DAFTAR FORMULARIUM OBAT DI UPT PUSKESMAS RANDULAWANG

TAHUN 2017

NO. JENIS NAMA GENERIK SAT

1. ANALGESIK KODEIN HCL 10 MG TABLET
NARKOTIK

2. ANALGESIK NON ANTALGIN 500 MG TABLET

NARKOTIK
ASAM MEFENAMAT 500 MG TABLET
IBUPROFEN 400 MG TABLET
IBUPROFEN SYR 100 MG 200 MG BOTOL
KALIUM DICKLOFENAK 50 MG TABLET
NATRIUM DICKLOFENAK 50 MG TABLET
PIROXICAM 20 MG TABLET
PARASETAMOL 500 MG TABLET
PARASETAMOL SYR 120 MG BOTOL

3. ANTIPIRAI ALLOPURINOL 100 MG, 300 MG TABLET

4. ANESTETIK LOKAL ENDOFROST BOTOL

LIDOCAIN INJ 2% AMPUL

PEHACAIN INJ AMPUL

5. ANTIALERGI DEKSAMETASON 0,5 MG TABLET

KLORFENIRAMIN MALEAT (ctm) TABLET

6. ANTIDOT ATROPIN SULFAT INJ AMPUL

7. ANTIEPILEPSI CARBAMAZEPINE 200 MG TABLET

DIAZEPAM INJ (stesolid) AMPUL

DIAZEPAM 5 MG TABLET
DIAZEPAM RECTAL (stesolid) SUPPO
FENITOIN 100 MG TABLET
FENOBARBITAL 50 MG TABLET

8. ANTIINFEKSI

ANTELMINTIK ALBENDAZOLE 400 MG TABLET

ANTIFILARIASIS DIETILCARBAMAZIN (dec) TABLET

 ANTIBIOTIK AMOXICILLIN 500 MG TABLET
AMOXICILLIN SYR 125 MG 250 MG BOTOL
CEFADROXIL 500 MG TABLET
CIPROFLOXASIN 500 MG TABLET
DOKSISIKLIN 100 MG TABLET
ERYTHROMYCIN SYR 200 MG BOTOL
KLORAMFENIKOL SYR 125 MG BOTOL
KLORAMFENIKOL 250 MG, 500 MG TABLET
KOTRIMOSAZOLE SIRUP BOTOL
KOTRIMOSAZOLE TABLET TABLET
METRONIDAZOLE 500 MG TABLET
TETRASIKLIN 250 MG, 500 MG TABLET
THIAMPHENICOL 500 MG TABLET
THIAMPHENICOL SYR BOTOL

ANTILEPRA MDT KUSTA TABLET

ANTI TB OAT KAT 1 TABLET

OAT KAT 2 TABLET

ANTIFUNGI ANTIFUNGI DOEN POT

GRISEOFULVIN 125 MG TABLET
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE CREAM 2% TUBE
MICONAZOLE CREAM 2% TUBE
NISTATIN TABLET
SALEP 2-4 POT
SALICYL TALK 2% DUS

ANTI VIRUS ACYCLOVIR 200 MG, 400 MG TABLET

ACYCLOVIR CREAM TUBE

9. ANTIMIGRAIN BETAHISTIN M TABLET

10. ANTIPARKINSON TRIHEXYPHENIDIL 2 MG TABLET

11. ANTIANEMI TABLET TAMBAH DARAH TABLET

KOMBINASI

12. ANTIKOAGULAN ASAM TRANEXAMAT 500 MG TABLET

PHITOMENADION TABLET
PHITOMENADION INJ AMPUL

13. ANTISEPTIK , ETANOL 70 % 1 L BOTOL

DESINFEKTAN POVIDON IODIN BOTOL
14. GILUT ENDOFROST BOTOL

LIDOCAIN INJ 2% AMPUL

PEHACAIN INJ AMPUL

15. DIURETIK FUROSEMID 40 MG TABLET

HIDROCLOROTIAZID (hct) 25 MG TABLET

KEJIBELING KAP KAPSUL

16. ANTIDIABETIK GLIBENCLAMID 5 MG TABLET

METFORMIN 500 MG TABLET

17. KORTIKOSTEROID DEXAMETHASON 0,5 MG TABLET

METHYL PREDNISOLON 4 MG TABLET

PREDNISON 5 MG TABLET

18. ANTIHIPERLIPID SIMVASTATIN 10 MG TABLET

19. KARDIOVASKULER

ANTIHIPERTENSI AMLODIPIN 5 MG TABLET

ASAM ASETILSALISILAT 80 MG TABLET
CAPTOPRIL 12,5 MG , 25 MG TABLET
DIGOXIN 0,25 TABLET
HIDROCLOROTIAZID 25 MG TABLET
ISOSORBID DINITRAT 5 MG TABLET

20. SALURAN CERNA

ANTASID ANTASID SYR BOTOL

ANTASIDA TABLET TABLET
CIMETIDEINE TABLET
SUKLARFAT SYR BOTOL

ANTIEMETIK DIMENHIDRINAT TABLET

DOMPERIDON 10 MG TABLET
DOMPERIDON SYR 5 ML BOTOL
METOCLOPRAMID 10 MG TABLET
METOCLOPRAMID SYR 5MG BOTOL

ANTISPASMODIK HYOSIN 10 MG TABLET

HYOSIN+PARASETAMOL (spashi TABLET
plus)
 ANTIDIARE TABLET
ATTAPULGITE 600 MG, PECTIN 50
MG (akita tablet)
GARAM ORALIT SACHET
KAOLIN, PECTIN (kanina syr) BOTOL
ZINK 20MG TABLET
ZINK SRY TABLET

ANTIHEMOROID HEMOROGARD KAPSUL

PENCAHAR BISACODYL (bicolax) TABLET

21. SALURAN NAFAS

ANTIASMA AMINOPHYLLIN 200 MG TABLET

DEXAMETHASON 0,5 MG TABLET
METHYLPREDNISOLON 4 MG TABLET
SALBUTAMOL 4 MG TABLET

ANTIINFLUENZA ANTIZA SYR BOTOL

MOLEX FLU TABLET TABLET
VALVED TABLET

EXPECTORANT ACETYLCYSTEINE TABLET

AMBROXOL 30 MG TABLET
FENIDRYL BOTOL
GUAIFENESIN TABLET
OBH SYR BOTOL

22. SALEP MATA, GENTAMISIN SALEP MATA TUBE

TETES MATA
GENTAMISIN TETES MATA BOTOL
KLORAMFENIKOL SALEP MATA BOTOL
KLORAMFENIKOL TETES MATA
SULFACETAMID TETES MATA BOTOL

23. THT KLORAMFENIKOL TETES TELINGA BOTOL

3%
FENOLGLISEROL TETES TELINGA BOTOL

24. VITAMIN, MINERAL BECEFORT TABLET

CAVICUR TABLET
IMUNOS TABLET TABLET
KALSIUM LAKTAT TABLET
NEUROTROPIK TAB TABLET
RECOVIT KAP KAPSUL
RECOVIT SYR BOTOL
VICALCIN SYR BOTOL
 VITAMIN B12 BOTOL
VITAMIN B1 TABLET
VITAMIN B6 TABLET
VITAMIN B COMPLEX TABLET
VITAMIN C TABLET
VITCUR SYR BOTOL

25. KULIT, TOPIKAL

ANTIBAKTERI GENTAMISIN SALEP KULIT TUBE

KLORAMFENIKOL SK TUBE
NEOMYCIN SULPHATE 0.5 %, TUBE
PLACENTA EXTRACT 10 %
OXYTETRASIKLIN SK TUBE

ANTIFUNGI ANTIFUNGI DOEN POT

KETOKONAZOLE CREAM 2% TUBE
MICONAZOLE CREAM 2% TUBE

ANTIINFLAMASI BETAMETASON KRIM 1% TUBE

HIDROKORTISON KRIM 2,5 % TUBE
ICHTYOL SALEP POT

ANTISCABIES SCABICID CR TUBE

SALEP 2-4

KERATOLITIK SALISIL TALK BOX

26. LARUTAN GARAM ORALIT SACHET

ELEKTROLIT
GLUCOSE (D5%) INFUS BOTOL
NACL INFUS BOTOL
RL INFUS BOTOL

27. PSIKOFARMAKA DIAZEPAM 5 MG TABLET

DIAZEPAM INJ 10 MG/ML AMPUL

FENOBARBITAL TABLET
FLUPERAZINE INJ TABLET
HALOPERIDOL 1,5 MG, 5 MG AMPUL
KLORPROMAZIN (cpz) 100 MG TABLET
RISPERIDON 2 MG TABLET
TRIHEKSIFENIDIL 2 MG TABLET

28. SERUM ABU (anti bisa ular) AMPUL

ATS (anti tetanus) AMPUL

29. OKSITOSIK METILERGOMETRIN TABLET

METILERGOMETRIN INJ 0,2MG/ML AMPUL
OKSITOSIN INJ 10 IU/ML AMPUL

Mengetahui
Kepala UPT Puskesmas Randulawang

A.KISTYOKO,SKM,M.Kes
NIP 19660404 198703 1 007