e Catalog Obat BPJS.xls

No

Nama Obat Generik

Nama Dagang

Nama Penyedia

Kemasan

Harga Satuan Terkecil (Rp)

1.

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)

n/a

PT. Kimia Farma

1 blister@24 tablet

1,375.00

2.

Adefovir Dipivoksil tablet/kaplet 10 mg

Hepsera

PT. SmithKline Beecham Phamaceuticals

Dus, 3 Blister @ 10 kapsul

3.

Air untuk Injeksi 25 ml

Otsu SWI 25 ml

PT Otsuka Indonesia

Dus, 120 ampul PE @ 25ML

2,200.00

4.

Air untuk irigasi lar infus 1000 ml

WIDA WI UNICAP

PT. Widatra Bhakti

Btl @ 1000 ml

7,500.00

5.

Akarbose tablet/kaplet 100 mg

n/a

PT. Dexa Medica

Dus, 10 strip @10tablet

990.00

6.


n/a

PT. Dexa Medica


780.00

7.

Albendazol suspensi 200 mg/5 ml

n/a

PT. Indofarma

Dus, 10 dus @ 1 botol @ 10 ml

8.

Albendazol tablet/kapsul/kaplet 400 mg

n/a

PT. Holi Pharma

Dus, 5 strip @ 6 tablet

9.

Albumin serum normal (human albumin) injeksi 20%, 100 ml

Zenalb

PT. Ikapharmindo

Vial 100 ml

750,000.00

10. Albumin serum normal (human albumin) injeksi 20%, 50 ml

Zenalb

PT. Ikapharmindo

Vial 50 ml

345,000.00


PLASBUMIN 25% 100 ML

PT. Dipa Pharmalab

botol @ 100 ml


PLASBUMIN 25% 20 ML

PT. Dipa Pharmalab

botol @ 20 ml

321,552.00


PLASBUMIN 25% 50 ML

PT. Dipa Pharmalab

botol @ 50 ml

732,727.00

14. Albumin serum normal (human albumin) injeksi 5% 250 ml

PLASBUMIN 5% 250 ML

PT. Dipa Pharmalab

botol @ 250 ml

900,000.00


PLASBUMIN 5% 50 ML

PT. Dipa Pharmalab

botol @ 50 ml

283,000.00

16. Alopurinol tablet/kapsul/kaplet 100 mg

n/a

PT. Pertiwi Agung

Box, 10 strips @ 10 tablets

86.00


n/a

PT. Bernofarm

Dus, 10 blister @ 10 tablet

199.50

18. Alprazolam tablet/kapsul/kaplet 0,25 mg

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

380.00


n/a

PT. Kimia Farma

Ktk 10x10 tablet

214.00

20. Alprazolam tablet/kapsul/kaplet 1 mg

n/a

PT. Kimia Farma

Ktk 10x10 tablet

21. Alteplase injeksi 50 mg/vial

Actilyse

PT. Boehringer Ingelheim

Dus, 1 vial@50mg + 1 vial pelarut @ 50ml

22. Amfoterisin B salep mata 1%

Fungicide

PT. Cendo Industri Farmasi

tube 3.5 gr

18,500.00

23. Amikasin injeksi 250 mg/ml

Glybotic 250 mg /ml

PT. Sanbe Farma

Vial 2 ml

50,500.00

24. Aminofilin injeksi 24 mg/ml

n/a

PT. Lucas Djaja

dus 30 ampul @10 ml

25. Aminofilin tablet scored 200 mg

n/a

PT. Marin Liza Farmasi

Botol @ 100 tablet salut selaput

90.00

26. Aminofilin tablet/kapsul/kaplet 150 mg

n/a

PT. Erela

Btl @ 100 tablet

80.00

27,500.00

3,849.00 344.00

1,525,456.00

233.00 3,800,000.00

3,823.00

27. Amiodaron injeksi 150 mg/3 ml

Cordarone

PT. Aventis Pharma

Dus, 6 ampul @ 3 ml

12,480.00

28. Amiodaron tablet/kaplet 200 mg

Kendaron Tablet

PT. Darya Varia

strip

29. Amitriptilin tablet salut 25 mg (HCl)

n/a

PT. Indofarma

Dus, 10 strip @ 10 tss

112.00

30. Amlodipin tablet 10 mg

n/a

PT. Pertiwi Agung


330.00


n/a

PT. Pertiwi Agung


187.00

32. Amoksisilin kapsul/kaplet 250 mg

n/a

PT. Novapharin

dus 10 X 10'S

211.00

33. Amoksisilin kapsul/kaplet/tablet scored 500 mg

n/a

PT. Bernofarm

Dus, 10 strip @ 10 kaptab

272.00

34. Amoksisilin sirup kering forte 250 mg/5 ml

n/a

PT. Holi Pharma

Dus, Botol 60 ml

4,070.00

35. Amoksisilin sirup kering 125 mg/ 5 ml

n/a

PT. Novapharin

btl @ 60 ml

2,445.00

36. Ampisilin serbuk injeksi i.v. 1000 mg/vial

n/a

PT. Bernofarm

Dus, 10 vial @ 1 g

37. Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glargine 100 IU/ml)

Lantus Solostar 100IU/ml 5pens x3ml

PT. Aventis Pharma

dus, 5 solostar pen @ 3ml

38. Analog insulin mix acting inj 100 UI/ml, Analog Novomix Flexpen insulin mix acting inj 100 UI/ml (Premix 30% Insulin Aspart + 70% Protaminated Insulin Aspart (Analogue))

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, Flexpen disposible 3 ml (1 box isi 5 flexpen disposible)

106,000.00

39. Analog Insulin Mix Insulin Inj 100 UI/ml

Humalog Mix 25 Kwikpen

PT. Bayer Indonesia

Dus, 5 Prefilled pen @ 3 ml

102,990.00

40. Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cartridge (25% insulin lispro, 75% insulin lispro protamine suspension, (rDNA))

Humalog Mix 25

PT. Bayer Indonesia

Penfill cartridge

97,500.00

41. Analog Insulin Rapid Acting Inj 100 UI/ml

Humalog Kwikpen

PT. Bayer Indonesia


82,495.00

42. Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue))

Novorapid Vial


Dus, vial 10 ml

43. Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue))

Novorapid Flexpen


Injeksi 100 IU/ml, Flexpen disposible 3 ml (1 box isi 5 flexpen disposible)

85,345.00

44. Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glulisine 100 IU/ml)

Apidra Solostar 100IU/ml 5pens x3ml

PT. Aventis Pharma


79,165.00

45. Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin lispro (rDNA origin))

Humalog

PT. Bayer Indonesia

Penfill cartridge

79,167.00

46. Anastrozol tablet/kapsul/kaplet 1 mg

Arimidex 1 mg

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

32,000.00

47. Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium Hidroksida 200 mg

n/a

PT. Promedrahardjo Farmasi Industri

Dus, 10 Strip@10 Tablet

1,200.00

5,100.00 85,000.00

200,000.00

75.00

48. Antasida DOEN II suspensi, kombinasi : Aluminium n/a Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml

PT. Erela

Botol @ 60 ml

2,160.00

49. Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU/g

PT. Indofarma

Dus, 25 tube @ 5 g

2,516.00

50. Antihemoroid, kombinasi: bismut subgalat 150 mg n/a heksaklorofen 2,5 mg lidokain 10 mg seng oksida 120 mg

PT. Kimia Farma

DUS, 10 SUPP @ 2 GRAM

3,045.00

51. Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

520.00

52. Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg n/a

PT. Kimia Farma

Btl 100 tablet

135.00

53. Antiparkinson DOEN tablet kombinasi : Benserazid Levopar Tablet 25 mg Levodopa 100 mg

PT. Meprofarm


54. Artemether injeksi 80 mg/ml

Artem

PT. Kimia Farma

Dus 6 amp @ 1ml

22,000.00

55. Artesunate injeksi i.v./i.m. 60 mg/ml

Artesunate

PT. Pharma Laboratories

Dus, 1 Vial @ 60 mg + 1 Ampul Pelarut @ 1 mL

38,999.00

56. Asam Asetilsalisilat (asetosal) tablet 100 mg

n/a

PT. Phapros, Tbk

Dus @ 10 X 10 's

116.00

57. Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg

Miniaspi 80

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

148.00

58. Asam Askorbat (Vitamin C) tablet 250 mg

n/a

PT. Kimia Farma

ktk 10x10 tablet

159.00


n/a

PT. Kimia Farma

Dus 10 strip x 10 tab

95.00

60. Asam Folat tablet/kapsul/kaplet 0,4 mg

Starfolat

PT. Dexa Medica

Dus, 10 strip @10 tablet

84.00

61. Asam Folat tablet/kapsul/kaplet 1 mg

n/a


Botol @ 100 tablet

48.00

62. Asam Ibandronat injeksi 6mg/6ml

Bondronat


Boks, 1 ampul

63. Asam Mefenamat kapsul/kaplet 250 mg

n/a

PT. Afifarma

dus, 10 blister @ 10 kapsul

158.00


n/a

PT. Bernofarm

Dus, 10 blister @ 10 kaptab ss

112.00

65. Asam pipemidat kapsul 400 mg

Urotractin 400 mg

PT. Sanbe Farma

Strip

1,815.00

66. Asam traneksamat injeksi 50 mg/ml

n/a

PT. Bernofarm

Dus, 10 ampul @ 5 ml

2,950.00

67. Asam zoledronat injeksi 4mg/5mL

ZOMETA

PT. Novartis Indonesia

Dus, 1 vial plastik @ 5ml

68. Asiklovir salep mata 3%

Temiral Eye Oint

PT. Sanbe Farma

Tube 3,5 gram

69. Asiklovir tablet/kapsul/kaplet 200 mg

n/a

PT. Indofarma


237.00


n/a

PT. Sampharindo Perdana


336.00

71. Asparaginase serbuk injeksi 10.000 UI/vial

Leunase

PT. Widatra Bhakti

10.000 UI/Vial

72. Atapulgit tablet 600 mg

Pularex

PT. Zenith Pharmaceuticals

Dus 5 strip @ 10 tablet

190.00

73. Atenolol tablet/kapsul/kaplet 100 mg

Betablok

PT Kalbe Farma

strip

700.00


Farnormin

PT. Pratapa Nirmala

Box @ 10 strip 10 tab

352.00

n/a

1,500.00

2,209,000.00

900,000.00 24,750.00

1,039,500.00

75. Atrakurium injeksi 25 mg/2,5 ml

Tracrium

PT. Glaxo Wellcome Indonesia

Dus, 5 ampul @ 2.5 ml

76. Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml

n/a

PT. Ethica Industri Farmasi

100 AMPUL @ 1 ML

77. Atropin Sulfat tablet 0,5 mg

n/a

PT. Indofarma


78. Atropin Sulfat tetes mata 0,5%

Cendo Tropin 0,5%


Botol 5ml

13,500.00

79. Atropin Sulfat tetes mata 1%

Cendo Tropin 1%


Botol 5ml

13,500.00

80. Azitromisin sir kering 200 mg/ 5 mL

n/a

PT. Soho Industri Pharmasi

botol @ 60 ml

34,400.00

81. Azitromisin tablet 500 mg

n/a

PT. Kimia Farma

ktk 2x10 tablet

4,500.00


n/a


Strip

3,333.00

83. Bedak salisil serbuk 2%

n/a

PT. Rama Emerald Multi Sukses

Dus @ 50 gram

1,250.00

84. Benzatin Benzil Penisilin 1,2 juta IU/ vial

n/a

PT. Phapros, Tbk

Ds 10 vial x 1,2 Jt IU

85. Benzatin Benzil Penisilin 2,4 juta IU/vial

n/a

PT. Phapros, Tbk

10 vial @ 2.400.000 IU

86. Beractant injeksi / suspensi 25 mg/mL

Survanta

PT. Abbott Indonesia

Vial

87. Beraprost sodium tablet 20 mcg

Dorner

PT. Combiphar

Box/ 3 blister @ 10 Tablet

88. Betametason krim 0,1% (sebagai Valerat)

n/a

PT. Kimia Farma

Tube 5 gr

89. Betametason tetes mata 1 mg/ml

Betam Ophtal ED

PT. Sanbe Farma

botol @ 5 ml

90. Bevasizumab injeksi 25 mg/ml (Skema Risk Sharing Avastin sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)


Dus, 1 vial @ 4 ml

91. Bikalutamid tablet salut 150 mg

Casodex 150 mg



72,400.00


Casodex 50 mg



45,000.00

93. Bisakodil suppositoria 10 mg

Stolax supp

PT. Sanbe Farma

Supp

6,045.00


Dulcolax Supp Infant


1 Box @ 6's

4,990.00

95. Bisoprolol tablet 2,5 mg

Concor 2.5

PT. Merck Tbk

Dus 10 blister @ 10 tablet

746.00

96. Bisoprolol tablet 5 mg

n/a

PT. Pratapa Nirmala

Box 3 X 10 tab

645.00

97. Bleomisin serbuk injeksi 15 mg/ampul

BLEOCIN

PT Kalbe Farma

Vial

304,000.00

98. Bromokriptin tablet 2,5 mg

Cripsa tab

PT. Caprifarmindo

Box 3 x 10'S

247,089.00

99. Budesonid inhaler 200 mcg/puff, 100 dosis

Pulmicort Turbuhaler


Dus, 1 Turbuhaler @ 100 dosis

100 Budesonid inhaler 200 mcg/puff, 200 dosis .

Obucort Swinghaler

PT Otsuka Indonesia

Unit, 200 dosis

101 Budesonid respules / cairan inhaler 0,25mg/mL .

Pulmicort Respules


Dus, 4 pak @ 5 respules @ 2 ml

102 Budesonid-formoterol (fixed combination) inhaler . 160/4,5 mcg

Symbicort Turbuhaler 160/4.5 PT. AstraZeneca indonesia mcg


117,600.00

103 Budesonid-formoterol (fixed combination) inhaler . 80/4,5 mcg

Symbicort 80/4.5 mcg


110,500.00


20,000.00 1,350.00 74.00

9,800.00 13,400.00 3,200,000.00 3,600.00 1,520.00 25,106.00 4,803,697.00

93,000.00 106,000.00 8,900.00

104 Bupivakain injeksi 0,50% (HCl) + glukosa 8% .

n/a

PT. Dexa Medica

Dus, 5 ampul @ 4 ml

25,600.00

105 Bupivakain injeksi 0,50% (P.V) .

Bunascan

PT. Pratapa Nirmala

ampul

30,800.00

106 Dabigatran eteksilat kapsul 75 mg .

Pradaxa


Dus, 3 blister @ 10 kapsul

12,936.00

107 Dabigatran eteksilat kapsul 110 mg .

Pradaxa



12,936.00

108 Dakarbazin serbuk injeksi 200 mg/vial .

DBL Dacarbazine

PT. Tempo Scan Pacific

vial @ 20 ml

305,000.00

109 Daunorubisin serbuk injeksi 20 mg/vial .

DAUNOCIN

PT. Novell Pharmaeutical Laboratories

vial

275,000.00

110 Deferasiroks tablet disp/ eff 250 mg .

Exjade 250 mg Tab



76,000.00

111 Deferasiroks tablet disp/ eff 500 mg .

Exjade 500 mg Tab



150,000.00

112 Deferipron larutan oral 100 mg/mL .

Ferriprox Oral Solution

PT. Sydna Farma

Dus, Botol @ 500ml

113 Deferipron tablet 500 mg .

Ferriprox tablet

PT. Sydna Farma

Dus, Botol @ 100 tablet

114 Deferoksamin Mesilat serbuk injeksi 500 mg .

Desferal


Dus, 10 vial @ 500mg

115 Deksametason injeksi i.v./i.m. 5 mg/ml .

n/a

PT. Indofarma


116 Deksametason tablet 0,5 mg .

n/a

PT. Bernofarm


117 Desogestrel tablet 75 mcg .

Cerazette

PT. Merck Sharp Dohme Pharma Tbk

Dus, 1 Blister @ 28 tablet

118 Desoksimetason krim 0,25% .

DEXIGEN

PT. Ifars Pharmaceutical Laboratories

Dus, tube @ 5 g

5,700.00

119 Desoksimetason krim 0,25% .

n/a

PT. Dexa Medica

Kotak, tube @ 15 gram

9,983.00

120 Desoksimetason salep 0,25% .

Dexocort

PT. Kimia Farma

Dus Tube 10 gram

9,818.00

121 Diazepam larutan rektal 5 mg/2,5 mL .

STESOLID

PT. Actavis Indonesia

Dus, 5 alubag @ 1 tube @ 2,5ml

122 Diazepam injeksi i.v./i.m 5 mg/ml .

n/a

PT. Indofarma


123 Diazepam larutan rektal 10 mg/2,5 mL .

STESOLID



124 Diazepam tablet/kapsul/kaplet 2 mg .

n/a

PT. Kimia Farma

Botol Plastik @ 100 tablet

45.00

125 Dietilkarbamazin tablet scored 100 mg .

n/a

PT. Holi Pharma

Dus, 10 blister @10 tablet

136.00

2,600,000.00 25,300.00 112,000.00 1,580.00 67.50 70,000.00

11,525.00 4,180.00 16,748.00

126 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) .

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

1,050.00

127 Digoksin injeksi 0,25 mg/ml .

Fargoxin inj

PT. Pratapa Nirmala

Box @ 5 ampul 2 mL

128 Digoksin tablet 0,25 mg .

n/a

PT. Yarindo Farmatama

Box 10 X 10 Tab

129 Diltiazem HCl tablet 30 mg .

n/a

PT. Indofarma


130 Diltiazem infus injeksi 50 mg .

Herbesser Powder Injection 50mg

PT. Tanabe Indonesia

10 vial @ 50mg

131 Diltiazem injeksi 25 mg/5 mL .

Farmabes Injeksi 25 mg

PT. Pratapa Nirmala

Vial 5 mL

132 Diltiazem Kapsul SR 100 mg .

Herbesser CD 100


3 blister @ 10 kapsul

3,667.00

133 Diltiazem Kapsul SR 200 mg .

Herbesser CD 200



4,015.00

134 Dimenhidrinat tablet/kapsul/kaplet 50 mg .

n/a

PT. Kimia Farma


135 Dinatrium edetat tetes mata 0,35% .

E.D.T.A


botol 15 ml

136 Dinatrium klodronat infus kons 60 mg/mL .

Bonefos Infus 60 mg / 5 ml

PT. Bayer Indonesia

ampul

137 Dobutamin injeksi 50 mg/mL .

DOBURAN

PT. Dipa Pharmalab

ampul @ 5 ml

138 Doksazosin mesilat tablet 1 mg .

Cardura 1mg

PT. Pfizer Indonesia

Dus, 5 blister @10's tab

3,480.00

139 Doksazosin mesilat tablet 2 mg .

Cardura 2mg



5,480.00

140 Doksisiklin tablet/kapsul/kaplet 100 mg .

n/a


Box @ 10 strip 10 kapsul

141 Doksorubisin serbuk injeksi i.v. 10 mg/vial .

Doxorubicin kalbe

PT Kalbe Farma

vial @ 5 ml

142 Doksorubisin serbuk injeksi i.v. 50 mg/vial .

Doxorubicin Actavis 50 mg


Dus, 1 vial @ 50 mg

143 Domperidon suspensi/sirup 5 mg/5 ml .

n/a

PT. Novapharin

btl @ 60 ml

144 Domperidon tablet 10 mg .

n/a

PT. Novapharin

dus 10 X 10'S

145 Domperidon tetes 5 mg/mL .

n/a

PT. Bernofarm

Dus, botol @ 10 ml

146 Dopamin injeksi 40 mg/ml .

UDOPA

PT. Dipa Pharmalab

ampul @ 5 ml

147 Dosetaksel injeksi 20 mg/0,5 ml .

n/a

PT. Sanbe Farma

Dus, 1 vial @0,5 ml+ 1 vial pelarut @1,5 ml

22,000.00 97.00 134.00 127,667.00 46,667.00

104.00 37,500.00 124,955.00 26,700.00

270.00 59,000.00 258,000.00 3,333.00 167.00 15,600.00 9,840.00 970,200.00

148 DTPA (diethylene triamine pentaacetic acid) 2,06. 2,5 mg pentetate calcium trisodium/mL

Renalscan KaeF

PT. Kimia Farma

Dus @ 5 vial

455,000.00

149 Dutasterid kaps lunak 0,5 mg .

Avodart


Dus, Botol Plastik @ 30 Tablet

7,100.00

150 Efavirens tablet salut 600 mg .

n/a

PT. Kimia Farma

Botol 30 tab

6,375.00

151 Efedrin Inj 50 mg/ml .

n/a

PT. Bernofarm

Ampul @ 1 ml

12,990.00

152 Eksemestan tablet 25 mg .

Aromasin



42,600.00

153 Enoksaparin sodium inj 20 mg/0,2 mL .

Lovenox 2000 ANTI-XA

PT. Aventis Pharma

dus, 2 prefilled syringe @ 0,2 ml

40,740.00



PT. Aventis Pharma


71,875.00



PT. Aventis Pharma


100,000.00

156 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml .

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

157 Epirubisin serb injeksi 50 mg/25ml (Produk Kosong Epirubisin Kalbe . s/d awal Agustus 2015)

PT Kalbe Farma

Vial @ 25 ml

500,000.00

158 Epirubisin serb injeksi 10 mg/5 ml .

n/a

PT. Sanbe Farma

Dus, 1 vial @5 ml

128,000.00

159 Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI .

D-Vit FT

PT. Gracia Pharmindo

Dus 3 strip @ 10 Flash tablet

650.00

160 Ergokalsiferol (vitamin D3/D2) suspensi 10.000 . UI/ml

D-Vit Syrup


Dus, Botol Plastik @ 100 mL

8,000.00

161 Eritromisin kapsul/kaplet 250 mg .

n/a

PT. Kimia Farma

ktk 10 x 10 kapsul

497.00

162 Eritromisin kapsul/kaplet 500 mg .

n/a

PT. Indofarma

Dus, 10 blister @ 10 kss

930.00

163 Eritromisin sirup kering 200 mg/ 5 ml .

n/a

PT. Phyto Kemo Agung Farma

Botol @60 ml

164 Eritropoetin-alfa inj 10000 UI/mL .

Hemapo 10.000 IU

PT Kalbe Farma

vial/ampul (Prefilled Syringe)

275,000.00


Eprex 2000


Dus, 6 prefilled syrenge @ 0.5 ml

133,875.00


Hemapo 3000

PT Kalbe Farma

Prefilled Syringe @ 1ml

128,000.00

167 Eritropoetin-beta inj 2000 UI/0,3 mL .

Recormon


Boks, 6 ampul

139,500.00

168 Estrogen terkonjugasi tablet salut 0,625 mg .

Esthero 0.625mg

PT SUNTHI SEPURI

dus, 1 blister @ 28 kaptab salut gula

8,100.00

7,700.00

82,000.00

169 Etambutol tablet 250 mg (HCl) .

n/a

PT. Kimia Farma

ktk 20 x 10 tablet

314.00

170 Etambutol tablet salut 500 mg (HCl) .

n/a

PT. Indofarma


451.00

171 Etanol 70% cairan .

n/a

PT. Novapharin

btl @ 100 ml

2,500.00

172 Etinilestradiol tablet 0,05 mg .

Lynoral


Dus, botol @ 100 tablet

1,360.00

173 Etonogestrel implan 68 mcg .

Implanon


Dus, 1 blister @ 1 subdermal implant

128,779.00

174 Etoposid injeksi 20 mg/ml .

Posyd

PT. Combiphar

Vial 100mg/5ml

100,000.00

175 Eugenol cairan .

n/a

PT. Kimia Farma

Botol 10 ml

16,667.00

176 Everolimus tab 0,25 mg .

Certican 0,25 mg Tab



11,813.00

177 Everolimus tab 0,5 mg .

Certican 0,5 mg Tab



23,250.00

178 Faktor IX kompleks serbuk injeksi 1.000 UI/vial + . pelarut 10 ml

Nonafact 1000 IU

PT. Graha Farma

Dus, 1 vial @ 1000 IU+ 1 vial pelarut @ 10ml

8,500,000.00

179 Faktor IX kompleks serbuk injeksi 500 UI/vial + . pelarut 5 ml

Nonafact 500 IU

PT. Graha Farma

Dus, 1 vial @ 500 IU+ 1 vial pelarut @ 5ml

4,423,500.00

180 Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7. 20 UI, faktor koagulasi IX 25 UI, faktor koagulasi X 14-35 UI

Cofact 500 IU/20 ml

PT. Graha Farma

Dual, vial 500 IU

4,400,000.00

181 Faktor Koagulasi II 14-35 UI, Faktor Koagulasi VIII 7- Cofact 250 IU . 20 UI, Faktor Koagulasi IX 25 UI, Faktor Koagulasi X 14-35 UI (250 IU/10ml)

PT. Graha Farma

Dus, vial @ 250 IU+ 1 vial pelarut @10 mL+ transfer needle+swab

2,095,000.00

182 Faktor VIIa (rekombinan) serb inj 1 mg/vial + . pelarut untuk injeksi

Novoseven


KOTAK @ 1 VIAL SERBUK OBAT & INFUSION KIT

9,200,000.00

183 Faktor VIII (konsentrat) serb inj 230 -340 UI .

Haemoctin

PT. Kimia Farma

vial

1,133,000.00

184 Faktor VIII (konsentrat) serb inj 250 UI/vial + . pelarut 5 mL

Haemoctin

PT. Kimia Farma

vial

990,000.00

185 Faktor VIII (konsentrat) serb inj 480 - 600 UI .

KOATE DVI 500 IU

PT. Dipa Pharmalab

vial

2,150,000.00

186 Faktor VIII (konsentrat) serb inj 500 UI/vial + . pelarut 5 ml

Aafact 500 IU

PT. Graha Farma

500 IU

1,990,417.00

187 Fenitoin injeksi 50 mg/ml .

n/a


KOTAK @ 10 ampul

188 Fenitoin kapsul/kaplet 100 mg .

n/a

PT. Ikapharmindo

Botol @ 100

20,250.00 133.00

189 Fenitoin Na Inj 100 mg/2 ml .

n/a


KOTAK @ 10 ampul

20,250.00

190 Fenobarbital injeksi i.m./i.v. 50 mg/ml .

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

191 Fenobarbital tablet/kapsul/kaplet 100 mg .

n/a

PT. Indofarma


192 Fenofibrat kaps 100 mg .

n/a

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 kapsul

1,075.00

193 Fenofibrat kaps 300 mg .

n/a



1,375.00

194 Fenoksimetil penisilin (penisilin V) tablet 250 mg .

n/a

PT. Phapros, Tbk

Dus @ 10 X 10 's

290.00

195 Fenoksimetil penisilin (penisilin V) tab 125 mg .

Fenocin


Dus 45 x 12 tab

235.00

196 Fenoksimetil penisilin (penisilin V)tablet 500 mg .

n/a

PT. Phapros, Tbk

Dus @ 10 X 10 's

510.00

197 Fenoterol HBr ih 100 mcg/puff .

Berotec MDI


Box, canister 10mL

198 Fenoterol HBr inh solution 0,1% .

Berotec Solution


Dus, Canister 200 dosis

117,500.00

199 Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml .

n/a

PT. Kimia Farma

Dus 5 ampul@ 10ml

128,000.00

200 Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml .

n/a

PT. Kimia Farma

Dus 5 ampul@ 2ml

33,914.00

201 Fentanil patch 12,5 mcg/jam .

Durogesic 12,5 MU Matrix

PT. Kimia Farma

Dus @ 5 patch

80,000.00

202 Fentanil patch 25 mcg/jam .

Durogesic 25 MU Matrix

PT. Kimia Farma

Dus@ 5 patch

153,000.00

203 Fentanil patch 50 mcg/jam .


PT. Kimia Farma

Dus@ 5 patch

285,000.00

204 Filgrastim inj 300 mcg/mL .

Leucogen

PT Kalbe Farma

pfs @ 0,5 ml

375,000.00

205 Finasterid tab 5 mg .

Prostacom

PT. Combiphar

Box, isi 3 Strip @ 10 tab

206 Fitomenadion (Vit.K1) tablet salut gula 10 mg .

n/a

PT. Phapros, Tbk

Dus @ 10 X 10 's

630.00

207 Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml .

n/a

PT. Phapros, Tbk

dus @ 30 ampul

3,417.00

208 Fludarabin inj 50 mg .

Fludara IV LYO

PT. Aventis Pharma

Dus, 5 vial @ 50 mg

209 Fludarabin tab 10 mg .

Fludara Oral

PT. Aventis Pharma

Dus, 4 blister @ 5 tablet salut selaput

210 Flufenazin injeksi i.m. 25 mg/ml .

Sikzonoate Injeksi


Dus, 5 ampul @ 1ml

1,800.00 220.00

72,900.00

2,950.00

1,248,319.00 275,000.00 55,000.00

211 Flukonazol injeksi 2 mg/ml .

n/a

PT. Natura Laboratoria Prima

Dus, 1 Botol @ 100 mL

212 Flukonazol tablet/kaplet/kapsul 50 mg .

Diflucan 50mg


Blister

213 Flukonazol tablet/kapsul 150 mg .

n/a

PT. Kimia Farma

ktk 1 x 10 kapsul

214 Fluoksetin tablet 10 mg .

Foransi 10


strip

419.00

215 Fluoksetin tablet 20 mg .

NOPRES

PT. Dexa Medica

DUS, 30 TABLET

410.00

216 Fluorometolon tetes mata 0,1 % .

Ocuflam ED

PT. Sanbe Farma

botol @ 5 ml

30,493.00

217 Fluorourasil inj 250 mg/mL .

Curacil

PT Kalbe Farma

vial @ 1 ml

24,500.00

218 Fluorourasil inj 500 mg/ 5 mL .

Curacil

PT Kalbe Farma

vial @ 10 ml

33,000.00

219 Flusinolon asetonid krim 0,025% .

SYNARCUS


Dus, Tube 5 g

2,400.00

220 flusinolon asetonid salep 0,025% .

Dermasolon oint

PT. Ikapharmindo

Dus, tube @ 10 g

5,489.00

221 Flutikason furoat intranasal spray .

Avamys


Dus, Botol 120 Dosis Spay

93,333.00

222 Flutikason propionat nebules 0,5 mg .

Flixotide Nbules


Dus, 2 flow wrap@ 5 nebules @ 1 dosis (2ml)

12,917.00

223 Fondaparinuks inj 2,5 mg/0,5 mL .

Arixtra


Dus, 2 pfs 0.5 ml

241,667.00

224 Fraksi protein plasma lar inf 5% .

Plasmanate

PT. Dipa Pharmalab

dus, vial @ 250 ml

972,000.00

225 Furosemid injeksi i.v./i.m. 10 mg/ml .

n/a

PT. Indofarma


226 Furosemid tablet 40 mg .

n/a

PT. Indofarma


227 Gadobutrol macrocyclic 5 mg .

Gadovist 5 mg

PT. Bayer Indonesia

Prefilled Syringe

275,000.00

228 Gadobutrol macrocyclic 7,5 mg .

Gadovist 7,5 mg

PT. Bayer Indonesia

Prefilled Syringe

412,500.00

229 Gadoksetat disodium 0,25 mmol gadoxetate . disodium/mL

Primovist

PT. Bayer Indonesia

Prefilled Syringe

2,570,000.00

230 Gansiklovir serb inj 500 mg (50 mg/mL) .

Cymevene


Boks, 1 ampul

PT. Phapros, Tbk

Dus @ 100 Sachet

231 Garam Oralit I serbuk, kombinasi : Natrium klorida n/a . 0,52 g kalium klorida 0,30 g Trinatrium sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g

47,100.00 4,862.00 22,000.00

1,829.00 85.00

399,500.00 288.00

232 Gefitinib tab 250 mg .

Iressa 250 mg



295,000.00

233 Gemfibrozil kapsul/kaplet 300 mg .

n/a

PT. Indofarma


289.00

234 Gemfibrozil tablet 600 mg .

n/a

PT. Indofarma

Dus, 10 blister @ 10 kaptab

679.00

235 Gemsitabin inj 1000 mg/vial .

Gemzar 1000 mg

PT. Bayer Indonesia

vial

236 Gemsitabin inj 200 mg/vial .

n/a

PT. Sanbe Farma

Dus, 1 vial @200 mg

330,000.00

237 Gentamisin injeksi 40 mg/ ml .

n/a

PT. Indofarma

Dus, 5 ampul @ 2 ml

3,399.00

238 Gentamisin salep mata 0,3% .

Genoint Salep Mata

PT. Erela

Tube @ 3,5 gr

2,600.00

239 Gentamisin tetes mata 0,3% .

n/a

PT. Indofarma

Dus, botol plastik 5 ml

3,194.00

240 Glibenklamid tablet 5 mg .

n/a

PT. Indofarma


241 Gliklazid tab 80 mg .

Glicab


Strip

242.00

242 Gliklazid tab 30 mg .

Diamicron MR 30

PT. Pradja Pharin

Dus, 6 strip @ 10 tablet lepas lambat

638.00

243 Gliklazid tablet lepas lambat 60 Mg .

Diamicron MR 60

PT. Darya Varia

Box, 30 Tablet

244 Glikuidon tab 30 mg .

n/a

PT. Dexa Medica


950.00

245 Glimepiride tablet 1 mg .

n/a

PT. Kimia Farma

ktk 5x10 tablet

265.00


n/a

PT. Kimia Farma

ktk 5x10 tablet

436.00


n/a

PT. Kimia Farma

ktk 5x10 tablet

404.00


n/a

PT. Kimia Farma

ktk 5x10 tablet

430.00

249 Glipizid tablet/kaplet/kapsul 10 mg .

Glucotrol 10 mg


Dus, botol@TAB 10MG 30

3,207.00

250 Glipizid tablet/kaplet/kapsul 5 mg .

Glucotrol 5 mg



3,000.00

251 Gliseril trinitrat inj 50 mg/10 mL .

DBL Gliceryl Trinitrate 50 mg/10 ml inj.


1 box isi 5 ampul 10 ml

252 Gliseril trinitrat kaps SR 2,5 mg .

Nitrokaf Retard

PT. Kimia Farma

Dus 10x10

1,493.00

253 Gliseril trinitrat kaps SR 5 mg .

Nitrokaf Forte

PT. Kimia Farma

Dus 10x10

2,171.00

1,098,900.00

56.00

5,500.00

119,900.00

254 Gliseril trinitrat tab sublingual 0,5 mg .

Nitral


Btl @ 30 tablet

1,500.00

255 Gliserin lar 50% .

Gliserin lar 50%

PT. Lucas Djaja

Glycerin 100 ml

5,333.00

256 Glukosa larutan infus 10 % steril .

n/a

PT. Widatra Bhakti

botol @ 500 ml

5,700.00

257 Glukosa larutan infus 5 % steril .

n/a

PT. Widatra Bhakti

botol @ 500 ml

5,200.00

258 Goserelin asetat inj 10,8 mg/vial .

Zoladex 10,8 mg


Dus, 1 syringe @ 10.8 mg

259 Goserelin asetat inj 3,6 mg .

Zoladex 3,6 mg


Dus, 1 syringe @ 3.6 mg

260 Griseofulvin tablet 125 mg .

n/a

PT. Indofarma


261 Haloperidol inj 50 mg/mL .

Haldol Decanoas


Dus 5 Ampul@1mL

83,333.00

262 Haloperidol injeksi i.m 5 mg/ml .

Lodomer Injeksi


KOTAK @ 12 ampul

6,250.00

263 Haloperidol tablet 0,5 mg .

n/a

PT. Indofarma


59.00

264 Haloperidol tablet 5 mg .

n/a

PT. Indofarma


96.00

265 Haloperidol tablet 1,5 mg .

n/a

PT. Indofarma


69.00

266 Haloperidol tablet 2 mg .

Lodomer 2


KOTAK @ 10 x 10 TAB

267 Haloperidol tts 2 mg/mL .

LODOMER DROPS


BOTOL @ 15 ML

268 Halotan Inhalasi .

Halothane

PT. Dexa Medica

Botol

269 Heparin injeksi i.v./s.k. 5000 UI/ml .

Inviclot

PT. Pratapa Nirmala

vial

270 Hepatitis B imunoglobulin (human) .

Hyperhep B

PT. Dipa Pharmalab

Dus, 1 syringe @ 0.5 mL

1,328,000.00

271 hidroklorotiazid tab 25 mg .

n/a

PT. Kimia Farma

dus, 10 strip @ 10 tablet

149.00

272 Hidrokortison krim 1% .

n/a


tube @ 5 ml

2,570.00

273 Hidrokortison krim 2,5 % .

n/a

PT. Kimia Farma

Tube 5 gr

2,798.00

274 Hidroksi Urea tablet/kaplet/kapsul 500 mg .

HYDROXYUREA MEDAC

PT. Dipa Pharmalab

vial

5,400.00

275 Hiosin butilbromid injeksi 20 mg/ml .

n/a

PT. Otto Pharmaceuticals

box 5ampul @1 ml

4,500.00

2,300,000.00 840,000.00 219.00

126.00 16,500.00 641,500.00 42,900.00

276 Homatropin tetes mata 2% .

Homatro 2%


Botol 5ml

18,000.00

277 Human Insulin Intermediate Acting Inj 100 UI/ml .

Humulin N Kwikpen

PT. Bayer Indonesia


76,125.00

278 Human insulin intermediate acting inj 100 UI/ml, . vial (Human Insulin (Intermediate-Acting))

Insulatard Vial


Dus, vial 10 ml

138,000.00

279 Human insulin intermediate acting inj 100 UI/ml, . vial (Insulin human Basal)

Humulin N Vial

PT. Bayer Indonesia

Dus, vial 10 ml

138,000.00

280 Human insulin intermediate acting inj 100 . UI/ml,penfill cartridge (Human Insulin (Intermediate-Acting))

Insulatard Penfill


Injeksi 100 IU/ml, penfill disposible 3 ml (1 box isi 5 penfill disposible)

76,125.00

281 Human insulin intermediate acting inj 100 . UI/ml,penfill cartridge (Insulin human Basal)

Sansulin N

PT. Sanbe Farma

penfillcartridge @ 3ml

75,000.00

282 Human insulin intermediate acting inj 100 . UI/ml,penfill cartridge (Insulin human Basal)

Humulin N Cart

PT. Bayer Indonesia

Dus Isi 5 penfill/cartridge @ 3ml

76,125.00

283 Human insulin intermediate acting inj 100iu/ml, . vial (Insulin Human Basal)

Insuman Basal vial 5ml, 100iu/ml

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

72,000.00

284 Human insulin mix inj 100iu/ml, vial (Insulin . Human Comb 25)

Insuman Comb 25 vial 5ml, 100iu/ml

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

72,000.00

285 Human Insulin Mix Insulin Inj 100 UI/ml .

Humulin 30/70 Kwikpen

PT. Bayer Indonesia


76,125.00

286 Human insulin mix insulin inj 100 UI/ml, penfill . cartridge (Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin))

Mixtard Penfill



76,125.00

287 Human insulin mix insulin inj 100 UI/ml, penfill . cartridge (Insulin human Comb)

Humulin 30/70 Cart

PT. Bayer Indonesia


76,125.00

288 Human insulin mix insulin inj 100 UI/ml, vial . (Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin))

Mixtard Vial


Dus, vial 10 ml

138,000.00

289 Human insulin mix insulin inj 100 UI/ml, vial . (Insulin human Comb)

Humulin 30/70 Vial

PT. Bayer Indonesia

Dus, vial 10 ml

138,000.00

290 Human Insulin Short Acting Inj 100 UI/ml .

Humulin R Kwikpen

PT. Bayer Indonesia


76,125.00

291 Human insulin short acting inj 100 UI/ml, penfill . cartridge (Human Insulin (Short Acting))

Actrapid Penfill



76,125.00

292 Human insulin short acting inj 100 UI/ml, penfill . cartridge (Insulin human Rapd)

Humulin R Cart

PT. Bayer Indonesia


76,125.00

293 Human insulin short acting inj 100 UI/ml, penfill . cartridge (Insulin human Rapd)

Sansulin R

PT. Sanbe Farma

penfill cartridge @ 3ml

75,000.00

294 Human insulin short acting inj 100 UI/ml, vial . (Human Insulin (Short Acting))

Actrapid Vial


Dus, vial 10 ml

138,000.00

295 Human insulin short acting inj 100 UI/ml, vial . (Insulin human Rapd)

Humulin R Vial

PT. Bayer Indonesia

Dus, vial 10 ml

138,000.00

296 Human insulin short acting inj 100iu/ml, vial . (Insulin Human Rapid)

Insuman Rapid vial 5ml, 100iu/ml

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

297 Human tetanus imunoglobulinn injeksi i.m. 250 UI Tetagam .

PT. Dexa Medica

Prefilled syringe

170,000.00

298 Ibuprofen sirup 100 mg/5 ml .

n/a

PT. Indofarma

Dus, botol 60 ml

3,499.00

299 Ibuprofen suspensi 200 mg/5 ml .

n/a

PT. Indofarma

Dus, botol 60 ml

4,499.00

300 Ibuprofen tablet 200 mg .

n/a


botol @ 100 tablet

110.00

301 Ibuprofen tablet 400 mg .

n/a

PT. Novapharin

dus 10 X 10'S

150.00

302 Ifosfamid serbuk injeksi 1000 mg/vial .

Holoxan injeksi 1000

PT. Mugi Laboratories

Dus, 1 vial @ 1 g

303 Imanitib Mesilat tablet salut selaput 100 mg . (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)

Glivec


Dus, 6 blister @ 10 tablet salut selaput

304 Imidapril tab 10 mg .

Tanapress 10mg


3 blister @ 10 tablet

3,908.00

305 Imidapril tab 5 mg .

Tanapress 5mg



2,120.00

306 Iopamidol 200-300 mg Iodium/mL (300mg @ vial . 100ml)

Iopamiro

PT. Dipa Pharmalab

Dus, botol @ 100 ml

350,000.00


Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 30 ml

122,000.00


Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 50 ml

166,000.00


Iopamiro

PT. Dipa Pharmalab

Dus, botol @ 100 ml

369,000.00


Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 30 ml

147,000.00


Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 50 ml

199,000.00

312 Iopromide 300-370 mg Iodium/mL (300 mg / 100 . ml)

Ultravist 300/100 mg

PT. Bayer Indonesia

Botol

245,000.00


Ultravist 300/50 mg

PT. Bayer Indonesia

Botol

123,200.00



PT. Bayer Indonesia

Botol

299,000.00

72,000.00

1,329,163.00 211,000.00


Ultravist 370/50 mg

PT. Bayer Indonesia

Botol

150,300.00

316 Ipratropium bromida inhalasi 20 mcg/semprot .

Atrovent HFA


Box, canister 10mL

80,000.00

317 Ipratropium bromida nebulizer 0,025% .

Atrovent solution for inhalation 0.025%


Box, bottle 20mL

90,000.00

318 Irbesartan tab 150 mg .

n/a

PT. Indofarma


1,425.00

319 Irbesartan tab 300 mg .

n/a

PT. Indofarma


2,470.00

320 Irinotekan inf 20 mg/ml .

n/a

PT. Sanbe Farma

Dus, 1 vial @2 ml

510,000.00

321 Isofluran inhalasi .

Terrell

PT. Pratapa Nirmala

Botol 100 mL

270,000.00

322 Isoniazid tablet/kapsul/kaplet 100 mg .

n/a


Botol 100 tablet

65.00

323 Isoniazid tablet/kapsul/kaplet 300 mg .

n/a


Botol 100 tablet

158.00

324 Isosorbid Dinitrat injeksi i.v 10 mg/10 ml .

Farsorbid inj

PT. Pratapa Nirmala

vial

325 Isosorbid Dinitrat tablet sublingual 5 mg .

n/a

PT. Indofarma


88.00

326 Isosorbid dinitrat tablet/kaplet/kapsul 10 mg .

Isonat

PT. Kimia Farma


189.00

327 Kalium aspartat tab 300 mg .

Kalipar


Strip

700.00

328 Kalium Klorida tablet 600 mg .

KSR

PT. Merck Tbk


329 Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml .

DBL Leucovorin


Vial 50 mg/5 ml

330 Kalsium Glukonat injeksi i.v 10% (100 mg/ml) .

Kalsium glukonat


Ampul

331 Kalsium Karbonat tablet/kapsul/kaplet 500 mg .

Calporosis D500


Dus, 3 blister @10 kaplet

405.00

332 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg .

n/a

PT. Afifarma

Dus,10 Strip @ 10 tablet

70.00

333 Kalsium polistirena sulfonat ktg 5 g .

KALQUEST


kantong 5 g

7,700.00

334 Kanamisin inj 1000 mg/ vial .

n/a


vial

5,000.00

335 Kandesartan tab 16 mg .

n/a

PT. Dexa Medica


4,900.00

336 Kandesartan tab 8 mg .

n/a

PT. Dexa Medica


3,100.00

33,000.00

1,580.00 82,000.00 7,800.00

337 Kapesitabin tab 500 mg .

Xeloda


Boks, 120 tablet

27,500.00

338 Kaptopril tablet 50 mg .

n/a

PT. Indofarma


140.00

339 Kaptopril tablet scored 25 mg .

n/a

PT. Errita Pharma


84.00

340 Kaptopril tablet scored12,5 mg .

n/a

PT. Indofarma


62.00

341 Karbamazepin sirup 100 mg/5 ml .

Tegretol Syrup 100mg/5ml, 120ml


Dus, botol @ 120 ml

342 Karbamazepin tablet 200 mg .

n/a

PT. Indofarma


245.00

343 Karbimazol tab 5 mg .

Neo-Mercazole

PT. Nicholas Laboratories Indonesia

Dus,botol 100 tablet

875.00

344 Karbogliserin tetes telinga 10% .

Karbogliserin tetes telinga 10%

PT. Lucas Djaja

Fenol 100 mg / 1 ml

2,042.00

345 Karboplatin 150 mg / 15 ml .

DBL Carboplatin 150 mg


vial @ 15 ml

190,000.00

346 Karboplatin 450 mg / 45 ml .



vial @ 45 ml

408,000.00

347 Karvediol tablet/kaplet/kapsul 6,25 mg .

V - BLOC

PT Kalbe Farma

strip

348 Ketamin injeksi i.v. 100 mg/ml .

KTM

PT. Guardian Pharmatama

Vial @ 10 ml

349 Ketamin injeksi i.v. 50 mg/ml .

Ketamin Hameln

PT. Combiphar

Box, isi 1 vial @ 10 ml

350 Ketokonazol krim 2% .

n/a

PT. Kimia Farma

tube 10 gr

2,569.00


n/a


tube 5 gr

2,850.00


n/a


Box isi 1 Tube @ 15 g

4,700.00

353 Ketokonazol scalp sol 2% .

Zoloral SS

PT. Ikapharmindo

Botol 80 ml

354 Ketokonazol tablet 200 mg .

n/a

PT. Dexa Medica


355 Ketoprofen supositoria 100 mg .

Protofen Supp

PT. Kimia Farma

dus 2 's @ 10 supp

2,722.00

356 Ketorolac injeksi 30 mg/ml .

n/a

PT. Phapros, Tbk

Dus @ 12 Ampul

2,300.00

357 Klaritromisin tab 500 mg .

ORIXAL


Dus, 3 Strip @ 10 Kaplet salut selaput

3,200.00

358 Klindamisin kapsul/kaplet 150 mg .

n/a

PT. Indofarma


44,770.00

1,360.00 110,000.00 60,300.00

28,000.00 300.00

361.00

359 Klindamisin kapsul/kaplet 300 mg .

n/a

PT. Indofarma


553.00

360 Klobazam tab 10 mg .

n/a

PT. Dexa Medica


900.00

361 Klomifen sitrat tablet/kapsul/kaplet t 50 mg .

Clomifil 50mg

PT SUNTHI SEPURI


362 Klonidin injeksi i.v 0,15 mg/ml (HCL) (150) .

Catapres Injeksi


Box, 10 ampoules @ 1mL

363 Klonidin tablet 0,15 mg .

n/a

PT. Kimia Farma

Ktk 10X10 TAB

364 Klopidogrel tab 75 mg .

n/a


Dus, 3 strip @ 10 tab

3,400.00

365 Kloramfenikol salep kulit 2% .

Bufacetin

PT. Bufa Aneka

Box isi 24 tube @ 15 gram

3,524.00

366 Kloramfenikol salep mata 1 % .

n/a

PT. Kimia Farma

Tube 5 gr

1,600.00

367 Kloramfenikol serb inj 1000 mg/mL .

Colsancetine Injeksi

PT. Sanbe Farma

vial

7,260.00

368 Kloramfenikol suspensi 125 mg/ 5 ml .

n/a

PT. Bernofarm

Botol @ 60 ml

3,680.00

369 Kloramfenikol tablet/kapsul/kaplet 500 mg .

Chloramex


Dus, 10 Strip @ 10 Kapsul

850.00

370 Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet . 4 mg

n/a

PT. Rama Emerald Multi Sukses

kotak,10strip@10 tablet

51.00

371 Klorpromazin injeksi i.m. 25 mg/ml (HCl) .

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

1,100.00

372 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) .

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

1,050.00

373 Klorpromazin tablet salut 100 mg (HCl) .

n/a


Kotak @ 10 x 10 tab

374 Klorpromazin tablet salut 25 mg (HCl) .

n/a

PT. Phapros, Tbk

10 X 10

375 Klozapin 100 mg .

n/a


KOTAK @ 5 x 10 TAB

5,000.00

376 Klozapin 25 mg .

n/a


KOTAK @ 5 x 10 TAB

1,550.00

377 Kodein tablet 10 mg .

n/a

PT. Kimia Farma

ktk 10x10 tablet

500.00


n/a

PT. Kimia Farma

ktk 10x10 tablet

850.00


n/a

PT. Kimia Farma

ktk 10x10 tablet

1,100.00

380 Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg .

Ostriol

PT. Pratapa Nirmala

Btl @ 30 kapsul

2,500.00

1,625.00 30,600.00 184.00

144.00 68.00

381 Kolkisin tablet/kaplet/kapsul 500 mcg .

Recolfar

PT. Pratapa Nirmala


3,950.00

382 Koloid HES BM 130 000 lar inf 6% .

Voluven

PT. Fresenius Kabi Combiphar

Botol Plastik @ 500 ml

383 Kombinasi : Ipratropium bromida inhalasi 0,5 mg . Salbutamol 2,5 mg

Combivent UDV


1 dus @ 20 vial

5,990.00

384 Kombinasi injeksi depot : Medroksi progesteron . asetat 25 mg Estradiol sipionat 5 mg

n/a

PT. Triyasa Nagamas Farma

Vial

5,350.00

385 Kombinasi suspensi : Parafin + gliserin + . fenolftalein

Laxadine Emulsi 60 ml

PT. Galenium Pharmasia Laboratories

Botol @ 60 ml

386 Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 . mg Asam folat 0,25 mg

n/a

PT. Kimia Farma

1 sase @30 tablet

387 Kombinasi tetes mata 2,5 mg/mL: Natrium klorida . 8,664 mg; Kalium klorida 1,32 mg

Cendo Lyteers


botol 15 ml

388 Kombinasi: Artemether 20 mg; Lumefantrin 120 . mg

Coartem



3,220.00

389 Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; . Entekapon 200 mg

Stalevo


Dus, botol plastik @ 30 tablet salut selaput

8,900.00

390 Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 . mg

Aluvia


botol @ 120 tablet

6,100.00

391 Kombinasi: Salmeterol 25 mcg; Flutikason . propionat 50 mcg

Seretide Inhaler 50 mcg


Dus, Botol 120 Dosis


Seretide Diskus 100 mcg


Dus, foil strip @ 60 dosis

100,833.00





113,333.00

394 Kontrasepsi pil oral, kombinasi :* Levonorgestrel . 150 mcg Etinilestradiol 30 mcg

n/a

PT. Kimia Farma


395 Kotrimoksazol DOEN I (dewasa) kombinasi : . Sulfametoksazol 400 mg Trimetoprim 80 mg

n/a

PT. Holi Pharma


396 Kotrimoksazol Suspensi komb: Sulfametoksazol . 200 mg + Trimetoprim 40 mg / 5 ml

n/a

PT. Novapharin

btl @ 60 ml

397 Kuinin (Kina) tablet 200 mg .

n/a

PT. Kimia Farma

ktk 60 tablet

398 Kuinin injeksi i.v. 25% (sebagai 2 HCl) .

n/a

PT. Kimia Farma

ktk 100 amp @ 2 ml

399 Kuinin tablet 222 mg (H2SO4.7H2O) .

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

400 Laktulosa sir 3,335 g/5 mL .

n/a

PT. Ikapharmindo

Botol 60 ml

33,000.00

12,450.00 50.00 15,750.00

90,667.00

2,089.00

152.00

2,350.00

670.00 6,200.00 540.00 14,500.00

401 Lamivudin tablet/kaplet/kapsu 100 mg .

Heplav

PT. Kimia Farma

Botol 30 tab

2,000.00

402 Lamivudine tablet 150 mg .

n/a

PT. Kimia Farma

Botol 60 tablet

1,400.00

403 Lansoprazol inj 30 mg/ml .

Prosogan Inj.

PT. Takeda Indonesia

Serbuk vial

404 Lanzoprazol kapsul/kaplet 30 mg .

n/a

PT. Indofarma


405 Lapatinib tab 250 mg .

Tykerb



67,200.00

406 Larutan mengandung Asam Amino (Asam Amino . 10%)

Kalbamin

PT. Finusolprima Farma Internasional

botol 500 ml

56,300.00

407 Larutan mengandung Asam Amino (Asam Amino . 100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)

Amiparen

PT Otsuka Indonesia

Softbag 500 ML

56,300.00

408 Larutan mengandung Asam Amino (Asam Amino . 27 g, Sorbitol 50 g, Cl- 52 mEq)

Pan-amin G

PT Otsuka Indonesia

Softbag 500 ML

37,500.00

409 Larutan mengandung Asam Amino (Asam Amino . 30 g, Glukosa 7,3 % dan elektrolit) 1000 ml

Aminofluid

PT Otsuka Indonesia

Double Chamber Softbag 1000 ML

115,500.00

410 Larutan mengandung Asam Amino (Asam Amino . 30 g, Glukosa 7,3 % dan elektrolit) 500 ml

Aminofluid

PT Otsuka Indonesia


61,600.00

411 Larutan mengandung Asam Amino (Asam Amino . 5% dengan BCAA 45%, L-Ornithine L Aspartate 8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50 gr/L)

Aminofusin Hepar

PT Kalbe Farma

botol 500 mL

75,350.00

412 Larutan mengandung Asam Amino (Asam Amino . 6%, mengandung Taurine 0,24 gr/l)

Aminosteril Infant 6%


Botol Gelas 100 ml

36,667.00

413 Larutan mengandung Asam Amino (Asam Amino Nephrosteril . 7%, Komposisi: Asam Amino esensial: Asam Amino non esensial = 60 : 40)


Botol Gelas 250 ml

50,820.00

414 Larutan mengandung Asam Amino (Asam Amino Kidmin . 72.05 g, Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat 46 mEq)

PT Otsuka Indonesia

Softbag 200 ML

46,000.00

415 Larutan mengandung Asam Amino (Asam Amino . 79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

Aminoleban

PT Otsuka Indonesia

Softbag 500 ML

65,000.00

416 Larutan mengandung Asam Amino (Asam amino . 8%)

Aminosteril N-Hepa


Botol Gelas 500 ml

78,720.00

417 Larutan mengandung Asam Amino (Asam Amino . esensial 7%+Xylitol 10 g/L)

Eas Pfrimer


botol 250 ml

51,260.00

82,042.00 473.00

418 Larutan mengandung Asam Amino (BCAA 25 gr/L, . L-Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L, Malic Acid 7 gr/L, Piridoxin 0.12 gr/L)

Comafusin Hepar


botol 500 ml

64,900.00

419 Larutan mengandung Asam Amino (Kombinasi Aminofusin L600 . Asam aminno 50 g/L, Sorbitol 50 g/L, Xylitol 50 g/L, Asam Askorbat (Vit C) 0.4 g/L, Inositol 0.5 g/L, Nikotinamida (Niasinamida) 0.06 g/L, Piridoksin HCl (Vit B6) 0.04 g/L, Riboflavin Natrium Fosfat 2.5 mg/L, elektrolit)

PT Kalbe Farma

botol 500 mL

42,000.00

420 Larutan mengandung Asam Amino (Kombinasi . Asam amino 50 g/L, vitamin dan elektrolit)

Aminofusin Paed

PT Kalbe Farma

botol 250 mL

46,000.00

421 Larutan mengandung Asam Amino (Kombinasi . Asam Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit (Kalori = 1000 kkal, Akses peripheral))

Kabiven 1440 ml


Bag (3 Chamber) 1440 ml

295,240.00

422 Larutan mengandung Asam Amino (Kombinasi Kabiven 1920 ml . Asam Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses peripheral))



343,842.00

423 Larutan mengandung Asam Amino (Kombinasi . Glukosa dan elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral)

Combiflex Plus (790 kcal)

PT. Phapros, Tbk

Bag Double chamber (Dua compartement), 1000 mL

322,000.00

424 Larutan mengandung Asam Amino (Kombinasi . Glukosa dan elektrolit 80 gr + Asam Amino 40 gr )

Combiflex peri (480 kcal)

PT. Phapros, Tbk

Bag Double chamber (Dua compartement), 1000 mL

218,700.00

425 Larutan mengandung Elektrolit (Kalium Klorida) .

Otsu - KCl 7,46%

PT Otsuka Indonesia

Ampoel 25 ML

2,050.00

426 Larutan mengandung Elektrolit (Larutan Ringer . Laktat)

Wida RL

PT. Widatra Bhakti

Botol 1000 ml

8,000.00

427 Larutan mengandung Elektrolit (Na 130 mEq, Cl . 109 mEq, Ca 3 mEq, Asetat 28 mEq)

Asering

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,000.00

428 Larutan mengandung Elektrolit (NaCl 1.125 gr, . Dekstrosa 18.75 gr)

KA EN 1B

PT Otsuka Indonesia


9,000.00

PT Kalbe Farma

flexybag 250 mL

429 Larutan mengandung Elektrolit (Sodium Lactate sol Totilac . (50%) 113 gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L, elektrolit)

87,000.00

430 Larutan mengandung Elektrolit (Tiap 1000 ml . mengandung electrolit: Sodium 145 mmol/l, Potassium 4.0 mmol/l, Calcium 2.5 mmol/l, Magnesium 1.0 mmol/l, Chloride 118 mmol/l, Acetate 24 mmol/l, Malate 5.0 mmol/l)

Ringerfundin 500 mL

PT. Phapros, Tbk

LDPE (Low Density Poly Ethilene), botol plastik

12,650.00

431 Larutan mengandung Karbohidrat (Fructose 120 g, Triofusin 1000 . glucose 66 g, Xylitol 60 g/ L + elektrolit)

PT Kalbe Farma

botol 500 mL

50,500.00

432 Larutan mengandung Karbohidrat (Fructose 60 g, . glucose 33 g, Xylitol 30 g/ L)

PT Kalbe Farma

Flexy bag 500 mL

42,350.00

433 Larutan mengandung Karbohidrat (Maltose 100 gr) Martos .

PT Otsuka Indonesia


29,167.00

434 Larutan mengandung Karbohidrat + Elektrolit . (25.00g maltose, 3.00 g sodium chloride, 0.15 g potassium chloride, 0.10 g calcium chloride dihydrate dan 1.55 g sodium lactate)

Potacol inj

PT Otsuka Indonesia


55,500.00

435 Larutan mengandung Karbohidrat + Elektrolit . (Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L)

Tutofusin OPS

PT Kalbe Farma

botol 500 mL

37,500.00

436 Larutan mengandung Karbohidrat + Elektrolit . (Asam amino 28 gr/L, Glukosa 100 gr/L, elektrolit)

Clinimix N9G20E

PT Kalbe Farma

Botol Plastik 1000 mL

210,000.00

437 Larutan mengandung Karbohidrat + Elektrolit . (Asam amino 28 gr/L, Glukosa 75 gr/L, elektrolit)

Clinimix N9G15E

PT Kalbe Farma


199,000.00

438 Larutan mengandung Karbohidrat + Elektrolit . (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)

Triofusin E1000

PT Kalbe Farma

botol 500 mL

56,000.00

439 Larutan mengandung Karbohidrat + Elektrolit Wida HSD . (Glukosa 25 g, NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk injeksi ad 1000 ml)

PT. Widatra Bhakti

Botol 500 ml

9,500.00

440 Larutan mengandung Karbohidrat + Elektrolit . (Glukosa 55 g ; Natrium Chloride 9 g, air untuk injeksi ad 1000 ml)

Wida D5-NS

PT. Widatra Bhakti

Botol 500 ml

6,800.00

441 Larutan mengandung Karbohidrat + Elektrolit . (Glukosa: 25,0 g; NaCl: 4,5 g)

WIDA 2A

PT. Widatra Bhakti

Botol 500 ml

6,917.00

442 Larutan mengandung Karbohidrat + Elektrolit . (Glukosa: 55.0 g; NaCl: 2.25 g)

WIDA D5-1/4NS

PT. Widatra Bhakti

Botol 500 ml

7,700.00

443 Larutan mengandung Karbohidrat + Elektrolit . (Glukosa: 55.0 g; NaCl: 4.5 g)

WIDA D5-1/2NS

PT. Widatra Bhakti

Botol 500 ml

7,700.00

Triofusin 500

444 Larutan mengandung Karbohidrat + Elektrolit . (Larutan nutrisi kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g)

Futrolit

PT. Sanbe Farma

softbag 500ml

35,750.00

445 Larutan mengandung Karbohidrat + Elektrolit . (Larutan Ringer & Glukosa 5%)

Wida RD

PT. Widatra Bhakti

Botol 500 ml

6,930.00

446 Larutan mengandung Karbohidrat + Elektrolit (NaCl KA ENMG 3 . 1.75 g, KCL 1.5g, Glukosa 100 gr)

PT Otsuka Indonesia


9,167.00

447 Larutan mengandung Karbohidrat + Elektrolit (Nacl KA EN 3B . 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)

PT Otsuka Indonesia


10,000.00

448 Larutan mengandung Karbohidrat + Elektrolit (Nacl KA EN 3A . 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)

PT Otsuka Indonesia


10,000.00

449 Larutan mengandung Lipid ( Infus Lipid Emulsi . MCT/LCT 20% 100 ml)

Lipofundin MCT/LCT 1% 100

PT. Phapros, Tbk

20%, Botol Kaca @100 ml, single bottle

450 Larutan mengandung Lipid (Emulsi lemak 20%) .

Intralipid


Botol Gelas 100 ml

451 Larutan mengandung Lipid (Infus Lipid Emulsi . MCT/LCT 20% 250 ml)

Lipofundin MCT/LCT 1% 250

PT. Phapros, Tbk

20%, Botol Kaca @250 ml, single bottle

210,000.00

452 Larutan mengandung Lipid (Kombinasi Glukosa dan Nutriflex Lipid Special 1250 . elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn akses sentral)

PT. Phapros, Tbk

Bag, 3 chamber ( 3 kompartemen), 1250 ml

591,000.00

453 Larutan mengandung Lipid (Kombinasi Glukosa dan Nutriflex Lipid Peri 1250 . elektrolit 80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr)

PT. Phapros, Tbk


511,000.00

454 Larutan mengandung Lipid (Kombinasi Glukosa dan Nutriflex Lipid Special 625 . elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn akses sentral)

PT. Phapros, Tbk


358,000.00

455 Latanoprost tetes mata 0,01% .

Cendo Glaopen


strip 5 x 0.6 ml

456 Latanoprost tts mata 0,005% btl@2,5ml .

Xalatan 0,005%


dus, Botol @ 2,5 ml

127,000.00

457 Lenograstim inj 263 mcg/mL .

Granocyte 34 1vl HSA Free

PT. Aventis Pharma

Dus, 1 vial @ 263 mcg + 1 prefilled syringe pelarut @ 1 ml

550,000.00

458 Letrozol tablet/kaplet/kapsul 2,5 mg .

FEMARA



459 Leuprorelin asetat inj depot 1,88 mg .

Tapros 1.88mg


Vial

700,000.00


Tapros 3M


Vial

2,700,000.00

105,500.00 60,500.00

72,000.00

17,500.00


TAPROS 3.75 MG


Vial

500,000.00

462 Levofloksasin inf 5 mg/mL .

n/a

PT. Infion Pharmaceutical

Box, 1 Botol @ 100 ml

40,000.00

463 Levofloksasin tablet 500 mg .

n/a



528.00

464 Levofloksasin tts mata 0,5% .

Optiflox

PT. Erela

Btl @ 5 ml

465 Levotiroksin tablet/kaplet/kapsul 100 mcg .

Euthyrox 100

PT. Merck Tbk


850.00

466 Levotiroksin tablet/kaplet/kapsul 50 mcg .

Euthyrox 50

PT. Merck Tbk


719.00

467 Lidokain injeksi 2% (HCL) .

n/a

PT. Bernofarm


839.00

468 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 . 2ml

n/a

PT. Indofarma


1,363.00

469 Lidokain jeli 2% .

Xylocaine Jelly 2%


Dus, 10 syringe @ 10 g

40,000.00

470 Lidokain semprot 10% .

Xylocaine Spray 10 mg / dosis PT. AstraZeneca indonesia

Dus,Botol @ 50 ml (500 dosis)

471 Lisinopril tablet 10 mg .

n/a


Box ,3 Strip @ 10 tablet

600.00

472 Lisinopril tablet 5 mg .

n/a



350.00

473 Litium karbonat tablet 200 mg .

Frimania 200


KOTAK @ 10 x 10 TAB

1,050.00

474 Litium karbonat tablet 400 mg .

Frimania 400


KOTAK @ 10 x 10 TAB

1,850.00

475 Loperamid tablet 2 mg .

n/a


Dus, 10 Strip @ 10 Tablet

476 Loratadin tablet 10 mg .

n/a



154.00

477 Lorazepam tablet 0,5 mg .

MERLOPAM 0,5 mg


KOTAK @ 10 x 10 TAB

685.00

478 Lorazepam tablet 2 mg .

Merlopam 2


KOTAK @ 10 x 10 TAB

1,341.00

479 Low molecule feri sucrose inj amp 100 mg/5 mL .

DIALIFER


ampul

480 Magnesium sulfat injeksi 20% .

OTSU-MgSO4 20

PT Otsuka Indonesia

Dus, 120 ampul plastik @ 25 ml

2,800.00

481 Magnesium sulfat injeksi 40% .

OTSU-MgSO4 40

PT Otsuka Indonesia


3,500.00

482 Manitol .

n/a


botol 500 ml

13,068.00

142,000.00

89.00

52,000.00

62,000.00

483 Maprotilin HCl tab 25 mg .

Ludios


Strip

1,200.00

484 Maprotilin HCl tab 50 mg .

Sandepril 50


KOTAK @ 5 x 10 TAB

3,276.00

485 MDP (methylene diphosphonate) 1 mg methylene Bonescan KaeF . diphosphonic acid/mL

PT. Kimia Farma

Dus @ 5 vial

486 Mebendazol tablet 500 mg .

Vermox 500

PT. Taisho Pharmaceutical Indonesia Tbk

Dus,24 Catch @ 1 tablet

7,140.00

487 Medroksi Progesteron Asetat tablet/kaplet/kapsul . 100 mg

Provera 100mg



6,125.00

488 Medroksi Progesteron asetat tablet/kaplet/kapsul . 10 mg

Prothyra 10mg

PT SUNTHI SEPURI

dus, 3 blister @ 10 tablet

2,500.00

489 Melfalan tablet 2 mg .

Alkeran


Box, Tablet 2 mg/25's

12,210.00

490 Meropenem inj 1 g .

n/a

PT. Bernofarm

Dus, 1 vial @ 1 g

54,000.00

491 Meropenem serb inj 500 mg/vial .

n/a

PT. Bernofarm

Dus, 1 vial @ 0,5 g

44,960.00

492 Mesna inj 100 mg/mL .

Uromitexan injeksi.


Dus, 15 Ampul

74,998.00

493 Metadon sir 50mg/5ml .

n/a

PT. Kimia Farma

Botol 1000 ml

254,100.00

494 Metformin HCl tablet 500 mg .

n/a

PT. Bernofarm


112.50

495 Metformin HCl tablet 850 mg .

n/a

PT. Bernofarm


197.50

496 Metildopa tablet salut 250 mg .

DOPAMET


Dus, 10 Strip @ 10 tablet salut selaput

800.00

497 Metilergometrin Maleat (Metilergometrin) tablet . salut 0,125 mg

n/a

PT. Kimia Farma

ktk 10 x 10 tablet salut

154.00

498 Metilergometrin Maleat injeksi 0,200 mg-1 ml .

n/a


ampul @ 1 ml

2,750.00

499 Metilfenidat kapsul LA 20 mg .

Ritalin LA


Dus, botol plastik @ 30 kapsul pelepasan lambat

6,537.00

500 Metilfenidat tablet SR 10 mg .

RITALIN



1,950.00

501 Metilprednisolon inj 125 mg/2 mL .

n/a

PT. Dexa Medica

Dus, 1 Vial @125mg + 1 ampul pelarut @ 2ml

19,200.00

502 Metilprednisolon inj 500 mg/8 mL .

n/a

PT. Phapros, Tbk

Dus @ 1 vial

93,393.00

503 Metilprednisolon tablet 16 mg .

n/a

PT. Mahakam Beta Farma

Strip

635.00


n/a


Dus, 10 Blister @ 10 Tablet

205.00

473,000.00


n/a

PT. Dexa Medica


300.00

506 Metoklopramid drop botol 10 mL .

GAVISTAL drops

PT. Meprofarm

Dus, Botol 10 ml

5,280.00

507 Metoklopramide sirup 5 mg/ 5 ml .

LEXAPRAM SIRUP

PT. Molex Ayus

BOTOL 60 ML

2,600.00

508 Metoklopramide tablet 5 mg .

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

509 Metotreksat serb inj 50 mg/2 mL .

Methotrexate Kalbe

PT Kalbe Farma

vial @ 2 ml

35,750.00

510 Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg .

METHOTREXATE EBEWE

PT. Sandoz Indonesia

Box 10 ampul @ 1 ml

21,120.00

511 Metotreksat tablet/kaplet/kapsul 2,5 mg .

METHOTREXATE EBEWE 2.5 MG


Box, bottle @ 50 tab

1,680.00

512 Metronidazol infus 500 mg/100 ml .

n/a


Dus, 1 Botol @ 100 ml

9,950.00

513 Metronidazol ovula 500 mg .

Vagizol

PT. Kimia Farma

dus 1 's @ 5 ovula

3,850.00

514 Metronidazol sirup 125 mg/5 Ml .

Farizol


Dus, botol 60ml

4,100.00

515 Metronidazol supositoria 500 mg .

Flagyl

PT. Aventis Pharma

Dus, 2 blister @ 5 suppositoria

3,220.00

516 Metronidazol tablet 250 mg .

n/a


10 strip @ 10 tab

110.00

517 Metronidazol tablet 500 mg .

n/a


10 strip @ 10 tab

160.00

518 MIBG (meta-iodobenzylguanidine) .

Endoneuroscan KaeF 1

PT. Kimia Farma

vial

1,925,000.00

519 MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial Cardioscan KaeF .

PT. Kimia Farma

Dus @ 5 vial

1,237,500.00

520 Midazolam injeksi i.v. 5 mg/ml .

Dormicum


Boks 5 amp

521 Mikafungin Na serb inj 50 mg .

Mycamine

PT. Combiphar

Dus,1 vial@50mg

522 Mikofenolat Mofetil 500 mg .

Cellcept


Boks, 50 tablet

16,000.00

523 Mikonazol krim/salep 2 % (Nitrat) .

n/a

PT. Kimia Farma

Tube 10 gram

3,000.00

524 Modified fluid gelatine BM 30 000 lar inf 4% .

Gelofusine 4%

PT. Phapros, Tbk

Btl @ 500 ml

72,000.00

525 Moksifloksasin tetes mata 0,5% .

Vigamox


botol, tetes mata 3 ml

77,000.00

526 Mometason furoat krim 0,1% .

n/a

PT. Guardian Pharmatama

tube 10 gram

17,820.00

108.00

12,060.00 260,000.00

527 Morfin HCL inj 10 mg/ml .

n/a

PT. Kimia Farma

Dus 10 amp @ 1 ml

8,400.00

528 Morfin HCL tablet SR 10 mg .

MST Continus 10 mg



15,620.00


MST Continus 15 mg



22,990.00


MST Continus 30 mg



41,470.00

531 Morfin tablet 10 mg .

n/a

PT. Kimia Farma

Botol 30 tablet

1,300.00

532 N-asetil sistein inj. nebules 100 mg .

N-ace cairan inhalasi

PT. Pratapa Nirmala

Box @ 5 ampul

13,200.00

533 Nacl 0,9% .

n/a

PT. Widatra Bhakti

Botol 500 ml

534 Nadroparin inj 9500 Axa/mL syringe 0,3 mL .

Fraxiparine 0.3 ml


Dus, 5 blister @ 2 pfs 0.3 ml

54,144.00

535 Nadroparin inj 9500 Axa/mL, syringe 0,4 mL .

Fraxiparine 0.4 ml



66,640.00

536 Nadroparin inj 9500 Axa/mL, syringe 0,6 mL .

Fraxiparine 0.6 ml



94,962.00

537 Nalokson injeksi 0,4 mg/ml .

Nokoba

PT. Pratapa Nirmala

Dus, 5 Ampul @ 2ml

61,600.00

538 Natrium Bikarbonat injeksi i.v 8,4% .

Meylon

PT Otsuka Indonesia

Ampoel 25 ML

539 Natrium Diklofenak tablet 50 mg .

n/a


Box ,5 Blister @ 10 tablet

200.00

540 Natrium Diklofenak tablet 25 mg .

n/a

PT. Phapros, Tbk

Dus @ 5 X 10 's

133.00

541 Natrium fosfat btl, 133 mL .

Fleet Enema

PT. Combiphar

Botol, 133 ml

39,950.00

542 Natrium fosfat lar oral 45 mL .

Fleet Phosphosoda

PT. Combiphar

Botol, 45 ml

33,900.00

543 Natrium fusidat krim 20 mg/g .

Acdat


Dus, tube @ 5 g

6,475.00

544 Natrium fusidat salep 20 mg/g .

Fucilex Ointment

PT. Molex Ayus

Tube 5 gr

6,490.00

545 Neostigmin injeksi 0,5 mg/ml .

Neostigmin Hameln inj

PT. Pharma Health Care

Box, isi 5 ampul @ 1 ml

9,500.00

546 Nevirapin tablet 200 mg .

n/a

PT. Kimia Farma

btl 60 tablet

2,800.00

547 Nifedipin tab 20 mg, slow release; oros .

Adalat Oros 20 mg

PT. Bayer Indonesia

blister

2,999.00

548 Nifedipin tab 30 mg, oros .

Adalat Oros 30 mg

PT. Bayer Indonesia

blister

3,500.00

4,700.00

6,200.00

549 Nifedipin tablet/kapsul 10 mg .

n/a

PT. Dexa Medica


100.00

550 Nikardipin inj 10 mg/vial .

n/a

PT. Pratapa Nirmala

Box @ 1 vial

551 Nilotinib kapsul 200 mg (Skema Risk Sharing sesuai Tasigna . Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)



552 Nistatin tablet salut 500.000 IU/ g .

n/a

PT. Phapros, Tbk

Dus @ 10 X 10 's

640.00

553 Nistatin vaginal tablet 100.000 IU/ g .

n/a

PT. Phapros, Tbk

Dus @ 10 X 10 's

480.00

554 Norepinefrin injeksi 1 mg/ml .

Levosol

PT. Kimia Farma

Dus 5 amp @ 8 ml

555 Noretisteron tablet 5 mg .

Primolut N

PT. Bayer Indonesia

blister

556 Obat Antituberkulosis FDC Kategori 1 .

n/a

PT. Phapros, Tbk

Paket

359,900.00

557 Obat Antituberkulosis FDC Kategori 2 .

n/a

PT. Kimia Farma

Paket

1,199,990.00

558 Obat Antituberkulosis FDC Kategori Anak .

n/a

PT. Kimia Farma

Paket

214,990.00

559 Obat Antituberkulosis FDC Sisipan .

n/a

PT. Indofarma

Paket@84 tablet

160,000.00

560 Obat Antituberkulosis Kategori 1 dewasa .

n/a

PT. Indofarma

Dus, 1 dus @ 60 blister @ 8 tablet tahap intensif kategori 1 + 1 Dus @ 54 blister @ 3 tablet tahap lanjutan kategori 1

288,199.00

561 Obat Antituberkulosis Kategori anak .

n/a

PT. Indofarma

Dus, 60 sachet tahap intensif @ (1 tablet Isoniazid, 2 kapsul Rifampicin, 2 tablet Pyrazinamide) + 120 sachet tahap lanjutan @ (1 tablet Isoniazid, 2 kapsul Rifampicin)

171,195.00

562 Octreotide Acetate0,05 - 6 mg/mL .

Octide

PT. Pratapa Nirmala

Box @ 5 ampul

80,000.00

563 Ofloksasin tets telinga 3% .

Tarivid Otic Solution

PT Kalbe Farma

Btl @ 5 ml

48,500.00

564 Ofloxacin tablet 200 mg .

n/a



400.00

565 Ofloxacin tablet 400 mg .

n/a



650.00

566 Oksaliplatin serbuk injeksi 100 mg / vial .

ELOXATIN

PT. Aventis Pharma

Dus, 1 vial @ 20 ml

66,000.00 380,875.00

53,900.00 2,618.00

1,100,000.00

567 Oksaliplatin serbuk injeksi 50 mg / vial .

ELOXATIN

PT. Aventis Pharma

Dus, 1 vial @ 10 ml

568 Oksimetazolin tetes hidung 0,025% .

Ilaidin Drops

PT. Merck Tbk

botol @ 10 ml

27,550.00

569 Oksimetazolin tetes hidung 0,050% .

Iliadin Spray

PT. Merck Tbk

botol 15 ml

29,000.00

570 Oksitosin injeksi 10 IU/ml .

Oxytocin "S"


ampul @ 1 ml

571 Oktreotid 10 mg .

Sandostatin LAR


Dus, vial @ 355m + 1 prefilled syringe pelarut @ 2,5 ml + 2 jarum suntik

572 Olanzapin inj 10 mg/vial .

Zyprexa IM

PT. Bayer Indonesia

Vial

573 Olanzapin kapl salut 5 mg .

Olandoz 5


3 X 10 fcc

6,450.00

574 Olanzapin tab 10 mg .

Olandoz 10


3 X 10 fcc

11,200.00

575 Olopatadin tts mata 0,1% .

Patanol



68,000.00

576 Omeprazol injeksi 40 mg/ 10 ml .

n/a


Dus, 1 Vial @ 40 mg

36,000.00

577 Omeprazol kapsul/kaplet 20 mg .

n/a

PT. Novapharin

dus 10 X 3'S

578 ondansetron inj 4 mg/ 2 mL .

n/a

PT. Indofarma

Dus, 5 Ampul @ 2ml

579 Ondansetron tab 4 mg .

n/a


Box 3 X 10 Tab

716.00

580 Ondansetron tablet 8 mg .

n/a


Box 3 X 10 Tab

1,189.00

581 Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 n/a . unit Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

PT Kalbe Farma

Transfer Set: Set; Ultaclam: Kantong Plastik; Tenckoff Catheter: Box; Titanium Adaptor: Kantong Plastik

582 Paket CAPD Pergantian Transfer Set per 6 bulan .

n/a

PT Kalbe Farma

Set

583 Paket CAPD Rutin 120 ( 4x ganti cairan perhari . dengan komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)

Larutan Dialisa 1.5%: Dianeal PT Kalbe Farma Low Calcium with 1,5% Dextrose; Larutan Dialisa 2.5%: Dianeal Low Calcium with 2,5% Dextrose; Larutan Dialisa 4.25%: Dianeal Low Calcium with 4.25% Dextrose

Larutan Dialisa 1.5 %: 2.000 ml; Larutan Dialisa 2.5 %: 2.000 ml; Larutan Dialisa 4.25 %: 2.000 ml; Minicap: Kantong Plastik

550,000.00

2,200.00 2,950,000.00

120,000.00

211.00 2,400.00

1,902,240.00

219,540.00 5,522,580.00

584 Paklitaksel inj 100 mg/vial .

SINDAXEL 100 MG/16,67 ML


Vial 6mg/ml (100mg/16.67ml)

984,000.00

585 Paklitaksel inj 300 mg/vial .

SINDAXEL 260mg/43.33 ML



3,000,000.00

586 Paklitaksel injeksi 30 mg/vial .

SINDAXEL 30 MG/5 ML


Vial 6mg/ml (30mg/5ml)

587 Parasetamol drop 100 mg/ml btl @15ml . (60mg/0,6ml)

n/a

PT. Indofarma

Dus, 15 botol

5,200.00

588 Parasetamol sirup 120 mg / 5 ml .

n/a

PT. Afifarma

botol 60 ml

1,438.00

589 Parasetamol tablet 500 mg .

n/a

PT. Imfarmind Farmasi industri


590 Parasetamol tetes 60 mg/0,6 mL .

FASIDOL


Dus, botol @ 15 ml

591 Pegylated interferon alfa-2a inj 135 mcg/0,5 ml .

Pegasys


Boks, 1 pfs

1,077,815.00

592 Pegylated interferon alfa-2a inj 180 mcg/0,5 ml .

Pegasys


Boks, 1 pfs

1,248,220.00

593 Pegylated Interferon alfa-2b serb inj 100 mcg .

Pegintron Vial 100 Mcg


Dus, 1 vial 100 mcg + 1 ampul pelarut 0,7 ml + 1 syringe + 2 jarum

973,500.00


Pegintron Pen 120 Mcg


Dus, 1 prefilled syringe (serbuk injeksi 120mcg + pelarut 0.5 ml) + 1 jarum

1,135,000.00


Pegintron



915,000.00





915,810.00

597 Perak sulfadiazin krim 1% .

BURNAZIN 35 GR

PT. Darya Varia

tube @ 35 gram

598 Perindoprilarginin tab 5 mg .

Bioprexum 5 mg

PT. Pradja Pharin

Dus, botol plastik @ 30 tablet salut selaput

599 Permetrin krim 5% .

Scabimite Cream 10


Tube @ 10 g

11,475.00

600 Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl) .

n/a

PT. Kimia Farma

Ktk 10 ampx2ml

14,500.00

601 Pioglitazon tab 15 mg .

DECULIN 15 MG

PT. Dexa Medica

30 TAB/BOX

3,120.00

602 Pioglitazon tab 30 mg .

DECULIN 30 MG

PT. Dexa Medica

30 TAB/BOX

4,525.00

603 Pirantel suspensi 125 mg/5 ml .

n/a

PT. Holi Pharma

Botol 60 ml

8,360.00

274,560.00

89.00 6,450.00

23,000.00 2,420.00

604 Pirantel tablet score (base) 125 mg .

n/a

PT. Holi Pharma


298.00

605 Pirazinamid tablet 500 mg .

n/a

PT. Holi Pharma


208.00

606 Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg n/a . (HCl)

PT. Kimia Farma


110.00

607 Piridoksin (vitamin B6) inj 100 mg/mL .

n/a

PT. Ikapharmindo

Ampul 1 ml

608 Polikresulen cairan .

Aptil

PT. Pratapa Nirmala

Dus, Botol @ 10ml

17,393.00

609 Povidon Iodida larutan 10% 1000 ml .

n/a

PT. Afifarma

botol @ 1000 ml

37,109.00


n/a

PT. Afifarma

botol @ 30 ml

2,163.00


n/a

PT. Afifarma

botol @ 300 ml

14,203.00


n/a

PT. Kimia Farma

btl 60 ml

5,998.00

613 Pramipeksol tab ER 0,375 mg .

Sifrol ER 0,375mg


Dus, 3 alu blister @ 10 tablet

7,200.00

614 Pramipeksol tab ER 0,750 mg .

Sifrol ER 0,750mg



11,268.00

615 Pravastatin tablet 20 mg .

n/a



616 Prednison tablet/kapsul/kaplet 5 mg .

n/a

PT. Holi Pharma


114.00

617 Primakuin tablet 15 mg .

n/a

PT. Phapros, Tbk

Dus,10 blister @10 tablet

205.00

618 Probenesid tablet/kapsul/kaplet 500 mg .

Probenid

PT. Dexa Medica


1,650.00

619 Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial .

n/a

PT. Bernofarm

Vial @ 3 juta IU

7,190.00

620 Propanolol tablet 10 mg ( HCl ) .

n/a

PT. Dexa Medica


621 Propiltiourasil tablet/kapsul/kaplet 100 mg .

n/a

PT. Indofarma

Botol @ 100 Tablet

622 Propofol injeksi i.v., bolus 1% .

Fresofol 1% MCT/LCT


Ampul

623 Propranolol tablet 40 mg (HCl) .

n/a

PT. Holi Pharma


107.00

624 Quetiapin tab 200 mg .

Seroquel XR 200 mg



17,391.00


Seroquel XR 300 mg



19,500.00

1,000.00

2,300.00

65.00 319.00 16,236.00


Seroquel XR 400 mg



23,185.00

627 Ramipril tablet 2,5 mg .

Cardace 2.5mg 6x10 s tablet

PT. Pharma Health Care


995.00

628 Ramipril tablet 5 mg .

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10 kaptab

580.00

629 Ramipril tablet/kaplet/kapsul 10 mg .

n/a



1,013.00

630 Ranitidin injeksi 25 mg/ml .

n/a


Dus, 10 Ampul @ 2 ml

1,140.00

631 Ranitidin tablet 150 mg .

n/a

PT. Dexa Medica


120.00

632 Retinol (Vitamin A) 100.000 IU .

n/a

PT. Kimia Farma

Botol 50 kapsul lunak

260.00

633 Retinol (Vitamin A) 200.000 IU kapsul lunak .

n/a

PT. Lucas Djaja

Botol 50 Kapsul

459.00

634 Rifampisin tablet salut 450 mg .

n/a

PT. Indofarma


789.00

635 Rifampisin tablet/kapsul/kaplet 300 mg .

n/a

PT. Indofarma


610.00

636 Rifampisin tablet/kapsul/kaplet 600 mg .

n/a

PT. Indofarma

Dus, 10 strip @10 kaptab

1,100.00

637 Ringer Laktat larutan infus .

n/a

PT. Widatra Bhakti

botol 500 ml

5,200.00

638 Risperidon tablet 1 mg .

n/a

PT. Dexa Medica


1,200.00


n/a


KOTAK @ 5 x 10 TAB

1,008.00


n/a

PT. Dexa Medica


2,000.00

641 Rituksimab injeksi 10 mg/ml (Skema Risk Sharing . sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)

Mabthera


Dus, 1 vial @ 10 ml

642 Rivaroksaban tab 10 mg .

Xarelto 10 mg

PT. Bayer Indonesia

Blister

23,500.00


Xarelto 15 mg

PT. Bayer Indonesia

Blister

23,500.00


Xarelto 20 mg

PT. Bayer Indonesia

Blister

23,500.00

645 Rokuronium injeksi i.v. 50 mg/5ml .

Esmeron


Dus, 10 vial @ 5 ml

46,539.00

646 Ropinirol Tablet Salut 2 mg .

Requip PD 24 Hour 2 mg


Dus, 7 blister @ 4 Tablet lepas Lambat

3,164,805.00

5,248.00





6,275.00





7,383.00

649 Salbutamol cairan ih 0,1% .

Ventolin Nebules


Dus, 4x5 Botol [email protected] ml

6,600.00

650 Salbutamol inhalasi/aerosol 100 mcg/dosis .

Ventolin Inhaler


Dus, botol 200 dosis

651 Salbutamol serb inh 200 mcg/kaps .

Ventolin Rotacaps


Dus, 10 Blister @ 10 Kapsul

652 Salbutamol serb inh 200 mcg/kaps + rotahaler .

Ventolin Rotahaler


Dus, 1 Rotahaler

5,867.00

653 Salbutamol tablet 2 mg (sebagai Sulfat) .

n/a


strip @ 10 tablet

59.00

654 Salep 2-4 , Kombinasi : Asam Salisilat 2% + . Belerang endap 4%

n/a


Pot @ 30 gram

2,000.00

655 Sefadroksil sirup kering 125 mg/5ml .

n/a

PT. Holi Pharma

Dus, Botol 60 ml

4,896.00

656 Sefadroksil kapsul/kaplet 250 mg .

n/a


strip

513.00

657 Sefadroksil kapsul/kaplet 500 mg .

n/a

PT. Bernofarm


509.00

658 Sefadroksil sir kering 250 mg/5 mL .

n/a

PT. Holi Pharma

Dus, Botol 60 ml

5,940.00

659 Sefaleksin kapsul/kaplet 500 mg .

n/a



1,000.00

660 Sefazolin serbuk injeksi 1 g/vial .

n/a

PT. Dexa Medica

Dus, 2 Vial @ 1 gram

16,500.00

661 Sefepim inj 1 g .

n/a


vial

43,000.00

662 Sefiksim kapsul/kaplet 100 mg .

n/a

PT. Dexa Medica

Dus, 5 Strip @ 10 kapsul

663 Sefiksim sirup kering 100 mg/ 5 ml .

n/a


Dus, Botol 30 ml

8,800.00

664 Sefoperazon inj 1 g .

n/a

PT. Holi Pharma

Dus, 2 vial @ 1 g

12,775.00

665 Sefotaksim injeksi 0,5 g .

n/a


vial

4,997.00

666 Sefotaksim injeksi 1 g .

n/a


Dus, 10 Vial @ 1 g

2,950.00

667 Seftazidim injeksi 1 g .

n/a


Dus, 2 vial @ 1 g

668 Seftriakson serbuk injeksi 1 g/vial .

n/a


Dus, 10 Vial @ 1 g

63,750.00 431.00

850.00

17,060.00 3,300.00

669 Sefuroksim tablet/kapsul/kaplet 250 mg .

Zinnat 250 mg


Dus, 1 Blister @ 10 Tablet salut selaput

4,752.00

670 Sefuroksim serbuk injeksi 750 mg/vial .

Sharox inj

PT. Pratapa Nirmala

Box @ 2 vial

671 Sefuroksim tab 500 mg .

Zinnat 500


Dus, 1 Blister @ 10 Tablet salut selaput

7,200.00

672 Sertralin tab 50 mg .

Fatral

PT. Pratapa Nirmala

strip @ 10 tab

3,300.00

673 Setirizin sirup 5 mg/5 ml .

n/a

PT. Indofarma

Botol @ 60 ml

7,999.00

674 Setirizin tablet 10 mg .

n/a

PT. Pertiwi Agung

Box, 10 strips @ 10 capsules

675 Setuksimab infus 5 mg/ml (Skema Risk Sharing . sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)

Erbitux

PT. Merck Tbk

Dus, 1 vial @ 20 ml

3,650,000.00

676 Sevofluran ih, btl .

Sojourn

PT. Pratapa Nirmala

tabung/botol

1,320,000.00

677 Sianokobalamin (vitamin B12) injeksi 500 mcg .

n/a

PT. Lucas Djaja

100 ampul @ 1 ml

678 Sianokobalamin (vitamin B12) tablet/kapsul/kaplet n/a . 50 mcg

PT. Afifarma


679 Siklofosfamid serbuk injeksi i.v. 1000 mg .

CYCLOVID 1000


Vial

256,000.00


Cyclovid 200 mg


vial

82,000.00


CYCLOVID 500


Vial

120,000.00

682 Siklosporin kaps 100 mg .

Sandimmun Neoral 100mg Kap


Dus, 10 blister @ 5 kapsul lunak

43,000.00

683 Siklosporin kapsul lunak 25 mg .

Sandimmun Neoral 25mg Kap PT. Novartis Indonesia


12,000.00

684 Silostazol tablet/kapsul/kaplet 100 mg .

Citaz

PT. Dankos Farma

strip

685 Simvastatin scored tablet 10 mg .

n/a



169.00

686 Simvastatin tablet 20 mg .

n/a



391.00

687 Siprofloksasin infus 2% .

n/a

PT. Dexa Medica

Vial 200 ml

688 Siprofloksasin tablet 500 mg (sebagai HCl) .

n/a

PT. Bernofarm

Dus, 10 blister @ 10 tab ss

689 Sisplatin serbuk injeksi 10 mg .

Cisplatin

PT Kalbe Farma

vial

52,800.00

181.00

1,077.00 57.00

7,000.00

13,000.00 255.00 22,000.00

690 Sisplatin serbuk injeksi 50 mg .

Cisplatin

PT Kalbe Farma

vial

93,000.00

691 Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml .

DBL Cytarabun


dus, 1 vial @ 10 ml

692 Spiramisin tablet 500 mg .

n/a

PT. Indofarma


693 Spironolakton tablet 100 mg .

n/a

PT. Dexa Medica


900.00

694 Spironolakton tablet 25 mg .

n/a

PT. Dexa Medica


315.00

695 Stavudin tablet/kapsul/kaplet 30 mg .

n/a

PT. Kimia Farma

Botol @ 60 tablet

930.00

696 Streptokinase injeksi 1,5 juta UI/vial .

Streptase

PT. Dexa Medica

Vial

697 Streptomisin serbuk injeksi i.v 1000 mg/ml .

n/a

PT. Phapros, Tbk

Dus @ 56 Vial

698 Sufentanil injeksi iv, epidural 5 mcg/ml .

Sufentanyl Injeksi iv.Epidural 5 PT. Kimia Farma mcg / ml

dus 5 amp @ dus 10

699 Sukralfat susp 500 mg/5 mL .

Ulsafate

PT. Combiphar

Botol, 100 ml

700 Sukralfat tab 500 mg .

ULSIDEX

PT. Dexa Medica

DUS, 10 STRIP @ 10 TAB

701 Takrolimus kaps 0.5 mg .

Prograf

PT. Combiphar

Pounch @ 5 blister @ 10 capsule

11,167.00

702 Takrolimus kaps 1 mg .

Prograf

PT. Combiphar

Dus, 1 pouch @5 blister@10 kaps

21,500.00

703 Tamoksifen tablet 20 mg .

TAMOXIFEN EBEWE


Botol @30tablet

2,654.00

704 Tamsulosin tab 0,2 mg .

Harnal D

PT. Combiphar

Box @ 2 blister @ 14 tablet

5,800.00

705 Tamsulosin tab 0,2 mg .

Harnal D

PT. Combiphar

Box/ 2 blister @ 14 tablet

5,800.00

706 Tamsulosin tab SR 0,4 mg .

Harnal OCAS

PT. Combiphar


6,800.00

707 Telbivudin tab 600 mg .

Sebivo 600 mg Tab



28,500.00

708 Telmisartan tab 40mg .

Micardis 40mg


Dus, 2 alu-blister @10 tablet

3,900.00

709 Telmisartan tab 80 mg .

Micardis 80mg


Box, 2 blisters @10 tablets

6,500.00

710 Temozolamid kaps 100 mg .

Temodal


Dus, 5 sachet @ 1 kapsul

1,120,000.00

711 Temozolamid kaps 20 mg .

Temodal



223,000.00

575,000.00 1,499.00

3,290,000.00 3,650.00 127,000.00 13,425.00 424.00

712 Tenofovir tab 300 mg .

n/a

PT. Kimia Farma

Botol 30 tab

8,100.00

713 Teofilin tab SR 300 mg .

Rethapyl

PT. Kimia Farma

Dus 10-s @ 10 Kaptab

1,050.00

714 Teofilin tablet 150 mg .

Bronsolvan

PT Kalbe Farma

strip

715 Terazosin HCl tablet/kapsul/kaplet 1 mg .

HYTROZ 1MG

PT. Dexa Medica

DUS, 10 BLISTER @ 10 TAB

1,669.00

716 Terazosin HCl tablet/kapsul/kaplet 2 mg .

HYTROZ 3MG

PT. Dexa Medica


2,949.00

717 Terbutalin cairan ih 2,5 mg/mL .

Bricasma Respules


Dus, 2 pak @ 5 respules

6,250.00

718 Terbutalin tablet 2,5 mg .

Molasma Tablet

PT. Molex Ayus

Box 50's

719 Terbutalin turbu (serbuk ih) 0,50 mg .

Bricasma Turbuhaler 0,5 mg



71,100.00

720 Testoteron soft capsul 40 mg .

Andriol Testocaps



6,200.00

721 Tetrakain HCl tetes mata 0,5% .

Pantocain 0.5%


botol 5 ml

722 Tetrasiklin kapsul/kaplet 250 mg .

n/a

PT. Holi Pharma


149.00

723 Tetrasiklin tablet/kapsul/kaplet 500 mg .

n/a

PT. Afifarma

DUS,10 STRIP @ 10 KAPSUL

300.00

724 Tiamazol tab 10 mg .

Thyrozol 10

PT. Merck Tbk


1,135.00

725 Tiamazol tab 5 mg .

Thyrozol 5

PT. Merck Tbk


563.00

726 Timolol tetes mata 0,25% .

Isotic Adretor 0,25%

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml

9,128.00

727 Timolol tetes mata 0,5% .

Isotic Adretor 0,5%

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml

9,722.00

728 Tiotropium 18 mcg refill .

Spiriva powder for inhalation 18mcg 30s


Box, 3 blisters @10 capsules

13,867.27

729 Tiotropium kaps 18 mcg + handihaller .

Spiriva 10s + Handihaler


Dus, 1 blister @10 kapsul + handihaler

152,543.00

730 Tramadol injeksi 50 mg/ml .

n/a



731 Trastuzumab serbuk injeksi 440 mg/vial (Skema . Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)

Herceptin


Dus, 1 vial @ 440 mg + 1 vial pelarut @ 20 ml

732 Travoprost tetes mata 0,004% .

Travatan


botol, tetes mata 2,5 ml

250.00

99.00

11,500.00

2,395.00 19,608,034.00

115,000.00

733 Triamsinolon asetonid nasal spray 55 mcg/puff .

Nasacort AQ

PT. Aventis Pharma

Dus, botol plastik 120 dosis

90,000.00

734 Triamsinolon inj 10 mg/mL .

Flamicort

PT. Dexa Medica

Dus,1 vial@ 5ml

65,500.00

735 Trifluoperazin tablet 5 mg .

n/a

PT. Darya Varia

strip

736 Tropikamid tetes mata 1% .

Cendo Mydriatil 1%


Botol 5ml

737 Urea krim 10% .

Soft U Derm


tube

738 Vaksin BCG (Harga pengadaan di Kementerian . Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes))

BCG Vaccine (GS)

PT. Bio Farma

20 ds / amp / vial

59,950.00


BCG Vaccine (SII)

PT. Bio Farma

20 ds / amp / vial

59,950.00


BCG Vaccine SSI

PT. Bio Farma

20 ds / amp / vial

59,950.00

741 Vaksin BCG (Harga pengadaan di Provinsi franco . ibukota Provinsi (Non DIPA Kemkes))

BCG Vaccine (SII)

PT. Bio Farma

20 ds / amp / vial

70,521.00


BCG Vaccine SSI

PT. Bio Farma

20 ds / amp / vial

70,521.00


BCG Vaccine (GS)

PT. Bio Farma

20 ds / amp / vial

70,521.00

744 Vaksin BCG Kering (BF) (Harga pengadaan di . Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes))

n/a

PT. Bio Farma

20 ds / amp / vial

59,950.00

745 Vaksin BCG Kering (BF) (Harga pengadaan di . Provinsi franco ibukota Provinsi (Non DIPA Kemkes))

n/a

PT. Bio Farma

20 ds / amp / vial

70,521.00

746 Vaksin Campak Kering (Harga pengadaan di . Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes))

n/a

PT. Bio Farma

10 ds / vial

28,204.00

747 Vaksin Campak Kering (Harga pengadaan di . Provinsi franco ibukota Provinsi (Non DIPA Kemkes))

n/a

PT. Bio Farma

10 ds / vial

33,176.00

748 Vaksin DTP-HB-Hib (Harga pengadaan di . Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes))

Pentabio

PT. Bio Farma

5 ds / vial

76,285.00

749 Vaksin DTP-HB-Hib (Harga pengadaan di Provinsi . franco ibukota Provinsi (Non DIPA Kemkes))

Pentabio

PT. Bio Farma

5 ds / vial

89,738.00

405.00 36,500.00 6,400.00

750 Vaksin Hepatitis B Rekombinan (Harga pengadaan . di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes))

n/a

PT. Bio Farma

1 ds / pouch

20,900.00

751 Vaksin Hepatitis B Rekombinan (Harga pengadaan . di Provinsi franco ibukota Provinsi (Non DIPA Kemkes))

n/a

PT. Bio Farma

1 ds / pouch

24,585.00

752 Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga n/a . pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes))

PT. Bio Farma

10 ds / vial

17,798.00

753 Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga n/a . pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes))

PT. Bio Farma

10 ds / vial

20,933.00

754 Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga n/a . pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes))

PT. Bio Farma

10 ds/ vial

16,500.00

755 Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga n/a . pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes))

PT. Bio Farma

10 ds/ vial

19,404.00

756 Vaksin Meningitis Meningokokus .

Menveo


Dus, 1 dosis @ (1 vial serbuk injeksi + 1 vial larutan injeksi @ 0,6 ml)

307,400.00

757 Vaksin polio inj (Vaksin Poliomyelitis yang . diinaktifkan)

Imovax Polio

PT. Aventis Pharma

1 vial of 10ml (10 d's)

285,000.00

758 Vaksin Poliomyelitis Oral (Harga pengadaan di . Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes))

n/a

PT. Bio Farma

10 ds/ vial

19,954.00

759 Vaksin Poliomyelitis Oral (Harga pengadaan di . Provinsi franco ibukota Provinsi (Non DIPA Kemkes))

n/a

PT. Bio Farma

10 ds/ vial

23,474.00

760 Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. Verorab . + booster

PT. Bio Farma

Dus, 1 vial@ 1dosis + 1 Syringe @ 0,5 ml NaCl 4%

78,000.00

761 Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. Verorab . + booster

PT. Bio Farma

Dus, 1 vial@ 1dosis + 1 Syringe @ 0,5 ml NaCl 4%

78,000.00

762 Vaksin TT (Harga pengadaan di Kementerian . Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes))

n/a

PT. Bio Farma

10 ds/ vial

14,498.00

763 Vaksin TT (Harga pengadaan di Provinsi franco . ibukota Provinsi (Non DIPA Kemkes))

n/a

PT. Bio Farma

10 ds/ vial

17,050.00

764 Valasiklovir tablet/kapsul/kaplet 500 mg .

Valvir


5 strip @ 10 kaptab

5,390.00

765 Valgansiklovir tab 450 mg .

Valcyte


Boks, 60 tablet

170,000.00

766 Valproat sirup 250 mg/5 ml .

Ikalep

PT. Ikapharmindo

Botol 120 ml

767 Valproat tab SR 250 mg .

Depakote ER 250 mg


Tablet

2,793.00

768 Valproat tab SR 500 mg .

Depakote ER 500 mg


Tablet

5,450.00

769 Valproat tablet salut 250 mg .

Depakote Tab 250 mg


Tablet salut 250 mg

1,680.00

770 Valsartan tab 80 mg .

Diovan 80mg Tab


DUS, 3 ALU-ALU STRIP @ 10 tablet salut selaput.

3,900.00

771 Valsartan tab 160 mg .

DIOVAN 160 MG


DUS, 3 ALU-ALU STRIP @ 10 tablet salut selaput.

6,500.00

772 Vankomisin serbuk injeksi 500 mg/vial .

Vancep

PT. Pratapa Nirmala

Box @ 2 vial

773 Verapamil tab 240 mg .

Isoptin 240 mg


Tablet

774 Verapamil tablet 80 mg (HCl) .

n/a

PT. Kimia Farma

Ktk 10X10 TAB

775 Vinblastin serbuk injeksi 10 mg .

Vinblastine

PT. Combiphar

Vial 10mg/10ml

776 Vinkristin serb inj i.v 2 mg/vial .

Vincristine Kalbe

PT Kalbe Farma

vial @ 2 ml

77,000.00

777 Vinkristin serbuk injeksi i.v. 1 mg .

Vincristine Kalbe

PT Kalbe Farma

vial @ 1 ml

45,000.00

778 Vinorelbin inj. 10 mg/ml .

Navelbine injeksi 10


Dus, 1 vial @ 1 ml

779 Vitamin B Kompleks tablet .

n/a

PT. Kimia Farma


780 Zidofudin 100 mg .

n/a

PT. Kimia Farma

Botol 60 Kapsul

1,575.00

781 Zidovudin 300 mg + Lamivudine 150 mg .

n/a

PT. Kimia Farma

Botol 60 tablet

3,429.00

782 Zinc drop 10 mg/mL .

Zincpro Drops

PT. Combiphar

Drops 10 mg/ml, Botol @15 ml

12,840.00

783 Zinc sir 10 mg/mL .

Zinkid

PT. Indofarma

Dus, botol @ 100 ml

14,980.00

784 Zinc sir 20 mg/5 Ml .

Zircum Kid Sirup

PT. Meprofarm

Dus, botol 60 ml

785 Zinc tablet dispersible20 mg .

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

40,000.00

122,000.00 6,200.00 234.00 210,000.00

1,229,998.00 107.00

7,400.00 473.00

No

Nama Obat Generik

Nama Dagang

1.

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)

n/a

2.

Adefovir Dipivoksil tablet/kaplet 10 mg

Hepsera

3.

Air untuk Injeksi 25 ml

Otsu SWI 25 ml

4.

Air untuk irigasi lar infus 1000 ml

WIDA WI UNICAP

5.


n/a

6.


n/a

7.

Albendazol suspensi 200 mg/5 ml

n/a

8.

Albendazol tablet/kapsul/kaplet 400 mg

n/a

9.

Albumin serum normal (human albumin) injeksi 20%, 100 ml

Zenalb


Zenalb


PLASBUMIN 25% 100 ML


PLASBUMIN 25% 20 ML


PLASBUMIN 25% 50 ML


PLASBUMIN 5% 250 ML


PLASBUMIN 5% 50 ML


n/a


n/a


n/a


n/a

20. Alprazolam tablet/kapsul/kaplet 1 mg

n/a

21. Alteplase injeksi 50 mg/vial

Actilyse

22. Amfoterisin B salep mata 1%

Fungicide

23. Amikasin injeksi 250 mg/ml

Glybotic 250 mg /ml

24. Aminofilin injeksi 24 mg/ml

n/a

25. Aminofilin tablet scored 200 mg

n/a

26. Aminofilin tablet/kapsul/kaplet 150 mg

n/a

27. Amiodaron injeksi 150 mg/3 ml

Cordarone

28. Amiodaron tablet/kaplet 200 mg

Kendaron Tablet

29. Amitriptilin tablet salut 25 mg (HCl)

n/a


n/a


n/a

32. Amoksisilin kapsul/kaplet 250 mg

n/a

33. Amoksisilin kapsul/kaplet/tablet scored 500 mg

n/a

34. Amoksisilin sirup kering forte 250 mg/5 ml

n/a

35. Amoksisilin sirup kering 125 mg/ 5 ml

n/a

36. Ampisilin serbuk injeksi i.v. 1000 mg/vial

n/a

37. Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridg Lantus Solostar 100IU/ml 5 38. Analog insulin mix acting inj 100 UI/ml, Analog insulin mix acting inj 100 UI/m

Novomix Flexpen

39. Analog Insulin Mix Insulin Inj 100 UI/ml

Humalog Mix 25 Kwikpen

40. Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cartrid

Humalog Mix 25

41. Analog Insulin Rapid Acting Inj 100 UI/ml

Humalog Kwikpen

42. Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue)) 43. Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue))

Novorapid Vial Novorapid Flexpen

44. Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glulisine 100 IU/ml) 45. Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin lispro (rDNA origin)) 46. Anastrozol tablet/kapsul/kaplet 1 mg

Apidra Solostar 100IU/ml 5pens x3ml Humalog Arimidex 1 mg

47. Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg n/a Magnesium Hidroksida 200 mg 48. Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml n/a Magnesium Hidroksida 200 mg/5 ml 49. Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU/g n/a 50. Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg lidokain 10 mg seng oksida 120 mg 51. Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg

n/a

52. Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

n/a

53. Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg

Levopar Tablet

54. Artemether injeksi 80 mg/ml

Artem

55. Artesunate injeksi i.v./i.m. 60 mg/ml

Artesunate

56. Asam Asetilsalisilat (asetosal) tablet 100 mg

n/a

57. Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg

Miniaspi 80


n/a


n/a

60. Asam Folat tablet/kapsul/kaplet 0,4 mg

Starfolat

61. Asam Folat tablet/kapsul/kaplet 1 mg

n/a

62. Asam Ibandronat injeksi 6mg/6ml

Bondronat


n/a


n/a

65. Asam pipemidat kapsul 400 mg

Urotractin 400 mg

66. Asam traneksamat injeksi 50 mg/ml

n/a

67. Asam zoledronat injeksi 4mg/5mL

ZOMETA

68. Asiklovir salep mata 3%

Temiral Eye Oint


n/a


n/a

71. Asparaginase serbuk injeksi 10.000 UI/vial

Leunase

72. Atapulgit tablet 600 mg

Pularex


Betablok


Farnormin

75. Atrakurium injeksi 25 mg/2,5 ml

Tracrium

76. Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml

n/a

77. Atropin Sulfat tablet 0,5 mg

n/a

78. Atropin Sulfat tetes mata 0,5%

Cendo Tropin 0,5%

79. Atropin Sulfat tetes mata 1%

Cendo Tropin 1%

80. Azitromisin sir kering 200 mg/ 5 mL

n/a


n/a


n/a

83. Bedak salisil serbuk 2%

n/a

84. Benzatin Benzil Penisilin 1,2 juta IU/ vial

n/a

85. Benzatin Benzil Penisilin 2,4 juta IU/vial

n/a

n/a

86. Beractant injeksi / suspensi 25 mg/mL

Survanta

87. Beraprost sodium tablet 20 mcg

Dorner

88. Betametason krim 0,1% (sebagai Valerat)

n/a

89. Betametason tetes mata 1 mg/ml

Betam Ophtal ED

90. Bevasizumab injeksi 25 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) 91. Bikalutamid tablet salut 150 mg

Avastin


Casodex 50 mg


Stolax supp


Dulcolax Supp Infant

95. Bisoprolol tablet 2,5 mg

Concor 2.5

96. Bisoprolol tablet 5 mg

n/a

97. Bleomisin serbuk injeksi 15 mg/ampul

BLEOCIN

98. Bromokriptin tablet 2,5 mg

Cripsa tab


Pulmicort Turbuhaler


Obucort Swinghaler

101. Budesonid respules / cairan inhaler 0,25mg/mL

Pulmicort Respules

102. Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg 103. Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg

Symbicort Turbuhaler 160/4.5 mcg Symbicort 80/4.5 mcg

104. Bupivakain injeksi 0,50% (HCl) + glukosa 8%

n/a

105. Bupivakain injeksi 0,50% (P.V)

Bunascan

106. Dabigatran eteksilat kapsul 75 mg

Pradaxa

107. Dabigatran eteksilat kapsul 110 mg

Pradaxa

108. Dakarbazin serbuk injeksi 200 mg/vial

DBL Dacarbazine

109. Daunorubisin serbuk injeksi 20 mg/vial

DAUNOCIN

110. Deferasiroks tablet disp/ eff 250 mg

Exjade 250 mg Tab

111. Deferasiroks tablet disp/ eff 500 mg

Exjade 500 mg Tab

112. Deferipron larutan oral 100 mg/mL

Ferriprox Oral Solution

113. Deferipron tablet 500 mg

Ferriprox tablet

114. Deferoksamin Mesilat serbuk injeksi 500 mg

Desferal

115. Deksametason injeksi i.v./i.m. 5 mg/ml

n/a

116. Deksametason tablet 0,5 mg

n/a

117. Desogestrel tablet 75 mcg

Cerazette

118. Desoksimetason krim 0,25%

DEXIGEN

119. Desoksimetason krim 0,25%

n/a

120. Desoksimetason salep 0,25%

Dexocort

121. Diazepam larutan rektal 5 mg/2,5 mL

STESOLID

122. Diazepam injeksi i.v./i.m 5 mg/ml

n/a

123. Diazepam larutan rektal 10 mg/2,5 mL

STESOLID

124. Diazepam tablet/kapsul/kaplet 2 mg

n/a

125. Dietilkarbamazin tablet scored 100 mg

n/a

126. Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)

n/a

127. Digoksin injeksi 0,25 mg/ml

Fargoxin inj

128. Digoksin tablet 0,25 mg

n/a

129. Diltiazem HCl tablet 30 mg

n/a

Casodex 150 mg

130. Diltiazem infus injeksi 50 mg 131. Diltiazem injeksi 25 mg/5 mL

Herbesser Powder Injection 50mg Farmabes Injeksi 25 mg

132. Diltiazem Kapsul SR 100 mg

Herbesser CD 100

133. Diltiazem Kapsul SR 200 mg

Herbesser CD 200

134. Dimenhidrinat tablet/kapsul/kaplet 50 mg

n/a

135. Dinatrium edetat tetes mata 0,35%

E.D.T.A

136. Dinatrium klodronat infus kons 60 mg/mL

Bonefos Infus 60 mg / 5 ml

137. Dobutamin injeksi 50 mg/mL

DOBURAN

138. Doksazosin mesilat tablet 1 mg

Cardura 1mg

139. Doksazosin mesilat tablet 2 mg

Cardura 2mg

140. Doksisiklin tablet/kapsul/kaplet 100 mg

n/a

141. Doksorubisin serbuk injeksi i.v. 10 mg/vial

Doxorubicin kalbe

142. Doksorubisin serbuk injeksi i.v. 50 mg/vial

Doxorubicin Actavis 50 mg

143. Domperidon suspensi/sirup 5 mg/5 ml

n/a

144. Domperidon tablet 10 mg

n/a

145. Domperidon tetes 5 mg/mL

n/a

146. Dopamin injeksi 40 mg/ml

UDOPA

147. Dosetaksel injeksi 20 mg/0,5 ml

n/a

148. DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate calcium trisodium/mL 149. Dutasterid kaps lunak 0,5 mg

Renalscan KaeF

150. Efavirens tablet salut 600 mg

n/a

151. Efedrin Inj 50 mg/ml

n/a

152. Eksemestan tablet 25 mg

Aromasin

153. Enoksaparin sodium inj 20 mg/0,2 mL






156. Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml

n/a

157. Epirubisin serb injeksi 50 mg/25ml (Produk Kosong s/d awal Agustus 2015)

Epirubisin Kalbe

158. Epirubisin serb injeksi 10 mg/5 ml

n/a

159. Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI

D-Vit FT

160. Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml

D-Vit Syrup

161. Eritromisin kapsul/kaplet 250 mg

n/a

162. Eritromisin kapsul/kaplet 500 mg

n/a

163. Eritromisin sirup kering 200 mg/ 5 ml

n/a

164. Eritropoetin-alfa inj 10000 UI/mL

Hemapo 10.000 IU


Eprex 2000


Hemapo 3000

167. Eritropoetin-beta inj 2000 UI/0,3 mL

Recormon

168. Estrogen terkonjugasi tablet salut 0,625 mg

Esthero 0.625mg

169. Etambutol tablet 250 mg (HCl)

n/a

170. Etambutol tablet salut 500 mg (HCl)

n/a

171. Etanol 70% cairan

n/a

172. Etinilestradiol tablet 0,05 mg

Lynoral

Avodart

173. Etonogestrel implan 68 mcg

Implanon

174. Etoposid injeksi 20 mg/ml

Posyd

175. Eugenol cairan

n/a

176. Everolimus tab 0,25 mg

Certican 0,25 mg Tab

177. Everolimus tab 0,5 mg

Certican 0,5 mg Tab

178. Faktor IX kompleks serbuk injeksi 1.000 UI/vial + pelarut 10 ml

Nonafact 1000 IU

179. Faktor IX kompleks serbuk injeksi 500 UI/vial + pelarut 5 ml

Nonafact 500 IU

180. Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi IX 25 UI, faktor koagulasi X 14-35 UI 181. Faktor Koagulasi II 14-35 UI, Faktor Koagulasi VIII 7-20 UI, Faktor Koagulasi IX 25 UI, Faktor Koagulasi X 14-35 UI (250 IU/10ml) 182. Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi

Cofact 500 IU/20 ml

183. Faktor VIII (konsentrat) serb inj 230 -340 UI

Haemoctin

184. Faktor VIII (konsentrat) serb inj 250 UI/vial + pelarut 5 mL

Haemoctin

185. Faktor VIII (konsentrat) serb inj 480 - 600 UI

KOATE DVI 500 IU

186. Faktor VIII (konsentrat) serb inj 500 UI/vial + pelarut 5 ml

Aafact 500 IU

187. Fenitoin injeksi 50 mg/ml

n/a

188. Fenitoin kapsul/kaplet 100 mg

n/a

189. Fenitoin Na Inj 100 mg/2 ml

n/a

190. Fenobarbital injeksi i.m./i.v. 50 mg/ml

n/a

191. Fenobarbital tablet/kapsul/kaplet 100 mg

n/a

192. Fenofibrat kaps 100 mg

n/a

193. Fenofibrat kaps 300 mg

n/a

194. Fenoksimetil penisilin (penisilin V) tablet 250 mg

n/a

195. Fenoksimetil penisilin (penisilin V) tab 125 mg

Fenocin

196. Fenoksimetil penisilin (penisilin V)tablet 500 mg

n/a

197. Fenoterol HBr ih 100 mcg/puff

Berotec MDI

198. Fenoterol HBr inh solution 0,1%

Berotec Solution

199. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml

n/a

200. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml

n/a

201. Fentanil patch 12,5 mcg/jam

Durogesic 12,5 MU Matrix

202. Fentanil patch 25 mcg/jam


203. Fentanil patch 50 mcg/jam


204. Filgrastim inj 300 mcg/mL

Leucogen

205. Finasterid tab 5 mg

Prostacom

206. Fitomenadion (Vit.K1) tablet salut gula 10 mg

n/a

207. Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml

n/a

208. Fludarabin inj 50 mg

Fludara IV LYO

209. Fludarabin tab 10 mg

Fludara Oral

210. Flufenazin injeksi i.m. 25 mg/ml

Sikzonoate Injeksi

211. Flukonazol injeksi 2 mg/ml

n/a

212. Flukonazol tablet/kaplet/kapsul 50 mg

Diflucan 50mg

213. Flukonazol tablet/kapsul 150 mg

n/a

214. Fluoksetin tablet 10 mg

Foransi 10

215. Fluoksetin tablet 20 mg

NOPRES

216. Fluorometolon tetes mata 0,1 %

Ocuflam ED

Cofact 250 IU Novoseven

217. Fluorourasil inj 250 mg/mL

Curacil

218. Fluorourasil inj 500 mg/ 5 mL

Curacil

219. Flusinolon asetonid krim 0,025%

SYNARCUS

220. flusinolon asetonid salep 0,025%

Dermasolon oint

221. Flutikason furoat intranasal spray

Avamys

222. Flutikason propionat nebules 0,5 mg

Flixotide Nbules

223. Fondaparinuks inj 2,5 mg/0,5 mL

Arixtra

224. Fraksi protein plasma lar inf 5%

Plasmanate

225. Furosemid injeksi i.v./i.m. 10 mg/ml

n/a

226. Furosemid tablet 40 mg

n/a

227. Gadobutrol macrocyclic 5 mg

Gadovist 5 mg

228. Gadobutrol macrocyclic 7,5 mg

Gadovist 7,5 mg

229. Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL

Primovist

230. Gansiklovir serb inj 500 mg (50 mg/mL)

Cymevene

231. Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium klorida 0,30 g n/a Trinatrium sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g 232. Gefitinib tab 250 mg Iressa 250 mg 233. Gemfibrozil kapsul/kaplet 300 mg

n/a

234. Gemfibrozil tablet 600 mg

n/a

235. Gemsitabin inj 1000 mg/vial

Gemzar 1000 mg

236. Gemsitabin inj 200 mg/vial

n/a

237. Gentamisin injeksi 40 mg/ ml

n/a

238. Gentamisin salep mata 0,3%

Genoint Salep Mata

239. Gentamisin tetes mata 0,3%

n/a

240. Glibenklamid tablet 5 mg

n/a

241. Gliklazid tab 80 mg

Glicab

242. Gliklazid tab 30 mg

Diamicron MR 30

243. Gliklazid tablet lepas lambat 60 Mg

Diamicron MR 60

244. Glikuidon tab 30 mg

n/a

245. Glimepiride tablet 1 mg

n/a


n/a


n/a


n/a

249. Glipizid tablet/kaplet/kapsul 10 mg

Glucotrol 10 mg

250. Glipizid tablet/kaplet/kapsul 5 mg

Glucotrol 5 mg

251. Gliseril trinitrat inj 50 mg/10 mL 252. Gliseril trinitrat kaps SR 2,5 mg

DBL Gliceryl Trinitrate 50 mg/10 ml inj. Nitrokaf Retard

253. Gliseril trinitrat kaps SR 5 mg

Nitrokaf Forte

254. Gliseril trinitrat tab sublingual 0,5 mg

Nitral

255. Gliserin lar 50%

Gliserin lar 50%

256. Glukosa larutan infus 10 % steril

n/a

257. Glukosa larutan infus 5 % steril

n/a

258. Goserelin asetat inj 10,8 mg/vial

Zoladex 10,8 mg

259. Goserelin asetat inj 3,6 mg

Zoladex 3,6 mg

260. Griseofulvin tablet 125 mg

n/a

261. Haloperidol inj 50 mg/mL

Haldol Decanoas

262. Haloperidol injeksi i.m 5 mg/ml

Lodomer Injeksi

263. Haloperidol tablet 0,5 mg

n/a

264. Haloperidol tablet 5 mg

n/a

265. Haloperidol tablet 1,5 mg

n/a

266. Haloperidol tablet 2 mg

Lodomer 2

267. Haloperidol tts 2 mg/mL

LODOMER DROPS

268. Halotan Inhalasi

Halothane

269. Heparin injeksi i.v./s.k. 5000 UI/ml

Inviclot

270. Hepatitis B imunoglobulin (human)

Hyperhep B

271. hidroklorotiazid tab 25 mg

n/a

272. Hidrokortison krim 1%

n/a

273. Hidrokortison krim 2,5 %

n/a

274. Hidroksi Urea tablet/kaplet/kapsul 500 mg

HYDROXYUREA MEDAC

275. Hiosin butilbromid injeksi 20 mg/ml

n/a

276. Homatropin tetes mata 2%

Homatro 2%

277. Human Insulin Intermediate Acting Inj 100 UI/ml

Humulin N Kwikpen

278. Human insulin intermediate acting inj 100 UI/ml, vial (Human Insulin (Intermediate-Acting)) 279. Human insulin intermediate acting inj 100 UI/ml, vial (Insulin human Basal)

Insulatard Vial

280. Human insulin intermediate acting Insulin (Intermediate-Acting)) 281. Human insulin intermediate acting human Basal) 282. Human insulin intermediate acting human Basal) 283. Human insulin intermediate acting

inj 100 UI/ml,penfill cartridge (Human

Insulatard Penfill

inj 100 UI/ml,penfill cartridge (Insulin

Sansulin N

inj 100 UI/ml,penfill cartridge (Insulin

Humulin N Cart

inj 100iu/ml, vial (Insulin Human Basal)

Insuman Basal vial 5ml, 100iu/ml Insuman Comb 25 vial 5ml, 100iu/ml Humulin 30/70 Kwikpen

284. Human insulin mix inj 100iu/ml, vial (Insulin Human Comb 25) 285. Human Insulin Mix Insulin Inj 100 UI/ml

Humulin N Vial

286. Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Human Insulin Mixtard Penfill (Premix: 30% Soluble + 70 % NPH Insulin)) 287. Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Insulin human Comb) Humulin 30/70 Cart 288. Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin)) 289. Human insulin mix insulin inj 100 UI/ml, vial (Insulin human Comb)

Mixtard Vial

290. Human Insulin Short Acting Inj 100 UI/ml

Humulin R Kwikpen

291. Human insulin short (Short Acting)) 292. Human insulin short Rapd) 293. Human insulin short Rapd) 294. Human insulin short

acting inj 100 UI/ml, penfill cartridge (Human Insulin

Actrapid Penfill

acting inj 100 UI/ml, penfill cartridge (Insulin human

Humulin R Cart

acting inj 100 UI/ml, penfill cartridge (Insulin human

Sansulin R

acting inj 100 UI/ml, vial (Human Insulin (Short Acting))

Actrapid Vial

Humulin 30/70 Vial

295. Human insulin short acting inj 100 UI/ml, vial (Insulin human Rapd)

Humulin R Vial

296. Human insulin short acting inj 100iu/ml, vial (Insulin Human Rapid) 297. Human tetanus imunoglobulinn injeksi i.m. 250 UI

Insuman Rapid vial 5ml, 100iu/ml Tetagam

298. Ibuprofen sirup 100 mg/5 ml

n/a

299. Ibuprofen suspensi 200 mg/5 ml

n/a

300. Ibuprofen tablet 200 mg

n/a

301. Ibuprofen tablet 400 mg

n/a

302. Ifosfamid serbuk injeksi 1000 mg/vial

Holoxan injeksi 1000

303. Imanitib Mesilat tablet salut selaput 100 mg (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) 304. Imidapril tab 10 mg

Glivec

305. Imidapril tab 5 mg

Tanapress 5mg

306. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml)

Iopamiro


Iopamiro


Iopamiro


Iopamiro


Iopamiro


Iopamiro

312. Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)



Ultravist 300/50 mg




Ultravist 370/50 mg

316. Ipratropium bromida inhalasi 20 mcg/semprot

Atrovent HFA

317. Ipratropium bromida nebulizer 0,025% 318. Irbesartan tab 150 mg

Atrovent solution for inhalation 0.025% n/a

319. Irbesartan tab 300 mg

n/a

320. Irinotekan inf 20 mg/ml

n/a

321. Isofluran inhalasi

Terrell

322. Isoniazid tablet/kapsul/kaplet 100 mg

n/a

323. Isoniazid tablet/kapsul/kaplet 300 mg

n/a

324. Isosorbid Dinitrat injeksi i.v 10 mg/10 ml

Farsorbid inj

325. Isosorbid Dinitrat tablet sublingual 5 mg

n/a

326. Isosorbid dinitrat tablet/kaplet/kapsul 10 mg

Isonat

327. Kalium aspartat tab 300 mg

Kalipar

328. Kalium Klorida tablet 600 mg

KSR

329. Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml

DBL Leucovorin

330. Kalsium Glukonat injeksi i.v 10% (100 mg/ml)

Kalsium glukonat

331. Kalsium Karbonat tablet/kapsul/kaplet 500 mg

Calporosis D500

332. Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg

n/a

333. Kalsium polistirena sulfonat ktg 5 g

KALQUEST

334. Kanamisin inj 1000 mg/ vial

n/a

335. Kandesartan tab 16 mg

n/a

336. Kandesartan tab 8 mg

n/a

337. Kapesitabin tab 500 mg

Xeloda

338. Kaptopril tablet 50 mg

n/a

339. Kaptopril tablet scored 25 mg

n/a

340. Kaptopril tablet scored12,5 mg

n/a

341. Karbamazepin sirup 100 mg/5 ml 342. Karbamazepin tablet 200 mg

Tegretol Syrup 100mg/5ml, 120ml n/a

343. Karbimazol tab 5 mg

Neo-Mercazole

Tanapress 10mg

344. Karbogliserin tetes telinga 10% 345. Karboplatin 150 mg / 15 ml

Karbogliserin tetes telinga 10% DBL Carboplatin 150 mg

346. Karboplatin 450 mg / 45 ml


347. Karvediol tablet/kaplet/kapsul 6,25 mg

V - BLOC

348. Ketamin injeksi i.v. 100 mg/ml

KTM

349. Ketamin injeksi i.v. 50 mg/ml

Ketamin Hameln

350. Ketokonazol krim 2%

n/a


n/a


n/a

353. Ketokonazol scalp sol 2%

Zoloral SS

354. Ketokonazol tablet 200 mg

n/a

355. Ketoprofen supositoria 100 mg

Protofen Supp

356. Ketorolac injeksi 30 mg/ml

n/a

357. Klaritromisin tab 500 mg

ORIXAL

358. Klindamisin kapsul/kaplet 150 mg

n/a

359. Klindamisin kapsul/kaplet 300 mg

n/a

360. Klobazam tab 10 mg

n/a

361. Klomifen sitrat tablet/kapsul/kaplet t 50 mg

Clomifil 50mg

362. Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)

Catapres Injeksi

363. Klonidin tablet 0,15 mg

n/a

364. Klopidogrel tab 75 mg

n/a

365. Kloramfenikol salep kulit 2%

Bufacetin

366. Kloramfenikol salep mata 1 %

n/a

367. Kloramfenikol serb inj 1000 mg/mL

Colsancetine Injeksi

368. Kloramfenikol suspensi 125 mg/ 5 ml

n/a

369. Kloramfenikol tablet/kapsul/kaplet 500 mg

Chloramex

370. Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg

n/a

371. Klorpromazin injeksi i.m. 25 mg/ml (HCl)

n/a

372. Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)

n/a

373. Klorpromazin tablet salut 100 mg (HCl)

n/a

374. Klorpromazin tablet salut 25 mg (HCl)

n/a

375. Klozapin 100 mg

n/a

376. Klozapin 25 mg

n/a

377. Kodein tablet 10 mg

n/a


n/a


n/a

380. Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg

Ostriol

381. Kolkisin tablet/kaplet/kapsul 500 mcg

Recolfar

382. Koloid HES BM 130 000 lar inf 6%

Voluven

383. Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg

Combivent UDV

384. Kombinasi injeksi depot : Medroksi progesteron asetat 25 mg Estradiol sipionat n/a 5 mg 385. Kombinasi suspensi : Parafin + gliserin + fenolftalein Laxadine Emulsi 60 ml 386. Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg

n/a

387. Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida 1,32 mg 388. Kombinasi: Artemether 20 mg; Lumefantrin 120 mg

Cendo Lyteers

389. Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg

Stalevo

390. Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg

Aluvia

391. Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg

Seretide Inhaler 50 mcg





Coartem

394. Kontrasepsi pil oral, kombinasi :* Levonorgestrel 150 mcg Etinilestradiol 30 n/a mcg 395. Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg n/a Trimetoprim 80 mg 396. Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / n/a 5 ml 397. Kuinin (Kina) tablet 200 mg n/a 398. Kuinin injeksi i.v. 25% (sebagai 2 HCl)

n/a

399. Kuinin tablet 222 mg (H2SO4.7H2O)

n/a

400. Laktulosa sir 3,335 g/5 mL

n/a

401. Lamivudin tablet/kaplet/kapsu 100 mg

Heplav

402. Lamivudine tablet 150 mg

n/a

403. Lansoprazol inj 30 mg/ml

Prosogan Inj.

404. Lanzoprazol kapsul/kaplet 30 mg

n/a

405. Lapatinib tab 250 mg

Tykerb

406. Larutan mengandung Asam Amino (Asam Amino 10%)

Kalbamin

407. Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq) 408. Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 mEq) 409. Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) 1000 ml 410. Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) 500 ml 411. Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, LOrnithine L Aspartate 8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50 gr/L)

Amiparen

412. Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,24 gr/l) 413. Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino esensial: Asam Amino non esensial = 60 : 40) 414. Larutan mengandung Asam Amino (Asam Amino 72.05 g, Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat 46 mEq) 415. Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq) 416. Larutan mengandung Asam Amino (Asam amino 8%)

Aminosteril Infant 6%

417. Larutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L)

Eas Pfrimer

418. Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L, Malic Acid 7 gr/L, Piridoxin 0.12 gr/L) 419. Larutan mengandung Asam Amino (Kombinasi Asam aminno 50 g/L, Sorbitol 50 g/L, Xylitol 50 g/L, Asam Askorbat (Vit C) 0.4 g/L, Inositol 0.5 g/L, Nikotinamida (Niasinamida) 0.06 g/L, Piridoksin HCl (Vit B6) 0.04 g/L, Riboflavin Natrium Fosfat 2.5 mg/L, elektrolit)

Comafusin Hepar

Pan-amin G Aminofluid Aminofluid Aminofusin Hepar

Nephrosteril Kidmin Aminoleban Aminosteril N-Hepa

Aminofusin L600

420. Larutan mengandung Asam Amino (Kombinasi Asam amino 50 g/L, vitamin dan Aminofusin Paed elektrolit) 421. Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: Kabiven 1440 ml 97gr, Lipid: 51gr dan Elektrolit (Kalori = 1000 kkal, Akses peripheral))

422. Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses peripheral))

Kabiven 1920 ml

423. Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral) 424. Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 80 gr + Asam Amino 40 gr ) 425. Larutan mengandung Elektrolit (Kalium Klorida)

Combiflex Plus (790 kcal)

426. Larutan mengandung Elektrolit (Larutan Ringer Laktat)

Wida RL

Combiflex peri (480 kcal) Otsu - KCl 7,46%

427. Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 Asering mEq) 428. Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr) KA EN 1B 429. Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Potassium Totilac Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L, elektrolit) 430. Larutan mengandung Elektrolit (Tiap 1000 ml mengandung electrolit: Sodium Ringerfundin 500 mL 145 mmol/l, Potassium 4.0 mmol/l, Calcium 2.5 mmol/l, Magnesium 1.0 mmol/l, Chloride 118 mmol/l, Acetate 24 mmol/l, Malate 5.0 mmol/l) 431. Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 g/ L Triofusin 1000 + elektrolit) 432. Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L) Triofusin 500 433. Larutan mengandung Karbohidrat (Maltose 100 gr)

Martos

434. Larutan mengandung Karbohidrat + Elektrolit (25.00g maltose, 3.00 g sodium Potacol inj chloride, 0.15 g potassium chloride, 0.10 g calcium chloride dihydrate dan 1.55 g sodium lactate) 435. Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L) 436. Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 100 gr/L, elektrolit) 437. Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 75 gr/L, elektrolit) 438. Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L) 439. Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk injeksi ad 1000 ml) 440. Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium Chloride 9 g, air untuk injeksi ad 1000 ml) 441. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g)

Tutofusin OPS

442. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g)

WIDA D5-1/4NS

443. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g)

WIDA D5-1/2NS

444. Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g) 445. Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%)

Futrolit

446. Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Glukosa 100 gr) 447. Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr) 448. Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) 449. Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20% 100 ml)

KA ENMG 3

450. Larutan mengandung Lipid (Emulsi lemak 20%) 451. Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml) 452. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn akses sentral)

Clinimix N9G20E Clinimix N9G15E Triofusin E1000 Wida HSD Wida D5-NS WIDA 2A

Wida RD

KA EN 3B KA EN 3A Lipofundin MCT/LCT 1% 100 Intralipid Lipofundin MCT/LCT 1% 250 Nutriflex Lipid Special 1250

453. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr) 454. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn akses sentral) 455. Latanoprost tetes mata 0,01%

Nutriflex Lipid Peri 1250

456. Latanoprost tts mata 0,005% btl@2,5ml

Xalatan 0,005%

457. Lenograstim inj 263 mcg/mL

Granocyte 34 1vl HSA Free

458. Letrozol tablet/kaplet/kapsul 2,5 mg

FEMARA

459. Leuprorelin asetat inj depot 1,88 mg

Tapros 1.88mg


Tapros 3M


TAPROS 3.75 MG

462. Levofloksasin inf 5 mg/mL

n/a

463. Levofloksasin tablet 500 mg

n/a

464. Levofloksasin tts mata 0,5%

Optiflox

465. Levotiroksin tablet/kaplet/kapsul 100 mcg

Euthyrox 100

466. Levotiroksin tablet/kaplet/kapsul 50 mcg

Euthyrox 50

467. Lidokain injeksi 2% (HCL)

n/a

468. Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml

n/a

469. Lidokain jeli 2%

Xylocaine Jelly 2%

470. Lidokain semprot 10% 471. Lisinopril tablet 10 mg

Xylocaine Spray 10 mg / dosis n/a

472. Lisinopril tablet 5 mg

n/a

473. Litium karbonat tablet 200 mg

Frimania 200

474. Litium karbonat tablet 400 mg

Frimania 400

475. Loperamid tablet 2 mg

n/a

476. Loratadin tablet 10 mg

n/a

477. Lorazepam tablet 0,5 mg

MERLOPAM 0,5 mg

478. Lorazepam tablet 2 mg

Merlopam 2

479. Low molecule feri sucrose inj amp 100 mg/5 mL

DIALIFER

480. Magnesium sulfat injeksi 20%

OTSU-MgSO4 20

481. Magnesium sulfat injeksi 40%

OTSU-MgSO4 40

482. Manitol

n/a

483. Maprotilin HCl tab 25 mg

Ludios

484. Maprotilin HCl tab 50 mg

Sandepril 50

485. MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/mL

Bonescan KaeF

486. Mebendazol tablet 500 mg

Vermox 500

487. Medroksi Progesteron Asetat tablet/kaplet/kapsul 100 mg

Provera 100mg

488. Medroksi Progesteron asetat tablet/kaplet/kapsul 10 mg

Prothyra 10mg

489. Melfalan tablet 2 mg

Alkeran

490. Meropenem inj 1 g

n/a

491. Meropenem serb inj 500 mg/vial

n/a

492. Mesna inj 100 mg/mL

Uromitexan injeksi.

493. Metadon sir 50mg/5ml

n/a

494. Metformin HCl tablet 500 mg

n/a

495. Metformin HCl tablet 850 mg

n/a

Nutriflex Lipid Special 625 Cendo Glaopen

496. Metildopa tablet salut 250 mg

DOPAMET

497. Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg

n/a

498. Metilergometrin Maleat injeksi 0,200 mg-1 ml

n/a

499. Metilfenidat kapsul LA 20 mg

Ritalin LA

500. Metilfenidat tablet SR 10 mg

RITALIN

501. Metilprednisolon inj 125 mg/2 mL

n/a

502. Metilprednisolon inj 500 mg/8 mL

n/a

503. Metilprednisolon tablet 16 mg

n/a


n/a


n/a

506. Metoklopramid drop botol 10 mL

GAVISTAL drops

507. Metoklopramide sirup 5 mg/ 5 ml

LEXAPRAM SIRUP

508. Metoklopramide tablet 5 mg

n/a

509. Metotreksat serb inj 50 mg/2 mL

Methotrexate Kalbe

510. Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg

METHOTREXATE EBEWE

511. Metotreksat tablet/kaplet/kapsul 2,5 mg 512. Metronidazol infus 500 mg/100 ml

METHOTREXATE EBEWE 2.5 MG n/a

513. Metronidazol ovula 500 mg

Vagizol

514. Metronidazol sirup 125 mg/5 Ml

Farizol

515. Metronidazol supositoria 500 mg

Flagyl

516. Metronidazol tablet 250 mg

n/a

517. Metronidazol tablet 500 mg

n/a

518. MIBG (meta-iodobenzylguanidine)

Endoneuroscan KaeF 1

519. MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial

Cardioscan KaeF

520. Midazolam injeksi i.v. 5 mg/ml

Dormicum

521. Mikafungin Na serb inj 50 mg

Mycamine

522. Mikofenolat Mofetil 500 mg

Cellcept

523. Mikonazol krim/salep 2 % (Nitrat)

n/a

524. Modified fluid gelatine BM 30 000 lar inf 4%

Gelofusine 4%

525. Moksifloksasin tetes mata 0,5%

Vigamox

526. Mometason furoat krim 0,1%

n/a

527. Morfin HCL inj 10 mg/ml

n/a

528. Morfin HCL tablet SR 10 mg

MST Continus 10 mg


MST Continus 15 mg


MST Continus 30 mg

531. Morfin tablet 10 mg

n/a

532. N-asetil sistein inj. nebules 100 mg

N-ace cairan inhalasi

533. Nacl 0,9%

n/a

534. Nadroparin inj 9500 Axa/mL syringe 0,3 mL

Fraxiparine 0.3 ml

535. Nadroparin inj 9500 Axa/mL, syringe 0,4 mL

Fraxiparine 0.4 ml

536. Nadroparin inj 9500 Axa/mL, syringe 0,6 mL

Fraxiparine 0.6 ml

537. Nalokson injeksi 0,4 mg/ml

Nokoba

538. Natrium Bikarbonat injeksi i.v 8,4%

Meylon

539. Natrium Diklofenak tablet 50 mg

n/a

540. Natrium Diklofenak tablet 25 mg

n/a

541. Natrium fosfat btl, 133 mL

Fleet Enema

542. Natrium fosfat lar oral 45 mL

Fleet Phosphosoda

543. Natrium fusidat krim 20 mg/g

Acdat

544. Natrium fusidat salep 20 mg/g

Fucilex Ointment

545. Neostigmin injeksi 0,5 mg/ml

Neostigmin Hameln inj

546. Nevirapin tablet 200 mg

n/a

547. Nifedipin tab 20 mg, slow release; oros

Adalat Oros 20 mg

548. Nifedipin tab 30 mg, oros

Adalat Oros 30 mg

549. Nifedipin tablet/kapsul 10 mg

n/a

550. Nikardipin inj 10 mg/vial

n/a

551. Nilotinib kapsul 200 mg (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) 552. Nistatin tablet salut 500.000 IU/ g

Tasigna

553. Nistatin vaginal tablet 100.000 IU/ g

n/a

554. Norepinefrin injeksi 1 mg/ml

Levosol

555. Noretisteron tablet 5 mg

Primolut N

556. Obat Antituberkulosis FDC Kategori 1

n/a

557. Obat Antituberkulosis FDC Kategori 2

n/a

558. Obat Antituberkulosis FDC Kategori Anak

n/a

559. Obat Antituberkulosis FDC Sisipan

n/a

560. Obat Antituberkulosis Kategori 1 dewasa

n/a

561. Obat Antituberkulosis Kategori anak

n/a

562. Octreotide Acetate0,05 - 6 mg/mL

Octide

563. Ofloksasin tets telinga 3%

Tarivid Otic Solution

564. Ofloxacin tablet 200 mg

n/a

565. Ofloxacin tablet 400 mg

n/a

566. Oksaliplatin serbuk injeksi 100 mg / vial

ELOXATIN

567. Oksaliplatin serbuk injeksi 50 mg / vial

ELOXATIN

568. Oksimetazolin tetes hidung 0,025%

Ilaidin Drops

569. Oksimetazolin tetes hidung 0,050%

Iliadin Spray

570. Oksitosin injeksi 10 IU/ml

Oxytocin "S"

571. Oktreotid 10 mg

Sandostatin LAR

572. Olanzapin inj 10 mg/vial

Zyprexa IM

573. Olanzapin kapl salut 5 mg

Olandoz 5

574. Olanzapin tab 10 mg

Olandoz 10

575. Olopatadin tts mata 0,1%

Patanol

576. Omeprazol injeksi 40 mg/ 10 ml

n/a

577. Omeprazol kapsul/kaplet 20 mg

n/a

578. ondansetron inj 4 mg/ 2 mL

n/a

579. Ondansetron tab 4 mg

n/a

580. Ondansetron tablet 8 mg

n/a

581. Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor) 582. Paket CAPD Pergantian Transfer Set per 6 bulan

n/a

n/a

n/a

583. Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)

Larutan Dialisa 1.5%: Dianeal Low Calcium with 1,5% Dextrose; Larutan Dialisa 2.5%: Dianeal Low Calcium with 2,5% Dextrose; Larutan Dialisa 4.25%: Dianeal Low Calcium with 4.25% Dextrose

584. Paklitaksel inj 100 mg/vial

586. Paklitaksel injeksi 30 mg/vial

SINDAXEL 100 MG/16,67 ML SINDAXEL 260mg/43.33 ML SINDAXEL 30 MG/5 ML

587. Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)

n/a

588. Parasetamol sirup 120 mg / 5 ml

n/a

589. Parasetamol tablet 500 mg

n/a

590. Parasetamol tetes 60 mg/0,6 mL

FASIDOL

591. Pegylated interferon alfa-2a inj 135 mcg/0,5 ml

Pegasys

592. Pegylated interferon alfa-2a inj 180 mcg/0,5 ml

Pegasys

593. Pegylated Interferon alfa-2b serb inj 100 mcg



Pegintron Pen 120 Mcg


Pegintron



597. Perak sulfadiazin krim 1%

BURNAZIN 35 GR

598. Perindoprilarginin tab 5 mg

Bioprexum 5 mg

599. Permetrin krim 5%

Scabimite Cream 10

600. Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)

n/a

601. Pioglitazon tab 15 mg

DECULIN 15 MG

602. Pioglitazon tab 30 mg

DECULIN 30 MG

603. Pirantel suspensi 125 mg/5 ml

n/a

604. Pirantel tablet score (base) 125 mg

n/a

605. Pirazinamid tablet 500 mg

n/a

606. Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl)

n/a

607. Piridoksin (vitamin B6) inj 100 mg/mL

n/a

608. Polikresulen cairan

Aptil

609. Povidon Iodida larutan 10% 1000 ml

n/a


n/a


n/a


n/a

613. Pramipeksol tab ER 0,375 mg

Sifrol ER 0,375mg

614. Pramipeksol tab ER 0,750 mg

Sifrol ER 0,750mg

615. Pravastatin tablet 20 mg

n/a

616. Prednison tablet/kapsul/kaplet 5 mg

n/a

617. Primakuin tablet 15 mg

n/a

618. Probenesid tablet/kapsul/kaplet 500 mg

Probenid

619. Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial

n/a

620. Propanolol tablet 10 mg ( HCl )

n/a

621. Propiltiourasil tablet/kapsul/kaplet 100 mg

n/a

585. Paklitaksel inj 300 mg/vial

622. Propofol injeksi i.v., bolus 1%

Fresofol 1% MCT/LCT

623. Propranolol tablet 40 mg (HCl)

n/a

624. Quetiapin tab 200 mg

Seroquel XR 200 mg


Seroquel XR 300 mg


Seroquel XR 400 mg

627. Ramipril tablet 2,5 mg 628. Ramipril tablet 5 mg

Cardace 2.5mg 6x10 s tablet n/a

629. Ramipril tablet/kaplet/kapsul 10 mg

n/a

630. Ranitidin injeksi 25 mg/ml

n/a

631. Ranitidin tablet 150 mg

n/a

632. Retinol (Vitamin A) 100.000 IU

n/a

633. Retinol (Vitamin A) 200.000 IU kapsul lunak

n/a

634. Rifampisin tablet salut 450 mg

n/a

635. Rifampisin tablet/kapsul/kaplet 300 mg

n/a

636. Rifampisin tablet/kapsul/kaplet 600 mg

n/a

637. Ringer Laktat larutan infus

n/a

638. Risperidon tablet 1 mg

n/a


n/a


n/a

641. Rituksimab injeksi 10 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor Mabthera HK.02.02/Menkes/223/2014) 642. Rivaroksaban tab 10 mg Xarelto 10 mg 643. Rivaroksaban tab 15 mg

Xarelto 15 mg

644. Rivaroksaban tab 20 mg

Xarelto 20 mg

645. Rokuronium injeksi i.v. 50 mg/5ml

Esmeron

646. Ropinirol Tablet Salut 2 mg






649. Salbutamol cairan ih 0,1%

Ventolin Nebules

650. Salbutamol inhalasi/aerosol 100 mcg/dosis

Ventolin Inhaler

651. Salbutamol serb inh 200 mcg/kaps

Ventolin Rotacaps

652. Salbutamol serb inh 200 mcg/kaps + rotahaler

Ventolin Rotahaler

653. Salbutamol tablet 2 mg (sebagai Sulfat)

n/a

654. Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4%

n/a

655. Sefadroksil sirup kering 125 mg/5ml

n/a

656. Sefadroksil kapsul/kaplet 250 mg

n/a

657. Sefadroksil kapsul/kaplet 500 mg

n/a

658. Sefadroksil sir kering 250 mg/5 mL

n/a

659. Sefaleksin kapsul/kaplet 500 mg

n/a

660. Sefazolin serbuk injeksi 1 g/vial

n/a

661. Sefepim inj 1 g

n/a

662. Sefiksim kapsul/kaplet 100 mg

n/a

663. Sefiksim sirup kering 100 mg/ 5 ml

n/a

664. Sefoperazon inj 1 g

n/a

665. Sefotaksim injeksi 0,5 g

n/a

666. Sefotaksim injeksi 1 g

n/a

667. Seftazidim injeksi 1 g

n/a

668. Seftriakson serbuk injeksi 1 g/vial

n/a

669. Sefuroksim tablet/kapsul/kaplet 250 mg

Zinnat 250 mg

670. Sefuroksim serbuk injeksi 750 mg/vial

Sharox inj

671. Sefuroksim tab 500 mg

Zinnat 500

672. Sertralin tab 50 mg

Fatral

673. Setirizin sirup 5 mg/5 ml

n/a

674. Setirizin tablet 10 mg

n/a

675. Setuksimab infus 5 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) 676. Sevofluran ih, btl

Erbitux

677. Sianokobalamin (vitamin B12) injeksi 500 mcg

n/a

678. Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg

n/a

679. Siklofosfamid serbuk injeksi i.v. 1000 mg

CYCLOVID 1000


Cyclovid 200 mg


CYCLOVID 500

682. Siklosporin kaps 100 mg

684. Silostazol tablet/kapsul/kaplet 100 mg

Sandimmun Neoral 100mg Kap Sandimmun Neoral 25mg Kap Citaz

685. Simvastatin scored tablet 10 mg

n/a

686. Simvastatin tablet 20 mg

n/a

687. Siprofloksasin infus 2%

n/a

688. Siprofloksasin tablet 500 mg (sebagai HCl)

n/a

689. Sisplatin serbuk injeksi 10 mg

Cisplatin

690. Sisplatin serbuk injeksi 50 mg

Cisplatin

691. Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml

DBL Cytarabun

692. Spiramisin tablet 500 mg

n/a

693. Spironolakton tablet 100 mg

n/a

694. Spironolakton tablet 25 mg

n/a

695. Stavudin tablet/kapsul/kaplet 30 mg

n/a

696. Streptokinase injeksi 1,5 juta UI/vial

Streptase

697. Streptomisin serbuk injeksi i.v 1000 mg/ml

n/a

698. Sufentanil injeksi iv, epidural 5 mcg/ml 699. Sukralfat susp 500 mg/5 mL

Sufentanyl Injeksi iv.Epidural 5 mcg / ml Ulsafate

700. Sukralfat tab 500 mg

ULSIDEX

701. Takrolimus kaps 0.5 mg

Prograf

702. Takrolimus kaps 1 mg

Prograf

703. Tamoksifen tablet 20 mg

TAMOXIFEN EBEWE

704. Tamsulosin tab 0,2 mg

Harnal D

705. Tamsulosin tab 0,2 mg

Harnal D

706. Tamsulosin tab SR 0,4 mg

Harnal OCAS

707. Telbivudin tab 600 mg

Sebivo 600 mg Tab

708. Telmisartan tab 40mg

Micardis 40mg

683. Siklosporin kapsul lunak 25 mg

Sojourn

709. Telmisartan tab 80 mg

Micardis 80mg

710. Temozolamid kaps 100 mg

Temodal

711. Temozolamid kaps 20 mg

Temodal

712. Tenofovir tab 300 mg

n/a

713. Teofilin tab SR 300 mg

Rethapyl

714. Teofilin tablet 150 mg

Bronsolvan

715. Terazosin HCl tablet/kapsul/kaplet 1 mg

HYTROZ 1MG

716. Terazosin HCl tablet/kapsul/kaplet 2 mg

HYTROZ 3MG

717. Terbutalin cairan ih 2,5 mg/mL

Bricasma Respules

718. Terbutalin tablet 2,5 mg

Molasma Tablet

719. Terbutalin turbu (serbuk ih) 0,50 mg 720. Testoteron soft capsul 40 mg

Bricasma Turbuhaler 0,5 mg Andriol Testocaps

721. Tetrakain HCl tetes mata 0,5%

Pantocain 0.5%

722. Tetrasiklin kapsul/kaplet 250 mg

n/a

723. Tetrasiklin tablet/kapsul/kaplet 500 mg

n/a

724. Tiamazol tab 10 mg

Thyrozol 10

725. Tiamazol tab 5 mg

Thyrozol 5

726. Timolol tetes mata 0,25%

Isotic Adretor 0,25%

727. Timolol tetes mata 0,5%

Isotic Adretor 0,5%

728. Tiotropium 18 mcg refill 729. Tiotropium kaps 18 mcg + handihaller

Spiriva powder for inhalation 18mcg 30s Spiriva 10s + Handihaler

730. Tramadol injeksi 50 mg/ml

n/a

731. Trastuzumab serbuk injeksi 440 mg/vial (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) 732. Travoprost tetes mata 0,004%

Herceptin

733. Triamsinolon asetonid nasal spray 55 mcg/puff

Nasacort AQ

734. Triamsinolon inj 10 mg/mL

Flamicort

735. Trifluoperazin tablet 5 mg

n/a

736. Tropikamid tetes mata 1%

Cendo Mydriatil 1%

737. Urea krim 10%

Soft U Derm

738. Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 739. Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 740. Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 741. Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes)) 742. Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes)) 743. Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes)) 744. Vaksin BCG Kering (BF) (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 745. Vaksin BCG Kering (BF) (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes)) 746. Vaksin Campak Kering (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 747. Vaksin Campak Kering (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes))

BCG Vaccine (GS)

Travatan

BCG Vaccine (SII) BCG Vaccine SSI BCG Vaccine (SII) BCG Vaccine SSI BCG Vaccine (GS) n/a n/a n/a n/a

748. Vaksin DTP-HB-Hib (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 749. Vaksin DTP-HB-Hib (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes)) 750. Vaksin Hepatitis B Rekombinan (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 751. Vaksin Hepatitis B Rekombinan (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes)) 752. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 753. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes)) 754. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 755. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes)) 756. Vaksin Meningitis Meningokokus

Pentabio

757. Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)

Imovax Polio

758. Vaksin Poliomyelitis Oral (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 759. Vaksin Poliomyelitis Oral (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes)) 760. Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster

n/a

761. Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster

Verorab

762. Vaksin TT (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi (DIPA Kemkes)) 763. Vaksin TT (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes)) 764. Valasiklovir tablet/kapsul/kaplet 500 mg

n/a

765. Valgansiklovir tab 450 mg

Valcyte

766. Valproat sirup 250 mg/5 ml

Ikalep

767. Valproat tab SR 250 mg

Depakote ER 250 mg

768. Valproat tab SR 500 mg

Depakote ER 500 mg

769. Valproat tablet salut 250 mg

Depakote Tab 250 mg

770. Valsartan tab 80 mg

Diovan 80mg Tab

771. Valsartan tab 160 mg

DIOVAN 160 MG

772. Vankomisin serbuk injeksi 500 mg/vial

Vancep

773. Verapamil tab 240 mg

Isoptin 240 mg

774. Verapamil tablet 80 mg (HCl)

n/a

775. Vinblastin serbuk injeksi 10 mg

Vinblastine

776. Vinkristin serb inj i.v 2 mg/vial

Vincristine Kalbe

777. Vinkristin serbuk injeksi i.v. 1 mg

Vincristine Kalbe

778. Vinorelbin inj. 10 mg/ml

Navelbine injeksi 10

779. Vitamin B Kompleks tablet

n/a

780. Zidofudin 100 mg

n/a

781. Zidovudin 300 mg + Lamivudine 150 mg

n/a

782. Zinc drop 10 mg/mL

Zincpro Drops

783. Zinc sir 10 mg/mL

Zinkid

784. Zinc sir 20 mg/5 Ml

Zircum Kid Sirup

785. Zinc tablet dispersible20 mg

n/a

Pentabio n/a n/a n/a n/a n/a n/a Menveo

n/a Verorab

n/a Valvir

Nama Penyedia

Kemasan

PT. Kimia Farma PT. SmithKline Beecham Phamaceuticals PT Otsuka Indonesia PT. Widatra Bhakti PT. Dexa Medica PT. Dexa Medica PT. Indofarma PT. Holi Pharma PT. Ikapharmindo PT. Ikapharmindo PT. Dipa Pharmalab PT. Dipa Pharmalab PT. Dipa Pharmalab PT. Dipa Pharmalab PT. Dipa Pharmalab PT. Pertiwi Agung PT. Bernofarm PT. Dexa Medica PT. Kimia Farma PT. Kimia Farma PT. Boehringer Ingelheim PT. Cendo Industri Farmasi PT. Sanbe Farma PT. Lucas Djaja PT. Marin Liza Farmasi PT. Erela PT. Aventis Pharma PT. Darya Varia PT. Indofarma PT. Pertiwi Agung PT. Pertiwi Agung PT. Novapharin PT. Bernofarm PT. Holi Pharma PT. Novapharin PT. Bernofarm PT. Aventis Pharma PT. Ferron Par Pharmaceuticals PT. Bayer Indonesia PT. Bayer Indonesia PT. Bayer Indonesia PT. Ferron Par Pharmaceuticals

1 blister@24 tablet


Injeksi 100 IU/ml, Flexpen disposibl

Dus, 3 Blister @ 10 kapsul

Harga Satuan Terkecil (Rp) 1,375.00 27,500.00

Dus, 120 ampul PE @ 25ML

2,200.00

Btl @ 1000 ml

7,500.00


990.00


780.00

Dus, 10 dus @ 1 botol @ 10 ml Dus, 5 strip @ 6 tablet

3,849.00 344.00

Vial 100 ml

750,000.00

Vial 50 ml

345,000.00

botol @ 100 ml

1,525,456.00

botol @ 20 ml

321,552.00

botol @ 50 ml

732,727.00

botol @ 250 ml

900,000.00

botol @ 50 ml

283,000.00


86.00


199.50


380.00

Ktk 10x10 tablet

214.00

Ktk 10x10 tablet

233.00

Dus, 1 vial@50mg + 1 vial pelaru

3,800,000.00

Distributor

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

tube 3.5 gr

18,500.00 Download

Vial 2 ml

50,500.00 Download

dus 30 ampul @10 ml

200,000.00

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

85,345.00

Download

3,823.00

Botol @ 100 tablet salut selaput

90.00

Btl @ 100 tablet

80.00

Dus, 6 ampul @ 3 ml strip

12,480.00 1,200.00


112.00


330.00


187.00

dus 10 X 10'S

211.00


272.00

Dus, Botol 60 ml

4,070.00

btl @ 60 ml

2,445.00

Dus, 10 vial @ 1 g

5,100.00


85,000.00

Injeksi 100 IU/ml, Flexpen disposibl

106,000.00


102,990.00

Penfill cartridge

97,500.00


82,495.00

Dus, vial 10 ml

PT. Aventis Pharma


79,165.00

Download

PT. Bayer Indonesia

Penfill cartridge

79,167.00

Download

PT. AstraZeneca indonesia PT. Promedrahardjo Farmasi Industri


32,000.00 75.00

Download Download

PT. Erela

Botol @ 60 ml

2,160.00

Download

PT. Indofarma

Dus, 25 tube @ 5 g

2,516.00

Download

PT. Kimia Farma

DUS, 10 SUPP @ 2 GRAM

3,045.00

Download

PT. Kimia Farma PT. Kimia Farma PT. Meprofarm

ktk 10 x 10 tablet

520.00

Btl 100 tablet

135.00

Download Download Download

PT. Kimia Farma PT. Pharma Laboratories PT. Phapros, Tbk PT. Mersifarma Tirmaku Mercusana PT. Kimia Farma PT. Kimia Farma PT. Dexa Medica PT. Marin Liza Farmasi PT. Boehringer Ingelheim PT. Afifarma PT. Bernofarm PT. Sanbe Farma PT. Bernofarm PT. Novartis Indonesia PT. Sanbe Farma PT. Indofarma PT. Sampharindo Perdana PT. Widatra Bhakti PT. Zenith Pharmaceuticals PT Kalbe Farma PT. Pratapa Nirmala PT. Glaxo Wellcome Indonesia PT. Ethica Industri Farmasi PT. Indofarma PT. Cendo Industri Farmasi PT. Cendo Industri Farmasi PT. Soho Industri Pharmasi PT. Kimia Farma PT. Soho Industri Pharmasi PT. Rama Emerald Multi Sukses PT. Phapros, Tbk PT. Phapros, Tbk

Dus 6 amp @ 1ml

22,000.00

Dus, 1 Vial @ 60 mg + 1 Ampul Pe

38,999.00



1,500.00

Dus @ 10 X 10 's

116.00

KOTAK @ 10 x 10 TAB

148.00

ktk 10x10 tablet

159.00


95.00


84.00

Botol @ 100 tablet

48.00

Boks, 1 ampul

2,209,000.00

dus, 10 blister @ 10 kapsul

158.00

Dus, 10 blister @ 10 kaptab ss

112.00

Strip Dus, 10 ampul @ 5 ml Dus, 1 vial plastik @ 5ml Tube 3,5 gram Dus, 10 blister @ 10 tablet Dus, 5 strip @ 10 tablet 10.000 UI/Vial

1,815.00 Download 2,950.00 900,000.00

237.00 336.00 1,039,500.00 190.00

strip

700.00

Dus, 5 ampul @ 2.5 ml 100 AMPUL @ 1 ML Dus, 10 strip @ 10 tablet

Download Download

24,750.00 Download



Download Download Download Download Download Download Download Download Download Download Download

352.00 20,000.00 1,350.00 74.00

Download Download Download Download Download Download Download Download Download

Botol 5ml

13,500.00 Download

Botol 5ml

13,500.00 Download

botol @ 60 ml

34,400.00 Download

Download

ktk 2x10 tablet

4,500.00

Strip

3,333.00 Download

Dus @ 50 gram

1,250.00

Ds 10 vial x 1,2 Jt IU

9,800.00

10 vial @ 2.400.000 IU

13,400.00


PT. Abbott Indonesia PT. Combiphar PT. Kimia Farma PT. Sanbe Farma PT. Boehringer Ingelheim

Vial

PT. AstraZeneca indonesia PT. AstraZeneca indonesia PT. Sanbe Farma PT. Boehringer Ingelheim PT. Merck Tbk PT. Pratapa Nirmala PT Kalbe Farma PT. Caprifarmindo PT. AstraZeneca indonesia PT Otsuka Indonesia PT. AstraZeneca indonesia PT. AstraZeneca indonesia


117,600.00

PT. AstraZeneca indonesia PT. Dexa Medica PT. Pratapa Nirmala PT. Boehringer Ingelheim PT. Boehringer Ingelheim PT. Tempo Scan Pacific PT. Novell Pharmaeutical Laboratories PT. Novartis Indonesia PT. Novartis Indonesia PT. Sydna Farma PT. Sydna Farma PT. Novartis Indonesia PT. Indofarma PT. Bernofarm PT. Merck Sharp Dohme Pharma Tbk PT. Ifars Pharmaceutical Laboratories PT. Dexa Medica PT. Kimia Farma PT. Actavis Indonesia PT. Indofarma PT. Actavis Indonesia PT. Kimia Farma PT. Holi Pharma PT. Phapros, Tbk PT. Pratapa Nirmala PT. Yarindo Farmatama PT. Indofarma


110,500.00

3,200,000.00


3,600.00

Tube 5 gr

1,520.00

botol @ 5 ml


25,106.00 Download 4,803,697.00

Download


72,400.00


45,000.00

Download Download

Dus, 1 vial @ 4 ml

Supp

6,045.00 Download

1 Box @ 6's

4,990.00


746.00

Box 3 X 10 tab

645.00

Vial

304,000.00

Box 3 x 10'S

247,089.00

Dus, 1 Turbuhaler @ 100 dosis Unit, 200 dosis Dus, 4 pak @ 5 respules @ 2 ml

93,000.00 106,000.00 8,900.00

Dus, 5 ampul @ 4 ml

25,600.00

ampul

30,800.00


12,936.00


12,936.00

vial @ 20 ml

305,000.00

vial

275,000.00


76,000.00


150,000.00

Dus, Botol @ 500ml Dus, Botol @ 100 tablet Dus, 10 vial @ 500mg Dus, 100 ampul @ 1 ml Dus, 10 blister @ 10 tablet Dus, 1 Blister @ 28 tablet

25,300.00 Download 112,000.00 1,580.00 67.50

5,700.00 9,983.00

Dus Tube 10 gram

9,818.00


11,525.00 4,180.00 16,748.00


45.00


136.00

Dus @ 30 Ampul Box @ 5 ampul 2 mL Box 10 X 10 Tab Dus, 10 strip @ 10 tablet


70,000.00 Download

Kotak, tube @ 15 gram



2,600,000.00 Download

Dus, tube @ 5 g



1,050.00 22,000.00 97.00 134.00

Download Download Download Download Download Download Download Download Download Download Download Download


10 vial @ 50mg

127,667.00

Download

PT. Pratapa Nirmala PT. Tanabe Indonesia PT. Tanabe Indonesia PT. Kimia Farma PT. Cendo Industri Farmasi PT. Bayer Indonesia

Vial 5 mL

46,667.00

Download Download Download Download

PT. Dipa Pharmalab PT. Pfizer Indonesia PT. Pfizer Indonesia PT. Yarindo Farmatama PT Kalbe Farma PT. Actavis Indonesia

ampul @ 5 ml

PT. Novapharin PT. Novapharin PT. Bernofarm PT. Dipa Pharmalab PT. Sanbe Farma PT. Kimia Farma

btl @ 60 ml

PT. SmithKline Beecham Phamaceuticals PT. Kimia Farma PT. Bernofarm PT. Pfizer Indonesia PT. Aventis Pharma PT. Aventis Pharma PT. Aventis Pharma PT. Phapros, Tbk PT Kalbe Farma

Dus, Botol Plastik @ 30 Tablet

Vial @ 25 ml

500,000.00

PT. Sanbe Farma PT. Gracia Pharmindo PT. Gracia Pharmindo PT. Kimia Farma PT. Indofarma PT. Phyto Kemo Agung Farma PT Kalbe Farma PT. Soho Industri Pharmasi PT Kalbe Farma PT. Boehringer Ingelheim PT SUNTHI SEPURI PT. Kimia Farma PT. Indofarma PT. Novapharin PT. Merck Sharp Dohme Pharma Tbk

Dus, 1 vial @5 ml

128,000.00 Download


3,667.00


4,015.00

Botol Plastik @ 100 tablet botol 15 ml ampul

104.00

37,500.00 Download 124,955.00

Download

26,700.00

Download Download Download Download Download Download


3,480.00


5,480.00

Box @ 10 strip 10 kapsul vial @ 5 ml Dus, 1 vial @ 50 mg

dus 10 X 10'S Dus, botol @ 10 ml ampul @ 5 ml

270.00 59,000.00 258,000.00 3,333.00 167.00 15,600.00 9,840.00


Dus, 1 vial @0,5 ml+ 1 vial pelaru

970,200.00 Download

Dus @ 5 vial

455,000.00

Download

7,100.00


Botol 30 tab

6,375.00

Ampul @ 1 ml

12,990.00


42,600.00


40,740.00


71,875.00


100,000.00

Dus @ 30 Ampul

Dus 3 strip @ 10 Flash tablet Dus, Botol Plastik @ 100 mL

8,100.00

650.00 8,000.00

ktk 10 x 10 kapsul

497.00


930.00

Botol @60 ml

7,700.00


vial/ampul (Prefilled Syringe)

275,000.00

Dus, 6 prefilled syrenge @ 0.5 ml

133,875.00 Download

Prefilled Syringe @ 1ml

128,000.00

Boks, 6 ampul

139,500.00

dus, 1 blister @ 28 kaptab salut gu

Download Download

82,000.00 Download

ktk 20 x 10 tablet

314.00


451.00


btl @ 100 ml

2,500.00

Dus, botol @ 100 tablet

1,360.00 Download

PT. Merck Sharp Dohme Pharma Tbk PT. Combiphar PT. Kimia Farma PT. Novartis Indonesia PT. Novartis Indonesia PT. Graha Farma PT. Graha Farma PT. Graha Farma

Dus, 1 blister @ 1 subdermal impla

128,779.00 Download

Vial 100mg/5ml

100,000.00

Dus, 1 vial @ 1000 IU+ 1 vial pel

8,500,000.00

Dus, 1 vial @ 500 IU+ 1 vial pelar

4,423,500.00

Dual, vial 500 IU

4,400,000.00

Download Download Download Download Download Download Download

PT. Graha Farma

Dus, vial @ 250 IU+ 1 vial pelar

2,095,000.00

Download

PT. Ferron Par Pharmaceuticals PT. Kimia Farma PT. Kimia Farma PT. Dipa Pharmalab PT. Graha Farma PT. Mersifarma Tirmaku Mercusana PT. Ikapharmindo PT. Mersifarma Tirmaku Mercusana PT. Phapros, Tbk PT. Indofarma PT. Hexpharm Jaya Laboratories PT. Hexpharm Jaya Laboratories PT. Phapros, Tbk PT. Actavis Indonesia PT. Phapros, Tbk PT. Boehringer Ingelheim PT. Boehringer Ingelheim PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma

KOTAK @ 1 VIAL SERBUK OBAT &

9,200,000.00

vial

1,133,000.00

vial

990,000.00

vial

2,150,000.00

500 IU

1,990,417.00

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

PT. Kimia Farma PT. Kimia Farma PT Kalbe Farma PT. Combiphar PT. Phapros, Tbk PT. Phapros, Tbk PT. Aventis Pharma PT. Aventis Pharma PT. Mersifarma Tirmaku Mercusana PT. Natura Laboratoria Prima PT. Pfizer Indonesia PT. Kimia Farma PT. Gracia Pharmindo PT. Dexa Medica PT. Sanbe Farma

Botol 10 ml

16,667.00


11,813.00


KOTAK @ 10 ampul Botol @ 100 KOTAK @ 10 ampul Dus @ 30 Ampul

23,250.00

20,250.00 133.00 20,250.00 1,800.00


220.00


1,075.00


1,375.00

Dus @ 10 X 10 's

290.00

Dus 45 x 12 tab

235.00

Dus @ 10 X 10 's

510.00

Box, canister 10mL

72,900.00

Dus, Canister 200 dosis

117,500.00

Dus 5 ampul@ 10ml

128,000.00

Dus 5 ampul@ 2ml

33,914.00

Dus @ 5 patch

80,000.00

Dus@ 5 patch

153,000.00

Dus@ 5 patch

285,000.00

pfs @ 0,5 ml

375,000.00

Box, isi 3 Strip @ 10 tab Dus @ 10 X 10 's dus @ 30 ampul Dus, 5 vial @ 50 mg Dus, 4 blister @ 5 tablet salut sela

2,950.00 630.00 3,417.00 1,248,319.00 275,000.00

Dus, 5 ampul @ 1ml

55,000.00

Dus, 1 Botol @ 100 mL

47,100.00

Blister ktk 1 x 10 kapsul

4,862.00 22,000.00

strip

419.00

DUS, 30 TABLET

410.00

botol @ 5 ml

Download Download Download Download Download Download Download Download Download Download Download Download Download Download

30,493.00 Download

PT Kalbe Farma PT Kalbe Farma PT. Ifars Pharmaceutical Laboratories PT. Ikapharmindo PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Dipa Pharmalab PT. Indofarma PT. Indofarma PT. Bayer Indonesia PT. Bayer Indonesia PT. Bayer Indonesia PT. Boehringer Ingelheim PT. Phapros, Tbk

vial @ 1 ml

24,500.00

vial @ 10 ml

33,000.00

PT. AstraZeneca indonesia PT. Indofarma PT. Indofarma PT. Bayer Indonesia PT. Sanbe Farma PT. Indofarma PT. Erela PT. Indofarma PT. Indofarma PT. Tempo Scan Pacific PT. Pradja Pharin PT. Darya Varia PT. Dexa Medica PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma PT. Pfizer Indonesia PT. Pfizer Indonesia PT. Tempo Scan Pacific


PT. Kimia Farma PT. Kimia Farma PT. Actavis Indonesia PT. Lucas Djaja PT. Widatra Bhakti PT. Widatra Bhakti PT. AstraZeneca indonesia PT. AstraZeneca indonesia PT. Indofarma

Dus 10x10

1,493.00

Dus 10x10

2,171.00

Btl @ 30 tablet

1,500.00

Glycerin 100 ml

5,333.00

botol @ 500 ml

5,700.00

botol @ 500 ml

5,200.00

Dus, Tube 5 g

2,400.00

Dus, tube @ 10 g

5,489.00

Dus, Botol 120 Dosis Spay

93,333.00

Dus, 2 flow wrap@ 5 nebules @ 1

12,917.00

Dus, 2 pfs 0.5 ml

241,667.00

dus, vial @ 250 ml

972,000.00

Dus, 25 ampul @ 2 ml Dus, 10 strip @ 10 tablet

1,829.00 85.00

Prefilled Syringe

275,000.00

Prefilled Syringe

412,500.00

Prefilled Syringe

2,570,000.00

Boks, 1 ampul Dus @ 100 Sachet

399,500.00 288.00 295,000.00


289.00


679.00

vial Dus, 1 vial @200 mg

1,098,900.00

3,399.00

Tube @ 3,5 gr

2,600.00

Dus, botol plastik 5 ml

3,194.00 56.00

Strip

242.00

Dus, 6 strip @ 10 tablet lepas lam

638.00

Box, 30 Tablet

5,500.00


950.00

ktk 5x10 tablet

265.00

ktk 5x10 tablet

436.00

ktk 5x10 tablet

404.00

ktk 5x10 tablet

430.00


3,207.00


3,000.00

1 box isi 5 ampul 10 ml

Dus, 1 syringe @ 10.8 mg Dus, 1 syringe @ 3.6 mg Dus, 10 blister @ 10 tablet


330,000.00 Download

Dus, 5 ampul @ 2 ml


Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

119,900.00

2,300,000.00 840,000.00 219.00

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

PT. Soho Industri Pharmasi PT. Mersifarma Tirmaku Mercusana PT. Indofarma PT. Indofarma PT. Indofarma PT. Mersifarma Tirmaku Mercusana PT. Mersifarma Tirmaku Mercusana PT. Dexa Medica PT. Pratapa Nirmala PT. Dipa Pharmalab PT. Kimia Farma PT. Marin Liza Farmasi PT. Kimia Farma PT. Dipa Pharmalab PT. Otto Pharmaceuticals PT. Cendo Industri Farmasi PT. Bayer Indonesia PT. Ferron Par Pharmaceuticals

Dus 5 Ampul@1mL

Dus, vial 10 ml

138,000.00

Download Download

PT. Bayer Indonesia

Dus, vial 10 ml

138,000.00

Download


Injeksi 100 IU/ml, penfill disposible

76,125.00

Download

PT. Sanbe Farma

penfillcartridge @ 3ml

75,000.00 Download

PT. Bayer Indonesia


76,125.00

Download

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

72,000.00

Download

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

72,000.00

Download

PT. Bayer Indonesia PT. Ferron Par Pharmaceuticals


76,125.00


76,125.00

Download Download

PT. Bayer Indonesia


76,125.00

Download


Dus, vial 10 ml

138,000.00

Download

PT. Bayer Indonesia PT. Bayer Indonesia PT. Ferron Par Pharmaceuticals

Dus, vial 10 ml

138,000.00

KOTAK @ 12 ampul

83,333.00 Download 6,250.00


59.00


96.00

Dus, 10 blister @ 10 tablet KOTAK @ 10 x 10 TAB BOTOL @ 15 ML Botol vial

69.00 126.00 16,500.00 641,500.00 42,900.00

Dus, 1 syringe @ 0.5 mL

1,328,000.00


149.00

tube @ 5 ml

2,570.00

Tube 5 gr

2,798.00

vial

5,400.00

box 5ampul @1 ml

4,500.00


Botol 5ml

18,000.00 Download


76,125.00


76,125.00


76,125.00


PT. Bayer Indonesia


76,125.00

Download

PT. Sanbe Farma

penfill cartridge @ 3ml

75,000.00 Download


Dus, vial 10 ml

138,000.00

Download

PT. Bayer Indonesia PT. Aventis Pharma

Dus, vial 10 ml

138,000.00

Download Download

PT. Dexa Medica PT. Indofarma PT. Indofarma

Prefilled syringe

170,000.00

Dus, botol 60 ml

3,499.00

Dus, botol 60 ml

4,499.00

Dus, 1 Vial @ 5 ml

72,000.00


PT. Yarindo Farmatama PT. Novapharin PT. Mugi Laboratories PT. Novartis Indonesia

botol @ 100 tablet

110.00

dus 10 X 10'S

150.00

PT. Tanabe Indonesia PT. Tanabe Indonesia PT. Dipa Pharmalab PT. Dipa Pharmalab PT. Dipa Pharmalab PT. Dipa Pharmalab PT. Dipa Pharmalab PT. Dipa Pharmalab PT. Bayer Indonesia PT. Bayer Indonesia PT. Bayer Indonesia PT. Bayer Indonesia PT. Boehringer Ingelheim PT. Boehringer Ingelheim


3,908.00


2,120.00

Dus, botol @ 100 ml

350,000.00

Dus, vial @ 30 ml

122,000.00

Dus, vial @ 50 ml

166,000.00

Dus, botol @ 100 ml

369,000.00

Dus, vial @ 30 ml

147,000.00

Dus, vial @ 50 ml

199,000.00

Botol

245,000.00

Botol

123,200.00

Botol

299,000.00

Botol

150,300.00

PT. Indofarma PT. Indofarma PT. Sanbe Farma PT. Pratapa Nirmala PT. Phyto Kemo Agung Farma PT. Phyto Kemo Agung Farma PT. Pratapa Nirmala PT. Indofarma PT. Kimia Farma PT. Tempo Scan Pacific PT. Merck Tbk PT. Tempo Scan Pacific PT. Ethica Industri Farmasi PT. Mersifarma Tirmaku Mercusana PT. Afifarma PT. Novell Pharmaeutical Laboratories PT. Hexpharm Jaya Laboratories PT. Dexa Medica PT. Dexa Medica PT. Boehringer Ingelheim PT. Indofarma PT. Errita Pharma PT. Indofarma PT. Novartis Indonesia


1,425.00


2,470.00

PT. Indofarma PT. Nicholas Laboratories Indonesia


245.00

Dus,botol 100 tablet

875.00

Dus, 1 vial @ 1 g Dus, 6 blister @ 10 tablet salut sel

1,329,163.00 211,000.00

Box, canister 10mL

80,000.00

Box, bottle 20mL

90,000.00


Dus, 1 vial @2 ml

510,000.00 Download

Botol 100 mL

270,000.00

Botol 100 tablet

65.00

Botol 100 tablet

158.00

vial

33,000.00


88.00


189.00

Strip

700.00

Dus, 10 strip @ 10 tablet Vial 50 mg/5 ml Ampul

1,580.00 82,000.00 7,800.00

Dus, 3 blister @10 kaplet

405.00

Dus,10 Strip @ 10 tablet

70.00

kantong 5 g

7,700.00

vial

5,000.00


4,900.00


3,100.00

Boks, 120 tablet

27,500.00


140.00


84.00


62.00

Dus, botol @ 120 ml

44,770.00

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

PT. Lucas Djaja

Fenol 100 mg / 1 ml

2,042.00

Download

PT. Tempo Scan Pacific PT. Tempo Scan Pacific PT Kalbe Farma PT. Guardian Pharmatama PT. Combiphar PT. Kimia Farma PT. Hexpharm Jaya Laboratories PT. Novell Pharmaeutical Laboratories PT. Ikapharmindo PT. Dexa Medica PT. Kimia Farma PT. Phapros, Tbk PT. Ifars Pharmaceutical Laboratories PT. Indofarma PT. Indofarma PT. Dexa Medica PT SUNTHI SEPURI PT. Boehringer Ingelheim PT. Kimia Farma PT. Hexpharm Jaya Laboratories PT. Bufa Aneka PT. Kimia Farma PT. Sanbe Farma PT. Bernofarm PT. Actavis Indonesia PT. Rama Emerald Multi Sukses PT. Phapros, Tbk PT. Phapros, Tbk PT. Mersifarma Tirmaku Mercusana PT. Phapros, Tbk PT. Mersifarma Tirmaku Mercusana PT. Mersifarma Tirmaku Mercusana PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma PT. Pratapa Nirmala PT. Pratapa Nirmala PT. Fresenius Kabi Combiphar PT. Boehringer Ingelheim PT. Triyasa Nagamas Farma

vial @ 15 ml

190,000.00

vial @ 45 ml

408,000.00


PT. Galenium Pharmasia Laboratories PT. Kimia Farma

Botol @ 60 ml

strip Vial @ 10 ml Box, isi 1 vial @ 10 ml

1,360.00

110,000.00 Download 60,300.00

tube 10 gr

2,569.00

tube 5 gr

2,850.00

Box isi 1 Tube @ 15 g

4,700.00

Botol 80 ml Dus, 5 Strip @ 10 tablet

28,000.00 300.00

dus 2 's @ 10 supp

2,722.00

Dus @ 12 Ampul

2,300.00

Dus, 3 Strip @ 10 Kaplet salut sela

3,200.00


361.00


553.00


900.00

dus, 2 strip @ 10 tablet Box, 10 ampoules @ 1mL Ktk 10X10 TAB


1,625.00 Download 30,600.00 184.00


Dus, 3 strip @ 10 tab

3,400.00

Box isi 24 tube @ 15 gram

3,524.00 Download

Tube 5 gr

1,600.00

vial

7,260.00 Download

Botol @ 60 ml

3,680.00

Dus, 10 Strip @ 10 Kapsul kotak,10strip@10 tablet

850.00 51.00

Dus @ 30 Ampul

1,100.00

Dus @ 30 Ampul

1,050.00

Kotak @ 10 x 10 tab 10 X 10

144.00 68.00

KOTAK @ 5 x 10 TAB

5,000.00

KOTAK @ 5 x 10 TAB

1,550.00

ktk 10x10 tablet

500.00

ktk 10x10 tablet

850.00

ktk 10x10 tablet

1,100.00

Btl @ 30 kapsul

2,500.00


3,950.00

Botol Plastik @ 500 ml

33,000.00

1 dus @ 20 vial

5,990.00

Vial

5,350.00

1 sase @30 tablet

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

12,450.00 Download 50.00

Download


botol 15 ml

PT. Novartis Indonesia PT. Novartis Indonesia PT. Abbott Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Kimia Farma


3,220.00

Dus, botol plastik @ 30 tablet salu

8,900.00

botol @ 120 tablet

6,100.00

PT. Holi Pharma


PT. Novapharin

btl @ 60 ml

PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma PT. Ikapharmindo PT. Kimia Farma PT. Kimia Farma PT. Takeda Indonesia PT. Indofarma PT. SmithKline Beecham Phamaceuticals PT. Finusolprima Farma Internasional PT Otsuka Indonesia

ktk 60 tablet

Dus, Botol 120 Dosis

15,750.00 Download

2,089.00


152.00

Download

2,350.00

Download

670.00

90,667.00


100,833.00


113,333.00



67,200.00

botol 500 ml

56,300.00

Softbag 500 ML

56,300.00


PT Otsuka Indonesia

Softbag 500 ML

37,500.00

Download

PT Otsuka Indonesia


115,500.00

Download

PT Otsuka Indonesia


61,600.00

Download

PT Kalbe Farma

botol 500 mL

75,350.00

Download


Botol Gelas 100 ml

36,667.00

Download


Botol Gelas 250 ml

50,820.00

Download

PT Otsuka Indonesia

Softbag 200 ML

46,000.00

Download

PT Otsuka Indonesia

Softbag 500 ML

65,000.00

Download

PT. Fresenius Kabi Combiphar PT. Finusolprima Farma Internasional

Botol Gelas 500 ml

78,720.00

botol 250 ml

51,260.00

Download Download


botol 500 ml

64,900.00

Download

PT Kalbe Farma

botol 500 mL

42,000.00

Download

PT Kalbe Farma

botol 250 mL

46,000.00

Download



295,240.00

Download

ktk 100 amp @ 2 ml ktk 10 x 10 tablet

6,200.00 540.00

Botol 60 ml

14,500.00

Botol 30 tab

2,000.00

Botol 60 tablet

1,400.00

Serbuk vial Dus, 2 strip @ 10 kapsul

82,042.00 473.00



343,842.00

Download

PT. Phapros, Tbk

Bag Double chamber (Dua compar

322,000.00

Download

PT. Phapros, Tbk

Bag Double chamber (Dua compar

218,700.00

Download

PT Otsuka Indonesia PT. Widatra Bhakti PT Otsuka Indonesia

Ampoel 25 ML

2,050.00

Botol 1000 ml

8,000.00


9,000.00


PT Otsuka Indonesia PT Kalbe Farma

Plastic Bottle 500 ML flexybag 250 mL

87,000.00

Download Download

PT. Phapros, Tbk

LDPE (Low Density Poly Ethilene), b

12,650.00

Download

PT Kalbe Farma

botol 500 mL

50,500.00

Download

PT Kalbe Farma

Flexy bag 500 mL

42,350.00

Download

PT Otsuka Indonesia PT Otsuka Indonesia


29,167.00


55,500.00

Download Download

PT Kalbe Farma

botol 500 mL

37,500.00

Download

PT Kalbe Farma


210,000.00

Download

PT Kalbe Farma


199,000.00

Download

PT Kalbe Farma

botol 500 mL

56,000.00

Download

PT. Widatra Bhakti

Botol 500 ml

9,500.00

Download

PT. Widatra Bhakti

Botol 500 ml

6,800.00

Download

PT. Widatra Bhakti

Botol 500 ml

6,917.00

Download

PT. Widatra Bhakti

Botol 500 ml

7,700.00

Download

PT. Widatra Bhakti

Botol 500 ml

7,700.00

Download

PT. Sanbe Farma

softbag 500ml

PT. Widatra Bhakti

Botol 500 ml

6,930.00

Download

PT Otsuka Indonesia


9,167.00

Download

PT Otsuka Indonesia


10,000.00

Download

PT Otsuka Indonesia


10,000.00

Download

PT. Phapros, Tbk

20%, Botol Kaca @100 ml, single b

105,500.00

Download

PT. Fresenius Kabi Combiphar PT. Phapros, Tbk

Botol Gelas 100 ml

60,500.00

20%, Botol Kaca @250 ml, single b

210,000.00

Download Download

PT. Phapros, Tbk

Bag, 3 chamber ( 3 kompartemen)

591,000.00

Download

9,000.00

35,750.00 Download

PT. Phapros, Tbk


511,000.00

Download

PT. Phapros, Tbk


358,000.00

Download

PT. Cendo Industri Farmasi PT. Pfizer Indonesia PT. Aventis Pharma

strip 5 x 0.6 ml

PT. Novartis Indonesia PT. Takeda Indonesia PT. Takeda Indonesia PT. Takeda Indonesia PT. Infion Pharmaceutical PT. Promedrahardjo Farmasi Industri PT. Erela PT. Merck Tbk PT. Merck Tbk PT. Bernofarm PT. Indofarma PT. AstraZeneca indonesia PT. AstraZeneca indonesia


PT. Novell Pharmaeutical Laboratories PT. Novell Pharmaeutical Laboratories PT. Mersifarma Tirmaku Mercusana PT. Mersifarma Tirmaku Mercusana PT. Ifars Pharmaceutical Laboratories PT. Promedrahardjo Farmasi Industri PT. Mersifarma Tirmaku Mercusana PT. Mersifarma Tirmaku Mercusana PT. Novell Pharmaeutical Laboratories PT Otsuka Indonesia PT Otsuka Indonesia PT. Finusolprima Farma Internasional PT. Soho Industri Pharmasi PT. Mersifarma Tirmaku Mercusana PT. Kimia Farma PT. Taisho Pharmaceutical Indonesia Tbk PT. Pfizer Indonesia PT SUNTHI SEPURI PT. Glaxo Wellcome Indonesia PT. Bernofarm PT. Bernofarm PT. Mugi Laboratories PT. Kimia Farma PT. Bernofarm PT. Bernofarm


600.00


350.00

72,000.00 Download

dus, Botol @ 2,5 ml

127,000.00

Dus, 1 vial @ 263 mcg + 1 prefille

550,000.00 17,500.00

Vial

700,000.00

Vial

2,700,000.00

Vial

500,000.00

Box, 1 Botol @ 100 ml Dus, 5 Strip@10 Tablet Btl @ 5 ml

40,000.00 528.00 13,068.00


850.00


719.00


839.00


1,363.00

Dus, 10 syringe @ 10 g

40,000.00

Dus,Botol @ 50 ml (500 dosis)

142,000.00

KOTAK @ 10 x 10 TAB

1,050.00

KOTAK @ 10 x 10 TAB

1,850.00

Dus, 10 Strip @ 10 Tablet Dus, 5 Strip@10 Tablet

89.00 154.00

KOTAK @ 10 x 10 TAB

685.00

KOTAK @ 10 x 10 TAB

1,341.00

ampul

52,000.00


2,800.00


3,500.00

botol 500 ml

62,000.00

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

Strip

1,200.00 Download

KOTAK @ 5 x 10 TAB

3,276.00

Dus @ 5 vial

473,000.00

Download Download

Dus,24 Catch @ 1 tablet

7,140.00 Download


6,125.00

dus, 3 blister @ 10 tablet

2,500.00 Download

Box, Tablet 2 mg/25's

12,210.00

Dus, 1 vial @ 1 g

54,000.00

Dus, 1 vial @ 0,5 g

44,960.00

Dus, 15 Ampul

74,998.00

Botol 1000 ml

254,100.00


112.50


197.50

Download Download Download Download Download Download Download Download

PT. Actavis Indonesia PT. Kimia Farma PT. Ethica Industri Farmasi PT. Novartis Indonesia PT. Novartis Indonesia PT. Dexa Medica PT. Phapros, Tbk PT. Mahakam Beta Farma PT. Natura Laboratoria Prima PT. Dexa Medica PT. Meprofarm PT. Molex Ayus PT. Kimia Farma PT Kalbe Farma PT. Sandoz Indonesia PT. Sandoz Indonesia

Dus, 10 Strip @ 10 tablet salut sel

800.00

ktk 10 x 10 tablet salut

154.00

PT. Natura Laboratoria Prima PT. Kimia Farma PT. Ifars Pharmaceutical Laboratories PT. Aventis Pharma PT. Phyto Kemo Agung Farma PT. Phyto Kemo Agung Farma PT. Kimia Farma PT. Kimia Farma PT. Boehringer Ingelheim PT. Combiphar PT. Boehringer Ingelheim PT. Kimia Farma PT. Phapros, Tbk PT. Tempo Scan Pacific PT. Guardian Pharmatama PT. Kimia Farma PT. Mahakam Beta Farma PT. Mahakam Beta Farma PT. Mahakam Beta Farma PT. Kimia Farma PT. Pratapa Nirmala PT. Widatra Bhakti PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Pratapa Nirmala PT Otsuka Indonesia PT. Novell Pharmaeutical Laboratories PT. Phapros, Tbk

ampul @ 1 ml

2,750.00

Dus, botol plastik @ 30 kapsul pel

6,537.00


1,950.00

Dus, 1 Vial @125mg + 1 ampul pe

19,200.00

Dus @ 1 vial

93,393.00

Strip

635.00

Dus, 10 Blister @ 10 Tablet

205.00


300.00

Dus, Botol 10 ml

5,280.00

BOTOL 60 ML

2,600.00

ktk 10 x 10 tablet

108.00

vial @ 2 ml

35,750.00

Box 10 ampul @ 1 ml

21,120.00

Box, bottle @ 50 tab

1,680.00

Dus, 1 Botol @ 100 ml

9,950.00

dus 1 's @ 5 ovula

3,850.00

Dus, botol 60ml

4,100.00

Dus, 2 blister @ 5 suppositoria

3,220.00

10 strip @ 10 tab

110.00

10 strip @ 10 tab

160.00

vial

1,925,000.00

Dus @ 5 vial

1,237,500.00

Boks 5 amp Dus,1 vial@50mg Boks, 50 tablet

12,060.00 260,000.00 16,000.00

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

Tube 10 gram

3,000.00

Btl @ 500 ml

72,000.00


77,000.00

tube 10 gram

17,820.00 Download

Dus 10 amp @ 1 ml

8,400.00


15,620.00


22,990.00


41,470.00

Botol 30 tablet

1,300.00

Box @ 5 ampul

13,200.00

Botol 500 ml

4,700.00


54,144.00


66,640.00


94,962.00

Dus, 5 Ampul @ 2ml

61,600.00

Ampoel 25 ML

6,200.00

Box ,5 Blister @ 10 tablet

200.00

Dus @ 5 X 10 's

133.00


PT. Combiphar PT. Combiphar PT. Ifars Pharmaceutical Laboratories PT. Molex Ayus PT. Pharma Health Care PT. Kimia Farma PT. Bayer Indonesia PT. Bayer Indonesia PT. Dexa Medica PT. Pratapa Nirmala PT. Novartis Indonesia

Botol, 133 ml

39,950.00

Botol, 45 ml

33,900.00

PT. Phapros, Tbk PT. Phapros, Tbk PT. Kimia Farma PT. Bayer Indonesia PT. Phapros, Tbk PT. Kimia Farma PT. Kimia Farma PT. Indofarma PT. Indofarma PT. Indofarma PT. Pratapa Nirmala PT Kalbe Farma PT. Novell Pharmaeutical Laboratories PT. Novell Pharmaeutical Laboratories PT. Aventis Pharma PT. Aventis Pharma PT. Merck Tbk PT. Merck Tbk PT. Ethica Industri Farmasi PT. Novartis Indonesia PT. Bayer Indonesia PT. Sandoz Indonesia PT. Sandoz Indonesia PT. Tempo Scan Pacific PT. Natura Laboratoria Prima PT. Novapharin PT. Indofarma PT. Yarindo Farmatama PT. Yarindo Farmatama PT Kalbe Farma

Dus @ 10 X 10 's

640.00

Dus @ 10 X 10 's

480.00

PT Kalbe Farma

Set


Dus, tube @ 5 g

6,475.00

Tube 5 gr

6,490.00

Box, isi 5 ampul @ 1 ml

9,500.00 Download

btl 60 tablet

2,800.00

blister

2,999.00

blister

3,500.00

Dus, 10 Strip @ 10 tablet salut sel Box @ 1 vial Dus, 2 blister @ 14 kapsul

Dus 5 amp @ 8 ml

100.00 66,000.00 380,875.00

1,902,240.00


219,540.00

Download

53,900.00

blister

2,618.00

Paket

359,900.00

Paket

1,199,990.00

Paket

214,990.00

Paket@84 tablet

160,000.00

Dus, 1 dus @ 60 blister @ 8 tablet

288,199.00

Dus, 60 sachet tahap intensif @ (1

171,195.00

Box @ 5 ampul

80,000.00

Btl @ 5 ml

48,500.00


400.00


650.00

Dus, 1 vial @ 20 ml

1,100,000.00

Dus, 1 vial @ 10 ml

550,000.00

botol @ 10 ml

27,550.00

botol 15 ml

29,000.00

ampul @ 1 ml Dus, vial @ 355m + 1 prefilled syr Vial

2,200.00 2,950,000.00 120,000.00

3 X 10 fcc

6,450.00

3 X 10 fcc

11,200.00


68,000.00

Dus, 1 Vial @ 40 mg

36,000.00

dus 10 X 3'S Dus, 5 Ampul @ 2ml

211.00 2,400.00

Box 3 X 10 Tab

716.00

Box 3 X 10 Tab

1,189.00

Transfer Set: Set; Ultaclam: Kanto


PT Kalbe Farma

Larutan Dialisa 1.5 %: 2.000 ml; L

5,522,580.00

Download



984,000.00

Download



3,000,000.00

Download

PT. Actavis Indonesia PT. Indofarma PT. Afifarma PT. Imfarmind Farmasi industri PT. Ifars Pharmaceutical Laboratories PT. Boehringer Ingelheim PT. Boehringer Ingelheim PT. Merck Sharp Dohme Pharma Tbk PT. Merck Sharp Dohme Pharma Tbk PT. Merck Sharp Dohme Pharma Tbk PT. Merck Sharp Dohme Pharma Tbk PT. Darya Varia PT. Pradja Pharin PT. Galenium Pharmasia Laboratories PT. Kimia Farma PT. Dexa Medica PT. Dexa Medica PT. Holi Pharma PT. Holi Pharma PT. Holi Pharma PT. Kimia Farma PT. Ikapharmindo PT. Pratapa Nirmala PT. Afifarma PT. Afifarma PT. Afifarma PT. Kimia Farma PT. Boehringer Ingelheim PT. Boehringer Ingelheim PT. Novell Pharmaeutical Laboratories PT. Holi Pharma PT. Phapros, Tbk PT. Dexa Medica PT. Bernofarm PT. Dexa Medica PT. Indofarma

Vial 6mg/ml (30mg/5ml)

274,560.00


Dus, 15 botol

5,200.00

botol 60 ml

1,438.00

Dus, 10 strip @ 10 kaptab Dus, botol @ 15 ml

89.00 6,450.00

Boks, 1 pfs

1,077,815.00

Boks, 1 pfs

1,248,220.00

Dus, 1 vial 100 mcg + 1 ampul pel Dus, 1 prefilled syringe (serbuk i

973,500.00 Download 1,135,000.00 Download

Dus, 1 vial 50 mcg + 1 ampul pela

915,000.00 Download

Dus, 1 vial 80 mcg + 1 ampul pela

915,810.00 Download

tube @ 35 gram Dus, botol plastik @ 30 tablet salu

23,000.00 2,420.00

Download Download

Tube @ 10 g

11,475.00 Download

Ktk 10 ampx2ml

14,500.00

30 TAB/BOX

3,120.00

30 TAB/BOX

4,525.00

Botol 60 ml

8,360.00


298.00


208.00


110.00

Ampul 1 ml

1,000.00

Dus, Botol @ 10ml

17,393.00

botol @ 1000 ml

37,109.00

botol @ 30 ml

2,163.00

botol @ 300 ml

14,203.00

btl 60 ml

5,998.00


7,200.00


11,268.00


2,300.00


114.00

Dus,10 blister @10 tablet

205.00


1,650.00

Vial @ 3 juta IU

7,190.00

Dus, 10 Strip @ 10 tablet Botol @ 100 Tablet

65.00 319.00

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

PT. Fresenius Kabi Combiphar PT. Holi Pharma PT. AstraZeneca indonesia PT. AstraZeneca indonesia PT. AstraZeneca indonesia PT. Pharma Health Care

Ampul


995.00 Download

PT. Dexa Medica PT. Novell Pharmaeutical Laboratories PT. Natura Laboratoria Prima PT. Dexa Medica PT. Kimia Farma PT. Lucas Djaja PT. Indofarma PT. Indofarma PT. Indofarma PT. Widatra Bhakti PT. Dexa Medica PT. Mersifarma Tirmaku Mercusana PT. Dexa Medica PT. Boehringer Ingelheim

Dus, 10 Strip @ 10 kaptab

580.00

PT. Bayer Indonesia PT. Bayer Indonesia PT. Bayer Indonesia PT. Merck Sharp Dohme Pharma Tbk PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Yarindo Farmatama PT. Marin Liza Farmasi PT. Holi Pharma PT. Hexpharm Jaya Laboratories PT. Bernofarm PT. Holi Pharma PT. Ifars Pharmaceutical Laboratories PT. Dexa Medica PT. Novell Pharmaeutical Laboratories PT. Dexa Medica PT. Ifars Pharmaceutical Laboratories PT. Holi Pharma PT. Hexpharm Jaya Laboratories

Blister

23,500.00

Blister

23,500.00

Blister

23,500.00

Dus, 10 vial @ 5 ml

46,539.00 Download

16,236.00


107.00


17,391.00


19,500.00


23,185.00


1,013.00


1,140.00

Dus, 10 Strip @ 10 tablet salut sel

120.00

Botol 50 kapsul lunak

260.00

Botol 50 Kapsul

459.00


789.00


610.00

Dus, 10 strip @10 kaptab

1,100.00

botol 500 ml

5,200.00


1,200.00

KOTAK @ 5 x 10 TAB

1,008.00


2,000.00

Dus, 1 vial @ 10 ml

3,164,805.00

Dus, 7 blister @ 4 Tablet lepas La

5,248.00


6,275.00


7,383.00

Dus, 4x5 Botol [email protected] ml

6,600.00

Dus, botol 200 dosis Dus, 10 Blister @ 10 Kapsul

63,750.00 431.00

Dus, 1 Rotahaler

5,867.00

strip @ 10 tablet

59.00

Pot @ 30 gram

2,000.00

Dus, Botol 60 ml

4,896.00

strip

513.00


509.00

Dus, Botol 60 ml

5,940.00


1,000.00

Dus, 2 Vial @ 1 gram

16,500.00

vial

43,000.00

Dus, 5 Strip @ 10 kapsul

850.00

Dus, Botol 30 ml

8,800.00

Dus, 2 vial @ 1 g

12,775.00

vial

4,997.00

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

PT. Natura Laboratoria Prima PT. Hexpharm Jaya Laboratories PT. Natura Laboratoria Prima PT. Glaxo Wellcome Indonesia PT. Pratapa Nirmala PT. Glaxo Wellcome Indonesia PT. Pratapa Nirmala PT. Indofarma PT. Pertiwi Agung PT. Merck Tbk

Dus, 10 Vial @ 1 g

Dus, 1 vial @ 20 ml

3,650,000.00

PT. Pratapa Nirmala PT. Lucas Djaja PT. Afifarma PT. Novell Pharmaeutical Laboratories PT. Novell Pharmaeutical Laboratories PT. Novell Pharmaeutical Laboratories PT. Novartis Indonesia

tabung/botol

1,320,000.00


43,000.00




12,000.00

Download

PT. Dankos Farma PT. Natura Laboratoria Prima PT. Natura Laboratoria Prima PT. Dexa Medica PT. Bernofarm PT Kalbe Farma PT Kalbe Farma PT. Tempo Scan Pacific PT. Indofarma PT. Dexa Medica PT. Dexa Medica PT. Kimia Farma PT. Dexa Medica PT. Phapros, Tbk PT. Kimia Farma

strip

PT. Combiphar PT. Dexa Medica PT. Combiphar PT. Combiphar PT. Sandoz Indonesia PT. Combiphar PT. Combiphar PT. Combiphar PT. Novartis Indonesia PT. Boehringer Ingelheim

Botol, 100 ml

Dus, 2 vial @ 1 g

2,950.00 17,060.00

Dus, 10 Vial @ 1 g

3,300.00

Dus, 1 Blister @ 10 Tablet salut se

4,752.00

Box @ 2 vial

52,800.00

Dus, 1 Blister @ 10 Tablet salut se

7,200.00

strip @ 10 tab

3,300.00

Botol @ 60 ml

7,999.00

Box, 10 strips @ 10 capsules

100 ampul @ 1 ml Dus, 10 Strip @ 10 tablet

181.00

1,077.00 57.00

Vial

256,000.00

vial

82,000.00

Vial

120,000.00

7,000.00 Download


169.00


391.00

Vial 200 ml Dus, 10 blister @ 10 tab ss

13,000.00 255.00

vial

22,000.00

vial

93,000.00

dus, 1 vial @ 10 ml Dus, 5 strip @ 10 tablet

575,000.00 1,499.00


900.00


315.00

Botol @ 60 tablet

930.00

Vial Dus @ 56 Vial dus 5 amp @ dus 10

DUS, 10 STRIP @ 10 TAB

3,290,000.00 3,650.00 127,000.00 13,425.00 424.00

Pounch @ 5 blister @ 10 capsule

11,167.00

Dus, 1 pouch @5 blister@10 kaps

21,500.00

Botol @30tablet

2,654.00

Box @ 2 blister @ 14 tablet

5,800.00

Box/ 2 blister @ 14 tablet

5,800.00


6,800.00


28,500.00

Dus, 2 alu-blister @10 tablet

Download Download Download Download Download Download Download Download Download Download

3,900.00


PT. Boehringer Ingelheim PT. Merck Sharp Dohme Pharma Tbk PT. Merck Sharp Dohme Pharma Tbk PT. Kimia Farma PT. Kimia Farma PT Kalbe Farma PT. Dexa Medica PT. Dexa Medica PT. AstraZeneca indonesia PT. Molex Ayus PT. AstraZeneca indonesia

Box, 2 blisters @10 tablets

PT. Merck Sharp Dohme Pharma Tbk PT. Cendo Industri Farmasi PT. Holi Pharma PT. Afifarma PT. Merck Tbk PT. Merck Tbk PT. Pratapa Nirmala PT. Pratapa Nirmala PT. Boehringer Ingelheim


PT. Boehringer Ingelheim PT. Natura Laboratoria Prima PT. Boehringer Ingelheim

Dus, 1 blister @10 kapsul + handih

PT. Tempo Scan Pacific PT. Aventis Pharma PT. Dexa Medica PT. Darya Varia PT. Cendo Industri Farmasi PT. Galenium Pharmasia Laboratories PT. Bio Farma

botol, tetes mata 2,5 ml

20 ds / amp / vial

59,950.00

Download

PT. Bio Farma

20 ds / amp / vial

59,950.00

Download

PT. Bio Farma

20 ds / amp / vial

59,950.00

Download

PT. Bio Farma

20 ds / amp / vial

70,521.00

Download

PT. Bio Farma

20 ds / amp / vial

70,521.00

Download

PT. Bio Farma

20 ds / amp / vial

70,521.00

Download

PT. Bio Farma

20 ds / amp / vial

59,950.00

Download

PT. Bio Farma

20 ds / amp / vial

70,521.00

Download

PT. Bio Farma

10 ds / vial

28,204.00

Download

PT. Bio Farma

10 ds / vial

33,176.00

Download

6,500.00

Download


1,120,000.00 Download


223,000.00 Download

Botol 30 tab

8,100.00

Dus 10-s @ 10 Kaptab

1,050.00

strip

250.00


1,669.00


2,949.00

Dus, 2 pak @ 5 respules

6,250.00

Box 50's Dus, 1 Turbuhaler @ 200 dosis

botol 5 ml Dus, 10 strip @ 10 kapsul DUS,10 STRIP @ 10 KAPSUL

99.00 71,100.00

6,200.00 Download 11,500.00 Download 149.00 300.00


1,135.00


563.00

Dus, Botol Plastik @ 5ml Dus, Botol Plastik @ 5ml Box, 3 blisters @10 capsules

Dus, 10 Ampul @ 2 ml Dus, 1 vial @ 440 mg + 1 vial pel

9,128.00 9,722.00 13,867.27 152,543.00 2,395.00 19,608,034.00 115,000.00

Dus, botol plastik 120 dosis

90,000.00

Dus,1 vial@ 5ml

65,500.00

strip Botol 5ml tube


405.00


36,500.00 Download 6,400.00 Download

PT. Bio Farma

5 ds / vial

76,285.00

Download

PT. Bio Farma

5 ds / vial

89,738.00

Download

PT. Bio Farma

1 ds / pouch

20,900.00

Download

PT. Bio Farma

1 ds / pouch

24,585.00

Download

PT. Bio Farma

10 ds / vial

17,798.00

Download

PT. Bio Farma

10 ds / vial

20,933.00

Download

PT. Bio Farma

10 ds/ vial

16,500.00

Download

PT. Bio Farma

10 ds/ vial

19,404.00

Download

PT. Novartis Indonesia PT. Aventis Pharma PT. Bio Farma

Dus, 1 dosis @ (1 vial serbuk injeks

307,400.00

1 vial of 10ml (10 d's)

285,000.00

10 ds/ vial

19,954.00


PT. Bio Farma

10 ds/ vial

23,474.00

Download

PT. Bio Farma PT. Bio Farma PT. Bio Farma

Dus, 1 vial@ 1dosis + 1 Syringe

78,000.00

Dus, 1 vial@ 1dosis + 1 Syringe

78,000.00

10 ds/ vial

14,498.00


PT. Bio Farma

10 ds/ vial

17,050.00

Download

PT. Soho Industri Pharmasi PT. Boehringer Ingelheim PT. Ikapharmindo PT. Abbott Indonesia PT. Abbott Indonesia PT. Abbott Indonesia PT. Novartis Indonesia PT. Novartis Indonesia PT. Pratapa Nirmala PT. Abbott Indonesia PT. Kimia Farma PT. Combiphar PT Kalbe Farma PT Kalbe Farma PT. Mugi Laboratories PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma PT. Combiphar PT. Indofarma PT. Meprofarm PT. Kimia Farma

5 strip @ 10 kaptab Boks, 60 tablet Botol 120 ml

5,390.00 Download 170,000.00 40,000.00

Tablet

2,793.00

Tablet

5,450.00

Tablet salut 250 mg

1,680.00

DUS, 3 ALU-ALU STRIP @ 10 tablet

3,900.00

DUS, 3 ALU-ALU STRIP @ 10 tablet

6,500.00

Box @ 2 vial Tablet Ktk 10X10 TAB Vial 10mg/10ml

122,000.00 6,200.00 234.00 210,000.00

vial @ 2 ml

77,000.00

vial @ 1 ml

45,000.00

Dus, 1 vial @ 1 ml Dus 10 strip x 10 tab Botol 60 Kapsul Botol 60 tablet

1,229,998.00 107.00 1,575.00 3,429.00

Drops 10 mg/ml, Botol @15 ml

12,840.00

Dus, botol @ 100 ml

14,980.00

Dus, botol 60 ml ktk 10 x 10 tablet

7,400.00 473.00

Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download Download

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Tanggal Berlaku Harga

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3/18/2014 20:03

3/15/2014 16:05 3/16/2014 18:23

4/27/2015 18:36 3/15/2014 16:05 9/28/2014 21:46 3/15/2014 16:05 3/18/2014 20:03 7/21/2014 21:09 3/15/2014 16:05 4/3/2014 21:30 4/23/2015 15:45 4/23/2013 10:24 3/16/2014 18:23 3/15/2014 16:05 9/28/2014 21:46 3/16/2014 18:23 3/15/2014 16:05 3/15/2014 16:05 4/3/2014 21:30 3/16/2014 18:23 1/5/2015 14:07 4/23/2015 15:45 3/16/2014 18:23 4/23/2015 15:45 4/23/2013 10:24 12/5/2014 22:08 12/5/2014 22:08 3/15/2014 16:05 3/15/2014 16:05 3/18/2014 20:03 3/15/2014 16:05 4/23/2013 10:24 4/23/2013 10:24

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3/16/2014 19:08 3/15/2014 16:05 9/28/2014 21:46 9/28/2014 22:55

4/3/2014 21:30 3/16/2014 18:23 1/5/2015 14:07 7/21/2014 21:09 4/23/2013 10:24 7/21/2014 21:09 3/16/2014 19:08 4/3/2014 21:30 12/5/2014 22:08 4/3/2014 21:30 3/16/2014 19:08 4/3/2014 21:30 7/21/2014 21:08 7/21/2014 21:09 5/21/2014 20:01 5/21/2014 20:01 9/5/2014 23:17 7/21/2014 21:09 3/16/2014 19:08 3/16/2014 19:08 4/3/2014 21:30 4/3/2014 21:30 4/3/2014 21:30 3/15/2014 16:05 3/15/2014 16:05 8/6/2014 18:35 9/28/2014 21:46 3/16/2014 19:30 4/23/2015 15:45 9/28/2014 21:46 3/15/2014 16:05 9/28/2014 21:46 1/5/2015 14:07 3/15/2014 16:05 3/15/2014 16:05 9/28/2014 21:46 4/23/2013 10:24 4/23/2013 10:24

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3/15/2014 16:05


3/18/2014 20:03


4/3/2014 21:30

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3/18/2014 20:03 3/18/2014 20:03 1/5/2015 14:07 4/3/2014 21:30 9/28/2014 21:46

3/16/2014 18:23 3/16/2014 18:23 1/5/2015 14:07 3/16/2014 18:23 3/16/2014 18:23

4/23/2013 10:24 3/15/2014 16:05 7/21/2014 21:09 4/3/2014 21:30 8/6/2014 18:35

6/16/2014 19:59 7/21/2014 21:08 4/3/2014 21:30 3/18/2014 20:03 3/18/2014 20:03 3/18/2014 20:03 3/15/2014 16:05 3/16/2014 18:23

3/16/2014 19:08 4/3/2014 21:30 4/23/2013 10:24 4/23/2013 10:24 3/15/2014 16:05 9/28/2014 21:46 9/28/2014 21:46 5/21/2014 20:01 4/3/2014 21:30 10/19/2015 18:57 4/23/2013 10:24 4/23/2013 10:24 3/15/2014 16:05 8/6/2014 18:35


3/24/2014 14:34

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4/23/2015 15:45


4/3/2014 21:30


3/16/2014 18:23 3/18/2014 20:03 3/16/2014 19:08 3/16/2014 19:08 4/27/2015 18:36 4/27/2015 18:36 12/11/2014 2:12

9/28/2014 21:46 9/28/2014 21:46 9/28/2014 21:46 10/9/2015 18:21 3/15/2014 16:05 4/23/2013 10:24 7/21/2014 21:08 4/23/2013 10:24 4/23/2015 15:45 3/18/2014 20:03 3/18/2014 20:03 3/15/2014 16:05 4/3/2014 21:30 3/15/2014 16:05 8/6/2014 18:35 4/3/2014 21:30 3/18/2014 20:03 3/18/2014 20:03 4/3/2014 21:30 3/18/2014 20:03 3/18/2014 20:03 3/16/2014 18:23 7/21/2014 21:09 4/23/2013 10:24 8/6/2014 18:35 4/3/2014 21:30 4/3/2014 21:30 3/16/2014 19:08 3/15/2014 16:05 9/28/2014 21:46 3/15/2014 16:05 3/16/2014 18:23 3/16/2014 18:23 9/28/2014 21:46


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3/16/2014 18:23 3/16/2014 18:23 8/19/2015 18:52 3/18/2014 20:03 3/18/2014 20:03 3/18/2014 20:03 8/6/2014 18:35 4/23/2013 10:24 4/23/2013 10:24 8/6/2014 18:35 8/6/2014 18:35 8/6/2014 18:35 4/3/2014 21:30 3/15/2014 16:05

4/23/2013 10:24 4/23/2013 10:24 3/16/2014 18:23 4/3/2014 21:30 4/23/2013 10:24 3/16/2014 18:23 3/15/2014 16:05 3/15/2014 16:05 3/16/2014 18:23 4/3/2014 21:30 12/5/2014 22:08 3/15/2014 16:05 4/23/2013 10:24 4/23/2013 10:24 4/23/2013 10:24 4/23/2013 10:24 1/5/2015 14:07 1/5/2015 14:07 4/28/2015 11:39 4/3/2014 21:30 4/3/2014 21:30 3/18/2014 20:03 3/18/2014 20:03 4/23/2013 10:24 4/23/2013 10:24 4/3/2014 21:30 4/3/2014 21:30 4/23/2013 10:24

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3/18/2014 20:03 9/28/2014 21:46 4/23/2013 10:24 4/23/2013 10:24 4/23/2013 10:24 3/16/2014 18:23 10/24/2014 21:14 3/18/2014 20:03 7/21/2014 21:09 5/22/2014 14:25 4/23/2015 15:45 4/23/2013 10:24 4/23/2013 10:24 9/28/2014 21:46 3/18/2014 20:03 12/5/2014 22:08 4/27/2015 18:36 4/3/2014 21:30

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4/27/2015 18:36

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4/3/2014 21:30

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4/3/2014 21:30


4/3/2014 21:30

4/3/2014 21:30

4/3/2014 21:30

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