NO NAMA OBAT

1 2

1 Air Raksa Dental Use

2 Albendazole Tablet 400 mg
3 Alopurinol 100Mg
4 Alopurinol 300Mg
5 Alprazolam 1mg
6 Ambroksol 30 mg
7 Ambroksol sirup
8 Aminofillin Injeksi
9 Aminofillin 200 mg
10 Amitriptillin 25 mg
11 Amlodipin 5 mg
12 Amlodipin 10 mg
13 Amoksisillin 250 mg
14 Amoksisillin 500 mg
15 Amoksisillin Injeksi 1000 mg
16 Amoksisillin Sirup 125 mg/5ml
17 Amoksisillin Sirup 250
mg/5 ml
18 Ampisilin 250 mg
19 Ampisillin 500 mg
20 Ampisilin Sirup
21 Ampisillin Injeksi
22 Analgetik Plus
23 Antasida Doen
Suspensi
24 Antasida Doen Tablet
25 Antasida Plus Tablet
26 Antalgin 500 mg
27 Antalgin Injeksi
28 Anti Bakteri DOEN
Salep
29 Anti Hemoroid
30 Anti Fungi DOEN
31 Antimigren DOEN
32 Anti Diare Suspensi
33 Anti Diare Tablet
34 Anti Dotum(Norit)
35 Anti Hipertensi Kapsul
36 Antihistamin
37 Antispasmodik Tablet
38 Antitusiva Sirup
39 Antitusiva Tablet
40 Asam Folat Tablet 1 mg
41 Asam Askorbat (Vit. C)
42 Asam Mefenamat 500 mg
43 Asetosal 80 mg
44 Asetosal 100 mg
45 Asetosal 500 mg
46 Asiklovir Krim
47 Asiklovir 200 mg
48 Asiklovir 400 mg
49 Attalpugit
50 Atropin Sulfat Injeksi
51 Aqua Pro Injeksi Steril
52 Bahan Tambal sementara
53 Betahistin
54 Betametason Krim
55 Bisakodil supp
56 Bisoprolol
57 Bromheksin
58 Deksametason Injeksi
59 Deksametason 0,5 mg
60 Devitalisasi Pasta
61 Diazepam 2 mg
62 Diazepam 5 mg
63 Diazepam Injeksi
64 Diazepam Larutan Rektal
65 Dietilkarbamazin Sitrat100 mg
66 Difenhidramin HCl Injeksi
67 Digoksin 0,25 mg
68 Dimenhidrinat 50 mg
69 Domperidon 10 mg
70 Donperidon Suspensi
71 Efedrin Hcl 25 mg
72 Ekstrak Belladone 10 mg
73 Epinefrin HCl
74 Eritromisin 250 mg
75 Eritromisin 500 mg
76 Eritromisin Sirup
77 Etambutol 500 mg
78 Etanol 70 % 100 ml
79 Etil Klorida Semprot
80 Eugenol Cairan -10 ml
81 Fenitoin Natrium 100 mg
82 Fenobarbital tablet
83 Fenobarbital injeksi
 84 Fenoksimeti Penisilin 250 mg
85 Fenoksimeti Penisilin 500 mg
86 Fenol Gliserol Tetes Telinga
87 Fitomenadion tablet
88 Fitomenadion (Vit K1) Injeksi
89 Fenol Gliserol Tetes Telinga
90 Furosemid Tablet 40 mg
91 Furosemid Inj
92 Garam Oralit
93 Gemfibrozil Tab 600 mg
94 Gentian Violet
95 Gentamisin inj
96 Gentamisin S. Kulit
97 Glass Ionomer
98 Glibenklamid
99 Glimepiride 2 mg
100 GGK tab
101 GGK sirup
102 Glukonas injeksi
103 Glukosa 5 %
104 Glukosa 10 %
105 Griseofulvin Tab
106 Haloperidol Tablet 0,5 mg
107 Haloperidol Tablet 1,5 mg
108 Haloperidol Tablet 5 mg
109 HCT Tab 25 mg
110 Hidrokortison Krim
111 Ibuprofen 200 mg
112 Ibuprofen 400 mg
113 Ibuprofen Susp
114 Ichtyol salep Kulit
115 Isoniazid tablet 100 mg

116 Isosorbid Dinitrat 5 mg

117 Kal. Diklofenak 25 mg
118 Kal. Diklofenak 50 mg
119 Kalsium Hidroksida Pasta
120 Kalsium Laktat500 mg
121 Kaptopril 12,5 mg
122 Kaptopril 25 mg
123 Karbamazepin 200 mg
124 Ketokonazole Krim
125 Ketokonazole 200 mg
126 Ketoprofen 100 mg
127 Ketoprofen Injeksi
128 Ketorolac 10 mg injeksi
129 Ketorolac 30 mg injeksi
130 Klindamisin 150 mg
131 Klindamisin 300 mg
132 Kloramfenikol 250 mg
133 Kloramfenikol Salep Mata
134 Kloramfenikol Tetes Mata
135 Kloramfenikol Tetes Telinga
136 Klorfeniramin Maleat (CTM) 4 mg
137 Klorpromazin Hcl 25 mg
138 Klorpromazin Hcl 100 mg
139 Klorpromazin Hcl Injeksi
140 Kombinasi Ipatropium
Bromide + Salbutamol

141 Kombipak Cefixime +

Azithromicin
142 Kotrimoksazol Pedriatik

143 Kotrimoksazol Tablet,

Kombinasi
144 Kotrimoksazol
Suspensi
145 Lansoprazole Kapsul
146 Larutan mengadung
Elektrolit
147 Larutan mengadung
Elektrolit
148 Larutan mengadung
Karbohidrat + Elektrolit

149 Lidokain injeksi 2 %

150 Lidokain Komp Injeksi,
Kombinasi
151 Loperamid 2 mg
152 Loratadin 10 mg
153 Magnesium Sulfat (IV) 20 %-25 ml
154 Magnesium Sulfat (IV) 40 %-25 ml
155 Meloksikam 15 mg
156 Meloksikam Suppositoria
157 Metformin Hcl 500 mg
158 Methisoprinol 500 mg
159 Metilergometrin Maleat 0,125 mg
160 Metilergometrin Maleat Injeksi
161 Metilprednisolon 4 mg
162 Metoklopramid 10 mg
163 Metoklorpropamid Injeksi
164 Metronidazol 250 mg
165 Metronidazole 500 mg
166 Metronidazole Infus
167 Mikonazole KrIm
168 Multivitamin + Mineral
169 Multivitamin sirup
170 Natrium Bikarbonat Tablet
171 Natrum Diklofenak 25 mg
172 Natrium Diklofenak 50 mg
173 NaCL infus
174 Nipedifin Tablet
175 Nistatin Vagina Supp
176 Nistatin Tablet
177 Obat Anti TBC Anak
178 Obat Anti TBC 1 Dewasa
179 Obat Anti TBC 2 Dewasa
180 Obat Antti TBC 3 Dewasa
181 Obat FDC Anak
182 Obat FDC Kat I & II
183 Obat FDC Kat I & III
184 Obat FDC Sisipan Dewasa
185 Obat Batuk Hitam (OBH)
186 Obat Batuk Cair Sirup(Holidryl)
187 Obat Batuk Hitam Plus( Exocin)
188 Obat Flu Sirup
189 Oksiterasiklin Hcl injeksi
190 Oksiterasiklin Salep Mata
191 Oksitetrasiklin Hcl Salep Kulit
192 Oksitosin Injeksi
193 Omeprazole injeksi
194 Omeprazole Kapsul
195 Ondansetron inj
196 Parasetamol drop
197 Parasetamol Sirup
198 Parasetamol 100 mg
199 Parasetamol 500 mg
200 Pehacain injeksi
201 Perak Sulfadiazin krim
202 Permetrin krim 5%
203 Piracetam 400 mg
204 Piracetam 800 mg
205 Piroksikam 20 mg
206 Pirantel Pamoat
207 Piridoksin Hcl (Vit.B6)
208 Polikresulen
209 Povidon Iodida 10% 30 ml
210 Povidon Iodida 10% 300 ml
211 Prednison 5 mg
212 Primakuin tablet
213 Propanolol Hcl 40 mg
214 Propilturasil 100 mg
215 Ranitidin Injeksi
216 Ranitidin Tablet
217 Retinol (Vit. A) 100.000 IU Kapsul
218 Retinol (Vit. A) 200.000 IU Kapsul
219 Reserpin 0, 25 mg
220 Rifampisin 450 mg
221 RL
222 Salbutamol 2 mg
223 Salbutamol 4 mg
224 Salbutamol solution
225 Salep 2-4
226 Salisil bedak
227 Salep Luka Bakar
228 Sefadroksil Sirup
229 Sefadroksil Tablet
230 Sefiksim 100 mg
231 Sefotaksim Injeksi
232 Seftriakson Injeksi
233 Semen Seng Fosfat
234 Setirizin Tablet
235 Setirizin Sirup
236 Sianokobalamin Injeksi
237 Sianokobalamin Tablet
238 Silver Amalgam Serbuk
239 Simetidin Tablet
240 Simvastatin Tablet
241 Siprofloksasin 500mg
242 Spironolakton 25 mg
243 Sulfacetamid Tetes Mata
244 Tablet Tambah
Darah(FE)
245 Temporary Stopping
Fletcher
246 T K F Cairan
247 Tetrasiklin 250 mg
248 Tetrasiklin 500 mg
249 Thiamin Hcl (Vit B1) Injeksi
250 Tiamin Hcl (Vit.B1) Tablet
251 Thiamfenikol 500 mg
252 Tramadol Injeksi
253 Tramadol Tablet
254 T H F 2 mg
255 Vitamin B .Komplek
256 Vitamin Neurotropik
257 Zinc Tablet 20 mg
258 Dulcolax 5mg

B. BAHAN MEDIS HABIS PAKAI (BMHP)

1 Abbocath No 18 ( IV Chateter 18 )
2 Abbocath No 20 ( IV Chateter 20 )
3 Abbocath No 22 ( IV Chateter 22 )
4 Abbocath No 24 ( IV Chateter 24 )
5 Alat gula, kolesterol,Asam urat
6 Alat Suntik 1 ml
7 Alat Suntik 2,5 ml
8 Alat Suntik 5 ml
9 Alat Suntik 10 ml
10 Alkohol swab
11 ADS 0,05 ml
12 ADS 0,5 ml
13 ADS 5 ml
14 Catgut
15 Etakridin Larutan (Rivanol)
16 Etanol 70 % 1.000 ml
17 Folley Catheter no 14
18 Folley Catheter no 16
19 Folley Catheter no 18
20 Infus set Anak
21 Infus set Dewasa
22 Iodina Test
23 Kapas Berlemak 500 gram
24 Kapas Pembalut/ Adsorbens 250 gram
25 Kassa Pembalut 2 m x 80 cm
26 Kassa Pembalut Hidrofil 4 m x 3 cm
27 Kassa Pembalut Hidrofil 4 m x 15 cm
28 Kassa Pembalut Hidrofil Steril 16x16
29 Kassa Kompres 40x40 steril
30 Kertas Puyer
31 Lysol 1,000 ml
32 Masker
33 Plester 5 yard x 2 inchi
34 Polifix 5cmx5m
35 Pot Dahak
36 Rapid HIV 1 (SD HIV)
37 Rapid HIV 2 (Intec HIV)
38 Rapid HIV 2 (Biomeriux HIV)
39 Rapid Test Syphilis
40 RPR Test Syphilis
41 Silk( Benang Bedah Sutra ) No 3/0
42 Safety Box
43 Sarung tangan Steril No 6
44 Sarung tangan Steril No 7
45 Sarung tangan Steril No 7,5
46 Sarung tangan Non Steril S
47 Sarung tangan Non Steril M
48 Sarung tangan Non Steril L
49 Stik Pemeriksaan Gula Darah
50 Stik Pemeriksaan Kolesterol
51 Stik Pemeriksaan Asam urat
52 Supratul
53 Urine Bag
54 Wing Neddle No 23

C. SERUM DAN VAKSIN

1 Serum Anti Bisa Ular Polivalen (ABU I )
2 Serum Anti Rabies untuk manusia
3 Serum Anti Tetanus(ATS) Injeksi 1.500 IU
4 Serum Anti Tetanus(ATS) Injeksi 20.000IU
5 Vaksin BCG
6 Vaksin Campak 10 Dosis
7 Vaksin DT
8 Vaksin TD
9 Vaksin DTP-HB
10 Vaksin DPT-HB/Hib
11 Vaksin HB Uniject
12 Vaksin Polio
13 Vaksin TT
 D
1 Deksametason 0,5 mg Tablet
4 Digoksin 0,25 mg Tablet
5 Dimenhidrinat 50 mg Tablet
6 Domperidon 10 mg Tablet
F
1 Fitomenadion tablet Tablet
2 Furosemid Tablet 40 mg Tablet
G
1 Glibenklamid Tablet
2 Glimepiride 2 mg Tablet
3 GGK tab Tablet
4 Griseofulvin Tab Tablet
H
109 HCT Tab 25 mg Tablet
I
1 Ibuprofen 200 mg Tablet
2 Isoniazid tablet 100 mg Tablet
3 Isosorbid Dinitrat 5 mg Tablet
K
1 Kal. Diklofenak 50 mg Tablet
2 Kalsium Laktat500 mg Tablet
 3 Kaptopril 12,5 mg Tablet
4 Kaptopril 25 mg Tablet
5 Klorfeniramin Maleat (CTM) 4 m Tablet
6 Kotrimoksazol Tablet, Tablet
Kombinasi L
1 Loperamid 2 mg Tablet
2 Loratadin 10 mg Tablet
M
1 Metformin Hcl 500 mg Tablet
2 Metilprednisolon 4 mg Tablet
3 Metoklopramid 10 mg Tablet
N
1 Natrium Bikarbonat Tablet Tablet
2 Nipedifin Tablet Tablet
3 Nistatin Tablet Tablet
P
205 Piroksikam 20 mg Tablet
207 Piridoksin Hcl (Vit.B6) Tablet
211 Prednison 5 mg Tablet
S
223 Salbutamol 4 mg Tablet
224 Salbutamol solution Tablet
239 Simetidin Tablet Tablet
T
247 Tetrasiklin 250 mg KAPSUL
248 Tetrasiklin 500 mg KAPSUL
250 Tiamin Hcl (Vit.B1) Tablet Tablet
251 Thiamfenikol 500 mg KAPSUL
V
255 Vitamin B .Komplek Tablet
Z
257 Zinc Tablet 20 mg Tablet

B. BAHAN MEDIS HABIS PAKAI (BMHP) Buah

1 Abbocath No 18 ( IV Chateter 18 ) Buah
2 Abbocath No 20 ( IV Chateter 20 ) Buah
3 Abbocath No 22 ( IV Chateter 22 ) Set
4 Abbocath No 24 ( IV Chateter 24 ) Set
5 Alat gula, kolesterol,Asam urat Buah
6 Alat Suntik 1 ml Set
7 Alat Suntik 2,5 ml Set
8 Alat Suntik 5 ml set
9 Alat Suntik 10 ml set
10 Alkohol swab Kotak
11 ADS 0,05 ml set
12 ADS 0,5 ml set
13 ADS 5 ml Sachet
14 Catgut Botol
15 Etakridin Larutan (Rivanol) Botol
16 Etanol 70 % 1.000 ml Set
17 Folley Catheter no 14 Set
18 Folley Catheter no 16 Set
19 Folley Catheter no 18 Set
20 Infus set Anak Set
21 Infus set Dewasa Botol
22 Iodina Test Kotak
23 Kapas Berlemak 500 gram Bungkus
24 Kapas Pembalut/ Adsorbens 250 gram Bungkus
25 Kassa Pembalut 2 m x 80 cm Rol
26 Kassa Pembalut Hidrofil 4 m x 3 cm Rol
 27 Kassa Pembalut Hidrofil 4 m x 15 cm Pcs
28 Kassa Pembalut Hidrofil Steril 16x16 Kotak
29 Kassa Kompres 40x40 steril Kotak
30 Kertas Puyer Botol
31 Lysol 1,000 ml
Buah

32 Masker Rol
33 Plester 5 yard x 2 inchi Pcs
34 Polifix 5cmx5m Rol
35 Pot Dahak Pcs
36 Rapid HIV 1 (SD HIV) Pcs
37 Rapid HIV 2 (Intec HIV) Pcs
38 Rapid HIV 2 (Biomeriux HIV) Pcs
39 Rapid Test Syphilis Pcs
40 RPR Test Syphilis Sachet
41 Silk( Benang Bedah Sutra ) No 3/0 Pcs
42 Safety Box Pcs
43 Sarung tangan Steril No 6 Pcs
44 Sarung tangan Steril No 7 Pcs
45 Sarung tangan Steril No 7,5 Pcs
46 Sarung tangan Non Steril S Pcs
47 Sarung tangan Non Steril M Pcs
48 Sarung tangan Non Steril L set
49 Stik Pemeriksaan Gula Darah Test
50 Stik Pemeriksaan Kolesterol Test
51 Stik Pemeriksaan Asam urat Test
52 Supratul Pcs
53 Urine Bag Set
54 Wing Neddle No 23 Set

C. SERUM DAN VAKSIN

1 Serum Anti Bisa Ular Polivalen (ABU I ) Vial
2 Serum Anti Rabies untuk manusia Vial
3 Serum Anti Tetanus(ATS) Injeksi 1.500 IU Ampul
4 Serum Anti Tetanus(ATS) Injeksi 20.000IU Vial
5 Vaksin BCG Ampul
6 Vaksin Campak 10 Dosis Vial
7 Vaksin DT Vial
8 Vaksin TD Vial
9 Vaksin DTP-HB Vial
10 Vaksin DPT-HB/Hib Vial
11 Vaksin HB Uniject Pcs
12 Vaksin Polio Vial
13 Vaksin TT Vial
NO NAMA OBAT SATUAN

1 2 3

1 Air Raksa Dental Use Botol

2 Albendazole Tablet 400 mg Tablet

3 Alopurinol Tablet 100 mg Tablet

4 Alopurinol Tablet 300 mg Tablet

5 Alprazolam 1 mg Tablet

6 Ambroksol Tablet 30 mg Tablet

7 Ambroksol sirup 15 mg/5 ml Botol

8 Aminofillin Injeksi 24 mg/ml-10 ml Ampul

9 Aminofillin Tablet 200 mg Tablet

10 Amitriptillin Hcl Tablet Salut 25 mg Tablet

11 Amlodipin Tablet 5 mg Tablet

12 Amlodipin Tablet 10 mg Tablet

13 Amoksisillin Kapsul 250 mg Kapsul

14 Amoksisillin Kaplet 500 mg Kaplet

15 Amoksisillin Serbuk Injeksi 1000 mg vial

16 Amoksisillin Sirup Kering 125 mg/5ml Botol

17 Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol

18 Ampisilin Kapsul 250 mg Kapsul

19 Ampisillin Kaplet 500 mg Tablet

20 Ampisilin Sirup 125 mg / 5 ml Botol

21 Ampisillin Injeksi 1000 mg Vial

22 Analgetik Plus Tablet

23 Antasida Doen Suspensi Botol

24 Antasida Doen Tablet, Tablet

25 Antasida Plus Tablet Tablet

26 Antalgin (Metampiron) Tablet 500 mg Tablet

27 Antalgin Injeksi 250 mg/ml-2ml Ampul

Anti Bakteri DOEN Salep Kombinasi :
28 Tube
Basitrasin 500 IU/g + Polimiksin 1000 IU/g
29 Anti Hemoroid Doen komb Supp

30 Anti Fungi DOEN Kombinasi : Pot

31 Antimigren DOEN Kombinasi : Tablet

32 Anti Diare Suspensi Botol

33 Anti Diare Tablet Tablet

34 Anti Dotum Oral Tablet Tablet

35 Anti Hipertensi Kapsul Tablet

36 Antihistamin Tablet kombinasi Tablet

37 Antispasmodik Tablet Tablet

38 Antitusiva Sirup Botol

39 Antitusiva Tablet Tablet

40 Asam Folat Tablet 1 mg Tablet

41 Asam Askorbat (Vit. C) Tablet 50 mg Tablet

42 Asam Mefenamat Kapsul 500 mg Kapsul

43 Asetosal 80 mg Tablet

44 Asetosal Tablet 100 mg Tablet

45 Asetosal Tablet 500 mg Tablet

46 Asiklovir Krim 5 % Tube

47 Asiklovir Tablet 200 mg Tablet

48 Asiklovir Tablet 400 mg Tablet

49 Attapulgit Tablet

50 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul

51 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial

52 Bahan Tambal Sementara Set

53 Betahistin Mesilat 6 mg Tablet

54 Betametason Krim 0,1 %- 5g Tube

55 Bisakodil suppositoria 10 mg Supp

56 Bisoprolol Tablet 5 mg Tablet

57 Bromheksin 8 mg Tablet

58 Deksametason Injeksi 5mg/ml-1ml Ampul

59 Deksametason Tablet 0,5 mg Tablet

60 Devitalisasi Pasta (Non Arsen) Botol

61 Diazepam tablet 2 mg Tablet

62 Diazepam tablet 5 mg Tablet

63 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul

64 Diazepam Larutan Rektal 5 mg/ml Supp

65 Diazepam Larutan Rektal 10 mg/ml Supp

66 Dietilkarbamazin Sitrat Tablet 100 mg Tablet

67 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul

68 Digoksin Tablet 0,25 mg Tablet

69 Dimenhidrinat Tablet 50 mg Tablet

70 Domperidon Tablet 10 mg Tablet

71 Donperidon Suspensi 5 mg/5ml Botol

72 Efedrin Hcl Tablet 25 mg Tablet

73 Ekstrak Belladone Tablet 10 mg Tablet

74 Epinefrin HCl / Bitartrat Ampul

75 Eritromisin Kapsul 250 mg Kapsul

76 Eritromisin Kapsul 500 mg Kapsul

77 Eritromisin Sirup 200 mg / 5 ml Botol

78 Etambutol Tablet 500 mg Tablet

79 Etanol 70 % 100 ml Botol

80 Etil Klorida Semprot -100 ml Botol

81 Eugenol Cairan -10 ml Botol

82 Fenitoin Natrium Kapsul 100 mg Kapsul

83 Fenobarbital tablet 30 mg Tablet

84 Fenobarbital injeksi 50 mg / ml Ampul

85 Fenoksimeti Penisilin 250 mg tablet Tablet

86 Fenoksimeti Penisilin 500 mg tablet Tablet

87 Fenol Gliserol TK Botol

88 Fitomenadion tablet 10 mg Tablet

89 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul

90 Furosemid Tablet 40 mg Tablet

91 Furosemid Injeksi Ampul

92 Garam Oralit I serbuk, kombinasi : Kantong

93 Gemfibrozil Tablet 600 mg Tablet

94 Gentian Violet Botol

95 Gentamisin injeksi 80 mg / 2 ml Vial

96 Gentamisin Salep Kulit 0,1 % Tube

97 Glass Ionomer Anterior Set

98 Glibenklamid Tablet 5 mg Tablet

99 Glimepiride 2 mg Tablet

100 Gliseril Guayakolat Tablet 100 mg Tablet

101 Gliseril Guayakolat sirup Botol

102 Glukonas Kalsikus injeksi Ampul

103 Glukosa Larutan Infus 5 % Botol

104 Glukosa Larutan Infus10 % Botol

105 Griseofulvin Tablet 125 mg,micronized Tablet

106 Haloperidol Tablet 0,5 mg Tablet

107 Haloperidol Tablet 1,5 mg Tablet

108 Haloperidol Tablet 5 mg Tablet

109 Hidroklortiazid (HCT) Tablet 25 mg Tablet

110 Hidrokortison Krim 2,5 % Tube

111 Ibuprofen Tablet 200 mg Tablet

112 Ibuprofen Tablet 400 mg Tablet

113 Ibuprofen Suspensi 100 mg/5 ml Botol

114 Ichtyol salep Kulit Pot

115 Isoniazid tablet 100 mg Tablet

116 Isosorbid Dinitrat 5 mg Tablet

117 Kalium Diklofenak Tablet 25 mg Tablet

118 Kalium Diklofenak Tablet 50 mg Tablet

119 Kalsium Hidroksida Pasta Tube

120 Kalsium Laktat Tablet 500 mg Tablet

121 Kaptopril 12,5 mg Tablet

122 Kaptopril 25 mg Tablet

123 Karbamazepin Tablet 200 mg Tablet

124 Ketokonazole Krim 2 % - 15 gr Tube

125 Ketokonazole Tablet 200 mg Tablet

126 Ketoprofen Tablet 100 mg Tablet

127 Ketoprofen Injeksi 100 mg / 1 ml Ampul

128 Ketorolac 10 mg injeksi Ampul

129 Ketorolac 30 mg injeksi Ampul

130 Klindamisin Kapsul 150 mg Kapsul

131 Klindamisin Kapsul 300 mg Kapsul

132 Kloramfenikol Kapsul 250 mg Kapsul

133 Kloramfenikol Suspensi 125 mg/ 5 ml Botol

134 Kloramfenikol Salep Mata 1%-3,5 g Tube

135 Kloramfenikol Salep Kulit 2 % Tube

136 Kloramfenikol Tetes Mata -5 ml Botol

137 Kloramfenikol Tetes Telinga 3%-5 ml Botol

138 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet

139 Klorpromazin Hcl Tablet Salut 25 mg Tablet

140 Klorpromazin Hcl Tablet Salut 100 mg Tablet

141 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul

142 Kombinasi Ipatropium Bromide + Salbutamol Vial

143 Kombipak Cefixime + Azithromisin Kotak

144 Kotrimoksazol Pedriatik Tablet Tablet

145 Kotrimoksazol Tablet Tablet

146 Kotrimoksazol Suspensi Botol

147 Lansoprazole 30 mg Kapsul Tablet

148 Larutan mengadung Elektrolit Botol

149 Larutan mengadung Elektrolit Botol

150 Larutan mengadung Karbohidrat + Elektrolit Botol

151 Lidokain injeksi 2 % Tablet

152 Lidokain Komp Injeksi Ampul

153 Loperamid Tablet 2 mg Tablet

154 Loratadin tablet 10 mg Tablet

155 Magnesium Sulfat (IV) 20 %-25 ml Ampul

156 Magnesium Sulfat (IV) 40 %-25 ml Ampul

157 Meloksikam tablet 15 mg Tablet

158 Meloksikam Suppositoria Supp

159 Metformin Hcl Tablet 500 mg Tablet

160 Methisoprinol 500 mg Tablet

161 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet

162 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul

163 Metilprednisolon tablet 4 mg Tablet

164 Metoklopramid 10 mg Tablet

165 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul

166 Metronidazol Tablet 250 mg Tablet

167 Metronidazole Tablet 500 mg Tablet

168 Metronidazole Sirup 125 mg Botol

169 Metronidazole Infus 500 mg /100 ml Ampul

170 Mikonazole KrIm 2 % - 10 gr Tube

171 Multivitamin + Mineral tablet Tablet

172 Multivitamin sirup Botol

173 Mummifying Pasta Botol

174 Natrium Bikarbonat Tablet 500 mg Tablet

175 Natrum Diklofenak Tablet 25 mg Tablet

176 Natrium Diklofenak Tablet 50 mg Tablet

177 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol

178 Nipedifin Tablet 10 mg Tablet

179 Nistatin 100.000 IU/gram Tablet Vagina Tablet

180 Nistatin 500.000 IU/gram Tablet Salut Tablet

181 Obat Antitiuberkolosis Kategori Anak Paket

182 Obat Antitiuberkolosis Kategori 1 Dewasa Paket

183 Obat Antitiuberkolosis Kategori 2 Dewasa Paket

184 Obat Antitiuberkolosis Kategori 3 Dewasa Paket

185 Obat Anti Tuberkulosis FDC Kat Anak Paket

186 Obat Anti Tuberkulosis FDC Kat I & II Paket

187 Obat Anti Tuberkulosis FDC Kat I & III Paket

188 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket

189 Obat Batuk Hitam (OBH) Cairan 100 ml Botol

190 Obat Batuk Cair Sirup (Ekspektoran) Botol

191 Obat Batuk Hitam Plus Sirup Botol

192 Obat Flu Sirup Botol

193 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial

194 Oksiterasiklin Salep Mata 1%-3,5g Tube

195 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube

196 Oksitosin Injeksi 10 IU/ml-1ml Ampul

197 Omeprazole injeksi 40mg/10ml Ampul

198 Omeprazole Kapsul 20 mg Tablet

199 Ondansetron inj 4 mg/ 2 mL Ampul

200 Parasetamol drop 100 mg/ml btl @ 15 ml (60 mg/0,6 ml) Botol

201 Parasetamol Sirup 120 mg/5ml-60 ml Botol

202 Parasetamol Tablet 100 mg Tablet

203 Parasetamol Tablet 500 mg Tablet

204 Pehacain injeksi Ampul

205 Perak Sulfadiazin krim 1 % 35 gr Tube

206 Permetrin krim 5 % Tube

207 Piracetam 400 mg Tablet

208 Piracetam Tablet 800 mg Tablet

209 Piroksikam Tablet 20 mg Tablet

210 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet

211 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet

212 Polikresulen Botol

213 Povidon Iodida 10% 30 ml Botol

214 Povidon Iodida 10% 60 ml Botol

215 Povidon Iodida 10% 300 ml Botol

216 Prednison Tablet 5 mg Tablet

217 Primakuin tablet 15 mg Tablet

218 Prokain Benzil Penisilin Injeksi 3.000.000 IU Vial

219 Propanolol Hcl Tablet 40 mg Tablet

220 Propilturasil Tablet 100 mg Tablet

221 Ranitidin Injeksi 25 mg / ml Ampul

222 Ranitidin Tablet 150 mg Tablet

223 Retinol (Vit.A) 100.000 IU Kapsul Kapsul

224 Retinol (Vit.A) 200.000 IU Kapsul Kapsul

225 Reserpin Tablet 0, 25 mg Tablet

226 Rifampisin Tablet 450 mg Tablet

227 Ringer Laktat Larutan Infus Steril 500 ml Botol

228 Salbutamol Tablet 2 mg Tablet

229 Salbutamol Tablet 4 mg Tablet

230 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul

231 Salep 2-4 Kombinasi Pot

232 Salisil bedak 2% -50 gr Kotak

233 Salep Luka Bakar Tube

234 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol

235 Sefadroksil Tablet 500 mg Tablet

236 Sefiksim Kapsul 100 mg Kapsul

237 Sefotaksim Injeksi 1 gr Ampul

238 Seftriakson Injeksi 1 gr / vial Ampul

239 Semen Seng Fosfat Serbuk & Cairan Botol

240 Setirizin Tablet 10 mg Tablet

241 Setirizin Sirup 5 mg / 5 ml Botol

242 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul

243 Sianokobalamin Tablet 50 mcg Tablet

244 Silver Amalgam Serbuk 65-75% Botol

245 Simetidin 200 mg Tablet Tablet

246 Simvastatin Tablet 10 mg Tablet

247 Siprofloksasin 500mg Tablet

248 Spironolakton Tablet 25 mg Tablet

249 Sulfacetamid Tetes Mata 15 %-5ml Botol

250 Tablet Tambah Darah Kombinasi: Tablet

251 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set

252 Trikesol formalin ( T K F ) Cairan 10 ml Botol

253 Tetrasiklin Kapsul 250 mg Kapsul

254 Tetrasiklin Kapsul 500 mg Kapsul

255 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul

256 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet

257 Thiamfenikol Kapsul 500 mg Kapsul

258 Tramadol Injeksi 50 mg/ ml Ampul

259 Tramadol Tablet 50 mg Tablet

260 Triheksifenidil Hidroklorida Tablet 2 mg Tablet

261 Vitamin B .Komplek Tablet Tablet

262 Vitamin Neurotropik Tablet Tablet

263 Zinc Tablet 20 mg Tablet

264 Bahan Pembersih Kavitas Botol

265 Bisakodil suppositoria 5 mg Supp

266 Flour Gel Botol

267 Glass Ionomer Posterior Set

268 Hyposol 3 % Botol

269 Isoniazid tablet 300 mg Tablet

270 MB Dewasa Blister

271 Paramonochlorofenol/CHKM Botol

272 PB Anak Blister

273 PB Dewasa Blister

274 Saliva Ejector pcs

B. BAHAN MEDIS HABIS PAKAI (BMHP)

1 Abbocath No 18 ( IV Chateter 18 ) Buah

2 Abbocath No 20 ( IV Chateter 20 ) Buah

3 Abbocath No 22 ( IV Chateter 22 ) Buah

4 Abbocath No 24 ( IV Chateter 24 ) Buah

5 Alat Gula, Kolesterol, Asam Urat Unit

6 Alat Suntik Sekali Pakai 1 ml Set

7 Alat Suntik Sekali Pakai 2,5 ml/3 ml Set

8 Alat Suntik Sekali Pakai 5 ml Set

9 Alat Suntik Sekali Pakai 10 ml Set

10 Alkohol Swab Pcs

11 Auto Disposable Syringe (ADS) 0,05 ml set

12 Auto Disposable Syringe (ADS) 0,5 ml set

13 Auto Disposable Syringe (ADS) 5 ml set

14 Catgut/Benang Bedah No.2/0-3/0 (Plain & Cromic) Sachet

15 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol

16 Etanol 70 % 1.000 ml Botol

17 Folley Catheter no 14 Set

18 Folley Catheter no 16 Set

19 Folley Catheter no 18 Set

20 Infus set Anak Set

21 Infus set Dewasa Set

22 Iodina Test Botol

23 Kapas Berlemak 500 gram Bungkus

24 Kapas Pembalut / Adsorbens 250 gram Bungkus

25 Kassa Pembalut 2 m x 80 cm Rol

26 Kassa Pembalut Hidrofil 4 m x 3 cm Rol

27 Kassa Pembalut Hidrofil 4 m x 15 cm Rol

28 Kassa Hidrofil Steril 16 x 16 Kotak

26 Kassa Kompres 40 x 40 steril Bungkus

30 Kertas Puyer Pcs

31 Lysol 1,000 ml Botol

32 Masker Buah

33 Plester 5 yard x 2 inchi Rol

34 Polifix 5 cm x 5 m Rol

35 Pot Dahak Pcs

36 Rapid HIV 1 (SD HIV) Pcs

37 Rapid HIV 2 (Intec HIV) Pcs

38 Rapid HIV 2 (Biomeriux HIV) Pcs

39 Rapid Test Syphilis Pcs

40 RPR Test Syphilis Pcs

41 Silk( Benang Bedah Sutra ) No 3/0 Sachet

42 Safety Box Pcs

43 Sarung tangan Steril No 6 Pcs

44 Sarung tangan Steril No 7 Pcs

45 Sarung tangan Steril No 7,5 Pcs

46 Sarung tangan Non Steril S Pcs

47 Sarung tangan Non Steril M Pcs

48 Sarung tangan Non Steril L Pcs

49 Stik Pemeriksaan Gula Darah Test

50 Stik Pemeriksaan Kolesterol Test

51 Stik Pemeriksaan Asam Urat Test

52 Supratul Pcs

53 Urine Bag set

54 Wing Neddle No 23 Set

55 Cairan Antiseptik Hand Rub Botol

56 Kaca Slide Box

57 Rapid HIV 2 (Oncoprobe) Pcs

58 Reagen Ziehl Nelson Kit

C. SERUM DAN VAKSIN

1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial

2 Serum Anti Rabies untuk manusia Vial

3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul

4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial

5 Vaksin BCG Ampul

6 Vaksin Campak 10 Dosis Vial

7 Vaksin DT Vial

8 Vaksin TD Vial

9 Vaksin DTP-HB Vial

10 Vaksin DPT-HB/Hib Vial

11 Vaksin HB Uniject Pcs

12 Vaksin Polio Vial

13 Vaksin TT Vial
14 IPV Vial

15 Serum ATS 250 IU Vial