DAFTAR OBAT BPJS

Antibiotic
No Nama Obat Satuan Ket
1 Amoxillin 500 mg Tab
2 Ampicillin 500mg Tab
3 Ciprofloxacin 500 mg Tab
4 Cotrimoxazole 480mg Tab
5 Metronidazole 500 mg Tab
6 Amoxillin syr Syr
7 Cotrimoxazole syr Syr
8 Zinc tablet Tab
9 Tetracyline 250 mg Tab
10 Tab
Antinplamasi
No Nama Obat Satuan Ket
1 Paracetamol 500 mg tab Tab
2 Paracetamol syr Syirup
3 Asam Mefenamat 500 mg Tab
4 Ibuprofen 200 tab Tab
5 Ibuprofen 400 tab Tab
6 Meloxicam 7,5 mg Tab
7 Meloxicam 15 mg Tab
8 Natrium Diclofenac 25 mg Tab
9 Natrium Diclofenac 50 mg Tab
10 Dexametason 0,5 mg Tab
11 Methilprednisolon 4 mg Tab
12 Piroxicam 10mg Tab
13 Piroxicam 20 mg Tab
14

Antihistamin
No Nama Obat Satuan Ket
1 CTM tab Tab
2 Cetirizin 10 mg Tab
3 Soldextam tab Ctm + dexametason
4 Cetirizin syr Syr
5 Loratadine 10mg Tab
6 Betametason cream Cream
7 Miconazole cream Cream
8 Ketokonazole 200mg Tab
 9 Ketokonazole crim Cream
10
11
Antihipertensi
No Nama Obat Satuan Ket
1 Amlodipine 5 mg Tab
2 Amlodipine 10 mg Tab
3 Captopril 12,5 mg Tab
4 Captopril 25 mg Tab
5 Captopril 50 mg Tab
6 Furosemide 40 mg Tab
7 Nifedipine 10 mg Tab
8
9
10
11

ISPA
No Nama Obat Komposisi Ket
1 Paraflu tab Pct,
phenylpropanolamine,
Ctm, Guefanisin
2 Hufagrip Forte tab Pct 500,
pseudoefedrine, ctm,
guefenisin
3 Anaton Tab Pct 500, Dmp 16mg,
Guefenisin, Ctm,
Phenilpropanolamine
Hcl
4 Etaflusin Syr Pct 100mg, guafenisin,
ctm, ephedrine 3 mg
5 Grantusif Dmp,guafenisin, ctm
6 GG tab
7 Ambroxol 30mg tab
8 Ambroxol syr
9 Salbutamol 2mg
10 Salbutamol 4 mg
11
Gastroenteris + mual
No Nama Obat Satuan Ket
1 Antasida tab Tab
2 Antasida syr Syr
3 Loperamide tab Tab
4 Domperidone tab Tab
5 Vit. B6 Tab
6 Domperidone syr Syr
7 Metoclopramide HCL 10 mg Tab
8 Ranitidine 150mg Tab
9 Omeprazole 20 mg Tab
10
11

Kolestrol
No Nama Obat Satuan Ket
1 Simvastatin 10 mg Tab
2 Simvastatin 1 0 mg Tab
3 Loperamide tab Tab

Diabetes
No Nama Obat Satuan Ket
1 Metformin 500 mg Tab
2 Glibencelamid 5 mg Tab
3

Asam Urat
No Nama Obat Satuan Ket
1 Allopurinol 100 mg Tab
2 Allopurinol 300 mg tab
3

Vertigo
 No Nama Obat Satuan Ket
1 Betahistin 6 mg tab

Salep
No Nama Obat Satuan Ket
1 Gentamicin crim Cream
2 Hydrocotnison crm 2,5 % Cream
3 Oxytetracylin crim 3 % Cream
4 Miconazole crim Cream
5 Betametason crim Cream

Vitamin
No Nama Obat Satuan Ket
1 Vitamin B com tab
2 Vitamin C tab
3 Vitamin B6 Tab
4 Vitamin B12 Tab
5 Livron b Plex Tab
6 Tablet tambah darah Tab
7 Folic acid Tab