DAFTAR FORMULARIUM OBAT

PUSKESMAS HAURPANGGUNG

NO NAMA OBAT SATUAN OBAT

1 Alopurinol tablet 100 mg Tablet

2 Aminofilin Inj 24 mg/ml-10 ml Ampul
3 Aminofilin Tablet 200 mg Tablet
4 Amlodipin tablet 5 mg Tablet
5 Amoksisilin Kaplet 500 mg Kaplet
6 Amoksisilin Sirup Kering 125 mg/5 ml Botol
7 Amoksisilin Sirup Kering Forte 250 mg/5 ml Botol
8 Antalgin (Metampiron) Tablet 500 mg Tablet
9 Antasida DOEN I Tablet Kunyah Tablet
10 Antasida II Suspensi 60 ml Botol
11 Anti Hemmoroid DOEN Tablet
12 Antibakteri DOEN Tablet
13 Antifungi DOEN kombinasi Pot
14 Antimigren DOEN Tablet
15 Aqua Pro Injeksi steril bebas pirogen- 20 ml Vial
16 Asam Asetilsalisilat Tablet 100 mg (Asetosal) Tablet
17 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet
18 Asam Askorbat (VIT C) Tablet 50 mg Tablet
19 Asam Mefenamat kaplet 500 mg Tablet
20 Asiklovir Krim 5%/5g Tube
21 Asiklovir Tablet 400 mg Tablet
22 Atapulgit (Puralex) Tablet
23 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul
24 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial
25 Betametason Krim 0.1 % Tube
26 Bromheksin Tablet 8 mg Tablet
27 Deksametason inj 5 mg/ml-1 ml Ampul
28 Deksametason Tablet 0,5 mg Tablet
29 Dekstrometorfan tablet kombinasi Tablet
30 Dektrometorfan sirup kombinasi Botol
31 Dextrose Inj 40% Vial
32 Difenhidramin inj 10 mg/ml Ampul
33 Digoksin tablet 0,25 mg Tablet
34 Dimenhidrinat Tablet 50 mg Tablet
35 Domperidon Suspensi 5mg/5ml botol
36 Domperidon Tablet 10 mg Tablet
37 Efedrin HCl tablet 25 mg Tablet
38 Epinefrina HCl/Bitartrat(Adrenalin) inj 0,1 %-1ml Ampul
39 Eritromisin Kapsul 250 mg Tablet
40 Etakridin Larutan 0,1 % Botol
41 Etanol 70 %- 100 ml Botol
42 Etanol 70 %- 1000 ml Botol
43 Etil Klorida Spray Botol
44 Fenoksimetil Penisilin tablet 500 mg Tablet
45 Fitomenadion(Vit K1) tablet salut gula 10 mg Tablet
46 Furosemid tablet 40 mg Tablet
47 Garam Oralit I Serbuk Sachet
48 Gentamisin Injeksi 40 mg/ml (Sulfat) Vial
49 Gentamisin Salep Kulit 0,1% Tube
50 Gentian violet larutan 1 %-10 ml Botol
51 Glibenklamid tablet 5 mg Tablet
52 Gliseril Guaiakolat Tablet 100 mg Tablet
53 Glukosa Laruran infus 5% steril-500 ml Fls
54 Griseofulvin tablet 125 mg micronized Tablet
55 Hidroklortiazid (HCT) tablet 25 mg Tablet
56 Hidrokortison krim 2,5 % Tube
57 Hyoscine-n-butilbromide Tablet 10 mg Tablet
58 Ibuprofen tablet 400 mg Tablet
59 Isosorbid dinitrat tablet sublingual 5 mg Tablet
60 Kalsium Laktat (Kalk) tablet 500 mg Tablet
61 Kaptropil 25 mg Tablet
62 Karbogliserin Tetes telinga 10 % Botol
63 Karbon Aktif Tablet
64 Ketokonazol Tablet 200 mg Tablet
65 Kloramfenikol kapsul 250 mg Kapsul
66 Kloramfenikol salep mata 1 % Tube
67 Kloramfenikol syrup 125 mg/5 ml Botol
68 Kloramfenikol Tetes Mata 0.5% botol
69 Kloramfenikol Tetes telinga 3 % Tube
70 Klorfenarimin maleat (CTM) tablet 4 mg Tablet
71 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml botol
72 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet
73 Kotrimoksazol Tab Ped:Sulf 100 + Trim 20 mg Tablet
74 Lidokain inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 m Ampul
75 Lisol botol
76 Metformin HCl Tablet 500 mg Tablet
77 Metilprednisolon 8 mg Tablet
78 Metoklorpropamid Injeksi 5 mg/ml Ampul
79 Metronidazol tablet 500 mg Tablet
80 Mikonazol Krim/Salep 2% Tube
81 Multivitamin + DHA + Lysin (Truvit) Botol
82 Multivitamin + Mineral (Selviplex) Kaplet
83 Natrium Bikarbonat tablet 500 mg Tablet
84 Natrium Diklofenak Tablet 50 mg Tablet
85 Natrium Klorida Larutan Infus 0,9% Fls
86 Nistatin tablet salut gula 500.000 IU/g Tablet
 87 Nistatin tablet vaginal 100.000 IU/g Tablet
88 Obat batuk Hitam (OBH) Cairan -100 ml Botol
89 Oksitetrasiklin HCl 1 % Salep mata Tube
90 Oksitetrasiklin HCl inj i.m 50 mg/ml-10 ml Flacon
91 Oksitetrasiklin HCl Salep Kulit 3 % Tube
92 Omeprazol kapsul 20 mg Kapsul
93 Parasetamol sirup 120 mg / 5ml Botol
94 Parasetamol tablet 500 mg Tablet
95 Permetrin (Scabimite) Tube
96 Piracetam Tablet 1200 mg Tablet
97 Piridoksin HCl (Vit B6) tablet 10 mg Tablet
98 Povidon Iodiada 10 %-30 ml Botol
99 Povidon Iodiada 10 %-300 ml Botol
100 Prednison tablet 5 mg Tablet
101 Propanolol HCl tablet 40 mg Tablet
102 Propiltiourasil tablet 100 mg Tablet
103 Ranitidin Injeksi 25 mg/ml Ampul
104 Ranitidin Tablet 150 mg Tablet
105 Ringer Laktat Larutan Infus Steril Fls
106 Salbutamol 2,5 mg/2,5 ml NaCl ampul
107 Salbutamol tablet 4 mg Tablet
108 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot
109 Salisil Bedak 2 % - 50 gram Botol
110 Sefadroksil syrup 125 mg/5 ml Botol
111 Sefadroxil Kapsul 500 mg Kapsul
112 Sefotaksim Injeksi 1 g Vial
113 Seftriaxon Injeksi 1 g Vial
114 Sianokobalamin (Vit B12 ) inj 500 mcg/ml-1ml Ampul
115 Simvastatin 10 mg Tablet
116 Siprofloksasin (HCl) Tablet 500 mg Kaplet
117 Tetrasiklin Kapsul 250 mg Kapsul
118 Tetrasiklin Kapsul 500 mg Kapsul
119 Tiamfenikol Kapsul 500 mg Kapsul
120 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml Ampul
121 Tiamin HCL (Vit B1) tablet 50 mg Tablet
122 Tramadol Injeksi 50 mg/ml Ampul
123 Tramadol Kapsul 50 mg Tablet
124 Vitamin B Kompleks tablet Tablet
125 Zinc Tablet 20 mg Tablet
126 ALKES HABIS PAKAI
127 Alat Suntik Sekali Pakai 1ml Set
128 Alat Suntik Sekali Pakai 2,5 ml / 3 ml Set
129 Alat Suntik Sekali Pakai 5 ml Set
130 Bisturi buah
131 Blood set Buah
132 Catgut/Benang Bedah No.2/0 dengan jarum bedah pcs
133 Catgut/Benang Bedah No.3/0 dengan jarum bedah Roll
134 Folley Catheter pcs
135 Infusion set anak Kantong
136 Infusion set dewasa Kantong
137 IV Catheter No.18 set
138 IV Catheter No.20 set
139 IV Catheter No.22 set
140 IV Catheter No.24 set
141 Jarum kulit (GT) pcs
142 Jarum otot (GR) pcs
143 Kapas Pembalut/absorben 250 mg Roll
144 Kasa Hidrofil 2x80 Roll
145 Kasa Hidrofil Steril 16 X 16 Lembar
146 Kasa Pembalut Hidrofil 4 X 10 cm Roll
147 Kasa Pembalut hidrofil 4 x 5 cm Roll
148 Kassa Pembalut elastic 4 inchi Roll
149 Masker set
150 Plester 5 yard x 2 inch Roll
151 Sarung Tangan non steril Set
152 Sarung Tangan steril Set
153 Sendok Obat Buah
154 Silk (Benang Bedah Sutera) No3/0 dengan jarum bedah Sachet
155 Urin Bag buah
156 PROGRAM KESGA
157 Albendazol Tablet
158 Fitomenadion(Vit K1) inj 2 mg/ml Ampul
159 Fitomenadion(Vit K1) inj 10 mg/ml Ampul
160 Iodin test Botol
161 Magnesium sulfat inj(IV) 20 %-25 ml Ampul
162 Magnesium sulfat inj(IV) 40 % vial
163 Metilergomatrin maleat inj 0,200 mg - ml Ampul
164 Metilergometrin maleat(Metilergometrin) tab.salut 0,1 Tablet
165 Mineral Mix Sachet
166 Natrium Tiroksin Tablet
167 Oksitoksin in 10 IU/ml- 1 ml Ampul
168 Retinol (VIT A) Kapsul 200.000 IU Kapsul
169 Retinol tab 100.000 IU Kap
170 Tablet Tambah darah kombinasi : Besi II Sulfat 200 mg Tablet
171 PROGRAM YANKES
172 Amitriptilina HCl tablet salut 25 mg Tablet
173 Diazepam inj 5 mg/ml-2 ml Ampul
174 Diazepam Rectal 10 mg/2,5 ml tube
175 Diazepam Rectal 5 mg/2,5 ml tube
176 Diazepam tablet 2 mg Tablet
177 Fenitoin Natrium kapsul 100 mg kapsul
178 Fenobarbital tablet 30 mg Tablet
179 Haloperidol 5 mg Tablet
180 Haloperidol tablet 1,5 mg Tablet
181 Karbamazepin tablet 200 mg Tablet
182 Klorpropmazin HCl tablet salut 100 mg Tablet
183 Resperidon 2 mg Tablet
184 Schizonoat inj Ampul
185 Triheksifenidil HCl tablet 2 mg Tablet
186 Caviton (Citodur) Botol
187 Devitalisasi Pasta (D Pulp) Botol
188 Endometason Botol
189 Eugenol Cairan Botol
190 Formokresol Cair Botol
191 Glass Ionomer Cement (GC IX) Botol
192 Kalsium hidroksida pasta (Calcidor) Pot
193 Monoklorkamfer mentol cairan Botol
194 Mummifying Pasta Botol
195 Natrium Hipoklorid Botol
196 Semen seng fosfat serbuk cairan (Dorident) Pot
197 PROGRAM P2
198 ADS 0.05 ml pcs
199 ADS 0.5 ml pcs
200 ADS 5 ml pcs
201 Azithromisin tablet 500 mg Tablet
202 Dehidroartemisin+Piperaquin Kotak
203 Doksisilin 100 mg Tablet
204 Fluconazol 150 mg Tablet
205 Kina Inj 26 % 2 ml Ampul
206 Kina Tablet 222 mg Tablet
207 Klindanmycin 300 mg Tablet
208 Masker N-95 buah
209 MB Anak Blister
210 MB Dewasa Blister
211 OAT FDC Katagori 1 Paket
212 OAT FDC Katagori 2 Paket
213 OAT Kategori Anak paket
214 OAT Kombipak Kat I paket
215 OAT Sisipan Tablet
216 PB Anak Blister
217 PB Dewasa Blister
218 Primakuin Tablet
219 Safety box pcs
220 Sefiksime + Azitromisin Kotak
221 Serum anti tetanus inj 1500 IU/vial (ATS) Ampul
222 Serum antibisa ular Polivalen inj 5 ml (SABU) I Ampul
223 Vaksin Rabies (Rabipur) Ampul
224 Vaksin BCG + Pelarut Paket
225 Vaksin DPT-HB Vial
226 Vaksin Polio + Dropper Paket
227 Vaksin Campak + Pelarut Paket
228 Vaksin Uniject Vial
229 Vaksin TT Vial
230 Vaksin Td Vial
231 Vaksin DT Vial
232 REAGEN
233 Rapid Test 1 HIV (Intec) Sachet
234 Rapid Test 2 HIV (Oncoprobe) Sachet
235 Rapid test 3 HIV (Biomeriux) Sachet
236 Cybow Sachet