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| No | Medicine code | Active ingredient name | Technical criteria group | Concentration or content | How to use | Dosage form | Unit | Quantity | Feature |
|---|---|---|---|---|---|---|---|---|---|
1 |
1 |
Acetaminophen (Paracetamol) 500 mg |
N2 |
500mg |
Drink |
Tablet |
Tablet |
50.000 |
|
2 |
2 |
Paracetamol 250 mg |
N3 |
250mg |
Drink |
Foam powder |
Package |
10.000 |
|
3 |
3 |
Paracetamol 150mg |
N3 |
150mg |
Drink |
Foam powder |
Package |
15.000 |
|
4 |
4 |
Methylprednisolone 16 mg |
N2 |
16mg |
Drink |
Tablet |
Tablet |
2.000 |
|
5 |
5 |
Methylprednisolone 4 mg |
N2 |
4mg |
Drink |
Tablet |
Tablet |
5.000 |
|
6 |
6 |
Metronidazole 250 mg |
N2 |
250mg |
Drink |
Tablet |
Tablet |
40.000 |
|
7 |
7 |
Amlodipine (as amlodipine besilate 6.9 mg) 5 mg |
N2 |
5mg |
Drink |
Hard capsules |
Tablet |
2.000 |
|
8 |
8 |
Ciprofloxacin 500 mg (as Ciprofloxacin hydrochloride) |
N2 |
500mg |
Drink |
Tablet |
Tablet |
2.000 |
|
9 |
9 |
Magnesium lactate dihydrate 470 mg Vitamin B6 5 mg |
N2 |
470mg, 5mg |
Drink |
Tablet |
Tablet |
5.000 |
|
10 |
10 |
Amlodipine (as Amlodipine besilate) 10 mg |
N3 |
10mg |
Drink |
Hard capsules |
Tablet |
2.000 |
|
11 |
11 |
Each 1 g sachet contains: Amoxicillin (as Amoxicillin trihydrate) 250 mg; Clavulanic acid (as potassium clavulanate & silicon dioxide) 31.25 mg |
N3 |
250mg + 31.25mg |
Drink |
Powder |
Package |
3.000 |
|
12 |
12 |
Cefalexin |
N2 |
500mg |
Drink |
Hard capsules |
Tablet |
20.000 |
|
13 |
13 |
Enalapril |
N3 |
10mg |
Drink |
Tablet |
Tablet |
10.000 |
|
14 |
14 |
Vitamin B1 + B6 + B12 |
N2 |
125mg + 125mg +125mcg |
Drink |
Film bag tablets |
Tablet |
20.000 |
|
15 |
15 |
Iron + folic acid |
N4 |
60mg+0.25mg |
Drink |
Hard capsules |
Tablet |
5.000 |
|
16 |
16 |
Paracetamol + ibuprofen |
N4 |
325mg +200mg |
Drink |
Tablet |
Tablet |
5.000 |
|
17 |
17 |
Ascorbic acid 500mg |
N4 |
500 mg |
Drink |
Covered tablets |
Tablet |
4.000 |
|
18 |
18 |
Sodium chloride |
N4 |
0.9% x 500ml |
Infusion |
Infusion solution |
plastic bottle |
200 |
|
19 |
19 |
Salicylic acid + betamethason dipropionate |
N4 |
(300mg + 6.4mg)/10g |
External |
Ointments topical skin |
Tube |
500 |
|
20 |
20 |
Sodium chloride |
N4 |
0.9% x 10ml |
Eye |
Solution of eye drops, nose |
Jar |
2.000 |
|
21 |
21 |
Aciclovir |
N4 |
5% x 5g |
External |
Topical |
Tube |
200 |
|
22 |
22 |
Chlorpheniramin (hydrogen maleat) |
N4 |
4mg |
Drink |
Hard capsules |
Tablet |
20.000 |
|
23 |
23 |
Pdsolone-40mg |
N2 |
40mg |
Inject/infusion |
Injected powder |
Jar |
30 |
|
24 |
24 |
Saccharomyces boulardii |
N4 |
10^9 cfu |
Drink |
Package |
Package |
5.000 |
|
25 |
25 |
Paracetamol |
N1 |
500mg |
Drink |
Tablet |
Tablet |
10.000 |
|
26 |
26 |
Metformin |
N1 |
850mg |
Drink |
Film bag tablets |
Tablet |
2.000 |
|
27 |
27 |
Amoxicilin |
N4 |
500mg |
Drink |
Hard capsules |
Tablet |
5.000 |
|
28 |
28 |
Sodium chloride + potassium chloride + sodium citrate + anhydrous glucose |
N4 |
0.7g + 0.3g + 0.58g + 4g |
Drink |
Powder |
Package |
2.000 |
|
29 |
29 |
Magnesi hydroxyd + aluminum hydroxyd + simethicon |
N4 |
(400mg + 300mg + 30mg) multiplied by 10 ml |
Drink |
Drink |
Package |
6.000 |
|
30 |
30 |
Gliclazide; Metformin hydrochloride |
N5 |
80mg + 500mg |
Drink |
Tablet |
Tablet |
4.000 |
|
31 |
31 |
Piracetam |
N4 |
800mg |
Drink |
Hard capsules |
Tablet |
5.000 |
|
32 |
32 |
Sulfamethoxazol + trimethoprim |
N4 |
200mg + 40mg |
Drink |
Dispersion tablet |
Tablet |
40.000 |
|
33 |
33 |
Vitamin A (retinol palmitate) + Vitamin D3 (cholecalciferol) |
N4 |
4000iu + 400iu |
Drink |
Soft capsules |
Tablet |
3.000 |
|
34 |
34 |
Enalapril maleate 5mg |
N4 |
5mg |
Drink |
Hard capsules |
Tablet |
15.000 |
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