Rko Rujukan 2014

download Rko Rujukan 2014

of 40

Transcript of Rko Rujukan 2014

  • 7/24/2019 Rko Rujukan 2014

    1/40

    RENCANA KEBUTUHA

    SATUAN KERJA :

    NO NAMA OBAT

    1

    2 ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)

    3 Adefovir i!ivo"sil tab 10 mg

    # Air untu" in$e"si 20 ml

    5 Air untu" irigasi lar inf 1000 ml

    % A"arbose tab 100 mg

    & A"arbose tab 50 mg

    ' A"tinomisin in$ 05 mg Albenda*ol sus!ensi 200 mg5 ml

    10 Albenda*ol tab 200 mg

    11 Albenda*ol tablet #00 mg

    12 Albumin serum normal (human albumin) in$ 25, 100 ml

    13 Albumin serum normal (human albumin) in$ 25, 20 ml

    1# Albumin serum normal (human albumin) in$ 5,

    15 Alo!urinol tablet 100 mg

    1% Alo!urinol tablet 300 mg

    1& Al!ra*olam tablet 025 mg

    1' Al!ra*olam tablet 05 mg

    1 Al!ra*olam tablet 1 mg

    20 Alte!lase in$ 50 mgvial

    21 Ambro-ol siru! 15 mgml

    22 Ambro-ol tablet 30 mg

    23 Amfoterisin . in$e"si i/v/ 50 mg10 ml

    2# Amfoterisin . sale! mata 1,

    25 Amfoterisin sale! mata 3,

    2% Amidotri*oat 3&0 mgml

    2& Ami"asin in$ 250 mg2 ml

    2' Ami"asin in$ 500 mg2 ml

    2 Amilorid tab 25 mg

    30 Amilorid tablet 5 mg

    31 Amilorida tablet 5 mg (Cl)

    32 Amiodaron in$e"si 150 mg3 ml

    33 Amiodaron tablet 200 mg

    3# Aminofilin in$e"si 2# mgml

    35 Aminofilin tablet 150 mg

    3%

    3& Amitri!tilin tablet salut 25 mg (Cl)

    3' Amlodi!in tablet 10 mg

    3 Amlodi! in tablet 5 mg

    #0 Amo"sisilin + As/ lavulanat %25 mg tablet

    #1 Amo"sisilin "a!sul"a!let 250 mg

    #2#3 Amo"sisilin serbu" in$e"si 1000 mg

    ## Amo"sisilin sir forte 250 mg5 ml

    #5 Amo"sisilin siru! "ering 125 mg 5 ml

    #% Am!isilin serbu" in$e"si i/m/i/v/ 250 mgvial

    #& Am!isilin serbu" in$e"si i/m/i/v/ 500 mgvial

    #' Am!isilin serbu" in$e"si i/v/ 1000 mgvial

    # Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge

    50 Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill car tridge

    51 Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge

    52 Anastro*ol tab 1 mg

    153m4T6 (Ethylenediamine tetramethylene phosphonic acid) ## mg Ca7a 4T6 5#% 8gsamarium dan 1'50 9 1'5 .q samarium m 153 !er ml

    Aminofilin tablet scored 200 mg

    Amo"sisilin "a!sul"a!lettablet scored500 mg

  • 7/24/2019 Rko Rujukan 2014

    2/40

    53

    5#

    55

    5%

    5&

    5'

    5 Antihemoroid :47 "ombinasi ; .ismut subgalat 150 mg e"sa"lorofen 25 mg

    %0

    %1

    %2

    %3 Antimigren; 4rgotamin Tartrat 1 mg + ofein 50 mg

    %# Anti!ar"inson :47 tablet "ombinasi ; .ensera*id 25 mg

  • 7/24/2019 Rko Rujukan 2014

    3/40

    5 Asi"lovir "rim 5,

    % Asi"lovir sale! mata 3,

    & Asi"lovir tablet 200 mg

    ' Asi"lovir tablet #00 mg

    As!araginase serbu" in$e"si 10/000 @?vial

    100 Ata!ulgit tablet

    101 Atenolol tablet 100 mg

    102 Atenolol tablet 50 mg

    103 Atra"urium in$e"si 25 mg25 ml

    10# Atro!in in$ i/m/i/v/s/"/ 1 mgma"tor ?D "om!le"s serbu" in$e"si 500 @?vial + !elarut 10 ml

    2&

    2'0

    2'1 >a"tor =??a (re"ombinan) serb in$ 1 mgvial + !elarut untu" in$e"si

    2'2 >a"tor =??? ("onsentrat) serb in$ 230 3#0 @?

    2'3 >a"tor =??? ("onsentrat) serb in$ 250 @?vial + !elarut 5 ma"tor "oagulasi ?? 1#35 @? fa"tor "oagulasi =?? &20 @? fa"tor "oagulasi ?D 25 @? fa"tor "oagulasi D 1#35@?

  • 7/24/2019 Rko Rujukan 2014

    6/40

    2'# >a"tor =??? ("onsentrat) serb in$ #'0 %00 @?

    2'5 >a"tor =??? ("onsentrat) serb in$ 500 @?vial + !elarut 5 mamotidine tablet #0 mg

    2'' >amotidine tablet 20 mg

    2' >enilbutason tablet 200 mg

    20 >enitoin in$e"si 50 mgml

    21 >enitoin "a!sul"a!let 100 mg

    22 >enitoin "a!sul"a!let 30 mg

    23 >enitoin 7a in$ 250 mg5 menitoin 7a "a!s 50 mg

    25 >enobarbital in$e"si i/m/i/v/ 50 mgml

    2% >enobarbital in$e"si i/v/ 100 mgml

    2& >enobarbital tablet 30 mg

    2' >enobarbital tablet 100 mg

    2 >enofibrat "a!s 100 mg

    300 >enofibrat "a!s 300 mg

    301 >eno"simetil 6enisilin siru! "ering 250 mg5 ml

    302 >eno"simetil 6enisilin tablet 250 mg303 >eno"simetil 6enisilin tablet 500 mg

    30# >eno"simetil !enisilin (!enisilin =) tab 125 mg

    305 >enol Eliserol tetes telinga 10,

    30% >enoterol .r ih 100 mBg!uff

    30& >enoterol .r inh solution 01,

    30' >entanil in$e"si i/mi/v 005 mgml

    30 >entanil !atBh 125 mBg$am

    310 >entanil !atBh 25 mBg$am

    311 >entanil !atBh 50 mBg$am

    312 >ero fumarat "a!s luna" 300 mg

    313 >erro sulfat sir/ 15 mg5 milgrastim in$ 300 mBgminasterid tab 5 mg

    31% >itomenadion (=it/1) tablet salut gula 10 mg

    31& >itomenadion (=itamin 1) in$e"si 10 mgml

    31' >itomenadion (=itamin 1) in$e"si i/m/ 2 mgml

    31 >ludarabin in$ 50 mg

    320 >ludarabin tab 10 mg

    321 >lufena*in in$e"si i/m/ 25 mgml

    322 >lufena*in tablet 25 mg

    323 >lu"ona*ol in$e"si 2 mgml

    32# >lu"ona*ol "a!sul 50 mg

    325 >lu"ona*ol tablet"a!sul 150 mg

    32% >luo"setin tablet 10 mg

    32& >luo"setin tablet 20 mg

    32' >luometolon tts mata 01,

    32 >luor "a!let 1 mg

    330 >luor sedian to!i"al

    331 >luoresein in$e"si 10 ,

    332 >luoresein tetes mata 25 mgml

    333 >luoride tablet 05 mg

    33# >luoride tablet 1 mg

    335

    33% >luorourasil in$ 250 mgmluorourasil in$ 500 mg 5 murosemid tablet #0 mg

    3# Eadobutrol maBroByBliB

    350 Eadodiamid in$e"si 2'& mg10 ml

    351 Eado"setat disodium 025 mmol gado-etate disodiummC ategori 2

    &'5 :bat Antituber"ulosis >C ategori Ana"

    &'% :bat Antituber"ulosis >C isi!an

    &'& :bat Antituber"ulosis ategori 1 deasa

    &'' :bat Antituber"ulosis ategori ana"

    &' :bat .atu" itam ( :/.// ) Bairan 100 ml

    &0 :bat .atu" itam ( :/.// ) Bairan 200 ml

    &1 oBtreotide aBetate005 % mgmluti"ason !ro!ionat 100 mBg

    erum anti bisa ular ;A/./@/? ("husus ular dari luar !a!ua)

    erum anti bisa ular ;A/./@/?? ("husus ular dari !a!ua)

    erum antitetanus (A/T/) untu" !engobatan

    in$e"si i/m/i/v/ 20/000 @?

    erum antitetanus (A/T/) untu" !engobatanin$e"si i/m/i/v/ 10/000 @?

  • 7/24/2019 Rko Rujukan 2014

    18/40

    '% i"los!orin "a!s 100 mg

    '& i"los!orin "a!sul luna" 25 mg

    '' ilosta*ol tab 100 mg

    ' imetidin tablet 200 mg

    0

    1 imvastatin tablet 20 mg

    2 imvastatin tablet 5 mg

    3 i!roflo"sasin tetes mata 03 ,

    # i!roflo"sasin infus 2,

    5 i!roflo"sasin tablet 500 mg (sebagai Cl)

    % i!roflo"sasin tablet 250 mg (sebagai Cl)

    & is!latin serbu" in$e"si 10 mg

    ' is!latin serbu" in$e"si 50 mg

    itarabin serb in$ 500 mgvial

    1000 itarabin serbu" in$e"si i/m/i/v/s/"/ 100 mg

    1001 !iramisin tablet 250 mg

    1002 !iramisin tablet 500 mg

    1003 !ironola"ton tablet 100 mg

    100# !ironola"ton tablet 25 mg1005

    100% tannous !yro!hos!hate2&% mg sodium !yro!hos!hatevial

    100& tavudin tablet 30 mg

    100' tre!to"inase in$e"si 15 $uta @?vial

    100 tre!to"inase in$e"si &50/000 @?vial

    1010 tre!tomisin serbu" in$e"si i/v 1000 mgml

    1011 tre!tomisin serbu" in$e"si i/v 1500 mgml

    1012 ufentanil in$e"si iv e!idural 5 mBgml

    1013 u"ralfat sus! 500 mg5 m