formuarium rs

53
1 ANALGESIK NON NARKOTIK, ANTIPIRETIK, ANTIINFLAMASI NONSTEROID DAN ANT 1.1 ANALGESIK NON NARKOTIK, ANTIPIRETIK 1.2 ANTIINFLAMASI NON STEROID 1.3 ANTIPIRAI 2 ANESTETIK 2.1 UMUM 3 ANTIALERGI DAN ANAFILAKSIS 4 ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN 4.1 UMUM 4.2 KHUSUS 5 ANTIEPILEPSI DAN ANTIKONVULSI 6 ANTIINFEKSI 6.1 ANTELMINTIK DAN ANTIFILARIA 6.1.1 ANTELMINTIK INTESTINAL 6.1.2 ANTIFILARIA 6.2 ANTIBAKTERI 6.2.1 BETA LAKTAM 6.2.2 TETARASIKLIN 6.2.3 KLORAMFENIKOL 6.2.4 KOTRIMOKSAZOL 6.2.5 MAKROLID 6.2.6 AMINOGLIKOSID 6.2.7 KUINOLON 6.2.8 SEFALOSPORIN 6.2.9 GLIKOPEPTIDA 6.2.10 ANTI BAKTERI LAIN 6.3 ANTI INFEKSI KHUSUS 6.3.1 ANTILEPRA 6.3.2 ANTITUBERKULOSIS 6.4 ANTIFUNGI 6.5 ANTIPROTOZOA 6.5.1 ANTIAMUBA DAN ANTIGIARDIASIS 6.5.2 ANTIMALARIA 6.6 ANTI VIRUS 6.6.1 ANTI HERPES 6.6.2 ANTI HEPATITIS 7 ANTIMIGREN

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Page 1: Formuarium Rs

1 ANALGESIK NON NARKOTIK, ANTIPIRETIK, ANTIINFLAMASI NONSTEROID DAN ANTIPIRAI1.1 ANALGESIK NON NARKOTIK, ANTIPIRETIK1.2 ANTIINFLAMASI NON STEROID1.3 ANTIPIRAI

2 ANESTETIK2.1 UMUM

3 ANTIALERGI DAN ANAFILAKSIS

4 ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN4.1 UMUM4.2 KHUSUS

5 ANTIEPILEPSI DAN ANTIKONVULSI

6 ANTIINFEKSI6.1 ANTELMINTIK DAN ANTIFILARIA

6.1.1 ANTELMINTIK INTESTINAL6.1.2 ANTIFILARIA

6.2 ANTIBAKTERI6.2.1 BETA LAKTAM6.2.2 TETARASIKLIN6.2.3 KLORAMFENIKOL6.2.4 KOTRIMOKSAZOL6.2.5 MAKROLID6.2.6 AMINOGLIKOSID6.2.7 KUINOLON6.2.8 SEFALOSPORIN6.2.9 GLIKOPEPTIDA6.2.10 ANTI BAKTERI LAIN

6.3 ANTI INFEKSI KHUSUS6.3.1 ANTILEPRA6.3.2 ANTITUBERKULOSIS

6.4 ANTIFUNGI6.5 ANTIPROTOZOA

6.5.1 ANTIAMUBA DAN ANTIGIARDIASIS6.5.2 ANTIMALARIA

6.6 ANTI VIRUS6.6.1 ANTI HERPES6.6.2 ANTI HEPATITIS

7 ANTIMIGREN

8 ANTIPARKINSON8.1 ANTIMASTENIA GRAVIS

Page 2: Formuarium Rs

9 ANTI MASTENIA GRAVIS

10 OBAT UNTUK DARAH DAN JARINGAN PEMBENTUK DARAH10.1 ANTIANEMI10.2 OBAT YANG MEMPENGARUHI KOAGULASI

11 ANTISEPTIK DAN DESINFEKTAN11.1 ANTISEPTIK11.2 DESINFEKTAN

12 DIURETIK DAN OBAT UNTUK SALURAN KEMIH12.1 DIURETIK12.2 OBAT UNTUK PROSTAT

13 HORMON OBAT ENDOKRIN LAIN, ANTIDIABETIK PARENTERAL DAN KONTRASEPTIK13.1 ANTI DIABETIK ORAL

13.1.1 SULFONIL UREA13.1.2 BIGUANID13.1.3 ALFA GLUKOSIDA INHIBITOR13.1.4 TIAZOLIDINEDION13.1.5 ANTIDIABETIK PARENTERAL

13.2 HORMON KELAMIN13.2.1 ESTROGEN13.2.2 PROGESTERON

13.3 HORMON TIROID DAN ANTITIROID13.4 KORTIKOSTEROID

14 OBAT KARDIOVASKULER14.1 ANTIANGINA14.2 ANTIARITMIA14.3 ANTIHIPERTENSI

14.3.1 ACE INHIBITOR14.3.2 BETA BLOCKER14.3.3 KALSIUM ANTAGONIS14.3.4 ANGIOTENSIN ii ANTAGONIS14.3.5 ANTIHIPERTENSI LAIN

14.4 GAGAL JANTUNG14.5 ANTITROMBOTIK14.6 TROMBOLITIK

15 OBAT UNTUK SYOK15.1 VASODILATOR15.2 SYOK KARDIOGENIK

16 ANTIHIPERLIPIDEMIA

Page 3: Formuarium Rs

17 OBAT TOPIKAL UNTUK KULIT17.1 ANTIAKNE17.2 ANTIBAKTERI17.3 ANTIFUNGI17.4 ANTI INFLAMASI DAN ANTIPRURITIK17.5 ANTISKABIES DAN ANTIPEDIKULOSIS17.6 KERATOLITIK DAN KERATOPLASTIK17.7 KAUSTIK

18 LARUTAN ELEKTROLIT DAN NUTRISI18.1 ORAL18.2 PARENTRAL

19 OBAT MATA19.1 SISTEMIK19.2 TOPIKAL

19.2.1 ANESTETIK LOKAL19.2.2 ANTIMIKROBA19.2.3 ANTIMIKROBA DAN ANTIINFLAMASI19.2.4 MIDRIATIK19.2.5 MIOTIK DAN ANTIGLAUKOMA19.2.6 LAIN-LAIN

20 OBAT TELINGA HIDUNG DAN TENGGOROKAN20.1 ANTIBAKTERI TOPIKAL20.2 KORTIKOSTEROID20.3 LAIN-LAIN

21 OKSITOSIK DAN RELAKSAN UTERUS21.1 OKSITOSIK 22.2 RELAKSAN UTERUS

22 PSIKOFARMAKA22.1 ANTIANSIETAS DAN ANTIINSOMIA22.2 ANTIDEPRESI DAN ANTIMANIA22.3 ANTIOBSESIF KOMPULSIF22.4 ANTIPSIKOSIS

23 OBAT SALURAN CERNA23.1 ANTASIDA DAN ANTIULKUS23.2 ANTIEMETIK23.3 ANTIHEMOROID23.4 ANTISPASMODIK23.5 OBAT DIARE23.6 KATARTIK

24 OBAT SALURAN NAFAS

Page 4: Formuarium Rs

24.1 ANTIASMA24.2 PPOK24.3 ANTITUSIF24.4 EKSPEKTORAN

25 VITAMIN DAN MINERAL

26 LAIN-LAIN

27 ANALGESIK NARKOTIK

28 PRODUK DARAH DAN PENGGANTI PLASMA28.1 PRODUK DARAH28.2 PENGGANTI PLASMA DAN PLASMA EKSPANDER

29 RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE

30 IMUNOGLOBULIN DAN SERUM30.1 IMUNOGLOBULIN30.2 SERUM

31 ANTINEOPLASTIK31.1 ANTIHORMON31.2 SITITOKSIK

Page 5: Formuarium Rs

SUB KELAS TERAPI, NAMA GENERIK

NAMA DAGANG

1 ANALGESIK NON NARKOTIK, ANTIPIRETIK, ANTIINFLAMASI NONSTEROID DAN ANTIPIRAI

1.1 ANALGESIK NON NARKOTIK, ANTIPIRETIK1 Asam asetil Salisilat (asetosal)

1 tablet 80 mg 1 Ascardia 80

2 Aspilet

3 Cardio aspirin

4 Proxime tablet

2 Ibuprofen 1 tablet 200 mg 1 Ibuprofen 200

2 Prorys tab 200 mg

2 tablet 400 mg 1 Ibuprofen 400

3 sirup 100 mg/5ml 1 Prorys

2 Ibukal

4 suppos 1 Prorys

3 Metampiron1 Kombinasi

a. Metampiron 500 mg 1 Analsikb. Diazepam 2 mg 2 Danalgin

3 Opineuron

4 Paracetamol1 Tablet 500 mg 1 Paracetamol 500

2 Pamol

3 Sanmol

2 Kombinasia. Paracetamol 500 mg 1 Tuzalos

b. Ephedrin 2 Flutamol Plus

c. Propanolamin 3 Fludane Plus

d. CTM

3 Sirup 120 mg/5 ml, btl 60 ml Sanmol

Pamol

Praxion

4 Sirup 250 mg/5 ml btl 60 ml Praxion Forte

NOMOR KELAS TERAPI

Page 6: Formuarium Rs

5 Drop 100 mg/ml Sanmol

Praxion

5 Asam Mefenamat1 Kapsul 250 mg Mefinal

Mefinter

2 Kapsul 500 mg Asam Mefenamat

MefinalMefinterBenostan

3 Suspensi 50 mg/5ml, 60 ml PondexTramadol

4 Tramadol Tramadol1 kapsul 50 mg Tramadol

OrasicForgesicTramalTramal retard

2 Injeksi 50 mg/ml, amp 2 ml TramadolTramadolTramadolOrasicForgesicTramal

3 Supos Tramal

5 Ketorolac tromethamine1 Injeksi 30 mg/ml, amp 1ml Ketorolac

KetorolacKetorolacLantipain

Remopain

Scelto

Toramin

Torasic

Trolac

2 tablet 10 mg Ketorolac

Page 7: Formuarium Rs

Trolac

1.2 Anti Inflamasi1 Diklofenak natrium

1 tablet 25 mg Na DiklofenakKaflam

2 tablet 50 mg Na DiklofenakVoltadexRenvol

3 kapsul retard 75 mg Deflamat 75 Cr

4 Kapsul retard 100 mg Deflamat 100 Cr

5 Salep 1% FlamarVoltadex

2 Diklofenak Kalium1 tablet 50 mg Aclonac

KaflamEflagen

3 Ketoprofen1 tablet 50 mg Ketoprofen

KetoprofenKaltrofenPronalges

2 tablet 100 mg KetoprofenKetoprofenKaltrofenPronalges

3 inj 50 mg/ml amp@2 ml KetoprofenKaltrofen

4 Suupositoria 100 mg KaltrofenPronalgesKetros

4 Meloxicam 1 tablet 7,5 mg Meloxicam

MeloxicamMeloxicam

Page 8: Formuarium Rs

MexpharmMoxamMoxic

2 tablet 15 mg MeloxicamMeloxicamMeloxicamMexpharmMoxamMoxicMevilox

3 Suppositoria 15 mg MexpharmMoxam

1.3 ANTIPIRAI1 Allopurinol

1 Tablet 100 mg AllopurinolAllopurinolBenoxuric

2 Tablet 300 mg AllopurinolAllopurinolPurinic

2 Piroxicamtablet 10 mg Piroxicam

tablet 20 mg Piroxicam

2 ANESTETIK2.1 UMUM

1 Midazolam1 Injeksi 5 mg/5ml amp @ 5 ml Sedacum

Fortanest

3 ANTIALERGI DAN ANAFILAKSIS1 Dexamethason

1 Injeksi 5 mg/ml,amp @ 1 ml DexamethasonkalmethasonCortidex

2 Difenhidramin1 inj 10mg/ml, amp@ 1 ml Difenhidramin

Page 9: Formuarium Rs

3 Epinefrin (adrenalin)1 inj 0,1% amp,@ 1 ml epinefrine

4 Klorfeniramin1 Tab 4 mg CTM

5 Mebhidrolin Napadisilat1 tab 50 mg Interhistin

Histapan6 Loratadine

1 Kaplet 10 mg LoratadineSohotin

4 ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN4.1 UMUM

1 karbo Adsorban1 tab 0,5 gr Karbo Adsorban

2 Kalsium Glukonas1 inj 100 mg.ml amp @ 10 ml Ca Glukonas

4.2 KHUSUS1 Naloxone HCL

1 Inj 0,4 mg/ml amp 2 ml Nokoba

5 ANTIEPILEPSI DAN ANTIKONVULSI

5.1 ANTIEPILEPSI DAN ANTIKONVULSI1 Diazepam

1 tab 2 mg DiazepamValisanbe

2 tab 5 mg DiazepamValisanbe

3 Inj 10 mg/2ml DiazepamValisanbe Stesolid

4 Lar rect 5 mg/ml tube 2,5 ml Stesoid restal

5 Lar rect 10mg/ml tube 2,5 ml Stesoid restal

2 Fenitoin Na1 Kaps 100 mg Phenitoin

Page 10: Formuarium Rs

Dilantin

2 inj 100 mg/2ml Phenitoin

3 Fenobarbitaltab 30 mg Fenobarbital

Fenobarbital

inj 200 mg / 2ml FenobarbitalSibitalPhental 200

4 Natrium ValproatSir 250 mg/5ml btl 120 ml Depakene

5.2 ANTI NYERI PADA SYARAF1 karbamazepin

1 tab 200 mg Carbamazepine

2 Gabapentin1 Kapsul 100 nepatic

Gabexal

2 Kapsul 300 NepaticNeurontinGabexal

6 ANTIINFEKSI6.1 ANTELMINTIK DAN ANTIFILARIA

6.1.1 ANTELMINTIK INTESTINAL1 Albendazol

1 tab 400 mg AlbendazolAlbendazol

2 Pirantel1 tab 125 mg Pirantel pamoat

2 tab 125 mg Pirantel pamoatCombantrin

3 Suspensi Combantrin Suspensi

6.1.2 ANTIFILARIA1 DietilKarbamazin

1 tab 100 mg DietilKarbamazin

Page 11: Formuarium Rs

6.2 ANTIBAKTERI6.2.1 BETA LAKTAM

1 Amoxycilin Anhidrat1 kaps 250 Amoxycilin

Amoxycilin AmoxanIntermoxyl

2 kaps 500 Amoxycilin Amoxycilin AmoxanIntermoxylAmobiotic

3 Sirup 125 mg/ 5 ml btl 60 ml Amoxycilin AmoxanIntermoxylAmobiotic

4 Sirup 250 mg/ 5 ml btl 60 ml Amoxan syr Forte

2 Ampisilin1 Kaps 500 mg Ampisilin

Ampisilin

2 Serb inj 1000 mg /vial SanpicilinViccilin

3 Meropenem1 Inj 500 mg Meropenem

Tripenem

2 Inj 1000 mg MeropenemTripenemEradix

4 Cefazolin1 inj 1 gram Cefazolin

6.2.2 TETRASIKLIN1 Tetrasilkin Hcl

1 Kaps 500 mg Tetrasilkin HclTetrasanbe

Page 12: Formuarium Rs

2 Doksisiklin1 Kaps 100 mg Doksisiklin

SiclidonViadoxin

6.2.3 KLORAMFENIKOL1 Kloramfenikol

1 kaps 250 mg CloramfenikolColsancetin

2 Susp 125 mg/5ml btl 60 ml ColsancetinKloramfenikol

3 Serb inj 1000 mg /ml, vial @ 10 ml ColsancetineClorbioticChloramex

4 Salep 1 % kalmycetine

6.2.4 KOTRIMOKSAZOL1 Kotrimoksazol DOEn (pediatrik)

Kombinasia. Sulfametoksazol 100 mgb. Trimetoprim 20 mg

1 Tab Kotrimoksazol DOEn (pediatrik)

2 Sir btl 60 ml Cotrimoxazola. Sulfametoksazol 200 mg Sanprimab. Trimetoprim 40 mg Ottoprim

2 Kotrimoksazol (dewasa)Kombinasia. Sulfametoksazol 400 mgb. Trimetoprim 80 mg

1 Tab CotrimoxazolSanprimaOttoprim

Kotrimoksazol ForteKombinasia. Sulfametoksazol 800 mgb. Trimetoprim 160 mg

1 tab CotrimoxazolSanprima ForteOttoprim Forte

Page 13: Formuarium Rs

6.2.5 Makrolid1 Eritromicin

1 Kaps 250 EritromicinErysanbe

2 Kaps 500 EritromicinErysanbe

3 Sir 200mg / 5l btl 60 ml EritromicinErysanbe

2 Spiramicin1 tab 500 mg Spiramicin

RovadinSpiradan

2 Sir 125 mg/5ml, btl 60 ml Spiradan

3 Klindamisin1 Kaps 150 mg Clindamycin

AlbiotinOpiclam

2 kaps 300 mg ClindamycinAlbiotinClinbersinClinidac

4 Roxithromycin1 tab 150 mg Ixor

2 tab 300 mg Sitro

5 Azithromycin1 tab 250 Zycin

2 tab 500 Azitromycin

6.2.6 AMINOGLIKOSID1 Gentamicin

1 inj 40 mg/ml amp@2 ml Gentamicin SagestamOttogenta

Page 14: Formuarium Rs

2 Streptomycin1 Serb inj 1000 mg/vial Streptomycin

2 Serb inj 5000 mg/vial Streptomycin

3 Kanamycin1 inj 1000 mg/vial Kanamycin

Kanabiotic

6.2.7 Kuinolon1 Siprofloxacin

1 tab 500 mg CiprofloxacinCiprofloxacinCiprofloxacinBaquinor forte

Bernoflok 500

Cetafloxo tab

Wiaflox 500

2 inf 2mg/ml btl 100 ml CiprofloxacinCiprofloxacinBernoflok

2 Levofloxacin1 tab 500 mg Clavamox 500

Levofloxacin

Levofloxacin

Levofloxacin

Nislev

Levovid

2 infus 500 mg/100 ml Nislev iv

Volequin iv

Levofloxacin

3 Ofloxacin 1 tab 200 mg Ofloxacin

Ofloxacin

1 tab 400 mg Ofloxacin Ofloxacin Pharflox 400

6.2.8 Sefalosporin

Page 15: Formuarium Rs

1 Cefadroxyl1 Kap 250 mg Cefadroxyl

Cefat

2 Kap 500 mg CefadroxylCefadroxylCefadroxylCefatDrovaxLongcefOpicefWidrox

3 Sirup kering 125 mg/5ml btl 60 ml CefadroxylCefadroxylCefatOpicef

4 Sirup kering 250 mg/5ml btl 60 ml Cefadroxyl

2 Cefotaxim1 Serb inj 500 mg / vial Cefotaxim

2 Serb inj 1000 mg / vial CefotaximCefotaximCefotaximBiocef inj

Lancef inj

Taxegram inj

Tirdicef inj

3 Ceftriaxon1 Serb inj 1000 mg / vial Ceftriaxon

CeftriaxonCeftriaxonBioxon Injeksi

Broadced HP

Broadced 1 Gr inj

Ecotrixon inj 1000 mg

Intrix inj

Socef inj

Terfacef inj

Trijec inj

Trisefin inj

Page 16: Formuarium Rs

4 Ceftazidime1 Serb inj 1000 mg / vial Ceftazidime

CeftazidimeCeftum inj

Pharodime inj

6.2.9 GLIKOPEPTIDA1 Vancomycin HCl

1 Serb inj 500 mg / vial Vancef

6.2.10 ANTI BAKTERI LAIN1 Sulfasalazine

1 tab 500 mg SulfasalazineSulcolonSulfitis

2 Mesalazine1 tab 250 mg Salofalk

6.3 ANTI INFEKSI KHUSUS6.3.1 ANTILEPRA

1 Rifampisin1 tab 300 mg Rifampisin

RifampisinRifampisin

6.3.2 ANTITUBERKULOSIS1 Etambutol HCl

1 tab 500 Etambutol Etambutol TibigonCorsabutol

2 Isoniazid1 tab 100 mg INH

2 tab 300 mg INHINH

3 Pirazinamid1 tab 500 Pirazinamid

4 Rifampisin1 tab 300 Rifampisin

Rifampisin

Page 17: Formuarium Rs

Rifampisin

2 tab 450 RifampisinRifampisinRifabiotic

3 tab 600 RifampisinRifampisinRifabiotic

5 Kombinasia. Ethambutol 500 mgb. INH 200 mgc. B6 10 mg

1 tab Pulna Forte

6.4 ANTIFUNGI1 Griseofulvin Micronized

1 tab 125 mg Griseofulvin

2 tab 500 mg Grivin

2 Ketokonazol1 tab 200 mg Ketokonazol

FormycoMycoral

2 Krim 2% 10 gr FormycoMycoral

3 Nistatin1 Susp 100.000 IU/ml, btl 12 ml Enystin

Kandistatin

2 Ovula 100.000 IU Fladystin ovula

Flagistatin ovula

NeoGynoxa ovula

4 Polikresulen1 Larutan 5% botol 10 ml Albothyl Conc

2 Supp Vaginal Albothyl

5 Boraks Gliserin1 Cairan 5% btl 10 ml Boraks Gliserin

Page 18: Formuarium Rs

6 Gentian Violet1 larutan 1 % botol 10 ml Gentian Violet

7 Fluconazol1 Kaps 50 mg Zemyc

2 Kaps 150 mg FluconazolZemyc

3 inj 200 mg / 100 ml Zemyc

6.5 ANTIPROTOZOA6.5.1 ANTIAMUBA DAN ANTIGIARDIASIS

1 Metronidazol1 tab 500 Metronidazol

MetronidazolTrichodazol

Trogyl

2 Sir 125 mg/5ml, btl 100 ml FlagylTrogyl

3 Lar infus 5 mg/ml, btl 100 ml MetronidazolMetronidazolMetronidazolFladexTrichodazol

Trogyl

4 Ovula 500 mg FladexFladystinNeo Gynoxa

6.5.2 ANTIMALARIA1 Antimalaria DOEN

Kombinasia Primetamin 25 mgb. Sulfadoxin 500 mg

1 tab Sulfadoxine +PrimetamineFansidar

2 Kuinin1 tab Kina

Page 19: Formuarium Rs

3 Primaquin1 tab 15 mg Primaquin

4 Chloroquin1 tab Chloroquin

6.6 ANTIVIRUS6.6.1 ANTIHERPES

1 Asiklovir1 tab scored 200 mg Acyclovir

AcyclovirAcyclovir

2 tab scored 400 mg AcyclovirAcyclovirAcyclovir

3 Krim 5% tube 5 gram AcyclovirAcyclovir

7 ANTIMIGREN1 Komb

Belladona 0,1 mgErgotamin 0,3 mgPhenobarbital 20 mg

1 Pil Bellaphen

8 ANTIPARKINSON1 Triheksifenidil HCl

1 tab 2 mg Triheksifenidil HClArkine

2 kombinasia. Levodopab. Benzerasid 25 mg

1 Kaps LeparsonPardozMadopar

3 Pramipexole HCl1 tab 0,375 mg Sifrol ER

2 tab 0,750 mg Sifrol ER

9 Muskoskeletal spasme

Page 20: Formuarium Rs

1 Esperison HCl ForresMyonepPlexionEprinoc

10 OBAT UNTUK DARAH DAN JARINGAN PEMBENTUK DARAH10.1 ANTIANEMI

1 Asam Folat1 tab 400 mcg Folavit

2 tab 1000 mcg Asam FolatFolavitFolamil

2 Besi (II) Sulfat

1 tab Ferrosus SulphateFerofortFeritrin

2 sirup Ferokid sirup

3 drop Ferokid drop

3 Sianokobalamin (vitamin B12)1 tab 50 mg Vitamin B12

2 inj 500 mcg/ml, amp @1 ml Vitamin B12

10.2 ANTIKOAGULASI1 Fitomenadion (Vitamin K)

1 tab salut 10 mg Vitamin KPhytomenadion

2 inj 10 mg/ml, amp@1ml Vitamin KPhytomenadion

2 Asam traneksamat1 tab 250 mg Asam traneksamat

KalnexTranxaTransamain

2 tab 500 mg Asam traneksamatKalnexTranxa

Page 21: Formuarium Rs

Transamain

3 inj 250 mg/5ml, amp Asam traneksamatKalnexTranxaTransamain

4 inj 500 mg/5ml, amp Asam traneksamatKalnexTranxaTransamain

3 Fondaparinux1 inj 25 mg Arixtra

11 ANTISEPTIK DAN DESINFEKTAN11.1 ANTISEPTIK

1 Hidrogen Peroksida1 Cairan 3% btl 10 ml Hidrogen Peroksida

2 Kalium permanganat1 Serb 5 gr Kalium Permanganat

3 Povidon Jodida (Iodium Povidon)1 larutan 10% btl 60 ml Isodine

Bethadine

2 larutan 10% galon 5 liter Isodine Bethadine

11.2 DESINFEKTAN1 Etakridin (Rivanol)

1 Lar 0,1% btl 200 ml Rivanol

2 Etanol 70%1 btl 100 ml Alkohol

12 DIURETIK DAN OBAT UNTUK SALURAN KEMIH12.1 DIURETIK

1 Furosemid1 tab 40 mg Furosemid

Naclex

2 inj 10 mg/ml FurosemidNaclex

Page 22: Formuarium Rs

Lasix

2 Hidrokortison (HCT)1 tab 25 mg Hidrokortison (HCT)

3 Manitol1 Lar infus 20% btl 500 ml Otsu Manitol 20

4 Spironolakton1 tab 25 mg Spironolakton

SpirolaLetonal

2 tab 50 mg SpironolaktonSpirolaLetonal

12.2 OBAT UNTUK PROSTAT1 Terazosin

1 tab 1 mg Hytrin

2 tab 2 mg Hytrin

2 Tamsulosine1 tab 0,2 mg harnal D

2 tab 0,4 mg Harnal Ocas

12.3 OBAT UNTUK SALURAN KEMIH1 Asam Pipemidat

1 kaps 400 mg urinterUrotractin

13 HORMON, OBAT ENDOKRIN LAIN, ANTIDIABETIK PARENTRERAL DAN KONTRASEPTIK13.1 ANTI DIABETIK ORAL

13.1.1 SULFONIL UREA1 Glibenklamide

1 tab 5 mg GlibenklamideProdiabet

2 Gliclazide1 tab 80 mg Glidabet

Glucodex3 Glikuidon

Page 23: Formuarium Rs

1 tab 30 mg GlurenormLodemFordiab

4 Glimepiride1 tab 1 mg Glimepiride

Gluvas

2 tab 2 mg GlimepirideGluvasMetrixArtepidGlucoryl

13.1.2 Biguanid1 Metformin

1 tab 500 mg Adecco

Benoformin 500

Gludepatic 500

Nevox

Nevox XR

13.1.3 ALFA GLUKOSIDA INHIBITOR1 Acarbose

1 tab 50 mg Eclid Glucobay

2 tab 100 mg Eclid Glucobay

13.1.4 TIAZOLINIDION1 Pioglitazone

1 tab 15 mg ActosDeculinPionix

2 tab 30 mg ActosDeculinPionix

13.2 ANTIDIABETIK PARENTERAL1 Human Insulin

1 inj 100 Iu/ml 10 ml Actrapid

2 inj 100 Iu/ml catridge 3 ml Sansulin NSansulin R

Page 24: Formuarium Rs

3 inj 100 IU/ml, penfil 3 ml Mixtard penfil

2 Analog Insulina Basal Insulin Analog

1. Inj 100 IU/ml/ Flexpen 3 ml Levemir Flexpen

b Rapid Insulin Analog1. Inj 100 IU ml/Flexpen 3 ml Novo apid Flex pen

c. Mix Insulin Analog1. Inj 100 IU ml/ Flexpen 3 ml Novo Mix FlexPen

13.3 HORMON KELAMIN13.3.1 ESTEROGEN

1 Etinilestradiol1 tab 0,05 mg Lynoral

13.3.2 PROGESTERON1 Noretisteron

1 tab 5 mg Norelut Primolut N

2 Medroxyprogesteron1 tab 5 mg Prothyra

13.4 HORMON TIROID DAN ANTITIROID1 Natrium Tiroksin

1 tab 0,1 mg Euthyrox

2 Propiltiourasil1 tab 100 mg PTU

3 Karbimazol1 tab 5 mg Neo Mercazole

4 Thiamizol1 tab 5 mg Thyrozol

13.5 KORTIKOSTEROID1 Dexamethason

1 tab 5 mg DexamethasonCortidex

2 Metil Prednisolon

Page 25: Formuarium Rs

1 tab 4 mg Metil PrednisolonMetil PrednisolonMetil PrednisolonHexilonMethylonTorasSanexonSomerol

2 tab 8 mg Metil PrednisolonMetil PrednisolonMetil PrednisolonHexilonSomerol

3 tab 16 mg Metil PrednisolonMetil PrednisolonMetil PrednisolonHexilonSomerol

4 Inj 125 mg/2ml, vial Metil PrednisolonMethylonHexilon

14 OBAT KARDIOVASKULER14.1 Diltiazem HCL

1 tab 30 mg Diltiazem HCLFarmabes

2 Isosorbid Dinitrate1 tab sublingual 5 mg Isosorbid Dinitrate

Farsorbid

2 tab sublingual 10 mg Isosorbid DinitrateFarsorbid

3 inj 10 mg/10 ml amp@ 10 ml CedocardIsoket

3 Gliseril Trinitrat1 tab 2,5 mg Nitrokaf retard

2 tab 5 mg Nitrokaf retard forte

Page 26: Formuarium Rs

14.2 ANTIARITMIA1 epinefrin

1 inj 0,1% amp @ 1 ml Epinefrin

2 Propanolol HCl1 tab 10 mg Propanolol

Farmardal

3 Amiodaron1 tab 200 mg Tiaryt

2 Inj 150 mg/3ml Cordaron

14.3 ANTIHIPERTENSI14.3.1 ACE INHIBITOR

1 kaptopril1 tab scored 12,5 mg Captopril

CaptoprilDexacap

2 tab scored 25 mg CaptoprilCaptoprilDexacap

3 tab scored 50 mg CaptoprilCaptoprilDexacap

2 Lisinopril1 Tab 5 mg Noperten

InhitrilInterpril

2 Tab 10 mg NopertenInhitrilInterpril

3 Ramipril1 tab 1,25 mg Ramixal

Tenapril

tab 2,5 mg Ramixal Tenapril

tab 5 mg Ramixal

Page 27: Formuarium Rs

Tenapril

tab 10 mg Ramixal Tenapril

14.3.2 BETA BLOCKER1 Propanolol HCl

1 tab 10 mg PropanololFarmadral

2 tab 40 mg Propanolol

2 Atenolol1 tab 50 mg Tensinorm

Betablok

3 Bisoprolol1 tab 5 mg Bisoprolol

Hapsen FCConcor 5

14.3.3 Kalsium Antagonis1 Nifedipin

1 tab 10 mg Nifedipin

2 tab 30 mg Adalat oros

2 Amlodipin Besylat1 Tab 5 mg Amlodipin

AmlodipinAmlodipinDivaskLovaskTensivaskCardisanGensia

2 tab 10 mg AmlodipinAmlodipinAmlodipinDivaskLovaskTensivaskCardisanGensia

Page 28: Formuarium Rs

3 Amlodipin Maleat

Page 29: Formuarium Rs

phar

baysan

infpha

inf

phakal

pha

sanKalott

Infintsan

sanphycon

sanintpha

pha

KODE

PABRIK

Page 30: Formuarium Rs

sanpha

ogb

sanintbern

dexhexdexinfottbernphapha

infhexbernottbernpha

pha

hexpdexbernlanddexphaottkalbbern

bern

Page 31: Formuarium Rs

bern

Phapkalb

PhapdexOtt

Acta

Acta

SanDex

PhaKalbSan

hexpBernKalbDexa

HexpBernKalbDexa

Hexpkalb

KalbDexaPha

hexpDexaBern

Page 32: Formuarium Rs

KalbPhaOtto

hexpDexaBernKalbPhaOttoBern

KalbPha

HexpBernbern

HexpBern

OGB

OGB

DexaKalb

InfKalbSan

Phap

Page 33: Formuarium Rs

Eth

Inf

IntSan

HexpSoho

Ethi

Praf

InfSan

InfSan

InfSanActa

Acta

Acta

Ikap

Page 34: Formuarium Rs

Pfiz

Ikap

InfKf

PhapMersComb

Abbt

Inf

KalbSand

KalbPfizSand

InfKF

Kf

KfPfiz

Pha

Page 35: Formuarium Rs

InfKfsanInt

HexpBernSanIntBern

HexpSanIntBern

San

InfKf

SanMeij

bernDexa

BernDexaPhar

Dexa

KfSan

Page 36: Formuarium Rs

InfSanPhyr

KfSan

SanPhyr

SanBernActa

Kalb

Kotrimoksazol DOEn (pediatrik)

InfSanOtto

infSanOtto

InfSanOtto

Page 37: Formuarium Rs

InfSan

InfSan

InfSan

Noveottokalb

kalb

dexaKalbOtto

DesaKalbBernPhar

Soho

int

Int

Kifa

InfSanOtto

Page 38: Formuarium Rs

Meiji

Meij

MeijBern

HexpDexaBernSanBernSoholand

DexaBernBern

kalbBernDexaInfPharBern

PharDexaDexa

InfDexa

InfDexaPhar

Page 39: Formuarium Rs

HexpSan

HexpDexaBernSanPharKalbOttoLand

HexpBernSanOtto

soho

Hexp

HexpDexaBernOttoLandSanBern

HexpDexaBernOttoKalbKalbBErnPharSohoSanLandDexa

Page 40: Formuarium Rs

HexpDexaFerrPhar

Prat

BernbernPrat

Dary

HexpBernInf

BernInfHexpCors

KF

KFInf

Inf

InfHexp

Page 41: Formuarium Rs

Bern

HexpBernBern

HexpBernBern

land

Phap

Phap

KfSankalb

Sankalb

KalbMeti

DexaAvenKalb

Page 42: Formuarium Rs

BernKfSanOtto

AvenOtto

HexpBernDexa

Kifa

Roche

Kifa

Page 43: Formuarium Rs

Phap

kifa

HexpDexaInf

HexpDexaInf

infaKifa

Soho

InfaPhyr

DexakalbRoch

Boeh

Boeh

Page 44: Formuarium Rs

KalbLapiPharSan

San

KfSan

Kifa

Kalb

Kalb

Mari

Bern

KifaPhap

KifaPhap

BernKalbBernPpin

BernKalbBern

Page 45: Formuarium Rs

Ppin

BernKalbBernPpin

BernKalbBernPpin

Glax

MahMah

MahMah

Apt

KifaPhar

KifaPhar

Page 46: Formuarium Rs

Aven

Kifa

Otsu

dexakalbOtto

dexakalbOtto

Abbt

Abbt

Aste

Aste

IntSan

InfaBern

KalbDexa

Page 47: Formuarium Rs

BoehDexaKalb

HexpDexa

HexpDexaKalbPharBern

TakeDexaDank

TakeDexaDank

Novo

SanSan

Page 48: Formuarium Rs

Novo

Novo

Novo

Novo

Sche

DexaBsy

Sunt

merc

Infa

Nich

Merc

Page 49: Formuarium Rs

HexpDexaBernkalbBernPharSanSoho

HexpDexaBernkalbSoho

HexpDexaBernkalbSoho

Bernkalb

DexaPrat

InfaPrat

InfaPrat

DavaGlax

Kifa

Kifa

Page 50: Formuarium Rs

Ethi

DexaPrat

Prat

Sano

HexpDexaDexa

HexpDexaDexa

HexpDexaDexa

dexaberbint

dexaberbint

SandDexa

SandDexa

Sand

Page 51: Formuarium Rs

Dexa

SandDexa

DexaPrat

Dexa

MdknKalb

HexpPharMerk

Dexa

Bayr

HexpDexaBernKalbBernDexaSanPhar

HexpDexaBernKalbBernDexaSanPhar