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POLRI DAERAH JAWA TIMUR

RESOR KEDIRI
SEKSI KEDOKTERAN DAN KESEHATAN

DAFTAR FORMULARIUM OBAT PELAYANAN KESEHATAN DASAR


KPRJ BHAYANGKARA SIDOKKES POLRES KEDIRI

NO NAMA OBAT SATUAN KOMPOSISI KET


1 2 3 4 5

OBAT PADAT
1 AKITA TABLET
2 Allopurinol 100 mg Tablet
3 Amlodipin 10 mg TABLET
4 Amoksisilin 500 mg TABLET
Antasida doen aluminium hidroksida 200 mg
5 Tablet
+ magnesium hidroksida 200 mg
6 Asam askorbat (vitamin c) Tablet
7 Asam Folat / Folic Acid BOX/100
8 Asam Mefenamat 500 mg TABLET
9 Asiklovir 400 mg Tablet
10 Captopril 12,5 mg PNBP Tablet
11 captropil 25 mg TABLET
12 CEFIXIM 200MG TABLET
13 CTM 4mg TABLET
14 Diklofenak Kalium 50 mg TABLET
15 Diklofenak Natrium 50 mg TABLET
16 DIMENHYDRINAT TABLET
17 Domperidon maleat 10MG TABLET
18 Erythromycin 500 TABLET
19 FAXIDEN GEL TUBE
20 Flunarizine 10mg TABLET
21 Furosemid 40MG TABLET
22 GLIBENKLAMIDE 5MG TABLET
23 Gliclazide 80 mg TABLET
24 Glimepirid 1 mg TABLET
25 Glimepirid 2 mg TABLET
26 GLIMEPIRID 4 MG TABLET
27 HESMIN TABLET
28 HORVITA-G TABLET
29 Ibuprofen 200mg TABLET
30 IFARSYL TAB TABLET
31 Kalsium laktat Tablet
32 Ketokonazol 200mg TABLET
33 Klindamisin150 mg Tablet
34 Kotrimoksazol Tablet
35 LANZOPRAZOLE 30 Tablet
36 Lisinopril 10mg Tablet
37 Lodecon tab TABLET
38 METIL PREDNISOLON 16 MG BOX/100
39 Metoklopramide 10mg Tablet
40 Metronidazole 500 mg Tablet
41 Parasetamol 500mg TABLET
42 Piroksikam 20 mg KAPSUL
43 SAMCALVIT TABLET
44 SAMCODIN TAB TABLET
45 Sefadroksil 500 mg TABLET
46 Simvastatin 10 mg TABLET
47 SOLVITRON TABLET
48 TABLET TAMBAH DARAH TABLET
49 Terbutaline Sulfate 2,5mg/Molasma TABLET
50 THIAMPHENICOL 500 TABLET
51 TICOMAG TABLET
52 TRAMADOL 50MG KAPSUL
53 TRIFED TABLET
OBAT CAIR
54 ANATON SYR BOTOL
55 SOLVITA SYR BOTOL 60ML
56 SOLAFLUZ SYR BOTOL
57 ERLAMICETIN TM BOTOL
58 Fortusin syr Botol
59 cetirizine hcl syr 5mg/5ml BOTOL
60 SABUN ANTIBACTERI 500 + DISP BOTOL
61 PARACETAMOL SYR BOTOL
62 Cotrimoxasole syr BOTOL
63 Gentamicin TM 0,3% BOTOL
64 GIGADRYL SYR BOTOL 60ML
65 GUANISTREP SYR BOTOL
66 WIBROM SYR BOTOL
67 ZINC SULFAT SYR BOTOL
68 Syr amoxycilin 250mg/5ml BOTOL
69 SYR ERYTHROMYCIN 200MG/5ML BOTOL
70 Levofloxacin TM/OPTIFLOX BOTOL
71 Inj Dexamethasone AMPUL
72 INJ ONDANSENTRON 4MG/2ML AMPUL
73 Interco inj Ampul
74 ITRAMAG PLUS SUSP BOTOL
75 CENDO LYTERS BOTOL
76 CENDO XITROL BOTOL
SALEP
77 Asiklovir krim TUBE
78 Betametasone 17 valerat 0,10% cream TUBE
79 BEVALEX CR TUBE
80 DESOXYMETASON CR TUBE
81 GENTAMICIN SULFATE SM TUBE
82 GENTAMISIN CR TUBE
83 Hidrokortison Asetat krim 1%, tube @5g TUBE
84 Ketokonazol krim TUBE
85 MICONAZOLE CR TUBE
86 Mometasone 0,1% cream TUBE
BAHAN HABIS PAKAI
87 Abbocath Unit
88 Besmed maxiflow anak PNBP Buah
89 Besmed maxiflowdewasa PNBP Buah
90 Besmed Resuscitator Anak PNBP Set
91 Betadine 5 Liter Botol
92 Disp shairing with needle 3 cc Pcs
93 Disp shairing with needle 5 cc Pcs
94 DISP SYRINGE 1 CC BOX
95 Infus set dewasa Buah
96 Kapas 1 kg Roll
97 Kapas 250 gr Roll
98 Kapas 500 gr Roll
99 Onemed kapas putih 500 gr ROLL
100 Onemed kasa hidrofil 4m x 5cm ROLL
101 Onemed kasa hidrofil 4mx10cm ROLL
102 Onemed kasa steril 16 x 16 cm BOX
Onemed Sabun Anti Bakteri 500ml + disp
103 Botol
PNBP
104 Poligip 3 inc Roll
105 Poligip 4 inc Roll
106 Poligip 6 inc Roll
107 Povidon iodina larutan 10% btl @60 ml Botol
108 Resusisator anak Set
109 Resusisator dewasa Set
110 Spuit disposable 3 cc Pcs
111 Spuit disposable 5 cc Pcs
112 Spuit disposable 10 cc Pcs

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