Lampiran Surat Keputusan Direksi PT Petro Graha Medika

No. 09 /03/TU.04.02/SK/PGM/2018

NAMA KODE
SUB. GOLONGAN NAMA BARANG PABRIKAN KOMPOSISI SEDIAAN
GOLONGAN BARANG
ANALGESIK,
ANALGESIK NSAID
ANTI
(NONSTEROID ANTI- ASAM MEFENAMAT 500 ASAM MEFENAMAT
INFLAMASI, 10GB022 GENERIK TABLET
INFLAMMATORY MG 500 MG
ANTIPIRETIK,
DRUGS )
ANTI PIRAI
ASAM MEFENAMAT 500 ASAM MEFENAMAT
10GH009 GENERIK TABLET
MG 500 MG

ASAM MEFENAMAT 50 ASAM MEFENAMAT 50

10C0122 GENERIK SYRUP
MG/5 ML SYR MG/5 ML SYR

ASAM MEFENAMAT
10B0878 MEFINAL 250 MG SANBE KAPLET
250 MG

ASAM MEFENAMAT
10B0879 MEFINAL 500 MG SANBE KAPLET
500 MG

ASAM MEFENAMAT
10B1016 PONDEX CAP FORTE DEXA KAPLET
500 MG

ASAM MEFENAMAT 50
10C1695 PONDEX SYRUP DEXA SYRUP
MG/ 5 ML

10B3565 CATAFLAM 25 MG NOVARTIS DICLOFENAC K 25 MG TABLET

10B4079 CATAFLAM 50 MG NOVARTIS DICLOFENAC K 50 MG TABLET

10B0352 CATAFLAM-D NOVARTIS DICLOFENAC K 50 MG TABLET

10B6847 EFLAGEN 50 MG SANBE DICLOFENAC K 50 MG TABLET

NATRIUM DIKLOFENAK NATRIUM

10B1147 GENERIK TABLET
50 MG DIKLOFENAK 50 MG

NATRIUM DIKLOFENAK NATRIUM

10GB100 GENERIK TABLET
50 MG DIKLOFENAK 50 MG

NATRIUM
10B3584 FLAMAR 25 MG SANBE TABLET
DIKLOFENAK 25 MG

NATRIUM
10B3585 FLAMAR 50 MG SANBE TABLET
DIKLOFENAK 50 MG
NATRIUM
10D5429 FLAMAR GEL SANBE GEL
DIKLOFENAK
NATRIUM
10D3906 VOLTADEX GEL DEXA GEL
DIKLOFENAK
NATRIUM
10D3400 VOLTAREN GEL 20 GR SANOFI GEL
DIKLOFENAK
NATRIUM
10D2348 VOLTAREN GEL 50 GR SANOFI GEL
DIKLOFENAK
10B4509 PIROXICAM 10 MG GENERIK PIROXICAM 10 MG TABLET
10B4303 PIROXICAM 20 MG GENERIK PIROXICAM 20 MG TABLET
PIROXICAM 20 MG
10B1102 FELDEN FLASH 20 MG PFIZER KAPLET
FLASH
10D2818 FELDEN GEL 15 G PFIZER PIROXICAM GEL
10B4129 TILFLAM DEXA TENOXICAM 20 MG TABLET
10GH046 KETOPROFEN 100 MG GENERIK KETOPROFEN 100 MG TABLET

1
 10GB078 KETOPROFEN 100 MG GENERIK KETOPROFEN 100 MG TABLET

10B4269 KETOPROFEN 100 MG GENERIK KETOPROFEN 100 MG TABLET

10B4727 PRONALGES 50 MG DEXA KETOPROFEN 50 MG TABLET

10B4728 PRONALGES 100 MG DEXA KETOPROFEN 100 MG TABLET

PRONALGES CR 200
10B7008 DEXA KETOPROFEN TABLET
MG
10D4729 PRONALGES SUPPO DEXA KETOPROFEN SUPPO
10E6776 PRONALGES INJ DEXA KETOPROFEN AMPUL
10E3211 DEXKETOPROFEN INJ GENERIK DEXKETOPROFEN INJ AMPUL
DEXKETOPROFEN 25
10B4968 DEXKETOPROFEN GENERIK TABLET
MG
DEXKETOPROFEN 25
10B0269 KETESSE TAB FERRON TABLET
MG
10E0338 KETESSE INJEKSI FERRON DEXKETOPROFEN INJ AMPUL

10E0329 DEXTOFEN INJ DARYA VARIA DEXKETOPROFEN INJ AMPUL

10GH056 MELOXICAM 7,5 MG GENERIK MELOXICAM 7,5 MG TABLET
10GH057 MELOXICAM 15 MG GENERIK MELOXICAM 15 MG TABLET
10B3200 MELOXICAM 15 GENERIK MELOXICAM 15 MG TABLET
MELOXICAM SUPPO 15
10D4035 GENERIK MELOXICAM SUPPO
MG
10B0992 OSTELOX 7,5 MG SANBE MELOXICAM 7,5 MG TABLET
10B0174 OSTELOX 15 MG SANBE MELOXICAM 15 MG TABLET
10B7585 MECOX 7,5 MG FERON MELOXICAM 7,5 MG TABLET
10B7584 MECOX 15 MG FERON MELOXICAM 15 MG TABLET
10B5116 CELEBREX 100 MG PFIZER CELECOXIB TABLET
10B5185 CELEBREX 200 MG PFIZER CELECOXIB TABLET
10B0286 ORINOX 60 MG DEXA ETORICOXIB 60 MG TABLET
10B0289 ORINOX 90 MG DEXA ETORICOXIB 90 MG TABLET
KETOROLAC 30 MG
10GD107 KETOROLAC INJ 30 MG GENERIK AMPUL
INJ
KETOROLAC INJ 30
10E2525 KETOROLAC INJ 30 MG GENERIK AMPUL
MG
KETOROLAC 30 MG
10E4224 RATIVOL SANBE AMPUL
INJ
KETOROLAC 30 MG
10E2523 REMOPAIN 3% DEXA AMPUL
INJ
PARECOXIBE Na 20
10E0158 DYNASTAT INJ PFIZER AMPUL
mg
Paracet 500 mg, vit B6
ANALGESIK NON -
10B0505 DOLONEUROBION MERCK 100 mg, Vit B1 50 mg, TABLET
NSAID
Vit B12 100mcg
Metamizole Na 500
mg, vit B6 100 mg, Vit
10B0908 NEUROSANBE PLUS SANBE TABLET
B1 50 mg, Vit B12
100mcg
METHAMPYRON 500
ANALGESIK OPIOID 10B7442 ANTALGIN 500 MG GENERIK TABLET
MG
10E2415 ANTALGIN INJ 2 ML GENERIK METHAMPYRON AMPUL
10E4214 SANTAGESIK INJ SANBE METAMIZOL 1 gr/2 ml AMPUL

10C1670 NOVALGIN 50 MG/ML SANOFI METAMIZOL 50 MG/ML SYRUP

10B0469 NOVALGIN 500 MG SANOFI METAMIZOL 500 MG TABLET

10E2467 NOVALGIN INJ 2 ML SANOFI METAMIZOL AMPUL

2
 METAMIZOL Na 500,
CHLORDIAZEPOXIDE
10B3278 ANALSIK SANBE TABLET
HCL 5, B-COMP 10
MCG, CAFFEIN 50

TRAMADOL 37,5 mg,

10B4971 TRAPASIN COMBIPHAR PARACETAMOL 325 TABLET
mg

10B0305 MST CONTINUS 10 MG MAHAKAM MORPHIN SULFATE TABLET

10B0307 MST CONTINUS 15 MG MAHAKAM MORPHIN SULFATE TABLET

10B3491 TRADOSIK 50 MG SANBE TRAMADOL 50 MG TABLET
10E0023 TRADOSIK INJ SANBE TRAMADOL AMPUL
10E2453 MORPHIN HCL INJ KIMIA FARMA MORPHIN 10 MG/ML AMPUL

10E2806 PETHIDIN INJ KIMIA FARMA PETHIDINE AMPUL

PETHIDINE HCL
10E4411 CLOPEDIN INJ KIMIA FARMA AMPUL
50MG/ML X 2 ML
FENTANYL 50MCG/ML
10E2632 FENTANYL INJ 2 ML KIMIA FARMA AMPUL
X 2 ML
FENTANYL 50MCG/ML
10E3999 FENTANYL INJ 10ML KIMIA FARMA AMPUL
X 10 ML
DUROGESIC PATCH 25
10D0035 KIMIA FARMA FENTANYL PATCH
MCG/HR
DUROGESIC PATCH
10D0278 KIMIA FARMA FENTANYL PATCH
12,5 MCG/HR
PARASETAMOL 500
ANTIPIRETIK 10GB111 PARASETAMOL GENERIK TABLET
MG
PARASETAMOL 500
10B4328 PARASETAMOL GENERIK TABLET
MG
PARASETAMOL 500
10B7443 PARASETAMOL GENERIK TABLET
MG
PARASETAMOL 1000
10GH079 PARASETAMOL GENERIK BOTOL
MG/100 ML
PARASETAMOL 1000
10GB113 PARASETAMOL GENERIK BOTOL
MG/100 ML
PARASETAMOL 1000
10N005 PARASETAMOL GENERIK BOTOL
MG/100 ML
PARASETAMOL 125
10D4059 PAMOL SUPP INTERBAT SUPPO
MG
PARASETAMOL 125
10D0512 DUMIN RECTAL DEXA REKTAL
MG
PARASETAMOL 80 MG,
PROPIRETIK SUPP COMBIPHAR SUPPO
160 MG, 240 MG
PARASETAMOL 500
10B1212 SANMOL TABLET SANBE TABLET
MG
PARASETAMOL 120
10C1789 SANMOL SYRUP SANBE SYRUP
MG/ 5ML
10C4856 SANMOL DROP SANBE PARASETAMOL 15 ML DROP
10E3951 SANMOL INFUS SANBE PARASETAMOL BOTOL
PARASETAMOL 250
10C2001 PROGESIC SYRUP METISKA SYRUP
MG/ 5ML
10B0262 IBUPROFEN 200 MG GENERIK IBUPROFEN 200 MG TABLET
10B0241 IBUPROFEN 400 MG GENERIK IBUPROFEN 400 MG TABLET
IBUPROFEN SYRUP IBUPROFEN 100 MG/ 5
10C4010 GENERIK SYRUP
100MG/5ML ML
IBUPROFEN FORTE IBUPROFEN 200 MG/ 5
10C4011 GENERIK SYRUP
SYRUP ML
10D4501 PRORIS SUPPO PHAROS IBUPROFEN SUPPO
10B4676 PRORIS TAB100 PHAROS IBUPROFEN TABLET

3
 IBUPROFEN 100 MG/ 5
10C7373 BUFFECT SYRUP SANBE SYRUP
ML
IBUPROFEN 200 MG/ 5
10C1494 BUFFECT FORTE SYRUP SANBE SYRUP
ML
10B0551 BUFFECT TAB 200 SANBE IBUPROFEN TABLET
10B0552 BUFFECT TAB 400 SANBE IBUPROFEN TABLET
PARASETAMOL 500
10B3322 SISTENOL DEXA MG, N-ASETIL SISTEIN KAPSUL
200 MG
ALLOPURINOL 100 MG
ANTIPIRAI 10GH002 GENERIK ALLOPURINOL 100 MG TABLET
TAB
ALLOPURINOL 100 MG
10GB001 GENERIK ALLOPURINOL 100 MG TABLET
TAB
ALLOPURINOL 300 MG
10GH003 GENERIK ALLOPURINOL 300 MG TABLET
TAB
ALLOPURINOL 300 MG
10GB002 GENERIK ALLOPURINOL 300 MG TABLET
TAB
10B4394 ISORIC 100 INTERBAT ALLOPURINOL 100 MG TABLET

10B2904 PURICEMIA 300 SANBE ALLOPURINOL 300 MG TABLET

10B3576 RECOLFAR 0,5 FAHRENHEIT COLCHICINE 0,5 MG TABLET

ANAESTHETICS -
ISOFLURAN SOL 250 ISOFLURANE INHAL
LOCAL & GENERAL ANESTH 10E1213 DEXA BOTOL
ML SOL 250 ML
GENERAL
SEVOFLURANE INHAL.
10E0323 SEVOFLURANE 250 ML GENERIK BOTOL
SOL 250 ML
SEVOFLURANE INHAL.
10E4106 SOJOURN 250 ML FAHRENHEIT BOTOL
SOL 250 ML
PROPOFOL 10 MG X
10E4788 PROANES 1% SANBE AMPUL
20 ML
PROPOFOL 10 MG X
10E4786 RECOFOL 10 MG INJ DEXA AMPUL
20 ML
ATRACURIUM
10E0536 TRAMUS 10 MG DEXA BESYLATE 10MG/MLX AMPUL
2,5 ML
ROCURONIUM
10E0589 ROCULAX INJ 5 ML DEXA VIAL
10MG/ML
10E4212 NORCURON INJ VECURONIUM VIAL
KETAMINE 100 MG/10
LOCAL ANESTH 10E2492 KETAMINE COMBIPHAR VIAL
ML
BUPIVACAIN SPINAL 5 BUPIVACAIN SPINAL 5
10E4238 DEXA AMPUL
MG/ML MG/ML
10E6678 REGIVEL INJ NOVELL BUPIVACAIN AMPUL
LIGNOCAINE HCL
10E2955 XYLOCAINE INJ 2% ASTRA ZENECA AMPUL
2%X2ML
LIDOCAINE 10%X
10D3425 XYLOCAINE SPRAY ASTRA ZENECA BOTOL
50ML
10GB085 LIDOCAINE INJ GENERIK LIDOCAINE INJ AMPUL
10E4556 LIDOCAINE INJ GENERIK LIDOCAINE INJ AMPUL
10E2446 LIDODEX INJ BERNO LIDOCAIN 50MG/2ML AMPUL
GALENIUM
LIDOKAIN 2,5% ,
10D3295 TOPSY CR PHARMASIA TUBE
PRILOKAIN 2,5%
LAB
LIDOCAINE HCL
10E2478 PEHACAIN INJ 2ML PHAPROS 20MG, ADRENALIN AMPUL
12,5 MCG
ANTI HISTAMIN
ANTIHISTAMINE 2ND
DAN 10GH054 LORATADIN 10 MG TAB GENERIK LORATADINE 10 MG TABLET
GENERATION
ANTIALERGI

10B0639 LORATADIN 10 MG TAB GENERIK LORATADINE 10 MG TABLET

4
 10B0669 ALLORIS 10 MG TAB SANBE LORATADINE 10 MG TABLET

10B4297 AERIUS TABLET SCHERING DESLORATADINE 5MG TABLET

DESLORATADINE
10C1200 AERIUS SYRUP SCHERING SYRUP
0,5MG/MLX60ML
10B9026 PEHACHLOR PHAPROS CTM 4 MG TABLET
10B0200 TELFAST 30MG SANOFI FEXOFENADINE (OTC) TABLET
FEXOFENADINE HCL
10B4994 TELFAST OD TAB SANOFI TABLET
120 MG
TELFAST HD 180 MG FEXOFENADINE HCL
10B6562 SANOFI TABLET
TAB 180 MG
10GH024 CETIRIZINE 10 MG GENERIK CETIRIZINE TABLET
10GD027 CETIRIZIN 10 MG GEBNERIK CETIRIZINE TABLET
10B0420 CETIRIZIN 10 MG GEBNERIK CETIRIZINE TABLET
10B7573 CERINI 10 MG TAB SANBE CETIRIZINE TABLET
10C1213 CERINI SYRUP SANBE CETIRIZINE TABLET
10B4999 RYVEL PLUS NOVELL CETIRIZINE TABLET
10B4565 HISTRIN FT 5 MG TAB FERRON CETIRIZINE TABLET

10B4562 HISTRINE TAB 10 MG FERRON CETIRIZINE TABLET

10B4564 HISTRIN FT 10MG TAB FERRON CETIRIZINE TABLET

10C4589 HISTRINE SYR FERRON CETIRIZINE SYRUP
10C4569 HISTRINE DROP FERRON CETIRIZINE DROP
DIMETHINDENE
10C0051 FENISTIL DROP NOVARTIS DROP
MALEAT
DIPHENHYDRAMINE
10E2410 DIPHENHYDRAMIN GENERIK AMPUL
10MG/ML
DIPHENHYDRAMINE
10GB143 DIPHENHYDRAMIN GENERIK AMPUL
150MG/15ML
FENIRAMIN
10B0277 AVIL SANOFI HIDROGEN MALEAT TABLET
25 MG
DIPHENHYDRAMINE
10E4945 SIDIADRYL BERNO VIAL
150MG/15ML
ANTIHISTAMINE 1ST CYPROHEPTIDINE
10B0717 HEPTASAN TAB SANBE TABLET
GENERATION HCL 4MG
DESLORATADINE
ANTIHISTAMINE
2,5MG DAN
/DECONGESTAN 10B2115 AERIUS D-12 TABLET SCHERING TABLET
PSEUDOEFEDRIN
COMBINATION
SULPHATE 120MG
FEXOFENIDINE HCL
60MG +
10B5395 TELFAST PLUS TAB SANOFI TABLET
PSEUDOEFEDRINE
HCL 120 MG
MEBHYDROLINE
ANTIALERGI 10B0703 HISTAPAN TAB SANBE TABLET
NAPADISYLATE 50 MG
BETHAMETHASONE
10B5048 COLERGIS TAB DEXA 0,25 MG + DEXCTM 2 TABLET
MG
BETHAMETHASONE
10C5046 COLERGIS SYR DEXA 0,25 MG + DEXCTM 2 SYRUP
MG
BETHAMETHASONE
10B0577 OCUSON TAB SANBE 0,25 MG + DEXCTM 2 TABLET
MG
PRODUK DARAH
PRODUK DARAH DIPA ANTI HEMOFILIK
DAN PENGGANTI 10E0562 KOATE DVI 260 IU VIAL
FAKTOR VIII PHARMALAB FAKTOR
PLASMA

5
 DIPA ANTI HEMOFILIK
10E0013 KOATE DVI 270 IU VIAL
PHARMALAB FAKTOR

DIPA ANTI HEMOFILIK

'10E0106 KOATE DV 280 IU INJ VIAL
PHARMALAB FAKTOR

KOATE DVI APPR 480 DIPA ANTI HEMOFILIK

'10E2451 VIAL
IU PHARMALAB FAKTOR

DIPA ANTI HEMOFILIK

10E0228 KOATE DVI 500 IU INJ VIAL
PHARMALAB FAKTOR

DIPA ANTI HEMOFILIK

'10E2456 KOATE DVI 520 IU VIAL
PHARMALAB FAKTOR

DIPA ANTI HEMOFILIK

10E4943 KOATE DVI 540 IU VIAL
PHARMALAB FAKTOR

DIPA ANTI HEMOFILIK

'10E2455 KOATE DVI 550 UI VIAL
PHARMALAB FAKTOR

DIPA ANTI HEMOFILIK

'10E0597 KOATE IV 570 IU VIAL
PHARMALAB FAKTOR

DIPA ANTI HEMOFILIK

'10E0029 KOATE DVI 590 IU VIAL
PHARMALAB FAKTOR

PENGGANTI PLASMA ROYAL EKSTRAK

DAN PLASMA '10B2123 VIPALBUMIN 500 MG MEDICALINK OPHIOCEPHALUS KAPSUL
EKSPANDER PHARMALAB STRIATUS

10B3305 INBUMIN DEXA STRIATIN 250 MG KAPSUL

ALBUMIN BIOTEST
'10E2100 KIMIA FARMA HUMAN ALBUMIN 20% BOTOL
20% 100 ML
DIPA
'10E6551 PLASBUMIN 5% 50 ML HUMAN ALBUMIN 5% BOTOL
PHARMALAB

PLASBUMIN 25% 100 DIPA

'10E0015 HUMAN ALBUMIN 25% BOTOL
ML PHARMALAB

PLASBUMIN 25%/50 DIPA

'10E6787 HUMAN ALBUMIN 25% BOTOL
ML PHARMALAB
FUROSEMIDE TAB 40
DIURETIK LOOP DIURETIK 10B0666 GENERIK FURESIMIDE 40 MG TABLET
MG GEN
FUROSEMIDE 10
10GD105 FUROSEMID INJ 10 MG GENERIK VIAL
MG/ML
'10B0809 LASIX TAB SANOFI FUROSEMIDE 40 MG TABLET
FUROSEMIDE 20 MG/2
'10E2442 LASIX INJ 2 ML SANOFI VIAL
ML
'10B1326 URESIX SANBE FURESIMIDE 40 MG TABLET
FUROSEMIDE 2O MG/2
'10E4901 URESIX SANBE VIAL
ML
FUROSEMIDE 20 MG/2
'10E4558 ROXEMID INJ NOVELL VIAL
ML
FUROSEMIDE
10E0410 FARSIX INJEKSI FAHRENHEIT AMPUL
10MG/ML
DIURETIK HEMAT SPIRONOLACTON 25 SPIRONOLACTON 25
10GD083 GENERIK TABLET
KALIUM MG MG
SPIRONOLACTON 100 SPIRONOLACTON 100
10GD082 GENERIK TABLET
MG MG
SPIRONOLACTON 25
'10B6065 LETONAL 25 MG OTTO TABLET
MG
SPIRONOLACTON 100
'10B6064 LETONAL 100 MG OTTO TABLET
MG

6
 HIDROKLOROTIAZID
DIURETIK TIAZID 10B2829 HCT TAB 25 MG GEN GENERIK TABLET
25 MG
HIDROKLOROTIAZID
10B6899 HCT TAB 50 MG GENERIK TABLET
50 MG
HIDROKLOROTIAZID
10B4022 HCT 100 MG GENERIK TABLET
100 MG
SPIRONOLAKTON 25
KOMBINASI '10B0458 ALDAZIDE SOHO MG -THIABUTAZIDE TABLET
2.5 MG

HIPERPLASIA 5 ALPHA-REDUCTASE GLAXO SMITH

'10B0688 AVODART DUTASTERIDE 0.5 MG TABLET
PROSTAT INHIBITOR KLINE
TAMSULOSIN HCL 0.2
'10B0725 HARNAL 0.2 MG COMBIPHAR TABLET
MG
TAMSULOSIN HCL 0.4
'10B1211 HARNAL OCAS COMBIPHAR TABLET
MG
DOXASOZINE
'10B0092 CARDURA 1 MG PFIZER TABLET
MESYLATE 1 MG
DOXASOZINE
'10B0093 CARDURA 2 MG PFIZER TABLET
MESYLATE 2 MG
GLAXO SMITH
DUTASTERIDE 0.5 MG
KOMBINASI '10B0499 DUODART KLINE TABLET
/ TAMSULOSIN 0.4 MG
FARMASI

URINARY PREPARATION
'10D1876 ALBOTHYL OVULA PHAROS POLICRESULEN 90 MG SUPPO
SYSTEM VAGINAL CONDITION

LACTOSERUM 0.9 MG,

'10D6574 LACTACYD FH PINK SANOFI SOL
LACTIC ACID 1 G
LACTOCERUM 0.93 G,
'10D3968 LACTACYD FH BLUE SANOFI SOL
LACTIC ACID 1 G
'10F2789 STARDINE PHAROS POVIDONE IODINE SOL
LACTOBACILLUS
'10D4462 PRODIVA DARYA VARIA GEL
FERMENT

ANTI MUSKARINIK 10B2140 VESICARE 5 MG ASTELLAS Solifenacin succinate TABLET

TOBBEST
LAIN-LAIN '10B0653 RENALOF AGAROPYRON REPENS KAPSUL
BUSINDO
EXTRACT CUCURBITAE
10B4215 INKURIN INTERBAT TABLET
SEMEN 250 MG
DL-3-metil-2-okso-
'10B0651 PRORENAL NOVELL asam valerianat TABLET
(analog)
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
'10B2202 CYSTONE HIMALAYA cinerea 16 mg, Hajrul TABLET
yahood bhasma bubuk
16 mg, shilajeet,
Ocimum sanctum,
Tribulus terrestris,
Mimosa pudica,
Dolichos biflorus,
Pavonia odorata,
Equisetum arvense,
Tectona grandis.

7
CARDIO- ISOSORBID DINITRAT ISOSORBIDE
ANTI ANGINA 10B0735 GENERIK TABLET
VASKULAR 5 MG DINITRATE 5 MG
GLYCERYL
10B4949 NITROKAF RETARD KIMIA FARMA TABLET
TRINITRATE 2,5 MG
ISOSORBIDE
10A0195 FARSORBID 5 MG FAHRENHEIT TABLET
DINITRATE 5 MG
ISOSORBIDE
10A0179 FARSORBID 10 MG FAHRENHEIT TABLET
DINITRATE 10 MG
ISOSORBIDE
10B2731 CEDOCARD 5 MG DARYA-VARIA TABLET
DINITRATE 5 MG
ISOSORBIDE
10B2730 CEDOCARD 10 MG DARYA-VARIA TABLET
DINITRATE 10 MG
ISOSORBIDE
10E0163 CEDOCARD INJ DARYA-VARIA AMPUL
DINITRATE 1MG/ML
NITROGLYCERIN 10
10E0172 NTG INJ FERRON AMPUL
MG
ISOSORBIDE 5-
10B4112 IMDUR 50 MG TAB ASTRA ZENECA TABLET
MONONITRATE 60 MG
TRIMETAZIDINE
10B4289 ANGINTRIZ MR NOVELL DIHIDROKLORIDA 35 TABLET
MG
TRIMETAZIDINE
10B0155 TRIZEDON MR PRAFA DIHIDROKLORIDA 35 TABLET
MG
ANTIDISRITMIA 10E1051 AMIODARONE INJ GENERIK AMIODARONE AMPUL
AMIODARONE
10B4343 KENDARON DARYA-VARIA HIDROKLORIDA 200 TABLET
MG
AMIODARONE
10B2954 CORDARONE TAB SANOFI HIDROKLORIDA TABLET
200MG
10E3552 CORDARONE INJ SANOFI AMIODARONE AMPUL
ANTI HIPERTENSI 10B0294 CAPTOPRIL 12,5 MG GENERIK CAPTOPRIL 12,5 MG TABLET
ACE INHIBITOR 10B0438 CAPTOPRIL 25 MG GENERIK CAPTOPRIL 25 MG TABLET
10B0845 TENSICAP 12,5 MG SANBE CAPTOPRIL 12,5 MG TABLET
10B4393 TENSICAP 25 MG SANBE CAPTOPRIL 25 MG TABLET
10B1233 LISINOPRIL 5 MG GENERIK LISINOPRIL 5 MG TABLET
10B1237 LISINOPRIL 10 MG GENERIK LISINOPRIL 10 MG TABLET
10B0098 NOPERTEN 5 MG DEXA LISINOPRIL 5 MG TABLET
10B0099 NOPERTEN 10 MG DEXA LISINOPRIL 10 MG TABLET
10B4513 RAMIPRIL 2,5 MG GENERIK RAMIPRIL 2,5 MG TABLET
10B4940 RAMIPRIL 5 MG GENERIK RAMIPRIL 5 MG TABLET
10B5001 RAMIPRIL 10 MG GENERIK RAMIPRIL 10 MG TABLET
10B0693 HYPERIL 2,5 MG FERRON RAMIPRIL 2,5 MG TABLET
10B0692 HYPERIL 5 MG FERRON RAMIPRIL 5 MG TABLET
10B0066 BIOPREXUM 5 MG PRAFA PERINDOPRIL 5MG TABLET
10B4253 TANAPRES 5 MG TANABE IMIDRAPRIL 5 MG TABLET
10B0794 TANAPRES 10 MG TANABE IMIDRAPRIL 10 MG TABLET
BISOPROLOL FUMARAT
BETA BLOCKER 10GH011 GENERIK BISOPROLOL 5 MG TABLET
5 TAB
10B8796 CONCOR 2,5 MG MERCK BISOPROLOL 2,5 MG TABLET
10B3694 CONCOR 5 MG MERCK BISOPROLOL 5 MG TABLET
10B3697 CONCOR 1,25 MG MERCK BISOPROLOL 1,25 MG TABLET
10B0527 BISOVELL NOVELL BISOPROLOL 5 MG TABLET
10B4622 BETA ONE 2,5 HEXPHARM BISOPROLOL 2,5 MG TABLET

10B4722 B-BETA 5 MG FERRON BISOPROLOL 5 MG TABLET

10B0836 MAINTATE 2,5 MG TANABE BISOPROLOL 2,5 MG TABLET

8
 10B0835 MAINTATE 5 MG TANABE BISOPROLOL 5 MG TABLET

10B3122 NEVODIO DEXA NEBIVOLOL 5 MG TABLET

10GD070 PROPANOLOL 10 MG GENERIK PROPANOLOL 10 MG TABLET

10GD071 PROPANOLOL 40 MG GENERIK PROPANOLOL 40 MG TABLET

10B3737 INTERNOLOL 50 MG INTERBAT ATENOLOL 50 MG TABLET
10B0620 V-BLOCK 6,25 MG KALBE CARVEDILOL 6,25 MG TABLET

10B0513 LOPRESOR SCHERING METOPROLOL 100 MG TABLET

CALCIUM CHANNEL 10GD059 NIFEDIPIN GENERIK NIFEDIPIN 10 MG TABLET
10B6227 ADALAT OROS 20 MG BAYER NIFEDIPIN 20 MG TABLET

10B4136 ADALAT OROS 30 MG BAYER NIFEDIPIN 30 MG TABLET

DILTIAZEM-HCL 60
10B0252 DILMEN TAB 60 MG SANBE TABLET
MG
DILTIAZEM-HCL 30
10B0713 HERBESSER TAB 30 MG TANABE TABLET
MG
DILTIAZEM-HCL 100
10B0702 HERBESSER CD 100 TANABE TABLET
MG
DILTIAZEM-HCL 200
10B0705 HERBESSER CD 200 TANABE TABLET
MG
DILTIAZEM-HCL
10E3126 HERBESER INJ TANABE TABLET
50MG/AMP
10GB008 AMLODIPIN 5 MG GENERIK AMLODIPIN 5 MG TABLET
10GH005 AMLODIPIN 5 MG GENERIK AMLODIPIN 5 MG TABLET
10GD010 AMLODIPIN 5 MG GENERIK AMLODIPIN 5 MG TABLET
10GB009 AMLODIPIN 10 MG GENERIK AMLODIPIN 10 MG TABLET
10GH004 AMLODIPIN 10 MG GENERIK AMLODIPIN 10 MG TABLET
10B4414 TENSIVASK 5 MG DEXA AMLODIPIN 5 MG TABLET
10B1319 TENSIVASK 10 MG DEXA AMLODIPIN 10 MG TABLET
10B3895 NORVASK 5 MG PFIZER AMLODIPIN 5 MG TABLET
10B0567 NORVASK 10 MG PFIZER AMLODIPIN 5 MG TABLET
10GD116 NICARDIPINE INJ GENERIK NICARDIPINE 10 MG AMPUL

10E0631 PERDIPINE INJ ASTELLAS NICARDIPINE 10 MG AMP

NICARDIPINE HCL 10
10E2461 NIDAVEN INJ NOVELL AMPUL
MG
NICARDIPINE HCL 10
NICAFER INJ FERRON AMPUL
MG
10B3745 NIMOTOP 30 MG BAYER NIMODIPIN 30 MG TABLET
10E0362 NIMOTOP INFUS BAYER NIMODIPIN BOTOL
ANGIOTENSIN II
10B0843 IRBESARTAN 150 MG GENERIK IRBESARTAN 150 MG TABLET
ANTAGONIST
10B4025 IRBESARTAN 300 MG GENERIK IRBESARTAN 300 MG TABLET

10B7657 IRVELL 150 MG NOVELL IRBESARTAN 150 MG TABLET

10B7777 IRVELL 300 MG NOVELL IRBESARTAN 300 MG TABLET

10B7434 ANGIOTEN 50 MG KALBE LOSARTAN 50 MG TABLET
10B0355 OLMETEC 10 MG TAB PFIZER OLMESARTAN 10 MG TABLET

10B0180 OLMETEC 20 MG PFIZER OLMESARTAN 20 MG TABLET

10B3690 OLMETEC 40 MG PFIZER OLMESARTAN 40 MG TABLET

10GD019 CANDESARTAN 8 MG GENERIK CANDESARTAN 8 MG TABLET

10GD018 CANDESARTAN 16 MG GENERIK CANDESARTAN 16 MG TABLET

9
 10B1902 CANDERIN 8 MG DEXA CANDESARTAN 8 MG TABLET

10B1903 CANDERIN 16 MG DEXA CANDESARTAN 16 MG TABLET

10B3577 BLOPRESS 8 MG TAKEDA CANDESARTAN 8 MG TABLET

10B5992 BLOPRESS 16 MG TAKEDA CANDESARTAN 16 MG TABLET

CANDESARTAN 16 MG,
10B0522 BLOPRESS PLUS TAKEDA TABLET
HCT 12,5 MG
10GD087 VALSARTAN NI 80 MG GENERIK VALSARTAN 80 MG TABLET

10GD088 VALSARTAN NI 160 MG GENERIK VALSARTAN 160 MG TABLET

10B0959 DIOVAN 80 MG NOVARTIS VALSARTAN 80 MG TABLET
10B7036 DIOVAN 160 MG NOVARTIS VALSARTAN 160 MG TABLET
VALSARTAN 80
10B7307 CO-DIOVAN 80 MG NOVARTIS TABLET
MG/HCT 12,5 MG
VALSARTAN 160
10B0427 CO-DIOVAN 160 MG NOVARTIS TABLET
MG/HCT 12,5 MG
AMLODIPIN 5
10B2112 EXFORGE 5/160 NOVARTIS MG/VALSARTAN 160 TABLET
MG
AMLODIPIN 5
10B0404 EXFORGE 5/80 NOVARTIS TABLET
MG/VALSARTAN 80 MG
AMLODIPIN 10
10B2113 EXFORGE 10/160 NOVARTIS MG/VALSARTAN 160 TABLET
MG
GLIKOSIDA JANTUNG 10B0545 DIGOXIN NOVARTIS DIGOXIN 0,25 MG TABLET
10B4266 DIGOXIN 0.25 MG GENERIK DIGOXIN 0,25 MG TABLET
10B4299 DIGOXIN GEN GENERIK DIGOXIN 0,25 MG TABLET
10B4936 FARGOXIN 0,25 MG TAB FAHRENHEIT DIGOXIN 0,25 MG TABLET
10E4937 FARGOXIN INJ FAHRENHEIT DIGOXIN 0,25 MG AMPUL
OBAT UNTUK SYOK DOPAMIN GIULINI 50 DOPAMIN HCL 200
10E0523 GENERIK AMPUL
INOTROPIK MG/5 ML INJ MG/5 ML
DOPAMIN HCL 200
10E3769 DOPAMIN 10 ML INJ GENERIK AMPUL
MG/5 ML
DOPAMIN HCL 40
E0044AS PROINFARK INJ PHAPROS AMPUL
MG/ML
DOPAMIN HCL 40
10E4792 UDOPA NOVELL AMPUL
MG/ML
DOBUTAMIN HCL 250
10E4741 DOBUTAMIN HCL INJ GENERIK AMPUL
MG/5 ML
DOBUTAMIN HCL 250
10E4950 DOBUJECT INJ DEXA AMPUL
MG/5 ML
NOR EPINEPRINE 4
VASOKONSTRIKTOR 10E0053 RAIVAS INJ DEXA AMPUL
MG/4 ML
NOR EPINEPRINE 4
10E0149 VASCON INJ FAHRENHEIT AMPUL
MG/4 ML

ANTI HIPERLIPIDEMIA 10GH074 SIMVASTATIN 10 MG GENERIK SIMVASTATIN 10 MG TABLET

10B4526 SIMVASTATIN 20 MG GENERIK SIMVASTATIN 20 MG TABLET

10B4047 VALEMIA 5 MG SANBE SIMVASTATIN 5 MG TABLET

10B0593 VALEMIA 10 MG SANBE SIMVASTATIN 10 MG TABLET

10B1524 STATOR 10 MG DEXA ATORVASTATIN 10 MG TABLET

10B1525 STATOR 20 MG DEXA ATORVASTATIN 20 MG TABLET

10
10B2327 ATORVASTATIN 20 MG GENERIK ATORVASTATIN 20 MG TABLET

10B1067 LIPITOR 10 MG PFIZER ATORVASTATIN 10 MG TABLET

10B3327 LIPITOR 20 MG PFIZER ATORVASTATIN 20 MG TABLET

10B0884 LIPITOR 40 MG PFIZER ATORVASTATIN 40 MG TABLET

10B4324 REMOVCHOL 20 MG NOVELL ATORVASTATIN 20 MG TABLET

10B4956 REMOVCHOL 40 MG NOVELL ATORVASTATIN 40 MG TABLET

10B6582 NOVALES 10 MG NOVELL PRAVASTATIN 10 MG TABLET

10B7673 NOVALES 20 MG NOVELL PRAVASTATIN 20 MG TABLET

AMLODIPIN 5
10B2211 CADUET 5/10 PFIZER MG/ATORVASTATIN 10 TABLET
MG
AMLODIPIN
10B2210 CADUET 10MG/10MG PFIZER 10MG/ATORVASTATIN TABLET
10 MG
AMLODIPIN
10B4024 CADUET 10/20 PFIZER 10MG/ATORVASTATIN TABLET
20 MG
10A0021 CRESTOR 10 MG ASTRA ZENECA ROSUVASTATIN 10 MG TABLET

10B0663 CRESTOR 20 MG ASTRA ZENECA ROSUVASTATIN 20 MG TABLET

10B0686 ROSUFER 10 MG FERRON ROSUVASTATIN 10 MG TABLET

10B0672 ROSUFER 20 MG FERRON ROSUVASTATIN 20 MG TABLET

FENOFIBRATE 100 MG
10B4271 GENERIK FENOFIBRATE 100 MG TABLET
CAP
10B3578 FENOFIBRATE 200 MG GENERIK FENOFIBRATE 200 MG TABLET

10GH034 FENOFIBRATE 300 MG GENERIK FENOFIBRATE 300 MG TABLET

LIPANTHYL 200 MG
10B0803 ABBOTT FENOFIBRATE 200 MG TABLET
TAB
10B0804 LIPANTHYL PENTA ABBOTT FENOFIBRATE 145 MG TABLET

10B1306 LIPANTHYL SUPRA ABBOTT FENOFIBRATE 160 MG TABLET

10B6393 TROLIP 100 MG DEXA FENOFIBRATE 100 MG KAPSUL

10B6395 TROLIP 300 MG DEXA FENOFIBRATE 300 MG KAPSUL

10B0316 GEMFIBROZIL 300 MG GENERIK GEMFIBROZIL 300 MG TABLET

10B0603 LIPIRA 300 MG TAB COMBIPHAR GEMFIBROZIL 300 MG TABLET

10B3616 LIPIRA 600 MG TAB COMBIPHAR GEMFIBROZIL 600 MG TABLET

10B1080 HYPOFIL SANBE GEMFIBROZIL 300 MG TABLET

MERCK SHARP
10B0258 EZETROL EZETIMIB 10 MG TABLET
DOHME

MERCK SHARP EZETIMIB 10 MG,

10B0463 VYTORIN 10/10 TABLET
DOHME SIMVASTATIN 10 MG

MERCK SHARP EZETIMIB 10 MG,

10B2005 VYTORIN 10/20 TABLET
DOHME SIMVASTATIN 20 MG

11
 AGONIS ALFA ATROPIN SULFAS 0.25 ATROPINE SULFAT
10E2814 GENERIK TABLET
ADRENERGIK INJ 0.25 MG/ML
10B0598 EPHEDRIN TAB GENERIK EPHEDRIN 25 MG TABLET
EPHEDRIN INJ
10E2383 EPHEDRIN INJ GENERIK TABLET
50MG/ML
MAHAKAM ATROPINE SULFAT 50
10E1217 VASODRIN INJ TABLET
BETA FARMA MG/ML

NACL 3,5 G, NA
LARUTAN
CITRATE 2,5 G, KCL
ELEKTROLIT DAN ORAL 10E0154 PHAROLIT SACHET NOVELL TABLET
1,5 G, GLUCOSE 20 G
NUTRISI
PER LITER
ASAM AMINO
10B3304 KETOSTERIL TAB FRESENIUS TABLET
ESENSIAL 600 MG
NATRIUM KLORIDA
0,52 G, KALIUM
KLORIDA 0,3 G,
CIUBROS
10E1256 ORALIT POWDER TRISODIUM SITRAT SACHET
FARMA
DEHIDRAT 0,58 G,
GLUKOSA ANHIDRAT
2,7 G

DL-3-METIL-2-OKSO-
ASAM VALERAT 67
MG, 4-METIL-2-OKSO
ASAM VALERAT 101
MG, 2-OKSO-3-FENIL-
ASAM PROPIONAT 68
MG, 3-METIL-2-OKSO-
ASAM BUTIRAT 86
10B0651 PRORENAL TAB NOVELL TABLET
MG, DL-2-HIDROKSI-4-
METILTIO-ASAM
BUTIRAT 59 MG, L-
LISIN MONOASETAT
105 MG, L-TREONIN
52 MG, L-TRIPTOFAN
23 MG, L-HISTIDIN 38
MG, L-TIROSIN 30 MG

KALIUM L-ASPARTATE
10B0282 ASPAR K TAB TANABE TABLET
300 MG
KALIUM KLORIDA 600
10B3495 KSR TAB MERCK TABLET
MG
NATRIUM 35 MEQ,
KALIUM 20 MEQ,
MAQNESIUM 5 MEQ,
FLORIDA 35 MEQ,
SULFAT 5 MEQ,
ASETAT 13 MEQ,
GLUKONAT 5 MEQ,
PARENTERAL 10E0003 AMINOFLUID 500 ML OTSUKA BAG
LAKTAT 20 MEQ,
SITRAT 6 MEQ,
FOSFOR 10 MMOL,
ZINC 5 µ MOL,
GLUCOSA, ASAM
AMINO 30 G, BCAA
30% PER L

12
 NATRIUM 35 MEQ,
KALIUM 20 MEQ,
MAQNESIUM 5 MEQ,
FLORIDA 35 MEQ,
SULFAT 5 MEQ,
ASETAT 13 MEQ,
AMINOFLUID 1000 ML GLUKONAT 5 MEQ,
10E0334 OTSUKA BOTOL
INFUS LAKTAT 20 MEQ,
SITRAT 6 MEQ,
FOSFOR 10 MMOL,
ZINC 5 µ MOL,
GLUCOSA, ASAM
AMINO 30 G, BCAA
30% PER L

50 G AA, 45% BCAA, 8

AMINOFUSIN HEPAR G/L LOLA, 200 KKAL
10E3872 KALBE BOTOL
INFUS XYLITOL, SORBITOL,
ELEKTROLIT

ASAM AMINO 50 G,
10E0332 AMINOFUSIN PED INF KALBE BOTOL
VIT, ELEKTROLIT

ASAM AMINO 50 G,
SORBITOL 50 MG,
10E4492 AMINOFUSIN L 600 KALBE BOTOL
XYLITOL 50 G, VIT,
ELEKTROLIT PER L

L-TREONIN 4,5 G, L-
SERIN 5,0 G, L-
PROLIN 8,0 G, L-
SISTEIN-HCL
MONOHIDRAT 0,4 G
SETARA 0,3 G
SISTEIN, ASAM AMINO
ASETAT 9,0 G, L-
ALANIN 7,5 G, L-
VALIN 8,4 G, L-
METIONIN 1,0 G, L-
10E4306 AMINOLEBAN INFUS OTSUKA BOTOL
ISOLEUSIN 9,0 G, L-
LEUSIN 11,0 G, L-
FENILALANIN 1,0 G, L-
TRIPTOFAN 0,7 G, L-
LISIN-HCL 7,6 G
SETARA L-LISIN 6,1 G,
L-HISTIDIN-HCL 3,2 G
SETARA L-HISTIDIN
2,4 G, L-ARGININ-HCL
7,3 G SETARA L-
ARGININ 6,0 G PER L

AMINOSTERIL INFANT
10E4109 FRESENIUS Amino acids 6% BOTOL
6%
CA++ 3 MEQ, K+ 4
MEQ, NA+ 130 MEQ,
10E4939 ASERING OTSUKA CL- 109 MEQ, ASETAT BOTOL
28 MEQ TIAP LITER
LARUTAN INFUS

13
 Na 130 mEq, K 4 mEq,
Cl 109 mEq, Ca 3 mEq,
10E4957 ASERING-5 OTSUKA Acetat 28 mEq, BOTOL
Anhydrous Dextrose 50
g

AA 5%, (BCAA
14,8%), VIT. B6, NA+
30 MEQ/L, K+ 25
MEQ/L, KALORI 200
KCAL/L,
OSMOLARITAS: 600
MOSM/L (L-ISOLEUSIN
2,512 G, L-LEUSIN, L-
LISIN, L-METIONIN, L-
FENILALANIN, L-
TREONIN, L-
TRIPTOFAN, L-VALIN,
L-ARGININ, L-
HISTIDIN, L-ALANIN, L-
10E0002 BENUTRION VE 250 ML SANBE ASAM ASPARTAT, N- BOTOL
ASETIL-L-SISTEIN, L-
ASAM GLUTAMAT,
GLISIN, L-PROLIN, N-
ASETIL-L-SISTEIN, L-
ASAM GLUTAMAT,
GLISIN, L-PROLIN, N-
ASETIL-L-TIROSIN,
NIKOTINAMIDA,
PIRIDOKSIN
HIDROKLORIDA,
RIBOFLAVIN
5'NATRIUM FOSFAT,
KOH, NaOH, CaCl
2H2O, Mg ASETAT)/L

CAMPURAN OLIVE OIL

YANG DIMURNIKAN
CLINOLEIC 20% 100 DAN SOYA BEAN OIL
10E4418 KALBE BAG
ML YANG DIMURNIKAN 20
G, 2000 KKAL/L, 270
MOSM/L

50 G AA, 50% BCAA,

COMAFUSIN HEPAR 10 G/L LOLA, 200
10E4490 KALBE BOTOL
INFUS KKAL XYLITOL,
ELEKTROLIT, VITAMIN

OTSU DEXTROSE 5%
10E9113 OTSUKA GLUCOSE 5% BOTOL
500 ML
DEXTROSE 5% 500 ML
E0190AS WIDATRA GLUCOSE 5% BOTOL
INFUS
GLUCOSE 5% +
DEXTROSE 5%+NACL
10E3624 WIDATRA SODIUM CHLORIDE BOTOL
0,45% INF
0,45%
GLUCOSE 5% +
DEXTROSE 5%+NACL
10E2432 WIDATRA SODIUM CHLORIDE BOTOL
0,225% INF
0,225%

14
 DEXTROSE 10% 500
10E2398 WIDATRA GLUCOSE 10% BOTOL
ML INFUS
GLUCOSE 10%+
DEXTROSE 10 % IN
10E2535 OTSUKA SODIUM CHLORIDE BOTOL
SALINE 0,18
0,18
10E2413 DEXTROSE 40% 25 ML OTSUKA GLUCOSE 40% BOTOL

PER 100 ML : NACL

538 MG, NA LAKTAT
DIANEAL PD-4 1,5% BAXTER/
10F0207 448 MG, CACL2 25,7 BOTOL
DEXTWIN KALBE
MG, MGCL2 5,08 MG,
DEKSTROSA 1,5 G

PER 100 ML : NACL

538 MG, NA LAKTAT
DIANEAL PD-4 2,5% BAXTER/
10F0208 448 MG, CACL2 25,7 BOTOL
DEXTWIN KALBE
MG, MGCL2 5,08 MG,
DEKSTROSA 2,5 G

NA+ 100 MEQ/L, CL-

90 MEQ/L, K+ 18
MEQ/L, CA+2 4
MEQ/L, MG+2 6
MEQ/L, ASETAT 38
MEQ/L, SORBITOL 50
G/L (NATRIUM
10E0296 FUTROLIT INF SANBE KLORIDA 3,624 G, BAG
KALIUM KLORIDA
0,2942 G, MAGNESIUM
KLORIDA 5,712 G,
NATRIUM ASETAT, AIR
UNTUK INJEKSI 1000
ML), OSMOLARITAS
525 MOSM/L

NA+ 130 MEQ/L, CL-

109 MEQ/L, K+ 4
MEQ/L, CA+2 2,7
MEQ/L, LAKTAT 28
MEQ/L, MALTOSA 50
G/L (NATRIUM
KLORIDA 6 G, KALIUM
10E0118 HYDROMAL SANBE BAG
KLORIDA 0,3 G,
KALSIUM KLORIDA 0,2
G, NATRIUM LAKTAT
3,1 G, AIR UNTUK
INJEKSI 1000 ML),
OSMOLARITAS 412
MOSM/L
GLUKOSA ANHIDRAT
10E2508 INFUSAN D5 SP SANBE 50 G/L, OSMOLARITAS BOTOL
278 MOSM/L

GLUKOSA ANHIDRAT
10E0166 INFUSAN D5 250 ML SP SANBE 50 G/L, OSMOLARITAS BOTOL
278 MOSM/L

15
 NA+ 77 MEQ/L, CL- 77
MEQ/L, DEKSTROSA
INFUSAN D5 + 1/2 NS 50 G/L (NATRIUM
10E0221 SANBE BOTOL
SP KLORIDA 4,5 G, AIR
UNTUK INJEKSI 1000
ML)
NA+ 38,5 MEQ/L, CL-
38,5 MEQ/L,
INFUSAN D5 + 1/4 NS DEKSTROSA 50 G/L
10E0225 SANBE BOTOL
SP (NATRIUM KLORIDA
2,25 G, AIR UNTUK
INJEKSI 1000 ML)

NA+ 131 MEQ/L, CL-

109 MEQ/L, K+ 4
MEQ/L, CA+2 2,7
MEQ/L, ASETTAT 28
MEQ/L (NATRIUM
INFUSAN RING-AS SP
10E9119 SANBE KLORIDA 6 G, KALIUM BOTOL
SANBE
KLORIDA 0,3 G,
KALSIUM KLORIDA 0,2
G, NATRIUM ASETAT
3,8 G, AIR UNTUK
INJEKSI 1000 ML)

NA+ 154 MEQ/L, CL-

154 MEQ/L (NATRIUM
10E0162 INFUSAN NS SANBE SANBE KLORIDA 9 GRAM, AIR BOTOL
UNTUK INJEKSI 1000
ML)

NA+ 154 MEQ/L, CL-

154 MEQ/L (NATRIUM
10E0167 INFUSAN NS 250 ML SP SANBE KLORIDA 9 GRAM, AIR BOTOL
UNTUK INJEKSI 1000
ML)

NA+ 154 MEQ/L, CL-

154 MEQ/L (NATRIUM
10E0670 INFUSAN NS 100 ML SANBE KLORIDA 9 GRAM, AIR BOTOL
UNTUK INJEKSI 1000
ML)

NA+ 147 MEQ/L, CL-

156 MEQ/L, K+ 4
MEQ/L, CA+2 4,4
MEQ/L, DEXTROSE 50
G/L (NATRIUM
10E0165 INFUSAN R+D SANBE BOTOL
KLORIDA 8,6 G,
KALIUM KLORIDA 0,3
G, KALSIUM KLORIDA
0,48 G, AIR UNTUK
INJEKSI 1000 ML)

16
 NA+ 130 MEQ/L, CL-
109 MEQ/L, CA+2 2,7
MEQ/L, LAKTAT 28
MEQ/L (NATRIUM
KLORIDA 6 G, KALIUM
10E0161 INFUSAN RL SP SANBE SANBE BOTOL
KLORIDA 0,3 G,
KALSIUM KLORIDA 0,2
G, NATRIUM LAKTAT
3,1 G, AIR UNTUK
INJEKSI 1000 ML)

10E0164 INFUSAN M20 SANBE MANITOL 200 G/L BOTOL

10E1630 KALBAMIN INFUS KALBE ASAM AMINO BOTOL
10E2444 KCL 25 ML OTSUKA KCL 25 MEQ BOTOL
KCL 1,5 G, NACL 9 G,
10E4995 KN-1 WIDA WIDATRA BOTOL
PER LITER
KCL 3 G, NACL 9 G,
10E4996 KN-2 WIDA WIDATRA BOTOL
PER LITER
NA 50 MEQ, K 20
MEQ, CL 50 MEQ,
10E6785 KA-EN MG3 OTSUKA LACTATE 20 MEQ, BOTOL
GLUCOSE 100 G PER
LITER

NA 38,5 MEQ, CL 38,5

10E467 KA-EN 1B OTSUKA MEQ, GLUCOSE 37,5 G BOTOL
PER LITER

NA 50 MEQ, K 20
MEQ, CL 50 MEQ,
10E2399 KA-EN 3B 500 ML OTSUKA LACTATE 20 MEQ, BOTOL
GLUCOSE 27 G PER
LITER
Natium 30 mEq,
chlorida 20 mEg,
10E2407 KA-EN 4A 500 ML OTSUKA BOTOL
lactate 10 mEq,
glucose 40 gram
NA 60 MEQ, K 10
MEQ, CL 50 MEQ,
10E6440 KA-EN 3A OTSUKA LACTATE 20 MEQ, BOTOL
GLUCOSE 27 G PER
LITER
KCL 1,5 G, NACL 4,5
G, DEXTROSE
10E4997 KDN-1 WIDA WIDATRA BOTOL
MONOHYDRATE 27,5
G
KCL 3 G, NACL 4,5 G,
DEXTROSE
10E4998 KDN-2 WIDA WIDATRA BOTOL
MONOHYDRATE 27,5
G

17
 L-LEUSIN 14,0 G, L-
ISOLEUSIN 9,0 G L-
VALIN 10,0 G, L-LISIN
ASETAT SETARA 5,05
G L-LISIN 7,1 G, L-
TREONIN 3,5 G, L-
TRIPTOFAN 2,5 G, L-
METIONIN 3,0 G, L-
FENILALANIN 5,0 G, L-
SISTEIN 1,0 G, L-
TIROSIN 0,5 G, L-
ARGININ 4,5 G, L-
HISTIDIN 3,5 G, L-
ALANIN 2,5 G, L-
PROLIN 3,0 G, L-
10E4458 KIDMIN INFUS 200 M OTSUKA BOTOL
SERIN 3,0 G, L-ASAM
ASPARTAT 1,0 G, L-
ASAM GLUTAMAT 1,0
G, TOTAL ASAM
AMINO BEBAS 72,05
G, ASAM AMINO
ESENSIAL 52,05 G,
ASAM AMINO
NONESENSIAL 20 G/L,
RATIO E/N 2,6, BCAA
45,8% W/W, TOTAL
NITROGEN 10,00 G,
NA+ +/- 2MEQ, CL-
TIDAK ADA, ASETAT
+/- 46 MEQ

AMINO ACID,
10E0667 LIVAMIN SANBE SORBITOL, XYLITOL, BOTOL
ELEKTROLIDE
10E2458 MARTOS INFUS OTSUKA MALTOSE 10% BOTOL
NA BICARBONAS 84
10E4145 MEYLON 25 ML OTSUKA BOTOL
MG/ML
10E2524 MGSO4 20% 25 ML OTSUKA MGSO4 20% BOTOL
10E3736 MGSO4 40% 25 ML OTSUKA MGSO4 40% BOTOL
10E9116 MANITOL OTSUKA MANITOL 100 G BOTOL
NA 154 MEQ, CL 154
10E2439 NACL 0,9% 500ML WIDATRA BOTOL
MEQ, PER LITER
SODIUM CHLORIDE 3
10E2496 NACL 3 % 500 ML OTSUKA G, WATER FOR BOTOL
INJECTION
NA 154 MEQ, CL 154
10E4469 NACL 0,9% 25 ML OTSUKA BOTOL
MEQ, PER LITER

NA 154 MEQ, CL 154

10E4710 NACL 0,9% 100 ML OTSUKA BOTOL
MEQ, PER LITER

NACL 0.9 1 LT UNICAP NA 154 MEQ, CL 154

10E2571 WIDATRA BOTOL
WIDA MEQ, PER LITER

NACL 0.9 1000ML NA 154 MEQ, CL 154

10E2570 WIDATRA BOTOL
TWIST OFF WIDA MEQ, PER LITER

NA 154 MEQ, CL 154

10E4863 NACL 0,9% 500ML OTSUKA BOTOL
MEQ, PER LITER

18
 NACL IRRIGATION NORMAL SALINE
10E1141 WIDATRA BOTOL
1000ML IRRIGATION
10E4369 PANAMIN G OTSUKA AMINO ACID 27,2 G BOTOL

NATRIUM 45 MEQ,
KALIUM 20 MEQ,
PEDIALYTE REG 500 DEKSTROSA 25 G,
10C1727 ABBOTT BOTOL
ML SITRAT 30 MEQ,
KLORIDA 35 MEQ TIAP
LITER CAIRAN

NA+ 130 MEQ/L, CL-

109 MEQ/L, K+ 4
MEQ/L, CA+2 2,7
MEQ/L, LAKTAT 28
MEQ/L, MALTOSA 50
G/L (NATRIUM
KLORIDA 6 G, KALIUM
10E4335 POTACOL R OTSUKA BOTOL
KLORIDA 0,3 G,
KALSIUM KLORIDA 0,2
G, NATRIUM LAKTAT
3,1 G, AIR UNTUK
INJEKSI 1000 ML),
OSMOLARITAS 412
MOSM/L

ASAM AMINO
ESENSIAL DAN NON-
ESENSIAL UNTUK
10E4578 RENXAMIN INFUS KALBE BOTOL
PASIEN DENGAN
GANGGUAN GINJAL, 9
G/1000 ML AA

NA+ 147 MEQ/L, CL-

156 MEQ/L, K+ 4
MEQ/L, CA+2 4,4
MEQ/L,GLUCOSE 50
RINGER DEXTROSE 5% G/L, (NATRIUM
10E2502 WIDATRA BOTOL
500 ML INF KLORIDA 8,6 G,
KALIUM KLORIDA 0,3
G, KALSIUM KLORIDA
0,48 G, AIR UNTUK
INJEKSI 1000 ML)

NA LAKTAT 3,1 G,
NACL 6 G, KCL 0,3 G,
RINGER LAKTAT 0,9%
10E2500 WIDATRA CACL2 0,2 G, AIR BOTOL
500 ML
UNTUK INJEKSI AD
1000 ML

NA LAKTAT 3,1 G,
NACL 6 G, KCL 0,3 G,
10E4955 RINGER LACTAT 500 ML OTSUKA CACL2 0,2 G, AIR BOTOL
UNTUK INJEKSI AD
1000 ML

19
 NA+ 50 MEQ/L, CL- 50
MEQ/L, K+ 20 MEQ/L,
LAKTAT 20 MEQ/L,
DEKSTROSA 100 G/L
10E0360 TRIDEX 100 INF SANBE BOTOL
(NACL 1,75 G, KCL 1,5
G, NATRIUM LAKTAT
2,24 G, AIR UNTUK
INJEKSI 1000 ML)

NA+ 50 MEQ/L, CL- 50

MEQ/L, K+ 20 MEQ/L,
LAKTAT 20 MEQ/L,
DEKSTROSA 27 G/L
10E0361 TRIDEX 27 B INF SANBE BOTOL
(NACL 1,75 G, KCL 1,5
G, NATRIUM LAKTAT
2,24 G, AIR UNTUK
INJEKSI 1000 ML)

FRUKTOSE 60 G,
10E4283 TRIOFUSIN 500 ML KALBE GLUKOSE 33 G, BOTOL
XYLITOL 30 G
FRUKTOSE 120 G,
GLUKOSE 66 G,
10E4417 TRIOFUSIN E 1000 KALBE BOTOL
XYLITOL 60 G,
ELEKTROLIT, VITAMIN
AMINO ACIDS,
10E4250 TUTOFUSIN - LC KALBE ELECTROLYTES, BOTOL
SORBITOL, VITS
Dextran(40)100 gram ,
calcium chloride 0,2
10E0661 OTSUTRAN INFUS OTSUKA gram, KCL 0,3 gram, BOTOL
natium chloride 6
gram, natium lactate
3,1 gram
HYDROXYETHYL
STARCH (HES
10E0249 SANBE HEST 130 SANBE 130/0,42) 60 G, NA BOTOL
154 MEQ, CL 154
MEQ, (NACL 9 G)
HYDROXYETHYL
STARCH (HES
10E0018 WIDAHES WIDATRA 130/0,42) 60 G, NA BOTOL
154 MEQ, CL 154
MEQ, (NACL 9 G)
RELAKSAN OTOT
PERIFER DAN
PENGHAMBAT
PENGHAMBAT 10B3256 EPERISON TAB GENERIK EPERISON 50 MG TABLET
NEUROMUSKULAR
KOLINES-
TERASE
10B1254 EPRINOC TAB SANBE EPERISON 50 MG TABLET
10B3221 MYONAL TAB EISAI EPERISON 50 MG TABLET
10B0366 ZITANID TAB NOVELL TIZANIDIN HCL 2 MG TABLET
PIRIDOSTIGMIN BR 60
MISTENIA GRAVIS 10B0028 MESTINON TAB COMBIPHAR TABLET
MG
NEOSTIGMIN SEBAGAI
10E2986 PROSTIGMIN INJ COMBIPHAR GARAM METILSULFAT AMPUL
0,5 MG/AMPUL

20
ANTI TRIHEXYPHENIDIL
ANTIPARKINSON 10B0054 TRIHEXYPHENIDIL GENERIK TABLET
PARKINSON 2MG
TRIHEXYPHENIDIL
10B5026 ARKINE PYRIDAM TABLET
2MG
TRIHEXYPHENIDIL
10B0007 HEXIMER MERSI TABLET
2MG
Levodopa 100 mg,
10B2330 STALEVO NOVARTIS carbidopa 25 mg, TABLET
entacapone 200 mg
LEVODOPA 100MG ;
10B1223 LEPARSON DEXA BENSERAZIDE HCL TABLET
28,5MG
BOEHRINGER PRAMIPEXOLE diHCL
10B0826 SIFROL ER TABLET
INGELHEIM 0,375MG

OBAT YANG MEM-

PENGARUHI ANTIANEMIA 10B0073 MALTOFER TAB COMBIPHAR FE(III) 100MG TABLET
DARAH

10C1011 MALTOFER SYR COMBIPHAR FE(III) 50 MG/5ML SYRUP

FE (III) HYDROXYDE
10C1010 MALTOFER DROP COMBIPHAR POLYMALTOSE DROP
COMPLEX 50MG/ML

FE (III) HYDROXYDE
10E0058 MALTOFER INJ COMBIPHAR POLYMALTOSE AMPUL
COMPLEX
FE(III) 100MG, FOLIC
10B0072 MALTOFER FOL COMBIPHAR TABLET
ACID 0,35MG
FE GLUCONATE, Mg
10B0108 BIOSANBE SANBE SULFAT,COPPER TABLET
SULF,VIT C,B6,SORB

FE FUMARAT, FOLIC
10B0068 PRENAMIA SANBE ACID, B12,VIT C,D3, TABLET
CA CARBONATE
FE FUMARAT,FOLIC
ACID,CA
10B0691 HEMOBION MERCK KAPSUL
CARBONAT,CHOLECAL
CIFEROL
FE GLUCONATE, Mn
SULFATE,Cu
10B0013 NOVABION NOVAPHARIN TABLET
SULFATE,FOLIC ACID,
VIT C, B12
10E0215 VENOFER INJ COMBIPHAR IRON SUKROSE AMPUL
10E4990 DIALIFER INJ NOVELL IRON SUKROSE AMPUL
ANTIKOAGULAN, ANTI
PLATELET DAN 10B4355 ASCARDIA 80MG PHAROS ACETOSAL 80MG TABLET
TROMBOLITIK
ANTIPLATELET 10B1185 ASCARDIA 160MG PHAROS ACETOSAL 160MG TABLET
10B0546 ASPILET DARYA VARIA ACETOSAL 80MG TABLET
10B0285 THROMBO ASPILET UAP ACETOSAL 80MG TABLET
10B0124 CARDIO ASPIRIN BAYER ACETOSAL 80MG TABLET
10GB049 CILOSTAZOL GENERIK CILOSTAZOL 100MG TABLET

10B0090 ANTIPLAT 50MG DEXA CILOSTAZOL 50MG TABLET

10B3306 ANTIPLAT 100MG DEXA CILOSTAZOL 100MG TABLET

10B0500 PLETAAL 50MG OTSUKA CILOSTAZOL 50MG TABLET

21
 10B1012 PLETAAL 100MG OTSUKA CILOSTAZOL 100MG TABLET

10B0157 SIMARC-2MG FAHREINHEIT WARFARIN TABLET

10B4298 XARELTO 20 MG BAYER RIVAROXABAN 20MG TABLET

10B0497 XARELTO 15 MG BAYER RIVAROXABAN 15 MG TABLET

10GD034 CLOPIDOGREL GENERIK CLOPIDOGREL 75MG TABLET

10B5919 PLAVIX SANOFI CLOPIDOGREL 75MG TABLET

10B4041 THERODEL SANBE CLOPIDOGREL 75MG TABLET

10B0958 VACLO DEXA CLOPIDOGREL 75MG TABLET

PENTOXIFILLIN 400
10B0075 TRENTAL SANOFI TABLET
MG
PENTOXIFILLIN 400
10E4963 TRENTAL SANOFI AMPUL
MG
NAFTIDROFURYL 100
10B3119 PRAXILLENE MERCK TABLET
MG
NAFTIDROFURYL 200
10B0349 PRAXILLENE MERCK TABLET
MG
TROMBOLITIK 10E3022 HEPARIN HEPARIN 5000 IU/ML VIAL

10E6641 INVICLOT FAHRENHEIT HEPARIN 5000 IU/ML VIAL

ENOXAPARIN NA PREFILED
10E7654 LOVENOX SANBE
60MG/0,6ML SYRINGE 0,6
NADROPARIN CA PREFILED
10E3131 FRAXIPHARIN GLAXO
9.500 IU/ML SYRINGE 0,6
GLAXO FONDAPARINUX PREFILED
10E0369 ARIXTRA
SMITHKLINE 2,5MG/0,5ML SYRINGE
ASAM TRANEKSAMAT ASAM TRANEKSAMAT
HAEMOSTATIK 10GB026 GENERIK TABLET
TAB 500MG

ASAM TRANEKSAMAT ASAM TRANEKSAMAT

10E2309 GENERIK AMPUL
INJ 500MG/5ML

ASAM TRANEKSAMAT
10B0143 PLASMINEX TAB SANBE TABLET
500MG
ASAM TRANEKSAMAT
10E0267 PLASMINEX INJ SANBE AMPUL
500MG/5ML
ASAM TRANEKSAMAT
10E0055 TRANSAMIN 500 INJ OTTO AMPUL
500MG/5ML
ASAM TRANEKSAMAT
10E0056 TRANSAMIN 250 INJ OTTO AMPUL
250MG/5ML

10E3646 SANDOSTATIN NOVARTIS OCREOTIDE 0,1MG/ML AMPUL

SOMATOSTATIN SOMATOSTATIN
10E2376 COMBIPHAR AMPUL
LYOMARK ACETATE 3 MG
STREPTOKINASE
FIBRINOLITIK 10E2116 FIBRION DEXA AMPUL
1.500.000 UI
RECOMB HUMAN
HEMATOPOETIK 10E7297 EPOTREX 2000 NOVELL SYRINGE
ERYTROP 2000IU
RECOMB HUMAN
10E7296 EPOTREX 4000 NOVELL SYRINGE
ERYTROP 4000IU
RECOMB HUMAN
GRANULOCYTE
10E0853 LEUKOKINE INJ NOVELL VIAL
COLONY
STIMULATING FACTOR

22
 RECOMB HUMAN
10NE001 HEMAPO KALBE SYRINGE
ERYTROP 3000IU
HORMON,
ENDOKRIN LAIN
SULFONIL UREA 10B3497 GLIBENCLAMIDE GENERIK GLIBENCLAMIDE 5MG TABLET
DAN
KONTRASEPSI
ANTI DIABETIK
10B3312 JANUVIA 25 MG MSD CITAGLIPTIN 25 MG TABLET
ORAL
10B3313 JANUVIA 50 MG MSD CITAGLIPTIN 50 MG TABLET

10B2505 JANUVIA 100 MG MSD CITAGLIPTIN 100 MG TABLET

10B0570 DAONIL SANOFI GLIBENCLAMIDE 5MG TABLET

10GH035 GLIMEPIRIDE GENERIK GLIMEPIRIDE 1MG TABLET
10GB071 GLIMEPIRIDE GENERIK GLIMEPIRIDE 1MG TABLET
10GD041 GLIMEPIRIDE GENERIK GLIMEPIRIDE 2MG TABLET
10GB036 GLIMEPIRIDE GENERIK GLIMEPIRIDE 2MG TABLET
10GB072 GLIMEPIRIDE GENERIK GLIMEPIRIDE 2MG TABLET
10GH037 GLIMEPIRIDE GENERIK GLIMEPIRIDE 3MG TABLET
10GH038 GLIMEPIRIDE GENERIK GLIMEPIRIDE 4MG TABLET
10GB073 GLIMEPIRIDE GENERIK GLIMEPIRIDE 4MG TABLET
10B0683 GLUVAS DEXA GLIMEPIRIDE 1MG TABLET
10B3663 GLUVAS DEXA GLIMEPIRIDE 2MG TABLET
10B3515 GLUVAS DEXA GLIMEPIRIDE 3MG TABLET
10B3551 GLUVAS DEXA GLIMEPIRIDE 4MG TABLET
10B1134 AMARYL SANOFI GLIMEPIRIDE 1MG TABLET
10B3549 AMARYL SANOFI GLIMEPIRIDE 2MG TABLET
10B1057 AMARYL SANOFI GLIMEPIRIDE 3MG TABLET
10B6365 AMARYL SANOFI GLIMEPIRIDE 4MG TABLET
10B3625 GLUCOTROL XL MERCK GLIPIZIDE 5MG TABLET
10B2715 GLUCOTROL XL MERCK GLIPIZIDE 10MG TABLET
10B7738 DIAMICRON MR 30 PRAFA GLICLAZIDE 30MG TABLET
10B7737 DIAMICRON MR 60 PRAFA GLICLAZIDE 30MG TABLET
10B4232 GLUCODEX DEXA GLICLAZIDE 80MG TABLET
10B0144 GLUKOLOS SANBE GLICLAZIDE 80MG TABLET
10GD044 GLIQUIDONE GENERIK GLIQUIDONE 30MG TABLET
10B0389 GLURENORM BOEHRINGER GLIQUIDONE 30MG TABLET
INHIBITOR DPP-4 10B2117 TRAJENTA BOEHRINGER LINAGLIPTIN 5MG TABLET
10B0776 GALVUS NOVARTIS VIDAGLIPTIN 50MG TABLET

BIGUANID 10GD054 METFORMIN 500MG GENERIK METFORMIN 500MG TABLET

10GH059 METFORMIN 500MG GENERIK METFORMIN 500MG TABLET

10GD055 METFORMIN 850MG GENERIK METFORMIN 850MG TABLET

10GB089 METFORMIN 850MG GENERIK METFORMIN 850MG TABLET

10B4479 METFORMIN XR 500MG GENERIK METFORMIN 500MG TABLET

10B0687 GLUCOPHAGE 500MG MERCK METFORMIN 500MG TABLET

10B0685 GLUCOPHAGE 850MG MERCK METFORMIN 850MG TABLET

GLUCOPHAGE XR
10B0684 MERCK METFORMIN 500MG TABLET
500MG
GLUCOPHAGE XR
10B2013 MERCK METFORMIN 750MG TABLET
750MG
GLUCOPHAGE XR
10B1146 MERCK METFORMIN 1000MG TABLET
1000MG
10B6697 FORBETES 500MG SANBE METFORMIN 500MG TABLET

23
 10B6696 FORBETES 850MG SANBE METFORMIN 850MG TABLET

10B2925 GLUMIN 500MG DEXA METFORMIN 500MG TABLET

10B2926 GLUMIN 850MG DEXA METFORMIN 850MG TABLET

10B1040 GLUMIN XR 500MG DEXA METFORMIN 500MG TABLET

THIAZOLIDINDION 10B4030 PIOGLITAZONE GENERIK PIOGLITAZONE 15MG TABLET

10B4031 PIOGLITAZONE GENERIK PIOGLITAZONE 30MG TABLET

10B0317 ACTOS 15MG TAKEDA PIOGLITAZONE 15MG TABLET

10B1130 ACTOS 30MG TAKEDA PIOGLITAZONE 30MG TABLET

10B2521 DECULIN 15MG DEXA PIOGLITAZONE 15MG TABLET

10B2522 DECULIN 30MG DEXA PIOGLITAZONE 30MG TABLET

PENGHAMBAT
10GD002 ACARBOSE 50MG GENERIK ACARBOSE 50MG TABLET
GLUKOSIDE ALFA

10GD001 ACARBOSE 100MG GENERIK ACARBOSE 100MG TABLET

10B3264 GLUBOSE 100 MG FERRON ACARBOSE 100MG TABLET

10B0578 GLUCOBAY 50MG BAYER ACARBOSE 50MG TABLET
10B0563 GLUCOBAY 100MG BAYER ACARBOSE 100MG TABLET
10B5881 ECLID 50MG DEXA ACARBOSE 50MG TABLET
10B5882 ECLID 100MG DEXA ACARBOSE 100MG TABLET

GLIMEPIRIDE 1MG,
KOMBINASI 10B0819 AMARYL M1 SANOFI TABLET
METFORMIN 250MG

GLIMEPIRIDE 2MG,
10B0820 AMARYL M2 SANOFI TABLET
METFORMIN 500MG

GLIBENCLAMIDE
10B2923 GLUCOVANCE 1,25MG MERCK 1,25MG, METFORMIN TABLET
250MG

GLIBENCLAMIDE
10B2924 GLUCOVANCE 2,5MG MERCK 2,5MG, METFORMIN TABLET
500MG

GLIBENCLAMIDE 5MG,
10B2920 GLUCOVANCE 5MG MERCK TABLET
METFORMIN 500MG

VIDAGLIPTIN 50MG,
10B1036 GALVUSMET 500MG NOVARTIS TABLET
METFORMIN 500MG

VIDAGLIPTIN 50MG,
10B5880 GALVUSMET 850 NOVARTIS TABLET
METFORMIN 850MG

VELACOM PLUS 1/250 GLIMEPIRIDE 1 MG,

10B3315 NOVELL TABLET
MG METFORMIN 250 MG

VELACOM PLUS 2/500 GLIMEPIRIDE 2 MG,

10B3316 NOVELL TABLET
MG METFORMIN 500 MG

PIOGLITAZONE 15MG,
10B9964 PIONIX-M 15MG/500 KALBE TABLET
METFORMIN 500MG

24
ANTIDIABETIK NOVO
10E0976 NOVORAPID INSULIN ASPART FLEXPEN
PARENTERAL SHORT ACTING NORDISK
INSULIN GLULISIN
10E0553 APIDRA SOLOSTAR SANOFI FLEXPEN
100 IU
30% INSULIN ASPART
INTERMEDIATE NOVO SOLUBEL , 70%
10E2156 NOVOMIX 30 FLEXPEN
ACTING NORDISK INSULIN ASPART
KRISTAL PROTAMINA
INSULIN GLARGINE
LONG ACTING 10E0699 LANTUS SOLOSTAR SANOFI FLEXPEN
300IU/3ML
NOVO
10E0247 LEVEMIR INSULIN DETEMIR FLEXPEN
NORDISK
HORMON
KELAMIN DAN ESTRADIOL VALERATE
OBAT YANG MEM- ESTROGEN 10B1034 CYCLOPROGYNOVA BAYER 2MG, NORGESTREL TABLET
PENGARUHI 0,5MG
FERTILITAS
ESTRADIOL VALERATE
10B1033 PROGYNOVA SCHERING TABLET
1 MG,

ETHYNIL ESTRADIOL
10B3883 YAZ BAYER 0,02MG; TABLET
DROSPIRENONE 3MG

ESTHEROGEN
10B0138 ESTHERO SUNTHI S TABLET
0,625MG
PROGESTERON 10B0446 NORELUT DEXA NORETHISTERON 5MG TABLET
SOLVAY
10B0406 DUPHASTON DYDROGESTERON TABLET
PHARMA
PROGESTERONE
10D2174 CYGEST 200mg ACTAVIS TABLET
200mg
PROGESTERONE
10D2175 CYGEST 400mg ACTAVIS TABLET
400mg
CYPROTERONE
ACETATE 2MG,
10B3881 DIANE 35 BAYER TABLET
ETHINYLESTRADIOL
0,035MG
MEDROXYPROGESTER
10B0610 PROTHYRA SUNTI S TABLET
ON
NOMEGESTROL
10B0770 LUTENYL MERCK TABLET
ASETATE 5MG
NORETHISTERONE
10B1052 PRIMOLUT N BAYER TABLET
5MG
MICRONISED
10B4440 UTROGESTAN LAPI PROGESTERONE TABLET
100MG
10E4949 DIVALIN 3,75 MG INJ DARYA VARIA Leuprorelin acetate VIAL

10E3199 TAPROS 3,75 MG INJ TAKEDA Leuprorelin acetate VIAL

LAIN LAIN 10B4239 VISANNE BAYER DIENOGEST 2MG TABLET
HORMON
ANTI-
TIROID DAN 10B6597 THYROZOL 5MG MERCK THIAMAZOLE 5MG TABLET
HIPERTIROIDISME
ANTITIROID

10B6598 THYROZOL 10MG MERCK THIAMAZOLE 10MG TABLET

PROPILTHIOURACIL
10GD072 PROPILTHIOURACIL GENERIK TABLET
100MG
LEVOTIROKSIN NA
ANTI-HIPOTIROIDISME 10B3309 EUTHYROX 50MG MERCK TABLET
50MG
LEVOTIROKSIN NA
10B4312 EUTHYROX 100MG MERCK TABLET
100MG

25
KORTIKO-
STEROID DAN DEXAMETHASONE
10B4294 DEXAMETHASONE GENERIK TABLET
KORTIKO- 0,5MG
TROPIN
DEXAMETHASON
10E4231 GENERIK DEXAMETHASONE AMPUL
5MG/ML
DEXAMETHASONE
10B4108 FARIDEXONE IFARS TABLET
0,5MG
DEXAMETHASONE
10B0442 CORTIDEX TAB SANBE TABLET
0,5MG
DEXAMETHASONE
10E2374 CORTIDEX INJ SANBE AMPUL
5MG/ML
10B1600 PREDNISON GENERIK PREDNISON 5MG TABLET
10B1075 PEHACORT PHAPROS PREDNISON 5MG TABLET
METHYLPREDNISOLON
10GB094 GENERIK METHYLPREDNISOLON TABLET
4 MG
METHYL PREDNISOLON METHYL
10GD057 GENERIK TABLET
4MG PREDNISOLON 4MG
METHYL PREDNISOLON METHYL
10GD058 GENERIK TABLET
8MG PREDNISOLON 8MG
METHYL PREDNISOLON METHYL
10B3630 GENERIK TABLET
16MG PREDNISOLON 16MG
METHYLPREDNISOLON METHYLPREDNISOLON
10GD113 GENERIK AMPUL
INJ 125 MG
METHYL PREDNISOLON METHYL
10GB096 GENERIK AMPUL
INJ PREDNISOLON 125MG
METHYL
10B4179 MEDIXON 4MG FERRON TABLET
PREDNISOLON 4MG
10B4075 MEDIXON 8 MG TAB FERRON METHYLPREDNISOLON TABLET

METHYL
10B4072 MEDIXON 16MG FERRON TABLET
PREDNISOLON 16MG
METHYL
10E4787 MEDIXON INJ FERRON PREDNISOLON AMPUL
125MG/AMPUL
METHYL
10B4070 METRISON DEXA TABLET
PREDNISOLON 4MG
METHYL
10B1178 SANEXON 4MG SANBE TABLET
PREDNISOLON 4MG
METHYL
10B4529 SANEXON 16MG SANBE TABLET
PREDNISOLON 16MG
METHYL
10E4223 SANEXON INJ SANBE PREDNISOLON AMPUL
125MG/AMPUL
METHYLPREDNISOLON
PREDNICORT INJ OTTO VIAL
125 MG
10B0326 KETRICIN TAB FERRON TRIAMCENOLONE 4MG TABLET
KETRICIN ORABASE TRIAMCENOLONE
10B0142 FERRON TUBE
0,1% 0,1%
TRIAMCENOLONE
10E9001 TRILAC IM NOVELL VIAL
ACETONIDE
TRIAMCENOLONE
10E9001 TRILAC IAID NOVELL VIAL
ACETONIDE
TRIAMCENOLONE
10E0021 FLAMICORT IM DEXA ACETONIDE 40MG/ML AMPUL
(1ML)
TRIAMCENOLONE
10E0022 FLAMICORT IA/ID DEXA ACETONIDE 10MG/ML VIAL
(5ML)

26
OBAT MEM-
PENGARUHI
TULANG 10B0579 ARTRODAR COMBIPHAR DIACEREIN KAPSUL
(MUSKULO
SKELETAL)
10B0235 KOLKATRIOL PHAPROS CALCITRIOL 0,25MCG KAPSUL

10B0436 KOLKATRIOL FORTE PHAPROS CALCITRIOL 0,5MCG KAPSUL

RISEDONATE NA
10B0076 ACTONEL SANOFI TABLET
35MG
NA HYALURONATE
10E0510 HYALGAN COMBIPHAR AMPUL
10MG/ML
10E4862 HYALONE COMBIPHAR NA HYALURONATE AMPUL

10E3212 UMARONE FAHRENHEIT NA HYALURONATE AMPUL

N-ACETYL
GLUCOSAMINE 1 MG,
MINT CONCENTRATE
10D1211 FITA JOINT ROLLER COMBIPHAR 332 MG, NANO ROLLER
VITAMIN E 1 MG,
LAVENDER OIL 2
MG/GRAM
GLUCOSAMINE
10D0271 MEDIFLEX KALBE GEL
SULFATE
ANTIMIGRAIN ERGOTAMINE
ANTIMIGRAIN 10B0723 ERICAF TEMPO TARTRAT 1 MG, TABLET
CAFFEIN 100 MG
10B3281 DEGRIUM 5 MG FERRON FLUNARIZINE 5 MG TABLET

10B0906 FREGO 10 MG KALBE FLUNARIZINE 10 MG TABLET

10GB069 FLUNARIZIN 5 MG GENERIK FLUNARIZIN 5 MG TABLET

10GB070 FLUNARIZIN 10 MG GENERIK FLUNARIZIN 10 MG TABLET

10B1569 SEROLIN 10 MG KALBE NICERGOLINE 10 MG TABLET

10B1253 STUGERON 25 MG JANSEN CINNARIZINE 25 MG TABLET

BETAHISTINE BETAHISTINE
ANTIVERTIGO 10B4246 GENERIK TABLET
MESYLATE 6 MG MESYLATE 6 MG
BETAHISTINE
10B3692 MERTIGO 6 MG DEXA TABLET
MESYLATE 6 MG
BETAHISTINE
10B0581 BETASERC 24 MG ABBOTT DIHIDRKLORIDA 24 TABLET
MG
DIMENHYDRINATE 50
10B0568 DRAMAMINE 50 MG PFIZER TABLET
MG
ANTI-
NEOPLASTIK, ANTIHORMON 10B2564 LEBREST 2,5 MG FERRON LETROZOLE 2,5 MG TABLET
IMUNO-
SUPRESAN DAN 10B7010 TAMOXIFEN 10 MG GENERIK TAMOXIFEN 10 MG TABLET
OBAT UNTUK
TERAPI 10B1152 TAMOXIFEN 20 MG GENERIK TAMOXIFEN 10 MG TABLET
PALIATIF
10B2201 TAMOFEN 10 MG KALBE TAMOXIFEN 10 MG TABLET

10B4046 TAMOFEN 20 MG KALBE TAMOXIFEN 10 MG TABLET

IMUNOSUPRESAN 10B0070 IMURAN 50 MG GLAXO AZATIOPRINE 50 MG TABLET

27
 10B0071 SANDIMUN 25 MG NOVARTIS SIKLOSPORIN 25 MG TABLET

10B0072 SANDIMUN 50 MG NOVARTIS SIKLOSPORIN 50 MG TABLET

10B0774 PROGRAF 0,5 MG COMBIPHAR TACROLIMUS 0,5 MG TABLET

10B0773 PROGRAF 1 MG COMBIPHAR TACROLIMUS 1 MG TABLET
MYCOPHENOLATE
10B0986 CELLCEPT 500 MG ROCHE TABLET
MOFETIL 500 MG
SIKLOFOSFAMID 200
ANTINEOPLASTIK 10E3462 ENDOXAN 200 MG INJ TRANSFARMA VIAL
MG
SIKLOFOSFAMID 500
E083AS ENDOXAN 500 MG INJ TRANSFARMA VIAL
MG
10E0187 ENDOXAN 1 G INJ TRANSFARMA SIKLOFOSFAMID 1 G VIAL
SIKLOFOSFAMID 200
10E0124 CYCLOVID 200 MG INJ NOVELL VIAL
MG
SIKLOFOSFAMID 500
10E0131 CYCLOVID 500 MG INJ NOVELL VIAL
MG
10E4236 CYCLOVID 1 GR INJ NOVELL SIKLOFOSFAMID 1 G VIAL

E0501AS HOLOXAN 1 G INJ TRANSFARMA IFOSFAMID 1 G VIAL

10E0645 HOLOXAN 2 G INJ TRANSFARMA IFOSFAMID 2 G VIAL

DACARBAZINE 200 MG
10E6788 GENERIK DACARBAZINE 200 MG VIAL
INJ
DACARBAZINE 400 MG
GENERIK DACARBAZINE 400 MG VIAL
INJ
METHOTREXATE 2.5 METHOTREXATE 2.5
10B0549 GENERIK TABLET
MG MG
METHOTREXATE METHOTREXATE
10E2365 GENERIK VIAL
50MG/5ML INJ 50MG/5CC
METHOTREXATE 50
10E2140 SANOTREXAT SANBE VIAL
MG/ 2 ML
CAPECITABINE 500
10B0119 XELODA 500 MG ROCHE TABLET
MG
HYDROXYUREA 500
10B0058 HYDREA 500 CAP BRISTOL KAPSUL
MG
CISPLATIN 10 MG/20 CISPLATIN 10 MG/20
10E4971 GENERIK VIAL
ML INJ ML
CISPLATIN 50 MG/100 CISPLATIN 50 MG/100
10E4970 GENERIK VIAL
ML INJ ML
CISPLATIN 10 MG/20
CISTEEN 10 MG KIMIA FARMA VIAL
ML
E0353AS FONKOPAC FERRON PACLITAXEL 30 MG VIAL
E0352AS FONKOPAC FERRON PACLITAXEL 100 MG VIAL
PACLITAXEL 30 MG/5
10E4225 ANZATAX 30 MG TEMPO VIAL
ML
PACLITAXEL 150
10E4227 ANZATAC 150 MG TEMPO VIAL
MG/25 ML
DOXORUBICIN 10MG/5 DOXORUBICIN
10E6764 GENERIK VIAL
ML INJ 10MG/5 ML
DOXORUBICIN 10MG/5 DOXORUBICIN
10E6765 GENERIK VIAL
ML INJ (KALBE) 10MG/5 ML

DOXORUBICIN 50 DOXORUBICIN 50
10E0595 GENERIK VIAL
MG/25 ML INJ (KALBE) MG/25 ML
DOXORUBICIN 50 DOXORUBICIN 50
10E2405 GENERIK VIAL
MG/25 ML INJ MG/25 ML
DOXORUBICIN 10
E0548AS KEMODOXIN 10 MG INJ OTTO VIAL
MG/5 ML
DOXORUBICIN 50
E0549AS KEMODOXIN 50 MG INJ OTTO VIAL
MG/25 ML

28
 5-FLUOROURACIL 250 5 FLUOROURACIL 250
10E0252 GENERIK VIAL
MG/5 ML INJ MG/5 ML
CURACIL 500 MG/10 6 FLUOROURACIL 500
10E0592 KALBE VIAL
ML INJ MG/10 ML
5 FLUOROURACIL 250
10E0593 CURACIL 250 MG INJ KALBE VIAL
MG/5 ML
5 FLUOURACIL 6 FLUOROURACIL 500
10E0256 GENERIK VIAL
500MG/10 ML INJ MG/10 ML
10E0596 VINCRISTIN 1 MG INJ GENERIK VINCRISTINE 1 MG/ML VIAL

10E2397 VINCRISTIN 2 MG INJ GENERIK VINCRISTINE 2 MG/ML VIAL

10E2103 GEMCIKAL INJ 1 GRAM KALBE GEMCITABINE 1 G VIAL

10E2104 GEMCIKAL INJ 200 MG KALBE GEMCITABINE 200 MG VIAL

FONKOGEM INJ 1 G FERRON GEMCITABINE 1 G VIAL
FONKOGEM INJ 200
FERRON GEMCITABINE 200 MG VIAL
MG
CARBOPLATIN 150 CARBOPLATIN 150
10E0241 GENERIK VIAL
MG/15 ML INJ MG/15 ML
CARBOPLATIN 450 CARBOPLATIN 450
10E0242 GENERIK VIAL
MG/45 ML INJ MG/45 ML
ETOPOSIDE 100 MG/5 ETOPOSIDE 100 MG/5
10E1115 GENERIK VIAL
ML INJ ML
DOCETAXEL 20 MG/1
TACEEDO 20 MG KIMIA FARMA VIAL
ML
DOCETAXEL 80 MG/4
TACEEDO 80 MG KIMIA FARMA VIAL
ML
EPIRUBICIN 10 MG/5
10E3950 EPIRUBICIN 10 MG INJ GENERIK VIAL
ML
EPIRUBICIN 50 MG/25 EPIRUBICIN 50 MG/25
10E4951 GENERIK VIAL
ML INJ ML
EPIROBICIN 10 MG/5
10E0035 EPIROL FUTAMED VIAL
ML
10E0036 EPIROL FUTAMED EPIROBICIN MG/25 ML VIAL
DOCETAXEL 20
10E0223 BREXEL 20 MG INJ KALBE VIAL
MG/0.5 ML
DOCETAXEL 80 MG/2
10E0271 BREXEL 80 MG INJ KALBE VIAL
ML
ZOLENDRONIC ACID 4
10E2498 ZOLENIC 4 MG INJ NOVELL VIAL
MG/ 5 ML
ZOLENDRONIC ACID 4
10E0145 ZOMETA 4 MG INJ NOVARTIS VIAL
MG/ 5 ML
UROMITEXAN 400 MG
10E0012 TRANSFARMA MESNA 400 MG AMPUL
INJ
ERIBULIN MESYLATE
10E2114 HALAVEN INJ EISAI VIAL
0,44 MG/ML
GOSERELIN ASETATE
ZOLADEX INJ ASTRA ZENECA SYRINGE
3,6 MG
10B0474 ARIMIDEX ASTRA ZENECA ANASTROZOLE 1 MG TABLET

10B0784 AROMASIN PFIZER EXEMASTANE 25 MG TABLET

10E0446 VINBLASTIN 10 MG INJ TEMPO VINBLASTIN SULFAT VIAL

TERAPI ANOREKSIA
MEGESTROL ACETATE
DAN KAKEKSIA PASIEN 10C1428 TRACETATE SYR FAHRENHEIT SYR
40 MG/ML
KANKER

10B1214 TRACETATE TAB FAHRENHEIT MEGESTROL ACETATE TABLET

29
 ALUMINIUM
OBAT SALURAN HIDROKSIDA 200 MG,
ANTASIDA DAN ULKUS 10B4519 ANTASIDA DOEN GENERIK TABLET
CERNA MAGNESIUM
HIDROKSIDA 200 MG
ALUMINIUM
HIDROKSIDA 200 MG,
MAGNESIUM
10GD012 ANTASIDA DOEN SYR GENERIK HIDROKSIDA 200 MG, SYRUP
DIMETIL
POLISILOKSAN 50 MG
TIAP 5 ML
MAGALDRAT 480 MG,
10C1619 MAGALAT SYR FERRON SIMETIKON 20 MG/5 SYRUP
ML
MAGALDRAT 480 MG,
10B4318 MAGALAT FERRON TABLET
SIMETIKON 20 MG

MAGNESIUM
TRISILIKAT 325 mg,
ALUMINIUM
HIDROKSIDA
KOLOIDAL 325 MG,
PAPAVERIN HCL 30
MG,
10B1215 SANMAG SANBE TABLET
KLORDIAZEPOKSID
HCL 5 MG, VIT B1 2
MG, VIT B2 1 MG, VIT
B6 0,5 MG, VIT B12 1
MCG, NIASIAMID 5
MG, CA-PANTOTENAT
1 MG
MAGNESIUM
TRISILIKAT 400 MG,
ALUMINIUM
10C1788 SANMAG SYR SANBE SYRUP
HIDROKSIDA 400 MG,
SIMETICONE 100 MG/
5ML
ALUMINIUM
HIDROKSIDA 200 MG,
MAGNESIUM
10C1111 POLYSILANE SYR PHAROS HIDROKSIDA 200 MG, SYRUP
DIMETIL
POLISILOKSAN 50
MG/5 ML
ALUMINIUM
HIDROKSIDA 200 MG,
MAGNESIUM
10B0679 POLYSILANE PHAROS TABLET
HIDROKSIDA 200 MG,
DIMETIL
POLISILOKSAN 50 MG
10B0498 CIMETIDINE GENERIK CIMETIDIN 200 MG TABLET
RANITIDIN 50 MG/2
10E4249 RANITIDIN INJ GENERIK AMPUL
ML
RANITIDINE INJ RANITIDIN 50 MG/2
10GH071 GENERIK AMPUL
(HEXA) ML
RANITIDIN 50 MG/2
10E4300 RANITIDIN INJ (DEXA) GENERIK AMPUL
ML
RANITIDINE INJ RANITIDIN 50 MG/2
10E4242 GENERIK AMPUL
(NOVEL) ML
RANITIDIN 50 MG/2
10E5977 RADIN INJ DEXA AMPUL
ML

30
 RANITIDIN 25 MG/2
10E5670 ACRAN INJ SANBE AMPUL
ML
RANITIDIN TAB 150
10GB121 GENERIK RANITIDIN 150 MG TABLET
MG
RANITIDIN TAB 150
10GD076 GENERIK RANITIDIN 150 MG TABLET
MG
RANITIDINE 150 MG
10GH070 GENERIK RANITIDIN 150 MG TABLET
(HEXA)
RANITIDIN HCl 75
10C1114 RANIVEL SYR NOVELL SYRUP
MG/5 ML
10B6119 ACRAN SANBE RANITIDIN 150 MG TABLET
OMEPRAZOLE 40
10E3213 OMEPRAZOLE INJ GENERIK AMPUL
MG/ML
OMEPRAZOLE 40
10GD118 OMEPRAZOLE INJ GENERIK AMPUL
MG/ML
OMEPRAZOLE 20 MG
10B5987 GENERIK OMEPRAZOLE 20 MG KAPSUL
NOVEL
OMEPRAZOLE 20 MG
10GH063 GENERIK OMEPRAZOLE 20 MG KAPSUL
(HEXA)
OMEPRAZOLE 40 MG OMEPRAZOLE 40
10E0340 GENERIK AMPUL
INJ (BERNO) MG/ML
OMEPRAZOLE 40
10E4953 OMEPRAZOLE INJ GENERIK AMPUL
MG/ML
OMEPRAZOLE 40
10N003 OZID INJ DARYA-VARIA VIAL
MG/ML
10B4137 OMZ FERRON OMEPRAZOLE 20 MG TABLET
OMEPRAZOLE 40
10E4785 OMZ INJ FERRON VIAL
MG/ML
10B0496 PUMPITOR 20 MG SANBE OMEPRAZOLE 20 MG TABLET

10E2110 PUMPITOR 40 MG INJ SANBE OMEPRAZOLE 40 MG AMPUL

ESOMEPRAZOLE 20
10B7507 NEXIUM 20 MG ASTRA TABLET
MG
ESOMEPRAZOLE 40
10B0574 NEXIUM 40 MG ASTRA TABLET
MG
ESOMEPRAZOLE 40
10E0583 NEXIUM INJ ASTRA VIAL
MG/ML
ESOMEPRAZOLE 40
10E0173 ESOFERR FERRON VIAL
MG/ML
ESOMEPRAZOLE 40
ESOMAX INJ OTTO VIAL
MG/ML
LANSOPRAZOLE 30
10GH051 LANSOPRAZOLE 30 MG GENERIK TABLET
MG
LANSOPRAZOLE 30MG LANSOPRAZOLE 30
10B5005 GENERIK TABLET
(NOVELL) MG
LANSOPRAZOLE 30
10B3272 LAZ 30 MG DEXA KAPSUL
MG
LANSOPRAZOLE 30
10B1250 LANVELL 30 MG NOVELL TABLET
MG
LANSOPRAZOLE 15
10B0589 PROSOGAN FD 15 MG TAKEDA TABLET
MG
LANSOPRAZOLE 30
10B0668 PROSOGAN FD 30 MG TAKEDA TABLET
MG
LANSOPRAZOLE 30
10E2111 PROSOGAN 30 MG INJ TAKEDA VIAL
MG
PANTOPRAZOLE 20
10GD063 PANTOPRAZOLE 20 MG GENERIK TABLET
MG
PANTOPRAZOLE 40
10GD064 PANTOPRAZOLE 40 MG GENERIK TABLET
MG
PANTOPRAZOLE INJ PANTOPRAZOLE 40
10E3948 GENERIK AMPUL
(NOVEL) MG/ML
PANTOPRAZOLE INJ PANTOPRAZOLE 40
10E4968 GENERIK AMPUL
(QUANTUM) MG/ML
PANTOPRAZOLE 40 MG PANTOPRAZOLE 40
10B4221 GENERIK AMPUL
INJ MG/ML

31
 PANTOPRAZOLE 40
10E4991 PUMPISEL INJ SANBE AMPUL
MG/ML
PANTOPRAZOLE 20
10B0962 PANTOZOL 20 MG PHAROS TABLET
MG
PANTOPRAZOLE 40
10B0738 PANTOZOL 40 MG PHAROS TABLET
MG
PANTOPRAZOLE 40
10E3944 PANTOZOL 40 MG INJ PHAROS VIAL
MG/ML
PANTOPRAZOLE 40
10E3949 PANVELL NOVELL TABLET
MG
RABEPRAZOLE NA 10
10B0128 PARIET 10 MG EISAI TABLET
MG
RABEPRAZOLE NA 20
10B0160 PARIET 20 MG EISAI TABLET
MG
SUCRALFATE 500
C0503AS SUCRALFATE SYR GENERIK SYRUP
MG/5 ML
SUCRALFATE 500
10C4150 EPISAN SANBE SYRUP
MG/5 ML
SUCRALFATE 500
10C4141 MOLAFATE MOLEX AYUS SYRUP
MG/5 ML
10B0219 PURUBEX EISEI TEPRENONE 50 MG TABLET
10B4503 REPIMIDE NOVELL REBAMIPIDE 100 MG TABLET

10B0259 MUCOSTA OTSUKA REBAMIPIDE 100 MG TABLET

DIMETHYLPOLYSILOX
10B0537 DISFLATYL PHAROS TABLET
ANE 40 MG
KLEBOPRIDE MALEAT
10B0324 CLAST MEIJI TABLET
0,5 MG
SULFASALAZINE 500
10B3307 SULFASALAZINE GENERIK TABLET
MG
SULFASALAZINE 500
10B0246 SULCOLON BERNO TABLET
MG
10B0388 SALOFALK 250 MG DARYA-VARIA MESALAZINE 250 MG TABLET

A0931AS SALOFALK 500 MG DARYA-VARIA MESALAZINE 500 MG TABLET

CHLORDIAZEPOXIDE 5
ANTI SPASMODIK 10B0415 BRAXIDIN SANBE MG, CLIDINIUM TABLET
BROMIDA 2.5 MG
HYOSCINE-N-BUTHYL
BROMIDA 20 MG,
10B6271 GITAS PLUS INTERBAT TABLET
PARACETAMOL 500
MG
HYOSCINE-N-
10E5971 GITAS INJ INTERBAT BUTYLBROMIDE AMPUL
20MG/ML
HYOSCINE-N-BUTHYL
BROMIDA 20 MG,
A0072AS BUSCOPAN PLUS BOEHRINGER TABLET
PARACETAMOL 500
MG
HYOSCINE-N-
10E2386 BUSCOPAN INJ BOEHRINGER BUTYLBROMIDE AMPUL
20MG/ML
PAPAVERIN HCL 40
10E2477 PAPAVERIN INJ GENERIK AMPUL
MG/ML
METAMPIRON 500 MG,
EKSTRAK BELLADONA
10B1220 SPASMAL PRAFA TABLET
5 MG, PAPAVERIN HCL
30 MG

32
 TAISHO
PHARMACEUTI
10B2705 IMODIUM LOPERAMIDE 2 MG TABLET
CAL
INDONESIA
10B0782 LODIA SANBE LOPERAMIDE 2 MG TABLET
ACTAPULGIT 600,
ANTI DIARE 10B4242 DIAGIT INTERBAT TABLET
PECTIN 50
10B0287 NEW DIATAB DARYA-VARIA ATTAPULGIT 600 TABLET
ATTAPULGITE 700 MG,
10B1251 MOLAGIT MOLEX AYUS TABLET
PECTIN 50 MG
KAOLIN 700, PECTIN
C0017AS NEOKAOLANA SYR SANBE SYRUP
66/15 ML
NIFUROXAZIDE 250
10C2637 NIFURAL SYR MEDIFARMA SYRUP
MG/5 ML

LACTOBACILLUS
ACIDOPHILUS R0052
0,1X10^9 CFU,
10B0645 LACIDOFIL DEXA KAPSUL
LACTOBACILLUS
RHAMNOSUS R0011
1,9X10^9 CFU

LACTOBACILLUS
ACIDOPHILUS R0052
0,1X10^9 CFU,
10B3691 LACIDOFIL SACHET DEXA SACHET
LACTOBACILLUS
RHAMNOSUS R0011
1,9X10^9 CFU

Viable cell counts 1 x

10000000 CFU/g
(Lactobacillus
acidophilus,
Bifidobacterium
longun, Streptococcus
10B0371 LACTO B NOVELL SACHET
themophillus), Vit C 10
mg, Vit B1 0.5 mg, Vit
B2 0.5 mg, Vit B6 0.5
mg, niacin 2 mg,
protein 0.02 g, fat 0.1
g. Energi : 3.4 kal.

LACTOBACILLUS
HELVETICUS R0052,
10B4245 PROBIOKID SANBE SACHET
BIFIDOBACTERIUM
INFANTIS R0033

10GK002 ZINK 20 MG GENERIK ZN SULFATE 20 MG TABLET

10B1532 ZINKID TABLET INDOFARMA ZN SULFATE 20 MG TABLET
ZN SULFATE 20
10C2100 ZINKID SYR INDOFARMA TABLET
MG/5ML
LACTOBACILLUS
CASEI, L.
RHAMNOSUS,
STREPTOCOCCUS
THERMOPHILUS,
10B1278 PROTEXIN INFANT COMBIPHAR SACHET
BIFIDOBACTERIUM
BREVE, L.
ACIDOPHILUS, B.
INFANTS, L.
BULGARICUS
LAKSATIF 10B0511 DULCOLAX BOEHRINGER BISACODYL 5 MG TABLET

33
 LACTULOSE 3.335 G/5
10C3887 LACTULAX 60 ML SYR IKAPHARM SYRUP
ML
PHENOLPHTHALEN 55
MG,PARAFFIN
10C1637 LAXADINE 60 ML SYR GALENIUM LIUID1200 MG, SYRUP
GLYCERIN 378 MG/5
ML

MONOBASIC SODIUM
PHOSPATE 2,4 GR,
10C0032 FLEET PHOSPOSODA COMBIPHAR ENEMA
DIBASIC NA
PHOSPHATE 0,9 GR
Monobasic Na
phosphate 19 g,
D0365AS FLEET ENEMA COMBIPHAR dibasic Na phosphate 7 ENEMA
g

NA LAURYL
SULFOACETATE 45
MG, NA CITRATE 450
10D2160 MICROLAX ENEMA PHAROS ENEMA
MG, SORBIC ACID 5
MG, SORBITOL 4,465
MG, PEG400 625 MG

10D4049 STOLAX SUPPO SANBE BISACODYL 10 MG SUPPO

HAEMOROID EKSTRAK CITRUS
10B6073 ARDIUM PRAFA TABLET
SINENSIS
LESITIN MURNI (PPC
95%) 100 MG,
EKSTRAK
10B3917 LANAVEN LANDSON KAPSUL
HIPOKASTAN 50 MG,
EKSTRAK SITRUS
KOMPLEKS 65 MG

LITHOSPERMI RADIX
EXTR, BENZOCAINE,
10D1905 BORRAGINOL N SUPP TAKEDA DIBUCAINE HCL, SUPPO
DIPHENHYDRAMINE
HCL, CETRIMEDE

LITHOSPERMI RADIX
EXTR, BENZOCAINE,
DIBUCAINE HCL,
10D1907 BORRAGINOL S SUPP TAKEDA SUPPO
DIPHENHYDRAMINE
HCL, CETRIMEDE,
LIDOCAINE

LITHOSPERMI RADIX
EXTR, BENZOCAINE,
10D1906 BORRAGINOL N OINT TAKEDA DIBUCAINE HCL, TUBE
DIPHENHYDRAMINE
HCL, CETRIMEDE

LITHOSPERMI RADIX
EXTR, BENZOCAINE,
DIBUCAINE HCL,
10D1908 BORRAGINOL S OINT TAKEDA TUBE
DIPHENHYDRAMINE
HCL, CETRIMEDE,
LIDOCAINE

34
 POLYCRESULENE,
10D2036 FAKTU OINT PHAROS TUBE
CINCHOCAINE
POLYCRESULENE,
10D2037 FAKTU SUPP PHAROS SUPPO
CINCHOCAINE
ONDANSENTRON 4
ANTIEMETIK 10B0177 ONDANSETRON 4 MG GENERIK TABLET
MG
ONDANSENTRON 8
10GB107 ONDANSETRON 8 MG GENERIK TABLET
MG
ONDANSETRON 4 MG ONDANSETRON 4
10GH064 GENERIK AMPUL
INJ MG/2 ML
ONDANSETRON 4 MG ONDANSETRON 4
10E4414 GENERIK AMPUL
INJ (DEXA) MG/2 ML
ONDANSETRON 4 MG ONDANSETRON 4
10E2440 GENERIK AMPUL
INJ (NOVEL) MG/2 ML
ONDANSETRON 8 MG ONDANSETRON 8
10E2448 GENERIK AMPUL
INJ (NOVEL) MG/4 ML
ONDANSETRON 8 MG ONDANSETRON 8
10E4500 GENERIK AMPUL
INJ(DEXA) MG/4 ML
10B0400 TROVENSIS 4 MG TAB SANBE ONDANSETRON 4 MG TABLET
ONDANSETRON 4
10E4972 TROVENSIS 4 MG INJ SANBE AMPUL
MG/2 ML
ONDANSETRON 8
10E4973 TROVENSIS 8 MG INJ SANBE AMPUL
MG/4 ML
ONDANSETRON 4
10E4107 FRAZON 4 MG INJ FERRON AMPUL
MG/2 ML
ONDANSETRON 8
10E4108 FRAZON 8 MG INJ FERRON AMPUL
MG/4 ML
GRANISETRON 1
10E4421 GRANISETRON INJ GENERIK AMPUL
MG/ML
GRANISETRON 1
10E0061 GRANON INJ DEXA AMPUL
MG/ML
TROPISETRON
10E0258 SETROVEL INJ NOVEL AMPUL
1MG/ML
METOCLOPRAMIDE 10 METOCLOPRAMIDE 10
10B5404 GENERIK AMPUL
MG MG
METOCLOPRAMIDE 10
10B0468 DAMABEN 10 MG SANBE AMPUL
MG
METOCLOPRAMIDE 5
10C3099 DAMABEN SYR SANBE SYRUP
MG/5 ML
METOCLOPRAMIDE 5
10E2560 DAMABEN INJ SANBE AMPUL
MG/ ML
DOMPERIDON 10 MG
10GD037 GENERIK DOMPERIDON 10 MG TABLET
(DEXA)
DOMPERIDON 5
10GH032 DOMPERIDON SYR GENERIK SYRUP
MG/ML
10B4362 VOMETA FT DEXA DOMPERIDON 10 MG TABLET
DOMPERIDON 1
10C4682 VOMETA SYR DEXA SYRUP
MG/ML
DOMPERIDON 5 MG/1
10C1754 VOMETA DROP DEXA DROP
ML
10B0525 VOSEDON 10 MG SANBE DOMPERIDON 10 MG TABLET
DOMPERIDON 5 MG/5
10C0510 VOSEDON SYR SANBE SYRUP
ML
10B1143 ZELMAC 6 MG NOVARTIS TEGASERAD 6 MG TABLET
PIRATIASINA 40 MG,
10B5118 ANVOMER B6 DEXA TABLET
B6
PIRATIAZIN TEOKLAT
10B4212 PREGVOMIT FAHRENHEIT TABLET
40MG, B6 37,5MG

35
 PURE LECITHIN (PPC
95%) 175 MG (300
MG), VIT B1 6 MG, VIT
HEPATO PROTECTOR 10B4069 LESICHOL 300 MG LANDSON B2 6 MG, VIT B6 6 KAPSUL
MG, VIT B12 6 MCG,
VIT E 10 MG,
NICOTINAMIDE 30 MG

PURE LECITHIN (PPC

95%) 175 MG (600
MG), VIT B1 6 MG, VIT
10B5808 LESICHOL 600 MG LANDSON B2 6 MG, VIT B6 6 KAPSUL
MG, VIT B12 6 MCG,
VIT E 10 MG,
NICOTINAMIDE 30 MG

LECITHIN 300 MG, VIT

B1 1,4 MG, VIT B2
1,6 MG, VIT B6 2 MG,
10B4361 LESIPAR LAPI KAPSUL
VIT B12 3 MCG, VIT E
10 MG,
NIKOTINAMIDE 18 MG
URSODEOXYCHOLIC
10GD086 GENERIK 250 MG KAPSUL
ACID 250 MG
URSODIOXYCHOLIC
URLICON NOVELL KAPSUL
ACID 250 MG
URSODIOXYCHOLIC
10B3796 URDAFALK 250 MG DARYA-VARIA KAPSUL
ACID 250 MG
ORNISPAR ORAL L-ORNITHINE-L-
10B9976 NOVELL SACHET
POWDER ASPARTATE 3 GR
L-ORNITHINE-L-
10B0134 HEPAMERZ GRANUL COMBIPHAR ASPARTATE SACHET
3GR/SACHET
L-ORNITHINE-L-
10E0148 HEPAMERZ INJ COMBIPHAR ASPARTATE 5 MG/10 AMPUL
ML
MONO AMONIUM
GLYCYRRHIZINATE
4MG, AMINO ACETIC
10E6113 SNMC DEXA ACID 40MG, L- AMPUL
CYSTEIN
HYDROCHLORIDE
2MG
BIOLIFE FRUCTUS
10B1234 HP PRO KAPSUL
MEDILAB SCHIZANDRAE 7,5 MG

SILLYBUMMARIANUM
70MG, CURCUMA
10B0900 VITOCAN PROMITRA XANTHORIZA 10MG, KAPSUL
SOYABEAN EXT
300MG

36
 EXTRA RADIX
ASTRAGALUS
MEMBRANACEUS
(HUANGQI), EXTRA
RADIX SALVIA
MILTHIORRIZA
10B0146 AHFC (DANSHEN), EXTRA SACHET
RADIX BUPLEURUM
CHINENSE (CHAIHU),
EXTRA RADIX
SPATHOLOBUS
SUBERECTUS
(JIXUETENG)

10B0362 CURCUMA SOHO CURCUMA 20 MG TABLET

CINNAMOMUM
GASTRO PROTECTOR 10B4231 REDACID DEXA TABLET
BURMANNII 250 MG

10E2115 RESFAR INJ FAHRENHEIT AMPUL

Acetylcysteine
ANTI DOTES &
ANTI ANTI DOTES & ANTI
DETOXIFYING DETOXIFYING AGENT
10B3504 RENVELA TAB SANOFI Sevelamer carbonate TABLET
AGENT

VITAMIN DAN
VITAMIN A, C, D & E 10B3355 SANTA E 100 MG SANBE VITAMIN E 100 MG TABLET
MINERAL
10B4317 SANTA E 400 MG SANBE VITAMIN E 400 MG TABLET
10B4530 LANTUROL LANDSON VITAMIN E 400 IU TABLET
10B1345 VITAMIN C GENERIK VITAMIN C 25 MG TABLET
10B1346 VITAMIN C GENERIK VITAMIN C 100 MG TABLET
10E2537 VITAMIN C GENERIK VITAMIN C 100 MG AMPUL
VITAMIN K 10E0126 Phytomenadion GENERIK VITAMIN K AMPUL
A0184AS Pytomenadion GENERIK VITAMIN K TABLET
PHYTOMENADION
10E0009 NEO-K COMBIPHAR AMPUL
10MG/ML
10B1370 VITAMIN K GENERIK VITAMIN K TABLET
VITAMIN B KOMPLEKS/ FURSULTIAMINE HCL,
10B0320 ALINAMIN F TAKEDA TABLET
DENGAN VIT. C B2 5 MG
FURSULTIAMINE HCL
10E2361 ALINAMIN F TAKEDA AMPUL
25 MG/10 ML
FURSULTIAMINE HCL
10E4675 FURAMIN INJ MEPRO AMPUL
25 MG/10 ML
B1 100 MG, B6 200
10B5142 NEUROSANBE SANBE TABLET
MG, B12 200 MCG
B1 100 MG, B6 100
10B5141 NEUROSANBE5000 SANBE TABLET
MG, B12 5000 MCG
B1 100 MG, B6 100
10E2393 NEUROSANBE 5000 INJ SANBE AMPUL
MG, B12 5000 MCG
B1 100 MG, B6 200
10B0919 NEUROBION MERCK TABLET
MG, B12 200 MCG
B1 100 MG, B6 100
10B0865 NEUROBION 5000 MERCK TABLET
MG, B12 5000 MCG
B1 1OO MG, B6 200
10B0913 NEURODEX DEXA TABLET
MG, B12 250 MCG

10B0367 COBAZIM INTERBAT COENZYME B12 1 MG KAPSUL

10B4121 COBAZIM INTERBAT COENZYME B12 3 MG KAPSUL

37
KALSIUM/ DENGAN OSSEIN
10B7586 OSSOPAN 800 DARYA VARIA TABLET
VITAMIN HYDROXYAPATITE

CA HYDROGEN
A0083AS CAVIT D3 MERCK PHOSPATE, TABLET
CHOLECALCIFEROL
COD LIVER OIL,
CURCUMA,
MULTIVITAMIN,
10B9966 ELKANA CL SANBE SYRUP
MINERAL, LYSINE,
CHOLINE, AA-DHA-
GOS
DIBASIC CA
POSPHATE, CA
10B0584 ELKANA SANBE TABLET
LAKTATE, B6, C, D3,
CA LACTATE, CA

DIBASIC CA
POSPHATE, CA
10C1563 ELKANA SANBE SYRUP
LAKTATE, B6, C, D3,
CA LACTATE, CA
Genistein 15 mg, Ca
carbonate 1,000 mg,
10B9031 OSTOGARD NOVELL KAPLET
vit D3 400 IU, omega-
3 50 mg
Ca Gluconate, Ca
hidrogen phosphate,
vit A, D, B1, B2, B6,
10C4567 Vicalcin (IFARS) IFARS SYRUP
B12, C, nikotinamid,
Ca penthothenate, L-
lisin hidroklorida
10BL002 LIKOKALK BERLICO Ca Laktat KAPSUL

FOLIC ACID, B-
KAROTEN, B1, B2,
NICOTINAMIDE, B6,
CA PANTOTHENATE,
VITAMIN
10B0227 FOLAMIL GENIO DEXA CA CARBONATE, B12, KAPSUL
HAMIL/MENYUSUI
D3, K1, BIOTIN,
COPPER GLUCONATE,
FE, DHA,
ARACHIDONIC ACID

Folic acid, Vitamin D3,

10B4947 FOLAMIL GENIO GOLD DEXA KAPSUL
Ca carbonate, DHA

B12 20 MCG, EKSTRAK

10B0847 MOLOCO DARYA VARIA TABLET
PLACENTA 15 MG
Omega-3 fatty acid,
DHA, EPA, Vit A, D3,
10B4211 PROMAVIT LAPI TABLET
B12, B6, folic acid, Ca,
Mg, Fe
10B6382 FOLAVIT 400 MCG SANBE Folic acid 400 mcg TABLET
10B1562 FOLAVIT 1000 MCG SANBE Folic acid 1000 mcg TABLET
Vit E, C, B1, B6, B12,
MULTIVITAMIN &
10B3440 BECOM ZET SANBE folic acpant acid, Zn, TABLET
MINERAL
niacin
VIT. B1,B2,B6,B12, C,
10B0365 BECOM C SANBE Nicotinamide, KAPSUL
Panthotenic Acid

38
 Vit A 2,000 iu,
thiamine 5 mg,
riboflavin 2 mg,
pyridoxine 5 mg,
cyanocobalamin 2
mcg, nicotinamide 10
mg, folic acid 15 mcg,
choline 5 mg, inositol
10C0425 ZAMEL SYR NOVELL SYRUP
12 mg, biotin 100
mcg, vit E 5 iu, Fe 5
mg, Zn 2.5 mg, Mg 35
mg, copper 300 mcg,
selenium 20 mcg,
chromium 15 mcg,
lysine 100 mg, L-
glutamine 50 mg cya
Zn 1.5 mg, vitamin A
2,000 IU, vitamin B1
0.5 mg, vitamin B2 0.6
mg, vitamin B12 2
mcg, vitamin C 30 mg,
10C2102 ZAMEL DROPS NOVELL DROP
vitamin D3 400 IU,
vitamin E 5 IU,
pantothenic acid 5 mg,
nicotinamide 8 mg,
biotin 5 mcg.

Lutein, lycopene, vit E,

10B6457 LYCOXY DEXA KAPSUL
C, Carotene, Se, Zn
Beta carotene 10.000
iu 250 mg, vit E 200
10B0416 SELOXY AA FERRON KAPSUL
iu, Zn 20 mg, Se 30
mcg
Vit A, D, B1, B2, B6, C,
10C1110 SAN-B-PLEX SANBE Nikotinamida, DROP
Dekspantenol
Colostrum bovine 250
mg, fructo-
10B2251 BIOSTRUM LAPI SYRUP
oligosaccharide 1,5 g,
Zn 3 mg

VIT. A, D3, E, C, B1,

B2, B3, B5, B6, B12,
FOLIC ACID, BIOTIN,
NICOTINAMIDE,
10E4400 CERNEVIT KALBE AMPUL
GLYCINE,
GLYCOCHOLIC ACID,
SOYBEAN LECITHIN,
PANTOTHENIC ACID

SUPLEMEN & TERAPI

10B6307 PSIDII DEXA Psidii Folium 500 mg KAPSUL
PENUNJANG
10C6307 PSIDII SYR DEXA Psidii Folium 250 mg SYRUP
Ophiocepalus striatus
10B2123 VIPALBUMIN ROYAL (ikan gabus) extract KAPSUL
500 mg
Lutein 3 mg, lycopene
2,vit E 25 mg, vit C
10B3458 OPTIMAX FERRON 100 mg, Zn 100 mg, KAPSUL
beta karoten, 6000 iu,
bilberry extr 80 mg

39
 Fraksi Bioaktif dari
Lagerstroemia
10B0907 INLACIN 50 MG DEXA speciosa (Folium) & KAPSUL
Cinnamomum
burmannii (Korteks)

Fraksi Bioaktif dari

Lagerstroemia
10B0905 INLACIN 100 MG DEXA speciosa (Folium) & KAPSUL
Cinnamomum
burmannii (Korteks)
10B0338 BERRY VISION CAP SANBE Bilberry dry extr 80 mg KAPSUL

hydrolized protein,
Carbohidrate, miny
nabati, amino acid, vit
A, D, B1, B6, B12, C,
10B4110 NUTROCID NOVELL E, K, folic acid, SACHET
panthothenate acid,
nicotinic acid, biotin,
kolin, Na, K, Ca, Mg,
Cl, Fe, Zn, Cu, Mn

10B1901 QTEN COM NOVELL Coenzyme Q10 COM KAPSUL

10B5610 QTEN 30 NOVELL Coenzyme Q10 30 mg KAPSUL

10B7806 QTEN 60 NOVELL Coenzyme Q10 60 mg KAPSUL

Coenzyme Q10 100
10B0361 QTEN 100 NOVELL KAPSUL
mg
Natural Astaxanthin
10B1414 Asthin Force-6 SOHO KAPSUL
6mg
Astaxanthin 4mg +
10B0448 ASTHIN B-OND SOHO KAPSUL
extr. Melon 10 mg
10B0961 TEBOKAN PHAPROS Ginkgo biloba TABLET
Ekstrak kering ginkgo-
biloba 40 mg,
10B2114 TEBOKAN SPESIAL PHAPROS standardized at 9.6 mg TABLET
ginkgoflavone
glycosides
Coenzyme Q10 60,
10B1562 LIPROQY SANBE KAPSUL
100 MG

Glucosamine HCI 500

mg, chondroitin sulfate
400 mg, vit C 30 mg,
10B0462 VOSTEM FORTE SANBE KAPLET
manganese 0.5 mg,
Mg 10 mg, Zn 5 mg,
selenium 7 mcg

Glucosamine HCl 500

10B0636 FLEXOR DS DEXA mg, chondroitin sulfate TABLET
400 mg

Ca Phosphate Dibasic,
Soy Isoflavone, Vit D3,
10B1020 OSTEOPOR COMBIPHAR Mg Oxide, Zn Sulphate TABLET
100 mg, Zn 5 mg, Br 1
mg
10B2251 FITBON SOHO Glucosamine, Mn TABLET

40
 Ekstrak kering
Echinacea purpurea
250 mg, Phyllanthus
10B4142 FORMUNO SANBE niruri 50 mg, ekstrak KAPLET
Black elderberry 300
mg, Zn picolinate 10
mg, vitamin
Echinacea C 100
(EFLA mg
894)
500 mg, zinc picolinate
10C4986 IMUNOS SYR LAPI 5 mg, selenium 15 SYRUP
mcg

Echinacea purpurea
extr 500 mg, β-1,3/1,6
10C4152 IMUNOS PLUS SYR LAPI glucan 125 mg, Zn SYRUP
picolinate 5 mg,
selenium 15 mcg
Beta caroten 10.000
10B0069 RETIVIT SANBE iu, vit C 500 mg, vit E KAPSUL
100 iu
ACETAZOLAMIDE 250
10B0778 GLAUSETA SANBE TABLET
MG
Serrapeptase, Thiamin
Mononitrat,
Cyanocobalamin,
10B0524 MECOLA LAPI TABLET
Nicotinamid,
Tocopherol acetate,
riboflavine, Pyridoxine
Serrapeptase, Thiamin
Mononitrat,
Cyanocobalamin,
10B0708 MECOLA FORTE LAPI TABLET
Nicotinamid,
Tocopherol acetate,
riboflavine, Pyridoxine
D-ribose, L-camitine
10B9008 SYNCORE LANDSON fumarate, Coenzym SACHET
Q10, Mg Citrate

Kalsium sitrat 300 mg,

Kalsium fosfat 325 mg,
Asam amino kalsium
chelate, Kalsium total
229.2 mg, Magnesium
115.9 mg, Asam amino
zinc chelate (Zinc 2.5
mg) 12.5 mg, Asam
CALCIMAG KALBE amino mangan chelate KAPSUL
(mangan 1.5 mg) 15
mg, Asam askorbat
(Vit C) 60 mg,
Cholecalciferol (Vit D3
200 IU) 5 µg,
Phytomenadione (Vit
K1) 5 µg, Asam folat
100 µg

HERBA
Echinac Syr 60 ml, 220
MEDICA Echinaceae BOTOL
ml
LESTARI
GENTAMICIN SULFATE
DERMATOLOGI ANTI INFEKSI 10D2989 SAGESTAM SANBE CREAM 10 G
0,1%
10D2073 GENTAMICIN GENERIK GENTAMICIN CREAM 5 G

41
 CLINDAMYCIN
10D0391 CLINIUM INTERBAT GEL 15 G
PHOSPATE 1%
10D1918 BURNAZYN DARYA VARIA SILVER SULFADIAZINE CREAM 35 G
10D0120 FUSYCOM COMBIPHAR FUSIDIC ACID CREAM 5 G
10D0301 AFUCID FERRON FUSIDIC ACID 2% CREAM 5 G
PIROTOP CREAM 10
10D1904 SDM LAB MUPIROCIN 20 MG CREAM 5 G/10 G
GRAM
PIROTOP CREAM 5
10D1266 SDM LAB MUPIROCIN 20 MG CREAM 5 G/10 G
GRAM
ANTI FUNGI 10GD047 KETOCONAZOLE GENERIK KETOCONAZOLE 2% CREAM 10 G
KETOCONAZOLE 20
10D4586 FORMYCO SANBE CREAM 10 G
MG
10D3840 KETOMED SDM LAB KETOCONAZOLE 2% BOTOL 60 ML
10D4063 MICONAZOLE GENERIK MICONAZOLE 2% CREAM 10 G
10D4537 TERMISIL FERRON TERBINAFINE HCL 1% CREAM 5 G

10D2189 TERMISIL FERRON TERBINAFINE HCL 1% CREAM 10 G

NYSTATIN 100.000 IU,
10D1016 MYCO-Z TAISHO OINT 10 G
ZnO 200 MG
DEXPANTHENOL,
TOCOPHERYL
10D2580 BABY DEX-A MEIJI ACETATE, OINT 20 G
HYDROGENATED
RETINOL
10D0269 LOPROX SANOFI CICLOPIROX BOTOL
DESOXIMETHASONE
KORTIKOSTEROID 10D4515 DEXIGEN IFARS CREAM 5 G
0,25%
DESOXIMETHASONE
10D2842 ESPERSON SANOFI CREAM 5 G
0,25%
DESOXIMETHASONE
10D0181 ESPERSON SANOFI CREAM 15 G
0,25%
MOMETASONE
10D1991 DERMOVEL FERRON CREAM 5 G
FUROATE 0,1%
MOMETASONE
10D8859 DERMOVEL FERRON CREAM 10 G
FUROATE 0,1%
MOMETASONE
10D4043 ELOCON MERCK CREAM 5 G
FUROATE 0,1%
MOMETASONE
10D3803 ELOCON MERCK LOTION 10 ML
FUROATE 0,1%
BETAMETHASONE
10D1894 BENOSON BERNOFARMA CREAM 5 G
0,05%
BETAMETHASONE
10D1891 BENOSON BERNOFARM CREAM 15 G
0,05%
CLOBETASOLE
10D0092 FORDERM FERRON CREAM 10 G
PROPIONATE 0,05%
FLUCINOLONE
10D1963 CINOLON SANBE CREAM 10 G
ACETONIDE
HYDROCORTISON
10D2902 HYDROCORTISON GENERIK CREAM
2,5%
Hydrocortison 17
KOMBINASI 10D0692 LOCOID ASTELLAS LOTION
butyrate
CLOTRIMAZOLE 10
10D0999 BAYCUTEN N BAYER MG, DEXAMETHASONE CREAM 5 G
2 MG

BETAMETHASONE
DIPROPIONATE 0,5
10D2157 DAIVOBET LEO PHARMA CREAM 30 G
MG, CALCIPOTRIOL 50
MCG

42
 FLUCINOLONE
ACETONIDE 0,025%,
10D1961 CINOLON N SANBE CREAM 10 G
NEOMYCIN SULFAT
0,5%

GENTAMICIN SULFATE
1,67 MG,
10D0126 CINOGENTA FERRON CREAM 10 G
FLUOCINOLONE
ACETONIDE 0,25 MG
BETAMETHASONE
VALERATE 0,1%,
10D5917 BENOSON N KIMIA FARMA CREAM 5 G
NEOMYCIN SULFATE
0,5%
BETAMETHASONE
VALERATE 0,1%,
10D3138 BENOSON M BERNOFARMA CREAM 5 G
MICONAZOLE
NITRATE 2%
BETAMETHASONE
VALERATE 0,1%,
10D2822 BENOSON G BERNOFARMA CREAM 10 G
GENTAMYCIN
SULFATE 0,1%

NEOMYCINE SULFATE
10D2173 NEBACETIN POWDER PHAROS 5 MG, BACITRACIN POWDER 5 G
250 IU
ANTI VIRUS 10D5487 ACYCLOVIR GENERIK ACYCLOVIR 5% CREAM 5 G
10D4398 ACIFAR IFARS ACYCLOVIR 5% CREAM 5 G
Asiaticoside 40%,
ANTI KELOID 10B0139 MADECASSOL TAB ROCHE asiatic acid 30%, TABLET
madecassic acid 30%

Asiaticoside 40%,
10D2155 MADECASSOL ROCHE asiatic acid 30%, OINT 10 G
madecassic acid 30%
ALLIUM CEPA EXTR
10D4459 MEDERMA COMBIPHAR 10%, ALLANTOIN 1 GEL 20 G
%, ALOE VERA
GALENIUM
ANTI SKABIES 10D0039 SCABIMITE PERMETRIN 5% CREAM 10 G
PHARMASIA
GALENIUM
10D2009 SCABIMITE PERMETRIN 5% CREAM 30 G
PHARMASIA
ASAM SALISILAT 2%,
10D2243 SALEP 2-4 AFIAT OINT 5 G
SULFUR 4%
PSEUDOCERAMIDE,
PHYTOSTEROLS,
STEARIC ACID,
LAIN-LAIN 10D2610 NOROID SOHO CREAM 80 G
VEGETABLE OIL,
SQUALANE,
DEFENSAMIDE

10D2156 DAIVONEX LEO PHARMA CALCIPOTRIOL CREAM

10D3915 CARMED 10% SDM LAB UREA 10% CREAM 40 G
Radix Scutellarae 0.87
gram, Phellodendri
10D1475 MEBO COMBIPHAR cortex 0.87 gram, OINT 20 G
Rhizoma coptidis 0.87
gram

43
 TETRA CHLORODECA-
10C2006 OXOFERIN PHAROS OXYGEN ANION Soln 0,002%
COMPLEX
10D0324 SAGALON SDM DOXEPIN HCL 5% CREAM
10D1903 BIOPLACENTON KALBE KALSIUM ALGINAT GEL
Neomisin Sulfat 5 mg,
10D0093 CENTABIO SANBE Ekstrak Plasenta 100 GEL 20 G
mg

Anhydrous Lanolin,
isopropyl miristate,
cethyl alkohol, sorbitan
10D7416 DECUBAL ACTAVIS CREAM 20 G
monostearate,
polysorbate, dimeticon,
sorbic acid, glycerol

10D2309 THROMBOPOP NORDMARK HEPARIN CREAM

Advanced Bio- Polysiloxane, silicon
10D5004 KELO-COTE GEL
Technologies dioxide
ASAM HALURONAT
10D0602 BIONEC COMBIPHAR CREAM 15 G
0,2%
TELINGA &
ANTI INFEKSI & ANTI
MULUT/TENGGO 10D6389 TARIVID KALBE OFLOXACIN 3 MG/ML DROP 5 ML
SEPTIC TELINGA
ROKAN

CHLORAMPENICOL
10D1968 COLME EAR DROP INTERBAT DROP
10%, LIDOCAIN 4%

10DE001 ERLAMYCETIN ERELA CHLORAMPENICOL 1% DROP 10 ML

Polymyxin B sulfate
10.000 iu, neomycin
ANTI SEPTIC TELINGA sulfate 5 mg,
10D3205 OTILON SANBE fludrocortisone acetate DROP 8 ML
& KORTIKOSTEROID
1 mg, lidocaine HCl 40
mg

Framycetin sulphate 5
mg, gramicidin 0.05
10D1493 BLECIDEX SANBE mg, dexamethasone DROP 5 ML
Na metasulfobenzoate
0.5 mg
POLYMYXIN B
SULFATE 50.000 IU,
NEOMYCIN SULFATE
25 MG,
10D2204 OTOPAIN INTERBAT DROP 8 ML
FLUDROCORTISONE
ACETATE 5 MG,
LIDOCAINE HCL 200
MG
PREPARAT TELINGA DOCUSATE NA 5
10D1326 FORUMEN SANBE DROP 10 ML
GOLONGAN LAIN MG/ML
10D2966 GLYCERIN DROP 10 ML
TIMOL 10 mg,
10D1161 VITAL MEDIKON MENTOL 20 mg, DROP 10 ML
KAMFER 600 mg
PREPARAT MULUT TRIAMCINOLONE
10B0142 KETRICIN ORAL BASE FERRON OINT 5 G
/TENGGOROKAN ACETONIDE 0,1%
HYALURONIC ACID
10C0404 SANORINE (HIJAU) SANBE GARGLE 80 ML
0,1%
HYALURONIC ACID
10C0403 SANORINE (BIRU) SANBE GARGLE 80 ML
0,025%

44
 Benzydamine Hcl
10D4031 TANTUM VERDE SOHO 7,5mg, Aethanolum GARGLE 60 ML
10%
MAHAKAM
10D0939 BETADINE GARGLE povidon iodida 1% GARGLE 100 ML
BETA FARMA
10D4980 MINOSEP GARGLE MINOROCK CLORHEXIDIN 0,2% GARGLE 150 ML
Plasma immune
VAKSIN, SERUM &
SISTEM IMUN 10E0284 GAMMARAAS COMBIPHAR globulin intra vena VIAL 2.5 G / 50 ML
IMUNOLOGIKAL
(human) 5%

ADSORBED PURIFIED
RECOMBINANT
10E0266 ENGERIX-B ADULT GLAXO VIAL
HEPATITIS B SURFACE
ANTIGEN 20 MCG

ADSORBED PURIFIED
RECOMBINANT
10E0273 ENGERIX-B PAED GLAXO VIAL
HEPATITIS B SURFACE
ANTIGEN 10 MCG

ANTIGEN
(REKOMBINAN)
10E0254 EUVAX-B DEWASA SANOFI HEPATITIS B DG VIAL
KEMURNIAN TINGGI)
20 MCG
ANTIGEN
(REKOMBINAN)
10E0598 EUVAX-B PED SANOFI HEPATITIS B DG VIAL
KEMURNIAN TINGGI)
10 MCG
DIPA
10E0635 HYPERHEB INJ IG HEPATITIS B SYRINGE
PHARMALAB
HEPATITIS B
10E2654 IMMUNOGLOBULIN P DEXA IG HEPATITIS B SYRINGE
BEHRING
10E7309 TETAGAM P DEXA HUMAN TETANUS IG AMPUL

SERUM ANTI BISA

ULAR (Agkistrodon
10E2959 BIOSAVE BIOFARMA rhodostoma, Bungarus VIAL
Fasciatus. Naja
sputatrix, Fenol)
SERUM ANTI TETANUS
10E3923 ANTI TETANUS SERUM BIOFARMA AMPUL
1500 IU
A/H1N1, 1/HN2, B15,
10E1633 FLUBIO BIOFARMA AMPUL
Thimerosal
AMOXICILLIN CAP
ANTIBIOTIK BETA LAKTAM 10A0030 GENERIK AMOXICILLIN 250 MG TABLET
250MG GEN
AMOXICILIN CAP
(PENICILLIN) 10GH007 GENERIK AMOXICILLIN 500 MG TABLET
500MG GEN
AMOXICILIN CAP
10GB010 GENERIK AMOXICILLIN 500 MG TABLET
500MG GEN
AMOXICILLIN 125
10C0029 AMOXICILLIN SYR GENERIK DRY SYR
MG/5 ML
AMOXICILLIN 125MG/5 AMOXICILLIN 125
10C4012 GENERIK DRY SYR
ML MG/5 ML
10A0013 AMOXSAN 250 MG CAP SANBE AMOXICILLIN 250 MG TABLET

10A0014 AMOXSAN CAP 500 MG SANBE AMOXICILLIN 500 MG TABLET

AMOXICILLIN 125
10C1427 AMOXSAN DRY SYR SANBE SYRUP
MG/5 ML
AMOXSAN FORTE DRY AMOXICILLIN 250 MG/
10C1422 SANBE SYRUP
SYR 5 ML

45
 AMOXICILLIN 100
10C4967 AMOXSAN DROP SANBE DROP
MG/ML

10E2380 AMOXSAN 1 GR INJ SANBE AMOXICILLIN 1 GR VIAL

AMOXICILLIN 500 MG/

CO-AMOXYCLAV 625
10A0521 GENERIK ASAM KLAVULANAT KAPSUL
MG
125 MG

AMOXICILLIN 500 MG/

CLANEKSI 500 MG
10A4320 SANBE ASAM KLAVULANAT KAPSUL
KAPLET
125 MG

AMOXICILLIN 125 MG/

10C1606 CLANEKSI DRY SYR SANBE ASAM KLAVULANAT DRY SYR
31.25 MG

AMOXICILLIN 250 MG/

10C1589 CLANEKSI FORTE SYR SANBE ASAM KLAVULANAT DRY SYR FORTE
62.5 MG DLM 5 ML

AMOXICILLIN 1 GR/
10E0054 CLANEKSI INJ SANBE ASAM KLAVULANAT VIAL
200 MG

AMOXICILLIN 500 MG/

10A0196 DEXYCLAV 500 MG TAB DEXA ASAM KLAVULANAT KAPSUL
125 MG

AMOXICILLIN 125 MG/

10C1516 DEXYCLAV SYR 60 ML DEXA ASAM KLAVULANAT DRY SYR
31.25 MG

AMOXICILLIN 250 MG/

10C1451 DEXYCLAV FORTE SYR DEXA ASAM KLAVULANAT DRY SYR
62.5 MG DLM 5 ML
AMPICILIN
10A3021 GENERIK AMPICILLIN 500 MG TABLET
500MG/KAPL/GEN
AMPICILLIN
10A0028 GENERIK AMPICILLIN 250 MG TABLET
250MG/KAPL/GEN
AMPICILLIN 125 MG/ 5
10C0037 AMPICILLIN SYR GENERIK DRY SYR
ML
10GB014 AMPICILLIN 1 GR INJ GENERIK AMPICILLIN 1 GR VIAL
10A0218 SANPICILLIN 250 MG SANBE AMPICILLIN 250 MG TABLET

10A0215 SANPICILLIN 500 MG SANBE AMPICILLIN 500 MG TABLET

AMPICILLIN 125 MG /
10C0030 SANPICILIN SYR SANBE DRY SYR
5 ML
10E3945 SANPICILLIN INJ 1 GR SANBE AMPICILLIN 1 GR VIAL

AMPICILLIN 1 GR/
10E0526 VICILLIN SX 1,5 GR INJ MEIJI VIAL
SULBAKTAM 500 MG

AMPICILLIN 1 GR/
10E4208 CINAM 1 GR (JKN) SANBE VIAL
SULBAKTAM 500 MG

AMPICILLIN 1 GR/
10E4204 CINAM 1 GR INJ SANBE VIAL
SULBAKTAM 500 MG

10A0051 MEIXAM 500 MG CAP MEIJI CLOXACILLIN 500 MG KAPSUL

10E4791 MEIXAM 1 GR INJ MEIJI CLOXACILLIN 1 GR VIAL
10E6033 MEIXAM 500 MG INJ MEIJI CLOXACILLIN 500 MG VIAL

46
 PROKAIN BENZIL
PENICILLIN PROCAIN 3
10E2476 MEIJI PENICILLIN 3.000.000 VIAL
JUTA INJ
IU/ML
10E2433 KEDACILLIN INJ 1 GR TAKEDA SULBENICILIN 1 GR VIAL
BETA LAKTAM 10GD094 CEFAZOLIN 1 GR GENERIK CEFAZOLIN 1 GR VIAL
CEFADROXILE 500 MG
(CEPHALOSPORIN 10A4221 GENERIK CEFADROXIL 500 MG KAPSUL
CAP
CEFADROXILE 500 MG
GENERASI PERTAMA) 10GD023 GENERIK CEFADROXIL 500 MG KAPSUL
(DEXA)
CEFADROXIL 500 MG
10GH017 GENERIK CEFADROXIL 500 MG KAPSUL
(HEXA)
CEFADROXIL 125 MG CEFADROXIL 125 MG/
10GH015 GENERIK DRY SYR
SYRUP 5 ML
CEFADROXIL 250 MG/5 CEFADROXIL 250 MG/
10GB037 GENERIK DRY SYR
ML SYR 5 ML
10A3358 CEFAT CAP 250 MG SANBE CEFADROXIL 250 MG KAPSUL

10A3361 CEFAT CAP 500 MG SANBE CEFADROXIL 500 MG KAPSUL

CEFADROXIL 125 MG/
10C1743 CEFAT DRY SYRUP SANBE DRY SYR
5 ML
CEFADROXIL 250 MG/
10C1740 CEFAT FORTE DRY SYR SANBE DRY SYR
5 ML
10A0178 DEXACEF FORTE CAP FERRON CEFADROXIL 500 MG KAPSUL
CEFADROXIL 125 MG/
10C1420 DEXACEF DS 60 ML FERRON DRY SYR
5 ML
CEFABIOTIC 500 MG
10A3544 BERNO CEFALEXIN 500 MG TABLET
CAPS
CEFABIOTIC 250 MG
10A3545 BERNO CEFALEXIN 250 MG TABLET
CAPS
CEFALEXIN 125 MG/ 5
10C3664 CEFABIOTIC SYR 60 ML BERNO SYRUP
ML
10A0820 OMNICEF 100 MG TAB INMARK CEFDINIR 100 MG KAPSUL
(CEPHALOSPORIN 10E0517 ANBACIM INJ SANBE CEFUROXIME 1 GR VIAL
GENERASI KEDUA) 10B0274 ANBACIM 500 MG TAB SANBE CEFUROXIME 500 MG TABLET

10E0129 CELOCID 750 INJ DEXA CEFUROXIME 750 MG VIAL

(CEPHALOSPORIN 10GB035 CEFOPERAZON 1 GR GENERIK CEFOPERAZONE 1 GR VIAL

GENERASI KETIGA) CEFOPERAZONE 500
CEFOPERAZON
10GD096 GENERIK MG/ SULBACTAM 500 VIAL
SULBACTAM 1 GR
MG

CEFOPERAZONE 500
CEFOPERAZON
10GB034 GENERIK MG/ SULBACTAM 500 VIAL
SULBACTAM 1 GR
MG

CEFOPERAZONE 500
10E4331 CEFOBACTAM INJ SANBE MG/ SULBACTAM 500 VIAL
MG

CEFOPERAZONE 500
10E1120 FOPEBAC INJ NOVELL MG/ SULBACTAM 500 VIAL
MG

CEFOPERAZONE 500
BACTRAZ INJ OTTO MG/ SULBACTAM 500 VIAL
MG
10B0102 CEFIXIME 50 CAP GENERIK CEFIXIME 50 MG KAPSUL
10GD024 CEFIXIME 100 CAP GENERIK CEFIXIME 100 MG KAPSUL
CEFIXIME 100 MG
10GB040 GENERIK CEFIXIME 100 MG KAPSUL
(BERNO)

47
 CEFIXIM 100 MG
10GH019 GENERIK CEFIXIME 100 MG KAPSUL
(HEXA)
10GD025 CEFIXIME 200 MG GENERIK CEFIXIME 200 MG KAPSUL
CEFIXIME DRY CEFIXIME 100 MG/ 5
10GB042 GENERIK DRY SYR
SYRUP(BERNO) ML
CEFIXIME SYR 100 MG/ CEFIXIME 100 MG/ 5
10C0211 GENERIK DRY SYR
5 ML ML
CEFIXIME 100 MG/ 5
10GD026 CEFIXIME SYR (DEXA) GENERIK DRY SYR
ML
10B0251 SPORETIK 50 MG CAP SANBE CEFIXIME 50 MG KAPSUL

10B0250 SPORETIK 100 MG CAP SANBE CEFIXIME 100 MG KAPSUL

10B0300 SPORETIK 200 MG SANBE CEFIXIME 200 MG KAPSUL
CEFIXIME 100 MG/ 5
10C0141 SPORETIK DRY SYR SANBE DRY SYR
ML
10A0024 STARCEF 50 MG CAP DEXA CEFIXIME 50 MG KAPSUL
10A0031 STARCEF 100 MG DEXA CEFIXIME 100 MG KAPSUL
10A0025 STARCEF 200 MG DEXA CEFIXIME 200 MG KAPSUL
CEFIXIME 100 MG/ 5
10C5295 STARCEF SYR DEXA DRY SYR
ML
10GH021 CEFOTAXIME INJ GENERIK CEFOTAXIME 1 GR VIAL

10GD097 CEFOTAXIME INJ GENERIK CEFOTAXIME 1 GR VIAL

10E4999 TAXEGRAM 0,5 GR SANBE CEFOTAXIME 500 MG VIAL

10E2443 TAXEGRAM INJ 1 GR SANBE CEFOTAXIME 1 GR VIAL

10GB045 CEFTRIAXONE INJ GENERIK CEFTRIAXONE 1 GR VIAL

10GD027 CEFTRIAXONE INJ GENERIK CEFTRIAXONE 1 GR VIAL

10GH023 CEFTRIAXONE INJ GENERIK CEFTRIAXONE 1 GR VIAL

10E4533 CEFTRIAXONE INJ GENERIK CEFTRIAXONE 1 GR VIAL

METISKA
10E4416 CEFTRIMET INJ CEFTRIAXONE 1 GR VIAL
FARMA
10E0320 ECOTRIXON 1 GR INJ BERNO CEFTRIAXONE 1 GR VIAL

10E3742 TERFACEF 1 GR INJ SANBE CEFTRIAXONE 1 GR VIAL

10GH022 CEFTAZIDIM 1 GR GENERIK CEFTAZIDIME 1 GR VIAL
10GD099 CEFTAZIDIME 1 GR GENERIK CEFTAZIDIME 1 GR VIAL
10E4475 CEFTUM INJ FERRON CEFTAZIDIME 1 GR VIAL
CEFDITOREN PIVOXIL
10A0002 MEIACT 200 MG MEIJI TABLET
200 MG
(CEPHALOSPORIN
10E0117 MAXICEF INJ 1 GR PHAROS CEFEPIME HCI 1 GR VIAL
GENERASI KEEMPAT)
10E1112 CEFEPIME INJ GENERIK CEFEPIME HCI 1 GR VIAL
10E4476 CEFRIN INJ DEXA CEFPIROME 1 GR VIAL
10E0531 BACTIROM INJ SANBE CEFPIROME 1 GR VIAL
CHLORAMPHENICOL CHLORAMPHENICOL
(CHLORAMPHENICOL) 10A3033 GENERIK KAPSUL
250 MG GEN 250 MG
CHLORAMPHENICOL CHLORAMPHENICOL
10C0019 GENERIK DRY SYR
SYR 125 MG/ 5 ML
COLSANCETIN 250 MG CHLORAMPHENICOL
10A0061 SANBE KAPSUL
CAP 250 MG
CHLORAMPHENICOL
10C1506 COLSANCETIN SYR SANBE SYRUP
125 MG/ 5 ML
CHLORAMPHENICOL 1
10E3364 COLSANCETIN INJ SANBE VIAL
G/VIAL

48
 BIOTHICOL CAP 250 THIAMPHENICOL 250
10A0036 SANBE KAPSUL
MG MG
BIOTHICOL CAP 500 THIAMPHENICOL 500
10A0037 SANBE KAPSUL
MG MG
THIAMPHENICOL 125
10C1448 BIOTHICOL SYR SANBE DRY SYR
MG / 5 ML
THIAMPHENICOL 250
10C1449 BIOTHICOL F SYR SANBE DRY SYR
MG / 5 ML
BETA LAKTAM 10GD112 MEROPENEM INJ 1 GR GENERIK MEROPENEM 1 GR VIAL

10GH058 MEROPENEM 1 GR INJ GENERIK MEROPENEM 1 GR VIAL

MEROPENEM 1 GR
10E4952 GENERIK MEROPENEM 1 GR VIAL
(NOVEL)
MEROPENEM INJ 1GR
10E1655 GENERIK MEROPENEM 1 GR VIAL
QUANTUM
MEROPENEM INJ 0,5
10E0471 GENERIK MEROPENEM 500 MG VIAL
GR
10E4213 MEROPEX INJ BERNO MEROPENEM 1 GR VIAL
10GD104 DORIPENEM INJ GENERIK DORIPENEM 500 MG VIAL
GENTAMYCIN INJ 80 GENTAMYCIN 80 MG/
AMINOGLIKOSIDE 10E2424 GENERIK VIAL
MG 2 ML
GENTAMYCIN 80 MG/
10E4473 SAGESTAM INJ SANBE VIAL
2 ML
AMIKASIN SULFAT 500 AMIKASIN SULFATE
10GD090 GENERIK VIAL
MG INJ(DEXA) 500 MG
AMIKASIN SULFATE AMIKASIN SULFAT 250
10GD089 GENERIK VIAL
250 MG INJ MG
AMIKASIN SULFATE
10E0142 MIKASIN 500 MG INJ KALBE VIAL
250 MG/ 2 ML
NETILMICIN SULFATE
10E7001 HYPOBHAC INJ 100 MG PHAPROS VIAL
100 MG
NETILMICIN SULFATE
10E2106 HYPOBHAC INJ 200 MG PHAPROS VIAL
200 MG
STREPTOMYCINE INJ STREPTOMISIN
10E2511 GENERIK VIAL
1GR SULFATE 1 GR
10E2434 KANAMYCIN INJ 1 GR MEIJI KANAMYCIN 1 GR VIAL

10A0102 KANAMYCIN 250 CAP MEIJI KANAMYCIN 250 MG KAPSUL

ERYTHROMYCIN 500
MACROLIDE 10A0074 ERYSANBE CAP 500 MG SANBE TABLET
MG
ERYSANBE CHEWABLE ERYTHROMYCIN 200 TABLET
10A0067 SANBE
TAB MG CHEWABLE
ERYTHROMYCIN 200
10C1562 ERYSANBE SYR 60 ML SANBE DRY SYR
MG / 5 ML
CLARITHROMYCIN 500 CLARITHROMYCIN 500
10A4220 GENERIK TABLET
MG TAB MG
CLARITHROMYCIN 500
10A4870 BICROLID 500 MG SANBE TABLET
MG
AZITHROMYCIN 500 AZITHROMYCIN 500
10GK001 GENERIK TABLET
MG MG
AZITHROMYCIN 500
10E4993 AZITHROMYCIN INJ GENERIK VIAL
MG/VIAL
AZITHROMYCIN 200
10GD015 AZITHROMYCIN SYR GENERIK DRY SYR
MG/ 5 ML
AZITHROMYCIN 500
10A0003 AZOMAX 500 MG TAB DEXA TABLET
MG
AZITHROMYCIN 200
10C0027 AZOMAX DRY SYR DEXA DRY SYR
MG/ 5 ML
AZITHROMYCIN 250
10A0259 MEZATRIN 250 MG TAB SANBE KAPSUL
MG
AZITHROMYCIN 500
10A0143 ZIBRAMAX 500 MG TAB GUARDIAN TABLET
MG
AZITHROMYCIN 500
10E4243 ZIBRAMAX SYRUP BERNO VIAL
MG/ML

49
 AZITHROMYCIN 500
10E4246 ZISTIC INF BERNO VIAL
MG
AZITHROMYCIN 500
10B0557 ZISTIC 500 TAB BERNO TABLET
MG
10A6711 SPIRASIN 500 MG TAB SANBE SPIRAMYCIN 500 MG TABLET

10GD031 CLINDAMYCIN 150 TAB GENERIK CLINDAMYCIN 150 MG TABLET

CLINDAMYCIN 150 MG
10A5983 GENERIK CLINDAMYCIN 150 MG TABLET
NOVEL
CLINDAMYCIN 300 MG
10A5984 GENERIK CLINDAMYCIN 300 MG TABLET
NOVEL
10A5981 CLINDAMYCIN 300 TAB GENERIK CLINDAMYCIN 300 MG TABLET

10A0363 ANEROCID 150 MG FERRON CLINDAMYCIN 150 MG TABLET

10A0142 ANEROCID 300 MG FERRON CLINDAMYCIN 300 MG TABLET

10A0016 PROLIC 150 MG CAP SANBE CLINDAMYCIN 150 MG TABLET

10A5591 PROLIC 300 CAP SANBE CLINDAMYCIN 300 MG TABLET

CIPROFLOXACIN 250 CIPROFLOXACIN 250
QUINOLON 10A4125 GENERIK KAPSUL
MG GEN MG
CIPROFLOXACIN 500 CIPROFLOXACIN 500
10A0254 GENERIK KAPSUL
MG TAB MG
CIPROFLOXACIN 500 CIPROFLOXACIN 500
10GH025 GENERIK KAPSUL
MG (HEXA) MG
CIPROFLOXACIN INF CIPROFLOXACIN 200
10E0337 GENERIK BOTOL
(BERNO) MG/ML
CIPROFLOXACIN INFUS CIPROFLOXACIN 200
10E0180 GENERIK BOTOL
QUANTUM MG/ML
CIPROFLOXACIN 200
10GD101 CIPROFLOXACIN INFUS GENERIK BOTOL
MG/ML
BAQUINOR 500 MG CIPROFLOXACIN 500
10A4118 SANBE KAPSUL
TAB MG
CIPROFLOXACIN 200
10E6305 BAQUINOR INFUS SANBE BOTOL
MG/ML
CIPROFLOXACIN 200
10E0351 QUIDEX INFUS FERRON BOTOL
MG/ML
CIPROFLOXACIN 500
10A3530 QUIDEX 500 MG TAB FERRON TABLET
MG
OFLOXACIN 200 MG
10GD060 GENERIK OFLOXACIN 200 MG TABLET
TAB (DEXA)
OFLOXACIN 200 MG
10A6148 GENERIK OFLOXACIN 200 MG TABLET
TAB
OFLOXACIN 400 MG
10B4254 GENERIK OFLOXACIN 400 MG TABLET
TAB (DEXA)
10A6925 AKILEN 200 MG SANBE OFLOXACIN 200 MG TABLET

10A4388 AKILEN 400 MG SANBE OFLOXACIN 400 MG TABLET

10A4213 DEXAFLOX 400 MG DEXA PEFLOXACIN 400 MG TABLET

MOXIFLOXACIN HCl
10E2131 MOXIFLOXACIN IV GENERIK BOTOL
400 MG/ 250 ML
MOXIFLOXACIN HCl
10B0211 AVELOX 400 MG TAB BAYER TABLET
400 MG
MOXIFLOXACIN HCl
10E0632 AVELOX IV 250 ML BAYER BOTOL
400 MG/ 250 ML
LEVOFLOXACIN 500 MG LEVOFLOXACIN 500
10GB083 GENERIK TABLET
TAB MG
LEVOFLOXACIN 500
10GD109 LEVOFLOXACIN INFUS GENERIK BOTOL
MG/ 100 ML
LEVOFLOXACIN 750 MG LEVOFLOXACIN 750
10GH053 GENERIK BOTOL
IV MG/ 100 ML

50
 LEVOFLOXACIN 750 MG LEVOFLOXACIN 750
10GD108 GENERIK BOTOL
IV MG/ 100 ML
LEVOFLOXACIN 500
10A0062 LEVOCIN 500 TAB SANBE TABLET
MG
LEVOFLOXACIN 500
10E0364 LEVOCIN INF SANBE BOTOL
MG/ 100 ML
LEVOFLOXACIN 750
10E0443 LEVOS 750 MG IV GUARDIAN BOTOL
MG/ 100 ML
METRONIDAZOLE 250 METRONIDAZOLE 250
10A2803 GENERIK TABLET
MG GEN MG
METRONIDASOL 500 METRONIDAZOLE 500
10GB098 GENERIK TABLET
MG GEN MG
METRONIDAZOLE METRONIDAZOLE 500
10GD114 GENERIK BOTOL
INFUS MG/ ML
METRONIDAZOLE METRONIDAZOLE 500
10E1210 GENERIK BOTOL
INFUS MG/ ML
METRONIDAZOL INFUS METRONIDAZOLE 500
10GB099 GENERIK BOTOL
(BERNO) MG/ ML
TRICHODASOL 500 MG METRONIDAZOLE 500
10A0225 SANBE TABLET
TAB MG
METRONIDAZOLE 500
10E4561 TRICHODAZOLE INFUS SANBE BOTOL
MG/ ML
METRONIDAZOLE 500
10A0078 FLADEX FORTE TAB SANBE TABLET
MG
METRONIDAZOLE 500
10E5379 FLADEX INF DEXA BOTOL
MG/ ML
TETRACYCLIN 250 MG
TETRACYCLIN 10A2805 GENERIK TETRACYCLIN 250 MG TABLET
GEN
10A2802 TETRACYCLIN 500 MG GENERIK TETRACYCLIN 500 MG TABLET
DOXYCYCLINE 100 MG
10GD038 GENERIK DOXYCICLIN 100 MG TABLET
CAP
10B0321 INTERDOXIN 50 TAB INTERBAT DOXYCICLIN 50 MG TABLET

10A0023 SICLIDON 100 MG SANBE DOXYCICLIN 100 MG TABLET

10B1256 NOLIPO 500MG SANBE LINCOMYCIN 500 MG TABLET

SULFAMETOXAZOLE
ANTIBIOTIKA LAIN 10GB057 COTRIMOXAZOL TAB SANBE 400 MG/ TABLET
TRIMETOPRIM 80 MG
SULFAMETOXAZOLE
COTRIMOXAZOLE 200 MG/
10GB059 SANBE SYRUP
SYRUP TRIMETOPRIM 40 MG
DLM 5 ML
SULFAMETOXAZOLE
COTRIMOXAZOL FORTE
10B4240 SANBE 800 MG/ TABLET
TAB
TRIMETOPRIM 160 MG

SULFAMETOXAZOLE
10B1213 SANPRIMA TAB SANBE 400 MG/ TABLET
TRIMETOPRIM 80 MG

SULFAMETOXAZOLE
SANPRIMA FORTE
10B1210 SANBE 800 MG/ TABLET
TABLET
TRIMETOPRIM 160 MG
SULFAMETOXAZOLE
200 MG/
10C1784 SANPRIMA SYR SANBE SYRUP
TRIMETOPRIM 40 MG
DLM 5 ML
10E0542 FOSMYCIN INJ GENERIK FOSFOMYCIN 1 GR VIAL
10E0541 FOSMYCIN INJ GENERIK FOSFOMYCIN 2 GR VIAL

51
 COLISTIN 2.500.000 UI POLIMYCYN E
10B0460 ACTAVIS TABLET
TAB SULFATE 2.500.000 IU

COLISTIN 1.500.000 UI POLIMYCYN E

10B0461 ACTAVIS TABLET
TAB SULFATE 1.500.000 IU
ANTI VIRAL 10E0331 ZOVIRAC INJ GLAXO ACYCLOVIR 250 MG VIAL
10A0007 ZOVIRAX 200 MG TAB GLAXO ACYCLOVIR 200 MG TABLET

10A5163 ACYCLOVIR 200 MG GENERIK ACYCLOVIR 200 MG TABLET

10A5011 ACYCLOVIR 400 MG GENERIK ACYCLOVIR 400 MG TABLET

10GH001 ACYCLOVIR 400 MG GENERIK ACYCLOVIR 400 MG TABLET

VALACYCLOVIR 500
10B0026 HERCLOV TAB SANBE TABLET
MG
10B0853 BARACLUDE 0.5 BMS ENTECAVIR 0.5 MG TABLET
10B0857 BARACLUDE 1 MG BMS ENTECAVIR 1 MG TABLET

10D4884 RICOVIR TAB KIMIA FARMA TENOFOVIR TABLET

ADENOVIR DIPIVOXIL
10B0161 HEPSERA TAB GLAXO TABLET
10 MG
METHISOPRINOL 500
10C0991 ISPRINOL SYR NOVELL TABLET
MG
METHISOPRINOL 500
10A0015 ISOPRINOSIN 500 TAB DARYA VARIA TABLET
MG
METHISOPRINOL 250
10C0002 ISOPRINOSIN SYR DARYA VARIA TABLET
MG/ 5 ML
10B1271 HEPLAV TAB KIMIA FARMA LAMIVUDINE 100 MG TABLET
ANTI-
RETROVIRAL
10B0870 3TC-HBV 100 MG TAB GLAXO LAMIVUDINE 100 MG TABLET

10B0179 SEBIVO 600 MG TAB GLAXO TELBIVUDINE 600 MG TABLET

KETOKONAZOL TAB KETOKONAZOLE 200

ANTI FUNGI 10GD048 GENERIK TABLET
200 MG MG
KETOKONAZOL 200 MG KETOKONAZOLE 200
10GH043 GENERIK TABLET
(HEXA) MG
KETOKONAZOLE 200
10B0715 FORMYCO TABLET SANBE TABLET
MG
ITRAKONAZOLE 100
10GB076 ITRAKONAZOLTAB GENERIK TABLET
MG
ITRAKONAZOLE 100
10A4124 SPORACID CAPSUL FERRON KAPSUL
MG
GRISEOFULVIN 125
10B3137 GRISEOFULVIN TAB GENERIK TABLET
MG
GRISEOFULVIN 500
10B1141 GRIVIN FORTE TAB PHAPROS TABLET
MG
FLUCONAZOLE 200
10E4946 FLUKONAZOLE INFUS GENERIK BOTOL
MG/ ML
FLUKONAZOL 150 MG FLUCONAZOLE 150
10B4398 GENERIK TABLET
CAP MG
FLUKONAZOL 50 MG
10B4399 GENERIK FLUCONAZOLE 50 MG TABLET
CAP
FLUCONAZOLE 150
10A0220 DIFLUCAN 150 MG PFIZER TABLET
MG
FLUCONAZOLE 2 MG/
10E6483 DIFLUCAN INF PFIZER BOTOL
ML (100 ML)
10B0120 ZEMYC 50 MG TAB PHAROS FLUCONAZOLE 50 MG TABLET
FLUCONAZOLE 150
10A5003 ZEMYC 150 TAB PHAROS TABLET
MG
NYSTATIN 100.000 UI/
10C1157 NYMIKO SUSP DROP SANBE DROP
ML

52
 NYSTATIN 100.000 UI/
10C0126 FUNGATIN DROP FERRON DROP
ML
ANTI-
10GB123 RIFAMPICIN 450 MG GENERIK RIFAMPICIN 450 MG TABLET
TUBERKULOSIS

10A0204 RIFAMPICIN 450 MG GENERIK RIFAMPICIN 450 MG TABLET

10A3273 RIFAMPICIN 600 MG GENERIK RIFAMPICIN 600 MG TABLET

10GB124 RIFAMPICIN 600 MG GENERIK RIFAMPICIN 600 MG TABLET

10A0174 RIFAMTIBI TAB 450 MG SANBE RIFAMPICIN 450 MG TABLET

10A0175 RIFAMTIBI CAP 600 MG SANBE RIFAMPICIN 600 MG TABLET

ETHAMBUTOL 500 MG
10B3012 GENERIK ETHAMBUTOL 500 MG TABLET
TAB
ETHAMBUTOL 500 MG
10B4926 GENERIK ETHAMBUTOL 500 MG TABLET
(KF)
10B2946 SANTIBI 500 MG TAB SANBE ETHAMBUTOL 500 MG TABLET
ETHAMBUTOL 250
10B1225 SANTIBI PLUS TAB SANBE MG; INH 100 MG; TABLET
VITAMIN B6 6 MG
10B2801 PIRAZINAMID 500 MG GENERIK PYRAZINAMID 500 MG TABLET

10B0109 SANAZET TAB SANBE PYRAZINAMID 500 MG TABLET

10B4325 INH CIBA 300 MG GENERIK ISONIAZID 100 MG TABLET
RIFAMPICIN 150 MG ;
INH 75 MG ;
10B4442 PRO TB 4 PHAPROS PYRAZINAMID 400 MG TABLET
; ETHAMBUTOL 275
MG
RIFAMPICIN 150 MG ;
INH 75 MG ;
10A0185 RIFASTAR 4FDC TAB INDOFARMA PYRAZINAMID 400 MG TABLET
; ETHAMBUTOL 275
MG
RIFAMPICIN 150 MG ;
10B4443 PRO TB 2 PHAPROS TABLET
INH 150 MG
ISONIAZID 400 MG ;
10B1072 PEHADOXIN FORTE TAB PHAPROS TABLET
VITAMIN B6 10 MG

ISONIAZID 100 MG ;
10B1301 PEHADOXIN TAB PHAPROS TABLET
VITAMIN B6 10 MG
PIRANTEL PAMOAT
ANTELMINTIK 10B1097 PIRANTEL PAMOAT TAB PHAPROS TABLET
125 MG
COMBANTRIN JERUK PIRANTEL PAMOAT
10C2635 PFIZER SYRUP
SYR 100 MG/ 5 ML
PIRANTEL PAMOAT
10B0284 COMBANTRIN 250 TAB PFIZER TABLET
250 MG
COMBANTRIN 125 MG PIRANTEL PAMOAT
10B4437 PFIZER TABLET
TAB 125 MG
MEBENDAZOLE 500
10B3938 VERMOX 500 MG TAB JANSEN TABLET
MG
ANTIMALARIA 10B0662 KINA TAB KIMIA FARMA KINA FOSFAT 200 MG TABLET

CHLOROQUIN- CHLOROQUINE 250

10B2886 GENERIK TABLET
DIFOSFAT 250MG TAB MG
CHLOROQUINE 250
10B0948 RESOCHIN TAB BAYER TABLET
MG
CHLOROQUINE 250
10B2698 RIBOQUIN TABLET DEXA TABLET
MG

53
 SULFADOKSIN 500 MG
FANSIDAR 500-25 MG
10B0409 ROCHE ; PIRIMETAMINA 25 TABLET
TAB
MG

URINARY UROTRACTIN CAP 400 PIPEDEMIC ACID 400

10A0243 SANBE TABLET
ANTISEPTIK MG MG

NATRIUM PHENYTOIN PHENYTOIN SODIUM

ANTI EPILEPSI PHENYTOIN NA 10E1163 GENERIK AMPUL
INJ (NOVEL) 50 MG/ ML
PHENYTOIN SODIUM
10B0253 PHENYTOIN CAP GENERIK KAPSUL
100 MG
PHENYTOIN SODIUM
10E0950 KUTOIN INJEKSI MERSI AMPUL
100 MG/ 2 ML
PHENYTOIN SODIUM
10B0030 KUTOIN CAPSUL MERSI KAPSUL
100 MG
PHENYTOIN SODIUM
10E2367 DILANTIN INJ 1 ML PFIZER AMPUL
50 MG/ ML
PHENYTOIN SODIUM
10E2369 DILANTIN INJ 5 ML PFIZER AMPUL
50 MG/ ML
PHENYTOIN SODIUM
10B0580 DILANTIN 100 CAP PFIZER KAPSUL
100 MG
GABA ANALOGS 10B1425 ALPENTIN 100 MG ACTAVIS GABAPENTIN 100 MG TABLET

10GD039 GABAPENTIN 300 MG GENERIK GABAPENTIN 300 MG KAPSUL

GABAPENTIN 300 MG
10B4257 GENERIK GABAPENTIN 300 MG KAPSUL
(NULAB)
NEURONTIN 300
10B5422 PFIZER GABAPENTIN 300 MG KAPSUL
TABLET
CARBAMAZEPINE 200
CARBAMAZEPINE 10B4621 BAMGETOL 200 MG MERSI TABLET
MG
TEGRETOL CHEWABLE CARBAMAZEPINE 100
10B0724 NOVARTIS TAB CHEWABLE
100 MG MG
CARBAMAZEPINE 200
10B1311 TEGRETOL TAB 200 MG NOVARTIS TABLET
MG
CARBAMAZEPINE 200
10B3868 TEGRETOL CR 200 TAB NOVARTIS TABLET
MG CR
TRILEPTAL TAB 300 OXCARBAZEPINE 300
OXCARZEPINE 10B0358 NOVARTIS TABLET
MG MG
DIVALPROEX NA 500
DIVALPROEX NA 10B0557 DEPAKOTE ER 500 TAB NOVARTIS TABLET
MG
DEPAKOTE 250 MG DIVALPROEX NA 250
10B0714 NOVARTIS TABLET
TAB MG
VALPROIC ACID 250
VALPROIC ACID 10C0147 DEPAKENE SYR ABBOT SYRUP
MG/ 5 ML
VALPROIC ACID 250
10GD014 ASAM VALPROAT SYR GENERIK SYRUP
MG/ 5 ML
DIAZEPAM 10E0330 STESOLID 2 ML INJ ACTAVIS DIAZEPAM 5 MG/ ML AMPUL
STESOLID RECTAL 5
10D2252 ACTAVIS DIAZEPAM 5 MG RECTAL
MG
STESOLID RECTAL 10
10D2254 ACTAVIS DIAZEPAM 10 MG RECTAL
MG
10B1356 VALISANBE TAB 2 MG SANBE DIAZEPAM 2 MG TABLET

10B3279 VALISANBE 5 MG TAB SANBE DIAZEPAM 5 MG TABLET

DIAZEPAM TAB 2 MG
10B2778 GENERIK DIAZEPAM 2 MG TABLET
GEN
DIAZEPAM 10 MG/ 2
10E0514 DIAZEPAM INJ GENERIK AMPUL
ML
MATA

54
 KODE
GOLONGAN SUB GOLONGAN NAMA BARANG PRODUK KOMPOSISI SEDIAAN
BARANG
ANTIMIKROBA CHLORAMPHENICOL 10D1966 COLME EYE DROP INTERBAT CHLORAMPHENICOL DROP
AMINOGLIKOSIDA 10D4473 SAGESTAM EYE DROP SANBE GENTAMYCIN DROP

CENDO GENTAMYCIN
10D3480 CENDO GENTAMICYN 0,3% OINT
0,3% EYE OINT
GENTAMICIN 0,3% ED
10D1018 GENERIK GENTAMICYN 0,3% DROP
(OGB)
CENDO GENTAMYCIN
10D3402 CENDO GENTAMYCIN 1% DROP
1% 5 CC

CENDO GENTAMYCIN
10D4413 CENDO GENTAMYCIN 0,3% DROP
0,3% 5 CC ED
CENDO TOBRO EYE
10D0130 CENDO TOBRAMYCIN DROP
DROP 5 ML
CENDO TOBRO
10D0215 CENDO TOBRAMYCIN MDS
MINIDOSE
QUINOLON 10D4098 BAQUINOR EYE DROP SANBE CIPROFLOXACIN DROP
10D2510 CENDO FLOXA 5 ML CENDO OFLOXACIN DROP
10D0603 CENDO FLOXA MDS CENDO OFLOXACIN MDS
10D6389 TARIVID EYE DROP FERRON OFLOXACIN DROP
10D0540 CRAVIT EYE DROP FERRON LEVOFLOXACIN OPHTH SOLN
10D0695 LFX MINIDOSE CENDO LEVOFLOXACIN MDS
TETRASIKLIN 10D2363 OXYTETRACICLIN GENERIK OXYTETRACICLIN OPHTH SOLN
10D0337 TERRAMYCIN PFIZER OXYTETRACICLIN OINT
ACYCLOVIR 10D0017 HERVIS CENDO ACYCLOVIR OINT 3,5 G
DEXAMETHASON
0,1%, NEOMYCIN
ANTI INFLAMASI 10D1975 XITROL EYE DROP CENDO SULF 3,5 MG/ML, DROP
POLYMYXIN B SULF
6000 L/ML
Deksametason 1 mg,
Neomisin Sulfat 3,5
10D3643 POLIDEMISIN ED SANBE DROP
mg, Polimiksin B Sulfat
6000 iu
DEXAMETHASON
0,1%, NEOMYCIN
10D1972 XITROL EYE OINT CENDO SULF 3,5 MG/ML, OINT
POLYMYXIN B SULF
6000 L/ML
DEXAMETHASON
0,1%, NEOMYCIN
10D4495 XITROL MDS CENDO SULF 3,5 MG/ML, MDS
POLYMYXIN B SULF
6000 L/ML
DEXAMETHASON
0,1%, NEOMYCIN
10D1952 POLYDEX 5 CC CENDO SULF 3,5 MG/ML, DROP
POLYMYXIN SULF
6000 L/ML
DEXAMETHASON NA
DEXATON EYE DROP 5
10D1973 CENDO PHOSPHAT, OINT
ML
NEOMYCIN SULF
NEOMICYN 2.5 MG,
POLYMYCIN SULF
10D1950 POLYGRAN 5 CC CENDO 10000 IU, DROP
GRAMICIDIN 0.025
MG

55
 NEOMICYN 2.5 MG,
POLYMYCIN SULF
POLYGRAN EYE OINT 5
10D0255 CENDO 10000 IU, OINT
GR
GRAMICIDIN 0.025
MG

FLUOROMEHOLONE
1MG, NEOMYCIN
10D2645 POLYNEL EYE DROP CENDO SULFATE SETARA DROP
DENGAN NEOMYIN
BASE 3,5MG

FLUOROMEHOLONE
1MG, NEOMYCIN
10D4244 POLYNEL MDS CENDO SULFATE SETARA MDS
DENGAN NEOMYIN
BASE 3,5MG

10D1492 FLAMAR ED SANBE NA DIKLOFENAK DROP

CENDO NA DIKLOFENAK 1 MG DROP
10D2007 NONCORT ED
MIDRIATIK 10D3996 MYDRIATYL 1% ED CENDO TROPICAMIDE 1% DROP
10D3997 MIDRIATYL 0.5% 5ML CENDO TROPICAMIDE 0,5 % DROP
ATROPINE SULFATE
10D1976 TROPIN 1% EYE DROP CENDO DROP
1%
TROPIN 0,5% EYE CARBOXYMETHYLCELL
10D3689 CENDO DROP
DROP ULOSE SODIUM 5 MG
CARPIN EYE DROP 1%
MIOTIK 10D1983 CENDO PILOCARPINE HCL 1% DROP
5 ML
10D1948 CARPINE 2% 5 ML CENDO PILOCARPINE HCL 2% DROP

10D1999 CARPINE 4% 5ML CENDO PILOCARPINE HCL 4% DROP

10D0604 BETOPTIMA EYE DROP ALCON BETAXOLOL HCL 0,5% DROP

TIMOLOL MALEATE
GLAUCOMA 10D0606 TIMOL 0,5% EYE DROP CENDO DROP
0,5%
TIMOL 0,25% EYE TIMOLOL MALEATE
10D0610 CENDO DROP
DROP 0,25%
LATANOPROST 0,05
10D0069 XALATAN EYE DROP PFIZER DROP
MG
LATANOPROST 0,05
10D0974 GLAOPEN MDS CENDO MDS
MG
10D0334 AZOPT EYE DROP ALCON BRINZOLAMIDE DROP
NATRIUM DAN
LAIN - LAIN 10D1955 LYTEERS 15 ML CENDO KALIUM DENGAN DROP
BENZALKONIUM CL
NATRIUM DAN
10D4243 LYTEERS MDS CENDO KALIUM DENGAN MDS
BENZALKONIUM CL
TOBRAMYCIN 3 MG,
TOBROSON 5 EYE
10D0266 CENDO DEXAMETHASONE 1 DROP
DROP
MG

TOBRAMYCIN 3 MG,
TOBROSON EYE DROP
10D0259 CENDO DEXAMETHASONE 1 DROP
MD
MG

Tobramycin 3 mg,
10D1490 BRALIFEX PLUS ED SANBE DROP
dexamethasone 1 mg

56
 POTASSIUM IODIDE 5
VITROLENTA EYE
10D2355 CENDO MG, SODIUM IODIDE DROP
DROP 5 ML
10 MG

POTASSIUM IODIDE 5
10D2356 VITROLENTA ED MDS CENDO MG, SODIUM IODIDE MDS
10 MG

10D0236 ALEGYSAL EYE DROP FERRON PEMIROLAST KALIUM DROP

10D5897 HIALID EYE DROP FERRON NA HYALURONATE DROP

SILOXAN EYE DROP CENDO NA HYALURONATE DROP

CARBOXYMETHYLCELL
10D0675 CENFRESH EYE DROP CENDO DROP
ULOSE SODIUM 5 MG

CENFRESH MINIDOSE CARBOXYMETHYLCELL

10D3490 CENDO MDS
0,6ML ULOSE SODIUM 5 MG
Dextran 70 0.1%,
10D4539 SANBE TEARS ED SANBE DROP
hypromellose 0.3%
10D6391 KARY-UNI EYE DROP FERRON PIRENOXINE OPHTH SUSP
PANTOCAIN EYE DROP TETRACAINE 0,5%
10D3788 CENDO DROP
0,5% 5ML 5ML
PANTOCAIN EYE DROP TETRACAINE 2%5
10D3787 CENDO DROP
2% 5 ML ML
PANTOCAIN EYE DROP TETRACAINE 0,5 % 15
10D3786 CENDO DROP
0,5% 15 ML ML
PANTOCAIN EYE DROP TETRACAINE 2 % 15
10D3785 CENDO DROP
2% 15 ML ML

CACL 0.075 MG,

KALIUM IODIDA 0.075
10D1953 CATARLENT 15 CC CENDO MG, NA THIOSULFATE DROP
0.0075 MG,
THIMEROSOL 0.3 MG

CACL 0.075 MG,

KALIUM IODIDA 0.075
10D4242 CATARLENT MDS CENDO MG, NA THIOSULFATE MDS
0.0075 MG,
THIMEROSOL 0.3 MG

10D1979 VASACON EYE DROP CENDO NAPHAZOLINE HCL OPHTH SOLN

NAPHAZOLINE HCL
10D1977 VASACON A EYE DROP CENDO 0,05%, ANTAZOLINE OPHTH SOLN
PHOSP 0,5%

10D4100 DIBEKACIN EYE DROP MEIJI DIBEKACIN SULFATE DROP

NAPHAZOLINE
HYDROCHLORIDE 0,25
10D0010 VERNACEL EYE DROP CENDO DROP
MG, PHENIRAMINE
MALEATE 3 MG

57
 VITAMIN A
PALMITATE 1000 IU,
OXYMETAZOLINE
10D1940 ASTHENOF EYE DROP CENDO HYDROCHLORIDE 0,25 DROP
MG, HYDROXYPROPYL
METHYLCELLULOSE 5
MG

CROMOLYN SODIUM 2
10D3671 CONVER 15 ML CENDO DROP
MG
CROMOLYN SODIUM 2
10D3672 CONVER MDS CENDO MDS
MG
NATRIUM
10D0605 CETAMID EYE DROP CENDO DROP
SULFASETAMIDA
PHENYLEPHRINE HCL
10D1874 EFRISEL 10% 5 ML CENDO DROP
10%
CHLORAMPHENICOL
10D3755 FENICOL 0,25% CENDO DROP
0,25%
CHLORAMPHENICOL
10D4435 FENICOL EYE OINT CENDO OINT
1%
POLYVINYLPYROLIDO
10D0208 PROTAGEN-A EYE CENDO DROP
NE 20 MG
POLYVINYLPYROLIDO
10D0208 PROYAGEN A MDS CENDO MDS
NE 20 MG
NEOMICIN SULFATE
3,5 MG, POLIMIXIN B
STATROL 5 CC EYE
10D1978 CENDO SULFATE 16250 U, DROP
DROP
PHENYLEPHRINE 0,12
%.

NEOMISIN SULFAT 3,5

10D3809 STATROL EYE OINT CENDO MG, POLIMIKSIN B OINT
SULFAT 16250 U

OKSITOSIK
KODE
GOLONGAN SUB GOLONGAN NAMA BARANG PRODUK KOMPOSISI SEDIAAN
BARANG

METHYL ERGOMETRIN
UTEROTONIK 10E2503 METHERGIN NOVARTIS AMPUL
2 MG

10B2508 METVELL NOVELL METHYL ERGOMETRIN TABLET

METHYL ERGOMETRIN
10E4332 METVELL NOVELL AMPUL
2 MG
SYNTETHIC
10E0203 PITOGIN ETHICA OKSITOSIN 10 IU/ML AMPUL
OXYTOCIN
10E5126 OXYLA NOVELL OKSITOSIN 10 IU/ML AMPUL

10B5051 NOPROSTOL NOVELL MISOPROSTOL 0,2 MG TABLET

ISOXSUPRINE HCL
10E3770 DUVADILAN INJ SOLVAY AMPUL
10MG/2ML
RELAKSAN ISOXSUPRINE HCL
UTERUS 10E2561 PROTERIN INJ NOVELL AMPUL
10MG/2ML
ISOXSUPRINE HCL 20
10B0394 HYSTOLAN DEXA TABLET
MG
OBAT UNTUK SALURAN NAPAS

58
 KODE
GOLONGAN SUB GOLONGAN NAMA BARANG PRODUK KOMPOSISI SEDIAAN
BARANG
PSEUDEPHEDRIN HCL
30 MG,
ANTI INFLUENZA
BROMPHENIRAMINE
DAN NASAL 10C3483 ALCO PLUS DMP INTERBAT SYRUP
MALEAT 2 MG,
DECONGESTAN
DEXTROMETHORPHAN
HBR 10 MG

PSEUDOEPHEDRIN 30
10B4005 RHINOFED DEXA MG, TERFENADINE 40 TABLET
MG

PSEUDOEPHEDRIN 15
10C4024 RHINOFED DEXA MG, TERFENADINE 20 SYRUP
MG
PSEUDOEPHEDRIN
10B0191 ALDISA SR SANBE HCL 120, LORATADINE KAPSUL
5
PSEUDOEPHEDRIN
10B4933 RHINOS SR DEXA HCL 120, LORATADINE KAPSUL
5
PSEUDOEPHEDRIN
HCL 15 MG,
10C0338 RHINOS JUNIOR DEXA SYRUP
CHORPENAMINE
MALEAT 1 MG
PSEUDOEPHEDRIN 7,5
10C0337 RHINOS NEO DEXA DROP
MG/0.8 CC
TRIPOLIDINE HCL 2,5
MG,
10B4347 TREMENZA SANBE TABLET
PSEUDOEPHEDRIN
HCL 60 MG

TRIPOLIDINE HCL
1,25 MG,
10C3100 TREMENZA SANBE SYRUP
PSEUDOEPHEDRIN
HCL 30 MG
PARASETAMOL 500
MG,
DEKSTROMETORFAN
HBR 10 MG,
10B4390 TUZALOS SANBE TABLET
FENILPROPANOLAMIN
HCL 15 MG,
CHLORFENIRAMIN
MALEAT 1 MG.

OXOMEMAZINE 1,65
10C1455 COMTUSI COMBIPHAR MG, GUAIFENESIN SYRUP
33,3 MG

BUDESONIDE 32
10D0547 RHINOCORT AQUA ASTRA NASAL SPRAY
mcg/dose x 10 ml
BNS (BREATHY NASAL
10D4702 NOVELL NaCl 0,9% NASAL DROP
SPRAY)
CETIRIZINE 5MG,
10B4999 RYVEL PLUS NOVELL PSEUDOEFEDRINE TABLET
HCL 120 MG
10D4481 AQUA MARIS SOHO AIR LAUT ISOTONIS NASAL DROP
ILLIADIN NAS DROP OXYMETHAZOLIN
10D0394 MERCK DROP
PED 0.025%

59
 ILLIADIN NAS DROP OXYMETHAZOLIN
10D0394 MERCK DROP
ADULT 0.05%
ANTI COUGH MUKOLITIK 10B0029 AMBROXOL GENERIK AMBROXOL 30 MG TABLET
AMBROXOL 15 MG/5
10GB005 AMBROXOL GENERIK SYRUP
ML ELIXIR
10B0690 EPEXOL SANBE AMBROXOL 30 MG TABLET
AMBROXOL 15 MG/5
10C6019 EPEXOL SANBE SYRUP
ML
ACETYLCYSTEINE 200
10B1222 FLUIMUCYL ZAMBON KAPSUL
MG
ACETYLCYSTEINE 200
10B1221 FLUIMUCYL ZAMBON SACHET
MG
10B4556 VOSTRIN NOVELL ERDOSTEINE 300 MG KAPSUL

10B9009 EDOTIN FERRON ERDOSTEINE 300 MG KAPSUL

10C4151 EDOTIN FERRON ERDOSTEINE 300 MG SYRUP

10B7333 VECTRINE DEXA ERDOSTEINE 300 MG KAPSUL

ERDOSTEINE 175
10C7348 VECTRINE DEXA SYRUP
MG/5ML
10B0840 MUCOHEXIN SANBE BROMHEXIN 8 MG TABLET
BROMHEXIN 4 MG/5
10C1654 MUCOHEXIN SANBE SYRUP
ML
THYMI EXTRC
ANTITUSIF &
10B0411 BRONCHIPRET DARYA VARIA 38%,PRIMROSE EXTR TABLET
EKSPECTORAN
14%
LEVODROPROPIZINE
10C0263 LEVOPRONT COMBIPHAR SYRUP
30 MG/5ML
10B2714 CODEIN KIMIA FARMA CODEIN 10 MG TABLET

10B2733 CODEIN KIMIA FARMA CODEIN 15 MG TABLET

10B2796 CODEIN KIMIA FARMA CODEIN 20 MG TABLET

10B8500 CODIKAF KIMIA FARMA CODEIN 10 MG TABLET

10B0288 CODIKAF KIMIA FARMA CODEIN 15 MG TABLET

10B3555 CODIKAF KIMIA FARMA CODEIN 20 MG TABLET

CODEIN 30 MG,
10B2688 CODIPRONT KIMIA FARMA PHENYLTOLOXAMINE KAPSUL
10 MG
CODEIN 30 MG,
10B2507 CODIPRONT KIMIA FARMA PHENYLTOLOXAMINE KAPSUL
10 MG

CODEINE 11.11 MG,

PHENYLTOLOXAMINE
CODIPRONT EXP 3.67 MG,
10C0114 KIMIA FARMA SYRUP
SYRUP GUAIFENESIN 55.55
MG, THYME LIQUID
EXTR 55.55 MG

CODEINE 11.11 MG,

10C0612 CODIPRONT SYRUP KIMIA FARMA PHENYLTOLOXAMINE SYRUP
3.67 MG

CODEINE 30 MG,
PHENYLTOLOXAMINE
10B1855 CODIPRONT CUM EXP KIMIA FARMA KAPSUL
10 MG, GUAIFENESIN
100 MG

60
 CODEIN 30 MG,
10B2791 CODITAM KIMIA FARMA PARASETAMOL 500 KAPSUL
MG
GLYCERIL
10B2934 GLYCERIL GUAIACOLAT GENERIK TABLET
GUAIACOLAT 100 MG

PROMETHAZINE HCL 5
MG, EKSTRAK IPEKA
0,1 ML, KALIUM
10C1703 PROME INTERBAT SULFOGUAIAKOLAT 44 SYRUP
MG, NATRIUM SITRAT
197 MG, MENTOL 1
MG.

DIPHENHYDRAMINE
HCL 12.5
MG,AMMONIUM CL
100 MG, K
10C2813 SANADRYL EXP SANBE SYRUP
GUAIACOLSULFONATE
30 MG, NA CITRATE
50 MG, MENTHOL 1
MG
DEXTROMETHORPHAN
HBR 10
MG,DIPHENHYDRAMIN
10C1765 SANADRYL DMP SANBE E HCL 12.5 MG, SYRUP
AMMONIUM CL 100
MG, NA CITRATE 50
MG, MENTHOL 1 MG
10A0019 LONGATIN ACTAVIS NOSCAPINE 25 MG KAPSUL
AMINOPHYLIN 24
ANTI ASMA 10E2832 AMINOPHYLIN GENERIK AMPUL
MG/10 ML
10E2411 EPINEPHRIN GENERIK EPINEPHRIN 1 mg/ml AMPUL
TERBUTALINE 5
10E2388 BRICASMA ASTRA Z AMPUL
mg/ml
10B0553 PHYLLOCONTIN MAHAKAM AMINOPHYLIN TABLET
ANHYDROUS
10B0623 EUPHYLIN RETARD PHAROS TABLET
THEOPHYLLIN 250 MG

EUPHYLLINE RETARD ANHYDROUS

10B0622 PHAROS TABLET
MITE THEOPHYLLIN 125 MG

10B1274 THEOBRON INTERBAT THEOPHYLLIN 130 MG KAPSUL

10B0163 RETAPHYL SR KIMIA FARMA THEOPHYLLIN 300 MG KAPSUL

SALBUTAMOL 1 MG,
10B3822 TEOSAL DEXA TABLET
THEOPHYLIN 150 MG
10B1207 SALBUTAMOL GENERIK SALBUTAMOL 2 MG TABLET
10B0265 SALBUTAMOL GENERIK SALBUTAMOL 4 MG TABLET
10B0888 SALBUVEN PHAROS SALBUTAMOL 4 MG TABLET
10B1359 VENTOLIN TABLET GLAXO SALBUTAMOL 2MG TABLET
SALBUTAMOL 1MG,
10C1842 VENTOLIN EXP SYR GLAXO GUIPHENESIN 50 SYRUP
MG/5ML
SALBUTAMOL 2 MG/5
10C1845 VENTOLIN SYR 100 ML GLAXO SYRUP
ML
SALBUTAMOL 100
10D2351 VENTOLIN SPRAY GLAXO INHALER
MCG/PUFF
10E4466 VENTOLIN NEBUL GLAXO SALBUTAMOL 2,5 MG NEBUL

61
 SUPRASMA NEBUL DEXA SALBUTAMOL 2,5 MG NEBUL
FENOTEROL
10F4480 BEROTEC BOEHRINGER HYDROBROMIDE 100 INHALER
MCG
FENOTEROL
10D0207 BEROTEC BOEHRINGER HYDROBROMIDE 100 SPRAY
MCG
KETOTIFEN HYD
'10B3152 INTIFEN INTERBAT TABLET
FUMARATE
TERBUTALIN SULFAT
10B1391 NAIRET OTTO TABLET
2.5 MG
TERBUTALIN SULFAT
10E0151 NAIRET INJ OTTO AMPUL
0,5MG/ML
PROCATEROL HCL
10B0829 MEPTIN OTSUKA HEMIHYDRATE 0,05 TABLET
MG
PROCATEROL HCL
10B0830 MEPTIN MINI OTSUKA HEMIHYDRATE 0,025 TABLET
MG
PROCATEROL HCL
ATAROC NOVELL HEMIHYDRATE 0,025 TABLET
MG
SALMETEROL 25 MCG,
10D0103 SERETIDE 125 GLAXO FLUTICASONE INHALER
PROPIONATE 125 MCG

SALMETEROL 50 MCG,
SERETIDE DISKUS 250
10D4251 GLAXO FLUTICASONE INHALER
MG
PROPIONATE 250 MCG
BUDESONID 80 MG,
10D4412 SIMBICORT ASTRA FORMOTEROL INHALER
FUMARAT 4,5MCG
PROCATEROL HCl 100
10D0580 MEPTIN INHALER OTSUKA INHALER
MCH/0,3 ML
INDACATEROL 150
10D4450 ONBREZ NOVARTIS PUFF INHALER
MCG
INDACATEROL 300
10D4286 ONBREZ NOVARTIS PUFF INHALER
MCG
FLUTICASONE
10D1476 AVAMYS GLAXO FUROATE 27,5 SPRAY
MICROGRAM
SEA WATER 31,82 ML,
10D1015 STERIMAR HYPENS PURIFIED WATER QSP SPRAY
100 ML

PSIKOTROPIKA

KODE
GOLONGAN SUB GOLONGAN NAMA BARANG PRODUK KOMPOSISI SEDIAAN
BARANG
ANTI DEPRESAN SSRI 10B0111 ZOLOFT PFIZER SERTRALIN 50 MG TABLET
FLUOXETINE HCl 20
10B0898 NOPRES DEXA KAPLET
MG
FLUOXETINE HCl 20
10B2141 ELIZAC MERSI FARMA KAPSUL
MG
ATYPICAL 10B0110 REMERON SCHERING MIRTAZEPIN 30 MG TABLET
AMITRIPTYLINE 12,5
TRISIKLIK 10B3151 AMITRIPTYLINE GENERIK TABLET
MG
TETRASIKLIK 10B4309 LUDIOMIL NOVARTIS MAPROTILINE 25 MG TABLET
MAPROTILINE
10B0270 SANDEPRIL MERSI FARMA TABLET
HYDROCHLORIDE
LAIN - LAIN 10B0296 CIPRALEX LANDBECK ESCITAZOLAM 10 MG KAPSUL

62
ANTI ANXIETAS BENZODIAZEPINE 10GD007 ALPRAZOLAM 0,5 GENERIK 0.5 MG TABLET
10GD008 ALPRAZOLAM 1 GENERIK 1 MG TABLET
10B3751 XANAX PFIZER ALPRAZOLAM 0,5 MG TABLET

10B1180 FRIXITAS 0,25 NOVELL ALPRAZOLAM 0,25 MG TABLET

10B1182 FRIXITAS 0,5 NOVELL ALPRAZOLAM 0,5 MG TABLET

10B1183 FRIXITAS 1 NOVELL ALPRAZOLAM 1 MG TABLET

10B6588 FEPRAX FERRON ALPRAZOLAM 0,5 MG TABLET

10B6616 FEPRAX FERRON ALPRAZOLAM 1 MG TABLET
10B1356 VALISANBE 2 SANBE DIAZEPAM 2 MG TABLET
10B3279 VALISANBE 5 SANBE DIAZEPAM 5 MG TABLET
10GD033 CLOBAZAM GENERIK CLOBAZAM 10 MG TABLET
10B3074 ESILGAN 1 TAKEDA ESTAZOLAM 1 MG TABLET
10B0607 ESILGAN 2 TAKEDA ESTAZOLAM 2 MG TABLET
10B0005 MERLOPAM MERSI FARMA LORAZEPAM 2 MG TABLET

NON BENZODIAZEPIN 10B0530 DOGMATIL 50MG SOHO SULPIRID 50 MG TABLET

10B0088 DOGMATIL FORTE SOHO SULPIRID 200 MG TABLET

ANTI PSIKOTIK BENSISOXAZOLE 10B9975 NOPRENIA 1 MG TAB NOVELL RISPERIDONE 1 MG TABLET

10B1186 NOPRENIA 2 MG TAB NOVELL RISPERIDONE 2 MG TABLET

10GD078 RISPERIDONE GENERIK RISPERIDON 2 MG TABLET
10B0006 PERSIDAL MERSI RISPERIDON 2 MG TABLET
TRIFLUOPERAZINE 5
10B1166 STELAZINE PHAROS TABLET
PHENOTHIAZINE MG
TRIFLUOPERAZINE 5 TRIFLUOPERAZINE 5
10B0695 GENERIK TABLET
MG MG
BUTYROPHENON 10B0518 HALOPERIDOL INDOFARMA HALOPERIDOL 5 MG TABLET

10B0003 LODOMER 2 TAB MERSI FARMA HALOPERIDOL 2 MG TABLET

10B0004 LODOMER 5 TAB MERSI FARMA HALOPERIDOL 5 MG TABLET

HALOPERIDOL 5 MG/1
10E0020 LODOMER INJ. MERSI FARMA AMPUL
ML
BENZODIAZEPINE 10B0542 CLOZAPIN 25 MG GENERIK CLOZAPINE 25 MG TABLET
10B0542 CLOZARIL NOVARTIS CLOZAPINE 25 MG TABLET
10B3311 CLORILEX MERSI FARMA CLOZAPINE 25 MG TABLET
10B0659 SIZORIL 100 MEPROFARM CLOZAPINE 100 MG TABLET
10B1463 ONZAPIN ACTAVIS OLANZAPINE TABLET
10B0301 ZYPREXA 5 ELLY LILI OLANZAPINE 5 MG TABLET
10B0302 ZYPREXA 10 ELLY LILI OLANZAPINE 10 MG TABLET
10E0231 ZYPREZA ELLY LILI OLANZAPINE AMPUL
METHYLPHENIDATE
PSIKOSTIMULAN 10B4441 PROHIPER MERSI FARMA TABLET
HCL 10 MG
CHLORPROMAZINE
LAIN - LAIN 10B0152 CHLORPROMAZINE GENERIK TABLET
100 MG
CHLORPROMAZINE
A0235AS CEPEZET 100 MG MERSI FARMA TABLET
100 MG
CHLORPROMAZINE 50
10E0100 CPZ 50 INJ MERSI FARMA AMPUL
MG/2 ML
PROMACTIL TAB 100 CHLORPROMAZINE
10B1018 COMBIPHAR TABLET
MG 100 MG
10B3302 ARISKI 5 MG TAB ACTAVIS ARIPIPRAZOL 5 MG TABLET
10B3303 ARISKI 10 MG TAB ACTAVIS ARIPIPRAZOL 10 MG TABLET

63
 10B0384 ABILIFY 5 OTSUKA ARIPIPRAZOL 5 MG TABLET
10B0381 ABILIFY 10 OTSUKA ARIPIPRAZOL 10 MG TABLET

10B0171 SEROQUEL ASTRA ZENECA QUETIAPINE 200 MG TABLET

FLUPHENAZINE 25
10E2457 MODECATE BMS VIAL
MG/ML
HYPNOTIC
10E4742 MILOZ NOVELL MIDAZOLAM 5 MG/ML AMPUL
&SEDATIVE
MIDAZOLAM 5 MG/1
10E4743 MIDAZOLAM H COMBIPHAR AMPUL
ML

NOOTROPIC -NEUROTONIC

KODE
GOLONGAN SUB GOLONGAN NAMA BARANG PRODUK KOMPOSISI SEDIAAN
BARANG

VASODILATOR 10GD030 CITICHOLIN TAB GENERIK CITICHOLIN 500 MG TABLET

CITICHOLIN 250 MG/2

10GD102 CITICHOLIN INJ GENERIK AMPUL
ML
10B0283 CHOLINAAR TAB NOVELL CITICHOLIN 500 MG TABLET
CITICHOLIN 250 MG/2
10E0554 CHOLINAAR 250 INJ NOVELL AMPUL
ML
10E4557 CHOLINAAR 500 INJ NOVELL CITICHOLIN 500 MG AMPUL

10B4230 BRAINOLIN 500 MG DEXA CITICHOLIN 500 MG TABLET

CITICHOLIN 250 MG/2

10E4230 BRAINOLIN 250 MG INJ DEXA AMPUL
ML
CHOLINE CITRATE,
CYTIDINE
10B0942 NEULIN PS FERRON MONOPHOSPATE, TABLET
PHOSPHATIDYL
SERINE
LAIN-LAIN 10GD123 PIRACETAM GENERIK PIRACETAM 3 GR AMPUL
10GD066 PIRACETAM GENERIK PIRACETAM 400 MG TABLET

10B0067 PIRACETAM 800 MG GENERIK PIRACETAM 800 MG TABLET

10GB117 PIRACETAM GENERIK PIRACETAM 1200 MG TABLET

PIRACETAM 3 GR INJ
10E0341 GENERIK PIRACETAM 3 GR AMPUL
(BERNO)
PIRACETAM 3 GRAM
10E1111 GENERIK PIRACETAM 3 GR AMPUL
INJ-QUANTUM
PIRACETAM 3 GR INJ
10E2305 GENERIK PIRACETAM 3 GR AMPUL
(NOVEL)
10B0377 NEUROTAM DANKOS PIRACETAM 800 MG TABLET
10E4218 REVOLAN 3 GR INJ SANBE PIRACETAM 3 GR AMPUL
10B4213 REVOLAN 800 MG TAB SANBE PIRACETAM 800 MG TABLET
MECOBALAMIN 250
10B4306 MECOBALAMIN GENERIK TABLET
MG
MECOBALAMIN 500
10B4304 MECOBALAMIN GENERIK TABLET
MG
MECOBALAMIN 500
10E2412 MECOBALAMIN INJ GENERIK AMPUL
UG
MECOBALAMIN 500
10B7632 MEGABAL SANBE KAPSUL
MG
MECOBALAMIN 500
10E4219 MECONEURO INJ NOVEL AMPUL
UG

64
 MECONEURO 500 MG MECOBALAMIN 500
10B1257 NOVEL TABLET
TAB MG
MERSITROPRIL 500
10C0119 MERSITROPRIL MERSIFARMA SYRUP
MG/5ML
PYRITINOL DIHCL
10C0588 ENCEPHABOL MERCK MONOHYDRATE 100 SYRUP
MG
PYRITINOL DIHCL
10B0587 ENCEPHABOL MERCK MONOHYDRATE 100 TABLET
MG
PYRITINOL DIHCL
10B0588 ENCEPHABOL F MERCK MONOHYDRATE 200 TABLET
MG
10GD069 PREGABALIN 75 MG GENERIK PREGABALIN 75 MG TABLET
10B4945 LEPTICA DEXA PREGABALIN 75 MG TABLET
10B0764 LYRICA 50 MG TAB PFIZER PREGABALIN 50 MG TABLET
10B0340 LYRICA 75 TAB PFIZER PREGABALIN 75 MG TABLET
10B0351 LYRICA 150 TAB PFIZER PREGABALIN 150 MG TABLET
SULBUTIAMINE 200
10B0341 ARCALION SERVIER TABLET
MG
10A0012 ARICEPT EISAI DONEPEZIL 5 MG TABLET
ARICEPT EVESS 10 MG
A0396AS EISAI DONEPEZIL 10 MG TABLET
TAB
POLYUNSATURATED
10B4449 NEUROCHOL LANDSON PHOSPATIDYLCHOLIN TABLET
E, B1, B6, B12

65
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