Formularium Rs Royal

FORMULARIUM RS.
ROYAL PRIMA
1. GASTROINTESTINAL & HEPATOBILIARY SYSTEM

1.1 ANTACIDS, ANTIREFLUX AGENTS & ANTIULCERANTS
NO NAMA GENERIK NAMA DAGANG KODE PABRIK

1 Antasida Doen
Kombinasi :
Alluminium Hydroxyde + Magnesium
Hydroxyde
- Tablet Antasida Doen OGB
Magtral Otto
Sanmag Sanbe
- Syrup Antasida Doen OGB

Lagesil Lapi
- Syrup Forte Sanmag Forte Sanbe

2 Esomeprazole
- Tablet 20 mg, 40 mg Nexium Astr
- Injeksi Nexium Astr

3 Lansoprazole
- Capsul 30 mg Acilaz Otto
Lansoprazole OGB
Lapraz Sanbe
Laz Dexa
4 Misoprostol
- Tablet 200 mcg Cytotec
Gastrul Fahreinheit
5 Omeprazole
- Capsul 20 mg Omeprazole OGB
Pumpitor Sanbe
Rocer Otto
- Injeksi 40 mg Gastrofer Dexa

Omeprazol OGB
Ozid Darya
Pumpitor Sanbe
Rocer Otto
6 Pantoprazole
- Tablet 20 mg, 40 mg Pepzol MBF
- Injeksi 40 mg Ottozol Otto

Pantoprazole OGB
Pumpisel Sanbe
Topazol Lapi
Vomizole Dexa
7 Rabeprazole
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FORMULARIUM RS. ROYAL PRIMA
- Tablet 10 mg, 20 mg Pariet Esai
8 Ranitidine
- Tablet 150 mg Ranitidin OGB
Rantin Kalbee
- Injeksi 50 mg Ranitidine OGB

Ulceranin Otto
- Syrup 75 mg / 5 mL Ranivel Novel

11 Sucralfate
- Tablet 500 mg Musin Otto
Ulsidex Dexa
- Susp 500 mg / 5 mL (100 mL, 200 mL) Inpepsa Fahreinheit

Musin Otto
Ulsafat Combiphari
1.2 GIT REGULATORS, ANTIFLATULENTS & ANTI-INFLALAMMATORIES

1 Domperidone
- Tablet 10 mg Domperidone OGB
Gerdilium Otto
Vometa Dexa
- Syrup 1 mg / mL, 60 mL Domperidon OGB

Gerdilium Otto
Vometa Dexa
- Drop 5 mg / mL, 10 mL Domperidon OGB

Gerdilium Otto
Vometa Dexa
2 Metoclopramide
- Tablet 5 mg Metoclopramide OGB
- Tablet 10 mg Metoclopramide OGB

Sotatic Fahreinheit
- Injeksi 5 mg / mL Metoclopramide OGB

Piralen Otto
Primperan Ethica
1.3 ANTISPASMODICS

1 Kombinasi :
Chlordiazepoxide + Clidinium Br
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- Tablet 5 mg / 2,5 mg Braxidin Sanbe
2 Hyoscine-n-butylbromide
- Tablet 10 mg Hyoscine N-Butil Brom OGB
Scopamin Otto
- Injeksi 20 mg/ml Hyoscine N-Butil Brom OGB

Scopamin Otto
Kombinasi :
Hyoscine-n-butylbromide + Paracetamol
- Tablet 10 mg + 500 mg Buscopan Plus Boehringer
1.4 ANTIDIARRHEALS

1 Activates Attapulgite
- Tablet 600 mg New DiaTablets Medifarma
2 Dictahedral Smectite
- Sach Smecta
3 Kaolin + Pektin
- Tablet 550 mg + 20 mg Neo Diaform Corsa
- Suspensi Sirup 700 mg + 50 mg Neo-Kaolana Sanbe

Kanina Ifars
4 Kombinasi 1 :
a. Probiotik
b. Vit C, Vit B1, Vit B2, Vit B6
c. Niacin, Protein, Fat, Energy
- Sach Liprolach Kalbee
Probiokid Sanbe
Kombinasi 1 + Rice Starch
- Sach L-Bio Lapi
5 Loperamide HCL
- Tablet 2 mg Lodia Sanbe
Lopamid
6 Zn Sulfate Heptahydrate
- Syrup 10 mg / 5 mL L-Zinc Lapi
Zincpro Combiphariphar
1.5 LAXATIVES, PURGATIVES

1 Bisacodyl
- Tablet 5 mg Dulcolax Boehringer
- Supp 5 mg, 10 mg Dulcolax Supp Boehringer
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2 Laktulosa
- Suspensi 3,33 mg / 5 mL Opilax Otto
3 Kombinasi :
Na Lauril SO4 45 mg + Na Sitrat 450 mg +
Asam sorbat 5 mg + Sorbitol 4,465 mg + PEG
- Enema 5 mL Microlax Pharos
4 Kombinasi :
Phenolphthalein 55 mg + Liqd paraffin 1200 mg +
Glycerin 378 mg
- Susp 30 mL, 60 mL Laxadine Galenium
1.6 DIGESTIVES

1 Kombinasi :
Pakreatin 170 mg + Dimetilpoliksilosan 80 mg
- Tablet salut Gasflat Fahreinheit
2 Sulfasalazin
- Tabletlet Salut 500 mg Sulfitis Fahreinheit
3 Kombinasi 1 :
a. Probiotik
- Sach Liprolach Kalbee
Probiokid Sanbe
Kombinasi 1 + Rice Starch
- Sach L-Bio Lapi
1.7 CHOLAGOGUES, CHOLELITHOLTICS & HEPATIC PROTECTORS

1 Asam Ursodeoksikolat
- Capsulul 250 mg Urdafalk Darya Varia
Urdahex Kalbee
2 Curkuminoid
-Tablet 200 mg Curcuma Soho
3 Kombinasi :
Curkuminoid 2 mg +
Vitamin B1, B2, B6, B12, Betacaroten,
Dexphantenol.
- Syrup 60 mL Curcuma Plus Soho
4 Kombinasi :
a. Probiotik
d. Rice Strach L-Bio Lapi
5 Kombinasi :
a. Lecithin + nicotinamide
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b. vit B1, vit B2, vit B6, vit B12, vit E

- Capsul Lesichol Landson
1.8 ANORECTAL PREPARATION

1 Antihemorroid
- Suppossitoria Antihemorroid Kimia Farma
2 Micronized purified flavonoid fraction
- Tablet 500 mg Ardium Servier
3 Diosmin + Hesperidin
- Tablet 500 mg Rhodium Fahreinheit
4 Policresulen + Cinchocaine HCL
- Suppossitoria Faktu Supp Pharos
1.9 ANTIEMETICS

1 Granisetron
- Injeksi 1 Mg, 3 Mg Granisetron OGB
Granon Dexa
Opigran Otto
2 Ondasetron
- Tablet 4 mg, 8 mg Ondansetron OGB
Vometraz Dexa
- Injeksi 4 mg, 8 mg Cendoantron Soho

ODR Lapi
Ondansetron OGB
Trovensis Sanbe
Vometraz Dexa
- Syrup 4 mg/5mL Cendoantron Soho

ODR Lapi
2. CARDIOVASCULAR & HAEMATOPOIETIC SYSTEM
2.1 ANTI-ANGINAL DRUGS

1 Amiodarone Hcl
- Tablet 200 mg Cardarone Sano
Tyarit Fahreinheit
- Injeksi 150 mg / 3 mL Cardarone Sano

Tyarit Fahreinheit
2 Amlodipine Besylate
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- Tablet 5 mg, 10 mg Amlodipine OGB

Opivask Otto
Tensivask Dexa
3 Diltiazem Hydrochloride
- Capsul 100 mg Diltiazem OGB
Herbesser CD 100 Tanabe
-Capsul 200 mg Herbesser CD 200 Tanabe
- Injeksi 50 mg Herbesser Tanabe

4 Isosorbide Dinitrate
- Tablet 5 mg, 10 mg Farsorbid Fahreinheit
Isoket GSK
Isosorbid dinitrat OGB
5 Nifedipine
- Tablet 10 mg Nifedipin 10 mg OGB
- Tablet 20 mg Adalat Oros 20 mg Bayer
2. 2 ACE INHIBITORS

1 Captopril
- Tablet12,5 mg, 25 mg Captopril OGB
Captensin Kalbee
2 Imidapril HCL
- Tablet Tanapress Tana
3 Lisinopril
- Tablet 5 mg, 10 mg Noperten Dexa
4 Ramipril
- Tablet 2,5 mg, 5 mg Cardace Sanofi
Ramipril OGB
2. 3 CARDIAC DRUGS

1 Amidarone HCL
- Tablet 200 mg Tyarit Fahreinheit
2 Digoxin
- Tablet 0,25 mg Digoxin OGB
Fargoxin Fahreinheit
- Injeksi 0,5 mg Fargoxin Fahreinheit

3 Dobutamine Hcl
- Injeksi 250 mg Dobuject Dexa
Dobutamin Kimia Farma
Doburan Novel
4 Dopamine
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- Injeksi 10 mg/ml, 40 mg/ml Dopamine Kimia Farma

Indop Fahreinheit
5 Epinephrine
- Injeksi 1 mg Epinephrine Ethi
2.4 BETA-BLOCKERS

1 Bisoprolol
- Tablet 2,5 mg Concor Merc
- Tablet 5 mg Bisoprolol OGB

Concor Merc
Kombinasi :
Bisoprolol hemifumarate + Hydrochlorothiazide
- Tablet 2,5 mg, 5 mg Bipro Fahreinheit
2 Propranolol Hcl
- Tablet 10 mg, 40 mg Propanolol OGB
2. 5 CALCIUM ANTAGONISTS

1 Amlodipine Besylate
- Tablet 5 mg, 10 mg Amlodipine OGB
Opivask Otto
Tensivask Dexa
2 Diltiazem Hydrochloride
- Capsul 100 mg Diltiazem OGB
Herbesser CD 100 Tanabe
- Capsul 200 mg Herbesser CD 200 Tanabe
- Injeksi 50 mg Herbesser Tanabe

3 Nicardipine Hcl
- Injeksi 10 mg Nicardipine OGB
Nicardex Dexa
Perdipine Aste
4 Nifedipine
- Tablet 10 mg Nifedipine OGB
-Tablet 20 mg Adalat Oros 20 mg Bayer
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2.6 ANGIOTENSIN II ANTAGONISTS

1 Candesartan Cilexetil
- Tablet 8 mg, 16 mg Blopress Take
Canderin Dexa
Candesartan OGB
2 Irbesartan
- Tablet 150 mg Irbesartan OGB
Iretensa Fahreinheit
Kombinasi :
Irbesartan 150 mg + Hydrochlorothiazide 12,5 mg
- Tablet Co Aprovel Aven
3 Losartan K
- Tablet 50 mg Acetensa Fahreinheit
4 Olmesartan Medoxomil
- Tablet 20 mg, 40 mg Olmetec Pfizer
5 Valsartan
- Tablet 80 mg, 160 mg Diovan Novartisrtis
Valesco Dipa
2.7 OTHER ANTI HYPERTENSIVES

1 Clonidine Hcl
- Tablet Catapress Boehringer
- Injeksi Catapress Boehringer

2 Doxazosin Mesylate
- Tablet 1 mg, 2 mg, 4 mg Cardura Pfizer
3 Methyldopa
- Tablet 250 mg Dopamet Actavis
4 Terazocin Hcl
- Tablet 1 mg, 2 mg Hytrin Abbott
2.8 DIURETICS

1 Furasemide
- Tablet 40 mg Furosemide OGB
Lasix Sanofi
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- Injeksi 10 mg/mL Furosemide OGB

Lasix Sanofi
2 Hidroclortiazida (HCT)
-Tablet 25 mg, 50 mg Hidroclortiazida Kimia Farma
3 Kombinasi :
Irbesartan 150 mg + Hydrochlorothiazide 12,5 mg
- Tablet Co-Aprovel Aven
4 Mannitol
- Infus Mannitol Otsu
5 Spironolacton
- Tablet 25 mg, 100 mg Spironolacton OGB
2.9 PERIPHERAL VASODILATORS & CEREBRAL ACTIVATORS

1 Citicholine
- Tablet 500 mg Brainact Kalbee
Citicholin 500 mg OGB
- Injeksi 500 mg Brainact Kalbee

Berclov Sanbe
Citicholin OGB
2 Flunarizine
- Tablet 5 mg, 10 mg Flunarizin OGB
Frego Kalbee
3 Isoxsuprine HCl
- Tablet 20 mg Duvadilan Kimia Farma
Hystolan Dexa Medica
2.10 VASOCONSTRICTORS

1 Norepinephrine
- Injeksi 4 mg Norepinephrine OGB
Raivas Dexa
2.11 DYSLIPIDEMIC AGENTS

1 Atorvastatin Ca
- Tablet 10 mg, Lipitor Pfizer
- Tablet 20 mg Atorvastatin OGB
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Lipitor Pfizer
Atofar Fahreinheit
- Tablet 40 mg Lipitor Pfizer
- Tablet 40 mg Lipitor Pfizer

2 Fenofibrate
- Tablet 100 mg, 300 mg Trolip Dexa
3 Gemfibrozil
- Tablet 300 mg Gemfibrozil OGB
4 Rosuvastatin
- Tablet 10 mg, 20 mg Crestor Astr
5 Simvastatin
- Tablet 10 mg Simvastatin 10 mg OGB
- Tablet 20 mg Simvastatin 20 mg OGB
2.12 HAEMOSTATICS

1 Menadione(Drag:Na bisulfite; Injeksi:HCl)
- Tablet Vitamin K OGB
- Injeksi Vitamin K OGB

2 Tranexamic Acid
- Tablet 500 mg Asam Tranexamat OGB
Kalnex Kalbee
- Injeksi 50 mg, 100 mg Asam Tranexamat OGB

Transamin Otto
2.13 ANTICOAGULANTS, ANTIPLATELETS & FIBRINOLYTICS (THROMBOLYTICS)

1 Acetylsalicylic acid
- Tablet 80 mg Aspilet Chewable Dava
- Tablet 100 mg Aptor

Cardio Aspirin Bayer
2 Cilostazol
- Tablet 50 mg Antiplat Dexa
Cilostazol
Pletaal Otsuka
3 Clopidogrel
- Tablet 75 mg Clopidogrel OGB
Clopisan Sandoz
Plavix Sano
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4 Enoxaparin Na
- Injeksi 20 mg/0,2 mL, 40 mg/0,4 mL, 60 mg/0,6 mL Lovenox Aven
5 Fondaparinux Na
- Injeksi 2,5 mg / 0,5 mL Arixtra GSK
6 Heparin Na
- Injeksi 5000 IU / mL, 5 mL Inviclot Fahreinheit
7 Parnaparin
- Injeksi 4,250 Axa IU/0,4 mL, 6,400 Axa IU/0,6 mL Fluxum Fahreinheit
8 Warfarin N
- Tablet 2 mg Simarc-2 Fahreinheit
2.14 OTHER CARDIOVASCULAR DRUGS

1 Atropine Sulfate
- Injeksi 0,25 mg Atropin Sulfat Ethica
3. RESPIRATORY SYSTEM
3.1 ANTIASTHMATICS & COPD PREPARATIONS

1 Aminophylline
- Tablet Aminophylline Ethi
- Injeksi 24 mg/ml Aminophylline Ethi

2 Budesonide
- Capsul 3 mg Budenofalk Dava
- Inhaler 200 mcg / dose Obucort Swinghaler Boehringer
3 Ephedrine HCl
- Injeksi 50 mg Ephedrine Ethi
4 Epinephrine
- Injeksi Epinephrine Ethi
6 Fluticasone propionate
- Nebul 0,5 mg / 2 mL Flixotide Nebules GSK
7 Procaterol Hcl Hemihydrate

- Tablet 25 mcg, 50 mcg Meptin Otsu
- Syrup 25 mcg / 5 mL Meptin Otsu
- Inhaler 10 mcg / dose Meptin Swinghaler Otsu
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8 Salbutamol
- Tablet 2 mg, 4 mg Salbutamol OGB
Lasal Lapi
- Syrup / Syrup Exp Lasal Lapi

Salbron
Ventolin GSK
- Inh Ventolin GSK
- Nebul 5 mg Ventolin GSK

Velutin Novel
9 Terbutaline Sulfate
- Tablet 2,5 mg, Syrup Lasmalin Lapi
Nairet Otto
10 Theophylline
- Tablet 300 mg Retaphryl Kimia Farma
3.2 COUGH & COLD PREPARATIONS

1 Ambroxol Hcl
- Tablet 30 mg Ambroxol 30 mg OGB
Epexol Sanbe
Mucera Otto
- Syrup 15 mg Ambroxol 15 mg OGB

Epexol Sanbe
Mucera Otto
- Syrup 30 mg Ambroxol 15 mg OGB

Epexol Sanbe
Mucopect Boehringer
- Drops Mucopect Boehringer

Epexol Sanbe
2 Bromhexine Hcl
- Tablet 8 mg Bisolvon Boehringer
- Syrup 4 mg / 5 mL Bisolvon Kids Boehringer
- Syrup Tiap 5 mL :
Bromhexine HCl 4 mg Guaiafenesin 100 mg Bisolvon Extra Boehringer
- Syrup Tiap 5 mL :
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Bromhexine HCl 4 mg, Paracetamol 150 mg,

CTM 2 mg, Phenylephrine HCl 5 mg Bisolvon Flu & Batuk Boehringer
- Injeksi 4 mg Bisolvon Boehringer
3 Codein HCl
- Tablet 10 mg, 20 mg Codein Kimia Farma
Kombinasi 1 :
Codeine + Phenyltoloxamine
- Cap 30 mg + 10 mg Codipront Kapsul Kimia Farma
- Syrup 11,11 + 3,67 / 5 mL Codipront Syrup 60 mL Kimia Farma
Kombinasi 2:
(Kombinasi 1) + Guaifenesin
- Cap (30 mg + 10 mg ) + 100 mg/ 5 mL Codipront Cum Exp Kimia Farma
Kombinasi 3 :
(Kombinasi 2) + Extrac Thyme
- Syrup (11,11 mg + 3,67 + 5,55 mg) + 5,55 mg / Codipront Cum Exp Kimia Farma
5 mL
4 Dextromethorphan HBr (DMP)
- Tablet 15 mg, Syrup Dextromethorphan OGB
- Kombinasi 1 : Tiap Tablet

DMP 15 mg + Phenylephrin HCl 5 mg + CTM2 mg +
+ Glyceryl Guaiacolate (GG) 50 mg. Dextrosin Tablet Otto
Tuzalos Sanbe
- Kombinasi 2 : Tiap 5 mL syrup
DMP 15 mg + Phenylpropanolamin HCl 12,5 mg +
Diphenhydramine HCl 5 mg + GG 50 mg. Dextrosin Tablet Otto
- Kombinasi 3 : Tiap 5 mL syrup

DMP 10 mg + Diphenhydramine HCl 12,5 mg +
Ammon Cl 100 mg + Na Citrate 50 mg +
Menthol 1 mg Sanadryl DMP Sanbe
5 Erdosteine
- Tablet 300 mg Vectrine Dexa
- Syrup 175 mg / 5 mL Vectrine Dexa

6 Glyceryl guaiacolate
- Tablet 100 mg Glyceryl Guaiacolate Mutifa
7 Diphenhydramine HCl kombinasi :
a. Diphenhydramine HCl + Ammon Cl +
K guaiacolsulfonate + Na citrate + Menthol
- Syrup (12,5 mg + 100 mg + 30 mg + 50 mg + 1 mg) Sanadyrl Sanbe
a. Diphenhydramine HCl + DMP + Ammon Cl + Sanadyrl DMP Sanbe
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+ Na citrate + Menthol
- Syrup (12,5 mg + 10 mg + 50 mg + 1 mg)
8 N-acetylcysteine
- Capsul 200 mg Fluimucil Zam
- Effervescen tablet 600 mg Fluimucil Zam
- Dry Syrup 100 mg / 5 mL Fluimucil Zam

9 Pseudoefedrin HCl
- Drop 7,5 mg / 0,8 mL Alco Drop Interbat
Neo Triaminic Novartisrtis
Rhinos Neo Drop Dexa
Kombinasi 1 :
Pseudoefedrin + Fexofenadine
- Tablet ( 60 mg + 120 mg ) Telfast Plus Sanofi
Kombinasi 2 :
Pseudoefedrin + Loratadine
- Capsul ( 5 mg + 120 mg ) Rhinos SR Dexa
Kombinasi 3 :
Pseudoefedrin + Terfenadin
- Syrup (15 mg + 20 mg ) / 5 mL Rhinofed Dexa
Kombinasi 3 :
Pseudoefedrin + Triprolidine HCl Tremenza Sanbe
- Syrup (60 mg + 2,5 mg) / 5 mL Rhinos Jr Dexa
10 Tripolidin kombinasi :
Triprolidine + Pseudoephedrine HCl
- Tablet 2,5 mg + 60 mg Tremenza Sanbe
- Syrup 1,25 mg + 30 mg / 5 mL Lapifed Lapi

Tremenza Sanbe
Triprolidine + Pseudoephedrine HCl + GG
- Syrup 1,25 mg + 30 mg + 100 mg / 5 mL Lapifed Expectorant Lapi
11 Kombinasi :
Succus Liquiritae + Ammonium Chlorida
- Syrup O.B.H OGB
3.3 NASAL DECONGESTANT & OTHER NASAL PREPARATIONS

1 Fluticasone Furoate
- Nasal spray 27,5 mcg / spray Avamys GSK
2 Nacl
- Nasal Spray 6,5 mg / mL, 30 mL Breathy Nasal Spray Novell
3 Oxymetazoline HCL
- Nasal drop 0,025% Illiadin drop Merc
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- Nasal Spray 0,05% Illiadin Spray Merc

4 Triamcinolone acetonide
-Nasal Spray 55 mcg / spray Nasacort Aq Aven
4. CENTRAL NERVOUS SYSTEM
4.1 ANXIOLYTICS

1 Alprazolam
- Tablet 0,5 mg, 1 mg Alprazolam OGB
Xanax Pfizer
2 Clobazam
- Tablet 10 mg Clobazam OGB
Frisium Sanofi
3 Diazepam
- Tablet 2 mg, 5 mg Diazepam Kimia Farma
Valisanbe Sanbe
- Injeksi 2 mg Stesolid Actavis

Valium Roche
- Rectal 5 mg/ml, 10 mg/ml Stesolid Actavis

4 Lorazepam
- Tablet 0,5 mg, 2 mg Merlopam Mersi
4.2 HYPNOTICS & SEDATIVES

1 Estazolam
- Tablet 1 mg , 2 mg Esilgan Take
2 Midazolam
- Injeksi 5 mg / mL Sedacum Dexa
4.3 ANTIDEPRESSANTS

1 Amitriptyline
- Tablet Amitriptyline OGB
2 Fluoxetine HCl
- Tablet 10 mg Kalxetin Kalbe
- Tablet 20 mg Kalxetin Kalbe

Nopres Dexa
3 Maprotiline HCl
- Tablet 50 mg Sandepril Mersi
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4 Sertraline HCl
- Tablet 50 mg Fridep Mersi
4.4 ANTIPSYCHOTICS

1 Clozapine
-Tablet 25 mg, 100 mg Clozapine OGB
2 Haloperidol
- Tablet 0,5 mg, 1,5 mg, 5 mg Haloperidol OGB
3 Olanzapine
-Tablet 5 mg, 10 mg Olandoz Sandoz
4 Risperidone
-Tablet 2 mg Risperidone OGB
4.5 ANTICONVULSANTS

1 Carbamazepine
- Tablet 200 mg Carbamazepine OGB
Tegretol Novartisrtis
2 Divalproex Na
- Tablet 250 mg Depakote Abbott
- Tablet 500 mg Depakote ER Abbott
3 Gabapentin
- Tablet 100 mg Gabexal Sandoz
- Tablet 300 mg Gabapentin OGB

Gabexal Sandoz
4 Oxcarbazepine
- Tablet 300 mg, 600 mg Trileptal Novartisrtis
5 Phenobarbital Na
- Tablet 30 mg Phenobarbital OGB
- Injeksi 100 mg Phental Combiphar

Sibital Mers
6 Phenytoin Na
- Cap 100 mg Phenytoin OGB
- Injeksiection 100 mg / 2 mL Phenytoin OGB

Dilantin Pfizer
7 Pregabalin
- Capsul 75 mg Lyrica Pfizer
Pregabalin OGB
8 Asam Valproat
-Tablet 250 mg Depakote Abbott
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-Tablet 500 mg Depakote ER Abbott
-Syrup 250 mg / mL Asam Valproat OGB

Depakene Abbott
4.6 ANTIPARKINSONIAN DRUGS

1 Levodopa
Kombinasi 1 : Levodopa 100 mg + Benserazide 25 mg
- Tablet Leparason Dexa
Levopar Meprofarm
Kombinasi 2 : Levodopa 100 mg + Cabidopa 12,5 mg +
Entacapone 200 mcg
- Tablet Stalevo Novartisrtis
2 Pramipexole HCl
- Tablet 0,125 mg, 0,25 mg Sifrol Boehringer
3 Trihexyphenidyl Hcl
- Tablet 2 mg Trihexyphenidyl (THP) OGB
Hexymer Mersi
4.7 ANTIVERTIGO DRUGS

1 Betahistine Mesylate
- Tablet 6 mg Betahistin Mesilat Dexa
Mertigo Dexa
Merislon Eisai
- Tablet 12 mg Merislon Eisai
2 Flunarizine
- Tablet 5 mg, 10 mg Frego Kalbee
4.8 ANALGESICS (OPIOID)

1 Fentanyl
- Injeksiection 50 mcg / mL Fentanyl Jans
-TTS 25 mcg / jam, 50 mcg / jam Durogesic Johnson n Johnson

2 Morphine
- Tablet 10 mg MST Continus MBF
- Injeksiection 10 mg Morphine Kimia Farma
3 Pethidine
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- Injeksiection 100 mg Pethidine Kimia Farma

4 Tramadol HCL
- Cap 50 mg Orasic Otto
Tramadol OGB
- Injeksiection 50 mg, 100 mg Orasic Otto

Tramadol OGB
Kombinasi :
Tramadol HCL 37,5 mg + Paracetamol 325 mg
- Tablet Tramifen Otto
4.9 ANALGESICS (NON-OPIOID) & ANTIPYRETICS

1 Acetylsalicylic Acid
-Tablet 80 mg Aspilets Medifarma
-Tablet 100 mg Aptor Nicholas

2 Ibuprofen
- Tablet 200 mg Ibuprofen 200 mg OGB
- Syrup 100 mg/mL Farsifen Ifars

Proris Pharos
Rhelafen Lapi
- Syrup 200 mg/mL Proris Forte Pharos

Rhelafen Forte Lapi
3 Paracetamol
- Tablet 500 mg Paracetamol OGB
Sanmol Sanbe
- Syrup 120 mg / 5 mL Ottopan Otto

Paracetamol OGB
Sanmol Sanbe
- Syrup 160 mg / 5 mL Tempra PT. Taisho
- Syrup 250 mg / 5 mL Tempra Forte PT. Taisho
- Oral Drop 100 mg / mL Ottopan Otto

Paracetamol OGB
Sanmol Sanbe
Tempra PT. Taisho
- Rectal 125mg, 250 mg Dumin Actavis
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- Infusus 1000 mg Farmadol Fahreinheit

Paracetamol OGB
Sanmol Sanbe
Kombinasi 1 :
Paracetamol + N-Acetyleysteine
- Tablet Sistenol Dexa
Kombinasi 2 :
Paracetamol + Vit. B. Complex
- Tablet Dolo-Neurobion Merck
4.10 NONSTEROIDAL ANTI-INLAMMATORY AGENTS (NSAIDs)

1 Asam mefenamat
- Cap 500 mg Asam mefenamat OGB
Mefinal Sanbe
Opistan Otto
2 Celecoxib
- Tablet 100 mg, 200 mg Celebrex Pfizer
3 Dexketoprofen Trometamol
- Tablet Fendex Fahreinheit
- Injeksiection Ketesse Ferr

4 Etorixocib
- Tablet 90 mg, 120 mg Arcoxia 90 mg MSD
5 Ibuprofen
- Syrup 100 mg/mL Farsifen Ifars

Proris Pharos
Rhelafen Lapi
- Syrup 200 mg/mL Proris Forte Pharos

Rhelafen Forte Lapi
6 Kalium Diklofenak
- Tablet 25 mg Cataflam Novartis
Kalium Diklofenak OGB
- Tablet 50 mg Cataflam Novartis

Cataflam D Novartis
Kalium Diklofenak OGB
-Powder 50 mg / sacchet Cataflam Fast Novartis
-Drops 15 mg Cataflam Drop Novartis

7 Ketoprofen
- Tablet 50 mg, 100 mg Ketoprofen OGB
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- Injeksiection Kaltrofen Kalbe
- Suppositoria Profenid Sano

Pronalges Dexa
- Gel 30 gram Kaltrofen Kalbe

8 Ketorolac Tromethamine
- Tablet 100 mg Ketorolac OGB
Farpain Fahreinheit
- Injeksiection 30 mg Ketorolac OGB

Lactopain Lapi
Rativol Sanbe
Remopain Dexa
Toramine Otto
9 Metampiron
Kombinasi 1 :
Metampiron + Diazepam (500 mg + 2 mg) Analsik Sanbe
Kombinasi 2 :
Metampiron + Vit B. Complex Neuralgin RX Kalbee
10 Mefenamat Acid
- Cap 500 mg Asam mefenamat OGB
Mefinal Sanbe
Opistan Otto
11 Meloxicam
- Tablet 7,5 mg, 15 mg Meloxicam OGB
Movix
Moxic Otto
12 Metamizole Na
- Syrup 50 mg / mL Novartislgin Sanofi
- Injeksiection 5 mg Novartislgin Sanofi

Novartisldo Yarindo
13 Natrium Diclofenac
- Tablet 25 mg Flamar Sanbe
- Tablet 50 mg Diclofenac Na OGB

Flamar Sanbe
-Tube 1%, 20 gram Voltadex Dexa
Kombinasi :
Diclofenac Na + Sustained-release
- Tablet 75 mg, 100 mg Deflamat CR Actavis
14 Parecoxib Na
- Injeksieksi 40 mg Dynastat Pfizer
15 Piroxicam
- Tablet 10 mg, 20 mg Piroxicam OGB
16 Tinoridine HCL
- Cap 50 mg Nonflamin Take
Page 20
4.11 ANTIMIGRAINE PREPARATIONS

1 Flunarizine
- Tablet 5 mg, 10mg Flunarizin OGB
Frego Kalbee
4.12 NOOTROPICS & NEUROTONICS / NEUROTROPHICS

1 Citicholine
- Tablet 500 mg Brainact Kalbee
Citicoline OGB
- Injeksi 125 mg Citicoline OGB

Beclov Sanbe
- Injeksi 250 mg/2ml Brainact Kalbee

Beclov Sanbe
Serfac Otto
- Injeksi 1000 mg Serfac Otto

2 Mecobalamin
-Capsul 500 mcg Lapibal Lapi
Mecobalamin OGB
Methycobal Eisa
- Injeksi 500 mcg/ml Mecobalamin OGB

Methycobal Eisa
3 Piracetam
- Capsul 400 mg, 800 mg, 1200 mg Piracetam OGB
- Syrup 500 mg / 5 mL Latropil Lapi
- Injeksi 1 gr, 3 gr Piracetam OGB
- Infus 12 gr / 60 mL Neurotam Kalbee Farma
5. MUSCULO-SKELETAL SYSTEM
5.1 DISEASE-MODIFYING ANTI-RHEUMATIC DRUGS (DMARDS)

1 Tocilizumab
- Injeksieksi 80 mg, 400 mg Actemra Roche
Page 21
5.2 HYPERURICEMIA & GOUT PREPARATIONS

1 Allupurinol
- Tablet 0,5 mg Recolfar Fahreinheit
- Tablet 100 mg Allopurinol 100 mg OGB

Reucid Otto
- Tablet 300 mg Allopurinol 300 mg OGB

Alluric
Reucid Otto
5.3 MUSCLE RELAXANTS

1 Atracurium Besylate
- Injeksi 50 mg Atracurium Hameln Combiphariphar
Tramus Dexa
2 Eperisone Hcl
- Tablet 50 mg Eperisone OGB
Eprinoc Sanbe
Myonal Eisai
3 Rocuronium
- Infus 50 mg / 5 mL Noveron Novell
4 Tizanidine HCl
- Tablet 2 mg Sirdalud Novartisrtis
5.4 NEUROMUSCULAR DISORDER DRUGS

1 Neostigmine methylsulfate
- Injeksi 0,5 mg Neostigmin Combiphariphar
5.5 OTHER DRUGS ACTING ON THE MUSCULO-SKELETAL SYSTEM

1 Calsium Lactat
- Kaplet Calsium OGB
2 Calsium Kombinasi :
Calsium Hydrogen Phospat (CHP)
CHP 500 mg + Vit D3 200 IU Calsifar Ifars
CHP 500 mg + Cholecalciferol 133 IU Cavit D3 Merck
Coral Calsium 500 mg + Natural soy isoflavone 20 mg, Cal-95 Lapi

Vit D3 200 Iu + Vit K1 25 mcg + Mg 100 mg +
Zn 5 mg + Boron 1 mg
Page 22
3 Glucosamin
-Tablet 500 mg Glucosamin Soho
Kombinasi
Glucosamin + Condroitin + Vitamin + Mineral Oste Forte Soho
4 Natrium Hyaluronat
- Injeksieksi 20 mg Suplasyn Dipa
- Injeksieksi 25 mg Adant Dispo Meiji
- Injeksieksi 60 mg Suplasyn One Shoot Dipa
- Injeksieksi 180 mg Durolane Kalbee
6. HORMONES
6.1 OESTROGENTS & PROGESTERONES & RELATED SYNTHETICS DRUGS

1 Allylestrenol
- Tablet 5 mg Pregnolin Dexa
Premaston Kalbee
2 Dydrogesterane
- Tablet 10 mg Duphaston Abbott
3 Ethinylestradiol
- Tablet 50 mcg Lynoral Schering-Plough
4 Norethisterone
- Tablet 5 mg Norelut Dexa
5 Progesterone
- Tablet/Supp 100 mg Ultrogestan Lapi
- Supp 200 mg, 400 mg Cygest Actavis
6.2 CORTICOSTEROID HORMONES

1 Dexamethasone
- Tablet 0,5 mg Dexamethason OGB
- Injeksi 5 mg Dexamethason OGB

2 Methylprednisolon
- Tablet 4 mg, 8 mg Lameson Lapi
Methylprednisolon OGB
Prednicot Otto
Sanexon Sanbe
- Tablet 16 mg Medixon Ferron
Page 23
- Injeksi 125 mg Lameson Lapi

Methylprednisolon OGB
Prednicot Otto
Sanexon Sanbe
3 Triamcinolone acetonide
- Tablet Kenacort Taisho
Trilac Novel
- Injeksi 10 mg/mL, 40 mg/mL Flamicort Dexa
- Salep Kenacort Taisho
6.3 TROPHIC HORMONES & RELATED SYNTHETIC DRUGS

1 Bromocriptine mesylat
- Tablet 2,5 mg Cripsa Caprifarmindo
2 Clomiphene Citrate
- Tablet 50 mg Profertil Kalbee Farma
7. CONTRACEPTIVE AGENTS
7.1 ORAL CONTRACEPTIVE

1 Kombinasi :
Levonorgestrel & Ethinylestradiol
- Tablet (0,15 mg + 0,03 mg) Andalan Pil KB Harsen
7.2 OTHER CONTRACEPTIVES

1 Copper Wire With a Polyethylene Core w/ Safe Load
- Alat KB Copper-T Kimia Farma
2 Copper Wire With Silver Core

- Alat KB Novartis-T Bayr
8.ANTI-INFECTIVES SYSTEMIC
8.1 AMINOGLYCOSIDES
Page 24

1 Amikacin Sulfate
- Injeksi 500 mg Amikacin OGB
Mikasin Dankos
2 Gentamicin sulfate
- Salep 0,1 % Gentamicin 0,1% OGB
- Cream Garamycin Sche

Sagestam Sanbe
Ottogenta Otto
- Injeksi 80 mg/mL Gentamicin OGB

Ottogenta Otto
Sagestam Sanbe
3 Netilmicin Sulfat
- Injeksieksi 300 mg/1,5 mL Hypobhac Phapros
4 Streptomycin
- Injeksieksi 1 gram Streptomycin Meiji
8.2 CEPHALOSPORINS

1 Cefadroxil
- Capsul 500 mg Cefadroxil OGB
Cefat Sanbe
Lapicef Lapi
Opicef Otto
- Syrup 125 mg/5 mL Cefadroxil OGB

Cefat Sanbe
Lapicef Lapi
Opicef Otto
- Syrup 250 mg/ 5 ml Cefadroxil OGB

Cefat Sanbe
Lapicef Lapi
Opicef Otto
- Drops 150 mg / mL Renasistin Fahreinheit

2 Cefditoren Pivoxil
- Tablet 200 mg Meiact Meij
3 Cefepime Hcl
- Injeksieksi 1 gram Biocepime Otto
Cefepim OGB
Vipime Kalbee
4 Cefixime
Page 25
- Capsul 100 mg Cefixime OGB

Cefila Lapi
Cefspan Kalbee
Sporetic Sanbe
Starcef Dexa
- Capsul 200 mg Cefixime OGB

Cefila Lapi
- Syrup 100 mg / 5 mL, 30 mL Cefixime OGB

Cefila Lapi
Cefspan Kalbee
Sporetic Sanbe
5 Cefoperazone Na
- Injeksi 1 gr Cefoperazone OGB
6 Cefoperazone + Sulbactam
- Injeksi 1 gr Bactraz Otto
Cebactam Lapi
7 Cefotaxime Na
- Injeksi 500 mg Claforan Sanofi
Kalfoxim Kalbee
Taxegram Sanbe
- Injeksi 1 g Biocef Otto

Cefotaxime OGB
Claforan Sanofi
Clatax Fahreinheit
Lapixime Lapi
Taxegram Sanbe
8 Cefpirome
- Injeksieksi 1 gram Cefrin Dexa
9 Ceftazidime
- Injeksi 1 Biozim Otto
Ceftazidime OGB
10 Ceftriaxone
- Injeksi 1 gram Bioxon Otto
Broadced Kalbee
Ceftriaxone OGB
Cefxon Lapi
Elpicef Fahreinheit
Terfacef Sanbe
11 Cefuroxime Na
- Tablet 500 mg Celocid Dexa
- Injeksi 1 g/vial Anbacim Sanbe

12 Netilmicin
- Injeksi Hypobac Phap
Page 26
8.3 PENICILLINS

1 Amoxicillin
- Capsul 500 mg Amoxicillin OGB
Amoxsan Sanbe
Lapimox Lapi
Opimox Otto
- Syrup 125 mg, Syrup 250 mg Amoxicillin OGB

Amoxsan Sanbe
Opimox Otto
- Oral Drop Amoxicillin OGB

Amoxsan Sanbe
- Vial 1 gr Amoxsan Sanbe

2 Kombinasi : Amoxicillin + Clavulanate Acid
- Capsul (500 mg + 125 mg) Co Amoxiclav OGB
Clavamox Kalbee
Clamixin Otto
Claneksi Sanbe
Daxet Fahreinheit
- Syrup (125 mg + 31,25) / 5 mL Aclam Lapi

Clamixin Otto
Claneksi Sanbe
- Syrup (250 mg + 62,5 mg) / 5 mL Aclam Forte Lapi

Claneksi Forte Sanbe
3 Ampicillin
- Tablet 500 mg Ampicillin OGB
- Syrup 125 mg/5 mL Ampicillin OGB
- Injeksieksi 1gr Sanpicillin Sanbe
4 Penisillin
- Injeksi Penicillin Meij
5 Sulbenicillin Disodium
- Injeksi 1 gr Kedacillin Take
6 Kombinasi : Piperacillin + Tazobactam

- Injeksieksi (4 gram + 500 mg) Tazocin Pfizer
8.4 OTHER BETA-LACTAMS
Page 27

1 Meropenem
- Injeksi 500 mg Meropenem OGB
Merofen Kalbee
Merotik Lapi
Ronem Fahreinheit
- Injeksi 1000 mg Meropenem OGB

Merosan Sanbe
Opimer Otto
Rindonem Yarindo
Ronem Fahreinheit
Tripenem Dexa
8.5 CHLORAMPHENICOLS

1 Chloramphenicol
- Capsul 250 mg Chloramphenicol OGB
Colsancetine Sanbe
- Syrup 125 mg Chloramphenicol OGB
- Injeksieksi 1 gram Colsancetine Sanbe

2 Thiamphenicol
- Tablet 500 mg Biothicol Sanbe
- Syrup 125 mg / 5 mL Biothicol Sanbe

Lacophen Lapi
- Syrup 500 mg / 5 mL (Forte) Biothicol Sanbe
8.6 MACROLIDES

1 Azithromycin Dihydrate
- Tablet 500 mg Aziyhromycin OGB
Azomax Dexa
- Syrup 200 mg / 5 mL Azomax Dexa

Zithromax Pfizer
2 Clarithromycin
- Tablet 500 mg Abbotic XL Abbott
Bicrolid Sanbe
-Dry Syrup 125 mg / 5 mL Abbotic Abbott
Page 28
3 Eritromycin
- Capsul 500 mg Eritromycin OGB
ErySanbe Sanbe
- Syrup 200 mg / 5 mL Eritromycin OGB

ErySanbe Sanbe
Opithrocin Otto
8.7 QUINOLONES

1 Ciprofloxacin Hcl
- Tablet 500 mg Baquinor Forte Sanbe
Ciprofloxacin OGB
- Infus Baquinor Sanbe

Ciprofloxacin Dexa
2 Levofloxacin
- Tablet 500 mg Cravit Kalbee
Cravox Lapi
Difloxin Otto
Levofloxacin OGB
- Infus 500 mg Cravox Lapi

Difloxin Otto
Levocin Sanbe
Levofloxacin OGB
- Infus 750 mg Cravox Lapi

Farlev Fahreinheit
3 Moxifloxacin Hcl
- Tablet 400 mg Avelox Bayr
Maxiflon Guardian
4 Ofloxacin
- Tablet 200 mg Ofloxacin OGB
8.8 TETRACYCLINS

1 Doxycyline Monohydrate
- Capsul 100 mg Doxycyline OGB
Doxicor Phma
Siclidon Sanbe
2 Tetracycline
- Capsul 500 mg Tetracycline OGB
TetraSanbe Sanbe
Page 29
8.9 ANTIBACTERIAL CombipharINATIONS

1 Kombinasi :
Trimethoprim + Sulfamethoxazole
- Capsul (80 + 400) Bactrim Roche
Sanprima Sanbe
- Capsul Forte (160 + 800) Bactrim Forte Roche
Sanprima Forte Sanbe
- Syrup (40 mg + 200 mg) / 5 mL Bactrim Roche

Sanprima Sanbe
8.10 OTHER ANTIBIOTICS

1 Clindamycin
- Tablet 150 mg, 300 mg Clindamycin OGB
Prolic Sanbe
2 Fosfomycin Na
- Injeksi 1 gram, 2 gram Formicin Meiji
3 Linezolid
- Infus 600 mg Zyvox Pfizer
4 Metronidazole
- Tablet 500 mg Flagyl Sanofi
Metronidazole OGB
Trogyl Otto
- Supp 0,5 gram Flagyl Sanofi
- Infus 500 mg Flagyl Sanofi

Metronidazole OGB
Trichodazol Sanbe
Trogyl Otto
5 Vancomycin
- Injeksi 500 mg Vancep Fahreinheit
8.11 ANTI-TB AGENTS
1 Ethambutol Hcl
- Tablet 500 mg Ethambutol OGB
2 Isoniazid (INH)
- Tablet 100 mg, 300 mg Isoniazid (INH) Kimia Farma
INH Ciba Sandoz
- Tablet 400 mg INH 400 OGB
Page 30
- Tablet 400 mg + Vit B6 Inoxin Dexa

4 Pyrazinamide
- Tablet 500 mg Pyrazinamide 500 OGB
5 Rifampicin
- Tablet 450 mg, 600 mg Rifampicin OGB
Rifamtibi Sanbe
Kombinasi 1 :
Rifampicin + INH
- Tablet (450 + 300) Rimactazid Sandoz
- Tablet (75 mg + 50 mg) Rimactazid Paed Sandoz
Kombinasi 2 :
Rifampicin + INH + Pyrazinamid
- Tablet (150 mg + 75 mg + 400 mg) Rimcure 3FDC Sandoz
- Tablet (75 mg + 50 mg + 150 mg) Rimcure Paed Sandoz
Kombinasi 3 :
Rifampicin + INH + Pyrazinamid + Ethambutol Rimstar 4FDC Sandoz
- Tablet (150 mg + 75 mg + 400 mg + 275)
8.12 ANTIFUNGALS
1 Boraks Gliserin
- Cairan 5 % 10 ml Boraks Gliserin Mutifa
2 Fluconazole
- Capsul 50 mg Diflucan Pfizer
- Capsul 150 mg Flucoral Kalbee
- Infusus 200 mg Diflucan Pfizer

3 Gelantin Violet
- Lar 1% 10 ml Gentian Violet Muti
4 Itraconazole
- Capsul 100 mg Itzol Lapi
5 Ketoconazole
- Tablet 200 mg Formyco Sanbe
Ketoconazole OGB
6 Micafungin Na
- Injeksi 50 mg Mycamine Astellas
7 Nystatin
- Susp 100,000 IU/mL Enystin Kalbee
Mycostatin Taisho
Page 31
Nymiko Sanbe
Nystin Lapi
8.13 ANTIVIRALS
1 Acyclovir
- Tablet 200 mg, 400 mg Acyclovir OGB
Acifar Ifars
2 Ganciclovir
- Vial 500 mg Cymevene Roche
3 Ribavirin
- Tablet 200 mg Copegus Roch
4 Telbivudine
- Tablet 600 mg Sebivo Novartisrtis
8.14 ANTIHELMINTICS
1 Albendazole
- Tablet 400 mg Albendazole 400 mg OGB
2 Pyrantel Pamoat
- Tablet 125 mg, 250 mg Combipharantrin Pfizer
Pyrantel Pamoat OGB
- Syrup 10 mL Combipharantrin Pfizer
8.15 ANTIMALARIALS
1 Chloroquine Phospate
- Tablet 250 mg Resochin Bayer

Riboquin Dexa
2 Sulfadoxine + Pyrimethamine
- Tablet (500 mg + 25 mg) Fansidar Roch
3 Quinine
- Tablet 2 mg Kina Kimia Farma
9. ONCOLOGY
9.1 CYTOTOXIC CHEMOTHERAPY

1 Bleomycin
- Injeksieksi 15 mg Bleocin Kalbee
Page 32
2 Cyclophosphamide
- Tablet 50 mg Cyclophosphamide Kalbee
- Injeksieksi 200 mg Cyclophosphamide Kalbee

3 Doxorubicin HCl
- Injeksieksi 10 mg Doxorubicin Actavis
Sandobicin Sanbe
4 Methotrexat
- Tablet 2,5 mg Methotrexat Kalbee
- Tablet 50 mg Methotrexat Kalbee

5 Oxaliplatin
- Injeksieksi 50 mg Oxaliplatin Sanbe
Rextra Kalbee
6 Vincristine
- Injeksieksi 1 mg Vincristine Kalbee
10. GENITO-URINARY SYSTEM

10.1 PREPARATIONS FOR VAGINAL CONDITIONS

1 Metronidazole
- Suppositoria0,5 gram, 1 gram Flagyl Sanofi
2 Kombinasi :
Metronidazole + Nystatin
- Ovula (500 mg + 100,000 IU) Flagystatin Sanofi
Neo Gynoxa Kalbe
10.2 URINARY ANTISEPTICS
1 Pipemidic acid
- Capsul 400 mg Urotracin Sanbe
10.3 DRUGS ACTING IN THE UTERUS
1 Isoxsuprine HCl
- Tablet 20 mg Hystolan Dexa
Duvadilan Kimia Farma
- Injeksi 10 mg / 2ml Duvadilan Kimia Farma

2 Misoprostol
-Tablet 200 mcg Cytotec
Gastrul Fahreinheit
3 Methylergometrine maleat
Page 33
- Tablet 125 mcg Bledstop Sanbe

Methergin Novartis
- Injeksieksi 200 mcg / mL Bledstop Sanbe

Methergin Novartis
4 Synthetic oxytocin
- Injeksieksi 10 IU / mL Pitogin Ethica
Syntocinon Novartisrtis
10.4 DRUGS FOR ERECTILE DYSFUNCTION

1 Sidenafil Citrate
- Tablet Viagra Pfizer
10.5 DRUGS FOR BLADDER & PROSTATE DISORDERS

1 Doxazosin Mewsylate
- Tablet 1 mg Cardura Pfizer
2 Dutasteride
- Capsul 500 mcg Avodart GSK
Kombinasi (Dutasteride+ Tamsulosin HCL Duodart GSK

- Capsul (500 mcg + 400 mcg)
3 Tamsulosin
- Tablet 0,2 mg Harnal D Astellas
- Tablet 0,4 mg Harnal Ocas Astellas

4 Terazosin HCl
- Tablet 1 mg Hytrin Abbott
Hytroz Dexa
10.6 OTHER DRUG ACTING ON THE GENITO-URINARY SYSTEM

1 Asam - asam amino (a-ketoisoleucine Ca salt,
a-ketoleucine salt, a-hydroxymethionin Ca Salt,
a-ketovaline Ca-Salt, L-tryptophan, L-threonin,
L-histidine, L-tyrosine, L-lysine
- Tablet Aminefron Dexa
Ketorteril Fresenius Kabi
11. ENDOCRINE & METABOLIC SYSTEMS

11.1 INSULINS PREPARATIONS
Page 34
1 Insulin Aspart
- Injeksi. 100 IU/ml Novorapid Flexpen Novo
2 Insulin Aspart; Protaminated Insulin Aspart
- Pen Injeksieksi 100 IU/mL, 3 mL Novomix 30 Flexpen Novo
3 Insulin Detemir
- Pen Injeksieksi 100 IU/mL, 3 mL Levemir Flexpen Novo
4 Insulin Glargine
- Pen Injeksieksi 100 IU/mL, 3 mL Lantus Solostar Sanofi
5 Insulin Glulisine
- Pen Injeksieksi 100 IU/mL, 3 mL Apidra Solostar Sanofi
6 Isophane Human Insulin
-Vial Injeksieksi 100 IU/ml, 10 mL Humulin N Elly
7 ReCombipharinant Human Insulin
-Vial Injeksieksi 100 IU/ml, 10 mL Humulin R Elly
8 Regular soluble human insulin 30% & Isophane
human
insulin susp 70 %
- Pen Injeksieksi. 100 IU/ml, 3 mL Humulin 30/70 Elly
9 Insulin Lispro
- Pen Injeksieksi. 100 IU/ml, 3 mL Humalog Elly
11.2 ANTIDIABETICS AGENTS

1 Acarbose
- Tablet 50 mg, 100 mg Acarbosa OGB
2 Glibenclamide
- Tablet 5 mg Glibenclamide OGB
Renabetic Fahreinheit
Kombinasi :
Glibenclamide + Metformin
- Tablet 1,25 mg / 250 mg Glucovance 250 Merck
- Tablet 2,5 mg / 500 mg Glucovance 500 Merck
3 Gliclazide
- Tablet 30 mg Diamicron Servier
- Tablet 60 mg Diamicron MR 60 Servier
- Tablet 80 mg Glucodex Dexa

4 Glimepiride
- Tablet 1 mg, 2 mg, 3 mg Amaryl Sanofi
Glimepiride OGB
Gluvas Dexa
Kombinasi :
Glimiperide + Metformin
- Tablet 1 mg / 250 mg Amaryl M1 Aven
- Tablet 2 mg / 500 mg Amaryl M2 Aven
5 Gliquidone
- Tablet 30 mg Gliquidone OGB
Page 35
Glurenorm Boehringer
6 Linagliptin
- Tablet 5 mg Trajenta Boehringer
7 Metformin
- Tablet 500 mg Metformin OGB
Glucophage Merck
Glucophage XR Merck
- Tablet 850 mg Metformin OGB
8 Pioglitazone
- Tablet 15 mg, 30 mg Deculin Dexa
Kombinasi : Pioglitazone + Metformin

- Tablet (15 mg + 850 mg) Actosmet Takeda
9 Sitagliptin
- Tablet 25 mg, 100 mg Januvia MSD
11.3 THYROID HORMONES

1 Levothyroxine Na
- Tablet 50 mcg, 100 mcg Euthyrox Merck
2 L-Thyroxine Na
- Tablet 100 mcg Thyrax Schering-Plough
11.4 ANTITHYROID AGENTS

1 Thiamazole
- Tablet 5 mg, 10 mg Thyrozol Merck
11.5 AGENTS AFFECTING BONE METABOLISM
1 Alfacalcidol
- Tablet 0,5 mcg, 1 mcg Bone-One Dipa
2 Calcitriol
- Tablet 0,25 mcg Kolkatriol Phapros
- Tablet 0,5 mcg Kolkatriol Forte Phapros

3 Ibandronic acid
- Injeksieksi prefiled syringe 3 mg / 3 mL Bonviva Roche
4 Risedronate Na
- Tablet 35 mg Actonel Sanofi
5 Zoledronic Acid
Page 36
- Soln 5 mg / 100 mL Aclasta Novartisrtis
12. VITAMINS & MINERALS
12.1 VITAMIN A, D, DAN E

1 Vitamin E
- Tablet 100 mg Santa-E Sanbe
2 Cod liver oil + Vitamin A, D, E + EPA + DHA +
Orange Jus + Vit C + Vit B6
- Syrup 150 mL Seven Seas Merck
12.2 VITAMIN B-COMPLEX / WITH C

1 Asam Folat
- Tablet 400 mcg Folavit Sanbe
Starfolat Dexa
- Tablet 400 mcg Asam Folat Kimia Farma
2 Fe-Sulfate Heptahydrate
- Tablet Sulfas Ferrosus Kimia Farma
3 Fursultiamine HCl + Vit B2
- Tablet Alinamin F Take
- Injeksieksi 25 mg/10 mL Alinamin F Take
4 Pyridoxine Hcl
- Tablet Vitamin B6 OGB
- Injeksieksi Vitamin B6 OGB
5 Thiamine
- Tablet Vitamin B1 OGB
- Injeksieksi Vitamin B1 OGB
6 Kombinasi :
a. Vit B1, Vit B2, Vit B6
- Tablet Vit. B-Complex OGB
7 Kombinasi :
Vit B1, Vit B6, Vit B12
- Tablet 200 mcg Neurodex Dexa
Neurobion Merck
- Tablet 5000 mcg Neurobion Forte Merck
- Injeksi 5000 mcg Neurobion Merck
Neurosanbe Sanbe
8 Kombinasi :
a. Vit B1 5 mg, Vit B2 2 mg, Vit B5 3 mg,
Vit B6 2,5 mg, B12 3 mcg
- Syrup BeCombipharion Merck
9 Kombinasi :
Page 37
a. Vit B1 Mononitrate, Vit B2, Vit B6, Vit B12 +

Vit C + Nicotinamide + Ca Pantothenate +
- Tablet Cebex Otto
10 Vit B12 (Cynocobalamin)
- Tablet Vitamin B12 Kimia Farma
- Injeksieksi Vitamin B12 Kimia Farma
12.3 VITAMIN C
1 Ascorbic Acid
- Tablet 50 mg Vitamin C OGB
- Injeksieksi Vitamin C OGB
12.4 CALCIUM/WITH VITAMINS

1 Ca-Carbonate
- Tablet Calsium OGB
Osteocal Nicholas
Kombinasi :
Ca-Carbonate+ Vit D3 + Mg + Boron Citrat +
Zn Sulfat monohydrat + Cupric Sulfat + Chromium +
Asam Folat + Vit b6 + Vit B12 + Silica + DHA
- Tablet Osfit DHA Kalbee Farma
2 Calcium Hydrogen Phospate
- Tablet 500 mg Calcifar Plus Ifars
Kombinasi :
Ca hydrogen phosphate+ Cholecalciferol
- Tablet 500 mg / 133 UI Cavit D3 Merc
3 Kombinasi :
Coral Ca + Natural Soy Isoflavone + Vit D3 +
Vit K1 + Mg + Zn + Boron
- Tablet Cal-95 Lapi
4 Kombinasi :
Ossein Hydroxyapatite + Ca + Phosphorus
- Tablet Ossoral Dexa
5 Kombinasi :
Genistein (Bonistein) + Ca Phosphat) + Vit K1 +
Vit D3
- Tablet Hi Bone Otto
12.5 VITAMINS & / OR MINERALS

1 Kombinasi 1 :
a. Dibasic Ca phosphate
Page 38
b. Ca lActaviste vit B6 20 mg, vit C 25 mg, vit D3

c. vit B6, vit C, vit D3
- Tablet Elkana Sanbe
Kombinasi 1 +
d. Nicotinamide, Choline, Inositol
e. L-Lysine HCl, Calcium, Sodium
f. DHA, AA, GOS
- Syrup Elkana CL Sanbe
2 Kombinasi :
a. Vit B1, Vit B2, Vit B 12
b. Nicotinamide
c. Pantothenic Acid
- Tablet Becom C Sanbe
3 Lutein + Lycopen + Vit E + Vit C + Zn + Selenium +
Betacaroten
- Tablet Lycoxy Dexa
4 Kombinasi :
a. Echinacea (EFLA 894)
b. Zinc picolinate
c. Selenium
- Tablet Imunos Lapi
- Syrup Imunos Lapi
5 Kombinasi :
a. Zn picolinate
b. Zn gluconate
c. Copper Gluconate
- Capsul Zinc Phma
12.6 VITAMINS & MINERALS (PEDIATRIC)
1 Kombinasi ;
a. Vit B1, Vit B2, Vit B6, Vit B12
b. Curcuminoid
c. Lysine Hcl
d. Niacinamide
e. Pantothenic Acid
- Syrup Curcuma Plus Soho
2 Kombinasi :
a. Vit A, Vit C, Vit D
b. Vit B1, Vit B2, Vit B6, Vit B12
c. Nicotinamide
d. Lysine Hcl
e. Pantothenol
f. I-Glutamic Acid
- Syrup Apialys Lapi
- Drop Apialys Lapi
3 Colostrum Bonviva + DHA + Cod Liver Oil + Lysin +
Vit A + Vit D + Vit B1, B2, B6, B12 + Nicotinamide +
Page 39
Dexpanthenol + Zn
- Syrup Biostrum Lapi
4 Ferrazone + Vit. B1, B2, B3, B6, B7
- Drop Sangobion Merck
- Syrup Sangobion Merck
5 Kombinasi :
Polinaceae + Black elder Berry + Zinc + Vit C
- Syrup Starmuno Kalbe
6 Kombinasi :
a. Vit A, Vit C, Vit D, Vit E
b. Vit B1, Vit B2, Vit B3, Vit B6
c. Cod liver oil
- Syrup BeCombipharion Plus Merc
12.7 VITAMINS & MINERALS (PRE 7 POST NATAL)/ANTIANEMICS
1 Kombinasi :
a. Vit B1, Vit B2, Vit B 12, Vit D3, Vit K
b. Folic Acid
c. Ca Pantothenate
d. Ca Carbonate
e. Nikotinamide
f. Beta Carotene
g. Biotin
h. Copper Gluconate
I. Fe Polymaltose Complex (IPC)
j. DHA From Algae
k. Arachidronic Acid
- Capsul Folamil Genio Dexa
2 Kombinasi 1:
a. Vit A, Vit B1, Vit B2, Vit B6, Vit B12
b. Vit C, Vit D3, Vit E
c. Nicotinamide
d. Ca Pantothenate
e. Fe Fumarate
f. K Iodide
g. Copper
h. Manganese, Zn
i. Folic Acid
- Tablet Folac Otto
Promavit Lapi
3 Kombinasi :
Ext. Trigonella foenum + Trigonella foenum + Ext.
daun katuk + Vit B12
- Tablet Lactamor Kalbe
4 Kombinasi ;
Page 40
Ca, Vit D3, Tuna Fish oil

- Tablet Osfit DHA Kalbe
5 Kombinasi :
a. Fe Fumarate
b. Folic Acid
c. Vit B12, Vit C, Vit D3
d. Ca Carbonate
- Tablet Prenamia Sanbe
13. NUTRITIONS
13.1 ENTERAL / NUTRITIONAL PRODUCTS
1 Kombinasi :
a. Natural fish oil providing DHA
b. EPA, vit E
- Tablet ProlActavis with DHA for Mother Nove
2 Kombinasi :
a. Carbohydrate, Fat, Protein
b. Vit, Mineral, Energy
- Milk Powder Nutrensol Fahreinheit
3 Kombinasi :
a. Total fat, Saturated fat
b. Protein, Carbohydrate, Fiber, Sugar
c. Na, K, Inulin, Biotin, Cl
d. Omega-3 fatty/Omega-6 fatty acids
e. Energy
- Milk Powder Entramix Kalbe
13.2 PARENTERAL NUTRITION

1 Glukose
- Infus 5 %, btl 500 ml Glukosa 5 % Wida
Ecosol glukosa 5 % Bbmi
- Infus 10 %, btl 500 ml Glukosa 10 % Wida
- Infus 40 %, btl 25 ml Ecosol glukosa 10 % Bbmi

Otsu-D40 Otsu
2 Natrium Chloride
- Infus 0,9 %, btl 500 ml Nacl 0,9 % Wida
Ecosol Natrium Bbmi
- Infus 0,9 %, btl 1000 ml Nacl 0,9 % Wida

Ecosol Natrium Bbmi
Page 41
3 Ringer LActaviste
- Infus btl 500 ml Ringer laktat Wida
4 Kombinasi :
a. Dextrose 5 %
b. Natrium Chloride 0,9 %
- Infus btl 500 ml Nacl+glukosa, lar Infus Wida
0,9 %/ 5 % steril
5 Kombinasi :
Glukose 5 %+ Natrum Chloride 0,45%
- Infus 500 ml Glukosa 5% + 0,45 % Wida
6 Kombinasi :
Gukose 2,5% + Natrium Chloride 0,45 %
- Infus 500 ml Dextrose 2,5 %+sod.
Wida
Chloride 0,45 %
Otsu-D2,5 1/2 NS Otsu
7 Kombinasi :
Glukose 5%+Natrium Chloride 0,225%
- Infus 500 ml Glukose 5% + Sod.
Wida
Chloride 0,225%
8 Kombinasi :
Amino Acid+Glucose+Electrolytes
- Infus Clinimix Kalbe
9 Kombinasi :
a. Gluccose
b. Amino Acid
c. Essential/non-essential amino acid
d. Branched-chain amino acid
e. Energy
- Infus 500 mL, 1000 mL Aminofluid Otsu
10 Kombinasi :
a. Soybean Oil
b. Egg Phosphatides
c. Glycerol
d. Na. Oleate
e. Energy
- Infus Ivelip Kalbe
11 Kombinasi :
a. Refined Olive oil
b. Refined Soybean oil
c. Energy
- Infus Clinoleid 20 % Kalbe
12 Kombinasi :
a. Amino acid
b. Na, Cl
c. Other Important Amino Acid
- Infus Aminoleban Otsu
Comafusin Hepar Kalbe
13 Kombinasi :
a. amino acid
Page 42
b. Nitrogen
c. Na
d. Acetate
- Infus Amiparen Otsu
14 Kombinasi :
a. Amino acid
b. Sorbitol
c. Essential /Non-essential Amino acid
- Infus Pan Amin G Otsu
15 Water For Injeksi
- Injeksi Amp 25ml, 1000 mL Steril Water Otsu
13.3 ELECTROLYTES
1 Calcium Chloride
- Tablet KSR Merc
2 Calcium Gluconate
- Injeksi Calcium Gluconate OGB
3 Kombinasi :
Na + K + Cl + Lactate + Glucose
- Infus 500 mL KA EN 3A Otsu
Tridex 27 A Sanbe
KA EN 3B Otsu
Tridex 27 B Sanbe
4 Kombinasi :
a. Glucose anhydrous
b. NaCl
c. Na bicarbonate
d. CaCl2
- Sach Oralit Kimia Farma
Smecta Soho
5 Magnesium Sulfate
- Injeksi Otsu-MgSo4 Otsu
6 Kombinasi :
Na, K, Cl, citrate, dextrose
- Soln Pedialyte Abbott
13. 4 SUPLEMENTS & ADJUVANT THERAPY
1 Fucoidan
- Capsul 50 mg Fucohelix Kalbe
2 Kombinasi :
a. Polinacea
b. Black elderberry
c. Zinc picolinate, vit C
Page 43
- Tablet, Syrup Starmuno Kalbe

3 Kombinasi :
a. Placenta extr
b. vit B12
c. Ca Phosphate
- Tablet Lactavit Dexa
4 Kombinasi 1:
Echinacea + Zn picolinate
- Tablet Imboost Kimia Farma
- Syrup Imboost Kimia Farma
Kombinasi 1 + Black elderberry extr

- Tablet, Syrup Imboost Forte Kimia Farma
5 Kombinasi :
a. Echinacea purpurea extr
b. Propolis bee
c. Zn picolinate
d. Vit C
- Tablet, Syrup Opinacea Otto
6 Kombinasi :
a. PPC 95%
b. Silymarin phytosome
c. Schizandra extr
d. D-α-tocopherol
- Capsul Hepamax Kalbe
7 Pulverised curcuma roots
- Tablet Curcuma Soho
8 Kombinasi :
a. Echinase
b. Zn-pikolinat
c. Selenium
- Tablet Imunos Lapi
- Syrup Imunos Lapi
9 Natural astaxanthin
- Syrup Ascavin Dexa
10 Kombinasi :
a. β-carotene
b. Vit C, Vit E
c. Zn
d. Copper
e. Selenium, lutein
- Tablet Retivit Sanbe
14. EYE
14.1 EYE ANTI-INECTIVES & ANTISEPTICS
Page 44
1 Gentamycine Sulphate
- Eye Oint Genta Cendo
Gentamycine OGB
Sagestam Sanbe
2 Chloramphenicol
- Eye Oint Chloramphenicol Kimia Farma
Fenicol Cendo
- Eye Dro Fenicol Cendo

3 Ofloxacin
- Eye Dro Floxa Cendo
4 Oxytetracycline
- Eye Oint Oxytetracycline Kimia Farma
14.2 EYE ANTISEPTICS WITH CORTICOSTEROIDS
1 Dexamethasone
- Eye Dro Polidemisin Sanbe
Kombinasi :
a. Dexamethasone
b. Polymixin Sulphate
c. Neomycine Sulphate
- Eye Dro, Eye Oint Polydex Cendo
Xitrol Cendo
2 Tetracain Hcl
- Eye Dro Pantocain Cendo
3 Kombinasi :
Tobramycine + Dexamethasone
- Eye Dro Tobroson Cendo
14.3 MYDRIATIC DRUGS
1 Atropine Sulphate
- Eye Dro Tropine Cendo
2 Tropicamide
- Eye Dro Mydriatil Cendo
14.4 MIOTIC DRUGS
1 Pilocarpine Hcl
- Eye Dro Carpine Cendo
Page 45
14.5 ANTIGLAUCOMA PREPARATIONS
1 Azetazolamide
- Tablet Glaucon Cendo
2 Timolol Maleate
- Eye Dro Timol Cendo
Triatimol Cendo
14.6 OPTHALMIC DECONGESTANTS, ANESTHETICS, ANTI-InfusLAMMATORIES
1 Natrium Diklofenac
- Eye Dro Noncort Cendo
14.7 OPTHALMIC LUBRICANTS

1 Kombinasi :
Sodium Chloride + Kalium Chloride
- Eye Dro Lyteers Cendo
14.8 OTHER EYE PREPARATIONS
1 Amfoterisin
- Eye Oint Fungicid Cendo
2 Kombinasi :
Naphazoline Hcl + Antazoline Hcl
- Eye Dro Vasacon Cendo
3 Kombinasi :
a. Calcium Chloride Anhydrous
b. Potassium Iodide
c. Sodium Thiosulphate
- Eye Dro Catarlent Cendo
4 Kombinasi :
a. Bilberry Extract
b. Retinol
c. Vitamin E
d. Beta Carotene
- Tablet Berry Vision Sanbe
5 Kombinasi :
a. Zinc Sulphate
b. Phenylephrine Hcl
c. Vitamin A Palmitate
- Eye Dro Augentonic Cendo
Page 46
15. EAR & MOUTH/THROAT

15.1 EAR ANTI-InfusECTIVES & ANTISEPTICS
1 Chloramphenicol
- Ear Dro Chloramphenicol Erla
15.2 EAR ANTISEPTICS WITH CORTICOSTEROIDS
1 Kombinasi :
a. Polymyxin B sulfate
b. Neomycin sulfate
c. Fludrocortisone acetate
d. Lidocaine HCl
- Ear Dro Otopain Interbat
2 Kombinasi :
a. Framycetin sulphate
b. Gramicidin
c. Dexamethasone Na metasulphobenzoate
- Ear Dro Blecidex Ear Drops Sanbe
15.3 OTHER EAR PREPARATIONS
1 Docusate Na
- Ear Dro Forumen Sanbe
15.4 MOUTH/THROAT PREPARATIONS
1 Fradiomycin Sulphate
- Tablet FG.Troches Meji
2 Lar. Benzydamine
- Gargle Tantum Verde Soho
3 Triamcinolone Asetonide
- Tube Kenalog In Orabase Tais
16. DERMATOLOGICALS
16.1 TOPICAL ANTIBIOTICS
Page 47
1 Fucidic Acid
- Cream Fusycom Combiphar
2 Kombiansi :
Neomycin sulfate + Bacitracin
- Oint, Powder Nebacetin Phar
3 Kombinasi :
a. Bacitracin
b. Llidocaine HCl
c. Neomycin sulfate
d. Polymyxin B sulfate
- Oint Liposin Phar
4 Mupirocin
- Cream 2% / 5 gr, 2% / 10 gr Bactoderm Ikap
5 Na. Fusidic
- Cream, Oint Fuson Pyri
6 Silver Sulfadiazine
- Cream Burnazin Dava
16.2 TOPICAL ANTIFUNGALS & ANTIPARASITES
1 Ciclopirox
- Lacquer Loprox Nail Sano
2 Ketokonazole
- Cream Formyco Sanbe
Ketokonazol OGB
Mycoderm Otto
- Soln Zoloral SS Ikap

3 Kombinasi :
Nystatin + Zn oxide
- Cream Myco Z Tais
4 Miconazole Nitrate
- Cream Miconazol OGB
5 Kombinasi :
Salicylic acid + Sulfur precipitated
- Oint 2-4 Zalf Nufa
6 Kombinasi :
Lindane + Usnic acid
- Cream Scabicid Kimia Farma
Page 48
7 Permethrin
- Cream 5% Scabimite Gale
8 Tioconazole
- Cream Trosyd Pfizer
16.3 TOPICAL ANTIVIRALS

1 Acyclovir
- Cream 5 % Acyclovir OGB
2 Tromantadin Hcl
- Cream Viru-Merz Combiphar
16.4 TOPICAL CORTICOSTEROIDS
1 Betametasone
- Cream Betametasone Kimia Farma
2 Desoximethasone
- Cream 10 gr Desoximethasone OGB
- Cream 15 gr Esperson Sano

Inerson Intr
3 Fluccinolone Acetonide
- Cream 0,25 mg / gram Cinolon Sanbe
Kombinasi :
Fluccinolone + Neomicyn Sulfate
- Cream 0,25 % / 1 % Cinolon N Sanbe
4 Hydrocortizone
- Cream, Oint Hydrocortizone OGB
5 Mometasone Furoate
- Cream Elocon Sche
Elomox Ifars
16.5 ACNE TREATMENT PREPARATIONS
1 Adapalene
- Gel Evalen Ferr
2 Benzoly Peroxide
- Gel Benzolac SDM
Page 49
Kombinasi :
Clindamycin + Benzoly Peroxide
- Cream Benzolac Cl SDM
3 Clindamycin
- Gel Mediklin SDM
Kombinasi :
Clindamycin + Tretinoin
- Gel Mediklin TR SDM
4 Nicotinamide
- Gel/Cream Niacef SDM
5 Retinoid acid
- Cream Vitacid SDM
6 Triclosan
- Cream Phisohex Aven
16.6 SKIN ANTISEPTICS & DISInfusECTANTS
1 Calium Permanganate
- Powder Calium Permanganate Intr
2 Etanol
- Soln Alkohol Nufa
3 Ethacridin
- Soln Rivanol Muti
4 Hydrogen Peroxide
- Soln Hydrogen Peroxide Intr
5 Policresulen (condensation product of

metacresolsulfonic acid & methanal)
- Solution 10 mL Albothyl Phar
-Gel Albothyl Phar
6 Polidon Iodine
- Gargle 175 mL Betadine MBF
- Solution Braunol B Braun
- Oint 10 gr, 20 gr Betadine MBF
Page 50
16.7 OTHER DERMATOLOGICALS
1 Doxepin Hcl
- Cream Sagalon SDM
2 Hydroquinone
- Cream 2% / 14,2 gram Bioquin Ikapharmindo
- Cream 4% / 15 gram Bioquin Ikapharmindo

3 Hypoallergenic ambiphilin cream base
- Cream 20 gram Biocream Merc
4 Kombinasi :
a. Allium Cepa Extract
b. Purified Water
c. Peg-5
d. Xanthan Gum
e. Allantion
- Gel Mederma Merz/Combiphar
5 Kombinasi :
a. Radix Scutellaria
b. Cortex Phellodendri
c. Rizoma Coptidis
d. Sesame Oil
e. Cera Flava
- Cream Sibro Combiphar
6 Kombinasi :
a. Purified Water
b. Triethanolamine
c. Carbomer, Glycerin
d. Hydrolyzeed Collagen
e. Dimethyl Hydantoin
f. Tetrasodium EDTA
g. Haematoccocus Pluvialis Extr
- Gel Asthin Force Soho
7 Kombinasi :
AHA + Squalene + Vit E
- Gel Biomoist Ikap
8 Kombinasi:
a. Palmitoylethanolamide
b. DMS Conscontaining phys lipids
- Gel Physiogel
9 Pseudo-dermal Lipids
- Cream Noroid Soho
Kombinasi :
Page 51
Pseudo-dermal Lipids + Zn Oxide

- Cream Noroid Derma Rash Soho
10 Sertakonazol Nitrat
- Cream Dernofix Dava
11 Urea
- Cream 10% Carmed SDM
Soft U Derm Forte Gale
17. ANAESTHETICS LOCAL & GENERAL

1 Bupivacaine HCL
- Injeksiection 5 mg / mL Decain Spinal Dexa
2 Isoflurane
- Injeksiection Isofluran Dexa
3 Ketamine HCL
- Injeksiection Ketamin Hameln Combiphar
Ketalar Pfizer
4 Lidocain
- Injeksiection Lidocain Ethi
Pehacain Phap
5 Propofol
- Injeksiection Recofol Dexa
6 Sevoflurane
- Inhalation Sevodex Dexa
18. ALLERGY & IMMUNE SYSTEMS

18.1 ANTHISTAMINES & ANTIALLERGICS

1 Betamethasone
- Tablet Ocuson Sanbe
2 Cetirizine HCL
- Tablet 10 mg Cerini Sanbe
Cetirizine OGB
Tiriz Lapi
- Syrup Cetinal Kalbee

Lerzin Ifars
- Oral Drop Tiriz Lapi

3 Diphenhydramine
Page 52
- Injeksiection Diphenhydramine OGB
Fexofenadine HCL
- Tablet 120 mg, 180 mg Telfast OD Sano
Telfast HD Sano
Kombinasi :
Fexofenadine HCL + Pseudoephedrine HCL
- Tablet Telfast Plus
4 Loratadine
- Tablet Alloris Sanbe
Loratadine OGB
Kombinasi :
Loratadine + Pseudoephedrine Sulfate
- Tablet Aldisa SR Sanbe
Rhinos SR Dexa
5 Mebhydrolin Napadisylate
- Tablet Interhistin Intr
6 Kombinasi :
Terfenadine + Pseudoephedrine
- Tablet Rhinofed Dexa
18.2 VACCINES, ANTISERA & IMMUNOLOGICALS

1 Adsorbed purified reCombipharinant
Hepatitis B surface antigen
- Injeksi Engerix B GSK
2 Anti Tetanus
(Hanya untuk terapi tetanus)
- Injeksi A.T.S Biof
3 Human tetanus Ig
- Injeksi Tetagam Dexa
4 Immune globulin IV (human)

- Injeksi Gamunex Dipa
5 Pneumococcal conjugate vaccine

- Injeksi Prevenar Pfizer
6 Kombinasi :
a. Diphtheria toxoid
b. Adsorbed tetanus toxoid
c. Pertussis toxoid
d. Filamentous haemagglutinin
e. Pertactin of purified Capsulular
Page 53
polysaccharide of Hib covalently

bound to approx tetanus toxoid
- Injeksi 0,5 ml Infanrix HIB GSK
7 Lyophilized live attenuated OKA strain
of varicella-zoster virus
- Injeksi Varilrix GSK
8 Kombinasi :
a. Pertussis toxoid
b. Diphtheria toxoid
c. Tetanus toxoid
d. Poliomyelitis vaccine
- Injeksi Pediacel Sano
9 Serum Anti Bisa Ular
- Injeksi ABU Biof
10 Serum TBC
- Injeksi Mantoux Test Biof
19. ANTIDOTES & DETOXIFYING AGENTS

1 Ca polystyrene sulfonate
- Sach Kalitake Dipa
20. INTRAVENOUS & OTHER STERIL SOLUTIONS

1 Human albumin
- Injeksi 20% 50 mL, 20% 100 mL Human Albumin Behring Dexa
Plasbumin Dipa
- Injeksi 25 % Albuminar Dexa
Plasbumin Dipa
2 Plasma Protein Fraction 5%
- Infus 5 g / 100 mL Plasmanate Dipa
3 Glucosa 50 gram
- Infus 500 mL Cairan D5 Wida
Infusan-D5 Sanbe
4 Glucosa 100 gram
- Infus 500 mL Cairan D10 Wida
Infusan-D10 Sanbe
5 Kalium Chloride
- Injeksi Otsu-KCL Otsu
6 L-analil-L-Glutamin
- Infus 100 ml Glutiven Dexa
7 Gelatin Polysuccinate+ Na Acetat Trihydrate + NaCl+
KCl + CaCl dihydrate + MgCl
- Infus 500 mL Gelafusal Dexa
Page 54
8 Natrium Bicarbonate
- Injeksi 8,4% 25 mL Meylon Otsu
9 Kombinasi :
Na + K + Cl + Ca + Acetat + Anhidrous Dextrosa
- Infus 500 mL Asering Otsu Otsuka
Ring-As Sanbe
10 Kombinasi :
Na + K + Cl + Ca + Mg + Acetat + NaCl + KCL +
CaCl2 + MgOH2 + Na Acetat + Energy
- Infus 500 mL Futrolit Sanbe
11 Kombinasi :
Na + K + Cl + Ca + Mg + Acetat + NaCl + KCL +
CaCl2 + Sorbitol + Acetat + Water + Electrolite .
- Infus 500 mL Tutofusin OPS Kalbe
12 Kombinasi :
Na lactate + KCl + CaCl2 2 H2O
- Infus Totilac Kalbe
13 Kombinasi :
Hydroxyethyl starch (HES) + NaCl
- Infus HES 130/0,4 Sanbe Hes 130 Sanbe
Widahes 130 Wida
- Infus HES 200/0,5 Sanbe Hes 200 Sanbe
14 Kombinasi :
Hydroxyethyl starch (HES) + NaC l+ KCl + CaCl2 +
Na lactat
- Infus 500 mL Fima Hes Kalbe
Page 55

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FORMULARIUM RS.

1. GASTROINTESTINAL & HEPATOBILIARY SYSTEM

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Syrup Antasida Doen OGB

- Syrup Forte Sanmag Forte Sanbe

- Injeksi Nexium Astr

- Injeksi 40 mg Gastrofer Dexa

- Injeksi 40 mg Ottozol Otto

- Tablet 10 mg, 20 mg Pariet Esai

- Injeksi 50 mg Ranitidine OGB

- Syrup 75 mg / 5 mL Ranivel Novel

- Susp 500 mg / 5 mL (100 mL, 200 mL) Inpepsa Fahreinheit

1.2 GIT REGULATORS, ANTIFLATULENTS & ANTI-INFLALAMMATORIES

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Syrup 1 mg / mL, 60 mL Domperidon OGB

- Drop 5 mg / mL, 10 mL Domperidon OGB

- Tablet 10 mg Metoclopramide OGB

- Injeksi 5 mg / mL Metoclopramide OGB

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Tablet 5 mg / 2,5 mg Braxidin Sanbe

- Injeksi 20 mg/ml Hyoscine N-Butil Brom OGB

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Suspensi Sirup 700 mg + 50 mg Neo-Kaolana Sanbe

1.5 LAXATIVES, PURGATIVES

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Supp 5 mg, 10 mg Dulcolax Supp Boehringer

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

1.7 CHOLAGOGUES, CHOLELITHOLTICS & HEPATIC PROTECTORS

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

b. vit B1, vit B2, vit B6, vit B12, vit E

1.8 ANORECTAL PREPARATION

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Injeksi 4 mg, 8 mg Cendoantron Soho

- Syrup 4 mg/5mL Cendoantron Soho

2. CARDIOVASCULAR & HAEMATOPOIETIC SYSTEM

2.1 ANTI-ANGINAL DRUGS

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Injeksi 150 mg / 3 mL Cardarone Sano

- Tablet 5 mg, 10 mg Amlodipine OGB

-Capsul 200 mg Herbesser CD 200 Tanabe

- Injeksi 50 mg Herbesser Tanabe

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Injeksi 0,5 mg Fargoxin Fahreinheit

- Injeksi 10 mg/ml, 40 mg/ml Dopamine Kimia Farma

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Tablet 5 mg Bisoprolol OGB

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Capsul 200 mg Herbesser CD 200 Tanabe

- Injeksi 50 mg Herbesser Tanabe

-Tablet 20 mg Adalat Oros 20 mg Bayer

- Tablet 30 mg Adalat Oros 30 mg Bayer

2.6 ANGIOTENSIN II ANTAGONISTS

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

2.7 OTHER ANTI HYPERTENSIVES

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Injeksi Catapress Boehringer

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Injeksi 10 mg/mL Furosemide OGB

2.9 PERIPHERAL VASODILATORS & CEREBRAL ACTIVATORS

NO NAMA GENERIK NAMA DAGANG KODE PABRIK

- Injeksi 500 mg Brainact Kalbee

NO NAMA GENERIK NAMA DAGANG KODE PABRIK