BPJS

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NO NAMA OBAT SAT BPJS MAX 1 BULAN

1 Acarbose 100mg. Box 100s Tab


2 Acetylcystein 200mg. Box 30s Tab
3 Acyclovir 400mg. Box 50s. Tab
4 Allupurinol 100mg. Box 100s. Tab
5 Allupurinol 300mg. Box 100s. Tab
6 Alpamol Drop. Btl
7 Alpentin 300mg. Box 50s. Cap
8 Alprazolam 1mg. Tab Tab
9 Alprazolame 0.5mg Tab Tab
10 Ambroxol Syr. Btl
11 Ambroxol. Tab 100s. Tab
12 Aminofluid Inf. Btl
13 Amitriphylin 25mg. Box 100s. Tab
14 Amlodipin 10mg Tab. Tab
15 Amlodipin 5mg. Box 30s. Tab
16 Amoxillin 125mg Syr. Btl
17 Amoxillin 500mg. Box 100s. Tab
18 Amoxillin Drop. Btl
19 Antasida Doen Syr. Btl
20 Antasida Doen Tab. Tab
21 Anti Hemoroid Supp .Box 10s Supp
22 Arfen 400mg. Box 100s. Tab
23 Arkine Tab Tab
24 Asam Mefenamat 500mg. Box 100s. Tab
25 Asam Valproat 5ml Syrup Fls
26 Aspilet 80mg Tab. Box 100 s. Tab
27 Atorvastatin 20mg Tab. Tab
28 Atorvastatin 40Mg Tab. Tab
29 Avodart Tab. Box 30s Tab
30 Azitromicin 500mg. Box 20s. Tab
31 Azitromysin Syr. Btl
32 Bamgetol Tab. Box 100s Tab
33 BD Microtine 30 G x 8 MM Pcs
34 Becom C Tab. Box 100s. Tab
35 Betahistin 6mg. Box 30s. Tab
36 Bisoprolol 5mg. Tab Tab
37 BL HUFABETHAMIN SYR (PROCELES SYR) Btl
38 BL Illiadin Spray Nasal Fls
39 BL Kompolax Syrup BOTOL
40 BL Meticobalamin Cap
41 BL Rodeca Lotion Btl
42 Buscopan Plus. Tab Tab
43 Calcimega Tab Tab
44 Calcium Lactat 500mg. Tab 1000s. Tab
45 Camivit D3 1000IU Kapsul Cap
46 Candesartan 16mg Tab. Tab
47 Candesartan 8mg Tab. Tab
48 Captopril 12,5mg. Box 100s. Tab
49 Captopril 25mg. Box 100s. Tab
50 Cefadroxil 125mg Syr. Btl
51 Cefadroxil 500mg. Box 50s. Tab
52 Cefixim 200mg Tab Tab
53 Cefixim Syr. Btl
54 Celebrex 100mg. Box 30s. Cap
55 Cendo Genta. TM Strep
56 Ceterizin. Box 50s. Tab
57 Ceterizine Syr. Btl
58 Chloramphenicol 250mg. Cap 1000s Cap
59 Chloramphenicol Syr. Btl
60 Ciprofloxacin 500mg. Tab 100s. Tab
61 Ciprofloxacin Infus. Btl
62 Citicoline 500mg Tab
63 Clindamycin 300mg. Box 50s. Tab
64 Clopidogrel 75mg. Box 30s. HJ Tab
65 Codein 10mg Tab Tab
66 Codein 20mg Tab. Tab
67 Combantrin 250mg. Tab Tab
68 Concor 1,25mg. Box 50s. Tab
69 Cotrimoxazol 480mg. Box 100s. Tab
70 Cotrimoxazol Syr. Btl
71 CPZ. (Chlorpromazine 100mg) Btl Tab
72 CTM 4mg. Tab 1000s. Tab
73 Curcuma. Tab 100s. Tab
74 Cyanocobalamin Tab (B12) Tab
75 Depakote ER 500mg Tab. Tab
76 Dexamethason Tab Tab
77 Diaform. Tab Tab
78 Diazepam 2mg. Tab Tab
79 Diazepam 5mg. Tab 100s Tab
80 Digoxin 0,25mg. Box 100s. Tab
81 Dilatamol Inhaler 100mcg Fls
82 Domperidon 10mg. Box 50s. Tab
83 Domperidon Syr. Btl
84 Dopamet 250mg Tab Tab
85 Doxyciclin 100mg. Tab
86 Dulcolax Supp Anak Supp
87 Dulcolax Supp Dewasa Sup
88 Dulcolax. Tab Tab
89 Elizac 20mg Tab Tab
90 Eperisone. Box 100s. Tab
91 Epsonal. Tab
92 Erytromicin 250mg. Box 120s. Tab
93 Erytromicin Syr. Btl
94 Ethambutol 500mg. Box 100s. Tab
95 Euthyrox 100Mcg Tab. Tab
96 Euthyrox 100mg. Tab Tab
97 Exforge 10/160. Tab Tab
98 Farmadol 500mg Tab. Box 100s. Tab
99 Farmasal 100mg. Box 100s. Tab
100 Farsix 40mg Tablet Box100s. Tab
101 Fenofibrate 100mg Dexa Cap
102 Fenofibrate 100mg Tab HJ Tab
103 Fenofibrate 300mg Tab HJ Tab
104 Fenofibrate 300mg. Tab Dexa Tab
105 Flamar 50mg. Box 100s Tab
106 Flunarizin 5mg. Box 30s Tab Tab
107 Flutamol syr Btl
108 Flutias Inhaler Fls
109 Folavit Tab. Box 100 s. Tab
110 Furosemide 40mg. Tab 100s. Tab
111 Gabapentin 300 mg 30s Tab
112 Galvusmet 50/850 tab Tab
113 Glimepiride 3mg. Box 30s. Tab
114 Glimepirids 1mg. Box 50s. Tab
115 Glimiperid 2mg Tab. Tab
116 Gliquidon 30mg Tab. Tab
117 Glucodex Tab. Box 100 s. Tab
118 Glucosamin 250mg. Tab
119 Glucosamin 500mg. Box 100 s. Tab
120 Griseofulvin 125mg. Tab
121 Guaifenesin 100mg Tab. Box 100s Tab
122 Halloperidol 0.5mg. Box 100s. Tab
123 Harnal Ocas 0.4mg Tab Tab
124 HCT 25mg. Tab Tab
125 Herbacof Syr 60ml. Btl
126 Histapan 50mg. Tab
127 Hydrogen Penoxyda ( H2O2 ). CC
128 Ibuprofen 400mg. Box 100s Tab
129 Ibuprofen Syr 60ml. Btl
130 Iliadin 0,025% Btl
131 Iliadin Spray 10ml 0.05% Fls
132 Incral Syr ( Sukralfate Sirup ) Btl
133 INH 100mg. Tab
134 INH 300mg. Box 1000s. Tab
135 Isosorbit Dinitrat. (ISDN) Tab
136 Itramag Plus Kaplet Kaplet
137 Kalxetin 10mg Tab. Tab
138 Kalxetin 20mg Tab. Tab
139 Kandistatin Drop. Fls
140 Kapsul Kosong No 3. Cap
141 KCL Inj. Btl
142 Ketocid Kpl. Tab
143 Ketoconazole. Box 30s. Tab
144 Ketorolac 10mg. Tab Tab
145 Kutoin. Box 100s. Tab
146 Lansoprazole. Cap
147 Laserin Syr Btl
148 Laxadin Syr 60ml. Tab
149 Levofloxacin 500mg. Box 50s. Tab
150 Levopar. Tab Tab
151 Lipitor 10mg. Box 30s. Tab
152 Loratadin. Box 50s. Tab
153 Lyrica 75mg. Box 14s. Tab
154 Lytacur Syr. Btl
155 Madopar Tab Tab
156 Mecobalamin 500mg. Box 100s. Tab
157 Mefinal 500mg Tab. Tab
158 Meloxicam 15mg. Box 30s. Tab
159 Merlofam 25mg Tab. Tab
160 Metformin 500mg. Box 100s. Tab
161 Metformin 850mg. Tab 100s. Tab
162 Methyl Ergometrin Tab Tab
163 Methylprednisolon 4 mg Tab 100s. Tab
164 Metoclopamide Tab. Tab
165 Metronidazol 500mg. Box 100s. Tab
166 METRONIDAZOLE SYR BTL
167 Molasic 500mg. Box 100s. Tab
168 Molexflu. Box 150s. Tab
169 MST Tab. Tab
170 N-Ace. Cap. 30s Cap
171 Natrium Diklofenac 50mg. Box 100 Tab
172 Neo Diagon (Diaform) Tab Tab
173 Nifendipine 10mg Tab. Tab
174 Nitro cafrectat. Tab
175 Norvask 5mg Tab. Tab
176 Novomox 500 mg Tablet Tab
177 Nystin Drop. Btl
178 OBH Indo Plus Syr 100ml Btl
179 OBH Molex Syr 6ml. Btl
180 Ocuson Tab. Box 100s. Tab
181 Ofloxacin 200mg. Box 50s. Tab
182 Ofloxacin 400mg. Box 50s. Tab
183 Omeprazol 20mg. Cap 30s. Cap
184 Ondancetron 4mg. Box 12s. Tab
185 Oralit. Sst
186 Otillon Ear Drop. Btl
187 Otsu Mg So4 20% Fls
188 Paracetamol 500mg. Strep 100s. Str
189 Paracetamol Syr. Btl
190 Patracet 325mg Tablet ( Tramset Tab ) Tab
191 Phenobarbital 30mg. Tab Tab
192 Piracetam 800mg. Box 100s. Tab
193 Piroxicam 20mg Tab
194 Plavix 75mg. Box 28s. Tab
195 Pralax Syr Btl
196 Prednison. Tab
197 Premaston 5mg. Tab
198 Proceles Syr 60ml. Btl
199 Propanolol 10mg. Box 100s. Tab
200 Propylthiorocil 100mg. ( PTU ) Btl
201 Protofen.Supp Supp
202 Pyrazinamid 500mg. Box 100s. Tab
203 Pyridoxine 10mg (B6). Tab 1000s. Tab
204 Pytramic . Tab 50s. Tab
205 Ramipril 2,5mg. Tab 100s Tab
206 Ramipril 5mg. Box 100s. Tab
207 Ranitidin 150mg. Tab 100s. Tab
208 Rebal Plus. Box 100s Cap
209 Reco Eye Drop. TM Btl
210 Reco Tetes telinga. Btl
211 Recolfar. Box 30s. Tab
212 Regumen Tab. Tab
213 Renadinac 50mg ( Natrium Diklofenac 50 mg ) Tab
214 Rifampicin 450mg. Tab 100s. Tab
215 Rifampicin 600mg. Tab 100s. Tab
216 Risperidone 2mg Tab. Tab
217 Rivanol 100ml. Btl
218 Salbutamol 2mg Tab Tab
219 Salbutamol 4mg. Tab 100s. Tab
220 Salbutamol Syr 120ml. Btl
221 Salofalk 500mg Tab. Tab
222 Saltrim Tab. (cotrimoxazole tab) Tab
223 Sangobion Syr 100ml Btl
224 Sifrol 0,375mg Tab 30s Tab
225 Simvastatin 10mg. Tab Tab
226 Solaneuron. Kap 100s Tab
227 Soldextam Tab Tab
228 Spironolacton 100mg Tab. Tab
229 Spironolacton 25mg Tab. Tab
230 Sukralfat Syr 5ml. Btl
231 Tamofen 10mg. Box 30s. Tab
232 Tarivid Otic. TT Btl
233 Teosal. Tab
234 Thiamin 50mg (B1).Tab 1000s. Tab
235 Thyrozol 10mg. Tab
236 Trifadium 2 mg (Lexadium 2 mg) Tab Tab
237 Ulsidex 500mg Tab Tab
238 Urdafalk Tab. Tab
239 Urief 4mg Tab. Box 100s Tab
240 Ursodeoxycholic Acid 250mg Cap Kap
241 Valsartan 160mg Tab Tab
242 Valsartan 80mg Tab Tab
243 Vitamin B Complex. Tab
244 Vitamin C 50mg. Tab
245 Vitamin D 1000iu Tablet. Tab
246 Vitamin K 10mg Tab. Box 500s. Tab
247 Zegavit. Kpl Kpl
248 Zink Tab. Tab

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