JENIS 27 28 29 30

NO GENERIK
1 24 Salep
2 AB-INTIMUS VAGINAL
3 ACETYLCYSTEIN
4 Acyclovir 400 tab
5 Acyclovir Krim 5%
6 Albendazole 400 mg
7 ALLETROL
8 ALLOPURINOL 100 MG
9 ALLOPURINOL 300 1
10 ALPRAZOLAM 0,5 MG
11 ALPRAZOLAM 1MG
12 ambroxol syrup
13 AMBROXOL TABLET
14 Aminophylline 24 mg/mL
15 Amlodipine Besylate 10mg
16 Amlodipine Besylate 5mg
17 AMOXICILLIN SYRUP
18 AMOXICILLIN TABLET 500 MG
19 ANADIUM
20 Andalan Pil KB
21 ANTASIDA DOEN SYR 1
22 ANTASIDA TABLET 1
23 APIALYS DROP
24 APIALYS SYR 100 ML
25 AQUA BIDEST20 ML
26 ASAM MEFENAMAT
27 Asam Traneksamat injek 1
28 ASAM TRANEKSAMAT TABLET
29 ASIFIT
30 ATORVASTATIN 20 MG
31 ATS
32 AZITHROMYCIN TAB
33 BEDAK Salicyl
34 betadine 5ml
35 Betadine Kumur 1
36 Betahistine 6 mg
37 BETAMETASON KRIM
38 betason n
39 BFLUID 500 ML
40 BIOCOMBIN 5000 INJ
41 BIOLYSIN 60 ML SYR
42 BIOSAVE [serum anti ular] INJEKSI
43 Bisoprolol 5mg
44 BREATHY 0.9% 30 ML
45 BURNAZIN SALEP KULIT
46 Calcium Gluconate
47 CALMOR TABLET
48 CALPLEX D3
49 Candesartan Cilexetil 16 mg
50 Candesartan Cilexetil 8 mg
51 Captopril 25 mg
52 CARBAZOCHROME INJEKSI
53 CARTOGEN futamed
54 caviplex 1
55 caviplex (multivit syr)
56 CEFADROXIL MONOHYDRATE 500MG 2 1
57 Cefixim Syrp 1
58 Cefixime 100 mg 1
59 Cefixime200 mg tablet
60 Cefotaxim 1
61 Ceftriaxon Inj 1
62 Cetirizine 10 mg
63 CETIRIZINE SYRUP
64 CHANNA CAPSUL
65 CHLORAMFECORT SALEP
66 CHLORAMPHENICOL CAPSUL
67 Ciprofloxacin 500MG
68 CITICOLIN INJEK 125MG
69 Citicoline 500mg
70 Clindamycin 150mg
71 Clindamycin 300 mg
72 Clobazam 10 mg
73 Clobazam 10 mg
74 Codeine 10 mg 1
75 Codeine 20 mg
76 Combivent UDT
77 COMVIT D 1000 IU
78 COTRIMOXAZOL 480
79 CTM 1 1 2
80 Curcuma Syrup 1
81 Curcuma Tab
82 cyclofem injeksi
83 D10 (Glukosa 10%) 500mL
84 D40 otsu 25 ml
85 D5 (Glukosa 5%) 500 mL 1
86 D5 1/2 NS
87 DEOLIT(URSODEOXYCHOLIC ACID)
88 DEVIT D 1000 MG
 89 Dexametason 0,5mg 1
90 Dexamethason Inj 1
91 DEXANTA TABLET
92 Dexketoprofen Tremetamol
93 Dexketoprofen Tremetamol injek
94 DIPHENHYDRAMINE INJEK 1
95 DOMPERIDONE 10 MG
96 DOMPERIDONE SYR 1
97 DROXAL SYR
98 DTRIVIT DISPERSIBLE
99 ENERCORE 5000MG D-Ribose
100 EPERISONE HCL 2 1
101 EPINEPHRINE INJEKSI
102 Etabion(multivitamin)
103 ETHAMBUTOL 500 MG
104 EYEFRESH
105 FARELAX injeksi 5 ml
106 farmacrol forte syrup 100 mL
107 farmacrol forte syrup 200 mL fahrenheit
108 FENTANYL CITRATE INJEKSI
109 FERRO -K DROP
110 FERRO-K SYR
111 FLUNARIZIN 2 HCL 5 MG
112 FLUTIAS 125 INHAILER
113 FOLAMIL GENIO
114 FORMYCO CREAM
115 FORUMEN TT
116 FURAMIN INJEKSI
117 Furosemide 10mg injeksi
118 Furosemide 40mg
119 FUTROLIT INFUS
120 GABA PENTIN 1
121 GG
122 GLIMEPERIDE 3 MG
123 GLIMEPIRIDE 2 MG 1
124 GLIQUIDONE 30 MG
125 GLUCOF SYR 60 ML
126 GLUTAFIT
127 GOLDTRION TABLET
128 GUAIFENESIN 100 MG TAB 1 1
129 HB nol (O)
130 HIBONE
131 HIBONE ACTIVE CHEW STRAWBERRY 1
132 HI-SQUA
133 Hydrocortisone
134 hyoscine n-butybromide injeksi
135 hystolan tab
136 IBUPROFEN 100MG/5 ML SYR
137 IBUPROFEN TAB
138 IMUDATOR KAPSUL
139 Inerson
140 INFUSAN RING-AS
141 INTERLAC SACHET
142 Interlac Tablet
143 Intunal F (obat batuk)
144 Isosorbide Dinitrate 5mg
145 itrabat (obat batuk) sirup
146 Kejibeling Balatif
147 KETAMINE HCL
148 KETOCONAZOLE 200 MG TAB
149 Ketokonazole krim 2%
150 Ketoprofen 100mg 1 3 4 1
151 Ketorolac
152 Ketorolac Inj 1 2
153 ketricin orabase o,1% salef
154 KLY JELLY
155 KN-3B
156 KOLKISIN TABLET
157 Kompolax SYR
158 KUTOIN PHENYTOIN SODIUM TABLET
159 LACTAS CALCICUS
160 LANAKELOID TABLET
161 lanakeloid-e cream
162 lansoprazole bernofarm tablet 1
163 LANSOPRAZOLE INJEKSI
164 Lesichol - 300 (Multivit) landson
165 LEVEMIR
166 Levofloxacin
167 LEVOFLOXACIN INFUS
168 Lidocain Ph 1 1
169 LISINOPRIL 5 MG
170 Loratadine
171 MAGTRAL FORTE
172 MANITOL INFUS
173 MEBO OITMENT
174 Mecobalamin injek
175 Mecobalamin kapsul
176 Meloxicam 15mg
177 Meloxicam 7,5mg 2
178 MEROPENEM INJEKSI
179 Metformin 500mg 1
180 METHYL DOPAMIN TABLET
181 Methylergeometrine
182 methylergometrine inj
183 Methylprednisolone 16mg
184 Methylprednisolone 4mg 2 1
185 Methylprednisolone 8mg 3 1 1
186 Methylprednisolone injk 125mg
187 METOCLOPRAMIDE TABLET
188 Metronidazole 100ml infus
189 METRONIDAZOLE TAB
190 Miconazole
191 Misoprostol 200 mcg tablet 1 2
192 MIXROLAX SUPP
193 MOMETASONE FUROATE CREAM 0,1%
194 MUPIROCIN SALF
195 Nacl (Normal Saline) 500mL 2 1
196 NACL 100ML [normal saline]
197 NATRIUM DIKLOFENAK 1
198 NEO PROTIFED TABLET
199 NEO PROVIGOR 1
200 NEPHROLIT CATCH 1
201 Neurobion Inj
202 NEUROBION TABLET 1
203 NEURODEX
204 nicardipin
205 Nifedipin 1
206 NOREPINEPRIN
207 Novorapid Pen 1
208 NU-FIT
209 Nystatin
210 OAVIT
211 OCTENIC GEL
212 Omeprazole 20 mg 7 3 3
213 OMEPRAZOLE INJEK MUR
214 OMEPRAZOLE INJEKSI 1 1 2 4
215 Ondansetron 4 mg injeksi 1 2
216 Ondansetron 4 mg tablet
217 ONDANSETRON 8 MG INJEKSI 2 1 1
218 ondansetron 8mg 3
219 ORALIT
220 Otsu D5, 1/4 NS 500 mL
221 OXYTOXCYN
222 pantoprazole inj
223 Paracetamol infus 1
224 Paracetamol tablet 500 mg
225 PHAROLIT
226 Phenobarbital 30 mg
227 phytomenadion inj
228 Phytomenadione 10mg
229 PIRACETAM INJEKSI I G
230 Piroxicam 20mg
231 prednisone 5mg
232 PROCALMA LICAPS
233 PROFECT TABLET
234 PROLACTA BABY
235 PROLISIN PLUS SYRUP
236 Propanolol Tablet 10mg
237 Propanolol Tablet 40mg
238 Propiltiouracyl (PTU)
239 PROVE D3-5000 IU
240 PROVE-E
241 PROZA SYR
242 PROZA TABLET 4
243 psidii capsul
244 pyrazinamide tab
245 Ranitidine 1
246 RANITIDINE INJEK
247 Rebamipide 100mg
248 RECALUS KAPSUL 600 MG
249 Renalof landson 1
250 RHINOS SR
251 RHODIUM TABLET
252 Rifampicin 450mg
253 RL 2 1
254 Salbutamol 2mg 1
255 salbutamol 4 mg 1 1
256 SALEP PK
257 SANBE HEST 130 1
258 SANMINO
259 SIKSTOP 60MG TAB
260 SILEX SYR
261 SIMVASTATIN TABLET
262 SIRPLUS 1
263 SIRPLUS SYR
264 Sodium Bicabornat 1
265 SODIUM VALPROATE 250 MG/5 ML
266 SPIRONOLACTONE 100mg
267 SPIRONOLACTONE TAB 25MG
268 STAR AG CREAM
269 SUPRALYSIN DROP
270 TABLET TAMBAH DARAH 1 2
271 TETAGRAM
272 THYROZOL 10 MG
273 THYROZOL 5 MG
274 Triamcinolone 4mg 1 1 2
275 TRIAMCINOLONE INJEKSI
276 VAPORIN
277 VENARON
278 VITAMIN B COMPLEX 1
279 Vitamin B1
280 vitamin b12
281 Vitamin C 1 2
282 VITAMIN C 500 MG
283 Vitamin K4
284 VOMILAS
285 ZAMEL DROP
286 ZAMEL SYR
287 ZINC TABLET
NON GENERIK
(NAMA OBAT)
1 Acifar cream (acyclovir)
2 AKITA TABLET
3 ALCO DROPS
4 ALCO PLUS SYRUP 100ML
5 ALERFED PLUS EKSPECTORAN
6 ALERFED TABLET
7 ALGANAX 0.5 MG 5 1
8 ALGANAX TABLET 1 MG
9 ALOFAR 300 MG
10 AMIDOL 500 MG
11 AMINEFRON TABLET
12 AMOXSAN DRY SYR
13 Analsik 1
14 ANDONEX SYRUP 100 ML
15 ANEMOLAT TABLET
16 ANFIX 200 MG CAPS
17 ARCAPEC TABLET
18 ASPAR-K
19 Aspilet
20 ATAROC SYR
21 AZOMAX DRY SYR
22 Bactraz serbuk injeksi
23 BETRIX 1 GRAM INJ
24 BICARBONAS PUTIH
25 Biocef injeksi
26 BIOCEPIME(CEFEPIME
27 BIOGESIC TABLET
28 BIOTHICOL SYR
29 Bioxon serbuk injeksi 1 1
30 BNS(BREATY NASAL SPRAY) 1
31 Braxidin 1
32 BRONKIS
33 Bufacaryl TAB
34 BUNASCAN SPINAL
35 buscopan injeksi
36 CALOS CHFWARIF
37 CARTYLO
38 Cazetin Drop
39 CECYL
40 CEFILA DS 30 ML
41 CERNEVIT 750 MG
42 CINOLON CREAM
43 CITOCETIN SYR
44 citoprim syr
45 CLANEKSI CAPS
46 CLANEKSI DRY SYRUP
47 CLOVERTIL TABLET
48 COLSANCETINE 250 2 1 1
49 COLTIN KAPSUL
50 COLTIN SYRUP
51 CORIFAM 450 MG
52 CRIPSA
53 D3 1000
54 DANSEFION 8MG
55 DAYLAX
56 DEXPROFEN 1 1 2
57 DIVITI injek dxm
58 DOSIVEC SYRX
59 Dulcolax
60 Dulcolax Supp 10mg
61 Dulcolax Supp 5mg
62 Duvadilan Tablet
63 EFLIN SYRUP 60 ML
64 ELPICEF INJEKSI
65 ELTAZON(PREDNISON)
66 EPRINOC TABLET
67 Erlamycetin Salf Mata
68 ERLAMYCETIN TT
69 Erlamycetin tts mata
 70 Erphafillin
71 ERYSANBE SIRUP
72 ERYSANBE TABLET
73 ESOMAX INJEKSI
74 ESTAZOR kapsul
75 ETANYL
76 ETERFIX INFUS
77 FARBIVENT BOTOL
78 FARELAX INJEKSI 5 ML
79 FARGOXIN 0,25MG
80 FARGOXIN INJEKSI
81 Farizol Syrp
82 FARMABEX-C TAB
83 FARSIFEN TAB
84 FARSIX INJEK
85 Farsycol salep
86 FARTOLIN SYRUP 100 ML
87 FASIDOL 500 MG TAB
88 FASIDOL F SYRUP
89 Fasidol Forte 1 4 1
90 fasifrim tablet
91 FENDEK INJ
92 FENDEX 25 MG TABLET
93 FIOTRAM KAPLET
94 FIXACEF DROPS
95 FIXACEP TAB
96 FOLAVIT 400 MGG TABET 1
97 FOLIC ACID
98 GENALTEN CREAM 5 GR
99 Genoint 0,3% Salep Mata
100 Genoint SALEP KULIT
101 Genoint Tm
102 GERDILIUM TABLET
103 GRAFAZOLE TABLET
104 GRANESIS 3 mg
105 GRICIN
106 HARNAL OCAS
107 HESROID 500 MG TAB
108 HEVIT-C 500 MG
109 HUFAGRIP FORTE 1
110 INDUXIN 1 ML INJ 1
111 INFIMYCIN INJEKSI
112 INFLASON
113 Inpepsa 100 ML
114 INPEPSA 200 ML 1 1 1
115 INTERPRIL TAB 5 MG
116 INTUNAL SYRUP
117 INVICLOT
118 KADITIK 50 MG
119 KALTROFEN 4
120 KANAMYCIN MEIJI
121 KSR 600 MG
122 LACONS 60 ML
123 LACTO-B 1
124 LANCID TABLET
125 LANPEPSA 2 1
126 Lantiflam 100
127 LANTULOS 60ML
128 LAPIFED TABLET
129 LASAL EKSPEKTORAN SYR 1
130 LASAL SYRUP
131 LAVIT-C 500 MG
132 LAXADINE SYRUP
133 LEVOPAR
134 LIXIANA 60 MG
135 LODIA 2MG TABLET
136 LOREMID TAB
137 LQ-500
138 LUTERON 5 MG
139 MAXPRO DS
140 MECLAM
141 MEFIX 500 MG
142 MEFUROSAN CREAM
143 MEGABAL CAPS
144 MEPROBAL 500 MG
145 MEYLON INJEKSI
146 MICROGEST 100 MG
147 MICROGEST 200 MG
148 Miloz
149 MONEL DROP
150 MONEL SYR
151 MST CONTINUS 10 MG
152 MUCERA TABLET 1 1
153 MUCOHEXIN 8 MG
154 MUCOS SYRUP 60 ML
155 MYCOSTATIN 12 ML/BOTOL
156 MYCO-Z
157 MYOTONIC TABLET
158 N-ACE CAPSUL
159 NACL 3 %
160 NAIRET INJEKSI
161 NALITIK KAPSUL 1
162 Neuralgin RX
163 NEUROMED 5000 TABLET
164 NEXIGAS INJEKSI 40 MG 1 1 2
165 nexitra
166 NITROKAF RETARD
167 NIXAVEN SYR
168 NORAGES INJEKSI
169 NOTRIXUM INJEKSI
170 Novachlor
171 NOVACHLOR TABLET
172 NovoMix
173 NTG INJEKSI
174 NUCEF KAPSUL
175 NUCRAL SYRUP 2 2 1
176 NUPESON
177 NUPOVEL Injeksi
178 NYNDIA DROPS 12 ML
179 OKSOVELL
180 opicef forte syr
181 Opicef kapsul 500 mg 1 2
182 OPICEF SYR 125MG
183 OPICORT TABLET 4 MG
184 OPILAX SYRUP
185 OPINEURON KAPLET
186 Opipentin kapsul 300
187 OPIZOLAM TABLET 1 MG
188 OREZINC SYR
189 OSTARIN SUSPENSI
190 OTILON TETES TELINGA 8 ml
191 OTOPAIN EAR DROPS 8ML
192 OTSU MGSO 40
193 PANLOC
194 PANTOCAIN 0.5%
195 Pantocain 2 %
196 PATRAL KAPLET
197 Pehacain
198 PEINLOSS INJ
199 PEPZOL 20 MG TAB
200 PEPZOL 40 MG INJEKSI
201 PIBAKSIN OINT 10 GR
202 PIRALEN INJEKSI 1 1
203 Pladogrel
204 PRAZOTEC KAPSUL
205 Preabor
206 Probiokid
207 PROBIOSTIM CAPSULE
208 PROCOLIC
209 PROFEN SYRUP
210 PROGYL SIRUP
211 PROLECIN TABLET
212 Propepsa 100 ML
213 PROPEPSA 200 ML
214 prorenal
215 PRORIS SYRUP
216 PROVAGIN SUPPOS
217 PROVE-C
218 PROVULA
219 pyrexin 160 mg supositoria
220 PYREXIN 500 MG
221 pyrexin 80 mg supositoria
222 PYREXIN EXTRA 1
223 RAMIPRIL TAB 2,5
224 RECOLFAR
225 Recustein SYR
226 RECUSTEIN TABLET
227 Reprostom tablet
228 RESFAR INJ
229 Rifastar
230 RINOCET SYRUP
231 ROVERTON 30 MG
232 RYVEL DROP
233 SAGESTAM INJEK
234 SAMCONAL FORTE TAB
235 SANADRYL 60 CC SYRUP(EKSPEKTORAN)
236 SANADRYL DMP 60 CC
237 SANMOL DROP
238 SANMOL FORTE SYRUP 1
239 SANMOL paracetamol tablet 1
240 SANMOL SIRUP 1
241 SANPICILLIN INJ
242 SANTAGESIC INJEKSI 1
243 Santibi Plus
244 Scabimite 1
245 SCACID KRIM 10 MG
246 SCOBUTRIN TABLET 3 1
247 Scopamin injek 20mg/ml
248 Scopma Kaplet
249 Scopma Plus 1
250 SIDIADRYL INJEK
251 SOLFION 8MG TABLET
252 SOLINFEC
253 SOTATIC INJEKSI
254 Sporetik capsul
255 SPORETIK SYRUP
256 Stesolid
257 SULPEFION INJEKSI
258 SUMAGESICTABLET
259 Superhoid
260 SUPRAFENID SUPP 1 1
261 supramox 125mg syrup
262 SUPRAMOX DROP
263 Supramox tab
264 Synarcus 1
265 SYSMUCOTAB 25 MG
266 TB VIT 6
267 TEMPRA DROPS
268 TEQUINOL TABLET
269 TERRELL
270 THIAMYCIN FORTE SYR
271 TIARYT INJEKSI
272 Tiaryt tab
273 TORAMINE TABLET 2
274 TORASIC 10 MG
275 TOXAPRIM syrup
276 TRACETAT SYRUP 100ML
277 TRACETAT SYRUP 200 ML
278 TRACETAT TABLET 160MG 1
279 TRADOSIK INJ
280 TRICHODAZOL 500 TAB
281 Trichodazol infus softbag
282 TRICHODAZOLE SUPPOS
283 triclofem injeksi
284 TRILAC 4 MG TABLET
285 TROLIT
286 TROMBOPOP SALEP
287 TROVENSIS INJEKSI 4ml
288 TUZALOS CAPL 15 MG
289 ULCERA 200 ML 1 1
290 ULCETRA 1
291 UMARON INJ
292 Unalium tablet
293 URIEF 4MG
294 URINTER KAPSUL
295 UROTRACTIN KAPSUL 1
296 VALAMIN INFUS
297 Valisanbe 2mg
298 Valisanbe 5mg 1
299 VALISANBE INJEKSI
300 VASODRIN INJ
301 VELLEPSY SYRUP
302 VELUTIN INJ
303 VENAROID KAPLET
304 VENTOLIN NEBU 2,5MG 1 1
305 Verorab
306 VIAGRA TAB 50MG
307 VITALA KAPSUL
308 VOMIGO INJEK
309 VOMIGO TABLET
310 XEPAMOL
311 xepaxym caplet 1 1 1 1
312 XITROL 5 ML
313 ZIBRAMAX SYRUP 1
314 ZIPHA
315 ZIRCUM KID SYRUP

GOLONGAN
NO CAIRAN KONSENTRAT PREKURSORPSIKOTROPIKA
NON PSIKOTROPIKA
NARKOTIKA

(NAMA OBAT)

(NAMA OBAT)

(NAMA OBAT)
 (NAMA OBAT)

(NAMA OBAT)

DST

PEMAKAIAN OBAT DAN BHP RANAP

NO NAMA OBAT & BHP JAN FEB MAR APR

OBAT

BHP

PEMAKAIAN OBAT DAN BHP IGD

NO NAMA OBAT & BHP JAN FEB MAR APR

OBAT
 BHP

DST

PEMAKAIAN OBAT DAN BHP POLI BEDAH

NO NAMA OBAT & BHP JAN FEB MAR APR

1
2

DST

PEMAKAIAN OBAT DAN BHP POLI OBGYN

NO NAMA OBAT & BHP JAN FEB MAR APR

1
2

DST

PEMAKAIAN OBAT DAN BHP POLI PENYAKIT ANAK

NO NAMA OBAT & BHP JAN FEB MAR APR

1
2
 DST

PEMAKAIAN OBAT DAN BHP POLI PENYAKIT DALAM

NO NAMA OBAT & BHP JAN FEB MAR APR

1
2

DST

OBAT PER DOKTER

NO (NAMA DOKTER) NAMA OBAT JAN FEB MAR

NO (NAMA DOKTER) NAMA OBAT JAN FEB MAR

NO (NAMA DOKTER) NAMA OBAT JAN FEB MAR

NO (NAMA DOKTER) NAMA OBAT JAN FEB MAR

NO (NAMA DOKTER) NAMA OBAT JAN FEB MAR

NO (NAMA DOKTER) NAMA OBAT JAN FEB MAR

NO (NAMA DOKTER) NAMA OBAT JAN FEB MAR

31 JUMLAH

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0
 1
0
0
1 2
0
0
0
0
0
2
0
0
0
1 1
0
0
1 5
0
1
0
0

OBAT KERAS
NAMA OBAT)

(NAMA OBAT)

MEI

MEI
MEI

MEI

MEI
MEI

APR
APR

APR

APR

APR
APR

APR