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1 ANALGETIK, ANTIPIRETIK,
ANTIINFLAMASI
1.1 ANALGETIK
1.1.1 ANALGETIK NARKOTIK 1 FENTANYL INJEKSI, AMPUL @2ML FENTANYL INJ 100MCG/2ML
TRANSDERMAL 12mcg/JAM DUROGESIC TRANSDERMAL 12 μ/JAM

2 PETHIDINE HCL INJEKSI, AMPUL @2ML PETHIDINE HCL INJ 50MG

3 OXYCODONE HCL INJEKSI, AMPUL @1ML OXYNORM 10MG/ML


INJEKSI, AMPUL @2ML OXYNORM 20MG/2ML
TABLET 10 MG OXYNORM 5MG KAPS
TABLET 15 MG OXYNEO TAB 15 MG
KAPSUL 5 MG OXYNEO TAB 10 MG

1.1.2 ANALGETIK 4 SODIUM DICLOFENAK SUPPOSTURIA NEUROFENACT PLUS^


TABLET VOLTAREN INJ 75 MG
INJEKSI VOLTAREN SUPP 100MG
VOLTAREN TAB 25 MG
VOLTAREN TAB 50 MG

5 POTASSIUM DIKLOFENAK TABLET CATAFLAM TAB 25 MG


CATAFLAM TAB 50 MG

6 IBUPROFEN TABLET, 400MG IBUPROFEN 400MG

7 KETOPROFEN SUPPOSTURIA PROTOFEN SUPP 100MG

8 KETOROLAC INJEKSI,IV/IM SYRINGE 1ML REMOPAIN INJ 30MG

9 ASAM MEFENAMAT KAPLET 500MG ASAM MEFENAT 500MG


PONSTAN 500
MEFINAL 500
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10 MELOXICAM TABLET 15MG MELOXICAM TAB 15
TABLET 7,5MG MELOXICAM TAB 7,5

11 METAMPIRON TABLET 500 MG NEURALGIN RX^

12 PARASETAMOL 500 TABLET 500 MG PANADOL TAB


TABLET 600 MG PANADOL EXTRA^
INJEKSI, BOTOL 1000MG/100ML PANADOL COLD & FLU^
TABLET 250MG SANMOL TAB 500 MG
TABLET 12,5MG SUMAGESIC TAB 600 MG
SYR 150/5ML 60ML SANMOL IV 1000MG/100ML
SYR 150/5ML 100 PARATUSIN TAB 500
SYR 135/5ML 55ML DECOLGEN TAB^
SYR 135/5ML 110 PARAMEX TAB 250 MG^
OBH NELCO SYR 55 ML^
OBH NELCO SYR 110ML^
ULTRACET^
OBH COMBI BATUK FLU SYR 60ML^
OBH COMBI BATUK FLU SYR 100ML^
BISOLVON BATUK DAN FLU SYR 125^
BISOLVON BATUK DAN FLU SYR 60^

13 TRAMADOL TABLET 37,5 MG TRAMAL KAPSUL 50 MG


KAPSUL 50MG TRAMAL INJ 50MG/ML
SUPPOSTURIA 100MG TRAMAL SUPPOS 100MG
INJEKSI AMPUL @1ML ULTRACET^

14 CELEKOSIB KAPSUL 200MG CELEBREX KAPSUL 200MG

15 ETORICOXIB TABLET 60 MG ARCOXIA TAB 60 MG


TABLET 90 MG ARCOXIA TAB 90 MG
TABLET 120 MG ARCOXIA TAB 120 MG
ETORVEL 60 MG
ETORVEL 90 MG
ETORVEL 120 MG

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1.1.3 ANTIPIRAI 1 ALLOPURINOL TABLET 100 MG ALLOPURINOL 100 MG
TABLET 300 MG ALLOPURINOL 300 MG

2 ANESTETIK
2.1 ANASTETIK LOKAL 1 BUPIVACAINE HCL INJEKSI, AMPUL 5MG@4ML MARCAIN HEAVY INJ 0,5 % 20MG/4ML

2 LEVOBUPIVACAINE LEVICA

3 LIDOCAIN HCL INJEKSI 2%, AMPUL 20@2ML LIDOCAINE HCL 2% INJ 20MG/ML

ANASTETIK UMUM DAN


2.2 OKSIGEN 1 PROPOFOL INJEKSI, AMPUL @20ML RECOFOL INJ 1% 20ML
INJEKSI, VIAL @20ML NUPOVEL INJ

2.3 PROSEDUR PERIOPERATIF 1 ATROPINE SULPHATE INJEKSI 0.25 ML, AMPUL @ 1ML ATROPIN INJ 0.25 MG/ML

2 DIAZEPAM TABLET 5 MG VALISANBE INJ


INJEKSI 5MG/ML, AMPUL @2ML VALISANBE TAB

3 MIDAZOLAM INJEKSI, AMPUL 5MG/ML DORMICUM INJ 5MG/3ML

3 ANTI ALERGI DAN OBAT


ANAFILAKSIS
1 CETERIZINE TABLET 10 MG CETERIZINE 10 MG
RYVEL 10 MG
INCIDAL OD 10 MG

2 CHLOPHENIRAMINE MALEAT TABLET 4MG DECOLGEN TAB ^


SYR 60ML NALGESTAN TAB ^
PANADOL COLD&FLU TAB^
RHINOS JUNIOR SYR 60 ML ^

3 DEXAMETHASON TABLET 0.5MG DEXAHARSEN 0.5MG


INJEKSI 5MG/ML, AMPUL @1ML DEXAMETHASON INJ 5MG/ML

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4 EPHINEPHRINE

5 LORATADINE TABLET 10 MG RHINOS SR KAPSUL^


LORATADINE TAB 10 MG

6 METHYILPREDNISOLONE TABLET 4 MG METHYLPREDNISOLONE TAB 4 MG


INJ 125 MG/2ML, VIAL @2ML MEDROL TAB 4 MG
INJ 40MG/ML, VIAL @1ML LAMESON TAB 4 MG
SOLU-MEDROL INJ 125MG/2ML
DEPOMEDROL INJ 40MG

ANTIDOT & OBAT LAIN UNTUK


4 PENCEGAHAN KERACUNAN
KHUSUS
1 ATROPINE SULPHATE INJEKSI 0.25 ML, AMPUL @ 1ML ATROPIN INJ 0.25 MG/ML

5
ANTIEPILEPSI-ANTIKONVULSI
1 DIAZEPAM TABLET 5 MG VALISANBE INJ
INJEKSI 5MG/ML, AMPUL @2ML VALISANBE TAB

2 MAGNESIUM SULPHATE INJEKSI 40%, FLABOT 25ML MGSO4 40% 25 ML

3 PREGABALIN KAPSUL 50 MG LYRICA KAPSUL 50 MG


KAPSUL 75 MG LYRICA KAPSUL 75 MG

6 ANTI PARKINSON
1 ATROPIN SULFAT INJEKSI 1MG/ML, AMPUL @1ML ATROPIN INJ 0.25MG/ML

7 OBAT DEGENARSI SARAF


1 DONEPEZIL TABLET 5 MG ARICEPT TAB 5 MG
8 ANTIINFEKSI
8.1 ANTIBAKTERI
8.1.1 BETA-LACTAM
1 AMOXILLIN TRIHIDRAT KAPSUL 500MG AMOXAN KAPSUL 500MG
AMOXYCILIN KAPSUL 500MG

8.1.2 CEPHALOSPORINE DAN BETA-


LACTAM LAIN

CEFEXIME (CEPHALOSPORINE
1 GENERASI III KAPS 100 MG CEFIXIME KAPSUL 200 MG
KAPS 200 MG SPORETIK KAPSUL 200 MG

CEFTRIAXONE (CEPHALOSPORINE
2 GENERASI III INJ 1G, VIAL CEFTRIAXON INJ 1 GR

CEPHADROXIL (CEPHALOSPORINE
3 GENERASI I) KAPS 250 MG CEFADROXIL KAPSUL 500 MG
KAPS 500 MG CEFAT KAPSUL 500 MG

CEFDITOREN PIVOXIL
4 (CEPHALOSPORINE GENERASI III) TAB 200 MG MEIACT TAB 200MG

8.1.3 CARBAPENEM
1 MEROPENEM TRIHIYDRATE INJ 1G/VIAL MEROSAN INJ 1 GR

8.1.4 MACROLIDE
1 AZYTHROMYCINE TAB 250 MG AZYTROMYCIN TAB 500MG
TAB 500 MG ZITHROMAX TAB 500 MG

2 GENTAMYCIN CR 0,1%, 5 GR GENTAMICIN CREAM

8.1.5 QUINOLONE
1 CIPROFLOXACIN TAB 500MG BAIQUINOR FORTE
CIPROFLOXACIN 500MG TAB
2 LEVOFLOXACIN TAB 500 MG LEVOFLOKSASIN TAB 500 MG

8.1.6 ANTI BAKTERI LAIN


1 FOSFOMYCINE INJEKSI 1G, VIAL FOSMISIN 1G
INJEKSI 2G, VIAL FOSMISIN 2G
8.2 ANTI TUBERKOLOSIS
8.2.1 KOMBINASI

1 PYRAZINAMUDE, ETHAMBUTOL TAB TAB (150/75/400/275 MG) PRO TB4 TAB

8.3 ANTI PROTOZOA


8.3.1 ANTI AMUBA DAN
ANTIGIARDIASIS
1 METRONIDAZOL TAB 500MG METRONIDAZOLE TAB 500 MG

DARAH, OBAT YANG MEMPENGARUHI


9 ANTIANEMIA

9.1 ANTIANEMIA
1 CYANOCOBALAMIN (VIT B12) INJEKSI 500MCG/ML BIO-ATP TAB
AMPUL @ 1ML NEURALGIN RX KAPLET
TAB 50 MCG NEUROBION TAB
NEUROBION 5000 TAB
NEUROBION INJ

2 FILGRASTIM INJEKSI 30 MU/ML NEUPOGEN PFS INJ 30 MU/0,5 ML

9.2 KOAGULASI
1 ASPIRIN TAB 80 MG ASCARDIA TAB 80 MG

2 CLPIDOGREL TAB 75 MG CLOPIDOGREL TAB 75 MG


CPG TAB 75 MG
PLAVIX TAB 75 MG

DESINFEKTAN DAN ANTISEPTIK


10

10.1 ANTISEPTIK
1 POVIDON IODIDE LARUTAN 10%, BOTOL 30 ML BETADINE SOLUTION 60ML
LARUTAN 10%, BOTOL 60 ML BETADINE SOLUTION 30 ML
LARUTAN 10%, BOTOL 5 ML BETADINE SOLUTION 15 ML
LARUTAN 10%, BOTOL 15 ML BETADINE SOLUTION 5 ML
LARUTAN 10%, BOTOL 1 L BETADINE SOLUTION 1 L
SALEP 20 GR BETADINE OINT 20 GR

2 CHLOREXIDINE LARUTAN 2%, BOTOL 100 ML VIOREX SOLUTION 2% 100 ML


LARUTAN 2%, BOTOL 5 L VIOREX SOLUTION 2% 5 L

10.2 DESINFEKTAN
1 ETANOL LARUTAN 70%, 1 LITER ALKOHOL 70% 1 LITER
GEL 70% 500ML ASEPTIK GEL

11 DIURETIK
1 FUROSEMIDE TAB 40 MG LASIX INJ 20 MG/2ML
INJ 10MG/ ML, AMP @2ML LAXIX TAB 40 MG

2 HYDROCHLORTHIAZIDE (H.C.T) TAB 25 MG MICARDIS PLUS 80 MG/12.5MG^

HORMON, OBAT ENDOKRIN LAIN DAN


12 KONTRASEPTIK HORMON

12.1 ANTIDIABETIK
1 GLICLAZIDE TAB 80 DIAMICORN MR TAB 60 MG
TAB 60 DIAMICORN TAB 80 MG

2 GLIMEPIRIDE TAB 1 MG AMARYL 1 MG


TAB 2 MG AMARYL 2 MG

3 METFORMIN TAB 500MG GLUCOPHAGE TAB 500 MG


TAB 850 MG GLUCOPHAGE MR TAB 750 MG

4 DEPAGLIFLOZIN TAB 5 MG FORXIGA 10 MG


TAB 10 MG

12.1.2 ANTIDIABETIK PARENTERAL


1 INSULIN GLARGLIN 100IU/ML INSULIN LANTUS SOLOSTAR INJ
KORTIKOSTEROID DAN
12.2 KORTIKOTROPIN
1 DEXAMETHASON TAB 0,5 MG DEXAHARSEN 0.5 MG
INJ 5MG/ML DEXAMETHASON INJ 5 MG

2 METHYLPREDNISOLONE ACETATE TAB 4 MG DEPO-MEDROL INJ 40 MG


INJ VIAL 125 MG LAMESON TAB 4 MG
MEDROL TAB 4 MG
SOLU-MEDROL INJ 125 MG

3 TRIAMCINOLONE ACETONIDA INJ VIAL 4 MG TRILAC INJ

13 OBAT KARDIOVASKULER ANTIANGINA

1 ISOSORBIT DINITRAT TAB SUBLINGUAL 5 MG ISOSORBIT DINITRAT (ISDN)

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