RKO 2017 Prov Jawa Barat Kab. Bandung
NO
NAMA OBAT
1 153*+m*,-)./ "et#lenediamine tetramet#lene p#osp#oni aid$ 44 mg aa ,-)./& ,-)./& 5*46 g samarium& dan 1850 185 mb samarium 153 per ml
2 Adefovir dipivoksil tab 10 mg 3 Air untuk injeksi injeksi amp 20 ml ml 4 Air untuk injeksi injeksi amp 25 ml ml 5 Air untuk irigasi lar inf 1000 ml 6 Akarbose Akarbose tab 100 100 mg 7 Akarbose Akarbose tab 50 mg mg 8 Albendazol susp 200 mg5 ml ! Albendazol Albendazol tab tab 400 mg 10 Albumin serum normal "#uman albumin$ inj 20% 100 ml 11 Albumin serum normal "#uman albumin$ inj 20% 50 ml ml 12 Albumin serum normal "#uman albumin$ inj 25% 100 ml 13 Albumin serum normal "#uman albumin$ inj 25% 20 ml 14 Albumin serum normal "#uman albumin$ inj 25% 50 ml 15 Albumin serum normal "#uman albumin$ inj 5% 250 ml 16 Albumin serum normal "#uman albumin$ inj 5% 50 ml 17 Alopurinol Alopurinol tab 100 mg 18 Alopurinol Alopurinol tab 300 mg 1! Alprazolam Alprazolam tab 0&25 0&25 mg 20 Alprazolam Alprazolam tab 0&5 0&5 mg 21 Alprazolam Alprazolam tab tab 1 mg 22 Alteplase serb inj inj 50 mgvial 23 Amfoterisin ' inj 50 mg10 ml "i(v($ "i(v($ 24 Amfoterisin ' salep mata 1% 25 Amfoterisin ' salep mata 3% 26 Amikasin inj 250 mgml 27 Amilorid Amilorid tab 2&5 2&5 mg 28 Amilorid Amilorid tab 5 mg 2! Aminofilin inj 24 mgml 30 Aminofilin tab 150 mg 31 Aminofilin )ab )ab 200 mg
32 Amiodaron inj 150 mg3 ml ml 33 Amiodaron Amiodaron tab 200 mg 34 Amitriptilin tab sal 25 mg 35 Amlodipin Amlodipin tab tab 10 mg 36 Amlodipin Amlodipin tab tab 5 mg 37 Amoksisilin drops 100 mgml mgml 38 Amoksisilin sir forte forte 250 mg5 mg5 ml 3! Amoksisilin sir kering kering 125 mg5 ml 40 Amoksisili Amoksisilinn tab 250 mg 41 Amoksisili Amoksisilinn tab 500 mg 42 Ampisilin serb inj 1000 mgvial mgvial 43 Ampisilin serb inj 250 mgvial 44 Analog insulin fast ating inj 100 9ml "kemasan "kemasan vial& artridge disposible& penfil artridge$ 45 Analog insulin intermediate ating inj 100 9ml 9ml "kemasan vial& artridge disposible& penfill artridge$ artridge$ 46 Analog insulin long ating "inj 100 9ml 9ml $ 47 Analog insulin long ating "inj 100 9ml$ 9ml$ 48 Analog insulin mi: mi: insulin "inj 100 9ml$ 9ml$ 4! Analog insulin mi: mi: insulin "inj 100 9ml$ 9ml$ 50 Anastrozol Anastrozol tab tab 1 mg 51 Anestetik lokal gigi kombinasi lidokain #l 2% ; epinefrin 1 80(000 inj 2 ml ml 52 Antasida& kombinasi aluminium #idroksida #idroksida 200 mg ; magnesium #idroksida 200 mg 53 Antasida& kombinasi aluminium #idroksida #idroksida 200 mg ; magnesium #idroksida 200 mg 54 Anti /arkinson kombinasi benzerasid 25 mg ; levodopa levodopa 100 mg 55 Antibakteri& kombinasi basitrasin 500 9g; 9g; /olimiskin ' 10(000 9g 56 Antifungi salep& kombinasi asam benzoat 6%; asam salisilat salisilat 3% 57 Anti#emoroid& kombinasi bismut subgalat 150 mg ; #eksaklorofen 2&5 mg ; lidokain lidokain 10 mg; seng oksida 120 mg ; sup ad 2 g 58 Antimalaria kombinasi sulfadoksin 500 mg ; primetamin primetamin 25 mg 5! Aripiperazol oral solution solution 1 mgml mgml 60 Aripiperazol tab dismelt 10 mg mg 61 Aripiperazol tab dismelt 15 mg mg 62 Artemet#er inj inj 80 mgml 63 Artesunat serb inj 60 mgml "i(v(i(m($ "i(v(i(m($ 64 Artiulating paper kertas
66 Asam asetilsalisilat "asetosal$ "asetosal$ tab 80 mg 67 Asam askorbat "vitamin $ tab 250 mg 68 Asam askorbat "vitamin $ tab 50 mg 6! Asam folat folat tab 0&4 mg mg 70 Asam folat folat tab 1 mg 71 Asam folat folat tab 5 mg 72 Asam fusidat tts mata 1% 73 Asam ibandronat inj 6 mg6 ml 74 Asam mefenamat mefenamat kaps 250 mg mg 75 Asam mefenamat mefenamat kaps 500 mg mg 76 Asam pipemidat kaps 400 mg 77 Asam retinoat krim 0&1% 78 Asam salisilat salisilat lar 0&1% 7! Asam salisilat salisilat salep 10% 80 Asam salisilat salisilat salep salep 2% 81 Asam salisilat salisilat salep salep 5% 82 Asam traneksamat inj 100 mgml mgml 83 Asam traneksamat inj 50 mgml mgml 84 Asam traneksamat tab 500 mg 85 Asam ursodeoksikolat kaps 250 mg mg 86 Asam zoledronat inj 4 mg5 ml 87 Asetazolamid tab tab 250 mg 88 Asiklovir Asiklovir salep mata mata 3% 8! Asiklovir Asiklovir tab 200 mg mg !0 Asiklovir Asiklovir tab 400 mg mg !1 Asparaginase serb inj 10(000 9vial !2 Atapulgit Atapulgit 600 mg !3 Atapulgit Atapulgit tab 630 mg !4 Atapulgit tablet tablet 650 mg !5 Atapulgit tablet tablet 750 mg !6 Atenolol Atenolol tab 100 mg !7 Atenolol Atenolol tab 50 mg !8 Atorvastat Atorvastatin in tab 10 mg !! Atorvastat Atorvastatin in tab 20 mg 100 Atrakurium inj 25 mg2&5 ml 101 Atropin inj 0&25 mgml "i(m(i(v "i(m(i(v(s(k$ (s(k$ 102 Atropin inj 1 mgml "i(m(i(v "i(m(i(v(s(k$ (s(k$ 103 Atropin Atropin tab 0&5 mg 104 Atropin tts tts mata 0&5% 105 Atropin Atropin tts mata 1% 106 Azatioprin Azatioprin tab 50 mg
107 Azitromisin serb inj 500 mg 108 Azitromisin sir kering 200 mg5 ml 10! Azitromisin tab 250 mg 110 Azitromisin tab 500 mg 111 'a#an tumpatan sementara lar& serb 112 'arium sulfat serb !2 g100 ml 113 'arium sulfat susp 2&2% 114 'arium sulfat susp 55% 115 'arium sulfat susp 65% 116 'edak salisil serb 2% 117 'enzatin penisilin inj 1&2 juta 9ml "i(m($ 118 'enzatin penisilin inj 2&4 juta 9ml "i(m($ 11! 'eratant susp 25 mgml "intratekal$ 120 'eraprost sodium tab 20 mg 121 'eta#istin tab 24 mg 122 'eta#istin tab 6 mg 123 'etaksolol tts mata 0&5% 124 'etametason krim 0&1% 125 'etametason krim 0&5 mgg 126 'etametason salep 0&1% 127 'etametason tts mata 1 mgml 128 'evasizumab inj 25 mgml 12! 'ikalutamid tab sal 150 mg 130 'ikalutamid tab sal 50 mg 131 'isakodil sup 10 mg 132 'isakodil sup 5 mg 133 'isakodil tab sal 5 mg 134 'isoprolol tab 1&25 mg 135 'isoprolol tab 10 mg 136 'isoprolol tab 2&5 mg 137 'isoprolol tab 5 mg 138 'leomisin serb inj 15 mgml 13! 'rinzolamid tetes mata 140 'romokriptin tab 2&5 mg 141 'udesonid airan i# 0&25mgml 142 'udesonid i# 200 mgdosis 143 'udesonid serb i# 100 mgdosis 144 'udesonid*formoterol "fi:ed ombination$= i# 1604&5 mg 145 'udesonid*formoterol "fi:ed ombination$= i# 804&5 mg 146 'upivakain #eav inj 5 mgml "#l$ ; glukosa 8% 147 'upivakain inj 5 mgml "p(v($
148 'usulfan tab salut 2 mg 14! oal tar lar 5 % 150 opper ) 151 -abigatran eteksilat kaps 110 mg 152 -abigatran eteksilat kaps 75 mg 153 -akarbazin serb inj 100 mgvial 154 -akarbazin serb inj 200 mgvial 155 -aktinomisin inj 0&5 mgvial "i(v($ 156 -apson tab sored 100 mg 157 -aunorubisin serb inj 20 mgvial 158 -eferasiroks tab disp 250 mg 15! -eferasiroks tab disp 500 mg 160 -eferipron lar oral 100 mgml 161 -eferipron tab sal 500 mg 162 -eferoksamin mesilat serb inj 500 mgvial 163 -eksametason inj 5 mgml "i(v(i(m($ 164 -eksametason tab 0&5 mg 165 -eksametason tab 4 mg 166 -eksmedetomidin 9nj 100 mgml 167 -esmopresin tab 0&1 mg 168 -esmopresin tab 0&2 mg 16! -esogestrel tab 75 mg 170 -esoksimetason gel 0&05% 171 -esoksimetason krim 0&25% 172 -esoksimetason salep 0&25% 173 -ialisa peritoneal lar intraperitonial 174 -iazepam inj 5 mgml "i(v(i(m($ 175 -iazepam lar rektal 10 mg2&5 ml 176 -iazepam lar rektal 5 mg2&5 ml 177 -iazepam tab 2 mg 178 -iazepam tab 5 mg 17! -ietilkarbamazin tab 100 mg 180 -ifen#idramin inj 10 mgml "i(v(i(m($ 181 -iflukortolon valerat salep berlemak 0&1% 182 -igoksin inj 0&25 mgml 183 -igoksin tab 0&25 mg 184 -iltiazem #l inj 5 mg5 ml 185 -iltiazem #l tab 30 mg 186 -iltiazem inj 25 mg5 ml 187 -iltiazem kaps +> 100 mg 188 -iltiazem kaps +> 200 mg
18! -iltiazem serb inj 10 mg10 ml 1!0 -iltiazem serb inj 50 mgvial 1!1 -iltiazem tab 30 mg 1!2 -imen#idrinat tab 50 mg 1!3 -inatrium edetat tts mata 0&35% 1!4 -inatrium klodronat infus kons 60 mgml 1!5 -.+A "dimerapto suini aid$ 1&1 mg meso*2& 3*dimeraptosuini aidvial 1!6 -obutamin inj 12&5 mgml 1!7 -obutamin inj 25 mgml 1!8 -obutamin inj 50 mgml 1!! -oksazosin mesilat tab 1 mg 200 -oksazosin mesilat tab 2 mg 201 -oksazosin tab 1 mg 202 -oksazosin tab 2 mg 203 -oksisiklin kaps 100 mg 204 -oksisiklin kaps 50 mg 205 -oksorubisin serb inj 10 mgvial "i(v($ 206 -oksorubisin serb inj 50 mgvial 207 -omperidon susp 5 mg5 ml 208 -omperidon tab 10 mg 20! -omperidon tts 5 mgml 210 -onepezil tab 5 mg 211 -onepezil tab eff 10 mg 212 -opamin inj 40 mgml 213 -osetaksel inj 20 mg0&5 ml 214 -osetaksel inj 80 mg2 ml 215 -)/A "diet#lene triamine pentaaeti aid$ 2&06*2&5 mg pentetate alium trisodiumml 216 -utasterid kaps 0&5 mg 217 ,favirens tab sal 600 mg 218 ,favirenz tab 200 mg 21! ,fedrin inj 50 mgml 220 ,ksemestan tab 25 mg 221 ,noksaparin sodium inj 20 mg0&2 ml 222 ,noksaparin sodium inj 40 mg0&4 ml 223 ,noksaparin sodium inj 60 mg0&6 ml 224 ,ntekavir tab sal selaput 0&5 mg 225 ,ntekavir tab sal selaput 1 mg 226 ,pinefrin "adrenalin$ inj 0&1% "i(v(s(k(i(m($ 227 ,pinefrin "adrenalin$ inj 1 mgml
228 ,pirubisin serb inj 10 mg5 ml 22! ,pirubisin serb inj 50 mg25 ml 230 ,rgokalsiferol "vitamin -2$ kaps 50(000 9 231 ,rgokalsiferol "vitamin -2$ susp 10(000 9ml 232 ,rgotamin tab 1 mg 233 ,ritromisin kaps 250 mg 234 ,ritromisin sir 200 mg5 ml 235 ,ritromisin tab 500 mg 236 ,ritropoetin*alfa inj 10(000 9ml 237 ,ritropoetin*alfa inj 2(000 9ml 238 ,ritropoetin*alfa inj 3(000 9ml 23! ,ritropoetin*beta inj 2000 90&3 ml 240 ,rlotinib tab sal selaput 100 mg 241 ,rlotinib tab sal selaput 150 mg 242 ,someprazole inj 40 mgvial 243 ,strogen terkonjugasi tab sal 0&3 mg 244 ,strogen terkonjugasi tab sal 0&625 mg 245 ,tambutol tab 250 mg 246 ,tambutol tab 400 mg 247 ,tambutol tab 500 mg 248 ,tanol 70% airan 70% 24! ,til klorida semprot 100 ml 250 ,tinilestradiol tab 0&05 mg 251 ,tinilestradiol tab 0&5 mg 252 ,tonogestrel implan 68 mg 253 ,toposid inj 20 mgml 254 ,toposid kaps 100 mg 255 ,ugenol 256 ,verolimus tab 0&25 mg 257 ,verolimus tab 0&5 mg 258 ?aktor 9@ kompleks serb inj 1(000 9vial ; pelarut 10 ml 25! ?aktor 9@ kompleks serb inj 500 9vial ; pelarut 260 ?aktor koagulasi 99 14*35 9& faktor koagulasi 99 7*20 9& faktor koagulasi 9@ 25 9& faktor koagulasi @ 14*35 serb inj 250 910 ml 261 ?aktor koagulasi 99 14*35 9& faktor koagulasi 99 7*20 9& faktor koagulasi 9@ 25 9& faktor koagulasi @ 14*35 serb inj 500 910 ml 9 262 ?aktor viia "rekombinan$ serb inj 1 mgvial ; pelarut untuk injeksi 263 ?aktor 999 "konsentrat$ serb inj 230 *340 9 264 ?aktor 999 "konsentrat$ serb inj 250 9vial ; pelarut 5 ml 265 ?aktor 999 "konsentrat$ serb inj 480 * 600 9 266 ?aktor 999 "konsentrat$ serb inj 500 9vial ; pelarut 5 ml
267 ?aktor 999 serb inj 1000 mgvial 268 ?aktor 999 serb inj 2000 mgvial 26! ?enitoin a inj 100 mg2 ml 270 ?enitoin a inj 50 mgml 271 ?enitoin a kaps 100 mg 272 ?enitoin a kaps 30 mg 273 ?enobarbital inj 50 mgml 274 ?enobarbital tab 100 mg 275 ?enobarbital tab 30 mg 276 ?enofibrat kaps 100 mg 277 ?enofibrat kaps 300 mg 278 ?enoksimetil penisilin "penisilin $ tab 125 mg 27! ?enoksimetil penisilin "penisilin $ tab 250 mg 280 ?enoksimetil penisilin "penisilin $ tab 500 mg 281 ?enoterol #br aerosol 100 mgpuff 282 ?enoterol #br airan i# 0&1% 283 ?entanil inj 0&05 mgml "i(v($ 284 ?entanil pat# 12&5 mgjam 285 ?entanil pat# 25 mgjam 286 ?entanil pat# 50 mgjam 287 ?errakrilum airan 1% 288 ?erro fumarat kaps lunak 300 mg 28! ?erro sulfat sir( 15 mg5 ml 2!0 ?erro sulfat tab salut 300 mg 2!1 ?ilgrastim inj 300 mgml 2!2 ?inasterid tab 5 mg 2!3 ?itomenadion "vitamin B 1$ inj 2 mgml "i(m($ 2!4 ?itomenadion "vitamin B 1$ tab sal 10 mg 2!5 ?itomenadion "vitamin B1$ inj 10 mgml "i(m$ 2!6 ?ludarabin inj 50 mgvial 2!7 ?ludarabin tab sal 10 mg 2!8 ?lufenazin inj 25 mgml "i(m($ 2!! ?lukonazol inj 2 mgml 300 ?lukonazol kaps 150 mg 301 ?lukonazol kaps 50 mg 302 ?luoksetin kaps 10 mg 303 ?luoksetin kaps 20 mg 304 ?luor kapl 1 mg 305 ?luor sediaan topikal 306 ?luor tab 0&5 mg 307 ?luoresein injeksi 10%
308 ?luoresein tts mata 2&5 mgml 30! ?luoro deo: gluose "?-C$ 310 ?luorometolon tts mata 0&1% 311 ?luorourasil 9nj 25 mgml 312 ?luorourasil inj 250 mgml 313 ?luorourasil inj 50 mgml "i(v($ 314 ?luorourasil serb inj 250 mg 315 ?lusinolon asetonid krim 0&025% 316 ?lusinolon asetonid salep 0&025% 317 ?lutikason furoat intranasal spra 318 ?lutikason propionat airan i# 0&5 mgdosis 31! ?ondaparinuks inj 2&5 mg0&5 ml 320 ?ormokresol 321 ?raksi protein plasma lar inf 5% 322 ?ramisetin +ulfat )ulle 1% 323 ?urosemid inj 10 mgml "i(v(i(m($ 324 ?urosemid tab 40 mg 325 Cabapentin kaps 100 mg 326 Cabapentin kaps 300 mg 327 Cadobutrol maroli 328 Cadodiamid inj 287 mg10 ml 32! Cadoksetat disodium 0&25 mmol gadoksetat disodiumml 330 Calatose miropartile 200*400 mg miropartml 331 Cansiklovir serb inj 500 mgvial 332 Caram oralit kombinasi natrium klorida 0&52 g ; kalium klorida 0&30 g ; trinatrium sitrat 0&58 g ; glukosa an#idrat 2&7 g 333 Cefitinib tab 250 mg 334 Cemfibrozil kaps 300 mg 335 Cemfibrozil kaps 600 mg 336 Cemsitabin inj 1000 mgvial 337 Cemsitabin inj 200 mgvial 338 Centamisin inj 10 mgml 33! Centamisin inj 40 mgml 340 Centamisin inj 80 mgml 341 Centamisin salep mata 0&3% 342 Centamisin tts mata 0&3% 343 Class ionomer A>) "Atraumati >estorative )reatment$ ooa butter 5 g 344 Class ionomer A>) "Atraumati >estorative )reatment$ lar 345 Class ionomer A>) "Atraumati >estorative )reatment$ serb 346 Clibenklamid tab 2&5 mg 347 Clibenklamid tab 5 mg
348 Cliklazid tab 80 mg 34! Cliklazid tab .> 30 mg 350 Cliklazid tab +> 60 mg 351 Clikuidon tab 30 mg 352 Climepirid tab 1 mg 353 Climepirid tab 2 mg 354 Climepirid tab 3 mg 355 Climepirid tab 4 mg 356 Clipizid tab 10 mg 357 Clipizid tab 5 mg 358 Cliseril trinitrat inj 10 mgml 35! Cliseril trinitrat inj 50 mgml 360 Cliseril trinitrat kaps +> 2&5 mg 361 Cliseril trinitrat kaps +> 5 mg 362 Cliseril trinitrat tab sublingual 0&5 mg 363 Cliserin lar 50% 364 Cliserin tts 10 mgml 365 Cliserin tts 100 mgml 366 Clukosa Darutan 9nfus 10% steril 100 ml 367 Clukosa Darutan 9nfus 10% steril 250 ml 368 Clukosa Darutan 9nfus 10% steril 500 ml 36! Clukosa Darutan 9nfus 5% steril 100 ml 370 Clukosa Darutan 9nfus 5% steril 250 ml 371 Clukosa Darutan 9nfus 5% steril 500 ml 372 Coserelin asetat inj 10&8 mgvial 373 Coserelin asetat inj 3&6 mgvial 374 Criseofulvin "mironized$ tab 125 mg 375 Criseofulvin "mironized$ tab 500 mg 376 Criseofulvin "mironized$ tab sored 250 mg 377 Cutta per#a dan paper points 15 * 40 mm 378 Cutta per#a dan paper points 45 * 80 mm 37! Ealoperidol inj 5 mgml "i(m($ 380 Ealoperidol inj 50 mgml "deanoat$ 381 Ealoperidol tab 0&5 mg 382 Ealoperidol tab 1&5 mg 383 Ealoperidol tab 2 mg 384 Ealoperidol tab 5 mg 385 Ealoperidol tts 2 mgml 386 Ealotan i# 387 Eemodialisa lar konsentrat basis asetat 388 Eemodialisa lar konsentrat basis natrium bikarbonat
38! Eeparin& a inj 5(000 9ml "i(v(s(k($ 3!0 Eepatitis ' imunoglobulin "#uman$ inj 0&5 ml 3!1 Eepatitis ' imunoglobulin "#uman$ 9nj 220 9ml 3!2 Eidrogen peroksida airan 3% 3!3 Eidrogen peroksida lar( Bonsentrat 3% 3!4 Eidroklorotiazid tab 12&5 mg 3!5 Eidroklorotiazid tab 25 mg 3!6 Eidrokortison inj 100 mgvial 3!7 Eidrokortison krim 1% 3!8 Eidrokortison krim 2&5% 3!! Eidrokortison serb inj 100 mgvial 400 Eidrokortison tab 10 mg 401 Eidroksi Blorokuin 9nj 50 mgml 402 Eidroksi klorokuin tab 200 mg 403 Eidroksi klorokuin tab 400 mg 404 Eidroksi progesteron inj 125 mgml 405 Eidroksi urea tab 500 mg 406 Eidro:l et#l star# lar inf 6% 407 Eiosina butilbromida inj 20 mgml 408 Eiosina butilbromida tab 10 mg 40! Eomatropin tts mata 2% 410 Euman insulin fast ating inj 100 9ml "kemasan artridge& penfill artridge$ 411 Euman insulin intermediate ating inj 100 9ml "kemasan vial artridge disposible& penfill artridge$ 412 Euman insulin mi: insulin inj 100 9ml "kemasan vial& artridge disposible& penfill artridge$ 413 Euman tetanus imunoglobulin inj 250 9 "i(m($ 414 Euman tetanus imunoglobulin inj 500 9 "i(m($ 415 Edromorp#one El tab oros 16 mg 416 Edromorp#one El tab oros 8 mg 417 9buprofen sir 100 mg5 ml 418 9buprofen sir 200 mg5 ml 41! 9buprofen tab 200 mg 420 9buprofen tab 400 mg 421 9darubisin serb inj 20 mg 422 9fosfamid serb inj 1000 mgvial 423 9fosfamid serb inj 2000 mgvial 424 9fosfamid serb inj 500 mgvial 425 9matinib mesilat tab 100 mg 426 9matinib .esilat tab 400 mg
427 9midapril tab 10 mg 428 9midapril tab 5 mg 42! 9munoglobulin 9ntravena 9nj 50 mgml& untuk terapi C'+ "Cuillain 'are +ndrom$ 430 9munoglobullin 9ntravena inj 250 mg50 ml 431 9ndakaterol serb i# 150 mg 432 9ndakaterol serb i# 300 mg 433 9nterferon alfa inj 18 miu 434 9odiksanol vial 320 mg 9odium50 ml 435 9odium 131 436 9odo#ippurate sodium 9 132 37*74 mb multiple*dose 437 9o#eksol 180*300 mg 9odiumml 438 9o#eksol 240*350 mg 9odiumml 43! 9o#eksol inj 140*350 mg 9odiumml 440 9opamidol 200*300 mg 9odiumml 441 9opamidol 300*370 mg 9odiumml 442 9opamidol inj 200*370 mg 9odiumml 443 9opromid 240 *370 mg 9odiumml 444 9opromid 300*370 mg 9odiumml 445 9pratropium bromida i# 20mgpuff 446 9pratropium bromida i# padat 20 mg 447 9pratropium bromida nebulizer 0&025% 448 9rbesartan tab 150 mg 44! 9rbesartan tab 300 mg 450 9rinotekan inf 20 mgml 451 9rinotekan inj 20 mgml 452 9sofluran in#alasi 100 ml 453 9sofluran in#alasi 250 ml 454 9soniazid tab 100 mg 455 9soniazid tab 300 mg 456 9sosorbid dinitrat inj 10 mg10 ml 457 9sosorbid dinitrat tab 10 mg 458 9sosorbid dinitrat tab 5 mg 45! k( jell 460 Balamin 461 Balium aspartat tab 300 mg 462 Balium klorida tab siap larut 300 mg 463 Balium klorida tab +> 600 mg 464 Balsitriol kaps lunak 0&25 mg 465 Balsitriol kaps lunak 0&5 mg 466 Balsium ?olinat "Deukovorin& a$ 9nj 10 mgml
467 Balsium folinat "leukovorin& a$ inj 3 mgml 468 Balsium folinat "leukovorin& a$ inj 50 mgml 46! Balsium folinat "leukovorin& a$ tab 15 mg 470 Balsium glukonat inj 100 mgml 471 Balsium #idroksida bubuk& pasta 472 Balsium #ipoklorit 473 Balsium karbonat tab 500 mg 474 Balsium laktat "kalk$ tab 500 mg 475 Balsium polistirena sulfonat ktg 5 g 476 Banamisin inj 1(000 mg vial 477 Bandesartan tab 16 mg 478 Bandesartan tab 8 mg 47! Bapesitabin tab sal 500 mg 480 Baptopril tab 12&5 mg 481 Baptopril tab 25 mg 482 Baptopril tab 50 mg 483 Barbamazepin sir 100 mg5 ml 484 Barbamazepin tab 100 mg 485 Barbamazepin )ab 200 mg 486 Barbimazol tab 5 mg 487 Barbo adsorben tab 0&5 g 488 Barbogliserin tts telinga 10 % 48! Barboksimetilselulosa tts mata 4!0 Barbon aktif tab 0&5 mg 4!1 Barboplatin inj 150 mg15 ml 4!2 Barboplatin inj 450 mg45 ml 4!3 Barboplatin inj 50 mg5 ml 4!4 Barvedilol tab 25 mg 4!5 Barvediol kaps 6&25 mg 4!6 Betamin inj 100 mgml "i(v($ 4!7 Betamin inj 50 mgml "i(v($ 4!8 Betokonazol krim 2% 4!! Betokonazol salp sol 2% 500 Betokonazol tab 200 mg 501 Betoprofen sup 100 mg 502 Betorolak inj 30 mgml 503 Blaritromisin sir kering 125 mg5 ml 504 Blaritromisin sir kering 250 mg5 ml 505 Blaritromisin tab 500 mg 506 Blindamisin kaps 150 mg 507 Blindamisin kaps 300 mg
508 Blobazam tab 10 mg 50! Blofazimin& mironized kaps 50 mg 510 Blofazimin& mironizedkaps 100 mg 511 Blomifen sitrat tab 50 mg 512 Blomipramin tab 25 513 Blonazepam kaps 2 mg 514 Blonidin inj 150 mgml 515 Blonidin tab 0&15 mg 516 Blopidogrel tab 75 mg 517 Blopidogrel tab sal selaput 300 mg 518 Bloral #idrat lar 51! Blorambusil tab 2 mg 520 Blorambusil tab sal selaput 5 mg 521 Bloramfenikol kaps 250 mg 522 Bloramfenikol kaps 500 mg 523 Bloramfenikol salep kulit 2% 524 Bloramfenikol salep mata 1% 525 Bloramfenikol serb inj 1(000 mgml 526 Bloramfenikol susp 125 mg5 ml 527 Bloramfenikol tetes telinga 3% 528 Bloramfenikol tts mata 0&5% 52! Bloramfenikol tts mata 1% 530 Blorfeniramin tab 4 mg 531 Blorfenol kamfer mentol "EB.$ 532 Blor#eksidin lar 0&2% 533 Blor#eksidin lar 15% 534 Blorokuin tab 250 mg 535 Blorpromazin inj 25 mgml "i(m($ 536 Blorpromazin inj 5 mgml "i(m($ 537 Blorpromazin tab sal 100 mg 538 Blorpromazin tab sal 25 mg 53! Blortalidon tab 50 mg 540 Blotrimazol tab vagina 100 mg 541 Blozapin tab 100 mg 542 Blozapin tab 25 mg 543 Bodein tab 10 mg 544 Bodein tab 15 mg 545 Bodein tab 20 mg 546 Bolekalsiferol "vitamin -3$ kaps lunak 0&25 mg 547 Bolekalsiferol "vitamin -3$ kaps lunak 0&5 mg 548 Bolestiramin serb& 4 g
54! Bolkisin tab 500 mg 550 Boloid E,+ '. 130 000 lar inf 6% 551 Bombinasi "-E/$ di#idroartemisin 40 mg ; /iperakuin 320 mg tab sal selaput 552 Bombinasi "Ampisilin 1000 mg ; +ulbaktam 500 mg$ serb inj 1500 mg 553 Bombinasi "-ifen#idramin 2%& Balamin 5%& Fin 10%& Cliserin 5%$ lotion 554 Bombinasi "+efoperazon 500 mg ; +ulbaktam 500 mg$ serb inj 1000 mg 555 Bombinasi "Fidovudin 60 mg ; Damivudin 30 mg ; evirapin 50 mg$ /ed )riple ?- 556 Bombinasi Ampisilin 500 mg ; +ulbaktam 250 mg serb inj 750 mg 557 Bombinasi artemet#er 20 mg ; lumefantrin 120 mg 558 Bombinasi artesunat tab 50 mg ; amodiakuin tab 200 55! Bombinasi -esogestrel 150 mg ,tinilestradiol 30 mg 560 Bombinasi ergotamin 1 mg; kafein 50 mg 561 Bombinasi ?erro fumarat 60 mg ; asam folat 0&4 mg tab salut 562 Bombinasi ferro sulfat 200 mg; as( ?olat 0&25 mg 563 Bombinasi levodopa 100 mg;Barbidopa 25 mg ; entekapon 200 mg 564 Bombinasi levonorgestrel 150 mg ; etinilestradiol 30 mg 565 Bombinasi medroksi progesteron asetat; estradiol sipionat inj depot 25 mg ; 5 mg 566 Bombinasi .eglumin amidotrizoat ; +odium amidotrizoat inj 76% 567 Bombinasi +pironolakton 25 mg ; )iabutazid 2&5 mg 568 Bombinasi triamsinolon ; dementilklortetrasiklin 56! Bombinasi zidovudin 300 mg ;lamivudin 150 mg 570 Bombinasi ipratropium 'r 0&5 mg; salbutamol 2&5 mg nebules 571 Bombinasi kaolin 550 mg ; pektin 20 mg 572 Bombinasi lopinavir 200 mg ; ritonavir "D/$ 50 mg& tab 250 mg 573 Bombinasi natrium klorida 8&664 mg ; kalium klorida 1&32 mg "tetes mata$ 574 Bombinasi parafin ; gliserin ; fenolftalein 575 Bombinasi salmeterol 25 mg ; flutikason propionat 50 mg i# 50 mgpuff 576 Bombinasi salmeterol 50 mg ; flutikason propionat 500 mg i# 50 mgpuff 577 Bombinasi salmeterol 50 mg ;flutikason propionat 100 mg i# 50 mgpuff 578 Bombinasi salmeterol 50 mg; flutikason propionat 250 mg i# 250 mgpuff 57! Bombinasi spironolakton 25 mg ; tiabutazin 2&5 mg
580 Bomposit resin 581 Botrimoksazol "de
607 Darutan mengandung Asam Amino "Asam Amino esensial 7%;@litol 10 gD$ 608 Darutan mengandung Asam Amino "'AA 25 grD& D*Grnit#ine D Aspartate 10 grD& @litol 50 grD& .ali Aid 7 grD& /irido:in 0(12 grD$ 60! Darutan mengandung Asam Amino "Bombinasi Asam amino 50 gD& vitamin dan elektrolit$ 610 Darutan mengandung Asam Amino "Bombinasi Asam Amino 34gr& Clukosa !7gr& Dipid 51gr dan ,lektrolit "Balori H 1000 kkal& Akses perip#eral$$
611 Darutan mengandung Asam Amino "Bombinasi Asam Amino 45gr& Clukosa 130gr& Dipid 68gr dan ,lektrolit "Balori H 1400 kkal& Akses perip#eral$$
612 Darutan mengandung Asam Amino "Bombinasi Clukosa dan elektrolit 150 gr ; Asam Amino 48 gr dgn akses sentral$ 613 Darutan mengandung Asam Amino "Bombinasi Clukosa dan elektrolit 80 gr ; Asam Amino 40 gr$ 614 Darutan mengandung ,lektrolit "Balium Blorida$ 615 Darutan mengandung ,lektrolit "a 130 m,& l 10! m,& a 3 m,& Asetat 28 m,$ 616 Darutan mengandung ,lektrolit "al 1(125 gr& -ekstrosa 18(75 gr$ 617 Darutan mengandung ,lektrolit "+odium Datate sol "50%$ 113 grD& /otassium #loride 0(3 grD& alium #loride 0(2 grD& elektrolit$ 618 Darutan mengandung ,lektrolit ")iap 1000 ml mengandung eletrolit +odium 145 mmoll& /otassium 4(0 mmoll& alium 2(5 mmoll& .agnesium 1(0 mmoll& #loride 118 mmoll& Aetate 24 mmoll& .alate 5(0 mmoll$
61! Darutan mengandung Barbo#idrat "?rutose 120 g& gluose 66 g& @litol 60 g D ; elektrolit$ 620 Darutan mengandung Barbo#idrat "?rutose 60 g& gluose 33 g& @litol 30 g D$ 621 Darutan mengandung Barbo#idrat ".altose 100 gr$ 622 Darutan mengandung Barbo#idrat ; ,lektrolit "25(00g maltose& 3(00 g sodium #loride& 0(15 g potassium #loride& 0(10 g alium #loride di#drate dan 1(55 g sodium latate$
623 Darutan mengandung Barbo#idrat ; ,lektrolit "Aetate& a& B& l& a& .g& +orbitol 50 grD$ 624 Darutan mengandung Barbo#idrat ; ,lektrolit "Asam amino 28 grD& Clukosa 100 grD& elektrolit$ 625 Darutan mengandung Barbo#idrat ; ,lektrolit "Asam amino 28 grD& Clukosa 75 grD& elektrolit$
626 Darutan mengandung Barbo#idrat ; ,lektrolit "?rutose 60 g& gluose 33 g& @litol 30 g D$ 627 Darutan mengandung Barbo#idrat ; ,lektrolit "Clukosa 25 g& al 2&0 g& Bl 1&3 g& atrium Daktat 3&1 g& air untuk injeksi ad 1000 ml$ 628 Darutan mengandung Barbo#idrat ; ,lektrolit "Clukosa 55 g I atrium #loride ! g& air untuk injeksi ad 1000 ml$ "-5*+$ 62! Darutan mengandung Barbo#idrat ; ,lektrolit "Clukosa 25&0 gI al 4&5 g$ 630 Darutan mengandung Barbo#idrat ; ,lektrolit "Clukosa 55(0 gI al 2(25 g$ 631 Darutan mengandung Barbo#idrat ; ,lektrolit "Clukosa 55(0 gI al 4(5 g$ 632 Darutan mengandung Barbo#idrat ; ,lektrolit "Darutan nutrisi kombinasi infus per D a( 100m,K& B 18m,K& a( 4m,K& .g 6m,K& l !0m,K& Asetat 38m,K& +orbitol 50g$
633 Darutan mengandung Barbo#idrat ; ,lektrolit "Darutan >inger J Clukosa 5%$ 634 Darutan mengandung Barbo#idrat ; ,lektrolit "al 1(75 g& BD 1(5g& Clukosa 100 gr$ 635 Darutan mengandung Barbo#idrat ; ,lektrolit "al 1(75 gr& Bl 1(5 gr& a Datat 2(24 gr& -ekstrosa 27 gr$ "BA , 3'$ 636 Darutan mengandung Barbo#idrat ; ,lektrolit "al 2(34 gr& a Daktat 2(24 gr& BD 0(75 gr -ekstrosa 27 gr$ "BA , 3A$ 637 Darutan mengandung Dipid ",mulsi lemak 20%$ 638 Darutan mengandung Dipid "9nfus Dipid ,mulsi .)D) 20% 100 ml$ 63! Darutan mengandung Dipid "9nfus Dipid ,mulsi .)D) 20% 250 ml$ 640 Darutan mengandung Dipid "Bombinasi Clukosa dan elektrolit 180 gr ; Asam Amino 71(8 gr ; Dipid 50 gr dgn akses sentral$ 641 Darutan mengandung Dipid "Bombinasi Clukosa dan elektrolit 80 gr ; Asam Amino 40 gr ; Dipid .)D) 50 gr$ 642 Darutan mengandung Dipid "Bombinasi Clukosa dan elektrolit !0 gr ; Asam Amino 35(! gr ; Dipid 25 gr dgn akses sentral$ 643 Datanoprost tts mata 0&005% 644 Datanoprost tts mata 0&01% 645 Deflunomid tab sal selaput 20 mg 646 Denograstim inj 263 mgvial 647 Detrozol tab 2&5 mg 648 Deuprorelin asetat serb inj 1&88 mg 64! Deuprorelin asetat serb inj 11&25 mg 650 Deuprorelin asetat serb inj 3&75 mg 651 Devetirasetam tab 250 mg
652 levetirasetam tab 500 mg 653 Devofloksasin inf 5 mgml 654 Devofloksasin tab 500 mg 655 Devofloksasin tts mata 0&5% 656 Devonorgestrel implan 2 rods& 75 mg "3*4 ta#un$ 657 Devotiroksin tab 100 mg 658 Devotiroksin tab 50 mg 65! Didokain gel 2% 660 Didokain gel 2% 661 Didokain inj 1 % "infltr$ 662 Didokain inj 100 mg& vial "i(v($ 663 Didokain inj 2% "infiltrp(v($ 664 Didokain inj 5% ; glukosa "dekstrosa$ 5 % 665 Didokain spra oral 10% 666 Dinestrenol tab 0&5 mg 667 Dinestrenol tablet 5 mg 668 Disinopril tab 10 mg 66! Disinopril tab 20 mg 670 Disinopril tab 5 mg 671 Ditium karbonat tab 200 mg 672 Ditium karbonat tab 400 mg 673 Doperamid tab 2 mg 674 Doratadin tab 10 mg 675 Dorazepam tab 0&5 mg 676 Dorazepam tab 1 mg 677 Dorazepam tab sal 2 mg 678 Do< moleular
6!2 .ebendazol tab 500 mg 6!3 .edroksi progesteron asetat inj 200 mgml 6!4 .edroksi /rogesteron Asetat 9nj 50 mgml 6!5 .edroksi progesteron asetat inj depo 150 mg 6!6 .edroksi progesteron asetat tab 10 mg 6!7 .edroksi progesteron asetat tab 100 mg 6!8 .edroksi progesteron asetat tab 250 mg 6!! .edroksi progesteron asetat tab 5 mg 700 .edroksi progesteron asetat tab 500 mg 701 .elfalan tab 2 mg 702 .erkaptopurin tab 50 mg 703 .eropenem serb inj 1000 mgvial 704 .eropenem serb inj 500 mgvial 705 .esalazin tab sal 250 mg 706 .esna inj 100 mgml 707 .etadon sir 50 mg5 ml 708 .etamizol 9nj 500 mgml 70! .etenamin mandelat "#eksamin mandelat$ tab salut enterik 500 mg 710 .etformin tab 500 mg 711 .etformin tab 850 mg 712 .etildopa tab sal 250 mg 713 .etilergometrin inj 0&2 mgml 714 .etilergometrin tab salut 0&125 mg 715 .etilfenidat tab +> 10 mg 716 .etilfenidat tab +> 20 mg 717 .etilprednisolon inj 125 mg2 ml 718 .etilprednisolon inj 500 mg8 ml 71! .etilprednisolon tab 16 mg 720 .etilprednisolon tab 4 mg 721 .etilprednisolon tab 8 mg 722 .etoklopramid drop botol 10 ml 723 .etoklopramid inj 5 mgml 724 .etoklopramid sir 5 mg5 ml 725 .etoklopramid tab 10 mg 726 .etoklopramid tab 5 mg 727 .etoprolol tartat inj 1 mgml 728 .etotreksat 9nj 10 mgml 72! .etotreksat serb inj 5 mgvial 730 .etotreksat serb inj 50 mg2 ml 731 .etotreksat tab 2&5 mg 732 .etronidazol lar inf 5 mgml
733 .etronidazol ovula 500 mg 734 .etronidazol sir 125 mg5 .l 735 .etronidazol sup 500 mg 736 .etronidazol tab 250 mg 737 .etronidazol tab 500 mg 738 .9'C "meta*iodobenzlguanidine$ 73! .9'9 "meto: iso butl isonitril$ 5*ml reation vial 740 .idazolam inj 1 mgml "i(v($ 741 .idazolam inj 5 mgml "i(v($ 742 .ikafungin a serb inj 50 mgvial 743 .ikofenolat mofetil tab 500 mg 744 .ikonazol krim 2% 745 .ikonazol serb 2% 746 .itomisin "rstallin$ inj 2 mgml 747 .itomisin "rstallin$ serb inj 10 mgvial 748 .odified fluid gelatine '. 30 000 lar inf 4% 74! .oksifloksasin inf 1&6 mgmD 750 .oksifloksasin tab 400 mg 751 .oksifloksasin tts mata 0&5% 752 .ometason furoat krim 0&1% 753 .orfin El inj 10 mgml "i(m(s(k(i(v($ 754 .orfin El tab 10 mg 755 .orfin El tab +> 10 mg 756 .orfin El tab +> 15 mg 757 .orfin El tab +> 30 mg 758 *asetil sistein i# 100 mgml 75! *asetil sistein kaps 200 mg 760 al 0&!% Darutan 761 adroparin inj 10 mgml 762 adroparin inj !(500 A:aml sringe 0&3 .l 763 adroparin inj !(500 A:aml& sringe 0&4 ml 764 adroparin inj !(500 A:aml& sringe 0&6 ml 765 alokson inj 0&4 mgml 766 atamisin tts mata 5% 767 atamisin tts mata 50 mgml 768 atrium amino#ipurat inj 200 mgml "i(v($ 76! atrium bikarbonat Eig# alert mediine( 770 atrium bikarbonat inj 8&4% "i(v($ 771 atrium bikarbonat tab 500 mg 772 atrium diklofenak tab 25 mg 773 atrium diklofenak tab 50 mg
774 atrium -iklofenak )etes .ata 1 mgml 775 atrium fluoresein tts mata 2% 776 atrium fosfat btl& 133 ml 777 atrium fosfat lar oral 45 ml 778 atrium fusidat krim 20 mgg 77! atrium fusidat salep 20 mgg 780 atrium #ialuronat gel 781 atrium #ipoklorit airan konsentrat 5% 782 atrium tiosulfat inj 25% "i(v($ 783 eostigmin inj 0&5 mgml 784 evirapin tab 200 g 785 ifedipin kaps 10 mg 786 ifedipin tab +> 20 mg 787 ifedipin tab +> 30 mg 788 ikardipin inj 10 mgvial 78! ikotinamid tab 100 mg 7!0 ikotinamid tab 20 mg 7!1 ikotinamid tab 5 mg 7!2 ilotinib kaps 150 mg 7!3 ilotinib tab 200 mg 7!4 imodipin inf 0&2 mgml 7!5 imodipin tab 30 mg 7!6 istatin susp 100(000 9ml 7!7 istatin tab salut 500(000 9 7!8 istatin tab vaginal 100(000 9 7!! itrofurantoin tab 50 mg 800 itrogen oksida i#& gas dlm tabung 801 omegestrol asetat Bapstab 5 mg 802 orepinefrin inj 1 mgml 803 oretisteron tab 5 mg 804 Gbat Anti )uberulosis ?- Bategori Anak 805 Gbat Anti )uberulosis ?- Bategori 9 806 Gbat Anti )uberulosis ?- Bategori 99 807 Gbat Anti )uberulosis ?- Bategori +isipan 808 Gbat Anti )uberulosis Bombipak Anak 80! Gbat Anti )uberulosis Bombipak -e
815 Gksaliplatin serb inj 50 mgvial 816 Gksigen i#& gas dlm tabung 817 Gksimetazolin tts #idung 0&025% 818 Gksimetazolin tts #idung 0&050% 81! Gksitetrasiklin #l inj 250 mg3 ml "i(m($ 820 Gksitetrasiklin #l inj 50 mgml "i(m($ 821 Gksitetrasiklin #l inj 500 mgml 822 Gksitosin inj 10 9ml 823 Gktreotid asetat 0&05 * 6 mgml 824 Gktreotid inj 0&1 mgml 825 Gktreotid serb inj 20 mg 826 Gktreotid serb inj 30 mg 827 Glanzapin inj 10 mg2 ml 828 Glanzapin tab sal 10 mg 82! Glanzapin tab sal 5 mg 830 Glopatadin tts mata 0&1% 831 Gmeprazol inj 40 mg10 ml 832 Gmeprazol kaps 20 mg 833 Gndansetron inj 2 mgml 834 Gndansetron tab 4 mg 835 Gndansetron tab 8 mg 836 /aklitaksel inj 100 mgvial 837 /aklitaksel inj 30 mgvial 838 /aklitaksel inj 300 mgvial 83! /aklitaksel 9nj 6 mgml 840 /ankuronium inj 2 mgml 841 /araformalde#id lar buffer 10% 842 /araformalde#id tab 1 g 843 /arasetamol drips "infus$ 1000 mg100 ml 844 /arasetamol sir 120 mg5 ml 845 /arasetamol tab 500 mg 846 /arasetamol tts 60 mg0&6 ml 847 /asta devitalisasi "non arsen$ 848 /asta pengisi saluran akar "pasta$ 84! /eglated interferon alfa*2a inj 135 mg0&5 ml 850 /eglated interferon alfa*2a inj 180 mg0&5 ml 851 /eglated interferon alfa*2b serb inj 100 mgml 852 /eglated interferon alfa*2b serb inj 120 mgml 853 /eglated interferon alfa*2b serb inj 50 mgml 854 /eglated interferon alfa*2b serb inj 80 mgml
855 /engganti plasma kombinasi poligelin "ekivalen dengan 0&63 g nitrogen 17&5 g I natrium klorida 0&1! g I kalsium klorida 0&1! g I kalsium "terikat pada polipeptida$ 0&125 g
856 /erak nitrat lar 20% 857 /erak sulfadiazin krim 1% 858 /erak sulfadiazin krim 2 % 85! /erindoprilarginin tab 5 mg 860 /ermetrin krim 5 % 861 /etidin inj 50 mgml "i(m(s(k(i(v($ 862 /ilokarpin tts mata 2% 863 /ioglitazon tab 15 mg 864 /ioglitazon tab 30 mg 865 /irantel pamoat susp 125 mg5 ml 866 /irantel pamoat tab 500 mg 867 /irantel pamoat tab sored 125 mg 868 /irantel pamoat tab sored 250 mg 86! /irazinamid tab 500 mg 870 /iridoksin "vitamin '6$ inj 100 mgml 871 /iridoksin "vitamin '6$ tab 10 mg 872 /iridoksin "vitamin '6$ tab 25 mg 873 /iridostigmin tab sal 60 mg 874 /irimetamin tab 25 mg 875 /odofilin tingtur 25 % 876 /olietilen glikol 877 /olikresulen 878 /ovidon iodin lar 100 mgml 87! /ovidon iodin lar 100 mgml 880 /ovidon iodin lar 100 mgml 881 /ovidon iodin lar 100 mgml 882 /ramipeksol tab 0&125 mg 883 /ramipeksol tab ,> 0&375 mg 884 /ramipeksol tab ,> 0&750 mg 885 /ravastatin tab 10 mg 886 /ravastatin tab 20 mg 887 /razikuantel tab sored 300 mg 888 /razikuantel tab sored 600 mg 88! /rednisolon tts mata 10 mgml 8!0 /rednison tab 5 mg 8!1 /rimakuin tab 15 mg 8!2 /robenesid tab 500 mg 8!3 /rokain benzilpenisilin serb inj 1 juta 9vial "i(m($
8!4 /rokain benzilpenisilin serb inj 3 juta 9vial "i(m($ 8!5 /rokaterol El airan i# 30 mg 8!6 /rokaterol El airan i# 50 mg 8!7 /rokaterol El serb i# 10 mg 8!8 /ropiltiourasil tab 100 mg 8!! /ropofol inj 1% "i(v( 'olus$ !00 /ropranolol inj 1 mgml "i(v($ !01 /ropranolol tab 10 mg !02 /ropranolol tab 40 mg !03 /rostaglandin "/C, 1$ 9nj 500 mgml !04 /rotamin sulfat inj 10 mgml "i(m($ !05 Kuetiapin tab +> 200 mg !06 Kuetiapin tab +> 300 mg !07 Kuetiapin tab +> 400 mg !08 >amipril tab 10 mg !0! >amipril tab 2&5 mg !10 >amipril tab 5 mg !11 >anitidin inj 25 mgml !12 >anitidin tab 150 mg !13 >etinol "vitamin A$ kaps lunak 100(000 9 !14 >etinol "vitamin A$ kaps lunak 200(000 9 !15 >ibavirin tab 200 mg !16 >ifampisin kaps 300 mg !17 >ifampisin tab 450 mg !18 >ifampisin tab 600 mg !1! >inger Daktat Darutan !20 >inger Daktat Darutan 1000 ml !21 >isperidon tab 3 mg !22 >isperidon tab sal 1 mg !23 >isperidon tab sal 2 mg !24 >ituksimab 9nj 10 mgml !25 >ituksimab inj 100 mgml !26 >ituksimab inj 500 mgml !27 >ivaroksaban tab sal 10 mg !28 >ivaroksaban tab sal 15 mg !2! >ivaroksaban tab sal 20 mg !30 >okuronium inj 50 mg5 ml "i(v($ !31 >opinirol tab sal 2 mg !32 >opinirol tab sal 4 mg !33 >opinirol tab sal 8 mg !34 >opivakain 9nj 7&5 mgml
!35 >osuvastatin tab 10 mg !36 +albutamol aerosol 100 mg !37 +albutamol airan i# 0&1% !38 +albutamol airan serb i# 200 mgkaps ; rota#aler !3! +albutamol inj 50 mgml !40 +albutamol lar i# 0&5 % !41 +albutamol nebules vial 2&5 mg !42 +albutamol sir 2 mg5 ml !43 +albutamol tab 2 mg !44 +albutamol tab 4 mg !45 +alep 2*4& kombinasi asam salisilat 2 %; belerang endap 4 % !46 +efadroksil kaps 250 mg !47 +efadroksil kapstab 500 mg !48 +efadroksil sir kering 125 mg5 ml !4! +efadroksil sir kering 250 mg5 ml !50 +efaleksin kaps 250 mg !51 +efaleksin kaps 500 mg !52 +efazolin serb inj 1 gvial !53 +efepim serb inj 1000 mgvial !54 +efiksim sir 100 mg5 ml !55 +efiksim tab 100 mg !56 +efiksim )ab 200 mg !57 +efoperazon serb inj 1(000 mgvial !58 +efotaksim inj 500 mgvial !5! +efotaksim serb inj 1(000 mgvial !60 +efpirom serb inj 1000 mg !61 +efpodoksim proksetil tab sal 100 mg !62 +eftazidim serb inj 1(000 mgvial !63 +eftriakson serb inj 1(000 mgvial !64 +efuroksim serb inj 750 mgvial !65 +efuroksim tab 250 mg !66 +efuroksim tab sal 500 mg !67 +ertralin tab sal 50 mg !68 +erum anti bisa ular A('(( 9 "k#usus ular dari luar $ inj "i(m(i(v($ /apua !6! +erum anti bisa ular A('((99 "k#usus ular dari /apua$ inj "i(m(i(v($ !70 +erum antidifteri "A(-(+$ inj "i(m(i(v($ 9nj i(m 10(000 9 !71 +erum antidifteri "A(-(+$ inj "i(m(i(v($ 9nj i(m 20(000 9 !72 +erum antirabies inj 100 9ml !73 +erum antirabies inj 200 9ml !74 +erum antitetanus "A()(+$ "i(m($ 9nj 10(000 9vial "i(m i(v($ !75 +erum antitetanus "A()(+$ inj 1500 9amp "i(m($
!76 +erum antitetanus "A()(+$ inj 20(000 9vial "i(m i(v($ !77 +etirizin sir 5 mg5 ml( !78 +etirizin tab 10 mg !7! +etuksimab inj 5 mgml !80 +evofluran airan i# 250 ml !81 +ianokobalamin "vitamin '12$ inj 500 mgml !82 +ianokobalamin "vitamin '12$ tab 50 mg !83 +iklofosfamid serb inj 1000 mgvial "i(v($ !84 +iklofosfamid serb inj 200 mgvial "i(v($ !85 +iklofosfamid serb inj 500 mgvial "i(v($ !86 +iklofosfamid tab sal 50 mg !87 +iklosporin inj 100 mgml !88 +iklosporin inj 50 mgml !8! +iklosporin kaps 100 mg !!0 +iklosporin kaps lunak 25 mg !!1 +iklosporin Baps lunak 50 mg !!2 +ilostazol tab 100 mg !!3 +imvastatin tab sal 10 mg !!4 +imvastatin tab sal 20 mg !!5 +iprofloksasin inf 2 mgml !!6 +iprofloksasin tab sored 500 mg !!7 +iprofloksasin tetes mata 3 mgml !!8 +isplatin serb inj 10 mg !!! +isplatin serb inj 50 mg 1000 +itarabin serb inj 100 mg "i(m(i(v(s(k($ 1001 +itarabin serb inj 500 mg10 ml 1002 +piramisin tab 250 mg 1003 +piramisin tab 500 mg 1004 +pironolakton tab 100 mg 1005 +pironolakton tab 25 mg 1006 +tannous prop#osp#ate 27&6 mg sodium prop#osp#atevial 1007 +tavudin tab 30 mg 1008 +treptokinase serb inj 1&5 juta 9vial 100! +treptomisin serb inj 1(000 mgvial 1010 +ufentanil inj 5 mgml "i(v($ 1011 +ukralfat susp 500 mg5 ml 1012 +ukralfat tab 500 mg 1013 +uksinilkolin inj 20 mgml "i(v(i(m($ 1014 +uksinilkolin inj 50 mgml "i(v(i(m($ 1015 +uksinilkolin serb inj 100 mgvial "i(v(i(m($ 1016 +ulfadiazin tab 500 mg
1017 +ulfasalazin kapl sal enterik 500 mg 1018 +ulfur olloid 4&5 mg gelatinreation vial 101! +urgial ginggival pak 1020 )akrolimus kaps 0&5 mg 1021 )akrolimus kaps 1 mg 1022 )amoksifen tab 10 mg 1023 )amoksifen tab 20 mg 1024 )amsulosin tab 0&2 mg 1025 )amsulosin tab +> 0&4 mg 1026 )e#netium !!m 740 mb * 3&7 gb "20 to 100 milliuries$ml 1027 )elbivudin tab 600 mg 1028 )elmisartan tab 40 mg 102! )elmisartan tab 80 mg 1030 )emozolamid kaps 100 mg 1031 )emozolamid kaps 20 mg 1032 )enofovir tab 300 mg 1033 )eofilin tab 100 mg 1034 )eofilin tab 150 mg 1035 )eofilin tab +> 300 mg 1036 )erazosin #l tab 1 mg 1037 )erazosin #l tab 2 mg 1038 )erbinafrin tab 250 mg 103! )erbutalin airan i# 2&5 mgml 1040 )erbutalin inj 0&5 mgml 1041 )erbutalin serb i# 0&50 mgdose 1042 )erbutalin sir 1&5 mg5 ml 1043 )erbutalin tab 2&5 mg 1044 )estosteron inj 250 mgml 1045 )estosteron kaps lunak 40 mg 1046 )estoteron kombinasi benserazin 25 mg ;levodopa 100 mg 1047 )etanus to:oid inj 1048 )etrakain tts mata 0&5% 104! )etrasiklin kaps 250 mg 1050 )etrasiklin kaps 500 mg 1051 )#allous #loride )l*202 1 mg met#lene dip#osp#oni aidml 1052 )iamazol tab 10 mg 1053 )iamazol tab 5 mg 1054 )iamin "vitamin '1$ tab 50 mg 1055 )ikagrelor tab !0 mg 1056 )imolol tts mata 0&25% 1057 )imolol tts mata 0&5%
1058 )iopental serb inj 500 mgamp "i(v( 'olus$ 105! )iopental serb serb inj 1(000 mgamp "i(v($ 1060 )iotropium serb i# 18 mg ; #andi#aller 1061 )iotropium serb i# 18 mg& refill 1062 )obramisin tetes mata 0&3% 1063 )opiramat tab 100 mg 1064 )opiramat tab 25 mg 1065 )opiramat tab 50 mg 1066 )ramadol inj 50 mgml 1067 )rastuzumab serb inj 440 mgvial 1068 )ravoprost tts mata 0&004% 106! )riamsinolon asetonid nasal spra 55 mgpuff 1070 )riamsinolon inj 10 mgml 1071 )rifluoperazin tab sal 5 mg 1072 )ri#eksifenidil tab 2 mg 1073 )ropikamid tts mata 0&5% 1074 )ropikamid tts mata 1% 1075 )uberkulin protein purified derivative 110 "i(k$ 1076 rea krim 10 % 1077 aksin 'C inj "i(k$ 1078 aksin ampak inj "s(k($ 107! aksin jerap difteri tetanus "-)$ 1080 aksin jerap difteri tetanus ")d$ 1081 aksin jerap difteri tetanus pertusis "-)/$ inj "i(m($ 1082 aksin jerap tetanus "tetanus adsorbed to:oid$ inj "i(m($ 1083 aksin kombinasi -/)*E'*Eib 1084 aksin polio 9/ inj 0&5 ml 1085 aksin polio t*G/ drops 10 dosis 1086 aksin rabies& untuk manusia serb inj "s(k(i(k$ ; booster 1087 aksin rabies& untuk manusia serb 9nj 2&5 9 1088 alasiklovir tab 500 mg 108! algansiklovir tab sal 450 mg 10!0 alproat sir 250 mg5 ml 10!1 alproat tab sal 250 mg 10!2 alproat tab sal 500 mg 10!3 alproat tab sal enterik 200 mg 10!4 alproat tab +> 250 mg 10!5 alproat tab +> 500 mg 10!6 alsartan tab 160 mg 10!7 alsartan tab 80 mg 10!8 ankomisin serb inj 500 mgvial
10!! asopresin inj 20 9ml "i(m(s(k($ 1100 erapamil inj 2&5 mgml 1101 erapamil tab 240 mg 1102 erapamil tab 80 mg 1103 inblastin serb inj 10 mgml 1104 inkristin serb inj 1 mg "i(v($ 1105 inkristin serb inj 2 mg2 ml "i(v($ 1106 inorelbin inj 10 mgml 1107 itamin ' kompleks 1108 Larfarin tab 1 mg 110! Larfarin tab 2 mg 1110 Fidovudin kaps 300 mg 1111 Fin serb 10 mg 1112 Fin sir 10 mgml 1113 Fin sir 20 mg5 ml 1114 Fin tab disp 20 mg Ambro:ol +rup 15 mg5 ml * 60 ml Ambro:ol )ablet 30 mg Anti#aemprr#oid "Ambeven Bapsul$ Asiklovir Brim 5% efadro:il +irup Bering 125 mg5 ml efadro:il +irup Bering 250 mg5 ml o*Amo:ilav 625 mg ,kstrak 'elladone tablet 10 mg ,takridin ">ivanol$ Darutan 0&1% * 100 ml ,takridin ">ivanol$ Darutan 0&1% * 300 ml ,tanol 1000 ml Centamisin +alep Bulit Centian iolet airan 1% * 10 ml Cliseril Cuaiaolate tablet 100 mg Cluosamin )ablet Bombinasi Edroortison aetate 25 mg dan #loramp#eniol base 20 mg Didokain Bombinasi 9njeksi .eloksikam tablet 15 mg .eloksikam tablet 7&5 mg .ultivitamin Anak +irup .ultivitamin -e
Gbat ?lu +irup Bombinasi Gksitetrasiklin El +alep Bulit 3% Gksitetrasiklin El +alep .ata 1% /iroksikam Bapsul 20 mg +alep Devertran +alep Duka 'akar ,kstrak /lasenta ; eomisin "'ioplaenton Cel$ )#iamp#eniol 500 mg )riaminolone Brim
SATUAN
S$SA STOK P%R &1 '%S%MB%R 201
P%MAKA$AN RATA RATA P%R BU*AN S%*AMA 201
JUM*A+ K%BUTU+AN TA+UN 2017
(a)
(b)
() ! (b) " 1#
)ab
)ab Ampul Ampul
55
1
18
)ab
0
158
2&844
)ab
5&440
28!
5&202
1&751
53
!54
'otol )ab )ab 'otol )ab 'otol 'otol 'otol 'otol 'otol 'otol 'otol
)ab )ab )ab ial Ampul )ube )ube ial )ab )ab Ampul )ab )ab
Ampul )ab )ab sal )ab
32&753
475
8&550
)ab
7&0!2
6!8
12&564
'otol
!02
20
360
'otol
130
50
!00
)ab
2&610
341
6&138
)ab
20254
2041
36738
360
116
2088
4&742
1&285
23&130
33
4
72
2165
20
360
408
33
5!4
'otol
ial ial ialartridge vialartridge ialartridge /enfill /enfill ialartridge )ab ial 'otol )ab Baps )ube )ube 'otol Baps 'otol )ab )ab Ampul ial Bertas
)ab )ab
6&278
227
4&086
)ab
5&676
1&360
24&480
8382
1!!
3582
Baps
1&0!!
1!2
3&456
Baps
2&836
236
4&248
)ab
3553
100
1800
)ab
41!2
150
2700
1748
54
!72
30
1
18
)ab )ab )ab 'otol ial
Baps )ube 'otol )ube )ube )ube Ampul Ampul )ab Baps ial )ab )ube
ial )ab )ablet )ab )ab )ab )ab )ab )ab ial Ampul Ampul )ab 'otol 'otol )ab
ial 'otol )ab )ab 'otol 'otol 'otol 'otol 'otol 'otol
6!8
25
450
0
17
306
172
44
7!2
223
1
18
ial ial 'otol )ab )ab )ab 'otol )ube )ube )ube 'otol ial )ab )ab 'otol 'otol )ab sal )ab )ab )ab )ab ial 'otol )ab 'otol 'otol 'otol 'otol 'otol Ampul Ampul
)ab 'otol setbua# Baps Baps ial ial ial )ab ial )ab )ab 'otol 'otol ial ial
112
2
36
)ab
4800
170!
30762
0
1
18
)ab
128
21
378
)ab
0
20
360
30
1
18
2182
18
324
)ab Ampul )ab )ab )ab )ube )ube )ube 'otol ial 'otol 'otol
)ab Ampul )ube ial )ab Ampul )ab Ampul Baps Baps
Ampul ial )ab )ab
188
3
54
3&4!0
!
162
2&304
7
126
'otol 'otol ial ial ial ial )ab )ab )ab )ab Baps Baps ial ial 'otol )ab 'otol )ab )ab eff ial Ampul Ampul ial Baps )ab sal )ablet Ampul )ab Ampul Ampul Ampul )ablet )ablet Ampul Ampul
ial ial Baps 'otol )ab Baps
501
177
3186
'otol
83
2
36
)ab
!12
66
1&188
10
11
1!8
ial ial ial ial )ab )ab ial )ab sal )ab sal )ab )ab )ab 'otol 'otol )ab )ab +et ial Baps 'otol )ab )ab ial ial ial ial ial ial ial ial ial
ial ial Ampul Ampul Baps Baps Ampul )ab )ab
0
30
540
33
6
108
6&670
2&260
40&680
ial
2077
27
486
)ab sal
4673
102
1836
Ampul
0
8
144
Baps Baps )ab )ab )ab 'otol 'otol ial /ak /ak /ak 'otol Baps lunak 'otol )ab sal ial )ab
ial )ab ial Ampul Baps Baps Baps Baps Baplet )ube )ab Ampul
'otol ial 'otol ial Ampul Ampul Ampul )ube )ube 'otol 'otol ial 'otol 'otol /at# Ampul )ab
370
5
!0
5850
253
4554
0
25
450
)ube
371
1!
342
'otol
0
13
234
1&300
1!2
3&456
Baps Baps .aroli ial ial ial ial +a#et )ab Baps Baps ial ial Ampul Ampul Ampul
+a#et 'otol ial )ab )ab
)ab )ab )ab )ab )ab )ab
627
!
162
3235
25
450
)ab )ab )ab )ab Ampul Ampul Baps Baps )ab sub 'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol ial ial )ab )ab )ab >oll >oll ial ial )ab )ab )ab )ab 'otol 'otol 'otol 'otol
ial Ampul ial 'otol 'otol )ab )ab ial )ube )ube
161
37
666
)ab
7500
542
!756
)ab
2852
761
136!8
ial )ab Ampul )ab )ab ial )ab 'otol Ampul )ab 'otol artridge& /enfill artridge ial ial Ampul Ampul )ab )ab 'otol 'otol
ial ial ial ial )ab )ab
)ab )ab ial 'otol ial ial +et ial 'otol ial ial ial ial ial ial ial ial ial 'otol /uff 'otol )ab )ab Ampul Ampul 'otol 'otol )ab
8!0
!
162
0
8
144
)ab ial )ab )ab )ube gel )ube )ab )ab )ab Bapsul Bapsul Ampul
ial ial )ab Ampul )ube +a#et )ab )ab +a#et ial )ab )ab )ab sal )ab
8&075
410
7&380
)ab
7!7
583
10&4!4
)ab
4!35
10
180
41
7
126
180
31
558
0
67
1&206
'otol )ab )ablet )ab )ab 'otol 'otol )ablet ial ial ial )ablet Baps Ampul Ampul )ube )ube )ab 'otol Ampul 'otol 'otol )ab Baps Baps
)ab Bapsul kapsul )ab )ab 'otol ial )ab )ab )ab 'otol )ab )ab Baps
!32
61
1&0!8
354
20
360
'otol
0
10
180
'otol
8
6
108
'otol
0
12
216
12&545
2&577
46&386
Baps )ube )ube ial
'otol )ab 'otol 'otol 'otol )ablet Ampul Ampul )ab sal )ab sal )ab )ab )ab )ab )ab )ab )ab Baps lunak Baps lunak Ampul
)ab 'otol )ablet ial 'otol ial )ablet ial Baps )ab )ab )ab )ablet )ab sal )ab )ab ial ial )ablet /asta tube )ab 'otol )ab )ab 'otol 'otol 'otol 'otol 'otol 'otol )ab
1&132
5
!0
+et )ab
2405
100
1800
126
17
306
111
1
18
4&705
8
144
)ab 'otol ial )ab )ab )ab 'otol )ab )ab )ablet )ablet ial Baps )ab 'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol
'otol 'otol 'otol 'otol
'otol
'otol 'otol 'otol 'otol 'otol 'otol 'otol
'otol 'otol 'otol 'otol
'otol 'otol 'otol
'otol 'otol 'otol 'otol 'otol 'otol 'otol
'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol 'otol )ablet ial )ab ial ial ial )ablet
)ablet 'otol )ab
0
42
756
)ab
2&760
3
54
)ab
2&640
30
540
'otol +et )ab )ab )ube )ube ial ial Ampul Ampul 'otol )ab )ab )ab )ab )ab )ab )ab
)ab )ab )ab sal Ampul Ampul 'otol ial ial ial ial +a#et 'otol )ab sal )ab sal ial 'otol )an
)ab ial ial +etbua# )ab )ab )ab )ab )ab )ab )ab ial ial )ab ial 'otol 1000 ml Ampul )ab salut )ab
15510
37
666
Ampul
7!
2
36
)ab sal
6&002
100
1&800
)ab
400
8
144
)ab
385
65
1&170
'otol
113
1
18
)ab
600
1
18
)ab
200
83
14!4
)ab )ab
)ab )ab ial ial )ab
'otol ial
Ampul ial ial ial )ab 'otol
+upp 'otol 'otol )ab )ab
2&!84
220
3&!60
602
25
450
)ab
0
533
!5!4
)ab
1&078
56
1&008
)ab
0
125
2250
ial ial ial ial ial )ab )ube )ube ial ial 'otol 'otol )ab 'otol )ube ial )ab )ab )ab )ab 'otol Baps 'otol ial ial ial ial Ampul 'otol 'otol Ampul ial ial
'otol 'otol 'otol 'otol )ube )ube )ube 'otol Ampul ial )ab Baps
3!40
72
12!6
)ab
435
10!
1&!62
)ab
111
51
!18
/aket
0
1
18
/aket
0
2
36
)ab )ab ial )ab )ab )ab Baps )ab 'otol )ab 'otol
)ab 'otol )ablet Ampul )ab
/aket /aket /aket /aket 'otol )ab )ab 'otol ial
ial 'otol 'otol 'otol ial ial ial Ampul
250
21
378
426!
57
1026
744
80
1440
7&845
4&287
77&166
681
22
3!6
ial Ampul Ampul vial Ampul )ab sal )ab 'otol ial Baps ial )ab )ab ial ial ial Ampul Ampul 'otol )ab 'otol 'otol )ab 'otol )ube )ube ial ial ial ial ial ial
'otol
'otol )ube )ube )ab )ube
10
2
36
!5
6
108
12&288
!33
16&7!4
'otol
42
1
18
'otol 300 ml
54
1
18
'otol 30 ml
132
5
!0
6420
768
13824
ial 'otol )ab )ab 'otol )ab )ab )ab )ab Ampul )ab )ab )ab sal )ablet 'otol 'otol
'otol 1000 ml 'otol 60 ml )ablet )ab )ab )ab )ab )ab )ab 'otol )ab )ab )ab )ab
ial 'otol 'otol 'otol )ab Ampul Ampul )ab )ab ial Ampul )ab )ab )ab )ab )ab )ab Ampul )ab
6&100
283
5&0!4
31
4
72
Baps lunak Baps lunak )ab Baps )ab )ab 'otol 'otol )ab )ab sal )ab sal ial Ampul Ampul )ab sal )ab sal )ab sal ial )ab sal )ab sal )ab sal Ampul
)ab 'otol 'otol 'otol 'otol 'otol ial 'otol
140
5
!0
2&880
60
1&080
72
10
180
)ab
850
13
234
'otol
270
7
126
'otol
144
!
162
)ab )ab )ube ial
Baps Baps ial ial 'otol )ab )ablet ial ial ial ial )ab ial ial ial )ab )ab )ab sal ial ial ial ial ial ial ial Ampul
ial 'otol )ab
118
2
36
3&100
267
4&806
!831
178
3204
2050
307
5526
!40
88
1584
3&512
10
180
ial 'otol ial )ab ial ial ial )ab Ampul Ampul Baps Baps Bapsul )ab )ab sal )ab sal 'otol )ab 'otol ial ial ial ial )ab )ab )ab )ab ial )ab ial ial Ampul 'otol )ab ial ial ial )ablet
Baps salut ial )ube Baps Baps )ablet )ab )ab )ab +et )ab )ab )ab Baps Baps )ab )ab )ab )ab )ab )ab )ablet 'otol ial ial 'otol )ab )ab Baps Baps Ampul 'otol Baps Baps +et )ab )ab )ab )ab 'otol 'otol
14564
2370
42660
Ampul Ampul 'otol 'otol 'otol )ab )ab )ab Ampul ial 'otol 'otol Ampul )ab sal )ab 'otol 'otol Ampul )ube ial ial ial ial ial ial ial ial ial ial ial )ab )ab sal 'otol )ab sal )ab sal )ab )ab )ab )ab )ab ial
ial ial )ab )ab ial ial ial ial )ab
21&88!
1&176
21&168
'otol
0
2
36
'otol
25
8
144
)ab
1300
162
2!16
'otol
400
76
1368
)ablet
74!8
231
4158
Bapsul
52
12
216
)ube
7!
10
180
'otol
270
17
306
'otol
144
!
162
)ablet
0
15
270
)ablet
0
150
2700
'otol
14
6
108
'otol
24
6
108
'otol
!
1
18
)ube
314
42
756
'otol
0
13
234
tablet
18540
2045
36810
)ablet
2410
20
360
)ube
0
4
72
Ampul
0
10
180
tablet
450
454
8172
)ablet
674
48
864
0
21
378
1!00
217
3!06
'otol
20
1
18
'otol
60
64
1152
)ablet
756
187
3366
)ab )ab Baps +a#et
'otol Bapsul
'otol
2000
125
2250
)ube
!0
13
234
)ube
0
11
1!8
1200
10
180
)ube )ube
0 3
1 2
18 36
)ablet
0
125
2250
)ube
0
4
72
Bapsul
R%NANA K%BUTU+AN TA+UN 2017
R%NANA P%N/A'AAN TA+UN 2017
R%A*$SAS$ P%N/A'AAN TA+UN 201 (SUMB%R B*U')
(d) ! () (a)
(,)
(-)
"37$
*
2&844
2&800
*238
0
*7!7
0
1&!00
*24&203
5&800
30&000
5&472
6&000
2&100
*542
0
770
800
3&528
4&000
16&484
17&000
23&200
1&728
1&800
100
18&388
18&400
3!
50
"1&805$
*
186
200
50
200
*2&1!2
0
18&804
18&!00
*4&800
*
2&357
2&500
1&412
1&500
*1&753
*
*1&4!2
*
"776$
*
*12
*
1&700
*248
0
306
500
620
700
*205
0
200
*76 25&!62
0 26&000
18
18
250
300
360
400
*12
*
*1&858
*
50 2&000
*134
0
*3&328
0
*2&178
0
2&685
2&700
*47
0
276
300
500
188
170
166
540
600
75
!00
34&010
35&000
*1&5!1
*
*2&837
*
144
150
*280
0
*1&2!6
*
450
450
*2!
70
234
300
48
2&156
2&200
600
300
*465
0
*2&785
*
400
505
550
2&256
2&500
10&846
11&000
120
*728
*
144
200
*6!5
0
!&6!7
!&700
*4&755
*
85
100
378
500
1&206
1&200
800
166
1&000
6
100
180
200
100
100
75
216
300
30
33&841
35&000
*1&042
0
"605 "605$$
400 400
1 80
200
*!3
0
*4&561
0
756
800
*2&706
0
*2&100
0
500
3&000
*14&844
*
*43
*
*4&202
*
*256
0
785
800
*!5
0
*582
0
1&2!4
1&300
15&100
500
!76
1&000
*152
0
!&5!4
10&000
*70
300
2&250
2&500
500
1&750
*2&644
*
1&527
1&550
807
850
18
18
36
36
128
*3&243
150
*
1&!80
6!6
700
850
6!&321
80&000
5&000
*285
0
26
30
13
40
4&506
5&000
*24
0
*36
0
*42
0
7&404
8&000
32&000
17&000
*1&006
0
41
45
3&500
*50
0
200
*1&800
0
750
108
150
*616
0
*144
0
18
24
1&050
*82
0
1&706
2&000
*6&627
*
1&500
3&476
3&500
2&050
644
700
1&400
*3&332
0
28&0!6
28&000
40&000
*721
0
1&500
36
150
25
11!
120
1&616
2&000
1&300
!68
1000
130
*3340
0
1300
164
200
150
101
200
150
36
50
18
50
270
270
2700
2700
!4
!4
84
84
!
10
442
450
100
234
250
20
18270
18500
51000
*2050
0
2430
72
72
50
180
180
7722
8000
3600
1!0
200
1250
378
400
250
2006
2100
500
*2
0
10!2
1100
1100
2610
2650
3500
150
20
250
750
750
144
200
275
1!8
200
24
*1020
0
1200
18 33
36 40
12
2250
2250
1500
72
80
50
1(
+A)A B,>MA A-ADAE A.A /+B,+.A+
2(
M.DAE B,')EA A-ADAE ,+)9.A+9 M.DAE B,')EA G'A) +,DA.A +A) )AE /A-A )
4(
+>A) /,CA)A> -A ?G>.A) DA./9>A -9B9>9.BA /AD9C DA.'A) 21 ?,'>A>9 2017 -9
5(
.GEG )B )9-AB .,DABBA /,A.'AEA .A/ /,C>ACA 'A>9+ .A/ BGD
R%NANA K%BUTU+AN PUSK%SMAS UPT' P%*AANAN K%S%+ATAN K%AMATAN
NO
NAMA OBAT
SATUAN
1
A('(( 9 "k#usus ular dari luar /apua$ inj "i(m(i(v($
vial
2
A('((99 "k#usus ular dari /apua$ inj "i(m(i(v($
vial
3
Air untuk vial amp 25 mD
ampul
4
Albendazol tab 400 mg
tablet
5
Albendazol susp 200 mg5 mD
botol
6
Alopurinol tab 100 mg
tablet
7
Alopurinol tab 300 mg
tablet
8
Amilorid tab 5 mg
tablet
!
Aminofilin tab 150 mg
tablet
10
Aminofilin tab 200 mg
tablet
11
Aminofilin inj 24 mgmD
vial
12
Amiodaron tab 200 mg
)ab
13
Amitriptilin tab sal 25 mg
tablet salut
14
Amlodipin tab sal 25 mg
tablet
15
Amlodipin tab 5 mg
tablet
16
Amlodipin tab 10 mg
tablet
17
Amoksisilin tab 500 mg
tablet
18
Amoksisilin sir forte 250 mg5 mD
botol
1!
Ampisilin serb inj 250 mgvial
vial
20
Ampisilin serb inj 1000 mgvial
vial
21
Analog insulin rapid ating "inj 100 9ml "kemasan vial& artridge disposible& penfill artridge$ Analog insulin long ating "inj 100 9ml "kemasan vial& artridge disposible& penfill artridge$ Analog insulin mi: insulin "inj 100 9ml "kemasan vial& artridge disposible& penfill artridge$
Vial
22 23
Vial Vial
24
Anestetik lokal gigi kombinasi
25
Antasida& kombinasi aluminium #idroksida 200 mg ; magnesium #idroksida 200 mg Antasida& kombinasi aluminium #idroksida 200 mg ; magnesium #idroksida 200 mg Antifungi salep& kombinasi asam benzoat 6% ; asam salisilat 3%
26 27
lidokain El 2% ; epinefrin 1 80(000 inj 2 mD
vial tablet kuna# botol tube
28
Anti#emoroid& kombinasi bismut subgalat 150 mg ; #eksaklorofen 2&5 mg ; lidokain 10 mg ; seng oksida 120 mg& sup ad 2 g
supp
2!
Antimalaria kombinasi sulfadoksin 500 mg ; pirimetamin 25 mg
kapsul
30
Antiparkinson kombinasi benserazid 25 mg ; levodopa 100 mg
kapsul
31
Artemet#er inj 80 mgmD
vial
32
Artesunat serb inj 60 mgmD "i(v(i(m($
vial
33
Articulating paper
34
Asam asetilsalisilat "asetosal$ tab 100 mg
kertas
35
Asam asetilsalisilat "asetosal$ tab 80 mg
tablet
36
Asam askorbat "vitamin $ tab 50 mg
tablet
37
Asam askorbat "vitamin $ tab 250 mg
tablet
38
Asam folat tab 0&4 mg
tablet
3!
Asam folat tab 1 mg
tablet
40
Asam folat tab 5 mg
tablet
41
Asam mefenamat kaps 250 mg
kapsul
42
Asam mefenamat kaps 500 mg
kapsul
43
Asam salisilat 5%
salep
44
Asam salisilat 0&1%
larutan
45
Asiklovir tab 200 mg
tablet
46
Asiklovir tab 400 mg
tablet
47
Atapulgit
tablet
48
Atenolol tab 50 mg
tablet
4!
Atenolol tab 100 mg
tablet
50
Atropin tab 0&5 mg
tablet
51
Atropin inj 0&25 mgmD "i(v(i(m(s(k($
vial
52
'a#an tumpatan sementara lar& serb
botol
53
'edak salisil serb 2%
54
'enzatin penisilin inj 1&2 juta 9mD "i(m($
vial
55
'enzatin penisilin inj 2&4 juta 9mD "i(m($
vial
56
'etametason krim 0&5 mgg
krim
57
'etametason tts mata 1 mgmD
botol
58
'isakodil tab salut 5 mg
5!
'isakodil sup 5 mg
supp
60
'isakodil sup 10 mg
supp
61
'isoprolol tab 2&5 mg
)ab
62
'isoprolol tab 5 mg
serbuk
tab salut
tablet
63
'udesonid i# 200 mgdosis
'otol
64
'udesonid serb i# 100 mgdosis
'otol
65
'udesonid*formoterol "fixed combination$= i# 1604&5 mg
'otol
66
'udesonid*formoterol "fixed combination$= i# 804&5 mg
'otol
67
Coal tar lar 5 %
botol
68
Copper T
6!
-apson tab sored 100 mg
70
-eksametason inj 5 mgmD "i(v(i(m($
71
-eksametason tab 0&5 mg
72
-iazepam inj 5 mgmD "i(v(i(m($
vial
73
-iazepam lar rektal 5 mg2&5 mD
lar rektal
74
-iazepam lar rektal 10 mg2&5 mD
lar rektal
75
-iazepam tab 2 mg
tablet
76
-iazepam tab 5 mg
tablet
77
-ietilkarbamazin tab 100 mg
tablet
78
-ifen#idramin inj 10 mgmD "i(v(i(m($
vial
7!
-igoksin tab 0&25 mg
tablet
80
-iltiazem tab 30 mg
)ab
81
-iltiazem El tab 30 mg
tablet
82
-iltiazem kaps +> 100 mg
Baps
83
-iltiazem kaps +> 200 mg
Baps
84
-imen#idrinat tab 50 mg
tablet
85
-oksazosin tab 1 mg
)ab
86
-oksazosin tab 2 mg
)ab
87
-oksisiklin kaps 100 mg
kapsul
88
-omperidon tab 10 mg
tablet
8!
,pinefrin "adrenalin$ inj 0&1% "i(v(s(k(i(m($
ampul
!0
,pinefrin "adrenalin$ inj 1 mgmD
ampul
!1
,rgokalsiferol "vitamin -2$ kaps 50(000 9
kapsul
!2
,rgokalsiferol "vitamin -2$ susp 10(000 9mD
botol
!3
,rgotamin tab 1 mg
tablet
!4
,ritromisin kaps 250 mg
kapsul
!5
,ritromisin sir 200 mg5 mD
botol
!6
,tambutol tab 250 mg
tablet
!7
,tambutol tab 400 mg
tablet
!8
,tambutol tab 500 mg
tablet
!!
,tanol botol 70%
botol
100
,til klorida semprot 100 mD
botol
101
,tonogestrel implan 68 mg
implan
102
,ugenol
103
?enitoin a kaps 50 mg
kapsul
104
?enitoin a kaps 100 mg
kapsul
105
?enitoin a inj 100 mg2 mD
ampul
106
?enitoin a inj 50 mgmD
ampul
setbua# tab scored vial tablet
botol
107
?enobarbital tab 30 mg
tablet
108
?enobarbital tab 100 mg
tablet
10!
?enoksimetil penisilin "penisilin $ tab 250 mg
tablet
110
?enoksimetil penisilin "penisilin $ tab 500 mg
tablet
111
?enoksimetil penisilin "penisilin $ serb inj 3 juta 9vial "i(m($
112
?enoterol #br aerosol 100 mgpuff
'otol
113
?enoterol #br airan i# 0&1%
'otol
114
?erro fumarat kaps lunak 300 mg
kaps( Dunak
115
?erro sulfat tab salut 300 mg
tablet salut
116
?erro sulfat sir( 15 mg5 mD
botol
117
?itomenadion "vitamin B 1$ tab sal 10 mg
118
?itomenadion "vitamin B 1$ inj 2 mgmD "i(m($
vial
11!
?luor tab 0&5 mg
tablet
120
?luor kapl 1 mg
kapsul
121
?luor sediaan topikal
tube
122
?luoresein tts mata 2&5 mgmD
botol
123
?ormokresol
botol
124
?urosemid tab 40 mg
tablet
125
?urosemid inj 10 mgmD "i(v(i(m($
ampul
126
Galactose microparticle200-400 mg micropart/m
127
Caram oralit kombinasi natrium klorida 0&52 g ; kalium klorida 0&30 g ; trinatrium sitrat di#idrat 0&58 g; glukosa an#idrat 2&7 g serbuk untuk 200 ml air
sa#et
128
Class ionomer A!T "Atraumatic !estorati#e Treatment$
sa#et
12!
Class ionomer A!T "Atraumatic !estorati#e Treatment$
botol
130
Class ionomer A!T "Atraumatic !estorati#e Treatment$ cocoa butter 5 g
131
Clibenklamid tab 2&5 mg
tablet
132
Clibenklamid tab 5 mg
tablet
133
Cliklazid tablet .> 30 mg
tablet
134
Cliklazid tablet +> 60 mg
tablet
135
Cliklazid tablet 80 mg
tablet
136
Climepirid tab 1 mg
tablet
137
Climepirid tab 2 mg
tablet
138
Climepirid tab 3 mg
tablet
13!
Climepirid tab 4 mg
tablet
140
Clipizid tab 5 mg
tablet
141
Clipizid tab 10 mg
tablet
142
Cliseril trinitrat kaps +> 2&5 mg
Baps
143
Cliseril trinitrat kaps +> 5 mg
Baps
144
Cliseril trinitrat tab sublingual 0&5 mg
145
Cliserin tts 10 mgmD
botol
146
Cliserin tts 100 mgmD
botol
147
Criseofulvin "micronied $ tab 125 mg
tablet
148
Criseofulvin "micronied $ tab sored 250 mg
vial
tab( +alut
gel
cocoa butter
tablet sub(
tablet sore
14!
Gutta perc+a dan paper points ,5 - 40 mm
roll
150
Gutta perc+a dan paper points 45 - 0 mm
roll
151
Ealoperidol tab 0&5 mg
tablet
152
Ealoperidol tab 1&5 mg
tablet
153
Ealoperidol tab 2 mg
tablet
154
Ealoperidol tab 5 mg
tablet
155
Ealoperidol tts 2 mgmD
botol
156
Ealoperidol inj 5 mgmD "i(m($
vial
157
Eepatitis ' imunoglobulin "#uman$ inj 0&5 mD
vial
158
Eidrogen peroksida botol 3%
botol
15!
Eidrogen peroksida lar( konsentrat 3%
botol
160
Eidroklorotiazid tab 25 mg
tablet
161
Eidrokortison serb inj 100 mgvial
vial
162
Eidrokortison krim 2&5%
krim
163
Eidroksi klorokuin tab 200 mg
tablet
164
Eidroksi klorokuin tab 400 mg
tablet
165
Eiosina butilbromida tab 10 mg
tablet
166
16!
Euman insulin intermediate ating inj 100 9ml "kemasan vial artridge disposible& penfill artridge$ Euman insulin mi: insulin inj 100 9ml "kemasan vial& artridge disposible& penfill artridge$ Euman insulin s#ort ating inj 100 9ml "kemasan vial& artridge disposible& penfill artridge$ &uman tetanus imunoglobulin in' 250 () "i*m*$
vial
170
&uman tetanus imunoglobulin in' 500 () "i*m*$
vial
171
9buprofen tab 200 mg
tablet
172
9buprofen tab 400 mg
tablet
173
9buprofen sir 100 mg5 mD
botol
174
9buprofen sir 200 mg5 mD
botol
175
9midapril tab 10 mg
)ab
176
9midapril tab 5 mg
)ab
177
9pratropium bromida i# 20mgpuff
'otol
178
9pratropium bromida i# padat 20 mg
puff
17!
9pratropium bromida nebulizer 0&025%
botol
180
9rbesartan tab 150 mg
)ab
181
9rbesartan tab 300 mg
)ab
182
9soniazid tab 100 mg
tablet
183
9soniazid tab 300 mg
tablet
184
9sosorbid dinitrat tab 10 mg
)ab
185
9sosorbid dinitrat tab 5 mg
tablet
186
Balamin
botol
187
Balsium glukonat inj 100 mgmD
ampul
188
Balsium #idroksida
pasta
18!
Balsium karbonat tab 500 mg
tablet
1!0
Balsium laktat "kalk$ tab 500 mg
tablet
167 168
Vial Vial Vial
1!1
Bandesartan tab 16 mg
)ab
1!2
Bandesartan tab 8 mg
)ab
1!3
Baptopril tab 12&5 mg
tablet
1!4
Baptopril tab 25 mg
tablet
1!5
Baptopril tab 50 mg
tablet
1!6
Barbamazepin tab 200 mg
tablet
1!7
Barbamazepin sir 100 mg5 mD
botol
1!8
Barbo adsorben tab 0&5 g
tablet
1!!
Barbogliserin tts telinga 10 %
botol
200
Barvediol kaps 6&25 mg
Baps
201
Betamin inj 50 mgmD "i(v($
ampul
202
Betamin inj 100 mgmD "i(v($
ampul
203
Betokonazol tab 200 mg
tablet
204
Blofazimin& micronied.aps ,00 mg
kapsul
205
Blonidin tab 0&15 mg
)ab
206
Blopidogrel tab 75 mg
)ab
207
Bloramfenikol kaps 250 mg
kapsil
208
Bloramfenikol susp 125 mg5 mD
botol
20!
Bloramfenikol salep kulit 2%
pot
210
Bloramfenikol tts mata 0&5%
botol
211
Bloramfenikol tts mata 1%
botol
212
Bloramfenikol salep mata 1%
pot
213
Blorfeniramin maleat tab 4 mg
tablet
214
Blorfenol kamfer mentol "EB.$
botol
215
Blor#eksidin lar 15%
botol
216
Blor#eksidin lar 0&2%
botol
217
Blorpromazin tab sal 25 mg
tablet salut
218
Blorpromazin tab sal 100 mg
tablet salut
21!
Blorpromazin inj 5 mgmD "i(m($
vial
220
Blorpromazin inj 25 mgmD "i(m($
vial
221
Blortalidon tab 50 mg
tablet
222
Bodein tab 10 mg
tablet
223
Bodein tab 20 mg
tablet
224
Bolekalsiferol "vitamin -3$ kaps lunak 0&25 mg
Baps lunak
225
Bolekalsiferol "vitamin -3$ kaps lunak 0&5 mg
Baps lunak
226 227
ombinasi untu. ana. 1aduan dalam bentu. dosis tetap "T/3C$ !ifampisin .aplet 5 mg isoniaid tablet 50 mg kombinasi "kombipak$ artesunat tab 50 mg ; amodiakuin tab 200 mg
228
kombinasi tablet salut ferro sulfat 200 mg ; asam folat 0&25 mg
22!
Bombinasi artemeter 20 mg ; lumefantrin 120 mg
)ablet
230
.ombinasi untu. ana. "1aduan dalam bentu. ombipa.$ !ifampisin .aplet 5 mg isoniaid tablet ,00 mg pirainamid tablet 200 mg
/aket
231
.ombinasi untu. ana. "1aduan dalam bentu. .ombipa.$!ifampisin .aplet 5 mg isoniaid tablet ,00 mg
/aket
/aket )ablet )ablet salut
232
ombinasi untu. ana. 1aduan dalam bentu. dosis tetap "T/3C$ !ifampisin .aplet 5 mg isoniaid tablet 50 mg pirainamid tablet ,50 mg
/aket
233
ombinasi untu. de6asa 1aduan dalam bentu. .ombipa. !ifampisin .aplet 450 mg isoniaid tablet 700 mg .ombinasi untu. de6asa "1aduan dalam bentu. ombipa.$ !ifampisin .aplet 450 mg isoniaid tablet 700 mg pirainamid tablet 500 mg etambutol tablet 250 mg dan 500 mg
/aket
235
.ombinasi untu. de6asa 1aduan dalam bentu. dosis tetap "T/3C$ !ifampisin .aplet ,50 mg isoniaid tablet 5 mg pirainamid tablet 400 mg etambutol tablet 25 mg
/aket
236
.ombinasi untu. de6asa 1aduan dalam bentu. dosis tetap "T/3C$ !ifampisin .aplet ,50 mg isoniaid tablet ,50 mg
/aket
237
Bombinasi kaolin 550 mg ; pektin 20 mg
tablet
238
kombinasi ipratropium 'r 0&5 mg ; salbutamol 2&5 mg
botol
23!
Bombinasi salmeterol
25 mg ; flutikason propionat 50 mg i# 50 mgpuff
'otol
240
Bombinasi salmeterol
50 mg ;flutikason propionat 100 mg i# 50 mgpuff
'otol
241
Bombinasi salmeterol
50 mg; flutikason propionat 250 mg i# 250 mgpuff
'otol
242
Bomposit resin
243
Bontrasepsi oral kombinasi levonorgestrel 150 mg ; etinilestradiol 30 mg
tablet
244
Botrimoksazol 240 mg sulfametoksazol 200 mg ; trimetoprim 40 mg
botol
245
Botrimoksazol "de
tablet
246
tablet
247
Botrimoksazol forte kombinasi !60 mg sulfametoksazol 800 mg ; trimetoprim 160 mg Buinin tab 200 mg
248
Buinin tab 222 mg
tablet
24!
Buinin tab 250 mg
tablet
250
Buinin inj 25% "i(v($
251
Devonorgestrel implan 2 rods& 75 mg "3*4 ta#un$
implan
252
Didokain inj 1 % "infltr$
ampul
253
Didokain inj 2% "infiltrp(v($
ampul
254
Didokain gel 2%
gel
255
Didokain semprot 10%
botol
256
Didokain pasta 5% "El$
tube
257
Didokain semprot 15% "El$
botol
258
Disinopril tab 10 mg
)ab
25!
Disinopril tab 20 mg
)ab
260
Disinopril tab 5 mg
)ab
261
Doratadin tab 10 mg
tablet
262
Dugol
botol
263
.agnesium sulfat serb& ktg 30 g
sa#et
264
.agnesium sulfat inj 20%
ampul
265
.agnesium sulfat inj 40%
ampul
234
/aket
set
tablet
vial
266
.ebendazol tab 100 mg
tablet
267
.ebendazol tab 500 mg
tablet
268
.ebendazol sir 50 mgmD
botol
26!
.edroksi progesteron asetat inj depo 150 mg
vial
270
.etenamin mandelat "#eksamin mandelat$ tab salut enterik 500 mg
271
.etformin tab 500 mg
tablet
272
.etformin tab 850 mg
tablet
273
.etildopa tab sal 250 mg
274
.etilergometrin tab salut 0&125 mg
tablet
275
.etilergometrin inj 0&2 mg.l
ampul
276
.etilprednisolon tab 16 mg
)ab
277
.etilprednisolon tab 4 mg
)ab
278
.etilprednisolon tab 8 mg
)ab
27!
.etoklopramid tab 5 mg
tablet
280
.etoklopramid tab 10 mg
tablet
281
.etronidazol tab 250 mg
tablet
282
.etronidazol tab 500 mg
tablet
283
.etronidazol sir 125 mg5 mD
botol
284
.etronidazol lar inf 5 mgmD
botol
285
.etronidazol ovula 500 mg
supp
286
.ikonazol serb 2%
vial
287
.ikonazol krim 2%
krim
288
atrium bikarbonat tab 500 mg
tablet
28!
atrium diklofenak tab 25 mg
tablet
2!0
atrium diklofenak tab 50 mg
tab 50 mg
2!1
atrium #ipoklorit botol konsentrat 5%
2!2
atrium tiosulfat inj 25% "i(v($
2!3
ifedipin kaps 10 mg
2!4
ifedipin tab +> 20 mg
)ab
2!5
ifedipin tab +> 30 mg
)ab
2!6
ikotinamid tab 5 mg
tablet
2!7
ikotinamid tab 20 mg
tabet
2!8
ikotinamid tab 100 mg
tablet
2!!
istatin tab salut 500(000 9
tablet salut
300
istatin susp 100(000 9mD
botol
301
istatin tab vaginal 100(000 9tab
supp
302
itrofurantoin tab 50 mg
tablet
303
orepinefrin inj 1 mgmD
ampul
304
Gksigen i#& gas dlm tabung
botl
305
Gksimetazolin tts #idung 0&025%
botol
306
Gksimetazolin tts #idung 0&050%
botol
307
Gksitosin inj 10 9mD
ampul
308
Glopatadin tts mata 0&1%
botol
tablet salut
)ab
botol vial kapsul
30!
Gmeprazol kaps 20 mg
kapsul
310
Gmeprazol inj 40 mg10 mD
ampul
311
/araformalde#id tab 1 g
tablet
312
/arasetamol tab 500 mg
tablet
313
/arasetamol sir 120 mg5 mD
botol
314
/arasetamol tts 60 mg0&6 mD
botol
315
/asta devitalisasi "non arsen$
tube
316
/asta pengisi saluran akar
tube
317
/erak nitrat lar 20%
botol
318
/erak sulfadiazin krim 1%
pot
31!
/erindoprilarginin tab 5 mg
)ab
320
/ermetrin krim 5 %
pot
321
/irantel pamoat tab sored 125 mg
tablet sore
322
/irantel pamoat tab sored 250 mg
tablet sore
323
/irantel pamoat tab 500 mg
tablet
324
/irantel pamoat susp 125 mg5 mD
botol
325
/irazinamid tab 500 mg
tablet
326
/iridoksin "vitamin '6$ tab 10 mg
tablet
327
/iridoksin "vitamin '6$ tab 25 mg
tablet
328
/iridoksin "vitamin '6$ inj 100 mgmD
ampul
32!
/ovidon iodin lar 100 mgmD
botol
330
/razikuantel tab sored 300 mg
tablet sore
331
/razikuantel tab sored 600 mg
tablet sore
332
/rednison 5 mg
tablet
333
/rimakuin 15 mg
tablet
334
/robenesid 500 mg
tablet
335
/rokain benzilpenisilin inj 1 juta 9vial "i(m($
vial
336
/rokain benzilpenisilin serb inj 3 juta 9vial "i(m($
vial
337
/ropiltiourasil 100 mg
tablet
338
propranolol 10 mg
tablet
33!
>amipril tab 10 mg
)ab
340
>amipril tab 5 mg
)ab
341
>amipril tab 2&5 mg
)ab
342
>anitidin 150 mg
343
>etinol "vitamin A$ kaps lunak 100(000 9
kapsul lunak
344
>etinol "vitamin A$ kaps lunak 200(000 9
kaps lunak
345
>ifampisin 300 mg
kapsul
346
>isperidon tab 3 mg
)ab
347
>isperidon tab sal 1 mg
)ab sal
348
>isperidon tab sal 2 mg
)ab sal
34!
+albutamol aerosol 100 mg
'otol
350
+albutamol airan serb i# 200 mgkaps ; rota#aler
'otol
351
+albutamol sir 2 mg5 ml
'otol
352
+albutamol 2 mg
tablet
tablet
353
+albutamol 4 mg
tablet
354
+albutamol lar i# 0&5 %
botol
355
+albutamol botol i# 0&1%
botol
356
+alep 2*4& kombinasi asam salisilat 2% ; belerang endap 4%
tube
357
+erum antidifteri "A(-(+$ i(m 10(000 9vial
vial
358
+erum antidifteri "A(-(+$ i(m 20(000 9vial
vial
35!
+erum antirabies inj 200 9mD
vial
360
+erum antirabies inj100 9mD
vial
361
+erum antitetanus "A()(+$ inj 1500 9amp "i(m($
362
+erum antitetanus "A()(+$ inj 10(000 9vial "i(m i(v($
vial
363
+erum antitetanus "A()(+$ inj 20(000 9vial "i(m i(v($
vial
364
+etirizin 5 mg5 mD
botol
365
+ianokobalamin "vitamin '12$ 50 mg
tablet
366
+ianokobalamin "vitamin '12$ 500 mgmD
ampul
367
+imvastatin 10 mg
tablet salut
368
+imvastatin 20 mg
tabet salut
36!
+iprofloksasin 500 mg
tablet scored
370
+pironolakton 25 mg
tablet
371
+treptomisin 1000 mgvial
372
8urgical ginggi#al pac.
pasta
373
)elmisartan tab 40 mg
)ab
374
)elmisartan tab 80 mg
)ab
375
)eofilin tab 100 mg
)ab
376
)eofilin tab 150 mg
)ab
377
)eofilin tab +> 300 mg
)ab
378
)erbutalin tab 2&5 mg
)ab
37!
)etanus to:oid
vial
380
)etrakain 0&5%
botol
381
)etrasiklin 250 mg
kapsul
382
)etrasiklin 500 mg
kapsul
383
)iamin "vitamin '1$ 50 mg
tablet
384
)iotropium serb i# 18 mg ; #andi#aller
'otol
385
)iotropium serb i# 18 mg& refill
'otol
386
)rifluoperazin tab sal 5 mg
387
)ri#eksifenidil 2 mg
tablet
388
)uberkulin protein purified deri#ati#e ,,0 "i*.*$
ampul
38!
aksin 'C
vial
3!0
aksin ampak
vial
3!1
aksin jerap difteri tetanus pertusis "-)/$
vial
3!2
aksin jerap difteri tetanus "-)$
vial
3!3
aksin jerap tetanus "tetanus adsorbed toxoid $
vial
3!4
aksin kombinasi -/) ; #epatitis '
vial
3!5
aksin polio
ampul
vial
)ab sal
botol
3!6
aksin rabies& untuk manusia
vial
3!7
alproat sir 250 mg5 mD
botol
3!8
alproat tab sal 250 mg
)ab sal
3!!
alproat tab sal 500 mg
)ab sal
400
alproat tab +> 500 mg
)ab
401
alproat tab +> 250 mg
)ab
402
alsartan tab 160 mg
)ab
403
alsartan tab 80 mg
)ab
404
erapamil tab 80 mg
)ab
405
erapamil tab 240 mg
)ab
406
itamin ' kompleks
tablet
407
9inc ,0 mg/m
botol
408
9inc 20 mg
40!
9inc 20 mg/5 m
410
9inc ,0 mg
tablet disp botol sa#et
AE 2017 -ADA. +A)A ),>B,9D +,/,>)9 )A'D,) BA/+D BA/D,) 'G)GD A./D 9AD )', +AE,) /? /)- G'A) -A /,>',BADA B,+,EA)AI -,CA +G?)G/9 "BADA '9+A$ -9B9>9.BA .,DAD9 ,.A9D B, uptdobatkabb . /A-A ?G>.A) >BG >MBA )AE 2015I +DA )A.'AEA ACA> -ADA. B,>)A+ ?G>.A) ),>/9+AE
BAT TA+UN 2017
S$SA STOK P%R &1 '%S%MB%R 201
P%MAKA$AN RATARATA P%R BU*AN S%*AMA 201
JUM*A+ K%BUTU+AN TA+UN 2017
(a)
(b)
() ! (b) " 1#
R%NANA USU*AN K%BUTU+AN TA+UN P%N/A'AAN TA+UN 2017 2017 (d) ! () (a)
(,)
55
1
18
*37
*
5440
28!
5202
*238
*
1751
53
!54
*7!7
*
7&0!2
6!8
12&564
5&472
6&000
32&753
475
8&550
*24&203
5&800
20254
2041
36738
16&484
17&000
!02
20
360
*542
0
4 &7 4 2
1 &2 8 5
2 3 &1 3 0
18&388
18&400
360
116
2 08 8
1&728
1 &8 0 0
33
4
72
3!
50
2165
20
360
*1&805
*
408
33
5! 4
186
20 0
0
2 00
5 &6 7 6
1 &3 6 0
2 4 &4 8 0
18&804
18&!00
6 &2 7 8
2 27
4&086
*2&1!2
0
8382
1!!
3582
*4&800
*
1 &0 ! !
1 !2
3&456
2&357
2&500
2 &8 3 6
2 36
4&248
1&412
1&500
3553
1
18
*3&535
*
41!2
51
!18
*3&274
*
1748
54
!72
*776
*
30
1
18
*12
*
6!8
25
450
*248
0
223
1
18
*205
0
112
2
36
*76
4800
170!
3 07 6 2
25&!62
0
1
18
18
18
128
21
37 8
250
30 0
0
20
360
360
400
30
1
18
*12
*
2182
18
324
*1&858
*
188
3
54
*134
0
3 &4 ! 0
!
162
*3&328
0
2 &3 0 4
7
126
*2&178
0
26
1
18
*8
*
0
0 26&000
7 00
501
17 7
3 186
2&685
2&700
83
2
36
*47
*
10
7
126
116
120
0
30
54 0
540
600
33
6
108
75
!00
6 &6 7 0
2 &2 6 0
4 0 &6 8 0
34&010
35&000
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