Hrga PT - Dexa

No Kelas Terapi Spesifikasi
1 2
A. RSUD Siti Fatimah Provinsi Sumatera Selatan
1 Obat Antiaritmia Adenosin triphosphate 20 mg/2 ml
2 Antiinfeksi dan Antiseptik Telinga Per mL mengandung: 3mg Ofloxacin
Tiap 1 liter (1000 mL) larutan infus

mengandung Glucose 75 gram, total
Larutan steril mengandung free amino acids 30 gram, total
3 Elektrolit, Glikosa dan Asam nitrogen 4.7 gram, essential/non-
Amino (Infus) essential amino acids 1.44 gram,
branched-chain amino acids 30% w/w.
Energi : 420 kkal

mengandung Glucose 75 gram, total
Larutan steril mengandung free amino acids 30 gram, total
4 Elektrolit, Glikosa dan Asam nitrogen 4.7 gram, essential/non-
Amino (Infus) essential amino acids 1.44 gram,
branched-chain amino acids 30% w/w.
Energi : 420 kkal
Obat Anti Infalamsi Non Steroid Diazepam 2 mg, methampyrone 500

5
(OAINS) mg
Tiap 0,6 mL sirup mengandung vitamin

A 2,000 IU, vitamin C 30 mg, vitamin D
400 IU, vitamin B1 1 mg, vitamin B2
6 Suplemen & Vitamin
1.2 mg, vitamin B6 1 mg, vitamin B12 2
mcg, nicotinamide 10 mg, pantothenol
5 mg, lysine HCl 25 mg
Ektrak Citrus sinensis yang

mengandung Micronized Purified
7 Preparat Anorektal Flavanoid Fraction 500 mg setara
dengan Diosmin 90%, flavanoid dalam
bentuk hesperidin 10%.
Obat Lain yang Bekerja pada Sistem
8 Diacerein 50 mg
Muskuloskeletal
Elektrolit untuk kekurangan
9 K L-asparte 300 mg
Kalium
10 Suplemen dan Terapi Penunjang Astaxanthin 4 mg, selenium 15 mcg
Dekongestan Nasal dan Preparat

11 Nasal Lain Fluticasone Furoate 27,5 mcg
12 Vaksin / Antisera Inactivated Hepatitis A virus 80 IU.
13 Obat Topikal Benzil Benzoat

Per tablet dispersibel Ekstr bilberry
Suplemen dan Terapi Penunjang
14 kering 40 mg, retinol 800 IU, beta-
untuk Mata
carotene 2.5 mg, Vitamin E 20 mg
15 Obat Batuk dan Pilek (Inhalasi) Bromhexine HCl 4mg
Per 1 mL mengandung Framycetin

Antiseptik Telinga dengan sulphate 5 mg, gramicidin 0,05 mg,
16
Kortikosteroid dexamethasone Na
metasulfobenzoate 0,5 mg
Lithospermi radix extractum 0.18 mg,

Prednisolonum 1 mg, Lidocainum 15
17 Preparat Anorektal
mg, Aethylis Aminobenzoas 20 mg,
Cetrimide 2.5 mg
18 Obat Parkinson Bromocriptine mesilate 2.5 mg
Antibiotik Topikal (Infeksi Luka Tiap 1 g mengandung silver
19
Bakar) sulphadiazine 10 mg
Tiap liter infus mengandung ion

kalsium 3 meq, K 4 meq, ion natrium
20 Larutan Infus
130 meq, ion klorida 109 meq, asetat
28 meq
Coral Ca 500 mg, natural soy

isoflavone 20 mg, vit D3 200 iu, vit K1
21 Vitamin dengan Kalsium
25 mcg, Mg 100 mg, Zn 5 mg, boron 1
mg
22 Vitamin syrup Per-5 mL : Calcium 200 mg

23 Carbachol miostat
Pyridoxine HCl 25 mg,
Vitamin dan Mineral (untuk
24 Cyanocobalamin 25 mcg, Folic acid
Jantung)
500 mcg, d-α tocopherol 400 iu
25 Emolien dan Pelindung Kulit Urea 10%
27 Obat Hipertensi/Beta Blocker Karvediol 6,25 mg

Obat Anti Infalamsi Non Steroid
28 Celecoxib 100mg
(OAINS)
Obat Dekongestan, Anestesi, Vitamin A 1000 IU, Oxymetazoline
29
Antiinflamasi mata Hydrochloride 0.25 mg
30 Obat Midriatikum Atropina-sulfat 0.5%
Phenylephrine HCl 1,2 mg ; Zinc

31 Pelumas Mata
sulfate 2,5 mg
32 Antiinfeksi dan Antiseptik Mata Chloramphenicol 1%
33 Antiinfeksi dan Antiseptik Mata Ofloxacin 3 mg
34 Preparat Antiglaukoma Levofloxacin 5mg
Sodium Chloride 4.4 mg, Kalium

35 Preparat Mata Golongan Lain
Chlorid 0.8 mg
Chlorid 0.8 mg
37 Antiinfeksi dan Antiseptik Mata Natamycin 5 %
38 Antiinfeksi dan Antiseptik Mata Tiap 1 ml: prednisolone acetate 10 mg
Tiap 1 ml : Polyvinylpyrrolidone 20 mg,

39 Antiinfeksi dan Antiseptik Mata
Vitamin A, Natrium hyaluronat
Antiseptik Mata dengan Tobramycin 3.0 mg, Dexamethasone
40
Kortikosteroid 1.0 mg
Antiseptik Mata dengan Tobramycin 3.0 mg, Dexamethasone
41
Kortikosteroid 1.0 mg
Tiap vial mengandung: Retinol 3.500

IU, Cholecalciferol 220 IU,
Alphatocopherol 11,2 IU, Ascorbic acid
125 mg, Thiamine 3,51 mg,
Riboflavine 4,14 mg, Pyridoxine 4,53
mg, Cyanocobalamine 0,006 mg, Folic
42 Multivitamin Injeksi
acid 0,414 mg, Pantothenic acid 17,25
mg, Biotin 0,069 mg, Nicotinamide 46
mg. Eksipien: Glycine 250 mg,
Glycocholic acid 140 mg, Soya
Lecithin 112,5 mg, Sodium hydroxide
q.s, Hydrochloric acid q.s. pH=5,9.
43 Suplemen dan Terapi Penunjang Ekstrak Channa striata 500 mg
Antikoagulan, Antiplatelet dan

44 Cilostazol 50 mg
Fibrinolitik (Trombolitik)
Obat antivertigo dan gangguan

45 vestibular (gangguan bagian Cinnarizin 25 mg
telinga dalam dan otak)
Vasodilator Perifer dan Aktivator

46 Citicoline 250 mg injeksi
Serebral

Serebral
Hormon-Hormon Tropik dan
48 Clomifene citrate 50 mg
Preparat Sintetiknya
Coenzyme Q10 60 mg, Vitamin C 60
50 Suplemen dan Terapi Tambahan
mg, Vitamin E 100 IU
51 Hepatoprotektor Ekstrak Curcuma xanthorrhiza 20 mg
Tiap 11 tablet masing-masing

mengandung Estradiol Valerat 2 mg,
Estrogen dan Progesteron serta
52 dan 10 tablet masing-masing
mengandung Estradiol Valerat 2 mg,
Norgestrel 0,5 mg.
53 progesteron 200 mg
Anhydrous lanolin 60 mg, isopropyl

myristate 170 mg, cetyl alcohol 20 mg,
55 Emolien dan Pelindung Kulit sorbitan monostearate 80 mg,
polysorbate 20 mg, glycerol 100 mg,
dimethicone 50 mg, sorbic acid 1.5 mg.
Obat antiinflamasi nonsteroid

56 Deksketoprofen Injeksi
(OAINS)
Tiap tablet mengandung : Parasetamol

57 Obat Batuk dan Pilek 500 mg, Pseudoefedrin HCl 7,5 mg,
Klorfeniramin Maleat 2 mg.
Obat Anti Inflamasi Non Steroid Dexketoprofen Trometamol 36,9 mg

58
(OAINS) setara dengan Dexketoprofen 25 mg
59 Suplemen dan Terapi Penunjang Ekstrak Phaleria macrocarpa 100 mg
60 Obat Antipsikotik Sulpiride 50 mg
61 Obat Topikal Hydroactive gel
62 Vitamin dan Siplemen Vitamin D3 400 IU
Coral Ca sebagai Ionic Ca 500mg,

genistein 20mg, Vit D3 200IU, Vit K1
63 Kalsium/dengan Vitamin
25mcg, Mg 100mg, boron 1mg, Zn
5mg
64 Preparat Antimigren Eperisone HCl 50 mg

65 Obat Batuk dan Pilek Erdosteine Dry Sirup
Ergotamine tartrate 1 mg, caffeine 100
66 Obat Antimigren
mg
67 Ethinyl Estradiol 0,5 injeksi
68 Ethinyl Estradiol 0,5 tab
Obat Anti Inflamasi Non Steroid
69 Etoricoxib 120 mg
(OAINS)
70 Etoricoxib 60 mg
(OAINS)
71 Etoricoxib 90 mg
(OAINS)
Vitamin dan Mineral (untuk Masa Na Fe EDTA 115.4 mg [setara dg Fe

72
Hamil dan Nifas)/Antianemia elemental 15 mg (bebas bau amis Fe)].
73 Preparat untuk Masalah Vagina metronidazol 500 mg, nystatin 22,7 mg
Monobasic Na phosphate 19 g, dibasic

74 Laksatif, Pencahar
Na phosphate 7 g
75 Preparat Antimigren Flunarizine 10 mg
folic acid 1 mg, betacaroten 10000 iu,

vitamin b1 3 mg, vitamin b2 3.4 mg,
nicotinamid 20 mg, vitamin b6 2 mg,
calcium d pantotenate 7.5 mg, calcium
Vitamin dan Mineral (untuk Masa
77 carbonate 100 mg, vitamin b12 4 mcg,
Hamil dan Nifas)/Antianemia
vitamin d3 400 IU, vitamin k1 50mcg,
biotin 30 mcg, copper gluconate 0.1
mg, iron polymaltose complex 30 mg,
dha dari algae 40 mg, ara 8 mg
78 Preparat Telinga Golongan Lain Natrium dokusat 5 mg
Quadrivalent Human Papillomavirus

79 Vaksin / Antisera
(Type 6,11,16,18) Recombinant Vaksin
Setiap 5 ml mengandung : Mg
trisilicate 250 mg, koloid Al(OH)3 250
80 Obat Antirefluks & Antiulserasi
mg, simethicone (activated
dimethicone) 50 mg
Gelatin, Hydrochloric Acid, Sodium
81 Larutan Steril / Infus
Chloride and Sodium Hydroxide
Gelatin polysuccinate, Na acetate
82 Larutan Steril Intravena trihydrate, NaCl, KCl, CaCl dihydrate g,
MgCl hexahydrate, NaOH
83 Preparat Antiglaukoma Acetazolamide 250 mg
84 Vaksin / Antisera DPT, HIB, IPV, Hep B Ped
85 Isoxsuprine HCl 20 mg
fructus schizandrae (ekstrak siccum)
86 Hepatoprotektor
7,5 mg
87 Vaksin Anti Hepatitis B Ig Hepatitis B manusia
Per kaplet Imunvit Plus Echinacea extr
(EFLA 894) 250 mg, black elderberry
88 Suplemen dan Terapi Penunjang
extr 400 mg, Zn picolinate 10 mg,
selenium 15 mcg
89 Vaksin / Antisera DPaT (efek samping d harapkan tidak

tll tinggi di banding kan DPT biasa),
Hib, Polio, Hepatitis B dan Tetanus
Bioactive fraction DLBS3233,
90 Suplemen dan Terapi Penunjang Lagerstroemia speciosa extr 25 mg,
Cinnamomum burmannii extr 25 mg
Paracetamol 500 mg,

Phenylpropanolamine HCL 15 mg,
91 Obat Batuk dan Pilek Dexchlorpheniramine maleat 2 mg,
Dextromethorpan HBr 15 mg, Glyceryl
guaiacolate 50 mg
Glucose (11%), amino acids &

92 Produk Nutrisi Parenteral electrolyte (Vamin 18 Novum), fat
emulsion (Intralipid 20%)
Obat untuk saluran kemih dan
93 Ca polystyrene sulfonate 5 g
prostat
94 Antibiotik Aminoglikosida Kanamycin monosulfate 1 gr
ekstrak biji trigonella foenum-gracum
95 600 mg, ekstrak sauropus androgynus
100 mg
96 Anastesi Levobupivakain plain 0,75%
Per sachet (2,5gr) Viable cell
1.250.000.000 CFU mengandung :
Lactobacillus acidophilus 200.000.000
CFU, Lactobacillus rhamnosus
200.000.000 CFU, Bifidobacterium
longum 85.000.000 CFU,
Bifidobacterium bifidum 85.000.000
Regulator GIT, Antiflatulen dan
97 CFU, Streptococcus thermophilus
Antiinflamasi
680.000.000 CFU, polydextrose
869.63mg, fructo-oligosaccharide
375mg,lactulose mixed powder
125mg, vitamin C 35mg, vitamin E
8.125mg, vitamin A 3.6mg, pyridoxine
HCl 1.3mg, vitamin B2 0.75mg,
thiamine HCl 0.7mg.
curcuminoid 20 mg, Silymarin

Kolagogum, Kolelitolitik dan
98 phytosome 70 mg, choline bitartrate
Hepatoprotektor
150 mg, vitamin B6 2 mg
Setiap tablet kunyah mengandung 100

mg zat besi sebagai Kompleks Besi
99 Vitamin dan Siplemen
(III)-hidroksi polimaltosa dan 0.35 mg
asam folat
Radix scutellariae, Cortex

100 Obat Kulit Lain/ Topikal phellodendri, Rhizoma coptidis,
Sesame oil, Beeswax
101 Nootropik dan Neurotonik Mecobalamin 500 mcg

Air yang dimurnikan, PEG-4, Allium
102 Obat Kulit Lain
cepa extr, xanthan gum, allantoin
Pyrathiazine theoclate 40mg,
103 Antiemetik
pyridoxine HCl 37.5mg
104 Obat Antikolinesterase Pyridostigmine Br 60 mg
105 Antijamur dan Antiparasit Topikal Nystatin 100000 u, Zn oxide 200 mg
21 tablet masing-masing
mengandung : levonorgestrel 150 mcg,
106 Kontrasepsi Oral
ethinylestradiol 30 mcg plus 7 tablet
plasebo
107 Preparat Mulut/Tenggorokan Klorheksidin glukonat 0,1%, 0,2%
108 Vaksin Measles Mumps Rubella Vaccine
Per 5 mL susp Vit A 2,400 IU, vit B1 4
mg, vit B2 1.2 mg, vit B6 1.2 mg, vit
B12 4 mcg, vit C 60 mg, vit D 400 IU,
109 Vitamin dan/ Mineral nicotinamide 16 mg, Ca pantothenate
6 mg, choline 12 mg, inositol 12 mg,
Na hypophosphite 20 mg, Ca 33.1 mg,
Na 5.2 mg, L-lysine HCl 200 mg

110 Naproxen Sodium 500 mg
(OAINS)
metampiron 500mg, tiamin HCL 50mg,
111 piridoksin HCL 10 mg, sianokobalamin
(OAINS)
10 mcg,kafein 50 mg
Radix astragali membranaceus 0.127

g, radix salvia miltiorrhizae 0.025 g,
radix paeoniae rubra 0.025 g, rhizoma
lingusticum chuanxiong 0.025 g, radix
panax notoginseng 0.025 g, cortex
moutan (paeonia suffruticosa) 0.025 g,
whitmania pigra Whitman 0.015 g,
eupolyphaga seu steleophaga 0.015 g,
lignum dalbergiae odoriferae 0.025 g,
calculus bovis (synthetic) 0.006 g,
ramulus uncariae cum uncis 0.006 g,
buthus martensii 0.021 g, radix
polygalae tenuifolia/sibirica 0.025 g,
rhizoma acori tatarinowii 0.025 g
Vitamin B1 (Thiamine Mononitrate)

100 mg Vitamin B6 (Pyridoxine
113 Vitamin B Kompleks
Hydrochloride) 100 mg Vitamin B12
(Cyanocobalamin) 5000 mcg
Komposisi : Vitamin B1 100 mg,

114 Vitamin B Injeksi Vitamin B 6 100 mg, Vitamin B12 5000
mcg
Vitamin B Kompleks/dengan Vitamin B1 100 mg, Vitamin B6 200
115
Vitamin C mg, Vitamin B12 200 mcg.
Vitamin B Kompleks/dengan vitamin B1 100mg, vitamin B12 100mg,
116
Vitamin C vitamin B6 5000mcg
Antasida, Agen Antireflux dan
117 Misoprostol 0.2 mg
Antiulceran
Vit A 6,000 u, vit B1 10 mg, vit B2 2.5

mg, vit B6 15 mg, vit B12 4 mcg, vit C
100 mg, vit D 400 u, niacinamide 20
118 mg, Ca pantothenate 7.5 mg, folic acid
1 mg, Fe fumarate 90 mg, Ca lactate
250 mg, copper 0.1 mg, iodine 0.1 mg,
Na fluoride 1 mg
Vit A 3,000 iu, vit D 200 iu, vit E 30 iu,

vit B1 2 mg, vit B2 2 mg, vit B6 3 mg,
vit B12 3 mcg, folic acid 1,000 mcg, Ca
pantothenate 8 mg, biotin 35 mcg,
nicotinamide 20 mg, vit C 100 mg, Fe
elemental (as Ferrous Sulfate) 30 mg,
Vitamin dan Mineral (untuk Masa iodine 150 mcg, Ca carbonate 100 mg,
119
Hamil dan Nifas)/Antianemia Zn (as sulfate) 15 mg, Mg (as
magnesium sulfate) 5 mg, manganese
(as manganese sulfate) 1 mg, copper
(as cupric sulfate) 1,000 mcg, natural
fish oil 500 mg, omega-3 fatty acids
135 mg, DHA 105 mg, EPA (EPA) 20
mg
120 Antiemetik Per 5 ml : Ondansetron 4 mg
Vitamin dan Mineral (untuk Masa Ca 200 mg, vitamin D3 100 SI, tuna
121
Hamil dan Nifas)/Antianemia fish oil 200 mg
122 Obat Kontrasepsi dan Hormon 17 βeta-estradiol 0.06%

123 Otilonium Bromide 40 mg
Antiinflamasi
Polymyxin B sulfate 50000 iu,

neomycin sulfate 25 mg,
124 Antiinfeksi dan Antiseptik Telinga
fludrocortisone acetate 5 mg, lidocaine
HCl 200 mg
125
water, octyl methoxycinnamate, 4-
methylbenzylidene camphor, sorbitan
stearate, propylene glycol, cetyl
alcohol, stearic acid, butyl
methoxydbenzoylmethane,
benzophenone-3, hydrogenated
126 Sunscreen polyisobutene, glyceryl stearate,
caprylic triglyceride, tocopheryl
acetate, diazolidinyl urea,
triethanolamine, methylparaben, BHT,
aloe barbadensis extract, disodium
EDTA, xanthan gum, propylparaben,
fragrance
127 Petidin injeksi

128 Kontrasepsi Oral Levonorgestrel
129 Antikonvulsan Pregabalin 50 mg
rice starch, maltodextrin, lactobacillus

acidophilus, lactobacillus casei,
lactobacillus salivarius, bifidobacterium
130 Antidiare/Probiotik
infantis, bifidobacterium lactis,
bifidobacterium longum, lactococcus
lactis
Tuna oil 179 mg, omega-3 fatty acids

64.5 mg, DHA 48.5 mg, EPA 12.5 mg,
folic acid 400 mcg, vitamin A 345 IU,
131 vitamin D3 34.5 IU, vitamin B12 0.5
mcg, vitamin B6 150 mcg, Ca
carbonate 100 mg, Mg oxide 62.5 mg,
Fe fumarate 23.5 mg

132 Ketoprofen 50 mg
(OAINS)
Analgesik (Non Opiat) dan
133 Parasetamol 160 mg tiap supositoria
Antipiretik
Antipiretik
Antipiretik
136 Kontrasepsi dan Hormon Medroxyprogesterone acetate 10 mg
137 Suplemen dan Terapi Penunjang ekstrak psidii folium
Tiap 5ml mengandung : Psidii folium

extract 250 mg
Suplemen untuk memelihara Komposisi: Coenzym Q10, Vitamin C,

139
kesehatan (jantung) Vitamin E, Zingiber Officinalle Rhizoma
140 Anastesi Bupivacaine HCl Injeksi 20 mg/4 ml
Antasid, Obat Antirefluks &

141 Ranitidine 150 mg
Antiulserasi
142 Obat Mukolitik Acetylcysteine 200 mg 200 mg/ml
Pseudoephedrin HCl 30 mg,
143 Antihistamin dan Antialergi
Terfenadine 40 mg
Lepas cepat : Loratadine 5 mg dan
144 Obat Batuk dan Pilek
Pseudoefedrin 60 mg
145 Obat Antipsikotik Risperidone 2 mg
Extract thymi liquid 250 mg, extract

primulae liquid 50 mg, extract althae
liquid 175 mg, extract droserae 25 mg,
146 Obat Batuk dan Pilek extract serphylli 175 mg, ol eucalypti
0,5mg, ol anisi 1,25 mg, syrupus
simplex 2,5g, excip c corrigen q s ad 5
ml

147 Cilostazol 100 mg
148 Pelarut obat atau pemanis obat Sirplus sirup 100 ml
149 Pelarut obat atau pemanis obat gula alami, granul rasa jeruk
150 Otilonium Br 40 mg
Antiinflamasi
Levodopa 100 mg, carbidopa 25 mg,
151 Obat Anti Parkinson
entacapone 200 mg
zinc oxide, benzyl alcohol, benzyl

benzoate, benzyl cinnamate dan
Krim Antiseptik Obat Kulit Bayi
152 lanolin (hypoallergenic). Krem ini juga
Anak
mengandung purified water, parafin
cair, asam sitris, dan bahan-bahan lain
153 Obat Topikal Amorphes Gel

Tiap dosis (0,5 mL) mengandung
Pneumococcal polysaccharide vaccine
(serotype 1, 4, 5, 6B, 7F, 9V, 14, 18C,
154 Vaksin
19F, dan 23F), dan nontypeable
Haemophilus influenzae protein D
conjugate vaccine, adsorbed

155 Ginkgo biloba extr (EGb 761) 120 mg
Serebral
Salix alba bark extract, Aloe
156 Emolien dan Pelindung Kulit barbadensis leaf extract, Hyaluronic
acid
Tramadol HCl 37,5 mg, Parasetamol
157 Analgetik
325 mg
Tramadol HCl 37,5 mg, Parasetamol
158 Analgetik
325 mg
pseudoephedrine 60 mg, 2,5 mg
triprolidine HCl
160 Preparat Antimigren Sumatriptan succinate 100 mg
161 Obat Antiangina Trimetazidine dihidroklorida 2 mg
Typhim Vi pre-filled inj 0.025 mg/0.5
162 Vaksin
mL
163 Obat hormon Micronised progesterone 200 mg
164 Obat Hipertensi Sacubitril 24,3 mg, valsartan 25,7 mg
165 Antiseptik Saluran Kemih Asam Pipemidat 400 mg
167 Vaksin Influenza Vaksin Influenza 0,25
169 Vaksin anti varicella Vaksin anti varicella
170 Hormon Anti Diuretik Vasopressin
171 Vitamin Injeksi Vitamin C 200 mg injeksi
Pancreatin 170 mg setara amilase

Obat yang mengandung enzim
172 5500 u, lipase 6,500 u, protease 400 u,
pencernaan
dimethylpolysiloxane 80 mg.
Drospirenon 3 mg, Etinilestradiol 0,03
173 Kontrasepsi Oral
mg
174 Obat Sedatif Zolpidem
175 Antikonvulsan Zonisamide 100 mg
176 Acyclovir Injeksi 250
177 Mukolitik Ambroksol Sirup 15 ml/5 ml
178 Amfoterisin B Injeksi 5mg/ml
Per 5 mL mengandung : Amoksisilin
179 Antibiotik trihidrat 125 mg + Kalium klavulanat
31.25 mg
Tiap 5 ml suspensi mengandung :

180 Antibiotik Amoksisilin trihidrat setara dengan
Amoksisilin 125 mg

Amoksisilin 250 mg

182 Acetylsalicylic acid 100 mg
183 Obat ACE Inhibitor Captopril 25 mg
184 Obat ACE Inhibitor Captopril 12,5 mg
185 Antibiotik Sefalosporin Sefadroksil Anhidrat 150 mg
186 Antihistamin dan Antialergi Cetirizine 10 mg/ml
Didymocarpus pedicellata 65 mg,

Saxifraga ligulata 49 mg, Rubia
cordifolia 16 mg, Cyperus scariosus 16
mg, Achyranthes aspera 16 mg,
Onosma bracteatum 16 mg, Vernonia
187 Suplemen dan Terapi Penunjang cinerea 16 mg, Hajrul yahood bhasma
bubuk 16 mg, shilajeet, Ocimum
sanctum, Tribulus terrestris, Mimosa
pudica, Dolichos biflorus, Pavonia
odorata, Equisetum arvense, Tectona
grandis.
Dextrose Anhydrous dan Sodium

Chloride
Tiap 500 ml : Glukosa Anhidrat 25 gr,
Natrium Klorida 2,25 gr, Air untuk
189 Larutan Steril / Infus Injeksi ad 500 ml, Natrium 77 mEq/L,
Klorida 77 mEq/L, Osmolaritas 423
mOsm/L.

193 Larutan Steril / Infus 40% Dextrose
194
195 Antibiotik Eritromisin sirup 200mg/5 ml

196 Anastesi Ethil Klorida
Tiap mL injeksi mengandung
197 Hormon Kortikosteroid
Triamcinolone 40 mg
198 Hepatoprotektor L-ornitin-L-aspartat
200 Analgetik (Osteoartritis) Sodium hyaluronate 20 mg/2 mL
201 Obat Anti Spasmodik Hyoscine N-Butylbromide 20 mg/ml

202 Kalium diklofenak 50 mg
(OAINS)
203 Kortikosteroid Topikal Klobetasol Propionate 0,05%
204 Obat Antikonvulsan Lamotrigine 50 mg
205 Nootropik dan Neurotonik Mecobalamin 500 µg

206 Meloksikam 15 mg
(OAINS)

207 Meloksikam 7,5 mg
(OAINS)
208 Antibiotik Golongan Lain Metronidazole 500 mg
Methyl salicylate 102 mg, menthol 54.4
209 Obat Sistem Muskuloskeletal mg, eugenol 13.6 mg, dan kapsaicin
0.5 mg
210 Antijamur Nistatin 100.000 IU
211 Omeprazole 20 mg
Antiulserasi
212 Larutan Infus Per ml : Na 0.154 mEq, Cl 0.154 mEq
Obat Dekongestan, Anestesi,

213 Tetrakaina 2%
Antiinflamasi mata
214 Paracetamol 250mg/5ml
Antipiretik
215 Nootropik dan Neurotonik Piracetam 500 mg/5 ml
216 Obat Hipertensi/Beta Blocker Propanolol HCl 10 mg
217 Obat Antitiroid Propylthiouracil 100 mg
218 Obat Antirefluks & Antiulserasi Ranitidin HCl 75 mg tiap 5 mL
219 Larutan Infus
220 Preparat Antiasma Salbutamol sulfat 2.5 mg
221 Antibiotik/Sefalosporin Sefadroksil 500 mg

222 Antibiotik/Sefalosporin Sefaleksin 500 mg
223 Obat Untuk Disfungsi Ereksi Sildenafil Citrate 50 mg
224 Antibiotik Ciprofloxacin 500 mg
Obat perdarahan lambung-usus
225 Somatostatin 3 mg
akut
Tiap dosis semprotan mengandung
226 Preparat Antiasma
Tiotropium Bromida 2,5 mcg
227 Antibiotik/Sulfonamid Sulfadiazin
228 Obat Jantung Amiodarone HCl 200 mg

229 Relaksan Otot Tizanidine HCI 2 mg
230 Antihistamin dan Antialergi Triamcinolone 4 mg
231 Preparat Mulut/Tenggorokan Triamcinolon 0,1 %
232 Antivirus Valacyclovir 500 mg
233 Antibiotik Vankomisin HCl 500 mg
Agen Penghambat
234 Vecuronium Bromide 4 mg
Neuromuskuler
JUMLAH A
B. RS. Khusus Mata Masyarakat
1 Analgetik Asam Mefenamat 500 gram
1 Preparat Antiglaukoma Pilokarpin HCl 2%
Setiap ml larutan mengandung:

Carmllose Sodium 5 mg

3 Sodium hyaluronate 1.00 mg
Antiinflamasi mata

Chlorid 0.8 mg
Zat aktif: tropicamide, dan zat non-

aktif: sodium bisulfite, disodium
edetate, propyl methyl cellulose, dan
distilled water

8 Na Diklofenak
Antiinflamasi mata

9 Fluorometholon 1mg
Antiinflamasi mata
10 Preparat Mata Golongan Lain Prednisolone 10 mg
11 Preparat Antiglaukoma Timolol 0.5%
12 Obat Midriatikum Atropina-Sulfat 1%

14 Antijamur Itraconazole 100 mg
15

17 Antibiotik
18 Analgetik dan Antipiretik Parasetamol 500 mg
JUMLAH B
C. RS. Khusus Paru
1 Obat Hiperurisemia dan Gout Allopurinol 300 mg
2 Mukolitik Ambroxol 30 mg
Tiap 0,6 mL sirup mengandung vitamin

A 2,000 IU, vitamin C 30 mg, vitamin D
400 IU, vitamin B1 1 mg, vitamin B2
1.2 mg, vitamin B6 1 mg, vitamin B12 2
mcg, nicotinamide 10 mg, pantothenol
5 mg, lysine HCl 25 mg
Per 5 mL sir Vit A 5,000 IU, vit B1 3

mg, vit B2 2 mg, vit B6 6 mg, vit B12 5
mcg, vit C 50 mg, vit D 400 IU,
nicotinamide 20 mg, lysine HCl 250
mg, d- pantothenol 5 mg, l- glutamic
acid 25 mg

Vitamin B1 HCl 100 mg, Vitamin B6
7 Vitamin B Injeksi
100 mg, Vitamin B12 5000 Ã‚Âµg
Bromhexine HCl 4 mg, Guaifenesin

100 mg
11 Citicoline 125 mg/ml injeksi
Serebral
13 Obat Anti Inflamasi Steroid Deksametason 0,5 mg
15 Obat Batuk dan Pilek Erdosteine 300 mg
16 Larutan Steril/ Infus
17 Vitamin syrup
18
19 Obat Anti Tuberkolosis Etambutol 500 mg
Paracetamol 500 mg,

Fenilpropanolamina HCl 15 mg,
Klorfeniramina maleat 1 mg,
Dextromethorphan HBr 15 mg
Tiap 5 ml sirup: Paracetamol 150 mg,

Fenilpropanolamina HCl 3,5mg,
Klorfeniramin maleat 0,5 mg,
Dextromethorphan HBr 5mg
22 Antibiotik Injeksi Gentamisin 40mg/ml
Setiap 1 gram Garamycin

mengandung gentamicin sulfate yang
23 Antibiotik Topikal
ekuivalen dengan 1 mg (0,1%)
Gentamicin
24 Ibuprofen 200 mg
(OAINS)
Per kaplet Imunvit Plus Echinacea extr

(EFLA 894) 250 mg, black elderberry
extr 400 mg, Zn picolinate 10 mg,
selenium 15 mcg
26 Obat Anti Tuberkolosis Isoniazide 100 mg

28 Obat Antiangina Isosorbide Dinitrat 5 mg

(OAINS)
Mengandung 3-methyl-2-oxovaleric
acid 67 mg, 4-methyl-2-oxovaleric acid
101 mg, 2-oxo-3-phenylpropionic acid
68 mg, 3-methyl-2-oxobutyric acid 86
31 Suplemen & Vitamin mg, 2-hydroxy-4-methylthiobutyric acid
59 mg, L-lysine monoacetate 105 mg,
L-threonine 53 mg, L-tryptophan 23
mg, L-histidine 38 mg, L-tyrosine 30
mg, total Ca 50 mg

(OAINS)
phenolphtalein 55 mg, paraffin

33 Laksatif/Pencahar
liquidum 1200 mg, glycerin 378 mg
34 Antibiotik Levofloxacin 500 mg
(OAINS)
36 Preparat Antiasma dan PPOK Procaterol HCl hemihydrate
37 Metronidazole Metronidazole 500 mg
38 Larutan Steril / Infus Na 154 mEq, Cl 154 mEq
Obat Saluran Kemih Kelamin
39 Natrium Bicarbonat 500 mg
Golongan lain
Vitamin B Kompleks/dengan Vitamin B1 100 mg, Vitamin B6 200
40
Vitamin C mg, Vitamin B12 200 mcg.
41 Antijamur Nystatin 100.000 iu
Tiap 5 ml : Succus Liquiritae 167 mg,
42 Obat Batuk Hitam (OBH) Ammonium Chloride 100 mg, Alkohol
0,8%
43 Obat Antirefluks & Antiulserasi Omeprazole 30 mg
Curcuminoid 20 mg, Silymarin

45 Hepatoprotektor Phytosome 70 mg, Choline Bitartrate
150 mg, vitamin B6 2 mg

Antiulserasi
47 Antispasmodik Hyoscine N - butylbromide 10 mg
Tiap dosis semprotan mengandung

Tiotropium Bromida 2,5 mcg
50 Sucralfate 500 mg
Antiulserasi
Per tablet : Salbutamol Sulfate 1 mg,
51 Preparat Antiasma dan PPOK
Teofilin 150 mg.
52 Antibiotilk Tiamfenikol 500 mg
Per kaps Indacaterol 110 mcg,

glycopyrronium 50 mcg.
Per 5 mL Curcuminoid 2 mg, beta-

carotene 4 mg, vit B1 3 mg, vit B2 2
mg, vit B6 5 mg, vit B12 5 mcg, vit D
55 Vitamin Anak
100 iu, dexpanthenol 3 mg, Ca
pidolate 300 mg, fructo-
oligosaccharide 300 mg.
JUMLAH C
D. Rumah Sakit Khusus Gigi dan Mulut
2 Hemostatik Asam Tranexamat 500 mg
ekstrak placenta dari sapi 10%,
neomycin sulfate 0.5%, jelly base
Chlorid 0.8 mg
amoxicilin 500 mg dan asam
9 Antibiotik
klavulanat 125 mg
11 Preparat Mulut/Tenggorokan fradiomycin 2,5 mg, gramicidin 1 mg
Paracetamol 500 mg,

12 Obat Batuk dan Pilek phenylpropanolamine HCl 12.5 mg,
chlorpheniramine maleate 2 mg

Gentamicin

14 Ibuprofen 200 mg
(OAINS)
15 Ibuprofen 400 mg
(OAINS)
Paracetamol 500 mg,

Phenylpropanolamine HCL 15 mg,
16 Obat Batuk dan Pilek Dexchlorpheniramine maleat 2 mg,
guaiacolate 50 mg

(OAINS)
18 Antijamur Metronidazole 500 mg
Vit A 4000 IU, Vit C 50 mg, Vit D 400

IU, Vit E 10 mg, Vit B1 3mg, Vit B2
3mg, Vit B6 2mg, Vit B12 2mcg,
nicotinamide 20mg, Ca pantothenate
21 Vitamin dan Mineral
5mg, folic acid 1mg, biotin 0,1mg, Fe
fumarate 20mg, Ca 100mg, copper
0,5mg, maanganese 0,5mg, Mg 1mg,
Zn 0.25mg
Per 5 mL Paracetamol 125 mg,

chlorpheniramine maleate 0.5 mg,
phenylpropanolamine HCl 3.125 mg,
guaiphenesin 50 mg.
Antiulserasi
24 Vitamin Vitamin C 250 mg

JUMLAH D
E. Balai Pengobatan Korpri Provinsi Sumatera Selatan

(OAINS)
5 Meloksikam 15 mg
(OAINS)
Dexamethasone 0,5 mg
Dexchlorpheniramine Maleate 2 mg
Paracetamol 500 mg,

chlorpheniramine maleate 2 mg,
dextromethorphan HBr 15 mg
10 Antalgin 500 mg
Antipiretik
Antiulserasi
Vitamin B Kompleks/dengan Vit B1 100 mg, vit B12 200 mcg, vit B6
14
Vitamin C 200 mg.
Vit A 4000 IU, Vit C 50 mg, Vit D 400
IU, Vit E 10 mg, Vit B1 3mg, Vit B2
3mg, Vit B6 2mg, Vit B12 2mcg,
nicotinamide 20mg, Ca pantothenate
5mg, folic acid 1mg, biotin 0,1mg, Fe
fumarate 20mg, Ca 100mg, copper
0,5mg, maanganese 0,5mg, Mg 1mg,
Zn 0.25mg
Vitamin A, Vitamin D, Vitamin B1,

Vitamin B2, Vitamin B6, Vitamin B12,
16 Vitamin dan Mineral (Pediatrik)
niasinamid, Ca-pantotenat, L-lisin HCl,
Vitamin C
fish oil 18/12: EPA/DHA 400mg, vit E

17 natural 4mg, folic acid 400mcg, vit B6
6mg, vit B12 25mcg.
Glucosamine sulphate 500 mg,

chondroitin sulfate 400 mg, vit C 50
18 Suplemen dan Terapi Penunjang mg, manganese 0.5 mg, Mg 10 mg,
selenium 10 mcg, Zn 5 mg, MSM 350
mg.
Tiap tablet mengandung :

19 Antispasmodik Methampyron 500mg, Papaverine HCl
25mg, Belladonna extract 10mg.

21 Obat Batuk Hitam (OBH) Ammonium Chloride 100 mg, Alkohol
0,8%
Ammonium Chlorida 150 mg,

22 Obat Batuk Putih (OBP) Ammonia Liquida 0.0025 ml, Ol.
Menthae Piperithiae 0.005 ml
24 Antidiare Kaolin 700 mg dan Pektin 50 mg

guaiphenesin 50 mg.
Per 5 mL sirup mengandung Vit A
5,000 iu, vit B1 1.5 mg, vit B2 2 mg, vit
26 Vitamin dan/ Mineral B6 1 mg, vit B12 5 mcg, vit C 60 mg,
vit D 400 iu, nicotinamide 20 mg, lysine
HCl 200 mg, d- panthenol 3 mg.
Tiap 60 gram bedak mengandung talc,

27 Keratolitikum
salicylic acid 2 %
Tiap gram mengandung : Menthol 53,4

28 mg, eugenol 13, 6 mg, methyl
Antipiretik Topikal
salicylate 102 mg

30 Antikoagulan Topikal Heparin sodium 200 IU

Gentamicin
Antiinfeksi Topikal dengan betametason 0.1% + neomisin sulfat

32
Kortikosteroid 0.5%

33 Ibuprofen 200 mg
(OAINS)
34 Antidiare Attapulgite 600 mg, Pectin 50 mg
35 Obat Anti Virus Topikal Asiklovir Krim 5%

ATP 20mg, thiamine 100mg, pyridoxine
Obat Kardiovaskuler Golongan
36 200mg, cyanobalamin 200mcg, vitamin e
Lain 30mg
ß-carotene 6mg, Vitamin C 100mg,

37 Vitamin dan/ Mineral
Vitamin E 25mg, Lycopene 5m
lithospermi radix ekstrak, aethylis

38 Preparat Anorektal aminobenzoas, dibucaini hcl,
diphenhydramini hcl, cetrimide
JUMLAH E
F. Buffer Stock Dinas Kesehatan Provinsi Sumsel
1 Antibiotik Amoksisilin sirup kering 125 mg/5 ml

5 Piroksikam 10 mg
(OAINS)
Tiap 60 gram bedak mengandung talc,

6 Keratolitikum
salicylic acid 2 %

7 Ibuprofen 200 mg
(OAINS)
Ekstrak Schizandrae fructus 135 mg,

ekstrak Kurkuma xanthorrhizae
Kolagogum, Kolelitolitik dan rhizoma 150 mg, ekstrak Liquiritiae
10
Hepatoprotektor radix 135 mg, kolin bitartrat 150 mg,
vit-B6 2 mg, silymarin phytosome35
mg
Alpha-Ketoisoleucine Ca salt 67 mg,

Alpha-Ketoleucine Ca salt 101 mg,
Alpha-Ketophenylalanine Ca salt 68
Obat untuk saluran kemih dan mg, Alpha-Hydroxymethionine Ca salt
11
prostat 59 mg, Alpha-Ketovaline Ca salt 86
mg, L-tryptophan 23 mg, L-threonine
53 mg, L-histidine 38 mg, L-tyrosine 30
mg, L-lysine acetate 105 mg
Metampiron 500mg, tiamin HCL 50mg,

12 Obat Anti Inflamasi Non Steroid piridoksin HCL 10 mg, sianokobalamin
10 mcg,kafein 50 mg
Paracetamol 500 mg, Pseudoefedrin

13 Obat Batuk dan Flu HCL 7.5 mg, Klorfeniramin maleat 2
mg.

Gentamicin
17 Vitamin Vitamin C 250 mg
18
JUMLAH F
G. PROGRAM P2PL
1 Insektisida Bahan aktif Sipermetrin 50 gr/lt
Mengandung Temephos 1 % dengan

2 Larvasida formulasi berbentuk butiran sehingga
mudah digunakan
3 Antipsikotik Klorpromazin 100 mg

4 Antipsikotik Haloperidol Injeksi 5 mg
JUMLAH G
Harga
Jumlah
Satuan Merk Volume Satuan
(Rp)
(Rp)
3 4 5 6 7
Kotak 10 ampul ATP Kalbe 10 411,401 4,114,010
Botol 5 ml Akilen Ear Drop 6 73,500 441,000
Softbag 1000 ml Aminofluid 1000 ml Infus 50 330,100 16,505,000
Softbag 500 ml Aminofluid 500 ml Infus 50 160,719 8,035,950
Kotak 100 tablet Analsik 10 230,000 2,300,000
Botol 10 ml Apialys Drop 10 ml 200 50,000 10,000,000
Kotak 60 tablet Ardium 500 mg 2 537,500 1,075,000

Kotak 30 tablet Artrodar 10 384,360 3,843,600
Kotak 100 tablet Aspar K 10 346,300 3,463,000
Kotak 30 tablet Asta Plus 33 347,820 11,478,060
Botol 120 ml Avamys Nasal Spray 6 228,500 1,371,000
Kotak 1 Prefilled
Avaxim 10 238,701 2,387,010
Syringe @ 0.5 mL
Kotak 100 tablet Berry Vision 10 279,620 2,796,200
Botol 50 ml Bisolvon 5 -
Botol 5 ml Blecidex Ear Drop 6 50,000 300,000
Kotak 10 Suppos Borraginol S Supositoria 10 196,480 1,964,800
Kotak 30 tablet Cripsa 2.5 mg 16 500,000 8,000,000
Tube 35 gram Burnazin krim 35 g 400 65,471 26,188,400
Botol 500 ml Asering 500 ml 300 25,000 7,500,000
Kotak 30 tablet Cal 95 4 211,070 844,280
Botol 100 ml Calnic sirup 100 ml 100 49,700 4,970,000

-
Kotak 20 tablet Cardiomin Soft Capsul 300 72,510 21,753,000
Tube 40 gram Carmed 10% Cream 48 34,369 1,649,712
Tube 40 gram Carmed 20% Cream 48 44,235 2,123,280
Kotak 30 tablet V Bloc 6.25 166 111,990 18,590,340
Kotak 30 tablet Celebrex 100 mg 16 432,570 6,921,120
Botol 5 ml Cendo Asthenof ED 50 25,522 1,276,100
Botol 5 ml Cendo Tropine 0,5% ED 20 16,000 320,000
Cendo Augentonic 5 ml
Botol 5 ml 50 32,400 1,620,000
ED
Cendo Fenicol Eye Oint
Tube 3,5 gram 60 -
3,5 g
Pcs Cendo Floxa 12 30,000 360,000
Pcs Cendo LFX 0,6 ml MD 12 87,300 1,047,600
Botol 15 ml Cendo Lyteers ED 100 29,700 2,970,000
Minidose 5 x 0.6
Cendo Lyteers MD 20 26,000 520,000
ml
Minidose 5 x 0.6
Cendo Natacen MD 12 52,000 624,000
ml
Cendo P-pred Eye Drop 5

Botol 5 ml 30 88,500 2,655,000
ml
Minidose 5 x 0.6
Cendo Protagenta MD 12 51,375 616,500
ml
Minidose 5 x 0.6
Cendo Tobroson MD 12 41,563 498,756
ml
Botol 5 ml Cendo Tobroson ED 60 65,257 3,915,420
Kotak 10 vial Carnevit 5 2,250,000 11,250,000
Kotak 30 kapsul Channa Cap 167 264,165 44,115,555
Kotak 100 tablet Pletaal 10 1,140,900 11,409,000
Kotak 10 ampul Citicoline 250 mg injeksi 50 65,000 3,250,000
Kotak 10 tablet Provula 50 mg 50 211,030 10,551,500
Kotak 30 tablet Clovertil 50 mg 15 205,200 3,078,000
Kotak 30 tablet Cor-Q 33 135,000 4,455,000
Kotak 100 tablet Curcuma 20 140,250 2,805,000
Kotak isi 1 Blister Cyclo Progynova 4 146,900 587,600

Kotak 30 ovula Cygest 200 mg Vagtab 3 429,000 1,287,000
Kotak 30 ovula Cygest 400 mg Vagtab 3 1,119,900 3,359,700
Tube 40 gram Decubal Cream 40 gr 82 52,000 4,264,000
Ampul Dexketoprofen Injeksi 100 12,500 1,250,000
Kotak 100 tablet Demacolin 10 57,970 579,700
Kotak 50 tablet Dexketoprofen tablet 20 210,000 4,200,000
Kotak 30 tablet Dismeno 2 184,140 368,280
Kotak 100 tablet Dogmatil 10 716,000 7,160,000

Duoderm Hydroactive gel
Tube 15 gram 24 78,660 1,887,840
15 gram
Kotak 30 tablet D-Fit FT 4 87,000 348,000
Kotak 30 tablet Eazycal tab 4 202,950 811,800
Kotak 100 tablet Eperisone 50 mg 5 197,100 985,500

Botol 60 ml Erdosteine Dry Sirup 300 35,300 10,590,000
Botol 100 tablet Ergotamine Coffeine 10 22,385 223,850
-
-
Kotak 30 tablet Arcoxia 120 mg 4 488,400 1,953,600

Botol 15 ml Ferriz Drop 15 ml 100 40,590 4,059,000
Kotak 10 ovula Fladystin Ovula 8 218,310 1,746,480
Botol 133 ml Fleet Enema 170 135,403 23,018,510
Kotak 100 tablet Flunarizine 10 mg 5 477,200 2,386,000

Kotak 30 tablet Flunarizine 5 mg 16 95,190 1,523,040
Botol 30 kapsul Folamil Genio 20 149,226 2,984,520
Botol 10 ml Forumen Tetes Telinga 20 34,569 691,380
Kotak 1 Syringe Gardasil 6 850,000 5,100,000
Botol 120 ml Gastrinal HD suspensi 50 20,000 1,000,000
Botol 500 ml Gelofusin Infus 500 ml 20 75,000 1,500,000
Botol 500 ml Gelafusal 100 85,000 8,500,000
Kotak 100 tablet Glauseta 5 650,000 3,250,000

HEXAXIM 20 900,000 18,000,000
Kotak 50 tablet Hystolan 20 mg 2 314,950 629,900
Kotak 120 tablet Hp Pro 4 872,256 3,489,024
Syringe HYPERHEP B 5 2,755,170 13,775,850
Kotak 20 tablet Imunvit Plus tablet 50 243,540 12,177,000
Kotak Infanrix Hexa 20 695,000 13,900,000
Kotak 30 tablet Inlacin 50 mg 2 165,000 330,000
Kotak 100 tablet Intunal F Tab 10 98,225 982,250
Chamber Bag Kabiven Peripheral 10 435,000 4,350,000
Kotak 20 Sachet Kalitake Granul 5 g 25 170,000 4,250,000
Kotak 10 vial Kanamycin 1 g 1 200,000 200,000
Kotak 60 tablet Lactamam 4 243,540 974,160
-
Sachet Liprolac Sach 2,5 g 100 9,020 902,000
Kotak 30 tablet Pro Liver 33 203,480 6,714,840
Kotak 30 tablet Maltofer Fol 4 115,005 460,020
Tube 20 gr Mebo Oint 50 89,400 4,470,000
Kotak 50 tablet Mecobalamin 500 mcg 40 61,350 2,454,000
Tube 20 gr Mederma Gel 8 230,010 1,840,080
Kotak 100 tablet Mediamer B6 2 378,000 756,000
Kotak 150 tablet Mestinon 60 mg 6 1,417,500 8,505,000
Tube 10 gr Myco Z 10 gr 24 102,545 2,461,080
Kotak 25 Strip Microgynon tab 25 4 423,700 1,694,800
Botol 60 ml Minosep Gargle 100 31,119 3,111,900

Vial 20 ml MMR 10 445,000 4,450,000
Botol 60 ml Elkana Syrup 200 31,254 6,250,800
Kotak 100 kapsul Alif 500 1 200,000 200,000
Kotak 100 tablet Neuralgin Rx 5 103,300 516,500
Kotak 24 kapsul Neuroaid II Kapsul 8 904,600 7,236,800
Kotak 250 tablet Neurobion Forte 4 993,300 3,973,200
Kotak 20 pasang
Neurobion 5000 Injeksi 15 219,500 3,292,500
ampul @ 1 ml
Kotak 200 tablet Neurodex 5 150,040 750,200
Kotak 100 tablet Neurosanbe 5000 tab 2 342,870 685,740

Kotak 50 tablet Noprostol 4 450,000 1,800,000
Kotak 30 tablet Obimin AF STR 10 64,944 649,440
Kotak 60 tablet Obipluz 8 163,194 1,305,552
Botol 60 ml ODR Sirup 10 131,853 1,318,530
Kotak 30 kapsul Osfit DHA 25 180,015 4,500,375
Tube 80 gram Oestrogel 1 312,100 312,100
Kotak 30 tablet Lonide 40 mg 6 260,370 1,562,220
Botol 8 ml Otopain Tetes Telinga 6 103,906 623,436
Oxinom -
Parasol Sunscreen Lotion
Tube 100 gram 200 114,464 22,892,800
SPF 30
-
Kotak 2 tablet Postinor-2 2 28,562 57,124
Kotak 14 tablet Lyrica 14 174,230 2,439,220
Kotak 30 Sachet L-Bio 8 281,820 2,254,560
Kotak 60 tablet Promavit 16 267,894 4,286,304
Kotak 30 tablet Ketoprofen 50 mg 5 105,000 525,000
Kotak 12 suppos Propyretic 160 mg 8 123,708 989,664
Kotak 100 tablet Provera 10 mg 10 -

Botol 50 tablet Psiidii Kapsul 12 338,250 4,059,000
Botol 60 ml Psiidii Syrup 30 50,996 1,529,880
Botol 15 kapsul Q10 Plus 33 291,500 9,619,500
Kotak 5 ampul 4
Quanocain Spinal Heavy 10 245,000 2,450,000
ml
Kotak 100 tablet Ranitidin tablet 2 22,000 44,000
Botol 25 ml Respar 2 170,000 340,000
Kotak 50 tablet Rhinofed tablet 3 140,000 420,000
Kotak 50 tablet Rhinos SR 20 375,000 7,500,000
Kotak 100 tablet Riperidone 2 mg 3 225,000 675,000
Botol 100 ml Silex Sirup 62 74,682 4,630,284
Kotak 100 tablet Cilostazol 100 mg 5 595,000 2,975,000
Botol 100 ml Sirplus sirup 100 ml 50 17,589 879,450

Botol 500 tablet Sirplus Jeruk 1 38,500 38,500
Kotak 30 tablet Spasmomen 40 mg 10 854,100 8,541,000
Botol 30 tablet Stavelo 33 781,950 25,804,350
Pot 60 gram Sudocrem 200 89,000 17,800,000
Pcs 20 gram Suprasorb G 50 186,000 9,300,000

Pre-filled syringe
Synflorix 0,5 ml 20 625,000 12,500,000
0,5 mL
Kotak 30 tablet Tebokan Forte 120 mg 10 642,114 6,421,140
Tube 30 gram Topicare Soothing 30 96,691 2,900,730
Kotak 30 tablet Analtram 10 180,000 1,800,000
Kotak 30 tablet Ultracet 3 360,000 1,080,000
Kotak 100 tablet Tremenza 3 203,800 611,400
Kotak 10 tablet Triptagic 5 77,700 388,500

Kotak 60 tablet Trizedon MR 8 274,380 2,195,040
Syringe 0.5 mL x
Typhim VI Syringe 10 441,275 4,412,750
1's
Kotak 15 tablet Utrogestan 200 mg 8 461,955 3,695,640
Kotak 28 tablet Uperio 50 mg FC 35 603,680 21,128,800
Kotak 100 tablet Urinter 10 739,500 7,395,000
Kotak 30 tablet Utrogestan 100 mg 8 503,940 4,031,520
Vial 20 -
Vial 10 -
Syringe 0.5 mL x
Varivax 5 585,000 2,925,000
1's
-
Kotak 100 ampul Vitamin C 200 mg injeksi 1 900,000 900,000
Kotak 30 tablet Xepazym 33 110,715 3,653,595
Kotak Yasmin 4 253,071 1,012,284

-
Kotak 100 tablet Zonegran 100 mg 1 1,657,600 1,657,600
-
Botol 60 ml Ambroxol sirup 300 6,833 2,049,900
Ampul -
Clavamox 125mg/5 ml Dry

Botol 60 ml 100 105,823 10,582,300
Syrup 60 ml
Amoxicillin Sirup Kering

Botol 60 ml 250 7,666 1,916,500
125 mg/5 ml
Amoxicillin Sirup Kering

Botol 60 ml 250 -
250 mg/5 ml
Kotak 100 tablet Aptor 10 40,590 405,900
Kotak 100 tablet Captopril 25 mg 10 28,800 288,000

Kotak 100 tablet Captopril 12,5 mg 15 17,000 255,000
Botol 15 ml Renasistin OD 250 60,638 15,159,500
Cetirizine Hydrochloride
Botol 12 ml 100 38,152 3,815,200
10 mg/ml
Botol 100 tablet Cystone 10 454,080 4,540,800
Botol D10 1/5 NS 600 -

Botol 500 ml D5 1/2 NS 300 9,505 2,851,500
Botol 100 ml D5 1/2 NS 100 ml -

Botol 100 ml D5 1/4 NS 100 ml -
Botol 100 ml D5% 100 ml -
Vial 25 ml Otsu D40 Infus 25 ml 600 12,000 7,200,000
Divalin Tablet 3,75 mg -
Botol Eritromisin sirup 250 9,500 2,375,000

Botol 100 ml Ethyl Chloride Spray 3 80,000 240,000
Vial 1 ml Flamicort 40mg/ml 50 142,000 7,100,000
Kotak 10 Pcs Hepa Merz Granul 10 450,000 4,500,000
Kotak 5 ampul 5
Hepa Merz Injeksi 20 690,000 13,800,000
g/10 ml
Kotak syringe 2 ml Hyalgan Injeksi 50 645,000 32,250,000
Kotak 5 ampul @
Scopamin Injeksi 20 99,800 1,996,000
1 ml
Kotak 50 tablet Kalium Diklofenak 50 mg 2 50,400 100,800
Clobetasol Propionate
Tube 10 gr 50 17,065 853,250
0,05%
Kotak 30 tablet Lamictal 6 191,850 1,151,100
Kotak 10 ampul
Mecobalamin 500 µg 50 85,000 4,250,000
@ 1 ml
Kotak 50 tablet Meloksikam 15 mg 30 83,550 2,506,500
Kotak 50 tablet Meloksikam 7,5 mg 30 54,550 1,636,500
Kotak 100 tablet Metronidazole 500 mg 15 36,800 552,000

Tube 15 gram Nostren Cream 15 gr 50 14,000 700,000
Botol 12 ml Nyndia Drop 100 45,376 4,537,600
Kotak 30 kapsul Omeprazole 20 mg 70 16,950 1,186,500
Botol 25 ml NS Otsu 25 ml 500 9,130 4,565,000
Botol 5 ml Cendo Pantocain 2% ED 20 18,990 379,800
Sanmol Forte 250mg/5 ml

Botol 60 ml 250 34,772 8,693,000
Sirup
Botol 100 ml Neurotam Syrup 100 ml 100 85,325 8,532,500
Kotak 100 tablet Propanolol 10 mg 10 13,600 136,000
Kotak 100 tablet Propylthiouracil 100 mg 10 69,400 694,000
Botol 60 ml Ranivel Syrup 100 65,800 6,580,000
Botol 500 ml Ringer Fudin Infus 1,200 -
Kotak 20 Strip Ventolin Nebules 2,5 mg 50 268,420 13,421,000
Kotak 100 tablet Cefadroxil 500 mg 10 168,600 1,686,000

Kotak 50 tablet Cephalexin 500 mg 5 89,550 447,750
Kotak 4 tablet Sildenafil Citrate 50 mg 125 110,000 13,750,000
Kotak 100 tablet Ciprofloxacin 500 mg 10 92,900 929,000
Kotak 1 ampul Lyomark 3 mg 50 900,000 45,000,000
Dus 1 inhaler + 1
Spiriva Respimat 2,5 mcg 1,000 318,328 318,328,000
cartridge
Kotak 100 tablet Sulfadiazin 500 mg 1 82,400 82,400
Kotak 30 tablet Tiaryt 200 mg 16 172,170 2,754,720

Kotak 30 tablet Zitanid 2 mg 16 229,140 3,666,240
Kotak 100 tablet Triamcinolone 4 mg 5 111,100 555,500
Tube 5 gram Kenalog In Orabase 50 74,526 3,726,300
Kotak 30 tablet Valacyclovir 500 mg 10 4,499,970 44,999,700
Vial 500 mg Vancodex Injeksi 500 mg 100 205,701 20,570,100
Vial @ 4 mg Ecron 4 mg 30 -
JUMLAH A 1,361,134,409
Asam Mefenamat 500

Kotak 100 tablet 220 31,797 6,995,340
gram
Botol 5 ml Cendo Carpine 2% ED 800 27,231 21,784,800
Minidose 5 x 0.6
Cendo Cenfresh MD 800 28,800 23,040,000
ml
Minidose 5 x 0.6
Cendo Hyalub MD 200 81,692 16,338,400
ml
Pcs Cendo LFX 0,6 ml MD 320 87,300 27,936,000
Botol 15 ml Cendo Lyteers ED 7,000 29,700 207,900,000
Botol 5 ml Cendo Mydriatil 1% ED 350 45,050 15,767,500
Minidose 5 x 0.6
Cendo Natacen MD 350 52,000 18,200,000
ml
Minidose 5 x 0.6
Cendo Noncort MD 600 60,083 36,049,800
ml
Minidose 5 x 0.6
Cendo Posop MD 800 66,100 52,880,000
ml
Minidose 5 x 0.6
Cendo P-pred MD 2,000 44,000 88,000,000
ml
Botol 5 ml Cendo Timol 0,5% ED 2,000 65,252 130,504,000
Botol 5 ml Cendo Tropine 1% ED 700 15,554 10,887,800
Kotak 100 tablet Glauseta 250 650,000 162,500,000

Kotak 30 tablet Itraconazole 100 mg 166 183,990 30,542,340
Latanoprost Fahrenheit
500 110,000 55,000,000
ED
Kotak 100 tablet Ciprofloxacin 500 mg 20 92,900 1,858,000
Kotak 100 tablet Parasetamol 500 mg 100 17,864 1,786,400

JUMLAH B 907,970,380
Kotak 100 tablet Allopurinol 300 mg 20 70,500 1,410,000

Kotak 100 tablet Ambroxol 30 mg 50 42,900 2,145,000
Botol 10 ml Apialys Drop 10 ml 100 50,000 5,000,000
Botol 100 ml Apialys Syrup 400 45,012 18,004,800
Asam Mefenamat 500

Kotak 100 tablet 32 31,797 1,017,504
gram
Kotak 10 ampul
Biocombin Injeksi 105 60,475 6,349,875
@ 3 ml
Botol 60 ml Bisolvon Extra 60 ml 32 50,221 1,607,072

Citicoline 125 mg/ml
Kotak 10 ampul 5 70,000 350,000
injeksi
Kotak 100 tablet Curcuma 1,140 140,250 159,885,000
Kotak 100 tablet Deksametason 0,5 mg 40 15,628 625,120
Botol Eritromisin sirup 250 9,500 2,375,000
Kotak 20 kapsul Erdosteine 300 mg 10 82,800 828,000
Dextrose 5% Piggyback 50 16,698 834,900
Botol 60 ml Etacurvita Syrup 70 5,000 350,000
Etalysin Sirup 1,850 7,429 13,743,650
Kotak 100 tablet Etambutol 500 mg 180 116,100 20,898,000
Kotak 100 tablet Flutamol P 270 152,130 41,075,100
Botol 60 ml Flutamol P Syrup 250 23,082 5,770,500
Kotak 5 ampul @ Gentamisin Injeksi

74 28,000 2,072,000
2 ml 40mg/ml
Gentamisin Salep Kulit

Tube 5 gram 90 5,052 454,680
0,1%
Kotak 100 tablet Ibuprofen 200 mg 3 25,000 75,000
Kotak 20 tablet Imunvit Plus tablet 150 243,540 36,531,000
Kotak 100 tablet Isoniazid 100 mg 50 25,900 1,295,000

Botol 1000 tablet Isoniazide 300 mg 8 350,000 2,800,000
Kotak 100 tablet Isosorbide Dinitrat 5 mg 4 19,000 76,000
Kotak 30 kapsul Itraconazole 100 mg 450 183,990 82,795,500
Kotak 50 tablet Kalium Diklofenak 50 mg 7 50,400 352,800

Kotak 100 tablet Ketocid 25 779,600 19,490,000
Kotak 100 tablet Ketoprofen 100 mg 34 95,000 3,230,000
Botol 60 ml Laxadine Sirup 90 54,120 4,870,800
Kotak 50 tablet Levofloxacin 500 mg 30 70,000 2,100,000
Kotak 50 tablet Meloksikam 7,5 mg 60 54,550 3,273,000
Kotak Meptin Swinghaler 270 245,000 66,150,000

Kotak 100 tablet Metronidazole 500 mg 15 31,435 471,525
Botol 100 ml NS OTSU 100 ml 500 19,778 9,889,000
Natrium Bicarbonat 500
Botol 1000 tablet 1 217,000 217,000
mg
Kotak 200 tablet Neurodex 190 150,040 28,507,600
Botol 12 ml Nystin Drop 12 ml 12 53,745 644,940
Botol 60 ml OBH Molex 5,000 6,051 30,255,000
Kotak 30 tablet Proliver 90 205,325 18,479,250
Kotak 100 tablet Ranitidin tablet 90 22,000 1,980,000

Kotak 100 tablet Scopamin 10 mg 3 265,200 795,600
Botol 100 ml Sirplus sirup 100 ml 10 17,589 175,890
Dus 1 inhaler + 1
Spiriva Respimat 2,5 mcg 300 318,328 95,498,400
cartridge
Kotak 100 tablet Ulsidex tablet 50 157,100 7,855,000
Kotak 100 tablet Teosal 500 28,100 14,050,000
Kotak 100 tablet Tiamfenikol 500 mg 8 182,600 1,460,800
ULTIBRO BREEZHALER
Kotak 30 tablet 110MCG/50MCG CAP 120 825,000 99,000,000
30S
Kotak 20 Strip Ventolin Nebules 2,5 mg 100 268,420 26,842,000
Botol 100 ml Vitacur Syrup 125 49,385 6,173,125
JUMLAH C
Asam Mefenamat 500

Kotak 100 tablet 324 31,797 10,302,228
gram
Kotak 100 tablet Asam Tranexamat 500 mg 18 254,000 4,572,000
Tube 15 gram Bioplacenton Gel 20 23,609 472,180
Botol 60 ml Ambroxol sirup 74 6,833 505,642

Kotak 100 tablet Ambroxol 30 mg 11 42,900 471,900
Kotak 100 tablet Cefadroxil 500 mg 200 168,600 33,720,000
Botol 15 ml Cendo Lyteers ED 18 29,700 534,600

Kotak 30 tablet Co Amoxiclave 625 mg 18 218,220 3,927,960
Botol 100 ml Ethyl Chloride Spray 33 80,000 2,640,000
Kotak 120 tablet FG Troches Meiji 14 196,200 2,746,800
Kotak 100 tablet Fludane Tablet 41 102,950 4,220,950

Tube 5 gram 33 5,052 166,716
0,1%
Kotak 100 tablet Ibuprofen 200 mg 23 25,000 575,000
Kotak 100 tablet Ibuprofen 400 mg 23 60,400 1,389,200
Kotak 100 tablet Intunal F Tab 15 98,225 1,473,375
Kotak 50 tablet Kalium Diklofenak 50 mg 360 50,400 18,144,000
Kotak 100 tablet Metronidazole 500 mg 170 31,435 5,343,950

Botol 60 ml Minosep Gargle 678 31,119 21,098,682
Kotak 100 tablet Pehavral 62 153,120 9,493,440
Botol 60 ml Ponflu Syrup 23 18,000 414,000

Kotak 100 tablet Ranitidin tablet 15 22,000 330,000
Kotak 100 tablet Vitamin C 250 mg 13 26,900 349,700

JUMLAH D 125,038,179

Kotak 100 tablet Metronidazole 500 mg 100 31,435 3,143,500
Kotak 120 tablet FG Troches Meiji 50 196,200 9,810,000
Kotak 50 tablet Kalium Diklofenak 50 mg 100 50,400 5,040,000
Kotak 50 tablet Meloksikam 15 mg 200 83,550 16,710,000
Kotak 100 tablet Deksametason 0,5 mg 50 15,628 781,400
Kotak 300 tablet Omegtamine tablet 100 93,300 9,330,000
Kotak 100 tablet Fludane Plus Tablet 200 89,900 17,980,000
Asam Mefenamat 500

Kotak 100 tablet 200 31,797 6,359,400
gram
Kotak 100 tablet Antalgin 500 mg 50 45,400 2,270,000
Kotak 100 tablet Ranitidin tablet 200 22,000 4,400,000
Kotak 100 tablet Ponconeuron tablet 200 128,520 25,704,000

Kotak 100 tablet Pehavral 200 153,120 30,624,000
Kotak 100 tablet Biolysin tablet 100 47,410 4,741,000
Kotak 30 tablet Procalma kapsul 100 159,258 15,925,800
Kotak 30 tablet Osteor Plus tabelt 100 299,015 29,901,500
Kotak 100 tablet Spasminal Tablet 50 84,400 4,220,000
Kotak 100 tablet Captopril 25 mg 100 28,800 2,880,000
Botol 60 ml OBH Molex 200 6,051 1,210,200
Botol 100 ml OBP Itrasal 200 6,148 1,229,600

Botol 60 ml Neo Kaominal suspensi 100 9,742 974,200
Botol 60 ml Ponflu Syrup 100 18,000 1,800,000

Botol 60 ml Supralysin Syrup 60 ml 100 29,282 2,928,200
Pot 60 gram Bedak salicyl 200 7,840 1,568,000
Tube 30 gram Molakrim 100 17,183 1,718,300
Tube 15 gram Bioplacenton Gel 100 23,609 2,360,900
Tube 20 gram Thrombophob Gel 100 66,429 6,642,900

Tube 5 gram 100 5,052 505,200
0,1%
Tube 15 gram Benoson N Cream 100 48,206 4,820,600
Kotak 100 tablet Neo Diastop 100 80,850 8,085,000
Kotak @ 25 tube Asiklovir Krim 5% 8 119,377 955,016
Kotak 100 tablet Bio Atp Tablet 200 299,900 59,980,000
Kotak 100 tablet Amaropo Plus Tablet 100 274,450 27,445,000
Kotak 30 Suppos Borraginol N Suppos 10 489,030 4,890,300
JUMLAH E 348,357,416
Amoksisilin sirup kering
Botol 60 ml 2,000 7,721 15,442,000
125 mg/5 ml
Kotak 100 tablet Metronidazole 500 mg 31,435 -
Kotak 100 tablet Deksametason 0,5 mg 1,000 15,628 15,628,000
Kotak 100 tablet Piroksikam 10 mg 500 34,376 17,188,000
Pot 60 gram Bedak salicyl 500 7,840 3,920,000
Asam Mefenamat 500

Kotak 100 tablet 1,000 31,797 31,797,000
gram
Kotak @ 25 tube Asiklovir Krim 5% 200 119,377 23,875,400
Kotak 60 tablet Curliv Plus 200 322,080 64,416,000
Kotak 100 tablet Aminefron 200 909,900 181,980,000
Kotak 100 tablet Neuralgin Rx 200 103,300 20,660,000
Kotak 100 tablet Demacolin 200 56,760 11,352,000
Kotak 100 tablet Parasetamol 500 mg 1,000 17,864 17,864,000

Tube 15 gram Bioplacenton Gel 500 23,609 11,804,500

Tube 5 gram 33 5,052 166,716
0,1%
Kotak 100 tablet Vitamin C 250 mg 13 26,900 349,700
JUMLAH F 443,463,316
Botol 1 Liter Cynoff 50 EC 500 125,000 62,500,000
Pot 250 tablet Chlorpromazine 100 mg 2,000 875,000 1,750,000,000

Ampul Haloperidol Injeksi 5 mg 5,000 -
JUMLAH G
Pabrik / Distributor
PT. Kalbe Farma
PT. Sanbe
PT. Otsuka
PT. Otsuka
Obat Anti Infalamsi Non Metamizole 500 mg,

PT. Sanbe
Steroid (OAINS) Diazepam 2 mg.
Per ml : Vit B1 1.5 mg, Vit B2

2 mg, Vit B6 1 mg, Vit B12 5
Suplemen, Vitamin & mcg, Nocotinamide 20 mg,
PT. Lapi
Mineral D-Panthenol 3 mg, Vit A
5,000 IU, Vit D 400 IU, Vit C
25 mg, Lysine HCl 50 mg
Les Laboratories
Servier Industrie,
France
Obat Lain yang Bekerja pada
PT. Combiphar Diacerein 50 mg
Sistem Muskuloskeletal
PT. Tanabe Indonesia
Suplemen dan Terapi

PT. Simex Natural Astaxanthin 4 mg
Penunjang
PT. GSK
Sanofi
Pasteur/BIofarma
Bilberry Extract 80 mg, Vit E

40 mg, Lutein 5 mg,
Suplemen dan Terapi Zeaxanthin 1 mg, Vit A 1600
PT. Sanbe
Penunjang untuk Mata IU, Selenium 15 mcg, Zn 5
mg, Vit B2 2 mg, Vit C 250
PT. Boehringer mg
Ingelheim
PT. Sanbe
PT. Tanabe Indonesia
PT. Sanbe
PT. Darya Varia
PT. Otsuka
Ca 500 mg, Vit D3 200 IU,

PT. Lapi Vitamin dengan Kalsium Mg 150 mg, Zn 15 mg, F 1
mg
Ca 500 mg, Vit D3 200 IU,
PT. Gracia Pharmindo Vitamin syrup Mg 150 mg, Zn 15 mg, F 1
mg
PT. Medifarma
PT. Surya Dermato

Medica Laboratories
PT. Surya Dermato

Medica Laboratories
PT. Kalbe Farma
PT. Prizer
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Kalbe Farma
PT. Mega Medika

Pharmaceuticals
PT. Otsuka
PT. Bernofarm
PT. Dexa Medica

PT. Meprofarm Clomifene citrate 50 mg
PT. Phapros Alpha lipoic acid 100 mg,

Curcuminoid 6 mg, Vit B1 5
mg, Vit B2 3 mg, Vitamin B6
PT. Soho Hepatoprotektor
10 mg, Vit B12 5 mcg,
Phyllanthus niruri Extract 150
mg
PT. Bayer
PT. Actavis
PT. Actavis
PT. Actavis
Paracetamol 500 mg,

Phenylpropanolamine HCl 15
mg, Dexchlorpheniramine
Obat Batuk dan Pilek
maleate 2 mg, Guaifenesin
50 mg, Dextromethorphan
HBr 15 mg
PT. Nulab
PT. Dexa Medica
PT. Soho
PT. Gracia Pharmindo
PT. Novell Pharma
PT. Medikon
PT. Novell Pharma Obat Batuk dan Pilek Per 5 ml : Erdosteine 175 mg
PT. Kimia Farma
PT. Merck
PT. Merck
PT. Merck
PT. Nicholas
Preparat untuk Masalah Metronidazole 500 mg,

PT. Dexa Medica
Vagina Nystatin 100,000 IU
Sodium Phosphate
Monobasic monohydrate
Laksatif, Pencahar
19.0 g, sodium phosphate
dibasic hepta hydrate 7,0 g
PT. Bernofarm
PT. Bernofarm
PT. Dexa Medica
PT. Sanbe
PT. MSD
Setiap 5 ml mengandung :
Mg trisilicate 250 mg, koloid
Obat Antirefluks &
PT. Meprofarm Al(OH)3 250 mg,
Antiulserasi
simethicone (activated
dimethicone) 50 mg
PT. B Braun
PT. Dexa Medica
PT. Sanbe
PT. MSD
Antikoagulan, Antiplatelet
PT. Dexa Medica Isoxsuprine HCl 20 mg
dan Fibrinolitik (Trombolitik)
PT. Dipa Pharmalab

Echinacea Extract 170 mg,
Suplemen dan Terapi Reishi Mushroom Extract
PT. Simex
Penunjang 150 mg, Calcium
pantothenate 15 mg
PT. Dexa Medica
Paracetamol 500 mg,

PT. Meprofarm Obat Batuk dan Pilek
HBr 15 mg
PT. Fresenius Kabi

Combiphar
PT. Dipa Pharmalab
PT. Meiji
PT. Novell Pharma

PT. Kalbe Farma
PT. Simex Vit A 5,000 IU, Vit D3 400 IU,

Vit E 20 mg, Vit B1 2 mg, Vit
B2 2 mg, Vit B6 2 mg, Vit
B12 3 mcg, Nicotinamide 20
mg, Vit C 125 mg, Ca
PT. Combiphar Vitamin dan Siplemen
Carbonate 250 mg, Fe
Fumarate 90 mg, Folic acid 1
mg, na Fluoride 3 mg, K
Lodide 1.175 mg, Zn Sulfate
15 mg, Sorbitol 25 mg
PT. Novell Pharma Nootropik dan Neurotonik Mecobalamin 500 mcg
Pyrathiazine theodate 40 mg,

PT. Darya Varia Antiemetik
Vit B6 37,5 mg
PT. Transfarma
Medica Indah
PT. Taisho
Levonorgestrel 0,15 mg,

PT. Bayer Kontrasepsi Oral
Ethinylestradiol 0,03 mg
PT. Minorock
PT. Sanbe
PT. Tempo Scan
Metamizole 300 mg, Vit B1

Obat Anti Inflamasi Non
PT. Kalbe Farma 100 mg, Vit B6 50 mg, Vit
Steroid (OAINS)
B12 100 mcg, Vit E 30 mg
PT. Moleac
PT. Merck
Vit B1 Mononitrate 100 mg,

PT. Merck Vitamin B Injeksi Vit B6 100 mg, Vit B12 5000
mcg
PT. Dexa Medica
PT. Sanbe
PT. Novell Pharma
Vit A 5,000 IU, Vit D3 400 IU,
Vit E 20 mg, Vit B1 2 mg, Vit
mg, Vit C 125 mg, Ca
PT. Medifarma Masa Hamil dan
Nifas)/Antianemia
Fumarate 90 mg, Folic acid 1
mg, na Fluoride 3 mg, K
Lodide 1.175 mg, Zn Sulfate
15 mg, Sorbitol 25 mg
PT. Darya Varia
PT. Lapi
PT. Kalbe Farma
PT. Lapi
PT. Dexa Medica
PT. Interbat
PT. Surya
Dermatologist
PT. Prizer
PT. Lapi
Fish Oil 18/12: EPA/DHA

400 mg, Vit E 4 mg, Folic
PT. Lapi Masa Hamil dan
acid 400 mcg, Vit B6 6 mg,
Nifas)/Antianemia
Vit B12 25 mcg
PT. Kalbe Farma

PT. Combiphar Parasetamol 160 mg
Antipiretik
PT. Combiphar Parasetamol 80 mg
Antipiretik
PT. Combiphar
PT. Prizer
PT. Dexa Medica
PT. Dexa Medica
Lycopene 5 mg, CoQ10 30

PT. Nutrindo Graha Suplemen untuk memelihara mg, Grape Seed Extract 10
Husada Utama kesehatan (jantung) mg, Green tea Extract 150
mg, Natural Vitamin E 100 IU
PT. Quantum Labs

PT. Hexpharm Ranitidine 150 mg
Antiulserasi
PT. Fahrenhait
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Darya Varia
PT. Bernofarm
Pelarut obat atau pemanis
PT. Meprofarm Sirplus sirup 100 ml
obat
Pelarut obat atau pemanis
PT. Meprofarm gula alami, granul rasa jeruk
obat
PT. Dexa Medica
PT. Novartis
PT. AMS
PT. Smith Kline
Beecham
Pharmaceutical
PT. Phapros
PT. SDM
Tramadol HCl 37,5 mg,

PT. Lapi Analgetik
Paracetamol 325 mg
PT. Janssen
PT. Sanbe
PT. Tempo Scan

PT. Servier
PT. Sanofi Synthelabo
PT. Lapi
PT. Novartis
PT. Interbat
PT. Lapi
PT. MSD
PT. Ethica
PT. Metiska Farma
PT. Bayer
PT. Esai
PT. Indofarma Mukolitik Per 5 ml : Ambroxol HCl 15 m
PT. Kalbe Farma
Per 5 ml : Amoxicillin
PT. Indofarma Antibiotik
Trihydrate 125 mg
Per 5 ml : Amoxicillin
Antibiotik
Trihydrate 250 mg
PT. Nicholas
PT. Indofarma
PT. Kimia Farma
PT. Fahrenhait
PT. Indofarma Antihistamin dan Antialergi Per 1 ml : Cetirizine 2 HCl 10
PT. Himalaya
PT. Otsuka
PT. Otsuka
PT. Dexa Medica
PT. Combiphar
PT. Combiphar
Analgetik (Osteoartritis) Na Hyaluronate 2%, Manitol
PT. Otto
Pharmaceutical
Industries
PT. Dexa Medica
PT. Etercon
PT. GSK
PT. Novell Pharma Nootropik dan Neurotonik Mecobalamin 500 mcg

PT. Novell Pharma Meloxicam 15 mg
Steroid (OAINS)

PT. Dexa Medica Meloxicam 7,5 mg
Steroid (OAINS)
PT. Bernofarm
Methyl salicylate 102 mg,
Obat Sistem menthol 54.4 mg, eugenol
PT. Meprofarm
Muskuloskeletal 13.6 mg, dan kapsaicin 0.5
mg
PT. Guardian
PT. Novell Pharma Omeprazole 20 mg
Antiulserasi
PT. Otsuka
PT. Cendo
Pharmaceutical
PT. Sanbe
PT. Kalbe Farma

PT. Dexa Medica
PT. Dexa Medica
PT. Nicholas
PT. B Braun
PT. GSK
PT. Bernofarm Antibiotik/Sefalosporin Cefadroxil 500 mg

PT. Indofarma
PT. Novell Pharma
PT. Novell Pharma Antibiotik Ciprofloxacin 500 mg
PT. Boehringer
Ingelheim
PT. Imfarmind
PT. Fahrenhait
PT. Novell Pharma Relaksan Otot Tizanidine 2 mg
PT. Etercon
PT. Taisho
PT. Bernofarm
PT.DEVA
INDUSTRIES
(INDONESIA)
PT. Pharos
harga thn 2019 Analgetik Mefenamic Acid 500 mg
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Cendo
Pharmaceutical
PT. Sanbe
PT. Bernofarm
PT. Novell Pharma
harga thn 2019
PT. Bernofarm
PT. Indofarma Mukolitik Ambroxol HCl 30 mg
PT. Indofarma Mukolitik Per 5 ml : Ambroxol HCl 15 m
PT. Lapi
Per 5 ml : Vit B1 1,5 mg, Vit

PT. Lapi Suplemen & Vitamin
mg, D-Panthenol 3 mg, Vit A
5,000 IU, Vit D 400 IU, Vit C
60 mg, Lysine HCl 200 mg
harga thn 2019
harga thn 2019
PT. Boehringer
Ingelheim
PT. Indofarma
PT. Novell Pharma
PT. Quantum Labs
PT. Soho
harga thn 2019 Obat Anti Inflamasi Steroid Dexamethasone 0,5 mg
PT. Etercon Obat Batuk dan Pilek Erdosteine 300 mg

PT. Errita Pharma
PT. Kimia Farma Obat Anti Tuberkolosis Ethambutol HCl 500 mg
PT. Pyridam Farma
PT. Pyridam Farma
PT. Indofarma
PT. Kimia Farma
internet
PT. Simex
PT. Kimia Farma

PT. Kimia Farma
PT. Yarindo
Farmatama
PT. Bernofarm
PT. Dexa Medica

PT. Pyridam Farma
PT. Novell Pharma
PT. Galenium
PT. Novell Pharma Antibiotik Levofloxacin 500 mg
PT. Dexa Medica
PT. Otsuka
harga thn 2019
PT. Otsuka
PT. Kimia Farma
Vitamin B Kompleks/dengan Vit B1 100 mg, Vit B6 200

PT. Dexa Medica
Vitamin C mg, Vit B12 200 mcg
PT. Lapi
PT. Molex Ayus
Obat Antirefluks &

internet k24 Omeprazole 20 mg
Antiulserasi
harga thn 2019 Alpha lipoic acid 100 mg,

Curcuminoid 6 mg, Vit B1 5
mg, Vit B2 3 mg, Vitamin B6
PT. Good Life Hepatoprotektor
10 mg, Vit B12 5 mcg,
Phyllanthus niruri Extract 150
mg
PT. Hexpharm
PT. Otto
Pharmaceutical Antispasmodik Hyoscine N-butylbromide 10
Industries
PT. Meprofarm
PT. Boehringer
Ingelheim
PT. Dexa Medica
PT. Dexa Medica
PT. Sanbe Antibiotilk Thiamphenicol 500 mg
PT. Novartis
PT. GSK
Per 5 ml : Echinacea Extract

250 mg, Curcuminoid 2 mg,
PT. Lapi Vitamin Anak FOS 300 mg, Taurine 100
mg, Phyllanthus niruri Extract
25 mg
harga thn 2019

PT. Bernofarm
PT. Kalbe Farma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Bernofarm
PT. Cendo
Pharmaceutical
Amoxicillin 500 mg,
PT. Indofarma Antibiotik
Clavulanic acid 125 mg
PT. Meiji
Paracetamol 500 mg,
PT. Armoxindo Farma Obat Batuk dan Pilek
HBr 15 mg
PT. Kimia Farma
internet
PT. Novapharin
PT. Meprofarm
PT. Dexa Medica
harga thn 2019

PT. Minorock
harga thn 2019
PT. Phapros
PT. Hexpharm
PT. Novell Pharma

harga thn 2019
PT. Meiji
PT. Dexa Medica
PT. Novell Pharma
harga thn 2019

Betamethasone 0,25 mg,
PT. Mutifa Antihistamin dan Antialergi Dexchlorpheniramine
maleate 2 mg
PT. Armoxindo Farma
harga thn 2019
PT. Kimia Farma
harga thn 2019
PT. Hexpharm
internet k24
PT. Armoxindo Farma

PT. Phapros
PT. Bernofarm
PT. Meprofarm
Glucosamine HCl 250 mg,

Suplemen dan Terapi Chondroitin Sulphate 200
PT. Pyridam Farma
Penunjang mg, Ipriflavone 65 mg,
Calcium Citrate 165 mg
PT. Hexpharm
PT. Indofarma
PT. Molex Ayus
PT. Itrasal
PT. Indofarma
PT. Molex Ayus
PT. Meprofarm
internet k24
PT. Molex Ayus
PT. Kalbe Farma
PT. Kimia Farma
internet
Antidiare Attapulgite 600 mg, Pectin 50
harga thn 2019
PT. Phapros
PT. Phapros
PT. Takeda
internet k24
harga thn 2019

internet k24
harga thn 2019
harga thn 2019
internet k24
internet
harga thn 2019
harga thn 2019
internet k24
internet k24
internet k24
internet k24
harga thn 2019

PT. Kalbe Farma
PT. Kimia Farma

Box 200 caplet Proneuron PT. Meprofarm
Botol 15 ml Supralysin Baby D PT. Meprofarm San B plex drop

Box 30 capsul Boncerin PT. Meprofarm
Box 30 Licaps Xantia PT. Meprofarm
Box 30 capsul Retop PT. Meprofarm
Mucohexin elixir
Box 20 tablet Hical PT. Meprofarm
Box 20 tablet Hical PT. Meprofarm

Beclov Inj
Beclov inj
Box 30 tablet Clovertil PT. Meprofarm
Liproqy
Box 30 Tablet Reliv PT. Meprofarm Curcuma Sanbe

Box 100 tablet (10 x 10) Intunal Forte PT. Meprofarm
Eprinoc
Botol 60 ml Dry Syrup Dosivec PT. Meprofarm
Box 10 Ovula Provagin PT. Meprofarm
Botol 133 ml Purgatix Enema PT. Meprofarm
Gratizin 10mg
Gratizin 5mg
Botol 120 ml Gastrinal HD suspePT. Meprofarm

Box 50 tablet Tonotan PT. Meprofarm
Box 30 tablet Proimbus PT. Meprofarm Formuno Kaplet

Liprolac Sach 2,5 g
Sanfuliq Cap
Box 100 tablet Maltiron Plus PT. Meprofarm
Box 100 Capsul Meprobal PT. Meprofarm Megabal
Box 100 tablet Provomer PT. Meprofarm
Box 25 Blister Sydnaginon PT. Meprofarm

Box 100 tablet Arsinal PT. Meprofarm
Box 10 ampul Biocombin 5000 injPT. Meprofarm
Neurosanbe Tablet
Box 100 tablet Maltiron Plus PT. Meprofarm Pervita
Pervita
Probiokid Powder
Box 30 Licaps Procalma PT. Meprofarm
Box 10 Suppositories Pyrexin 160 mg PT. Meprofarm
Box 10 Suppositories Pyrexin 80 mg PT. Meprofarm

Box 30 capsul Lycoq PT. Meprofarm
Box 50 tablet Tricker PT. Meprofarm Acran 150
Aldisa SR
Hecosan Sirup
Fibrozol 100
Botol 100 ml Sirplus sirup 100 mlPT. Meprofarm

Botol 500 tablet Sirplus Jeruk PT. Meprofarm
Box 30 caplet Pyrexin Extra PT. Meprofarm
Sankorbin
Botol 60 ml Syrup Mucos PT. Meprofarm Epexol Sirup
Claneksi DS
Botol 60 ml Dry Syrup Supramox PT. Meprofarm Amoxsan DS
Botol 60 ml Forte Dry Syru Supramox PT. Meprofarm Amoxan Sirup
Tensicap 25
Tensicap 12,5
Botol 20 ml Drops Rinocet PT. Meprofarm Cerini Drop

Erysanbe DS
Box 1 Syringe Ostenil Plus PT. Meprofarm
Flamar 50
Clobesan crm
Box 100 Capsul Meprobal PT. Meprofarm
Box 30 tablet X-Cam 15 mg PT. Meprofarm Ostelox 15
Box 30 tablet X-Cam 7,5 mg PT. Meprofarm Ostelox 7,5
Trichodazol 500
Tube 15 gram Nostren Cream 15 PT. Meprofarm
Nymiko
Box 30 Capsul OPM PT. Meprofarm Pumpitor cap
Box 30 tablet Ancefa PT. Meprofarm Cefat 500
Sanbenafil 50
Box 30 tablet Mensipox PT. Meprofarm Baquinor Frt
Box 100 tablet Myores PT. Meprofarm
Sinocort oral paste

Herclov
Box 100 tablet Mefix PT. Meprofarm Mefinal 500
Sanmol Tab
Puricemia
Box 100 tablet Mucos PT. Meprofarm Epexol tablet
Botol 60 ml Syrup Mucos PT. Meprofarm Epexol Sirup
San B plex drop
Botol 60 ml Syrup Supralysin PT. Meprofarm
Mefinal 500
Beclov inj
Box 100 caplet Prodexon PT. Meprofarm Cortidex tab
Box 20 capsul Dosivec PT. Meprofarm

Box 100 tablet Arsitam PT. Meprofarm
Sagestam inj
Sagestam crm
Buffect Tab
Box 10 tablet Prolevox PT. Meprofarm
Box 100 caplet Biocombin PT. Meprofarm
Nymiko
Box 30 Capsul OPM PT. Meprofarm
Sanmol 500
Box 30 Tablet Reliv PT. Meprofarm Sanfuliq Cap
Acran 150
Box 100 tablet Spasmolit PT. Meprofarm
Box 100 Capsul Nikolam PT. Meprofarm
Botol 120 ml suspensi Biofos PT. Meprofarm
Plasminex tab
Epexol Sirup
Epexol tablet
Epexol tablet
Box 30 tablet Ancla PT. Meprofarm Claneksi Kaplet
Sagestam crm
Buffect Tab
Box 50 tablet Proceles PT. Meprofarm
Box 30 tablet Vosteon PT. Meprofarm
Box 100 tablet Arcapec PT. Meprofarm
Pirofel 10
Sanfuliq Cap
Per 0.6 Ml : Vit A 5,000 IU
, Vit B1 1mg , Vit B2 1.2
mg , Vit B6 1 mg , Vit C
satuan flas Rp18,600 Suplemen & Vitamin
50 mg , Vit D 400 IU ,
Nicotinamide 10 mg ,
Pantothenic acid 5 mg
Obat Batuk dan Pilek
Bromhexine HCl 4mg/5 ml per 1 flas Rp16,400
(Inhalasi)
Vasodilator Perifer dan
Citicolin 250 mg inj per box isi 5 ampul Rp175,075
Aktivator Serebral

Citicolin 125 mg / ml ( Cit per box isi 5 ampul Rp175,075
Aktivator Serebral
Coenzyme Q-10 40 mg ,
Lycopene 10 mg ,
Natural Vit E 100 IU , Suplemen dan Terapi
per box isi 30 capsul Rp225,000
Grape Seed Ext 20 mg , Tambahan
EGCG ( Green Tea Ext )
Ekstrak
75 mg Curcuma per box isi 100 tablet Rp88,000 Hepatoprotektor
xanthorrhiza 20 mg
Eperisone HCl 50 mg per box isi 100 tablet Rp343,000 Preparat Antimigren
Flunarizine 10 mg per box isi 100 tablet Rp542,000 Preparat Antimigren
Flunarizine 5 mg per box isi 100 tablet Rp453,000 Preparat Antimigren
Echinacea Purpurea dry
ext 250 mg , Phyllanthus
niruri dry ext 50 mg , Suplemen dan Terapi
per box isi 30 kaplet Rp204,000
Black Elderberry dry ext Penunjang
300 mg , Zinc picolinate
10 mg , Vit C 100 mg
(Lactobacillus
helveticus Rosell
- 52 ND ,
Bifidobacterium
Infantis Rosell -
PT. Kalbe Farma Probiokid Powder 33 ND , per box 10 Sachet
Bifidobacterium
bifidum Rosell -
71 ND ) 3 x
10pangkat 9CFU ;
FOS 750 mg
Curcuma Longa
Rhizome Ext 150 mg ,
Silybin Phospholipids
140 mg , Schizandrae
Fructus Ext 135 mg , Vit Kolagogum, Kolelitolitik
E 15 mg , Vit B12 2.4 dan Hepatoprotektor
mcg , Vit B2 1.2 mg , Vit
B1 1 mg , Vit B6 2 mg ,
Choline Bitartrate 150
mg.
Mecobalamin 500 mcg per box isi 100 capsul Rp166,000 Nootropik dan Neurotonik
Vitamin B1 100 mg, Vitamin B
Vitamin B6 200 mg, per box isi 100 tablet Rp119,500 Kompleks/dengan
Vitamin B12 200 mcg. Vitamin C
Vit A 10,000 IU , Vit B1 20
mg , Vit B2 5 mg , Vit B6
10 mg , Vit B12 5 mcg ,
Vit C 150 mg , Vit D3 400
IU , Vit E 10 mg ,
Nicotinamide 50 mg , Ca
Pantothenate 11.6 mg ,
Biotin 0.25 mg , Folic Vitamin dan Mineral
Acid 0.4 mg , Calcium 50 per box isi 100 kaplet Rp148,500 (untuk Masa Hamil dan
mg , Phosphor 38.64 Nifas)/Antianemia
mg , Iron 10 mg , Mg 16.4
mg , Mn 0.379 mg , K
0.035 mg , Se 0.061mg ,
Vit A 10,000
Flour 0.045 mg IU ,, Vit B1 20
mg
Copper0.712 mg
, Vit B2 5 mg ,, Vit B6
Zinc
10 mgmg
0.343 , Vit, Molybdenum
B12 5 mcg ,
Vit C 150
0.083 mg mg , Vit D3 400
IU , Vit E 10 mg ,
Nicotinamide 50 mg , Ca
Pantothenate 11.6 mg ,
Biotin 0.25 mg , Folic Vitamin dan Mineral
Acid 0.4 mg , Calcium 50 per box isi 100 kaplet Rp148,500 (untuk Masa Hamil dan
mg , Phosphor 38.64 Nifas)/Antianemia
mg , Iron 10 mg , Mg 16.4
mg , Mn 0.379 mg , K
0.035 mg , Se 0.061mg ,
Flour 0.045 mg ,
Copper0.712 mg , Zinc
0.343 mg , Molybdenum
0.083 mg
(Lactobacillus helveticus
Rosell - 52 ND ,
Bifidobacterium Infantis
Rosell - 33 ND ,
per box 10 Sachet Rp136,950 Antidiare/Probiotik
Bifidobacterium bifidum
Rosell - 71 ND ) 3 x
10pangkat 9CFU ; FOS
750 mg
Antasid, Obat Antirefluks
Ranitidin 150 mg per box isi 30 tablet Rp147,600
& Antiulserasi
Lepas lambat : Loratadine

5 mg dan Pseudoefedrin per box isi 50 Capsule Rp268,500 Obat Batuk dan Pilek
120 mg
Per 15 ml : Plantago
lanceolata folium extract
500 mg , Glycyrrhiza
glabra radix extract 250
mg , Zingiber offcinale
satuan per flas Rp50,000 Obat Batuk dan Pilek
varrubrum rhizoma
extract 166 mg , Hederae
helicis folium extract 35
mg , Peppermint oil 0.05
mg , Honey 3 g Antikoagulan, Antiplatelet
Cilostazol 100 mg per box isi 30 tablet Rp298,200 dan Fibrinolitik
(Trombolitik)
Vitamin C 1.000 mg ( 200 mper box isi 5 ampul Rp141,125 Vitamin Injeksi
Ambroksol Sirup 15 ml/5
satuan per flas Rp17,300 Mukolitik
ml
Per 5 mL mengandung :
Amoksisilin trihidrat 125
satuan flas Rp53,000 Antibiotik
mg + Kalium klavulanat
31.25 mg
Tiap 5 ml suspensi
mengandung : Amoksisilin
satuan per flas Rp22,500 Antibiotik
trihidrat setara dengan
Amoksisilin 125 mg
Tiap 5 ml suspensi
mengandung : Amoksisilin
trihidrat setara dengan
Amoksisilin 250 mg
Captopril 25 mg per box isi 50 tablet Rp199,500 Obat ACE Inhibitor

Captopril 12,5 mg per box isi 50 tablet Rp102,500 Obat ACE Inhibitor
Antihistamin dan
Cetirizine 10 mg/ml satuan per flas Rp63,000
Antialergi
Eritromisin sirup 200mg/5
ml

Kalium diklofenak 50 mg per box isi 100 tablet Rp182,500
Steroid (OAINS)
Klobetasol Propionate
satuan tube Rp39,600 Kortikosteroid Topikal
0,05%

Meloksikam 15 mg per box isi 20 tablet Rp183,400
Steroid (OAINS)

Meloksikam 7,5 mg per box isi 20 tablet Rp112,800
Steroid (OAINS)
Metronidazole 500 mg per box isi 100 tablet Rp166,000 Antibiotik Golongan Lain
Nistatin 100.000 IU satuan suspensi Rp32,900 Antijamur
Antasid, Obat Antirefluks
Omeprazole 20 mg per box isi 20 capsul Rp270,600
& Antiulserasi
Cefadroxil 500 mg per box isi 100 kapsul Rp1,014,500 Antibiotik/Sefalosporin
Obat Untuk Disfungsi

Sildenafil Citrate 50 mg per box isi 4 kaplet Rp274,000
Ereksi
Ciprofloxacin 500 mg per box isi 20 kaplet Rp271,400 Antibiotik
Preparat
Triamcinolon 0,1 % satuan tube Rp37,100
Mulut/Tenggorokan
Valacyclovir 500 mg per box isi 50 kaplet Rp743,500 Antivirus
Asam Mefenamat 500
per box isi 100 tablet Rp133,500 Analgetik
gram
Parasetamol 500 mg per box isi 100 tablet Rp29,000 Analgetik dan Antipiretik
Obat Hiperurisemia dan

Allopurinol 300 mg per box isi 100 tablet Rp282,000
Gout
Ambroxol 30 mg per box isi 100 tablet Rp83,000 Mukolitik
satuan flas Rp17,300 Mukolitik
ml
Per 0.6 Ml : Vit A 5,000 IU

, Vit B1 1mg,Vit B2 1.2
mg , Vit B6 1 mg , Vit C
satuan flas Rp18,600 Suplemen & Vitamin
50 mg , Vit D 400 IU ,
Nicotinamide 10 mg ,
Pantothenic acid 5 mg
Asam Mefenamat 500

per box isi 100 tablet Rp133,500 Analgetik
gram

Citicolin 125 mg / ml ( Cit per box isi 5 ampul Rp175,075
Aktivator Serebral
Obat Anti Inflamasi

Deksametason 0,5 mg per box isi 100 tablet Rp29,000
Steroid
Gentamisin Injeksi
per box isi 5 vial Rp48,700 Antibiotik Injeksi
40mg/ml

satuan tube Rp12,300 Antibiotik Topikal
0,1%

Ibuprofen 200 mg per bos isi 100 tablet Rp67,000
Steroid (OAINS)
Nystatin 100.000 iu
Curcuma Longa
Parasetamol 500 mg
Silybin Phospholipids per box isi 100 tablet Rp29,000 Analgetik dan Antipiretik
Fructus Ext 135 mg , Vit
per box isi 30 kaplet Rp156,750 Hepatoprotektor
E 15 mg , Vit B12 2.4
B1 1 mg , Vit B6 2 mg , Antasid, Obat Antirefluks
Ranitidin Bitartrate
Choline tablet 150 per box isi 30 tablet Rp147,600
& Antiulserasi
mg.
Asam Tranexamat 500 mg per box isi 10 vial Rp124,250 Hemostatik

satuan per flas Rp17,300 Mukolitik
ml
amoxicilin 500 mg dan
per box isi 30 kaplet Rp363,000 Antibiotik
asam klavulanat 125 mg

mengandung gentamicin
sulfate yang ekuivalen satuan tube Rp12,300 Antibiotik Topikal
dengan 1 mg (0,1%)
Gentamicin
Ibuprofen 200 mg per bos isi 100 tablet Rp67,000
Steroid (OAINS)
Piroksikam 10 mg per box isi 100 kapsul Rp54,000
Steroid (OAINS)
Curcuma Longa
Silybin Phospholipids
Fructus Ext 135 mg , Vit Kolagogum, Kolelitolitik
E 15 mg , Vit B12 2.4 dan Hepatoprotektor
B1 1 mg , Vit B6 2 mg ,
Choline Bitartrate 150
mg.
Regulato
r GIT,
Antiflatul
###
en dan
Antiinfla
masi
No Kelas Terapi Spesifikasi MASTER
1 2
A. RSUD Siti Fatimah Provinsi Sumatera Selatan
Ektrak Citrus sinensis yang mengandung
Micronized Purified Flavanoid Fraction 500 mg
setara dengan Diosmin 90%, flavanoid dalam
Estrogen dan Progesteron serta bentuk hesperidin 10%.

Preparat Sintetiknya Anhydrous lanolin 60 mg, isopropyl myristate
170 mg, cetyl alcohol 20 mg, sorbitan
4 Emolien dan Pelindung Kulit monostearate 80 mg, polysorbate 20 mg,
glycerol 100 mg, dimethicone 50 mg, sorbic
acid 1.5 mg.
Gelatin, Hydrochloric Acid, Sodium Chloride

and Sodium Hydroxide
7 Larutan Infus
Tiap 11 tablet masing-masing mengandung

Estrogen dan Progesteron serta Estradiol Valerat 2 mg, dan 10 tablet masing-
8
Preparat Sintetiknya masing mengandung Estradiol Valerat 2 mg,
Norgestrel 0,5 mg.
21 tablet masing-masing mengandung :
9 Kontrasepsi Oral levonorgestrel 150 mcg, ethinylestradiol 30 mcg
plus 7 tablet plasebo
10 Kontrasepsi Oral Drospirenon 3 mg, Etinilestradiol 0,03 mg
Tiap dosis semprotan mengandung Tiotropium

Bromida 2,5 mcg
12
14 Pelumas Mata Phenylephrine HCl 1,2 mg ; Zinc sulfate 2,5 mg
18 Preparat Mata Golongan Lain Sodium Chloride 4.4 mg, Kalium Chlorid 0.8 mg
Tiap 1 ml : Polyvinylpyrrolidone 20 mg, Vitamin

A, Natrium hyaluronat
23 Antiseptik Mata dengan Kortikosteroid Tobramycin 3.0 mg, Dexamethasone 1.0 mg

25 Tetrakaina 2%
Antiinflamasi mata
Setiap tablet kunyah mengandung 100 mg zat
26 Vitamin dan Siplemen besi sebagai Kompleks Besi (III)-hidroksi
polimaltosa dan 0.35 mg asam folat
27 Analgesik (Non Opiat) dan Antipiretik Parasetamol 80 mg tiap supositoria
Tiap 1 g mengandung silver sulphadiazine 10
30 Antibiotik Topikal (Infeksi Luka Bakar)
Extract thymi liquid 250 mg, extract primulae
mg
liquid 50 mg, extract althae liquid 175 mg,
extract droserae 25 mg, extract serphylli 175
mg, ol eucalypti 0,5mg, ol anisi 1,25 mg,
syrupus
folic acidsimplex 2,5g, excip 10000
1 mg, betacaroten c corrigen q s ad 5
iu, vitamin
32 Suplemen dan Terapi Penunjang ml
b1 3 mg,Phaleria
Ekstrak vitamin macrocarpa
b2 3.4 mg, nicotinamid
100 mg 20 mg,
vitamin b6 2 mg, calcium d pantotenate 7.5 mg,
Vitamin dan Mineral (untuk Masa Hamil calcium carbonate 100 mg, vitamin b12 4 mcg,
33
dan Nifas)/Antianemia vitamin d3 400 IU, vitamin k1 50mcg, biotin 30
Gelatin polysuccinate,
mcg, copper gluconateNa0.1acetate
mg, irontrihydrate,
34 Larutan Steril Intravena NaCl, KCl, CaCl
polymaltose dihydrate
complex g, MgCl
30 mg, dha dari algae 40
hexahydrate,
mg, ara 8 mg NaOH
Bioactive fraction DLBS3233, Lagerstroemia
35 Suplemen dan Terapi Penunjang speciosa extr 25 mg, Cinnamomum burmannii
extr 25 mg
Vitamin B1 100 mg, Vitamin B6 200 mg,
36 Vitamin B Kompleks/dengan Vitamin C
Vitamin B12 200 mcg.
Antiinflamasi
Tiap 5ml mengandung : Psidii folium extract

250 mg
Pseudoephedrin HCl 30 mg, Terfenadine 40
mg

Antiinflamasi
Tiap mL injeksi mengandung Triamcinolone 40
43 Hormon Kortikosteroid
mg
46 Antikonvulsan Zonisamide 100 mg
Glucose (11%), amino acids & electrolyte

50 Produk Nutrisi Parenteral (Vamin 18 Novum), fat emulsion (Intralipid
20%)
Dekongestan Nasal dan Preparat Nasal

53 Fluticasone Furoate 27,5 mcg
Lain

Didymocarpus pedicellata 65 mg, Saxifraga
ligulata 49 mg, Rubia cordifolia 16 mg, Cyperus
scariosus 16 mg, Achyranthes aspera 16 mg,
Onosma bracteatum 16 mg, Vernonia cinerea
16 mg, Hajrul yahood bhasma bubuk 16 mg,
shilajeet, Ocimum sanctum, Tribulus terrestris,
Mimosa pudica, Dolichos biflorus, Pavonia
odorata, Equisetum arvense, Tectona grandis.
Polymyxin B sulfate 50000 iu, neomycin sulfate

59 Antiinfeksi dan Antiseptik Telinga 25 mg, fludrocortisone acetate 5 mg, lidocaine
HCl 200 mg
61 Analgetik Tramadol HCl 37,5 mg, Parasetamol 325 mg
63 Obat Hipertensi/Beta Blocker Karvediol 6,25 mg
Tiap vial mengandung: Retinol 3.500 IU,

Cholecalciferol 220 IU, Alphatocopherol 11,2
IU, Ascorbic acid 125 mg, Thiamine 3,51 mg,
Riboflavine 4,14 mg, Pyridoxine 4,53 mg,
Cyanocobalamine 0,006 mg, Folic acid 0,414
mg, Pantothenic acid 17,25 mg, Biotin 0,069
mg, Nicotinamide 46 mg. Eksipien: Glycine 250
mg, Glycocholic acid 140 mg, Soya Lecithin
112,5 mg, Sodium hydroxide q.s, Hydrochloric
acid q.s. pH=5,9.

65 piridoksin HCL 10 mg, sianokobalamin 10
(OAINS)
mcg,kafein 50 mg
Vitamin dan Mineral (untuk Masa Hamil Ca 200 mg, vitamin D3 100 SI, tuna fish oil 200
66
dan Nifas)/Antianemia mg
67 Ketoprofen 50 mg
(OAINS)
69 Obat Antimigren Ergotamine tartrate 1 mg, caffeine 100 mg
Pyridoxine HCl 25 mg, Cyanocobalamin 25

74 Vitamin dan Mineral (untuk Jantung)
mcg, Folic acid 500 mcg, d-α tocopherol 400 iu

Tiap 0,6 mL sirup mengandung vitamin A 2,000
IU, vitamin C 30 mg, vitamin D 400 IU, vitamin
77 Suplemen, Vitamin & Mineral B1 1 mg, vitamin B2 1.2 mg, vitamin B6 1 mg,
vitamin B12 2 mcg, nicotinamide 10 mg,
pantothenol 5 mg, lysine HCl 25 mg
Obat Lain yang Bekerja pada Sistem
78 Diacerein 50 mg
Muskuloskeletal
79 Suplemen dan Terapi Penunjang Astaxanthin 4 mg, selenium 15 mcg
Coral Ca 500 mg, natural soy isoflavone 20 mg,

80 Vitamin dengan Kalsium vit D3 200 iu, vit K1 25 mcg, Mg 100 mg, Zn 5
mg, boron 1 mg
Hormon-Hormon Tropik dan Preparat
Sintetiknya
82 Obat Batuk dan Pilek Erdosteine Dry Sirup
83 Preparat untuk Masalah Vagina metronidazol 500 mg, nystatin 22,7 mg
Monobasic Na phosphate 19 g, dibasic Na
84 Laksatif, Pencahar
phosphate 7 g
Setiap 5 ml mengandung : Mg trisilicate 250

85 Obat Antirefluks & Antiulserasi mg, koloid Al(OH)3 250 mg, simethicone
(activated dimethicone) 50 mg
86 Isoxsuprine HCl 20 mg
Per kaplet Imunvit Plus Echinacea extr (EFLA
87 Suplemen dan Terapi Penunjang 894) 250 mg, black elderberry extr 400 mg, Zn
picolinate 10 mg, selenium 15 mcg
Paracetamol 500 mg, Phenylpropanolamine

HCL 15 mg, Dexchlorpheniramine maleat 2 mg,
guaiacolate 50 mg
89 Nootropik dan Neurotonik Mecobalamin 500 mcg
Pyrathiazine theoclate 40mg, pyridoxine HCl

90 Antiemetik
37.5mg
Komposisi : Vitamin B1 100 mg, Vitamin B 6

91 Vitamin B Injeksi
100 mg, Vitamin B12 5000 mcg
Tuna oil 179 mg, omega-3 fatty acids 64.5 mg,
DHA 48.5 mg, EPA 12.5 mg, folic acid 400
Vitamin dan Mineral (untuk Masa Hamil mcg, vitamin A 345 IU, vitamin D3 34.5 IU,
92
dan Nifas)/Antianemia vitamin B12 0.5 mcg, vitamin B6 150 mcg, Ca
carbonate 100 mg, Mg oxide 62.5 mg, Fe
fumarate 23.5 mg
Suplemen untuk memelihara kesehatan Komposisi: Coenzym Q10, Vitamin C, Vitamin

95
(jantung) E, Zingiber Officinalle Rhizoma
97 Pelarut obat atau pemanis obat gula alami, granul rasa jeruk
100 Antihistamin dan Antialergi Cetirizine 10 mg/ml
101 Analgetik (Osteoartritis) Sodium hyaluronate 20 mg/2 mL
102 Nootropik dan Neurotonik Mecobalamin 500 µg

103 Meloksikam 15 mg
(OAINS)
(OAINS)
Methyl salicylate 102 mg, menthol 54.4 mg,

105 Obat Sistem Muskuloskeletal
eugenol 13.6 mg, dan kapsaicin 0.5 mg
106 Antasid, Obat Antirefluks & Antiulserasi Omeprazole 20 mg

108 Relaksan Otot Tizanidine HCI 2 mg
Vitamin B1 (Thiamine Mononitrate) 100

109 Vitamin B Kompleks mg Vitamin B6 (Pyridoxine Hydrochloride) 100
mg Vitamin B12 (Cyanocobalamin) 5000 mcg
Pancreatin 170 mg setara amilase 5500 u,

110 lipase 6,500 u, protease 400 u,
pencernaan

Radix astragali membranaceus 0.127 g, radix
salvia miltiorrhizae 0.025 g, radix paeoniae
rubra 0.025 g, rhizoma lingusticum chuanxiong
0.025 g, radix panax notoginseng 0.025 g,
cortex moutan (paeonia suffruticosa) 0.025 g,
whitmania pigra Whitman 0.015 g, eupolyphaga
seu steleophaga 0.015 g, lignum dalbergiae
odoriferae 0.025 g, calculus bovis (synthetic)
0.006 g, ramulus uncariae cum uncis 0.006 g,
buthus martensii 0.021 g, radix polygalae
tenuifolia/sibirica 0.025 g, rhizoma acori
tatarinowii 0.025 g
Quadrivalent Human Papillomavirus (Type

113 Vaksin / Antisera
6,11,16,18) Recombinant Vaksin
114 Vaksin / Antisera DPT, HIB, IPV, Hep B Ped
115 Vaksin anti varicella Vaksin anti varicella
Vitamin dan Mineral (untuk Masa Hamil Na Fe EDTA 115.4 mg [setara dg Fe elemental
116
dan Nifas)/Antianemia 15 mg (bebas bau amis Fe)].
117 Obat Antirefluks & Antiulserasi Ranitidin HCl 75 mg tiap 5 mL

118 Obat Anti Parkinson
entacapone 200 mg
119 Obat Hipertensi Sacubitril 24,3 mg, valsartan 25,7 mg
Coral Ca sebagai Ionic Ca 500mg, genistein

120 Kalsium/dengan Vitamin 20mg, Vit D3 200IU, Vit K1 25mcg, Mg 100mg,
boron 1mg, Zn 5mg
Vitamin dan Mineral (untuk Masa Hamil ekstrak biji trigonella foenum-gracum 600 mg,
121
dan Nifas)/Antianemia ekstrak sauropus androgynus 100 mg

122 Misoprostol 0.2 mg
Antiulceran
Obat Anti Inflamasi Non Steroid Dexketoprofen Trometamol 36,9 mg setara
123
(OAINS) dengan Dexketoprofen 25 mg

mengandung Glucose 75 gram, total free amino
Larutan steril mengandung Elektrolit, acids 30 gram, total nitrogen 4.7 gram,
124
Glikosa dan Asam Amino (Infus) essential/non-essential amino acids 1.44 gram,
branched-chain amino acids 30% w/w. Energi :
420 kkal

125
420 kkal
Tiap liter infus mengandung ion kalsium 3 meq,

126 Larutan Infus K 4 meq, ion natrium 130 meq, ion klorida 109
meq, asetat 28 meq

127 Cilostazol 50 mg
128 Larutan Steril / Infus Dextrose Anhydrous dan Sodium Chloride
129 Larutan Steril / Infus 40% Dextrose
130 Larutan Infus Per ml : Na 0.154 mEq, Cl 0.154 mEq
131 Obat Anti Spasmodik Hyoscine N-Butylbromide 20 mg/ml
Coenzyme Q10 60 mg, Vitamin C 60 mg,

Vitamin E 100 IU
Serebral
134 Agen Penghambat Neuromuskuler Vecuronium Bromide 4 mg

135 Celecoxib 100mg
(OAINS)
136 Antikonvulsan Pregabalin 50 mg
137 Kontrasepsi dan Hormon Medroxyprogesterone acetate 10 mg
138 Anastesi Bupivacaine HCl Injeksi 20 mg/4 ml

140 Diazepam 2 mg, methampyrone 500 mg
(OAINS)
Per tablet dispersibel Ekstr bilberry kering 40
Suplemen dan Terapi Penunjang untuk
141 mg, retinol 800 IU, beta-carotene 2.5 mg,
Mata
Vitamin E 20 mg
Per 1 mL mengandung Framycetin sulphate 5

143 Antiseptik Telinga dengan Kortikosteroid mg, gramicidin 0,05 mg, dexamethasone Na
Per 5 mL susp Vit A 2,400 IU, vit B1 4 mg, vit

B2 1.2 mg, vit B6 1.2 mg, vit B12 4 mcg, vit C
60 mg, vit D 400 IU, nicotinamide 16 mg, Ca
pantothenate 6 mg, choline 12 mg, inositol 12
mg, Na hypophosphite 20 mg, Ca 33.1 mg, Na
5.2 mg, L-lysine HCl 200 mg
vitamin B1 100mg, vitamin B12 100mg, vitamin

B6 5000mcg
Vit A 3,000 iu, vit D 200 iu, vit E 30 iu, vit B1 2
mg, vit B2 2 mg, vit B6 3 mg, vit B12 3 mcg,
folic acid 1,000 mcg, Ca pantothenate 8 mg,
biotin 35 mcg, nicotinamide 20 mg, vit C 100
mg, Fe elemental (as Ferrous Sulfate) 30 mg,
Vitamin dan Mineral (untuk Masa Hamil
151 iodine 150 mcg, Ca carbonate 100 mg, Zn (as
dan Nifas)/Antianemia
sulfate) 15 mg, Mg (as magnesium sulfate) 5
mg, manganese (as manganese sulfate) 1 mg,
copper (as cupric sulfate) 1,000 mcg, natural
fish oil 500 mg, omega-3 fatty acids 135 mg,
DHA 105 mg, EPA (EPA) 20 mg
pseudoephedrine 60 mg, 2,5 mg triprolidine

HCl
153 141,125 Vitamin C 200 mg injeksi
154 Analgesik (Non Opiat) dan Antipiretik Paracetamol 250mg/5ml
155 Vaksin Typhim Vi pre-filled inj 0.025 mg/0.5 mL
Salix alba bark extract, Aloe barbadensis leaf

156 Emolien dan Pelindung Kulit
extract, Hyaluronic acid
157 Obat Antiangina Trimetazidine dihidroklorida 2 mg
Kolagogum, Kolelitolitik dan curcuminoid 20 mg, Silymarin phytosome 70

158
Hepatoprotektor mg, choline bitartrate 150 mg, vitamin B6 2 mg

159 Vaksin (serotype 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, dan
23F), dan nontypeable Haemophilus influenzae
protein D conjugate vaccine, adsorbed
160 Obat Antipsikotik Sulpiride 50 mg


methylbenzylidene camphor, sorbitan stearate,
propylene glycol, cetyl alcohol, stearic acid,
butyl methoxydbenzoylmethane,
benzophenone-3, hydrogenated polyisobutene,
163 Sunscreen
glyceryl stearate, caprylic triglyceride,
tocopheryl acetate, diazolidinyl urea,
triethanolamine, methylparaben, BHT, aloe
barbadensis extract, disodium EDTA, xanthan
gum, propylparaben, fragrance
164 Antijamur dan Antiparasit Topikal Nystatin 100000 u, Zn oxide 200 mg

165 Elektrolit untuk kekurangan Kalium K L-asparte 300 mg

Prednisolonum 1 mg, Lidocainum 15 mg,
Aethylis Aminobenzoas 20 mg, Cetrimide 2.5
mg

167 Naproxen Sodium 500 mg
(OAINS)
168 Preparat Antimigren Sumatriptan succinate 100 mg
169 Obat Antikolinesterase Pyridostigmine Br 60 mg
170 Antibiotik Vankomisin HCl 500 mg
171 Vitamin Neurotropik + Sumber Energi
172 Antasid, Obat Antirefluks & Antiulserasi Ranitidine 150 mg
Tiap 5 ml suspensi mengandung : Amoksisilin

173 Antibiotik
trihidrat setara dengan Amoksisilin 125 mg
Tiap 5 ml suspensi mengandung : Amoksisilin

174 Antibiotik
trihidrat setara dengan Amoksisilin 250 mg

(OAINS)

Serebral

Serebral
Per sachet (2,5gr) Viable cell 1.250.000.000

CFU mengandung : Lactobacillus acidophilus
200.000.000 CFU, Lactobacillus rhamnosus
200.000.000 CFU, Bifidobacterium longum
85.000.000 CFU, Bifidobacterium bifidum
Regulator GIT, Antiflatulen dan 85.000.000 CFU, Streptococcus thermophilus
183
Antiinflamasi 680.000.000 CFU, polydextrose 869.63mg,
fructo-oligosaccharide 375mg,lactulose mixed
powder 125mg, vitamin C 35mg, vitamin E
8.125mg, vitamin A 3.6mg, pyridoxine HCl
1.3mg, vitamin B2 0.75mg, thiamine HCl
0.7mg.
rice starch, maltodextrin, lactobacillus

acidophilus, lactobacillus casei, lactobacillus
184 Antidiare/Probiotik salivarius, bifidobacterium infantis,
bifidobacterium lactis, bifidobacterium longum,
lactococcus lactis
Lepas cepat : Loratadine 5 mg dan
Pseudoefedrin 60 mg
186 per box isi 30 tablet Cilostazol 100 mg
Per 5 mL mengandung : Amoksisilin trihidrat

187 Antibiotik
125 mg + Kalium klavulanat 31.25 mg
(OAINS)
(OAINS)
(OAINS)
200 Vaksin / Antisera Inactivated Hepatitis A virus 80 IU.

Vit A 6,000 u, vit B1 10 mg, vit B2 2.5 mg, vit
B6 15 mg, vit B12 4 mcg, vit C 100 mg, vit D
Vitamin dan Mineral (untuk Masa Hamil 400 u, niacinamide 20 mg, Ca pantothenate 7.5
201
dan Nifas)/Antianemia mg, folic acid 1 mg, Fe fumarate 90 mg, Ca
lactate 250 mg, copper 0.1 mg, iodine 0.1 mg,
202 Obat Topikal Benzil Benzoat
Na fluoride 1 mg
203 Carbachol miostat

204 vestibular (gangguan bagian telinga Cinnarizin 25 mg
dalam dan otak)
205 Obat antiinflamasi nonsteroid (OAINS) Deksketoprofen Injeksi
Tiap tablet mengandung : Parasetamol 500 mg,

206 Obat Batuk dan Pilek Pseudoefedrin HCl 7,5 mg, Klorfeniramin
Maleat 2 mg.
207 Obat Topikal Hydroactive gel
208 Ethinyl Estradiol 0,5 injeksi
209 Ethinyl Estradiol 0,5 tab
210 Hepatoprotektor fructus schizandrae (ekstrak siccum) 7,5 mg
DPaT (efek samping d harapkan tidak tll tinggi

211 Vaksin / Antisera di banding kan DPT biasa), Hib, Polio, Hepatitis
B dan Tetanus
212 Anastesi Levobupivakain plain 0,75%
Radix scutellariae, Cortex phellodendri,

213 Obat Kulit Lain/ Topikal
Rhizoma coptidis, Sesame oil, Beeswax
Air yang dimurnikan, PEG-4, Allium cepa extr,

214 Obat Kulit Lain
xanthan gum, allantoin
215 Vaksin Measles Mumps Rubella Vaccine
216 Petidin injeksi
217 Kontrasepsi Oral Levonorgestrel
zinc oxide, benzyl alcohol, benzyl benzoate,

benzyl cinnamate dan lanolin (hypoallergenic).
218 Krim Antiseptik Obat Kulit Bayi Anak
Krem ini juga mengandung purified water,
parafin cair, asam sitris, dan bahan-bahan lain

221 Hormon Anti Diuretik Vasopressin
222 Obat Sedatif Zolpidem
223 Acyclovir Injeksi 250
224 Amfoterisin B Injeksi 5mg/ml
Tiap 500 ml : Glukosa Anhidrat 25 gr, Natrium

Klorida 2,25 gr, Air untuk Injeksi ad 500 ml,
Natrium 77 mEq/L, Klorida 77 mEq/L,
Osmolaritas 423 mOsm/L.

229
231 Obat perdarahan lambung-usus akut Somatostatin 3 mg
JUMLAH A
2 Preparat Antiglaukoma Pilokarpin HCl 2%
Setiap ml larutan mengandung: Carmllose

Sodium 5 mg

4 Sodium hyaluronate 1.00 mg
Antiinflamasi mata
Zat aktif: tropicamide, dan zat non-aktif: sodium

7 Preparat Mata Golongan Lain bisulfite, disodium edetate, propyl methyl
cellulose, dan distilled water

9 Na Diklofenak
Antiinflamasi mata

10 Fluorometholon 1mg
Antiinflamasi mata
11 Preparat Mata Golongan Lain Prednisolone 10 mg
12 Preparat Antiglaukoma Timolol 0.5%
13 Obat Midriatikum Atropina-Sulfat 1%

16

18 Antibiotik
19 Analgetik dan Antipiretik
JUMLAH B
C. RS. Khusus Paru
Tiap 0,6 mL sirup mengandung vitamin A 2,000

IU, vitamin C 30 mg, vitamin D 400 IU, vitamin
4 Suplemen & Vitamin B1 1 mg, vitamin B2 1.2 mg, vitamin B6 1 mg,
vitamin B12 2 mcg, nicotinamide 10 mg,
pantothenol 5 mg, lysine HCl 25 mg
Per 5 mL sir Vit A 5,000 IU, vit B1 3 mg, vit B2

2 mg, vit B6 6 mg, vit B12 5 mcg, vit C 50 mg,
5 Suplemen & Vitamin vit D 400 IU, nicotinamide 20 mg, lysine HCl
250 mg, d- pantothenol 5 mg, l- glutamic acid
25 mg
Vitamin B1 HCl 100 mg, Vitamin B6 100 mg,

7 Vitamin B Injeksi
Vitamin B12 5000 Ã‚Âµg
8 Obat Batuk dan Pilek Bromhexine HCl 4 mg, Guaifenesin 100 mg

Serebral
15 Obat Batuk dan Pilek Erdosteine 300 mg
16 Larutan Steril/ Infus
17 Vitamin syrup
18
19 Obat Anti Tuberkolosis Etambutol 500 mg
Paracetamol 500 mg, Fenilpropanolamina HCl

20 Obat Batuk dan Pilek 15 mg, Klorfeniramina maleat 1 mg,

21 Obat Batuk dan Pilek Fenilpropanolamina HCl 3,5mg, Klorfeniramin
maleat 0,5 mg, Dextromethorphan HBr 5mg
Setiap 1 gram Garamycin mengandung

23 Antibiotik Topikal gentamicin sulfate yang ekuivalen dengan 1 mg
(0,1%) Gentamicin

24 Ibuprofen 200 mg
(OAINS)
Per kaplet Imunvit Plus Echinacea extr (EFLA

25 Suplemen dan Terapi Penunjang 894) 250 mg, black elderberry extr 400 mg, Zn
picolinate 10 mg, selenium 15 mcg

28 Obat Antiangina Isosorbide Dinitrat 5 mg

(OAINS)
Mengandung 3-methyl-2-oxovaleric acid 67 mg,
4-methyl-2-oxovaleric acid 101 mg, 2-oxo-3-
phenylpropionic acid 68 mg, 3-methyl-2-
oxobutyric acid 86 mg, 2-hydroxy-4-
methylthiobutyric acid 59 mg, L-lysine
monoacetate 105 mg, L-threonine 53 mg, L-
tryptophan 23 mg, L-histidine 38 mg, L-tyrosine
30 mg, total Ca 50 mg

(OAINS)
phenolphtalein 55 mg, paraffin liquidum 1200

33 Laksatif/Pencahar
mg, glycerin 378 mg
34 Antibiotik Levofloxacin 500 mg
(OAINS)
36 Preparat Antiasma dan PPOK Procaterol HCl hemihydrate
38 Larutan Steril / Infus Na 154 mEq, Cl 154 mEq
Obat Saluran Kemih Kelamin Golongan
39 Natrium Bicarbonat 500 mg
lain

41 Antijamur Nystatin 100.000 iu

42 Obat Batuk Hitam (OBH)
Ammonium Chloride 100 mg, Alkohol 0,8%
Curcuminoid 20 mg, Silymarin Phytosome 70

45 Hepatoprotektor
mg, Choline Bitartrate 150 mg, vitamin B6 2 mg
47 Antispasmodik Hyoscine N - butylbromide 10 mg

Bromida 2,5 mcg
50 Antasid, Obat Antirefluks & Antiulserasi Sucralfate 500 mg
Per tablet : Salbutamol Sulfate 1 mg, Teofilin

150 mg.
Per kaps Indacaterol 110 mcg, glycopyrronium

50 mcg.
Per 5 mL Curcuminoid 2 mg, beta-carotene 4

mg, vit B1 3 mg, vit B2 2 mg, vit B6 5 mg, vit
55 Vitamin Anak B12 5 mcg, vit D 100 iu, dexpanthenol 3 mg, Ca
pidolate 300 mg, fructo-oligosaccharide 300
mg.
JUMLAH C
ekstrak placenta dari sapi 10%, neomycin

sulfate 0.5%, jelly base
9 Antibiotik amoxicilin 500 mg dan asam klavulanat 125 mg
Paracetamol 500 mg, phenylpropanolamine

HCl 12.5 mg, chlorpheniramine maleate 2 mg

(0,1%) Gentamicin

14 Ibuprofen 200 mg
(OAINS)
15 Ibuprofen 400 mg
(OAINS)

guaiacolate 50 mg

(OAINS)
Vit A 4000 IU, Vit C 50 mg, Vit D 400 IU, Vit E
10 mg, Vit B1 3mg, Vit B2 3mg, Vit B6 2mg, Vit
B12 2mcg, nicotinamide 20mg, Ca
pantothenate 5mg, folic acid 1mg, biotin 0,1mg,
Fe fumarate 20mg, Ca 100mg, copper 0,5mg,
maanganese 0,5mg, Mg 1mg, Zn 0.25mg

guaiphenesin 50 mg.
Suplemen kebutuhan Vitamin
JUMLAH D
Tiap 60 gram bedak mengandung talc, salicylic
1 Keratolitikum
acid 2 %
Paracetamol 500 mg, chlorpheniramine
4 Obat Batuk dan Pilek maleate 2 mg, phenylpropanolamine HCl 12.5
mg, dextromethorphan HBr 15 mg
Vitamin A, Vitamin D, Vitamin B1, Vitamin B2,
5 Vitamin dan Mineral (Pediatrik) Vitamin B6, Vitamin B12, niasinamid, Ca-
pantotenat, L-lisin HCl, Vitamin C
Tiap tablet mengandung : Methampyron
6 Antispasmodik 500mg, Papaverine HCl 25mg, Belladonna
extract 10mg.
Ammonium Chlorida 150 mg, Ammonia Liquida
8 Obat Batuk Putih (OBP)
0.0025 ml, Ol. Menthae Piperithiae 0.005 ml

10 Analgesik (Non Opiat) dan Antipiretik Antalgin 500 mg

(0,1%) Gentamicin
Dexamethasone 0,5 mg Dexchlorpheniramine

Maleate 2 mg
fish oil 18/12: EPA/DHA 400mg, vit E natural
Vitamin dan Mineral (untuk Masa Hamil
15 4mg, folic acid 400mcg, vit B6 6mg, vit B12
dan Nifas)/Antianemia
25mcg.
Glucosamine sulphate 500 mg, chondroitin

sulfate 400 mg, vit C 50 mg, manganese 0.5
mg, Mg 10 mg, selenium 10 mcg, Zn 5 mg,
MSM 350 mg.
Per 5 mL sirup mengandung Vit A 5,000 iu, vit

B1 1.5 mg, vit B2 2 mg, vit B6 1 mg, vit B12 5
mcg, vit C 60 mg, vit D 400 iu, nicotinamide 20
mg, lysine HCl 200 mg, d- panthenol 3 mg.
18 Antidiare Attapulgite 600 mg, Pectin 50 mg

19 Obat Batuk Hitam (OBH)
20 Antidiare Kaolin 700 mg dan Pektin 50 mg
Analgesik (Non Opiat) dan Antipiretik Tiap gram mengandung : Menthol 53,4 mg,
21
Topikal eugenol 13, 6 mg, methyl salicylate 102 mg
22 Meloksikam 15 mg
(OAINS)

ß-carotene 6mg, Vitamin C 100mg, Vitamin E

25mg, Lycopene 5m

25 Preparat Anorektal aminobenzoas, dibucaini hcl, diphenhydramini
hcl, cetrimide

(OAINS)

30 Ibuprofen 200 mg
(OAINS)

ATP 20mg, thiamine 100mg, pyridoxine 200mg,
32 Obat Kardiovaskuler Golongan Lain
cyanobalamin 200mcg, vitamin e 30mg
35 Vitamin B Kompleks/dengan Vitamin C Vit B1 100 mg, vit B12 200 mcg, vit B6 200 mg.

#REF! Obat Batuk dan Pilek
guaiphenesin 50 mg.
#REF! Antikoagulan Topikal Heparin sodium 200 IU
Antiinfeksi Topikal dengan

#REF! betametason 0.1% + neomisin sulfat 0.5%
Kortikosteroid
JUMLAH E
#VALUE! Obat Anti Inflamasi Steroid Deksametason 0,5 mg
#VALUE! Piroksikam 10 mg
(OAINS)
1 Antibiotik Amoksisilin sirup kering 125 mg/5 ml
3 Keratolitikum
acid 2 %
4 Obat Anti Inflamasi Non Steroid piridoksin HCL 10 mg, sianokobalamin 10
mcg,kafein 50 mg
Paracetamol 500 mg, Pseudoefedrin HCL 7.5
5 Obat Batuk dan Flu
mg, Klorfeniramin maleat 2 mg.

(0,1%) Gentamicin
11 Suplemen Vitamin Tablet
12 Suplemen Vitamin Syrup
13 Multivitamin dan Mineral
14 Antitusiv & Nasal Decongestan
Ekspektoran & Nasal Decongestan

16
( Batuk Berdahak & Demam )

18 Ibuprofen 200 mg
(OAINS)
Ekstrak Schizandrae fructus 135 mg, ekstrak
Kurkuma xanthorrhizae rhizoma 150 mg,
Kolagogum, Kolelitolitik dan
19 ekstrak Liquiritiae radix 135 mg, kolin bitartrat
Hepatoprotektor
150 mg, vit-B6 2 mg, silymarin phytosome35
mg
21 Imundo kaplet
22
JUMLAH F
G. PROGRAM P2PL
1 Insektisida
2 Larvasida Bahan aktif Sipermetrin 50 gr/lt
Mengandung Temephos 1 % dengan formulasi

3 Antipsikotik
berbentuk butiran sehingga mudah digunakan
4 Antipsikotik Klorpromazin 100 mg
Spesifikasi Satuan Merk
3 4
Kotak 60 tablet Ardium 500 mg
bentuk hesperidin 10%.
progesteron 200 mg Kotak 30 ovula Cygest 200 mg Vagtab

Anhydrous lanolin 60 mg, isopropyl myristate
monostearate 80 mg, polysorbate 20 mg, Tube 40 gram Decubal Cream 40 gr
acid 1.5 mg.
Amorphes Gel Pcs 20 gram Suprasorb G

Botol 500 ml Gelofusin Infus 500 ml
Botol 500 ml Ringer Fudin Infus

Estradiol Valerat 2 mg, dan 10 tablet masing-
Kotak isi 1 Blister Cyclo Progynova
masing mengandung Estradiol Valerat 2 mg,
Norgestrel 0,5 mg.
levonorgestrel 150 mcg, ethinylestradiol 30 mcg Kotak 25 Strip Microgynon tab 25
Drospirenon 3 mg, Etinilestradiol 0,03 mg Kotak Yasmin
Tiap dosis semprotan mengandung Tiotropium Dus 1 inhaler + 1

Spiriva Respimat 2,5 mcg
Bromida 2,5 mcg cartridge
Vitamin A 1000 IU, Oxymetazoline
Botol 5 ml Cendo Asthenof ED
Hydrochloride 0.25 mg
Atropina-sulfat 0.5% Botol 5 ml Cendo Tropine 0,5% ED
Phenylephrine HCl 1,2 mg ; Zinc sulfate 2,5 mg Botol 5 ml Cendo Augentonic 5 ml ED
Chloramphenicol 1% Tube 3,5 gram Cendo Fenicol Eye Oint 3,5 g
Ofloxacin 3 mg Pcs Cendo Floxa
Levofloxacin 5mg Pcs Cendo LFX 0,6 ml MD
Sodium Chloride 4.4 mg, Kalium Chlorid 0.8 mg Botol 15 ml Cendo Lyteers ED
Sodium Chloride 4.4 mg, Kalium Chlorid 0.8 mg Minidose 5 x 0.6 ml Cendo Lyteers MD
Natamycin 5 % Minidose 5 x 0.6 ml Cendo Natacen MD
Tiap 1 ml: prednisolone acetate 10 mg Botol 5 ml Cendo P-pred Eye Drop 5 ml

Minidose 5 x 0.6 ml Cendo Protagenta MD
Tobramycin 3.0 mg, Dexamethasone 1.0 mg Minidose 5 x 0.6 ml Cendo Tobroson MD
Tobramycin 3.0 mg, Dexamethasone 1.0 mg Botol 5 ml Cendo Tobroson ED
Tetrakaina 2% Botol 5 ml Cendo Pantocain 2% ED

besi sebagai Kompleks Besi (III)-hidroksi Kotak 30 tablet Maltofer Fol
Parasetamol 80 mg tiap supositoria Kotak 12 suppos Propyretic 80 mg
L-ornitin-L-aspartat Kotak 10 Pcs Hepa Merz Granul
Kotak 5 ampul 5 g/10

L-ornitin-L-aspartat Hepa Merz Injeksi
ml
Extract thymi liquid 250 mg, extract primulae Tube 35 gram Burnazin krim 35 g
mg
Botol 100 ml Silex Sirup
syrupus
folic acidsimplex 2,5g, excip 10000
1 mg, betacaroten c corrigen q s ad 5
iu, vitamin
ml
b1 3 mg,Phaleria
Ekstrak vitamin macrocarpa
b2 3.4 mg, nicotinamid
100 mg 20 mg, Kotak 30 tablet Dismeno
vitamin b6 2 mg, calcium d pantotenate 7.5 mg,
calcium carbonate 100 mg, vitamin b12 4 mcg,
Botol 30 kapsul Folamil Genio
vitamin d3 400 IU, vitamin k1 50mcg, biotin 30
Gelatin polysuccinate,
mcg, copper gluconateNa0.1acetate
mg, irontrihydrate,
NaCl, KCl, CaCl
polymaltose dihydrate
complex g, MgCl
30 mg, dha dari algae 40 Botol 500 ml Gelafusal
hexahydrate,
mg, ara 8 mg NaOH
Bioactive fraction DLBS3233, Lagerstroemia
speciosa extr 25 mg, Cinnamomum burmannii Kotak 30 tablet Inlacin 50 mg
extr 25 mg
Kotak 200 tablet Neurodex
Otilonium Bromide 40 mg Kotak 30 tablet Lonide 40 mg
ekstrak psidii folium Botol 50 tablet Psiidii Kapsul
Tiap 5ml mengandung : Psidii folium extract

Botol 60 ml Psiidii Syrup
250 mg
Pseudoephedrin HCl 30 mg, Terfenadine 40
Kotak 50 tablet Rhinofed tablet
mg
Risperidone 2 mg Kotak 100 tablet Riperidone 2 mg
Otilonium Br 40 mg Kotak 30 tablet Spasmomen 40 mg
Tiap mL injeksi mengandung Triamcinolone 40

Vial 1 ml Flamicort 40mg/ml
mg
Propanolol HCl 10 mg Kotak 100 tablet Propanolol 10 mg
Propylthiouracil 100 mg Kotak 100 tablet Propylthiouracil 100 mg
Zonisamide 100 mg Kotak 100 tablet Zonegran 100 mg
Triamcinolone 4 mg Kotak 100 tablet Triamcinolone 4 mg
Acetylcysteine 200 mg 200 mg/ml Botol 25 ml Respar
Amiodarone HCl 200 mg Kotak 30 tablet Tiaryt 200 mg

(Vamin 18 Novum), fat emulsion (Intralipid Chamber Bag Kabiven Peripheral
20%)
Per-5 mL : Calcium 200 mg Botol 100 ml Calnic sirup 100 ml
Vitamin D3 400 IU Kotak 30 tablet D-Fit FT
Fluticasone Furoate 27,5 mcg Botol 120 ml Avamys Nasal Spray
Lamotrigine 50 mg Kotak 30 tablet Lamictal
Salbutamol sulfat 2.5 mg Kotak 20 Strip Ventolin Nebules 2,5 mg

Didymocarpus pedicellata 65 mg, Saxifraga
Botol 100 tablet Cystone
Sulfadiazin Kotak 100 tablet Sulfadiazin 500 mg
Sefaleksin 500 mg Kotak 50 tablet Cephalexin 500 mg

25 mg, fludrocortisone acetate 5 mg, lidocaine Botol 8 ml Otopain Tetes Telinga
HCl 200 mg
Asam Pipemidat 400 mg Kotak 100 tablet Urinter
Tramadol HCl 37,5 mg, Parasetamol 325 mg Kotak 30 tablet Ultracet
Adenosin triphosphate 20 mg/2 ml Kotak 10 ampul ATP Kalbe
Karvediol 6,25 mg Kotak 30 tablet V Bloc 6.25

IU, Ascorbic acid 125 mg, Thiamine 3,51 mg,
Kotak 10 vial Carnevit
mg, Nicotinamide 46 mg. Eksipien: Glycine 250
mg, Glycocholic acid 140 mg, Soya Lecithin
112,5 mg, Sodium hydroxide q.s, Hydrochloric
acid q.s. pH=5,9.

piridoksin HCL 10 mg, sianokobalamin 10 Kotak 100 tablet Neuralgin Rx
mcg,kafein 50 mg
Ca 200 mg, vitamin D3 100 SI, tuna fish oil 200
Kotak 30 kapsul Osfit DHA
mg
Ketoprofen 50 mg Kotak 30 tablet Ketoprofen 50 mg
Piracetam 500 mg/5 ml Botol 100 ml Neurotam Syrup 100 ml
Ergotamine tartrate 1 mg, caffeine 100 mg Botol 100 tablet Ergotamine Coffeine
Per 5 ml : Ondansetron 4 mg Botol 60 ml ODR Sirup
17 βeta-estradiol 0.06% Tube 80 gram Oestrogel
Micronised progesterone 200 mg Kotak 15 tablet Utrogestan 200 mg

Kotak 20 tablet Cardiomin Soft Capsul
Ekstrak Channa striata 500 mg Kotak 30 kapsul Channa Cap
Kanamycin monosulfate 1 gr Kotak 10 vial Kanamycin 1 g

Per ml : Vit B1 1.5 mg, Vit B2 2 mg, Vit B6 1
mg, Vit B12 5 mcg, Nocotinamide 20 mg, D-
Botol 15 ml Supralysin Baby Drops
Panthenol 3 mg, Vit A 5,000 IU, Vit D 400 IU,
Vit C 25 mg, Lysine HCl 50 mg
Diacerein 50 mg Box 30 capsul Boncerin
Natural Astaxanthin 4 mg Box 30 Licaps Xantia
Ca 500 mg, Vit D3 200 IU, Mg 150 mg, Zn 15

Box 20 tablet Hical
mg, F 1 mg
Clomifene citrate 50 mg Kotak 30 tablet Clovertil 50 mg

Per 5 ml : Erdosteine 175 mg Botol 60 ml Dry Syrup Dosivec
Metronidazole 500 mg, Nystatin 100,000 IU Box 10 Ovula Provagin
Sodium Phosphate Monobasic monohydrate
19.0 g, sodium phosphate dibasic hepta Botol 133 ml Purgatix Enema
hydrate 7,0 g
Setiap 5 ml mengandung : Mg trisilicate 250

mg, koloid Al(OH)3 250 mg, simethicone Botol 120 ml Gastrinal HD suspensi
(activated dimethicone) 50 mg
Isoxsuprine HCl 20 mg Box 50 tablet Tonotan
Echinacea Extract 170 mg, Reishi Mushroom

Box 30 tablet Proimbus
Extract 150 mg, Calcium pantothenate 15 mg

Kotak 100 tablet Intunal F Tab
guaiacolate 50 mg
Mecobalamin 500 mcg Box 100 Capsul Meprobal
Pyrathiazine theodate 40 mg, Vit B6 37,5 mg Box 100 tablet Provomer
Vit B1 Mononitrate 100 mg, Vit B6 100 mg, Vit

Box 10 ampul Biocombin 5000 injeksi
B12 5000 mcg
Fish Oil 18/12: EPA/DHA 400 mg, Vit E 4 mg,

Folic acid 400 mcg, Vit B6 6 mg, Vit B12 25 Box 30 Licaps Procalma
mcg
Parasetamol 160 mg Box 10 Suppositories Pyrexin 160 mg
Parasetamol 80 mg Box 10 Suppositories Pyrexin 80 mg
Lycopene 5 mg, CoQ10 30 mg, Grape Seed

Extract 10 mg, Green tea Extract 150 mg, Box 30 capsul Lycoq
Natural Vitamin E 100 IU
Sirplus sirup 100 ml Botol 100 ml Sirplus sirup 100 ml
gula alami, granul rasa jeruk Botol 500 tablet Sirplus Jeruk
Tramadol HCl 37,5 mg, Paracetamol 325 mg Box 30 caplet Pyrexin Extra
Per 5 ml : Ambroxol HCl 15 mg Botol 60 ml Syrup Mucos
Per 1 ml : Cetirizine 2 HCl 10 mg Botol 20 ml Drops Rinocet
Na Hyaluronate 2%, Manitol 0,5% Box 1 Syringe Ostenil Plus
Mecobalamin 500 mcg Box 100 Capsul Meprobal
Meloxicam 15 mg Box 30 tablet X-Cam 15 mg
Meloxicam 7,5 mg Box 30 tablet X-Cam 7,5 mg
Methyl salicylate 102 mg, menthol 54.4 mg,

Tube 15 gram Nostren Cream 15 gr
eugenol 13.6 mg, dan kapsaicin 0.5 mg
Omeprazole 20 mg Box 30 Capsul OPM

Ciprofloxacin 500 mg Box 30 tablet Mensipox
Tizanidine 2 mg Box 100 tablet Myores

mg Vitamin B6 (Pyridoxine Hydrochloride) 100 Kotak 250 tablet Neurobion Forte

lipase 6,500 u, protease 400 u, Kotak 30 tablet Xepazym
Klorheksidin glukonat 0,1%, 0,2% Botol 60 ml Minosep Gargle

rubra 0.025 g, rhizoma lingusticum chuanxiong
Kotak 24 kapsul Neuroaid II Kapsul
buthus martensii 0.021 g, radix polygalae
tenuifolia/sibirica 0.025 g, rhizoma acori
tatarinowii 0.025 g
Quadrivalent Human Papillomavirus (Type

Kotak 1 Syringe Gardasil
DPT, HIB, IPV, Hep B Ped HEXAXIM
Vaksin anti varicella Syringe 0.5 mL x 1's Varivax
Na Fe EDTA 115.4 mg [setara dg Fe elemental

Botol 15 ml Ferriz Drop 15 ml
15 mg (bebas bau amis Fe)].
Ranitidin HCl 75 mg tiap 5 mL Botol 60 ml Ranivel Syrup

Botol 30 tablet Stavelo
entacapone 200 mg
Sacubitril 24,3 mg, valsartan 25,7 mg Kotak 28 tablet Uperio 50 mg FC

20mg, Vit D3 200IU, Vit K1 25mcg, Mg 100mg, Kotak 30 tablet Eazycal tab
boron 1mg, Zn 5mg
ekstrak biji trigonella foenum-gracum 600 mg,

Kotak 60 tablet Lactamam
ekstrak sauropus androgynus 100 mg
Misoprostol 0.2 mg Kotak 50 tablet Noprostol

Dexketoprofen Trometamol 36,9 mg setara
Kotak 50 tablet Dexketoprofen tablet
dengan Dexketoprofen 25 mg

acids 30 gram, total nitrogen 4.7 gram,
Softbag 1000 ml Aminofluid 1000 ml Infus
essential/non-essential amino acids 1.44 gram,
420 kkal

420 kkal

K 4 meq, ion natrium 130 meq, ion klorida 109 Botol 500 ml Asering 500 ml
meq, asetat 28 meq
Cilostazol 50 mg Kotak 100 tablet Pletaal

Dextrose Anhydrous dan Sodium Chloride Botol D10 1/5 NS
40% Dextrose Vial 25 ml Otsu D40 Infus 25 ml
Per ml : Na 0.154 mEq, Cl 0.154 mEq Botol 25 ml NS Otsu 25 ml
Hyoscine N-Butylbromide 20 mg/ml Kotak 5 ampul @ 1 ml Scopamin Injeksi

Kotak 30 tablet Cor-Q
Vitamin E 100 IU
Ginkgo biloba extr (EGb 761) 120 mg Kotak 30 tablet Tebokan Forte 120 mg
Vecuronium Bromide 4 mg Vial @ 4 mg Ecron 4 mg
Celecoxib 100mg Kotak 30 tablet Celebrex 100 mg
Pregabalin 50 mg Kotak 14 tablet Lyrica

Medroxyprogesterone acetate 10 mg Kotak 100 tablet Provera 10 mg
Bupivacaine HCl Injeksi 20 mg/4 ml Kotak 5 ampul 4 ml Quanocain Spinal Heavy
Per mL mengandung: 3mg Ofloxacin Botol 5 ml Akilen Ear Drop
Diazepam 2 mg, methampyrone 500 mg Kotak 100 tablet Analsik

mg, retinol 800 IU, beta-carotene 2.5 mg, Kotak 100 tablet Berry Vision
Vitamin E 20 mg
Bromhexine HCl 4mg/5 ml Botol Mucohexin elixir

mg, gramicidin 0,05 mg, dexamethasone Na Botol 5 ml Blecidex Ear Drop
Bromocriptine mesilate 2.5 mg Kotak 30 tablet Cripsa 2.5 mg
Flunarizine 10 mg per box isi 100 tablet Gratizin 10mg
Natrium dokusat 5 mg Botol 10 ml Forumen Tetes Telinga
Acetazolamide 250 mg Kotak 100 tablet Glauseta

B2 1.2 mg, vit B6 1.2 mg, vit B12 4 mcg, vit C
60 mg, vit D 400 IU, nicotinamide 16 mg, Ca
Botol 60 ml Elkana Syrup

Kotak 100 tablet Neurosanbe 5000 tab
B6 5000mcg
Vit A 10,000 IU , Vit B1 20 mg , Vit B2 5 mg ,
Vit B6 10 mg , Vit B12 5 mcg , Vit C 150 mg ,
Vit D3 400 IU , Vit E 10 mg , Nicotinamide 50
mg , Ca Pantothenate 11.6 mg , Biotin 0.25
mg , Folic Acid 0.4 mg , Calcium 50 mg , per box isi 100 kaplet Pervita
Phosphor 38.64 mg , Iron 10 mg , Mg 16.4 mg ,
Mn 0.379 mg , K 0.035 mg , Se 0.061mg , Flour
0.045 mg , Copper0.712 mg , Zinc 0.343 mg ,
Molybdenum 0.083 mg

Kotak 100 tablet Tremenza
HCl
Vitamin C 1.000 mg ( 200 mg/ml ) per box isi 5 ampul Sankorbin
Paracetamol 250mg/5ml Botol 60 ml Sanmol Forte 250mg/5 ml Sirup
Typhim Vi pre-filled inj 0.025 mg/0.5 mL Syringe 0.5 mL x 1's Typhim VI Syringe

Tube 30 gram Topicare Soothing
Trimetazidine dihidroklorida 2 mg Kotak 60 tablet Trizedon MR
curcuminoid 20 mg, Silymarin phytosome 70

Kotak 30 tablet Pro Liver
mg, choline bitartrate 150 mg, vitamin B6 2 mg

Pre-filled syringe 0,5
(serotype 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, dan Synflorix 0,5 ml
mL
protein D conjugate vaccine, adsorbed
Sulpiride 50 mg Kotak 100 tablet Dogmatil
Urea 10% Tube 40 gram Carmed 10% Cream

Urea 20% Tube 40 gram Carmed 20% Cream

methylbenzylidene camphor, sorbitan stearate,
butyl methoxydbenzoylmethane,
benzophenone-3, hydrogenated polyisobutene, Parasol Sunscreen Lotion SPF
Tube 100 gram
glyceryl stearate, caprylic triglyceride, 30
tocopheryl acetate, diazolidinyl urea,
triethanolamine, methylparaben, BHT, aloe
barbadensis extract, disodium EDTA, xanthan
gum, propylparaben, fragrance
Nystatin 100000 u, Zn oxide 200 mg Tube 10 gr Myco Z 10 gr

K L-asparte 300 mg Kotak 100 tablet Aspar K

Prednisolonum 1 mg, Lidocainum 15 mg,
Kotak 10 Suppos Borraginol S Supositoria
mg
Naproxen Sodium 500 mg Kotak 100 kapsul Alif 500
Sumatriptan succinate 100 mg Kotak 10 tablet Triptagic
Pyridostigmine Br 60 mg Kotak 150 tablet Mestinon 60 mg
Vankomisin HCl 500 mg Vial 500 mg Vancodex Injeksi 500 mg
ATP 20 mg, B1 100 mg, B6 200 mg, B12 200

Ds. 10x10's Bio ATP
mcg, VIT E 30 mg
Ranitidine 150 mg Box 50 tablet Tricker
Amoxicillin SK 125 mg/5 ml Botol @ 60 ml Amoxicillin SK 125 mg/5 ml
Amoxicillin SK 250 mg/5 ml Botol 60 ml Forte Dry Amoxicillin SK 250 mg/5 ml

Acetylsalicylic acid 100 mg Kotak 100 tablet Acetosal 100 mg
Cefadroxil 500 mg Box @ 50 Kapsul Droxefa 500 mg kapsul
Kalium diklofenak 50 mg Kotak@ 50 tablet Kalium diklofenak 50 mg
Cefadroxil 500 mg Box @ 50 Kapsul DROXEFA 500 MG KAPSUL
Citicolin 250 mg inj per box isi 5 ampul Beclov Inj
Citicolin 125 mg / ml ( Citicolin 250 mg ) per box isi 5 ampul Beclov inj
Ekstrak Curcuma xanthorrhiza 20 mg per box isi 100 tablet Curcuma Sanbe
Eperisone HCl 50 mg per box isi 100 tablet Eprinoc
(Lactobacillus helveticus Rosell - 52 ND ,

Bifidobacterium Infantis Rosell - 33 ND ,
per box 10 Sachet Probiokid Powder
Bifidobacterium bifidum Rosell - 71 ND ) 3 x
10pangkat 9CFU ; FOS 750 mg

Lepas lambat : Loratadine 5 mg dan
per box isi 50 Capsule Aldisa SR
Pseudoefedrin 120 mg
Cilostazol 100 mg per box isi 30 tablet Fibrozol 100

satuan flas Claneksi DS
Captopril 25 mg per box isi 50 tablet Tensicap 25
Captopril 12,5 mg per box isi 50 tablet Tensicap 12,5
Eritromisin sirup 200mg/5 ml satuan flas Erysanbe DS
Klobetasol Propionate 0,05% satuan tube Clobesan crm
Metronidazole 500 mg per box isi 100 tablet Trichodazol 500
Nistatin 100.000 IU satuan suspensi Nymiko
Sildenafil Citrate 50 mg per box isi 4 kaplet Sanbenafil 50
Triamcinolon 0,1 % satuan tube Sinocort oral paste
Valacyclovir 500 mg per box isi 50 kaplet Herclov
Etoricoxib 120 mg Kotak 30 tablet Etoricoxib 120 mg
Kotak 1 Prefilled
Inactivated Hepatitis A virus 80 IU. Avaxim
Syringe @ 0.5 mL
Vitamin dan Mineral (untuk Masa Hamil dan

Box 100 tablet Maltiron Plus
Nifas)/Antianemia
Benzil Benzoat
Cinnarizin 25 mg
Deksketoprofen Injeksi Ampul Dexketoprofen Injeksi

Pseudoefedrin HCl 7,5 mg, Klorfeniramin Kotak 100 tablet Demacolin
Maleat 2 mg.
Duoderm Hydroactive gel 15
Hydroactive gel Tube 15 gram
gram
Ethinyl Estradiol 0,5 injeksi
Ethinyl Estradiol 0,5 tab
fructus schizandrae (ekstrak siccum) 7,5 mg Kotak 120 tablet Hp Pro

di banding kan DPT biasa), Hib, Polio, Hepatitis Kotak Infanrix Hexa
B dan Tetanus
Levobupivakain plain 0,75%

Tube 20 gr Mebo Oint

Tube 20 gr Mederma Gel
Measles Mumps Rubella Vaccine Vial 20 ml MMR
Petidin injeksi
Levonorgestrel Kotak 2 tablet Postinor-2

Pot 60 gram Sudocrem
parafin cair, asam sitris, dan bahan-bahan lain
Vaksin Influenza 0,25 Vial

Vasopressin
Zolpidem
Acyclovir Injeksi 250
Amfoterisin B Injeksi 5mg/ml Ampul

Botol 500 ml D5 1/2 NS
Osmolaritas 423 mOsm/L.
Botol 100 ml D5 1/2 NS 100 ml

Botol 100 ml D5% 100 ml
Divalin Tablet 3,75 mg
Ethil Klorida Botol 100 ml Ethyl Chloride Spray
Somatostatin 3 mg Kotak 1 ampul Lyomark 3 mg
JUMLAH A
Asam Mefenamat 500 gram Kotak 100 tablet Asam Mefenamat 500 gram
Pilokarpin HCl 2% Botol 5 ml Cendo Carpine 2% ED

Minidose 5 x 0.6 ml Cendo Cenfresh MD
Sodium 5 mg
Sodium hyaluronate 1.00 mg Minidose 5 x 0.6 ml Cendo Hyalub MD

bisulfite, disodium edetate, propyl methyl Botol 5 ml Cendo Mydriatil 1% ED
Na Diklofenak Minidose 5 x 0.6 ml Cendo Noncort MD
Fluorometholon 1mg Minidose 5 x 0.6 ml Cendo Posop MD
Prednisolone 10 mg Minidose 5 x 0.6 ml Cendo P-pred MD
Timolol 0.5% Botol 5 ml Cendo Timol 0,5% ED
Atropina-Sulfat 1% Botol 5 ml Cendo Tropine 1% ED

Itraconazole 100 mg Kotak 30 tablet Itraconazole 100 mg
Latanoprost Fahrenheit ED
Parasetamol 500 mg Kotak 100 tablet Parasetamol 500 mg

JUMLAH B
Allopurinol 300 mg per box isi 100 tablet Puricemia

Ambroxol HCl 30 mg Box 100 tablet Mucos
Per 0.6 Ml : Vit A 5,000 IU , Vit B1 1mg,Vit B2

1.2 mg , Vit B6 1 mg , Vit C 50 mg , Vit D 400
satuan flas San B plex drop
IU , Nicotinamide 10 mg , Pantothenic acid 5
mg
Per 5 ml : Vit B1 1,5 mg, Vit B2 2 mg, Vit B6 1

mg, Vit B12 5 mcg, Nicotinamide 20 mg, D-
Botol 60 ml Syrup Supralysin
Panthenol 3 mg, Vit A 5,000 IU, Vit D 400 IU,
Vit C 60 mg, Lysine HCl 200 mg
Vitamin B1 HCl 100 mg, Vitamin B6 100 mg, Kotak 10 ampul @ 3

Biocombin Injeksi
Vitamin B12 5000 Ã‚Âµg ml
Bromhexine HCl 4 mg, Guaifenesin 100 mg Botol 60 ml Bisolvon Extra 60 ml
Captopril 25 mg Kotak 100 tablet Captopril 25 mg

Dexamethasone 0,5 mg Box 100 caplet Prodexon
Eritromisin sirup 200mg/5 ml Botol Eritromisin sirup
Erdosteine 300 mg Box 20 capsul Dosivec
Dextrose 5% Piggyback
Botol 60 ml Etacurvita Syrup
Etalysin Sirup
Ethambutol HCl 500 mg Box 100 tablet Arsitam
Paracetamol 500 mg, Fenilpropanolamina HCl

15 mg, Klorfeniramina maleat 1 mg, Kotak 100 tablet Flutamol P
Dextromethorphan hbr 7,5

mg,Dexchlorpheniramine Maleate 1 mg, Botol @60 ml Dextrofen Syr
Phenylephrine HCL 5 mg
Gentamisin Injeksi 40mg/ml per box isi 5 vial Sagestam inj
Gentamisin Salep Kulit 0,1% satuan tube Sagestam crm
Ibuprofen 200 mg per bos isi 100 tablet Buffect Tab
Echinacea purpurea 250mg, black elderberry

400mg, zinc picolinate 10mg Kotak@100 tablet Imundo kaplet
Isoniazide 100 mg Kotak 100 tablet Isoniazid 100 mg

Isoniazide 300 mg Botol 1000 tablet Isoniazide 300 mg
Isosorbide Dinitrat 5 mg Kotak 100 tablet Isosorbide Dinitrat 5 mg
Itraconazole 100 mg Kotak 30 kapsul Itraconazole 100 mg

Mengandung 3-methyl-2-oxovaleric acid 67 mg,
4-methyl-2-oxovaleric acid 101 mg, 2-oxo-3-
phenylpropionic acid 68 mg, 3-methyl-2-
Kotak 100 tablet Ketocid
monoacetate 105 mg, L-threonine 53 mg, L-
30 mg, total Ca 50 mg

Botol 60 ml Laxadine Sirup
mg, glycerin 378 mg
Levofloxacin 500 mg Box 10 tablet Prolevox
Meloxicam 7,5 mg Box 30 tablet X-Cam 7,5 mg
Procaterol HCl hemihydrate Kotak Meptin Swinghaler

Na 154 mEq, Cl 154 mEq Botol 100 ml NS OTSU 100 ml
Natrium Bicarbonat 500 mg Botol 1000 tablet Natrium Bicarbonat 500 mg
Vit B1 100 mg, Vit B6 200 mg, Vit B12 200 mcg Box 100 caplet Biocombin
Nystatin 100.000 iu Botol 12 ml Nystin Drop 12 ml

Botol 60 ml OBH Molex
Omeprazole 20 mg Box 30 Capsul OPM
Alpha lipoic acid 100 mg, Curcuminoid 6 mg,

Vit B1 5 mg, Vit B2 3 mg, Vitamin B6 10 mg, Vit Box 30 Tablet Reliv
B12 5 mcg, Phyllanthus niruri Extract 150 mg
Ranitidine 150 mg Kotak 100 tablet Ranitidin tablet
Hyoscine N-butylbromide 10 mg Box 100 tablet Spasmolit
Sirplus sirup 100 ml Botol 100 ml Sirplus sirup 100 ml

Sucralfate 500 mg Kotak 100 tablet Ulsidex tablet
Per tablet : Salbutamol Sulfate 1 mg, Teofilin

Kotak 100 tablet Teosal
150 mg.
Tiamfenikol 500 mg Kotak 100 tablet Tiamfenikol 500 mg
Per kaps Indacaterol 110 mcg, glycopyrronium ULTIBRO BREEZHALER

Kotak 30 tablet
50 mcg. 110MCG/50MCG CAP 30S
Per 5 ml : Echinacea Extract 250 mg,

Curcuminoid 2 mg, FOS 300 mg, Taurine 100 Botol 120 ml suspensi Biofos
mg, Phyllanthus niruri Extract 25 mg
JUMLAH C
Asam Tranexamat 500 mg per box isi 10 vial Plasminex tab

Tube 15 gram Bioplacenton Gel
Ambroxol HCl 30 mg Box 100 tablet Mucos
Cefadroxil 500 mg Box @ 50 Kapsul DROXEFA 500 MG KAPSUL
Amoxicillin 500 mg, Clavulanic acid 125 mg Box 30 tablet Ancla
fradiomycin 2,5 mg, gramicidin 1 mg Kotak 120 tablet FG Troches Meiji
Paracetamol 500 mg, phenylpropanolamine

Kotak 100 tablet Fludane Tablet
HCl 12.5 mg, chlorpheniramine maleate 2 mg

gentamicin sulfate yang ekuivalen dengan 1 mg satuan tube Sagestam crm
(0,1%) Gentamicin
Ibuprofen 400 mg Kotak 100 tablet Ibuprofen 400 mg

Kotak 100 tablet Intunal F Tab
guaiacolate 50 mg

Klorheksidin glukonat 0,1%, 0,2% Botol 60 ml Minosep Gargle
Kotak 100 tablet Pehavral

Botol 60 ml Ponflu Syrup
guaiphenesin 50 mg.
Vitamin B, C 500mg, E - Calcium Pantothenate Ds 10 x 10's Becefort Tab
JUMLAH D

Pot 60 gram Bedak salicyl
acid 2 %
maleate 2 mg, phenylpropanolamine HCl 12.5 Kotak 100 tablet Fludane Plus Tablet
Vitamin B6, Vitamin B12, niasinamid, Ca- Kotak 100 tablet Biolysin tablet
500mg, Papaverine HCl 25mg, Belladonna Kotak 100 tablet Spasminal Tablet
extract 10mg.
Ambroksol Sirup 15 ml/5 ml Botol 60 ml Ambroxol sirup
Botol 100 ml OBP Itrasal

Antalgin 500 mg Kotak 100 tablet Antalgin 500 mg

gentamicin sulfate yang ekuivalen dengan 1 mg Tube 5 gram Gentamisin Salep Kulit 0,1%
(0,1%) Gentamicin
Betamethasone 0,25 mg, Dexchlorpheniramine

Box 50 tablet Proceles
maleate 2 mg
fish oil 18/12: EPA/DHA 400mg, vit E natural
4mg, folic acid 400mcg, vit B6 6mg, vit B12 Kotak 30 tablet Procalma kapsul
25mcg.
Glucosamine HCl 250 mg, Chondroitin

Sulphate 200 mg, Ipriflavone 65 mg, Calcium Box 30 tablet Vosteon
Citrate 165 mg
Per 5 mL sirup mengandung Vit A 5,000 iu, vit

B1 1.5 mg, vit B2 2 mg, vit B6 1 mg, vit B12 5
Botol 60 ml Supralysin Syrup 60 ml
mcg, vit C 60 mg, vit D 400 iu, nicotinamide 20
mg, lysine HCl 200 mg, d- panthenol 3 mg.
Attapulgite 600 mg, Pectin 50 mg Box 100 tablet Arcapec

Kaolin 700 mg dan Pektin 50 mg Botol 60 ml Neo Kaominal suspensi
Tiap gram mengandung : Menthol 53,4 mg,

Tube 30 gram Molakrim
eugenol 13, 6 mg, methyl salicylate 102 mg
Meloksikam 15 mg Kotak 50 tablet Meloksikam 15 mg

Kotak 100 tablet Pehavral

Kotak 100 tablet Amaropo Plus Tablet
25mg, Lycopene 5m

aminobenzoas, dibucaini hcl, diphenhydramini Kotak 30 Suppos Borraginol N Suppos
hcl, cetrimide
Deksametason 0,5 mg Kotak 100 tablet Deksametason 0,5 mg
Ibuprofen 200 mg Kotak 100 tablet Ibuprofen 200 mg
Asiklovir Krim 5% Tube@5 gr Asiklovir Krim 5%

ATP 20 mg, B1 100 mg, B6 200 mg, B12 200
Ds. 10x10's Bio ATP
mcg, VIT E 30 mg
Omeprazole 30 mg Kotak 100 kapsul Rindopump strip
Vitamin B 1 : 100 mg,Vitamin B 6: 100

mg,Vitamin B 12 : 5000 mcg Kotak 100 tablet Rindobion 5000 kaplet

Botol 60 ml Ponflu Syrup
guaiphenesin 50 mg.
Heparin sodium 200 IU Tube 20 gram Thrombophob Gel
betametason 0.1% + neomisin sulfat 0.5% Tube 15 gram Benoson N Cream
JUMLAH E
Deksametason 0,5 mg Kotak 100 tablet Deksametason 0,5 mg
Piroksikam 10 mg Kotak 100 tablet Piroksikam 10 mg

Amoksisilin sirup kering 125
Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml
mg/5 ml
Omeprazole 30 mg Kotak 30 kapsul Omeprazole 30 mg
acid 2 %
mcg,kafein 50 mg
Kotak 100 tablet Demacolin

(0,1%) Gentamicin
Asiklovir Krim 5% Tube@5 gr Asiklovir Krim 5%
Vitamin B, C 500mg, E - Calcium Pantothenate Ds 10 x 10's Becefort Tab
B, 100mg,Vitamin
Vitamin C C 500mg, E - Calcium Pantothenate
D3 400IU,Vitamin B1 Btl 60ml Becefort Syr
10mg,Vitamin B6 10mg,Vitamin B12
20mg,Folic Acid 400Mcg,Ferrous fumarate Dos 10x10's PEHAVRAL
90mg,Calcium Lactate 141,28mg,Zinc Oxide
13,69mg
mg,Dexchlorpheniramine Maleate 1 mg, Botol @60 ml Dextrofen Syr
Cefadroxil 500 mg Box @ 50 Kapsul Droxefa 500 mg kapsul
Bromhexin HCL 8 mg, Dipenhydramine 25 mg,

Ds. 30 x 10's Hustab Tablet
Paracetamol 400 mg

Curcuma Longa Rhizome Ext 150 mg , Silybin
Phospholipids 140 mg , Schizandrae Fructus
Ext 135 mg , Vit E 15 mg , Vit B12 2.4 mcg , Vit per box isi 30 kaplet Sanfuliq Cap
B2 1.2 mg , Vit B1 1 mg , Vit B6 2 mg , Choline
Bitartrate 150 mg.

400mg, zinc picolinate 10mg Kotak@100 tablet Imundo kaplet

400mg, zinc picolinate 10mg Botol@ 60 ml Imundo Syrup
JUMLAH F
Bahan aktif Sipermetrin 50 gr/lt Botol 1 Liter Cynoff 50 EC
Mengandung Temephos 1 % dengan formulasi

berbentuk butiran sehingga mudah digunakan
Klorpromazin 100 mg Pot 250 tablet Chlorpromazine 100 mg

Haloperidol Injeksi 5 mg Ampul Haloperidol Injeksi 5 mg
JUMLAH G
Jumlah
Volume HNA+PPN Pabrik / Distributor
(Rp)
5 6 7
2 - Les Laboratories Servier Industrie, France
3 - PT. Actavis
3 - PT. Actavis
82 - PT. Actavis
50 - PT. AMS
20 - PT. B Braun
1,200 - PT. B Braun
4 - PT. Bayer
4 423,700 1,694,800 PT. Bayer
4 - PT. Bayer
1,000 - PT. Boehringer Ingelheim
50 25,522 1,276,100 PT. Cendo Pharmaceutical
20 16,000 320,000 PT. Cendo Pharmaceutical
60 - PT. Cendo Pharmaceutical

4 115,005 460,020 PT. Combiphar
4 - PT. Combiphar
10 - PT. Combiphar
20 - PT. Combiphar
400 - PT. Darya Varia
62 74,682 4,630,284 PT. Darya Varia
2 - PT. Dexa Medica
20 - PT. Dexa Medica
2 - PT. Dexa Medica
5 - PT. Dexa Medica
6 - PT. Dexa Medica

3 - PT. Dexa Medica
3 - PT. Dexa Medica
1 - PT. Esai
5 - PT. Etercon
2 - PT. Fahrenhait
16 - PT. Fahrenhait
10 - PT. Fresenius Kabi Combiphar
100 - PT. Gracia Pharmindo
6 - PT. GSK
6 - PT. GSK
50 - PT. GSK
10 - PT. Himalaya
1 - PT. Imfarmind
5 - PT. Indofarma
6 - PT. Interbat
10 - PT. Interbat
3 - PT. Janssen
10 - PT. Kalbe Farma
5 2,250,000 11,250,000 PT. Kalbe Farma
5 103,300 516,500 PT. Kalbe Farma

25 180,015 4,500,375 PT. Kalbe Farma
5 - PT. Kalbe Farma
10 - PT. Kimia Farma
10 - PT. Lapi
1 - PT. Lapi
8 - PT. Lapi
8 - PT. Lapi
300 - PT. Medifarma
167 264,165 44,115,555 PT. Mega Medika Pharmaceuticals
1 - PT. Meiji
200 - PT. Meprofarm
10 - PT. Meprofarm
33 - PT. Meprofarm
4 - PT. Meprofarm
50 205,200 10,260,000 PT. Meprofarm

300 - PT. Meprofarm
8 - PT. Meprofarm
170 - PT. Meprofarm
50 20,000 1,000,000 PT. Meprofarm
2 - PT. Meprofarm
50 - PT. Meprofarm
10 98,225 982,250 PT. Meprofarm
40 - PT. Meprofarm
2 - PT. Meprofarm
15 - PT. Meprofarm
16 - PT. Meprofarm
8 - PT. Meprofarm
4 - PT. Meprofarm
33 - PT. Meprofarm
50 17,589 879,450 PT. Meprofarm
1 38,500 38,500 PT. Meprofarm

10 - PT. Meprofarm
300 - PT. Meprofarm
100 - PT. Meprofarm
50 - PT. Meprofarm
50 - PT. Meprofarm
30 - PT. Meprofarm
30 - PT. Meprofarm
50 - PT. Meprofarm
70 - PT. Meprofarm
10 - PT. Meprofarm
16 - PT. Meprofarm
4 - PT. Merck
33 - PT. Metiska Farma
100 - PT. Minorock

8 - PT. Moleac
6 - PT. MSD
20 - PT. MSD
5 - PT. MSD
100 - PT. Nicholas
100 - PT. Nicholas
33 - PT. Novartis
35 - PT. Novartis
4 - PT. Novell Pharma

20 - PT. Nulab
50 - PT. Otsuka
50 - PT. Otsuka
300 - PT. Otsuka
10 1,140,900 11,409,000 PT. Otsuka

600 - PT. Otsuka
600 - PT. Otsuka
500 - PT. Otsuka
20 - PT. Otto Pharmaceutical Industries
33 - PT. Phapros
10 - PT. Phapros
30 - PT. Pharos
16 432,570 6,921,120 PT. Prizer
14 - PT. Prizer
10 - PT. Prizer
10 - PT. Quantum Labs
6 73,500 441,000 PT. Sanbe
10 230,000 2,300,000 PT. Sanbe
10 279,620 2,796,200 PT. Sanbe
5 16,400 82,000 PT. Sanbe
6 50,000 300,000 PT. Sanbe
16 500,000 8,000,000 PT. Sanbe
5 542,000 2,710,000 PT. Sanbe
16 453,000 7,248,000 PT. Sanbe
20 34,569 691,380 PT. Sanbe
5 650,000 3,250,000 PT. Sanbe
200 31,254 6,250,800 PT. Sanbe
2 342,870 685,740 PT. Sanbe

8 148,500 1,188,000 PT. Sanbe
3 203,800 611,400 PT. Sanbe
1 141,125 141,125 PT. Sanbe
250 34,772 8,693,000 PT. Sanbe
10 - PT. Sanofi Synthelabo
30 96,691 2,900,730 PT. SDM
8 - PT. Servier
33 203,480 6,714,840 PT. Simex
20 - PT. Smith Kline Beecham Pharmaceutical
10 - PT. Soho
48 - PT. Surya Dermato Medica Laboratories

48 - PT. Surya Dermato Medica Laboratories
200 - PT. Surya Dermatologist
24 - PT. Taisho
10 - PT. Tanabe Indonesia
1 - PT. Tempo Scan
5 - PT. Tempo Scan
6 - PT. Transfarma Medica Indah
100 - PT.DEVA INDUSTRIES (INDONESIA)
250 235,598 58,899,500 PT.PHAPROS
2 22,523 45,045 PT.PHAPROS
250 4,666 1,166,500 PT.PHAPROS
250 10,210 2,552,500 PT.PHAPROS

10 20,407 204,072 PT.PHAPROS
250 93,500 23,375,000 PT.PHAPROS
2 103,019 206,038 PT.PHAPROS
10 93,500 935,000 PT.PHAPROS
50 175,075 8,753,750 PT.Sanbe
50 175,075 8,753,750 PT.Sanbe
20 88,000 1,760,000 PT.Sanbe
5 343,000 1,715,000 PT.Sanbe
100 136,950 13,695,000 PT.Sanbe
8 136,950 1,095,600 PT.Sanbe

20 268,500 5,370,000 PT.Sanbe
5 298,200 1,491,000 PT.Sanbe
100 53,000 5,300,000 PT.Sanbe
10 199,500 1,995,000 PT.Sanbe

15 102,500 1,537,500 PT.Sanbe
250 22,200 5,550,000 PT.Sanbe
50 39,600 1,980,000 PT.Sanbe
15 166,000 2,490,000 PT.Sanbe
100 32,900 3,290,000 PT.Sanbe
125 274,000 34,250,000 PT.Sanbe
50 37,100 1,855,000 PT.Sanbe
10 743,500 7,435,000 PT.Sanbe
10 231,000 2,310,000 PT.YARINDO
20 132,000 2,640,000 PT.YARINDO
20 181,500 3,630,000 PT.YARINDO
10 - Sanofi Pasteur/BIofarma

-
Nifas)/Antianemia
-
-
100 -
10 -
24 -
-
-
4 -
20 -
50 -
8 -
10 -
-
2 -
200 -
20 -
10 -
-
-
-
-
300 -
-
-
-
-
3 -
50 -
374,365,700
220 44,550 9,801,000 PT.PHAPROS
7,000 - PT. Cendo Pharmaceutical

250 650,000 162,500,000 PT. Sanbe
166 - PT. Bernofarm
500 -
20 - PT. Meprofarm
100 17,787 1,778,700 PT.PHAPROS

174,079,700
20 29,000 580,000 PT.Sanbe

50 - PT. Meprofarm
500 - PT. Meprofarm
100 18,600 1,860,000 PT.Sanbe
400 - PT. Meprofarm
50 44,550 2,227,500 PT.PHAPROS
105 - PT,MEPROPHARM
32 - PT. Boehringer Ingelheim
25 9,902 247,555 PT.PHAPROS

20 - PT. Meprofarm
5 175,075 875,375 PT.Sanbe
1,140 88,000 100,320,000 PT.Sanbe

40 - PT. Meprofarm
250 -
10 - PT. Meprofarm
50 -
70 - PT. Errita Pharma
1,850 -
180 - PT. Meprofarm
270 - PT. Pyridam Farma
250 11,550 2,887,500 PT.PHAPROS
74 48,700 3,603,800 PT.Sanbe
90 12,300 1,107,000 PT.Sanbe
3 67,000 201,000 PT.Sanbe
150 165,000 24,750,000 PT.YARINDO

8 - PT. Kimia Farma
4 19,000 76,000 PT. Yarindo Farmatama
450 - PT. Bernofarm
7 103,019 721,133 PT.PHAPROS

90 - PT. Galenium
30 - PT. Meprofarm
60 - PT. Meprofarm
270 - PT. Otsuka

15 166,000 2,490,000 PT.Sanbe
500 - PT. Otsuka
1 - PT. Kimia Farma
190 - PT. Meprofarm
12 53,745 644,940 PT. Lapi
5,000 - PT. Molex Ayus
50 - PT. Meprofarm
150 17,787 2,668,050 PT,PHAPROS
90 - PT. Meprofarm
90 22,523 2,027,025 PT.PHAPROS
3 265,200 795,600 PT. Meprofarm
10 17,589 175,890 PT. Meprofarm
8 182,600 1,460,800 PT. Sanbe
120 - PT. Novartis
100 - PT. GSK
125 - PT. Meprofarm
350 44,550 15,592,500 PT.PHAPROS
18 124,250 2,236,500 PT.Sanbe
74 - PT. Meprofarm
11 - PT. Meprofarm
10 9,902 99,022 PT.PHAPROS
200 93,500 18,700,000 PT.PHAPROS
18 - PT. Meprofarm
33 -
14 - PT. Meiji
41 102,950 4,220,950 PT. Armoxindo Farma
33 12,300 405,900 PT.Sanbe
23 67,000 1,541,000 PT.Sanbe
23 21,529 495,167 PT.PHAPROS
15 98,225 1,473,375 PT. Meprofarm
360 103,019 37,086,840 PT.PHAPROS
170 166,000 28,220,000 PT.Sanbe

678 - PT. Minorock
104 17,787 1,849,848 PT.PHAPROS
62 153,120 9,493,440 PT. Phapros
23 -
15 22,523 337,838 PT.PHAPROS
50 154,843 7,742,130 PT.PHAPROS
129,494,510
200 - internet k24

200 17,787 3,557,400 PT,PHAPROS
200 22,523 4,504,500 PT,PHAPROS
200 - PT. Armoxindo Farma
100 47,410 4,741,000 PT. Bernofarm
50 84,400 4,220,000 PT. Hexpharm
200 6,833 1,366,600 PT. Indofarma
200 6,148 1,229,600 PT. Itrasal
100 23,609 2,360,900 PT. Kalbe Farma

50 - PT. Meiji
200 - PT. Meprofarm
100 - PT. Meprofarm
100 159,258 15,925,800 PT. Meprofarm
100 - PT. Meprofarm
100 29,282 2,928,200 PT. Meprofarm
100 - PT. Meprofarm
200 6,051 1,210,200 PT. Molex Ayus
100 9,742 974,200 PT. Molex Ayus
100 - PT. Molex Ayus

200 153,120 30,624,000 PT. Phapros
100 - PT. Phapros
10 - PT. Takeda
100 103,019 10,301,900 PT.PHAPROS
50 14,230 711,480 PT.PHAPROS
200 44,550 8,910,000 PT.PHAPROS
100 9,902 990,220 PT.PHAPROS
200 16,319 3,263,700 PT.PHAPROS
200 3,303 660,660 PT.PHAPROS

200 235,598 47,119,600 PT.PHAPROS
100 166,000 16,600,000 PT.Sanbe
100 209,000 20,900,000 PT.YARINDO
200 275,000 55,000,000 PT.YARINDO
100 -
100 -
100 -
238,099,960
1,000 15,628 15,628,000 harga thn 2019
500 34,376 17,188,000 harga thn 2019
2,000 7,721 15,442,000 internet k24

500 29,040 14,520,000 internet k24
500 7,840 3,920,000 internet k24
200 - internet k24
200 - internet k24
1,000 17,787 17,787,000 PT,PHAPROS

1,000 44,550 44,550,000 PT.PHAPROS
200 3,303 660,660 PT.PHAPROS
1,000 154,843 154,842,600 PT.PHAPROS
300 17,366 5,209,710 PT.PHAPROS
1,000 98,282 98,281,700 PT.PHAPROS
500 11,550 5,775,000 PT.PHAPROS
1,000 93,500 93,500,000 PT.PHAPROS
1,000 131,116 131,115,600 PT.PHAPROS
500 166,000 83,000,000 PT.Sanbe
500 67,000 33,500,000 PT.Sanbe
200 156,750 31,350,000 PT.Sanbe

50 29,000 1,450,000 PT.Sanbe
800 165,000 132,000,000 PT.YARINDO
500 66,000 33,000,000 PT.YARINDO
685,792,270
500 125,000 62,500,000
2,000 875,000 1,750,000,000

5,000 -
HARGA INTERNET
HARGA INTERNET
-
-
Regulator
GIT,
Antiflatule
Rp136,950
n dan
Antiinflam
asi
RINA
RINA
RINA
RINA
rina
AHMED
rina
AHMED
RINA
AHMED
AHMED
ahmad
AHMED
RINA
RINA
AHMED
rina
RINA
AHMED
RINA
RINA
AHMED
rina
RINA
RINA
AHMED
RINA
rina
RINA
ahmad
ahmad
rina
ahmad
rina
ahmad
No Kelas Terapi Spesifikasi MASTER
1 2
A. Ektrak Citrus sinensis yang mengandung
RSUD Siti Fatimah Provinsi Sumatera Selatan
Estrogen dan Progesteron serta setara dengan Diosmin 90%, flavanoid dalam
2 progesteron
bentuk 200 mg
hesperidin 10%.
Preparat Sintetiknya Anhydrous lanolin 60 mg, isopropyl myristate
4 Emolien dan Pelindung Kulit monostearate 80 mg, polysorbate 20 mg,
acid 1.5 mg.

7 Larutan Infus

Estrogen dan Progesteron serta Estradiol Valerat 2 mg, dan 10 tablet masing-
8
Preparat Sintetiknya masing mengandung Estradiol Valerat 2 mg,
Norgestrel 0,5 mg.
9 Kontrasepsi Oral levonorgestrel 150 mcg, ethinylestradiol 30 mcg
10 Kontrasepsi Oral Drospirenon 3 mg, Etinilestradiol 0,03 mg

Bromida 2,5 mcg
12
14 Pelumas Mata Phenylephrine HCl 1,2 mg ; Zinc sulfate 2,5 mg


25 Tetrakaina 2%
Antiinflamasi mata
26 Vitamin dan Siplemen besi sebagai Kompleks Besi (III)-hidroksi
30 Antibiotik Topikal (Infeksi Luka Bakar) Extract thymi liquid 250 mg, extract primulae
mg
syrupus simplex 2,5g, excip c corrigen q s ad 5
32 Antikonvulsan ml
Zonisamide 100 mg

36 Produk Nutrisi Parenteral (Vamin 18 Novum), fat emulsion (Intralipid
20%)

Dekongestan Nasal dan Preparat Nasal
39 Fluticasone Furoate 27,5 mcg
Lain
41 Preparat Antiasma Salbutamol

Didymocarpus sulfat 2.5 mg 65 mg, Saxifraga
pedicellata

45 Antiinfeksi dan Antiseptik Telinga 25 mg, fludrocortisone acetate 5 mg, lidocaine
HCl 200 mg

2 Obat Hipertensi/Beta Blocker IU, Ascorbic
Karvediol 6,25acid
mg 125 mg, Thiamine 3,51 mg,
mg, Nicotinamide
metampiron 500mg, 46tiamin
mg. Eksipien: Glycine 250
HCL 50mg,
Obat Anti Inflamasi Non Steroid mg, Glycocholic
4 piridoksin HCL 10 acid 140 mg, Soya 10
mg, sianokobalamin Lecithin
(OAINS) 112,5 mg, Sodium hydroxide q.s, Hydrochloric
mcg,kafein 50 mg
Vitamin dan Mineral (untuk Masa Hamil Ca 200 mg, vitamin D3 100 SI, tuna fish oil 200
5 acid q.s. pH=5,9.
dan Nifas)/Antianemia mg
6 Ketoprofen 50 mg
(OAINS)
8 Obat Antimigren Ergotamine tartrate 1 mg, caffeine 100 mg

13 Vitamin dan Mineral (untuk Jantung)

#REF! Vitamin B Kompleks mg Vitamin B6 (Pyridoxine Hydrochloride) 100
#REF! lipase 6,500 u, protease 400 u,
pencernaan
#REF! Preparat Mulut/Tenggorokan Klorheksidin
rubra 0.025 g,glukonat
rhizoma0,1%, 0,2% chuanxiong
lingusticum
#REF! Suplemen dan Terapi Penunjang
buthus martensii
Quadrivalent 0.021
Human g, radix polygalae
Papillomavirus (Type
#REF! Vaksin / Antisera tenuifolia/sibirica 0.025 g, rhizoma acori
tatarinowii 0.025 g
#REF! Vaksin / Antisera DPT, HIB, IPV, Hep B Ped
#REF! Vaksin anti varicella Vaksin anti varicella
Vitamin dan Mineral (untuk Masa Hamil Na Fe EDTA 115.4 mg [setara dg Fe elemental
#REF!
dan Nifas)/Antianemia 15 mg (bebas bau amis Fe)].
#REF! Obat Antirefluks & Antiulserasi Ranitidin HCl 75 mg tiap 5 mL

#REF! Obat Anti Parkinson
entacapone 200 mg
#REF! Obat Hipertensi Sacubitril 24,3 mg, valsartan 25,7 mg
#REF! Kalsium/dengan Vitamin 20mg, Vit D3 200IU, Vit K1 25mcg, Mg 100mg,
boron 1mg, Zn 5mg
Vitamin dan Mineral (untuk Masa Hamil ekstrak biji trigonella foenum-gracum 600 mg,
#REF!
dan Nifas)/Antianemia ekstrak sauropus androgynus 100 mg
#REF! Misoprostol 0.2 mg
Antiulceran
Obat Anti Inflamasi Non Steroid Dexketoprofen Trometamol 36,9 mg setara

#REF!
(OAINS) dengan Dexketoprofen
Tiap 1 liter 25 mginfus
(1000 mL) larutan
#REF!
Tiap 1 liter (1000amino
branched-chain mL) larutan infusw/w. Energi :
acids 30%
mengandung
420 kkal Glucose 75 gram, total free amino
#REF!
420 kkal
#REF! Larutan Infus K 4 meq, ion natrium 130 meq, ion klorida 109
Antikoagulan, Antiplatelet dan meq, asetat 28 meq
#REF! Cilostazol 50 mg
#REF! Larutan Steril / Infus Dextrose Anhydrous dan Sodium Chloride
#REF! Larutan Steril / Infus 40% Dextrose
#REF! Larutan Infus Per ml : Na 0.154 mEq, Cl 0.154 mEq
#REF! Obat Anti Spasmodik Hyoscine N-Butylbromide 20 mg/ml

#REF! Suplemen dan Terapi Tambahan
Vitamin E 100 IU
#REF! Ginkgo biloba extr (EGb 761) 120 mg
Serebral
#REF! Agen Penghambat Neuromuskuler Vecuronium Bromide 4 mg

#REF! Celecoxib 100mg
(OAINS)
#REF! Antikonvulsan Pregabalin 50 mg
#REF! Kontrasepsi dan Hormon Medroxyprogesterone acetate 10 mg
#REF! Anastesi Bupivacaine HCl Injeksi 20 mg/4 ml
#REF! Vaksin Typhim Vi pre-filled inj 0.025 mg/0.5 mL

#REF! Emolien dan Pelindung Kulit
#REF! Obat Antiangina Trimetazidine dihidroklorida 2 mg
Kolagogum, Kolelitolitik dan curcuminoid 20 mg, Silymarin phytosome 70

#REF! Tiap dosis (0,5 mL) mengandung
Hepatoprotektor mg, choline bitartrate 150 mg, vitamin B6 2 mg
#REF! Vaksin (serotype 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, dan
#REF! Obat Antipsikotik Sulpiride 50 mg
protein D conjugate
water, octyl vaccine, adsorbed
methoxycinnamate, 4-
#REF! Emolien dan Pelindung Kulit methylbenzylidene
Urea 10% camphor, sorbitan stearate,
#REF! Emolien dan Pelindung Kulit butyl
Urea methoxydbenzoylmethane,
20%
benzophenone-3, hydrogenated polyisobutene,
#REF! Sunscreen
glyceryl stearate, caprylic triglyceride,
#REF! Antijamur dan Antiparasit Topikal Nystatin 100000
tocopheryl u, Zn
acetate, oxide 200urea,
diazolidinyl mg
#REF! Elektrolit untuk kekurangan Kalium triethanolamine,
Lithospermi
K L-asparte radix methylparaben,
300 mgextractum 0.18 mg, aloe
BHT,
barbadensis
Prednisolonum extract,
1 mg,disodium
LidocainumEDTA, xanthan
15 mg,
#REF! Preparat Anorektal gum, propylparaben, fragrance
#REF! Naproxen Sodium 500 mg
mg
(OAINS)
#REF! Preparat Antimigren Sumatriptan succinate 100 mg
#REF! Obat Antikolinesterase Pyridostigmine Br 60 mg
#REF! Antibiotik Vankomisin HCl 500 mg
#REF! Vaksin / Antisera Inactivated Hepatitis A virus 80 IU.

Vit A 6,000 u, vit B1 10 mg, vit B2 2.5 mg, vit
B6 15 mg, vit B12 4 mcg, vit C 100 mg, vit D
Vitamin dan Mineral (untuk Masa Hamil 400 u, niacinamide 20 mg, Ca pantothenate 7.5
#REF!
dan Nifas)/Antianemia mg, folic acid 1 mg, Fe fumarate 90 mg, Ca
lactate 250 mg, copper 0.1 mg, iodine 0.1 mg,
#REF! Obat Topikal Benzil Benzoat
Na fluoride 1 mg
#REF! Carbachol miostat
#REF! vestibular (gangguan bagian telinga Cinnarizin 25 mg
dalam dan otak)
#REF! Obat antiinflamasi nonsteroid (OAINS) Deksketoprofen Injeksi
#REF! Obat Batuk dan Pilek Pseudoefedrin HCl 7,5 mg, Klorfeniramin
Maleat 2 mg.
#REF! Obat Topikal Hydroactive gel
#REF! Ethinyl Estradiol 0,5 injeksi
#REF! Ethinyl Estradiol 0,5 tab
#REF! Hepatoprotektor fructus schizandrae (ekstrak siccum) 7,5 mg

#REF! Vaksin / Antisera di banding kan DPT biasa), Hib, Polio, Hepatitis
B dan Tetanus
#REF! Anastesi Levobupivakain plain 0,75%
#REF! Obat Kulit Lain/ Topikal
Rhizoma coptidis, Sesame
Air yang dimurnikan, PEG-4,oil,Allium
Beeswax
cepa extr,
#REF! Obat Kulit Lain
#REF! Vaksin Measles Mumps Rubella Vaccine
#REF!
#REF! Petidin injeksi
#REF! Kontrasepsi Oral Levonorgestrel

#REF! Krim Antiseptik Obat Kulit Bayi Anak
#REF! Vaksin Influenza Vaksin
parafin Influenza
cair, asam0,25
sitris, dan bahan-bahan lain
#REF! Vaksin Influenza Vaksin Influenza 0,5
#REF! Hormon Anti Diuretik Vasopressin
#REF! Obat Sedatif Zolpidem
#REF! Acyclovir Injeksi 250
#REF! Amfoterisin B Injeksi 5mg/ml

#REF! Larutan Steril / Infus
#REF! Larutan Steril / Infus Osmolaritas 423 mOsm/L.
#REF!
#REF! Anastesi Ethil Klorida
#REF! Obat perdarahan lambung-usus akut Somatostatin 3 mg
JUMLAH A
#VALUE! Antijamur Itraconazole 100 mg
#VALUE! Preparat Antiglaukoma Pilokarpin HCl 2%

#VALUE! Preparat Mata Golongan Lain
Sodium 5 mg

#VALUE! Sodium hyaluronate 1.00 mg
Antiinflamasi mata
#VALUE! Preparat Antiglaukoma Levofloxacin 5mg
#VALUE! Preparat Mata Golongan Lain Sodium Chloride 4.4 mg, Kalium Chlorid 0.8 mg

#VALUE! Preparat Mata Golongan Lain bisulfite, disodium edetate, propyl methyl
#VALUE! Antiinfeksi dan Antiseptik Mata Natamycin 5 %

#VALUE! Na Diklofenak
Antiinflamasi mata
#VALUE! Fluorometholon 1mg
Antiinflamasi mata
#VALUE! Preparat Mata Golongan Lain Prednisolone 10 mg
#VALUE! Preparat Antiglaukoma Timolol 0.5%

#VALUE! Obat Midriatikum Atropina-Sulfat 1%
JUMLAH B
C. RS. Khusus Paru
2 Obat Batuk dan Pilek Bromhexine HCl 4 mg, Guaifenesin 100 mg
3 Preparat Antiasma
Bromida 2,5 mcg
#NAME? Vitamin syrup

#NAME? Laksatif/Pencahar
mg, glycerin 378 mg
#NAME? Preparat Antiasma Salbutamol sulfat 2.5 mg
#NAME? Obat Anti Tuberkolosis Isoniazide 100 mg

#NAME? Obat Anti Tuberkolosis Isoniazide 300 mg
Obat Saluran Kemih Kelamin Golongan
#NAME? Natrium Bicarbonat 500 mg
lain

#REF! Obat Batuk Hitam (OBH)
Per kaps Indacaterol 110 mcg, glycopyrronium
#REF! Preparat Antiasma dan PPOK
50 mcg.
#REF! Ketoprofen 100 mg
(OAINS)
#REF! Preparat Antiasma dan PPOK Procaterol HCl hemihydrate
#REF! Larutan Steril / Infus Na 154 mEq, Cl 154 mEq
Paracetamol 500
Mengandung mg, Fenilpropanolamina
3-methyl-2-oxovaleric acid 67HCl
mg,
#REF! Obat Batuk dan Pilek 15 mg, Klorfeniramina acid
4-methyl-2-oxovaleric maleat
1011mg,
mg,2-oxo-3-
Dextromethorphan
phenylpropionic acidHBr
68 15
mg,mg3-methyl-2-
#REF! Suplemen & Vitamin
#REF! Antibiotik Eritromisin sirup
monoacetate 105200mg/5 ml
mg, L-threonine 53 mg, L-
#REF! Larutan Steril/ Infus 30 mg, total Ca 50 mg
#REF!
JUMLAH C

JUMLAH D
#VALUE! Keratolitikum
acid 2 %
#REF! Obat Batuk dan Pilek maleate 2 mg, phenylpropanolamine HCl 12.5
#REF! Vitamin dan Mineral (Pediatrik) Vitamin B6, Vitamin B12, niasinamid, Ca-
#REF! Antispasmodik 500mg, Papaverine HCl 25mg, Belladonna
extract 10mg.
#REF! Mukolitik Ambroksol Sirup 15 ml/5 ml
#REF! Obat Batuk Putih (OBP)

#REF! Antibiotik Topikal
#REF! Analgesik (Non Opiat) dan Antipiretik Antalgin 500 mg

#REF! Antibiotik Topikal gentamicin sulfate yang ekuivalen dengan 1 mg
(0,1%) Gentamicin
#REF! Preparat Mulut/Tenggorokan fradiomycin 2,5 mg, gramicidin 1 mg

#REF! Obat Batuk Hitam (OBH)
#REF! Antidiare Kaolin 700 mg dan Pektin 50 mg
Analgesik (Non Opiat) dan Antipiretik Tiap gram mengandung : Menthol 53,4 mg,
#REF!
Topikal eugenol 13, 6 mg, methyl salicylate 102 mg
#REF! Meloksikam 15 mg
(OAINS)
#REF! Preparat Anorektal aminobenzoas, dibucaini hcl, diphenhydramini
hcl, cetrimide
#REF! Antikoagulan Topikal Heparin sodium 200 IU
Antiinfeksi Topikal dengan

#REF! betametason 0.1% + neomisin sulfat 0.5%
Kortikosteroid
JUMLAH E
1 Keratolitikum
acid 2 % 500mg, tiamin HCL 50mg,
Metampiron
2 Obat Anti Inflamasi Non Steroid piridoksin HCL 10 mg, sianokobalamin 10
mcg,kafein 50 mg
3 Obat Batuk dan Flu

(0,1%) Gentamicin
JUMLAH F
G. PROGRAM P2PL
Spesifikasi Satuan Merk
3 4
Kotak 60 tablet Ardium 500 mg
progesteron
bentuk 200 mg
hesperidin 10%. Kotak 30 ovula Cygest 200 mg Vagtab

Anhydrous lanolin 60 mg, isopropyl myristate
monostearate 80 mg, polysorbate 20 mg, Tube 40 gram Decubal Cream 40 gr
acid 1.5 mg.
Amorphes Gel Pcs 20 gram Suprasorb G

Botol 500 ml Gelofusin Infus 500 ml
Botol 500 ml Ringer Fudin Infus

Estradiol Valerat 2 mg, dan 10 tablet masing-
Kotak isi 1 Blister Cyclo Progynova
masing mengandung Estradiol Valerat 2 mg,
Norgestrel 0,5 mg.
levonorgestrel 150 mcg, ethinylestradiol 30 mcg Kotak 25 Strip Microgynon tab 25
Drospirenon 3 mg, Etinilestradiol 0,03 mg Kotak Yasmin

Vitamin A 1000 IU, Oxymetazoline
Botol 5 ml Cendo Asthenof ED
Hydrochloride 0.25 mg
Atropina-sulfat 0.5% Botol 5 ml Cendo Tropine 0,5% ED
Phenylephrine HCl 1,2 mg ; Zinc sulfate 2,5 mg Botol 5 ml Cendo Augentonic 5 ml ED
Chloramphenicol 1% Tube 3,5 gram Cendo Fenicol Eye Oint 3,5 g
Ofloxacin 3 mg Pcs Cendo Floxa
Sodium Chloride 4.4 mg, Kalium Chlorid 0.8 mg Minidose 5 x 0.6 ml Cendo Lyteers MD
Tiap 1 ml: prednisolone acetate 10 mg Botol 5 ml Cendo P-pred Eye Drop 5 ml

Minidose 5 x 0.6 ml Cendo Protagenta MD
Tobramycin 3.0 mg, Dexamethasone 1.0 mg Minidose 5 x 0.6 ml Cendo Tobroson MD
Tobramycin 3.0 mg, Dexamethasone 1.0 mg Botol 5 ml Cendo Tobroson ED
Tetrakaina 2% Botol 5 ml Cendo Pantocain 2% ED

besi sebagai Kompleks Besi (III)-hidroksi Kotak 30 tablet Maltofer Fol
Parasetamol 80 mg tiap supositoria Kotak 12 suppos Propyretic 80 mg
L-ornitin-L-aspartat Kotak 10 Pcs Hepa Merz Granul
Kotak 5 ampul 5 g/10

L-ornitin-L-aspartat Hepa Merz Injeksi
ml
Extract thymi liquid 250 mg, extract primulae Tube 35 gram Burnazin krim 35 g
mg
Botol 100 ml Silex Sirup
syrupus simplex 2,5g, excip c corrigen q s ad 5
ml
Zonisamide 100 mg Kotak 100 tablet Zonegran 100 mg
Triamcinolone 4 mg Kotak 100 tablet Triamcinolone 4 mg
Acetylcysteine 200 mg 200 mg/ml Botol 25 ml Respar
Amiodarone HCl 200 mg Kotak 30 tablet Tiaryt 200 mg

(Vamin 18 Novum), fat emulsion (Intralipid Chamber Bag Kabiven Peripheral
20%)
Per-5 mL : Calcium 200 mg Botol 100 ml Calnic sirup 100 ml
Vitamin D3 400 IU Kotak 30 tablet D-Fit FT

Fluticasone Furoate 27,5 mcg Botol 120 ml Avamys Nasal Spray
Lamotrigine 50 mg Kotak 30 tablet Lamictal
Salbutamol
Didymocarpus sulfat 2.5 mg 65 mg, Saxifraga
pedicellata Kotak 20 Strip Ventolin Nebules 2,5 mg
Botol 100 tablet Cystone
Sulfadiazin Kotak 100 tablet Sulfadiazin 500 mg
Sefaleksin 500 mg Kotak 50 tablet Cephalexin 500 mg

25 mg, fludrocortisone acetate 5 mg, lidocaine Botol 8 ml Otopain Tetes Telinga
HCl 200 mg
Asam Pipemidat 400 mg Kotak 100 tablet Urinter
Tramadol HCl 37,5 mg, Parasetamol 325 mg Kotak 30 tablet Ultracet
Adenosin triphosphate 20 mg/2 ml Kotak 10 ampul ATP Kalbe

IU, Ascorbic
Karvediol 6,25acid
mg 125 mg, Thiamine 3,51 mg, Kotak 30 tablet V Bloc 6.25
Kotak 10 vial Carnevit
mg, Nicotinamide
metampiron 500mg, 46tiamin
mg. Eksipien: Glycine 250
HCL 50mg,
mg, Glycocholic
piridoksin HCL 10 acid 140 mg, Soya 10
mg, sianokobalamin Lecithin Kotak 100 tablet Neuralgin Rx
112,5 mg, Sodium
mcg,kafein 50 mg hydroxide q.s, Hydrochloric
Ca 200 mg, vitamin D3 100 SI, tuna fish oil 200
acid q.s. pH=5,9. Kotak 30 kapsul Osfit DHA
mg
Piracetam 500 mg/5 ml Botol 100 ml Neurotam Syrup 100 ml

Ergotamine tartrate 1 mg, caffeine 100 mg Botol 100 tablet Ergotamine Coffeine
Per 5 ml : Ondansetron 4 mg Botol 60 ml ODR Sirup
17 βeta-estradiol 0.06% Tube 80 gram Oestrogel

Kotak 20 tablet Cardiomin Soft Capsul
Ekstrak Channa striata 500 mg Kotak 30 kapsul Channa Cap
Kanamycin monosulfate 1 gr Kotak 10 vial Kanamycin 1 g

mg Vitamin B6 (Pyridoxine Hydrochloride) 100 Kotak 250 tablet Neurobion Forte
lipase 6,500 u, protease 400 u, Kotak 30 tablet Xepazym
Klorheksidin
rubra 0.025 g,glukonat
rhizoma0,1%, 0,2% chuanxiong Botol 60 ml
lingusticum Minosep Gargle
Kotak 24 kapsul Neuroaid II Kapsul
buthus martensii
Quadrivalent 0.021
Human g, radix polygalae
Papillomavirus (Type
tenuifolia/sibirica 0.025 g, rhizoma acori Kotak 1 Syringe Gardasil
tatarinowii 0.025 g
DPT, HIB, IPV, Hep B Ped HEXAXIM
Vaksin anti varicella Syringe 0.5 mL x 1's Varivax
Na Fe EDTA 115.4 mg [setara dg Fe elemental

Botol 15 ml Ferriz Drop 15 ml
15 mg (bebas bau amis Fe)].
Ranitidin HCl 75 mg tiap 5 mL Botol 60 ml Ranivel Syrup

Botol 30 tablet Stavelo
entacapone 200 mg
Sacubitril 24,3 mg, valsartan 25,7 mg Kotak 28 tablet Uperio 50 mg FC
20mg, Vit D3 200IU, Vit K1 25mcg, Mg 100mg, Kotak 30 tablet Eazycal tab
boron 1mg, Zn 5mg
ekstrak biji trigonella foenum-gracum 600 mg,
Kotak 60 tablet Lactamam
ekstrak sauropus androgynus 100 mg
Misoprostol 0.2 mg Kotak 50 tablet Noprostol
Dexketoprofen Trometamol 36,9 mg setara

Kotak 50 tablet Dexketoprofen tablet
dengan Dexketoprofen
Tiap 1 liter 25 mginfus
(1000 mL) larutan
Tiap 1 liter (1000amino
branched-chain mL) larutan infusw/w. Energi :
acids 30%
mengandung
420 kkal Glucose 75 gram, total free amino
420 kkal
K 4 meq, ion natrium 130 meq, ion klorida 109 Botol 500 ml Asering 500 ml
meq, asetat 28 meq
Cilostazol 50 mg Kotak 100 tablet Pletaal
Dextrose Anhydrous dan Sodium Chloride Botol D10 1/5 NS
40% Dextrose Vial 25 ml Otsu D40 Infus 25 ml
Per ml : Na 0.154 mEq, Cl 0.154 mEq Botol 25 ml NS Otsu 25 ml
Hyoscine N-Butylbromide 20 mg/ml Kotak 5 ampul @ 1 ml Scopamin Injeksi

Kotak 30 tablet Cor-Q
Vitamin E 100 IU
Ginkgo biloba extr (EGb 761) 120 mg Kotak 30 tablet Tebokan Forte 120 mg
Vecuronium Bromide 4 mg Vial @ 4 mg Ecron 4 mg
Celecoxib 100mg Kotak 30 tablet Celebrex 100 mg
Pregabalin 50 mg Kotak 14 tablet Lyrica

Medroxyprogesterone acetate 10 mg Kotak 100 tablet Provera 10 mg
Bupivacaine HCl Injeksi 20 mg/4 ml Kotak 5 ampul 4 ml Quanocain Spinal Heavy
Typhim Vi pre-filled inj 0.025 mg/0.5 mL Syringe 0.5 mL x 1's Typhim VI Syringe

Tube 30 gram Topicare Soothing
Trimetazidine dihidroklorida 2 mg Kotak 60 tablet Trizedon MR
curcuminoid 20 mg, Silymarin phytosome 70

Tiap dosis (0,5 mL) mengandung Kotak 30 tablet Pro Liver
mg, choline bitartrate 150 mg, vitamin B6 2 mg
Pre-filled syringe 0,5
(serotype 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, dan Synflorix 0,5 ml
mL
Sulpiride 50 mg Kotak 100 tablet Dogmatil
protein D conjugate
water, octyl vaccine, adsorbed
methoxycinnamate, 4-
methylbenzylidene
Urea 10% camphor, sorbitan stearate, Tube 40 gram Carmed 10% Cream
butyl
Urea methoxydbenzoylmethane,
20% Tube 40 gram Carmed 20% Cream
benzophenone-3, hydrogenated polyisobutene, Parasol Sunscreen Lotion SPF
Tube 100 gram
glyceryl stearate, caprylic triglyceride, 30
Nystatin 100000
tocopheryl u, Zn
acetate, oxide 200urea,
diazolidinyl mg Tube 10 gr Myco Z 10 gr
triethanolamine,
Lithospermi
K L-asparte radix methylparaben,
300 mgextractum 0.18 mg, aloe
BHT, Kotak 100 tablet Aspar K
barbadensis
Prednisolonum extract,
1 mg,disodium
LidocainumEDTA, xanthan
15 mg,
gum, propylparaben, fragrance Kotak 10 Suppos Borraginol S Supositoria
Naproxen Sodium 500 mg
mg Kotak 100 kapsul Alif 500
Sumatriptan succinate 100 mg Kotak 10 tablet Triptagic
Pyridostigmine Br 60 mg Kotak 150 tablet Mestinon 60 mg
Vankomisin HCl 500 mg Vial 500 mg Vancodex Injeksi 500 mg

Vit A 5,000 IU, Vit D3
400 IU, Vit E 20 mg,
Vit B1 12 Prefilled
Kotak mg, Vit B2 2
Inactivated Hepatitis A virus 80 IU. mg, Vit B6 Avaxim
Syringe @ 20.5
mg,mLVit
B12 3 mcg,
Nicotinamide 20 mg,
Vit C 125 mg, Ca Box 100 tablet
Nifas)/Antianemia
Benzil Benzoat Fumarate 90 mg, Folic
acid 1 mg, na Fluoride
3 mg, K Lodide 1.175
mg, Zn Sulfate 15 mg,
Sorbitol 25 mg
Cinnarizin 25 mg
Deksketoprofen Injeksi Ampul Dexketoprofen Injeksi

Pseudoefedrin HCl 7,5 mg, Klorfeniramin Kotak 100 tablet Demacolin
Maleat 2 mg.
Duoderm Hydroactive gel 15
Hydroactive gel Tube 15 gram
gram
Ethinyl Estradiol 0,5 injeksi
Ethinyl Estradiol 0,5 tab
fructus schizandrae (ekstrak siccum) 7,5 mg Kotak 120 tablet Hp Pro

di banding kan DPT biasa), Hib, Polio, Hepatitis Kotak Infanrix Hexa
B dan Tetanus
Levobupivakain plain 0,75%
Tube 20 gr Mebo Oint
Tube 20 gr Mederma Gel
Measles Mumps Rubella Vaccine Vial 20 ml MMR
Oxinom
Petidin injeksi
Levonorgestrel Kotak 2 tablet Postinor-2

Pot 60 gram Sudocrem
Vaksin
parafin Influenza
cair, asam0,25
sitris, dan bahan-bahan lain Vial
Vasopressin
Zolpidem
Acyclovir Injeksi 250
Amfoterisin B Injeksi 5mg/ml Ampul

Botol 500 ml D5 1/2 NS
Osmolaritas 423 mOsm/L. Botol 100 ml D5 1/2 NS 100 ml
Botol 100 ml D5% 100 ml
Divalin Tablet 3,75 mg
Somatostatin 3 mg Kotak 1 ampul Lyomark 3 mg
JUMLAH A
Itraconazole 100 mg Kotak 30 tablet Itraconazole 100 mg
Pilokarpin HCl 2% Botol 5 ml Cendo Carpine 2% ED

Minidose 5 x 0.6 ml Cendo Cenfresh MD
Sodium 5 mg
Sodium hyaluronate 1.00 mg Minidose 5 x 0.6 ml Cendo Hyalub MD

bisulfite, disodium edetate, propyl methyl Botol 5 ml Cendo Mydriatil 1% ED
Na Diklofenak Minidose 5 x 0.6 ml Cendo Noncort MD
Fluorometholon 1mg Minidose 5 x 0.6 ml Cendo Posop MD
Prednisolone 10 mg Minidose 5 x 0.6 ml Cendo P-pred MD
Timolol 0.5% Botol 5 ml Cendo Timol 0,5% ED

Atropina-Sulfat 1% Botol 5 ml Cendo Tropine 1% ED
JUMLAH B
Itraconazole 100 mg Kotak 30 kapsul Itraconazole 100 mg

Bromhexine HCl 4 mg, Guaifenesin 100 mg Botol 60 ml Bisolvon Extra 60 ml
Botol 60 ml Etacurvita Syrup

Botol 60 ml Laxadine Sirup
mg, glycerin 378 mg
Isoniazide 100 mg Kotak 100 tablet Isoniazid 100 mg

Isoniazide 300 mg Botol 1000 tablet Isoniazide 300 mg
Natrium Bicarbonat 500 mg Botol 1000 tablet Natrium Bicarbonat 500 mg

Per kaps Indacaterol 110 mcg, glycopyrronium ULTIBRO BREEZHALER
Kotak 30 tablet
50 mcg. 110MCG/50MCG CAP 30S
Procaterol HCl hemihydrate Kotak Meptin Swinghaler
Na 154 mEq, Cl 154 mEq Botol 100 ml NS OTSU 100 ml
Paracetamol 500
Mengandung mg, Fenilpropanolamina
3-methyl-2-oxovaleric acid 67HCl
mg,
15 mg, Klorfeniramina acid
4-methyl-2-oxovaleric maleat
1011mg,
mg,2-oxo-3- Kotak 100 tablet Flutamol P
Dextromethorphan
phenylpropionic acidHBr
68 15
mg,mg3-methyl-2-
Kotak 100 tablet Ketocid
Eritromisin sirup
monoacetate 105200mg/5 ml
mg, L-threonine 53 mg, L- Botol Eritromisin sirup
30 mg, total Ca 50 mg Dextrose 5% Piggyback
Etalysin Sirup
JUMLAH C

JUMLAH D

acid 2 %
maleate 2 mg, phenylpropanolamine HCl 12.5 Kotak 100 tablet Fludane Plus Tablet
Vitamin B6, Vitamin B12, niasinamid, Ca- Kotak 100 tablet Biolysin tablet
500mg, Papaverine HCl 25mg, Belladonna Kotak 100 tablet Spasminal Tablet
extract 10mg.
Ambroksol Sirup 15 ml/5 ml Botol 60 ml Ambroxol sirup
Botol 100 ml OBP Itrasal

Antalgin 500 mg Kotak 100 tablet Antalgin 500 mg

(0,1%) Gentamicin

Kaolin 700 mg dan Pektin 50 mg Botol 60 ml Neo Kaominal suspensi
Tiap gram mengandung : Menthol 53,4 mg,

Tube 30 gram Molakrim
eugenol 13, 6 mg, methyl salicylate 102 mg
Meloksikam 15 mg Kotak 50 tablet Meloksikam 15 mg

aminobenzoas, dibucaini hcl, diphenhydramini Kotak 30 Suppos Borraginol N Suppos
hcl, cetrimide
Heparin sodium 200 IU Tube 20 gram Thrombophob Gel
betametason 0.1% + neomisin sulfat 0.5% Tube 15 gram Benoson N Cream
JUMLAH E

acid 2 % 500mg, tiamin HCL 50mg,
Metampiron
mcg,kafein 50 mg
Kotak 100 tablet Demacolin

(0,1%) Gentamicin
JUMLAH F
Jumlah
Volume HNA+PPN Pabrik / Distributor
(Rp)
5 6 7
Les Laboratories Servier

2 -
Industrie, France
3 - PT. Actavis
3 - PT. Actavis
82 - PT. Actavis
50 - PT. AMS
20 - PT. B Braun
1,200 - PT. B Braun
4 - PT. Bayer
4 - PT. Bayer
4 - PT. Bayer
1,000 - PT. Boehringer Ingelheim

4 - PT. Combiphar
4 - PT. Combiphar
10 - PT. Combiphar
20 - PT. Combiphar
1 - PT. Esai
5 - PT. Etercon
2 - PT. Fahrenhait
16 - PT. Fahrenhait
PT. Fresenius Kabi

10 -
Combiphar

6 - PT. GSK
6 - PT. GSK
50 - PT. GSK
10 - PT. Himalaya
1 - PT. Imfarmind
5 - PT. Indofarma
6 - PT. Interbat
10 - PT. Interbat
3 - PT. Janssen
5 - PT. Kalbe Farma
5 - PT. Kalbe Farma

5 - PT. Kalbe Farma

10 - PT. Lapi
1 - PT. Lapi
8 - PT. Lapi
8 - PT. Lapi
300 - PT. Medifarma

PT. Mega Medika
167 -
Pharmaceuticals
1 - PT. Meiji
4 - PT. Merck
33 - PT. Metiska Farma
100 - PT. Minorock
8 - PT. Moleac
6 - PT. MSD
20 - PT. MSD
5 - PT. MSD
100 - PT. Nicholas
100 - PT. Nicholas

33 - PT. Novartis
35 - PT. Novartis
20 - PT. Nulab
50 - PT. Otsuka
50 - PT. Otsuka
300 - PT. Otsuka

10 - PT. Otsuka
600 - PT. Otsuka
600 - PT. Otsuka
500 - PT. Otsuka
PT. Otto Pharmaceutical

20 -
Industries
33 - PT. Phapros
10 - PT. Phapros
30 - PT. Pharos
16 - PT. Prizer
14 - PT. Prizer
10 - PT. Prizer
10 - PT. Quantum Labs
10 - PT. Sanofi Synthelabo
30 - PT. SDM
8 - PT. Servier
33 - PT. Simex
PT. Smith Kline Beecham
20 -
Pharmaceutical
10 - PT. Soho
PT. Surya Dermato Medica
48 -
Laboratories
PT. Surya Dermato Medica
48 -
Laboratories
200 - PT. Surya Dermatologist
24 - PT. Taisho
1 - PT. Tempo Scan
5 - PT. Tempo Scan

PT. Transfarma Medica
6 -
Indah
PT.DEVA INDUSTRIES
100 -
(INDONESIA)
10 - Sanofi Pasteur/BIofarma

Maltiron Plus #VALUE! Masa Hamil dan
Nifas)/Antianemia
-
-
-
100 -
10 -
24 -
4 -
20 -
50 -
8 -
10 -
2 -
200 -
20 -
10 -
-
300 -
-
-
-
-
3 -
50 -
#VALUE!
166 - PT. Bernofarm

450 - PT. Bernofarm

70 - PT. Errita Pharma
90 - PT. Galenium
100 - PT. GSK

8 - PT. Kimia Farma
1 - PT. Kimia Farma
5,000 - PT. Molex Ayus
120 - PT. Novartis
270 - PT. Otsuka
500 - PT. Otsuka

250 -
50 -
1,850 -
14 - PT. Meiji
33 -
200 - internet k24
200 - PT. Armoxindo Farma
100 47,410 4,741,000 PT. Bernofarm
50 84,400 4,220,000 PT. Hexpharm
200 6,833 1,366,600 PT. Indofarma
200 6,148 1,229,600 PT. Itrasal
100 23,609 2,360,900 PT. Kalbe Farma
50 - PT. Meiji

10 - PT. Takeda
100 -
100 -
13,918,100
500 7,840 3,920,000 internet k24
200 - internet k24
200 - internet k24

3,920,000
1 Suplemen dan Terapi Penunjang Ekstrak Phaleria macrocarpa 100 mg
folic acid 1 mg, betacaroten 10000 iu, vitamin b1 3 mg,

vitamin b2 3.4 mg, nicotinamid 20 mg, vitamin b6 2 mg,
Vitamin dan Mineral (untuk Masa calcium d pantotenate 7.5 mg, calcium carbonate 100 mg,
2
Hamil dan Nifas)/Antianemia vitamin b12 4 mcg, vitamin d3 400 IU, vitamin k1 50mcg,
biotin 30 mcg, copper gluconate 0.1 mg, iron polymaltose
complex 30 mg, dha dari algae 40 mg, ara 8 mg
Gelatin polysuccinate, Na acetate trihydrate, NaCl, KCl, CaCl

3 Larutan Steril Intravena
dihydrate g, MgCl hexahydrate, NaOH
Bioactive fraction DLBS3233, Lagerstroemia speciosa extr 25
mg, Cinnamomum burmannii extr 25 mg
Vitamin B Kompleks/dengan Vitamin B1 100 mg, Vitamin B6 200 mg, Vitamin B12 200
5
Vitamin C mcg.
Antiinflamasi
8 Suplemen dan Terapi Penunjang Tiap 5ml mengandung : Psidii folium extract 250 mg
9 Antihistamin dan Antialergi Pseudoephedrin HCl 30 mg, Terfenadine 40 mg

Antiinflamasi
12 Hormon Kortikosteroid Tiap mL injeksi mengandung Triamcinolone 40 mg


15 Sucralfate 500 mg
Antiulserasi
16 Preparat Antiasma dan PPOK Per tablet : Salbutamol Sulfate 1 mg, Teofilin 150 mg.
Kotak 30 tablet Dismeno 2 - PT. Dexa Medica
Botol 30 kapsul Folamil Genio 20 - PT. Dexa Medica
Botol 500 ml Gelafusal 100 - PT. Dexa Medica
Kotak 30 tablet Inlacin 50 mg 2 - PT. Dexa Medica
Kotak 200 tablet Neurodex 5 150,040 750,200 PT. Dexa Medica
Kotak 30 tablet Lonide 40 mg 6 - PT. Dexa Medica
Botol 50 tablet Psiidii Kapsul 12 - PT. Dexa Medica
Botol 60 ml Psiidii Syrup 30 - PT. Dexa Medica
Kotak 50 tablet Rhinofed tablet 3 - PT. Dexa Medica
Kotak 100 tablet Riperidone 2 mg 3 - PT. Dexa Medica
Kotak 30 tablet Spasmomen 40 mg 10 - PT. Dexa Medica
Vial 1 ml Flamicort 40mg/ml 50 - PT. Dexa Medica
Kotak 100 tablet Propanolol 10 mg 10 - PT. Dexa Medica

Kotak 100 tablet Propylthiouracil 100 mg 10 - PT. Dexa Medica
Kotak 100 tablet Ulsidex tablet 50 - PT. Dexa Medica
Kotak 100 tablet Teosal 500 - PT. Dexa Medica

2 Obat Anti Infalamsi Non Steroid (OAINS) Diazepam 2 mg, methampyrone 500 mg
Suplemen dan Terapi Penunjang untuk Per tablet dispersibel Ekstr bilberry kering 40 mg,
3
Mata retinol 800 IU, beta-carotene 2.5 mg, Vitamin E 20 mg
Per 1 mL mengandung Framycetin sulphate 5 mg,

5 Antiseptik Telinga dengan Kortikosteroid gramicidin 0,05 mg, dexamethasone Na
Per 5 mL susp Vit A 2,400 IU, vit B1 4 mg, vit B2 1.2

mg, vit B6 1.2 mg, vit B12 4 mcg, vit C 60 mg, vit D
11 Vitamin dan/ Mineral 400 IU, nicotinamide 16 mg, Ca pantothenate 6 mg,
choline 12 mg, inositol 12 mg, Na hypophosphite 20
mg, Ca 33.1 mg, Na 5.2 mg, L-lysine HCl 200 mg
vitamin B1 100mg, vitamin B12 100mg, vitamin B6

5000mcg
Vit A 3,000 iu, vit D 200 iu, vit E 30 iu, vit B1 2 mg, vit
B2 2 mg, vit B6 3 mg, vit B12 3 mcg, folic acid 1,000
mcg, Ca pantothenate 8 mg, biotin 35 mcg,
nicotinamide 20 mg, vit C 100 mg, Fe elemental (as
Vitamin dan Mineral (untuk Masa Hamil Ferrous Sulfate) 30 mg, iodine 150 mcg, Ca
13
dan Nifas)/Antianemia carbonate 100 mg, Zn (as sulfate) 15 mg, Mg (as
magnesium sulfate) 5 mg, manganese (as
manganese sulfate) 1 mg, copper (as cupric sulfate)
1,000 mcg, natural fish oil 500 mg, omega-3 fatty
acids 135 mg, DHA 105 mg, EPA (EPA) 20 mg
14 Obat Batuk dan Pilek pseudoephedrine 60 mg, 2,5 mg triprolidine HCl
15 141,125 Vitamin C 200 mg injeksi
16 Analgesik (Non Opiat) dan Antipiretik Paracetamol 250mg/5ml

Serebral

Serebral

Per sachet (2,5gr) Viable cell 1.250.000.000 CFU
mengandung : Lactobacillus acidophilus 200.000.000
CFU, Lactobacillus rhamnosus 200.000.000 CFU,
Bifidobacterium longum 85.000.000 CFU,
Bifidobacterium bifidum 85.000.000 CFU,
21 Streptococcus thermophilus 680.000.000 CFU,
Antiinflamasi
polydextrose 869.63mg, fructo-oligosaccharide
375mg,lactulose mixed powder 125mg, vitamin C
35mg, vitamin E 8.125mg, vitamin A 3.6mg,
pyridoxine HCl 1.3mg, vitamin B2 0.75mg, thiamine
HCl 0.7mg.
rice starch, maltodextrin, lactobacillus acidophilus,

lactobacillus casei, lactobacillus salivarius,
22 Antidiare/Probiotik
bifidobacterium infantis, bifidobacterium lactis,
bifidobacterium longum, lactococcus lactis
Lepas cepat : Loratadine 5 mg dan Pseudoefedrin 60

mg
24 per box isi 30 tablet Cilostazol 100 mg
Per 5 mL mengandung : Amoksisilin trihidrat 125 mg

25 Antibiotik
+ Kalium klavulanat 31.25 mg
Tiap 0,6 mL sirup mengandung vitamin A 2,000 IU,
vitamin C 30 mg, vitamin D 400 IU, vitamin B1 1 mg,
2 Suplemen & Vitamin vitamin B2 1.2 mg, vitamin B6 1 mg, vitamin B12 2
mcg, nicotinamide 10 mg, pantothenol 5 mg, lysine
HCl 25 mg

Serebral
Setiap 1 gram Garamycin mengandung gentamicin

6 Antibiotik Topikal sulfate yang ekuivalen dengan 1 mg (0,1%)
Gentamicin
7 Obat Anti Inflamasi Non Steroid (OAINS) Ibuprofen 200 mg
Setiap 1 gram Garamycin mengandung gentamicin

10 Antibiotik Topikal sulfate yang ekuivalen dengan 1 mg (0,1%)
Gentamicin

Ekstrak Schizandrae fructus 135 mg, ekstrak

Kolagogum, Kolelitolitik dan Kurkuma xanthorrhizae rhizoma 150 mg, ekstrak
15
Hepatoprotektor Liquiritiae radix 135 mg, kolin bitartrat 150 mg, vit-B6
2 mg, silymarin phytosome35 mg
Per mL mengandung: 3mg Ofloxacin Botol 5 ml Akilen Ear Drop
Diazepam 2 mg, methampyrone 500 mg Kotak 100 tablet Analsik

mg, retinol 800 IU, beta-carotene 2.5 mg, Kotak 100 tablet Berry Vision
Vitamin E 20 mg
Bromhexine HCl 4mg/5 ml Botol Mucohexin elixir

mg, gramicidin 0,05 mg, dexamethasone Na Botol 5 ml Blecidex Ear Drop
Bromocriptine mesilate 2.5 mg Kotak 30 tablet Cripsa 2.5 mg
Natrium dokusat 5 mg Botol 10 ml Forumen Tetes Telinga

B2 1.2 mg, vit B6 1.2 mg, vit B12 4 mcg, vit C 60
mg, vit D 400 IU, nicotinamide 16 mg, Ca
Botol 60 ml Elkana Syrup

Kotak 100 tablet Neurosanbe 5000 tab
B6 5000mcg
Vit A 10,000 IU , Vit B1 20 mg , Vit B2 5 mg , Vit
B6 10 mg , Vit B12 5 mcg , Vit C 150 mg , Vit
D3 400 IU , Vit E 10 mg , Nicotinamide 50 mg ,
Ca Pantothenate 11.6 mg , Biotin 0.25 mg ,
Folic Acid 0.4 mg , Calcium 50 mg , Phosphor per box isi 100 kaplet Pervita
38.64 mg , Iron 10 mg , Mg 16.4 mg , Mn 0.379
mg , K 0.035 mg , Se 0.061mg , Flour 0.045
mg , Copper0.712 mg , Zinc 0.343 mg ,
Molybdenum 0.083 mg

Kotak 100 tablet Tremenza
HCl
Vitamin C 1.000 mg ( 200 mg/ml ) per box isi 5 ampul Sankorbin
Sanmol Forte 250mg/5 ml

Paracetamol 250mg/5ml Botol 60 ml
Sirup
Citicolin 250 mg inj per box isi 5 ampul Beclov Inj
Eperisone HCl 50 mg per box isi 100 tablet Eprinoc


Lepas lambat : Loratadine 5 mg dan

per box isi 50 Capsule Aldisa SR
Pseudoefedrin 120 mg
Cilostazol 100 mg per box isi 30 tablet Fibrozol 100

satuan flas Claneksi DS
Captopril 25 mg per box isi 50 tablet Tensicap 25
Captopril 12,5 mg per box isi 50 tablet Tensicap 12,5
Eritromisin sirup 200mg/5 ml satuan flas Erysanbe DS
Klobetasol Propionate 0,05% satuan tube Clobesan crm
Nistatin 100.000 IU satuan suspensi Nymiko
Sildenafil Citrate 50 mg per box isi 4 kaplet Sanbenafil 50
Triamcinolon 0,1 % satuan tube Sinocort oral paste
Valacyclovir 500 mg per box isi 50 kaplet Herclov
Per 0.6 Ml : Vit A 5,000 IU , Vit B1 1mg,Vit B2
1.2 mg , Vit B6 1 mg , Vit C 50 mg , Vit D 400 IU satuan flas San B plex drop
, Nicotinamide 10 mg , Pantothenic acid 5 mg
Gentamisin Injeksi 40mg/ml per box isi 5 vial Sagestam inj
Gentamisin Salep Kulit 0,1% satuan tube Sagestam crm
Tiamfenikol 500 mg Kotak 100 tablet Tiamfenikol 500 mg
Asam Tranexamat 500 mg per box isi 10 vial Plasminex tab

gentamicin sulfate yang ekuivalen dengan 1 mg satuan tube Sagestam crm
(0,1%) Gentamicin

Curcuma Longa Rhizome Ext 150 mg , Silybin

Phospholipids 140 mg , Schizandrae Fructus
Ext 135 mg , Vit E 15 mg , Vit B12 2.4 mcg , Vit per box isi 30 kaplet Sanfuliq Cap
B2 1.2 mg , Vit B1 1 mg , Vit B6 2 mg , Choline
Bitartrate 150 mg.
6 73,500 441,000 PT. Sanbe
10 230,000 2,300,000 PT. Sanbe RINA
10 279,620 2,796,200 PT. Sanbe
5 16,400 82,000 PT. Sanbe
6 50,000 300,000 PT. Sanbe
16 500,000 8,000,000 PT. Sanbe
5 542,000 2,710,000 PT. Sanbe
16 453,000 7,248,000 PT. Sanbe
20 34,569 691,380 PT. Sanbe
5 650,000 3,250,000 PT. Sanbe
200 31,254 6,250,800 PT. Sanbe
2 342,870 685,740 PT. Sanbe

8 148,500 1,188,000 PT. Sanbe
3 203,800 611,400 PT. Sanbe
1 141,125 141,125 PT. Sanbe
250 34,772 8,693,000 PT. Sanbe
50 175,075 8,753,750 PT.Sanbe RINA
50 175,075 8,753,750 PT.Sanbe RINA
20 88,000 1,760,000 PT.Sanbe RINA
5 343,000 1,715,000 PT.Sanbe

100 136,950 13,695,000 PT.Sanbe
8 136,950 1,095,600 PT.Sanbe rina
20 268,500 5,370,000 PT.Sanbe
5 298,200 1,491,000 PT.Sanbe
100 53,000 5,300,000 PT.Sanbe
10 199,500 1,995,000 PT.Sanbe

15 102,500 1,537,500 PT.Sanbe
250 22,200 5,550,000 PT.Sanbe
50 39,600 1,980,000 PT.Sanbe
15 166,000 2,490,000 PT.Sanbe
100 32,900 3,290,000 PT.Sanbe
125 274,000 34,250,000 PT.Sanbe
50 37,100 1,855,000 PT.Sanbe
10 743,500 7,435,000 PT.Sanbe
250 650,000 162,500,000 PT. Sanbe
20 29,000 580,000 PT.Sanbe
100 18,600 1,860,000 PT.Sanbe
5 175,075 875,375 PT.Sanbe
1,140 88,000 100,320,000 PT.Sanbe
74 48,700 3,603,800 PT.Sanbe
90 12,300 1,107,000 PT.Sanbe
3 67,000 201,000 PT.Sanbe
8 182,600 1,460,800 PT. Sanbe
18 124,250 2,236,500 PT.Sanbe
33 12,300 405,900 PT.Sanbe
23 67,000 1,541,000 PT.Sanbe
100 166,000 16,600,000 PT.Sanbe

500 166,000 83,000,000 PT.Sanbe
500 67,000 33,500,000 PT.Sanbe
200 156,750 31,350,000 PT.Sanbe

50 29,000 1,450,000 PT.Sanbe
596,296,620
Vitamin E 100 IU
Serebral
3 Agen Penghambat Neuromuskuler Vecuronium Bromide 4 mg
4 Vitamin Neurotropik + Sumber Energi

5 Ranitidine 150 mg
Antiulserasi

Amoksisilin 125 mg

Amoksisilin 250 mg


(OAINS)
2 Analgetik dan Antipiretik


Fenilpropanolamina HCl 3,5mg,
Klorfeniramin maleat 0,5 mg,
Dextromethorphan HBr 5mg

(OAINS)
8 Ranitidine 150 mg
Antiulserasi

4 Ibuprofen 400 mg
(OAINS)

(OAINS)
Vit A 4000 IU, Vit C 50 mg, Vit D 400 IU, Vit

E 10 mg, Vit B1 3mg, Vit B2 3mg, Vit B6
2mg, Vit B12 2mcg, nicotinamide 20mg, Ca
7 Vitamin dan Mineral pantothenate 5mg, folic acid 1mg, biotin
0,1mg, Fe fumarate 20mg, Ca 100mg,
copper 0,5mg, maanganese 0,5mg, Mg 1mg,
Zn 0.25mg

guaiphenesin 50 mg.

9 Ranitidine 150 mg
Antiulserasi
Suplemen kebutuhan Vitamin

(OAINS)
Vit A 4000 IU, Vit C 50 mg, Vit D 400 IU, Vit

E 10 mg, Vit B1 3mg, Vit B2 3mg, Vit B6
2mg, Vit B12 2mcg, nicotinamide 20mg, Ca
3 Vitamin dan Mineral pantothenate 5mg, folic acid 1mg, biotin
0,1mg, Fe fumarate 20mg, Ca 100mg,
copper 0,5mg, maanganese 0,5mg, Mg 1mg,
Zn 0.25mg

25mg, Lycopene 5m

6 Ibuprofen 200 mg
(OAINS)
ATP 20mg, thiamine 100mg, pyridoxine

8 Obat Kardiovaskuler Golongan Lain 200mg, cyanobalamin 200mcg, vitamin e
30mg
12 Suplemen Vitamin Tablet

13 Suplemen Vitamin Syrup
14 Multivitamin dan Mineral
15 Antitusiv & Nasal Decongestan
Ekspektoran & Nasal Decongestan

17
( Batuk Berdahak & Demam )
Kotak 30 tablet Cor-Q 33
Vitamin E 100 IU
Ginkgo biloba extr (EGb 761) 120 mg Kotak 30 tablet Tebokan Forte 120 mg 10
Vecuronium Bromide 4 mg Vial @ 4 mg Ecron 4 mg 30
ATP 20 mg, B1 100 mg, B6 200 mg, B12 200

Ds. 10x10's Bio ATP 250
mcg, VIT E 30 mg
Ranitidine 150 mg Box 50 tablet Tricker 2
Amoxicillin SK 125 mg/5 ml Botol @ 60 ml Amoxicillin SK 125 mg/5 ml 250
Amoxicillin SK 250 mg/5 ml Botol 60 ml Forte Dry Amoxicillin SK 250 mg/5 ml 250
Acetylsalicylic acid 100 mg Kotak 100 tablet Acetosal 100 mg 10
Cefadroxil 500 mg Box @ 50 Kapsul Droxefa 500 mg kapsul 250
Kalium diklofenak 50 mg Kotak@ 50 tablet Kalium diklofenak 50 mg 2
Cefadroxil 500 mg Box @ 50 Kapsul DROXEFA 500 MG KAPSUL 10
Asam Mefenamat 500 gram Kotak 100 tablet Asam Mefenamat 500 gram 220
Parasetamol 500 mg Kotak 100 tablet Parasetamol 500 mg 100
Captopril 25 mg Kotak 100 tablet Captopril 25 mg 25

mg,Dexchlorpheniramine Maleate 1 mg, Botol @60 ml Dextrofen Syr 250
Ranitidine 150 mg Kotak 100 tablet Ranitidin tablet 90

Cefadroxil 500 mg Box @ 50 Kapsul DROXEFA 500 MG KAPSUL 200
Ibuprofen 400 mg Kotak 100 tablet Ibuprofen 400 mg 23

Kotak 100 tablet Pehavral 62

Botol 60 ml Ponflu Syrup 23
guaiphenesin 50 mg.
Ranitidine 150 mg Kotak 100 tablet Ranitidin tablet 15
Vitamin B, C 500mg, E - Calcium Pantothenate Ds 10 x 10's Becefort Tab 50

Deksametason 0,5 mg Kotak 100 tablet Deksametason 0,5 mg 50

Kotak 100 tablet Pehavral 200

Kotak 100 tablet Amaropo Plus Tablet 100
25mg, Lycopene 5m
Ibuprofen 200 mg Kotak 100 tablet Ibuprofen 200 mg 200
Asiklovir Krim 5% Tube@5 gr Asiklovir Krim 5% 200
ATP 20 mg, B1 100 mg, B6 200 mg, B12 200

Ds. 10x10's Bio ATP 200
mcg, VIT E 30 mg
Parasetamol 500 mg Kotak 100 tablet Parasetamol 500 mg 1,000
Asam Mefenamat 500 gram Kotak 100 tablet Asam Mefenamat 500 gram 1,000
Asiklovir Krim 5% Tube@5 gr Asiklovir Krim 5% 200
Vitamin B, C 500mg, E - Calcium Pantothenate Ds 10 x 10's Becefort Tab 1,000

B, 100mg,Vitamin
Vitamin C C 500mg, E - Calcium Pantothenate
D3 400IU,Vitamin B1 Btl 60ml Becefort Syr 300
10mg,Vitamin B6 10mg,Vitamin B12
20mg,Folic Acid 400Mcg,Ferrous fumarate Dos 10x10's PEHAVRAL 1,000
90mg,Calcium Lactate 141,28mg,Zinc Oxide
13,69mg
mg,Dexchlorpheniramine Maleate 1 mg, Botol @60 ml Dextrofen Syr 500
Cefadroxil 500 mg Box @ 50 Kapsul Droxefa 500 mg kapsul 1,000
Bromhexin HCL 8 mg, Dipenhydramine 25 mg,

Ds. 30 x 10's Hustab Tablet 1,000
Paracetamol 400 mg
- PT. Phapros
- PT. Phapros
- PT. Pharos
235,598 58,899,500 PT.PHAPROS
22,523 45,045 PT.PHAPROS
4,666 1,166,500 PT.PHAPROS
10,210 2,552,500 PT.PHAPROS
20,407 204,072 PT.PHAPROS
93,500 23,375,000 PT.PHAPROS
103,019 206,038 PT.PHAPROS
93,500 935,000 PT.PHAPROS
44,550 9,801,000 PT.PHAPROS AHMED
17,787 1,778,700 PT.PHAPROS RINA

9,902 247,555 PT.PHAPROS AHMED
11,550 2,887,500 PT.PHAPROS ahmad
17,787 2,668,050 PT,PHAPROS RINA
44,550 15,592,500 PT.PHAPROS

93,500 18,700,000 PT.PHAPROS rina
21,529 495,167 PT.PHAPROS RINA
153,120 9,493,440 PT. Phapros
22,523 337,838 PT.PHAPROS RINA
154,843 7,742,130 PT.PHAPROS

14,230 711,480 PT.PHAPROS rina
153,120 30,624,000 PT. Phapros
- PT. Phapros
9,902 990,220 PT.PHAPROS
16,319 3,263,700 PT.PHAPROS
3,303 660,660 PT.PHAPROS
235,598 47,119,600 PT.PHAPROS
17,787 17,787,000 PT,PHAPROS
44,550 44,550,000 PT.PHAPROS
3,303 660,660 PT.PHAPROS
154,843 154,842,600 PT.PHAPROS

98,282 98,281,700 PT.PHAPROS
11,550 5,775,000 PT.PHAPROS
93,500 93,500,000 PT.PHAPROS ahmad
131,116 131,115,600 PT.PHAPROS ahmad
846,532,733

Hrga PT - Dexa

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Hrga PT - Dexa

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No Kelas Terapi Spesifikasi

2 Antiinfeksi dan Antiseptik Telinga Per mL mengandung: 3mg Ofloxacin

Tiap 1 liter (1000 mL) larutan infus

Tiap 1 liter (1000 mL) larutan infus

Obat Anti Infalamsi Non Steroid Diazepam 2 mg, methampyrone 500

Tiap 0,6 mL sirup mengandung vitamin

Ektrak Citrus sinensis yang

10 Suplemen dan Terapi Penunjang Astaxanthin 4 mg, selenium 15 mcg

Dekongestan Nasal dan Preparat

12 Vaksin / Antisera Inactivated Hepatitis A virus 80 IU.

13 Obat Topikal Benzil Benzoat

15 Obat Batuk dan Pilek (Inhalasi) Bromhexine HCl 4mg

Per 1 mL mengandung Framycetin

Lithospermi radix extractum 0.18 mg,

Tiap liter infus mengandung ion

Coral Ca 500 mg, natural soy

22 Vitamin syrup Per-5 mL : Calcium 200 mg

25 Emolien dan Pelindung Kulit Urea 10%

26 Emolien dan Pelindung Kulit Urea 20%

27 Obat Hipertensi/Beta Blocker Karvediol 6,25 mg

30 Obat Midriatikum Atropina-sulfat 0.5%

Phenylephrine HCl 1,2 mg ; Zinc

32 Antiinfeksi dan Antiseptik Mata Chloramphenicol 1%

33 Antiinfeksi dan Antiseptik Mata Ofloxacin 3 mg

34 Preparat Antiglaukoma Levofloxacin 5mg

Sodium Chloride 4.4 mg, Kalium

37 Antiinfeksi dan Antiseptik Mata Natamycin 5 %

38 Antiinfeksi dan Antiseptik Mata Tiap 1 ml: prednisolone acetate 10 mg

Tiap 1 ml : Polyvinylpyrrolidone 20 mg,

Tiap vial mengandung: Retinol 3.500

43 Suplemen dan Terapi Penunjang Ekstrak Channa striata 500 mg

Antikoagulan, Antiplatelet dan

Obat antivertigo dan gangguan

Vasodilator Perifer dan Aktivator

Vasodilator Perifer dan Aktivator

51 Hepatoprotektor Ekstrak Curcuma xanthorrhiza 20 mg

Tiap 11 tablet masing-masing

Anhydrous lanolin 60 mg, isopropyl

Obat antiinflamasi nonsteroid

Tiap tablet mengandung : Parasetamol

Obat Anti Inflamasi Non Steroid Dexketoprofen Trometamol 36,9 mg

59 Suplemen dan Terapi Penunjang Ekstrak Phaleria macrocarpa 100 mg

60 Obat Antipsikotik Sulpiride 50 mg

61 Obat Topikal Hydroactive gel

62 Vitamin dan Siplemen Vitamin D3 400 IU

Coral Ca sebagai Ionic Ca 500mg,

64 Preparat Antimigren Eperisone HCl 50 mg

Vitamin dan Mineral (untuk Masa Na Fe EDTA 115.4 mg [setara dg Fe

73 Preparat untuk Masalah Vagina metronidazol 500 mg, nystatin 22,7 mg

Monobasic Na phosphate 19 g, dibasic

folic acid 1 mg, betacaroten 10000 iu,

78 Preparat Telinga Golongan Lain Natrium dokusat 5 mg

Quadrivalent Human Papillomavirus

89 Vaksin / Antisera DPaT (efek samping d harapkan tidak

Paracetamol 500 mg,

Glucose (11%), amino acids &

curcuminoid 20 mg, Silymarin

Setiap tablet kunyah mengandung 100

Radix scutellariae, Cortex

101 Nootropik dan Neurotonik Mecobalamin 500 mcg

104 Obat Antikolinesterase Pyridostigmine Br 60 mg

105 Antijamur dan Antiparasit Topikal Nystatin 100000 u, Zn oxide 200 mg

Obat Anti Inflamasi Non Steroid