NOMOR

KELAS SUB KELAS TERAPI, NAMA GENERIK, BENTUK SEDIAAN, KEKUATAN NAMA DAGANG PRODUSEN
TERAPI
1. ANTIBIOTIKA

1. SEFALOSPORIN
1 Sefadroxil
1. Kaps. 500mg Cefadroxil Hexpharm Jaya
2. Sir. Kering 125mg/5ml, btl @ 60ml Cefadroxil Indofarma
2 Sefotaxim
1. Serb. Inj. 1000mg, vial Cefotaxim Hexpharm Jaya
3 Seftriakson
1. Serb. Inj. 1000mg, vial Cefotaxim Hexpharm Jaya
4 Ceftazidime
1. Serb. Inj. 1000mg, vial Zibak Fahrenheit
5 Cefixime
1. Kaps. 100mg Cefixime Hexpharm Jaya
2. Sir. Kering 125mg/5ml, btl @ 60ml Helixim Ifars
2. AMINIGLIKOSIDA
1 Gentamicin
1. inj. 80mg/ml amp @ 2ml Ottogenta Otto
Eighten Ethica
2 Kanamisin Sulfat
1. Inj. 1gr, vial Kanamycin Meji
3. KLORAMFENIKOL
1 Kloramfenikol
1. Serb. Inj. 1000mg, vial Colsancetine Sanbe
2 Thimphenicol
 1. Kaps. 500mg Dionicol Ifars
2. Sir. Kering 125mg/5ml, btl @ 60ml Phenobiotic Berno
4. PENISILIN/BETA LAKTAM
1 Amoksisilin Anhidrat
1. Kaps. 500mg Bintamox Hexpharm Jaya
2 Ampisilin
1. Serb. Inj. 1000mg, vial Ampicilin Phapros
5. MAKROLIDA
1 Eritromisin
1. Kaps. 500mg Erythromycin REMS
2. Sir. Kering 200mg/5ml, btl @ 60ml Erythromycin Indofarma
2 Klindamisin
1. Kaps. 300mg Clindamycin Indofarma
3 Azitrhomycin
1. Tab. 500mg Azitromycin Ethica
6. KUINOLON
1 Siprofloksasin
1. Kapl. 500mg Samquinor Samco
2. Inf. 2mg/ml, btl @ 100ml Ciprofloxacin KBI
2 Levofloksasin
1. Kapl. 500mg Levofloxacin Ifars
7. TERTRASIKLIN
1 Lincomycin
1. Kapl. 500mg Lincomycin Indofarma
8. ANTIBAKTERI KOMBINASI
1 Kotrimoksazol (Sulfametoksazol & Trimetoprim)
 1. Tab. 500mg Nufaprim Nufarindo
1. Syr. Btl @ 60ml Nufaprim Nufarindo
9. ANTITUBERKULOSIS
1 Ethambutol Hidroklorida
1. Tab. 500mg Tibigon Hexpharm Jaya
2 Isoniazid
1. Tab. 300mg Inadoxin Forte Zenith
3 Pirazinamid
1. Tab. 500mg Pyrazinamide Indofarma
4 Rifampicin
1. Tab. 450mg Rifampicin Indofarma
2. Tab. 600mg Rifampicin Indofarma
10. ANTIJAMUR
1. Ketokonazol
1. Tab. 200mg Solinfec Ifars
2 Nistatin
1. Drop. 100.000 UI @ 12ml Nystin Lapi
11. ANTIVIRUS
1 Asikovir
1. Tab. 400mg Aciclovir Ifars
12. ANTELMINTIK
1 Albendazol
1. Tab. 400mg Albendazole Phapros
2 Mebendazol
1. Tab. Kunyah Vermox Janssen
3 Pirantel
 1. Syr. Btl @ 10ml Upixon Bayer
2. Tab. 125mg Pyrantel Holi

13. ANTIMALARIA
1 Kuinin
1. Tab. Kina Kimia Farma
2 Primakuin
1. Tab. 15mg Primakuin
3 Artemether
1. Inj. 80mg/ml, Amp. @ 1ml ARTEM Kunming
4 Artesunat
1. Inj. 60mg/ml, amp. @ ml Artesunat Gulin
5 Folium Ekstrak
1. Cap. Psidii folium 500mg PSIDII Dexa
2. Syr. Psidii folium 250mg/5ml, btl @ 60ml PSIDII Dexa
6 Kombinasi
1. Sulfadoksin 500mg, Primetamin 25mg Sulfadoxin Prymetamin Indofarma
14. ANTIAMUBA
1 Metronidazol
1. Tab. 500mg Farizol Ifars
2. Sir. 125mg/5ml, btl @ 60ml Omnizol Ifars
3. Lar. Infus 5mg/ml, btl @ 100ml Metronidazole Ikapharmindo
2. SISTEM SALURAN CERNA DAN HEPATOBILIER

1. ANTASIDA, ANTIREFLUKS DAN ANTIULSERASI

1 Kombinasi (Aluminium Hidroksida & Magnesium Hidroksida)
1. Tab. Kunyah Carsida Sampharindo
 2. Susp. Btl @ 60ml Gastrucid Nufarindo
2 Lansoprazol
1. Kaps. 30mg Lansoprazol Hexpharm Jaya
3 Omeprazol
1. Kaps. 20mg Omeprazol Hexpharm Jaya
4 Pantoprazol
1. Inj. 40mg @ vial Pepzol Mahakam
2. Inj. 40mg @ vial Pantoprazol Phapros
5 Ranitidin
1. Tab. 150mg Ranitidin Erela
2. Inj. 50mg/2ml, amp @ 2ml Ranitidin Phapros
6 Cimetidin
1. Tab. 400mg Licomet Berlico
2. Inj. 200mg Ulsikur Hexpharm Jaya
7 Sukralfat
1. Susp. Btl 100ml Propepsa Gracia
Provat Promed
Ulsicral Ikkapharmindo
2. Susp. Btl 200ml Propepsa Gracia
2. ANTISPASMODIK
1 Papaverin
1. Tab. 40mg Papaverin Novapharin
2 Atropin Sulfat
1. Inj. 0,25mg/ml, amp @ 1ml Atropin Indofarma
3 Hiosin -N Butil Bromid
1. Tab. 10mg Scopma Ifars
 2. Inj. 20mg/ml, amp @ 1ml Scopamin Otto
4 Mebeverin HCl
1. Tab. 135mg Irbosyd Fahrenheit
5 Kombinasi
1. Tab. Clinidium Bromida2.5mg & Chlorodiazepoxide 5mg Melidox Meprofarm
3. ANTIDIARE
1 Kombinasi
1. Garam Oralit Pharolit Novell
2. Sir. Kaolin 700mg & Pektin 66mg, btl @ 60ml Kaotin Erela
2 Activated Attapulgit
1. Tab. 600mg New Diatab Medifarma
3 Loperamide
1. Tab. 2mg Inamid Nufarindo
4 Zink
1. Tab. 20mg Zinc Indofarma
2. Sir. 20mg/5ml, btl @ 100ml L-Zink Lapi
Zirea Actavis
4. LAKSATIF DAN PENCAHAR
1 Bisakodil
1. Tab. 5mg Laxana Ifars
2. Suppositoria 5mg Dulcolax supp. Boehringer
3. Suppositoria 10mg Dulcolax supp. Boehringer
2 Laktulosa
1. Sir. 3,335gr/5ml, Btl @ 60ml Lactulax Ikapharmindo
5. ANTIEMETIK
1 Metoklopramid
 1. Tab. 10mg Tivomit Berlico
2. Inj. 5mg/ml Vertivom GMP
Gavistal Meprofarm
2 Ondansetron
1. Inj. 8mg/4ml, amp @ 4ml Ondansetron Soho
3 Domperidon
1. Tab. 10mg Vesperum Ifars
2. Drop. 5mg/ml, btl @ 15ml Vesperum Ifars
3. Susp. 5mg/5ml, btl @ 60ml Omedom Mutifa
6. HEPATOPPROTEKTOR
1 Kombinasi
1. Tab. Silymarin Phytosome (35mg), Ekstrak Scisandrae fruktus(135mg),Ekstrak Curcumae
Xanthorrhizae Rhizoma(150mg), Ekstrak Liquiritiae Radix(135mg),Cholin Bitartrate(150 Curliv plus Soho
mg),Vit B6 (2mg)
Simex
2. Tab. Extract curcuma Xanthorhizae (20 mg) Cavicur Erla
3. Emulsi, btl @ 60ml Cavicur Erla
7. PREPARAT ANOREKTAL
1 Antihemoroid
1. Supositoria (Policresulen 100mg & Cinchocain HCl 2,5mg) Faktu Pharos
2. Ointmen (Policresulen 50mg & Cinchocain HCl 10mg) Faktu Pharos
3. Kapl. Extrac Citrus Aurantium Fructus 500mg Hesroid Mahakam
3. SISTEM KARDIOVASKULAR DAN HEMATOPOITIK

1. OBAT JANTUNG
1 Epinefrin (Adrenalin)
1. Inj. 0,1%, amp @ 1ml Epinefrine Ethica
Pehacain Phapros
2 Digoksin
1. Tab. 0,25mg Fargoxin Fahrenheit
3 Bisoprolol
1. Tab. 2,5mg Beta-One Kalbe
2. Tab. 5mg Beta-One Kalbe
Bisoprolol Dexa
4 Propanolol
1. Tab. 10mg Propanolol Dexa
2. Tab. 40mg Propanolol Dexa
5 Asam Asetil Salisilat (Asetosal)
1. Tab. 80mg Aspilet Medifarma
6 Dopamin Hidroklorida
1. Inj. 40mg/ml, amp @ 5ml Dopamin Kimia farma
2. OBAT ANTIAGINA
1 Diltiazem HCl
1. Tab. 30mg Diltiazem Indofarma
2 Isosorbid Dinitrat
1. Tab. Sublingual 5mg Fasorbid Fahrenheit
3. ACE INHIBITOR / DIRECT RENIN INHIBITOR
1 Kaptopril
1. Tab. 25mg Farmoten Fahrenheit
Captopril Dexa
2. Tab. 12,5mg Captopril Dexa
2 Lisinopril
1. Tab. 10mg Noperten Dexa
4. BETA BLOKER
1 Propanolol
1. Tab. 10mg Propanolol Dexa
2. Tab. 40mg Propanolol Dexa
3 Bisoprolol
1. Tab. 2,5mg Beta-One Kalbe
2. Tab. 5mg Beta-One Kalbe
Bisoprolol Dexa
5. ANTAGONIS KALSIUM
1 Nifedipin
1. Tab. 10mg Farmalat Fahrenheit
2 Amlodipin Besylat
1. Tab. 5mg Amlodipine Phapros
Hexavask Hexpharm Jaya
2. Tab. 10mg Amlodipine Phapros
Hexavask Hexpharm Jaya
3 Diltiazem
1. Tab. 30mg Diltiazem Indofarma
6. ANTAGONIS ANGIOTENSIN II
1 Ibesartan
1. Tab. 150mg Irtan Ikapharmido
2. Tab. 300mg Irtan Ikapharmido
2 Candesartan Cilextil
1. Tab. 10mg Candesartan Cilextil Dexa
7. DIURETIK
1 Furosemid
1. Tab. 40mg Gralixa Grahafarma
 2. Inj. 2mg/ml Edemin Ikapharmido
2 Spironolakton
1. Tab. 25mg Spironolactone Dexa
2. Tab. 100mg Spironolactone Dexa
8. ANTIHIPERTENSI GOLONGAN LAIN
1 Klonidin
1. Tab. 0,15mg Clonidine Indofarma
9. ANTIHIPERLIPIDEMIA
1 Simvastatin
1. Tab. 10mg SVT Hexpharm Jaya
2. Tab. 20mg SVT Hexpharm Jaya
2 Gemfibrosil
1. Tab. 300mg Detricol GMP
10. HEMOSTATIK
1 Asam Traneksamat
1. Inj. 100mg/ml, amp @ 10ml Asam Traneksamat Novell
2 Fitomenadion (vitamin K)
1. Tab. 10mg Phytomenadion Phapros
2. Inj. 10mg/ml, amp @ 1ml Phytomenadion Phapros
3 Karbazokrom
1. Tab. 10mg Adrom Landon
2. Inj. 5mg/ml, amp @ 5ml Adona Tanabe
11. ANTIKOAGULAN, ANTIPLATELET, DAN FIBRINOLITIK (TROMBOLITIK)
1 Asam Asetil Salisilat (Asetosal)
1. Tab. kunyah 80mg Aspilet Medifarma
2 Clopidogrel
 1. Tab. 75mg Clopidogrel Ikhaparmanindo
3 Aspirin
1. Tab. 100mg Astika Ikapharmindo
4. SISTEM SALURAN PERNAPASAN

1. PREPARAT ANTI ASMA DAN PPOK

1 Aminofilin
1. Tab. 24mg Erphafillin Erla
2. Inj. 24mg/ml, amp @ 10ml Aminophyllin Ethica
2 Salbutamol
1. Tab. 4mg Bronchosal Ifars
2. Inhalasi solution 1mg/ml Fartolin Fahrenheit
3 Kombinasi
1. Inhalasi solution (ipratropium bromide - salbutamol base) Farbivent Fahrenheit
2. Inhaler (Fluticasone Propionate 125mg - Salmeterol 25mg) Flutias Kalbe
3. Tab. Teofilin 130mg dan Salbutamol 1mg Teosal Dexa
2. OBAT BATUK & PILEK
1 Ambroxol HCl
1. Tab. 30mg Roverton Ifars
2. Sir. 15mg/ml, btl @ 60ml Ambroxol Indofarma
Transmuco Hexpharm Jaya
2 Bromheksin HCl
1. Tab. 8mg Phytovon Phyto Kemo
3. Obat Batuk Hitam (OBH)
1. Sir. Btl @ 200ml Itrabat Itrasal
4. Kombinasi
1. Sir. Prometazine HCl 2,5mg, Ephedrine HCl 2,5mg, Ammonium Chloride 100mg btl @ 60ml Bufagan Bufa
 2. Sir. Pseudoephedrine HCl 15mg, CTM 1mg/5ml, btl @ 60ml Rhinos Junior Dexa
3. Sir. Salbutamol 2mg, Guaifensin 75mg/5ml, btl @ 100ml Lasal Lapi
4. Sir. Diphenhydramin 12,5mg, Ammonium Klorida,Dextrometorphan Hbr 10 mg ,Ethanol 1,36
Tropidryl plus
%,Btl @ 60ml
5. Tab. Tripolidine HCl 2,5mg & Pseudoephedrine HCl 60mg Eflin Meprofarm
6. Tab. Dextrometorphan Hbr 10 mg, Glyceryl guaiacolate 50 mg,Phenylpropanolamine HCL
Dextral Molex- Ayus
12,5 mg, Chlorpheniramine Maleate 1 mg

5. SISTEM SARAF PUSAT

1. ANSIOLITIK
1 Klobazom
1. Tab. 10mg Proclozam Meprofarm
2 Alprazolam
1. Tab. 1mg Alprazolam Mersi
2. ANTIDEPRESAN
1 Fluoxtine HCl
1. Tab. 10mg ZAC Ikapharmindo
3. ANTIPSIKOTIK
1 Haloperidol
1. Tab. 5mg Lodomer Mersi
2 Klorpomazine
1. Inj. 25mg/ml, amp @ 1ml Chlorpromazine Phapros
4. ANTIKONVULSAN
1 Diazepam
1. Tab. 5mg Valisanbe Sanbe
2. Inj. 10mg/ml, amp @ 2ml Stesolid Actavis
3. Lar. Rektal 5mg/2,5ml, tube @ 2,5ml Stesolid Rectal Actavis
 4. Lar. Rektal 10mg/2,5ml, tube @ 2,5ml Stesolid Rectal Actavis
2 Fenitoin Na.
1. Kaps. 100mg Phenytoin Ikapharmindo
3 Fenobarbital
1. Tab. 50mg Sibital Mersi
4 Asam Valprot
1. Tab. Asam Valprot 250mg Ikalep Ikapharmindo
2. Sir. 250mg/5ml btl @ 100ml Lepsio Dexa
5. ANTIPARKINSON
1 Triheksifenidil HCl
1. Tab. 2mg Hexymer Mersi
6. ANTIVERTIGO DAN MIGRAIN
1 Betahistine mesilate
1. Tab. 6mg Histigo Ifars
1 Flunarizine
1. Tab. 5mg Unalium Guardian
2 Cinnarizine
1. Tab. 25mg Perifas Otto
7. ANALGETIK NARKOTIK
1 Morfin
1. Tab. 10mg MST Continus Mahakam
8. ANALGETIK NON NARKOTIK, ANTIPIRETIK
1 Ibuprofen
1. Sir. 200mg/5ml, btl @ 60ml Ibuprofen Indofarma
2 Metampiron
1. Tab. 500mg Antalgin Zenith
3 Parasetamol
1. Tab. 500mg Zetamol Zenith
2. Sir. 120mg/5ml, btl @ 60mg Zetamol Zenith
Cupanol Guardian
Sanmol Sanbe
3. Drop. 100mg/ml @ 15ml Termagon Mecosin
Sanmol Sanbe
4. Suppositoria. 160mg Pyrexin Meprofarm
4 Asam Mefenamat
1. Tab. 500mg Licostan Berlico
5 Tramadol
1. Kaps. 50mg Tramadol Hexpharm Jaya
6. Ketorolac Tromethamine
1. Inj. 30mg/ml, amp @ 1ml Ketorolac Phapros
7 Metamizol
1. Inj. 500mg Norages Meprofarm
8. Kombinasi
1. Tab. (Paracetamol 650mg, Guaifensin 100mg, Phenylpropanolamine 15mg, CTM 2mg) Elsiron Ifars
2. Tab. (Tramadol HCl 37,5mg, Paracetamol 325mg) Patral Mahakam
3. Tab. (Paracetamol 500mg, N-Acetylcysteine 200mg) Sistenol Dexa
4. Kapl. (Diazepam, Metamizol) Proneuron Meprofarm
5. Inj. Methampyron 250mg, Aminopyrine 50mg, Lidocain 15mg/ml, vial @ 15ml Benodon Bernofarma
9. ANTIINFLAMASI NON STEROID (AINS)
1 Diklofenak Natrium
1. Tab. Kemoren PKAF
2 Pronalges
 1. Suppositoria 100mg Pronalges Dexa
2 Meloxicam
1. Tab. 15mg Flasicox Ifars
10. OBAT UNTUK NYERI NEUROPATIK
1. Gabapentin
1. Kaps. 300mg Opipentin Otto
11. NOOTROPIK & NEUROTONIK/ NEUROTROPIK
1 Piracetam
1. Tab. 800mg Sevotam Ifars
2. Inj. 3000mg/15ml, amp @ 15ml Piracetam Ethica
2 Mecobalamin
1. Kaps. 500mcg Meprobal Meprofarm
3 Citicoline
1. Tab 500mg Brainolin Dexa
2. Inj. 250mg/2ml, amp @ 2ml Cercul Phapros
3. Inj. 500mg Neucity Lapi
6. SISTEM MUSKULOSKELETAL

1. OBAT HIPERURISEMIA DAN GOUT

1 Allopurinol
1. Tab. 300mg Omeric Mutia
2. OBAT LAIN
1 Tizanidine 2mg
1. Tab. 2mg Myores Meprofaram
2 Glucosamin
1. Tab. Glucosamin 500mg, Chondroitin Sulphate, Methyl Sulfonyl Methane, Magnesium Osteo Free Actavis
7. HORMON

1. ESTROGEN DAN PROGESTERON SERTA PREPARAT SINTETIKNYA

1 Medroxyprogesteron acetat
1. Inj. Depo Andalan Harsen
2 Kombinasi
1. Tab. (Levonogestrel-ethinyl estradiol) Planotab Triyasa
2. Inj. Estradiol-Medroxyprogesteron acetat Cyclogestan Triyasa
2. HORMON KORTIKOSTEROID
1 Deksametason
1. Tab. 0.5mg Ifidex Ifi
Carbidu Sampharindo
2. Inj. 5mg Deksametason Lucas Djaja
3. Inj. 10mg Deksametason Harsen
2 Metil Prednisolon
1. Tab. 4mg Metil Prednisolon Dexa
Metil Prednisolon Otto
2. Tab. 16mg Metil Prednisolon Dexa
3. Inj. 125mg/2ml, Vial 2ml Metil Prednisolon Phapros
3 Prednison
1. Tab. 5mg Prednison Bima
Trifacort Trifa
8. SISTEM KEMIH DAN KELAMIN

1. OBAT UNTUK PENYAKIT SALURAN EMIH DAN PROSTAT

1 Dutasteride
1. Kaps. Lunak 0.5mg Avodart GSK
2 Finasteride
 1. Tab. 5mg Prostide Pharos
9. SISTEM ENDOKRIN DAN METABOLIK

1. PREPARAT INSULIN
1 Analog Innsulin
1. Inj. 100 IU/ml, flexpen @ 3ml NovoRapid Novo Nordisk
Levemir Novo Nordisk
2. OBAT ANTIDIABETES
1 Gibenklamid
1. Tab. 5mg Latibet Ifars
Renabetic Fahrenheit
2 Gliclazid
1. Tab. 80mg Glucored Coronet
3 Glimepirid
1. Tab. 2mg Glimepirid Hexpharm Jaya
Actaril Actavis
Glimetic Hexpharm Jaya
Symril Simex
4 Metformin
1. Tab. 500mg Diabemin Ferron
5 Acarbose
1. Tab. 50mg Eclid Dexa
1. Tab. 100mg Eclid Dexa
6 Pioglitazone
1. Tab. 15mg Pionix Kalbe
3. OBAT ANTI TIROID
1 Propilteurasil
 1. Tab. 100mg Propilteurasil Indofarma
10. ALERGII DAN SISTEM IMUN

1. ANTIHISTAMIN DAN ANTIALERGI

1 Klorfeniramin
1. Tab. 4mg Chlorpheniramin Zenith
2 Cetirizin HCl
1. Tab. 10mg Cetirizin Hexpharm Jaya
2. Sir. Btl @ 60ml Lerzin Ifars
3 Difenhidramin
1. Inj. 10mg/ml, Vial @ 15ml Duradryl Durafarma
2. Inj. 10mg/ml, Vial @ 15ml Recodryl GMP
4 Epinefrin (Adrenalin)
1. Inj. 0,1%, amp @ 1ml Epinefrine Ethica
2. VAKSIN, ANTISERUM DAN IMUNOLOGIKAL
1 Imunoglobulin Anti Tetanus (Human Tetanus Imunoglobulin)
1. Inj. 250IU/amp, amp @ 1ml Tetagam PFS Dexa
2 Serum Anti Tetanus (KUDA)
1. Inj. 1.500 IU/amp, amp @ 1ml Anti Tetanus Serum Biofarma
3 Vaksin Hepatitis B Rekombinan
1. Inj. @ 1ml (Dewasa) Vaksin Hepatitis B Biofarma

11. MATA
1 Policarpine HCl
1. Tetes Mata, btl @ 10ml Cendo Carpine Cendo
2 Chloramphenicol
1. Tetes Mata, btl @ 10ml Reco Tetes Mata GMP
 3 Dexametason Aletrol Erela
1. Tetes mata, btl @ 10 ml
12. TELINGA, MULUT DAN TENGGOROKAN

1. ANTIINFEKSI DAN ANTISEPTIK TELINGA

1 Kloramfenikol
1. Tts. Telinga 3mg/ml, btl @ 10ml Reco Tetes Telinga GMP
2. ANTISEPTIK TELINGA DENGAN KORTIKOSTEROID
1 Kombinasi
1. Tts. Telinga, (Polimiksina-Neomisina-Lidokain-Fludrokortison) btl @ 10ml Nelicort GMP
2 Docusate sodium
1. Tts. Telinga, btl @ 10ml Forumen Sanbe
13. KULIT

1. ANTIBIOTIK TOPIKAL
1 Perak Sulfadiazin
1. Krim 1%, tub @ 35g Burnazin Darya-Varia
2 Gentamisin Sulfat
1. Krim 0,1%, tub @ 5gr Gentalen Ifars
2. ANTIJAMUR DAN ANTIPARASIT TOPIKAL
1 Mikonazol
1. Krim 2%, tube @ 10gr Miconazol Kimia Farma
2 Ketokonazol
1. Krim 2%, tub @ 5gr Solinfec Ifars
3 Asiklovir
1. Krim 5%, tub @ 5gr Herpiclof Nufarindo
4 Kombinasi
 1. Krim @ 15gr (Undecylenic acid 3%, Sulphur 3%, Diphenhydramin HCl 2%) NewAStar Zenith
3. ANTIINFEKSI TOPIKAL DAN KORTIKOSTEROID
1. Kombinasi
1. Krim, tub @ 15gr (Ekstrak Placenta 10%, Neomycin Sulfate 0.5m% ) Neocenta Ifars
2. Krim, tub @ 5gr (Betametason valerate 0,1%, Neomycin Sulfate 0.5m%) Nisagon Ifars
4. KORTIKOSTEROID TOPIKAL
1 Desoksimetason
1. Krim 0,25%, tub @ 5gr Dexigen Ifars
2 Kombinasi
1. Krim, tub @ 5gr (Hydrocorisone asetat 1%, Lodochlorhydroxyquin 1%) Viohidrocort Combiphar
3 Mometason Furoate
1. Krim 0,1%, tub @ 5gr Elox Guardian
1. Krim 0,1%, tub @ 10gr Elok Guardian
5. KERATOLITIK
1 Urea
1. Krim 20%, tub @ 60gr Carmed 20 Surya Dermato Medica
6. ANTISEPTIK
1 Etanol 70%
1. Btl. @1000ml Alkohol 70%
2 Povidon Iodida
1. Larutan 10%, btl @ 30ml Povidon Iodine
2. Larutan 10%, btl @ 1000ml Povidon Iodine
3 Kombinasi
1. Antiseptic Spray Octedin Ikapharmindo
7. OBAT KULIT LAIN
1 Bedak Salisil
 1. Serb. 2%, ktk @ 50gr Talk Salicyl Ikapharmindo
2 Lar. Chlor-(IV)-oxide oxygen complex, hydrate, Glycerine Oxoferin Pharos
3 Gel Heparin Sodium, tub @ 15gr HICO Ifars
14. LARUTAN INTRAVENA DAN LARUTAN STERIL LAIN
1 Air untuk injeksi
1. Inj. Amp @ 25ml Otsu Water Inj Otsu
15. NUTRISI

1. ELEKTROLIT
1 Glukosa
1. Inf. 5%, btl @ 500ml Glukosa 5% Widatra
2. Inf. 10%, btl @ 500ml Glukosa 10% Widatra
3. Inf. 40%, btl @ 25ml D40 Otsu
2 Ringer Laktat
1. Lar. Infus, btl @ 500ml Ringer Laktat Widatra
3 Natrium Klorida
1. Lar. Infus 0,9%, btl @ 500ml Sod.Chlorida (NaCl) Widatra
2. Lar. Infus 0,9%, btl @ 100ml Ecosal Phapros
4 Larutan Nutrisi Kombinasi
1. Lar. Infus, btl @ 500ml (Glukosa 5%, Natrium Klorida 0,45%) D5-1/2 NS Widatra
2. Lar. Infus, btl @ 500ml (Glukosa 5%, Natrium Klorida 0,225%) D5-1/4 NS Widatra
16. VITAMIN DAN MINERAL

1. VITAMIN B KOMPLEKS / DENGAN VITAMIN C

1 Tiamin HCl (Vitamin B1)
1. Tab. 50mg Licobevit Berlico
2 Piridoksin HCl (Vitamin B6)
1. Tab. 10 mg Vitamin B6 MEF
3 Tiamin HCl (Vitamin B1)
1. Tab. 50mg licobevit Berlico
4 Vitamin - B complex
1. Tab. Vitamin - B complex DEF
5 Kombinasi
1. Inj. 25mg/10ml, amp @ 10ml (Fursultiamin HCl 25mg/ml, Glukosa 2000mg/ml) Alinamin F Takeda
2. Tab. (Vit B1 100mg, Vit B6 50mg, Vit B12 100mcg, Vit E 30 IU) Fundifar Ifars
2. VITAMIN C
1 Asam Askorbat (Vitamin C)
1. Tab. 50mg Vit C Trifa
2. Inj. 100mg/ml, Amp @ 5ml Extrace Ethica
2 Kombinasi
1. Tab. Vitamin C 500mg, Taurin 375mg Regresor Simex
3. KALSIUM / DENGAN VITAMIN
1 Kalsium Laktat
1. Tab. 500mg Lactas Calsicus Trifa
4. VITAMIN DAN MINERAL (PEDIATRI)
1 Kombinasi
1. Drop. @ 15ml San-B-Plex Sanbe
2. Sir. Btl @ 60ml Seltifort Nufarindo
3. Sir. Btl @ 60ml Mulsanol Ifars
4. Sir. Btl @ 60ml Cavicur Erla
5. Sir. Btl @ 175ml Curvit Soho
6. Sir. Btl @ 60ml Hufanacea Hufa
7. Sir. Btl @ 60ml Imboost Force Soho
8. Sir. Btl @ 60ml Imunost Lapi
5. VITAMIN DAN MINERAL (UNTUK KEHAMILAN)
1 Asam Folat
1. Tab. 1mg Afolat RMS
6. ANTI ANEMIA
1. Kombinasi : Ferrous (II) gluconate (250 mg), Manganese (II)
sulfate( 0,2mg), Copper(II) sulfate(0,2mg),Ascorbic acid (50mg), Folic Acid Fondazen Ifars
(1mg),Cyanocobalamin (7,5 mcg)
2. Kombinasi : Fe (III) hydroxide polymaltose(300mg), Folic acid(1mg), Beta
carotene(10.000 IU),Vitamin B1(10 mg),Vitamin B12(8mcg),Vitamin
B2(2,5mg),Vitamin B6(50mg),VitaminC(100mg),Vitamin D(400IU),Calcium
Feritrin Dexa
lactate(250mg),Calcium
pantothenate(7,5mg),CuSO4(0,1mg),Nikotinamide(20mg),Potassium
iodide(0,1mg)
3. Kombinasi : Ferronyl(84,7 mg),Ascorbic acid(150mg),Folic acid(1 mg),
Vitamin B12(10 mg),Vitamin B1(3mg),Vitamin
Ferofort Kalbe
B2(3mg),vitaminB6(5mg),Niacinamide(30mg),Calcium
4. pantothenate(15mg),ZnSO4.H2O(41,2 mg),lysine HCL(50mg)
7. ASAM AMINO ESENSIAL
1. Kombinasi : α- Ketoisoleucine,calcium salt(67mg),α- Ketoleucine,calcium
sa-lt(101mg),α-Ketophenylalanine,calcium salt(68mg),α-
Hydroxymethionine,calcium salt(59mg),α-Ketovaline,calcium salt(86mg),L-
Tryptophane(23mg),L-T Aminefron Dexa
2.
3. hreonine(53mg),L-Histidine(38mg),L-Tyrosine(30mg),L-Lysine
acetate(105mg)
Aminoral Soho
Keto-G Gardian
8. PROBIOTIK
1. Kaps. (L. Helveticus Rosell-52 dan L. Rhamnosus Rosell-11) Lacidofil
2. Sachet. Maltodextrin (7 strain bakteri)
L-Bio Lapi

9. DEFISIENSI ENZIM PANKREAS

 1. Tab. Amilase, Protease, Lipase, Asam Desoksikolat dan Vitamin B-Komplek Vitazim Kalbe
2. Tab Pankreatin 4 NF XIV, Ox Bile, Dimetilpolisiloxane, Vitamin B1, B2,B6,B12, Niazinamide,
Berzymplex Bernofarm
Calcium phantothenate
10. VITAMIN-VITAMIN LAIN
1 Tab. Echinase Extrak Imboost Force Soho

Nama Dagang Nama Generik / Komposisi Pabrik PBF/Apotek Harga Beli

Cydifar Cyproheptadine Ifars AMW 83
Dianeral Susu Soho Parit Padang G 38.500
Dilantin Dilantin 650

Delagrange 3.300
Dogmatil
Ener plus ATP,B1,B6,B12 Soho Parit Padang G 2.200
Inlacin DLBS3233 Dexa AAM 4.554
Nephrolit Jamu Bintang 7 AST 550
Norelut Norethisteron 5mg Dexa AAM 3.506
Peptisol Vanila Susu Vanila Kalbe Toko Jodo 38.100
Proste Suplemen Promed Kalista Prima 2.717
Renapar Pot-Mag Farenheit Kebayoran P 2.200
Saccharin Saccharin 0,1g Trifa Sapta Sari 13
Ursolic 250 Ursodeoxycholic acid 250mg Guardian P. Kalista Prima 8.687
Vestein Erdostein 300mg Kalbe Enseval 4.125
 Nama Dagang Nama Generik / Komposisi Pabrik Distributor Harga Beli

Lidocain Lidocain 20mg Phapros Rajawali 839

Neurotropic Vit Neurotropic GMP Kebayoran P. 7.070

Nama Dagang Nama Generik / Komposisi Pabrik PBF/Apotek Harga Beli

Albotyl 5ml Policresulen Pharos AMS 18.291
Cerplas Bioceraic Aerofilm Gracia P. Kalista P 11.000