E-KATALOG OBAT 2014 No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Nama Obat Generik Generik
ACT ACT (Arte (Artesun sunate ate tabl tablet et 50 mg mg + Amodi Amodiaqu aquin inee anhy anhydri dri n/a Albenda Albendazol zol suspens suspensii 200 200 mg/5 mg/5 ml n/a Albenda Albendazol zol table tablet/k t/kapsu apsul/ka l/kaplet plet 400 mg n/a Alopuri Alopurinol nol table tablet/k t/kapsu apsul/k l/kaple aplett 100 mg mg n/a Alprazo Alprazolam lam table tablet/k t/kapsu apsul/k l/kaple aplett 0,25 mg n/a Alprazo Alprazolam lam table tablet/k t/kapsu apsul/k l/kaple aplett 0,5 mg n/a Alprazo Alprazolam lam table tablet/k t/kapsu apsul/k l/kaple aplett 1 mg mg n/a Amikasin injeksi 250 mg/ml Glybotic 250 mg /ml Amin Aminofi ofilin lin injek injeksi si 24 mg/ mg/ml ml n/a Aminofil Aminofilin in tablet tablet scored scored 200 mg n/a Amiodaron injeksi 150 mg/3 ml Cordarone Amiodaron tablet/kaplet 200 mg Kendaron Tablet Amitript Amitriptilin ilin table tablett salut salut 25 mg (HCl) n/a Amlod Amlodipi ipin n table tablett 10 mg n/a Amlod Amlodipi ipin n table tablett 5 mg n/a Amoksisi Amoksisilin lin kapsul kapsul/ka /kaplet plet 250 250 mg n/a Amoksisilin Amoksisilin kapsul/kaplet/tab kapsul/kaplet/tablet let scored 500 mg n/a Amoksisi Amoksisilin lin sirup sirup kering kering forte forte 250 mg/5 mg/5 ml n/a Amoksisi Amoksisilin lin sirup sirup kering kering 125 125 mg/ 5 ml n/a Analog insulin rapid actinginj 100 UI/ml, Apidra Solostar 100IU/ml 5pens x3ml vial/cartridge disposible/penfill cartridge (Insulin Antasida DOEN I tablet kunyah, kombinasi : n/a Aluminium Hidroksida 200 mg Magnesium Antasida DOEN II suspensi, kombinasi : Aluminium n/a Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 n/a IU/g Polimiksin 10.000 IU/g Antimalaria DOEN kombinasi : Pirimetamin 25 mg n/a Sulfadoksin 500 mg
25 Antimig Antimigren: ren: Ergota Ergotamin min Tartrat Tartrat 1 mg + Kofein 50 mg 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78
Nama Dagang Dagang
Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg Artemether injeksi 80 mg/ml Asam Asam Askorbat Askorbat (Vita (Vitamin min C) table tablett 50 mg Asam Asam Folat tablet tablet/ka /kapsul psul/ka /kaplet plet 1 mg Asam Asam Mefenamat Mefenamat kapsu kapsul/ka l/kaplet plet 500 500 mg Asam pipemidat kapsul 400 mg Asam Asam traneksa traneksamat mat injeks injeksii 100 mg/ml mg/ml Asiklovir salep mata 3% Asiklov Asiklovir ir tablet/k tablet/kapsu apsul/k l/kaple aplett 200 mg Asiklov Asiklovir ir tablet/k tablet/kapsu apsul/k l/kaple aplett 400 mg Atapulgit tablet 600 mg Atrakurium injeksi 25 mg/2,5 ml Atropin Atropin Sulfat Sulfat tablet tablet 0,5 mg Azitromi Azitromisin sin sir sir kering kering 200 mg/ mg/ 5 mL Azitromi Azitromisin sin tablet tablet 500 mg Azitromi Azitromisin sin tablet tablet 250 mg Bedak Bedak salis salisil il serbuk serbuk 2% Benzatin Benzatin Benzil Benzil Penisilin Penisilin 1,2 juta IU/ vial vial Benzatin Benzatin Benzil Benzil Penisilin Penisilin 2,4 juta juta IU/vial IU/vial Beractant injeksi / suspensi 25 mg/mL Beraprost sodium tablet 20 mcg Beraprost sodium tablet 20 mcg Betameta Betametason son krim krim 0,1% (sebagai (sebagai Valerat Valerat)) Bisakodil suppositoria 10 mg Bromokriptin tablet 2,5 mg Deksame Deksametaso tason n injeksi injeksi i.v./i.m. i.v./i.m. 5 mg/ml mg/ml Deksame Deksametaso tason n table tablett 0,5 mg Desoksim Desoksimetas etason on krim 0,25% Difenhi Difenhidrami dramin n injeksi injeksi i.v./i.m. i.v./i.m. 10 mg/ml (HCl) Digok Digoksin sin tabl tablet et 0,25 0,25 mg Diltiaz Diltiazem em HCl HCl table tablett 30 mg Diltiazem injeksi 25 mg/5 mL Dimenhi Dimenhidrin drinat at table tablett 50 mg Doksazosin mesilat tablet 1 mg Doksazosin mesilat tablet 2 mg Doks Doksor orub ubis isin in serb serbuk uk inje injeks ksii i.v i.v.. 10 10 mg mg/via /viall Doks Doksor orub ubis isin in serb serbuk uk inje injeks ksii i.v i.v.. 50 50 mg mg/via /viall Domperido Domperidon n suspensi suspensi/sir /sirup up 5 mg/5 mg/5 ml Domper Domperido idon n table tablett 10 mg Domperido Domperidon n tetes tetes 5 mg/mL mg/mL Enoksaparin sodium inj 20 mg/0,2 mL Enoksaparin sodium inj 40 mg/0,4 mL Enoksaparin sodium inj 60 mg/0,6 mL Epinefrin (Adrenalin) (Adrenalin) injeksi injeksi i.v/s.k./i.m 1 mg/ml Epirubisin serb injeksi 50 mg/25ml Ergo Ergoka kals lsif ifer erol ol (vi (vita tami min n D3/D D3/D2) 2) kap kapsu sull 50.0 50.000 00 UI UI Eritromis Eritromisin in kapsul kapsul/ka /kaplet plet 250 250 mg Eritromis Eritromisin in kapsul kapsul/ka /kaplet plet 500 500 mg Eritromis Eritromisin in sirup sirup kering kering 200 mg/ 5 ml ml Etambuto Etambutoll tablet tablet 250 mg (HCl) (HCl) Etambuto Etambutoll tablet tablet salut salut 500 mg mg (HCl) (HCl) Etanol Etanol 70% caira cairan n Etoposid injeksi 20 mg/ml
Nama Penyedia Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
1 blister@24 tablet Dus, 10 dus @ 1 botol @ 10 ml Dus, 5 strip @ 6 tablet Box, 10 strips @ 10 tablets Dus, 10 Strip @ 10 tablet Ktk 10x10 tablet Ktk 10x10 tablet Vial 2 ml dus 30 ampul @10 ml Botol @100 Tablet Dus, 6 ampul @ 3 ml strip Dus, 10 strip @ 10 tss Box, 3 strips @ 10 tablets Box, 3 strips @ 10 tablets strip KOTAK @ 10 x 10 TAB Dus, Botol 60 ml btl @ 60 ml
1,375.00 3,849.00 344 86 380 214 233 50,500.00 3,822.00 80 12,480.00 1,200.00 112 330 187 211 261 4,070.00 2,445.00
PT. Aventis Pharma
dus, 5 solostar pen @ 3ml
79,165.00
PT. Erela
Dus, 10 Strip @ 10 Tablet
72
PT. Erela
Botol @ 60 ml
2,160.00
PT. Indofarma
Dus, 25 tube @ 5 g
2,516.00
PT. Kimia Farma
ktk 10 x 10 tablet
520
n/a
PT. Kimia Farma
Btl 100 tablet
135
Levopar Tablet
PT. Meprofarm
Dus, 5 strip @ 10 tablet
Artem n/a n/a n/a Urotractin 400 mg n/a Temiral Eye Oint n/a n/a Pularex Tracrium n/a n/a n/a n/a n/a n/a n/a Survanta Dorner Dorner 20 µg n/a Stolax supp Cripsa tab n/a n/a n/a n/a n/a n/a Farmabes Injeksi 25 mg n/a Cardura 1mg Cardura 2mg Doxo Doxoru rubi bici cin n Act Actav avis is 10 mg Doxo Doxoru rubi bici cin n Act Actav avis is 50 mg n/a n/a n/a Lovenox 2000 ANTI-XA Lovenox 4000 ANTI-XA Lovenox 6000 ANTI-XA n/a Epirubisin Kalbe D-Vi D-Vitt FT n/a n/a n/a n/a n/a n/a Posyd
PT. Kimia Farma
PT. Kimia Farma PT. Indofarma PT. Holi Pharma PT. Pertiwi Agung PT. Dexa Medica PT. Kimia Farma PT. Kimia Farma PT. Sanbe Farma PT. Lucas Djaja PT. Erela PT. Aventis Pharma PT. Darya Varia PT. Indofarma PT. Pertiwi Agung PT. Pertiwi Agung PT. Novapharin PT. Mersifar Mersifarma ma PT. Holi Pharma PT. Novapharin
PT. Kimia Farma PT. Marin Liza Farmasi PT. Bernofarm PT. Sanbe Farma PT. Hexpharm Jaya Laboratories PT. Sanbe Farma PT. Indofarma PT. Sampharindo Perdana PT. Zenith Pharmaceuticals PT. Glaxo Wellcome Indonesia PT. Indofarma PT. Soho Industri Pharmasi PT. Kimia Farma PT. Soho Industri Pharmasi PT. Rama Emerald Multi Sukses PT. Phapros, Tbk PT. Phapros, Tbk PT. Abbott Indonesia PT. Combiphar PT. Combiphar PT. Kimia Farma PT. Sanbe Farma PT. Caprifarmindo PT. Indofarma PT. Promedrahardjo Farmasi Industri PT. Dexa Medica PT. Phapros, Tbk PT. Yarindo Farmatama PT. Indofarma PT. Pratapa Nirmala PT. Kimia Farma PT. Pfizer Indonesia PT. Pfizer Indonesia PT. Actavis Indonesia PT. Actavis I ndonesia PT. Novapharin PT. Novapharin PT. Bernofarm PT. Aventis Pharma PT. Aventis Pharma PT. Aventis Pharma PT. Phapros, Tbk PT Kalbe Farma PT. Gracia Pharmindo PT. Kimia Farma PT. Indofarma PT. Phyto Kemo Agung Farma PT. Kimia Farma PT. Indofarma PT. Novapharin PT. Combiphar
Dus 6 amp @ 1ml Dus 10 strip x 10 tab Botol @ 100 tablet Dus, 10 blister @ 10 kaptab ss Strip Dus, 10 ampul @ 5 ml Tube 3,5 gram Dus, 10 blister @ 10 tablet Dus, 5 strip @ 10 tablet Dus 5 strip @ 10 tablet Dus, 5 ampul @ 2.5 ml Dus, 10 strip @ 10 tablet botol @ 60 ml ktk 2x10 tablet Strip Dus @ 50 gram Dus @ 10 Vial Dus @ 10 Vial Vial Box @ 3 blister @ 10 Tablet Box/ 3 blister @ 10 Tablet Tube 5 gr Supp Box 3 x 10'S Dus, 100 ampul @ 1 ml STRIP Kotak, tube @ 15 gram Dus @ 30 Ampul Box 10 X 10 Tab Dus, 10 strip @ 10 tablet Vial 5 mL Btl 100 tablet Dus, 5 blister @10's tab Dus, 5 blister @10's tab Dus, 1 vial @ 10 mg Dus, 1 vial @ 50 mg btl @ 60 ml strip Dus, botol @ 10 ml dus, 2 prefilled syringe @ 0,2 ml dus, 2 prefilled syringe @ 0,4 ml dus, 2 prefilled sy syringe @ 0, 0,6 ml ml Dus @ 30 Ampul Vial @ 25 ml Dus 3 strip @ 10 Flash tablet ktk 10 x 10 kapsul Dus, 10 blister @ 10 kss Botol @60 ml ktk 20 x 10 tablet Dus, 10 strip @ 10 tss btl @ 100 ml Vial 100mg/5ml
1,500.00 22,000.00 95 48 112 1,815.00 3,334.00 24,750.00 237 336 190 20,000.00 74 34,400.00 4,500.00 3,333.33 1,250.00 9,800.00 13,400.00 3,200,000.00 3,600.00 3,600.00 1,520.00 6,045.00 247,089.00 1,580.00 62 9,983.00 1,050.00 97 134 46,667.00 104 3,480.00 5,480.00 55,500.00 258,000.00 3,333.00 167 15,600.00 40,740.00 71,875.00 100,000.00 8,100.00 500,000.00 650 497 930 7,700.00 314 451 2,500.00 1 00,000.00
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 No
Eugenol cairan Fenitoin injeksi 50 mg/ml Fenitoin kapsul/kaplet 100 mg Fenobarbital injeksi i.m./i.v. 50 mg/ml Fenofibrat kaps 100 mg Fenofibrat kaps 300 mg Fenoksimetil penisilin (penisilin V) tablet 250 mg Fenoksimetil penisilin (penisilin V)tablet 500 mg Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml Fentanil patch 25 mcg/jam Fentanil patch 50 mcg/jam Filgrastim inj 300 mcg/mL Filgrastim inj 300 mcg/mL Fitomenadion (Vit.K1) tablet salut gula 10 mg Flufenazin injeksi i.m. 25 mg/ml Flukonazol injeksi 2 mg/ml Flukonazol tablet/kapsul 150 mg Fluoksetin tablet 10 mg Fluoksetin tablet 20 mg Fluorourasil inj 250 mg/mL Fluorourasil inj 500 mg/ 5 mL Nama Obat Generik
101 Flusinolon asetonid krim 0,025% 102 Flutikason furoat intranasal spray 103 Flutikason propionat nebules 0,5 mg 104 Fondaparinuks inj 2,5 mg/0,5 mL 105 Furosemid injeksi i.v./i.m. 10 mg/ml 106 Furosemid tablet 40 mg 107 Gemfibrozil kapsul/kaplet 300 mg 108 Gemfibrozil tablet 600 mg 109 Gemsitabin inj 1000 mg/vial 110 Gentamisin injeksi 40 mg/ ml 111 Gentamisin salep mata 0,3% 112 Gentamisin tetes mata 0,3% 113 Glibenklamid tablet 5 mg 114 Gliklazid tab 80 mg 115 Glikuidon tab 30 mg 116 Glimepiride tablet 1 mg 117 Glimepiride tablet 2 mg 118 Glimepiride tablet 3 mg 119 Glimepiride tablet 4 mg 120 Gliseril trinitrat tab sublingual 0,5 mg 121 Gliserin lar 50% 122 Glukosa larutan infus 10 % steril 123 Glukosa larutan infus 5 % steril 124 Griseofulvin tablet 125 mg 125 Haloperidol inj 50 mg/mL 126 Haloperidol tablet 0,5 mg 127 Haloperidol tablet 5 mg 128 Haloperidol tablet 1,5 mg 129 Haloperidol tablet 2 mg 130 Hiosin butilbromid injeksi 20 mg/ml 131 Ibuprofen sirup 100 mg/5 ml 132 Ibuprofen suspensi 200 mg/5 ml 133 Ibuprofen tablet 400 mg 134 Irbesartan tab 150 mg 135 Irbesartan tab 300 mg 136 Isosorbid Dinitrat tablet sublingual 5 mg 137 Kandesartan tab 16 mg 138 Kandesartan tab 8 mg 139 Kaptopril tablet 50 mg 140 Kaptopril tablet scored12,5 mg 141 Karbamazepin tablet 200 mg 142 Karbogliserin tetes telinga 10% 143 Ketamin injeksi i.v. 100 mg/ml 144 Ketokonazol krim 2% 145 Ketokonazol krim 2% 146 Ketokonazol tablet 200 mg 147 Ketorolac injeksi 30 mg/ml 148 Klaritromisin tab 500 mg 149 Klindamisin kapsul/kaplet 150 mg 150 Klindamisin kapsul/kaplet 300 mg 151 Klobazam tab 10 mg 152 Klonidin tablet 0,15 mg 153 Klopidogrel tab 75 mg 154 Kloramfenikol salep mata 1 % 155 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 156 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 157 Kodein tablet 10 mg 158 Kodein tablet 15 mg 159 Kodein tablet 20 mg
n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Durogesic 25 MU Matrix Durogesic 50 MU Matrix Leucogen Zarzio n/a Sikzonoate Injeksi n/a n/a Foransi 10 NOPRES Curacil Curacil
PT. Mersifarma PT. Ikapharmindo PT. Phapros, Tbk PT. Hexpharm Jaya Laboratories PT. Hexpharm Jaya Laboratories PT. Phapros, Tbk PT. Phapros, Tbk PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma PT Kalbe Farma PT. Sandoz Indonesia PT. Phapros, Tbk PT. Mersifarma PT. Natura Laboratoria Farma PT. Kimia Farma PT. Gracia Pharmindo PT. Dexa Medica PT Kalbe Farma PT Kalbe Farma
Nama Dagang SYNARCUS Avamys Flixotide Nbules Arixtra n/a n/a n/a n/a Gemzar 1000 mg n/a Genoint Salep Mata n/a n/a GLUCODEX n/a n/a n/a n/a n/a Nitral Gliserin lar 50% n/a n/a n/a Haldol Decanoas n/a n/a n/a Lodomer 2 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Karbogliserin tetes telinga 10% KTM n/a n/a n/a n/a ORIXAL n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a
160 Kombinasi suspensi : Parafin + gliserin + fenolftalein Laxadine Emulsi 60 ml Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg n/a Asam folat 0,25 mg Kombinasi: Salmeterol 25 mcg; Flutikason propionat 162 Seretide Inhaler 50 mcg 50 mcg 161
PT. Kimia Farma
Nama Penyedia PT. Ifars PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Indofarma PT. Indofarma PT. Indofarma PT. Indofarma PT. Bayer Indonesia PT. Indofarma PT. Erela PT. Indofarma PT. Indofarma PT. Dexa Medica PT. Dexa Medica PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma PT. Actavis Indonesia PT. Lucas Djaja PT. Widatra Bhakti PT. Widatra Bhakti PT. Phapros, Tbk PT. Soho Industri Pharmasi PT. Indofarma PT. Indofarma PT. Indofarma PT. Mersifarma PT. Otto Pharmaceuticals PT. Indofarma PT. Indofarma PT. Novapharin PT. Indofarma PT. Indofarma PT. Indofarma PT. Dexa Medica PT. Dexa Medica PT. Indofarma PT. Indofarma PT. Indofarma PT. Lucas Djaja PT. Guardian Pharmatama PT. Kimia Farma PT. Novell PT. Dexa Medica PT. Phapros, Tbk PT. Ifars PT. Indofarma PT. Indofarma PT. Dexa Medica PT. Kimia Farma PT. Hexpharm Jaya Laboratories PT. Kimia Farma PT. Phapros, Tbk PT. Phapros, Tbk PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma
Botol 10 ml KOTAK @ 10 ampul Botol @ 100 Dus @ 30 Ampul Dus, 3 strip @ 10 kapsul Dus, 3 strip @ 10 kapsul Dus @ 10 X 10 's Dus @ 10 X 10 's Dus 5 ampul@ 10ml Dus 5 ampul@ 2ml Dus@ 5 patch Dus@ 5 patch pfs @ 0,5 ml pfs @ 0,5 ml Dus @ 10 X 10 's Dus, 5 ampul @ 1ml Dus, 1 Botol @ 100 mL ktk 1 x 10 kapsul strip DUS, 30 TABLET vial @ 1 ml vial @ 10 ml
16,667.00 20,250.00 133 1,800.00 1,075.00 1,375.00 290 510 128,000.00 33,914.00 153,000.00 285,000.00 375,000.00 380,000.00 630 55,000.00 47,550.00 22,000.00 419 432 24,500.00 33,000.00 Harga Satuan Kemasan Terk ecil (Rp) Dus, Tube 5 g 2,400.00 Dus, Botol 120 Dosis Spay 93,333.33 Dus, 2 flow wrap@ 5 nebules @ 1 d 12,916.67 Dus, 2 pfs 0.5 ml 241,666.67 Dus, 25 ampul @ 2 ml 1,829.00 Dus, 10 strip @ 10 tablet 85 Dus, 10 blister @ 12 kapsul 289 Dus, 10 blister @ 10 kaptab 679 vial 1,098,900.00 Dus, 5 ampul @ 2 ml 3,399.00 Tube @ 3,5 gr 2,600.00 Dus, botol plastik 5 ml 3,194.00 Dus, 10 blister @ 10 kaptab 56 DUS, 100 TABLET 236 Dus, 10 Strip @ 10 tablet 950 ktk 5x10 tablet 265 ktk 5x10 tablet 436 ktk 5x10 tablet 404 ktk 5x10 tablet 430 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 @ 10 X 10 's 209 Dus 5 Ampul@1mL 83,333.33 Dus, 10 blister @ 10 tablet 59 Dus, 10 blister @ 10 tablet 96 Dus, 10 blister @ 10 tablet 69 KOTAK @ 10 x 10 TAB 126 box 5ampul @1 ml 4,500.00 Dus, botol 60 ml 3,499.00 Dus, botol 60 ml 4,499.00 strip 150 Dus, 5 blister @ 10 kss 1,425.00 Dus, 5 blister @ 10 kss 2,470.00 Dus, 10 strip @ 10 tablet 88 Dus, 3 Blister @ 10 tablet 4,900.00 Dus, 3 Blister @ 10 tablet 3,100.00 Dus, 10 strip @ 10 tablet 140 Dus, 10 strip @ 10 tablet 62 Dus, 10 blister @ 10 tablet 245 Fenol 100 mg / 1 ml 2,042.00 Vial @ 10 ml 110,000.00 tube 10 gr 2,569.00 Box isi 1 Tube @ 15 g 4,700.00 Dus, 5 Strip @ 10 tablet 300 Dus @ 12 Ampul 2,300.00 Dus, 3 Strip @ 10 Kaplet salut selap 3,200.00 Dus, 5 blister @ 10 kapsul 361 Dus, 5 blister @ 10 kapsul 553 Dus, 10 Strip @ 10 tablet 900 Ktk 10X10 TAB 184 Dus, 3 strip @ 10 tab 3,400.00 Tube 5 gr 1,600.00 Dus @ 30 Ampul 1,100.00 Dus @ 30 Ampul 1,050.00 ktk 10x10 tablet 500 ktk 10x10 tablet 850 ktk 10x10 tablet 1,100.00
PT. Galenium Pharmasia Laboratories
Botol @ 60 ml
PT. Erela
Dus, 100 Sachet @ 30 Tablet
PT. Glaxo Wellcome Indonesia
Dus, Botol 120 Dosis
12,450.00 42 90,666.67
163 164 165 166 167 168 169 170 171
Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimetoprim 80 mg Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml Kuinin (Kina) tablet 200 mg Kuinin injeksi i.v. 25% (sebagai 2 HCl) Kuinin tablet 222 mg (H2SO4.7H2O) Lamivudine tablet 150 mg Lanzoprazol kapsul/kaplet 30 mg
Seretide Diskus 100 mcg
PT. Glaxo Wellcome Indonesia
Dus, foil strip @ 60 dosis
100,833.33
Seretide Diskus 250 mcg
PT. Glaxo Wellcome Indonesia
Dus, foil strip @ 60 dosis
113,333.33
n/a
PT. Promedrahardjo Farmasi Industri
STRIP
n/a
PT. Sampharindo Perdana
Botol, 60 ml
2,167.00
n/a n/a n/a n/a n/a
PT. Kimia Farma
PT. Indofarma
ktk 60 tablet ktk 100 amp @ 2 ml ktk 10 x 10 tablet Botol 60 tablet Dus, 2 strip @ 10 kapsul
670 6,200.00 540 1,400.00 473
PT. Fresenius Kabi Combiphar
Botol Gelas 500 ml
WIDA 2A
PT. Widatra Bhakti
Botol 500 ml
6,917.00
WIDA D5-1/4NS
PT. Widatra Bhakti
Botol 500 ml
7,700.00
WIDA D5-1/2NS
PT. Widatra Bhakti
Botol 500 ml
7,700.00
Intralipid n/a n/a n/a n/a n/a n/a n/a n/a Merlopam 2 Ludios Sandepril 50 n/a n/a n/a n/a n/a n/a n/a n/a Flagyl n/a n/a Fortanest Dormicum
PT. Fresenius Kabi Combiphar
Botol Gelas 100 ml Box, 1 Botol @ 100 ml STRIP Dus, 100 ampul @ 2 ml Dus, 30 ampul @ 2 ml Box ,3 Strip @ 10 tablet Box ,3 Strip @ 10 tablet Dus, 10 Strip @ 10 Tablet STRIP KOTAK @ 10 x 10 TAB Strip KOTAK @ 5 x 10 TAB Dus, 1 vial @ 1 g Botol 1000 ml ktk 10 x 10 tablet salut Strip Dus, 10 Blister @ 10 Tablet Dus, 10 Blister @ 10 tablet ktk 10 x 10 tablet Dus, 1 Botol @ 100 ml Dus, 2 blister @ 5 suppositoria 10 strip @ 10 tab 10 strip @ 10 tab Box isi 5 ampul Boks 5 amp
PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma
172 Larutan mengandung Asam Amino (Asam amino 8%) Aminosteril N-Hepa Larutan mengandung Karbohidrat + Elektrolit 173 (Glukosa: 25,0 g; NaCl: 4,5 g) Larutan mengandung Karbohidrat + Elektrolit 174 (Glukosa: 55.0 g; NaCl: 2.25 g) Larutan mengandung Karbohidrat + Elektrolit 175 (Glukosa: 55.0 g; NaCl: 4.5 g) 176 Larutan mengandung Lipid (Emulsi lemak 20%) 177 Levofloksasin inf 5 mg/mL 178 Levofloksasin tablet 500 mg 179 Lidokain injeksi 2% (HCL) 180 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 181 Lisinopril tablet 10 mg 182 Lisinopril tablet 5 mg 183 Loperamid tablet 2 mg 184 Loratadin tablet 10 mg 185 Lorazepam tablet 2 mg 186 Maprotilin HCl tab 25 mg 187 Maprotilin HCl tab 50 mg 188 Meropenem inj 1 g 189 Metadon sir 50mg/5ml 190 Metilergometrin Maleat tab salut 0,125 mg 191 Metilprednisolon tablet 16 mg 192 Metilprednisolon tablet 4 mg 193 Metilprednisolon tablet 8 mg 194 Metoklopramide tablet 5 mg 195 Metronidazol infus 500 mg/100 ml 196 Metronidazol supositoria 500 mg 197 Metronidazol tablet 250 mg 198 Metronidazol tablet 500 mg 199 Midazolam injeksi i.v. 1 mg/ml 200 Midazolam injeksi i.v. 5 mg/ml No
Nama Obat Generik
201 Mikonazol krim/salep 2 % (Nitrat) 202 Mometason furoat krim 0,1% 203 Morfin HCL inj 10 mg/ml 204 Morfin injeksi i.m./s.k./i.v. 10 mg/ml 205 Morfin tablet 10 mg 206 Nacl 0,9% 207 Nadroparin inj 9500 Axa/mL syringe 0,3 mL 208 Nadroparin inj 9500 Axa/mL, syringe 0,4 mL 209 Nadroparin inj 9500 Axa/mL, syringe 0,6 mL 210 Nalokson injeksi 0,4 mg/ml 211 Natrium fusidat salep 20 mg/g 212 Nevirapin tablet 200 mg 213 Nif edipin tab 20 mg, slow release; oros 214 Nifedipin tab 30 mg, oros 215 Nifedipin tablet/kapsul 10 mg 216 Nistatin tablet salut 500.000 IU/ g 217 Noretisteron tablet 5 mg 218 Obat Antituberkulosis FDC Kategori 1 219 Obat Antituberkulosis FDC Kategori 2 220 Obat Antituberkulosis FDC Kategori Anak 221 Obat Antituberkulosis FDC Sisipan 222 Ofloxacin tablet 200 mg 223 Ofloxacin tablet 400 mg 224 Oksimetazolin tetes hidung 0,025% 225 Olanzapin kapl salut 5 mg 226 Olanzapin tab 10 mg 227 Omeprazol injeksi 40 mg/ 10 ml 228 Omeprazol kapsul/kaplet 20 mg 229 ondansetron inj 4 mg/ 2 mL 230 Ondansetron tab 4 mg 231 Ondansetron tablet 8 mg
PT. Infion Pharmaceutical PT. Promedrahardjo PT. Bernofarm PT. Indofarma PT. Novell PT. Novell PT. Ifars PT. Promedrahardjo PT. Mersifarma PT. Soho Industri Pharmasi PT. Mersifarma PT. Bernofarm PT. Kimia Farma PT. Kimia Farma PT. Mahakam Beta Farma PT. Natura Laboratoria Farma PT. Dexa Medica PT. Kimia Farma PT. Natura Laboratoria Farma PT. Aventis Pharma PT. Phyto Kemo Agung Farma PT. Phyto Kemo Agung Farma PT Kalbe Farma PT. Boehringer Ingelheim
Nama Dagang n/a n/a n/a n/a n/a n/a Fraxiparine 0.3 ml Fraxiparine 0.4 ml Fraxiparine 0.6 ml Nokoba Fucilex Ointment n/a Adalat Oros 20 mg Adalat Oros 30 mg n/a n/a Primolut N n/a n/a n/a n/a n/a n/a Ilaidin Drops Olandoz 5 Olandoz 10 n/a n/a n/a n/a n/a
Nama Penyedia PT. Kimia Farma PT. Guardian Pharmatama PT. Kimia Farma PT. Kimia Farma PT. Kimia Farma PT. Widatra Bhakti PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Glaxo Wellcome Indonesia PT. Pratapa Nirmala PT. Molex Ayus PT. Kimia Farma PT. Bayer Indonesia PT. Bayer Indonesia PT. Dexa Medica PT. Phapros, Tbk PT. Bayer Indonesia PT. Kimia Farma PT. Indofarma PT. Phapros, Tbk PT. Indofarma PT. Novell PT. Novell PT. Merck Tbk PT. Sandoz Indonesia PT. Sandoz Indonesia PT. Natura Laboratoria Farma PT. Novapharin PT. Indofarma PT. Yarindo Farmatama PT. Yarindo Farmatama
Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 232 unit Ultaclam, 1 unit Tenckoff Catheter, Titanium n/a Adaptor)
PT Kalbe Farma
233 Paket CAPD Pergantian Transfer Set per 6 bulan
PT Kalbe Farma
n/a
138
Kemasan Tube 10 gram tube 10 gram Dus 10 amp @ 1 ml Ktk 10 ampul @ 1ML Botol 30 tablet Botol 500 ml Dus, 5 blister @ 2 pfs 0.3 ml Dus, 5 blister @ 2 pfs 0.4 ml Dus, 5 blister @ 2 pfs 0.6 ml Dus, 5 Ampul @ 2ml Tube 5 gr btl 60 tablet blister blister Dus, 10 Strip @ 10 tablet salut selap Dus @ 10 X 10 's blister Paket Paket Paket Dus, 3 blister @ 28 kss Box ,5 Strip @ 10 tablet Box ,5 Strip @ 10 tablet botol @ 10 ml 3 X 10 fcc 3 X 10 fcc Dus, 1 Vial @ 40 mg strip Dus, 5 Ampul @ 2ml Box 3 X 10 Tab Box 3 X 10 Tab Transfer Set: Set; Ultaclam: Kantong Plastik; Tenckoff Catheter: Box; Titanium Adaptor: Kantong Plastik Set
78,720.00
60,500.00 40,000.00 528 839 1,363.00 600 350 89 154 1,341.00 1,200.00 3,276.00 54,000.00 254,100.00 154 635 205 300 108 9,950.00 3,220.00 110 160 6,000.00 12,060.00 Harga Satuan Terk ecil (Rp) 3,000.00 17,820.00 8,400.00 10,499.00 1,300.00 4,700.00 54,144.17 66,640.00 94,961.67 61,600.00 6,490.00 2,800.00 2,999.00 3,500.00 110 640 2,618.00 359,990.00 1,199,990.00 214,900.00 160,000.00 400 650 27,550.00 6,450.00 11,200.00 36,000.00 211 2,400.00 716 1,189.00 1,902,240.00 219,540.00
Paket CAPD Rutin 120 ( 4x ganti cairan perhari 234 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
235 Parasetamol sirup 120 mg / 5 ml 236 Pegylated interferon alfa-2a inj 135 mcg/0,5 ml 237 Pegylated interferon alfa-2a inj 180 mcg/0,5 ml 238 Permetrin krim 5% 239 Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl) 240 Pioglitazon tab 15 mg 241 Pioglitazon tab 30 mg 242 Pirantel suspensi 125 mg/5 ml 243 Pirantel tablet score (base) 125 mg 244 Pirazinamid tablet 500 mg 245 Polikresulen cairan 246 Povidon Iodida larutan 10% 1000 ml 247 Povidon Iodida larutan 10% 30 ml 248 Povidon Iodida larutan 10% 300 ml 249 Pramipeksol tab ER 0,375 mg 250 Pramipeksol tab ER 0,750 mg 251 Pravastatin tablet 20 mg 252 Propanolol tablet 10 mg ( HCl ) 253 Propranolol tablet 40 mg (HCl) 254 Ramipril tablet 5 mg 255 Ranitidin injeksi 25 mg/2 ml 256 Ranitidin tablet 150 mg 257 Retinol (Vitamin A) 100.000 IU 258 Ringer Laktat larutan infus 259 Risperidon tablet 1 mg 260 Risperidon tablet 2 mg 261 Risperidon tablet 3 mg 262 Ropinirol Tablet Salut 2 mg 263 Ropinirol Tablet Salut 4 mg 264 Ropinirol Tablet Salut 8 mg 265 Salbutamol inhalasi/aerosol 100 mcg/dosis 266 Salbutamol serb inh 200 mcg/kaps 267 Salbutamol serb inh 200 mcg/kaps + rotahaler 268 Sefadroksil sirup kering 125 mg/5ml 269 Sefadroksil kapsul/kaplet 500 mg 270 Sefadroksil sir kering 250 mg/5 mL 271 Sefaleksin kapsul/kaplet 500 mg 272 Sefepim inj 1 g 273 Sefiksim kapsul/kaplet 100 mg 274 Sefiksim sirup kering 100 mg/ 5 ml 275 Sefotaksim injeksi 1 g 276 Sefpodoksim proksetil tab 100 mg 277 Seftriakson serbuk injeksi 1 g/vial 278 Sefuroksim tab 500 mg 279 Setirizin tablet 10 mg 280 Sianokobalamin (vitamin B12) injeksi 500 mcg 2 81 Sikl of osf am id se rbuk injeks i i .v. 10 00 mg 282 Siklof osf amid serbuk injeksi i.v. 200 mg 283 Simvastatin scored tablet 10 mg 284 Simvastatin tablet 20 mg 285 Siprofloksasin infus 2% 286 Spiramisin tablet 500 mg 287 Spironolakton tablet 100 mg 288 Spironolakton tablet 25 mg 289 Sufentanil injeksi iv, epidural 5 mcg/ml 290 Takrolimus kaps 0.5 mg 291 Tamsulosin tab 0,2 mg 292 Tamsulosin tab 0,2 mg 293 Tamsulosin tab SR 0,4 mg 294 Terbutalin tablet 2,5 mg 295 Tetrasiklin kapsul/kaplet 250 mg 296 Tiamazol tab 5 mg 297 Timolol tetes mata 0,25% 298 Timolol tetes mata 0,5% 299 Tiotropium kaps 18 mcg + handihaller 300 Tramadol injeksi 50 mg/ml
n/a Pegasys Pegasys Scabimite Cream 10 n/a DECULIN 15 MG DECULIN 30 MG n/a n/a n/a Aptil n/a n/a n/a Sifrol ER 0,375mg Sifrol ER 0,750mg n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Requip PD 24 Hour 2 mg Requip PD 24 Hour 4 mg Requip PD 24 Hour 8 mg Ventolin Inhaler Ventolin Rotacaps Ventolin Rotahaler n/a n/a n/a n/a n/a n/a n/a n/a Banadoz 100 n/a Zinnat 500 n/a n/a Cycl ovi d 1 00 0 m g Cyclovid 200 mg n/a n/a n/a n/a n/a n/a Sufentanyl Injeksi iv.Epidural 5 mcg / Prograf Harnal ® D 0.2 mg Disp. Tablet Harnal D Harnal ® OCAS 0.4 mg Tablet Molasma Tablet n/a Thyrozol 5 Isotic Adretor 0,25% Isotic Adretor 0,5% Spiriva 10s + Handihaler n/a
No Nama Obat Generik 301 Trifluoperazin tablet 5 mg 302 Urea krim 10% 303 Valproat tab SR 250 mg 304 Valproat tab SR 500 mg 305 Verapamil tab 240 mg 306 Verapamil tablet 80 mg (HCl) 307 Vinblastin serbuk injeksi 10 mg 308 Zidovudin 300 mg + Lamivudine 150 mg 309 Zinc drop 10 mg/mL 310 Zinc sir 20 mg/5 Ml 311 Zinc tablet dispersible20 mg
Nama Dagang n/a Soft U Derm Depakote ER 250 mg Depakote ER 500 mg Isoptin 240 mg n/a Vinblastine n/a Zincpro Drops Zircum Kid Sirup n/a
PT Kalbe Farma
PT. Afifarma PT. Boehringer Ingelheim PT. Boehringer Ingelheim PT. Galenium PT. Kimia Farma PT. Dexa Medica PT. Dexa Medica PT. Holi Pharma PT. Holi Pharma PT. Holi Pharma PT. Pratapa Nirmala PT. Afifarma PT. Afifarma PT. Afifarma PT. Boehringer Ingelheim PT. Boehringer Ingelheim PT. Novell PT. Dexa Medica PT. Holi Pharma PT. Dexa Medica PT. Natura Laboratoria Farma PT. Dexa Medica PT. Kimia Farma PT. Widatra Bhakti PT. Dexa Medica PT. Mersifarma PT. Dexa Medica 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. Holi Pharma PT. Bernofarm PT. Holi Pharma PT. Ifars PT. Yarindo Farmatama PT. Bernofarm PT. Ifars PT. Natura Laboratoria Farma PT. Sandoz Indonesia PT. Natura Laboratoria Farma PT. Glaxo Wellcome Indonesia PT. Pertiwi Agung PT. Lucas Djaja PT. Novell PT. Novell PT. Natura Laboratoria Farma PT. Natura Laboratoria Farma PT. Dexa Medica PT. Indofarma PT. Dexa Medica PT. Dexa Medica PT. Kimia Farma PT. Combiphar PT. Combiphar PT. Combiphar PT. Combiphar PT. Molex Ayus PT. Holi Pharma PT. Merck Tbk PT. Pratapa Nirmala PT. Pratapa Nirmala PT. Boehringer Ingelheim PT. Natura Laboratoria Farma
Nama Penyedia PT. Darya Varia PT. Galenium PT. Abbott Indonesia PT. Abbott Indonesia PT. Abbott Indonesia PT. Kimia Farma PT. Combiphar PT. Kimia Farma PT. Combiphar PT. Meprofarm PT. Indofarma
Larutan Dialisa 1.5 %: 2.000 ml; Larutan Dialisa 2.5 %: 2.000 ml; Larutan Dialisa 4.25 %: 2.000 ml; Minicap: Kantong Plastik
5,522,580.00
botol 60 ml Boks, 1 pfs Boks, 1 pfs Tube @ 10 g Ktk 10 ampx2ml 30 TAB/BOX 30 TAB/BOX Botol 60 ml Dus, 25 Blister @ 4 tablet Dus 10 strip @ 10 tablet Dus, Botol @ 10ml botol @ 1000 ml botol @ 30 ml botol @ 300 ml Dus, 3 alu blister @ 10 tablet Dus, 3 alu blister @ 10 tablet Box ,5 Strip @ 10 tablet Dus, 10 Strip @ 10 tablet Dus, 10 strip @ 10 tablet Dus, 3 Strip @ 10 kaptab Dus, 10 Ampul @ 2 ml Dus, 10 Strip @ 10 tablet salut selap Botol 50 kapsul lunak botol 500 ml Dus, 5 Blister @ 10 tablet KOTAK @ 5 x 10 TAB Dus, 5 Blister @ 10 tablet Dus, 7 blister @ 4 Tablet lepas Lamb Dus, 7 blister @ 4 Tablet lepas Lamb Dus, 7 blister @ 4 Tablet lepas Lamb Dus, botol 200 dosis Dus, 10 Blister @ 10 Kapsul Dus, 1 Rotahaler Dus, Botol 60 ml Dus, 10 strip @ 10 kapsul Dus, Botol 60 ml Dus, 5 Strip @ 10 Kapsul Box 2 Vial @ 1000mg Dus, 10 blister @ 10 kapsul Dus, Botol 30 ml Dus, 10 Vial @ 1 g Dus, 3 blister @ 10 tablet Dus, 10 Vial @ 1 g Dus, 1 Blister @ 10 Tablet salut sela Box, 10 strips @ 10 capsules 100 ampul @ 1 ml vial vial Dus, 3 Strip @ 10 Kaplet salut selap Dus, 3 Strip @ 10 Kaplet salut selap Vial 200 ml Dus, 5 strip @ 10 tablet Dus, 10 Strip @ 10 tablet Dus, 10 Strip @ 10 tablet dus 5 amp @ 2ml Pounch @ 5 blister @ 10 capsule Box/ 2 blister @ 14 tablet Box @ 2 blister @ 14 tablet Box/ 3 blister @ 10 Tablet Box 50's Dus, 10 strip @ 10 kapsul Dus, 10 blister @ 10 tablet Dus, Botol Plastik @ 5ml Dus, Botol Plastik @ 5ml Dus, 1 blister @10 kapsul + handihal Dus, 10 Ampul @ 2 ml
1,438.00 1,077,815.00 1,248,220.00 11,475.00 14,500.00 3,120.00 4,525.00 8,360.00 298 208 17,393.00 37,109.00 2,163.00 14,203.00 7,200.00 11,268.00 2,300.00 65 107 580 1,140.00 120 260 5,200.00 1,200.00 1,008.00 2,000.00 5,247.50 6,275.00 7,383.33 63,750.00 430.67 5,866.67 4,896.00 509 5,940.00 1,000.00 48,060.00 859 8,800.00 2,950.00 3,700.00 3,300.00 7,200.00 181 1,078.00 256,000.00 82,000.00 169 391 13,000.00 1,499.00 900 315 127,000.00 11,167.00 5,800.00 5,800.00 6,800.00 99 149 563 9,128.00 9,722.00 152,543.00 2,395.00
Kemasan a Satuan Terkecil strip 405 tube 6,400.00 Tablet 2,793.00 Tablet 5,450.00 Tablet 6,200.00 Ktk 10X10 TAB 234 Vial 10mg/10ml 210,000.00 Botol 60 tablet 3,429.00 Drops 10 mg/ml, Botol @15 ml 12,840.00 Dus, botol 60 ml 7,400.00 Dus, 10 strip @ 10 tablet dispersible 474
(Rp)
