Formularium Obat Puskesmas Merdeka

NO NAMA OBAT SATUAN

1 Accuchek strip Strip

2 Accuchek safe t pro uno Kotak
3 Air untuk Injeksi 25 ml Botol
4 Alat Suntik (Syringe) 0,005 ml Buah
5 Alat Suntik (Syringe) 1 ml Buah
6 Alat Suntik (Syringe) 3 ml Buah
7 Alat Suntik (Syringe) 5 ml Buah
8 Albendazol tablet 400 mg Tablet
9 Alcohol Swab Saset
10 Alopurinol tablet 100 mg Tablet
11 Aminofilin tablet 200 mg Tablet
12 Amitrippilin tablet 25 mg Tablet
13 Ambroxol Sirup Botol
14 Amlodipin tablet 5 mg Tablet
15 Amlodipin tablet 10 mg Tablet
16 Amoksisilin sirup kering 125 mg/5 ml Botol
17 Amoksisilin sirup kering forte 250 mg/5 ml Botol
18 Amoksisilin tablet 500 mg Tablet
19 Antasida DOEN tablet kunyah Tablet
20 Antifungi DOEN salep Pot
21 Antihemaroid DOEN Tablet
22 Asam askorbat (Vitamin C) tablet 50 mg Tablet
23 Asam mefenamat kaplet 500 mg Kaplet
24 Asiclovir tablet 200 mg Tablet
25 Asiclovir tablet 400 mg Tablet
26 Atropin injeksi 0.25 mg/ml Ampul
27 Attapulgit tablet 600 mg Tablet
28 Atenolol tablet 50 mg Tablet
29 Bedak salisil serbuk 2% Kotak
30 Betahistine Tablet
31 Betametason krim 0,1% Tube
32 Bisoprolol Tablet
33 Bioplacenton zalp Tube
34 Catgut / benang bedah No. 2/0 plain Buah
35 Catgut / benang bedah No. 3/0 plain Buah
36 Catgut / benang bedah No. 2/0 chromik Buah
37 Catgut / benang bedah No. 3/0 chromik Buah
38 Cefixime kapsul 200 mg Kapsul
39 Deksametason injeksi iv 5 mg/ml Ampul
40 Deksametason tablet 0,5 mg Tablet
41 Diazepam tablet 2 mg Tablet
42 Difenhidramin injeksi 10 mg/ml ( i.v./i.m.) Ampul
43 Diltiazem tablet 30 mg Tablet
44 Domperidon tablet 10 mg Tablet
45 Domperidon suspensi 5 mg/5 ml Botol
46 Dulcolax Child Supositoria
47 Eritromisin kapsul 250 mg Kapsul
 48 Eritromisin Kaplet 500 mg Kaplet
49 Etakridin / Rivanol 300 cc Botol
50 Etanol 70% Botol
51 Eugenol Botol
52 Fenitoin kapsul 30 mg kapsul
53 Fenobarbital tablet 30 mg Tablet
54 Fitamenadion (Vit. K) tablet 10 mg Tablet
55 Fitamenadion (Vit. K) injeksi 2 mg/ml Ampul
56 Furosemida tablet 40 mg Tablet
57 Flunarizine Tablet
58 Garam oralit I serbuk Saset
59 Glibenklamida tablet 5 mg Tablet
60 Gliklazide tablet 80 mg Tablet
61 Glukosa larutan infus 5 % Botol
62 Glukosamine Tablet
63 Griseril Guaiacolate Tablet
64 Griseofulvin tablet 125 mg Tablet
65 Haloperidol tablet 0.5 mg Tablet
66 Hidroklortiazid tablet 25 mg Tablet
67 Hidrokortison krim 2,5% Tube
68 Ibuprofen tablet 400 mg Tablet
69 Ibuprofen sirup 200 mg / 5 ml Botol
70 Infus zet dewasa Set
71 Infus zet adult Set
72 Infuset Anak Set
73 Isosorbit dinitrat tablet 5 mg Tablet
74 IV Catheter No. 18 G Buah
75 IV Catheter No. 20 G Buah
76 IV Catheter No. 22 G Buah
77 IV Catheter No. 24 G Buah
78 Kalsium laktat tablet 500 mg Tablet
79 Kapas Pembalut 250 mg Rol
80 Kaptopril tablet 12,5 mg Tablet
81 Kaptopril tablet 25 mg Tablet
82 Kaptopril tablet 50 mg Tablet
83 Kasa Pembalut Hidrofil 4 m x 10 cm Rol
84 Kasa Steril 16 cm X 16 cm Kotak
85 Kasa hidrofil non sterile 4 m x 5 cm Rol
86 Ketokonazol krim 2% Tube
87 Kloramfenikol kapsul 250 mg Kapsul
88 Kloramfenikol salep kulit 2% tube
89 Kloramfenikol suspensi 125 mg / 5 ml Botol
90 Kloramfenikol salep mata 1% tube
91 Klorfeniramin maleat tablet 4 mg Tablet
92 Klorpromazin tablet 100 mg Tablet
93 Kodein HCl tablet 10 mg Tablet
94 Kolkisin / rekolfar Tablet
95 Kotrimoksazol DOEN I tablet 960 mg Tablet
96 Kotrimoksazol DOEN I tablet 480 mg Tablet
97 Kotrimoxazol Suspensi 240 mg Botol
98 Lidokain injeksi 2% Ampul
99 Lidokain injeksi 2% (HCl) + Epinefrin Ampul
100 Lansoprazole Kapsul
101 Lysol 1 liter Botol
102 Masker Kotak
103 Metformin HCl tablet 500 mg Tablet
104 Meloxsicam 15 mg
105 Metilergometrin maleat injeksi 0,200 mg/ml Ampul
106 Metilergometrin maleat tablet 0,125 mg Tablet
107 Metoklopramida tablet 10 mg Tablet
108 Metronidazol tablet 500 mg Tablet
109 Metronidazole sirup 125 mg / 5 ml Botol
110 Metilprednisolon tablet 4 mg tablet
111 Mikonazol krim / salep 2% (nitrat) Tube
112 Natrium diklofenak tablet 25 mg Tablet
113 Natrium Bikarbonat Tablet
114 Natrium Klorida larutan infus 0,9% Botol
115 Nifedipin tablet 10 mg Tablet
116 Obat batuk syrup Hustab 60 ml Botol
117 Oksimetazolin tetes hidung 0.025% Botol
118 Oksitoksin injeksi 10 IU/ml Ampul
119 Omeprazol kapsul 20 mg Kapsul
120 Parasetamol drop 100 mg/ml Botol
121 Parasetamol Sirup 120 mg/ 5 ml Botol
122 Parasetamol tablet 500 mg Tablet
123 Permetrin Krim 5% (Scabimite Cream) Tube
124 Piridoksin (vitamin B6) tablet 10 mg (HCl) Tablet
125 Piridoksin (vitamin B6) injeksi Ampul
126 Plester 5 cm x 500 cm Rol
127 Povidon Iodida 10% Botol
128 Prednison tablet 5 mg Tablet
129 Probenesid tablet 500 mg Tablet
130 Propanolol tablet 10 mg (HCl) Tablet
131 Pyrantel pamoat tablet 125 mg Tablet
132 Ranitidin tablet 150 mg Tablet
133 Retinol (Vit. A) kapsul 100.000 IU Kapsul
134 Retinol (Vit. A) kapsul 200.000 IU Kapsul
135 Ringer lactat larutan infus Botol
136 Risperidon tablet 2 mg Tablet
137 Safeglove Examination Gloves L Box
138 Safeglove Examination Gloves M Box
139 Salbutamol tablet 2 mg Tablet
140 Salbutamol tablet 4 mg Tablet
141 Salep 2-4 Pot
142 Sefadroksil kapsul 500 mg Kapsul
143 Setirizine HCl sirup 5 mg/5ml Botol
144 Setirizin tablet 10 mg Tablet
145 Sianokobalamin (Vit. B12) injeksi 500 mcg/ml Ampul
146 Sianokobalamin tablet 50 mcg Tablet
147 Silk (benang bedah sutera) No. 2/0 Buah
148 Silk (benang bedah sutera) No. 3/0 Buah
149 Simvastatin tablet 10 mg Tablet
150 Siprofloksasin tablet 500 mg Tablet
151 Spironolakton tablet 25 mg Tablet
152 Stik Kolestrol Pot
153 Stik Gula Pot
154 Stik Asam Urat Pot
156 Tablet tambah darah Tablet
157 Tetrasiklin kapsul 500 mg Kapsul
158 Tiamin (Vitamin B1) tablet 50 mg Tablet
159 Ventoline Nebule Ampul
160 Vesperum Sirup Botol
161 Vitamin B Komplek tablet Tablet
162 WIDA KDN 1 larutan : karbohidrat + Elektrolit Botol
(D2,5% + KCL 0,15%+

Mengetahui

Kepala Puskesmas Medeka Pengelola Obat Puskesmas Merdeka

Dr. Litaria Sitepu Ester Andriani

NIP. 19770517 200502 2 002 NIP. 19890908 201101 2 006
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