Formularium 2

KLINIK BAKTI
KELUARGA
Jln. Muara Bakti–Desa Muara Bakti
Kecamatan Babelan, Bekasi–17610
Telp : 0857 7303 5862
email : klinikbaktikeluarga@gmail.com
FORMULARIUM
No. Nama Sediaan
1.
Analgetik+ Neurotropika Tablet
2.
Asamefenamat 500 mg Tablet
3.
Paracetamol 650 mg Tablet
4.
Paracetamol 500 mg Tablet
Paracetamol 80 mg/0,8 ml Drop

5.
Paracetamol 120 mg/5ml Botol
6.
Paracetamol 250 mg/5ml Botol
7.
Ibuprofen 400 mg Tablet
9.
Ibuprofen 100 mg/ 5cc Botol
10.
Natrium Diclofenak Salep
11.
Natrium diclofenak 50 mg Tablet
14.
Meloxicam 15 mg Tablet
16.
Allupurinol 100 mg Tablet
17.
Allupurinol 300 mg Tablet
18.
Betahistine mesyilate 6 mg Tablet
19.
Flunarizine Dihydrochlorida Tablet
23. Paracetamol 500mg+ Dextrometroprhan HBR 15mg+
Tablet
Phenyleprin HCL7,5 mg+CTM 2mg
24. Paracetamol 500mg+ Dextrometroprhan HBR 15mg+
Botol
Phenyleprin HCL7,5 mg+CTM 2mg sirup
25.
CTM+Pseuoefedrin Tablet
26.
Tripolidin+ Pseuoefedrin Tablet
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
27.
Tripolidin+ Pseuoefedrin sirup Botol
28.
Ambroxol 30 mg Tablet
29.
Ambroxol 30 mg sirup Botol
30.
Bromhexin HCL 8 mg Tablet
31.
Bromhexin HCL 4 mg Tablet
32.
Obat Batuk kombinasi sirup, DMP 10 mg Botol
33.
Obat Batuk kombinasi Tablet DMP 10 mg Tablet
34.
OBH Botol
35.
Guaiafenesine/GG Tablet
36.
Salbutamol 4 mg Tablet
37.
Terbutaline sulfat Tablet
38. Almunium Hidroksida 200mg, magnesium Trisilikat
Tablet
300mg, Dimetipolisiloksan 50 mg
39. Almunium Hidroksida 200mg, magnesium Trisilikat
Botol
300mg, Dimetipolisiloksan 50 mg sirup
40.
Ranitidine 150 mg Tablet
41.
Ranitidine injeksi Ampul
42.
Omeprazole 20 mg Kapsul
43.
Lansoprazole Kapsul
44.
Epinefrina HCl (Adrenalin) inj Ampul
45.
Attalpugite, pectine Tablet
46.
Kaoline pectine Tablet
47.
Loperamid HCL 2 mg Tablet
48.
Zink sulfat 20 mg Tablet
49.
Zink sirup Botol
50.
L-bio Sachet
51.
Oralite Sachet
52.
Scopmaplus Tablet
53.
Ondansetron 4mg Tablet
54.
Pyrantel pamoat Tablet
55.
Pyrantel pamoat 125 mg sirup Botol
56.
Domperidone 10mg Tablet
57.
Domperidone 5 mg/5cc Botol
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
58.
Amlodipine 10 mg Ampul
59.
Amlodipine 5 mg Tablet
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
60.
Captropil 25 mg Tablet
61.
Captropil 12,5 Tablet
62.
Glimepiride 1 mg Tablet
63.
Glimepiride 2 mg Tablet
64.
Glibenlcamide 5mg Tablet
65.
Metformine 500mg Tablet
66.
Metformine 850mg Tablet
67.
Simvastatin 10 mg Tablet
68.
Atrovastatin 20 mg Tablet
69.
Fenofibrate 100 mg Tablet
70.
Fenofibrate 300 mg Tablet
71.
Gemfibrozile 300 mg Kapsul
72.
Hidrokortison Krim 2,5 mg Tube
73.
Betamethason cream Tube
74.
Gentamisin 0,1 % Tube
75.
Neomisin sulfat 0,5 % Tube
76.
Ketokonazole 2 % Tube
77.
Hidrokortison Krim 2,5%+Chloramfenicol 2 % Tube
78.
Chloramfenicol 1 % Tube
79.
Acyclovir 5 % Tube
80.
Metilprednisolon 4mg Tablet
81.
Metilprednisolon 4mg Tablet
82.
Ketokonazole 200 mg Tablet
83.
Dexamhetason 0,5 mg Tablet
84.
Dexamhetason 0,75 mg Tablet
85.
Prednisone 5mg Tablet
86.
Elroid Tablet
87.
Diosmin 450mg, hesperdin 50 mg Tablet
88.
Benzocain 1,0 %, ZnO 2% alukol 0,25 % Tablet
89.
Bisoprolol Tablet
90.
Clopidogler Tablet
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
91.
Kloramfenikol salep mata Tube
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
92.
Gentamisin 0,3 % salep mata Tube
93.
Chlorampenicol 0,5 % mg tetes mata Botol
94. Dexamhetaosn sodium Phosphate 1 mg, Neomicin sulfat 3,5
Botol
mg, Polymixin B sulfate 6000 IU Tetesmata
95.
Tetrahidrozoline HCL 0,5 mg tetes mata Botol
96.
Chlorampenicol tetes telinga 3 % Botol
97.
Phenol Glyserol 10 % tetes telinga Botol
98.
Povidone Iodine 60 ml Botol
99.
Povidone 1 liter Botol
100.
Alkohol 70 % 100ml Botol
101.
Alkohol 70 % 1 liter Botol
102.
Odex Botol
103.
Handsanitizer 500ml Botol
104.
Handsanitizer 100ml Botol
105.
Cairan infus RL Kolf
106.
Cairan infus NACL Kolf
107.
Dextrose 5 % Kolf
108.
Dexamhetason injeksi Ampul
109.
Lidocain comp 2 % injeksi Ampul
110.
Epineprine injeksi Ampul
111.
Atropin sulfat Ampul
112.
Ketrolac injeksi Ampul
113.
Hiosine N butilbromida injeksi Ampul
114.
Pehaacain injeksi Ampul
115.
Combivent nebu Ampul
116.
Methylergometrin injeksi Ampul
117.
Neo k injeksi Ampul
118.
Oxtocin injeksi Ampul
119.
Ethylclorida clorode de etilo chlorure Botol
DAFTAR BMHP
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
No. Nama Sediaan
1.
ADS 0,05 ml Pcs
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
2.
ADS 0,5 ml Pcs
3.
ADS 5 ml Pcs
4.
Abocate no 22 Buah
5.
Abocate no 24 Buah
6.
Tabung Edta Box
7.
Diluent mindray Liter
8.
Lyse mindray Botol
9.
Rinse Liter
10.
E – Z cleanser Mindray Liter
11.
Probe cleanser mindray Botol
12.
Tabung vacutainer k3 edta 3 ml Pcs
13.
Folley Catheter Pcs
14.
Glass Ionomer Cement (GC IX) Botol
15.
Golongan Darah A dan B Botol
16.
Infusion Set Anak Pcs
17.
Infusion Set Dewasa Pcs
18.
IV Cateter NO. 18 Pcs
19.
20.
21.
Jarum jahit no. 9-14 Pcs
22.
Kassa Steril Box
23.
Plester 2,5 x4,5 cm Roll
24.
Spuit Disposible Syringe 1 cc Box
25.
Spuit Disposible Syringe 5 cc Box
26.
Kassa pembalut Hydrofil 4x5 Roll
27.
Kassa pembalut Hydrofil 4x10 Roll
28.
Alkohol swab Box
29.
Masker Pcs
30.
Ok plast Roll
31.
Hipafix 10x5 Roll
32.
Plaster anti alergi putih ultrafix 5x1 Roll
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
33.
Easy Touch Glukosa Set
34.
Easy Touch kolesterol set
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
35.
Easy Touch Urine acide set
36.
Sarung Tangan M Pack
37.
Sarung Tangan S Pack
38.
Sarung tangan L Pack
39.
H2O2 Botol
40.
Povidone iodine 10 % Botol
41.
Rifanol Botol
42.
Alat tes Narkoba 6 parameter Pack
43.
Tes Kehamilan Pack
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
NO NAMA OBAT SATUAN
1 2 3
I. ANALGETIK
ANTIPIRETIK
ANTIINFLAMSI
a. Asam Mefenamat 500mg Tablet
b. Ibuprofen 400mg Tablet
c. Ibuprofen 200mg Tablet
d. Ibuprofen Syr (100mg/5ml) Botol
e. Metampyron, vitamin B1+vitamin B16 Tablet
f. Parasetamol 500mg Tablet
g. Parasetamol Sirup Botol
II. ANTI INFLAMASI, ANTI REUMATIK
a. Diclofenac Potassium Tablet
b. Diclofenac Sodium 50 mg Tablet
c. Piroxicam 10 mg Tablet
d. Piroxicam 20mg Tablet
e. Meloxicam 7,5 mg Tablet
III. ANTI GOUT

a. Allupurinol 100 mg Tablet
b. Allupurinol 300 mg Tablet
IV. ANTI VERTIGO
Betahistine Mesylate 6 mg Tablet

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
V. ANTI INFLUENZA
a. Paracetamol + Phenylpropanolamyne Hcl +
Dextromethopran HBr+ Ctm Kapsul
b. Paracetamol + Phenylpropanolamyne Hcl +

Dextromethopran HBr+ Ctm sirup Botol
c. Paracetamol + Phenylpropanolamyne Hcl + Ctm Kapsul
d. Paracetamol + Phenylpropanolamyne Hcl + Ctm siruf

Botol
e. Pseudoephedrin HCL 2,5 mg+ Chlorphenamine Kapsul
f. Pseudoephedrin HCL 60 mg+ Triprolidine HCL

2,5 mg Tablet
g. Pseudoephedrin HCL + Triprolidine HCL sirup Botol
VI. MUKOLITIK
a. Ambroxol Tablet
b. Ambroxol Syr Botol
c. Bromheksin Tablet
d. Bromheksin Syr Botol
VII. OBAT BATUK
a. Dipenhydramine HCL+ Dextrometrophan Hbr+

Ammonium Chloride+ Sodium Citrate Dihydrate Botol
siruf
b. Dextromethrophan+ Guaifenesin+ CHlorpenamine

Meleate Tablet
c. OBH Sirup Botol
d. Guaifenesin Kapsul
VIII. OBAT ASMA

a. Salbutamol 4mg Tablet
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
b. Terbutaline Sulphate 2,5 mg Tablet

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
IX. OBAT SLAURAN CERNA / ANTASIDA DAN

ANTI ULKUS
a. Magnesium Hydroxide 250 mg +Auminium
Hydrokisda 250 mg+ simeticone 50 mg Tablet
b. Magnesium Hydroxid +Auminium Hydrokisda +

simeticone sirup Botol
c. Ranitidine Tablet
d. Ranitidine sirup 60 ml Botol
e. Ranitidine Ineksi 150 mg Ampul
f. Omeprazole Kapsul
g. Lansoprazole Kapsul
X. ANTI DIARE
a. Attalpugite+ Pectine Tablet
b. Kaoline pectine sirup 60 ml Botol
c. Loperamide HCL 2mg Tablet
d. Zinc Sulfate monohydrate sirup 10mg/ 5ml Botol
e. Zinc Sulfate monohydrate Tablet
f. Oralite pcs
XI. PENCAHAR
Bysacodil Tablet
XII. ANTI SPASMODIK Kapsul
Hycosine – N butylbromide
XIII. ANTIEMETIK
a. Domperidone Tablet
b. Domperidone Sirup Botol

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
XIV. KARDIOVASKULER / ANTIHIPERTENSI

a. Amlodipine 10 mg Tablet
b. Amlodipine 5 mg Tablet
c. Captropil 25 mg Tablet
d. Captropil 12,5 mg Tablet
XV. ANTIHELMINTIK ( Obat Cacing)

a. Phyrantel pamoat Tablet
b. Phyrantel pamoat sirup Botol
XVI. ANTI DIABETES

a. Glibenclamide 5 mg Tablet
b. Metformine 500mg Kapsul
c. Glimepiride 2 mg Tablet
d. Glimepiride 1 mg Tablet
e. Metformine 850 mg Kapsul
XVII. OBAT DISLIPEDIMIA

a. Simvastatin 10 mg Tablet
b. Gemfubrozil 300 mg Tablet
XVII OBAT SALEP KULIT

I.
a. Betamhetasone cream Tube
b. Gentamycine sulfate 5mg Tube
c. Neomycin sulfate,Bovine placenta Extract gel Tube
d. Ketoconazole cream Tube
e. Heparin sodium gel 15mg Tube
f. Chlorampenicol+ Hydrocortison cream 5 mg Tube

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
g. Hydrocortison cream Tube
h. Chlorampenicol cream Tube

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
i. Acyclovir cream Tube
j. Diclofenac sodium cream Tube
k. Flucinolone acetonide+ Neomycine sulfate Tube
l. Miconazole cream Tube
m. Salep 24 Tube
n. Salycil talk Tube
XIX. OBAT MUSKULOSKELETAL
Mentol euganol+ methyl salisilat cream Tube
XX. VITAMIN+ MINERAL

a. Cyanocobalamin 5mcg+ Thyamin HCL Tube
b. Curcuma + multivitamin sirup Botol
c. Multivitamin, mineral Ginseng & royal jeli Kapsul
d. Vitamin B1 dan B12 Kapsul
e. Thiamine mononitrate, Pridoxine,Cyanocobalamin

Ampul
f. Kalsium laktat Kapsul
g. Vitamin E 200 Kapsul
h. Vitamin E 400 iu Kapsul
i. Natrium Bicarbonat Tablet
j. Asam folat 400 Kapsul
k. Mecobalamin 500mg Kapsul
XXI. ANTIBIOTIK
a. Amoxillin 500mg Kapsul
b. Amoxilin sirup Botol
c. Ciprofloxacin 500 Kapsul

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
d. Levofloxacin 500mg Kapsul

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
e. Clindamicin 150 mg Kapsul
f. Cefixime 100mg tablet
g. Cefixime sirup Botol
h. Cefadroxil 500mg Kapsul
i. Cefadroxil sirup Botol
j. Sulfamethoxazole + Tripetroprim tablet
k. Sulfamethoxazole + Tripetroprim sirup Ampul
l. Metronidazole 500mg tablet
XXII. ANTI ALERGI & OBAT UNTUK ANAFILAKSIS

a. Dexamethasone, Dexchlorpheriamine meleate tablet
b. Cetirizine tablet
c. Cetirizine sirup Botol
d. Loratadine 10 mg tablet
e. Cetirizine Dihydrochoride 10 sirup Botol
f. Chlopheniramine maleate 4mg tablet
XXII KORTIKOSTEROID& KORTIKOTROPIN

I.
a. Methylprednisolone 4mg
tablet
b. Dexhametasone 0,5 mg tablet
c. Predinsone tablet
XIV. BETA BLOKER

a. Bisoprolol 2,5 mg Tablet
b. Acetylsalicylic acid 100mg tablet
XXV. OBAT MATA DAN TETES TELINGA
a. Erlamycetin salep mata Tube

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
b. Gentamycin sulfate salep mata Tube

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
c. Reco tetes mata Botol
d. Polimiksin B sulfat+ Neomycine Dexhametason tetes

mata Botol
e. Tetrahydozoline Hydrochloride HCl tetes mata Botol
XVI. ANTI SEPTIKA

a. Ecodine 60 ml Botol
b. Povidone Iodine larutan antiseptika Botol

c. Alkohol 70 % 100 ml Botol
d. Alkohol 70 % 100 ml Botol
e. Hand sanitizer 500 ml Botol
XVII. CAIRAN INFUS
a. Ringer Laktat Kolf
b. Nacl Kolf
XVII OBAT INJEKSI

I.
a. Lidocaine Compositum injeksi Ampul
b. Pehacain injeksi Ampul
c. Cloretyl spray Botol
XIX. ALKES HABIS PAKAI

a. Sarung Tangan M pcs
b. Sarung Tangan S pcs
c. Sarung Tangan L pcs
d. Ecodine 30 ml Botol
e. Rivanol 100 ml Botol
f. Easy touch Glukosa set

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
g. Easy touch Kolesterol set

KLINIK BAKTI
KELUARGA
Telp : 0857 7303 5862
h. Easy touch urine acid set
i. Kasa steril 16x16 Box
j. Leucoplas 2,5 x 4,5 Roll
k. Kasa gulung 4 yard x 5 cm Roll
l. Kasa gulung 4 yard x 10 cm Roll
m. Hipafix 10 x 5 Roll
n. Ultrafix 5 x1 Roll
o. Abocate no.22 Buah
p. Abocate no.24 Buah
q. Tabung vacutainer k3 edita 3 ml Box

Formularium 2

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KLINIK BAKTI

No. Nama Sediaan

Paracetamol 80 mg/0,8 ml Drop

No. Nama Sediaan

NO NAMA OBAT SATUAN

b. Ibuprofen 400mg Tablet

c. Ibuprofen 200mg Tablet

d. Ibuprofen Syr (100mg/5ml) Botol

e. Metampyron, vitamin B1+vitamin B16 Tablet

f. Parasetamol 500mg Tablet

g. Parasetamol Sirup Botol

II. ANTI INFLAMASI, ANTI REUMATIK

a. Diclofenac Potassium Tablet

b. Diclofenac Sodium 50 mg Tablet

d. Piroxicam 20mg Tablet

e. Meloxicam 7,5 mg Tablet

III. ANTI GOUT

b. Allupurinol 300 mg Tablet

IV. ANTI VERTIGO

Betahistine Mesylate 6 mg Tablet

b. Paracetamol + Phenylpropanolamyne Hcl +

c. Paracetamol + Phenylpropanolamyne Hcl + Ctm Kapsul

d. Paracetamol + Phenylpropanolamyne Hcl + Ctm siruf

e. Pseudoephedrin HCL 2,5 mg+ Chlorphenamine Kapsul

f. Pseudoephedrin HCL 60 mg+ Triprolidine HCL

g. Pseudoephedrin HCL + Triprolidine HCL sirup Botol

b. Ambroxol Syr Botol

d. Bromheksin Syr Botol

VII. OBAT BATUK

a. Dipenhydramine HCL+ Dextrometrophan Hbr+

b. Dextromethrophan+ Guaifenesin+ CHlorpenamine

c. OBH Sirup Botol

VIII. OBAT ASMA

b. Terbutaline Sulphate 2,5 mg Tablet

IX. OBAT SLAURAN CERNA / ANTASIDA DAN

b. Magnesium Hydroxid +Auminium Hydrokisda +

d. Ranitidine sirup 60 ml Botol

e. Ranitidine Ineksi 150 mg Ampul

b. Kaoline pectine sirup 60 ml Botol

c. Loperamide HCL 2mg Tablet

d. Zinc Sulfate monohydrate sirup 10mg/ 5ml Botol

e. Zinc Sulfate monohydrate Tablet

XII. ANTI SPASMODIK Kapsul

b. Domperidone Sirup Botol

XIV. KARDIOVASKULER / ANTIHIPERTENSI

d. Captropil 12,5 mg Tablet

XV. ANTIHELMINTIK ( Obat Cacing)

b. Phyrantel pamoat sirup Botol

XVI. ANTI DIABETES

b. Metformine 500mg Kapsul

e. Metformine 850 mg Kapsul

XVII. OBAT DISLIPEDIMIA

b. Gemfubrozil 300 mg Tablet

XVII OBAT SALEP KULIT

b. Gentamycine sulfate 5mg Tube

c. Neomycin sulfate,Bovine placenta Extract gel Tube

d. Ketoconazole cream Tube

e. Heparin sodium gel 15mg Tube

f. Chlorampenicol+ Hydrocortison cream 5 mg Tube

g. Hydrocortison cream Tube

h. Chlorampenicol cream Tube

i. Acyclovir cream Tube