formularium rs asih abyakta.docx

8/17/2019 formularium RS ASIH ABYAKTA.docx

1/46

FORMULARIUM RUMAH SAKIT ASIH ABYAKTA

TAHUN 2016

No. KlsKelas Terapi, Nama e!eri" Nama #a$e! #a%ri"

&a$a$a!

Terapi

1 ANAL'TIK, ANTI#IR'TIK, ANTIINFLAMASI NONST'ROI(, ANTI#IRAI1,1 ANAL'TIK NARKOTIK

Fe!$a!il

Ko)ei!

Mor*!

#e$+i)i!

1,2 ANAL'TIK NONNARKOTIKA

#arase$amol, NA-e$l-s$ei!e

Asam Ase$ilsalisila$/ase$osal

Asam Mee!ama$

Kalim (i-loe!a"

Na$rim )i-loe!a"

I%proe!

Ke$oproe!

Ke$orola-

Melo3i-am

Napro3e!


2/46

Fentanil Inj i.m / i.v 0,05 mg/ml Jannsen-Cilag

Durogesic 12.5 mcgtransdermal patc Jannsen-Cilag

Durogesic 25 mcg transdermalpatc Jannsen-Cilag

Codein 10 mg ta!"imia Farma

Codein 15 mg ta!"imia FarmaCodein 20 mg ta!"imia Farma

#or$na 10 mg/ml"imia Farma

#%& Continus 10 mg ta!#aa'am (eta Farma

#%& Continus 15 mg ta!#aa'am (eta Farma

#%& Continus )0 mg ta!#aa'am (eta Farma

*etidin +Cl 100 mg/2ml inj"imia Farma

%istenol ta!Dea #edica

spilets 0 mg ta!#ediarma

&rom!o aspilets 0 mg &a!*

sam #eenamat 500 mg ta!andson

#e$nal 500 mg &a!%an!e Farma

Dolos 500 mg &a!

&empo"alium Di'loena' 50 mg+eparm

#eram 50 mg &a!#ersiarma

Cataam &a! 25 mg3ovartis

Cataam &a! 50 mg3ovartis

Cataam Dispersi!el 50 mg3ovartis

Cataam Drops 15 m3ovartis

Cataam Fast sacet 50 m3ovartis3atrium di'loena' 25 mg ta!*apros

3atrium di'loena' 50 mg ta!*apros

4oltaren 25 mg &a!3ovartis

4oltaren % 65 mg &a!3ovartis

4oltaren 65 g Inj3ovartis

%cantaren 7el 20 g &empo

"altroen 100 mg ta!"al!e Farma

I!uproen 800 mg ta!Indoarma

*roris supp*aros

(uect 100 mg/5 m %usp %an!e Farma

(uect Forte 200 mg/5 m %usp %an!e Farma"etoproen 100 mg ta! 3ovell

"altroen 100 mg supp "al!e Farma"altroen 200 mg % ta! "al!e Farma

"altroen gel 2.59 )0 g "al!e Farma

"etoproen 100 mg/2 m inj +eparm

"etorolac )0 mg Inj *apros

&oramine )0 mg inj :tto

%celto )0 mg inj *arosemopain )0 mg Inj Dea #edica

#eloicam 6,5 mg ta! 3ovell#eloicam 15 mg ta! 3ovell

4elco 15 mg asta! 3ovell#eparm 6,5 mg &a! "al!e Farma

#eparm 15 mg &a! "al!e Farmali 500 mg &a! &empo


3/46

No.Kls

Kelas Terapi, Namae!eri"

Nama#a$e!

Terapi

#arase$amol*aracetamol 500 mgta!

Dumin 500 mg ta!

Dumin ectal 125 mg

:ttopan s;rup

:ttopan drops%anmol 500 mg &a!%anmol Forte mla gel

2,2 AN'ST'SIK UMUM (AN OKSI'N(ia4epam Dia?epam 2 mg ta!

4alisan!e 2 mg ta!

4alisan!e 5 mg ta!

%tesolid 10 mg inj


4/46

%tesolid 5 mg ectal

%tesolid 10 mg ectal'e)ri! >edrin 10 mg inj

'pi!ep+ri! >pineprin injIso8ra! &errell 250 m

errane 250 m'!8ra! Compound 250 m

Ke$ami! "etamin 200 mg inj

"etalar 200 mg inj

#a%ri" &a$a$a!

Coronet Cro@n

ctavis

ctavis

:tto

:tto

%an!e Farma

%an!e Farma

%an!e Farma

%an!e Farma

%an!e Farma

FareneitIndo Farma

Indo Farma

(ernoarm

Inter!at

%an!e Farma

Indo Farma

*aros

*aros

#ersiarma

#ersiarma

&a'eda

"al!e Farma

:tto &empo

*aros

*aros

Jannsen-Cilag

"al!e Farma

+eparm

(ernoarm

Fareneit

Fareneit "usus

"al!e Farma anastesi spinal

"al!e Farma

Dr. +enning

(ernoarm

*apros

stra =eneca

"imia Farma

%an!e Farma%an!e Farma

ctavis

ctavis

ctavis

>tica


5/46

*apros

Fareneit

"al!e Farma

Fareneit

*$?erNo.Kls


Nama#a$e!

Tera

pi

Mi)a4olamFortanest 5 mg/5 mlinj

+ipno? 15 mg I3j

Neos$i9mi!*rostigmin 0,5mg/ml

3eostigmin Inj

Ni$ro9e! o"si)a 3itrogen o'sida

#ropool ecool Inj

*roanes Inj

S--i!l &+oli!eAuelicin 200 mg/10ml

O"si9e!

:'sigen ta!ung

'ecil:'sigen ta!ung!esar

ANTIAL'RI (AN OBAT UNTUK ANAFILAKSIS&+lorp+e!irami! malea$ Clorpeniramine 8 mg ta!

&pro+ep$a)i!e +eptasan 8 mg &a!(ie!+i)rami! Dipenidramin 10 mg/ml inj

'pi!eri! >pineprin 0,19 injHi)ro-or$iso! +;drocortison 19 5 gr salep

+;drocortison 2,59 5 gr salep

Me%+i)roli! !apa)isila$ +istapan &a!Lora$a)i! oratadin 10 mg ta!

lloris &a!lloris s;rup 5 mg/5 m

Lora$a)i!, #se)oee)ri! inos % 'aps

&e$iri4i! Ceteri?in 10 mg ta!

Cetiri?ine 5 mg / 5 m %;rup

;vell 5 mg / 5 m s;rup

;vell 10 mg/m drop

Triproli)i!, pse)oee)ri! &remen?a &a!#ertisal &a!

&remen?a %;rup

ctied s;rup

ctied plus epectorant %;rup

ctied plus coug suppresant %;rup

Fe3oe!a)i!e H&l &elast :D 120 mg &a!Be$ame$aso!, (e"s"lore!irami! Detaen caplet

:cuson &a!Iso$+ipe!)l, A-e$ami!op+e!, 3ipe Drops#+e!lepri!e

#se)oee)ri! H&l lco Drops

#se)oee)ri! H&l, Bromp+e!irami!e lco *lus %;rup

: ANTI(OT (AN OBAT LAIN UNTUK K'RA&UNAN:,1 KHUSUS

A$ropi! tropin 1 mg inj

Kalsim Foli!a$ eucovorin 50 mg/minj

Kalsim l"o!a$Calcii gluconas 100mg/ml

Na$rim Bi"ar%o!a$3atrium (i'ar!onat500 mg


6/46

:,

2 UMUM

Kar%o! a-$i $a% (ecar!on/norit

; ANTI'#IL'#SI < ANTIKON5ULSI&ar%ama4epi! Car!ama?epin 200 mg ta!

(amgetol 200 mg &a!

Fe!i$oi! *en;toin 100 mg Capsul

*en;toin 100 mg Inj"utoin 100 mg caps

"utoin 100 mg inj#a%ri" &a$a$a!

"al!e Farma

*aros

Com!ipar

Com!ipar

Dea #edica

%an!e Farma

!!ott

*apros

%an!e Farma

*apros

*apros

"al!e Farma

"al!e Farma

%an!e Farma

3ovell%an!e Farma

%an!e Farma

Dea #edica

3ovell

Indoarma

3ovell

3ovell

%an!e Farma

#ersiarma

%an!e Farma

7lao %mit "line

7lao %mit "line

7lao %mit "line%ano$ ventis

:tto

%an!e Farma

&ransarma #edica

Inter!at

Inter!at

*apros

"al!e Farma

>tica

"imia Farma

First #ediarma


7/46

Indoarma

#ersiarma

I'aparmindo

I'aparmindo

#ersiarma

#ersiarma

No.Kls

Kelas Terapi, Namae!eri" Nama #a$e! #a%ri"

&a$a$a!

Terapi

Fe!o%ar%i$al *eno!ar!ital )0 mg ta! "imia Farma

%i!ital 200 mg inj #ersiarma

a%ape!$i! lpentin 100 mg Caps ctavis

lpentin )00 mg Caps ctavis

%ipentin )00 mg Caps #ersiarma

>piven )00 mg Capsul 3ovell

Ma9!esim sla$ #g%:8 209 25 ml inj :tsu'a

#g%:8 809 25 ml inj :tsu'a

Asam 7alproa$ I'alep 250 mg/5 m %;r I'aparmindoNa$rim 7alproa$ I'alep 250 mg &a! I'aparmindo

#re9a%ali! *rovel;n 65 mg Caps "al!e Farma

*rovel;n 150 mg Caps "al!e Farma

6 ANTIINF'KSI

6,1 ANT'LMINTIK

#ira!$el *irantel 125 mgIndoarma

Com!antrin 250 mg ta! *$?er

Com!antrin 250 mg s;rup *$?er

6,2 ANTIBAKT'RI

6.2.1 B'TA LAKTAM

Amo3-illi! moicillin 500 mg ta! Indoarma

moicilin 125 mg s;rup 'ering Indoarma

:pimo 500 mg Caps :tto

mosan 500 mg Caps%an!eFarma

mosan 100 mg/m drops%an!eFarma

mosan 125 mg/5 m Dr;%;rup

%an!eFarma

mosan Forte 250 mg/5m

Dr; %;rup

%an!e

Farma

mosan 1 g Inj%an!eFarma

Amo3i-illi!,Asam&la7la!a$ Co moiclave 500 mg ta!

IndoFarma

Clavamo 1 g inj"al!eFarma

Clavamo s;rup"al!eFarma

Clavamo 500 mg ta!"al!eFarma

Daet 500 mg ta!Fareneit

De;clav 500 mg &a!De,a#edica

Ampisili! mpicillin 1 g inj(ernoarm

4icillin 1 g Inj #eijiAmpisili!, sl%a-$am (actes;n )65 mg caps "al!e


8/46

Farma

(actes;n 1500 mg inj"al!eFarma

Be!4a$i! %e!4lpe!!i-illi!

(en?atin !en?;l pennicillin 1,2 juta I in*apros

&eopera4o! Ceopera?on 1 g Inj Barindo

Ceopar Inj *aros

&eopera4o!, sl%a-$am Ceopera?on-sul!actam inj(ernoarm

%ta!actam inj Fareneit

&lo3a-illi! #eiam 500 mg caps #eiji

#eiam 1 g inj #eiji

&eale3i! Cealein 500 mg capsIndoarma

&ea)ro3l mo!o+i)ra$ Ceadro;l 500 mg caps+eparm

Ceadro;l dr; s;rup+eparm

Ceat 500 mg Caps%an!eFarma

:pice 500 mg caps :tto

:pice 125 mg/5m dr; s;rup :tto

Ceat 125 mg/5 m Dr; %;rup%an!eFarma

&e*3ime Ce$im 100 mg caps +eparm

Ce$im 100 mg dr; s;rup +eparm

Cespan 100 mg caps"al!eFarma

%tarce 100 mg capsDe,a#edica

%poreti' 100 mg caps%an!eFarma

Fiipar 200 mg caps *arosNo.

Kls

Kelas Terapi, Nama

e!eri" Terapi

&ea4oli!

&eepime

&eo$a3im

&e$ria3o!

&e$a4i)im

&ero3im

Imipe!em, &ilas$a$i!

Merope!em


9/46

#ro"ai! pe!i-illi!

6.2.2 ANTIBAKT'RI LAIN6.2.2.1 T'TRASIKLIN (o3-i-li! O"si$e$rasi"li!

Te$rasi"li!

6.2.2.2 KLORAMF'NIKOL &loramp+e!i-ol

Tiamp+e!i-ol

6.2.2. SULFATRIM'TO#RIM &o$rimo"sa4ol, "om% = slame$o"sa4ol,

$rime$oprim

Slasala4i! Mesala4i!e

Nama #a$e!

Fiacep 200 mg caps

Cespan 100 mg/5m Dr; s;rup %poreti' 100 mg/5m Dr; %;rup 3iaven 100 mg/5 m Dr;

%;rup Cea?olin 1 g Inj

Cea?ol 1 g inj #aice 1 g inj Dar;ace 1 g Inj #aimer 1 g Inj Ceotaim 1 g inj

"aloim 500 mg Inj "aloim 1 g inj &aegram 1 g Inj %iclaim 1 g Inj Cetriaon 1 g

inj (roadced 1 g inj >lpice 1 g Inj Ceta?idim 1 g inj =i!ac 1 g inj %aro 500 mg ta!%aro 650 mg inj Celocid 650 mg Inj

Imipenem Cilastatin Inj erses 1 g Inj #eropenem 1 g inj #eroen 1 g inj &ripenem 1 g

Inj *enemac 1 g Inj

*rocain penicillin Inj ) jt I

Do;ciclin 100 mg caps :'sitetrasi'lin 19 salep mata :'sitetrasi'lin )9 salep 'ulit &etrac;clin

500 mg caps

Clorampenicol 250 mg caps Colsancetine 250 mg Caps Colsancetine 1 g Inj Colsancetine125mg/5m %;rup &iampenicol 500 mg caps :pipen 500 mg

:pipen dr; s;rup(ioticol 125mg/5m dr; s;rup (ioticol Forte 250mg/5m dr; strup

Co trimoa?ol 80 mg ta! %anprima 80 mg Caplet (actrim Forte


10/46

*aros

Dar;a 4aria

#ersiarma

+eparm

"al!e Farma

"al!e Farma

%an!e Farma

#ersiarma

+eparm

"al!e FarmaFareneit

Dea #edica

Fareneit

Fareneit

Fareneit

Dea #edica

*aros

(ernoarm

"al!e Farma

Dea #edica

ctavis

#eiji

Indoarma

"imia Farma

"imia Farma

*apros

Indoarma

%an!e Farma


*apros

:tto

:tto

%an!e Farma

%an!e Farma

(ernoarm

%an!e Farma

oce

*apros

Indoarma%an!e Farma

%an!e Farma

Fareneit

Dar;a varia

Dar;a variaNo.Kls

Kelas Terapi, Namae!eri" Nama #a$e!

Terapi

6.2.2.: AMINOLIKOSI(A

e!$amisi! 7entamisin 0 mg inj

%agestam 0 mg InjAmi"asi! #i'asin 500 mg inj

6.2.2.; KUINOLON

&ipro8o"sasi! Ciprooacin 500 mg ta!


11/46

Auino!iotic 500 mg ta!

(aEuinor Forte 500 mg &a!

Ciprooacin 200 mg in

(aEuinor 200 mg In

Le7o8o3a-i! evooacin 500 mg ta!

Cravit 500 mg ta!

Farlev 500 mg &a!

Farlev 650 mg &a!

4oleEuin 500 mg &a!

evooacin 500 mg in

3islev 500 mg in

Farlev 500 mg In

Cravit 500 mg In

Farlev 650 mg In

Cravit 650 mg In

#e8o3a-i! Deao 500 mg &a!

5a!-om-i! 4antocil inj

6.2.2.6 MAKROLI(

A4i$rom-i! ?itrom;cin 500 mg caps

?trin 250 mg Capsul

=itra 250 mg capsul

=itra 500 mg capsul

&ro?in 500 mg &a!

'ri$+rom-i! >r;tromicin 500 mg ta!

>r;san!e 500 mg &a!>r;san!e Ce@a!le 200 mg

&a!>r;trom;cin 250 mg/m s;r'ering>r;san!e 250 mg/m s;rup'ering

&li!)am-i! Clindam;cin 100 mg caps

Clindam;cin )00 mg caps

Clinidac )00 mg Caps

Climadan )00 mg Caps

Ka!am-i! "anam;cin #eiji 1 g inj

6.2.2.> #'NUNAAN KHUSUS

Spiram-i! %piram;cin 500 mg caps

Fra)iomisi!, ramisi)i! F7 &roces ta! isap

&olis$i!e /polmi3i! sla$ Colistine 1,5 juta I ta!

Colistine 250.000 I &a!

6, ANTIINF'KSI KHUSUS

6..1 ANTIL'#RA

Riampisi! iampicin )00 mg ta!

iampicin 850 mg ta!

iampicin


12/46

3ovell

*aros

%an!e Farma

*apros

%an!e Farma

3ovell

"al!e Farma

Fareneit

FareneitDea #edica

Dea #edica

*aros

Fareneit

"al!e Farma

Fareneit

"al!e Farma

Dea #edica

*aros

"imia Farma*aros

"al!e Farma

"al!e Farma

&empo

Indoarma

%an!e Farma

%an!e Farma

Indoarma

%an!e Farma

Indoarma

3ovell

*aros

"al!e Farma#eiji

3ovell

#eiji

ctavis

ctavis

+eparm

+eparm

+eparm

#ersiarma

"imia Farma

"imia Farma

Indoarma

+eparmNo.Kls


Terapi

Riampisi!

S$rep$omisi!

6.. ANTI S'#TIK SALURAN K'MIH Asam pipemi)a$


13/46

Solie!a-i! s--i!a$e

6,: ANTIFUNIFl-o!a4ole

riseol7i!Ke$o-o!a4ol

Nis$a$i!Nis$a$i!, ?! o3i)e

6,; ANTI#ROTO?OA6.;.1 ANTIAMUBA (AN ANTIIAR(IASIS Me$ro!i)a4ol

Nis$a$i!, me$ro!i)a4ole

6.;.2 ANTIMALARIA Ki!i! Kloro"i!

Sla)o"si!, #rime$+ami!

6,6 ANTI5IRUS6.6.1 ANTIH'R#'S A--lo7ir

Me$+isopri!ol

> ANTIMIR'N>,1 #ROFILAKSIS

Fl!ari4i!

&i!!ari4i!e

>,2 S'RANAN AKUT 'r9o$ami!, "oei! Sma$rip$a!

>, LAIN < LAIN#ira-e$am

Nama #a$e!

iampicin 850 mg ta! iampicin n;stin 100.000 I/m drop #;co-= %alep 10 g

#etronida?ol ta! 500 mg ta! &rog;l


14/46

"ina 200 mg ta!

"loro'uin 150 mg ta!

Fansidar ta!

c;clovir 800 mg ta! %canovir 800 mg &a! c;clovir cream 59 5 g Isprinol 250 mg/5 m

Frego 10 mg ta!

#erron 25 mg &a!

>rica ta!

&riptagic &a!

*iracetam 800 mg ta! *iracetam 00 mg ta! *iracetam 1200 mg ta! *iracetam ) g inj

*iracetam 12 g inj#a%ri" &a$a$a!

+eparm

+eparm

#eiji

Dea

stellas

"imia Farma

Fareneit

3ovellIndoarma

"imia Farma

(ernoarm

+eparm

+eparm

&empo

%an!e Farma

"al!e Farma

&aiso *arm

(ernoarm

:tto

Dea

(!raun

Fareneit

*aros

"al!e Farma

"imia Farma

oce

Indoarma

&empo


15/46

Indoarma

3ovell

"al!e Farma

#ersiarma

&empo &empo

Dea #edica

Dea #edica

Dea #edica

Dea #edica

Dea #edicaNo.Kls


Terapi

#ira-e$am

&i$i-oli!

Nama #a$e!

3eurotam 800 mg ta! 3eurotam 00 mg ta! 3eurotam 1200 mg ta! #ersitropil 1200 mg &a!

3eurotam ) g inj 3eurotam 12 g inj 3eurotam 100 m s;rup (rainact 500 mg ta! (rainact :DI%500 mg &a! (rainact 1000 mg ta! (rainact 250 mg inj Citicolin 250 mg inj

#a%ri" &a$a$a!

"al!e Farma

"al!e Farma

"al!e Farma

#ersiarma

"al!e Farma

"al!e Farma

"al!e Farma

"al!e Farma

"al!e Farma"al!e Farma

"al!e Farma

+eparm

@ ANTIN'O#LASTIK, MUNOSU#R'SAN (AN OBAT UNTUK T'RA#I#ALIATIF

@,1 ANTIN'O#LASTIK Tamo"sie! &amoen 10 mg ta! &amoien 20

mg >!e@e &a!

ANTI#ARKINSONTri+e"sie!i)il &rie'sienidil 2 mg ta!

+e;mer 2 mg

Be!4era4i)e, Le7o)opa eva?ide ta!evopar &a!

10 (ARAH,OBAT YANM'M#'NARUHI

10,1ANTIAN'MI

Asamola$sam olat

1 mg ta!Folac 800

nemolat

Asamola$,ml$i7i$a


16/46

mi! +emaort ta!Besi /II sla$ Fe%:8 )00 mg ta!Fe 'leme!$al Ferri? 15 ml drop

Fe 1; m9,Foli- A-i),M9 1; m9,ml$i7i$ami! Fero'id 100 ml s;rupMl$i7i$ami! ?i!- =egavit

Sia!o"o%alami! /7i$ B12 4itamin ( 12 ta!4itamin ( 12 Inj

10,2 KOAULASI, OBAT a!9 M'M#'NARUHI

&ilos$a4ol *letaal 50 mg ta!&lopi)o9rel C*7 65 mg ta!

Clopidogrel 65 mg ta!

*latogri 65 mg &a!Fi$ome!a)io! /7i$ K1 *itomenadion 10mg ta!

*itomenadion 10mg/m Inj

*itomenadion 2 mg/m Inj

*roem 2 mg/m InjHepari!, Na Inviclot 5000 I/ml inj

&rom!opo! gel 20.000 I

Kar%a4o-+rome Na Slo!a$ dona 10 mg ta!

dona 50 mg Inj

#e!$o3i*li! &ioad 800 mg

eotal )00 mg injCarari! %imarc-2 ta!Fo!)apari!3 Na ritra 0.25 mg inj'!o3apari!e Na oveno


17/46

No.Kls

Kelas Terapi, Nama e!eri" Nama #a$e! #a%ri" &a$a$a!

Terapi

10,H'MOSTATIK

Asam Tra!e"sama$sam &raneamat 250 mginj 3ovellsam &raneamat 500 mginj +eparm

sam &raneamat 500 mgta! Indoarma

"alne 500 mg &a!"al!eFarma

*lasmine 500 mg &a!%an!eFarma

"alne 250 mg Inj"al!eFarma

"alne 500 mg Inj"al!eFarma

*lasmine 500 mg Inj%an!eFarma

&raneid 59 Inj

De,a

#edica

&raneid 109 InjDe,a#edica

O-$reo$i)e %andostatin 0,1 mg inj 3ovartis

11 #RO(UK (ARAH (AN #'NANTI #LASMA

11,1 #'NANTI #LASMA (AN #LASMA 'KS#AN('R

(e"s$ra! :tsutran 80 500 ml :tsu'a

:tsutran 60 500 ml :tsu'a

H)ro3 e$+l s$ar-+ Fimaes %-1)0 500 mE%an!eFarma

#ol9eli!e .;D 7elausal 500 mDe,a#edica

ela$i! 7elousine 500 m ((raun

12 (IANOSTIK 12,

1BAHAN KONTRASRA(IOLOI

Iopamiro ltravist )60, 50 m(a;er

ltravist )00, 20 m(a;er

Iopamiro )60, 50 m (ipa

Iopamiro )60, 100 m(Ipa

12,2 SALURAN &'RNA

Barim Sla$ (arium %ulat 200 g

1 (ISINF'KTAN (AN ANTIS'#TIK

1,1 ANTIS'#TIK

Hi)ro9e! pero"si)a +2:2 )9 100 ml:nemed

Kalim perma!9a!a$e "alium permanganat

#o7i)o! io)i)a *ovidon iodine 109


18/46

#oli"resle! l!ot;l solution 10 m *aros

l!ot;l ovula *aros

Klor+e3i)i! 9l-o!as#icrosield 29 500 mandscru!

Jonson

#icrosield 89 500 mandscru!

Jonson

#icrosield 500 m andru! Jonson

1,2 (ISINF'KTAN

'$a!ol l'ool 609 100 ml:nemed

%otaman 100 m +andru! (!raunKresol $ersapo!i*"asi ;0D-aira! Creolin

#araormal)e+i) *araormaldeid 1 g(rataco

Se!aEa "lor *resept 2.5 g ta!let Jonson

(ipo$a-im Hi)ro9e! p+ospa$ #o$a-im B Cide :* Jonson

%ta!imed 1000m (!raun

(e$er9e! e!4ma$i- Cide?;me JonsonNo.Kls

Kelas Terapi, Nama e!eri" Nama#a$e!

Terapi

1: II (AN MULUT, O%a$ !$" 1:,1 MULUT, o%a$ !$"

Hi)ro9e! pero"si)a +2:2 )9 100 ml#oli"resle! l!ot;l conc. 10 m

l!ot;l ovula

#o7i)o! lo)i)a (etadine gargle 10 mHe3e$i)i! 0,1D +eadol mint 100 m

Triam-i!olo! a-e$o!i)e 0,1D "enalog in :ra (ase 5 gBe!4)ami! H&l &antum verde 120 m gargle

1; (IUR'TIK

Frosemi)a Furosemid 80 mg ta!

Furosemid 20 mg Inj

Farsi 20 mg Inj

Hi)ro"lor$ia4i) +C& 25 mg

Ma!i$ol #anitol 209 500 ml

Spiro!ola"$o! etonal 25 mg

%pironolacton 25 mg

etonal 100 mg%pironolacton 100 mg

16 HORMON, OBAT '(OKRIN LAIN (AN KONTRAS'#TIK 16,1

HI#OLIK'MIK, OBAT/ANTI(IAB'T'S

16.1.1 HI#OLIK'MIKORAL/ANTI(IAB'T'S ORAL

A-ar%ose car!ose 50 mg &a!

car!ose 100 mg &a!

>clid 50 mg &a!

>clid 100 mg &a!li%e!"lami)a 7li!enclamid 5 mg ta!

li"a4i) 7lida!et 0 mg ta!

limepiri)e 7limepiride 1 mg ta!

7limepiride 2 mg ta!

7limepiride ) mg ta!


19/46

7limepiride 8 mg ta!

lii)o! 7liEuidon )0 mg ta!

Me$ormi! #etormin 500 mg ta!

#etormin 50 mg ta!

Me$ormi!, 9li%e!-lami)7lucovance 2.5 mg/500 mg

&a!

16.2.2 HI#OLIK'MIK, #AR'NTAL

I!sli! )e$emir

evemir Flepen )00

I/)m

I!sli! aspar$3ovo apid Flepen )00I/)m

I!sli! aspar$ 0D, pro$ami!a$e) i!sli! as 3ovo #iFlepen )00 I/)m

I!sli! 9lar9i!eantus solostar pen )00I/)m

I!sli! llisi!epidra %olostar pen )00I/) m

Hma! i!sli! isop+a!e+umulin 3 )00 I/) mcatridge

Hma! I!sli! Re9lar sol%le+umulin )00 I/) mcatridge

I!sli! lispro +umalog )00 I/) mcatridge

I!sli! 2;D, i!sli! lispro+umalog #i, )00 I/) mcatridge

pro$ami!e ssp>;D

16.. HORMON K'LAMIN (AN OBAT YAN M'M#'NARUHIF'RTILITAS

16..1 #RO'STO'N

Aliles$re!ol *remaston 5 mg ta!

Me)ro"sipro9es$ero! *rot;ra 10 mg ta!

Nore$is$ero! 3orelut &a!

*rimolut 3 &a!#a%ri" &a$a$a!

:ne #ed

*aros

*aros

#aa'am

:tto

(ristol #e;er

%oo

Indoarma

Indoarma

Fareneit

"imia Farma

:tsu'a

:tto

Dea #edica

:tto

Dea #edica

Dea #edica

Dea #edica

Dea #edica


20/46

Dea #edica

Indoarma

"al!e Farma

+eparm

+eparm

+eparm

+eparm

Dea #edica

+eparm

+eparm#erc'

3ovo 3ordis'

3ovo 3ordis'

3ovo 3ordis'

%ano$ ventis

%ano$ ventis

>ll; ill;

>ll; ill;

>ll; ill;

>ll; ill;

"al!e Farma

%unti %epuri

Dea #edica

(a;erNo.Kls


Terapi

#ro9es$ero!

16..2 'STRO'N '$i!il 's$ra)iol Bromo-rip$i!

16.. K'MOT'RA#I HORMONAL Leproli)e a-e$a$e

16..: KONTRAS'#TIK16..:.1 KONTRAS'#TIK ORAL Kom%i!asi =

le7o!or9es$rel 1;0 m-9

e$i!il es$ra)iol 0 m-9 Kom%i!asi = &pro$ero! a-e$a$ 2 m9

e$i!il es$ra)iol 0.0;m9 Kom%i!asi= (rospire!o!e m9

'$i!il es$ra)iol 0.0m916..:.2 KONTRAS'#TIK, #AR'NT'RAL

Me)ro"si #ro9es$ero!16..; IN(UKTOR O5ULASI Klomie!

16,: HORMON TIROI( (AN ANTITIROI(Lar$a! L9ol

#ropil$iorasil&ar%ima4ole

Le7o$+ro3i! Na

T+iama4ole

16,; KORTIKOST'ROI((e"same$aso!

Me$il #re)!isolo!


21/46

#re)!iso!

#re)!isolo!Triam-i!olo! ase$o!i)a

1> KAR(IO5ASKUL'R OBAT1>,1 ANTIANINA (il$ia4em H&l

Nama #a$e!

C;gest *essar; 200 mg C;gest *essar; 800 mg

;noral 50 mcg ta!

*arlodel 25 mg ta!

>ndrolin ).65 mg Inj

#icrog;non

Diane )5

Basmin &a!

Depo 7eston 150 mg/ml

*roertil 50 mg ta!

arutan lugol )0 ml *ropiltiourasil 50 mg ta! 3eo #erca?ole 5 mg ta! &;ra 100 mg ta!

>ut;ro 50 mg &a! >ut;ro 100 mg &a! &;ro?ol 5 mg &a!

Deametasone 0,5 mg ta! "almetason 5mg/m inj #etil *rednisolon 8 mg ta! #etil *rednisolon

mg ta! #etil *rednisolon 1< mg ta! *rednicort 8 mg &a! *rednicort mg &a! +eilon 8 mg &a!+eilon mg &a! +eilon 1< mg &a!

#etil *rednisolon 125 mg inj #etil *rednisolon 500 mg inj *rednison 5 mg ta!

upred 5 mg &a! &riamcinolon 8 mg &a! &rilac 8 mg &a!

&rilac 10 mg/5 m I/ID inj &rilac 80 mg/1 m I# Inj

Diltia?em +Cl )0 mg ta! +er!esser CD 100 mg caps +er!esser CD 200 mg caps Farma!es 25 mg/5

m Inj#a%ri" &a$a$a!

ctavis

ctavis


22/46

:rganon

3ovartis

"al!e Farma

(a;er

(a;er

(a;er

"al!e Farma

Dea #edica

3icolas

:rganon

#erc'

#erc'

#erc'

*apros

"al!e Farma

3ovell

3ovell

3ovell

:tto

:tto

"al!e Farma

"al!e Farma

"al!e Farma

*apros

*apros

%a'a Farma

Fareneit

Dea #edica

3ovell3ovell

3ovell

Indoarma

&ana!e

&ana!e

FareneitNo.Kls

Kelas Terapi, Nama

e!eri"

Nama

#a$e!Terapi

Isosor%i) )i!i$ra$Isosor!ide Dinitrat 5mg &a!

Farsor!id 10 mg Inj

Isor!id 10 mg inj


23/46

(piri)amol *ersantin 65 mg ta!

Trime$a4i)i! &ri?edon # ta!

Ni$ro9liseri! 3itral 500 mg &a!

3&7 10mg/10m Inj

1>,2ANTIARITMIA

Amio)aro!e &iar;t 200 mg ta!

&iar;t 150 mg inj

Ki!i)i! "ina 200 mg ta!

Li)o"ai! ido'ain 29 2 ml inj

#ropa!olol *ropanolol 10 mg ta!

Farmadral 10 mg ta!

*ropanolol 80 mg ta!

5erapamil 4erapamil 80 mg ta!

1>,ANTIHI#'RT'NSI

Amlo)ipi!e mlodipin 5 mg ta!

mlodipin 10 mg ta!

Divas' 5 mg ta!

Divas' 10 mg ta!

&ensivas' 5 mg ta!

&ensivas' 10 mg ta!

A$e!olol (eta !lo' 50 mg ta!

(eta !lo' 100 mg ta!

Bisoprolol mara$ Concor 2.5 mg &a!

(isoprolol 5 mg &a!

Kap$opril Captopril 12.5 mg ta!

Captopril 25 mg ta!

Klo!i)i! Clonidin 0.15 mg ta!

Lisi!opril isinopril 5 mg &a!

isinopril 10 mg &a!

&ensipar 5 mg ta!

&ensipar 10 mg ta!

Me$il)opa Dopamet 250 mg ta!Nie)ipi! 3iedipin 10 mg ta!

dalat oros )0 mg ta!

#ropa!olol H&l *ropanolol 10 mg ta!

Farmadral 10 mg &a!

*ropanolol 80 mg ta!

5alsar$a! Diovan 0 mg ta!

Diovan 1,;AAL GANTUN, OBAT

(i9o"si! Digoin 0.25 mg ta!

Fargoin 0.25 mg/ml

A)e!osi! Tri #+ospa$ &* "al!e Farma ta!

1>,6SYOK, OBAT UNTUK SYOKKAR(IO'NIK

#a%ri" &a$a$a!


24/46

Indoarma

Fareneit

*aros

(a;er

%ervier

*aros

Ferron

FareneitFareneit

"imia Farma

(ernoarm

Dea #edica

Fareneit

Dea #edica

"imia Farma

+eparm

+eparm

"al!e Farma

"al!e Farma

Dea #edica

Dea #edica

"al!e Farma

"al!e Farma

#erc'

3ovell

Indoarma

Indoarma

Indoarma

3ovell

3ovell

ctavisctavis

ctavis

Dea #edica

(a;er

Dea #edica

Fareneit

Dea #edica

3ovartis

3ovartis

andson

andson

Dea #edica

Dea #edicaDea #edica

Dea #edica

andson

Fareneit

*aros

Indoarma

Fareneit

"al!e FarmaNo.Kls

Kelas Terapi, Nama

e!eri"

Nama

#a$e!Terapi

1>,6SYOK, OBAT UNTUK SYOKKAR(IO'NIK

(opami!Dopac 200 mg/10 minj


25/46

(o%$ami! Dominic 250 mg Inj

'pi!eri! /A)re!ali! >pineprin 0.19 inj

Norepi!ep+ri! 4ascon 8 mg inj

aivas 8 mg Inj

1>,>ANTIHI#'RLI#I('MIA

Sim7as$a$i! %imvastatin 10 mg ta!

%imvastatin 20 mg ta!

#ersivas 10 mg &a!

Fe!o*%ra$eFeno$!rate 100 mgCapsFeno$!rate )00 mgCaps

em*%ro4il7em$!ro?il )00 mgta!

#ersi'ol )00 mg Caps

A$or7as$a$i!torvastatin 20 mg

&a!

toar 20 mg &a!

ctalipid 10 mg Caps

ctalipid 20 mg Caps

ctalipid )0 mg Caps

1@ KULIT, OBAT TO#IKALUNTUK

1@,1ANTIBAKT'RI

Asam si)a$ Fuson 29 5 g cream

Fuladic 29 5 g cream

Framise$i! Dar;antulle

e!$ia! 7iole$ 7entian 4iolet 10 ml

&+lor+e3i)i!e a-e$a$e (actigrasCutimed %or!acttuper

#era" sla)ia4i!e (urna?ine )5 g cream(urna?ine 500 g

Cream

O3$e$ra--li!:;tetrac;clin )9 5 gsalep

Neomisi!, e"s$ra" plase!$a (ioplacenton 7el 15 g

e!$amisi!7entamicin 0.1 9salep 'ulit

Mpiro-i! *irotop 29 10 g cream*i!a'sin 29 10 gCream

Neomisi!, Ba-i$rasi! 3( topical 5 g cream

&racetin 5 g salep

&ar%o3me$+l selllose Euacel 1010 cm

&ar%o3me$+l selllose, A9 Euacel g 1010 cm

Euacel g 1515 cm

Kalsim Al9i!a$e "altostat 1010 cm

1@,2ANTIFUNI

e!$ia! 7iole$ 7entian 4iolet 10 ml

Mi"o!a4ol #icona?ole 29 cream

Ke$o-o!a4ole"etocona?ole 10 gcream

Form;co 10 g cream"etomed 29 %calp%olution

1@,

ANTIINFLAMASI (AN

ANTI#RURITIK Be$ame$aso! (enoson 5 g cream

(etametason 5 gcream

Be$ame$aso!, e!$amisi! (etasin cream 10 g

Be$ame$aso!, Neomisi! (enoson 3 5 g cream


26/46

Be$ame$aso!, asam salisila$Diprosalic 10 motion

Diprosalic 5 g salep

&lo%e$asol"loderma 5 g Cream /salep

(eso!i)e Desole 0,059 cream

(eso!i)e, Neomisi! Desole 3 Cream#a%ri" &a$a$a!

"al!e Farma

"al!e Farma

*apros

Fareneit

Dea #edica

3ovell

"imia Farma

#ersiarma

+eparm

+eparm*apros

#ersiarma

Barindo

Fareneit

ctavis

ctavis

ctavis

*;ridam

7uardian

Dar;a 4aria

%mit 3epe@

(%3

Dar;a 4aria

Dar;a 4aria

"imia Farma

"al!e Farma

Indoarma

%D#

%an!e Farma

*apros

:ttoConvatec

Convatec

Convatec

Convatec

"imia Farma

+eparm

%an!e Farma

%D#

(ernoarm

Indoarma

:tto

(ernoarm


27/46

#%D

#%D

%D#

%D#

%D#No.Kls


&a$a$a!

Terapi

(eso3me$+aso!e Desoimetasone 0,259 15 gCream Dea #edica

*;derma 10 g cream *;ridam

Inerson 15 g cream Inter!at

Flo-i!olo!e Cinolon cream 10 g %an!e Farma

Flo-i!olo!e, Neomisi! Cinolon 3 cream 10 g %an!e Farma

Hi)ro-or$iso!, Klorame!i"ol Clorampecort + cream "imia Farma

Hi)ro"or$iso! +idrocortison 19 cream "al!e Farma

+idrocortison 2.59 cream Indoarma

ocoid scalp lotion 20 m Com!ipar

La-$oserm, asam la-$a$e actac;d liEuid !a!;


28/46

Ra)i3 S-$ellariae, #+ello)e!)ri-or$e3, r+i4 %i!ro salep 20 g Com!ipar

1 'L'KTROLIT1,1ORAL

Kom%i!asi = Na&l 0.0> 9, K&l0.0 9, :ralit IndoarmaTri!a$rim si$ra$ )i+i)ra$ 0.;@9A!9"a", '3$r psi)ii olim,

ele"$roli$ &rolit "al!e Farma

20 MATA, OBAT UNTUK 20,1SIST'MIK

Ase$a4olami)a 7laucon 250 mg &a! Cendo

7lauseta 250 mg &a! %an!e 4isionBe$a "aro$e!, 7i$, mi!eral,l$ei! etivit ta! %an!e

No.Kls


Terapi

L-ope!e, ?ea3a!$+i!, l$ei!, 7i$, mi!eral L$ei!, 4ea3a!$i!, as$a3a!$+i!5a--i!im m$r. Fr, &ale!)la o.

Flos, Hele!im a$. 8os. '3$r

20,2 TO#IKAL

20.2.1 AN'ST'TIK LOKAL Te$ra"ai!

20.2.2 ANTIMIKROBA )a! ANTI5IRUS A--lo7ir&+lorampe!i-ol

&ipro8o3a-i!Frami-e$i!, rami-i)i!, )e3a e!$amisi!

Le7o8o3a-i!Neom-i!, #olmi3i!, rami-i)i! Neom-i!, #olm3i!, (e"same$aso!

Neom-i!, #olm3i!, $e$ra+)ro4oli!

O8o3a-i! O"si$e$rasi"li! To%ram-i!To%ram-i!, )e3ame$+aso!

20.2. ANTIINFLAMASI Be$ame$+aso! Florome$+olo!

Nap+a4oli!, p+e!irami! Na$rim )i-loe!a"

20.2.: MI(RIATIK A$ropi!

Tropi"ami)a

20.2.; MIOTIK (AN ANTILAUKOMA #ilo"arpi!Timolol La$a!opros$

20.2.6 LAINLAINA!$a4oli!e H&l, Nap+a4oli!e H&l A$ropi!e sla$e

Be$a3olol&a&l A!+, #o$asim Io)i)e, Na $+io

Nama #a$e!


29/46

etivit plus

&7F - Cendo "aplet

4itanorm &a!

C. *antocain 0,59 m

C. *antocain 29 5 m

C. +ervis ),5 g >;e :intment Colme >;e Drop 0.59 m C. Fenicol e;e :int ),5 g

C. lcori #inidose (lecide drop

C. 7enta 0,)9 ),5 g salep

C. 7entamisin 0,)9 5 m drop C. F #inidose

C. *ol;gran #inidoseC. *ol;gran >;e :intment C. itrol 5 m drop

C. itrol ).5 g salep C. *ol;de 5 m drop C. *ol;de #inidose C. %tatrol 5 m drop

C. %tatrol ),5 g >;e :intment C. Floa #inidose

:;tetrac;clin 19 ),5 g salep mata C. &o!ro #inidose

C. &o!roson minidose

C. 4osama #inidose

:cuam 0.19 drop

C. *osop #inidose

Flamergi 5 m drop

C. 3oncort #inidose

C. &ropin 0,59 5 m drop

C. &ropin 19 #inidose

C. #;driat;l 0,59 5 m

C. #;driat;l 19 5 m

C. Carpine 29 5 m drop C. &imol 0,59 5 m drop

Isotic adretor 0,59 5 m drop Isotic adretor 19 5 m drop C. 7laopen #inidose

C. 4asacon #inidose

C. 4asacon 5 m

C. &ropin 0.59 5 m drop

C. &ropin 19 5 m drop

C. &onor 0.59 #inidose

C. Catarlen 5 m drop

C. Catarlen 15 m drop#a%ri" &a$a$a!

%an!e cendo Cendo

Cendo

Cendo

Cendo

Inter!atCendo

Cendo

%an!e

Cendo


30/46

Cendo

Cendo

Cendo

Cendo

Cendo

Cendo

Cendo

Cendo

Cendo

CendoCendo

"imia Farma

Cendo

Cendo

Cendo

%an!e

Cendo

%an!e

Cendo

Cendo

Cendo -

Cendo

Cendo

Cendo

Cendo

Fareneit

Fareneit

Cendo

Cendo

Cendo

Cendo

Cendo

Cendo

Cendo

CendoNo.Kls

Kelas Terapi, Namae!eri" Nama #a$e!

Terapi

&ar%o3me$+l-elllose Na C. Cenres #inidose

&+lor%$a!olC. :ptalgon )9 5 mdrop

&romol! C. Conver 29 #inidoseC. Conver 29 15 mdrop

H#M&, (e3$ra! >0 C. >;e Fres #inidose

%an!e &ears 5 m

H#M&, Re$i!ol #almi$a$eC. u!ricen :cularu!ricant 5 g

Kalim Io)i)a, so)im io)i!e C. 4itrolenta #inidose

Na. +alro!a$e C. +;alu! #inidose

Na&l, K&l C. ;teers 15 m drop

Nap+a4oli!e H&l C. 4asacon #inidose#+e!lep+e)ri!e, Be!4al-o!im &l, Na Bis C. >risel109 5 m drop

#ire!o3i!e C. enti'ular #inidose

#ol7i!lproli)o!e C. *rotagenta 5 m


31/46

C. *rotagenta #inidoseTe$ra+i)rosoli!,Be!4al"o!im 4isine < ml5i$ A, A!eri!e H&l, &a#a!$+o$e!a$e C. epitel >;e :inment

C. epitel #inidose5i$. A, O3me$a4oli!e H&l,H#M& C. steno #inidose

C. steno 5 ml

5i$. A, ?i!-, #+e!lep+e)ri! C. ugentonic #inidose

21OKSITOSIK (AN R'LAKSANUT'RUS

21,1OKSITOSIK

O"si$osi! :;tocin % 10 iu/m Inj

Induin 10 I/m inj

Me$iler9ome$ri!#et;l ergometrin 0,125mg

*ospargin 0.125 mg ta!*ospargin 0,200 mg/minj

21,2R'LAKSAN UT'RUS

Ma9!esim sla$ #g%:8 209 25 m

#g%:8 809 25 m

Iso"spri! H&l *roterin 20 mg

*roterin Inje'si

22 #SIKOFARMAKA

22,1ANTI ANSI'TAS (AN ANTIINSOMNIA

Alpra4olam lpra?olam 0,5 mg ta!

lpra?olam 1 mg ta!

Friitas 0,5 mg ta!

tara 0,5 mg &a!

&lo%a4am Clo!a?am 10 mg ta!sa!ium 10 mg &a!

(ia4epam Dia?epam 2 mg ta!

Dia?epam 5 mg &a!

4alisan!e 2 mg ta!

4alisan!e 5 mg ta!

4aldime 5 mg &a!

%tesolid 10 mg inj

's$a4olam >silgan 1 mg ta!

Lora4epam #erlopam 0,5 mg &a!

#erlopam 2 mg ta!

22,2

ANTI('#R'SI (AN

ANTIMANIAAmi$rip$ili! mitript;llin 25 mg ta!

&ar%ama4epi!Car!ama?epin 200 mgta!

(amgetol 200 mg &a!

Flo3e$i! 3oetin 20 mg ta!

Depresac 20 mg Capsul#a%ri" &a$a$a!

Cendo

Cendo

Cendo

CendoCendo

%an!e 4ision

Cendo

Cendo

Cendo


32/46

Cendo

Cendo

Cendo

Cendo

Cendo

Cendo

*$?er

Cendo

Cendo

CendoCendo

Cendo

>tica

"al!e Farma

"imia Farma

"al!e Farma

"al!e Farma

:tsu'a

:tsu'a

3ovell

3ovell

Dea medica

Dea #edica

3ovell

#ersiarma

Dea medica

:tto"imia Farma

"imia Farma

%an!e Farma

%an!e Farma

#ersiarma

ctavis

&a'eda

#ersiarma

#ersiarma

Indoarma

Indoarma#ersiarma

3ovell

ctavisNo.Kls


Terapi

Flo3e$i!

Haloperi)ol

Li$+im -ar%o!a$e

22,ANTIOBS'SI KOM#ULSI

Flo3e$i!


33/46

Nama #a$e!

3oetin 20 mg ta! Depresac 20 mg Capsul Courage 20 mg &a! +aloperidol 0.5 mg ta!

+aloperidol 1.5 mg ta! +aloperidol 5 mg ta! Frimania 200 mg &a!

3oetin 20 mg ta! Depresac 20 mg Capsul Courage 20 mg &a!#a%ri" &a$a$a!

3ovell

ctavis

%oo

Indoarma

Indoarma

Indoarma

#ersiarma

3ovell

ctavis

%oo

22,: ANTI#SIKOSIS

Aripipra4ole !ili; 5 mg &a!

!ili; 15 mg &a!

&+lor)ia4eposi)e, &li)i!m Br (raidin ta!&lo4api! uten 25 mg ta!

Clopin 25 mg &a!

Clopin 100 mg &a!

(ia4epam %tesolid 10 mg inj

Dia?epam 2 mg ta!

4alisan!e 2 mg ta!

4alisan!e 5 mg ta!

4aldime 5 mg &a!

Haloperi)ol +aloperidol 0,5 mg ta!+aloperidol 1,5 mg ta!

+aloperidol 5 mg ta!

odomer 5 mg/m inj

Klorproma4i! Clorproma?ine 100 mg &a!

C*= Inj i.m 25 mg/ml

Klo%a4am Clo!a?am 10 mg ta!

sa!ium 10 mg &a!Lora4epam #erlopam 0,5 mg &a!

#erlopam 2 mg ta!Risperi)o! isperidon 1 mg &a!

isperidon 2 mg &a!

isperidon ) mg &a!3oprenia 2 mg ta!

3:% G3eripros :ral %olutionH

Tri8perasi!e %telosi 5 mg &a!Mi)a4olam Fortanest 5 mg inj

Fortanest 15 mg inj

+ipno? 5 mg inj

+ipno? 15 mg injOla!4api!e emital 5 mg &a!

emital 10 mg &a!

22,; A(H( )a! NAR&OL'#SY

Me$+lpe!i)a$e *roiper 10 mg &a!

2 R'LAKSAN OTOT #'RIF'R (AN #'NHAMBATKOLIN'ST'RAS'

2,1

#'NHAMBATN'UROMUSKULL'R

A$ra"rim %esila$ &ramus 25 mg Inj

S"same$o!im

5er"ro!im

2,2 LAINLAIN

'periso!


34/46

:tsu'a

:tsu'a

%an!e

*arosI'aparmindo

I'aparmindo

ctavis

"imia Farma


#ersiarma

Indoarma

Indoarma

Indoarma

#ersiarma

"imia Farma

Dea #edica

:tto

#ersiarma

#ersiarma

#ersiarma

#ersiarma

#ersiarma

3ovell

*aros

#ersiarma

"al!e Farma

"al!e Farma

*aros

*aros

*aros

*aros

#ersiarma

Dea #edica

!!ott

:rganon

*aros

#edi'on

3ovell


35/46

No.Kls


Nama#a$e!

Terapi

2,2LAINLAIN

'periso! >perison 50 mg ta!

i?ona 50 mg ta!

#;ori 50 mg &a!

2:SALURAN &'RNA, OBATUNTUK

2:.1. ANTASI(A (AN ANTIULKUS

A!$asi)a (O'N ntasida D:>3 ta!

Deanta &a!ntasida Doen


36/46

#a!-rea$i!, Brimelai!, (M#S >lsa?;m ta!letSerra$iopep$i)ase,#a!-rea$i!, Le-i$+i! 3utriam Capsul

Misopros$ol 7astrul ta!

2:.2. ANTI'M'TIK

Be$a+is$i! mesila$(etasitine #esilat

&a!

#ertigo < mg &a!

(ime!+i)ri!a$ ntimo 50 mg ta!Dimenidrinate 50mg ta!

(omperi)o!Domperidon 10 mgta!

4omitas 10 mg ta!

4omitas FD& ta!

4omitas


37/46

%olva; *arma

:tto

&ropica

Fareneit

3ovell

Dea #edica

*apros

Indoarma"al!e Farma

"al!e Farma

"al!e Farma

"al!e FarmaNo.Kls


Terapi

(omperi)o!

Klorproma4i!

Me$o"loprami)

O!)a!se$ro!

ra!i-e$ro!

#ira$ia4i!, 7i$ B6, &loro$eopili!

2:.. ANTIH'MOROI( A!$i+emoroi) (O'NKom% = Li$+ospermi ra)i3 e3$r, Be!4o-ai!e, (ip+e!+)rami!, &e$rimi)eBism$+ s%9ala$, Asam %ora$ Hi)rosmi!/)eri7a$e (iosmi! #ol-resle!,

-i!-+i-ai!e H&l

2:.:. ANTIS#ASMO(IK Hios-i!eNB$+l Bromi)e

Hios-i!eNB$+l Bromi)e, para-e$amol Kli)i!im Br, -+lor)ia4epo3i)e

Me$+ampiro!, #apa7eri!, e3$. %ella)o!

2:.;. (IAR', OBAT UNTUK aram orali$ A$$apl9i$e, pe-$i!A$$apl9i$e

Kaoli!, pe-$i!

Loperami) Kom%i!asi =

La-$o%a-illis a-i)op+ils Bi*)o%a-$erim lo!9m S$rep$o-o--s ae-im

7ia%le 5i$. &,5i$. B1,5i$ B2, 5i$. B6,!io-i!

Kom%i!asi =S$rep$o-o--s $+ermop+ills La-$o%a-ills r+am!oss La-$o%a-illis


38/46

a-i)op+ils Bi*)o%a-$erim lo!9m Bi*)o%a-$erim %i*)m

Nama #a$e!

7erdilium caplet

#onell 5 mg/5m oral susp #onell 5 mg/m oral drop Clorproma?ine 100 mg &a! *iralen 10 mg

ta!

*iralen 10 mg inj :ndancetron 8 mg ta! :ndancetron mg ta! 3aro? 8 mg ta! 3aro? mg

ta! :ndancetron 8 mg inj :ndancetron mg inj 3aro? 8 mg inj 3aro? mg inj 4omceran 8

mg Inj 4omceran mg Inj 7ranicetron 1 mg Inj 7ranicetron ) mg Inj 7ramet 1 mg/1 m Inj

7ramet ) mg/) m Inj :pigran 1 mg/1 m Inj :pigran ) mg/) m Inj #ediamer (< ta!nvomer (< ta!

(orraginol 3 supp

(orraginol % %upp

nti emoroid supp

4enosmil &a!

Fa'tu supp

+;osine 10 mg ta! %copamin 10 mg ta! +;oscine 3-(ut;l !romide Inj (uscopan 20 mg/ml inj

(uscopan plus &a!

(raidin ta! %pasminal ta!

:ralit

3e@ Diata!s

(iodiar &a!

:pidiar susp 120 m

3eo "aolana susp

enamide ta!

acto (

iprolac#a%ri" &a$a$a!

:tto

3ovell

3ovell

"imia Farma

:tto:tto

3ovell

3ovell

*aros

*aros

3ovell

3ovell

*aros

*aros

"al!e Farma

"al!e Farma

:tto

:tto*aros

*aros

:tto

:tto


39/46

Dar;a 4aria

Dea

&a'eda

&a'eda

"imia

"al!e Farma

*aros

3ovell

:tto

:tto

(oeringer. Ing

(oeringer. Ing

%an!e Farma

+eparm

Indoarma

(iomedis

%ando?

:tto

%an!e Farma

Fareneit

3ovell

"al!e FarmaNo.

KlsKelas Terapi, Namae!eri" Nama #a$e!

Terapi

La-$o%a-ills sporo9e!es ac!on ta!

La-$o%a-ills re$eri (iogaia ;llus &a!

Niro3a4i)e 3iural 250 mg suspensi

Kar%o! a"$i (ecar!on ta!

2:,6 KATARTIK

Bisa"o)il Dulcola 5 mg ta!

Dulcola 5 mg supp

Dulcola 10 mg supp

liseri! 7licerin 100 mLa"$losa actulosa


40/46

Ami!o*li! minopillin 200 mg

*;locontin 225 mg &a!minopillin 28 mg/minj

Tipepi)i!e +i%e!4a$ sve )).21 mg ta!

Ipa$ropim Br, Sal%$amol Com!ivent 3e!

Far!ivent 3e!uli?er

Sal%$amol %al!utamol 2 mg ta!

%al!utamol 8 mg ta!

4entolin 0,59 spra;4entolin 3e! 5 mg/mlD4 ne!

%al!uven s;rup


41/46

(oeringer. Ing

7uardian

Coronet Cro@n

#aa'am (eta Farma

>tica &ana!e

(oeringer. Ing

Fareneit

Indoarma

Indoarma

7lao

7lao

*aros

:tto

:tto

:tto

"al!e Farma

*aros

(oeringer. Ing

7lao %mit "line

"al!e Farma

"al!e Farma

stra =eneca

stra =eneca

stra =eneca

:tsu'a

3ovell

&ana!e

Indoarma

Indoarma

"imia Farma

"imia Farma

"imia Farma

7lao

Be'atria

:ttoNo.Kls


Terapi

Na -i$ra$e, NH:&l, (M#, &TM, p+e!lep+ri! Detrosin


42/46

O%a$ %a$" +i$am /OBH :(+ 100 m s;rup'p+e)ri!e, &TM, parase$amol, amo!im & :(+ C:#(Iplus 100 m s;rup#rome$a4i! H&l, #se)oepe)ri!, Na. &i$ra$, +al$llin100 m s;rupTriproli)i!, pse)oee)ri!,9aie!esi!

ctied epectoran SIST'M IMUN, OBAT YAN M'M#'NARUHI

2>,1 S'RUM (AN IMUNOLOBULIN Serm a!$i %isalar A.B.U.I Serm A!$i Te$a!s /A.T.S

Te$a!s Hma! Im!o9lo%li!

2>,2 5AKSIN

5a"si! +epa$i$is A vaim 0

vaim 1ngeric ( 10 mcg/0.5m Inj

>ngeric ( 20 mcg/1 m Inj

5a"si! i!8e!4a Fluari 0.55a"si! MMR /Measles, mmps, R%ella &rimova

5a"si! (Ta# &ripacel5a"si! Tipoi) &;pim 4I

5a"si! HIB C& K +I(5a"si! #olio

5a"si! #!emo-o--s J I#( %;nori5a"si! !$" )iare "r! ro$a7irs otari5a"si! erap )i$eri $e$a!s /(#T#er$sis / Inanri-+I( 5a"si! erap $e$a!s

/$e$a!s A)sor%e! $o3 &etanus tooid Inj#a%ri" &a$a$a!

:tto

:tto

Indoarma

Indoarma

:tto

:tto

(oeringer. Ing

(oeringer. Ing

(oeringer. Ing(oeringer. Ing

Indoarma

=am!on

Fareneit

#ersiarma


43/46

Itrasal

Com!ipar

Coronet Cro@n

7lao

Dea #edica

Dea #>dica

"al!e Farma

Dea #edica

Dar;a 4aria

Dea #edica

Dea #edica

7lao %mit "line

stellas

%ano$ *asteur

%ano$ *asteur

7lao %mit "line

7lao %mit "line

7lao %mit "line

%ano$ *asteur

%ano$ *asteur%ano$ *asteur

%ano$ *asteur

7lao %mit "line

7lao %mit "line

7lao %mit "lineNo.Kls


Terapi

2@ T'LINA, HI(UN (AN T'NOROKAN, OBAT [email protected]. ANTIBAKT'RI TO#IKAL

Klorame!i"ol Colme ear drop )9 5 mlO8o3a-i! &arivid :ticKom% =Fl)ro-or$iso!, #olm3i! B, Neom :topra ear drop 5 m

:topain ear drop m :tilon ear drop m

Forumen drop

2@,2 LAINLAIN

Kar%o 9liseri!Car!o glicerin 109, !tl)0 m

O"sime$a4oli! H&l Illiadin nasal spra;

Na&l (reat; tts idung

Na&l (3% G(reat; 3asal%pra;H

Triam-i!olo!e a-e$o!i)e 3asacort A nasal spra;

Fl$i-aso!e roa$e-vam;s 3asal %pra;%uspension

Mome$aso!e roa$e 3asone Eueous 3asal

Na$rim(o-sa$e


44/46

mo!o+)ra$e %pra;

25ITAMIN, MIN'RAL, )a! LAINLAIN

Asam as"or%a$ /7i$ & 4it. C 50 mg ta!

4it. C 200 mg inj

>trace 1000 mg inj

Asam rso)eo"si"ola$rsodeo;colic acidCaps

rdaal' capsulAs$a3a!$+i!e statin 8 mg sotcaps

As$a3a!$+i!e a!$io3i)a!$ &ruantin CapsulBer%eris e3$, R%ia $i!-$, Sa3ira9a e3$, Li$+ "al'urenalDrops

Bioa-$i7e #ro$ei! (LBS 2 Inlacin 100 mg Capsul&a 200 m9, 5i$ ( 100 SI, T!a*s+ oil 200 :s$t D+ sotgel caps

&al-i$riol :scal 0.25 sotcaps

:striol 0.25 &a!&a -ar%o!a$e, 5i$ (, M9O3i)e, :s$t &a!&a -ar%o!a$e, 5i$ (,'7e!i!9 primrose oil/ >pocaldita!

&al-im, M9, ?!, 5i$ ( :steocare %;rup 100 m

&+oles$irami!e %eEuest %acet&o) li7er oil, -r-ma e3$r, Llsi!e, 5i$ami >l'ana C120 m emulsion&o) li7er oil, (HA, 5i$ami! mi!eral Caloma plus sotcap

&oe!4im 10, ALA, L-ar!i$i!e #itolie Capsul

&r-ma r+i4ome e3$ra-$ Curcuma ta!&r-mi!oi), lisi!, 7i$. B, !ia-i!ami), pa!$o i'urmin100 m s;rup

anvit %;rup 100 m'r9o"alsierol /(,e!is$ei!J%o!is$ei!, O :sto!on ta!

'sse!$ial Ke$oa-i) 3ocid Capsul

'3$r. Fr-$s S-+i4a!)rae +* *ro 'aps'3$r. #la-e!$a, 5i$ B12, -ap+ospa$ #ilmor sotcaps

'3$r. #si)ii olim *sidii CapsulFoli- a-i), 7i$ A, 5i$ B6, 5i$ B12, 5i$ (, M9, ? 4itamam 1capsul

4itamam 2 capsul

4itamam ) capsul

F-oi)a! Fucoeli 50 mg Caps

Fucoeli 100 mg Caps

Fucoeli %;rupFrsl$iami! linamin F ta!

linamin F 25 mg inj

e!is$e!, &a, 5i$ (, 5i$ K1+i-(one


45/46

%an!e Farma

%an!e Farma

#erc'

3ovell

3ovell

%ano$ ventis

7lao Lellcome#%D

>tica

3ovell

Dar;a 4aria

3ovell

"al!e Farma

Dar;a 4ariaDea #edica

"al!e Farma

"al!e Farma

Fareneit

"al!e Farma

3ovell

4ita!iotics

3ovell

%an!e Farma

3ovell

"al!e Farma

%oo

"al!e Farma%oo

3ovell

"al!e Farma

(iolie

*aros

Dea #edica

3ovell

3ovell

3ovell

"al!e Farma

"al!e Farma

"al!e Farma

&a'eda &a'eda

:tto

*apros

%oo

"al!e Farma

%ooNo.Kls

Terapi


&a$a$a!

l-osami!e, &+o!)roi$i!,MSM 4iostin ta! *aros

:smetin ?uper sacet 3ovellrape See) '3$r, L-ope!e, 5i$,

Mi!eral 3oros "aplet "al!e FarmaK Laspar$a$ spar " )00 mg ta! &ana!e

"alipar )00 mg ta! &empo

Kalim "% ta! #erc'

Kalsim 9l"o!a$ Calcii gluconas 100 mg/ml >tica


46/46

Kalsim la"$a$ /"al"Klei!+o7ia +ospi$al, &r-maa!$+orri4a

L < or!i$i!e < L < aspar$a$

La9ers$roemi!-i!!amo!s JLe-i$+i!, Silmari!, S-+i4a!)ra 5i$ '

L9l$ami!eLm%ro"i!aseJBioa-$i7e pro$ei!

(LBS 10Lsi!, ml$i7i$ami!

Me-o%alami!

Me$+io!i!, -+oli!, 5i$. B1, B2, B6, B12, ' ,m

Ml$i7i$ami!, 7i$ (

Na. alle!)ro!a$

Na$ral *s+ oil pro7i)i!9 (HA, '#A, ara-+i)or !a!; sotcapsNa$ral *s+ oil, '#A(HA, asam Fola$, r-sotcapsOp+io-ep+als s$ria$s e3$.;00 m9 -aps

#oli!a-ea, %la-" el)er%err, 4i!- pi-oli!a$e

#repara$ %esi

#ri)o"si! /5i$ B6 *;ridoine 10 mg ta!

*;ridoine 25 mg ta!

#re Ea & ;00 m9 )a! &i$rs Bio8a7o!oi *rove C "aplet "al!e Farma

Re$i!ol /5i$ A 4it. ta! #ediarma

5i$ami! B Komple" 4it. ( "omple'5i$ami! B1 100 m9, B6 100 m9, B12 ;00 m- #ersi!ion5000 ta! #ersiarma

Far!ion 5000 inj Fareneit

3eurosan!e 5000 mg Inj %an!e Farma

#ersi!ion 5000 mg Inj #ersiarma5i$ami! B1 100 m9, B6 200m9, B12 m-9 3eurosan!e &a! %an!e Farma

#ersi!ion &a! #ersiarma

5i$ami! )a! mi!eral Cernevit "al!e Farma

=egavit "al!e Farma

5i$ami! ' $a% 3atur > 100 I caps Dar;a 4aria

?i!- =inc ta! Indoarma

=in'id s;rup Indoarma

formularium rs asih abyakta.docx

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