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DAFTRA HARGA OBAT TAHUN 2014

BERDASARKAN E KATALOG (Per 8 Agustus 2014)


(* sumber Web LKPP, e catalogue obat)

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

1 ACT (Artesunate tablet 50 mg + Amodiaquine


anhydrida tablet 200 mg)

n/a

PT. Kimia Farma

2 Adefovir Dipivoksil tablet/kaplet 10 mg

Hepsera

PT. SmithKline Beecham


Phamaceuticals

3 Albendazol suspensi 200 mg/5 ml

n/a

PT. Indofarma

4 Albendazol tablet/kapsul/kaplet 400 mg

n/a

PT. Holi Pharma

5 Albumin serum normal (human albumin) injeksi


20%, 100 ml
6 Albumin serum normal (human albumin) injeksi
20%, 50 ml
7 Alopurinol tablet/kapsul/kaplet 100 mg

Zenalb

PT. Ikapharmindo

Zenalb

PT. Ikapharmindo

n/a

PT. Pertiwi Agung

8 Alopurinol tablet/kapsul/kaplet 300 mg

n/a

PT. Bernofarm

9 Alprazolam tablet/kapsul/kaplet 0,25 mg

n/a

PT. Dexa Medica

10 Alprazolam tablet/kapsul/kaplet 0,5 mg

n/a

PT. Otto Pharmaceuticals

11 Alprazolam tablet/kapsul/kaplet 1 mg

n/a

PT. Kimia Farma

12 Alteplase injeksi 50 mg/vial

Actilyse

PT. Boehringer Ingelheim

13 Amfoterisin B salep mata 1%

Fungicide

PT. Cendo Industri Farmasi

14 Amikasin injeksi 250 mg/ml

Glybotic 250 mg /ml

PT. Sanbe Farma

15 Aminofilin injeksi 24 mg/ml

n/a

PT. Lucas Djaja

16 Aminofilin tablet scored 200 mg

n/a

PT. Marin Liza Farmasi

17 Amiodaron injeksi 150 mg/3 ml

Cordarone

PT. Aventis Pharma

18 Amiodaron tablet/kaplet 200 mg

Kendaron Tablet

PT. Darya Varia

19 Amitriptilin tablet salut 25 mg (HCl)

n/a

PT. Indofarma

20 Amlodipin tablet 10 mg

n/a

PT. Pertiwi Agung

21 Amlodipin tablet 5 mg

n/a

PT. Pertiwi Agung

22 Amoksisilin kapsul/kaplet 250 mg

n/a

PT. Novapharin

23 Amoksisilin kapsul/kaplet/tablet scored 500 mg

n/a

PT. Bernofarm

24 Amoksisilin sirup kering 125 mg/ 5 ml

n/a

PT. Novapharin

25 Amoksisilin sirup kering forte 250 mg/5 ml

n/a

PT. Holi Pharma

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

n/a

PT. Bernofarm

27 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

28 Analog insulin mix acting inj 100 UI/ml, Analog


insulin mix acting inj 100 UI/ml (Premix 30%
Insulin Aspart + 70% Protaminated Insulin Aspart
(Analogue))

Novomix Flexpen

PT. Ferron Par Pharmaceuticals

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

29 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. Tempo Scan Pacific

30 Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
Aspart (Analogue))

Novorapid Flexpen

PT. Ferron Par Pharmaceuticals

31 Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
Aspart (Analogue))

Novorapid Vial

PT. Ferron Par Pharmaceuticals

32 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

33 Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
lispro (rDNA origin))

Humalog

PT. Tempo Scan Pacific

34 Anastrozol tablet/kapsul/kaplet 1 mg

Arimidex 1 mg

PT. AstraZeneca indonesia

35 Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium
Hidroksida 200 mg

n/a

PT. Promedrahardjo Farmasi


Industri

36 Antasida DOEN II suspensi, kombinasi :


Aluminium Hidroksida 200 mg/5 ml Magnesium
Hidroksida 200 mg/5 ml

n/a

PT. Rama Emerald Multi Sukses

37 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 n/a


IU/g Polimiksin 10.000 IU/g

PT. Indofarma

38 Antimalaria DOEN kombinasi : Pirimetamin 25 mg n/a


Sulfadoksin 500 mg

PT. Kimia Farma

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

PT. Kimia Farma

40 Antiparkinson DOEN tablet kombinasi : Benserazid Levopar Tablet


25 mg Levodopa 100 mg

PT. Meprofarm

41 Artemether injeksi 80 mg/ml

Artem

PT. Kimia Farma

42 Asam Asetilsalisilat (asetosal) tablet 100 mg

n/a

PT. Phapros, Tbk

43 Asam Askorbat (Vitamin C) tablet 250 mg

n/a

PT. Kimia Farma

44 Asam Askorbat (Vitamin C) tablet 50 mg

n/a

PT. Kimia Farma

45 Asam Folat tablet/kapsul/kaplet 0,4 mg

Starfolat

PT. Dexa Medica

46 Asam Folat tablet/kapsul/kaplet 1 mg

n/a

PT. Marin Liza Farmasi

47 Asam Ibandronat injeksi 6mg/6ml

Bondronat

PT. Boehringer Ingelheim

48 Asam Mefenamat kapsul/kaplet 500 mg

n/a

PT. Bernofarm

49 Asam pipemidat kapsul 400 mg

Urotractin 400 mg

PT. Sanbe Farma

50 Asam traneksamat injeksi 100 mg/ml

n/a

PT. Hexpharm Jaya Laboratories

51 Asam traneksamat injeksi 50 mg/ml

n/a

PT. Bernofarm

52 Asiklovir salep mata 3%

Temiral Eye Oint

PT. Sanbe Farma

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

53 Asiklovir tablet/kapsul/kaplet 200 mg

n/a

PT. Indofarma

54 Asiklovir tablet/kapsul/kaplet 400 mg

n/a

PT. Kimia Farma

55 Asparaginase serbuk injeksi 10.000 UI/vial

Leunase

PT. Widatra Bhakti

56 Atapulgit tablet 600 mg

Pularex

PT. Zenith Pharmaceuticals

57 Atrakurium injeksi 25 mg/2,5 ml

Tracrium

PT. Glaxo Wellcome Indonesia

58 Atropin Sulfat tablet 0,5 mg

n/a

PT. Indofarma

59 Azitromisin sir kering 200 mg/ 5 mL

n/a

PT. Soho Industri Pharmasi

60 Azitromisin tablet 250 mg

n/a

PT. Soho Industri Pharmasi

61 Azitromisin tablet 500 mg

n/a

PT. Kimia Farma

62 Bedak salisil serbuk 2%

n/a

PT. Rama Emerald Multi Sukses

63 Benzatin Benzil Penisilin 1,2 juta IU/ vial

n/a

PT. Phapros, Tbk

64 Benzatin Benzil Penisilin 2,4 juta IU/vial

n/a

PT. Phapros, Tbk

65 Beractant injeksi / suspensi 25 mg/mL

Survanta

PT. Abbott Indonesia

66 Beraprost sodium tablet 20 mcg

Dorner 20 g

PT. Combiphar

67 Beraprost sodium tablet 20 mcg

Dorner

PT. Combiphar

68 Betametason krim 0,1% (sebagai Valerat)

n/a

PT. Kimia Farma

69 Bikalutamid tablet salut 150 mg

Casodex 150 mg

PT. AstraZeneca indonesia

70 Bikalutamid tablet salut 50 mg

Casodex 50 mg

PT. AstraZeneca indonesia

71 Bisakodil suppositoria 10 mg

Stolax supp

PT. Sanbe Farma

72 Bisoprolol tablet 2,5 mg

Concor 2.5

PT. Merck Tbk

73 Bisoprolol tablet 5 mg

n/a

PT. Pratapa Nirmala

74 Bleomisin serbuk injeksi 15 mg/ampul

BLEOCIN

PT Kalbe Farma

75 Bromokriptin tablet 2,5 mg

Cripsa tab

PT. Caprifarmindo

76 Budesonid inhaler 200 mcg/puff, 100 dosis

Pulmicort Turbuhaler

PT. AstraZeneca indonesia

77 Budesonid respules / cairan inhaler 0,25mg/mL

Pulmicort Respules

PT. AstraZeneca indonesia

78 Budesonid-formoterol (fixed combination) inhaler


160/4,5 mcg

Symbicort Turbuhaler
160/4.5 mcg

PT. AstraZeneca indonesia

79 Budesonid-formoterol (fixed combination) inhaler


80/4,5 mcg
80 Bupivakain injeksi 0,50% (HCl) + glukosa 8%

Symbicort 80/4.5 mcg

PT. AstraZeneca indonesia

n/a

PT. Dexa Medica

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

Bunascan

PT. Pratapa Nirmala

82 Dabigatran eteksilat kapsul 110 mg

Pradaxa

PT. Boehringer Ingelheim

83 Dabigatran eteksilat kapsul 75 mg

Pradaxa

PT. Boehringer Ingelheim

84 Daunorubisin serbuk injeksi 20 mg/vial

DAUNOCIN

PT. Novell Pharmaeutical


Laboratories

85 Deferasiroks tablet disp/ eff 250 mg

Exjade 250 mg Tab

PT. Novartis Indonesia

86 Deferasiroks tablet disp/ eff 500 mg

Exjade 500 mg Tab

PT. Novartis Indonesia

87 Deferipron larutan oral 100 mg/mL

Ferriprox Oral Solution

PT. Sydna Farma

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

88 Deferipron tablet 500 mg

Ferriprox tablet

PT. Sydna Farma

89 Deferoksamin Mesilat serbuk injeksi 500 mg

Desferal

PT. Novartis Indonesia

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

n/a

PT. Indofarma

91 Deksametason tablet 0,5 mg

n/a

PT. Indofarma

92 Desogestrel tablet 75 mcg

Cerazette

93 Desoksimetason krim 0,25%

n/a

PT. Merck Sharp Dohme Pharma


Tbk
PT. Dexa Medica

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

n/a

PT. Lucas Djaja

95 Digoksin tablet 0,25 mg

n/a

PT. Yarindo Farmatama

96 Diltiazem HCl tablet 30 mg

n/a

PT. Indofarma

97 Diltiazem infus injeksi 50 mg

PT. Tanabe Indonesia

98 Diltiazem injeksi 25 mg/5 mL

Herbesser Powder Injection


50mg
Farmabes Injeksi 25 mg

99 Diltiazem Kapsul SR 100 mg

Herbesser CD 100

PT. Tanabe Indonesia

100 Diltiazem Kapsul SR 200 mg

Herbesser CD 200

PT. Tanabe Indonesia

101 Dimenhidrinat tablet 50 mg

n/a

PT. Kimia Farma

102 Dinatrium edetat tetes mata 0,35%

E.D.T.A

PT. Cendo Industri Farmasi

103 Dobutamin injeksi 50 mg/mL

DOBURAN

PT. Dipa Pharmalab

104 Doksazosin mesilat tablet 1 mg

Cardura 1mg

PT. Pfizer Indonesia

105 Doksazosin mesilat tablet 2 mg

Cardura 2mg

PT. Pfizer Indonesia

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

Doxorubicin Actavis 10 mg

PT. Actavis Indonesia

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

Doxorubicin Actavis 50 mg

PT. Actavis Indonesia

108 Domperidon suspensi/sirup 5 mg/5 ml

n/a

PT. Novapharin

109 Domperidon tablet 10 mg

n/a

PT. Novapharin

110 Domperidon tetes 5 mg/mL

n/a

PT. Bernofarm

111 Dopamin injeksi 40 mg/ml

UDOPA

PT. Dipa Pharmalab

112 Dosetaksel injeksi 20 mg/0,5 ml

n/a

PT. Sanbe Farma

113 DTPA (diethylene triamine pentaacetic acid) 2,062,5 mg pentetate calcium trisodium/mL

Renalscan KaeF

PT. Kimia Farma

114 Dutasterid kaps lunak 0,5 mg

Avodart

PT. SmithKline Beecham


Phamaceuticals

115 Efavirens tablet salut 600 mg

n/a

PT. Kimia Farma

116 Eksemestan tablet 25 mg

Aromasin

PT. Pfizer Indonesia

117 Enoksaparin sodium inj 20 mg/0,2 mL

Lovenox 2000 ANTI-XA

PT. Aventis Pharma

118 Enoksaparin sodium inj 40 mg/0,4 mL

Lovenox 4000 ANTI-XA

PT. Aventis Pharma

119 Enoksaparin sodium inj 60 mg/0,6 mL

Lovenox 6000 ANTI-XA

PT. Aventis Pharma

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

n/a

PT. Phapros, Tbk

121 Epirubisin serb injeksi 10 mg/5 ml

n/a

PT. Sanbe Farma

122 Epirubisin serb injeksi 50 mg/25ml

Epirubisin Kalbe

PT Kalbe Farma

123 Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI

D-Vit FT

PT. Gracia Pharmindo

124 Ergokalsiferol (vitamin D3/D2) suspensi 10.000


UI/ml
125 Eritromisin kapsul/kaplet 250 mg

D-Vit Syrup

PT. Gracia Pharmindo

n/a

PT. Kimia Farma

126 Eritromisin kapsul/kaplet 500 mg

n/a

PT. Indofarma

PT. Pratapa Nirmala

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

127 Eritromisin sirup kering 200 mg/ 5 ml

n/a

PT. Phyto Kemo Agung Farma

128 Eritropoetin-alfa inj 3000 UI/mL

Hemapo 3000

PT Kalbe Farma

129 Eritropoetin-beta inj 2000 UI/0,3 mL

Recormon

PT. Boehringer Ingelheim

130 Etambutol tablet 250 mg (HCl)

n/a

PT. Kimia Farma

131 Etambutol tablet salut 500 mg (HCl)

n/a

PT. Indofarma

132 Etanol 70% cairan

n/a

PT. Novapharin

133 Etinilestradiol tablet 0,05 mg

Lynoral

134 Etonogestrel implan 68 mcg

Implanon

135 Etoposid injeksi 20 mg/ml

Posyd

PT. Merck Sharp Dohme Pharma


Tbk
PT. Merck Sharp Dohme Pharma
Tbk
PT. Combiphar

136 Eugenol cairan

n/a

PT. Kimia Farma

137 Everolimus tab 0,25 mg

Certican 0,25 mg Tab

PT. Novartis Indonesia

138 Everolimus tab 0,5 mg

Certican 0,5 mg Tab

PT. Novartis Indonesia

139 Faktor VIIa (rekombinan) serb inj 1 mg/vial +


pelarut untuk injeksi
140 Fenitoin injeksi 50 mg/ml

Novoseven

PT. Ferron Par Pharmaceuticals

n/a

141 Fenitoin kapsul/kaplet 100 mg

n/a

PT. Mersifarma Tirmaku


Mercusana
PT. Ikapharmindo

142 Fenitoin Na Inj 100 mg/2 ml

n/a

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

n/a

PT. Mersifarma Tirmaku


Mercusana
PT. Phapros, Tbk

144 Fenofibrat kaps 100 mg

n/a

PT. Hexpharm Jaya Laboratories

145 Fenofibrat kaps 300 mg

n/a

PT. Hexpharm Jaya Laboratories

146 Fenoksimetil penisilin (penisilin V) tab 125 mg

Fenocin

PT. Actavis Indonesia

147 Fenoterol HBr ih 100 mcg/puff

Berotec MDI

PT. Boehringer Ingelheim

148 Fenoterol HBr inh solution 0,1%

Berotec Solution

PT. Boehringer Ingelheim

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

n/a

PT. Kimia Farma

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

n/a

PT. Kimia Farma

151 Fentanil patch 12,5 mcg/jam

Durogesic 12,5 MU Matrix

PT. Kimia Farma

152 Fentanil patch 25 mcg/jam

Durogesic 25 MU Matrix

PT. Kimia Farma

153 Fentanil patch 50 mcg/jam

Durogesic 50 MU Matrix

PT. Kimia Farma

154 Filgrastim inj 300 mcg/mL

Leucogen

PT Kalbe Farma

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

n/a

PT. Marin Liza Farmasi

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

n/a

PT. Phapros, Tbk

157 Fludarabin inj 50 mg

Fludara IV LYO

PT. Aventis Pharma

158 Fludarabin tab 10 mg

Fludara Oral

PT. Aventis Pharma

159 Flufenazin injeksi i.m. 25 mg/ml

Sikzonoate Injeksi

160 Flukonazol injeksi 2 mg/ml

n/a

PT. Mersifarma Tirmaku


Mercusana
PT. Novell Pharmaeutical
Laboratories

161 Flukonazol tablet/kapsul 150 mg

n/a

PT. Kimia Farma

162 Fluoksetin tablet 10 mg

Foransi 10

PT. Gracia Pharmindo

163 Fluoksetin tablet 20 mg

NOPRES

PT. Dexa Medica

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

164 Fluorourasil inj 250 mg/mL

Curacil

PT Kalbe Farma

165 Fluorourasil inj 500 mg/ 5 mL

Curacil

PT Kalbe Farma

166 Flusinolon asetonid krim 0,025%

SYNARCUS

PT. Ifars Pharmaceutical


Laboratories

167 Flutikason furoat intranasal spray

Avamys

PT. Glaxo Wellcome Indonesia

168 Flutikason propionat nebules 0,5 mg

Flixotide Nbules

PT. Glaxo Wellcome Indonesia

169 Fondaparinuks inj 2,5 mg/0,5 mL

Arixtra

PT. Glaxo Wellcome Indonesia

170 Fraksi protein plasma lar inf 5%

Plasmanate

PT. Dipa Pharmalab

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

n/a

PT. Indofarma

172 Furosemid tablet 40 mg

n/a

PT. Indofarma

173 Gadobutrol macrocyclic 5 mg

Gadovist 5 mg

PT. Bayer Indonesia

174 Gadobutrol macrocyclic 7,5 mg

Gadovist 7,5 mg

PT. Bayer Indonesia

175 Gadoksetat disodium 0,25 mmol gadoxetate


disodium/mL
176 Gansiklovir serb inj 500 mg (50 mg/mL)

Primovist

PT. Bayer Indonesia

Cymevene

PT. Boehringer Ingelheim

177 Gefitinib tab 250 mg

Iressa 250 mg

PT. AstraZeneca indonesia

178 Gemfibrozil kapsul/kaplet 300 mg

n/a

PT. Indofarma

179 Gemfibrozil tablet 600 mg

n/a

PT. Indofarma

180 Gemsitabin inj 1000 mg/vial

Gemzar 1000 mg

PT. Bayer Indonesia

181 Gemsitabin inj 200 mg/vial

n/a

PT. Sanbe Farma

182 Gentamisin injeksi 40 mg/ ml

n/a

PT. Indofarma

183 Gentamisin salep mata 0,3%

Genoint Salep Mata

PT. Erela

184 Gentamisin tetes mata 0,3%

n/a

PT. Indofarma

185 Glibenklamid tablet 5 mg

n/a

PT. Indofarma

186 Gliklazid tab 30 mg

Diamicron MR 30

PT. Pradja Pharin

187 Gliklazid tab 80 mg

Glicab

PT. Tempo Scan Pacific

188 Glikuidon tab 30 mg

n/a

PT. Dexa Medica

189 Glimepiride tablet 1 mg

n/a

PT. Kimia Farma

190 Glimepiride tablet 2 mg

n/a

PT. Kimia Farma

191 Glimepiride tablet 3 mg

n/a

PT. Kimia Farma

192 Glimepiride tablet 4 mg

n/a

PT. Kimia Farma

193 Gliseril trinitrat kaps SR 2,5 mg

Nitrokaf Retard

PT. Kimia Farma

194 Gliseril trinitrat kaps SR 5 mg

Nitrokaf Forte

PT. Kimia Farma

195 Gliseril trinitrat tab sublingual 0,5 mg

Nitral

PT. Actavis Indonesia

196 Gliserin lar 50%

Gliserin lar 50%

PT. Lucas Djaja

197 Glukosa larutan infus 10 % steril

n/a

PT. Widatra Bhakti

198 Glukosa larutan infus 5 % steril

n/a

PT. Widatra Bhakti

199 Goserelin asetat inj 10,8 mg/vial

Zoladex 10,8 mg

PT. AstraZeneca indonesia

200 Goserelin asetat inj 3,6 mg

Zoladex 3,6 mg

PT. AstraZeneca indonesia

201 Griseofulvin tablet 125 mg

n/a

PT. Indofarma

202 Haloperidol inj 50 mg/mL

Haldol Decanoas

PT. Soho Industri Pharmasi

203 Haloperidol tablet 0,5 mg

n/a

PT. Indofarma

204 Haloperidol tablet 1,5 mg

n/a

PT. Indofarma

205 Haloperidol tablet 2 mg

Lodomer 2

206 Haloperidol tablet 5 mg

n/a

PT. Mersifarma Tirmaku


Mercusana
PT. Indofarma

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

207 Halotan Inhalasi

Halothane

PT. Dexa Medica

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

Inviclot

PT. Pratapa Nirmala

209 Hepatitis B imunoglobulin (human)

Hyperhep B

PT. Dipa Pharmalab

210 Hidrokortison krim 2,5 %

n/a

PT. Kimia Farma

211 Hiosin butilbromid injeksi 20 mg/ml

n/a

PT. Otto Pharmaceuticals

212 Human insulin intermediate acting inj 100 UI/ml,


vial (Human Insulin (Intermediate-Acting))

Insulatard Vial

PT. Ferron Par Pharmaceuticals

213 Human insulin intermediate acting inj 100 UI/ml,


vial (Insulin human Basal)

Humulin N Vial

PT. Bayer Indonesia

214 Human insulin intermediate acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge

n/a

PT. Aventis Pharma

215 Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Human Insulin
(Intermediate-Acting))

Insulatard Penfill

PT. Ferron Par Pharmaceuticals

216 Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Insulin human Basal)

Humulin N Cart

PT. Bayer Indonesia

217 Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Insulin human Basal)

Sansulin N

PT. Sanbe Farma

218 Human insulin mix insulin inj 100 UI/ml, penfill


cartridge (Human Insulin (Premix: 30% Soluble +
70 % NPH Insulin))

Mixtard Penfill

PT. Ferron Par Pharmaceuticals

219 Human insulin mix insulin inj 100 UI/ml, penfill


cartridge (Insulin human Comb)

Humulin 30/70 Cart

PT. Bayer Indonesia

220 Human insulin mix insulin inj 100 UI/ml, vial


(Human Insulin (Premix: 30% Soluble + 70 % NPH
Insulin))

Mixtard Vial

PT. Ferron Par Pharmaceuticals

221 Human insulin mix insulin inj 100 UI/ml, vial


(Insulin human Comb)
222 Human insulin short acting inj 100 UI/ml, penfill
cartridge (Human Insulin (Short Acting))

Humulin 30/70 Vial

PT. Bayer Indonesia

Actrapid Penfill

PT. Ferron Par Pharmaceuticals

223 Human insulin short acting inj 100 UI/ml, penfill


cartridge (Insulin human Rapd)

Humulin R Cart

PT. Bayer Indonesia

224 Human insulin short acting inj 100 UI/ml, penfill


cartridge (Insulin human Rapd)

Sansulin R

PT. Sanbe Farma

225 Human insulin short acting inj 100 UI/ml, vial


(Human Insulin (Short Acting))

Actrapid Vial

PT. Ferron Par Pharmaceuticals

226 Human insulin short acting inj 100 UI/ml, vial


(Insulin human Rapd)
227 Human insulin short acting inj 100 UI/ml,
vial/cartridge disposible/penfill cartridge

Humulin R Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

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

PT. Dexa Medica

229 Ibuprofen sirup 100 mg/5 ml

n/a

PT. Indofarma

230 Ibuprofen suspensi 200 mg/5 ml

n/a

PT. Indofarma

231 Ibuprofen tablet 200 mg

n/a

PT. Yarindo Farmatama

232 Ibuprofen tablet 400 mg

n/a

PT. Holi Pharma

233 Ifosfamid serbuk injeksi 1000 mg/vial

Holoxan injeksi 1000

PT. Mugi Laboratories

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

234 Imidapril tab 10 mg

Tanapress 10mg

PT. Tanabe Indonesia

235 Imidapril tab 5 mg

Tanapress 5mg

PT. Tanabe Indonesia

236 Iopamidol 200-300 mg Iodium/mL (300mg @ vial


100ml)
237 Iopamidol 200-300 mg Iodium/mL (300mg @ vial
30ml)
238 Iopamidol 200-300 mg Iodium/mL (300mg @ vial
50ml)
239 Iopamidol 300-370 mg Iodium/mL (370mg @ vial
100ml)
240 Iopamidol 300-370 mg Iodium/mL (370mg @ vial
30ml)
241 Iopamidol 300-370 mg Iodium/mL (370mg @ vial
50ml)
242 Iopromide 300-370 mg Iodium/mL (300 mg / 100
ml)
243 Iopromide 300-370 mg Iodium/mL (300 mg / 50
ml)
244 Iopromide 300-370 mg Iodium/mL (370 mg / 100
ml)
245 Iopromide 300-370 mg Iodium/mL (370 mg / 50
ml)
246 Ipratropium bromida inhalasi 20 mcg/semprot

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Ultravist 300/100 mg

PT. Bayer Indonesia

Ultravist 300/50 mg

PT. Bayer Indonesia

Ultravist 370/100 mg

PT. Bayer Indonesia

Ultravist 370/50 mg

PT. Bayer Indonesia

Atrovent HFA

PT. Boehringer Ingelheim

247 Irbesartan tab 150 mg

n/a

PT. Indofarma

248 Irbesartan tab 300 mg

n/a

PT. Indofarma

249 Irinotekan inf 20 mg/ml

n/a

PT. Sanbe Farma

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

Farsorbid inj

PT. Pratapa Nirmala

251 Isosorbid Dinitrat tablet sublingual 5 mg

n/a

PT. Indofarma

252 Kalium aspartat tab 300 mg

Kalipar

PT. Tempo Scan Pacific

253 Kalium Klorida tablet 600 mg

KSR

PT. Merck Tbk

254 Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml

DBL Leucovorin

PT. Tempo Scan Pacific

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

Kalsium glukonat

PT. Ethica Industri Farmasi

256 Kandesartan tab 16 mg

n/a

PT. Dexa Medica

257 Kandesartan tab 8 mg

n/a

PT. Dexa Medica

258 Kapesitabin tab 500 mg

Xeloda

PT. Boehringer Ingelheim

259 Kaptopril tablet 50 mg

n/a

PT. Indofarma

260 Kaptopril tablet scored 25 mg

n/a

PT. Errita Pharma

261 Kaptopril tablet scored12,5 mg

n/a

PT. Indofarma

262 Karbamazepin sirup 100 mg/5 ml

PT. Novartis Indonesia

263 Karbamazepin tablet 200 mg

Tegretol Syrup 100mg/5ml,


120ml
n/a

264 Karbimazol tab 5 mg

Neo-Mercazole

265 Karbogliserin tetes telinga 10%


266 Ketamin injeksi i.v. 100 mg/ml

Karbogliserin tetes telinga


10%
KTM

PT. Nicholas Laboratories


Indonesia
PT. Lucas Djaja

267 Ketokonazol krim 2%

n/a

PT. Kimia Farma

268 Ketokonazol krim 2%

n/a

PT. Novell Pharmaeutical


Laboratories

269 Ketokonazol tablet 200 mg

n/a

PT. Dexa Medica

270 Ketoprofen supositoria 100 mg

Protofen Supp

PT. Kimia Farma

271 Ketorolac injeksi 30 mg/ml

n/a

PT. Phapros, Tbk

PT. Indofarma

PT. Guardian Pharmatama

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

272 Klaritromisin tab 500 mg

ORIXAL

PT. Ifars Pharmaceutical


Laboratories

273 Klindamisin kapsul/kaplet 150 mg

n/a

PT. Indofarma

274 Klindamisin kapsul/kaplet 300 mg

n/a

PT. Indofarma

275 Klobazam tab 10 mg

n/a

PT. Dexa Medica

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

Catapres Injeksi

PT. Boehringer Ingelheim

277 Klonidin tablet 0,15 mg

n/a

PT. Kimia Farma

278 Klopidogrel tab 75 mg

n/a

PT. Hexpharm Jaya Laboratories

279 Kloramfenikol suspensi 125 mg/ 5 ml

n/a

PT. Bernofarm

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

n/a

PT. Phapros, Tbk

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

n/a

PT. Phapros, Tbk

282 Klozapin 100 mg

n/a

283 Klozapin 25 mg

n/a

284 Kodein tablet 10 mg

n/a

PT. Mersifarma Tirmaku


Mercusana
PT. Mersifarma Tirmaku
Mercusana
PT. Kimia Farma

285 Kodein tablet 15 mg

n/a

PT. Kimia Farma

286 Kodein tablet 20 mg

n/a

PT. Kimia Farma

287 Koloid HES BM 130 000 lar inf 6%

Voluven

PT. Fresenius Kabi Combiphar

288 Kombinasi suspensi : Parafin + gliserin +


fenolftalein

Laxadine Emulsi 60 ml

PT. Galenium Pharmasia


Laboratories

289 Kombinasi tablet salut : Besi (II) sulfat 7H2O 200


mg Asam folat 0,25 mg

n/a

PT. Erela

290 Kombinasi tetes mata 2,5 mg/mL: Natrium klorida Cendo Lyteers
8,664 mg; Kalium klorida 1,32 mg

PT. Cendo Industri Farmasi

291 Kombinasi: Artemether 20 mg; Lumefantrin 120 mg Coartem

PT. Novartis Indonesia

292 Kombinasi: Levodopa 100 mg; Karbidopa 25 mg;


Entekapon 200 mg
293 Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50
mg
294 Kombinasi: Salmeterol 25 mcg; Flutikason
propionat 50 mcg
295 Kombinasi: Salmeterol 50 mcg; Flutikason
propionat 100 mcg
296 Kombinasi: Salmeterol 50 mcg; Flutikason
propionat 250 mcg
297 Kotrimoksazol DOEN I (dewasa) kombinasi :
Sulfametoksazol 400 mg Trimetoprim 80 mg

Stalevo

PT. Novartis Indonesia

Aluvia

PT. Abbott Indonesia

Seretide Inhaler 50 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 100 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 250 mcg

PT. Glaxo Wellcome Indonesia

n/a

PT. Holi Pharma

298 Kotrimoksazol Suspensi komb: Sulfametoksazol


200 mg + Trimetoprim 40 mg / 5 ml

n/a

PT. Lucas Djaja

299 Kuinin (Kina) tablet 200 mg

n/a

PT. Kimia Farma

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

n/a

PT. Kimia Farma

301 Kuinin tablet 222 mg (H2SO4.7H2O)

n/a

PT. Kimia Farma

302 Lamivudine tablet 150 mg

n/a

PT. Kimia Farma

303 Lansoprazol inj 30 mg/ml

Prosogan Inj.

PT. Takeda Indonesia

304 Lanzoprazol kapsul/kaplet 30 mg

n/a

PT. Indofarma

NO

NAMA GENERIK

305 Lapatinib tab 250 mg

NAMA DAGANG
Tykerb

PENYEDIA/ PABRIK
PT. SmithKline Beecham
Phamaceuticals

306 Larutan mengandung Asam Amino (Asam Amino


Kalbamin
10%)
307 Larutan mengandung Asam Amino (Asam Amino
Amiparen
100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)

PT. Finusolprima Farma


Internasional
PT Otsuka Indonesia

308 Larutan mengandung Asam Amino (Asam Amino


27 g, Sorbitol 50 g, Cl- 52 mEq)

Pan-amin G

PT Otsuka Indonesia

309 Larutan mengandung Asam Amino (Asam Amino


30 g, Glukosa 7,3 % dan elektrolit) 1000 ml

Aminofluid

PT Otsuka Indonesia

310 Larutan mengandung Asam Amino (Asam Amino


30 g, Glukosa 7,3 % dan elektrolit) 500 ml

Aminofluid

PT Otsuka Indonesia

311 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

312 Larutan mengandung Asam Amino (Asam Amino


6%, mengandung Taurine 0,24 gr/l)

Aminosteril Infant 6%

PT. Fresenius Kabi Combiphar

313 Larutan mengandung Asam Amino (Asam Amino


Nephrosteril
7%, Komposisi: Asam Amino esensial: Asam Amino
non esensial = 60 : 40)

PT. Fresenius Kabi Combiphar

314 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

315 Larutan mengandung Asam Amino (Asam Amino


79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

Aminoleban

PT Otsuka Indonesia

316 Larutan mengandung Asam Amino (Asam amino


8%)
317 Larutan mengandung Asam Amino (Asam Amino
esensial 7%+Xylitol 10 g/L)

Aminosteril N-Hepa

PT. Fresenius Kabi Combiphar

Eas Pfrimer

PT. Finusolprima Farma


Internasional

318 Larutan mengandung Asam Amino (BCAA 25 gr/L, Comafusin Hepar


L-Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L,
Malic Acid 7 gr/L, Piridoxin 0.12 gr/L)

PT. Finusolprima Farma


Internasional

319 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)

Aminofusin L600

PT Kalbe Farma

320 Larutan mengandung Asam Amino (Kombinasi


Asam amino 50 g/L, vitamin dan elektrolit)

Aminofusin Paed

PT Kalbe Farma

321 Larutan mengandung Asam Amino (Kombinasi


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

Kabiven 1440 ml

PT. Fresenius Kabi Combiphar

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

322 Larutan mengandung Asam Amino (Kombinasi


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

PT. Fresenius Kabi Combiphar

323 Larutan mengandung Asam Amino (Kombinasi


Glukosa dan elektrolit 150 gr + Asam Amino 48 gr
dgn akses sentral)

Combiflex Plus (790 kcal)

PT. Phapros, Tbk

324 Larutan mengandung Asam Amino (Kombinasi


Glukosa dan elektrolit 80 gr + Asam Amino 40 gr )

Combiflex peri (480 kcal)

PT. Phapros, Tbk

325 Larutan mengandung Elektrolit (Kalium Klorida)

Otsu - KCl 7,46%

PT Otsuka Indonesia

326 Larutan mengandung Elektrolit (Larutan Ringer


Laktat)
327 Larutan mengandung Elektrolit (Na 130 mEq, Cl
109 mEq, Ca 3 mEq, Asetat 28 mEq)

Wida RL

PT. Widatra Bhakti

Asering

PT Otsuka Indonesia

328 Larutan mengandung Elektrolit (NaCl 1.125 gr,


KA EN 1B
Dekstrosa 18.75 gr)
329 Larutan mengandung Elektrolit (Sodium Lactate sol Totilac
(50%) 113 gr/L, Potassium Chloride 0.3 gr/L,
Calcium Chloride 0.2 gr/L, elektrolit)

PT Otsuka Indonesia

330 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)

PT. Phapros, Tbk

Ringerfundin 500 mL

PT Kalbe Farma

331 Larutan mengandung Karbohidrat (Fructose 120 g, Triofusin 1000


glucose 66 g, Xylitol 60 g/ L + elektrolit)

PT Kalbe Farma

332 Larutan mengandung Karbohidrat (Fructose 60 g,


glucose 33 g, Xylitol 30 g/ L)

PT Kalbe Farma

Triofusin 500

333 Larutan mengandung Karbohidrat (Maltose 100 gr) Martos

PT Otsuka Indonesia

334 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

335 Larutan mengandung Karbohidrat + Elektrolit


(Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L)

Tutofusin OPS

PT Kalbe Farma

336 Larutan mengandung Karbohidrat + Elektrolit


Clinimix N9G20E
(Asam amino 28 gr/L, Glukosa 100 gr/L, elektrolit)

PT Kalbe Farma

337 Larutan mengandung Karbohidrat + Elektrolit


(Asam amino 28 gr/L, Glukosa 75 gr/L, elektrolit)

Clinimix N9G15E

PT Kalbe Farma

338 Larutan mengandung Karbohidrat + Elektrolit


(Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)

Triofusin E1000

PT Kalbe Farma

339 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)

Wida HSD

PT. Widatra Bhakti

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

340 Larutan mengandung Karbohidrat + Elektrolit


(Glukosa 55 g ; Natrium Chloride 9 g, air untuk
injeksi ad 1000 ml)

Wida D5-NS

PT. Widatra Bhakti

341 Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 25,0 g; NaCl: 4,5 g)

WIDA 2A

PT. Widatra Bhakti

342 Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 2.25 g)

WIDA D5-1/4NS

PT. Widatra Bhakti

343 Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 4.5 g)

WIDA D5-1/2NS

PT. Widatra Bhakti

344 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

345 Larutan mengandung Karbohidrat + Elektrolit


(Larutan Ringer & Glukosa 5%)

Wida RD

PT. Widatra Bhakti

346 Larutan mengandung Karbohidrat + Elektrolit


(NaCl 1.75 g, KCL 1.5g, Glukosa 100 gr)

KA ENMG 3

PT Otsuka Indonesia

347 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

348 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

349 Larutan mengandung Lipid ( Infus Lipid Emulsi


MCT/LCT 20% 100 ml)
350 Larutan mengandung Lipid (Emulsi lemak 20%)

Lipofundin MCT/LCT 1% 100 PT. Phapros, Tbk


Intralipid

PT. Fresenius Kabi Combiphar

351 Larutan mengandung Lipid (Infus Lipid Emulsi


Lipofundin MCT/LCT 1% 250 PT. Phapros, Tbk
MCT/LCT 20% 250 ml)
352 Larutan mengandung Lipid (Kombinasi Glukosa
Nutriflex Lipid Special 1250
PT. Phapros, Tbk
dan elektrolit 180 gr + Asam Amino 71.8 gr + Lipid
50 gr dgn akses sentral)
353 Larutan mengandung Lipid (Kombinasi Glukosa
dan elektrolit 80 gr + Asam Amino 40 gr + Lipid
MCT/LCT 50 gr)

Nutriflex Lipid Peri 1250

PT. Phapros, Tbk

354 Larutan mengandung Lipid (Kombinasi Glukosa


dan elektrolit 90 gr + Asam Amino 35.9 gr + Lipid
25 gr dgn akses sentral)

Nutriflex Lipid Special 625

PT. Phapros, Tbk

355 Larutan mengandung Lipid (Soybean Oil 200 g/L, Ivelip


Egg Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium
Oleate 0.3 gr/L)

PT Kalbe Farma

356 Latanoprost tetes mata 0,01%

Cendo Glaopen

PT. Cendo Industri Farmasi

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

Xalatan 0,005%

PT. Pfizer Indonesia

358 Lenograstim inj 263 mcg/mL

Granocyte 34 1vl HSA Free

PT. Aventis Pharma

359 Leuprorelin asetat inj depot 1,88 mg

Tapros 1.88mg

PT. Takeda Indonesia

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

360 Leuprorelin asetat inj depot 11,25 mg

Tapros 3M

PT. Takeda Indonesia

361 Levofloksasin inf 5 mg/mL

n/a

PT. Infion Pharmaceutical

362 Levofloksasin tablet 500 mg

n/a

363 Lidokain injeksi 2% (HCL)

n/a

PT. Promedrahardjo Farmasi


Industri
PT. Bernofarm

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


365 Lidokain jeli 2%

n/a

PT. Indofarma

Xylocaine Jelly 2%

PT. AstraZeneca indonesia

366 Lisinopril tablet 10 mg

n/a

PT. Novell Pharmaeutical


Laboratories

367 Lisinopril tablet 5 mg

n/a

PT. Novell Pharmaeutical


Laboratories

368 Litium karbonat tablet 200 mg

Frimania 200

369 Litium karbonat tablet 400 mg

Frimania 400

370 Loperamid tablet 2 mg

n/a

PT. Mersifarma Tirmaku


Mercusana
PT. Mersifarma Tirmaku
Mercusana
PT. Ifars Pharmaceutical
Laboratories

371 Loratadin tablet 10 mg

n/a

372 Lorazepam tablet 2 mg

Merlopam 2

373 Low molecule feri sucrose inj amp 100 mg/5 mL

DIALIFER

374 Manitol

n/a

375 Maprotilin HCl tab 25 mg

Ludios

376 Maprotilin HCl tab 50 mg

Sandepril 50

377 MDP (methylene diphosphonate) 1 mg methylene


diphosphonic acid/mL

Bonescan KaeF

PT. Mersifarma Tirmaku


Mercusana
PT. Kimia Farma

378 Melfalan tablet 2 mg

Alkeran

PT. Glaxo Wellcome Indonesia

379 Meropenem inj 1 g

n/a

PT. Bernofarm

380 Meropenem serb inj 500 mg/vial

n/a

PT. Bernofarm

381 Mesna inj 100 mg/mL

Uromitexan injeksi.

PT. Mugi Laboratories

382 Metadon sir 50mg/5ml

n/a

PT. Kimia Farma

383 Metformin HCl tablet 500 mg

n/a

PT. Bernofarm

384 Metilergometrin Maleat (Metilergometrin) tablet


salut 0,125 mg

n/a

PT. Kimia Farma

385 Metilfenidat kapsul LA 20 mg

Ritalin LA

PT. Novartis Indonesia

386 Metilprednisolon inj 125 mg/2 mL

n/a

PT. Dexa Medica

387 Metilprednisolon inj 500 mg/8 mL

n/a

PT. Bernofarm

388 Metilprednisolon tablet 16 mg

n/a

PT. Mahakam Beta Farma

389 Metilprednisolon tablet 4 mg

n/a

PT. Natura Laboratoria Prima

390 Metilprednisolon tablet 8 mg

n/a

PT. Dexa Medica

391 Metoklopramide tablet 5 mg

n/a

PT. Kimia Farma

PT. Promedrahardjo Farmasi


Industri
PT. Mersifarma Tirmaku
Mercusana
PT. Novell Pharmaeutical
Laboratories
PT. Finusolprima Farma
Internasional
PT. Soho Industri Pharmasi

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

392 Metronidazol infus 500 mg/100 ml

n/a

PT. Natura Laboratoria Prima

393 Metronidazol supositoria 500 mg

Flagyl

PT. Aventis Pharma

394 Metronidazol tablet 250 mg

n/a

PT. Phyto Kemo Agung Farma

395 Metronidazol tablet 500 mg

n/a

PT. Phyto Kemo Agung Farma

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

PT. Kimia Farma

397 Midazolam injeksi i.v. 1 mg/ml

Dormicum

PT. Boehringer Ingelheim

398 Midazolam injeksi i.v. 5 mg/ml

Dormicum

PT. Boehringer Ingelheim

399 Mikafungin Na serb inj 50 mg

Mycamine

PT. Combiphar

400 Mikofenolat Mofetil 500 mg

Cellcept

PT. Boehringer Ingelheim

401 Mikonazol krim/salep 2 % (Nitrat)

n/a

PT. Kimia Farma

402 Mitomisin C (crystallin) serbuk inj 10 mg/vial

Mitomycin C

PT. Widatra Bhakti

403 Moksifloksasin tetes mata 0,5%

Vigamox

PT. Tempo Scan Pacific

404 Mometason furoat krim 0,1%

n/a

PT. Guardian Pharmatama

405 Morfin HCL inj 10 mg/ml

n/a

PT. Kimia Farma

406 Morfin HCL tablet SR 10 mg

MST Continus 10 mg

PT. Mahakam Beta Farma

407 Morfin HCL tablet SR 15 mg

MST Continus 15 mg

PT. Mahakam Beta Farma

408 Morfin injeksi i.m./s.k./i.v. 10 mg/ml

n/a

PT. Kimia Farma

409 Morfin tablet 10 mg

n/a

PT. Kimia Farma

410 Nacl 0,9%

n/a

PT. Widatra Bhakti

411 Nadroparin inj 9500 Axa/mL syringe 0,3 mL

Fraxiparine 0.3 ml

PT. Glaxo Wellcome Indonesia

412 Nadroparin inj 9500 Axa/mL, syringe 0,4 mL

Fraxiparine 0.4 ml

PT. Glaxo Wellcome Indonesia

413 Nadroparin inj 9500 Axa/mL, syringe 0,6 mL

Fraxiparine 0.6 ml

PT. Glaxo Wellcome Indonesia

414 Nalokson injeksi 0,4 mg/ml

Nokoba

PT. Pratapa Nirmala

415 Natrium Bikarbonat injeksi i.v 8,4%

Meylon

PT Otsuka Indonesia

416 Natrium Diklofenak tablet 50 mg

n/a

PT. Novell Pharmaeutical


Laboratories

417 Natrium fosfat lar oral 45 mL

Fleet Phosphosoda

PT. Combiphar

418 Natrium fusidat salep 20 mg/g

Fucilex Ointment

PT. Molex Ayus

419 Nevirapin tablet 200 mg

n/a

PT. Kimia Farma

420 Nifedipin tab 20 mg, slow release; oros

Adalat Oros 20 mg

PT. Bayer Indonesia

421 Nifedipin tab 30 mg, oros

Adalat Oros 30 mg

PT. Bayer Indonesia

422 Nifedipin tablet/kapsul 10 mg

n/a

PT. Dexa Medica

423 Nistatin tablet salut 500.000 IU/ g

n/a

PT. Phapros, Tbk

424 Nistatin vaginal tablet 100.000 IU/ g

n/a

PT. Phapros, Tbk

425 Norepinefrin injeksi 1 mg/ml

Raivas

PT. Dexa Medica

426 Noretisteron tablet 5 mg

Primolut N

PT. Bayer Indonesia

427 Obat Antituberkulosis FDC Kategori 1

n/a

PT. Phapros, Tbk

428 Obat Antituberkulosis FDC Kategori 2

n/a

PT. Indofarma

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

429 Obat Antituberkulosis FDC Kategori Anak

n/a

PT. Phapros, Tbk

430 Obat Antituberkulosis FDC Sisipan

n/a

PT. Indofarma

431 Obat Antituberkulosis Kategori 1 dewasa

n/a

PT. Indofarma

432 Obat Antituberkulosis Kategori anak

n/a

PT. Indofarma

433 Ofloxacin tablet 200 mg

n/a

PT. Novell Pharmaeutical


Laboratories

434 Ofloxacin tablet 400 mg

n/a

PT. Novell Pharmaeutical


Laboratories

435 Oksimetazolin tetes hidung 0,025%

Ilaidin Drops

PT. Merck Tbk

436 Oktreotid 10 mg

Sandostatin LAR

PT. Novartis Indonesia

437 Olanzapin inj 10 mg/vial

Zyprexa IM

PT. Bayer Indonesia

438 Olanzapin kapl salut 5 mg

Olandoz 5

PT. Sandoz Indonesia

439 Olanzapin tab 10 mg

Olandoz 10

PT. Sandoz Indonesia

440 Omeprazol injeksi 40 mg/ 10 ml

n/a

PT. Natura Laboratoria Prima

441 Omeprazol kapsul/kaplet 20 mg

n/a

PT. Novapharin

442 ondansetron inj 4 mg/ 2 mL

n/a

PT. Indofarma

443 Ondansetron tab 4 mg

n/a

PT. Yarindo Farmatama

444 Ondansetron tablet 8 mg

n/a

PT. Yarindo Farmatama

445 Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 n/a


unit Ultaclam, 1 unit Tenckoff Catheter, Titanium
Adaptor)

PT Kalbe Farma

446 Paket CAPD Pergantian Transfer Set per 6 bulan

n/a

PT Kalbe Farma

447 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

448 Parasetamol drop 100 mg/ml btl @15ml


(60mg/0,6ml)
449 Parasetamol sirup 120 mg / 5 ml

n/a

PT. Indofarma

n/a

PT. Afifarma

450 Parasetamol tablet 500 mg

n/a

PT. Imfarmind Farmasi industri

451 Parasetamol tetes 60 mg/0,6 mL

FASIDOL

PT. Ifars Pharmaceutical


Laboratories

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

Pegasys

PT. Boehringer Ingelheim

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

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

Pegasys

PT. Boehringer Ingelheim

454 Pegylated Interferon alfa-2b serb inj 100 mcg

Pegintron Vial 100 Mcg

PT. Merck Sharp Dohme Pharma


Tbk

455 Pegylated Interferon alfa-2b serb inj 120 mcg

Pegintron Pen 120 Mcg

PT. Merck Sharp Dohme Pharma


Tbk

456 Pegylated Interferon alfa-2b serb inj 50 mcg

Pegintron

PT. Merck Sharp Dohme Pharma


Tbk

457 Pegylated Interferon alfa-2b serb inj 80 mcg

Pegintron Vial 80 Mcg

PT. Merck Sharp Dohme Pharma


Tbk

458 Perak sulfadiazin krim 1%

BURNAZIN 35 GR

PT. Darya Varia

459 Perindoprilarginin tab 5 mg

Bioprexum 5 mg

PT. Pradja Pharin

460 Permetrin krim 5%

Scabimite Cream 10

PT. Galenium Pharmasia


Laboratories

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

n/a

PT. Kimia Farma

462 Pioglitazon tab 15 mg

DECULIN 15 MG

PT. Dexa Medica

463 Pioglitazon tab 30 mg

DECULIN 30 MG

PT. Dexa Medica

464 Pirantel suspensi 125 mg/5 ml

n/a

PT. Holi Pharma

465 Pirantel tablet score (base) 125 mg

n/a

PT. Holi Pharma

466 Pirazinamid tablet 500 mg

n/a

PT. Holi Pharma

467 Piridostigmin tablet salut 60 mg

Mestinon tab.60 mg

PT. Combiphar

468 Polikresulen cairan

Aptil

PT. Pratapa Nirmala

469 Povidon Iodida larutan 10% 1000 ml

n/a

PT. Afifarma

470 Povidon Iodida larutan 10% 30 ml

n/a

PT. Afifarma

471 Povidon Iodida larutan 10% 300 ml

n/a

PT. Afifarma

472 Pramipeksol tab ER 0,375 mg

Sifrol ER 0,375mg

PT. Boehringer Ingelheim

473 Pramipeksol tab ER 0,750 mg

Sifrol ER 0,750mg

PT. Boehringer Ingelheim

474 Pravastatin tablet 20 mg

n/a

PT. Novell Pharmaeutical


Laboratories

475 Propanolol tablet 10 mg ( HCl )

n/a

PT. Dexa Medica

476 Propofol injeksi i.v., bolus 1%

Fresofol 1% MCT/LCT

PT. Fresenius Kabi Combiphar

477 Propranolol tablet 40 mg (HCl)

n/a

PT. Holi Pharma

478 Quetiapin tab 200 mg

Seroquel XR 200 mg

PT. AstraZeneca indonesia

479 Quetiapin tab 300 mg

Seroquel XR 300 mg

PT. AstraZeneca indonesia

480 Quetiapin tab 400 mg

Seroquel XR 400 mg

PT. AstraZeneca indonesia

481 Ramipril tablet 5 mg

n/a

PT. Dexa Medica

482 Ranitidin injeksi 25 mg/2 ml

n/a

PT. Natura Laboratoria Prima

483 Ranitidin tablet 150 mg

n/a

PT. Dexa Medica

484 Retinol (Vitamin A) 100.000 IU

n/a

PT. Kimia Farma

485 Retinol (Vitamin A) 200.000 IU kapsul lunak

n/a

PT. Lucas Djaja

486 Ringer Laktat larutan infus

n/a

PT. Widatra Bhakti

487 Risperidon tablet 1 mg

n/a

PT. Dexa Medica

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

488 Risperidon tablet 2 mg

n/a

489 Risperidon tablet 3 mg

n/a

PT. Mersifarma Tirmaku


Mercusana
PT. Dexa Medica

490 Rivaroksaban tab 10 mg

Xarelto 10 mg

PT. Bayer Indonesia

491 Rivaroksaban tab 15 mg

Xarelto 15 mg

PT. Bayer Indonesia

492 Rivaroksaban tab 20 mg

Xarelto 20 mg

PT. Bayer Indonesia

493 Ropinirol Tablet Salut 2 mg

Requip PD 24 Hour 2 mg

PT. Glaxo Wellcome Indonesia

494 Ropinirol Tablet Salut 4 mg

Requip PD 24 Hour 4 mg

PT. Glaxo Wellcome Indonesia

495 Ropinirol Tablet Salut 8 mg

Requip PD 24 Hour 8 mg

PT. Glaxo Wellcome Indonesia

496 Salbutamol inhalasi/aerosol 100 mcg/dosis

Ventolin Inhaler

PT. Glaxo Wellcome Indonesia

497 Salbutamol serb inh 200 mcg/kaps

Ventolin Rotacaps

PT. Glaxo Wellcome Indonesia

498 Salbutamol serb inh 200 mcg/kaps + rotahaler

Ventolin Rotahaler

PT. Glaxo Wellcome Indonesia

499 Salbutamol tablet 2 mg (sebagai Sulfat)

n/a

PT. Yarindo Farmatama

500 Salep 2-4 , Kombinasi : Asam Salisilat 2% +


Belerang endap 4%
501 Sefadroksil kapsul/kaplet 250 mg

n/a

PT. Marin Liza Farmasi

n/a

PT. Hexpharm Jaya Laboratories

502 Sefadroksil kapsul/kaplet 500 mg

n/a

PT. Holi Pharma

503 Sefadroksil sir kering 250 mg/5 mL

n/a

PT. Holi Pharma

504 Sefadroksil sirup kering 125 mg/5ml

n/a

PT. Holi Pharma

505 Sefaleksin kapsul/kaplet 500 mg

n/a

PT. Ifars Pharmaceutical


Laboratories

506 Sefazolin serbuk injeksi 1 g/vial

n/a

PT. Dexa Medica

507 Sefepim inj 1 g

n/a

PT. Yarindo Farmatama

508 Sefiksim kapsul/kaplet 100 mg

n/a

PT. Bernofarm

509 Sefiksim sirup kering 100 mg/ 5 ml

n/a

PT. Ifars Pharmaceutical


Laboratories

510 Sefoperazon inj 1 g

n/a

PT. Yarindo Farmatama

511 Sefotaksim injeksi 0,5 g

n/a

PT. Hexpharm Jaya Laboratories

512 Sefotaksim injeksi 1 g

n/a

PT. Natura Laboratoria Prima

513 Sefpodoksim proksetil tab 100 mg

Banadoz 100

PT. Sandoz Indonesia

514 Seftazidim injeksi 1 g

n/a

PT. Dexa Medica

515 Seftriakson serbuk injeksi 1 g/vial

n/a

PT. Natura Laboratoria Prima

516 Sefuroksim tab 500 mg

Zinnat 500

PT. Glaxo Wellcome Indonesia

517 Sertralin tab 50 mg

Fatral

PT. Pratapa Nirmala

518 Setirizin tablet 10 mg

n/a

PT. Pertiwi Agung

519 Sevofluran ih, btl

Sojourn

PT. Pratapa Nirmala

520 Sianokobalamin (vitamin B12) injeksi 500 mcg

n/a

PT. Lucas Djaja

521 Siklofosfamid serbuk injeksi i.v. 1000 mg

Cyclovid 1000 mg

PT. Novell Pharmaeutical


Laboratories

522 Siklofosfamid serbuk injeksi i.v. 200 mg

Cyclovid 200 mg

PT. Novell Pharmaeutical


Laboratories

523 Siklosporin kaps 100 mg

Sandimmun Neoral 100mg


Kap

PT. Novartis Indonesia

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

524 Siklosporin kapsul lunak 25 mg

Sandimmun Neoral 25mg Kap PT. Novartis Indonesia

525 Simvastatin scored tablet 10 mg

n/a

PT. Natura Laboratoria Prima

526 Simvastatin tablet 20 mg

n/a

PT. Natura Laboratoria Prima

527 Siprofloksasin infus 2%

n/a

PT. Dexa Medica

528 Siprofloksasin tablet 500 mg (sebagai HCl)

n/a

PT. Bernofarm

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

DBL Cytarabun

PT. Tempo Scan Pacific

530 Spiramisin tablet 500 mg

n/a

PT. Indofarma

531 Spironolakton tablet 100 mg

n/a

PT. Dexa Medica

532 Spironolakton tablet 25 mg

n/a

PT. Dexa Medica

533 Streptokinase injeksi 1,5 juta UI/vial

Streptase

PT. Dexa Medica

534 Streptomisin serbuk injeksi i.v 1000 mg/ml

n/a

PT. Phapros, Tbk

535 Sufentanil injeksi iv, epidural 5 mcg/ml

Sufentanyl Injeksi iv.Epidural PT. Kimia Farma


5 mcg / ml

536 Sukralfat susp 500 mg/5 mL

Ulsafate

PT. Combiphar

537 Takrolimus kaps 0.5 mg

Prograf

PT. Combiphar

538 Takrolimus kaps 1 mg

Prograf

PT. Combiphar

539 Tamsulosin tab 0,2 mg

PT. Combiphar

540 Tamsulosin tab 0,2 mg

Harnal D 0.2 mg Disp.


Tablet
Harnal D

541 Tamsulosin tab SR 0,4 mg

Harnal OCAS 0.4 mg Tablet PT. Combiphar

542 Telbivudin tab 600 mg

Sebivo 600 mg Tab

PT. Novartis Indonesia

543 Telmisartan tab 40mg

Micardis 40mg

PT. Boehringer Ingelheim

544 Telmisartan tab 80 mg

Micardis 80mg

PT. Boehringer Ingelheim

545 Temozolamid kaps 100 mg

Temodal

546 Temozolamid kaps 20 mg

Temodal

547 Tenofovir tab 300 mg

n/a

PT. Merck Sharp Dohme Pharma


Tbk
PT. Merck Sharp Dohme Pharma
Tbk
PT. Kimia Farma

548 Terbutalin cairan ih 2,5 mg/mL

Bricasma Respules

PT. AstraZeneca indonesia

549 Terbutalin tablet 2,5 mg

Molasma Tablet

PT. Molex Ayus

550 Terbutalin turbu (serbuk ih) 0,50 mg

Bricasma Turbuhaler 0,5 mg

PT. AstraZeneca indonesia

551 Testoteron soft capsul 40 mg

Andriol Testocaps

552 Tetrakain HCl tetes mata 0,5%

Pantocain 0.5%

PT. Merck Sharp Dohme Pharma


Tbk
PT. Cendo Industri Farmasi

553 Tetrasiklin kapsul/kaplet 250 mg

n/a

PT. Holi Pharma

554 Tiamazol tab 10 mg

Thyrozol 10

PT. Merck Tbk

555 Tiamazol tab 5 mg

Thyrozol 5

PT. Merck Tbk

556 Timolol tetes mata 0,25%

Isotic Adretor 0,25%

PT. Pratapa Nirmala

557 Timolol tetes mata 0,5%

Isotic Adretor 0,5%

PT. Pratapa Nirmala

558 Tiotropium kaps 18 mcg + handihaller

Spiriva 10s + Handihaler

PT. Boehringer Ingelheim

559 Tramadol injeksi 50 mg/ml

n/a

PT. Natura Laboratoria Prima

560 Travoprost tetes mata 0,004%

Travatan

PT. Tempo Scan Pacific

PT. Combiphar

NO

NAMA GENERIK

NAMA DAGANG

PENYEDIA/ PABRIK

561 Triamsinolon asetonid nasal spray 55 mcg/puff

Nasacort AQ

PT. Aventis Pharma

562 Trifluoperazin tablet 5 mg

n/a

PT. Darya Varia

563 Urea krim 10%

Soft U Derm

PT. Galenium Pharmasia


Laboratories

564 Vaksin polio inj (Vaksin Poliomyelitis yang


diinaktifkan)
565 Valgansiklovir tab 450 mg

Imovax Polio

PT. Aventis Pharma

Valcyte

PT. Boehringer Ingelheim

566 Valproat sirup 250 mg/5 ml

Ikalep

PT. Ikapharmindo

567 Valproat tab SR 250 mg

Depakote ER 250 mg

PT. Abbott Indonesia

568 Valproat tab SR 500 mg

Depakote ER 500 mg

PT. Abbott Indonesia

569 Valsartan tab 160 mg

DIOVAN 160 MG

PT. Novartis Indonesia

570 Valsartan tab 80 mg

Diovan 80mg Tab

PT. Novartis Indonesia

571 Verapamil tab 240 mg

Isoptin 240 mg

PT. Abbott Indonesia

572 Verapamil tablet 80 mg (HCl)

n/a

PT. Kimia Farma

573 Vinblastin serbuk injeksi 10 mg

Vinblastine

PT. Combiphar

574 Vinorelbin inj. 10 mg/ml

Navelbine injeksi 10

PT. Mugi Laboratories

575 Vitamin B Kompleks tablet

n/a

PT. Kimia Farma

576 Zidovudin 300 mg + Lamivudine 150 mg

n/a

PT. Kimia Farma

577 Zinc drop 10 mg/mL

Zincpro Drops

PT. Combiphar

578 Zinc sir 20 mg/5 Ml

Zircum Kid Sirup

PT. Meprofarm

579 Zinc tablet dispersible20 mg

n/a

PT. Kimia Farma

4)

KEMASAN
1 blister@24 tablet

Dus, 3 Blister @ 10 kapsul

Dus, 10 dus @ 1 botol @ 10 ml


Dus, 5 strip @ 6 tablet

HARGA
1,375.00

27,500.00

3,849.00
338.00

Vial 100 ml

750,000.00

Vial 50 ml

345,000.00

Box, 10 strips @ 10 tablets

86.00

Dus, 10 blister @ 10 tablet

199.50

Dus, 10 Strip @ 10 tablet

380.00

1 box 10 Strip X 10 tablet

176.00

Ktk 10x10 tablet

233.00

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


50ml
tube 3.5 gr
Vial 2 ml
dus 30 ampul @10 ml
Botol @ 100 tablet salut selaput
Dus, 6 ampul @ 3 ml
strip

3,800,000.00
18,500.00
50,500.00
3,822.00
90.00
12,480.00
1,200.00

Dus, 10 strip @ 10 tss

112.00

Box, 3 strips @ 10 tablets

330.00

Box, 3 strips @ 10 tablets

187.00

dus 10 X 10'S

211.00

Dus, 10 strip @ 10 kaptab

272.00

btl @ 60 ml

2,445.00

Dus, Botol 60 ml

4,045.00

Dus, 10 vial @ 1 g

5,100.00

dus, 5 solostar pen @ 3ml

Injeksi 100 IU/ml, Flexpen disposible 3


ml (1 box isi 5 flexpen disposible)

85,000.00

106,000.00

KEMASAN

HARGA

Penfill cartridge

97,500.00

Injeksi 100 IU/ml, Flexpen disposible 3


ml (1 box isi 5 flexpen disposible)

85,345.00

Dus, vial 10 ml

200,000.00

dus, 5 solostar pen @ 3ml

79,165.00

Penfill cartridge

79,167.00

Dus, 2 blister @ 14 Tablet

32,000.00

Dus, 10 Strip@10 Tablet

75.00

Boto 60 ml

2,100.00

Dus, 25 tube @ 5 g

2,516.00

ktk 10 x 10 tablet

520.00

Btl 100 tablet

135.00

Dus, 5 strip @ 10 tablet

Dus 6 amp @ 1ml

1,500.00

22,000.00

Dus @ 10 X 10 's

116.00

ktk 10x10 tablet

159.00

Dus 10 strip x 10 tab

95.00

Dus, 10 strip @10 tablet

84.00

Botol @ 100 tablet

48.00

Boks, 1 ampul
Dus, 10 blister @ 10 kaptab ss

2,209,000.00
112.00

Strip

1,815.00

Dus, 10 ampul @ 5 ml

3,334.00

Dus, 10 ampul @ 5 ml

2,950.00

Tube 3,5 gram

24,750.00

KEMASAN

HARGA

Dus, 10 blister @ 10 tablet

237.00

ktk 10x10 tablet

345.00

10.000 UI/Vial

1,039,500.00

Dus 5 strip @ 10 tablet

190.00

Dus, 5 ampul @ 2.5 ml

20,000.00

Dus, 10 strip @ 10 tablet


botol @ 60 ml

74.00
34,400.00

Strip

3,333.00

ktk 2x10 tablet

4,500.00

Dus @ 50 gram

1,250.00

Dus @ 10 Vial

9,800.00

Dus @ 10 Vial

13,400.00

Vial

3,200,000.00

Box/ 3 blister @ 10 Tablet

3,600.00

Box @ 3 blister @ 10 Tablet

3,600.00

Tube 5 gr

1,520.00

Dus, 2 blister @ 14 Tablet

72,400.00

Dus, 2 blister @ 14 Tablet

45,000.00

Supp

6,045.00

Dus 10 blister @ 10 tablet

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


Dus, 4 pak @ 5 respules @ 2 ml

93,000.00
8,900.00

Dus, 1 Turbuhaler @ 120 dosis

117,600.00

Dus, 1 Turbuhaler @ 60 dosis

110,500.00

Dus, 5 ampul @ 4 ml

25,600.00

ampul

30,800.00

Dus, 3 blister @ 10 kapsul

12,936.00

Dus, 3 blister @ 10 kapsul

12,936.00

vial

Dus, 4 blister @ 7 tablet


Dus, 4 blister @ 7 tablet
Dus, Botol @ 500ml

275,000.00

76,000.00
150,000.00
2,600,000.00

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

HARGA
25,300.00
112,000.00
1,580.00
68.00
70,000.00

Kotak, tube @ 15 gram

9,983.00

ampul @ 1 ml

1,054.00

Box 10 X 10 Tab
Dus, 10 strip @ 10 tablet
10 vial @ 50mg
Vial 5 mL

97.00
134.00
127,667.00
46,667.00

3 blister @ 10 kapsul

3,667.00

3 blister @ 10 kapsul

4,015.00

Btl 100 tablet

104.00

botol 15 ml

37,500.00

ampul @ 5 ml

26,700.00

Dus, 5 blister @10's tab

3,480.00

Dus, 5 blister @10's tab

5,480.00

Dus, 1 vial @ 10 mg

55,500.00

Dus, 1 vial @ 50 mg

274,125.00

btl @ 60 ml
dus 10 X 10'S
Dus, botol @ 10 ml
ampul @ 5 ml
Dus, 1 vial @0,5 ml+ 1 vial pelarut @1,5
ml
Dus @ 5 vial

3,333.00
167.00
15,600.00
9,840.00
970,200.00
455,000.00

Dus, Botol Plastik @ 30 Tablet

7,100.00

Botol 30 tab

6,375.00

Dus, 2 blister @ 15 tablet

42,600.00

dus, 2 prefilled syringe @ 0,2 ml

40,740.00

dus, 2 prefilled syringe @ 0,4 ml

71,875.00

dus, 2 prefilled syringe @ 0,6 ml

100,000.00

Dus @ 30 Ampul

8,100.00

Dus, 1 vial @5 ml

128,000.00

Vial @ 25 ml

500,000.00

Dus 3 strip @ 10 Flash tablet


Dus, Botol Plastik @ 100 mL

650.00
8,000.00

ktk 10 x 10 kapsul

497.00

Dus, 10 blister @ 10 kss

930.00

KEMASAN
Botol @60 ml

HARGA
7,700.00

Prefilled Syringe @ 1ml

128,000.00

Boks, 6 ampul

139,500.00

ktk 20 x 10 tablet

314.00

Dus, 10 strip @ 10 tss

451.00

btl @ 100 ml

2,500.00

Dus, botol @ 100 tablet

1,360.00

Dus, 1 blister @ 1 subdermal implant

128,779.00

Vial 100mg/5ml

100,000.00

Botol 10 ml

16,667.00

Dus, 6 blister @ 10 tablet

11,813.00

Dus, 6 blister @ 10 tablet

23,250.00

KOTAK @ 1 VIAL SERBUK OBAT &


INFUSION KIT
KOTAK @ 10 ampul
Botol @ 100
KOTAK @ 10 ampul

9,200,000.00
20,250.00
133.00
20,250.00

Dus @ 30 Ampul

1,800.00

Dus, 3 strip @ 10 kapsul

1,075.00

Dus, 3 strip @ 10 kapsul

1,375.00

Dus 45 x 12 tab
Box, canister 10mL

235.00
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

Botol @ 100 tablet salut gula


dus @ 30 ampul
Dus, 5 vial @ 50 mg
Dus, 4 blister @ 5 tablet salut selaput

634.00
3,417.00
1,248,319.00
275,000.00

Dus, 5 ampul @ 1ml

55,000.00

Botol

38,000.00

ktk 1 x 10 kapsul

22,000.00

strip

419.00

DUS, 30 TABLET

410.00

KEMASAN

HARGA

vial @ 1 ml

24,500.00

vial @ 10 ml

33,000.00

Dus, Tube 5 g

2,400.00

Dus, Botol 120 Dosis Spay

93,333.00

Dus, 2 flow wrap@ 5 nebules @ 1 dosis


(2ml)
Dus, 2 pfs 0.5 ml

12,917.00
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

399,500.00

Dus, 1 blister @ 10 tablet

295,000.00

Dus, 10 blister @ 12 kapsul


Dus, 10 blister @ 10 kaptab
vial

289.00
679.00
1,098,900.00

Dus, 1 vial @200 mg

330,000.00

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

56.00

Dus, 6 strip @ 10 tablet lepas lambat

638.00

Strip

235.00

Dus, 10 Strip @ 10 tablet

950.00

ktk 5x10 tablet

265.00

ktk 5x10 tablet

436.00

ktk 5x10 tablet

404.00

ktk 5x10 tablet

430.00

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, 1 syringe @ 10.8 mg


Dus, 1 syringe @ 3.6 mg
Dus, 10 blister @ 10 tablet
Dus 5 Ampul@1mL

2,300,000.00
840,000.00
219.00
83,333.00

Dus, 10 blister @ 10 tablet

59.00

Dus, 10 blister @ 10 tablet

69.00

KOTAK @ 10 x 10 TAB
Dus, 10 blister @ 10 tablet

126.00
96.00

KEMASAN
Botol
vial
Dus, 1 syringe @ 0.5 mL

HARGA
641,500.00
42,900.00
1,328,000.00

Tube 5 gr

2,798.00

box 5ampul @1 ml

4,500.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Dus, 1 Vial @ 5 ml

72,000.00

Injeksi 100 IU/ml, penfill disposible 3


ml (1 box isi 5 penfill disposible)

76,125.00

Dus Isi 5 penfill/cartridge @ 3ml

76,125.00

penfillcartridge @ 3ml

75,000.00

Injeksi 100 IU/ml, penfill disposible 3


ml (1 box isi 5 penfill disposible)

76,125.00

Dus Isi 5 penfill/cartridge @ 3ml

76,125.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Injeksi 100 IU/ml, penfill disposible 3


ml (1 box isi 5 penfill disposible)

76,125.00

Dus Isi 5 penfill/cartridge @ 3ml

76,125.00

penfill cartridge @ 3ml

75,000.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Dus, 1 Vial @ 5 ml

Prefilled syringe

72,000.00

170,000.00

Dus, botol 60 ml

3,499.00

Dus, botol 60 ml

4,499.00

botol @ 100 tablet

110.00

Dus, 10 strip @ 10 tablet

149.00

Dus, 1 vial @ 1 g

1,329,163.00

KEMASAN

HARGA

3 blister @ 10 tablet

3,908.00

3 blister @ 10 tablet

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

Box, canister 10mL

80,000.00

Dus, 5 blister @ 10 kss

1,425.00

Dus, 5 blister @ 10 kss

2,470.00

Dus, 1 vial @2 ml
vial
Dus, 10 strip @ 10 tablet
Strip
Dus, 10 strip @ 10 tablet
Vial 50 mg/5 ml

510,000.00
33,000.00
88.00
694.00
1,580.00
82,000.00

Ampul

7,800.00

Dus, 3 Blister @ 10 tablet

4,900.00

Dus, 3 Blister @ 10 tablet


Boks, 120 tablet
Dus, 10 strip @ 10 tablet

3,100.00
27,500.00
140.00

Dus, 10 strip @10 tablet

80.00

Dus, 10 strip @ 10 tablet

62.00

Dus, botol @ 120 ml

44,770.00

Dus, 10 blister @ 10 tablet

245.00

Dus,botol 100 tablet

875.00

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

300.00

dus 2 's @ 10 supp

2,722.00

Dus @ 12 Ampul

2,300.00

KEMASAN
Dus, 3 Strip @ 10 Kaplet salut selaput

HARGA
3,200.00

Dus, 5 blister @ 10 kapsul

361.00

Dus, 5 blister @ 10 kapsul

553.00

Dus, 10 Strip @ 10 tablet

900.00

Box, 10 ampoules @ 1mL

30,600.00

Ktk 10X10 TAB

184.00

Dus, 3 strip @ 10 tab

3,400.00

Botol @ 60 ml

3,680.00

Dus @ 30 Ampul

1,050.00

Dus @ 30 Ampul

1,100.00

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

Botol Plastik @ 500 ml

33,000.00

Botol @ 60 ml

12,450.00

Dus, 100 Sachet @ 30 Tablet

botol 15 ml

42.00

15,750.00

Dus, 4 blister @ 6 tablet

3,220.00

Dus, botol plastik @ 30 tablet salut


selaput
botol @ 120 tablet

8,900.00

Dus, Botol 120 Dosis

6,100.00
90,667.00

Dus, foil strip @ 60 dosis

100,833.00

Dus, foil strip @ 60 dosis

113,333.00

Dus, 10 strip @ 10 kaptab

Botol @ 60 ml

ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial
Dus, 2 strip @ 10 kapsul

149.00

2,145.00

670.00
6,200.00
540.00
1,400.00
82,042.00
473.00

KEMASAN

HARGA

Dus, 7 Blister @ 10 tablet

67,200.00

botol 500 ml

56,300.00

Softbag 500 ML

56,300.00

Softbag 500 ML

37,500.00

Double Chamber Softbag 1000 ML

115,500.00

Double Chamber Softbag 500 ML

61,600.00

botol 500 mL

75,350.00

Botol Gelas 100 ml

36,667.00

Botol Gelas 250 ml

50,820.00

Softbag 200 ML

46,000.00

Softbag 500 ML

65,000.00

Botol Gelas 500 ml

78,720.00

botol 250 ml

51,260.00

botol 500 ml

64,900.00

botol 500 mL

42,000.00

botol 250 mL

46,000.00

Bag (3 Chamber) 1440 ml

295,240.00

KEMASAN

HARGA

Bag (3 Chamber) 1920 ml

343,842.00

Bag Double chamber (Dua


compartement), 1000 mL

322,000.00

Bag Double chamber (Dua


compartement), 1000 mL

218,700.00

Ampoel 25 ML

2,050.00

Botol 1000 ml

8,000.00

Plastic Bottle 500 ML

9,000.00

Plastic Bottle 500 ML

9,000.00

flexybag 250 mL

87,000.00

LDPE (Low Density Poly Ethilene), botol


plastik

12,650.00

botol 500 mL

50,500.00

Flexy bag 500 mL

42,350.00

Plastic Bottle 500 ML

29,167.00

Plastic Bottle 500 ML

55,500.00

botol 500 mL

37,500.00

Botol Plastik 1000 mL

210,000.00

Botol Plastik 1000 mL

199,000.00

botol 500 mL

56,000.00

Botol 500 ml

9,500.00

KEMASAN

HARGA

Botol 500 ml

6,800.00

Botol 500 ml

6,917.00

Botol 500 ml

7,700.00

Botol 500 ml

7,700.00

softbag 500ml

35,750.00

Botol 500 ml

6,930.00

Plastic Bottle 500 ML

9,167.00

Plastic Bottle 500 ML

10,000.00

Plastic Bottle 500 ML

10,000.00

20%, Botol Kaca @100 ml, single bottle


Botol Gelas 100 ml

105,500.00
60,500.00

20%, Botol Kaca @250 ml, single bottle

210,000.00

Bag, 3 chamber ( 3 kompartemen), 1250


ml

591,000.00

Bag, 3 chamber ( 3 kompartemen), 1250


ml

511,000.00

Bag, 3 chamber ( 3 kompartemen), 625


ml

358,000.00

Flexy bag 100 mL

89,800.00

strip 5 x 0.6 ml

72,000.00

dus, Botol @ 2,5 ml

127,000.00

Dus, 1 vial @ 263 mcg + 1 prefilled


syringe pelarut @ 1 ml

550,000.00

Vial

700,000.00

KEMASAN
Vial
Box, 1 Botol @ 100 ml

HARGA
2,700,000.00
40,000.00

Dus, 5 Strip@10 Tablet

528.00

Dus, 100 ampul @ 2 ml

839.00

Dus, 30 ampul @ 2 ml
Dus, 10 syringe @ 10 g

1,363.00
40,000.00

Box ,3 Strip @ 10 tablet

600.00

Box ,3 Strip @ 10 tablet

350.00

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


KOTAK @ 10 x 10 TAB

89.00

154.00
1,341.00

ampul

52,000.00

botol 500 ml

62,000.00

Strip

1,200.00

KOTAK @ 5 x 10 TAB

3,276.00

Dus @ 5 vial

473,000.00

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

Dus, 10 blister @ 10 tablet

112.50

ktk 10 x 10 tablet salut

154.00

Dus, botol plastik @ 30 kapsul


pelepasan lambat
Dus, 1 Vial @125mg + 1 ampul pelarut
@ 2ml
Dus, 1 vial @ 500 mg

6,537.00
19,500.00
89,990.00

Strip

635.00

Dus, 10 Blister @ 10 Tablet

205.00

Dus, 10 Blister @ 10 tablet

300.00

ktk 10 x 10 tablet

108.00

KEMASAN

HARGA

Dus, 1 Botol @ 100 ml

9,950.00

Dus, 2 blister @ 5 suppositoria

3,220.00

10 strip @ 10 tab

110.00

10 strip @ 10 tab

160.00

Dus @ 5 vial
Boks 10 amp
Boks 5 amp
Dus,1 vial@50mg
Boks, 50 tablet
Tube 10 gram
10 mg /Vial

1,237,500.00
6,119.00
12,060.00
260,000.00
16,000.00
3,000.00
697,000.00

botol, tetes mata 3 ml

77,000.00

tube 10 gram

17,820.00

Dus 10 amp @ 1 ml

8,400.00

Dus, 6 strip @ 10 tablet

15,620.00

Dus, 6 strip @ 10 tablet

22,990.00

Ktk 10 ampul @ 1ML

10,499.00

Botol 30 tablet
Botol 500 ml

1,300.00
4,700.00

Dus, 5 blister @ 2 pfs 0.3 ml

54,144.00

Dus, 5 blister @ 2 pfs 0.4 ml

66,640.00

Dus, 5 blister @ 2 pfs 0.6 ml

94,962.00

Dus, 5 Ampul @ 2ml

61,600.00

Ampoel 25 ML
Box ,5 Blister @ 10 tablet

Botol, 45 ml

6,200.00
200.00

33,900.00

Tube 5 gr

6,490.00

btl 60 tablet

2,800.00

blister

2,999.00

blister

3,500.00

Dus, 10 Strip @ 10 tablet salut selaput

100.00

Dus @ 10 X 10 's

640.00

Dus @ 10 X 10 's

480.00

ampul

52,000.00

blister

2,618.00

Paket

359,900.00

Paket

1,199,990.00

KEMASAN

HARGA

Paket

214,900.00

Dus, 3 blister @ 28 kss

160,000.00

Dus, 1 dus @ 60 blister @ 8 tablet tahap


intensif kategori 1 + 1 Dus @ 54 blister
@ 3 tablet tahap lanjutan kategori 1

288,199.00

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

Box ,5 Strip @ 10 tablet

400.00

Box ,5 Strip @ 10 tablet

650.00

botol @ 10 ml
Dus, vial @ 355m + 1 prefilled syringe
pelarut @ 2,5 ml + 2 jarum suntik
Vial

27,550.00
2,950,000.00

120,000.00

3 X 10 fcc

6,450.00

3 X 10 fcc

11,200.00

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: Kantong


Plastik; Tenckoff Catheter: Box; Titanium
Adaptor: Kantong Plastik
Set
Larutan Dialisa 1.5 %: 2.000 ml;
Larutan Dialisa 2.5 %: 2.000 ml;
Larutan Dialisa 4.25 %: 2.000 ml;
Minicap: Kantong Plastik

1,902,240.00

219,540.00
5,522,580.00

Dus, 15 botol

5,200.00

botol 60 ml

1,438.00

Dus, 10 strip @ 10 kaptab


Dus, botol @ 15 ml

Boks, 1 pfs

89.00
6,450.00

1,077,815.00

KEMASAN
Boks, 1 pfs

HARGA
1,248,220.00

Dus, 1 vial 100 mcg + 1 ampul pelarut


0,7 ml + 1 syringe + 2 jarum

973,500.00

Dus, 1 prefilled syringe (serbuk injeksi


120mcg + pelarut 0.5 ml) + 1 jarum

1,135,000.00

Dus, 1 vial 50 mcg + 1 ampul pelarut


0,7 ml + 1 syringe + 2 jarum

915,000.00

Dus, 1 vial 80 mcg + 1 ampul pelarut


0,7 ml + 1 syringe + 2 jarum

915,810.00

tube @ 35 gram

23,000.00

Dus, botol plastik @ 30 tablet salut


selaput
Tube @ 10 g

2,420.00
11,475.00

Ktk 10 ampx2ml

14,500.00

30 TAB/BOX

3,120.00

30 TAB/BOX

4,525.00

Botol 60 ml

8,360.00

Dus, 25 Blister @ 4 tablet

296.00

Dus 10 strip @ 10 tablet

206.00

Dus botol @ 150 tab

6,952.00

Dus, Botol @ 10ml

17,393.00

botol @ 1000 ml

37,109.00

botol @ 30 ml
botol @ 300 ml

2,163.00
14,203.00

Dus, 3 alu blister @ 10 tablet

7,200.00

Dus, 3 alu blister @ 10 tablet

11,268.00

Box ,5 Strip @ 10 tablet

Dus, 10 Strip @ 10 tablet


Ampul

2,300.00

65.00
15,642.00

Dus, 10 strip @ 10 tablet

106.00

Dus, 1 blister @ 10 tablet

17,391.00

Dus, 1 blister @ 10 tablet

19,500.00

Dus, 1 blister @ 10 tablet

23,185.00

Dus, 10 Strip @ 10 kaptab


Dus, 10 Ampul @ 2 ml

580.00
1,140.00

Dus, 10 Strip @ 10 tablet salut selaput

120.00

Botol 50 kapsul lunak

260.00

Botol 50 Kapsul

459.00

botol 500 ml

5,200.00

Dus, 5 Blister @ 10 tablet

1,400.00

KEMASAN

HARGA

KOTAK @ 5 x 10 TAB

1,008.00

Dus, 5 Blister @ 10 tablet

2,000.00

Blister

23,500.00

Blister

23,500.00

Blister

23,500.00

Dus, 7 blister @ 4 Tablet lepas Lambat

5,248.00

Dus, 7 blister @ 4 Tablet lepas Lambat

6,275.00

Dus, 7 blister @ 4 Tablet lepas Lambat

7,383.00

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

strip

513.00

Dus, 10 strip @ 10 kapsul

509.00

Dus, Botol 60 ml

5,895.00

Dus, Botol 60 ml

4,746.00

Dus, 5 Strip @ 10 Kapsul

1,000.00

Dus, 2 Vial @ 1 gram

16,500.00

Box 2 Vial @ 1000mg

48,060.00

Dus, 10 blister @ 10 kapsul


Dus, Botol 30 ml

859.00
8,800.00

vial

38,500.00

vial

4,800.00

Dus, 10 Vial @ 1 g

2,950.00

Dus, 3 blister @ 10 tablet

3,700.00

Dus, 2 Vial @ 1 gram

16,000.00

Dus, 10 Vial @ 1 g

3,300.00

Dus, 1 Blister @ 10 Tablet salut selaput

7,200.00

strip @ 10 tab

3,300.00

Box, 10 strips @ 10 capsules


tabung/botol
100 ampul @ 1 ml

181.00
1,320,000.00
1,078.00

vial

256,000.00

vial

82,000.00

Dus, 10 blister @ 5 kapsul lunak

43,000.00

KEMASAN
Dus, 10 blister @ 5 kapsul lunak

HARGA
12,000.00

Dus, 3 Strip @ 10 Kaplet salut selaput

169.00

Dus, 3 Strip @ 10 Kaplet salut selaput

391.00

Vial 200 ml
Dus, 10 blister @ 10 tab ss
dus, 1 vial @ 10 ml
Dus, 5 strip @ 10 tablet

13,000.00
255.00
575,000.00
1,499.00

Dus, 10 Strip @ 10 tablet

900.00

Dus, 10 Strip @ 10 tablet

315.00

Vial
Dus @ 56 Vial
dus 5 amp @ dus 10

3,290,000.00
3,650.00
127,000.00

Botol, 100 ml

13,425.00

Pounch @ 5 blister @ 10 capsule

11,167.00

Dus, 1 pouch @5 blister@10 kaps

21,500.00

Box/ 2 blister @ 14 tablet

5,800.00

Box @ 2 blister @ 14 tablet

5,800.00

Box/ 3 blister @ 10 Tablet

6,800.00

Dus, 2 blister @ 14 tablet

28,500.00

Dus, 2 alu-blister @10 tablet

3,900.00

Box, 2 blisters @10 tablets

6,500.00

Dus, 5 sachet @ 1 kapsul

1,120,000.00

Dus, 5 sachet @ 1 kapsul

223,000.00

Botol 30 tab

8,100.00

Dus, 2 pak @ 5 respules

6,250.00

Box 50's
Dus, 1 Turbuhaler @ 200 dosis
Dus, 6 blister @ 10 kapsul lunak
botol 5 ml

99.00
71,100.00
6,200.00
11,500.00

Dus, 10 strip @ 10 kapsul

148.00

Dus, 10 blister @ 10 tablet

1,135.00

Dus, 10 blister @ 10 tablet

563.00

Dus, Botol Plastik @ 5ml

9,128.00

Dus, Botol Plastik @ 5ml

9,722.00

Dus, 1 blister @10 kapsul + handihaler


Dus, 10 Ampul @ 2 ml
botol, tetes mata 2,5 ml

152,543.00
2,395.00
115,000.00

KEMASAN
Dus, botol plastik 120 dosis

HARGA
90,000.00

strip

405.00

tube

6,400.00

1 vial of 10ml (10 d's)

285,000.00

Boks, 60 tablet

170,000.00

Botol 120 ml

40,000.00

Tablet

2,793.00

Tablet

5,450.00

Dus, 2 blister @ 14 tablet

6,500.00

Dus, 2 blister @ 14 tablet

3,900.00

Tablet

6,200.00

Ktk 10X10 TAB


Vial 10mg/10ml
Dus, 1 vial @ 1 ml
Dus 10 strip x 10 tab
Botol 60 tablet
Drops 10 mg/ml, Botol @15 ml
Dus, botol 60 ml
ktk 10 x 10 tablet

234.00
210,000.00
1,229,998.00
107.00
3,429.00
12,840.00
7,400.00
473.00

PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma

PT Kalbe Farma

74 Bleomisin serbuk injeksi 15 mg/ampul


122 Epirubisin serb injeksi 50 mg/25ml
128 Eritropoetin-alfa inj 3000 UI/mL
154 Filgrastim inj 300 mcg/mL
164 Fluorourasil inj 250 mg/mL
165 Fluorourasil inj 500 mg/ 5 mL
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)
311
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)
319

PT Kalbe Farma
PT Kalbe Farma

PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma

PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma

Larutan mengandung Asam Amino (Kombinasi Asam amino 50


320 g/L, vitamin dan elektrolit)
Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113
gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L,
329 elektrolit)
Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66
331 g, Xylitol 60 g/ L + elektrolit)
Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g,
332 Xylitol 30 g/ L)
Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K,
335 Cl, Ca, Mg, Sorbitol 50 gr/L)
Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28
gr/L, Glukosa 100 gr/L, elektrolit)
336
Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28
337 gr/L, Glukosa 75 gr/L, elektrolit)
Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g,
338 glucose 33 g, Xylitol 30 g/ L)
Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg Lecithins
12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate 0.3 gr/L)
355

PT Kalbe Farma

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit


Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)
445

PT Kalbe Farma

Paket CAPD Pergantian Transfer Set per 6 bulan


446

PT Kalbe Farma

Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan


komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %, Larutan
Dialisa 4.25 %, Minicap)

447
PT Otsuka Indonesia

Larutan mengandung Asam Amino (Asam Amino 100 g, Total N


15,7 g, Na+ 2 mEq, Asetat 120 mEq)
307

PT Otsuka Indonesia
PT Otsuka Indonesia

PT Otsuka Indonesia

PT Otsuka Indonesia

PT Otsuka Indonesia

PT Otsuka Indonesia
PT Otsuka Indonesia
PT Otsuka Indonesia
PT Otsuka Indonesia
PT Otsuka Indonesia

PT Otsuka Indonesia
PT Otsuka Indonesia

PT Otsuka Indonesia

PT Otsuka Indonesia
PT. Abbott Indonesia
PT. Abbott Indonesia
PT. Abbott Indonesia

Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol


308 50 g, Cl- 52 mEq)
Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa
7,3 % dan elektrolit) 1000 ml
309
Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa
7,3 % dan elektrolit) 500 ml
310
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)
314
Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N
12.2 g, Na+ 14 mEq, Cl 94 mEq)
315
325 Larutan mengandung Elektrolit (Kalium Klorida)
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3
327 mEq, Asetat 28 mEq)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75
328 gr)
Larutan mengandung Karbohidrat (Maltose 100 gr)
333
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)
334
Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL
346 1.5g, Glukosa 100 gr)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl
1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)
347
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na
Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)
348
415 Natrium Bikarbonat injeksi i.v 8,4%
65 Beractant injeksi / suspensi 25 mg/mL
Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg
293
567 Valproat tab SR 250 mg

PT. Abbott Indonesia


PT. Abbott Indonesia
PT. Actavis Indonesia
PT. Actavis Indonesia
PT. Actavis Indonesia
PT. Actavis Indonesia
PT. Afifarma
PT. Afifarma
PT. Afifarma
PT. Afifarma
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. Aventis Pharma
PT. Aventis Pharma

PT. Aventis Pharma

PT. Aventis Pharma


PT. Aventis Pharma
PT. Aventis Pharma
PT. Aventis Pharma
PT. Aventis Pharma
PT. Aventis Pharma
PT. Aventis Pharma
PT. Aventis Pharma

568 Valproat tab SR 500 mg


571 Verapamil tab 240 mg
106 Doksorubisin serbuk injeksi i.v. 10 mg/vial
107 Doksorubisin serbuk injeksi i.v. 50 mg/vial
146 Fenoksimetil penisilin (penisilin V) tab 125 mg
195 Gliseril trinitrat tab sublingual 0,5 mg
449 Parasetamol sirup 120 mg / 5 ml
469 Povidon Iodida larutan 10% 1000 ml
470 Povidon Iodida larutan 10% 30 ml
471 Povidon Iodida larutan 10% 300 ml
34 Anastrozol tablet/kapsul/kaplet 1 mg
69 Bikalutamid tablet salut 150 mg
70 Bikalutamid tablet salut 50 mg
Budesonid inhaler 200 mcg/puff, 100 dosis
76
Budesonid respules / cairan inhaler 0,25mg/mL
77
Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg
78
Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg
79
177 Gefitinib tab 250 mg
199 Goserelin asetat inj 10,8 mg/vial
200 Goserelin asetat inj 3,6 mg
365 Lidokain jeli 2%
478 Quetiapin tab 200 mg
479 Quetiapin tab 300 mg
480 Quetiapin tab 400 mg
548 Terbutalin cairan ih 2,5 mg/mL
Terbutalin turbu (serbuk ih) 0,50 mg
550
17 Amiodaron injeksi 150 mg/3 ml
Analog insulin long acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin glargine 100 IU/ml)
27
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin glulisine 100 IU/ml)
32
Enoksaparin sodium inj 20 mg/0,2 mL
117
Enoksaparin sodium inj 40 mg/0,4 mL
118
Enoksaparin sodium inj 60 mg/0,6 mL
119
157 Fludarabin inj 50 mg
Fludarabin tab 10 mg
158
Human insulin intermediate acting inj 100 UI/ml, vial/cartridge
214 disposible/penfill cartridge
Human insulin short acting inj 100 UI/ml, vial/cartridge
227 disposible/penfill cartridge
Lenograstim inj 263 mcg/mL
358

PT. Aventis Pharma


PT. Aventis Pharma
PT. Aventis Pharma
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Boehringer Ingelheim

393 Metronidazol supositoria 500 mg


561 Triamsinolon asetonid nasal spray 55 mcg/puff
Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)
564
173 Gadobutrol macrocyclic 5 mg
174 Gadobutrol macrocyclic 7,5 mg
Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL
175
180 Gemsitabin inj 1000 mg/vial
Human insulin intermediate acting inj 100 UI/ml, vial (Insulin
213 human Basal)
Human insulin intermediate acting inj 100 UI/ml,penfill cartridge
216 (Insulin human Basal)
Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Insulin
219 human Comb)
Human insulin mix insulin inj 100 UI/ml, vial (Insulin human
221 Comb)
Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin
224 human Rapd)
Human insulin short acting inj 100 UI/ml, vial (Insulin human
226 Rapd)
Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)
242
Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)
243
Iopromide 300-370 mg Iodium/mL (370 mg / 100 ml)
244
Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)
245
420 Nifedipin tab 20 mg, slow release; oros
421 Nifedipin tab 30 mg, oros
426 Noretisteron tablet 5 mg
437 Olanzapin inj 10 mg/vial
490 Rivaroksaban tab 10 mg
491 Rivaroksaban tab 15 mg
492 Rivaroksaban tab 20 mg
8 Alopurinol tablet/kapsul/kaplet 300 mg
23 Amoksisilin kapsul/kaplet/tablet scored 500 mg
26 Ampisilin serbuk injeksi i.v. 1000 mg/vial
48 Asam Mefenamat kapsul/kaplet 500 mg
51 Asam traneksamat injeksi 50 mg/ml
110 Domperidon tetes 5 mg/mL
279 Kloramfenikol suspensi 125 mg/ 5 ml
363 Lidokain injeksi 2% (HCL)
379 Meropenem inj 1 g
380 Meropenem serb inj 500 mg/vial
383 Metformin HCl tablet 500 mg
387 Metilprednisolon inj 500 mg/8 mL
508 Sefiksim kapsul/kaplet 100 mg
528 Siprofloksasin tablet 500 mg (sebagai HCl)
Alteplase injeksi 50 mg/vial
12

PT. Boehringer Ingelheim


PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim

47 Asam Ibandronat injeksi 6mg/6ml


82 Dabigatran eteksilat kapsul 110 mg
83 Dabigatran eteksilat kapsul 75 mg
129 Eritropoetin-beta inj 2000 UI/0,3 mL
147 Fenoterol HBr ih 100 mcg/puff
148 Fenoterol HBr inh solution 0,1%
176 Gansiklovir serb inj 500 mg (50 mg/mL)
246 Ipratropium bromida inhalasi 20 mcg/semprot
258 Kapesitabin tab 500 mg
276 Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)
397 Midazolam injeksi i.v. 1 mg/ml
398 Midazolam injeksi i.v. 5 mg/ml
400 Mikofenolat Mofetil 500 mg
452 Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
453 Pegylated interferon alfa-2a inj 180 mcg/0,5 ml
472 Pramipeksol tab ER 0,375 mg
473 Pramipeksol tab ER 0,750 mg
543 Telmisartan tab 40mg

PT. Boehringer Ingelheim


PT. Boehringer Ingelheim

544 Telmisartan tab 80 mg


Tiotropium kaps 18 mcg + handihaller
558
565 Valgansiklovir tab 450 mg
75 Bromokriptin tablet 2,5 mg
13 Amfoterisin B salep mata 1%
102 Dinatrium edetat tetes mata 0,35%
Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg;
290 Kalium klorida 1,32 mg
356 Latanoprost tetes mata 0,01%
552 Tetrakain HCl tetes mata 0,5%
66 Beraprost sodium tablet 20 mcg
67 Beraprost sodium tablet 20 mcg
135 Etoposid injeksi 20 mg/ml
399 Mikafungin Na serb inj 50 mg
417 Natrium fosfat lar oral 45 mL
467 Piridostigmin tablet salut 60 mg
536 Sukralfat susp 500 mg/5 mL
Takrolimus kaps 0.5 mg
537
Takrolimus kaps 1 mg
538
Tamsulosin tab 0,2 mg
539
540 Tamsulosin tab 0,2 mg
Tamsulosin tab SR 0,4 mg
541
573 Vinblastin serbuk injeksi 10 mg
577 Zinc drop 10 mg/mL
18 Amiodaron tablet/kaplet 200 mg
458 Perak sulfadiazin krim 1%
562 Trifluoperazin tablet 5 mg

PT. Boehringer Ingelheim


PT. Caprifarmindo
PT. Cendo Industri Farmasi
PT. Cendo Industri Farmasi
PT. Cendo Industri Farmasi
PT. Cendo Industri Farmasi
PT. Cendo Industri Farmasi
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Darya Varia
PT. Darya Varia
PT. Darya Varia

PT. Dexa Medica


PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Erela
PT. Erela

9 Alprazolam tablet/kapsul/kaplet 0,25 mg


45 Asam Folat tablet/kapsul/kaplet 0,4 mg
80 Bupivakain injeksi 0,50% (HCl) + glukosa 8%
93 Desoksimetason krim 0,25%
163 Fluoksetin tablet 20 mg
188 Glikuidon tab 30 mg
207 Halotan Inhalasi
Human tetanus imunoglobulinn injeksi i.m. 250 UI
228
256 Kandesartan tab 16 mg
257 Kandesartan tab 8 mg
269 Ketokonazol tablet 200 mg
275 Klobazam tab 10 mg
Metilprednisolon inj 125 mg/2 mL
386
390 Metilprednisolon tablet 8 mg
Nifedipin tablet/kapsul 10 mg
422
425 Norepinefrin injeksi 1 mg/ml
462 Pioglitazon tab 15 mg
463 Pioglitazon tab 30 mg
475 Propanolol tablet 10 mg ( HCl )
481 Ramipril tablet 5 mg
Ranitidin tablet 150 mg
483
487 Risperidon tablet 1 mg
489 Risperidon tablet 3 mg
506 Sefazolin serbuk injeksi 1 g/vial
514 Seftazidim injeksi 1 g
527 Siprofloksasin infus 2%
531 Spironolakton tablet 100 mg
532 Spironolakton tablet 25 mg
533 Streptokinase injeksi 1,5 juta UI/vial
103 Dobutamin injeksi 50 mg/mL
111 Dopamin injeksi 40 mg/ml
170 Fraksi protein plasma lar inf 5%
209 Hepatitis B imunoglobulin (human)
Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml)
236
Iopamidol 200-300 mg Iodium/mL (300mg @ vial 30ml)
237
Iopamidol 200-300 mg Iodium/mL (300mg @ vial 50ml)
238
Iopamidol 300-370 mg Iodium/mL (370mg @ vial 100ml)
239
Iopamidol 300-370 mg Iodium/mL (370mg @ vial 30ml)
240
Iopamidol 300-370 mg Iodium/mL (370mg @ vial 50ml)
241
183 Gentamisin salep mata 0,3%
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat
289 0,25 mg

PT. Errita Pharma


PT. Ethica Industri Farmasi
PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals


PT. Ferron Par Pharmaceuticals
PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals


PT. Finusolprima Farma Internasional
PT. Finusolprima Farma Internasional
PT. Finusolprima Farma Internasional

PT. Finusolprima Farma Internasional


PT. Fresenius Kabi Combiphar
PT. Fresenius Kabi Combiphar
PT. Fresenius Kabi Combiphar

PT. Fresenius Kabi Combiphar


PT. Fresenius Kabi Combiphar

PT. Fresenius Kabi Combiphar

PT. Fresenius Kabi Combiphar

260 Kaptopril tablet scored 25 mg


255 Kalsium Glukonat injeksi i.v 10% (100 mg/ml)
Analog insulin mix acting inj 100 UI/ml, Analog insulin mix acting
inj 100 UI/ml (Premix 30% Insulin Aspart + 70% Protaminated
Insulin Aspart (Analogue))
28
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin Aspart (Analogue))
30
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin Aspart (Analogue))
31
Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk
139 injeksi
Human insulin intermediate acting inj 100 UI/ml, vial (Human
212 Insulin (Intermediate-Acting))
Human insulin intermediate acting inj 100 UI/ml,penfill cartridge
(Human Insulin (Intermediate-Acting))
215
Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Human
Insulin (Premix: 30% Soluble + 70 % NPH Insulin))
218
Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin
(Premix: 30% Soluble + 70 % NPH Insulin))
220
Human insulin short acting inj 100 UI/ml, penfill cartridge (Human
Insulin (Short Acting))
222
Human insulin short acting inj 100 UI/ml, vial (Human Insulin
225 (Short Acting))
Larutan mengandung Asam Amino (Asam Amino 10%)
306
Larutan mengandung Asam Amino (Asam Amino esensial 7%
317 +Xylitol 10 g/L)
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
318 0.12 gr/L)
Manitol
374
287 Koloid HES BM 130 000 lar inf 6%
Larutan mengandung Asam Amino (Asam Amino 6%,
312 mengandung Taurine 0,24 gr/l)
Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi:
Asam Amino esensial: Asam Amino non esensial = 60 : 40)
313
Larutan mengandung Asam Amino (Asam amino 8%)
316
Larutan mengandung Asam Amino (Kombinasi Asam Amino:
34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit (Kalori = 1000
kkal, Akses peripheral))
321
Larutan mengandung Asam Amino (Kombinasi Asam Amino:
45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400
kkal, Akses peripheral))
322
350 Larutan mengandung Lipid (Emulsi lemak 20%)

PT. Fresenius Kabi Combiphar


PT. Galenium Pharmasia Laboratories
PT. Galenium Pharmasia Laboratories
PT. Galenium Pharmasia Laboratories
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. 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. Glaxo Wellcome Indonesia
PT. Glaxo Wellcome Indonesia
PT. Glaxo Wellcome Indonesia
PT. Glaxo Wellcome Indonesia
PT. Gracia Pharmindo
PT. Gracia Pharmindo
PT. Gracia Pharmindo
PT. Guardian Pharmatama
PT. Guardian Pharmatama
PT. Hexpharm Jaya Laboratories
PT. Hexpharm Jaya Laboratories
PT. Hexpharm Jaya Laboratories
PT. Hexpharm Jaya Laboratories
PT. Hexpharm Jaya Laboratories
PT. Hexpharm Jaya Laboratories
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma

476 Propofol injeksi i.v., bolus 1%


Kombinasi suspensi : Parafin + gliserin + fenolftalein
288
Permetrin krim 5%
460
Urea krim 10%
563
57 Atrakurium injeksi 25 mg/2,5 ml
167 Flutikason furoat intranasal spray
Flutikason propionat nebules 0,5 mg
168
169 Fondaparinuks inj 2,5 mg/0,5 mL
Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg
294
Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg
295
Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg
296
378 Melfalan tablet 2 mg
411 Nadroparin inj 9500 Axa/mL syringe 0,3 mL
412 Nadroparin inj 9500 Axa/mL, syringe 0,4 mL
413 Nadroparin inj 9500 Axa/mL, syringe 0,6 mL
Ropinirol Tablet Salut 2 mg
493
Ropinirol Tablet Salut 4 mg
494
Ropinirol Tablet Salut 8 mg
495
496 Salbutamol inhalasi/aerosol 100 mcg/dosis
497 Salbutamol serb inh 200 mcg/kaps
498 Salbutamol serb inh 200 mcg/kaps + rotahaler
Sefuroksim tab 500 mg
516
123 Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI
Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml
124
162 Fluoksetin tablet 10 mg
266 Ketamin injeksi i.v. 100 mg/ml
404 Mometason furoat krim 0,1%
Asam traneksamat injeksi 100 mg/ml
50
Fenofibrat kaps 100 mg
144
Fenofibrat kaps 300 mg
145
Klopidogrel tab 75 mg
278
Sefadroksil kapsul/kaplet 250 mg
501
Sefotaksim injeksi 0,5 g
511
4 Albendazol tablet/kapsul/kaplet 400 mg
25 Amoksisilin sirup kering forte 250 mg/5 ml
232 Ibuprofen tablet 400 mg

PT. Holi Pharma


PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Ifars Pharmaceutical Laboratories
PT. Ifars Pharmaceutical Laboratories
PT. Ifars Pharmaceutical Laboratories
PT. Ifars Pharmaceutical Laboratories
PT. Ifars Pharmaceutical Laboratories
PT. Ifars Pharmaceutical Laboratories
PT. Ikapharmindo
PT. Ikapharmindo
PT. Ikapharmindo
PT. Ikapharmindo
PT. Imfarmind Farmasi industri
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma

Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol


297 400 mg Trimetoprim 80 mg
464 Pirantel suspensi 125 mg/5 ml
465 Pirantel tablet score (base) 125 mg
466 Pirazinamid tablet 500 mg
477 Propranolol tablet 40 mg (HCl)
502 Sefadroksil kapsul/kaplet 500 mg
503 Sefadroksil sir kering 250 mg/5 mL
504 Sefadroksil sirup kering 125 mg/5ml
553 Tetrasiklin kapsul/kaplet 250 mg
Flusinolon asetonid krim 0,025%
166
Klaritromisin tab 500 mg
272
Loperamid tablet 2 mg
370
Parasetamol tetes 60 mg/0,6 mL
451
Sefaleksin kapsul/kaplet 500 mg
505
Sefiksim sirup kering 100 mg/ 5 ml
509
Albumin serum normal (human albumin) injeksi 20%, 100 ml
5
Albumin serum normal (human albumin) injeksi 20%, 50 ml
6
141 Fenitoin kapsul/kaplet 100 mg
566 Valproat sirup 250 mg/5 ml
450 Parasetamol tablet 500 mg
Albendazol suspensi 200 mg/5 ml
3
19 Amitriptilin tablet salut 25 mg (HCl)
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g
37 Polimiksin 10.000 IU/g
53 Asiklovir tablet/kapsul/kaplet 200 mg
58 Atropin Sulfat tablet 0,5 mg
90 Deksametason injeksi i.v./i.m. 5 mg/ml
91 Deksametason tablet 0,5 mg
96 Diltiazem HCl tablet 30 mg
126 Eritromisin kapsul/kaplet 500 mg
131 Etambutol tablet salut 500 mg (HCl)
171 Furosemid injeksi i.v./i.m. 10 mg/ml
172 Furosemid tablet 40 mg
178 Gemfibrozil kapsul/kaplet 300 mg
179 Gemfibrozil tablet 600 mg
182 Gentamisin injeksi 40 mg/ ml
184 Gentamisin tetes mata 0,3%
185 Glibenklamid tablet 5 mg
201 Griseofulvin tablet 125 mg
203 Haloperidol tablet 0,5 mg
204 Haloperidol tablet 1,5 mg
206 Haloperidol tablet 5 mg

PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma

229 Ibuprofen sirup 100 mg/5 ml


230 Ibuprofen suspensi 200 mg/5 ml
247 Irbesartan tab 150 mg
248 Irbesartan tab 300 mg
251 Isosorbid Dinitrat tablet sublingual 5 mg
259 Kaptopril tablet 50 mg
261 Kaptopril tablet scored12,5 mg
263 Karbamazepin tablet 200 mg
273 Klindamisin kapsul/kaplet 150 mg
274 Klindamisin kapsul/kaplet 300 mg
304 Lanzoprazol kapsul/kaplet 30 mg
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml
364
428 Obat Antituberkulosis FDC Kategori 2
430 Obat Antituberkulosis FDC Sisipan
Obat Antituberkulosis Kategori 1 dewasa

431
PT. Indofarma

PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Infion Pharmaceutical
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma

Obat Antituberkulosis Kategori anak

432
442 ondansetron inj 4 mg/ 2 mL
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
448
530 Spiramisin tablet 500 mg
361 Levofloksasin inf 5 mg/mL
ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet
1 200 mg)
11 Alprazolam tablet/kapsul/kaplet 1 mg
Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin
38 500 mg
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
39
41 Artemether injeksi 80 mg/ml
43 Asam Askorbat (Vitamin C) tablet 250 mg
44 Asam Askorbat (Vitamin C) tablet 50 mg
54 Asiklovir tablet/kapsul/kaplet 400 mg
61 Azitromisin tablet 500 mg
68 Betametason krim 0,1% (sebagai Valerat)
101 Dimenhidrinat tablet 50 mg
DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg
113 pentetate calcium trisodium/mL
115 Efavirens tablet salut 600 mg
125 Eritromisin kapsul/kaplet 250 mg
130 Etambutol tablet 250 mg (HCl)
136 Eugenol cairan
149 Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml
150 Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma

151 Fentanil patch 12,5 mcg/jam


152 Fentanil patch 25 mcg/jam
153 Fentanil patch 50 mcg/jam
161 Flukonazol tablet/kapsul 150 mg
189 Glimepiride tablet 1 mg
190 Glimepiride tablet 2 mg
191 Glimepiride tablet 3 mg
192 Glimepiride tablet 4 mg
193 Gliseril trinitrat kaps SR 2,5 mg
194 Gliseril trinitrat kaps SR 5 mg
210 Hidrokortison krim 2,5 %
268 Ketokonazol krim 2%
270 Ketoprofen supositoria 100 mg
277 Klonidin tablet 0,15 mg
284 Kodein tablet 10 mg
285 Kodein tablet 15 mg
286 Kodein tablet 20 mg
299 Kuinin (Kina) tablet 200 mg

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma

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


301 Kuinin tablet 222 mg (H2SO4.7H2O)
302 Lamivudine tablet 150 mg
MDP (methylene diphosphonate) 1 mg methylene diphosphonic
377 acid/mL
382 Metadon sir 50mg/5ml
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg
384
391 Metoklopramide tablet 5 mg
MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial
396
401 Mikonazol krim/salep 2 % (Nitrat)
405 Morfin HCL inj 10 mg/ml
408 Morfin injeksi i.m./s.k./i.v. 10 mg/ml
409 Morfin tablet 10 mg
419 Nevirapin tablet 200 mg
461 Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
484 Retinol (Vitamin A) 100.000 IU
Sufentanil injeksi iv, epidural 5 mcg/ml
535
547 Tenofovir tab 300 mg
572 Verapamil tablet 80 mg (HCl)
575 Vitamin B Kompleks tablet
576 Zidovudin 300 mg + Lamivudine 150 mg
579 Zinc tablet dispersible20 mg
15 Aminofilin injeksi 24 mg/ml
94 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
196 Gliserin lar 50%
Karbogliserin tetes telinga 10%
265
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg +
298 Trimetoprim 40 mg / 5 ml

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Lucas Djaja
PT. Lucas Djaja
PT. Lucas Djaja
PT. Lucas Djaja
PT. Lucas Djaja

PT. Lucas Djaja


PT. Lucas Djaja
PT. Mahakam Beta Farma
PT. Mahakam Beta Farma
PT. Mahakam Beta Farma
PT. Marin Liza Farmasi
PT. Marin Liza Farmasi
PT. Marin Liza Farmasi
PT. Marin Liza Farmasi
PT. Meprofarm
PT. Meprofarm
PT. Merck Sharp Dohme Pharma Tbk
PT. Merck Sharp Dohme Pharma Tbk
PT. Merck Sharp Dohme Pharma Tbk
PT. Merck Sharp Dohme Pharma Tbk

485 Retinol (Vitamin A) 200.000 IU kapsul lunak


520 Sianokobalamin (vitamin B12) injeksi 500 mcg
388 Metilprednisolon tablet 16 mg
406 Morfin HCL tablet SR 10 mg
407 Morfin HCL tablet SR 15 mg
16 Aminofilin tablet scored 200 mg
46 Asam Folat tablet/kapsul/kaplet 1 mg
155 Fitomenadion (Vit.K1) tablet salut gula 10 mg
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4%
500
Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg
40 Levodopa 100 mg
578 Zinc sir 20 mg/5 Ml
Desogestrel tablet 75 mcg
92
Etinilestradiol tablet 0,05 mg
133
Etonogestrel implan 68 mcg
134
Pegylated Interferon alfa-2b serb inj 100 mcg
454

PT. Merck Sharp Dohme Pharma Tbk

Pegylated Interferon alfa-2b serb inj 120 mcg


455

PT. Merck Sharp Dohme Pharma Tbk

Pegylated Interferon alfa-2b serb inj 50 mcg


456

PT. Merck Sharp Dohme Pharma Tbk

Pegylated Interferon alfa-2b serb inj 80 mcg


457

PT. Merck Sharp Dohme Pharma Tbk

Temozolamid kaps 100 mg


545

PT. Merck Sharp Dohme Pharma Tbk

Temozolamid kaps 20 mg
546

PT. Merck Sharp Dohme Pharma Tbk


PT. Merck Tbk
PT. Merck Tbk
PT. Merck Tbk
PT. Merck Tbk
PT. Merck Tbk
PT. Mersifarma Tirmaku Mercusana
PT. Mersifarma Tirmaku Mercusana
PT. Mersifarma Tirmaku Mercusana
PT. Mersifarma Tirmaku Mercusana
PT. Mersifarma Tirmaku Mercusana
PT. Mersifarma Tirmaku Mercusana

Testoteron soft capsul 40 mg


551
72 Bisoprolol tablet 2,5 mg
253 Kalium Klorida tablet 600 mg
435 Oksimetazolin tetes hidung 0,025%
554 Tiamazol tab 10 mg
555 Tiamazol tab 5 mg
Fenitoin injeksi 50 mg/ml
140
Fenitoin Na Inj 100 mg/2 ml
142
Flufenazin injeksi i.m. 25 mg/ml
159
Haloperidol tablet 2 mg
205
Klozapin 100 mg
282
Klozapin 25 mg
283

PT. Mersifarma Tirmaku Mercusana

Litium karbonat tablet 200 mg


368

PT. Mersifarma Tirmaku Mercusana

Litium karbonat tablet 400 mg


369

PT. Mersifarma Tirmaku Mercusana

Lorazepam tablet 2 mg
372

PT. Mersifarma Tirmaku Mercusana

Maprotilin HCl tab 50 mg


376

PT. Mersifarma Tirmaku Mercusana


PT. Molex Ayus
PT. Molex Ayus
PT. Mugi Laboratories
PT. Mugi Laboratories
PT. Mugi Laboratories
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Nicholas Laboratories Indonesia
PT. Novapharin
PT. Novapharin
PT. Novapharin
PT. Novapharin
PT. Novapharin
PT. Novapharin
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia

Risperidon tablet 2 mg
488
418 Natrium fusidat salep 20 mg/g
549 Terbutalin tablet 2,5 mg
233 Ifosfamid serbuk injeksi 1000 mg/vial
381 Mesna inj 100 mg/mL
574 Vinorelbin inj. 10 mg/ml
389 Metilprednisolon tablet 4 mg
392 Metronidazol infus 500 mg/100 ml
440 Omeprazol injeksi 40 mg/ 10 ml
482 Ranitidin injeksi 25 mg/2 ml
512 Sefotaksim injeksi 1 g
515 Seftriakson serbuk injeksi 1 g/vial
Simvastatin scored tablet 10 mg
525
Simvastatin tablet 20 mg
526
559 Tramadol injeksi 50 mg/ml
Karbimazol tab 5 mg
264
22 Amoksisilin kapsul/kaplet 250 mg
24 Amoksisilin sirup kering 125 mg/ 5 ml
108 Domperidon suspensi/sirup 5 mg/5 ml
109 Domperidon tablet 10 mg
132 Etanol 70% cairan
441 Omeprazol kapsul/kaplet 20 mg
85 Deferasiroks tablet disp/ eff 250 mg
86 Deferasiroks tablet disp/ eff 500 mg
89 Deferoksamin Mesilat serbuk injeksi 500 mg
137 Everolimus tab 0,25 mg
138 Everolimus tab 0,5 mg
Karbamazepin sirup 100 mg/5 ml
262
Kombinasi: Artemether 20 mg; Lumefantrin 120 mg
291
Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200
292 mg
Metilfenidat kapsul LA 20 mg
385
Oktreotid 10 mg
436

PT. Novartis Indonesia

Siklosporin kaps 100 mg


523

PT. Novartis Indonesia


PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Novell Pharmaeutical Laboratories
PT. Otto Pharmaceuticals
PT. Otto Pharmaceuticals
PT. Pertiwi Agung
PT. Pertiwi Agung
PT. Pertiwi Agung
PT. Pertiwi Agung
PT. Pfizer Indonesia
PT. Pfizer Indonesia
PT. Pfizer Indonesia
PT. Pfizer Indonesia
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk

Siklosporin kapsul lunak 25 mg


524
542 Telbivudin tab 600 mg
569 Valsartan tab 160 mg
570 Valsartan tab 80 mg
Daunorubisin serbuk injeksi 20 mg/vial
84
Flukonazol injeksi 2 mg/ml
160
Ketokonazol krim 2%
267
Lisinopril tablet 10 mg
366
Lisinopril tablet 5 mg
367
Low molecule feri sucrose inj amp 100 mg/5 mL
373
Natrium Diklofenak tablet 50 mg
416
Ofloxacin tablet 200 mg
433
Ofloxacin tablet 400 mg
434
Pravastatin tablet 20 mg
474
Siklofosfamid serbuk injeksi i.v. 1000 mg
521
Siklofosfamid serbuk injeksi i.v. 200 mg
522
10 Alprazolam tablet/kapsul/kaplet 0,5 mg
211 Hiosin butilbromid injeksi 20 mg/ml
7 Alopurinol tablet/kapsul/kaplet 100 mg
20 Amlodipin tablet 10 mg
21 Amlodipin tablet 5 mg
518 Setirizin tablet 10 mg
104 Doksazosin mesilat tablet 1 mg
105 Doksazosin mesilat tablet 2 mg
116 Eksemestan tablet 25 mg
357 Latanoprost tts mata 0,005% btl@2,5ml
42 Asam Asetilsalisilat (asetosal) tablet 100 mg
63 Benzatin Benzil Penisilin 1,2 juta IU/ vial
64 Benzatin Benzil Penisilin 2,4 juta IU/vial
120 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
143 Fenobarbital injeksi i.m./i.v. 50 mg/ml
156 Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml
271 Ketorolac injeksi 30 mg/ml
280 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
281 Klorpromazin injeksi i.m. 25 mg/ml (HCl)
Larutan mengandung Asam Amino (Kombinasi Glukosa dan
elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral)
323

PT. Phapros, Tbk

Larutan mengandung Asam Amino (Kombinasi Glukosa dan


elektrolit 80 gr + Asam Amino 40 gr )
324

PT. Phapros, Tbk

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)
330

PT. Phapros, Tbk


PT. Phapros, Tbk
PT. Phapros, Tbk

PT. Phapros, Tbk

PT. Phapros, Tbk

PT. Phapros, Tbk


PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phyto Kemo Agung Farma
PT. Phyto Kemo Agung Farma
PT. Phyto Kemo Agung Farma
PT. Pradja Pharin
PT. Pradja Pharin
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Promedrahardjo Farmasi Industri

PT. Promedrahardjo Farmasi Industri


PT. Promedrahardjo Farmasi Industri
PT. Rama Emerald Multi Sukses

Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20%


349 100 ml)
Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20%
351 250 ml)
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit
180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn akses sentral)
352
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 80
gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr)
353
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90
gr + Asam Amino 35.9 gr + Lipid 25 gr dgn akses sentral)
354
423 Nistatin tablet salut 500.000 IU/ g
424 Nistatin vaginal tablet 100.000 IU/ g
427 Obat Antituberkulosis FDC Kategori 1
429 Obat Antituberkulosis FDC Kategori Anak
534 Streptomisin serbuk injeksi i.v 1000 mg/ml
127 Eritromisin sirup kering 200 mg/ 5 ml
394 Metronidazol tablet 250 mg
395 Metronidazol tablet 500 mg
Gliklazid tab 30 mg
186
Perindoprilarginin tab 5 mg
459
73 Bisoprolol tablet 5 mg
81 Bupivakain injeksi 0,50% (P.V)
98 Diltiazem injeksi 25 mg/5 mL
208 Heparin injeksi i.v./s.k. 5000 UI/ml
250 Isosorbid Dinitrat injeksi i.v 10 mg/10 ml
414 Nalokson injeksi 0,4 mg/ml
468 Polikresulen cairan
517 Sertralin tab 50 mg
519 Sevofluran ih, btl
556 Timolol tetes mata 0,25%
557 Timolol tetes mata 0,5%
Antasida DOEN I tablet kunyah, kombinasi : Aluminium
Hidroksida 200 mg Magnesium Hidroksida 200 mg
35
Levofloksasin tablet 500 mg
362
Loratadin tablet 10 mg
371
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida
200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml
36

PT. Rama Emerald Multi Sukses


PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma

PT. Sandoz Indonesia


PT. Sandoz Indonesia
PT. Sandoz Indonesia
PT. SmithKline Beecham Phamaceuticals
PT. SmithKline Beecham Phamaceuticals
PT. SmithKline Beecham Phamaceuticals
PT. Soho Industri Pharmasi
PT. Soho Industri Pharmasi
PT. Soho Industri Pharmasi
PT. Soho Industri Pharmasi
PT. Sydna Farma
PT. Sydna Farma
PT. Takeda Indonesia
PT. Takeda Indonesia
PT. Takeda Indonesia
PT. Tanabe Indonesia
PT. Tanabe Indonesia
PT. Tanabe Indonesia
PT. Tanabe Indonesia
PT. Tanabe Indonesia
PT. Tempo Scan Pacific

PT. Tempo Scan Pacific

PT. Tempo Scan Pacific


PT. Tempo Scan Pacific

Bedak salisil serbuk 2%


62
14 Amikasin injeksi 250 mg/ml
49 Asam pipemidat kapsul 400 mg
52 Asiklovir salep mata 3%
71 Bisakodil suppositoria 10 mg
Dosetaksel injeksi 20 mg/0,5 ml
112
121 Epirubisin serb injeksi 10 mg/5 ml
181 Gemsitabin inj 200 mg/vial
Human insulin intermediate acting inj 100 UI/ml,penfill cartridge
217 (Insulin human Basal)
Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin
223 human Rapd)
249 Irinotekan inf 20 mg/ml
Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi
kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg
6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g)
344
438 Olanzapin kapl salut 5 mg
439 Olanzapin tab 10 mg
513 Sefpodoksim proksetil tab 100 mg
Adefovir Dipivoksil tablet/kaplet 10 mg
2
Dutasterid kaps lunak 0,5 mg
114
Lapatinib tab 250 mg
305
59 Azitromisin sir kering 200 mg/ 5 mL
60 Azitromisin tablet 250 mg
202 Haloperidol inj 50 mg/mL
375 Maprotilin HCl tab 25 mg
87 Deferipron larutan oral 100 mg/mL
88 Deferipron tablet 500 mg
303 Lansoprazol inj 30 mg/ml
359 Leuprorelin asetat inj depot 1,88 mg
360 Leuprorelin asetat inj depot 11,25 mg
Diltiazem infus injeksi 50 mg
97
99 Diltiazem Kapsul SR 100 mg
100 Diltiazem Kapsul SR 200 mg
234 Imidapril tab 10 mg
235 Imidapril tab 5 mg
Analog insulin mix insulininj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (25% insulin lispro, 75% insulin lispro
protamine suspension, (rDNA))
29
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin lispro (rDNA origin))
33
187 Gliklazid tab 80 mg
252 Kalium aspartat tab 300 mg

PT. Tempo Scan Pacific


PT. Tempo Scan Pacific
PT. Tempo Scan Pacific
PT. Tempo Scan Pacific
PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti

PT. Widatra Bhakti

PT. Widatra Bhakti


PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Zenith Pharmaceuticals

254 Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml


403 Moksifloksasin tetes mata 0,5%
529 Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml
560 Travoprost tetes mata 0,004%
55 Asparaginase serbuk injeksi 10.000 UI/vial
197 Glukosa larutan infus 10 % steril
198 Glukosa larutan infus 5 % steril
Larutan mengandung Elektrolit (Larutan Ringer Laktat)
326
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g,
NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk injeksi ad
339 1000 ml)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ;
Natrium Chloride 9 g, air untuk injeksi ad 1000 ml)
340
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g;
341 NaCl: 4,5 g)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g;
342 NaCl: 2.25 g)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g;
343 NaCl: 4.5 g)
Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer &
345 Glukosa 5%)
402 Mitomisin C (crystallin) serbuk inj 10 mg/vial
410 Nacl 0,9%
486 Ringer Laktat larutan infus
95 Digoksin tablet 0,25 mg
231 Ibuprofen tablet 200 mg
443 Ondansetron tab 4 mg
444 Ondansetron tablet 8 mg
499 Salbutamol tablet 2 mg (sebagai Sulfat)
507 Sefepim inj 1 g
510 Sefoperazon inj 1 g
56 Atapulgit tablet 600 mg

BLEOCIN
Epirubisin Kalbe
Hemapo 3000

PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma

Vial
Vial @ 25 ml
Prefilled Syringe @ 1ml

Leucogen
Curacil
Curacil
Aminofusin Hepar

PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma

pfs @ 0,5 ml
vial @ 1 ml
vial @ 10 ml
botol 500 mL

Aminofusin L600

PT Kalbe Farma

botol 500 mL

Aminofusin Paed

PT Kalbe Farma

botol 250 mL

Totilac

PT Kalbe Farma

flexybag 250 mL

Triofusin 1000

PT Kalbe Farma

botol 500 mL

Triofusin 500

PT Kalbe Farma

Flexy bag 500 mL

Tutofusin OPS

PT Kalbe Farma

botol 500 mL

Clinimix N9G20E

PT Kalbe Farma

Botol Plastik 1000 mL

Clinimix N9G15E

PT Kalbe Farma

Botol Plastik 1000 mL

Triofusin E1000

PT Kalbe Farma

botol 500 mL

Ivelip

PT Kalbe Farma

Flexy bag 100 mL

n/a

PT Kalbe Farma

Transfer Set: Set; Ultaclam: Kantong


Plastik; Tenckoff Catheter: Box; Titanium
Adaptor: Kantong Plastik

n/a

PT Kalbe Farma

Set

Larutan Dialisa 1.5%: Dianeal Low PT Kalbe Farma


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

Amiparen

PT Otsuka Indonesia

Softbag 500 ML

Pan-amin G

PT Otsuka Indonesia

Softbag 500 ML

Aminofluid

PT Otsuka Indonesia

Double Chamber Softbag 1000 ML

Aminofluid

PT Otsuka Indonesia

Double Chamber Softbag 500 ML

Kidmin

PT Otsuka Indonesia

Softbag 200 ML

Aminoleban

PT Otsuka Indonesia

Softbag 500 ML

Otsu - KCl 7,46%


Asering

PT Otsuka Indonesia
PT Otsuka Indonesia

Ampoel 25 ML
Plastic Bottle 500 ML

KA EN 1B

PT Otsuka Indonesia

Plastic Bottle 500 ML

Martos

PT Otsuka Indonesia

Plastic Bottle 500 ML

Potacol inj

PT Otsuka Indonesia

Plastic Bottle 500 ML

KA ENMG 3

PT Otsuka Indonesia

Plastic Bottle 500 ML

KA EN 3B

PT Otsuka Indonesia

Plastic Bottle 500 ML

KA EN 3A

PT Otsuka Indonesia

Plastic Bottle 500 ML

Meylon
Survanta
Aluvia

PT Otsuka Indonesia
PT. Abbott Indonesia
PT. Abbott Indonesia

Ampoel 25 ML
Vial
botol @ 120 tablet

Depakote ER 250 mg

PT. Abbott Indonesia

Tablet

Depakote ER 500 mg
Isoptin 240 mg
Doxorubicin Actavis 10 mg
Doxorubicin Actavis 50 mg
Fenocin
Nitral
n/a
n/a
n/a
n/a
Arimidex 1 mg
Casodex 150 mg
Casodex 50 mg
Pulmicort Turbuhaler

PT. Abbott Indonesia


PT. Abbott Indonesia
PT. Actavis Indonesia
PT. Actavis Indonesia
PT. Actavis Indonesia
PT. Actavis Indonesia
PT. Afifarma
PT. Afifarma
PT. Afifarma
PT. Afifarma
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia

Tablet
Tablet
Dus, 1 vial @ 10 mg
Dus, 1 vial @ 50 mg
Dus 45 x 12 tab
Btl @ 30 tablet
botol 60 ml
botol @ 1000 ml
botol @ 30 ml
botol @ 300 ml
Dus, 2 blister @ 14 Tablet
Dus, 2 blister @ 14 Tablet
Dus, 2 blister @ 14 Tablet
Dus, 1 Turbuhaler @ 100 dosis

Pulmicort Respules

PT. AstraZeneca indonesia

Dus, 4 pak @ 5 respules @ 2 ml

Symbicort Turbuhaler 160/4.5 mcg

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 120 dosis

Symbicort 80/4.5 mcg

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 60 dosis

Iressa 250 mg
Zoladex 10,8 mg
Zoladex 3,6 mg
Xylocaine Jelly 2%
Seroquel XR 200 mg
Seroquel XR 300 mg
Seroquel XR 400 mg
Bricasma Respules
Bricasma Turbuhaler 0,5 mg

PT. AstraZeneca indonesia


PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet


Dus, 1 syringe @ 10.8 mg
Dus, 1 syringe @ 3.6 mg
Dus, 10 syringe @ 10 g
Dus, 1 blister @ 10 tablet
Dus, 1 blister @ 10 tablet
Dus, 1 blister @ 10 tablet
Dus, 2 pak @ 5 respules
Dus, 1 Turbuhaler @ 200 dosis

Cordarone
Lantus Solostar 100IU/ml 5pens
x3ml

PT. Aventis Pharma


PT. Aventis Pharma

Dus, 6 ampul @ 3 ml
dus, 5 solostar pen @ 3ml

Apidra Solostar 100IU/ml 5pens


x3ml

PT. Aventis Pharma

dus, 5 solostar pen @ 3ml

Lovenox 2000 ANTI-XA

PT. Aventis Pharma

dus, 2 prefilled syringe @ 0,2 ml

Lovenox 4000 ANTI-XA

PT. Aventis Pharma

dus, 2 prefilled syringe @ 0,4 ml

Lovenox 6000 ANTI-XA

PT. Aventis Pharma

dus, 2 prefilled syringe @ 0,6 ml

Fludara IV LYO
Fludara Oral

PT. Aventis Pharma


PT. Aventis Pharma

Dus, 5 vial @ 50 mg
Dus, 4 blister @ 5 tablet salut selaput

n/a

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

n/a

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

Granocyte 34 1vl HSA Free

PT. Aventis Pharma

Dus, 1 vial @ 263 mcg + 1 prefilled


syringe pelarut @ 1 ml

Flagyl
Nasacort AQ
Imovax Polio

PT. Aventis Pharma


PT. Aventis Pharma
PT. Aventis Pharma

Dus, 2 blister @ 5 suppositoria


Dus, botol plastik 120 dosis
1 vial of 10ml (10 d's)

Gadovist 5 mg
Gadovist 7,5 mg
Primovist

PT. Bayer Indonesia


PT. Bayer Indonesia
PT. Bayer Indonesia

Prefilled Syringe
Prefilled Syringe
Prefilled Syringe

Gemzar 1000 mg
Humulin N Vial

PT. Bayer Indonesia


PT. Bayer Indonesia

vial
Dus, vial 10 ml

Humulin N Cart

PT. Bayer Indonesia

Dus Isi 5 penfill/cartridge @ 3ml

Humulin 30/70 Cart

PT. Bayer Indonesia

Dus Isi 5 penfill/cartridge @ 3ml

Humulin 30/70 Vial

PT. Bayer Indonesia

Dus, vial 10 ml

Humulin R Cart

PT. Bayer Indonesia

Dus Isi 5 penfill/cartridge @ 3ml

Humulin R Vial

PT. Bayer Indonesia

Dus, vial 10 ml

Ultravist 300/100 mg

PT. Bayer Indonesia

Botol

Ultravist 300/50 mg

PT. Bayer Indonesia

Botol

Ultravist 370/100 mg

PT. Bayer Indonesia

Botol

Ultravist 370/50 mg

PT. Bayer Indonesia

Botol

Adalat Oros 20 mg
Adalat Oros 30 mg
Primolut N
Zyprexa IM
Xarelto 10 mg
Xarelto 15 mg
Xarelto 20 mg
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Actilyse

PT. Bayer Indonesia


PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Bernofarm
PT. Boehringer Ingelheim

blister
blister
blister
Vial
Blister
Blister
Blister
Dus, 10 blister @ 10 tablet
Dus, 10 strip @ 10 kaptab
Dus, 10 vial @ 1 g
Dus, 10 blister @ 10 kaptab ss
Dus, 10 ampul @ 5 ml
Dus, botol @ 10 ml
Botol @ 60 ml
Dus, 100 ampul @ 2 ml
Dus, 1 vial @ 1 g
Dus, 1 vial @ 0,5 g
Dus, 10 blister @ 10 tablet
Dus, 1 vial @ 500 mg
Dus, 10 blister @ 10 kapsul
Dus, 10 blister @ 10 tab ss
Dus, 1 vial@50mg + 1 vial pelarut @
50ml

Bondronat
Pradaxa
Pradaxa
Recormon
Berotec MDI
Berotec Solution
Cymevene
Atrovent HFA
Xeloda
Catapres Injeksi
Dormicum
Dormicum
Cellcept
Pegasys
Pegasys
Sifrol ER 0,375mg
Sifrol ER 0,750mg
Micardis 40mg

PT. Boehringer Ingelheim


PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim

Boks, 1 ampul
Dus, 3 blister @ 10 kapsul
Dus, 3 blister @ 10 kapsul
Boks, 6 ampul
Box, canister 10mL
Dus, Canister 200 dosis
Boks, 1 ampul
Box, canister 10mL
Boks, 120 tablet
Box, 10 ampoules @ 1mL
Boks 10 amp
Boks 5 amp
Boks, 50 tablet
Boks, 1 pfs
Boks, 1 pfs
Dus, 3 alu blister @ 10 tablet
Dus, 3 alu blister @ 10 tablet
Dus, 2 alu-blister @10 tablet

Micardis 80mg
Spiriva 10s + Handihaler

PT. Boehringer Ingelheim


PT. Boehringer Ingelheim

Box, 2 blisters @10 tablets


Dus, 1 blister @10 kapsul + handihaler

Valcyte
Cripsa tab
Fungicide
E.D.T.A
Cendo Lyteers

PT. Boehringer Ingelheim


PT. Caprifarmindo
PT. Cendo Industri Farmasi
PT. Cendo Industri Farmasi
PT. Cendo Industri Farmasi

Boks, 60 tablet
Box 3 x 10'S
tube 3.5 gr
botol 15 ml
botol 15 ml

Cendo Glaopen
Pantocain 0.5%
Dorner 20 g
Dorner
Posyd
Mycamine
Fleet Phosphosoda
Mestinon tab.60 mg
Ulsafate
Prograf

PT. Cendo Industri Farmasi


PT. Cendo Industri Farmasi
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar

strip 5 x 0.6 ml
botol 5 ml
Box/ 3 blister @ 10 Tablet
Box @ 3 blister @ 10 Tablet
Vial 100mg/5ml
Dus,1 vial@50mg
Botol, 45 ml
Dus botol @ 150 tab
Botol, 100 ml
Pounch @ 5 blister @ 10 capsule

Prograf

PT. Combiphar

Dus, 1 pouch @5 blister@10 kaps

Harnal D 0.2 mg Disp. Tablet

PT. Combiphar

Box/ 2 blister @ 14 tablet

Harnal D
Harnal OCAS 0.4 mg Tablet

PT. Combiphar
PT. Combiphar

Box @ 2 blister @ 14 tablet


Box/ 3 blister @ 10 Tablet

Vinblastine
Zincpro Drops
Kendaron Tablet
BURNAZIN 35 GR
n/a

PT. Combiphar
PT. Combiphar
PT. Darya Varia
PT. Darya Varia
PT. Darya Varia

Vial 10mg/10ml
Drops 10 mg/ml, Botol @15 ml
strip
tube @ 35 gram
strip

n/a
Starfolat
n/a
n/a
NOPRES
n/a
Halothane
Tetagam

PT. Dexa Medica


PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica

Dus, 10 Strip @ 10 tablet


Dus, 10 strip @10 tablet
Dus, 5 ampul @ 4 ml
Kotak, tube @ 15 gram
DUS, 30 TABLET
Dus, 10 Strip @ 10 tablet
Botol
Prefilled syringe

n/a
n/a
n/a
n/a
n/a

PT. Dexa Medica


PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica

n/a
n/a

PT. Dexa Medica


PT. Dexa Medica

Dus, 3 Blister @ 10 tablet


Dus, 3 Blister @ 10 tablet
Dus, 5 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Dus, 1 Vial @125mg + 1 ampul pelarut @
2ml
Dus, 10 Blister @ 10 tablet
Dus, 10 Strip @ 10 tablet salut selaput

Raivas

PT. Dexa Medica

ampul

DECULIN 15 MG
DECULIN 30 MG
n/a
n/a
n/a

PT. Dexa Medica


PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica

30 TAB/BOX
30 TAB/BOX
Dus, 10 Strip @ 10 tablet
Dus, 10 Strip @ 10 kaptab
Dus, 10 Strip @ 10 tablet salut selaput

n/a
n/a
n/a
n/a
n/a
n/a
n/a
Streptase
DOBURAN
UDOPA
Plasmanate
Hyperhep B
Iopamiro

PT. Dexa Medica


PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab

Dus, 5 Blister @ 10 tablet


Dus, 5 Blister @ 10 tablet
Dus, 2 Vial @ 1 gram
Dus, 2 Vial @ 1 gram
Vial 200 ml
Dus, 10 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Vial
ampul @ 5 ml
ampul @ 5 ml
dus, vial @ 250 ml
Dus, 1 syringe @ 0.5 mL
Dus, botol @ 100 ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 30 ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 50 ml

Iopamiro

PT. Dipa Pharmalab

Dus, botol @ 100 ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 30 ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 50 ml

Genoint Salep Mata


n/a

PT. Erela
PT. Erela

Tube @ 3,5 gr
Dus, 100 Sachet @ 30 Tablet

n/a
Kalsium glukonat
Novomix Flexpen

PT. Errita Pharma


PT. Ethica Industri Farmasi
PT. Ferron Par Pharmaceuticals

Dus, 10 strip @10 tablet


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

Novorapid Flexpen

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, Flexpen disposible 3 ml


(1 box isi 5 flexpen disposible)

Novorapid Vial

PT. Ferron Par Pharmaceuticals

Dus, vial 10 ml

Novoseven

PT. Ferron Par Pharmaceuticals

Insulatard Vial

PT. Ferron Par Pharmaceuticals

KOTAK @ 1 VIAL SERBUK OBAT &


INFUSION KIT
Dus, vial 10 ml

Insulatard Penfill

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, penfill disposible 3 ml (1


box isi 5 penfill disposible)

Mixtard Penfill

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, penfill disposible 3 ml (1


box isi 5 penfill disposible)

Mixtard Vial

PT. Ferron Par Pharmaceuticals

Dus, vial 10 ml

Actrapid Penfill

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, penfill disposible 3 ml (1


box isi 5 penfill disposible)

Actrapid Vial

PT. Ferron Par Pharmaceuticals

Dus, vial 10 ml

Kalbamin

PT. Finusolprima Farma Internasional

botol 500 ml

Eas Pfrimer

PT. Finusolprima Farma Internasional

botol 250 ml

Comafusin Hepar

PT. Finusolprima Farma Internasional

botol 500 ml

n/a

PT. Finusolprima Farma Internasional

botol 500 ml

Voluven
Aminosteril Infant 6%

PT. Fresenius Kabi Combiphar


PT. Fresenius Kabi Combiphar

Botol Plastik @ 500 ml


Botol Gelas 100 ml

Nephrosteril

PT. Fresenius Kabi Combiphar

Botol Gelas 250 ml

Aminosteril N-Hepa

PT. Fresenius Kabi Combiphar

Botol Gelas 500 ml

Kabiven 1440 ml

PT. Fresenius Kabi Combiphar

Bag (3 Chamber) 1440 ml

Kabiven 1920 ml

PT. Fresenius Kabi Combiphar

Bag (3 Chamber) 1920 ml

Intralipid

PT. Fresenius Kabi Combiphar

Botol Gelas 100 ml

Fresofol 1% MCT/LCT
Laxadine Emulsi 60 ml

PT. Fresenius Kabi Combiphar


PT. Galenium Pharmasia Laboratories

Ampul
Botol @ 60 ml

Scabimite Cream 10

PT. Galenium Pharmasia Laboratories

Tube @ 10 g

Soft U Derm

PT. Galenium Pharmasia Laboratories

tube

Tracrium
Avamys
Flixotide Nbules

PT. Glaxo Wellcome Indonesia


PT. Glaxo Wellcome Indonesia
PT. Glaxo Wellcome Indonesia

Arixtra
Seretide Inhaler 50 mcg

PT. Glaxo Wellcome Indonesia


PT. Glaxo Wellcome Indonesia

Dus, 5 ampul @ 2.5 ml


Dus, Botol 120 Dosis Spay
Dus, 2 flow wrap@ 5 nebules @ 1 dosis
(2ml)
Dus, 2 pfs 0.5 ml
Dus, Botol 120 Dosis

Seretide Diskus 100 mcg

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 dosis

Seretide Diskus 250 mcg

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 dosis

Alkeran
Fraxiparine 0.3 ml

PT. Glaxo Wellcome Indonesia


PT. Glaxo Wellcome Indonesia

Box, Tablet 2 mg/25's


Dus, 5 blister @ 2 pfs 0.3 ml

Fraxiparine 0.4 ml
Fraxiparine 0.6 ml
Requip PD 24 Hour 2 mg

PT. Glaxo Wellcome Indonesia


PT. Glaxo Wellcome Indonesia
PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs 0.4 ml


Dus, 5 blister @ 2 pfs 0.6 ml
Dus, 7 blister @ 4 Tablet lepas Lambat

Requip PD 24 Hour 4 mg

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet lepas Lambat

Requip PD 24 Hour 8 mg

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet lepas Lambat

Ventolin Inhaler
Ventolin Rotacaps
Ventolin Rotahaler
Zinnat 500

PT. Glaxo Wellcome Indonesia


PT. Glaxo Wellcome Indonesia
PT. Glaxo Wellcome Indonesia
PT. Glaxo Wellcome Indonesia

Dus, botol 200 dosis


Dus, 10 Blister @ 10 Kapsul
Dus, 1 Rotahaler
Dus, 1 Blister @ 10 Tablet salut selaput

D-Vit FT
D-Vit Syrup

PT. Gracia Pharmindo


PT. Gracia Pharmindo

Dus 3 strip @ 10 Flash tablet


Dus, Botol Plastik @ 100 mL

Foransi 10
KTM
n/a
n/a

PT. Gracia Pharmindo


PT. Guardian Pharmatama
PT. Guardian Pharmatama
PT. Hexpharm Jaya Laboratories

strip
Vial @ 10 ml
tube 10 gram
Dus, 10 ampul @ 5 ml

n/a

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 kapsul

n/a

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 kapsul

n/a

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 tab

n/a

PT. Hexpharm Jaya Laboratories

strip

n/a

PT. Hexpharm Jaya Laboratories

vial

n/a
n/a
n/a

PT. Holi Pharma


PT. Holi Pharma
PT. Holi Pharma

Dus, 5 strip @ 6 tablet


Dus, Botol 60 ml
Dus, 10 strip @ 10 tablet

n/a

PT. Holi Pharma

Dus, 10 strip @ 10 kaptab

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
SYNARCUS

PT. Holi Pharma


PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Ifars Pharmaceutical Laboratories

Botol 60 ml
Dus, 25 Blister @ 4 tablet
Dus 10 strip @ 10 tablet
Dus, 10 strip @ 10 tablet
Dus, 10 strip @ 10 kapsul
Dus, Botol 60 ml
Dus, Botol 60 ml
Dus, 10 strip @ 10 kapsul
Dus, Tube 5 g

ORIXAL

PT. Ifars Pharmaceutical Laboratories

Dus, 3 Strip @ 10 Kaplet salut selaput

n/a

PT. Ifars Pharmaceutical Laboratories

Dus, 10 Strip @ 10 Tablet

FASIDOL

PT. Ifars Pharmaceutical Laboratories

Dus, botol @ 15 ml

n/a

PT. Ifars Pharmaceutical Laboratories

Dus, 5 Strip @ 10 Kapsul

n/a

PT. Ifars Pharmaceutical Laboratories

Dus, Botol 30 ml

Zenalb

PT. Ikapharmindo

Vial 100 ml

Zenalb

PT. Ikapharmindo

Vial 50 ml

n/a
Ikalep
n/a
n/a

PT. Ikapharmindo
PT. Ikapharmindo
PT. Imfarmind Farmasi industri
PT. Indofarma

Botol @ 100
Botol 120 ml
Dus, 10 strip @ 10 kaptab
Dus, 10 dus @ 1 botol @ 10 ml

n/a
n/a

PT. Indofarma
PT. Indofarma

Dus, 10 strip @ 10 tss


Dus, 25 tube @ 5 g

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a

PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma

Dus, 10 blister @ 10 tablet


Dus, 10 strip @ 10 tablet
Dus, 100 ampul @ 1 ml
Dus, 10 blister @ 10 tablet
Dus, 10 strip @ 10 tablet
Dus, 10 blister @ 10 kss
Dus, 10 strip @ 10 tss
Dus, 25 ampul @ 2 ml
Dus, 10 strip @ 10 tablet
Dus, 10 blister @ 12 kapsul
Dus, 10 blister @ 10 kaptab
Dus, 5 ampul @ 2 ml
Dus, botol plastik 5 ml
Dus, 10 blister @ 10 kaptab
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a

PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Indofarma

Dus, botol 60 ml
Dus, botol 60 ml
Dus, 5 blister @ 10 kss
Dus, 5 blister @ 10 kss
Dus, 10 strip @ 10 tablet
Dus, 10 strip @ 10 tablet
Dus, 10 strip @ 10 tablet
Dus, 10 blister @ 10 tablet
Dus, 5 blister @ 10 kapsul
Dus, 5 blister @ 10 kapsul
Dus, 2 strip @ 10 kapsul
Dus, 30 ampul @ 2 ml

n/a
n/a
n/a

PT. Indofarma
PT. Indofarma
PT. Indofarma

Paket
Dus, 3 blister @ 28 kss
Dus, 1 dus @ 60 blister @ 8 tablet tahap
intensif kategori 1 + 1 Dus @ 54 blister @
3 tablet tahap lanjutan kategori 1

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)

n/a
n/a

PT. Indofarma
PT. Indofarma

Dus, 5 Ampul @ 2ml


Dus, 15 botol

n/a
n/a
n/a

PT. Indofarma
PT. Infion Pharmaceutical
PT. Kimia Farma

Dus, 5 strip @ 10 tablet


Box, 1 Botol @ 100 ml
1 blister@24 tablet

n/a
n/a

PT. Kimia Farma


PT. Kimia Farma

Ktk 10x10 tablet


ktk 10 x 10 tablet

n/a

PT. Kimia Farma

Btl 100 tablet

Artem
n/a
n/a
n/a
n/a
n/a
n/a
Renalscan KaeF

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma

Dus 6 amp @ 1ml


ktk 10x10 tablet
Dus 10 strip x 10 tab
ktk 10x10 tablet
ktk 2x10 tablet
Tube 5 gr
Btl 100 tablet
Dus @ 5 vial

n/a
n/a
n/a
n/a
n/a
n/a

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma

Botol 30 tab
ktk 10 x 10 kapsul
ktk 20 x 10 tablet
Botol 10 ml
Dus 5 ampul@ 10ml
Dus 5 ampul@ 2ml

Durogesic 12,5 MU Matrix


Durogesic 25 MU Matrix
Durogesic 50 MU Matrix
n/a
n/a
n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte
n/a
n/a
Protofen Supp
n/a
n/a
n/a
n/a
n/a

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma

Dus @ 5 patch
Dus@ 5 patch
Dus@ 5 patch
ktk 1 x 10 kapsul
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Dus 10x10
Dus 10x10
Tube 5 gr
tube 10 gr
dus 2 's @ 10 supp
Ktk 10X10 TAB
ktk 10x10 tablet
ktk 10x10 tablet
ktk 10x10 tablet
ktk 60 tablet

n/a
n/a
n/a
Bonescan KaeF

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma

ktk 100 amp @ 2 ml


ktk 10 x 10 tablet
Botol 60 tablet
Dus @ 5 vial

n/a
n/a

PT. Kimia Farma


PT. Kimia Farma

Botol 1000 ml
ktk 10 x 10 tablet salut

n/a
Cardioscan KaeF

PT. Kimia Farma


PT. Kimia Farma

ktk 10 x 10 tablet
Dus @ 5 vial

n/a
n/a
n/a
n/a
n/a
n/a
n/a
Sufentanyl Injeksi iv.Epidural 5
mcg / ml
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Gliserin lar 50%
Karbogliserin tetes telinga 10%

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma

Tube 10 gram
Dus 10 amp @ 1 ml
Ktk 10 ampul @ 1ML
Botol 30 tablet
btl 60 tablet
Ktk 10 ampx2ml
Botol 50 kapsul lunak
dus 5 amp @ dus 10

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Lucas Djaja
PT. Lucas Djaja
PT. Lucas Djaja
PT. Lucas Djaja

Botol 30 tab
Ktk 10X10 TAB
Dus 10 strip x 10 tab
Botol 60 tablet
ktk 10 x 10 tablet
dus 30 ampul @10 ml
ampul @ 1 ml
Glycerin 100 ml
Fenol 100 mg / 1 ml

n/a

PT. Lucas Djaja

Botol @ 60 ml

n/a
n/a
n/a
MST Continus 10 mg
MST Continus 15 mg
n/a
n/a
n/a
n/a

PT. Lucas Djaja


PT. Lucas Djaja
PT. Mahakam Beta Farma
PT. Mahakam Beta Farma
PT. Mahakam Beta Farma
PT. Marin Liza Farmasi
PT. Marin Liza Farmasi
PT. Marin Liza Farmasi
PT. Marin Liza Farmasi

Botol 50 Kapsul
100 ampul @ 1 ml
Strip
Dus, 6 strip @ 10 tablet
Dus, 6 strip @ 10 tablet
Botol @ 100 tablet salut selaput
Botol @ 100 tablet
Botol @ 100 tablet salut gula
Pot @ 30 gram

Levopar Tablet

PT. Meprofarm

Dus, 5 strip @ 10 tablet

Zircum Kid Sirup


Cerazette

PT. Meprofarm
PT. Merck Sharp Dohme Pharma Tbk

Dus, botol 60 ml
Dus, 1 Blister @ 28 tablet

Lynoral

PT. Merck Sharp Dohme Pharma Tbk

Dus, botol @ 100 tablet

Implanon

PT. Merck Sharp Dohme Pharma Tbk

Dus, 1 blister @ 1 subdermal implant

Pegintron Vial 100 Mcg

PT. Merck Sharp Dohme Pharma Tbk

Dus, 1 vial 100 mcg + 1 ampul pelarut 0,7


ml + 1 syringe + 2 jarum

Pegintron Pen 120 Mcg

PT. Merck Sharp Dohme Pharma Tbk

Dus, 1 prefilled syringe (serbuk injeksi


120mcg + pelarut 0.5 ml) + 1 jarum

Pegintron

PT. Merck Sharp Dohme Pharma Tbk

Dus, 1 vial 50 mcg + 1 ampul pelarut 0,7


ml + 1 syringe + 2 jarum

Pegintron Vial 80 Mcg

PT. Merck Sharp Dohme Pharma Tbk

Dus, 1 vial 80 mcg + 1 ampul pelarut 0,7


ml + 1 syringe + 2 jarum

Temodal

PT. Merck Sharp Dohme Pharma Tbk

Dus, 5 sachet @ 1 kapsul

Temodal

PT. Merck Sharp Dohme Pharma Tbk

Dus, 5 sachet @ 1 kapsul

Andriol Testocaps

PT. Merck Sharp Dohme Pharma Tbk

Dus, 6 blister @ 10 kapsul lunak

Concor 2.5
KSR
Ilaidin Drops
Thyrozol 10
Thyrozol 5
n/a

PT. Merck Tbk


PT. Merck Tbk
PT. Merck Tbk
PT. Merck Tbk
PT. Merck Tbk
PT. Mersifarma Tirmaku Mercusana

Dus 10 blister @ 10 tablet


Dus, 10 strip @ 10 tablet
botol @ 10 ml
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet
KOTAK @ 10 ampul

n/a

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 ampul

Sikzonoate Injeksi

PT. Mersifarma Tirmaku Mercusana

Dus, 5 ampul @ 1ml

Lodomer 2

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

n/a

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

n/a

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

Frimania 200

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

Frimania 400

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

Merlopam 2

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

Sandepril 50

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

n/a

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

Fucilex Ointment
Molasma Tablet
Holoxan injeksi 1000
Uromitexan injeksi.
Navelbine injeksi 10
n/a
n/a
n/a
n/a
n/a

PT. Molex Ayus


PT. Molex Ayus
PT. Mugi Laboratories
PT. Mugi Laboratories
PT. Mugi Laboratories
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima

Tube 5 gr
Box 50's
Dus, 1 vial @ 1 g
Dus, 15 Ampul
Dus, 1 vial @ 1 ml
Dus, 10 Blister @ 10 Tablet
Dus, 1 Botol @ 100 ml
Dus, 1 Vial @ 40 mg
Dus, 10 Ampul @ 2 ml
Dus, 10 Vial @ 1 g

n/a
n/a

PT. Natura Laboratoria Prima


PT. Natura Laboratoria Prima

Dus, 10 Vial @ 1 g
Dus, 3 Strip @ 10 Kaplet salut selaput

n/a

PT. Natura Laboratoria Prima

Dus, 3 Strip @ 10 Kaplet salut selaput

n/a
Neo-Mercazole

PT. Natura Laboratoria Prima


PT. Nicholas Laboratories Indonesia

Dus, 10 Ampul @ 2 ml
Dus,botol 100 tablet

n/a
n/a
n/a
n/a
n/a
n/a
Exjade 250 mg Tab
Exjade 500 mg Tab
Desferal
Certican 0,25 mg Tab
Certican 0,5 mg Tab
Tegretol Syrup 100mg/5ml, 120ml

PT. Novapharin
PT. Novapharin
PT. Novapharin
PT. Novapharin
PT. Novapharin
PT. Novapharin
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia

dus 10 X 10'S
btl @ 60 ml
btl @ 60 ml
dus 10 X 10'S
btl @ 100 ml
dus 10 X 3'S
Dus, 4 blister @ 7 tablet
Dus, 4 blister @ 7 tablet
Dus, 10 vial @ 500mg
Dus, 6 blister @ 10 tablet
Dus, 6 blister @ 10 tablet
Dus, botol @ 120 ml

Coartem

PT. Novartis Indonesia

Dus, 4 blister @ 6 tablet

Stalevo

PT. Novartis Indonesia

Ritalin LA

PT. Novartis Indonesia

Sandostatin LAR

PT. Novartis Indonesia

Dus, botol plastik @ 30 tablet salut


selaput
Dus, botol plastik @ 30 kapsul pelepasan
lambat
Dus, vial @ 355m + 1 prefilled syringe
pelarut @ 2,5 ml + 2 jarum suntik

Sandimmun Neoral 100mg Kap

PT. Novartis Indonesia

Dus, 10 blister @ 5 kapsul lunak

Sandimmun Neoral 25mg Kap

PT. Novartis Indonesia

Dus, 10 blister @ 5 kapsul lunak

Sebivo 600 mg Tab


DIOVAN 160 MG
Diovan 80mg Tab
DAUNOCIN

PT. Novartis Indonesia


PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novell Pharmaeutical Laboratories

Dus, 2 blister @ 14 tablet


Dus, 2 blister @ 14 tablet
Dus, 2 blister @ 14 tablet
vial

n/a

PT. Novell Pharmaeutical Laboratories

Botol

n/a

PT. Novell Pharmaeutical Laboratories

Box isi 1 Tube @ 15 g

n/a

PT. Novell Pharmaeutical Laboratories

Box ,3 Strip @ 10 tablet

n/a

PT. Novell Pharmaeutical Laboratories

Box ,3 Strip @ 10 tablet

DIALIFER

PT. Novell Pharmaeutical Laboratories

ampul

n/a

PT. Novell Pharmaeutical Laboratories

Box ,5 Blister @ 10 tablet

n/a

PT. Novell Pharmaeutical Laboratories

Box ,5 Strip @ 10 tablet

n/a

PT. Novell Pharmaeutical Laboratories

Box ,5 Strip @ 10 tablet

n/a

PT. Novell Pharmaeutical Laboratories

Box ,5 Strip @ 10 tablet

Cyclovid 1000 mg

PT. Novell Pharmaeutical Laboratories

vial

Cyclovid 200 mg

PT. Novell Pharmaeutical Laboratories

vial

n/a
n/a
n/a
n/a
n/a
n/a
Cardura 1mg
Cardura 2mg
Aromasin
Xalatan 0,005%
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Combiflex Plus (790 kcal)

PT. Otto Pharmaceuticals


PT. Otto Pharmaceuticals
PT. Pertiwi Agung
PT. Pertiwi Agung
PT. Pertiwi Agung
PT. Pertiwi Agung
PT. Pfizer Indonesia
PT. Pfizer Indonesia
PT. Pfizer Indonesia
PT. Pfizer Indonesia
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk

1 box 10 Strip X 10 tablet


box 5ampul @1 ml
Box, 10 strips @ 10 tablets
Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets
Box, 10 strips @ 10 capsules
Dus, 5 blister @10's tab
Dus, 5 blister @10's tab
Dus, 2 blister @ 15 tablet
dus, Botol @ 2,5 ml
Dus @ 10 X 10 's
Dus @ 10 Vial
Dus @ 10 Vial
Dus @ 30 Ampul
Dus @ 30 Ampul
dus @ 30 ampul
Dus @ 12 Ampul
Dus @ 30 Ampul
Dus @ 30 Ampul
Bag Double chamber (Dua
compartement), 1000 mL

Combiflex peri (480 kcal)

PT. Phapros, Tbk

Bag Double chamber (Dua


compartement), 1000 mL

Ringerfundin 500 mL

PT. Phapros, Tbk

LDPE (Low Density Poly Ethilene), botol


plastik

Lipofundin MCT/LCT 1% 100

PT. Phapros, Tbk

20%, Botol Kaca @100 ml, single bottle

Lipofundin MCT/LCT 1% 250

PT. Phapros, Tbk

20%, Botol Kaca @250 ml, single bottle

Nutriflex Lipid Special 1250

PT. Phapros, Tbk

Bag, 3 chamber ( 3 kompartemen), 1250


ml

Nutriflex Lipid Peri 1250

PT. Phapros, Tbk

Bag, 3 chamber ( 3 kompartemen), 1250


ml

Nutriflex Lipid Special 625

PT. Phapros, Tbk

Bag, 3 chamber ( 3 kompartemen), 625


ml

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Diamicron MR 30

PT. Phapros, Tbk


PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phyto Kemo Agung Farma
PT. Phyto Kemo Agung Farma
PT. Phyto Kemo Agung Farma
PT. Pradja Pharin

Dus @ 10 X 10 's
Dus @ 10 X 10 's
Paket
Paket
Dus @ 56 Vial
Botol @60 ml
10 strip @ 10 tab
10 strip @ 10 tab
Dus, 6 strip @ 10 tablet lepas lambat

Bioprexum 5 mg

PT. Pradja Pharin

n/a
Bunascan
Farmabes Injeksi 25 mg
Inviclot
Farsorbid inj
Nokoba
Aptil
Fatral
Sojourn
Isotic Adretor 0,25%
Isotic Adretor 0,5%
n/a

PT. Pratapa Nirmala


PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Promedrahardjo Farmasi Industri

Dus, botol plastik @ 30 tablet salut


selaput
Box 3 X 10 tab
ampul
Vial 5 mL
vial
vial
Dus, 5 Ampul @ 2ml
Dus, Botol @ 10ml
strip @ 10 tab
tabung/botol
Dus, Botol Plastik @ 5ml
Dus, Botol Plastik @ 5ml
Dus, 10 Strip@10 Tablet

n/a

PT. Promedrahardjo Farmasi Industri

Dus, 5 Strip@10 Tablet

n/a

PT. Promedrahardjo Farmasi Industri

Dus, 5 Strip@10 Tablet

n/a

PT. Rama Emerald Multi Sukses

Boto 60 ml

n/a

PT. Rama Emerald Multi Sukses

Dus @ 50 gram

Glybotic 250 mg /ml


Urotractin 400 mg
Temiral Eye Oint
Stolax supp
n/a

PT. Sanbe Farma


PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma
PT. Sanbe Farma

n/a
n/a
Sansulin N

PT. Sanbe Farma


PT. Sanbe Farma
PT. Sanbe Farma

Vial 2 ml
Strip
Tube 3,5 gram
Supp
Dus, 1 vial @0,5 ml+ 1 vial pelarut @1,5
ml
Dus, 1 vial @5 ml
Dus, 1 vial @200 mg
penfillcartridge @ 3ml

Sansulin R

PT. Sanbe Farma

penfill cartridge @ 3ml

n/a
Futrolit

PT. Sanbe Farma


PT. Sanbe Farma

Dus, 1 vial @2 ml
softbag 500ml

Olandoz 5

PT. Sandoz Indonesia

3 X 10 fcc

Olandoz 10
Banadoz 100
Hepsera

PT. Sandoz Indonesia


3 X 10 fcc
PT. Sandoz Indonesia
Dus, 3 blister @ 10 tablet
PT. SmithKline Beecham Phamaceuticals Dus, 3 Blister @ 10 kapsul

Avodart

PT. SmithKline Beecham Phamaceuticals Dus, Botol Plastik @ 30 Tablet

Tykerb

PT. SmithKline Beecham Phamaceuticals Dus, 7 Blister @ 10 tablet

n/a
n/a
Haldol Decanoas
Ludios
Ferriprox Oral Solution
Ferriprox tablet
Prosogan Inj.
Tapros 1.88mg
Tapros 3M
Herbesser Powder Injection 50mg

PT. Soho Industri Pharmasi


PT. Soho Industri Pharmasi
PT. Soho Industri Pharmasi
PT. Soho Industri Pharmasi
PT. Sydna Farma
PT. Sydna Farma
PT. Takeda Indonesia
PT. Takeda Indonesia
PT. Takeda Indonesia
PT. Tanabe Indonesia

botol @ 60 ml
Strip
Dus 5 Ampul@1mL
Strip
Dus, Botol @ 500ml
Dus, Botol @ 100 tablet
Serbuk vial
Vial
Vial
10 vial @ 50mg

Herbesser CD 100
Herbesser CD 200
Tanapress 10mg
Tanapress 5mg
Humalog Mix 25

PT. Tanabe Indonesia


PT. Tanabe Indonesia
PT. Tanabe Indonesia
PT. Tanabe Indonesia
PT. Tempo Scan Pacific

3 blister @ 10 kapsul
3 blister @ 10 kapsul
3 blister @ 10 tablet
3 blister @ 10 tablet
Penfill cartridge

Humalog

PT. Tempo Scan Pacific

Penfill cartridge

Glicab
Kalipar

PT. Tempo Scan Pacific


PT. Tempo Scan Pacific

Strip
Strip

DBL Leucovorin
Vigamox
DBL Cytarabun
Travatan
Leunase
n/a
n/a
Wida RL

PT. Tempo Scan Pacific


PT. Tempo Scan Pacific
PT. Tempo Scan Pacific
PT. Tempo Scan Pacific
PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti

Vial 50 mg/5 ml
botol, tetes mata 3 ml
dus, 1 vial @ 10 ml
botol, tetes mata 2,5 ml
10.000 UI/Vial
botol @ 500 ml
botol @ 500 ml
Botol 1000 ml

Wida HSD

PT. Widatra Bhakti

Botol 500 ml

Wida D5-NS

PT. Widatra Bhakti

Botol 500 ml

WIDA 2A

PT. Widatra Bhakti

Botol 500 ml

WIDA D5-1/4NS

PT. Widatra Bhakti

Botol 500 ml

WIDA D5-1/2NS

PT. Widatra Bhakti

Botol 500 ml

Wida RD

PT. Widatra Bhakti

Botol 500 ml

Mitomycin C
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Pularex

PT. Widatra Bhakti


PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Yarindo Farmatama
PT. Zenith Pharmaceuticals

10 mg /Vial
Botol 500 ml
botol 500 ml
Box 10 X 10 Tab
botol @ 100 tablet
Box 3 X 10 Tab
Box 3 X 10 Tab
strip @ 10 tablet
Box 2 Vial @ 1000mg
vial
Dus 5 strip @ 10 tablet

304,000.00
500,000.00
128,000.00
375,000.00
24,500.00
33,000.00
75,350.00

42,000.00

46,000.00
87,000.00

50,500.00
42,350.00
37,500.00
210,000.00

199,000.00
56,000.00
89,800.00

1,902,240.00

219,540.00
5,522,580.00

56,300.00

37,500.00
115,500.00

61,600.00

46,000.00

65,000.00

2,050.00
9,000.00
9,000.00
29,167.00
55,500.00

9,167.00
10,000.00

10,000.00

6,200.00
3,200,000.00
6,100.00
2,793.00

5,450.00
6,200.00
55,500.00
274,125.00
235.00
1,500.00
1,438.00
37,109.00
2,163.00
14,203.00
32,000.00
72,400.00
45,000.00
93,000.00
8,900.00
117,600.00
110,500.00
295,000.00
2,300,000.00
840,000.00
40,000.00
17,391.00
19,500.00
23,185.00
6,250.00
71,100.00
12,480.00
85,000.00

79,165.00

40,740.00
71,875.00
100,000.00
1,248,319.00
275,000.00
72,000.00
72,000.00
550,000.00

3,220.00
90,000.00
285,000.00
275,000.00
412,500.00
2,570,000.00
1,098,900.00
138,000.00
76,125.00
76,125.00
138,000.00
76,125.00
138,000.00
245,000.00
123,200.00
299,000.00
150,300.00
2,999.00
3,500.00
2,618.00
120,000.00
23,500.00
23,500.00
23,500.00
199.50
272.00
5,100.00
112.00
2,950.00
15,600.00
3,680.00
839.00
54,000.00
44,960.00
112.50
89,990.00
859.00
255.00
3,800,000.00

2,209,000.00
12,936.00
12,936.00
139,500.00
72,900.00
117,500.00
399,500.00
80,000.00
27,500.00
30,600.00
6,119.00
12,060.00
16,000.00
1,077,815.00
1,248,220.00
7,200.00
11,268.00
3,900.00
6,500.00
152,543.00
170,000.00
247,089.00
18,500.00
37,500.00
15,750.00
72,000.00
11,500.00
3,600.00
3,600.00
100,000.00
260,000.00
33,900.00
6,952.00
13,425.00
11,167.00
21,500.00
5,800.00
5,800.00
6,800.00
210,000.00
12,840.00
1,200.00
23,000.00
405.00

380.00
84.00
25,600.00
9,983.00
410.00
950.00
641,500.00
170,000.00
4,900.00
3,100.00
300.00
900.00
19,500.00
300.00
100.00
52,000.00
3,120.00
4,525.00
65.00
580.00
120.00
1,400.00
2,000.00
16,500.00
16,000.00
13,000.00
900.00
315.00
3,290,000.00
26,700.00
9,840.00
972,000.00
1,328,000.00
350,000.00
122,000.00
166,000.00
369,000.00
147,000.00
199,000.00
2,600.00
42.00

80.00
7,800.00
106,000.00

85,345.00

200,000.00

9,200,000.00
138,000.00
76,125.00

76,125.00

138,000.00

76,125.00

138,000.00
56,300.00
51,260.00
64,900.00

62,000.00
33,000.00
36,667.00
50,820.00

78,720.00
295,240.00

343,842.00

60,500.00

15,642.00
12,450.00
11,475.00
6,400.00
20,000.00
93,333.00
12,917.00
241,667.00
90,667.00
100,833.00
113,333.00
12,210.00
54,144.00
66,640.00
94,962.00
5,248.00
6,275.00
7,383.00
63,750.00
431.00
5,867.00
7,200.00
650.00
8,000.00
419.00
110,000.00
17,820.00
3,334.00
1,075.00
1,375.00
3,400.00
513.00
4,800.00
338.00
4,045.00
149.00

149.00
8,360.00
296.00
206.00
106.00
509.00
5,895.00
4,746.00
148.00
2,400.00
3,200.00
89.00
6,450.00
1,000.00
8,800.00
750,000.00
345,000.00
133.00
40,000.00
89.00
3,849.00
112.00
2,516.00
237.00
74.00
1,580.00
68.00
134.00
930.00
451.00
1,829.00
85.00
289.00
679.00
3,399.00
3,194.00
56.00
219.00
59.00
69.00
96.00

3,499.00
4,499.00
1,425.00
2,470.00
88.00
140.00
62.00
245.00
361.00
553.00
473.00
1,363.00
1,199,990.00
160,000.00
288,199.00

171,195.00

2,400.00
5,200.00
1,499.00
40,000.00
1,375.00
233.00
520.00
135.00
22,000.00
159.00
95.00
345.00
4,500.00
1,520.00
104.00
455,000.00
6,375.00
497.00
314.00
16,667.00
128,000.00
33,914.00

80,000.00
153,000.00
285,000.00
22,000.00
265.00
436.00
404.00
430.00
1,493.00
2,171.00
2,798.00
2,569.00
2,722.00
184.00
500.00
850.00
1,100.00
670.00
6,200.00
540.00
1,400.00
473,000.00
254,100.00
154.00
108.00
1,237,500.00
3,000.00
8,400.00
10,499.00
1,300.00
2,800.00
14,500.00
260.00
127,000.00
8,100.00
234.00
107.00
3,429.00
473.00
3,822.00
1,054.00
5,333.00
2,042.00
2,145.00

459.00
1,078.00
635.00
15,620.00
22,990.00
90.00
48.00
634.00
2,000.00
1,500.00
7,400.00
70,000.00
1,360.00
128,779.00
973,500.00

1,135,000.00

915,000.00

915,810.00

1,120,000.00
223,000.00
6,200.00
746.00
1,580.00
27,550.00
1,135.00
563.00
20,250.00
20,250.00
55,000.00
126.00
5,000.00
1,550.00

1,050.00
1,850.00
1,341.00
3,276.00
1,008.00
6,490.00
99.00
1,329,163.00
74,998.00
1,229,998.00
205.00
9,950.00
36,000.00
1,140.00
2,950.00
3,300.00
169.00
391.00
2,395.00
875.00
211.00
2,445.00
3,333.00
167.00
2,500.00
211.00
76,000.00
150,000.00
112,000.00
11,813.00
23,250.00
44,770.00
3,220.00
8,900.00
6,537.00
2,950,000.00

43,000.00

12,000.00
28,500.00
6,500.00
3,900.00
275,000.00
38,000.00
4,700.00
600.00
350.00
52,000.00
200.00
400.00
650.00
2,300.00
256,000.00
82,000.00
176.00
4,500.00
86.00
330.00
187.00
181.00
3,480.00
5,480.00
42,600.00
127,000.00
116.00
9,800.00
13,400.00
8,100.00
1,800.00
3,417.00
2,300.00
1,050.00
1,100.00
322,000.00

218,700.00

12,650.00

105,500.00
210,000.00
591,000.00

511,000.00

358,000.00

640.00
480.00
359,900.00
214,900.00
3,650.00
7,700.00
110.00
160.00
638.00
2,420.00
645.00
30,800.00
46,667.00
42,900.00
33,000.00
61,600.00
17,393.00
3,300.00
1,320,000.00
9,128.00
9,722.00
75.00

528.00
154.00
2,100.00

1,250.00
50,500.00
1,815.00
24,750.00
6,045.00
970,200.00
128,000.00
330,000.00
75,000.00
75,000.00
510,000.00
35,750.00

6,450.00
11,200.00
3,700.00
27,500.00
7,100.00
67,200.00
34,400.00
3,333.00
83,333.00
1,200.00
2,600,000.00
25,300.00
82,042.00
700,000.00
2,700,000.00
127,667.00
3,667.00
4,015.00
3,908.00
2,120.00
97,500.00

79,167.00

235.00
694.00

82,000.00
77,000.00
575,000.00
115,000.00
1,039,500.00
5,700.00
5,200.00
8,000.00
9,500.00

6,800.00

6,917.00
7,700.00
7,700.00
6,930.00
697,000.00
4,700.00
5,200.00
97.00
110.00
716.00
1,189.00
59.00
48,060.00
38,500.00
190.00
2015
1966
49

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

ACT (Artesunate tablet 50 mg + Amodiaquine


anhydrida tablet 200 mg)
Albendazol suspensi 200 mg/5 ml
Albendazol tablet/kapsul/kaplet 400 mg
Alopurinol tablet/kapsul/kaplet 100 mg
Alprazolam tablet/kapsul/kaplet 0,25 mg
Alprazolam tablet/kapsul/kaplet 0,5 mg
Alprazolam tablet/kapsul/kaplet 1 mg
Amikasin injeksi 250 mg/ml
Aminofilin injeksi 24 mg/ml
Aminofilin tablet scored 200 mg
Amiodaron injeksi 150 mg/3 ml
Amiodaron tablet/kaplet 200 mg
Amitriptilin tablet salut 25 mg (HCl)
Amlodipin tablet 10 mg
Amlodipin tablet 5 mg
Amoksisilin kapsul/kaplet 250 mg

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

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

17.
18.
19.

Jawa Barat
Jawa Barat
Jawa Barat

Amoksisilin kapsul/kaplet/tablet scored 500 mg


Amoksisilin sirup kering forte 250 mg/5 ml
Amoksisilin sirup kering 125 mg/ 5 ml

20.

Jawa Barat

Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium Hidroksida
200 mg

21.

Jawa Barat

Anti Bakteri DOEN salep kombinasi: Basitrasin 500


IU/g Polimiksin 10.000 IU/g

22.

Jawa Barat

Antimalaria DOEN kombinasi : Pirimetamin 25 mg


Sulfadoksin 500 mg

23.

Jawa Barat

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Antiparkinson DOEN tablet kombinasi : Benserazid 25


mg Levodopa 100 mg
Asam Folat tablet/kapsul/kaplet 1 mg
Asam Mefenamat kapsul/kaplet 500 mg
Asam pipemidat kapsul 400 mg
Asam traneksamat injeksi 100 mg/ml
Asiklovir salep mata 3%
Asiklovir tablet/kapsul/kaplet 200 mg
Asiklovir tablet/kapsul/kaplet 400 mg
Atapulgit tablet 600 mg
Atrakurium injeksi 25 mg/2,5 ml
Atropin Sulfat tablet 0,5 mg

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

35.
36.
37.
38.
39.
40.
41.
42.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Azitromisin sir kering 200 mg/ 5 mL


Azitromisin tablet 500 mg
Bedak salisil serbuk 2%
Benzatin Benzil Penisilin 1,2 juta IU/ vial
Benzatin Benzil Penisilin 2,4 juta IU/vial
Beraprost sodium tablet 20 mcg
Betametason krim 0,1% (sebagai Valerat)
Bisakodil suppositoria 10 mg

43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Bromokriptin tablet 2,5 mg


Deksametason injeksi i.v./i.m. 5 mg/ml
Deksametason tablet 0,5 mg
Desoksimetason krim 0,25%
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
Digoksin tablet 0,25 mg
Diltiazem HCl tablet 30 mg
Dimenhidrinat tablet 50 mg
Doksazosin mesilat tablet 1 mg
Doksazosin mesilat tablet 2 mg
Doksorubisin serbuk injeksi i.v. 10 mg/vial

54.
55.
56.
57.

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

Doksorubisin serbuk injeksi i.v. 50 mg/vial


Domperidon suspensi/sirup 5 mg/5 ml
Domperidon tablet 10 mg
Domperidon tetes 5 mg/mL

58.

Jawa Barat

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

59.

Jawa Barat

Epirubisin serb injeksi 50 mg/25ml

60.
61.
62.
63.
64.
65.
66.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI


Eritromisin kapsul/kaplet 250 mg
Eritromisin kapsul/kaplet 500 mg
Eritromisin sirup kering 200 mg/ 5 ml
Etambutol tablet 250 mg (HCl)
Etambutol tablet salut 500 mg (HCl)
Etanol 70% cairan

67.

Jawa Barat

Etoposid injeksi 20 mg/ml

68.
69.
70.

Jawa Barat
Jawa Barat
Jawa Barat

Fenitoin injeksi 50 mg/ml


Fenitoin kapsul/kaplet 100 mg
Fenobarbital injeksi i.m./i.v. 50 mg/ml

71.

Jawa Barat

Filgrastim inj 300 mcg/mL

Barat
Barat
Barat
Barat
Barat
Barat
Barat

72.
73.

Jawa Barat
Jawa Barat

Filgrastim inj 300 mcg/mL


Fitomenadion (Vit.K1) tablet salut gula 10 mg

74.

Jawa Barat

Flufenazin injeksi i.m. 25 mg/ml

75.
76.
77.
78.
79.
80.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat

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

81.
82.
83.
84.
85.
86.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat

Flusinolon asetonid krim 0,025%


Furosemid injeksi i.v./i.m. 10 mg/ml
Furosemid tablet 40 mg
Furosemid tablet 40 mg
Gemfibrozil kapsul/kaplet 300 mg
Gemfibrozil tablet 600 mg

87.
88.
89.
90.
91.
92.
93.
94.
95.
96.
97.
98.
99.
100.
101.
102.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Gemsitabin inj 1000 mg/vial


Gentamisin injeksi 40 mg/ ml
Gentamisin salep mata 0,3%
Gentamisin tetes mata 0,3%
Glibenklamid tablet 5 mg
Glikuidon tab 30 mg
Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril
Griseofulvin tablet 125 mg
Haloperidol tablet 0,5 mg
Haloperidol tablet 5 mg
Haloperidol tablet 1,5 mg

103.
104.
105.
106.
107.
108.
109.
110.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Haloperidol tablet 2 mg
Ibuprofen sirup 100 mg/5 ml
Ibuprofen suspensi 200 mg/5 ml
Ibuprofen tablet 400 mg
Irbesartan tab 150 mg
Irbesartan tab 300 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kandesartan tab 16 mg

111.
112.
113.
114.

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

115.

Jawa Barat

Ketamin injeksi i.v. 100 mg/ml

116.
117.
118.
119.

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

Ketokonazol krim 2%
Ketokonazol krim 2%
Ketokonazol tablet 200 mg
Ketorolac injeksi 30 mg/ml

120.
121.
122.
123.
124.
125.
126.
127.
128.
129.
130.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Klaritromisin tab 500 mg


Klindamisin kapsul/kaplet 150 mg
Klindamisin kapsul/kaplet 300 mg
Klobazam tab 10 mg
Klonidin tablet 0,15 mg
Klopidogrel tab 75 mg
Klorpromazin injeksi i.m. 25 mg/ml (HCl)
Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
Kodein tablet 10 mg
Kodein tablet 15 mg
Kodein tablet 20 mg

131.

Jawa Barat

Kombinasi suspensi : Parafin + gliserin + fenolftalein

132.

Jawa Barat

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg


Asam folat 0,25 mg

133.
134.
135.
136.
137.
138.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Kotrimoksazol DOEN I (dewasa) kombinasi :


Sulfametoksazol 400 mg Trimetoprim 80 mg
Kuinin (Kina) tablet 200 mg
Kuinin injeksi i.v. 25% (sebagai 2 HCl)
Kuinin tablet 222 mg (H2SO4.7H2O)
Lanzoprazol kapsul/kaplet 30 mg
Levofloksasin inf 5 mg/mL

139.
140.

Jawa Barat
Jawa Barat

Levofloksasin tablet 500 mg


Lidokain injeksi 2% (HCL)

141.

Jawa Barat

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

142.

Jawa Barat

Lisinopril tablet 10 mg

143.

Jawa Barat

Lisinopril tablet 5 mg

144.

Jawa Barat

Loperamid tablet 2 mg

Barat
Barat
Barat
Barat
Barat
Barat

Kandesartan tab 8 mg
Kaptopril tablet 50 mg
Kaptopril tablet scored12,5 mg
Karbamazepin tablet 200 mg

145.

Jawa Barat

Loratadin tablet 10 mg

146.
147.

Jawa Barat
Jawa Barat

Lorazepam tablet 2 mg
Maprotilin HCl tab 25 mg

148.
149.
150.
151.
152.
153.
154.
155.
156.
157.
158.
159.
160.
161.
162.
163.
164.
165.
166.
167.
168.
169.
170.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Maprotilin HCl tab 50 mg


Meropenem inj 1 g
Metilprednisolon tablet 16 mg
Metilprednisolon tablet 4 mg
Metilprednisolon tablet 8 mg
Metoklopramide tablet 5 mg
Metronidazol infus 500 mg/100 ml
Metronidazol supositoria 500 mg
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Midazolam injeksi i.v. 1 mg/ml
Midazolam injeksi i.v. 5 mg/ml
Mikonazol krim/salep 2 % (Nitrat)
Mometason furoat krim 0,1%
Morfin injeksi i.m./s.k./i.v. 10 mg/ml
Nalokson injeksi 0,4 mg/ml
Natrium fusidat salep 20 mg/g
Nevirapin tablet 200 mg
Nifedipin tab 20 mg, slow release; oros
Nifedipin tab 30 mg, oros
Nifedipin tablet/kapsul 10 mg
Nistatin tablet salut 500.000 IU/ g
Noretisteron tablet 5 mg

171.

Jawa Barat

Obat Antituberkulosis FDC Kategori 1

172.

Jawa Barat

Obat Antituberkulosis FDC Kategori 2

173.

Jawa Barat

Obat Antituberkulosis FDC Kategori Anak

174.

Jawa Barat

Obat Antituberkulosis FDC Sisipan

175.

Jawa Barat

Ofloxacin tablet 200 mg

176.
177.
178.
179.
180.

Jawa
Jawa
Jawa
Jawa
Jawa

Ofloxacin tablet 400 mg


Oksimetazolin tetes hidung 0,025%
Olanzapin kapl salut 5 mg
Olanzapin tab 10 mg
Omeprazol injeksi 40 mg/ 10 ml

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat

181.
182.
183.
184.

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

Omeprazol kapsul/kaplet 20 mg
ondansetron inj 4 mg/ 2 mL
Ondansetron tab 4 mg
Ondansetron tablet 8 mg

185.

Jawa Barat

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2


unit Ultaclam, 1 unit Tenckoff Catheter, Titanium
Adaptor)

186.

Jawa Barat

Paket CAPD Pergantian Transfer Set per 6 bulan

187.
188.

Jawa Barat
Jawa Barat

Paket CAPD Rutin 120 ( 4x ganti cairan perhari


dengan komposisi Larutan Dialisa 1.5 %, Larutan
Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)
Parasetamol sirup 120 mg / 5 ml

189.

Jawa Barat

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

190.

Jawa Barat

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

191.

Jawa Barat

Permetrin krim 5%

192.
193.
194.
195.
196.
197.
198.
199.
200.
201.
202.
203.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

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


Pioglitazon tab 15 mg
Pioglitazon tab 30 mg
Pirantel suspensi 125 mg/5 ml
Pirantel tablet score (base) 125 mg
Pirazinamid tablet 500 mg
Polikresulen cairan
Povidon Iodida larutan 10% 1000 ml
Povidon Iodida larutan 10% 30 ml
Povidon Iodida larutan 10% 300 ml
Pramipeksol tab ER 0,375 mg
Pramipeksol tab ER 0,750 mg

204.
205.
206.
207.
208.
209.
210.
211.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Pravastatin tablet 20 mg
Propanolol tablet 10 mg ( HCl )
Propranolol tablet 40 mg (HCl)
Ramipril tablet 5 mg
Ranitidin injeksi 25 mg/2 ml
Ranitidin tablet 150 mg
Ringer Laktat larutan infus
Risperidon tablet 1 mg

212.

Jawa Barat

Risperidon tablet 2 mg

213.
214.
215.
216.
217.

Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat

218.
219.
220.

Jawa Barat
Jawa Barat
Jawa Barat

Sefaleksin kapsul/kaplet 500 mg


Sefepim inj 1 g
Sefiksim kapsul/kaplet 100 mg

221.
222.
223.
224.
225.
226.
227.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Sefiksim sirup kering 100 mg/ 5 ml


Sefotaksim injeksi 1 g
Sefpodoksim proksetil tab 100 mg
Seftriakson serbuk injeksi 1 g/vial
Sefuroksim tab 500 mg
Setirizin tablet 10 mg
Sianokobalamin (vitamin B12) injeksi 500 mcg

228.

Jawa Barat

Siklofosfamid serbuk injeksi i.v. 1000 mg

229.
230.
231.
232.
233.
234.
235.
236.
237.
238.
239.
240.
241.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Siklofosfamid serbuk injeksi i.v. 200 mg


Simvastatin scored tablet 10 mg
Simvastatin tablet 20 mg
Siprofloksasin infus 2%
Spiramisin tablet 500 mg
Spironolakton tablet 100 mg
Spironolakton tablet 25 mg
Tamsulosin tab 0,2 mg
Tamsulosin tab SR 0,4 mg
Terbutalin tablet 2,5 mg
Tetrasiklin kapsul/kaplet 250 mg
Timolol tetes mata 0,25%
Timolol tetes mata 0,5%

242.
243.
244.

Jawa Barat
Jawa Barat
Jawa Barat

Tiotropium kaps 18 mcg + handihaller


Tramadol injeksi 50 mg/ml
Trifluoperazin tablet 5 mg

245.
246.
247.
248.
249.

Jawa
Jawa
Jawa
Jawa
Jawa

Urea krim 10%


Valproat tab SR 250 mg
Valproat tab SR 500 mg
Verapamil tab 240 mg
Verapamil tablet 80 mg (HCl)

250.

Jawa Barat

Barat
Barat
Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat

Risperidon tablet 3 mg
Sefadroksil sirup kering 125 mg/5ml
Sefadroksil kapsul/kaplet 250 mg
Sefadroksil kapsul/kaplet 500 mg
Sefadroksil sir kering 250 mg/5 mL

Vinblastin serbuk injeksi 10 mg

251.
252.
253.

Jawa Barat
Jawa Barat
Jawa Barat

Zinc drop 10 mg/mL


Zinc sir 20 mg/5 Ml
Zinc tablet dispersible20 mg

n/a
n/a
n/a
n/a
n/a
n/a
n/a
Glybotic 250 mg /ml
n/a
n/a
Cordarone
Kendaron Tablet
n/a
n/a
n/a
n/a
n/a
n/a
n/a

n/a
n/a
n/a
n/a
Levopar Tablet
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
Dorner 20 g
n/a
Stolax supp
Cripsa tab
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Cardura 1mg
Cardura 2mg
Doxorubicin Actavis 10 mg
Doxorubicin Actavis 50 mg
n/a
n/a
n/a
n/a
Epirubisin Kalbe
D-Vit FT
n/a
n/a
n/a
n/a
n/a
n/a
Posyd
n/a
n/a
n/a
Zarzio

Leucogen
n/a
Sikzonoate Injeksi
n/a
n/a
Foransi 10
NOPRES
Curacil
Curacil
SYNARCUS
n/a
n/a
n/a
n/a
n/a
Gemzar 1000 mg
n/a
Genoint Salep Mata
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
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
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
Laxadine Emulsi 60 ml
n/a
n/a
n/a
n/a
n/a
n/a
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
Flagyl
n/a
n/a
Dormicum
Dormicum
n/a
n/a
n/a
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

n/a
n/a
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
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
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
Cyclovid 1000 mg
Cyclovid 200 mg
n/a
n/a
n/a
n/a
n/a
n/a
Harnal D 0.2 mg Disp. Tablet
Harnal OCAS 0.4 mg Tablet
Molasma Tablet
n/a
Isotic Adretor 0,25%
Isotic Adretor 0,5%
Spiriva 10s + Handihaler
n/a
n/a
Soft U Derm
Depakote ER 250 mg
Depakote ER 500 mg
Isoptin 240 mg
n/a
Vinblastine

Zincpro Drops
Zircum Kid Sirup
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Kimia Farma
Indofarma
Holi Pharma
Pertiwi Agung
Dexa Medica
Otto Pharmaceuticals
Kimia Farma
Sanbe Farma
Lucas Djaja
Marin Liza Farmasi
Aventis Pharma
Darya Varia
Indofarma
Pertiwi Agung
Pertiwi Agung
Novapharin

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
strip
Ktk 10x10 tablet
Vial 2 ml
dus 30 ampul @10 ml
Botol @ 100 tablet salut selaput
Dus, 6 ampul @ 3 ml
strip
Dus, 10 strip @ 10 tss
Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets
strip

PT. Bernofarm
PT. Holi Pharma
PT. Novapharin

Dus, 10 strip @ 10 kaptab


Dus, Botol 60 ml
btl @ 60 ml

PT. Promedrahardjo Farmasi Industri

STRIP

PT. Indofarma

Dus, 25 tube @ 5 g

PT. Kimia Farma

ktk 10 x 10 tablet

PT. Kimia Farma

Btl 100 tablet

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Dus, 5 strip @ 10 tablet


Botol @ 100 tablet
Dus, 10 blister @ 10 kaptab ss
Strip
Dus, 10 ampul @ 5 ml
Tube 3,5 gram
Dus, 10 blister @ 10 tablet
ktk 10x10 tablet
Dus 5 strip @ 10 tablet
Dus, 5 ampul @ 2.5 ml
Dus, 10 strip @ 10 tablet

Meprofarm
Marin Liza Farmasi
Bernofarm
Sanbe Farma
Hexpharm Jaya Laboratories
Sanbe Farma
Indofarma
Kimia Farma
Zenith Pharmaceuticals
Glaxo Wellcome Indonesia
Indofarma

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Soho Industri Pharmasi


Kimia Farma
Rama Emerald Multi Sukses
Phapros, Tbk
Phapros, Tbk
Combiphar
Kimia Farma
Sanbe Farma

botol @ 60 ml
ktk 2x10 tablet
Dus @ 50 gram
Dus @ 10 Vial
Dus @ 10 Vial
Box/ 3 blister @ 10 Tablet
Tube 5 gr
Supp

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Caprifarmindo
Indofarma
Indofarma
Dexa Medica
Lucas Djaja
Yarindo Farmatama
Indofarma
Kimia Farma
Pfizer Indonesia
Pfizer Indonesia
Actavis Indonesia

Box 3 x 10'S
Dus, 100 ampul @ 1 ml
Dus, 10 blister @ 10 tablet
Kotak, tube @ 15 gram
ampul @ 1 ml
Box 10 X 10 Tab
Dus, 10 strip @ 10 tablet
Btl 100 tablet
Dus, 5 blister @10's tab
Dus, 5 blister @10's tab
Dus, 1 vial @ 10 mg

PT.
PT.
PT.
PT.

Actavis Indonesia
Novapharin
Novapharin
Bernofarm

Dus, 1 vial @ 50 mg
btl @ 60 ml
strip
Dus, botol @ 10 ml

PT. Phapros, Tbk

Dus @ 30 Ampul

PT Kalbe Farma

Vial @ 25 ml

PT.
PT.
PT.
PT.
PT.
PT.
PT.

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

Gracia Pharmindo
Kimia Farma
Indofarma
Phyto Kemo Agung Farma
Kimia Farma
Indofarma
Novapharin

PT. Combiphar

Vial 100mg/5ml

PT. Mersifarma Tirmaku Mercusana


PT. Ikapharmindo
PT. Phapros, Tbk

KOTAK @ 10 ampul
Botol @ 100
Dus @ 30 Ampul

PT. Sandoz Indonesia

pfs @ 0,5 ml

PT Kalbe Farma
PT. Marin Liza Farmasi

pfs @ 0,5 ml
Botol @ 100 tablet salut gula

PT. Mersifarma Tirmaku Mercusana

Dus, 5 ampul @ 1ml

PT. Novell Pharmaeutical Laboratories


PT. Kimia Farma
PT. Gracia Pharmindo
PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma

Botol
ktk 1 x 10 kapsul
strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml

PT.
PT.
PT.
PT.
PT.
PT.

Ifars Pharmaceutical Laboratories


Indofarma
Sampharindo Perdana
Indofarma
Indofarma
Indofarma

Dus,
Dus,
Dus,
Dus,
Dus,
Dus,

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Bayer Indonesia
Indofarma
Erela
Indofarma
Indofarma
Dexa Medica
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Widatra Bhakti
Widatra Bhakti
Indofarma
Indofarma
Indofarma
Indofarma

vial
Dus, 5 ampul @ 2 ml
Tube @ 3,5 gr
Dus, botol plastik 5 ml
Dus, 10 blister @ 10 kaptab
Dus, 10 Strip @ 10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
botol @ 500 ml
botol @ 500 ml
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Mersifarma Tirmaku Mercusana


Indofarma
Indofarma
Holi Pharma
Indofarma
Indofarma
Indofarma
Dexa Medica

KOTAK @ 10 x 10 TAB
Dus, botol 60 ml
Dus, botol 60 ml
Dus, 10 strip @ 10 tablet
Dus, 5 blister @ 10 kss
Dus, 5 blister @ 10 kss
Dus, 10 strip @ 10 tablet
Dus, 3 Blister @ 10 tablet

Tube 5 g
25 ampul @ 2 ml
10 strip @ 10 tablet
10 strip @ 10 tablet
10 blister @ 12 kapsul
10 blister @ 10 kaptab

PT.
PT.
PT.
PT.

Dexa Medica
Indofarma
Indofarma
Indofarma

Dus,
Dus,
Dus,
Dus,

3 Blister @ 10 tablet
10 strip @ 10 tablet
10 strip @ 10 tablet
10 blister @ 10 tablet

PT. Guardian Pharmatama

Vial @ 10 ml

PT.
PT.
PT.
PT.

Novell Pharmaeutical Laboratories


Kimia Farma
Dexa Medica
Phapros, Tbk

Box isi 1 Tube @ 15 g


tube 10 gr
Dus, 5 Strip @ 10 tablet
Dus @ 12 Ampul

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Ifars Pharmaceutical Laboratories


Indofarma
Indofarma
Dexa Medica
Kimia Farma
Hexpharm Jaya Laboratories
Phapros, Tbk
Phapros, Tbk
Kimia Farma
Kimia Farma
Kimia Farma

Dus, 3 Strip @ 10 Kaplet salut selaput


Dus, 5 blister @ 10 kapsul
Dus, 5 blister @ 10 kapsul
Dus, 10 Strip @ 10 tablet
Ktk 10X10 TAB
Dus, 3 strip @ 10 tab
Dus @ 30 Ampul
Dus @ 30 Ampul
ktk 10x10 tablet
ktk 10x10 tablet
ktk 10x10 tablet

PT. Galenium Pharmasia Laboratories

Botol @ 60 ml

PT. Erela

Dus, 100 Sachet @ 30 Tablet

PT.
PT.
PT.
PT.
PT.
PT.

Dus, 10 strip @ 10 kaptab


ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Dus, 2 strip @ 10 kapsul
Box, 1 Botol @ 100 ml

Holi Pharma
Kimia Farma
Kimia Farma
Kimia Farma
Indofarma
Infion Pharmaceutical

PT. Promedrahardjo Farmasi Industri


PT. Bernofarm

STRIP
Dus, 100 ampul @ 2 ml

PT. Indofarma

Dus, 30 ampul @ 2 ml

PT. Novell Pharmaeutical Laboratories

Box ,3 Strip @ 10 tablet

PT. Novell Pharmaeutical Laboratories

Box ,3 Strip @ 10 tablet

PT. Ifars Pharmaceutical Laboratories

Dus, 10 Strip @ 10 Tablet

PT. Promedrahardjo Farmasi Industri

STRIP

PT. Mersifarma Tirmaku Mercusana


PT. Soho Industri Pharmasi

KOTAK @ 10 x 10 TAB
Strip

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

KOTAK @ 5 x 10 TAB
Dus, 1 vial @ 1 g
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
Boks 10 amp
Boks 5 amp
Tube 10 gram
tube 10 gram
Ktk 10 ampul @ 1ML
Dus, 5 Ampul @ 2ml
Tube 5 gr
btl 60 tablet
blister
blister
Dus, 10 Strip @ 10 tablet salut selaput
Dus @ 10 X 10 's
blister

Mersifarma Tirmaku Mercusana


Bernofarm
Mahakam Beta Farma
Natura Laboratoria Farma
Dexa Medica
Kimia Farma
Natura Laboratoria Farma
Aventis Pharma
Phyto Kemo Agung Farma
Phyto Kemo Agung Farma
Boehringer Ingelheim
Boehringer Ingelheim
Kimia Farma
Guardian Pharmatama
Kimia Farma
Pratapa Nirmala
Molex Ayus
Kimia Farma
Bayer Indonesia
Bayer Indonesia
Dexa Medica
Phapros, Tbk
Bayer Indonesia

PT. Phapros, Tbk

Paket

PT. Indofarma

Paket

PT. Phapros, Tbk

Paket

PT. Indofarma

Dus, 3 blister @ 28 kss

PT. Novell Pharmaeutical Laboratories

Box ,5 Strip @ 10 tablet

PT.
PT.
PT.
PT.
PT.

Box ,5 Strip @ 10 tablet


botol @ 10 ml
3 X 10 fcc
3 X 10 fcc
Dus, 1 Vial @ 40 mg

Novell Pharmaeutical Laboratories


Merck Tbk
Sandoz Indonesia
Sandoz Indonesia
Natura Laboratoria Farma

PT.
PT.
PT.
PT.

Novapharin
Indofarma
Yarindo Farmatama
Yarindo Farmatama

strip
Dus, 5 Ampul @ 2ml
Box 3 X 10 Tab
Box 3 X 10 Tab

PT Kalbe Farma

Transfer Set: Set; Ultaclam: Kantong Plastik;


Tenckoff Catheter: Box; Titanium Adaptor:
Kantong Plastik

PT Kalbe Farma

Set

PT Kalbe Farma
PT. Afifarma

Larutan Dialisa 1.5 %: 2.000 ml; Larutan Dialisa


2.5 %: 2.000 ml; Larutan Dialisa 4.25 %: 2.000
ml; Minicap: Kantong Plastik
botol 60 ml

PT. Boehringer Ingelheim

Boks, 1 pfs

PT. Boehringer Ingelheim

Boks, 1 pfs

PT. Galenium Pharmasia Laboratories

Tube @ 10 g

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Kimia Farma
Dexa Medica
Dexa Medica
Holi Pharma
Holi Pharma
Holi Pharma
Pratapa Nirmala
Afifarma
Afifarma
Afifarma
Boehringer Ingelheim
Boehringer Ingelheim

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

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Novell Pharmaeutical Laboratories


Dexa Medica
Holi Pharma
Dexa Medica
Natura Laboratoria Farma
Dexa Medica
Widatra Bhakti
Dexa Medica

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 selaput
botol 500 ml
Dus, 5 Blister @ 10 tablet

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

PT.
PT.
PT.
PT.
PT.

Dexa Medica
Holi Pharma
Hexpharm Jaya Laboratories
Holi Pharma
Holi Pharma

Dus,
Dus,
Dus,
Dus,
Dus,

5 Blister @ 10 tablet
Botol 60 ml
5 strip @ 10 kapsul
10 strip @ 10 kapsul
Botol 60 ml

PT. Ifars Pharmaceutical Laboratories


PT. Yarindo Farmatama
PT. Bernofarm

Dus, 5 Strip @ 10 Kapsul


Box 2 Vial @ 1000mg
Dus, 10 blister @ 10 kapsul

PT.
PT.
PT.
PT.
PT.
PT.
PT.

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 selaput
Box, 10 strips @ 10 capsules
100 ampul @ 1 ml

Ifars Pharmaceutical Laboratories


Natura Laboratoria Farma
Sandoz Indonesia
Natura Laboratoria Farma
Glaxo Wellcome Indonesia
Pertiwi Agung
Lucas Djaja

PT. Novell Pharmaeutical Laboratories

vial

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

vial
Dus, 3 Strip @ 10 Kaplet salut selaput
Dus, 3 Strip @ 10 Kaplet salut selaput
Vial 200 ml
Dus, 5 strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Box/ 2 blister @ 14 tablet
Box/ 3 blister @ 10 Tablet
Box 50's
Dus, 10 strip @ 10 kapsul
Dus, Botol Plastik @ 5ml
Dus, Botol Plastik @ 5ml

Novell Pharmaeutical Laboratories


Natura Laboratoria Farma
Natura Laboratoria Farma
Dexa Medica
Indofarma
Dexa Medica
Dexa Medica
Combiphar
Combiphar
Molex Ayus
Holi Pharma
Pratapa Nirmala
Pratapa Nirmala

PT. Boehringer Ingelheim


PT. Natura Laboratoria Farma
PT. Darya Varia

Dus, 1 blister @10 kapsul + handihaler


Dus, 10 Ampul @ 2 ml
strip

PT.
PT.
PT.
PT.
PT.

tube
Tablet
Tablet
Tablet
Ktk 10X10 TAB

Galenium Pharmasia Laboratories


Abbott Indonesia
Abbott Indonesia
Abbott Indonesia
Kimia Farma

PT. Combiphar

Vial 10mg/10ml

PT. Combiphar
PT. Meprofarm
PT. Kimia Farma

Drops 10 mg/ml, Botol @15 ml


Dus, botol 60 ml
ktk 10 x 10 tablet

1,375.00
3,849.00
338.00
86.00
380.00
176.00
233.00
50,500.00
3,822.00
90.00
12,480.00
1,200.00
112.00
330.00
187.00
211.00

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

Download
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Download
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272.00
4,045.00
2,445.00

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Download

Download
Download
Download

75.00

Download

Download

2,516.00

Download

Download

520.00

Download

Download

135.00

Download

Download

1,500.00
48.00
112.00
1,815.00
3,334.00
24,750.00
237.00
345.00
190.00
20,000.00
74.00

Download
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Download
Download
Download
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34,400.00
4,500.00
1,250.00
9,800.00
13,400.00
3,600.00
1,520.00
6,045.00

Download
Download
Download
Download
Download
Download
Download
Download

Download
Download
Download
Download
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Download

247,089.0
0
1,580.00
68.00
9,983.00
1,054.00
97.00
134.00
104.00
3,480.00
5,480.00
55,500.00

Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download

Download
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Download
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274,125.0
0
3,333.00
167.00
15,600.00

Download
Download
Download
Download

Download
Download
Download
Download

8,100.00

Download

Download

500,000.0
0
Download

Download

650.00
497.00
930.00
7,700.00
314.00
451.00
2,500.00

Download
Download
Download
Download
Download
Download
Download

Download
Download
Download
Download
Download
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Download

100,000.0
0
Download

Download

20,250.00 Download
133.00
Download
1,800.00 Download

Download
Download
Download

380,000.0
0
Download

Download

375,000.0
0
Download
634.00
Download

Download
Download

55,000.00 Download

Download

38,000.00
22,000.00
419.00
410.00
24,500.00
33,000.00

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Download
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2,400.00
1,829.00
78.00
85.00
289.00
679.00

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Download
Download
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Download
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Download
Download

1,098,900
.00
3,399.00
2,600.00
3,194.00
56.00
950.00
265.00
436.00
404.00
430.00
5,700.00
5,200.00
219.00
59.00
96.00
69.00

Download
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Download
Download
Download
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126.00
3,499.00
4,499.00
149.00
1,425.00
2,470.00
88.00
4,900.00

Download
Download
Download
Download
Download
Download
Download
Download

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3,100.00
140.00
62.00
245.00

Download
Download
Download
Download

Download
Download
Download
Download

110,000.0
0
Download

Download

4,700.00
2,569.00
300.00
2,300.00

Download
Download
Download
Download

Download
Download
Download
Download

3,200.00
361.00
553.00
900.00
184.00
3,400.00
1,100.00
1,050.00
500.00
850.00
1,100.00

Download
Download
Download
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12,450.00 Download

Download

42.00

Download

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149.00
670.00
6,200.00
540.00
473.00
40,000.00

Download
Download
Download
Download
Download
Download

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Download
Download
Download
Download

528.00
839.00

Download
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1,363.00

Download

Download

600.00

Download

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350.00

Download

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89.00

Download

Download

154.00

Download

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1,341.00
1,200.00

Download
Download

Download
Download

3,276.00
54,000.00
635.00
205.00
300.00
108.00
9,950.00
3,220.00
110.00
160.00
6,119.00
12,060.00
3,000.00
17,820.00
10,499.00
61,600.00
6,490.00
2,800.00
2,999.00
3,500.00
100.00
640.00
2,618.00

Download
Download
Download
Download
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359,900.0
0
Download

Download

1,199,990
.00
Download

Download

214,900.0
0
Download

Download

160,000.0
0
Download

Download

400.00

Download

Download

650.00
27,550.00
6,450.00
11,200.00
36,000.00

Download
Download
Download
Download
Download

Download
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Download
Download
Download

211.00
2,400.00
716.00
1,189.00

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Download

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1,902,240
.00
Download

Download

219,540.0
0
Download

Download

5,522,580
.00
Download
1,438.00 Download

Download
Download

1,077,815
.00
Download

Download

1,248,220
.00
Download

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11,475.00 Download

Download

14,500.00
3,120.00
4,525.00
8,360.00
296.00
206.00
17,393.00
37,109.00
2,163.00
14,203.00
7,200.00
11,268.00

Download
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2,300.00
65.00
106.00
580.00
1,140.00
120.00
5,200.00
1,400.00

Download
Download
Download
Download
Download
Download
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Download
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1,008.00

Download

Download

2,000.00
4,746.00
513.00
509.00
5,895.00

Download
Download
Download
Download
Download

Download
Download
Download
Download
Download

1,000.00 Download
48,060.00 Download
859.00
Download

Download
Download
Download

8,800.00
2,950.00
3,700.00
3,300.00
7,200.00
181.00
1,078.00

Download
Download
Download
Download
Download
Download
Download

Download
Download
Download
Download
Download
Download
Download

256,000.0
0
Download

Download

82,000.00
169.00
391.00
13,000.00
1,499.00
900.00
315.00
5,800.00
6,800.00
99.00
148.00
9,128.00
9,722.00

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

152,543.0
0
Download
2,395.00 Download
405.00
Download

Download
Download
Download

6,400.00
2,793.00
5,450.00
6,200.00
234.00

Download
Download
Download
Download
Download

Download
Download
Download
Download
Download

210,000.0
0
Download

Download

12,840.00 Download
7,400.00 Download
473.00
Download

Download
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1.

Jawa Barat

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida


tablet 200 mg)

2.

Jawa Barat

Albendazol suspensi 200 mg/5 ml

3.

Jawa Barat

Albendazol tablet/kapsul/kaplet 400 mg

4.

Jawa Barat

Alopurinol tablet/kapsul/kaplet 100 mg

5.

Jawa Barat

Alprazolam tablet/kapsul/kaplet 0,25 mg

6.

Jawa Barat

Alprazolam tablet/kapsul/kaplet 0,5 mg

7.
8.
9.

Jawa Barat
Jawa Barat
Jawa Barat

Alprazolam tablet/kapsul/kaplet 1 mg
Amikasin injeksi 250 mg/ml
Aminofilin injeksi 24 mg/ml

10.

Jawa Barat

Aminofilin tablet scored 200 mg

11.
12.
13.
14.

Jawa
Jawa
Jawa
Jawa

Amiodaron injeksi 150 mg/3 ml


Amiodaron tablet/kaplet 200 mg
Amitriptilin tablet salut 25 mg (HCl)
Amlodipin tablet 10 mg

15.

Jawa Barat

Amlodipin tablet 5 mg

16.
17.

Jawa Barat
Jawa Barat

Amoksisilin kapsul/kaplet 250 mg


Amoksisilin kapsul/kaplet/tablet scored 500 mg

18.
19.
20.

Jawa Barat
Jawa Barat
Jawa Barat

Amoksisilin sirup kering forte 250 mg/5 ml


Amoksisilin sirup kering 125 mg/ 5 ml
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin glulisine 100 IU/ml)

21.

Jawa Barat

Antasida DOEN I tablet kunyah, kombinasi : Aluminium


Hidroksida 200 mg Magnesium Hidroksida 200 mg

22.

Jawa Barat

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g


Polimiksin 10.000 IU/g

23.

Jawa Barat

Antimalaria DOEN kombinasi : Pirimetamin 25 mg


Sulfadoksin 500 mg

24.

Jawa Barat

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

Barat
Barat
Barat
Barat

25.

Jawa Barat

Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg


Levodopa 100 mg

26.
27.
28.
29.

Jawa
Jawa
Jawa
Jawa

Artemether injeksi 80 mg/ml


Asam Askorbat (Vitamin C) tablet 50 mg
Asam Folat tablet/kapsul/kaplet 1 mg
Asam Mefenamat kapsul/kaplet 500 mg

30.
31.

Jawa Barat
Jawa Barat

Asam pipemidat kapsul 400 mg


Asam traneksamat injeksi 100 mg/ml

32.
33.

Jawa Barat
Jawa Barat

Asiklovir salep mata 3%


Asiklovir tablet/kapsul/kaplet 200 mg

34.
35.

Jawa Barat
Jawa Barat

Asiklovir tablet/kapsul/kaplet 400 mg


Atapulgit tablet 600 mg

36.

Jawa Barat

Atrakurium injeksi 25 mg/2,5 ml

37.

Jawa Barat

Atropin Sulfat tablet 0,5 mg

38.

Jawa Barat

Azitromisin sir kering 200 mg/ 5 mL

39.
40.

Jawa Barat
Jawa Barat

Azitromisin tablet 500 mg


Azitromisin tablet 250 mg

41.

Jawa Barat

Bedak salisil serbuk 2%

42.
43.
44.
45.

Jawa
Jawa
Jawa
Jawa

Benzatin Benzil Penisilin 1,2 juta IU/ vial


Benzatin Benzil Penisilin 2,4 juta IU/vial
Beractant injeksi / suspensi 25 mg/mL
Beraprost sodium tablet 20 mcg

46.

Jawa Barat

Beraprost sodium tablet 20 mcg

47.
48.
49.
50.

Jawa
Jawa
Jawa
Jawa

Betametason krim 0,1% (sebagai Valerat)


Bisakodil suppositoria 10 mg
Bromokriptin tablet 2,5 mg
Deksametason injeksi i.v./i.m. 5 mg/ml

51.

Jawa Barat

Deksametason tablet 0,5 mg

52.

Jawa Barat

Desoksimetason krim 0,25%

53.

Jawa Barat

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

Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat

54.

Jawa Barat

Digoksin tablet 0,25 mg

55.

Jawa Barat

Diltiazem HCl tablet 30 mg

56.
57.
58.

Jawa Barat
Jawa Barat
Jawa Barat

Diltiazem injeksi 25 mg/5 mL


Dimenhidrinat tablet 50 mg
Doksazosin mesilat tablet 1 mg

59.

Jawa Barat

Doksazosin mesilat tablet 2 mg

60.
61.
62.
63.
64.
65.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Doksorubisin serbuk injeksi i.v. 10 mg/vial


Doksorubisin serbuk injeksi i.v. 50 mg/vial
Domperidon suspensi/sirup 5 mg/5 ml
Domperidon tablet 10 mg
Domperidon tetes 5 mg/mL
Enoksaparin sodium inj 20 mg/0,2 mL

66.

Jawa Barat

Enoksaparin sodium inj 40 mg/0,4 mL

67.

Jawa Barat

Enoksaparin sodium inj 60 mg/0,6 mL

68.
69.
70.

Jawa Barat
Jawa Barat
Jawa Barat

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


Epirubisin serb injeksi 50 mg/25ml
Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI

71.
72.

Jawa Barat
Jawa Barat

Eritromisin kapsul/kaplet 250 mg


Eritromisin kapsul/kaplet 500 mg

73.

Jawa Barat

Eritromisin sirup kering 200 mg/ 5 ml

74.
75.
76.
77.
78.
79.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Etambutol tablet 250 mg (HCl)


Etambutol tablet salut 500 mg (HCl)
Etanol 70% cairan
Etoposid injeksi 20 mg/ml
Eugenol cairan
Fenitoin injeksi 50 mg/ml

80.
81.
82.

Jawa Barat
Jawa Barat
Jawa Barat

Fenitoin kapsul/kaplet 100 mg


Fenobarbital injeksi i.m./i.v. 50 mg/ml
Fenofibrat kaps 100 mg

83.

Jawa Barat

Fenofibrat kaps 300 mg

84.
85.

Jawa Barat
Jawa Barat

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

Barat
Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat
Barat

86.
87.
88.
89.
90.

Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat

91.

Jawa Barat

Flufenazin injeksi i.m. 25 mg/ml

92.

Jawa Barat

Flukonazol injeksi 2 mg/ml

93.
94.
95.
96.
97.
98.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Flukonazol tablet/kapsul 150 mg


Fluoksetin tablet 10 mg
Fluoksetin tablet 20 mg
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL
Flusinolon asetonid krim 0,025%

99.

Jawa Barat

Flutikason furoat intranasal spray

100.

Jawa Barat

Flutikason propionat nebules 0,5 mg

101.

Jawa Barat

Fondaparinuks inj 2,5 mg/0,5 mL

102.

Jawa Barat

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

103.

Jawa Barat

Furosemid tablet 40 mg

104.

Jawa Barat

Furosemid tablet 40 mg

105.

Jawa Barat

Gemfibrozil kapsul/kaplet 300 mg

106.

Jawa Barat

Gemfibrozil tablet 600 mg

107.
108.
109.
110.

Jawa
Jawa
Jawa
Jawa

Gemsitabin
Gentamisin
Gentamisin
Gentamisin

111.

Jawa Barat

Glibenklamid tablet 5 mg

112.

Jawa Barat

Glikuidon tab 30 mg

Barat
Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat

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

inj 1000 mg/vial


injeksi 40 mg/ ml
salep mata 0,3%
tetes mata 0,3%

113.
114.
115.
116.
117.
118.
119.
120.
121.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Gliseril trinitrat tab sublingual 0,5 mg
Gliserin lar 50%
Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril
Griseofulvin tablet 125 mg

122.

Jawa Barat

Haloperidol inj 50 mg/mL

123.

Jawa Barat

Haloperidol tablet 0,5 mg

124.

Jawa Barat

Haloperidol tablet 5 mg

125.

Jawa Barat

Haloperidol tablet 1,5 mg

126.

Jawa Barat

Haloperidol tablet 2 mg

127.

Jawa Barat

Hiosin butilbromid injeksi 20 mg/ml

128.
129.
130.

Jawa Barat
Jawa Barat
Jawa Barat

Ibuprofen sirup 100 mg/5 ml


Ibuprofen suspensi 200 mg/5 ml
Ibuprofen tablet 400 mg

131.

Jawa Barat

Irbesartan tab 150 mg

132.

Jawa Barat

Irbesartan tab 300 mg

133.

Jawa Barat

Isosorbid Dinitrat tablet sublingual 5 mg

134.

Jawa Barat

Kandesartan tab 16 mg

135.

Jawa Barat

Kandesartan tab 8 mg

136.

Jawa Barat

Kaptopril tablet 50 mg

137.

Jawa Barat

Kaptopril tablet scored12,5 mg

138.

Jawa Barat

Karbamazepin tablet 200 mg

139.

Jawa Barat

Karbogliserin tetes telinga 10%

140.

Jawa Barat

Ketamin injeksi i.v. 100 mg/ml

141.
142.

Jawa Barat
Jawa Barat

Ketokonazol krim 2%
Ketokonazol krim 2%

143.

Jawa Barat

Ketokonazol tablet 200 mg

144.
145.

Jawa Barat
Jawa Barat

Ketorolac injeksi 30 mg/ml


Klaritromisin tab 500 mg

146.

Jawa Barat

Klindamisin kapsul/kaplet 150 mg

147.

Jawa Barat

Klindamisin kapsul/kaplet 300 mg

148.

Jawa Barat

Klobazam tab 10 mg

149.
150.

Jawa Barat
Jawa Barat

Klonidin tablet 0,15 mg


Klopidogrel tab 75 mg

151.
152.
153.
154.
155.
156.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

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


Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
Kodein tablet 10 mg
Kodein tablet 15 mg
Kodein tablet 20 mg
Kombinasi suspensi : Parafin + gliserin + fenolftalein

157.

Jawa Barat

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam


folat 0,25 mg

158.

Jawa Barat

Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50


mcg

159.

Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100


mcg

160.

Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250


mcg

161.

Jawa Barat

Kotrimoksazol DOEN I (dewasa) kombinasi :


Sulfametoksazol 400 mg Trimetoprim 80 mg

162.
163.
164.
165.
166.

Jawa
Jawa
Jawa
Jawa
Jawa

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

Barat
Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat

167.

Jawa Barat

Larutan mengandung Asam Amino (Asam amino 8%)

168.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Glukosa:


25,0 g; NaCl: 4,5 g)

169.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Glukosa:


55.0 g; NaCl: 2.25 g)

170.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Glukosa:


55.0 g; NaCl: 4.5 g)

171.

Jawa Barat

Larutan mengandung Lipid (Emulsi lemak 20%)

172.

Jawa Barat

Levofloksasin inf 5 mg/mL

173.

Jawa Barat

Levofloksasin tablet 500 mg

174.

Jawa Barat

Lidokain injeksi 2% (HCL)

175.

Jawa Barat

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

176.

Jawa Barat

Lisinopril tablet 10 mg

177.

Jawa Barat

Lisinopril tablet 5 mg

178.

Jawa Barat

Loperamid tablet 2 mg

179.

Jawa Barat

Loratadin tablet 10 mg

180.

Jawa Barat

Lorazepam tablet 2 mg

181.

Jawa Barat

Maprotilin HCl tab 25 mg

182.

Jawa Barat

Maprotilin HCl tab 50 mg

183.
184.
185.

Jawa Barat
Jawa Barat
Jawa Barat

Meropenem inj 1 g
Metadon sir 50mg/5ml
Metilprednisolon tablet 16 mg

186.

Jawa Barat

Metilprednisolon tablet 4 mg

187.

Jawa Barat

Metilprednisolon tablet 8 mg

188.

Jawa Barat

Metoklopramide tablet 5 mg

189.

Jawa Barat

Metronidazol infus 500 mg/100 ml

190.

Jawa Barat

Metronidazol supositoria 500 mg

191.

Jawa Barat

Metronidazol tablet 250 mg

192.

Jawa Barat

Metronidazol tablet 500 mg

193.

Jawa Barat

Midazolam injeksi i.v. 1 mg/ml

194.

Jawa Barat

Midazolam injeksi i.v. 5 mg/ml

195.
196.

Jawa Barat
Jawa Barat

Mikonazol krim/salep 2 % (Nitrat)


Mometason furoat krim 0,1%

197.
198.
199.
200.
201.

Jawa
Jawa
Jawa
Jawa
Jawa

Morfin HCL inj 10 mg/ml


Morfin injeksi i.m./s.k./i.v. 10 mg/ml
Morfin tablet 10 mg
Nacl 0,9%
Nadroparin inj 9500 Axa/mL syringe 0,3 mL

202.

Jawa Barat

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

203.

Jawa Barat

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

204.
205.
206.
207.
208.
209.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat

Nalokson injeksi 0,4 mg/ml


Natrium fusidat salep 20 mg/g
Nevirapin tablet 200 mg
Nifedipin tab 20 mg, slow release; oros
Nifedipin tab 30 mg, oros
Nifedipin tablet/kapsul 10 mg

210.
211.
212.
213.
214.
215.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat

Nistatin tablet salut 500.000 IU/ g


Noretisteron tablet 5 mg
Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori 2
Obat Antituberkulosis FDC Kategori Anak
Obat Antituberkulosis FDC Sisipan

216.

Jawa Barat

Ofloxacin tablet 200 mg

217.

Jawa Barat

Ofloxacin tablet 400 mg

Barat
Barat
Barat
Barat
Barat

218.
219.
220.
221.

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

222.
223.
224.

Jawa Barat
Jawa Barat
Jawa Barat

Omeprazol kapsul/kaplet 20 mg
ondansetron inj 4 mg/ 2 mL
Ondansetron tab 4 mg

225.

Jawa Barat

Ondansetron tablet 8 mg

226.

Jawa Barat

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit


Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

227.
228.

Jawa Barat
Jawa Barat

Paket CAPD Pergantian Transfer Set per 6 bulan


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

229.
230.

Jawa Barat
Jawa Barat

Parasetamol sirup 120 mg / 5 ml


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

231.

Jawa Barat

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

232.

Jawa Barat

Permetrin krim 5%

233.
234.
235.
236.
237.

Jawa
Jawa
Jawa
Jawa
Jawa

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


Pioglitazon tab 15 mg
Pioglitazon tab 30 mg
Pirantel suspensi 125 mg/5 ml
Pirantel tablet score (base) 125 mg

238.

Jawa Barat

Pirazinamid tablet 500 mg

239.
240.

Jawa Barat
Jawa Barat

Polikresulen cairan
Povidon Iodida larutan 10% 1000 ml

Barat
Barat
Barat
Barat
Barat

Oksimetazolin tetes hidung 0,025%


Olanzapin kapl salut 5 mg
Olanzapin tab 10 mg
Omeprazol injeksi 40 mg/ 10 ml

241.
242.
243.

Jawa Barat
Jawa Barat
Jawa Barat

Povidon Iodida larutan 10% 30 ml


Povidon Iodida larutan 10% 300 ml
Pramipeksol tab ER 0,375 mg

244.

Jawa Barat

Pramipeksol tab ER 0,750 mg

245.

Jawa Barat

Pravastatin tablet 20 mg

246.

Jawa Barat

Propanolol tablet 10 mg ( HCl )

247.

Jawa Barat

Propranolol tablet 40 mg (HCl)

248.

Jawa Barat

Ramipril tablet 5 mg

249.

Jawa Barat

Ranitidin injeksi 25 mg/2 ml

250.

Jawa Barat

Ranitidin tablet 150 mg

251.

Jawa Barat

Retinol (Vitamin A) 100.000 IU

252.
253.

Jawa Barat
Jawa Barat

Ringer Laktat larutan infus


Risperidon tablet 1 mg

254.

Jawa Barat

Risperidon tablet 2 mg

255.

Jawa Barat

Risperidon tablet 3 mg

256.

Jawa Barat

Ropinirol Tablet Salut 2 mg

257.

Jawa Barat

Ropinirol Tablet Salut 4 mg

258.

Jawa Barat

Ropinirol Tablet Salut 8 mg

259.

Jawa Barat

Salbutamol inhalasi/aerosol 100 mcg/dosis

260.

Jawa Barat

Salbutamol serb inh 200 mcg/kaps

261.

Jawa Barat

Salbutamol serb inh 200 mcg/kaps + rotahaler

262.
263.

Jawa Barat
Jawa Barat

Sefadroksil sirup kering 125 mg/5ml


Sefadroksil kapsul/kaplet 250 mg

264.

Jawa Barat

Sefadroksil kapsul/kaplet 500 mg

265.
266.

Jawa Barat
Jawa Barat

Sefadroksil sir kering 250 mg/5 mL


Sefaleksin kapsul/kaplet 500 mg

267.

Jawa Barat

Sefepim inj 1 g

268.

Jawa Barat

Sefiksim kapsul/kaplet 100 mg

269.

Jawa Barat

Sefiksim sirup kering 100 mg/ 5 ml

270.

Jawa Barat

Sefotaksim injeksi 1 g

271.

Jawa Barat

Sefpodoksim proksetil tab 100 mg

272.

Jawa Barat

Seftriakson serbuk injeksi 1 g/vial

273.

Jawa Barat

Sefuroksim tab 500 mg

274.

Jawa Barat

Setirizin tablet 10 mg

275.
276.

Jawa Barat
Jawa Barat

Sianokobalamin (vitamin B12) injeksi 500 mcg


Siklofosfamid serbuk injeksi i.v. 1000 mg

277.

Jawa Barat

Siklofosfamid serbuk injeksi i.v. 200 mg

278.

Jawa Barat

Simvastatin scored tablet 10 mg

279.

Jawa Barat

Simvastatin tablet 20 mg

280.
281.

Jawa Barat
Jawa Barat

Siprofloksasin infus 2%
Spiramisin tablet 500 mg

282.

Jawa Barat

Spironolakton tablet 100 mg

283.

Jawa Barat

Spironolakton tablet 25 mg

284.

Jawa Barat

Sufentanil injeksi iv, epidural 5 mcg/ml

285.

Jawa Barat

Takrolimus kaps 0.5 mg

286.

Jawa Barat

Tamsulosin tab 0,2 mg

287.

Jawa Barat

Tamsulosin tab 0,2 mg

288.

Jawa Barat

Tamsulosin tab SR 0,4 mg

289.
290.

Jawa Barat
Jawa Barat

Terbutalin tablet 2,5 mg


Tetrasiklin kapsul/kaplet 250 mg

291.

Jawa Barat

Tiamazol tab 5 mg

292.

Jawa Barat

Timolol tetes mata 0,25%

293.

Jawa Barat

Timolol tetes mata 0,5%

294.

Jawa Barat

Tiotropium kaps 18 mcg + handihaller

295.

Jawa Barat

Tramadol injeksi 50 mg/ml

296.
297.

Jawa Barat
Jawa Barat

Trifluoperazin tablet 5 mg
Urea krim 10%

298.
299.
300.

Jawa Barat
Jawa Barat
Jawa Barat

Valproat tab SR 250 mg


Valproat tab SR 500 mg
Verapamil tab 240 mg

301.
302.
303.
304.

Jawa
Jawa
Jawa
Jawa

Verapamil tablet 80 mg (HCl)


Vinblastin serbuk injeksi 10 mg
Zidovudin 300 mg + Lamivudine 150 mg
Zinc drop 10 mg/mL

305.
306.

Jawa Barat
Jawa Barat

Barat
Barat
Barat
Barat

Zinc sir 20 mg/5 Ml


Zinc tablet dispersible20 mg

n/a

PT. Kimia Farma

1 blister@24 tablet

n/a

PT. Indofarma

Dus, 10 dus @ 1 botol


@ 10 ml

n/a

PT. Holi Pharma

Dus, 5 strip @ 6 tablet

n/a

PT. Pertiwi Agung

Box, 10 strips @ 10
tablets

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

n/a

PT. Otto Pharmaceuticals strip

n/a
Glybotic 250 mg /ml
n/a

PT. Kimia Farma


PT. Sanbe Farma
PT. Lucas Djaja

Ktk 10x10 tablet


Vial 2 ml
dus 30 ampul @10 ml

n/a

PT. Marin Liza Farmasi

Botol @ 100 tablet salut


selaput

Cordarone
Kendaron Tablet
n/a
n/a

PT.
PT.
PT.
PT.

Dus, 6 ampul @ 3 ml
strip
Dus, 10 strip @ 10 tss
Box, 3 strips @ 10
tablets

n/a

PT. Pertiwi Agung

Box, 3 strips @ 10
tablets

n/a
n/a

PT. Novapharin
PT. Bernofarm

strip
Dus, 10 strip @ 10
kaptab

Aventis Pharma
Darya Varia
Indofarma
Pertiwi Agung

n/a
PT. Holi Pharma
n/a
PT. Novapharin
Apidra Solostar 100IU/ml 5pens PT. Aventis Pharma
x3ml

Dus, Botol 60 ml
btl @ 60 ml
dus, 5 solostar pen @
3ml

n/a

PT. Promedrahardjo Farmasi


STRIP
Industri

n/a

PT. Indofarma

Dus, 25 tube @ 5 g

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

n/a

PT. Kimia Farma

Btl 100 tablet

Levopar Tablet

PT. Meprofarm

Dus, 5 strip @ 10 tablet

Artem
n/a
n/a
n/a

PT.
PT.
PT.
PT.

Dus 6 amp @ 1ml


Dus 10 strip x 10 tab
Botol @ 100 tablet
Dus, 10 blister @ 10
kaptab ss

Urotractin 400 mg
n/a

PT. Sanbe Farma


Strip
PT. Hexpharm Jaya Laboratories
Dus, 10 ampul @ 5 ml

Temiral Eye Oint


n/a

PT. Sanbe Farma


PT. Indofarma

n/a
Pularex

PT. Kimia Farma


ktk 10x10 tablet
PT. Zenith PharmaceuticalsDus 5 strip @ 10 tablet

Tracrium

PT. Glaxo Wellcome Indonesia


Dus, 5 ampul @ 2.5 ml

n/a

PT. Indofarma

n/a

PT. Soho Industri Pharmasibotol @ 60 ml

n/a
n/a

PT. Kimia Farma


ktk 2x10 tablet
PT. Soho Industri PharmasiStrip

n/a

PT. Rama Emerald Multi Sukses


Dus @ 50 gram

n/a
n/a
Survanta
Dorner 20 g

PT.
PT.
PT.
PT.

Dorner

PT. Combiphar

Box @ 3 blister @ 10
Tablet

n/a
Stolax supp
Cripsa tab
n/a

PT.
PT.
PT.
PT.

Tube 5 gr
Supp
Box 3 x 10'S
Dus, 100 ampul @ 1 ml

n/a

PT. Indofarma

Dus, 10 blister @ 10
tablet

n/a

PT. Dexa Medica

Kotak, tube @ 15 gram

n/a

PT. Lucas Djaja

ampul @ 1 ml

Kimia Farma
Kimia Farma
Marin Liza Farmasi
Bernofarm

Phapros, Tbk
Phapros, Tbk
Abbott Indonesia
Combiphar

Kimia Farma
Sanbe Farma
Caprifarmindo
Indofarma

Tube 3,5 gram


Dus, 10 blister @ 10
tablet

Dus, 10 strip @ 10
tablet

Dus @ 10 Vial
Dus @ 10 Vial
Vial
Box/ 3 blister @ 10
Tablet

n/a

PT. Yarindo Farmatama

Box 10 X 10 Tab

n/a

PT. Indofarma

Dus, 10 strip @ 10
tablet

Farmabes Injeksi 25 mg
n/a
Cardura 1mg

PT. Pratapa Nirmala


PT. Kimia Farma
PT. Pfizer Indonesia

Vial 5 mL
Btl 100 tablet
Dus, 5 blister @10's tab

Cardura 2mg

PT. Pfizer Indonesia

Dus, 5 blister @10's tab

Doxorubicin Actavis 10 mg
Doxorubicin Actavis 50 mg
n/a
n/a
n/a
Lovenox 2000 ANTI-XA

PT.
PT.
PT.
PT.
PT.
PT.

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

Lovenox 4000 ANTI-XA

PT. Aventis Pharma

dus, 2 prefilled syringe


@ 0,4 ml

Lovenox 6000 ANTI-XA

PT. Aventis Pharma

dus, 2 prefilled syringe


@ 0,6 ml

n/a
Epirubisin Kalbe
D-Vit FT

PT. Phapros, Tbk


PT Kalbe Farma
PT. Gracia Pharmindo

Dus @ 30 Ampul
Vial @ 25 ml
Dus 3 strip @ 10 Flash
tablet

n/a
n/a

PT. Kimia Farma


PT. Indofarma

ktk 10 x 10 kapsul
Dus, 10 blister @ 10 kss

n/a

PT. Phyto Kemo Agung Farma


Botol @60 ml

n/a
n/a
n/a
Posyd
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

n/a
n/a
n/a

PT. Ikapharmindo
Botol @ 100
PT. Phapros, Tbk
Dus @ 30 Ampul
PT. Hexpharm Jaya Laboratories
Dus, 3 strip @ 10 kapsul

n/a

PT. Hexpharm Jaya Laboratories


Dus, 3 strip @ 10 kapsul

n/a
n/a

PT. Kimia Farma


PT. Kimia Farma

Actavis Indonesia
Actavis Indonesia
Novapharin
Novapharin
Bernofarm
Aventis Pharma

Kimia Farma
ktk 20 x 10 tablet
Indofarma
Dus, 10 strip @ 10 tss
Novapharin
btl @ 100 ml
Combiphar
Vial 100mg/5ml
Kimia Farma
Botol 10 ml
Mersifarma Tirmaku Mercusana
KOTAK @ 10 ampul

Dus 5 ampul@ 10ml


Dus 5 ampul@ 2ml

Durogesic 25 MU Matrix
Durogesic 50 MU Matrix
Leucogen
Zarzio
n/a

PT. Kimia Farma


PT. Kimia Farma
PT Kalbe Farma
PT. Sandoz Indonesia
PT. Marin Liza Farmasi

Sikzonoate Injeksi

PT. Mersifarma Tirmaku Mercusana


Dus, 5 ampul @ 1ml

n/a

PT. Novell Pharmaeutical Laboratories


Botol

n/a
Foransi 10
NOPRES
Curacil
Curacil
SYNARCUS

PT. Kimia Farma


ktk 1 x 10 kapsul
PT. Gracia Pharmindo
strip
PT. Dexa Medica
DUS, 30 TABLET
PT Kalbe Farma
vial @ 1 ml
PT Kalbe Farma
vial @ 10 ml
PT. Ifars Pharmaceutical Laboratories
Dus, Tube 5 g

Avamys

PT. Glaxo Wellcome Indonesia


Dus, Botol 120 Dosis
Spay

Flixotide Nbules

PT. Glaxo Wellcome Indonesia


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

Arixtra

PT. Glaxo Wellcome Indonesia


Dus, 2 pfs 0.5 ml

n/a

PT. Indofarma

n/a

PT. Sampharindo Perdana Dus, 10 strip @ 10


tablet

n/a

PT. Indofarma

Dus, 10 strip @ 10
tablet

n/a

PT. Indofarma

Dus, 10 blister @ 12
kapsul

n/a

PT. Indofarma

Dus, 10 blister @ 10
kaptab

Gemzar 1000 mg
n/a
Genoint Salep Mata
n/a

PT.
PT.
PT.
PT.

vial
Dus, 5 ampul @ 2 ml
Tube @ 3,5 gr
Dus, botol plastik 5 ml

n/a

PT. Indofarma

Dus, 10 blister @ 10
kaptab

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

Bayer Indonesia
Indofarma
Erela
Indofarma

Dus@ 5 patch
Dus@ 5 patch
pfs @ 0,5 ml
pfs @ 0,5 ml
Botol @ 100 tablet salut
gula

Dus, 25 ampul @ 2 ml

n/a
n/a
n/a
n/a
Nitral
Gliserin lar 50%
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Actavis Indonesia
Lucas Djaja
Widatra Bhakti
Widatra Bhakti
Indofarma

Haldol Decanoas

PT. Soho Industri PharmasiDus 5 Ampul@1mL

n/a

PT. Indofarma

Dus, 10 blister @ 10
tablet

n/a

PT. Indofarma

Dus, 10 blister @ 10
tablet

n/a

PT. Indofarma

Dus, 10 blister @ 10
tablet

Lodomer 2

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 10 x 10 TAB

n/a

PT. Otto Pharmaceuticals box 5ampul @1 ml

n/a
n/a
n/a

PT. Indofarma
PT. Indofarma
PT. Holi Pharma

Dus, botol 60 ml
Dus, botol 60 ml
Dus, 10 strip @ 10
tablet

n/a

PT. Indofarma

Dus, 5 blister @ 10 kss

n/a

PT. Indofarma

Dus, 5 blister @ 10 kss

n/a

PT. Indofarma

Dus, 10 strip @ 10
tablet

n/a

PT. Dexa Medica

Dus, 3 Blister @ 10
tablet

n/a

PT. Dexa Medica

Dus, 3 Blister @ 10
tablet

n/a

PT. Indofarma

Dus, 10 strip @ 10
tablet

n/a

PT. Indofarma

Dus, 10 strip @ 10
tablet

n/a

PT. Indofarma

Dus, 10 blister @ 10
tablet

Karbogliserin tetes telinga 10% PT. Lucas Djaja

ktk 5x10 tablet


ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml
Dus, 10 blister @ 10
tablet

Fenol 100 mg / 1 ml

KTM

PT. Guardian Pharmatama Vial @ 10 ml

n/a
n/a

PT. Kimia Farma


tube 10 gr
PT. Novell Pharmaeutical Laboratories
Box isi 1 Tube @ 15 g

n/a

PT. Dexa Medica

n/a
ORIXAL

PT. Phapros, Tbk


Dus @ 12 Ampul
PT. Ifars Pharmaceutical Laboratories
Dus, 3 Strip @ 10 Kaplet
salut selaput

n/a

PT. Indofarma

Dus, 5 blister @ 10
kapsul

n/a

PT. Indofarma

Dus, 5 blister @ 10
kapsul

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

n/a
n/a

PT. Kimia Farma


Ktk 10X10 TAB
PT. Hexpharm Jaya Laboratories
Dus, 3 strip @ 10 tab

n/a
n/a
n/a
n/a
n/a
Laxadine Emulsi 60 ml

PT.
PT.
PT.
PT.
PT.
PT.

n/a

PT. Erela

Seretide Inhaler 50 mcg

PT. Glaxo Wellcome Indonesia


Dus, Botol 120 Dosis

Seretide Diskus 100 mcg

PT. Glaxo Wellcome Indonesia


Dus, foil strip @ 60
dosis

Seretide Diskus 250 mcg

PT. Glaxo Wellcome Indonesia


Dus, foil strip @ 60
dosis

n/a

PT. Holi Pharma

Dus, 10 strip @ 10
kaptab

n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.

ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Dus, 2 strip @ 10 kapsul

Dus, 5 Strip @ 10 tablet

Phapros, Tbk
Dus @ 30 Ampul
Phapros, Tbk
Dus @ 30 Ampul
Kimia Farma
ktk 10x10 tablet
Kimia Farma
ktk 10x10 tablet
Kimia Farma
ktk 10x10 tablet
Galenium Pharmasia Laboratories
Botol @ 60 ml

Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Indofarma

Dus, 100 Sachet @ 30


Tablet

Aminosteril N-Hepa

PT. Fresenius Kabi Combiphar


Botol Gelas 500 ml

WIDA 2A

PT. Widatra Bhakti

Botol 500 ml

WIDA D5-1/4NS

PT. Widatra Bhakti

Botol 500 ml

WIDA D5-1/2NS

PT. Widatra Bhakti

Botol 500 ml

Intralipid

PT. Fresenius Kabi Combiphar


Botol Gelas 100 ml

n/a

PT. Infion Pharmaceutical Box, 1 Botol @ 100 ml

n/a

PT. Promedrahardjo Farmasi


STRIP
Industri

n/a

PT. Bernofarm

Dus, 100 ampul @ 2 ml

n/a

PT. Indofarma

Dus, 30 ampul @ 2 ml

n/a

PT. Novell Pharmaeutical Laboratories


Box ,3 Strip @ 10 tablet

n/a

PT. Novell Pharmaeutical Laboratories


Box ,3 Strip @ 10 tablet

n/a

PT. Ifars Pharmaceutical Laboratories


Dus, 10 Strip @ 10
Tablet

n/a

PT. Promedrahardjo Farmasi


STRIP
Industri

Merlopam 2

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 10 x 10 TAB

Ludios

PT. Soho Industri PharmasiStrip

Sandepril 50

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 5 x 10 TAB

n/a
n/a
n/a

PT. Bernofarm
Dus, 1 vial @ 1 g
PT. Kimia Farma
Botol 1000 ml
PT. Mahakam Beta Farma Strip

n/a

PT. Natura Laboratoria Farma


Dus, 10 Blister @ 10
Tablet

n/a

PT. Dexa Medica

Dus, 10 Blister @ 10
tablet

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

n/a

PT. Natura Laboratoria Farma


Dus, 1 Botol @ 100 ml

Flagyl

PT. Aventis Pharma

n/a

PT. Phyto Kemo Agung Farma


10 strip @ 10 tab

n/a

PT. Phyto Kemo Agung Farma


10 strip @ 10 tab

Dormicum

PT. Boehringer Ingelheim Boks 10 amp

Dormicum

PT. Boehringer Ingelheim Boks 5 amp

n/a
n/a

PT. Kimia Farma


Tube 10 gram
PT. Guardian Pharmatama tube 10 gram

n/a
n/a
n/a
n/a
Fraxiparine 0.3 ml

PT.
PT.
PT.
PT.
PT.

Fraxiparine 0.4 ml

PT. Glaxo Wellcome Indonesia


Dus, 5 blister @ 2 pfs
0.4 ml

Fraxiparine 0.6 ml

PT. Glaxo Wellcome Indonesia


Dus, 5 blister @ 2 pfs
0.6 ml

Nokoba
Fucilex Ointment
n/a
Adalat Oros 20 mg
Adalat Oros 30 mg
n/a

PT.
PT.
PT.
PT.
PT.
PT.

Pratapa Nirmala
Molex Ayus
Kimia Farma
Bayer Indonesia
Bayer Indonesia
Dexa Medica

Dus, 5 Ampul @ 2ml


Tube 5 gr
btl 60 tablet
blister
blister
Dus, 10 Strip @ 10
tablet salut selaput

n/a
Primolut N
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

Phapros, Tbk
Bayer Indonesia
Phapros, Tbk
Indofarma
Phapros, Tbk
Indofarma

Dus @ 10 X 10 's
blister
Paket
Paket
Paket
Dus, 3 blister @ 28 kss

n/a

PT. Novell Pharmaeutical Laboratories


Box ,5 Strip @ 10 tablet

n/a

PT. Novell Pharmaeutical Laboratories


Box ,5 Strip @ 10 tablet

Dus, 2 blister @ 5
suppositoria

Kimia Farma
Dus 10 amp @ 1 ml
Kimia Farma
Ktk 10 ampul @ 1ML
Kimia Farma
Botol 30 tablet
Widatra Bhakti
Botol 500 ml
Glaxo Wellcome Indonesia
Dus, 5 blister @ 2 pfs
0.3 ml

Ilaidin Drops
Olandoz 5
Olandoz 10
n/a

PT.
PT.
PT.
PT.

Merck Tbk
botol @ 10 ml
Sandoz Indonesia
3 X 10 fcc
Sandoz Indonesia
3 X 10 fcc
Natura Laboratoria Farma
Dus, 1 Vial @ 40 mg

n/a
n/a
n/a

PT. Novapharin
PT. Indofarma
PT. Yarindo Farmatama

strip
Dus, 5 Ampul @ 2ml
Box 3 X 10 Tab

n/a

PT. Yarindo Farmatama

Box 3 X 10 Tab

n/a

PT Kalbe Farma

Transfer Set: Set;


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

n/a
PT Kalbe Farma
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

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

n/a
Pegasys

PT. Afifarma
botol 60 ml
PT. Boehringer Ingelheim Boks, 1 pfs

Pegasys

PT. Boehringer Ingelheim Boks, 1 pfs

Scabimite Cream 10

PT. Galenium Pharmasia Laboratories


Tube @ 10 g

n/a
DECULIN 15 MG
DECULIN 30 MG
n/a
n/a

PT.
PT.
PT.
PT.
PT.

n/a

PT. Holi Pharma

Dus 10 strip @ 10 tablet

Aptil
n/a

PT. Pratapa Nirmala


PT. Afifarma

Dus, Botol @ 10ml


botol @ 1000 ml

Kimia Farma
Dexa Medica
Dexa Medica
Holi Pharma
Holi Pharma

Ktk 10 ampx2ml
30 TAB/BOX
30 TAB/BOX
Botol 60 ml
Dus, 25 Blister @ 4
tablet

n/a
n/a
Sifrol ER 0,375mg

PT. Afifarma
botol @ 30 ml
PT. Afifarma
botol @ 300 ml
PT. Boehringer Ingelheim Dus, 3 alu blister @ 10
tablet

Sifrol ER 0,750mg

PT. Boehringer Ingelheim Dus, 3 alu blister @ 10


tablet

n/a

PT. Novell Pharmaeutical Laboratories


Box ,5 Strip @ 10 tablet

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

n/a

PT. Holi Pharma

Dus, 10 strip @ 10
tablet

n/a

PT. Dexa Medica

Dus, 3 Strip @ 10
kaptab

n/a

PT. Natura Laboratoria Farma


Dus, 10 Ampul @ 2 ml

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet salut selaput

n/a

PT. Kimia Farma

Botol 50 kapsul lunak

n/a
n/a

PT. Widatra Bhakti


PT. Dexa Medica

botol 500 ml
Dus, 5 Blister @ 10
tablet

n/a

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 5 x 10 TAB

n/a

PT. Dexa Medica

Requip PD 24 Hour 2 mg

PT. Glaxo Wellcome Indonesia


Dus, 7 blister @ 4 Tablet
lepas Lambat

Requip PD 24 Hour 4 mg

PT. Glaxo Wellcome Indonesia


Dus, 7 blister @ 4 Tablet
lepas Lambat

Requip PD 24 Hour 8 mg

PT. Glaxo Wellcome Indonesia


Dus, 7 blister @ 4 Tablet
lepas Lambat

Ventolin Inhaler

PT. Glaxo Wellcome Indonesia


Dus, botol 200 dosis

Ventolin Rotacaps

PT. Glaxo Wellcome Indonesia


Dus, 10 Blister @ 10
Kapsul

Ventolin Rotahaler

PT. Glaxo Wellcome Indonesia


Dus, 1 Rotahaler

n/a
n/a

PT. Holi Pharma


Dus, Botol 60 ml
PT. Hexpharm Jaya Laboratories
Dus, 5 strip @ 10 kapsul

n/a

PT. Holi Pharma

Dus, 5 Blister @ 10
tablet

Dus, 10 strip @ 10
kapsul

n/a
n/a

PT. Holi Pharma


Dus, Botol 60 ml
PT. Ifars Pharmaceutical Laboratories
Dus, 5 Strip @ 10
Kapsul

n/a

PT. Yarindo Farmatama

Box 2 Vial @ 1000mg

n/a

PT. Bernofarm

Dus, 10 blister @ 10
kapsul

n/a

PT. Ifars Pharmaceutical Laboratories


Dus, Botol 30 ml

n/a

PT. Natura Laboratoria Farma


Dus, 10 Vial @ 1 g

Banadoz 100

PT. Sandoz Indonesia

n/a

PT. Natura Laboratoria Farma


Dus, 10 Vial @ 1 g

Zinnat 500

PT. Glaxo Wellcome Indonesia


Dus, 1 Blister @ 10
Tablet salut selaput

n/a

PT. Pertiwi Agung

n/a
Cyclovid 1000 mg

PT. Lucas Djaja


100 ampul @ 1 ml
PT. Novell Pharmaeutical Laboratories
vial

Cyclovid 200 mg

PT. Novell Pharmaeutical Laboratories


vial

n/a

PT. Natura Laboratoria Farma


Dus, 3 Strip @ 10 Kaplet
salut selaput

n/a

PT. Natura Laboratoria Farma


Dus, 3 Strip @ 10 Kaplet
salut selaput

n/a
n/a

PT. Dexa Medica


PT. Indofarma

Vial 200 ml
Dus, 5 strip @ 10 tablet

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

Dus, 3 blister @ 10
tablet

Box, 10 strips @ 10
capsules

Sufentanyl Injeksi iv.Epidural 5 PT. Kimia Farma


mcg / ml

dus 5 amp @ 2ml

Prograf

PT. Combiphar

Pounch @ 5 blister @ 10
capsule

Harnal D

PT. Combiphar

Box @ 2 blister @ 14
tablet

Harnal D 0.2 mg Disp. Tablet PT. Combiphar

Box/ 2 blister @ 14
tablet

Harnal OCAS 0.4 mg Tablet

PT. Combiphar

Box/ 3 blister @ 10
Tablet

Molasma Tablet
n/a

PT. Molex Ayus


PT. Holi Pharma

Box 50's
Dus, 10 strip @ 10
kapsul

Thyrozol 5

PT. Merck Tbk

Dus, 10 blister @ 10
tablet

Isotic Adretor 0,25%

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml

Isotic Adretor 0,5%

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml

Spiriva 10s + Handihaler

PT. Boehringer Ingelheim Dus, 1 blister @10


kapsul + handihaler

n/a

PT. Natura Laboratoria Farma


Dus, 10 Ampul @ 2 ml

n/a
Soft U Derm

PT. Darya Varia


strip
PT. Galenium Pharmasia Laboratories
tube

Depakote ER 250 mg
Depakote ER 500 mg
Isoptin 240 mg

PT. Abbott Indonesia


PT. Abbott Indonesia
PT. Abbott Indonesia

Tablet
Tablet
Tablet

n/a
Vinblastine
n/a
Zincpro Drops

PT.
PT.
PT.
PT.

Ktk 10X10 TAB


Vial 10mg/10ml
Botol 60 tablet
Drops 10 mg/ml, Botol
@15 ml

Zircum Kid Sirup


n/a

PT. Meprofarm
PT. Kimia Farma

Kimia Farma
Combiphar
Kimia Farma
Combiphar

Dus, botol 60 ml
ktk 10 x 10 tablet

1,375.00 Download

Download

3,849.00 Download

Download

338.00 Download

Download

86.00 Download

Download

380.00 Download

Download

176.00 Download

Download

233.00 Download
50,500.00 Download
3,822.00 Download

Download
Download
Download

90.00 Download

Download

12,480.00 Download
1,200.00 Download
112.00 Download
330.00 Download

Download
Download
Download
Download

187.00 Download

Download

211.00 Download
272.00 Download

Download
Download

4,045.00 Download
2,445.00 Download
79,165.00 Download

Download
Download
Download

75.00 Download

Download

2,516.00 Download

Download

520.00 Download

Download

135.00 Download

Download

1,500.00 Download

Download

22,000.00 Download
95.00 Download
48.00 Download
112.00 Download

Download
Download
Download
Download

1,815.00 Download
3,334.00 Download

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Download

24,750.00 Download
237.00 Download

Download
Download

345.00 Download
190.00 Download

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Download

20,000.00 Download

Download

74.00 Download

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34,400.00 Download

Download

4,500.00 Download
3,333.33 Download

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Download

1,250.00 Download

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9,800.00 Download
13,400.00 Download
3,200,000.00 Download
3,600.00 Download

Download
Download
Download
Download

3,600.00 Download

Download

1,520.00 Download
6,045.00 Download
247,089.00 Download
1,580.00 Download

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Download
Download
Download

68.00 Download

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9,983.00 Download

Download

1,054.00 Download

Download

97.00 Download

Download

134.00 Download

Download

46,667.00 Download
104.00 Download
3,480.00 Download

Download
Download
Download

5,480.00 Download

Download

55,500.00 Download
274,125.00 Download
3,333.00 Download
167.00 Download
15,600.00 Download
40,740.00 Download

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Download
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Download

71,875.00 Download

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100,000.00 Download

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8,100.00 Download
500,000.00 Download
650.00 Download

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497.00 Download
930.00 Download

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Download

7,700.00 Download

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314.00 Download
451.00 Download
2,500.00 Download
100,000.00 Download
16,667.00 Download
20,250.00 Download

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Download
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Download

133.00 Download
1,800.00 Download
1,075.00 Download

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Download

1,375.00 Download

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128,000.00 Download
33,914.00 Download

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153,000.00 Download
285,000.00 Download
375,000.00 Download
380,000.00 Download
634.00 Download

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55,000.00 Download

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38,000.00 Download

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22,000.00 Download
419.00 Download
410.00 Download
24,500.00 Download
33,000.00 Download
2,400.00 Download

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93,333.33 Download

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12,916.67 Download

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241,666.67 Download

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1,829.00 Download

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78.00 Download

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85.00 Download

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289.00 Download

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679.00 Download

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1,098,900.00 Download
3,399.00 Download
2,600.00 Download
3,194.00 Download

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56.00 Download

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950.00 Download

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265.00 Download
436.00 Download
404.00 Download
430.00 Download
1,500.00 Download
5,333.00 Download
5,700.00 Download
5,200.00 Download
219.00 Download

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83,333.33 Download

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59.00 Download

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96.00 Download

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69.00 Download

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126.00 Download

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4,500.00 Download

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3,499.00 Download
4,499.00 Download
149.00 Download

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1,425.00 Download

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2,470.00 Download

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88.00 Download

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4,900.00 Download

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3,100.00 Download

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140.00 Download

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62.00 Download

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245.00 Download

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2,042.00 Download

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110,000.00 Download

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2,569.00 Download
4,700.00 Download

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300.00 Download

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2,300.00 Download
3,200.00 Download

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361.00 Download

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553.00 Download

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900.00 Download

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184.00 Download
3,400.00 Download

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1,100.00 Download
1,050.00 Download
500.00 Download
850.00 Download
1,100.00 Download
12,450.00 Download

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42.00 Download

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90,666.67 Download

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100,833.33 Download

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113,333.33 Download

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149.00 Download

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670.00 Download
6,200.00 Download
540.00 Download
1,400.00 Download
473.00 Download

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78,720.00 Download

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6,917.00 Download

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7,700.00 Download

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7,700.00 Download

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60,500.00 Download

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40,000.00 Download

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528.00 Download

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839.00 Download

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1,363.00 Download

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600.00 Download

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350.00 Download

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89.00 Download

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154.00 Download

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1,341.00 Download

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1,200.00 Download

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3,276.00 Download

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54,000.00 Download
254,100.00 Download
635.00 Download

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205.00 Download

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300.00 Download

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108.00 Download

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9,950.00 Download

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3,220.00 Download

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110.00 Download

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160.00 Download

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6,119.00 Download

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12,060.00 Download

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3,000.00 Download
17,820.00 Download

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8,400.00 Download
10,499.00 Download
1,300.00 Download
4,700.00 Download
54,144.17 Download

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66,640.00 Download

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94,961.67 Download

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61,600.00 Download
6,490.00 Download
2,800.00 Download
2,999.00 Download
3,500.00 Download
100.00 Download

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640.00 Download
2,618.00 Download
359,900.00 Download
1,199,990.00 Download
214,900.00 Download
160,000.00 Download

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400.00 Download

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650.00 Download

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27,550.00 Download
6,450.00 Download
11,200.00 Download
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211.00 Download
2,400.00 Download
716.00 Download

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1,189.00 Download

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1,902,240.00 Download

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219,540.00 Download
5,522,580.00 Download

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1,438.00 Download
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1,248,220.00 Download

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11,475.00 Download

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14,500.00 Download
3,120.00 Download
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206.00 Download

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17,393.00 Download
37,109.00 Download

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2,163.00 Download
14,203.00 Download
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11,268.00 Download

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65.00 Download

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106.00 Download

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580.00 Download

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1,140.00 Download

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120.00 Download

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260.00 Download

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5,200.00 Download
1,400.00 Download

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1,008.00 Download

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2,000.00 Download

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5,247.50 Download

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6,275.00 Download

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7,383.33 Download

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63,750.00 Download

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430.67 Download

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5,866.67 Download

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4,746.00 Download
513.00 Download

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509.00 Download

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5,895.00 Download
1,000.00 Download

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48,060.00 Download

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859.00 Download

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8,800.00 Download

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2,950.00 Download

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3,700.00 Download

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7,200.00 Download

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181.00 Download

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1,078.00 Download
256,000.00 Download

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82,000.00 Download

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169.00 Download

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391.00 Download

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13,000.00 Download
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900.00 Download

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315.00 Download

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127,000.00 Download

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11,167.00 Download

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5,800.00 Download

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6,800.00 Download

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99.00 Download
148.00 Download

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563.00 Download

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9,128.00 Download

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9,722.00 Download

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152,543.00 Download

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2,395.00 Download

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405.00 Download
6,400.00 Download

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2,793.00 Download
5,450.00 Download
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234.00 Download
210,000.00 Download
3,429.00 Download
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Down

1.

Jawa Barat

ACT (Artesunate tablet 50 mg + Amodiaquine


anhydrida tablet 200 mg)

n/a

2.
3.
4.
5.
6.
7.
8.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Adefovir Dipivoksil tablet/kaplet 10 mg


Albendazol suspensi 200 mg/5 ml
Albendazol tablet/kapsul/kaplet 400 mg
Alopurinol tablet/kapsul/kaplet 100 mg
Alprazolam tablet/kapsul/kaplet 0,25 mg
Alprazolam tablet/kapsul/kaplet 0,5 mg
Alprazolam tablet/kapsul/kaplet 1 mg

Hepsera
n/a
n/a
n/a
n/a
n/a
n/a

Barat
Barat
Barat
Barat
Barat
Barat
Barat

9.
10.

Jawa Barat
Jawa Barat

Amikasin injeksi 250 mg/ml


Aminofilin injeksi 24 mg/ml

Glybotic
250
mg /ml
n/a

11.

Jawa Barat

Aminofilin tablet scored 200 mg

n/a

12.

Jawa Barat

Amiodaron injeksi 150 mg/3 ml

Cordarone

13.
14.
15.
16.
17.

Jawa
Jawa
Jawa
Jawa
Jawa

Amiodaron tablet/kaplet 200 mg


Amitriptilin tablet salut 25 mg (HCl)
Amlodipin tablet 10 mg
Amlodipin tablet 5 mg
Amoksisilin kapsul/kaplet 250 mg

Kendaron
Tablet
n/a
n/a
n/a
n/a

18.

Jawa Barat

Amoksisilin kapsul/kaplet/tablet scored 500 mg

n/a

19.
20.

Jawa Barat
Jawa Barat

Amoksisilin sirup kering forte 250 mg/5 ml


Amoksisilin sirup kering 125 mg/ 5 ml

n/a
n/a

Jawa Barat

Analog insulin mix insulininj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (25%
insulin lispro, 75% insulin lispro protamine
suspension, (rDNA))

Humalog
Mix 25

Jawa Barat

Apidra
Solostar
Analog insulin rapid actinginj 100 UI/ml,
100IU/ml
vial/cartridge disposible/penfill cartridge (Insulin 5pens
glulisine 100 IU/ml)
x3ml

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
lispro (rDNA origin))
Humalog

21.

22.

23.

Barat
Barat
Barat
Barat
Barat

Jawa Barat

Anastrozol tablet/kapsul/kaplet 1 mg

Arimidex
1 mg

25.

Jawa Barat

Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium
Hidroksida 200 mg

n/a

26.

Jawa Barat

Anti Bakteri DOEN salep kombinasi: Basitrasin


500 IU/g Polimiksin 10.000 IU/g

n/a

27.

Jawa Barat

Antimalaria DOEN kombinasi : Pirimetamin 25


mg Sulfadoksin 500 mg

n/a

28.

Jawa Barat

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50


mg
n/a

29.
30.
31.
32.
33.

Jawa
Jawa
Jawa
Jawa
Jawa

Antiparkinson DOEN tablet kombinasi :


Benserazid 25 mg Levodopa 100 mg
Artemether injeksi 80 mg/ml
Asam Askorbat (Vitamin C) tablet 50 mg
Asam Folat tablet/kapsul/kaplet 1 mg
Asam Mefenamat kapsul/kaplet 500 mg

Levopar
Tablet
Artem
n/a
n/a
n/a

34.

Jawa Barat

Asam pipemidat kapsul 400 mg

Urotractin
400 mg

35.

Jawa Barat

Asam traneksamat injeksi 100 mg/ml

n/a

36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Asiklovir salep mata 3%


Asiklovir tablet/kapsul/kaplet 200 mg
Asiklovir tablet/kapsul/kaplet 400 mg
Atapulgit tablet 600 mg
Atrakurium injeksi 25 mg/2,5 ml
Atropin Sulfat tablet 0,5 mg
Azitromisin sir kering 200 mg/ 5 mL
Azitromisin tablet 500 mg
Azitromisin tablet 250 mg
Bedak salisil serbuk 2%
Benzatin Benzil Penisilin 1,2 juta IU/ vial
Benzatin Benzil Penisilin 2,4 juta IU/vial
Beractant injeksi / suspensi 25 mg/mL
Beraprost sodium tablet 20 mcg

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

24.

Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

50.
51.

Jawa Barat
Jawa Barat

Beraprost sodium tablet 20 mcg


Betametason krim 0,1% (sebagai Valerat)

Dorner 20
g
n/a

52.

Jawa Barat

Bikalutamid tablet salut 150 mg

Casodex
150 mg

53.

Jawa Barat

Bikalutamid tablet salut 50 mg

Casodex
50 mg

54.

Jawa Barat

Bisakodil suppositoria 10 mg

Stolax
supp

55.

Jawa Barat

Bisoprolol tablet 5 mg

n/a

56.

Jawa Barat

Bromokriptin tablet 2,5 mg

Cripsa tab

Budesonid inhaler 200 mcg/puff, 100 dosis

Pulmicort
Turbuhale
r

Budesonid respules / cairan inhaler 0,25mg/mL

Pulmicort
Respules

Jawa Barat

Budesonid-formoterol (fixed combination)


inhaler 160/4,5 mcg

Symbicort
Turbuhale
r 160/4.5
mcg

Jawa Barat

Budesonid-formoterol (fixed combination)


inhaler 80/4,5 mcg

Symbicort
80/4.5
mcg

Deferasiroks tablet disp/ eff 250 mg

Exjade
250 mg
Tab

Deferasiroks tablet disp/ eff 500 mg


Deksametason injeksi i.v./i.m. 5 mg/ml
Deksametason tablet 0,5 mg
Desoksimetason krim 0,25%

Exjade
500 mg
Tab
n/a
n/a
n/a

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


Digoksin tablet 0,25 mg
Diltiazem HCl tablet 30 mg

n/a
n/a
n/a

Diltiazem infus injeksi 50 mg

Herbesser
Powder
Injection
50mg

Diltiazem injeksi 25 mg/5 mL

Farmabes
Injeksi 25
mg

57.

58.

59.

60.

61.

Jawa Barat

Jawa Barat

Jawa Barat

62.
63.
64.
65.

Jawa
Jawa
Jawa
Jawa

66.
67.
68.

Jawa Barat
Jawa Barat
Jawa Barat

69.

70.

Barat
Barat
Barat
Barat

Jawa Barat

Jawa Barat

71.

Jawa Barat

Diltiazem Kapsul SR 100 mg

Herbesser
CD 100

72.
73.

Jawa Barat
Jawa Barat

Diltiazem Kapsul SR 200 mg


Dimenhidrinat tablet 50 mg

Herbesser
CD 200
n/a

74.

Jawa Barat

Doksazosin mesilat tablet 1 mg

Cardura
1mg

75.

Jawa Barat

Doksazosin mesilat tablet 2 mg

Cardura
2mg

Doksorubisin serbuk injeksi i.v. 10 mg/vial

Doxorubic
in Actavis
10 mg

Doksorubisin serbuk injeksi i.v. 50 mg/vial


Domperidon suspensi/sirup 5 mg/5 ml
Domperidon tablet 10 mg
Domperidon tetes 5 mg/mL

Doxorubic
in Actavis
50 mg
n/a
n/a
n/a

Dutasterid kaps lunak 0,5 mg

Avodart

Enoksaparin sodium inj 20 mg/0,2 mL

Lovenox
2000
ANTI-XA

Enoksaparin sodium inj 40 mg/0,4 mL

Lovenox
4000
ANTI-XA
Lovenox
6000
ANTI-XA

76.

Jawa Barat

77.
78.
79.
80.

Jawa
Jawa
Jawa
Jawa

81.

Jawa Barat

82.

83.

Barat
Barat
Barat
Barat

Jawa Barat

Jawa Barat

84.

Jawa Barat

Enoksaparin sodium inj 60 mg/0,6 mL

85.

Jawa Barat

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


Epirubisin
Kalbe

86.

Jawa Barat

Epirubisin serb injeksi 50 mg/25ml

87.
88.
89.
90.
91.
92.
93.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI D-Vit FT


Eritromisin kapsul/kaplet 250 mg
n/a
Eritromisin kapsul/kaplet 500 mg
n/a
Eritromisin sirup kering 200 mg/ 5 ml
n/a
Etambutol tablet 250 mg (HCl)
n/a
Etambutol tablet salut 500 mg (HCl)
n/a
Etanol 70% cairan
n/a

94.
95.
96.

Jawa Barat
Jawa Barat
Jawa Barat

97.

Barat
Barat
Barat
Barat
Barat
Barat
Barat

Jawa Barat

Etonogestrel implan 68 mcg


Etoposid injeksi 20 mg/ml
Eugenol cairan

Implanon
Posyd
n/a

Everolimus tab 0,25 mg

Certican
0,25 mg
Tab

98.

Jawa Barat

Everolimus tab 0,5 mg

Certican
0,5 mg
Tab

99.
100.

Jawa Barat
Jawa Barat

Fenitoin injeksi 50 mg/ml


Fenitoin kapsul/kaplet 100 mg

n/a
n/a

101.

Jawa Barat

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

n/a

102.

Jawa Barat

Fenofibrat kaps 100 mg

n/a

103.

Jawa Barat

Fenofibrat kaps 300 mg

n/a

104.

Jawa Barat

Fenoksimetil penisilin (penisilin V) tab 125 mg

Fenocin

105.

Jawa Barat

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

106.

Jawa Barat

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

n/a

Fentanil patch 25 mcg/jam

Durogesic
25 MU
Matrix

107.

Jawa Barat

108.
109.

Jawa Barat
Jawa Barat

Fentanil patch 50 mcg/jam


Filgrastim inj 300 mcg/mL

Durogesic
50 MU
Matrix
Zarzio

110.

Jawa Barat

Filgrastim inj 300 mcg/mL

Leucogen

111.

Jawa Barat

Fitomenadion (Vit.K1) tablet salut gula 10 mg

n/a

112.

Jawa Barat

Flufenazin injeksi i.m. 25 mg/ml

Sikzonoat
e Injeksi

113.
114.

Jawa Barat
Jawa Barat

Flukonazol injeksi 2 mg/ml


Flukonazol tablet/kapsul 150 mg

n/a
n/a

115.
116.
117.
118.

Jawa
Jawa
Jawa
Jawa

Fluoksetin tablet 10 mg
Fluoksetin tablet 20 mg
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL

Foransi 10
NOPRES
Curacil
Curacil

119.
120.

Jawa Barat
Jawa Barat

Flusinolon asetonid krim 0,025%


Flutikason furoat intranasal spray

SYNARCU
S
Avamys

121.
122.

Jawa Barat
Jawa Barat

Flutikason propionat nebules 0,5 mg


Fondaparinuks inj 2,5 mg/0,5 mL

Flixotide
Nbules
Arixtra

Barat
Barat
Barat
Barat

123.
124.
125.

Jawa Barat
Jawa Barat
Jawa Barat

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


Furosemid tablet 40 mg
Furosemid tablet 40 mg

n/a
n/a
n/a

126.
127.
128.

Jawa Barat
Jawa Barat
Jawa Barat

Gefitinib tab 250 mg


Gemfibrozil kapsul/kaplet 300 mg
Gemfibrozil tablet 600 mg

Iressa 250
mg
n/a
n/a

129.
130.

Jawa Barat
Jawa Barat

Gemsitabin inj 1000 mg/vial


Gentamisin injeksi 40 mg/ ml

Gemzar
1000 mg
n/a

Gentamisin salep mata 0,3%


Gentamisin tetes mata 0,3%
Glibenklamid tablet 5 mg
Gliklazid tab 80 mg
Glikuidon tab 30 mg
Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Gliseril trinitrat tab sublingual 0,5 mg

Genoint
Salep
Mata
n/a
n/a
Glicab
n/a
n/a
n/a
n/a
n/a
Nitral

131.
132.
133.
134.
135.
136.
137.
138.
139.
140.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

141.
142.
143.

Jawa Barat
Jawa Barat
Jawa Barat

Gliserin lar 50%


Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril

Gliserin
lar 50%
n/a
n/a

144.

Jawa Barat

Goserelin asetat inj 10,8 mg/vial

Zoladex
10,8 mg

Goserelin asetat inj 3,6 mg


Griseofulvin tablet 125 mg

Zoladex
3,6 mg
n/a
Haldol
Decanoas
n/a
n/a
n/a

145.
146.

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Jawa Barat
Jawa Barat

147.
148.
149.
150.

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

Haloperidol
Haloperidol
Haloperidol
Haloperidol

inj 50 mg/mL
tablet 0,5 mg
tablet 5 mg
tablet 1,5 mg

151.
152.
153.
154.
155.

Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat

Haloperidol tablet 2 mg
Hiosin butilbromid injeksi 20 mg/ml
Ibuprofen sirup 100 mg/5 ml
Ibuprofen suspensi 200 mg/5 ml
Ibuprofen tablet 400 mg

Lodomer
2
n/a
n/a
n/a
n/a

156.

Jawa Barat

Imidapril tab 10 mg

Tanapress
10mg

157.
158.
159.
160.
161.
162.
163.
164.
165.

166.
167.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Jawa Barat
Jawa Barat

Imidapril tab 5 mg
Irbesartan tab 150 mg
Irbesartan tab 300 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalium aspartat tab 300 mg
Kandesartan tab 16 mg
Kandesartan tab 8 mg
Kaptopril tablet 50 mg
Kaptopril tablet scored12,5 mg

Tanapress
5mg
n/a
n/a
n/a
Kalipar
n/a
n/a
n/a
n/a

Karbamazepin sirup 100 mg/5 ml


Karbamazepin tablet 200 mg

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

168.
169.

Jawa Barat
Jawa Barat

Karbogliserin tetes telinga 10%


Ketamin injeksi i.v. 100 mg/ml

Karboglise
rin tetes
telinga
10%
KTM

170.
171.
172.
173.

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

Ketokonazol krim 2%
Ketokonazol krim 2%
Ketokonazol tablet 200 mg
Ketorolac injeksi 30 mg/ml

n/a
n/a
n/a
n/a

174.
175.
176.
177.
178.

Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat

Klaritromisin tab 500 mg


Klindamisin kapsul/kaplet 150 mg
Klindamisin kapsul/kaplet 300 mg
Klobazam tab 10 mg
Klonidin tablet 0,15 mg

ORIXAL
n/a
n/a
n/a
n/a

179.
180.

Jawa Barat
Jawa Barat

Klopidogrel tab 75 mg
Klorpromazin injeksi i.m. 25 mg/ml (HCl)

n/a
n/a

181.
182.
183.
184.

Jawa
Jawa
Jawa
Jawa

Klorpromazin
Kodein tablet
Kodein tablet
Kodein tablet

n/a
n/a
n/a
n/a

185.

Barat
Barat
Barat
Barat

Jawa Barat

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


10 mg
15 mg
20 mg

Kombinasi suspensi : Parafin + gliserin +


fenolftalein

Laxadine
Emulsi 60
ml

186.

Jawa Barat

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200


mg Asam folat 0,25 mg
n/a

Jawa Barat

Kombinasi: Salmeterol 25 mcg; Flutikason


propionat 50 mcg

Seretide
Inhaler 50
mcg

Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 100 mcg

Seretide
Diskus
100 mcg

Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 250 mcg

Seretide
Diskus
250 mcg

190.
191.
192.
193.
194.
195.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Kotrimoksazol DOEN I (dewasa) kombinasi :


Sulfametoksazol 400 mg Trimetoprim 80 mg
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

n/a
n/a
n/a
n/a
n/a
n/a

196.

Jawa Barat

Lapatinib tab 250 mg

Tykerb

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120
mEq)
Amiparen

198.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino Pan-amin


27 g, Sorbitol 50 g, Cl- 52 mEq)
G

199.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino Aminoflui


30 g, Glukosa 7,3 % dan elektrolit)
d

200.

Jawa Barat

Larutan mengandung Asam Amino (Asam amino Aminoster


8%)
il N-Hepa

201.

Jawa Barat

Otsu - KCl
Larutan mengandung Elektrolit (Kalium Klorida) 7,46%

202.

Jawa Barat

Larutan mengandung Karbohidrat (Maltose 100


gr)
Martos

203.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 25,0 g; NaCl: 4,5 g)

WIDA 2A

204.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 2.25 g)

WIDA D51/4NS

205.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 4.5 g)

WIDA D51/2NS

187.

188.

189.

197.

Barat
Barat
Barat
Barat
Barat
Barat

206.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(NaCl 1.75 g, KCL 1.5g, Glukosa 100 gr)

KA ENMG
3

207.
208.

Jawa Barat
Jawa Barat

Larutan mengandung Lipid (Emulsi lemak 20%) Intralipid


Levofloksasin inf 5 mg/mL
n/a

209.
210.

Jawa Barat
Jawa Barat

Levofloksasin tablet 500 mg


Lidokain injeksi 2% (HCL)

211.

Jawa Barat

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


n/a

n/a
n/a

212.

Jawa Barat

Lidokain jeli 2%

Xylocaine
Jelly 2%

213.

Jawa Barat

Lisinopril tablet 10 mg

n/a

214.

Jawa Barat

Lisinopril tablet 5 mg

n/a

215.

Jawa Barat

Loperamid tablet 2 mg

n/a

216.

Jawa Barat

Loratadin tablet 10 mg

n/a

217.
218.

Jawa Barat
Jawa Barat

Lorazepam tablet 2 mg
Maprotilin HCl tab 25 mg

Merlopam
2
Ludios

219.
220.
221.
222.
223.
224.
225.
226.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Maprotilin HCl tab 50 mg


Meropenem inj 1 g
Metadon sir 50mg/5ml
Metilprednisolon tablet 16 mg
Metilprednisolon tablet 4 mg
Metilprednisolon tablet 8 mg
Metoklopramide tablet 5 mg
Metronidazol infus 500 mg/100 ml

Sandepril
50
n/a
n/a
n/a
n/a
n/a
n/a
n/a

227.
228.
229.

Jawa Barat
Jawa Barat
Jawa Barat

Metronidazol supositoria 500 mg


Metronidazol tablet 250 mg
Metronidazol tablet 500 mg

Flagyl
n/a
n/a

230.

Jawa Barat

Midazolam injeksi i.v. 1 mg/ml

Dormicum

231.
232.
233.
234.

Jawa
Jawa
Jawa
Jawa

Midazolam injeksi i.v. 5 mg/ml


Mikonazol krim/salep 2 % (Nitrat)
Mometason furoat krim 0,1%
Morfin HCL inj 10 mg/ml

Dormicum
n/a
n/a
n/a

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat

235.
236.
237.

Jawa Barat
Jawa Barat
Jawa Barat

Morfin injeksi i.m./s.k./i.v. 10 mg/ml


Morfin tablet 10 mg
Nacl 0,9%

n/a
n/a
n/a

238.

Jawa Barat

Nadroparin inj 9500 Axa/mL syringe 0,3 mL

Fraxiparin
e 0.3 ml

239.

Jawa Barat

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

Fraxiparin
e 0.4 ml

240.
241.
242.

Jawa Barat
Jawa Barat
Jawa Barat

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


Nalokson injeksi 0,4 mg/ml
Natrium Bikarbonat injeksi i.v 8,4%

Fraxiparin
e 0.6 ml
Nokoba
Meylon

243.

Jawa Barat

Natrium Diklofenak tablet 50 mg

n/a

244.
245.

Jawa Barat
Jawa Barat

Natrium fusidat salep 20 mg/g


Nevirapin tablet 200 mg

Fucilex
Ointment
n/a

Nifedipin tab 20 mg, slow release; oros

Adalat
Oros 20
mg

246.

Jawa Barat

247.

Jawa Barat

Nifedipin tab 30 mg, oros

Adalat
Oros 30
mg

248.
249.

Jawa Barat
Jawa Barat

Nifedipin tablet/kapsul 10 mg
Nistatin tablet salut 500.000 IU/ g

n/a
n/a

250.
251.
252.
253.
254.

Jawa
Jawa
Jawa
Jawa
Jawa

Noretisteron tablet 5 mg
Obat Antituberkulosis FDC
Obat Antituberkulosis FDC
Obat Antituberkulosis FDC
Obat Antituberkulosis FDC

Primolut N
n/a
n/a
n/a
n/a

255.

Jawa Barat

Ofloxacin tablet 200 mg

n/a

256.

Jawa Barat

Ofloxacin tablet 400 mg

n/a

Barat
Barat
Barat
Barat
Barat

Kategori 1
Kategori 2
Kategori Anak
Sisipan

257.

Jawa Barat

Oksimetazolin tetes hidung 0,025%

Ilaidin
Drops

258.

Jawa Barat

Olanzapin kapl salut 5 mg

Olandoz 5

Olanzapin tab 10 mg
Omeprazol injeksi 40 mg/ 10 ml
Omeprazol kapsul/kaplet 20 mg
ondansetron inj 4 mg/ 2 mL

Olandoz
10
n/a
n/a
n/a

259.
260.
261.
262.

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

263.
264.

Jawa Barat
Jawa Barat

Ondansetron tab 4 mg
Ondansetron tablet 8 mg

n/a
n/a

265.

Jawa Barat

Paket CAPD Awal (Komposisi: 1 unit Transfer Set,


2 unit Ultaclam, 1 unit Tenckoff Catheter,
Titanium Adaptor)
n/a

266.

Jawa Barat

Paket CAPD Pergantian Transfer Set per 6 bulan n/a

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
n/a

267.
268.

Jawa Barat
Jawa Barat

Paket CAPD Rutin 120 ( 4x ganti cairan perhari


dengan komposisi Larutan Dialisa 1.5 %,
Larutan Dialisa 2.5 %, Larutan Dialisa 4.25 %,
Minicap)
Parasetamol sirup 120 mg / 5 ml

269.

Jawa Barat

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

Pegasys

270.

Jawa Barat

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

Pegasys

271.

Jawa Barat

Permetrin krim 5%

Scabimite
Cream 10

272.

Jawa Barat

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

273.

Jawa Barat

Pioglitazon tab 15 mg

DECULIN
15 MG

274.
275.
276.
277.
278.
279.
280.
281.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Pioglitazon tab 30 mg
Pirantel suspensi 125 mg/5 ml
Pirantel tablet score (base) 125 mg
Pirazinamid tablet 500 mg
Polikresulen cairan
Povidon Iodida larutan 10% 1000 ml
Povidon Iodida larutan 10% 30 ml
Povidon Iodida larutan 10% 300 ml

DECULIN
30 MG
n/a
n/a
n/a
Aptil
n/a
n/a
n/a

282.

Jawa Barat

Pramipeksol tab ER 0,375 mg

Sifrol ER
0,375mg

283.

Jawa Barat

Pramipeksol tab ER 0,750 mg

Sifrol ER
0,750mg

284.
285.
286.

Jawa Barat
Jawa Barat
Jawa Barat

Pravastatin tablet 20 mg
Propanolol tablet 10 mg ( HCl )
Propranolol tablet 40 mg (HCl)

n/a
n/a
n/a

Quetiapin tab 200 mg

Seroquel
XR 200
mg

Quetiapin tab 300 mg

Seroquel
XR 300
mg

287.

288.

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Jawa Barat

Jawa Barat

289.
290.
291.

Jawa Barat
Jawa Barat
Jawa Barat

Quetiapin tab 400 mg


Ramipril tablet 5 mg
Ranitidin injeksi 25 mg/2 ml

Seroquel
XR 400
mg
n/a
n/a

292.
293.
294.
295.

Jawa
Jawa
Jawa
Jawa

Ranitidin tablet 150 mg


Retinol (Vitamin A) 100.000 IU
Ringer Laktat larutan infus
Risperidon tablet 1 mg

n/a
n/a
n/a
n/a

296.
297.

Jawa Barat
Jawa Barat

Risperidon tablet 2 mg
Risperidon tablet 3 mg

n/a
n/a

Ropinirol Tablet Salut 2 mg

Requip PD
24 Hour 2
mg

298.

Barat
Barat
Barat
Barat

Jawa Barat

299.

Jawa Barat

Ropinirol Tablet Salut 4 mg

Requip PD
24 Hour 4
mg

300.

Jawa Barat

Ropinirol Tablet Salut 8 mg

Requip PD
24 Hour 8
mg

301.

Jawa Barat

Salbutamol inhalasi/aerosol 100 mcg/dosis

Ventolin
Inhaler

302.

Jawa Barat

Salbutamol serb inh 200 mcg/kaps

Ventolin
Rotacaps

303.
304.

Jawa Barat
Jawa Barat

Salbutamol serb inh 200 mcg/kaps + rotahaler


Sefadroksil sirup kering 125 mg/5ml

Ventolin
Rotahaler
n/a

305.
306.
307.

Jawa Barat
Jawa Barat
Jawa Barat

Sefadroksil kapsul/kaplet 250 mg


Sefadroksil kapsul/kaplet 500 mg
Sefadroksil sir kering 250 mg/5 mL

n/a
n/a
n/a

308.
309.
310.

Jawa Barat
Jawa Barat
Jawa Barat

Sefaleksin kapsul/kaplet 500 mg


Sefepim inj 1 g
Sefiksim kapsul/kaplet 100 mg

n/a
n/a
n/a

311.
312.

Jawa Barat
Jawa Barat

Sefiksim sirup kering 100 mg/ 5 ml


Sefotaksim injeksi 1 g

n/a
n/a

313.
314.

Jawa Barat
Jawa Barat

Sefpodoksim proksetil tab 100 mg


Seftriakson serbuk injeksi 1 g/vial

Banadoz
100
n/a

315.
316.

Jawa Barat
Jawa Barat

Sefuroksim tab 500 mg


Setirizin tablet 10 mg

Zinnat
500
n/a

317.

Jawa Barat

Sianokobalamin (vitamin B12) injeksi 500 mcg

n/a

318.

Jawa Barat

Siklofosfamid serbuk injeksi i.v. 1000 mg

Cyclovid
1000 mg

319.

Jawa Barat

Siklofosfamid serbuk injeksi i.v. 200 mg

Cyclovid
200 mg

Siklosporin kaps 100 mg

Sandimm
un Neoral
100mg
Kap

320.

Jawa Barat

321.

Jawa Barat

Siklosporin kapsul lunak 25 mg

Sandimm
un Neoral
25mg Kap

322.

Jawa Barat

Simvastatin scored tablet 10 mg

n/a

323.
324.
325.
326.
327.
328.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Simvastatin tablet 20 mg
Siprofloksasin infus 2%
Siprofloksasin tablet 500 mg (sebagai HCl)
Spiramisin tablet 500 mg
Spironolakton tablet 100 mg
Spironolakton tablet 25 mg

n/a
n/a
n/a
n/a
n/a
n/a

Barat
Barat
Barat
Barat
Barat
Barat

329.

Jawa Barat

Sufentanil injeksi iv, epidural 5 mcg/ml

Sufentany
l Injeksi
iv.Epidural
5 mcg /
ml

330.
331.

Jawa Barat
Jawa Barat

Takrolimus kaps 0.5 mg


Tamsulosin tab 0,2 mg

Prograf
Harnal D

Tamsulosin tab 0,2 mg

Harnal
D 0.2 mg
Disp.
Tablet

Tamsulosin tab SR 0,4 mg

Harnal
OCAS 0.4
mg Tablet

332.

333.

Jawa Barat

Jawa Barat

334.

Jawa Barat

Telbivudin tab 600 mg

Sebivo
600 mg
Tab

335.

Jawa Barat

Terbutalin cairan ih 2,5 mg/mL

Bricasma
Respules

336.

Jawa Barat

Terbutalin tablet 2,5 mg

Molasma
Tablet

337.
338.

Jawa Barat
Jawa Barat

Terbutalin turbu (serbuk ih) 0,50 mg


Tetrasiklin kapsul/kaplet 250 mg

Bricasma
Turbuhale
r 0.5 mcg
n/a

339.

Jawa Barat

Tiamazol tab 5 mg

Thyrozol 5

340.

341.

342.
343.
344.
345.

346.

Jawa Barat

Jawa Barat

Jawa Barat
Jawa Barat
Jawa Barat
Jawa Barat

Jawa Barat

Timolol tetes mata 0,25%

Isotic
Adretor
0,25%

Timolol tetes mata 0,5%

Isotic
Adretor
0,5%

Tiotropium kaps 18 mcg + handihaller


Tramadol injeksi 50 mg/ml
Trifluoperazin tablet 5 mg

Spiriva
10s +
Handihale
r
n/a
n/a

Urea krim 10%

Soft U
Derm

Valproat tab SR 250 mg

Depakote
ER 250
mg

347.

Jawa Barat

Valproat tab SR 500 mg

Depakote
ER 500
mg

348.

Jawa Barat

Valsartan tab 80 mg

Diovan
80mg Tab

349.
350.

Jawa Barat
Jawa Barat

Verapamil tab 240 mg


Verapamil tablet 80 mg (HCl)

Isoptin
240 mg
n/a

351.
352.

Jawa Barat
Jawa Barat

Vinblastin serbuk injeksi 10 mg


Zidovudin 300 mg + Lamivudine 150 mg

Vinblastin
e
n/a

353.

Jawa Barat

Zinc drop 10 mg/mL

Zincpro
Drops

354.
355.

Jawa Barat
Jawa Barat

Zinc sir 20 mg/5 Ml


Zinc tablet dispersible20 mg

Zircum
Kid Sirup
n/a

PT. Kimia Farma


PT.
PT.
PT.
PT.
PT.
PT.
PT.

1 blister@24 tablet

SmithKline Beecham Phamaceuticals


Dus, 3 Blister @ 10 kapsul
Indofarma
Dus, 10 dus @ 1 botol @ 10 ml
Holi Pharma
Dus, 5 strip @ 6 tablet
Pertiwi Agung
Box, 10 strips @ 10 tablets
Dexa Medica
Dus, 10 Strip @ 10 tablet
Otto Pharmaceuticals
strip
Kimia Farma
Ktk 10x10 tablet

1,375.00
27,500.00
3,849.00
338.00
86.00
380.00
176.00
233.00

PT. Sanbe Farma


PT. Lucas Djaja

Vial 2 ml
dus 30 ampul @10 ml

50,500.00
3,822.00

PT. Marin Liza Farmasi

Botol @ 100 tablet salut selaput

90.00

PT. Aventis Pharma

Dus, 6 ampul @ 3 ml

12,480.00

PT.
PT.
PT.
PT.
PT.

strip
Dus, 10 strip @ 10 tss
Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets
strip

1,200.00
112.00
330.00
187.00
211.00

PT. Bernofarm

Dus, 10 strip @ 10 kaptab

272.00

PT. Holi Pharma


PT. Novapharin

Dus, Botol 60 ml
btl @ 60 ml

4,045.00
2,445.00

PT. Tempo Scan Pacific

Penfill cartridge

97,500.00

PT. Aventis Pharma

dus, 5 solostar pen @ 3ml

79,165.00

PT. Tempo Scan Pacific

Penfill cartridge

79,167.00

Darya Varia
Indofarma
Pertiwi Agung
Pertiwi Agung
Novapharin

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

32,000.00

PT. Promedrahardjo Farmasi Industri STRIP

75.00

PT. Indofarma

Dus, 25 tube @ 5 g

2,516.00

PT. Kimia Farma

ktk 10 x 10 tablet

520.00

PT. Kimia Farma

Btl 100 tablet

135.00

PT.
PT.
PT.
PT.
PT.

Dus, 5 strip @ 10 tablet


Dus 6 amp @ 1ml
Dus 10 strip x 10 tab
Botol @ 100 tablet
Dus, 10 blister @ 10 kaptab ss

1,500.00
22,000.00
95.00
48.00
112.00

PT. Sanbe Farma

Strip

1,815.00

PT. Hexpharm Jaya Laboratories

Dus, 10 ampul @ 5 ml

3,334.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Tube 3,5 gram


Dus, 10 blister @ 10 tablet
ktk 10x10 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

24,750.00
237.00
345.00
190.00
20,000.00
74.00
34,400.00
4,500.00
3,333.00
1,250.00
9,800.00
13,400.00
3,200,000.00
3,600.00

PT. Combiphar
PT. Kimia Farma

Box/ 3 blister @ 10 Tablet


Tube 5 gr

3,600.00
1,520.00

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

72,400.00

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

45,000.00

PT. Sanbe Farma

Supp

6,045.00

Meprofarm
Kimia Farma
Kimia Farma
Marin Liza Farmasi
Bernofarm

Sanbe Farma
Indofarma
Kimia Farma
Zenith Pharmaceuticals
Glaxo Wellcome Indonesia
Indofarma
Soho Industri Pharmasi
Kimia Farma
Soho Industri Pharmasi
Rama Emerald Multi Sukses
Phapros, Tbk
Phapros, Tbk
Abbott Indonesia
Combiphar

PT. Pratapa Nirmala

Box 3 X 10 tab

645.00

PT. Caprifarmindo

Box 3 x 10'S

247,089.00

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 100 dosis

93,000.00

PT. AstraZeneca indonesia

Dus, 4 pak @ 5 respules @ 2 ml

8,900.00

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 120 dosis

117,600.00

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 60 dosis

110,500.00

PT. Novartis Indonesia

Dus, 4 blister @ 7 tablet

76,000.00

PT.
PT.
PT.
PT.

Dus, 4 blister @ 7 tablet


Dus, 100 ampul @ 1 ml
Dus, 10 blister @ 10 tablet
Kotak, tube @ 15 gram

150,000.00
1,580.00
68.00
9,983.00

PT. Lucas Djaja


PT. Yarindo Farmatama
PT. Indofarma

ampul @ 1 ml
Box 10 X 10 Tab
Dus, 10 strip @ 10 tablet

1,054.00
97.00
134.00

PT. Tanabe Indonesia

10 vial @ 50mg

127,667.00

PT. Pratapa Nirmala

Vial 5 mL

46,667.00

PT. Tanabe Indonesia

3 blister @ 10 kapsul

3,667.00

PT. Tanabe Indonesia


PT. Kimia Farma

3 blister @ 10 kapsul
Btl 100 tablet

4,015.00
104.00

Novartis Indonesia
Indofarma
Indofarma
Dexa Medica

PT. Pfizer Indonesia

Dus, 5 blister @10's tab

3,480.00

PT. Pfizer Indonesia

Dus, 5 blister @10's tab

5,480.00

PT. Actavis Indonesia

Dus, 1 vial @ 10 mg

55,500.00

PT.
PT.
PT.
PT.

Dus, 1 vial @ 50 mg
btl @ 60 ml
strip
Dus, botol @ 10 ml

274,125.00
3,333.00
167.00
15,600.00

Actavis Indonesia
Novapharin
Novapharin
Bernofarm

PT. SmithKline Beecham Phamaceuticals


Dus, Botol Plastik @ 30 Tablet

7,100.00

PT. Aventis Pharma

dus, 2 prefilled syringe @ 0,2 ml

40,740.00

PT. Aventis Pharma

dus, 2 prefilled syringe @ 0,4 ml

71,875.00

PT. Aventis Pharma

dus, 2 prefilled syringe @ 0,6 ml

100,000.00

PT. Phapros, Tbk

Dus @ 30 Ampul

8,100.00

PT Kalbe Farma

Vial @ 25 ml

500,000.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.

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

650.00
497.00
930.00
7,700.00
314.00
451.00
2,500.00

Gracia Pharmindo
Kimia Farma
Indofarma
Phyto Kemo Agung Farma
Kimia Farma
Indofarma
Novapharin

Dus, 1 blister @ 1 subdermal


PT. Merck Sharp Dohme Pharma Tbk implant
PT. Combiphar
Vial 100mg/5ml
PT. Kimia Farma
Botol 10 ml

128,779.00
100,000.00
16,667.00

PT. Novartis Indonesia

15,000.00

Dus, 6 blister @ 10 tablet

PT. Novartis Indonesia

Dus, 6 blister @ 10 tablet

30,150.00

PT. Mersifarma Tirmaku Mercusana


PT. Ikapharmindo

KOTAK @ 10 ampul
Botol @ 100

20,250.00
133.00

PT. Phapros, Tbk

Dus @ 30 Ampul

1,800.00

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 kapsul

1,075.00

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 kapsul

1,375.00

PT. Actavis Indonesia

Dus 45 x 12 tab

235.00

PT. Kimia Farma

Dus 5 ampul@ 10ml

128,000.00

PT. Kimia Farma

Dus 5 ampul@ 2ml

33,914.00

PT. Kimia Farma

Dus@ 5 patch

153,000.00

PT. Kimia Farma


PT. Sandoz Indonesia

Dus@ 5 patch
pfs @ 0,5 ml

285,000.00
380,000.00

PT Kalbe Farma

pfs @ 0,5 ml

375,000.00

PT. Marin Liza Farmasi

Botol @ 100 tablet salut gula

634.00

PT. Mersifarma Tirmaku Mercusana

Dus, 5 ampul @ 1ml

55,000.00

PT. Novell Pharmaeutical LaboratoriesBotol


PT. Kimia Farma
ktk 1 x 10 kapsul

38,000.00
22,000.00

PT. Gracia Pharmindo


PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma

419.00
410.00
24,500.00
33,000.00

strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml

PT. Ifars Pharmaceutical LaboratoriesDus, Tube 5 g


PT. Glaxo Wellcome Indonesia
Dus, Botol 120 Dosis Spay
PT. Glaxo Wellcome Indonesia
PT. Glaxo Wellcome Indonesia

2,400.00
93,333.00

Dus, 2 flow wrap@ 5 nebules @ 1


dosis (2ml)
12,917.00
Dus, 2 pfs 0.5 ml
241,667.00

PT. Indofarma
PT. Indofarma
PT. Sampharindo Perdana

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

1,829.00
85.00
78.00

PT. AstraZeneca indonesia


PT. Indofarma
PT. Indofarma

Dus, 1 blister @ 10 tablet


Dus, 10 blister @ 12 kapsul
Dus, 10 blister @ 10 kaptab

295,000.00
289.00
679.00

PT. Bayer Indonesia


PT. Indofarma

vial
Dus, 5 ampul @ 2 ml

1,098,900.00
3,399.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Tube @ 3,5 gr
Dus, botol plastik 5 ml
Dus, 10 blister @ 10 kaptab
Strip
Dus, 10 Strip @ 10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Btl @ 30 tablet

2,600.00
3,194.00
56.00
235.00
950.00
265.00
436.00
404.00
430.00
1,500.00

PT. Lucas Djaja


PT. Widatra Bhakti
PT. Widatra Bhakti

Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml

5,333.00
5,700.00
5,200.00

PT. AstraZeneca indonesia

Dus, 1 syringe @ 10.8 mg

2,300,000.00

PT. AstraZeneca indonesia


PT. Indofarma

Dus, 1 syringe @ 3.6 mg


Dus, 10 blister @ 10 tablet

840,000.00
219.00

PT.
PT.
PT.
PT.

Soho Industri Pharmasi


Indofarma
Indofarma
Indofarma

Dus 5 Ampul@1mL
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet

83,333.00
59.00
96.00
69.00

PT.
PT.
PT.
PT.
PT.

Mersifarma Tirmaku Mercusana


Otto Pharmaceuticals
Indofarma
Indofarma
Holi Pharma

KOTAK @ 10 x 10 TAB
box 5ampul @1 ml
Dus, botol 60 ml
Dus, botol 60 ml
Dus, 10 strip @ 10 tablet

126.00
4,500.00
3,499.00
4,499.00
149.00

3 blister @ 10 tablet

3,908.00

Erela
Indofarma
Indofarma
Tempo Scan Pacific
Dexa Medica
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Actavis Indonesia

PT. Tanabe Indonesia

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Tanabe Indonesia
Indofarma
Indofarma
Indofarma
Tempo Scan Pacific
Dexa Medica
Dexa Medica
Indofarma
Indofarma

3 blister @ 10 tablet
Dus, 5 blister @ 10 kss
Dus, 5 blister @ 10 kss
Dus, 10 strip @ 10 tablet
Strip
Dus, 3 Blister @ 10 tablet
Dus, 3 Blister @ 10 tablet
Dus, 10 strip @ 10 tablet
Dus, 10 strip @ 10 tablet

2,120.00
1,425.00
2,470.00
88.00
694.00
4,900.00
3,100.00
140.00
62.00

PT. Novartis Indonesia


PT. Indofarma

Dus, botol @ 120 ml


Dus, 10 blister @ 10 tablet

62,000.00
245.00

PT. Lucas Djaja


PT. Guardian Pharmatama

Fenol 100 mg / 1 ml
Vial @ 10 ml

2,042.00
110,000.00

PT.
PT.
PT.
PT.

Novell Pharmaeutical LaboratoriesBox isi 1 Tube @ 15 g


Kimia Farma
tube 10 gr
Dexa Medica
Dus, 5 Strip @ 10 tablet
Phapros, Tbk
Dus @ 12 Ampul

4,700.00
2,569.00
300.00
2,300.00

PT.
PT.
PT.
PT.
PT.

Dus, 3 Strip @ 10 Kaplet salut


Ifars Pharmaceutical Laboratoriesselaput
Indofarma
Dus, 5 blister @ 10 kapsul
Indofarma
Dus, 5 blister @ 10 kapsul
Dexa Medica
Dus, 10 Strip @ 10 tablet
Kimia Farma
Ktk 10X10 TAB

3,200.00
361.00
553.00
900.00
184.00

PT. Hexpharm Jaya Laboratories


PT. Phapros, Tbk

Dus, 3 strip @ 10 tab


Dus @ 30 Ampul

3,400.00
1,100.00

PT.
PT.
PT.
PT.

Dus @ 30 Ampul
ktk 10x10 tablet
ktk 10x10 tablet
ktk 10x10 tablet

1,050.00
500.00
850.00
1,100.00

Phapros, Tbk
Kimia Farma
Kimia Farma
Kimia Farma

PT. Galenium Pharmasia LaboratoriesBotol @ 60 ml

12,450.00

PT. Erela

Dus, 100 Sachet @ 30 Tablet

42.00

PT. Glaxo Wellcome Indonesia

Dus, Botol 120 Dosis

90,667.00

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 dosis

100,833.00

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 dosis

113,333.00

PT.
PT.
PT.
PT.
PT.
PT.

Dus, 10 strip @ 10 kaptab


ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Dus, 2 strip @ 10 kapsul

149.00
670.00
6,200.00
540.00
1,400.00
473.00

Holi Pharma
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Indofarma

PT. SmithKline Beecham Phamaceuticals


Dus, 7 Blister @ 10 tablet

67,200.00

PT Otsuka Indonesia

Softbag 500 ML

67,400.00

PT Otsuka Indonesia

Softbag 500 ML

37,500.00

PT Otsuka Indonesia

Double Chamber Softbag 500 ML

61,600.00

PT. Fresenius Kabi Combiphar

Botol Gelas 500 ml

78,720.00

PT Otsuka Indonesia

Ampoel 25 ML

2,050.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

29,167.00

PT. Widatra Bhakti

Botol 500 ml

6,917.00

PT. Widatra Bhakti

Botol 500 ml

7,700.00

PT. Widatra Bhakti

Botol 500 ml

7,700.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,167.00

PT. Fresenius Kabi Combiphar


PT. Infion Pharmaceutical

Botol Gelas 100 ml


Box, 1 Botol @ 100 ml

60,500.00
40,000.00

PT. Promedrahardjo Farmasi Industri STRIP


PT. Bernofarm
Dus, 100 ampul @ 2 ml

528.00
839.00

PT. Indofarma

Dus, 30 ampul @ 2 ml

1,363.00

PT. AstraZeneca indonesia

Dus, 10 syringe @ 10 g

40,000.00

PT. Novell Pharmaeutical LaboratoriesBox ,3 Strip @ 10 tablet

600.00

PT. Novell Pharmaeutical LaboratoriesBox ,3 Strip @ 10 tablet

350.00

PT. Ifars Pharmaceutical LaboratoriesDus, 10 Strip @ 10 Tablet

89.00

PT. Promedrahardjo Farmasi Industri STRIP

154.00

PT. Mersifarma Tirmaku Mercusana


PT. Soho Industri Pharmasi

KOTAK @ 10 x 10 TAB
Strip

1,341.00
1,200.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

KOTAK @ 5 x 10 TAB
Dus, 1 vial @ 1 g
Botol 1000 ml
Strip
Dus, 10 Blister @ 10 Tablet
Dus, 10 Blister @ 10 tablet
ktk 10 x 10 tablet
Dus, 1 Botol @ 100 ml

3,276.00
54,000.00
254,100.00
635.00
205.00
300.00
108.00
9,950.00

PT. Aventis Pharma


PT. Phyto Kemo Agung Farma
PT. Phyto Kemo Agung Farma

Dus, 2 blister @ 5 suppositoria


10 strip @ 10 tab
10 strip @ 10 tab

3,220.00
110.00
160.00

PT. Boehringer Ingelheim

Boks 10 amp

6,119.00

PT.
PT.
PT.
PT.

Boks 5 amp
Tube 10 gram
tube 10 gram
Dus 10 amp @ 1 ml

12,060.00
3,000.00
17,820.00
8,400.00

Mersifarma Tirmaku Mercusana


Bernofarm
Kimia Farma
Mahakam Beta Farma
Natura Laboratoria Prima
Dexa Medica
Kimia Farma
Natura Laboratoria Prima

Boehringer Ingelheim
Kimia Farma
Guardian Pharmatama
Kimia Farma

PT. Kimia Farma


PT. Kimia Farma
PT. Widatra Bhakti

Ktk 10 ampul @ 1ML


Botol 30 tablet
Botol 500 ml

10,499.00
1,300.00
4,700.00

PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs 0.3 ml

54,144.00

PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs 0.4 ml

66,640.00

PT. Glaxo Wellcome Indonesia


PT. Pratapa Nirmala
PT Otsuka Indonesia

Dus, 5 blister @ 2 pfs 0.6 ml


Dus, 5 Ampul @ 2ml
Ampoel 25 ML

94,962.00
61,600.00
6,200.00

PT. Novell Pharmaeutical LaboratoriesBox ,5 Blister @ 10 tablet

200.00

PT. Molex Ayus


PT. Kimia Farma

Tube 5 gr
btl 60 tablet

6,490.00
2,800.00

PT. Bayer Indonesia

blister

2,999.00

PT. Bayer Indonesia

blister

3,500.00

PT. Dexa Medica


PT. Phapros, Tbk

Dus, 10 Strip @ 10 tablet salut


selaput
Dus @ 10 X 10 's

100.00
640.00

PT.
PT.
PT.
PT.
PT.

blister
Paket
Paket
Paket
Dus, 3 blister @ 28 kss

2,618.00
359,900.00
1,199,990.00
214,900.00
160,000.00

Bayer Indonesia
Phapros, Tbk
Indofarma
Phapros, Tbk
Indofarma

PT. Novell Pharmaeutical LaboratoriesBox ,5 Strip @ 10 tablet

400.00

PT. Novell Pharmaeutical LaboratoriesBox ,5 Strip @ 10 tablet

650.00

PT. Merck Tbk

botol @ 10 ml

27,550.00

PT. Sandoz Indonesia

3 X 10 fcc

6,450.00

PT.
PT.
PT.
PT.

3 X 10 fcc
Dus, 1 Vial @ 40 mg
strip
Dus, 5 Ampul @ 2ml

11,200.00
36,000.00
211.00
2,400.00

Sandoz Indonesia
Natura Laboratoria Prima
Novapharin
Indofarma

PT. Yarindo Farmatama


PT. Yarindo Farmatama

Box 3 X 10 Tab
Box 3 X 10 Tab

716.00
1,189.00

PT Kalbe Farma

Transfer Set: Set; Ultaclam:


Kantong Plastik; Tenckoff
Catheter: Box; Titanium Adaptor:
Kantong Plastik

1,902,240.00

PT Kalbe Farma

Set

219,540.00

PT Kalbe Farma
PT. Afifarma

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
1,438.00

PT. Boehringer Ingelheim

Boks, 1 pfs

1,077,815.00

PT. Boehringer Ingelheim

Boks, 1 pfs

1,248,220.00

PT. Galenium Pharmasia LaboratoriesTube @ 10 g

11,475.00

PT. Kimia Farma

14,500.00

Ktk 10 ampx2ml

PT. Dexa Medica

30 TAB/BOX

3,120.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

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

4,525.00
8,360.00
296.00
206.00
17,393.00
37,109.00
2,163.00
14,203.00

PT. Boehringer Ingelheim

Dus, 3 alu blister @ 10 tablet

7,200.00

PT. Boehringer Ingelheim

Dus, 3 alu blister @ 10 tablet

11,268.00

Dexa Medica
Holi Pharma
Holi Pharma
Holi Pharma
Pratapa Nirmala
Afifarma
Afifarma
Afifarma

PT. Novell Pharmaeutical LaboratoriesBox ,5 Strip @ 10 tablet


PT. Dexa Medica
Dus, 10 Strip @ 10 tablet
PT. Holi Pharma
Dus, 10 strip @ 10 tablet

2,300.00
65.00
106.00

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

17,391.00

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

19,500.00

PT. AstraZeneca indonesia


PT. Dexa Medica
PT. Natura Laboratoria Prima

Dus, 1 blister @ 10 tablet


Dus, 10 Strip @ 10 kaptab
Dus, 10 Ampul @ 2 ml

23,185.00
580.00
1,140.00

PT.
PT.
PT.
PT.

Dus, 10 Strip @ 10 tablet salut


selaput
Botol 50 kapsul lunak
botol 500 ml
Dus, 5 Blister @ 10 tablet

120.00
260.00
5,200.00
1,400.00

PT. Mersifarma Tirmaku Mercusana


PT. Dexa Medica

KOTAK @ 5 x 10 TAB
Dus, 5 Blister @ 10 tablet

1,008.00
2,000.00

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet lepas


Lambat

5,248.00

Dexa Medica
Kimia Farma
Widatra Bhakti
Dexa Medica

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet lepas


Lambat

6,275.00

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet lepas


Lambat

7,383.00

PT. Glaxo Wellcome Indonesia

Dus, botol 200 dosis

63,750.00

PT. Glaxo Wellcome Indonesia

Dus, 10 Blister @ 10 Kapsul

431.00

PT. Glaxo Wellcome Indonesia


PT. Holi Pharma

Dus, 1 Rotahaler
Dus, Botol 60 ml

5,867.00
4,746.00

PT. Hexpharm Jaya Laboratories


PT. Holi Pharma
PT. Holi Pharma

Dus, 5 strip @ 10 kapsul


Dus, 10 strip @ 10 kapsul
Dus, Botol 60 ml

513.00
509.00
5,895.00

PT. Ifars Pharmaceutical LaboratoriesDus, 5 Strip @ 10 Kapsul


PT. Yarindo Farmatama
Box 2 Vial @ 1000mg
PT. Bernofarm
Dus, 10 blister @ 10 kapsul

1,000.00
48,060.00
859.00

PT. Ifars Pharmaceutical LaboratoriesDus, Botol 30 ml


PT. Natura Laboratoria Prima
Dus, 10 Vial @ 1 g

8,800.00
2,950.00

PT. Sandoz Indonesia


PT. Natura Laboratoria Prima

Dus, 3 blister @ 10 tablet


Dus, 10 Vial @ 1 g

3,700.00
3,300.00

PT. Glaxo Wellcome Indonesia


PT. Pertiwi Agung

Dus, 1 Blister @ 10 Tablet salut


selaput
Box, 10 strips @ 10 capsules

7,200.00
181.00

PT. Lucas Djaja

100 ampul @ 1 ml

1,078.00

PT. Novell Pharmaeutical Laboratoriesvial

256,000.00

PT. Novell Pharmaeutical Laboratoriesvial

82,000.00

PT. Novartis Indonesia

45,000.00

Dus, 10 blister @ 5 kapsul lunak

PT. Novartis Indonesia

Dus, 10 blister @ 5 kapsul lunak

12,000.00

PT. Natura Laboratoria Prima

Dus, 3 Strip @ 10 Kaplet salut


selaput

169.00

PT.
PT.
PT.
PT.
PT.
PT.

Dus, 3 Strip @ 10 Kaplet salut


selaput
Vial 200 ml
Dus, 10 blister @ 10 tab ss
Dus, 5 strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet

391.00
13,000.00
255.00
1,499.00
900.00
315.00

PT. Kimia Farma

dus 5 amp @ 2ml

127,000.00

PT. Combiphar
PT. Combiphar

Pounch @ 5 blister @ 10 capsule


Box @ 2 blister @ 14 tablet

11,167.00
5,800.00

PT. Combiphar

Box/ 2 blister @ 14 tablet

5,800.00

PT. Combiphar

Box/ 3 blister @ 10 Tablet

6,800.00

PT. Novartis Indonesia

Dus, 2 blister @ 14 tablet

28,500.00

PT. AstraZeneca indonesia

Dus, 2 pak @ 5 respules

6,250.00

PT. Molex Ayus

Box 50's

99.00

PT. AstraZeneca indonesia


PT. Holi Pharma

Dus, 1 Turbuhaler @ 200 dosis


Dus, 10 strip @ 10 kapsul

71,100.00
148.00

PT. Merck Tbk

Dus, 10 blister @ 10 tablet

563.00

Natura Laboratoria Prima


Dexa Medica
Bernofarm
Indofarma
Dexa Medica
Dexa Medica

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml

9,128.00

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml

9,722.00

PT. Boehringer Ingelheim


PT. Natura Laboratoria Prima
PT. Darya Varia

Dus, 1 blister @10 kapsul +


handihaler
Dus, 10 Ampul @ 2 ml
strip

152,543.00
2,395.00
405.00

PT. Galenium Pharmasia Laboratoriestube

6,400.00

PT. Abbott Indonesia

Tablet

2,793.00

PT. Abbott Indonesia

Tablet

5,450.00

PT. Novartis Indonesia

Dus, 2 blister @ 14 tablet

3,900.00

PT. Abbott Indonesia


PT. Kimia Farma

Tablet
Ktk 10X10 TAB

6,200.00
234.00

PT. Combiphar
PT. Kimia Farma

Vial 10mg/10ml
Botol 60 tablet

210,000.00
3,429.00

PT. Combiphar

Drops 10 mg/ml, Botol @15 ml

12,840.00

PT. Meprofarm
PT. Kimia Farma

Dus, botol 60 ml
ktk 10 x 10 tablet

7,400.00
473.00

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Jawa Barat

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida


tablet 200 mg)

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Epirubisin serb injeksi 50 mg/25ml


Filgrastim inj 300 mcg/mL
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL
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)

Jawa Barat

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)

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi Asam amino


50 g/L, vitamin dan elektrolit)

Jawa Barat

Larutan mengandung Elektrolit (Sodium Lactate sol (50%)


113 gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2
gr/L, elektrolit)

Jawa Barat

Larutan mengandung Karbohidrat (Fructose 120 g, glucose


66 g, Xylitol 60 g/ L + elektrolit)

Jawa Barat

Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33


g, Xylitol 30 g/ L)
Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na,
K, Cl, Ca, Mg, Sorbitol 50 gr/L)

Jawa Barat
Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Asam amino


28 gr/L, Glukosa 75 gr/L, elektrolit)

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g,


glucose 33 g, Xylitol 30 g/ L)

Jawa Barat

Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg


Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate 0.3
gr/L)

Jawa Barat

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit


Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

Jawa Barat

Paket CAPD Pergantian Transfer Set per 6 bulan

Jawa Barat

Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan


komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %,
Larutan Dialisa 4.25 %, Minicap)

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 100 g, Total


N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 27 g,


Sorbitol 50 g, Cl- 52 mEq)

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 30 g,


Glukosa 7,3 % dan elektrolit)

Jawa Barat
Jawa Barat

Larutan mengandung Elektrolit (Kalium Klorida)


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

Jawa Barat

Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa


18.75 gr)

Jawa Barat
Jawa Barat

Larutan mengandung Karbohidrat (Maltose 100 gr)


Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g,
KCL 1.5g, Glukosa 100 gr)

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr,


KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr,


Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)

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Natrium Bikarbonat injeksi i.v 8,4%


Beractant injeksi / suspensi 25 mg/mL
Valproat tab SR 250 mg
Valproat tab SR 500 mg
Verapamil tab 240 mg
Doksorubisin serbuk injeksi i.v. 10 mg/vial
Doksorubisin serbuk injeksi i.v. 50 mg/vial
Fenoksimetil penisilin (penisilin V) tab 125 mg
Gliseril trinitrat tab sublingual 0,5 mg
Parasetamol sirup 120 mg / 5 ml
Povidon Iodida larutan 10% 1000 ml
Povidon Iodida larutan 10% 30 ml
Povidon Iodida larutan 10% 300 ml
Anastrozol tablet/kapsul/kaplet 1 mg
Bikalutamid tablet salut 150 mg
Bikalutamid tablet salut 50 mg
Budesonid inhaler 200 mcg/puff, 100 dosis
Budesonid respules / cairan inhaler 0,25mg/mL
Budesonid-formoterol (fixed combination) inhaler 160/4,5
mcg

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Jawa Barat

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

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Gefitinib tab 250 mg


Goserelin asetat inj 10,8 mg/vial
Goserelin asetat inj 3,6 mg
Lidokain jeli 2%
Quetiapin tab 200 mg
Quetiapin tab 300 mg
Quetiapin tab 400 mg
Terbutalin cairan ih 2,5 mg/mL
Terbutalin turbu (serbuk ih) 0,50 mg
Amiodaron injeksi 150 mg/3 ml
Analog insulin long acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin glargine 100 IU/ml)

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glulisine 100 IU/ml)

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Enoksaparin sodium inj 20 mg/0,2 mL


Enoksaparin sodium inj 40 mg/0,4 mL
Enoksaparin sodium inj 60 mg/0,6 mL
Metronidazol supositoria 500 mg
Triamsinolon asetonid nasal spray 55 mcg/puff
Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)

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Gemsitabin inj 1000 mg/vial


Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)
Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)
Iopromide 300-370 mg Iodium/mL (370 mg / 100 ml)
Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)
Nifedipin tab 20 mg, slow release; oros
Nifedipin tab 30 mg, oros
Noretisteron tablet 5 mg
Amoksisilin kapsul/kaplet/tablet scored 500 mg
Asam Mefenamat kapsul/kaplet 500 mg
Domperidon tetes 5 mg/mL
Lidokain injeksi 2% (HCL)
Meropenem inj 1 g
Sefiksim kapsul/kaplet 100 mg
Siprofloksasin tablet 500 mg (sebagai HCl)
Asam Ibandronat injeksi 6mg/6ml
Eritropoetin-beta inj 2000 UI/0,3 mL
Fenoterol HBr inh solution 0,1%
Gansiklovir serb inj 500 mg (50 mg/mL)
Kapesitabin tab 500 mg

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Midazolam injeksi i.v. 1 mg/ml


Midazolam injeksi i.v. 5 mg/ml
Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
Pegylated interferon alfa-2a inj 180 mcg/0,5 ml
Pramipeksol tab ER 0,375 mg
Pramipeksol tab ER 0,750 mg
Tiotropium kaps 18 mcg + handihaller

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Bromokriptin tablet 2,5 mg


Beraprost sodium tablet 20 mcg
Beraprost sodium tablet 20 mcg
Etoposid injeksi 20 mg/ml
Mikafungin Na serb inj 50 mg
Takrolimus kaps 0.5 mg
Takrolimus kaps 1 mg
Tamsulosin tab 0,2 mg
Tamsulosin tab 0,2 mg
Tamsulosin tab SR 0,4 mg
Vinblastin serbuk injeksi 10 mg
Zinc drop 10 mg/mL
Amiodaron tablet/kaplet 200 mg
Trifluoperazin tablet 5 mg
Alprazolam tablet/kapsul/kaplet 0,25 mg
Desoksimetason krim 0,25%
Fluoksetin tablet 20 mg
Glikuidon tab 30 mg
Kandesartan tab 16 mg
Kandesartan tab 8 mg
Ketokonazol tablet 200 mg
Klobazam tab 10 mg
Metilprednisolon tablet 8 mg
Nifedipin tablet/kapsul 10 mg

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Pioglitazon tab 15 mg
Pioglitazon tab 30 mg
Propanolol tablet 10 mg ( HCl )
Ramipril tablet 5 mg
Ranitidin tablet 150 mg

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Risperidon tablet 1 mg
Risperidon tablet 3 mg
Siprofloksasin infus 2%
Spironolakton tablet 100 mg
Spironolakton tablet 25 mg
Gentamisin salep mata 0,3%

Jawa Barat

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam


folat 0,25 mg

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Kaptopril tablet scored 25 mg


Kalsium Glukonat injeksi i.v 10% (100 mg/ml)
Larutan mengandung Asam Amino (Asam amino 8%)
Larutan mengandung Lipid (Emulsi lemak 20%)
Kombinasi suspensi : Parafin + gliserin + fenolftalein
Permetrin krim 5%
Urea krim 10%
Atrakurium injeksi 25 mg/2,5 ml
Flutikason furoat intranasal spray
Flutikason propionat nebules 0,5 mg

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Fondaparinuks inj 2,5 mg/0,5 mL


Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg

Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100


mcg

Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250


mcg

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Melfalan tablet 2 mg
Nadroparin inj 9500 Axa/mL syringe 0,3 mL
Nadroparin inj 9500 Axa/mL, syringe 0,4 mL
Nadroparin inj 9500 Axa/mL, syringe 0,6 mL
Ropinirol Tablet Salut 2 mg

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Jawa Barat

Ropinirol Tablet Salut 4 mg

Jawa Barat

Ropinirol Tablet Salut 8 mg

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Salbutamol inhalasi/aerosol 100 mcg/dosis


Salbutamol serb inh 200 mcg/kaps
Salbutamol serb inh 200 mcg/kaps + rotahaler
Sefuroksim tab 500 mg

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Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI


Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml
Fluoksetin tablet 10 mg
Ketamin injeksi i.v. 100 mg/ml
Mometason furoat krim 0,1%
Asam traneksamat injeksi 100 mg/ml
Fenofibrat kaps 100 mg
Fenofibrat kaps 300 mg
Klopidogrel tab 75 mg
Sefadroksil kapsul/kaplet 250 mg

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Albendazol tablet/kapsul/kaplet 400 mg


Amoksisilin sirup kering forte 250 mg/5 ml
Ibuprofen tablet 400 mg
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol
400 mg Trimetoprim 80 mg

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Pirantel suspensi 125 mg/5 ml


Pirantel tablet score (base) 125 mg
Pirazinamid tablet 500 mg
Propranolol tablet 40 mg (HCl)
Sefadroksil sirup kering 125 mg/5ml
Sefadroksil kapsul/kaplet 500 mg
Sefadroksil sir kering 250 mg/5 mL
Tetrasiklin kapsul/kaplet 250 mg
Flusinolon asetonid krim 0,025%
Klaritromisin tab 500 mg

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Loperamid tablet 2 mg
Sefaleksin kapsul/kaplet 500 mg
Sefiksim sirup kering 100 mg/ 5 ml
Fenitoin kapsul/kaplet 100 mg
Parasetamol tablet 500 mg
Albendazol suspensi 200 mg/5 ml
Amitriptilin tablet salut 25 mg (HCl)
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g
Polimiksin 10.000 IU/g

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Asiklovir tablet/kapsul/kaplet 200 mg


Atropin Sulfat tablet 0,5 mg
Deksametason injeksi i.v./i.m. 5 mg/ml
Deksametason tablet 0,5 mg
Diltiazem HCl tablet 30 mg
Eritromisin kapsul/kaplet 500 mg
Etambutol tablet salut 500 mg (HCl)
Furosemid injeksi i.v./i.m. 10 mg/ml
Furosemid tablet 40 mg
Gemfibrozil kapsul/kaplet 300 mg
Gemfibrozil tablet 600 mg
Gentamisin injeksi 40 mg/ ml
Gentamisin tetes mata 0,3%
Glibenklamid tablet 5 mg
Griseofulvin tablet 125 mg
Haloperidol tablet 0,5 mg
Haloperidol tablet 5 mg
Haloperidol tablet 1,5 mg
Ibuprofen sirup 100 mg/5 ml
Ibuprofen suspensi 200 mg/5 ml

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Irbesartan tab 150 mg


Irbesartan tab 300 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kaptopril tablet 50 mg
Kaptopril tablet scored12,5 mg
Karbamazepin tablet 200 mg
Klindamisin kapsul/kaplet 150 mg
Klindamisin kapsul/kaplet 300 mg
Lanzoprazol kapsul/kaplet 30 mg
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml
Obat Antituberkulosis FDC Kategori 2
Obat Antituberkulosis FDC Sisipan
ondansetron inj 4 mg/ 2 mL
Spiramisin tablet 500 mg
Levofloksasin inf 5 mg/mL
Alprazolam tablet/kapsul/kaplet 1 mg
Antimalaria DOEN kombinasi : Pirimetamin 25 mg
Sulfadoksin 500 mg

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Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg


Artemether injeksi 80 mg/ml
Asam Askorbat (Vitamin C) tablet 50 mg
Asiklovir tablet/kapsul/kaplet 400 mg
Azitromisin tablet 500 mg
Betametason krim 0,1% (sebagai Valerat)
Dimenhidrinat tablet 50 mg
Eritromisin kapsul/kaplet 250 mg
Etambutol tablet 250 mg (HCl)
Eugenol cairan
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 12,5 mcg/jam
Fentanil patch 25 mcg/jam
Fentanil patch 50 mcg/jam
Flukonazol tablet/kapsul 150 mg
Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Gliseril trinitrat kaps SR 2,5 mg
Gliseril trinitrat kaps SR 5 mg
Ketokonazol krim 2%
Klonidin tablet 0,15 mg
Kodein tablet 10 mg
Kodein tablet 15 mg
Kodein tablet 20 mg

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Kuinin (Kina) tablet 200 mg


Kuinin injeksi i.v. 25% (sebagai 2 HCl)
Kuinin tablet 222 mg (H2SO4.7H2O)
Lamivudine tablet 150 mg
Metadon sir 50mg/5ml
Metoklopramide tablet 5 mg
Mikonazol krim/salep 2 % (Nitrat)
Morfin HCL inj 10 mg/ml
Morfin injeksi i.m./s.k./i.v. 10 mg/ml
Morfin tablet 10 mg
Nevirapin tablet 200 mg
Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
Retinol (Vitamin A) 100.000 IU
Sufentanil injeksi iv, epidural 5 mcg/ml

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Verapamil tablet 80 mg (HCl)


Vitamin B Kompleks tablet
Zidovudin 300 mg + Lamivudine 150 mg
Zinc tablet dispersible20 mg
Aminofilin injeksi 24 mg/ml
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
Gliserin lar 50%
Karbogliserin tetes telinga 10%
Sianokobalamin (vitamin B12) injeksi 500 mcg
Metilprednisolon tablet 16 mg
Morfin HCL tablet SR 10 mg
Morfin HCL tablet SR 15 mg
Aminofilin tablet scored 200 mg
Asam Folat tablet/kapsul/kaplet 1 mg
Fitomenadion (Vit.K1) tablet salut gula 10 mg
Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg
Levodopa 100 mg

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Zinc sir 20 mg/5 Ml


Etonogestrel implan 68 mcg

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Kalium Klorida tablet 600 mg


Oksimetazolin tetes hidung 0,025%
Tiamazol tab 10 mg
Tiamazol tab 5 mg
Fenitoin injeksi 50 mg/ml
Flufenazin injeksi i.m. 25 mg/ml
Haloperidol tablet 2 mg
Klozapin 100 mg
Klozapin 25 mg
Litium karbonat tablet 200 mg

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Litium karbonat tablet 400 mg


Lorazepam tablet 2 mg
Maprotilin HCl tab 50 mg
Risperidon tablet 2 mg
Natrium fusidat salep 20 mg/g
Terbutalin tablet 2,5 mg
Metilprednisolon tablet 4 mg
Metronidazol infus 500 mg/100 ml
Omeprazol injeksi 40 mg/ 10 ml
Ranitidin injeksi 25 mg/2 ml
Sefotaksim injeksi 1 g
Seftriakson serbuk injeksi 1 g/vial
Simvastatin scored tablet 10 mg

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Simvastatin tablet 20 mg

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Tramadol injeksi 50 mg/ml


Amoksisilin kapsul/kaplet 250 mg
Amoksisilin sirup kering 125 mg/ 5 ml
Domperidon suspensi/sirup 5 mg/5 ml
Domperidon tablet 10 mg
Etanol 70% cairan
Omeprazol kapsul/kaplet 20 mg
Deferasiroks tablet disp/ eff 250 mg
Deferasiroks tablet disp/ eff 500 mg
Deferoksamin Mesilat serbuk injeksi 500 mg
Everolimus tab 0,25 mg
Everolimus tab 0,5 mg
Karbamazepin sirup 100 mg/5 ml
Kombinasi: Artemether 20 mg; Lumefantrin 120 mg
Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon
200 mg

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Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Jawa Barat

Metilfenidat kapsul LA 20 mg

Jawa Barat

Oktreotid 10 mg

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Siklosporin kaps 100 mg


Siklosporin kapsul lunak 25 mg
Telbivudin tab 600 mg
Valsartan tab 80 mg
Valsartan tab 160 mg
Flukonazol injeksi 2 mg/ml
Ketokonazol krim 2%
Lisinopril tablet 10 mg

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Lisinopril tablet 5 mg
Natrium Diklofenak tablet 50 mg
Ofloxacin tablet 200 mg
Ofloxacin tablet 400 mg
Pravastatin tablet 20 mg
Siklofosfamid serbuk injeksi i.v. 1000 mg
Siklofosfamid serbuk injeksi i.v. 200 mg
Alprazolam tablet/kapsul/kaplet 0,5 mg
Hiosin butilbromid injeksi 20 mg/ml
Alopurinol tablet/kapsul/kaplet 100 mg
Amlodipin tablet 10 mg
Amlodipin tablet 5 mg
Setirizin tablet 10 mg
Doksazosin mesilat tablet 1 mg
Doksazosin mesilat tablet 2 mg
Eksemestan tablet 25 mg
Benzatin Benzil Penisilin 1,2 juta IU/ vial
Benzatin Benzil Penisilin 2,4 juta IU/vial
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
Fenobarbital injeksi i.m./i.v. 50 mg/ml
Ketorolac injeksi 30 mg/ml
Klorpromazin injeksi i.m. 25 mg/ml (HCl)
Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
Larutan mengandung Asam Amino (Kombinasi Glukosa dan
elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral)

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi Glukosa dan


elektrolit 80 gr + Asam Amino 40 gr )

Jawa Barat

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)

Jawa Barat

Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20%


100 ml)

Jawa Barat

Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20%


250 ml)

Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit


180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn akses
sentral)

Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit


80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr)

Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit


90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn akses sentral)

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Nistatin tablet salut 500.000 IU/ g


Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori Anak
Eritromisin sirup kering 200 mg/ 5 ml
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Bisoprolol tablet 5 mg
Diltiazem injeksi 25 mg/5 mL
Nalokson injeksi 0,4 mg/ml
Polikresulen cairan
Timolol tetes mata 0,25%
Timolol tetes mata 0,5%
Antasida DOEN I tablet kunyah, kombinasi : Aluminium
Hidroksida 200 mg Magnesium Hidroksida 200 mg

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Levofloksasin tablet 500 mg


Loratadin tablet 10 mg
Bedak salisil serbuk 2%
Furosemid tablet 40 mg
Amikasin injeksi 250 mg/ml
Asam pipemidat kapsul 400 mg
Asiklovir salep mata 3%
Bisakodil suppositoria 10 mg
Dosetaksel injeksi 20 mg/0,5 ml

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

Epirubisin serb injeksi 10 mg/5 ml


Gemsitabin inj 200 mg/vial
Irinotekan inf 20 mg/ml
Larutan mengandung Karbohidrat + Elektrolit (Larutan
nutrisi kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca.
4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g)

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Filgrastim inj 300 mcg/mL


Olanzapin kapl salut 5 mg
Olanzapin tab 10 mg
Sefpodoksim proksetil tab 100 mg
Adefovir Dipivoksil tablet/kaplet 10 mg
Dutasterid kaps lunak 0,5 mg
Lapatinib tab 250 mg
Azitromisin sir kering 200 mg/ 5 mL
Azitromisin tablet 250 mg
Haloperidol inj 50 mg/mL

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Maprotilin HCl tab 25 mg


Lansoprazol inj 30 mg/ml
Leuprorelin asetat inj depot 1,88 mg
Leuprorelin asetat inj depot 11,25 mg
Diltiazem infus injeksi 50 mg
Diltiazem Kapsul SR 100 mg
Diltiazem Kapsul SR 200 mg
Imidapril tab 10 mg
Imidapril tab 5 mg
Analog insulin mix insulininj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (25% insulin lispro, 75% insulin
lispro protamine suspension, (rDNA))

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin lispro (rDNA origin))

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Gliklazid tab 80 mg
Kalium aspartat tab 300 mg
Moksifloksasin tetes mata 0,5%
Travoprost tetes mata 0,004%
Asparaginase serbuk injeksi 10.000 UI/vial
Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril
Larutan mengandung Elektrolit (Larutan Ringer Laktat)

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Jawa Barat

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)

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55


g ; Natrium Chloride 9 g, air untuk injeksi ad 1000 ml)

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0


g; NaCl: 4,5 g)

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0


g; NaCl: 2.25 g)

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0


g; NaCl: 4.5 g)

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Larutan


Ringer & Glukosa 5%)

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Mitomisin C (crystallin) serbuk inj 10 mg/vial


Nacl 0,9%
Ringer Laktat larutan infus
Digoksin tablet 0,25 mg
Ondansetron tab 4 mg
Ondansetron tablet 8 mg

Barat
Barat
Barat
Barat
Barat
Barat

Jawa Barat
Jawa Barat

Sefepim inj 1 g
Atapulgit tablet 600 mg

n/a

PT. Kimia Farma

Epirubisin Kalbe
Leucogen
Curacil
Curacil
Aminofusin Hepar

PT
PT
PT
PT
PT

Aminofusin L600

PT Kalbe Farma

Aminofusin Paed

PT Kalbe Farma

Totilac

PT Kalbe Farma

Triofusin 1000

PT Kalbe Farma

Triofusin 500

PT Kalbe Farma

Tutofusin OPS

PT Kalbe Farma

Clinimix N9G15E

PT Kalbe Farma

Triofusin E1000

PT Kalbe Farma

Ivelip

PT Kalbe Farma

n/a

PT Kalbe Farma

n/a

PT Kalbe Farma

Kalbe
Kalbe
Kalbe
Kalbe
Kalbe

Farma
Farma
Farma
Farma
Farma

Larutan Dialisa 1.5%: Dianeal Low


PT Kalbe Farma
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
Amiparen

PT Otsuka Indonesia

Pan-amin G

PT Otsuka Indonesia

Aminofluid

PT Otsuka Indonesia

Otsu - KCl 7,46%


Asering

PT Otsuka Indonesia
PT Otsuka Indonesia

KA EN 1B

PT Otsuka Indonesia

Martos
KA ENMG 3

PT Otsuka Indonesia
PT Otsuka Indonesia

KA EN 3B

PT Otsuka Indonesia

KA EN 3A

PT Otsuka Indonesia

Meylon
Survanta
Depakote ER 250 mg
Depakote ER 500 mg
Isoptin 240 mg
Doxorubicin Actavis 10 mg
Doxorubicin Actavis 50 mg
Fenocin
Nitral
n/a
n/a
n/a
n/a
Arimidex 1 mg
Casodex 150 mg
Casodex 50 mg
Pulmicort Turbuhaler
Pulmicort Respules
Symbicort Turbuhaler 160/4.5 mcg

PT Otsuka Indonesia
PT. Abbott Indonesia
PT. Abbott Indonesia
PT. Abbott Indonesia
PT. Abbott Indonesia
PT. Actavis Indonesia
PT. Actavis Indonesia
PT. Actavis Indonesia
PT. Actavis Indonesia
PT. Afifarma
PT. Afifarma
PT. Afifarma
PT. Afifarma
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia

Symbicort 80/4.5 mcg

PT. AstraZeneca indonesia

Iressa 250 mg
Zoladex 10,8 mg
Zoladex 3,6 mg
Xylocaine Jelly 2%
Seroquel XR 200 mg
Seroquel XR 300 mg
Seroquel XR 400 mg
Bricasma Respules
Bricasma Turbuhaler 0,5 mg
Cordarone
Lantus Solostar 100IU/ml 5pens x3ml

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Apidra Solostar 100IU/ml 5pens x3ml

PT. Aventis Pharma

Lovenox 2000 ANTI-XA


Lovenox 4000 ANTI-XA
Lovenox 6000 ANTI-XA
Flagyl
Nasacort AQ
Imovax Polio

PT.
PT.
PT.
PT.
PT.
PT.

Aventis
Aventis
Aventis
Aventis
Aventis
Aventis

Gemzar 1000 mg
Ultravist 300/100 mg
Ultravist 300/50 mg
Ultravist 370/100 mg
Ultravist 370/50 mg
Adalat Oros 20 mg
Adalat Oros 30 mg
Primolut N
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Bondronat
Recormon
Berotec Solution
Cymevene
Xeloda

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Bernofarm
Bernofarm
Bernofarm
Bernofarm
Bernofarm
Bernofarm
Bernofarm
Boehringer Ingelheim
Boehringer Ingelheim
Boehringer Ingelheim
Boehringer Ingelheim
Boehringer Ingelheim

AstraZeneca indonesia
AstraZeneca indonesia
AstraZeneca indonesia
AstraZeneca indonesia
AstraZeneca indonesia
AstraZeneca indonesia
AstraZeneca indonesia
AstraZeneca indonesia
AstraZeneca indonesia
Aventis Pharma
Aventis Pharma

Pharma
Pharma
Pharma
Pharma
Pharma
Pharma

Dormicum
Dormicum
Pegasys
Pegasys
Sifrol ER 0,375mg
Sifrol ER 0,750mg
Spiriva 10s + Handihaler

PT.
PT.
PT.
PT.
PT.
PT.
PT.

Boehringer
Boehringer
Boehringer
Boehringer
Boehringer
Boehringer
Boehringer

Ingelheim
Ingelheim
Ingelheim
Ingelheim
Ingelheim
Ingelheim
Ingelheim

Cripsa tab
Dorner
Dorner 20 g
Posyd
Mycamine
Prograf
Prograf
Harnal D 0.2 mg Disp. Tablet
Harnal D
Harnal OCAS 0.4 mg Tablet
Vinblastine
Zincpro Drops
Kendaron Tablet
n/a
n/a
n/a
NOPRES
n/a
n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Caprifarmindo
Combiphar
Combiphar
Combiphar
Combiphar
Combiphar
Combiphar
Combiphar
Combiphar
Combiphar
Combiphar
Combiphar
Darya Varia
Darya Varia
Dexa Medica
Dexa Medica
Dexa Medica
Dexa Medica
Dexa Medica
Dexa Medica
Dexa Medica
Dexa Medica
Dexa Medica
Dexa Medica

DECULIN 15 MG
DECULIN 30 MG
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.

Dexa
Dexa
Dexa
Dexa
Dexa

Medica
Medica
Medica
Medica
Medica

n/a
n/a
n/a
n/a
n/a
Genoint Salep Mata

PT.
PT.
PT.
PT.
PT.
PT.

Dexa
Dexa
Dexa
Dexa
Dexa
Erela

Medica
Medica
Medica
Medica
Medica

n/a

PT. Erela

n/a
Kalsium glukonat
Aminosteril N-Hepa
Intralipid
Laxadine Emulsi 60 ml
Scabimite Cream 10
Soft U Derm
Tracrium
Avamys
Flixotide Nbules

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Arixtra
Seretide Inhaler 50 mcg

PT. Glaxo Wellcome Indonesia


PT. Glaxo Wellcome Indonesia

Seretide Diskus 100 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 250 mcg

PT. Glaxo Wellcome Indonesia

Alkeran
Fraxiparine 0.3 ml
Fraxiparine 0.4 ml
Fraxiparine 0.6 ml
Requip PD 24 Hour 2 mg

PT.
PT.
PT.
PT.
PT.

Requip PD 24 Hour 4 mg

PT. Glaxo Wellcome Indonesia

Requip PD 24 Hour 8 mg

PT. Glaxo Wellcome Indonesia

Ventolin Inhaler
Ventolin Rotacaps
Ventolin Rotahaler
Zinnat 500

PT.
PT.
PT.
PT.

Glaxo
Glaxo
Glaxo
Glaxo

D-Vit FT
D-Vit Syrup
Foransi 10
KTM
n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Gracia Pharmindo
Gracia Pharmindo
Gracia Pharmindo
Guardian Pharmatama
Guardian Pharmatama
Hexpharm Jaya Laboratories
Hexpharm Jaya Laboratories
Hexpharm Jaya Laboratories
Hexpharm Jaya Laboratories
Hexpharm Jaya Laboratories

Errita Pharma
Ethica Industri Farmasi
Fresenius Kabi Combiphar
Fresenius Kabi Combiphar
Galenium Pharmasia Laboratories
Galenium Pharmasia Laboratories
Galenium Pharmasia Laboratories
Glaxo Wellcome Indonesia
Glaxo Wellcome Indonesia
Glaxo Wellcome Indonesia

Glaxo
Glaxo
Glaxo
Glaxo
Glaxo

Wellcome
Wellcome
Wellcome
Wellcome
Wellcome

Wellcome
Wellcome
Wellcome
Wellcome

Indonesia
Indonesia
Indonesia
Indonesia
Indonesia

Indonesia
Indonesia
Indonesia
Indonesia

n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.

Holi
Holi
Holi
Holi

Pharma
Pharma
Pharma
Pharma

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
SYNARCUS
ORIXAL

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Holi Pharma
Holi Pharma
Holi Pharma
Holi Pharma
Holi Pharma
Holi Pharma
Holi Pharma
Holi Pharma
Ifars Pharmaceutical Laboratories
Ifars Pharmaceutical Laboratories

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Ifars Pharmaceutical Laboratories


Ifars Pharmaceutical Laboratories
Ifars Pharmaceutical Laboratories
Ikapharmindo
Imfarmind Farmasi industri
Indofarma
Indofarma
Indofarma

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Infion Pharmaceutical
Kimia Farma
Kimia Farma

n/a
Artem
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Durogesic 12,5 MU Matrix
Durogesic 25 MU Matrix
Durogesic 50 MU Matrix
n/a
n/a
n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia

Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Sufentanyl Injeksi iv.Epidural 5 mcg /
ml

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia
Kimia

Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma
Farma

n/a
n/a
n/a
n/a
n/a
n/a
Gliserin lar 50%
Karbogliserin tetes telinga 10%
n/a
n/a
MST Continus 10 mg
MST Continus 15 mg
n/a
n/a
n/a
Levopar Tablet

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Lucas Djaja
Lucas Djaja
Lucas Djaja
Lucas Djaja
Lucas Djaja
Mahakam Beta Farma
Mahakam Beta Farma
Mahakam Beta Farma
Marin Liza Farmasi
Marin Liza Farmasi
Marin Liza Farmasi
Meprofarm

Zircum Kid Sirup


Implanon

PT. Meprofarm
PT. Merck Sharp Dohme Pharma Tbk

KSR
Ilaidin Drops
Thyrozol 10
Thyrozol 5
n/a
Sikzonoate Injeksi
Lodomer 2
n/a
n/a
Frimania 200

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Merck Tbk
Merck Tbk
Merck Tbk
Merck Tbk
Mersifarma
Mersifarma
Mersifarma
Mersifarma
Mersifarma
Mersifarma

Tirmaku
Tirmaku
Tirmaku
Tirmaku
Tirmaku
Tirmaku

Mercusana
Mercusana
Mercusana
Mercusana
Mercusana
Mercusana

Frimania 400
Merlopam 2
Sandepril 50
n/a
Fucilex Ointment
Molasma Tablet
n/a
n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Mersifarma Tirmaku Mercusana


Mersifarma Tirmaku Mercusana
Mersifarma Tirmaku Mercusana
Mersifarma Tirmaku Mercusana
Molex Ayus
Molex Ayus
Natura Laboratoria Prima
Natura Laboratoria Prima
Natura Laboratoria Prima
Natura Laboratoria Prima
Natura Laboratoria Prima
Natura Laboratoria Prima
Natura Laboratoria Prima

n/a

PT. Natura Laboratoria Prima

n/a
n/a
n/a
n/a
n/a
n/a
n/a
Exjade 250 mg Tab
Exjade 500 mg Tab
Desferal
Certican 0,25 mg Tab
Certican 0,5 mg Tab
Tegretol Syrup 100mg/5ml, 120ml
Coartem
Stalevo

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Ritalin LA

PT. Novartis Indonesia

Sandostatin LAR

PT. Novartis Indonesia

Sandimmun Neoral 100mg Kap


Sandimmun Neoral 25mg Kap
Sebivo 600 mg Tab
Diovan 80mg Tab
Diovan
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Natura Laboratoria Prima


Novapharin
Novapharin
Novapharin
Novapharin
Novapharin
Novapharin
Novartis Indonesia
Novartis Indonesia
Novartis Indonesia
Novartis Indonesia
Novartis Indonesia
Novartis Indonesia
Novartis Indonesia
Novartis Indonesia

Novartis Indonesia
Novartis Indonesia
Novartis Indonesia
Novartis Indonesia
Novartis Indonesia
Novell Pharmaeutical Laboratories
Novell Pharmaeutical Laboratories
Novell Pharmaeutical Laboratories

n/a
n/a
n/a
n/a
n/a
Cyclovid 1000 mg
Cyclovid 200 mg
n/a
n/a
n/a
n/a
n/a
n/a
Cardura 1mg
Cardura 2mg
Aromasin
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Combiflex Plus (790 kcal)

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Novell Pharmaeutical Laboratories


Novell Pharmaeutical Laboratories
Novell Pharmaeutical Laboratories
Novell Pharmaeutical Laboratories
Novell Pharmaeutical Laboratories
Novell Pharmaeutical Laboratories
Novell Pharmaeutical Laboratories
Otto Pharmaceuticals
Otto Pharmaceuticals
Pertiwi Agung
Pertiwi Agung
Pertiwi Agung
Pertiwi Agung
Pfizer Indonesia
Pfizer Indonesia
Pfizer Indonesia
Phapros, Tbk
Phapros, Tbk
Phapros, Tbk
Phapros, Tbk
Phapros, Tbk
Phapros, Tbk
Phapros, Tbk
Phapros, Tbk

Combiflex peri (480 kcal)

PT. Phapros, Tbk

Ringerfundin 500 mL

PT. Phapros, Tbk

Lipofundin MCT/LCT 1% 100

PT. Phapros, Tbk

Lipofundin MCT/LCT 1% 250

PT. Phapros, Tbk

Nutriflex Lipid Special 1250

PT. Phapros, Tbk

Nutriflex Lipid Peri 1250

PT. Phapros, Tbk

Nutriflex Lipid Special 625

PT. Phapros, Tbk

n/a
n/a
n/a
n/a
n/a
n/a
n/a
Farmabes Injeksi 25 mg
Nokoba
Aptil
Isotic Adretor 0,25%
Isotic Adretor 0,5%
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Phapros, Tbk
Phapros, Tbk
Phapros, Tbk
Phyto Kemo Agung Farma
Phyto Kemo Agung Farma
Phyto Kemo Agung Farma
Pratapa Nirmala
Pratapa Nirmala
Pratapa Nirmala
Pratapa Nirmala
Pratapa Nirmala
Pratapa Nirmala
Promedrahardjo Farmasi Industri

n/a
n/a
n/a
n/a
Glybotic 250 mg /ml
Urotractin 400 mg
Temiral Eye Oint
Stolax supp
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Promedrahardjo Farmasi Industri


Promedrahardjo Farmasi Industri
Rama Emerald Multi Sukses
Sampharindo Perdana
Sanbe Farma
Sanbe Farma
Sanbe Farma
Sanbe Farma
Sanbe Farma

n/a
n/a
n/a
Futrolit

PT.
PT.
PT.
PT.

Sanbe
Sanbe
Sanbe
Sanbe

Zarzio
Olandoz 5
Olandoz 10
Banadoz 100
Hepsera
Avodart
Tykerb
n/a
n/a
Haldol Decanoas

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Sandoz Indonesia
Sandoz Indonesia
Sandoz Indonesia
Sandoz Indonesia
SmithKline Beecham Phamaceuticals
SmithKline Beecham Phamaceuticals
SmithKline Beecham Phamaceuticals
Soho Industri Pharmasi
Soho Industri Pharmasi
Soho Industri Pharmasi

Farma
Farma
Farma
Farma

Ludios
Prosogan Inj.
Tapros 1.88mg
Tapros 3M
Herbesser Powder Injection 50mg
Herbesser CD 100
Herbesser CD 200
Tanapress 10mg
Tanapress 5mg
Humalog Mix 25

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Soho Industri Pharmasi


Takeda Indonesia
Takeda Indonesia
Takeda Indonesia
Tanabe Indonesia
Tanabe Indonesia
Tanabe Indonesia
Tanabe Indonesia
Tanabe Indonesia
Tempo Scan Pacific

Humalog

PT. Tempo Scan Pacific

Glicab
Kalipar
Vigamox
Travatan
Leunase
n/a
n/a
Wida RL

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Wida HSD

PT. Widatra Bhakti

Wida D5-NS

PT. Widatra Bhakti

WIDA 2A

PT. Widatra Bhakti

WIDA D5-1/4NS

PT. Widatra Bhakti

WIDA D5-1/2NS

PT. Widatra Bhakti

Wida RD

PT. Widatra Bhakti

Mitomycin C
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

Tempo Scan Pacific


Tempo Scan Pacific
Tempo Scan Pacific
Tempo Scan Pacific
Widatra Bhakti
Widatra Bhakti
Widatra Bhakti
Widatra Bhakti

Widatra Bhakti
Widatra Bhakti
Widatra Bhakti
Yarindo Farmatama
Yarindo Farmatama
Yarindo Farmatama

n/a
Pularex

PT. Yarindo Farmatama


PT. Zenith Pharmaceuticals

1 blister@24 tablet

1,375.00

Vial @ 25 ml
pfs @ 0,5 ml
vial @ 1 ml
vial @ 10 ml
botol 500 mL

500,000.00
375,000.00
24,500.00
33,000.00
75,350.00

botol 500 mL

42,000.00

botol 250 mL

46,000.00

flexybag 250 mL

87,000.00

botol 500 mL

50,500.00

Flexy bag 500 mL

42,350.00

botol 500 mL

37,500.00

Botol Plastik 1000 mL

199,000.00

botol 500 mL

56,000.00

Flexy bag 100 mL

89,800.00

Transfer Set: Set; Ultaclam: Kantong


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

1,902,240.00

219,540.00

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

Softbag 500 ML

67,400.00

Softbag 500 ML

37,500.00

Double Chamber Softbag 500 ML

61,600.00

Ampoel 25 ML
Plastic Bottle 500 ML

2,050.00
9,000.00

Plastic Bottle 500 ML

9,000.00

Plastic Bottle 500 ML


Plastic Bottle 500 ML

29,167.00
9,167.00

Plastic Bottle 500 ML

10,000.00

Plastic Bottle 500 ML

10,000.00

Ampoel 25 ML
Vial
Tablet
Tablet
Tablet
Dus, 1 vial @ 10 mg
Dus, 1 vial @ 50 mg
Dus 45 x 12 tab
Btl @ 30 tablet
botol 60 ml
botol @ 1000 ml
botol @ 30 ml
botol @ 300 ml
Dus, 2 blister @ 14 Tablet
Dus, 2 blister @ 14 Tablet
Dus, 2 blister @ 14 Tablet
Dus, 1 Turbuhaler @ 100 dosis
Dus, 4 pak @ 5 respules @ 2 ml
Dus, 1 Turbuhaler @ 120 dosis

6,200.00
3,200,000.00
2,793.00
5,450.00
6,200.00
55,500.00
274,125.00
235
1,500.00
1,438.00
37,109.00
2,163.00
14,203.00
32,000.00
72,400.00
45,000.00
93,000.00
8,900.00
117,600.00

Dus, 1 Turbuhaler @ 60 dosis


Dus, 1 blister @ 10 tablet
Dus, 1 syringe @ 10.8 mg
Dus, 1 syringe @ 3.6 mg
Dus, 10 syringe @ 10 g
Dus, 1 blister @ 10 tablet
Dus, 1 blister @ 10 tablet
Dus, 1 blister @ 10 tablet
Dus, 2 pak @ 5 respules
Dus, 1 Turbuhaler @ 200 dosis
Dus, 6 ampul @ 3 ml
dus, 5 solostar pen @ 3ml

dus, 5 solostar pen @ 3ml

dus, 2 prefilled syringe @ 0,2 ml


dus, 2 prefilled syringe @ 0,4 ml
dus, 2 prefilled syringe @ 0,6 ml
Dus, 2 blister @ 5 suppositoria
Dus, botol plastik 120 dosis
1 vial of 10ml (10 d's)
vial
Botol
Botol
Botol
Botol
blister
blister
blister
Dus, 10 strip @ 10 kaptab
Dus, 10 blister @ 10 kaptab ss
Dus, botol @ 10 ml
Dus, 100 ampul @ 2 ml
Dus, 1 vial @ 1 g
Dus, 10 blister @ 10 kapsul
Dus, 10 blister @ 10 tab ss
Boks, 1 ampul
Boks, 6 ampul
Dus, Canister 200 dosis
Boks, 1 ampul
Boks, 120 tablet

110,500.00
295,000.00
2,300,000.00
840,000.00
40,000.00
17,391.00
19,500.00
23,185.00
6,250.00
71,100.00
12,480.00
85,000.00

79,165.00

40,740.00
71,875.00
100,000.00
3,220.00
90,000.00
285,000.00
1,098,900.00
245,000.00
123,200.00
299,000.00
150,300.00
2,999.00
3,500.00
2,618.00
272
112
15,600.00
839
54,000.00
859
255
2,209,000.00
139,500.00
117,500.00
399,500.00
27,500.00

Boks 10 amp
Boks 5 amp
Boks, 1 pfs
Boks, 1 pfs
Dus, 3 alu blister @ 10 tablet
Dus, 3 alu blister @ 10 tablet
Dus, 1 blister @10 kapsul + handihaler

6,119.00
12,060.00
1,077,815.00
1,248,220.00
7,200.00
11,268.00
152,543.00

Box 3 x 10'S
Box @ 3 blister @ 10 Tablet
Box/ 3 blister @ 10 Tablet
Vial 100mg/5ml
Dus,1 vial@50mg
Pounch @ 5 blister @ 10 capsule
Dus, 1 pouch @5 blister@10 kaps
Box/ 2 blister @ 14 tablet
Box @ 2 blister @ 14 tablet
Box/ 3 blister @ 10 Tablet
Vial 10mg/10ml
Drops 10 mg/ml, Botol @15 ml
strip
strip
Dus, 10 Strip @ 10 tablet
Kotak, tube @ 15 gram
DUS, 30 TABLET
Dus, 10 Strip @ 10 tablet
Dus, 3 Blister @ 10 tablet
Dus, 3 Blister @ 10 tablet
Dus, 5 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Dus, 10 Blister @ 10 tablet
Dus, 10 Strip @ 10 tablet salut selaput

247,089.00
3,600.00
3,600.00
100,000.00
260,000.00
11,167.00
21,500.00
5,800.00
5,800.00
6,800.00
210,000.00
12,840.00
1,200.00
405
380
9,983.00
410
950
4,900.00
3,100.00
300
900
300
100

30 TAB/BOX
30 TAB/BOX
Dus, 10 Strip @ 10 tablet
Dus, 10 Strip @ 10 kaptab
Dus, 10 Strip @ 10 tablet salut selaput

3,120.00
4,525.00
65
580
120

Dus, 5 Blister @ 10 tablet


Dus, 5 Blister @ 10 tablet
Vial 200 ml
Dus, 10 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Tube @ 3,5 gr

1,400.00
2,000.00
13,000.00
900
315
2,600.00

Dus, 100 Sachet @ 30 Tablet


Dus, 10 strip @10 tablet
Ampul
Botol Gelas 500 ml
Botol Gelas 100 ml
Botol @ 60 ml
Tube @ 10 g
tube
Dus, 5 ampul @ 2.5 ml
Dus, Botol 120 Dosis Spay
Dus, 2 flow wrap@ 5 nebules @ 1 dosis
(2ml)

42
80
7,800.00
78,720.00
60,500.00
12,450.00
11,475.00
6,400.00
20,000.00
93,333.00
12,917.00

Dus, 2 pfs 0.5 ml


Dus, Botol 120 Dosis

241,667.00
90,667.00

Dus, foil strip @ 60 dosis

100,833.00

Dus, foil strip @ 60 dosis

113,333.00

Box, Tablet 2 mg/25's


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, 7 blister @ 4 Tablet lepas Lambat

12,210.00
54,144.00
66,640.00
94,962.00
5,248.00

Dus, 7 blister @ 4 Tablet lepas Lambat

6,275.00

Dus, 7 blister @ 4 Tablet lepas Lambat

7,383.00

Dus,
Dus,
Dus,
Dus,

botol 200 dosis


10 Blister @ 10 Kapsul
1 Rotahaler
1 Blister @ 10 Tablet salut selaput

Dus 3 strip @ 10 Flash tablet


Dus, Botol Plastik @ 100 mL
strip
Vial @ 10 ml
tube 10 gram
Dus, 10 ampul @ 5 ml
Dus, 3 strip @ 10 kapsul
Dus, 3 strip @ 10 kapsul
Dus, 3 strip @ 10 tab
Dus, 5 strip @ 10 kapsul

63,750.00
431
5,867.00
7,200.00
650
8,000.00
419
110,000.00
17,820.00
3,334.00
1,075.00
1,375.00
3,400.00
513

Dus,
Dus,
Dus,
Dus,

5 strip @ 6 tablet
Botol 60 ml
10 strip @ 10 tablet
10 strip @ 10 kaptab

338
4,045.00
149
149

Botol 60 ml
Dus, 25 Blister @ 4 tablet
Dus 10 strip @ 10 tablet
Dus, 10 strip @ 10 tablet
Dus, Botol 60 ml
Dus, 10 strip @ 10 kapsul
Dus, Botol 60 ml
Dus, 10 strip @ 10 kapsul
Dus, Tube 5 g
Dus, 3 Strip @ 10 Kaplet salut selaput

8,360.00
296
206
106
4,746.00
509
5,895.00
148
2,400.00
3,200.00

Dus, 10 Strip @ 10 Tablet


Dus, 5 Strip @ 10 Kapsul
Dus, Botol 30 ml
Botol @ 100
Dus, 10 strip @ 10 kaptab
Dus, 10 dus @ 1 botol @ 10 ml
Dus, 10 strip @ 10 tss
Dus, 25 tube @ 5 g

89
1,000.00
8,800.00
133
89
3,849.00
112
2,516.00

Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,
Dus,

237
74
1,580.00
68
134
930
451
1,829.00
85
289
679
3,399.00
3,194.00
56
219
59
96
69
3,499.00
4,499.00

10 blister @ 10 tablet
10 strip @ 10 tablet
100 ampul @ 1 ml
10 blister @ 10 tablet
10 strip @ 10 tablet
10 blister @ 10 kss
10 strip @ 10 tss
25 ampul @ 2 ml
10 strip @ 10 tablet
10 blister @ 12 kapsul
10 blister @ 10 kaptab
5 ampul @ 2 ml
botol plastik 5 ml
10 blister @ 10 kaptab
10 blister @ 10 tablet
10 blister @ 10 tablet
10 blister @ 10 tablet
10 blister @ 10 tablet
botol 60 ml
botol 60 ml

Dus, 5 blister @ 10 kss


Dus, 5 blister @ 10 kss
Dus, 10 strip @ 10 tablet
Dus, 10 strip @ 10 tablet
Dus, 10 strip @ 10 tablet
Dus, 10 blister @ 10 tablet
Dus, 5 blister @ 10 kapsul
Dus, 5 blister @ 10 kapsul
Dus, 2 strip @ 10 kapsul
Dus, 30 ampul @ 2 ml
Paket
Dus, 3 blister @ 28 kss
Dus, 5 Ampul @ 2ml
Dus, 5 strip @ 10 tablet
Box, 1 Botol @ 100 ml
Ktk 10x10 tablet
ktk 10 x 10 tablet
Btl 100 tablet
Dus 6 amp @ 1ml
Dus 10 strip x 10 tab
ktk 10x10 tablet
ktk 2x10 tablet
Tube 5 gr
Btl 100 tablet
ktk 10 x 10 kapsul
ktk 20 x 10 tablet
Botol 10 ml
Dus 5 ampul@ 10ml
Dus 5 ampul@ 2ml
Dus @ 5 patch
Dus@ 5 patch
Dus@ 5 patch
ktk 1 x 10 kapsul
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Dus 10x10
Dus 10x10
tube 10 gr
Ktk 10X10 TAB
ktk 10x10 tablet
ktk 10x10 tablet
ktk 10x10 tablet

1,425.00
2,470.00
88
140
62
245
361
553
473
1,363.00
1,199,990.00
160,000.00
2,400.00
1,499.00
40,000.00
233
520
135
22,000.00
95
345
4,500.00
1,520.00
104
497
314
16,667.00
128,000.00
33,914.00
80,000.00
153,000.00
285,000.00
22,000.00
265
436
404
430
1,493.00
2,171.00
2,569.00
184
500
850
1,100.00

ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Botol 1000 ml
ktk 10 x 10 tablet
Tube 10 gram
Dus 10 amp @ 1 ml
Ktk 10 ampul @ 1ML
Botol 30 tablet
btl 60 tablet
Ktk 10 ampx2ml
Botol 50 kapsul lunak
dus 5 amp @ 2ml
Ktk 10X10 TAB
Dus 10 strip x 10 tab
Botol 60 tablet
ktk 10 x 10 tablet
dus 30 ampul @10 ml
ampul @ 1 ml
Glycerin 100 ml
Fenol 100 mg / 1 ml
100 ampul @ 1 ml
Strip
Dus, 6 strip @ 10 tablet
Dus, 6 strip @ 10 tablet
Botol @ 100 tablet salut selaput
Botol @ 100 tablet
Botol @ 100 tablet salut gula
Dus, 5 strip @ 10 tablet
Dus, botol 60 ml
Dus, 1 blister @ 1 subdermal implant
Dus, 10 strip @ 10 tablet
botol @ 10 ml
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet
KOTAK @ 10 ampul
Dus, 5 ampul @ 1ml
KOTAK @ 10 x 10 TAB
KOTAK @ 5 x 10 TAB
KOTAK @ 5 x 10 TAB
KOTAK @ 10 x 10 TAB

670
6,200.00
540
1,400.00
254,100.00
108
3,000.00
8,400.00
10,499.00
1,300.00
2,800.00
14,500.00
260
127,000.00
234
107
3,429.00
473
3,822.00
1,054.00
5,333.00
2,042.00
1,078.00
635
15,620.00
22,990.00
90
48
634
1,500.00
7,400.00
128,779.00
1,580.00
27,550.00
1,135.00
563
20,250.00
55,000.00
126
5,000.00
1,550.00
1,050.00

KOTAK @ 10 x 10 TAB
KOTAK @ 10 x 10 TAB
KOTAK @ 5 x 10 TAB
KOTAK @ 5 x 10 TAB
Tube 5 gr
Box 50's
Dus, 10 Blister @ 10 Tablet
Dus, 1 Botol @ 100 ml
Dus, 1 Vial @ 40 mg
Dus, 10 Ampul @ 2 ml
Dus, 10 Vial @ 1 g
Dus, 10 Vial @ 1 g
Dus, 3 Strip @ 10 Kaplet salut selaput

1,850.00
1,341.00
3,276.00
1,008.00
6,490.00
99
205
9,950.00
36,000.00
1,140.00
2,950.00
3,300.00
169

Dus, 3 Strip @ 10 Kaplet salut selaput

391

Dus, 10 Ampul @ 2 ml
strip
btl @ 60 ml
btl @ 60 ml
strip
btl @ 100 ml
strip
Dus, 4 blister @ 7 tablet
Dus, 4 blister @ 7 tablet
Dus, 10 vial @ 500mg
Dus, 6 blister @ 10 tablet
Dus, 6 blister @ 10 tablet
Dus, botol @ 120 ml
Dus, 4 blister @ 6 tablet
Dus, botol plastik @ 30 tablet salut
selaput
Dus, botol plastik @ 30 kapsul
pelepasan lambat
Dus, vial @ 355m + 1 prefilled syringe
pelarut @ 2,5 ml + 2 jarum suntik
Dus, 10 blister @ 5 kapsul lunak
Dus, 10 blister @ 5 kapsul lunak
Dus, 2 blister @ 14 tablet
Dus, 2 blister @ 14 tablet
Dus, 2 blister @ 14 tablet
Botol
Box isi 1 Tube @ 15 g
Box ,3 Strip @ 10 tablet

2,395.00
211
2,445.00
3,333.00
167
2,500.00
211
76,000.00
150,000.00
112,000.00
11,813.00
23,250.00
44,770.00
3,220.00
8,900.00
6,537.00
2,950,000.00

43,000.00
12,000.00
28,500.00
3,900.00
6,500.00
38,000.00
4,700.00
600

Box ,3 Strip @ 10 tablet


Box ,5 Blister @ 10 tablet
Box ,5 Strip @ 10 tablet
Box ,5 Strip @ 10 tablet
Box ,5 Strip @ 10 tablet
vial
vial
strip
box 5ampul @1 ml
Box, 10 strips @ 10 tablets
Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets
Box, 10 strips @ 10 capsules
Dus, 5 blister @10's tab
Dus, 5 blister @10's tab
Dus, 2 blister @ 15 tablet
Dus @ 10 Vial
Dus @ 10 Vial
Dus @ 30 Ampul
Dus @ 30 Ampul
Dus @ 12 Ampul
Dus @ 30 Ampul
Dus @ 30 Ampul
Bag Double chamber (Dua
compartement), 1000 mL

350
200
400
650
2,300.00
256,000.00
82,000.00
176
4,500.00
86
330
187
181
3,480.00
5,480.00
42,600.00
9,800.00
13,400.00
8,100.00
1,800.00
2,300.00
1,100.00
1,050.00
322,000.00

Bag Double chamber (Dua


compartement), 1000 mL

218,700.00

LDPE (Low Density Poly Ethilene), botol


plastik

12,650.00

20%, Botol Kaca @100 ml, single bottle

105,500.00

20%, Botol Kaca @250 ml, single bottle

210,000.00

Bag, 3 chamber ( 3 kompartemen),


1250 ml

591,000.00

Bag, 3 chamber ( 3 kompartemen),


1250 ml

511,000.00

Bag, 3 chamber ( 3 kompartemen), 625


ml

358,000.00

Dus @ 10 X 10 's
Paket
Paket
Botol @60 ml
10 strip @ 10 tab
10 strip @ 10 tab
Box 3 X 10 tab
Vial 5 mL
Dus, 5 Ampul @ 2ml
Dus, Botol @ 10ml
Dus, Botol Plastik @ 5ml
Dus, Botol Plastik @ 5ml
STRIP

640
359,900.00
214,900.00
7,700.00
110
160
645
46,667.00
61,600.00
17,393.00
9,128.00
9,722.00
75

STRIP
STRIP
Dus @ 50 gram
Dus, 10 strip @ 10 tablet
Vial 2 ml
Strip
Tube 3,5 gram
Supp
Dus, 1 vial @0,5 ml+ 1 vial pelarut
@1,5 ml

528
154
1,250.00
78
50,500.00
1,815.00
24,750.00
6,045.00
970,200.00

Dus, 1 vial @5 ml
Dus, 1 vial @200 mg
Dus, 1 vial @2 ml
softbag 500ml

128,000.00
330,000.00
510,000.00
35,750.00

pfs @ 0,5 ml
3 X 10 fcc
3 X 10 fcc
Dus, 3 blister @ 10 tablet
Dus, 3 Blister @ 10 kapsul
Dus, Botol Plastik @ 30 Tablet
Dus, 7 Blister @ 10 tablet
botol @ 60 ml
Strip
Dus 5 Ampul@1mL

380,000.00
6,450.00
11,200.00
3,700.00
27,500.00
7,100.00
67,200.00
34,400.00
3,333.00
83,333.00

Strip
Serbuk vial
Vial
Vial
10 vial @ 50mg
3 blister @ 10 kapsul
3 blister @ 10 kapsul
3 blister @ 10 tablet
3 blister @ 10 tablet
Penfill cartridge

Penfill cartridge

Strip
Strip
botol, tetes mata 3 ml
botol, tetes mata 2,5 ml
10.000 UI/Vial
botol @ 500 ml
botol @ 500 ml
Botol 1000 ml

1,200.00
82,042.00
700,000.00
2,700,000.00
127,667.00
3,667.00
4,015.00
3,908.00
2,120.00
97,500.00

79,167.00

235
694
77,000.00
115,000.00
1,039,500.00
5,700.00
5,200.00
8,000.00

Botol 500 ml

9,500.00

Botol 500 ml

6,800.00

Botol 500 ml

6,917.00

Botol 500 ml

7,700.00

Botol 500 ml

7,700.00

Botol 500 ml

6,930.00

10 mg /Vial
Botol 500 ml
botol 500 ml
Box 10 X 10 Tab
Box 3 X 10 Tab
Box 3 X 10 Tab

697,000.00
4,700.00
5,200.00
97
716
1,189.00

Box 2 Vial @ 1000mg


Dus 5 strip @ 10 tablet

48,060.00
190

1 Jawa Barat

ACT (Artesunate tablet 50 mg + Amodiaquine


anhydrida tablet 200 mg)

2 Jawa Barat

Adefovir Dipivoksil tablet/kaplet 10 mg

3 Jawa Barat
4 Jawa Barat

Albendazol suspensi 200 mg/5 ml


Albendazol tablet/kapsul/kaplet 400 mg

5 Jawa Barat

Alopurinol tablet/kapsul/kaplet 100 mg

6 Jawa
7 Jawa
8 Jawa
9 Jawa
10 Jawa

Barat
Barat
Barat
Barat
Barat

Alprazolam tablet/kapsul/kaplet 0,25 mg


Alprazolam tablet/kapsul/kaplet 0,5 mg
Alprazolam tablet/kapsul/kaplet 1 mg
Amikasin injeksi 250 mg/ml
Aminofilin injeksi 24 mg/ml

11 Jawa
12 Jawa
13 Jawa
14 Jawa
15 Jawa
16 Jawa
17 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat

Aminofilin tablet scored 200 mg


Amiodaron injeksi 150 mg/3 ml
Amiodaron tablet/kaplet 200 mg
Amitriptilin tablet salut 25 mg (HCl)
Amlodipin tablet 10 mg
Amlodipin tablet 5 mg
Amoksisilin kapsul/kaplet 250 mg

18 Jawa Barat

Amoksisilin kapsul/kaplet/tablet scored 500


mg

19 Jawa Barat
20 Jawa Barat

Amoksisilin sirup kering forte 250 mg/5 ml


Amoksisilin sirup kering 125 mg/ 5 ml

21 Jawa Barat

Analog insulin long acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
(Insulin glargine 100 IU/ml)

22 Jawa Barat

Analog insulin mix insulininj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (25%
insulin lispro, 75% insulin lispro protamine
suspension, (rDNA))

23 Jawa Barat

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
(Insulin glulisine 100 IU/ml)

24 Jawa Barat

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
(Insulin lispro (rDNA origin))

25 Jawa Barat

Anastrozol tablet/kapsul/kaplet 1 mg

26 Jawa Barat

Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium
Hidroksida 200 mg

27 Jawa Barat

Anti Bakteri DOEN salep kombinasi: Basitrasin


500 IU/g Polimiksin 10.000 IU/g

28 Jawa Barat

Antimalaria DOEN kombinasi : Pirimetamin 25


mg Sulfadoksin 500 mg

29 Jawa Barat

Antimigren: Ergotamin Tartrat 1 mg + Kofein


50 mg

30 Jawa
31 Jawa
32 Jawa
33 Jawa
34 Jawa

Barat
Barat
Barat
Barat
Barat

Antiparkinson DOEN tablet kombinasi :


Benserazid 25 mg Levodopa 100 mg
Artemether injeksi 80 mg/ml
Asam Askorbat (Vitamin C) tablet 50 mg
Asam Folat tablet/kapsul/kaplet 1 mg
Asam Ibandronat injeksi 6mg/6ml

35 Jawa
36 Jawa
37 Jawa
38 Jawa

Barat
Barat
Barat
Barat

Asam Mefenamat kapsul/kaplet 500 mg


Asam pipemidat kapsul 400 mg
Asam traneksamat injeksi 100 mg/ml
Asiklovir salep mata 3%

39 Jawa Barat
40 Jawa Barat

Asiklovir tablet/kapsul/kaplet 200 mg


Asiklovir tablet/kapsul/kaplet 400 mg

41 Jawa
42 Jawa
43 Jawa
44 Jawa
45 Jawa
46 Jawa
47 Jawa
48 Jawa
49 Jawa
50 Jawa
51 Jawa

Asparaginase serbuk injeksi 10.000 UI/vial


Atapulgit tablet 600 mg
Atrakurium injeksi 25 mg/2,5 ml
Atropin Sulfat tablet 0,5 mg
Azitromisin sir kering 200 mg/ 5 mL
Azitromisin tablet 500 mg
Azitromisin tablet 250 mg
Bedak salisil serbuk 2%
Benzatin Benzil Penisilin 1,2 juta IU/ vial
Benzatin Benzil Penisilin 2,4 juta IU/vial
Beractant injeksi / suspensi 25 mg/mL

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

52 Jawa Barat

Beraprost sodium tablet 20 mcg

53 Jawa Barat

Beraprost sodium tablet 20 mcg

54 Jawa Barat
55 Jawa Barat
56 Jawa Barat

Betametason krim 0,1% (sebagai Valerat)


Bikalutamid tablet salut 150 mg
Bikalutamid tablet salut 50 mg

57 Jawa Barat
58 Jawa Barat
59 Jawa Barat

Bisakodil suppositoria 10 mg
Bisoprolol tablet 5 mg
Bromokriptin tablet 2,5 mg

60 Jawa Barat

Budesonid inhaler 200 mcg/puff, 100 dosis

61 Jawa Barat

Budesonid respules / cairan inhaler


0,25mg/mL

62 Jawa Barat

Budesonid-formoterol (fixed combination)


inhaler 160/4,5 mcg

63 Jawa Barat
64 Jawa Barat
65 Jawa Barat

Budesonid-formoterol (fixed combination)


inhaler 80/4,5 mcg
Deferasiroks tablet disp/ eff 250 mg
Deferasiroks tablet disp/ eff 500 mg

66 Jawa Barat
67 Jawa Barat

Deferoksamin Mesilat serbuk injeksi 500 mg


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

68 Jawa Barat
69 Jawa Barat

Deksametason tablet 0,5 mg


Desoksimetason krim 0,25%

70 Jawa
71 Jawa
72 Jawa
73 Jawa
74 Jawa
75 Jawa
76 Jawa
77 Jawa
78 Jawa
79 Jawa

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


Digoksin tablet 0,25 mg
Diltiazem HCl tablet 30 mg
Diltiazem infus injeksi 50 mg
Diltiazem injeksi 25 mg/5 mL
Diltiazem Kapsul SR 100 mg
Diltiazem Kapsul SR 200 mg
Dimenhidrinat tablet 50 mg
Doksazosin mesilat tablet 1 mg
Doksazosin mesilat tablet 2 mg

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

80 Jawa Barat

Doksorubisin serbuk injeksi i.v. 10 mg/vial

81 Jawa
82 Jawa
83 Jawa
84 Jawa

Doksorubisin serbuk injeksi i.v. 50 mg/vial


Domperidon suspensi/sirup 5 mg/5 ml
Domperidon tablet 10 mg
Domperidon tetes 5 mg/mL

Barat
Barat
Barat
Barat

85 Jawa Barat

Dosetaksel injeksi 20 mg/0,5 ml

86 Jawa Barat
87 Jawa Barat

Dutasterid kaps lunak 0,5 mg


Eksemestan tablet 25 mg

88 Jawa Barat

Enoksaparin sodium inj 20 mg/0,2 mL

89 Jawa Barat

Enoksaparin sodium inj 40 mg/0,4 mL

90 Jawa Barat

Enoksaparin sodium inj 60 mg/0,6 mL

91 Jawa Barat
92 Jawa Barat
93 Jawa Barat

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


mg/ml
Epirubisin serb injeksi 50 mg/25ml
Epirubisin serb injeksi 10 mg/5 ml

94 Jawa Barat

Ergokalsiferol (vitamin D3/D2) kapsul 50.000


UI

95 Jawa
96 Jawa
97 Jawa
98 Jawa
99 Jawa
100 Jawa
101 Jawa
102 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Ergokalsiferol (vitamin D3/D2) suspensi


10.000 UI/ml
Eritromisin kapsul/kaplet 250 mg
Eritromisin kapsul/kaplet 500 mg
Eritromisin sirup kering 200 mg/ 5 ml
Eritropoetin-beta inj 2000 UI/0,3 mL
Etambutol tablet 250 mg (HCl)
Etambutol tablet salut 500 mg (HCl)
Etanol 70% cairan

103 Jawa
104 Jawa
105 Jawa
106 Jawa
107 Jawa
108 Jawa
109 Jawa
110 Jawa
111 Jawa
112 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Etonogestrel implan 68 mcg


Etoposid injeksi 20 mg/ml
Eugenol cairan
Everolimus tab 0,25 mg
Everolimus tab 0,5 mg
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

113 Jawa Barat


114 Jawa Barat

Fenoksimetil penisilin (penisilin V) tab 125 mg


Fenoterol HBr inh solution 0,1%

115 Jawa Barat

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


ml

116 Jawa
117 Jawa
118 Jawa
119 Jawa
120 Jawa
121 Jawa

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


Fentanil patch 12,5 mcg/jam
Fentanil patch 25 mcg/jam
Fentanil patch 50 mcg/jam
Filgrastim inj 300 mcg/mL
Filgrastim inj 300 mcg/mL

Barat
Barat
Barat
Barat
Barat
Barat

122 Jawa Barat


123 Jawa Barat

Fitomenadion (Vit.K1) tablet salut gula 10 mg


Flufenazin injeksi i.m. 25 mg/ml

124 Jawa
125 Jawa
126 Jawa
127 Jawa
128 Jawa
129 Jawa
130 Jawa
131 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

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
Flusinolon asetonid krim 0,025%
Flutikason furoat intranasal spray

132 Jawa
133 Jawa
134 Jawa
135 Jawa
136 Jawa
137 Jawa
138 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat

Flutikason propionat nebules 0,5 mg


Fondaparinuks inj 2,5 mg/0,5 mL
Furosemid injeksi i.v./i.m. 10 mg/ml
Furosemid tablet 40 mg
Furosemid tablet 40 mg
Gansiklovir serb inj 500 mg (50 mg/mL)
Gefitinib tab 250 mg

139 Jawa Barat

Gemfibrozil kapsul/kaplet 300 mg

140 Jawa
141 Jawa
142 Jawa
143 Jawa
144 Jawa
145 Jawa

Barat
Barat
Barat
Barat
Barat
Barat

Gemfibrozil
Gemsitabin
Gemsitabin
Gentamisin
Gentamisin
Gentamisin

146 Jawa
147 Jawa
148 Jawa
149 Jawa
150 Jawa
151 Jawa
152 Jawa
153 Jawa
154 Jawa
155 Jawa
156 Jawa
157 Jawa
158 Jawa
159 Jawa
160 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Glibenklamid tablet 5 mg
Gliklazid tab 80 mg
Glikuidon tab 30 mg
Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Gliseril trinitrat kaps SR 2,5 mg
Gliseril trinitrat kaps SR 5 mg
Gliseril trinitrat tab sublingual 0,5 mg
Gliserin lar 50%
Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril
Goserelin asetat inj 10,8 mg/vial
Goserelin asetat inj 3,6 mg

161 Jawa Barat


162 Jawa Barat

tablet 600 mg
inj 1000 mg/vial
inj 200 mg/vial
injeksi 40 mg/ ml
salep mata 0,3%
tetes mata 0,3%

Griseofulvin tablet 125 mg


Haloperidol inj 50 mg/mL

163 Jawa Barat

Haloperidol tablet 0,5 mg

164 Jawa Barat

Haloperidol tablet 5 mg

165 Jawa
166 Jawa
167 Jawa
168 Jawa
169 Jawa
170 Jawa
171 Jawa
172 Jawa

Haloperidol tablet 1,5 mg


Haloperidol tablet 2 mg
Hiosin butilbromid injeksi 20 mg/ml
Ibuprofen sirup 100 mg/5 ml
Ibuprofen suspensi 200 mg/5 ml
Ibuprofen tablet 400 mg
Imidapril tab 10 mg
Imidapril tab 5 mg

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

173 Jawa Barat

Iopromide 300-370 mg Iodium/mL (300 mg /


100 ml)

174 Jawa Barat

Iopromide 300-370 mg Iodium/mL (300 mg /


50 ml)

175 Jawa Barat

Iopromide 300-370 mg Iodium/mL (370 mg /


100 ml)

176 Jawa
177 Jawa
178 Jawa
179 Jawa
180 Jawa
181 Jawa
182 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat

Iopromide 300-370 mg Iodium/mL (370 mg /


50 ml)
Irbesartan tab 150 mg
Irbesartan tab 300 mg
Irinotekan inf 20 mg/ml
Isosorbid Dinitrat tablet sublingual 5 mg
Kalium aspartat tab 300 mg
Kalium Klorida tablet 600 mg

183 Jawa
184 Jawa
185 Jawa
186 Jawa
187 Jawa
188 Jawa
189 Jawa
190 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

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


Kandesartan tab 16 mg
Kandesartan tab 8 mg
Kapesitabin tab 500 mg
Kaptopril tablet 50 mg
Kaptopril tablet scored 25 mg
Kaptopril tablet scored12,5 mg
Karbamazepin sirup 100 mg/5 ml

191 Jawa
192 Jawa
193 Jawa
194 Jawa
195 Jawa
196 Jawa
197 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat

Karbamazepin tablet 200 mg


Karbogliserin tetes telinga 10%
Ketamin injeksi i.v. 100 mg/ml
Ketokonazol krim 2%
Ketokonazol krim 2%
Ketokonazol tablet 200 mg
Ketorolac injeksi 30 mg/ml

198 Jawa Barat

Klaritromisin tab 500 mg

199 Jawa Barat

Klindamisin kapsul/kaplet 150 mg

200 Jawa
201 Jawa
202 Jawa
203 Jawa

Klindamisin kapsul/kaplet 300 mg


Klobazam tab 10 mg
Klonidin tablet 0,15 mg
Klopidogrel tab 75 mg

Barat
Barat
Barat
Barat

204 Jawa Barat

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

205 Jawa
206 Jawa
207 Jawa
208 Jawa
209 Jawa
210 Jawa

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


Klozapin 100 mg
Klozapin 25 mg
Kodein tablet 10 mg
Kodein tablet 15 mg
Kodein tablet 20 mg

Barat
Barat
Barat
Barat
Barat
Barat

211 Jawa Barat

Kombinasi suspensi : Parafin + gliserin +


fenolftalein

212 Jawa Barat

Kombinasi tablet salut : Besi (II) sulfat 7H2O


200 mg Asam folat 0,25 mg

213 Jawa Barat

Kombinasi: Artemether 20 mg; Lumefantrin


120 mg

214 Jawa Barat

Kombinasi: Levodopa 100 mg; Karbidopa 25


mg; Entekapon 200 mg

215 Jawa Barat

Kombinasi: Salmeterol 25 mcg; Flutikason


propionat 50 mcg

216 Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 100 mcg

217 Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 250 mcg

218 Jawa
219 Jawa
220 Jawa
221 Jawa
222 Jawa
223 Jawa
224 Jawa

Kotrimoksazol DOEN I (dewasa) kombinasi :


Sulfametoksazol 400 mg Trimetoprim 80 mg
Kuinin (Kina) tablet 200 mg
Kuinin injeksi i.v. 25% (sebagai 2 HCl)
Kuinin tablet 222 mg (H2SO4.7H2O)
Lamivudine tablet 150 mg
Lansoprazol inj 30 mg/ml
Lanzoprazol kapsul/kaplet 30 mg

Barat
Barat
Barat
Barat
Barat
Barat
Barat

225 Jawa Barat

Lapatinib tab 250 mg

226 Jawa Barat

Larutan mengandung Asam Amino (Asam


Amino 100 g, Total N 15,7 g, Na+ 2 mEq,
Asetat 120 mEq)

227 Jawa Barat

Larutan mengandung Asam Amino (Asam


Amino 27 g, Sorbitol 50 g, Cl- 52 mEq)

228 Jawa Barat

Larutan mengandung Asam Amino (Asam


Amino 30 g, Glukosa 7,3 % dan elektrolit)

229 Jawa Barat

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)

230 Jawa Barat

Larutan mengandung Asam Amino (Asam


amino 8%)

231 Jawa Barat

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)

232 Jawa Barat

Larutan mengandung Asam Amino (Kombinasi


Asam amino 50 g/L, vitamin dan elektrolit)

233 Jawa Barat

Larutan mengandung Asam Amino (Kombinasi


Glukosa dan elektrolit 150 gr + Asam Amino
48 gr dgn akses sentral)

234 Jawa Barat

Larutan mengandung Asam Amino (Kombinasi


Glukosa dan elektrolit 80 gr + Asam Amino 40
gr )

235 Jawa Barat

Larutan mengandung Elektrolit (Kalium


Klorida)

236 Jawa Barat

Larutan mengandung Elektrolit (Larutan


Ringer Laktat)

237 Jawa Barat

Larutan mengandung Elektrolit (Na 130 mEq,


Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq)

238 Jawa Barat

Larutan mengandung Elektrolit (NaCl 1.125


gr, Dekstrosa 18.75 gr)

239 Jawa Barat

Larutan mengandung Elektrolit (Sodium


Lactate sol (50%) 113 gr/L, Potassium
Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L,
elektrolit)

240 Jawa Barat

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)

241 Jawa Barat

Larutan mengandung Karbohidrat (Fructose


120 g, glucose 66 g, Xylitol 60 g/ L +
elektrolit)

242 Jawa Barat

Larutan mengandung Karbohidrat (Fructose


60 g, glucose 33 g, Xylitol 30 g/ L)

243 Jawa Barat

Larutan mengandung Karbohidrat (Maltose


100 gr)

244 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L)

245 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Asam amino 28 gr/L, Glukosa 75 gr/L,
elektrolit)

246 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)

247 Jawa Barat

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)

248 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa 55 g ; Natrium Chloride 9 g, air
untuk injeksi ad 1000 ml)

249 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 25,0 g; NaCl: 4,5 g)

250 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 2.25 g)

251 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 4.5 g)

252 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


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

253 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Larutan Ringer & Glukosa 5%)

254 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(NaCl 1.75 g, KCL 1.5g, Glukosa 100 gr)

255 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr,
Dekstrosa 27 gr)

256 Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr
Dekstrosa 27 gr)

257 Jawa Barat

Larutan mengandung Lipid ( Infus Lipid Emulsi


MCT/LCT 20% 100 ml)

258 Jawa Barat

Larutan mengandung Lipid (Emulsi lemak


20%)

259 Jawa Barat

Larutan mengandung Lipid (Infus Lipid Emulsi


MCT/LCT 20% 250 ml)

260 Jawa Barat

Larutan mengandung Lipid (Kombinasi


Glukosa dan elektrolit 180 gr + Asam Amino
71.8 gr + Lipid 50 gr dgn akses sentral)

261 Jawa Barat

Larutan mengandung Lipid (Kombinasi


Glukosa dan elektrolit 80 gr + Asam Amino 40
gr + Lipid MCT/LCT 50 gr)

262 Jawa Barat

Larutan mengandung Lipid (Kombinasi


Glukosa dan elektrolit 90 gr + Asam Amino
35.9 gr + Lipid 25 gr dgn akses sentral)

263 Jawa
264 Jawa
265 Jawa
266 Jawa
267 Jawa
268 Jawa

Larutan mengandung Lipid (Soybean Oil 200


g/L, Egg Lecithins 12 gr/L, Glycerol Ph 25 gr/L,
Sodium Oleate 0.3 gr/L)
Leuprorelin asetat inj depot 1,88 mg
Leuprorelin asetat inj depot 11,25 mg
Levofloksasin inf 5 mg/mL
Levofloksasin tablet 500 mg
Lidokain injeksi 2% (HCL)

Barat
Barat
Barat
Barat
Barat
Barat

269 Jawa Barat


270 Jawa Barat
271 Jawa Barat

Lidokain injeksi 2% (HCl) + Epinefrin 1 :


80.000 - 2ml
Lidokain jeli 2%
Lisinopril tablet 10 mg

272 Jawa
273 Jawa
274 Jawa
275 Jawa
276 Jawa
277 Jawa
278 Jawa
279 Jawa
280 Jawa
281 Jawa
282 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Lisinopril tablet 5 mg
Litium karbonat tablet 200 mg
Litium karbonat tablet 400 mg
Loperamid tablet 2 mg
Loratadin tablet 10 mg
Lorazepam tablet 2 mg
Maprotilin HCl tab 25 mg
Maprotilin HCl tab 50 mg
Melfalan tablet 2 mg
Meropenem inj 1 g
Metadon sir 50mg/5ml

283 Jawa Barat


284 Jawa Barat

Metilfenidat kapsul LA 20 mg
Metilprednisolon tablet 16 mg

285 Jawa Barat

Metilprednisolon tablet 4 mg

286 Jawa Barat


287 Jawa Barat
288 Jawa Barat

Metilprednisolon tablet 8 mg
Metoklopramide tablet 5 mg
Metronidazol infus 500 mg/100 ml

289 Jawa
290 Jawa
291 Jawa
292 Jawa
293 Jawa
294 Jawa
295 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat

Metronidazol supositoria 500 mg


Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Midazolam injeksi i.v. 1 mg/ml
Midazolam injeksi i.v. 5 mg/ml
Mikafungin Na serb inj 50 mg
Mikonazol krim/salep 2 % (Nitrat)

296 Jawa
297 Jawa
298 Jawa
299 Jawa
300 Jawa
301 Jawa
302 Jawa
303 Jawa
304 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Mitomisin C (crystallin) serbuk inj 10 mg/vial


Moksifloksasin tetes mata 0,5%
Mometason furoat krim 0,1%
Morfin HCL inj 10 mg/ml
Morfin HCL tablet SR 10 mg
Morfin HCL tablet SR 15 mg
Morfin injeksi i.m./s.k./i.v. 10 mg/ml
Morfin tablet 10 mg
Nacl 0,9%

305 Jawa Barat

Nadroparin inj 9500 Axa/mL syringe 0,3 mL

306 Jawa Barat

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

307 Jawa Barat


308 Jawa Barat

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


Nalokson injeksi 0,4 mg/ml

309 Jawa
310 Jawa
311 Jawa
312 Jawa
313 Jawa
314 Jawa

Barat
Barat
Barat
Barat
Barat
Barat

Natrium Bikarbonat injeksi i.v 8,4%


Natrium Diklofenak tablet 50 mg
Natrium fusidat salep 20 mg/g
Nevirapin tablet 200 mg
Nifedipin tab 20 mg, slow release; oros
Nifedipin tab 30 mg, oros

315 Jawa
316 Jawa
317 Jawa
318 Jawa
319 Jawa

Barat
Barat
Barat
Barat
Barat

Nifedipin tablet/kapsul 10 mg
Nistatin tablet salut 500.000 IU/ g
Noretisteron tablet 5 mg
Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori 2

320 Jawa
321 Jawa
322 Jawa
323 Jawa
324 Jawa

Barat
Barat
Barat
Barat
Barat

Obat Antituberkulosis FDC Kategori Anak


Obat Antituberkulosis FDC Sisipan
Ofloxacin tablet 200 mg
Ofloxacin tablet 400 mg
Oksimetazolin tetes hidung 0,025%

325 Jawa
326 Jawa
327 Jawa
328 Jawa
329 Jawa
330 Jawa
331 Jawa
332 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Oktreotid 10 mg
Olanzapin kapl salut 5 mg
Olanzapin tab 10 mg
Omeprazol injeksi 40 mg/ 10 ml
Omeprazol kapsul/kaplet 20 mg
ondansetron inj 4 mg/ 2 mL
Ondansetron tab 4 mg
Ondansetron tablet 8 mg

333 Jawa Barat

Paket CAPD Awal (Komposisi: 1 unit Transfer


Set, 2 unit Ultaclam, 1 unit Tenckoff Catheter,
Titanium Adaptor)

334 Jawa Barat

Paket CAPD Pergantian Transfer Set per 6


bulan

335 Jawa Barat


336 Jawa Barat
337 Jawa Barat

Paket CAPD Rutin 120 ( 4x ganti cairan perhari


dengan komposisi Larutan Dialisa 1.5 %,
Larutan Dialisa 2.5 %, Larutan Dialisa 4.25 %,
Minicap)
Parasetamol sirup 120 mg / 5 ml
Parasetamol tablet 500 mg

338 Jawa Barat

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


ml

339 Jawa Barat


340 Jawa Barat

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


ml
Permetrin krim 5%

341 Jawa
342 Jawa
343 Jawa
344 Jawa
345 Jawa
346 Jawa
347 Jawa
348 Jawa
349 Jawa
350 Jawa

Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml


(HCl)
Pioglitazon tab 15 mg
Pioglitazon tab 30 mg
Pirantel suspensi 125 mg/5 ml
Pirantel tablet score (base) 125 mg
Pirazinamid tablet 500 mg
Polikresulen cairan
Povidon Iodida larutan 10% 1000 ml
Povidon Iodida larutan 10% 30 ml
Povidon Iodida larutan 10% 300 ml

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

351 Jawa Barat

Pramipeksol tab ER 0,375 mg

352 Jawa
353 Jawa
354 Jawa
355 Jawa
356 Jawa
357 Jawa
358 Jawa
359 Jawa
360 Jawa

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Pramipeksol tab ER 0,750 mg


Pravastatin tablet 20 mg
Propanolol tablet 10 mg ( HCl )
Propranolol tablet 40 mg (HCl)
Quetiapin tab 200 mg
Quetiapin tab 300 mg
Quetiapin tab 400 mg
Ramipril tablet 5 mg
Ranitidin injeksi 25 mg/2 ml

361 Jawa
362 Jawa
363 Jawa
364 Jawa
365 Jawa
366 Jawa

Barat
Barat
Barat
Barat
Barat
Barat

Ranitidin tablet 150 mg


Retinol (Vitamin A) 100.000 IU
Ringer Laktat larutan infus
Risperidon tablet 1 mg
Risperidon tablet 2 mg
Risperidon tablet 3 mg

367 Jawa Barat

Ropinirol Tablet Salut 2 mg

368 Jawa Barat

Ropinirol Tablet Salut 4 mg

369 Jawa Barat

Ropinirol Tablet Salut 8 mg

370 Jawa Barat

Salbutamol inhalasi/aerosol 100 mcg/dosis

371 Jawa Barat

Salbutamol serb inh 200 mcg/kaps

372 Jawa Barat

Salbutamol serb inh 200 mcg/kaps + rotahaler

373 Jawa
374 Jawa
375 Jawa
376 Jawa
377 Jawa
378 Jawa

Barat
Barat
Barat
Barat
Barat
Barat

Sefadroksil sirup kering 125 mg/5ml


Sefadroksil kapsul/kaplet 250 mg
Sefadroksil kapsul/kaplet 500 mg
Sefadroksil sir kering 250 mg/5 mL
Sefaleksin kapsul/kaplet 500 mg
Sefepim inj 1 g

379 Jawa
380 Jawa
381 Jawa
382 Jawa
383 Jawa

Barat
Barat
Barat
Barat
Barat

Sefiksim kapsul/kaplet 100 mg


Sefiksim sirup kering 100 mg/ 5 ml
Sefotaksim injeksi 1 g
Sefpodoksim proksetil tab 100 mg
Seftriakson serbuk injeksi 1 g/vial

384 Jawa Barat

Sefuroksim tab 500 mg

385 Jawa Barat

Setirizin tablet 10 mg

386 Jawa Barat

Sianokobalamin (vitamin B12) injeksi 500 mcg

387 Jawa Barat


388 Jawa Barat

Siklofosfamid serbuk injeksi i.v. 1000 mg


Siklofosfamid serbuk injeksi i.v. 200 mg

389 Jawa Barat

Siklosporin kaps 100 mg

390 Jawa Barat

Siklosporin kapsul lunak 25 mg

391 Jawa Barat

Simvastatin scored tablet 10 mg

392 Jawa Barat


393 Jawa Barat

Simvastatin tablet 20 mg
Siprofloksasin infus 2%

394 Jawa
395 Jawa
396 Jawa
397 Jawa

Siprofloksasin tablet 500 mg (sebagai HCl)


Spiramisin tablet 500 mg
Spironolakton tablet 100 mg
Spironolakton tablet 25 mg

Barat
Barat
Barat
Barat

398 Jawa Barat

Sufentanil injeksi iv, epidural 5 mcg/ml

399 Jawa Barat

Takrolimus kaps 0.5 mg

400 Jawa Barat


401 Jawa Barat

Takrolimus kaps 1 mg
Tamsulosin tab 0,2 mg

402 Jawa Barat

Tamsulosin tab 0,2 mg

403 Jawa
404 Jawa
405 Jawa
406 Jawa

Barat
Barat
Barat
Barat

Tamsulosin tab SR 0,4 mg


Telbivudin tab 600 mg
Terbutalin cairan ih 2,5 mg/mL
Terbutalin tablet 2,5 mg

407 Jawa Barat


408 Jawa Barat

Terbutalin turbu (serbuk ih) 0,50 mg


Tetrasiklin kapsul/kaplet 250 mg

409 Jawa Barat

Tiamazol tab 10 mg

410 Jawa Barat


411 Jawa Barat
412 Jawa Barat

Tiamazol tab 5 mg
Timolol tetes mata 0,25%
Timolol tetes mata 0,5%

413 Jawa Barat


414 Jawa Barat
415 Jawa Barat

Tiotropium kaps 18 mcg + handihaller


Tramadol injeksi 50 mg/ml
Travoprost tetes mata 0,004%

416 Jawa Barat


417 Jawa Barat
418 Jawa Barat

Triamsinolon asetonid nasal spray 55 mcg/puff


Trifluoperazin tablet 5 mg
Urea krim 10%

419 Jawa
420 Jawa
421 Jawa
422 Jawa
423 Jawa
424 Jawa
425 Jawa
426 Jawa
427 Jawa
428 Jawa

Vaksin polio inj (Vaksin Poliomyelitis yang


diinaktifkan)
Valproat tab SR 250 mg
Valproat tab SR 500 mg
Valsartan tab 80 mg
Valsartan tab 160 mg
Verapamil tab 240 mg
Verapamil tablet 80 mg (HCl)
Vinblastin serbuk injeksi 10 mg
Vitamin B Kompleks tablet
Zidovudin 300 mg + Lamivudine 150 mg

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

429 Jawa Barat


430 Jawa Barat
431 Jawa Barat

Zinc drop 10 mg/mL


Zinc sir 20 mg/5 Ml
Zinc tablet dispersible20 mg

n/a

PT. Kimia Farma

Hepsera

PT. SmithKline Beecham Phamaceuticals

n/a
n/a

PT. Indofarma
PT. Holi Pharma

n/a

PT. Pertiwi Agung

n/a
n/a
n/a
Glybotic 250 mg /ml
n/a

PT.
PT.
PT.
PT.
PT.

Dexa Medica
Otto Pharmaceuticals
Kimia Farma
Sanbe Farma
Lucas Djaja

n/a
Cordarone
Kendaron Tablet
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.

Marin Liza Farmasi


Aventis Pharma
Darya Varia
Indofarma
Pertiwi Agung
Pertiwi Agung
Novapharin

n/a

PT. Bernofarm

n/a
n/a

PT. Holi Pharma


PT. Novapharin

Lantus Solostar 100IU/ml 5pens x3ml

PT. Aventis Pharma

Humalog Mix 25

PT. Tempo Scan Pacific

Apidra Solostar 100IU/ml 5pens x3ml

PT. Aventis Pharma

Humalog

PT. Tempo Scan Pacific

Arimidex 1 mg

PT. AstraZeneca indonesia

n/a

PT. Promedrahardjo Farmasi Industri

n/a

PT. Indofarma

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

Levopar Tablet
Artem
n/a
n/a
Bondronat

PT.
PT.
PT.
PT.
PT.

Meprofarm
Kimia Farma
Kimia Farma
Marin Liza Farmasi
Boehringer Ingelheim

n/a
Urotractin 400 mg
n/a
Temiral Eye Oint

PT.
PT.
PT.
PT.

Bernofarm
Sanbe Farma
Hexpharm Jaya Laboratories
Sanbe Farma

n/a
n/a

PT. Indofarma
PT. Kimia Farma

Leunase
Pularex
Tracrium
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Survanta

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Dorner

PT. Combiphar

Dorner 20 g

PT. Combiphar

n/a
Casodex 150 mg
Casodex 50 mg

PT. Kimia Farma


PT. AstraZeneca indonesia
PT. AstraZeneca indonesia

Widatra Bhakti
Zenith Pharmaceuticals
Glaxo Wellcome Indonesia
Indofarma
Soho Industri Pharmasi
Kimia Farma
Soho Industri Pharmasi
Rama Emerald Multi Sukses
Phapros, Tbk
Phapros, Tbk
Abbott Indonesia

Stolax supp
n/a
Cripsa tab

PT. Sanbe Farma


PT. Pratapa Nirmala
PT. Caprifarmindo

Pulmicort Turbuhaler

PT. AstraZeneca indonesia

Pulmicort Respules

PT. AstraZeneca indonesia

Symbicort Turbuhaler 160/4.5 mcg

PT. AstraZeneca indonesia

Symbicort 80/4.5 mcg


Exjade 250 mg Tab
Exjade 500 mg Tab

PT. AstraZeneca indonesia


PT. Novartis Indonesia
PT. Novartis Indonesia

Desferal
n/a

PT. Novartis Indonesia


PT. Indofarma

n/a
n/a

PT. Indofarma
PT. Dexa Medica

n/a
n/a
n/a
Herbesser Powder Injection 50mg
Farmabes Injeksi 25 mg
Herbesser CD 100
Herbesser CD 200
n/a
Cardura 1mg
Cardura 2mg

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Doxorubicin Actavis 10 mg

PT. Actavis Indonesia

Doxorubicin Actavis 50 mg
n/a
n/a
n/a

PT.
PT.
PT.
PT.

n/a

PT. Sanbe Farma

Avodart
Aromasin

PT. SmithKline Beecham Phamaceuticals


PT. Pfizer Indonesia

Lovenox 2000 ANTI-XA

PT. Aventis Pharma

Lucas Djaja
Yarindo Farmatama
Indofarma
Tanabe Indonesia
Pratapa Nirmala
Tanabe Indonesia
Tanabe Indonesia
Kimia Farma
Pfizer Indonesia
Pfizer Indonesia

Actavis Indonesia
Novapharin
Novapharin
Bernofarm

Lovenox 4000 ANTI-XA

PT. Aventis Pharma

Lovenox 6000 ANTI-XA

PT. Aventis Pharma

n/a
Epirubisin Kalbe
n/a

PT. Phapros, Tbk


PT Kalbe Farma
PT. Sanbe Farma

D-Vit FT

PT. Gracia Pharmindo

D-Vit Syrup
n/a
n/a
n/a
Recormon
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Gracia Pharmindo
Kimia Farma
Indofarma
Phyto Kemo Agung Farma
Boehringer Ingelheim
Kimia Farma
Indofarma
Novapharin

Implanon
Posyd
n/a
Certican 0,25 mg Tab
Certican 0,5 mg Tab
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Merck Sharp Dohme Pharma Tbk


Combiphar
Kimia Farma
Novartis Indonesia
Novartis Indonesia
Mersifarma Tirmaku Mercusana
Ikapharmindo
Phapros, Tbk
Hexpharm Jaya Laboratories
Hexpharm Jaya Laboratories

Fenocin
Berotec Solution

PT. Actavis Indonesia


PT. Boehringer Ingelheim

n/a

PT. Kimia Farma

n/a
Durogesic 12,5 MU Matrix
Durogesic 25 MU Matrix
Durogesic 50 MU Matrix
Zarzio
Leucogen

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Sandoz Indonesia
PT Kalbe Farma

n/a
Sikzonoate Injeksi

PT. Marin Liza Farmasi


PT. Mersifarma Tirmaku Mercusana

n/a
n/a
Foransi 10
NOPRES
Curacil
Curacil
SYNARCUS
Avamys

PT. Novell Pharmaeutical Laboratories


PT. Kimia Farma
PT. Gracia Pharmindo
PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma
PT. Ifars Pharmaceutical Laboratories
PT. Glaxo Wellcome Indonesia

Flixotide Nbules
Arixtra
n/a
n/a
n/a
Cymevene
Iressa 250 mg

PT.
PT.
PT.
PT.
PT.
PT.
PT.

n/a

PT. Indofarma

n/a
Gemzar 1000 mg
n/a
n/a
Genoint Salep Mata
n/a

PT.
PT.
PT.
PT.
PT.
PT.

Indofarma
Bayer Indonesia
Sanbe Farma
Indofarma
Erela
Indofarma

n/a
Glicab
n/a
n/a
n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte
Nitral
Gliserin lar 50%
n/a
n/a
Zoladex 10,8 mg
Zoladex 3,6 mg

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Indofarma
Tempo Scan Pacific
Dexa Medica
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Actavis Indonesia
Lucas Djaja
Widatra Bhakti
Widatra Bhakti
AstraZeneca indonesia
AstraZeneca indonesia

n/a
Haldol Decanoas

PT. Indofarma
PT. Soho Industri Pharmasi

Glaxo Wellcome Indonesia


Glaxo Wellcome Indonesia
Indofarma
Indofarma
Sampharindo Perdana
Boehringer Ingelheim
AstraZeneca indonesia

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a
Lodomer 2
n/a
n/a
n/a
n/a
Tanapress 10mg
Tanapress 5mg

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Ultravist 300/100 mg

PT. Bayer Indonesia

Ultravist 300/50 mg

PT. Bayer Indonesia

Ultravist 370/100 mg

PT. Bayer Indonesia

Ultravist 370/50 mg
n/a
n/a
n/a
n/a
Kalipar
KSR

PT.
PT.
PT.
PT.
PT.
PT.
PT.

Bayer Indonesia
Indofarma
Indofarma
Sanbe Farma
Indofarma
Tempo Scan Pacific
Merck Tbk

Kalsium glukonat
n/a
n/a
Xeloda
n/a
n/a
n/a
Tegretol Syrup 100mg/5ml, 120ml

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Ethica Industri Farmasi


Dexa Medica
Dexa Medica
Boehringer Ingelheim
Indofarma
Errita Pharma
Indofarma
Novartis Indonesia

n/a
Karbogliserin tetes telinga 10%
KTM
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.

Indofarma
Lucas Djaja
Guardian Pharmatama
Kimia Farma
Novell Pharmaeutical Laboratories
Dexa Medica
Phapros, Tbk

Indofarma
Mersifarma Tirmaku Mercusana
Otto Pharmaceuticals
Indofarma
Indofarma
Holi Pharma
Tanabe Indonesia
Tanabe Indonesia

ORIXAL

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Indofarma

n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.

n/a

PT. Phapros, Tbk

n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

Laxadine Emulsi 60 ml

PT. Galenium Pharmasia Laboratories

n/a

PT. Erela

Coartem

PT. Novartis Indonesia

Stalevo

PT. Novartis Indonesia

Seretide Inhaler 50 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 100 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 250 mcg

PT. Glaxo Wellcome Indonesia

n/a
n/a
n/a
n/a
n/a
Prosogan Inj.
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.

Tykerb

PT. SmithKline Beecham Phamaceuticals

Indofarma
Dexa Medica
Kimia Farma
Hexpharm Jaya Laboratories

Phapros, Tbk
Mersifarma Tirmaku Mercusana
Mersifarma Tirmaku Mercusana
Kimia Farma
Kimia Farma
Kimia Farma

Holi Pharma
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Takeda Indonesia
Indofarma

Amiparen

PT Otsuka Indonesia

Pan-amin G

PT Otsuka Indonesia

Aminofluid

PT Otsuka Indonesia

Aminofusin Hepar

PT Kalbe Farma

Aminosteril N-Hepa

PT. Fresenius Kabi Combiphar

Aminofusin L600

PT Kalbe Farma

Aminofusin Paed

PT Kalbe Farma

Combiflex Plus (790 kcal)

PT. Phapros, Tbk

Combiflex peri (480 kcal)

PT. Phapros, Tbk

Otsu - KCl 7,46%

PT Otsuka Indonesia

Wida RL

PT. Widatra Bhakti

Asering

PT Otsuka Indonesia

KA EN 1B

PT Otsuka Indonesia

Totilac

PT Kalbe Farma

Ringerfundin 500 mL

PT. Phapros, Tbk

Triofusin 1000

PT Kalbe Farma

Triofusin 500

PT Kalbe Farma

Martos

PT Otsuka Indonesia

Tutofusin OPS

PT Kalbe Farma

Clinimix N9G15E

PT Kalbe Farma

Triofusin E1000

PT Kalbe Farma

Wida HSD

PT. Widatra Bhakti

Wida D5-NS

PT. Widatra Bhakti

WIDA 2A

PT. Widatra Bhakti

WIDA D5-1/4NS

PT. Widatra Bhakti

WIDA D5-1/2NS

PT. Widatra Bhakti

Futrolit

PT. Sanbe Farma

Wida RD

PT. Widatra Bhakti

KA ENMG 3

PT Otsuka Indonesia

KA EN 3B

PT Otsuka Indonesia

KA EN 3A

PT Otsuka Indonesia

Lipofundin MCT/LCT 1% 100

PT. Phapros, Tbk

Intralipid

PT. Fresenius Kabi Combiphar

Lipofundin MCT/LCT 1% 250

PT. Phapros, Tbk

Nutriflex Lipid Special 1250

PT. Phapros, Tbk

Nutriflex Lipid Peri 1250

PT. Phapros, Tbk

Nutriflex Lipid Special 625

PT. Phapros, Tbk

Ivelip
Tapros 1.88mg
Tapros 3M
n/a
n/a
n/a

PT Kalbe Farma
PT. Takeda Indonesia
PT. Takeda Indonesia
PT. Infion Pharmaceutical
PT. Promedrahardjo Farmasi Industri
PT. Bernofarm

n/a
Xylocaine Jelly 2%
n/a

PT. Indofarma
PT. AstraZeneca indonesia
PT. Novell Pharmaeutical Laboratories

n/a
Frimania 200
Frimania 400
n/a
n/a
Merlopam 2
Ludios
Sandepril 50
Alkeran
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Novell Pharmaeutical Laboratories


Mersifarma Tirmaku Mercusana
Mersifarma Tirmaku Mercusana
Ifars Pharmaceutical Laboratories
Promedrahardjo Farmasi Industri
Mersifarma Tirmaku Mercusana
Soho Industri Pharmasi
Mersifarma Tirmaku Mercusana
Glaxo Wellcome Indonesia
Bernofarm
Kimia Farma

Ritalin LA
n/a

PT. Novartis Indonesia


PT. Mahakam Beta Farma

n/a

PT. Natura Laboratoria Prima

n/a
n/a
n/a

PT. Dexa Medica


PT. Kimia Farma
PT. Natura Laboratoria Prima

Flagyl
n/a
n/a
Dormicum
Dormicum
Mycamine
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.

Aventis Pharma
Phyto Kemo Agung Farma
Phyto Kemo Agung Farma
Boehringer Ingelheim
Boehringer Ingelheim
Combiphar
Kimia Farma

Mitomycin C
Vigamox
n/a
n/a
MST Continus 10 mg
MST Continus 15 mg
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Widatra Bhakti
Tempo Scan Pacific
Guardian Pharmatama
Kimia Farma
Mahakam Beta Farma
Mahakam Beta Farma
Kimia Farma
Kimia Farma
Widatra Bhakti

Fraxiparine 0.3 ml

PT. Glaxo Wellcome Indonesia

Fraxiparine 0.4 ml

PT. Glaxo Wellcome Indonesia

Fraxiparine 0.6 ml
Nokoba

PT. Glaxo Wellcome Indonesia


PT. Pratapa Nirmala

Meylon
n/a
Fucilex Ointment
n/a
Adalat Oros 20 mg
Adalat Oros 30 mg

PT Otsuka Indonesia
PT. Novell Pharmaeutical Laboratories
PT. Molex Ayus
PT. Kimia Farma
PT. Bayer Indonesia
PT. Bayer Indonesia

n/a
n/a
Primolut N
n/a
n/a

PT.
PT.
PT.
PT.
PT.

Dexa Medica
Phapros, Tbk
Bayer Indonesia
Phapros, Tbk
Indofarma

n/a
n/a
n/a
n/a
Ilaidin Drops

PT.
PT.
PT.
PT.
PT.

Phapros, Tbk
Indofarma
Novell Pharmaeutical Laboratories
Novell Pharmaeutical Laboratories
Merck Tbk

Sandostatin LAR
Olandoz 5
Olandoz 10
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Novartis Indonesia
Sandoz Indonesia
Sandoz Indonesia
Natura Laboratoria Prima
Novapharin
Indofarma
Yarindo Farmatama
Yarindo Farmatama

n/a

PT Kalbe Farma

n/a

PT Kalbe Farma

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
PT Kalbe Farma
n/a
PT. Afifarma
n/a
PT. Imfarmind Farmasi industri
Pegasys

PT. Boehringer Ingelheim

Pegasys
Scabimite Cream 10

PT. Boehringer Ingelheim


PT. Galenium Pharmasia Laboratories

n/a
DECULIN 15 MG
DECULIN 30 MG
n/a
n/a
n/a
Aptil
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Sifrol ER 0,375mg

PT. Boehringer Ingelheim

Sifrol ER 0,750mg
n/a
n/a
n/a
Seroquel XR 200 mg
Seroquel XR 300 mg
Seroquel XR 400 mg
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Boehringer Ingelheim
Novell Pharmaeutical Laboratories
Dexa Medica
Holi Pharma
AstraZeneca indonesia
AstraZeneca indonesia
AstraZeneca indonesia
Dexa Medica
Natura Laboratoria Prima

n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

Dexa Medica
Kimia Farma
Widatra Bhakti
Dexa Medica
Mersifarma Tirmaku Mercusana
Dexa Medica

Requip PD 24 Hour 2 mg

PT. Glaxo Wellcome Indonesia

Requip PD 24 Hour 4 mg

PT. Glaxo Wellcome Indonesia

Requip PD 24 Hour 8 mg

PT. Glaxo Wellcome Indonesia

Ventolin Inhaler

PT. Glaxo Wellcome Indonesia

Ventolin Rotacaps

PT. Glaxo Wellcome Indonesia

Ventolin Rotahaler

PT. Glaxo Wellcome Indonesia

Kimia Farma
Dexa Medica
Dexa Medica
Holi Pharma
Holi Pharma
Holi Pharma
Pratapa Nirmala
Afifarma
Afifarma
Afifarma

n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

Holi Pharma
Hexpharm Jaya Laboratories
Holi Pharma
Holi Pharma
Ifars Pharmaceutical Laboratories
Yarindo Farmatama

n/a
n/a
n/a
Banadoz 100
n/a

PT.
PT.
PT.
PT.
PT.

Bernofarm
Ifars Pharmaceutical Laboratories
Natura Laboratoria Prima
Sandoz Indonesia
Natura Laboratoria Prima

Zinnat 500

PT. Glaxo Wellcome Indonesia

n/a

PT. Pertiwi Agung

n/a

PT. Lucas Djaja

Cyclovid 1000 mg
Cyclovid 200 mg

PT. Novell Pharmaeutical Laboratories


PT. Novell Pharmaeutical Laboratories

Sandimmun Neoral 100mg Kap

PT. Novartis Indonesia

Sandimmun Neoral 25mg Kap

PT. Novartis Indonesia

n/a

PT. Natura Laboratoria Prima

n/a
n/a

PT. Natura Laboratoria Prima


PT. Dexa Medica

n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.

Sufentanyl Injeksi iv.Epidural 5 mcg /


ml

PT. Kimia Farma

Prograf

PT. Combiphar

Prograf
Harnal D 0.2 mg Disp. Tablet

PT. Combiphar
PT. Combiphar

Harnal D

PT. Combiphar

Bernofarm
Indofarma
Dexa Medica
Dexa Medica

Harnal OCAS 0.4 mg Tablet


Sebivo 600 mg Tab
Bricasma Respules
Molasma Tablet

PT.
PT.
PT.
PT.

Combiphar
Novartis Indonesia
AstraZeneca indonesia
Molex Ayus

Bricasma Turbuhaler 0,5 mg


n/a

PT. AstraZeneca indonesia


PT. Holi Pharma

Thyrozol 10

PT. Merck Tbk

Thyrozol 5
Isotic Adretor 0,25%
Isotic Adretor 0,5%

PT. Merck Tbk


PT. Pratapa Nirmala
PT. Pratapa Nirmala

Spiriva 10s + Handihaler


n/a
Travatan

PT. Boehringer Ingelheim


PT. Natura Laboratoria Prima
PT. Tempo Scan Pacific

Nasacort AQ
n/a
Soft U Derm

PT. Aventis Pharma


PT. Darya Varia
PT. Galenium Pharmasia Laboratories

Imovax Polio
Depakote ER 250 mg
Depakote ER 500 mg
Diovan 80mg Tab
Diovan
Isoptin 240 mg
n/a
Vinblastine
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Zincpro Drops
Zircum Kid Sirup
n/a

PT. Combiphar
PT. Meprofarm
PT. Kimia Farma

Aventis Pharma
Abbott Indonesia
Abbott Indonesia
Novartis Indonesia
Novartis Indonesia
Abbott Indonesia
Kimia Farma
Combiphar
Kimia Farma
Kimia Farma

1 blister@24 tablet

1,375.00 Download

Download

27,500.00 Download

Download

3,849.00 Download
338 Download

Download
Download

86 Download

Download

Dus, 10 Strip @ 10 tablet


strip
Ktk 10x10 tablet
Vial 2 ml
dus 30 ampul @10 ml

380 Download
176 Download
233 Download
50,500.00 Download
3,822.00 Download

Download
Download
Download
Download
Download

Botol @ 100 tablet salut


selaput
Dus, 6 ampul @ 3 ml
strip
Dus, 10 strip @ 10 tss
Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets
strip

90 Download
12,480.00 Download
1,200.00 Download
112 Download
330 Download
187 Download
211 Download

Download
Download
Download
Download
Download
Download
Download

Dus, 10 strip @ 10 kaptab

272 Download

Download

4,045.00 Download
2,445.00 Download

Download
Download

dus, 5 solostar pen @ 3ml

85,000.00 Download

Download

Penfill cartridge

97,500.00 Download

Download

dus, 5 solostar pen @ 3ml

79,165.00 Download

Download

Penfill cartridge

79,167.00 Download

Download

Dus, 3 Blister @ 10 kapsul


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

Dus, Botol 60 ml
btl @ 60 ml

Dus, 2 blister @ 14 Tablet

32,000.00 Download

Download

75 Download

Download

2,516.00 Download

Download

ktk 10 x 10 tablet

520 Download

Download

Btl 100 tablet

135 Download

Download

1,500.00 Download
22,000.00 Download
95 Download
48 Download
2,209,000.00 Download

Download
Download
Download
Download
Download

112 Download
1,815.00 Download
3,334.00 Download
24,750.00 Download

Download
Download
Download
Download

237 Download
345 Download

Download
Download

1,039,500.00 Download
190 Download
20,000.00 Download
74 Download
34,400.00 Download
4,500.00 Download
3,333.00 Download
1,250.00 Download
9,800.00 Download
13,400.00 Download
3,200,000.00 Download

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Download
Download
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Box @ 3 blister @ 10 Tablet

3,600.00 Download

Download

Box/ 3 blister @ 10 Tablet

3,600.00 Download

Download

Tube 5 gr
Dus, 2 blister @ 14 Tablet
Dus, 2 blister @ 14 Tablet

1,520.00 Download
72,400.00 Download
45,000.00 Download

Download
Download
Download

STRIP

Dus, 25 tube @ 5 g

Dus, 5 strip @ 10 tablet


Dus 6 amp @ 1ml
Dus 10 strip x 10 tab
Botol @ 100 tablet
Boks, 1 ampul
Dus, 10 blister @ 10 kaptab
ss
Strip
Dus, 10 ampul @ 5 ml
Tube 3,5 gram
Dus, 10 blister @ 10 tablet
ktk 10x10 tablet
10.000 UI/Vial
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

Supp
Box 3 X 10 tab
Box 3 x 10'S

6,045.00 Download
645 Download
247,089.00 Download

Download
Download
Download

93,000.00 Download

Download

8,900.00 Download

Download

Dus, 1 Turbuhaler @ 120


dosis

117,600.00 Download

Download

Dus, 1 Turbuhaler @ 60 dosis


Dus, 4 blister @ 7 tablet
Dus, 4 blister @ 7 tablet

110,500.00 Download
76,000.00 Download
150,000.00 Download

Download
Download
Download

Dus, 10 vial @ 500mg


Dus, 100 ampul @ 1 ml

112,000.00 Download
1,580.00 Download

Download
Download

68 Download
9,983.00 Download

Download
Download

1,054.00 Download
97 Download
134 Download
127,667.00 Download
46,667.00 Download
3,667.00 Download
4,015.00 Download
104 Download
3,480.00 Download
5,480.00 Download

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Download
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Download
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Dus, 1 vial @ 10 mg

55,500.00 Download

Download

Dus, 1 vial @ 50 mg
btl @ 60 ml
strip
Dus, botol @ 10 ml

274,125.00 Download
3,333.00 Download
167 Download
15,600.00 Download

Download
Download
Download
Download

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


pelarut @1,5 ml

970,200.00 Download

Download

Dus, Botol Plastik @ 30


Tablet
Dus, 2 blister @ 15 tablet

7,100.00 Download
42,600.00 Download

Download
Download

dus, 2 prefilled syringe @ 0,2


ml

40,740.00 Download

Download

Dus, 1 Turbuhaler @ 100


dosis
Dus, 4 pak @ 5 respules @ 2
ml

Dus, 10 blister @ 10 tablet


Kotak, tube @ 15 gram
ampul @ 1 ml
Box 10 X 10 Tab
Dus, 10 strip @ 10 tablet
10 vial @ 50mg
Vial 5 mL
3 blister @ 10 kapsul
3 blister @ 10 kapsul
Btl 100 tablet
Dus, 5 blister @10's tab
Dus, 5 blister @10's tab

dus, 2 prefilled syringe @ 0,4


ml

71,875.00 Download

Download

dus, 2 prefilled syringe @ 0,6


ml

100,000.00 Download

Download

Dus @ 30 Ampul
Vial @ 25 ml
Dus, 1 vial @5 ml

8,100.00 Download
500,000.00 Download
128,000.00 Download

Download
Download
Download

650 Download

Download

Dus, Botol Plastik @ 100 mL


ktk 10 x 10 kapsul
Dus, 10 blister @ 10 kss
Botol @60 ml
Boks, 6 ampul
ktk 20 x 10 tablet
Dus, 10 strip @ 10 tss
btl @ 100 ml

8,000.00 Download
497 Download
930 Download
7,700.00 Download
139,500.00 Download
314 Download
451 Download
2,500.00 Download

Download
Download
Download
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Dus, 1 blister @ 1 subdermal


implant
Vial 100mg/5ml
Botol 10 ml
Dus, 6 blister @ 10 tablet
Dus, 6 blister @ 10 tablet
KOTAK @ 10 ampul
Botol @ 100
Dus @ 30 Ampul
Dus, 3 strip @ 10 kapsul
Dus, 3 strip @ 10 kapsul

128,779.00 Download
100,000.00 Download
16,667.00 Download
11,813.00 Download
23,250.00 Download
20,250.00 Download
133 Download
1,800.00 Download
1,075.00 Download
1,375.00 Download

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Download
Download
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Dus 45 x 12 tab
Dus, Canister 200 dosis

235 Download
117,500.00 Download

Download
Download

Dus 5 ampul@ 10ml

128,000.00 Download

Download

Dus 5 ampul@ 2ml


Dus @ 5 patch
Dus@ 5 patch
Dus@ 5 patch
pfs @ 0,5 ml
pfs @ 0,5 ml

33,914.00 Download
80,000.00 Download
153,000.00 Download
285,000.00 Download
380,000.00 Download
375,000.00 Download

Download
Download
Download
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Download
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634 Download
55,000.00 Download

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Dus 3 strip @ 10 Flash tablet

Botol @ 100 tablet salut gula


Dus, 5 ampul @ 1ml

Botol
ktk 1 x 10 kapsul
strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml
Dus, Tube 5 g
Dus, Botol 120 Dosis Spay

38,000.00 Download
22,000.00 Download
419 Download
410 Download
24,500.00 Download
33,000.00 Download
2,400.00 Download
93,333.00 Download

Download
Download
Download
Download
Download
Download
Download
Download

12,917.00 Download
241,667.00 Download
1,829.00 Download
85 Download
78 Download
399,500.00 Download
295,000.00 Download

Download
Download
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Dus, 10 blister @ 12 kapsul

289 Download

Download

Dus, 10 blister @ 10 kaptab


vial
Dus, 1 vial @200 mg
Dus, 5 ampul @ 2 ml
Tube @ 3,5 gr
Dus, botol plastik 5 ml

679 Download
1,098,900.00 Download
330,000.00 Download
3,399.00 Download
2,600.00 Download
3,194.00 Download

Download
Download
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Dus, 10 blister @ 10 kaptab


Strip
Dus, 10 Strip @ 10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Dus 10x10
Dus 10x10
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml
Dus, 1 syringe @ 10.8 mg
Dus, 1 syringe @ 3.6 mg

56 Download
235 Download
950 Download
265 Download
436 Download
404 Download
430 Download
1,493.00 Download
2,171.00 Download
1,500.00 Download
5,333.00 Download
5,700.00 Download
5,200.00 Download
2,300,000.00 Download
840,000.00 Download

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219 Download
83,333.00 Download

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Dus, 2 flow wrap@ 5 nebules


@ 1 dosis (2ml)
Dus, 2 pfs 0.5 ml
Dus, 25 ampul @ 2 ml
Dus, 10 strip @ 10 tablet
Dus, 10 strip @ 10 tablet
Boks, 1 ampul
Dus, 1 blister @ 10 tablet

Dus, 10 blister @ 10 tablet


Dus 5 Ampul@1mL

Dus, 10 blister @ 10 tablet

59 Download

Download

Dus, 10 blister @ 10 tablet

96 Download

Download

Dus, 10 blister @ 10 tablet


KOTAK @ 10 x 10 TAB
box 5ampul @1 ml
Dus, botol 60 ml
Dus, botol 60 ml
Dus, 10 strip @ 10 tablet
3 blister @ 10 tablet
3 blister @ 10 tablet

69 Download
126 Download
4,500.00 Download
3,499.00 Download
4,499.00 Download
149 Download
3,908.00 Download
2,120.00 Download

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Download
Download
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Botol

245,000.00 Download

Download

Botol

123,200.00 Download

Download

Botol

299,000.00 Download

Download

Botol
Dus, 5 blister @ 10 kss
Dus, 5 blister @ 10 kss
Dus, 1 vial @2 ml
Dus, 10 strip @ 10 tablet
Strip
Dus, 10 strip @ 10 tablet

150,300.00 Download
1,425.00 Download
2,470.00 Download
510,000.00 Download
88 Download
694 Download
1,580.00 Download

Download
Download
Download
Download
Download
Download
Download

7,800.00 Download
4,900.00 Download
3,100.00 Download
27,500.00 Download
140 Download
80 Download
62 Download
44,770.00 Download

Download
Download
Download
Download
Download
Download
Download
Download

245 Download
2,042.00 Download
110,000.00 Download
2,569.00 Download
4,700.00 Download
300 Download
2,300.00 Download

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Ampul
Dus, 3 Blister @ 10 tablet
Dus, 3 Blister @ 10 tablet
Boks, 120 tablet
Dus, 10 strip @ 10 tablet
Dus, 10 strip @10 tablet
Dus, 10 strip @ 10 tablet
Dus, botol @ 120 ml
Dus, 10 blister @ 10 tablet
Fenol 100 mg / 1 ml
Vial @ 10 ml
tube 10 gr
Box isi 1 Tube @ 15 g
Dus, 5 Strip @ 10 tablet
Dus @ 12 Ampul

Dus, 3 Strip @ 10 Kaplet


salut selaput

3,200.00 Download

Download

Dus, 5 blister @ 10 kapsul

361 Download

Download

Dus, 5 blister @ 10 kapsul


Dus, 10 Strip @ 10 tablet
Ktk 10X10 TAB
Dus, 3 strip @ 10 tab

553 Download
900 Download
184 Download
3,400.00 Download

Download
Download
Download
Download

Dus @ 30 Ampul

1,100.00 Download

Download

Dus @ 30 Ampul
KOTAK @ 5 x 10 TAB
KOTAK @ 5 x 10 TAB
ktk 10x10 tablet
ktk 10x10 tablet
ktk 10x10 tablet

1,050.00 Download
5,000.00 Download
1,550.00 Download
500 Download
850 Download
1,100.00 Download

Download
Download
Download
Download
Download
Download

12,450.00 Download

Download

42 Download

Download

Dus, 4 blister @ 6 tablet

3,220.00 Download

Download

Dus, botol plastik @ 30


tablet salut selaput

8,900.00 Download

Download

90,667.00 Download

Download

Dus, foil strip @ 60 dosis

100,833.00 Download

Download

Dus, foil strip @ 60 dosis

113,333.00 Download

Download

Dus, 10 strip @ 10 kaptab


ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial
Dus, 2 strip @ 10 kapsul

149 Download
670 Download
6,200.00 Download
540 Download
1,400.00 Download
82,042.00 Download
473 Download

Download
Download
Download
Download
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Download

Dus, 7 Blister @ 10 tablet

67,200.00 Download

Download

Botol @ 60 ml
Dus, 100 Sachet @ 30 Tablet

Dus, Botol 120 Dosis

Softbag 500 ML

67,400.00 Download

Download

Softbag 500 ML

37,500.00 Download

Download

Double Chamber Softbag


500 ML

61,600.00 Download

Download

botol 500 mL

75,350.00 Download

Download

Botol Gelas 500 ml

78,720.00 Download

Download

botol 500 mL

42,000.00 Download

Download

botol 250 mL

46,000.00 Download

Download

Bag Double chamber (Dua


compartement), 1000 mL

322,000.00 Download

Download

Bag Double chamber (Dua


compartement), 1000 mL

218,700.00 Download

Download

Ampoel 25 ML

2,050.00 Download

Download

Botol 1000 ml

8,000.00 Download

Download

Plastic Bottle 500 ML

9,000.00 Download

Download

Plastic Bottle 500 ML

9,000.00 Download

Download

flexybag 250 mL

87,000.00 Download

Download

LDPE (Low Density Poly


Ethilene), botol plastik

12,650.00 Download

Download

botol 500 mL

50,500.00 Download

Download

Flexy bag 500 mL

42,350.00 Download

Download

Plastic Bottle 500 ML

29,167.00 Download

Download

botol 500 mL

37,500.00 Download

Download

199,000.00 Download

Download

botol 500 mL

56,000.00 Download

Download

Botol 500 ml

9,500.00 Download

Download

Botol 500 ml

6,800.00 Download

Download

Botol 500 ml

6,917.00 Download

Download

Botol 500 ml

7,700.00 Download

Download

Botol 500 ml

7,700.00 Download

Download

Botol Plastik 1000 mL

softbag 500ml

35,750.00 Download

Download

Botol 500 ml

6,930.00 Download

Download

Plastic Bottle 500 ML

9,167.00 Download

Download

Plastic Bottle 500 ML

10,000.00 Download

Download

Plastic Bottle 500 ML

10,000.00 Download

Download

105,500.00 Download

Download

60,500.00 Download

Download

20%, Botol Kaca @250 ml,


single bottle

210,000.00 Download

Download

Bag, 3 chamber ( 3
kompartemen), 1250 ml

591,000.00 Download

Download

Bag, 3 chamber ( 3
kompartemen), 1250 ml

511,000.00 Download

Download

Bag, 3 chamber ( 3
kompartemen), 625 ml

358,000.00 Download

Download

Flexy bag 100 mL


Vial
Vial
Box, 1 Botol @ 100 ml
STRIP
Dus, 100 ampul @ 2 ml

89,800.00 Download
700,000.00 Download
2,700,000.00 Download
40,000.00 Download
528 Download
839 Download

Download
Download
Download
Download
Download
Download

Dus, 30 ampul @ 2 ml
Dus, 10 syringe @ 10 g
Box ,3 Strip @ 10 tablet

1,363.00 Download
40,000.00 Download
600 Download

Download
Download
Download

20%, Botol Kaca @100 ml,


single bottle
Botol Gelas 100 ml

Box ,3 Strip @ 10 tablet


KOTAK @ 10 x 10 TAB
KOTAK @ 10 x 10 TAB
Dus, 10 Strip @ 10 Tablet
STRIP
KOTAK @ 10 x 10 TAB
Strip
KOTAK @ 5 x 10 TAB
Box, Tablet 2 mg/25's
Dus, 1 vial @ 1 g
Botol 1000 ml

350 Download
1,050.00 Download
1,850.00 Download
89 Download
154 Download
1,341.00 Download
1,200.00 Download
3,276.00 Download
12,210.00 Download
54,000.00 Download
254,100.00 Download

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Dus, botol plastik @ 30


kapsul pelepasan lambat
Strip

6,537.00 Download
635 Download

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Dus, 10 Blister @ 10 Tablet

205 Download

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Dus, 10 Blister @ 10 tablet


ktk 10 x 10 tablet
Dus, 1 Botol @ 100 ml

300 Download
108 Download
9,950.00 Download

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Dus, 2 blister @ 5
suppositoria
10 strip @ 10 tab
10 strip @ 10 tab
Boks 10 amp
Boks 5 amp
Dus,1 vial@50mg
Tube 10 gram

3,220.00 Download
110 Download
160 Download
6,119.00 Download
12,060.00 Download
260,000.00 Download
3,000.00 Download

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10 mg /Vial
botol, tetes mata 3 ml
tube 10 gram
Dus 10 amp @ 1 ml
Dus, 6 strip @ 10 tablet
Dus, 6 strip @ 10 tablet
Ktk 10 ampul @ 1ML
Botol 30 tablet
Botol 500 ml

697,000.00 Download
77,000.00 Download
17,820.00 Download
8,400.00 Download
15,620.00 Download
22,990.00 Download
10,499.00 Download
1,300.00 Download
4,700.00 Download

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Dus, 5 blister @ 2 pfs 0.3 ml

54,144.00 Download

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Dus, 5 blister @ 2 pfs 0.4 ml

66,640.00 Download

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Dus, 5 blister @ 2 pfs 0.6 ml


Dus, 5 Ampul @ 2ml

94,962.00 Download
61,600.00 Download

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Ampoel 25 ML
Box ,5 Blister @ 10 tablet
Tube 5 gr
btl 60 tablet
blister
blister

6,200.00 Download
200 Download
6,490.00 Download
2,800.00 Download
2,999.00 Download
3,500.00 Download

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Dus, 10 Strip @ 10 tablet


salut selaput
Dus @ 10 X 10 's
blister
Paket
Paket

100 Download
640 Download
2,618.00 Download
359,900.00 Download
1,199,990.00 Download

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214,900.00 Download
160,000.00 Download
400 Download
650 Download
27,550.00 Download

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Dus, vial @ 355m + 1


prefilled syringe pelarut @
2,5 ml + 2 jarum suntik
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

2,950,000.00 Download
6,450.00 Download
11,200.00 Download
36,000.00 Download
211 Download
2,400.00 Download
716 Download
1,189.00 Download

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Transfer Set: Set; Ultaclam:


Kantong Plastik; Tenckoff
Catheter: Box; Titanium
Adaptor: Kantong Plastik

1,902,240.00 Download

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219,540.00 Download

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Larutan Dialisa 1.5 %: 2.000


ml; Larutan Dialisa 2.5 %:
2.000 ml; Larutan Dialisa
4.25 %: 2.000 ml; Minicap:
Kantong Plastik
botol 60 ml
Dus, 10 strip @ 10 kaptab

5,522,580.00 Download
1,438.00 Download
89 Download

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Boks, 1 pfs

1,077,815.00 Download

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Paket
Dus, 3 blister @ 28 kss
Box ,5 Strip @ 10 tablet
Box ,5 Strip @ 10 tablet
botol @ 10 ml

Set

Boks, 1 pfs
Tube @ 10 g

1,248,220.00 Download
11,475.00 Download

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14,500.00 Download
3,120.00 Download
4,525.00 Download
8,360.00 Download
296 Download
206 Download
17,393.00 Download
37,109.00 Download
2,163.00 Download
14,203.00 Download

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Dus, 3 alu blister @ 10 tablet

7,200.00 Download

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Dus, 3 alu blister @ 10 tablet


Box ,5 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Dus, 10 strip @ 10 tablet
Dus, 1 blister @ 10 tablet
Dus, 1 blister @ 10 tablet
Dus, 1 blister @ 10 tablet
Dus, 10 Strip @ 10 kaptab
Dus, 10 Ampul @ 2 ml

11,268.00 Download
2,300.00 Download
65 Download
106 Download
17,391.00 Download
19,500.00 Download
23,185.00 Download
580 Download
1,140.00 Download

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Dus, 10 Strip @ 10 tablet


salut selaput
Botol 50 kapsul lunak
botol 500 ml
Dus, 5 Blister @ 10 tablet
KOTAK @ 5 x 10 TAB
Dus, 5 Blister @ 10 tablet

120 Download
260 Download
5,200.00 Download
1,400.00 Download
1,008.00 Download
2,000.00 Download

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Dus, 7 blister @ 4 Tablet


lepas Lambat

5,248.00 Download

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Dus, 7 blister @ 4 Tablet


lepas Lambat

6,275.00 Download

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Dus, 7 blister @ 4 Tablet


lepas Lambat

7,383.00 Download

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63,750.00 Download

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431 Download

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5,867.00 Download

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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, botol 200 dosis


Dus, 10 Blister @ 10 Kapsul
Dus, 1 Rotahaler

Dus, Botol 60 ml
Dus, 5 strip @ 10 kapsul
Dus, 10 strip @ 10 kapsul
Dus, Botol 60 ml
Dus, 5 Strip @ 10 Kapsul
Box 2 Vial @ 1000mg

4,746.00 Download
513 Download
509 Download
5,895.00 Download
1,000.00 Download
48,060.00 Download

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859 Download
8,800.00 Download
2,950.00 Download
3,700.00 Download
3,300.00 Download

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7,200.00 Download

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181 Download

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1,078.00 Download

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256,000.00 Download
82,000.00 Download

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Dus, 10 blister @ 5 kapsul


lunak

43,000.00 Download

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Dus, 10 blister @ 5 kapsul


lunak

12,000.00 Download

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Dus, 3 Strip @ 10 Kaplet


salut selaput

169 Download

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Dus, 3 Strip @ 10 Kaplet


salut selaput
Vial 200 ml

391 Download
13,000.00 Download

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255 Download
1,499.00 Download
900 Download
315 Download

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127,000.00 Download

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Pounch @ 5 blister @ 10
capsule

11,167.00 Download

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Dus, 1 pouch @5 blister@10


kaps
Box/ 2 blister @ 14 tablet

21,500.00 Download
5,800.00 Download

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5,800.00 Download

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Dus,
Dus,
Dus,
Dus,
Dus,

10 blister @ 10 kapsul
Botol 30 ml
10 Vial @ 1 g
3 blister @ 10 tablet
10 Vial @ 1 g

Dus, 1 Blister @ 10 Tablet


salut selaput
Box, 10 strips @ 10 capsules
100 ampul @ 1 ml
vial
vial

Dus,
Dus,
Dus,
Dus,

10 blister @ 10 tab ss
5 strip @ 10 tablet
10 Strip @ 10 tablet
10 Strip @ 10 tablet

dus 5 amp @ 2ml

Box @ 2 blister @ 14 tablet

Box/ 3 blister @ 10 Tablet


Dus, 2 blister @ 14 tablet
Dus, 2 pak @ 5 respules
Box 50's

6,800.00 Download
28,500.00 Download
6,250.00 Download
99 Download

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Dus, 1 Turbuhaler @ 200


dosis
Dus, 10 strip @ 10 kapsul

71,100.00 Download
148 Download

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Dus, 10 blister @ 10 tablet

1,135.00 Download

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Dus, 10 blister @ 10 tablet


Dus, Botol Plastik @ 5ml
Dus, Botol Plastik @ 5ml

563 Download
9,128.00 Download
9,722.00 Download

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Dus, 1 blister @10 kapsul +


handihaler
Dus, 10 Ampul @ 2 ml
botol, tetes mata 2,5 ml

152,543.00 Download
2,395.00 Download
115,000.00 Download

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Dus, botol plastik 120 dosis


strip
tube

90,000.00 Download
405 Download
6,400.00 Download

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285,000.00 Download
2,793.00 Download
5,450.00 Download
3,900.00 Download
6,500.00 Download
6,200.00 Download
234 Download
210,000.00 Download
107 Download
3,429.00 Download

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12,840.00 Download
7,400.00 Download
473 Download

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1 vial of 10ml (10 d's)


Tablet
Tablet
Dus, 2 blister @ 14 tablet
Dus, 2 blister @ 14 tablet
Tablet
Ktk 10X10 TAB
Vial 10mg/10ml
Dus 10 strip x 10 tab
Botol 60 tablet
Drops 10 mg/ml, Botol @15
ml
Dus, botol 60 ml
ktk 10 x 10 tablet

1.

Jawa Barat

ACT (Artesunate tablet 50 mg +


Amodiaquine anhydrida tablet 200 mg)

n/a

2.

Jawa Barat

Adefovir Dipivoksil tablet/kaplet 10 mg

Hepsera

3.

Jawa Barat

Albendazol suspensi 200 mg/5 ml

n/a

4.

Jawa Barat

Albendazol tablet/kapsul/kaplet 400 mg

n/a

5.

Jawa Barat

Alopurinol tablet/kapsul/kaplet 100 mg

n/a

6.

Jawa Barat

Alprazolam tablet/kapsul/kaplet 0,25 mg n/a

7.

Jawa Barat

Alprazolam tablet/kapsul/kaplet 0,5 mg

n/a

8.

Jawa Barat

Alprazolam tablet/kapsul/kaplet 1 mg

n/a

9.

Jawa Barat

Amfoterisin B salep mata 1%

10.

Jawa Barat

Amikasin injeksi 250 mg/ml

Fungicide
Glybotic 250 mg
/ml

11.

Jawa Barat

Aminofilin injeksi 24 mg/ml

n/a

12.

Jawa Barat

Aminofilin tablet scored 200 mg

n/a

13.

Jawa Barat

Amiodaron injeksi 150 mg/3 ml

Cordarone

14.

Jawa Barat

Amiodaron tablet/kaplet 200 mg

Kendaron Tablet

15.

Jawa Barat

Amitriptilin tablet salut 25 mg (HCl)

n/a

16.

Jawa Barat

Amlodipin tablet 10 mg

n/a

17.

Jawa Barat

Amlodipin tablet 5 mg

n/a

18.

Jawa Barat

n/a

19.

Jawa Barat

Amoksisilin kapsul/kaplet 250 mg


Amoksisilin kapsul/kaplet/tablet scored
500 mg

20.

Jawa Barat

Amoksisilin sirup kering forte 250 mg/5


ml

n/a

21.

Jawa Barat

Amoksisilin sirup kering 125 mg/ 5 ml

n/a

n/a

Jawa Barat

Analog insulin long acting inj 100 UI/ml, Lantus Solostar


vial/cartridge disposible/penfill cartridge 100IU/ml 5pens
(Insulin glargine 100 IU/ml)
x3ml

Jawa Barat

Analog insulin mix acting inj 100 UI/ml,


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

24.

Jawa Barat

Analog insulin mix insulininj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
Humalog Mix 25
(25% insulin lispro, 75% insulin lispro
protamine suspension, (rDNA))

25.

Jawa Barat

Analog insulin rapid acting inj 100 UI/ml,


Novorapid
vial/cartridge disposible/penfill cartridge
Flexpen
(Insulin Aspart (Analogue))

Jawa Barat

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge Novorapid Vial
(Insulin Aspart (Analogue))

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml, Apidra Solostar


vial/cartridge disposible/penfill cartridge 100IU/ml 5pens
(Insulin glulisine 100 IU/ml)
x3ml

28.

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge Humalog
(Insulin lispro (rDNA origin))

29.

Jawa Barat

Anastrozol tablet/kapsul/kaplet 1 mg

Arimidex 1 mg

30.

Jawa Barat

Antasida DOEN I tablet kunyah,


kombinasi : Aluminium Hidroksida 200
mg Magnesium Hidroksida 200 mg

n/a

31.

Jawa Barat

Anti Bakteri DOEN salep kombinasi:


Basitrasin 500 IU/g Polimiksin 10.000
IU/g

n/a

32.

Jawa Barat

Antimalaria DOEN kombinasi :


Pirimetamin 25 mg Sulfadoksin 500 mg

n/a

33.

Jawa Barat

Antimigren: Ergotamin Tartrat 1 mg +


Kofein 50 mg

n/a

22.

23.

26.

27.

Novomix
Flexpen

34.

Jawa Barat

Antiparkinson DOEN tablet kombinasi :


Benserazid 25 mg Levodopa 100 mg

Levopar Tablet

35.

Jawa Barat

Artemether injeksi 80 mg/ml

Artem

36.

Jawa Barat

Asam Askorbat (Vitamin C) tablet 50 mg n/a

37.

Jawa Barat

Asam Folat tablet/kapsul/kaplet 1 mg

n/a

38.

Jawa Barat

Asam Ibandronat injeksi 6mg/6ml

Bondronat

39.

Jawa Barat

Asam Mefenamat kapsul/kaplet 500 mg

n/a

40.

Jawa Barat

Asam pipemidat kapsul 400 mg

Urotractin 400
mg

41.

Jawa Barat

Asam traneksamat injeksi 100 mg/ml

n/a

42.

Jawa Barat

Asiklovir salep mata 3%

Temiral Eye Oint

43.

Jawa Barat

Asiklovir tablet/kapsul/kaplet 200 mg

n/a

44.

Jawa Barat

Asiklovir tablet/kapsul/kaplet 400 mg

n/a

45.

Jawa Barat

Asparaginase serbuk injeksi 10.000


UI/vial

Leunase

46.

Jawa Barat

Atapulgit tablet 600 mg

Pularex

47.

Jawa Barat

Atrakurium injeksi 25 mg/2,5 ml

Tracrium

48.

Jawa Barat

Atropin Sulfat tablet 0,5 mg

n/a

49.
50.
51.

Jawa Barat
Jawa Barat
Jawa Barat

Azitromisin sir kering 200 mg/ 5 mL


Azitromisin tablet 500 mg
Azitromisin tablet 250 mg

n/a
n/a
n/a

52.

Jawa Barat

Bedak salisil serbuk 2%

n/a

53.

Jawa Barat

Benzatin Benzil Penisilin 1,2 juta IU/ vial

n/a

54.

Jawa Barat

Benzatin Benzil Penisilin 2,4 juta IU/vial

n/a

55.

Jawa Barat

Beractant injeksi / suspensi 25 mg/mL

Survanta

56.

Jawa Barat

Beraprost sodium tablet 20 mcg

Dorner

57.

Jawa Barat

Beraprost sodium tablet 20 mcg

Dorner 20 g

58.

Jawa Barat

Betametason krim 0,1% (sebagai


Valerat)

n/a

59.

Jawa Barat

Bikalutamid tablet salut 150 mg

Casodex 150 mg

60.

Jawa Barat

Bikalutamid tablet salut 50 mg

Casodex 50 mg

61.
62.
63.

Jawa Barat
Jawa Barat
Jawa Barat

64.

Jawa Barat

Bisakodil suppositoria 10 mg
Bisoprolol tablet 5 mg
Bromokriptin tablet 2,5 mg
Budesonid inhaler 200 mcg/puff, 100
dosis

Stolax supp
n/a
Cripsa tab
Pulmicort
Turbuhaler

65.

Jawa Barat

Budesonid respules / cairan inhaler


0,25mg/mL

Pulmicort
Respules

66.

Jawa Barat

Symbicort
Budesonid-formoterol (fixed combination)
Turbuhaler
inhaler 160/4,5 mcg
160/4.5 mcg

67.

Jawa Barat

Budesonid-formoterol (fixed combination) Symbicort


inhaler 80/4,5 mcg
80/4.5 mcg

68.

Jawa Barat

Deferasiroks tablet disp/ eff 250 mg

Exjade 250 mg
Tab

69.

Jawa Barat

Deferasiroks tablet disp/ eff 500 mg

Exjade 500 mg
Tab

70.

Jawa Barat

Deferoksamin Mesilat serbuk injeksi 500


Desferal
mg

71.

Jawa Barat

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

n/a

72.

Jawa Barat

Deksametason tablet 0,5 mg

n/a

73.

Jawa Barat

Desoksimetason krim 0,25%

n/a

74.

Jawa Barat

75.

Jawa Barat

Difenhidramin injeksi i.v./i.m. 10 mg/ml


(HCl)
Digoksin tablet 0,25 mg

76.

Jawa Barat

Diltiazem HCl tablet 30 mg

n/a

n/a
n/a

77.

Jawa Barat

Diltiazem infus injeksi 50 mg

Herbesser
Powder Injection
50mg

78.

Jawa Barat

Diltiazem injeksi 25 mg/5 mL

Farmabes Injeksi
25 mg

79.

Jawa Barat

Diltiazem Kapsul SR 100 mg

Herbesser CD
100

80.

Jawa Barat

Diltiazem Kapsul SR 200 mg

Herbesser CD
200

81.
82.

Jawa Barat
Jawa Barat

Dimenhidrinat tablet 50 mg
Dinatrium edetat tetes mata 0,35%

n/a
E.D.T.A

83.

Jawa Barat

Doksazosin mesilat tablet 1 mg

Cardura 1mg

84.

Jawa Barat

Doksazosin mesilat tablet 2 mg

Cardura 2mg

85.

Jawa Barat

Doksorubisin serbuk injeksi i.v. 10


mg/vial

Doxorubicin
Actavis 10 mg

86.

Jawa Barat

Doksorubisin serbuk injeksi i.v. 50


mg/vial

Doxorubicin
Actavis 50 mg

87.

Jawa Barat

Domperidon suspensi/sirup 5 mg/5 ml

n/a

88.

Jawa Barat

Domperidon tablet 10 mg

n/a

89.

Jawa Barat

Domperidon tetes 5 mg/mL

n/a

90.

Jawa Barat

Dosetaksel injeksi 20 mg/0,5 ml

n/a

91.

Jawa Barat

Dutasterid kaps lunak 0,5 mg

Avodart

92.

Jawa Barat

Eksemestan tablet 25 mg

Aromasin

93.

Jawa Barat

Enoksaparin sodium inj 20 mg/0,2 mL

Lovenox 2000
ANTI-XA

94.

Jawa Barat

Enoksaparin sodium inj 40 mg/0,4 mL

Lovenox 4000
ANTI-XA

95.

Jawa Barat

Enoksaparin sodium inj 60 mg/0,6 mL

Lovenox 6000
ANTI-XA

96.

Jawa Barat

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


n/a
mg/ml

97.

Jawa Barat

Epirubisin serb injeksi 50 mg/25ml

Epirubisin Kalbe

98.

Jawa Barat

n/a

99.

Jawa Barat

Epirubisin serb injeksi 10 mg/5 ml


Ergokalsiferol (vitamin D3/D2) kapsul
50.000 UI

100.

Jawa Barat

101.

Jawa Barat

Ergokalsiferol (vitamin D3/D2) suspensi


10.000 UI/ml
Eritromisin kapsul/kaplet 250 mg

102.

Jawa Barat

Eritromisin kapsul/kaplet 500 mg

n/a

103.

Jawa Barat

Eritromisin sirup kering 200 mg/ 5 ml

n/a

104.
105.

Jawa Barat
Jawa Barat

Eritropoetin-beta inj 2000 UI/0,3 mL


Etambutol tablet 250 mg (HCl)

Recormon
n/a

D-Vit FT
D-Vit Syrup
n/a

106.

Jawa Barat

Etambutol tablet salut 500 mg (HCl)

n/a

107.

Jawa Barat

Etanol 70% cairan

n/a

108.

Jawa Barat

Etonogestrel implan 68 mcg

Implanon

109.
110.

Jawa Barat
Jawa Barat

Etoposid injeksi 20 mg/ml


Eugenol cairan

111.

Jawa Barat

Everolimus tab 0,25 mg

Posyd
n/a
Certican 0,25
mg Tab

112.

Jawa Barat

Everolimus tab 0,5 mg

Certican 0,5 mg
Tab

113.

Jawa Barat

Faktor VIIa (rekombinan) serb inj 1


mg/vial + pelarut untuk injeksi

Novoseven

114.

Jawa Barat

Fenitoin injeksi 50 mg/ml

n/a

115.

Jawa Barat

Fenitoin kapsul/kaplet 100 mg

n/a

116.

Jawa Barat

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

n/a

117.

Jawa Barat

Fenofibrat kaps 100 mg

n/a

118.

Jawa Barat

Fenofibrat kaps 300 mg

n/a

119.

Jawa Barat

Fenoksimetil penisilin (penisilin V) tab


125 mg

Fenocin

120.

Jawa Barat

Fenoterol HBr inh solution 0,1%

Berotec Solution

121.

Jawa Barat

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


n/a
10 ml

122.

Jawa Barat

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


n/a
2 ml

123.

Jawa Barat

Fentanil patch 12,5 mcg/jam

Durogesic 12,5
MU Matrix

124.

Jawa Barat

Fentanil patch 25 mcg/jam

Durogesic 25
MU Matrix

125.

Jawa Barat

Fentanil patch 50 mcg/jam

126.
127.

Jawa Barat
Jawa Barat

128.

Jawa Barat

Filgrastim inj 300 mcg/mL


Filgrastim inj 300 mcg/mL
Fitomenadion (Vit.K1) tablet salut gula 10
n/a
mg

129.

Jawa Barat

Flufenazin injeksi i.m. 25 mg/ml

Durogesic 50
MU Matrix
Leucogen
Zarzio

Sikzonoate
Injeksi

130.

Jawa Barat

Flukonazol injeksi 2 mg/ml

n/a

131.
132.
133.
134.
135.

Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat

Flukonazol tablet/kapsul 150 mg


Fluoksetin tablet 10 mg
Fluoksetin tablet 20 mg
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL

n/a
Foransi 10
NOPRES
Curacil
Curacil

136.

Jawa Barat

Flusinolon asetonid krim 0,025%

SYNARCUS

137.

Jawa Barat

Flutikason furoat intranasal spray

Avamys

138.

Jawa Barat

Flutikason propionat nebules 0,5 mg

Flixotide Nbules

139.

Jawa Barat

Fondaparinuks inj 2,5 mg/0,5 mL

Arixtra

140.

Jawa Barat

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

n/a

141.

Jawa Barat

Furosemid tablet 40 mg

n/a

142.

Jawa Barat

Furosemid tablet 40 mg

n/a

143.

Jawa Barat

Gansiklovir serb inj 500 mg (50 mg/mL)

Cymevene

144.

Jawa Barat

Gefitinib tab 250 mg

Iressa 250 mg

145.

Jawa Barat

Gemfibrozil kapsul/kaplet 300 mg

n/a

146.

Jawa Barat

Gemfibrozil tablet 600 mg

n/a

147.

Jawa Barat

Gemsitabin inj 1000 mg/vial

Gemzar 1000
mg

148.

Jawa Barat

Gemsitabin inj 200 mg/vial

n/a

149.

Jawa Barat

Gentamisin injeksi 40 mg/ ml

n/a

150.

Jawa Barat

Gentamisin salep mata 0,3%

Genoint Salep
Mata

151.

Jawa Barat

Gentamisin tetes mata 0,3%

n/a

152.

Jawa Barat

Glibenklamid tablet 5 mg

n/a

153.

Jawa Barat

Gliklazid tab 80 mg

Glicab

154.

Jawa Barat

Glikuidon tab 30 mg

n/a

155.
156.
157.
158.

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

Glimepiride
Glimepiride
Glimepiride
Glimepiride

tablet
tablet
tablet
tablet

1
2
3
4

mg
mg
mg
mg

n/a
n/a
n/a
n/a

159.

Jawa Barat

Gliseril trinitrat kaps SR 2,5 mg

Nitrokaf Retard

160.

Jawa Barat

Gliseril trinitrat kaps SR 5 mg

Nitrokaf Forte

161.

Jawa Barat

Gliseril trinitrat tab sublingual 0,5 mg

Nitral

162.

Jawa Barat

Gliserin lar 50%

Gliserin lar 50%

163.
164.

Jawa Barat
Jawa Barat

Glukosa larutan infus 10 % steril


Glukosa larutan infus 5 % steril

165.

Jawa Barat

Goserelin asetat inj 10,8 mg/vial

n/a
n/a
Zoladex 10,8
mg

166.

Jawa Barat

Goserelin asetat inj 3,6 mg

Zoladex 3,6 mg

167.

Jawa Barat

Griseofulvin tablet 125 mg

n/a

168.

Jawa Barat

Haloperidol inj 50 mg/mL

Haldol Decanoas

169.

Jawa Barat

Haloperidol tablet 0,5 mg

n/a

170.

Jawa Barat

Haloperidol tablet 5 mg

n/a

171.

Jawa Barat

Haloperidol tablet 1,5 mg

n/a

172.

Jawa Barat

Haloperidol tablet 2 mg

Lodomer 2

173.

Jawa Barat

Hiosin butilbromid injeksi 20 mg/ml

n/a

174.
175.

Jawa Barat
Jawa Barat

Ibuprofen sirup 100 mg/5 ml


Ibuprofen suspensi 200 mg/5 ml

n/a
n/a

176.

Jawa Barat

Ibuprofen tablet 400 mg

n/a

177.

Jawa Barat

Imidapril tab 10 mg

Tanapress 10mg

178.

Jawa Barat

Imidapril tab 5 mg

Tanapress 5mg

179.

Jawa Barat

Iopromide 300-370 mg Iodium/mL (300


mg / 100 ml)

Ultravist
300/100 mg

180.

Jawa Barat

Iopromide 300-370 mg Iodium/mL (300


mg / 50 ml)

Ultravist 300/50
mg

181.

Jawa Barat

Iopromide 300-370 mg Iodium/mL (370


mg / 100 ml)

Ultravist
370/100 mg

182.

Jawa Barat

Iopromide 300-370 mg Iodium/mL (370


mg / 50 ml)

Ultravist 370/50
mg

183.

Jawa Barat

Irbesartan tab 150 mg

n/a

184.

Jawa Barat

Irbesartan tab 300 mg

n/a

185.

Jawa Barat

Irinotekan inf 20 mg/ml

n/a

186.

Jawa Barat

Isosorbid Dinitrat tablet sublingual 5 mg n/a

187.

Jawa Barat

Kalium aspartat tab 300 mg

Kalipar

188.

Jawa Barat

Kalium Klorida tablet 600 mg

KSR

189.

Jawa Barat

Kalsium Glukonat injeksi i.v 10% (100


mg/ml)

Kalsium
glukonat

190.

Jawa Barat

Kandesartan tab 16 mg

n/a

191.

Jawa Barat

Kandesartan tab 8 mg

n/a

192.

Jawa Barat

Kapesitabin tab 500 mg

Xeloda

193.

Jawa Barat

Kaptopril tablet 50 mg

n/a

194.

Jawa Barat

Kaptopril tablet scored 25 mg

n/a

195.

Jawa Barat

Kaptopril tablet scored12,5 mg

n/a

196.

Jawa Barat

Karbamazepin sirup 100 mg/5 ml

Tegretol Syrup
100mg/5ml,
120ml

197.

Jawa Barat

Karbamazepin tablet 200 mg

n/a

198.

Jawa Barat

Karbogliserin tetes telinga 10%

Karbogliserin
tetes telinga
10%

199.

Jawa Barat

Ketamin injeksi i.v. 100 mg/ml

KTM

200.

Jawa Barat

Ketokonazol krim 2%

n/a

201.

Jawa Barat

Ketokonazol krim 2%

n/a

202.

Jawa Barat

Ketokonazol tablet 200 mg

n/a

203.

Jawa Barat

Ketorolac injeksi 30 mg/ml

n/a

204.

Jawa Barat

Klaritromisin tab 500 mg

ORIXAL

205.

Jawa Barat

Klindamisin kapsul/kaplet 150 mg

n/a

206.

Jawa Barat

Klindamisin kapsul/kaplet 300 mg

n/a

207.

Jawa Barat

Klobazam tab 10 mg

n/a

208.

Jawa Barat

Klonidin tablet 0,15 mg

n/a

209.

Jawa Barat

Klopidogrel tab 75 mg

n/a

210.

Jawa Barat

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

211.

Jawa Barat

Klorpromazin injeksi i.m 5 mg/ml - 2 ml


(HCl)

n/a

212.

Jawa Barat

Klozapin 100 mg

n/a

213.

Jawa Barat

Klozapin 25 mg

n/a

214.
215.
216.

Jawa Barat
Jawa Barat
Jawa Barat

217.

Jawa Barat

Kodein tablet 10 mg
n/a
Kodein tablet 15 mg
n/a
Kodein tablet 20 mg
n/a
Kombinasi suspensi : Parafin + gliserin + Laxadine Emulsi
fenolftalein
60 ml

218.

Jawa Barat

Kombinasi tablet salut : Besi (II) sulfat


7H2O 200 mg Asam folat 0,25 mg

219.

Jawa Barat

Kombinasi tetes mata 2,5 mg/mL:


Natrium klorida 8,664 mg; Kalium klorida Cendo Lyteers
1,32 mg

220.

Jawa Barat

Kombinasi: Artemether 20 mg;


Lumefantrin 120 mg

221.

Jawa Barat

Kombinasi: Levodopa 100 mg; Karbidopa


Stalevo
25 mg; Entekapon 200 mg

222.

Jawa Barat

Kombinasi: Salmeterol 25 mcg;


Flutikason propionat 50 mcg

Seretide Inhaler
50 mcg

223.

Jawa Barat

Kombinasi: Salmeterol 50 mcg;


Flutikason propionat 100 mcg

Seretide Diskus
100 mcg

224.

Jawa Barat

Kombinasi: Salmeterol 50 mcg;


Flutikason propionat 250 mcg

Seretide Diskus
250 mcg

225.

Jawa Barat

Kotrimoksazol DOEN I (dewasa)


kombinasi : Sulfametoksazol 400 mg
Trimetoprim 80 mg

n/a

n/a

Coartem

226.

Jawa Barat

Kuinin (Kina) tablet 200 mg

n/a

227.

Jawa Barat

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

n/a

228.
229.
230.

Jawa Barat
Jawa Barat
Jawa Barat

Kuinin tablet 222 mg (H2SO4.7H2O)


Lamivudine tablet 150 mg
Lansoprazol inj 30 mg/ml

n/a
n/a
Prosogan Inj.

231.

Jawa Barat

Lanzoprazol kapsul/kaplet 30 mg

n/a

232.

Jawa Barat

Lapatinib tab 250 mg

Tykerb

233.

Jawa Barat

Larutan mengandung Asam Amino (Asam


Amino 100 g, Total N 15,7 g, Na+ 2 mEq, Amiparen
Asetat 120 mEq)

234.

Jawa Barat

Larutan mengandung Asam Amino (Asam


Pan-amin G
Amino 27 g, Sorbitol 50 g, Cl- 52 mEq)

235.

Jawa Barat

Larutan mengandung Asam Amino (Asam


Aminofluid
Amino 30 g, Glukosa 7,3 % dan elektrolit)

236.

Jawa Barat

Larutan mengandung Asam Amino (Asam


Amino 5% dengan BCAA 45%, LAminofusin
Ornithine L Aspartate 8.03 gr/L, Sorbitol Hepar
50 gr/L, Xylitol 50 gr/L)

237.

Jawa Barat

Larutan mengandung Asam Amino (Asam


Aminosteril
Amino 6%, mengandung Taurine 0,24
Infant 6%
gr/l)

Jawa Barat

Larutan mengandung Asam Amino (Asam


Amino 7%, Komposisi: Asam Amino
Nephrosteril
esensial: Asam Amino non esensial =
60 : 40)

239.

Jawa Barat

Larutan mengandung Asam Amino (Asam


Amino 72.05 g, Total N 11.53 g,
Kidmin
AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat
46 mEq)

240.

Jawa Barat

Larutan mengandung Asam Amino (Asam


Amino 79.9 g, Total N 12.2 g, Na+ 14
Aminoleban
mEq, Cl 94 mEq)

241.

Jawa Barat

Larutan mengandung Asam Amino (Asam Aminosteril Namino 8%)


Hepa

238.

Jawa Barat

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 Aminofusin L600
(Niasinamida) 0.06 g/L, Piridoksin HCl (Vit
B6) 0.04 g/L, Riboflavin Natrium Fosfat
2.5 mg/L, elektrolit)

Jawa Barat

Larutan mengandung Asam Amino


(Kombinasi Asam amino 50 g/L, vitamin
dan elektrolit)

Aminofusin Paed

Jawa Barat

Larutan mengandung Asam Amino


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

Kabiven 1440 ml

245.

Jawa Barat

Larutan mengandung Asam Amino


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

246.

Jawa Barat

Larutan mengandung Asam Amino


Combiflex Plus
(Kombinasi Glukosa dan elektrolit 150 gr
(790 kcal)
+ Asam Amino 48 gr dgn akses sentral)

247.

Jawa Barat

Larutan mengandung Asam Amino


Combiflex peri
(Kombinasi Glukosa dan elektrolit 80 gr +
(480 kcal)
Asam Amino 40 gr )

248.

Jawa Barat

Larutan mengandung Elektrolit (Kalium


Klorida)

249.

Jawa Barat

Larutan mengandung Elektrolit (Larutan


Wida RL
Ringer Laktat)

250.

Jawa Barat

Larutan mengandung Elektrolit (Na 130


mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28
mEq)

Asering

251.

Jawa Barat

Larutan mengandung Elektrolit (NaCl


1.125 gr, Dekstrosa 18.75 gr)

KA EN 1B

Jawa Barat

Larutan mengandung Elektrolit (Sodium


Lactate sol (50%) 113 gr/L, Potassium
Chloride 0.3 gr/L, Calcium Chloride 0.2
gr/L, elektrolit)

Totilac

242.

243.

244.

252.

Otsu - KCl 7,46%

253.

Jawa Barat

Larutan mengandung Elektrolit (Tiap


1000 ml mengandung electrolit: Sodium
145 mmol/l, Potassium 4.0 mmol/l,
Ringerfundin
Calcium 2.5 mmol/l, Magnesium 1.0
500 mL
mmol/l, Chloride 118 mmol/l, Acetate 24
mmol/l, Malate 5.0 mmol/l)

254.

Jawa Barat

Larutan mengandung Karbohidrat


(Fructose 120 g, glucose 66 g, Xylitol 60 Triofusin 1000
g/ L + elektrolit)

255.

Jawa Barat

Larutan mengandung Karbohidrat


(Fructose 60 g, glucose 33 g, Xylitol 30 g/ Triofusin 500
L)

256.

Jawa Barat

Larutan mengandung Karbohidrat


(Maltose 100 gr)

257.

Jawa Barat

Larutan mengandung Karbohidrat +


Elektrolit (25.00g maltose, 3.00 g sodium
chloride, 0.15 g potassium chloride, 0.10 Potacol inj
g calcium chloride dihydrate dan 1.55 g
sodium lactate)

258.

Jawa Barat

Larutan mengandung Karbohidrat +


Elektrolit (Acetate, Na, K, Cl, Ca, Mg,
Sorbitol 50 gr/L)

Tutofusin OPS

259.

Jawa Barat

Larutan mengandung Karbohidrat +


Elektrolit (Asam amino 28 gr/L, Glukosa
75 gr/L, elektrolit)

Clinimix N9G15E

260.

Jawa Barat

Larutan mengandung Karbohidrat +


Elektrolit (Fructose 60 g, glucose 33 g,
Xylitol 30 g/ L)

Triofusin E1000

Jawa Barat

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)

Wida HSD

262.

Jawa Barat

Larutan mengandung Karbohidrat +


Elektrolit (Glukosa 55 g ; Natrium
Chloride 9 g, air untuk injeksi ad 1000
ml)

Wida D5-NS

263.

Jawa Barat

Larutan mengandung Karbohidrat +


Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g)

WIDA 2A

264.

Jawa Barat

Larutan mengandung Karbohidrat +


WIDA D5-1/4NS
Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g)

261.

Martos

Jawa Barat

Larutan mengandung Karbohidrat +


Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g)

266.

Jawa Barat

Larutan mengandung Karbohidrat +


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

267.

Jawa Barat

Larutan mengandung Karbohidrat +


Wida RD
Elektrolit (Larutan Ringer & Glukosa 5%)

268.

Jawa Barat

Larutan mengandung Karbohidrat +


Elektrolit (NaCl 1.75 g, KCL 1.5g, Glukosa KA ENMG 3
100 gr)

269.

Jawa Barat

Larutan mengandung Karbohidrat +


Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na
Lactat 2.24 gr, Dekstrosa 27 gr)

KA EN 3B

270.

Jawa Barat

Larutan mengandung Karbohidrat +


Elektrolit (Nacl 2.34 gr, Na Laktat 2.24
gr, KCL 0.75 gr Dekstrosa 27 gr)

KA EN 3A

271.

Jawa Barat

Larutan mengandung Lipid ( Infus Lipid


Emulsi MCT/LCT 20% 100 ml)

Lipofundin
MCT/LCT 1%
100

272.

Jawa Barat

Larutan mengandung Lipid (Emulsi


lemak 20%)

Intralipid

273.

Jawa Barat

Larutan mengandung Lipid (Infus Lipid


Emulsi MCT/LCT 20% 250 ml)

Lipofundin
MCT/LCT 1%
250

274.

Jawa Barat

Larutan mengandung Lipid (Kombinasi


Glukosa dan elektrolit 180 gr + Asam
Amino 71.8 gr + Lipid 50 gr dgn akses
sentral)

Nutriflex Lipid
Special 1250

275.

Jawa Barat

Larutan mengandung Lipid (Kombinasi


Glukosa dan elektrolit 80 gr + Asam
Amino 40 gr + Lipid MCT/LCT 50 gr)

Nutriflex Lipid
Peri 1250

276.

Jawa Barat

Larutan mengandung Lipid (Kombinasi


Glukosa dan elektrolit 90 gr + Asam
Amino 35.9 gr + Lipid 25 gr dgn akses
sentral)

Nutriflex Lipid
Special 625

277.

Jawa Barat

Larutan mengandung Lipid (Soybean Oil


200 g/L, Egg Lecithins 12 gr/L, Glycerol Ivelip
Ph 25 gr/L, Sodium Oleate 0.3 gr/L)

265.

WIDA D5-1/2NS

278.

Jawa Barat

Latanoprost tetes mata 0,01%

Cendo Glaopen

279.

Jawa Barat

Leuprorelin asetat inj depot 1,88 mg

Tapros 1.88mg

280.

Jawa Barat

Leuprorelin asetat inj depot 11,25 mg

Tapros 3M

281.

Jawa Barat

Levofloksasin inf 5 mg/mL

n/a

282.

Jawa Barat

Levofloksasin tablet 500 mg

n/a

283.

Jawa Barat

Lidokain injeksi 2% (HCL)

n/a

284.

Jawa Barat

Lidokain injeksi 2% (HCl) + Epinefrin 1 :


80.000 - 2ml

n/a

285.

Jawa Barat

Lidokain jeli 2%

Xylocaine Jelly
2%

286.

Jawa Barat

Lisinopril tablet 10 mg

n/a

287.

Jawa Barat

Lisinopril tablet 5 mg

n/a

288.

Jawa Barat

Litium karbonat tablet 200 mg

Frimania 200

289.

Jawa Barat

Litium karbonat tablet 400 mg

Frimania 400

290.

Jawa Barat

Loperamid tablet 2 mg

n/a

291.

Jawa Barat

Loratadin tablet 10 mg

n/a

292.

Jawa Barat

Lorazepam tablet 2 mg

Merlopam 2

293.

Jawa Barat

Maprotilin HCl tab 25 mg

Ludios

294.

Jawa Barat

Maprotilin HCl tab 50 mg

Sandepril 50

295.

Jawa Barat

Melfalan tablet 2 mg

Alkeran

296.
297.

Jawa Barat
Jawa Barat

Meropenem inj 1 g
Metadon sir 50mg/5ml

n/a
n/a

298.

Jawa Barat

Metilfenidat kapsul LA 20 mg

Ritalin LA

299.

Jawa Barat

Metilprednisolon tablet 16 mg

n/a

300.

Jawa Barat

Metilprednisolon tablet 4 mg

n/a

301.

Jawa Barat

Metilprednisolon tablet 8 mg

n/a

302.

Jawa Barat

Metoklopramide tablet 5 mg

n/a

303.

Jawa Barat

Metronidazol infus 500 mg/100 ml

n/a

304.

Jawa Barat

Metronidazol supositoria 500 mg

Flagyl

305.
306.
307.
308.
309.
310.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

n/a
n/a
Dormicum
Dormicum
Mycamine
n/a

311.

Jawa Barat

Metronidazol tablet 250 mg


Metronidazol tablet 500 mg
Midazolam injeksi i.v. 1 mg/ml
Midazolam injeksi i.v. 5 mg/ml
Mikafungin Na serb inj 50 mg
Mikonazol krim/salep 2 % (Nitrat)
Mitomisin C (crystallin) serbuk inj 10
mg/vial

312.

Jawa Barat

Moksifloksasin tetes mata 0,5%

Vigamox

313.

Jawa Barat

Mometason furoat krim 0,1%

n/a

314.

Jawa Barat

Morfin HCL inj 10 mg/ml

n/a

315.

Jawa Barat

Morfin HCL tablet SR 10 mg

MST Continus 10
mg

316.

Jawa Barat

Morfin HCL tablet SR 15 mg

MST Continus 15
mg

317.

Jawa Barat

Morfin injeksi i.m./s.k./i.v. 10 mg/ml

n/a

318.
319.

Jawa Barat
Jawa Barat

320.

Jawa Barat

Morfin tablet 10 mg
Nacl 0,9%
Nadroparin inj 9500 Axa/mL syringe 0,3
mL

n/a
n/a
Fraxiparine 0.3
ml

321.

Jawa Barat

Nadroparin inj 9500 Axa/mL, syringe 0,4 Fraxiparine 0.4


mL
ml

322.

Jawa Barat

Nadroparin inj 9500 Axa/mL, syringe 0,6 Fraxiparine 0.6


mL
ml

323.

Jawa Barat

Nalokson injeksi 0,4 mg/ml

Nokoba

324.

Jawa Barat

Natrium Bikarbonat injeksi i.v 8,4%

Meylon

325.

Jawa Barat

Natrium Diklofenak tablet 50 mg

n/a

326.

Jawa Barat

Natrium fusidat salep 20 mg/g

327.

Jawa Barat

Nevirapin tablet 200 mg

328.

Jawa Barat

Nifedipin tab 20 mg, slow release; oros

329.

Jawa Barat

Nifedipin tab 30 mg, oros

Barat
Barat
Barat
Barat
Barat
Barat

Mitomycin C

Fucilex
Ointment
n/a
Adalat Oros 20
mg
Adalat Oros 30
mg

330.

Jawa Barat

Nifedipin tablet/kapsul 10 mg

n/a

331.
332.

Jawa Barat
Jawa Barat

Nistatin tablet salut 500.000 IU/ g


Noretisteron tablet 5 mg

n/a
Primolut N

333.

Jawa Barat

Obat Antituberkulosis FDC Kategori 1

n/a

334.

Jawa Barat

Obat Antituberkulosis FDC Kategori 2

n/a

335.

Jawa Barat

Obat Antituberkulosis FDC Kategori Anak n/a

336.

Jawa Barat

Obat Antituberkulosis FDC Sisipan

n/a

337.

Jawa Barat

Ofloxacin tablet 200 mg

n/a

338.

Jawa Barat

Ofloxacin tablet 400 mg

n/a

339.

Jawa Barat

Oksimetazolin tetes hidung 0,025%

Ilaidin Drops

340.

Jawa Barat

Oktreotid 10 mg

Sandostatin LAR

341.
342.

Jawa Barat
Jawa Barat

Olanzapin kapl salut 5 mg


Olanzapin tab 10 mg

Olandoz 5
Olandoz 10

343.

Jawa Barat

Omeprazol injeksi 40 mg/ 10 ml

n/a

344.

Jawa Barat

Omeprazol kapsul/kaplet 20 mg

n/a

345.

Jawa Barat

ondansetron inj 4 mg/ 2 mL

n/a

346.
347.

Jawa Barat
Jawa Barat

Ondansetron tab 4 mg
Ondansetron tablet 8 mg

n/a
n/a

348.

Jawa Barat

Paket CAPD Awal (Komposisi: 1 unit


Transfer Set, 2 unit Ultaclam, 1 unit
Tenckoff Catheter, Titanium Adaptor)

n/a

349.

Jawa Barat

Paket CAPD Pergantian Transfer Set per 6


n/a
bulan

350.

Jawa Barat

Larutan Dialisa
1.5%: Dianeal
Low Calcium
with 1,5%
Dextrose;
Larutan Dialisa
Paket CAPD Rutin 120 ( 4x ganti cairan
2.5%: Dianeal
perhari dengan komposisi Larutan Dialisa
Low Calcium
1.5 %, Larutan Dialisa 2.5 %, Larutan
with 2,5%
Dialisa 4.25 %, Minicap)
Dextrose;
Larutan Dialisa
4.25%: Dianeal
Low Calcium
with 4.25%
Dextrose

351.

Jawa Barat

Parasetamol sirup 120 mg / 5 ml

n/a

352.

Jawa Barat

Parasetamol tablet 500 mg

n/a

353.

Jawa Barat

Pegylated interferon alfa-2a inj 135


mcg/0,5 ml

Pegasys

354.

Jawa Barat

Pegylated interferon alfa-2a inj 180


mcg/0,5 ml

Pegasys

355.

Jawa Barat

Permetrin krim 5%

Scabimite
Cream 10

356.

Jawa Barat

Petidin injeksi i.m/s.k/i.v lambat 50


mg/ml (HCl)

n/a

357.

Jawa Barat

Pioglitazon tab 15 mg

DECULIN 15 MG

358.

Jawa Barat

Pioglitazon tab 30 mg

DECULIN 30 MG

359.

Jawa Barat

Pirantel suspensi 125 mg/5 ml

n/a

360.

Jawa Barat

Pirantel tablet score (base) 125 mg

n/a

361.

Jawa Barat

Pirazinamid tablet 500 mg

n/a

362.
363.
364.
365.

Jawa
Jawa
Jawa
Jawa

Polikresulen cairan
Povidon Iodida larutan 10% 1000 ml
Povidon Iodida larutan 10% 30 ml
Povidon Iodida larutan 10% 300 ml

366.

Jawa Barat

Aptil
n/a
n/a
n/a
Sifrol ER
0,375mg

Barat
Barat
Barat
Barat

Pramipeksol tab ER 0,375 mg

367.

Jawa Barat

Pramipeksol tab ER 0,750 mg

Sifrol ER
0,750mg

368.

Jawa Barat

Pravastatin tablet 20 mg

n/a

369.

Jawa Barat

Propanolol tablet 10 mg ( HCl )

n/a

370.

Jawa Barat

Propranolol tablet 40 mg (HCl)

n/a

371.

Jawa Barat

Quetiapin tab 200 mg

Seroquel XR 200
mg

372.

Jawa Barat

Quetiapin tab 300 mg

Seroquel XR 300
mg

373.

Jawa Barat

Quetiapin tab 400 mg

Seroquel XR 400
mg

374.

Jawa Barat

Ramipril tablet 5 mg

n/a

375.

Jawa Barat

Ranitidin injeksi 25 mg/2 ml

n/a

376.

Jawa Barat

Ranitidin tablet 150 mg

n/a

377.

Jawa Barat

Retinol (Vitamin A) 100.000 IU

n/a

378.

Jawa Barat

Ringer Laktat larutan infus

n/a

379.

Jawa Barat

Risperidon tablet 1 mg

n/a

380.

Jawa Barat

Risperidon tablet 2 mg

n/a

381.

Jawa Barat

Risperidon tablet 3 mg

n/a

382.

Jawa Barat

Ropinirol Tablet Salut 2 mg

Requip PD 24
Hour 2 mg

383.

Jawa Barat

Ropinirol Tablet Salut 4 mg

Requip PD 24
Hour 4 mg

384.

Jawa Barat

Ropinirol Tablet Salut 8 mg

Requip PD 24
Hour 8 mg

385.

Jawa Barat

Salbutamol inhalasi/aerosol 100


mcg/dosis

Ventolin Inhaler

386.

Jawa Barat

Salbutamol serb inh 200 mcg/kaps

Ventolin
Rotacaps

387.

Jawa Barat

Salbutamol serb inh 200 mcg/kaps +


rotahaler

Ventolin
Rotahaler

388.

Jawa Barat

Sefadroksil sirup kering 125 mg/5ml

n/a

389.

Jawa Barat

Sefadroksil kapsul/kaplet 250 mg

n/a

390.

Jawa Barat

Sefadroksil kapsul/kaplet 500 mg

n/a

391.

Jawa Barat

Sefadroksil sir kering 250 mg/5 mL

n/a

392.

Jawa Barat

Sefaleksin kapsul/kaplet 500 mg

n/a

393.

Jawa Barat

Sefepim inj 1 g

n/a

394.

Jawa Barat

Sefiksim kapsul/kaplet 100 mg

n/a

395.

Jawa Barat

Sefiksim sirup kering 100 mg/ 5 ml

n/a

396.

Jawa Barat

Sefotaksim injeksi 1 g

n/a

397.

Jawa Barat

Sefpodoksim proksetil tab 100 mg

Banadoz 100

398.

Jawa Barat

Seftriakson serbuk injeksi 1 g/vial

n/a

399.

Jawa Barat

Sefuroksim tab 500 mg

Zinnat 500

400.

Jawa Barat

Setirizin tablet 10 mg

n/a

401.

Jawa Barat

Sianokobalamin (vitamin B12) injeksi 500


n/a
mcg

402.

Jawa Barat

Siklofosfamid serbuk injeksi i.v. 1000 mg

Cyclovid 1000
mg

403.

Jawa Barat

Siklofosfamid serbuk injeksi i.v. 200 mg

Cyclovid 200 mg

404.

Jawa Barat

Siklosporin kaps 100 mg

Sandimmun
Neoral 100mg
Kap

405.

Jawa Barat

Siklosporin kapsul lunak 25 mg

Sandimmun
Neoral 25mg
Kap

406.

Jawa Barat

Simvastatin scored tablet 10 mg

n/a

407.

Jawa Barat

Simvastatin tablet 20 mg

n/a

408.

Jawa Barat

n/a

409.

Jawa Barat

Siprofloksasin infus 2%
Siprofloksasin tablet 500 mg (sebagai
HCl)

n/a

410.

Jawa Barat

Spiramisin tablet 500 mg

n/a

411.

Jawa Barat

Spironolakton tablet 100 mg

n/a

412.

Jawa Barat

Spironolakton tablet 25 mg

n/a

413.

Jawa Barat

Sufentanil injeksi iv, epidural 5 mcg/ml

Sufentanyl
Injeksi
iv.Epidural 5
mcg / ml

414.

Jawa Barat

Takrolimus kaps 0.5 mg

Prograf

415.

Jawa Barat

Takrolimus kaps 1 mg

Prograf

416.

Jawa Barat

Tamsulosin tab 0,2 mg

Harnal D

417.

Jawa Barat

Tamsulosin tab 0,2 mg

Harnal D 0.2
mg Disp. Tablet

418.

Jawa Barat

Tamsulosin tab SR 0,4 mg

Harnal OCAS
0.4 mg Tablet

419.

Jawa Barat

Telbivudin tab 600 mg

Sebivo 600 mg
Tab

420.

Jawa Barat

Terbutalin cairan ih 2,5 mg/mL

Bricasma
Respules

421.

Jawa Barat

Terbutalin tablet 2,5 mg

Molasma Tablet

422.

Jawa Barat

Terbutalin turbu (serbuk ih) 0,50 mg

Bricasma
Turbuhaler 0,5
mg

423.

Jawa Barat

Tetrakain HCl tetes mata 0,5%

Pantocain 0.5%

424.

Jawa Barat

Tetrasiklin kapsul/kaplet 250 mg

n/a

425.

Jawa Barat

Tiamazol tab 10 mg

Thyrozol 10

426.

Jawa Barat

Tiamazol tab 5 mg

Thyrozol 5

427.

Jawa Barat

Timolol tetes mata 0,25%

Isotic Adretor
0,25%

428.

Jawa Barat

Timolol tetes mata 0,5%

Isotic Adretor
0,5%

429.

Jawa Barat

Tiotropium kaps 18 mcg + handihaller

Spiriva 10s +
Handihaler

430.

Jawa Barat

Tramadol injeksi 50 mg/ml

n/a

431.

Jawa Barat

Travoprost tetes mata 0,004%

Travatan

432.

Jawa Barat

433.

Jawa Barat

Triamsinolon asetonid nasal spray 55


mcg/puff
Trifluoperazin tablet 5 mg

434.

Jawa Barat

Urea krim 10%

435.

Jawa Barat

Vaksin polio inj (Vaksin Poliomyelitis yang


Imovax Polio
diinaktifkan)

436.

Jawa Barat

Valproat tab SR 250 mg

Depakote ER
250 mg

437.

Jawa Barat

Valproat tab SR 500 mg

Depakote ER
500 mg

438.

Jawa Barat

Valsartan tab 80 mg

Diovan 80mg
Tab

439.

Jawa Barat

Valsartan tab 160 mg

DIOVAN 160 MG

440.

Jawa Barat

Verapamil tab 240 mg

Isoptin 240 mg

441.
442.

Jawa Barat
Jawa Barat

Verapamil tablet 80 mg (HCl)


Vinblastin serbuk injeksi 10 mg

n/a
Vinblastine

443.

Jawa Barat

Vitamin B Kompleks tablet

n/a

444.

Jawa Barat

Zidovudin 300 mg + Lamivudine 150 mg n/a

445.

Jawa Barat

Zinc drop 10 mg/mL

Zincpro Drops

446.

Jawa Barat

Zinc sir 20 mg/5 Ml

Zircum Kid Sirup

447.

Jawa Barat

Zinc tablet dispersible20 mg

n/a

Nasacort AQ
n/a
Soft U Derm

PT. Kimia Farma

1 blister@24 tablet

Dus, 3 Blister @ 10
PT. SmithKline Beecham Phamaceuticals
kapsul

1,375.00

Download

27,500.00

Download

PT. Indofarma

Dus, 10 dus @ 1
botol @ 10 ml

3,849.00

Download

PT. Holi Pharma

Dus, 5 strip @ 6
tablet

338.00

Download

PT. Pertiwi Agung

Box, 10 strips @ 10
tablets

86.00

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

380.00

Download

PT. Otto Pharmaceuticals

strip

176.00

Download

PT. Kimia Farma

Ktk 10x10 tablet

233.00

Download

PT. Cendo Industri Farmasi

tube 3.5 gr

18,500.00

Download

PT. Sanbe Farma

Vial 2 ml

50,500.00

Download

PT. Lucas Djaja

dus 30 ampul @10


ml

3,822.00

Download

PT. Marin Liza Farmasi

Botol @ 100 tablet


salut selaput

90.00

Download

PT. Aventis Pharma

Dus, 6 ampul @ 3 ml 12,480.00

Download

PT. Darya Varia

strip

1,200.00

Download

PT. Indofarma

Dus, 10 strip @ 10
tss

112.00

Download

PT. Pertiwi Agung

Box, 3 strips @ 10
tablets

330.00

Download

187.00

Download

211.00

Download

272.00

Download

PT. Pertiwi Agung


PT. Novapharin
PT. Bernofarm

Box, 3 strips @ 10
tablets
strip
Dus, 10 strip @ 10
kaptab

PT. Holi Pharma

Dus, Botol 60 ml

4,045.00

Download

PT. Novapharin

btl @ 60 ml

2,445.00

Download

PT. Aventis Pharma

dus, 5 solostar pen @


85,000.00
3ml

Download

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml,


Flexpen disposible 3
106,000.00
ml (1 box isi 5
flexpen disposible)

Download

PT. Tempo Scan Pacific

Penfill cartridge

97,500.00

Download

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml,


Flexpen disposible 3
85,345.00
ml (1 box isi 5
flexpen disposible)

Download

PT. Ferron Par Pharmaceuticals

Dus, vial 10 ml

Download

PT. Aventis Pharma

dus, 5 solostar pen @


79,165.00
3ml

Download

PT. Tempo Scan Pacific

Penfill cartridge

79,167.00

Download

PT. AstraZeneca indonesia

Dus, 2 blister @ 14
Tablet

32,000.00

Download

PT. Promedrahardjo Farmasi IndustriSTRIP

75.00

Download

PT. Indofarma

Dus, 25 tube @ 5 g

2,516.00

Download

PT. Kimia Farma

ktk 10 x 10 tablet

520.00

Download

PT. Kimia Farma

Btl 100 tablet

135.00

Download

200,000.00

PT. Meprofarm

Dus, 5 strip @ 10
tablet

1,500.00

Download

PT. Kimia Farma

Dus 6 amp @ 1ml

22,000.00

Download

PT. Kimia Farma

Dus 10 strip x 10 tab 95.00

Download

PT. Marin Liza Farmasi

Botol @ 100 tablet

Download

PT. Boehringer Ingelheim

Boks, 1 ampul
2,209,000.00
Dus, 10 blister @ 10
112.00
kaptab ss

Download

PT. Sanbe Farma

Strip

1,815.00

Download

PT. Hexpharm Jaya Laboratories

Dus, 10 ampul @ 5
ml

3,334.00

Download

PT. Sanbe Farma

Tube 3,5 gram

24,750.00

Download

PT. Indofarma

Dus, 10 blister @ 10
237.00
tablet

Download

PT. Kimia Farma

ktk 10x10 tablet

345.00

Download

PT. Widatra Bhakti

10.000 UI/Vial

1,039,500.00

Download

PT. Zenith Pharmaceuticals

Dus 5 strip @ 10
tablet

190.00

Download

PT. Glaxo Wellcome Indonesia

Dus, 5 ampul @ 2.5


ml

20,000.00

Download

74.00

Download

34,400.00
4,500.00
3,333.00

Download
Download
Download

PT. Bernofarm

48.00

Download

PT. Soho Industri Pharmasi


PT. Kimia Farma
PT. Soho Industri Pharmasi

Dus, 10 strip @ 10
tablet
botol @ 60 ml
ktk 2x10 tablet
Strip

PT. Rama Emerald Multi Sukses

Dus @ 50 gram

1,250.00

Download

PT. Phapros, Tbk

Dus @ 10 Vial

9,800.00

Download

PT. Phapros, Tbk

Dus @ 10 Vial

13,400.00

Download

PT. Abbott Indonesia

Vial

3,200,000.00

Download

PT. Combiphar

Box @ 3 blister @ 10
3,600.00
Tablet

Download

PT. Combiphar

Box/ 3 blister @ 10
Tablet

Download

PT. Indofarma

3,600.00

PT. Kimia Farma

Tube 5 gr

1,520.00

Download

PT. AstraZeneca indonesia

Dus, 2 blister @ 14
Tablet

72,400.00

Download

45,000.00

Download

6,045.00
645.00
247,089.00

Download
Download
Download

93,000.00

Download

8,900.00

Download

PT. AstraZeneca indonesia


PT. Sanbe Farma
PT. Pratapa Nirmala
PT. Caprifarmindo
PT. AstraZeneca indonesia

Dus, 2 blister @ 14
Tablet
Supp
Box 3 X 10 tab
Box 3 x 10'S
Dus, 1 Turbuhaler @
100 dosis

PT. AstraZeneca indonesia

Dus, 4 pak @ 5
respules @ 2 ml

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @
117,600.00
120 dosis

Download

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @
110,500.00
60 dosis

Download

PT. Novartis Indonesia

Dus, 4 blister @ 7
tablet

76,000.00

Download

PT. Novartis Indonesia

Dus, 4 blister @ 7
tablet

150,000.00

Download

PT. Novartis Indonesia

Dus, 10 vial @
500mg

112,000.00

Download

PT. Indofarma

Dus, 100 ampul @ 1


1,580.00
ml

Download

PT. Indofarma

Dus, 10 blister @ 10
68.00
tablet

Download

PT. Dexa Medica

Kotak, tube @ 15
gram

9,983.00

Download

PT. Lucas Djaja

ampul @ 1 ml

1,054.00

Download

PT. Yarindo Farmatama

Box 10 X 10 Tab
Dus, 10 strip @ 10
tablet

97.00

Download

134.00

Download

PT. Tanabe Indonesia

10 vial @ 50mg

127,667.00

Download

PT. Pratapa Nirmala

Vial 5 mL

46,667.00

Download

PT. Tanabe Indonesia

3 blister @ 10 kapsul 3,667.00

Download

PT. Tanabe Indonesia

3 blister @ 10 kapsul 4,015.00

Download

PT. Indofarma

PT. Kimia Farma


PT. Cendo Industri Farmasi
PT. Pfizer Indonesia

Btl 100 tablet


botol 15 ml
Dus, 5 blister @10's
tab

104.00
37,500.00

Download
Download

3,480.00

Download

5,480.00

Download

PT. Pfizer Indonesia

Dus, 5 blister @10's


tab

PT. Actavis Indonesia

Dus, 1 vial @ 10 mg 55,500.00

Download

PT. Actavis Indonesia

Dus, 1 vial @ 50 mg 274,125.00

Download

PT. Novapharin

btl @ 60 ml

3,333.00

Download

PT. Novapharin

strip

167.00

Download

PT. Bernofarm

Dus, botol @ 10 ml

15,600.00

Download

PT. Sanbe Farma

Dus, 1 vial @0,5 ml+


1 vial pelarut @1,5
970,200.00
ml

Dus, Botol Plastik @


PT. SmithKline Beecham Phamaceuticals
30 Tablet

Download

7,100.00

Download

PT. Pfizer Indonesia

Dus, 2 blister @ 15
tablet

42,600.00

Download

PT. Aventis Pharma

dus, 2 prefilled
syringe @ 0,2 ml

40,740.00

Download

PT. Aventis Pharma

dus, 2 prefilled
syringe @ 0,4 ml

71,875.00

Download

PT. Aventis Pharma

dus, 2 prefilled
syringe @ 0,6 ml

100,000.00

Download

PT. Phapros, Tbk

Dus @ 30 Ampul

8,100.00

Download

PT Kalbe Farma

Vial @ 25 ml

500,000.00

Download

PT. Sanbe Farma

Dus, 1 vial @5 ml
Dus 3 strip @ 10
Flash tablet

128,000.00

Download

650.00

Download

PT. Gracia Pharmindo


PT. Gracia Pharmindo
PT. Kimia Farma
PT. Indofarma

Dus, Botol Plastik @


8,000.00
100 mL
ktk 10 x 10 kapsul
497.00
Dus, 10 blister @ 10
930.00
kss

Download
Download
Download

PT. Phyto Kemo Agung Farma

Botol @60 ml

7,700.00

Download

PT. Boehringer Ingelheim


PT. Kimia Farma

Boks, 6 ampul
ktk 20 x 10 tablet

139,500.00
314.00

Download
Download

PT. Indofarma

Dus, 10 strip @ 10
tss
btl @ 100 ml

451.00

Download

2,500.00

Download

Dus, 1 blister @ 1
PT. Merck Sharp Dohme Pharma Tbk
subdermal implant

128,779.00

Download

PT. Combiphar
PT. Kimia Farma

100,000.00
16,667.00

Download
Download

11,813.00

Download

PT. Novapharin

PT. Novartis Indonesia

Vial 100mg/5ml
Botol 10 ml
Dus, 6 blister @ 10
tablet

PT. Novartis Indonesia

Dus, 6 blister @ 10
tablet

23,250.00

Download

PT. Ferron Par Pharmaceuticals

KOTAK @ 1 VIAL
SERBUK OBAT &
INFUSION KIT

9,200,000.00

Download

PT. Mersifarma Tirmaku Mercusana KOTAK @ 10 ampul

20,250.00

Download

PT. Ikapharmindo

Botol @ 100

133.00

Download

PT. Phapros, Tbk

Dus @ 30 Ampul

1,800.00

Download

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10
kapsul

1,075.00

Download

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10
kapsul

1,375.00

Download

PT. Actavis Indonesia

Dus 45 x 12 tab

235.00

Download

PT. Boehringer Ingelheim

Dus, Canister 200


dosis

117,500.00

Download

PT. Kimia Farma

Dus 5 ampul@ 10ml 128,000.00

Download

PT. Kimia Farma

Dus 5 ampul@ 2ml

33,914.00

Download

PT. Kimia Farma

Dus @ 5 patch

80,000.00

Download

PT. Kimia Farma

Dus@ 5 patch

153,000.00

Download

PT. Kimia Farma

Dus@ 5 patch

285,000.00

Download

PT Kalbe Farma
PT. Sandoz Indonesia

pfs @ 0,5 ml
pfs @ 0,5 ml
Botol @ 100 tablet
salut gula

375,000.00
380,000.00

Download
Download

634.00

Download

PT. Marin Liza Farmasi

PT. Mersifarma Tirmaku Mercusana Dus, 5 ampul @ 1ml 55,000.00

Download

PT. Novell Pharmaeutical Laboratories


Botol

38,000.00

Download

PT. Kimia Farma


PT. Gracia Pharmindo
PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma

22,000.00
419.00
410.00
24,500.00
33,000.00

Download
Download
Download
Download
Download

2,400.00

Download

ktk 1 x 10 kapsul
strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml

PT. Ifars Pharmaceutical Laboratories


Dus, Tube 5 g
PT. Glaxo Wellcome Indonesia

Dus, Botol 120 Dosis


93,333.00
Spay

Download

PT. Glaxo Wellcome Indonesia

Dus, 2 flow wrap@ 5


nebules @ 1 dosis
12,917.00
(2ml)

Download

PT. Glaxo Wellcome Indonesia

Dus, 2 pfs 0.5 ml

241,667.00

Download

PT. Indofarma

Dus, 25 ampul @ 2
ml

1,829.00

Download

PT. Sampharindo Perdana

Dus, 10 strip @ 10
tablet

78.00

Download

PT. Indofarma

Dus, 10 strip @ 10
tablet

85.00

Download

PT. Boehringer Ingelheim

Boks, 1 ampul

399,500.00

Download

PT. AstraZeneca indonesia

Dus, 1 blister @ 10
tablet

295,000.00

Download

PT. Indofarma

Dus, 10 blister @ 12
289.00
kapsul

Download

PT. Indofarma

Dus, 10 blister @ 10
679.00
kaptab

Download

PT. Bayer Indonesia

vial

Download

PT. Sanbe Farma

Dus, 1 vial @200 mg 330,000.00

Download

PT. Indofarma

Dus, 5 ampul @ 2 ml 3,399.00

Download

PT. Erela

Tube @ 3,5 gr

2,600.00

Download

PT. Indofarma

Dus, botol plastik 5


ml

3,194.00

Download

PT. Indofarma
PT. Tempo Scan Pacific
PT. Dexa Medica

1,098,900.00

Dus, 10 blister @ 10
56.00
kaptab
Strip
235.00
Dus, 10 Strip @ 10
950.00
tablet

Download
Download
Download

PT.
PT.
PT.
PT.

Kimia
Kimia
Kimia
Kimia

Farma
Farma
Farma
Farma

ktk
ktk
ktk
ktk

5x10
5x10
5x10
5x10

tablet
tablet
tablet
tablet

265.00
436.00
404.00
430.00

Download
Download
Download
Download

PT. Kimia Farma

Dus 10x10

1,493.00

Download

PT. Kimia Farma

Dus 10x10

2,171.00

Download

PT. Actavis Indonesia

Btl @ 30 tablet

1,500.00

Download

PT. Lucas Djaja

Glycerin 100 ml

5,333.00

Download

PT. Widatra Bhakti


PT. Widatra Bhakti

botol @ 500 ml
botol @ 500 ml
Dus, 1 syringe @
10.8 mg

5,700.00
5,200.00

Download
Download

2,300,000.00

Download

PT. AstraZeneca indonesia


PT. AstraZeneca indonesia

Dus, 1 syringe @ 3.6


840,000.00
mg

Download

PT. Indofarma

Dus, 10 blister @ 10
219.00
tablet

Download

PT. Soho Industri Pharmasi

Dus 5 Ampul@1mL

Download

PT. Indofarma

Dus, 10 blister @ 10
59.00
tablet

Download

PT. Indofarma

Dus, 10 blister @ 10
96.00
tablet

Download

PT. Indofarma

Dus, 10 blister @ 10
69.00
tablet

Download

83,333.00

PT. Mersifarma Tirmaku Mercusana KOTAK @ 10 x 10 TAB 126.00

Download

PT. Otto Pharmaceuticals

box 5ampul @1 ml

4,500.00

Download

PT. Indofarma
PT. Indofarma

Dus, botol 60 ml
Dus, botol 60 ml
Dus, 10 strip @ 10
tablet

3,499.00
4,499.00

Download
Download

149.00

Download

PT. Holi Pharma


PT. Tanabe Indonesia

3 blister @ 10 tablet 3,908.00

Download

PT. Tanabe Indonesia

3 blister @ 10 tablet 2,120.00

Download

PT. Bayer Indonesia

Botol

245,000.00

Download

PT. Bayer Indonesia

Botol

123,200.00

Download

PT. Bayer Indonesia

Botol

299,000.00

Download

PT. Bayer Indonesia

Botol

150,300.00

Download

PT. Indofarma

Dus, 5 blister @ 10
kss

1,425.00

Download

2,470.00

Download

510,000.00

Download

88.00

Download

694.00

Download

1,580.00

Download

PT. Indofarma
PT. Sanbe Farma
PT. Indofarma
PT. Tempo Scan Pacific
PT. Merck Tbk

Dus, 5 blister @ 10
kss
Dus, 1 vial @2 ml
Dus, 10 strip @ 10
tablet
Strip
Dus, 10 strip @ 10
tablet

PT. Ethica Industri Farmasi

Ampul

7,800.00

Download

PT. Dexa Medica

Dus, 3 Blister @ 10
tablet

4,900.00

Download

3,100.00

Download

27,500.00

Download

140.00

Download

PT. Dexa Medica


PT. Boehringer Ingelheim
PT. Indofarma

Dus, 3 Blister @ 10
tablet
Boks, 120 tablet
Dus, 10 strip @ 10
tablet

PT. Errita Pharma

Dus, 10 strip @10


tablet

80.00

Download

PT. Indofarma

Dus, 10 strip @ 10
tablet

62.00

Download

PT. Novartis Indonesia

Dus, botol @ 120 ml 44,770.00

Download

PT. Indofarma

Dus, 10 blister @ 10
245.00
tablet

Download

PT. Lucas Djaja

Fenol 100 mg / 1 ml

2,042.00

Download

PT. Guardian Pharmatama

Vial @ 10 ml

110,000.00

Download

PT. Novell Pharmaeutical Laboratories


Box isi 1 Tube @ 15 g 4,700.00

Download

PT. Kimia Farma

2,569.00

Download

300.00

Download

2,300.00

Download

3,200.00

Download

PT. Dexa Medica


PT. Phapros, Tbk

tube 10 gr
Dus, 5 Strip @ 10
tablet
Dus @ 12 Ampul

Dus, 3 Strip @ 10
PT. Ifars Pharmaceutical Laboratories
Kaplet salut selaput

PT. Indofarma

Dus, 5 blister @ 10
kapsul

361.00

Download

PT. Indofarma

Dus, 5 blister @ 10
kapsul

553.00

Download

900.00

Download

184.00

Download

PT. Kimia Farma

Dus, 10 Strip @ 10
tablet
Ktk 10X10 TAB

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 tab 3,400.00

Download

PT. Phapros, Tbk

Dus @ 30 Ampul

1,100.00

Download

PT. Phapros, Tbk

Dus @ 30 Ampul

1,050.00

Download

PT. Mersifarma Tirmaku Mercusana KOTAK @ 5 x 10 TAB 5,000.00

Download

PT. Mersifarma Tirmaku Mercusana KOTAK @ 5 x 10 TAB 1,550.00

Download

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma

500.00
850.00
1,100.00

Download
Download
Download

12,450.00

Download

PT. Dexa Medica

ktk 10x10 tablet


ktk 10x10 tablet
ktk 10x10 tablet

PT. Galenium Pharmasia Laboratories


Botol @ 60 ml
PT. Erela

Dus, 100 Sachet @


30 Tablet

42.00

Download

PT. Cendo Industri Farmasi

botol 15 ml

15,750.00

Download

PT. Novartis Indonesia

Dus, 4 blister @ 6
tablet

3,220.00

Download

PT. Novartis Indonesia

Dus, botol plastik @


30 tablet salut
selaput

8,900.00

Download

PT. Glaxo Wellcome Indonesia

Dus, Botol 120 Dosis 90,667.00

Download

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60


dosis

100,833.00

Download

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60


dosis

113,333.00

Download

PT. Holi Pharma

Dus, 10 strip @ 10
kaptab

149.00

Download

PT. Kimia Farma

ktk 60 tablet

PT. Kimia Farma

ktk 100 amp @ 2 ml 6,200.00

Download

PT. Kimia Farma


PT. Kimia Farma
PT. Takeda Indonesia

ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial
Dus, 2 strip @ 10
kapsul

540.00
1,400.00
82,042.00

Download
Download
Download

473.00

Download

Dus, 7 Blister @ 10
PT. SmithKline Beecham Phamaceuticals
tablet

67,200.00

Download

PT Otsuka Indonesia

Softbag 500 ML

67,400.00

Download

PT Otsuka Indonesia

Softbag 500 ML

37,500.00

Download

PT Otsuka Indonesia

Double Chamber
Softbag 500 ML

61,600.00

Download

PT Kalbe Farma

botol 500 mL

75,350.00

Download

PT. Fresenius Kabi Combiphar

Botol Gelas 100 ml

36,667.00

Download

PT. Fresenius Kabi Combiphar

Botol Gelas 250 ml

50,820.00

Download

PT Otsuka Indonesia

Softbag 500 ML

46,000.00

Download

PT Otsuka Indonesia

Softbag 500 ML

65,000.00

Download

PT. Fresenius Kabi Combiphar

Botol Gelas 500 ml

78,720.00

Download

PT. Indofarma

670.00

Download

PT Kalbe Farma

botol 500 mL

42,000.00

Download

PT Kalbe Farma

botol 250 mL

46,000.00

Download

PT. Fresenius Kabi Combiphar

Bag (3 Chamber)
1440 ml

295,240.00

Download

PT. Fresenius Kabi Combiphar

Bag (3 Chamber)
1920 ml

343,842.00

Download

PT. Phapros, Tbk

Bag Double chamber


(Dua compartement), 322,000.00
1000 mL

Download

PT. Phapros, Tbk

Bag Double chamber


(Dua compartement), 218,700.00
1000 mL

Download

PT Otsuka Indonesia

Ampoel 25 ML

2,050.00

Download

PT. Widatra Bhakti

Botol 1000 ml

8,000.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML 9,000.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML 9,000.00

Download

PT Kalbe Farma

flexybag 250 mL

Download

87,000.00

PT. Phapros, Tbk

LDPE (Low Density


Poly Ethilene), botol
plastik

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

Plastic Bottle 500 ML 29,167.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML 55,500.00

Download

PT Kalbe Farma

botol 500 mL

Download

PT Kalbe Farma

Botol Plastik 1000 mL 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

37,500.00

PT. Widatra Bhakti

Botol 500 ml

7,700.00

Download

PT. Sanbe Farma

softbag 500ml

35,750.00

Download

PT. Widatra Bhakti

Botol 500 ml

6,930.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML 9,167.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML 10,000.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML 10,000.00

Download

PT. Phapros, Tbk

20%, Botol Kaca


@100 ml, single
bottle

105,500.00

Download

PT. Fresenius Kabi Combiphar

Botol Gelas 100 ml

60,500.00

Download

PT. Phapros, Tbk

20%, Botol Kaca


@250 ml, single
bottle

210,000.00

Download

PT. Phapros, Tbk

Bag, 3 chamber ( 3
kompartemen), 1250 591,000.00
ml

Download

PT. Phapros, Tbk

Bag, 3 chamber ( 3
kompartemen), 1250 511,000.00
ml

Download

PT. Phapros, Tbk

Bag, 3 chamber ( 3
kompartemen), 625
ml

358,000.00

Download

PT Kalbe Farma

Flexy bag 100 mL

89,800.00

Download

PT. Cendo Industri Farmasi

strip 5 x 0.6 ml

72,000.00

Download

PT. Takeda Indonesia

Vial

700,000.00

Download

PT. Takeda Indonesia

Vial

2,700,000.00

Download

PT. Infion Pharmaceutical

Box, 1 Botol @ 100


ml

40,000.00

Download

528.00

Download

PT. Bernofarm

Dus, 100 ampul @ 2


839.00
ml

Download

PT. Indofarma

Dus, 30 ampul @ 2
ml

Download

PT. AstraZeneca indonesia

Dus, 10 syringe @ 10
40,000.00
g

PT. Promedrahardjo Farmasi IndustriSTRIP

1,363.00

Download

Box ,3 Strip @ 10
PT. Novell Pharmaeutical Laboratories
tablet

600.00

Download

Box ,3 Strip @ 10
PT. Novell Pharmaeutical Laboratories
tablet

350.00

Download

PT. Mersifarma Tirmaku Mercusana KOTAK @ 10 x 10 TAB 1,050.00

Download

PT. Mersifarma Tirmaku Mercusana KOTAK @ 10 x 10 TAB 1,850.00

Download

Dus, 10 Strip @ 10
PT. Ifars Pharmaceutical Laboratories
Tablet

89.00

Download

PT. Promedrahardjo Farmasi IndustriSTRIP

154.00

Download

PT. Mersifarma Tirmaku Mercusana KOTAK @ 10 x 10 TAB 1,341.00

Download

PT. Soho Industri Pharmasi

1,200.00

Download

PT. Mersifarma Tirmaku Mercusana KOTAK @ 5 x 10 TAB 3,276.00

Download

PT. Glaxo Wellcome Indonesia

Box, Tablet 2 mg/25's 12,210.00

Download

PT. Bernofarm
PT. Kimia Farma

Dus, 1 vial @ 1 g
Botol 1000 ml

Download
Download

PT. Novartis Indonesia

Dus, botol plastik @


30 kapsul pelepasan 6,537.00
lambat

PT. Mahakam Beta Farma


PT. Natura Laboratoria Prima
PT. Dexa Medica

Strip

54,000.00
254,100.00

Strip
635.00
Dus, 10 Blister @ 10
205.00
Tablet
Dus, 10 Blister @ 10
300.00
tablet

Download
Download
Download
Download

PT. Kimia Farma


PT. Natura Laboratoria Prima
PT. Aventis Pharma
PT.
PT.
PT.
PT.
PT.
PT.

Phyto Kemo Agung Farma


Phyto Kemo Agung Farma
Boehringer Ingelheim
Boehringer Ingelheim
Combiphar
Kimia Farma

PT. Widatra Bhakti

ktk 10 x 10 tablet
Dus, 1 Botol @ 100
ml
Dus, 2 blister @ 5
suppositoria
10 strip @ 10 tab
10 strip @ 10 tab
Boks 10 amp
Boks 5 amp
Dus,1 vial@50mg
Tube 10 gram
10 mg /Vial

108.00

Download

9,950.00

Download

3,220.00

Download

110.00
160.00
6,119.00
12,060.00
260,000.00
3,000.00

Download
Download
Download
Download
Download
Download

697,000.00

Download

77,000.00

Download

17,820.00

Download

PT. Guardian Pharmatama

botol, tetes mata 3


ml
tube 10 gram

PT. Kimia Farma

Dus 10 amp @ 1 ml

8,400.00

Download

PT. Mahakam Beta Farma

Dus, 6 strip @ 10
tablet

15,620.00

Download

PT. Mahakam Beta Farma

Dus, 6 strip @ 10
tablet

22,990.00

Download

PT. Kimia Farma

Ktk 10 ampul @ 1ML 10,499.00

Download

PT. Kimia Farma


PT. Widatra Bhakti

Botol 30 tablet
1,300.00
Botol 500 ml
4,700.00
Dus, 5 blister @ 2 pfs
54,144.00
0.3 ml

Download
Download

PT. Tempo Scan Pacific

PT. Glaxo Wellcome Indonesia

Download

PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs


66,640.00
0.4 ml

Download

PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs


94,962.00
0.6 ml

Download

PT. Pratapa Nirmala

Dus, 5 Ampul @ 2ml 61,600.00

Download

PT Otsuka Indonesia

Ampoel 25 ML
Box ,5 Blister @ 10
PT. Novell Pharmaeutical Laboratories
tablet

6,200.00

Download

200.00

Download

PT. Molex Ayus

Tube 5 gr

6,490.00

Download

PT. Kimia Farma

btl 60 tablet

2,800.00

Download

PT. Bayer Indonesia

blister

2,999.00

Download

PT. Bayer Indonesia

blister

3,500.00

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet salut selaput

100.00

Download

PT. Phapros, Tbk


PT. Bayer Indonesia

Dus @ 10 X 10 's
blister

640.00
2,618.00

Download
Download

PT. Phapros, Tbk

Paket

359,900.00

Download

PT. Indofarma

Paket

1,199,990.00

Download

PT. Phapros, Tbk

Paket

214,900.00

Download

PT. Indofarma

Dus, 3 blister @ 28
kss

160,000.00

Download

400.00

Download

650.00

Download

27,550.00

Download

Box ,5 Strip @ 10
PT. Novell Pharmaeutical Laboratories
tablet
Box ,5 Strip @ 10
PT. Novell Pharmaeutical Laboratories
tablet
PT. Merck Tbk
botol @ 10 ml

PT. Novartis Indonesia

Dus, vial @ 355m +


1 prefilled syringe
2,950,000.00
pelarut @ 2,5 ml + 2
jarum suntik

Download

PT. Sandoz Indonesia


PT. Sandoz Indonesia

3 X 10 fcc
3 X 10 fcc

6,450.00
11,200.00

Download
Download

PT. Natura Laboratoria Prima

Dus, 1 Vial @ 40 mg 36,000.00

Download

PT. Novapharin

strip

Download

PT. Indofarma

Dus, 5 Ampul @ 2ml 2,400.00

Download

PT. Yarindo Farmatama


PT. Yarindo Farmatama

Box 3 X 10 Tab
Box 3 X 10 Tab

716.00
1,189.00

Download
Download

PT Kalbe Farma

Transfer Set: Set;


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

1,902,240.00

Download

PT Kalbe Farma

Set

219,540.00

Download

211.00

PT Kalbe Farma

PT. Afifarma

Larutan Dialisa 1.5


%: 2.000 ml; Larutan
Dialisa 2.5 %: 2.000
ml; Larutan Dialisa
5,522,580.00
4.25 %: 2.000 ml;
Minicap: Kantong
Plastik

Download

botol 60 ml
Dus, 10 strip @ 10
kaptab

1,438.00

Download

89.00

Download

PT. Boehringer Ingelheim

Boks, 1 pfs

1,077,815.00

Download

PT. Boehringer Ingelheim

Boks, 1 pfs

1,248,220.00

Download

PT. Galenium Pharmasia Laboratories


Tube @ 10 g

11,475.00

Download

PT. Kimia Farma

Ktk 10 ampx2ml

14,500.00

Download

PT. Dexa Medica

30 TAB/BOX

3,120.00

Download

PT. Dexa Medica

30 TAB/BOX

4,525.00

Download

PT. Holi Pharma

Botol 60 ml
Dus, 25 Blister @ 4
tablet

8,360.00

Download

296.00

Download

206.00

Download

17,393.00
37,109.00
2,163.00
14,203.00

Download
Download
Download
Download

7,200.00

Download

PT. Imfarmind Farmasi industri

PT. Holi Pharma


PT. Holi Pharma
PT.
PT.
PT.
PT.

Pratapa Nirmala
Afifarma
Afifarma
Afifarma

PT. Boehringer Ingelheim

Dus 10 strip @ 10
tablet
Dus, Botol @ 10ml
botol @ 1000 ml
botol @ 30 ml
botol @ 300 ml
Dus, 3 alu blister @
10 tablet

PT. Boehringer Ingelheim

Dus, 3 alu blister @


10 tablet

Box ,5 Strip @ 10
PT. Novell Pharmaeutical Laboratories
tablet

11,268.00

Download

2,300.00

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

65.00

Download

PT. Holi Pharma

Dus, 10 strip @ 10
tablet

106.00

Download

PT. AstraZeneca indonesia

Dus, 1 blister @ 10
tablet

17,391.00

Download

PT. AstraZeneca indonesia

Dus, 1 blister @ 10
tablet

19,500.00

Download

PT. AstraZeneca indonesia

Dus, 1 blister @ 10
tablet

23,185.00

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
kaptab

580.00

Download

PT. Natura Laboratoria Prima

Dus, 10 Ampul @ 2
ml

1,140.00

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet salut selaput

120.00

Download

PT. Kimia Farma

Botol 50 kapsul lunak 260.00

Download

PT. Widatra Bhakti

botol 500 ml
Dus, 5 Blister @ 10
tablet

5,200.00

Download

1,400.00

Download

PT. Mersifarma Tirmaku Mercusana KOTAK @ 5 x 10 TAB 1,008.00

Download

PT. Dexa Medica

PT. Dexa Medica

Dus, 5 Blister @ 10
tablet

2,000.00

Download

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4
Tablet lepas Lambat

5,248.00

Download

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4
Tablet lepas Lambat

6,275.00

Download

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4
Tablet lepas Lambat

7,383.00

Download

PT. Glaxo Wellcome Indonesia

Dus, botol 200 dosis 63,750.00

Download

PT. Glaxo Wellcome Indonesia

Dus, 10 Blister @ 10
431.00
Kapsul

Download

PT. Glaxo Wellcome Indonesia

Dus, 1 Rotahaler

Download

5,867.00

PT. Holi Pharma


PT. Hexpharm Jaya Laboratories

Dus, Botol 60 ml
Dus, 5 strip @ 10
kapsul

Dus, 10 strip @ 10
kapsul
PT. Holi Pharma
Dus, Botol 60 ml
Dus, 5 Strip @ 10
PT. Ifars Pharmaceutical Laboratories
Kapsul
PT. Holi Pharma

4,746.00

Download

513.00

Download

509.00

Download

5,895.00

Download

1,000.00

Download

PT. Yarindo Farmatama

Box 2 Vial @ 1000mg 48,060.00

Download

PT. Bernofarm

Dus, 10 blister @ 10
859.00
kapsul

Download

PT. Ifars Pharmaceutical Laboratories


Dus, Botol 30 ml

8,800.00

Download

PT. Natura Laboratoria Prima

2,950.00

Download

3,700.00

Download

3,300.00

Download

PT. Sandoz Indonesia


PT. Natura Laboratoria Prima

Dus, 10 Vial @ 1 g
Dus, 3 blister @ 10
tablet
Dus, 10 Vial @ 1 g

PT. Glaxo Wellcome Indonesia

Dus, 1 Blister @ 10
Tablet salut selaput

7,200.00

Download

PT. Pertiwi Agung

Box, 10 strips @ 10
capsules

181.00

Download

PT. Lucas Djaja

100 ampul @ 1 ml

1,078.00

Download

PT. Novell Pharmaeutical Laboratories


vial

256,000.00

Download

PT. Novell Pharmaeutical Laboratories


vial

82,000.00

Download

PT. Novartis Indonesia

Dus, 10 blister @ 5
kapsul lunak

43,000.00

Download

PT. Novartis Indonesia

Dus, 10 blister @ 5
kapsul lunak

12,000.00

Download

PT. Natura Laboratoria Prima

Dus, 3 Strip @ 10
Kaplet salut selaput

169.00

Download

PT. Natura Laboratoria Prima

Dus, 3 Strip @ 10
Kaplet salut selaput

391.00

Download

PT. Dexa Medica


PT. Bernofarm

Vial 200 ml
13,000.00
Dus, 10 blister @ 10
255.00
tab ss

Download
Download

PT. Indofarma

Dus, 5 strip @ 10
tablet

1,499.00

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

900.00

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

315.00

Download

PT. Kimia Farma

dus 5 amp @ 2ml

127,000.00

Download

PT. Combiphar

Pounch @ 5 blister @
11,167.00
10 capsule

Download

PT. Combiphar

Dus, 1 pouch @5
blister@10 kaps

Download

PT. Combiphar

Box @ 2 blister @ 14
5,800.00
tablet

Download

PT. Combiphar

Box/ 2 blister @ 14
tablet

5,800.00

Download

PT. Combiphar

Box/ 3 blister @ 10
Tablet

6,800.00

Download

PT. Novartis Indonesia

Dus, 2 blister @ 14
tablet

28,500.00

Download

PT. AstraZeneca indonesia

Dus, 2 pak @ 5
respules

6,250.00

Download

PT. Molex Ayus

Box 50's

99.00

Download

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @
71,100.00
200 dosis

Download

PT. Cendo Industri Farmasi

botol 5 ml

11,500.00

Download

PT. Holi Pharma

Dus, 10 strip @ 10
kapsul

148.00

Download

PT. Merck Tbk

Dus, 10 blister @ 10
1,135.00
tablet

Download

PT. Merck Tbk

Dus, 10 blister @ 10
563.00
tablet

Download

PT. Pratapa Nirmala

Dus, Botol Plastik @


5ml

9,128.00

Download

PT. Pratapa Nirmala

Dus, Botol Plastik @


5ml

9,722.00

Download

21,500.00

PT. Boehringer Ingelheim

Dus, 1 blister @10


kapsul + handihaler

152,543.00

Download

PT. Natura Laboratoria Prima

Dus, 10 Ampul @ 2
ml

2,395.00

Download

PT. Tempo Scan Pacific

botol, tetes mata 2,5


115,000.00
ml

PT. Aventis Pharma


PT. Darya Varia

Dus, botol plastik


120 dosis
strip

PT. Galenium Pharmasia Laboratories


tube

Download

90,000.00

Download

405.00

Download

6,400.00

Download

PT. Aventis Pharma

1 vial of 10ml (10


d's)

285,000.00

Download

PT. Abbott Indonesia

Tablet

2,793.00

Download

PT. Abbott Indonesia

Tablet

5,450.00

Download

PT. Novartis Indonesia

Dus, 2 blister @ 14
tablet

3,900.00

Download

PT. Novartis Indonesia

Dus, 2 blister @ 14
tablet

6,500.00

Download

PT. Abbott Indonesia

Tablet

6,200.00

Download

PT. Kimia Farma


PT. Combiphar

Ktk 10X10 TAB


Vial 10mg/10ml

234.00
210,000.00

Download
Download

PT. Kimia Farma

Dus 10 strip x 10 tab 107.00

Download

PT. Kimia Farma

Botol 60 tablet

3,429.00

Download

PT. Combiphar

Drops 10 mg/ml,
Botol @15 ml

12,840.00

Download

PT. Meprofarm

Dus, botol 60 ml

7,400.00

Download

PT. Kimia Farma

ktk 10 x 10 tablet

473.00

Download

Download
Download
Download
Download
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1.

Jawa Barat

ACT (Artesunate tablet 50 mg + Amodiaquine


anhydrida tablet 200 mg)

2.

Jawa Barat

Adefovir Dipivoksil tablet/kaplet 10 mg

3.

Jawa Barat

Albendazol suspensi 200 mg/5 ml

4.

Jawa Barat

Albendazol tablet/kapsul/kaplet 400 mg

5.

Jawa Barat

Alopurinol tablet/kapsul/kaplet 100 mg

6.

Jawa Barat

Alprazolam tablet/kapsul/kaplet 0,25 mg

7.

Jawa Barat

Alprazolam tablet/kapsul/kaplet 0,5 mg

8.

Jawa Barat

Alprazolam tablet/kapsul/kaplet 1 mg

9.

Jawa Barat

Amfoterisin B salep mata 1%

10.

Jawa Barat

Amikasin injeksi 250 mg/ml

11.

Jawa Barat

Aminofilin injeksi 24 mg/ml

12.

Jawa Barat

Aminofilin tablet scored 200 mg

13.

Jawa Barat

Amiodaron injeksi 150 mg/3 ml

14.

Jawa Barat

Amiodaron tablet/kaplet 200 mg

15.

Jawa Barat

Amitriptilin tablet salut 25 mg (HCl)

16.

Jawa Barat

Amlodipin tablet 10 mg

17.

Jawa Barat

Amlodipin tablet 5 mg

18.

Jawa Barat

Amoksisilin kapsul/kaplet 250 mg

19.

Jawa Barat

Amoksisilin kapsul/kaplet/tablet scored 500 mg

20.

Jawa Barat

Amoksisilin sirup kering forte 250 mg/5 ml

21.

Jawa Barat

Amoksisilin sirup kering 125 mg/ 5 ml

22.

Jawa Barat

Analog insulin long acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
glargine 100 IU/ml)

Jawa Barat

Analog insulin mix acting inj 100 UI/ml, Analog


insulin mix acting inj 100 UI/ml (Premix 30%
Insulin Aspart + 70% Protaminated Insulin
Aspart (Analogue))

Jawa Barat

Analog insulin mix insulininj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (25%
insulin lispro, 75% insulin lispro protamine
suspension, (rDNA))

Jawa Barat

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
Aspart (Analogue))

26.

Jawa Barat

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
Aspart (Analogue))

27.

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
glulisine 100 IU/ml)

28.

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
lispro (rDNA origin))

29.

Jawa Barat

Anastrozol tablet/kapsul/kaplet 1 mg

30.

Jawa Barat

Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium
Hidroksida 200 mg

31.

Jawa Barat

Anti Bakteri DOEN salep kombinasi: Basitrasin


500 IU/g Polimiksin 10.000 IU/g

32.

Jawa Barat

Antimalaria DOEN kombinasi : Pirimetamin 25


mg Sulfadoksin 500 mg

33.

Jawa Barat

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50


mg

34.

Jawa Barat

Antiparkinson DOEN tablet kombinasi :


Benserazid 25 mg Levodopa 100 mg

35.

Jawa Barat

Artemether injeksi 80 mg/ml

36.

Jawa Barat

Asam Askorbat (Vitamin C) tablet 50 mg

37.

Jawa Barat

Asam Folat tablet/kapsul/kaplet 1 mg

38.

Jawa Barat

Asam Ibandronat injeksi 6mg/6ml

39.

Jawa Barat

Asam Mefenamat kapsul/kaplet 500 mg

23.

24.

25.

40.

Jawa Barat

Asam pipemidat kapsul 400 mg

41.

Jawa Barat

Asam traneksamat injeksi 100 mg/ml

42.

Jawa Barat

Asiklovir salep mata 3%

43.

Jawa Barat

Asiklovir tablet/kapsul/kaplet 200 mg

44.
45.

Jawa Barat
Jawa Barat

Asiklovir tablet/kapsul/kaplet 400 mg


Asparaginase serbuk injeksi 10.000 UI/vial

46.

Jawa Barat

Atapulgit tablet 600 mg

47.

Jawa Barat

Atrakurium injeksi 25 mg/2,5 ml

48.

Jawa Barat

Atropin Sulfat tablet 0,5 mg

49.

Jawa Barat

Azitromisin sir kering 200 mg/ 5 mL

50.

Jawa Barat

Azitromisin tablet 500 mg

51.

Jawa Barat

Azitromisin tablet 250 mg

52.

Jawa Barat

Bedak salisil serbuk 2%

53.
54.

Jawa Barat
Jawa Barat

Benzatin Benzil Penisilin 1,2 juta IU/ vial


Benzatin Benzil Penisilin 2,4 juta IU/vial

55.

Jawa Barat

Beractant injeksi / suspensi 25 mg/mL

56.

Jawa Barat

Beraprost sodium tablet 20 mcg

57.

Jawa Barat

Beraprost sodium tablet 20 mcg

58.

Jawa Barat

Betametason krim 0,1% (sebagai Valerat)

59.

Jawa Barat

Bikalutamid tablet salut 150 mg

60.

Jawa Barat

Bikalutamid tablet salut 50 mg

61.
62.
63.

Jawa Barat
Jawa Barat
Jawa Barat

Bisakodil suppositoria 10 mg
Bisoprolol tablet 5 mg
Bromokriptin tablet 2,5 mg

64.

Jawa Barat

Budesonid inhaler 200 mcg/puff, 100 dosis

65.

Jawa Barat

Budesonid respules / cairan inhaler 0,25mg/mL

66.

Jawa Barat

Budesonid-formoterol (fixed combination)


inhaler 160/4,5 mcg

67.

Jawa Barat

Budesonid-formoterol (fixed combination)


inhaler 80/4,5 mcg

68.

Jawa Barat

Deferasiroks tablet disp/ eff 250 mg

69.

Jawa Barat

Deferasiroks tablet disp/ eff 500 mg

70.

Jawa Barat

Deferoksamin Mesilat serbuk injeksi 500 mg

71.

Jawa Barat

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

72.

Jawa Barat

Deksametason tablet 0,5 mg

73.

Jawa Barat

Desoksimetason krim 0,25%

74.

Jawa Barat

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

75.

Jawa Barat

Digoksin tablet 0,25 mg

76.

Jawa Barat

Diltiazem HCl tablet 30 mg

77.

Jawa Barat

Diltiazem infus injeksi 50 mg

78.

Jawa Barat

Diltiazem injeksi 25 mg/5 mL

79.

Jawa Barat

Diltiazem Kapsul SR 100 mg

80.

Jawa Barat

Diltiazem Kapsul SR 200 mg

81.

Jawa Barat

Dimenhidrinat tablet 50 mg

82.

Jawa Barat

Dinatrium edetat tetes mata 0,35%

83.

Jawa Barat

Doksazosin mesilat tablet 1 mg

84.

Jawa Barat

Doksazosin mesilat tablet 2 mg

85.

Jawa Barat

Doksorubisin serbuk injeksi i.v. 10 mg/vial

86.

Jawa Barat

Doksorubisin serbuk injeksi i.v. 50 mg/vial

87.
88.

Jawa Barat
Jawa Barat

Domperidon suspensi/sirup 5 mg/5 ml


Domperidon tablet 10 mg

89.

Jawa Barat

Domperidon tetes 5 mg/mL

90.

Jawa Barat

Dosetaksel injeksi 20 mg/0,5 ml

91.

Jawa Barat

Dutasterid kaps lunak 0,5 mg

92.

Jawa Barat

Eksemestan tablet 25 mg

93.

Jawa Barat

Enoksaparin sodium inj 20 mg/0,2 mL

94.

Jawa Barat

Enoksaparin sodium inj 40 mg/0,4 mL

95.

Jawa Barat

Enoksaparin sodium inj 60 mg/0,6 mL

96.

Jawa Barat

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

97.

Jawa Barat

Epirubisin serb injeksi 50 mg/25ml

98.

Jawa Barat

Epirubisin serb injeksi 10 mg/5 ml

99.

Jawa Barat

Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI

100.

Jawa Barat

Ergokalsiferol (vitamin D3/D2) suspensi 10.000


UI/ml

101.

Jawa Barat

Eritromisin kapsul/kaplet 250 mg

102.

Jawa Barat

Eritromisin kapsul/kaplet 500 mg

103.

Jawa Barat

Eritromisin sirup kering 200 mg/ 5 ml

104.

Jawa Barat

Eritropoetin-beta inj 2000 UI/0,3 mL

105.

Jawa Barat

Etambutol tablet 250 mg (HCl)

106.

Jawa Barat

Etambutol tablet salut 500 mg (HCl)

107.

Jawa Barat

Etanol 70% cairan

108.

Jawa Barat

Etonogestrel implan 68 mcg

109.
110.

Jawa Barat
Jawa Barat

Etoposid injeksi 20 mg/ml


Eugenol cairan

111.

Jawa Barat

Everolimus tab 0,25 mg

112.

Jawa Barat

Everolimus tab 0,5 mg

113.

Jawa Barat

Faktor VIIa (rekombinan) serb inj 1 mg/vial +


pelarut untuk injeksi

114.

Jawa Barat

Fenitoin injeksi 50 mg/ml

115.

Jawa Barat

Fenitoin kapsul/kaplet 100 mg

116.

Jawa Barat

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

117.

Jawa Barat

Fenofibrat kaps 100 mg

118.

Jawa Barat

Fenofibrat kaps 300 mg

119.

Jawa Barat

Fenoksimetil penisilin (penisilin V) tab 125 mg

120.

Jawa Barat

Fenoterol HBr inh solution 0,1%

121.

Jawa Barat

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

122.

Jawa Barat

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

123.

Jawa Barat

Fentanil patch 12,5 mcg/jam

124.

Jawa Barat

Fentanil patch 25 mcg/jam

125.

Jawa Barat

Fentanil patch 50 mcg/jam

126.

Jawa Barat

Filgrastim inj 300 mcg/mL

127.

Jawa Barat

Fitomenadion (Vit.K1) tablet salut gula 10 mg

128.

Jawa Barat

Fludarabin inj 50 mg

129.

Jawa Barat

Fludarabin tab 10 mg

130.

Jawa Barat

Flufenazin injeksi i.m. 25 mg/ml

131.

Jawa Barat

Flukonazol injeksi 2 mg/ml

132.

Jawa Barat

Flukonazol tablet/kapsul 150 mg

133.

Jawa Barat

Fluoksetin tablet 10 mg

134.
135.
136.

Jawa Barat
Jawa Barat
Jawa Barat

Fluoksetin tablet 20 mg
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL

137.

Jawa Barat

Flusinolon asetonid krim 0,025%

138.

Jawa Barat

Flutikason furoat intranasal spray

139.

Jawa Barat

Flutikason propionat nebules 0,5 mg

140.

Jawa Barat

Fondaparinuks inj 2,5 mg/0,5 mL

141.

Jawa Barat

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

142.

Jawa Barat

Furosemid tablet 40 mg

143.

Jawa Barat

Furosemid tablet 40 mg

144.

Jawa Barat

Gansiklovir serb inj 500 mg (50 mg/mL)

145.

Jawa Barat

Gefitinib tab 250 mg

146.

Jawa Barat

Gemfibrozil kapsul/kaplet 300 mg

147.

Jawa Barat

Gemfibrozil tablet 600 mg

148.

Jawa Barat

Gemsitabin inj 1000 mg/vial

149.

Jawa Barat

Gemsitabin inj 200 mg/vial

150.

Jawa Barat

Gentamisin injeksi 40 mg/ ml

151.

Jawa Barat

Gentamisin salep mata 0,3%

152.

Jawa Barat

Gentamisin tetes mata 0,3%

153.

Jawa Barat

Glibenklamid tablet 5 mg

154.

Jawa Barat

Gliklazid tab 80 mg

155.

Jawa Barat

Glikuidon tab 30 mg

156.
157.
158.
159.
160.
161.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Gliseril trinitrat kaps SR 2,5 mg
Gliseril trinitrat kaps SR 5 mg

162.

Jawa Barat

Barat
Barat
Barat
Barat
Barat
Barat

Gliseril trinitrat tab sublingual 0,5 mg

163.
164.
165.

Jawa Barat
Jawa Barat
Jawa Barat

Gliserin lar 50%


Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril

166.

Jawa Barat

Goserelin asetat inj 10,8 mg/vial

167.

Jawa Barat

Goserelin asetat inj 3,6 mg

168.

Jawa Barat

Griseofulvin tablet 125 mg

169.

Jawa Barat

Haloperidol inj 50 mg/mL

170.

Jawa Barat

Haloperidol tablet 0,5 mg

171.

Jawa Barat

Haloperidol tablet 5 mg

172.

Jawa Barat

Haloperidol tablet 1,5 mg

173.

Jawa Barat

Haloperidol tablet 2 mg

174.

Jawa Barat

Hiosin butilbromid injeksi 20 mg/ml

175.

Jawa Barat

Ibuprofen sirup 100 mg/5 ml

176.

Jawa Barat

Ibuprofen suspensi 200 mg/5 ml

177.

Jawa Barat

Ibuprofen tablet 400 mg

178.

Jawa Barat

Ifosfamid serbuk injeksi 1000 mg/vial

179.

Jawa Barat

Imidapril tab 10 mg

180.

Jawa Barat

Imidapril tab 5 mg

181.

Jawa Barat

Iopromide 300-370 mg Iodium/mL (300 mg /


100 ml)

182.

Jawa Barat

Iopromide 300-370 mg Iodium/mL (300 mg / 50


ml)

183.

Jawa Barat

Iopromide 300-370 mg Iodium/mL (370 mg /


100 ml)

184.

Jawa Barat

Iopromide 300-370 mg Iodium/mL (370 mg / 50


ml)

185.

Jawa Barat

Irbesartan tab 150 mg

186.

Jawa Barat

Irbesartan tab 300 mg

187.

Jawa Barat

Irinotekan inf 20 mg/ml

188.

Jawa Barat

Isosorbid Dinitrat tablet sublingual 5 mg

189.

Jawa Barat

Kalium aspartat tab 300 mg

190.

Jawa Barat

Kalium Klorida tablet 600 mg

191.

Jawa Barat

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

192.

Jawa Barat

Kandesartan tab 16 mg

193.

Jawa Barat

Kandesartan tab 8 mg

194.

Jawa Barat

Kapesitabin tab 500 mg

195.

Jawa Barat

Kaptopril tablet 50 mg

196.

Jawa Barat

Kaptopril tablet scored 25 mg

197.

Jawa Barat

Kaptopril tablet scored12,5 mg

198.

Jawa Barat

Karbamazepin sirup 100 mg/5 ml

199.

Jawa Barat

Karbamazepin tablet 200 mg

200.

Jawa Barat

Karbogliserin tetes telinga 10%

201.

Jawa Barat

Ketamin injeksi i.v. 100 mg/ml

202.

Jawa Barat

Ketokonazol krim 2%

203.

Jawa Barat

Ketokonazol krim 2%

204.

Jawa Barat

Ketokonazol tablet 200 mg

205.

Jawa Barat

Ketorolac injeksi 30 mg/ml

206.

Jawa Barat

Klaritromisin tab 500 mg

207.

Jawa Barat

Klindamisin kapsul/kaplet 150 mg

208.

Jawa Barat

Klindamisin kapsul/kaplet 300 mg

209.

Jawa Barat

Klobazam tab 10 mg

210.

Jawa Barat

Klonidin tablet 0,15 mg

211.

Jawa Barat

Klopidogrel tab 75 mg

212.

Jawa Barat

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

213.

Jawa Barat

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

214.

Jawa Barat

Klozapin 100 mg

215.

Jawa Barat

Klozapin 25 mg

216.
217.
218.

Jawa Barat
Jawa Barat
Jawa Barat

Kodein tablet 10 mg
Kodein tablet 15 mg
Kodein tablet 20 mg

219.

Jawa Barat

Kombinasi suspensi : Parafin + gliserin +


fenolftalein

220.

Jawa Barat

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200


mg Asam folat 0,25 mg

221.

Jawa Barat

Kombinasi tetes mata 2,5 mg/mL: Natrium


klorida 8,664 mg; Kalium klorida 1,32 mg

222.

Jawa Barat

Kombinasi: Artemether 20 mg; Lumefantrin 120


mg

223.

Jawa Barat

Kombinasi: Levodopa 100 mg; Karbidopa 25 mg;


Entekapon 200 mg

224.

Jawa Barat

Kombinasi: Salmeterol 25 mcg; Flutikason


propionat 50 mcg

225.

Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 100 mcg

226.

Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 250 mcg

227.

Jawa Barat

Kotrimoksazol DOEN I (dewasa) kombinasi :


Sulfametoksazol 400 mg Trimetoprim 80 mg

228.

Jawa Barat

Kuinin (Kina) tablet 200 mg

229.

Jawa Barat

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

230.

Jawa Barat

Kuinin tablet 222 mg (H2SO4.7H2O)

231.

Jawa Barat

Lamivudine tablet 150 mg

232.

Jawa Barat

Lansoprazol inj 30 mg/ml

233.

Jawa Barat

Lanzoprazol kapsul/kaplet 30 mg

234.

Jawa Barat

Lapatinib tab 250 mg

235.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


10%)

236.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120
mEq)

237.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


27 g, Sorbitol 50 g, Cl- 52 mEq)

238.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


30 g, Glukosa 7,3 % dan elektrolit)

239.

Jawa Barat

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)

240.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


6%, mengandung Taurine 0,24 gr/l)

241.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


7%, Komposisi: Asam Amino esensial: Asam
Amino non esensial = 60 : 40)

242.

Jawa Barat

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)

243.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

244.

Jawa Barat

Larutan mengandung Asam Amino (Asam amino


8%)

245.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


esensial 7%+Xylitol 10 g/L)

Jawa Barat

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)

247.

Jawa Barat

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)

248.

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi


Asam amino 50 g/L, vitamin dan elektrolit)

246.

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi


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

250.

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi


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

251.

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi


Glukosa dan elektrolit 150 gr + Asam Amino 48
gr dgn akses sentral)

252.

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi


Glukosa dan elektrolit 80 gr + Asam Amino 40
gr )

253.

Jawa Barat

Larutan mengandung Elektrolit (Kalium Klorida)

254.

Jawa Barat

Larutan mengandung Elektrolit (Larutan Ringer


Laktat)

255.

Jawa Barat

Larutan mengandung Elektrolit (Na 130 mEq, Cl


109 mEq, Ca 3 mEq, Asetat 28 mEq)

256.

Jawa Barat

Larutan mengandung Elektrolit (NaCl 1.125 gr,


Dekstrosa 18.75 gr)

257.

Jawa Barat

Larutan mengandung Elektrolit (Sodium Lactate


sol (50%) 113 gr/L, Potassium Chloride 0.3 gr/L,
Calcium Chloride 0.2 gr/L, elektrolit)

258.

Jawa Barat

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)

259.

Jawa Barat

Larutan mengandung Karbohidrat (Fructose 120


g, glucose 66 g, Xylitol 60 g/ L + elektrolit)

260.

Jawa Barat

Larutan mengandung Karbohidrat (Fructose 60


g, glucose 33 g, Xylitol 30 g/ L)

261.

Jawa Barat

Larutan mengandung Karbohidrat (Maltose 100


gr)

Jawa Barat

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)

249.

262.

263.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L)

264.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Asam amino 28 gr/L, Glukosa 75 gr/L, elektrolit)

265.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)

266.

Jawa Barat

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)

267.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa 55 g ; Natrium Chloride 9 g, air untuk
injeksi ad 1000 ml)

268.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 25,0 g; NaCl: 4,5 g)

269.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 2.25 g)

270.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 4.5 g)

271.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


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

272.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Larutan Ringer & Glukosa 5%)

273.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(NaCl 1.75 g, KCL 1.5g, Glukosa 100 gr)

274.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr,
Dekstrosa 27 gr)

275.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr
Dekstrosa 27 gr)

276.

Jawa Barat

Larutan mengandung Lipid ( Infus Lipid Emulsi


MCT/LCT 20% 100 ml)

277.

Jawa Barat

Larutan mengandung Lipid (Emulsi lemak 20%)

278.

Jawa Barat

Larutan mengandung Lipid (Infus Lipid Emulsi


MCT/LCT 20% 250 ml)

279.

Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa


dan elektrolit 180 gr + Asam Amino 71.8 gr +
Lipid 50 gr dgn akses sentral)

280.

Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa


dan elektrolit 80 gr + Asam Amino 40 gr + Lipid
MCT/LCT 50 gr)

281.

Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa


dan elektrolit 90 gr + Asam Amino 35.9 gr +
Lipid 25 gr dgn akses sentral)

282.

Jawa Barat

Larutan mengandung Lipid (Soybean Oil 200


g/L, Egg Lecithins 12 gr/L, Glycerol Ph 25 gr/L,
Sodium Oleate 0.3 gr/L)

283.

Jawa Barat

Latanoprost tetes mata 0,01%

284.

Jawa Barat

Leuprorelin asetat inj depot 1,88 mg

285.

Jawa Barat

Leuprorelin asetat inj depot 11,25 mg

286.

Jawa Barat

Levofloksasin inf 5 mg/mL

287.

Jawa Barat

Levofloksasin tablet 500 mg

288.

Jawa Barat

Lidokain injeksi 2% (HCL)

289.

Jawa Barat

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


- 2ml

290.

Jawa Barat

Lidokain jeli 2%

291.

Jawa Barat

Lisinopril tablet 10 mg

292.

Jawa Barat

Lisinopril tablet 5 mg

293.

Jawa Barat

Litium karbonat tablet 200 mg

294.

Jawa Barat

Litium karbonat tablet 400 mg

295.

Jawa Barat

Loperamid tablet 2 mg

296.

Jawa Barat

Loratadin tablet 10 mg

297.

Jawa Barat

Lorazepam tablet 2 mg

298.

Jawa Barat

Maprotilin HCl tab 25 mg

299.

Jawa Barat

Maprotilin HCl tab 50 mg

300.

Jawa Barat

Melfalan tablet 2 mg

301.

Jawa Barat

Meropenem inj 1 g

302.

Jawa Barat

Mesna inj 100 mg/mL

303.

Jawa Barat

Metadon sir 50mg/5ml

304.

Jawa Barat

Metilfenidat kapsul LA 20 mg

305.

Jawa Barat

Metilprednisolon tablet 16 mg

306.

Jawa Barat

Metilprednisolon tablet 4 mg

307.

Jawa Barat

Metilprednisolon tablet 8 mg

308.

Jawa Barat

Metoklopramide tablet 5 mg

309.

Jawa Barat

Metronidazol infus 500 mg/100 ml

310.

Jawa Barat

Metronidazol supositoria 500 mg

311.

Jawa Barat

Metronidazol tablet 250 mg

312.

Jawa Barat

Metronidazol tablet 500 mg

313.

Jawa Barat

Midazolam injeksi i.v. 1 mg/ml

314.

Jawa Barat

Midazolam injeksi i.v. 5 mg/ml

315.

Jawa Barat

Mikafungin Na serb inj 50 mg

316.

Jawa Barat

Mikonazol krim/salep 2 % (Nitrat)

317.

Jawa Barat

Mitomisin C (crystallin) serbuk inj 10 mg/vial

318.

Jawa Barat

Moksifloksasin tetes mata 0,5%

319.

Jawa Barat

Mometason furoat krim 0,1%

320.

Jawa Barat

Morfin HCL inj 10 mg/ml

321.

Jawa Barat

Morfin HCL tablet SR 10 mg

322.

Jawa Barat

Morfin HCL tablet SR 15 mg

323.

Jawa Barat

Morfin injeksi i.m./s.k./i.v. 10 mg/ml

324.
325.

Jawa Barat
Jawa Barat

Morfin tablet 10 mg
Nacl 0,9%

326.

Jawa Barat

Nadroparin inj 9500 Axa/mL syringe 0,3 mL

327.

Jawa Barat

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

328.

Jawa Barat

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

329.

Jawa Barat

Nalokson injeksi 0,4 mg/ml

330.

Jawa Barat

Natrium Bikarbonat injeksi i.v 8,4%

331.

Jawa Barat

Natrium Diklofenak tablet 50 mg

332.
333.
334.
335.

Jawa
Jawa
Jawa
Jawa

Natrium fusidat salep 20 mg/g


Nevirapin tablet 200 mg
Nifedipin tab 20 mg, slow release; oros
Nifedipin tab 30 mg, oros

336.

Jawa Barat

Nifedipin tablet/kapsul 10 mg

337.
338.
339.
340.
341.

Jawa
Jawa
Jawa
Jawa
Jawa

Nistatin tablet salut 500.000 IU/ g


Noretisteron tablet 5 mg
Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori 2
Obat Antituberkulosis FDC Kategori Anak

342.

Jawa Barat

Obat Antituberkulosis FDC Sisipan

343.

Jawa Barat

Ofloxacin tablet 200 mg

344.

Jawa Barat

Ofloxacin tablet 400 mg

345.

Jawa Barat

Oksimetazolin tetes hidung 0,025%

346.

Jawa Barat

Oktreotid 10 mg

Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat

347.

Jawa Barat

Olanzapin kapl salut 5 mg

348.

Jawa Barat

Olanzapin tab 10 mg

349.

Jawa Barat

Omeprazol injeksi 40 mg/ 10 ml

350.

Jawa Barat

Omeprazol kapsul/kaplet 20 mg

351.

Jawa Barat

ondansetron inj 4 mg/ 2 mL

352.

Jawa Barat

Ondansetron tab 4 mg

353.

Jawa Barat

Ondansetron tablet 8 mg

354.

Jawa Barat

Paket CAPD Awal (Komposisi: 1 unit Transfer Set,


2 unit Ultaclam, 1 unit Tenckoff Catheter,
Titanium Adaptor)

355.

Jawa Barat

Paket CAPD Pergantian Transfer Set per 6 bulan

356.

Jawa Barat

Paket CAPD Rutin 120 ( 4x ganti cairan perhari


dengan komposisi Larutan Dialisa 1.5 %,
Larutan Dialisa 2.5 %, Larutan Dialisa 4.25 %,
Minicap)

357.

Jawa Barat

Parasetamol sirup 120 mg / 5 ml

358.

Jawa Barat

Parasetamol tablet 500 mg

359.

Jawa Barat

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

360.

Jawa Barat

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

361.

Jawa Barat

Permetrin krim 5%

362.

Jawa Barat

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

363.
364.
365.

Jawa Barat
Jawa Barat
Jawa Barat

Pioglitazon tab 15 mg
Pioglitazon tab 30 mg
Pirantel suspensi 125 mg/5 ml

366.

Jawa Barat

Pirantel tablet score (base) 125 mg

367.

Jawa Barat

Pirazinamid tablet 500 mg

368.

Jawa Barat

Polikresulen cairan

369.

Jawa Barat

Povidon Iodida larutan 10% 1000 ml

370.
371.

Jawa Barat
Jawa Barat

Povidon Iodida larutan 10% 30 ml


Povidon Iodida larutan 10% 300 ml

372.

Jawa Barat

Pramipeksol tab ER 0,375 mg

373.

Jawa Barat

Pramipeksol tab ER 0,750 mg

374.

Jawa Barat

Pravastatin tablet 20 mg

375.

Jawa Barat

Propanolol tablet 10 mg ( HCl )

376.

Jawa Barat

Propranolol tablet 40 mg (HCl)

377.

Jawa Barat

Quetiapin tab 200 mg

378.

Jawa Barat

Quetiapin tab 300 mg

379.

Jawa Barat

Quetiapin tab 400 mg

380.

Jawa Barat

Ramipril tablet 5 mg

381.

Jawa Barat

Ranitidin injeksi 25 mg/2 ml

382.

Jawa Barat

Ranitidin tablet 150 mg

383.

Jawa Barat

Retinol (Vitamin A) 100.000 IU

384.

Jawa Barat

Ringer Laktat larutan infus

385.

Jawa Barat

Risperidon tablet 1 mg

386.

Jawa Barat

Risperidon tablet 2 mg

387.

Jawa Barat

Risperidon tablet 3 mg

388.

Jawa Barat

Ropinirol Tablet Salut 2 mg

389.

Jawa Barat

Ropinirol Tablet Salut 4 mg

390.

Jawa Barat

Ropinirol Tablet Salut 8 mg

391.

Jawa Barat

Salbutamol inhalasi/aerosol 100 mcg/dosis

392.

Jawa Barat

Salbutamol serb inh 200 mcg/kaps

393.

Jawa Barat

Salbutamol serb inh 200 mcg/kaps + rotahaler

394.

Jawa Barat

Sefadroksil sirup kering 125 mg/5ml

395.

Jawa Barat

Sefadroksil kapsul/kaplet 250 mg

396.

Jawa Barat

Sefadroksil kapsul/kaplet 500 mg

397.

Jawa Barat

Sefadroksil sir kering 250 mg/5 mL

398.

Jawa Barat

Sefaleksin kapsul/kaplet 500 mg

399.

Jawa Barat

Sefepim inj 1 g

400.

Jawa Barat

Sefiksim kapsul/kaplet 100 mg

401.

Jawa Barat

Sefiksim sirup kering 100 mg/ 5 ml

402.

Jawa Barat

Sefotaksim injeksi 1 g

403.

Jawa Barat

Sefpodoksim proksetil tab 100 mg

404.

Jawa Barat

Seftriakson serbuk injeksi 1 g/vial

405.

Jawa Barat

Sefuroksim tab 500 mg

406.

Jawa Barat

Setirizin tablet 10 mg

407.

Jawa Barat

Sianokobalamin (vitamin B12) injeksi 500 mcg

408.

Jawa Barat

Siklofosfamid serbuk injeksi i.v. 1000 mg

409.

Jawa Barat

Siklofosfamid serbuk injeksi i.v. 200 mg

410.

Jawa Barat

Siklosporin kaps 100 mg

411.

Jawa Barat

Siklosporin kapsul lunak 25 mg

412.

Jawa Barat

Simvastatin scored tablet 10 mg

413.

Jawa Barat

Simvastatin tablet 20 mg

414.

Jawa Barat

Siprofloksasin infus 2%

415.

Jawa Barat

Siprofloksasin tablet 500 mg (sebagai HCl)

416.

Jawa Barat

Spiramisin tablet 500 mg

417.

Jawa Barat

Spironolakton tablet 100 mg

418.

Jawa Barat

Spironolakton tablet 25 mg

419.

Jawa Barat

Sufentanil injeksi iv, epidural 5 mcg/ml

420.

Jawa Barat

Takrolimus kaps 0.5 mg

421.

Jawa Barat

Takrolimus kaps 1 mg

422.

Jawa Barat

Tamsulosin tab 0,2 mg

423.

Jawa Barat

Tamsulosin tab 0,2 mg

424.

Jawa Barat

Tamsulosin tab SR 0,4 mg

425.

Jawa Barat

Telbivudin tab 600 mg

426.

Jawa Barat

Terbutalin cairan ih 2,5 mg/mL

427.

Jawa Barat

Terbutalin tablet 2,5 mg

428.

Jawa Barat

Terbutalin turbu (serbuk ih) 0,50 mg

429.

Jawa Barat

Tetrakain HCl tetes mata 0,5%

430.

Jawa Barat

Tetrasiklin kapsul/kaplet 250 mg

431.

Jawa Barat

Tiamazol tab 10 mg

432.

Jawa Barat

Tiamazol tab 5 mg

433.

Jawa Barat

Timolol tetes mata 0,25%

434.

Jawa Barat

Timolol tetes mata 0,5%

435.

Jawa Barat

Tiotropium kaps 18 mcg + handihaller

436.

Jawa Barat

Tramadol injeksi 50 mg/ml

437.

Jawa Barat

Travoprost tetes mata 0,004%

438.

Jawa Barat

Triamsinolon asetonid nasal spray 55 mcg/puff

439.

Jawa Barat

Trifluoperazin tablet 5 mg

440.

Jawa Barat

Urea krim 10%

441.

Jawa Barat

Vaksin polio inj (Vaksin Poliomyelitis yang


diinaktifkan)

442.

Jawa Barat

Valproat tab SR 250 mg

443.

Jawa Barat

Valproat tab SR 500 mg

444.

Jawa Barat

Valsartan tab 80 mg

445.

Jawa Barat

Valsartan tab 160 mg

446.

Jawa Barat

Verapamil tab 240 mg

447.
448.

Jawa Barat
Jawa Barat

Verapamil tablet 80 mg (HCl)


Vinblastin serbuk injeksi 10 mg

449.

Jawa Barat

Vinorelbin inj. 10 mg/ml

450.

Jawa Barat

Vitamin B Kompleks tablet

451.

Jawa Barat

Zidovudin 300 mg + Lamivudine 150 mg

452.

Jawa Barat

Zinc drop 10 mg/mL

453.

Jawa Barat

Zinc sir 20 mg/5 Ml

454.

Jawa Barat

Zinc tablet dispersible20 mg

1 blister@24
tablet

n/a

PT. Kimia Farma

Hepsera

Dus, 3 Blister @
PT. SmithKline Beecham Phamaceuticals
10 kapsul

n/a

PT. Indofarma

Dus, 10 dus @ 1
botol @ 10 ml

3,849.00

n/a

PT. Holi Pharma

Dus, 5 strip @ 6
tablet

338.00

n/a

PT. Pertiwi Agung

Box, 10 strips @
10 tablets

86.00

n/a

PT. Dexa Medica

Dus, 10 Strip @
10 tablet

380.00

n/a

PT. Otto Pharmaceuticalsstrip

176.00

n/a

PT. Kimia Farma

233.00

Fungicide

PT. Cendo Industri Farmasi


tube 3.5 gr

18,500.00

Glybotic 250 mg /ml

PT. Sanbe Farma

Vial 2 ml

50,500.00

n/a

PT. Lucas Djaja

dus 30 ampul
@10 ml

3,822.00

n/a

PT. Marin Liza Farmasi

Botol @ 100
tablet salut
selaput

90.00

Cordarone

PT. Aventis Pharma

Kendaron Tablet

PT. Darya Varia

n/a

PT. Indofarma

n/a

PT. Pertiwi Agung

n/a

PT. Pertiwi Agung

n/a

PT. Novapharin

n/a

PT. Bernofarm

n/a

PT. Holi Pharma

Dus, Botol 60 ml

4,045.00

n/a

PT. Novapharin

btl @ 60 ml

2,445.00

dus, 5 solostar
pen @ 3ml

85,000.00

Lantus Solostar
PT. Aventis Pharma
100IU/ml 5pens x3ml

Ktk 10x10 tablet

1,375.00
27,500.00

Dus, 6 ampul @ 3
12,480.00
ml
strip
1,200.00
Dus, 10 strip @ 10
112.00
tss
Box, 3 strips @ 10
330.00
tablets
Box, 3 strips @ 10
187.00
tablets
strip
211.00
Dus, 10 strip @ 10
272.00
kaptab

Novomix Flexpen

Injeksi 100 IU/ml,


Flexpen disposible
PT. Ferron Par Pharmaceuticals
3 ml (1 box isi 5
106,000.00
flexpen
disposible)

Humalog Mix 25

PT. Tempo Scan Pacific

Novorapid Flexpen

Injeksi 100 IU/ml,


Flexpen disposible
PT. Ferron Par Pharmaceuticals
3 ml (1 box isi 5
85,345.00
flexpen
disposible)

Novorapid Vial

PT. Ferron Par Pharmaceuticals


Dus, vial 10 ml

Penfill cartridge

97,500.00

200,000.00

Apidra Solostar
PT. Aventis Pharma
100IU/ml 5pens x3ml

dus, 5 solostar
pen @ 3ml

79,165.00

Humalog

PT. Tempo Scan Pacific

Penfill cartridge

79,167.00

Arimidex 1 mg

Dus, 2 blister @
PT. AstraZeneca indonesia
14 Tablet

32,000.00

n/a

PT. Promedrahardjo Farmasi


STRIP
Industri

75.00

n/a

PT. Indofarma

Dus, 25 tube @ 5
2,516.00
g

n/a

PT. Kimia Farma

ktk 10 x 10 tablet 520.00

n/a

PT. Kimia Farma

Btl 100 tablet

Levopar Tablet

PT. Meprofarm

Dus, 5 strip @ 10
1,500.00
tablet

Artem

PT. Kimia Farma

Dus 6 amp @ 1ml 22,000.00

n/a

PT. Kimia Farma

Dus 10 strip x 10
95.00
tab

n/a

PT. Marin Liza Farmasi

Botol @ 100
tablet

Bondronat

PT. Boehringer IngelheimBoks, 1 ampul

n/a

PT. Bernofarm

135.00

48.00
2,209,000.00

Dus, 10 blister @
112.00
10 kaptab ss

Urotractin 400 mg

PT. Sanbe Farma

1,815.00

n/a

PT.

3,334.00

Temiral Eye Oint

PT.

n/a

PT.

n/a
Leunase

PT.
PT.

Pularex

PT.

Tracrium

Dus, 5 ampul @
PT. Glaxo Wellcome Indonesia
2.5 ml

n/a

PT. Indofarma

n/a

PT. Soho Industri Pharmasi


botol @ 60 ml

34,400.00

n/a

PT. Kimia Farma

4,500.00

n/a

PT. Soho Industri Pharmasi


Strip

3,333.00

n/a

PT. Rama Emerald Multi Sukses


Dus @ 50 gram

1,250.00

n/a
n/a

PT. Phapros, Tbk


PT. Phapros, Tbk

Dus @ 10 Vial
Dus @ 10 Vial

9,800.00
13,400.00

Survanta

PT. Abbott Indonesia

Vial

3,200,000.00

Dorner 20 g

PT. Combiphar

Box/ 3 blister @
10 Tablet

3,600.00

Dorner

PT. Combiphar

n/a
Casodex 150 mg
Casodex 50 mg
Stolax supp
n/a
Cripsa tab

Strip
Dus, 10 ampul @
Hexpharm Jaya Laboratories
5 ml
Sanbe Farma
Tube 3,5 gram
Dus, 10 blister @
Indofarma
10 tablet
Kimia Farma
ktk 10x10 tablet
Widatra Bhakti
10.000 UI/Vial
Dus 5 strip @ 10
Zenith Pharmaceuticals
tablet

24,750.00
237.00
345.00
1,039,500.00
190.00
20,000.00

Dus, 10 strip @ 10
74.00
tablet

ktk 2x10 tablet

Box @ 3 blister @
3,600.00
10 Tablet
PT. Kimia Farma
Tube 5 gr
1,520.00
Dus, 2 blister @
PT. AstraZeneca indonesia
72,400.00
14 Tablet
Dus, 2 blister @
PT. AstraZeneca indonesia
14 Tablet
PT. Sanbe Farma
Supp
PT. Pratapa Nirmala
Box 3 X 10 tab
PT. Caprifarmindo
Box 3 x 10'S

45,000.00
6,045.00
645.00
247,089.00

Dus, 1 Turbuhaler
Pulmicort Turbuhaler PT. AstraZeneca indonesia
93,000.00
@ 100 dosis
Pulmicort Respules

Dus, 4 pak @ 5
PT. AstraZeneca indonesia
respules @ 2 ml

8,900.00

Symbicort Turbuhaler
Dus, 1 Turbuhaler
PT. AstraZeneca indonesia
117,600.00
160/4.5 mcg
@ 120 dosis

Dus, 1 Turbuhaler
Symbicort 80/4.5 mcg PT. AstraZeneca indonesia
110,500.00
@ 60 dosis
Exjade 250 mg Tab

PT. Novartis Indonesia

Dus, 4 blister @ 7
76,000.00
tablet

Exjade 500 mg Tab

PT. Novartis Indonesia

Dus, 4 blister @ 7
150,000.00
tablet

Desferal

PT. Novartis Indonesia

Dus, 10 vial @
500mg

n/a

PT. Indofarma

Dus, 100 ampul @


1,580.00
1 ml

n/a

PT. Indofarma

Dus, 10 blister @
68.00
10 tablet

n/a

PT. Dexa Medica

Kotak, tube @ 15
9,983.00
gram

n/a

PT. Lucas Djaja

ampul @ 1 ml

1,054.00

n/a

PT. Yarindo Farmatama

Box 10 X 10 Tab

97.00

n/a

PT. Indofarma

Dus, 10 strip @ 10
134.00
tablet

Herbesser Powder
Injection 50mg

PT. Tanabe Indonesia

10 vial @ 50mg

127,667.00

Farmabes Injeksi 25
mg

PT. Pratapa Nirmala

Vial 5 mL

46,667.00

Herbesser CD 100

PT. Tanabe Indonesia

3 blister @ 10
kapsul

3,667.00

Herbesser CD 200

PT. Tanabe Indonesia

n/a

PT. Kimia Farma

E.D.T.A

PT. Cendo Industri Farmasi


botol 15 ml

Cardura 1mg

PT. Pfizer Indonesia

Dus, 5 blister
@10's tab

3,480.00

Cardura 2mg

PT. Pfizer Indonesia

Dus, 5 blister
@10's tab

5,480.00

Doxorubicin Actavis
10 mg

PT. Actavis Indonesia

Dus, 1 vial @ 10
mg

55,500.00

Doxorubicin Actavis
50 mg
n/a
n/a

PT. Actavis Indonesia


PT. Novapharin
PT. Novapharin

n/a

PT. Bernofarm

n/a

PT. Sanbe Farma

3 blister @ 10
kapsul
Btl 100 tablet

Dus, 1 vial @ 50
mg
btl @ 60 ml
strip
Dus, botol @ 10
ml

112,000.00

4,015.00
104.00
37,500.00

274,125.00
3,333.00
167.00
15,600.00

Dus, 1 vial @0,5


ml+ 1 vial pelarut 970,200.00
@1,5 ml

Avodart

Dus, Botol Plastik


PT. SmithKline Beecham Phamaceuticals
7,100.00
@ 30 Tablet

Aromasin

PT. Pfizer Indonesia

Dus, 2 blister @
15 tablet

42,600.00

Lovenox 2000 ANTIXA

PT. Aventis Pharma

dus, 2 prefilled
syringe @ 0,2 ml

40,740.00

Lovenox 4000 ANTIXA

PT. Aventis Pharma

dus, 2 prefilled
syringe @ 0,4 ml

71,875.00

Lovenox 6000 ANTIXA

PT. Aventis Pharma

dus, 2 prefilled
syringe @ 0,6 ml

100,000.00

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

8,100.00

Epirubisin Kalbe

PT Kalbe Farma

Vial @ 25 ml

500,000.00

n/a

PT. Sanbe Farma

Dus, 1 vial @5 ml 128,000.00

D-Vit FT

PT. Gracia Pharmindo

Dus 3 strip @ 10
Flash tablet

D-Vit Syrup

PT. Gracia Pharmindo

Dus, Botol Plastik


8,000.00
@ 100 mL

n/a

PT. Kimia Farma

ktk 10 x 10 kapsul 497.00

n/a

PT. Indofarma

Dus, 10 blister @
930.00
10 kss

n/a

PT. Phyto Kemo Agung Farma


Botol @60 ml

7,700.00

Recormon

PT. Boehringer IngelheimBoks, 6 ampul

139,500.00

n/a

PT. Kimia Farma

n/a

PT. Indofarma

n/a

PT. Novapharin

Implanon

Dus, 1 blister @ 1
PT. Merck Sharp Dohme Pharma
subdermal
Tbk
128,779.00
implant

Posyd
n/a

PT. Combiphar
PT. Kimia Farma

Certican 0,25 mg Tab PT. Novartis Indonesia


Certican 0,5 mg Tab

PT. Novartis Indonesia

650.00

ktk 20 x 10 tablet 314.00


Dus, 10 strip @ 10
451.00
tss
btl @ 100 ml
2,500.00

Vial 100mg/5ml
Botol 10 ml
Dus, 6 blister @
10 tablet
Dus, 6 blister @
10 tablet

100,000.00
16,667.00
11,813.00
23,250.00

Novoseven

KOTAK @ 1 VIAL
PT. Ferron Par Pharmaceuticals
SERBUK OBAT &
INFUSION KIT

9,200,000.00

n/a

KOTAK @ 10
PT. Mersifarma Tirmaku Mercusana
ampul
PT. Ikapharmindo
Botol @ 100

n/a

PT. Phapros, Tbk

n/a

Dus, 3 strip @ 10
PT. Hexpharm Jaya Laboratories
1,075.00
kapsul

n/a

Dus, 3 strip @ 10
PT. Hexpharm Jaya Laboratories
1,375.00
kapsul

Fenocin

PT. Actavis Indonesia

Berotec Solution

Dus, Canister 200


PT. Boehringer Ingelheim
117,500.00
dosis

n/a

PT. Kimia Farma

Dus 5 ampul@
10ml

128,000.00

n/a

PT. Kimia Farma

Dus 5 ampul@
2ml

33,914.00

Durogesic 12,5 MU
Matrix

PT. Kimia Farma

Dus @ 5 patch

80,000.00

Durogesic 25 MU
Matrix

PT. Kimia Farma

Dus@ 5 patch

153,000.00

PT. Kimia Farma

Dus@ 5 patch

285,000.00

PT Kalbe Farma

pfs @ 0,5 ml

375,000.00

n/a

PT. Marin Liza Farmasi

Botol @ 100
tablet salut gula

634.00

Fludara IV LYO

PT. Aventis Pharma

Dus, 5 vial @ 50
mg

1,248,319.00

Fludara Oral

PT. Aventis Pharma

Dus, 4 blister @ 5
tablet salut
275,000.00
selaput

Sikzonoate Injeksi

Dus, 5 ampul @
PT. Mersifarma Tirmaku Mercusana
1ml

55,000.00

n/a

PT. Novell Pharmaeutical Botol


Laboratories

38,000.00

n/a

PT. Kimia Farma

ktk 1 x 10 kapsul 22,000.00

Foransi 10

PT. Gracia Pharmindo

strip

419.00

NOPRES
Curacil
Curacil

PT. Dexa Medica


PT Kalbe Farma
PT Kalbe Farma

DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml

410.00
24,500.00
33,000.00

n/a

Durogesic 50 MU
Matrix
Leucogen

Dus @ 30 Ampul

Dus 45 x 12 tab

20,250.00
133.00
1,800.00

235.00

SYNARCUS

PT. Ifars Pharmaceutical Laboratories


Dus, Tube 5 g

2,400.00

Avamys

Dus, Botol 120


PT. Glaxo Wellcome Indonesia
Dosis Spay

93,333.00

Flixotide Nbules

Dus, 2 flow
PT. Glaxo Wellcome Indonesia
wrap@ 5 nebules 12,917.00
@ 1 dosis (2ml)

Arixtra

PT. Glaxo Wellcome Indonesia


Dus, 2 pfs 0.5 ml

n/a

PT. Indofarma

Dus, 25 ampul @
1,829.00
2 ml

n/a

PT. Indofarma

Dus, 10 strip @ 10
85.00
tablet

n/a

Dus, 10 strip @ 10
PT. Sampharindo Perdana
78.00
tablet

Cymevene

PT. Boehringer IngelheimBoks, 1 ampul

399,500.00

Iressa 250 mg

Dus, 1 blister @
PT. AstraZeneca indonesia
10 tablet

295,000.00

n/a

PT. Indofarma

n/a

PT. Indofarma

Gemzar 1000 mg

PT. Bayer Indonesia

n/a

PT. Sanbe Farma

n/a

PT. Indofarma

Dus, 5 ampul @ 2
3,399.00
ml

Genoint Salep Mata

PT. Erela

Tube @ 3,5 gr

n/a

PT. Indofarma

Dus, botol plastik


3,194.00
5 ml

n/a

PT. Indofarma

Dus, 10 blister @
56.00
10 kaptab

Glicab

PT. Tempo Scan Pacific

Strip

n/a

PT. Dexa Medica

n/a
n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte

PT.
PT.
PT.
PT.
PT.
PT.

Nitral

PT. Actavis Indonesia

Kimia
Kimia
Kimia
Kimia
Kimia
Kimia

Farma
Farma
Farma
Farma
Farma
Farma

241,667.00

Dus, 10 blister @
289.00
12 kapsul
Dus, 10 blister @
679.00
10 kaptab
vial
1,098,900.00
Dus, 1 vial @200
330,000.00
mg

Dus, 10 Strip @
10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Dus 10x10
Dus 10x10
Btl @ 30 tablet

2,600.00

235.00
950.00
265.00
436.00
404.00
430.00
1,493.00
2,171.00
1,500.00

Gliserin lar 50%


n/a
n/a
Zoladex 10,8 mg

PT. Lucas Djaja


PT. Widatra Bhakti
PT. Widatra Bhakti

Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml
Dus, 1 syringe @
PT. AstraZeneca indonesia
10.8 mg

5,333.00
5,700.00
5,200.00
2,300,000.00

Zoladex 3,6 mg

Dus, 1 syringe @
PT. AstraZeneca indonesia
3.6 mg

n/a

PT. Indofarma

Haldol Decanoas

Dus 5
PT. Soho Industri Pharmasi
Ampul@1mL

n/a

PT. Indofarma

Dus, 10 blister @
59.00
10 tablet

n/a

PT. Indofarma

Dus, 10 blister @
96.00
10 tablet

n/a

PT. Indofarma

Dus, 10 blister @
69.00
10 tablet

Lodomer 2

KOTAK @ 10 x 10
PT. Mersifarma Tirmaku Mercusana
126.00
TAB

n/a

box 5ampul @1
PT. Otto Pharmaceuticals
ml

4,500.00

n/a

PT. Indofarma

Dus, botol 60 ml

3,499.00

n/a

PT. Indofarma

Dus, botol 60 ml

4,499.00

n/a

PT. Holi Pharma

Dus, 10 strip @ 10
149.00
tablet

840,000.00

Dus, 10 blister @
219.00
10 tablet
83,333.00

Holoxan injeksi 1000 PT. Mugi Laboratories

Dus, 1 vial @ 1 g

1,329,163.00

Tanapress 10mg

PT. Tanabe Indonesia

3 blister @ 10
tablet

3,908.00

Tanapress 5mg

PT. Tanabe Indonesia

3 blister @ 10
tablet

2,120.00

Ultravist 300/100 mg PT. Bayer Indonesia

Botol

245,000.00

Ultravist 300/50 mg

PT. Bayer Indonesia

Botol

123,200.00

Ultravist 370/100 mg PT. Bayer Indonesia

Botol

299,000.00

Ultravist 370/50 mg

PT. Bayer Indonesia

Botol

150,300.00

n/a

PT. Indofarma

Dus, 5 blister @
10 kss

1,425.00

n/a

PT. Indofarma

Dus, 5 blister @
10 kss

2,470.00

n/a

PT. Sanbe Farma

Dus, 1 vial @2 ml 510,000.00

n/a

PT. Indofarma

Dus, 10 strip @ 10
88.00
tablet

Kalipar

PT. Tempo Scan Pacific

Strip

KSR

PT. Merck Tbk

Dus, 10 strip @ 10
1,580.00
tablet

Kalsium glukonat

PT. Ethica Industri Farmasi


Ampul

n/a

PT. Dexa Medica

Dus, 3 Blister @
10 tablet

4,900.00

n/a

PT. Dexa Medica

Dus, 3 Blister @
10 tablet

3,100.00

Xeloda

PT. Boehringer IngelheimBoks, 120 tablet

n/a

PT. Indofarma

Dus, 10 strip @ 10
140.00
tablet

n/a

PT. Errita Pharma

Dus, 10 strip @10


80.00
tablet

n/a

PT. Indofarma

Dus, 10 strip @ 10
62.00
tablet

Tegretol Syrup
100mg/5ml, 120ml

PT. Novartis Indonesia

Dus, botol @ 120


44,770.00
ml

n/a

PT. Indofarma

Dus, 10 blister @
245.00
10 tablet

Karbogliserin tetes
telinga 10%

PT. Lucas Djaja

Fenol 100 mg / 1
ml

KTM

PT. Guardian Pharmatama


Vial @ 10 ml

110,000.00

n/a

PT. Kimia Farma

2,569.00

n/a

Box isi 1 Tube @


PT. Novell Pharmaeutical Laboratories
15 g

n/a

PT. Dexa Medica

Dus, 5 Strip @ 10
300.00
tablet

n/a

PT. Phapros, Tbk

Dus @ 12 Ampul

ORIXAL

Dus, 3 Strip @ 10
PT. Ifars Pharmaceutical Laboratories
Kaplet salut
3,200.00
selaput

n/a

PT. Indofarma

Dus, 5 blister @
10 kapsul

361.00

n/a

PT. Indofarma

Dus, 5 blister @
10 kapsul

553.00

n/a

PT. Dexa Medica

n/a
n/a

tube 10 gr

694.00

7,800.00

27,500.00

2,042.00

4,700.00

2,300.00

Dus, 10 Strip @
900.00
10 tablet
PT. Kimia Farma
Ktk 10X10 TAB
184.00
Dus, 3 strip @ 10
PT. Hexpharm Jaya Laboratories
3,400.00
tab

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

1,100.00

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

1,050.00

n/a

KOTAK @ 5 x 10
PT. Mersifarma Tirmaku Mercusana
TAB

n/a
n/a
n/a
n/a

KOTAK @ 5 x 10
PT. Mersifarma Tirmaku Mercusana
TAB
PT. Kimia Farma
ktk 10x10 tablet
PT. Kimia Farma
ktk 10x10 tablet
PT. Kimia Farma
ktk 10x10 tablet

5,000.00
1,550.00
500.00
850.00
1,100.00

Laxadine Emulsi 60
ml

PT. Galenium Pharmasia Botol


Laboratories
@ 60 ml

n/a

PT. Erela

Cendo Lyteers

PT. Cendo Industri Farmasi


botol 15 ml

Coartem

PT. Novartis Indonesia

Dus, 4 blister @ 6
3,220.00
tablet

Stalevo

PT. Novartis Indonesia

Dus, botol plastik


@ 30 tablet salut 8,900.00
selaput

Seretide Inhaler 50
mcg

Dus, Botol 120


PT. Glaxo Wellcome Indonesia
Dosis

90,667.00

Seretide Diskus 100


mcg

Dus, foil strip @


PT. Glaxo Wellcome Indonesia
60 dosis

100,833.00

Seretide Diskus 250


mcg

Dus, foil strip @


PT. Glaxo Wellcome Indonesia
60 dosis

113,333.00

n/a

PT. Holi Pharma

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

ktk 10 x 10 tablet 540.00

n/a

PT. Kimia Farma

Botol 60 tablet

1,400.00

Prosogan Inj.

PT. Takeda Indonesia

Serbuk vial

82,042.00

n/a

PT. Indofarma

Dus, 2 strip @ 10
473.00
kapsul

Tykerb

Dus, 7 Blister @
PT. SmithKline Beecham Phamaceuticals
10 tablet

Dus, 100 Sachet


@ 30 Tablet

12,450.00
42.00
15,750.00

Dus, 10 strip @ 10
149.00
kaptab
ktk 60 tablet
670.00
ktk 100 amp @ 2
6,200.00
ml

67,200.00

Kalbamin

PT. Finusolprima Farma Internasional


botol 500 ml

56,300.00

Amiparen

PT Otsuka Indonesia

Softbag 500 ML

67,400.00

Pan-amin G

PT Otsuka Indonesia

Softbag 500 ML

37,500.00

Aminofluid

PT Otsuka Indonesia

Double Chamber
Softbag 500 ML

61,600.00

Aminofusin Hepar

PT Kalbe Farma

botol 500 mL

75,350.00

Botol Gelas 100


Aminosteril Infant 6% PT. Fresenius Kabi Combiphar
ml

36,667.00

Nephrosteril

Botol Gelas 250


PT. Fresenius Kabi Combiphar
ml

50,820.00

Kidmin

PT Otsuka Indonesia

Softbag 200 ML

46,000.00

Aminoleban

PT Otsuka Indonesia

Softbag 500 ML

65,000.00

Aminosteril N-Hepa

Botol Gelas 500


PT. Fresenius Kabi Combiphar
ml

78,720.00

Eas Pfrimer

PT. Finusolprima Farma Internasional


botol 250 ml

51,260.00

Comafusin Hepar

PT. Finusolprima Farma Internasional


botol 500 ml

64,900.00

Aminofusin L600

PT Kalbe Farma

botol 500 mL

42,000.00

Aminofusin Paed

PT Kalbe Farma

botol 250 mL

46,000.00

Kabiven 1440 ml

Bag (3 Chamber)
PT. Fresenius Kabi Combiphar
1440 ml

295,240.00

Kabiven 1920 ml

Bag (3 Chamber)
PT. Fresenius Kabi Combiphar
1920 ml

343,842.00

PT. Phapros, Tbk

Bag Double
chamber (Dua
compartement),
1000 mL

322,000.00

Combiflex peri (480


kcal)

PT. Phapros, Tbk

Bag Double
chamber (Dua
compartement),
1000 mL

218,700.00

Otsu - KCl 7,46%

PT Otsuka Indonesia

Ampoel 25 ML

2,050.00

Wida RL

PT. Widatra Bhakti

Botol 1000 ml

8,000.00

Asering

PT Otsuka Indonesia

Plastic Bottle 500


9,000.00
ML

KA EN 1B

PT Otsuka Indonesia

Plastic Bottle 500


9,000.00
ML

Totilac

PT Kalbe Farma

flexybag 250 mL

87,000.00

Ringerfundin 500 mL PT. Phapros, Tbk

LDPE (Low
Density Poly
Ethilene), botol
plastik

12,650.00

Triofusin 1000

PT Kalbe Farma

botol 500 mL

50,500.00

Triofusin 500

PT Kalbe Farma

Flexy bag 500 mL 42,350.00

Martos

PT Otsuka Indonesia

Plastic Bottle 500


29,167.00
ML

Potacol inj

PT Otsuka Indonesia

Plastic Bottle 500


55,500.00
ML

Combiflex Plus (790


kcal)

Tutofusin OPS

PT Kalbe Farma

botol 500 mL

Clinimix N9G15E

PT Kalbe Farma

Botol Plastik 1000


199,000.00
mL

Triofusin E1000

PT Kalbe Farma

botol 500 mL

56,000.00

Wida HSD

PT. Widatra Bhakti

Botol 500 ml

9,500.00

Wida D5-NS

PT. Widatra Bhakti

Botol 500 ml

6,800.00

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

Futrolit

PT. Sanbe Farma

softbag 500ml

35,750.00

Wida RD

PT. Widatra Bhakti

Botol 500 ml

6,930.00

KA ENMG 3

PT Otsuka Indonesia

Plastic Bottle 500


9,167.00
ML

KA EN 3B

PT Otsuka Indonesia

Plastic Bottle 500


10,000.00
ML

KA EN 3A

PT Otsuka Indonesia

Plastic Bottle 500


10,000.00
ML

Lipofundin MCT/LCT
1% 100

PT. Phapros, Tbk

20%, Botol Kaca


@100 ml, single
bottle

Intralipid

Botol Gelas 100


PT. Fresenius Kabi Combiphar
ml

Lipofundin MCT/LCT
1% 250

PT. Phapros, Tbk

20%, Botol Kaca


@250 ml, single
bottle

37,500.00

105,500.00
60,500.00
210,000.00

Nutriflex Lipid Special


PT. Phapros, Tbk
1250

Bag, 3 chamber
(3
kompartemen),
1250 ml

591,000.00

Nutriflex Lipid Peri


1250

PT. Phapros, Tbk

Bag, 3 chamber
(3
kompartemen),
1250 ml

511,000.00

Nutriflex Lipid Special


PT. Phapros, Tbk
625

Bag, 3 chamber
(3
kompartemen),
625 ml

358,000.00

Ivelip

PT Kalbe Farma

Flexy bag 100 mL 89,800.00

Cendo Glaopen

PT. Cendo Industri Farmasi


strip 5 x 0.6 ml

72,000.00

Tapros 1.88mg

PT. Takeda Indonesia

Vial

700,000.00

Tapros 3M

PT. Takeda Indonesia

Vial

2,700,000.00

n/a

Box, 1 Botol @
PT. Infion Pharmaceutical
100 ml

40,000.00

n/a

PT. Promedrahardjo Farmasi


STRIP
Industri

528.00

n/a

PT. Bernofarm

Dus, 100 ampul @


839.00
2 ml

n/a

PT. Indofarma

Dus, 30 ampul @
1,363.00
2 ml

Xylocaine Jelly 2%

Dus, 10 syringe @
PT. AstraZeneca indonesia
40,000.00
10 g

n/a

Box ,3 Strip @ 10
PT. Novell Pharmaeutical Laboratories
600.00
tablet

n/a

Box ,3 Strip @ 10
PT. Novell Pharmaeutical Laboratories
350.00
tablet

Frimania 200

KOTAK @ 10 x 10
PT. Mersifarma Tirmaku Mercusana
1,050.00
TAB

Frimania 400

KOTAK @ 10 x 10
PT. Mersifarma Tirmaku Mercusana
1,850.00
TAB

n/a

Dus, 10 Strip @
PT. Ifars Pharmaceutical Laboratories
10 Tablet

89.00

n/a

PT. Promedrahardjo Farmasi


STRIP
Industri

154.00

Merlopam 2

KOTAK @ 10 x 10
PT. Mersifarma Tirmaku Mercusana
1,341.00
TAB

Ludios

PT. Soho Industri Pharmasi


Strip

1,200.00

Sandepril 50

KOTAK @ 5 x 10
PT. Mersifarma Tirmaku Mercusana
TAB

3,276.00

Alkeran

Box, Tablet 2
PT. Glaxo Wellcome Indonesia
mg/25's

12,210.00

n/a

PT. Bernofarm

Dus, 1 vial @ 1 g

54,000.00

Uromitexan injeksi.

PT. Mugi Laboratories

Ampul

74,998.00

n/a

PT. Kimia Farma

Botol 1000 ml

254,100.00

Ritalin LA

PT. Novartis Indonesia

Dus, botol plastik


@ 30 kapsul
6,537.00
pelepasan lambat

n/a

PT. Mahakam Beta FarmaStrip

n/a

Dus, 10 Blister @
PT. Natura Laboratoria Prima
205.00
10 Tablet

n/a

PT. Dexa Medica

Dus, 10 Blister @
300.00
10 tablet

n/a

PT. Kimia Farma

ktk 10 x 10 tablet 108.00

n/a

Dus, 1 Botol @
PT. Natura Laboratoria Prima
100 ml

Flagyl

PT. Aventis Pharma

n/a

PT. Phyto Kemo Agung Farma


10 strip @ 10 tab 110.00

n/a

PT. Phyto Kemo Agung Farma


10 strip @ 10 tab 160.00

Dormicum

PT. Boehringer IngelheimBoks 10 amp

6,119.00

Dormicum

PT. Boehringer IngelheimBoks 5 amp

12,060.00

Mycamine

PT. Combiphar

Dus,1 vial@50mg 260,000.00

n/a

PT. Kimia Farma

Tube 10 gram

3,000.00

Mitomycin C

PT. Widatra Bhakti

10 mg /Vial

697,000.00

Vigamox

PT. Tempo Scan Pacific

botol, tetes mata


77,000.00
3 ml

n/a

PT. Guardian Pharmatama


tube 10 gram

n/a

PT. Kimia Farma

635.00

9,950.00

Dus, 2 blister @ 5
3,220.00
suppositoria

Dus 10 amp @ 1
ml

17,820.00
8,400.00

Dus, 6 strip @ 10
MST Continus 10 mg PT. Mahakam Beta Farma
15,620.00
tablet
Dus, 6 strip @ 10
MST Continus 15 mg PT. Mahakam Beta Farma
22,990.00
tablet
n/a
n/a
n/a
Fraxiparine 0.3 ml

Ktk 10 ampul @
1ML
PT. Kimia Farma
Botol 30 tablet
PT. Widatra Bhakti
Botol 500 ml
Dus, 5 blister @ 2
PT. Glaxo Wellcome Indonesia
pfs 0.3 ml
PT. Kimia Farma

10,499.00
1,300.00
4,700.00
54,144.00

Fraxiparine 0.4 ml

Dus, 5 blister @ 2
PT. Glaxo Wellcome Indonesia
66,640.00
pfs 0.4 ml

Fraxiparine 0.6 ml

Dus, 5 blister @ 2
PT. Glaxo Wellcome Indonesia
94,962.00
pfs 0.6 ml

Nokoba

PT. Pratapa Nirmala

Meylon

PT Otsuka Indonesia

n/a

Box ,5 Blister @
PT. Novell Pharmaeutical Laboratories
10 tablet

200.00

Fucilex Ointment
n/a
Adalat Oros 20 mg
Adalat Oros 30 mg

PT.
PT.
PT.
PT.

Tube 5 gr
btl 60 tablet
blister
blister

6,490.00
2,800.00
2,999.00
3,500.00

Dus, 10 Strip @
10 tablet salut
selaput

100.00

Molex Ayus
Kimia Farma
Bayer Indonesia
Bayer Indonesia

Dus, 5 Ampul @
2ml
Ampoel 25 ML

61,600.00
6,200.00

n/a

PT. Dexa Medica

n/a
Primolut N
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.

n/a

PT. Indofarma

n/a

Box ,5 Strip @ 10
PT. Novell Pharmaeutical Laboratories
400.00
tablet

n/a

Box ,5 Strip @ 10
PT. Novell Pharmaeutical Laboratories
650.00
tablet

Ilaidin Drops

PT. Merck Tbk

botol @ 10 ml

PT. Novartis Indonesia

Dus, vial @ 355m


+ 1 prefilled
syringe pelarut @ 2,950,000.00
2,5 ml + 2 jarum
suntik

Sandostatin LAR

Phapros, Tbk
Bayer Indonesia
Phapros, Tbk
Indofarma
Phapros, Tbk

Dus @ 10 X 10 's
blister
Paket
Paket
Paket
Dus, 3 blister @
28 kss

640.00
2,618.00
359,900.00
1,199,990.00
214,900.00
160,000.00

27,550.00

Olandoz 5

PT. Sandoz Indonesia

3 X 10 fcc

6,450.00

Olandoz 10

PT. Sandoz Indonesia

3 X 10 fcc

11,200.00

n/a
n/a
n/a

Dus, 1 Vial @ 40
PT. Natura Laboratoria Prima
mg
PT. Novapharin
strip
Dus, 5 Ampul @
PT. Indofarma
2ml

36,000.00
211.00
2,400.00

n/a

PT. Yarindo Farmatama

Box 3 X 10 Tab

716.00

n/a

PT. Yarindo Farmatama

Box 3 X 10 Tab

1,189.00

n/a

PT Kalbe Farma

Transfer Set: Set;


Ultaclam: Kantong
Plastik; Tenckoff
1,902,240.00
Catheter: Box;
Titanium Adaptor:
Kantong Plastik

n/a

PT Kalbe Farma

Set

Larutan Dialisa 1.5%:


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

219,540.00

Larutan Dialisa
1.5 %: 2.000 ml;
Larutan Dialisa
2.5 %: 2.000 ml;
5,522,580.00
Larutan Dialisa
4.25 %: 2.000 ml;
Minicap: Kantong
Plastik

PT. Afifarma

botol 60 ml
1,438.00
Dus, 10 strip @ 10
PT. Imfarmind Farmasi industri
89.00
kaptab

Pegasys

PT. Boehringer IngelheimBoks, 1 pfs

1,077,815.00

Pegasys

PT. Boehringer IngelheimBoks, 1 pfs

1,248,220.00

Scabimite Cream 10

PT. Galenium Pharmasia Tube


Laboratories
@ 10 g

11,475.00

n/a

PT. Kimia Farma

14,500.00

Ktk 10 ampx2ml

DECULIN 15 MG
DECULIN 30 MG
n/a

PT. Dexa Medica


PT. Dexa Medica
PT. Holi Pharma

30 TAB/BOX
3,120.00
30 TAB/BOX
4,525.00
Botol 60 ml
8,360.00
Dus, 25 Blister @
296.00
4 tablet

n/a

PT. Holi Pharma

n/a

PT. Holi Pharma

Dus 10 strip @ 10
206.00
tablet

Aptil

PT. Pratapa Nirmala

Dus, Botol @ 10ml 17,393.00

n/a

PT. Afifarma

botol @ 1000 ml

37,109.00

n/a
n/a

PT. Afifarma
PT. Afifarma

botol @ 30 ml
botol @ 300 ml

2,163.00
14,203.00

Sifrol ER 0,375mg

Dus, 3 alu blister


PT. Boehringer Ingelheim
@ 10 tablet

7,200.00

Sifrol ER 0,750mg

Dus, 3 alu blister


PT. Boehringer Ingelheim
@ 10 tablet

11,268.00

n/a

Box ,5 Strip @ 10
PT. Novell Pharmaeutical Laboratories
2,300.00
tablet

n/a

PT. Dexa Medica

Dus, 10 Strip @
10 tablet

n/a

PT. Holi Pharma

Dus, 10 strip @ 10
106.00
tablet

Seroquel XR 200 mg

Dus, 1 blister @
PT. AstraZeneca indonesia
10 tablet

17,391.00

Seroquel XR 300 mg

Dus, 1 blister @
PT. AstraZeneca indonesia
10 tablet

19,500.00

Seroquel XR 400 mg

Dus, 1 blister @
PT. AstraZeneca indonesia
10 tablet

23,185.00

n/a

PT. Dexa Medica

n/a

Dus, 10 Ampul @
PT. Natura Laboratoria Prima
1,140.00
2 ml

Dus, 10 Strip @
10 kaptab

Dus, 10 Strip @
10 tablet salut
selaput

65.00

580.00

n/a

PT. Dexa Medica

n/a

PT. Kimia Farma

n/a

PT. Widatra Bhakti

n/a

PT. Dexa Medica

n/a

KOTAK @ 5 x 10
PT. Mersifarma Tirmaku Mercusana
TAB

1,008.00

n/a

PT. Dexa Medica

Dus, 5 Blister @
10 tablet

2,000.00

Botol 50 kapsul
lunak
botol 500 ml
Dus, 5 Blister @
10 tablet

120.00
260.00
5,200.00
1,400.00

Dus, 7 blister @ 4
Requip PD 24 Hour 2
PT. Glaxo Wellcome Indonesia
Tablet lepas
5,248.00
mg
Lambat
Dus, 7 blister @ 4
Requip PD 24 Hour 4
PT. Glaxo Wellcome Indonesia
Tablet lepas
6,275.00
mg
Lambat
Dus, 7 blister @ 4
Requip PD 24 Hour 8
PT. Glaxo Wellcome Indonesia
Tablet lepas
7,383.00
mg
Lambat
Ventolin Inhaler

Dus, botol 200


PT. Glaxo Wellcome Indonesia
dosis

Ventolin Rotacaps

Dus, 10 Blister @
PT. Glaxo Wellcome Indonesia
431.00
10 Kapsul

Ventolin Rotahaler

PT. Glaxo Wellcome Indonesia


Dus, 1 Rotahaler

5,867.00

n/a

PT. Holi Pharma

4,746.00

n/a

Dus, 5 strip @ 10
PT. Hexpharm Jaya Laboratories
513.00
kapsul

n/a

PT. Holi Pharma

Dus, 10 strip @ 10
509.00
kapsul

n/a

PT. Holi Pharma

Dus, Botol 60 ml

n/a

Dus, 5 Strip @ 10
PT. Ifars Pharmaceutical Laboratories
1,000.00
Kapsul

n/a

PT. Yarindo Farmatama

Box 2 Vial @
1000mg

n/a

PT. Bernofarm

Dus, 10 blister @
859.00
10 kapsul

n/a

PT. Ifars Pharmaceutical Laboratories


Dus, Botol 30 ml

n/a

PT. Natura Laboratoria Prima


Dus, 10 Vial @ 1 g 2,950.00

Banadoz 100

PT. Sandoz Indonesia

n/a

PT. Natura Laboratoria Prima


Dus, 10 Vial @ 1 g 3,300.00

Zinnat 500

Dus, 1 Blister @
PT. Glaxo Wellcome Indonesia
10 Tablet salut
selaput

n/a

PT. Pertiwi Agung

Box, 10 strips @
10 capsules

n/a

PT. Lucas Djaja

100 ampul @ 1 ml 1,078.00

Dus, Botol 60 ml

Dus, 3 blister @
10 tablet

63,750.00

5,895.00

48,060.00

8,800.00

3,700.00

7,200.00
181.00

Cyclovid 1000 mg

PT. Novell Pharmaeutical vial


Laboratories

256,000.00

Cyclovid 200 mg

PT. Novell Pharmaeutical vial


Laboratories

82,000.00

Sandimmun Neoral
100mg Kap

PT. Novartis Indonesia

Dus, 10 blister @
43,000.00
5 kapsul lunak

Sandimmun Neoral
25mg Kap

PT. Novartis Indonesia

Dus, 10 blister @
12,000.00
5 kapsul lunak

n/a

Dus, 3 Strip @ 10
PT. Natura Laboratoria Prima
Kaplet salut
169.00
selaput

n/a

Dus, 3 Strip @ 10
PT. Natura Laboratoria Prima
Kaplet salut
391.00
selaput

n/a

PT. Dexa Medica

n/a

PT. Bernofarm

n/a

PT. Indofarma

Dus, 5 strip @ 10
1,499.00
tablet

n/a

PT. Dexa Medica

Dus, 10 Strip @
10 tablet

900.00

n/a

PT. Dexa Medica

Dus, 10 Strip @
10 tablet

315.00

Vial 200 ml
13,000.00
Dus, 10 blister @
255.00
10 tab ss

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

dus 5 amp @ dus


127,000.00
10

Prograf

PT. Combiphar

Pounch @ 5 blister
11,167.00
@ 10 capsule

Prograf

PT. Combiphar

Dus, 1 pouch @5
blister@10 kaps

21,500.00

Harnal D 0.2 mg
Disp. Tablet

PT. Combiphar

Box/ 2 blister @
14 tablet

5,800.00

Harnal D

PT. Combiphar

Box @ 2 blister @
5,800.00
14 tablet

Harnal OCAS 0.4


mg Tablet

PT. Combiphar

Box/ 3 blister @
10 Tablet

6,800.00

Sebivo 600 mg Tab

PT. Novartis Indonesia

Dus, 2 blister @
14 tablet

28,500.00

Bricasma Respules
Molasma Tablet

Dus, 2 pak @ 5
PT. AstraZeneca indonesia
respules
PT. Molex Ayus
Box 50's

6,250.00
99.00

Bricasma Turbuhaler
0,5 mg

Dus, 1 Turbuhaler
PT. AstraZeneca indonesia
71,100.00
@ 200 dosis

Pantocain 0.5%

PT. Cendo Industri Farmasi


botol 5 ml

n/a

PT. Holi Pharma

Dus, 10 strip @ 10
148.00
kapsul

Thyrozol 10

PT. Merck Tbk

Dus, 10 blister @
1,135.00
10 tablet

Thyrozol 5

PT. Merck Tbk

Dus, 10 blister @
563.00
10 tablet

Isotic Adretor 0,25%

PT. Pratapa Nirmala

Dus, Botol Plastik


9,128.00
@ 5ml

Isotic Adretor 0,5%

PT. Pratapa Nirmala

Dus, Botol Plastik


9,722.00
@ 5ml

Spiriva 10s +
Handihaler

Dus, 1 blister @10


PT. Boehringer Ingelheimkapsul +
152,543.00
handihaler

n/a

Dus, 10 Ampul @
PT. Natura Laboratoria Prima
2,395.00
2 ml

Travatan

PT. Tempo Scan Pacific

botol, tetes mata


115,000.00
2,5 ml

Nasacort AQ

PT. Aventis Pharma

Dus, botol plastik


90,000.00
120 dosis

n/a

PT. Darya Varia

strip

Soft U Derm

PT. Galenium Pharmasia tube


Laboratories

Imovax Polio

PT. Aventis Pharma

11,500.00

405.00
6,400.00

1 vial of 10ml (10


285,000.00
d's)

Depakote ER 250 mg PT. Abbott Indonesia

Tablet

2,793.00

Depakote ER 500 mg PT. Abbott Indonesia

Tablet

5,450.00

Diovan 80mg Tab

PT. Novartis Indonesia

Dus, 2 blister @
14 tablet

3,900.00

DIOVAN 160 MG

PT. Novartis Indonesia

Dus, 2 blister @
14 tablet

6,500.00

Isoptin 240 mg

PT. Abbott Indonesia

Tablet

6,200.00

n/a
Vinblastine

PT. Kimia Farma


PT. Combiphar

Ktk 10X10 TAB


Vial 10mg/10ml

234.00
210,000.00

Navebine injeksi 10

PT. Mugi Laboratories

Dus, 1 vial @ 1 ml 1,229,998.00

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

Dus 10 strip x 10
107.00
tab
Botol 60 tablet
3,429.00

Zincpro Drops

PT. Combiphar

Drops 10 mg/ml,
Botol @15 ml

12,840.00

Zircum Kid Sirup

PT. Meprofarm

Dus, botol 60 ml

7,400.00

n/a

PT. Kimia Farma

ktk 10 x 10 tablet 473.00

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NO

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

NAMA DAGANG

2.

Adefovir Dipivoksil tablet/kaplet 10 mg

Hepsera

3.

Albendazol suspensi 200 mg/5 ml

n/a

4.

Albendazol tablet/kapsul/kaplet 400 mg

n/a

5.

Alopurinol tablet/kapsul/kaplet 100 mg

n/a

6.

Alprazolam tablet/kapsul/kaplet 0,25 mg

n/a

7.
8.
9.
10.

Alprazolam tablet/kapsul/kaplet 0,5 mg


Alprazolam tablet/kapsul/kaplet 1 mg
Amfoterisin B salep mata 1%
Amikasin injeksi 250 mg/ml

n/a
n/a
Fungicide
Glybotic 250 mg /ml

11.

Aminofilin injeksi 24 mg/ml

n/a

12.

Aminofilin tablet scored 200 mg

n/a

13.

Amiodaron injeksi 150 mg/3 ml

Cordarone

14.

Amiodaron tablet/kaplet 200 mg

Kendaron Tablet

15.

Amitriptilin tablet salut 25 mg (HCl)

n/a

16.

Amlodipin tablet 10 mg

n/a

17.

Amlodipin tablet 5 mg

n/a

18.

Amoksisilin kapsul/kaplet 250 mg

n/a

19.

Amoksisilin kapsul/kaplet/tablet scored 500 mg

n/a

20.
21.

Amoksisilin sirup kering forte 250 mg/5 ml


Amoksisilin sirup kering 125 mg/ 5 ml

n/a
n/a

22.

Analog insulin long acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glargine 100 IU/ml)

Lantus Solostar 100IU/ml


5pens x3ml

23.

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

Novomix Flexpen

24.

Analog insulin mix insulininj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (25% insulin lispro, 75% insulin Humalog Mix 25
lispro protamine suspension, (rDNA))

25.

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin Aspart (Analogue))

Novorapid Flexpen

26.

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin Aspart (Analogue))

Novorapid Vial

27.

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glulisine 100 IU/ml)

Apidra Solostar 100IU/ml


5pens x3ml

28.

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin lispro (rDNA origin))

Humalog

29.

Anastrozol tablet/kapsul/kaplet 1 mg

Arimidex 1 mg

30.

Antasida DOEN I tablet kunyah, kombinasi : Aluminium


Hidroksida 200 mg Magnesium Hidroksida 200 mg

n/a

1.

n/a

NO
31.
32.
33.

NAMA GENERIK
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g
Polimiksin 10.000 IU/g
Antimalaria DOEN kombinasi : Pirimetamin 25 mg
Sulfadoksin 500 mg

NAMA DAGANG

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

n/a

n/a
n/a

35.

Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg


Levodopa 100 mg
Artemether injeksi 80 mg/ml

36.

Asam Askorbat (Vitamin C) tablet 50 mg

n/a

37.
38.

Asam Folat tablet/kapsul/kaplet 1 mg


Asam Ibandronat injeksi 6mg/6ml

n/a
Bondronat

39.

Asam Mefenamat kapsul/kaplet 500 mg

n/a

40.

Asam pipemidat kapsul 400 mg

Urotractin 400 mg

41.

Asam traneksamat injeksi 100 mg/ml

n/a

42.

Asiklovir salep mata 3%

Temiral Eye Oint

43.

Asiklovir tablet/kapsul/kaplet 200 mg

n/a

44.
45.

Asiklovir tablet/kapsul/kaplet 400 mg


Asparaginase serbuk injeksi 10.000 UI/vial

n/a
Leunase

46.

Atapulgit tablet 600 mg

Pularex

47.

Atrakurium injeksi 25 mg/2,5 ml

Tracrium

48.

Atropin Sulfat tablet 0,5 mg

n/a

49.
50.
51.

Azitromisin sir kering 200 mg/ 5 mL


Azitromisin tablet 500 mg
Azitromisin tablet 250 mg

n/a
n/a
n/a

52.

Bedak salisil serbuk 2%

n/a

53.
54.
55.

Benzatin Benzil Penisilin 1,2 juta IU/ vial


Benzatin Benzil Penisilin 2,4 juta IU/vial
Beractant injeksi / suspensi 25 mg/mL

n/a
n/a
Survanta

56.

Beraprost sodium tablet 20 mcg

Dorner 20 g

57.

Beraprost sodium tablet 20 mcg

Dorner

58.

Betametason krim 0,1% (sebagai Valerat)

n/a

59.

Bikalutamid tablet salut 150 mg

Casodex 150 mg

60.

Bikalutamid tablet salut 50 mg

Casodex 50 mg

61.
62.
63.

Bisakodil suppositoria 10 mg
Bisoprolol tablet 5 mg
Bromokriptin tablet 2,5 mg

Stolax supp
n/a
Cripsa tab

64.

Budesonid inhaler 200 mcg/puff, 100 dosis

Pulmicort Turbuhaler

65.

Budesonid respules / cairan inhaler 0,25mg/mL

Pulmicort Respules

66.

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


mcg

Symbicort Turbuhaler
160/4.5 mcg

67.

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


mcg

Symbicort 80/4.5 mcg

68.

Deferasiroks tablet disp/ eff 250 mg

Exjade 250 mg Tab

69.

Deferasiroks tablet disp/ eff 500 mg

Exjade 500 mg Tab

70.

Deferoksamin Mesilat serbuk injeksi 500 mg

Desferal

71.

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

n/a

34.

Levopar Tablet
Artem

NO

NAMA GENERIK

NAMA DAGANG

72.

Deksametason tablet 0,5 mg

n/a

73.

Desoksimetason krim 0,25%

n/a

74.
75.

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


Digoksin tablet 0,25 mg

n/a
n/a

76.

Diltiazem HCl tablet 30 mg

n/a

77.

Diltiazem infus injeksi 50 mg

Herbesser Powder Injection


50mg

78.

Diltiazem injeksi 25 mg/5 mL

Farmabes Injeksi 25 mg

79.

Diltiazem Kapsul SR 100 mg

Herbesser CD 100

80.

Diltiazem Kapsul SR 200 mg

Herbesser CD 200

81.
82.

Dimenhidrinat tablet 50 mg
Dinatrium edetat tetes mata 0,35%

n/a
E.D.T.A

83.

Doksazosin mesilat tablet 1 mg

Cardura 1mg

84.

Doksazosin mesilat tablet 2 mg

Cardura 2mg

85.

Doksorubisin serbuk injeksi i.v. 10 mg/vial

Doxorubicin Actavis 10 mg

86.

Doksorubisin serbuk injeksi i.v. 50 mg/vial

Doxorubicin Actavis 50 mg

87.
88.
89.

Domperidon suspensi/sirup 5 mg/5 ml


Domperidon tablet 10 mg
Domperidon tetes 5 mg/mL

n/a
n/a
n/a

90.

Dosetaksel injeksi 20 mg/0,5 ml

n/a

91.

Dutasterid kaps lunak 0,5 mg

Avodart

92.

Eksemestan tablet 25 mg

Aromasin

93.

Enoksaparin sodium inj 20 mg/0,2 mL

Lovenox 2000 ANTI-XA

94.

Enoksaparin sodium inj 40 mg/0,4 mL

Lovenox 4000 ANTI-XA

95.

Enoksaparin sodium inj 60 mg/0,6 mL

Lovenox 6000 ANTI-XA

96.

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

n/a

97.
98.

Epirubisin serb injeksi 50 mg/25ml


Epirubisin serb injeksi 10 mg/5 ml

Epirubisin Kalbe
n/a

99.

Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI

D-Vit FT

100.

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

D-Vit Syrup

101.

Eritromisin kapsul/kaplet 250 mg

n/a

102.

Eritromisin kapsul/kaplet 500 mg

n/a

103.

Eritromisin sirup kering 200 mg/ 5 ml

n/a

104.
105.

Eritropoetin-beta inj 2000 UI/0,3 mL


Etambutol tablet 250 mg (HCl)

Recormon
n/a

106.

Etambutol tablet salut 500 mg (HCl)

n/a

107.

Etanol 70% cairan

n/a

108.

Etonogestrel implan 68 mcg

Implanon

109.
110.

Etoposid injeksi 20 mg/ml


Eugenol cairan

Posyd
n/a

111.

Everolimus tab 0,25 mg

Certican 0,25 mg Tab

NO

NAMA GENERIK

NAMA DAGANG

112.

Everolimus tab 0,5 mg

Certican 0,5 mg Tab

113.

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


Novoseven
injeksi

114.

Fenitoin injeksi 50 mg/ml

n/a

115.
116.

Fenitoin kapsul/kaplet 100 mg


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

n/a
n/a

117.

Fenofibrat kaps 100 mg

n/a

118.

Fenofibrat kaps 300 mg

n/a

119.

Fenoksimetil penisilin (penisilin V) tab 125 mg

Fenocin

120.

Fenoterol HBr inh solution 0,1%

Berotec Solution

121.

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

n/a

122.

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

n/a

123.

Fentanil patch 12,5 mcg/jam

Durogesic 12,5 MU Matrix

124.

Fentanil patch 25 mcg/jam

Durogesic 25 MU Matrix

125.

Fentanil patch 50 mcg/jam

Durogesic 50 MU Matrix

126.

Filgrastim inj 300 mcg/mL

Leucogen

127.

Fitomenadion (Vit.K1) tablet salut gula 10 mg

n/a

128.

Fludarabin inj 50 mg

Fludara IV LYO

129.

Fludarabin tab 10 mg

Fludara Oral

130.

Flufenazin injeksi i.m. 25 mg/ml

Sikzonoate Injeksi

131.

Flukonazol injeksi 2 mg/ml

n/a

132.
133.
134.
135.
136.

Flukonazol tablet/kapsul 150 mg


Fluoksetin tablet 10 mg
Fluoksetin tablet 20 mg
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL

n/a
Foransi 10
NOPRES
Curacil
Curacil

137.

Flusinolon asetonid krim 0,025%

SYNARCUS

138.

Flutikason furoat intranasal spray

Avamys

139.

Flutikason propionat nebules 0,5 mg

Flixotide Nbules

140.

Fondaparinuks inj 2,5 mg/0,5 mL

Arixtra

141.

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

n/a

142.

Furosemid tablet 40 mg

n/a

143.

Furosemid tablet 40 mg

n/a

144.

Gansiklovir serb inj 500 mg (50 mg/mL)

Cymevene

145.

Gefitinib tab 250 mg

Iressa 250 mg

146.

Gemfibrozil kapsul/kaplet 300 mg

n/a

147.

Gemfibrozil tablet 600 mg

n/a

148.

Gemsitabin inj 1000 mg/vial

Gemzar 1000 mg

NO

NAMA GENERIK

NAMA DAGANG

149.

Gemsitabin inj 200 mg/vial

n/a

150.

Gentamisin injeksi 40 mg/ ml

n/a

151.

Gentamisin salep mata 0,3%

Genoint Salep Mata

152.

Gentamisin tetes mata 0,3%

n/a

153.

Glibenklamid tablet 5 mg

n/a

154.

Gliklazid tab 80 mg

Glicab

155.

Glikuidon tab 30 mg

n/a

156.
157.
158.
159.
160.
161.
162.
163.
164.
165.

Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Gliseril trinitrat kaps SR 2,5 mg
Gliseril trinitrat kaps SR 5 mg
Gliseril trinitrat tab sublingual 0,5 mg
Gliserin lar 50%
Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril

n/a
n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte
Nitral
Gliserin lar 50%
n/a
n/a

166.

Goserelin asetat inj 10,8 mg/vial

Zoladex 10,8 mg

167.

Goserelin asetat inj 3,6 mg

Zoladex 3,6 mg

168.

Griseofulvin tablet 125 mg

n/a

169.

Haloperidol inj 50 mg/mL

Haldol Decanoas

170.

Haloperidol tablet 0,5 mg

n/a

171.

Haloperidol tablet 5 mg

n/a

172.

Haloperidol tablet 1,5 mg

n/a

173.

Haloperidol tablet 2 mg

Lodomer 2

174.
175.
176.

Hiosin butilbromid injeksi 20 mg/ml


Ibuprofen sirup 100 mg/5 ml
Ibuprofen suspensi 200 mg/5 ml

n/a
n/a
n/a

177.

Ibuprofen tablet 400 mg

n/a

178.

Ifosfamid serbuk injeksi 1000 mg/vial

Holoxan injeksi 1000

179.

Imidapril tab 10 mg

Tanapress 10mg

180.

Imidapril tab 5 mg

Tanapress 5mg

181.

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

Ultravist 300/100 mg

182.

Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)

Ultravist 300/50 mg

183.

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

Ultravist 370/100 mg

184.

Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)

Ultravist 370/50 mg

185.

Irbesartan tab 150 mg

n/a

186.

Irbesartan tab 300 mg

n/a

187.

Irinotekan inf 20 mg/ml

n/a

188.

Isosorbid Dinitrat tablet sublingual 5 mg

n/a

189.

Kalium aspartat tab 300 mg

Kalipar

190.

Kalium Klorida tablet 600 mg

KSR

NO

NAMA GENERIK

NAMA DAGANG

191.

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

Kalsium glukonat

192.

Kandesartan tab 16 mg

n/a

193.

Kandesartan tab 8 mg

n/a

194.

Kapesitabin tab 500 mg

Xeloda

195.

Kaptopril tablet 50 mg

n/a

196.

Kaptopril tablet scored 25 mg

n/a

197.

Kaptopril tablet scored12,5 mg

n/a

198.

Karbamazepin sirup 100 mg/5 ml

Tegretol Syrup 100mg/5ml,


120ml

199.

Karbamazepin tablet 200 mg

n/a

200.

Karbogliserin tetes telinga 10%

201.
202.

Ketamin injeksi i.v. 100 mg/ml


Ketokonazol krim 2%

Karbogliserin tetes telinga


10%
KTM
n/a

203.

Ketokonazol krim 2%

n/a

204.

Ketokonazol tablet 200 mg

n/a

205.

Ketorolac injeksi 30 mg/ml

n/a

206.

Klaritromisin tab 500 mg

ORIXAL

207.

Klindamisin kapsul/kaplet 150 mg

n/a

208.

Klindamisin kapsul/kaplet 300 mg

n/a

209.

Klobazam tab 10 mg

n/a

210.

Klonidin tablet 0,15 mg

n/a

211.

Klopidogrel tab 75 mg

n/a

212.
213.

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


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

n/a
n/a

214.

Klozapin 100 mg

n/a

215.

Klozapin 25 mg

n/a

216.
217.
218.

Kodein tablet 10 mg
Kodein tablet 15 mg
Kodein tablet 20 mg

n/a
n/a
n/a

219.

Kombinasi suspensi : Parafin + gliserin + fenolftalein

Laxadine Emulsi 60 ml

220.
221.

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam


n/a
folat 0,25 mg
Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664
Cendo Lyteers
mg; Kalium klorida 1,32 mg

222.

Kombinasi: Artemether 20 mg; Lumefantrin 120 mg

Coartem

223.

Kombinasi: Levodopa 100 mg; Karbidopa 25 mg;


Entekapon 200 mg

Stalevo

224.
225.
226.
227.
228.

Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50


mcg
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
Kuinin (Kina) tablet 200 mg

Seretide Inhaler 50 mcg


Seretide Diskus 100 mcg
Seretide Diskus 250 mcg
n/a
n/a

NO

NAMA GENERIK

NAMA DAGANG

229.

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

n/a

230.
231.
232.

Kuinin tablet 222 mg (H2SO4.7H2O)


Lamivudine tablet 150 mg
Lansoprazol inj 30 mg/ml

n/a
n/a
Prosogan Inj.

233.

Lanzoprazol kapsul/kaplet 30 mg

n/a

234.

Lapatinib tab 250 mg

Tykerb

235.

Larutan mengandung Asam Amino (Asam Amino 10%)

Kalbamin

236.

Larutan mengandung Asam Amino (Asam Amino 100 g,


Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)

Amiparen

237.
238.

239.

240.
241.

242.

Larutan mengandung Asam Amino (Asam Amino 27 g,


Sorbitol 50 g, Cl- 52 mEq)
Larutan mengandung Asam Amino (Asam Amino 30 g,
Glukosa 7,3 % dan elektrolit)
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)

Pan-amin G
Aminofluid

Aminofusin Hepar

Larutan mengandung Asam Amino (Asam Amino 6%,


Aminosteril Infant 6%
mengandung Taurine 0,24 gr/l)
Larutan mengandung Asam Amino (Asam Amino 7%,
Komposisi: Asam Amino esensial: Asam Amino non esensial Nephrosteril
= 60 : 40)
Larutan mengandung Asam Amino (Asam Amino 72.05 g,
Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat 46 Kidmin
mEq)

243.

Larutan mengandung Asam Amino (Asam Amino 79.9 g,


Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

Aminoleban

244.

Larutan mengandung Asam Amino (Asam amino 8%)

Aminosteril N-Hepa

245.

Larutan mengandung Asam Amino (Asam Amino esensial


7%+Xylitol 10 g/L)

Eas Pfrimer

246.

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

Comafusin Hepar

247.

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)

Aminofusin L600

248.

Larutan mengandung Asam Amino (Kombinasi Asam amino


Aminofusin Paed
50 g/L, vitamin dan elektrolit)

249.

Larutan mengandung Asam Amino (Kombinasi Asam Amino:


34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit (Kalori =
Kabiven 1440 ml
1000 kkal, Akses peripheral))

250.

Larutan mengandung Asam Amino (Kombinasi Asam Amino:


45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori =
Kabiven 1920 ml
1400 kkal, Akses peripheral))

251.

Larutan mengandung Asam Amino (Kombinasi Glukosa dan


Combiflex Plus (790 kcal)
elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral)

252.

Larutan mengandung Asam Amino (Kombinasi Glukosa dan


Combiflex peri (480 kcal)
elektrolit 80 gr + Asam Amino 40 gr )

NO

NAMA GENERIK

NAMA DAGANG

253.

Larutan mengandung Elektrolit (Kalium Klorida)

Otsu - KCl 7,46%

254.

Larutan mengandung Elektrolit (Larutan Ringer Laktat)

Wida RL

255.

Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq,


Ca 3 mEq, Asetat 28 mEq)

Asering

256.

Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa


18.75 gr)

KA EN 1B

257.

Larutan mengandung Elektrolit (Sodium Lactate sol (50%)


113 gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2 Totilac
gr/L, elektrolit)

258.

Larutan mengandung Elektrolit (Tiap 1000 ml mengandung


electrolit: Sodium 145 mmol/l, Potassium 4.0 mmol/l,
Ringerfundin 500 mL
Calcium 2.5 mmol/l, Magnesium 1.0 mmol/l, Chloride 118
mmol/l, Acetate 24 mmol/l, Malate 5.0 mmol/l)

259.

Larutan mengandung Karbohidrat (Fructose 120 g, glucose


Triofusin 1000
66 g, Xylitol 60 g/ L + elektrolit)

260.

Larutan mengandung Karbohidrat (Fructose 60 g, glucose


33 g, Xylitol 30 g/ L)

Triofusin 500

261.

Larutan mengandung Karbohidrat (Maltose 100 gr)

Martos

262.

Larutan mengandung Karbohidrat + Elektrolit (25.00g


maltose, 3.00 g sodium chloride, 0.15 g potassium chloride,
Potacol inj
0.10 g calcium chloride dihydrate dan 1.55 g sodium
lactate)

263.

Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na,


Tutofusin OPS
K, Cl, Ca, Mg, Sorbitol 50 gr/L)

264.

Larutan mengandung Karbohidrat + Elektrolit (Asam amino


Clinimix N9G15E
28 gr/L, Glukosa 75 gr/L, elektrolit)

265.

Larutan mengandung Karbohidrat + Elektrolit (Fructose 60


g, glucose 33 g, Xylitol 30 g/ L)

Triofusin E1000

266.

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)

Wida HSD

267.

Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g


Wida D5-NS
; Natrium Chloride 9 g, air untuk injeksi ad 1000 ml)

268.
269.
270.

Larutan mengandung Karbohidrat + Elektrolit (Glukosa:


25,0 g; NaCl: 4,5 g)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa:
55.0 g; NaCl: 2.25 g)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa:
55.0 g; NaCl: 4.5 g)

WIDA 2A
WIDA D5-1/4NS
WIDA D5-1/2NS

271.

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

272.

Larutan mengandung Karbohidrat + Elektrolit (Larutan


Ringer & Glukosa 5%)

Wida RD

273.

Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g,


KA ENMG 3
KCL 1.5g, Glukosa 100 gr)

274.

Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr,


KA EN 3B
KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)

275.

Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr,


KA EN 3A
Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)

NO

NAMA GENERIK

NAMA DAGANG

276.

Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT


20% 100 ml)

Lipofundin MCT/LCT 1% 100

277.

Larutan mengandung Lipid (Emulsi lemak 20%)

Intralipid

278.

Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT


20% 250 ml)

Lipofundin MCT/LCT 1% 250

283.
284.
285.

Larutan mengandung Lipid (Kombinasi Glukosa dan


elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn
akses sentral)
Larutan mengandung Lipid (Kombinasi Glukosa dan
elektrolit 80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50
gr)
Larutan mengandung Lipid (Kombinasi Glukosa dan
elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn
akses sentral)
Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg
Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate 0.3
gr/L)
Latanoprost tetes mata 0,01%
Leuprorelin asetat inj depot 1,88 mg
Leuprorelin asetat inj depot 11,25 mg

286.

Levofloksasin inf 5 mg/mL

n/a

287.

Levofloksasin tablet 500 mg

n/a

288.

Lidokain injeksi 2% (HCL)

n/a

289.

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

n/a

290.

Lidokain jeli 2%

Xylocaine Jelly 2%

291.

Lisinopril tablet 10 mg

n/a

292.

Lisinopril tablet 5 mg

n/a

293.

Litium karbonat tablet 200 mg

Frimania 200

294.

Litium karbonat tablet 400 mg

Frimania 400

295.

Loperamid tablet 2 mg

n/a

296.

Loratadin tablet 10 mg

n/a

297.

Lorazepam tablet 2 mg

Merlopam 2

298.

Maprotilin HCl tab 25 mg

Ludios

299.

Maprotilin HCl tab 50 mg

Sandepril 50

300.

Melfalan tablet 2 mg

Alkeran

301.
302.
303.

Meropenem inj 1 g
Mesna inj 100 mg/mL
Metadon sir 50mg/5ml

n/a
Uromitexan injeksi.
n/a

304.

Metilfenidat kapsul LA 20 mg

Ritalin LA

305.

Metilprednisolon tablet 16 mg

n/a

306.

Metilprednisolon tablet 4 mg

n/a

307.

Metilprednisolon tablet 8 mg

n/a

308.

Metoklopramide tablet 5 mg

n/a

309.

Metronidazol infus 500 mg/100 ml

n/a

279.

280.

281.

282.

Nutriflex Lipid Special 1250

Nutriflex Lipid Peri 1250

Nutriflex Lipid Special 625

Ivelip
Cendo Glaopen
Tapros 1.88mg
Tapros 3M

NO

NAMA GENERIK

NAMA DAGANG

310.

Metronidazol supositoria 500 mg

Flagyl

311.

Metronidazol tablet 250 mg

n/a

312.

Metronidazol tablet 500 mg

n/a

313.
314.
315.
316.
317.

Midazolam injeksi i.v. 1 mg/ml


Midazolam injeksi i.v. 5 mg/ml
Mikafungin Na serb inj 50 mg
Mikonazol krim/salep 2 % (Nitrat)
Mitomisin C (crystallin) serbuk inj 10 mg/vial

Dormicum
Dormicum
Mycamine
n/a
Mitomycin C

318.

Moksifloksasin tetes mata 0,5%

Vigamox

319.

Mometason furoat krim 0,1%

n/a

320.

Morfin HCL inj 10 mg/ml

n/a

321.

Morfin HCL tablet SR 10 mg

MST Continus 10 mg

322.

Morfin HCL tablet SR 15 mg

MST Continus 15 mg

323.

Morfin injeksi i.m./s.k./i.v. 10 mg/ml

n/a

324.
325.

Morfin tablet 10 mg
Nacl 0,9%

n/a
n/a

326.

Nadroparin inj 9500 Axa/mL syringe 0,3 mL

Fraxiparine 0.3 ml

327.

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

Fraxiparine 0.4 ml

328.

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

Fraxiparine 0.6 ml

329.

Nalokson injeksi 0,4 mg/ml

Nokoba

330.

Natrium Bikarbonat injeksi i.v 8,4%

Meylon

331.

Natrium Diklofenak tablet 50 mg

n/a

332.
333.
334.
335.

Natrium fusidat salep 20 mg/g


Nevirapin tablet 200 mg
Nifedipin tab 20 mg, slow release; oros
Nifedipin tab 30 mg, oros

Fucilex Ointment
n/a
Adalat Oros 20 mg
Adalat Oros 30 mg

336.

Nifedipin tablet/kapsul 10 mg

n/a

337.
338.
339.
340.
341.

Nistatin tablet salut 500.000 IU/ g


Noretisteron tablet 5 mg
Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori 2
Obat Antituberkulosis FDC Kategori Anak

n/a
Primolut N
n/a
n/a
n/a

342.

Obat Antituberkulosis FDC Sisipan

n/a

343.

Ofloxacin tablet 200 mg

n/a

344.

Ofloxacin tablet 400 mg

n/a

345.

Oksimetazolin tetes hidung 0,025%

Ilaidin Drops

346.

Oktreotid 10 mg

Sandostatin LAR

347.
348.

Olanzapin kapl salut 5 mg


Olanzapin tab 10 mg

Olandoz 5
Olandoz 10

349.

Omeprazol injeksi 40 mg/ 10 ml

n/a

350.

Omeprazol kapsul/kaplet 20 mg

n/a

351.

ondansetron inj 4 mg/ 2 mL

n/a

352.

Ondansetron tab 4 mg

n/a

NO
353.

NAMA GENERIK
Ondansetron tablet 8 mg

NAMA DAGANG
n/a

354.

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit


Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

n/a

355.

Paket CAPD Pergantian Transfer Set per 6 bulan

n/a

356.

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

357.

Parasetamol sirup 120 mg / 5 ml

n/a

358.

Parasetamol tablet 500 mg

n/a

359.

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

Pegasys

360.

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

Pegasys

361.

Permetrin krim 5%

Scabimite Cream 10

362.

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

n/a

363.
364.
365.

Pioglitazon tab 15 mg
Pioglitazon tab 30 mg
Pirantel suspensi 125 mg/5 ml

DECULIN 15 MG
DECULIN 30 MG
n/a

366.

Pirantel tablet score (base) 125 mg

n/a

367.

Pirazinamid tablet 500 mg

n/a

368.
369.
370.
371.

Polikresulen cairan
Povidon Iodida larutan 10% 1000 ml
Povidon Iodida larutan 10% 30 ml
Povidon Iodida larutan 10% 300 ml

Aptil
n/a
n/a
n/a

372.

Pramipeksol tab ER 0,375 mg

Sifrol ER 0,375mg

373.

Pramipeksol tab ER 0,750 mg

Sifrol ER 0,750mg

374.

Pravastatin tablet 20 mg

n/a

375.

Propanolol tablet 10 mg ( HCl )

n/a

376.

Propranolol tablet 40 mg (HCl)

n/a

377.

Quetiapin tab 200 mg

Seroquel XR 200 mg

378.

Quetiapin tab 300 mg

Seroquel XR 300 mg

379.

Quetiapin tab 400 mg

Seroquel XR 400 mg

380.

Ramipril tablet 5 mg

n/a

381.

Ranitidin injeksi 25 mg/2 ml

n/a

382.

Ranitidin tablet 150 mg

n/a

383.

Retinol (Vitamin A) 100.000 IU

n/a

384.

Ringer Laktat larutan infus

n/a

NO

NAMA GENERIK

NAMA DAGANG

385.

Risperidon tablet 1 mg

n/a

386.

Risperidon tablet 2 mg

n/a

387.

Risperidon tablet 3 mg

n/a

388.

Ropinirol Tablet Salut 2 mg

Requip PD 24 Hour 2 mg

389.

Ropinirol Tablet Salut 4 mg

Requip PD 24 Hour 4 mg

390.

Ropinirol Tablet Salut 8 mg

Requip PD 24 Hour 8 mg

391.

Salbutamol inhalasi/aerosol 100 mcg/dosis

Ventolin Inhaler

392.

Salbutamol serb inh 200 mcg/kaps

Ventolin Rotacaps

393.

Salbutamol serb inh 200 mcg/kaps + rotahaler

Ventolin Rotahaler

394.

Sefadroksil sirup kering 125 mg/5ml

n/a

395.

Sefadroksil kapsul/kaplet 250 mg

n/a

396.

Sefadroksil kapsul/kaplet 500 mg

n/a

397.

Sefadroksil sir kering 250 mg/5 mL

n/a

398.

Sefaleksin kapsul/kaplet 500 mg

n/a

399.

Sefepim inj 1 g

n/a

400.

Sefiksim kapsul/kaplet 100 mg

n/a

401.

Sefiksim sirup kering 100 mg/ 5 ml

n/a

402.

Sefotaksim injeksi 1 g

n/a

403.

Sefpodoksim proksetil tab 100 mg

Banadoz 100

404.

Seftriakson serbuk injeksi 1 g/vial

n/a

405.

Sefuroksim tab 500 mg

Zinnat 500

406.

Setirizin tablet 10 mg

n/a

407.

Sianokobalamin (vitamin B12) injeksi 500 mcg

n/a

408.

Siklofosfamid serbuk injeksi i.v. 1000 mg

Cyclovid 1000 mg

409.

Siklofosfamid serbuk injeksi i.v. 200 mg

Cyclovid 200 mg

410.

Siklosporin kaps 100 mg

411.

Siklosporin kapsul lunak 25 mg

412.

Simvastatin scored tablet 10 mg

n/a

413.

Simvastatin tablet 20 mg

n/a

414.

Siprofloksasin infus 2%

n/a

415.

Siprofloksasin tablet 500 mg (sebagai HCl)

n/a

416.

Spiramisin tablet 500 mg

n/a

417.

Spironolakton tablet 100 mg

n/a

Sandimmun Neoral 100mg


Kap
Sandimmun Neoral 25mg
Kap

NO

NAMA GENERIK

NAMA DAGANG

418.

Spironolakton tablet 25 mg

n/a

419.

Sufentanil injeksi iv, epidural 5 mcg/ml

Sufentanyl Injeksi iv.Epidural


5 mcg / ml

420.

Takrolimus kaps 0.5 mg

Prograf

421.

Takrolimus kaps 1 mg

Prograf

422.

Tamsulosin tab 0,2 mg

Harnal D 0.2 mg Disp.


Tablet

423.

Tamsulosin tab 0,2 mg

Harnal D

424.

Tamsulosin tab SR 0,4 mg

Harnal OCAS 0.4 mg


Tablet

425.

Telbivudin tab 600 mg

Sebivo 600 mg Tab

426.

Terbutalin cairan ih 2,5 mg/mL

Bricasma Respules

427.

Terbutalin tablet 2,5 mg

Molasma Tablet

428.

Terbutalin turbu (serbuk ih) 0,50 mg

Bricasma Turbuhaler 0,5 mg

429.

Tetrakain HCl tetes mata 0,5%

Pantocain 0.5%

430.

Tetrasiklin kapsul/kaplet 250 mg

n/a

431.

Tiamazol tab 10 mg

Thyrozol 10

432.

Tiamazol tab 5 mg

Thyrozol 5

433.

Timolol tetes mata 0,25%

Isotic Adretor 0,25%

434.

Timolol tetes mata 0,5%

Isotic Adretor 0,5%

435.

Tiotropium kaps 18 mcg + handihaller

Spiriva 10s + Handihaler

436.

Tramadol injeksi 50 mg/ml

n/a

437.

Travoprost tetes mata 0,004%

Travatan

438.

Triamsinolon asetonid nasal spray 55 mcg/puff

Nasacort AQ

439.

Trifluoperazin tablet 5 mg

n/a

440.

Urea krim 10%

Soft U Derm

441.

Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)

Imovax Polio

442.
443.

Valproat tab SR 250 mg


Valproat tab SR 500 mg

Depakote ER 250 mg
Depakote ER 500 mg

444.

Valsartan tab 80 mg

Diovan 80mg Tab

445.

Valsartan tab 160 mg

DIOVAN 160 MG

446.
447.
448.
449.

Verapamil tab 240 mg


Verapamil tablet 80 mg (HCl)
Vinblastin serbuk injeksi 10 mg
Vinorelbin inj. 10 mg/ml

Isoptin 240 mg
n/a
Vinblastine
Navebine injeksi 10

450.

Vitamin B Kompleks tablet

n/a

451.

Zidovudin 300 mg + Lamivudine 150 mg

n/a

452.

Zinc drop 10 mg/mL

Zincpro Drops

453.
454.

Zinc sir 20 mg/5 Ml


Zinc tablet dispersible20 mg

Zircum Kid Sirup


n/a

NO

NAMA GENERIK

NAMA DAGANG

PABRIK

KEMASAN

PT. Kimia Farma

1 blister@24 tablet

PT. SmithKline Beecham PhamaceuticalsDus, 3 Blister @ 10 kapsul


PT. Indofarma
PT. Holi Pharma
PT. Pertiwi Agung

Dus, 10 dus @ 1 botol @


10 ml
Dus, 5 strip @ 6 tablet
Box, 10 strips @ 10
tablets

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

PT. Otto Pharmaceuticals


PT. Kimia Farma
PT. Cendo Industri Farmasi
PT. Sanbe Farma

strip
Ktk 10x10 tablet
tube 3.5 gr
Vial 2 ml

PT. Lucas Djaja

dus 30 ampul @10 ml

PT. Marin Liza Farmasi

Botol @ 100 tablet salut


selaput

HARGA
1,375.00
27,500.00
3,849.00
338.00
86.00
380.00
176.00
233.00
18,500.00
50,500.00
3,822.00
90.00

PT. Aventis Pharma

Dus, 6 ampul @ 3 ml

PT. Darya Varia

strip

PT. Indofarma

Dus, 10 strip @ 10 tss

112.00

PT. Pertiwi Agung

Box, 3 strips @ 10 tablets

330.00

PT. Pertiwi Agung

Box, 3 strips @ 10 tablets

187.00

PT. Novapharin

strip

211.00

PT. Bernofarm

Dus, 10 strip @ 10 kaptab

272.00

PT. Holi Pharma


PT. Novapharin

Dus, Botol 60 ml
btl @ 60 ml

PT. Aventis Pharma

dus, 5 solostar pen @ 3ml

85,000.00

Injeksi 100 IU/ml, Flexpen


disposible 3 ml (1 box isi 5
flexpen disposible)

106,000.00

PT. Ferron Par Pharmaceuticals

PT. Tempo Scan Pacific

PT. Ferron Par Pharmaceuticals

Penfill cartridge

Injeksi 100 IU/ml, Flexpen


disposible 3 ml (1 box isi 5
flexpen disposible)

12,480.00
1,200.00

4,045.00
2,445.00

97,500.00

85,345.00

PT. Ferron Par Pharmaceuticals

Dus, vial 10 ml

200,000.00

PT. Aventis Pharma

dus, 5 solostar pen @ 3ml

79,165.00

PT. Tempo Scan Pacific

Penfill cartridge

79,167.00

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

32,000.00

PT. Promedrahardjo Farmasi Industri

STRIP

75.00

PABRIK

KEMASAN

PT. Indofarma

Dus, 25 tube @ 5 g

PT. Kimia Farma

ktk 10 x 10 tablet

520.00

PT. Kimia Farma

Btl 100 tablet

135.00

PT. Meprofarm

Dus, 5 strip @ 10 tablet

PT. Kimia Farma

Dus 6 amp @ 1ml

PT. Kimia Farma

Dus 10 strip x 10 tab

PT. Marin Liza Farmasi


PT. Boehringer Ingelheim
PT. Bernofarm
PT. Sanbe Farma
PT. Hexpharm Jaya Laboratories
PT. Sanbe Farma
PT. Indofarma
PT. Kimia Farma
PT. Widatra Bhakti

Botol @ 100 tablet


Boks, 1 ampul
Dus, 10 blister @ 10
kaptab ss
Strip
Dus, 10 ampul @ 5 ml
Tube 3,5 gram
Dus, 10 blister @ 10
tablet
ktk 10x10 tablet
10.000 UI/Vial

HARGA
2,516.00

1,500.00
22,000.00
95.00
48.00
2,209,000.00
112.00
1,815.00
3,334.00
24,750.00
237.00
345.00
1,039,500.00

PT. Zenith Pharmaceuticals

Dus 5 strip @ 10 tablet

190.00

PT. Glaxo Wellcome Indonesia

Dus, 5 ampul @ 2.5 ml

20,000.00

PT. Indofarma

Dus, 10 strip @ 10 tablet

PT. Soho Industri Pharmasi


PT. Kimia Farma
PT. Soho Industri Pharmasi

botol @ 60 ml
ktk 2x10 tablet
Strip

34,400.00
4,500.00
3,333.00

PT. Rama Emerald Multi Sukses

Dus @ 50 gram

1,250.00

PT. Phapros, Tbk


PT. Phapros, Tbk
PT. Abbott Indonesia

Dus @ 10 Vial
Dus @ 10 Vial
Vial

PT. Combiphar

Box/ 3 blister @ 10 Tablet

PT. Combiphar
PT. Kimia Farma

Box @ 3 blister @ 10
Tablet
Tube 5 gr

74.00

9,800.00
13,400.00
3,200,000.00
3,600.00
3,600.00
1,520.00

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

72,400.00

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

45,000.00

PT. Sanbe Farma


PT. Pratapa Nirmala
PT. Caprifarmindo
PT. AstraZeneca indonesia
PT. AstraZeneca indonesia

Supp
Box 3 X 10 tab
Box 3 x 10'S
Dus, 1 Turbuhaler @ 100
dosis
Dus, 4 pak @ 5 respules
@ 2 ml

6,045.00
645.00
247,089.00
93,000.00
8,900.00

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 120


dosis

117,600.00

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 60
dosis

110,500.00

PT. Novartis Indonesia

Dus, 4 blister @ 7 tablet

76,000.00

PT. Novartis Indonesia

Dus, 4 blister @ 7 tablet

150,000.00

PT. Novartis Indonesia

Dus, 10 vial @ 500mg

112,000.00

PT. Indofarma

Dus, 100 ampul @ 1 ml

1,580.00

PABRIK
PT. Indofarma

KEMASAN
Dus, 10 blister @ 10
tablet

HARGA
68.00

PT. Dexa Medica

Kotak, tube @ 15 gram

9,983.00

PT. Lucas Djaja


PT. Yarindo Farmatama

ampul @ 1 ml
Box 10 X 10 Tab

1,054.00
97.00

PT. Indofarma

Dus, 10 strip @ 10 tablet

PT. Tanabe Indonesia

10 vial @ 50mg

PT. Pratapa Nirmala

Vial 5 mL

PT. Tanabe Indonesia

3 blister @ 10 kapsul

3,667.00

PT. Tanabe Indonesia

3 blister @ 10 kapsul

4,015.00

PT. Kimia Farma


PT. Cendo Industri Farmasi

Btl 100 tablet


botol 15 ml

PT. Pfizer Indonesia

Dus, 5 blister @10's tab

3,480.00

PT. Pfizer Indonesia

Dus, 5 blister @10's tab

5,480.00

PT. Actavis Indonesia

Dus, 1 vial @ 10 mg

55,500.00

PT. Actavis Indonesia

Dus, 1 vial @ 50 mg

274,125.00

PT. Novapharin
PT. Novapharin
PT. Bernofarm

btl @ 60 ml
strip
Dus, botol @ 10 ml

134.00
127,667.00
46,667.00

104.00
37,500.00

3,333.00
167.00
15,600.00

Dus, 1 vial @0,5 ml+ 1


vial pelarut @1,5 ml

970,200.00

Dus, Botol Plastik @ 30


PT. SmithKline Beecham Phamaceuticals
Tablet

7,100.00

PT. Sanbe Farma

PT. Pfizer Indonesia


PT. Aventis Pharma
PT. Aventis Pharma
PT. Aventis Pharma
PT. Phapros, Tbk
PT Kalbe Farma
PT. Sanbe Farma

Dus, 2 blister @ 15 tablet


dus, 2 prefilled syringe @
0,2 ml
dus, 2 prefilled syringe @
0,4 ml
dus, 2 prefilled syringe @
0,6 ml
Dus @ 30 Ampul

42,600.00
40,740.00
71,875.00
100,000.00
8,100.00

Vial @ 25 ml
Dus, 1 vial @5 ml
Dus 3 strip @ 10 Flash
tablet
Dus, Botol Plastik @ 100
mL
ktk 10 x 10 kapsul

500,000.00
128,000.00

PT. Indofarma

Dus, 10 blister @ 10 kss

930.00

PT. Phyto Kemo Agung Farma

Botol @60 ml

PT. Boehringer Ingelheim


PT. Kimia Farma

Boks, 6 ampul
ktk 20 x 10 tablet

PT. Indofarma

Dus, 10 strip @ 10 tss

PT. Gracia Pharmindo


PT. Gracia Pharmindo
PT. Kimia Farma

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

btl @ 100 ml
Dus, 1 blister @ 1
subdermal implant
Vial 100mg/5ml
Botol 10 ml
Dus, 6 blister @ 10 tablet

650.00
8,000.00
497.00

7,700.00
139,500.00
314.00
451.00
2,500.00
128,779.00
100,000.00
16,667.00
11,813.00

PABRIK

KEMASAN

PT. Novartis Indonesia

Dus, 6 blister @ 10 tablet

23,250.00

KOTAK @ 1 VIAL SERBUK


OBAT & INFUSION KIT

9,200,000.00

PT. Ferron Par Pharmaceuticals

HARGA

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 ampul

PT. Ikapharmindo
PT. Phapros, Tbk

Botol @ 100
Dus @ 30 Ampul

133.00
1,800.00

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 kapsul

1,075.00

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 kapsul

1,375.00

PT. Actavis Indonesia

Dus 45 x 12 tab

PT. Boehringer Ingelheim

Dus, Canister 200 dosis

117,500.00

PT. Kimia Farma

Dus 5 ampul@ 10ml

128,000.00

PT. Kimia Farma

Dus 5 ampul@ 2ml

33,914.00

PT. Kimia Farma

Dus @ 5 patch

80,000.00

PT. Kimia Farma

Dus@ 5 patch

153,000.00

PT. Kimia Farma

Dus@ 5 patch

285,000.00

PT Kalbe Farma
PT. Marin Liza Farmasi
PT. Aventis Pharma
PT. Aventis Pharma

pfs @ 0,5 ml
Botol @ 100 tablet salut
gula
Dus, 5 vial @ 50 mg
Dus, 4 blister @ 5 tablet
salut selaput

20,250.00

235.00

375,000.00
634.00
1,248,319.00
275,000.00

PT. Mersifarma Tirmaku Mercusana

Dus, 5 ampul @ 1ml

55,000.00

PT. Novell Pharmaeutical Laboratories

Botol

38,000.00

PT. Kimia Farma


PT. Gracia Pharmindo
PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma

ktk 1 x 10 kapsul
strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml

22,000.00
419.00
410.00
24,500.00
33,000.00

PT. Ifars Pharmaceutical Laboratories

Dus, Tube 5 g

PT. Glaxo Wellcome Indonesia

Dus, Botol 120 Dosis Spay

PT. Glaxo Wellcome Indonesia

Dus, 2 flow wrap@ 5


nebules @ 1 dosis (2ml)

2,400.00
93,333.00
12,917.00

PT. Glaxo Wellcome Indonesia

Dus, 2 pfs 0.5 ml

PT. Indofarma

Dus, 25 ampul @ 2 ml

PT. Indofarma

Dus, 10 strip @ 10 tablet

85.00

PT. Sampharindo Perdana

Dus, 10 strip @ 10 tablet

78.00

PT. Boehringer Ingelheim

Boks, 1 ampul

399,500.00

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

295,000.00

PT. Indofarma
PT. Indofarma
PT. Bayer Indonesia

Dus, 10 blister @ 12
kapsul
Dus, 10 blister @ 10
kaptab
vial

241,667.00
1,829.00

289.00
679.00
1,098,900.00

PABRIK

KEMASAN

PT. Sanbe Farma

Dus, 1 vial @200 mg

330,000.00

PT. Indofarma

Dus, 5 ampul @ 2 ml

3,399.00

PT. Erela

Tube @ 3,5 gr

2,600.00

PT. Indofarma

Dus, botol plastik 5 ml

3,194.00

PT. Indofarma
PT. Tempo Scan Pacific

Dus, 10 blister @ 10
kaptab
Strip

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Actavis Indonesia
PT. Lucas Djaja
PT. Widatra Bhakti
PT. Widatra Bhakti

ktk 5x10 tablet


ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Dus 10x10
Dus 10x10
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml

PT. AstraZeneca indonesia

Dus, 1 syringe @ 10.8 mg

PT. AstraZeneca indonesia

Dus, 1 syringe @ 3.6 mg

PT. Indofarma
PT. Soho Industri Pharmasi
PT. Indofarma
PT. Indofarma
PT. Indofarma

Dus, 10 blister @ 10
tablet
Dus 5 Ampul@1mL
Dus, 10 blister @ 10
tablet
Dus, 10 blister @ 10
tablet
Dus, 10 blister @ 10
tablet

HARGA

56.00
235.00
950.00
265.00
436.00
404.00
430.00
1,493.00
2,171.00
1,500.00
5,333.00
5,700.00
5,200.00
2,300,000.00
840,000.00
219.00
83,333.00
59.00
96.00
69.00

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

126.00

PT. Otto Pharmaceuticals


PT. Indofarma
PT. Indofarma

box 5ampul @1 ml
Dus, botol 60 ml
Dus, botol 60 ml

PT. Holi Pharma

Dus, 10 strip @ 10 tablet

PT. Mugi Laboratories

Dus, 1 vial @ 1 g

PT. Tanabe Indonesia

3 blister @ 10 tablet

3,908.00

PT. Tanabe Indonesia

3 blister @ 10 tablet

2,120.00

PT. Bayer Indonesia

Botol

245,000.00

PT. Bayer Indonesia

Botol

123,200.00

PT. Bayer Indonesia

Botol

299,000.00

PT. Bayer Indonesia

Botol

150,300.00

PT. Indofarma

Dus, 5 blister @ 10 kss

1,425.00

PT. Indofarma

Dus, 5 blister @ 10 kss

2,470.00

PT. Sanbe Farma

Dus, 1 vial @2 ml

PT. Indofarma

Dus, 10 strip @ 10 tablet

PT. Tempo Scan Pacific

Strip

PT. Merck Tbk

Dus, 10 strip @ 10 tablet

4,500.00
3,499.00
4,499.00
149.00
1,329,163.00

510,000.00
88.00
694.00
1,580.00

PABRIK

KEMASAN

PT. Ethica Industri Farmasi

Ampul

7,800.00

PT. Dexa Medica

Dus, 3 Blister @ 10 tablet

4,900.00

PT. Dexa Medica

Dus, 3 Blister @ 10 tablet

3,100.00

PT. Boehringer Ingelheim

Boks, 120 tablet

PT. Indofarma

Dus, 10 strip @ 10 tablet

PT. Errita Pharma

Dus, 10 strip @10 tablet

80.00

PT. Indofarma

Dus, 10 strip @ 10 tablet

62.00

PT. Novartis Indonesia

Dus, botol @ 120 ml

44,770.00

Dus, 10 blister @ 10
tablet

245.00

PT. Lucas Djaja

Fenol 100 mg / 1 ml

2,042.00

PT. Guardian Pharmatama


PT. Kimia Farma

Vial @ 10 ml
tube 10 gr

PT. Novell Pharmaeutical Laboratories

Box isi 1 Tube @ 15 g

PT. Dexa Medica

Dus, 5 Strip @ 10 tablet

300.00

PT. Phapros, Tbk

Dus @ 12 Ampul
Dus, 3 Strip @ 10 Kaplet
salut selaput

2,300.00

PT. Indofarma

PT. Ifars Pharmaceutical Laboratories

HARGA

27,500.00
140.00

110,000.00
2,569.00
4,700.00

3,200.00

PT. Indofarma

Dus, 5 blister @ 10 kapsul

361.00

PT. Indofarma

Dus, 5 blister @ 10 kapsul

553.00

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

900.00

PT. Kimia Farma

Ktk 10X10 TAB

184.00

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 tab

3,400.00

PT. Phapros, Tbk


PT. Phapros, Tbk

Dus @ 30 Ampul
Dus @ 30 Ampul

1,100.00
1,050.00

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

5,000.00

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

1,550.00

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma

ktk 10x10 tablet


ktk 10x10 tablet
ktk 10x10 tablet

500.00
850.00
1,100.00

PT. Galenium Pharmasia Laboratories

Botol @ 60 ml

PT. Erela

Dus, 100 Sachet @ 30


Tablet

PT. Cendo Industri Farmasi

botol 15 ml

PT. Novartis Indonesia

Dus, 4 blister @ 6 tablet

PT. Novartis Indonesia

Dus, botol plastik @ 30


tablet salut selaput

12,450.00
42.00
15,750.00
3,220.00
8,900.00

PT. Glaxo Wellcome Indonesia

Dus, Botol 120 Dosis

90,667.00

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 dosis

100,833.00

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 dosis

113,333.00

PT. Holi Pharma

Dus, 10 strip @ 10 kaptab

149.00

PT. Kimia Farma

ktk 60 tablet

670.00

PABRIK

KEMASAN

PT. Kimia Farma

ktk 100 amp @ 2 ml

PT. Kimia Farma


PT. Kimia Farma
PT. Takeda Indonesia

ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial

PT. Indofarma

Dus, 2 strip @ 10 kapsul

HARGA
6,200.00
540.00
1,400.00
82,042.00
473.00

PT. SmithKline Beecham Phamaceuticals Dus, 7 Blister @ 10 tablet

67,200.00

PT. Finusolprima Farma Internasional

botol 500 ml

56,300.00

PT Otsuka Indonesia

Softbag 500 ML

67,400.00

PT Otsuka Indonesia

Softbag 500 ML

37,500.00

PT Otsuka Indonesia

Double Chamber Softbag


500 ML

61,600.00

PT Kalbe Farma

botol 500 mL

75,350.00

PT. Fresenius Kabi Combiphar

Botol Gelas 100 ml

36,667.00

PT. Fresenius Kabi Combiphar

Botol Gelas 250 ml

50,820.00

PT Otsuka Indonesia

Softbag 200 ML

46,000.00

PT Otsuka Indonesia

Softbag 500 ML

65,000.00

PT. Fresenius Kabi Combiphar

Botol Gelas 500 ml

78,720.00

PT. Finusolprima Farma Internasional

botol 250 ml

51,260.00

PT. Finusolprima Farma Internasional

botol 500 ml

64,900.00

PT Kalbe Farma

botol 500 mL

42,000.00

PT Kalbe Farma

botol 250 mL

46,000.00

PT. Fresenius Kabi Combiphar

Bag (3 Chamber) 1440 ml

295,240.00

PT. Fresenius Kabi Combiphar

Bag (3 Chamber) 1920 ml

343,842.00

PT. Phapros, Tbk

Bag Double chamber (Dua


compartement), 1000 mL

322,000.00

PT. Phapros, Tbk

Bag Double chamber (Dua


compartement), 1000 mL

218,700.00

PABRIK

KEMASAN

PT Otsuka Indonesia

Ampoel 25 ML

2,050.00

PT. Widatra Bhakti

Botol 1000 ml

8,000.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,000.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,000.00

PT Kalbe Farma

flexybag 250 mL

PT. Phapros, Tbk

LDPE (Low Density Poly


Ethilene), botol plastik

HARGA

87,000.00

12,650.00

PT Kalbe Farma

botol 500 mL

50,500.00

PT Kalbe Farma

Flexy bag 500 mL

42,350.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

29,167.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

55,500.00

PT Kalbe Farma

botol 500 mL

37,500.00

PT Kalbe Farma

Botol Plastik 1000 mL

PT Kalbe Farma

botol 500 mL

56,000.00

PT. Widatra Bhakti

Botol 500 ml

9,500.00

PT. Widatra Bhakti

Botol 500 ml

6,800.00

PT. Widatra Bhakti

Botol 500 ml

6,917.00

PT. Widatra Bhakti

Botol 500 ml

7,700.00

PT. Widatra Bhakti

Botol 500 ml

7,700.00

PT. Sanbe Farma

softbag 500ml

PT. Widatra Bhakti

Botol 500 ml

6,930.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,167.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

10,000.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

10,000.00

199,000.00

35,750.00

PABRIK
PT. Phapros, Tbk
PT. Fresenius Kabi Combiphar

KEMASAN
20%, Botol Kaca @100
ml, single bottle
Botol Gelas 100 ml

HARGA
105,500.00
60,500.00

PT. Phapros, Tbk

20%, Botol Kaca @250


ml, single bottle

210,000.00

PT. Phapros, Tbk

Bag, 3 chamber ( 3
kompartemen), 1250 ml

591,000.00

PT. Phapros, Tbk

Bag, 3 chamber ( 3
kompartemen), 1250 ml

511,000.00

PT. Phapros, Tbk

Bag, 3 chamber ( 3
kompartemen), 625 ml

358,000.00

PT Kalbe Farma

Flexy bag 100 mL

PT. Cendo Industri Farmasi


PT. Takeda Indonesia
PT. Takeda Indonesia

strip 5 x 0.6 ml
Vial
Vial

PT. Infion Pharmaceutical

Box, 1 Botol @ 100 ml

PT. Promedrahardjo Farmasi Industri

STRIP

528.00

PT. Bernofarm

Dus, 100 ampul @ 2 ml

839.00

PT. Indofarma

Dus, 30 ampul @ 2 ml

PT. AstraZeneca indonesia

Dus, 10 syringe @ 10 g

40,000.00

PT. Novell Pharmaeutical Laboratories

Box ,3 Strip @ 10 tablet

600.00

PT. Novell Pharmaeutical Laboratories

Box ,3 Strip @ 10 tablet

350.00

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

1,050.00

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

1,850.00

PT. Ifars Pharmaceutical Laboratories

Dus, 10 Strip @ 10 Tablet

PT. Promedrahardjo Farmasi Industri

STRIP

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

1,341.00

PT. Soho Industri Pharmasi

Strip

1,200.00

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

3,276.00

PT. Glaxo Wellcome Indonesia

Box, Tablet 2 mg/25's

PT. Bernofarm
PT. Mugi Laboratories
PT. Kimia Farma

Dus, 1 vial @ 1 g
Ampul
Botol 1000 ml

PT. Novartis Indonesia


PT. Mahakam Beta Farma
PT. Natura Laboratoria Prima
PT. Dexa Medica
PT. Kimia Farma
PT. Natura Laboratoria Prima

Dus, botol plastik @ 30


kapsul pelepasan lambat
Strip
Dus, 10 Blister @ 10
Tablet
Dus, 10 Blister @ 10
tablet
ktk 10 x 10 tablet
Dus, 1 Botol @ 100 ml

89,800.00
72,000.00
700,000.00
2,700,000.00
40,000.00

1,363.00

89.00
154.00

12,210.00
54,000.00
74,998.00
254,100.00
6,537.00
635.00
205.00
300.00
108.00
9,950.00

PABRIK
PT. Aventis Pharma

KEMASAN
Dus, 2 blister @ 5
suppositoria

HARGA
3,220.00

PT. Phyto Kemo Agung Farma

10 strip @ 10 tab

110.00

PT. Phyto Kemo Agung Farma

10 strip @ 10 tab

160.00

PT. Boehringer Ingelheim


PT. Boehringer Ingelheim
PT. Combiphar
PT. Kimia Farma
PT. Widatra Bhakti

Boks 10 amp
Boks 5 amp
Dus,1 vial@50mg
Tube 10 gram
10 mg /Vial

6,119.00
12,060.00
260,000.00
3,000.00
697,000.00

PT. Tempo Scan Pacific

botol, tetes mata 3 ml

77,000.00

PT. Guardian Pharmatama

tube 10 gram

17,820.00

PT. Kimia Farma

Dus 10 amp @ 1 ml

PT. Mahakam Beta Farma

Dus, 6 strip @ 10 tablet

15,620.00

PT. Mahakam Beta Farma

Dus, 6 strip @ 10 tablet

22,990.00

PT. Kimia Farma

Ktk 10 ampul @ 1ML

10,499.00

PT. Kimia Farma


PT. Widatra Bhakti
PT. Glaxo Wellcome Indonesia
PT. Glaxo Wellcome Indonesia
PT. Glaxo Wellcome Indonesia

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

8,400.00

1,300.00
4,700.00
54,144.00
66,640.00
94,962.00

PT. Pratapa Nirmala

Dus, 5 Ampul @ 2ml

PT Otsuka Indonesia

Ampoel 25 ML

PT. Novell Pharmaeutical Laboratories

Box ,5 Blister @ 10 tablet

200.00

Tube 5 gr
btl 60 tablet
blister
blister
Dus, 10 Strip @ 10 tablet
salut selaput
Dus @ 10 X 10 's
blister
Paket
Paket
Paket

6,490.00
2,800.00
2,999.00
3,500.00

PT. Molex Ayus


PT. Kimia Farma
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Dexa Medica
PT. Phapros, Tbk
PT. Bayer Indonesia
PT. Phapros, Tbk
PT. Indofarma
PT. Phapros, Tbk

61,600.00
6,200.00

100.00
640.00
2,618.00
359,900.00
1,199,990.00
214,900.00

PT. Indofarma

Dus, 3 blister @ 28 kss

PT. Novell Pharmaeutical Laboratories

Box ,5 Strip @ 10 tablet

400.00

PT. Novell Pharmaeutical Laboratories

Box ,5 Strip @ 10 tablet

650.00

PT. Merck Tbk

botol @ 10 ml

PT. Novartis Indonesia

Dus, vial @ 355m + 1


prefilled syringe pelarut @
2,5 ml + 2 jarum suntik

160,000.00

27,550.00
2,950,000.00

PT. Sandoz Indonesia


PT. Sandoz Indonesia

3 X 10 fcc
3 X 10 fcc

6,450.00
11,200.00

PT. Natura Laboratoria Prima

Dus, 1 Vial @ 40 mg

36,000.00

PT. Novapharin

strip

PT. Indofarma

Dus, 5 Ampul @ 2ml

PT. Yarindo Farmatama

Box 3 X 10 Tab

211.00
2,400.00
716.00

PABRIK
PT. Yarindo Farmatama

PT Kalbe Farma

PT Kalbe Farma

PT Kalbe Farma

KEMASAN
Box 3 X 10 Tab
Transfer Set: Set;
Ultaclam: Kantong Plastik;
Tenckoff Catheter: Box;
Titanium Adaptor: Kantong
Plastik
Set

Larutan Dialisa 1.5 %:


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

HARGA
1,189.00

1,902,240.00

219,540.00

5,522,580.00

PT. Afifarma

botol 60 ml

PT. Imfarmind Farmasi industri

Dus, 10 strip @ 10 kaptab

PT. Boehringer Ingelheim

Boks, 1 pfs

1,077,815.00

PT. Boehringer Ingelheim

Boks, 1 pfs

1,248,220.00

PT. Galenium Pharmasia Laboratories

Tube @ 10 g

11,475.00

PT. Kimia Farma

Ktk 10 ampx2ml

14,500.00

PT. Dexa Medica


PT. Dexa Medica
PT. Holi Pharma

30 TAB/BOX
30 TAB/BOX
Botol 60 ml

PT. Holi Pharma

Dus, 25 Blister @ 4 tablet

296.00

PT. Holi Pharma

Dus 10 strip @ 10 tablet

206.00

PT. Pratapa Nirmala


PT. Afifarma
PT. Afifarma
PT. Afifarma
PT. Boehringer Ingelheim
PT. Boehringer Ingelheim

Dus, Botol @ 10ml


botol @ 1000 ml
botol @ 30 ml
botol @ 300 ml
Dus, 3 alu blister @ 10
tablet
Dus, 3 alu blister @ 10
tablet

1,438.00
89.00

3,120.00
4,525.00
8,360.00

17,393.00
37,109.00
2,163.00
14,203.00
7,200.00
11,268.00

PT. Novell Pharmaeutical Laboratories

Box ,5 Strip @ 10 tablet

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

65.00

PT. Holi Pharma

Dus, 10 strip @ 10 tablet

106.00

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

17,391.00

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

19,500.00

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

23,185.00

PT. Dexa Medica

Dus, 10 Strip @ 10 kaptab

PT. Natura Laboratoria Prima

Dus, 10 Ampul @ 2 ml

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet


salut selaput

PT. Kimia Farma

Botol 50 kapsul lunak

PT. Widatra Bhakti

botol 500 ml

2,300.00

580.00
1,140.00
120.00
260.00
5,200.00

PABRIK

KEMASAN

HARGA

PT. Dexa Medica

Dus, 5 Blister @ 10 tablet

1,400.00

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

1,008.00

PT. Dexa Medica

Dus, 5 Blister @ 10 tablet

2,000.00

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet


lepas Lambat

5,248.00

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet


lepas Lambat

6,275.00

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet


lepas Lambat

7,383.00

PT. Glaxo Wellcome Indonesia

Dus, botol 200 dosis

63,750.00

PT. Glaxo Wellcome Indonesia

Dus, 10 Blister @ 10
Kapsul

431.00

PT. Glaxo Wellcome Indonesia

Dus, 1 Rotahaler

5,867.00

PT. Holi Pharma

Dus, Botol 60 ml

4,746.00

PT. Hexpharm Jaya Laboratories

Dus, 5 strip @ 10 kapsul

513.00

PT. Holi Pharma

Dus, 10 strip @ 10 kapsul

509.00

PT. Holi Pharma

Dus, Botol 60 ml

5,895.00

PT. Ifars Pharmaceutical Laboratories

Dus, 5 Strip @ 10 Kapsul

1,000.00

PT. Yarindo Farmatama

Box 2 Vial @ 1000mg

PT. Bernofarm

Dus, 10 blister @ 10
kapsul

48,060.00
859.00

PT. Ifars Pharmaceutical Laboratories

Dus, Botol 30 ml

8,800.00

PT. Natura Laboratoria Prima

Dus, 10 Vial @ 1 g

2,950.00

PT. Sandoz Indonesia

Dus, 3 blister @ 10 tablet

3,700.00

PT. Natura Laboratoria Prima

Dus, 10 Vial @ 1 g

3,300.00

PT. Glaxo Wellcome Indonesia

Dus, 1 Blister @ 10 Tablet


salut selaput

PT. Pertiwi Agung

Box, 10 strips @ 10
capsules

7,200.00
181.00

PT. Lucas Djaja

100 ampul @ 1 ml

PT. Novell Pharmaeutical Laboratories

vial

256,000.00

PT. Novell Pharmaeutical Laboratories

vial

82,000.00

PT. Novartis Indonesia


PT. Novartis Indonesia
PT. Natura Laboratoria Prima
PT. Natura Laboratoria Prima
PT. Dexa Medica
PT. Bernofarm

Dus, 10 blister
lunak
Dus, 10 blister
lunak
Dus, 3 Strip @
salut selaput
Dus, 3 Strip @
salut selaput
Vial 200 ml
Dus, 10 blister
ss

@ 5 kapsul
@ 5 kapsul
10 Kaplet
10 Kaplet

1,078.00

43,000.00
12,000.00
169.00
391.00
13,000.00

@ 10 tab

PT. Indofarma

Dus, 5 strip @ 10 tablet

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

255.00
1,499.00
900.00

PABRIK

KEMASAN

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

PT. Kimia Farma

dus 5 amp @ dus 10

PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Combiphar

HARGA

Pounch @ 5 blister @ 10
capsule
Dus, 1 pouch @5
blister@10 kaps
Box/ 2 blister @ 14 tablet
Box @ 2 blister @ 14
tablet

315.00
127,000.00
11,167.00
21,500.00
5,800.00
5,800.00

PT. Combiphar

Box/ 3 blister @ 10 Tablet

6,800.00

PT. Novartis Indonesia

Dus, 2 blister @ 14 tablet

28,500.00

PT. AstraZeneca indonesia

Dus, 2 pak @ 5 respules

6,250.00

Box 50's
Dus, 1 Turbuhaler @ 200
dosis
botol 5 ml

99.00

PT. Molex Ayus


PT. AstraZeneca indonesia
PT. Cendo Industri Farmasi
PT. Holi Pharma
PT. Merck Tbk
PT. Merck Tbk

Dus, 10 strip @ 10 kapsul


Dus, 10 blister @ 10
tablet
Dus, 10 blister @ 10
tablet

71,100.00
11,500.00
148.00
1,135.00
563.00

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml

9,128.00

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml

9,722.00

PT. Boehringer Ingelheim

Dus, 1 blister @10 kapsul


+ handihaler

PT. Natura Laboratoria Prima

Dus, 10 Ampul @ 2 ml

PT. Tempo Scan Pacific

botol, tetes mata 2,5 ml

PT. Aventis Pharma


PT. Darya Varia

Dus, botol plastik 120


dosis
strip

152,543.00
2,395.00
115,000.00
90,000.00
405.00

PT. Galenium Pharmasia Laboratories

tube

PT. Aventis Pharma

1 vial of 10ml (10 d's)

PT. Abbott Indonesia


PT. Abbott Indonesia

Tablet
Tablet

2,793.00
5,450.00

PT. Novartis Indonesia

Dus, 2 blister @ 14 tablet

3,900.00

PT. Novartis Indonesia

Dus, 2 blister @ 14 tablet

6,500.00

PT. Abbott Indonesia


PT. Kimia Farma
PT. Combiphar
PT. Mugi Laboratories

Tablet
Ktk 10X10 TAB
Vial 10mg/10ml
Dus, 1 vial @ 1 ml

PT. Kimia Farma

Dus 10 strip x 10 tab

PT. Kimia Farma

Botol 60 tablet
Drops 10 mg/ml, Botol
@15 ml
Dus, botol 60 ml
ktk 10 x 10 tablet

PT. Combiphar
PT. Meprofarm
PT. Kimia Farma

6,400.00
285,000.00

6,200.00
234.00
210,000.00
1,229,998.00

86.00

107.00
3,429.00
12,840.00
7,400.00
473.00

330.00

PABRIK

KEMASAN

HARGA
8.60
77.40
86.00
200,000.00
15,480,000.00
17,028,000.00
17,200,000.00
1,720,000.00
15,480,000.00
77.40
1,548,000.00
17,028,000.00

33.00
297.00
330.00
82,665,000.00

1.

Jawa Barat

ACT (Artesunate tablet 50 mg + Amodiaquine


anhydrida tablet 200 mg)

2.

Jawa Barat

Adefovir Dipivoksil tablet/kaplet 10 mg

3.

Jawa Barat

Albendazol suspensi 200 mg/5 ml

4.

Jawa Barat

Albendazol tablet/kapsul/kaplet 400 mg

5.

Jawa Barat

Alopurinol tablet/kapsul/kaplet 100 mg

6.

Jawa Barat

Alprazolam tablet/kapsul/kaplet 0,25 mg

7.
8.
9.
10.
11.

Jawa
Jawa
Jawa
Jawa
Jawa

Alprazolam tablet/kapsul/kaplet 0,5 mg


Alprazolam tablet/kapsul/kaplet 1 mg
Amfoterisin B salep mata 1%
Amikasin injeksi 250 mg/ml
Aminofilin injeksi 24 mg/ml

12.

Jawa Barat

Aminofilin tablet scored 200 mg

13.
14.
15.

Jawa Barat
Jawa Barat
Jawa Barat

Amiodaron injeksi 150 mg/3 ml


Amiodaron tablet/kaplet 200 mg
Amitriptilin tablet salut 25 mg (HCl)

16.

Jawa Barat

Amlodipin tablet 10 mg

17.

Jawa Barat

Amlodipin tablet 5 mg

18.

Jawa Barat

Amoksisilin kapsul/kaplet 250 mg

19.

Jawa Barat

Amoksisilin kapsul/kaplet/tablet scored 500 mg

20.
21.

Jawa Barat
Jawa Barat

Amoksisilin sirup kering forte 250 mg/5 ml


Amoksisilin sirup kering 125 mg/ 5 ml

22.

Jawa Barat

Analog insulin long acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glargine 100 IU/ml)

23.

Jawa Barat

Analog insulin mix acting inj 100 UI/ml, Analog insulin


mix acting inj 100 UI/ml (Premix 30% Insulin Aspart +
70% Protaminated Insulin Aspart (Analogue))

24.

Jawa Barat

Analog insulin mix insulininj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (25% insulin lispro, 75%
insulin lispro protamine suspension, (rDNA))

Barat
Barat
Barat
Barat
Barat

Jawa Barat

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
Aspart (Analogue))

26.

Jawa Barat

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
Aspart (Analogue))

27.

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glulisine 100
IU/ml)

28.

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin lispro (rDNA
origin))

29.

Jawa Barat

Anastrozol tablet/kapsul/kaplet 1 mg

30.

Jawa Barat

Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium Hidroksida
200 mg

31.

Jawa Barat

Anti Bakteri DOEN salep kombinasi: Basitrasin 500


IU/g Polimiksin 10.000 IU/g

32.

Jawa Barat

Antimalaria DOEN kombinasi : Pirimetamin 25 mg


Sulfadoksin 500 mg

33.

Jawa Barat

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

34.

Jawa Barat

35.
36.
37.
38.

Jawa
Jawa
Jawa
Jawa

39.

Jawa Barat

Asam Mefenamat kapsul/kaplet 500 mg

40.

Jawa Barat

Asam pipemidat kapsul 400 mg

41.

Jawa Barat

Asam traneksamat injeksi 100 mg/ml

42.

Jawa Barat

Asiklovir salep mata 3%

43.

Jawa Barat

Asiklovir tablet/kapsul/kaplet 200 mg

44.
45.

Jawa Barat
Jawa Barat

Asiklovir tablet/kapsul/kaplet 400 mg


Asparaginase serbuk injeksi 10.000 UI/vial

46.

Jawa Barat

Atapulgit tablet 600 mg

47.

Jawa Barat

Atrakurium injeksi 25 mg/2,5 ml

25.

Barat
Barat
Barat
Barat

Antiparkinson DOEN tablet kombinasi : Benserazid 25


mg Levodopa 100 mg
Artemether injeksi 80 mg/ml
Asam Askorbat (Vitamin C) tablet 50 mg
Asam Folat tablet/kapsul/kaplet 1 mg
Asam Ibandronat injeksi 6mg/6ml

48.

Jawa Barat

Atropin Sulfat tablet 0,5 mg

49.
50.
51.

Jawa Barat
Jawa Barat
Jawa Barat

Azitromisin sir kering 200 mg/ 5 mL


Azitromisin tablet 500 mg
Azitromisin tablet 250 mg

52.

Jawa Barat

Bedak salisil serbuk 2%

53.
54.
55.

Jawa Barat
Jawa Barat
Jawa Barat

Benzatin Benzil Penisilin 1,2 juta IU/ vial


Benzatin Benzil Penisilin 2,4 juta IU/vial
Beractant injeksi / suspensi 25 mg/mL

56.

Jawa Barat

Beraprost sodium tablet 20 mcg

57.

Jawa Barat

Beraprost sodium tablet 20 mcg

58.

Jawa Barat

Betametason krim 0,1% (sebagai Valerat)

59.

Jawa Barat

Bikalutamid tablet salut 150 mg

60.

Jawa Barat

Bikalutamid tablet salut 50 mg

61.
62.
63.

Jawa Barat
Jawa Barat
Jawa Barat

Bisakodil suppositoria 10 mg
Bisoprolol tablet 5 mg
Bromokriptin tablet 2,5 mg

64.

Jawa Barat

Budesonid inhaler 200 mcg/puff, 100 dosis

65.

Jawa Barat

Budesonid respules / cairan inhaler 0,25mg/mL

66.

Jawa Barat

Budesonid-formoterol (fixed combination) inhaler


160/4,5 mcg

67.

Jawa Barat

Budesonid-formoterol (fixed combination) inhaler


80/4,5 mcg

68.

Jawa Barat

Dabigatran eteksilat kapsul 75 mg

69.

Jawa Barat

Dabigatran eteksilat kapsul 110 mg

70.

Jawa Barat

Deferasiroks tablet disp/ eff 250 mg

71.

Jawa Barat

Deferasiroks tablet disp/ eff 500 mg

72.

Jawa Barat

Deferoksamin Mesilat serbuk injeksi 500 mg

73.

Jawa Barat

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

74.

Jawa Barat

Deksametason tablet 0,5 mg

75.

Jawa Barat

Desoksimetason krim 0,25%

76.
77.

Jawa Barat
Jawa Barat

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


Digoksin tablet 0,25 mg

78.

Jawa Barat

Diltiazem HCl tablet 30 mg

79.

Jawa Barat

Diltiazem infus injeksi 50 mg

80.
81.
82.
83.
84.

Jawa
Jawa
Jawa
Jawa
Jawa

Diltiazem injeksi 25 mg/5 mL


Diltiazem Kapsul SR 100 mg
Diltiazem Kapsul SR 200 mg
Dimenhidrinat tablet 50 mg
Dinatrium edetat tetes mata 0,35%

85.

Jawa Barat

Doksazosin mesilat tablet 1 mg

86.

Jawa Barat

Doksazosin mesilat tablet 2 mg

87.
88.
89.
90.
91.

Jawa
Jawa
Jawa
Jawa
Jawa

Doksorubisin serbuk injeksi i.v. 10 mg/vial


Doksorubisin serbuk injeksi i.v. 50 mg/vial
Domperidon suspensi/sirup 5 mg/5 ml
Domperidon tablet 10 mg
Domperidon tetes 5 mg/mL

92.

Jawa Barat

Dosetaksel injeksi 20 mg/0,5 ml

93.

Jawa Barat

Dutasterid kaps lunak 0,5 mg

94.

Jawa Barat

Eksemestan tablet 25 mg

95.

Jawa Barat

Enoksaparin sodium inj 20 mg/0,2 mL

96.

Jawa Barat

Enoksaparin sodium inj 40 mg/0,4 mL

97.

Jawa Barat

Enoksaparin sodium inj 60 mg/0,6 mL

98.

Jawa Barat

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

99.
100.

Jawa Barat
Jawa Barat

Epirubisin serb injeksi 50 mg/25ml


Epirubisin serb injeksi 10 mg/5 ml

101.

Jawa Barat

Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI

102.

Jawa Barat

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

103.

Jawa Barat

Eritromisin kapsul/kaplet 250 mg

104.

Jawa Barat

Eritromisin kapsul/kaplet 500 mg

105.

Jawa Barat

Eritromisin sirup kering 200 mg/ 5 ml

Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat

106.

Jawa Barat

Eritropoetin-alfa inj 3000 UI/mL

107.
108.
109.
110.

Jawa
Jawa
Jawa
Jawa

Eritropoetin-beta inj 2000 UI/0,3 mL


Etambutol tablet 250 mg (HCl)
Etambutol tablet salut 500 mg (HCl)
Etanol 70% cairan

111.

Jawa Barat

Etonogestrel implan 68 mcg

112.
113.

Jawa Barat
Jawa Barat

Etoposid injeksi 20 mg/ml


Eugenol cairan

114.

Jawa Barat

Everolimus tab 0,25 mg

115.

Jawa Barat

Everolimus tab 0,5 mg

116.

Jawa Barat

Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut


untuk injeksi

117.

Jawa Barat

Fenitoin injeksi 50 mg/ml

118.
119.

Jawa Barat
Jawa Barat

Fenitoin kapsul/kaplet 100 mg


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

120.

Jawa Barat

Fenofibrat kaps 100 mg

121.

Jawa Barat

Fenofibrat kaps 300 mg

122.

Jawa Barat

Fenoksimetil penisilin (penisilin V) tab 125 mg

123.

Jawa Barat

Fenoterol HBr inh solution 0,1%

124.

Jawa Barat

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

125.
126.
127.
128.
129.

Jawa
Jawa
Jawa
Jawa
Jawa

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


Fentanil patch 12,5 mcg/jam
Fentanil patch 25 mcg/jam
Fentanil patch 50 mcg/jam
Filgrastim inj 300 mcg/mL

130.

Jawa Barat

Fitomenadion (Vit.K1) tablet salut gula 10 mg

131.

Jawa Barat

Fludarabin inj 50 mg

132.

Jawa Barat

Fludarabin tab 10 mg

133.

Jawa Barat

Flufenazin injeksi i.m. 25 mg/ml

134.

Jawa Barat

Flukonazol injeksi 2 mg/ml

135.

Jawa Barat

Flukonazol tablet/kapsul 150 mg

Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat

136.
137.
138.
139.

Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat

140.

Jawa Barat

Flusinolon asetonid krim 0,025%

141.

Jawa Barat

Flutikason furoat intranasal spray

142.

Jawa Barat

Flutikason propionat nebules 0,5 mg

143.

Jawa Barat

Fondaparinuks inj 2,5 mg/0,5 mL

144.

Jawa Barat

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

145.

Jawa Barat

Furosemid tablet 40 mg

146.

Jawa Barat

Furosemid tablet 40 mg

147.

Jawa Barat

Gansiklovir serb inj 500 mg (50 mg/mL)

148.

Jawa Barat

Gefitinib tab 250 mg

149.

Jawa Barat

Gemfibrozil kapsul/kaplet 300 mg

150.

Jawa Barat

Gemfibrozil tablet 600 mg

151.
152.
153.
154.

Jawa
Jawa
Jawa
Jawa

Gemsitabin
Gemsitabin
Gentamisin
Gentamisin

155.

Jawa Barat

Gentamisin tetes mata 0,3%

156.

Jawa Barat

Glibenklamid tablet 5 mg

157.

Jawa Barat

Gliklazid tab 80 mg

158.

Jawa Barat

Glikuidon tab 30 mg

159.
160.
161.
162.
163.
164.
165.
166.
167.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Gliseril trinitrat kaps SR 2,5 mg
Gliseril trinitrat kaps SR 5 mg
Gliseril trinitrat tab sublingual 0,5 mg
Gliserin lar 50%
Glukosa larutan infus 10 % steril

Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Fluoksetin tablet 10 mg
Fluoksetin tablet 20 mg
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL

inj 1000 mg/vial


inj 200 mg/vial
injeksi 40 mg/ ml
salep mata 0,3%

168.

Jawa Barat

Glukosa larutan infus 5 % steril

169.

Jawa Barat

Goserelin asetat inj 10,8 mg/vial

170.

Jawa Barat

Goserelin asetat inj 3,6 mg

171.

Jawa Barat

Griseofulvin tablet 125 mg

172.

Jawa Barat

Haloperidol inj 50 mg/mL

173.

Jawa Barat

Haloperidol tablet 0,5 mg

174.

Jawa Barat

Haloperidol tablet 5 mg

175.

Jawa Barat

Haloperidol tablet 1,5 mg

176.

Jawa Barat

Haloperidol tablet 2 mg

177.

Jawa Barat

Halotan Inhalasi

178.

Jawa Barat

Hepatitis B imunoglobulin (human)

179.

Jawa Barat

Hiosin butilbromid injeksi 20 mg/ml

180.

Jawa Barat

Human insulin intermediate acting inj 100 UI/ml, vial


(Human Insulin (Intermediate-Acting))

181.

Jawa Barat

Human insulin intermediate acting inj 100 UI/ml, vial


(Insulin human Basal)

182.

Jawa Barat

Human insulin intermediate acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge

183.

Jawa Barat

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Human Insulin (IntermediateActing))

184.

Jawa Barat

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Insulin human Basal)

185.

Jawa Barat

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Insulin human Basal)

186.

Jawa Barat

Human insulin mix insulin inj 100 UI/ml, penfill


cartridge (Human Insulin (Premix: 30% Soluble + 70
% NPH Insulin))

187.

Jawa Barat

Human insulin mix insulin inj 100 UI/ml, penfill


cartridge (Insulin human Comb)

188.

Jawa Barat

Human insulin mix insulin inj 100 UI/ml, vial (Human


Insulin (Premix: 30% Soluble + 70 % NPH Insulin))

189.

Jawa Barat

Human insulin mix insulin inj 100 UI/ml, vial (Insulin


human Comb)

190.

Jawa Barat

Human insulin mix insulin inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge

191.

Jawa Barat

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Human Insulin (Short Acting))

192.

Jawa Barat

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Insulin human Rapd)

193.

Jawa Barat

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Insulin human Rapd)

194.

Jawa Barat

Human insulin short acting inj 100 UI/ml, vial (Human


Insulin (Short Acting))

195.

Jawa Barat

Human insulin short acting inj 100 UI/ml, vial (Insulin


human Rapd)

196.

Jawa Barat

197.
198.

Jawa Barat
Jawa Barat

Human insulin short acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
Ibuprofen sirup 100 mg/5 ml
Ibuprofen suspensi 200 mg/5 ml

199.

Jawa Barat

Ibuprofen tablet 400 mg

200.
201.
202.

Jawa Barat
Jawa Barat
Jawa Barat

203.

Jawa Barat

Ifosfamid serbuk injeksi 1000 mg/vial


Imidapril tab 10 mg
Imidapril tab 5 mg
Iopamidol 200-300 mg Iodium/mL (300mg @ vial
100ml)

204.

Jawa Barat

Iopamidol 200-300 mg Iodium/mL (300mg @ vial


30ml)

205.

Jawa Barat

Iopamidol 200-300 mg Iodium/mL (300mg @ vial


50ml)

206.

Jawa Barat

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


100ml)

207.

Jawa Barat

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


30ml)

208.

Jawa Barat

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


50ml)

209.

Jawa Barat

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

210.

Jawa Barat

Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)

211.

Jawa Barat

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

212.

Jawa Barat

Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)

213.

Jawa Barat

Irbesartan tab 150 mg

214.

Jawa Barat

Irbesartan tab 300 mg

215.

Jawa Barat

Irinotekan inf 20 mg/ml

216.

Jawa Barat

Isosorbid Dinitrat tablet sublingual 5 mg

217.

Jawa Barat

Kalium aspartat tab 300 mg

218.

Jawa Barat

Kalium Klorida tablet 600 mg

219.

Jawa Barat

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

220.

Jawa Barat

Kandesartan tab 16 mg

221.

Jawa Barat

Kandesartan tab 8 mg

222.

Jawa Barat

Kapesitabin tab 500 mg

223.

Jawa Barat

Kaptopril tablet 50 mg

224.

Jawa Barat

Kaptopril tablet scored 25 mg

225.

Jawa Barat

Kaptopril tablet scored12,5 mg

226.

Jawa Barat

Karbamazepin sirup 100 mg/5 ml

227.

Jawa Barat

Karbamazepin tablet 200 mg

228.
229.

Jawa Barat
Jawa Barat

Karbogliserin tetes telinga 10%


Ketamin injeksi i.v. 100 mg/ml

230.

Jawa Barat

Ketokonazol krim 2%

231.

Jawa Barat

Ketokonazol krim 2%

232.

Jawa Barat

Ketokonazol tablet 200 mg

233.

Jawa Barat

Ketorolac injeksi 30 mg/ml

234.

Jawa Barat

Klaritromisin tab 500 mg

235.

Jawa Barat

Klindamisin kapsul/kaplet 150 mg

236.

Jawa Barat

Klindamisin kapsul/kaplet 300 mg

237.

Jawa Barat

Klobazam tab 10 mg

238.

Jawa Barat

Klonidin tablet 0,15 mg

239.

Jawa Barat

Klopidogrel tab 75 mg

240.
241.

Jawa Barat
Jawa Barat

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


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

242.

Jawa Barat

Klozapin 100 mg

243.

Jawa Barat

Klozapin 25 mg

244.
245.
246.

Jawa Barat
Jawa Barat
Jawa Barat

Kodein tablet 10 mg
Kodein tablet 15 mg
Kodein tablet 20 mg

247.

Jawa Barat

Kombinasi suspensi : Parafin + gliserin + fenolftalein

248.

Jawa Barat

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg


Asam folat 0,25 mg

249.

Jawa Barat

Kombinasi tetes mata 2,5 mg/mL: Natrium klorida


8,664 mg; Kalium klorida 1,32 mg

250.

Jawa Barat

Kombinasi: Artemether 20 mg; Lumefantrin 120 mg

251.

Jawa Barat

Kombinasi: Levodopa 100 mg; Karbidopa 25 mg;


Entekapon 200 mg

252.

Jawa Barat

Kombinasi: Salmeterol 25 mcg; Flutikason propionat


50 mcg

253.

Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason propionat


100 mcg

254.

Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason propionat


250 mcg

255.

Jawa Barat

256.
257.
258.
259.
260.

Jawa
Jawa
Jawa
Jawa
Jawa

261.

Jawa Barat

Lanzoprazol kapsul/kaplet 30 mg

262.

Jawa Barat

Lapatinib tab 250 mg

263.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


10%)

Barat
Barat
Barat
Barat
Barat

Kotrimoksazol DOEN I (dewasa) kombinasi :


Sulfametoksazol 400 mg Trimetoprim 80 mg
Kuinin (Kina) tablet 200 mg
Kuinin injeksi i.v. 25% (sebagai 2 HCl)
Kuinin tablet 222 mg (H2SO4.7H2O)
Lamivudine tablet 150 mg
Lansoprazol inj 30 mg/ml

264.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 100


g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)

265.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 27 g,


Sorbitol 50 g, Cl- 52 mEq)

266.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 30 g,


Glukosa 7,3 % dan elektrolit) 1000 ml

267.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 30 g,


Glukosa 7,3 % dan elektrolit) 500 ml

268.

Jawa Barat

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)

269.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 6%,


mengandung Taurine 0,24 gr/l)

270.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 7%,


Komposisi: Asam Amino esensial: Asam Amino non
esensial = 60 : 40)

271.

Jawa Barat

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)

272.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 79.9


g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

273.

Jawa Barat

Larutan mengandung Asam Amino (Asam amino 8%)

274.

Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


esensial 7%+Xylitol 10 g/L)

275.

Jawa Barat

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

276.

Jawa Barat

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)

277.

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi Asam


amino 50 g/L, vitamin dan elektrolit)

278.

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi Asam


Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit
(Kalori = 1000 kkal, Akses peripheral))

279.

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi Asam


Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan
Elektrolit (Kalori = 1400 kkal, Akses peripheral))

280.

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi


Glukosa dan elektrolit 150 gr + Asam Amino 48 gr
dgn akses sentral)

281.

Jawa Barat

Larutan mengandung Asam Amino (Kombinasi


Glukosa dan elektrolit 80 gr + Asam Amino 40 gr )

282.

Jawa Barat

Larutan mengandung Elektrolit (Kalium Klorida)

283.

Jawa Barat

Larutan mengandung Elektrolit (Larutan Ringer


Laktat)

284.

Jawa Barat

Larutan mengandung Elektrolit (Na 130 mEq, Cl 109


mEq, Ca 3 mEq, Asetat 28 mEq)

285.

Jawa Barat

Larutan mengandung Elektrolit (NaCl 1.125 gr,


Dekstrosa 18.75 gr)

Jawa Barat

Larutan mengandung Elektrolit (Sodium Lactate sol


(50%) 113 gr/L, Potassium Chloride 0.3 gr/L, Calcium
Chloride 0.2 gr/L, elektrolit)

287.

Jawa Barat

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)

288.

Jawa Barat

Larutan mengandung Karbohidrat (Fructose 120 g,


glucose 66 g, Xylitol 60 g/ L + elektrolit)

289.

Jawa Barat

Larutan mengandung Karbohidrat (Fructose 60 g,


glucose 33 g, Xylitol 30 g/ L)

290.

Jawa Barat

Larutan mengandung Karbohidrat (Maltose 100 gr)

291.

Jawa Barat

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)

292.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L)

293.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Asam


amino 28 gr/L, Glukosa 100 gr/L, elektrolit)

286.

294.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Asam


amino 28 gr/L, Glukosa 75 gr/L, elektrolit)

295.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)

296.

Jawa Barat

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)

297.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa 55 g ; Natrium Chloride 9 g, air untuk injeksi
ad 1000 ml)

298.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 25,0 g; NaCl: 4,5 g)

299.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 2.25 g)

300.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 4.5 g)

301.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


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

302.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Larutan Ringer & Glukosa 5%)

303.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (NaCl


1.75 g, KCL 1.5g, Glukosa 100 gr)

304.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Nacl


1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27
gr)

305.

Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Nacl


2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27
gr)

306.

Jawa Barat

Larutan mengandung Lipid ( Infus Lipid Emulsi


MCT/LCT 20% 100 ml)

307.

Jawa Barat

Larutan mengandung Lipid (Emulsi lemak 20%)

308.

Jawa Barat

Larutan mengandung Lipid (Infus Lipid Emulsi


MCT/LCT 20% 250 ml)

309.

Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa dan


elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50 gr
dgn akses sentral)

310.

Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa dan


elektrolit 80 gr + Asam Amino 40 gr + Lipid MCT/LCT
50 gr)

311.

Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa dan


elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr
dgn akses sentral)

312.

Jawa Barat

Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg


Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate
0.3 gr/L)

313.
314.
315.
316.

Jawa
Jawa
Jawa
Jawa

Latanoprost tetes mata 0,01%


Leuprorelin asetat inj depot 1,88 mg
Leuprorelin asetat inj depot 11,25 mg
Levofloksasin inf 5 mg/mL

317.

Jawa Barat

Levofloksasin tablet 500 mg

318.

Jawa Barat

Lidokain injeksi 2% (HCL)

319.

Jawa Barat

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

320.

Jawa Barat

Lidokain jeli 2%

321.

Jawa Barat

Lisinopril tablet 10 mg

322.

Jawa Barat

Lisinopril tablet 5 mg

323.

Jawa Barat

Litium karbonat tablet 200 mg

324.

Jawa Barat

Litium karbonat tablet 400 mg

325.

Jawa Barat

Loperamid tablet 2 mg

326.

Jawa Barat

Loratadin tablet 10 mg

327.

Jawa Barat

Lorazepam tablet 2 mg

328.

Jawa Barat

Maprotilin HCl tab 25 mg

329.

Jawa Barat

Maprotilin HCl tab 50 mg

330.

Jawa Barat

Melfalan tablet 2 mg

331.
332.
333.

Jawa Barat
Jawa Barat
Jawa Barat

Meropenem inj 1 g
Mesna inj 100 mg/mL
Metadon sir 50mg/5ml

334.

Jawa Barat

Metilfenidat kapsul LA 20 mg

335.

Jawa Barat

Metilprednisolon tablet 16 mg

Barat
Barat
Barat
Barat

336.

Jawa Barat

Metilprednisolon tablet 4 mg

337.

Jawa Barat

Metilprednisolon tablet 8 mg

338.

Jawa Barat

Metoklopramide tablet 5 mg

339.

Jawa Barat

Metronidazol infus 500 mg/100 ml

340.

Jawa Barat

Metronidazol supositoria 500 mg

341.

Jawa Barat

Metronidazol tablet 250 mg

342.

Jawa Barat

Metronidazol tablet 500 mg

343.

Jawa Barat

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

344.
345.
346.
347.
348.

Jawa
Jawa
Jawa
Jawa
Jawa

Midazolam injeksi i.v. 1 mg/ml


Midazolam injeksi i.v. 5 mg/ml
Mikafungin Na serb inj 50 mg
Mikonazol krim/salep 2 % (Nitrat)
Mitomisin C (crystallin) serbuk inj 10 mg/vial

349.

Jawa Barat

Moksifloksasin tetes mata 0,5%

350.
351.

Jawa Barat
Jawa Barat

Mometason furoat krim 0,1%


Morfin HCL inj 10 mg/ml

352.

Jawa Barat

Morfin HCL tablet SR 10 mg

353.

Jawa Barat

Morfin HCL tablet SR 15 mg

354.
355.
356.

Jawa Barat
Jawa Barat
Jawa Barat

Morfin injeksi i.m./s.k./i.v. 10 mg/ml


Morfin tablet 10 mg
Nacl 0,9%

357.

Jawa Barat

Nadroparin inj 9500 Axa/mL syringe 0,3 mL

358.

Jawa Barat

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

359.

Jawa Barat

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

360.
361.

Jawa Barat
Jawa Barat

Nalokson injeksi 0,4 mg/ml


Natrium Bikarbonat injeksi i.v 8,4%

362.

Jawa Barat

Natrium Diklofenak tablet 50 mg

363.
364.
365.
366.

Jawa
Jawa
Jawa
Jawa

Natrium fosfat lar oral 45 mL


Natrium fusidat salep 20 mg/g
Nevirapin tablet 200 mg
Nifedipin tab 20 mg, slow release; oros

Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat

367.

Jawa Barat

Nifedipin tab 30 mg, oros

368.

Jawa Barat

Nifedipin tablet/kapsul 10 mg

369.
370.
371.
372.
373.

Jawa
Jawa
Jawa
Jawa
Jawa

Nistatin tablet salut 500.000 IU/ g


Noretisteron tablet 5 mg
Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori 2
Obat Antituberkulosis FDC Kategori Anak

374.

Jawa Barat

Obat Antituberkulosis FDC Sisipan

375.

Jawa Barat

Obat Antituberkulosis Kategori 1 dewasa

376.

Jawa Barat

Obat Antituberkulosis Kategori anak

377.

Jawa Barat

Ofloxacin tablet 200 mg

378.

Jawa Barat

Ofloxacin tablet 400 mg

379.

Jawa Barat

Oksimetazolin tetes hidung 0,025%

380.

Jawa Barat

Oktreotid 10 mg

381.
382.
383.

Jawa Barat
Jawa Barat
Jawa Barat

Olanzapin inj 10 mg/vial


Olanzapin kapl salut 5 mg
Olanzapin tab 10 mg

384.

Jawa Barat

Omeprazol injeksi 40 mg/ 10 ml

385.
386.
387.
388.

Jawa
Jawa
Jawa
Jawa

Omeprazol kapsul/kaplet 20 mg
ondansetron inj 4 mg/ 2 mL
Ondansetron tab 4 mg
Ondansetron tablet 8 mg

Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat

389.

Jawa Barat

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2


unit Ultaclam, 1 unit Tenckoff Catheter, Titanium
Adaptor)

390.

Jawa Barat

Paket CAPD Pergantian Transfer Set per 6 bulan

391.

Jawa Barat

Paket CAPD Rutin 120 ( 4x ganti cairan perhari


dengan komposisi Larutan Dialisa 1.5 %, Larutan
Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)

392.

Jawa Barat

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

393.

Jawa Barat

Parasetamol sirup 120 mg / 5 ml

394.

Jawa Barat

Parasetamol tablet 500 mg

395.

Jawa Barat

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

396.

Jawa Barat

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

397.

Jawa Barat

Permetrin krim 5%

398.

Jawa Barat

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

399.
400.
401.

Jawa Barat
Jawa Barat
Jawa Barat

Pioglitazon tab 15 mg
Pioglitazon tab 30 mg
Pirantel suspensi 125 mg/5 ml

402.

Jawa Barat

Pirantel tablet score (base) 125 mg

403.

Jawa Barat

Pirazinamid tablet 500 mg

404.
405.
406.
407.

Jawa
Jawa
Jawa
Jawa

Polikresulen cairan
Povidon Iodida larutan 10% 1000 ml
Povidon Iodida larutan 10% 30 ml
Povidon Iodida larutan 10% 300 ml

408.

Jawa Barat

Pramipeksol tab ER 0,375 mg

409.

Jawa Barat

Pramipeksol tab ER 0,750 mg

410.

Jawa Barat

Pravastatin tablet 20 mg

Barat
Barat
Barat
Barat

411.

Jawa Barat

Propanolol tablet 10 mg ( HCl )

412.

Jawa Barat

Propranolol tablet 40 mg (HCl)

413.

Jawa Barat

Quetiapin tab 200 mg

414.

Jawa Barat

Quetiapin tab 300 mg

415.

Jawa Barat

Quetiapin tab 400 mg

416.

Jawa Barat

Ramipril tablet 5 mg

417.

Jawa Barat

Ranitidin injeksi 25 mg/2 ml

418.

Jawa Barat

Ranitidin tablet 150 mg

419.
420.

Jawa Barat
Jawa Barat

Retinol (Vitamin A) 100.000 IU


Ringer Laktat larutan infus

421.

Jawa Barat

Risperidon tablet 1 mg

422.

Jawa Barat

Risperidon tablet 2 mg

423.

Jawa Barat

Risperidon tablet 3 mg

424.
425.
426.

Jawa Barat
Jawa Barat
Jawa Barat

Rivaroksaban tab 10 mg
Rivaroksaban tab 15 mg
Rivaroksaban tab 20 mg

427.

Jawa Barat

Ropinirol Tablet Salut 2 mg

428.

Jawa Barat

Ropinirol Tablet Salut 4 mg

429.

Jawa Barat

Ropinirol Tablet Salut 8 mg

430.

Jawa Barat

Salbutamol inhalasi/aerosol 100 mcg/dosis

431.

Jawa Barat

Salbutamol serb inh 200 mcg/kaps

432.

Jawa Barat

Salbutamol serb inh 200 mcg/kaps + rotahaler

433.

Jawa Barat

Sefadroksil sirup kering 125 mg/5ml

434.

Jawa Barat

Sefadroksil kapsul/kaplet 250 mg

435.

Jawa Barat

Sefadroksil kapsul/kaplet 500 mg

436.

Jawa Barat

Sefadroksil sir kering 250 mg/5 mL

437.

Jawa Barat

Sefaleksin kapsul/kaplet 500 mg

438.

Jawa Barat

Sefepim inj 1 g

439.

Jawa Barat

Sefiksim kapsul/kaplet 100 mg

440.

Jawa Barat

Sefiksim sirup kering 100 mg/ 5 ml

441.

Jawa Barat

Sefotaksim injeksi 1 g

442.

Jawa Barat

Sefpodoksim proksetil tab 100 mg

443.

Jawa Barat

Seftriakson serbuk injeksi 1 g/vial

444.

Jawa Barat

Sefuroksim tab 500 mg

445.

Jawa Barat

Setirizin tablet 10 mg

446.

Jawa Barat

Sianokobalamin (vitamin B12) injeksi 500 mcg

447.

Jawa Barat

Siklofosfamid serbuk injeksi i.v. 1000 mg

448.

Jawa Barat

Siklofosfamid serbuk injeksi i.v. 200 mg

449.

Jawa Barat

Siklosporin kaps 100 mg

450.

Jawa Barat

Siklosporin kapsul lunak 25 mg

451.

Jawa Barat

Simvastatin scored tablet 10 mg

452.

Jawa Barat

Simvastatin tablet 20 mg

453.

Jawa Barat

Siprofloksasin infus 2%

454.

Jawa Barat

Siprofloksasin tablet 500 mg (sebagai HCl)

455.

Jawa Barat

Spiramisin tablet 500 mg

456.

Jawa Barat

Spironolakton tablet 100 mg

457.

Jawa Barat

Spironolakton tablet 25 mg

458.

Jawa Barat

Streptokinase injeksi 1,5 juta UI/vial

459.

Jawa Barat

Sufentanil injeksi iv, epidural 5 mcg/ml

460.

Jawa Barat

Takrolimus kaps 0.5 mg

461.

Jawa Barat

Takrolimus kaps 1 mg

462.

Jawa Barat

Tamsulosin tab 0,2 mg

463.

Jawa Barat

Tamsulosin tab 0,2 mg

464.

Jawa Barat

Tamsulosin tab SR 0,4 mg

465.

Jawa Barat

Telbivudin tab 600 mg

466.

Jawa Barat

Terbutalin cairan ih 2,5 mg/mL

467.

Jawa Barat

Terbutalin tablet 2,5 mg

468.

Jawa Barat

Terbutalin turbu (serbuk ih) 0,50 mg

469.

Jawa Barat

Tetrakain HCl tetes mata 0,5%

470.

Jawa Barat

Tetrasiklin kapsul/kaplet 250 mg

471.

Jawa Barat

Tiamazol tab 10 mg

472.

Jawa Barat

Tiamazol tab 5 mg

473.

Jawa Barat

Timolol tetes mata 0,25%

474.

Jawa Barat

Timolol tetes mata 0,5%

475.

Jawa Barat

Tiotropium kaps 18 mcg + handihaller

476.

Jawa Barat

Tramadol injeksi 50 mg/ml

477.

Jawa Barat

Travoprost tetes mata 0,004%

478.

Jawa Barat

Triamsinolon asetonid nasal spray 55 mcg/puff

479.

Jawa Barat

Trifluoperazin tablet 5 mg

480.

Jawa Barat

Urea krim 10%

481.

Jawa Barat

482.
483.

Jawa Barat
Jawa Barat

Vaksin polio inj (Vaksin Poliomyelitis yang


diinaktifkan)
Valproat tab SR 250 mg
Valproat tab SR 500 mg

484.

Jawa Barat

Valsartan tab 80 mg

485.

Jawa Barat

Valsartan tab 160 mg

486.
487.
488.
489.
490.
491.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat
Barat

Verapamil tab 240 mg


Verapamil tablet 80 mg (HCl)
Vinblastin serbuk injeksi 10 mg
Vinorelbin inj. 10 mg/ml
Vitamin B Kompleks tablet
Zidovudin 300 mg + Lamivudine 150 mg

492.

Jawa Barat

Zinc drop 10 mg/mL

493.
494.

Jawa Barat
Jawa Barat

Zinc sir 20 mg/5 Ml


Zinc tablet dispersible20 mg

n/a

PT. Kimia Farma

Hepsera

PT. SmithKline Beecham Phamaceuticals

n/a

PT. Indofarma

n/a

PT. Holi Pharma

n/a

PT. Pertiwi Agung

n/a

PT. Dexa Medica

n/a
n/a
Fungicide
Glybotic 250 mg /ml
n/a

PT.
PT.
PT.
PT.
PT.

n/a

PT. Marin Liza Farmasi

Cordarone
Kendaron Tablet
n/a

PT. Aventis Pharma


PT. Darya Varia
PT. Indofarma

n/a

PT. Pertiwi Agung

n/a

PT. Pertiwi Agung

n/a

PT. Novapharin

n/a

PT. Bernofarm

n/a
n/a

PT. Holi Pharma


PT. Novapharin

Lantus Solostar 100IU/ml 5pens


x3ml

PT. Aventis Pharma

Novomix Flexpen

PT. Ferron Par Pharmaceuticals

Humalog Mix 25

PT. Tempo Scan Pacific

Otto Pharmaceuticals
Kimia Farma
Cendo Industri Farmasi
Sanbe Farma
Lucas Djaja

Novorapid Flexpen

PT. Ferron Par Pharmaceuticals

Novorapid Vial

PT. Ferron Par Pharmaceuticals

Apidra Solostar 100IU/ml 5pens


x3ml

PT. Aventis Pharma

Humalog

PT. Tempo Scan Pacific

Arimidex 1 mg

PT. AstraZeneca indonesia

n/a

PT. Promedrahardjo Farmasi Industri

n/a

PT. Indofarma

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

Levopar Tablet

PT. Meprofarm

Artem
n/a
n/a
Bondronat

PT.
PT.
PT.
PT.

n/a

PT. Bernofarm

Urotractin 400 mg

PT. Sanbe Farma

n/a

PT. Hexpharm Jaya Laboratories

Temiral Eye Oint

PT. Sanbe Farma

n/a

PT. Indofarma

n/a
Leunase

PT. Kimia Farma


PT. Widatra Bhakti

Pularex

PT. Zenith Pharmaceuticals

Tracrium

PT. Glaxo Wellcome Indonesia

Kimia Farma
Kimia Farma
Marin Liza Farmasi
Boehringer Ingelheim

n/a

PT. Indofarma

n/a
n/a
n/a

PT. Soho Industri Pharmasi


PT. Kimia Farma
PT. Soho Industri Pharmasi

n/a

PT. Rama Emerald Multi Sukses

n/a
n/a
Survanta

PT. Phapros, Tbk


PT. Phapros, Tbk
PT. Abbott Indonesia

Dorner 20 g

PT. Combiphar

Dorner

PT. Combiphar

n/a

PT. Kimia Farma

Casodex 150 mg

PT. AstraZeneca indonesia

Casodex 50 mg

PT. AstraZeneca indonesia

Stolax supp
n/a
Cripsa tab

PT. Sanbe Farma


PT. Pratapa Nirmala
PT. Caprifarmindo

Pulmicort Turbuhaler

PT. AstraZeneca indonesia

Pulmicort Respules

PT. AstraZeneca indonesia

Symbicort Turbuhaler 160/4.5 mcg

PT. AstraZeneca indonesia

Symbicort 80/4.5 mcg

PT. AstraZeneca indonesia

Pradaxa

PT. Boehringer Ingelheim

Pradaxa

PT. Boehringer Ingelheim

Exjade 250 mg Tab

PT. Novartis Indonesia

Exjade 500 mg Tab

PT. Novartis Indonesia

Desferal

PT. Novartis Indonesia

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Dexa Medica

n/a
n/a

PT. Lucas Djaja


PT. Yarindo Farmatama

n/a

PT. Indofarma

Herbesser Powder Injection 50mg

PT. Tanabe Indonesia

Farmabes Injeksi 25 mg
Herbesser CD 100
Herbesser CD 200
n/a
E.D.T.A

PT.
PT.
PT.
PT.
PT.

Cardura 1mg

PT. Pfizer Indonesia

Cardura 2mg

PT. Pfizer Indonesia

Doxorubicin Actavis 10 mg
Doxorubicin Actavis 50 mg
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.

n/a

PT. Sanbe Farma

Avodart

PT. SmithKline Beecham Phamaceuticals

Aromasin

PT. Pfizer Indonesia

Lovenox 2000 ANTI-XA

PT. Aventis Pharma

Lovenox 4000 ANTI-XA

PT. Aventis Pharma

Lovenox 6000 ANTI-XA

PT. Aventis Pharma

n/a

PT. Phapros, Tbk

Epirubisin Kalbe
n/a

PT Kalbe Farma
PT. Sanbe Farma

D-Vit FT

PT. Gracia Pharmindo

D-Vit Syrup

PT. Gracia Pharmindo

n/a

PT. Kimia Farma

n/a

PT. Indofarma

n/a

PT. Phyto Kemo Agung Farma

Pratapa Nirmala
Tanabe Indonesia
Tanabe Indonesia
Kimia Farma
Cendo Industri Farmasi

Actavis Indonesia
Actavis Indonesia
Novapharin
Novapharin
Bernofarm

Hemapo 3000

PT Kalbe Farma

Recormon
n/a
n/a
n/a

PT.
PT.
PT.
PT.

Implanon

PT. Merck Sharp Dohme Pharma Tbk

Posyd
n/a

PT. Combiphar
PT. Kimia Farma

Certican 0,25 mg Tab

PT. Novartis Indonesia

Certican 0,5 mg Tab

PT. Novartis Indonesia

Novoseven

PT. Ferron Par Pharmaceuticals

n/a

PT. Mersifarma Tirmaku Mercusana

n/a
n/a

PT. Ikapharmindo
PT. Phapros, Tbk

n/a

PT. Hexpharm Jaya Laboratories

n/a

PT. Hexpharm Jaya Laboratories

Fenocin

PT. Actavis Indonesia

Berotec Solution

PT. Boehringer Ingelheim

n/a

PT. Kimia Farma

n/a
Durogesic 12,5 MU Matrix
Durogesic 25 MU Matrix
Durogesic 50 MU Matrix
Leucogen

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT Kalbe Farma

n/a

PT. Marin Liza Farmasi

Fludara IV LYO

PT. Aventis Pharma

Fludara Oral

PT. Aventis Pharma

Sikzonoate Injeksi

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Kimia Farma

Boehringer Ingelheim
Kimia Farma
Indofarma
Novapharin

Foransi 10
NOPRES
Curacil
Curacil

PT. Gracia Pharmindo


PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma

SYNARCUS

PT. Ifars Pharmaceutical Laboratories

Avamys

PT. Glaxo Wellcome Indonesia

Flixotide Nbules

PT. Glaxo Wellcome Indonesia

Arixtra

PT. Glaxo Wellcome Indonesia

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Sampharindo Perdana

Cymevene

PT. Boehringer Ingelheim

Iressa 250 mg

PT. AstraZeneca indonesia

n/a

PT. Indofarma

n/a

PT. Indofarma

Gemzar 1000 mg
n/a
n/a
Genoint Salep Mata

PT.
PT.
PT.
PT.

n/a

PT. Indofarma

n/a

PT. Indofarma

Glicab

PT. Tempo Scan Pacific

n/a

PT. Dexa Medica

n/a
n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte
Nitral
Gliserin lar 50%
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Bayer Indonesia
Sanbe Farma
Indofarma
Erela

Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Actavis Indonesia
Lucas Djaja
Widatra Bhakti

n/a

PT. Widatra Bhakti

Zoladex 10,8 mg

PT. AstraZeneca indonesia

Zoladex 3,6 mg

PT. AstraZeneca indonesia

n/a

PT. Indofarma

Haldol Decanoas

PT. Soho Industri Pharmasi

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Indofarma

Lodomer 2

PT. Mersifarma Tirmaku Mercusana

Halothane

PT. Dexa Medica

Hyperhep B

PT. Dipa Pharmalab

n/a

PT. Otto Pharmaceuticals

Insulatard Vial

PT. Ferron Par Pharmaceuticals

Humulin N Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

Insulatard Penfill

PT. Ferron Par Pharmaceuticals

Sansulin N

PT. Sanbe Farma

Humulin N Cart

PT. Bayer Indonesia

Mixtard Penfill

PT. Ferron Par Pharmaceuticals

Humulin 30/70 Cart

PT. Bayer Indonesia

Mixtard Vial

PT. Ferron Par Pharmaceuticals

Humulin 30/70 Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

Actrapid Penfill

PT. Ferron Par Pharmaceuticals

Humulin R Cart

PT. Bayer Indonesia

Sansulin R

PT. Sanbe Farma

Actrapid Vial

PT. Ferron Par Pharmaceuticals

Humulin R Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

n/a
n/a

PT. Indofarma
PT. Indofarma

n/a

PT. Holi Pharma

Holoxan injeksi 1000


Tanapress 10mg
Tanapress 5mg

PT. Mugi Laboratories


PT. Tanabe Indonesia
PT. Tanabe Indonesia

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Ultravist 300/100 mg

PT. Bayer Indonesia

Ultravist 300/50 mg

PT. Bayer Indonesia

Ultravist 370/100 mg

PT. Bayer Indonesia

Ultravist 370/50 mg

PT. Bayer Indonesia

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Sanbe Farma

n/a

PT. Indofarma

Kalipar

PT. Tempo Scan Pacific

KSR

PT. Merck Tbk

Kalsium glukonat

PT. Ethica Industri Farmasi

n/a

PT. Dexa Medica

n/a

PT. Dexa Medica

Xeloda

PT. Boehringer Ingelheim

n/a

PT. Indofarma

n/a

PT. Errita Pharma

n/a

PT. Indofarma

Tegretol Syrup 100mg/5ml, 120ml

PT. Novartis Indonesia

n/a

PT. Indofarma

Karbogliserin tetes telinga 10%


KTM

PT. Lucas Djaja


PT. Guardian Pharmatama

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Kimia Farma

n/a

PT. Dexa Medica

n/a

PT. Phapros, Tbk

ORIXAL

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Dexa Medica

n/a

PT. Kimia Farma

n/a

PT. Hexpharm Jaya Laboratories

n/a
n/a

PT. Phapros, Tbk


PT. Phapros, Tbk

n/a

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Mersifarma Tirmaku Mercusana

n/a
n/a
n/a

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma

Laxadine Emulsi 60 ml

PT. Galenium Pharmasia Laboratories

n/a

PT. Erela

Cendo Lyteers

PT. Cendo Industri Farmasi

Coartem

PT. Novartis Indonesia

Stalevo

PT. Novartis Indonesia

Seretide Inhaler 50 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 100 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 250 mcg

PT. Glaxo Wellcome Indonesia

n/a

PT. Holi Pharma

n/a
n/a
n/a
n/a
Prosogan Inj.

PT.
PT.
PT.
PT.
PT.

n/a

PT. Indofarma

Tykerb

PT. SmithKline Beecham Phamaceuticals

Kalbamin

PT. Finusolprima Farma Internasional

Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Takeda Indonesia

Amiparen

PT Otsuka Indonesia

Pan-amin G

PT Otsuka Indonesia

Aminofluid

PT Otsuka Indonesia

Aminofluid

PT Otsuka Indonesia

Aminofusin Hepar

PT Kalbe Farma

Aminosteril Infant 6%

PT. Fresenius Kabi Combiphar

Nephrosteril

PT. Fresenius Kabi Combiphar

Kidmin

PT Otsuka Indonesia

Aminoleban

PT Otsuka Indonesia

Aminosteril N-Hepa

PT. Fresenius Kabi Combiphar

Eas Pfrimer

PT. Finusolprima Farma Internasional

Comafusin Hepar

PT. Finusolprima Farma Internasional

Aminofusin L600

PT Kalbe Farma

Aminofusin Paed

PT Kalbe Farma

Kabiven 1440 ml

PT. Fresenius Kabi Combiphar

Kabiven 1920 ml

PT. Fresenius Kabi Combiphar

Combiflex Plus (790 kcal)

PT. Phapros, Tbk

Combiflex peri (480 kcal)

PT. Phapros, Tbk

Otsu - KCl 7,46%

PT Otsuka Indonesia

Wida RL

PT. Widatra Bhakti

Asering

PT Otsuka Indonesia

KA EN 1B

PT Otsuka Indonesia

Totilac

PT Kalbe Farma

Ringerfundin 500 mL

PT. Phapros, Tbk

Triofusin 1000

PT Kalbe Farma

Triofusin 500

PT Kalbe Farma

Martos

PT Otsuka Indonesia

Potacol inj

PT Otsuka Indonesia

Tutofusin OPS

PT Kalbe Farma

Clinimix N9G20E

PT Kalbe Farma

Clinimix N9G15E

PT Kalbe Farma

Triofusin E1000

PT Kalbe Farma

Wida HSD

PT. Widatra Bhakti

Wida D5-NS

PT. Widatra Bhakti

WIDA 2A

PT. Widatra Bhakti

WIDA D5-1/4NS

PT. Widatra Bhakti

WIDA D5-1/2NS

PT. Widatra Bhakti

Futrolit

PT. Sanbe Farma

Wida RD

PT. Widatra Bhakti

KA ENMG 3

PT Otsuka Indonesia

KA EN 3B

PT Otsuka Indonesia

KA EN 3A

PT Otsuka Indonesia

Lipofundin MCT/LCT 1% 100

PT. Phapros, Tbk

Intralipid

PT. Fresenius Kabi Combiphar

Lipofundin MCT/LCT 1% 250

PT. Phapros, Tbk

Nutriflex Lipid Special 1250

PT. Phapros, Tbk

Nutriflex Lipid Peri 1250

PT. Phapros, Tbk

Nutriflex Lipid Special 625

PT. Phapros, Tbk

Ivelip

PT Kalbe Farma

Cendo Glaopen
Tapros 1.88mg
Tapros 3M
n/a

PT.
PT.
PT.
PT.

n/a

PT. Promedrahardjo Farmasi Industri

n/a

PT. Bernofarm

n/a

PT. Indofarma

Xylocaine Jelly 2%

PT. AstraZeneca indonesia

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Novell Pharmaeutical Laboratories

Frimania 200

PT. Mersifarma Tirmaku Mercusana

Frimania 400

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Promedrahardjo Farmasi Industri

Merlopam 2

PT. Mersifarma Tirmaku Mercusana

Ludios

PT. Soho Industri Pharmasi

Sandepril 50

PT. Mersifarma Tirmaku Mercusana

Alkeran

PT. Glaxo Wellcome Indonesia

n/a
Uromitexan injeksi.
n/a

PT. Bernofarm
PT. Mugi Laboratories
PT. Kimia Farma

Ritalin LA

PT. Novartis Indonesia

n/a

PT. Mahakam Beta Farma

Cendo Industri Farmasi


Takeda Indonesia
Takeda Indonesia
Infion Pharmaceutical

n/a

PT. Natura Laboratoria Prima

n/a

PT. Dexa Medica

n/a

PT. Kimia Farma

n/a

PT. Natura Laboratoria Prima

Flagyl

PT. Aventis Pharma

n/a

PT. Phyto Kemo Agung Farma

n/a

PT. Phyto Kemo Agung Farma

Cardioscan KaeF

PT. Kimia Farma

Dormicum
Dormicum
Mycamine
n/a
Mitomycin C

PT.
PT.
PT.
PT.
PT.

Vigamox

PT. Tempo Scan Pacific

n/a
n/a

PT. Guardian Pharmatama


PT. Kimia Farma

MST Continus 10 mg

PT. Mahakam Beta Farma

MST Continus 15 mg

PT. Mahakam Beta Farma

n/a
n/a
n/a

PT. Kimia Farma


PT. Kimia Farma
PT. Widatra Bhakti

Fraxiparine 0.3 ml

PT. Glaxo Wellcome Indonesia

Fraxiparine 0.4 ml

PT. Glaxo Wellcome Indonesia

Fraxiparine 0.6 ml

PT. Glaxo Wellcome Indonesia

Nokoba
Meylon

PT. Pratapa Nirmala


PT Otsuka Indonesia

n/a

PT. Novell Pharmaeutical Laboratories

Fleet Phosphosoda
Fucilex Ointment
n/a
Adalat Oros 20 mg

PT.
PT.
PT.
PT.

Boehringer Ingelheim
Boehringer Ingelheim
Combiphar
Kimia Farma
Widatra Bhakti

Combiphar
Molex Ayus
Kimia Farma
Bayer Indonesia

Adalat Oros 30 mg

PT. Bayer Indonesia

n/a

PT. Dexa Medica

n/a
Primolut N
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Novell Pharmaeutical Laboratories

Ilaidin Drops

PT. Merck Tbk

Sandostatin LAR

PT. Novartis Indonesia

Zyprexa IM
Olandoz 5
Olandoz 10

PT. Bayer Indonesia


PT. Sandoz Indonesia
PT. Sandoz Indonesia

n/a

PT. Natura Laboratoria Prima

n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.

Phapros, Tbk
Bayer Indonesia
Phapros, Tbk
Indofarma
Phapros, Tbk

Novapharin
Indofarma
Yarindo Farmatama
Yarindo Farmatama

n/a

PT Kalbe Farma

n/a

PT Kalbe Farma

Larutan Dialisa 1.5%: Dianeal Low


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

PT. Indofarma

n/a

PT. Afifarma

n/a

PT. Imfarmind Farmasi industri

Pegasys

PT. Boehringer Ingelheim

Pegasys

PT. Boehringer Ingelheim

Scabimite Cream 10

PT. Galenium Pharmasia Laboratories

n/a

PT. Kimia Farma

DECULIN 15 MG
DECULIN 30 MG
n/a

PT. Dexa Medica


PT. Dexa Medica
PT. Holi Pharma

n/a

PT. Holi Pharma

n/a

PT. Holi Pharma

Aptil
n/a
n/a
n/a

PT.
PT.
PT.
PT.

Sifrol ER 0,375mg

PT. Boehringer Ingelheim

Sifrol ER 0,750mg

PT. Boehringer Ingelheim

n/a

PT. Novell Pharmaeutical Laboratories

Pratapa Nirmala
Afifarma
Afifarma
Afifarma

n/a

PT. Dexa Medica

n/a

PT. Holi Pharma

Seroquel XR 200 mg

PT. AstraZeneca indonesia

Seroquel XR 300 mg

PT. AstraZeneca indonesia

Seroquel XR 400 mg

PT. AstraZeneca indonesia

n/a

PT. Dexa Medica

n/a

PT. Natura Laboratoria Prima

n/a

PT. Dexa Medica

n/a
n/a

PT. Kimia Farma


PT. Widatra Bhakti

n/a

PT. Dexa Medica

n/a

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Dexa Medica

Xarelto 10 mg
Xarelto 15 mg
Xarelto 20 mg

PT. Bayer Indonesia


PT. Bayer Indonesia
PT. Bayer Indonesia

Requip PD 24 Hour 2 mg

PT. Glaxo Wellcome Indonesia

Requip PD 24 Hour 4 mg

PT. Glaxo Wellcome Indonesia

Requip PD 24 Hour 8 mg

PT. Glaxo Wellcome Indonesia

Ventolin Inhaler

PT. Glaxo Wellcome Indonesia

Ventolin Rotacaps

PT. Glaxo Wellcome Indonesia

Ventolin Rotahaler

PT. Glaxo Wellcome Indonesia

n/a

PT. Holi Pharma

n/a

PT. Hexpharm Jaya Laboratories

n/a

PT. Holi Pharma

n/a

PT. Holi Pharma

n/a

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Yarindo Farmatama

n/a

PT. Bernofarm

n/a

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Natura Laboratoria Prima

Banadoz 100

PT. Sandoz Indonesia

n/a

PT. Natura Laboratoria Prima

Zinnat 500

PT. Glaxo Wellcome Indonesia

n/a

PT. Pertiwi Agung

n/a

PT. Lucas Djaja

Cyclovid 1000 mg

PT. Novell Pharmaeutical Laboratories

Cyclovid 200 mg

PT. Novell Pharmaeutical Laboratories

Sandimmun Neoral 100mg Kap

PT. Novartis Indonesia

Sandimmun Neoral 25mg Kap

PT. Novartis Indonesia

n/a

PT. Natura Laboratoria Prima

n/a

PT. Natura Laboratoria Prima

n/a

PT. Dexa Medica

n/a

PT. Bernofarm

n/a

PT. Indofarma

n/a

PT. Dexa Medica

n/a

PT. Dexa Medica

Streptase
PT. Dexa Medica
Sufentanyl Injeksi iv.Epidural 5 mcg
PT. Kimia Farma
/ ml
Prograf

PT. Combiphar

Prograf

PT. Combiphar

Harnal D

PT. Combiphar

Harnal D 0.2 mg Disp. Tablet

PT. Combiphar

Harnal OCAS 0.4 mg Tablet

PT. Combiphar

Sebivo 600 mg Tab

PT. Novartis Indonesia

Bricasma Respules

PT. AstraZeneca indonesia

Molasma Tablet

PT. Molex Ayus

Bricasma Turbuhaler 0,5 mg

PT. AstraZeneca indonesia

Pantocain 0.5%

PT. Cendo Industri Farmasi

n/a

PT. Holi Pharma

Thyrozol 10

PT. Merck Tbk

Thyrozol 5

PT. Merck Tbk

Isotic Adretor 0,25%

PT. Pratapa Nirmala

Isotic Adretor 0,5%

PT. Pratapa Nirmala

Spiriva 10s + Handihaler

PT. Boehringer Ingelheim

n/a

PT. Natura Laboratoria Prima

Travatan

PT. Tempo Scan Pacific

Nasacort AQ

PT. Aventis Pharma

n/a

PT. Darya Varia

Soft U Derm

PT. Galenium Pharmasia Laboratories

Imovax Polio

PT. Aventis Pharma

Depakote ER 250 mg
Depakote ER 500 mg

PT. Abbott Indonesia


PT. Abbott Indonesia

Diovan 80mg Tab

PT. Novartis Indonesia

DIOVAN 160 MG

PT. Novartis Indonesia

Isoptin 240 mg
n/a
Vinblastine
Navelbine injeksi 10
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

Abbott Indonesia
Kimia Farma
Combiphar
Mugi Laboratories
Kimia Farma
Kimia Farma

Zincpro Drops

PT. Combiphar

Zircum Kid Sirup


n/a

PT. Meprofarm
PT. Kimia Farma

1 blister@24 tablet

1,375.00

Download

Download

Dus, 3 Blister @ 10
kapsul

27,500.00

Download

Download

Dus, 10 dus @ 1 botol @


3,849.00
10 ml

Download

Download

Dus, 5 strip @ 6 tablet

338.00

Download

Download

Box, 10 strips @ 10
tablets

86.00

Download

Download

380.00

Download

Download

176.00
233.00
18,500.00
50,500.00
3,822.00

Download
Download
Download
Download
Download

Download
Download
Download
Download
Download

90.00

Download

Download

12,480.00
1,200.00
112.00

Download
Download
Download

Download
Download
Download

330.00

Download

Download

187.00

Download

Download

211.00

Download

Download

272.00

Download

Download

4,045.00
2,445.00

Download
Download

Download
Download

dus, 5 solostar pen @


3ml

85,000.00

Download

Download

Injeksi 100 IU/ml,


Flexpen disposible 3 ml
(1 box isi 5 flexpen
disposible)

106,000.00

Download

Download

Penfill cartridge

97,500.00

Download

Download

Dus, 10 Strip @ 10
tablet
strip
Ktk 10x10 tablet
tube 3.5 gr
Vial 2 ml
dus 30 ampul @10 ml
Botol @ 100 tablet salut
selaput
Dus, 6 ampul @ 3 ml
strip
Dus, 10 strip @ 10 tss
Box, 3 strips @ 10
tablets
Box, 3 strips @ 10
tablets
strip
Dus, 10 strip @ 10
kaptab
Dus, Botol 60 ml
btl @ 60 ml

Injeksi 100 IU/ml,


Flexpen disposible 3 ml
(1 box isi 5 flexpen
disposible)

85,345.00

Download

Download

Dus, vial 10 ml

200,000.00

Download

Download

dus, 5 solostar pen @


3ml

79,165.00

Download

Download

Penfill cartridge

79,167.00

Download

Download

Dus, 2 blister @ 14
Tablet

32,000.00

Download

Download

STRIP

75.00

Download

Download

Dus, 25 tube @ 5 g

2,516.00

Download

Download

ktk 10 x 10 tablet

520.00

Download

Download

Btl 100 tablet

135.00

Download

Download

Dus, 5 strip @ 10 tablet 1,500.00

Download

Download

Dus 6 amp @ 1ml


Dus 10 strip x 10 tab
Botol @ 100 tablet
Boks, 1 ampul
Dus, 10 blister @ 10
kaptab ss
Strip

22,000.00
95.00
48.00
2,209,000.00

Download
Download
Download
Download

Download
Download
Download
Download

112.00

Download

Download

1,815.00

Download

Download

Dus, 10 ampul @ 5 ml

3,334.00

Download

Download

Tube 3,5 gram


Dus, 10 blister @ 10
tablet
ktk 10x10 tablet
10.000 UI/Vial

24,750.00

Download

Download

237.00

Download

Download

345.00
1,039,500.00

Download
Download

Download
Download

Dus 5 strip @ 10 tablet

190.00

Download

Download

Dus, 5 ampul @ 2.5 ml

20,000.00

Download

Download

Dus, 10 strip @ 10 tablet 74.00

Download

Download

botol @ 60 ml
ktk 2x10 tablet
Strip

34,400.00
4,500.00
3,333.00

Download
Download
Download

Download
Download
Download

Dus @ 50 gram

1,250.00

Download

Download

Dus @ 10 Vial
Dus @ 10 Vial
Vial
Box/ 3 blister @ 10
Tablet

9,800.00
13,400.00
3,200,000.00

Download
Download
Download

Download
Download
Download

3,600.00

Download

Download

3,600.00

Download

Download

1,520.00

Download

Download

72,400.00

Download

Download

Download

Download

Download
Download
Download

Download
Download
Download

Download

Download

Dus, 4 pak @ 5 respules


8,900.00
@ 2 ml

Download

Download

Dus, 1 Turbuhaler @ 120


117,600.00
dosis

Download

Download

Dus, 1 Turbuhaler @ 60
dosis

110,500.00

Download

Download

Dus, 3 blister @ 10
kapsul

12,936.00

Download

Download

Dus, 3 blister @ 10
kapsul

12,936.00

Download

Download

Dus, 4 blister @ 7 tablet 76,000.00

Download

Download

Dus, 4 blister @ 7 tablet 150,000.00

Download

Download

Dus, 10 vial @ 500mg

112,000.00

Download

Download

Dus, 100 ampul @ 1 ml

1,580.00

Download

Download

Dus, 10 blister @ 10
tablet

68.00

Download

Download

Kotak, tube @ 15 gram

9,983.00

Download

Download

Box @ 3 blister @ 10
Tablet
Tube 5 gr
Dus, 2 blister @ 14
Tablet

Dus, 2 blister @ 14
45,000.00
Tablet
Supp
6,045.00
Box 3 X 10 tab
645.00
Box 3 x 10'S
247,089.00
Dus, 1 Turbuhaler @ 100
93,000.00
dosis

ampul @ 1 ml
Box 10 X 10 Tab

1,054.00
97.00

Download
Download

Download
Download

Dus, 10 strip @ 10 tablet 134.00

Download

Download

10 vial @ 50mg

127,667.00

Download

Download

Vial 5 mL
3 blister @ 10 kapsul
3 blister @ 10 kapsul
Btl 100 tablet
botol 15 ml

46,667.00
3,667.00
4,015.00
104.00
37,500.00

Download
Download
Download
Download
Download

Download
Download
Download
Download
Download

Dus, 5 blister @10's tab 3,480.00

Download

Download

Dus, 5 blister @10's tab 5,480.00

Download

Download

Dus, 1 vial @ 10 mg
Dus, 1 vial @ 50 mg
btl @ 60 ml
strip
Dus, botol @ 10 ml
Dus, 1 vial @0,5 ml+ 1
vial pelarut @1,5 ml

55,500.00
274,125.00
3,333.00
167.00
15,600.00

Download
Download
Download
Download
Download

Download
Download
Download
Download
Download

970,200.00

Download

Download

Dus, Botol Plastik @ 30


Tablet

7,100.00

Download

Download

Dus, 2 blister @ 15
tablet

42,600.00

Download

Download

dus, 2 prefilled syringe


@ 0,2 ml

40,740.00

Download

Download

dus, 2 prefilled syringe


@ 0,4 ml

71,875.00

Download

Download

dus, 2 prefilled syringe


@ 0,6 ml

100,000.00

Download

Download

Dus @ 30 Ampul

8,100.00

Download

Download

Vial @ 25 ml
Dus, 1 vial @5 ml
Dus 3 strip @ 10 Flash
tablet

500,000.00
128,000.00

Download
Download

Download
Download

650.00

Download

Download

Download

Download

Download

Download

Dus, 10 blister @ 10 kss 930.00

Download

Download

Botol @60 ml

Download

Download

Dus, Botol Plastik @ 100


8,000.00
mL
ktk 10 x 10 kapsul
497.00

7,700.00

Prefilled Syringe @ 1ml

128,000.00

Download

Download

Boks, 6 ampul
ktk 20 x 10 tablet
Dus, 10 strip @ 10 tss
btl @ 100 ml
Dus, 1 blister @ 1
subdermal implant
Vial 100mg/5ml
Botol 10 ml
Dus, 6 blister @ 10
tablet

139,500.00
314.00
451.00
2,500.00

Download
Download
Download
Download

Download
Download
Download
Download

128,779.00

Download

Download

100,000.00
16,667.00

Download
Download

Download
Download

11,813.00

Download

Download

23,250.00

Download

Download

KOTAK @ 1 VIAL SERBUK


9,200,000.00
OBAT & INFUSION KIT

Download

Download

KOTAK @ 10 ampul

20,250.00

Download

Download

Botol @ 100
Dus @ 30 Ampul

133.00
1,800.00

Download
Download

Download
Download

Dus, 3 strip @ 10 kapsul 1,075.00

Download

Download

Dus, 3 strip @ 10 kapsul 1,375.00

Download

Download

Dus 45 x 12 tab

Download

Download

Dus, Canister 200 dosis 117,500.00

Download

Download

Dus 5 ampul@ 10ml

128,000.00

Download

Download

Dus 5 ampul@ 2ml


Dus @ 5 patch
Dus@ 5 patch
Dus@ 5 patch
pfs @ 0,5 ml
Botol @ 100 tablet salut
gula
Dus, 5 vial @ 50 mg
Dus, 4 blister @ 5 tablet
salut selaput

33,914.00
80,000.00
153,000.00
285,000.00
375,000.00

Download
Download
Download
Download
Download

Download
Download
Download
Download
Download

634.00

Download

Download

1,248,319.00

Download

Download

275,000.00

Download

Download

Dus, 5 ampul @ 1ml

55,000.00

Download

Download

Botol

38,000.00

Download

Download

ktk 1 x 10 kapsul

22,000.00

Download

Download

Dus, 6 blister @ 10
tablet

235.00

strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml

419.00
410.00
24,500.00
33,000.00

Download
Download
Download
Download

Download
Download
Download
Download

Dus, Tube 5 g

2,400.00

Download

Download

Dus, Botol 120 Dosis


Spay

93,333.00

Download

Download

Dus, 2 flow wrap@ 5


12,917.00
nebules @ 1 dosis (2ml)

Download

Download

Dus, 2 pfs 0.5 ml

241,667.00

Download

Download

Dus, 25 ampul @ 2 ml

1,829.00

Download

Download

Dus, 10 strip @ 10 tablet 85.00

Download

Download

Dus, 10 strip @ 10 tablet 78.00

Download

Download

Boks, 1 ampul
Dus, 1 blister @ 10
tablet

399,500.00

Download

Download

295,000.00

Download

Download

289.00

Download

Download

679.00

Download

Download

1,098,900.00
330,000.00
3,399.00
2,600.00

Download
Download
Download
Download

Download
Download
Download
Download

3,194.00

Download

Download

56.00

Download

Download

235.00

Download

Download

950.00

Download

Download

265.00
436.00
404.00
430.00
1,493.00
2,171.00
1,500.00
5,333.00
5,700.00

Download
Download
Download
Download
Download
Download
Download
Download
Download

Download
Download
Download
Download
Download
Download
Download
Download
Download

Dus, 10 blister @ 12
kapsul
Dus, 10 blister @ 10
kaptab
vial
Dus, 1 vial @200 mg
Dus, 5 ampul @ 2 ml
Tube @ 3,5 gr
Dus, botol plastik 5 ml
Dus, 10 blister @ 10
kaptab
Strip
Dus, 10 Strip @ 10
tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Dus 10x10
Dus 10x10
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml

botol @ 500 ml
Dus, 1 syringe @ 10.8
mg

5,200.00

Download

Download

2,300,000.00

Download

Download

Download

Download

219.00

Download

Download

83,333.00

Download

Download

59.00

Download

Download

Dus, 10 blister @ 10
tablet

96.00

Download

Download

Dus, 10 blister @ 10
tablet

69.00

Download

Download

KOTAK @ 10 x 10 TAB

126.00

Download

Download

Botol

641,500.00

Download

Download

Dus, 1 syringe @ 0.5 mL 1,328,000.00

Download

Download

box 5ampul @1 ml

4,500.00

Download

Download

Dus, vial 10 ml

138,000.00

Download

Download

Dus, vial 10 ml

138,000.00

Download

Download

Dus, 1 Vial @ 5 ml

72,000.00

Download

Download

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 76,125.00
5 penfill disposible)

Download

Download

penfillcartridge @ 3ml

75,000.00

Download

Download

Dus Isi 5 penfill/cartridge


76,125.00
@ 3ml

Download

Download

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 76,125.00
5 penfill disposible)

Download

Download

Dus Isi 5 penfill/cartridge


76,125.00
@ 3ml

Download

Download

Dus, 1 syringe @ 3.6 mg 840,000.00


Dus, 10 blister @ 10
tablet
Dus 5 Ampul@1mL
Dus, 10 blister @ 10
tablet

Dus, vial 10 ml

138,000.00

Download

Download

Dus, vial 10 ml

138,000.00

Download

Download

Dus, 1 Vial @ 5 ml

72,000.00

Download

Download

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 76,125.00
5 penfill disposible)

Download

Download

Dus Isi 5 penfill/cartridge


76,125.00
@ 3ml

Download

Download

penfill cartridge @ 3ml

75,000.00

Download

Download

Dus, vial 10 ml

138,000.00

Download

Download

Dus, vial 10 ml

138,000.00

Download

Download

Dus, 1 Vial @ 5 ml

72,000.00

Download

Download

Dus, botol 60 ml
Dus, botol 60 ml

3,499.00
4,499.00

Download
Download

Download
Download

Dus, 10 strip @ 10 tablet 149.00

Download

Download

Dus, 1 vial @ 1 g
3 blister @ 10 tablet
3 blister @ 10 tablet

1,329,163.00
3,908.00
2,120.00

Download
Download
Download

Download
Download
Download

Dus, botol @ 100 ml

350,000.00

Download

Download

Dus, vial @ 30 ml

122,000.00

Download

Download

Dus, vial @ 50 ml

166,000.00

Download

Download

Dus, botol @ 100 ml

369,000.00

Download

Download

Dus, vial @ 30 ml

147,000.00

Download

Download

Dus, vial @ 50 ml

199,000.00

Download

Download

Botol

245,000.00

Download

Download

Botol

123,200.00

Download

Download

Botol

299,000.00

Download

Download

Botol

150,300.00

Download

Download

Dus, 5 blister @ 10 kss

1,425.00

Download

Download

Dus, 5 blister @ 10 kss

2,470.00

Download

Download

Dus, 1 vial @2 ml

510,000.00

Download

Download

Dus, 10 strip @ 10 tablet 88.00

Download

Download

Strip

Download

Download

Dus, 10 strip @ 10 tablet 1,580.00

Download

Download

Ampul
Dus, 3 Blister @ 10
tablet

7,800.00

Download

Download

4,900.00

Download

Download

3,100.00

Download

Download

27,500.00

Download

Download

Dus, 10 strip @ 10 tablet 140.00

Download

Download

Dus, 10 strip @10 tablet 80.00

Download

Download

Dus, 10 strip @ 10 tablet 62.00

Download

Download

Dus, botol @ 120 ml

44,770.00

Download

Download

245.00

Download

Download

2,042.00
110,000.00

Download
Download

Download
Download

Box isi 1 Tube @ 15 g

4,700.00

Download

Download

tube 10 gr

2,569.00

Download

Download

Dus, 5 Strip @ 10 tablet 300.00

Download

Download

Dus @ 12 Ampul
2,300.00
Dus, 3 Strip @ 10 Kaplet
3,200.00
salut selaput

Download

Download

Download

Download

Dus, 3 Blister @ 10
tablet
Boks, 120 tablet

Dus, 10 blister @ 10
tablet
Fenol 100 mg / 1 ml
Vial @ 10 ml

694.00

Dus, 5 blister @ 10
kapsul

361.00

Download

Download

Dus, 5 blister @ 10
kapsul

553.00

Download

Download

Dus, 10 Strip @ 10
tablet
Ktk 10X10 TAB

900.00

Download

Download

184.00

Download

Download

Dus, 3 strip @ 10 tab

3,400.00

Download

Download

Dus @ 30 Ampul
Dus @ 30 Ampul

1,100.00
1,050.00

Download
Download

Download
Download

KOTAK @ 5 x 10 TAB

5,000.00

Download

Download

KOTAK @ 5 x 10 TAB

1,550.00

Download

Download

ktk 10x10 tablet


ktk 10x10 tablet
ktk 10x10 tablet

500.00
850.00
1,100.00

Download
Download
Download

Download
Download
Download

Botol @ 60 ml

12,450.00

Download

Download

Dus, 100 Sachet @ 30


Tablet

42.00

Download

Download

botol 15 ml

15,750.00

Download

Download

Dus, 4 blister @ 6 tablet 3,220.00

Download

Download

Dus, botol plastik @ 30


tablet salut selaput

8,900.00

Download

Download

Dus, Botol 120 Dosis

90,667.00

Download

Download

Dus, foil strip @ 60 dosis 100,833.00

Download

Download

Dus, foil strip @ 60 dosis 113,333.00

Download

Download

149.00

Download

Download

670.00
6,200.00
540.00
1,400.00
82,042.00

Download
Download
Download
Download
Download

Download
Download
Download
Download
Download

Dus, 2 strip @ 10 kapsul 473.00

Download

Download

Dus, 7 Blister @ 10
tablet

67,200.00

Download

Download

botol 500 ml

56,300.00

Download

Download

Dus, 10 strip @ 10
kaptab
ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial

Softbag 500 ML

67,400.00

Download

Download

Softbag 500 ML

37,500.00

Download

Download

Double Chamber Softbag


115,500.00
1000 ML

Download

Download

Double Chamber Softbag


61,600.00
500 ML

Download

Download

botol 500 mL

75,350.00

Download

Download

Botol Gelas 100 ml

36,667.00

Download

Download

Botol Gelas 250 ml

50,820.00

Download

Download

Softbag 200 ML

46,000.00

Download

Download

Softbag 500 ML

65,000.00

Download

Download

Botol Gelas 500 ml

78,720.00

Download

Download

botol 250 ml

51,260.00

Download

Download

botol 500 ml

64,900.00

Download

Download

botol 500 mL

42,000.00

Download

Download

botol 250 mL

46,000.00

Download

Download

Bag (3 Chamber) 1440


ml

295,240.00

Download

Download

Bag (3 Chamber) 1920


ml

343,842.00

Download

Download

Bag Double chamber


(Dua compartement),
1000 mL

322,000.00

Download

Download

Bag Double chamber


(Dua compartement),
1000 mL

218,700.00

Download

Download

Ampoel 25 ML

2,050.00

Download

Download

Botol 1000 ml

8,000.00

Download

Download

Plastic Bottle 500 ML

9,000.00

Download

Download

Plastic Bottle 500 ML

9,000.00

Download

Download

flexybag 250 mL

87,000.00

Download

Download

LDPE (Low Density Poly


Ethilene), botol plastik

12,650.00

Download

Download

botol 500 mL

50,500.00

Download

Download

Flexy bag 500 mL

42,350.00

Download

Download

Plastic Bottle 500 ML

29,167.00

Download

Download

Plastic Bottle 500 ML

55,500.00

Download

Download

botol 500 mL

37,500.00

Download

Download

Botol Plastik 1000 mL

210,000.00

Download

Download

Botol Plastik 1000 mL

199,000.00

Download

Download

botol 500 mL

56,000.00

Download

Download

Botol 500 ml

9,500.00

Download

Download

Botol 500 ml

6,800.00

Download

Download

Botol 500 ml

6,917.00

Download

Download

Botol 500 ml

7,700.00

Download

Download

Botol 500 ml

7,700.00

Download

Download

softbag 500ml

35,750.00

Download

Download

Botol 500 ml

6,930.00

Download

Download

Plastic Bottle 500 ML

9,167.00

Download

Download

Plastic Bottle 500 ML

10,000.00

Download

Download

Plastic Bottle 500 ML

10,000.00

Download

Download

20%, Botol Kaca @100


ml, single bottle

105,500.00

Download

Download

Botol Gelas 100 ml

60,500.00

Download

Download

20%, Botol Kaca @250


ml, single bottle

210,000.00

Download

Download

Bag, 3 chamber ( 3
591,000.00
kompartemen), 1250 ml

Download

Download

Bag, 3 chamber ( 3
511,000.00
kompartemen), 1250 ml

Download

Download

Bag, 3 chamber ( 3
kompartemen), 625 ml

358,000.00

Download

Download

Flexy bag 100 mL

89,800.00

Download

Download

strip 5 x 0.6 ml
Vial
Vial
Box, 1 Botol @ 100 ml

72,000.00
700,000.00
2,700,000.00
40,000.00

Download
Download
Download
Download

Download
Download
Download
Download

STRIP

528.00

Download

Download

Dus, 100 ampul @ 2 ml

839.00

Download

Download

Dus, 30 ampul @ 2 ml

1,363.00

Download

Download

Dus, 10 syringe @ 10 g

40,000.00

Download

Download

Box ,3 Strip @ 10 tablet 600.00

Download

Download

Box ,3 Strip @ 10 tablet 350.00

Download

Download

KOTAK @ 10 x 10 TAB

1,050.00

Download

Download

KOTAK @ 10 x 10 TAB

1,850.00

Download

Download

Dus, 10 Strip @ 10
Tablet

89.00

Download

Download

STRIP

154.00

Download

Download

KOTAK @ 10 x 10 TAB

1,341.00

Download

Download

Strip

1,200.00

Download

Download

KOTAK @ 5 x 10 TAB

3,276.00

Download

Download

Box, Tablet 2 mg/25's

12,210.00

Download

Download

Dus, 1 vial @ 1 g
Dus, 15 Ampul
Botol 1000 ml

54,000.00
74,998.00
254,100.00

Download
Download
Download

Download
Download
Download

Dus, botol plastik @ 30


6,537.00
kapsul pelepasan lambat

Download

Download

Strip

Download

Download

635.00

Dus, 10 Blister @ 10
Tablet

205.00

Download

Download

300.00

Download

Download

108.00

Download

Download

Dus, 1 Botol @ 100 ml

9,950.00

Download

Download

Dus, 2 blister @ 5
suppositoria

3,220.00

Download

Download

10 strip @ 10 tab

110.00

Download

Download

10 strip @ 10 tab

160.00

Download

Download

Dus @ 5 vial

1,237,500.00

Download

Download

Boks 10 amp
Boks 5 amp
Dus,1 vial@50mg
Tube 10 gram
10 mg /Vial

6,119.00
12,060.00
260,000.00
3,000.00
697,000.00

Download
Download
Download
Download
Download

Download
Download
Download
Download
Download

botol, tetes mata 3 ml

77,000.00

Download

Download

tube 10 gram
Dus 10 amp @ 1 ml

17,820.00
8,400.00

Download
Download

Download
Download

Dus, 6 strip @ 10 tablet 15,620.00

Download

Download

Dus, 6 strip @ 10 tablet 22,990.00

Download

Download

Ktk 10 ampul @ 1ML


Botol 30 tablet
Botol 500 ml
Dus, 5 blister @ 2 pfs
0.3 ml

10,499.00
1,300.00
4,700.00

Download
Download
Download

Download
Download
Download

54,144.00

Download

Download

66,640.00

Download

Download

94,962.00

Download

Download

61,600.00
6,200.00

Download
Download

Download
Download

200.00

Download

Download

33,900.00
6,490.00
2,800.00
2,999.00

Download
Download
Download
Download

Download
Download
Download
Download

Dus, 10 Blister @ 10
tablet
ktk 10 x 10 tablet

Dus, 5 blister @ 2 pfs


0.4 ml
Dus, 5 blister @ 2 pfs
0.6 ml
Dus, 5 Ampul @ 2ml
Ampoel 25 ML
Box ,5 Blister @ 10
tablet
Botol, 45 ml
Tube 5 gr
btl 60 tablet
blister

blister
Dus, 10 Strip @ 10
tablet salut selaput
Dus @ 10 X 10 's
blister
Paket
Paket
Paket

3,500.00

Download

Download

100.00

Download

Download

640.00
2,618.00
359,900.00
1,199,990.00
214,900.00

Download
Download
Download
Download
Download

Download
Download
Download
Download
Download

Dus, 3 blister @ 28 kss

160,000.00

Download

Download

Dus, 1 dus @ 60 blister


@ 8 tablet tahap intensif
kategori 1 + 1 Dus @ 54 288,199.00
blister @ 3 tablet tahap
lanjutan kategori 1

Download

Download

Dus, 60 sachet tahap


intensif @ (1 tablet
Isoniazid, 2 kapsul
Rifampicin, 2 tablet
171,195.00
Pyrazinamide) + 120
sachet tahap lanjutan @
(1 tablet Isoniazid, 2
kapsul Rifampicin)

Download

Download

Box ,5 Strip @ 10 tablet 400.00

Download

Download

Box ,5 Strip @ 10 tablet 650.00

Download

Download

botol @ 10 ml

Download

Download

Dus, vial @ 355m + 1


prefilled syringe pelarut
2,950,000.00
@ 2,5 ml + 2 jarum
suntik

Download

Download

Vial
3 X 10 fcc
3 X 10 fcc

120,000.00
6,450.00
11,200.00

Download
Download
Download

Download
Download
Download

Dus, 1 Vial @ 40 mg

36,000.00

Download

Download

strip
Dus, 5 Ampul @ 2ml
Box 3 X 10 Tab
Box 3 X 10 Tab

211.00
2,400.00
716.00
1,189.00

Download
Download
Download
Download

Download
Download
Download
Download

27,550.00

Transfer Set: Set;


Ultaclam: Kantong
Plastik; Tenckoff
1,902,240.00
Catheter: Box; Titanium
Adaptor: Kantong Plastik

Download

Download

Set

Download

Download

Larutan Dialisa 1.5 %:


2.000 ml; Larutan Dialisa
2.5 %: 2.000 ml; Larutan 5,522,580.00
Dialisa 4.25 %: 2.000 ml;
Minicap: Kantong Plastik

Download

Download

Dus, 15 botol

5,200.00

Download

Download

botol 60 ml
Dus, 10 strip @ 10
kaptab

1,438.00

Download

Download

89.00

Download

Download

Boks, 1 pfs

1,077,815.00

Download

Download

Boks, 1 pfs

1,248,220.00

Download

Download

Tube @ 10 g

11,475.00

Download

Download

Ktk 10 ampx2ml

14,500.00

Download

Download

30 TAB/BOX
30 TAB/BOX
Botol 60 ml
Dus, 25 Blister @ 4
tablet

3,120.00
4,525.00
8,360.00

Download
Download
Download

Download
Download
Download

296.00

Download

Download

Dus 10 strip @ 10 tablet 206.00

Download

Download

Dus, Botol @ 10ml


botol @ 1000 ml
botol @ 30 ml
botol @ 300 ml
Dus, 3 alu blister @ 10
tablet

17,393.00
37,109.00
2,163.00
14,203.00

Download
Download
Download
Download

Download
Download
Download
Download

7,200.00

Download

Download

11,268.00

Download

Download

Download

Download

Dus, 3 alu blister @ 10


tablet

219,540.00

Box ,5 Strip @ 10 tablet 2,300.00

Dus, 10 Strip @ 10
tablet

Download

Download

Dus, 10 strip @ 10 tablet 106.00

Download

Download

Dus, 1 blister @ 10
tablet

17,391.00

Download

Download

Dus, 1 blister @ 10
tablet

19,500.00

Download

Download

Dus, 1 blister @ 10
tablet

23,185.00

Download

Download

Dus, 10 Strip @ 10
kaptab

580.00

Download

Download

Dus, 10 Ampul @ 2 ml

1,140.00

Download

Download

120.00

Download

Download

260.00
5,200.00

Download
Download

Download
Download

1,400.00

Download

Download

1,008.00

Download

Download

2,000.00

Download

Download

23,500.00
23,500.00
23,500.00

Download
Download
Download

Download
Download
Download

5,248.00

Download

Download

Dus, 7 blister @ 4 Tablet


6,275.00
lepas Lambat

Download

Download

Dus, 7 blister @ 4 Tablet


7,383.00
lepas Lambat

Download

Download

Dus, botol 200 dosis

63,750.00

Download

Download

Dus, 10 Blister @ 10
Kapsul

431.00

Download

Download

Dus, 1 Rotahaler

5,867.00

Download

Download

Dus, Botol 60 ml

4,746.00

Download

Download

Download

Download

509.00

Download

Download

5,895.00

Download

Download

Dus, 10 Strip @ 10
tablet salut selaput
Botol 50 kapsul lunak
botol 500 ml
Dus, 5 Blister @ 10
tablet
KOTAK @ 5 x 10 TAB
Dus, 5 Blister @ 10
tablet
Blister
Blister
Blister
Dus, 7 blister @ 4 Tablet
lepas Lambat

65.00

Dus, 5 strip @ 10 kapsul 513.00


Dus, 10 strip @ 10
kapsul
Dus, Botol 60 ml

Dus, 5 Strip @ 10 Kapsul 1,000.00

Download

Download

Box 2 Vial @ 1000mg


Dus, 10 blister @ 10
kapsul

48,060.00

Download

Download

859.00

Download

Download

Dus, Botol 30 ml

8,800.00

Download

Download

Dus, 10 Vial @ 1 g

2,950.00

Download

Download

Dus, 3 blister @ 10
tablet

3,700.00

Download

Download

Dus, 10 Vial @ 1 g

3,300.00

Download

Download

Dus, 1 Blister @ 10
Tablet salut selaput

7,200.00

Download

Download

181.00

Download

Download

1,078.00

Download

Download

vial

256,000.00

Download

Download

vial

82,000.00

Download

Download

Dus, 10 blister @ 5
kapsul lunak

43,000.00

Download

Download

Dus, 10 blister @ 5
kapsul lunak

12,000.00

Download

Download

Download

Download

Download

Download

Download

Download

Download

Download

Dus, 5 strip @ 10 tablet 1,499.00

Download

Download

Dus, 10 Strip @ 10
tablet

900.00

Download

Download

315.00

Download

Download

3,290,000.00

Download

Download

127,000.00

Download

Download

Download

Download

Box, 10 strips @ 10
capsules
100 ampul @ 1 ml

Dus, 3 Strip @ 10 Kaplet


169.00
salut selaput
Dus, 3 Strip @ 10 Kaplet
391.00
salut selaput
Vial 200 ml
13,000.00
Dus, 10 blister @ 10 tab
255.00
ss

Dus, 10 Strip @ 10
tablet
Vial
dus 5 amp @ dus 10

Pounch @ 5 blister @ 10
11,167.00
capsule

Dus, 1 pouch @5
blister@10 kaps

21,500.00

Download

Download

Box @ 2 blister @ 14
tablet

5,800.00

Download

Download

Box/ 2 blister @ 14
tablet

5,800.00

Download

Download

Box/ 3 blister @ 10
Tablet

6,800.00

Download

Download

Dus, 2 blister @ 14
tablet

28,500.00

Download

Download

Dus, 2 pak @ 5 respules 6,250.00

Download

Download

Box 50's
99.00
Dus, 1 Turbuhaler @ 200
71,100.00
dosis
botol 5 ml
11,500.00
Dus, 10 strip @ 10
148.00
kapsul

Download

Download

Download

Download

Download

Download

Download

Download

Dus, 10 blister @ 10
tablet

1,135.00

Download

Download

Dus, 10 blister @ 10
tablet

563.00

Download

Download

Dus, Botol Plastik @ 5ml 9,128.00

Download

Download

Dus, Botol Plastik @ 5ml 9,722.00

Download

Download

Dus, 1 blister @10


kapsul + handihaler

152,543.00

Download

Download

Dus, 10 Ampul @ 2 ml

2,395.00

Download

Download

Download

Download

90,000.00

Download

Download

405.00

Download

Download

tube

6,400.00

Download

Download

1 vial of 10ml (10 d's)

285,000.00

Download

Download

Tablet
Tablet
Dus, 2 blister @ 14
tablet

2,793.00
5,450.00

Download
Download

Download
Download

3,900.00

Download

Download

6,500.00

Download

Download

botol, tetes mata 2,5 ml 115,000.00


Dus, botol plastik 120
dosis
strip

Dus, 2 blister @ 14
tablet

Tablet
Ktk 10X10 TAB
Vial 10mg/10ml
Dus, 1 vial @ 1 ml
Dus 10 strip x 10 tab
Botol 60 tablet
Drops 10 mg/ml, Botol
@15 ml
Dus, botol 60 ml
ktk 10 x 10 tablet

6,200.00
234.00
210,000.00
1,229,998.00
107.00
3,429.00

Download
Download
Download
Download
Download
Download

Download
Download
Download
Download
Download
Download

12,840.00

Download

Download

7,400.00
473.00

Download
Download

Download
Download

1 Dabigatran eteksilat kapsul 110 mg


2 Dabigatran eteksilat kapsul 75 mg
3 Eritropoetin-alfa inj 3000 UI/mL
4 Halotan Inhalasi
5 Hepatitis B imunoglobulin (human)
Human insulin intermediate acting inj 100 UI/ml, vial (Human
6
Insulin (Intermediate-Acting))
7

Human insulin intermediate acting inj 100 UI/ml, vial (Insulin


human Basal)

Human insulin intermediate acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge

Human insulin intermediate acting inj 100 UI/ml,penfill


cartridge (Human Insulin (Intermediate-Acting))

10

Human insulin intermediate acting inj 100 UI/ml,penfill


cartridge (Insulin human Basal)

11

Human insulin intermediate acting inj 100 UI/ml,penfill


cartridge (Insulin human Basal)

12

Human insulin mix insulin inj 100 UI/ml, penfill cartridge


(Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin))

13

Human insulin mix insulin inj 100 UI/ml, penfill cartridge


(Insulin human Comb)

14

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

15

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

16

Human insulin mix insulin inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge

17

Human insulin short acting inj 100 UI/ml, penfill cartridge


(Human Insulin (Short Acting))

18

Human insulin short acting inj 100 UI/ml, penfill cartridge


(Insulin human Rapd)

19

Human insulin short acting inj 100 UI/ml, penfill cartridge


(Insulin human Rapd)

20

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

21

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

22

Human insulin short acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge

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


24 Iopamidol 200-300 mg Iodium/mL (300mg @ vial 30ml)
25 Iopamidol 200-300 mg Iodium/mL (300mg @ vial 50ml)
26 Iopamidol 300-370 mg Iodium/mL (370mg @ vial 100ml)
27 Iopamidol 300-370 mg Iodium/mL (370mg @ vial 30ml)
28 Iopamidol 300-370 mg Iodium/mL (370mg @ vial 50ml)
29

Larutan mengandung Asam Amino (Asam Amino 30 g,


Glukosa 7,3 % dan elektrolit) 1000 ml

Larutan mengandung Karbohidrat + Elektrolit (Asam amino


28 gr/L, Glukosa 100 gr/L, elektrolit)
31 MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial
32 Natrium fosfat lar oral 45 mL
30

33 Obat Antituberkulosis Kategori 1 dewasa

34 Obat Antituberkulosis Kategori anak

35 Oksimetazolin tetes hidung 0,025%


36 Oktreotid 10 mg
37 Olanzapin inj 10 mg/vial
38 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
39 Rivaroksaban tab 10 mg
40 Rivaroksaban tab 15 mg
41 Rivaroksaban tab 20 mg
42 Streptokinase injeksi 1,5 juta UI/vial

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida


tablet 200 mg)

2 Adefovir Dipivoksil tablet/kaplet 10 mg


3 Albendazol suspensi 200 mg/5 ml
4 Albendazol tablet/kapsul/kaplet 400 mg
5 Alopurinol tablet/kapsul/kaplet 100 mg
6 Alprazolam tablet/kapsul/kaplet 0,25 mg
7 Alprazolam tablet/kapsul/kaplet 0,5 mg
8 Alprazolam tablet/kapsul/kaplet 1 mg
9 Amfoterisin B salep mata 1%
10 Amikasin injeksi 250 mg/ml
11 Aminofilin injeksi 24 mg/ml
12 Aminofilin tablet scored 200 mg
13 Amiodaron injeksi 150 mg/3 ml
14 Amiodaron tablet/kaplet 200 mg
15 Amitriptilin tablet salut 25 mg (HCl)
16 Amlodipin tablet 10 mg
17 Amlodipin tablet 5 mg
18 Amoksisilin kapsul/kaplet 250 mg
19 Amoksisilin kapsul/kaplet/tablet scored 500 mg
20 Amoksisilin sirup kering 125 mg/ 5 ml
21 Amoksisilin sirup kering forte 250 mg/5 ml
22

Analog insulin long acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glargine 100 IU/ml)

Analog insulin mix acting inj 100 UI/ml, Analog insulin mix
23 acting inj 100 UI/ml (Premix 30% Insulin Aspart + 70%
Protaminated Insulin Aspart (Analogue))
Analog insulin mix insulininj 100 UI/ml, vial/cartridge
24 disposible/penfill cartridge (25% insulin lispro, 75% insulin
lispro protamine suspension, (rDNA))
25

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin Aspart (Analogue))

26

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin Aspart (Analogue))

27

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glulisine 100 IU/ml)

28

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin lispro (rDNA origin))

29 Anastrozol tablet/kapsul/kaplet 1 mg
30

Antasida DOEN I tablet kunyah, kombinasi : Aluminium


Hidroksida 200 mg Magnesium Hidroksida 200 mg

31

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g


Polimiksin 10.000 IU/g

Antimalaria DOEN kombinasi : Pirimetamin 25 mg


Sulfadoksin 500 mg
33 Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg
34
Levodopa 100 mg
35 Artemether injeksi 80 mg/ml
36 Asam Askorbat (Vitamin C) tablet 50 mg
37 Asam Folat tablet/kapsul/kaplet 1 mg
38 Asam Ibandronat injeksi 6mg/6ml
32

39 Asam Mefenamat kapsul/kaplet 500 mg


40 Asam pipemidat kapsul 400 mg
41 Asam traneksamat injeksi 100 mg/ml
42 Asiklovir salep mata 3%
43 Asiklovir tablet/kapsul/kaplet 200 mg
44 Asiklovir tablet/kapsul/kaplet 400 mg
45 Asparaginase serbuk injeksi 10.000 UI/vial
46 Atapulgit tablet 600 mg
47 Atrakurium injeksi 25 mg/2,5 ml
48 Atropin Sulfat tablet 0,5 mg
49 Azitromisin sir kering 200 mg/ 5 mL
50 Azitromisin tablet 250 mg
51 Azitromisin tablet 500 mg
52 Bedak salisil serbuk 2%
53 Benzatin Benzil Penisilin 1,2 juta IU/ vial
54 Benzatin Benzil Penisilin 2,4 juta IU/vial
55 Beractant injeksi / suspensi 25 mg/mL
56 Beraprost sodium tablet 20 mcg
57 Beraprost sodium tablet 20 mcg
58 Betametason krim 0,1% (sebagai Valerat)
59 Bikalutamid tablet salut 150 mg
60 Bikalutamid tablet salut 50 mg

61 Bisakodil suppositoria 10 mg
62 Bisoprolol tablet 5 mg
63 Bromokriptin tablet 2,5 mg
64 Budesonid inhaler 200 mcg/puff, 100 dosis
65 Budesonid respules / cairan inhaler 0,25mg/mL
66

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


mcg

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


68
69
70 Deferasiroks tablet disp/ eff 250 mg
71 Deferasiroks tablet disp/ eff 500 mg
72 Deferoksamin Mesilat serbuk injeksi 500 mg
73 Deksametason injeksi i.v./i.m. 5 mg/ml
74 Deksametason tablet 0,5 mg
75 Desoksimetason krim 0,25%
76 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
77 Digoksin tablet 0,25 mg
78 Diltiazem HCl tablet 30 mg
79 Diltiazem infus injeksi 50 mg
80 Diltiazem injeksi 25 mg/5 mL
81 Diltiazem Kapsul SR 100 mg
82 Diltiazem Kapsul SR 200 mg
83 Dimenhidrinat tablet 50 mg
84 Dinatrium edetat tetes mata 0,35%
85 Doksazosin mesilat tablet 1 mg
86 Doksazosin mesilat tablet 2 mg
87 Doksorubisin serbuk injeksi i.v. 10 mg/vial
88 Doksorubisin serbuk injeksi i.v. 50 mg/vial
89 Domperidon suspensi/sirup 5 mg/5 ml
90 Domperidon tablet 10 mg
91 Domperidon tetes 5 mg/mL
92 Dosetaksel injeksi 20 mg/0,5 ml
93 Dutasterid kaps lunak 0,5 mg
94 Eksemestan tablet 25 mg
95 Enoksaparin sodium inj 20 mg/0,2 mL
96 Enoksaparin sodium inj 40 mg/0,4 mL

97 Enoksaparin sodium inj 60 mg/0,6 mL


98 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
99 Epirubisin serb injeksi 10 mg/5 ml
100 Epirubisin serb injeksi 50 mg/25ml
101 Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI
102 Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml
103 Eritromisin kapsul/kaplet 250 mg
104 Eritromisin kapsul/kaplet 500 mg
105 Eritromisin sirup kering 200 mg/ 5 ml
106
107 Eritropoetin-beta inj 2000 UI/0,3 mL
108 Etambutol tablet 250 mg (HCl)
109 Etambutol tablet salut 500 mg (HCl)
110 Etanol 70% cairan
111 Etonogestrel implan 68 mcg
112 Etoposid injeksi 20 mg/ml
113
114 Eugenol cairan
115 Everolimus tab 0,25 mg
116 Everolimus tab 0,5 mg
Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk
117
injeksi
118 Fenitoin injeksi 50 mg/ml
119 Fenitoin kapsul/kaplet 100 mg
120 Fenobarbital injeksi i.m./i.v. 50 mg/ml
121 Fenofibrat kaps 100 mg
122 Fenofibrat kaps 300 mg
123 Fenoksimetil penisilin (penisilin V) tab 125 mg
124 Fenoterol HBr inh solution 0,1%
125 Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml
126 Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml
127 Fentanil patch 12,5 mcg/jam
128 Fentanil patch 25 mcg/jam
129 Fentanil patch 50 mcg/jam
130 Filgrastim inj 300 mcg/mL
131 Fitomenadion (Vit.K1) tablet salut gula 10 mg

132 Fludarabin inj 50 mg


133 Fludarabin tab 10 mg
134 Flufenazin injeksi i.m. 25 mg/ml
135 Flukonazol injeksi 2 mg/ml
136 Flukonazol tablet/kapsul 150 mg
137 Fluoksetin tablet 10 mg
138 Fluoksetin tablet 20 mg
139 Fluorourasil inj 250 mg/mL
140 Fluorourasil inj 500 mg/ 5 mL
141 Flusinolon asetonid krim 0,025%
142 Flutikason furoat intranasal spray
143 Flutikason propionat nebules 0,5 mg
144 Fondaparinuks inj 2,5 mg/0,5 mL
145 Furosemid injeksi i.v./i.m. 10 mg/ml
146 Furosemid tablet 40 mg
147 Furosemid tablet 40 mg
148 Gansiklovir serb inj 500 mg (50 mg/mL)
149 Gefitinib tab 250 mg
150 Gemfibrozil kapsul/kaplet 300 mg
151 Gemfibrozil tablet 600 mg
152 Gemsitabin inj 1000 mg/vial
153 Gemsitabin inj 200 mg/vial
154 Gentamisin injeksi 40 mg/ ml
155 Gentamisin salep mata 0,3%
156 Gentamisin tetes mata 0,3%
157 Glibenklamid tablet 5 mg
158 Gliklazid tab 80 mg
159 Glikuidon tab 30 mg
160 Glimepiride tablet 1 mg
161
162 Glimepiride tablet 2 mg
163 Glimepiride tablet 3 mg
164 Glimepiride tablet 4 mg
165 Gliseril trinitrat kaps SR 2,5 mg
166 Gliseril trinitrat kaps SR 5 mg
167 Gliseril trinitrat tab sublingual 0,5 mg
168 Gliserin lar 50%
169 Glukosa larutan infus 10 % steril

170 Glukosa larutan infus 5 % steril


171 Goserelin asetat inj 10,8 mg/vial
172 Goserelin asetat inj 3,6 mg
173 Griseofulvin tablet 125 mg
174 Haloperidol inj 50 mg/mL
175 Haloperidol tablet 0,5 mg
176 Haloperidol tablet 1,5 mg
177 Haloperidol tablet 2 mg
178 Haloperidol tablet 5 mg
179 Hiosin butilbromid injeksi 20 mg/ml
180
181
182 Ibuprofen sirup 100 mg/5 ml
183 Ibuprofen suspensi 200 mg/5 ml
184 Ibuprofen tablet 400 mg
185 Ifosfamid serbuk injeksi 1000 mg/vial
186 Imidapril tab 10 mg
187 Imidapril tab 5 mg
188 Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)
189 Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)
190 Iopromide 300-370 mg Iodium/mL (370 mg / 100 ml)
191 Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)
192 Irbesartan tab 150 mg
193 Irbesartan tab 300 mg
194 Irinotekan inf 20 mg/ml
195 Isosorbid Dinitrat tablet sublingual 5 mg
196 Kalium aspartat tab 300 mg
197 Kalium Klorida tablet 600 mg
198 Kalsium Glukonat injeksi i.v 10% (100 mg/ml)
199 Kandesartan tab 16 mg
200 Kandesartan tab 8 mg
201 Kapesitabin tab 500 mg
202 Kaptopril tablet 50 mg
203 Kaptopril tablet scored 25 mg
204 Kaptopril tablet scored12,5 mg
205 Karbamazepin sirup 100 mg/5 ml
206 Karbamazepin tablet 200 mg
207 Karbogliserin tetes telinga 10%
208 Ketamin injeksi i.v. 100 mg/ml
209 Ketokonazol krim 2%
210 Ketokonazol krim 2%
211 Ketokonazol tablet 200 mg

212 Ketorolac injeksi 30 mg/ml


213 Klaritromisin tab 500 mg
214 Klindamisin kapsul/kaplet 150 mg
215 Klindamisin kapsul/kaplet 300 mg
216 Klobazam tab 10 mg
217 Klonidin tablet 0,15 mg
218 Klopidogrel tab 75 mg
219 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
220 Klorpromazin injeksi i.m. 25 mg/ml (HCl)
221 Klozapin 100 mg
222 Klozapin 25 mg
223 Kodein tablet 10 mg
224 Kodein tablet 15 mg
225 Kodein tablet 20 mg
226 Kombinasi suspensi : Parafin + gliserin + fenolftalein
227

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam


folat 0,25 mg

Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg;


Kalium klorida 1,32 mg
229 Kombinasi: Artemether 20 mg; Lumefantrin 120 mg
Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon
230
200 mg
228

231 Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg


232 Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg
233 Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol
400 mg Trimetoprim 80 mg
235 Kuinin (Kina) tablet 200 mg
236 Kuinin injeksi i.v. 25% (sebagai 2 HCl)
237 Kuinin tablet 222 mg (H2SO4.7H2O)
238 Lamivudine tablet 150 mg
239 Lansoprazol inj 30 mg/ml
240 Lanzoprazol kapsul/kaplet 30 mg
234

241 Lapatinib tab 250 mg


242 Larutan mengandung Asam Amino (Asam Amino 10%)

243

Larutan mengandung Asam Amino (Asam Amino 100 g, Total


N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)

244

Larutan mengandung Asam Amino (Asam Amino 27 g,


Sorbitol 50 g, Cl- 52 mEq)

245

Larutan mengandung Asam Amino (Asam Amino 30 g,


Glukosa 7,3 % dan elektrolit)

Larutan mengandung Asam Amino (Asam Amino 5% dengan


246 BCAA 45%, L-Ornithine L Aspartate 8.03 gr/L, Sorbitol 50
gr/L, Xylitol 50 gr/L)
247

Larutan mengandung Asam Amino (Asam Amino 6%,


mengandung Taurine 0,24 gr/l)

Larutan mengandung Asam Amino (Asam Amino 7%,


248 Komposisi: Asam Amino esensial: Asam Amino non esensial
= 60 : 40)
Larutan mengandung Asam Amino (Asam Amino 72.05 g,
249 Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat 46
mEq)
250

Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total


N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

251 Larutan mengandung Asam Amino (Asam amino 8%)


252

Larutan mengandung Asam Amino (Asam Amino esensial 7%


+Xylitol 10 g/L)

Larutan mengandung Asam Amino (BCAA 25 gr/L, L253 Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L, Malic Acid 7
gr/L, Piridoxin 0.12 gr/L)
Larutan mengandung Asam Amino (Kombinasi Asam aminno
50 g/L, Sorbitol 50 g/L, Xylitol 50 g/L, Asam Askorbat (Vit C)
254 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)
255

Larutan mengandung Asam Amino (Kombinasi Asam amino


50 g/L, vitamin dan elektrolit)

Larutan mengandung Asam Amino (Kombinasi Asam Amino:


256 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit (Kalori = 1000
kkal, Akses peripheral))
Larutan mengandung Asam Amino (Kombinasi Asam Amino:
257 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori =
1400 kkal, Akses peripheral))
258

Larutan mengandung Asam Amino (Kombinasi Glukosa dan


elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral)

259

Larutan mengandung Asam Amino (Kombinasi Glukosa dan


elektrolit 80 gr + Asam Amino 40 gr )

260 Larutan mengandung Elektrolit (Kalium Klorida)


261 Larutan mengandung Elektrolit (Larutan Ringer Laktat)
262

Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca


3 mEq, Asetat 28 mEq)

263

Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa


18.75 gr)

Larutan mengandung Elektrolit (Sodium Lactate sol (50%)


264 113 gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2
gr/L, elektrolit)
Larutan mengandung Elektrolit (Tiap 1000 ml mengandung
electrolit: Sodium 145 mmol/l, Potassium 4.0 mmol/l, Calcium
265
2.5 mmol/l, Magnesium 1.0 mmol/l, Chloride 118 mmol/l,
Acetate 24 mmol/l, Malate 5.0 mmol/l)
266

Larutan mengandung Karbohidrat (Fructose 120 g, glucose


66 g, Xylitol 60 g/ L + elektrolit)

Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33


g, Xylitol 30 g/ L)
268 Larutan mengandung Karbohidrat (Maltose 100 gr)
267

Larutan mengandung Karbohidrat + Elektrolit (25.00g


269 maltose, 3.00 g sodium chloride, 0.15 g potassium chloride,
0.10 g calcium chloride dihydrate dan 1.55 g sodium lactate)
270

Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na,


K, Cl, Ca, Mg, Sorbitol 50 gr/L)

271

Larutan mengandung Karbohidrat + Elektrolit (Asam amino


28 gr/L, Glukosa 75 gr/L, elektrolit)

272

Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g,


glucose 33 g, Xylitol 30 g/ L)

Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g,


273 NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk injeksi
ad 1000 ml)
274

Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ;


Natrium Chloride 9 g, air untuk injeksi ad 1000 ml)

275

Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0


g; NaCl: 4,5 g)

276

Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0


g; NaCl: 2.25 g)

277

Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0


g; NaCl: 4.5 g)

Larutan mengandung Karbohidrat + Elektrolit (Larutan


278 nutrisi kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca.
4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g)
279

Larutan mengandung Karbohidrat + Elektrolit (Larutan


Ringer & Glukosa 5%)

280

Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g,


KCL 1.5g, Glukosa 100 gr)

281

Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr,


KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)

282

Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr,


Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)

283

Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20%


100 ml)

284 Larutan mengandung Lipid (Emulsi lemak 20%)


285

Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20%


250 ml)

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit


286 180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn akses
sentral)
287

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit


80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr)

288

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit


90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn akses sentral)

Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg


289 Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate 0.3
gr/L)
290 Latanoprost tetes mata 0,01%
291 Leuprorelin asetat inj depot 1,88 mg
292 Leuprorelin asetat inj depot 11,25 mg
293 Levofloksasin inf 5 mg/mL
294 Levofloksasin tablet 500 mg
295 Lidokain injeksi 2% (HCL)
296 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml
297 Lidokain jeli 2%
298 Lisinopril tablet 10 mg
299 Lisinopril tablet 5 mg
300 Litium karbonat tablet 200 mg

301 Litium karbonat tablet 400 mg


302 Loperamid tablet 2 mg
303 Loratadin tablet 10 mg
304 Lorazepam tablet 2 mg
305 Maprotilin HCl tab 25 mg
306 Maprotilin HCl tab 50 mg
307 Melfalan tablet 2 mg
308 Meropenem inj 1 g
309 Mesna inj 100 mg/mL
310 Metadon sir 50mg/5ml
311 Metilfenidat kapsul LA 20 mg
312 Metilprednisolon tablet 16 mg
313 Metilprednisolon tablet 4 mg
314 Metilprednisolon tablet 8 mg
315 Metoklopramide tablet 5 mg
316 Metronidazol infus 500 mg/100 ml
317 Metronidazol supositoria 500 mg
318 Metronidazol tablet 250 mg
319 Metronidazol tablet 500 mg
320 Midazolam injeksi i.v. 1 mg/ml
321 Midazolam injeksi i.v. 5 mg/ml
322 Mikafungin Na serb inj 50 mg
323 Mikonazol krim/salep 2 % (Nitrat)
324 Mitomisin C (crystallin) serbuk inj 10 mg/vial
325 Moksifloksasin tetes mata 0,5%
326 Mometason furoat krim 0,1%
327 Morfin HCL inj 10 mg/ml
328 Morfin HCL tablet SR 10 mg
329 Morfin HCL tablet SR 15 mg
330 Morfin injeksi i.m./s.k./i.v. 10 mg/ml
331 Morfin tablet 10 mg
332 Nacl 0,9%

333 Nadroparin inj 9500 Axa/mL syringe 0,3 mL


334 Nadroparin inj 9500 Axa/mL, syringe 0,4 mL
335 Nadroparin inj 9500 Axa/mL, syringe 0,6 mL
336 Nalokson injeksi 0,4 mg/ml
337 Natrium Bikarbonat injeksi i.v 8,4%
338 Natrium Diklofenak tablet 50 mg
339 Natrium fusidat salep 20 mg/g
340 Nevirapin tablet 200 mg
341 Nifedipin tab 20 mg, slow release; oros
342 Nifedipin tab 30 mg, oros
343 Nifedipin tablet/kapsul 10 mg
344 Nistatin tablet salut 500.000 IU/ g
345 Noretisteron tablet 5 mg
346 Obat Antituberkulosis FDC Kategori 1
347 Obat Antituberkulosis FDC Kategori 2
348 Obat Antituberkulosis FDC Kategori Anak
349 Obat Antituberkulosis FDC Sisipan
350 Ofloxacin tablet 200 mg
351 Ofloxacin tablet 400 mg
352 Oksimetazolin tetes hidung 0,025%
353 Oktreotid 10 mg
354 Olanzapin kapl salut 5 mg
355 Olanzapin tab 10 mg
356 Omeprazol injeksi 40 mg/ 10 ml
357 Omeprazol kapsul/kaplet 20 mg
358 ondansetron inj 4 mg/ 2 mL
359 Ondansetron tab 4 mg
360 Ondansetron tablet 8 mg
361

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit


Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

362 Paket CAPD Pergantian Transfer Set per 6 bulan

Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan


363 komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %,
Larutan Dialisa 4.25 %, Minicap)

364 Parasetamol sirup 120 mg / 5 ml


365 Parasetamol tablet 500 mg
366 Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
367 Pegylated interferon alfa-2a inj 180 mcg/0,5 ml
368 Permetrin krim 5%
369 Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
370 Pioglitazon tab 15 mg
371 Pioglitazon tab 30 mg
372 Pirantel suspensi 125 mg/5 ml
373 Pirantel tablet score (base) 125 mg
374 Pirazinamid tablet 500 mg
375 Polikresulen cairan
376 Povidon Iodida larutan 10% 1000 ml
377 Povidon Iodida larutan 10% 30 ml
378 Povidon Iodida larutan 10% 300 ml
379 Pramipeksol tab ER 0,375 mg
380 Pramipeksol tab ER 0,750 mg
381 Pravastatin tablet 20 mg
382 Propanolol tablet 10 mg ( HCl )
383 Propranolol tablet 40 mg (HCl)
384 Quetiapin tab 200 mg
385 Quetiapin tab 300 mg
386 Quetiapin tab 400 mg
387 Ramipril tablet 5 mg
388 Ranitidin injeksi 25 mg/2 ml
389 Ranitidin tablet 150 mg
390 Retinol (Vitamin A) 100.000 IU
391 Ringer Laktat larutan infus
392 Risperidon tablet 1 mg
393 Risperidon tablet 2 mg

394 Risperidon tablet 3 mg


395 Ropinirol Tablet Salut 2 mg
396 Ropinirol Tablet Salut 4 mg
397 Ropinirol Tablet Salut 8 mg
398 Salbutamol inhalasi/aerosol 100 mcg/dosis
399 Salbutamol serb inh 200 mcg/kaps
400 Salbutamol serb inh 200 mcg/kaps + rotahaler
401 Sefadroksil kapsul/kaplet 250 mg
402 Sefadroksil kapsul/kaplet 500 mg
403 Sefadroksil sir kering 250 mg/5 mL
404 Sefadroksil sirup kering 125 mg/5ml
405 Sefaleksin kapsul/kaplet 500 mg
406 Sefepim inj 1 g
407 Sefiksim kapsul/kaplet 100 mg
408 Sefiksim sirup kering 100 mg/ 5 ml
409 Sefotaksim injeksi 1 g
410 Sefpodoksim proksetil tab 100 mg
411 Seftriakson serbuk injeksi 1 g/vial
412 Sefuroksim tab 500 mg
413 Setirizin tablet 10 mg
414 Sianokobalamin (vitamin B12) injeksi 500 mcg
415 Siklofosfamid serbuk injeksi i.v. 1000 mg
416 Siklofosfamid serbuk injeksi i.v. 200 mg
417 Siklosporin kaps 100 mg
418 Siklosporin kapsul lunak 25 mg
419 Simvastatin scored tablet 10 mg

420 Simvastatin tablet 20 mg


421 Siprofloksasin infus 2%
422 Siprofloksasin tablet 500 mg (sebagai HCl)
423 Spiramisin tablet 500 mg
424 Spironolakton tablet 100 mg
425 Spironolakton tablet 25 mg
426 Sufentanil injeksi iv, epidural 5 mcg/ml
427 Takrolimus kaps 0.5 mg
428 Takrolimus kaps 1 mg
429 Tamsulosin tab 0,2 mg
430 Tamsulosin tab 0,2 mg
431 Tamsulosin tab SR 0,4 mg
432 Telbivudin tab 600 mg
433 Terbutalin cairan ih 2,5 mg/mL
434 Terbutalin tablet 2,5 mg
435 Terbutalin turbu (serbuk ih) 0,50 mg
436 Tetrakain HCl tetes mata 0,5%
437 Tetrasiklin kapsul/kaplet 250 mg
438 Tiamazol tab 10 mg
439 Tiamazol tab 5 mg
440 Timolol tetes mata 0,25%
441 Timolol tetes mata 0,5%
442 Tiotropium kaps 18 mcg + handihaller
443 Tramadol injeksi 50 mg/ml
444 Travoprost tetes mata 0,004%
445 Triamsinolon asetonid nasal spray 55 mcg/puff
446 Trifluoperazin tablet 5 mg
447 Urea krim 10%
448 Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)
449 Valproat tab SR 250 mg
450 Valproat tab SR 500 mg
451 Valsartan tab 160 mg
452 Valsartan tab 80 mg
453 Verapamil tab 240 mg
454 Verapamil tablet 80 mg (HCl)
455 Vinblastin serbuk injeksi 10 mg

456 Vinorelbin inj. 10 mg/ml


457 Vitamin B Kompleks tablet
458 Zidovudin 300 mg + Lamivudine 150 mg
459 Zinc drop 10 mg/mL
460 Zinc sir 20 mg/5 Ml
461 Zinc tablet dispersible20 mg

Pradaxa
Pradaxa
Hemapo 3000
Halothane
Hyperhep B

PT. Boehringer Ingelheim


PT. Boehringer Ingelheim
PT Kalbe Farma
PT. Dexa Medica
PT. Dipa Pharmalab

Insulatard Vial

PT. Ferron Par Pharmaceuticals

Humulin N Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

Insulatard Penfill

PT. Ferron Par Pharmaceuticals

Sansulin N

PT. Sanbe Farma

Humulin N Cart

PT. Bayer Indonesia

Mixtard Penfill

PT. Ferron Par Pharmaceuticals

Humulin 30/70 Cart

PT. Bayer Indonesia

Mixtard Vial

PT. Ferron Par Pharmaceuticals

Humulin 30/70 Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

Actrapid Penfill

PT. Ferron Par Pharmaceuticals

Humulin R Cart

PT. Bayer Indonesia

Sansulin R

PT. Sanbe Farma

Actrapid Vial

PT. Ferron Par Pharmaceuticals

Humulin R Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Aminofluid

PT Otsuka Indonesia

Clinimix N9G20E

PT Kalbe Farma

Cardioscan KaeF
Fleet Phosphosoda

PT. Kimia Farma


PT. Combiphar

n/a

PT. Indofarma

n/a

PT. Indofarma

Ilaidin Drops

PT. Merck Tbk

Sandostatin LAR

PT. Novartis Indonesia

Zyprexa IM

PT. Bayer Indonesia

n/a

PT. Indofarma

Xarelto 10 mg
Xarelto 15 mg
Xarelto 20 mg
Streptase

PT.
PT.
PT.
PT.

Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Dexa Medica

n/a

PT. Kimia Farma

Hepsera

PT. SmithKline Beecham Phamaceuticals

n/a

PT. Indofarma

n/a
n/a
n/a
n/a
n/a
Fungicide
Glybotic 250 mg /ml
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

n/a

PT. Marin Liza Farmasi

Cordarone
Kendaron Tablet
n/a
n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Lantus Solostar 100IU/ml 5pens


x3ml

PT. Aventis Pharma

Novomix Flexpen

PT. Ferron Par Pharmaceuticals

Humalog Mix 25

PT. Tempo Scan Pacific

Novorapid Flexpen

PT. Ferron Par Pharmaceuticals

Novorapid Vial

PT. Ferron Par Pharmaceuticals

Apidra Solostar 100IU/ml 5pens


x3ml

PT. Aventis Pharma

Holi Pharma
Pertiwi Agung
Dexa Medica
Otto Pharmaceuticals
Kimia Farma
Cendo Industri Farmasi
Sanbe Farma
Lucas Djaja

Aventis Pharma
Darya Varia
Indofarma
Pertiwi Agung
Pertiwi Agung
Novapharin
Bernofarm
Novapharin
Holi Pharma

Humalog

PT. Tempo Scan Pacific

Arimidex 1 mg

PT. AstraZeneca indonesia

n/a

PT. Promedrahardjo Farmasi Industri

n/a

PT. Indofarma

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

Levopar Tablet

PT. Meprofarm

Artem
n/a
n/a
Bondronat

PT.
PT.
PT.
PT.

n/a

PT. Bernofarm

Urotractin 400 mg

PT. Sanbe Farma

n/a

PT. Hexpharm Jaya Laboratories

Temiral Eye Oint


n/a
n/a
Leunase

PT.
PT.
PT.
PT.

Pularex

PT. Zenith Pharmaceuticals

Tracrium

PT. Glaxo Wellcome Indonesia

n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.

n/a

PT. Rama Emerald Multi Sukses

n/a
n/a
Survanta
Dorner 20 g
Dorner
n/a
Casodex 150 mg
Casodex 50 mg

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Kimia Farma
Kimia Farma
Marin Liza Farmasi
Boehringer Ingelheim

Sanbe Farma
Indofarma
Kimia Farma
Widatra Bhakti

Indofarma
Soho Industri Pharmasi
Soho Industri Pharmasi
Kimia Farma

Phapros, Tbk
Phapros, Tbk
Abbott Indonesia
Combiphar
Combiphar
Kimia Farma
AstraZeneca indonesia
AstraZeneca indonesia

Stolax supp
n/a
Cripsa tab

PT. Sanbe Farma


PT. Pratapa Nirmala
PT. Caprifarmindo

Pulmicort Turbuhaler

PT. AstraZeneca indonesia

Pulmicort Respules

PT. AstraZeneca indonesia

Symbicort Turbuhaler 160/4.5 mcg

PT. AstraZeneca indonesia

Symbicort 80/4.5 mcg

PT. AstraZeneca indonesia

Exjade 250 mg Tab


Exjade 500 mg Tab
Desferal
n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Herbesser Powder Injection 50mg

PT. Tanabe Indonesia

Farmabes Injeksi 25 mg
Herbesser CD 100
Herbesser CD 200
n/a
E.D.T.A
Cardura 1mg
Cardura 2mg
Doxorubicin Actavis 10 mg
Doxorubicin Actavis 50 mg
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

n/a

PT. Sanbe Farma

Avodart

PT. SmithKline Beecham Phamaceuticals

Aromasin

PT. Pfizer Indonesia

Lovenox 2000 ANTI-XA

PT. Aventis Pharma

Lovenox 4000 ANTI-XA

PT. Aventis Pharma

Novartis Indonesia
Novartis Indonesia
Novartis Indonesia
Indofarma
Indofarma
Dexa Medica
Lucas Djaja
Yarindo Farmatama
Indofarma

Pratapa Nirmala
Tanabe Indonesia
Tanabe Indonesia
Kimia Farma
Cendo Industri Farmasi
Pfizer Indonesia
Pfizer Indonesia
Actavis Indonesia
Actavis Indonesia
Novapharin
Novapharin
Bernofarm

Lovenox 6000 ANTI-XA

PT. Aventis Pharma

n/a
n/a
Epirubisin Kalbe

PT. Phapros, Tbk


PT. Sanbe Farma
PT Kalbe Farma

D-Vit FT

PT. Gracia Pharmindo

D-Vit Syrup

PT. Gracia Pharmindo

n/a
n/a

PT. Kimia Farma


PT. Indofarma

n/a

PT. Phyto Kemo Agung Farma

Recormon
n/a
n/a
n/a

PT.
PT.
PT.
PT.

Implanon

PT. Merck Sharp Dohme Pharma Tbk

Posyd

PT. Combiphar

n/a
Certican 0,25 mg Tab
Certican 0,5 mg Tab

PT. Kimia Farma


PT. Novartis Indonesia
PT. Novartis Indonesia

Novoseven

PT. Ferron Par Pharmaceuticals

n/a

PT. Mersifarma Tirmaku Mercusana

n/a
n/a

PT. Ikapharmindo
PT. Phapros, Tbk

n/a

PT. Hexpharm Jaya Laboratories

n/a

PT. Hexpharm Jaya Laboratories

Fenocin
Berotec Solution
n/a
n/a
Durogesic 12,5 MU Matrix
Durogesic 25 MU Matrix
Durogesic 50 MU Matrix
Leucogen

PT. Actavis Indonesia


PT. Boehringer Ingelheim
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT Kalbe Farma

n/a

PT. Marin Liza Farmasi

Boehringer Ingelheim
Kimia Farma
Indofarma
Novapharin

Fludara IV LYO

PT. Aventis Pharma

Fludara Oral

PT. Aventis Pharma

Sikzonoate Injeksi

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Novell Pharmaeutical Laboratories

n/a
Foransi 10
NOPRES
Curacil
Curacil

PT. Kimia Farma


PT. Gracia Pharmindo
PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma

SYNARCUS

PT. Ifars Pharmaceutical Laboratories

Avamys

PT. Glaxo Wellcome Indonesia

Flixotide Nbules

PT. Glaxo Wellcome Indonesia

Arixtra

PT. Glaxo Wellcome Indonesia

n/a
n/a
n/a
Cymevene
Iressa 250 mg
n/a
n/a
Gemzar 1000 mg
n/a
n/a
Genoint Salep Mata
n/a
n/a
Glicab
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Indofarma
Indofarma
Sampharindo Perdana
Boehringer Ingelheim
AstraZeneca indonesia
Indofarma
Indofarma
Bayer Indonesia
Sanbe Farma
Indofarma
Erela
Indofarma
Indofarma
Tempo Scan Pacific
Dexa Medica
Kimia Farma

n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte
Nitral
Gliserin lar 50%
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Actavis Indonesia
Lucas Djaja
Widatra Bhakti

n/a
Zoladex 10,8 mg
Zoladex 3,6 mg
n/a
Haldol Decanoas
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.

Widatra Bhakti
AstraZeneca indonesia
AstraZeneca indonesia
Indofarma
Soho Industri Pharmasi
Indofarma
Indofarma

Lodomer 2

PT. Mersifarma Tirmaku Mercusana

n/a
n/a

PT. Indofarma
PT. Otto Pharmaceuticals

n/a
n/a
n/a
Holoxan injeksi 1000
Tanapress 10mg
Tanapress 5mg
Ultravist 300/100 mg
Ultravist 300/50 mg
Ultravist 370/100 mg
Ultravist 370/50 mg
n/a
n/a
n/a
n/a
Kalipar
KSR
Kalsium glukonat
n/a
n/a
Xeloda
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Tegretol Syrup 100mg/5ml, 120ml

PT. Novartis Indonesia

n/a
Karbogliserin tetes telinga 10%
KTM
n/a

PT.
PT.
PT.
PT.

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Dexa Medica

Indofarma
Indofarma
Holi Pharma
Mugi Laboratories
Tanabe Indonesia
Tanabe Indonesia
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Indofarma
Indofarma
Sanbe Farma
Indofarma
Tempo Scan Pacific
Merck Tbk
Ethica Industri Farmasi
Dexa Medica
Dexa Medica
Boehringer Ingelheim
Indofarma
Errita Pharma
Indofarma

Indofarma
Lucas Djaja
Guardian Pharmatama
Kimia Farma

n/a

PT. Phapros, Tbk

ORIXAL

PT. Ifars Pharmaceutical Laboratories

n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.

n/a

PT. Hexpharm Jaya Laboratories

n/a
n/a

PT. Phapros, Tbk


PT. Phapros, Tbk

n/a

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Mersifarma Tirmaku Mercusana

n/a
n/a
n/a

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma

Laxadine Emulsi 60 ml

PT. Galenium Pharmasia Laboratories

n/a

PT. Erela

Cendo Lyteers

PT. Cendo Industri Farmasi

Coartem

PT. Novartis Indonesia

Stalevo

PT. Novartis Indonesia

Seretide Inhaler 50 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 100 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 250 mcg

PT. Glaxo Wellcome Indonesia

n/a

PT. Holi Pharma

n/a
n/a
n/a
n/a
Prosogan Inj.
n/a

PT.
PT.
PT.
PT.
PT.
PT.

Tykerb

PT. SmithKline Beecham Phamaceuticals

Kalbamin

PT. Finusolprima Farma Internasional

Indofarma
Indofarma
Dexa Medica
Kimia Farma

Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Takeda Indonesia
Indofarma

Amiparen

PT Otsuka Indonesia

Pan-amin G

PT Otsuka Indonesia

Aminofluid

PT Otsuka Indonesia

Aminofusin Hepar

PT Kalbe Farma

Aminosteril Infant 6%

PT. Fresenius Kabi Combiphar

Nephrosteril

PT. Fresenius Kabi Combiphar

Kidmin

PT Otsuka Indonesia

Aminoleban

PT Otsuka Indonesia

Aminosteril N-Hepa

PT. Fresenius Kabi Combiphar

Eas Pfrimer

PT. Finusolprima Farma Internasional

Comafusin Hepar

PT. Finusolprima Farma Internasional

Aminofusin L600

PT Kalbe Farma

Aminofusin Paed

PT Kalbe Farma

Kabiven 1440 ml

PT. Fresenius Kabi Combiphar

Kabiven 1920 ml

PT. Fresenius Kabi Combiphar

Combiflex Plus (790 kcal)

PT. Phapros, Tbk

Combiflex peri (480 kcal)

PT. Phapros, Tbk

Otsu - KCl 7,46%

PT Otsuka Indonesia

Wida RL

PT. Widatra Bhakti

Asering

PT Otsuka Indonesia

KA EN 1B

PT Otsuka Indonesia

Totilac

PT Kalbe Farma

Ringerfundin 500 mL

PT. Phapros, Tbk

Triofusin 1000

PT Kalbe Farma

Triofusin 500

PT Kalbe Farma

Martos

PT Otsuka Indonesia

Potacol inj

PT Otsuka Indonesia

Tutofusin OPS

PT Kalbe Farma

Clinimix N9G15E

PT Kalbe Farma

Triofusin E1000

PT Kalbe Farma

Wida HSD

PT. Widatra Bhakti

Wida D5-NS

PT. Widatra Bhakti

WIDA 2A

PT. Widatra Bhakti

WIDA D5-1/4NS

PT. Widatra Bhakti

WIDA D5-1/2NS

PT. Widatra Bhakti

Futrolit

PT. Sanbe Farma

Wida RD

PT. Widatra Bhakti

KA ENMG 3

PT Otsuka Indonesia

KA EN 3B

PT Otsuka Indonesia

KA EN 3A

PT Otsuka Indonesia

Lipofundin MCT/LCT 1% 100

PT. Phapros, Tbk

Intralipid

PT. Fresenius Kabi Combiphar

Lipofundin MCT/LCT 1% 250

PT. Phapros, Tbk

Nutriflex Lipid Special 1250

PT. Phapros, Tbk

Nutriflex Lipid Peri 1250

PT. Phapros, Tbk

Nutriflex Lipid Special 625

PT. Phapros, Tbk

Ivelip

PT Kalbe Farma

Cendo Glaopen
Tapros 1.88mg
Tapros 3M
n/a

PT.
PT.
PT.
PT.

n/a

PT. Promedrahardjo Farmasi Industri

n/a
n/a
Xylocaine Jelly 2%

PT. Bernofarm
PT. Indofarma
PT. AstraZeneca indonesia

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Novell Pharmaeutical Laboratories

Frimania 200

PT. Mersifarma Tirmaku Mercusana

Cendo Industri Farmasi


Takeda Indonesia
Takeda Indonesia
Infion Pharmaceutical

Frimania 400

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Promedrahardjo Farmasi Industri

Merlopam 2

PT. Mersifarma Tirmaku Mercusana

Ludios

PT. Soho Industri Pharmasi

Sandepril 50

PT. Mersifarma Tirmaku Mercusana

Alkeran

PT. Glaxo Wellcome Indonesia

n/a
Uromitexan injeksi.
n/a

PT. Bernofarm
PT. Mugi Laboratories
PT. Kimia Farma

Ritalin LA

PT. Novartis Indonesia

n/a

PT. Mahakam Beta Farma

n/a

PT. Natura Laboratoria Prima

n/a
n/a

PT. Dexa Medica


PT. Kimia Farma

n/a

PT. Natura Laboratoria Prima

Flagyl

PT. Aventis Pharma

n/a

PT. Phyto Kemo Agung Farma

n/a

PT. Phyto Kemo Agung Farma

Dormicum
Dormicum
Mycamine
n/a
Mitomycin C
Vigamox
n/a
n/a
MST Continus 10 mg
MST Continus 15 mg
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Boehringer Ingelheim
Boehringer Ingelheim
Combiphar
Kimia Farma
Widatra Bhakti
Tempo Scan Pacific
Guardian Pharmatama
Kimia Farma
Mahakam Beta Farma
Mahakam Beta Farma
Kimia Farma
Kimia Farma
Widatra Bhakti

Fraxiparine 0.3 ml

PT. Glaxo Wellcome Indonesia

Fraxiparine 0.4 ml

PT. Glaxo Wellcome Indonesia

Fraxiparine 0.6 ml

PT. Glaxo Wellcome Indonesia

Nokoba
Meylon

PT. Pratapa Nirmala


PT Otsuka Indonesia

n/a

PT. Novell Pharmaeutical Laboratories

Fucilex Ointment
n/a
Adalat Oros 20 mg
Adalat Oros 30 mg

PT.
PT.
PT.
PT.

n/a

PT. Dexa Medica

n/a
Primolut N
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Novell Pharmaeutical Laboratories

Ilaidin Drops

PT. Merck Tbk

Sandostatin LAR

PT. Novartis Indonesia

Olandoz 5
Olandoz 10

PT. Sandoz Indonesia


PT. Sandoz Indonesia

n/a

PT. Natura Laboratoria Prima

n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.

n/a

PT Kalbe Farma

n/a

PT Kalbe Farma

Molex Ayus
Kimia Farma
Bayer Indonesia
Bayer Indonesia

Phapros, Tbk
Bayer Indonesia
Phapros, Tbk
Indofarma
Phapros, Tbk
Indofarma

Novapharin
Indofarma
Yarindo Farmatama
Yarindo Farmatama

Larutan Dialisa 1.5%: Dianeal Low


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

PT. Afifarma

n/a

PT. Imfarmind Farmasi industri

Pegasys
Pegasys

PT. Boehringer Ingelheim


PT. Boehringer Ingelheim

Scabimite Cream 10

PT. Galenium Pharmasia Laboratories

n/a
DECULIN 15 MG
DECULIN 30 MG
n/a
n/a
n/a
Aptil
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Sifrol ER 0,375mg

PT. Boehringer Ingelheim

Sifrol ER 0,750mg

PT. Boehringer Ingelheim

n/a

PT. Novell Pharmaeutical Laboratories

n/a
n/a
Seroquel XR 200 mg
Seroquel XR 300 mg
Seroquel XR 400 mg
n/a

PT.
PT.
PT.
PT.
PT.
PT.

n/a

PT. Natura Laboratoria Prima

n/a

PT. Dexa Medica

n/a
n/a
n/a

PT. Kimia Farma


PT. Widatra Bhakti
PT. Dexa Medica

n/a

PT. Mersifarma Tirmaku Mercusana

Kimia Farma
Dexa Medica
Dexa Medica
Holi Pharma
Holi Pharma
Holi Pharma
Pratapa Nirmala
Afifarma
Afifarma
Afifarma

Dexa Medica
Holi Pharma
AstraZeneca indonesia
AstraZeneca indonesia
AstraZeneca indonesia
Dexa Medica

n/a

PT. Dexa Medica

Requip PD 24 Hour 2 mg

PT. Glaxo Wellcome Indonesia

Requip PD 24 Hour 4 mg

PT. Glaxo Wellcome Indonesia

Requip PD 24 Hour 8 mg

PT. Glaxo Wellcome Indonesia

Ventolin Inhaler

PT. Glaxo Wellcome Indonesia

Ventolin Rotacaps

PT. Glaxo Wellcome Indonesia

Ventolin Rotahaler

PT. Glaxo Wellcome Indonesia

n/a

PT. Hexpharm Jaya Laboratories

n/a
n/a
n/a

PT. Holi Pharma


PT. Holi Pharma
PT. Holi Pharma

n/a

PT. Ifars Pharmaceutical Laboratories

n/a
n/a

PT. Yarindo Farmatama


PT. Bernofarm

n/a

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Natura Laboratoria Prima

Banadoz 100

PT. Sandoz Indonesia

n/a

PT. Natura Laboratoria Prima

Zinnat 500

PT. Glaxo Wellcome Indonesia

n/a

PT. Pertiwi Agung

n/a

PT. Lucas Djaja

Cyclovid 1000 mg

PT. Novell Pharmaeutical Laboratories

Cyclovid 200 mg

PT. Novell Pharmaeutical Laboratories

Sandimmun Neoral 100mg Kap

PT. Novartis Indonesia

Sandimmun Neoral 25mg Kap

PT. Novartis Indonesia

n/a

PT. Natura Laboratoria Prima

n/a

PT. Natura Laboratoria Prima

n/a
PT.
n/a
PT.
n/a
PT.
n/a
PT.
n/a
PT.
Sufentanyl Injeksi iv.Epidural 5 mcg
PT.
/ ml

Dexa Medica
Bernofarm
Indofarma
Dexa Medica
Dexa Medica
Kimia Farma

Prograf

PT. Combiphar

Prograf

PT. Combiphar

Harnal D 0.2 mg Disp. Tablet


Harnal D
Harnal OCAS 0.4 mg Tablet
Sebivo 600 mg Tab
Bricasma Respules
Molasma Tablet

PT.
PT.
PT.
PT.
PT.
PT.

Bricasma Turbuhaler 0,5 mg

PT. AstraZeneca indonesia

Pantocain 0.5%
n/a
Thyrozol 10
Thyrozol 5
Isotic Adretor 0,25%
Isotic Adretor 0,5%

PT.
PT.
PT.
PT.
PT.
PT.

Spiriva 10s + Handihaler

PT. Boehringer Ingelheim

n/a

PT. Natura Laboratoria Prima

Travatan
Nasacort AQ
n/a

PT. Tempo Scan Pacific


PT. Aventis Pharma
PT. Darya Varia

Soft U Derm

PT. Galenium Pharmasia Laboratories

Imovax Polio

PT. Aventis Pharma

Depakote ER 250 mg
Depakote ER 500 mg
DIOVAN 160 MG
Diovan 80mg Tab
Isoptin 240 mg
n/a
Vinblastine

PT.
PT.
PT.
PT.
PT.
PT.
PT.

Combiphar
Combiphar
Combiphar
Novartis Indonesia
AstraZeneca indonesia
Molex Ayus

Cendo Industri Farmasi


Holi Pharma
Merck Tbk
Merck Tbk
Pratapa Nirmala
Pratapa Nirmala

Abbott Indonesia
Abbott Indonesia
Novartis Indonesia
Novartis Indonesia
Abbott Indonesia
Kimia Farma
Combiphar

Navebine injeksi 10
n/a
n/a

PT. Mugi Laboratories


PT. Kimia Farma
PT. Kimia Farma

Zincpro Drops

PT. Combiphar

Zircum Kid Sirup


n/a

PT. Meprofarm
PT. Kimia Farma

Dus, 3 blister @ 10 kapsul


Dus, 3 blister @ 10 kapsul
Prefilled Syringe @ 1ml
Botol
Dus, 1 syringe @ 0.5 mL

12,936.00
12,936.00
128,000.00
641,500.00
1,328,000.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Dus, 1 Vial @ 5 ml

72,000.00

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5
penfill disposible)

76,125.00

penfillcartridge @ 3ml

75,000.00

Dus Isi 5 penfill/cartridge @


3ml

76,125.00

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5
penfill disposible)

76,125.00

Dus Isi 5 penfill/cartridge @


3ml

76,125.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Dus, 1 Vial @ 5 ml

72,000.00

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5
penfill disposible)

76,125.00

Dus Isi 5 penfill/cartridge @


3ml

76,125.00

penfill cartridge @ 3ml

75,000.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Dus, 1 Vial @ 5 ml

72,000.00

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

Double Chamber Softbag 1000


115,500.00
ML
Botol Plastik 1000 mL

210,000.00

Dus @ 5 vial
Botol, 45 ml

1,237,500.00
33,900.00

Dus, 1 dus @ 60 blister @ 8


tablet tahap intensif kategori 1
+ 1 Dus @ 54 blister @ 3
288,199.00
tablet tahap lanjutan kategori
1
Dus, 60 sachet tahap intensif
@ (1 tablet Isoniazid, 2 kapsul
Rifampicin, 2 tablet
171,195.00
Pyrazinamide) + 120 sachet
tahap lanjutan @ (1 tablet
Isoniazid, 2 kapsul Rifampicin)
botol @ 10 ml

27,550.00

Dus, vial @ 355m + 1 prefilled


syringe pelarut @ 2,5 ml + 2
2,950,000.00
jarum suntik
Vial

120,000.00

Dus, 15 botol

5,200.00

Blister
Blister
Blister
Vial

23,500.00
23,500.00
23,500.00
3,290,000.00

1 blister@24 tablet

1,375.00

Dus, 3 Blister @ 10 kapsul

27,500.00

Dus, 10 dus @ 1 botol @ 10 ml 3,849.00


Dus, 5 strip @ 6 tablet
Box, 10 strips @ 10 tablets
Dus, 10 Strip @ 10 tablet
strip
Ktk 10x10 tablet
tube 3.5 gr
Vial 2 ml
dus 30 ampul @10 ml
Botol @ 100 tablet salut
selaput
Dus, 6 ampul @ 3 ml
strip
Dus, 10 strip @ 10 tss
Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets
strip
Dus, 10 strip @ 10 kaptab
btl @ 60 ml
Dus, Botol 60 ml

338.00
86.00
380.00
176.00
233.00
18,500.00
50,500.00
3,822.00

dus, 5 solostar pen @ 3ml

85,000.00

Injeksi 100 IU/ml, Flexpen


disposible 3 ml (1 box isi 5
flexpen disposible)

106,000.00

Penfill cartridge

97,500.00

Injeksi 100 IU/ml, Flexpen


disposible 3 ml (1 box isi 5
flexpen disposible)

85,345.00

Dus, vial 10 ml

200,000.00

dus, 5 solostar pen @ 3ml

79,165.00

90.00
12,480.00
1,200.00
112.00
330.00
187.00
211.00
272.00
2,445.00
4,045.00

Penfill cartridge

79,167.00

Dus, 2 blister @ 14 Tablet

32,000.00

STRIP

75.00

Dus, 25 tube @ 5 g

2,516.00

ktk 10 x 10 tablet

520.00

Btl 100 tablet

135.00

Dus, 5 strip @ 10 tablet

1,500.00

Dus 6 amp @ 1ml


Dus 10 strip x 10 tab
Botol @ 100 tablet
Boks, 1 ampul

22,000.00
95.00
48.00
2,209,000.00

Dus, 10 blister @ 10 kaptab ss 112.00


Strip

1,815.00

Dus, 10 ampul @ 5 ml

3,334.00

Tube 3,5 gram


Dus, 10 blister @ 10 tablet
ktk 10x10 tablet
10.000 UI/Vial

24,750.00
237.00
345.00
1,039,500.00

Dus 5 strip @ 10 tablet

190.00

Dus, 5 ampul @ 2.5 ml

20,000.00

Dus, 10 strip @ 10 tablet


botol @ 60 ml
Strip
ktk 2x10 tablet

74.00
34,400.00
3,333.00
4,500.00

Dus @ 50 gram

1,250.00

Dus @ 10 Vial
Dus @ 10 Vial
Vial
Box/ 3 blister @ 10 Tablet
Box @ 3 blister @ 10 Tablet
Tube 5 gr
Dus, 2 blister @ 14 Tablet
Dus, 2 blister @ 14 Tablet

9,800.00
13,400.00
3,200,000.00
3,600.00
3,600.00
1,520.00
72,400.00
45,000.00

Supp
Box 3 X 10 tab
Box 3 x 10'S

6,045.00
645.00
247,089.00

Dus, 1 Turbuhaler @ 100 dosis 93,000.00


Dus, 4 pak @ 5 respules @ 2
ml

8,900.00

Dus, 1 Turbuhaler @ 120 dosis 117,600.00


Dus, 1 Turbuhaler @ 60 dosis

110,500.00

Dus, 4 blister @ 7 tablet


Dus, 4 blister @ 7 tablet
Dus, 10 vial @ 500mg
Dus, 100 ampul @ 1 ml
Dus, 10 blister @ 10 tablet
Kotak, tube @ 15 gram
ampul @ 1 ml
Box 10 X 10 Tab
Dus, 10 strip @ 10 tablet

76,000.00
150,000.00
112,000.00
1,580.00
68.00
9,983.00
1,054.00
97.00
134.00

10 vial @ 50mg

127,667.00

Vial 5 mL
3 blister @ 10 kapsul
3 blister @ 10 kapsul
Btl 100 tablet
botol 15 ml
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, 1 vial @0,5 ml+ 1 vial
pelarut @1,5 ml

46,667.00
3,667.00
4,015.00
104.00
37,500.00
3,480.00
5,480.00
55,500.00
274,125.00
3,333.00
167.00
15,600.00

Dus, Botol Plastik @ 30 Tablet

7,100.00

Dus, 2 blister @ 15 tablet


dus, 2 prefilled syringe @ 0,2
ml

42,600.00

dus, 2 prefilled syringe @ 0,4


ml

970,200.00

40,740.00
71,875.00

dus, 2 prefilled syringe @ 0,6


ml
Dus @ 30 Ampul
Dus, 1 vial @5 ml
Vial @ 25 ml

100,000.00
8,100.00
128,000.00
500,000.00

Dus 3 strip @ 10 Flash tablet

650.00

Dus, Botol Plastik @ 100 mL

8,000.00

ktk 10 x 10 kapsul
Dus, 10 blister @ 10 kss

497.00
930.00

Botol @60 ml

7,700.00

Boks, 6 ampul
ktk 20 x 10 tablet
Dus, 10 strip @ 10 tss
btl @ 100 ml
Dus, 1 blister @ 1 subdermal
implant
Vial 100mg/5ml

139,500.00
314.00
451.00
2,500.00

Botol 10 ml
Dus, 6 blister @ 10 tablet
Dus, 6 blister @ 10 tablet
KOTAK @ 1 VIAL SERBUK OBAT
& INFUSION KIT

16,667.00
11,813.00
23,250.00

KOTAK @ 10 ampul

20,250.00

Botol @ 100
Dus @ 30 Ampul

133.00
1,800.00

Dus, 3 strip @ 10 kapsul

1,075.00

Dus, 3 strip @ 10 kapsul

1,375.00

Dus 45 x 12 tab
Dus, Canister 200 dosis
Dus 5 ampul@ 10ml
Dus 5 ampul@ 2ml
Dus @ 5 patch
Dus@ 5 patch
Dus@ 5 patch
pfs @ 0,5 ml

235.00
117,500.00
128,000.00
33,914.00
80,000.00
153,000.00
285,000.00
375,000.00

Botol @ 100 tablet salut gula

634.00

128,779.00
100,000.00

9,200,000.00

Dus, 5 vial @ 50 mg
Dus, 4 blister @ 5 tablet salut
selaput

1,248,319.00

Dus, 5 ampul @ 1ml

55,000.00

Botol

38,000.00

ktk 1 x 10 kapsul
strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml

22,000.00
419.00
410.00
24,500.00
33,000.00

Dus, Tube 5 g

2,400.00

Dus, Botol 120 Dosis Spay

93,333.00

275,000.00

Dus, 2 flow wrap@ 5 nebules @


12,917.00
1 dosis (2ml)
Dus, 2 pfs 0.5 ml

241,667.00

Dus, 25 ampul @ 2 ml
Dus, 10 strip @ 10 tablet
Dus, 10 strip @ 10 tablet
Boks, 1 ampul
Dus, 1 blister @ 10 tablet
Dus, 10 blister @ 12 kapsul
Dus, 10 blister @ 10 kaptab
vial
Dus, 1 vial @200 mg
Dus, 5 ampul @ 2 ml
Tube @ 3,5 gr
Dus, botol plastik 5 ml
Dus, 10 blister @ 10 kaptab
Strip
Dus, 10 Strip @ 10 tablet
ktk 5x10 tablet

1,829.00
85.00
78.00
399,500.00
295,000.00
289.00
679.00
1,098,900.00
330,000.00
3,399.00
2,600.00
3,194.00
56.00
235.00
950.00
265.00

ktk 5x10 tablet


ktk 5x10 tablet
ktk 5x10 tablet
Dus 10x10
Dus 10x10
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml

436.00
404.00
430.00
1,493.00
2,171.00
1,500.00
5,333.00
5,700.00

botol @ 500 ml
Dus, 1 syringe @ 10.8 mg
Dus, 1 syringe @ 3.6 mg
Dus, 10 blister @ 10 tablet
Dus 5 Ampul@1mL
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet

5,200.00
2,300,000.00
840,000.00
219.00
83,333.00
59.00
69.00

KOTAK @ 10 x 10 TAB

126.00

Dus, 10 blister @ 10 tablet


box 5ampul @1 ml

96.00
4,500.00

Dus, botol 60 ml
Dus, botol 60 ml
Dus, 10 strip @ 10 tablet
Dus, 1 vial @ 1 g
3 blister @ 10 tablet
3 blister @ 10 tablet
Botol
Botol
Botol
Botol
Dus, 5 blister @ 10 kss
Dus, 5 blister @ 10 kss
Dus, 1 vial @2 ml
Dus, 10 strip @ 10 tablet
Strip
Dus, 10 strip @ 10 tablet
Ampul
Dus, 3 Blister @ 10 tablet
Dus, 3 Blister @ 10 tablet
Boks, 120 tablet
Dus, 10 strip @ 10 tablet
Dus, 10 strip @10 tablet
Dus, 10 strip @ 10 tablet

3,499.00
4,499.00
149.00
1,329,163.00
3,908.00
2,120.00
245,000.00
123,200.00
299,000.00
150,300.00
1,425.00
2,470.00
510,000.00
88.00
694.00
1,580.00
7,800.00
4,900.00
3,100.00
27,500.00
140.00
80.00
62.00

Dus, botol @ 120 ml

44,770.00

Dus, 10 blister @ 10 tablet


Fenol 100 mg / 1 ml
Vial @ 10 ml
tube 10 gr

245.00
2,042.00
110,000.00
2,569.00

Box isi 1 Tube @ 15 g

4,700.00

Dus, 5 Strip @ 10 tablet

300.00

Dus @ 12 Ampul
Dus, 3 Strip @ 10 Kaplet salut
selaput
Dus, 5 blister @ 10 kapsul
Dus, 5 blister @ 10 kapsul
Dus, 10 Strip @ 10 tablet
Ktk 10X10 TAB

2,300.00

Dus, 3 strip @ 10 tab

3,400.00

Dus @ 30 Ampul
Dus @ 30 Ampul

1,050.00
1,100.00

KOTAK @ 5 x 10 TAB

5,000.00

KOTAK @ 5 x 10 TAB

1,550.00

ktk 10x10 tablet


ktk 10x10 tablet
ktk 10x10 tablet

500.00
850.00
1,100.00

Botol @ 60 ml

12,450.00

Dus, 100 Sachet @ 30 Tablet

42.00

botol 15 ml

15,750.00

Dus, 4 blister @ 6 tablet


Dus, botol plastik @ 30 tablet
salut selaput

3,220.00

Dus, Botol 120 Dosis

90,667.00

Dus, foil strip @ 60 dosis

100,833.00

Dus, foil strip @ 60 dosis

113,333.00

Dus, 10 strip @ 10 kaptab

149.00

ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial
Dus, 2 strip @ 10 kapsul

670.00
6,200.00
540.00
1,400.00
82,042.00
473.00

Dus, 7 Blister @ 10 tablet

67,200.00

botol 500 ml

56,300.00

3,200.00
361.00
553.00
900.00
184.00

8,900.00

Softbag 500 ML

67,400.00

Softbag 500 ML

37,500.00

Double Chamber Softbag 500


ML

61,600.00

botol 500 mL

75,350.00

Botol Gelas 100 ml

36,667.00

Botol Gelas 250 ml

50,820.00

Softbag 200 ML

46,000.00

Softbag 500 ML

65,000.00

Botol Gelas 500 ml

78,720.00

botol 250 ml

51,260.00

botol 500 ml

64,900.00

botol 500 mL

42,000.00

botol 250 mL

46,000.00

Bag (3 Chamber) 1440 ml

295,240.00

Bag (3 Chamber) 1920 ml

343,842.00

Bag Double chamber (Dua


compartement), 1000 mL

322,000.00

Bag Double chamber (Dua


compartement), 1000 mL

218,700.00

Ampoel 25 ML

2,050.00

Botol 1000 ml

8,000.00

Plastic Bottle 500 ML

9,000.00

Plastic Bottle 500 ML

9,000.00

flexybag 250 mL

87,000.00

LDPE (Low Density Poly


Ethilene), botol plastik

12,650.00

botol 500 mL

50,500.00

Flexy bag 500 mL

42,350.00

Plastic Bottle 500 ML

29,167.00

Plastic Bottle 500 ML

55,500.00

botol 500 mL

37,500.00

Botol Plastik 1000 mL

199,000.00

botol 500 mL

56,000.00

Botol 500 ml

9,500.00

Botol 500 ml

6,800.00

Botol 500 ml

6,917.00

Botol 500 ml

7,700.00

Botol 500 ml

7,700.00

softbag 500ml

35,750.00

Botol 500 ml

6,930.00

Plastic Bottle 500 ML

9,167.00

Plastic Bottle 500 ML

10,000.00

Plastic Bottle 500 ML

10,000.00

20%, Botol Kaca @100 ml,


single bottle

105,500.00

Botol Gelas 100 ml

60,500.00

20%, Botol Kaca @250 ml,


single bottle

210,000.00

Bag, 3 chamber ( 3
kompartemen), 1250 ml

591,000.00

Bag, 3 chamber ( 3
kompartemen), 1250 ml

511,000.00

Bag, 3 chamber ( 3
kompartemen), 625 ml

358,000.00

Flexy bag 100 mL

89,800.00

strip 5 x 0.6 ml
Vial
Vial
Box, 1 Botol @ 100 ml

72,000.00
700,000.00
2,700,000.00
40,000.00

STRIP

528.00

Dus, 100 ampul @ 2 ml


Dus, 30 ampul @ 2 ml
Dus, 10 syringe @ 10 g

839.00
1,363.00
40,000.00

Box ,3 Strip @ 10 tablet

600.00

Box ,3 Strip @ 10 tablet

350.00

KOTAK @ 10 x 10 TAB

1,050.00

KOTAK @ 10 x 10 TAB

1,850.00

Dus, 10 Strip @ 10 Tablet

89.00

STRIP

154.00

KOTAK @ 10 x 10 TAB

1,341.00

Strip

1,200.00

KOTAK @ 5 x 10 TAB

3,276.00

Box, Tablet 2 mg/25's

12,210.00

Dus, 1 vial @ 1 g
54,000.00
Ampul
74,998.00
Botol 1000 ml
254,100.00
Dus, botol plastik @ 30 kapsul
6,537.00
pelepasan lambat
Strip
635.00
Dus, 10 Blister @ 10 Tablet

205.00

Dus, 10 Blister @ 10 tablet


ktk 10 x 10 tablet

300.00
108.00

Dus, 1 Botol @ 100 ml

9,950.00

Dus, 2 blister @ 5 suppositoria 3,220.00


10 strip @ 10 tab

110.00

10 strip @ 10 tab

160.00

Boks 10 amp
Boks 5 amp
Dus,1 vial@50mg
Tube 10 gram
10 mg /Vial
botol, tetes mata 3 ml
tube 10 gram
Dus 10 amp @ 1 ml
Dus, 6 strip @ 10 tablet
Dus, 6 strip @ 10 tablet
Ktk 10 ampul @ 1ML
Botol 30 tablet
Botol 500 ml

6,119.00
12,060.00
260,000.00
3,000.00
697,000.00
77,000.00
17,820.00
8,400.00
15,620.00
22,990.00
10,499.00
1,300.00
4,700.00

Dus, 5 blister @ 2 pfs 0.3 ml

54,144.00

Dus, 5 blister @ 2 pfs 0.4 ml

66,640.00

Dus, 5 blister @ 2 pfs 0.6 ml

94,962.00

Dus, 5 Ampul @ 2ml


Ampoel 25 ML

61,600.00
6,200.00

Box ,5 Blister @ 10 tablet

200.00

Tube 5 gr
6,490.00
btl 60 tablet
2,800.00
blister
2,999.00
blister
3,500.00
Dus, 10 Strip @ 10 tablet salut
100.00
selaput
Dus @ 10 X 10 's
640.00
blister
2,618.00
Paket
359,900.00
Paket
1,199,990.00
Paket
214,900.00
Dus, 3 blister @ 28 kss
160,000.00
Box ,5 Strip @ 10 tablet

400.00

Box ,5 Strip @ 10 tablet

650.00

botol @ 10 ml

27,550.00

Dus, vial @ 355m + 1 prefilled


syringe pelarut @ 2,5 ml + 2
2,950,000.00
jarum suntik
3 X 10 fcc
3 X 10 fcc

6,450.00
11,200.00

Dus, 1 Vial @ 40 mg

36,000.00

strip
Dus, 5 Ampul @ 2ml
Box 3 X 10 Tab
Box 3 X 10 Tab

211.00
2,400.00
716.00
1,189.00

Transfer Set: Set; Ultaclam:


Kantong Plastik; Tenckoff
Catheter: Box; Titanium
Adaptor: Kantong Plastik

1,902,240.00

Set

219,540.00

Larutan Dialisa 1.5 %: 2.000


ml; Larutan Dialisa 2.5 %:
2.000 ml; Larutan Dialisa 4.25 5,522,580.00
%: 2.000 ml; Minicap: Kantong
Plastik
botol 60 ml

1,438.00

Dus, 10 strip @ 10 kaptab

89.00

Boks, 1 pfs
Boks, 1 pfs

1,077,815.00
1,248,220.00

Tube @ 10 g

11,475.00

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

14,500.00
3,120.00
4,525.00
8,360.00
296.00
206.00
17,393.00
37,109.00
2,163.00
14,203.00

Dus, 3 alu blister @ 10 tablet

7,200.00

Dus, 3 alu blister @ 10 tablet

11,268.00

Box ,5 Strip @ 10 tablet

2,300.00

Dus,
Dus,
Dus,
Dus,
Dus,
Dus,

65.00
106.00
17,391.00
19,500.00
23,185.00
580.00

10 Strip @ 10 tablet
10 strip @ 10 tablet
1 blister @ 10 tablet
1 blister @ 10 tablet
1 blister @ 10 tablet
10 Strip @ 10 kaptab

Dus, 10 Ampul @ 2 ml
Dus, 10 Strip @ 10 tablet salut
selaput
Botol 50 kapsul lunak
botol 500 ml
Dus, 5 Blister @ 10 tablet
KOTAK @ 5 x 10 TAB

1,140.00
120.00
260.00
5,200.00
1,400.00
1,008.00

Dus, 5 Blister @ 10 tablet


2,000.00
Dus, 7 blister @ 4 Tablet lepas
5,248.00
Lambat
Dus, 7 blister @ 4 Tablet lepas
6,275.00
Lambat
Dus, 7 blister @ 4 Tablet lepas
7,383.00
Lambat
Dus, botol 200 dosis

63,750.00

Dus, 10 Blister @ 10 Kapsul

431.00

Dus, 1 Rotahaler

5,867.00

Dus, 5 strip @ 10 kapsul

513.00

Dus, 10 strip @ 10 kapsul


Dus, Botol 60 ml
Dus, Botol 60 ml

509.00
5,895.00
4,746.00

Dus, 5 Strip @ 10 Kapsul

1,000.00

Box 2 Vial @ 1000mg


Dus, 10 blister @ 10 kapsul

48,060.00
859.00

Dus, Botol 30 ml

8,800.00

Dus, 10 Vial @ 1 g

2,950.00

Dus, 3 blister @ 10 tablet

3,700.00

Dus, 10 Vial @ 1 g

3,300.00

Dus, 1 Blister @ 10 Tablet salut


7,200.00
selaput
Box, 10 strips @ 10 capsules

181.00

100 ampul @ 1 ml

1,078.00

vial

256,000.00

vial

82,000.00

Dus, 10 blister @ 5 kapsul


lunak

43,000.00

Dus, 10 blister @ 5 kapsul


lunak

12,000.00

Dus, 3 Strip @ 10 Kaplet salut


selaput

169.00

Dus, 3 Strip @ 10 Kaplet salut


selaput
Vial 200 ml
Dus, 10 blister @ 10 tab ss
Dus, 5 strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet

391.00
13,000.00
255.00
1,499.00
900.00
315.00

dus 5 amp @ dus 10

127,000.00

Pounch @ 5 blister @ 10
capsule

11,167.00

Dus, 1 pouch @5 blister@10


kaps
Box/ 2 blister @ 14 tablet
Box @ 2 blister @ 14 tablet
Box/ 3 blister @ 10 Tablet
Dus, 2 blister @ 14 tablet
Dus, 2 pak @ 5 respules
Box 50's

21,500.00
5,800.00
5,800.00
6,800.00
28,500.00
6,250.00
99.00

Dus, 1 Turbuhaler @ 200 dosis 71,100.00


botol 5 ml
Dus, 10 strip @ 10 kapsul
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet
Dus, Botol Plastik @ 5ml
Dus, Botol Plastik @ 5ml
Dus, 1 blister @10 kapsul +
handihaler

11,500.00
148.00
1,135.00
563.00
9,128.00
9,722.00

Dus, 10 Ampul @ 2 ml

2,395.00

botol, tetes mata 2,5 ml


Dus, botol plastik 120 dosis
strip

115,000.00
90,000.00
405.00

tube

6,400.00

1 vial of 10ml (10 d's)

285,000.00

Tablet
Tablet
Dus, 2 blister @ 14 tablet
Dus, 2 blister @ 14 tablet
Tablet
Ktk 10X10 TAB
Vial 10mg/10ml

2,793.00
5,450.00
6,500.00
3,900.00
6,200.00
234.00
210,000.00

152,543.00

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

1,229,998.00
107.00
3,429.00

Drops 10 mg/ml, Botol @15 ml 12,840.00


Dus, botol 60 ml
ktk 10 x 10 tablet

7,400.00
473.00

1.

Jawa Barat

ACT (Artesunate tablet 50 mg + Amodiaquine


anhydrida tablet 200 mg)

2.

Jawa Barat

Adefovir Dipivoksil tablet/kaplet 10 mg

3.

Jawa Barat

Albendazol suspensi 200 mg/5 ml

4.
5.
6.
7.
8.
9.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Albendazol tablet/kapsul/kaplet 400 mg


Alopurinol tablet/kapsul/kaplet 100 mg
Alprazolam tablet/kapsul/kaplet 0,25 mg
Alprazolam tablet/kapsul/kaplet 0,5 mg
Alprazolam tablet/kapsul/kaplet 1 mg
Amfoterisin B salep mata 1%

10.

Jawa Barat

Amikasin injeksi 250 mg/ml

11.

Jawa Barat

Aminofilin injeksi 24 mg/ml

12.

Jawa Barat

Aminofilin tablet scored 200 mg

13.
14.
15.
16.
17.
18.
19.
20.
21.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Amiodaron injeksi 150 mg/3 ml


Amiodaron tablet/kaplet 200 mg
Amitriptilin tablet salut 25 mg (HCl)
Amlodipin tablet 10 mg
Amlodipin tablet 5 mg
Amoksisilin kapsul/kaplet 250 mg
Amoksisilin kapsul/kaplet/tablet scored 500 mg
Amoksisilin sirup kering forte 250 mg/5 ml
Amoksisilin sirup kering 125 mg/ 5 ml

22.

Jawa Barat

Analog insulin long acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glargine 100 IU/ml)

Jawa Barat

Analog insulin mix acting inj 100 UI/ml, Analog insulin


mix acting inj 100 UI/ml (Premix 30% Insulin Aspart +
70% Protaminated Insulin Aspart (Analogue))

24.

Jawa Barat

Analog insulin mix insulininj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (25% insulin lispro, 75%
insulin lispro protamine suspension, (rDNA))

25.

Jawa Barat

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin Aspart (Analogue))

26.

Jawa Barat

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin Aspart (Analogue))

23.

Barat
Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

27.

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glulisine 100 IU/ml)

28.

Jawa Barat

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin lispro (rDNA origin))

29.

Jawa Barat

Anastrozol tablet/kapsul/kaplet 1 mg

30.

Jawa Barat

Antasida DOEN I tablet kunyah, kombinasi : Aluminium


Hidroksida 200 mg Magnesium Hidroksida 200 mg

31.

Jawa Barat

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g


Polimiksin 10.000 IU/g

32.

Jawa Barat

Antimalaria DOEN kombinasi : Pirimetamin 25 mg


Sulfadoksin 500 mg

33.

Jawa Barat

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

34.

Jawa Barat

35.
36.
37.
38.

Jawa
Jawa
Jawa
Jawa

39.

Jawa Barat

Asam Mefenamat kapsul/kaplet 500 mg

40.

Jawa Barat

Asam pipemidat kapsul 400 mg

41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Asam traneksamat injeksi 100 mg/ml


Asiklovir salep mata 3%
Asiklovir tablet/kapsul/kaplet 200 mg
Asiklovir tablet/kapsul/kaplet 400 mg
Asparaginase serbuk injeksi 10.000 UI/vial
Atapulgit tablet 600 mg
Atrakurium injeksi 25 mg/2,5 ml
Atropin Sulfat tablet 0,5 mg
Azitromisin sir kering 200 mg/ 5 mL
Azitromisin tablet 500 mg
Azitromisin tablet 250 mg
Bedak salisil serbuk 2%
Benzatin Benzil Penisilin 1,2 juta IU/ vial
Benzatin Benzil Penisilin 2,4 juta IU/vial
Beractant injeksi / suspensi 25 mg/mL

56.

Jawa Barat

Beraprost sodium tablet 20 mcg

57.
58.

Jawa Barat
Jawa Barat

Beraprost sodium tablet 20 mcg


Betametason krim 0,1% (sebagai Valerat)

Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Antiparkinson DOEN tablet kombinasi : Benserazid 25


mg Levodopa 100 mg
Artemether injeksi 80 mg/ml
Asam Askorbat (Vitamin C) tablet 50 mg
Asam Folat tablet/kapsul/kaplet 1 mg
Asam Ibandronat injeksi 6mg/6ml

59.
60.
61.
62.
63.

Jawa
Jawa
Jawa
Jawa
Jawa

Barat
Barat
Barat
Barat
Barat

64.

Jawa Barat

Budesonid inhaler 200 mcg/puff, 100 dosis

65.

Jawa Barat

Budesonid respules / cairan inhaler 0,25mg/mL

66.

Jawa Barat

Budesonid-formoterol (fixed combination) inhaler


160/4,5 mcg

67.

Jawa Barat

68.
69.

Jawa Barat
Jawa Barat

Budesonid-formoterol (fixed combination) inhaler


80/4,5 mcg
Dabigatran eteksilat kapsul 75 mg
Dabigatran eteksilat kapsul 110 mg

70.

Jawa Barat

Deferasiroks tablet disp/ eff 250 mg

71.

Jawa Barat

Deferasiroks tablet disp/ eff 500 mg

72.

Jawa Barat

Deferipron larutan oral 100 mg/mL

73.
74.
75.
76.
77.
78.
79.
80.

Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa
Jawa

Deferipron tablet 500 mg


Deferoksamin Mesilat serbuk injeksi 500 mg
Deksametason injeksi i.v./i.m. 5 mg/ml
Deksametason tablet 0,5 mg
Desoksimetason krim 0,25%
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
Digoksin tablet 0,25 mg
Diltiazem HCl tablet 30 mg

81.

Jawa Barat

Diltiazem infus injeksi 50 mg

82.

Jawa Barat

Diltiazem injeksi 25 mg/5 mL

83.

Jawa Barat

Diltiazem Kapsul SR 100 mg

84.

Jawa Barat

Diltiazem Kapsul SR 200 mg

85.
86.
87.
88.

Jawa
Jawa
Jawa
Jawa

Dimenhidrinat tablet 50 mg
Dinatrium edetat tetes mata 0,35%
Doksazosin mesilat tablet 1 mg
Doksazosin mesilat tablet 2 mg

89.

Jawa Barat

Barat
Barat
Barat
Barat
Barat
Barat
Barat
Barat

Barat
Barat
Barat
Barat

Bikalutamid tablet salut 150 mg


Bikalutamid tablet salut 50 mg
Bisakodil suppositoria 10 mg
Bisoprolol tablet 5 mg
Bromokriptin tablet 2,5 mg

Doksorubisin serbuk injeksi i.v. 10 mg/vial

90.

Jawa Barat

Doksorubisin serbuk injeksi i.v. 50 mg/vial

91.
92.
93.

Jawa Barat
Jawa Barat
Jawa Barat

Domperidon suspensi/sirup 5 mg/5 ml


Domperidon tablet 10 mg
Domperidon tetes 5 mg/mL

94.

Jawa Barat

Dosetaksel injeksi 20 mg/0,5 ml

95.

Jawa Barat

Dutasterid kaps lunak 0,5 mg

96.
97.

Jawa Barat
Jawa Barat

Efavirens tablet salut 600 mg


Eksemestan tablet 25 mg

98.

Jawa Barat

Enoksaparin sodium inj 20 mg/0,2 mL

99.

Jawa Barat

Enoksaparin sodium inj 40 mg/0,4 mL

100. Jawa Barat

Enoksaparin sodium inj 60 mg/0,6 mL

101. Jawa Barat

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

102. Jawa Barat

Epirubisin serb injeksi 50 mg/25ml

103. Jawa Barat

Epirubisin serb injeksi 10 mg/5 ml

104. Jawa Barat

Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI

105. Jawa Barat

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

106. Jawa Barat

Eritromisin kapsul/kaplet 250 mg

107. Jawa Barat

Eritromisin kapsul/kaplet 500 mg

108. Jawa Barat

Eritromisin sirup kering 200 mg/ 5 ml

109. Jawa Barat

Eritropoetin-alfa inj 3000 UI/mL

110. Jawa Barat

Eritropoetin-beta inj 2000 UI/0,3 mL

111. Jawa Barat

Etambutol tablet 250 mg (HCl)

112. Jawa Barat

Etambutol tablet salut 500 mg (HCl)

113. Jawa Barat

Etanol 70% cairan

114. Jawa Barat

Etonogestrel implan 68 mcg

115. Jawa Barat

Etoposid injeksi 20 mg/ml

116. Jawa Barat

Eugenol cairan

117. Jawa Barat

Everolimus tab 0,25 mg

118. Jawa Barat

Everolimus tab 0,5 mg

119. Jawa Barat

Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut


untuk injeksi

120. Jawa Barat

Fenitoin injeksi 50 mg/ml

121. Jawa Barat

Fenitoin kapsul/kaplet 100 mg

122. Jawa Barat

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

123. Jawa Barat

Fenofibrat kaps 100 mg

124. Jawa Barat

Fenofibrat kaps 300 mg

125. Jawa Barat

Fenoksimetil penisilin (penisilin V) tab 125 mg

126. Jawa Barat

Fenoterol HBr inh solution 0,1%

127. Jawa Barat

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

128. Jawa Barat

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

129. Jawa Barat

Fentanil patch 12,5 mcg/jam

130. Jawa Barat

Fentanil patch 25 mcg/jam

131. Jawa Barat

Fentanil patch 50 mcg/jam

132. Jawa Barat

Filgrastim inj 300 mcg/mL

133. Jawa Barat

Fitomenadion (Vit.K1) tablet salut gula 10 mg

134. Jawa Barat

Fludarabin inj 50 mg

135. Jawa Barat

Fludarabin tab 10 mg

136. Jawa Barat

Flufenazin injeksi i.m. 25 mg/ml

137. Jawa Barat

Flukonazol injeksi 2 mg/ml

138. Jawa Barat

Flukonazol tablet/kapsul 150 mg

139. Jawa Barat

Fluoksetin tablet 10 mg

140. Jawa Barat

Fluoksetin tablet 20 mg

141. Jawa Barat

Fluorourasil inj 250 mg/mL

142. Jawa Barat

Fluorourasil inj 500 mg/ 5 mL

143. Jawa Barat

Flusinolon asetonid krim 0,025%

144. Jawa Barat

Flutikason furoat intranasal spray

145. Jawa Barat

Flutikason propionat nebules 0,5 mg

146. Jawa Barat

Fondaparinuks inj 2,5 mg/0,5 mL

147. Jawa Barat

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

148. Jawa Barat

Furosemid tablet 40 mg

149. Jawa Barat

Furosemid tablet 40 mg

150. Jawa Barat

Gansiklovir serb inj 500 mg (50 mg/mL)

151. Jawa Barat

Gefitinib tab 250 mg

152. Jawa Barat

Gemfibrozil kapsul/kaplet 300 mg

153. Jawa Barat

Gemfibrozil tablet 600 mg

154. Jawa Barat

Gemsitabin inj 1000 mg/vial

155. Jawa Barat

Gemsitabin inj 200 mg/vial

156. Jawa Barat

Gentamisin injeksi 40 mg/ ml

157. Jawa Barat

Gentamisin salep mata 0,3%

158. Jawa Barat

Gentamisin tetes mata 0,3%

159. Jawa Barat

Glibenklamid tablet 5 mg

160. Jawa Barat

Gliklazid tab 80 mg

161. Jawa Barat

Gliklazid tab 30 mg

162. Jawa Barat

Glikuidon tab 30 mg

163. Jawa Barat

Glimepiride tablet 1 mg

164. Jawa Barat

Glimepiride tablet 2 mg

165. Jawa Barat

Glimepiride tablet 3 mg

166. Jawa Barat

Glimepiride tablet 4 mg

167. Jawa Barat

Gliseril trinitrat kaps SR 2,5 mg

168. Jawa Barat

Gliseril trinitrat kaps SR 5 mg

169. Jawa Barat

Gliseril trinitrat tab sublingual 0,5 mg

170. Jawa Barat

Gliserin lar 50%

171. Jawa Barat

Glukosa larutan infus 10 % steril

172. Jawa Barat

Glukosa larutan infus 5 % steril

173. Jawa Barat

Goserelin asetat inj 10,8 mg/vial

174. Jawa Barat

Goserelin asetat inj 3,6 mg

175. Jawa Barat

Griseofulvin tablet 125 mg

176. Jawa Barat

Haloperidol inj 50 mg/mL

177. Jawa Barat

Haloperidol tablet 0,5 mg

178. Jawa Barat

Haloperidol tablet 5 mg

179. Jawa Barat

Haloperidol tablet 1,5 mg

180. Jawa Barat

Haloperidol tablet 2 mg

181. Jawa Barat

Halotan Inhalasi

182. Jawa Barat

Hepatitis B imunoglobulin (human)

183. Jawa Barat

Hiosin butilbromid injeksi 20 mg/ml

184. Jawa Barat

Human insulin intermediate acting inj 100 UI/ml, vial


(Human Insulin (Intermediate-Acting))

185. Jawa Barat

Human insulin intermediate acting inj 100 UI/ml, vial


(Insulin human Basal)

186. Jawa Barat

Human insulin intermediate acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge

187. Jawa Barat

Human insulin intermediate acting inj 100 UI/ml,penfill


cartridge (Human Insulin (Intermediate-Acting))

188. Jawa Barat

Human insulin intermediate acting inj 100 UI/ml,penfill


cartridge (Insulin human Basal)

189. Jawa Barat

Human insulin intermediate acting inj 100 UI/ml,penfill


cartridge (Insulin human Basal)

190. Jawa Barat

Human insulin mix insulin inj 100 UI/ml, penfill


cartridge (Human Insulin (Premix: 30% Soluble + 70 %
NPH Insulin))

191. Jawa Barat

Human insulin mix insulin inj 100 UI/ml, penfill


cartridge (Insulin human Comb)

192. Jawa Barat

Human insulin mix insulin inj 100 UI/ml, vial (Human


Insulin (Premix: 30% Soluble + 70 % NPH Insulin))

193. Jawa Barat

Human insulin mix insulin inj 100 UI/ml, vial (Insulin


human Comb)

194. Jawa Barat

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Human Insulin (Short Acting))

195. Jawa Barat

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Insulin human Rapd)

196. Jawa Barat

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Insulin human Rapd)

197. Jawa Barat

Human insulin short acting inj 100 UI/ml, vial (Human


Insulin (Short Acting))

198. Jawa Barat

Human insulin short acting inj 100 UI/ml, vial (Insulin


human Rapd)

199. Jawa Barat

Human insulin short acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge

200. Jawa Barat

Ibuprofen sirup 100 mg/5 ml

201. Jawa Barat

Ibuprofen suspensi 200 mg/5 ml

202. Jawa Barat

Ibuprofen tablet 400 mg

203. Jawa Barat

Ifosfamid serbuk injeksi 1000 mg/vial

204. Jawa Barat

Imidapril tab 10 mg

205. Jawa Barat

Imidapril tab 5 mg

206. Jawa Barat

Iopamidol 200-300 mg Iodium/mL (300mg @ vial


100ml)

207. Jawa Barat

Iopamidol 200-300 mg Iodium/mL (300mg @ vial


30ml)

208. Jawa Barat

Iopamidol 200-300 mg Iodium/mL (300mg @ vial


50ml)

209. Jawa Barat

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


100ml)

210. Jawa Barat

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


30ml)

211. Jawa Barat

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


50ml)

212. Jawa Barat

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

213. Jawa Barat

Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)

214. Jawa Barat

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

215. Jawa Barat

Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)

216. Jawa Barat

Irbesartan tab 150 mg

217. Jawa Barat

Irbesartan tab 300 mg

218. Jawa Barat

Irinotekan inf 20 mg/ml

219. Jawa Barat

Isosorbid Dinitrat tablet sublingual 5 mg

220. Jawa Barat

Kalium aspartat tab 300 mg

221. Jawa Barat

Kalium Klorida tablet 600 mg

222. Jawa Barat

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

223. Jawa Barat

Kandesartan tab 16 mg

224. Jawa Barat

Kandesartan tab 8 mg

225. Jawa Barat

Kapesitabin tab 500 mg

226. Jawa Barat

Kaptopril tablet 50 mg

227. Jawa Barat

Kaptopril tablet scored 25 mg

228. Jawa Barat

Kaptopril tablet scored12,5 mg

229. Jawa Barat

Karbamazepin sirup 100 mg/5 ml

230. Jawa Barat

Karbamazepin tablet 200 mg

231. Jawa Barat

Karbimazol tab 5 mg

232. Jawa Barat

Karbogliserin tetes telinga 10%

233. Jawa Barat

Ketamin injeksi i.v. 100 mg/ml

234. Jawa Barat

Ketokonazol krim 2%

235. Jawa Barat

Ketokonazol krim 2%

236. Jawa Barat

Ketokonazol tablet 200 mg

237. Jawa Barat

Ketorolac injeksi 30 mg/ml

238. Jawa Barat

Klaritromisin tab 500 mg

239. Jawa Barat

Klindamisin kapsul/kaplet 150 mg

240. Jawa Barat

Klindamisin kapsul/kaplet 300 mg

241. Jawa Barat

Klobazam tab 10 mg

242. Jawa Barat

Klonidin tablet 0,15 mg

243. Jawa Barat

Klopidogrel tab 75 mg

244. Jawa Barat

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

245. Jawa Barat

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

246. Jawa Barat

Klozapin 100 mg

247. Jawa Barat

Klozapin 25 mg

248. Jawa Barat

Kodein tablet 10 mg

249. Jawa Barat

Kodein tablet 15 mg

250. Jawa Barat

Kodein tablet 20 mg

251. Jawa Barat

Kombinasi suspensi : Parafin + gliserin + fenolftalein

252. Jawa Barat

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg


Asam folat 0,25 mg

253. Jawa Barat

Kombinasi tetes mata 2,5 mg/mL: Natrium klorida


8,664 mg; Kalium klorida 1,32 mg

254. Jawa Barat

Kombinasi: Artemether 20 mg; Lumefantrin 120 mg

255. Jawa Barat

Kombinasi: Levodopa 100 mg; Karbidopa 25 mg;


Entekapon 200 mg

256. Jawa Barat

Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50


mcg

257. Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason propionat


100 mcg

258. Jawa Barat

Kombinasi: Salmeterol 50 mcg; Flutikason propionat


250 mcg

259. Jawa Barat

Kotrimoksazol DOEN I (dewasa) kombinasi :


Sulfametoksazol 400 mg Trimetoprim 80 mg

260. Jawa Barat

Kuinin (Kina) tablet 200 mg

261. Jawa Barat

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

262. Jawa Barat

Kuinin tablet 222 mg (H2SO4.7H2O)

263. Jawa Barat

Lamivudine tablet 150 mg

264. Jawa Barat

Lansoprazol inj 30 mg/ml

265. Jawa Barat

Lanzoprazol kapsul/kaplet 30 mg

266. Jawa Barat

Lapatinib tab 250 mg

267. Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 10%)

268. Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 100


g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)

269. Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 27 g,


Sorbitol 50 g, Cl- 52 mEq)

270. Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 30 g,


Glukosa 7,3 % dan elektrolit) 1000 ml

271. Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 30 g,


Glukosa 7,3 % dan elektrolit) 500 ml

272. Jawa Barat

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)

273. Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 6%,


mengandung Taurine 0,24 gr/l)

274. Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 7%,


Komposisi: Asam Amino esensial: Asam Amino non
esensial = 60 : 40)

275. Jawa Barat

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)

276. Jawa Barat

Larutan mengandung Asam Amino (Asam Amino 79.9


g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

277. Jawa Barat

Larutan mengandung Asam Amino (Asam amino 8%)

278. Jawa Barat

Larutan mengandung Asam Amino (Asam Amino


esensial 7%+Xylitol 10 g/L)

279. Jawa Barat

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

280. Jawa Barat

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)

281. Jawa Barat

Larutan mengandung Asam Amino (Kombinasi Asam


amino 50 g/L, vitamin dan elektrolit)

282. Jawa Barat

Larutan mengandung Asam Amino (Kombinasi Asam


Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit
(Kalori = 1000 kkal, Akses peripheral))

283. Jawa Barat

Larutan mengandung Asam Amino (Kombinasi Asam


Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit
(Kalori = 1400 kkal, Akses peripheral))

284. Jawa Barat

Larutan mengandung Asam Amino (Kombinasi Glukosa


dan elektrolit 150 gr + Asam Amino 48 gr dgn akses
sentral)

285. Jawa Barat

Larutan mengandung Asam Amino (Kombinasi Glukosa


dan elektrolit 80 gr + Asam Amino 40 gr )

286. Jawa Barat

Larutan mengandung Elektrolit (Kalium Klorida)

287. Jawa Barat

Larutan mengandung Elektrolit (Larutan Ringer Laktat)

288. Jawa Barat

Larutan mengandung Elektrolit (Na 130 mEq, Cl 109


mEq, Ca 3 mEq, Asetat 28 mEq)

289. Jawa Barat

Larutan mengandung Elektrolit (NaCl 1.125 gr,


Dekstrosa 18.75 gr)

290. Jawa Barat

Larutan mengandung Elektrolit (Sodium Lactate sol


(50%) 113 gr/L, Potassium Chloride 0.3 gr/L, Calcium
Chloride 0.2 gr/L, elektrolit)

291. Jawa Barat

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)

292. Jawa Barat

Larutan mengandung Karbohidrat (Fructose 120 g,


glucose 66 g, Xylitol 60 g/ L + elektrolit)

293. Jawa Barat

Larutan mengandung Karbohidrat (Fructose 60 g,


glucose 33 g, Xylitol 30 g/ L)

294. Jawa Barat

Larutan mengandung Karbohidrat (Maltose 100 gr)

295. Jawa Barat

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)

296. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Acetate,


Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L)

297. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Asam


amino 28 gr/L, Glukosa 100 gr/L, elektrolit)

298. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Asam


amino 28 gr/L, Glukosa 75 gr/L, elektrolit)

299. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)

300. Jawa Barat

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)

301. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Glukosa


55 g ; Natrium Chloride 9 g, air untuk injeksi ad 1000
ml)

302. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 25,0 g; NaCl: 4,5 g)

303. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 2.25 g)

304. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 4.5 g)

305. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Larutan


nutrisi kombinasi infus per L: Na. 100mEQ, K 18mEQ,
Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ,
Sorbitol 50g)

306. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Larutan


Ringer & Glukosa 5%)

307. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (NaCl


1.75 g, KCL 1.5g, Glukosa 100 gr)

308. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Nacl


1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)

309. Jawa Barat

Larutan mengandung Karbohidrat + Elektrolit (Nacl


2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27
gr)

310. Jawa Barat

Larutan mengandung Lipid ( Infus Lipid Emulsi


MCT/LCT 20% 100 ml)

311. Jawa Barat

Larutan mengandung Lipid (Emulsi lemak 20%)

312. Jawa Barat

Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT


20% 250 ml)

313. Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa dan


elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50 gr
dgn akses sentral)

314. Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa dan


elektrolit 80 gr + Asam Amino 40 gr + Lipid MCT/LCT
50 gr)

315. Jawa Barat

Larutan mengandung Lipid (Kombinasi Glukosa dan


elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr
dgn akses sentral)

316. Jawa Barat

Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg


Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate
0.3 gr/L)

317. Jawa Barat

Latanoprost tetes mata 0,01%

318. Jawa Barat

Leuprorelin asetat inj depot 1,88 mg

319. Jawa Barat

Leuprorelin asetat inj depot 11,25 mg

320. Jawa Barat

Levofloksasin inf 5 mg/mL

321. Jawa Barat

Levofloksasin tablet 500 mg

322. Jawa Barat

Lidokain injeksi 2% (HCL)

323. Jawa Barat

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

324. Jawa Barat

Lidokain jeli 2%

325. Jawa Barat

Lisinopril tablet 10 mg

326. Jawa Barat

Lisinopril tablet 5 mg

327. Jawa Barat

Litium karbonat tablet 200 mg

328. Jawa Barat

Litium karbonat tablet 400 mg

329. Jawa Barat

Loperamid tablet 2 mg

330. Jawa Barat

Loratadin tablet 10 mg

331. Jawa Barat

Lorazepam tablet 2 mg

332. Jawa Barat

Manitol

333. Jawa Barat

Maprotilin HCl tab 25 mg

334. Jawa Barat

Maprotilin HCl tab 50 mg

335. Jawa Barat

Melfalan tablet 2 mg

336. Jawa Barat

Meropenem inj 1 g

337. Jawa Barat

Mesna inj 100 mg/mL

338. Jawa Barat

Metadon sir 50mg/5ml

339. Jawa Barat

Metilfenidat kapsul LA 20 mg

340. Jawa Barat

Metilprednisolon tablet 16 mg

341. Jawa Barat

Metilprednisolon tablet 4 mg

342. Jawa Barat

Metilprednisolon tablet 8 mg

343. Jawa Barat

Metoklopramide tablet 5 mg

344. Jawa Barat

Metronidazol infus 500 mg/100 ml

345. Jawa Barat

Metronidazol supositoria 500 mg

346. Jawa Barat

Metronidazol tablet 250 mg

347. Jawa Barat

Metronidazol tablet 500 mg

348. Jawa Barat

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

349. Jawa Barat

Midazolam injeksi i.v. 1 mg/ml

350. Jawa Barat

Midazolam injeksi i.v. 5 mg/ml

351. Jawa Barat

Mikafungin Na serb inj 50 mg

352. Jawa Barat

Mikonazol krim/salep 2 % (Nitrat)

353. Jawa Barat

Mitomisin C (crystallin) serbuk inj 10 mg/vial

354. Jawa Barat

Moksifloksasin tetes mata 0,5%

355. Jawa Barat

Mometason furoat krim 0,1%

356. Jawa Barat

Morfin HCL inj 10 mg/ml

357. Jawa Barat

Morfin HCL tablet SR 10 mg

358. Jawa Barat

Morfin HCL tablet SR 15 mg

359. Jawa Barat

Morfin injeksi i.m./s.k./i.v. 10 mg/ml

360. Jawa Barat

Morfin tablet 10 mg

361. Jawa Barat

Nacl 0,9%

362. Jawa Barat

Nadroparin inj 9500 Axa/mL syringe 0,3 mL

363. Jawa Barat

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

364. Jawa Barat

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

365. Jawa Barat

Nalokson injeksi 0,4 mg/ml

366. Jawa Barat

Natrium Bikarbonat injeksi i.v 8,4%

367. Jawa Barat

Natrium Diklofenak tablet 50 mg

368. Jawa Barat

Natrium fosfat lar oral 45 mL

369. Jawa Barat

Natrium fusidat salep 20 mg/g

370. Jawa Barat

Nevirapin tablet 200 mg

371. Jawa Barat

Nifedipin tab 20 mg, slow release; oros

372. Jawa Barat

Nifedipin tab 30 mg, oros

373. Jawa Barat

Nifedipin tablet/kapsul 10 mg

374. Jawa Barat

Nistatin tablet salut 500.000 IU/ g

375. Jawa Barat

Noretisteron tablet 5 mg

376. Jawa Barat

Obat Antituberkulosis FDC Kategori 1

377. Jawa Barat

Obat Antituberkulosis FDC Kategori 2

378. Jawa Barat

Obat Antituberkulosis FDC Kategori Anak

379. Jawa Barat

Obat Antituberkulosis FDC Sisipan

380. Jawa Barat

Obat Antituberkulosis Kategori 1 dewasa

381. Jawa Barat

Obat Antituberkulosis Kategori anak

382. Jawa Barat

Ofloxacin tablet 200 mg

383. Jawa Barat

Ofloxacin tablet 400 mg

384. Jawa Barat

Oksimetazolin tetes hidung 0,025%

385. Jawa Barat

Oktreotid 10 mg

386. Jawa Barat

Olanzapin inj 10 mg/vial

387. Jawa Barat

Olanzapin kapl salut 5 mg

388. Jawa Barat

Olanzapin tab 10 mg

389. Jawa Barat

Omeprazol injeksi 40 mg/ 10 ml

390. Jawa Barat

Omeprazol kapsul/kaplet 20 mg

391. Jawa Barat

ondansetron inj 4 mg/ 2 mL

392. Jawa Barat

Ondansetron tab 4 mg

393. Jawa Barat

Ondansetron tablet 8 mg

394. Jawa Barat

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit


Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

395. Jawa Barat

Paket CAPD Pergantian Transfer Set per 6 bulan

396. Jawa Barat

Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan


komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %,
Larutan Dialisa 4.25 %, Minicap)

397. Jawa Barat

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

398. Jawa Barat

Parasetamol sirup 120 mg / 5 ml

399. Jawa Barat

Parasetamol tablet 500 mg

400. Jawa Barat

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

401. Jawa Barat

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

402. Jawa Barat

Perindoprilarginin tab 5 mg

403. Jawa Barat

Permetrin krim 5%

404. Jawa Barat

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

405. Jawa Barat

Pioglitazon tab 15 mg

406. Jawa Barat

Pioglitazon tab 30 mg

407. Jawa Barat

Pirantel suspensi 125 mg/5 ml

408. Jawa Barat

Pirantel tablet score (base) 125 mg

409. Jawa Barat

Pirazinamid tablet 500 mg

410. Jawa Barat

Polikresulen cairan

411. Jawa Barat

Povidon Iodida larutan 10% 1000 ml

412. Jawa Barat

Povidon Iodida larutan 10% 30 ml

413. Jawa Barat

Povidon Iodida larutan 10% 300 ml

414. Jawa Barat

Pramipeksol tab ER 0,375 mg

415. Jawa Barat

Pramipeksol tab ER 0,750 mg

416. Jawa Barat

Pravastatin tablet 20 mg

417. Jawa Barat

Propanolol tablet 10 mg ( HCl )

418. Jawa Barat

Propranolol tablet 40 mg (HCl)

419. Jawa Barat

Quetiapin tab 200 mg

420. Jawa Barat

Quetiapin tab 300 mg

421. Jawa Barat

Quetiapin tab 400 mg

422. Jawa Barat

Ramipril tablet 5 mg

423. Jawa Barat

Ranitidin injeksi 25 mg/2 ml

424. Jawa Barat

Ranitidin tablet 150 mg

425. Jawa Barat

Retinol (Vitamin A) 100.000 IU

426. Jawa Barat

Ringer Laktat larutan infus

427. Jawa Barat

Risperidon tablet 1 mg

428. Jawa Barat

Risperidon tablet 2 mg

429. Jawa Barat

Risperidon tablet 3 mg

430. Jawa Barat

Rivaroksaban tab 10 mg

431. Jawa Barat

Rivaroksaban tab 15 mg

432. Jawa Barat

Rivaroksaban tab 20 mg

433. Jawa Barat

Ropinirol Tablet Salut 2 mg

434. Jawa Barat

Ropinirol Tablet Salut 4 mg

435. Jawa Barat

Ropinirol Tablet Salut 8 mg

436. Jawa Barat

Salbutamol inhalasi/aerosol 100 mcg/dosis

437. Jawa Barat

Salbutamol serb inh 200 mcg/kaps

438. Jawa Barat

Salbutamol serb inh 200 mcg/kaps + rotahaler

439. Jawa Barat

Sefadroksil sirup kering 125 mg/5ml

440. Jawa Barat

Sefadroksil kapsul/kaplet 250 mg

441. Jawa Barat

Sefadroksil kapsul/kaplet 500 mg

442. Jawa Barat

Sefadroksil sir kering 250 mg/5 mL

443. Jawa Barat

Sefaleksin kapsul/kaplet 500 mg

444. Jawa Barat

Sefepim inj 1 g

445. Jawa Barat

Sefiksim kapsul/kaplet 100 mg

446. Jawa Barat

Sefiksim sirup kering 100 mg/ 5 ml

447. Jawa Barat

Sefotaksim injeksi 1 g

448. Jawa Barat

Sefpodoksim proksetil tab 100 mg

449. Jawa Barat

Seftriakson serbuk injeksi 1 g/vial

450. Jawa Barat

Sefuroksim tab 500 mg

451. Jawa Barat

Setirizin tablet 10 mg

452. Jawa Barat

Sianokobalamin (vitamin B12) injeksi 500 mcg

453. Jawa Barat

Siklofosfamid serbuk injeksi i.v. 1000 mg

454. Jawa Barat

Siklofosfamid serbuk injeksi i.v. 200 mg

455. Jawa Barat

Siklosporin kaps 100 mg

456. Jawa Barat

Siklosporin kapsul lunak 25 mg

457. Jawa Barat

Simvastatin scored tablet 10 mg

458. Jawa Barat

Simvastatin tablet 20 mg

459. Jawa Barat

Siprofloksasin infus 2%

460. Jawa Barat

Siprofloksasin tablet 500 mg (sebagai HCl)

461. Jawa Barat

Spiramisin tablet 500 mg

462. Jawa Barat

Spironolakton tablet 100 mg

463. Jawa Barat

Spironolakton tablet 25 mg

464. Jawa Barat

Streptokinase injeksi 1,5 juta UI/vial

465. Jawa Barat

Sufentanil injeksi iv, epidural 5 mcg/ml

466. Jawa Barat

Takrolimus kaps 0.5 mg

467. Jawa Barat

Takrolimus kaps 1 mg

468. Jawa Barat

Tamsulosin tab 0,2 mg

469. Jawa Barat

Tamsulosin tab 0,2 mg

470. Jawa Barat

Tamsulosin tab SR 0,4 mg

471. Jawa Barat

Telbivudin tab 600 mg

472. Jawa Barat

Tenofovir tab 300 mg

473. Jawa Barat

Terbutalin cairan ih 2,5 mg/mL

474. Jawa Barat

Terbutalin tablet 2,5 mg

475. Jawa Barat

Terbutalin turbu (serbuk ih) 0,50 mg

476. Jawa Barat

Tetrakain HCl tetes mata 0,5%

477. Jawa Barat

Tetrasiklin kapsul/kaplet 250 mg

478. Jawa Barat

Tiamazol tab 10 mg

479. Jawa Barat

Tiamazol tab 5 mg

480. Jawa Barat

Timolol tetes mata 0,25%

481. Jawa Barat

Timolol tetes mata 0,5%

482. Jawa Barat

Tiotropium kaps 18 mcg + handihaller

483. Jawa Barat

Tramadol injeksi 50 mg/ml

484. Jawa Barat

Travoprost tetes mata 0,004%

485. Jawa Barat

Triamsinolon asetonid nasal spray 55 mcg/puff

486. Jawa Barat

Trifluoperazin tablet 5 mg

487. Jawa Barat

Urea krim 10%

488. Jawa Barat

Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)

489. Jawa Barat

Valproat tab SR 250 mg

490. Jawa Barat

Valproat tab SR 500 mg

491. Jawa Barat

Valsartan tab 80 mg

492. Jawa Barat

Valsartan tab 160 mg

493. Jawa Barat

Verapamil tab 240 mg

494. Jawa Barat

Verapamil tablet 80 mg (HCl)

495. Jawa Barat

Vinblastin serbuk injeksi 10 mg

496. Jawa Barat

Vinorelbin inj. 10 mg/ml

497. Jawa Barat

Vitamin B Kompleks tablet

498. Jawa Barat

Zidovudin 300 mg + Lamivudine 150 mg

499. Jawa Barat

Zinc drop 10 mg/mL

500. Jawa Barat

Zinc sir 20 mg/5 Ml

501. Jawa Barat

Zinc tablet dispersible20 mg

n/a

PT. Kimia Farma

Hepsera

PT. SmithKline Beecham Phamaceuticals


Dus, 3 Blister @ 10 kapsul

n/a

PT. Indofarma

Dus, 10 dus @ 1 botol @ 10 ml

n/a
n/a
n/a
n/a
n/a
Fungicide
Glybotic 250 mg
/ml
n/a

PT.
PT.
PT.
PT.
PT.
PT.

Dus, 5 strip @ 6 tablet


Box, 10 strips @ 10 tablets
Dus, 10 Strip @ 10 tablet
strip
Ktk 10x10 tablet
tube 3.5 gr

n/a

PT. Marin Liza Farmasi

Cordarone
Kendaron Tablet
n/a
n/a
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Lantus Solostar
100IU/ml 5pens
x3ml

Holi Pharma
Pertiwi Agung
Dexa Medica
Otto Pharmaceuticals
Kimia Farma
Cendo Industri Farmasi

1 blister@24 tablet

PT. Sanbe Farma

Vial 2 ml

PT. Lucas Djaja

Aventis Pharma
Darya Varia
Indofarma
Pertiwi Agung
Pertiwi Agung
Novapharin
Bernofarm
Holi Pharma
Novapharin

dus 30 ampul @10 ml


Botol @ 100 tablet salut
selaput
Dus, 6 ampul @ 3 ml
strip
Dus, 10 strip @ 10 tss
Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets
strip
Dus, 10 strip @ 10 kaptab
Dus, Botol 60 ml
btl @ 60 ml

PT. Aventis Pharma

dus, 5 solostar pen @ 3ml

Novomix Flexpen

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, Flexpen


disposible 3 ml (1 box isi 5
flexpen disposible)

Humalog Mix 25

PT. Tempo Scan Pacific

Penfill cartridge

Novorapid Vial

PT. Ferron Par Pharmaceuticals

Dus, vial 10 ml

Novorapid Flexpen PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, Flexpen


disposible 3 ml (1 box isi 5
flexpen disposible)

Apidra Solostar
100IU/ml 5pens
x3ml

PT. Aventis Pharma

dus, 5 solostar pen @ 3ml

Humalog

PT. Tempo Scan Pacific

Penfill cartridge

Arimidex 1 mg

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

n/a

PT. Promedrahardjo Farmasi Industri

STRIP

n/a

PT. Indofarma

Dus, 25 tube @ 5 g

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

n/a

PT. Kimia Farma

Btl 100 tablet

Levopar Tablet

PT. Meprofarm

Dus, 5 strip @ 10 tablet

Artem
n/a
n/a
Bondronat

PT.
PT.
PT.
PT.

Dus 6 amp @ 1ml


Dus 10 strip x 10 tab
Botol @ 100 tablet
Boks, 1 ampul

n/a

PT. Bernofarm

Kimia Farma
Kimia Farma
Marin Liza Farmasi
Boehringer Ingelheim

Dus, 10 blister @ 10 kaptab ss

Urotractin 400 mg PT. Sanbe Farma

Strip

n/a
Temiral Eye Oint
n/a
n/a
Leunase
Pularex
Tracrium
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Survanta

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Dus, 10 ampul @ 5 ml
Tube 3,5 gram
Dus, 10 blister @ 10 tablet
ktk 10x10 tablet
10.000 UI/Vial
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

Dorner

PT. Combiphar

Box @ 3 blister @ 10 Tablet

Dorner 20 g
n/a

PT. Combiphar
PT. Kimia Farma

Box/ 3 blister @ 10 Tablet


Tube 5 gr

Hexpharm Jaya Laboratories


Sanbe Farma
Indofarma
Kimia Farma
Widatra Bhakti
Zenith Pharmaceuticals
Glaxo Wellcome Indonesia
Indofarma
Soho Industri Pharmasi
Kimia Farma
Soho Industri Pharmasi
Rama Emerald Multi Sukses
Phapros, Tbk
Phapros, Tbk
Abbott Indonesia

Casodex 150 mg
Casodex 50 mg
Stolax supp
n/a
Cripsa tab
Pulmicort
Turbuhaler

PT.
PT.
PT.
PT.
PT.

AstraZeneca indonesia
AstraZeneca indonesia
Sanbe Farma
Pratapa Nirmala
Caprifarmindo

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet


Dus, 2 blister @ 14 Tablet
Supp
Box 3 X 10 tab
Box 3 x 10'S
Dus, 1 Turbuhaler @ 100 dosis

Pulmicort Respules PT. AstraZeneca indonesia

Dus, 4 pak @ 5 respules @ 2


ml

Symbicort
Turbuhaler 160/4.5 PT. AstraZeneca indonesia
mcg

Dus, 1 Turbuhaler @ 120 dosis

Symbicort 80/4.5
mcg
Pradaxa
Pradaxa

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 60 dosis

PT. Boehringer Ingelheim


PT. Boehringer Ingelheim

Dus, 3 blister @ 10 kapsul


Dus, 3 blister @ 10 kapsul

Exjade 250 mg Tab PT. Novartis Indonesia

Dus, 4 blister @ 7 tablet

Exjade 500 mg Tab PT. Novartis Indonesia

Dus, 4 blister @ 7 tablet

Ferriprox Oral
Solution
Ferriprox tablet
Desferal
n/a
n/a
n/a
n/a
n/a
n/a

PT. Sydna Farma

Dus, Botol @ 500ml

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Dus, Botol @ 100 tablet


Dus, 10 vial @ 500mg
Dus, 100 ampul @ 1 ml
Dus, 10 blister @ 10 tablet
Kotak, tube @ 15 gram
ampul @ 1 ml
Box 10 X 10 Tab
Dus, 10 strip @ 10 tablet

Sydna Farma
Novartis Indonesia
Indofarma
Indofarma
Dexa Medica
Lucas Djaja
Yarindo Farmatama
Indofarma

Herbesser Powder
Injection 50mg

PT. Tanabe Indonesia

10 vial @ 50mg

Farmabes Injeksi
25 mg

PT. Pratapa Nirmala

Vial 5 mL

Herbesser CD 100 PT. Tanabe Indonesia

3 blister @ 10 kapsul

Herbesser CD 200 PT. Tanabe Indonesia

3 blister @ 10 kapsul

n/a
PT.
E.D.T.A
PT.
Cardura 1mg
PT.
Cardura 2mg
PT.
Doxorubicin Actavis
PT.
10 mg

Kimia Farma
Cendo Industri Farmasi
Pfizer Indonesia
Pfizer Indonesia

Btl 100 tablet


botol 15 ml
Dus, 5 blister @10's tab
Dus, 5 blister @10's tab

Actavis Indonesia

Dus, 1 vial @ 10 mg

Doxorubicin Actavis
PT. Actavis Indonesia
50 mg
n/a
PT. Novapharin
n/a
PT. Novapharin
n/a
PT. Bernofarm

Dus, 1 vial @ 50 mg
btl @ 60 ml
strip
Dus, botol @ 10 ml
Dus, 1 vial @0,5 ml+ 1 vial
pelarut @1,5 ml

n/a

PT. Sanbe Farma

Avodart

PT. SmithKline Beecham Phamaceuticals


Dus, Botol Plastik @ 30 Tablet

n/a
Aromasin
Lovenox 2000
ANTI-XA

PT. Kimia Farma


PT. Pfizer Indonesia
PT. Aventis Pharma

Botol 30 tab
Dus, 2 blister @ 15 tablet
dus, 2 prefilled syringe @ 0,2
ml

Lovenox 4000
ANTI-XA

PT. Aventis Pharma

dus, 2 prefilled syringe @ 0,4


ml

Lovenox 6000
ANTI-XA

PT. Aventis Pharma

dus, 2 prefilled syringe @ 0,6


ml

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

Epirubisin Kalbe

PT Kalbe Farma

Vial @ 25 ml

n/a

PT. Sanbe Farma

Dus, 1 vial @5 ml

D-Vit FT

PT. Gracia Pharmindo

Dus 3 strip @ 10 Flash tablet

D-Vit Syrup

PT. Gracia Pharmindo

Dus, Botol Plastik @ 100 mL

n/a

PT. Kimia Farma

ktk 10 x 10 kapsul

n/a

PT. Indofarma

Dus, 10 blister @ 10 kss

n/a

PT. Phyto Kemo Agung Farma

Botol @60 ml

Hemapo 3000

PT Kalbe Farma

Prefilled Syringe @ 1ml

Recormon

PT. Boehringer Ingelheim

Boks, 6 ampul

n/a

PT. Kimia Farma

ktk 20 x 10 tablet

n/a

PT. Indofarma

Dus, 10 strip @ 10 tss

n/a

PT. Novapharin

btl @ 100 ml

Implanon

PT. Merck Sharp Dohme Pharma Tbk

Dus, 1 blister @ 1 subdermal


implant

Posyd

PT. Combiphar

Vial 100mg/5ml

n/a

PT. Kimia Farma

Botol 10 ml

Certican 0,25 mg
Tab

PT. Novartis Indonesia

Dus, 6 blister @ 10 tablet

Certican 0,5 mg
Tab

PT. Novartis Indonesia

Dus, 6 blister @ 10 tablet

Novoseven

PT. Ferron Par Pharmaceuticals

KOTAK @ 1 VIAL SERBUK OBAT


& INFUSION KIT

n/a

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 ampul

n/a

PT. Ikapharmindo

Botol @ 100

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

n/a

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 kapsul

n/a

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 kapsul

Fenocin

PT. Actavis Indonesia

Dus 45 x 12 tab

Berotec Solution

PT. Boehringer Ingelheim

Dus, Canister 200 dosis

n/a

PT. Kimia Farma

Dus 5 ampul@ 10ml

n/a

PT. Kimia Farma

Dus 5 ampul@ 2ml

Durogesic 12,5 MU
PT. Kimia Farma
Matrix

Dus @ 5 patch

Durogesic 25 MU
Matrix

PT. Kimia Farma

Dus@ 5 patch

Durogesic 50 MU
Matrix

PT. Kimia Farma

Dus@ 5 patch

Leucogen

PT Kalbe Farma

pfs @ 0,5 ml

n/a

PT. Marin Liza Farmasi

Botol @ 100 tablet salut gula

Fludara IV LYO

PT. Aventis Pharma

Dus, 5 vial @ 50 mg

Fludara Oral

PT. Aventis Pharma

Dus, 4 blister @ 5 tablet salut


selaput

Sikzonoate Injeksi

PT. Mersifarma Tirmaku Mercusana

Dus, 5 ampul @ 1ml

n/a

PT. Novell Pharmaeutical Laboratories Botol

n/a

PT. Kimia Farma

ktk 1 x 10 kapsul

Foransi 10

PT. Gracia Pharmindo

strip

NOPRES

PT. Dexa Medica

DUS, 30 TABLET

Curacil

PT Kalbe Farma

vial @ 1 ml

Curacil

PT Kalbe Farma

vial @ 10 ml

SYNARCUS

PT. Ifars Pharmaceutical Laboratories Dus, Tube 5 g

Avamys

PT. Glaxo Wellcome Indonesia

Dus, Botol 120 Dosis Spay

Flixotide Nbules

PT. Glaxo Wellcome Indonesia

Dus, 2 flow wrap@ 5 nebules


@ 1 dosis (2ml)

Arixtra

PT. Glaxo Wellcome Indonesia

Dus, 2 pfs 0.5 ml

n/a

PT. Indofarma

Dus, 25 ampul @ 2 ml

n/a

PT. Sampharindo Perdana

Dus, 10 strip @ 10 tablet

n/a

PT. Indofarma

Dus, 10 strip @ 10 tablet

Cymevene

PT. Boehringer Ingelheim

Boks, 1 ampul

Iressa 250 mg

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

n/a

PT. Indofarma

Dus, 10 blister @ 12 kapsul

n/a

PT. Indofarma

Dus, 10 blister @ 10 kaptab

Gemzar 1000 mg

PT. Bayer Indonesia

vial

n/a

PT. Sanbe Farma

Dus, 1 vial @200 mg

n/a

PT. Indofarma

Dus, 5 ampul @ 2 ml

Genoint Salep Mata PT. Erela

Tube @ 3,5 gr

n/a

Dus, botol plastik 5 ml

PT. Indofarma

n/a

PT. Indofarma

Dus, 10 blister @ 10 kaptab

Glicab

PT. Tempo Scan Pacific

Strip

Diamicron MR 30

PT. Pradja Pharin

Dus, 6 strip @ 10 tablet lepas


lambat

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

n/a

PT. Kimia Farma

ktk 5x10 tablet

n/a

PT. Kimia Farma

ktk 5x10 tablet

n/a

PT. Kimia Farma

ktk 5x10 tablet

n/a

PT. Kimia Farma

ktk 5x10 tablet

Nitrokaf Retard

PT. Kimia Farma

Dus 10x10

Nitrokaf Forte

PT. Kimia Farma

Dus 10x10

Nitral

PT. Actavis Indonesia

Btl @ 30 tablet

Gliserin lar 50%

PT. Lucas Djaja

Glycerin 100 ml

n/a

PT. Widatra Bhakti

botol @ 500 ml

n/a

PT. Widatra Bhakti

botol @ 500 ml

Zoladex 10,8 mg

PT. AstraZeneca indonesia

Dus, 1 syringe @ 10.8 mg

Zoladex 3,6 mg

PT. AstraZeneca indonesia

Dus, 1 syringe @ 3.6 mg

n/a

PT. Indofarma

Dus, 10 blister @ 10 tablet

Haldol Decanoas

PT. Soho Industri Pharmasi

Dus 5 Ampul@1mL

n/a

PT. Indofarma

Dus, 10 blister @ 10 tablet

n/a

PT. Indofarma

Dus, 10 blister @ 10 tablet

n/a

PT. Indofarma

Dus, 10 blister @ 10 tablet

Lodomer 2

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

Halothane

PT. Dexa Medica

Botol

Hyperhep B

PT. Dipa Pharmalab

Dus, 1 syringe @ 0.5 mL

n/a

PT. Otto Pharmaceuticals

box 5ampul @1 ml

Insulatard Vial

PT. Ferron Par Pharmaceuticals

Dus, vial 10 ml

Humulin N Vial

PT. Bayer Indonesia

Dus, vial 10 ml

n/a

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

Insulatard Penfill

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5
penfill disposible)

Sansulin N

PT. Sanbe Farma

penfillcartridge @ 3ml

Humulin N Cart

PT. Bayer Indonesia

Dus Isi 5 penfill/cartridge @


3ml

Mixtard Penfill

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5
penfill disposible)

Humulin 30/70 Cart PT. Bayer Indonesia

Dus Isi 5 penfill/cartridge @


3ml

Mixtard Vial

Dus, vial 10 ml

PT. Ferron Par Pharmaceuticals

Humulin 30/70 Vial PT. Bayer Indonesia

Dus, vial 10 ml

Actrapid Penfill

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5
penfill disposible)

Humulin R Cart

PT. Bayer Indonesia

Dus Isi 5 penfill/cartridge @


3ml

Sansulin R

PT. Sanbe Farma

penfill cartridge @ 3ml

Actrapid Vial

PT. Ferron Par Pharmaceuticals

Dus, vial 10 ml

Humulin R Vial

PT. Bayer Indonesia

Dus, vial 10 ml

n/a

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

n/a

PT. Indofarma

Dus, botol 60 ml

n/a

PT. Indofarma

Dus, botol 60 ml

n/a

PT. Holi Pharma

Dus, 10 strip @ 10 tablet

Holoxan injeksi
1000

PT. Mugi Laboratories

Dus, 1 vial @ 1 g

Tanapress 10mg

PT. Tanabe Indonesia

3 blister @ 10 tablet

Tanapress 5mg

PT. Tanabe Indonesia

3 blister @ 10 tablet

Iopamiro

PT. Dipa Pharmalab

Dus, botol @ 100 ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 30 ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 50 ml

Iopamiro

PT. Dipa Pharmalab

Dus, botol @ 100 ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 30 ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 50 ml

Ultravist 300/100
mg

PT. Bayer Indonesia

Botol

Ultravist 300/50
mg

PT. Bayer Indonesia

Botol

Ultravist 370/100
mg

PT. Bayer Indonesia

Botol

Ultravist 370/50
mg

PT. Bayer Indonesia

Botol

n/a

PT. Indofarma

Dus, 5 blister @ 10 kss

n/a

PT. Indofarma

Dus, 5 blister @ 10 kss

n/a

PT. Sanbe Farma

Dus, 1 vial @2 ml

n/a

PT. Indofarma

Dus, 10 strip @ 10 tablet

Kalipar

PT. Tempo Scan Pacific

Strip

KSR

PT. Merck Tbk

Dus, 10 strip @ 10 tablet

Kalsium glukonat

PT. Ethica Industri Farmasi

Ampul

n/a

PT. Dexa Medica

Dus, 3 Blister @ 10 tablet

n/a

PT. Dexa Medica

Dus, 3 Blister @ 10 tablet

Xeloda

PT. Boehringer Ingelheim

Boks, 120 tablet

n/a

PT. Indofarma

Dus, 10 strip @ 10 tablet

n/a

PT. Errita Pharma

Dus, 10 strip @10 tablet

n/a

PT. Indofarma

Dus, 10 strip @ 10 tablet

Tegretol Syrup
PT. Novartis Indonesia
100mg/5ml, 120ml

Dus, botol @ 120 ml

n/a

PT. Indofarma

Dus, 10 blister @ 10 tablet

Neo-Mercazole

PT. Nicholas Laboratories Indonesia

Dus,botol 100 tablet

Karbogliserin tetes
PT. Lucas Djaja
telinga 10%

Fenol 100 mg / 1 ml

KTM

PT. Guardian Pharmatama

Vial @ 10 ml

n/a

PT. Novell Pharmaeutical Laboratories Box isi 1 Tube @ 15 g

n/a

PT. Kimia Farma

tube 10 gr

n/a

PT. Dexa Medica

Dus, 5 Strip @ 10 tablet

n/a

PT. Phapros, Tbk

Dus @ 12 Ampul

ORIXAL

PT. Ifars Pharmaceutical Laboratories

Dus, 3 Strip @ 10 Kaplet salut


selaput

n/a

PT. Indofarma

Dus, 5 blister @ 10 kapsul

n/a

PT. Indofarma

Dus, 5 blister @ 10 kapsul

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

n/a

PT. Kimia Farma

Ktk 10X10 TAB

n/a

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 tab

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

n/a

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

n/a

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

n/a

PT. Kimia Farma

ktk 10x10 tablet

n/a

PT. Kimia Farma

ktk 10x10 tablet

n/a

PT. Kimia Farma

ktk 10x10 tablet

Laxadine Emulsi 60
PT. Galenium Pharmasia Laboratories Botol @ 60 ml
ml
n/a

PT. Erela

Dus, 100 Sachet @ 30 Tablet

Cendo Lyteers

PT. Cendo Industri Farmasi

botol 15 ml

Coartem

PT. Novartis Indonesia

Dus, 4 blister @ 6 tablet

Stalevo

PT. Novartis Indonesia

Dus, botol plastik @ 30 tablet


salut selaput

Seretide Inhaler 50
PT. Glaxo Wellcome Indonesia
mcg

Dus, Botol 120 Dosis

Seretide Diskus
100 mcg

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 dosis

Seretide Diskus
250 mcg

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 dosis

n/a

PT. Holi Pharma

Dus, 10 strip @ 10 kaptab

n/a

PT. Kimia Farma

ktk 60 tablet

n/a

PT. Kimia Farma

ktk 100 amp @ 2 ml

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

n/a

PT. Kimia Farma

Botol 60 tablet

Prosogan Inj.

PT. Takeda Indonesia

Serbuk vial

n/a

PT. Indofarma

Tykerb

PT. SmithKline Beecham Phamaceuticals


Dus, 7 Blister @ 10 tablet

Kalbamin

PT. Finusolprima Farma Internasional botol 500 ml

Amiparen

PT Otsuka Indonesia

Softbag 500 ML

Pan-amin G

PT Otsuka Indonesia

Softbag 500 ML

Aminofluid

PT Otsuka Indonesia

Double Chamber Softbag 1000


ML

Aminofluid

PT Otsuka Indonesia

Double Chamber Softbag 500


ML

Aminofusin Hepar

PT Kalbe Farma

botol 500 mL

Aminosteril Infant
6%

PT. Fresenius Kabi Combiphar

Botol Gelas 100 ml

Nephrosteril

PT. Fresenius Kabi Combiphar

Botol Gelas 250 ml

Kidmin

PT Otsuka Indonesia

Softbag 200 ML

Aminoleban

PT Otsuka Indonesia

Softbag 500 ML

Aminosteril N-Hepa PT. Fresenius Kabi Combiphar

Dus, 2 strip @ 10 kapsul

Botol Gelas 500 ml

Eas Pfrimer

PT. Finusolprima Farma Internasional botol 250 ml

Comafusin Hepar

PT. Finusolprima Farma Internasional botol 500 ml

Aminofusin L600

PT Kalbe Farma

botol 500 mL

Aminofusin Paed

PT Kalbe Farma

botol 250 mL

Kabiven 1440 ml

PT. Fresenius Kabi Combiphar

Bag (3 Chamber) 1440 ml

Kabiven 1920 ml

PT. Fresenius Kabi Combiphar

Bag (3 Chamber) 1920 ml

Combiflex Plus
(790 kcal)

PT. Phapros, Tbk

Bag Double chamber (Dua


compartement), 1000 mL

Combiflex peri (480


PT. Phapros, Tbk
kcal)

Bag Double chamber (Dua


compartement), 1000 mL

Otsu - KCl 7,46%

PT Otsuka Indonesia

Ampoel 25 ML

Wida RL

PT. Widatra Bhakti

Botol 1000 ml

Asering

PT Otsuka Indonesia

Plastic Bottle 500 ML

KA EN 1B

PT Otsuka Indonesia

Plastic Bottle 500 ML

Totilac

PT Kalbe Farma

flexybag 250 mL

Ringerfundin 500
mL

PT. Phapros, Tbk

LDPE (Low Density Poly


Ethilene), botol plastik

Triofusin 1000

PT Kalbe Farma

botol 500 mL

Triofusin 500

PT Kalbe Farma

Flexy bag 500 mL

Martos

PT Otsuka Indonesia

Plastic Bottle 500 ML

Potacol inj

PT Otsuka Indonesia

Plastic Bottle 500 ML

Tutofusin OPS

PT Kalbe Farma

botol 500 mL

Clinimix N9G20E

PT Kalbe Farma

Botol Plastik 1000 mL

Clinimix N9G15E

PT Kalbe Farma

Botol Plastik 1000 mL

Triofusin E1000

PT Kalbe Farma

botol 500 mL

Wida HSD

PT. Widatra Bhakti

Botol 500 ml

Wida D5-NS

PT. Widatra Bhakti

Botol 500 ml

WIDA 2A

PT. Widatra Bhakti

Botol 500 ml

WIDA D5-1/4NS

PT. Widatra Bhakti

Botol 500 ml

WIDA D5-1/2NS

PT. Widatra Bhakti

Botol 500 ml

Futrolit

PT. Sanbe Farma

softbag 500ml

Wida RD

PT. Widatra Bhakti

Botol 500 ml

KA ENMG 3

PT Otsuka Indonesia

Plastic Bottle 500 ML

KA EN 3B

PT Otsuka Indonesia

Plastic Bottle 500 ML

KA EN 3A

PT Otsuka Indonesia

Plastic Bottle 500 ML

Lipofundin
MCT/LCT 1% 100

PT. Phapros, Tbk

20%, Botol Kaca @100 ml,


single bottle

Intralipid

PT. Fresenius Kabi Combiphar

Botol Gelas 100 ml

Lipofundin
MCT/LCT 1% 250

PT. Phapros, Tbk

20%, Botol Kaca @250 ml,


single bottle

Nutriflex Lipid
Special 1250

PT. Phapros, Tbk

Bag, 3 chamber ( 3
kompartemen), 1250 ml

Nutriflex Lipid Peri


PT. Phapros, Tbk
1250

Bag, 3 chamber ( 3
kompartemen), 1250 ml

Nutriflex Lipid
Special 625

PT. Phapros, Tbk

Bag, 3 chamber ( 3
kompartemen), 625 ml

Ivelip

PT Kalbe Farma

Flexy bag 100 mL

Cendo Glaopen

PT. Cendo Industri Farmasi

strip 5 x 0.6 ml

Tapros 1.88mg

PT. Takeda Indonesia

Vial

Tapros 3M

PT. Takeda Indonesia

Vial

n/a

PT. Infion Pharmaceutical

Box, 1 Botol @ 100 ml

n/a

PT. Promedrahardjo Farmasi Industri

STRIP

n/a

PT. Bernofarm

Dus, 100 ampul @ 2 ml

n/a

PT. Indofarma

Dus, 30 ampul @ 2 ml

Xylocaine Jelly 2% PT. AstraZeneca indonesia

Dus, 10 syringe @ 10 g

n/a

PT. Novell Pharmaeutical Laboratories Box ,3 Strip @ 10 tablet

n/a

PT. Novell Pharmaeutical Laboratories Box ,3 Strip @ 10 tablet

Frimania 200

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

Frimania 400

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

n/a

PT. Ifars Pharmaceutical Laboratories Dus, 10 Strip @ 10 Tablet

n/a

PT. Promedrahardjo Farmasi Industri

STRIP

Merlopam 2

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB

n/a

PT. Finusolprima Farma Internasional botol 500 ml

Ludios

PT. Soho Industri Pharmasi

Strip

Sandepril 50

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

Alkeran

PT. Glaxo Wellcome Indonesia

Box, Tablet 2 mg/25's

n/a

PT. Bernofarm

Dus, 1 vial @ 1 g

Uromitexan injeksi. PT. Mugi Laboratories

Dus, 15 Ampul

n/a

PT. Kimia Farma

Botol 1000 ml

Ritalin LA

PT. Novartis Indonesia

Dus, botol plastik @ 30 kapsul


pelepasan lambat

n/a

PT. Mahakam Beta Farma

Strip

n/a

PT. Natura Laboratoria Prima

Dus, 10 Blister @ 10 Tablet

n/a

PT. Dexa Medica

Dus, 10 Blister @ 10 tablet

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

n/a

PT. Natura Laboratoria Prima

Dus, 1 Botol @ 100 ml

Flagyl

PT. Aventis Pharma

Dus, 2 blister @ 5 suppositoria

n/a

PT. Phyto Kemo Agung Farma

10 strip @ 10 tab

n/a

PT. Phyto Kemo Agung Farma

10 strip @ 10 tab

Cardioscan KaeF

PT. Kimia Farma

Dus @ 5 vial

Dormicum

PT. Boehringer Ingelheim

Boks 10 amp

Dormicum

PT. Boehringer Ingelheim

Boks 5 amp

Mycamine

PT. Combiphar

Dus,1 vial@50mg

n/a

PT. Kimia Farma

Tube 10 gram

Mitomycin C

PT. Widatra Bhakti

10 mg /Vial

Vigamox

PT. Tempo Scan Pacific

botol, tetes mata 3 ml

n/a

PT. Guardian Pharmatama

tube 10 gram

n/a

PT. Kimia Farma

Dus 10 amp @ 1 ml

MST Continus 10
mg

PT. Mahakam Beta Farma

Dus, 6 strip @ 10 tablet

MST Continus 15
mg

PT. Mahakam Beta Farma

Dus, 6 strip @ 10 tablet

n/a

PT. Kimia Farma

Ktk 10 ampul @ 1ML

n/a

PT. Kimia Farma

Botol 30 tablet

n/a

PT. Widatra Bhakti

Botol 500 ml

Fraxiparine 0.3 ml

PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs 0.3 ml

Fraxiparine 0.4 ml

PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs 0.4 ml

Fraxiparine 0.6 ml

PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs 0.6 ml

Nokoba

PT. Pratapa Nirmala

Dus, 5 Ampul @ 2ml

Meylon

PT Otsuka Indonesia

Ampoel 25 ML

n/a

PT. Novell Pharmaeutical Laboratories Box ,5 Blister @ 10 tablet

Fleet Phosphosoda PT. Combiphar

Botol, 45 ml

Fucilex Ointment

PT. Molex Ayus

Tube 5 gr

n/a

PT. Kimia Farma

btl 60 tablet

Adalat Oros 20 mg PT. Bayer Indonesia

blister

Adalat Oros 30 mg PT. Bayer Indonesia

blister

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet salut


selaput

n/a

PT. Phapros, Tbk

Dus @ 10 X 10 's

Primolut N

PT. Bayer Indonesia

blister

n/a

PT. Phapros, Tbk

Paket

n/a

PT. Indofarma

Paket

n/a

PT. Phapros, Tbk

Paket

n/a

PT. Indofarma

Dus, 3 blister @ 28 kss

PT. Indofarma

Dus, 1 dus @ 60 blister @ 8


tablet tahap intensif kategori 1
+ 1 Dus @ 54 blister @ 3
tablet tahap lanjutan kategori
1

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)

n/a

PT. Novell Pharmaeutical Laboratories Box ,5 Strip @ 10 tablet

n/a

PT. Novell Pharmaeutical Laboratories Box ,5 Strip @ 10 tablet

Ilaidin Drops

PT. Merck Tbk

botol @ 10 ml

Sandostatin LAR

PT. Novartis Indonesia

Dus, vial @ 355m + 1 prefilled


syringe pelarut @ 2,5 ml + 2
jarum suntik

Zyprexa IM

PT. Bayer Indonesia

Vial

Olandoz 5

PT. Sandoz Indonesia

3 X 10 fcc

Olandoz 10

PT. Sandoz Indonesia

3 X 10 fcc

n/a

PT. Natura Laboratoria Prima

Dus, 1 Vial @ 40 mg

n/a

PT. Novapharin

strip

n/a

PT. Indofarma

Dus, 5 Ampul @ 2ml

n/a

PT. Yarindo Farmatama

Box 3 X 10 Tab

n/a

PT. Yarindo Farmatama

Box 3 X 10 Tab

PT Kalbe Farma

Transfer Set: Set; Ultaclam:


Kantong Plastik; Tenckoff
Catheter: Box; Titanium
Adaptor: Kantong Plastik

n/a

n/a

n/a

PT Kalbe Farma

Set

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

n/a

PT. Indofarma

Dus, 15 botol

n/a

PT. Afifarma

botol 60 ml

n/a

PT. Imfarmind Farmasi industri

Dus, 10 strip @ 10 kaptab

Pegasys

PT. Boehringer Ingelheim

Boks, 1 pfs

Pegasys

PT. Boehringer Ingelheim

Boks, 1 pfs

Bioprexum 5 mg

PT. Pradja Pharin

Dus, botol plastik @ 30 tablet


salut selaput

Scabimite Cream
10

PT. Galenium Pharmasia Laboratories Tube @ 10 g

n/a

PT. Kimia Farma

Ktk 10 ampx2ml

DECULIN 15 MG

PT. Dexa Medica

30 TAB/BOX

DECULIN 30 MG

PT. Dexa Medica

30 TAB/BOX

n/a

PT. Holi Pharma

Botol 60 ml

n/a

PT. Holi Pharma

Dus, 25 Blister @ 4 tablet

n/a

PT. Holi Pharma

Dus 10 strip @ 10 tablet

Aptil

PT. Pratapa Nirmala

Dus, Botol @ 10ml

n/a

PT. Afifarma

botol @ 1000 ml

n/a

PT. Afifarma

botol @ 30 ml

n/a

PT. Afifarma

botol @ 300 ml

Sifrol ER 0,375mg

PT. Boehringer Ingelheim

Dus, 3 alu blister @ 10 tablet

Sifrol ER 0,750mg

PT. Boehringer Ingelheim

Dus, 3 alu blister @ 10 tablet

n/a

PT. Novell Pharmaeutical Laboratories Box ,5 Strip @ 10 tablet

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

n/a

PT. Holi Pharma

Dus, 10 strip @ 10 tablet

Seroquel XR 200
mg

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

Seroquel XR 300
mg

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

Seroquel XR 400
mg

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10 kaptab

n/a

PT. Natura Laboratoria Prima

Dus, 10 Ampul @ 2 ml

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet salut


selaput

n/a

PT. Kimia Farma

Botol 50 kapsul lunak

n/a

PT. Widatra Bhakti

botol 500 ml

n/a

PT. Dexa Medica

Dus, 5 Blister @ 10 tablet

n/a

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB

n/a

PT. Dexa Medica

Dus, 5 Blister @ 10 tablet

Xarelto 10 mg

PT. Bayer Indonesia

Blister

Xarelto 15 mg

PT. Bayer Indonesia

Blister

Xarelto 20 mg

PT. Bayer Indonesia

Blister

Requip PD 24 Hour
PT. Glaxo Wellcome Indonesia
2 mg

Dus, 7 blister @ 4 Tablet lepas


Lambat

Requip PD 24 Hour
PT. Glaxo Wellcome Indonesia
4 mg

Dus, 7 blister @ 4 Tablet lepas


Lambat

Requip PD 24 Hour
PT. Glaxo Wellcome Indonesia
8 mg

Dus, 7 blister @ 4 Tablet lepas


Lambat

Ventolin Inhaler

PT. Glaxo Wellcome Indonesia

Dus, botol 200 dosis

Ventolin Rotacaps

PT. Glaxo Wellcome Indonesia

Dus, 10 Blister @ 10 Kapsul

Ventolin Rotahaler PT. Glaxo Wellcome Indonesia

Dus, 1 Rotahaler

n/a

PT. Holi Pharma

Dus, Botol 60 ml

n/a

PT. Hexpharm Jaya Laboratories

Dus, 5 strip @ 10 kapsul

n/a

PT. Holi Pharma

Dus, 10 strip @ 10 kapsul

n/a

PT. Holi Pharma

Dus, Botol 60 ml

n/a

PT. Ifars Pharmaceutical Laboratories Dus, 5 Strip @ 10 Kapsul

n/a

PT. Yarindo Farmatama

Box 2 Vial @ 1000mg

n/a

PT. Bernofarm

Dus, 10 blister @ 10 kapsul

n/a

PT. Ifars Pharmaceutical Laboratories Dus, Botol 30 ml

n/a

PT. Natura Laboratoria Prima

Dus, 10 Vial @ 1 g

Banadoz 100

PT. Sandoz Indonesia

Dus, 3 blister @ 10 tablet

n/a

PT. Natura Laboratoria Prima

Dus, 10 Vial @ 1 g

Zinnat 500

PT. Glaxo Wellcome Indonesia

Dus, 1 Blister @ 10 Tablet


salut selaput

n/a

PT. Pertiwi Agung

Box, 10 strips @ 10 capsules

n/a

PT. Lucas Djaja

100 ampul @ 1 ml

Cyclovid 1000 mg

PT. Novell Pharmaeutical Laboratories vial

Cyclovid 200 mg

PT. Novell Pharmaeutical Laboratories vial

Sandimmun Neoral
PT. Novartis Indonesia
100mg Kap

Dus, 10 blister @ 5 kapsul


lunak

Sandimmun Neoral
PT. Novartis Indonesia
25mg Kap

Dus, 10 blister @ 5 kapsul


lunak

n/a

PT. Natura Laboratoria Prima

Dus, 3 Strip @ 10 Kaplet salut


selaput

n/a

PT. Natura Laboratoria Prima

Dus, 3 Strip @ 10 Kaplet salut


selaput

n/a

PT. Dexa Medica

Vial 200 ml

n/a

PT. Bernofarm

Dus, 10 blister @ 10 tab ss

n/a

PT. Indofarma

Dus, 5 strip @ 10 tablet

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

n/a

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet

Streptase

PT. Dexa Medica

Vial

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

dus 5 amp @ dus 10

Prograf

PT. Combiphar

Pounch @ 5 blister @ 10
capsule

Prograf

PT. Combiphar

Dus, 1 pouch @5 blister@10


kaps

Harnal D 0.2 mg
PT. Combiphar
Disp. Tablet

Box/ 2 blister @ 14 tablet

Harnal D

Box @ 2 blister @ 14 tablet

PT. Combiphar

Harnal OCAS 0.4


PT. Combiphar
mg Tablet

Box/ 3 blister @ 10 Tablet

Sebivo 600 mg Tab PT. Novartis Indonesia

Dus, 2 blister @ 14 tablet

n/a

Botol 30 tab

PT. Kimia Farma

Bricasma Respules PT. AstraZeneca indonesia

Dus, 2 pak @ 5 respules

Molasma Tablet

Box 50's

PT. Molex Ayus

Bricasma
PT. AstraZeneca indonesia
Turbuhaler 0,5 mg

Dus, 1 Turbuhaler @ 200 dosis

Pantocain 0.5%

PT. Cendo Industri Farmasi

botol 5 ml

n/a

PT. Holi Pharma

Dus, 10 strip @ 10 kapsul

Thyrozol 10

PT. Merck Tbk

Dus, 10 blister @ 10 tablet

Thyrozol 5

PT. Merck Tbk

Dus, 10 blister @ 10 tablet

Isotic Adretor
0,25%

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml

Isotic Adretor 0,5% PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml

Spiriva 10s +
Handihaler

PT. Boehringer Ingelheim

Dus, 1 blister @10 kapsul +


handihaler

n/a

PT. Natura Laboratoria Prima

Dus, 10 Ampul @ 2 ml

Travatan

PT. Tempo Scan Pacific

botol, tetes mata 2,5 ml

Nasacort AQ

PT. Aventis Pharma

Dus, botol plastik 120 dosis

n/a

PT. Darya Varia

strip

Soft U Derm

PT. Galenium Pharmasia Laboratories tube

Imovax Polio

PT. Aventis Pharma

1 vial of 10ml (10 d's)

Depakote ER 250
mg

PT. Abbott Indonesia

Tablet

Depakote ER 500
mg

PT. Abbott Indonesia

Tablet

Diovan 80mg Tab

PT. Novartis Indonesia

Dus, 2 blister @ 14 tablet

DIOVAN 160 MG

PT. Novartis Indonesia

Dus, 2 blister @ 14 tablet

Isoptin 240 mg

PT. Abbott Indonesia

Tablet

n/a

PT. Kimia Farma

Ktk 10X10 TAB

Vinblastine

PT. Combiphar

Vial 10mg/10ml

Navelbine injeksi
10

PT. Mugi Laboratories

Dus, 1 vial @ 1 ml

n/a

PT. Kimia Farma

Dus 10 strip x 10 tab

n/a

PT. Kimia Farma

Botol 60 tablet

Zincpro Drops

PT. Combiphar

Drops 10 mg/ml, Botol @15 ml

Zircum Kid Sirup

PT. Meprofarm

Dus, botol 60 ml

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

1,375.00

Download

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27,500.00

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3,849.00

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338.00
86.00
380.00
176.00
233.00
18,500.00

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Download

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50,500.00

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3,822.00

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90.00

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12,480.00
1,200.00
112.00
330.00
187.00
211.00
272.00
4,045.00
2,445.00

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85,000.00

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106,000.00

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97,500.00

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200,000.00

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85,345.00

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79,165.00

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79,167.00

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32,000.00

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75.00

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2,516.00

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520.00

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135.00

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1,500.00

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22,000.00
95.00
48.00
2,209,000.00

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112.00

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1,815.00

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3,334.00
24,750.00
237.00
345.00
1,039,500.00
190.00
20,000.00
74.00
34,400.00
4,500.00
3,333.00
1,250.00
9,800.00
13,400.00
3,200,000.00

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3,600.00

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3,600.00
1,520.00

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72,400.00
45,000.00
6,045.00
645.00
247,089.00

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93,000.00

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8,900.00

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117,600.00

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110,500.00

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12,936.00
12,936.00

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76,000.00

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150,000.00

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2,600,000.00

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25,300.00
112,000.00
1,580.00
68.00
9,983.00
1,054.00
97.00
134.00

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127,667.00

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46,667.00

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3,667.00

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4,015.00

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104.00
37,500.00
3,480.00
5,480.00

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55,500.00

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274,125.00

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3,333.00
167.00
15,600.00

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970,200.00

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7,100.00

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6,376.00
42,600.00

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40,740.00

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71,875.00

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100,000.00

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8,100.00

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500,000.00

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128,000.00

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650.00

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8,000.00

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497.00

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930.00

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7,700.00

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128,000.00

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139,500.00

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314.00

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451.00

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2,500.00

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128,779.00

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100,000.00

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16,667.00

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11,813.00

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23,250.00

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9,200,000.00

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20,250.00

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133.00

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1,800.00

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1,075.00

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1,375.00

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235.00

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117,500.00

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128,000.00

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33,914.00

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80,000.00

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153,000.00

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285,000.00

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375,000.00

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634.00

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1,248,319.00

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275,000.00

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55,000.00

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38,000.00

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22,000.00

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419.00

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410.00

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24,500.00

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33,000.00

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2,400.00

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93,333.00

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12,917.00

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241,667.00

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1,829.00

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78.00

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85.00

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399,500.00

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295,000.00

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289.00

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679.00

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1,098,900.00

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330,000.00

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3,399.00

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2,600.00

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3,194.00

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56.00

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235.00

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648.00

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950.00

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265.00

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436.00

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404.00

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430.00

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1,493.00

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2,171.00

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1,500.00

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5,333.00

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5,700.00

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5,200.00

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2,300,000.00

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840,000.00

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219.00

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83,333.00

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59.00

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96.00

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69.00

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126.00

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641,500.00

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1,328,000.00

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4,500.00

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138,000.00

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138,000.00

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72,000.00

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76,125.00

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75,000.00

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76,125.00

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76,125.00

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76,125.00

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138,000.00

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138,000.00

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76,125.00

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76,125.00

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75,000.00

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138,000.00

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138,000.00

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72,000.00

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3,499.00

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4,499.00

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149.00

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1,329,163.00

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3,908.00

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2,120.00

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350,000.00

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122,000.00

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166,000.00

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369,000.00

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147,000.00

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199,000.00

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245,000.00

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123,200.00

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299,000.00

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150,300.00

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1,425.00

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2,470.00

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510,000.00

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88.00

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694.00

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1,580.00

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7,800.00

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4,900.00

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3,100.00

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27,500.00

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140.00

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80.00

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62.00

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44,770.00

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245.00

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875.00

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2,042.00

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110,000.00

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4,700.00

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2,569.00

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300.00

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2,300.00

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3,200.00

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361.00

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553.00

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900.00

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184.00

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3,400.00

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1,100.00

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1,050.00

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5,000.00

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1,550.00

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500.00

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850.00

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1,100.00

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12,450.00

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42.00

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15,750.00

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3,220.00

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8,900.00

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90,667.00

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100,833.00

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113,333.00

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149.00

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670.00

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6,200.00

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540.00

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1,400.00

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82,042.00

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473.00

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67,200.00

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56,300.00

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56,300.00

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37,500.00

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115,500.00

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61,600.00

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75,350.00

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36,667.00

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50,820.00

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46,000.00

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65,000.00

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78,720.00

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51,260.00

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64,900.00

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42,000.00

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46,000.00

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295,240.00

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343,842.00

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322,000.00

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218,700.00

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2,050.00

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8,000.00

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9,000.00

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9,000.00

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87,000.00

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12,650.00

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50,500.00

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42,350.00

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29,167.00

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55,500.00

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37,500.00

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210,000.00

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199,000.00

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56,000.00

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9,500.00

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6,800.00

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6,917.00

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7,700.00

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7,700.00

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35,750.00

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6,930.00

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9,167.00

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10,000.00

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10,000.00

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105,500.00

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60,500.00

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210,000.00

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591,000.00

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511,000.00

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358,000.00

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89,800.00

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72,000.00

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700,000.00

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2,700,000.00

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40,000.00

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528.00

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839.00

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1,363.00

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40,000.00

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600.00

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350.00

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1,050.00

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1,850.00

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89.00

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154.00

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1,341.00

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62,000.00

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1,200.00

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3,276.00

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12,210.00

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54,000.00

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74,998.00

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254,100.00

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6,537.00

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635.00

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205.00

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300.00

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108.00

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9,950.00

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3,220.00

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110.00

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160.00

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1,237,500.00

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6,119.00

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12,060.00

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260,000.00

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3,000.00

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697,000.00

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77,000.00

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17,820.00

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8,400.00

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15,620.00

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22,990.00

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10,499.00

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1,300.00

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4,700.00

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54,144.00

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66,640.00

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94,962.00

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61,600.00

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6,200.00

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200.00

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33,900.00

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6,490.00

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2,800.00

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2,999.00

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3,500.00

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100.00

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640.00

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2,618.00

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359,900.00

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1,199,990.00

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214,900.00

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160,000.00

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288,199.00

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171,195.00

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400.00

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650.00

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27,550.00

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2,950,000.00

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120,000.00

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6,450.00

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11,200.00

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36,000.00

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211.00

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2,400.00

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716.00

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1,189.00

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1,902,240.00

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219,540.00

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5,522,580.00

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5,200.00

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1,438.00

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89.00

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1,077,815.00

Do

1,248,220.00

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2,420.00

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11,475.00

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14,500.00

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3,120.00

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4,525.00

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8,360.00

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296.00

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206.00

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17,393.00

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37,109.00

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2,163.00

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14,203.00

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7,200.00

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11,268.00

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2,300.00

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65.00

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106.00

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17,391.00

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19,500.00

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23,185.00

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580.00

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1,140.00

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120.00

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260.00

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5,200.00

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1,400.00

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1,008.00

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2,000.00

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23,500.00

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23,500.00

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23,500.00

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5,248.00

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6,275.00

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7,383.00

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63,750.00

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431.00

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5,867.00

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4,746.00

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513.00

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509.00

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5,895.00

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1,000.00

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48,060.00

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859.00

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8,800.00

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2,950.00

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3,700.00

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3,300.00

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7,200.00

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181.00

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1,078.00

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256,000.00

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82,000.00

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43,000.00

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12,000.00

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169.00

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391.00

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13,000.00

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255.00

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1,499.00

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900.00

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315.00

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3,290,000.00

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127,000.00

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11,167.00

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21,500.00

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5,800.00

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5,800.00

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6,800.00

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28,500.00

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8,100.00

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6,250.00

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99.00

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71,100.00

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11,500.00

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148.00

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1,135.00

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563.00

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9,128.00

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9,722.00

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152,543.00

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2,395.00

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115,000.00

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90,000.00

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405.00

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6,400.00

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285,000.00

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2,793.00

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5,450.00

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3,900.00

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6,500.00

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6,200.00

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234.00

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210,000.00

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1,229,998.00

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107.00

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3,429.00

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12,840.00

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Downloa

NO

NAMA OBAT
ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet
1.
n/a
200 mg)
2. Adefovir Dipivoksil tablet/kaplet 10 mg

Hepsera

3. Albendazol suspensi 200 mg/5 ml


4. Albendazol tablet/kapsul/kaplet 400 mg
5. Alopurinol tablet/kapsul/kaplet 100 mg
6. Alopurinol tablet/kapsul/kaplet 300 mg
7. Alprazolam tablet/kapsul/kaplet 0,25 mg
8. Alprazolam tablet/kapsul/kaplet 0,5 mg
9. Alprazolam tablet/kapsul/kaplet 1 mg

n/a
n/a
n/a
n/a
n/a
n/a
n/a

NAMA DAGANG

10. Alteplase injeksi 50 mg/vial

Actilyse

11. Amfoterisin B salep mata 1%

Fungicide

12. Amikasin injeksi 250 mg/ml


13. Aminofilin injeksi 24 mg/ml
14. Aminofilin tablet scored 200 mg
15. Amiodaron injeksi 150 mg/3 ml
16. Amiodaron tablet/kaplet 200 mg
17. Amitriptilin tablet salut 25 mg (HCl)
18. Amlodipin tablet 10 mg
19. Amlodipin tablet 5 mg
20. Amoksisilin kapsul/kaplet 250 mg

Glybotic 250 mg /ml


n/a
n/a
Cordarone
Cordarone
n/a
n/a
n/a
n/a

21. Amoksisilin kapsul/kaplet/tablet scored 500 mg

n/a

22. Amoksisilin sirup kering forte 250 mg/5 ml


23. Amoksisilin sirup kering 125 mg/ 5 ml
24. Ampisilin serbuk injeksi i.v. 1000 mg/vial

n/a
n/a
n/a

25.

Analog insulin long acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glargine 100 IU/ml)

Lantus Solostar 100IU/ml 5pens x3ml

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

Novomix Flexpen

Analog insulin mix insulininj 100 UI/ml, vial/cartridge


27. disposible/penfill cartridge (25% insulin lispro, 75% insulin
lispro protamine suspension, (rDNA))

Humalog Mix 25

28.

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin Aspart (Analogue))

Novorapid Flexpen

29.

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin Aspart (Analogue))

Novorapid Vial

30.

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin glulisine 100 IU/ml)

Apidra Solostar 100IU/ml 5pens x3ml

31.

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin lispro (rDNA origin))

Humalog

32. Anastrozol tablet/kapsul/kaplet 1 mg

Arimidex 1 mg

33.

Antasida DOEN I tablet kunyah, kombinasi : Aluminium


Hidroksida 200 mg Magnesium Hidroksida 200 mg

34.

Antasida DOEN II suspensi, kombinasi : Aluminium


n/a
Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml

n/a

NO

NAMA OBAT
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g
35.
n/a
Polimiksin 10.000 IU/g
Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin
36.
n/a
500 mg
37. Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg
Levodopa 100 mg
39. Artemether injeksi 80 mg/ml
40. Asam Askorbat (Vitamin C) tablet 250 mg
41. Asam Askorbat (Vitamin C) tablet 50 mg
42. Asam Folat tablet/kapsul/kaplet 1 mg
38.

NAMA DAGANG

n/a
Levopar Tablet
Artem
n/a
n/a
n/a

43. Asam Ibandronat injeksi 6mg/6ml

Bondronat

44. Asam Mefenamat kapsul/kaplet 500 mg


45. Asam pipemidat kapsul 400 mg

n/a
Urotractin 400 mg

46. Asam traneksamat injeksi 100 mg/ml

n/a

47. Asam traneksamat injeksi 50 mg/ml


48. Asiklovir salep mata 3%
49. Asiklovir tablet/kapsul/kaplet 200 mg

n/a
Temiral Eye Oint
n/a

50. Asiklovir tablet/kapsul/kaplet 400 mg

n/a

51. Asparaginase serbuk injeksi 10.000 UI/vial

Leunase

52. Atapulgit tablet 600 mg

Pularex

53. Atrakurium injeksi 25 mg/2,5 ml

Notrixum Inj 2,5 ml

54. Atropin Sulfat tablet 0,5 mg

n/a

55. Azitromisin sir kering 200 mg/ 5 mL

n/a

56. Azitromisin tablet 500 mg

n/a

57. Azitromisin tablet 250 mg

n/a

58. Bedak salisil serbuk 2%

n/a

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


60. Benzatin Benzil Penisilin 2,4 juta IU/vial
61. Beractant injeksi / suspensi 25 mg/mL
62. Beraprost sodium tablet 20 mcg
63. Beraprost sodium tablet 20 mcg
64. Betametason krim 0,1% (sebagai Valerat)

n/a
n/a
Survanta
Dorner 20 g
Dorner
n/a

65. Bikalutamid tablet salut 150 mg

Casodex 150 mg

66. Bikalutamid tablet salut 50 mg

Casodex 50 mg

67. Bisakodil suppositoria 10 mg


68. Bisoprolol tablet 5 mg
69. Bromokriptin tablet 2,5 mg

Stolax supp
n/a
Cripsa tab

70. Budesonid inhaler 200 mcg/puff, 100 dosis

Pulmicort Turbuhaler

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

Pulmicort Respules

72. Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg Symbicort Turbuhaler 160/4.5 mcg
73. Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg Symbicort 80/4.5 mcg
74. Bupivakain injeksi 0,50% (HCl) + glukosa 8%

n/a

75. Dabigatran eteksilat kapsul 75 mg

Pradaxa

76. Dabigatran eteksilat kapsul 110 mg

Pradaxa

NO

NAMA OBAT
77. Deferasiroks tablet disp/ eff 250 mg
78. Deferasiroks tablet disp/ eff 500 mg
79. Deferipron larutan oral 100 mg/mL
80. Deferipron tablet 500 mg
81. Deferoksamin Mesilat serbuk injeksi 500 mg
82. Deksametason injeksi i.v./i.m. 5 mg/ml

NAMA DAGANG
Exjade 250 mg Tab
Exjade 500 mg Tab
Ferriprox Oral Solution
Ferriprox tablet
Desferal
n/a

83. Deksametason tablet 0,5 mg

n/a

84. Desoksimetason krim 0,25%


85. Diazepam tablet 2 mg
86. Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
87. Digoksin tablet 0,25 mg
88. Diltiazem HCl tablet 30 mg

n/a
n/a
n/a
n/a
n/a

89. Diltiazem infus injeksi 50 mg

Herbesser Powder Injection 50mg

90. Diltiazem injeksi 25 mg/5 mL


91. Diltiazem Kapsul SR 100 mg
92. Diltiazem Kapsul SR 200 mg
93. Dimenhidrinat tablet 50 mg

Farmabes Injeksi 25 mg
Herbesser CD 100
Herbesser CD 200
n/a

94. Dinatrium edetat tetes mata 0,35%

E.D.T.A

95. Doksazosin mesilat tablet 1 mg


96. Doksazosin mesilat tablet 2 mg
97. Doksorubisin serbuk injeksi i.v. 10 mg/vial
98. Domperidon suspensi/sirup 5 mg/5 ml
99. Domperidon tablet 10 mg
100. Domperidon tetes 5 mg/mL

Cardura 1mg
Cardura 2mg
Doxorubicin Actavis 10 mg
n/a
n/a
n/a

101. Dosetaksel injeksi 20 mg/0,5 ml

n/a

102. Dutasterid kaps lunak 0,5 mg

Avodart

103. Efavirens tablet salut 600 mg


104. Eksemestan tablet 25 mg
105. Enoksaparin sodium inj 20 mg/0,2 mL
106. Enoksaparin sodium inj 40 mg/0,4 mL
107. Enoksaparin sodium inj 60 mg/0,6 mL
108. Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
109. Epirubisin serb injeksi 50 mg/25ml
110. Epirubisin serb injeksi 10 mg/5 ml

n/a
Aromasin
Lovenox 2000 ANTI-XA
Lovenox 4000 ANTI-XA
Lovenox 6000 ANTI-XA
n/a
Epirubisin Kalbe
n/a

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

D-Vit FT

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

D-Vit Syrup

113. Eritromisin kapsul/kaplet 250 mg


114. Eritromisin kapsul/kaplet 500 mg

n/a
n/a

115. Eritromisin sirup kering 200 mg/ 5 ml

n/a

116. Eritropoetin-alfa inj 3000 UI/mL

Hemapo 3000

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

Recormon

118. Etambutol tablet 250 mg (HCl)


119. Etambutol tablet salut 500 mg (HCl)
120. Etanol 70% cairan

n/a
n/a
n/a

121. Etonogestrel implan 68 mcg

Implanon

122. Etoposid injeksi 20 mg/ml

Etopul

123. Eugenol cairan


124. Everolimus tab 0,25 mg

n/a
Certican 0,25 mg Tab

NO

NAMA OBAT
125. Everolimus tab 0,5 mg
Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk
126.
injeksi

NAMA DAGANG
Certican 0,5 mg Tab

127. Fenitoin injeksi 50 mg/ml

n/a

128. Fenitoin kapsul/kaplet 100 mg


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

n/a
n/a

130. Fenofibrat kaps 100 mg

n/a

131. Fenofibrat kaps 300 mg

n/a

132. Fenoksimetil penisilin (penisilin V) tablet 250 mg

n/a

133. Fenoksimetil penisilin (penisilin V) tab 125 mg


134. Fenoksimetil penisilin (penisilin V)tablet 500 mg

Fenocin
n/a

135. Fenoterol HBr inh solution 0,1%

Berotec Solution

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


137. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml
138. Fentanil patch 12,5 mcg/jam
139. Fentanil patch 25 mcg/jam
140. Fentanil patch 50 mcg/jam
141. Filgrastim inj 300 mcg/mL
142. Fitomenadion (Vit.K1) tablet salut gula 10 mg
143. Fludarabin inj 50 mg

n/a
n/a
Durogesic 12,5 MU Matrix
Durogesic 25 MU Matrix
Durogesic 50 MU Matrix
Zarzio
n/a
Fludara IV LYO

144. Fludarabin tab 10 mg

Fludara Oral

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

Sikzonoate Injeksi

146. Flukonazol tablet/kapsul 150 mg


147. Fluoksetin tablet 10 mg
148. Fluoksetin tablet 20 mg
149. Fluorourasil inj 250 mg/mL
150. Fluorourasil inj 500 mg/ 5 mL

n/a
Foransi 10
NOPRES
Curacil
Curacil

151. Flusinolon asetonid krim 0,025%

SYNARCUS

152. Flutikason furoat intranasal spray

Avamys

153. Flutikason propionat nebules 0,5 mg

Flixotide Nbules

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

Arixtra

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

n/a

156. Furosemid tablet 40 mg

n/a

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

Cymevene

Novoseven

Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g


158. kalium klorida 0,30 g Trinatrium sitrat dihidrat 0,58 g Glukosa n/a
Anhidrat 2,70 g
159. Gefitinib tab 250 mg

Iressa 250 mg

160. Gemfibrozil kapsul/kaplet 300 mg


161. Gemfibrozil tablet 600 mg
162. Gemsitabin inj 1000 mg/vial
163. Gemsitabin inj 200 mg/vial
164. Gentamisin injeksi 40 mg/ ml
165. Gentamisin salep mata 0,3%
166. Gentamisin tetes mata 0,3%
167. Glibenklamid tablet 5 mg
168. Gliklazid tab 80 mg

n/a
n/a
Gemzar 1000 mg
n/a
n/a
Genoint Salep Mata
n/a
n/a
Glicab

NO

NAMA OBAT

NAMA DAGANG

169. Gliklazid tab 30 mg

Diamicron MR 30

170. Glikuidon tab 30 mg


171. Glimepiride tablet 1 mg
172. Glimepiride tablet 2 mg
173. Glimepiride tablet 3 mg
174. Glimepiride tablet 4 mg
175. Gliseril trinitrat kaps SR 2,5 mg
176. Gliseril trinitrat kaps SR 5 mg
177. Gliseril trinitrat tab sublingual 0,5 mg
178. Gliserin lar 50%
179. Glukosa larutan infus 10 % steril
180. Glukosa larutan infus 5 % steril

n/a
n/a
n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte
Nitral
Gliserin lar 50%
n/a
n/a

181. Goserelin asetat inj 10,8 mg/vial

Zoladex 10,8 mg

182. Goserelin asetat inj 3,6 mg

Zoladex 3,6 mg

183. Griseofulvin tablet 125 mg

n/a

184. Haloperidol inj 50 mg/mL

Haldol Decanoas

185. Haloperidol tablet 0,5 mg


186. Haloperidol tablet 5 mg
187. Haloperidol tablet 1,5 mg

n/a
n/a
n/a

188. Haloperidol tablet 2 mg

Lodomer 2

189. Halotan Inhalasi


190. Hepatitis B imunoglobulin (human)
191. Hidrokortison krim 2,5 %

Halothane
Hyperhep B
n/a

192. Hiosin butilbromid injeksi 20 mg/ml

n/a

193.

Human insulin intermediate acting inj 100 UI/ml, vial (Human


Insulatard Vial
Insulin (Intermediate-Acting))

Human insulin intermediate acting inj 100 UI/ml, vial (Insulin


Humulin N Vial
human Basal)
Human insulin intermediate acting inj 100 UI/ml, vial/cartridge
195.
n/a
disposible/penfill cartridge
194.

196.

Human insulin intermediate acting inj 100 UI/ml,penfill


cartridge (Human Insulin (Intermediate-Acting))

Human insulin intermediate acting inj 100 UI/ml,penfill


cartridge (Insulin human Basal)
Human insulin intermediate acting inj 100 UI/ml,penfill
198.
cartridge (Insulin human Basal)
197.

Insulatard Penfill
Sansulin N
Humulin N Cart

199.

Human insulin mix insulin inj 100 UI/ml, penfill cartridge


(Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin))

Mixtard Penfill

200.

Human insulin mix insulin inj 100 UI/ml, penfill cartridge


(Insulin human Comb)

Humulin 30/70 Cart

201.

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

Mixtard Vial

202.

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

Humulin 30/70 Vial

203.

Human insulin short acting inj 100 UI/ml, penfill cartridge


(Human Insulin (Short Acting))

Actrapid Penfill

Human insulin short acting inj 100 UI/ml, penfill cartridge


(Insulin human Rapd)
Human insulin short acting inj 100 UI/ml, penfill cartridge
205.
(Insulin human Rapd)
Human insulin short acting inj 100 UI/ml, vial (Human Insulin
206.
(Short Acting))
204.

Humulin R Cart
Sansulin R
Actrapid Vial

NO

NAMA OBAT
Human insulin short acting inj 100 UI/ml, vial (Insulin human
207.
Rapd)
Human insulin short acting inj 100 UI/ml, vial/cartridge
208.
disposible/penfill cartridge
209. Ibuprofen sirup 100 mg/5 ml
210. Ibuprofen suspensi 200 mg/5 ml
211. Ibuprofen tablet 400 mg
212. Ifosfamid serbuk injeksi 1000 mg/vial
213. Imidapril tab 10 mg
214. Imidapril tab 5 mg

NAMA DAGANG
Humulin R Vial
n/a
n/a
n/a
n/a
Holoxan injeksi 1000
Tanapress 10mg
Tanapress 5mg

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

Iopamiro

216. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 30ml)

Iopamiro

217. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 50ml)

Iopamiro

218. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 100ml)

Iopamiro

219. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 30ml)

Iopamiro

220. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 50ml)

Iopamiro

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

Ultravist 300/100 mg

222. Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)

Ultravist 300/50 mg

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

Ultravist 370/100 mg

224. Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)

Ultravist 370/50 mg

225. Irbesartan tab 150 mg


226. Irbesartan tab 300 mg
227. Irinotekan inf 20 mg/ml
228. Isosorbid Dinitrat tablet sublingual 5 mg
229. Kalium aspartat tab 300 mg
230. Kalium Klorida tablet 600 mg

n/a
n/a
n/a
n/a
Kalipar
KSR

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

Kalsium glukonat

232. Kandesartan tab 16 mg


233. Kandesartan tab 8 mg

n/a
n/a

234. Kapesitabin tab 500 mg

Xeloda

235. Kaptopril tablet 50 mg


236. Kaptopril tablet scored 25 mg
237. Kaptopril tablet scored12,5 mg

n/a
n/a
n/a

238. Karbamazepin sirup 100 mg/5 ml

Tegretol Syrup 100mg/5ml, 120ml

239. Karbamazepin tablet 200 mg

n/a

240. Karbimazol tab 5 mg

Neo-Mercazole

241. Karbogliserin tetes telinga 10%

Karbogliserin tetes telinga 10%

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

KTM

243. Ketokonazol krim 2%

n/a

244. Ketokonazol krim 2%

n/a

245. Ketokonazol tablet 200 mg

n/a

246. Ketorolac injeksi 30 mg/ml

n/a

247. Klaritromisin tab 500 mg

ORIXAL

248. Klindamisin kapsul/kaplet 150 mg

n/a

NO

NAMA OBAT
249. Klindamisin kapsul/kaplet 300 mg
250. Klobazam tab 10 mg
251. Klonidin tablet 0,15 mg

n/a
n/a
n/a

252. Klopidogrel tab 75 mg

n/a

253. Kloramfenikol salep mata 1 %


254. Kloramfenikol suspensi 125 mg/ 5 ml
255. Klorpromazin tablet salut 100 mg (HCl)
256. Klorpromazin injeksi i.m. 25 mg/ml (HCl)
257. Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)

n/a
n/a
n/a
n/a
n/a

258. Klozapin 100 mg

n/a

259. Klozapin 25 mg

n/a

260. Kodein tablet 10 mg


261. Kodein tablet 15 mg
262. Kodein tablet 20 mg

n/a
n/a
n/a

263. Kombinasi suspensi : Parafin + gliserin + fenolftalein

Laxadine Emulsi 60 ml

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam


folat 0,25 mg
Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg;
265.
Kalium klorida 1,32 mg
264.

266. Kombinasi: Artemether 20 mg; Lumefantrin 120 mg


267.

NAMA DAGANG

n/a
Cendo Lyteers
Coartem

Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon


Stalevo
200 mg

268. Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg Seretide Inhaler 50 mcg
269. Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg Seretide Diskus 100 mcg
270. Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg Seretide Diskus 250 mcg
271.

Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol


n/a
400 mg Trimetoprim 80 mg

272.

Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg +


Trimetoprim 40 mg / 5 ml

n/a

273. Kuinin (Kina) tablet 200 mg


274. Kuinin injeksi i.v. 25% (sebagai 2 HCl)
275. Kuinin tablet 222 mg (H2SO4.7H2O)
276. Lamivudine tablet 150 mg
277. Lansoprazol inj 30 mg/ml
278. Lanzoprazol kapsul/kaplet 30 mg

n/a
n/a
n/a
n/a
Prosogan Inj.
n/a

279. Lapatinib tab 250 mg

Tykerb

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

Kalbamin

281.

Larutan mengandung Asam Amino (Asam Amino 100 g, Total


Amiparen
N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)

282.

Larutan mengandung Asam Amino (Asam Amino 27 g,


Sorbitol 50 g, Cl- 52 mEq)

Pan-amin G

283.

Larutan mengandung Asam Amino (Asam Amino 30 g,


Glukosa 7,3 % dan elektrolit) 1000 ml

Aminofluid

284.

Larutan mengandung Asam Amino (Asam Amino 30 g,


Glukosa 7,3 % dan elektrolit) 500 ml

Aminofluid

Larutan mengandung Asam Amino (Asam Amino 5% dengan


285. BCAA 45%, L-Ornithine L Aspartate 8.03 gr/L, Sorbitol 50
Aminofusin Hepar
gr/L, Xylitol 50 gr/L)

NO

NAMA OBAT
NAMA DAGANG
Larutan mengandung Asam Amino (Asam Amino 6%,
286.
Aminosteril Infant 6%
mengandung Taurine 0,24 gr/l)
Larutan mengandung Asam Amino (Asam Amino 7%,
287. Komposisi: Asam Amino esensial: Asam Amino non esensial = Nephrosteril
60 : 40)
Larutan mengandung Asam Amino (Asam Amino 72.05 g,
288. Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat 46 Kidmin
mEq)
289.

Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total


Aminoleban
N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

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

Aminosteril N-Hepa

Larutan mengandung Asam Amino (Asam Amino esensial 7%


Eas Pfrimer
+Xylitol 10 g/L)
Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine
292. L Aspartate 10 gr/L, Xylitol 50 gr/L, Malic Acid 7 gr/L, Piridoxin Comafusin Hepar
0.12 gr/L)
291.

Larutan mengandung Asam Amino (Kombinasi Asam aminno


50 g/L, Sorbitol 50 g/L, Xylitol 50 g/L, Asam Askorbat (Vit C)
293. 0.4 g/L, Inositol 0.5 g/L, Nikotinamida (Niasinamida) 0.06 g/L, Aminofusin L600
Piridoksin HCl (Vit B6) 0.04 g/L, Riboflavin Natrium Fosfat 2.5
mg/L, elektrolit)
294.

Larutan mengandung Asam Amino (Kombinasi Asam amino


50 g/L, vitamin dan elektrolit)

Aminofusin Paed

Larutan mengandung Asam Amino (Kombinasi Asam Amino:


295. 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit (Kalori = 1000 Kabiven 1440 ml
kkal, Akses peripheral))
Larutan mengandung Asam Amino (Kombinasi Asam Amino:
296. 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 Kabiven 1920 ml
kkal, Akses peripheral))
297.

Larutan mengandung Asam Amino (Kombinasi Glukosa dan


elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral)

Combiflex Plus (790 kcal)

298.

Larutan mengandung Asam Amino (Kombinasi Glukosa dan


elektrolit 80 gr + Asam Amino 40 gr )

Combiflex peri (480 kcal)

299. Larutan mengandung Elektrolit (Kalium Klorida)

Otsu - KCl 7,46%

300. Larutan mengandung Elektrolit (Larutan Ringer Laktat)

Wida RL

Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca


Asering
3 mEq, Asetat 28 mEq)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa
302.
KA EN 1B
18.75 gr)
301.

Larutan mengandung Elektrolit (Sodium Lactate sol (50%)


303. 113 gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2
gr/L, elektrolit)

Totilac

Larutan mengandung Elektrolit (Tiap 1000 ml mengandung


electrolit: Sodium 145 mmol/l, Potassium 4.0 mmol/l, Calcium
304.
Ringerfundin 500 mL
2.5 mmol/l, Magnesium 1.0 mmol/l, Chloride 118 mmol/l,
Acetate 24 mmol/l, Malate 5.0 mmol/l)
Larutan mengandung Karbohidrat (Fructose 120 g, glucose
Triofusin 1000
66 g, Xylitol 60 g/ L + elektrolit)
Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33
306.
Triofusin 500
g, Xylitol 30 g/ L)
305.

307. Larutan mengandung Karbohidrat (Maltose 100 gr)

Martos

Larutan mengandung Karbohidrat + Elektrolit (25.00g


308. maltose, 3.00 g sodium chloride, 0.15 g potassium chloride, Potacol inj
0.10 g calcium chloride dihydrate dan 1.55 g sodium lactate)

NO

NAMA OBAT
NAMA DAGANG
Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K,
309.
Tutofusin OPS
Cl, Ca, Mg, Sorbitol 50 gr/L)
310.

Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28


Clinimix N9G20E
gr/L, Glukosa 100 gr/L, elektrolit)

311.

Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28


Clinimix N9G15E
gr/L, Glukosa 75 gr/L, elektrolit)

Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g,


Triofusin E1000
glucose 33 g, Xylitol 30 g/ L)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g,
313. NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk injeksi Wida HSD
ad 1000 ml)
312.

314.

Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ;


Wida D5-NS
Natrium Chloride 9 g, air untuk injeksi ad 1000 ml)

Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0


WIDA 2A
g; NaCl: 4,5 g)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0
316.
WIDA D5-1/4NS
g; NaCl: 2.25 g)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0
317.
WIDA D5-1/2NS
g; NaCl: 4.5 g)
315.

Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi


318. kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Futrolit
Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g)
Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer
Wida RD
& Glukosa 5%)
Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g,
320.
KA ENMG 3
KCL 1.5g, Glukosa 100 gr)
319.

321.

Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr,


KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)

KA EN 3B

322.

Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr,


Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)

KA EN 3A

323.

Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20%


Lipofundin MCT/LCT 1% 100
100 ml)

324. Larutan mengandung Lipid (Emulsi lemak 20%)

Intralipid

325.

Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20%


Lipofundin MCT/LCT 1% 250
250 ml)

326.

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit


Nutriflex Lipid Special 1250
180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn akses sentral)

327.

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit


Nutriflex Lipid Peri 1250
80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr)

328.

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit


Nutriflex Lipid Special 625
90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn akses sentral)

Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg


329. Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate 0.3
gr/L)

Ivelip

330. Latanoprost tetes mata 0,01%

Cendo Glaopen

331. Leuprorelin asetat inj depot 1,88 mg


332. Leuprorelin asetat inj depot 11,25 mg

Tapros 1.88mg
Tapros 3M

333. Levofloksasin inf 5 mg/mL

n/a

334. Levofloksasin tablet 500 mg

n/a

335. Lidokain injeksi 2% (HCL)

n/a

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

n/a

NO

NAMA OBAT

NAMA DAGANG

337. Lidokain jeli 2%

Xylocaine Jelly 2%

338. Lisinopril tablet 10 mg

n/a

339. Lisinopril tablet 5 mg

n/a

340. Litium karbonat tablet 200 mg

Frimania 200

341. Litium karbonat tablet 400 mg

Frimania 400

342. Loperamid tablet 2 mg

n/a

343. Loratadin tablet 10 mg

n/a

344. Lorazepam tablet 2 mg

Merlopam 2

345. Manitol

n/a

346. Maprotilin HCl tab 25 mg

Ludios

347. Maprotilin HCl tab 50 mg

Sandepril 50

348. Melfalan tablet 2 mg

Alkeran

349. Meropenem inj 1 g


350. Meropenem serb inj 500 mg/vial
351. Mesna inj 100 mg/mL
352. Metadon sir 50mg/5ml
353. Metformin HCl tablet 500 mg

n/a
n/a
Uromitexan injeksi.
n/a
n/a

354. Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg n/a


355. Metilfenidat kapsul LA 20 mg

Ritalin LA

356. Metilprednisolon inj 125 mg/2 mL


357. Metilprednisolon inj 500 mg/8 mL

n/a
n/a

358. Metilprednisolon tablet 16 mg

n/a

359. Metilprednisolon tablet 4 mg

n/a

360. Metilprednisolon tablet 8 mg


361. Metoklopramide tablet 10 mg
362. Metoklopramide tablet 5 mg

n/a
n/a
n/a

363. Metronidazol infus 500 mg/100 ml

n/a

364. Metronidazol supositoria 500 mg

Flagyl

365. Metronidazol tablet 250 mg

n/a

366. Metronidazol tablet 500 mg

n/a

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

Cardioscan KaeF

368. Midazolam injeksi i.v. 1 mg/ml

Miloz 5 Inj

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

Miloz 15 Inj

370. Mikafungin Na serb inj 50 mg


371. Mikonazol krim/salep 2 % (Nitrat)
372. Mitomisin C (crystallin) serbuk inj 10 mg/vial
373. Moksifloksasin tetes mata 0,5%

Mycamine
n/a
Mitomycin C
Vigamox

NO

NAMA OBAT

NAMA DAGANG

374. Mometason furoat krim 0,1%

n/a

375. Morfin HCL inj 10 mg/ml

n/a

376. Morfin HCL tablet SR 10 mg

MST Continus 10 mg

377. Morfin HCL tablet SR 15 mg

MST Continus 15 mg

378. Morfin injeksi i.m./s.k./i.v. 10 mg/ml


379. Morfin tablet 10 mg
380. Nacl 0,9%

n/a
n/a
n/a

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

Fraxiparine 0.3 ml

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

Fraxiparine 0.4 ml

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

Fraxiparine 0.6 ml

384. Nalokson injeksi 0,4 mg/ml


385. Natrium Bikarbonat injeksi i.v 8,4%
386. Natrium Diklofenak tablet 50 mg
387. Natrium Diklofenak tablet 25 mg
388. Natrium fosfat lar oral 45 mL
389. Natrium fusidat salep 20 mg/g
390. Nevirapin tablet 200 mg
391. Nifedipin tab 20 mg, slow release; oros
392. Nifedipin tab 30 mg, oros

Nokoba
Meylon
n/a
n/a
Fleet Phosphosoda
Fucilex Ointment
n/a
Adalat Oros 20 mg
Adalat Oros 30 mg

393. Nifedipin tablet/kapsul 10 mg

n/a

394. Nistatin tablet salut 500.000 IU/ g


395. Noretisteron tablet 5 mg
396. Obat Antituberkulosis FDC Kategori 1
397. Obat Antituberkulosis FDC Kategori 2
398. Obat Antituberkulosis FDC Kategori Anak
399. Obat Antituberkulosis FDC Sisipan

n/a
Primolut N
n/a
n/a
n/a
n/a

400. Obat Antituberkulosis Kategori 1 dewasa

n/a

401. Obat Antituberkulosis Kategori anak

n/a

402. Ofloxacin tablet 200 mg

n/a

403. Ofloxacin tablet 400 mg

n/a

404. Oksimetazolin tetes hidung 0,025%

Ilaidin Drops

405. Oktreotid 10 mg

Sandostatin LAR

406. Olanzapin inj 10 mg/vial


407. Olanzapin kapl salut 5 mg
408. Olanzapin tab 10 mg

Zyprexa IM
Olandoz 5
Olandoz 10

409. Omeprazol injeksi 40 mg/ 10 ml

n/a

410. Omeprazol kapsul/kaplet 20 mg


411. ondansetron inj 4 mg/ 2 mL
412. Ondansetron tab 4 mg
413. Ondansetron tablet 8 mg

n/a
n/a
n/a
n/a

NO

NAMA OBAT
414.

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit


Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

NAMA DAGANG
n/a

415. Paket CAPD Pergantian Transfer Set per 6 bulan

n/a

Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan


416. 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

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

n/a

418. Parasetamol sirup 120 mg / 5 ml

n/a

419. Parasetamol tablet 500 mg

n/a

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

Pegasys

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

Pegasys

422. Perindoprilarginin tab 5 mg

Bioprexum 5 mg

423. Permetrin krim 5%

Scabimite Cream 10

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


425. Pioglitazon tab 15 mg
426. Pioglitazon tab 30 mg
427. Pirantel suspensi 125 mg/5 ml
428. Pirantel tablet score (base) 125 mg
429. Pirazinamid tablet 500 mg
430. Polikresulen cairan
431. Povidon Iodida larutan 10% 1000 ml
432. Povidon Iodida larutan 10% 30 ml
433. Povidon Iodida larutan 10% 300 ml

n/a
Actos
Gliabetes 30 mg
n/a
n/a
n/a
Aptil
n/a
n/a
n/a

434. Pramipeksol tab ER 0,375 mg

Sifrol ER 0,375mg

435. Pramipeksol tab ER 0,750 mg

Sifrol ER 0,750mg

436. Pravastatin tablet 20 mg

n/a

437. Propanolol tablet 10 mg ( HCl )


438. Propranolol tablet 40 mg (HCl)

n/a
n/a

439. Quetiapin tab 200 mg

Seroquel XR 200 mg

440. Quetiapin tab 300 mg

Seroquel XR 300 mg

441. Quetiapin tab 400 mg

Seroquel XR 400 mg

442. Ramipril tablet 5 mg

n/a

443. Ranitidin injeksi 25 mg/2 ml

n/a

444. Ranitidin tablet 150 mg


445. Retinol (Vitamin A) 200.000 IU kapsul lunak
446. Retinol (Vitamin A) 100.000 IU
447. Retinol (Vitamin A) 200.000 IU kapsul lunak
448. Ringer Laktat larutan infus
449. Risperidon tablet 1 mg

n/a
n/a
n/a
n/a
n/a
n/a

450. Risperidon tablet 2 mg

n/a

451. Risperidon tablet 3 mg

n/a

NO

NAMA OBAT
452. Rivaroksaban tab 10 mg
453. Rivaroksaban tab 15 mg
454. Rivaroksaban tab 20 mg

NAMA DAGANG
Xarelto 10 mg
Xarelto 15 mg
Xarelto 20 mg

455. Ropinirol Tablet Salut 2 mg

Requip PD 24 Hour 2 mg

456. Ropinirol Tablet Salut 4 mg

Requip PD 24 Hour 4 mg

457. Ropinirol Tablet Salut 8 mg

Requip PD 24 Hour 8 mg

458. Salbutamol inhalasi/aerosol 100 mcg/dosis

Ventolin Inhaler

459. Salbutamol serb inh 200 mcg/kaps

Ventolin Rotacaps

460. Salbutamol serb inh 200 mcg/kaps + rotahaler

Ventolin Rotahaler

461. Salbutamol tablet 4 mg (sebagai Sulfat)


462. Sefadroksil sirup kering 125 mg/5ml

n/a
n/a

463. Sefadroksil kapsul/kaplet 250 mg

n/a

464. Sefadroksil kapsul/kaplet 500 mg


465. Sefadroksil sir kering 250 mg/5 mL

n/a
n/a

466. Sefaleksin kapsul/kaplet 500 mg

n/a

467. Sefazolin serbuk injeksi 1 g/vial

n/a

468. Sefepim inj 1 g

n/a

469. Sefiksim kapsul/kaplet 100 mg

n/a

470. Sefiksim sirup kering 100 mg/ 5 ml

n/a

471. Sefoperazon inj 1 g

n/a

472. Sefotaksim injeksi 0,5 g

n/a

473. Sefotaksim injeksi 1 g

n/a

474. Sefpodoksim proksetil tab 100 mg

Banadoz 100

475. Seftazidim injeksi 1 g

n/a

476. Seftriakson serbuk injeksi 1 g/vial

n/a

477. Sefuroksim tab 500 mg

Zinnat 500

478. Setirizin tablet 10 mg


479. Sianokobalamin (vitamin B12) injeksi 500 mcg

n/a
n/a

480. Siklofosfamid serbuk injeksi i.v. 1000 mg

Cyclovid 1000 mg

481. Siklofosfamid serbuk injeksi i.v. 200 mg

Cyclovid 200 mg

482. Siklosporin kaps 100 mg


483. Siklosporin kapsul lunak 25 mg
484. Simvastatin scored tablet 10 mg

Sandimmun Neoral 100mg Kap


Sandimmun Neoral 25mg Kap
n/a

485. Simvastatin tablet 20 mg

n/a

486. Siprofloksasin infus 2%

n/a

487. Siprofloksasin tablet 500 mg (sebagai HCl)


488. Spiramisin tablet 500 mg
489. Spironolakton tablet 100 mg
490. Spironolakton tablet 25 mg
491. Streptokinase injeksi 1,5 juta UI/vial

n/a
n/a
n/a
n/a
Streptase

NO

NAMA OBAT

NAMA DAGANG

492. Sufentanil injeksi iv, epidural 5 mcg/ml

Sufentanyl Injeksi iv.Epidural 5 mcg / ml

493. Takrolimus kaps 0.5 mg

Prograf

494. Takrolimus kaps 1 mg

Prograf

495. Tamsulosin tab 0,2 mg


496. Tamsulosin tab 0,2 mg
497. Tamsulosin tab SR 0,4 mg
498. Telbivudin tab 600 mg

Harnal D 0.2 mg Disp. Tablet


Harnal D
Harnal OCAS 0.4 mg Tablet
Sebivo 600 mg Tab

499. Telmisartan tab 40mg

Micardis 40mg

500. Tenofovir tab 300 mg

n/a

501. Terbutalin cairan ih 2,5 mg/mL

Bricasma Respules

502. Terbutalin tablet 2,5 mg

Molasma Tablet

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

Bricasma Turbuhaler 0,5 mg

504. Tetrakain HCl tetes mata 0,5%

Pantocain 0.5%

505. Tetrasiklin kapsul/kaplet 250 mg


506. Tiamazol tab 10 mg
507. Tiamazol tab 5 mg
508. Timolol tetes mata 0,25%
509. Timolol tetes mata 0,5%

n/a
Thyrozol 10
Thyrozol 5
Isotic Adretor 0,25%
Isotic Adretor 0,5%

510. Tiotropium kaps 18 mcg + handihaller

Spiriva 10s + Handihaler

511. Tramadol injeksi 50 mg/ml

n/a

512. Travoprost tetes mata 0,004%


513. Triamsinolon asetonid nasal spray 55 mcg/puff
514. Trifluoperazin tablet 5 mg

Travatan
Nasacort AQ
n/a

515. Urea krim 10%

Soft U Derm

516. Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)

Imovax Polio

517. Valproat tab SR 250 mg


518. Valproat tab SR 500 mg
519. Valsartan tab 80 mg
520. Valsartan tab 160 mg
521. Verapamil tab 240 mg
522. Verapamil tablet 80 mg (HCl)
523. Vinblastin serbuk injeksi 10 mg
524. Vinorelbin inj. 10 mg/ml
525. Vitamin B Kompleks tablet
526. Zidovudin 300 mg + Lamivudine 150 mg
527. Zinc drop 10 mg/mL
528. Zinc sir 20 mg/5 Ml

Depakote ER 250 mg
Depakote ER 500 mg
Diovan 80mg Tab
DIOVAN 160 MG
Isoptin 240 mg
n/a
Vinblastine
Navelbine injeksi 10
n/a
n/a
Zincpro Drops
Zircum Kid Sirup

529. Zinc tablet dispersible20 mg

n/a

PABRIKAN
PT. Kimia Farma

KEMASAN
1 blister@24 tablet

PT. SmithKline Beecham Phamaceuticals


Dus, 3 Blister @ 10 kapsul

HARGA
1,409.00
28,875.00

PT. Indofarma
PT. Holi Pharma
PT. Pertiwi Agung
PT. Bernofarm
PT. Dexa Medica
PT. Otto Pharmaceuticals
PT. Kimia Farma

Dus, 10 dus @ 1 botol @ 10 ml


Dus, 5 strip @ 6 tablet
Box, 10 strips @ 10 tablets
Dus, 10 blister @ 10 tablet
Dus, 10 Strip @ 10 tablet
strip
Ktk 10x10 tablet

PT. Boehringer Ingelheim

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

PT. Cendo Industri Farmasi

tube 3.5 gr

18,500.00

PT. Sanbe Farma


PT. Lucas Djaja
PT. Erela
PT. Aventis Pharma
PT. Aventis Pharma
PT. Indofarma
PT. Pertiwi Agung
PT. Pertiwi Agung
PT. Indofarma

Vial 2 ml
dus 30 ampul @10 ml
Botol @100 Tablet
Dus, 6 ampul @ 3 ml
Dus, 3 blister @ 10 tablet
Dus, 10 strip @ 10 tss
Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets
Dus, 10 blister @ 12 kapsul

50,500.00
4,013.00
82.00
12,480.00
1,300.00
117.00
341.00
192.00
210.00

PT. Mersifarma Tirmaku MercusanaKOTAK @ 10 x 10 TAB

4,041.00
354.00
88.00
214.50
410.00
180.00
239.00
3,800,000.00

270.00

PT. Holi Pharma


PT. Novapharin
PT. Bernofarm

Dus, Botol 60 ml
btl @ 60 ml
Dus, 10 vial @ 1 g

PT. Aventis Pharma

dus, 5 solostar pen @ 3ml

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, Flexpen disposible 3 ml (1


box isi 5 flexpen disposible)

106,000.00

PT. Tempo Scan Pacific

Penfill cartridge

102,375.00

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, Flexpen disposible 3 ml (1


box isi 5 flexpen disposible)

PT. Ferron Par Pharmaceuticals Dus, vial 10 ml

4,212.00
2,500.00
5,355.00
85,000.00

85,345.00

200,000.00

PT. Aventis Pharma

dus, 5 solostar pen @ 3ml

83,125.00

PT. Tempo Scan Pacific

Penfill cartridge

83,125.00

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

32,000.00

PT. Erela

Dus, 10 Strip @ 10 Tablet

74.00

PT. Novapharin

btl @ 60 ml

2,160.00

PABRIKAN

KEMASAN

HARGA

PT. Indofarma

Dus, 25 tube @ 5 g

PT. Kimia Farma

ktk 10 x 10 tablet

544.00

PT. Kimia Farma

Btl 100 tablet

142.00

PT. Meprofarm

Dus, 5 strip @ 10 tablet

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Marin Liza Farmasi

Dus 6 amp @ 1ml


ktk 10x10 tablet
Dus 10 strip x 10 tab
Botol @ 100 tablet

PT. Boehringer Ingelheim

Boks, 1 ampul

PT. Bernofarm
PT. Sanbe Farma

Dus, 10 blister @ 10 kaptab ss


Strip

PT. Hexpharm Jaya Laboratories Dus, 10 ampul @ 5 ml


PT. Bernofarm
PT. Sanbe Farma
PT. Kimia Farma

Dus, 10 ampul @ 5 ml
Tube 3,5 gram
ktk 10x10 tablet

PT. Sampharindo Perdana

Dus, 5 strip @ 10 tablet

PT. Widatra Bhakti

10.000 UI/Vial

PT. Zenith Pharmaceuticals

Dus 5 strip @ 10 tablet

PT. Novell Pharmaeutical Laboratories


ampul @ 2,5 ml

2,641.00

1,575.00
23,100.00
163.00
100.00
50.00
2,209,000.00
116.00
1,815.00
3,500.00
3,100.00
24,750.00
245.00
346.00
1,039,500.00
210.00
13,828.00

PT. Indofarma

Dus, 10 strip @ 10 tablet

PT. Soho Industri Pharmasi

botol @ 60 ml

34,500.00

PT. Kimia Farma

ktk 2x10 tablet

4,613.00

PT. Soho Industri Pharmasi

Strip

3,500.00

PT. Rama Emerald Multi Sukses Dus @ 50 gram

77.00

1,250.00

PT. Phapros, Tbk


PT. Phapros, Tbk
PT. Abbott Indonesia
PT. Combiphar
PT. Combiphar
PT. Kimia Farma

Dus @ 10 Vial
Dus @ 10 Vial
Vial
Box/ 3 blister @ 10 Tablet
Box @ 3 blister @ 10 Tablet
Tube 5 gr

10,290.00
14,070.00
3,200,000.00
3,600.00
3,600.00
1,558.00

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

72,400.00

PT. AstraZeneca indonesia

Dus, 2 blister @ 14 Tablet

45,000.00

PT. Sanbe Farma


PT. Pratapa Nirmala
PT. Caprifarmindo

Supp
Box 3 X 10 tab
Box 3 x 10'S

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 100 dosis

93,000.00

PT. AstraZeneca indonesia

Dus, 4 pak @ 5 respules @ 2 ml

8,900.00

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 120 dosis

117,600.00

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 60 dosis

110,500.00

PT. Dexa Medica

Dus, 5 ampul @ 4 ml

26,880.00

PT. Boehringer Ingelheim

Dus, 3 blister @ 10 kapsul

12,936.00

PT. Boehringer Ingelheim

Dus, 3 blister @ 10 kapsul

12,936.00

6,045.00
669.00
247,089.00

PABRIKAN
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Sydna Farma
PT. Sydna Farma
PT. Novartis Indonesia
PT. Indofarma

KEMASAN
Dus, 4 blister @ 7 tablet
Dus, 4 blister @ 7 tablet
Dus, Botol @ 500ml
Dus, Botol @ 100 tablet
Dus, 10 vial @ 500mg
Dus, 100 ampul @ 1 ml

PT. Promedrahardjo Farmasi Industri


STRIP

HARGA
80,000.00
155,000.00
2,600,000.00
25,300.00
112,000.00
1,659.00
64.00

PT. Dexa Medica


PT. Kimia Farma
PT. Lucas Djaja
PT. Yarindo Farmatama
PT. Kimia Farma

Kotak, tube @ 15 gram


Btl 100
ampul @ 1 ml
Box 10 X 10 Tab
Ktk 10X10 TAB

PT. Tanabe Indonesia

10 vial @ 50mg

PT. Pratapa Nirmala


PT. Tanabe Indonesia
PT. Tanabe Indonesia
PT. Kimia Farma

Vial 5 mL
3 blister @ 10 kapsul
3 blister @ 10 kapsul
Btl 100 tablet

49,000.00
3,850.00
4,216.00
107.00

PT. Cendo Industri Farmasi

botol 15 ml

37,500.00

PT. Pfizer Indonesia


PT. Pfizer Indonesia
PT. Actavis Indonesia
PT. Novapharin
PT. Novapharin
PT. Bernofarm

Dus, 5 blister @10's tab


Dus, 5 blister @10's tab
Dus, 1 vial @ 10 mg
btl @ 60 ml
strip
Dus, botol @ 10 ml

3,480.00
5,480.00
60,375.00
3,410.00
170.00
16,350.00

PT. Sanbe Farma

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

PT. SmithKline Beecham Phamaceuticals


Dus, Botol Plastik @ 30 Tablet

9,983.00
46.00
1,107.00
100.00
137.00
134,050.00

970,200.00
7,455.00

PT. Kimia Farma


PT. Pfizer Indonesia
PT. Aventis Pharma
PT. Aventis Pharma
PT. Aventis Pharma
PT. Phapros, Tbk
PT Kalbe Farma
PT. Sanbe Farma

Botol 30 tab
Dus, 2 blister @ 15 tablet
dus, 2 prefilled syringe @ 0,2 ml
dus, 2 prefilled syringe @ 0,4 ml
dus, 2 prefilled syringe @ 0,6 ml
Dus @ 30 Ampul
Vial @ 25 ml
Dus, 1 vial @5 ml

6,375.00
42,600.00
42,780.00
75,465.00
105,000.00
8,505.00
600,000.00
128,000.00

PT. Gracia Pharmindo

Dus 3 strip @ 10 Flash tablet

680.00

PT. Gracia Pharmindo

Dus, Botol Plastik @ 100 mL

8,000.00

PT. Kimia Farma


PT. Indofarma

ktk 10 x 10 kapsul
Dus, 10 blister @ 10 kss

PT. Phyto Kemo Agung Farma

Botol @60 ml

PT Kalbe Farma

Prefilled Syringe @ 1ml

128,000.00

PT. Boehringer Ingelheim

Boks, 6 ampul

139,500.00

PT. Kimia Farma


PT. Kimia Farma
PT. Novapharin

ktk 20 x 10 tablet
ktk 10 x 10 tablet
btl @ 100 ml

509.00
976.00
7,893.00

322.00
466.00
2,575.00

PT. Merck Sharp Dohme Pharma Tbk


Dus, 1 blister @ 1 subdermal implant

128,779.00

PT. Novell Pharmaeutical Laboratories


ampul @ 5ml

100,900.00

PT. Kimia Farma


PT. Novartis Indonesia

Botol 10 ml
Dus, 6 blister @ 10 tablet

17,500.00
11,813.00

PABRIKAN
PT. Novartis Indonesia

KEMASAN
Dus, 6 blister @ 10 tablet
KOTAK @ 1 VIAL SERBUK OBAT &
PT. Ferron Par Pharmaceuticals
INFUSION KIT
PT. Mersifarma Tirmaku MercusanaKOTAK @ 10 ampul
PT. Ikapharmindo
PT. Phapros, Tbk

Botol @ 100
Dus @ 30 Ampul

HARGA
23,250.00
9,200,000.00
20,850.00
140.00
1,890.00

PT. Hexpharm Jaya Laboratories Dus, 3 strip @ 10 kapsul

1,075.00

PT. Hexpharm Jaya Laboratories Dus, 3 strip @ 10 kapsul

1,375.00

PT. Phapros, Tbk

Dus @ 10 X 10 's

304.00

PT. Actavis Indonesia


PT. Phapros, Tbk

Dus 45 x 12 tab
Dus @ 10 X 10 's

235.00
535.00

PT. Boehringer Ingelheim

Dus, Canister 200 dosis

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Sandoz Indonesia
PT. Marin Liza Farmasi
PT. Aventis Pharma

Dus 5 ampul@ 10ml


Dus 5 ampul@ 2ml
Dus @ 5 patch
Dus@ 5 patch
Dus@ 5 patch
pfs @ 0,5 ml
Botol @ 100 tablet salut gula
Dus, 5 vial @ 50 mg

PT. Aventis Pharma

Dus, 4 blister @ 5 tablet salut selaput

117,500.00
134,400.00
35,610.00
81,375.00
160,650.00
299,250.00
400,000.00
666.00
1,248,319.00
275,000.00

PT. Mersifarma Tirmaku MercusanaDus, 5 ampul @ 1ml

55,000.00

PT. Kimia Farma


PT. Gracia Pharmindo
PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma

23,100.00
439.00
454.00
25,725.00
35,500.00

ktk 1 x 10 kapsul
strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml

PT. Ifars Pharmaceutical Laboratories


Dus, Tube 5 g

2,500.00

PT. Glaxo Wellcome Indonesia

Dus, Botol 120 Dosis Spay

98,000.00

PT. Glaxo Wellcome Indonesia

Dus, 2 flow wrap@ 5 nebules @ 1 dosis


(2ml)

13,563.00

PT. Glaxo Wellcome Indonesia

Dus, 2 pfs 0.5 ml

PT. Indofarma

Dus, 25 ampul @ 2 ml

PT. Sampharindo Perdana

Dus, 10 strip @ 10 tablet

PT. Boehringer Ingelheim

Boks, 1 ampul

PT. Phapros, Tbk

Dus @ 100 Sachet

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

PT. Indofarma
PT. Indofarma
PT. Bayer Indonesia
PT. Sanbe Farma
PT. Indofarma
PT. Erela
PT. Indofarma
PT. Indofarma
PT. Tempo Scan Pacific

Dus, 10 blister @ 12 kapsul


Dus, 10 blister @ 10 kaptab
vial
Dus, 1 vial @200 mg
Dus, 5 ampul @ 2 ml
Tube @ 3,5 gr
Dus, botol plastik 5 ml
Dus, 10 blister @ 10 kaptab
Strip

253,750.00
1,920.00
80.00
399,500.00
303.00
295,000.00
303.00
713.00
1,113,850.00
330,000.00
3,569.00
2,660.00
3,353.00
58.00
250.00

PABRIKAN

KEMASAN

PT. Pradja Pharin

Dus, 6 strip @ 10 tablet lepas lambat

PT. Dexa Medica


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Actavis Indonesia
PT. Lucas Djaja
PT. Widatra Bhakti
PT. Widatra Bhakti

Dus, 10 Strip @ 10 tablet


ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Dus 10x10
Dus 10x10
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml

PT. AstraZeneca indonesia

Dus, 1 syringe @ 10.8 mg

PT. AstraZeneca indonesia

Dus, 1 syringe @ 3.6 mg

PT. Phapros, Tbk

Dus @ 10 X 10 's

PT. Soho Industri Pharmasi

Dus 5 Ampul@1mL

PT. Indofarma
PT. Indofarma
PT. Indofarma

Dus, 10 blister @ 10 tablet


Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet

PT. Mersifarma Tirmaku MercusanaKOTAK @ 10 x 10 TAB


PT. Dexa Medica
PT. Dipa Pharmalab
PT. Kimia Farma

Botol
Dus, 1 syringe @ 0.5 mL
Tube 5 gr

PT. Otto Pharmaceuticals

box 5ampul @1 ml

HARGA
638.00
950.00
272.00
447.00
414.00
441.00
1,493.00
2,171.00
1,575.00
5,600.00
5,985.00
5,460.00
2,300,000.00
840,000.00
220.00
87,500.00
61.00
100.00
72.00
130.00
673,500.00
1,328,000.00
2,868.00
4,725.00

PT. Ferron Par Pharmaceuticals Dus, vial 10 ml

138,000.00

PT. Bayer Indonesia

Dus, vial 10 ml

138,000.00

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

72,000.00

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, penfill disposible 3 ml (1


box isi 5 penfill disposible)

76,125.00

PT. Sanbe Farma

penfillcartridge @ 3ml

75,000.00

PT. Bayer Indonesia

Dus Isi 5 penfill/cartridge @ 3ml

76,125.00

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, penfill disposible 3 ml (1


box isi 5 penfill disposible)

76,125.00

PT. Bayer Indonesia

Dus Isi 5 penfill/cartridge @ 3ml

76,125.00

PT. Ferron Par Pharmaceuticals Dus, vial 10 ml

138,000.00

PT. Bayer Indonesia

Dus, vial 10 ml

138,000.00

PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, penfill disposible 3 ml (1


box isi 5 penfill disposible)

76,125.00

PT. Bayer Indonesia

Dus Isi 5 penfill/cartridge @ 3ml

76,125.00

PT. Sanbe Farma

penfill cartridge @ 3ml

75,000.00

PT. Ferron Par Pharmaceuticals Dus, vial 10 ml

138,000.00

PABRIKAN

KEMASAN

HARGA

PT. Bayer Indonesia

Dus, vial 10 ml

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

PT. Indofarma
PT. Indofarma
PT. Novapharin
PT. Mugi Laboratories
PT. Tanabe Indonesia
PT. Tanabe Indonesia

Dus, botol 60 ml
Dus, botol 60 ml
strip
Dus, 1 vial @ 1 g
3 blister @ 10 tablet
3 blister @ 10 tablet

3,674.00
4,724.00
153.00
1,329,163.00
4,104.00
2,226.00

PT. Dipa Pharmalab

Dus, botol @ 100 ml

350,000.00

PT. Dipa Pharmalab

Dus, vial @ 30 ml

122,000.00

PT. Dipa Pharmalab

Dus, vial @ 50 ml

166,000.00

PT. Dipa Pharmalab

Dus, botol @ 100 ml

369,000.00

PT. Dipa Pharmalab

Dus, vial @ 30 ml

147,000.00

PT. Dipa Pharmalab

Dus, vial @ 50 ml

199,000.00

PT. Bayer Indonesia

Botol

245,000.00

PT. Bayer Indonesia

Botol

123,200.00

PT. Bayer Indonesia

Botol

299,000.00

PT. Bayer Indonesia

Botol

150,300.00

PT. Indofarma
PT. Indofarma
PT. Sanbe Farma
PT. Indofarma
PT. Tempo Scan Pacific
PT. Merck Tbk

Dus, 5 blister @ 10 kss


Dus, 5 blister @ 10 kss
Dus, 1 vial @2 ml
Dus, 10 strip @ 10 tablet
Strip
Dus, 10 strip @ 10 tablet

1,496.00
2,593.00
510,000.00
93.00
733.00
1,580.00

PT. Ethica Industri Farmasi

Ampul

7,800.00

PT. Dexa Medica


PT. Dexa Medica

Dus, 3 Blister @ 10 tablet


Dus, 3 Blister @ 10 tablet

5,145.00
3,255.00

PT. Boehringer Ingelheim

Boks, 120 tablet

PT. Indofarma
PT. Errita Pharma
PT. Indofarma

Dus, 10 strip @ 10 tablet


Dus, 10 strip @10 tablet
Dus, 10 strip @ 10 tablet

PT. Novartis Indonesia

Dus, botol @ 120 ml

PT. Indofarma

Dus, 10 blister @ 10 tablet

PT. Nicholas Laboratories Indonesia


Dus,botol 100 tablet
PT. Lucas Djaja

Fenol 100 mg / 1 ml

PT. Guardian Pharmatama

Vial @ 10 ml

PT. Kimia Farma

tube 10 gr

PT. Novell Pharmaeutical Laboratories


Box isi 1 Tube @ 15 g
PT. Dexa Medica

Dus, 5 Strip @ 10 tablet

PT. Natura Laboratoria Prima

Dus, 10 Ampul @ 1 ml

PT. Ifars Pharmaceutical Laboratories


Dus, 3 Strip @ 10 Kaplet salut selaput
PT. Indofarma

Dus, 5 blister @ 10 kapsul

138,000.00
72,000.00

27,500.00
141.00
89.00
62.00
44,770.00
257.00
875.00
2,144.00
110,000.00
2,633.00
4,930.00
300.00
2,590.00
3,350.00
379.00

PABRIKAN
PT. Bernofarm
PT. Dexa Medica
PT. Indofarma

KEMASAN
Dus, 3 strip @ 10 kapsul
Dus, 10 Strip @ 10 tablet
Dus, 10 strip @ 10 tablet

HARGA
570.00
900.00
214.00

PT. Hexpharm Jaya Laboratories Dus, 3 strip @ 10 tab

3,570.00

PT. Kimia Farma


PT. Bernofarm
PT. Kimia Farma
PT. Phapros, Tbk
PT. Phapros, Tbk

1,640.00
3,865.00
153.00
1,155.00
1,103.00

Tube 5 gr
Botol @ 60 ml
ktk 10x10 tablet
Dus @ 30 Ampul
Dus @ 30 Ampul

PT. Mersifarma Tirmaku MercusanaKOTAK @ 5 x 10 TAB

5,000.00

PT. Mersifarma Tirmaku MercusanaKOTAK @ 5 x 10 TAB

1,550.00

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma

525.00
893.00
1,155.00

ktk 10x10 tablet


ktk 10x10 tablet
ktk 10x10 tablet

PT. Galenium Pharmasia Laboratories


Botol @ 60 ml

12,450.00

PT. Erela

Dus, 100 Sachet @ 30 Tablet

PT. Cendo Industri Farmasi

botol 15 ml

PT. Novartis Indonesia

Dus, 4 blister @ 6 tablet

3,220.00

PT. Novartis Indonesia

Dus, botol plastik @ 30 tablet salut selaput

8,900.00

PT. Glaxo Wellcome Indonesia

Dus, Botol 120 Dosis

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 dosis

105,871.00

PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 dosis

119,000.00

PT. Promedrahardjo Farmasi Industri


STRIP
PT. Sampharindo Perdana

Botol, 60 ml

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Takeda Indonesia
PT. Indofarma

ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial
Dus, 2 strip @ 10 kapsul

43.00
15,750.00

95,200.00

145.00
2,222.00
704.00
6,510.00
567.00
1,470.00
82,042.00
473.00

PT. SmithKline Beecham Phamaceuticals


Dus, 7 Blister @ 10 tablet

70,560.00

PT. Finusolprima Farma Internasional


botol 500 ml

56,300.00

PT Otsuka Indonesia

Softbag 500 ML

56,300.00

PT Otsuka Indonesia

Softbag 500 ML

39,375.00

PT Otsuka Indonesia

Double Chamber Softbag 1000 ML

115,500.00

PT Otsuka Indonesia

Double Chamber Softbag 500 ML

64,680.00

PT Kalbe Farma

botol 500 mL

75,350.00

PABRIKAN

KEMASAN

HARGA

PT. Fresenius Kabi Combiphar

Botol Gelas 100 ml

36,667.00

PT. Fresenius Kabi Combiphar

Botol Gelas 250 ml

50,820.00

PT Otsuka Indonesia

Softbag 200 ML

46,000.00

PT Otsuka Indonesia

Softbag 500 ML

65,000.00

PT. Fresenius Kabi Combiphar

Botol Gelas 500 ml

82,418.00

PT. Finusolprima Farma Internasional


botol 250 ml

51,260.00

PT. Finusolprima Farma Internasional


botol 500 ml

64,900.00

PT Kalbe Farma

botol 500 mL

42,000.00

PT Kalbe Farma

botol 250 mL

46,000.00

PT. Fresenius Kabi Combiphar

Bag (3 Chamber) 1440 ml

295,240.00

PT. Fresenius Kabi Combiphar

Bag (3 Chamber) 1920 ml

343,842.00

PT. Phapros, Tbk

Bag Double chamber (Dua compartement),


1000 mL

322,000.00

PT. Phapros, Tbk

Bag Double chamber (Dua compartement),


1000 mL

218,700.00

PT Otsuka Indonesia

Ampoel 25 ML

2,153.00

PT. Widatra Bhakti

Botol 1000 ml

8,000.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,000.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,000.00

PT Kalbe Farma

flexybag 250 mL

87,000.00

PT. Phapros, Tbk

LDPE (Low Density Poly Ethilene), botol


plastik

12,650.00

PT Kalbe Farma

botol 500 mL

50,500.00

PT Kalbe Farma

Flexy bag 500 mL

42,350.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

30,625.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

55,500.00

PABRIKAN

KEMASAN

HARGA

PT Kalbe Farma

botol 500 mL

PT Kalbe Farma

Botol Plastik 1000 mL

210,000.00

PT Kalbe Farma

Botol Plastik 1000 mL

199,000.00

PT Kalbe Farma

botol 500 mL

56,000.00

PT. Widatra Bhakti

Botol 500 ml

9,500.00

PT. Widatra Bhakti

Botol 500 ml

6,800.00

PT. Widatra Bhakti

Botol 500 ml

7,263.00

PT. Widatra Bhakti

Botol 500 ml

8,085.00

PT. Widatra Bhakti

Botol 500 ml

8,085.00

PT. Sanbe Farma

softbag 500ml

35,750.00

PT. Widatra Bhakti

Botol 500 ml

6,930.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,625.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

10,000.00

PT Otsuka Indonesia

Plastic Bottle 500 ML

10,000.00

PT. Phapros, Tbk

20%, Botol Kaca @100 ml, single bottle

PT. Fresenius Kabi Combiphar

Botol Gelas 100 ml

PT. Phapros, Tbk

20%, Botol Kaca @250 ml, single bottle

210,000.00

PT. Phapros, Tbk

Bag, 3 chamber ( 3 kompartemen), 1250 ml

591,000.00

PT. Phapros, Tbk

Bag, 3 chamber ( 3 kompartemen), 1250 ml

511,000.00

PT. Phapros, Tbk

Bag, 3 chamber ( 3 kompartemen), 625 ml

358,000.00

PT Kalbe Farma

Flexy bag 100 mL

89,800.00

PT. Cendo Industri Farmasi

strip 5 x 0.6 ml

72,000.00

PT. Takeda Indonesia


PT. Takeda Indonesia

Vial
Vial

PT. Novell Pharmaeutical Laboratories


Botol @ 100 ml

37,500.00

105,500.00
60,500.00

700,000.00
2,700,000.00
41,905.00

PT. Promedrahardjo Farmasi Industri


STRIP

554.00

PT. Bernofarm

Dus, 100 ampul @ 2 ml

879.00

PT. Indofarma

Dus, 30 ampul @ 2 ml

1,431.00

PABRIKAN
PT. AstraZeneca indonesia

KEMASAN

HARGA

Dus, 10 syringe @ 10 g

40,000.00

PT. Novell Pharmaeutical Laboratories


Box ,3 Strip @ 10 tablet

630.00

PT. Novell Pharmaeutical Laboratories


Box ,3 Strip @ 10 tablet

365.00

PT. Mersifarma Tirmaku MercusanaKOTAK @ 10 x 10 TAB

1,050.00

PT. Mersifarma Tirmaku MercusanaKOTAK @ 10 x 10 TAB

1,850.00

PT. Ifars Pharmaceutical Laboratories


Dus, 10 Strip @ 10 Tablet
PT. Promedrahardjo Farmasi Industri
STRIP
PT. Mersifarma Tirmaku MercusanaKOTAK @ 10 x 10 TAB
PT. Finusolprima Farma Internasional
botol 500 ml
PT. Soho Industri Pharmasi

Strip

PT. Mersifarma Tirmaku MercusanaKOTAK @ 5 x 10 TAB


PT. Glaxo Wellcome Indonesia

Box, Tablet 2 mg/25's

PT. Bernofarm
PT. Dexa Medica
PT. Mugi Laboratories
PT. Kimia Farma
PT. Bernofarm

Dus, 1 vial @ 1 g
Dus, 1 vial @ 0.5 g
Dus, 15 Ampul
Botol 1000 ml
Dus, 10 blister @ 10 tablet

PT. Kimia Farma

ktk 10 x 10 tablet salut

92.00
162.00
1,381.00
62,000.00
1,200.00
3,374.00
12,210.00
57,000.00
45,000.00
74,998.00
266,805.00
114.50
162.00

PT. Bernofarm
PT. Bernofarm

Dus, botol plastik @ 30 kapsul pelepasan


lambat
Dus, 1 vial @ 125 mg
Dus, 1 vial @ 500 mg

PT. Mahakam Beta Farma

Strip

681.00

PT. Natura Laboratoria Prima

Dus, 10 Blister @ 10 Tablet

210.00

PT. Dexa Medica


PT. Phapros, Tbk
PT. Kimia Farma

Dus, 10 Blister @ 10 tablet


Dus @ 10 X 10 's
ktk 10 x 10 tablet

375.00
96.00
111.00

PT. Natura Laboratoria Prima

Dus, 1 Botol @ 100 ml

PT. Aventis Pharma

Dus, 2 blister @ 5 suppositoria

PT. Phyto Kemo Agung Farma

10 strip @ 10 tab

113.00

PT. Phyto Kemo Agung Farma

10 strip @ 10 tab

164.00

PT. Kimia Farma

Dus @ 5 vial

PT. Novartis Indonesia

6,537.00
22,740.00
93,990.00

10,250.00
3,220.00

1,237,500.00

PT. Novell Pharmaeutical Laboratories


ampul

5,762.00

PT. Novell Pharmaeutical Laboratories


ampul

9,114.00

PT. Combiphar
PT. Kimia Farma
PT. Widatra Bhakti
PT. Tempo Scan Pacific

Dus,1 vial@50mg
Tube 10 gram
10 mg /Vial
botol, tetes mata 3 ml

260,000.00
3,075.00
697,000.00
77,000.00

PABRIKAN

KEMASAN

HARGA

PT. Guardian Pharmatama

tube 10 gram

17,820.00

PT. Kimia Farma

Dus 10 amp @ 1 ml

PT. Mahakam Beta Farma

Dus, 6 strip @ 10 tablet

15,620.00

PT. Mahakam Beta Farma

Dus, 6 strip @ 10 tablet

22,990.00

PT. Kimia Farma


PT. Kimia Farma
PT. Widatra Bhakti

Ktk 10 ampul @ 1ML


Botol 30 tablet
Botol 500 ml

11,024.00
1,365.00
4,935.00

PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs 0.3 ml

56,851.00

PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs 0.4 ml

69,972.00

PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs 0.6 ml

99,710.00

PT. Pratapa Nirmala


PT Otsuka Indonesia
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Combiphar
PT. Molex Ayus
PT. Kimia Farma
PT. Bayer Indonesia
PT. Bayer Indonesia

Dus, 5 Ampul @ 2ml


Ampoel 25 ML
Dus @ 5 X 10 's
Dus @ 5 X 10 's
Botol, 45 ml
Tube 5 gr
btl 60 tablet
blister
blister

64,680.00
6,510.00
185.00
140.00
33,900.00
6,555.00
2,940.00
2,999.00
3,500.00

PT. Dexa Medica

Dus, 10 Strip @ 10 tablet salut selaput

PT. Phapros, Tbk


PT. Bayer Indonesia
PT. Phapros, Tbk
PT. Indofarma
PT. Indofarma
PT. Indofarma

Dus @ 10 X 10 's
blister
Paket
Paket
Paket
Dus, 3 blister @ 28 kss

PT. Indofarma

Dus, 1 dus @ 60 blister @ 8 tablet tahap


intensif kategori 1 + 1 Dus @ 54 blister @ 3
tablet tahap lanjutan kategori 1

302,605.00

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)

180,595.00

8,820.00

110.00
672.00
2,618.00
377,900.00
1,259,990.00
225,740.00
168,000.00

PT. Novell Pharmaeutical Laboratories


Box ,5 Strip @ 10 tablet

420.00

PT. Novell Pharmaeutical Laboratories


Box ,5 Strip @ 10 tablet

680.00

PT. Merck Tbk

botol @ 10 ml

28,928.00

PT. Novartis Indonesia

Dus, vial @ 355m + 1 prefilled syringe


pelarut @ 2,5 ml + 2 jarum suntik

PT. Bayer Indonesia


PT. Sandoz Indonesia
PT. Sandoz Indonesia

Vial
3 X 10 fcc
3 X 10 fcc

PT. Natura Laboratoria Prima

Dus, 1 Vial @ 40 mg

38,000.00

PT. Novapharin
PT. Indofarma
PT. Yarindo Farmatama
PT. Yarindo Farmatama

strip
Dus, 5 Ampul @ 2ml
Box 3 X 10 Tab
Box 3 X 10 Tab

216.00
2,400.00
759.00
1,261.00

2,950,000.00
120,000.00
6,773.00
11,760.00

PABRIKAN

KEMASAN

HARGA

PT Kalbe Farma

Transfer Set: Set; Ultaclam: Kantong Plastik;


Tenckoff Catheter: Box; Titanium Adaptor:
Kantong Plastik

PT Kalbe Farma

Set

PT Kalbe Farma

Larutan Dialisa 1.5 %: 2.000 ml; Larutan


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

PT. Indofarma

Dus, 15 botol

5,460.00

PT. Afifarma

botol 60 ml

1,496.00

PT. Promedrahardjo Farmasi Industri


STRIP

1,902,240.00

219,540.00

5,522,580.00

84.00

PT. Boehringer Ingelheim

Boks, 1 pfs

1,077,815.00

PT. Boehringer Ingelheim

Boks, 1 pfs

1,248,220.00

PT. Pradja Pharin

Dus, botol plastik @ 30 tablet salut selaput

2,420.00

PT. Galenium Pharmasia Laboratories


Tube @ 10 g

11,475.00

PT. Kimia Farma


PT. Takeda Indonesia
PT. Sanbe Farma
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Pratapa Nirmala
PT. Afifarma
PT. Afifarma
PT. Afifarma

Ktk 10 ampx2ml
dus 2 blister@ 7 Tablet
Strip
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

15,225.00
3,600.00
5,225.00
8,728.00
308.00
220.00
17,993.00
38,594.00
2,250.00
14,771.00

PT. Boehringer Ingelheim

Dus, 3 alu blister @ 10 tablet

7,200.00

PT. Boehringer Ingelheim

Dus, 3 alu blister @ 10 tablet

11,268.00

PT. Novell Pharmaeutical Laboratories


Box ,5 Strip @ 10 tablet

2,400.00

PT. Holi Pharma


PT. Holi Pharma

Dus, 10 strip @ 10 tablet


Dus, 10 strip @ 10 tablet

79.00
110.00

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

17,391.00

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

19,500.00

PT. AstraZeneca indonesia

Dus, 1 blister @ 10 tablet

23,185.00

PT. Dexa Medica

Dus, 10 Strip @ 10 kaptab

PT. Natura Laboratoria Prima

Dus, 10 Ampul @ 2 ml

1,190.00

PT. Erela
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Widatra Bhakti
PT. Dexa Medica

Dus, 10 Strip @ 10 Tablet


btl 50 kapsul lunak
Botol 50 kapsul lunak
Botol 50 Kapsul
botol 500 ml
Dus, 5 Blister @ 10 tablet

122.00
482.00
273.00
482.00
5,460.00
1,400.00

600.00

PT. Mersifarma Tirmaku MercusanaKOTAK @ 5 x 10 TAB

1,038.00

PT. Dexa Medica

2,000.00

Dus, 5 Blister @ 10 tablet

PABRIKAN
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia

Blister
Blister
Blister

KEMASAN

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet lepas Lambat

5,510.00

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet lepas Lambat

6,589.00

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet lepas Lambat

7,753.00

PT. Glaxo Wellcome Indonesia

Dus, botol 200 dosis

PT. Glaxo Wellcome Indonesia

Dus, 10 Blister @ 10 Kapsul

PT. Glaxo Wellcome Indonesia

Dus, 1 Rotahaler

6,160.00

PT. Kimia Farma


PT. Holi Pharma

ktk 10 x 10 tablet
Dus, Botol 60 ml

91.00
5,064.00

PT. Hexpharm Jaya Laboratories strip


PT. Bernofarm
PT. Holi Pharma

HARGA
23,500.00
23,500.00
23,500.00

66,938.00
452.00

530.00

Dus, 10 strip @ 10 kapsul


Dus, Botol 60 ml

519.00
6,149.00

PT. Ifars Pharmaceutical Laboratories


Dus, 5 Strip @ 10 Kapsul

1,100.00

PT. Dexa Medica

Dus, 2 Vial @ 1 gram

PT. Novell Pharmaeutical Laboratories


vial
PT. Bernofarm

Dus, 10 blister @ 10 kapsul

PT. Ifars Pharmaceutical Laboratories


Dus, Botol 30 ml
PT. Holi Pharma

Dus, 2 vial @ 1 g

17,325.00
45,048.00
869.00
9,000.00
13,330.00

PT. Hexpharm Jaya Laboratories vial

4,900.00

PT. Natura Laboratoria Prima

Dus, 10 Vial @ 1 g

3,150.00

PT. Sandoz Indonesia

Dus, 3 blister @ 10 tablet

3,700.00

PT. Hexpharm Jaya Laboratories Dus, 2 vial @ 1 g

17,913.00

PT. Natura Laboratoria Prima

Dus, 10 Vial @ 1 g

3,500.00

PT. Glaxo Wellcome Indonesia

Dus, 1 Blister @ 10 Tablet salut selaput

7,200.00

PT. Pertiwi Agung


PT. Lucas Djaja

Box, 10 strips @ 10 capsules


100 ampul @ 1 ml

186.00
1,132.00

PT. Novell Pharmaeutical Laboratories


vial

268,800.00

PT. Novell Pharmaeutical Laboratories


vial

86,100.00

PT. Novartis Indonesia


PT. Novartis Indonesia
PT. Pertiwi Agung

Dus, 10 blister @ 5 kapsul lunak


Dus, 10 blister @ 5 kapsul lunak
Box,3 strips @ 10 tablets

43,000.00
12,000.00
174.00

PT. Natura Laboratoria Prima

Dus, 3 Strip @ 10 Kaplet salut selaput

PT. Natura Laboratoria Prima

Dus, 1 Botol @ 100 mL

PT. Bernofarm
PT. Indofarma
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica

Dus, 10 blister @ 10 tab ss


Dus, 5 strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Vial

394.00
17,500.00
260.00
1,574.00
900.00
320.00
3,290,000.00

PABRIKAN

KEMASAN

HARGA

PT. Kimia Farma

dus 5 amp @ dus 10

PT. Combiphar

Pounch @ 5 blister @ 10 capsule

11,725.00

PT. Combiphar

Dus, 1 pouch @5 blister@10 kaps

21,500.00

PT. Combiphar
PT. Combiphar
PT. Combiphar
PT. Novartis Indonesia

Box/ 2 blister @ 14 tablet


Box @ 2 blister @ 14 tablet
Box/ 3 blister @ 10 Tablet
Dus, 2 blister @ 14 tablet

5,800.00
5,800.00
6,800.00
28,500.00

PT. Boehringer Ingelheim

Dus, 2 alu-blister @10 tablet

3,900.00

PT. Kimia Farma

Botol 30 tab

8,100.00

PT. AstraZeneca indonesia

Dus, 2 pak @ 5 respules

6,250.00

PT. Molex Ayus

Box 50's

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 200 dosis

71,100.00

PT. Cendo Industri Farmasi

botol 5 ml

11,500.00

PT. Holi Pharma


PT. Merck Tbk
PT. Merck Tbk
PT. Pratapa Nirmala
PT. Pratapa Nirmala

Dus, 10 strip @ 10 kapsul


Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet
Dus, Botol Plastik @ 5ml
Dus, Botol Plastik @ 5ml

PT. Boehringer Ingelheim

Dus, 1 blister @10 kapsul + handihaler

PT. Natura Laboratoria Prima

Dus, 10 Ampul @ 2 ml

PT. Tempo Scan Pacific


PT. Aventis Pharma
PT. Darya Varia

botol, tetes mata 2,5 ml


Dus, botol plastik 120 dosis
strip

PT. Galenium Pharmasia Laboratories


tube
PT. Aventis Pharma

1 vial of 10ml (10 d's)

PT. Abbott Indonesia


PT. Abbott Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Abbott Indonesia
PT. Kimia Farma
PT. Combiphar
PT. Mugi Laboratories
PT. Kimia Farma
PT. Kimia Farma
PT. Combiphar
PT. Meprofarm

Tablet
Tablet
Dus, 2 blister @ 14 tablet
Dus, 2 blister @ 14 tablet
Tablet
Ktk 10X10 TAB
Vial 10mg/10ml
Dus, 1 vial @ 1 ml
Dus 10 strip x 10 tab
Botol 60 tablet
Drops 10 mg/ml, Botol @15 ml
Dus, botol 60 ml

PT. Indofarma

Dus, 10 strip @ 10 tablet dispersible

133,350.00

100.00

154.00
1,135.00
563.00
9,397.00
9,996.00
152,543.00
2,520.00
115,000.00
90,000.00
425.00
6,720.00
285,000.00
2,793.00
5,450.00
3,900.00
6,500.00
6,200.00
240.00
210,000.00
1,229,998.00
110.00
3,600.00
12,840.00
7,770.00
497.00

1.

ACT (Artesunate tablet 50 mg + Amodiaquine


anhydrida tablet 200 mg)

2.

Adefovir Dipivoksil tablet/kaplet 10 mg

3.

Albendazol suspensi 200 mg/5 ml

4.

Albendazol tablet/kapsul/kaplet 400 mg

5.

Alopurinol tablet/kapsul/kaplet 100 mg

6.

Alopurinol tablet/kapsul/kaplet 300 mg

7.

Alprazolam tablet/kapsul/kaplet 0,25 mg

8.
9.

Alprazolam tablet/kapsul/kaplet 0,5 mg


Alprazolam tablet/kapsul/kaplet 1 mg

10.

Alteplase injeksi 50 mg/vial

11.

Amfoterisin B salep mata 1%

12.

Amikasin injeksi 250 mg/ml

13.

Aminofilin injeksi 24 mg/ml

14.

Aminofilin tablet scored 200 mg

15.

Amiodaron injeksi 150 mg/3 ml

16.

Amiodaron tablet/kaplet 200 mg

17.

Amitriptilin tablet salut 25 mg (HCl)

18.

Amlodipin tablet 10 mg

19.

Amlodipin tablet 5 mg

20.

Amoksisilin kapsul/kaplet 250 mg

21.

Amoksisilin kapsul/kaplet/tablet scored 500 mg

22.
23.
24.

Amoksisilin sirup kering forte 250 mg/5 ml


Amoksisilin sirup kering 125 mg/ 5 ml
Ampisilin serbuk injeksi i.v. 1000 mg/vial

25.

Analog insulin long acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
glargine 100 IU/ml)

26.

Analog insulin mix acting inj 100 UI/ml, Analog


insulin mix acting inj 100 UI/ml (Premix 30% Insulin
Aspart + 70% Protaminated Insulin Aspart
(Analogue))

27.

Analog insulin mix insulininj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (25%
insulin lispro, 75% insulin lispro protamine
suspension, (rDNA))

28.

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
Aspart (Analogue))

29.

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
Aspart (Analogue))

30.

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
glulisine 100 IU/ml)

31.

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
lispro (rDNA origin))

32.

Anastrozol tablet/kapsul/kaplet 1 mg

33.

Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium
Hidroksida 200 mg

34.

Antasida DOEN II suspensi, kombinasi : Aluminium


Hidroksida 200 mg/5 ml Magnesium Hidroksida
200 mg/5 ml

35.

Anti Bakteri DOEN salep kombinasi: Basitrasin 500


IU/g Polimiksin 10.000 IU/g

36.

Antimalaria DOEN kombinasi : Pirimetamin 25 mg


Sulfadoksin 500 mg

37.

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

38.
39.
40.

Antiparkinson DOEN tablet kombinasi : Benserazid


25 mg Levodopa 100 mg
Artemether injeksi 80 mg/ml
Asam Askorbat (Vitamin C) tablet 250 mg

41.

Asam Askorbat (Vitamin C) tablet 50 mg

42.

Asam Folat tablet/kapsul/kaplet 1 mg

43.

Asam Ibandronat injeksi 6mg/6ml

44.

Asam Mefenamat kapsul/kaplet 500 mg

45.

Asam pipemidat kapsul 400 mg

46.

Asam traneksamat injeksi 100 mg/ml

47.

Asam traneksamat injeksi 50 mg/ml

48.
49.

Asiklovir salep mata 3%


Asiklovir tablet/kapsul/kaplet 200 mg

50.

Asiklovir tablet/kapsul/kaplet 400 mg

51.

Asparaginase serbuk injeksi 10.000 UI/vial

52.

Atapulgit tablet 600 mg

53.

Atrakurium injeksi 25 mg/2,5 ml

54.

Atropin Sulfat tablet 0,5 mg

55.

Azitromisin sir kering 200 mg/ 5 mL

56.

Azitromisin tablet 500 mg

57.

Azitromisin tablet 250 mg

58.

Bedak salisil serbuk 2%

59.
60.

Benzatin Benzil Penisilin 1,2 juta IU/ vial


Benzatin Benzil Penisilin 2,4 juta IU/vial

61.

Beractant injeksi / suspensi 25 mg/mL

62.

Beraprost sodium tablet 20 mcg

63.

Beraprost sodium tablet 20 mcg

64.

Betametason krim 0,1% (sebagai Valerat)

65.

Bikalutamid tablet salut 150 mg

66.

Bikalutamid tablet salut 50 mg

67.

Bisakodil suppositoria 10 mg

68.

Bisoprolol tablet 5 mg

69.

Bromokriptin tablet 2,5 mg

70.

Budesonid inhaler 200 mcg/puff, 100 dosis

71.

Budesonid respules / cairan inhaler 0,25mg/mL

72.

Budesonid-formoterol (fixed combination) inhaler


160/4,5 mcg

73.

Budesonid-formoterol (fixed combination) inhaler


80/4,5 mcg

74.

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

75.

Dabigatran eteksilat kapsul 75 mg

76.

Dabigatran eteksilat kapsul 110 mg

77.

Deferasiroks tablet disp/ eff 250 mg

78.

Deferasiroks tablet disp/ eff 500 mg

79.

Deferipron larutan oral 100 mg/mL

80.

Deferipron tablet 500 mg

81.

Deferoksamin Mesilat serbuk injeksi 500 mg

82.

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

83.

Deksametason tablet 0,5 mg

84.

Desoksimetason krim 0,25%

85.

Diazepam tablet 2 mg

86.

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

87.
88.

Digoksin tablet 0,25 mg


Diltiazem HCl tablet 30 mg

89.

Diltiazem infus injeksi 50 mg

90.

Diltiazem injeksi 25 mg/5 mL

91.

Diltiazem Kapsul SR 100 mg

92.

Diltiazem Kapsul SR 200 mg

93.

Dimenhidrinat tablet 50 mg

94.

Dinatrium edetat tetes mata 0,35%

95.

Doksazosin mesilat tablet 1 mg

96.

Doksazosin mesilat tablet 2 mg

97.

Doksorubisin serbuk injeksi i.v. 10 mg/vial

98.
99.

Domperidon suspensi/sirup 5 mg/5 ml


Domperidon tablet 10 mg

100.

Domperidon tetes 5 mg/mL

101.

Dosetaksel injeksi 20 mg/0,5 ml

102.

Dutasterid kaps lunak 0,5 mg

103.

Efavirens tablet salut 600 mg

104.

Eksemestan tablet 25 mg

105.

Enoksaparin sodium inj 20 mg/0,2 mL

106.

Enoksaparin sodium inj 40 mg/0,4 mL

107.

Enoksaparin sodium inj 60 mg/0,6 mL

108.

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

109.

Epirubisin serb injeksi 50 mg/25ml

110.

Epirubisin serb injeksi 10 mg/5 ml

111.

Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI

113.

Ergokalsiferol (vitamin D3/D2) suspensi 10.000


UI/ml
Eritromisin kapsul/kaplet 250 mg

114.

Eritromisin kapsul/kaplet 500 mg

115.

Eritromisin sirup kering 200 mg/ 5 ml

116.

Eritropoetin-alfa inj 3000 UI/mL

112.

117.

Eritropoetin-beta inj 2000 UI/0,3 mL

118.
119.
120.

Etambutol tablet 250 mg (HCl)


Etambutol tablet salut 500 mg (HCl)
Etanol 70% cairan

121.

Etonogestrel implan 68 mcg

122.

Etoposid injeksi 20 mg/ml

123.

Eugenol cairan

124.

Everolimus tab 0,25 mg

125.

Everolimus tab 0,5 mg

126.

Faktor VIIa (rekombinan) serb inj 1 mg/vial +


pelarut untuk injeksi

127.

Fenitoin injeksi 50 mg/ml

128.
129.

Fenitoin kapsul/kaplet 100 mg


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

130.

Fenofibrat kaps 100 mg

131.

Fenofibrat kaps 300 mg

132.

Fenoksimetil penisilin (penisilin V) tablet 250 mg

133.

Fenoksimetil penisilin (penisilin V) tab 125 mg

134.

Fenoksimetil penisilin (penisilin V)tablet 500 mg

135.

Fenoterol HBr inh solution 0,1%

136.

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

137.

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

138.

Fentanil patch 12,5 mcg/jam

139.

Fentanil patch 25 mcg/jam

140.

Fentanil patch 50 mcg/jam

141.

Filgrastim inj 300 mcg/mL

142.

Fitomenadion (Vit.K1) tablet salut gula 10 mg

143.

Fludarabin inj 50 mg

144.

Fludarabin tab 10 mg

145.

Flufenazin injeksi i.m. 25 mg/ml

146.
147.
148.
149.
150.

Flukonazol tablet/kapsul 150 mg


Fluoksetin tablet 10 mg
Fluoksetin tablet 20 mg
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL

151.

Flusinolon asetonid krim 0,025%

152.

Flutikason furoat intranasal spray

153.

Flutikason propionat nebules 0,5 mg

154.

Fondaparinuks inj 2,5 mg/0,5 mL

155.

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

156.

Furosemid tablet 40 mg

157.

Gansiklovir serb inj 500 mg (50 mg/mL)

158.

Garam Oralit I serbuk, kombinasi : Natrium klorida


0,52 g kalium klorida 0,30 g Trinatrium sitrat
dihidrat 0,58 g Glukosa Anhidrat 2,70 g

159.

Gefitinib tab 250 mg

160.

Gemfibrozil kapsul/kaplet 300 mg

161.

Gemfibrozil tablet 600 mg

162.

Gemsitabin inj 1000 mg/vial

163.

Gemsitabin inj 200 mg/vial

164.

Gentamisin injeksi 40 mg/ ml

165.

Gentamisin salep mata 0,3%

166.

Gentamisin tetes mata 0,3%

167.

Glibenklamid tablet 5 mg

168.

Gliklazid tab 80 mg

169.

Gliklazid tab 30 mg

170.

Glikuidon tab 30 mg

171.
172.
173.
174.
175.
176.
177.
178.
179.
180.

Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Gliseril trinitrat kaps SR 2,5 mg
Gliseril trinitrat kaps SR 5 mg
Gliseril trinitrat tab sublingual 0,5 mg
Gliserin lar 50%
Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril

181.

Goserelin asetat inj 10,8 mg/vial

182.

Goserelin asetat inj 3,6 mg

183.

Griseofulvin tablet 125 mg

184.

Haloperidol inj 50 mg/mL

185.

Haloperidol tablet 0,5 mg

186.

Haloperidol tablet 5 mg

187.

Haloperidol tablet 1,5 mg

188.

Haloperidol tablet 2 mg

189.

Halotan Inhalasi

190.

Hepatitis B imunoglobulin (human)

191.

Hidrokortison krim 2,5 %

192.

Hiosin butilbromid injeksi 20 mg/ml

193.

Human insulin intermediate acting inj 100 UI/ml,


vial (Human Insulin (Intermediate-Acting))

194.

Human insulin intermediate acting inj 100 UI/ml,


vial (Insulin human Basal)

195.

Human insulin intermediate acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge

196.

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Human Insulin
(Intermediate-Acting))

197.

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Insulin human Basal)

198.

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Insulin human Basal)

199.

Human insulin mix insulin inj 100 UI/ml, penfill


cartridge (Human Insulin (Premix: 30% Soluble +
70 % NPH Insulin))

200.

Human insulin mix insulin inj 100 UI/ml, penfill


cartridge (Insulin human Comb)

201.

Human insulin mix insulin inj 100 UI/ml, vial


(Human Insulin (Premix: 30% Soluble + 70 % NPH
Insulin))

202.

Human insulin mix insulin inj 100 UI/ml, vial


(Insulin human Comb)

203.

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Human Insulin (Short Acting))

204.

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Insulin human Rapd)

205.

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Insulin human Rapd)

206.

Human insulin short acting inj 100 UI/ml, vial


(Human Insulin (Short Acting))

207.

Human insulin short acting inj 100 UI/ml, vial


(Insulin human Rapd)

208.

Human insulin short acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge

209.
210.
211.

Ibuprofen sirup 100 mg/5 ml


Ibuprofen suspensi 200 mg/5 ml
Ibuprofen tablet 400 mg

212.

Ifosfamid serbuk injeksi 1000 mg/vial

213.

Imidapril tab 10 mg

214.

Imidapril tab 5 mg

215.

Iopamidol 200-300 mg Iodium/mL (300mg @ vial


100ml)

216.

Iopamidol 200-300 mg Iodium/mL (300mg @ vial


30ml)

217.

Iopamidol 200-300 mg Iodium/mL (300mg @ vial


50ml)

218.

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


100ml)

219.

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


30ml)

220.

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


50ml)

221.

Iopromide 300-370 mg Iodium/mL (300 mg / 100


ml)

222.

Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)

223.

Iopromide 300-370 mg Iodium/mL (370 mg / 100


ml)

224.

Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)

225.

Irbesartan tab 150 mg

226.

Irbesartan tab 300 mg

227.

Irinotekan inf 20 mg/ml

228.

Isosorbid Dinitrat tablet sublingual 5 mg

229.

Kalium aspartat tab 300 mg

230.

Kalium Klorida tablet 600 mg

231.

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

232.

Kandesartan tab 16 mg

233.

Kandesartan tab 8 mg

234.

Kapesitabin tab 500 mg

235.

Kaptopril tablet 50 mg

236.

Kaptopril tablet scored 25 mg

237.

Kaptopril tablet scored12,5 mg

238.

Karbamazepin sirup 100 mg/5 ml

239.

Karbamazepin tablet 200 mg

240.

Karbimazol tab 5 mg

241.

Karbogliserin tetes telinga 10%

242.

Ketamin injeksi i.v. 100 mg/ml

243.

Ketokonazol krim 2%

244.

Ketokonazol krim 2%

245.

Ketokonazol tablet 200 mg

246.

Ketorolac injeksi 30 mg/ml

247.

Klaritromisin tab 500 mg

248.

Klindamisin kapsul/kaplet 150 mg

249.

Klindamisin kapsul/kaplet 300 mg

250.

Klobazam tab 10 mg

251.

Klonidin tablet 0,15 mg

252.

Klopidogrel tab 75 mg

253.
254.
255.
256.

Kloramfenikol salep mata 1 %


Kloramfenikol suspensi 125 mg/ 5 ml
Klorpromazin tablet salut 100 mg (HCl)
Klorpromazin injeksi i.m. 25 mg/ml (HCl)

257.

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

258.

Klozapin 100 mg

259.

Klozapin 25 mg

260.
261.
262.

Kodein tablet 10 mg
Kodein tablet 15 mg
Kodein tablet 20 mg
Kombinasi suspensi : Parafin + gliserin +
fenolftalein

263.
264.

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200


mg Asam folat 0,25 mg

265.

Kombinasi tetes mata 2,5 mg/mL: Natrium klorida


8,664 mg; Kalium klorida 1,32 mg

266.

Kombinasi: Artemether 20 mg; Lumefantrin 120


mg

267.

Kombinasi: Levodopa 100 mg; Karbidopa 25 mg;


Entekapon 200 mg

268.

Kombinasi: Salmeterol 25 mcg; Flutikason


propionat 50 mcg

269.

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 100 mcg

270.

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 250 mcg

271.

Kotrimoksazol DOEN I (dewasa) kombinasi :


Sulfametoksazol 400 mg Trimetoprim 80 mg

272.

Kotrimoksazol Suspensi komb: Sulfametoksazol


200 mg + Trimetoprim 40 mg / 5 ml

273.

Kuinin (Kina) tablet 200 mg

274.

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

275.
276.
277.

Kuinin tablet 222 mg (H2SO4.7H2O)


Lamivudine tablet 150 mg
Lansoprazol inj 30 mg/ml

278.

Lanzoprazol kapsul/kaplet 30 mg

279.

Lapatinib tab 250 mg

280.

Larutan mengandung Asam Amino (Asam Amino


10%)

281.

Larutan mengandung Asam Amino (Asam Amino


100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)

282.

Larutan mengandung Asam Amino (Asam Amino


27 g, Sorbitol 50 g, Cl- 52 mEq)

283.

Larutan mengandung Asam Amino (Asam Amino


30 g, Glukosa 7,3 % dan elektrolit) 1000 ml

284.

Larutan mengandung Asam Amino (Asam Amino


30 g, Glukosa 7,3 % dan elektrolit) 500 ml

285.

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)

286.

Larutan mengandung Asam Amino (Asam Amino


6%, mengandung Taurine 0,24 gr/l)

287.

Larutan mengandung Asam Amino (Asam Amino


7%, Komposisi: Asam Amino esensial: Asam Amino
non esensial = 60 : 40)

288.

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)

289.

Larutan mengandung Asam Amino (Asam Amino


79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

290.

Larutan mengandung Asam Amino (Asam amino


8%)

291.

Larutan mengandung Asam Amino (Asam Amino


esensial 7%+Xylitol 10 g/L)

292.

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)

293.

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)

294.

Larutan mengandung Asam Amino (Kombinasi


Asam amino 50 g/L, vitamin dan elektrolit)

295.

Larutan mengandung Asam Amino (Kombinasi


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

296.

Larutan mengandung Asam Amino (Kombinasi


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

297.

Larutan mengandung Asam Amino (Kombinasi


Glukosa dan elektrolit 150 gr + Asam Amino 48 gr
dgn akses sentral)

298.

Larutan mengandung Asam Amino (Kombinasi


Glukosa dan elektrolit 80 gr + Asam Amino 40 gr )

299.

Larutan mengandung Elektrolit (Kalium Klorida)

300.

Larutan mengandung Elektrolit (Larutan Ringer


Laktat)

301.

Larutan mengandung Elektrolit (Na 130 mEq, Cl


109 mEq, Ca 3 mEq, Asetat 28 mEq)

302.

Larutan mengandung Elektrolit (NaCl 1.125 gr,


Dekstrosa 18.75 gr)

303.

Larutan mengandung Elektrolit (Sodium Lactate sol


(50%) 113 gr/L, Potassium Chloride 0.3 gr/L,
Calcium Chloride 0.2 gr/L, elektrolit)

304.

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)

305.

Larutan mengandung Karbohidrat (Fructose 120 g,


glucose 66 g, Xylitol 60 g/ L + elektrolit)

306.

Larutan mengandung Karbohidrat (Fructose 60 g,


glucose 33 g, Xylitol 30 g/ L)

307.

Larutan mengandung Karbohidrat (Maltose 100 gr)

308.

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)

309.

Larutan mengandung Karbohidrat + Elektrolit


(Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L)

310.

Larutan mengandung Karbohidrat + Elektrolit


(Asam amino 28 gr/L, Glukosa 100 gr/L, elektrolit)

311.

Larutan mengandung Karbohidrat + Elektrolit


(Asam amino 28 gr/L, Glukosa 75 gr/L, elektrolit)

312.

Larutan mengandung Karbohidrat + Elektrolit


(Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)

313.

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)

314.

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa 55 g ; Natrium Chloride 9 g, air untuk
injeksi ad 1000 ml)

315.

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 25,0 g; NaCl: 4,5 g)

316.

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 2.25 g)

317.

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 4.5 g)

318.

Larutan mengandung Karbohidrat + Elektrolit


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

319.

Larutan mengandung Karbohidrat + Elektrolit


(Larutan Ringer & Glukosa 5%)

320.

Larutan mengandung Karbohidrat + Elektrolit


(NaCl 1.75 g, KCL 1.5g, Glukosa 100 gr)

321.

Larutan mengandung Karbohidrat + Elektrolit (Nacl


1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27
gr)

322.

Larutan mengandung Karbohidrat + Elektrolit (Nacl


2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa
27 gr)

323.

Larutan mengandung Lipid ( Infus Lipid Emulsi


MCT/LCT 20% 100 ml)

324.

Larutan mengandung Lipid (Emulsi lemak 20%)

325.

Larutan mengandung Lipid (Infus Lipid Emulsi


MCT/LCT 20% 250 ml)

326.

Larutan mengandung Lipid (Kombinasi Glukosa dan


elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50
gr dgn akses sentral)

327.

Larutan mengandung Lipid (Kombinasi Glukosa dan


elektrolit 80 gr + Asam Amino 40 gr + Lipid
MCT/LCT 50 gr)

328.

Larutan mengandung Lipid (Kombinasi Glukosa dan


elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr
dgn akses sentral)

329.

Larutan mengandung Lipid (Soybean Oil 200 g/L,


Egg Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium
Oleate 0.3 gr/L)

330.

Latanoprost tetes mata 0,01%

331.

Leuprorelin asetat inj depot 1,88 mg

332.

Leuprorelin asetat inj depot 11,25 mg

333.

Levofloksasin inf 5 mg/mL

334.

Levofloksasin tablet 500 mg

335.

Lidokain injeksi 2% (HCL)

336.

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

337.

Lidokain jeli 2%

338.

Lisinopril tablet 10 mg

339.

Lisinopril tablet 5 mg

340.

Litium karbonat tablet 200 mg

341.

Litium karbonat tablet 400 mg

342.

Loperamid tablet 2 mg

343.

Loratadin tablet 10 mg

344.

Lorazepam tablet 2 mg

345.

Manitol

346.

Maprotilin HCl tab 25 mg

347.

Maprotilin HCl tab 50 mg

348.

Melfalan tablet 2 mg

349.
350.
351.

Meropenem inj 1 g
Meropenem serb inj 500 mg/vial
Mesna inj 100 mg/mL

352.

Metadon sir 50mg/5ml

353.

Metformin HCl tablet 500 mg

354.

Metilergometrin Maleat (Metilergometrin) tablet


salut 0,125 mg

355.

Metilfenidat kapsul LA 20 mg

356.

Metilprednisolon inj 125 mg/2 mL

357.

Metilprednisolon inj 500 mg/8 mL

358.

Metilprednisolon tablet 16 mg

359.

Metilprednisolon tablet 4 mg

360.

Metilprednisolon tablet 8 mg

361.
362.

Metoklopramide tablet 10 mg
Metoklopramide tablet 5 mg

363.

Metronidazol infus 500 mg/100 ml

364.

Metronidazol supositoria 500 mg

365.

Metronidazol tablet 250 mg

366.

Metronidazol tablet 500 mg

367.

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

368.

Midazolam injeksi i.v. 1 mg/ml

369.

Midazolam injeksi i.v. 5 mg/ml

370.

Mikafungin Na serb inj 50 mg

371.

Mikonazol krim/salep 2 % (Nitrat)

372.

Mitomisin C (crystallin) serbuk inj 10 mg/vial

373.

Moksifloksasin tetes mata 0,5%

374.

Mometason furoat krim 0,1%

375.

Morfin HCL inj 10 mg/ml

376.

Morfin HCL tablet SR 10 mg

377.

Morfin HCL tablet SR 15 mg

378.

Morfin injeksi i.m./s.k./i.v. 10 mg/ml

379.
380.

Morfin tablet 10 mg
Nacl 0,9%

381.

Nadroparin inj 9500 Axa/mL syringe 0,3 mL

382.

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

383.

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

384.

Nalokson injeksi 0,4 mg/ml

385.
386.
387.
388.
389.
390.
391.
392.

Natrium Bikarbonat injeksi i.v 8,4%


Natrium Diklofenak tablet 50 mg
Natrium Diklofenak tablet 25 mg
Natrium fosfat lar oral 45 mL
Natrium fusidat salep 20 mg/g
Nevirapin tablet 200 mg
Nifedipin tab 20 mg, slow release; oros
Nifedipin tab 30 mg, oros

393.

Nifedipin tablet/kapsul 10 mg

394.
395.

Nistatin tablet salut 500.000 IU/ g


Noretisteron tablet 5 mg

396.

Obat Antituberkulosis FDC Kategori 1

397.

Obat Antituberkulosis FDC Kategori 2

398.

Obat Antituberkulosis FDC Kategori Anak

399.

Obat Antituberkulosis FDC Sisipan

400.

Obat Antituberkulosis Kategori 1 dewasa

401.

Obat Antituberkulosis Kategori anak

402.

Ofloxacin tablet 200 mg

403.

Ofloxacin tablet 400 mg

404.

Oksimetazolin tetes hidung 0,025%

405.

Oktreotid 10 mg

406.

Olanzapin inj 10 mg/vial

407.
408.

Olanzapin kapl salut 5 mg


Olanzapin tab 10 mg

409.

Omeprazol injeksi 40 mg/ 10 ml

410.

Omeprazol kapsul/kaplet 20 mg

411.

ondansetron inj 4 mg/ 2 mL

412.
413.

Ondansetron tab 4 mg
Ondansetron tablet 8 mg

414.

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2


unit Ultaclam, 1 unit Tenckoff Catheter, Titanium
Adaptor)

415.

Paket CAPD Pergantian Transfer Set per 6 bulan

416.

Paket CAPD Rutin 120 ( 4x ganti cairan perhari


dengan komposisi Larutan Dialisa 1.5 %, Larutan
Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)

418.

Parasetamol drop 100 mg/ml btl @15ml


(60mg/0,6ml)
Parasetamol sirup 120 mg / 5 ml

419.

Parasetamol tablet 500 mg

420.

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

421.

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

422.

Perindoprilarginin tab 5 mg

423.

Permetrin krim 5%

424.

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

425.

Pioglitazon tab 15 mg

426.
427.

Pioglitazon tab 30 mg
Pirantel suspensi 125 mg/5 ml

428.

Pirantel tablet score (base) 125 mg

429.

Pirazinamid tablet 500 mg

430.
431.
432.
433.

Polikresulen cairan
Povidon Iodida larutan 10% 1000 ml
Povidon Iodida larutan 10% 30 ml
Povidon Iodida larutan 10% 300 ml

417.

434.

Pramipeksol tab ER 0,375 mg

435.

Pramipeksol tab ER 0,750 mg

436.

Pravastatin tablet 20 mg

437.

Propanolol tablet 10 mg ( HCl )

438.

Propranolol tablet 40 mg (HCl)

439.

Quetiapin tab 200 mg

440.

Quetiapin tab 300 mg

441.

Quetiapin tab 400 mg

442.

Ramipril tablet 5 mg

443.

Ranitidin injeksi 25 mg/2 ml

444.

Ranitidin tablet 150 mg

445.

Retinol (Vitamin A) 200.000 IU kapsul lunak

446.

Retinol (Vitamin A) 100.000 IU

447.
448.

Retinol (Vitamin A) 200.000 IU kapsul lunak


Ringer Laktat larutan infus

449.

Risperidon tablet 1 mg

450.

Risperidon tablet 2 mg

451.

Risperidon tablet 3 mg

452.
453.
454.

Rivaroksaban tab 10 mg
Rivaroksaban tab 15 mg
Rivaroksaban tab 20 mg

455.

Ropinirol Tablet Salut 2 mg

456.

Ropinirol Tablet Salut 4 mg

457.

Ropinirol Tablet Salut 8 mg

458.

Salbutamol inhalasi/aerosol 100 mcg/dosis

459.

Salbutamol serb inh 200 mcg/kaps

460.

Salbutamol serb inh 200 mcg/kaps + rotahaler

461.
462.

Salbutamol tablet 4 mg (sebagai Sulfat)


Sefadroksil sirup kering 125 mg/5ml

463.

Sefadroksil kapsul/kaplet 250 mg

464.

Sefadroksil kapsul/kaplet 500 mg

465.

Sefadroksil sir kering 250 mg/5 mL

466.

Sefaleksin kapsul/kaplet 500 mg

467.

Sefazolin serbuk injeksi 1 g/vial

468.

Sefepim inj 1 g

469.

Sefiksim kapsul/kaplet 100 mg

470.

Sefiksim sirup kering 100 mg/ 5 ml

471.

Sefoperazon inj 1 g

472.

Sefotaksim injeksi 0,5 g

473.

Sefotaksim injeksi 1 g

474.

Sefpodoksim proksetil tab 100 mg

475.

Seftazidim injeksi 1 g

476.

Seftriakson serbuk injeksi 1 g/vial

477.

Sefuroksim tab 500 mg

478.

Setirizin tablet 10 mg

479.

Sianokobalamin (vitamin B12) injeksi 500 mcg

480.

Siklofosfamid serbuk injeksi i.v. 1000 mg

481.

Siklofosfamid serbuk injeksi i.v. 200 mg

482.

Siklosporin kaps 100 mg

483.

Siklosporin kapsul lunak 25 mg

484.

Simvastatin scored tablet 10 mg

485.

Simvastatin tablet 20 mg

486.

Siprofloksasin infus 2%

487.

Siprofloksasin tablet 500 mg (sebagai HCl)

488.

Spiramisin tablet 500 mg

489.

Spironolakton tablet 100 mg

490.

Spironolakton tablet 25 mg

491.

Streptokinase injeksi 1,5 juta UI/vial

492.

Sufentanil injeksi iv, epidural 5 mcg/ml

493.

Takrolimus kaps 0.5 mg

494.

Takrolimus kaps 1 mg

495.

Tamsulosin tab 0,2 mg

496.

Tamsulosin tab 0,2 mg

497.

Tamsulosin tab SR 0,4 mg

498.

Telbivudin tab 600 mg

499.

Telmisartan tab 40mg

500.

Tenofovir tab 300 mg

501.

Terbutalin cairan ih 2,5 mg/mL

502.

Terbutalin tablet 2,5 mg

503.

Terbutalin turbu (serbuk ih) 0,50 mg

504.

Tetrakain HCl tetes mata 0,5%

505.

Tetrasiklin kapsul/kaplet 250 mg

506.

Tiamazol tab 10 mg

507.

Tiamazol tab 5 mg

508.

Timolol tetes mata 0,25%

509.

Timolol tetes mata 0,5%

510.

Tiotropium kaps 18 mcg + handihaller

511.

Tramadol injeksi 50 mg/ml

512.

Travoprost tetes mata 0,004%

513.

Triamsinolon asetonid nasal spray 55 mcg/puff

514.

Trifluoperazin tablet 5 mg

515.

Urea krim 10%

517.
518.

Vaksin polio inj (Vaksin Poliomyelitis yang


diinaktifkan)
Valproat tab SR 250 mg
Valproat tab SR 500 mg

519.

Valsartan tab 80 mg

520.

Valsartan tab 160 mg

521.
522.

Verapamil tab 240 mg


Verapamil tablet 80 mg (HCl)

523.

Vinblastin serbuk injeksi 10 mg

524.

Vinorelbin inj. 10 mg/ml

525.

Vitamin B Kompleks tablet

526.

Zidovudin 300 mg + Lamivudine 150 mg

516.

527.

Zinc drop 10 mg/mL

528.

Zinc sir 20 mg/5 Ml

529.

Zinc tablet dispersible20 mg

n/a

PT. Kimia Farma

Hepsera

PT. SmithKline Beecham Phamaceuticals

n/a

PT. Indofarma

n/a

PT. Holi Pharma

n/a

PT. Pertiwi Agung

n/a

PT. Bernofarm

n/a

PT. Dexa Medica

n/a
n/a

PT. Otto Pharmaceuticals


PT. Kimia Farma

Actilyse

PT. Boehringer Ingelheim

Fungicide

PT. Cendo Industri Farmasi

Glybotic 250 mg /ml

PT. Sanbe Farma

n/a

PT. Lucas Djaja

n/a

PT. Erela

Cordarone

PT. Aventis Pharma

Cordarone

PT. Aventis Pharma

n/a

PT. Indofarma

n/a

PT. Pertiwi Agung

n/a

PT. Pertiwi Agung

n/a

PT. Indofarma

n/a

PT. Mersifarma Tirmaku Mercusana

n/a
n/a
n/a

PT. Holi Pharma


PT. Novapharin
PT. Bernofarm

Lantus Solostar 100IU/ml 5pens x3ml

PT. Aventis Pharma

Novomix Flexpen

PT. Ferron Par Pharmaceuticals

Humalog Mix 25

PT. Tempo Scan Pacific

Novorapid Flexpen

PT. Ferron Par Pharmaceuticals

Novorapid Vial

PT. Ferron Par Pharmaceuticals

Apidra Solostar 100IU/ml 5pens x3ml

PT. Aventis Pharma

Humalog

PT. Tempo Scan Pacific

Arimidex 1 mg

PT. AstraZeneca indonesia

n/a

PT. Erela

n/a

PT. Novapharin

n/a

PT. Indofarma

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

Levopar Tablet

PT. Meprofarm

Artem
n/a

PT. Kimia Farma


PT. Kimia Farma

n/a

PT. Kimia Farma

n/a

PT. Marin Liza Farmasi

Bondronat

PT. Boehringer Ingelheim

n/a

PT. Bernofarm

Urotractin 400 mg

PT. Sanbe Farma

n/a

PT. Hexpharm Jaya Laboratories

n/a

PT. Bernofarm

Temiral Eye Oint


n/a

PT. Sanbe Farma


PT. Kimia Farma

n/a

PT. Sampharindo Perdana

Leunase

PT. Widatra Bhakti

Pularex

PT. Zenith Pharmaceuticals

Notrixum Inj 2,5 ml

PT. Novell Pharmaeutical Laboratories

n/a

PT. Indofarma

n/a

PT. Soho Industri Pharmasi

n/a

PT. Kimia Farma

n/a

PT. Soho Industri Pharmasi

n/a

PT. Rama Emerald Multi Sukses

n/a
n/a

PT. Phapros, Tbk


PT. Phapros, Tbk

Survanta

PT. Abbott Indonesia

Dorner 20 g

PT. Combiphar

Dorner

PT. Combiphar

n/a

PT. Kimia Farma

Casodex 150 mg

PT. AstraZeneca indonesia

Casodex 50 mg

PT. AstraZeneca indonesia

Stolax supp

PT. Sanbe Farma

n/a

PT. Pratapa Nirmala

Cripsa tab

PT. Caprifarmindo

Pulmicort Turbuhaler

PT. AstraZeneca indonesia

Pulmicort Respules

PT. AstraZeneca indonesia

Symbicort Turbuhaler 160/4.5 mcg

PT. AstraZeneca indonesia

Symbicort 80/4.5 mcg

PT. AstraZeneca indonesia

n/a

PT. Dexa Medica

Pradaxa

PT. Boehringer Ingelheim

Pradaxa

PT. Boehringer Ingelheim

Exjade 250 mg Tab

PT. Novartis Indonesia

Exjade 500 mg Tab

PT. Novartis Indonesia

Ferriprox Oral Solution

PT. Sydna Farma

Ferriprox tablet

PT. Sydna Farma

Desferal

PT. Novartis Indonesia

n/a

PT. Indofarma

n/a

PT. Promedrahardjo Farmasi Industri

n/a

PT. Dexa Medica

n/a

PT. Kimia Farma

n/a

PT. Lucas Djaja

n/a
n/a

PT. Yarindo Farmatama


PT. Kimia Farma

Herbesser Powder Injection 50mg

PT. Tanabe Indonesia

Farmabes Injeksi 25 mg

PT. Pratapa Nirmala

Herbesser CD 100

PT. Tanabe Indonesia

Herbesser CD 200

PT. Tanabe Indonesia

n/a

PT. Kimia Farma

E.D.T.A

PT. Cendo Industri Farmasi

Cardura 1mg

PT. Pfizer Indonesia

Cardura 2mg

PT. Pfizer Indonesia

Doxorubicin Actavis 10 mg

PT. Actavis Indonesia

n/a
n/a

PT. Novapharin
PT. Novapharin

n/a

PT. Bernofarm

n/a

PT. Sanbe Farma

Avodart

PT. SmithKline Beecham Phamaceuticals

n/a

PT. Kimia Farma

Aromasin

PT. Pfizer Indonesia

Lovenox 2000 ANTI-XA

PT. Aventis Pharma

Lovenox 4000 ANTI-XA

PT. Aventis Pharma

Lovenox 6000 ANTI-XA

PT. Aventis Pharma

n/a

PT. Phapros, Tbk

Epirubisin Kalbe

PT Kalbe Farma

n/a

PT. Sanbe Farma

D-Vit FT

PT. Gracia Pharmindo

D-Vit Syrup

PT. Gracia Pharmindo

n/a

PT. Kimia Farma

n/a

PT. Indofarma

n/a

PT. Phyto Kemo Agung Farma

Hemapo 3000

PT Kalbe Farma

Recormon

PT. Boehringer Ingelheim

n/a
n/a
n/a

PT. Kimia Farma


PT. Kimia Farma
PT. Novapharin

Implanon

PT. Merck Sharp Dohme Pharma Tbk

Etopul

PT. Novell Pharmaeutical Laboratories

n/a

PT. Kimia Farma

Certican 0,25 mg Tab

PT. Novartis Indonesia

Certican 0,5 mg Tab

PT. Novartis Indonesia

Novoseven

PT. Ferron Par Pharmaceuticals

n/a

PT. Mersifarma Tirmaku Mercusana

n/a
n/a

PT. Ikapharmindo
PT. Phapros, Tbk

n/a

PT. Hexpharm Jaya Laboratories

n/a

PT. Hexpharm Jaya Laboratories

n/a

PT. Phapros, Tbk

Fenocin

PT. Actavis Indonesia

n/a

PT. Phapros, Tbk

Berotec Solution

PT. Boehringer Ingelheim

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

Durogesic 12,5 MU Matrix

PT. Kimia Farma

Durogesic 25 MU Matrix

PT. Kimia Farma

Durogesic 50 MU Matrix

PT. Kimia Farma

Zarzio

PT. Sandoz Indonesia

n/a

PT. Marin Liza Farmasi

Fludara IV LYO

PT. Aventis Pharma

Fludara Oral

PT. Aventis Pharma

Sikzonoate Injeksi

PT. Mersifarma Tirmaku Mercusana

n/a
Foransi 10
NOPRES
Curacil
Curacil

PT. Kimia Farma


PT. Gracia Pharmindo
PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma

SYNARCUS

PT. Ifars Pharmaceutical Laboratories

Avamys

PT. Glaxo Wellcome Indonesia

Flixotide Nbules

PT. Glaxo Wellcome Indonesia

Arixtra

PT. Glaxo Wellcome Indonesia

n/a

PT. Indofarma

n/a

PT. Sampharindo Perdana

Cymevene

PT. Boehringer Ingelheim

n/a

PT. Phapros, Tbk

Iressa 250 mg

PT. AstraZeneca indonesia

n/a

PT. Indofarma

n/a

PT. Indofarma

Gemzar 1000 mg

PT. Bayer Indonesia

n/a

PT. Sanbe Farma

n/a

PT. Indofarma

Genoint Salep Mata

PT. Erela

n/a

PT. Indofarma

n/a

PT. Indofarma

Glicab

PT. Tempo Scan Pacific

Diamicron MR 30

PT. Pradja Pharin

n/a

PT. Dexa Medica

n/a
n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte
Nitral
Gliserin lar 50%
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Zoladex 10,8 mg

PT. AstraZeneca indonesia

Zoladex 3,6 mg

PT. AstraZeneca indonesia

n/a

PT. Phapros, Tbk

Haldol Decanoas

PT. Soho Industri Pharmasi

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Indofarma

Lodomer 2

PT. Mersifarma Tirmaku Mercusana

Halothane

PT. Dexa Medica

Hyperhep B

PT. Dipa Pharmalab

n/a

PT. Kimia Farma

n/a

PT. Otto Pharmaceuticals

Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Actavis Indonesia
Lucas Djaja
Widatra Bhakti
Widatra Bhakti

Insulatard Vial

PT. Ferron Par Pharmaceuticals

Humulin N Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

Insulatard Penfill

PT. Ferron Par Pharmaceuticals

Sansulin N

PT. Sanbe Farma

Humulin N Cart

PT. Bayer Indonesia

Mixtard Penfill

PT. Ferron Par Pharmaceuticals

Humulin 30/70 Cart

PT. Bayer Indonesia

Mixtard Vial

PT. Ferron Par Pharmaceuticals

Humulin 30/70 Vial

PT. Bayer Indonesia

Actrapid Penfill

PT. Ferron Par Pharmaceuticals

Humulin R Cart

PT. Bayer Indonesia

Sansulin R

PT. Sanbe Farma

Actrapid Vial

PT. Ferron Par Pharmaceuticals

Humulin R Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

n/a
n/a
n/a

PT. Indofarma
PT. Indofarma
PT. Novapharin

Holoxan injeksi 1000

PT. Mugi Laboratories

Tanapress 10mg

PT. Tanabe Indonesia

Tanapress 5mg

PT. Tanabe Indonesia

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Iopamiro

PT. Dipa Pharmalab

Ultravist 300/100 mg

PT. Bayer Indonesia

Ultravist 300/50 mg

PT. Bayer Indonesia

Ultravist 370/100 mg

PT. Bayer Indonesia

Ultravist 370/50 mg

PT. Bayer Indonesia

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Sanbe Farma

n/a

PT. Indofarma

Kalipar

PT. Tempo Scan Pacific

KSR

PT. Merck Tbk

Kalsium glukonat

PT. Ethica Industri Farmasi

n/a

PT. Dexa Medica

n/a

PT. Dexa Medica

Xeloda

PT. Boehringer Ingelheim

n/a

PT. Indofarma

n/a

PT. Errita Pharma

n/a

PT. Indofarma

Tegretol Syrup 100mg/5ml, 120ml

PT. Novartis Indonesia

n/a

PT. Indofarma

Neo-Mercazole

PT. Nicholas Laboratories Indonesia

Karbogliserin tetes telinga 10%

PT. Lucas Djaja

KTM

PT. Guardian Pharmatama

n/a

PT. Kimia Farma

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Dexa Medica

n/a

PT. Natura Laboratoria Prima

ORIXAL

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Indofarma

n/a

PT. Bernofarm

n/a

PT. Dexa Medica

n/a

PT. Indofarma

n/a

PT. Hexpharm Jaya Laboratories

n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.

n/a

PT. Phapros, Tbk

Kimia Farma
Bernofarm
Kimia Farma
Phapros, Tbk

n/a

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Mersifarma Tirmaku Mercusana

n/a
n/a
n/a

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma

Laxadine Emulsi 60 ml

PT. Galenium Pharmasia Laboratories

n/a

PT. Erela

Cendo Lyteers

PT. Cendo Industri Farmasi

Coartem

PT. Novartis Indonesia

Stalevo

PT. Novartis Indonesia

Seretide Inhaler 50 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 100 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 250 mcg

PT. Glaxo Wellcome Indonesia

n/a

PT. Promedrahardjo Farmasi Industri

n/a

PT. Sampharindo Perdana

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

n/a
n/a
Prosogan Inj.

PT. Kimia Farma


PT. Kimia Farma
PT. Takeda Indonesia

n/a

PT. Indofarma

Tykerb

PT. SmithKline Beecham Phamaceuticals

Kalbamin

PT. Finusolprima Farma Internasional

Amiparen

PT Otsuka Indonesia

Pan-amin G

PT Otsuka Indonesia

Aminofluid

PT Otsuka Indonesia

Aminofluid

PT Otsuka Indonesia

Aminofusin Hepar

PT Kalbe Farma

Aminosteril Infant 6%

PT. Fresenius Kabi Combiphar

Nephrosteril

PT. Fresenius Kabi Combiphar

Kidmin

PT Otsuka Indonesia

Aminoleban

PT Otsuka Indonesia

Aminosteril N-Hepa

PT. Fresenius Kabi Combiphar

Eas Pfrimer

PT. Finusolprima Farma Internasional

Comafusin Hepar

PT. Finusolprima Farma Internasional

Aminofusin L600

PT Kalbe Farma

Aminofusin Paed

PT Kalbe Farma

Kabiven 1440 ml

PT. Fresenius Kabi Combiphar

Kabiven 1920 ml

PT. Fresenius Kabi Combiphar

Combiflex Plus (790 kcal)

PT. Phapros, Tbk

Combiflex peri (480 kcal)

PT. Phapros, Tbk

Otsu - KCl 7,46%

PT Otsuka Indonesia

Wida RL

PT. Widatra Bhakti

Asering

PT Otsuka Indonesia

KA EN 1B

PT Otsuka Indonesia

Totilac

PT Kalbe Farma

Ringerfundin 500 mL

PT. Phapros, Tbk

Triofusin 1000

PT Kalbe Farma

Triofusin 500

PT Kalbe Farma

Martos

PT Otsuka Indonesia

Potacol inj

PT Otsuka Indonesia

Tutofusin OPS

PT Kalbe Farma

Clinimix N9G20E

PT Kalbe Farma

Clinimix N9G15E

PT Kalbe Farma

Triofusin E1000

PT Kalbe Farma

Wida HSD

PT. Widatra Bhakti

Wida D5-NS

PT. Widatra Bhakti

WIDA 2A

PT. Widatra Bhakti

WIDA D5-1/4NS

PT. Widatra Bhakti

WIDA D5-1/2NS

PT. Widatra Bhakti

Futrolit

PT. Sanbe Farma

Wida RD

PT. Widatra Bhakti

KA ENMG 3

PT Otsuka Indonesia

KA EN 3B

PT Otsuka Indonesia

KA EN 3A

PT Otsuka Indonesia

Lipofundin MCT/LCT 1% 100

PT. Phapros, Tbk

Intralipid

PT. Fresenius Kabi Combiphar

Lipofundin MCT/LCT 1% 250

PT. Phapros, Tbk

Nutriflex Lipid Special 1250

PT. Phapros, Tbk

Nutriflex Lipid Peri 1250

PT. Phapros, Tbk

Nutriflex Lipid Special 625

PT. Phapros, Tbk

Ivelip

PT Kalbe Farma

Cendo Glaopen

PT. Cendo Industri Farmasi

Tapros 1.88mg

PT. Takeda Indonesia

Tapros 3M

PT. Takeda Indonesia

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Promedrahardjo Farmasi Industri

n/a

PT. Bernofarm

n/a

PT. Indofarma

Xylocaine Jelly 2%

PT. AstraZeneca indonesia

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Novell Pharmaeutical Laboratories

Frimania 200

PT. Mersifarma Tirmaku Mercusana

Frimania 400

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Promedrahardjo Farmasi Industri

Merlopam 2

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Finusolprima Farma Internasional

Ludios

PT. Soho Industri Pharmasi

Sandepril 50

PT. Mersifarma Tirmaku Mercusana

Alkeran

PT. Glaxo Wellcome Indonesia

n/a
n/a
Uromitexan injeksi.

PT. Bernofarm
PT. Dexa Medica
PT. Mugi Laboratories

n/a

PT. Kimia Farma

n/a

PT. Bernofarm

n/a

PT. Kimia Farma

Ritalin LA

PT. Novartis Indonesia

n/a

PT. Bernofarm

n/a

PT. Bernofarm

n/a

PT. Mahakam Beta Farma

n/a

PT. Natura Laboratoria Prima

n/a

PT. Dexa Medica

n/a
n/a

PT. Phapros, Tbk


PT. Kimia Farma

n/a

PT. Natura Laboratoria Prima

Flagyl

PT. Aventis Pharma

n/a

PT. Phyto Kemo Agung Farma

n/a

PT. Phyto Kemo Agung Farma

Cardioscan KaeF

PT. Kimia Farma

Miloz 5 Inj

PT. Novell Pharmaeutical Laboratories

Miloz 15 Inj

PT. Novell Pharmaeutical Laboratories

Mycamine

PT. Combiphar

n/a

PT. Kimia Farma

Mitomycin C

PT. Widatra Bhakti

Vigamox

PT. Tempo Scan Pacific

n/a

PT. Guardian Pharmatama

n/a

PT. Kimia Farma

MST Continus 10 mg

PT. Mahakam Beta Farma

MST Continus 15 mg

PT. Mahakam Beta Farma

n/a

PT. Kimia Farma

n/a
n/a

PT. Kimia Farma


PT. Widatra Bhakti

Fraxiparine 0.3 ml

PT. Glaxo Wellcome Indonesia

Fraxiparine 0.4 ml

PT. Glaxo Wellcome Indonesia

Fraxiparine 0.6 ml

PT. Glaxo Wellcome Indonesia

Nokoba

PT. Pratapa Nirmala

Meylon
n/a
n/a
Fleet Phosphosoda
Fucilex Ointment
n/a
Adalat Oros 20 mg
Adalat Oros 30 mg

PT Otsuka Indonesia
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Combiphar
PT. Molex Ayus
PT. Kimia Farma
PT. Bayer Indonesia
PT. Bayer Indonesia

n/a

PT. Dexa Medica

n/a
Primolut N

PT. Phapros, Tbk


PT. Bayer Indonesia

n/a

PT. Phapros, Tbk

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Indofarma

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Novell Pharmaeutical Laboratories

Ilaidin Drops

PT. Merck Tbk

Sandostatin LAR

PT. Novartis Indonesia

Zyprexa IM

PT. Bayer Indonesia

Olandoz 5
Olandoz 10

PT. Sandoz Indonesia


PT. Sandoz Indonesia

n/a

PT. Natura Laboratoria Prima

n/a

PT. Novapharin

n/a

PT. Indofarma

n/a
n/a

PT. Yarindo Farmatama


PT. Yarindo Farmatama

n/a

PT Kalbe Farma

n/a

PT Kalbe Farma

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

PT Kalbe Farma

n/a

PT. Indofarma

n/a

PT. Afifarma

n/a

PT. Promedrahardjo Farmasi Industri

Pegasys

PT. Boehringer Ingelheim

Pegasys

PT. Boehringer Ingelheim

Bioprexum 5 mg

PT. Pradja Pharin

Scabimite Cream 10

PT. Galenium Pharmasia Laboratories

n/a

PT. Kimia Farma

Actos

PT. Takeda Indonesia

Gliabetes 30 mg
n/a

PT. Sanbe Farma


PT. Holi Pharma

n/a

PT. Holi Pharma

n/a

PT. Holi Pharma

Aptil
n/a
n/a
n/a

PT.
PT.
PT.
PT.

Pratapa Nirmala
Afifarma
Afifarma
Afifarma

Sifrol ER 0,375mg

PT. Boehringer Ingelheim

Sifrol ER 0,750mg

PT. Boehringer Ingelheim

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Holi Pharma

n/a

PT. Holi Pharma

Seroquel XR 200 mg

PT. AstraZeneca indonesia

Seroquel XR 300 mg

PT. AstraZeneca indonesia

Seroquel XR 400 mg

PT. AstraZeneca indonesia

n/a

PT. Dexa Medica

n/a

PT. Natura Laboratoria Prima

n/a

PT. Erela

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

n/a
n/a

PT. Kimia Farma


PT. Widatra Bhakti

n/a

PT. Dexa Medica

n/a

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Dexa Medica

Xarelto 10 mg
Xarelto 15 mg
Xarelto 20 mg

PT. Bayer Indonesia


PT. Bayer Indonesia
PT. Bayer Indonesia

Requip PD 24 Hour 2 mg

PT. Glaxo Wellcome Indonesia

Requip PD 24 Hour 4 mg

PT. Glaxo Wellcome Indonesia

Requip PD 24 Hour 8 mg

PT. Glaxo Wellcome Indonesia

Ventolin Inhaler

PT. Glaxo Wellcome Indonesia

Ventolin Rotacaps

PT. Glaxo Wellcome Indonesia

Ventolin Rotahaler

PT. Glaxo Wellcome Indonesia

n/a
n/a

PT. Kimia Farma


PT. Holi Pharma

n/a

PT. Hexpharm Jaya Laboratories

n/a

PT. Bernofarm

n/a

PT. Holi Pharma

n/a

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Dexa Medica

n/a

PT. Novell Pharmaeutical Laboratories

n/a

PT. Bernofarm

n/a

PT. Ifars Pharmaceutical Laboratories

n/a

PT. Holi Pharma

n/a

PT. Hexpharm Jaya Laboratories

n/a

PT. Natura Laboratoria Prima

Banadoz 100

PT. Sandoz Indonesia

n/a

PT. Hexpharm Jaya Laboratories

n/a

PT. Natura Laboratoria Prima

Zinnat 500

PT. Glaxo Wellcome Indonesia

n/a

PT. Pertiwi Agung

n/a

PT. Lucas Djaja

Cyclovid 1000 mg

PT. Novell Pharmaeutical Laboratories

Cyclovid 200 mg

PT. Novell Pharmaeutical Laboratories

Sandimmun Neoral 100mg Kap

PT. Novartis Indonesia

Sandimmun Neoral 25mg Kap

PT. Novartis Indonesia

n/a

PT. Pertiwi Agung

n/a

PT. Natura Laboratoria Prima

n/a

PT. Natura Laboratoria Prima

n/a

PT. Bernofarm

n/a

PT. Indofarma

n/a

PT. Dexa Medica

n/a

PT. Dexa Medica

Streptase

PT. Dexa Medica

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


Prograf

PT. Combiphar

Prograf

PT. Combiphar

Harnal D 0.2 mg Disp. Tablet

PT. Combiphar

Harnal D

PT. Combiphar

Harnal OCAS 0.4 mg Tablet

PT. Combiphar

Sebivo 600 mg Tab

PT. Novartis Indonesia

Micardis 40mg

PT. Boehringer Ingelheim

n/a

PT. Kimia Farma

Bricasma Respules

PT. AstraZeneca indonesia

Molasma Tablet

PT. Molex Ayus

Bricasma Turbuhaler 0,5 mg

PT. AstraZeneca indonesia

Pantocain 0.5%

PT. Cendo Industri Farmasi

n/a

PT. Holi Pharma

Thyrozol 10

PT. Merck Tbk

Thyrozol 5

PT. Merck Tbk

Isotic Adretor 0,25%

PT. Pratapa Nirmala

Isotic Adretor 0,5%

PT. Pratapa Nirmala

Spiriva 10s + Handihaler

PT. Boehringer Ingelheim

n/a

PT. Natura Laboratoria Prima

Travatan

PT. Tempo Scan Pacific

Nasacort AQ

PT. Aventis Pharma

n/a

PT. Darya Varia

Soft U Derm

PT. Galenium Pharmasia Laboratories

Imovax Polio

PT. Aventis Pharma

Depakote ER 250 mg
Depakote ER 500 mg

PT. Abbott Indonesia


PT. Abbott Indonesia

Diovan 80mg Tab

PT. Novartis Indonesia

DIOVAN 160 MG

PT. Novartis Indonesia

Isoptin 240 mg
n/a

PT. Abbott Indonesia


PT. Kimia Farma

Vinblastine

PT. Combiphar

Navelbine injeksi 10

PT. Mugi Laboratories

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

Zincpro Drops

PT. Combiphar

Zircum Kid Sirup

PT. Meprofarm

n/a

PT. Indofarma

1 blister@24 tablet

1,409.00

Download

Download

Dus, 3 Blister @ 10
kapsul

28,875.00 Download

Download

Dus, 10 dus @ 1
botol @ 10 ml

4,041.00

Download

Download

Dus, 5 strip @ 6
tablet

354.00

Download

Download

Box, 10 strips @ 10
tablets

88.00

Download

Download

Download

Download

410.00

Download

Download

180.00
239.00

Download
Download

Download
Download

Dus, 1 vial@50mg + 3,800,000


Download
1 vial pelarut @ 50ml .00

Download

tube 3.5 gr

18,500.00 Download

Download

Vial 2 ml
dus 30 ampul @10
ml
Botol @100 Tablet

50,500.00 Download

Download

4,013.00

Download

Download

82.00

Download

Download

Dus, 6 ampul @ 3 ml 12,480.00 Download

Download

Dus, 3 blister @ 10
tablet

1,300.00

Download

Download

Dus, 10 strip @ 10
tss

117.00

Download

Download

Box, 3 strips @ 10
tablets

341.00

Download

Download

Box, 3 strips @ 10
tablets

192.00

Download

Download

Dus, 10 blister @ 12
210.00
kapsul

Download

Download

KOTAK @ 10 x 10 TAB 270.00

Download

Download

Dus, Botol 60 ml
btl @ 60 ml
Dus, 10 vial @ 1 g

Download
Download
Download

Download
Download
Download

Dus, 10 blister @ 10
214.50
tablet
Dus, 10 Strip @ 10
tablet
strip
Ktk 10x10 tablet

4,212.00
2,500.00
5,355.00

dus, 5 solostar pen @


85,000.00 Download
3ml

Download

Injeksi 100 IU/ml,


Flexpen disposible 3 106,000.0
Download
ml (1 box isi 5
0
flexpen disposible)

Download

102,375.0
Download
0

Download

Injeksi 100 IU/ml,


Flexpen disposible 3
85,345.00 Download
ml (1 box isi 5
flexpen disposible)

Download

200,000.0
Download
0

Download

dus, 5 solostar pen @


83,125.00 Download
3ml

Download

Penfill cartridge

83,125.00 Download

Download

Dus, 2 blister @ 14
Tablet

32,000.00 Download

Download

Dus, 10 Strip @ 10
Tablet

74.00

Download

Download

btl @ 60 ml

2,160.00

Download

Download

Dus, 25 tube @ 5 g

2,641.00

Download

Download

ktk 10 x 10 tablet

544.00

Download

Download

Btl 100 tablet

142.00

Download

Download

1,575.00

Download

Download

23,100.00 Download
163.00
Download

Download
Download

Penfill cartridge

Dus, vial 10 ml

Dus, 5 strip @ 10
tablet
Dus 6 amp @ 1ml
ktk 10x10 tablet

Dus 10 strip x 10 tab 100.00


Botol @ 100 tablet
Boks, 1 ampul

Download

Download

50.00
Download
2,209,000
Download
.00

Download

Dus, 10 blister @ 10
116.00
kaptab ss
Strip
1,815.00
Dus, 10 ampul @ 5
3,500.00
ml

Download

Download

Download

Download

Download

Download

Download

Download

Download

24,750.00 Download
245.00
Download

Download
Download

346.00

Download

Download

10.000 UI/Vial

1,039,500
Download
.00

Download

Dus 5 strip @ 10
tablet

210.00

Download

Download

ampul @ 2,5 ml

13,828.00 Download

Download

Dus, 10 strip @ 10
tablet

77.00

Download

Download

botol @ 60 ml

34,500.00 Download

Download

ktk 2x10 tablet

4,613.00

Download

Download

Strip

3,500.00

Download

Download

Dus @ 50 gram

1,250.00

Download

Download

Dus @ 10 Vial
Dus @ 10 Vial

10,290.00 Download
14,070.00 Download
3,200,000
Download
.00

Download
Download

3,600.00

Download

Dus, 10 ampul @ 5
ml
Tube 3,5 gram
ktk 10x10 tablet
Dus, 5 strip @ 10
tablet

Vial
Box/ 3 blister @ 10
Tablet

3,100.00

Download

Box @ 3 blister @ 10
3,600.00 Download
Tablet
Tube 5 gr
1,558.00 Download
Dus, 2 blister @ 14
72,400.00 Download
Tablet
Dus, 2 blister @ 14
Tablet
Supp

Download

Download
Download
Download

45,000.00 Download

Download

6,045.00

Download

Download

Box 3 X 10 tab
Box 3 x 10'S

669.00
Download
247,089.0
Download
0

Download
Download

Dus, 1 Turbuhaler @
93,000.00 Download
100 dosis

Download

Dus, 4 pak @ 5
respules @ 2 ml

Download

Download

Dus, 1 Turbuhaler @ 117,600.0


Download
120 dosis
0

Download

Dus, 1 Turbuhaler @ 110,500.0


Download
60 dosis
0

Download

Dus, 5 ampul @ 4 ml 26,880.00 Download

Download

Dus, 3 blister @ 10
kapsul

12,936.00 Download

Download

Dus, 3 blister @ 10
kapsul

12,936.00 Download

Download

Dus, 4 blister @ 7
tablet

80,000.00 Download

Download

Dus, 4 blister @ 7
tablet

155,000.0
Download
0

Download

Dus, Botol @ 500ml

2,600,000
Download
.00

Download

Dus, Botol @ 100


tablet

25,300.00 Download

Download

Dus, 10 vial @
500mg

112,000.0
Download
0

Download

8,900.00

Dus, 100 ampul @ 1


1,659.00
ml

Download

Download

STRIP

64.00

Download

Download

9,983.00

Download

Download

46.00

Download

Download

ampul @ 1 ml

1,107.00

Download

Download

Box 10 X 10 Tab
Ktk 10X10 TAB

100.00
137.00
134,050.0
0
49,000.00

Download
Download

Download
Download

Download

Download

Download

Download

3 blister @ 10 kapsul 3,850.00

Download

Download

3 blister @ 10 kapsul 4,216.00

Download

Download

Kotak, tube @ 15
gram
Btl 100

10 vial @ 50mg
Vial 5 mL

Btl 100 tablet

107.00

Download

Download

botol 15 ml

37,500.00 Download

Download

Dus, 5 blister @10's


tab

3,480.00

Download

Download

Dus, 5 blister @10's


tab

5,480.00

Download

Download

Dus, 1 vial @ 10 mg 60,375.00 Download

Download

btl @ 60 ml
strip

3,410.00
170.00

Download
Download

Download
Download

Dus, botol @ 10 ml

16,350.00 Download

Download

Dus, 1 vial @0,5 ml+


970,200.0
1 vial pelarut @1,5
Download
0
ml

Download

Dus, Botol Plastik @


30 Tablet
Botol 30 tab
Dus, 2 blister @ 15
tablet

7,455.00

Download

Download

6,375.00

Download

Download

42,600.00 Download

Download

dus, 2 prefilled
syringe @ 0,2 ml

42,780.00 Download

Download

dus, 2 prefilled
syringe @ 0,4 ml

75,465.00 Download

Download

dus, 2 prefilled
syringe @ 0,6 ml

105,000.0
Download
0

Download

Dus @ 30 Ampul

8,505.00

Download

Download

Vial @ 25 ml

600,000.0
Download
0

Download

Dus, 1 vial @5 ml

128,000.0
Download
0

Download

Dus 3 strip @ 10
Flash tablet

680.00

Download

Download

Download

Download

Download

Download

Download

Download

Dus, Botol Plastik @


8,000.00
100 mL
ktk 10 x 10 kapsul
509.00
Dus, 10 blister @ 10
976.00
kss
Botol @60 ml

7,893.00

Download

Download

Prefilled Syringe @
1ml

128,000.0
Download
0

Download

ktk 20 x 10 tablet
ktk 10 x 10 tablet
btl @ 100 ml

139,500.0
0
322.00
466.00
2,575.00

Download
Download
Download

Download
Download
Download

Dus, 1 blister @ 1
subdermal implant

128,779.0
Download
0

Download

Boks, 6 ampul

ampul @ 5ml
Botol 10 ml
Dus, 6 blister @ 10
tablet

Download

Download

100,900.0
Download
0
17,500.00 Download

Download
Download

11,813.00 Download

Download

Dus, 6 blister @ 10
tablet

23,250.00 Download

Download

KOTAK @ 1 VIAL
SERBUK OBAT &
INFUSION KIT

9,200,000
Download
.00

Download

KOTAK @ 10 ampul

20,850.00 Download

Download

Botol @ 100
Dus @ 30 Ampul
Dus, 3 strip @ 10
kapsul

140.00
1,890.00

Download
Download

Download
Download

1,075.00

Download

Download

Dus, 3 strip @ 10
kapsul

1,375.00

Download

Download

Dus @ 10 X 10 's

304.00

Download

Download

Dus 45 x 12 tab

235.00

Download

Download

Dus @ 10 X 10 's

535.00

Download

Download

Dus, Canister 200


dosis

117,500.0
Download
0

Download

Dus 5 ampul@ 10ml

134,400.0
Download
0

Download

Dus 5 ampul@ 2ml

35,610.00 Download

Download

Dus @ 5 patch

81,375.00 Download
160,650.0
Download
0

Download

Dus@ 5 patch

Download

Dus@ 5 patch

299,250.0
Download
0

Download

pfs @ 0,5 ml

400,000.0
Download
0

Download

Botol @ 100 tablet


salut gula

666.00

Download

Download

Dus, 5 vial @ 50 mg

1,248,319
Download
.00

Download

Dus, 4 blister @ 5
tablet salut selaput

275,000.0
Download
0

Download

Dus, 5 ampul @ 1ml 55,000.00 Download

Download

ktk 1 x 10 kapsul
strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml

23,100.00
439.00
454.00
25,725.00
35,500.00

Download
Download
Download
Download
Download

Download
Download
Download
Download
Download

Dus, Tube 5 g

2,500.00

Download

Download

Dus, Botol 120 Dosis


98,000.00 Download
Spay

Download

Dus, 2 flow wrap@ 5


nebules @ 1 dosis
13,563.00 Download
(2ml)

Download

Dus, 2 pfs 0.5 ml

253,750.0
Download
0

Download

Dus, 25 ampul @ 2
ml

1,920.00

Download

Download

Dus, 10 strip @ 10
tablet

80.00

Download

Download

Boks, 1 ampul

399,500.0
Download
0

Download

Dus @ 100 Sachet

303.00

Download

Download

Dus, 1 blister @ 10
tablet

295,000.0
Download
0

Download

Dus, 10 blister @ 12
303.00
kapsul

Download

Download

Dus, 10 blister @ 10
713.00
kaptab

Download

Download

vial

1,113,850
Download
.00

Download

Dus, 1 vial @200 mg

330,000.0
Download
0

Download

Dus, 5 ampul @ 2 ml 3,569.00

Download

Download

Tube @ 3,5 gr
Dus, botol plastik 5
ml

2,660.00

Download

Download

3,353.00

Download

Download

Download

Download

Download

Download

638.00

Download

Download

950.00

Download

Download

272.00
447.00
414.00
441.00
1,493.00
2,171.00
1,575.00
5,600.00
5,985.00
5,460.00
2,300,000
.00

Download
Download
Download
Download
Download
Download
Download
Download
Download
Download

Download
Download
Download
Download
Download
Download
Download
Download
Download
Download

Download

Download

Dus, 10 blister @ 10
58.00
kaptab
Strip
250.00
Dus, 6 strip @ 10
tablet lepas lambat
Dus, 10 Strip @ 10
tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Dus 10x10
Dus 10x10
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml
Dus, 1 syringe @
10.8 mg

Dus, 1 syringe @ 3.6 840,000.0


Download
mg
0
Dus @ 10 X 10 's
220.00
Download
Dus 5 Ampul@1mL

87,500.00 Download

Download
Download
Download

Dus, 10 blister @ 10
61.00
tablet

Download

Download

Dus, 10 blister @ 10
100.00
tablet

Download

Download

Dus, 10 blister @ 10
72.00
tablet

Download

Download

KOTAK @ 10 x 10 TAB 130.00

Download

Download

673,500.0
Download
0

Download

Botol

Dus, 1 syringe @ 0.5 1,328,000


Download
mL
.00
Tube 5 gr
2,868.00 Download
box 5ampul @1 ml

4,725.00

Download

Download
Download
Download

Dus, vial 10 ml

138,000.0
Download
0

Download

Dus, vial 10 ml

138,000.0
Download
0

Download

Dus, 1 Vial @ 5 ml

72,000.00 Download

Download

Injeksi 100 IU/ml,


penfill disposible 3
76,125.00 Download
ml (1 box isi 5 penfill
disposible)

Download

penfillcartridge @
3ml

75,000.00 Download

Download

Dus Isi 5
penfill/cartridge @
3ml

76,125.00 Download

Download

Injeksi 100 IU/ml,


penfill disposible 3
76,125.00 Download
ml (1 box isi 5 penfill
disposible)

Download

Dus Isi 5
penfill/cartridge @
3ml

76,125.00 Download

Download

Dus, vial 10 ml

138,000.0
Download
0

Download

Dus, vial 10 ml

138,000.0
Download
0

Download

Injeksi 100 IU/ml,


penfill disposible 3
76,125.00 Download
ml (1 box isi 5 penfill
disposible)

Download

Dus Isi 5
penfill/cartridge @
3ml

76,125.00 Download

Download

penfill cartridge @
3ml

75,000.00 Download

Download

Dus, vial 10 ml

138,000.0
Download
0

Download

Dus, vial 10 ml

138,000.0
Download
0

Download

Dus, 1 Vial @ 5 ml

72,000.00 Download

Download

Dus, botol 60 ml
Dus, botol 60 ml
strip

Download
Download
Download

Download
Download
Download

Download

Download

3 blister @ 10 tablet 4,104.00

Download

Download

3 blister @ 10 tablet 2,226.00

Download

Download

Dus, botol @ 100 ml

350,000.0
Download
0

Download

Dus, vial @ 30 ml

122,000.0
Download
0

Download

Dus, vial @ 50 ml

166,000.0
Download
0

Download

Dus, botol @ 100 ml

369,000.0
Download
0

Download

Dus, vial @ 30 ml

147,000.0
Download
0

Download

Dus, vial @ 50 ml

199,000.0
Download
0

Download

Botol

245,000.0
Download
0

Download

Botol

123,200.0
Download
0

Download

Botol

299,000.0
Download
0

Download

Botol

150,300.0
Download
0

Download

Dus, 5 blister @ 10
kss

1,496.00

Download

Download

Dus, 5 blister @ 10
kss

2,593.00

Download

Download

Dus, 1 vial @2 ml

510,000.0
Download
0

Download

93.00

Download

Download

733.00

Download

Download

1,580.00

Download

Download

Ampul

7,800.00

Download

Download

Dus, 3 Blister @ 10
tablet

5,145.00

Download

Download

Dus, 1 vial @ 1 g

Dus, 10 strip @ 10
tablet
Strip
Dus, 10 strip @ 10
tablet

3,674.00
4,724.00
153.00
1,329,163
.00

Dus, 3 Blister @ 10
tablet
Boks, 120 tablet
Dus, 10 strip @ 10
tablet

Download

Download

27,500.00 Download

Download

141.00

Download

Download

Dus, 10 strip @10


tablet

89.00

Download

Download

Dus, 10 strip @ 10
tablet

62.00

Download

Download

Dus, botol @ 120 ml 44,770.00 Download

Download

Dus, 10 blister @ 10
257.00
tablet

Download

Download

Dus,botol 100 tablet 875.00

Download

Download

Fenol 100 mg / 1 ml

Download

Download

Vial @ 10 ml
tube 10 gr

3,255.00

2,144.00

110,000.0
Download
0
2,633.00 Download

Download
Download

Box isi 1 Tube @ 15 g 4,930.00

Download

Download

Dus, 5 Strip @ 10
tablet

300.00

Download

Download

Dus, 10 Ampul @ 1
ml

2,590.00

Download

Download

Dus, 3 Strip @ 10
Kaplet salut selaput

3,350.00

Download

Download

Dus, 5 blister @ 10
kapsul

379.00

Download

Download

Dus, 3 strip @ 10
kapsul

570.00

Download

Download

Dus, 10 Strip @ 10
tablet

900.00

Download

Download

Dus, 10 strip @ 10
tablet

214.00

Download

Download

Dus, 3 strip @ 10 tab 3,570.00

Download

Download

Tube 5 gr
Botol @ 60 ml
ktk 10x10 tablet
Dus @ 30 Ampul

1,640.00
3,865.00
153.00
1,155.00

Download
Download
Download
Download

Download
Download
Download
Download

Dus @ 30 Ampul

1,103.00

Download

Download

KOTAK @ 5 x 10 TAB 5,000.00

Download

Download

KOTAK @ 5 x 10 TAB 1,550.00

Download

Download

ktk 10x10 tablet


ktk 10x10 tablet
ktk 10x10 tablet

525.00
893.00
1,155.00

Download
Download
Download

Download
Download
Download

Botol @ 60 ml

12,450.00 Download

Download

Dus, 100 Sachet @


30 Tablet

43.00

Download

Download

botol 15 ml

15,750.00 Download

Download

Dus, 4 blister @ 6
tablet

3,220.00

Download

Download

Dus, botol plastik @


30 tablet salut
selaput

8,900.00

Download

Download

Dus, Botol 120 Dosis 95,200.00 Download

Download

Dus, foil strip @ 60


dosis

105,871.0
Download
0

Download

Dus, foil strip @ 60


dosis

119,000.0
Download
0

Download

STRIP

145.00

Download

Download

Botol, 60 ml

2,222.00

Download

Download

ktk 60 tablet

704.00

Download

Download

Download

Download

567.00
Download
1,470.00 Download
82,042.00 Download

Download
Download
Download

473.00

Download

Download

Dus, 7 Blister @ 10
tablet

70,560.00 Download

Download

botol 500 ml

56,300.00 Download

Download

Softbag 500 ML

56,300.00 Download

Download

ktk 100 amp @ 2 ml 6,510.00


ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial
Dus, 2 strip @ 10
kapsul

Softbag 500 ML

39,375.00 Download

Download

Double Chamber
Softbag 1000 ML

115,500.0
Download
0

Download

Double Chamber
Softbag 500 ML

64,680.00 Download

Download

botol 500 mL

75,350.00 Download

Download

Botol Gelas 100 ml

36,667.00 Download

Download

Botol Gelas 250 ml

50,820.00 Download

Download

Softbag 200 ML

46,000.00 Download

Download

Softbag 500 ML

65,000.00 Download

Download

Botol Gelas 500 ml

82,418.00 Download

Download

botol 250 ml

51,260.00 Download

Download

botol 500 ml

64,900.00 Download

Download

botol 500 mL

42,000.00 Download

Download

botol 250 mL

46,000.00 Download

Download

Bag (3 Chamber)
1440 ml

295,240.0
Download
0

Download

Bag (3 Chamber)
1920 ml

343,842.0
Download
0

Download

Bag Double chamber


322,000.0
(Dua compartement),
Download
0
1000 mL

Download

Bag Double chamber


218,700.0
(Dua compartement),
Download
0
1000 mL

Download

Ampoel 25 ML

2,153.00

Download

Download

Botol 1000 ml

8,000.00

Download

Download

Plastic Bottle 500 ML 9,000.00

Download

Download

Plastic Bottle 500 ML 9,000.00

Download

Download

flexybag 250 mL

87,000.00 Download

Download

LDPE (Low Density


Poly Ethilene), botol
plastik

12,650.00 Download

Download

botol 500 mL

50,500.00 Download

Download

Flexy bag 500 mL

42,350.00 Download

Download

Plastic Bottle 500 ML 30,625.00 Download

Download

Plastic Bottle 500 ML 55,500.00 Download

Download

botol 500 mL

Download

37,500.00 Download

Botol Plastik 1000 mL

210,000.0
Download
0

Download

Botol Plastik 1000 mL

199,000.0
Download
0

Download

botol 500 mL

56,000.00 Download

Download

Botol 500 ml

9,500.00

Download

Download

Botol 500 ml

6,800.00

Download

Download

Botol 500 ml

7,263.00

Download

Download

Botol 500 ml

8,085.00

Download

Download

Botol 500 ml

8,085.00

Download

Download

softbag 500ml

35,750.00 Download

Download

Botol 500 ml

6,930.00

Download

Download

Plastic Bottle 500 ML 9,625.00

Download

Download

Plastic Bottle 500 ML 10,000.00 Download

Download

Plastic Bottle 500 ML 10,000.00 Download

Download

20%, Botol Kaca


@100 ml, single
bottle

105,500.0
Download
0

Download

Botol Gelas 100 ml

60,500.00 Download

Download

20%, Botol Kaca


@250 ml, single
bottle

210,000.0
Download
0

Download

Bag, 3 chamber ( 3
591,000.0
kompartemen), 1250
Download
0
ml

Download

Bag, 3 chamber ( 3
511,000.0
kompartemen), 1250
Download
0
ml

Download

Bag, 3 chamber ( 3
kompartemen), 625
ml

358,000.0
Download
0

Download

Flexy bag 100 mL

89,800.00 Download

Download

strip 5 x 0.6 ml

72,000.00 Download

Download

Vial

700,000.0
Download
0

Download

Vial

2,700,000
Download
.00

Download

Botol @ 100 ml

41,905.00 Download

Download

STRIP

554.00

Download

Download

Dus, 100 ampul @ 2


879.00
ml

Download

Download

Dus, 30 ampul @ 2
ml

Download

Download

Dus, 10 syringe @ 10
40,000.00 Download
g

Download

Box ,3 Strip @ 10
tablet

630.00

Download

Download

Box ,3 Strip @ 10
tablet

365.00

Download

Download

KOTAK @ 10 x 10 TAB 1,050.00

Download

Download

KOTAK @ 10 x 10 TAB 1,850.00

Download

Download

Dus, 10 Strip @ 10
Tablet

92.00

Download

Download

STRIP

162.00

Download

Download

Download

Download

1,431.00

KOTAK @ 10 x 10 TAB 1,381.00

botol 500 ml

62,000.00 Download

Download

Strip

1,200.00

Download

Download

KOTAK @ 5 x 10 TAB 3,374.00

Download

Download

Box, Tablet 2 mg/25's 12,210.00 Download

Download

Dus, 1 vial @ 1 g
Dus, 1 vial @ 0.5 g
Dus, 15 Ampul

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Dus, 10 blister @ 10
114.50
tablet

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ktk 10 x 10 tablet
salut

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Dus, 1 vial @ 125 mg 22,740.00 Download

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Dus, 1 vial @ 500 mg 93,990.00 Download

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Strip
681.00
Dus, 10 Blister @ 10
210.00
Tablet

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375.00

Download

Download

96.00
111.00

Download
Download

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Download

10,250.00 Download

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Dus, 2 blister @ 5
suppositoria

3,220.00

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10 strip @ 10 tab

113.00

Download

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10 strip @ 10 tab

164.00

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Dus @ 5 vial

1,237,500
Download
.00

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ampul

5,762.00

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ampul

9,114.00

Download

Download

Botol 1000 ml

57,000.00
45,000.00
74,998.00
266,805.0
0

162.00

Dus, botol plastik @


30 kapsul pelepasan 6,537.00
lambat

Dus, 10 Blister @ 10
tablet
Dus @ 10 X 10 's
ktk 10 x 10 tablet
Dus, 1 Botol @ 100
ml

Dus,1 vial@50mg
Tube 10 gram
10 mg /Vial
botol, tetes mata 3
ml
tube 10 gram

260,000.0
Download
0
3,075.00 Download
697,000.0
Download
0

Download
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Download

77,000.00 Download

Download

17,820.00 Download

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Dus 10 amp @ 1 ml

8,820.00

Download

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Dus, 6 strip @ 10
tablet

15,620.00 Download

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Dus, 6 strip @ 10
tablet

22,990.00 Download

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Ktk 10 ampul @ 1ML 11,024.00 Download

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Botol 30 tablet
1,365.00 Download
Botol 500 ml
4,935.00 Download
Dus, 5 blister @ 2 pfs
56,851.00 Download
0.3 ml

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Dus, 5 blister @ 2 pfs


69,972.00 Download
0.4 ml

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Dus, 5 blister @ 2 pfs


99,710.00 Download
0.6 ml

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Dus, 5 Ampul @ 2ml 64,680.00 Download

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Ampoel 25 ML
Dus @ 5 X 10 's
Dus @ 5 X 10 's
Botol, 45 ml
Tube 5 gr
btl 60 tablet
blister
blister

6,510.00
185.00
140.00
33,900.00
6,555.00
2,940.00
2,999.00
3,500.00

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Dus, 10 Strip @ 10
tablet salut selaput

110.00

Download

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672.00
Download
2,618.00 Download
377,900.0
Download
0

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Dus @ 10 X 10 's
blister
Paket

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Paket

1,259,990
Download
.00

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Paket

225,740.0
Download
0

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Dus, 3 blister @ 28
kss

168,000.0
Download
0

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Dus, 1 dus @ 60
blister @ 8 tablet
tahap intensif
302,605.0
kategori 1 + 1 Dus @
Download
0
54 blister @ 3 tablet
tahap lanjutan
kategori 1

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Dus, 60 sachet tahap


intensif @ (1 tablet
Isoniazid, 2 kapsul
Rifampicin, 2 tablet
180,595.0
Pyrazinamide) + 120
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0
sachet tahap
lanjutan @ (1 tablet
Isoniazid, 2 kapsul
Rifampicin)

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Box ,5 Strip @ 10
tablet

420.00

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680.00

Download

Download

28,928.00 Download

Download

Dus, vial @ 355m +


1 prefilled syringe
2,950,000
Download
pelarut @ 2,5 ml + 2 .00
jarum suntik

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Box ,5 Strip @ 10
tablet
botol @ 10 ml

Vial
3 X 10 fcc
3 X 10 fcc

120,000.0
Download
0
6,773.00 Download
11,760.00 Download

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Dus, 1 Vial @ 40 mg 38,000.00 Download

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strip

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Dus, 5 Ampul @ 2ml 2,400.00

Download

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Box 3 X 10 Tab
Box 3 X 10 Tab

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Download

216.00

759.00
1,261.00

Transfer Set: Set;


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

1,902,240
Download
.00

Download

Set

219,540.0
Download
0

Download

Larutan Dialisa 1.5


%: 2.000 ml; Larutan
Dialisa 2.5 %: 2.000
5,522,580
ml; Larutan Dialisa
Download
.00
4.25 %: 2.000 ml;
Minicap: Kantong
Plastik

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Dus, 15 botol

5,460.00

Download

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botol 60 ml

1,496.00

Download

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STRIP

84.00

Download

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Boks, 1 pfs

1,077,815
Download
.00

Download

Boks, 1 pfs

1,248,220
Download
.00

Download

Dus, botol plastik @


30 tablet salut
selaput

2,420.00

Download

Download

Tube @ 10 g

11,475.00 Download

Download

Ktk 10 ampx2ml

15,225.00 Download

Download

3,600.00

Download

Download

5,225.00
8,728.00

Download
Download

Download
Download

308.00

Download

Download

220.00

Download

Download

17,993.00
38,594.00
2,250.00
14,771.00

Download
Download
Download
Download

Download
Download
Download
Download

dus 2 blister@ 7
Tablet
Strip
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

7,200.00

Download

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Dus, 3 alu blister @


10 tablet

11,268.00 Download

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Box ,5 Strip @ 10
tablet

2,400.00

Download

Download

Dus, 10 strip @ 10
tablet

79.00

Download

Download

Dus, 10 strip @ 10
tablet

110.00

Download

Download

Dus, 1 blister @ 10
tablet

17,391.00 Download

Download

Dus, 1 blister @ 10
tablet

19,500.00 Download

Download

Dus, 1 blister @ 10
tablet

23,185.00 Download

Download

Dus, 10 Strip @ 10
kaptab

600.00

Download

Download

Dus, 10 Ampul @ 2
ml

1,190.00

Download

Download

Dus, 10 Strip @ 10
Tablet

122.00

Download

Download

btl 50 kapsul lunak

482.00

Download

Download

Botol 50 kapsul lunak 273.00

Download

Download

Botol 50 Kapsul
botol 500 ml
Dus, 5 Blister @ 10
tablet

482.00
5,460.00

Download
Download

Download
Download

1,400.00

Download

Download

KOTAK @ 5 x 10 TAB 1,038.00

Download

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Download

23,500.00 Download
23,500.00 Download
23,500.00 Download

Download
Download
Download

Dus, 7 blister @ 4
Tablet lepas Lambat

5,510.00

Download

Download

Dus, 7 blister @ 4
Tablet lepas Lambat

6,589.00

Download

Download

Dus, 5 Blister @ 10
tablet
Blister
Blister
Blister

2,000.00

Dus, 7 blister @ 4
Tablet lepas Lambat

Download

Download

Dus, botol 200 dosis 66,938.00 Download

Download

Dus, 10 Blister @ 10
452.00
Kapsul

Download

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Dus, 1 Rotahaler

6,160.00

Download

Download

ktk 10 x 10 tablet
Dus, Botol 60 ml

91.00
5,064.00

Download
Download

Download
Download

strip

530.00

Download

Download

519.00

Download

Download

6,149.00

Download

Download

1,100.00

Download

Download

Dus, 2 Vial @ 1 gram 17,325.00 Download

Download

vial

Download

Dus, 10 strip @ 10
kapsul
Dus, Botol 60 ml
Dus, 5 Strip @ 10
Kapsul

7,753.00

45,048.00 Download

Dus, 10 blister @ 10
869.00
kapsul

Download

Download

Dus, Botol 30 ml

9,000.00

Download

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Dus, 2 vial @ 1 g

13,330.00 Download

Download

vial

4,900.00

Download

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Dus, 10 Vial @ 1 g

3,150.00

Download

Download

Dus, 3 blister @ 10
tablet

3,700.00

Download

Download

Dus, 2 vial @ 1 g

17,913.00 Download

Download

Dus, 10 Vial @ 1 g

3,500.00

Download

Download

Dus, 1 Blister @ 10
Tablet salut selaput

7,200.00

Download

Download

Box, 10 strips @ 10
capsules

186.00

Download

Download

100 ampul @ 1 ml

1,132.00

Download

Download

vial

268,800.0
Download
0

Download

vial

86,100.00 Download

Download

Dus, 10 blister @ 5
kapsul lunak

43,000.00 Download

Download

Dus, 10 blister @ 5
kapsul lunak

12,000.00 Download

Download

Box,3 strips @ 10
tablets

174.00

Download

Download

Dus, 3 Strip @ 10
Kaplet salut selaput

394.00

Download

Download

Dus, 1 Botol @ 100


mL

17,500.00 Download

Download

Dus, 10 blister @ 10
260.00
tab ss

Download

Download

Dus, 5 strip @ 10
tablet

1,574.00

Download

Download

Dus, 10 Strip @ 10
tablet

900.00

Download

Download

Dus, 10 Strip @ 10
tablet

320.00

Download

Download

Vial

3,290,000
Download
.00

Download

dus 5 amp @ dus 10

133,350.0
Download
0

Download

Pounch @ 5 blister @
11,725.00 Download
10 capsule

Download

Dus, 1 pouch @5
blister@10 kaps

21,500.00 Download

Download

Box/ 2 blister @ 14
tablet

5,800.00

Download

Download

Box @ 2 blister @ 14
5,800.00
tablet

Download

Download

Box/ 3 blister @ 10
Tablet

6,800.00

Download

Download

Dus, 2 blister @ 14
tablet

28,500.00 Download

Download

3,900.00

Download

Download

8,100.00

Download

Download

6,250.00

Download

Download

Dus, 2 alu-blister
@10 tablet
Botol 30 tab
Dus, 2 pak @ 5
respules

Box 50's
100.00
Download
Dus, 1 Turbuhaler @
71,100.00 Download
200 dosis

Download

botol 5 ml

11,500.00 Download

Download

Dus, 10 strip @ 10
kapsul

154.00

Download

Download

Dus, 10 blister @ 10
1,135.00
tablet

Download

Download

Dus, 10 blister @ 10
563.00
tablet

Download

Download

Dus, Botol Plastik @


5ml

9,397.00

Download

Download

Dus, Botol Plastik @


5ml

9,996.00

Download

Download

Dus, 1 blister @10


kapsul + handihaler

152,543.0
Download
0

Download

Dus, 10 Ampul @ 2
ml

2,520.00

Download

Download

botol, tetes mata 2,5 115,000.0


Download
ml
0

Download

Dus, botol plastik


120 dosis
strip

Download

90,000.00 Download

Download

425.00

Download

Download

tube

6,720.00

Download

Download

1 vial of 10ml (10


d's)
Tablet
Tablet
Dus, 2 blister @ 14
tablet

285,000.0
Download
0
2,793.00 Download
5,450.00 Download

Dus, 2 blister @ 14
tablet
Tablet
Ktk 10X10 TAB
Vial 10mg/10ml
Dus, 1 vial @ 1 ml

Download
Download
Download

3,900.00

Download

Download

6,500.00

Download

Download

6,200.00 Download
240.00
Download
210,000.0
Download
0

Download
Download

1,229,998
Download
.00

Download
Download

Dus 10 strip x 10 tab 110.00

Download

Download

Botol 60 tablet

Download

Download

3,600.00

Drops 10 mg/ml,
Botol @15 ml
Dus, botol 60 ml
Dus, 10 strip @ 10
tablet dispersible

12,840.00 Download

Download

7,770.00

Download

Download

497.00

Download

Download

4/23/2013 10:24
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4/3/2014 21:30
3/15/2014 16:05
4/23/2013 10:24
3/18/2014 20:03
3/18/2014 20:03
3/18/2014 20:03
3/18/2014 20:03
3/16/2014 18:23
3/18/2014
4/23/2013
4/23/2013
5/21/2014
3/16/2014
4/23/2013
3/16/2014
3/16/2014

20:03
10:24
10:24
20:01
18:23
10:24
18:23
18:23

3/15/2014 16:05
4/23/2013 10:24
3/16/2014 18:23
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24

4/23/2013 10:24

4/23/2013 10:24

4/23/2013 10:24

4/23/2013 10:24
4/23/2013 10:24
3/16/2014 18:23

4/3/2014 21:30

5/21/2014 20:01
3/16/2014 18:23
3/16/2014 18:23
3/15/2014 16:05
4/23/2013 10:24
3/15/2014 16:05
3/15/2014 16:05
3/15/2014 16:05

3/15/2014 16:14

3/15/2014 16:14

3/16/2014 19:49

5/20/2014 18:46
4/23/2013 10:24
4/23/2013 10:24
3/16/2014 19:08
3/16/2014 19:08
4/3/2014 21:30
3/16/2014 19:08
3/15/2014 16:05
3/16/2014 18:23
3/16/2014 18:23
3/15/2014 16:05
3/15/2014 16:05
4/23/2013 10:24
3/16/2014
3/15/2014
3/15/2014
3/15/2014

18:23
16:05
16:05
16:05

3/16/2014 19:08
3/16/2014 19:08
4/23/2013 10:24
4/23/2013 10:24
3/15/2014 16:05
3/16/2014 19:08
3/16/2014 19:08
3/16/2014 19:08
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
3/18/2014 20:03
7/10/2014 15:53
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
5/21/2014 20:01
5/21/2014 20:01
5/21/2014 20:01
3/18/2014 20:03

3/18/2014 20:03

3/18/2014 20:03
3/18/2014 20:03
3/18/2014 20:03
3/18/2014 20:03
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
3/15/2014 16:05
4/23/2013 10:24
3/15/2014 16:05
3/15/2014 16:05
4/23/2013 10:24
4/23/2013 10:24
7/21/2014 21:08
4/23/2013 10:24
4/23/2013 10:24
3/16/2014 19:08
4/23/2013 10:24
3/15/2014 16:05
3/16/2014 18:23
3/15/2014 16:05
4/23/2013 10:24

3/16/2014 18:23
3/16/2014 18:23
3/16/2014 19:08
3/16/2014 19:08
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
4/23/2013 10:24
4/23/2013 10:24
5/21/2014 20:01
3/18/2014 20:03
3/18/2014 20:03
4/3/2014 21:30
3/16/2014 19:08
3/18/2014 20:03
3/16/2014 19:08
3/16/2014 19:08
6/27/2014 19:33
6/16/2014 19:59
4/3/2014 21:30

3/16/2014 18:23
4/8/2014 18:23
4/3/2014 21:30
4/23/2013 10:24
4/3/2014 21:30
3/18/2014 20:03
3/16/2014 18:23
3/16/2014 18:23
3/16/2014 19:08
4/23/2013 10:24
4/3/2014 21:30
4/3/2014 21:30
4/23/2013 10:24
3/16/2014 18:23
4/3/2014 21:30
3/16/2014 19:08
3/16/2014 19:08
3/16/2014 19:08
4/3/2014 21:30
3/16/2014 19:08
4/23/2013 10:24
3/16/2014 18:23
5/21/2014 14:16
4/23/2013 10:24
3/18/2014 20:03

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

1.

ACT (Artesunate tablet 50 mg +


Amodiaquine anhydrida tablet 200 mg)

n/a

2.

Adefovir Dipivoksil tablet/kaplet 10 mg

Hepsera

3.

Albendazol suspensi 200 mg/5 ml

n/a

4.

Albendazol tablet/kapsul/kaplet 400 mg

n/a

5.

Albumin serum normal (human albumin)


injeksi 20%, 100 ml

Zenalb

6.

Albumin serum normal (human albumin)


injeksi 20%, 50 ml

Zenalb

7.

Alopurinol tablet/kapsul/kaplet 100 mg

n/a

8.

Alopurinol tablet/kapsul/kaplet 300 mg

n/a

9.

Alprazolam tablet/kapsul/kaplet 0,25 mg

n/a

10.

Alprazolam tablet/kapsul/kaplet 0,5 mg

n/a

11.

Alprazolam tablet/kapsul/kaplet 1 mg

n/a

12.

Alteplase injeksi 50 mg/vial

Actilyse

13.

Amfoterisin B salep mata 1%

Fungicide

14.

Amikasin injeksi 250 mg/ml

15.

Aminofilin injeksi 24 mg/ml

Glybotic 250
mg /ml
n/a

16.

Aminofilin tablet scored 200 mg

n/a

17.

Amiodaron injeksi 150 mg/3 ml

Cordarone

18.

Amiodaron tablet/kaplet 200 mg

Kendaron Tablet

19.

Amitriptilin tablet salut 25 mg (HCl)

n/a

20.

Amlodipin tablet 10 mg

n/a

21.

Amlodipin tablet 5 mg

n/a

22.

Amoksisilin kapsul/kaplet 250 mg


n/a
Amoksisilin kapsul/kaplet/tablet scored 500
n/a
mg

23.

24.

Amoksisilin sirup kering forte 250 mg/5 ml n/a

25.

Amoksisilin sirup kering 125 mg/ 5 ml

n/a

26.

Ampisilin serbuk injeksi i.v. 1000 mg/vial

n/a

27.

Analog insulin long acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
(Insulin glargine 100 IU/ml)

Lantus Solostar
100IU/ml 5pens
x3ml

28.

Analog insulin mix acting inj 100 UI/ml,


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

Novomix Flexpen

29.

Analog insulin mix insulininj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
(25% insulin lispro, 75% insulin lispro
protamine suspension, (rDNA))

Humalog Mix 25

30.

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
(Insulin Aspart (Analogue))

Novorapid Vial

31.

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
(Insulin Aspart (Analogue))

Novorapid
Flexpen

32.

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
(Insulin glulisine 100 IU/ml)

Apidra Solostar
100IU/ml 5pens
x3ml

33.

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge
(Insulin lispro (rDNA origin))

Humalog

34.

Anastrozol tablet/kapsul/kaplet 1 mg

Arimidex 1 mg

35.

Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium n/a
Hidroksida 200 mg

36.

Antasida DOEN II suspensi, kombinasi :


Aluminium Hidroksida 200 mg/5 ml
Magnesium Hidroksida 200 mg/5 ml

n/a

37.

Anti Bakteri DOEN salep kombinasi:


Basitrasin 500 IU/g Polimiksin 10.000 IU/g

38.

Antimalaria DOEN kombinasi : Pirimetamin


n/a
25 mg Sulfadoksin 500 mg

39.

Antimigren: Ergotamin Tartrat 1 mg +


Kofein 50 mg

n/a

40.

Antiparkinson DOEN tablet kombinasi :


Benserazid 25 mg Levodopa 100 mg

Levopar Tablet

41.

n/a

Artemether injeksi 80 mg/ml


Asam Asetilsalisilat (asetosal) tablet 100
mg

Artem

43.

Asam Askorbat (Vitamin C) tablet 250 mg

n/a

44.

Asam Askorbat (Vitamin C) tablet 50 mg

n/a

45.

Asam Folat tablet/kapsul/kaplet 0,4 mg

Starfolat

46.

Asam Folat tablet/kapsul/kaplet 1 mg

n/a

47.

Asam Ibandronat injeksi 6mg/6ml

Bondronat

48.

Asam Mefenamat kapsul/kaplet 500 mg

n/a

49.

Asam pipemidat kapsul 400 mg

Urotractin 400
mg

50.

Asam traneksamat injeksi 100 mg/ml

n/a

51.

Asam traneksamat injeksi 50 mg/ml

n/a

52.

Asiklovir salep mata 3%

Temiral Eye Oint

53.

Asiklovir tablet/kapsul/kaplet 200 mg

n/a

54.

Asiklovir tablet/kapsul/kaplet 400 mg

n/a

55.

Asparaginase serbuk injeksi 10.000 UI/vial Leunase

56.

Atapulgit tablet 600 mg

Pularex

57.

Atrakurium injeksi 25 mg/2,5 ml

Tracrium

58.

Atropin Sulfat tablet 0,5 mg

n/a

42.

n/a

59.

Azitromisin sir kering 200 mg/ 5 mL

n/a

60.

Azitromisin tablet 500 mg

n/a

61.

Azitromisin tablet 250 mg

n/a

62.

Bedak salisil serbuk 2%

n/a

63.

Benzatin Benzil Penisilin 1,2 juta IU/ vial

n/a

64.

Benzatin Benzil Penisilin 2,4 juta IU/vial

n/a

65.

Beractant injeksi / suspensi 25 mg/mL

Survanta

66.

Beraprost sodium tablet 20 mcg

Dorner 20 g

67.

Beraprost sodium tablet 20 mcg

Dorner

68.

Betametason krim 0,1% (sebagai Valerat)

n/a

69.

Bikalutamid tablet salut 150 mg

Casodex 150 mg

70.

Bikalutamid tablet salut 50 mg

Casodex 50 mg

71.

Bisakodil suppositoria 10 mg

Stolax supp

72.

Bisoprolol tablet 2,5 mg

Concor 2.5

73.

Bisoprolol tablet 5 mg

n/a

74.

Bleomisin serbuk injeksi 15 mg/ampul

BLEOCIN

75.

Bromokriptin tablet 2,5 mg

76.

Cripsa tab
Pulmicort
Budesonid inhaler 200 mcg/puff, 100 dosis
Turbuhaler

77.

Budesonid respules / cairan inhaler


0,25mg/mL

Pulmicort
Respules

78.

Budesonid-formoterol (fixed combination)


inhaler 160/4,5 mcg

Symbicort
Turbuhaler
160/4.5 mcg

79.

Budesonid-formoterol (fixed combination)


inhaler 80/4,5 mcg

Symbicort 80/4.5
mcg

81.

Bupivakain injeksi 0,50% (HCl) + glukosa


8%
Bupivakain injeksi 0,50% (P.V)

82.

Dabigatran eteksilat kapsul 75 mg

80.

n/a
Bunascan
Pradaxa

83.

Dabigatran eteksilat kapsul 110 mg

Pradaxa

84.

Daunorubisin serbuk injeksi 20 mg/vial

DAUNOCIN

85.

Deferasiroks tablet disp/ eff 250 mg

Exjade 250 mg
Tab

86.

Deferasiroks tablet disp/ eff 500 mg

Exjade 500 mg
Tab

87.

Deferipron larutan oral 100 mg/mL

Ferriprox Oral
Solution

88.

Deferipron tablet 500 mg

Ferriprox tablet

89.

Deferoksamin Mesilat serbuk injeksi 500


mg

Desferal

90.

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

n/a

91.

Deksametason tablet 0,5 mg

n/a

92.

Desoksimetason krim 0,25%

n/a

94.

Difenhidramin injeksi i.v./i.m. 10 mg/ml


(HCl)
Digoksin tablet 0,25 mg

95.

Diltiazem HCl tablet 30 mg

n/a

96.

Diltiazem infus injeksi 50 mg

Herbesser
Powder Injection
50mg

97.

Diltiazem injeksi 25 mg/5 mL

Farmabes Injeksi
25 mg

98.

Diltiazem Kapsul SR 100 mg

Herbesser CD
100

99.

Diltiazem Kapsul SR 200 mg

100.

Dimenhidrinat tablet 50 mg

Herbesser CD
200
n/a

101.

Dinatrium edetat tetes mata 0,35%

E.D.T.A

102.

Dobutamin injeksi 50 mg/mL

DOBURAN

103.

Doksazosin mesilat tablet 1 mg

Cardura 1mg

104.

Doksazosin mesilat tablet 2 mg

Cardura 2mg

105.

Doksorubisin serbuk injeksi i.v. 10 mg/vial

Doxorubicin
Actavis 10 mg

93.

n/a
n/a

106.

Doksorubisin serbuk injeksi i.v. 50 mg/vial

Doxorubicin
Actavis 50 mg

107.

Domperidon suspensi/sirup 5 mg/5 ml

n/a

108.
109.
110.

Domperidon tablet 10 mg
Domperidon tetes 5 mg/mL
Dopamin injeksi 40 mg/ml

n/a
n/a
UDOPA

111.

Dosetaksel injeksi 20 mg/0,5 ml

n/a

112.

Dutasterid kaps lunak 0,5 mg

Avodart

113.

Efavirens tablet salut 600 mg

n/a

114.

Eksemestan tablet 25 mg

Aromasin

115.

Enoksaparin sodium inj 20 mg/0,2 mL

Lovenox 2000
ANTI-XA

116.

Enoksaparin sodium inj 40 mg/0,4 mL

Lovenox 4000
ANTI-XA

117.

Enoksaparin sodium inj 60 mg/0,6 mL

Lovenox 6000
ANTI-XA

118.

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


mg/ml

n/a

119.

Epirubisin serb injeksi 50 mg/25ml

Epirubisin Kalbe

120.

Epirubisin serb injeksi 10 mg/5 ml


Ergokalsiferol (vitamin D3/D2) kapsul
50.000 UI

n/a

121.

D-Vit FT

123.

Ergokalsiferol (vitamin D3/D2) suspensi


10.000 UI/ml
Eritromisin kapsul/kaplet 250 mg

124.

Eritromisin kapsul/kaplet 500 mg

n/a

125.

Eritromisin sirup kering 200 mg/ 5 ml

n/a

126.

Eritropoetin-alfa inj 3000 UI/mL

Hemapo 3000

127.
128.
129.
130.

Eritropoetin-beta inj 2000 UI/0,3 mL


Etambutol tablet 250 mg (HCl)
Etambutol tablet salut 500 mg (HCl)
Etanol 70% cairan

Recormon
n/a
n/a
n/a

131.

Etonogestrel implan 68 mcg

Implanon

132.
133.

Etoposid injeksi 20 mg/ml


Eugenol cairan

Posyd
n/a

122.

D-Vit Syrup
n/a

134.

Everolimus tab 0,25 mg

Certican 0,25 mg
Tab

135.

Everolimus tab 0,5 mg

Certican 0,5 mg
Tab

136.

Faktor VIIa (rekombinan) serb inj 1 mg/vial


Novoseven
+ pelarut untuk injeksi

137.

Fenitoin injeksi 50 mg/ml

n/a

138.

Fenitoin kapsul/kaplet 100 mg

n/a

139.

Fenitoin Na Inj 100 mg/2 ml

n/a

140.

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

n/a

141.

Fenofibrat kaps 100 mg

n/a

142.

Fenofibrat kaps 300 mg

n/a

143.

Fenoksimetil penisilin (penisilin V) tab 125


Fenocin
mg

144.

Fenoterol HBr inh solution 0,1%

Berotec Solution

145.

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


10 ml

n/a

146.

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


n/a
ml

147.

Fentanil patch 12,5 mcg/jam

Durogesic 12,5
MU Matrix

148.

Fentanil patch 25 mcg/jam

Durogesic 25 MU
Matrix

149.

Fentanil patch 50 mcg/jam

150.

152.

Filgrastim inj 300 mcg/mL


Fitomenadion (Vit.K1) tablet salut gula 10
mg
Fludarabin inj 50 mg

153.

Fludarabin tab 10 mg

Fludara Oral

154.

Flufenazin injeksi i.m. 25 mg/ml

Sikzonoate
Injeksi

155.

Flukonazol injeksi 2 mg/ml

n/a

156.
157.
158.

Flukonazol tablet/kapsul 150 mg


Fluoksetin tablet 10 mg
Fluoksetin tablet 20 mg

n/a
Foransi 10
NOPRES

151.

Durogesic 50 MU
Matrix
Leucogen
n/a
Fludara IV LYO

159.
160.

Fluorourasil inj 250 mg/mL


Fluorourasil inj 500 mg/ 5 mL

Curacil
Curacil

161.

Flusinolon asetonid krim 0,025%

SYNARCUS

162.

Flutikason furoat intranasal spray

Avamys

163.

Flutikason propionat nebules 0,5 mg

Flixotide Nbules

164.

Fondaparinuks inj 2,5 mg/0,5 mL

Arixtra

165.

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

n/a

166.

Furosemid tablet 40 mg

n/a

167.

Gansiklovir serb inj 500 mg (50 mg/mL)

Cymevene

168.

Gefitinib tab 250 mg

Iressa 250 mg

169.

Gemfibrozil kapsul/kaplet 300 mg

n/a

170.

Gemfibrozil tablet 600 mg

n/a

171.

Gemsitabin inj 1000 mg/vial

Gemzar 1000 mg

172.
173.

Gemsitabin inj 200 mg/vial


Gentamisin injeksi 40 mg/ ml

174.

Gentamisin salep mata 0,3%

n/a
n/a
Genoint Salep
Mata

175.

Gentamisin tetes mata 0,3%

n/a

176.

Glibenklamid tablet 5 mg

n/a

177.

Gliklazid tab 80 mg

Glicab

178.

Gliklazid tab 30 mg

Diamicron MR 30

179.

Glikuidon tab 30 mg

n/a

180.
181.
182.
183.

Glimepiride
Glimepiride
Glimepiride
Glimepiride

184.

Gliseril trinitrat kaps SR 2,5 mg

Nitrokaf Retard

185.

Gliseril trinitrat kaps SR 5 mg

Nitrokaf Forte

tablet
tablet
tablet
tablet

1
2
3
4

mg
mg
mg
mg

n/a
n/a
n/a
n/a

186.

Gliseril trinitrat tab sublingual 0,5 mg

Nitral

187.

Gliserin lar 50%

Gliserin lar 50%

188.
189.

Glukosa larutan infus 10 % steril


Glukosa larutan infus 5 % steril

n/a
n/a

190.

Goserelin asetat inj 10,8 mg/vial

Zoladex 10,8 mg

191.

Goserelin asetat inj 3,6 mg

Zoladex 3,6 mg

192.

Griseofulvin tablet 125 mg

n/a

193.

Haloperidol inj 50 mg/mL

Haldol Decanoas

194.

Haloperidol tablet 0,5 mg

n/a

195.

Haloperidol tablet 5 mg

n/a

196.

Haloperidol tablet 1,5 mg

n/a

197.

Haloperidol tablet 2 mg

Lodomer 2

198.
199.

Halotan Inhalasi
Heparin injeksi i.v./s.k. 5000 UI/ml

Halothane
Inviclot

200.

Hepatitis B imunoglobulin (human)

Hyperhep B

201.
202.

Hidrokortison krim 2,5 %


Hiosin butilbromid injeksi 20 mg/ml

n/a
n/a

203.

Human insulin intermediate acting inj 100


UI/ml, vial (Human Insulin (IntermediateInsulatard Vial
Acting))

204.

Human insulin intermediate acting inj 100


Humulin N Vial
UI/ml, vial (Insulin human Basal)

205.

Human insulin intermediate acting inj 100


UI/ml, vial/cartridge disposible/penfill
n/a
cartridge

206.

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Human Insulin
Insulatard Penfill
(Intermediate-Acting))

207.

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Insulin human
Sansulin N
Basal)

208.

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Insulin human
Humulin N Cart
Basal)

209.

Human insulin mix insulin inj 100 UI/ml,


penfill cartridge (Human Insulin (Premix:
30% Soluble + 70 % NPH Insulin))

Mixtard Penfill

210.

Human insulin mix insulin inj 100 UI/ml,


penfill cartridge (Insulin human Comb)

Humulin 30/70
Cart

211.

Human insulin mix insulin inj 100 UI/ml,


vial (Human Insulin (Premix: 30% Soluble + Mixtard Vial
70 % NPH Insulin))

212.

Human insulin mix insulin inj 100 UI/ml,


vial (Insulin human Comb)

Humulin 30/70
Vial

213.

Human insulin short acting inj 100 UI/ml,


penfill cartridge (Human Insulin (Short
Acting))

Actrapid Penfill

214.

Human insulin short acting inj 100 UI/ml,


penfill cartridge (Insulin human Rapd)

Humulin R Cart

215.

Human insulin short acting inj 100 UI/ml,


penfill cartridge (Insulin human Rapd)

Sansulin R

216.

Human insulin short acting inj 100 UI/ml,


vial (Human Insulin (Short Acting))

Actrapid Vial

217.

Human insulin short acting inj 100 UI/ml,


vial (Insulin human Rapd)

Humulin R Vial

218.

Human insulin short acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge

n/a

219.
220.
221.

Ibuprofen sirup 100 mg/5 ml


Ibuprofen suspensi 200 mg/5 ml
Ibuprofen tablet 200 mg

n/a
n/a
n/a

222.

Ibuprofen tablet 400 mg

n/a

223.

Ifosfamid serbuk injeksi 1000 mg/vial

Holoxan injeksi
1000

224.

Imidapril tab 10 mg

Tanapress 10mg

225.

Imidapril tab 5 mg
Tanapress 5mg
Iopamidol 200-300 mg Iodium/mL (300mg
Iopamiro
@ vial 100ml)

226.

227.

Iopamidol 200-300 mg Iodium/mL (300mg


Iopamiro
@ vial 30ml)

228.

Iopamidol 200-300 mg Iodium/mL (300mg


Iopamiro
@ vial 50ml)

229.

Iopamidol 300-370 mg Iodium/mL (370mg


Iopamiro
@ vial 100ml)

230.

Iopamidol 300-370 mg Iodium/mL (370mg


Iopamiro
@ vial 30ml)

231.

Iopamidol 300-370 mg Iodium/mL (370mg


Iopamiro
@ vial 50ml)

232.

Iopromide 300-370 mg Iodium/mL (300 mg Ultravist 300/100


/ 100 ml)
mg

233.

Iopromide 300-370 mg Iodium/mL (300 mg Ultravist 300/50


/ 50 ml)
mg

234.

Iopromide 300-370 mg Iodium/mL (370 mg Ultravist 370/100


/ 100 ml)
mg

235.

Iopromide 300-370 mg Iodium/mL (370 mg Ultravist 370/50


/ 50 ml)
mg

236.

Irbesartan tab 150 mg

n/a

237.

Irbesartan tab 300 mg

n/a

238.

Irinotekan inf 20 mg/ml

n/a

239.

Isosorbid Dinitrat injeksi i.v 10 mg/10 ml

Farsorbid inj

240.

Isosorbid Dinitrat tablet sublingual 5 mg

n/a

241.

Kalium aspartat tab 300 mg

Kalipar

242.

Kalium Klorida tablet 600 mg

KSR

243.

Kalsium Folinat (Leukovorin Ca) inj 50


mg/ml

DBL Leucovorin

244.

Kalsium Glukonat injeksi i.v 10% (100


mg/ml)

Kalsium glukonat

245.

Kandesartan tab 16 mg

n/a

246.

Kandesartan tab 8 mg

n/a

247.

Kapesitabin tab 500 mg

Xeloda

248.

Kaptopril tablet 50 mg

n/a

249.

Kaptopril tablet scored 25 mg

n/a

250.

Kaptopril tablet scored12,5 mg

n/a

251.

Karbamazepin sirup 100 mg/5 ml

Tegretol Syrup
100mg/5ml,
120ml

252.

Karbamazepin tablet 200 mg

n/a

253.

Karbimazol tab 5 mg

Neo-Mercazole

254.

Karbogliserin tetes telinga 10%

Karbogliserin
tetes telinga
10%

255.

Ketamin injeksi i.v. 100 mg/ml

KTM

256.

Ketokonazol krim 2%

n/a

257.

Ketokonazol krim 2%

n/a

258.

Ketokonazol tablet 200 mg

n/a

259.
260.

Ketoprofen supositoria 100 mg


Ketorolac injeksi 30 mg/ml

Protofen Supp
n/a

261.

Klaritromisin tab 500 mg

ORIXAL

262.

Klindamisin kapsul/kaplet 150 mg

n/a

263.

Klindamisin kapsul/kaplet 300 mg

n/a

264.

Klobazam tab 10 mg

n/a

265.

Klonidin tablet 0,15 mg

n/a

266.

Klopidogrel tab 75 mg

n/a

267.

Kloramfenikol suspensi 125 mg/ 5 ml

n/a

268.

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

n/a

269.

Klorpromazin injeksi i.m 5 mg/ml - 2 ml


(HCl)

n/a

270.

Klozapin 100 mg

n/a

271.

Klozapin 25 mg

n/a

272.
273.
274.

Kodein tablet 10 mg
Kodein tablet 15 mg
Kodein tablet 20 mg

n/a
n/a
n/a

275.

Koloid HES BM 130 000 lar inf 6%

Voluven

276.

Kombinasi suspensi : Parafin + gliserin +


fenolftalein

Laxadine Emulsi
60 ml

277.

Kombinasi tablet salut : Besi (II) sulfat


7H2O 200 mg Asam folat 0,25 mg

n/a

278.

Kombinasi tetes mata 2,5 mg/mL: Natrium


Cendo Lyteers
klorida 8,664 mg; Kalium klorida 1,32 mg

279.

Kombinasi: Artemether 20 mg; Lumefantrin


Coartem
120 mg

280.

Kombinasi: Levodopa 100 mg; Karbidopa


25 mg; Entekapon 200 mg

Stalevo

281.

Kombinasi: Salmeterol 25 mcg; Flutikason


propionat 50 mcg

Seretide Inhaler
50 mcg

282.

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 100 mcg

Seretide Diskus
100 mcg

283.

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 250 mcg

Seretide Diskus
250 mcg

284.

Kotrimoksazol DOEN I (dewasa) kombinasi :


Sulfametoksazol 400 mg Trimetoprim 80
n/a
mg

285.

Kotrimoksazol Suspensi komb:


Sulfametoksazol 200 mg + Trimetoprim 40 n/a
mg / 5 ml

286.
287.
288.
289.
290.

Kuinin (Kina) tablet 200 mg


Kuinin injeksi i.v. 25% (sebagai 2 HCl)
Kuinin tablet 222 mg (H2SO4.7H2O)
Lamivudine tablet 150 mg
Lansoprazol inj 30 mg/ml

n/a
n/a
n/a
n/a
Prosogan Inj.

291.

Lanzoprazol kapsul/kaplet 30 mg

n/a

292.

Lapatinib tab 250 mg

Tykerb

293.

Larutan mengandung Asam Amino (Asam


Amino 10%)

Kalbamin

294.

Larutan mengandung Asam Amino (Asam


Amino 100 g, Total N 15,7 g, Na+ 2 mEq,
Asetat 120 mEq)

Amiparen

295.

Larutan mengandung Asam Amino (Asam


Amino 27 g, Sorbitol 50 g, Cl- 52 mEq)

Pan-amin G

296.

Larutan mengandung Asam Amino (Asam


Amino 30 g, Glukosa 7,3 % dan elektrolit)
1000 ml

Aminofluid

297.

Larutan mengandung Asam Amino (Asam


Amino 30 g, Glukosa 7,3 % dan elektrolit)
500 ml

Aminofluid

298.

Larutan mengandung Asam Amino (Asam


Amino 5% dengan BCAA 45%, L-Ornithine L Aminofusin
Aspartate 8.03 gr/L, Sorbitol 50 gr/L, Xylitol Hepar
50 gr/L)

299.

Larutan mengandung Asam Amino (Asam Aminosteril


Amino 6%, mengandung Taurine 0,24 gr/l) Infant 6%

300.

Larutan mengandung Asam Amino (Asam


Amino 7%, Komposisi: Asam Amino
esensial: Asam Amino non esensial = 60 :
40)

301.

Larutan mengandung Asam Amino (Asam


Amino 72.05 g, Total N 11.53 g, AAE/AANE Kidmin
ratio 2.6, Na+ 2 mEq, Asetat 46 mEq)

302.

Larutan mengandung Asam Amino (Asam


Amino 79.9 g, Total N 12.2 g, Na+ 14 mEq, Aminoleban
Cl 94 mEq)

303.

Larutan mengandung Asam Amino (Asam


amino 8%)

Aminosteril NHepa

304.

Larutan mengandung Asam Amino (Asam


Amino esensial 7%+Xylitol 10 g/L)

Eas Pfrimer

305.

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

306.

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
Aminofusin L600
(Niasinamida) 0.06 g/L, Piridoksin HCl (Vit
B6) 0.04 g/L, Riboflavin Natrium Fosfat 2.5
mg/L, elektrolit)

307.

Larutan mengandung Asam Amino


(Kombinasi Asam amino 50 g/L, vitamin
dan elektrolit)

Nephrosteril

Aminofusin Paed

308.

Larutan mengandung Asam Amino


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

Kabiven 1440 ml

309.

Larutan mengandung Asam Amino


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

Kabiven 1920 ml

310.

Larutan mengandung Asam Amino


Combiflex Plus
(Kombinasi Glukosa dan elektrolit 150 gr +
(790 kcal)
Asam Amino 48 gr dgn akses sentral)

311.

Larutan mengandung Asam Amino


(Kombinasi Glukosa dan elektrolit 80 gr +
Asam Amino 40 gr )

Combiflex peri
(480 kcal)

312.

Larutan mengandung Elektrolit (Kalium


Klorida)

Otsu - KCl 7,46%

313.

Larutan mengandung Elektrolit (Larutan


Ringer Laktat)

Wida RL

314.

Larutan mengandung Elektrolit (Na 130


mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28
mEq)

Asering

315.

Larutan mengandung Elektrolit (NaCl 1.125


KA EN 1B
gr, Dekstrosa 18.75 gr)

316.

Larutan mengandung Elektrolit (Sodium


Lactate sol (50%) 113 gr/L, Potassium
Chloride 0.3 gr/L, Calcium Chloride 0.2
gr/L, elektrolit)

317.

Larutan mengandung Elektrolit (Tiap 1000


ml mengandung electrolit: Sodium 145
mmol/l, Potassium 4.0 mmol/l, Calcium 2.5 Ringerfundin 500
mmol/l, Magnesium 1.0 mmol/l, Chloride
mL
118 mmol/l, Acetate 24 mmol/l, Malate 5.0
mmol/l)

318.

Larutan mengandung Karbohidrat


(Fructose 120 g, glucose 66 g, Xylitol 60 g/ Triofusin 1000
L + elektrolit)

319.

Larutan mengandung Karbohidrat


(Fructose 60 g, glucose 33 g, Xylitol 30 g/
L)

Totilac

Triofusin 500

320.

Larutan mengandung Karbohidrat (Maltose


Martos
100 gr)

321.

Larutan mengandung Karbohidrat +


Elektrolit (25.00g maltose, 3.00 g sodium
chloride, 0.15 g potassium chloride, 0.10 g Potacol inj
calcium chloride dihydrate dan 1.55 g
sodium lactate)

322.

Larutan mengandung Karbohidrat +


Elektrolit (Acetate, Na, K, Cl, Ca, Mg,
Sorbitol 50 gr/L)

Tutofusin OPS

323.

Larutan mengandung Karbohidrat +


Elektrolit (Asam amino 28 gr/L, Glukosa
100 gr/L, elektrolit)

Clinimix N9G20E

324.

Larutan mengandung Karbohidrat +


Elektrolit (Asam amino 28 gr/L, Glukosa 75 Clinimix N9G15E
gr/L, elektrolit)

325.

Larutan mengandung Karbohidrat +


Elektrolit (Fructose 60 g, glucose 33 g,
Xylitol 30 g/ L)

326.

Larutan mengandung Karbohidrat +


Elektrolit (Glukosa 25 g, NaCl 2,0 g, KCl 1,3
Wida HSD
g, Natrium Laktat 3,1 g, air untuk injeksi ad
1000 ml)

327.

Larutan mengandung Karbohidrat +


Elektrolit (Glukosa 55 g ; Natrium Chloride Wida D5-NS
9 g, air untuk injeksi ad 1000 ml)

328.

Larutan mengandung Karbohidrat +


Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g)

WIDA 2A

329.

Larutan mengandung Karbohidrat +


Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g)

WIDA D5-1/4NS

330.

Larutan mengandung Karbohidrat +


Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g)

WIDA D5-1/2NS

331.

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

332.

Larutan mengandung Karbohidrat +


Elektrolit (Larutan Ringer & Glukosa 5%)

Wida RD

Triofusin E1000

333.

Larutan mengandung Karbohidrat +


Elektrolit (NaCl 1.75 g, KCL 1.5g, Glukosa
100 gr)

KA ENMG 3

334.

Larutan mengandung Karbohidrat +


Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na
Lactat 2.24 gr, Dekstrosa 27 gr)

KA EN 3B

335.

Larutan mengandung Karbohidrat +


Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr,
KCL 0.75 gr Dekstrosa 27 gr)

KA EN 3A

336.

Larutan mengandung Lipid ( Infus Lipid


Emulsi MCT/LCT 20% 100 ml)

Lipofundin
MCT/LCT 1% 100

337.

Larutan mengandung Lipid (Emulsi lemak


20%)

Intralipid

338.

Larutan mengandung Lipid (Infus Lipid


Emulsi MCT/LCT 20% 250 ml)

Lipofundin
MCT/LCT 1% 250

339.

Larutan mengandung Lipid (Kombinasi


Glukosa dan elektrolit 180 gr + Asam
Amino 71.8 gr + Lipid 50 gr dgn akses
sentral)

Nutriflex Lipid
Special 1250

340.

Larutan mengandung Lipid (Kombinasi


Nutriflex Lipid
Glukosa dan elektrolit 80 gr + Asam Amino
Peri 1250
40 gr + Lipid MCT/LCT 50 gr)

341.

Larutan mengandung Lipid (Kombinasi


Nutriflex Lipid
Glukosa dan elektrolit 90 gr + Asam Amino
Special 625
35.9 gr + Lipid 25 gr dgn akses sentral)

342.

Larutan mengandung Lipid (Soybean Oil


200 g/L, Egg Lecithins 12 gr/L, Glycerol Ph Ivelip
25 gr/L, Sodium Oleate 0.3 gr/L)

343.

Latanoprost tetes mata 0,01%

Cendo Glaopen

344.
345.

Leuprorelin asetat inj depot 1,88 mg


Leuprorelin asetat inj depot 11,25 mg

Tapros 1.88mg
Tapros 3M

346.

Levofloksasin inf 5 mg/mL

n/a

347.

Levofloksasin tablet 500 mg

n/a

348.

Lidokain injeksi 2% (HCL)

n/a

349.

Lidokain injeksi 2% (HCl) + Epinefrin 1 :


80.000 - 2ml

n/a

350.

Lidokain jeli 2%

Xylocaine Jelly
2%

351.

Lisinopril tablet 10 mg

n/a

352.

Lisinopril tablet 5 mg

n/a

353.

Litium karbonat tablet 200 mg

Frimania 200

354.

Litium karbonat tablet 400 mg

Frimania 400

355.

Loperamid tablet 2 mg

n/a

356.

Loratadin tablet 10 mg

n/a

357.

Lorazepam tablet 2 mg

Merlopam 2

358.

Low molecule feri sucrose inj amp 100


mg/5 mL

DIALIFER

359.

Manitol

n/a

360.

Maprotilin HCl tab 25 mg

Ludios

361.

Maprotilin HCl tab 50 mg

Sandepril 50

362.

Melfalan tablet 2 mg

Alkeran

363.
364.

Meropenem inj 1 g
Meropenem serb inj 500 mg/vial

365.

Mesna inj 100 mg/mL

366.

Metadon sir 50mg/5ml

n/a
n/a
Uromitexan
injeksi.
n/a

367.

Metformin HCl tablet 500 mg

n/a

368.

Metilergometrin Maleat (Metilergometrin)


tablet salut 0,125 mg

n/a

369.

Metilfenidat kapsul LA 20 mg

Ritalin LA

370.

Metilprednisolon inj 125 mg/2 mL

n/a

371.
372.

Metilprednisolon inj 500 mg/8 mL


Metilprednisolon tablet 16 mg

n/a
n/a

373.

Metilprednisolon tablet 4 mg

n/a

374.

Metilprednisolon tablet 8 mg

n/a

375.

Metoklopramide tablet 5 mg

n/a

376.

Metronidazol infus 500 mg/100 ml

n/a

377.

Metronidazol supositoria 500 mg

Flagyl

378.

Metronidazol tablet 250 mg

n/a

379.

Metronidazol tablet 500 mg

n/a

380.
381.
382.
383.
384.
385.

MIBI (metoxy iso butyl iso nitril) 5-mL


reaction vial
Midazolam injeksi i.v. 1 mg/ml
Midazolam injeksi i.v. 5 mg/ml
Mikafungin Na serb inj 50 mg
Mikonazol krim/salep 2 % (Nitrat)
Mitomisin C (crystallin) serbuk inj 10
mg/vial

Cardioscan KaeF
Dormicum
Dormicum
Mycamine
n/a
Mitomycin C

386.

Moksifloksasin tetes mata 0,5%

Vigamox

387.

Mometason furoat krim 0,1%

n/a

388.

Morfin HCL inj 10 mg/ml

389.

Morfin HCL tablet SR 10 mg

n/a
MST Continus 10
mg

390.

Morfin HCL tablet SR 15 mg

391.
392.
393.
394.

MST Continus 15
mg
Morfin injeksi i.m./s.k./i.v. 10 mg/ml
n/a
Morfin tablet 10 mg
n/a
Nacl 0,9%
n/a
Fraxiparine 0.3
Nadroparin inj 9500 Axa/mL syringe 0,3 mL
ml
Nadroparin inj 9500 Axa/mL, syringe 0,4
mL

Fraxiparine 0.4
ml

397.
398.

Nadroparin inj 9500 Axa/mL, syringe 0,6


mL
Nalokson injeksi 0,4 mg/ml
Natrium Bikarbonat injeksi i.v 8,4%

Fraxiparine 0.6
ml
Nokoba
Meylon

399.

Natrium Diklofenak tablet 50 mg

n/a

400.

Natrium fosfat lar oral 45 mL

Fleet
Phosphosoda

395.
396.

401.

Natrium fusidat salep 20 mg/g

Fucilex Ointment

402.

Nevirapin tablet 200 mg

403.

Nifedipin tab 20 mg, slow release; oros

n/a
Adalat Oros 20
mg

404.

Nifedipin tab 30 mg, oros

Adalat Oros 30
mg

405.

Nifedipin tablet/kapsul 10 mg

n/a

406.
407.
408.
409.
410.
411.

Nistatin tablet salut 500.000 IU/ g


Nistatin vaginal tablet 100.000 IU/ g
Norepinefrin injeksi 1 mg/ml
Noretisteron tablet 5 mg
Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori 2

n/a
n/a
Raivas
Primolut N
n/a
n/a

412.

Obat Antituberkulosis FDC Kategori Anak

n/a

413.

Obat Antituberkulosis FDC Sisipan

n/a

414.

Obat Antituberkulosis Kategori 1 dewasa

n/a

415.

Obat Antituberkulosis Kategori anak

n/a

416.

Ofloxacin tablet 200 mg

n/a

417.

Ofloxacin tablet 400 mg

n/a

418.

Oksimetazolin tetes hidung 0,025%

Ilaidin Drops

419.

Oktreotid 10 mg

Sandostatin LAR

420.

Olanzapin inj 10 mg/vial

Zyprexa IM

421.
422.

Olanzapin kapl salut 5 mg


Olanzapin tab 10 mg

Olandoz 5
Olandoz 10

423.

Omeprazol injeksi 40 mg/ 10 ml

n/a

424.
425.
426.
427.

Omeprazol kapsul/kaplet 20 mg
ondansetron inj 4 mg/ 2 mL
Ondansetron tab 4 mg
Ondansetron tablet 8 mg

n/a
n/a
n/a
n/a

428.

Paket CAPD Awal (Komposisi: 1 unit


Transfer Set, 2 unit Ultaclam, 1 unit
Tenckoff Catheter, Titanium Adaptor)

n/a

429.

Paket CAPD Pergantian Transfer Set per 6


bulan

n/a

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

430.

432.

Parasetamol drop 100 mg/ml btl @15ml


(60mg/0,6ml)
Parasetamol sirup 120 mg / 5 ml

433.

Parasetamol tablet 500 mg

n/a

434.

Parasetamol tetes 60 mg/0,6 mL

FASIDOL

435.

Pegylated interferon alfa-2a inj 135


mcg/0,5 ml

Pegasys

436.

Pegylated interferon alfa-2a inj 180


mcg/0,5 ml

Pegasys

437.

Perak sulfadiazin krim 1%

BURNAZIN 35 GR

431.

n/a
n/a

438.

Perindoprilarginin tab 5 mg

Bioprexum 5 mg

439.

Permetrin krim 5%

Scabimite Cream
10

440.

Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml


(HCl)

n/a

441.

Pioglitazon tab 15 mg

DECULIN 15 MG

442.

Pioglitazon tab 30 mg

DECULIN 30 MG

443.

Pirantel suspensi 125 mg/5 ml

n/a

444.

Pirantel tablet score (base) 125 mg

n/a

445.

Pirazinamid tablet 500 mg

n/a

446.
447.
448.
449.

Polikresulen cairan
Povidon Iodida larutan 10% 1000 ml
Povidon Iodida larutan 10% 30 ml
Povidon Iodida larutan 10% 300 ml

450.

Pramipeksol tab ER 0,375 mg

Aptil
n/a
n/a
n/a
Sifrol ER
0,375mg

451.

Pramipeksol tab ER 0,750 mg

Sifrol ER
0,750mg

452.

Pravastatin tablet 20 mg

n/a

453.

Propanolol tablet 10 mg ( HCl )

n/a

454.

Propofol injeksi i.v., bolus 1%

Fresofol 1%
MCT/LCT

455.

Propranolol tablet 40 mg (HCl)

n/a

456.

Quetiapin tab 200 mg

Seroquel XR 200
mg

457.

Quetiapin tab 300 mg

Seroquel XR 300
mg

458.

Quetiapin tab 400 mg

Seroquel XR 400
mg

459.

Ramipril tablet 5 mg

n/a

460.

Ranitidin injeksi 25 mg/2 ml

n/a

461.

Ranitidin tablet 150 mg

n/a

462.

Retinol (Vitamin A) 100.000 IU

n/a

463.

Retinol (Vitamin A) 200.000 IU kapsul lunak n/a

464.

Ringer Laktat larutan infus

n/a

465.

Risperidon tablet 1 mg

n/a

466.

Risperidon tablet 2 mg

n/a

467.

Risperidon tablet 3 mg

n/a

468.
469.
470.

Rivaroksaban tab 10 mg
Rivaroksaban tab 15 mg
Rivaroksaban tab 20 mg

471.

Ropinirol Tablet Salut 2 mg

Xarelto 10 mg
Xarelto 15 mg
Xarelto 20 mg
Requip PD 24
Hour 2 mg

472.

Ropinirol Tablet Salut 4 mg

Requip PD 24
Hour 4 mg

473.

Ropinirol Tablet Salut 8 mg

Requip PD 24
Hour 8 mg

474.

Salbutamol inhalasi/aerosol 100 mcg/dosis Ventolin Inhaler

475.

Salbutamol serb inh 200 mcg/kaps

Ventolin
Rotacaps

476.

Salbutamol serb inh 200 mcg/kaps +


rotahaler

Ventolin
Rotahaler

477.

Salbutamol tablet 2 mg (sebagai Sulfat)

n/a

479.

Salep 2-4 , Kombinasi : Asam Salisilat 2% +


n/a
Belerang endap 4%
Sefadroksil sirup kering 125 mg/5ml
n/a

480.

Sefadroksil kapsul/kaplet 250 mg

n/a

481.

Sefadroksil kapsul/kaplet 500 mg

n/a

482.

Sefadroksil sir kering 250 mg/5 mL

n/a

483.

Sefaleksin kapsul/kaplet 500 mg

n/a

484.
485.

Sefazolin serbuk injeksi 1 g/vial


Sefepim inj 1 g

n/a
n/a

486.

Sefiksim kapsul/kaplet 100 mg

n/a

487.

Sefiksim sirup kering 100 mg/ 5 ml

n/a

488.

Sefoperazon inj 1 g

n/a

489.

Sefotaksim injeksi 0,5 g

n/a

478.

490.

Sefotaksim injeksi 1 g

n/a

491.

Sefpodoksim proksetil tab 100 mg

Banadoz 100

492.

Seftazidim injeksi 1 g

n/a

493.

Seftriakson serbuk injeksi 1 g/vial

n/a

494.

Sefuroksim tab 500 mg

Zinnat 500

495.

Sertralin tab 50 mg

Fatral

496.

Setirizin tablet 10 mg

n/a

497.

Sevofluran ih, btl


Sianokobalamin (vitamin B12) injeksi 500
mcg

Sojourn

498.

n/a

499.

Siklofosfamid serbuk injeksi i.v. 1000 mg

Cyclovid 1000
mg

500.

Siklofosfamid serbuk injeksi i.v. 200 mg

Cyclovid 200 mg

501.

Siklosporin kaps 100 mg

Sandimmun
Neoral 100mg
Kap

502.

Siklosporin kapsul lunak 25 mg

Sandimmun
Neoral 25mg Kap

503.

Simvastatin scored tablet 10 mg

n/a

504.

Simvastatin tablet 20 mg

n/a

505.

Siprofloksasin infus 2%

n/a

506.

Siprofloksasin tablet 500 mg (sebagai HCl) n/a

507.

Spiramisin tablet 500 mg

n/a

508.

Spironolakton tablet 100 mg

n/a

509.

Spironolakton tablet 25 mg

n/a

510.

Streptokinase injeksi 1,5 juta UI/vial

Streptase

511.

Streptomisin serbuk injeksi i.v 1000 mg/ml n/a

512.

Sufentanil injeksi iv, epidural 5 mcg/ml

Sufentanyl
Injeksi iv.Epidural
5 mcg / ml

513.

Sukralfat susp 500 mg/5 mL

Ulsafate

514.

Takrolimus kaps 0.5 mg

Prograf

515.

Takrolimus kaps 1 mg

Prograf

516.

Tamsulosin tab 0,2 mg

Harnal D 0.2
mg Disp. Tablet

517.

Tamsulosin tab 0,2 mg

Harnal D

518.

Tamsulosin tab SR 0,4 mg

Harnal OCAS
0.4 mg Tablet

519.

Telbivudin tab 600 mg

Sebivo 600 mg
Tab

520.

Telmisartan tab 40mg

Micardis 40mg

521.

Tenofovir tab 300 mg

522.

Terbutalin cairan ih 2,5 mg/mL

n/a
Bricasma
Respules

523.

Terbutalin tablet 2,5 mg

Molasma Tablet

524.

Terbutalin turbu (serbuk ih) 0,50 mg

Bricasma
Turbuhaler 0,5
mg

525.

Tetrakain HCl tetes mata 0,5%

Pantocain 0.5%

526.

Tetrasiklin kapsul/kaplet 250 mg

n/a

527.

Tiamazol tab 10 mg

Thyrozol 10

528.

Tiamazol tab 5 mg

Thyrozol 5

529.

Timolol tetes mata 0,25%

Isotic Adretor
0,25%

530.

Timolol tetes mata 0,5%

Isotic Adretor
0,5%

531.

Tiotropium kaps 18 mcg + handihaller

Spiriva 10s +
Handihaler

532.

Tramadol injeksi 50 mg/ml

n/a

533.

Travoprost tetes mata 0,004%

Travatan

534.
535.

Triamsinolon asetonid nasal spray 55


mcg/puff
Trifluoperazin tablet 5 mg

Nasacort AQ
n/a

536.

Urea krim 10%

Soft U Derm

538.

Vaksin polio inj (Vaksin Poliomyelitis yang


diinaktifkan)
Valproat sirup 250 mg/5 ml

539.

Valproat tab SR 250 mg

540.

Valproat tab SR 500 mg

Depakote ER 500
mg

541.

Valsartan tab 80 mg

Diovan 80mg Tab

542.

Valsartan tab 160 mg

DIOVAN 160 MG

543.
544.
545.

Verapamil tab 240 mg


Verapamil tablet 80 mg (HCl)
Vinblastin serbuk injeksi 10 mg

546.

Vinorelbin inj. 10 mg/ml

547.

Vitamin B Kompleks tablet

Isoptin 240 mg
n/a
Vinblastine
Navelbine injeksi
10
n/a

548.

Zidovudin 300 mg + Lamivudine 150 mg

n/a

549.

Zinc drop 10 mg/mL

Zincpro Drops

550.

Zinc sir 20 mg/5 Ml

Zircum Kid Sirup

551.

Zinc tablet dispersible20 mg

n/a

537.

Imovax Polio
Ikalep
Depakote ER 250
mg

PT. Kimia Farma

1 blister@24 tablet

Dus, 3 Blister @ 10
PT. SmithKline Beecham Phamaceuticals
kapsul

1,375.00

Download

27,500.00

Download

PT. Indofarma

Dus, 10 dus @ 1 botol @


3,849.00
10 ml

Download

PT. Holi Pharma

Dus, 5 strip @ 6 tablet

338.00

Download

PT. Ikapharmindo

Vial 100 ml

750,000.00

Download

PT. Ikapharmindo

Vial 50 ml

345,000.00

Download

PT. Pertiwi Agung

Box, 10 strips @ 10
tablets

86.00

Download

PT. Bernofarm

Dus, 10 blister @ 10
tablet

199.50

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

380.00

Download

PT. Otto Pharmaceuticals

strip

176.00

Download

PT. Kimia Farma

Ktk 10x10 tablet

233.00

Download

PT. Boehringer Ingelheim

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

3,800,000.00

Download

PT. Cendo Industri Farmasi

tube 3.5 gr

18,500.00

Download

PT. Sanbe Farma

Vial 2 ml

50,500.00

Download

PT. Lucas Djaja

Download

PT. Aventis Pharma

dus 30 ampul @10 ml


3,822.00
Botol @ 100 tablet salut
90.00
selaput
Dus, 6 ampul @ 3 ml
12,480.00

PT. Darya Varia

strip

1,200.00

Download

PT. Indofarma

Dus, 10 strip @ 10 tss


Box, 3 strips @ 10
tablets

112.00

Download

330.00

Download

187.00

Download

211.00

Download

272.00

Download

PT. Marin Liza Farmasi

PT. Pertiwi Agung


PT. Pertiwi Agung
PT. Novapharin
PT. Bernofarm

Box, 3 strips @ 10
tablets
strip
Dus, 10 strip @ 10
kaptab

Download
Download

PT. Holi Pharma

Dus, Botol 60 ml

4,045.00

Download

PT. Novapharin

btl @ 60 ml

2,445.00

Download

PT. Bernofarm

Dus, 10 vial @ 1 g

5,100.00

Download

PT. Aventis Pharma

dus, 5 solostar pen @


3ml

85,000.00

Download

Injeksi 100 IU/ml,


Flexpen disposible 3 ml
PT. Ferron Par Pharmaceuticals
106,000.00
(1 box isi 5 flexpen
disposible)

Download

PT. Tempo Scan Pacific

97,500.00

Download

200,000.00

Download

Penfill cartridge

PT. Ferron Par PharmaceuticalsDus, vial 10 ml

Injeksi 100 IU/ml,


Flexpen disposible 3 ml
PT. Ferron Par Pharmaceuticals
85,345.00
(1 box isi 5 flexpen
disposible)

Download

PT. Aventis Pharma

dus, 5 solostar pen @


3ml

79,165.00

Download

PT. Tempo Scan Pacific

Penfill cartridge

79,167.00

Download

PT. AstraZeneca indonesia

Dus, 2 blister @ 14
Tablet

32,000.00

Download

PT. Promedrahardjo Farmasi Industri


STRIP

75.00

Download

PT. Rama Emerald Multi SuksesBoto 60 ml

2,100.00

Download

PT. Indofarma

Dus, 25 tube @ 5 g

2,516.00

Download

PT. Kimia Farma

ktk 10 x 10 tablet

520.00

Download

PT. Kimia Farma

Btl 100 tablet

135.00

Download

PT. Meprofarm

Dus, 5 strip @ 10 tablet 1,500.00

Download

PT. Kimia Farma

Dus 6 amp @ 1ml

22,000.00

Download

PT. Phapros, Tbk

Dus @ 10 X 10 's

116.00

Download

PT. Kimia Farma

ktk 10x10 tablet

159.00

Download

PT. Kimia Farma

Dus 10 strip x 10 tab

95.00

Download

PT. Dexa Medica

Dus, 10 strip @10 tablet 84.00

Download

PT. Marin Liza Farmasi

Botol @ 100 tablet

48.00

Download

PT. Boehringer Ingelheim

Boks, 1 ampul
Dus, 10 blister @ 10
kaptab ss

2,209,000.00

Download

112.00

Download

Strip

1,815.00

Download

PT. Hexpharm Jaya Laboratories


Dus, 10 ampul @ 5 ml

3,334.00

Download

PT. Bernofarm

Dus, 10 ampul @ 5 ml

2,950.00

Download

PT. Sanbe Farma

Tube 3,5 gram

24,750.00

Download

PT. Indofarma

Dus, 10 blister @ 10
tablet

237.00

Download

PT. Kimia Farma

ktk 10x10 tablet

345.00

Download

PT. Widatra Bhakti

10.000 UI/Vial

1,039,500.00

Download

PT. Zenith Pharmaceuticals

Dus 5 strip @ 10 tablet

190.00

Download

20,000.00

Download

74.00

Download

PT. Bernofarm
PT. Sanbe Farma

PT. Glaxo Wellcome Indonesia Dus, 5 ampul @ 2.5 ml


PT. Indofarma

Dus, 10 strip @ 10
tablet

PT. Soho Industri Pharmasi

botol @ 60 ml

34,400.00

Download

PT. Kimia Farma

ktk 2x10 tablet

4,500.00

Download

PT. Soho Industri Pharmasi

Strip

3,333.00

Download

PT. Rama Emerald Multi SuksesDus @ 50 gram

1,250.00

Download

PT. Phapros, Tbk

Dus @ 10 Vial

9,800.00

Download

PT. Phapros, Tbk

Dus @ 10 Vial

13,400.00

Download

PT. Abbott Indonesia

Vial

3,200,000.00

Download

PT. Combiphar

Box/ 3 blister @ 10
Tablet

3,600.00

Download

PT. Combiphar

Box @ 3 blister @ 10
Tablet

3,600.00

Download

PT. Kimia Farma

Tube 5 gr

1,520.00

Download

PT. AstraZeneca indonesia

Dus, 2 blister @ 14
Tablet

72,400.00

Download

45,000.00

Download

6,045.00

Download

746.00

Download

645.00

Download

PT. Pratapa Nirmala

Dus, 2 blister @ 14
Tablet
Supp
Dus 10 blister @ 10
tablet
Box 3 X 10 tab

PT Kalbe Farma

Vial

304,000.00

Download

PT. Caprifarmindo

Box 3 x 10'S
247,089.00
Dus, 1 Turbuhaler @ 100
93,000.00
dosis

Download

PT. AstraZeneca indonesia


PT. Sanbe Farma
PT. Merck Tbk

PT. AstraZeneca indonesia

Download

PT. AstraZeneca indonesia

Dus, 4 pak @ 5 respules


8,900.00
@ 2 ml

Download

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 120


117,600.00
dosis

Download

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 60
110,500.00
dosis

Download

PT. Dexa Medica

Dus, 5 ampul @ 4 ml

25,600.00

Download

PT. Pratapa Nirmala

ampul
Dus, 3 blister @ 10
kapsul

30,800.00

Download

12,936.00

Download

PT. Boehringer Ingelheim

PT. Boehringer Ingelheim

Dus, 3 blister @ 10
kapsul

PT. Novell Pharmaeutical Laboratories


vial

12,936.00

Download

275,000.00

Download

PT. Novartis Indonesia

Dus, 4 blister @ 7 tablet 76,000.00

Download

PT. Novartis Indonesia

Dus, 4 blister @ 7 tablet 150,000.00

Download

PT. Sydna Farma

Dus, Botol @ 500ml

Download

PT. Sydna Farma

Dus, Botol @ 100 tablet 25,300.00

Download

PT. Novartis Indonesia

Dus, 10 vial @ 500mg

Download

PT. Indofarma

Dus, 100 ampul @ 1 ml 1,580.00

Download

PT. Indofarma

Dus, 10 blister @ 10
tablet

68.00

Download

PT. Dexa Medica

Kotak, tube @ 15 gram

9,983.00

Download

PT. Lucas Djaja

ampul @ 1 ml

1,054.00

Download

PT. Yarindo Farmatama

Box 10 X 10 Tab
Dus, 10 strip @ 10
tablet

97.00

Download

134.00

Download

PT. Tanabe Indonesia

10 vial @ 50mg

127,667.00

Download

PT. Pratapa Nirmala

Vial 5 mL

46,667.00

Download

PT. Tanabe Indonesia

3 blister @ 10 kapsul

3,667.00

Download

PT. Tanabe Indonesia

3 blister @ 10 kapsul

4,015.00

Download

PT. Kimia Farma

Btl 100 tablet

104.00

Download

PT. Cendo Industri Farmasi

botol 15 ml

37,500.00

Download

PT. Dipa Pharmalab

ampul @ 5 ml

26,700.00

Download

PT. Pfizer Indonesia

Dus, 5 blister @10's tab 3,480.00

Download

PT. Pfizer Indonesia

Dus, 5 blister @10's tab 5,480.00

Download

PT. Actavis Indonesia

Dus, 1 vial @ 10 mg

Download

PT. Indofarma

2,600,000.00

112,000.00

55,500.00

PT. Actavis Indonesia

Dus, 1 vial @ 50 mg

274,125.00

Download

PT. Novapharin

btl @ 60 ml

3,333.00

Download

PT. Novapharin
PT. Bernofarm
PT. Dipa Pharmalab

strip
Dus, botol @ 10 ml
ampul @ 5 ml

167.00
15,600.00
9,840.00

Download
Download
Download

PT. Sanbe Farma

Dus, 1 vial @0,5 ml+ 1


vial pelarut @1,5 ml

970,200.00

Download

7,100.00

Download

6,375.00

Download

42,600.00

Download

Dus, Botol Plastik @ 30


PT. SmithKline Beecham Phamaceuticals
Tablet
PT. Kimia Farma
Botol 30 tab
Dus, 2 blister @ 15
PT. Pfizer Indonesia
tablet
PT. Aventis Pharma

dus, 2 prefilled syringe


@ 0,2 ml

40,740.00

Download

PT. Aventis Pharma

dus, 2 prefilled syringe


@ 0,4 ml

71,875.00

Download

PT. Aventis Pharma

dus, 2 prefilled syringe


@ 0,6 ml

100,000.00

Download

PT. Phapros, Tbk

Dus @ 30 Ampul

8,100.00

Download

PT Kalbe Farma

Vial @ 25 ml

500,000.00

Download

PT. Sanbe Farma

Dus, 1 vial @5 ml
Dus 3 strip @ 10 Flash
tablet

128,000.00

Download

650.00

Download

PT. Gracia Pharmindo

PT. Kimia Farma

Dus, Botol Plastik @ 100


8,000.00
mL
ktk 10 x 10 kapsul
497.00

PT. Indofarma

Dus, 10 blister @ 10 kss 930.00

PT. Gracia Pharmindo

PT. Phyto Kemo Agung Farma Botol @60 ml


PT Kalbe Farma
PT.
PT.
PT.
PT.

Boehringer Ingelheim
Kimia Farma
Indofarma
Novapharin

7,700.00

Prefilled Syringe @ 1ml 128,000.00

Boks, 6 ampul
ktk 20 x 10 tablet
Dus, 10 strip @ 10 tss
btl @ 100 ml
Dus, 1 blister @ 1
PT. Merck Sharp Dohme Pharma Tbk
subdermal implant
PT. Combiphar
Vial 100mg/5ml
PT. Kimia Farma
Botol 10 ml

Download
Download
Download
Download
Download

139,500.00
314.00
451.00
2,500.00

Download
Download
Download
Download

128,779.00

Download

100,000.00
16,667.00

Download
Download

PT. Novartis Indonesia

Dus, 6 blister @ 10
tablet

11,813.00

Download

PT. Novartis Indonesia

Dus, 6 blister @ 10
tablet

23,250.00

Download

KOTAK @ 1 VIAL SERBUK


PT. Ferron Par Pharmaceuticals
9,200,000.00
OBAT & INFUSION KIT

Download

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 10 ampul

20,250.00

Download

PT. Ikapharmindo

133.00

Download

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 10 ampul

20,250.00

Download

PT. Phapros, Tbk

1,800.00

Download

PT. Hexpharm Jaya Laboratories


Dus, 3 strip @ 10 kapsul 1,075.00

Download

PT. Hexpharm Jaya Laboratories


Dus, 3 strip @ 10 kapsul 1,375.00

Download

PT. Actavis Indonesia

Dus 45 x 12 tab

Download

PT. Boehringer Ingelheim

Dus, Canister 200 dosis 117,500.00

Download

PT. Kimia Farma

Dus 5 ampul@ 10ml

128,000.00

Download

PT. Kimia Farma

Dus 5 ampul@ 2ml

33,914.00

Download

PT. Kimia Farma

Dus @ 5 patch

80,000.00

Download

PT. Kimia Farma

Dus@ 5 patch

153,000.00

Download

PT. Kimia Farma

Dus@ 5 patch

285,000.00

Download

PT Kalbe Farma

pfs @ 0,5 ml
Botol @ 100 tablet salut
gula
Dus, 5 vial @ 50 mg
Dus, 4 blister @ 5 tablet
salut selaput

375,000.00

Download

634.00

Download

1,248,319.00

Download

275,000.00

Download

PT. Mersifarma Tirmaku Mercusana


Dus, 5 ampul @ 1ml

55,000.00

Download

PT. Novell Pharmaeutical Laboratories


Botol

38,000.00

Download

PT. Kimia Farma


PT. Gracia Pharmindo
PT. Dexa Medica

22,000.00
419.00
410.00

Download
Download
Download

PT. Marin Liza Farmasi


PT. Aventis Pharma
PT. Aventis Pharma

Botol @ 100

Dus @ 30 Ampul

ktk 1 x 10 kapsul
strip
DUS, 30 TABLET

235.00

PT Kalbe Farma
PT Kalbe Farma

vial @ 1 ml
vial @ 10 ml

PT. Ifars Pharmaceutical Laboratories


Dus, Tube 5 g

24,500.00
33,000.00

Download
Download

2,400.00

Download

PT. Glaxo Wellcome Indonesia

Dus, Botol 120 Dosis


Spay

93,333.00

Download

PT. Glaxo Wellcome Indonesia

Dus, 2 flow wrap@ 5


12,917.00
nebules @ 1 dosis (2ml)

Download

PT. Glaxo Wellcome Indonesia Dus, 2 pfs 0.5 ml

241,667.00

Download

PT. Indofarma

Dus, 25 ampul @ 2 ml

1,829.00

Download

PT. Indofarma

Dus, 10 strip @ 10
tablet

85.00

Download

PT. Boehringer Ingelheim

Boks, 1 ampul

399,500.00

Download

PT. AstraZeneca indonesia

Dus, 1 blister @ 10
tablet

295,000.00

Download

PT. Indofarma

Dus, 10 blister @ 12
kapsul

289.00

Download

PT. Indofarma

Dus, 10 blister @ 10
kaptab

679.00

Download

PT. Bayer Indonesia

vial

1,098,900.00

Download

PT. Sanbe Farma


PT. Indofarma

Dus, 1 vial @200 mg


Dus, 5 ampul @ 2 ml

330,000.00
3,399.00

Download
Download

PT. Erela

Tube @ 3,5 gr

2,600.00

Download

PT. Indofarma

Dus, botol plastik 5 ml

3,194.00

Download

PT. Indofarma
PT. Tempo Scan Pacific
PT. Pradja Pharin
PT. Dexa Medica
PT.
PT.
PT.
PT.

Kimia
Kimia
Kimia
Kimia

Farma
Farma
Farma
Farma

Dus, 10 blister @ 10
56.00
kaptab
Strip
235.00
Dus, 6 strip @ 10 tablet
638.00
lepas lambat
Dus, 10 Strip @ 10
tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet

Download
Download
Download

950.00

Download

265.00
436.00
404.00
430.00

Download
Download
Download
Download

PT. Kimia Farma

Dus 10x10

1,493.00

Download

PT. Kimia Farma

Dus 10x10

2,171.00

Download

PT. Actavis Indonesia

Btl @ 30 tablet

1,500.00

Download

PT. Lucas Djaja

Glycerin 100 ml

5,333.00

Download

PT. Widatra Bhakti


PT. Widatra Bhakti

botol @ 500 ml
botol @ 500 ml
Dus, 1 syringe @ 10.8
mg

5,700.00
5,200.00

Download
Download

2,300,000.00

Download

PT. AstraZeneca indonesia


PT. AstraZeneca indonesia

Dus, 1 syringe @ 3.6 mg 840,000.00

Download

PT. Indofarma

Dus, 10 blister @ 10
tablet

219.00

Download

PT. Soho Industri Pharmasi

Dus 5 Ampul@1mL

83,333.00

Download

PT. Indofarma

Dus, 10 blister @ 10
tablet

59.00

Download

PT. Indofarma

Dus, 10 blister @ 10
tablet

96.00

Download

PT. Indofarma

Dus, 10 blister @ 10
tablet

69.00

Download

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 10 x 10 TAB

126.00

Download

PT. Dexa Medica


PT. Pratapa Nirmala

Botol
vial

641,500.00
42,900.00

Download
Download

PT. Dipa Pharmalab

Dus, 1 syringe @ 0.5 mL 1,328,000.00

Download

PT. Kimia Farma


PT. Otto Pharmaceuticals

Tube 5 gr
box 5ampul @1 ml

2,798.00
4,500.00

Download
Download

PT. Ferron Par PharmaceuticalsDus, vial 10 ml

138,000.00

Download

PT. Bayer Indonesia

Dus, vial 10 ml

138,000.00

Download

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

72,000.00

Download

Injeksi 100 IU/ml, penfill


PT. Ferron Par Pharmaceuticalsdisposible 3 ml (1 box isi 76,125.00
5 penfill disposible)

Download

PT. Sanbe Farma

Download

penfillcartridge @ 3ml

75,000.00

PT. Bayer Indonesia

Dus Isi 5
penfill/cartridge @ 3ml

76,125.00

Download

Injeksi 100 IU/ml, penfill


PT. Ferron Par Pharmaceuticalsdisposible 3 ml (1 box isi 76,125.00
5 penfill disposible)

Download

PT. Bayer Indonesia

Dus Isi 5
penfill/cartridge @ 3ml

76,125.00

Download

PT. Ferron Par PharmaceuticalsDus, vial 10 ml

138,000.00

Download

PT. Bayer Indonesia

138,000.00

Download

Dus, vial 10 ml

Injeksi 100 IU/ml, penfill


PT. Ferron Par Pharmaceuticalsdisposible 3 ml (1 box isi 76,125.00
5 penfill disposible)

Download

PT. Bayer Indonesia

Dus Isi 5
penfill/cartridge @ 3ml

76,125.00

Download

PT. Sanbe Farma

penfill cartridge @ 3ml

75,000.00

Download

PT. Ferron Par PharmaceuticalsDus, vial 10 ml

138,000.00

Download

PT. Bayer Indonesia

Dus, vial 10 ml

138,000.00

Download

PT. Aventis Pharma

Dus, 1 Vial @ 5 ml

72,000.00

Download

PT. Indofarma
PT. Indofarma
PT. Yarindo Farmatama

Dus, botol 60 ml
Dus, botol 60 ml
botol @ 100 tablet
Dus, 10 strip @ 10
tablet

3,499.00
4,499.00
110.00

Download
Download
Download

149.00

Download

PT. Mugi Laboratories

Dus, 1 vial @ 1 g

1,329,163.00

Download

PT. Tanabe Indonesia

3 blister @ 10 tablet

3,908.00

Download

PT. Tanabe Indonesia

3 blister @ 10 tablet

2,120.00

Download

PT. Dipa Pharmalab

Dus, botol @ 100 ml

350,000.00

Download

PT. Holi Pharma

PT. Dipa Pharmalab

Dus, vial @ 30 ml

122,000.00

Download

PT. Dipa Pharmalab

Dus, vial @ 50 ml

166,000.00

Download

PT. Dipa Pharmalab

Dus, botol @ 100 ml

369,000.00

Download

PT. Dipa Pharmalab

Dus, vial @ 30 ml

147,000.00

Download

PT. Dipa Pharmalab

Dus, vial @ 50 ml

199,000.00

Download

PT. Bayer Indonesia

Botol

245,000.00

Download

PT. Bayer Indonesia

Botol

123,200.00

Download

PT. Bayer Indonesia

Botol

299,000.00

Download

PT. Bayer Indonesia

Botol

150,300.00

Download

PT. Indofarma

Dus, 5 blister @ 10 kss

1,425.00

Download

PT. Indofarma

Dus, 5 blister @ 10 kss

2,470.00

Download

PT. Sanbe Farma

Dus, 1 vial @2 ml

510,000.00

Download

PT. Pratapa Nirmala

vial

33,000.00

Download

88.00

Download

694.00

Download

1,580.00

Download

PT. Indofarma
PT. Tempo Scan Pacific
PT. Merck Tbk

Dus, 10 strip @ 10
tablet
Strip
Dus, 10 strip @ 10
tablet

PT. Tempo Scan Pacific

Vial 50 mg/5 ml

82,000.00

Download

PT. Ethica Industri Farmasi

Ampul

7,800.00

Download

PT. Dexa Medica

Dus, 3 Blister @ 10
tablet

4,900.00

Download

3,100.00

Download

27,500.00

Download

140.00

Download

PT. Dexa Medica


PT. Boehringer Ingelheim
PT. Indofarma

Dus, 3 Blister @ 10
tablet
Boks, 120 tablet
Dus, 10 strip @ 10
tablet

PT. Errita Pharma

Dus, 10 strip @10 tablet 80.00

Download

PT. Indofarma

Dus, 10 strip @ 10
tablet

Download

62.00

PT. Novartis Indonesia

Dus, botol @ 120 ml

44,770.00

Download

PT. Indofarma

Dus, 10 blister @ 10
tablet

245.00

Download

PT. Nicholas Laboratories Indonesia


Dus,botol 100 tablet

875.00

Download

PT. Lucas Djaja

Fenol 100 mg / 1 ml

2,042.00

Download

PT. Guardian Pharmatama

Vial @ 10 ml

110,000.00

Download

PT. Kimia Farma

tube 10 gr

2,569.00

Download

4,700.00

Download

PT. Novell Pharmaeutical Laboratories


Box isi 1 Tube @ 15 g
PT. Dexa Medica

Dus, 5 Strip @ 10 tablet 300.00

PT. Kimia Farma


PT. Phapros, Tbk

dus 2 's @ 10 supp


2,722.00
Dus @ 12 Ampul
2,300.00
Dus, 3 Strip @ 10 Kaplet
PT. Ifars Pharmaceutical Laboratories
3,200.00
salut selaput

Download
Download
Download
Download

PT. Indofarma

Dus, 5 blister @ 10
kapsul

361.00

Download

PT. Indofarma

Dus, 5 blister @ 10
kapsul

553.00

Download

900.00

Download

184.00

Download

PT. Hexpharm Jaya Laboratories


Dus, 3 strip @ 10 tab

3,400.00

Download

PT. Bernofarm

Botol @ 60 ml

3,680.00

Download

PT. Phapros, Tbk

Dus @ 30 Ampul

1,100.00

Download

PT. Phapros, Tbk

Dus @ 30 Ampul

1,050.00

Download

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 5 x 10 TAB

5,000.00

Download

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 5 x 10 TAB

1,550.00

Download

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma

500.00
850.00
1,100.00

Download
Download
Download

33,000.00

Download

PT. Dexa Medica


PT. Kimia Farma

Dus, 10 Strip @ 10
tablet
Ktk 10X10 TAB

ktk 10x10 tablet


ktk 10x10 tablet
ktk 10x10 tablet

PT. Fresenius Kabi Combiphar Botol Plastik @ 500 ml

PT. Galenium Pharmasia Laboratories


Botol @ 60 ml

12,450.00

Download

PT. Erela

Dus, 100 Sachet @ 30


Tablet

42.00

Download

PT. Cendo Industri Farmasi

botol 15 ml

15,750.00

Download

PT. Novartis Indonesia

Dus, 4 blister @ 6 tablet 3,220.00

Download

PT. Novartis Indonesia

Dus, botol plastik @ 30


tablet salut selaput

8,900.00

Download

90,667.00

Download

PT. Glaxo Wellcome Indonesia Dus, Botol 120 Dosis

PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60 dosis 100,833.00

Download

PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60 dosis 113,333.00

Download

PT. Holi Pharma

Dus, 10 strip @ 10
kaptab

149.00

Download

PT. Lucas Djaja

Botol @ 60 ml

2,145.00

Download

PT.
PT.
PT.
PT.
PT.

ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial

670.00
6,200.00
540.00
1,400.00
82,042.00

Download
Download
Download
Download
Download

Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Takeda Indonesia

PT. Indofarma

Dus, 2 strip @ 10 kapsul 473.00

Download

Dus, 7 Blister @ 10
PT. SmithKline Beecham Phamaceuticals
tablet

67,200.00

Download

PT. Finusolprima Farma Internasional


botol 500 ml

56,300.00

Download

PT Otsuka Indonesia

Softbag 500 ML

56,300.00

Download

PT Otsuka Indonesia

Softbag 500 ML

37,500.00

Download

PT Otsuka Indonesia

Double Chamber
Softbag 1000 ML

115,500.00

Download

PT Otsuka Indonesia

Double Chamber
Softbag 500 ML

61,600.00

Download

PT Kalbe Farma

botol 500 mL

75,350.00

Download

PT. Fresenius Kabi Combiphar Botol Gelas 100 ml

36,667.00

Download

PT. Fresenius Kabi Combiphar 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 Botol Gelas 500 ml

78,720.00

Download

PT. Finusolprima Farma Internasional


botol 250 ml

51,260.00

Download

PT. Finusolprima Farma Internasional


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

PT. Fresenius Kabi Combiphar

Bag (3 Chamber) 1440


ml

295,240.00

Download

PT. Fresenius Kabi Combiphar

Bag (3 Chamber) 1920


ml

343,842.00

Download

PT. Phapros, Tbk

Bag Double chamber


(Dua compartement),
1000 mL

322,000.00

Download

PT. Phapros, Tbk

Bag Double chamber


(Dua compartement),
1000 mL

218,700.00

Download

PT Otsuka Indonesia

Ampoel 25 ML

2,050.00

Download

PT. Widatra Bhakti

Botol 1000 ml

8,000.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,000.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,000.00

Download

PT Kalbe Farma

flexybag 250 mL

87,000.00

Download

PT. Phapros, Tbk

LDPE (Low Density Poly


12,650.00
Ethilene), botol plastik

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

Plastic Bottle 500 ML

29,167.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML

55,500.00

Download

PT Kalbe Farma

botol 500 mL

37,500.00

Download

PT Kalbe Farma

Botol Plastik 1000 mL

210,000.00

Download

PT Kalbe Farma

Botol Plastik 1000 mL

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

35,750.00

Download

PT. Widatra Bhakti

Botol 500 ml

6,930.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML

9,167.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML

10,000.00

Download

PT Otsuka Indonesia

Plastic Bottle 500 ML

10,000.00

Download

PT. Phapros, Tbk

20%, Botol Kaca @100


ml, single bottle

105,500.00

Download

60,500.00

Download

PT. Fresenius Kabi Combiphar Botol Gelas 100 ml


PT. Phapros, Tbk

20%, Botol Kaca @250


ml, single bottle

210,000.00

Download

PT. Phapros, Tbk

Bag, 3 chamber ( 3
591,000.00
kompartemen), 1250 ml

Download

PT. Phapros, Tbk

Bag, 3 chamber ( 3
511,000.00
kompartemen), 1250 ml

Download

PT. Phapros, Tbk

Bag, 3 chamber ( 3
kompartemen), 625 ml

358,000.00

Download

PT Kalbe Farma

Flexy bag 100 mL

89,800.00

Download

PT. Cendo Industri Farmasi

strip 5 x 0.6 ml

72,000.00

Download

PT. Takeda Indonesia


PT. Takeda Indonesia

Vial
Vial

700,000.00
2,700,000.00

Download
Download

PT. Infion Pharmaceutical

Box, 1 Botol @ 100 ml

40,000.00

Download

528.00

Download

PT. Bernofarm

Dus, 100 ampul @ 2 ml 839.00

Download

PT. Indofarma

Dus, 30 ampul @ 2 ml

Download

PT. Promedrahardjo Farmasi Industri


STRIP

1,363.00

PT. AstraZeneca indonesia

Dus, 10 syringe @ 10 g 40,000.00

Download

PT. Novell Pharmaeutical Laboratories


Box ,3 Strip @ 10 tablet 600.00

Download

PT. Novell Pharmaeutical Laboratories


Box ,3 Strip @ 10 tablet 350.00

Download

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 10 x 10 TAB

1,050.00

Download

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 10 x 10 TAB

1,850.00

Download

Dus, 10 Strip @ 10
PT. Ifars Pharmaceutical Laboratories
Tablet

89.00

Download

PT. Promedrahardjo Farmasi Industri


STRIP

154.00

Download

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 10 x 10 TAB

1,341.00

Download

PT. Novell Pharmaeutical Laboratories


ampul

52,000.00

Download

PT. Finusolprima Farma Internasional


botol 500 ml

62,000.00

Download

PT. Soho Industri Pharmasi

1,200.00

Download

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 5 x 10 TAB

3,276.00

Download

PT. Glaxo Wellcome Indonesia Box, Tablet 2 mg/25's

12,210.00

Download

PT. Bernofarm
PT. Bernofarm

Dus, 1 vial @ 1 g
Dus, 1 vial @ 0,5 g

54,000.00
44,960.00

Download
Download

PT. Mugi Laboratories

Dus, 15 Ampul

74,998.00

Download

PT. Kimia Farma

Botol 1000 ml
Dus, 10 blister @ 10
tablet

254,100.00

Download

112.50

Download

PT. Kimia Farma

ktk 10 x 10 tablet salut

154.00

Download

PT. Novartis Indonesia

Dus, botol plastik @ 30


kapsul pelepasan
lambat

6,537.00

Download

PT. Dexa Medica

Dus, 1 Vial @125mg + 1


19,500.00
ampul pelarut @ 2ml

Download

PT. Bernofarm
PT. Mahakam Beta Farma

Dus, 1 vial @ 500 mg


Strip

Download
Download

PT. Bernofarm

Strip

89,990.00
635.00

PT. Natura Laboratoria Prima

Dus, 10 Blister @ 10
Tablet

205.00

Download

300.00

Download

108.00

Download

9,950.00

Download

3,220.00

Download

PT. Phyto Kemo Agung Farma 10 strip @ 10 tab

110.00

Download

PT. Phyto Kemo Agung Farma 10 strip @ 10 tab

160.00

Download

PT. Kimia Farma

Dus @ 5 vial

1,237,500.00

Download

PT.
PT.
PT.
PT.

Boks 10 amp
Boks 5 amp
Dus,1 vial@50mg
Tube 10 gram

6,119.00
12,060.00
260,000.00
3,000.00

Download
Download
Download
Download

PT. Widatra Bhakti

10 mg /Vial

697,000.00

Download

PT. Tempo Scan Pacific

botol, tetes mata 3 ml

77,000.00

Download

PT. Guardian Pharmatama

tube 10 gram

17,820.00

Download

PT. Kimia Farma

Dus 10 amp @ 1 ml

8,400.00

Download

PT. Mahakam Beta Farma

Dus, 6 strip @ 10 tablet 15,620.00

Download

PT. Mahakam Beta Farma

Dus, 6 strip @ 10 tablet 22,990.00

Download

PT. Dexa Medica


PT. Kimia Farma

Dus, 10 Blister @ 10
tablet
ktk 10 x 10 tablet

PT. Natura Laboratoria Prima Dus, 1 Botol @ 100 ml


PT. Aventis Pharma

Boehringer Ingelheim
Boehringer Ingelheim
Combiphar
Kimia Farma

Dus, 2 blister @ 5
suppositoria

PT. Kimia Farma


PT. Kimia Farma
PT. Widatra Bhakti

Ktk 10 ampul @ 1ML


Botol 30 tablet
Botol 500 ml
Dus, 5 blister @ 2 pfs
PT. Glaxo Wellcome Indonesia
0.3 ml
PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs


0.4 ml

Dus, 5 blister @ 2 pfs


0.6 ml
PT. Pratapa Nirmala
Dus, 5 Ampul @ 2ml
PT Otsuka Indonesia
Ampoel 25 ML
Box ,5 Blister @ 10
PT. Novell Pharmaeutical Laboratories
tablet
PT. Glaxo Wellcome Indonesia

PT. Combiphar

Botol, 45 ml

10,499.00
1,300.00
4,700.00

Download
Download
Download

54,144.00

Download

66,640.00

Download

94,962.00

Download

61,600.00
6,200.00

Download
Download

200.00

Download

33,900.00

Download

PT. Molex Ayus

Tube 5 gr

6,490.00

Download

PT. Kimia Farma

btl 60 tablet

2,800.00

Download

PT. Bayer Indonesia

blister

2,999.00

Download

PT. Bayer Indonesia

blister

3,500.00

Download

100.00

Download

640.00
480.00
52,000.00
2,618.00
359,900.00
1,199,990.00

Download
Download
Download
Download
Download
Download

PT. Dexa Medica


PT.
PT.
PT.
PT.
PT.
PT.

Phapros, Tbk
Phapros, Tbk
Dexa Medica
Bayer Indonesia
Phapros, Tbk
Indofarma

Dus, 10 Strip @ 10
tablet salut selaput
Dus @ 10 X 10 's
Dus @ 10 X 10 's
ampul
blister
Paket
Paket

PT. Phapros, Tbk

Paket

214,900.00

Download

PT. Indofarma

Dus, 3 blister @ 28 kss

160,000.00

Download

PT. Indofarma

Dus, 1 dus @ 60 blister


@ 8 tablet tahap intensif
kategori 1 + 1 Dus @ 54 288,199.00
blister @ 3 tablet tahap
lanjutan kategori 1

Download

PT. Indofarma

Dus, 60 sachet tahap


intensif @ (1 tablet
Isoniazid, 2 kapsul
Rifampicin, 2 tablet
171,195.00
Pyrazinamide) + 120
sachet tahap lanjutan @
(1 tablet Isoniazid, 2
kapsul Rifampicin)

Download

PT. Novell Pharmaeutical Laboratories


Box ,5 Strip @ 10 tablet 400.00

Download

PT. Novell Pharmaeutical Laboratories


Box ,5 Strip @ 10 tablet 650.00

Download

PT. Merck Tbk

botol @ 10 ml

Download

PT. Novartis Indonesia

Dus, vial @ 355m + 1


prefilled syringe pelarut
2,950,000.00
@ 2,5 ml + 2 jarum
suntik

Download

PT. Bayer Indonesia

Vial

Download

27,550.00

120,000.00

PT. Sandoz Indonesia


PT. Sandoz Indonesia

6,450.00
11,200.00

Download
Download

PT. Natura Laboratoria Prima Dus, 1 Vial @ 40 mg

36,000.00

Download

PT.
PT.
PT.
PT.

211.00
2,400.00
716.00
1,189.00

Download
Download
Download
Download

Novapharin
Indofarma
Yarindo Farmatama
Yarindo Farmatama

3 X 10 fcc
3 X 10 fcc

strip
Dus, 5 Ampul @ 2ml
Box 3 X 10 Tab
Box 3 X 10 Tab

PT Kalbe Farma

Transfer Set: Set;


Ultaclam: Kantong
Plastik; Tenckoff
1,902,240.00
Catheter: Box; Titanium
Adaptor: Kantong Plastik

Download

PT Kalbe Farma

Set

Download

PT Kalbe Farma

Larutan Dialisa 1.5 %:


2.000 ml; Larutan
Dialisa 2.5 %: 2.000 ml;
5,522,580.00
Larutan Dialisa 4.25 %:
2.000 ml; Minicap:
Kantong Plastik

Download

PT. Indofarma

Dus, 15 botol

5,200.00

Download

botol 60 ml
Dus, 10 strip @ 10
PT. Imfarmind Farmasi industri
kaptab

1,438.00

Download

89.00

Download

PT. Ifars Pharmaceutical Laboratories


Dus, botol @ 15 ml

6,450.00

Download

PT. Boehringer Ingelheim

Boks, 1 pfs

1,077,815.00

Download

PT. Boehringer Ingelheim

Boks, 1 pfs

1,248,220.00

Download

PT. Darya Varia

tube @ 35 gram

23,000.00

Download

PT. Afifarma

219,540.00

PT. Pradja Pharin

Dus, botol plastik @ 30


tablet salut selaput

2,420.00

Download

PT. Galenium Pharmasia Laboratories


Tube @ 10 g

11,475.00

Download

PT. Kimia Farma

Ktk 10 ampx2ml

14,500.00

Download

PT. Dexa Medica

30 TAB/BOX

3,120.00

Download

PT. Dexa Medica

30 TAB/BOX

4,525.00

Download

PT. Holi Pharma

Botol 60 ml
Dus, 25 Blister @ 4
tablet

8,360.00

Download

296.00

Download

PT. Holi Pharma

Dus 10 strip @ 10 tablet 206.00

Download

PT.
PT.
PT.
PT.

Dus, Botol @ 10ml


botol @ 1000 ml
botol @ 30 ml
botol @ 300 ml
Dus, 3 alu blister @ 10
tablet

17,393.00
37,109.00
2,163.00
14,203.00

Download
Download
Download
Download

7,200.00

Download

11,268.00

Download

PT. Holi Pharma

Pratapa Nirmala
Afifarma
Afifarma
Afifarma

PT. Boehringer Ingelheim


PT. Boehringer Ingelheim

Dus, 3 alu blister @ 10


tablet

PT. Novell Pharmaeutical Laboratories


Box ,5 Strip @ 10 tablet 2,300.00
PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

PT. Fresenius Kabi Combiphar Ampul

Download

65.00

Download

15,642.00

Download

PT. Holi Pharma

Dus, 10 strip @ 10
tablet

106.00

Download

PT. AstraZeneca indonesia

Dus, 1 blister @ 10
tablet

17,391.00

Download

PT. AstraZeneca indonesia

Dus, 1 blister @ 10
tablet

19,500.00

Download

PT. AstraZeneca indonesia

Dus, 1 blister @ 10
tablet

23,185.00

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
kaptab

580.00

Download

1,140.00

Download

120.00

Download

260.00

Download

PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml


PT. Dexa Medica
PT. Kimia Farma

Dus, 10 Strip @ 10
tablet salut selaput
Botol 50 kapsul lunak

PT. Lucas Djaja

Botol 50 Kapsul

459.00

Download

PT. Widatra Bhakti

botol 500 ml
Dus, 5 Blister @ 10
tablet

5,200.00

Download

1,400.00

Download

1,008.00

Download

PT. Dexa Medica

2,000.00

Download

PT.
PT.
PT.

23,500.00
23,500.00
23,500.00

Download
Download
Download

5,248.00

Download

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet


6,275.00
lepas Lambat

Download

PT. Glaxo Wellcome Indonesia

Dus, 7 blister @ 4 Tablet


7,383.00
lepas Lambat

Download

PT. Dexa Medica

PT. Mersifarma Tirmaku Mercusana


KOTAK @ 5 x 10 TAB

PT.

Dus, 5 Blister @ 10
tablet
Bayer Indonesia
Blister
Bayer Indonesia
Blister
Bayer Indonesia
Blister
Dus, 7 blister @ 4 Tablet
Glaxo Wellcome Indonesia
lepas Lambat

PT. Glaxo Wellcome Indonesia Dus, botol 200 dosis

63,750.00

Download

431.00

Download

PT. Glaxo Wellcome Indonesia Dus, 1 Rotahaler

5,867.00

Download

PT. Yarindo Farmatama

strip @ 10 tablet

59.00

Download

PT. Marin Liza Farmasi

Pot @ 30 gram

2,000.00

Download

PT. Holi Pharma

Dus, Botol 60 ml

4,746.00

Download

513.00

Download

509.00

Download

5,895.00

Download

PT. Ifars Pharmaceutical Laboratories


Dus, 5 Strip @ 10 Kapsul 1,000.00

Download

PT. Dexa Medica


PT. Yarindo Farmatama

16,500.00
48,060.00

Download
Download

859.00

Download

PT. Ifars Pharmaceutical Laboratories


Dus, Botol 30 ml

8,800.00

Download

PT. Yarindo Farmatama

38,500.00

Download

4,800.00

Download

PT. Glaxo Wellcome Indonesia

Dus, 10 Blister @ 10
Kapsul

PT. Hexpharm Jaya Laboratories


strip
PT. Holi Pharma
PT. Holi Pharma

PT. Bernofarm

Dus, 10 strip @ 10
kapsul
Dus, Botol 60 ml

Dus, 2 Vial @ 1 gram


Box 2 Vial @ 1000mg
Dus, 10 blister @ 10
kapsul

vial

PT. Hexpharm Jaya Laboratories


vial

PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g

2,950.00

Download

3,700.00

Download

16,000.00

Download

3,300.00

Download

7,200.00

Download

3,300.00

Download

181.00

Download

1,320,000.00

Download

1,078.00

Download

PT. Novell Pharmaeutical Laboratories


vial

256,000.00

Download

PT. Novell Pharmaeutical Laboratories


vial

82,000.00

Download

PT. Sandoz Indonesia


PT. Dexa Medica

Dus, 3 blister @ 10
tablet
Dus, 2 Vial @ 1 gram

PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g

PT. Pratapa Nirmala

Dus, 1 Blister @ 10
Tablet salut selaput
strip @ 10 tab
Box, 10 strips @ 10
capsules
tabung/botol

PT. Lucas Djaja

100 ampul @ 1 ml

PT. Glaxo Wellcome Indonesia


PT. Pratapa Nirmala
PT. Pertiwi Agung

PT. Novartis Indonesia

Dus, 10 blister @ 5
kapsul lunak

43,000.00

Download

PT. Novartis Indonesia

Dus, 10 blister @ 5
kapsul lunak

12,000.00

Download

PT. Natura Laboratoria Prima

Dus, 3 Strip @ 10 Kaplet


169.00
salut selaput

PT. Natura Laboratoria Prima


PT. Dexa Medica
PT. Bernofarm

Dus, 3 Strip @ 10 Kaplet


391.00
salut selaput
Vial 200 ml
13,000.00
Dus, 10 blister @ 10 tab
255.00
ss

Download
Download
Download
Download

PT. Indofarma

Dus, 5 strip @ 10 tablet 1,499.00

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet

900.00

Download

315.00

Download

3,290,000.00

Download

PT. Dexa Medica

Dus, 10 Strip @ 10
tablet
Vial

PT. Phapros, Tbk

Dus @ 56 Vial

3,650.00

Download

PT. Kimia Farma

dus 5 amp @ dus 10

127,000.00

Download

PT. Dexa Medica

PT. Combiphar
PT. Combiphar

Botol, 100 ml
13,425.00
Pounch @ 5 blister @ 10
11,167.00
capsule

Download
Download

PT. Combiphar

Dus, 1 pouch @5
blister@10 kaps

21,500.00

Download

PT. Combiphar

Box/ 2 blister @ 14
tablet

5,800.00

Download

PT. Combiphar

Box @ 2 blister @ 14
tablet

5,800.00

Download

PT. Combiphar

Box/ 3 blister @ 10
Tablet

6,800.00

Download

PT. Novartis Indonesia

Dus, 2 blister @ 14
tablet

28,500.00

Download

3,900.00

Download

PT. Kimia Farma

Dus, 2 alu-blister @10


tablet
Botol 30 tab

8,100.00

Download

PT. AstraZeneca indonesia

Dus, 2 pak @ 5 respules 6,250.00

Download

PT. Molex Ayus

Box 50's

Download

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler @ 200


71,100.00
dosis

Download

PT. Cendo Industri Farmasi

botol 5 ml

11,500.00

Download

PT. Holi Pharma

Dus, 10 strip @ 10
kapsul

148.00

Download

PT. Merck Tbk

Dus, 10 blister @ 10
tablet

1,135.00

Download

PT. Merck Tbk

Dus, 10 blister @ 10
tablet

563.00

Download

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml 9,128.00

Download

PT. Pratapa Nirmala

Dus, Botol Plastik @ 5ml 9,722.00

Download

PT. Boehringer Ingelheim

Dus, 1 blister @10


kapsul + handihaler

152,543.00

Download

2,395.00

Download

PT. Boehringer Ingelheim

PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml


PT. Tempo Scan Pacific
PT. Aventis Pharma
PT. Darya Varia

99.00

botol, tetes mata 2,5 ml 115,000.00


Dus, botol plastik 120
dosis
strip

Download

90,000.00

Download

405.00

Download

PT. Galenium Pharmasia Laboratories


tube

6,400.00

Download

PT. Aventis Pharma

1 vial of 10ml (10 d's)

285,000.00

Download

PT. Ikapharmindo

Botol 120 ml

40,000.00

Download

PT. Abbott Indonesia

Tablet

2,793.00

Download

PT. Abbott Indonesia

Tablet

5,450.00

Download

PT. Novartis Indonesia

Dus, 2 blister @ 14
tablet

3,900.00

Download

6,500.00

Download

6,200.00
234.00
210,000.00

Download
Download
Download

PT. Abbott Indonesia


PT. Kimia Farma
PT. Combiphar

Dus, 2 blister @ 14
tablet
Tablet
Ktk 10X10 TAB
Vial 10mg/10ml

PT. Mugi Laboratories

Dus, 1 vial @ 1 ml

1,229,998.00

Download

PT. Kimia Farma

Dus 10 strip x 10 tab

107.00

Download

PT. Kimia Farma

Botol 60 tablet

3,429.00

Download

PT. Combiphar

Drops 10 mg/ml, Botol


@15 ml

12,840.00

Download

PT. Meprofarm

Dus, botol 60 ml

7,400.00

Download

PT. Kimia Farma

ktk 10 x 10 tablet

473.00

Download

PT. Novartis Indonesia

Download

4/23/2013 10:24

Download

3/18/2014 20:03

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4/23/2013 10:24

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3/15/2014 16:05

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7/21/2014 21:09

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7/21/2014 21:09

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3/15/2014 16:05

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3/15/2014 16:05

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3/15/2014 16:05

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3/15/2014 16:05

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3/15/2014 16:05

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6/27/2014 19:33

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4/3/2014 21:30

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3/16/2014 18:23

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4/23/2013 10:24

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3/15/2014 16:05

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3/16/2014 18:23

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3/16/2014 18:23

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4/23/2013 10:24

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3/15/2014 16:05

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4/23/2013 10:24

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3/15/2014 16:05

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3/15/2014 16:05

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3/15/2014 16:05

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4/23/2013 10:24

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3/15/2014 16:05

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4/3/2014 21:30

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4/3/2014 21:30

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3/18/2014 20:03

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4/3/2014 21:30

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4/3/2014 21:30

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3/18/2014 20:03

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3/18/2014 20:03

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4/3/2014 21:30

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3/15/2014 16:05

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3/15/2014 16:05

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3/15/2014 16:05

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3/15/2014 16:05

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3/15/2014 16:05

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3/16/2014 18:23

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3/18/2014 20:03

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3/15/2014 16:05

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3/15/2014 16:05

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3/18/2014 20:03

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7/21/2014 21:09

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3/15/2014 16:05

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4/3/2014 21:30

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4/23/2013 10:24

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3/16/2014 18:23

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3/15/2014 16:05

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3/15/2014 16:05

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3/16/2014 18:23

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3/15/2014 16:05

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4/3/2014 21:30

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4/23/2013 10:24

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4/23/2013 10:24

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4/23/2013 10:24

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4/23/2013 10:24

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3/16/2014 19:08

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4/3/2014 21:30

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7/21/2014 21:09

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5/21/2014 20:01

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5/21/2014 20:01

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7/21/2014 21:09

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3/16/2014 19:08

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4/3/2014 21:30

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4/3/2014 21:30

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4/3/2014 21:30

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3/15/2014 16:05

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3/15/2014 16:05

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3/16/2014 19:30

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3/15/2014 16:05

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4/23/2013 10:24

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4/23/2013 10:24

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3/18/2014 20:03

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3/18/2014 20:03

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3/18/2014 20:03

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3/18/2014 20:03

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4/23/2013 10:24

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4/3/2014 21:30

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7/21/2014 21:09

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3/16/2014 18:23

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3/16/2014 18:23

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3/16/2014 18:23

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3/16/2014 18:23

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3/15/2014 16:05

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4/23/2013 10:24
3/15/2014 16:05
7/21/2014 21:09

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4/3/2014 21:30

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6/16/2014 19:59

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4/3/2014 21:30

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3/18/2014 20:03

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3/15/2014 16:05

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4/3/2014 21:30

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4/23/2013 10:24

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4/23/2013 10:24

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3/15/2014 16:05

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5/21/2014 20:01

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4/3/2014
4/23/2013
4/23/2013
3/15/2014

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3/24/2014 14:34

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3/16/2014 18:23
3/18/2014 20:03

21:30
10:24
10:24
16:05

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3/16/2014 19:08

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3/16/2014 19:08

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4/3/2014 21:30

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3/15/2014 16:05

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4/23/2013 10:24

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

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3/16/2014 18:23
3/16/2014 18:23

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3/16/2014 18:23

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4/23/2013 10:24

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3/16/2014 18:23

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3/15/2014 16:05

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4/23/2013
4/23/2013
4/23/2013
4/23/2013

10:24
10:24
10:24
10:24

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4/3/2014 21:30

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4/3/2014 21:30

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3/18/2014 20:03

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3/18/2014 20:03

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4/23/2013 10:24
4/23/2013 10:24

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4/23/2013 10:24

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4/23/2013 10:24

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3/18/2014 20:03
7/21/2014 21:09

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5/22/2014 14:25

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4/23/2013 10:24
3/18/2014 20:03

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3/15/2014 16:05
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4/23/2013 10:24

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7/21/2014 21:09
3/15/2014 16:05

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3/16/2014 18:23

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4/23/2013 10:24

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4/23/2013 10:24

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3/15/2014 16:05

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4/23/2013 10:24
4/23/2013 10:24
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7/21/2014 21:09

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3/16/2014 19:08

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3/15/2014 16:05

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4/3/2014 21:30

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4/3/2014 21:30

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3/18/2014 20:03

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3/15/2014 16:05

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4/23/2013
4/23/2013
4/23/2013
4/23/2013
4/3/2014

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4/23/2013 10:24

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3/18/2014 20:03

10:24
10:24
10:24
10:24
21:30

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5/28/2014 19:25

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4/3/2014 21:30

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4/14/2014 9:16

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4/12/2014 17:56

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4/14/2014 9:16

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3/16/2014
3/16/2014
4/3/2014
4/23/2013

18:23
18:23
21:30
10:24

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4/3/2014 21:30

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3/15/2014 16:05

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3/18/2014 20:03

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3/15/2014 16:05
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3/18/2014 20:03

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3/18/2014 20:03

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3/16/2014 18:23
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4/23/2013
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7/21/2014
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10:24
10:24
21:09
18:23
10:24
10:24

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

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4/23/2013
3/15/2014
3/15/2014
3/15/2014

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3/15/2014 16:14

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3/16/2014 19:49

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7/21/2014 21:09

10:24
16:05
16:05
16:05

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4/3/2014 21:30

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3/16/2014 19:08

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3/15/2014 16:05

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3/16/2014 18:23

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3/16/2014 18:23

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3/15/2014 16:05

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3/15/2014 16:05

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4/23/2013 10:24

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3/16/2014
3/15/2014
3/15/2014
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3/16/2014 19:08

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4/23/2013 10:24

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7/21/2014 21:09

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4/23/2013 10:24

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3/18/2014 20:03

18:23
16:05
16:05
16:05

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7/10/2014 15:53

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5/21/2014 20:01
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6/27/2014 19:33

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4/3/2014 21:30

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3/16/2014 19:08
4/23/2013 10:24
3/16/2014 18:23

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5/21/2014 14:16

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3/15/2014 16:05

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

1. ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida


tablet 200 mg)
2. Adefovir Dipivoksil tablet/kaplet 10 mg

n/a

PT. Kimia Farma

Hepsera

PT. SmithKline Beecham Phamaceuticals

3. Albendazol suspensi 200 mg/5 ml

n/a

PT. Indofarma

4. Albendazol tablet/kapsul/kaplet 400 mg


n/a
5. Albumin serum normal (human albumin) injeksi 20%, 100 Zenalb
ml
6. Albumin serum normal (human albumin) injeksi 20%, 50 ml Zenalb

PT. Holi Pharma


PT. Ikapharmindo
PT. Ikapharmindo

7. Alopurinol tablet/kapsul/kaplet 100 mg


8. Alopurinol tablet/kapsul/kaplet 300 mg
9. Alprazolam tablet/kapsul/kaplet 0,25 mg
10. Alprazolam tablet/kapsul/kaplet 0,5 mg
11. Alprazolam tablet/kapsul/kaplet 1 mg
12. Alteplase injeksi 50 mg/vial

n/a
n/a
n/a
n/a
n/a
Actilyse

PT. Pertiwi Agung


PT. Bernofarm
PT. Dexa Medica
PT. Otto Pharmaceuticals
PT. Kimia Farma
PT. Boehringer Ingelheim

13. Amfoterisin B salep mata 1%


14. Amikasin injeksi 250 mg/ml
15. Aminofilin injeksi 24 mg/ml
16. Aminofilin tablet scored 200 mg

Fungicide
Glybotic 250 mg /ml
n/a
n/a

PT. Cendo Industri Farmasi


PT. Sanbe Farma
PT. Lucas Djaja
PT. Marin Liza Farmasi

17. Amiodaron injeksi 150 mg/3 ml


18. Amiodaron tablet/kaplet 200 mg
19. Amitriptilin tablet salut 25 mg (HCl)
20. Amlodipin tablet 10 mg
21. Amlodipin tablet 5 mg
22. Amoksisilin kapsul/kaplet 250 mg
23. Amoksisilin kapsul/kaplet/tablet scored 500 mg

Cordarone
Kendaron Tablet
n/a
n/a
n/a
n/a
n/a

PT. Aventis Pharma


PT. Darya Varia
PT. Indofarma
PT. Pertiwi Agung
PT. Pertiwi Agung
PT. Novapharin
PT. Bernofarm

24. Amoksisilin sirup kering forte 250 mg/5 ml


25. Amoksisilin sirup kering 125 mg/ 5 ml
26. Ampisilin serbuk injeksi i.v. 1000 mg/vial
27. Analog insulin long acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin glargine 100 IU/ml)

n/a
n/a
n/a
Lantus Solostar 100IU/ml
5pens x3ml

PT. Holi Pharma


PT. Novapharin
PT. Bernofarm
PT. Aventis Pharma

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

PT. Ferron Par Pharmaceuticals

29. Analog insulin mix insulininj 100 UI/ml, vial/cartridge


Humalog Mix 25
disposible/penfill cartridge (25% insulin lispro, 75% insulin
lispro protamine suspension, (rDNA))

PT. Tempo Scan Pacific

30. Analog insulin rapid acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin Aspart (Analogue))

Novorapid Vial

PT. Ferron Par Pharmaceuticals

31. Analog insulin rapid acting inj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin Aspart (Analogue))

Novorapid Flexpen

PT. Ferron Par Pharmaceuticals

32. 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

33. Analog insulin rapid actinginj 100 UI/ml, vial/cartridge


disposible/penfill cartridge (Insulin lispro (rDNA origin))

Humalog

PT. Tempo Scan Pacific

34. Anastrozol tablet/kapsul/kaplet 1 mg

Arimidex 1 mg

PT. AstraZeneca indonesia

35. Antasida DOEN I tablet kunyah, kombinasi : Aluminium


Hidroksida 200 mg Magnesium Hidroksida 200 mg

n/a

PT. Promedrahardjo Farmasi Industri

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

36. Antasida DOEN II suspensi, kombinasi : Aluminium


Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 mg/5
ml
37. Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g
Polimiksin 10.000 IU/g
38. Antimalaria DOEN kombinasi : Pirimetamin 25 mg
Sulfadoksin 500 mg
39. Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

n/a

PT. Rama Emerald Multi Sukses

n/a

PT. Indofarma

n/a

PT. Kimia Farma

n/a

PT. Kimia Farma

40. Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg


Levodopa 100 mg
41. Artemether injeksi 80 mg/ml
42. Asam Asetilsalisilat (asetosal) tablet 100 mg
43. Asam Askorbat (Vitamin C) tablet 250 mg
44. Asam Askorbat (Vitamin C) tablet 50 mg
45. Asam Folat tablet/kapsul/kaplet 0,4 mg
46. Asam Folat tablet/kapsul/kaplet 1 mg
47. Asam Ibandronat injeksi 6mg/6ml

Levopar Tablet

PT. Meprofarm

Artem
n/a
n/a
n/a
Starfolat
n/a
Bondronat

PT. Kimia Farma


PT. Phapros, Tbk
PT. Kimia Farma
PT. Kimia Farma
PT. Dexa Medica
PT. Marin Liza Farmasi
PT. Boehringer Ingelheim

48. Asam Mefenamat kapsul/kaplet 500 mg

n/a

PT. Bernofarm

49. Asam pipemidat kapsul 400 mg


50. Asam traneksamat injeksi 100 mg/ml

Urotractin 400 mg
n/a

PT. Sanbe Farma


PT. Hexpharm Jaya Laboratories

51. Asam traneksamat injeksi 50 mg/ml


52. Asiklovir salep mata 3%
53. Asiklovir tablet/kapsul/kaplet 200 mg

n/a
Temiral Eye Oint
n/a

PT. Bernofarm
PT. Sanbe Farma
PT. Indofarma

54. Asiklovir tablet/kapsul/kaplet 400 mg


55. Asparaginase serbuk injeksi 10.000 UI/vial
56. Atapulgit tablet 600 mg

n/a
Leunase
Pularex

PT. Kimia Farma


PT. Widatra Bhakti
PT. Zenith Pharmaceuticals

57. Atrakurium injeksi 25 mg/2,5 ml

Tracrium

PT. Glaxo Wellcome Indonesia

58. Atropin Sulfat tablet 0,5 mg


59. Azitromisin sir kering 200 mg/ 5 mL

n/a
n/a

PT. Indofarma
PT. Soho Industri Pharmasi

60. Azitromisin tablet 500 mg


61. Azitromisin tablet 250 mg

n/a
n/a

PT. Kimia Farma


PT. Soho Industri Pharmasi

62. Bedak salisil serbuk 2%

n/a

PT. Rama Emerald Multi Sukses

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


64. Benzatin Benzil Penisilin 2,4 juta IU/vial
65. Beractant injeksi / suspensi 25 mg/mL
66. Beraprost sodium tablet 20 mcg

n/a
n/a
Survanta
Dorner 20 g

PT. Phapros, Tbk


PT. Phapros, Tbk
PT. Abbott Indonesia
PT. Combiphar

67. Beraprost sodium tablet 20 mcg

Dorner

PT. Combiphar

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


69. Bikalutamid tablet salut 150 mg

n/a
Casodex 150 mg

PT. Kimia Farma


PT. AstraZeneca indonesia

70. Bikalutamid tablet salut 50 mg

Casodex 50 mg

PT. AstraZeneca indonesia

71. Bisakodil suppositoria 10 mg


72. Bisoprolol tablet 2,5 mg

Stolax supp
Concor 2.5

PT. Sanbe Farma


PT. Merck Tbk

73. Bisoprolol tablet 5 mg


74. Bleomisin serbuk injeksi 15 mg/ampul
75. Bromokriptin tablet 2,5 mg
76. Budesonid inhaler 200 mcg/puff, 100 dosis

n/a
BLEOCIN
Cripsa tab
Pulmicort Turbuhaler

PT. Pratapa Nirmala


PT Kalbe Farma
PT. Caprifarmindo
PT. AstraZeneca indonesia

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

Pulmicort Respules

PT. AstraZeneca indonesia

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

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


mcg
79. Budesonid-formoterol (fixed combination) inhaler 80/4,5
mcg
80. Bupivakain injeksi 0,50% (HCl) + glukosa 8%

Symbicort Turbuhaler
160/4.5 mcg
Symbicort 80/4.5 mcg

PT. AstraZeneca indonesia

n/a

PT. Dexa Medica

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


82. Dabigatran eteksilat kapsul 75 mg

Bunascan
Pradaxa

PT. Pratapa Nirmala


PT. Boehringer Ingelheim

83. Dabigatran eteksilat kapsul 110 mg

Pradaxa

PT. Boehringer Ingelheim

84. Daunorubisin serbuk injeksi 20 mg/vial

DAUNOCIN

PT. Novell Pharmaeutical Laboratories

85. Deferasiroks tablet disp/ eff 250 mg


86. Deferasiroks tablet disp/ eff 500 mg
87. Deferipron larutan oral 100 mg/mL

Exjade 250 mg Tab


Exjade 500 mg Tab
Ferriprox Oral Solution

PT. Novartis Indonesia


PT. Novartis Indonesia
PT. Sydna Farma

88. Deferipron tablet 500 mg


89. Deferoksamin Mesilat serbuk injeksi 500 mg
90. Deksametason injeksi i.v./i.m. 5 mg/ml
91. Deksametason tablet 0,5 mg

Ferriprox tablet
Desferal
n/a
n/a

PT. Sydna Farma


PT. Novartis Indonesia
PT. Indofarma
PT. Indofarma

92. Desoksimetason krim 0,25%


93. Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
94. Digoksin tablet 0,25 mg

n/a
n/a
n/a

PT. Dexa Medica


PT. Lucas Djaja
PT. Yarindo Farmatama

95. Diltiazem HCl tablet 30 mg


96. Diltiazem infus injeksi 50 mg

n/a
PT. Indofarma
Herbesser Powder Injection PT. Tanabe Indonesia
50mg
Farmabes Injeksi 25 mg
PT. Pratapa Nirmala

97. Diltiazem injeksi 25 mg/5 mL

PT. AstraZeneca indonesia

98. Diltiazem Kapsul SR 100 mg


99. Diltiazem Kapsul SR 200 mg
100. Dimenhidrinat tablet 50 mg
101. Dinatrium edetat tetes mata 0,35%

Herbesser CD 100
Herbesser CD 200
n/a
E.D.T.A

PT. Tanabe Indonesia


PT. Tanabe Indonesia
PT. Kimia Farma
PT. Cendo Industri Farmasi

102. Dobutamin injeksi 50 mg/mL


103. Doksazosin mesilat tablet 1 mg
104. Doksazosin mesilat tablet 2 mg
105. Doksorubisin serbuk injeksi i.v. 10 mg/vial

DOBURAN
Cardura 1mg
Cardura 2mg
Doxorubicin Actavis 10 mg

PT. Dipa Pharmalab


PT. Pfizer Indonesia
PT. Pfizer Indonesia
PT. Actavis Indonesia

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

Doxorubicin Actavis 50 mg

PT. Actavis Indonesia

107. Domperidon suspensi/sirup 5 mg/5 ml


108. Domperidon tablet 10 mg
109. Domperidon tetes 5 mg/mL
110. Dopamin injeksi 40 mg/ml
111. Dosetaksel injeksi 20 mg/0,5 ml

n/a
n/a
n/a
UDOPA
n/a

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

112. Dutasterid kaps lunak 0,5 mg

Avodart

PT. SmithKline Beecham Phamaceuticals

113. Efavirens tablet salut 600 mg


114. Eksemestan tablet 25 mg
115. Enoksaparin sodium inj 20 mg/0,2 mL

n/a
Aromasin
Lovenox 2000 ANTI-XA

PT. Kimia Farma


PT. Pfizer Indonesia
PT. Aventis Pharma

116. Enoksaparin sodium inj 40 mg/0,4 mL

Lovenox 4000 ANTI-XA

PT. Aventis Pharma

117. Enoksaparin sodium inj 60 mg/0,6 mL

Lovenox 6000 ANTI-XA

PT. Aventis Pharma

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

n/a

PT. Phapros, Tbk

119. Epirubisin serb injeksi 50 mg/25ml

Epirubisin Kalbe

PT Kalbe Farma

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

120. Epirubisin serb injeksi 10 mg/5 ml


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

n/a
D-Vit FT

PT. Sanbe Farma


PT. Gracia Pharmindo

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

D-Vit Syrup

PT. Gracia Pharmindo

123. Eritromisin kapsul/kaplet 250 mg


124. Eritromisin kapsul/kaplet 500 mg
125. Eritromisin sirup kering 200 mg/ 5 ml

n/a
n/a
n/a

PT. Kimia Farma


PT. Indofarma
PT. Phyto Kemo Agung Farma

126. Eritropoetin-alfa inj 3000 UI/mL


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

Hemapo 3000
Recormon

PT Kalbe Farma
PT. Boehringer Ingelheim

128. Etambutol tablet 250 mg (HCl)


129. Etambutol tablet salut 500 mg (HCl)
130. Etanol 70% cairan
131. Etonogestrel implan 68 mcg

n/a
n/a
n/a
Implanon

PT. Kimia Farma


PT. Indofarma
PT. Novapharin
PT. Merck Sharp Dohme Pharma Tbk

132. Etoposid injeksi 20 mg/ml


133. Eugenol cairan
134. Everolimus tab 0,25 mg
135. Everolimus tab 0,5 mg
136. Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk
injeksi

Posyd
n/a
Certican 0,25 mg Tab
Certican 0,5 mg Tab
Novoseven

PT. Combiphar
PT. Kimia Farma
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Ferron Par Pharmaceuticals

137. Fenitoin injeksi 50 mg/ml

n/a

PT. Mersifarma Tirmaku Mercusana

138. Fenitoin kapsul/kaplet 100 mg


139. Fenitoin Na Inj 100 mg/2 ml

n/a
n/a

PT. Ikapharmindo
PT. Mersifarma Tirmaku Mercusana

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


141. Fenofibrat kaps 100 mg

n/a
n/a

PT. Phapros, Tbk


PT. Hexpharm Jaya Laboratories

142. Fenofibrat kaps 300 mg

n/a

PT. Hexpharm Jaya Laboratories

143. Fenoksimetil penisilin (penisilin V) tab 125 mg

Fenocin

PT. Actavis Indonesia

144. Fenoterol HBr inh solution 0,1%

Berotec Solution

PT. Boehringer Ingelheim

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

n/a

PT. Kimia Farma

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

n/a

PT. Kimia Farma

147. Fentanil patch 12,5 mcg/jam

Durogesic 12,5 MU Matrix

PT. Kimia Farma

148. Fentanil patch 25 mcg/jam

Durogesic 25 MU Matrix

PT. Kimia Farma

149. Fentanil patch 50 mcg/jam

Durogesic 50 MU Matrix

PT. Kimia Farma

150. Filgrastim inj 300 mcg/mL


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

Leucogen
n/a

PT Kalbe Farma
PT. Marin Liza Farmasi

152. Fludarabin inj 50 mg


153. Fludarabin tab 10 mg

Fludara IV LYO
Fludara Oral

PT. Aventis Pharma


PT. Aventis Pharma

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

Sikzonoate Injeksi

PT. Mersifarma Tirmaku Mercusana

155. Flukonazol injeksi 2 mg/ml

n/a

PT. Novell Pharmaeutical Laboratories

156. Flukonazol tablet/kapsul 150 mg


157. Fluoksetin tablet 10 mg
158. Fluoksetin tablet 20 mg
159. Fluorourasil inj 250 mg/mL
160. Fluorourasil inj 500 mg/ 5 mL

n/a
Foransi 10
NOPRES
Curacil
Curacil

PT. Kimia Farma


PT. Gracia Pharmindo
PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

161. Flusinolon asetonid krim 0,025%

SYNARCUS

PT. Ifars Pharmaceutical Laboratories

162. Flutikason furoat intranasal spray

Avamys

PT. Glaxo Wellcome Indonesia

163. Flutikason propionat nebules 0,5 mg

Flixotide Nbules

PT. Glaxo Wellcome Indonesia

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

Arixtra

PT. Glaxo Wellcome Indonesia

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


166. Furosemid tablet 40 mg
167. Gansiklovir serb inj 500 mg (50 mg/mL)

n/a
n/a
Cymevene

PT. Indofarma
PT. Indofarma
PT. Boehringer Ingelheim

168. Gefitinib tab 250 mg

Iressa 250 mg

PT. AstraZeneca indonesia

169. Gemfibrozil kapsul/kaplet 300 mg

n/a

PT. Indofarma

170. Gemfibrozil tablet 600 mg

n/a

PT. Indofarma

171. Gemsitabin inj 1000 mg/vial


172. Gemsitabin inj 200 mg/vial
173. Gentamisin injeksi 40 mg/ ml
174. Gentamisin salep mata 0,3%
175. Gentamisin tetes mata 0,3%
176. Glibenklamid tablet 5 mg

Gemzar 1000 mg
n/a
n/a
Genoint Salep Mata
n/a
n/a

PT. Bayer Indonesia


PT. Sanbe Farma
PT. Indofarma
PT. Erela
PT. Indofarma
PT. Indofarma

177. Gliklazid tab 80 mg


178. Gliklazid tab 30 mg

Glicab
Diamicron MR 30

PT. Tempo Scan Pacific


PT. Pradja Pharin

179. Glikuidon tab 30 mg


180. Glimepiride tablet 1 mg
181. Glimepiride tablet 2 mg
182. Glimepiride tablet 3 mg
183. Glimepiride tablet 4 mg
184. Gliseril trinitrat kaps SR 2,5 mg
185. Gliseril trinitrat kaps SR 5 mg
186. Gliseril trinitrat tab sublingual 0,5 mg
187. Gliserin lar 50%
188. Glukosa larutan infus 10 % steril
189. Glukosa larutan infus 5 % steril
190. Goserelin asetat inj 10,8 mg/vial

n/a
n/a
n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte
Nitral
Gliserin lar 50%
n/a
n/a
Zoladex 10,8 mg

PT. Dexa Medica


PT. Kimia Farma
PT. Kimia Farma
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. AstraZeneca indonesia

191. Goserelin asetat inj 3,6 mg

Zoladex 3,6 mg

PT. AstraZeneca indonesia

192. Griseofulvin tablet 125 mg

n/a

PT. Indofarma

193. Haloperidol inj 50 mg/mL

Haldol Decanoas

PT. Soho Industri Pharmasi

194. Haloperidol tablet 0,5 mg

n/a

PT. Indofarma

195. Haloperidol tablet 5 mg

n/a

PT. Indofarma

196. Haloperidol tablet 1,5 mg

n/a

PT. Indofarma

197. Haloperidol tablet 2 mg

Lodomer 2

PT. Mersifarma Tirmaku Mercusana

198. Halotan Inhalasi


199. Heparin injeksi i.v./s.k. 5000 UI/ml
200. Hepatitis B imunoglobulin (human)
201. Hidrokortison krim 2,5 %
202. Hiosin butilbromid injeksi 20 mg/ml

Halothane
Inviclot
Hyperhep B
n/a
n/a

PT. Dexa Medica


PT. Pratapa Nirmala
PT. Dipa Pharmalab
PT. Kimia Farma
PT. Otto Pharmaceuticals

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

203. Human insulin intermediate acting inj 100 UI/ml, vial


(Human Insulin (Intermediate-Acting))

Insulatard Vial

PT. Ferron Par Pharmaceuticals

204. Human insulin intermediate acting inj 100 UI/ml, vial


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

Humulin N Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

206. Human insulin intermediate acting inj 100 UI/ml,penfill


cartridge (Human Insulin (Intermediate-Acting))

Insulatard Penfill

PT. Ferron Par Pharmaceuticals

207. Human insulin intermediate acting inj 100 UI/ml,penfill


Sansulin N
cartridge (Insulin human Basal)
208. Human insulin intermediate acting inj 100 UI/ml,penfill
Humulin N Cart
cartridge (Insulin human Basal)
209. Human insulin mix insulin inj 100 UI/ml, penfill cartridge
Mixtard Penfill
(Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin))

PT. Sanbe Farma

210. Human insulin mix insulin inj 100 UI/ml, penfill cartridge
Humulin 30/70 Cart
(Insulin human Comb)
211. Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin Mixtard Vial
(Premix: 30% Soluble + 70 % NPH Insulin))

PT. Bayer Indonesia

212. Human insulin mix insulin inj 100 UI/ml, vial (Insulin human Humulin 30/70 Vial
Comb)
213. Human insulin short acting inj 100 UI/ml, penfill cartridge Actrapid Penfill
(Human Insulin (Short Acting))

PT. Bayer Indonesia

214. Human insulin short acting inj 100 UI/ml, penfill cartridge
(Insulin human Rapd)
215. Human insulin short acting inj 100 UI/ml, penfill cartridge
(Insulin human Rapd)
216. Human insulin short acting inj 100 UI/ml, vial (Human
Insulin (Short Acting))
217. Human insulin short acting inj 100 UI/ml, vial (Insulin
human Rapd)
218. Human insulin short acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge
219. Ibuprofen sirup 100 mg/5 ml
220. Ibuprofen suspensi 200 mg/5 ml
221. Ibuprofen tablet 200 mg

Humulin R Cart

PT. Bayer Indonesia

Sansulin R

PT. Sanbe Farma

Actrapid Vial

PT. Ferron Par Pharmaceuticals

Humulin R Vial

PT. Bayer Indonesia

n/a

PT. Aventis Pharma

n/a
n/a
n/a

PT. Indofarma
PT. Indofarma
PT. Yarindo Farmatama

222. Ibuprofen tablet 400 mg


223. Ifosfamid serbuk injeksi 1000 mg/vial
224. Imidapril tab 10 mg
225. Imidapril tab 5 mg
226. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml)

n/a
Holoxan injeksi 1000
Tanapress 10mg
Tanapress 5mg
Iopamiro

PT. Holi Pharma


PT. Mugi Laboratories
PT. Tanabe Indonesia
PT. Tanabe Indonesia
PT. Dipa Pharmalab

227. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 30ml)

Iopamiro

PT. Dipa Pharmalab

228. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 50ml)

Iopamiro

PT. Dipa Pharmalab

229. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 100ml)

Iopamiro

PT. Dipa Pharmalab

230. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 30ml)

Iopamiro

PT. Dipa Pharmalab

231. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 50ml)

Iopamiro

PT. Dipa Pharmalab

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

Ultravist 300/100 mg

PT. Bayer Indonesia

233. Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)

Ultravist 300/50 mg

PT. Bayer Indonesia

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

Ultravist 370/100 mg

PT. Bayer Indonesia

PT. Bayer Indonesia


PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

235. Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)

Ultravist 370/50 mg

PT. Bayer Indonesia

236. Irbesartan tab 150 mg


237. Irbesartan tab 300 mg
238. Irinotekan inf 20 mg/ml
239. Isosorbid Dinitrat injeksi i.v 10 mg/10 ml
240. Isosorbid Dinitrat tablet sublingual 5 mg
241. Kalium aspartat tab 300 mg
242. Kalium Klorida tablet 600 mg
243. Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml

n/a
n/a
n/a
Farsorbid inj
n/a
Kalipar
KSR
DBL Leucovorin

PT. Indofarma
PT. Indofarma
PT. Sanbe Farma
PT. Pratapa Nirmala
PT. Indofarma
PT. Tempo Scan Pacific
PT. Merck Tbk
PT. Tempo Scan Pacific

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

Kalsium glukonat

PT. Ethica Industri Farmasi

245. Kandesartan tab 16 mg


246. Kandesartan tab 8 mg
247. Kapesitabin tab 500 mg

n/a
n/a
Xeloda

PT. Dexa Medica


PT. Dexa Medica
PT. Boehringer Ingelheim

248. Kaptopril tablet 50 mg


249. Kaptopril tablet scored 25 mg
250. Kaptopril tablet scored12,5 mg
251. Karbamazepin sirup 100 mg/5 ml

PT. Indofarma
PT. Errita Pharma
PT. Indofarma
PT. Novartis Indonesia

252. Karbamazepin tablet 200 mg

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

253. Karbimazol tab 5 mg

Neo-Mercazole

PT. Nicholas Laboratories Indonesia

254. Karbogliserin tetes telinga 10%

PT. Lucas Djaja

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

Karbogliserin tetes telinga


10%
KTM

256. Ketokonazol krim 2%


257. Ketokonazol krim 2%

n/a
n/a

PT. Kimia Farma


PT. Novell Pharmaeutical Laboratories

258. Ketokonazol tablet 200 mg


259. Ketoprofen supositoria 100 mg
260. Ketorolac injeksi 30 mg/ml
261. Klaritromisin tab 500 mg

n/a
Protofen Supp
n/a
ORIXAL

PT. Dexa Medica


PT. Kimia Farma
PT. Phapros, Tbk
PT. Ifars Pharmaceutical Laboratories

262. Klindamisin kapsul/kaplet 150 mg

n/a

PT. Indofarma

263. Klindamisin kapsul/kaplet 300 mg

n/a

PT. Indofarma

264. Klobazam tab 10 mg


265. Klonidin tablet 0,15 mg
266. Klopidogrel tab 75 mg

n/a
n/a
n/a

PT. Dexa Medica


PT. Kimia Farma
PT. Hexpharm Jaya Laboratories

267. Kloramfenikol suspensi 125 mg/ 5 ml


268. Klorpromazin injeksi i.m. 25 mg/ml (HCl)
269. Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
270. Klozapin 100 mg

n/a
n/a
n/a
n/a

PT. Bernofarm
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Mersifarma Tirmaku Mercusana

271. Klozapin 25 mg

n/a

PT. Mersifarma Tirmaku Mercusana

272. Kodein tablet 10 mg


273. Kodein tablet 15 mg
274. Kodein tablet 20 mg
275. Koloid HES BM 130 000 lar inf 6%

n/a
n/a
n/a
Voluven

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Fresenius Kabi Combiphar

276. Kombinasi suspensi : Parafin + gliserin + fenolftalein

Laxadine Emulsi 60 ml

PT. Galenium Pharmasia Laboratories

277. Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam n/a
folat 0,25 mg

PT. Indofarma

PT. Guardian Pharmatama

PT. Erela

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

278. Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664


mg; Kalium klorida 1,32 mg
279. Kombinasi: Artemether 20 mg; Lumefantrin 120 mg

Cendo Lyteers

PT. Cendo Industri Farmasi

Coartem

PT. Novartis Indonesia

280. Kombinasi: Levodopa 100 mg; Karbidopa 25 mg;


Entekapon 200 mg
281. Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50
mcg
282. Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100
mcg
283. Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250
mcg
284. Kotrimoksazol DOEN I (dewasa) kombinasi :
Sulfametoksazol 400 mg Trimetoprim 80 mg

Stalevo

PT. Novartis Indonesia

Seretide Inhaler 50 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 100 mcg

PT. Glaxo Wellcome Indonesia

Seretide Diskus 250 mcg

PT. Glaxo Wellcome Indonesia

n/a

PT. Holi Pharma

285. Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + n/a


Trimetoprim 40 mg / 5 ml

PT. Lucas Djaja

286. Kuinin (Kina) tablet 200 mg


287. Kuinin injeksi i.v. 25% (sebagai 2 HCl)
288. Kuinin tablet 222 mg (H2SO4.7H2O)
289. Lamivudine tablet 150 mg
290. Lansoprazol inj 30 mg/ml
291. Lanzoprazol kapsul/kaplet 30 mg
292. Lapatinib tab 250 mg

n/a
n/a
n/a
n/a
Prosogan Inj.
n/a
Tykerb

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Takeda Indonesia
PT. Indofarma
PT. SmithKline Beecham Phamaceuticals

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

Kalbamin

PT. Finusolprima Farma Internasional

294. Larutan mengandung Asam Amino (Asam Amino 100 g,


Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)

Amiparen

PT Otsuka Indonesia

295. Larutan mengandung Asam Amino (Asam Amino 27 g,


Sorbitol 50 g, Cl- 52 mEq)
296. Larutan mengandung Asam Amino (Asam Amino 30 g,
Glukosa 7,3 % dan elektrolit) 1000 ml

Pan-amin G

PT Otsuka Indonesia

Aminofluid

PT Otsuka Indonesia

297. Larutan mengandung Asam Amino (Asam Amino 30 g,


Glukosa 7,3 % dan elektrolit) 500 ml

Aminofluid

PT Otsuka Indonesia

298. 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

299. Larutan mengandung Asam Amino (Asam Amino 6%,


mengandung Taurine 0,24 gr/l)
300. Larutan mengandung Asam Amino (Asam Amino 7%,
Komposisi: Asam Amino esensial: Asam Amino non
esensial = 60 : 40)

Aminosteril Infant 6%

PT. Fresenius Kabi Combiphar

Nephrosteril

PT. Fresenius Kabi Combiphar

301. Larutan mengandung Asam Amino (Asam Amino 72.05 g, Kidmin


Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat
46 mEq)
302. Larutan mengandung Asam Amino (Asam Amino 79.9 g, Aminoleban
Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

PT Otsuka Indonesia

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

PT. Fresenius Kabi Combiphar

Aminosteril N-Hepa

304. Larutan mengandung Asam Amino (Asam Amino esensial Eas Pfrimer
7%+Xylitol 10 g/L)
305. Larutan mengandung Asam Amino (BCAA 25 gr/L, LComafusin Hepar
Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L, Malic Acid 7
gr/L, Piridoxin 0.12 gr/L)

PT Otsuka Indonesia

PT. Finusolprima Farma Internasional


PT. Finusolprima Farma Internasional

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

306. 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)

Aminofusin L600

PT Kalbe Farma

307. Larutan mengandung Asam Amino (Kombinasi Asam


amino 50 g/L, vitamin dan elektrolit)

Aminofusin Paed

PT Kalbe Farma

308. Larutan mengandung Asam Amino (Kombinasi Asam


Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit
(Kalori = 1000 kkal, Akses peripheral))

Kabiven 1440 ml

PT. Fresenius Kabi Combiphar

309. Larutan mengandung Asam Amino (Kombinasi Asam


Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit
(Kalori = 1400 kkal, Akses peripheral))

Kabiven 1920 ml

PT. Fresenius Kabi Combiphar

310. Larutan mengandung Asam Amino (Kombinasi Glukosa


dan elektrolit 150 gr + Asam Amino 48 gr dgn akses
sentral)
311. Larutan mengandung Asam Amino (Kombinasi Glukosa
dan elektrolit 80 gr + Asam Amino 40 gr )

Combiflex Plus (790 kcal)

PT. Phapros, Tbk

Combiflex peri (480 kcal)

PT. Phapros, Tbk

312. Larutan mengandung Elektrolit (Kalium Klorida)

Otsu - KCl 7,46%

PT Otsuka Indonesia

313. Larutan mengandung Elektrolit (Larutan Ringer Laktat)

Wida RL

PT. Widatra Bhakti

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

PT Otsuka Indonesia

315. Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa KA EN 1B


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

PT Otsuka Indonesia

317. Larutan mengandung Elektrolit (Tiap 1000 ml mengandung Ringerfundin 500 mL


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)

PT. Phapros, Tbk

318. Larutan mengandung Karbohidrat (Fructose 120 g,


glucose 66 g, Xylitol 60 g/ L + elektrolit)

PT Kalbe Farma

Triofusin 1000

PT Kalbe Farma

319. Larutan mengandung Karbohidrat (Fructose 60 g, glucose Triofusin 500


33 g, Xylitol 30 g/ L)

PT Kalbe Farma

320. Larutan mengandung Karbohidrat (Maltose 100 gr)

Martos

PT Otsuka Indonesia

321. 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

322. Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, Tutofusin OPS


K, Cl, Ca, Mg, Sorbitol 50 gr/L)

PT Kalbe Farma

323. Larutan mengandung Karbohidrat + Elektrolit (Asam amino Clinimix N9G20E


28 gr/L, Glukosa 100 gr/L, elektrolit)

PT Kalbe Farma

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

324. Larutan mengandung Karbohidrat + Elektrolit (Asam amino Clinimix N9G15E


28 gr/L, Glukosa 75 gr/L, elektrolit)

PT Kalbe Farma

325. Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 Triofusin E1000


g, glucose 33 g, Xylitol 30 g/ L)

PT Kalbe Farma

326. Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 Wida HSD


g, NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk
injeksi ad 1000 ml)

PT. Widatra Bhakti

327. Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 Wida D5-NS


g ; Natrium Chloride 9 g, air untuk injeksi ad 1000 ml)

PT. Widatra Bhakti

328. Larutan mengandung Karbohidrat + Elektrolit (Glukosa:


25,0 g; NaCl: 4,5 g)
329. Larutan mengandung Karbohidrat + Elektrolit (Glukosa:
55.0 g; NaCl: 2.25 g)
330. Larutan mengandung Karbohidrat + Elektrolit (Glukosa:
55.0 g; NaCl: 4.5 g)
331. Larutan mengandung Karbohidrat + Elektrolit (Larutan
nutrisi kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca.
4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol
50g)

WIDA 2A

PT. Widatra Bhakti

WIDA D5-1/4NS

PT. Widatra Bhakti

WIDA D5-1/2NS

PT. Widatra Bhakti

Futrolit

PT. Sanbe Farma

332. Larutan mengandung Karbohidrat + Elektrolit (Larutan


Wida RD
Ringer & Glukosa 5%)
333. Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KA ENMG 3
KCL 1.5g, Glukosa 100 gr)

PT. Widatra Bhakti

334. Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KA EN 3B


KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)

PT Otsuka Indonesia

335. Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, KA EN 3A


Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)

PT Otsuka Indonesia

336. Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT


20% 100 ml)
337. Larutan mengandung Lipid (Emulsi lemak 20%)

PT Otsuka Indonesia

Lipofundin MCT/LCT 1% 100 PT. Phapros, Tbk


Intralipid

PT. Fresenius Kabi Combiphar

338. Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT Lipofundin MCT/LCT 1% 250 PT. Phapros, Tbk
20% 250 ml)
339. Larutan mengandung Lipid (Kombinasi Glukosa dan
Nutriflex Lipid Special 1250 PT. Phapros, Tbk
elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn
akses sentral)
340. Larutan mengandung Lipid (Kombinasi Glukosa dan
Nutriflex Lipid Peri 1250
PT. Phapros, Tbk
elektrolit 80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr)
341. Larutan mengandung Lipid (Kombinasi Glukosa dan
Nutriflex Lipid Special 625
elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn
akses sentral)
342. Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg
Ivelip
Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate 0.3
gr/L)
343. Latanoprost tetes mata 0,01%
Cendo Glaopen

PT. Phapros, Tbk

344. Leuprorelin asetat inj depot 1,88 mg


345. Leuprorelin asetat inj depot 11,25 mg
346. Levofloksasin inf 5 mg/mL

Tapros 1.88mg
Tapros 3M
n/a

PT. Takeda Indonesia


PT. Takeda Indonesia
PT. Infion Pharmaceutical

347. Levofloksasin tablet 500 mg

n/a

PT. Promedrahardjo Farmasi Industri

348. Lidokain injeksi 2% (HCL)


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

n/a
n/a

PT. Bernofarm
PT. Indofarma

PT Kalbe Farma

PT. Cendo Industri Farmasi

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

350. Lidokain jeli 2%

Xylocaine Jelly 2%

PT. AstraZeneca indonesia

351. Lisinopril tablet 10 mg

n/a

PT. Novell Pharmaeutical Laboratories

352. Lisinopril tablet 5 mg

n/a

PT. Novell Pharmaeutical Laboratories

353. Litium karbonat tablet 200 mg

Frimania 200

PT. Mersifarma Tirmaku Mercusana

354. Litium karbonat tablet 400 mg

Frimania 400

PT. Mersifarma Tirmaku Mercusana

355. Loperamid tablet 2 mg

n/a

PT. Ifars Pharmaceutical Laboratories

356. Loratadin tablet 10 mg

n/a

PT. Promedrahardjo Farmasi Industri

357. Lorazepam tablet 2 mg

Merlopam 2

PT. Mersifarma Tirmaku Mercusana

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

DIALIFER

PT. Novell Pharmaeutical Laboratories

359. Manitol

n/a

PT. Finusolprima Farma Internasional

360. Maprotilin HCl tab 25 mg

Ludios

PT. Soho Industri Pharmasi

361. Maprotilin HCl tab 50 mg

Sandepril 50

PT. Mersifarma Tirmaku Mercusana

362. Melfalan tablet 2 mg

Alkeran

PT. Glaxo Wellcome Indonesia

363. Meropenem inj 1 g


364. Meropenem serb inj 500 mg/vial
365. Mesna inj 100 mg/mL
366. Metadon sir 50mg/5ml
367. Metformin HCl tablet 500 mg

n/a
n/a
Uromitexan injeksi.
n/a
n/a

PT. Bernofarm
PT. Bernofarm
PT. Mugi Laboratories
PT. Kimia Farma
PT. Bernofarm

368. Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 n/a


mg
369. Metilfenidat kapsul LA 20 mg
Ritalin LA

PT. Kimia Farma

370. Metilprednisolon inj 125 mg/2 mL

n/a

PT. Dexa Medica

371. Metilprednisolon inj 500 mg/8 mL


372. Metilprednisolon tablet 16 mg

n/a
n/a

PT. Bernofarm
PT. Mahakam Beta Farma

373. Metilprednisolon tablet 4 mg

n/a

PT. Natura Laboratoria Prima

374. Metilprednisolon tablet 8 mg

n/a

PT. Dexa Medica

375. Metoklopramide tablet 5 mg


376. Metronidazol infus 500 mg/100 ml

n/a
n/a

PT. Kimia Farma


PT. Natura Laboratoria Prima

377. Metronidazol supositoria 500 mg

Flagyl

PT. Aventis Pharma

378. Metronidazol tablet 250 mg

n/a

PT. Phyto Kemo Agung Farma

379. Metronidazol tablet 500 mg

n/a

PT. Phyto Kemo Agung Farma

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

Cardioscan KaeF

PT. Kimia Farma

381. Midazolam injeksi i.v. 1 mg/ml

Dormicum

PT. Boehringer Ingelheim

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

Dormicum

PT. Boehringer Ingelheim

PT. Novartis Indonesia

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

383. Mikafungin Na serb inj 50 mg


384. Mikonazol krim/salep 2 % (Nitrat)
385. Mitomisin C (crystallin) serbuk inj 10 mg/vial
386. Moksifloksasin tetes mata 0,5%
387. Mometason furoat krim 0,1%

Mycamine
n/a
Mitomycin C
Vigamox
n/a

PT. Combiphar
PT. Kimia Farma
PT. Widatra Bhakti
PT. Tempo Scan Pacific
PT. Guardian Pharmatama

388. Morfin HCL inj 10 mg/ml


389. Morfin HCL tablet SR 10 mg

n/a
MST Continus 10 mg

PT. Kimia Farma


PT. Mahakam Beta Farma

390. Morfin HCL tablet SR 15 mg

MST Continus 15 mg

PT. Mahakam Beta Farma

391. Morfin injeksi i.m./s.k./i.v. 10 mg/ml


392. Morfin tablet 10 mg
393. Nacl 0,9%
394. Nadroparin inj 9500 Axa/mL syringe 0,3 mL

n/a
n/a
n/a
Fraxiparine 0.3 ml

PT. Kimia Farma


PT. Kimia Farma
PT. Widatra Bhakti
PT. Glaxo Wellcome Indonesia

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

Fraxiparine 0.4 ml

PT. Glaxo Wellcome Indonesia

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

Fraxiparine 0.6 ml

PT. Glaxo Wellcome Indonesia

397. Nalokson injeksi 0,4 mg/ml


398. Natrium Bikarbonat injeksi i.v 8,4%
399. Natrium Diklofenak tablet 50 mg

Nokoba
Meylon
n/a

PT. Pratapa Nirmala


PT Otsuka Indonesia
PT. Novell Pharmaeutical Laboratories

400. Natrium fosfat lar oral 45 mL


401. Natrium fusidat salep 20 mg/g
402. Nevirapin tablet 200 mg
403. Nifedipin tab 20 mg, slow release; oros
404. Nifedipin tab 30 mg, oros
405. Nifedipin tablet/kapsul 10 mg

Fleet Phosphosoda
Fucilex Ointment
n/a
Adalat Oros 20 mg
Adalat Oros 30 mg
n/a

PT. Combiphar
PT. Molex Ayus
PT. Kimia Farma
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Dexa Medica

406. Nistatin tablet salut 500.000 IU/ g


407. Nistatin vaginal tablet 100.000 IU/ g
408. Norepinefrin injeksi 1 mg/ml
409. Noretisteron tablet 5 mg
410. Obat Antituberkulosis FDC Kategori 1
411. Obat Antituberkulosis FDC Kategori 2
412. Obat Antituberkulosis FDC Kategori Anak
413. Obat Antituberkulosis FDC Sisipan
414. Obat Antituberkulosis Kategori 1 dewasa

n/a
n/a
Raivas
Primolut N
n/a
n/a
n/a
n/a
n/a

PT. Phapros, Tbk


PT. Phapros, Tbk
PT. Dexa Medica
PT. Bayer Indonesia
PT. Phapros, Tbk
PT. Indofarma
PT. Phapros, Tbk
PT. Indofarma
PT. Indofarma

415. Obat Antituberkulosis Kategori anak

n/a

PT. Indofarma

416. Ofloxacin tablet 200 mg

n/a

PT. Novell Pharmaeutical Laboratories

417. Ofloxacin tablet 400 mg

n/a

PT. Novell Pharmaeutical Laboratories

418. Oksimetazolin tetes hidung 0,025%


419. Oktreotid 10 mg

Ilaidin Drops
Sandostatin LAR

PT. Merck Tbk


PT. Novartis Indonesia

420. Olanzapin inj 10 mg/vial

Zyprexa IM

PT. Bayer Indonesia

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

421. Olanzapin kapl salut 5 mg


422. Olanzapin tab 10 mg
423. Omeprazol injeksi 40 mg/ 10 ml

Olandoz 5
Olandoz 10
n/a

PT. Sandoz Indonesia


PT. Sandoz Indonesia
PT. Natura Laboratoria Prima

424. Omeprazol kapsul/kaplet 20 mg


425. ondansetron inj 4 mg/ 2 mL
426. Ondansetron tab 4 mg

n/a
n/a
n/a

PT. Novapharin
PT. Indofarma
PT. Yarindo Farmatama

427. Ondansetron tablet 8 mg

n/a

PT. Yarindo Farmatama

428. Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit


Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

n/a

PT Kalbe Farma

429. Paket CAPD Pergantian Transfer Set per 6 bulan

n/a

PT Kalbe Farma

430. 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%:


PT Kalbe Farma
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

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

n/a

PT. Indofarma

432. Parasetamol sirup 120 mg / 5 ml


433. Parasetamol tablet 500 mg

n/a
n/a

PT. Afifarma
PT. Imfarmind Farmasi industri

434. Parasetamol tetes 60 mg/0,6 mL

FASIDOL

PT. Ifars Pharmaceutical Laboratories

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

Pegasys

PT. Boehringer Ingelheim

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

Pegasys

PT. Boehringer Ingelheim

437. Perak sulfadiazin krim 1%


438. Perindoprilarginin tab 5 mg

BURNAZIN 35 GR
Bioprexum 5 mg

PT. Darya Varia


PT. Pradja Pharin

439. Permetrin krim 5%

Scabimite Cream 10

PT. Galenium Pharmasia Laboratories

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

n/a

PT. Kimia Farma

441. Pioglitazon tab 15 mg


442. Pioglitazon tab 30 mg
443. Pirantel suspensi 125 mg/5 ml
444. Pirantel tablet score (base) 125 mg
445. Pirazinamid tablet 500 mg
446. Polikresulen cairan
447. Povidon Iodida larutan 10% 1000 ml
448. Povidon Iodida larutan 10% 30 ml
449. Povidon Iodida larutan 10% 300 ml
450. Pramipeksol tab ER 0,375 mg

DECULIN 15 MG
DECULIN 30 MG
n/a
n/a
n/a
Aptil
n/a
n/a
n/a
Sifrol ER 0,375mg

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

451. Pramipeksol tab ER 0,750 mg

Sifrol ER 0,750mg

PT. Boehringer Ingelheim

452. Pravastatin tablet 20 mg

n/a

PT. Novell Pharmaeutical Laboratories

453. Propanolol tablet 10 mg ( HCl )

n/a

PT. Dexa Medica

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

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

Fresofol 1% MCT/LCT

PT. Fresenius Kabi Combiphar

455. Propranolol tablet 40 mg (HCl)


456. Quetiapin tab 200 mg

n/a
Seroquel XR 200 mg

PT. Holi Pharma


PT. AstraZeneca indonesia

457. Quetiapin tab 300 mg

Seroquel XR 300 mg

PT. AstraZeneca indonesia

458. Quetiapin tab 400 mg

Seroquel XR 400 mg

PT. AstraZeneca indonesia

459. Ramipril tablet 5 mg

n/a

PT. Dexa Medica

460. Ranitidin injeksi 25 mg/2 ml

n/a

PT. Natura Laboratoria Prima

461. Ranitidin tablet 150 mg

n/a

PT. Dexa Medica

462. Retinol (Vitamin A) 100.000 IU


463. Retinol (Vitamin A) 200.000 IU kapsul lunak
464. Ringer Laktat larutan infus
465. Risperidon tablet 1 mg
466. Risperidon tablet 2 mg

n/a
n/a
n/a
n/a
n/a

PT. Kimia Farma


PT. Lucas Djaja
PT. Widatra Bhakti
PT. Dexa Medica
PT. Mersifarma Tirmaku Mercusana

467. Risperidon tablet 3 mg


468. Rivaroksaban tab 10 mg
469. Rivaroksaban tab 15 mg
470. Rivaroksaban tab 20 mg
471. Ropinirol Tablet Salut 2 mg

n/a
Xarelto 10 mg
Xarelto 15 mg
Xarelto 20 mg
Requip PD 24 Hour 2 mg

PT. Dexa Medica


PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Glaxo Wellcome Indonesia

472. Ropinirol Tablet Salut 4 mg

Requip PD 24 Hour 4 mg

PT. Glaxo Wellcome Indonesia

473. Ropinirol Tablet Salut 8 mg

Requip PD 24 Hour 8 mg

PT. Glaxo Wellcome Indonesia

474. Salbutamol inhalasi/aerosol 100 mcg/dosis

Ventolin Inhaler

PT. Glaxo Wellcome Indonesia

475. Salbutamol serb inh 200 mcg/kaps

Ventolin Rotacaps

PT. Glaxo Wellcome Indonesia

476. Salbutamol serb inh 200 mcg/kaps + rotahaler

Ventolin Rotahaler

PT. Glaxo Wellcome Indonesia

477. Salbutamol tablet 2 mg (sebagai Sulfat)

n/a

PT. Yarindo Farmatama

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


endap 4%
479. Sefadroksil sirup kering 125 mg/5ml
480. Sefadroksil kapsul/kaplet 250 mg

n/a

PT. Marin Liza Farmasi

n/a
n/a

PT. Holi Pharma


PT. Hexpharm Jaya Laboratories

481. Sefadroksil kapsul/kaplet 500 mg

n/a

PT. Holi Pharma

482. Sefadroksil sir kering 250 mg/5 mL


483. Sefaleksin kapsul/kaplet 500 mg

n/a
n/a

PT. Holi Pharma


PT. Ifars Pharmaceutical Laboratories

484. Sefazolin serbuk injeksi 1 g/vial


485. Sefepim inj 1 g

n/a
n/a

PT. Dexa Medica


PT. Yarindo Farmatama

486. Sefiksim kapsul/kaplet 100 mg

n/a

PT. Bernofarm

487. Sefiksim sirup kering 100 mg/ 5 ml

n/a

PT. Ifars Pharmaceutical Laboratories

488. Sefoperazon inj 1 g

n/a

PT. Yarindo Farmatama

489. Sefotaksim injeksi 0,5 g

n/a

PT. Hexpharm Jaya Laboratories

490. Sefotaksim injeksi 1 g

n/a

PT. Natura Laboratoria Prima

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

491. Sefpodoksim proksetil tab 100 mg


492. Seftazidim injeksi 1 g
493. Seftriakson serbuk injeksi 1 g/vial

Banadoz 100
n/a
n/a

PT. Sandoz Indonesia


PT. Dexa Medica
PT. Natura Laboratoria Prima

494. Sefuroksim tab 500 mg

Zinnat 500

PT. Glaxo Wellcome Indonesia

495. Sertralin tab 50 mg


496. Setirizin tablet 10 mg

Fatral
n/a

PT. Pratapa Nirmala


PT. Pertiwi Agung

497. Sevofluran ih, btl


498. Sianokobalamin (vitamin B12) injeksi 500 mcg

Sojourn
n/a

PT. Pratapa Nirmala


PT. Lucas Djaja

499. Siklofosfamid serbuk injeksi i.v. 1000 mg

Cyclovid 1000 mg

PT. Novell Pharmaeutical Laboratories

500. Siklofosfamid serbuk injeksi i.v. 200 mg

Cyclovid 200 mg

PT. Novell Pharmaeutical Laboratories

501. Siklosporin kaps 100 mg

PT. Novartis Indonesia

503. Simvastatin scored tablet 10 mg

Sandimmun Neoral 100mg


Kap
Sandimmun Neoral 25mg
Kap
n/a

504. Simvastatin tablet 20 mg

n/a

PT. Natura Laboratoria Prima

505. Siprofloksasin infus 2%


506. Siprofloksasin tablet 500 mg (sebagai HCl)

n/a
n/a

PT. Dexa Medica


PT. Bernofarm

507. Spiramisin tablet 500 mg


508. Spironolakton tablet 100 mg
509. Spironolakton tablet 25 mg
510. Streptokinase injeksi 1,5 juta UI/vial
511. Streptomisin serbuk injeksi i.v 1000 mg/ml
512. Sufentanil injeksi iv, epidural 5 mcg/ml

PT. Indofarma
PT. Dexa Medica
PT. Dexa Medica
PT. Dexa Medica
PT. Phapros, Tbk
PT. Kimia Farma

513. Sukralfat susp 500 mg/5 mL


514. Takrolimus kaps 0.5 mg

n/a
n/a
n/a
Streptase
n/a
Sufentanyl Injeksi iv.Epidural
5 mcg / ml
Ulsafate
Prograf

515. Takrolimus kaps 1 mg

Prograf

PT. Combiphar

516. Tamsulosin tab 0,2 mg

Harnal D 0.2 mg Disp.


Tablet
Harnal D

PT. Combiphar

PT. Combiphar

519. Telbivudin tab 600 mg


520. Telmisartan tab 40mg

Harnal OCAS 0.4 mg


Tablet
Sebivo 600 mg Tab
Micardis 40mg

521. Tenofovir tab 300 mg


522. Terbutalin cairan ih 2,5 mg/mL

n/a
Bricasma Respules

PT. Kimia Farma


PT. AstraZeneca indonesia

523. Terbutalin tablet 2,5 mg


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

Molasma Tablet
PT. Molex Ayus
Bricasma Turbuhaler 0,5 mg PT. AstraZeneca indonesia

525. Tetrakain HCl tetes mata 0,5%

Pantocain 0.5%

PT. Cendo Industri Farmasi

526. Tetrasiklin kapsul/kaplet 250 mg

n/a

PT. Holi Pharma

527. Tiamazol tab 10 mg

Thyrozol 10

PT. Merck Tbk

528. Tiamazol tab 5 mg

Thyrozol 5

PT. Merck Tbk

502. Siklosporin kapsul lunak 25 mg

517. Tamsulosin tab 0,2 mg


518. Tamsulosin tab SR 0,4 mg

PT. Novartis Indonesia


PT. Natura Laboratoria Prima

PT. Combiphar
PT. Combiphar

PT. Combiphar

PT. Novartis Indonesia


PT. Boehringer Ingelheim

NO

NAMA OBAT

NAMA DAGANG

PABRIKAN

529. Timolol tetes mata 0,25%


530. Timolol tetes mata 0,5%
531. Tiotropium kaps 18 mcg + handihaller

Isotic Adretor 0,25%


Isotic Adretor 0,5%
Spiriva 10s + Handihaler

PT. Pratapa Nirmala


PT. Pratapa Nirmala
PT. Boehringer Ingelheim

532. Tramadol injeksi 50 mg/ml

n/a

PT. Natura Laboratoria Prima

533. Travoprost tetes mata 0,004%


534. Triamsinolon asetonid nasal spray 55 mcg/puff

Travatan
Nasacort AQ

PT. Tempo Scan Pacific


PT. Aventis Pharma

535. Trifluoperazin tablet 5 mg


536. Urea krim 10%

n/a
Soft U Derm

PT. Darya Varia


PT. Galenium Pharmasia Laboratories

537. Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)

Imovax Polio

PT. Aventis Pharma

538. Valproat sirup 250 mg/5 ml


539. Valproat tab SR 250 mg
540. Valproat tab SR 500 mg
541. Valsartan tab 80 mg
542. Valsartan tab 160 mg
543. Verapamil tab 240 mg
544. Verapamil tablet 80 mg (HCl)
545. Vinblastin serbuk injeksi 10 mg
546. Vinorelbin inj. 10 mg/ml
547. Vitamin B Kompleks tablet
548. Zidovudin 300 mg + Lamivudine 150 mg
549. Zinc drop 10 mg/mL

Ikalep
Depakote ER 250 mg
Depakote ER 500 mg
Diovan 80mg Tab
DIOVAN 160 MG
Isoptin 240 mg
n/a
Vinblastine
Navelbine injeksi 10
n/a
n/a
Zincpro Drops

PT. Ikapharmindo
PT. Abbott Indonesia
PT. Abbott Indonesia
PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Abbott Indonesia
PT. Kimia Farma
PT. Combiphar
PT. Mugi Laboratories
PT. Kimia Farma
PT. Kimia Farma
PT. Combiphar

550. Zinc sir 20 mg/5 Ml


551. Zinc tablet dispersible20 mg

Zircum Kid Sirup


n/a

PT. Meprofarm
PT. Kimia Farma

KEMASAN
1 blister@24 tablet
Dus, 3 Blister @ 10 kapsul
Dus, 10 dus @ 1 botol @ 10 ml

HARGA
1,375.00
27,500.00
3,849.00

Dus, 5 strip @ 6 tablet


Vial 100 ml

338.00
750,000.00

Vial 50 ml

345,000.00

Box, 10 strips @ 10 tablets


Dus, 10 blister @ 10 tablet
Dus, 10 Strip @ 10 tablet
strip
Ktk 10x10 tablet
Dus, 1 vial@50mg + 1 vial pelarut
@ 50ml
tube 3.5 gr
Vial 2 ml
dus 30 ampul @10 ml
Botol @ 100 tablet salut selaput

86.00
199.50
380.00
176.00
233.00
3,800,000.00
18,500.00
50,500.00
3,822.00
90.00

Dus, 6 ampul @ 3 ml
strip
Dus, 10 strip @ 10 tss
Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets
strip
Dus, 10 strip @ 10 kaptab

12,480.00
1,200.00
112.00
330.00
187.00
211.00
272.00

Dus, Botol 60 ml
btl @ 60 ml
Dus, 10 vial @ 1 g
dus, 5 solostar pen @ 3ml

4,045.00
2,445.00
5,100.00
85,000.00

Injeksi 100 IU/ml, Flexpen


disposible 3 ml (1 box isi 5
flexpen disposible)

106,000.00

Penfill cartridge

97,500.00

Dus, vial 10 ml

200,000.00

Injeksi 100 IU/ml, Flexpen


disposible 3 ml (1 box isi 5
flexpen disposible)

85,345.00

dus, 5 solostar pen @ 3ml

79,165.00

Penfill cartridge

79,167.00

Dus, 2 blister @ 14 Tablet

32,000.00

STRIP

75.00

KEMASAN

HARGA

Boto 60 ml

2,100.00

Dus, 25 tube @ 5 g

2,516.00

ktk 10 x 10 tablet

520.00

Btl 100 tablet

135.00

Dus, 5 strip @ 10 tablet

1,500.00

Dus 6 amp @ 1ml


Dus @ 10 X 10 's
ktk 10x10 tablet
Dus 10 strip x 10 tab
Dus, 10 strip @10 tablet
Botol @ 100 tablet
Boks, 1 ampul

22,000.00
116.00
159.00
95.00
84.00
48.00
2,209,000.00

Dus, 10 blister @ 10 kaptab ss


Strip
Dus, 10 ampul @ 5 ml
Dus, 10 ampul @ 5 ml
Tube 3,5 gram
Dus, 10 blister @ 10 tablet

112.00
1,815.00
3,334.00
2,950.00
24,750.00
237.00

ktk 10x10 tablet


10.000 UI/Vial
Dus 5 strip @ 10 tablet

345.00
1,039,500.00
190.00

Dus, 5 ampul @ 2.5 ml

20,000.00

Dus, 10 strip @ 10 tablet


botol @ 60 ml

74.00
34,400.00

ktk 2x10 tablet


Strip

4,500.00
3,333.00

Dus @ 50 gram

1,250.00

Dus @ 10 Vial
Dus @ 10 Vial
Vial
Box/ 3 blister @ 10 Tablet
Box @ 3 blister @ 10 Tablet

9,800.00
13,400.00
3,200,000.00
3,600.00
3,600.00

Tube 5 gr
Dus, 2 blister @ 14 Tablet

1,520.00
72,400.00

Dus, 2 blister @ 14 Tablet

45,000.00

Supp
Dus 10 blister @ 10 tablet

6,045.00
746.00

Box 3 X 10 tab
Vial
Box 3 x 10'S
Dus, 1 Turbuhaler @ 100 dosis
Dus, 4 pak @ 5 respules @ 2 ml

645.00
304,000.00
247,089.00
93,000.00
8,900.00

KEMASAN

HARGA

Dus, 1 Turbuhaler @ 120 dosis

117,600.00

Dus, 1 Turbuhaler @ 60 dosis

110,500.00

Dus, 5 ampul @ 4 ml

25,600.00

ampul
Dus, 3 blister @ 10 kapsul

30,800.00
12,936.00

Dus, 3 blister @ 10 kapsul

12,936.00

vial

Dus, 4 blister @ 7 tablet


Dus, 4 blister @ 7 tablet
Dus, Botol @ 500ml
Dus, Botol @ 100 tablet
Dus, 10 vial @ 500mg
Dus, 100 ampul @ 1 ml
Dus, 10 blister @ 10 tablet
Kotak, tube @ 15 gram
ampul @ 1 ml
Box 10 X 10 Tab
Dus, 10 strip @ 10 tablet
10 vial @ 50mg

275,000.00

76,000.00
150,000.00
2,600,000.00
25,300.00
112,000.00
1,580.00
68.00
9,983.00
1,054.00
97.00
134.00
127,667.00

Vial 5 mL

46,667.00

3 blister @ 10 kapsul
3 blister @ 10 kapsul
Btl 100 tablet
botol 15 ml

3,667.00
4,015.00
104.00
37,500.00

ampul @ 5 ml
Dus, 5 blister @10's tab
Dus, 5 blister @10's tab
Dus, 1 vial @ 10 mg

26,700.00
3,480.00
5,480.00
55,500.00

Dus, 1 vial @ 50 mg

274,125.00

btl @ 60 ml
strip
Dus, botol @ 10 ml
ampul @ 5 ml
Dus, 1 vial @0,5 ml+ 1 vial
pelarut @1,5 ml
Dus, Botol Plastik @ 30 Tablet

3,333.00
167.00
15,600.00
9,840.00
970,200.00
7,100.00

Botol 30 tab
Dus, 2 blister @ 15 tablet
dus, 2 prefilled syringe @ 0,2 ml

6,375.00
42,600.00
40,740.00

dus, 2 prefilled syringe @ 0,4 ml

71,875.00

dus, 2 prefilled syringe @ 0,6 ml

100,000.00

Dus @ 30 Ampul
Vial @ 25 ml

8,100.00
500,000.00

KEMASAN

HARGA

Dus, 1 vial @5 ml
Dus 3 strip @ 10 Flash tablet

128,000.00
650.00

Dus, Botol Plastik @ 100 mL

8,000.00

ktk 10 x 10 kapsul
Dus, 10 blister @ 10 kss
Botol @60 ml

497.00
930.00
7,700.00

Prefilled Syringe @ 1ml


Boks, 6 ampul

128,000.00
139,500.00

ktk 20 x 10 tablet
Dus, 10 strip @ 10 tss
btl @ 100 ml
Dus, 1 blister @ 1 subdermal
implant
Vial 100mg/5ml
Botol 10 ml
Dus, 6 blister @ 10 tablet
Dus, 6 blister @ 10 tablet
KOTAK @ 1 VIAL SERBUK OBAT
& INFUSION KIT

314.00
451.00
2,500.00
128,779.00
100,000.00
16,667.00
11,813.00
23,250.00
9,200,000.00

KOTAK @ 10 ampul

20,250.00

Botol @ 100
KOTAK @ 10 ampul

133.00
20,250.00

Dus @ 30 Ampul
Dus, 3 strip @ 10 kapsul

1,800.00
1,075.00

Dus, 3 strip @ 10 kapsul

1,375.00

Dus 45 x 12 tab

235.00

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
Botol @ 100 tablet salut gula

375,000.00
634.00

Dus, 5 vial @ 50 mg
Dus, 4 blister @ 5 tablet salut
selaput
Dus, 5 ampul @ 1ml

1,248,319.00
275,000.00
55,000.00

Botol

38,000.00

ktk 1 x 10 kapsul
strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml

22,000.00
419.00
410.00
24,500.00
33,000.00

KEMASAN
Dus, Tube 5 g

HARGA
2,400.00

Dus, Botol 120 Dosis Spay

93,333.00

Dus, 2 flow wrap@ 5 nebules @ 1


dosis (2ml)
Dus, 2 pfs 0.5 ml

12,917.00
241,667.00

Dus, 25 ampul @ 2 ml
Dus, 10 strip @ 10 tablet
Boks, 1 ampul

1,829.00
85.00
399,500.00

Dus, 1 blister @ 10 tablet

295,000.00

Dus, 10 blister @ 12 kapsul

289.00

Dus, 10 blister @ 10 kaptab

679.00

vial
Dus, 1 vial @200 mg
Dus, 5 ampul @ 2 ml
Tube @ 3,5 gr
Dus, botol plastik 5 ml
Dus, 10 blister @ 10 kaptab

1,098,900.00
330,000.00
3,399.00
2,600.00
3,194.00
56.00

Strip
Dus, 6 strip @ 10 tablet lepas
lambat
Dus, 10 Strip @ 10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Dus 10x10
Dus 10x10
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml
Dus, 1 syringe @ 10.8 mg
Dus, 1 syringe @ 3.6 mg
Dus, 10 blister @ 10 tablet
Dus 5 Ampul@1mL

235.00
638.00
950.00
265.00
436.00
404.00
430.00
1,493.00
2,171.00
1,500.00
5,333.00
5,700.00
5,200.00
2,300,000.00
840,000.00
219.00
83,333.00

Dus, 10 blister @ 10 tablet

59.00

Dus, 10 blister @ 10 tablet

96.00

Dus, 10 blister @ 10 tablet

69.00

KOTAK @ 10 x 10 TAB
Botol
vial
Dus, 1 syringe @ 0.5 mL
Tube 5 gr
box 5ampul @1 ml

126.00
641,500.00
42,900.00
1,328,000.00
2,798.00
4,500.00

KEMASAN

HARGA

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Dus, 1 Vial @ 5 ml

72,000.00

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5 penfill
disposible)
penfillcartridge @ 3ml

76,125.00

Dus Isi 5 penfill/cartridge @ 3ml

76,125.00

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5 penfill
disposible)
Dus Isi 5 penfill/cartridge @ 3ml

76,125.00

75,000.00

76,125.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5 penfill
disposible)
Dus Isi 5 penfill/cartridge @ 3ml

76,125.00

penfill cartridge @ 3ml

75,000.00

76,125.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Dus, 1 Vial @ 5 ml

72,000.00

Dus, botol 60 ml
Dus, botol 60 ml
botol @ 100 tablet

3,499.00
4,499.00
110.00

Dus, 10 strip @ 10 tablet


Dus, 1 vial @ 1 g
3 blister @ 10 tablet
3 blister @ 10 tablet
Dus, botol @ 100 ml

149.00
1,329,163.00
3,908.00
2,120.00
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

KEMASAN

HARGA

Botol

150,300.00

Dus, 5 blister @ 10 kss


Dus, 5 blister @ 10 kss
Dus, 1 vial @2 ml
vial
Dus, 10 strip @ 10 tablet
Strip
Dus, 10 strip @ 10 tablet
Vial 50 mg/5 ml

1,425.00
2,470.00
510,000.00
33,000.00
88.00
694.00
1,580.00
82,000.00

Ampul

7,800.00

Dus, 3 Blister @ 10 tablet


Dus, 3 Blister @ 10 tablet
Boks, 120 tablet

4,900.00
3,100.00
27,500.00

Dus, 10 strip @ 10 tablet


Dus, 10 strip @10 tablet
Dus, 10 strip @ 10 tablet
Dus, botol @ 120 ml

140.00
80.00
62.00
44,770.00

Dus, 10 blister @ 10 tablet

245.00

Dus,botol 100 tablet

875.00

Fenol 100 mg / 1 ml

2,042.00

Vial @ 10 ml

110,000.00

tube 10 gr
Box isi 1 Tube @ 15 g

2,569.00
4,700.00

Dus, 5 Strip @ 10 tablet


dus 2 's @ 10 supp
Dus @ 12 Ampul
Dus, 3 Strip @ 10 Kaplet salut
selaput

300.00
2,722.00
2,300.00
3,200.00

Dus, 5 blister @ 10 kapsul

361.00

Dus, 5 blister @ 10 kapsul

553.00

Dus, 10 Strip @ 10 tablet


Ktk 10X10 TAB
Dus, 3 strip @ 10 tab

900.00
184.00
3,400.00

Botol @ 60 ml
Dus @ 30 Ampul
Dus @ 30 Ampul
KOTAK @ 5 x 10 TAB

3,680.00
1,100.00
1,050.00
5,000.00

KOTAK @ 5 x 10 TAB

1,550.00

ktk 10x10 tablet


ktk 10x10 tablet
ktk 10x10 tablet
Botol Plastik @ 500 ml

500.00
850.00
1,100.00
33,000.00

Botol @ 60 ml

12,450.00

Dus, 100 Sachet @ 30 Tablet

42.00

KEMASAN
botol 15 ml

HARGA
15,750.00

Dus, 4 blister @ 6 tablet

3,220.00

Dus, botol plastik @ 30 tablet


salut selaput
Dus, Botol 120 Dosis

8,900.00
90,667.00

Dus, foil strip @ 60 dosis

100,833.00

Dus, foil strip @ 60 dosis

113,333.00

Dus, 10 strip @ 10 kaptab

Botol @ 60 ml

149.00

2,145.00

ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial
Dus, 2 strip @ 10 kapsul
Dus, 7 Blister @ 10 tablet

670.00
6,200.00
540.00
1,400.00
82,042.00
473.00
67,200.00

botol 500 ml

56,300.00

Softbag 500 ML

56,300.00

Softbag 500 ML

37,500.00

Double Chamber Softbag 1000


ML

115,500.00

Double Chamber Softbag 500 ML

61,600.00

botol 500 mL

75,350.00

Botol Gelas 100 ml

36,667.00

Botol Gelas 250 ml

50,820.00

Softbag 200 ML

46,000.00

Softbag 500 ML

65,000.00

Botol Gelas 500 ml

78,720.00

botol 250 ml

51,260.00

botol 500 ml

64,900.00

KEMASAN

HARGA

botol 500 mL

42,000.00

botol 250 mL

46,000.00

Bag (3 Chamber) 1440 ml

295,240.00

Bag (3 Chamber) 1920 ml

343,842.00

Bag Double chamber (Dua


compartement), 1000 mL

322,000.00

Bag Double chamber (Dua


compartement), 1000 mL

218,700.00

Ampoel 25 ML

2,050.00

Botol 1000 ml

8,000.00

Plastic Bottle 500 ML

9,000.00

Plastic Bottle 500 ML

9,000.00

flexybag 250 mL

87,000.00

LDPE (Low Density Poly


Ethilene), botol plastik

12,650.00

botol 500 mL

50,500.00

Flexy bag 500 mL

42,350.00

Plastic Bottle 500 ML

29,167.00

Plastic Bottle 500 ML

55,500.00

botol 500 mL

37,500.00

Botol Plastik 1000 mL

210,000.00

KEMASAN
Botol Plastik 1000 mL

HARGA
199,000.00

botol 500 mL

56,000.00

Botol 500 ml

9,500.00

Botol 500 ml

6,800.00

Botol 500 ml

6,917.00

Botol 500 ml

7,700.00

Botol 500 ml

7,700.00

softbag 500ml

35,750.00

Botol 500 ml

6,930.00

Plastic Bottle 500 ML

9,167.00

Plastic Bottle 500 ML

10,000.00

Plastic Bottle 500 ML

10,000.00

20%, Botol Kaca @100 ml, single


bottle
Botol Gelas 100 ml

105,500.00

20%, Botol Kaca @250 ml, single


bottle
Bag, 3 chamber ( 3
kompartemen), 1250 ml

210,000.00

Bag, 3 chamber ( 3
kompartemen), 1250 ml

511,000.00

Bag, 3 chamber ( 3
kompartemen), 625 ml

358,000.00

60,500.00

591,000.00

Flexy bag 100 mL

89,800.00

strip 5 x 0.6 ml

72,000.00

Vial
Vial
Box, 1 Botol @ 100 ml
STRIP
Dus, 100 ampul @ 2 ml
Dus, 30 ampul @ 2 ml

700,000.00
2,700,000.00
40,000.00
528.00
839.00
1,363.00

KEMASAN

HARGA

Dus, 10 syringe @ 10 g

40,000.00

Box ,3 Strip @ 10 tablet

600.00

Box ,3 Strip @ 10 tablet

350.00

KOTAK @ 10 x 10 TAB

1,050.00

KOTAK @ 10 x 10 TAB

1,850.00

Dus, 10 Strip @ 10 Tablet

STRIP
KOTAK @ 10 x 10 TAB

89.00

154.00
1,341.00

ampul

52,000.00

botol 500 ml

62,000.00

Strip

1,200.00

KOTAK @ 5 x 10 TAB

3,276.00

Box, Tablet 2 mg/25's

12,210.00

Dus, 1 vial @ 1 g
Dus, 1 vial @ 0,5 g
Dus, 15 Ampul
Botol 1000 ml
Dus, 10 blister @ 10 tablet
ktk 10 x 10 tablet salut
Dus, botol plastik @ 30 kapsul
pelepasan lambat
Dus, 1 Vial @125mg + 1 ampul
pelarut @ 2ml
Dus, 1 vial @ 500 mg
Strip

54,000.00
44,960.00
74,998.00
254,100.00
112.50
154.00
6,537.00
19,500.00
89,990.00
635.00

Dus, 10 Blister @ 10 Tablet

205.00

Dus, 10 Blister @ 10 tablet

300.00

ktk 10 x 10 tablet
Dus, 1 Botol @ 100 ml

108.00
9,950.00

Dus, 2 blister @ 5 suppositoria

3,220.00

10 strip @ 10 tab

110.00

10 strip @ 10 tab

160.00

Dus @ 5 vial

1,237,500.00

Boks 10 amp

6,119.00

Boks 5 amp

12,060.00

KEMASAN
Dus,1 vial@50mg
Tube 10 gram
10 mg /Vial
botol, tetes mata 3 ml
tube 10 gram

HARGA
260,000.00
3,000.00
697,000.00
77,000.00
17,820.00

Dus 10 amp @ 1 ml
Dus, 6 strip @ 10 tablet

8,400.00
15,620.00

Dus, 6 strip @ 10 tablet

22,990.00

Ktk 10 ampul @ 1ML


Botol 30 tablet
Botol 500 ml
Dus, 5 blister @ 2 pfs 0.3 ml

10,499.00
1,300.00
4,700.00
54,144.00

Dus, 5 blister @ 2 pfs 0.4 ml

66,640.00

Dus, 5 blister @ 2 pfs 0.6 ml

94,962.00

Dus, 5 Ampul @ 2ml


Ampoel 25 ML
Box ,5 Blister @ 10 tablet

61,600.00
6,200.00
200.00

Botol, 45 ml
Tube 5 gr
btl 60 tablet
blister
blister
Dus, 10 Strip @ 10 tablet salut
selaput
Dus @ 10 X 10 's
Dus @ 10 X 10 's
ampul
blister
Paket
Paket
Paket
Dus, 3 blister @ 28 kss
Dus, 1 dus @ 60 blister @ 8
tablet tahap intensif kategori 1 + 1
Dus @ 54 blister @ 3 tablet tahap
lanjutan kategori 1

33,900.00
6,490.00
2,800.00
2,999.00
3,500.00
100.00

Dus, 60 sachet tahap intensif @


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

640.00
480.00
52,000.00
2,618.00
359,900.00
1,199,990.00
214,900.00
160,000.00
288,199.00

171,195.00

Box ,5 Strip @ 10 tablet

400.00

Box ,5 Strip @ 10 tablet

650.00

botol @ 10 ml
Dus, vial @ 355m + 1 prefilled
syringe pelarut @ 2,5 ml + 2
jarum suntik
Vial

27,550.00
2,950,000.00

120,000.00

KEMASAN

HARGA

3 X 10 fcc
3 X 10 fcc
Dus, 1 Vial @ 40 mg

6,450.00
11,200.00
36,000.00

strip
Dus, 5 Ampul @ 2ml
Box 3 X 10 Tab

211.00
2,400.00
716.00

Box 3 X 10 Tab

1,189.00

Transfer Set: Set; Ultaclam:


Kantong Plastik; Tenckoff
Catheter: Box; Titanium Adaptor:
Kantong Plastik
Set
Larutan Dialisa 1.5 %: 2.000 ml;
Larutan Dialisa 2.5 %: 2.000 ml;
Larutan Dialisa 4.25 %: 2.000 ml;
Minicap: Kantong Plastik

1,902,240.00

219,540.00
5,522,580.00

Dus, 15 botol

5,200.00

botol 60 ml
Dus, 10 strip @ 10 kaptab

1,438.00
89.00

Dus, botol @ 15 ml

6,450.00

Boks, 1 pfs

1,077,815.00

Boks, 1 pfs

1,248,220.00

tube @ 35 gram
Dus, botol plastik @ 30 tablet
salut selaput
Tube @ 10 g

23,000.00
2,420.00

Ktk 10 ampx2ml

14,500.00

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

3,120.00
4,525.00
8,360.00
296.00
206.00
17,393.00
37,109.00
2,163.00
14,203.00
7,200.00

Dus, 3 alu blister @ 10 tablet

11,268.00

Box ,5 Strip @ 10 tablet

Dus, 10 Strip @ 10 tablet

11,475.00

2,300.00

65.00

KEMASAN

HARGA

Ampul

15,642.00

Dus, 10 strip @ 10 tablet


Dus, 1 blister @ 10 tablet

106.00
17,391.00

Dus, 1 blister @ 10 tablet

19,500.00

Dus, 1 blister @ 10 tablet

23,185.00

Dus, 10 Strip @ 10 kaptab


Dus, 10 Ampul @ 2 ml
Dus, 10 Strip @ 10 tablet salut
selaput
Botol 50 kapsul lunak
Botol 50 Kapsul
botol 500 ml
Dus, 5 Blister @ 10 tablet
KOTAK @ 5 x 10 TAB
Dus, 5 Blister @ 10 tablet
Blister
Blister
Blister
Dus, 7 blister @ 4 Tablet lepas
Lambat
Dus, 7 blister @ 4 Tablet lepas
Lambat
Dus, 7 blister @ 4 Tablet lepas
Lambat
Dus, botol 200 dosis
Dus, 10 Blister @ 10 Kapsul

580.00
1,140.00
120.00
260.00
459.00
5,200.00
1,400.00
1,008.00
2,000.00
23,500.00
23,500.00
23,500.00
5,248.00
6,275.00
7,383.00
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
strip

4,746.00
513.00

Dus, 10 strip @ 10 kapsul

509.00

Dus, Botol 60 ml
Dus, 5 Strip @ 10 Kapsul

5,895.00
1,000.00

Dus, 2 Vial @ 1 gram


Box 2 Vial @ 1000mg
Dus, 10 blister @ 10 kapsul
Dus, Botol 30 ml

16,500.00
48,060.00
859.00
8,800.00

vial

38,500.00

vial

4,800.00

Dus, 10 Vial @ 1 g

2,950.00

KEMASAN
Dus, 3 blister @ 10 tablet
Dus, 2 Vial @ 1 gram
Dus, 10 Vial @ 1 g
Dus, 1 Blister @ 10 Tablet salut
selaput
strip @ 10 tab
Box, 10 strips @ 10 capsules
tabung/botol
100 ampul @ 1 ml

HARGA
3,700.00
16,000.00
3,300.00
7,200.00
3,300.00
181.00
1,320,000.00
1,078.00

vial

256,000.00

vial

82,000.00

Dus, 10 blister @ 5 kapsul lunak

43,000.00

Dus, 10 blister @ 5 kapsul lunak

12,000.00

Dus, 3 Strip @ 10 Kaplet salut


selaput
Dus, 3 Strip @ 10 Kaplet salut
selaput
Vial 200 ml
Dus, 10 blister @ 10 tab ss
Dus, 5 strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Vial
Dus @ 56 Vial
dus 5 amp @ dus 10

169.00
391.00
13,000.00
255.00
1,499.00
900.00
315.00
3,290,000.00
3,650.00
127,000.00

Botol, 100 ml
Pounch @ 5 blister @ 10 capsule

13,425.00
11,167.00

Dus, 1 pouch @5 blister@10


kaps
Box/ 2 blister @ 14 tablet

21,500.00

Box @ 2 blister @ 14 tablet

5,800.00

Box/ 3 blister @ 10 Tablet

6,800.00

Dus, 2 blister @ 14 tablet


Dus, 2 alu-blister @10 tablet
Botol 30 tab
Dus, 2 pak @ 5 respules

5,800.00

28,500.00
3,900.00
8,100.00
6,250.00

Box 50's
Dus, 1 Turbuhaler @ 200 dosis

99.00
71,100.00

botol 5 ml

11,500.00

Dus, 10 strip @ 10 kapsul

148.00

Dus, 10 blister @ 10 tablet

1,135.00

Dus, 10 blister @ 10 tablet

563.00

KEMASAN

HARGA

Dus, Botol Plastik @ 5ml


Dus, Botol Plastik @ 5ml
Dus, 1 blister @10 kapsul +
handihaler
Dus, 10 Ampul @ 2 ml

9,128.00
9,722.00
152,543.00

botol, tetes mata 2,5 ml


Dus, botol plastik 120 dosis

115,000.00
90,000.00

strip
tube
1 vial of 10ml (10 d's)
Botol 120 ml
Tablet
Tablet
Dus, 2 blister @ 14 tablet
Dus, 2 blister @ 14 tablet
Tablet
Ktk 10X10 TAB
Vial 10mg/10ml
Dus, 1 vial @ 1 ml
Dus 10 strip x 10 tab
Botol 60 tablet
Drops 10 mg/ml, Botol @15 ml
Dus, botol 60 ml
ktk 10 x 10 tablet

2,395.00

405.00
6,400.00
285,000.00
40,000.00
2,793.00
5,450.00
3,900.00
6,500.00
6,200.00
234.00
210,000.00
1,229,998.00
107.00
3,429.00
12,840.00
7,400.00
473.00

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Nama Obat Generik


Nama Dagang
ACT (Artesunate tablet 50 mg + Amodiaqun/a
Adefovir Dipivoksil tablet/kaplet 10 mg
Hepsera
Albendazol suspensi 200 mg/5 ml
n/a
Albendazol tablet/kapsul/kaplet 400 mg n/a
Albumin serum normal (human albumin) in
Zenalb
Albumin serum normal (human albumin) in
Zenalb
Alopurinol tablet/kapsul/kaplet 100 mg
n/a
Alopurinol tablet/kapsul/kaplet 300 mg
n/a
Alprazolam tablet/kapsul/kaplet 0,25 mg n/a
Alprazolam tablet/kapsul/kaplet 0,5 mg n/a
Alprazolam tablet/kapsul/kaplet 1 mg
n/a
Alteplase injeksi 50 mg/vial
Actilyse
Amfoterisin B salep mata 1%
Fungicide
Amikasin injeksi 250 mg/ml
Glybotic 250 mg /ml
Aminofilin injeksi 24 mg/ml
n/a
Aminofilin tablet scored 200 mg
n/a
Amiodaron injeksi 150 mg/3 ml
Cordarone
Amiodaron tablet/kaplet 200 mg
Kendaron Tablet
Amitriptilin tablet salut 25 mg (HCl)
n/a
Amlodipin tablet 10 mg
n/a

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Nama Obat Generik


Nama Dagang
Amlodipin tablet 5 mg
n/a
Amoksisilin kapsul/kaplet 250 mg
n/a
Amoksisilin kapsul/kaplet/tablet scored 5 n/a
Amoksisilin sirup kering forte 250 mg/5 mln/a
Amoksisilin sirup kering 125 mg/ 5 ml
n/a
Ampisilin serbuk injeksi i.v. 1000 mg/vial n/a
Analog insulin long acting inj 100 UI/ml, viLantus Solostar 100IU/ml 5pe
Analog insulin mix acting inj 100 UI/ml, A Novomix Flexpen
Analog insulin mix insulininj 100 UI/ml, vi Humalog Mix 25
Analog insulin rapid acting inj 100 UI/ml, vNovorapid Flexpen
Analog insulin rapid acting inj 100 UI/ml, vNovorapid Vial
Analog insulin rapid actinginj 100 UI/ml, viApidra Solostar 100IU/ml 5pe
Analog insulin rapid actinginj 100 UI/ml, via
Humalog
Anastrozol tablet/kapsul/kaplet 1 mg
Arimidex 1 mg
Antasida DOEN I tablet kunyah, kombinas n/a
Antasida DOEN II suspensi, kombinasi : n/a
Anti Bakteri DOEN salep kombinasi: Basitra
n/a
Antimalaria DOEN kombinasi : Pirimetami n/a
Antimigren: Ergotamin Tartrat 1 mg + Kof n/a
Antiparkinson DOEN tablet kombinasi : B Levopar Tablet

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60.

Nama Obat Generik


Nama Dagang
Artemether injeksi 80 mg/ml
Artem
Asam Asetilsalisilat (asetosal) tablet 100 n/a
Asam Askorbat (Vitamin C) tablet 250 mg n/a
Asam Askorbat (Vitamin C) tablet 50 mg n/a
Asam Folat tablet/kapsul/kaplet 0,4 mg Starfolat
Asam Folat tablet/kapsul/kaplet 1 mg
n/a
Asam Ibandronat injeksi 6mg/6ml
Bondronat
Asam Mefenamat kapsul/kaplet 500 mg n/a
Asam pipemidat kapsul 400 mg
Urotractin 400 mg
Asam traneksamat injeksi 100 mg/ml
n/a
Asam traneksamat injeksi 50 mg/ml
n/a
Asiklovir salep mata 3%
Temiral Eye Oint
Asiklovir tablet/kapsul/kaplet 200 mg
n/a
Asiklovir tablet/kapsul/kaplet 400 mg
n/a
Asparaginase serbuk injeksi 10.000 UI/vialLeunase
Atapulgit tablet 600 mg
Pularex
Atrakurium injeksi 25 mg/2,5 ml
Tracrium
Atropin Sulfat tablet 0,5 mg
n/a
Azitromisin sir kering 200 mg/ 5 mL
n/a
Azitromisin tablet 500 mg
n/a

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61.
62.
63.

Nama Obat Generik


Azitromisin tablet 250 mg
Bedak salisil serbuk 2%
Benzatin Benzil Penisilin 1,2 juta IU/ vial

Nama Dagang
n/a
n/a
n/a

64.
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76.
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79.
80.

Benzatin Benzil Penisilin 2,4 juta IU/vial n/a


Beractant injeksi / suspensi 25 mg/mL
Survanta
Beraprost sodium tablet 20 mcg
Dorner 20 g
Beraprost sodium tablet 20 mcg
Dorner
Betametason krim 0,1% (sebagai Valerat) n/a
Bikalutamid tablet salut 150 mg
Casodex 150 mg
Bikalutamid tablet salut 50 mg
Casodex 50 mg
Bisakodil suppositoria 10 mg
Stolax supp
Bisoprolol tablet 2,5 mg
Concor 2.5
Bisoprolol tablet 5 mg
n/a
Bleomisin serbuk injeksi 15 mg/ampul
BLEOCIN
Bromokriptin tablet 2,5 mg
Cripsa tab
Budesonid inhaler 200 mcg/puff, 100 dosisPulmicort Turbuhaler
Budesonid respules / cairan inhaler 0,25 Pulmicort Respules
Budesonid-formoterol (fixed combination) Symbicort Turbuhaler 160/4.5
Budesonid-formoterol (fixed combination) Symbicort 80/4.5 mcg
Bupivakain injeksi 0,50% (HCl) + glukosa n/a

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Nama Obat Generik


Bupivakain injeksi 0,50% (P.V)
Dabigatran eteksilat kapsul 75 mg
Dabigatran eteksilat kapsul 110 mg
Daunorubisin serbuk injeksi 20 mg/vial
Deferasiroks tablet disp/ eff 250 mg
Deferasiroks tablet disp/ eff 500 mg
Deferipron larutan oral 100 mg/mL
Deferipron tablet 500 mg

Nama Dagang
Bunascan
Pradaxa
Pradaxa
DAUNOCIN
Exjade 250 mg Tab
Exjade 500 mg Tab
Ferriprox Oral Solution
Ferriprox tablet

89.
90.
91.
92.
93.
94.
95.
96.
97.
98.
99.
100.

Deferoksamin Mesilat serbuk injeksi 500 Desferal


Deksametason injeksi i.v./i.m. 5 mg/ml
n/a
Deksametason tablet 0,5 mg
n/a
Desogestrel tablet 75 mcg
Cerazette
Desoksimetason krim 0,25%
n/a
Difenhidramin injeksi i.v./i.m. 10 mg/ml (Hn/a
Digoksin tablet 0,25 mg
n/a
Diltiazem HCl tablet 30 mg
n/a
Diltiazem infus injeksi 50 mg
Herbesser Powder Injection 5
Diltiazem injeksi 25 mg/5 mL
Farmabes Injeksi 25 mg
Diltiazem Kapsul SR 100 mg
Herbesser CD 100
Diltiazem Kapsul SR 200 mg
Herbesser CD 200

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Nama Obat Generik


Nama Dagang
Dimenhidrinat tablet 50 mg
n/a
Dinatrium edetat tetes mata 0,35%
E.D.T.A
Dobutamin injeksi 50 mg/mL
DOBURAN
Doksazosin mesilat tablet 1 mg
Cardura 1mg
Doksazosin mesilat tablet 2 mg
Cardura 2mg
Doksorubisin serbuk injeksi i.v. 10 mg/vialDoxorubicin Actavis 10 mg
Doksorubisin serbuk injeksi i.v. 50 mg/vialDoxorubicin Actavis 50 mg
Domperidon suspensi/sirup 5 mg/5 ml
n/a
Domperidon tablet 10 mg
n/a
Domperidon tetes 5 mg/mL
n/a
Dopamin injeksi 40 mg/ml
UDOPA
Dosetaksel injeksi 20 mg/0,5 ml
n/a
DTPA (diethylene triamine pentaacetic aciRenalscan KaeF

114.
115.
116.
117.
118.
119.
120.

Dutasterid kaps lunak 0,5 mg


Efavirens tablet salut 600 mg
Eksemestan tablet 25 mg
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) injeksi i.v/s.k./i.m 1

Avodart
n/a
Aromasin
Lovenox 2000 ANTI-XA
Lovenox 4000 ANTI-XA
Lovenox 6000 ANTI-XA
n/a

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Nama Obat Generik


Nama Dagang
Epirubisin serb injeksi 50 mg/25ml
Epirubisin Kalbe
Epirubisin serb injeksi 10 mg/5 ml
n/a
Ergokalsiferol (vitamin D3/D2) kapsul 50.0D-Vit FT
Ergokalsiferol (vitamin D3/D2) suspensi 10D-Vit Syrup
Eritromisin kapsul/kaplet 250 mg
n/a
Eritromisin kapsul/kaplet 500 mg
n/a
Eritromisin sirup kering 200 mg/ 5 ml
n/a
Eritropoetin-alfa inj 3000 UI/mL
Hemapo 3000
Eritropoetin-beta inj 2000 UI/0,3 mL
Recormon
Etambutol tablet 250 mg (HCl)
n/a
Etambutol tablet salut 500 mg (HCl)
n/a
Etanol 70% cairan
n/a
Etinilestradiol tablet 0,05 mg
Lynoral
Etonogestrel implan 68 mcg
Implanon
Etoposid injeksi 20 mg/ml
Posyd
Eugenol cairan
n/a
Everolimus tab 0,25 mg
Certican 0,25 mg Tab
Everolimus tab 0,5 mg
Certican 0,5 mg Tab

139.
140.

Faktor VIIa (rekombinan) serb inj 1 mg/vialNovoseven


Fenitoin injeksi 50 mg/ml
n/a

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158.
159.
160.

Nama Obat Generik


Nama Dagang
Fenitoin kapsul/kaplet 100 mg
n/a
Fenitoin Na Inj 100 mg/2 ml
n/a
Fenobarbital injeksi i.m./i.v. 50 mg/ml
n/a
Fenofibrat kaps 100 mg
n/a
Fenofibrat kaps 300 mg
n/a
Fenoksimetil penisilin (penisilin V) tab 12 Fenocin
Fenoterol HBr ih 100 mcg/puff
Berotec MDI
Fenoterol HBr inh solution 0,1%
Berotec Solution
Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul n/a
Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul n/a
Fentanil patch 12,5 mcg/jam
Durogesic 12,5 MU Matrix
Fentanil patch 25 mcg/jam
Durogesic 25 MU Matrix
Fentanil patch 50 mcg/jam
Durogesic 50 MU Matrix
Filgrastim inj 300 mcg/mL
Leucogen
Fitomenadion (Vit.K1) tablet salut gula 10 n/a
Fitomenadion (Vitamin K1) injeksi i.m. 2 mn/a
Fludarabin inj 50 mg
Fludara IV LYO
Fludarabin tab 10 mg
Fludara Oral
Flufenazin injeksi i.m. 25 mg/ml
Sikzonoate Injeksi
Flukonazol injeksi 2 mg/ml
n/a

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175.
176.
177.
178.
179.
180.

Nama Obat Generik


Nama Dagang
Flukonazol tablet/kapsul 150 mg
n/a
Fluoksetin tablet 10 mg
Foransi 10
Fluoksetin tablet 20 mg
NOPRES
Fluorourasil inj 250 mg/mL
Curacil
Fluorourasil inj 500 mg/ 5 mL
Curacil
Flusinolon asetonid krim 0,025%
SYNARCUS
Flutikason furoat intranasal spray
Avamys
Flutikason propionat nebules 0,5 mg
Flixotide Nbules
Fondaparinuks inj 2,5 mg/0,5 mL
Arixtra
Fraksi protein plasma lar inf 5%
Plasmanate
Furosemid injeksi i.v./i.m. 10 mg/ml
n/a
Furosemid tablet 40 mg
n/a
Gadobutrol macrocyclic 5 mg
Gadovist 5 mg
Gadobutrol macrocyclic 7,5 mg
Gadovist 7,5 mg
Gadoksetat disodium 0,25 mmol gadoxetaPrimovist
Gansiklovir serb inj 500 mg (50 mg/mL) Cymevene
Gefitinib tab 250 mg
Iressa 250 mg
Gemfibrozil kapsul/kaplet 300 mg
n/a
Gemfibrozil tablet 600 mg
n/a
Gemsitabin inj 1000 mg/vial
Gemzar 1000 mg

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196.
197.
198.
199.
200.

Nama Obat Generik


Gemsitabin inj 200 mg/vial
Gentamisin injeksi 40 mg/ ml
Gentamisin salep mata 0,3%
Gentamisin tetes mata 0,3%
Glibenklamid tablet 5 mg
Gliklazid tab 80 mg
Gliklazid tab 30 mg
Glikuidon tab 30 mg
Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Gliseril trinitrat kaps SR 2,5 mg
Gliseril trinitrat kaps SR 5 mg
Gliseril trinitrat tab sublingual 0,5 mg
Gliserin lar 50%
Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril
Goserelin asetat inj 10,8 mg/vial
Goserelin asetat inj 3,6 mg

Nama Dagang
n/a
n/a
Genoint Salep Mata
n/a
n/a
Glicab
Diamicron MR 30
n/a
n/a
n/a
n/a
n/a
Nitrokaf Retard
Nitrokaf Forte
Nitral
Gliserin lar 50%
n/a
n/a
Zoladex 10,8 mg
Zoladex 3,6 mg

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217.
218.
219.
220.

Nama Obat Generik


Nama Dagang
Griseofulvin tablet 125 mg
n/a
Haloperidol inj 50 mg/mL
Haldol Decanoas
Haloperidol tablet 0,5 mg
n/a
Haloperidol tablet 5 mg
n/a
Haloperidol tablet 1,5 mg
n/a
Haloperidol tablet 2 mg
Lodomer 2
Halotan Inhalasi
Halothane
Heparin injeksi i.v./s.k. 5000 UI/ml
Inviclot
Hepatitis B imunoglobulin (human)
Hyperhep B
Hidrokortison krim 2,5 %
n/a
Hiosin butilbromid injeksi 20 mg/ml
n/a
Human insulin intermediate acting inj 100Insulatard Vial
Human insulin intermediate acting inj 100Humulin N Vial
Human insulin intermediate acting inj 100n/a
U
Human insulin intermediate acting inj 100Insulatard Penfill
Human insulin intermediate acting inj 100Humulin N Cart
Human insulin intermediate acting inj 100Sansulin N
Human insulin mix insulin inj 100 UI/ml, p Mixtard Penfill
Human insulin mix insulin inj 100 UI/ml, p Humulin 30/70 Cart
Human insulin mix insulin inj 100 UI/ml, v Mixtard Vial

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239.
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Nama Obat Generik


Nama Dagang
Human insulin mix insulin inj 100 UI/ml, v Humulin 30/70 Vial
Human insulin short acting inj 100 UI/ml, pActrapid Penfill
Human insulin short acting inj 100 UI/ml, pSansulin R
Human insulin short acting inj 100 UI/ml, pHumulin R Cart
Human insulin short acting inj 100 UI/ml, vActrapid Vial
Human insulin short acting inj 100 UI/ml, Humulin R Vial
Human insulin short acting inj 100 UI/ml, vi
n/a
Human tetanus imunoglobulinn injeksi i.m.
Tetagam
Ibuprofen sirup 100 mg/5 ml
n/a
Ibuprofen suspensi 200 mg/5 ml
n/a
Ibuprofen tablet 200 mg
n/a
Ibuprofen tablet 400 mg
n/a
Ifosfamid serbuk injeksi 1000 mg/vial
Holoxan injeksi 1000
Imidapril tab 10 mg
Tanapress 10mg
Imidapril tab 5 mg
Tanapress 5mg
Iopamidol 200-300 mg Iodium/mL (300mgIopamiro
Iopamidol 200-300 mg Iodium/mL (300mgIopamiro
Iopamidol 200-300 mg Iodium/mL (300mgIopamiro
Iopamidol 300-370 mg Iodium/mL (370mgIopamiro
Iopamidol 300-370 mg Iodium/mL (370mgIopamiro

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Nama Obat Generik

Nama Dagang

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257.
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259.
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Iopamidol 300-370 mg Iodium/mL (370mgIopamiro


Iopromide 300-370 mg Iodium/mL (300 mg
Ultravist 300/100 mg
Iopromide 300-370 mg Iodium/mL (300 mg
Ultravist 300/50 mg
Iopromide 300-370 mg Iodium/mL (370 mg
Ultravist 370/100 mg
Iopromide 300-370 mg Iodium/mL (370 mg
Ultravist 370/50 mg
Ipratropium bromida inhalasi 20 mcg/semp
Atrovent HFA
Irbesartan tab 150 mg
n/a
Irbesartan tab 300 mg
n/a
Irinotekan inf 20 mg/ml
n/a
Isosorbid Dinitrat injeksi i.v 10 mg/10 ml Farsorbid inj
Isosorbid Dinitrat tablet sublingual 5 mg n/a
Kalium aspartat tab 300 mg
Kalipar
Kalium Klorida tablet 600 mg
KSR
Kalsium Folinat (Leukovorin Ca) inj 50 mg/DBL Leucovorin
Kalsium Glukonat injeksi i.v 10% (100 mg/Kalsium glukonat
Kandesartan tab 16 mg
n/a
Kandesartan tab 8 mg
n/a
Kapesitabin tab 500 mg
Xeloda
Kaptopril tablet 50 mg
n/a
Kaptopril tablet scored 25 mg
n/a

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261.
262.
263.
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Nama Obat Generik


Kaptopril tablet scored12,5 mg
Karbamazepin sirup 100 mg/5 ml
Karbamazepin tablet 200 mg
Karbimazol tab 5 mg

Nama Dagang
n/a
Tegretol Syrup 100mg/5ml, 1
n/a
Neo-Mercazole

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Karbogliserin tetes telinga 10%


Karbogliserin tetes telinga 10
Ketamin injeksi i.v. 100 mg/ml
KTM
Ketokonazol krim 2%
n/a
Ketokonazol krim 2%
n/a
Ketokonazol tablet 200 mg
n/a
Ketoprofen supositoria 100 mg
Protofen Supp
Ketorolac injeksi 30 mg/ml
n/a
Klaritromisin tab 500 mg
ORIXAL
Klindamisin kapsul/kaplet 150 mg
n/a
Klindamisin kapsul/kaplet 300 mg
n/a
Klobazam tab 10 mg
n/a
Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)Catapres Injeksi
Klonidin tablet 0,15 mg
n/a
Klopidogrel tab 75 mg
n/a
Kloramfenikol suspensi 125 mg/ 5 ml
n/a
Klorpromazin injeksi i.m. 25 mg/ml (HCl) n/a

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Nama Obat Generik


Nama Dagang
Klorpromazin injeksi i.m 5 mg/ml - 2 ml (Hn/a
Klozapin 100 mg
n/a
Klozapin 25 mg
n/a
Kodein tablet 10 mg
n/a
Kodein tablet 15 mg
n/a
Kodein tablet 20 mg
n/a
Koloid HES BM 130 000 lar inf 6%
Voluven
Kombinasi suspensi : Parafin + gliserin + fLaxadine Emulsi 60 ml

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Kombinasi tablet salut : Besi (II) sulfat


n/a
Kombinasi tetes mata 2,5 mg/mL: NatriumCendo Lyteers
Kombinasi: Artemether 20 mg; LumefantriCoartem
Kombinasi: Levodopa 100 mg; Karbidopa Stalevo
Kombinasi: Lopinavir 200 mg; Ritonavir (LAluvia
Kombinasi: Salmeterol 25 mcg; FlutikasonSeretide Inhaler 50 mcg
Kombinasi: Salmeterol 50 mcg; FlutikasonSeretide Diskus 100 mcg
Kombinasi: Salmeterol 50 mcg; FlutikasonSeretide Diskus 250 mcg
Kotrimoksazol DOEN I (dewasa) kombinasin/a
Kotrimoksazol Suspensi komb: Sulfametokn/a
Kuinin (Kina) tablet 200 mg
n/a
Kuinin injeksi i.v. 25% (sebagai 2 HCl)
n/a

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Nama Obat Generik


Nama Dagang
Kuinin tablet 222 mg (H2SO4.7H2O)
n/a
Lamivudine tablet 150 mg
n/a
Lansoprazol inj 30 mg/ml
Prosogan Inj.
Lanzoprazol kapsul/kaplet 30 mg
n/a
Lapatinib tab 250 mg
Tykerb
Larutan mengandung Asam Amino (Asam Kalbamin
Larutan mengandung Asam Amino (Asam Amiparen
Am
Larutan mengandung Asam Amino (Asam Pan-amin
Ami
G
Larutan mengandung Asam Amino (Asam Aminofluid
Ami
Larutan mengandung Asam Amino (Asam Aminofluid
Ami
Larutan mengandung Asam Amino (Asam Aminofusin
Amin
Hepar
Larutan mengandung Asam Amino (Asam Aminosteril
A
Infant 6%

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318.
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320.

Larutan
Larutan
Larutan
Larutan
Larutan
Larutan
Larutan
Larutan

mengandung
mengandung
mengandung
mengandung
mengandung
mengandung
mengandung
mengandung

Asam
Asam
Asam
Asam
Asam
Asam
Asam
Asam

Amino
Amino
Amino
Amino
Amino
Amino
Amino
Amino

(Asam Nephrosteril
Am
(Asam Kidmin
Ami
(Asam Aminoleban
Am
(Asam Aminosteril N-Hepa
(Asam Eas
Am Pfrimer
(BCAA Comafusin
25 gr/
Hepar
(Kombinasi
Aminofusin
A
L600
(Kombinas
Aminofusin Paed

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335.
336.

Nama Obat Generik


Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung
Larutan mengandung

Nama Dagang
Asam Amino (Kombinasi
Kabiven 1440 ml
Asam Amino (Kombinasi
Kabiven 1920 ml
Asam Amino (Kombinas
Combiflex Plus (790 kcal)
Asam Amino (Kombinas
Combiflex peri (480 kcal)
Elektrolit (Kalium Klo
Otsu - KCl 7,46%
Elektrolit (Larutan RiWida RL
Elektrolit (Na 130 mAsering
Elektrolit (NaCl 1.125
KA EN 1B
Elektrolit (Sodium Lact
Totilac
Elektrolit (Tiap 1000Ringerfundin 500 mL
Karbohidrat (Fructose
Triofusin
1
1000
Karbohidrat (Fructose
Triofusin 500
Karbohidrat (Maltose
Martos
Karbohidrat + Elektrol
Potacol inj
Karbohidrat + Elektroli
Tutofusin OPS
Karbohidrat + Elektrol
Clinimix N9G20E

337.
338.
339.
340.

Larutan
Larutan
Larutan
Larutan

mengandung
mengandung
mengandung
mengandung

Karbohidrat
Karbohidrat
Karbohidrat
Karbohidrat

+
+
+
+

Elektrol
Clinimix N9G15E
Elektroli
Triofusin E1000
Elektroli
Wida HSD
Elektrol
Wida D5-NS

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359.
360.

Nama Obat Generik


Nama Dagang
Larutan mengandung Karbohidrat + Elektrol
WIDA 2A
Larutan mengandung Karbohidrat + Elektrol
WIDA D5-1/4NS
Larutan mengandung Karbohidrat + Elektrol
WIDA D5-1/2NS
Larutan mengandung Karbohidrat + Elektro
Futrolit
Larutan mengandung Karbohidrat + Elektro
Wida RD
Larutan mengandung Karbohidrat + Elektrol
KA ENMG 3
Larutan mengandung Karbohidrat + Elektroli
KA EN 3B
Larutan mengandung Karbohidrat + Elektrol
KA EN 3A
Larutan mengandung Lipid ( Infus Lipid E Lipofundin MCT/LCT 1% 100
Larutan mengandung Lipid (Emulsi lemakIntralipid
Larutan mengandung Lipid (Infus Lipid E Lipofundin MCT/LCT 1% 250
Larutan mengandung Lipid (Kombinasi Gluk
Nutriflex Lipid Special 1250
Larutan mengandung Lipid (Kombinasi Gluk
Nutriflex Lipid Peri 1250
Larutan mengandung Lipid (Kombinasi Gluk
Nutriflex Lipid Special 625
Larutan mengandung Lipid (Soybean Oil 200
Ivelip
Latanoprost tetes mata 0,01%
Cendo Glaopen
Latanoprost tts mata 0,005% btl@2,5ml Xalatan 0,005%
Lenograstim inj 263 mcg/mL
Granocyte 34 1vl HSA Free
Leuprorelin asetat inj depot 1,88 mg
Tapros 1.88mg
Leuprorelin asetat inj depot 11,25 mg
Tapros 3M

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379.
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Nama Obat Generik


Nama Dagang
Levofloksasin inf 5 mg/mL
n/a
Levofloksasin tablet 500 mg
n/a
Lidokain injeksi 2% (HCL)
n/a
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 8n/a
Lidokain jeli 2%
Xylocaine Jelly 2%
Lisinopril tablet 10 mg
n/a
Lisinopril tablet 5 mg
n/a
Litium karbonat tablet 200 mg
Frimania 200
Litium karbonat tablet 400 mg
Frimania 400
Loperamid tablet 2 mg
n/a
Loratadin tablet 10 mg
n/a
Lorazepam tablet 2 mg
Merlopam 2
Low molecule feri sucrose inj amp 100 mgDIALIFER
Manitol
n/a
Maprotilin HCl tab 25 mg
Ludios
Maprotilin HCl tab 50 mg
Sandepril 50
MDP (methylene diphosphonate) 1 mg met
Bonescan KaeF
Melfalan tablet 2 mg
Alkeran
Meropenem inj 1 g
n/a
Meropenem serb inj 500 mg/vial
n/a

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Nama Obat Generik


Nama Dagang
Mesna inj 100 mg/mL
Uromitexan injeksi.
Metadon sir 50mg/5ml
n/a
Metformin HCl tablet 500 mg
n/a
Metilergometrin Maleat (Metilergometrin) n/a
Metilfenidat kapsul LA 20 mg
Ritalin LA
Metilprednisolon inj 125 mg/2 mL
n/a
Metilprednisolon inj 500 mg/8 mL
n/a
Metilprednisolon tablet 16 mg
n/a
Metilprednisolon tablet 4 mg
n/a
Metilprednisolon tablet 8 mg
n/a
Metoklopramide tablet 5 mg
n/a
Metronidazol infus 500 mg/100 ml
n/a
Metronidazol supositoria 500 mg
Flagyl
Metronidazol tablet 250 mg
n/a
Metronidazol tablet 500 mg
n/a
MIBI (metoxy iso butyl iso nitril) 5-mL react
Cardioscan KaeF
Midazolam injeksi i.v. 1 mg/ml
Dormicum
Midazolam injeksi i.v. 5 mg/ml
Dormicum
Mikafungin Na serb inj 50 mg
Mycamine
Mikofenolat Mofetil 500 mg
Cellcept

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420.

Nama Obat Generik


Nama Dagang
Mikonazol krim/salep 2 % (Nitrat)
n/a
Mitomisin C (crystallin) serbuk inj 10 mg/viMitomycin C
Moksifloksasin tetes mata 0,5%
Vigamox
Mometason furoat krim 0,1%
n/a
Morfin HCL inj 10 mg/ml
n/a
Morfin HCL tablet SR 10 mg
MST Continus 10 mg
Morfin HCL tablet SR 15 mg
MST Continus 15 mg
Morfin injeksi i.m./s.k./i.v. 10 mg/ml
n/a
Morfin tablet 10 mg
n/a
Nacl 0,9%
n/a
Nadroparin inj 9500 Axa/mL syringe 0,3 mFraxiparine 0.3 ml
Nadroparin inj 9500 Axa/mL, syringe 0,4 Fraxiparine 0.4 ml
Nadroparin inj 9500 Axa/mL, syringe 0,6 Fraxiparine 0.6 ml
Nalokson injeksi 0,4 mg/ml
Nokoba
Natrium Bikarbonat injeksi i.v 8,4%
Meylon
Natrium Diklofenak tablet 50 mg
n/a
Natrium fosfat lar oral 45 mL
Fleet Phosphosoda
Natrium fusidat salep 20 mg/g
Fucilex Ointment
Nevirapin tablet 200 mg
n/a
Nifedipin tab 20 mg, slow release; oros Adalat Oros 20 mg

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Nama Obat Generik


Nifedipin tab 30 mg, oros
Nifedipin tablet/kapsul 10 mg
Nistatin tablet salut 500.000 IU/ g
Nistatin vaginal tablet 100.000 IU/ g
Norepinefrin injeksi 1 mg/ml
Noretisteron tablet 5 mg
Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori 2
Obat Antituberkulosis FDC Kategori Anak
Obat Antituberkulosis FDC Sisipan
Obat Antituberkulosis Kategori 1 dewasa
Obat Antituberkulosis Kategori anak
Ofloxacin tablet 200 mg
Ofloxacin tablet 400 mg
Oksimetazolin tetes hidung 0,025%
Oktreotid 10 mg
Olanzapin inj 10 mg/vial
Olanzapin kapl salut 5 mg
Olanzapin tab 10 mg
Omeprazol injeksi 40 mg/ 10 ml

Nama Dagang
Adalat Oros 30 mg
n/a
n/a
n/a
Raivas
Primolut N
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Ilaidin Drops
Sandostatin LAR
Zyprexa IM
Olandoz 5
Olandoz 10
n/a

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459.
460.

Nama Obat Generik


Nama Dagang
Omeprazol kapsul/kaplet 20 mg
n/a
ondansetron inj 4 mg/ 2 mL
n/a
Ondansetron tab 4 mg
n/a
Ondansetron tablet 8 mg
n/a
Paket CAPD Awal (Komposisi: 1 unit Transfe
n/a
Paket CAPD Pergantian Transfer Set per 6 n/a
Paket CAPD Rutin 120 ( 4x ganti cairan perLarutan Dialisa 1.5%: Dianeal
Parasetamol drop 100 mg/ml btl @15ml ( n/a
Parasetamol sirup 120 mg / 5 ml
n/a
Parasetamol tablet 500 mg
n/a
Parasetamol tetes 60 mg/0,6 mL
FASIDOL
Pegylated interferon alfa-2a inj 135 mcg/0Pegasys
Pegylated interferon alfa-2a inj 180 mcg/0Pegasys
Pegylated Interferon alfa-2b serb inj 100 Pegintron Vial 100 Mcg
Pegylated Interferon alfa-2b serb inj 120 Pegintron Pen 120 Mcg
Pegylated Interferon alfa-2b serb inj 50 m Pegintron
Pegylated Interferon alfa-2b serb inj 80 m Pegintron Vial 80 Mcg
Perak sulfadiazin krim 1%
BURNAZIN 35 GR
Perindoprilarginin tab 5 mg
Bioprexum 5 mg
Permetrin krim 5%
Scabimite Cream 10

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Nama Obat Generik


Nama Dagang
Petidin injeksi i.m/s.k/i.v lambat 50 mg/mln/a
Pioglitazon tab 15 mg
DECULIN 15 MG
Pioglitazon tab 30 mg
DECULIN 30 MG
Pirantel suspensi 125 mg/5 ml
n/a
Pirantel tablet score (base) 125 mg
n/a
Pirazinamid tablet 500 mg
n/a
Piridostigmin tablet salut 60 mg
Mestinon tab.60 mg
Polikresulen cairan
Aptil
Povidon Iodida larutan 10% 1000 ml
n/a
Povidon Iodida larutan 10% 30 ml
n/a
Povidon Iodida larutan 10% 300 ml
n/a
Pramipeksol tab ER 0,375 mg
Sifrol ER 0,375mg
Pramipeksol tab ER 0,750 mg
Sifrol ER 0,750mg
Pravastatin tablet 20 mg
n/a
Propanolol tablet 10 mg ( HCl )
n/a
Propofol injeksi i.v., bolus 1%
Fresofol 1% MCT/LCT
Propranolol tablet 40 mg (HCl)
n/a
Quetiapin tab 200 mg
Seroquel XR 200 mg
Quetiapin tab 300 mg
Seroquel XR 300 mg
Quetiapin tab 400 mg
Seroquel XR 400 mg

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#
481.
482.
483.

Nama Obat Generik


Ramipril tablet 5 mg
Ranitidin injeksi 25 mg/2 ml
Ranitidin tablet 150 mg

Nama Dagang
n/a
n/a
n/a

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500.

Retinol (Vitamin A) 100.000 IU


n/a
Retinol (Vitamin A) 200.000 IU kapsul lunan/a
Ringer Laktat larutan infus
n/a
Risperidon tablet 1 mg
n/a
Risperidon tablet 2 mg
n/a
Risperidon tablet 3 mg
n/a
Rivaroksaban tab 10 mg
Xarelto 10 mg
Rivaroksaban tab 15 mg
Xarelto 15 mg
Rivaroksaban tab 20 mg
Xarelto 20 mg
Ropinirol Tablet Salut 2 mg
Requip PD 24 Hour 2 mg
Ropinirol Tablet Salut 4 mg
Requip PD 24 Hour 4 mg
Ropinirol Tablet Salut 8 mg
Requip PD 24 Hour 8 mg
Salbutamol inhalasi/aerosol 100 mcg/dosisVentolin Inhaler
Salbutamol serb inh 200 mcg/kaps
Ventolin Rotacaps
Salbutamol serb inh 200 mcg/kaps + rotahVentolin Rotahaler
Salbutamol tablet 2 mg (sebagai Sulfat) n/a
Salep 2-4 , Kombinasi : Asam Salisilat 2 n/a

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Nama Obat Generik


Sefadroksil sirup kering 125 mg/5ml
Sefadroksil kapsul/kaplet 250 mg
Sefadroksil kapsul/kaplet 500 mg
Sefadroksil sir kering 250 mg/5 mL
Sefaleksin kapsul/kaplet 500 mg
Sefazolin serbuk injeksi 1 g/vial
Sefepim inj 1 g

Nama Dagang
n/a
n/a
n/a
n/a
n/a
n/a
n/a

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509.
510.
511.
512.
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515.
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518.
519.
520.

Sefiksim kapsul/kaplet 100 mg


n/a
Sefiksim sirup kering 100 mg/ 5 ml
n/a
Sefoperazon inj 1 g
n/a
Sefotaksim injeksi 0,5 g
n/a
Sefotaksim injeksi 1 g
n/a
Sefpodoksim proksetil tab 100 mg
Banadoz 100
Seftazidim injeksi 1 g
n/a
Seftriakson serbuk injeksi 1 g/vial
n/a
Sefuroksim tab 500 mg
Zinnat 500
Sertralin tab 50 mg
Fatral
Setirizin tablet 10 mg
n/a
Sevofluran ih, btl
Sojourn
Sianokobalamin (vitamin B12) injeksi 500 n/a

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530.
531.

Nama Obat Generik


Nama Dagang
Siklofosfamid serbuk injeksi i.v. 1000 mg Cyclovid 1000 mg
Siklofosfamid serbuk injeksi i.v. 200 mg Cyclovid 200 mg
Siklosporin kaps 100 mg
Sandimmun Neoral 100mg Ka
Siklosporin kapsul lunak 25 mg
Sandimmun Neoral 25mg Kap
Simvastatin scored tablet 10 mg
n/a
Simvastatin tablet 20 mg
n/a
Siprofloksasin infus 2%
n/a
Siprofloksasin tablet 500 mg (sebagai HCl)n/a
Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/1 DBL Cytarabun
Spiramisin tablet 500 mg
n/a
Spironolakton tablet 100 mg
n/a

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533.
534.
535.
536.
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539.
540.

Spironolakton tablet 25 mg
n/a
Streptokinase injeksi 1,5 juta UI/vial
Streptase
Streptomisin serbuk injeksi i.v 1000 mg/mln/a
Sufentanil injeksi iv, epidural 5 mcg/ml Sufentanyl Injeksi iv.Epidural
Sukralfat susp 500 mg/5 mL
Ulsafate
Takrolimus kaps 0.5 mg
Prograf
Takrolimus kaps 1 mg
Prograf
Tamsulosin tab 0,2 mg
Harnal D 0.2 mg Disp. Table
Tamsulosin tab 0,2 mg
Harnal D

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555.

Nama Obat Generik


Tamsulosin tab SR 0,4 mg
Telbivudin tab 600 mg
Telmisartan tab 40mg
Telmisartan tab 80 mg
Temozolamid kaps 100 mg
Temozolamid kaps 20 mg
Tenofovir tab 300 mg
Terbutalin cairan ih 2,5 mg/mL
Terbutalin tablet 2,5 mg
Terbutalin turbu (serbuk ih) 0,50 mg
Testoteron soft capsul 40 mg
Tetrakain HCl tetes mata 0,5%
Tetrasiklin kapsul/kaplet 250 mg
Tiamazol tab 10 mg
Tiamazol tab 5 mg

Nama Dagang
Harnal OCAS 0.4 mg Tablet
Sebivo 600 mg Tab
Micardis 40mg
Micardis 80mg
Temodal
Temodal
n/a
Bricasma Respules
Molasma Tablet
Bricasma Turbuhaler 0,5 mg
Andriol Testocaps
Pantocain 0.5%
n/a
Thyrozol 10
Thyrozol 5

556.
557.
558.
559.
560.

Timolol tetes mata 0,25%


Timolol tetes mata 0,5%
Tiotropium kaps 18 mcg + handihaller
Tramadol injeksi 50 mg/ml
Travoprost tetes mata 0,004%

Isotic Adretor 0,25%


Isotic Adretor 0,5%
Spiriva 10s + Handihaler
n/a
Travatan

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Nama Obat Generik
Nama Dagang
Triamsinolon asetonid nasal spray 55 mcg/Nasacort AQ
Trifluoperazin tablet 5 mg
n/a
Urea krim 10%
Soft U Derm
Vaksin polio inj (Vaksin Poliomyelitis yang Imovax Polio
Valgansiklovir tab 450 mg
Valcyte
Valproat sirup 250 mg/5 ml
Ikalep
Valproat tab SR 250 mg
Depakote ER 250 mg
Valproat tab SR 500 mg
Depakote ER 500 mg
Valsartan tab 80 mg
Diovan 80mg Tab
Valsartan tab 160 mg
DIOVAN 160 MG
Verapamil tab 240 mg
Isoptin 240 mg
Verapamil tablet 80 mg (HCl)
n/a
Vinblastin serbuk injeksi 10 mg
Vinblastine
Vinorelbin inj. 10 mg/ml
Navelbine injeksi 10
Vitamin B Kompleks tablet
n/a
Zidovudin 300 mg + Lamivudine 150 mg n/a
Zinc drop 10 mg/mL
Zincpro Drops
Zinc sir 20 mg/5 Ml
Zircum Kid Sirup
Zinc tablet dispersible20 mg
n/a

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2006-2014 Lembaga Kebijakan Pengadaan Barang/Jasa Pemerintah (LKPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Kimia Farma
1 blister@24 tablet
PT. SmithKline Beecha Dus, 3 Blister @ 10 kapsul
PT. Indofarma
Dus, 10 dus @ 1 botol @ 10 ml
PT. Holi Pharma
Dus, 5 strip @ 6 tablet
PT. Ikapharmindo
Vial 100 ml
PT. Ikapharmindo
Vial 50 ml
PT. Pertiwi Agung
Box, 10 strips @ 10 tablets
PT. Bernofarm
Dus, 10 blister @ 10 tablet
PT. Dexa Medica
Dus, 10 Strip @ 10 tablet
PT. Otto Pharmaceutica1 box 10 Strip X 10 tablet
PT. Kimia Farma
Ktk 10x10 tablet
PT. Boehringer IngelheDus, 1 vial@50mg + 1 vial pelarut
PT. Cendo Industri Farmtube 3.5 gr
PT. Sanbe Farma
Vial 2 ml
PT. Lucas Djaja
dus 30 ampul @10 ml
PT. Marin Liza Farmasi Botol @ 100 tablet salut selaput
PT. Aventis Pharma
Dus, 6 ampul @ 3 ml
PT. Darya Varia
strip
PT. Indofarma
Dus, 10 strip @ 10 tss
PT. Pertiwi Agung
Box, 3 strips @ 10 tablets

Harga Satuan Terkecil (Rp)


1,375.00
27,500.00
3,849.00
338.00
750,000.00
345,000.00
86.00
199.50
380.00
176.00
233.00
3,800,000.00
18,500.00
50,500.00
3,822.00
90.00
12,480.00
1,200.00
112.00
330.00

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Pertiwi Agung
Box, 3 strips @ 10 tablets
187.00
PT. Novapharin
dus 10 X 10'S
211.00
PT. Bernofarm
Dus, 10 strip @ 10 kaptab
272.00
PT. Holi Pharma
Dus, Botol 60 ml
4,045.00
PT. Novapharin
btl @ 60 ml
2,445.00
PT. Bernofarm
Dus, 10 vial @ 1 g
5,100.00
PT. Aventis Pharma
dus, 5 solostar pen @ 3ml
85,000.00
PT. Ferron Par Pharmace
Injeksi 100 IU/ml, Flexpen disposible106,000.00
PT. Tempo Scan Pacific Penfill cartridge
97,500.00
PT. Ferron Par Pharmace
Injeksi 100 IU/ml, Flexpen disposible85,345.00
PT. Ferron Par Pharmace
Dus, vial 10 ml
200,000.00
PT. Aventis Pharma
dus, 5 solostar pen @ 3ml
79,165.00
PT. Tempo Scan Pacific Penfill cartridge
79,167.00
PT. AstraZeneca indoneDus, 2 blister @ 14 Tablet
32,000.00
PT. Promedrahardjo FarDus, 10 Strip@10 Tablet
75.00
PT. Rama Emerald MultBoto 60 ml
2,100.00
PT. Indofarma
Dus, 25 tube @ 5 g
2,516.00
PT. Kimia Farma
ktk 10 x 10 tablet
520.00
PT. Kimia Farma
Btl 100 tablet
135.00
PT. Meprofarm
Dus, 5 strip @ 10 tablet
1,500.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Kimia Farma
Dus 6 amp @ 1ml
PT. Phapros, Tbk
Dus @ 10 X 10 's
PT. Kimia Farma
ktk 10x10 tablet
PT. Kimia Farma
Dus 10 strip x 10 tab
PT. Dexa Medica
Dus, 10 strip @10 tablet
PT. Marin Liza Farmasi Botol @ 100 tablet
PT. Boehringer IngelheBoks, 1 ampul
PT. Bernofarm
Dus, 10 blister @ 10 kaptab ss
PT. Sanbe Farma
Strip
PT. Hexpharm Jaya Labo
Dus, 10 ampul @ 5 ml
PT. Bernofarm
Dus, 10 ampul @ 5 ml
PT. Sanbe Farma
Tube 3,5 gram
PT. Indofarma
Dus, 10 blister @ 10 tablet
PT. Kimia Farma
ktk 10x10 tablet
PT. Widatra Bhakti
10.000 UI/Vial
PT. Zenith PharmaceutiDus 5 strip @ 10 tablet
PT. Glaxo Wellcome IndDus, 5 ampul @ 2.5 ml
PT. Indofarma
Dus, 10 strip @ 10 tablet
PT. Soho Industri Pharmbotol @ 60 ml
PT. Kimia Farma
ktk 2x10 tablet

Harga Satuan Terkecil (Rp)


22,000.00
116.00
159.00
95.00
84.00
48.00
2,209,000.00
112.00
1,815.00
3,334.00
2,950.00
24,750.00
237.00
345.00
1,039,500.00
190.00
20,000.00
74.00
34,400.00
4,500.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Soho Industri PharmStrip
PT. Rama Emerald MultDus @ 50 gram
PT. Phapros, Tbk
Dus @ 10 Vial

Harga Satuan Terkecil (Rp)


3,333.00
1,250.00
9,800.00

PT. Phapros, Tbk


Dus @ 10 Vial
PT. Abbott Indonesia Vial
PT. Combiphar
Box/ 3 blister @ 10 Tablet
PT. Combiphar
Box @ 3 blister @ 10 Tablet
PT. Kimia Farma
Tube 5 gr
PT. AstraZeneca indoneDus, 2 blister @ 14 Tablet
PT. AstraZeneca indoneDus, 2 blister @ 14 Tablet
PT. Sanbe Farma
Supp
PT. Merck Tbk
Dus 10 blister @ 10 tablet
PT. Pratapa Nirmala
Box 3 X 10 tab
PT Kalbe Farma
Vial
PT. Caprifarmindo
Box 3 x 10'S
PT. AstraZeneca indoneDus, 1 Turbuhaler @ 100 dosis
PT. AstraZeneca indoneDus, 4 pak @ 5 respules @ 2 ml
PT. AstraZeneca indoneDus, 1 Turbuhaler @ 120 dosis
PT. AstraZeneca indoneDus, 1 Turbuhaler @ 60 dosis
PT. Dexa Medica
Dus, 5 ampul @ 4 ml

13,400.00
3,200,000.00
3,600.00
3,600.00
1,520.00
72,400.00
45,000.00
6,045.00
746.00
645.00
304,000.00
247,089.00
93,000.00
8,900.00
117,600.00
110,500.00
25,600.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Pratapa Nirmala
ampul
PT. Boehringer IngelheDus, 3 blister @ 10 kapsul
PT. Boehringer IngelheDus, 3 blister @ 10 kapsul
PT. Novell Pharmaeutica
vial
PT. Novartis Indonesia Dus, 4 blister @ 7 tablet
PT. Novartis Indonesia Dus, 4 blister @ 7 tablet
PT. Sydna Farma
Dus, Botol @ 500ml
PT. Sydna Farma
Dus, Botol @ 100 tablet

Harga Satuan Terkecil (Rp)


30,800.00
12,936.00
12,936.00
275,000.00
76,000.00
150,000.00
2,600,000.00
25,300.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Novartis Indonesia Dus, 10 vial @ 500mg


Indofarma
Dus, 100 ampul @ 1 ml
Indofarma
Dus, 10 blister @ 10 tablet
Merck Sharp Dohm Dus, 1 Blister @ 28 tablet
Dexa Medica
Kotak, tube @ 15 gram
Lucas Djaja
ampul @ 1 ml
Yarindo Farmatama Box 10 X 10 Tab
Indofarma
Dus, 10 strip @ 10 tablet
Tanabe Indonesia 10 vial @ 50mg
Pratapa Nirmala
Vial 5 mL
Tanabe Indonesia 3 blister @ 10 kapsul
Tanabe Indonesia 3 blister @ 10 kapsul

112,000.00
1,580.00
68.00
70,000.00
9,983.00
1,054.00
97.00
134.00
127,667.00
46,667.00
3,667.00
4,015.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Kimia Farma
Btl 100 tablet
104.00
PT. Cendo Industri Farmbotol 15 ml
37,500.00
PT. Dipa Pharmalab
ampul @ 5 ml
26,700.00
PT. Pfizer Indonesia
Dus, 5 blister @10's tab
3,480.00
PT. Pfizer Indonesia
Dus, 5 blister @10's tab
5,480.00
PT. Actavis Indonesia Dus, 1 vial @ 10 mg
55,500.00
PT. Actavis Indonesia Dus, 1 vial @ 50 mg
274,125.00
PT. Novapharin
btl @ 60 ml
3,333.00
PT. Novapharin
dus 10 X 10'S
167.00
PT. Bernofarm
Dus, botol @ 10 ml
15,600.00
PT. Dipa Pharmalab
ampul @ 5 ml
9,840.00
PT. Sanbe Farma
Dus, 1 vial @0,5 ml+ 1 vial pelarut 970,200.00
PT. Kimia Farma
Dus @ 5 vial
455,000.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.

SmithKline Beecha Dus, Botol Plastik @ 30 Tablet


Kimia Farma
Botol 30 tab
Pfizer Indonesia
Dus, 2 blister @ 15 tablet
Aventis Pharma
dus, 2 prefilled syringe @ 0,2 ml
Aventis Pharma
dus, 2 prefilled syringe @ 0,4 ml
Aventis Pharma
dus, 2 prefilled syringe @ 0,6 ml
Phapros, Tbk
Dus @ 30 Ampul

7,100.00
6,375.00
42,600.00
40,740.00
71,875.00
100,000.00
8,100.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT Kalbe Farma
Vial @ 25 ml
500,000.00
PT. Sanbe Farma
Dus, 1 vial @5 ml
128,000.00
PT. Gracia Pharmindo Dus 3 strip @ 10 Flash tablet
650.00
PT. Gracia Pharmindo Dus, Botol Plastik @ 100 mL
8,000.00
PT. Kimia Farma
ktk 10 x 10 kapsul
497.00
PT. Indofarma
Dus, 10 blister @ 10 kss
930.00
PT. Phyto Kemo Agung Botol @60 ml
7,700.00
PT Kalbe Farma
Prefilled Syringe @ 1ml
128,000.00
PT. Boehringer IngelheBoks, 6 ampul
139,500.00
PT. Kimia Farma
ktk 20 x 10 tablet
314.00
PT. Indofarma
Dus, 10 strip @ 10 tss
451.00
PT. Novapharin
btl @ 100 ml
2,500.00
PT. Merck Sharp Dohm Dus, botol @ 100 tablet
1,360.00
PT. Merck Sharp Dohm Dus, 1 blister @ 1 subdermal implant128,779.00
PT. Combiphar
Vial 100mg/5ml
100,000.00
PT. Kimia Farma
Botol 10 ml
16,667.00
PT. Novartis Indonesia Dus, 6 blister @ 10 tablet
11,813.00
PT. Novartis Indonesia Dus, 6 blister @ 10 tablet
23,250.00

PT. Ferron Par Pharmace


KOTAK @ 1 VIAL SERBUK OBAT & INF9,200,000.00
PT. Mersifarma Tirmak KOTAK @ 10 ampul
20,250.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Ikapharmindo
Botol @ 100
133.00
PT. Mersifarma Tirmak KOTAK @ 10 ampul
20,250.00
PT. Phapros, Tbk
Dus @ 30 Ampul
1,800.00
PT. Hexpharm Jaya Labo
Dus, 3 strip @ 10 kapsul
1,075.00
PT. Hexpharm Jaya Labo
Dus, 3 strip @ 10 kapsul
1,375.00
PT. Actavis Indonesia Dus 45 x 12 tab
235.00
PT. Boehringer IngelheBox, canister 10mL
72,900.00
PT. Boehringer IngelheDus, Canister 200 dosis
117,500.00
PT. Kimia Farma
Dus 5 ampul@ 10ml
128,000.00
PT. Kimia Farma
Dus 5 ampul@ 2ml
33,914.00
PT. Kimia Farma
Dus @ 5 patch
80,000.00
PT. Kimia Farma
Dus@ 5 patch
153,000.00
PT. Kimia Farma
Dus@ 5 patch
285,000.00
PT Kalbe Farma
pfs @ 0,5 ml
375,000.00
PT. Marin Liza Farmasi Botol @ 100 tablet salut gula
634.00
PT. Phapros, Tbk
dus @ 30 ampul
3,417.00
PT. Aventis Pharma
Dus, 5 vial @ 50 mg
1,248,319.00
PT. Aventis Pharma
Dus, 4 blister @ 5 tablet salut selapu275,000.00
PT. Mersifarma Tirmak Dus, 5 ampul @ 1ml
55,000.00
PT. Novell Pharmaeutica
Botol
38,000.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Kimia Farma
ktk 1 x 10 kapsul
22,000.00
PT. Gracia Pharmindo strip
419.00
PT. Dexa Medica
DUS, 30 TABLET
410.00
PT Kalbe Farma
vial @ 1 ml
24,500.00
PT Kalbe Farma
vial @ 10 ml
33,000.00
PT. Ifars PharmaceuticaDus, Tube 5 g
2,400.00
PT. Glaxo Wellcome IndDus, Botol 120 Dosis Spay
93,333.00
PT. Glaxo Wellcome IndDus, 2 flow wrap@ 5 nebules @ 1 dos
12,917.00
PT. Glaxo Wellcome IndDus, 2 pfs 0.5 ml
241,667.00
PT. Dipa Pharmalab
dus, vial @ 250 ml
972,000.00
PT. Indofarma
Dus, 25 ampul @ 2 ml
1,829.00
PT. Indofarma
Dus, 10 strip @ 10 tablet
85.00
PT. Bayer Indonesia
Prefilled Syringe
275,000.00
PT. Bayer Indonesia
Prefilled Syringe
412,500.00
PT. Bayer Indonesia
Prefilled Syringe
2,570,000.00
PT. Boehringer IngelheBoks, 1 ampul
399,500.00
PT. AstraZeneca indoneDus, 1 blister @ 10 tablet
295,000.00
PT. Indofarma
Dus, 10 blister @ 12 kapsul
289.00
PT. Indofarma
Dus, 10 blister @ 10 kaptab
679.00
PT. Bayer Indonesia
vial
1,098,900.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Sanbe Farma
Dus, 1 vial @200 mg
330,000.00
PT. Indofarma
Dus, 5 ampul @ 2 ml
3,399.00
PT. Erela
Tube @ 3,5 gr
2,600.00
PT. Indofarma
Dus, botol plastik 5 ml
3,194.00
PT. Indofarma
Dus, 10 blister @ 10 kaptab
56.00
PT. Tempo Scan Pacific Strip
235.00
PT. Pradja Pharin
Dus, 6 strip @ 10 tablet lepas lamba638.00
PT. Dexa Medica
Dus, 10 Strip @ 10 tablet
950.00
PT. Kimia Farma
ktk 5x10 tablet
265.00
PT. Kimia Farma
ktk 5x10 tablet
436.00
PT. Kimia Farma
ktk 5x10 tablet
404.00
PT. Kimia Farma
ktk 5x10 tablet
430.00
PT. Kimia Farma
Dus 10x10
1,493.00
PT. Kimia Farma
Dus 10x10
2,171.00
PT. Actavis Indonesia Btl @ 30 tablet
1,500.00
PT. Lucas Djaja
Glycerin 100 ml
5,333.00
PT. Widatra Bhakti
botol @ 500 ml
5,700.00
PT. Widatra Bhakti
botol @ 500 ml
5,200.00
PT. AstraZeneca indoneDus, 1 syringe @ 10.8 mg
2,300,000.00
PT. AstraZeneca indoneDus, 1 syringe @ 3.6 mg
840,000.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Indofarma
Dus, 10 blister @ 10 tablet
PT. Soho Industri PharmDus 5 Ampul@1mL
PT. Indofarma
Dus, 10 blister @ 10 tablet
PT. Indofarma
Dus, 10 blister @ 10 tablet
PT. Indofarma
Dus, 10 blister @ 10 tablet
PT. Mersifarma Tirmak KOTAK @ 10 x 10 TAB
PT. Dexa Medica
Botol
PT. Pratapa Nirmala
vial
PT. Dipa Pharmalab
Dus, 1 syringe @ 0.5 mL
PT. Kimia Farma
Tube 5 gr
PT. Otto Pharmaceuticabox 5ampul @1 ml
PT. Ferron Par Pharmace
Dus, vial 10 ml
PT. Bayer Indonesia
Dus, vial 10 ml
PT. Aventis Pharma
Dus, 1 Vial @ 5 ml
PT. Ferron Par Pharmace
Injeksi 100 IU/ml, penfill disposible
PT. Bayer Indonesia
Dus Isi 5 penfill/cartridge @ 3ml
PT. Sanbe Farma
penfillcartridge @ 3ml
PT. Ferron Par Pharmace
Injeksi 100 IU/ml, penfill disposible
PT. Bayer Indonesia
Dus Isi 5 penfill/cartridge @ 3ml
PT. Ferron Par Pharmace
Dus, vial 10 ml

KPP) e-katalog.lkpp.go.id

Harga Satuan Terkecil (Rp)


219.00
83,333.00
59.00
96.00
69.00
126.00
641,500.00
42,900.00
1,328,000.00
2,798.00
4,500.00
138,000.00
138,000.00
72,000.00
376,125.00
76,125.00
75,000.00
376,125.00
76,125.00
138,000.00

Nama Penyedia
Kemasan
PT. Bayer Indonesia
Dus, vial 10 ml
PT. Ferron Par Pharmace
Injeksi 100 IU/ml, penfill disposible
PT. Sanbe Farma
penfill cartridge @ 3ml
PT. Bayer Indonesia
Dus Isi 5 penfill/cartridge @ 3ml
PT. Ferron Par Pharmace
Dus, vial 10 ml
PT. Bayer Indonesia
Dus, vial 10 ml
PT. Aventis Pharma
Dus, 1 Vial @ 5 ml
PT. Dexa Medica
Prefilled syringe
PT. Indofarma
Dus, botol 60 ml
PT. Indofarma
Dus, botol 60 ml
PT. Yarindo Farmatama botol @ 100 tablet
PT. Holi Pharma
Dus, 10 strip @ 10 tablet
PT. Mugi Laboratories Dus, 1 vial @ 1 g
PT. Tanabe Indonesia 3 blister @ 10 tablet
PT. Tanabe Indonesia 3 blister @ 10 tablet
PT. Dipa Pharmalab
Dus, botol @ 100 ml
PT. Dipa Pharmalab
Dus, vial @ 30 ml
PT. Dipa Pharmalab
Dus, vial @ 50 ml
PT. Dipa Pharmalab
Dus, botol @ 100 ml
PT. Dipa Pharmalab
Dus, vial @ 30 ml

Harga Satuan Terkecil (Rp)


138,000.00
376,125.00
75,000.00
76,125.00
138,000.00
138,000.00
72,000.00
170,000.00
3,499.00
4,499.00
110.00
149.00
1,329,163.00
3,908.00
2,120.00
350,000.00
122,000.00
166,000.00
369,000.00
147,000.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia

Kemasan

Harga Satuan Terkecil (Rp)

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Dipa Pharmalab
Dus, vial @ 50 ml
Bayer Indonesia
Botol
Bayer Indonesia
Botol
Bayer Indonesia
Botol
Bayer Indonesia
Botol
Boehringer IngelheBox, canister 10mL
Indofarma
Dus, 5 blister @ 10 kss
Indofarma
Dus, 5 blister @ 10 kss
Sanbe Farma
Dus, 1 vial @2 ml
Pratapa Nirmala
vial
Indofarma
Dus, 10 strip @ 10 tablet
Tempo Scan Pacific Strip
Merck Tbk
Dus, 10 strip @ 10 tablet
Tempo Scan Pacific Vial 50 mg/5 ml
Ethica Industri FarmAmpul
Dexa Medica
Dus, 3 Blister @ 10 tablet
Dexa Medica
Dus, 3 Blister @ 10 tablet
Boehringer IngelheBoks, 120 tablet
Indofarma
Dus, 10 strip @ 10 tablet
Errita Pharma
Dus, 10 strip @10 tablet

199,000.00
245,000.00
123,200.00
299,000.00
150,300.00
80,000.00
1,425.00
2,470.00
510,000.00
33,000.00
88.00
694.00
1,580.00
82,000.00
7,800.00
4,900.00
3,100.00
27,500.00
140.00
80.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Indofarma
Dus, 10 strip @ 10 tablet
PT. Novartis Indonesia Dus, botol @ 120 ml
PT. Indofarma
Dus, 10 blister @ 10 tablet
PT. Nicholas LaboratoriDus,botol 100 tablet

Harga Satuan Terkecil (Rp)


62.00
44,770.00
245.00
875.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Lucas Djaja
Fenol 100 mg / 1 ml
2,042.00
Guardian PharmataVial @ 10 ml
110,000.00
Novell Pharmaeutica
Box isi 1 Tube @ 15 g
4,700.00
Kimia Farma
tube 10 gr
2,569.00
Dexa Medica
Dus, 5 Strip @ 10 tablet
300.00
Kimia Farma
dus 2 's @ 10 supp
2,722.00
Phapros, Tbk
Dus @ 12 Ampul
2,300.00
Ifars PharmaceuticaDus, 3 Strip @ 10 Kaplet salut selapu3,200.00
Indofarma
Dus, 5 blister @ 10 kapsul
361.00
Indofarma
Dus, 5 blister @ 10 kapsul
553.00
Dexa Medica
Dus, 10 Strip @ 10 tablet
900.00
Boehringer IngelheBox, 10 ampoules @ 1mL
30,600.00
Kimia Farma
Ktk 10X10 TAB
184.00
Hexpharm Jaya Labo
Dus, 3 strip @ 10 tab
3,400.00
Bernofarm
Botol @ 60 ml
3,680.00
Phapros, Tbk
Dus @ 30 Ampul
1,100.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Phapros, Tbk
Dus @ 30 Ampul
PT. Mersifarma Tirmak KOTAK @ 5 x 10 TAB
PT. Mersifarma Tirmak KOTAK @ 5 x 10 TAB
PT. Kimia Farma
ktk 10x10 tablet
PT. Kimia Farma
ktk 10x10 tablet
PT. Kimia Farma
ktk 10x10 tablet
PT. Fresenius Kabi ComBotol Plastik @ 500 ml
PT. Galenium Pharmasia
Botol @ 60 ml

Harga Satuan Terkecil (Rp)


1,050.00
5,000.00
1,550.00
500.00
850.00
1,100.00
33,000.00
12,450.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Erela
Dus, 100 Sachet @ 30 Tablet
42.00
Cendo Industri Farmbotol 15 ml
15,750.00
Novartis Indonesia Dus, 4 blister @ 6 tablet
3,220.00
Novartis Indonesia Dus, botol plastik @ 30 tablet salut 8,900.00
Abbott Indonesia botol @ 120 tablet
6,100.00
Glaxo Wellcome IndDus, Botol 120 Dosis
90,667.00
Glaxo Wellcome IndDus, foil strip @ 60 dosis
100,833.00
Glaxo Wellcome IndDus, foil strip @ 60 dosis
113,333.00
Holi Pharma
Dus, 10 strip @ 10 kaptab
149.00
Lucas Djaja
Botol @ 60 ml
2,145.00
Kimia Farma
ktk 60 tablet
670.00
Kimia Farma
ktk 100 amp @ 2 ml
6,200.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Kimia Farma
ktk 10 x 10 tablet
PT. Kimia Farma
Botol 60 tablet
PT. Takeda Indonesia Serbuk vial
PT. Indofarma
Dus, 2 strip @ 10 kapsul
PT. SmithKline Beecha Dus, 7 Blister @ 10 tablet
PT. Finusolprima Farmabotol 500 ml
PT Otsuka Indonesia Softbag 500 ML
PT Otsuka Indonesia Softbag 500 ML
PT Otsuka Indonesia Double Chamber Softbag 1000 ML
PT Otsuka Indonesia Double Chamber Softbag 500 ML
PT Kalbe Farma
botol 500 mL
PT. Fresenius Kabi ComBotol Gelas 100 ml

Harga Satuan Terkecil (Rp)


540.00
1,400.00
82,042.00
473.00
67,200.00
56,300.00
56,300.00
37,500.00
115,500.00
61,600.00
75,350.00
36,667.00

PT. Fresenius Kabi ComBotol Gelas 250 ml


PT Otsuka Indonesia Softbag 200 ML
PT Otsuka Indonesia Softbag 500 ML
PT. Fresenius Kabi ComBotol Gelas 500 ml
PT. Finusolprima Farmabotol 250 ml
PT. Finusolprima Farmabotol 500 ml
PT Kalbe Farma
botol 500 mL
PT Kalbe Farma
botol 250 mL

50,820.00
46,000.00
65,000.00
78,720.00
51,260.00
64,900.00
42,000.00
46,000.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Fresenius Kabi ComBag (3 Chamber) 1440 ml
295,240.00
PT. Fresenius Kabi ComBag (3 Chamber) 1920 ml
343,842.00
PT. Phapros, Tbk
Bag Double chamber (Dua comparte322,000.00
PT. Phapros, Tbk
Bag Double chamber (Dua comparte218,700.00
PT Otsuka Indonesia Ampoel 25 ML
2,050.00
PT. Widatra Bhakti
Botol 1000 ml
8,000.00
PT Otsuka Indonesia Plastic Bottle 500 ML
9,000.00
PT Otsuka Indonesia Plastic Bottle 500 ML
9,000.00
PT Kalbe Farma
flexybag 250 mL
87,000.00
PT. Phapros, Tbk
LDPE (Low Density Poly Ethilene), bot
12,650.00
PT Kalbe Farma
botol 500 mL
50,500.00
PT Kalbe Farma
Flexy bag 500 mL
42,350.00
PT Otsuka Indonesia Plastic Bottle 500 ML
29,167.00
PT Otsuka Indonesia Plastic Bottle 500 ML
55,500.00
PT Kalbe Farma
botol 500 mL
37,500.00
PT Kalbe Farma
Botol Plastik 1000 mL
210,000.00

PT Kalbe Farma
PT Kalbe Farma
PT. Widatra Bhakti
PT. Widatra Bhakti

Botol Plastik 1000 mL


botol 500 mL
Botol 500 ml
Botol 500 ml

199,000.00
56,000.00
9,500.00
6,800.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Widatra Bhakti
Botol 500 ml
6,917.00
PT. Widatra Bhakti
Botol 500 ml
7,700.00
PT. Widatra Bhakti
Botol 500 ml
7,700.00
PT. Sanbe Farma
softbag 500ml
35,750.00
PT. Widatra Bhakti
Botol 500 ml
6,930.00
PT Otsuka Indonesia Plastic Bottle 500 ML
9,167.00
PT Otsuka Indonesia Plastic Bottle 500 ML
10,000.00
PT Otsuka Indonesia Plastic Bottle 500 ML
10,000.00
PT. Phapros, Tbk
20%, Botol Kaca @100 ml, single bot105,500.00
PT. Fresenius Kabi ComBotol Gelas 100 ml
60,500.00
PT. Phapros, Tbk
20%, Botol Kaca @250 ml, single bot210,000.00
PT. Phapros, Tbk
Bag, 3 chamber ( 3 kompartemen), 591,000.00
PT. Phapros, Tbk
Bag, 3 chamber ( 3 kompartemen), 511,000.00
PT. Phapros, Tbk
Bag, 3 chamber ( 3 kompartemen), 6358,000.00
PT Kalbe Farma
Flexy bag 100 mL
89,800.00
PT. Cendo Industri Farmstrip 5 x 0.6 ml
72,000.00
PT. Pfizer Indonesia
dus, Botol @ 2,5 ml
127,000.00
PT. Aventis Pharma
Dus, 1 vial @ 263 mcg + 1 prefilled 550,000.00
PT. Takeda Indonesia Vial
700,000.00
PT. Takeda Indonesia Vial
2,700,000.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Infion PharmaceuticBox, 1 Botol @ 100 ml
PT. Promedrahardjo FarDus, 5 Strip@10 Tablet
PT. Bernofarm
Dus, 100 ampul @ 2 ml
PT. Indofarma
Dus, 30 ampul @ 2 ml
PT. AstraZeneca indoneDus, 10 syringe @ 10 g
PT. Novell Pharmaeutica
Box ,3 Strip @ 10 tablet
PT. Novell Pharmaeutica
Box ,3 Strip @ 10 tablet
PT. Mersifarma Tirmak KOTAK @ 10 x 10 TAB
PT. Mersifarma Tirmak KOTAK @ 10 x 10 TAB
PT. Ifars PharmaceuticaDus, 10 Strip @ 10 Tablet
PT. Promedrahardjo FarDus, 5 Strip@10 Tablet
PT. Mersifarma Tirmak KOTAK @ 10 x 10 TAB
PT. Novell Pharmaeutica
ampul
PT. Finusolprima Farmabotol 500 ml
PT. Soho Industri PharmStrip
PT. Mersifarma Tirmak KOTAK @ 5 x 10 TAB
PT. Kimia Farma
Dus @ 5 vial
PT. Glaxo Wellcome IndBox, Tablet 2 mg/25's
PT. Bernofarm
Dus, 1 vial @ 1 g
PT. Bernofarm
Dus, 1 vial @ 0,5 g

KPP) e-katalog.lkpp.go.id

Harga Satuan Terkecil (Rp)


40,000.00
528.00
839.00
1,363.00
40,000.00
600.00
350.00
1,050.00
1,850.00
89.00
154.00
1,341.00
52,000.00
62,000.00
1,200.00
3,276.00
473,000.00
12,210.00
54,000.00
44,960.00

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Mugi Laboratories Dus, 15 Ampul
74,998.00
PT. Kimia Farma
Botol 1000 ml
254,100.00
PT. Bernofarm
Dus, 10 blister @ 10 tablet
112.50
PT. Kimia Farma
ktk 10 x 10 tablet salut
154.00
PT. Novartis Indonesia Dus, botol plastik @ 30 kapsul pele 6,537.00
PT. Dexa Medica
Dus, 1 Vial @125mg + 1 ampul pela19,500.00
PT. Bernofarm
Dus, 1 vial @ 500 mg
89,990.00
PT. Mahakam Beta Far Strip
635.00
PT. Natura Laboratoria Dus, 10 Blister @ 10 Tablet
205.00
PT. Dexa Medica
Dus, 10 Blister @ 10 tablet
300.00
PT. Kimia Farma
ktk 10 x 10 tablet
108.00
PT. Natura Laboratoria Dus, 1 Botol @ 100 ml
9,950.00
PT. Aventis Pharma
Dus, 2 blister @ 5 suppositoria
3,220.00
PT. Phyto Kemo Agung 10 strip @ 10 tab
110.00
PT. Phyto Kemo Agung 10 strip @ 10 tab
160.00
PT. Kimia Farma
Dus @ 5 vial
1,237,500.00
PT. Boehringer IngelheBoks 10 amp
6,119.00
PT. Boehringer IngelheBoks 5 amp
12,060.00
PT. Combiphar
Dus,1 vial@50mg
260,000.00
PT. Boehringer IngelheBoks, 50 tablet
16,000.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Kimia Farma
Tube 10 gram
PT. Widatra Bhakti
10 mg /Vial
PT. Tempo Scan Pacific botol, tetes mata 3 ml
PT. Guardian Pharmatatube 10 gram
PT. Kimia Farma
Dus 10 amp @ 1 ml
PT. Mahakam Beta Far Dus, 6 strip @ 10 tablet
PT. Mahakam Beta Far Dus, 6 strip @ 10 tablet
PT. Kimia Farma
Ktk 10 ampul @ 1ML
PT. Kimia Farma
Botol 30 tablet
PT. Widatra Bhakti
Botol 500 ml
PT. Glaxo Wellcome IndDus, 5 blister @ 2 pfs 0.3 ml
PT. Glaxo Wellcome IndDus, 5 blister @ 2 pfs 0.4 ml
PT. Glaxo Wellcome IndDus, 5 blister @ 2 pfs 0.6 ml
PT. Pratapa Nirmala
Dus, 5 Ampul @ 2ml
PT Otsuka Indonesia Ampoel 25 ML
PT. Novell Pharmaeutica
Box ,5 Blister @ 10 tablet
PT. Combiphar
Botol, 45 ml
PT. Molex Ayus
Tube 5 gr
PT. Kimia Farma
btl 60 tablet
PT. Bayer Indonesia
blister

KPP) e-katalog.lkpp.go.id

Harga Satuan Terkecil (Rp)


3,000.00
697,000.00
77,000.00
17,820.00
8,400.00
15,620.00
22,990.00
10,499.00
1,300.00
4,700.00
54,144.00
66,640.00
94,962.00
61,600.00
6,200.00
200.00
33,900.00
6,490.00
2,800.00
2,999.00

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Bayer Indonesia
blister
3,500.00
PT. Dexa Medica
Dus, 10 Strip @ 10 tablet salut selap100.00
PT. Phapros, Tbk
Dus @ 10 X 10 's
640.00
PT. Phapros, Tbk
Dus @ 10 X 10 's
480.00
PT. Dexa Medica
ampul
52,000.00
PT. Bayer Indonesia
blister
2,618.00
PT. Phapros, Tbk
Paket
359,900.00
PT. Indofarma
Paket
1,199,990.00
PT. Phapros, Tbk
Paket
214,900.00
PT. Indofarma
Dus, 3 blister @ 28 kss
160,000.00
PT. Indofarma
Dus, 1 dus @ 60 blister @ 8 tablet ta288,199.00
PT. Indofarma
Dus, 60 sachet tahap intensif @ (1 ta171,195.00
PT. Novell Pharmaeutica
Box ,5 Strip @ 10 tablet
400.00
PT. Novell Pharmaeutica
Box ,5 Strip @ 10 tablet
650.00
PT. Merck Tbk
botol @ 10 ml
27,550.00
PT. Novartis Indonesia Dus, vial @ 355m + 1 prefilled syrin2,950,000.00
PT. Bayer Indonesia
Vial
120,000.00
PT. Sandoz Indonesia 3 X 10 fcc
6,450.00
PT. Sandoz Indonesia 3 X 10 fcc
11,200.00
PT. Natura Laboratoria Dus, 1 Vial @ 40 mg
36,000.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Novapharin
dus 10 X 3'S
211.00
PT. Indofarma
Dus, 5 Ampul @ 2ml
2,400.00
PT. Yarindo Farmatama Box 3 X 10 Tab
716.00
PT. Yarindo Farmatama Box 3 X 10 Tab
1,189.00
PT Kalbe Farma
Transfer Set: Set; Ultaclam: Kantong 1,902,240.00
PT Kalbe Farma
Set
219,540.00
PT Kalbe Farma
Larutan Dialisa 1.5 %: 2.000 ml; Lar 5,522,580.00
PT. Indofarma
Dus, 15 botol
5,200.00
PT. Afifarma
botol 60 ml
1,438.00
PT. Imfarmind Farmasi iDus, 10 strip @ 10 kaptab
89.00
PT. Ifars PharmaceuticaDus, botol @ 15 ml
6,450.00
PT. Boehringer IngelheBoks, 1 pfs
1,077,815.00
PT. Boehringer IngelheBoks, 1 pfs
1,248,220.00
PT. Merck Sharp Dohm Dus, 1 vial 100 mcg + 1 ampul pelar973,500.00
PT. Merck Sharp Dohm Dus, 1 prefilled syringe (serbuk inj 1,135,000.00
PT. Merck Sharp Dohm Dus, 1 vial 50 mcg + 1 ampul pelaru915,000.00
PT. Merck Sharp Dohm Dus, 1 vial 80 mcg + 1 ampul pelaru915,810.00
PT. Darya Varia
tube @ 35 gram
23,000.00
PT. Pradja Pharin
Dus, botol plastik @ 30 tablet salut 2,420.00
PT. Galenium Pharmasia
Tube @ 10 g
11,475.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Kimia Farma
Ktk 10 ampx2ml
PT. Dexa Medica
30 TAB/BOX
PT. Dexa Medica
30 TAB/BOX
PT. Holi Pharma
Botol 60 ml
PT. Holi Pharma
Dus, 25 Blister @ 4 tablet
PT. Holi Pharma
Dus 10 strip @ 10 tablet
PT. Combiphar
Dus botol @ 150 tab
PT. Pratapa Nirmala
Dus, Botol @ 10ml
PT. Afifarma
botol @ 1000 ml
PT. Afifarma
botol @ 30 ml
PT. Afifarma
botol @ 300 ml
PT. Boehringer IngelheDus, 3 alu blister @ 10 tablet
PT. Boehringer IngelheDus, 3 alu blister @ 10 tablet
PT. Novell Pharmaeutica
Box ,5 Strip @ 10 tablet
PT. Dexa Medica
Dus, 10 Strip @ 10 tablet
PT. Fresenius Kabi ComAmpul
PT. Holi Pharma
Dus, 10 strip @ 10 tablet
PT. AstraZeneca indoneDus, 1 blister @ 10 tablet
PT. AstraZeneca indoneDus, 1 blister @ 10 tablet
PT. AstraZeneca indoneDus, 1 blister @ 10 tablet

Harga Satuan Terkecil (Rp)


14,500.00
3,120.00
4,525.00
8,360.00
296.00
206.00
6,952.00
17,393.00
37,109.00
2,163.00
14,203.00
7,200.00
11,268.00
2,300.00
65.00
15,642.00
106.00
17,391.00
19,500.00
23,185.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Dexa Medica
Dus, 10 Strip @ 10 kaptab
580.00
PT. Natura Laboratoria Dus, 10 Ampul @ 2 ml
1,140.00
PT. Dexa Medica
Dus, 10 Strip @ 10 tablet salut selap120.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Kimia Farma
Botol 50 kapsul lunak
260.00
Lucas Djaja
Botol 50 Kapsul
459.00
Widatra Bhakti
botol 500 ml
5,200.00
Dexa Medica
Dus, 5 Blister @ 10 tablet
1,400.00
Mersifarma Tirmak KOTAK @ 5 x 10 TAB
1,008.00
Dexa Medica
Dus, 5 Blister @ 10 tablet
2,000.00
Bayer Indonesia
Blister
23,500.00
Bayer Indonesia
Blister
23,500.00
Bayer Indonesia
Blister
23,500.00
Glaxo Wellcome IndDus, 7 blister @ 4 Tablet lepas Lamb5,248.00
Glaxo Wellcome IndDus, 7 blister @ 4 Tablet lepas Lamb6,275.00
Glaxo Wellcome IndDus, 7 blister @ 4 Tablet lepas Lamb7,383.00
Glaxo Wellcome IndDus, botol 200 dosis
63,750.00
Glaxo Wellcome IndDus, 10 Blister @ 10 Kapsul
431.00
Glaxo Wellcome IndDus, 1 Rotahaler
5,867.00
Yarindo Farmatama strip @ 10 tablet
59.00
Marin Liza Farmasi Pot @ 30 gram
2,000.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Holi Pharma
Dus, Botol 60 ml
PT. Hexpharm Jaya Labo
strip
PT. Holi Pharma
Dus, 10 strip @ 10 kapsul
PT. Holi Pharma
Dus, Botol 60 ml
PT. Ifars PharmaceuticaDus, 5 Strip @ 10 Kapsul
PT. Dexa Medica
Dus, 2 Vial @ 1 gram
PT. Yarindo Farmatama Box 2 Vial @ 1000mg

Harga Satuan Terkecil (Rp)


4,746.00
513.00
509.00
5,895.00
1,000.00
16,500.00
48,060.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Bernofarm
Dus, 10 blister @ 10 kapsul
859.00
Ifars PharmaceuticaDus, Botol 30 ml
8,800.00
Yarindo Farmatama vial
38,500.00
Hexpharm Jaya Labo
vial
4,800.00
Natura Laboratoria Dus, 10 Vial @ 1 g
2,950.00
Sandoz Indonesia Dus, 3 blister @ 10 tablet
3,700.00
Dexa Medica
Dus, 2 Vial @ 1 gram
16,000.00
Natura Laboratoria Dus, 10 Vial @ 1 g
3,300.00
Glaxo Wellcome IndDus, 1 Blister @ 10 Tablet salut sela 7,200.00
Pratapa Nirmala
strip @ 10 tab
3,300.00
Pertiwi Agung
Box, 10 strips @ 10 capsules
181.00
Pratapa Nirmala
tabung/botol
1,320,000.00
Lucas Djaja
100 ampul @ 1 ml
1,078.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
Harga Satuan Terkecil (Rp)
PT. Novell Pharmaeutica
vial
256,000.00
PT. Novell Pharmaeutica
vial
82,000.00
PT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak
43,000.00
PT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak
12,000.00
PT. Natura Laboratoria Dus, 3 Strip @ 10 Kaplet salut selapu169.00
PT. Natura Laboratoria Dus, 3 Strip @ 10 Kaplet salut selapu391.00
PT. Dexa Medica
Vial 200 ml
13,000.00
PT. Bernofarm
Dus, 10 blister @ 10 tab ss
255.00
PT. Tempo Scan Pacific dus, 1 vial @ 10 ml
575,000.00
PT. Indofarma
Dus, 5 strip @ 10 tablet
1,499.00
PT. Dexa Medica
Dus, 10 Strip @ 10 tablet
900.00

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Dexa Medica
Dexa Medica
Phapros, Tbk
Kimia Farma
Combiphar
Combiphar
Combiphar
Combiphar
Combiphar

Dus, 10 Strip @ 10 tablet


Vial
Dus @ 56 Vial
dus 5 amp @ dus 10
Botol, 100 ml
Pounch @ 5 blister @ 10 capsule
Dus, 1 pouch @5 blister@10 kaps
Box/ 2 blister @ 14 tablet
Box @ 2 blister @ 14 tablet

315.00
3,290,000.00
3,650.00
127,000.00
13,425.00
11,167.00
21,500.00
5,800.00
5,800.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Combiphar
Box/ 3 blister @ 10 Tablet
PT. Novartis Indonesia Dus, 2 blister @ 14 tablet
PT. Boehringer IngelheDus, 2 alu-blister @10 tablet
PT. Boehringer IngelheBox, 2 blisters @10 tablets
PT. Merck Sharp Dohm Dus, 5 sachet @ 1 kapsul
PT. Merck Sharp Dohm Dus, 5 sachet @ 1 kapsul
PT. Kimia Farma
Botol 30 tab
PT. AstraZeneca indoneDus, 2 pak @ 5 respules
PT. Molex Ayus
Box 50's
PT. AstraZeneca indoneDus, 1 Turbuhaler @ 200 dosis
PT. Merck Sharp Dohm Dus, 6 blister @ 10 kapsul lunak
PT. Cendo Industri Farmbotol 5 ml
PT. Holi Pharma
Dus, 10 strip @ 10 kapsul
PT. Merck Tbk
Dus, 10 blister @ 10 tablet
PT. Merck Tbk
Dus, 10 blister @ 10 tablet

Harga Satuan Terkecil (Rp)


6,800.00
28,500.00
3,900.00
6,500.00
1,120,000.00
223,000.00
8,100.00
6,250.00
99.00
71,100.00
6,200.00
11,500.00
148.00
1,135.00
563.00

PT.
PT.
PT.
PT.
PT.

Pratapa Nirmala
Dus, Botol Plastik @ 5ml
9,128.00
Pratapa Nirmala
Dus, Botol Plastik @ 5ml
9,722.00
Boehringer IngelheDus, 1 blister @10 kapsul + handihal152,543.00
Natura Laboratoria Dus, 10 Ampul @ 2 ml
2,395.00
Tempo Scan Pacific botol, tetes mata 2,5 ml
115,000.00

KPP) e-katalog.lkpp.go.id

Nama Penyedia
Kemasan
PT. Aventis Pharma
Dus, botol plastik 120 dosis
PT. Darya Varia
strip
PT. Galenium Pharmasia
tube
PT. Aventis Pharma
1 vial of 10ml (10 d's)
PT. Boehringer IngelheBoks, 60 tablet
PT. Ikapharmindo
Botol 120 ml
PT. Abbott Indonesia Tablet
PT. Abbott Indonesia Tablet
PT. Novartis Indonesia Dus, 2 blister @ 14 tablet
PT. Novartis Indonesia Dus, 2 blister @ 14 tablet
PT. Abbott Indonesia Tablet
PT. Kimia Farma
Ktk 10X10 TAB
PT. Combiphar
Vial 10mg/10ml
PT. Mugi Laboratories Dus, 1 vial @ 1 ml
PT. Kimia Farma
Dus 10 strip x 10 tab
PT. Kimia Farma
Botol 60 tablet
PT. Combiphar
Drops 10 mg/ml, Botol @15 ml
PT. Meprofarm
Dus, botol 60 ml
PT. Kimia Farma
ktk 10 x 10 tablet

Harga Satuan Terkecil (Rp)


90,000.00
405.00
6,400.00
285,000.00
170,000.00
40,000.00
2,793.00
5,450.00
3,900.00
6,500.00
6,200.00
234.00
210,000.00
1,229,998.00
107.00
3,429.00
12,840.00
7,400.00
473.00

KPP) e-katalog.lkpp.go.id

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