FORMULARIUM PELAYANAN KESEHATAN OBAT

UPT PUSKESMAS PAMULANG

NO Nama Obat Khasiat

Satuan
LIFE SAVING
2 Epinefrin HCL Inj Ampul
6 Diazepam Lar Rektal 10 mg/ml Tube
ANTIINFEKSI
10 Albendazol 400 mg Tablet 240
11 Amoksilin Kap.500 mg Tablet 0
12 Amoksilin Kap. 250 mg (Apbd) Kapsul 1805
13 Amoksilin syr kering 250 mg/ ml Botol 125
15 Amoksisilin Drops 100 mg/ml Botol 7
19 Ciprofloxacin 500 mg Tablet 480
20 Doxyciclin 100 mg Tablet 360
29 Ketoconazole 200 mg Tablet 70
31 Klindamisin 300 mg Capsul 413
34 Kotrimoksazol Adult 480 mg Tablet 664
35 Kotrimoksazol Suspensi 240 mg/5 ml Botol 173
SALURAN PERNAPASAN
56 Ambroxol tab 30 mg Tablet 0
57 Ambroxol Syrup 15 mg Botol 0
59 Gliseril Guayakolat 100 mg Tablet 0
60 Komb : Ipatropium Br 0.5 mg, salbutamol 2,5 mg nebu Vial 10
64 Salbutamol 2 mg Tablet 529
ANALGETIK,ANTIPIRETIK,ANTIINFLAMASI,AINS
67 Asam Mefenamat 500 mg Tablet 792
68 Betahistine mysilat 6 mg Tablet 0
71 Ibuprofen 400 mg Tablet 0
72 Ibuprofen sirup 200 mg/ 5 ml Botol 0
74 Na.Diklofenak 50 mg Tablet 0
76 Parasetamol 500 mg Tablet 17818
77 Parasetamol syr 120 mg/5 ml 60 ml Botol 701
78 Piroksikam 10 mg Tablet 0
SISTEM PENCERNAAN
79 Antasida DOEN Tablet 3848
80 Antasida DOEN susp Botol 217
81 Antihemoroid suppositoria Supp 0
82 Atapulgit tab 600 mg Tablet 0
83 Bisakodil sup 5 mg Supp 0
84 Bisakodil 5 mg Tablet 0
85 Dimenhidrinat tab 50 mg Tablet 0
86 Domperidon 10 mg Tablet 260
87 Domperidon sirup 5 mg/5 ml Botol 0
88 Garam Oralit 200 ml Sase 306
89 Hiosina Butilbromida 10 mg Tablet 0
 90 Karbo Adsorben 250 mg Tablet 0
91 Metoklopramide sirup 5 mg/ml Botol 0
92 Natrium Bicarbonat 500 mg Tablet 0
93 Komb Kaolin 550 mg + pektin 20 mg Tablet 0
94 Omeprazol 20 mg Capsul 0
95 Omeprazol inj 40 mg / 10 ml Ampul 0
96 Ranitidin tab 150 mg Tablet 1099
97 Zinc dispersibel Tablet 727
JANTUNG DAN PEMBULUH DARAH
98 Amlodipine 5 mg Tablet 1416
99 Amlodipin 10 mg Tablet 0
100 Atenolol 50 mg Tablet 0
101 Captopril 12,5 mg Tablet 536
102 Captopril 25 mg Tablet 0
103 Digoksin 0,25 mg Tablet 0
104 Diltiazem 30 mg Tablet 0
105 Furosemid 40 mg Tablet 0
106 Hidrokortiazid HCT tab 25 mg Tablet 0
107 Isosorbid Dinitrat 5 mg tablet Tablet 20
108 Metyldopa tab 250 mg Tablet 0
109 Nifedipin tab 10 mg Tablet 0
110 Reserpin 0,25 mg Tablet 0
111 Spironolakton 25 mg Tablet 0
OBAT MATA
112 Klorampenicol S.M 1 % Tube 59
113 Koramfenikol TM 1 % Botol 0
OBAT KULIT
114 Anti Bacitracin DOEN SK Tube 0
115 Antifungi SK Pot 58
116 Acyclovir cream 5 % Tube 91
117 Betametason Crem 0,1 % Tube 66
118 Bedak Salisil serbuk 2 % Dus 3
119 Hidrokortison Crem 2,5 % Tube 65
120 Ichtyol Sk Pot 0
121 Ketokonazol krim 2% Tube 0
122 Kloramfenikol SK 2% Tube 0
123 Perak Sulfadiazin krim 1% Tube 0
124 Mikonazol krim 2% Tube 57
125 Permetrin Krim 5 % Tube 71
126 Salep 2-4 Pot 92
VITAMIN DAN MINERAL
127 Asam Askorbat (Vit C) tab 50 mg Tablet 1016
128 Asam Askorbat (Vit C) tab 250 mg Tablet 761
129 Asam Folat 1 mg Tablet 0
130 Kalsium laktat (kalk) tab 500 mg Tablet 1109
131 Multivitamin dan Mineral Tablet 0
132 Mineral Mix Sase 0
133 Piridoksin HCL 10 mg tablet Tablet 924
 134 Retinol (Vit. A) 100,000 IU Kap Lunak Capsul 70
135 Retinol (Vit. A) 200,000 IU Kap Lunak Capsul 551
136 Sianokobalamin (Vitamin B12) tab 50 mcg Tablet 790
137 Tablet Tambah Darah/FE Tablet 1298
138 Thiamin HCL 50 mg Tablet 1536
139 Vit. B. Complex Tablet 0
140 Vit. Syrup Anak 60 ml Botol 0
DARAH,AS URAT,KOLESTEROL
141 Alopurinol 100 mg Tablet 368
142 Fitomenadion /Vit K 10 mg Tablet 163
143 Fitomenadion /Vit K Inj 2 mg/ml Ampul 0
144 Gemfibrozil 300 mg Tablet 0
145 Metilergometrin Maleat 0,125 mg Tablet 0
146 Metilergometrin Maleat 0,200 mg 1ml inj Ampul 0
147 Simvastatin 10 mg Tablet 253
MULUT,THT
148 Borax Glicerin Botol
149 Fenol Glicerol Tetes Telinga 10 % Botol
150 Gentian Violet Lart 1 % 10 ml Botol
151 Kloramfenikol tetes Telinga 3 % 10 ml Botol
 Efek
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