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B1 0 Instalasi Farmasi

RSU AT Medika B2 0 Instalasi Farmasi


RSU AT Medika

BAQUINNOR FORTE BECOM C


CIPROFLOXACIN 500mg VIT. B COM ; VIT. C ; MINERAL
Harga Umum Harga BPJS Harga Umum Harga BPJS

B4 0 Instalasi Farmasi
RSU AT Medika B3 0 Instalasi Farmasi
RSU AT Medika

BECOM ZET BENOCETAM 1200


VIT. B COM ; C ; E ; FOLIC ; MINERAL PIRACETAM 1200mg
Harga Umum Harga BPJS Harga Umum Harga BPJS

B6 0 Instalasi Farmasi
RSU AT Medika B5 0 Instalasi Farmasi
RSU AT Medika

BENOCETAM 800 BIOSANBE


PIRACETAM 800mg VIT. B12 ; C ; FOLIC ; MINERAL ; Fe
Harga Umum Harga BPJS Harga Umum Harga BPJS

B7 0 Instalasi Farmasi
RSU AT Medika C2 0 Instalasi Farmasi
RSU AT Medika

BIOTHICOL CARDISAN 10
THIAMPENICOL 500mg AMLODIPINE 10mg

Harga Umum Harga BPJS Harga Umum Harga BPJS

C1 0 Instalasi Farmasi
RSU AT Medika C3 0 Instalasi Farmasi
RSU AT Medika

CEFAT CEFILA
CEFIXIME 100mg CEFIXIME 100mg
Harga Umum Harga BPJS Harga Umum Harga BPJS

C5 0 Instalasi Farmasi
RSU AT Medika C7 0 Instalasi Farmasi
RSU AT Medika

CEFSPAN CPG
CEFIXIME 100mg CLOPIDOGREL 75mg
Harga Umum Harga BPJS Harga Umum Harga BPJS
C6 0 Instalasi Farmasi
RSU AT Medika C4 0 Instalasi Farmasi
RSU AT Medika

CIFLOS CLANEKSI
CIPROFLOXACIN 500mg AMOXICILLIN 500mg ; CLAVULANAT 125mg
Harga Umum Harga BPJS Harga Umum Harga BPJS
Kode Nama Obat Komposisi Warning
1 B1 BAQUINNOR FORTE CIPROFLOXACIN 500mg
2 B2 BECOM C VIT. B COM ; VIT. C ; MINERAL
3 B4 BECOM ZET VIT. B COM ; C ; E ; FOLIC ; MINERAL
4 B3 BENOCETAM 1200 PIRACETAM 1200mg
5 B6 BENOCETAM 800 PIRACETAM 800mg
6 B5 BIOSANBE VIT. B12 ; C ; FOLIC ; MINERAL ; Fe
7 B7 BIOTHICOL THIAMPENICOL 500mg
8 C2 CARDISAN 10 AMLODIPINE 10mg
9 C1 CEFAT CEFIXIME 100mg
10 C3 CEFILA CEFIXIME 100mg
11 C5 CEFSPAN CEFIXIME 100mg
12 C7 CPG CLOPIDOGREL 75mg
13 C6 CIFLOS CIPROFLOXACIN 500mg
14 C4 CLANEKSI AMOXICILLIN 500mg ; CLAVULANAT 125mg

1 C8 COMBANTRIN PYRANTEL 250mg


2 C9 CURCUMA XANTHORRHIZA 20mg
3
4
5
6
7
8
9
10
11
12
13
14

CARDISAN 10 AMLODIPINE 10mg


CEFAT CEFIXIME 100mg
CEFILA CEFIXIME 100mg
CEFSPAN CEFIXIME 100mg
CHANNA EKS. OPHIOCEPHALUS 500mg
CIFLOS CIPROFLOXACIN 500mg
CLANEKSI AMOXICILLIN 500mg ; CLAVULANAT 125mg
COMBANTRIN PYRANTEL 250mg
CPG CLOPIDOGREL 75mg
CURCUMA XANTHORRHIZA 20mg
COBAZIM COBAMAMIDE 1000mcg
DEFLAMAT CR NATRIUM DIKLOFENAK 75mg
DEXTAFEN DEXAMETHASON 0.5mg ; DEXCHLORPENIRAMIN 2mg
DULCOLAX BISACODYL 5mg

EFLAGEN KALIUM DIKLOFENAK 50mg


EPRINOC EPERISON 50mg
ERAPHAGE METFORMIN 500mg
EXAFLAM KALIUM DIKLOFENAK 50mg
EXTROPECT AMBROXOL 30mg

FARBION B1 100mg ; B6 200mg ; B12 200mcg


FARMADOL PARACETAMOL 500mg
FASTOR ATORVASTATIN 10mg
FG TROCHES FRADIOMYCIN 2.5mg ; GRAMICIDIN 1mg

GALFLUX DOMPERIDONE 10mg


GASTRUL MISOPROSTOL 200mcg
GENICHOL THIAMPENICHOL 500mg
GLAUCON ACETAZOLAMID 250mg
GLAUSETA ACETAZOLAMID 250mg
GRATIZIN 5 FLUNARIZINE 5mg
GRATIZIN 10 FLUNARIZINE 10mg

HERBESSER CD 100 DILTIAZEM 100mg


HERBESSER CD 200 DILTIAZEM 200mg
HISTAPAN MEBHYDROLIN NAPADISILAT 50mg
GLUTROP L-GLUTAMIN 1000mg
IMUNOS VITAMIN DAN SUPLEMEN
IMUNOS PLUS VITAMIN DAN SUPLEMEN
INTERLAC LACTOBACILLUS REUTERI
INTERXANTHIN ASTAXANHTIN 4mg
IRVASK ATORVASTATIN 10mg
KALNEX ASAM TRANEXAMAT 500mg
KETIRICIN TRIAMCINOLONE 4mg
KSR KALIUM KLORIDA 600mg
KUTOIN PHENYTOIN Na 100mg
L CISIN COLCHISINE 0.5mg
AR GOUT COLCHICINE 0.5mg
LAMESON 4 METHYLPREDNISOLONE 4mg
LAMESON 8 METHYLPREDNISOLONE 8mg
LANABAL MECOBALAMIN 500mcg
LANCID LANSOPRAZOLE 30mg
LESICHOL B COM ; LESITHIN ; VIT. E ; MINERAL
LODIA LOPERAMIDE 2mg
LOPITEN 5 AMLODIPINE 5mg
LOPITEN 10 AMLODIPINE 10mg
LOVESCO LEVOFLOXACIN 500mg
MAXCEF CEFADROXIL 500mg
MEFINAL ASAM MEFENAMAT 500mg
METHYCOBAL MECOBALAMIN 500mcg
MEXPHARM 7.5 MELOXICAM 7.5mg
MEXPHARM 15 MELOXICAM 15mg
MICARDIS 40 TELMISARTAN 40mg
MICARDIS 80 TELMISARTAN 80mg
MINIASPI ACETYLSALICYLIC ACID 80mg
MINITEN BISOPROLOL FUMARATE 5mg
NAIRET TERBUTALINE 2.5mg
NEO MERCAZOLE CARBIMAZOLE 5mg
NEUROMED 5000 B1 100mg ; B6 100mg ; B12 5000mcg
NITROKAF RETARD NITROGLISERIN 2.5mg
NUZYM CO ENZYM Q10 30mg
OSCAL 0.25 CALCITRIOL 0.2mcg
OSTOVEL CALCITRIOL 0.2mcg
PREABOR ALLYLESTRENOL 5mg
PARIET RABEPRAZOLE SODIUM 20mg
PROFERTIL CLOMIPHENE CITRAT 50mg
PUMPITOR OMPERAZOLE 20mg
PURESCO ALLOPURINOL 300mg
PURICEMIA ALLOPURINOL 300mg
Q CEF CEFADROXIL 500mg
RECOLFAR COLCHICINE 0.5mg
RENAPAR KI ASPARTATE 300mg ; Mg ASPARTATE 100mg
RETHAPYL SR THEOPHYLLINE MONOHIDRATE 300mg
ACETYLCYSTEINE 200 mg ACETYLCYSTEINE 200 mg Tablet
ACYCLOVIR 200 mg ACYCLOVIR 200 mg Tablet
ACYCLOVIR 400 mg ACYCLOVIR 400 mg Tablet
ALLOPURINOL 100 mg ALLOPURINOL 100 mg Tablet
ALLOPURINOL 300 mg ALLOPURINOL 300 mg Tablet
AMBROXOL 30 mg AMBROXOL 30 mg Tablet
AMLODIPINE 10 mg AMLODIPINE 10 mg Tablet
AMLODIPINE 5 mg AMLODIPINE 5 mg Tablet
AMOXICILLIN 500 mg AMOXICILLIN 500 mg Tablet
ANTASIDA DOEN ANTASIDA DOEN Tablet
ASAM MEFANAMAT 500 mg ASAM MEFANAMAT 500 mg
ASAM TRANEKSAMAT 500 mg ASAM TRANEKSAMAT 500 mg
ASPILET 80mg ASPILET 80mg Tablet
ATORVASTATIN 20mg ATORVASTATIN 20mg Tablet
ATORVASTATIN 40mg ATORVASTATIN 40mg Tablet
AZITHROMYCIN 500mg AZITHROMYCIN Tablet 500mg
BETAHISTINE 6 mg BETAHISTINE 6 mg Tablet
BISOPROLOL 5 mg BISOPROLOL 5 mg Tablet
CANDESARTAN 16 mg CANDESARTAN 16 mg Tablet
CANDESARTAN 8 mg CANDESARTAN 8 mg Tablet
CAPTOPRIL 25 mg CAPTOPRIL 25 mg Tablet
CEFADROXIL 500 mg CEFADROXIL 500 mg Tablet
CEFIXIME 100 mg CEFIXIME 100 mg Tablet
CEFIXIME 200 mg CEFIXIME 200 mg Tablet
CETIRIZINE 10 mg CETIRIZINE 10 mg Tablet
CHLORAMPENICOL 250 mg CHLORAMPENICOL 250 mg Tablet
CHLOROQUINE 150 mg CHLOROQUINE 150 mg Tablet
CHLORPENIRAMINE (CTM) 4 mg CHLORPENIRAMINE (CTM) 4 mg
CHLORPROMAZINE (CPZ) 100 mg CHLORPROMAZINE (CPZ) 100 mg
CIPROFLOXACIN 500 mg CIPROFLOXACIN 500 mg Tablet
CITICOLINE 500 mg CITICOLINE 500 mg Tablet
CLINDAMICIN 150 mg CLINDAMICIN 150 mg Tablet
CLINDAMICIN 300 mg CLINDAMICIN 300 mg Tablet
CLONIDINE 0.5mg CLONIDINE 0.5mg Tablet
CLOPIDOGREL 75 mg CLOPIDOGREL 75 mg Tablet
CONCOR 2.5mg CONCOR 2.5mg Tablet
COTRIMOXAZOLE 480 mg COTRIMOXAZOLE 480 mg Tablet
DEXAMETASON 0,5 mg DEXAMETASON 0,5 mg Tablet
DEXKETOPROFEN DEXKETOPROFEN Tablet
DIGOXIN 0,25 mg DIGOXIN 0,25 mg Tablet
DIMENHYDRINATE 50 mg DIMENHYDRINATE 50 mg Tablet
DOMPERIDONE 10 mg DOMPERIDONE 10 mg Tablet
DOXICYCLINE 100mg DOXICYCLINE Tablet 100mg
ERDOSTEIN 300mg ERDOSTEIN 300mg Kapsul
ERGOTAMIN CAFFEIN ERGOTAMIN CAFFEIN Tablet
ERITHROMYCIN 500mg ERITHROMYCIN 500mg Kapsul
FARGOXIN 0.25mg FARGOXIN 0.25mg Tablet
RPENIRAMIN 2mg FARMADRAL 10mg FARMADRAL 10mg Tablet
FARMALAT 10mg FARMALAT 10mg Tablet
FARSIX 40mg FARSIX 40mg Tablet
FARSORBID 10mg FARSORBID 10mg Tablet
FLUNARIZINE 5mg FLUNARIZINE Tablet 5mg
FUROSEMIDE 40 mg FUROSEMIDE 40 mg Tablet
GABAPENTIN 300 mg GABAPENTIN 300 mg Tablet
GLIBENCLAMIDE 5 mg GLIBENCLAMIDE 5 mg Tablet
GLIMEPIRIDE 2 mg GLIMEPIRIDE 2 mg Tablet
GLIMEPIRIDE 4 mg GLIMEPIRIDE 4 mg Tablet
GLIQUIDONE 30mg GLIQUIDONE 30mg Tablet
GLISERIL GUAIKOLAT 200 mg GLISERIL GUAIKOLAT 200 mg Tablet
GUAIFENESIN 100mg GUAIFENESIN 100mg Tablet
HARNAL 0.2mg HARNAL 0.2mg Tablet
HARNAL OCAS HARNAL OCAS Tablet
IBUPROFEN 200mg IBUPROFEN 200mg Tablet
IBUPROPEN 400 mg IBUPROPEN 400 mg Tablet
IRBESARTAN 300 mg IRBESARTAN 300 mg Tablet
ISOSORBIDE DINITRATE 5 mg ISOSORBIDE DINITRATE 5 mg Tablet
KALIUM DIKLOFENAK 50mg KALIUM DIKLOFENAK 50mg Tablet
KETOCONAZOLE 200 mg KETOCONAZOLE 200 mg Tablet
KETOPROPEN 100 mg KETOPROPEN 100 mg Tablet
KETOROLAC 10 mg KETOROLAC 10 mg Tablet
LANSOPRASOLE 30 mg LANSOPRASOLE 30 mg Tablet
LETONAL 100mg LETONAL 100mg Tablet
LETONAL 25mg LETONAL 25mg Tablet
LEVOFLOXACIN 500 mg LEVOFLOXACIN 500 mg Tablet
LISINOPRIL 10mg LISINOPRIL 10mg Tablet
LISINOPRIL 5mg LISINOPRIL 5mg Tablet
MECOBALAMIN 500mcg MECOBALAMIN 500mcg Kapsul
MELOXICAM 15 mg MELOXICAM 15 mg Tablet
MELOXICAM 7.5 mg MELOXICAM 7.5 mg Tablet
METFORMIN 500 mg METFORMIN 500 mg Tablet
METHYLPREDNISOLONE 4 mg METHYLPREDNISOLONE 4 mg Tablet
METIL ERGOMETRIN 0.125 mg METIL ERGOMETRIN 0.125 mg Tablet
METRONIDAZOLE 500 mg METRONIDAZOLE 500 mg Tablet
NATRIUM DIKLOFENAK 50 mg NATRIUM DIKLOFENAK 50 mg Tablet
NYSTATIN 500.000ui NYSTATIN 500.000ui Tablet
OFLOXACIN 200 mg OFLOXACIN 200 mg Tablet
OFLOXACIN 400 mg OFLOXACIN 400 mg Tablet
OMEPRAZOLE 20 mg OMEPRAZOLE 20 mg Tablet
ONDANSENTRON 4 mg ONDANSENTRON 4 mg Tablet
PARACETAMOL 500 mg PARACETAMOL 500 mg Tablet
PIRACETAM 1200 mg PIRACETAM 1200 mg Tablet
PIRACETAM 800 mg PIRACETAM 800 mg Tablet
PIROXICAM 20 mg PIROXICAM 20 mg Tablet
PREDNISON 5 mg PREDNISON 5 mg Tablet
PYRANTEL 125 mg PYRANTEL 125 mg Tablet
PYRAZINAMIDE 500 mg PYRAZINAMIDE 500 mg Tablet
RAMIPRIL 5 mg RAMIPRIL 5 mg Tablet
RANITIDIN 150 mg RANITIDIN 150 mg Tablet
RIFAMPICIN 300 mg RIFAMPICIN 300 mg Tablet
RIFAMPICIN 450 mg RIFAMPICIN 450 mg Tablet
RIFAMPICIN 600 mg RIFAMPICIN 600 mg Tablet
RIFANH RIFANH Tablet
RIFASTAR FDC RIFASTAR FDC Tablet
SALBUTAMOL 2 mg SALBUTAMOL 2 mg Tablet
SALBUTAMOL 4 mg SALBUTAMOL 4 mg Tablet
SANTAGESIK 500mg SANTAGESIK 500mg Tablet
SIMVASTATIN 10 mg SIMVASTATIN 10 mg Tablet
SIMVASTATIN 20 mg SIMVASTATIN 20 mg Tablet
SOTATIC 10mg SOTATIC 10mg Tablet
SPIRONOLACTONE 100 mg SPIRONOLACTONE 100 mg Tablet
SPIRONOLACTONE 25 mg SPIRONOLACTONE 25 mg Tablet
TAMBAH DARAH TABLET TAMBAH DARAH
URSODEXYCHOLIC ACID 250mg URSODEXYCHOLIC ACID 250mg Kapsul
VALESCO 160mg VALESCO 160mg Kapsul
VALESCO 80mg VALESCO 80mg Kapsul
VALSARTAN 80mg VALSARTAN 80mg Tablet
VITAMIN B COM VITAMIN B COM Tablet
VITAMIN B1 10mg VITAMIN B1 10mg Tablet
VITAMIN B12 50mcg VITAMIN B12 50mcg Tablet
VITAMIN B6 10mg VITAMIN B6 10mg Tablet
VITAMIN C 50mg VITAMIN C 50mg Tablet
ZINC SULPHATE 20mg ZINC SULPHATE 20mg Tablet
A1 ACRAN RANITIDINE 150mg
A2 ADONA CARBAZOCHROME 10mg
A4 ADONA F CARBAZOCHROME 30mg
A3 ALA 600 ALPHA LIPOIC ACID 600mg
A5 ALLOVEL ALENDRONATE Na 10mg
A6 ALPENTINGABAPENTIN 100mg
A7 AMOXAN AMOXICILLIN 500mg
A8 ANADIUM DIOSMIN 450mg, HEPERIDIN 50mg
A9 AR GOUT COLCHICIN 0.5mg
A10 ARICEPT DONEPEZIL 5mg
B1 BAQUINN CIPROFLOXACIN 500mg
B2 BECOM CVIT. B COM ; VIT. C ; MINERAL
B3 BECOM Z VIT. B COM ; C ; E ; FOLIC ; MINERAL
B4 BENOCETAPIRACETAM 1200mg
B5 BENOCETAPIRACETAM 800mg
B6 BIOSANBEVIT. B12 ; C ; FOLIC ; MINERAL ; Fe
B7 BIOTHICOTHIAMPENICOL 500mg
C1 CARDISANAMLODIPINE 10mg
C2 CEFAT CEFIXIME 100mg
C3 CEFILA CEFIXIME 100mg
C4 CEFSPANCEFIXIME 100mg
C5 CHANNA EKS. OPHIOCEPHALUS 500mg
C6 CIFLOS CIPROFLOXACIN 500mg
C7 CLANEKSIAMOXICILLIN 500mg ; CLAVULANAT 125mg
C5 CHANNA EKS. OPHIOCEPHALUS 500mg
50mg Kapsul
DAFTAR OBAT RUMAH SAKIT AT MEDIKA

No. Nama Perbekalan Farmasi No. Nama Perbekalan Farmasi

1 ACETYLCYSTEINE 200 mg Tablet 57 KETOPROPEN 100 mg Tablet


2 ACYCLOVIR 200 mg Tablet 58 KETOROLAC 10 mg Tablet
3 ACYCLOVIR 400 mg Tablet 59 LANSOPRASOLE 30 mg Tablet
4 ALLOPURINOL 100 mg Tablet 60 LETONAL 100mg Tablet
5 ALLOPURINOL 300 mg Tablet 61 LETONAL 25mg Tablet
6 AMBROXOL 30 mg Tablet 62 LEVOFLOXACIN 500 mg Tablet
7 AMLODIPINE 10 mg Tablet 63 LISINOPRIL 10mg Tablet
8 AMLODIPINE 5 mg Tablet 64 LISINOPRIL 5mg Tablet
9 AMOXICILLIN 500 mg Tablet 65 MELOXICAM 15 mg Tablet
10 ANTASIDA DOEN Tablet 66 MELOXICAM 7.5 mg Tablet
11 ASAM MEFANAMAT 500 mg 67 METFORMIN 500 mg Tablet
12 ASAM TRANEKSAMAT 500 mg 68 METHYLPREDNISOLONE 4 mg Tablet
13 ASPILET 80mg Tablet 69 METIL ERGOMETRIN 0.125 mg Tablet
14 BETAHISTINE 6 mg Tablet 70 METRONIDAZOLE 500 mg Tablet
15 BISOPROLOL 5 mg Tablet 71 NATRIUM DIKLOFENAK 50 mg Tablet
16 CANDESARTAN 16 mg Tablet 72 OFLOXACIN 200 mg Tablet
17 CANDESARTAN 8 mg Tablet 73 OFLOXACIN 400 mg Tablet
18 CAPTOPRIL 25 mg Tablet 74 OMEPRAZOLE 20 mg Tablet
19 CEFADROXIL 500 mg Tablet 75 ONDANSENTRON 4 mg Tablet
20 CEFIXIME 100 mg Tablet 76 PARACETAMOL 500 mg Tablet
21 CEFIXIME 200 mg Tablet 77 PIRACETAM 1200 mg Tablet
22 CETIRIZINE 10 mg Tablet 78 PIRACETAM 800 mg Tablet
23 CHLORAMPENICOL 250 mg Tablet 79 PIROXICAM 20 mg Tablet
24 CHLOROQUINE 150 mg Tablet 80 PREDNISON 5 mg Tablet
25 CHLORPENIRAMINE (CTM) 4 mg 81 PYRANTEL 125 mg Tablet
26 CHLORPROMAZINE (CPZ) 100 mg 82 PYRAZINAMIDE 500 mg Tablet
27 CIPROFLOXACIN 500 mg Tablet 83 RAMIPRIL 5 mg Tablet
28 CITICOLINE 500 mg Tablet 84 RANITIDIN 150 mg Tablet
29 CLINDAMICIN 150 mg Tablet 85 RIFAMPICIN 300 mg Tablet
30 CLINDAMICIN 300 mg Tablet 86 RIFAMPICIN 450 mg Tablet
31 CLOPIDOGREL 75 mg Tablet 87 RIFAMPICIN 600 mg Tablet
32 COTRIMOXAZOLE 480 mg Tablet 88 RIFANH Tablet
33 DEXAMETASON 0,5 mg Tablet 89 RIFASTAR FDC Tablet
34 DEXKETOPROFEN Tablet 90 SALBUTAMOL 2 mg Tablet
35 DIGOXIN 0,25 mg Tablet 91 SALBUTAMOL 4 mg Tablet
36 DIMENHYDRINATE 50 mg Tablet 92 SANTAGESIK 500mg Tablet
37 DOMPERIDONE 10 mg Tablet 93 SIMVASTATIN 10 mg Tablet
38 ERGOTAMIN CAFFEIN Tablet 94 SIMVASTATIN 20 mg Tablet
39 FARGOXIN 0.25mg Tablet 95 SOTATIC 10mg Tablet
40 FARMADRAL 10mg Tablet 96 SPIRONOLACTONE 100 mg Tablet
41 FARSIX 40mg Tablet 97 SPIRONOLACTONE 25 mg Tablet
42 FARSORBID 10mg Tablet 98 VALESCO 160mg Kapsul
43 FUROSEMIDE 40 mg Tablet 99 VALESCO 80mg Kapsul
44 GABAPENTIN 300 mg Tablet 100 VITAMIN B COM Tablet
45 GLIBENCLAMIDE 5 mg Tablet 101 VITAMIN B1 Tablet
46 GLIMEPIRIDE 2 mg Tablet 102 VITAMIN B12 Tablet
47 GLIMEPIRIDE 4 mg Tablet 103 VITAMIN B6 Tablet
48 GLISERIL GUAIKOLAT 200 mg Tablet 104 VITAMIN C Tablet
49 GLIQUIDONE 30mg Tablet 105 ZINC SULPHATE 20mg Tablet
50 HARNAL 0.2mg Tablet 106 DOXICYCLINE Tablet 100mg
51 HARNAL OCAS Tablet 107 AZITHROMYCIN Tablet 500mg
52 IBUPROPEN 400 mg Tablet 108 FLUNARIZINE Tablet 5mg
53 IRBESARTAN 300 mg Tablet
54 ISOSORBIDE DINITRATE 5 mg Tablet
55 KALIUM DIKLOFENAK 50mg Tablet
56 KETOCONAZOLE 200 mg Tablet

DAFTAR OBAT RUMAH SAKIT AT MEDIKA

No. Nama Perbekalan Farmasi No. Nama Perbekalan Farmasi

1 AMBROXOL Sirup 120 mg/ml 57 ACYCLOVIR 5g Cream


2 AMOXAN 100mg Drops 58 ALBOTHYL 5ml
3 AMOXAN 125mg/5ml Dry Sirup 59 BEDAK SALICIL
4 AMOXILIN 125mg/5ml Dry Sirup 60 BETAMETASON 5g Cream
5 ANTASIDA Suspensi 61 BETASON N 5g Cream
6 APIALYS Drops 62 BIOPLACENTON Gel
7 APIALYS Sirup 63 BURNASIN Salep
8 ASAM VALPROAT 250mg/5mL 64 CENDO LFX Minidose Tetes Mata
9 BIOSTRUM Sirup 65 CENDO LYTEERS Minidose
10 BIOTHICOL Forte Dry Sirup 66 CENDO LYTEERS Tetes Mata
11 BUFECT Forte Sirup 67 CENDO REPITHEL Tetes Mata
12 BUFECT Sirup 68 CENDO TIMOL 1% Tetes Mata
13 CEFADROXIL 125mg/5ml Dry Sir 69 CENDO XITROL Minidose
14 CEFADROXIL 250mg/5ml Dry Sir 70 CINOLON N 5g Cream
15 CEFAT 125mg/5ml Dry Sirup 71 DESOXIMETASONE 0,25 %
16 CEFAT 250mg/5ml Forte Dry Sir 72 DULCOLAX Suppositoria 5mg
17 CEFILA 100mg/5ml Dry Sirup 73 DUMIN 125mg/2,5ml Rectal Tube
18 CEFIXIME 100mg/5ml Dry Sirup 74 DUMIN 250mg/4ml Rectal Tube
19 CEFSPAN Dry Sirup 75 ERLADERM-N Salep Kulit
20 CETIRIZINE Sirup 5mg/5ml 76 GENOINT 0.3% Salep Mata
21 CHLORAMPENICOL 125mg/5ml 77 GENOINT 0.3% Tetes Mata
22 COTRIMOXAZOLE 240mg/5ml 78 GENOINT 1% Salep Kulit
23 CURMUNOS Sirup 79 GENTAMICIN 0.3% Salep Mata
24 DOMPERIDONE 5mg/5ml Sirup 80 GENTAMICIN 0.3% Tetes Mata
25 ELKANA CL Sirup 81 GENTAMICIN 1% Salep Kulit
26 FARMACROL Forte Suspensi 82 HYDROCORTISONE 2,5% Cream
27 IBUPROFEN 200mg/5mL Sus 83 KETOCONAZOLE 2% Cream
28 IMUNOS Sirup 84 LANAKELOID 5g Cream
29 LASAL 2mg/Ml Sirup 85 MICONAZOLE 2% Cream
30 L Zinc 10mg/5mL Sirup 86 ORALIT Sachet
31 METRONIDAZOL 125mg/5mL Sus 87 OXYTETRACICLINE 3%
32 MUCERA 15mg/0.6mL Drops 88 OXYTETRACILINE 1%
33 MUCERA 15mg/5mL Sirup 89 QV Cream
34 MUCOS 15mg/0.6mL Drops 90 SAGESTAM 0.3% Tetes Mata
35 MUCOS 15mg/5mL Sirup 91 SIBRO 20g Salep
36 NAPREX SIRUP 92 STESOLID 10mg Rectal Tube
37 NIFUDIAR 250mg/5mL Sirup 93 STESOLID 5mg Rectal Tube
38 NYSTATIN 100.000 iu Drops 94 STOLAX 10mg Suppositoria
39 NYSTIN 100.000 iu Drops 95 TRIAMCINOLON 5g Salep
40 NYSTIN Drops 96 THROMBOFLASH 20g Gel
41 OXFEZIN Sirup 97 LEVOS 750mg Infus 150mL
42 OSTARIN 100mg/5mL Sirup 98 LQ-500mg Infus 100mL
43 OSTARIN Forte 200mg/5mL Sirup 99 TROGYL 500mg Infus 100mL
44 PARACETAMOL 120mg/5ml Sir 100 BENUTRION-VE Infus 250mL
45 RECUSTEIN 175mg/5mL Sirup 101 CIPROFLOXACIN 200mg
46 RHINATHIOL 2% Sirup 102 MOXIFLOXACIN 400mg
47 SANMAG Suspensi 103 PARACETAMOL 1000mg
48 SANMOL 120mg/5mL Sirup 104 METRONIDAZOLE 500mg
49 SANMOL 60mg/0.6mL Drops 105 TRICHODAZOLE 500mg
50 SANPRIMA 240mg/5mL Suspensi 106 LEVOFLOXACIN 500mg
51 SPORETIK 100mg/5mL Dry Sirup
52 SUCRALFATE 500mg/5mL Sirup
53 TOPLEXIL Sirup
54 VALPI 250mg/5mL Sirup
55 VOSEDON 5mg/5mL Sirup
56 ZINKID 10mg/5mL Sirup

DAFTAR OBAT RUMAH SAKIT AT MEDIKA

No. Nama Perbekalan Farmasi No. Nama Perbekalan Farmasi

1 ACRAN 2 mg 69 FIOPRAZ 40mg/Ampul


2 AMINOPHILLIN 24mg/ml 70 FLUIMUCIL 300mg/ml
3 AMIODARON Injeksi 71 FUROSEMID Injeksi
4 ANITID 50mg/2ml 72 GENTAMICIN 40mg/ml
5 APIDRA 100 ui/ml Insulin 73 GETIDIN 25mg/ml
6 ASAM TRANEXAMAT 100mg/ 74 GOTROPIL 1g/5ml
7 ATRACURIUM 25 75 GOTROPIL 3g/15ml
8 ATROPIN SULFAT 0.25 mg 76 GRACEF 1g
9 BAQUINOR 200mg/100ml Infus 77 HERBESSER 50mg
10 BENOCETAM 3g/15ml 78 HYOSCINE N-BUTILB 20mg/ml
11 BIOCEF 1g 79 HYPOBHAC 100mg
12 BIOXON 1g 80 HYPOBHAC 200 mg
13 BISOLVON 2m/ml 81 INDOP 40mg/ml
14 BONEVELL 6mg/6ml 82 INDUXIN 10iu/ml
15 BRALIN 500mg/4ml 83 KALFOXIM 0.5g
16 BROADCED 1g Injeksi 84 KALFOXIM 1g
17 BUNASCAN SPINAL 0.5% 85 KALNEX 100mg
18 BUSCOPAN 20mg/ml 86 KETESSE 25mg/ml
19 CALCII GLUKONAS 100mg/ml 87 KETOROLAC 30mg/ml
20 CARBAZOCHROME 50mg/10ml 88 KLIRAN 4mg/2ml
21 CATAPRES 150mcg/ml 89 KUTOIN 100mg/2ml
22 CEBACTAM 1g Injeksi 90 LACEDIM 1 g
23 CEDOCARD 1mg/ml 91 LAFIXIME 1g
24 CEFIR 1g Injeksi 92 LAMESON 125mg
25 CEFOPERAZONE 1g Injeksi 93 LAMETIC 4mg
26 CEFORIM 1g Injeksi 94 LANCEF 1g
27 CEFOTAXIME 1g Injeksi 95 LANCOLIN 250 125mg/ml
28 CEFTAZIDIME 1g Injeksi 96 LANTIPAIN 30mg
29 CEFTRIAXONE 1g Injeksi 97 LANTUS 100iu/ml Insulin
30 CEFTRIMAX 1g Injeksi 98 LAPIXIM 1g
31 CEFXON 1g Injeksi 99 LASIX 10mg/ml
32 CEPHAFLOX 1g Injeksi 100 LEVEMIR Insulin
33 CERNEVIT 750mg Injeksi 101 LEVOFLOXACIN 500 Infus
34 CHLORBIOTIC 1g Injeksi 102 LIDOCAIN 40mg/2ml
35 CITICHOLINE 125mg/ml 103 MACEF 1 g
36 COMBIVENT 20u 104 MATOLAC 30mg
37 CORDARONE 150mg/3ml 105 MECOBALAMIN 500ui
38 CORTIDEX 5mg 106 MEROPENEM 1g
39 DEXAMETHASON 5mg 107 MEROPEX 1g
40 DEXKETOPROFEN 25mg/ml 108 MEROSAN 0.5g
41 DICYNONE 250mg 109 MEROTIC 1g
42 DOBUTAMIN 250mg/5ml 110 METHYLPREDNISOLONE 125 Injeksi
43 DOPAMIN 40mg/Vial 111 METIL ERGOMETRIN 0.125 Injeksi
44 ECOTRIXON 1g Injeksi 112 NEUROSANBE Injeksi
45 ELPICEF 1g Injeksi 113 NICARDIPINE 1mg/ml
46 EPHEDRINE HCL 50mg/ml Injeksi 114 NORFION 4mg/Ampul
47 EPHINEPRINE 1mg/ml Injeksi 115 NORSEC 40mg Injeksi
48 ESOMEPRAZOLE 40mg Injeksi 116 NOTROTAM 3000
49 ETASON 5mg/ml Injeksi 117 NOVALDO 500mg/ml
50 FARBION 5000 Injeksi 118 OMEPRAZOLE 40mg
51 FARBIVENT nebu 119 ONDANCENTRON 4mg/2ml
52 FARELAX 10mg Injeksi 120 ONDANE 2mg
53 FARGOXIN 0.25 Injeksi 121 ONDESCO 2mg/ml
54 FARMAVON 2mg/ml Injeksi 122 PANLOC 40mg
55 FARPAIN 30mg/ml Injeksi 123 PANTOMEX Injeksi
56 FARSIX Injeksi 124 PANTOTIS 40mg
57 FARSORBID Injeksi 125 PEHACAIN 20mg
58 FENDEX 25mg/ml 126 PHENYTOIN 50mg/ml

DAFTAR OBAT RUMAH SAKIT AT MEDIKA

No. Nama Perbekalan Farmasi No. Nama Perbekalan Farmasi

127 PIRACETAM 1g 155 SIMEXIM 1g


128 PIRACETAM 3g 156 SIMEXTAM 1g
129 PIRALEN 5mg/ml 157 SOCLAF 1g
130 PLASMINEX 100mg 158 SOLVINEX 2mg
131 POSPARGIN Injeksi 159 SOTATIC 5mg/ml
132 OPIMER 1g 160 STENIROL 125mg
133 OTTOGENTA 80mg/2ml 161 TAXEGRAM 0,5g
134 OTTOZOL 40mg 162 TAXEGRAM 1g
135 OXYTOCIN 10iu 163 TENSILO 50mg/
136 PRANZA 40mg 164 TERANOL 30mg/ml
137 PREDNICORT 125mg 165 TERFACEF 1g
138 PROHEM 2mg/ml 166 TETAGRAM 1g
139 PROSOGAN 30mg 167 TIRDICEF 1g
140 PROSTIGMIN 0,5mg/ml 168 TOFEDEX 50mg/2ml
141 PUMPISEL 40mg 169 TOPAZOL 40mg
142 PUMPITOR 40mg 170 TRADOSIK 50mg
143 RANITIDIN 25mg/ml 171 TRANXA 50mg/ml
144 RATIVOL 30mg 172 TRIASCO 1g
145 RECOFOL 1% 173 TRIJECT 1g
146 REVOLAN 3g/15ml 174 TRILAC 10mg/ml
147 ROFIDEN 50mg/ml 175 TROFENSIS
148 RONEM 1g/Vial 176 TROLAC 30mg/ml
149 SAGESTAM 40mg 177 TROVENSIS 2mg
150 SANEXON 125mg 178 ULCERANIN 2mg/ml
151 SANTAGESIK 179 VITAMIN K 10mg/ml
152 SCOPAMIN 20mg/ml 180 WIACID 25mg/ml
153 SERFAC 250mg 181 ZIBAC 1g
154 SHAROX 750mg 182 ZIDIFEC 1g
183 ZYFORT 1g

DAFTAR OBAT RUMAH SAKIT AT MEDIKA

No. Nama Perbekalan Farmasi No. Nama Perbekalan Farmasi

1 ALGANAX 0.5mg Tablet 1 CODEIN 10mg Tablet


2 ALPRAZOLAM 0.5mg Tablet 2 CODEIN 15mg Tablet
3 AMITRIPTILYN 25mg Tablet 3 CODEIN 20mg Tablet
4 ANALSIK 502mg Kapsul 4 MST CONTINOUS 10mg Tablet
5 ARKINE 2mg Tablet 5 MST CONTINOUS 15mg Tablet
6 BRAXIDIN 7.5mg Tablet 6 BUNASCAN Heavy Injeksi
7 CEPEZET 100mg Tablet 7 CLOPEDIN Injeksi 100mg/Ampul
8 CEPHALGIA Kapsul 8 DUROGESIC Patch 12 ug
9 CHLORPROMAZINE 100mg 9 DUROGESIC Patch 25 ug
10 CLOFRITIS 10mg Tablet 10 FENTANYL Injeksi 0.0785mg/1mL
11 FRIXITAS 0.5mg Tablet 11 HALOTANE Liquid
12 HALOPERIDOL 0.5mg Tablet 12 PETHIDIN Injeksi 100mg/Ampul
13 HALOPERIDOL 5mg Tablet 13 SEVOFLURANE Liquid
14 HEXIMER 2mg Tablet
15 MERLOPAM 0.5mg Tablet
16 OPINEURON 502mg Kaplet
17 PROCLOZAM 10mg Tablet
18 PRONEURON 502mg Kaplet
19 VALISANBE 2mg Tablet
20 VALISANBE 5mg Tablet
21 ZOLTA 10mg Tablet
22 CEPEZET Injeksi 50mg/Ampul
23 FARELAX Injeksi 25mg/Ampul
24 KETALAR Injeksi 100mg/Ampul
25 KTM Injeksi 100mg/Ampul
26 MIDAZOLAM Injeksi 5mg/Ampul
27 MILOZ Injeksi 1mg/Ampul
28 MILOZ Injeksi 5mg/Ampul
29 NOTRIXUM Injeksi 25mg/Ampul
30 SIBITAL Injeksi 200mg/Ampul
31 STESOLID Injeksi 10mg/Ampul
32 STESOLID Rectal Tube 2.5mg
33 STESOLID Rectal Tube 5mg
34 VALDIMEX Injeksi 10mg/Ampul

DAFTAR ALKES RUMAH SAKIT AT MEDIKA

No. Nama Perbekalan Farmasi No. Nama Perbekalan Farmasi

1 Dispo 1cc 31 Kasa Rol


2 Dispo 3cc 32 Skin Traction Anak
3 Dispo 5cc 33 Skin Traction Dewasa
4 Dispo 10cc 34 Micro Fine BD (Jarum Insulin)
5 Dispo 20cc 35 Maag Slang no. 10
6 Dispo 50cc 36 Maag Slang no. 16
7 Abocath 18 37 Maag Slang no. 18
8 Abocath 20 38 Hipafix 5x5
9 Abocath 22 39 Hipafix 10x5
10 Abocath 24 40 Hipafix 15x5
11 Abocath 26 41 Plester Cokelat 7.5 x 4.5
12 Infus Set Makro 42 Plester Cokelat 5 x 4.5
13 Infus Set Mikro 43 Plester Cokelat 2.5 x 4.5
14 Transfusi Set 44 Plester Cokelat 2.5 x 1
15 Handscoon 6.5 45 Perfusor
16 Handscoon 7 46 Spinocain no. 25
17 Handscoon 7.5 47 Sungkup O2 Dewasa
18 Handscoon 8 48 Sungkup O2 Anak
19 Catheter 2way no. 10 49 Sungkup O2 Bayi
20 Catheter 2way no. 14 50 Non Rebreathing Masker Dewasa
21 Catheter 2way no. 16 51 Non Rebreathing Masker Pediatrik
22 Catheter 2way no. 18 52 Canula O2 Dewasa
23 Catheter 2way no. 20 53 Canula O2 Anak
24 Catheter 3way no. 22 54 Canula O2 Bayi
25 Catheter 3way no. 24 55 Polygip 6 inci
26 Suction catheter no. 14 56 Polygip 4 inci
27 Suction catheter no. 10 57 Polyban 6 inci
28 Maag Slang no. 3.5 58 Polyban 4 inci
29 Maag Slang no. 5 59 Urine Bag
30 Maag Slang no. 8 60 Urogard
61 Conecta / Triway
DAFTAR OBAT RUMAH SAKIT AT MEDIKA

No. Nama Perbekalan Farmasi No. Nama Perbekalan Farmasi

1 Ringer Laktat Botol 500ml


2 NaCl 0.9% Botol 500mL
3 Ka En 3B Botol 500mL
4 Aminofluid Kantung 500mL
5 Wida D5 - 1/2NS Botol 500ml
6 Wida KDN 1 Botol 500ml
7 Wida KDN 2 Botol 500mL
8 Dextrose 5% Botol 500mL
9 Dextrose 10% Botol 500mL
10 Dextrose 40% Botol 25mL
11 NaCl 0.9% Botol 100mL
12 Dextrose 5% Botol 100mL
13 KCl Botol 25mL
14 NaCl 3% Botol 100mL
15 Manitol 20% Botol 500mL
16 Asering Botol 500mL
17 Otsutran Botol 500mL
Nama
No. Kartu
Tgl. Lahir

Tgl No. SEP Nama Obat Jumlah