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NO NAMA OBAT SATUAN
AKARBOSE 100 MG
AKARBOSE 50 MG
ALBENDAZOL 400 MG
ALOPURINOL 100 MG
ALOPURINOL 300 MG
ALPRAZOLAM 0.25 MG
ALPRAZOLAM 1 MG
AMIKASIN 250 MG/ML
AMILORID 5 MG
AMINOFILIN 200 MG
AMINOFILIN 24 MG/ML
AMIODARON 150 MG/3 ML
AMIODARON 200 MG
AMITRIPTILIN 25 MG
AMLODIPIN 10 MG
AMLODIPIN 5 MG
AMOKSISILIN 250 MG/5 ML
AMOKSISILIN 125 MG/5 ML
AMOKSISILIN 500 MG
AMPISILLIN 1000 MG/VIAL
ANALOG INSULIN RAPID ACTING 100 UI/ML
ANALOG INSULIN LONG ACTING 100 UI/ML
ANTASIDA DOEN SUSPENSI
ANTASIDA DOEN TABLET
AIR IRIGASI 1000 ML
AQUA PRO INJ 25 ML
ARTEMETER !0 MG/ML
ASAM ASETILSALISILAT !0 MG
ASAM FOLAT 0.4 MG
ASAM MEFENAMAT 500 MG
ASAM PIPEMIDAT 400 MG
ASAM RETINOAT KRIM 0.1"
ASAM TRANEKSAMAT 100 MG/ML
ASAM TRANEKSAMAT 500 MG
ASAM URSODEOKSIKOLAT 250 MG
ASAM VALPROAT 250 MG/5 ML
ANTI EMOROID KOMBINASI # BISMUT SUBGALLAT$EKSAKLOROFEN$ LIDOKAIN$ SENG OKSID
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ASAM VALPROAT 500 MG
ASAM VALPROAT SR 500 MG
ASIKLOVIR 200 MG
ASIKLOVIR 400 MG
ATENOLOL 100 MG
ATENOLOL 50 MG
ATENOLOL 50 MG
ATRAKURIUM 25 MG/2.5 ML
ATROPIN 0.25 MG/ML
ATROPIN TETES MATA 0.5"
ATROPIN TETES MATA 1"
ATTAPULGIT TAB
AZITROMISIN 500 MG
BETAMETASON KRIM 0.1"
BETAMETASON TETES MATA 1 MG/ML
BISAKODIL 10 MG SUPP
BISAKODIL 5 MG
BISAKODIL 5 MG SUPP
BISAKODIL 10 MG SUPP
BISOPROLOL 2.5 MG
BISOPROLOL 5 MG
BUDESONID CAIRAN I 0.25 MG/ML
BUDESONID I 200 MCG/DOSIS
BUVIPAKAIN 5 MG/ML EAV% & GLUKOSA !"
DEKSAMETASON 0.5 MG
DEKSAMETASON 5 MG/ML
DESOKSIMETASON KRIM 0.25"
DIAZEPAM 2 MG
DIAZEPAM 5 MG
DIAZEPAM 5 MG/ML
DIAZEPAM LAR REKTAL 10 MG/2.5 ML
DIAZEPAM LAR REKTAL 5 MG/2.5 ML
DIFENIDRAMIN 10 MG/ML
DIFLUKORTOLON VALERAT SALEP 0.1"
DIGOKSIN 0.25 MG
DIGOKSIN 0.25 MG/ML
DILTIAZEM CL 30 MG
DILTIAZEM CL SR 100
DILTIAZEM CL INFUS INJEKSI 50 MG
DILTIAZEM CL 25 MG/5 ML
DINATRIUM EDETAT TETES MATA 0.35"
DOBUTAMIN 50 MG/ML
DOKSAZOSIN MESILAT 2 MG
BUDESONID'FORMOTEROL (FI)ED COMBINATION* I !0/4.5MCG
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DOKSISIKLIN 100 MG
DOMPERIDON 10 MG
DOMPERIDON SUSP 5 MG/5 ML
DOMPERIDON TTS 5 MG/ML
DOPAMIN 40 MG/ML
EFEDRIN 50 MG/ML
EPINEFRIN 0.1"
ERGOTAMIN 1 MG
ERITROMISIN 500 MG
ERITROMISIN SIR 200 MG/5 ML
ETAMBUTOL 500 MG
ETANOL +0"
ETIL KLORIDA SEMPROT 100 ML
ETINILESTRADIOL 0.5 MG
FENITOIN 100 MG/2 ML
FENITOIN NA 100 MG
FENOBARBITAL 100 MG
FENOBARBITAL 150 MG/ML
FENOBARBITAL 30 MG
FENOFIBRAT 100 MG
FENOFIBRAT 300 MG
FENOTEROL BR AEROSOL 10 MCG/PUFF
FENOTEROL BR CAIRAN I 0.1 "
1 FENTANIL 0.05 MG/ML (IV* 10 ML
FENTANIL 12.5 MCG/JAM
FENTANIL 25 MCG/JAM
FERRO SULFAT SIR. 15 MG/5 ML
FERRO SULFAT TAB SALUT 300 MG
FITOMENADION (VIT. K1* 2 MG/ML
FITOMENADION (VITAMIN K1* 10 MG
FLUKONAZOL 150 MG
FLUKONAZOL 2 MG/ML
FLUKONAZOL 50 MG
FLUOKSETIN 20 MG
FLUORESEIN INJ 10"
FLUORESEIN TETES MATA 2.5 MG/ML
FLUOROMETOLON TETES MATA 0.1"
FLUSINOLON ASETONID KRIM 0.025"
FLUTIKASON PROPIONAT INTRANASAL SPRA%
FONDAPARINUKS 2.5 MG/0.5 ML
FUROSEMID 10 MG/ML
FUROSEMID 40 MG
GAS NITROGEN
GAS OKSIGEN
GEMFIBROZIL 300 MG
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GEMFIBROZIL ,00 MG
GENTAMISIN 40 MG/ML
GENTAMISIN SALEP MATA 0.3"
GLIKLAZID !0 MG
GLIKUIDON 30 MG
GLIMEPIRID 1 MG
GLIMEPIRID 2 MG
GLISERIL TRINITRAT 50 MG/ML
GLISERIL TRINITRAT SUBLINGUAL 0.5 MG
GRISEOFULVIN 125 MG
GRISEOFULVIN 500 MG
ALOPERIDOL 1.5 MG
ALOPERIDOL 5 MG
ALOPERIDOL INJ 5 MG/ML
EPARIN NA 5000 UI/ML
IDROGEN PEROKSIDA 3 "
IDROKLOROTIAZID 25 MG
IDROKORTISON 2.5"
IOSINA BUTILBROMIDA 10 MG
IOSINA BUTILBROMIDA INJ 20 MG/ML
OMATROPIN TETES MATA 2"
UMAN ALBUMIN 25 "
UMAN INSULIN SORT ACTING 100 UI/ML
UMAN INSULIN INTERMEDIATE ACTING 100 UI
UMAN TETANUS IMUNOGLOBULIN
%DRO)%L ET%L STARC LAR ,"
IBUPROFEN 200 MG
IBUPROFEN 400 MG
IBUPROFEN SIR 100 MG/5 ML
IPRATROPIUM BROMIDA NEBULIZER 0.025"
IRBESARTAN 150 MG
IRBESARTAN 300 MG
ISOFLURAN 100 ML
ISONIAZID 100 MG
ISONIAZID 300 MG
ISOSORBID DINITRAT 10 MG/10 ML
ISOSORBID DINITRAT 5 MG
KALAMIN LOTION
KALIUM ASPARTAT 300 MG
KALIUM KLORIDA 300 MG
KALSIUM GLUKONAT 100 MG/ML
KALSIUM LAKTAT 500 MG
KANAMISIN 1 G
KANDESARTAN 1, MG
KANDESARTAN ! MG
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KAPTOPRIL 12.5 MG
KAPTOPRIL 25 MG
KAPTOPRIL 50 MG
KARBAMAZEPIN 100 MG/5 ML
KARBAMAZEPIN 200 MG
KARBIMAZOL 5 MG
KETAMIN 100 MG/ML
KETOKONAZOL 200 MG
KETOKONAZOL KRIM 2"
KETOPROFEN SUPP 10 MG
KETOROLAK 30 MG/ML
KLINDAMISIN 150 MG
KLINDAMISIN 300 MG
KLOBAZAM 10 MG
KLOMIFEN SITRAT 50 MG
KLONIDIN 0.15 MG
KLOPIDOGREL +5 MG
KLORAMFENIKOL 250 MG
KLORFENIRAMIN MALEAT 4 MG
KLORPROMAZIN 100 MG
KLORPROMAZIN INJ 5 MG/ML
KLOZAPIN 25 MG
KODEIN 10 MG
KOLKISIN 500 MCG
KOLOID ES BM 130.000 LAR ,"
ANTIMIGREN KOMBINASI # ERGOTAMIN 1 MG$ KAFEIN 50 MG
KOMBINASI # FERRO SULFAT 200 MG$ ASAM FOLAT 0.25 MG
KOMBINASI # KAOLIN 550 MG$ PEKTIN 20 MG
LIDOKAIN CL 2" & EPINEFRIN 1 # !0.000 INJ 2 ML
KOMBINASI # PARAFIN$ GLISERIN$ FENOLFTALEIN SUSPENSI
KOTRIMOKSAZOL 4!0 MG
KOTRIMOKSAZOL -,0 MG
KOTRIMOKSAZOL SUSP 240 MG
KUININ 25"
ANTIMALARIA KOMBINASI # ARTEMETER 20 MG$LUMEFANTRIN 120 MG
KOMBINASI # IPRATROPIUM BR 0.5 MG$ SALBUTAMOL 2.5 MGNEBULES
KOMBINASI # IPRATROPIUM BR 0.5 MG$ SALBUTAMOL 2.5 MGSOLUTION 0.025"
KOMBINASI # IPRATROPRIUM BR 0.5 MG. SALBUTAMOL 2.5MG NEBULIZER 0.025"
KOMBINASI # NATRIUM KLORIDA$ KALIUM KLORIDA TETESMATA
KOMBINASI # SALMETEROL 25 MCG$ FLUTIKASON 50 MCG I50 MCG/PUFF
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KUININ (KINA* 200 MG
LAKTULOSA SIR 3.3335 G/5 ML
LANSOPRAZOLE 30 MG
LEVOFLOKSASIN 500 MG
LEVOFLOKSASIN INF 5 MG/ML
LEVOFLOKSASIN TETES MATA 0.5"
LEVOTIROKSIN 50 MCG
LIDOKAIN 2"
LIDOKAIN GEL 2"
LIDOKAIN SEMPROT 10"
LISINOPRIL 10 MG
LISINOPRIL 5 MG
LOPERAMID 2 MG
LORATADIN 10 MG
MAGNESIUM SULFAT 20 "
MAGNESIUM SULFAT 40 "
MANITOL LAR INFUS 20"
MEROPENEM 1 G
METFORMIN 500 MG
METFORMIN !50 MG
METILDOPA 250 MG
METILERGOMETRIN 0.125 MG
METILERGOMETRIN 0.2 MG/ML
METILPREDNISOLON 125 MG/2 ML
METILPREDNISOLON 1, MG
METILPREDNISOLON 4 MG
METILPREDNISOLON ! MG
METRONIDAZOL 500 MG
METRONIDAZOL SIR 125 MG/5 ML
METRONIDAZOLE LAR INFUS 5 MG/ML
MIDAZOLAM 1 MG/ML
MIKONAZOL KRIM 2"
MODIFIED FLUID GELATIN BM 30.000 LAR 4"
MORFIN CL 10 MG/ML
NALOKSON 0.4 MG/ML
N'ASETILSISTEIN 200 MG
NATRIUM BIKARBONAT !.4 " IV
NATRIUM DIKLOFENAK 25 MG
NATRIUM DIKLOFENAK 50 MG
NATRIUM FLUORESEIN TETES MATA 2"
NATRIUM FUSIDAT KRIM 20 MG/G
NEOSTIGMIN 0.5 MG/ML
NIFEDIPIN 10 MG
NIFEDIPIN SR 30 MG
NIKARDIPIN 10 MG/VIAL
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NISTATIN 100.000 UI/ML
NOREPINEFRIN 1 MG/ML
NORETISTERON 5 MG
OFLOKSASIN 200 MG
OFLOKSASIN 400 MG
OKSITOSIN 10 UI/ML
OMEPRAZOL 20 MG
OMEPRAZOL 40 MG/10 ML
ONDANSENTRON INJ 2 MG/ML
ONDANSENTRON 4 MG
ONDANSENTRON ! MG
ORALIT
PARAFORMALDEID LAR BUFFER 10"
PARASETAMOL 1000 MG/100 ML
PARASETAMOL 120 MG/5 ML
PARASETAMOL 500 MG
PARASETAMOL ,0 MG/0., ML
PERAK SULFADIAZIN KRIM 1"
PERMETRIN KRIM 5"
PETIDIN CL 50 MG/ML
PILOKARPIN TETES MATA 2"
PIOGLITAZON 15 MG
PIRANTEL PAMOAT 125 MG/5 ML
PIRANTEL PAMOAT SCORE 125 MG
PIRAZINAMID 500 MG
POLIKRESULEN LAR
POVIDON IODIN LAR 100 MG/ML
PREDNISOLON TETES MATA 10 MG/ML
PREDNISON 5 MG
PRIMAKUIN 15 MG
PROPILTIOURASIL 100 MG
PROPOFOL 1 " (IV BOLUS*
PROPRANOLOL 10 MG
PROPRANOLOL 40 MG
PROTAMIN SULFAT 10 MG/ML
RAMIPRIL 5 MG
RANITIDIN 150 MG
RANITIDIN 25 MG/ML
RIFAMPISIN 300 MG
RIFAMPISIN 450 MG
RIFAMPISIN ,00 MG
RISPERIDON 2 MG
ROKURONIUM 50 MG/5 ML
SALBUTAMOL 2 MG
SALBUTAMOL 4 MG
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SALBUTAMOL AEROSOL 100 MCG
SALBUTAMOL NEBULES VIAL 2.5 MG
SEFADROKSIL 125 MG/5 ML
SEFADROKSIL 500 MG
SEFALEKSIN 500 MG
SEFAZOLIN 1 G
SEFEPIM 1 G
SEFIKSIM 100 MG
SEFIKSIM 100 MG/5 ML
SEFOPERAZON 1 G
SEFOTAKSIM 1000 MG
SEFTAZIDIM 1 G
SEFTRIAKSON 1 G
SEFUROKSIM +50 MG/VIAL
SERUM ANTI BISA ULAR
SERUM ANTI DIFTERI
SETIRIZIN 10 MG
SETIRIZIN 5 MG/5 ML
SEVOFLURAN 250 ML
SILOSTAZOL 100 MG
SIMVASTATIN 10 MG
SIPROFLOKSASIN 2 MG/ML
SIPROFLOKSASIN 500 MG
SPIRONOLAKTON 25 MG
SPIRONOLAKTON 50 MG
STREPTOKINASE 1.5 JUTA UI/VIAL
STREPTOMISIN 1 G
SUKRALFAT 500 MG
SUKRALFAT 500 MG/5 ML
SUKSINILKOLIN 50 MG/ML
SULFASALAZIN 500 MG
TERAZOSIN CL 2 MG
TETRAKAIN TETES MATA 0.5"
TIMOLOL TETES MATA 0.25"
TIMOLOL TETES MATA 0.5"
TRAMADOL 50 MG/ML
TRIAMSINOLON 10 MG/ML
TRIAMSINOLON ASETONID NASAL SPRA% 55 MCG/PUFF
TRIEKSIFENIDIL 2 MG
TROPIKAMID TETES MATA 1 "
UREA KRIM 10"
VAKSIN RABIES
VALPROAT SIRUP 250 MG/5 ML
VITAMIN B1 50 MG
VITAMIN B12 50 MCG
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VITAMIN B, 10 MG
VITAMIN BKOMPLEKS
VITAMIN C 50 MG
ARFARIN 2 MG
ZINC SIR 10 MG/ML
ZINC TAB 20 MG
TELBIVUDIN ,00 MG
ZINC DROP 10 MG/ML
ERITROPOETIN'ALFA 10.000 UI
BEDAK SALISIL SERBUK 2 "
BERAPROST NA 20 MCG
DE)TROSE 10"
DE)TROSE 5"
EPARIN INJEKSI 5000 UI
N'ASETILSISTEIN NEBULES 100 MG
NACL 0.-"
RINGER LAKTAT
UMAN ALBUMIN 20 " 100 ML
E'1-
E'1-
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RENCANA KEBUTUHAN OBAT TAHUN 2015 SESUAI DENGAN FORMULARIUM NASIONAL
DI INSTALASI FARMASI RSUD
NAMA DAGANG (MERK) NAMA PENYEDIA
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AMINOFLUID PT. OTSUKA
AMINOFUSIN EPAR PT. KALBE
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HARGA SATUAN JUMLAH KEBUTUHAN JUMLAH HARGA
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360
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3600
3600
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115$500.00
+5$350.00
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