDONESIA
DEXA MEDICA
BERNOFARM
PHAPROS
TAISHO
INTERBAT
TAISHO
TAISHO
KIMIA FARMA
HEXPHARM JAYA
KIMIA FARMA
ASTELLAS
TAISHO
TAISHO
TAISHO


Pabrik
GIAXO SMITH KLINE
INTERBAT
INTERBAT
INTERBAT
PHAPROS
PHAPROS
KIMIA FARMA
BETA PHARMACON
KALBE
HEXPHARM JAYA
BOEHRINGER INGELHEIM PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
INDONESIA
BOEHRINGER INGELHEIM PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
INDONESIA
GIAXO SMITH KLINE PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
GIAXO SMITH KLINE PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
DARYA VARIA
DARYA VARIA
DEXA MEDICA
DEXA MEDICA
PHAPROS
PHAPROS
INDONESIA
KALBE
KIMIA FARMA
KALBE
INFION
DEXA MEDICA
TAISHO
Pabrik
HARSEN
PFIZER INDONESIA
PFIZER INDONESIA
PFIZER INDONESIA
KIMIA FARMA
PHAPROS
AVENTIS PHARMA
DEXA MEDICA
INTERBAT
KIMIA FARMA
KIMIA FARMA
DEXA MEDICA
KALBE
BERNOFARM
BERNOFARM
NOVARTIS INDONESIA
NOVARTIS INDONESIA
PFIZER INDONESIA
PFIZER INDONESIA
PFIZER INDONESIA
GIAXO SMITH KLINE

INTERBAT
INDOFARMA
EISAI INDONESIA
Pabrik
EISAI INDONESIA
ASTELLAS
ASTELLAS
ASTELLAS
ASTELLAS
FRESENIUS KABI INDONESIA

KALBE
DIPA PHARMALAB
NOVO NORDISK
NOVO NORDISK
NOVO NORDISK
NOVO NORDISK
SANOFI AVENTIS
SANOFI AVENTIS
SANOFI AVENTIS
KALBE
SANOFI AVENTIS
ELI LILLY
ELI LILLY
ELI LILLY
ELI LILLY
Pabrik
ELI LILLY
ELI LILLY
BAYER INDONESIA
BAYER INDONESIA
DEXA MEDICA
DEXA MEDICA
INDONESIA
INDONESIA
fahrenheid
phapros
SERVIER
BERNOFARM
SANOFI AVENTIS
SANOFI AVENTIS
SANOFI AVENTIS
SANOFI AVENTIS
KALBE
KALBE
KALBE
KALBE
DEXA MEDICA
PHAPROS
DEXA MEDICA
BERNOFARM
SANOFI AVENTIS
SANOFI AVENTIS
DEXA MEDICA
DEXA MEDICA
MERCK
MERCK
MERCK
INDONESIA
DEXA MEDICA
INDONESIA
MERCK INDONESIA
Pabrik
MERCK INDONESIA
MERCK INDONESIA
MERCK INDONESIA
KALBE
HEXPHARM JAYA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
HEXPHARM JAYA
BERNOFARM
TAKEDA
TAKEDA
KALBE
KALBE
KALBE
KALBE
MERCK SHARP & DOHME
MERCK SHARP & DOHME
ORGANON
MERCK SHARP & DOHME
ORGANON
NOVARTIS
DEXA MEDICA
DEXA MEDICA
SYDNA FARMA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
MERCK INDONESIA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
NOVELL PHARMACEUTICALS PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
NOVELL PHARMACEUTICALS PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
SUNTHI SEPURI PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
SUNTHI SEPURI PEMESANAN BILA ADA PERMINTAAN DARI DOKTER
Pabrik
NICHOLAS
KALBE
KALBE
ROCHE INDONESIA
ROCHE INDONESIA
DANKOS FARMA
PYRIDAM FARMA
PYRIDAM FARMA
KALBE
FONKO INTERNATIONAL
PHARMACEUTICAL
MERCK SHARP & DOHME
MERCK SHARP & DOHME

DEXA MEDICA
INTERBAT
INTERBAT
GIAXO SMITH KLINE
BAYER INDONESIA
BAYER INDONESIA
KALBE
KALBE
DEXA MEDICA
HEXPHARM JAYA
ACTAVIS
KALBE
TRANSFARMA
MERCK SHARP & DOHME
DEXA MEDICA
DEXA MEDICA
BERNOFARM
Pabrik
BERNOFARM
IKAPHARMINDO
IKAPHARMINDO
BERNOFARM
BAYER INDONESIA
HEXPHARM JAYA
BERNOFARM
DARYA VARIA
DEXA MEDICA
LENGKAPI VAKSIN LENGKAPI VLENGKAPI VLENGKAPI V
COMBIPHAR
KIMIA FARMA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
fahrenheid
fahrenheid
DIPA PHARMALAB
KIMIA FARMA
DEXA MEDICA
MERCK
MERCK
KIMIA FARMA
DIPA PHARMALAB
BIOFARMA
DEXA MEDICA
DEXA MEDICA
BIOFARMA
Pabrik
BIOFARMA
BIOFARMA
SANOFI AVENTIS
SANOFI AVENTIS
BIOFARMA
BIOFARMA
SANOFI AVENTIS
BIOFARMA
BIOFARMA
cari yang tidak panas
BIOFARMA
BIOFARMA
SANOFI AVENTIS
GIAXO SMITH KLINE
GIAXO SMITH KLINE
SANOFI AVENTIS
BIOFARMA
SANOFI AVENTIS
SANOFI AVENTIS
SANOFI AVENTIS
GIAXO SMITH KLINE
GIAXO SMITH KLINE
SANOFI AVENTIS
GIAXO SMITH KLINE

GIAXO SMITH KLINE
SANOFI AVENTIS
SANOFI AVENTIS
BIOFARMA
BIOFARMA
GIAXO SMITH KLINE cari biofarma
SANOFI AVENTIS
GIAXO SMITH KLINE
MERCK SHARP & DOHME
BIOFARMA
ABBOTT INDONESIA KHUSUS DEWASA
ABBOTT INDONESIA
SANOFI AVENTIS
Pabrik
SANOFI AVENTIS
SANOFI AVENTIS
BIOFARMA
BIOFARMA
Merck tambahan
BIOFARMA
BIOFARMA
MERCK SHARP & DOHME
GIAXO SMITH KLINE
PFIZER INDONESIA
GIAXO SMITH KLINE vaksin kemasin pediatric dan kemasan dewasa (lihat secara keseluruhan)
GIAXO SMITH KLINE
BIOFARMA cari kemasan vaksin.
BIOFARMA
SANOFI AVENTIS
GIAXO SMITH KLINE
MERCK SHARP & DOHME
GIAXO SMITH KLINE
SANOFI AVENTIS
SANOFI AVENTIS
OTSUKA INDONESIA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER


FRESENIUS KABI INDONESIA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER

Pabrik

B BRAUN INDONESIA PEMESANAN BILA ADA PERMINTAAN DARI DOKTER

CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
Pabrik
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
Pabrik
CENDO
CENDO
FERRON
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
Pabrik
PFIZER INDONESIA
CENDO
PFIZER INDONESIA
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
FERRON
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
Pabrik
CENDO
CENDO
CENDO
CENDO
CENDO
MEIJI
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
KALBE
ERELA
ZAMBON
INTERBAT
SANDAI FARMA
HEXPHARM JAYA
HEXPHARM JAYA
HEXPHARM JAYA
Pabrik
SOHO
SOHO
MINOROCK MANDIRI
MINOROCK MANDIRI
DARYA VARIA
MEIJI
MUNDIPHARMA
TAISHO
FERRON
TAISHO
KALBE
FERRON
TUNGGAL IDAMAN
BERNOFARM
DARYA VARIA
DARYA VARIA
DARYA VARIA
IKAPHARMINDO
IKAPHARMINDO
INTERBAT
PHAPROS
PHAPROS
KALBE
Pabrik
INDONESIA
INDONESIA
KALBE
KALBE
KALBE
PHAPROS
TAISHO
TAISHO
BERNOFARM
KIMIA FARMA
BERNOFARM
TAISHO
GALENIUM PHARMASIA
KIMIA FARMA
INTERBAT
BERNOFARM
HEXPHARM JAYA
KIMIA FARMA
KIMIA FARMA
LEO PHARMALAB
MERCK SHARP & DOHME

PHARMA
MERCK SHARP & DOHME
PHARMA
MERCK TBK
PHAROS INDONESIA
BERNOFARM
KIMIA FARMA
KALBE
ACTAVIS
Pabrik
SDM
KIMIA FARMA
ACTAVIS
INTERBAT
AVENTIS
DEXA MEDICA
COMBIPHAR
BERNOFARM
TRANSFARMA
TRANSFARMA
INFION
INTERBAT
IKAPHARMINDO
SDM
SDM
SDM
SDM
SDM
GALENIUM PHARMASIA
GALENIUM PHARMASIA
HYPHENS
LEO PHARMALAB
INFION
PHAROS
PHAROS
KALBE
Pabrik
KALBE
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
PHAPROS cek kembali dengan dr anastesi. Pesan sesuai permintaan dr. anastesi
TANABE INDONESIA cek kembali dengan dr anastesi. Pesan sesuai permintaan dr. anastesi
BERNOFARM cek kembali dengan dr anastesi. Pesan sesuai permintaan dr. anastesi
BERNOFARM cek kembali dengan dr anastesi. Pesan sesuai permintaan dr. anastesi
NOVELL PHARMACEUTICALS cek kembali dengan dr anastesi. Pesan sesuai permintaan dr. anastesi
DEXA MEDICA cek kembali dengan dr anastesi. Pesan sesuai permintaan dr. anastesi
PFIZER INDONESIA cek kembali dengan dr anastesi. Pesan sesuai permintaan dr. anastesi
TANABE INDONESIA merah semua kecuali lidocain, dan pehacain dan dolo
PHAPROS cek
PHAPROS
KALBE cek kembali dengan dr anastesi. Pesan sesuai permintaan dr. anastesi
ASTRAZENECA INDONESIA cek kembali dengan dr anastesi. Pesan sesuai permintaan dr. anastesi
Pabrik
DEXA MEDICA
DEXA MEDICA
MENARINI
ETHICA
PHAPROS cek kembali dengan dr anastesi. Pesan sesuai permintaan dr. anastesi
KALBE cek kembali dengan dokter yang melakukan tindakan bedah

DARYA VARIA cek kembali dengan dokter yang melakukan tindakan bedah
INTERBAT cek kembali dengan dokter yang melakukan tindakan bedah

INTERBAT cek kembali dengan dokter yang melakukan tindakan bedah
INFION cek kembali dengan dokter yang melakukan tindakan bedah

INFION cek kembali dengan dokter yang melakukan tindakan bedah
MAHAKAM BETA FARMA cek kembali dengan dokter yang melakukan tindakan bedah
MAHAKAM BETA FARMA cek kembali dengan dokter yang melakukan tindakan bedah
MUNDIPHARMA cek kembali dengan dokter yang melakukan tindakan bedah
DEXA MEDICA cek kembali dengan dokter yang melakukan tindakan bedah

Pabrik
KALBE
MSD
order bila ada permintaan

FAHREINHEIT order bila ada permintaan
KALBE order bila ada permintaan

TRANSFARMA order bila ada permintaan
TETHICA order bila ada permintaan

SANOFI AVENTIS order bila ada permintaan
FAHREINHEIT
DEXA MEDICA order bila ada permintaan
OTSUKA INDONESIA order bila ada permintaan

TANABE INDONESIA order bila ada permintaan
MERCK INDONESIA order bila ada permintaan
OTSUKA INDONESIA

order bila ada permintaan
Pabrik
OTSUKA INDONESIA
KALBE
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
DEXA MEDICA
OTSUKA INDONESIA
KALBE
FAHREINHEIT
DIPA PHARMALAB
DIPA PHARMALAB
DIPA PHARMALAB
DIPA PHARMALAB
DIPA PHARMALAB
DIPA PHARMALAB
KALBE
KALBE
KALBE
KALBE
DEXA MEDICA
FAHREINHEIT
DEXA MEDICA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
Pabrik
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
OTSUKA INDONESIA
tanya dr hans.
DIPA PHARMALAB
BAYER INDONESIA
FAHREINHEIT
FAHREINHEIT
BERNOFARM
TUNGGAL IDAMAN ABDI JAWABAN DR HANS
FAHREINHEIT JAWABAN DR HANS
FAHREINHEIT
DIPA PHARMALAB
DIPA PHARMALAB JAWABAN DR HANS
DIPA PHARMALAB JAWABAN DR HANS
SOHO
KALBE
KALBE
KALBE
DARYA VARIA
Pabrik
KALBE
DARYA VARIA
DARYA VARIA
DARYA VARIA
SANBE
DEXA MEDICA
PHAPROS
fahrenheid
MERCK SHARP & DOHME
MERCK SHARP & DOHME

FAHREINHEIT
FAHREINHEIT
P&G
P&G
KALBE
DEXA MEDICA
INTERBAT
INFION
KALBE
KALBE
TAKEDA
FAHREINHEIT
ABBOTT INDONESIA
DARYA VARIA
DARYA VARIA
DARYA VARIA
LAPI
FAHRENHEID
FAHRENHEID
KALBE
HEXPHARM JAYA
HEXPHARM JAYA
Pabrik
PHAPROS
PHAPROS
MERCK INDONESIA
KALBE
DEXA MEDICA
GALENIUM PHARMASIA
BERNOFARM
BERNOFARM
DIPA PHARMALAB
LAPI
GLOBAL HEALTH PHARMACEUTICAL
FAHRENHEIT
DEXA MEDICA
DARYA VARIA
DARYA VARIA
DARYA VARIA
DARYA VARIA
DARYA VARIA
NICHOLAS
NICHOLAS
KALBE
COMBIPHAR
COMBIPHAR
COMBIPHAR
COMBIPHAR
FAHRENHEIT
LAPI
LAPI
Pabrik
LAPI
LAPI
DARYA VARIA
DARYA VARIA
DEXA MEDICA
FERRON
LAPI
LAPI
AVENTIS PHARMA
AVENTIS PHARMA
ABBOTT INDONESIA
KALBE
KALBE
GALENIUM PHARMASIA
ABBOTT INDONESIA
TAISHO
Pabrik
PHAROS
FAHRENHEIT
INTERBAT
LAPI
LAPI
DARYA VARIA
DARYA VARIA
DEXA MEDICA
GALENIUM PHARMASIA
DARYA VARIA
P&G HEALTH
P&G HEALTH
FAHRENHEIT
DEXA MEDICA
Pabrik
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
P&G HEALTH
ABBOTT INDONESIA
FAHRENHEIT
KALBE
LAPI
P&G HEALTH
P&G HEALTH
P&G HEALTH
INFION
DEXA MEDICA
KALBE
DARYA VARIA
KALBE
KALBE
FERRON
Pabrik
DARYA VARIA
DARYA VARIA
DARYA VARIA
GALENIUM PHARMASIA
SOHO
SOHO
KALBE
LAPI
DEXA MEDICA
SOHO GLOBAL HEALTH
SOHO GLOBAL HEALTH
SOHO GLOBAL HEALTH
SOHO GLOBAL HEALTH
LAPI
FAHRENHEIT
SOHO GLOBAL HEALTH
DARYA VARIA
DEXA MEDICA
GALENIUM PHARMASIA
GALENIUM PHARMASIA
FAHRENHEIT
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
SOHO
SOHO
Pabrik
SOHO
KALBE
INTERBAT
SOHO
SOHO
PT. ROYAL MEDICALINK PHARMALAB
PT. ROYAL MEDICALINK
PHARMALAB
INFION
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
KALBE
FAHRENHEIT
LAPI
LAPI
DARYA VARIA
KALBE
LAPI
LAPI
FAHRENHEIT
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
ROYAL MEDICALINK PHARMALAB
KALBE
ABBOTT INDONESIA
ABBOTT INDONESIA
ABBOTT INDONESIA
KALBE
KALBE
DEXA MEDICA
DEXA MEDICA
LAPI
LAPI
Pabrik
LAPI
DEXA MEDICA
DARYA VARIA
KALBE
KALBE
SOHO
SOHO
SOHO
SOHO
INTERBAT
KALBE
MEPROFARM
MEPROFARM
MEPROFARM
MEPROFARM
INTERBAT
INTERBAT
SOHO
SOHO
SOHO
TAISHO
SDM
SDM
GALENIUM PHARMASIA
Pabrik
INFION
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
AKTIF KAN.
cek dr ruth
Cek dr ruth

Formulariun Review 25 Februari 2022

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Formulariun Review 25 Februari 2022

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No Kelas Terapi

Sub Kelas terapi

CLIAD TABLET SALUT SELAPUT; 2,5 MG /5,61

SPASMAL KAPLET; 500 MG /10 MG

ARCAPEC TABLET; 600 MG / 50 MG

DUPHALAC 45 ML SIRUP; 3,335 G

4 NA LAURYL SULFATE, SORBIC MICROLAX ENEMA 5 ML ENEMA

10 SILYMARIN , SCHIZANDRAE, CURLIV PLUS SYR BTL 120 ML SYRUP 120

11 URSODEOXYCHOLIC ACID URDAFALK CAPS 250 MG KAPSUL 250 MG

MOTILIUM SIRUP; 5 Mg/5 ML

VOMETA FT TABLET CEPAT LARUT; 10 MG

ATROPINE SULFAT TABLET; 0,5 MG

2 ISOSORBIDE DINITRATE FARSORBID AMPUL 10 MG INJ 10 ML

HERBESSER CD CAPS 100 MG KAPSUL SR 100 MG

UPERIO TABLET 100 MG

MICARDlS TAB 80 MG TABLET 8O MG

TELMISARTAN TAB 40 MG TABLET 40 MG

CATAPRES TABLET; 15 MCG

CATAPRES TABLET; 75 MCG

LASIX TAB 40 MG TABLET 40 MG

OTSU MANITOL 20% INF 500 ML PLABOT 20% 500 ML

INFITOL SOFT BAG 500ML

SPIRONOLACTONE TAB 100 MG TABLET 100 MG

3 FIBRINOGEN, APROTININ, BERIPLAST P COMBISET INJ VIAL

KALNEX INJ 500 MG AMP 5 ML AMPUL 100 MG/ ML INJ 5 ML

ASAM TRANEKSAMAT INJ 250 CAIRAN INJEKSI; 50,0 MG

2 BERAPROST DORNER TAB 20 CG TABLET 20 MCG

LOVENOX INJ 40 MG PFS 0,4 ML PFS 40 MG INJ 0,4 ML

LOVENOX INJ 60 MG PFS 0,6 ML PFS 60 MG INJ 0,6 ML

ANTITEN-A INJ 40 MG PFS 0,4 ML PFS 40 MG INJ 0,4 ML

ANTITEN-A INJ 60 MG PFS 0,6 ML PFS 60 MG INJ 0,6 ML

ANTITEN-A INJ 100 MG PFS 1 ML PFS 100 MG INJ 1 ML

INTEGRILIN INJ 75 MG VIAL 100 VIAL 0,75 MG/ML INJ 100 ML

DIVITI INJ 2,5 MG PFS 0,5 ML PFS 2,5 MG INJ 0,5 ML

VASOLA INJ 2,5 MG PFS 0,5 ML PFS 2,5 MG INJ 0,5 ML

10 HUMAN ANTITHROMBIN Ill KYBERNIN INJ 500 IU VIAL VIAL 500 IU

7 MONTELUKAST RYMONT GRANULE SACH 4 MG SACCHET

RYMONT TAB 10 MG TABLET 10 MG

SERETIDE INHALER 25/ 50 MCG INHALER 25 MCG, 50 MCG

11 THEOPHYLLINE EUPHYLIN RETARD MITE TAB 125 TABLET 125 MG

BISOLVON SOL 50 ML SOLUTION 2 MG/ ML BOTOL 50 ML

7 Dextromethorphan HBr, SANADRYL DMP SYR BTL 60 ML SYRUP 60 ML

SANADRYL DMP SYR BTL 120 ML SYRUP 120 ML

8 AMMON CL, SUCCUS OBHC BATUK BERDAHAK SYRUP 100 ML

14 LEVODOPROZINE LEVOSIF SYR 60 MG/5 ML BTL SIRUP; 60 MG/10 ML

17 NOSCAPINE, PARATUSIN TAB TABLET

18 OXOMEMAZINE, GUAIFENESIN COMTUSI SYR BTL 100 ML SYRUP 100 ML

19 PARACETAMOL, TUZALOS TAB 15 MG CAPL

20 PHENYPROPANOLAMINE, NALGESTAN TAB TABLET 15 MG, 2 MG

22 PSEUDOEPHEDRINE ALCO ORAL DROPS BTL 15 ML DROP 7,5 MG/0,8 ML BOTOL 15 ML

25 TRIPROLIDINE, RHINOFED SYR BTL 60 ML SYRUP 1,25 MG, 30 MG/5 ML 60 ML

3 FLUTICASONE AVAMYS NASAL SPRAY NASAL SPRAY

5 NACL BNS (BREATHY NASAL SPRAY) NASAL SPRAY

SEDACUM INJ 5 MG AMP 5 ML AMPUL 15 MG INJ 5 ML

5 OLANZAPINE SOPAVEL TAB 10 MG TABLET ODT 10 MG

STESOLID ENEMA 10 MG REC ENEMA 10 MG REC TUBE 2,5 ML

5 LEVETIRACET AM DEPAKENE 250 MG / 5 ML SYRUP 250 MG / 5 ML

SIFROL TAB 0, 125 MG TABLET 0,125 MG

PRAMIVEX TAB 0, 125 MG TABLET 0,125 MG

BETASERC TAB 8 MG TABLET 8 MG

BETAHISTINE HYDROCHLORIDE TABLET 24 MG

TRAMAL SUPP 100 MG SUPP 100 MG

TRAMADOL INJ 100 MG AMP 2 AMPUL 100 MG INJ 2 ML

2 PARACETAMOL PANADOL 500 MG 500 MG