Lampiran Harga Produk Sanbe Dan Capri 21 Nov'2016-1

Jl. Purnawarman No. 47 Bandung – 40116 Telp : (022) 4207725 (Hun!ng) (Hun!ng ) "a# : (022) 42610$5% 42610$6% 42610&5 'e!e : www.!naanpr!ma.*om

LAMPIRAN

DAFTAR HARGA OBAT RESEP PER PE R 21 NOPEMBER 2016 20 16

N O.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

NAMA P RODUK

Acetin 600 tablet efferve sc ent Acran 150 mg film-coate d tablet Acran 300 mg film-coate d caplet Akilen 200 mg film-coated tablet Akilen 400 mg film-coated tablet Aldisa SR capsule Alloris tablet Alloris syrup Analsik film-coated ca plet Anbacim 500 mg film-coated caplet Anpiride ta blet 1 mg Anpiride ta blet 2 mg Anpiride ta blet 3 mg Anpiride ta blet 4 mg Astha rol ta blet Astha rol syrup Bantif child syrup Baquinor 250 mg film-coated tablet Baquinor forte film-coated caplet Bic rolid 250 mg film-c oated caple t Bic rolid 500 mg film-c oated caple t Biothicol 250 mg capsule Biothicol 500 mg capsule Biothicol dry syrup Biothicol forte dry syrup Ble dstop sugar-coated tablet Ble sifen table t Bra xidin film-coated tablet Bufect forte suspensi Bufect suspensi Bufect film-coated tablet Cardisan 5 mg table t Cardisan 10 mg tablet Cefat 250 mg capsule Cefat 500 mg capsule Cefat dry syrup Cefat forte dry syrup

KEMASAN

Tube @ 10 tablet Box 3x10's Box 3x10's Box 3x10's Box 5x6's Box 5x10's Box 10x10's Botol 60 ml Box 10x10's Box 5x4's Box 5x10's Box 5x10's Box 5x10's Box 5x10's Box 10x10's Botol gelas 60 ml Botol gelas 60 ml Box 2x10's Box 2x10's Box 3x10's Box 3x10's Box 10x10's Box 10x10's Botol gelas 60 ml Botol gelas 60 ml Box 10x10's Box 2x10's Box 10x10's Botol plastik 50 ml Botol plastik 60 ml Box 25x4's Box 5x10's Box 5x10's Box 10x10's Box 10x10's Botol gelas 60 ml Botol gelas 60 ml

HNA

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

84,100 136,800 199,950 227,550 444,300 200,000 425,500 50,000 113,000 390,600 102,500 192,250 256,250 312,750 108,000 13,950 9,700 119,000 252,000 269,100 684,300 169,000 338,500 19,400 53,600 46,000 233,700 82,000 19,000 13,450 61,500 269,000 476,750 490,000 965,000 39,700 68,300

HNA + P P N

Rp R p. Rp. Rp. R Rp p. R Rp p. R Rp p. R Rp p. Rp R p. R Rp p. Rp. R Rp p. R Rp p. R Rp p. R Rp p. R Rp p. Rp R p. Rp R p. R Rp p. R Rp p. R Rp p. R Rp p. R Rp p. R Rp p. Rp R p. Rp R p. Rp R p. R Rp p. Rp R p. Rp R p. Rp R p. Rp R p. R Rp p. R Rp p. R Rp p. Rp Rp. Rp R p. Rp.

92,510 150,480 150,480 219,945 219,945 250,305 488,730 220,000 468,050 55,000 124,300 429,660 429,660 112,750 211,475 281,875 344,025 118,800 15,345 10,670 130,900 277,200 296,010 752,730 185,900 372,350 21,340 58,960 50,600 257,070 90,200 20,900 14,795 67,650 295,900 524,425 539,000 1,061,500 43,670 75,130 75,130

Bandung, 21 Nopember 2016

Page 1 of 15

Jl. Purnawarman No. 47 Bandung – 40116 Telp : (022) 4207725 (Hun!ng) "a# : (022) 42610$5% 42610$6% 42610&5 'e!e : www.!naanpr!ma.*om

DAFTAR HARGA OBAT RESEP PER 21 NOPEMBER 2016

NO.

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59

NAMA PRODUK

KEMASAN

HNA

Cerini film coated caplet Cerini oral drops Cerini syrup Cholvastin tablet Cinolon N cream Cinolon topical cream Claneksi dry syrup Claneksi film-coated caplet Claneksi forte dry syrup Clobesan Cream Colsancetine capsule Colsancetine syrup Cortidex tablet Cripsa tablet Damaben oral solution Damaben Paediatric drops Damaben tablet Decrilip film-coated tablet Dilmen tablet Dolones cream Edorisan oral drops Eflagen 25 mg sugar enteric coated-tablet

Box 2x10's Botol tetes 20 ml Botol gelas 60 ml Box 3x10's Tube 10 gr Tube 10 gr Botol gelas 60 ml Box 5x6's Botol gelas 60 ml Tube 10 gr Box 10x10's Botol gelas 60 ml Box 10x10's Box 3x10's Botol gelas 60 ml Botol gelas 10 ml Box 10x10's Box 10x10's Box 10x10's Tube 5 gr Botol tetes 15 ml Box 5x10's

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

60 Eflagen 50 mg sugar enteric coated-tablet 61 Epexol syrup 62 Epexol tablet

Box 5x10's Botol gelas 120 ml Box 10x10's

Rp. Rp. Rp.

63 64 65 66 67 68 69 70 71 72

Botol gelas 60 ml Botol gelas 20 ml Botol gelas 100 ml Botol gelas 200 ml Box 10x10's Box 10x10's Box 10x10's Box 10x10's Botol gelas 60 ml Box 5x6's

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.


28,160 38,335 49,830 80,025 349,800 163,900 140,800 270,600 22,440 115,005

Box 5x6's

Rp.

158,400 Rp.

174,240

Epexol forte syrup Epexol drops Episan suspensi Episan suspensi Eprinoc sugar-coated tablet Erysanbe 200 mg Chewable tablet Erysanbe 250 mg capsule Erysanbe 500 mg film-coated caplet Erysanbe dry syrup Famocid 20 mg film-coated tablet

73 Famocid 40 mg film-coated tablet

63,600 58,450 36,800 289,050 16,600 15,200 48,800 335,250 65,350 36,650 53,500 9,900 26,000 393,600 9,000 12,500 41,000 405,000 97,500 46,400 36,900 61,500

HNA + PPN

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

69,960 64,295 40,480 317,955 18,260 16,720 53,680 368,775 71,885 40,315 58,850 10,890 28,600 432,960 9,900 13,750 45,100 445,500 107,250 51,040 40,590 67,650

97,500 Rp. 15,850 Rp. 77,000 Rp.

107,250 17,435 84,700

25,600 34,850 45,300 72,750 318,000 149,000 128,000 246,000 20,400 104,550


Page 2 of 15



NO.

74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110

NAMA PRODUK

Fibrozol 50 tablet Fibrozol 100 tablet Flamar 25 mg Enteric-coated tablet Flamar 50 mg Enteric-coated tablet Flamar emulgel Forbetes 500 mg film-coated tablet Forbetes 850 mg film-coated tablet Forifek 500 capsule Forifek dry syrup Forifek forte dry syrup Formyco cream Formyco tablet Funtas Cream Gliabetes tablet Glukolos tablet Gratizin 5 tablet Gratizin 10 tablet Herclov film-coated caplet Histapan film-coated tablet Hypofil capsule Infelon tablet Irbeten 150 film coated tablet Irbeten 300 film coated tablet Lapraz capsule Levocin 500 mg film-coated tablet Lodia 2 mg film-coated tablet Mefinal 250 mg capsule Mefinal 500 mg film-coated caplet Mefurosan cream Megabal capsule Mezatrin 250 mg capsule Muc ohe xin e lixir Mucohexin tablet Neo Kaolana suspensi Neosanmag tablet Neosanmag Fast tablet Nifedin film-coated tablet

KEMASAN

Box 5x10's Box 3x10's Box 10x10's Box 10x10's Tube 20 gr Box 10x10's Box 10x10's Box 2x10's Botol gelas 60 ml Botol gelas 60 ml Tube 10 gr Box 5x10's Tube 20 gr Box 3x10's Box 10x10's Box 10x10's Box 10x10's Box 5x10's Box 10x10's Box 10x10's Box 5x10's Box 3x10's Box 3x10's Box 2x10's Box 3x6's Box 6x10's Box 10x10's Box 10x10's Tube 10 gr Box 10x10's Box 5x6's B otol ge la s 120 ml Box 25x4's Botol gelas 120 ml Box 25x4's Box 8x2's Box 10x10's

HNA


315,250 290,700 77,000 169,000 15,200 92,500 97,500 393,600 75,400 96,950 16,600 235,750 39,650 238,350 210,000 420,500 502,500 689,500 61,500 205,000 328,000 235,000 280,000 222,400 616,500 55,500 56,500 123,000 66,250 154,000 402,900 15,200 46,000 11,800 82,000 15,600 61,500

HNA + PPN

R p. R p. Rp. R p. Rp. R p. R p. R p. Rp. R p. Rp. R p. Rp. R p. Rp. R p. R p. R p. Rp. R p. R p. R p. R p. R p. R p. Rp. Rp. R p. Rp. Rp. R p. Rp. Rp. Rp. Rp. Rp. Rp.

346,775 319,770 84,700 185,900 16,720 101,750 107,250 432,960 82,940 106,645 18,260 259,325 43,615 262,185 231,000 462,550 552,750 758,450 67,650 225,500 360,800 258,500 308,000 244,640 678,150 61,050 62,150 135,300 72,875 169,400 443,190 16,720 50,600 12,980 90,200 17,160 67,650


Page 3 of 15



NO.

111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147

NAMA PRODUK

Nolipo 500 capsule Nolipo syrup Notritis film-coated caplet Nymiko suspensi drops Ocuson tablet Ostelox 15 mg tablet Ostelox 7,5 mg tablet Ostelox Suppositoria Otede tablet Pibaksin topical ointment Pirofel 10 mg capsule Pirofel 20 mg capsule Pirofel gel Plasminex film-coated tablet Platof sugar-coated caplet Preabor tablet Pridesia 5 mg tablet Prolic 150 mg capsule Prolic 300 mg capsule Proxime tablet Pumpitor capsule Puricemia tablet Regumen tablet Renodiol sugar coated-tablet Revolan 400 mg capsule Revolan 800 mg film-coated caplet Revolan 1200 mg film coated caplet Rhetoflam Gel Rifamtibi 450 mg film-coated tablet Rifamtibi 600 mg film-coated caplet Sagestam cream Sagestam ointment Sanadryl DMP syrup Sanadryl DMP syrup Sanadryl Expectorant syrup Sanadryl Expectorant syrup Sanazet tablet

KEMASAN

Box 10x10's Botol gelas 60 ml Box 5x10's Botol gelas 12 ml Box 10x10's Box 2x10's Box 2x10's Box 1x6 supp. Box 4x25 catch cover Tube 10 gr Box 10x10's Box 10x10's Tube 20 gr Box 10x10's Box 5x10's Box 3x10's Box 5x10's Box 10x10's Box 10x10's Box 3x10's Box 2x10's Box 10x10's Box 3x10's Box 2x10's Box 10x10's Box 5x10's Box 5x10's Tube 20 gr Box 10x10's Box 10x10's Tube 10 gr Tube10 gr Botol gelas 60 ml Botol gelas 120 ml Botol gelas 60 ml Botol gelas 120 ml Box 10x10's

HNA


441,000 Rp. 45,250 Rp. 156,500 Rp. 30,500 Rp. 123,000 Rp. 170,200 Rp. 104,600 Rp. 57,900 Rp. 61,500 Rp. 38,000 Rp. 46,000 Rp. 154,000 Rp. 16,200 Rp. 251,000 Rp. 184,500 Rp. 95,400 Rp. 87,250 Rp. 328,000 Rp. 666,500 Rp. 32,400 Rp. 251,200 Rp. 261,500 Rp. 95,400 Rp. 180,400 Rp. 195,000 Rp. 174,250 Rp. 210,250 Rp. 29,000 Rp. 400,000 Rp. 533,000 Rp. 11,350 Rp. 17,850 Rp. 9,700 Rp. 16,000 Rp. 9,050 Rp. 13,150 Rp. 118,000 Rp.

HNA + PPN

485,100 49,775 172,150 33,550 135,300 187,220 115,060 63,690 67,650 41,800 50,600 169,400 17,820 276,100 202,950 104,940 95,975 360,800 733,150 35,640 276,320 287,650 104,940 198,440 214,500 191,675 231,275 31,900 440,000 586,300 12,485 19,635 10,670 17,600 9,955 14,465 129,800


Page 4 of 15


DAFTAR H ARGA OBAT RESEP PER 21 NOPEMBER 2016

NO.

NAMA PRODUK

KEMASAN

HNA

HNA+PPN

148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165

Sanbenafil 50 mg film-coated caplet Sanbenafil 100 mg film-coated caplet Sanexon 4 mg tablet Sanexon 8 mg tablet Sanexon 16 mg tablet Sanfuro Suspensi Sanlin 500 mg capsule Sanma g suspension Sanmag tablet Sanmag Forte suspensi Sanmetidin 200 mg film-coated tablet Sanmol drops Sanmol syrup Sanmol tablet Sanmol forte tablet Sanmol forte syrup Sanmol 120 Child Chewable Sanmol 120 mg Child Effervescent

Box 1x4's Box1x4's Box 10x10's Box 10x10's Box 5x6's Botol gelas 60 ml Box 10x10's Botol gelas 120 ml Box 10x10's Botol gelas 60 ml Box 10x10's Botol gelas 20 ml Botol gelas 60 ml Box 25x4's Box10x10's Botol gelas 60 ml Box 5x10's Tube 10 tablet

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

254,200 Rp. 333,600 Rp. 205,000 Rp. 318,000 Rp. 153,750 Rp. 36,250 Rp. 82,000 Rp. 23,200 Rp. 72,000 Rp. 17,000 Rp. 149,000 Rp. 14,450 Rp. 10,750 Rp. 26,000 Rp. 31,000 Rp. 23,700 Rp. 43,500 Rp. 19,400 Rp.

166

Sanmol 500 mg effervescent

Tube 10 tablet

Rp.

23,200 Rp.

25,520

167

Sanpicillin 250 mg capsule

Box 10x10's

Rp.

51,500 Rp.

56,650

168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185

Sanpicillin 500 mg capsule Sanpicillin dry syrup Sanpicillin forte dry syrup Sanprima forte caplet Sanprima syrup Sanprima tablet Santagesik tablet Santagesik syrup Santesar film-coated tablet Santibi 500 mg tablet Santibi Plus tablet Siclidon 100 mg capsule Sinocort Oral Paste Spirasin film-coated tablet Sporetik 100 mg capsule Sporetik 50 mg capsule Sporetik dry syrup Stolax Suppositoria

Box 10x10's Botol gelas 60 ml Botol gelas 60 ml Box 10x10's Botol gelas 60 ml Box 10x10's Box 10x10's Botol gelas 60 ml Box 3x10's Box 10x10's Box 10x10's Box 2x10's Tube 5 gr Box 10x10's Box 3x10's Box 3x10's Botol gelas 30 ml Box 1x6's

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

159,000 Rp. 7,550 Rp. 13,200 Rp. 184,500 Rp. 23,600 Rp. 82,000 Rp. 56,500 Rp. 31,300 Rp. 236,850 Rp. 92,500 Rp. 61,500 Rp. 97,400 Rp. 34,350 Rp. 553,500 Rp. 550,500 Rp. 262,950 Rp. 77,400 Rp. 36,600 Rp.

174,900 8,305 14,520 202,950 25,960 90,200 62,150 34,430 260,535 101,750 67,650 107,140 37,785 608,850 605,550 289,245 85,140 40,260

279,620 366,960 225,500 349,800 169,125 39,875 90,200 25,520 79,200 18,700 163,900 15,895 11,825 28,600 34,100 26,070 47,850 21,340


Page 5 of 15



NO.

186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202

NAMA PRODUK

HNA

HNA+PPN

Box 5x10's Box 5x10's Box 3x10's Box 3x10's Box 10x10's Box 10x10's Box 2x10's Box 3x10's Tube 10 gr Botol gelas 60 ml Box 10x10's Botol gelas 60 ml Box 10x10's Box 10x10's Box 1x6 ovula Box 1x6's Box 10x10's

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

95,000 Rp. 184,500 Rp. 76,950 Rp. 121,500 Rp. 21,500 Rp. 46,000 Rp. 210,200 Rp. 389,100 Rp. 20,700 Rp. 42,950 Rp. 297,500 Rp. 15,200 Rp. 108,000 Rp. 154,000 Rp. 72,900 Rp. 104,550 Rp. 118,000 Rp.

104,500 202,950 84,645 133,650 23,650 50,600 231,220 428,010 22,770 47,245 327,250 16,720 118,800 169,400 80,190 115,005 129,800

203 Trovensis 8 mg film-coated tablet

Box 1x10's

Rp.

159,900 Rp.

175,890

204 Trovensis 4 mg film-coated tablet 205 Tuzalos caplet 206 Uplores capsule

Box 1x10's Box 25x4's Box 3x10's

Rp. Rp. Rp.

113,300 Rp. 67,000 Rp. 147,600 Rp.

124,630 73,700 162,360

Box 10x10's Box 6x10's Box 5x6's Box 5x6's Box 10x10's Box 10x10's Box 5x10's Botol gelas 60 ml Box 10x10's

Rp.

Rp.

90,200 199,650 280,830 169,125 18,150 28,600 132,550 29,700 237,050

207 208 209 210 211 212 213 214 215

Tensicap 12,5 mg tablet Tensicap 25 mg tablet Tensinop 5 mg tablet Tensinop 10 mg tablet Tetra Sanbe 250 mg capsule Tetra Sanbe 500 mg capsule Ticard film-coated tablet Therodel film-coated tablet Topcort Cream Tosma syrup Tradosik capsule Tremenza syrup Tremenza tablet Trichodazol 500 film-coated tablet Trichodazol Plus Ovula Trichodazol suppositoria Tripanzym Sugar-coated caplet

KEMASAN

Uresix film-coated tablet Urotractin capsule Valemia 10 mg film-coated tablet Valemia 5 mg film-coated tablet Valisanbe 2 mg tablet Valisanbe 5 mg tablet Vertigosan tablet Vosedon suspensi Vosedon film-coated tablet

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

82,000 181,500 255,300 153,750 16,500 26,000 120,500 27,000 215,500

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.


Page 6 of 15


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 25 26 27 28 29 30 31 32 33 34 35 36

NAMA PRODUK

KEMASAN

Acran injeksi Altofen injeksi intramuskular Anbacim serbuk injeksi steril Bactirom serbuk injeksi steril Baquinor infus Beclov injeksi Bifotik injeksi Bledstop injeksi Cefobactam serbuk injeksi steril Ceforim injeksi Cinam serbuk injeksi steril Claneksi serbuk injeksi steril Colsancetine injeksi Cortidex injeksi Damaben injeksi Dofacef injeksi Fotaram injeksi Glybotic 250 injeksi Glybotic 500 injeksi Levocin infus Merosan 0,5 gr injeksi Merosan 1 gr injeksi Pelastin injeksi Plasminex injeksi Pumpitor injeksi Pumpisel injeksi Rativol 10 injeksi Rativol 30 injeksi Revolan injeksi Revolan injeksi Piracetam 3 g/15 ml Sagestam injeksi Sanexon injeksi 500 mg Sanexon injeksi 125 mg Sankorbin injeksi Sanmol infus Sanpicillin injeksi

Box 5 ampul @ 2 ml Box 5 ampul @ 2 ml Vial 1 gr Vial 1 gr Softbag infus 100 ml Box 5 ampul @ 2 ml Vial 1 gr 10 ampul @ 1 ml Box 1 vial @ 1 gr Vial 1 gr Vial 1,5 gr Box 6 vial @ 1 gr Box 10 vial @ 1 gr Box 10 ampul @ 1 ml Box 5 ampul @ 2 ml Vial 1 gr Box 6 vial @ 1 gr Box 4 vial @ 2 ml Box 4 vial @ 2 ml Softbag infus 100 ml Vial 0,5 gr Vial 1 gram Vial 1 gr Box 10 ampul @ 5 ml Box 1 vial 40 mg Box 1 vial 40 mg Box 5 ampul @ 1 mL Box 5 ampul @ 1 mg Box 10 ampul @ 5 ml Box 5 ampul @ 15 ml Box 5 vial @ 2 ml Box 1 vial 500 mg Box 1 vial 125 mg Box 5 ampul @ 5 ml Botol gelas 100 ml Box 10 vial @ 1 gr

HNA

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

96,600 124,000 71,050 275,300 215,100 162,500 162,800 68,200 186,700 292,450 132,500 534,000 94,800 57,900 42,550 50,800 669,600 365,800 633,800 280,250 255,900 499,600 311,000 115,300 139,200 137,300 107,750 169,750 170,150 249,350 45,100 197,200 84,900 124,800 56,600 148,650

HNA + PPN

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

106,260 136,400 78,155 302,830 236,610 178,750 179,080 75,020 205,370 321,695 145,750 587,400 104,280 63,690 46,805 55,880 736,560 402,380 697,180 308,275 281,490 549,560 342,100 126,830 153,120 151,030 118,525 186,725 187,165 274,285 49,610 216,920 93,390 137,280 62,260 163,515


Page 7 of 15


DAFTAR HARGA OBAT INJEKSI PER 21 NOPEMBER 2016

NO.

NAMA PRODUK

KEMASAN

HNA

HNA + PPN

37 Sansulin N injeksi 38 Sansulin R injeksi

Box 5 cartridge @ 3 ml Rp. Box 5 cartridge @ 3 ml Rp.

593,250 Rp. 593,250 Rp.

652,575 652,575

39 40 41 42 43 44 45 46 47 48 49 50 51

Box 5 catridge @ 3 ml Box 5 ampul @ 2 ml Box 10 ampul @ 1 ml Vial 0,5 gr Vial 1 gr Vial 1 gr Box 10 ampul @ 2 ml Softbag infus 100 ml Box 5 ampul @ 2 ml Box 5 ampul @ 4 ml Box 5 ampul @ 2 ml Box 10 ampul @ 2 ml Vial 1 gr

593,250 Rp. 43,050 Rp. 106,600 Rp. 67,500 Rp. 132,450 Rp. 195,800 Rp. 149,650 Rp. 82,750 Rp. 156,750 Rp. 319,050 Rp. 38,700 Rp. 134,300 Rp. 241,800 Rp.

652,575 47,355 117,260 74,250 145,695 215,380 164,615 91,025 172,425 350,955 42,570 147,730 265,980

Sansulin M 30 injeksi Santagesik injeksi Santocyn injeksi Taxegram 0,5 injeksi Taxegram injeksi Terfacef injeksi Tradosik injeksi Trichodazol infus Trovensis injeksi 4 mg Trovensis injeksi 8 mg Uresix injeksi Valisanbe injeksi Zidifec injeksi

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.


Page 8 of 15


DAFTAR HARGA VITAMIN/MINERAL + FOOD SUP PLEMENT PER 21 NOPEMBER 2016

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 25 26 27 28 29 30 31 32 33 34 35

NAMA PRODUK

Becom C film-coated caplet Becom-Zet film-coated caplet Berry Vision Dipersible tablet Berry Vision tablet Bevizil film-coated caplet Biferce tablet effervescent Biosanbe capsule Caldece tablet effervescent Day-Cal tablet Elkana film-coated tablet Elkana suspensi Elkana CL Emulsi Folavit 1 mg tablet Folavit 400 µg tablet Munosan tablet effervescent Neurosanbe 5000 sugar-coated tablet Neurosanbe film-coated tablet Neurosanbe Injeksi Neurosanbe Plus film-coated caplet Pervita film-coated caplet Prenamia capsule Probiokid powder Probistim capsule Retivit film-coated caplet Retivit plus film-coated caplet San-B-Plex drops Sanfuliq film-coated caplet Santa E 100 sugar-coated caplet Santa E 200 caplet Santa E 400 caplet Sanvita B syrup Sanvita B Plus tablet effervescent Vostem capsule Vostem forte film-coated caplet Vostem plus tablet effervescent (Lemon / Orange)

KEMASAN

Box 10x10's Box 10x10's Box 10x10's Box 10x10's Box 25x4's Tube @ 10 tablet Box 10x10's Tube @ 10 tablet Box 8x2's Box 10x10's Botol gelas 60 ml Botol gelas 120 ml Box 25x4's Box 10x10's Tube @ 10 tablet Box 10x10's Box 10x10's Box 10 ampul @ 3 ml Box 10x10's Box 10x10's Box 25x4's Box @ 10 sachet Box 3 blister x 10's Box 10x10's Box 10x10's Botol gelas 15 ml Box 3x10's Box 25x4's Box 25x4's Box 25x4's Botol gelas 120 ml Tube @ 10 tablet Box 10x6's Box 5x6's Tube @ 10 tablet

HNA

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

123,000 164,000 195,000 292,000 138,500 21,850 92,500 25,650 23,200 72,000 19,850 44,100 164,000 77,000 87,250 220,500 102,500 47,150 97,500 128,000 102,500 118,400 272,250 354,000 646,000 16,000 135,300 82,000 179,500 354,000 11,350 33,350 240,000 169,200 77,550

HNA + PPN

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

135,300 180,400 214,500 321,200 152,350 24,035 101,750 28,215 25,520 79,200 21,835 48,510 180,400 84,700 95,975 242,550 112,750 51,865 107,250 140,800 112,750 130,240 299,475 389,400 710,600 17,600 148,830 90,200 197,450 389,400 12,485 36,685 264,000 186,120 85,305


Page 9 of 15


DAFTAR HARGA OBAT VISION PER 21 NOPEMBER 2016

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 25 26 27 28 29 30 31 32

NAMA PRODUK

Akilen ear drops Baquinor eye drops Betagentam eye drops Betam-Ophtal eye drops Blecidex sterile eye/ear drop Bralifex eye drops Bralifex Plus sterile eye drops Crom-Ophtal eye drops Flamar eye drops Flamergi eye drops Forumen ear drops Fukricin eye drops Glauseta tablet Gaforin eye drops Hyaloph eye drops Levocin eye drops Midric 0.5% eye drops Miokar eye drops Miriwash Larutan Irigasi Mata Ocuflam eye drops Optibet eye drops Otilon ear drops Polidemisin eye drops Polidemisin salep mata Polifrisin eye drops Sagestam salep mata Sagestam eye drops Sanbe Tears eye drops sterile Santo tetes mata steril Temiral salep mata Tim-Ophtal 0,25% eye drops Tim-Ophtal 0,5% eye drops

KEMASAN

Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 10 ml Botol plastik 5 ml Box 10x10's Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 5 ml Softbag 500 ml Botol plastik 5 ml Botol plastik 5 ml Botol plastik 8 ml Botol plastik 5 ml Tube 3,5 gr Botol plastik 5 ml Tube 3,5 gr Botol plastik 5 ml Botol plastik 8 ml Botol plastik tetes 10 ml Tube 3,5 gr Botol plastik 5 ml Botol plastik 5 ml

HNA

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

56,200 31,250 50,900 50,900 38,900 31,100 43,050 46,650 34,850 17,750 23,650 64,100 420,500 126,100 59,800 70,950 26,650 19,800 116,050 61,700 39,000 35,700 25,650 32,800 18,450 33,850 26,650 20,350 15,050 44,500 31,850 44,100

HNA + PPN

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

61,820 34,375 55,990 55,990 42,790 34,210 47,355 51,315 38,335 19,525 26,015 70,510 462,550 138,710 65,780 78,045 29,315 21,780 127,655 67,870 42,900 39,270 28,215 36,080 20,295 37,235 29,315 22,385 16,555 48,950 35,035 48,510


Page 10 of 15


DAFTAR HARGA BRANDED OBAT ONKOLOGI PER 21 NOPEMBER 2016

NO.

1

NAMA PRODUK

Doxetasan Inje ksi 20 mg (Docetaxel)

KEMASAN

Box 1 vial @ 0,5 ml

HNA

HNA + PPN

Rp.

1,854,450 Rp.

2,039,895

+ 1 vial solvent @ 1,5 ml Box 1 vial @ 0,5 ml + 1 vial solvent @ 1,5 ml Box 1 vial @ 200 mg Box 1 vial @ 1000 mg Box 1 pre-filled syringe @ 1 mL Box 1 vial 1 ml Box 1 vial 2 ml Box 1 vial @ 2 ml Box 1 vial @ 5 ml Box 1 vial @ 5 ml Box 1 vial @ 5 ml Box 1 vial @ 25 ml Box 1 vial @ 5 ml Box 1 vial @ 16,7 ml

Rp.

5,408,700 Rp.

5,949,570

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

695,450 Rp. 2,972,500 Rp. 717,500 Rp. 102,500 Rp. 194,750 Rp. 927,250 Rp. 1,912,350 Rp. 255,000 Rp. 169,300 Rp. 695,550 Rp. 999,100 Rp. 2,595,050 Rp.

764,995 3,269,750 789,250 112,750 214,225 1,019,975 2,103,585 280,500 186,230 765,105 1,099,010 2,854,555

15 Sanroxa 50 mg Injeksi (Oxaliplatin)

Box 1 vial @ 10 ml

Rp.

1,970,400 Rp.

2,167,440

16 Sanotrexat 50 mg Injeksi (Methotrexate)

Box 1 vial @ 2 ml

Rp.

66,300 Rp.

72,930

2 3 4 5 6 7 8 9 10 11 12 13 14

Doxetasan Injeksi 80 mg (Docetaxel) Getanosan 200 Injeksi (Gemcitabine) Getanosan 1000 Injeksi (Gemcitabine) Neukin Injeksi (Filgrastim 300 µg) Rasteo Injeksi (Vinkristin Sulfat 1 mg) Rasteo Injeksi (Vinkristin Sulfat 2 mg) Romisan 40 mg Injeksi (Irinotecan) Romisan 100 mg Injeksi (Irinotecan) Rubisandin 10 mg Injeksi (Epirubicin HCl) Sandobicin 10 mg Injeksi (Doxorubicin HCl) Sandobicin 50 mg Injeksi (Doxorubicin HCl) Santotaxel 30 mg Injeksi (Paclitaxel) Santotaxel Injeksi 100 mg (Paclitaxel)

DAFTAR HARGA GENE RIK OBAT ONKOLOGI PER 21 NOPEMBER 2016

NO.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

NAMA PRODUK

Docetaxel 20 mg Injeksi Docetaxel 80 mg injeksi Doxorubicin HCl 10 mg Injeksi Doxorubicin HCl 50 mg Injeksi Epirubicin HCl 10 mg Injeksi Gemcitabine 200 mg Injeksi Gemcitabine 1000 mg Injeksi Irinotecan HCl 40 mg Injeksi Irinotecan HCl 100 mg Injeksi Oxaliplatin 50 mg Injeksi Paclitaxel 30 mg Injeksi Paclitaxel 100 mg Injeksi Methotrexate 50 mg Injeksi Vincristine Injeksi 1 mg Vincristine Injeksi 2 mg

KEMASAN

Box 1 vial @ 0,5 ml Box 1 vial @ 0,5 ml Box 1 vial @ 5 ml Box 1 vial @ 25 ml Box 1 vial @ 5 ml Box 1 vial @ 200 mg Box 1 vial @ 1000 mg Box 1 vial @ 2 ml Box 1 vial @ 5 ml Box 1 vial @ 10 ml Box 1 vial @ 5 ml Box 1 vial @ 16,7 ml Box 1 vial @ 2 ml Box 1 vial 1 ml Box 1 vial 2 ml

HNA

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

HNA + PPN

1,390,850 Rp. 3,466,550 Rp. 73,050 Rp. 278,450 Rp. 173,900 Rp. 478,150 Rp. 1,694,350 Rp. 732,350 Rp. 1,778,500 Rp. 1,501,500 Rp. 522,750 Rp. 1,313,300 Rp. 44,200 Rp. 71,750 Rp. 107,650 Rp.

1,529,935 3,813,205 80,355 306,295 191,290 525,965 1,863,785 805,585 1,956,350 1,651,650 575,025 1,444,630 48,620 78,925 118,415


Page 11 of 15


DAFTAR HARGA - INFUS PER 21 NOPEMBER 2016

NO.

NAMA PRODUK

KEMASAN

HNA

HNA + PPN

BASIC SOLUTION SANBE DOUBLE PORT

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

NO.

Infusan RL Infusan D5 Infusan NS Infusan D5 + 1/2 NS Infusan D5 + 1/4 NS Infusan R + D Infumal 10% Infusan Ring AS Tridex 27A Tridex 27B Tridex 100 Tridex Plain Hydromal Infusan NS 100 ml Infusan NS 250 ml Infusan D5 100 ml Infusan D5 250 ml Futrolit Infus Infusan D10 Infusan D5 + NS Infusan D2,5 + 1/2 NS Sanbe Water for Irrigation Sanbe Water for Irrigation

Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 100 ml Softbag 250 ml Softbag 100 ml Softbag 250 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 1000 ml Softbag 2000 ml

NAMA PRODUK

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

KEMASAN

17,800 18,150 17,350 18,550 18,350 18,650 84,400 20,000 19,500 19,500 21,250 18,100 66,000 15,450 15,300 16,200 16,100 52,950 18,100 16,850 16,250 16,650 25,950

Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

HNA

19,580 19,965 19,085 20,405 20,185 20,515 92,840 22,000 21,450 21,450 23,375 19,910 72,600 16,995 16,830 17,820 17,710 58,245 19,910 18,535 17,875 18,315 28,545

HNA + PPN

INFUS ASAM AMINO & NUTRISI

1 2 3

Amiten Renosan Livamin

Botol gelas 200 ml Botol gelas 500 ml Botol gelas 500 ml

Rp. Rp. Rp.

88,300 Rp. 228,200 Rp. 192,350 Rp.

97,130 251,020 211,585

4

Precopar

Botol gelas 500 ml

Rp.

193,850 Rp.

213,235

5 6

Benutrion VE Valamin Infus

Botol gelas 250 ml Botol gelas 500 ml

Rp. Rp.

100,700 Rp. 65,350 Rp.

110,770 71,885


Page 12 of 15


DAFTAR HARGA - INFUS PER 21 NOPEMBER 2016

NO.

NAMA PRODUK

KEMASAN

HNA

HNA + PPN

BASIC SOLUTION SANBE SINGLE PORT

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

NO.

Infusan RL Infusan D5 Infusan NS Infusan D5 + 1/2 NS Infusan D5 + 1/4 NS Infusan R + D Infumal 10% Infusan Ring AS Infusan M20 Infucap RL Infucap NS Infucap Ring AS Infucap D5 Infucap D5 + 1/4 NS Infucap D5 + 1/2 NS Infucap R+D Captosa 10%

NAMA PRODUK

Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml


KEMASAN

16,300 16,750 15,850 16,950 16,850 17,100 82,900 18,550 76,800 16,300 15,850 18,550 16,750 16,850 16,950 17,100 82,900


HNA

17,930 18,425 17,435 18,645 18,535 18,810 91,190 20,405 84,480 17,930 17,435 20,405 18,425 18,535 18,645 18,810 91,190

HNA + PPN

OTHERS

1 2 3 4 5 6 7 8 9 10

Infusan NS irigasi Proanes 1% (MCT/LCT) Sanbe Hest 130 Sanbe Hest 200 Enerton 500 Asentrat Bicarlis Lipomed 20% (MCT/LCT) Lipomed 20% (MCT/LCT) Lipomed 20% (MCT/LCT)

Softbag 1000 ml Box 5 ampul @ 20 ml Softbag 500 ml Softbag 500 ml Softbag 500 ml Jerigen 5 liter Jerigen 5 liter Botol gelas 100 ml Botol gelas 250 ml Botol gelas 500 ml


23,250 365,500 190,050 178,250 71,300 74,000 57,400 115,600 210,150 287,000


25,575 402,050 209,055 196,075 78,430 81,400 63,140 127,160 231,165 315,700


Page 13 of 15


DAFTAR HARGA OBAT PERTANGGAL 21 NOVEMBER 2016 NO

NAMA OBAT

KEMASAN

HNA

HNA + PPN

HET

1

Amoxsan 250 mg capsule

Box 10x10's

Rp

147,500 Rp

162,250

Rp

202,813

2

Amoxsan 250 mg dispersible tablet

Box 10x10's

Rp

130,000 Rp

143,000

Rp

178,750

3

Amoxsan 500 mg capsule

Box 10x10's

Rp

302,000 Rp

332,200

Rp

415,250

4

Amoxsan dry syrup

Botol gelas 60 ml

Rp

20,710 Rp

22,781

Rp

28,476

5

Amoxsan forte dry syrup

Botol gelas 60 ml

Rp

29,535 Rp

32,489

Rp

40,611

6

Amoxsan injeksi

Box 10 vial @ 1 gr

Rp

207,100 Rp

227,810

Rp

284,763

7

Amoxsan Peadiatric drop

Botol gelas 15 ml

Rp

20,710 Rp

22,781

Rp

28,476

8

Canicol 500 mg capsule

Box 10x10's

Rp

314,500 Rp

345,950

Rp

432,438

9

Caprenem 0,5 injeksi

1 vial @ 0,5 g

Rp

226,300 Rp

248,930

Rp

311,163

10 Caprenem 1 injeksi

1 vial @ 1 g

Rp

429,950 Rp

472,945

Rp

591,181

11 Caprazol Kapsul

Box 2x10's

Rp

214,200 Rp

235,620

Rp

294,525

12 C ardicap 5 Tablet

Box 5x10's

Rp

262,500 Rp

288,750

Rp

360,938

13 Cardicap 10 Tablet

Box 5x10's

Rp

460,000 Rp

506,000

Rp

632,500

Box 5x6's

Rp

310,500 Rp

341,550

Rp

426,938

15 C apsinat Dry Syrup

Botol 60 ml

Rp

45,200 Rp

49,720

Rp

62,150

16 Capsinat Forte Dry Syrup

Botol 60 ml

Rp

59,450 Rp

65,395

Rp

81,744

6 vial @1,2 g

Rp

452,400 Rp

497,640

Rp

622,050

18 Caprenafil 50

Box 1x4 Kaplet Salut Film

Rp

222,600 Rp

244,860

Rp

306,075

19 Caprenafil 100

Box 1x4 Kaplet Salut Film

Rp

292,400 Rp

321,640

Rp

402,050

20 Caprifim Injeksi

1 vial @ 1 g

Rp

255,700 Rp

281,270

Rp

351,588

21 Capritazin Kaplet

Box 3x10's

Rp

75,000 Rp

82,500

Rp

103,125

22 Capritazin Syrup

Botol 60 ml

Rp

41,000 Rp

45,100

Rp

56,375

23 Capritazin Drop

Botol 20 ml

Rp

45,000 Rp

49,500

Rp

61,875

24 Caprocef Injeksi

1 vial @ 1 g dan 1 ampul aqua pro injeksi @ 10 ml

Rp

231,950

Rp

255,145

Rp

318,931

25 Caproliv Kaplet

Box 6x10's

Rp

271,500 Rp

298,650

Rp

373,313

26 Cefacef Kapsul

Box 3x10's

Rp

516,000 Rp

567,600

Rp

709,500

27 Cefacef Dry Syrup

Botol 30 ml

Rp

71,350 Rp

78,485

Rp

98,106

28 Centabio gel

Tube 20 gr

Rp

14,750 Rp

16,225

Rp

20,281

29 Ciprec 500 mg caplet

Box 2x10's

Rp

240,000 Rp

264,000

Rp

330,000

Box 5x6's

Rp

97,500 Rp

107,250

Rp

134,063

14 Capsinat 500 mg film-coated caplet

17 Capsinat Injeksi

30 Denufam 20 mg film-coated tablet

Bandung, 21 November 2016

Page 14 of 15


DAFTAR HARGA OBAT PERTANGGAL 21 NOVEMBER 2016 NO

NAMA OBAT

31 Femisic 500 mg caplet

KEMASAN

HNA

HNA + PPN

HET

Box 10x10's

Rp

110,000 Rp

121,000 Rp

151,250

Box 3x6's

Rp

577,800 Rp

635,580 Rp

794,475

33 Floxacap Infus

Softbag 100 ml

Rp

237,000 Rp

260,700 Rp

325,875

34 Folavicap 400

Box 10x10's

Rp

65,000 Rp

71,500 Rp

89,375

35 Folavicap 1000

Box 10x10's

Rp

140,000 Rp

154,000 Rp

192,500

36 Formuno film-coated caplet

Box 3x10's

Rp

175,500 Rp

193,050 Rp

241,313

Tube @ 10 effervescent tablet

Rp

90,500 Rp

99,550 Rp

124,438

38 Heptasan film-coated tablet

Box 10x10's

Rp

22,000 Rp

24,200 Rp

30,250

39 Intricef Inj

1 vial @ 1 g

Rp

158,400 Rp

174,240 Rp

217,800

Box 5x6's

Rp

192,000 Rp

211,200 Rp

264,000

41 Logista tablet

Box 10x10's

Rp

400,000 Rp

440,000 Rp

550,000

42 Pelascap Inj

1 vial @ 1 g

Rp

267,050 Rp

293,755 Rp

367,194

43 Phenacold 60 ml

Botol gelas 60 ml

Rp

7,075 Rp

7,783 Rp

9,728

44 Phenacold 120 ml

Botol gelas 120 ml

Rp

10,750 Rp

11,825 Rp

14,781

45 Roksicap 500 mg capsule

Box 10x10's

Rp

890,000 Rp

979,000 Rp

1,223,750

46 Roksicap Dry Syrup

Botol 60 ml

Rp

36,850 Rp

40,535 Rp

50,669

47 Roksicap Forte Dry Syrup

Botol 60 ml

Rp

59,450 Rp

65,395 Rp

81,744

48 Sanbe Kids' Emulson

Botol 200 ml

Rp

32,850 Rp

36,135 Rp

45,169

Tube 10 gr

Rp

9,000 Rp

9,900 Rp

12,375

1 vial @ 1 g

Rp

101,050 Rp

111,155 Rp

138,944

Box 4x25 catch cover

Rp

120,000 Rp

132,000 Rp

165,000

52 Visancort Cream

Tube 10 gr

Rp

7,950 Rp

8,745 Rp

10,931

53 Zeliris cream

Tube 10 gr

Rp

27,600 Rp

30,360 Rp

37,950

54 Zolacap

Box 2x10's

Rp

215,000 Rp

236,500 Rp

295,625

32 Floxacap Tablet Salut Film

37 Formuno extra effervescent tablet

40 Liproqy capsule

49 Sancortmycin Ointment 50 Taxecap Inj. 51 Ultravita film-coated caplet

-2-

Bandung, 21 November 2016

Page 15 of 15

Lampiran Harga Produk Sanbe Dan Capri 21 Nov'2016-1

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