Formularium Pertamina 2017 PDF

FORMULARIUM PERTAMINA 2017
KELAS/SUB KELAS/ZAT AKTIF/

SEDIAAN DOSIS STRENGTH PRINCIPAL
NAMA DAGANG
01 SISTEM GASTROINTESTINAL & HEPATOBILIER

01a ANTASID, OBAT ANTIREFLUKS & ANTIULSERASI
Al Hydroxide; Mg Hydroxide,Simethicone
Dexanta TAB 200 mg; 200 mg; Dexa Medica
50 mg
Alluminium Hydroxyde,Mg (Oh) 2, Simethicone
Magtral Suspensi SUSP 250 mg; 250 mg; Otto Pharmaceutical
50 mg Industries
Magtral Forte SUSP 400 mg; 400 mg; Otto Pharmaceutical
Suspensi 100 mg Industries
Magtral Forte TAB 400 mg; 400 mg; Otto Pharmaceutical
100 mg Industries
Alluminium Hydroxyde,Mg Hydroxide, Dymethil Polysiloxane
Anflat Syr SYR 400 mg; 400 mg; Hexpharm Jaya
100 mg
Plantacid Forte Tab TAB 400 mg; 400 mg; Hexpharm Jaya
100 mg
Famotidine
Lexmodine Tablet TAB 20 mg Molex Ayus
Lansoprazole
Lansoprazole CAPS 30 mg Novell
Pharmaceutical
Laboratories
Lansoprazole CAPS 30 mg Hexpharm Jaya
Misoprostol
Cytostol TAB 200 mcg Combiphar
Omeprazole
Omeprazole CAPS 20 mg Hexpharm Jaya
Omeprazole CAPS 20 mg Novell
Pharmaceutical
Laboratories
Omeprazole CAPS 20 mg Dexa Medica
Omeprazole INJ 40 mg Dexa Medica
Omeprazole,Pelarut
1
NAMA DAGANG
Omeprazole VIAL 40 mg; 10ml Novell

Pharmaceutical
Laboratories
Pantoprazole
Pantoprazole VIAL 40 mg Pertiwi Agung
(Landson)
Pantoprazole VIAL 40 mg Novell
Sodium Pharmaceutical
Laboratories
Ranitidin
Ranitidin INJ 50 mg/ 2 ml Dexa Medica
Ranitidine INJ 50 mg/2ml Hexpharm Jaya
Ranitidine TAB 150 mg Hexpharm Jaya
Ranitidin TAB 150 mg Dexa Medica
Rebamipide
Repimide TAB 100 mg Novell
Pharmaceutical
Laboratories
Sucralfate
Ulsafate Suspensi SUSP 100 ml Combiphar
Nucral 200 Ml SUSP 500 mg/ 5 ml Guardian
Pharmatama
Ulsicral Suspensi SUSP 500 mg/ 5 ml Ikapharmindo
Putramas
Ulsidex TAB 500 mg Dexa Medica
01b REGULATOR GIT, ANTIFLATULEN & ANTIINFLAMASI
Budesonide
Budenofalk CAPS 3 mg Darya Varia Lab
Domperidone
Vidon Drops DROPS 5 mg Ferron Par
Parmacheuticals
Vomistop Drop DROPS 5 mg/ ml Gracia Pharmindo
Domperidone SYR 5 mg/ 5 ml Quantum Labs
(Natura Laboratoria
Prima)
Domperidone SYR 5 mg/ 5 ml Hexpharm Jaya
Domperidone SYR 5 mg/ 5 ml Pertiwi Agung
(Landson)
Domperidone TAB 10 mg Hexpharm Jaya
2
NAMA DAGANG
Domperidone TAB 10 mg Novell

Pharmaceutical
Laboratories
Domperidone TAB 10 mg Bernofarm
Lactobacillus Acidophilus Roselle 52,Lactobacillus Rhamosus Rosell 11
Lacidofil CAPS 2 milyard cfu Dexa Medica
Lactobacillus Sp.
Lacbon CAPS 50,000,000 spora Kimia Farma
Mesalazine (5-Aminosalicylic Acid)
Salofalk Enema RECT 4 gr Darya Varia Lab
TUBE
Salofalk Suppo SUPP 500 mg Darya Varia Lab
Salofalk TAB 500 mg Darya Varia Lab
01c ANTISPASMODIK
Hyoscine
Hyoscine AMP 20mg/ml Otto Pharmaceutical
Industries
Hyoscine N-Butylbromide,Paracetamol
Spamacine TAB 10 mg; 500 mg Kalbe Farma
Methampyrone,Papaverine Hcl,Belladonna Extr
Spasmal TAB 500 mg, 30 mg, 5 Darya Varia Lab
mg
Timepidium Bromide
Sesden CAPS 30 mg Tanabe Indonesia
01d ANTIDIARE
Attalpulgite,Pectin
Molagit TAB 700 mg; 50 mg Molex Ayus
Glucose Anhydrate,Sodium Chloride, Sodium Citrate, Potasium Chloride
Corsalit PUFFS 4 gr, 0.7 gr, 0.58, Corsa
0.3
Loperamide
Normudal TAB 2 mg Combiphar
Zinc
Zincpro DROPS 15 ml Combiphar
Zincpro SYR 60 ml Combiphar
01e LAKSATIF, PENCAHAR
3
NAMA DAGANG
Bisacodyl
Bisacodyl TAB 5 mg Novell
Pharmaceutical
Laboratories
Lactulose
Opilax SYR 3.335 gr/ 5 ml Otto Pharmaceutical
Industries
Graphalac SYR 3.335 gr/5 ml Gracia Pharmindo
Lantulos SYR 3.43 gr/ 5 ml Pertiwi Agung
(Landson)
Monobasic Sodium Fosfat,Dibasic Sodium Fosfat
Fleet Enema SYR 133 ml Combiphar
Peg
Rectolax RECT 400 mg Actavis Indonesia
TUBE
Phenolphtalein, Paraffin Liq, Glyserin
Laxadine SUSP 56 mg, 1200 mg, Galenium Pharmasia
736 mg Laboratories
Sodium Picosulfate
Pisucon DROPS 7,5 mg/ 10 ml Mahakam Beta
Farma
01f DIGESTAN
Diosmectite
Smecta SACHET Combiphar
01g KOLAGOGUM, KOLELITOLITIK, & HEPATOPROTEKTOR
Amino Acid 50G/L + Bcaa 45% + Electrolyte (Na+30 ; K+18; Cl-28 ;Mg2+10)
Meq/Lmeq/L + Sorbitol 25 G/L + Xylitol 25 G/L,Osmolarity 750 Mosm/L; Calorie 400
Kcal/L
Livamin INF Sanbe Farma
Amino Acid 50G/L + Bcaa 50% + Electrolyte (Na+ 70 ; Mg2+ 6 ; Cl- 34.5 ;Acetate 13.5 ;
Malate 104 ) Meq/L + Xylitol 25 G/L + Vitamin (Vit B6 + Vit B3),Osmolarity 850
Mosm/L; Calorie 400 Kcal/L
Precopar INF Sanbe Farma
Ursodeoxycholic Acid
Ursodeoxycholic Acid CAPS 250 mg Novell
Pharmaceutical
Laboratories
Estazor TAB 250 mg Fahrenheit
4
NAMA DAGANG
01h PREPARAT ANOREKTAL

Lithospermi Radix Extractum; Aethylis Aminobenzoas; Dibucaini Hydrochloridum
;Diphenhydramini; Hydrochloridum; Cetrimide
Borraginol N OINT 0.09 mg; 10 mg; Takeda Indonesia
0.25 mg; 0.25 mg;
1.25 mg
Borraginol N SUPP 0.18 mg; 20 mg; Takeda Indonesia
0.5 mg; 0.5 mg ;
2.5 mg
Lithospermi Radix Extractum; Prednisolonum; Lidocainum; Aethylis Aminobenzoas;
Cetrimide; Lecithinum Ovi
Borraginol S OINT 0.1 mg; 0.5 mg; 7.5 Takeda Indonesia
mg;10 mg; 1.25
mg; 50 mg
Borraginol S SUPP 0.18 mg; 1 mg; 15 Takeda Indonesia
mg; 20 mg; 2.5
mg; 100 mg
01i ANTIEMETIK
Ondansetron
Ondansetron INJ 4 mg/ 2 ml Quantum Labs
(Natura Laboratoria
Prima)
Ondansetron INJ 4 mg/ 2 ml Bernofarm
Vometraz TAB 4 mg Dexa Medica
Ondansetron TAB 8 mg Novell
Pharmaceutical
Laboratories
Ondansetron TAB 8 mg Fahrenheit
Pyrathiazine Theoclate, Pyridoxine Hcl
Vomil B6 TAB Guardian
Pharmatama
Mediamer TAB 40 mg, 37.5 mg Darya Varia Lab
01j OBAT GASTROINTESTINAL LAIN
Octreotide
Octide AMP Fahrenheit
02 SISTEM KARDIOVASKULER & HEMATOPOIETIK
02a OBAT JANTUNG
Amiodarone
5
NAMA DAGANG
Amiodarone AMP 150 mg/ 3 ml Darya Varia Lab

Kendaron Tab(G) TAB 200 mg Darya Varia Lab
Digoxin
Fargoxin TAB 0.25 mg Fahrenheit
Dobutamine
Dobutamine AMP 50 mg Pertiwi Agung
(Landson)
Dobutamine Hcl VIAL 50 mg/ ml Novell
Pharmaceutical
Laboratories
Dopamine
Proinfark INJ 20 mg Phapros
Iindop INJ 40 mg/ ml Fahrenheit
Epinephrine
Epinephrine AMP 0.1%/ 1 ml Phapros
02b OBAT ANTIANGINA
Glyceryl Trinitrate
Nitral SUBLING 0.5 mg Dipa Pharmalab
UAL Intersains
Nitrokaf Retard TAB 2.5 mg Kimia Farma
Isosorbide Dinitrate
Cedocard I.V. AMP 10 mg/ 10 ml Darya Varia Lab
Farsorbid TAB 10 mg Fahrenheit
Farsorbid TAB 5 mg Fahrenheit
Cedocard TAB 5 mg Darya Varia Lab
Farsorbid VIAL 10 mg/ 10 ml Fahrenheit
Isosorbide Mononitrate
Cardismo TAB 20 mg Phapros
Monecto TAB 20 mg Fahrenheit
Nitroglyserin
Ntg Injection 0.1% AMP 0.001 Ferron Par
10 Ml Parmacheuticals
Propafenone Hcl
Rytmonorm TAB 150 mg Abbott Indonesia
Trimetazidine Modified Release
Trizedon Mr TAB 35 mg Servier Indonesia
02c ACE INHIBITOR/DIRECT RENIN INHIBITOR
6
NAMA DAGANG
Captopril
Captopril TAB 12.5 mg Dexa Medica
Dexacap TAB 12.5 mg Dexa Medica
Captopril TAB 25 mg Dexa Medica
Captopril TAB 25 mg Pertiwi Agung
(Landson)
Lisinopril
Lisinopril TAB 10 mg Novell
Pharmaceutical
Laboratories
Lisinopril TAB 10 mg Dexa Medica
Odace (G) TAB 10 mg Darya Varia Lab
Lisinopril TAB 5 mg Novell
Pharmaceutical
Laboratories
Tensiphar TAB 5 mg Actavis Indonesia
Ramipril
Decapril CAPS 10 mg Harsen Laboratories
Ramipril TAB 10 mg Novell
Pharmaceutical
Laboratories
Ramipril TAB 2.5 mg Dexa Medica
Ramipril TAB 5 mg Novell
Pharmaceutical
Laboratories
Ramipril TAB 5 mg Dexa Medica
02d PENYEKAT BETA
Atenolol
Betablok TAB 100 mg Hexpharm Jaya
Farnormin TAB 50 mg Fahrenheit
Bisoprolol
Concor TAB 1.25 mg Merck Div Biopharma
Betaone TAB 2.5 mg Kalbe Farma
Bisoprolol TAB 5 mg Hexpharm Jaya
Bisoprolol TAB 5 mg Dexa Medica
Carvedilol
Vbloc TAB 25 mg Kalbe Farma
Vbloc TAB 6,25 mg Kalbe Farma
7
NAMA DAGANG
Hydrochlorothiazide
Hydrochlorothiazide TAB 25 mg Kimia Farma
Metoprolol
Farpresor AMP 5 mg / 5 ml Fahrenheit
Propanolol
Propanolol TAB 10 mg Dexa Medica
02e ANTAGONIS KALSIUM
Amlodipine
Pehavask TAB 10 mg Phapros
Amlodipine TAB 10 mg Pertiwi Agung
(Landson)
Theravask (G) TAB 10 mg Darya Varia Lab
Pehavask TAB 5 mg Phapros
Amlodipine TAB 5 mg Hexpharm Jaya
Amlodipine TAB 5 mg Pertiwi Agung
(Landson)
Diltiazem
Cordila Sr TAB 180 mg Dexa Medica
Diltiazem TAB 30 mg Dexa Medica
Farmabes TAB 30 mg Fahrenheit
Dilmen TAB 60 mg Sanbe Farma
Farmabes VIAL 20 mg / 5 ml Fahrenheit
Nicardipine
Nicardipine AMP 1 mg/ ml Pertiwi Agung
(Landson)
Nicardipine INJ 10 mg/ ml Fahrenheit
Nifedipine
Nifedipin TAB 10 mg Dexa Medica
Farnmalat TAB 10 mg Fahrenheit
Verapamil Hcl
Verapamil TAB 80 mg Kimia Farma
02f ANTAGONIS ANGIOTENSIN II
Candesartan
Candesartan TAB 8 mg Novell
Pharmaceutical
Laboratories
Irbesartan
8
NAMA DAGANG
Irbesartan TAB 150 mg Novell

Pharmaceutical
Laboratories
Irbesartan TAB 150 mg Pertiwi Agung
(Landson)
Irbesartan TAB 150 mg Otto Pharmaceutical
Industries
Irbesartan TAB 300 mg Hexpharm Jaya
Irbesartan TAB 300 mg Pertiwi Agung
(Landson)
Losartan
Lifezar (G) TAB 50 mg Darya Varia Lab
Losartan TAB 50 mg Novell
Pharmaceutical
Laboratories
Valsartan
Valdix CAPL 160 mg Dexa Medica
Valesco CAPL 40 mg Dipa Pharmalab
Intersains
Valsartan TAB 80 mg Novell
Pharmaceutical
Laboratories
Valdix TAB 80 mg Dexa Medica
02g ANTIHIPERTENSI GOLONGAN LAIN
Alfa Methyldopa
Dopamet TAB 250 mg Actavis Indonesia
Clonidine Hcl
Clonidine TAB 0.15 mg Kimia Farma
02h DIURETIK
Furosemide
Farsik INJ 10 m/ml Fahrenheit
Furosemide TAB 40 mg Fahrenheit
Furosemide TAB 40 mg Kimia Farma
Manitol
Mannitol INF 0.2 Kalbe Farma
Spironolactone
Spironolacton TAB 100 mg Dexa Medica
Spironolacton TAB 25 mg Dexa Medica
9
NAMA DAGANG
Spironolactone TAB 25 mg Otto Pharmaceutical

Industries
02k VASOKONSTRIKTOR
Ephedrin Hcl
Ephedrin Hcl AMP 50 mg/ ml Mahakam Beta
Farma
Epinephrine
Epinephrine Inj AMP 1 mg/ ml Ethica Industri
Farmasi
Norepinephrine
Raivas Inj 4Ml AMP 1 mg/ ml Dexa Medica
02l OBAT DISLIPIDEMIA
Atorvastatin
Avesco CAPL 10 mg Dipa Pharmalab
Intersains
Atorvastatin TAB 10 mg Hexpharm Jaya
Atorvastatin TAB 20 mg Novell
Pharmaceutical
Laboratories
Actalipid TAB 20 mg Actavis Indonesia
Actalipid TAB 40 mg Actavis Indonesia
Litorcom TAB 40 mg Combiphar
Fenofibrate
Fenofibrate CAPS 100 mg Hexpharm Jaya
Hicholfen CAPS 300 mg Harsen Laboratories
Fenofibrate CAPS 300 mg Hexpharm Jaya
Gemfibrozil
Mersikol TAB 300 mg Mersifarma Tirmaku
Mercusana
Simvastatin
Simvastatin TAB 10 mg Pertiwi Agung
(Landson)
Simvastatin TAB 10 mg Hexpharm Jaya
Simvastatin TAB 20 mg Bernofarm
Simvastatin TAB 20 mg Hexpharm Jaya
Esvat TAB 20 mg Dexa Medica
02m HEMOSTATIK
10
NAMA DAGANG
Carbazochrome Na Sulfonate
Crome Inj AMP 50 mg Ferron Par
Parmacheuticals
Crome TAB 10 mg Ferron Par
Parmacheuticals
Somatostatin
Somanovell INJ 3 mg Novell
Pharmaceutical
Laboratories
Tranexamic Acid
Tramix Injection 10 AMP 100 mg/ ml Ferron Par
% 5 Ml Parmacheuticals
Asam Traneksamat AMP 50 mg/ ml Novell
Pharmaceutical
Laboratories
Asam Traneksamat INJ 500 mg/5 ml Hexpharm Jaya
Nexa TAB 500 mg Hexpharm Jaya
Vasopresin
Farpresin VIAL 20 iu/ ml Fahrenheit
02n ANTIKOAGULAN, ANTIPLATEET, & FIBRINOLITIK (TROMBOLITIK)
Acetylsalicylic Acid
Farmasal TAB 100 mg Fahrenheit
Aspilet Chewable TAB 80 mg Darya Varia Lab
Thrombo Aspilet TAB 80 mg Darya Varia Lab
Alteplase
Actilyse INJ 50 mg Boehringer
Ingelheim Indonesia
Anagrelide Hcl
Thromboreductin CAPS 0.5 mg Combiphar
Beraprost Sodium
Dorner TAB 20 mcg Astellas Pharma
Indonesia
Cilostazol
Naletal TAB 100 mg Guardian
Pharmatama
Clopidogrel
Clopidogrel TAB 75 mg Hexpharm Jaya
Placta TAB 75 mg Actavis Indonesia
11
NAMA DAGANG
Enoxaparine
Lovenox INJ 0.2 ml Sanofi (Aventis
Pharma)
Pharma)
Pharma)
Factor Vii A Recombinan
Novoseven INJ 2 mg (100 kiu) Novo Nordisk
Indonesia
Heparin Na
Inviclot VIAL 5000 iu/ ml Fahrenheit
Streptokinase
Fibrion VIAL 1.500.000 iu Dexa Medica
Warfarin Sodium
Simarc TAB 2 mg Fahrenheit
02r OBAT HEMATOPOIETIK
Eritropoietin
Epotrex INJ 2000 iu Novell
Pharmaceutical
Laboratories
Hemapo INJ 3000 iu Kalbe Farma
Epotrex INJ 4000 iu Novell
Pharmaceutical
Laboratories
Filgrastim
Leucogen INJ 300 mcg Kalbe Farma
Phytomenadione
Phytomenadione AMP 10 mg/ ml inj Phapros
Phytomenadione AMP 2 mg/ 2 ml Phapros
Phytomenadione TAB 10 mg Phapros
03 SISTEM PERNAFASAN
03b PREPARAT ANTIASMA & PPOK
Aminophylline
Aminophylline Inj AMP 24 mg Phapros
Budesonide
12
NAMA DAGANG
Pulmicort Respules RESP 0.5 mg Astrazeneca

Indonesia
Budesonide,Formoterol Fumarate
Symbicort TURB 160 mcg; 4.5 mcg Astrazeneca
Indonesia
Symbicort Turb TURB 80 mcg; 4.5 mcg Astrazeneca
Indonesia
Salbutamol
Suprasma INH 100 mcg Dexa Medica
Fartolin INH 5 mg/ 5 ml Fahrenheit
Salbron SYR 2 mg/ 5 ml Hexpharm Jaya
Salbutamol TAB 2 mg Fahrenheit
Salbutamol TAB 4 mg Phapros
Salbutamol Sulphate,Ipratropium
Combivent VIAL 3.01 mg/2.5 Boehringer
ml;0.52 mg/2.5ml Ingelheim Indonesia
Terbutaline Sulfate
Forasma TAB 2.5 mg Guardian
Pharmatama
03c OBAT BATUK & PILEK
Ambroxol
Promuxol Drop DROPS 15 mg/ ml Gracia Pharmindo
Molapect SYR 15 mg/ 5 ml Molex Ayus
Ambroxol Sirup SYR 15 mg/ 5 ml Kimia Farma
Epexol Forte SYR 30 mg/ 5 ml Sanbe Farma
Ambroxol SYR 30 mg Bernofarm
Transmuco TAB 30 mg Hexpharm Jaya
Ambroxol TAB 30 mg Phapros
Bromer TAB 30 mg Mersifarma Tirmaku
Mercusana
Bromhexine
Lexavon Sirup SYR 4 mg Molex Ayus
Dexolut TAB 8 mg Dexa Medica
Farmavon VIAL 2 mg/ ml Fahrenheit
Codein
Codein TAB 10 mg Kimia Farma
Codeine Anhidrate,Feniltoloksamin
13
NAMA DAGANG
Codipront Syrup SYR 11.11 mg/ 5 ml; Kimia Farma

3.67 mg/ 5 ml
Dextromethorphan,Phenylpropilamine Hcl, Diphenhydramine Hcl, Glyceryl Guaiacolate
Dextrosin SYR 15 mg; 12.5 mg; 5 Otto Pharmaceutical
mg; 50 mg Industries
Diphenhydramine Hcl,Ammon Cl ; K Guaiacolsulfonate ; Na Citrate ; Menthol
Sanadryl SYR 12.5 mg; 100 mg; Sanbe Farma
30 mg ; 50 mg ; 1
mg
Glyceril Guaikolat
Glyceril Guaikolat TAB 100 mg Kimia Farma
Glycyrrhizae Succus : Ammon Cl
Obh Molex SYR 167 mg/ 5 ml: 100 Molex Ayus
mg/ 5 ml
Isopendhyl, Acetaminophen, Phenylephrine
Nipe Drop DROPS 1 mg/ 15 ml Transfarma Medica
Indah
Loratadine,Pseudoephedrine Sulfate
Aldisa Sr CAPS 5 mg; 120 mg Sanbe Farma
N-Acetylcysteine
Acetylcysteine CAPS 200 mg Novell
Pharmaceutical
Laboratories
Nalitik SYR 100 mg Mahakam Beta
Farma
Acetin TAB 600 mg Sanbe Farma
Oxomemazine,Guaiafenesin
Zemindo SYR 1.65 mg; 33.3 mg Gracia Pharmindo
Paracetamol, Phenylpropanolamine Hcl, Chlorpheniramine Maleate
Flutab TAB Guardian
Pharmatama
Paracetamol,Guaifenesin,Noscapine,Phenylpropanolamin,Chlorpheniramine
Maleate
Paratusin TAB 500 mg, 50 Darya Varia Lab
mg,10 mg,15
mg,2 mg
Paracetamol,Dextromethorphan Hbr ; Phenylpropanolamine Hcl ; Chlorpheniramine
Maleate
14
NAMA DAGANG
Tuzalos CAPL 500 mg; 10 mg ; 15 Sanbe Farma

mg ; 1 mg
Paracetamol; Dmp,Phenylephrine; Ctm
Fludexin TAB 500 mg; 15 mg;7.5 Dexa Medica
mg; 2 mg
Pseudoefedrin Hcl,Terfenadine
Rhinofed TAB 30 mg; 40 mg Dexa Medica
Pseudoephedrine Hcl
Edorisan DROPS 7.5 mg/ 0.8 ml Sanbe Farma
Pseudoephedrine Hcl,Triprolidin Hcl
Trifedrin SYR 30 mg; 1.25 mg Otto Pharmaceutical
Industries
Trifedrin TAB 30 mg; 37.5 mg Otto Pharmaceutical
Industries
03d DEKONGESTAN NASAL & PREPARAT NASAL LAIN
Mometasone Furoate
Nasonex SPRAY 60 mds Msd Indonesia
04 SISTEM SARAF PUSAT
04a ANSIOLITIK
Alprazolam
Alprazolam TAB 0.25 mg Dexa Medica
Alprazolam TAB 0.5 mg Otto Pharmaceutical
Industries
Alprazolam TAB 1 mg Otto Pharmaceutical
Industries
Aprazolam
Alprazolam TAB 0.5 mg Dexa Medica
Clobazam
Clobazam TAB 10 mg Dexa Medica
Diazepam
Stesolid AMP 10 mg/ 2ml Actavis Indonesia
Stesolid RECT 10 mg Actavis Indonesia
TUBE
Stesolid RECT 5 mg Actavis Indonesia
TUBE
Valisanbe TAB 2 mg Sanbe Farma
Valisanbe TAB 5 mg Sanbe Farma
15
NAMA DAGANG
Fluoxetine
Foransi CAPS 20 mg Gracia Pharmindo
Lorazepam
Renaquil TAB 1 mg Fahrenheit
04b HIPNOTIK & SEDATIVA
Estazolam
Elgran TAB 1 mg Nulab
Pharmaceutical
Indonesia (Guardian)
Zolpidem
Zudem TAB 10 mg Guardian
Pharmatama
04c ANTIDEPRESAN
Agomelatine
Valdoxan TAB 25 mg Servier Indonesia
Amitriptyline
Aamitriptyline TAB 25 mg Fahrenheit
Fluoxetine
Nopres CAPL 20 mg Dexa Medica
Lithium
Frimania TAB 400 mg Mersifarma Tirmaku
Mercusana
Maprotiline
Tilsan TAB 25 mg Otto Pharmaceutical
Industries
Sertraline
Sertraline CAPL 50 mg Nulab
Pharmaceutical
04d ANTIPSIKOTIK
Aripiprazole
Ariski TAB 10 mg Actavis Indonesia
Ariski TAB 15 mg Actavis Indonesia
Chlorpromazine
Cepezet Inj INJ 50 mg/ 2 ml Mersifarma Tirmaku
Mercusana
16
NAMA DAGANG
Cepezet TAB 100 mg Mersifarma Tirmaku

Mercusana
Clozapine
Clozer TAB 100 mg Dexa Medica
Nuzip TAB 25 mg Guardian
Pharmatama
Haloperidol
Lodomer INJ 2 mg/ 15 ml Mersifarma Tirmaku
Mercusana
Haloperidol TAB 0.5 mg Fahrenheit
Haloperidol TAB 1,5 mg Fahrenheit
Haloperidol TAB 5 mg Fahrenheit
Olanzapine
Onzapin TAB 10 mg Actavis Indonesia
Quetiapine
Seroquel TAB 100 mg Astrazeneca
Indonesia
Risperidone
Risperidone TAB 1 mg Nulab
Pharmaceutical
Zophrena TAB 2 mg Dexa Medica
Risperidon TAB 3 mg Dexa Medica
Sulpiride
Dogmatil Forte CAPL 200 mg Soho Industri
Pharmasi Div Alliance
04e ANTIKONVULSAN
Asam Valproat
Asam Valproat SYR 250 mg Dexa Medica
Ikalep TAB 250 mg Ikapharmindo
Putramas
Carbamazepine
Bamgetol CAPL 200 mg Mersifarma Tirmaku
Mercusana
Oxcarbazepine
Prolepsi CAPL 300 mg Mersifarma Tirmaku
Mercusana
Phenobarbital
17
NAMA DAGANG
Sibital INJ 200 mg/ 2 ml Mersifarma Tirmaku

Mercusana
Phenobarbital TAB 30 mg Kimia Farma
Phenytoin Na
Na.Phenytoin AMP 50 mg/ml Phapros
Phenytoin Sodium
Decatona CAPS 100 mg Harsen Laboratories
Pregabalin
Pgb CAPS 75 mg Ferron Par
Parmacheuticals
Topiramate
Topamax TAB 100 mg Soho Industri
04f OBAT SSP GOLONGAN LAIN & OBAT ADHD
Methylphenidate
Prohiper TAB 10 mg Mersifarma Tirmaku
Mercusana
04h OBAT ANTI PARKINSON
Levodopa,Benserazide Hcl
Leparson TAB 100 mg; 25 mg Dexa Medica
Pramipexole Dihcl
Sifrol TAB 0.125 mg Boehringer
Ingelheim Indonesia
Trihexyphenidyl Hcl
Parkinal TAB 2 mg Harsen Laboratories
04i OBAT ANTIVERTIGO
Betahistine
Betahistine TAB 6 mg Novell
Pharmaceutical
Laboratories
Vastigo TAB 6 mg Dexa Medica
Dimenhydrinate
Dimenhydrinate TAB 50 mg Kimia Farma
18
NAMA DAGANG
04j ANALGESIK (OPIAT)

Morfin
Morfina INJ 10 mg/ ml Kimia Farma
Pethidin Hcl
Pethidin Hcl INJ 50 mg/ ml Kimia Farma
Tramadol
Tramadol CAPS 50 mg Fahrenheit
Trasidan CAPS 50 mg Harsen Laboratories
Tramadol INJ 100 mg/ 2 ml Quantum Labs
(Natura Laboratoria
Prima)
04k ANALGESIK (NON OPIAT) & ANTIPIRETIK
Asam Mefenamat
Asam Mefenamat CAPL 500 mg Bernofarm
Pondex Susp SUSP 50 mg/ 5 ml Dexa Medica
Mefentan TAB 500 mg Hexpharm Jaya
Pehastan TAB 500 mg Phapros
Paracetamol
Ottopan DROPS 100 mg / 0,6 ml Otto Pharmaceutical
Industries
Paracetamol INF 10 mg/ ml Darya Varia Lab
Paracetamol INF 1gr/ 100ml Bernofarm
Dumin Rt RECT 125 mg Actavis Indonesia
TUBE
Propyretic Suppo SUPP 160 mg Combiphar
Propyretic Suppo SUPP 240 mg Combiphar
Ottopan SYR 120 mg/ 5 ml Otto Pharmaceutical
Industries
Sanmol SYR 120 mg/ 5 ml Sanbe Farma
Naprex SYR 250 mg/ 5 ml Darya Varia Lab
Fasgo TAB 500 mg Hexpharm Jaya
Sanmol TAB 500 mg Sanbe Farma
Paracetamol TAB 500 mg Bernofarm
Tramadol
Tramadol TAB 50 mg Kimia Farma
04l OBAT ANTI INFLAMASI NON STEROID (OAINS)
Dexketoprofen
19
NAMA DAGANG
Dexketoprofen INJ 25 mg Nulab

Pharmaceutical
Dexketoprofen TAB 25 mg Nulab
Pharmaceutical
Diclofenac K
Kalium Diklofenak TAB 50 mg Hexpharm Jaya
Diclofenac K TAB 50 mg Nulab
Pharmaceutical
Diclofenac Na
Divoltar TAB 50 mg Hexpharm Jaya
Dicloflam TAB 50 mg Molex Ayus
Ibuprofen
Novaxifen SUSP 100 mg/ 5 ml Novapharin
Lexaprofen SUSP 100 mg/ 5 ml Molex Ayus
Ibuprofen TAB 400 mg Phapros
Ketoprofen
Profenid SUPP 100 mg Sanofi (Aventis
Pharma)
Ketoprofen TAB 100 mg Bernofarm
Ketorolac
Ketorolac AMP 30 mg Phapros
Meloxicam
Meloxicam TAB 15 mg Novell
Pharmaceutical
Laboratories
Meloxicam TAB 7,5 mg Hexpharm Jaya
Meloxicam TAB 7,5 mg Novell
Pharmaceutical
Laboratories
Natrium Diclofenac
Natrium Diclofenac TAB 50 mg Novell
Pharmaceutical
Laboratories
Piroxicam
Piroxicam TAB 10 mg Kimia Farma
04m OBAT UNTUK NYERI NEUROPATIK
20
NAMA DAGANG
Gabapentin
Alpentin CAPS 300 mg Actavis Indonesia
04n PREPARAT ANTIMIGREN
Co-Dergocrine Mesylate
Exergin TAB 4.5 mg Guardian
Pharmatama
Ergotamine
Ergotamine Coffeine TAB 1 mg Kimia Farma
Flunarizine
Flunarizine TAB 10 mg Nulab
Pharmaceutical
Flunarizin TAB 10 mg Bernofarm
04p NOOTROPIK & NEUROTONIK/NEUROTROPIK
Citicoline
Citicoline AMP 500 mg/ 4ml Mahakam Beta
Farma
Citicoline CAPL 500 mg Novell
Pharmaceutical
Laboratories
Takelin INJ 1000 mg/ 8 ml Mersifarma Tirmaku
Mercusana
Citicolin INJ 250 mg/ 2 ml Quantum Labs
(Natura Laboratoria
Prima)
Citicolin TAB 500 mg Dexa Medica
Mecobalamin
Mecobalamin AMP 500 mcg/ ml Novell
Pharmaceutical
Laboratories
Piracetam
Piracetam CAPL 1200 mg Hexpharm Jaya
Piracetam CAPL 800 mg Dexa Medica
Piracetam INJ 1gr Bernofarm
Piracetam TAB 1200 mg Bernofarm
Piracetam TAB 800 mg Bernofarm
05 SISTEM MUSKULOSKELETAL
05b OBAT HIPERURISEMIA & GOUT
21
NAMA DAGANG
Allopurinol
Allopurinol TAB 100 mg Pertiwi Agung
(Landson)
Allodan TAB 100 mg Hexpharm Jaya
Allopurinol TAB 300 mg Hexpharm Jaya
Allodan TAB 300 mg Hexpharm Jaya
Colchicine
Recolfar TAB 0.5 mg Fahrenheit
05c RELAKSAN OTOT
Eperisone Hcl
Eperisone Hcl TAB 50 mg Novell
Pharmaceutical
Laboratories
Permyo TAB 50 mg Ferron Par
Parmacheuticals
Rocuronium Bromide
Noveron INJ 50 mg/ 5ml Novell
Pharmaceutical
Laboratories
Tizanidine
Tizacom TAB 2 mg Combiphar
05e OBAT GANGGUAN NEUROMUSKULAR
Neostigmine Methysulfate
Prostigmin Inj AMP 0.5 mg/ ml Transfarma Medica
Indah
Pyridostigmine Bromide
Mestinon TAB 60 mg Transfarma Medica
Indah
05f OBAT LAIN YANG BEKERJA PADA SISTEM MUSKULOSKELETAL
Hyaluronic Acid
Bionect Cream CREAM 0.002 Combiphar
Bionect Gauze Pads GAUZEPA 0.0005 Combiphar
DS
Sodium Hyaluronate
Aragan SYR 25 mg/ 2.5 ml Ethica Industri
Farmasi
06 HORMON
22
NAMA DAGANG
06a ANROGEN & PREPARAT SINTETIKNYA

Danazol
Azol CAPS 200 mg Merck Div Biopharma
Danocrine TAB 200 mg Sanofi (Aventis
Pharma)
06b ESTROGEN & PROGESTERON SERTA PREPARAT SINTETIKNYA
Allylestrenol
Nobor TAB 5 mg Guardian
Pharmatama
Clomiphene Citrate
Clomiphene Citrate TAB 50 mg Novell
Pharmaceutical
Laboratories
Dydrogesterone
Duphaston TAB 10 mg Abbott Indonesia
Medroxyprogesterone Acetate
Provera TAB 100 mg Pfizer Indonesia
Provera TAB 10 mg Pfizer Indonesia
Norethisterone
Norestil TAB 5 mg Guardian
Pharmatama
Progesterone
Cygest PESSARY 400 mg Actavis Indonesia
06d HORMON KORTIKOSTEROID
Dexamethasone
Dexamethasone AMP 5 mg/ml Phapros
Dexamethasone INJ 5 mg Bernofarm
Kalmethasone TAB 0.5 mg Hexpharm Jaya
Dexamethason TAB 0.5 mg Bernofarm
Methyl Prednisolone
Methylprednisolon TAB 16 mg Mahakam Beta
Farma
Methyprednisolon TAB 16 mg Hexpharm Jaya
Farma
Methylprednisolone TAB 4 mg Fahrenheit
Methylprednisolon TAB 4 mg Dexa Medica
23
NAMA DAGANG

Farma
Methylprednisolon TAB 8 mg Dexa Medica
Methylprednisolon VIAL 125 mg Mahakam Beta
Farma
Phadilon VIAL 125 mg Phapros
Methyl Prednisolon VIAL 500 mg Phapros
Prednisone
Prednisone TAB 5 mg Novapharin
Triamcinolone
Triamcinolone TAB 4 mg Novell
Pharmaceutical
Laboratories
Triamcinolon TAB 4 mg Dexa Medica
07 KONTRASEPSI
07a KONTRASEPSI ORAL
Desogestrel
Cerazette TAB 75 mcg Msd Indonesia
Drospirenone,Ethinil Estradiole
Yaz TAB 3 mg; 0.02 mg Bayer Indonesia
Ethinyl Estradiol,Desogestrel
Marvelon Gold TAB 0.15 mg; 0.02 mg Msd Indonesia
Mercilon Gold TAB 0.15 mg; 0.03 mg Msd Indonesia
Levonorgestrel,Ethinyl Estradiol
Mikrodiol TAB 0.15 mg; 0.03 mg Kimia Farma
Microgynon TAB 0.150 mg; 0.03 mg Bayer Indonesia
Lynestrenol
Exluton TAB 0.5 mg Msd Indonesia
07b KONTRASEPSI SUNTIK
Medroxyprogesterone Acetate
Depo Progestin VIAL 150 mg Harsen Laboratories
Medroxyprogesterone Acetate,Estradiol
Gestin F1 VIAL 50 mg; 10 mg Harsen Laboratories
08 ANTIINFEKSI (SISTEMIK)
08a AMINOGLIKOSIDA
Amikacin
24
NAMA DAGANG
Amikasin INJ 250 mg Dexa Medica

Amikacin Sulfate VIAL 500 mg Phapros
Erytromicin Ethylsuccinate
Corsatrocin Dry Syr SYR 200 mg/ 5ml Corsa
Erytromicin Stearate
Corsatrocin CAPL 500 mg Corsa
Gentamicin
Gentanal VIAL 80 mg Harsen Laboratories
Kanamycin Sulfat
Kanabiotic INJ 1 gr Quantum Labs
(Natura Laboratoria
Prima)
Netilmycin Sulfat
Hypobhac 100 INJ 150 mg Phapros
Hypobhac 200 INJ 300 mg Phapros
Streptomycin Sulphate
Streptomycin VIAL 1000 mg Meiji Indonesia
Sulphate
08b SEFALOSPORIN
Cefaclor
Cloracef Dry BOTOL 250 mg/ ml Ethica Industri
Farmasi
Cefadroxil
Cefadroxil CAPS 500 mg Hexpharm Jaya
Dexadrox CAPS 500 mg Dexa Medica
Valos Drop DROPS 150 mg/ 15 ml Mahakam Beta
Farma
Opicef Forte Ds SYR 250 mg / 5 ml Otto Pharmaceutical
Industries
Vocefa Fds SYR 250 mg/5 ml Gracia Pharmindo
Cefepime
Cefepime IV 1 gr Darya Varia Lab
Cefepime VIAL 1 gr Novell
Pharmaceutical
Laboratories
Cefixime
Cefixime CAPS 100 mg Hexpharm Jaya
25
NAMA DAGANG
Cefixime CAPS 100 mg Dexa Medica

Cefixime CAPS 200 mg Quantum Labs
(Natura Laboratoria
Prima)
Cefixime CAPS 200 mg Novell
Pharmaceutical
Laboratories
Fixacep Od DROPS 30 mg/ ml Fahrenheit
Cefixime SYR 100 mg Dexa Medica
Cefixim SYR 100 mg/ 30ml Phapros
Cefoperazon
Cefoperazon POWD 1gr Bernofarm
Cefoperazone,Sulbactam
Cefoperazone INJ 500 mg; 500 mg Hexpharm Jaya
Sulbactam
Cefotaxime
Cefotaxim VIAL 1 gr Phapros
Cefpirome
Cefpirome VIAL 1 gr Phapros
Ceftazidime
Ceftazidime INJ 1000 mg Dexa Medica
Ceftriaxon
Ceftriaxon VIAL 1 gr Phapros
Cefuroxime
Cefuroxime VIAL 750 mg Mahakam Beta
Farma
08c PENISILIN
Amoxycillin
Amoxycillin CAPL 500 mg Dexa Medica
Amoxicillin POWD 125 mg Bernofarm
Opimox Forte Ds SYR 250 mg/ 5 ml Otto Pharmaceutical
Industries
Pehamoxil Forte TAB 500 mg Phapros
Amoxycillin,Clavulanic Acid
Danoclav CAPL 500 mg Actavis Indonesia
Ampicillin,Sulbactam
Viccillin-Sx VIAL 1000 mg; 500 mg Meiji Indonesia
26
NAMA DAGANG
Clavulanic Acid,Amoxicillin
Clamixin Ds SYR 31.25 mg/ 5 ml; Otto Pharmaceutical
125 mg / 5 ml Industries
Procaine Benzylpenicillin
Procaine Penicillin-G VIAL 3.000.000 iu Meiji Indonesia
Meiji
08d BETA LAKTAM GOLONGAN LAIN
Meropenem
Meropenem INJ 1 gr Quantum Labs
(Natura Laboratoria
Prima)
Meropenem INJ 500 mg Dexa Medica
08e KLORAMFENIKOL
Chloramphenicol
Chloramex CAPS 500 mg Actavis Indonesia
Chloramphenicol SYR 12.5 mg/ 5 ml Kimia Farma
Suspensi
Thiamphenicol
Thianicol CAPS 500 mg Hexpharm Jaya
Biothicol SYR 250 mg/ 5 ml Sanbe Farma
08f MAKROLID
Azithromycin
Azithromycin CAPL 500 mg Novell
Pharmaceutical
Laboratories
Azithromycin SYR 200 mg/ 5 ml Quantum Labs
(Natura Laboratoria
Prima)
Clarithromycin
Clarithromycin CAPL 500 mg Novell
Pharmaceutical
Laboratories
Comtro SYR 125 mg/ 5 ml Combiphar
Clindamycin
Clindamycin CAPS 150 mg Novell
Pharmaceutical
Laboratories
27
NAMA DAGANG
Clindamycin CAPS 300 mg Novell

Pharmaceutical
Laboratories
Lindan TAB 150 mg Corsa
Lindan TAB 300 mg Corsa
Erythromycin
Erythromycin CAPL 500 mg Fahrenheit
Roxithromycin
Rokdisit TAB 150 mg Harsen Laboratories
Spiramycin
Kalbiotic SYR 125 mg/ 5 ml Hexpharm Jaya
Spiramycin TAB 500 mg Novell
Pharmaceutical
Laboratories
08g KUINOLON
Ciprofloxacin
Ciprofloxacin INF 200 mg/ 100 ml Hexpharm Jaya
Ciprofloxacine INF 500 mg Dexa Medica
Ciprofloxacin TAB 500 mg Hexpharm Jaya
Phaproxin TAB 500 mg Phapros
Levofloxacin
Levofloxacin INF 5 mg/ ml Novell
Pharmaceutical
Laboratories
Levofloxacin TAB 500 mg Nulab
Pharmaceutical
Floxidin TAB 500 mg Harsen Laboratories
Levofloxacin TAB 500 mg Bernofarm
Ofloxacine
Ofloxacin INF 200 mg Dexa Medica
Ofloxacin TAB 200 mg Novell
Pharmaceutical
Laboratories
Ofloxacin TAB 400 mg Novell
Pharmaceutical
Laboratories
08h TETRASIKLIN
28
NAMA DAGANG
Doxycyline
Doxycyline CAPS 100 mg Dexa Medica
08j KOMBINASI ANTIBAKTERIAL
Sulfamethoxazole,Trimethoprim
Infatrim Kaplet Forte CAPL 800 mg; 160 mg Molex Ayus
Cotrimoksazole SUSP 200 mg; 40 mg Novapharin
Cotrimoksazole TAB 400 mg; 80 mg Novapharin
08k ANTIBIOTIK GOLONGAN LAIN
Fosfomycin
Novellmycin INJ 2000 mg Novell
Pharmaceutical
Laboratories
08l OBAT ANTI TUBERKULOSIS
Ethambutol
Ethambutol TAB 500 mg Bernofarm
Tibitol TAB 500 mg Mersifarma Tirmaku
Mercusana
Isoniazid,Pyridoxine Hcl
Inoxin TAB 400 mg; 10 mg Dexa Medica
Pyrazinamid
Pyrazinamid TAB 500 mg Dexa Medica
Rifamfisin ,Isoniazid, Pirazinamid
Pro Tb 3 TAB 75 mg, 50 mg, 150 Phapros
mg
Rifampicin
Rifampicin TAB 450 mg Bernofarm
Rifampicin TAB 600 mg Bernofarm
Rifampicin , Isoniazid
Pro Tb 2 TAB 150 mg, 150 mg Phapros
Rifampicin, Isoniazid,Pirazynamid, Ethambutol
Pro Tb 4 TAB 150 mg, 75 mg, Phapros
400 mg,275 mg
Streptomycin Sulphate
Streptomycin Sulfat VIAL 1 gr Phapros
08n ANTIJAMUR
Fluconazole
29
NAMA DAGANG
Fluconazole INF 200 mg/ 100 ml Quantum Labs

(Natura Laboratoria
Prima)
Fluconazole TAB 150 mg Kimia Farma
Cryptal TAB 50 mg Fahrenheit
Griseofulvin
Grivin Forte TAB 500 mg Phapros
Itraconazole
Itraconazole CAPS 100 mg Bernofarm
Ketoconazole
Ketoconazole TAB 200 mg Hexpharm Jaya
Dexazol TAB 200 mg Dexa Medica
Nystatin
Nystatin DROPS 100.000 iu Bernofarm
Nystatin Vaginal TAB 100000 iu Phapros
Nystatin Salut TAB 500000 iu Phapros
08p ANTIVIRUS
Acyclovir
Acyclovir TAB 200 mg Dexa Medica
Acyclovir TAB 400 mg Hexpharm Jaya
Lamivudine
Hiviral TAB 150 mg Kimia Farma
Peginterferon Alpha-2A
Pegasys INJ 135 mcg Roche Indonesia
Pegasys INJ 180 mcg Roche Indonesia
Ribavirin
Copegus TAB 200 mg Roche Indonesia
Valacyclovir
Valvir CAPL 500 mg Ethica Industri
Farmasi
Valganciclovir Hydrochloride
Valcyte TAB 450 mg Roche Indonesia
08q ANTELMINTIK
Albendazole
Albendazole TAB 400 mg Kimia Farma
Pyrantel
30
NAMA DAGANG
Pantrin SYR 250 mg Harsen Laboratories

Pyrantel TAB 250 mg Fahrenheit
08r ANTIMALARIA
Chloroquine Phospate
Chloroquine TAB 250 mg Novapharin
Quinine
Quinine TAB 222 mg Kimia Farma
Sulfadoxine Pyrimethamine
Suldox TAB 500 mg Actavis Indonesia
08s ANTIAMUBA
Metronidazole
Metronidazole INF 500 mg/ 100 ml Darya Varia Lab
Metrolet Suspensi SYR 500 mg; 125 mg Harsen Laboratories
Metronidazole TAB 500 mg Bernofarm
09 ONCOLOGY
09a KEMOTERAPI SITOTOKSIK
Bicalutamide
Diproca TAB 50 mg Dipa Pharmalab
Intersains
Bleomycin
Bleocin INJ 15 mg/ ml Kalbe Farma
Bortezomid
Fonkozomib VIAL 3.5 mg Ferron Par
Parmacheuticals
Capecitabine
Xeloda TAB 500 mg Roche Indonesia
Carboplatin
Carboplatin INJ 150 mg Kalbe Farma
Carboplatin INJ 450 mg Kalbe Farma
Cyclofosfamid
Cyclovid INJ 1000 mg Novell
Pharmaceutical
Laboratories
Pharmaceutical
Laboratories
31
NAMA DAGANG

Pharmaceutical
Laboratories
Daunorubicin
Daunocin INJ 20 mg Novell
Pharmaceutical
Laboratories
Docetaxel
Dochemo INJ 20 mg Novell
Pharmaceutical
Laboratories
Dochemo INJ 80 mg Novell
Pharmaceutical
Laboratories
Docetaxel Actavis VIAL 20 mg/ 0.5 ml Actavis Indonesia
Doxorubicin
Sindroxocin VIAL 10 mg Actavis Indonesia
Sindroxocin VIAL 50 mg Actavis Indonesia
Epirubicin
Ciazil INJ 10 mg/ 5 ml Dipa Pharmalab
Intersains
Epirubicin INJ 50 mg Kalbe Farma
Ciazil INJ 50 mg/ 25 ml Dipa Pharmalab
Intersains
Episindan VIAL 10 mg Actavis Indonesia
Erlotinib
Tarceva TAB 100 mg Roche Indonesia
Tarceva TAB 150 mg Roche Indonesia
Etoposide
Etopul INJ 100 mg Novell
Pharmaceutical
Laboratories
Fludarabine Phosphate
Fludara INJ 50 mg Sanofi (Aventis
Pharma)
Fludara TAB 10 mg Sanofi (Aventis
Pharma)
Fluorouracil
Fluorouracil INJ 250 mg Kalbe Farma
32
NAMA DAGANG
Curacil INJ 500 mg Kalbe Farma

Gemcitabine
Gemfix INJ 1000 mg Novell
Pharmaceutical
Laboratories
Gemfix INJ 200 mg Novell
Pharmaceutical
Laboratories
Hydroxi Urea
Cytrodox CAPS 500 mg Combiphar
Ifosfamid
Holoxan VIAL 1000 mg Transfarma Medica
Indah
Holoxan VIAL 2000 mg Transfarma Medica
Indah
Irinotecan
Actatecan VIAL 100 mg/ 5 ml Actavis Indonesia
Letrozol
Femaplex TAB 2.5 mg Dipa Pharmalab
Intersains
Leucovorin
Leucovorin INJ 50 mg Kalbe Farma
Methotrexate
Methotrexate INJ 50 mg Kalbe Farma
Texorate TAB 2.5 mg Fahrenheit
Oxaliplatin
Oxitel INJ 50 mg Novell
Pharmaceutical
Laboratories
Plaxat VIAL 100 mg Actavis Indonesia
Paclitaxel
Paclon INJ 100 mg Novell
Pharmaceutical
Laboratories
Paclon INJ 30 mg Novell
Pharmaceutical
Laboratories
Sindaxel VIAL 260 mg/ 43.33 ml Actavis Indonesia
Pemetrexed
33
NAMA DAGANG
Alimta VIAL 100 mg Eli Lilly Div Of Metro

Drug Indonesia
Alimta VIAL 500 mg Eli Lilly Div Of Metro
Drug Indonesia
Rituximab
Mabthera VIAL 100 mg/ 10 ml Roche Indonesia
Mabthera VIAL 500 mg/ 50 ml Roche Indonesia
Vincristine
Vincristine INJ 1 mg Kalbe Farma
Vincristine INJ 2 mg Kalbe Farma
Vinorelbine
Vinorelsin VIAL 10 mg/ 1 ml Actavis Indonesia
09b TERAPI HORMON UNTUK KANKER
Anastrozole
Arimidex TAB 1 mg Astrazeneca
Indonesia
Bicalutamide
Casodex TAB 150 mg Astrazeneca
Indonesia
Casodex TAB 50 mg Astrazeneca
Indonesia
Exemestane
Aromasin TAB 25 mg Pfizer Indonesia
Goserelin Acetate
Zoladex INJ 10.8 mg Astrazeneca
Indonesia
Zoladex INJ 3.6 mg Astrazeneca
Indonesia
Letrozol
Letraz TAB 2.5 mg Kalbe Farma
Leuprorelin Acetate, Manitol, Carboxymethylcellulose Sodium, Polysorbate 80, Water
For Injection
Divalin VIAL 3.75 mg, 75 mg, Darya Varia Lab
7.5 mg, 1.5 mg, 1.5
ml
Leuproreline Acetate Depot
Tapros VIAL 11.25 mg Takeda Indonesia
Tamoxifen
34
NAMA DAGANG
Tamofen TAB 10 mg Kalbe Farma

09c IMUNOTERAPI KANKER
Gefitinib
Iressa TAB 250 mg Astrazeneca
Indonesia
09d TERAPI TARGET UNTUK KANKER
Disodium Clodronate
Actabone VIAL 300 mg/ 5 ml Actavis Indonesia
Ibandronate Sodium
Bonevell VIAL 6 mg/ 6 ml Novell
Pharmaceutical
Laboratories
Ibandronic Acid
Bondronate TAB 50 mg Roche Indonesia
Zoledronic Acid
Zolenic INJ 4 mg Novell
Pharmaceutical
Laboratories
10 SISTEM KEMIH KELAMIN
10a PREPARAT UNTUK MASALAH VAGINA
Metronidazole,Nystatin
Vagistin OVULA 500 mg; 100.000 u Combiphar
10b ANTISEPTIK SALURAN KEMIH
Pipemidic Acid
Urotractin CAPS 400 mg Sanbe Farma
10c OBAT YANG BEKERJA PADA UTERUS
Isokuprine
Duvadilan Tab TAB 20 mg Kimia Farma
Isoxsuprine Hcl
Hystolan TAB 20 mg Dexa Medica
Methyl Ergometrine
Metherinal TAB 125 mcg Pertiwi Agung
(Landson)
Methylergometrine Maleat
Methylergometrine INJ 0.2 mg/ ml Ethica Industri
Maleat Farmasi
35
NAMA DAGANG
Oxytocin
Oxytocin INJ 10 iu Ethica Industri
Farmasi
10e OBAT UNTUK PENYAKIT SALURAN KEMIH & PROSTAT
Finasteride
Reprosid TAB 5 mg Harsen Laboratories
Tamsulosin
Prostam Sr TAB 0.4 mg Novell
Pharmaceutical
Laboratories
Terazosin
Hytroz TAB 1 mg Dexa Medica
10f OBAT SALURAN KEMIH KELAMIN GOLONGAN LAIN
Solifenacin
Vesicare TAB 5 mg Astellas Pharma
Indonesia
11 SISTEM ENDOKRIN & METABOLIK
11a PREPARAT INSULIN
Insulin Aspart
Novorapid Vial INJ 100 iu/ ml Novo Nordisk
Indonesia
Novorapid Flexpen INJ 100 u/ ml Novo Nordisk
Indonesia
Insulin Aspart 30 %, Protaminated Insulin Aspart 70 %
Novomix-30 Flexpen INJ Novo Nordisk
Indonesia
Insulin Detemir
Levemir Flexpen INJ 100 u/ ml Novo Nordisk
Indonesia
Insulin Glargine
Lantus Solostar INJ 100 iu/ ml Sanofi (Aventis
Pharma)
Insulin Glulisine
Apidra Solostar INJ 100 iu/ ml Sanofi (Aventis
Pharma)
11b OBAT ANTIDIABETES
Acarbose
36
NAMA DAGANG
Acarbose TAB 100 mg Dexa Medica

Acarbose TAB 100 mg Fahrenheit
Acarbose TAB 50 mg Dexa Medica
Eclid TAB 50 mg Dexa Medica
Glibenclamide
Renabetic TAB 5 mg Fahrenheit
Gliclazide
Glucodex TAB 80 mg Dexa Medica
Glidabet TAB 80 mg Hexpharm Jaya
Glimepiride
Versibet TAB 2 mg Harsen Laboratories
Glimepiride TAB 2 mg Hexpharm Jaya
Diaversa TAB 2 mg Dexa Medica
Glimepiride TAB 3 mg Hexpharm Jaya
Versibet TAB 3 mg Harsen Laboratories
Glimepiride TAB 4 mg Bernofarm
Glimepiride TAB 4 mg Nulab
Pharmaceutical
Glipizide Gits
Glucotrol Xl TAB 10 mg Pfizer Indonesia
Gliquidone
Gliquidone TAB 30 mg Dexa Medica
Metformin
Diabemin Fc TAB 500 mg Dexa Medica
Diabit TAB 500 mg Hexpharm Jaya
Metformin TAB 500 mg Bernofarm
Metformin TAB 850 mg Dexa Medica
Metformin TAB 850 mg Bernofarm
Pioglitazone
Prabetic TAB 15 mg Fahrenheit
Prabetic TAB 30 mg Fahrenheit
Repaglinide
Dexanorm TAB 1 mg Dexa Medica
11c HORMON TIROID
Levothyroxine Sodium
37
NAMA DAGANG
Euthyrox TAB 100 mcg Merck Div Biopharma

Euthyrox TAB 50 mcg Merck Div Biopharma
Propilthiourasil
Propiltiourasil TAB 100 mg Dexa Medica
11d OBAT ANTITIROID
Thiamazole
Thyrozol TAB 10 mg Merck Div Biopharma
Thyrozol TAB 5 mg Merck Div Biopharma
12 ALERGI & SISTEM IMUN
12a ANTIHISTAMIN & ANTIALERGI
Betamethasone, Dexchlorpheniramine Maleate
Bdm Sirup SYR 0.25 mg, 2 mg Nulab
Pharmaceutical
Ocuson TAB 0.25 mg; 2 mg Sanbe Farma
Cetirizine
Estin Drop DROPS 10 mg/ ml Gracia Pharmindo
Cetirizine SYR 5 mg/ 5 ml Fahrenheit
Cetirizine TAB 10 mg Hexpharm Jaya
Cetirizine TAB 10 mg Novell
Pharmaceutical
Laboratories
Chlorpheniramine Maleate
Chlorphenamine TAB 4 mg Novapharin
Maleate
Cyproheptadine
Pronam TAB 4 mg Harsen Laboratories
Dexchlorpheniramine Maleate,Betamethasone
Gratamin TAB 2 mg; 0.25 mg Gracia Pharmindo
Dexchlorpheniramine Maleate,Dexamethasone
Dextamine SYR 0.5 mg; 2 mg Phapros
Proxona TAB 2 mg; 0.5 mg Harsen Laboratories
Dipenhidramine
Diphenhydramine AMP 10 mg/ ml Phapros
Loratadine
Allohex SYR 5 mg/ 5 ml Hexpharm Jaya
38
NAMA DAGANG
Loratadine TAB 10 mg Hexpharm Jaya

Loratadine TAB 10 mg Novell
Pharmaceutical
Laboratories
Mebhydrolin Napadisilate
Nooronal TAB 50 mg Harsen Laboratories
12b VAKSIN, ANTISERUM, & IMUNOLOGIKAL
Hepatitis B Immunoglobulin Behring 1Ml
Hepatitis B PFS 200 iu Dexa Medica
Immunoglobulin
Behring
1Ml(Box/1Ps)
Human Bovine Rotavirus Reassortants (G1,G2,G3,G4, P1 (8))
Rotateq DROPS 2 ml Msd Indonesia
Human Gammaglobulin
Gammaras VIAL 2.5 gr/ 50ml Combiphar
Human Tetanus Imunoglobulin
Tetagam P. Prefilled PFS 250 iu Dexa Medica
Syringe
Lyophilized Preparation Of The Oka/Merck Strain Of Varicella
Varivax VIAL 1,350 pfu/ 0.5 ml Msd Indonesia
Pneumococcal Conjugate Vaccine, 13 Valent
Prevenar VIAL 0.5 ml Pfizer Indonesia
12c IMUNOSUPRESAN
Mycophenolate Mofetil
Cellcept TAB 500 mg Roche Indonesia
13 NUTRISI
13c PRODUK NUTRISI PARENTERAL
Amino Acid
Pan Amin G INF Otsuka Indonesia
Kidmin INF Otsuka Indonesia
Amino Acid,Bcaa,Lola
Aminofusin Hepar INF 0.45 Kalbe Farma
Dextrose; Osmolarity; Calorie
Infusan D5 Sp INF 50 gr/l; 278 Sanbe Farma
mosm/l; 200 kcal/l
39
NAMA DAGANG
Fructose; Glucose; Xylitol

Triofusin 1000 INF 120 gr; 66 gr; 60 gr Kalbe Farma
Glucose, Fructose, Xylitol, Osmolarity, Calorie
Enerton INF 30 gr/l; 60 gr/l, 30 Sanbe Farma
gr/l, 690 mosm/l;
1000 kcal/l
Human Albumin 20%
Human Alb Behring VIAL 20 gr/ 100ml Dexa Medica
20%
Maltose; Osmolarity; Calorie
Infumal 10% Sp INF 100G/L; 278 Sanbe Farma
Mosm/L; 400 Kcal/L
Infumal 10% Dp INF 100G/L; 278 Sanbe Farma
Mosm/L; 400 Kcal/L
13d ELEKTROLIT
Air
Sterile Water INF Otsuka Indonesia
Dextran
Otsutran - 40 INF 10% dextran 40 in Otsuka Indonesia
rl inj.
Dextrose
Otsu - D40 AMP 40% dextrose Otsuka Indonesia
Dextrose; Osmolarity; Calorie
Infusan D10 INF 100 gr/l; 560 Sanbe Farma
mosm/l; 400 kcal/l
Infusan D5 Dp INF 50 gr/l; 278 Sanbe Farma
mosm/l; 200 kcal/l
Dextrose+Electrolyte; Osmolarity; Calorie
Infusan D2.5 + 1/2Ns INF 25 gr/l+ (na+ 77 ; Sanbe Farma
cl- 77 ) meq/l; 293
mosm/l; 100 kcal/l
Infusan D5 + Ns INF 50 gr/l+(na+ 154 ; Sanbe Farma
cl- 154 ) meq/l; 586
mosm/l; 200 kcal/l
Infusan D5 + 1/4 Ns INF 50 gr/l+(na+ 38.5 ; Sanbe Farma
Sp cl- 38.5 ) meq/l;
355 mosm/l; 200
kcal/l
40
NAMA DAGANG
Infusan D5 + 1/4 Ns INF 50 gr/l+(na+ 38.5 ; Sanbe Farma

Dp cl- 38.5 ) meq/l;
355 mosm/l; 200
kcal/l
Infusan D5 + 1/2 Ns INF 50 gr/l+(na+ 77 ; cl- Sanbe Farma
Sp 77 ) meq/l; 432
mosm/l; 200 kcal/l
Infusan D5 + 1/2 Ns INF 50 gr/l+(na+ 77 ; cl- Sanbe Farma
Dp 77 ) meq/l; 432
mosm/l; 200 kcal/l
Electrolyte
Ka - En 1B INF Otsuka Indonesia
Ka - En 3A INF Otsuka Indonesia
Ka - En 4A INF Otsuka Indonesia
Asering INF Otsuka Indonesia
Electrolyte (Na+ 130; K+ 4 ; Ca2+ 2,7; Cl- 109;Lactate 28 ) Meq/L; Osmolarity 273
Mosm/L
Infusan Rl Sp INF Sanbe Farma
Infusan Rl Dp INF Sanbe Farma
Electrolyte (Na+ 131; K+ 4; Ca2+ 2,7 ; Cl- 109; Acetate 28) Meq/L;Osmolarity 273
Mosm/L
Infusan Ring As Sp INF Sanbe Farma
Electrolyte (Na+ 147; K+ 4; Ca2+ 4,4; Cl- 156) Meq/L+ Glucose 50 G/L;Osmolarity 586
Mosm/L; Calorie 200 Kcal/L
Infusan R + D Sp INF Sanbe Farma
Infusan R + D Dp INF Sanbe Farma
Electrolyte (Na+ 154 ; Cl- 154) Meq/L;Osmolarity 308 Mosm/L
Infusan Ns Irigasi INF Sanbe Farma
(1,000 Ml)
Electrolyte( Na+ 154 ; Cl- 154) Meq/L; Osmolarity 308 Mosm/L
Infusan Ns Sp INF Sanbe Farma
Infusan Ns Dp INF Sanbe Farma
Infusan Ns (250Ml) INF Sanbe Farma
Infusan Ns (100Ml) INF Sanbe Farma
Elektrolyte (Na+ 131; K+ 4; Ca2+ 2,7 ; Cl- 109; Acetate 28) Meq/L;Osmolarity 273
Mosm/L
41
NAMA DAGANG
Infusan Ring As Dp INF Sanbe Farma

Hes
Fimahes INF 6%, 200 kd Kalbe Farma
K L-Aspartate
Aspar K TAB 300 mg Tanabe Indonesia
Kalium Chloride
Otsu - Kcl 7.46 AMP 7.46% kcl inj. Otsuka Indonesia
Karbohidrat
Ka - En Mg3 INF Otsuka Indonesia
Kl Aspartatin
Renapar TAB 300 mg Fahrenheit
Manitol
Otsu - Manitol 20 INF Otsuka Indonesia
Mgso4
Otsu - Mgso4 20 AMP 20% mgso4 inj Otsuka Indonesia
Otsu - Mgso4 40 AMP 40% mgso4 inj. Otsuka Indonesia
Nahco3
Meylon 84 AMP 8.40% Otsuka Indonesia
Oralit Serbuk
Oralit Serbuk POWD 200 ml Phapros
Sodium Chloride
Otsu - Salin 3 INF 3% sodium chloride Otsuka Indonesia
inj.
14 MATA
14a ANTIINFEKSI & ANTISEPTIK MATA
Acyclovir
Temiral EYE 30 mg/gr Sanbe Farma
DROPS
Hervis EYE OINT 0.03 Cendo
Pharmaceutical
Industries
Chloramphenicol
Fenicol 0.5 % 0.6 Ml EYE 5 mg Cendo
DROPS Pharmaceutical
Industries
42
NAMA DAGANG
Fenicol Eo 3.5 Gram EYE OINT 10 mg Cendo

Pharmaceutical
Industries
Ciprofloxacin
Ulcori EYE 3 mg/ml Cendo
Industries
Diclofenac Na
Flamar EYE 1 mg/ml Sanbe Farma
DROPS
Gentamicin
Genta EYE 3 mg/ml Cendo
Industries
Sagestam EYE OINT 3 mg/gr Sanbe Farma
Levofloxacin
Levocin EYE 5 mg/ml Sanbe Farma
DROPS
Neomycin sulfate, Polymyxin B sulfate, Phenylephrine HCl
Polifrisin EYE 3.5 mg, 16250 IU, Sanbe Farma
DROPS 1.2 mg
Ofloxacine
Floxa EYE 3 mg Cendo
Industries
Oksitetrasiklin
Oksitetrasiklin 1% CREAM 0.01 Kimia Farma
Tobramycine
Tobro 0.6 Ml @ 5'S EYE 3 mg; Cendo
Minidose DROPS Pharmaceutical
Industries
14b ANTISEPTIK MATA DENGAN KORTIKOSTEROID
Betamethasone, Gentamicin Sulfate
Betagentam EYE 1 mg, 5 mg Sanbe Farma
DROPS
Flourometholon, Neomycin Sulfate
Polynel 0.6 Ml EYE 1 mg, 3.5 mg, Cendo
Industries
43
NAMA DAGANG
Framycetin Sulphate, Gramicidin, Dexamethasone

Blecidex EYE 5 mg, 0.05 mg, 0.5 Sanbe Farma
DROPS mg
Polymixin B Sulfate,Dexamethasone
Nelydex EYE 6000 iu; 1 mg Harsen Laboratories
DROPS
Tobramycine + Dexamethasone
Tobroson EYE 3 mg; 1 mg Cendo
Industries
14c KORTIKOSTEROID MATA
Betametasone Natrium Phosphate
Vosama EYE 1 mg Cendo
Industries
Flourometholon
Posop EYE 0.1 mg Cendo
Industries
Prednisolone Disodium Phosphate, Sodium Sulphacetamide
Cetapred EYE 3.5 mg; 100 mg Cendo
Industries
14d OBAT MIDRIATIKUM
Atropine Sulphate
Tropine EYE 5 mg Cendo
Industries
Tropicamide
Mydriatil 0.5% 0.6 EYE 5 mg Cendo
Ml DROPS Pharmaceutical
Industries
14e OBAT MIOTIKUM
Pilocarpine Hcl
Miokar EYE 10 mg/ ml Sanbe Farma
DROPS
14f PREPARAT ANTIGLAUKOMA
Acetazolamide
44
NAMA DAGANG
Glauseta TAB 250 mg Sanbe Farma

Betaxolol Hcl
Tonor EYE 5 mg Cendo
Industries
Latanoprost
Glaopen EYE 0.05 mg Cendo
Industries
Timolol
Tim-Ophtal 0.25% EYE 2.5 mg/ ml Sanbe Farma
DROPS
Timol 0.5 % 0.6 Ml EYE 5 mg Cendo
Minidose DROPS Pharmaceutical
Industries
Tim-Ophtal 0.5% EYE 5 mg/ ml Sanbe Farma
DROPS
14g OBAT DEKONGESTAN, ANASTESI, ANTIINFLAMASI MATA
Na Hyaluronate
Hyaloph EYE 1 mg/ ml Sanbe Farma
DROPS
Pemirolast Potassium
Alegysal EYE 0.1% Ferron Par
DROPS Parmacheuticals
14h PELUMAS MATA
Dextran 70, Hypromellose
Sanbe Tears EYE 1 mg, 3 mg Sanbe Farma
DROPS
Glycerin Anhydrous
Ophtalgon EYE 3 mg Cendo
Industries
Hydroxyprophylmethylcellulose, Dextran 70
Eyefresh 0.6 Ml EYE 3 mg, 1 mg Cendo
Industries
Tetrahydrozoline Hcl
Santo EYE 0.5 mg/ ml Sanbe Farma
DROPS
45
NAMA DAGANG
14i PREPARAT MATA GOLONGAN LAIN

Naphazoline Hcl, Antazoline Hcl
Vasacon A EYE 1 mg; 2,5 mg Cendo
Industries
Sodium Chromoglycate
Conver 2 % EYE 20 mg Cendo
Industries
15 TELINGA & MULUT/TENGGOROKAN
15a ANTIINFEKSI & ANTISEPTIK TELINGA
Ofloxacine
Akilen EAR 3 mg/ ml Sanbe Farma
DROPS
15d PREPARAT TELINGA GOLONGAN LAIN
Docusate Sodium
Forumen EAR 5 mg/ ml Sanbe Farma
DROPS
15e OBAT UNTUK TUKAK & INFLAMASI RONGGA MULUT
Hexetidine
Hexadol GARGLE 0.001 Otto Pharmaceutical
Industries
Triamcinolone Acetonide
Kenalog In Orabase OINT 0.001 Taisho Parmaceutical
Indonesia
16 TERAPI UNTUK KULIT
16a ANTIBIOTIK TOPIKAL
Fucidic Acid
Fucilex Krim CREAM 20 mg Molex Ayus
Gentamicin
Gentalex Krim CREAM 1 mg Molex Ayus
Mupirocin
Mupirocin OINT 0.02 Novell
Pharmaceutical
Laboratories
Oksitetrasiklin
Oksitetrasiklin Sk 3% CREAM 0.03 Kimia Farma
46
NAMA DAGANG
Silver Sulfadiazin
Burnazin 35 CREAM 10 mg Darya Varia Lab
Burnazin 500 CREAM 10 mg Darya Varia Lab
16b ANTIJAMUR & ANTIPARASIT TOPIKAL
Ciclopiroxalamine
Loprox SOLN 1.5 gr Sanofi (Aventis
Pharma)
Ketoconazole
Ketoconazole CREAM 2%/10 gr Hexpharm Jaya
Fexazol Cream CREAM 20 mg Molex Ayus
Miconazole
Moladerm Krim CREAM 20 mg Molex Ayus
Miconazole Nitrate, Hydrocortisone
Thecort CREAM Guardian
Pharmatama
Terbinafine
Termisil CREAM 0.01 Ferron Par
Parmacheuticals
16c ANTIVIRUS TOPIKAL
Acyclovir
Acyclovir 5% TUBE 50 mg Phapros
16d ANTIINFEKSI TOPIKAL DENGAN KORTIKOSTEROID
Betamethasone Valerate : Neomycine Sulfate
Bevalex Krim CREAM 1 mg : 5 mg Molex Ayus
Fluocinolone Acetonide,Neomycin Sulfate
Cinolon N CREAM 0.00025; 0.005 Sanbe Farma
Gentamycin Sulfate, Fluocinolone Acetonide
Genolon CREAM Guardian
Pharmatama
16e KORTIKOSTEROID TOPIKAL
Betamethasone Valerate
Betason Krim CREAM 1 mg Kimia Farma
Clobetasol Propionate
Forderm CREAM 0.0005 Ferron Par
Parmacheuticals
Desoximetasone
47
NAMA DAGANG
Desoximetason CREAM 0.25 mg Dexa Medica

Hydrocortisone Krim
Hydrocortisone Krim TUBE 5 gr Phapros
2.5%
Mometasone Furoate
Mometasone CREAM 5 gr Nulab
Pharmaceutical
16k OBAT KULIT LAIN
Permethrin
Scabimite CREAM 5% Galenium Pharmasia
Laboratories
17 OBAT ANASTESI, SEDIAAN BEDAH, & PERAWATAN LUKA
17a ANASTESI LOKAL & UMUM
Bupivacain
Bupivacain INJ 0.5% Bernofarm
Regivell INJ 5 mg/ml Novell
Pharmaceutical
Laboratories
Halotan
Halotan INH 250 ml Dexa Medica
Lidocain
Xylocain Jelly GEL 10 gr Astrazeneca
Indonesia
Lidocain Hcl 2 % INJ 0.02 Bernofarm
Xylocain Spray PUFFS 0.1 Astrazeneca
Indonesia
Midazolam
Anesfar AMP 15 mg / 3 ml Fahrenheit
Dormicum AMP 5 mg/ 5 ml Roche Indonesia
Sedacum AMP 5 mg/ ml Dexa Medica
Propofol
Recofol N AMP 10 mg/ ml Dexa Medica
Proanes 1% (Mct/Lct) INJ 200 mg/ 20 ml Sanbe Farma
Sevoflurane
Sevodex INH 250 ml Dexa Medica
18 ANTIDOTUM & ZAT DETOKSIFIKASI UNTUK TERAPI KETERGANTUNGAN ZAT
48
NAMA DAGANG
18a ANTIDOTUM & OBAT DETOKSIFIKASI

Calcium Polistiren
Kalquest INJ 5 mg Novell
Pharmaceutical
Laboratories
Leucovorin Calcium
Novorin INJ 10 mg/ ml Novell
Pharmaceutical
Laboratories
N-Acetylcysteine
N-Ace AMP 300 mg/ 3 ml Fahrenheit
Resfar INF 5 gr/ 25 ml Fahrenheit
Sevelamer Carbonate
Renvela TAB 800 mg Sanofi (Aventis
Pharma)
18b OBAT UNTUK TERAPI KETERGANTUNGAN ZAT
Atropine Sulphate
Atropine Sulphate INJ 0.25 mg/ ml Ethica Industri
Farmasi
30 VITAMIN & MINERAL
30b VITAMIN B KOMPLEKS/DENGAN VITAMIN C
Fursultiamine
Alinamin TAB 5 mg Takeda Indonesia
Vit B1 15 Mg,Vit B2 ; Vit B6; Vit B12 ; Nicotinamide ; Ca Pantothenate
Therabex CAPS 15 mg; 10 mg; 5 Combiphar
mg; 4 mcg; 100
mg; 20 mg;
Vit B1, Vit B6, Vit B12, Vit E
Fundamin TAB 100 mg, 50 mg, Darya Varia Lab
100 mcg, 30 iu
Vit. B1, Vit. B6, Vit. B12
Sohobion 5000 INJ 100 mg, 100 mg Ethica Industri
5000 mcg Farmasi
30c VITAMIN C
Vitamin C,Zinc
Imunped DROPS 40 mg; 5 mg Darya Varia Lab
Imunped SYR 100 mg; 10 mg Darya Varia Lab
49
NAMA DAGANG
30d KALSIUM/DENGAN VITAMIN

Ca Carbonate, Vit D3 , Mg Oxide, Boron Citrate , Zn Sulphate Monohydrate , Cupric
Sulfate , Chromium Picolinate , Folic Acid , Vit B6, Vit B12 , Silica
Osfit CAPL 625 mg; 100 iu; Kalbe Farma
125 mg;13.9
mg;10.3 mg;2
mg;100.5 mcg;100
mcg;2.5 mg;7.5
mcg; 5 mg
Calsium,Vitamin D
Calporosis D CAPL 800 mg; 300 iu Mersifarma Tirmaku
Mercusana
Calnic Plus SUSP 200 mg/ 5 ml; 200 Gracia Pharmindo
iu
Kalsium Glukonat
Calci Glukonas INJ 100 ml Ethica Industri
Farmasi
30e VITAMIN &/ATAU MINERAL
Kalsium Laktat
Kalsium Laktat TAB 500 mg Kimia Farma
Vit.D
D-Vit Ft FLASH 400 iu Gracia Pharmindo
TAB
30g VITAMIN & MINERAL (PEDIATRIK)
Fe Fumarate Plus,Vit. B Comp
Sangobion Kids SYR 113 mg; 1 mg, 1 Merck Div Consumer
mg, 1.5 mg, 15 mg, Health
0.3 mg
Vit A ; Vit B1 ; Vit B2 ; Vit B6 ; Vit B12 ; Vit C ; Vit D,Nicotinamide ; Choline ; Inositol ; Ca
; Na : L-Lysine Hcl
Elkana SYR 2400 iu; 4 mg; 1.2 Sanbe Farma
mg; 1.2 mg; 4 mcg;
60 mg; 400 iu; 16
mg; 12 mg; 12 mg;
33.1 mg; 5.2 mg;
200 mg
30h VITAMIN & MINERAL (UNTUK MASA HAMIL & NIFAS)/ANTIANEMIA
Beta Carotene, Vit B1, Vit B2, Nicotinamide, Vit B6, Ca Pantothenate, Vit B12, Vit C,
Folic Acid, K Iodide, Fe (Iii) Fumarate, Copper (Ii) Sulfate, Ca Lactate, Na Fluoride
50
NAMA DAGANG
Folamil CAPL 10000 iu, 10 mg, Dexa Medica

2.5 mg, 20 mg, 4
mcg, 100 mg, 400
iu, 90 mg, 0.1 mg,
250 mg, 1 mg
Fe Fumarate, Folic Acid, Vit.B 12, Vit.C, Vit.D, Ca-Carbonate
Bionemi CAPS 360 mg; folic acid Gracia Pharmindo
1.5 mg; vit.b 12 15
mcg; vit.c 75 mg;
vit.d 400 iu; ca-
carbonate 200 mg
Fe,Vit B1, B6, B12, Folic Acid
Ferlin DROPS 7.5 mg/ml; b1 10 Darya Varia Lab
mg, b6 5 mg, b12
25 mcg, fiolic acid
10 mcg
Ferrosus Sulfhate
Ferrosus Sulfhate TAB 300 mg Kimia Farma
Folic Acid
Folic Acid TAB 1 mg Phapros
Vit A, Vit D, Vit C, Vit B1, Vit B2, Vit B6, Vit B12, Niacinamide, Calcium Panthothenate,
Folic Acid, Ferrous Fumerate, Calcium Lactate, Copper, Iodium, Fluoride
Obimin TAB 6000 units, 400 Darya Varia Lab
units, 100 mg, 10
mg, 2.5 mg, 15 mg,
4 mcg, 20 mg, 7.5
mg, 1 mg, 90 mg,
250 mg, 0.1 mg,
0.1 mg, 1 mg
51

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FORMULARIUM PERTAMINA 2017

KELAS/SUB KELAS/ZAT AKTIF/

01 SISTEM GASTROINTESTINAL & HEPATOBILIER

Omeprazole VIAL 40 mg; 10ml Novell

Domperidone TAB 10 mg Novell

01h PREPARAT ANOREKTAL

Amiodarone AMP 150 mg/ 3 ml Darya Varia Lab

Irbesartan TAB 150 mg Novell

Spironolactone TAB 25 mg Otto Pharmaceutical

Pulmicort Respules RESP 0.5 mg Astrazeneca

Codipront Syrup SYR 11.11 mg/ 5 ml; Kimia Farma

Tuzalos CAPL 500 mg; 10 mg ; 15 Sanbe Farma

Cepezet TAB 100 mg Mersifarma Tirmaku

Sibital INJ 200 mg/ 2 ml Mersifarma Tirmaku

04j ANALGESIK (OPIAT)

Dexketoprofen INJ 25 mg Nulab

06a ANROGEN & PREPARAT SINTETIKNYA

Methylprednisolon TAB 8 mg Mahakam Beta

Amikasin INJ 250 mg Dexa Medica

Cefixime CAPS 100 mg Dexa Medica

Clindamycin CAPS 300 mg Novell

Fluconazole INF 200 mg/ 100 ml Quantum Labs

Pantrin SYR 250 mg Harsen Laboratories

Cyclovid INJ 500 mg Novell

Curacil INJ 500 mg Kalbe Farma

Alimta VIAL 100 mg Eli Lilly Div Of Metro

Tamofen TAB 10 mg Kalbe Farma

Acarbose TAB 100 mg Dexa Medica

Euthyrox TAB 100 mcg Merck Div Biopharma

Loratadine TAB 10 mg Hexpharm Jaya

Fructose; Glucose; Xylitol

Infusan D5 + 1/4 Ns INF 50 gr/l+(na+ 38.5 ; Sanbe Farma

Infusan Ring As Dp INF Sanbe Farma

Fenicol Eo 3.5 Gram EYE OINT 10 mg Cendo

Framycetin Sulphate, Gramicidin, Dexamethasone

Glauseta TAB 250 mg Sanbe Farma

14i PREPARAT MATA GOLONGAN LAIN

Desoximetason CREAM 0.25 mg Dexa Medica

18a ANTIDOTUM & OBAT DETOKSIFIKASI

30d KALSIUM/DENGAN VITAMIN

Folamil CAPL 10000 iu, 10 mg, Dexa Medica

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