HASIL EVALUASI DAN TINDAK LANJUT KETERSEDIAAN OBAT TERHADAP FORMULARIUM
NO NAMA OBAT BENTUK KESESUAIAN DENGAN FORNAS
SEDIAAN YA TIDAK
1 Allopurinol 100 mg tablet
Alkohol swab pcs
Aseptic gel 500 cc + Botol
Dispenser
2. Ambroxol tablet 30 mg tablet
Aminophyllin tablet 200 mg Tablet
3 Aminophylline 25 mg/ml injeksi
4 Amlodipine 5 mg Tablet
5 Amlodipine 10 mg Tablet
6 Amoxicillin tablet 250 mg Kaplet
7 Amoxicillin tablet 500 mg kaplet
Amoxicillin sirup kering 125 Botol
mg/5 ml
Antalgin tablet 500 mg Tablet
8 Antasida syrup 400 mg/ml Botol
9 Antasida 400 mg tablet
Anti bakteri DOEN Tube
(Bacitrasin salep )
Anti fungi DOEN komb. Pot
As.Benzoat 6% + As.Salisilat
3%
Anti hemoroid suppo suppo
Antimigren tab tablet
Asam folat tablet
Asam mefenamat 500 mg tablet
Asiklovir cream Tube
Asiklovir tablet 200 mg Tablet
10 Aspirin/Asetosal (miniaspi) Tablet
80 mg
Aqua pro injeksi steril Vial
Benzatin benzyl penicillin ampul
2,4 juta/vial
Besi II sulfat (tablet tambah tablet
darah)
Betahistine mesilat 6 mg Tablet
11 Betamethasone salep 0,1% Tube
11 Bisacodyl (dulcolax suppo 5 Sup
mg
Blood lancet pcs
Buscopan inj ampul
Buscopan plus tablet
12 Carbamazepine tablet 200 Tablet
mg
Caviplex sirup Botol
13 Chloramphenicol sirup 125 Botol
mg/5 ml
14 Chlorpheniramine tablet 4 Tablet
mg
15 Ciprofloxacin tablet 500 mg Tablet
Daryantulle Pcs
Demacolin sirup Botol
16 Dexamethasone injeksi 5 ampul
mg/ml
17 Dexamethasone tablet 0,5 Tablet
mg
Diazepam 2 mg Tablet
Diazepam injeksi Ampul
18 Digoxin tablet 0,25 Tablet
19 Domperidone sirup 5 Botol
mg/ml
20 Domperidone tablet 10 mg Tablet
21 Doxycycline 100 mg Tablet
Efedrin HCL 25 mg Tablet
22 Epinephrine 1 mg/ml Ampul
23 Erythromycin 500 mg Tablet
Etanol 70% - 1000 ml Botol
Etanol 70% - 100 ml Botol
Etil kloride semprot botol
Fenobarbital tablet 30 mg Tablet
Fenol gliserol TT 10% Botol
Garam oralit 200 ml sachet
24 Gentamicin injeksi 40 Ampul
mg/ml
Gentamisin sulfat tetes Botol
mata
Glibenklamide tablet 5 mg Tablet
Gliseril guaikolat 100 mg Tablet
Griseovulfin tablet 125 mg Tablet
Hidroklortiaside (HCT) Tablet
tablet 25 mg
25 Hydrocortison salep 2,5 % Tube
26 Ibu profen tablet 200 mg Tablet
27 Ibu profen tablet 400 mg Tablet
28 Isosorbide dinitrate 5 mg Tablet
29 Iv catheter no.20 Pcs
30 Iv catheter no.24 Pcs
Kalsium laktat (KALK) 500 Tablet
mg
31 Ketoconazole salep 2% Tube
32 Ketoconazole tablet 200 mg Tablet
Klorampenicol kapsul 250 kapsul
mg
Klorampenicol tetes telinga Botol
Kodein fosfat tab 15 mg Tablet
Kolkisin 500 mg Tablet
Kotrimoksazol 480 mg Tablet
33 Lidocaine injeksi 20 mg/ml Ampul
Lisol -1000 ml Botol
34 Loperamide tablet 2 mg Tablet
35 Loratadine tablet 10 mg Tablet
36 Magnesium sulphate injeksi Ampul
20% (MGSO4)
37 Metformin tablet 500 mg Tablet
38 Methy prednisolone tablet Tablet
8 mg
Metilergometrin maleat Tablet
tablet 0,125 mg
Metoclopramide 10 mg Tablet
39 Metronidazole tablet 500 Tablet
mg
40 Miconazole salep 2% Tube
New Antides Tablet
41 Nystatin ovula 10000 IU Tablet
42 Nystatin tablet 50000 IU Tablet
Obat batuk hitam (OBH) botol
43 Omeprazole tablet 20 mg Kapsul
Ondansentron injeksi Ampul
44 Paracetamol syrup 120 Botol
mg/5 ml
Parasetamol tablet 500 mg Tablet
Pehacain injeksi Ampul
45 Phytomenadion (vit K) Tablet
tablet 10 mg
Piracetam 400 mg tablet
Piroxicam 10 mg Tablet
Piroxicam 20 mg Tablet
Povidone iodide 10% botol
(ecodine 1 L)
46 Povidone iodine liquid 0,1 – Botol
30 ml
Prednison tablet 5 mg Tablet
47 Probenid tablet 500 mg Tablet
Propil tiouracil tablet 100 Tablet
mg
48 Pyrantel tablet 125 mg Tablet
49 Pyridoxine tablet 10 mg Tablet
Ranitidin injeksi ampul
Ranitidin tablet 150 mg tablet
50 Rifampicin tablet 450 mg Tablet
Ringer lactat lar. Infus Botol
51 Salbutamol tablet 4 mg Tablet
Salep 2-4 komb: As. Salisilat Pot
2% + belerang endap 4%
52 Salicylic acid serbuk 2 % serbuk
Sefadroxil 500 mg Tablet
Simetidin 200 mg tablet
Simvastatin 10 mg Tablet
53 Spironolactone tablet 100 Tablet
mg
Stesolid suppo Suppo
54 Alat suntik 1 cc Pcs
55 Alat suntik 3 cc Pcs
56 Alat suntik 5 cc Pcs
57 Thiamine (Vitamine B1) Tablet
tablet 50 mg
Vitamin b complex tablet
58 Zinkid sirup Botol
59 Zinc sulphate tablet 20 mg Tablet
60
61
