KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS ANALGESIK NON NARKOTIK, 1.

1 Metampiron ANTIPIRETIK
1.1 ANALGESIK NON NARKOTIK, ANTIPIRETIK Metampiron

SEDIAAN/KEKUATAN 1. tablet 500 mg

2. injeksi 250 mg/ml

NAMA DAGANG Antalgin

Antalgin

KEKUATAN dan PABRIK KEMASAN FARMASI Kotak 100 ( 10 Blister @Indofarma 10 Tablet )
Box @ 30 ampul lucas

HNA REGULER 137

2.000,00

HNA ASKES 103 AMS, PV

1.600,00 Penta

DISTRIBUTOR FARMASI

1.1 1.1 1.1

1.1 1.1 1.1

ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK

Metampiron Asam Asetil Salisilat (Asetosal) Asam Mefenamat *)

1. tablet 500 mg 1. tablet 100 mg 2. kapsul 500 mg

1. tablet 100 mg 3. injeksi 50 mg/ml, amp 2 ml 2. kapsul 500 mg

Antalgin 500 mg Aptor Asam Mefenamat

Astika Camigesic Camistan

Botol @ 1000 Tablet

Marin Liza

130 330 155

424 12.000,00 800,00

113 PT Indofarma Global Medika 160 AMS, PV 140 AMS, APL

145 Distriversa / kebayoran 3.550,00 Penta 135,00 Penta

Box,10 strip @ 10 tablet nicholas Enteric coated Kotak 100 ( 10 Blister @ Indofarma 10 Tablet )
Box 100 Box @ 10 ampul Box @ 100 kapsul Ikapharmindo lucas lucas

ANALGESIK NON NARKOTIK, ANTIPIRETIK Asam Asetil Salisilat (Asetosal) ANALGESIK NON NARKOTIK, ANTIPIRETIK Tramadol *) ANALGESIK NON NARKOTIK, ANTIPIRETIK Asam Mefenamat *)

1.1
1.1

ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK

Tramadol *)

1. kapsul 50 mg
2. kapsul 500 mg

Corsadol
Corstanal

Box @ 30 Kaplet
Box @ 50 Kaplet

Corsa
Corsa

1.907
495

255 AMS, APL

130 MBS/MUP/SBF

ANALGESIK NON NARKOTIK, ANTIPIRETIK Asam Mefenamat *)

1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1
1.1

Parasetamol Ibuprofen Ibuprofen Ibuprofen Ibuprofen Ketorolac tromethamine *) Ketorolac tromethamine *) Ketorolac tromethamine *) Ketorolac tromethamine *) Ketorolac tromethamine *) Ketorolac tromethamine *) Parasetamol Asam Mefenamat *) Parasetamol Asam Mefenamat *) Asam Mefenamat *)

3. drop 100 mg/ml 1. tablet 200 mg 2. tablet/kapsul 400 mg 3. sirup 100 mg/5 ml, btl 60 ml 4. sirup 200 mg/5 ml, btl 60 ml 3. tablet 10 mg 2. injeksi 30 mg/ml, amp 1 ml 1. injeksi 10 mg/ml, amp 1 ml 2. injeksi 30 mg/ml, amp 1 ml 1. injeksi 10 mg/ml, amp 1 ml 2. injeksi 30 mg/ml, amp 1 ml 1. tablet 500 mg 2. kapsul 500 mg 2. sirup 120 mg/5 ml, btl 60 ml 2. kapsul 500 mg 3. suspensi 50 mg / 5 ml, 60 ml
1. tablet 500 mg

Fasidol Drop Ibuprofen Ibuprofen Ibuprofen Ibuprofen KETOROLAC Ketorolac Ketorolac Ketorolac Ketorolac Latrol Nasamol Nichostan 500 Omegrip Omestan Omestan Syrup
Paracetamol

botol, 15cc Botol 100

Ifars Indofarma

17.635 105 180 3.500 4.500 3.157 13.365 8.910 13.365 8.910 22.000 207 367 5.600 430 13.200
82,50

8.500 PT Indofarma Global Medika 77 AMS, PV 121 AMS, PV 3.400 AMS, PV 4.400 PT KEBAYORAN PHARMA 2.420 PT MERAPI 13.100 AMS, PV 5.250 PT Indofarma Global Medika 8.470 PT Indofarma Global Medika 8.250 PT. AAM 8,000,00 Distriversa / kebayoran 166 Distriversa / kebayoran 263 Distriversa / kebayoran 2.200 PT. AAM 138 MBS, AAM 6.600 AMS, PV
82,50 Penta

Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) Botol 60 ml Botol 60 ml Box, 10 tab 10 mg Box 6 Ampul Box 5 Ampul Indofarma Indofarma Novel Indofarma Indofarma

box isi 6 ampul 2 @ 1 mlNovel box isi 6 ampul 2 @ 1 mlNovel Dus, 5 ampul inj 30 mg@ Dexa 1 ml Box,10 blister @ 10 tablet nicholas Box, 10 bister @ 10 tablet 60 ML 10 X 10 KAP 60 ML
Botol @ 1000 Tablet

nicholas mutifa mutifa mutifa

Marin Liza

ANALGESIK NON NARKOTIK, ANTIPIRETIK Parasetamol

1.1 1.1 1.1

1.1 1.1

Parasetamol Parasetamol Parasetamol

2. sirup 120 mg/5 ml, btl 60 ml 1. tablet 500 mg 3. drop 100 mg/ml
2. sirup 120 mg/5 ml, btl 60 ml 1. tablet salut 200 mg

Paracetamol Paracetamol Paracetamol

Paracetamol PHENYLBUTAZON

Botol 60 ml (multi box) Indofarma Kotak 100 ( 10 Blister @ Indofarma 10 Tablet ) Btl 15 ml
Botol 60 ml BTL. 1.000 TABLET

2.300 105 4.800

2.530,00 81

1.800 AMS, PV 90 PT Indofarma Global Medika 4.500 PT KEBAYORAN PHARMA

2.530,00 Penta 81 PT. PENTA VALENT

Indofarma
lucas erela

ANALGESIK NON NARKOTIK, ANTIPIRETIK Parasetamol ANALGESIK NON NARKOTIK, ANTIPIRETIK Fenilbutason

1.1 1.1 1.1 1.1 1.1 1.1 1.1

1/26

ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK ANALGESIK NON NARKOTIK, ANTIPIRETIK

Fenilbutason Tramadol *) Asam Mefenamat *) Ketorolac tromethamine *) Ketorolac tromethamine *) Ketorolac tromethamine *) Ketorolac tromethamine *)

1. tablet salut 200 mg 1. kapsul 50 mg 3. suspensi 50 mg / 5 ml, 60 ml 2. injeksi 30 mg/ml, amp 1 ml 1. injeksi 10 mg/ml, amp 1 ml 2. injeksi 30 mg/ml, amp 1 ml 2. injeksi 30 mg/ml, amp 1 ml

Phenylbutazon 200 mg Btl, 1000 PINOREC Pondex ROLAC 30 MG Scelto Scelto Torpain

phapros

81 3.025 11.275 28.600 15.938 23.200 31.020

81 PT. AAM 3.025 PT KEBAYORAN PHARMA 8,500,00 PT MERAPI 9.100 PT MERAPI 8.250 AMS, PV 9.500 AMS, PV 11.000 MBS/MUP/SBF

box isi 5 strip @ 10 kap Novel Suspension 50mg / 5ml, Dexa fls 60ml, Botol 60ml INJ30 MG/ML, AMP 1 ML Actavis - injeksi 10 mg/ml, amp 1 ml - injeksi 30 mg/ml, amp 1 ml Box 5 Pharos Pharos Ikapharmindo

KODE KELAS TERAPI/SUB KELAS TERAPI KELAS ANALGESIK NON NARKOTIK, 1.1 ANTIPIRETIK ANALGESIK NON NARKOTIK, 1.1 ANTIPIRETIK ANALGESIK NON NARKOTIK, 1.1 ANTIPIRETIK ANALGESIK NON NARKOTIK, 1.1 ANTIPIRETIK ANALGESIK NON NARKOTIK, 1.1 ANTIPIRETIK
1.2 1.2 ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID

NAMA GENERIK Tramadol *) Tramadol *) Tramadol *) Tramadol *) Parasetamol

Diklofenak Natrium Diklofenak Natrium

SEDIAAN/KEKUATAN 1. kapsul 50 mg 3. injeksi 50 mg/ml, amp 2 ml 3. injeksi 100 mg/ml, amp 2 ml 1. kapsul 50 mg 3. drop 100 mg/ml
1. tablet 25 mg 2. tablet 50 mg

NAMA DAGANG Tramadol Tramadol Tramadol Trunal Turpan drop

Atranac Atranac

KEKUATAN dan PABRIK KEMASAN FARMASI Kotak 50 ( 5 Strip @ 10 Kapsul Indofarma ) Kotak 5 ampul @ 2 ml Indofarma box isi 5 ampul @ 2 ml Novel Box, 5 Strip @ 6 kapsul Dexa Botol 15 ml
Box @ 50 Tablet Box @ 50 Tablet

HNA REGULER 330 6.402 7.042 1.700 11.000

528 968

HNA ASKES

DISTRIBUTOR FARMASI

260 MBS/MUP/SBF 2.400 AMS, PV 7.042 AMS, PV 280 PT Dos Ni Roha; PT Parazelsus Indonesia 7.550 PT. AAM
99 MBS/MUP/SBF 110 MBS/MUP/SBF

Corsa
Corsa Corsa

1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2

1.2

ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID
ANTIINFLAMASI NON STEROID

Meloxicam *) Meloxicam *) Piroxicam *) Meloxicam *) Ketoprofen *) Ketoprofen *) Ketoprofen *) Ketoprofen *) Ketoprofen *)

Meloxicam *)

2. tablet 15 mg 1. tablet 7,5 mg 2. kapsul/tablet 20 mg 2. tablet 15 mg 2. tablet 100 mg 5. injeksi 100 mg/ml amp @ 2 ml 2. tablet 100 mg 1. tablet 50 mg 3. suppositoria 100 mg
2. tablet 15 mg

Cameloc Cameloc DENICAM 20 Flasicox Ketoprofen KETOPROFEN KETOPROFEN KETOPROFEN Ketros

MELOXICAM

BOX, STRIP 5 X 10 Dexa BOX, STRIP 5 X 10 Dexa BOX 10x10 KAPSUL erlimpex dos, 5x10kpt Ifars Tablet 100mg, Box 100 tablet Dexa box isi 5 ampul @ 2 ml Novel box, 100 tab 100 mg Novel box, 100 tab 50 mg Novel - suppositoria 100 mg
BOX 5X10 TABLET

2.530 1.595 1.210 2.287 1.228 5.650 1.350 704 8.250

1.410

800 600 125 625 695,00 4.840 764 422

Distriversa / kebayoran Distriversa / kebayoran Distriversa / kebayoran PT Indofarma Global Medika PT Indofarma Global Medika MBS, AAM PT. AAM PT. AAM

Pharos
erlimpex

4.500 PPG
575 PT. PENTA VALENT

1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.3
1.3 1.3

ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIPIRAI ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIINFLAMASI NON STEROID ANTIPIRAI
ANTIPIRAI ANTIPIRAI

Meloxicam *) Meloxicam *) Meloxicam *) Meloxicam *) Meloxicam *) Meloxicam *) Diklofenak Natrium Diklofenak Natrium Diklofenak Natrium Diklofenak Natrium Ketoprofen *) Ketoprofen *) Diklofenak Natrium Piroxicam *) Piroxicam *) Piroxicam *) Piroxicam *) Probenesid Ketoprofen *) Ketoprofen *) Ketoprofen *) Ketoprofen *) Meloxicam *) Meloxicam *) Meloxicam *) Allopurinol
Allopurinol Allopurinol

1. tablet 7,5 mg 2. tablet 15 mg 2. tablet 15 mg 1. tablet 7,5 mg 1. tablet 7,5 mg 2. tablet 15 mg 2. tablet 50 mg 1. tablet 25 mg 2. tablet 50 mg 2. tablet 50 mg 2. tablet 100 mg 3. suppositoria 100 mg 2. tablet 50 mg 2. kapsul/tablet 20 mg 1. tablet 10 mg 1. tablet 10 mg 2. kapsul/tablet 20 mg 1. tablet FC 500 mg 3. suppositoria 100 mg 2. tablet 100 mg 1. tablet 50 mg 3. suppositoria 100 mg 2. tablet 15 mg 2. tablet 15 mg 1. tablet 7,5 mg 1. tablet 100 mg
2. tablet 300 mg 1. tablet 100 mg

Meloxicam Ktk 50 Indofarma MELOXICAM box, 50 tab 15 mg Novel Meloxicam Ktk 50 Indofarma MELOXICAM box, 50 tab 7,5 mg Novel Moxam - tablet 7,5 mg Pharos Moxam - tablet 15 mg Pharos Na Diklofenak Kotak 50 ( 5 Blister @ 10Indofarma Tablet ) Na diklofenak Ds, 5 x 10 phapros Na diklofenak Ds, 5 x 10 phapros NATRIUM DIKLOFENAK box, 50 tab 50 mg Novel NAZOVEL 100mg Tab Askes box isi 3 strip @ 10 tab Novel NAZOVEL suppo 100mg box isi 5 supp @ 1 supp Novel Nilaren 50 Box, 5 strip @ 10 tablet nicholas Omeretik 10 X 10 TAB mutifa PIROXICAM box, 100 tab 10 mg Novel Piroxicam Kotak 120 ( 10 Blister @ Indofarma 12 Kapsul ) Piroxicam Kotak 120 ( 10 Blister @ Indofarma 12 Kapsul ) Probenid Tablet FC 500mg, Box 100 Dexa tablet Profika Box 10 Ikapharmindo Profika-E 100 Box 100 Ikapharmindo Profika-E 50 Box 100 Ikapharmindo Pronalges Suppositoria 100mg, Box Dexa 10 suppositoria RHEMACOX TABLET 15 MG Actavis VELCOX 15 box isi 2 strip @ 10 tab Novel VELCOX 7,5 box isi 2 strip @ 10 tab Novel Allopurinol Kotak 100 ( 10 Blister @ Indofarma 10 Tablet )
Merzaluric Merzaluric Box @ 100 Tablet Box @ 100 Tablet Marin Liza Marin Liza

814 1.199 1.199 814 3.901 6.063 218 168 218 218 825 5.445 385 308 75 75 105 1.386 9.900 3.060 1.485 10.450 5.500 780 604 132
2.000,00 1.000,00

470 650 575 517 640 800 190 99 115 174 825 5.445 255 121 70 75 89 1,400,00 4.390 700 495 5.000 580 858 704 100

PPG PT. AAM PT. AAM MBS MBS MBS MBS PT. AAM PT. AAM PT. AAM PT. AAM PT Indofarma Global Medika AMS, APL PT KEBAYORAN PHARMA PT. AAM Distriversa / kebayoran Distriversa / kebayoran PT. AAM PT Dos Ni Roha; PT Parazelsus Indonesia Distriversa / kebayoran Distriversa / kebayoran Distriversa / kebayoran PT. AAM PT. AAM PT MERAPI PT Anugrah Argon Medica

231,00 Penta 105,00 Penta

1.3 1.3 1.3 1.3 2.1 2.1 2.1

2.1

ANTIPIRAI ANTIPIRAI ANTIPIRAI ANTIPIRAI ANESTETIK - UMUM ANESTETIK - UMUM ANESTETIK - UMUM
ANESTETIK - UMUM

Allopurinol Allopurinol Allopurinol Allopurinol Midazolam *) Midazolam *) Midazolam *)

Midazolam *)

1. tablet 100 mg 2. tablet 300 mg 1. tablet 100 mg 2. tablet 300 mg 1.injeksi 5 mg/5ml amp @ 5 ml 2. injeksi 15 mg/3ml amp @ 3ml 2. injeksi 15 mg/3ml amp @ 3ml
1.injeksi 5 mg/5ml amp @ 5 ml

Nilapur 100 Nilapur 300 Omeric Omeric Hipnoz Hipnoz MILOZ

MILOZ

Box, 10 strip @ 10 tabletnicholas Box, 10 strip @ 10 tabletnicholas 10 X 10 TAB mutifa 10 X 10 TAB mutifa - injeksi 5 mg/5ml amp Pharos @ 5 ml - injeksi 15 mg/3ml Pharos amp @ 3ml box isi 5 ampul @ 3 ml Novel
box isi 10 ampul @ 5 ml Novel

440 935 306 880 10.000 25.000 17.000

7.200

220 468 119 242

PT Anugrah Argon Medica PT Anugrah Argon Medica PT Anugrah Argon Medica PT Anugrah Argon Medica

6.820 PT Indofarma Global Medika 15.500 PT MERAPI 18.700 Penta

7.920 AMS, PV

2.1
2.1

ANESTETIK - UMUM
ANESTETIK - UMUM

Midazolam *)
Midazolam *)

injeksi 5mg/ml amp @ 1 ml

2. injeksi 15 mg/3ml amp @ 3ml

Sedacum
Sedacum

Injeksi 5mg/ ml ampouleDexa @ 1ml, Box 10 ampoule 18.700

Injeksi 15mg/ 3ml ampoule Dexa @ 3ml, Box 5 ampoule 44.000,00

7.500 PT MERAPI
17.000,00 PT. AAM

3
3 3

ANTIALERGI DAN ANAFILAKSIS

ANTIALERGI DAN ANAFILAKSIS ANTIALERGI DAN ANAFILAKSIS

Klorfeniramin
Klorfeniramin Deksametason

1. tab 4 mg (Hidrogren maleat)

Chlorpeniramine
Botol @ 1000 Tablet Box @ 100 ampul

mutifa
Marin Liza lucas

40
26,00 2.300,00

28 PT MERAPI
25,30 Penta 2.200,00 Penta

1. tab 4 mg (Hidrogren maleat) CTM 2. injeksi 5 mg/ml.(sbg. Natrium Fosfat), amp @ 1 ml Deksametason

3
3

ANTIALERGI DAN ANAFILAKSIS

ANTIALERGI DAN ANAFILAKSIS

Deksametason
Difenhidramin

2. injeksi 5 mg/ml.(sbg. Natrium Fosfat), amp @ 1 ml

1. inj. 10 mg/ml, amp @ 1 ml

Dexamethasone
Difenhidramin

Kotak 100 ampul @ 1 mlIndofarma

Box @ 30 ampul lucas

1.780
1.200,00

2.200 PT Indofarma Global Medika

1.000,00 Penta

2/26

KODE KELAS 3 3 3 3
3

KELAS TERAPI/SUB KELAS TERAPI ANTIALERGI DAN ANAFILAKSIS ANTIALERGI DAN ANAFILAKSIS ANTIALERGI DAN ANAFILAKSIS ANTIALERGI DAN ANAFILAKSIS
ANTIALERGI DAN ANAFILAKSIS

NAMA GENERIK Mebhidrolin Napadisilat *) Loratadine Loratadine Loratadine

Loratadine

SEDIAAN/KEKUATAN 1. tab 50 mg Kaplet, 10 Mg Kaplet, 10 Mg Kaplet, 10 Mg

Kaplet, 10 Mg

NAMA DAGANG Gabiten Alernitis LORATADIN Loratadine

Loratadine

KEKUATAN dan PABRIK KEMASAN FARMASI dos, 10x10kpt Ifars Box 100 Tab Ikapharmindo box, 50 tab 10 mg Novel Kotak 50 ( 5 Strip @ 10 Tablet Indofarma )
Kotak 50 ( 5 Strip @ 10 Tablet Indofarma )

HNA REGULER 699 4.015 333 333

Rp 333

HNA ASKES 310 1.650 300 300

Rp

DISTRIBUTOR FARMASI PT Dos Ni Roha; PT Parazelsus Indonesia Distriversa / kebayoran AMS, PV PT Indofarma Global Medika

300,00 PT Indofarma Global Medika

3 4.1 4.2 4.2 4.2 4.2 4.2 4.2 4.2 4.2 5 5 5 5 5 5 5 5 5 5 5 5

5 5 5

ANTIALERGI DAN ANAFILAKSIS ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN - UMUM ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN - KHUSUS ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN - KHUSUS ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN - KHUSUS ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN - KHUSUS ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN - KHUSUS ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN - KHUSUS ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN - KHUSUS ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN - KHUSUS

Mebhidrolin Napadisilat *) Kalsium Glukonat Deferoksamin Metansulfonat Deferasiroks Deferiprone Deferiprone Neostigmine Naloxone HCl Neostigmine Mesna *)

1. tab 50 mg 1. inj 100 mg/ml, amp @ 10 ml 1. serb. inj. 500 mg/ml, vial @ 10 ml. 1. tab 250 mg 2. Oral Solution 100 mg/ml- btl. 500 ml 1.tab 500 mg 1. inj 0.5 mg/ml 1. nj 0.4 mg/ml, amp 2 ml 1. inj 0.5 mg/ml 1. inj. 400 mg, amp @ 4 ml Kapsul, 300 mg Kapsul, 100 mg Kapsul, 300 mg Kapsul, 300 mg 1. tab.200 mg 4. tab. 5 mg 3. inj. 10 mg / 2ml 3. inj 250 mg/5 ml *) 1. kaps.100 mg 2. inj 100 mg/2 ml *) inj 50 mg/2 ml 1. tab.30 mg
3. inj. 10 mg / 2ml 1. lar. Rectal 5 mg/ml, tube 2,5 ml 2. lar. Rectal 10 mg/ml, tube 2,5 ml

Omecidal Ca Gluconas 100 mg Desferal Exjade

10 X 10 TAB

mutifa

588 7.827 108.993 156.298 3.289.000 28.600 13.596 77.000 14.674 84.960 1.202.311 3.740 6.930 235.950 1.980 40 2.368 318.514 1.265 82.225 56.005 31
11.440 23.760 35.640

308 PT MERAPI 10.436 108.000 108.000 2.600.000 25.300 13.596 77.000 13.940 86.762 901.733 AAM 3.100 MBS 5.500 MBS, AAM 188.760 AAM 393 PT. AAM 29 PT Indofarma Global Medika 2.368 PT Indofarma Global Medika 110.684 AAM 303 PT Tempo 30.250 AMS, APL 24.000 Distriversa / kebayoran 45 PT Indofarma Global Medika
5.200 MBS, AAM 16.500 MBS, AAM 24.000 MBS, AAM

Inj 100 mg/ml, amp @10 ETHICA ml Box 1x10'vial Box 4 blister x 7 tab Novartis Novartis quamed quamed Combiphar Pratapa Nirmala Transfarma

Ferriprox cairan oral 100botol mg/ml 500 @500 ml ml Ferriprox FCT Neostigmin Hameln Nokoba Prostigmin Uromitexan 400 mg Neurontin ALPENTIN ALPENTIN Ganin Bamgetol Diazepam Diazepam Dilantin Kutoin Kutoin Natrium phenytoin Phenobarbital
STESOLID INJEKSI STESOLID RECTAL STESOLID RECTAL

Dus botol 100 FCT Box, 5 Ampul Box @ 5 amp Box @5 Ampul

Injeksi 400 mg, amp. @4ml Transfarma Dus, 10 blister @ 10 kapsul Pfizer KAPSUL 100 MG KAPSUL 300 MG 30 Tab/Box Actavis Actavis Ferron

ANTIEPILEPSI DAN ANTIKONVULSI Gabapentin ANTIEPILEPSI DAN ANTIKONVULSI Gabapentin ANTIEPILEPSI DAN ANTIKONVULSI Gabapentin ANTIEPILEPSI DAN ANTIKONVULSI Gabapentin ANTIEPILEPSI DAN ANTIKONVULSI Karbamazepin ANTIEPILEPSI DAN ANTIKONVULSI Diazepam ANTIEPILEPSI DAN ANTIKONVULSI Diazepam ANTIEPILEPSI DAN ANTIKONVULSI Fenitoin Na. ANTIEPILEPSI DAN ANTIKONVULSI Fenitoin Na. ANTIEPILEPSI DAN ANTIKONVULSI Fenitoin Na. ANTIEPILEPSI DAN ANTIKONVULSI Fenitoin Na. ANTIEPILEPSI DAN ANTIKONVULSI Fenobarbital
ANTIEPILEPSI DAN ANTIKONVULSI Diazepam ANTIEPILEPSI DAN ANTIKONVULSI Diazepam ANTIEPILEPSI DAN ANTIKONVULSI Diazepam

- tab. 200 mg,box/100 tab mersifarma Botol 250 Indofarma

Kotak 30 ampul @ 2 ml Indofarma Dus, 10 ampul @ 5 ml Pfizer - Kaps. 100 mg, btl./100 mersifarma kaps - Inj 100 mg/2 ml, box/10 mersifarma amp Amp 1 ml Botol 1000 Ikapharmindo Indofarma

INJ 10 MG/2ML Actavis LAR.RECTAL 5 MG/ML, TUBE Actavis 2,5 ML LAR.RECTAL 10 MG/ML, TUBE Actavis 2,5 ML

5 5
5

ANTIEPILEPSI DAN ANTIKONVULSI Diazepam ANTIEPILEPSI DAN ANTIKONVULSI Diazepam

ANTIEPILEPSI DAN ANTIKONVULSI Fenitoin Na.

3. inj. 10 mg / 2ml 4. tab. 5 mg

1. kaps.100 mg

Valdimex Valdimex
Zentropil

- amp.@10 mg/2ml, boxmersifarma 5 amp. - tab 5 mg, box 100 tab. mersifarma
Botol @ 250 kapsul lucas

11.000 1.210
250,00

5.280 PT. AAM 272 PT. AAM

230,00 Penta

6.1.1 6.1.1 6.1.1 6.1.1 6.2.1 6.2.1

6.2.1 6.2.1 6.2.1

ANTELMINTIK INTESTINAL ANTELMINTIK INTESTINAL ANTELMINTIK INTESTINAL ANTELMINTIK INTESTINAL BETA LAKTAM BETA LAKTAM
BETA LAKTAM BETA LAKTAM BETA LAKTAM

Albendazol Albendazol Albendazol Pirantel Amoksisilin Anhidrat Amoksisilin Anhidrat

Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat

1. tab 400 mg 1. tab 400 mg 1. tab 400 mg 1. tab. 125 mg (sebagai Pamoat) 3. sirup 125 mg/ 5 ml, btl 60 ml 4. serb inj.1.000 mg/vial
3. sirup 125 mg/ 5 ml, btl 60 ml 1. kaps 250 mg 2. tab scored/kaplet 500 mg

Albendazol Ds, 5 x 6 phapros Albendazole (Rasa Jeruk) Kotak 30 ( 5 Blister @ 6 Tablet Indofarma ) ALBENDAZOLE 400 MG DS. TABLET 5X6 KIMIA FARMA PYRANTEL 125 MG BASE DS.25X4 TABLET KIMIA FARMA Amoksisilin Btl, 60 ml phapros Amoksisilin Ds, 10 vial phapros
Amoksisilin Dry Syrup 125Botol mg/5 ml 60 ml Amoksisilin kapsul 250 mgBox @ 120 kapsul Amoxcillin dos, 10x10kpt lucas lucas Ifars

407 407 407 290 9.350 6.600

3.700,00 350,00 414,00

407 274 305 276 5.967 6.600

3.025,00 Penta 325,00 Penta 410,00 PT Dos Ni Roha; PT Parazelsus Indonesia

6.2.1 6.2.1 6.2.1

3/26

BETA LAKTAM BETA LAKTAM BETA LAKTAM

Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat

2. tab scored/kaplet 500 mg 2. tab scored/kaplet 500 mg 3. sirup 125 mg/ 5 ml, btl 60 ml

Amoxicillin Amoxicillin Amoxicillin

Dus 10 Strip@10 Kaplet PHARMA LABS Dus, 10 strip @ 10 Hexp kaplet Botol @ 60 ml Hexp

370 1.100 3.400

242 350 3.100

KODE KELAS 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1
6.2.1 6.2.1

KELAS TERAPI/SUB KELAS TERAPI BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM
BETA LAKTAM BETA LAKTAM

NAMA GENERIK Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Ampisilin Ampisilin Amoksisilin Anhidrat Ampisilin Ampicillin 1 gr inj Ampisilin Ampisilin Benzatin Penisilin Benzatin Penisilin
Ampisilin Amoksisilin Anhidrat

SEDIAAN/KEKUATAN 3. sirup 125 mg/ 5 ml, btl 60 ml 1. kaps 250 mg 2. tab scored/kaplet 500 mg 3. sirup 125 mg/ 5 ml, btl 60 ml 3. sirup 125 mg/ 5 ml, btl 60 ml 2. tab scored/kaplet 500 mg 2. tab scored/kaplet 500 mg 3. sirup 125 mg/ 5 ml, btl 60 ml 1. kaps 250 mg 2. tab scored/kaplet 500 mg 2. kaps. 500 mg *) 2. kaps. 500 mg *) 2. tab scored/kaplet 500 mg 4. serb inj.1.000 mg/vial 2. kaps. 500 mg *) 3. sirup 125 mg/5 ml, btl 60 ml 1. serb. inj. 1,2 jt IU/vial 20 ml 2. serb. inj. 2,4 jt IU/vial 20 ml
2. kaps. 500 mg *) 2. tab scored/kaplet 500 mg

KEKUATAN dan PABRIK NAMA DAGANG HNA REGULER KEMASAN FARMASI Amoxicillin Botol 60 ml (multi box) Indofarma 3.700 Amoxicillin Kotak 120 ( 10 Blister @ Indofarma 12 Kapsul ) 275 Amoxicillin Kotak 100 ( 10 Strip @ 10 Indofarma Kaplet ) 370 Amoxicillin Botol 60 ml PHYTO KEMO 2.500 Amoxicillin 125mg syr botol 60 ml BERNOFARM 4.440 Amoxicillin 500 mg Kaplet Dus, 10 strip @ 10 kaplet HEXPHARM 1.100 Amoxicillin 500mg tab kotak 10 x 10 kapl BERNOFARM 495 Amoxicillin Dry Sirup 125 Botol mg/5ml @ 60 ml HEXPHARM 3.400 AMOXYCILLIN KAPSUL 250 STR.12X10 MG KIMIA FARMA 275 AMOXYCILLIN TABLET 500 STR.10X10 MG KIMIA FARMA 370 Ampicillin 10 X 10 KAP mutifa 1.120 Ampicillin Dus 10 Strip@10 Kaplet PHARMA LABS 370 Ampicillin Kotak 100 ( 10 Strip @ 10 Indofarma Kaplet ) 381 Ampicillin Ds, 10 vial phapros 4.750 Ampicillin 1 gr inj kotak 10 vial BERNOFARM 5.700 AMPICILLIN 500 MG CAPLET STR.10X10 KIMIA FARMA 381 Ampiciln Botol 60 ml PHYTO KEMO 2.500 Benzatin Penisilin Ds, 10 vial phapros 7.200 Benzatin Penisilin Ds, 10 vial phapros 10.175
Camicillin kapsul 500 mg Box @ 100 kaplet Camoksil tablet 500 mg Box @ 100 kaplet lucas lucas 1.210,00 1.800,00

HNA ASKES 2.800 260 360 5.180 3.300 350 450 3.100 261 333 407 242 360 4.750 4.000 343 5.600 7.200 10.175
425,00 Penta 400,00 Penta

DISTRIBUTOR FARMASI

6.2.1
6.2.1 6.2.1 6.2.1

BETA LAKTAM
BETA LAKTAM BETA LAKTAM BETA LAKTAM

Cefazolin
Cefazolin Amoksisilin Anhidrat Amoksisilin Anhidrat

vial 1 gram
vial 1 gram 2. tab scored/kaplet 500 mg 2. tab scored/kaplet 500 mg

Cefazol
Cefazolin Corsamox Dexymox

Dus, 1 vial@1g + 1 ampul pelarut 10 ml

DANKOS

72.000
22.735,00 825 825,00

90.200
16.000,00 PT. AAM 350 MBS/MUP/SBF 440,00 PT. AAM

BOX, 2 VIAL Dexa Box @ 100 Kaplet Corsa Kaplet 500mg, Box 100 tablet Dexa

6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1 6.2.1
4/26

BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM BETA LAKTAM

Amoksisilin Anhidrat Amoksisilin Anhidrat Cefazolin Fenoksimetil Penisilin (Penicilin V) Fenoksimetil Penisilin (Penicilin V) Ampisilin Ampisilin Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Meropenem *) Meropenem *) Meropenem *) Meropenem *) Meropenem *) Meropenem *) Meropenem *) Meropenem *) Meropenem *) Meropenem *) Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Amoksisilin Anhidrat Ampisilin Ampisilin Amoksisilin Anhidrat Fenoksimetil Penisilin (Penicilin V) Fenoksimetil Penisilin (Penicilin V) Prokain Benzilpenisilin Meropenem *) Meropenem *) Amoksisilin Anhidrat Meropenem *) Meropenem *) Ampisilin

2. tab scored/kaplet 500 mg 3. sirup 125 mg/ 5 ml, btl 60 ml vial 1 gram 1. tab 125 mg.(sbg.garam K) 1. tab 125 mg.(sbg.garam K) 4. serb inj.1.000 mg/vial 2. kaps. 500 mg *) 2. tab scored/kaplet 500 mg kapl 500 mg 2. tab scored/kaplet 500 mg 1. inj. 500 mg 2. inj. 1000 mg 1. inj. 500 mg 1. inj. 500 mg 2. inj. 1000 mg 2. inj. 1000 mg 2. inj. 1000 mg 2. inj. 1000 mg 1. inj. 500 mg 2. inj. 1000 mg 2. tab scored/kaplet 500 mg 3. sirup 125 mg/ 5 ml, btl 60 ml 2. tab scored/kaplet 500 mg 4. serb inj.1.000 mg/vial 2. tab scored/kaplet 500 mg 4. serb inj.1.000 mg/vial 4. serb inj.1.000 mg/vial 2. tab scored/kaplet 500 mg 2. tab 250 mg.(sbg.garam K) 3. tab 500 mg.(sbg.garam K) 1. serb. inj. 3 juta I.U/vial, 2. inj. 1000 mg 1. inj. 500 mg 2. tab scored/kaplet 500 mg 1. inj. 500 mg 2. inj. 1000 mg 4. serb inj.1.000 mg/vial

Ethimox Ethimox Forte Evalin FENOCIN FENOCIN Kalpicilin Inj 1 g Kemocil 500 Kemocillin 500 Medimox Medimox Merobat Merobat

Box @ 10 strip @ 10 kaplet ETHICA Botol Dry Syrup 250 mg @ ETHICA 60 ml inj 1g ETHICA TABLET 125 MG (SBG.GARAM Actavis K) TABLET 125 MG (SBG.GARAM Actavis K) Box, 1 vial Kotak 100's Kotak 100's Box 100 kaplet Box 100 kaplet serbuk injeksi 1 g/vial serbuk injeksi 1 g/vial Kalbe PHYTO KEMO PHYTO KEMO medikon Medikon Pharma INTERBAT INTERBAT

1.287 18.483 39.325 252 252 9.900 323 323 1.065 1.065 198.000 363.000 462.000 195.000 220.000 192.500 220.000 220.000 132.000 220.000 2.420 8.800 1.120 16.672 977 8.250 10.403 420 234 415 10.780 242.000 198.000 6.000 225.500 429.000 10.560

1.980 28.435 60.500 220 220 4.000 1.067 1.036 440 440 152.500 195.000 290.000 145.000 185.000 165.000 220.000 187.000 132.000 185.000 484 3.300 424 9.200 720 5.000 6.000 242 234 415 6.545 189.200 148.500 440 165,000,00 200.000 3.712

Merofen Injeksi 1000 mg Dank MEROFEN Injeksi 500 mg Kalbe Meropenem dus, 1 vial @ 1 g Hexp Meropenem box 2 vial Yarindo MEROPENEM box @ 10 vial Novel Meropenem 1gr inj kotak 1 vial BERNOFARM Meropenem 500mg inj kotak 1 vial BERNOFARM Meropenem Injeksi 1 gram dus, 1 vial @ 1 g HEXPHARM Mokbios 500 - kapl. 500 mg, box/100 kapl. Mersifarma Omemox 60 ML mutifa Omemox 10 X 10 KAP mutifa Pehamoxil Ds, 10 vial phapros Pehamoxil Forte Ds, 5 x 10 phapros Penbiotic 1000 mg injeksi Box @ 10 vial BERNOFARM Phapin Ds, 10 vial phapros PharmaMox Dus 10 Strip@10 Kaplet PHARMA LABS Phenoxymethyl Penicillin Ds, 10 x10 Phenoxymethyl Penicillin Ds, 10 x10 Procaine Penisillin-G Crystal Serb. Meiji Inj. 3 juta I.U/Vial RINDONEM box 1 vial Ronem Box @ 2 vial SCANNOXYL 500 Box, 10x10 kaps Tripenem Injeksi 0,5g, box 1 vial Tripenem Injeksi 1g, box 1 vial Viccillin Serb. Inj. 1.000 mg/vial phapros phapros Meiji yarindo Pratapa Nirmala Tempo Dexa Dexa Meiji

KODE KELAS 6.2.1 6.2.1 6.2.10 6.2.10 6.2.10 6.2.10 6.2.10 6.2.11
6.2.2

KELAS TERAPI/SUB KELAS TERAPI BETA LAKTAM BETA LAKTAM ANTI BAKTERI LAIN KUINOLON ANTI BAKTERI LAIN ANTI BAKTERI LAIN ANTI BAKTERI LAIN KUINOLON
TETRASIKLIN

NAMA GENERIK Amoksisilin Anhidrat Amoksisilin Anhidrat Sulfasalazin Levofloxacin Mesalazine Sulfasalazin Sulfasalazin Levofloxacin
Tetrasiklin HCL

SEDIAAN/KEKUATAN 2. tab scored/kaplet 500 mg 4. serb inj.1.000 mg/vial 1. tab. 500 mg 2.Infus 500mg/100 ml 1. tab. 250 mg 1. tab. 500 mg 1. tab. 500 mg 2.Infus 500mg/100 ml
1. kaps 500 mg

KEKUATAN dan PABRIK NAMA DAGANG KEMASAN FARMASI WIAMOX KAPLET,Box 10x10'S landson Widecillin Serb. Inj. 1.000 mg/vial Meiji LAZAFIN ASKES box isi 3 strip @ 10 tab Novel LEVOFLOXACIN INF botol 100 ml Novel Salofalk 250 mg Box, 100 tablet Darya Varia Sulfasalazine 500mg tabkotak 10 x 10 tab BERNOFARM Sulfitis Box @ 100 tab pratafa Levofloxacin Infus iv, 500mg/100ml, Botol Dexa100ml
Camicycline kapsul 500 mg Box @ 100 kapsul lucas

HNA REGULER 990 18.590 2.541 88.000 5.940 2.750 4.125 88.000
400,00

HNA ASKES 420 10.120 2.541 88.000 4.950 2.000 2.090 72,000,00
350,00 Penta

DISTRIBUTOR FARMASI

6.2.2 6.2.2 6.2.2 6.2.2 6.2.2 6.2.2

6.2.3 6.2.3 6.2.3 6.2.3

TETRASIKLIN TETRASIKLIN TETRASIKLIN TETRASIKLIN TETRASIKLIN TETRASIKLIN

KLORAMFENIKOL KLORAMFENIKOL KLORAMFENIKOL KLORAMFENIKOL

Doksisiklin Doksisiklin Tetrasiklin HCL Oksitetrasiklin HCl. Oksitetrasiklin HCl. Oksitetrasiklin HCl.
Kloramfenikol Kloramfenikol Kloramfenikol Kloramfenikol

1. kaps 100 mg (sbg.hiklat/HCl) 1. kaps 100 mg (sbg.hiklat/HCl) 1. kaps 500 mg 1. inj. 500mg/ml, vial @ 10 ml. 1. inj. 500mg/ml, vial @ 10 ml. 1. inj. 500mg/ml, vial @ 10 ml.

Doxacin Doxycycline Farsyclin Forte Oxitetracyclin 50mg inj Oxybiotic injeksi Terramycin

box, 3 strip @10 capsul Otto Pharm Kotak 100 ( 10 Strip @ 10 Indofarma Kapsul ) dos, 10x10kpt Ifars kotak 10 vial BERNOFARM Box @ 10 vial BERNOFARM Inj 500 mg/ml, vial @ 10Pfizer ml

3.520 230 813 5.500 5.500 9.250

320 203 385 4.800 4.600 4.625

220,00 3.850,00 3.800,00 7.600 Penta Penta PT Dos Ni Roha; PT Parazelsus Indonesia MBS, AAM

1. kaps. 250 mg 550,00 Camicetine kapsul 250 mgBox @ 100 kapsul lucas 2. susp.125 mg/5 ml (sbg.Palmitat), btl. 60 Camicetine ml. 13.000,00 susp 125 mg/5Botol ml 60 ml lucas 2. susp.125 mg/5 ml (sbg.Palmitat), btl. 60 Chloracol ml. botol, 60cc Ifars 11.088,00 3. serb. inj. 1000 mg/ml (sbg.Na. Suksinat), vial @ 10 ml CHLORAMEX SERB.INJ1000 MG/ML (SBG Actavis NA.SUKSINAT), VIAL @ 9.900 10 ML

6.2.3 6.2.3 6.2.3 6.2.3 6.2.3 6.2.3 6.2.3 6.2.3 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4
6.2.4

KLORAMFENIKOL KLORAMFENIKOL KLORAMFENIKOL KLORAMFENIKOL TETRASIKLIN KLORAMFENIKOL KLORAMFENIKOL KLORAMFENIKOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL
KOTRIMOKSAZOL

Kloramfenikol Kloramfenikol Kloramfenikol Kloramfenikol Doksisiklin Kloramfenikol Kloramfenikol Kloramfenikol Kotrimoksazol (Pediatrik) *) Kotrimoksazol *) : Kombinasi tiap(Pediatrik) 5 ml suspensi Kombinasi tiap 5 ml suspensi : Cotrimoxazole 960mg kapl

1. kaps. 250 mg 1. kaps. 250 mg 1. kaps. 250 mg 3. serb. inj. 1000 mg/ml (sbg.Na. Suksinat), vial @ 10 ml 1. kaps 100 mg (sbg.hiklat/HCl) 2. susp.125 mg/5 ml (sbg.Palmitat), btl. 60 ml. 1. kaps. 250 mg 2. susp.125 mg/5 ml (sbg.Palmitat), btl. 60 ml. 1. sir btl. 60 ml. 1. sir btl. 60 ml.

Chloramphenicol Kotak 120 ( 10 Blister @ Indofarma 12 Kapsul ) CHLORAMPHENICOL CAP BTL.1000 250 MG KIMIA FARMA Chloramphenicol kap 250 Btl, mg 250 phapros Chlorbiotic injeksi Dohixat Kloramfenikol LANACETINE Palmicol syr Cotrimosazole Cotrimoxazole Cotrimoxazole syr Erythromycin Fasiprim Fasiprim Forte Graprima Graprima Graprima Graprima Graprima Forte Graprima Forte Kemocid Kemotrim botol, 60cc dos, 10x10kpt Btl 60 ml/Btl BTL Btl 60 ml/Btl Dus 10 x 10 TAB Dus 10 x 10 TAB Botol 60 ml Kotak 100's
Botol 60 ml

229 205 98 8.800 759 2.950 330 8.250 3.500 3.500 275 4.200 3.500 7.814 876 7.870 440 7.870 440 776 776 2.150 110
7.000,00

190 164 150 7.500 325 5.600 220 4.000 2.200 2.250 275 3.000 3.150 710 3.025 303 3.150 160 3.150 160 300 300 9.800 448
2.475,00 Penta

Box @ 10 vial dos, 10x10kpt Botol 60 ml KAPS,Box 10x10'S flas 60 ml Btl, 60 ml

BERNOFARM Ifars PHYTO KEMO landson Otto Pharm phapros BERNOFARM BERNOFARM KIMIA FARMA Ifars Ifars Graha graha farma net graha farma net graha farma net PHYTO KEMO PHYTO KEMO
lucas

Botol 60 ml (multi box) Indofarma botol 60 ml

Cotrimoxazole 960mg kapl kotak 10 x 10 kapl COTRIMOXSASOL SUSPBTL (BDG) 60 ML

Cotrimoxazole syr Kotrimoksazol (Pediatrik) *) 1. sir btl. 60 ml. Kotrimoksazol *) Kombinasi : Kombinasi tiap Forte 5 ml suspensi : 1. tab. Sulfametoksazol 800 mg; Kotrimoksazol (Pediatrik) *) 1. sir btl. 60 ml. Kombinasi tiap Forte 5 ml suspensi : Kotrimoksazol *) Kombinasi : 1. tab. Sulfametoksazol 800 mg; *) Kotrimoksazol (Pediatrik) 1. sir btl. 60 ml. Kombinasi tiapDOEN 5 ml suspensi : Kotrimoksazol I (Dewasa) 1. tab. Kombinasi : Sulfametoksazol 400 Kotrimoksazol (Pediatrik) *) 1. sir btl. 60 ml. Kombinasi tiapDOEN 5 ml suspensi : Kotrimoksazol I (Dewasa) 1. tab. Kotrimoksazol Forte *) Kombinasi : Kombinasi : Sulfametoksazol 400 1. tab. Sulfametoksazol 800 mg; Kotrimoksazol Forte *) Kombinasi : 1. tab. Sulfametoksazol 800 mg; *) Kotrimoksazol (Pediatrik) 1. sir btl. 60 ml. Kombinasi tiapDOEN 5 ml suspensi : Kotrimoksazol I (Dewasa) Kotrimoksazol DOEN II (Pediatrik) kombinasi: Sulfametoksazol 100 Kotrimoksazol DOEN II (Pediatrik) Kotrimoksazol (Pediatrik) *) 100 kombinasi: Sulfametoksazol Kombinasi tiap 5 ml suspensi Kotrimoksazol (Pediatrik) *) : 1. tab. 1. tab. 1. tab. 1. sir btl. 60 ml.

GKL 9832701904 box A1 100 kpt

Dus 10 x 10 TAB (100 TAB) Graha

Dus 10 x 10 TAB (100 TAB) Graha

Kombinasi : Sulfametoksazol 400 tiap Kotrimoksazol (Pediatrik) *) Kombinasi 1. sir 5 ml btl. suspensi 60 ml. : Sulfametoksazol 200 mg; Trimetoprim 40 mg. Kotrimoksazol Susp

6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4 6.2.4
5/26

KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL KOTRIMOKSAZOL

Kotrimoksazole Pediatrik Kotak 100's Kotrimoxazol Pediatrik Ds, 10 x10 Nufaprim Omegtrim Omegtrim Ottoprim Forte Ottoprim susp Ottoprim susp Ottoprim tab Ottoprim tab Pehatrim Forte Pehatrim Untuk Anak Botol 60 ml 60 ML

PHYTO KEMO phapros Nufarindo mutifa

50 70 8.340 460 495 5.500 5.500 275 275 660 11.000 380 220 4.400 330 182

98 70 3.250 2.420 182 300 3.200 3.200 170 170 320 5.500 201 160 2.750 250 150

1. sir btl. 60 ml. Kombinasi tiapDOEN 5 ml suspensi : Kotrimoksazol I (Dewasa) 1. tab. Kombinasi : Sulfametoksazol 400 : Kotrimoksazol Forte *) Kombinasi 1. tab. Sulfametoksazol 800 mg; Kotrimoksazol (Pediatrik) *) 1. sir btl. 60 ml. Kotrimoksazol *) : Kombinasi tiap(Pediatrik) 5 ml suspensi 1. sir btl. 60 ml. Kombinasi tiap 5 ml suspensi : Kotrimoksazol DOEN I (Dewasa) 1. tab. Kotrimoksazol DOEN I (Dewasa) Kombinasi : Sulfametoksazol 400 1. tab. Kombinasi : Sulfametoksazol 400 Kotrimoksazol Forte *) Kombinasi : 1. tab. Sulfametoksazol 800 mg; *) Kotrimoksazol (Pediatrik) 1. sir btl. 60 ml. Kombinasi tiapDOEN 5 ml suspensi : Kotrimoksazol I (Dewasa) Kombinasi : Sulfametoksazol 400 Kotrimoksazol DOEN I (Dewasa) 1. tab. 1. tab.

10 X 10 KAP mutifa box, 10 strip @10 tabletOtto Pharm flas 60 ml flas 60 ml otto Otto Pharm

box, 10 strip @10 tabletotto box, 10 strip @10 tabletOtto Pharm Ds, 10 x10 Btl, 60 ml phapros phapros phapros BERNOFARM BERNOFARM BERNOFARM landson

Pehatrim Untuk DewasaDs, 10 x10 Sultrimmix 400 mg tab Box @ 100 tab Sultrimmix 60 ml syrup Fls 60 ml Sultrimmix DS kaptab WIATRIM Box @ 100 kaptab KAPLET,Box 10x10'S

Kombinasi : Sulfametoksazol Kotrimoksazol (Pediatrik) *) 400 1. sir btl. 60 ml. Kombinasi tiap Forte 5 ml suspensi : Kotrimoksazol *) Kombinasi : 1. tab. Kotrimoksazol (Pediatrik) *) Sulfametoksazol 800 mg; 1. sir btl. 60 ml. Kombinasi tiap 5 ml suspensi :

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS Azithromycin*) 6.2.5 MAKROLID Azithromycin*) 6.2.5 MAKROLID
6.2.5 6.2.5 MAKROLID MAKROLID Klindamisin Klindamisin

SEDIAAN/KEKUATAN 2. tab 500 mg 2. tab 500 mg

1. kaps. 150 mg 2. kaps. 300 mg

NAMA DAGANG BINOZYT

Clindamycin Clindamycin

KEKUATAN dan PABRIK KEMASAN FARMASI -tab. 500 mg, Dus 30 tabSANDOZ KIMIA FARMA
Kapsul 150mg, Box 100 capsule Dexa Kapsul 300mg, Box 100 capsule Dexa

HNA REGULER 32.918 11.000

679,70 752,75

HNA ASKES 14.000 7.700

380,00 PT. AAM 600,00 PT. AAM

DISTRIBUTOR FARMASI

AZITROMYCIN 500 MG DUS 2 X 10

6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5
6.2.5

MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID
MAKROLID

Klindamisin Klindamisin Klindamisin Klindamisin Klindamisin Klindamisin Klindamisin Klindamisin Klindamisin Eritromisin Eritromisin Klindamisin Klindamisin Spiramisin
Klindamisin

2. kaps. 300 mg 1. kaps. 150 mg 2. kaps. 300 mg 1. kaps. 150 mg 1. kaps. 150 mg 2. kaps. 300 mg 1. kaps. 150 mg 2. kaps. 300 mg 2. kaps. 300 mg 2. sir 200 mg/5 ml (sbg. Etil Suksinat), btl 60 ml 1. kaps 250 mg (sebagai Stearat) 1. kaps. 150 mg 2. kaps. 300 mg 1. tab 500 mg
2. kaps. 300 mg

CLINDAMYCIN Clindamycin Clindamycin CLINDAMYCIN

box, 50 kap 300 mg

Novel

753 510 753 510 616 903 2.713 5.163 4.500 7.500 417 2.205 3.813 3.432
3.600,00

693 379 630 417 400 700 569 883 630 6.300 360 3.392 5.867 5.280
700,00 Penta

Kotak 50 ( 5 Blister @ 10Indofarma Kapsul ) Kotak 50 ( 5 Blister @ 10Indofarma Kapsul ) box, 50 kap 150 mg Novel BERNOFARM BERNOFARM

Clindamycin 150mg kapskotak 3 x 10 kaps Clindamycin 300mg kapskotak 3 x 10 kaps Dacin 150 Dacin 300 DACLIN 300 Erythromycin Erythromycin Ethidan Ethidan Ethirov
Glomacin 300 mg

- kapsul 150 mg, box/30 Mersifarma kapsul - kapsul 300 mg, box/30 Mersifarma kapsul Box, 5x10 kaps Tempo Botol 60 ml (multi box) Indofarma Kotak 120 ( 10 Blister @ Indofarma 12 Kapsul ) Box @ 6 strip @ 10 kapsul ETHICA Box @ 6 strip @ 10 kapsul ETHICA Box @ 5 strip @ 10 kaplet ETHICA
Box @ 30 tablet lucas

6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5

6.2.5

MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID

MAKROLID

Spiramisin Roxithromycin Spiramisin Eritromisin Klindamisin Klindamisin Klindamisin

Klindamisin

1. tab 500 mg 1. tab 150 mg

ISMACROL Ixor

Box, 5x10 kapl Box, 3x10 tab Botol 60 ml Ds, 5 x 10 Box @ 50 Kapsul Box @ 30 Kapsul
dos,5x10kpt

Tempo Kalbe PHYTO KEMO phapros Corsa Corsa

Ifars

4.300 2.750 2.420 6.700 500 2.750 4.767

2.376,00

1.200 2.250 1.700 21.000 460 380 640

800,00 PT Dos Ni Roha; PT Parazelsus Indonesia

Box, 3 blister @ 10 tablet Soho

1. tab 500 mg Kalbiotic 500 mg 2. sir 200 mg/5 ml (sbg. Etil Suksinat), Kemothrocyn btl 60 ml 1. kaps. 150 mg Klindamisin 150 mg 1. kaps. 150 mg 2. kaps. 300 mg
2. kaps. 300 mg

Lindan Lindan
Milorin

6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5 6.2.5
6.2.6 6.2.6

MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID MAKROLID
AMINOGLIKOSID AMINOGLIKOSID

Spiramisin Roxithromycin Roxithromycin Roxithromycin Roxithromycin Spiramisin Spiramisin Spiramisin Eritromisin Azithromycin*) Azithromycin*) Azithromycin*) Azithromycin*) Azithromycin*)
Amikasin sulfat *) Amikasin sulfat *)

1. tab 500 mg 1. tab 150 mg 1. tab 150 mg 1. tab 150 mg 2. tab 300 mg 1. tab 500 mg 1. tab 500 mg 1. tab 500 mg 1. kaps 250 mg (sebagai Stearat) 2. tab 500 mg 1. tab 250 mg 2. tab 500 mg 1. tab 250 mg 2. tab 500 mg
1. Inj 250 mg, vial 2. Inj 500 mg, vial

Rofacin RULID SIMACRON Sitro 150 Sitro 300 Sorov Sorov SPIRAMISIN Trovilon TROZIN 500 Zicho 250 Zicho 500 Zycin Zycin 500
Amikacin Amikacin

Box @ 50 Kaplet Box, 3x10 tab Dus isi 12 tablet

Corsa Tempo INTERBAT

tab 150 mg, box of 3x10'SANOFI AVENTIS

4.180 13.017 3.800 5.317 10.083 2.750 2.750 1.340 1.401 26.400 11.000 24.750 13.750 19.250
79.200,00 132.000,00

1.250 2.415 2.100 2.200 4.400 1.350 1.350 1.260 600 14.000 7.480 13.860 8.000 10.000
60.000,00 PT. AAM 100.000,00 PT. AAM

Dus isi 12 tablet INTERBAT Box, 5 strip @ 10 kaplet Kalbe Box, 5 strip @ 10 kaplet SOHO box, 50 tab 500 mg DOS,10X10KAP Box, 1x3 kapl Novel Ifars Tempo

Box, 1strip @ 6 kapsul nicholas Box, 1 strip @ 3 kaplet nicholas Dus isi 8 kapsul Doos isi 3 kaptab INTERBAT INTERBAT

Injeksi 250mg, Box 1 vial Dexa Injeksi 500mg, Box 1 vial Dexa

6.2.6 6.2.6 6.2.6 6.2.6 6.2.6 6.2.6 6.2.6 6.2.6 6.2.6 6.2.7 6.2.7
6.2.7

AMINOGLIKOSID AMINOGLIKOSID AMINOGLIKOSID AMINOGLIKOSID AMINOGLIKOSID AMINOGLIKOSID AMINOGLIKOSID AMINOGLIKOSID AMINOGLIKOSID KUINOLON KUINOLON
KUINOLON

Gentamisin Gentamisin Kanamisin Kanamisin Amikasin sulfat *) Amikasin sulfat *) Streptomisin *) Streptomisin *) Gentamisin Levofloxacin Siprofloksasin
Siprofloksasin

1.inj. 40 mg/ml (sbg. Sulfat), amp @ 2 Ethigent Inj 40mg/ml, amp @2 ml ETHICA 1.inj. ml 40 mg/ml (sbg. Sulfat), amp @ 2 Gentamicin Kotak 5 ampul @ 2 ml Indofarma ml 2. inj 1000 mg/vial Kanabiotic 1000 mg injeksi Box @ 10 vial BERNOFARM 1. kaps 250 mg 1. Inj 250 mg, vial 2. Inj 500 mg, vial 1. serb.inj.1000 mg/ vial (sbg.Sulfat) Kanamycin Meiji Mikasin Mikasin Streptomycin Meiji Kaps. 250 mg Injeksi 250 mg Meiji Dank

3.187 3.360 9.900 1.430 85.000 167.475 5.060 13.200 8.800 207.900 160.500
132.000

10.087 2.375 8.400 1.397 65.000 107.000 3.212 9.460 2.970 75.000 50.000
33.000 Distriversa / kebayoran

Injeksi 500 mg Dank Serb. Inj. 1000 mg/vial Meiji Serb. Inj. 5000 mg/vial Meiji Box @ 5 vial Pratapa Nirmala -inf. 500 mg/100 ml, btl 100 SANDOZ ml -inf. 2 mg/ml, btl 100 mlSANDOZ
Vial @ 100 ml Ikapharmindo

Streptomycin Meiji 2. serb.inj.5000 mg/vial sbg.Sulfat) 1.inj. 40 mg/ml (sbg. Sulfat), amp @ 2 Timact 80 mg ml LEVOXAL 2.Infus 500mg/100 ml ZUMAFLOX 3. inf. 2 mg/ml, btl 100 ml *)
3. inf. 2 mg/ml, btl 100 ml *) Ciprobiotic

6.2.7 6.2.7 6.2.7

6/26

KUINOLON KUINOLON KUINOLON

Siprofloksasin Siprofloksasin Siprofloksasin

3. inf. 2 mg/ml, btl 100 ml *) 3. inf. 2 mg/ml, btl 100 ml *) 1. tab. 250 mg *)

Ciprofloxacin Ciprofloxacin Ciprofloxacin

Botol @ 100 ml Box, vial @ 100 ml Dus, 5 strip @ 10 tablet

Hexp SOHO Hexp

57.000 57.000 250

30.000 35.000 250

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS 6.2.7 KUINOLON Siprofloksasin 6.2.7 KUINOLON Siprofloksasin 6.2.7 KUINOLON Siprofloksasin 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7
6.2.7

SEDIAAN/KEKUATAN 2. tab. 500 mg 2. tab. 500 mg 2. tab. 500 mg 3. inf. 2 mg/ml, btl 100 ml *) 2. tab. 500 mg 3. inf. 2 mg/ml, btl 100 ml *) 3. inf. 2 mg/ml, btl 100 ml *) 3. inf. 2 mg/ml, btl 100 ml *) 3. inf. 2 mg/ml, btl 100 ml *) 1. tab 500 mg 2. infus 2 mg / ml 2. tab. 500 mg 1. tab 200 mg
2. tab. 500 mg

NAMA DAGANG Ciprofloxacin Ciprofloxacin CIPROFLOXACIN

KEKUATAN dan Dus, 5 KEMASAN strip @ 10 tablet Ktk 100 box, 100 tab 500 mg

PABRIK FARMASI Hexp Indofarma Novel BERNOFARM BERNOFARM

HNA REGULER 265 265 330 68.400 363 57.000 49.500 55.660 49.000 7.700 89.375 300 6.050
1.178,10

HNA ASKES 264 265 330 43.750 330 62.700 31.500 27.500 53.900 11.000 137.500 336 690

DISTRIBUTOR FARMASI

KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON
KUINOLON

Siprofloksasin Siprofloksasin Siprofloksasin Siprofloksasin Siprofloksasin Siprofloksasin siprofloksasin 500 mg siprofloksasin inf Siprofloksasin Ofloksasin*)
Siprofloksasin

Ciprofloxacin 200mg/ml botol infus 100 ml Ciprofloxacin 500mg tabkotak 10 x 10 tab CIPROFLOXACIN INF Ciprofloxacine Fresenius Ciprox CIVELL INFUS Etacin Etacin Fimoflox Flotavid 200
Floxifar 500

botol 100 ml (tanpa unit Novel box) Inf 2 mg/ml, bl 100 ml Fres Kabi Inf 2mg/ml, btl 100 ml CLARIS botol 100 ml infus 200 mg/100 ml Kotak 50's
dos, 5x10kpt

Novel ETHICA PHYTO KEMO

Ifars

Box @ 2 strip @ 10 kaplet ETHICA

- tab. 200 mg, box/20 tablet Mersifarma Box 1 x 1 VIAL Box 1 x 1 VIAL Box 30 tab
Botol 100 ml

365,00 PT Dos Ni Roha; PT Parazelsus Indonesia

6.2.7 6.2.7 6.2.7

6.2.7

KUINOLON KUINOLON KUINOLON

KUINOLON

Siprofloksasin Siprofloksasin Ofloksasin*)

Siprofloksasin

3. inf. 2 mg/ml, btl 100 ml *) 3. inf. 2 mg/ml, btl 100 ml *) 2. tab 400 mg
3. inf. 2 mg/ml, btl 100 ml *)

Floxigra Floxigra Floxika

Glojaya inf 2 mg/ml

Graha graha farma net Ikapharmindo

lucas

88.000 88.000 11.733

120.000,00

45.000 45.000 4.950

36.500,00 Penta

6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7 6.2.7
6.2.7

KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON KUINOLON
KUINOLON

Ofloksasin*) Siprofloksasin Siprofloksasin Siprofloksasin Levofloxacin Levofloxacin Levofloxacin Levofloxacin Levofloxacin Levofloxacin Levofloxacin Levofloxacin Levofloxacin Ofloksasin*) Ofloksasin*) Ofloksasin*) Ofloksasin*) Ofloksasin*) Siprofloksasin Ofloksasin*) Ofloksasin*) Siprofloksasin Siprofloksasin
Siprofloksasin

2. tab 400 mg 3. inf. 2 mg/ml, btl 100 ml *) 3. inf. 2 mg/ml, btl 100 ml *) 3. inf. 2 mg/ml, btl 100 ml *) 1. tab 500 mg 1. tab 500 mg 1. tab 500 mg 1. tab 500 mg 1. tab 500 mg 1. tab 500 mg 2.Infus 500mg/100 ml 2.Infus 500mg/100 ml 1. tab 500 mg 1. tab 200 mg 1. tab 200 mg 2. tab 400 mg 1. tab 200 mg 2. tab 400 mg 2. tab. 500 mg 1. tab 200 mg 2. tab 400 mg 3. inf. 2 mg/ml, btl 100 ml *) 2. tab. 500 mg
3. inf. 2 mg/ml, btl 100 ml *)

Grafloxin 400 Hexiquin Hexiquin Jayacin Levofloxacin LEVOFLOXACIN Levofloxacin Levofloxacin

Dus 3 x 10 TAB (30 TAB) Graha Box,1 vial @ 100 ml Box,1 vial @ 100 ml FINUSOL Finusolprima

9.735 66.000 66.000 108.900 1.106 1.154 1.154 1.107 1.154 1.328 88.000 88.000 198.000 9.900 590 873 590 837 1.120 7.608 12.604 77.000 8.800
121.000,00

715 40.000 40.000 40.000 800 880 1.100 576 635 1.100 72.000 75.000 75.000 7.425 402 700 442 770 363 627 797 38.500 429
42,000,00 PT. AAM

botol 100 ml danpac Dus,2 Blister @ 10 Tablet Dexa box, 50 tab 500 mg Ktk 30 Novel Indofarma KIMIA FARMA BERNOFARM Soho BERNOFARM landson Box, 5 strip @ 10 tablet SOHO

LEVOFLOXACIN 500 MGDS. 5 x 10 TSS Levofloxacin 500mg kaplkotak 3 x 10 kapl Levofloxacin Infus LEXA Loxinter Ofloxacin Ofloxacin OFLOXACIN OFLOXACIN Omeproksil Pharflox Pharflox Renator Siflox 500
Starquin

Box, vial @ 100 ml BTL 500 mg/100 ml

Levofloxasin 500mg/100ml kotak infus 1 btl @ 100 ml

box 30 tab INTERBAT Kotak 50 ( 5 Strip @ 10 Tablet Indofarma ) Kotak 50 ( 5 Strip @ 10 Tablet Indofarma ) box, 50 tab 200 mg box, 50 tab 400 mg 10 X 10 TAB - tab 200 mg - tab 400 mg Box @ 1 vial 100 mL Novel Novel mutifa Pharos Pharos Pratapa Nirmala

- kapl. 500 mg, box/20 kapl. Mersifarma

Infus 200mg/ 100ml, BotolDexa 100 ml

6.2.7 6.2.8 6.2.8 6.2.8

6.2.8

KUINOLON SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN

SEFALOSFORIN

Levofloxacin Sefadroksil *) Sefadroksil *) Sefadroksil *)

Sefadroksil *)

2.Infus 500mg/100 ml 2. Sirup kering 125 mg/5ml btl 60 ml 2. Sirup kering 125 mg/5ml btl 60 ml 1. kap. 500 mg
2. Sirup kering 125 mg/5ml btl 60 ml

Zoquin Bidicef Bidicef Cefadroxil

Cefadroxil

Inf 5mg/ml, btl 100 ml CLARIS Botol 60 ml Botol 60 ml

botol, 60cc

181.500 29.040 29.040 700

8.098,00

80.000 7.750 7.750 700

8.000,00 PT Dos Ni Roha; PT Parazelsus Indonesia

medikon Medikon Pharma

Ifars

Capsule 500mg, Box 100Dexa capsule KAPS,Box 10x10'S DS,BTL 60 ML landson landson

6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8
7/26

SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN

Sefadroksil *) Sefadroksil *) Sefadroksil *) Sefadroksil *) Sefadroksil *) Sefadroksil *) Sefadroksil *) Sefadroksil *) Sefadroksil *) Sefadroksil *) Sefadroksil *)

1. kap. 500 mg 2. Sirup kering 125 mg/5ml btl 60 ml 1. kap. 500 mg 1. kap. 500 mg 2. Sirup kering 125 mg/5ml btl 60 ml 1. kap. 500 mg 2. Sirup kering 125 mg/5ml btl 60 ml 1. kap. 500 mg 1. kap. 500 mg 1. kap. 500 mg 3. Sirup kering 250 mg/5ml btl 60 ml

CEFADROXIL CEFADROXIL Cefadroxil Cefadroxil Cefadroxil Cefadroxil Cefadroxil Cefadroxil Cefadroxil Cefadroxil Cefadroxil

700 7.230 700 700 7.230 784 7.230 700 700 700 16.500

680 7.000 550 690 6.600 780 6.600 685 700 665 13.500

Dus 10 Strip@10 Kapsul PHARMA LABS Dus,10 strip @ 10 Hexp kapsul Botol @ 60 ml Hexp dos, 5x10kpt Ifars Botol 60 ml (Multi Box) Indofarma Kotak 50 ( 5 Strip @ 10 Kapsul Indofarma ) Box 100 kapsul Botol, 60 ml Medikon Pharma SOHO Box, 5 strip @ 10 kapsulSOHO

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS 6.2.8 SEFALOSFORIN Sefadroksil *) 6.2.8 SEFALOSFORIN Sefadroksil *) Sefadroksil *) 6.2.8 SEFALOSFORIN 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.8 6.2.9 6.2.9 6.3.1 6.3.1 6.3.1 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.2 6.3.3 6.4 6.4 6.4 6.4
8/26

SEDIAAN/KEKUATAN 1. kap. 500 mg 1. kap. 500 mg 2. Sirup kering 125 mg/5ml btl 60 ml 2. Sirup kering 125 mg/5ml btl 60 ml 2. serb.inj. 1000 mg /vial 1. serb.inj. 500 mg /vial 2. serb.inj. 1000 mg /vial 2. serb.inj. 1000 mg /vial 2. serb.inj. 1000 mg /vial 2. serb.inj. 1000 mg /vial 1. serb.inj. 500 mg /vial 1.serb. inj. 1000 mg / vial 1.serb. inj. 1000 mg / vial 1.serb. inj. 1000 mg / vial 1. serb. inj. 1000 mg / vial 1. serb. inj. 1000 mg / vial 1. serb. inj. 1000 mg / vial 1. serb. inj. 1000 mg / vial 1. serb. inj. 1000 mg / vial 1. serb. inj. 1000 mg / vial 2. serb.inj. 1000 mg /vial 1.serb. inj. 1000 mg / vial 2.Infus 500mg/100 ml 1. serb. inj. 1000 mg / vial 1. inj. 400 mg 1. serb. inj. 500 mg / vial 1. tab 300 mg 1. tab 300 mg 1. tab 300 mg tab 2. tab 500 mg 1. tab 500 mg 1. tab 250 mg 2. tab 500 mg 2. tab 500 mg 2. tab 300 mg 2. tab 300 mg 2. tab 450 mg 3. tab 600 mg 1. tab 500 mg tab 2. tab 450 mg 3. tab 600 mg 1. tab 300 mg 2. tab 450 mg 3. tab 600 mg 2. tab 450 mg 2. tab 450 mg 3. tab 600 mg tab 2. tab 500 mg 1. tab 250 mg 2. tab 500 mg

KEKUATAN dan PABRIK NAMA DAGANG KEMASAN FARMASI Cefadroxil 500 mg Kapsul Dus,10 strip @ 10 kapsulHEXPHARM Cefadroxil 500mg caps kotak 10 x 10 kaps Cefadroxil Dry Sirup 125 Botol mg @ 60 ml Cefadroxil syrup Cefotaxime Cefotaxime Cefotaxime Cefotaxime Cefotaxime 1gr inj CEFTAZIDIM Ceftazidime Ceftriaxone Ceftriaxone Ceftriaxone Ceftriaxone Erocef Ethiclaf Extimon TEVOX Zeftrix Pack TARGOCID Vancep Rifampicin Rifampicin RIFAMPICIN RIMSTAR 4 FDC Corsabutol Corsazinamide Ethambutol Ethambutol 500mg Isoniazide Merimac 450 Merimac 600 Pyrazinamide botol 60 ml Dus, 2 vial Kotak 2 Vial @ 10 ml Ds, 2 vial kotak 10 vial box isi 1 vial @ 1 g BERNOFARM HEXPHARM BERNOFARM Hexp Indofarma phapros HEXPHARM BERNOFARM HEXPHARM Novel HEXPHARM Hexp Indofarma Indofarma HEXPHARM ETHICA ETHICA INTERBAT Actavis Dank SANOFI AVENTIS Pratapa Nirmala Hexp Hexp landson SANDOZ Corsa Corsa Marin Liza BERNOFARM KIMIA FARMA Indofarma

HNA REGULER 700 880 7.230 8.676 8.678 4.340 7.700 7.700 8.679 9.642 4.340 37.620 37.620 37.620 9.549 9.549 9.954 9.954 9.549 85.800 71.500 218.350 154.000 71.500 649.272 198.000 703 450 550 5.885 715 770 325 478 574 97 97 3.465 4.840 220 360000,3 650 780 400 550 775 770 450 703 132 658 508 968 715 24.704 33.264 165.000 971

HNA ASKES 690 750 6.600 8.000 5.700 4.340 5.400 7.250 5.400 6.820 4.340 41.382 35,000,00 25.000 6.500 5.250 5.550 5.550 5.250 132.000 110.000 55.000 72.000 6.000 392.700 198.000 600 450 550 5.591 435 220 325 450 500 92 139 792 1.093 198 360000,3 500 680 395 545 745 770 450 600 100 440 330 506 435 15.000 17.600 126.500 500,00

DISTRIBUTOR FARMASI

SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN SEFALOSFORIN KUINOLON SEFALOSFORIN GLIKOPEPTIDA GLIKOPEPTIDA ANTILEPRA ANTILEPRA ANTILEPRA ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTILEPRA ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTITUBERKULOSIS ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI

Sefadroksil *) Sefotaxim *) Sefotaxim *) Sefotaxim *) Sefotaxim *) Sefotaxim *) Sefotaxim *) Sefotaxim *) Ceftazidime*) Ceftazidime*) Ceftazidime*) Seftriakson *) Seftriakson *) Seftriakson *) Seftriakson *) Seftriakson *) Seftriakson *) Sefotaxim *) Ceftazidime*) Levofloxacin Seftriakson *) Teicoplanin *) Vancomycin Hidrokhlorida *) Rifampisin Rifampisin Rifampisin Kombinasi : Rifampicin 150 mg Isoniazid 75 mg Pyrazinamide Etambutol Hidroklorid Pirazinamid Etambutol Hidroklorid Etambutol Hidroklorid Etambutol Hidroklorid Isoniazid Isoniazid Rifampisin Rifampisin Pirazinamid Kombinasi : Rifampicin 150 mg Isoniazid 75 mg Pyrazinamide Rifampisin Rifampisin Rifampisin Rifampisin Rifampisin Rifampisin Rifampisin Rifampisin Kombinasi : Rifampicin 150 mg Isoniazid 75 mg Pyrazinamide Etambutol Hidroklorid Etambutol Hidroklorid Etambutol Hidroklorid

Serbuk injeksi, iv, 1g/ vial, Dexa Box 2 vial

Cefotaxime 1000 mg/vial Dus, 2 vial Cefotaxime 500 mg/vial Dus, 2 vial

Injeksi 1g / vial, box 2 vial Dexa @ 1ml Serbuk injeksi, iv, 1g/ vial, Dexa Box 2 vial Dus, 2 vial Kotak 2 Vial @ 10 ml Kotak 2 Vial @ 10 ml Box, 1 Vial @ 1 gr Box, 1 Vial serbuk injeksi 1 g/vial INFUS 100 ML Box, 1 Vial +pelarut combi-pack Box @ 1 vial Dus, 10 strip @ 10 kaplet Dus, 10 strip @ 10 kaplet KAPS,Box 10x10'S -Fct. R150,H75,Z400,E275. Box @ 100 Tablet Box @ 100 Tablet

Ceftazidime 1000 mg/vial Dus, 2 vial

Ceftriaxone 1000 mg/vial Dus, 2 vial

Etambutol tab 250 mg Box @ 200 tablet kotak 10 x 10 tab Botol 1000

Kotak 100 ( 10 Strip @ 10 Indofarma Tablet )

I.N.H 300 MG TABLET BTL.1000

- Kapl. 450 mg, box/100 kapl. Mersifarma - Kapl. 6000 mg, box/50 kapl. Mersifarma Kotak 100 ( 10 Blister @ Indofarma 10 Tablet ) BERNOFARM BERNOFARM

R 150 mg/H 75 mg/Z 400mg/E Paket, 6 275 blister mg @ 28 tabphapros Rifabiotic 450 mg kaptab Box @ 100 kaptab Rifabiotic 600 mg kaptab Box @ 100 kaptab Rifampicin Rifampicin Rifampicin Rifampicin 450 mg

Kotak 100 ( 10 Strip @ 10 Indofarma Kapsul ) Kotak 100 ( 10 Strip @ 10 Indofarma Kapsul ) Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) Kotak 100's PHYTO KEMO

Rifampicin 450 mg Kaplet Dus, 10 strip @ 10 kaplet HEXPHARM Rifampicin 600 mg Kaplet Dus, 10 strip @ 10 kaplet HEXPHARM Rimstar Tibitol 250 Tibitol 500 Corsabutol Albothyl Cazetin Cryptal Dexazol Kotak 100 ( 10 Blister @ Indofarma 10 Tablet ) - tab.250 mg, box/100 tab. Mersifarma - tab.500 mg, box/100 tab. Mersifarma Box @ 100 Tablet - supp. Vagina 90 mg botol, 15cc Box @ 1 vial 100 mL Corsa Pharos Ifars Pratapa Nirmala Tibigon 500 mg Kaplet Dus, 10 strip @ 10 kaplet HEXPHARM

Etambutol Hidroklorid 2. tab 500 mg Polikresulen (Kondensasi 1. supp. Vagina 90 mg metakresol Sulfonat & metanal) *) Nistatin 4. susp. 100.000 IU/ml, btl. 15 ml. Fluconazol *) Ketokonazol 1. inj. 200 mg/100 ml 1. tab 200 mg

Tablet 200mg, Box 50 tablet Dexa

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS 6.4 ANTIFUNGI Fluconazol *) 6.4 ANTIFUNGI Nistatin 6.4 ANTIFUNGI Fluconazol *) 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.1 6.5.2
9/26

SEDIAAN/KEKUATAN 1. inj. 200 mg/100 ml 3. susp. 100.000 IU/ml, btl. 12 ml. 1. inj. 200 mg/100 ml 1. inj. 200 mg/100 ml 2. kaps 150 mg 1. inj. 200 mg/100 ml 1. inj. 200 mg/100 ml 1. tab 200 mg 1. tab. 125 mg 1. tab 200 mg 2. krim 2%, 10 gr 1. tab 200 mg 2. krim 2%, 10 gr 2. kaps 150 mg vial, 50 mg 2. krim 2%, 10 gr 1. tab 200 mg 1. tab 200 mg 2. krim 2%, 10 gr 1. tab Vagina 100.000 IU 2. tab salut 500.000 IU 1. tab. 125 mg 2. tab 500 mg 1. tab 200 mg 2. tab 500 mg 1. tab 200 mg 2. krim 2%, 10 gr 1. tab 200 mg 1. tab 200 mg 1. tab 200 mg 1. inj. 200 mg/100 ml 2. krim 2%, 10 gr 1. tab 200 mg 1. tab 200 mg 5. lar Infus 5 mg/ml, btl 100 ml 5. lar Infus 5 mg/ml, btl 100 ml 4. sir. 125 mg/5 ml, btl 60 ml 2. tab 500 mg 2. tab 500 mg 5. lar Infus 5 mg/ml, btl 100 ml 5. lar Infus 5 mg/ml, btl 100 ml 5. lar Infus 5 mg/ml, btl 100 ml 5. lar Infus 5 mg/ml, btl 100 ml 5. lar Infus 5 mg/ml, btl 100 ml 2. tab 500 mg 6. tab 100 mg 1. tab 250 mg 1. tab 250 mg 1. tab 250 mg 2. tab 500 mg 2. tab 500 mg 5. lar Infus 5 mg/ml, btl 100 ml Metronidazole Inf 5%, 100mL 4. sir. 125 mg/5 ml, btl 60 ml 2. tab 500 mg 3. Ovula 500 mg 2. tab 500 mg Ampul 80 mg

NAMA DAGANG Diflucan Enystin FLUCONAZOL FLUCONAZOLE Fluconazole infus FLUXAR Funet Griseofulvin

KEKUATAN dan KEMASAN Dus, vial 100 ml Susp. 100.000 IU/ml Btl. 12 ml botol 100 ml INF,BTL 100 ml kotak 1 btl @ 100 ml Inj 200 mg/100 ml Box @ 30 tab

PABRIK FARMASI Pfizer Dank Novel landson KIMIA FARMA BERNOFARM Novel Pratapa Nirmala

HNA REGULER 339.878 195.000 115.500 153.010 22.000 110.000 165.000 4.125 200 372 6.270 372 6.270 30.613 718.740 6.930 1.760 3.300 12.100 345 550 660 2.244 2.668 2.178 1.914 19.800 1.173 1.173 1.100 141.250 17.600 2.243 2.243 58.850 55.000 13.068 407 407 32.450 48.800 48.800 22.000 22.000 190 22.000 130 90 130 116 228 35.400 15.730 16.680 440 12.100 7.986

HNA ASKES 129.154 145.000 127.000 120.000 18.700 100.000 127.500 523 195 330 3.200 330 3.200 20.000 574.992 2.700 500 600 3.800 345 550 297 880 475 1.000 525 3.300 450 450 500 132.000 3.100 550 550 12.000 19.800 4.200 175 175 32.450 8.000 8.000 10.500 10.500 181 11.000 118 182 124 266 180 10.000 6.990 4.400 182 6.050 5.324 140.800

DISTRIBUTOR FARMASI

ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIFUNGI ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIAMUBA DAN ANTIGIARDIASIS ANTIGIARDIASIS ANTIAMUBA DAN ANTIAMUBA DAN ANTIGIARDIASIS ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIAMUBA DAN ANTIGIARDIASIS ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIAMUBA DAN ANTIGIARDIASIS ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIAMUBA DAN ANTIGIARDIASIS ANTIMALARIA

Fluconazol *) Fluconazol *) Fluconazol *) Fluconazol *) Ketokonazol Griseofulvin : Micronized Ketokonazol Ketokonazol Ketokonazol Ketokonazol Fluconazol *) Micafungin Sodium Ketokonazol Ketokonazol Ketokonazol Ketokonazol Nistatin Nistatin Griseofulvin : Micronized Griseofulvin : Micronized Ketokonazol Griseofulvin : Micronized Ketokonazol Ketokonazol Ketokonazol Ketokonazol Ketokonazol Fluconazol *) Ketokonazol Ketokonazol Ketokonazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Metronidazol Artemether

FLUCONAZOLE 150 MG DS. TABLET 1 x 10

Kotak 100 ( 10 Blister @Indofarma 10 Tablet ) Dus, 5 strip @ 10 Ketokonazol Hexp tablet Ketokonazol Dus, tube 10 gram Hexp Ketokonazol 200 mg Tablet Dus, 5 strip @ 10 tablet HEXPHARM Ketokonazol krim 2% 10 Dus, gram tube 10 gram KIFLUZOL 150 Mycamine MYCAZOL CREAM MYCAZOL TAB Mycoderm Mycoderm Nistatin Nistatin Omefulvin Omefulvin Omegzole Rexavin 500 Solinfec SPOREX Tokasid Tokasid WIZOL Zemyc Zoloral Zoralin Zoralin Diazole DUMOZOL Farizol Grafazol Grafazol METRONIDAZOL Metronidazol Fresenius Metronidazol DS. 1 x 10 Box, 1 vial TUBE 5 GRAM BOX 5x10 TABLET tube 5 gram Ds, 10 x10 Ds, 10 x10 10 X 10 TAB 10 X 10 TAB 10 X 10 TAB dos, 10x10kpt dos,5x10tab Tube 15 gr Dus 5 x 10 TAB TAB,Box 10x10'S - inj. 200 mg/100 ml Box 12 Tube Box 100 tablet Box 100 tablet Btl Plastik 100ml botol, 60cc Dus 10 x 10 TAB HEXPHARM KIMIA FARMA ASTELLAS erlimpex erlimpex Otto Pharm phapros phapros mutifa mutifa mutifa Ifars Ifars Tempo graha farma net landson Pharos Ikapharmindo medikon Medikon Pharma Bbmi Ifars graha farma net

box, 3 strip @ 10 tablet Otto Pharm

Dus 5 x 10 TAB (50 TAB) Graha

LAR.INF.500 MG / BOTOL Actavis 100 ML Dus 10 x 10 TAB (100 TAB) Graha

botol 100 ml (tanpa unit Novel box) lar. Infus 5 mg/ml, btl Fres Kabi 100 ml lar. Infus 5 mg/ml, btl fresenius Fresenius Metronidazol larutan 100 ml Botol @ 100 ml Hexp Infus 25 mg / 5 ml Metronidazol larutan Infus Botol 25 @ mg 100 / 5 ml HEXPHARM METRONIDAZOL TABLET STR.10X10 500 MG Metronidazole Metronidazole Vial 100 ml Ds, 10 x10 KIMIA FARMA Ikapharmindo phapros PHYTO KEMO KIMIA FARMA PHYTO KEMO BERNOFARM BERNOFARM mutifa mutifa Combiphar KIMIA FARMA

Metronidazole 250 mg Kotak 100's METRONIDAZOLE 250 MG DS.10X10 TABLET Metronidazole 500 mg Kotak 100's Metronidazole 500mg tab kotak 10 x 10 tab Metronidazole infuse Novamet Omenizol Omenizol Vagistin VAGIZOLOVULA Artem botol 100 ml 60 ML 10 X 10 TAB Box, of 10's Dus 5 ovula Dus, 6 ampul @ 1 ml

Inf 5mg/ml, btl 100 ml CLARIS

MULTI MITRA BIOTECH 157.080

KODE KELAS TERAPI/SUB KELAS TERAPI KELAS 6.5.2 ANTIMALARIA 6.5.2 ANTIMALARIA 6.5.2 ANTIMALARIA 6.5.2 6.6 6.6 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1 6.6.1
6.6.1 6.6.1

NAMA GENERIK Kombinasi: *) Artemether 20 mg; Lumefantrine 120 mg Antimalaria DOEN Kombinasi : Pirimetamin 25mg; Sulfadoksin Primakuin Antimalaria DOEN Kombinasi : Pirimetamin 25mg; Sulfadoksin Peginterferon alfa-2B Peginterferon alfa-2B Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir Asiklovir
Asiklovir Asiklovir

SEDIAAN/KEKUATAN 1. tab 1. tab 1. tab 15 mg (sbg. Fosfat) 1. tab vial 50 mcg vial 80 mcg 1. tab. Scored 200 mg 2. tab. Scored 400 mg 1. tab. Scored 200 mg 2. tab. Scored 400 mg 1. tab. Scored 200 mg 1. tab. Scored 200 mg 2. tab. Scored 400 mg 3. Krim 5%, tube 5 gram *) 2. tab. Scored 400 mg 1. tab. Scored 200 mg 3. Krim 5%, tube 5 gram *) 1. tab. Scored 200 mg 2. tab. Scored 400 mg 1. tab. Scored 200 mg 2. tab. Scored 400 mg 3. Krim 5%, tube 5 gram *) 3. Krim 5%, tube 5 gram *) 3. Krim 5%, tube 5 gram *) 1. tab. Scored 200 mg 2. tab. Scored 400 mg 2. tab. Scored 400 mg 2. tab. Scored 400 mg 2. tab. Scored 400 mg 4. krim 5%, tube 10 gram 2. tab. Scored 400 mg 1. tab. Scored 200 mg 2. tab. Scored 400 mg
1. tab. Scored 200 mg 2. tab. Scored 400 mg

NAMA DAGANG Coartem Plasmodin Primakuin PegIntron PegIntron Acifar Acifar 400 ACYCLOVIR Acyclovir Acyclovir Acyclovir Acyclovir Acyclovir ACYCLOVIR Acyclovir Acyclovir

KEKUATAN dan KEMASAN Box 4 x6 tab dos, 10x10kpt Btl, 1000

PABRIK FARMASI Novartis Ifars phapros KIMIA FARMA

HNA REGULER 4.258 1.848 102 473

HNA ASKES 3.850 750 110 473

DISTRIBUTOR FARMASI

ANTIMALARIA ANTIVIRUS ANTIVIRUS ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES ANTI HERPES
ANTI HERPES ANTI HERPES

SULFADOXINE PYRIMETHAMINE DS.10X1025 MG

Dus, 1 Vial @ 80 mcg+1 ampul Schering pelarut Plough 0.7 ml +2.302.047 1 syringe + 2 jarum 2.060.576 + cleansing swab Dus, 1 Vial @ 80 mcg+1 ampul Schering pelarut Plough 0.7 ml +1.431.100 1 syringe + 2 jarum 12.887.990 + cleansing swab dos, 10x10kpt dos, 3x10kpt box, 50 tab 200 mg Ds, 5 x 10 box 100 tab Ifars Ifars Novel phapros yarindo 836 1.562 534 631 388 388 571 3.000 561 534 3.150 388 571 534 631 3.150 10.000 10.000 2.166 2.195 2.195 2.200 2.200 21.000 3.850 303 450 319 630 300 241 350 2.115 440 320 2.570 349 400 250 350 2.205 3.000 3.000 300 400 400 450 450 3.975 425 1.760 3.300
300,00 PT. AAM 400,00 PT. AAM

Kotak 100 ( 10 Blister @Indofarma 10 Tablet ) Tab Kotak 100 ( 10 Blister Indofarma @ 10 Tablet ) Ktk 25 Tube @ 5 gr (Multi Indofarma Box) box, 50 tab 400 mg Ds, 5 x 10 Ds, 1 tb Novel phapros phapros KIMIA FARMA KIMIA FARMA

ACYCLOVIR 200 MG TAB DS.10X10 ACYCLOVIR 400 MG TAB DS.10X10

Acyclovir 200 mg Tablet Dus, 5 strip @ 10 tablet HEXPHARM Acyclovir 400 mg Tablet Dus, 5 strip @ 10 tablet HEXPHARM ACYCLOVIR CREAM Azovir Azovir Danovir Lovires 400 Lovires 400 Poviral 400 mg Poviral 400 mg SCANOVIR SCANOVIR 400 Viralis 200 kaplet Viralis 400 kaplet
Zorel 200 MG Zorel 400 MG

TUBE 5 GR Tube 5 gr Tube 5 gr

KIMIA FARMA medikon Medikon Pharma

Tab. Scored 200 mg Dank Dus 3 x 10 TAB (30 TAB) Graha Dus 3 x 10 TAB Box, 3x10 tab Box, 3x10 tab Tube 10 gr Box, 3x10 tab Box @ 5 X 10 kaplet Box @ 5 X 10 kaplet
Dus, 3 strip @ 10 tablet

graha farma net KALBE Kalbe Tempo Tempo

GLOBAL MULTI PHARMA 1.162 GLOBAL MULTI PHARMA 1.980

Dexa 1.600,00 1.980,00

Dus, 5 blister @ 10 tablet Dexa

6.6.2 6.6.2 6.6.2 6.6.2 8 8 8 10.1 10.1

10.1 10.1

ANTI HEPATITIS ANTI HEPATITIS ANTI HEPATITIS ANTI HEPATITIS ANTIPARKINSON ANTIPARKINSON ANTIPARKINSON ANTIANEMI ANTIANEMI
ANTIANEMI ANTIANEMI

Lamivudin. Pegylated Interferon a-2a. Pegylated Interferon a-2a. Telbivudin. Kombinasi : *) Levodopa 100 mg; Benzarasid 25 mg. Kombinasi : *) Levodopa 100 mg; Benzarasid 25 mg. Kombinasi : *) Levodopa 100 mg; Benzarasid 25 mg. Low Molecule Iron (III) Sucrose *) Sianokobalamin (Vitamin B12)
Sianokobalamin (Vitamin B12) Sianokobalamin (Vitamin B12)

1. tab 100 mg. 2. Prefilled Syringe 135 mcg. 1. Prefilled Syringe 180 mcg. 1. tab 600 mg 1. kaps 1. kaps 1. kaps 1. inj. Amp 100 mg/5ml 2. inj.500 mcg/ml, amp @ 1 ml
2. inj.500 mcg/ml, amp @ 1 ml 1. tab 50 mcg

3 TC HBV Pegasys PFS 135mcg Pegasys PFS 180mcg Sebivo Leparson Levoben Madopar 125mg NEFROFER Vitamin B12
Vitamin B12 Vitamin B12

tab 100 mgbox 28's Dus,1PFS @0,5ml Dus,1PFS @0,5ml Box 2x14 tab

GLAXO SMITH KLIEN Roche Roche Novartis

15.540 2.155.630 2.496.440 51.720 4.175 4.125 4.956 102.850 1.001

1.500,00 15,00

14.763 1.832.285 2.196.868 42.350 2.350 PT Indofarma Global Medika 2.420 PT Dos Ni Roha; PT Parazelsus Indonesia 2.450 AMS, PV 89.306 PT. AAM 1.000 PT Anugrah Argon Medica
1.485,00 Penta 15,00 Penta

Tablet, Box 100 tablet Dexa - tab 100 mg + 25 mg, box/30 mersifarma tab. kapsul, botol 100 tab ampul kotak 10 amp
Box @ 100 ampul Botol @ 1000 Tablet

Roche KALBE BERNOFARM

lucas Marin Liza

10.2 10.2 10.2 10.2 10.2

OBAT YANG MEMPENGARUHI KOAGULASI OBAT YANG MEMPENGARUHI KOAGULASI OBAT YANG MEMPENGARUHI KOAGULASI OBAT YANG MEMPENGARUHI KOAGULASI OBAT YANG MEMPENGARUHI KOAGULASI

Asam Traneksamat *) Asam Traneksamat *) Asam Traneksamat *) Asam Traneksamat *) Asam Traneksamat *)

4. inj.100 mg/ 5 ml, amp. 5. inj.50 mg/ 5 ml, amp. 3. inj.250 mg/ 5 ml, amp. 4. inj.500 mg/ 5 ml, amp. 3. inj.250 mg/ 5 ml, amp.

ASAM TRANEKSAMAT box isi 10 ampul @ 5 ml Novel ASAM TRANEKSAMAT box isi 5 ampul @ 5 ml Novel Clonex Clonex Box @ 10 Ampul Box @ 10 Ampul Corsa Corsa

6.535 4.477 6.820 11.000 7.545

6.353 PT KEBAYORAN PHARMA 4.477 Penta 3.070 PT Indofarma Global Medika 4.290 Distriversa / kebayoran 7.454 Distriversa / kebayoran

HAEMOSTOP 250mg INJbox isi 5 ampul @ 5 ml Novel

10/26

KODE KELAS TERAPI/SUB KELAS TERAPI KELAS OBAT YANG MEMPENGARUHI 10.2 KOAGULASI 10.2 OBAT YANG MEMPENGARUHI KOAGULASI OBAT YANG MEMPENGARUHI 10.2 KOAGULASI OBAT YANG MEMPENGARUHI 10.2 KOAGULASI OBAT YANG MEMPENGARUHI 10.2 KOAGULASI
10.2 11.1

NAMA GENERIK Asam Traneksamat *) Heparin, Na Asam Traneksamat *) Asam Traneksamat *) Asam Traneksamat *)

SEDIAAN/KEKUATAN 4. inj.500 mg/ 5 ml, amp. 1. inj. 5000 IU/ml, vial 5 ml. 2. kaps/tab. 500 mg 3. inj.250 mg/ 5 ml, amp. 4. inj.500 mg/ 5 ml, amp.
2. inj. 10 mg/ml, amp @ 1 ml. 1. larutan 10 %, btl 30 ml

KEKUATAN dan PABRIK KEMASAN FARMASI HAEMOSTOP 500mg INJbox isi 5 ampul @ 5 ml Novel NAMA DAGANG Inviclot Nexitra Tranexid Tranexid Box @ 1 vial dos,5x10kpt pratafa Ifars

HNA REGULER 10.406 60.500 2.376 7.370 10.230

1.450,00 2.800,00

HNA ASKES

DISTRIBUTOR FARMASI

10.406 PT Merapi Utama Pharma 57.750 PT. AAM 900 AMS, PV 3.300 AMS, PV 4.400 AMS, PV
1.210,00 Penta 2.640,00 Penta

Injeksi250 mg/ 5ml, ampoule, Dexa Box 10 ampoule Injeksi 500mg/ 5ml, ampoule, Dexa Box 10 ampoule
lucas lucas

OBAT YANG MEMPENGARUHI KOAGULASI Fitomenadion (vitamin K) ANTISEPTIK Povidon Jodida (Iodium Povidon) *)

Vitamin K Box @ 30 ampul Povidon Iodida Larutan 10 Botol % 30 ml

11.1 11.3 12.1 12.1 12.1 12.1

12.1

ANTISEPTIK DESINFEKTAN DIURETIK DIURETIK DIURETIK DIURETIK

DIURETIK

Povidon Jodida (Iodium Povidon) *) Etakridin (Rivanol) Furosemid Furosemid Furosemid Furosemid
Amilorid HCl

2. larutan 10 %, btl 60 ml 1. lar. 0,1 % btl 200 ml 3. inj. 20 mg/ampul 2. inj. 10 mg/ml 1. tab 40 mg 3. inj. 20 mg/ampul
1. tab 2,5 mg

Septika Antiseptic Solution 60 ml Rivanol Edemin Furosemide Furosemide IMPUGAN

LORINID MITE

Ikapharmindo

8.800 6.050 4.840 1.840 91 8.140

1.760

4.000 PT. AAM 3.630 2.450 1.100 83 2.500 41.000 1,000,00 345 6.328 3.697 3,150,00 5,500,00 500 750 1.200 1.600 500 750 56 310 167 1.100 490 750 350 125 135 330 385 135 220 112 PT Indofarma Global Medika PT Indofarma Global Medika PT KEBAYORAN PHARMA PT MERAPI PT MERAPI AMS, APL PT Dos Ni Roha; PT Parazelsus Indonesia AAM PT Indofarma Global Medika AMS, APL PT Indofarma Global Medika PT KEBAYORAN PHARMA PT Indofarma Global Medika PT Indofarma Global Medika PT Indofarma Global Medika PT. AAM PT. AAM PT. AAM PT. AAM MBS MBS MBS MBS MBS AMS, PV AMS, PV AMS, APL PT. AAM PT. AAM PT. AAM PT Indofarma Global Medika PT Indofarma Global Medika

Botol 200 ml Ikapharmindo Box 5 Amp Ikapharmindo Kotak 25 ampul @ 2 ml Indofarma Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) INJ 20 MG Actavis
TABLET 2,5 MG Actavis

1.100 MBS, AAM

12.1 12.1 12.1 12.2 12.2 12.2 12.2 13.1.1 13.1.1 13.1.1 13.1.1 13.1.1 13.1.1 13.1.1 13.1.1 13.1.1 13.1.1 13.1.1 13.1.1 13.1.1 13.1.2 13.1.2 13.1.2 13.1.2 13.1.2 13.1.2 13.1.2

DIURETIK DIURETIK DIURETIK OBAT UNTUK PROSTAT OBAT UNTUK PROSTAT OBAT UNTUK PROSTAT OBAT UNTUK PROSTAT SULFONIL UREA SULFONIL UREA SULFONIL UREA SULFONIL UREA SULFONIL UREA SULFONIL UREA SULFONIL UREA SULFONIL UREA SULFONIL UREA SULFONIL UREA SULFONIL UREA SULFONIL UREA SULFONIL UREA BIGUANID BIGUANID BIGUANID SULFONIL UREA BIGUANID BIGUANID BIGUANID

Manitol Spironolakton Spironolakton Doxasozin Mesylate*) Doxasozin Mesylate*) Terazosin HCl *) Terazosin HCl *) Glimepiride*) Glimepiride*) Glimepiride*) Glimepiride*) Glimepiride*) Glimepiride*) Glibenklamid Gliclazide *) Glibenklamid Glikuidon *) Glimepiride*) Glimepiride*) Gliclazide *) Metformin Metformin Metformin Gliclazide *) Metformin Metformin Metformin
Acarbose *) Acarbose *)

1. Lar Infus 20 %, btl 500 ml 2. tab. 100 mg 1. tab. 25 mg 2. tab 2 mg 1. tab 1 mg 1. tab. 1 mg 2. tab. 2 mg 1. tab 1 mg 2. tab 2 mg 3. tab 3 mg 4. tab 4 mg 1. tab 1 mg 2. tab 2 mg 1. tab 5 mg 1. tab. 80 mg. 1. tab 5 mg 1. tab. 30 mg 1. tab 1 mg 2. tab 2 mg 1. tab. 80 mg. 1. tab. 500 mg. 1. tab. 500 mg. 2. tab. 850 mg. *) 1. tab. 80 mg. 1. tab. 500 mg. 2. tab. 850 mg. *) 1. tab. 500 mg.
1. tab. 50 mg. 2. tab.100 mg.

MANNITOL Spironolacton Spironolacton Cardura Cardura Hytroz Hytroz ACTARYL ACTARYL ACTARYL ACTARYL Diaversa Diaversa Glibenclamide Glikamel Gluconic Lodem Mapryl 1 mg Mapryl 2 mg Pedab Glikos 500 Glucotika Glucotika Meltika Metformin 500 Metformin 850 Omeglucophage
Eclid Eclid

Botol 500 ml FINUSOL Tablet 100mg, Box 100 tablet Dexa Tablet 25mg, Box 100 tablet Dexa Dus, 5 blister @ 10 tabs Pfizer Dus, 5 blister @ 10 tab Pfizer Tablet 1mg, Box 100 tablet Dexa Tablet 2mg, Box 100 tablet Dexa TABLET 1 MG Actavis TABLET 2 MG Actavis TABLET 3 MG Actavis TABLET 4 MG Actavis Dus, 5 blister @ 10 tablet Dexa Dus, 5 blister @ 10 tablet Dexa Kotak 100 ( 10 Blister @Indofarma 10 Tablet ) - tab. 80 mg. Pharos Box, 10 strip @ 10 tabletnicholas Tablet 30mg, Box 100 tablet Dexa Box 30 Ikapharmindo Box 30 Ikapharmindo box, 10 strip @10 tabletotto dos, 10x10kpt Ifars Box 100 Ikapharmindo Box 60 Ikapharmindo Box 100 Ikapharmindo Tablet 500mg, Box 100 tablet Dexa Tablet 850mg, Box 100 tablet Dexa 10 X 10 TAB mutifa
Tablet 50mg, Box 50 tablet Dexa Tablet 100mg, Box 50 tablet Dexa

66.880 1.055 346 12.656 7.395 5.148 9.207 1.650 2.970 4.070 5.170 1.430 2.728 60 1.100 330 1.568 1.452 2.530 1.485 475 825 1.100 1.485 149 240 352
1.347,50 2.172,50

13.1.3 ALFA GLUKOSIDA INHIBITOR 13.1.3 ALFA GLUKOSIDA INHIBITOR

1.000,00 PT. AAM 1.600,00 PT. AAM

13.1.3 13.1.4 13.1.4 13.2 13.2 13.2 13.2

13.2

SULFONIL UREA TIAZOLIDINEDION TIAZOLIDINEDION ANTIDIABETIK PARENTERAL ANTIDIABETIK PARENTERAL ANTIDIABETIK PARENTERAL ANTIDIABETIK PARENTERAL
ANTIDIABETIK PARENTERAL

Gliclazide *) Pioglitazone *) Pioglitazone *) Human Insulin *) Human Insulin *) Human Insulin *) Human Insulin *)
Analog Insulin *) Basal Insulin Analog

1. tab. 80 mg. 1. tab 15 mg 2. tab 30 mg 3. inj. 100 IU / ml, penfill 3 ml. 1. inj. 100 IU / ml, 10 ml. 3. inj. 100 IU / ml, penfill 3 ml. 1. inj. 100 IU / ml, 10 ml.
2. inj. 100 IU ml / Flexpen 3 ml.

Glucodex Deculin Deculin Actrapid Penfill Actrapid Vial Insulatard Penfill Insulatard Vial
Levemir FlexPen

Tablet 80mg, Box 100 tablet Dexa Tablet 15mg, Box 30 tablet Dexa Tablet 30mg, Box 30 tablet Dexa Injeksi 100IU/ml, Penfill 3 Novo ml Nordisk Injeksi 100IU/ml, Vial 10Novo ml Nordisk Injeksi 100IU/ml, Penfill 3 Novo ml Nordisk Injeksi 100IU/ml, Vial 10Novo ml Nordisk
Injeksi 100IU/ml,Flexpen 3Novo ml Nordisk

1.595 6.380 9.680 131.890 350.900 131.890 350.900

163.720

340,00 4,000,00 6,000,00 92.400 231.000 92.400 231.000

AMS, APL PT. AAM AAM AAM PT Indofarma Global Medika Distriversa / kebayoran Distriversa / kebayoran

119.900 PT Anugrah Argon Medica

13.2 13.2
13.2 13.2 13.2

ANTIDIABETIK PARENTERAL ANTIDIABETIK PARENTERAL

ANTIDIABETIK PARENTERAL ANTIDIABETIK PARENTERAL ANTIDIABETIK PARENTERAL

Human Insulin *) Human Insulin *)

3. inj. 100 IU / ml, penfill 3 ml. 1. inj. 100 IU / ml, 10 ml.

Mixtard Penfill Mixtard Vial

NovoMix FlexPen NovoRapid FlexPen NovoRapid Vial

Injeksi 100IU/ml, Penfill 3 Novo ml Nordisk Injeksi 100IU/ml, Vial 10Novo ml Nordisk
Injeksi 100IU/ml,Flexpen 3Novo ml Nordisk Injeksi 100IU/ml,Flexpen 3Novo ml Nordisk Injeksi 100IU/ml, Vial 10 ml Novo Nordisk

131.890 350.900
152.460 152.460 350.900

92.400 MBS, AAM 231.000 PT Indofarma Global Medika

126.500 PT Anugrah Argon Medica 110.000 PT Anugrah Argon Medica 231.000 PT Anugrah Argon Medica

Analog Insulin *) Mix Insulin Analog 1. inj. 100 IU ml / Flexpen 3 ml. Analog Insulin *) Rapid Insulin Analog 3. inj. 100 IU ml / Flexpen 3 ml. Human Insulin *) 1. inj. 100 IU / ml, 10 ml.

13.2 ANTIDIABETIK PARENTERAL 13.2 ANTIDIABETIK PARENTERAL 13.2.2 PROGESTERON HORMON TIROID DAN 13.3 ANTITIROID 13.4 KORTIKOSTEROID 13.4 KORTIKOSTEROID
11/26

Human Insulin *) Human Insulin *) Noretisteron Karbimazol *) Deksametason Deksametason

2. inj. 100 IU / ml, cartridge 3 ml. 2. inj. 100 IU / ml, cartridge 3 ml. 1. tab 5 mg 1. tab 5 mg 1. tab 0,5 mg 1. tab 0,5 mg

Sansulin N Sansulin R Norelut Neo - Mercazole

Catridge 3 ml SANBE Catridge 3 ml SANBE Tablet 5mg, Box 50 tablet Dexa Botol , 100 tablet nicholas

101.113 101.113 3.630 1.133 85 85

87.000 PT Indofarma Global Medika 87.000 AMS, APL 2.750 PT. AAM 800 AMS, PV 26 PT. AAM 70 PT Merapi Utama Pharma

Deksametason tab 0,5 mg Botol @ 1000 Tablet Marin Liza Dexamethasone Kotak 100 ( 10 Blister @ Indofarma 10 Tablet )

KODE KELAS 13.4 13.4 13.4 13.4 13.4 13.4 13.4 13.4 13.4 13.4
13.4

KELAS TERAPI/SUB KELAS TERAPI KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID
KORTIKOSTEROID

NAMA GENERIK Metil Prednisolon*) Metil Prednisolon*) Metil Prednisolon*) Metil Prednisolon*) Metil Prednisolon*) Metil Prednisolon*) Metil Prednisolon*) Metil Prednisolon*) Metil Prednisolon*) Metil Prednisolon*)
Metil Prednisolon*)

SEDIAAN/KEKUATAN 1. tab. 4 mg 2. tab. 8 mg 1. tab. 4 mg 2. tab. 8 mg 3. tab. 16 mg 1. tab. 4 mg 1. tab. 4 mg 4. inj.125 mg/2ml, vial 3. tab. 16 mg 1. tab. 4 mg
1. tab. 4 mg

NAMA DAGANG Flason 4 mg Flason 8 mg Lexcomet METHYLPREDNISOLON METHYLPREDNISOLON METHYLPREDNISOLON Methylprednisolone Methylprednisolone Methylprednisolone Methylprednisolone
METIL PREDNISOLON

KEKUATAN dan PABRIK KEMASAN FARMASI Box 100 Ikapharmindo Box 100 Ikapharmindo box, 10 strip @ 10 ta Molex box, 100 tab 8 mg Novel box, 100 tab 16 mg Novel box, 100 tab 4 mg Novel Tablet 4mg, Box 100 tablet Dexa Injeksi 125mg/ 2ml, vial,Dexa Box 1 vial Kotak 30 ( 3 Blister @ 10Indofarma Tablet ) Kotak 100 ( 10 Blister @ Indofarma 10 Tablet )
BOX 10X10 TAB erela

HNA REGULER 1.575 2.530 1.430 650 1.150 490 509 35.475 1.300 490
489,5

HNA ASKES 770 1.540 400 495 1.100 341 350 30.000 1.175 325

DISTRIBUTOR FARMASI Penta Penta Distriversa / kebayoran PT Indofarma Global Medika PT Dos Ni Roha; PT Parazelsus Indonesia AMS, APL MBS/MUP/SBF PT Indofarma Global Medika

330 PT. PENTA VALENT

13.4 13.4 13.4 13.4 13.4 13.4 13.4 13.4

14.1

KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID KORTIKOSTEROID

ANTIANGINA

Metil Prednisolon*) Metil Prednisolon*) Prednison Prednison Prednison Metil Prednisolon*) Metil Prednisolon*) Metil Prednisolon*)
Diltiazem HCl.

3. tab. 16 mg 1. tab. 4 mg 1. tab. 5 mg 1. tab. 5 mg 1. tab. 5 mg 1. tab. 4 mg 4. inj.125 mg/2ml, vial 1. tab. 4 mg
1. tab 30 mg

Nichomedson 16 Box, 5 strip @ 10 tablet nicholas Ometilson 10 X 10 TAB mutifa Prednison 10 X 10 TAB mutifa Prednison tablet kotak 10 x 10 tab BERNOFARM PREDNISONE 5 MG TABLET BTL.1000 KIMIA FARMA Rhemafar dos, 10x10kpt Ifars Solumedrol Dus, 1 vial @ 125 mg + vial Pfizer pelarut 2 ml Toras - tab. 4 mg Pharos
Diltiazem Tablet 30mg, Box 100 tablet Dexa

4.950 2.000 124 154 58 1.269 84.150 2.017

151,64

1.500 PT Indofarma Global Medika 396 48 70 50 375 35.343 370

150,00 PT. AAM

14.1 14.1 14.1 14.1 14.3.1 14.3.1 14.3.1 14.3.1 14.3.1

ANTIANGINA ANTIANGINA ANTIANGINA ANTIANGINA ACE INHIBITOR ACE INHIBITOR ACE INHIBITOR ACE INHIBITOR ACE INHIBITOR

Diltiazem HCl. Isosorbid Dinitrat Isosorbid Dinitrat Isosorbid Dinitrat Kaptopril Kaptopril Kaptopril Kaptopril Kaptopril
Kaptopril Kaptopril Kaptopril

1. tab 30 mg 3. inj. 10 mg/10 ml, amp @ 10 ml 1. tab sublingual 5 mg 2. tab sublingual 10 mg *) 1. tab. scored 12,5 mg 2. tab. scored 25 mg 1. tab. scored 12,5 mg 2. tab. scored 25 mg, 3. tab. 50 mg *)
1. tab. scored 12,5 mg 2. tab. scored 25 mg, 3. tab. 50 mg *)

Diltiazem Isorbid inj Isosorbide Dinitrate Vascardin 10 Captopril Captopril Captopril Captopril Captopril
Dexacap Dexacap Dexacap

Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) - inj. 10 mg/10 ml, amp Pharos @ 10 ml Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) Box, 10 strip @ 10 tabletnicholas Ds, 10 x10 phapros Ds, 10 x10 phapros Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) Kotak 100 ( 10 Strip @ 10 Indofarma Tablet )
Tablet scored12,5 mg, Box Dexa 60 tablet Tablet scored25 mg, Box 60 Dexa tablet Tablet scored50 mg, Box 60 Dexa tablet

152

129 55.500

81 546 90 138 90 138 224

253,00 396,00 676,50

68 230 90 AMS, PV 101 AMS, PV 59 APL 74 112

80,00 PT. AAM 110,00 PT. AAM 165,00 PT. AAM

14.3.1 ACE INHIBITOR 14.3.1 ACE INHIBITOR 14.3.1 ACE INHIBITOR

14.3.1 ACE INHIBITOR 14.3.1 ACE INHIBITOR

14.3.1 14.3.1 14.3.1 14.3.1 ACE INHIBITOR ACE INHIBITOR ACE INHIBITOR ACE INHIBITOR

Lisinopril Lisinopril
Ramipril *) Ramipril *) Lisinopril Lisinopril

2. tab. 10 mg 1. tab. 5 mg
2. tab 2,5 mg 3. tab 5 mg 1. tab. 5 mg 2. tab. 10 mg

Noperten Noperten
Tenapril Tenapril TENSIPHAR TENSIPHAR

Tablet 10mg, Box 30 tablet Dexa Tablet 5mg, Box 30 tablet Dexa
Kaplet 2.5mg, Box 30 kaplet Dexa Kaplet 5mg, Box 30 kapletDexa TABLET 5 MG Actavis TABLET 10 MG Actavis

4.785 3.135
3.850,00 7.370,00 2.273 3.300

1,000,00 AMS, APL 600,00 AMS, APL

1,675,00 2,000,00 550 980 PT. AAM PT. AAM MBS MBS

14.3.1 14.3.1 14.3.1 14.3.1 14.3.1 14.3.2 14.3.2

ACE INHIBITOR ACE INHIBITOR ACE INHIBITOR ACE INHIBITOR ACE INHIBITOR BETA BLOCKER BETA BLOCKER

Kaptopril Kaptopril Ramipril *) Ramipril *) Ramipril *) Atenolol Atenolol

Bisoprolol *)

1. tab. scored 12,5 mg 2. tab. scored 25 mg 2. tab 2,5 mg 3. tab 5 mg 4. tab 10 mg 2. tab. 100 mg 1. tab. 50 mg
1. tab 5 mg

Vapril Vapril VIVACE VIVACE VIVACE Betablok 100 mg Betablok 50 mg

Biscor

Ds, 10 x10 Ds, 10 x10 TABLET 2,5 MG TABLET 5 MG TABLET 10 MG Box, 3x10 tab Box, 3x10 tab box, 100 tab 5 mg

phapros phapros Actavis Actavis Actavis KALBE KALBE Novel

213 413 4.620 7.150 11.000 2.255 1.392

3.630,00

95 110 1.650 2.000 3.200 920 450

PT. AAM AMS, PV AMS, APL AMS, APL MBS, AAM AMS, APL AMS, APL

14.3.2 BETA BLOCKER

Tablet 5mg, Box 30 tablet Dexa box isi 3 blister @ 10 tab Novel

1.900,00 PT. AAM

14.3.2 BETA BLOCKER

14.3.2 BETA BLOCKER

Bisoprolol *)
Bisoprolol *)

1. tab 5 mg
1. tab 5 mg

BISOPROLOL
BISOVELL

2.322
1.710

1.200 Distriversa / kebayoran

1.881 AMS, PV

14.3.2 BETA BLOCKER 14.3.2 BETA BLOCKER 14.3.2 BETA BLOCKER

14.3.3 14.3.3 14.3.3 14.3.3 KALSIUM ANTAGONIS KALSIUM ANTAGONIS KALSIUM ANTAGONIS KALSIUM ANTAGONIS

Bisoprolol *) Propranolol HCl. Propranolol HCl.

Amlodipin Besylat*) Amlodipin Besylat*) Amlodipin Besylat*) Amlodipin Besylat*)

1. tab 5 mg 1. tab. 10 mg 2. tab. 40 mg

1.tab 5 mg 2.tab 10 mg 1.tab 5 mg 2.tab 10 mg

Hapsen FC Propanolol Propanolol

ACTAPIN ACTAPIN Amlodipine Amlodipine

- tab 5 mg Pharos Tablet 10mg, Box 100 tablet Dexa Tablet 40mg, Box 100 tablet Dexa
TABLET 5 MG Actavis TABLET 10 MG Actavis TAB 5 MG BOX, BLISTERDexa 5 X 10 Kotak 30 ( 3 Blister @ 10 Tablet Indofarma ) Rp Rp

4.033 58 82
3.850 7.150 1,200,00 2.117 Rp Rp

1.400 AMS, APL 57 Distriversa / kebayoran 82 PT. AAM

790 MBS 1.600 MBS 500,00 PT. AAM 1.550,00 PT Indofarma Global Medika

14.3.3 KALSIUM ANTAGONIS

14.3.3 KALSIUM ANTAGONIS

Amlodipin Maleat *)
Amlodipin Besylat*)

2. tab 10 mg
1.tab 5 mg

Amlodipine
Amlodipine

Ds, 3 x 10

phapros

2.117
1.200

1.750 AMS, APL

750,00 PT Indofarma Global Medika

Kotak 30 ( 3 Blister @ 10 Tablet Indofarma )

14.3.3 14.3.3 14.3.3 14.3.3 14.3.3

KALSIUM ANTAGONIS KALSIUM ANTAGONIS KALSIUM ANTAGONIS KALSIUM ANTAGONIS KALSIUM ANTAGONIS

Amlodipin Maleat *) Nifedipin Amlodipin Besylat*) Amlodipin Besylat*) Amlodipin Besylat*)

Nifedipin

1. tab 5 mg 2. tab 20 mg, slow release 1.tab 5 mg 2.tab 10 mg 1.tab 5 mg

1. tab 10 mg

Amlodipine Calcigard Retard Gensia 5 mg Hexavask 10 Hexavask 5

Nifedipin

Ds, 3 x 10 phapros Tablet Sustained Release Dexa 20mg, Box 100 tablet tab 5 mg Pharos Box, 3x 10 tab FINUSOL Box, 3x10 tab FINUSOL
Tablet 10mg, Box 100 tablet Dexa

1.200 3.147 3.667 2.750 1.833

107,86

800 1.650 900 1.590 950

PT Dos Ni Roha; PT Parazelsus Indonesia PT Indofarma Global Medika AMS, APL PT. AAM PT. AAM

14.3.3 KALSIUM ANTAGONIS

100,00 PT. AAM

14.3.3 KALSIUM ANTAGONIS 14.3.3 KALSIUM ANTAGONIS

14.3.3 KALSIUM ANTAGONIS 14.3.3 KALSIUM ANTAGONIS

Amlodipin Besylat*) Amlodipin Besylat*)

Amlodipin Besylat*) Amlodipin Besylat*)

2.tab 10 mg 1.tab 5 mg
1.tab 5 mg 2.tab 10 mg

Norvask Norvask
Provask 5 Provask10

Dus, 3 blister @ 10 tabs Pfizer Dus, 3 blister @ 10 tab Pfizer

Box 30 Tab Box 30 Tab Ikapharmindo Ikapharmindo

12.552 7.004
3.850 6.050

3.941 MBS 1.800 MBS

880 Distriversa / kebayoran 1.650 Distriversa / kebayoran

14.3.4 ANGIOTENSIN II ANTAGONIS 14.3.4 ANGIOTENSIN II ANTAGONIS

12/26

Irbesartan*) Irbesartan*)

2. tab 300 mg 1. tab 150 mg

Irbesartan Irtan

Box 5 Strip @ 10 KaptabIndofarma Box 30 Ikapharmindo

4.400 6.600

3.300 AMS, PV 2.420 PT Indofarma Global Medika

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS 14.3.4 ANGIOTENSIN II ANTAGONIS Irbesartan*)
14.3.4 ANGIOTENSIN II ANTAGONIS 14.3.4 ANGIOTENSIN II ANTAGONIS Irbesartan*) Irbesartan*)

SEDIAAN/KEKUATAN 2. tab 300 mg

1. tab 150 mg 2. tab 300 mg

NAMA DAGANG Irtan

Irtan Irtan

KEKUATAN dan KEMASAN Box 30

Box 30 Box 30

PABRIK FARMASI Ikapharmindo

Ikapharmindo Ikapharmindo

HNA REGULER 9.900

6.600 9.900

HNA ASKES DISTRIBUTOR FARMASI 3.960 PT MERAPI

2.420 Distriversa / kebayoran 3.960 Distriversa / kebayoran

14.3.5 14.3.5 14.3.5 14.4 14.5

14.5

ANTIHIPERTENSI LAIN ANTIHIPERTENSI LAIN ANTIHIPERTENSI LAIN GAGAL JANTUNG ANTITROMBOTIK

ANTITROMBOTIK

Metildopa Beraprost Sodium *) Reserpin*) Digoksin Clopidogrel *)

Clopidogrel *)

1. tab. 250 mg 1. tab 20 mcg 2. tab 0,25 mg 1. tab 0,25 mg 1. tab 75 mg

1. tab 75 mg

DOPAMET Dorner Reserpine Digoxin Artepid 75 mg

Clopidogrel

TABLET 250 MG Actavis Box, 3 Blister @ 10 tablet ASTELLAS Botol 1000 Indofarma Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) tab 75 mg Pharos
Tablet 75mg, Box 30 tablet Dexa

1.760 6.442 88 124 11.000

9.900,00

1.000 5.627 60 95 8.500

AMS, PV AMS, PV PT MERAPI PT Indofarma Global Medika PT. AAM

7.000,00 PT. AAM

14.5 14.5
14.5 14.5

ANTITROMBOTIK ANTITROMBOTIK
ANTITROMBOTIK ANTITROMBOTIK

Clopidogrel *) Asam Asetil Salisilat (Asetosal)

Clopidogrel *) Clopidogrel *)

1. tab 75 mg 1. tab 80 mg
1. tab 75 mg 1. tab 75 mg

Insigrel Mini - Aspi 80

PLACTA Vaclo

Box, 3 strip x 10 kaplet FINUSOL salut selaput - tab 80 mg, box/100 tabmersifarma
TABLET 75 MG Actavis Tablet 75mg, Box 30 tablet Dexa

9.900 330
10.890 13.200,00

7.950 PT Indofarma Global Medika 169 PT MERAPI

7.500 MBS 8,500,00 PT. AAM

14.6 15.2
15.2

TROMBOLITIK SYOK KARDIOGENIK

SYOK KARDIOGENIK

Streptokinase Dobutamin HCl *)

Dobutamin HCl *)

1. serb. inj. 1.500.000 IU / vial 2. inj. 50 mg/vial 5 ml

1. inj. 250 mg/vial

Streptase DOBUTEL
Inodex

Injeksi 1.500.000 iu, vial,Dexa Box 1 vial box isi 1 vial 5 ml Novel
Box, 5 ampul @ 5 ml Dexa

3.872.000 36.900
82,500,00

3,050,000,00 PT MERAPI 40.590 PT Dos Ni Roha; PT Parazelsus Indonesia

37.000,00 PT. AAM

15.2 16 16 16 16
16

SYOK KARDIOGENIK ANTIHIPERLIPIDEMIA ANTIHIPERLIPIDEMIA ANTIHIPERLIPIDEMIA ANTIHIPERLIPIDEMIA

ANTIHIPERLIPIDEMIA

Norepinepherine Pravastatin Sodium *) Simvastatin Simvastatin Gemfibrosil *)

Gemfibrosil *)

1. inj 4 mg/4ml, amp 4 ml 1. tab 10 mg 1. tab scored 10 mg tab scored 20 mg 1. tab / kaps 300 mg
1. tab / kaps 300 mg

Raivas Cholespar ESVAT ESVAT Gemfibrozil

Merzasol

Injeksi 1mg/ml 4ml, ampoule, Dexa Box 5 ampoule - tab 10 mg Pharos Dus, 5 strip @ 6 tablet Dexa Dus, 5 strip @ 6 tablet Dexa Kotak 120 ( 10 Blister @Indofarma 12 Kapsul )
Box @ 30 tablet Marin Liza

96.800 7.412 1.155 2.117 266

1.650,00

71.500 600 325 550 266

Distriversa / kebayoran AMS, PV PT KEBAYORAN PHARMA MBS/MUP/SBF PT. AAM

480,00 Penta

16 16 16 16 17
17.2

ANTIHIPERLIPIDEMIA ANTIHIPERLIPIDEMIA ANTIHIPERLIPIDEMIA ANTIHIPERLIPIDEMIA ANTIHIPERLIPIDEMIA OBAT TOPIKAL UNTUK KULIT ANTIBAKTERI

Pravastatin Sodium *) Simvastatin Simvastatin Gemfibrosil *) Gemfibrosil *) Natrium Fusidat*)

2. tab. 20 mg 1. tab scored 10 mg 1. tab scored 10 mg 1. tab / kaps 300 mg 1. tab / kaps 300 mg
1. krim 20 mg/gr, tube 5 gr

PRAVASTATIN Selvim SIMVASTATIN Zilop 300 Gemfibrozil

Afucid

box, 50 tab 20 mg dos,5x10tab

Novel Ifars

2.773 898 513 1.815 267

37.950

2.695 PT KEBAYORAN PHARMA 300 PT Dos Ni Roha; PT Parazelsus Indonesia 275 PT MERAPI 600 PT MERAPI 267 PT MERAPI
24.668 AAM

box, 30 tab 10 mg Novel Box, 10 strip @ 10 kapsul nicholas Ds, 10 x10 phapros
Tube 5 GR Ferron

OBAT TOPIKAL UNTUK KULIT ANTIBAKTERI Natrium Fusidat*)

17.2
17.2 17.2

1. krim 20 mg/gr, tube 5 gr

1. krim 20 mg/gr, tube 5 gr 2. salep 20 mg/gr, tube 5 gr

Fucilex
Fucilex Fucilex

tube, 5 gram salep

tube, 5 gram krim tube, 5 gram salep

Molex
Molex Molex

19.250
14.850,00 19.250,00

7.700 Distriversa / kebayoran

7.700,00 PT Merapi Utama Pharma 7.700,00 PT Merapi Utama Pharma

OBAT TOPIKAL UNTUK KULIT ANTIBAKTERI Natrium Fusidat*) OBAT TOPIKAL UNTUK KULIT ANTIBAKTERI Natrium Fusidat*)

17.3 17.4

OBAT TOPIKAL UNTUK KULIT ANTIFUNGI

Antifungi DOEN Kombinasi : Asam Benzoat 6 %; Asam Salisilat 3%

1. salep, pot 30 gr 1. krim 0,1% (sbg. valerat), 5 gr

Antifungi Salep Kombinasi : a. Asam Benzoat 6%b. Asam Salisilat 3% Betametason

Box @ 24 pot

Marin Liza

3.630

3.630 PT. AAM

OBAT TOPIKAL UNTUK KULIT ANTI Betametason INFLAMASI DAN ANTIPRURITIK OBAT TOPIKAL UNTUK KULIT ANTI Betametason INFLAMASI DAN ANTIPRURITIK
OBAT TOPIKAL UNTUK KULIT ANTI INFLAMASI Hidrokortison DAN Asetat ANTIPRURITIK OBAT TOPIKAL UNTUK KULIT ANTI INFLAMASI Hidrokortison DAN Asetat ANTIPRURITIK

Ds, 1 tb

phapros

2.026

2.026 AMS, PV

17.4
17.4 17.4

1. krim 0,1% (sbg. valerat), 5 gr

2. krim 2,5 %, tube 5 gram 1. krim 1 %, tube 5 gram

Betametason Krim 0,1% Box @ 25 tube

Hydrocortison Hydrocortison Box @ 24 tube Box @ 24 tube

Marin Liza
Marin Liza Marin Liza

2.145
3.000,00 2.200,00

2.145 PT Dos Ni Roha; PT Parazelsus Indonesia

2.860,00 Penta 2.127,50 Penta

17.4
17.4

OBAT TOPIKAL UNTUK KULIT ANTI Hidrokortison Asetat INFLAMASI DAN ANTIPRURITIK
OBAT TOPIKAL UNTUK KULIT ANTI INFLAMASI Hidrokortison DAN Asetat ANTIPRURITIK

2. krim 2,5 %, tube 5 gram

2. krim 2,5 %, tube 5 gram

Hydrocortisone
Hydrocortisone

Tube 5 Gram
Tube 5 Gram

Ikapharmindo
Ikapharmindo

5.500
5.500

2.475 Distriversa / kebayoran

2.475 Distriversa / kebayoran

17.4

OBAT TOPIKAL UNTUK KULIT ANTI Hidrokortison Asetat INFLAMASI DAN ANTIPRURITIK OBAT TOPIKAL UNTUK KULIT ANTI Hidrokortison Asetat INFLAMASI DAN ANTIPRURITIK OBAT TOPIKAL UNTUK KULIT ANTI Hidrokortison Asetat INFLAMASI DAN ANTIPRURITIK

2. krim 2,5 %, tube 5 gram Hydrocortisone Ds, 1 tb phapros 2.825 2.825 AMS, APL

17.4

2. krim 2,5 %, tube 5 gram

Hydrocortisone

Kotak 24 tube @ 5 gr (multi Indofarma box)

2.485

2.150 AMS, PV

17.4
17.4 17.5

2. krim 2,5 %, tube 5 gram

Nestacort 2,5%
Orsaderm

Tube, 5g
Tube, 5g

Ifars
Ifars

6.765
6.078,00 3.630,00

2.800 AMS, PV
2.200,00 PT Dos Ni Roha; PT Parazelsus Indonesia 3.630,00 Penta

OBAT TOPIKAL UNTUK KULIT ANTI INFLAMASI Betametason DAN ANTIPRURITIK 1. krim 0,1% (sbg. valerat), 5 gr OBAT TOPIKAL UNTUK KULIT ANTISKABIES Salep 2 -DAN 4 Kombinasi ANTIPEDIKULOSIS : Asam Salisilat 21. %; salep, Belerang pot 30 Endap gr 4 %

Salep 2-4 Kombinasi a. Asam BoxSalisilat @ 24 pot 2% b. Belerang Marin Endap Liza 4%

17.7 18

OBAT TOPIKAL UNTUK KULIT KAUSTIK ANTIHIPERLIPIDEMIA LARUTAN ELEKTROLIT DAN NUTRISI ORAL

Polikresulen (Kondensasi metakresol Sulfonat & metanal) *) Gemfibrosil *)

1. cairan, btl 10 ml 1. tab / kaps 300 mg

Albothyl Mersikol 300

- cairan, btl 10 ml

Pharos

29.645 1.925

25.000 PT KEBAYORAN PHARMA 545 PT Tempo

- kapl. 300 mg, box/100 kapl. mersifarma

18.1

Garam Oralit II Kombinasi : Natrium Klorid 0,70 gr; Kalium Klorida 0,30 1. serb. 100 gr/ sachet utk. 200 ml air Corsalit gr; Trinatrium Sitrat Dihidrat 0,58 gr; Glukosa Anhidrat 4 gr

Box @ 50 Sachets

Corsa

836

440 AMS, PV

13/26

KODE KELAS TERAPI/SUB KELAS TERAPI KELAS 18.1 LARUTAN ELEKTROLIT DAN NUTRISI ORAL

NAMA GENERIK

SEDIAAN/KEKUATAN

NAMA DAGANG

KEKUATAN dan KEMASAN Kotak 25 sachet

PABRIK FARMASI Indofarma

HNA REGULER

HNA ASKES

DISTRIBUTOR FARMASI

Garam Oralit II Kombinasi : Natrium Klorid 0,70 gr; Kalium Klorida 0,30 1. serb. 100 gr/ sachet utk. 200 ml air Oralit gr; Trinatrium Sitrat Dihidrat 0,58 gr; Glukosa Anhidrat 4 gr

352

250 PT MERAPI

18.1

LARUTAN ELEKTROLIT DAN NUTRISI Garam ORAL Oralit II Kombinasi : Natrium Klorid 1. serb. 0,70 gr; 100 Kalium gr/ sachet Klorida utk.0,30 200 gr; ml Trinatrium air Sitrat Dihidrat 0,58 gr; Glukosa Oralit Kotak 25Anhidrat sachet 4 gr

Indofarma

Rp

352

Rp

250,00 PT Indofarma Global Medika

18.2 18.2

LARUTAN ELEKTROLIT DAN NUTRISI PARENTERAL LARUTAN ELEKTROLIT DAN NUTRISI PARENTERAL

Kombinasi : infus per L *) Asam Amino 100 mg; Nitrogen 15,7 mg; Na. 2 m EQ; Asetat 120 m EQ Kombinasi : infus per L *) Asam Amino 100 mg; Nitrogen 15,7 mg; Na. 2 m EQ; Asetat 120 m EQ
Asetazolamid

1. btl 500 ml 1. btl 500 ml

Amiparen

Lar Infus, soft bag 500 ml Otsuka

106.112

65.100 PT MERAPI

KALBAMIN
1. tab 250 mg Glaucon

Botol 500 ml
tab/100's

FINUSOL
Cendo

90.200
198.680

58.800 PT MERAPI
218.644

19.1

OBAT MATA SISTEMIK

19.2.1 TOPIKAL ANESTETIK LOKAL

19.2.2 ANTIMIKROBA

Tetrakain HCl.
Amfoterisin

1. tts. mata 0,5%, btl. 5 ml.

1. salep mata 1 %, tube 3,5 gr

Pantocain 0,5%
Fungicid 1%

5 ml
3,5 gr

Cendo
Cendo

12.671
21.031

13.944 PT Indofarma Global Medika

23.144

19.2.2 ANTIMIKROBA 19.2.2 ANTIMIKROBA

19.2.2 ANTIMIKROBA 19.2.2 ANTIMIKROBA

Gentamisin Gentamisin
Gentamisin Gentamisin

1. salep mata 0,3 %, tube 3,5 gr 2. tts mata 0,3% btl 5ml
1. salep mata 0,3 %, tube 3,5 gr 2. tts mata 0,3% btl 5ml

Garexin salep mata Garexin tetes mata

GENOINT Salep Mata GENOINT Tetes Mata

Tube @ 5 gram Botol @ 5 ml

TB. 3.5 GR BTL. 5 ML

GLOBAL MULTI PHARMA 6.700 GLOBAL MULTI PHARMA 6.500

erela erela 4.774 6.160

8.800 AMS, PV 8.800 AMS, PV

3.960 PT. PENTA VALENT 4.000 PT. PENTA VALENT

19.2.2 ANTIMIKROBA 19.2.2 ANTIMIKROBA 19.2.2 ANTIMIKROBA

19.2.2 ANTIMIKROBA

Gentamisin Gentamisin Natamicin *)

Sulfasetamid

1. salep mata 0,3 %, tube 3,5 gr 2. tts mata 0,3% btl 5ml 1. tts mata 50 mg/0,6 ml x 5 tube
1. tts.mata 15% (Natrium), btl 5 ml

Genta 0,3% 3,5 gr Gentamicin 0.3% OTM Kotak 10 Btl @ 5 ml Natacen 0,6 ml
SULFACETAMID Tetes Mata BTL. 5 ML

Cendo Indofarma Cendo

erela

25.431 3.300 43.498

3.445,25

27.887 PT Indofarma Global Medika 2.824 AMS, PV 47.869 PT Indofarma Global Medika
3.445 PT. PENTA VALENT

19.2.2 ANTIMIKROBA ANTI MIKROBA DAN ANTI INFLAMASI 19.2.3 ANTI MIKROBA DAN ANTI INFLAMASI 19.2.3 19.2.3 ANTI MIKROBA DAN ANTI INFLAMASI

Sulfasetamid

1. tts.mata 15% (Natrium), btl 5 ml

Triacetamide

5 ml

Cendo
erela

11.756
9.823

12.937 PT Indofarma Global Medika

7.700 PT. PENTA VALENT

19.2.3 ANTI MIKROBA DAN ANTI INFLAMASI Kombinasi : *) Polimiksina Sulfat 6.000 IU; 1. tts Neomisin mata, btl. Sulfat 5 ml5 mg; Deksametason Na fosfat 1,3COMPOSITUM mg ALLETROL BTL. Tetes 5 ML Mata

Kromolin Natrium *) Prednisolone acetate *) Kombinasi : *) Polimiksina Sulfat 6.000 IU; Neomisin Sulfat 5 mg; Deksametason Na fosfat 1,3 mg Kombinasi : *) Polimiksina Sulfat 6.000 IU; Neomisin Sulfat 5 mg; Deksametason Na fosfat 1,3 mg Homatropin Hidrobromid Tropikamid
Atropin Sulfat

1. tts. mata 2 % , btl 15 ml 1. tts mata 10 mg/0,6 mlx5 tube

Conver 2% P Pred

15 ml 0,6 ml

Cendo Cendo

13.585 39.971

14.950 AMS, PV 43.987 MBS, AAM

1. tts mata, btl. 5 ml

Triaxitrol

5 ml

Cendo

12.540

13.800 PT. AAM

19.2.3

ANTI MIKROBA DAN ANTI INFLAMASI

2. salep mata, 3,5 g 1. tts. mata 2 %, btl 5 ml 1. tts. mata 1 %, btl 5 ml

1. tts. mata 0,5 %, btl 5 ml

Xitrol Homatro 2% Mydriatil 1%

Tropine 0,5%

3,5 gr 5 ml 5 ml
5 ml

Cendo Cendo Cendo

Cendo

26.779 17.504 38.142

15.375

29.469 PT. AAM 19.262 PT Dos Ni Roha; PT Parazelsus Indonesia 41.975 MBS/MUP/SBF
17.681

19.2.4 MIDRIATIK 19.2.4 MIDRIATIK

19.2.4 MIDRIATIK

19.2.5 MIOTIK DAN ANTIGLAUKOMA 19.2.5 MIOTIK DAN ANTIGLAUKOMA 19.2.5 MIOTIK DAN ANTIGLAUKOMA 19.2.5 MIOTIK DAN ANTIGLAUKOMA 19.2.6 LAIN - LAIN 19.2.6 LAIN - LAIN
20.1

Latanoprost *) Pilokarpin Timolol Latanoprost *) Metilselulose*) Kombinasi :*) Natrium Klorida 8,664 mg; Kalium Klorida 1,32 mg Fluoxetine HCl Fluoxetine HCl Fluoxetine HCl Maprotilin HCl. *) Maprotilin HCl. *) Fluoxetine HCl Fluoxetine HCl Imipramina HCl. *) Fluoxetine HCl Klomipramin. Olanzapine *) Olanzapine *) Klorpromazin Klorpromazin

1. tts mata 0,01%/0.6 mlx5 tube

Glaopen

0,6 ml 5 ml 5 ml

Cendo Cendo Cendo

94.311 19.855 24.950 376.503 10.633 18.026

1.200

103.787 PT Dos Ni Roha; PT Parazelsus Indonesia 21.850 PT AMS dan PT SBF 27.457 Penta 150.601 AMS, PV 11.701 PT Indofarma Global Medika 19.837 PT Indofarma Global Medika
1.200 PT. PENTA VALENT

1. tts. mata 2 % (HCl / Nitrat), btl 5 ml Triacarpine 2% 2. tts.mata 0,5% (Maleat), btl.5 ml. tetes mata 0,005%, 2,5 ml 1. lar. 2 %, btl 5 ml tts mata, btl 5 ml
1. tts. telinga 3 %, btl 5 ml

Triatimol 0,5% Xalatan CMC Lyteers

Dus, botol plastik @ 2,5 ml Pfizer 5 ml Cendo 5 ml Cendo

erela

OBAT THT -ANTIBAKTERI TOPIKAL Kloramfenikol

CHLORAMPHENICOL 3%BTL. Tetes 5 Telinga ML

20.2 20.2 20.2 20.2 20.2 20.2 20.2 20.2 20.2 20.3 20.4 20.4 20.4 20.4
14/26

ANTIDEPRESI dan ANTIMANIA ANTIDEPRESI dan ANTIMANIA ANTIDEPRESI dan ANTIMANIA ANTIDEPRESI dan ANTIMANIA ANTIDEPRESI dan ANTIMANIA ANTIDEPRESI dan ANTIMANIA ANTIDEPRESI dan ANTIMANIA ANTIDEPRESI dan ANTIMANIA ANTIDEPRESI dan ANTIMANIA ANTIOBSESIF KOMPULSIF ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS

1. kaps 10 mg 2. kaps 20 mg 2. kaps 20 mg 1. tab 25 mg 2. tab. 50 mg. 2. kaps 20 mg 2. kaps 20 mg 1. tab. 25 mg. 1. kaps 10 mg 1. tab 25 mg ( HCl ) 3. kaplet salut 10 mg 2. kaplet salut 5 mg 3. inj. 25 mg/ml, amp @ 2 ml (HCl) 1. tab. sal. 100 mg ( HCl )

Antiprestin Antiprestin DEPREZAC MAVELLINE 25 MAVELLINE 50 Nopres NOXETIN 20 Tofranil Zac Anafranil OLANDOZ 10 OLANDOZ 5 Cepezet Cepezet 100

- kaps 10 mg Pharos - kaps 20 mg Pharos KAPSUL 20 MG Actavis box isi 3 strip @ 10 tab Novel box isi 3 strip @ 10 tab Novel Tablet 20mg, Box 30 tablet Dexa box isi 2 strip @ 10 tab Novel Box 5 x 10 tab laniros Box 30 Ikapharmindo Box 5 blister x10 tab novartis -kaplet salut 10 mg, Dus SANDOZ 30 tab -kaplet salut 5 mg, Dus 30 SANDOZ tab - Inj 50 mg/2 ml, box/ 10mersifarma amp - tab 100 mg, btl/250 tab. mersifarma

2.636 4.568 4.217 2.965 6.656 4.730 908 5.732 5.500 7.590 25.300 15.400 7.150 484

700 700 600 2.965 6.656 700 908 5.060 690 7.828 17.000 10.500

PT KEBAYORAN PHARMA PT MERAPI Distriversa / kebayoran Distriversa / kebayoran PT Tempo AAM PT AMS APL PT AMS PT Tempo AAM AAM

2.750 PPG 242 PPG

KODE KELAS 20.4 20.4 20.4 20.4 20.4 20.4 20.4 20.4 20.4 20.4 20.4 20.4 20.4 20.4
21.1 21.1

KELAS TERAPI/SUB KELAS TERAPI ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS
OKSITOSIK OKSITOSIK

NAMA GENERIK Clozapine Clozapine Clozapine Haloperidol Haloperidol Haloperidol Haloperidol Haloperidol Haloperidol Clozapine Risperidone Risperidone Trifluoperazin *) Trifluoperazin *)
Metilergometrin Metilergometrin

SEDIAAN/KEKUATAN 1. tab 25 mg 1. tab 25 mg 2. tab 50 mg 5. inj 50 mg/ml 1. tab. 0,5 mg 2. tab. 1,5 mg 3. tab. 5 mg 4. inj. 5 mg/ml, amp. @ 1 ml. 3. tab. 5 mg 1. tab 25 mg 1. tab. 1 mg 2. tab. 2 mg 1. tab. 5 mg. 1. tab. 5 mg.
2. inj 0,200 mg/ml, amp @ 1 ml 2. inj 0,200 mg/ml, amp @ 1 ml

NAMA DAGANG Clorilex 25 Clozaril Clozaril Haldol Decanoas Haloperidol Haloperidol Haloperidol Lodomer Lodomer 5 Luften Persidal 1 Persidal 2 Stelazine Stelosi 5

KEKUATAN dan PABRIK KEMASAN FARMASI - tab 25 mg, box/50 tab.mersifarma Box 5 blister x10 tab novartis Box 5 blister x10 tab novartis Dus, 5 ampul @ 1 ml JOHNSON box 100 tab yarindo box 100 tab yarindo box 100 tab yarindo - amp. 5 mg/ml, box/12 amp mersifarma -tab. 5 mg, box/100 tab.mersifarma - tab 25 mg Pharos - tab. 1 mg, box/20 tab. mersifarma - tab. 2 mg, box/20 tab. mersifarma - tab. 5 mg. Pharos - tab. 5 mg, box/100 tab.mersifarma
lucas lucas

HNA REGULER 3.960 4.025 11.000 129.107 60.2 82.5 122.2 12.524 1.876 3.208 3.960 6.734 633 550
1.500,00 1.500,00

HNA ASKES 3.410 7.152 26.372 94.600 60 82 122 10.890 272 3.400 1.876 2.541 550 545

DISTRIBUTOR FARMASI PT AMS AAM AAM PPG AAM AAM MBS PT AMS PT AMS APL MBS MBS APL AAM

Metilergometrin inj 0,200Box mg/ml @ 30 ampul Metilergometrin inj 0,200 mg/ml Box @ 30 ampul

1.500,00 Penta 1.500,00 Penta

21.1 21.2
22.1 22.1

OKSITOSIK RELAKSAN UTERUS

Metilergometrin Isoksuprin HCl*)

2. inj 0,200 mg/ml, amp @ 1 ml 1. tab 20 mg

1. tab. 0,5 mg. 2. tab 1 mg

Utergin Hystolan
ACTAZOLAM ACTAZOLAM

Dus 10 Amp Ikapharmindo Tablet 20mg, Box 50 tablet Dexa

TABLET 0,5 MG TABLET 1 MG Actavis Actavis

4.400 3.740
1.650 2.383

1.980 MBS 3.000 PT AMS

350 MBS 750 MBS

ANTIANSIETAS dan ANTIINSOMNIA Alprazolam*) ANTIANSIETAS dan ANTIINSOMNIA Alprazolam*)

22.1 22.1
22.1 22.1 22.1

ANTIANSIETAS dan ANTIINSOMNIA ANTIANSIETAS dan ANTIINSOMNIA

Alprazolam*) Alprazolam*)

1. tab. 0,5 mg. 2. tab 1 mg

1. tab. 10 mg 1. tab. 0,5 mg. 2. tab 1 mg

Alviz Alviz
Anxibloc Apazol Apazol

- tab. 0,5 mg. - tab 1 mg

Pharos Pharos

1.582 2.460
1.760,00 1.567,50 2.475,00

500 PT AMS 900 MBS

1.000,00 PT. AAM 480,00 PT. AAM 900,00 PT. AAM

ANTIANSIETAS dan ANTIINSOMNIA Klobazam *) ANTIANSIETAS dan ANTIINSOMNIA Alprazolam*) ANTIANSIETAS dan ANTIINSOMNIA Alprazolam*)

Tablet 10mg, Box 100 tablet Dexa Tablet 0,5mg, Box 100 tablet Dexa Tablet 1mg, Box 100 tablet Dexa

22.1
22.2

ANTIANSIETAS dan ANTIIMSOMNIA

ANTIDEPRESI dan ANTIMANIA

Lorazepam
Amitriptilin

Tablet 2 mg
1. tab. sal. 25 mg ( HCl )

Merlopam 2
Amitriptyline

- tab. 2 mg, box/100 tab.Mersifarma

Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) Rp

2.860
115 Rp

1.650 AAM
92,00 PT Indofarma Global Medika

22.2 22.2
22.4 22.4 22.4 22.4

ANTIDEPRESI dan ANTIMANIA ANTIDEPRESI dan ANTIMANIA

ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS

Lithium carbonat Lithium carbonat

Clozapine Clozapine Clozapine Clozapine

tablet 200mg tablet 400mg

1. tab 25 mg 2. tab 100 mg 1. tab 25 mg 2. tab 100 mg

Frimania 200 Frimania 400

Clopine Clopine Clozer Clozer

- tab. 200 mg, box/100 tab Mersifarma - tab. 400 mg, box/100 tab Mersifarma
Dus 50 Tab Ikapharmindo Dus 50 Tab Ikapharmindo BOX, 3 STRIP @ 10 TABLET Dexa BOX, 3 STRIP @ 10 TABLET Dexa

2.200 3.861
5.500 20.900 4.400,00 12.883,00

1.100 MBS 2.090 PT Tempo

2.900 7.000 3.080,00 9.020,00 Distriversa / kebayoran Distriversa / kebayoran PT. AAM PT. AAM

22.4 22.4 22.4 22.4 22.4 22.4 22.4

22.4

ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS ANTIPSIKOSIS

ANTIPSIKOSIS

Haloperidol Haloperidol Haloperidol Risperidone Risperidone Risperidone Risperidone

Risperidone

1. tab. 0,5 mg 2. tab. 1,5 mg 3. tab. 5 mg 1. tab. 1 mg 2. tab. 2 mg 1. tab. 1 mg 2. tab. 2 mg

2. tab. 2 mg

Haloperidol Haloperidol Haloperidol Neripros Neripros NODIRIL NODIRIL

Risperidone

Kotak 100 ( 10 Blister @Indofarma 10 Tablet ) Kotak 100 ( 10 Blister @Indofarma 10 Tablet ) Kotak 100 ( 10 Blister @Indofarma 10 Tablet ) - tab. 1 mg Pharos - tab. 2 mg Pharos TABLET 1 MG Actavis TABLET 2 MG Actavis
Tablet 2mg, Box 50 tablet Dexa

60 83 122 3.808 5.726 4.033 6.233

2.375,01

59 81 121 1.743 2.450 1.570 1.900

PT AMS PT Tempo PT Tempo AAM AAM PT Tempo MBS

2.000,00 PT. AAM

22.5 23.1
23.1 23.1

ADHD ANTASIDA dan ANTIULKUS

ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS

Methylphenidate HCl Omeprazole *)

tablet 10 mg 2. injeksi 40 mg

Prohiper 10 STOMACER

- tab. 10 mg, box/30 tab.Mersifarma -Vial. 40 mg/ 10ml SANDOZ

lucas erela

4.583 108.900
3.850,00 135

2.640 AAM 88.000 PT Indofarma Global Medika

2.860,00 Penta 88 PT. PENTA VALENT

Antasida DOEN II : Kombinasi per 5 ml: 1. Aluminium susp. btl 60 Hidroksida; ml Mg. Hidroksida (+simeticone) Antasida DOEN Susp Botol 60 ml Antasida DOEN I Kombinasi :Aluminium Hidroksida 1. tab. kunyah 200 mg; Magnesium Hidroksida 200 mg Doen Tablet BOX 10X10 TAB ANTASIDA

23.1

ANTASIDA dan ANTIULKUS

Antasida DOEN I Kombinasi : Aluminium Hidroksida 200 mg; Magnesium Hidroksida 150 mg

1. tab. kunyah

ANTASIDA DOEN TABLET STR.10X10

KIMIA FARMA

135

128 AMS, PV

23.1

ANTASIDA dan ANTIULKUS

Antasida DOEN II : Kombinasi per 5 ml: Aluminium Hidroksida; Mg. 1. susp. btl 60 ml Hidroksida (+simeticone) Antasida DOEN II : Kombinasi per 5 ml: Aluminium Hidroksida; Mg. tab Hidroksida (+simeticone) Antasida DOEN I Kombinasi : Aluminium Hidroksida 200 mg; Magnesium Hidroksida 150 mg (+simeticone) Aluminium Hidroksida 300 mg, Magnesium Hidroksida 300 mg, simeticon 50 mg

Atmacid

BTL 60 ml BOTOL

Graha

7.657

2.925 PT Indofarma Global Medika

23.1

ANTASIDA dan ANTIULKUS

Atmacid

Dus 10 x 10 TAB (100 TAB) Graha

333

125 PT Dos Ni Roha; PT Parazelsus Indonesia

23.1
23.1 23.1

ANTASIDA dan ANTIULKUS

ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS

Atmacid

Dus 10 x 10 TAB

graha farma net

333
10.120,00 203,50

125 PT Indofarma Global Medika

5.300,00 PT. AAM 120,00 PT. AAM

Antasida DOEN II : Kombinasi per 5 ml: Aluminium 2. susp. btl Hidroksida; 100 ml Mg. Hidroksida (+simeticone) Dexanta Antasida DOEN I Kombinasi :Aluminium Hidroksida 1. tab. kunyah 200 mg; Magnesium Hidroksida 200 mg Dexanta

Suspensi, fls 100ml, Botol Dexa 100 ml Tablet kunyah, Box 100 tablet Dexa

23.1
23.1

ANTASIDA dan ANTIULKUS

ANTASIDA dan ANTIULKUS

Omeprazole *)
Ranitidine

1. kaps 20 mg
1. tab. 150 mg

DUDENCER
GASELA

Box, 2x10 kaps

BOX 10X10 TAB

Tempo
erela

8.000
990

700 AMS, PV
160 PT. PENTA VALENT

23.1
15/26

ANTASIDA dan ANTIULKUS

Omeprazole *)

2. injeksi 40 mg

Gastrofer

Dus, 1 Vial, 40 Mg + 1 Dexa ampul Pelarut @ 10 ml

104.500

88.000 AAM

23.1

KODE KELAS TERAPI/SUB KELAS TERAPI KELAS

ANTASIDA dan ANTIULKUS

NAMA GENERIK
Omeprazole *)

SEDIAAN/KEKUATAN
2. injeksi 40 mg

NAMA DAGANG
Gastrofer

Dus, 1 Vial, 40 Mg + 1 ampul Dexa Pelarut @ 10 ml

KEKUATAN dan KEMASAN

PABRIK FARMASI

HNA REGULER
104.500,00

HNA ASKES
88.000,00 PT. AAM

DISTRIBUTOR FARMASI

23.1

ANTASIDA dan ANTIULKUS

Antasida DOEN Komposisi: Magnesium Hidroksida 325 mgAluminium Hidroksida 325 mgDimethylpolysiloxane 50 mg Ranitidine

1. susp. btl 60 ml Gastrucid Botol 60 ml NUFARINDO 8.198 3.050 AMS, PV

23.1

ANTASIDA dan ANTIULKUS

2. inj 50 mg / 2ml, amp @ 2 ml *)

Hexer

Box, 5 ampul @ 2 ml

Dank

4.400

2.000 AMS, PV

23.1

ANTASIDA dan ANTIULKUS

Antasida DOEN II : Kombinasi per 5 ml: Aluminium Hidroksida; Mg. 2. susp. btl 100 ml Hidroksida (+simeticone) Antasida DOEN I Kombinasi : Aluminium Hidroksida 200 mg; Magnesium Hidroksida 150 mg (+simeticone) Lansoprazol*) Lansoprazol*) Lansoprazol*)
Lansoprazol*)

Lambucid syrup 100 ml Dus, botol 100 ml

Hexp

9.680

6.600 PT Dos Ni Roha; PT Parazelsus Indonesia

23.1 23.1 23.1 23.1

23.1

ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS
ANTASIDA dan ANTIULKUS

1. tab. kunyah 1. kap.30 mg 1. kap.30 mg 1. kap.30 mg

1. kap.30 mg

Lambucid syrup 100 ml Dus, botol 100 ml

HEXPHARM

9.680 9.405 1.672 1.672

1.681,67

6.600 PT Indofarma Global Medika 880 PT Tempo 668 PT Dos Ni Roha; PT Parazelsus Indonesia 668 PT Indofarma Global Medika
800,00 PT Dos Ni Roha; PT Parazelsus Indonesia

Lanpracid - kap.30 mg Pharos Lansoprazol 30 mg Dus, 2 strip @ 10 Hexp Kapsul kapsul Lansoprazol 30 mg Kapsul Dus, 2 strip @ 10 kapsul HEXPHARM
Lansoprazole dos, 3x10kpt Ifars

23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1

23.1

ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS
ANTASIDA dan ANTIULKUS

Lansoprazol*) Lansoprazol*) Lansoprazol*) Lansoprazol*) Lansoprazol*) Lansoprazol*) Lansoprazol*) Antasida DOEN I Kombinasi :Aluminium Hidroksida 200 mg; Magnesium Hidroksida 200 mg

1. kap.30 mg 1. kap.30 mg 1. kap.30 mg 1. kap.30 mg 1. kap.30 mg 1. kap.30 mg 1. kap.30 mg 1. tab. kunyah

LANSOPRAZOLE box, 20 kap 30 mg Novel Lansoprazole Box, 2 strip @ 10 Kapsul Soho Lansoprazole Kotak 20 ( 2 Strip @ 10 Kapsul Indofarma ) Lansoprazole 30mg capskotak 3 x 10 kaps BERNOFARM Lansoprazole-30 Box 40 kapsul Medikon Pharma LAPROTON Box, 2x10 kaps Tempo LOPREZOL DS.3X10 KIMIA FARMA Mag Cum Alumina(Antasida 10 X 10 TAB mutifa DOEN)
mutifa

1.502 1.502 1.502 1.802 1.502 9.900 11.274 70

70

1.000 1.000 668 800 900 850 968

MBS AMS, PV MBS MBS, AAM MBS/MUP/SBF AMS, PV PT Indofarma Global Medika

33 PT AMS
33 PT MERAPI

Antasida DOEN I Kombinasi :Aluminium 1. Hidroksida susp. btl 60 200 ml mg; Magnesium Hidroksida 200 mg Alumina(Antasida Mag Cum 10DOEN) X 10 TAB

23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1
23.1

ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS
ANTASIDA dan ANTIULKUS

Antasida DOEN II : Kombinasi per 5 ml: Aluminium Hidroksida; Mg. Tab Hidroksida (+simeticone) Sukralfat *) Sukralfat *) Omeprazole *) Omeprazole *) Omeprazole *) Omeprazole *) Omeprazole *) Omeprazole *) Ranitidine
Ranitidine

Magtral tab mint

box, 10 strip @10 tabletOtto Pharm

220 770 33.000 408 408 408 456 408 141.020 440
440

120 PT KEBAYORAN PHARMA 500 25.000 375 375 400 375 AMS, PV AMS, PV PT Indofarma Global Medika PT AMS PT Indofarma Global Medika PT Dos Ni Roha; PT Parazelsus Indonesia

1. tab. 500 mg 2. susp. 500 mg/5 ml btl 100 ml 1. kaps 20 mg 1. kaps 20 mg 1. kaps 20 mg 1. kaps 20 mg 1. kaps 20 mg 2. injeksi 40 mg 1. tab. 150 mg
1. tab. 150 mg

Mucogard Box, 6 strip @ 10 tabletSoho Mucogard Botol, 100 ml SOHO OMEPRAZOLE KAPS,Box 5x10'S landson OMEPRAZOLE box, 30 kap 20 mg Novel Omeprazole Box, 3 strip @ 10 Kapsul Soho Omeprazole 20 mg ( OGB box, ) 3 strip @ 10 kapsul otto Omeprazole 20 mg Dus, 3 strip @ 10 Hexp Kapsul kapsul Omeprazole 40mg inj kotak 1 vial BERNOFARM Omeranin 10 X 10 TAB mutifa
Omeranin 10 X 10 TAB mutifa

325 PT MERAPI 100.000 MBS, AAM 182 PT. AAM

181,50 PT MERAPI

23.1 23.2 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1
16/26

ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS

Omeprazole *) Omeprazole *) Lansoprazole Lansoprazol*) Ranitidine Ranitidine Ranitidine Ranitidine Ranitidine Ranitidine Ranitidine Ranitidine Ranitidine Ranitidine Ranitidine Ranitidine

2. injeksi 40 mg injeksi 10 mg Inj. 30 mg 1. kap.30 mg 1. tab. 150 mg 3. inj 25 mg / 2ml, amp @ 2 ml *) 2. inj 50 mg / 2ml, amp @ 2 ml *) 1. tab. 150 mg 1. tab. 150 mg inj 25 mg / 2ml, amp @ 2 ml *) 1. tab. 150 mg 2. inj 50 mg / 2ml, amp @ 2 ml *) 1. tab. 150 mg 1. tab. 150 mg 2. inj 50 mg / 2ml, amp @ 2 ml *) 1. tab. 150 mg

OZID i.v Omz Prosogan Protica 30 RANITIDIN RANITIDIN Ranitidin Ranitidin Ranitidin 150mg kapl Ranitidin 25mg/2ml inj Ranitidine Ranitidine Ranitidine Ranitidine Ranitidine Ranitidine 150 mg Tablet

Box, 1 vial 40 mg Darya Varia powder & 10 ml solvent 1 Vial/Box Ferron Box 1 Vial Takeda Box @ 2 blister @ 10 kapsul ETHICA F.c TAB,Box 10X10'S landson box isi 10 ampul @ 2 ml Novel Ds, 25 ampl phapros

104.500 121.000 121.000 7.865 210 2.570 2.570 210 252 3.084 200 2.570 210 210 2.570 200

80.000 PT. AAM 86.000 90.000 12.100 145 AAM PT MERAPI PT Indofarma Global Medika MBS/MUP/SBF

2.200 PT. AAM 2.570 PT. AAM 170 PT Indofarma Global Medika 150 AMS, PV 2.000 PT MERAPI 160 1.671 150 PT Indofarma Global Medika 198 pt united dico citas 2.000 PT Indofarma Global Medika 140 PT MERAPI

Box, 10 strip @ 10 tablet Soho kotak 10 x 10 kapl BERNOFARM kotak 10 amp BERNOFARM FC tablet 150mg, Box 100 Dexa tablet Kotak 25 ampul @ 2 ml Indofarma Ds, 10 x10 phapros Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) Box, 5 ampul @ 2 ml Dus, 10 strip @ 10 tablet Soho Hexp

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS 23.1 ANTASIDA dan ANTIULKUS Ranitidine 23.1 23.1 23.1 23.1 ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS Ranitidine Ranitidine Lansoprazol*)

SEDIAAN/KEKUATAN 2. inj 50 mg / 2ml, amp @ 2 ml *) 2. inj 50 mg / 2ml, amp @ 2 ml *) 2. inj 50 mg / 2ml, amp @ 2 ml *) 1. kap.30 mg

KEKUATAN dan KEMASAN Ranitidine 25 mg / ml (OGB) box 10 ampul @ 2 ml NAMA DAGANG Ranitidine 50 mg/2 ml Dus, 10 ampul Injection Ratan Sopralan Stomach

PABRIK FARMASI Otto Pharm Hexp

HNA REGULER 2.878 2.570 2.200 8.800 7.040

HNA ASKES

DISTRIBUTOR FARMASI

2.300 PT KEBAYORAN PHARMA 1.550 AMS, PV 4.400 PT Dos Ni Roha; PT Parazelsus Indonesia 968 MBS/MUP/SBF 2.750 PT United Dico Citas

Inj 50mg/2ml, amp @ 2ml ETHICA - kapsul 30 mg, box/24 kapsul Mersifarma 60 ML mutifa

Antasida DOEN II : Kombinasi per 5 ml: Aluminium Hidroksida; Mg. 1. susp. btl 60 ml Hidroksida (+simeticone) Antasida DOEN I Kombinasi : Aluminium Hidroksida 200 mg; Magnesium Hidroksida 150 mg (+simeticone)

23.1
23.1 23.1

ANTASIDA dan ANTIULKUS

ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS

1. tab. kunyah

Stomach

10 X 10 TAB
60 ML 10 X 10 TAB

mutifa
mutifa mutifa

280
7.040 280

121 PT Indofarma Global Medika

2.750 PT MERAPI 121 PT MERAPI

Antasida DOEN II : Kombinasi per 5 ml: 1. Aluminium susp. btl 60 Hidroksida; ml Mg. Hidroksida (+simeticone) Stomach Antasida DOEN I Kombinasi : Aluminium 1. Hidroksida tab. kunyah 200 mg; Magnesium Hidroksida 150 mg Stomach

23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.1 23.2 23.2
23.2

ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTASIDA dan ANTIULKUS ANTIEMETIK ANTIEMETIK
ANTIEMETIK

Omeprazole *)

1. kaps 20 mg

TAMEZOL 20 Trianta Ulceranin 150 Ulsafate Ulsafate Ulsafate Ulsicral Ulsicral-500 Ulsidex Ulzol Zantifar Zepral DANTROXAL BETAHISTIN
BETAHISTIN

Box, 3x10 Kapsul botol, 60cc

Dank Ifars

880 7.498 3.630 38.500 38.500 3.465 41.250 1.301 1.234 7.329 705 10.215 12.650 924
924

750 AMS, PV 2.900 200 25.795 25.795 1.040 25.000 550 350 11.275 180 2.200 1.700 490 1.957 5.478 2.228 9.768 PT. AAM PT MERAPI PT. AAM PT. AAM PT Indofarma Global Medika PT Indofarma Global Medika PT Indofarma Global Medika PPG PT MERAPI PT Indofarma Global Medika AMS, PV AMS, APL Penta AMS, APL PT. AAM PT Dos Ni Roha; PT Parazelsus Indonesia

Antasida DOEN II : Kombinasi per 5 ml: Aluminium Hidroksida; Mg. 2. susp. btl 60 ml Hidroksida (+simeticone) Ranitidine Sukralfat *) Sukralfat *) Sukralfat *) Sukralfat *) Sukralfat *) Sukralfat *) Omeprazole *) Ranitidine Omeprazole *) Ondansetron *) Betahistine mesilat *)
Betahistine mesilat *)

1. tab. 150 mg 2. susp. 500 mg/5 ml btl 100 ml 2. susp. 500 mg/5 ml btl 100 ml 1. tab. 500 mg 2. susp. 500 mg/5 ml btl 100 ml 1. tab. 500 mg 1. tab. 500 mg 1. kaps 20 mg 1. tab. 150 mg 1. kaps 20 mg 2. tab 8 mg 2. tab. 6 mg
2. tab. 6 mg

box, 5 strip @10 tablet Otto Pharm Botol, 100 ml Combiphar Botol, 100 ml COMBIPHAR FARMA Box, 30 Tab COMBIPHAR FARMA Botol 100 ml Ikapharmindo Box 60 Ikapharmindo Tablet 500mg, Box 100 tablet Dexa Dus, 2 blister @ 10 kapsul ETHICA dos,5x10kpt fc Ifars Botol 7Caps Ikapharmindo -tab. 8 mg, Dus 10 tab SANDOZ box, 30 tab 6 mg Novel
box, 30 tab 6 mg Novel

490 AMS, PV

23.2 23.2 23.2 23.2

23.2 23.2

ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK

ANTIEMETIK ANTIEMETIK

Betahistine dihidroklorida *) Ondansetron *) Ondansetron *) Ondansetron *)

Metoklopramid Metoklopramid

1. tab. 8 mg 4. inj 8mg/4ml amp 4 ml 1. tab 4 mg 3. inj 4 mg/2ml amp 2 ml

Betaserc Ceteron 4 Ceteron 4 Ceteron 8

Box 100 tab Box, 5 amp @ 2 ml Box, 2 Str @ 6 CP Box, 5 amp @ 4 ml

Abbott Combiphar COMBIPHAR FARMA Combiphar

3.025 18.260 7.425 32.560

1.925 105

4. inj. 5 mg/ml,amp @ 2 ml (sebagai HCl) CLOPRAMEL INJ ASKES box isi 5 ampul @ 2 ml Novel 1. tab. 10 mg (sebagai HCl) CLOPRAMEL TAB ASKES box isi 10 strip @ 10 tab Novel

1.925 AMS, PV 105 AMS, PV

23.2
23.2

ANTIEMETIK
ANTIEMETIK

Dimenhidrinat
Metoklopramid

1. tab 50 mg
1. tab. 10 mg (sebagai HCl)

DIMENHYDRINATE TABLET FL. 100 50 MG

EMERAN BOX 10x10 TABLET

KIMIA FARMA
erlimpex

85
381

85 PT MERAPI
90 PT. PENTA VALENT

23.2 23.2 23.2 23.2 23.2 23.2

23.2

ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK

ANTIEMETIK

Ondansetron *) Ondansetron *) Ondansetron *) Metoklopramid Metoklopramid Metoklopramid

Ondansetron *)

1. tab 4 mg 2. tab 8 mg 4. inj 8mg/4ml amp 4 ml 1. tab. 10 mg (sebagai HCl) 2.sir, botol 60 ml 4. inj. 5 mg/ml,amp @ 2 ml (sebagai HCl)
3. inj 4 mg/2ml amp 2 ml

Entron Entron Entron Ethiferan Ethiferan Ethiferan

Glotron inj 4 mg/ 2 ml

box 5 amp ETHICA box 10 tab ETHICA box, 5 amp ETHICA Box, 10 Strip @ 10 tablet ETHICA botol 60 ml ETHICA Dus @ 6 Ampul, @ 2 ml ETHICA
Box @ 5 ampul dos, 5x10kpt dos, 5x10kpt lucas Ifars Ifars

15.400 10.511 26.180 275 4.616 2.559

12.500,00

22.000 15.015 37.400 424 8.470

PT AMS PT Indofarma Global Medika PT. PENTA VALENT PT. PENTA VALENT PT MERAPI

3.529 PT MERAPI
4.000,00 Penta

23.2
23.2 23.2

ANTIEMETIK
ANTIEMETIK ANTIEMETIK

Ondansetron *)
Betahistine mesilat *) Betahistine mesilat *)

4. inj 8mg/4ml amp 4 ml

2. tab. 6 mg 2. tab. 6 mg

Hiopar
Histigo Histigo

Dus 10 x 10 TAB (100 TAB) Graha

978
1.452,00 1.452,00

425 Distriversa / kebayoran

440,00 PT Dos Ni Roha; PT Parazelsus Indonesia 440,00 PT Dos Ni Roha; PT Parazelsus Indonesia

23.2
23.2

ANTIEMETIK
ANTIEMETIK

Ondansetron *)
Betahistine mesilat *)

Ondansetron 8 mg/4 ml
2. tab. 6 mg

Invomit
Lexigo

box 5 ampul
box, 3 strip @ 10 tab

INTERBAT
Molex

83.699
1.100,00

62.700 AMS, PV
450,00 PT Merapi Utama Pharma

23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2

ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK

Betahistine mesilat *) Metoklopramid Metoklopramid Metoklopramid Metoklopramid Metoklopramid Metoklopramid Metoklopramid Ondansetron *)

2. tab. 6 mg 4. inj. 5 mg/ml,amp @ 2 ml (sebagai HCl) 1. tab. 10 mg (sebagai HCl) 1. tab. 10 mg (sebagai HCl) 1. tab. 10 mg (sebagai HCl) 3. drop, botol 10 ml 2.sir, botol 60 ml 4. inj. 5 mg/ml,amp @ 2 ml (sebagai HCl) 1. tab 4 mg

Merislon 6 mg Merislon 6 mg Metoclopramide Metoclopramide Metolon 10 mg tab Metolon 10 ml drops Metolon 60 ml syrup Metolon injeksi MITNO

Box : 10 strip x 10 EISAI tablet Box : 10 strip x 10 Eisai tablet Dus 10 x 10 TAB (100 TAB) Graha Dus 10 x 10 TAB graha farma net Box @ 100 tab BERNOFARM Fls 10 ml BERNOFARM Fls 60 ml BERNOFARM Box @ 5 ampul Box, 1x10 tab BERNOFARM Tempo

2.536 2.536 76 76 275 8.800 7.700 5.500 9.900

2.029 AAM 2.029 AMS, PV 70 70 90 8.000 4.000 MBS, AAM PT Dos Ni Roha; PT Parazelsus Indonesia PT Indofarma Global Medika PT Indofarma Global Medika PT Indofarma Global Medika

3.000 PT Indofarma Global Medika 950 PT Tempo

17/26

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS 23.2 ANTIEMETIK Ondansetron *) 23.2
23.2

SEDIAAN/KEKUATAN 3. inj 4 mg/2ml amp 2 ml 1. tab. 10 mg (sebagai HCl)

1. tab. 10 mg (sebagai HCl)

NAMA DAGANG Narfoz Nilatika

Nilatika

ANTIEMETIK
ANTIEMETIK

Metoklopramid
Metoklopramid

KEKUATAN dan PABRIK KEMASAN FARMASI -inj 4 mg/2ml amp 2 Pharos ml Box, 10 strip @ 10 tabletnicholas
Box, 10 strip @ 10 tablet nicholas

HNA REGULER 14.000 330

330

HNA ASKES

DISTRIBUTOR FARMASI

4.500 PT Indofarma Global Medika 146 PT Dos Ni Roha; PT Parazelsus Indonesia

146 PT KEBAYORAN PHARMA

23.2
23.2

ANTIEMETIK
ANTIEMETIK

Betahistine mesilat *)
Betahistine mesilat *)

2. tab. 6 mg
2. tab. 6 mg

NOVERTY
NOVERTY

box isi 3 strip @ 10 tab Novel

box isi 3 strip @ 10 tab Novel

963
963

539 PT Indofarma Global Medika

539 AMS, PV

23.2
23.2

ANTIEMETIK
ANTIEMETIK

Dimenhidrinat
Dimenhidrinat

1. tab 50 mg
1. tab 50 mg

Omedrinat
Omedrinat

10 X 10 TAB
10 X 10 TAB

mutifa
mutifa

484
484

132 PT. AAM

132 PT MERAPI

23.2 23.2
23.2 23.2

ANTIEMETIK ANTIEMETIK
ANTIEMETIK ANTIEMETIK

Metoklopramid Metoklopramid
Metoklopramid Metoklopramid

2.sir, botol 60 ml 1. tab. 10 mg (sebagai HCl)

Omevomid Omevomid

60 ML 10 X 10 TAB
10 X 10 TAB 60 ML

mutifa mutifa
mutifa mutifa

8.410 268
268 8.410

2.640 PT Indofarma Global Medika 94 PT Indofarma Global Medika

93,50 PT MERAPI 2.640 PT MERAPI

1. tab. 10 mg (sebagai HCl) Omevomid 4. inj. 5 mg/ml,amp @ 2 ml (sebagai HCl) Omevomid

23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2

23.2 23.2

ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK

ANTIEMETIK ANTIEMETIK

Ondansetron *) Ondansetron *) Ondansetron *) Ondansetron *) Ondansetron *) Ondansetron *) Ondansetron *) Ondansetron *)

Ondansetron *) Ondansetron *)

1. tab 4 mg 3. inj 4 mg/2ml amp 2 ml 2. tab 8 mg 4. inj 8mg/4ml amp 4 ml 1. tab 4 mg 2. tab 8 mg 2. tab 8 mg 2. tab 8 mg
3. inj 4 mg/2ml amp 2 ml 4. inj 8mg/4ml amp 4 ml

Ondancetron 4mg tab kotak 3 x 10 tab BERNOFARM Ondancetron 4mg/2ml inj kotak 5 amp BERNOFARM Ondancetron 8mg tab kotak 3 x 10 tab BERNOFARM Ondancetron 8mg/4ml inj kotak 5 amp BERNOFARM Ondansetron Ktk 12 Indofarma Ondansetron Ktk 12 Indofarma ONDANSETRON box, 12 tab 8 mg Novel Ondansetron Box, 1 strip @ 10 tabletSoho
Ondansetron Ondansetron Ktk 50 Ktk 50 Indofarma Indofarma Rp Rp

3.300 5.500 5.500 8.000 1.540 2.530 2.530 3.300

6.050 8.800 Rp Rp

1.000 4.000 2.000 7.500 847 1.645 1.809 2.000

PT Indofarma Global Medika PT Indofarma Global Medika PT Indofarma Global Medika MBS/MUP/SBF AMS, PV AMS, PV PT. AAM PT. AAM

3.630,00 PT Indofarma Global Medika 6.950,00 PT Indofarma Global Medika

23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2
23.2

ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK
ANTIEMETIK

Ondansetron *) Ondansetron *) Ondansetron *) Ondansetron *) Ondansetron *) Ondansetron *) Ondansetron *) Ondansetron *) Metoklopramid Metoklopramid Betahistine dihidroklorida *) Metoklopramid Metoklopramid
Betahistine mesilat *)

3. inj 4 mg/2ml amp 2 ml 4. inj 8mg/4ml amp 4 ml 1. tab 4 mg 3. inj 4 mg/2ml amp 2 ml 4. inj 8mg/4ml amp 4 ml 3. inj 4 mg/2ml amp 2 ml 4. inj 8mg/4ml amp 4 ml 2. tab 8 mg 4. inj. 5 mg/ml,amp @ 2 ml (sebagai HCl) 4. inj. 5 mg/ml,amp @ 2 ml (sebagai HCl) 1. tab. 8 mg 1. tab. 10 mg (sebagai HCl) 4. inj. 5 mg/ml,amp @ 2 ml (sebagai HCl)
2. tab. 6 mg

ONDANSETRON ONDANSETRON ONDANSETRON Ondansetron Ondansetron Onetic 4 inj Onetic 8 inj Onetic 8 tab RACLONID INJ Remetin SERCOL / VERTIKAF Sotatic Sotatic
Vastigo

box isi 5 ampul @ 2 ml box isi 5 ampul @ 4 ml box, 12 tab 4 mg Box, 5 ampul @ 2 ml Box, 5 ampul @ 4 ml Box @ 5 amp Box @ 5 amp Box @ 10 tab

Novel Novel Novel Soho Soho Pratapa Nirmala Pratapa Nirmala Pratapa Nirmala

7.700 18.480 1.540 6.050 8.800 19.800 27.500 13.200 9.020 3.203 2.924 385 4.400
990,00

4.345 20.320 1.045 4.000 7.500 4.400 8.470 1.700

PT Indofarma Global Medika MBS, AAM PT Indofarma Global Medika PT. AAM PT Tempo PT Dos Ni Roha; PT Parazelsus Indonesia AMS, PV PT Indofarma Global Medika

INJ 5 MG/ML, AMP @ 2 ML Actavis Inj 5mg/ml, amp 2ml Dus 10 x 10 Tab Box @ 100 tab Box @ 10 amp CLARIS KIMIA FARMA Pratapa Nirmala Pratapa Nirmala

3.800 MBS/MUP/SBF 2.015 AMS, APL 1.645 PT MERAPI 85 PT Indofarma Global Medika 2.530 PT Indofarma Global Medika
500,00 PT. AAM

Tablet 6mg, Box 100 tablet Dexa

23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2 23.2

23.2 23.2

ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK ANTIEMETIK

ANTIEMETIK ANTIEMETIK

Betahistine mesilat *) Betahistine mesilat *) Metoklopramid Metoklopramid Metoklopramid Metoklopramid Ondansetron *) Ondansetron *) Ondansetron *)
Ondansetron *) Ondansetron *)

2. tab. 6 mg 2. tab. 6 mg 3. drop, botol 10 ml 4. inj. 5 mg/ml,amp @ 2 ml (sebagai HCl) 2.sir, botol 60 ml 1. tab. 10 mg (sebagai HCl) 3. inj 4 mg/2ml amp 2 ml 3. inj 4 mg/2ml amp 2 ml 4. inj 8mg/4ml amp 4 ml
3. inj 4 mg/2ml amp 2 ml 4. inj 8mg/4ml amp 4 ml

VERCURE Versilon 6 Vertivom Drop Vertivom Inj Vertivom Sirop Vertivom Tablet VOMCERAN Vometraz Vometraz
Vometraz Vometraz

Box, 5x10 tab 1.300 Tempo - tab. 6 mg, box/100 tab.Mersifarma 1.430 Btl @ 10 ml GLOBAL MULTI PHARMA14.432 Box @ 10 amp GLOBAL MULTI PHARMA 3.300

380 514 PT Dos Ni Roha; PT Parazelsus Indonesia 17.600 PT MERAPI 3.850 PT Dos Ni Roha; PT Parazelsus Indonesia 7.700 242 5.000 4,500,00 18.480 PT Dos Ni Roha; PT Parazelsus Indonesia AMS, APL Distriversa / kebayoran MBS/MUP/SBF Penta

Btl @ 60 ml GLOBAL MULTI PHARMA 6.550 Box @ 10 X 10 tablet GLOBAL MULTI PHARMA 145 Inj 4 mg/ 2 ml amp Kalbe 28.600 Injeksi 4mg/2ml, Box @ 2 Dexa vial 19.800 Injeksi 8mg/4ml, Box @ 2 Dexa vial 34.100
Injeksi 4mg/2ml, Box @ 2 Dexa vial Injeksi 8mg/4ml, Box @ 2 Dexa vial 19.800,00 34.100,00

4,500,00 PT. AAM 18.480,00 PT. AAM

23.3

ANTIHEMOROID

23.4 23.4 23.4 23.4 23.4 23.4 23.4 23.5 23.6

23.6

ANTISPASMODIK ANTISPASMODIK ANTISPASMODIK ANTISPASMODIK ANTISPASMODIK ANTISPASMODIK ANTISPASMODIK OBAT DIARE KATARTIK
KATARTIK

Antihemoroid DOEN Kombinasi : Bismut Subgalat 150 mg; Heksaklorofen 2,5 mg; Lidokain 10 mg; Seng Oksida 120 mg; Supositoria ad 2 gr. Atropin Sulfat Hiosin -N Butil Bromid *) Hiosin -N Butil Bromid *) Hiosin -N Butil Bromid *) Timepidium Bromid *) Hiosin -N Butil Bromid *) Hiosin -N Butil Bromid *) Kombinasi : *) Kaolin 550 mg; Pektin 20 mg Kombinasi: *) Parafin + Geliserin + Fenolftalein

Kombinasi : Bismut Subgalat 150 mg; Heksaklorofen 2,5 mg; Lidokain 10 mg; Seng Oksida 120 mg; Supositoria ad 2 gr. 1. inj. 0,25 mg/ml, amp @ 1 ml 2. Inj. 20 mg/ml 1. tab 10 mg 1. tab 10 mg 1. tab 30 mg 2. Inj. 20 mg/ml 1. tab 10 mg 1. tab. 1. susp btl 60 ml

ANTI HAEMOROID SUPP DS.10

KIMIA FARMA

2.000

2.000

Atropine Hyoscine Injeksi (OGB) SCOBUTRIN Scopma Sesden Spashi Injek Spashi Tablet Neo Diaform Kompolax
Kompolax

Inj 0.25mg/ml, amp @ 1ETHICA ml box 5 amp @ 1 mL Otto Pharm TAB,Box 10x10's landson dos, 10x10kpt Ifars 100 cap / dus Tanabe Box @ 10 amp GLOBAL MULTI PHARMA Box @ 10 X 10 tablet GLOBAL MULTI PHARMA Botol @ 1000 Tablet botol, 60cc
botol, 60cc

2.160 8.800 550 1.040 2.023 7.300 1.100 78 11.827

2.541 7.000 450 450 1.166 8.030 1.210 63 8.250

8.250,00 PT Dos Ni Roha; PT Parazelsus Indonesia

Corsa Ifars
Ifars

Kombinasi: *) Parafin + Geliserin + Fenolftalein 1. susp btl 60 ml

11.827,00

18/26

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS Kombinasi: *) Parafin + Geliserin + 23.6 KATARTIK Fenolftalein
23.6 24.1 KATARTIK ANTI ASMA Bisakodil Aminofilin

SEDIAAN/KEKUATAN 1. susp btl 60 ml

1. tab 5 mg *) 1. tab. scored 200 mg

NAMA DAGANG Laxadine

Laxana

KEKUATAN dan KEMASAN botol @ 60 ml

dos,10x10kpt

PABRIK FARMASI Galenium

Ifars lucas

HNA REGULER 27.500

594,00 5.500,00

HNA ASKES 13.440

DISTRIBUTOR FARMASI

Aminophylline inj 24 mg/ml Box @ 30 ampul

500,00 PT Dos Ni Roha; PT Parazelsus Indonesia 4.510,00 Penta

24.1
24.1

ANTI ASMA
ANTI ASMA

Aminofilin
Aminofilin

1. tab. scored 200 mg

2.inj. 24 mg/ml, amp @ 10 ml

Aminophylline tab 200 mg Botol @ 100 tablet

Aminophylline tab 200 mg Botol @ 100 tablet

Marin Liza
Marin Liza

104
104,00

88
88,00 Penta

24.1 24.1 24.1 24.1 24.1

24.1

ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA
ANTI ASMA

Fenoterol HBr *) Salbutamol Salbutamol Teofilin Kombinasi: *) Ipathropium Br 0,5 mg; Salbutamol 2,5 mg
Aminofilin

1. i.h 100 mcg/puff, 200 dosis 1. tab. 2 mg (sbg. Sulfat), 2. tab. 4 mg (sbg. Sulfat), 1. tab. 150 mg. 1. nebules, vial @2,5 ml
1. tab. scored 200 mg

BEROTEC Brondisal 2 tablet Brondisal 4 tablet Bronsolvan tablet COMBIVENT UDV

ERPHAFILLIN

DUS, CANISTER 200 DOSIS Box @ 10 X 10 tablet Box @ 10 X 10 tablet Box, 10 Strip @ 10 Tablet

Boehringer 128.139 Ingelheim GLOBAL MULTI PHARMA 131 GLOBAL MULTI PHARMA 155 Kalbe 330 11.743
78,43

83.490 198 242 300 8.349

77 PT. PENTA VALENT

Boehringer DUS, 20 VIAL @ 2,5 ML Ingelheim

BTL. 1.000 TABLET erlimpex

24.1 24.1 24.1 24.1

24.1

ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA

ANTI ASMA

Kombinasi: *) Ipathropium Br 0,5 mg; Salbutamol 2,5 mg Fluticasone Propionate *) Budesonide Terbutalin Sulfat *)
Terbutalin Sulfat *)

1. nebules, vial @2,5 ml - nebules 0,5 mg, amp 2 ml 3. i.h 200 mcg/puff, 200 dosis 3. inj. 0,5 mg/ml, amp. @ 1 ml
3. inj. 0,5 mg/ml, amp. @ 1 ml

Farbivent Flixotide nebules Obucort Swinghaler RELIVAN

RELIVAN

Box @ 10 amp

Pratapa Nirmala

8.250 19.140 130.680 3.400

3.400

7.480 16.300 112.500 3.740

3.740 AMS, PV

Nebules 0,5 mg/10 GLAXO SMITH ampul KLIEN Inhalasi serbuk kering Otsuka box isi 6 ampul 2 @ 1 mlNovel
box isi 6 ampul 2 @ 1 ml Novel

24.1 24.1 24.1 24.1 24.1 24.1 24.1 24.1 24.1 24.1 24.1 24.1 24.1 24.1

ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA ANTI ASMA

24.1

ANTI ASMA

24.1

ANTI ASMA

24.1 24.1

ANTI ASMA ANTI ASMA

24.1 24.1 24.1

ANTI ASMA ANTI ASMA ANTI ASMA

Teofilin Salbutamol Salbutamol Salbutamol Salbutamol Salbutamol Salbutamol Salbutamol Salbutamol Salbutamol Salbutamol Salbutamol Salbutamol 2. Kombinasi: *) Salmeterol Xinafoate 50 mcg; Fluticasone Proprionat 100 mcg 2. Kombinasi: *) Salmeterol Xinafoate 250 mcg; Fluticasone Proprionat 50 mcg 2. Kombinasi: *) Salmeterol Xinafoate 25 mcg; Fluticasone Proprionat 50 mcg 2. Kombinasi: *) Salmeterol Xinafoate 500 mcg; Fluticasone Proprionat 50 mcg 1. Kombinasi: *) Salmeterol Xinafoate 125 mcg; Fluticasone Propionat 25 mcg Terbutalin Sulfat *) Terbutalin Sulfat *) Salbutamol

1. tab. 150 mg. 1. tab. 25 mg ( HCl ) 1. tab. 2 mg (sbg. Sulfat), 1. tab. 2 mg (sbg. Sulfat), 2. tab. 4 mg (sbg. Sulfat), 1. tab. 2 mg (sbg. Sulfat), 1. tab. 2 mg (sbg. Sulfat), 2. tab. 4 mg (sbg. Sulfat), 1. tab. 2 mg (sbg. Sulfat), 3. sirop 100 ml 2. tab. 4 mg (sbg. Sulfat), 1. tab. 2 mg (sbg. Sulfat), 2. tab. 4 mg (sbg. Sulfat), 1. inh 100 mcg/puff, 60 dosis

RETAPHYL SR DS.10X10 KIMIA FARMA Salbron 4 mg Box, 10x10 tab Dank Salbron Syr Box, botol 100 ml Dank Salbutamol Dus 10 x 10 TAB (100 TAB) Graha Salbutamol Dus 10 x 10 TAB (100 TAB) Graha Salbutamol Dus 10 x 10 TAB graha farma net Salbutamol box 100 tab Yarindo Salbutamol box 100 tab Yarindo 97.5 Salbutamol Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) Salbutamol Botol 100 ml Indofarma Salbutamol Kotak 100 ( 10 Strip @ 10 Indofarma Tablet ) SALBUTAMOL 2 MG TABLET DS.10X10 KIMIA FARMA SALBUTAMOL 4 MG TABLET DS.10X10 KIMIA FARMA Seretide Diskus 100 50/100 mcg / diskus GLAXO SMITH KLIEN GLAXO SMITH KLIEN GLAXO SMITH KLIEN GLAXO SMITH KLIEN GLAXO SMITH KLIEN Medikon Pharma Medikon Pharma GLAXO SMITH KLIEN GLAXO SMITH KLIEN Boehringer Ingelheim Boehringer Ingelheim KIMIA FARMA KIMIA FARMA KIMIA FARMA mutifa
mutifa

1.773 283 16.500 84 97 84 84 84 5.500 97 84 97 132.000

1.430 200 10.000 65 75 65 77 90 58 4.125 71 71 83 125.400

1. inh 250 mcg/puff Seretide Diskus 250 1. inh 50 mcg/puff Seretide Diskus 50 1. inh 500 mcg/puff Seretide Diskus 500 1. inh 125 mcg/puff Seretide Inhaler 125 2. sir 1,5 mg/5ml, btl 60 ml 1. tab. 2,5 mg 5.nebules, 2,5 mg Terasma syr 60 ml Terasma tab 2.5 mg Ventolin inhaler 25/125 mcg / inhaler Botol 60 ml Box 100 tablet aerosol 100 mcg / dosis, dus botol 200 dosis Nebules 2,5 ml / 20 amp DUS, 3 BLISTER@ 10 KAPSUL + HANDIHALER DUS, 3 BLISTER @ 10 KAPSUL BTL 250 TB BTL 250 TB BTL 250 TB 60 ML
60 ML

50/250 mcg / diskus

147.545

140.168

25/50 mcg / inhaler

116.000

110.000

50/500 mcg / diskus

160.800

152.760

132.000 11.000 517 88.000 8.800 651.585 20.752 435 741 968 8.667
8.667

125.000 4.650 185 75.000 7.500 482.790 15.125 435 741 968 2.640
2.640 PT MERAPI

24.1

ANTI ASMA

Salbutamol

1. tab. 2 mg (sbg. Sulfat),

Ventolin nebules SPRIVA COMBO SPRIVA REFILL CODEIN 10 MG CODEIN 15 MG CODEIN 20 MG Dekstrometorfan
Dekstrometorfan

24.2 24.2 24.3 24.3 24.3 24.3

24.3

PPOK PPOK ANTITUSIF ANTITUSIF ANTITUSIF ANTITUSIF

ANTITUSIF

Tiotropium *) Tiotropium *) Kodein (HCl/Fosfat) Kodein (HCl/Fosfat) Kodein (HCl/Fosfat) Dekstrometorfan HBr.
Dekstrometorfan HBr.

1. cap 18 mcg, + handihaller 2. cap 18 mcg, refill 1. tab. 10 mg 2. tab 15 mg 3. tab 20 mg 2. sir. 5 mg/5 ml, btl 60 ml
2. sir. 10 mg/5 ml, btl 60 ml

24.3
24.3

ANTITUSIF
ANTITUSIF

Dekstrometorfan HBr.
Kodein (HCl/Fosfat)

1. tab salut 15 mg
2. tab 15 mg

Dextromethorpan tab 15 Botol mg @ 1000 Tablet

Dextromethorpan tab 15 mg Botol @ 1000 Tablet

Marin Liza
Marin Liza

99
99,00

88
88,00 Penta

19/26

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS 24.3 ANTITUSIF Dekstrometorfan HBr. 24.3 ANTITUSIF Dekstrometorfan HBr.
24.3 24.3 ANTITUSIF ANTITUSIF Dekstrometorfan HBr. Kodein (HCl/Fosfat)

SEDIAAN/KEKUATAN 2. sir. 10 mg/5 ml, btl 60 ml 1. tab salut 15 mg

2. sir. 10 mg/5 ml, btl 60 ml 1. tab. 10 mg

NAMA DAGANG Dextromethorphan Dextromethorphan

Dextromethorphan Dextromethorphan

KEKUATAN dan PABRIK KEMASAN FARMASI Botol 60 ml (multi box) Indofarma Kotak 100 ( 10 Blister @ Indofarma 10 Tablet )
Kotak 100 ( 10 Blister @ 10 Indofarma Tablet ) Botol 60 ml (multi box) Indofarma

HNA REGULER 2.700 99

Rp Rp 99 2.700

HNA ASKES 1.700 83

Rp Rp

DISTRIBUTOR FARMASI

83,00 PT Indofarma Global Medika 1.700,00 PT Indofarma Global Medika

24.3 24.3 24.3 24.3 24.3

ANTITUSIF ANTITUSIF ANTITUSIF ANTITUSIF ANTITUSIF

24.4

EKSPEKTORAN

24.4

EKSPEKTORAN

24.4
24.4 24.4

EKSPEKTORAN
EKSPEKTORAN EKSPEKTORAN

Dekstrometorfan HBr. Dekstrometorfan HBr. Dekstrometorfan HBr. Dekstrometorfan HBr. Dekstrometorfan HBr. Kombinasi :*) Acetaminophen 500 mg; Dextromethorphan HBr 10 mg; CTM 1 mg; Gliseril Guaiacolat 100 mg; Phenylpropanolamin Hcl 15 mg Kombinasi :*) Acetaminophen 500 mg; Dextromethorphan HBr 10 mg; CTM 1 mg; Gliseril Guaiacolat 100 mg; Phenylpropanolamin Hcl 15 mg Gliseril Guaiakolat
Gliseril Guaiakolat Gliseril Guaiakolat

2. sir. 10 mg/5 ml, btl 60 ml 1. tab salut 15 mg 2. sir. 10 mg/5 ml, btl 60 ml 2. sir. 10 mg/5 ml, btl 60 ml 1. tab salut 15 mg

Dextromethorphan 60 ml Btl, 60 ml DEXTROMETHORPHAN DS.10X10 TABLET 15 MG Dextrometorpan Botol 60 ml Dextrometorphan Hbr 10mg/5ml botol 60 ml Dextrometorphan Hbr 15mg kotak 10 x 10 tab

phapros KIMIA FARMA PHYTO KEMO BERNOFARM BERNOFARM

2.701 99 1.600 3.850 165

2.701 89 3.780 2.500 80

1. kaplet

Colfin

Box

Nufarindo

1.012

375

2. sirup

Colfin

Botol 60 ml

Nufarindo

10245

3750

1. tab 100 mg
1. tab 100 mg 1. tab 100 mg

Gliseril Guaiakolat
Gliseril Guaiakolat

10 X 10 TAB
10 X 10 TAB

mutifa
mutifa Marin Liza

69
69,23 33,00

33
33 PT MERAPI 33,00 Penta

Gliseril Guayacolat tab 100 Botol mg @ 1000 Tablet

24.4

EKSPEKTORAN

Kombinasi tiap 5 ml sirop :*) Difenhidramin HCl 13,5 mg; 1.sir. botol 60 ml Amonium klorida 131,5 mg; Nasitrat 55 mg; Mentol 1 mg; Alkohol 5%

Nichodryl

Botol, 60 ml

nicholas

6.600

5.000

24.4 24.4

EKSPEKTORAN EKSPEKTORAN

Kombinasi tiap 5 ml sirop :*) Difenhidramin 1.sir. HCl botol 13,5 60 mg; ml Amonium klorida 131,5 mg; Na-sitrat 55 mg; Mentol 1 mg; 5% Nichodryl Botol, 60Alkohol ml Obat Batuk Hitam (O.B.H.) 2. sir, btl 200 ml OBH BTL. 200 ML

nicholas erela

6.600 3.000

5.000 PT KEBAYORAN PHARMA 3.000 PT. PENTA VALENT

24.4
24.4 24.4

EKSPEKTORAN
EKSPEKTORAN EKSPEKTORAN

Obat Batuk Hitam (O.B.H.)

Obat Batuk Hitam (O.B.H.) Obat Batuk Hitam (O.B.H.)

1. sir, btl 100 ml

1. sir, btl 100 ml 1. sir, btl 100 ml

O.B.H
O.B.H

100 ML
100 ML

mutifa
mutifa lucas 1.800,00

1.870
1.870 PT MERAPI 1.800,00 Penta

O.B.H Syrup 100 ml (TD)Botol 100 ml

24.4 24.4
24.4 24.4

EKSPEKTORAN EKSPEKTORAN
EKSPEKTORAN EKSPEKTORAN

Obat Batuk Hitam (O.B.H.) Obat Batuk Hitam (O.B.H.)

Obat Batuk Hitam (O.B.H.) Obat Batuk Hitam (O.B.H.)

1. sir, btl 100 ml 2. sir, btl 200 ml

1. sir, btl 100 ml 2. sir, btl 200 ml

Obat Batuk Hitam Obat Batuk Hitam

Obat Batuk Hitam Obat Batuk Hitam

Botol 100 ml Botol 200 ml

Botol 100 ml Botol 200 ml

Ikapharmindo Ikapharmindo
Ikapharmindo Ikapharmindo

3.850 5.390
3.850 5.390

1.980 3.410
1.980 Distriversa / kebayoran 3.410 Distriversa / kebayoran

24.4 24.5 25 25 25 25

EKSPEKTORAN SURFAKTAN VITAMIN DAN MINERAL VITAMIN DAN MINERAL VITAMIN DAN MINERAL VITAMIN DAN MINERAL

25

VITAMIN DAN MINERAL

Obat Batuk Hitam (O.B.H.) Beractant *) Asam Askorbat (Vitamin C) Kalsium Laktat Vitamin - B Complex Kombinasi : *) Vit B1 mononitrate 100 mg; Vit B6 200 mg; Vit B12 250 mcg Kombinasi : *) Ferrous (II) Fumarat 300 mg; Manganese Sulphate 0,4 mg; Cooper Sulphate 0,4 mg; Vit C 100 mg; Folic Acid 2 mg; Vit B12 15 mg; Intrinsic factor 25 mg
Kalsium Laktat

1. sir, btl 100 ml 1. inj 25 mg/ml; vial 8 mL 1. tab 50 mg 1 tab 500 mg 1. tab 1. tab.

Obat Batuk Hitam Botol 100 ml Survanta Box 1 vial @ 8 ml ASCORBIC ACID (VIT.C) TAB.50 BTL.1000 MG Calcium lactate Btl, 1000 Corsaneuron Box @ 100 Tablet Grahabion Dus 10 x 10 TAB

Nufarindo Abbott KIMIA FARMA phapros Corsa graha farma net

1.750 4.853.310 28 52 506 584

1.650 3.738.000 26 PT Indofarma Global Medika 48 200 PT KEBAYORAN PHARMA 200 PT Indofarma Global Medika

1. tab. Hemafort Ds, 10 x10 phapros 726 460 PT Indofarma Global Medika

25

VITAMIN DAN MINERAL

1 tab 500 mg

Kalsium Laktat

Botol @ 1000 Tablet

Marin Liza

52,00

49,50 Penta

25

VITAMIN DAN MINERAL

Kombinasi : *) Vit B1 mononitrate 100 mg; Vit B6 200 mg; Vit B12 250 1. tab. mcg Kombinasi : *) Ferrous (II) Fumarat 300 mg; Manganese Sulphate 0,2 mg,Cooper Sulphate 0,2 mg, 1. tab. Vitamin C 50 mg,Folic acid 0.4 mg, Sorbitol 25 mg,Vitamin B 12 intrinsic factor 7.5 mg Kombinasi : *) Vit B1 mononitrate 100 mg; Vit B6 100 mg; Vit B12 2. Injeksi 5000 mcg Kombinasi : *) Vit B1 mononitrate 100 mg; Vit B6 200 mg; Vit B12 200 1. tab. mcg 1. tab 10 mg Piridoksin HCl. (Vitamin B6)

Neurodex FC

FC tablet, Box 200 tabletDexa

435

220,00 PT AMS

25

VITAMIN DAN MINERAL

Nichobion

Box,10 strip @ 10 kapsul

nicholas

770

462 AMS, PV

25

VITAMIN DAN MINERAL

Nutrifar 5000

dos,5x10kpt fc

Ifars

1.920

900 AMS, PV

25 25

VITAMIN DAN MINERAL VITAMIN DAN MINERAL

Omeneuron Piridoksin Tablet

10 X 10 TAB Pot @ 1000 tablet

mutifa GLOBAL MULTI PHARMA

555 10

209 PT Indofarma Global Medika 10 MBS/MUP/SBF

20/26

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK SEDIAAN/KEKUATAN KELAS VITAMIN DAN MINERAL Kombinasi : *) Fe Fumarat 135 mg; 1. tab. 25 Vit B1 3mg; Vit B2 3mg; Vit B6 2,5 mg; Vit B12 6 mcg; Vit C 75 mg; Vit D3 400 IU; Vit A 5000 IU; Vit E 30 mg; Copper 1 mg; Nicotinamide 20 mg; C Phospat 200 mg; C Jodida 0,2 mg; C Panthotenate 5 mg; Mangan 0,5 mg; Zinc 1,5 mg; Asam Folat 0,8 mg 25 VITAMIN DAN MINERAL Kombinasi : *) Vit A asetat 5000 IU; 1. tab. Vit D 400 IU; Vit B1 10 mg; Vit B2 15 mg; Vit B6 5 mg; Vit B12 5 mcg; Nikotinamide 50 mg; Capantotenat 20 mg; Vit C 200 mg; Ca-laktat 250 mg; Besi(II) Fumarat 12 mg; Asam folat 600 mcg; Vit E 15 IU; Lisine-HCl 50 mg; Kupri Sulfat 0,3 mg; Mangan Sulfat 1 mg; Seng Sulfat 1,5 mg; Kalium Iodida 12 mg; MgCO2 15 mg Kombinasi : *) Vit B1 mononitrate 100 mg; Vit B6 100 mg; Vit B12 5000 mcg
Tiamin HCl. (Vitamin B1)

NAMA DAGANG

KEKUATAN dan KEMASAN

PABRIK FARMASI

HNA REGULER

HNA ASKES

DISTRIBUTOR FARMASI

Prenatin Plus

Box, 10 blister @ 10 dragee SOHO

550

500 AMS, PV

Recovit Plus Kapsul

Box @ 10 X 10 kapsul GLOBAL MULTI PHARMA

350

517 PT Dos Ni Roha; PT Parazelsus Indonesia

25

VITAMIN DAN MINERAL

1. tab. Sohobion
1. tab 50 mg (HCl Nitrat) Thiamin (Vitamin B1)

Box, 10 strip @ 10 tablet SOHO

Botol @ 1000 Tablet Marin Liza

1.100
31,00

900 PT. AAM

30,80 Penta

25

VITAMIN DAN MINERAL

25 25

VITAMIN DAN MINERAL VITAMIN DAN MINERAL

1. tab 50 mg (HCl Nitrat) Tiamin HCl. (Vitamin B1) Kombinasi : *) Vit A asetat 5000 IU; 1. tab. Vit D 400 IU; Vit B1 10 mg; Vit B2 15 mg; Vit B6 5 mg; Vit B12 5 mcg; Nikotinamide 50 mg; Capantotenat 20 mg; Vit C 200 mg; Ca-laktat 250 mg; Besi(II) Fumarat 12 mg; Asam folat 600 mcg; Vit E 15 IU; Lisine-HCl 50 mg; Kupri Sulfat 0,3 mg; Mangan Sulfat 1 mg; Seng Sulfat 1,5 mg; Kalium Iodida 12 mg; MgCO2 15 mg Asam Askorbat (Vitamin C)
Vitamin - B Complex

THIAMINE 50 MG TABL/VIT.B1 BTL.1000 50MG

KIMIA FARMA

35

26 PT Indofarma Global Medika

VIFERRON

tab 30s

KALBE

352

295 PT Indofarma Global Medika

25
25

VITAMIN DAN MINERAL

VITAMIN DAN MINERAL

2. tab 250 mg
1. tab

Vit C
Vitamin B Complex

Btl, 250
Botol @ 1000 Tablet

phapros
Marin Liza

110
25,00

110 AMS, PV
24,20 Penta

25 25 25 25 26 26 26 26 26 26 26

VITAMIN DAN MINERAL VITAMIN DAN MINERAL VITAMIN DAN MINERAL VITAMIN DAN MINERAL VITAMIN DAN MINERAL LAIN - LAIN LAIN - LAIN LAIN - LAIN LAIN - LAIN LAIN - LAIN

Vitamin - B Complex Tiamin HCl. (Vitamin B1) Piridoksin HCl. (Vitamin B6) Piridoksin HCl. (Vitamin B6) Ibandronat Acid 150 mg Kalsium Laktat Kalsium Karbonat*) Glucosamin*) Natrium Phospat*) Glucosamin*) Kombinasi : *) Metionin 100 mg; Kolin Tartrat 100 mg; Vit. B1 2 mgd. Vit B2 2 mge. Nikotinamida 6 mgf. Vit. B6 2 mgg. Pantotenat 3 mgh. Biotin 0,1 mgi. Asam Folat 0,4 mgj. Vit B12, 0,67 mgk. Vit E, 3 mg Glucosamin*) Glucosamin*) Kalsium Karbonat*) Air untuk injeksi Kombinasi: *) Sorbitol 13,40 g; Docusat Sodium 0,01 g Melphalan

1. tab 1. tab 50 mg (HCl Nitrat) 2. inj. 100 mg/ml amp @ 1 ml 1. tab 10 mg 2 tab 500 mg 1. tab 500 mg 2. tab/kap 500 mg 1. btl 133 ml 1. kap/tab 250 mg 1. tab.

VITAMIN B. COMPLEX TABLET BTL.1000 Vitamin B1 10 X 10 KAP Vitamin B6 kotak 10 amp

KIMIA FARMA mutifa BERNOFARM

22 69 902 36 380.845 52 880 1.467 68.970 880

22 AMS, PV 33 Penta 900 PT Indofarma Global Medika 17 361.802 49 550 900 46.210 500 PT KEBAYORAN PHARMA AMS, APL MBS, AAM PT Indofarma Global Medika PT Indofarma Global Medika PT KEBAYORAN PHARMA PT MERAPI

Vitamin B6 10 X 10 TAB mutifa Bonviva Dus, I blister@1tablet Roche CALCIUM LACTATE 500BTL.1000 MG TAB KIMIA FARMA Calos Chewable Tab Btl @ 60 tab pratafa Fitbon Box, 10 Strip @ 6 KapletSOHO Fleet Enema Botol, 133 ml COMBIPHAR FARMA Glucosamin 250 mg Tablet Dus, 6 strip @ 10 tablet HEXPHARM

Methioson

Botol, 60 tablet

SOHO

880

800 AMS, PV

26 26 26 26 26 27

LAIN - LAIN LAIN - LAIN LAIN - LAIN LAIN - LAIN LAIN - LAIN ANTINEOPLASTIK, IMUNOSUPRESAN DAN TERAPI PALIATIF

1. kap/tab 250 mg 2. tab/kap 500 mg 1. tab 500 mg 1. inj. amp @ 25 ml 1. btl tab 1 mg

Osmin 250 Osmin 500 Osteocal Otsu water inj YAL Alkeran

Box, 6x10 tab

FINUSOL

935 1.320 953 1.863 85.800 13.200

630 PT MERAPI 800 PT MERAPI 600 PT KEBAYORAN PHARMA 1.700 PT Indofarma Global Medika 55.000 PT. AAM 12.540 Distriversa / kebayoran

Box, 6 strip x 10 kaplet FINUSOL Box ,12 strip @ 6 Tablet nicholas Injeksi, Amp. 25 ml otsuka Enema,Botol isi 67,5 ml TRIPATRIA Tab 2 mg / 25's GLAXO SMITH KLIEN

21/26

27

KODE KELAS TERAPI/SUB KELAS TERAPI KELAS ANTINEOPLASTIK, IMUNOSUPRESAN DAN TERAPI PALIATIF IMMUNOSUPRESAN IMMUNOSUPRESAN IMMUNOSUPRESAN IMMUNOSUPRESAN IMMUNOSUPRESAN IMMUNOSUPRESAN IMMUNOSUPRESAN ANTIHORMON ANTIHORMON ANTI HORMON
ANTIHORMON

NAMA GENERIK Daunorubicin

SEDIAAN/KEKUATAN
Ampul 100 mg

NAMA DAGANG

ANTINEOPLASTIK, IMUNOSUPRESAN Calcium DAN TERAPI Levofolinat PALIATIF

Calcium Levofolinate Ebewe 1 Amp/box

KEKUATAN dan KEMASAN

Ferron

PABRIK FARMASI

HNA REGULER
880.000

HNA ASKES
785.400 AAM

DISTRIBUTOR FARMASI

27

inj 20 mg/ vial DAUNOCIN - NPL Box, 1 Vial Novel 363.000 17.250 33.550 17.586 31.081 16.800 59.457 21.939 143.000 4.950 4.308
4.308

363.000 AMS, APL 18.896 36.903 14.750 30.500 16.801 77.858 18.400 2.416 2.200 2.307
2.307 AAM

27.1 27.1 27.1 27.1 27.1 27.1 27.2 27.2 27.2 27.2
27.2

Everolimus Everolimus Tacrolimus *) Tacrolimus *) Siklosporin Siklosporin Mycophenolate Morfetil *) Tamoksifen Tamoksifen Tamoxifen
Tamoksifen

1. tab 0,25 mg 2. tab 0,50 mg 1. kap. 0,5 mg 2. kap. 1 mg 1. kaps lunak 25 mg 2. kaps lunak 100 mg 1.tab 500 mg 1. tab. 20 mg (sbg. Sitrat) 1. tab. 20 mg (sbg. Sitrat) tab 20 mg
1. tab. 20 mg (sbg. Sitrat)

Certican Certican Prograf Capsul 0,5 MG Prograf Capsul 1 Mg Sandimmun Neoral Sandimmun Neoral Cellcept 500mg TAMOFEN 20 MG TABLET 3X10 TAMOPLEX Tamoxifen Ebewe
Tamoxifen Ebewe

Box 6x10 tab novartis Box 6x10 tab novartis Box, 1 pouch @ 5 blisters ASTELLAS @ 10 capsules Box, 1 pouch @ 5 blisters ASTELLAS @ 10 capsules Box 10 blister x 5 kaps lunak novartis Box 10 blister x 5 kaps lunak novartis Dus,5 blister @10 kaptab Roche tablet Kalbe

Tablet 20 mg/ Duz @ 30's Combiphar Onco 30 Tab/Box Ferron

30 Tab/Box 1 Vial/Box INJ 300 MG/AMP 5 ML INJ 150 MG/15 ML INJ 450 MG/45 ML Ferron Ferron Actavis Actavis Actavis

27.2
27.3 27.3 27.3 27.3

ANTIHORMON
SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

Medroksi Progesteron Asetat

Fluorourasil Disodium Clodronate Tetrahydrate *) Carboplatin *) Carboplatin *)

1. tab 500 mg
2. inj. 500 mg/vial 1. inj. 300 mg/ amp 5 ml 2. inj. 150 mg/15 ml. 3. inj. 450 mg/45 ml.

VERAPLEX
5 Fluorourasil Ebewe ACTABONE ACTOPLATIN ACTOPLATIN

Tablet 500 mg/ Duz @ 100's Combiphar Onco

38.324
110.000 132.000 517.000 1.485.000

30.700
97.000 125.400 275.000 750.000 AAM MBS MBS MBS

27.3 27.3
27.3 27.3 27.3 27.3

SITOTOKSIK SITOTOKSIK
SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

Doksorubisin Doksorubisin
Citarabin Citarabin Exemestan *) Bevacizumab*)

1. serb.inj. 10 mg/vial (HCl) 2. serb.inj. 50 mg/vial (HCl)

1. serb. inj.100 mg/vial 2. serb. Inj.500 mg/10 ml 1. tab. 25 mg 1. Inj. 100 mg/4 ml.

ADRICIN ADRICIN
Alexan Alexan Aromasin Avastin

Box, 1 Vial Box, 1 Vial

1 Vial/Box 1 Vial/Box Dus, 2 blister @ 15 tab Dus, 1 vial @4mL

Novel Novel
Ferron Ferron Pfizer Roche

111.320 521.813
73.700 299.750 61.271,80 4.927.146

79.749 385.000
73.700 259.350 41.052,13 4.927.146 AAM AAM APL PT Tempo

27.3 27.3 27.3 27.3 27.3

27.3 27.3 27.3

SITOTOKSIK
SITOTOKSIK

Bleomisin
Bleomisin

1. serb. inj. 15 mg/amp.(sbg. Sulfat)

1. serb. inj. 15 mg/amp.(sbg. Sulfat)

BLENAMAX

Vial 15 IU/ 10 ml

Combiphar Onco combi Kalbe Roche BAYER KALBE KALBE

Ferron

387.200 387.200 462.000 3.047.091 200.104 1.760.000 5.390.000

330.000

345.520 345.520 385.000 2.750.000 159.500 1.597.200 4.400.000

233.835 AAM

BLENAMAX INJ. RTUS 15Vial IU/ 15 10 IU/ ML 10 ml BLEOCIN 15 MG Bondronat Bonefos BREXEL 20 MG BREXEL 80 MG Campto Campto Carboplatin
Carboplatin Ebewe Carboplatin Ebewe Carboplatin Ebewe

SITOTOKSIK SITOTOKSIK
SITOTOKSIK

Bleomisin Ibandronic Acid

Disodium Clodronate Tetrahydrate *) Docetaxel *) Docetaxel *) Kalsium Folinat

1. serb. inj. 15 mg/amp.(sbg. Sulfat) Vial 6 mg

1. inj. 300 mg/ amp 5 ml 1. inj. 20 mg/vial 2. inj. 80 mg/vial 2. inj. 50 mg/ml, vial

vial Dus,1vial @6mL Box 5 amp vial vial

SITOTOKSIK
SITOTOKSIK SITOTOKSIK

Calcium Folinat ebewe 50 5 mg Amp/Box

27.3 27.3 27.3

27.3 27.3 27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK SITOTOKSIK SITOTOKSIK

Irinotecan HCl*) Irinotecan HCl*) Carboplatin *)

Carboplatin *) Carboplatin *) Carboplatin *)

2. inj 100 mg/5 ml 1. inj 40 mg/2ml 3. inj. 450 mg/45 ml.

1. inj. 50 mg/5 ml. 2. inj. 150 mg/15 ml. 3. inj. 450 mg/45 ml.

Dus, vial 5 ml Pfizer Dus, vial 2 ml Pfizer Dus, vial plastik @ 45 mlPfizer
1 Vial/Box 1 Vial/Box 1 Vial/Box Ferron Ferron Ferron

3.674.391 1.680.014 990.000

214.500 605.000 1.705.000

1.598.360 688.806 891.000

214.500 AAM 339.150 AAM 790.650 AAM

27.3 27.3 27.3 27.3 27.3 27.3

27.3 27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK SITOTOKSIK

Carboplatin *) Carboplatin *) Carboplatin *) Carboplatin *) Cisplatin Cisplatin

Cisplatin Cisplatin

2. inj. 150 mg/15 ml. 3. inj. 450 mg/45 ml. 2. inj. 150 mg/15 ml. 3. inj. 450 mg/45 ml. 1. serb. inj. 10 mg/vial 2. serb. inj. 50 mg/vial
1. serb. inj. 10 mg/vial 2. serb. inj. 50 mg/vial

CARBOPLATIN KALBE vial Kalbe 150 MG CARBOPLATIN KALBE 450vial MG KALBE CARBOSIN Vial 150 mg / 15 ml Combiphar Onco CARBOSIN Vial 450 mg/ 45 ml Combiphar Onco Cisplatin Dus, 1 vial plastik @ 10 ml Pfizer Cisplatin Dus, 1 vial plastik @ 50 ml Pfizer
Cisplatin Ebewe Cisplatin Ebewe 1 Vial/Box 1 Vial/Box Ferron Ferron

600.600 1.732.500 641.465 1.847.340 41.382 194.568

63.250 291.500

355.300 830.500 323.000 755.000 37.244 175.111

34.650 AAM 161.700 AAM

27.3 27.3 27.3 27.3 27.3 27.3

27.3 27.3 27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK SITOTOKSIK SITOTOKSIK

Cisplatin Cisplatin Fluorourasil Fluorourasil Siklofosfamid Siklofosfamid

Siklofosfamid Siklofosfamid Siklofosfamid

1. serb. inj. 10 mg/vial 2. serb. inj. 50 mg/vial 1. inj. 250 mg/vial 2. inj. 500 mg/vial 4. serb.inj.1000 mg/vial 1. tab.salut 50 mg
2. serb. Inj. 200 mg/vial 3. serb. inj. 500 mg/vial 4. serb.inj.1000 mg/vial

CISPLATIN KALBE 10 MG CISPLATIN KALBE 50 MG CURACIL 250 MG CURACIL 500 MG CYCLOPHOSPHAMIDE KALBE 1000 MG CYCLOPHOSPHAMIDE KALBE 50MG TAB
CYCLOVID CYCLOVID CYCLOVID

vial vial ampul vial vial tablet

Box, 1 Vial Box, 1 Vial Box, 1 Vial

Kalbe Kalbe Kalbe Kalbe Kalbe Kalbe

Novel Novel Novel

76.230 319.000 36.300 66.550 330.000 121.000

119.790 292.215 338.800

36.300 169.411 25.410 38.061 349.800 4.400

114.400 PT AMS 268.000 PT AMS 333.900 PT AMS

27.3
27.3

SITOTOKSIK
SITOTOKSIK

Hidroksi Urea *)
Dakarbazin

1. tablet 500 mg
1. serb. inj. 200 mg/vial 20 ml. amp.

CYTODROX Dacarbazine Medac

Box @ 100 Cap's

Combiphar Onco DIPA - serb. inj. 200 mg/vial PHARMA 20 ml. Amp. LABS

8.690 427.900

6.250 385.110

22/26

KODE KELAS 27.3 27.3 27.3 27.3 27.3 27.3 27.3 27.3
27.3

KELAS TERAPI/SUB KELAS TERAPI SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK
SITOTOKSIK

NAMA GENERIK Carboplatin *) Carboplatin *) Citarabin Vinblastin Vinkristin Doksorubisin Doksorubisin Doksorubisin
Doksorubisin

SEDIAAN/KEKUATAN 2. inj. 150 mg/15 ml. 3. inj. 450 mg/45 ml. 3. serb. Inj.1000 mg. 1. serb. inj. 10 mg/vial (Sulfat) 2. serb. inj.2 mg/vial 1. serb.inj. 10 mg/vial (HCl) 2. serb.inj. 50 mg/vial (HCl) 1. serb.inj. 10 mg/vial (HCl)
1. serb.inj. 10 mg/vial (HCl)

KEKUATAN dan PABRIK NAMA DAGANG KEMASAN FARMASI DBL CARBOPLATIN Vial,150 mg/15 ml Tempo DBL CARBOPLATIN Vial,450 mg/45 ml Tempo DBL CYTARABINE INJECTION Vial,1 gr/10 ml Tempo DBL VINCRISTINE SULFATE Vial,10 INJECTION mg/10 ml Tempo DBL VINCRISTINE SULFATE Vial,2mg/2 INJECTION ml Tempo DOXORUBICIN ACTAVIS SERB. INJ. 10 MG/VIAL (HCL) Actavis DOXORUBICIN ACTAVIS SERB. INJ. 50 MG/VIAL (HCL) Actavis Doxorubicin ebewe 10mg 1 Vial/Box Ferron
Doxorubicin ebewe 10mg 1 Vial/Box Ferron

HNA REGULER 794.650 2.236.100 600.000 295.000 198.000 143.000 627.000 161.700
161.700

HNA ASKES 322.000 749.000 550.000 247.650 115.000 69.182 343.840 76.125
76.125 AAM

DISTRIBUTOR FARMASI

27.3
27.3

SITOTOKSIK
SITOTOKSIK

Doksorubisin
Doksorubisin

2. serb.inj. 50 mg/vial (HCl)

2. serb.inj. 50 mg/vial (HCl)

Doxorubicin ebewe 50mg 1 Vial/Box

Doxorubicin ebewe 50mg 1 Vial/Box

Ferron
Ferron

739.200
739.200

363.300
363.300 AAM

27.3 27.3 27.3 27.3 27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

Doksorubisin Doksorubisin Doksorubisin Doksorubisin Doksorubisin

1. serb.inj. 10 mg/vial (HCl) 2. serb.inj. 50 mg/vial (HCl) 1. serb.inj. 10 mg/vial (HCl) 2. serb.inj. 50 mg/vial (HCl) 1. serb.inj. 10 mg/vial (HCl)

DOXORUBICIN KALBE 10 MG DOXORUBICIN KALBE 50 MG DOXORUBIN DOXORUBIN Doxotil

vial vial Vial 10 mg/ 5 ml Vial 50 mg/ 25 ml - serb inj. 10mg.vial (HCL) - serb inj. 50mg.vial (HCL)

Kalbe Kalbe Combiphar Onco Combiphar Onco DIPA PHARMA LABS DIPA PHARMA LABS
Ferron Ferron Ferron

169.400 766.535 196.350 835.670 90.750

79.750 385.000 72.500 350.000 75.625

27.3
27.3 27.3 27.3 27.3

SITOTOKSIK
SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

Doksorubisin
Paclitaxel *) Paclitaxel *) Paclitaxel *) Oxaliplatine*)

2. serb.inj. 50 mg/vial (HCl)

2. inj 1. inj 3. inj 2. inj 100 mg/vial 30 mg/vial 300 mg/vial 100 mg

Doxotil

429.000
2.860.000 998.250 7.425.000

357.500
1.753.500 AAM 546.000 AAM 5.067.563 AAM

Ebetaxel 100 mg/16,7 ml 1 Vial/Box Ebetaxel 30 mg/ml 1 Vial/Box Ebetaxel 300 mg/50 ml 1 Vial/Box

27.3 27.3 27.3 27.3 27.3 27.3 27.3 27.3 27.3

27.3 27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK SITOTOKSIK

Metotreksat Metotreksat Metotreksat Siklofosfamid Siklofosfamid Siklofosfamid Leuprorelin Acetate*) Epirubicin *) Epirubicin *)
Epirubicin *) Epirubicin *)

1. serb.inj. 50 mg/ 2 ml, vial 1. tab. 2,5 mg (sbg. garam Na) 2.serb.inj. 5 mg/ 2 ml, vial (sbg.garam Na) 4. serb.inj.1000 mg/vial 2. serb. Inj. 200 mg/vial 3. serb. inj. 500 mg/vial 2. inj.3,75 mg/vial 1. serb.inj. 10 mg/vial 2. serb.inj. 50 mg/vial
1. serb.inj. 10 mg/vial 2. serb.inj. 50 mg/vial

ELOXATIN EMTHEXATE EMTHEXATE EMTHEXATE Endoxan 1000 mg Endoxan 200 mg Endoxan 500 mg ENDROLIN Epirubicin ebewe Epirubicin ebewe
Epirubicin ebewe Epirubicin ebewe

20 ml / 100 mg Vial 50 mg/ 2 ml Bottle @ 100's Vial 5 mg/ 2 ml Serbuk Inj.1000mg/vial Serbuk Inj.200mg/vial Serbuk Inj.500mg/vial 3.75 mg/ vial 1 Vial/Box 1 Vial/Box
1 Vial/Box 1 Vial/Box

SANOFI AVENTIS Combiphar Onco Combiphar Onco Combiphar Onco Transfarma Transfarma Transfarma Kalbe Ferron Ferron
Ferron Ferron

6.237.000 125.664 3.180 75.075 349.800 114.400 268.950 980.000 282.975 1.310.925
282.975 1.310.925

3.307.500 45.100 1.270 33.000 620.397 184.223 409.448 785.000 170.100 907.268
170.100 AAM 907.268 AAM

27.3 27.3 27.3 27.3

27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK

Epirubicin *) Epirubicin *) Epirubicin *) Epirubicin *)

Eritropoetin-Alfa*)

1. serb.inj. 10 mg/vial 2. serb.inj. 50 mg/vial 1. serb.inj. 10 mg/vial 2. serb.inj. 50 mg/vial

1. Prefilled Syringe 2000 IU@0,5 ml

EPIRUBICIN KALBE 10 MG EPIRUBICIN KALBE 50 MG EPISINDAN EPISINDAN

EPOTREX

vial vial

Kalbe Kalbe

253.000 1.243.000 214.500 1.072.500

209.000

178.200 950.472 160.000 860.000

180.000 PT AMS

SERB. INJ. 10 MG/VIAL Actavis SERB. INJ. 50 MG/VIAL Actavis

Preff Syring 2000 IU Novel

27.3
27.3

SITOTOKSIK
SITOTOKSIK

Eritropoetin-Alfa*)
Cetuximab *)

1. Prefilled Syringe 2000 IU@0,5 ml

1. inj 100 mg/vial

Eprex

Dus, 6 prefilled syringe @ John 0.5 ml MERCK Ferron

Ferron

280.500 3.850.000 146.300

146.300

180.000 3.850.000 103.740

103.740 AAM

27.3
27.3

SITOTOKSIK
SITOTOKSIK

Etoposid
Etoposid

1. inj. 20 mg/ml, amp @ 5 ml.

1. inj. 20 mg/ml, amp @ 5 ml.

ERBITUX BOX, 1 VIAL @ 20 ML Etoposid ebewe 100mg 1 Vial/Box

Etoposid ebewe 100mg 1 Vial/Box

27.3 27.3 27.3 27.3 27.3

27.3 27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK SITOTOKSIK

Etoposid Letrozol *) Fluorourasil Gemcitabine *) Gemcitabine *)

Gemcitabine *) Gemcitabine *)

1. inj. 20 mg/ml, amp @ 5 ml. 1. tab. 2,5 mg 2. inj. 500 mg/vial 1. inj. 200 mg/vial 2. inj. 1.000 mg/vial
2. inj. 1.000 mg/vial 1. inj. 200 mg/vial

ETOPUL Femara FLURACEDYL GEMTAVIS GEMTAVIS Gemzar 1 gr Gemzar 200 mg Glivec GRANOCYTE 34 HEMAPO 3000 IU Herceptin 440 mg Holoxan 1000 mg

Box, 5 Amp box 30 tab Vial 500 mg/ 10 ml INJ. 200 MG/VIAL INJ. 1000 MG/VIAL

Novel Novartis Combiphar Onco Actavis Actavis

715.000 58.737 71.940 495.000 2.310.000

543.400 43.250 34.600 440.000 2.000.000 2.583.000 561.750 210.833 577.500 211.750 19.608.034 1.598.697

Box, 1 Vial Serbuk 1 gr ELI LILLY Box, 1 Vial Serbuk 200 mg Box 60 tab box 1 vial prefilled syringe ELI LILLY

IDR 3,557,400 750.750 1.190.629 176.000 19.608.034 1.260.000

27.3
27.3

SITOTOKSIK
SITOTOKSIK

Imatinib Mesylat*)
Lenograstim*)

1. tab. 100 mg.

1. Injeksi 263 mcg/ml

27.3 27.3 27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK

Eritropoetin-Alfa*) Trastuzumab*) Ifosfamide *)

2. Prefilled Syringe 3000 IU/ml 1. inj 440 mg/20 ml 2. inj. 1000 mg/vial

Novartis SANOFI AVENTIS Kalbe

Dus 1 vial @440mg + 1 Roche vial pelarut 20mL Serbuk Inj. 1000 mg/vialTransfarma

23/26

27.3

KODE KELAS TERAPI/SUB KELAS TERAPI KELAS

SITOTOKSIK

NAMA GENERIK
Hidroksi Urea *)

SEDIAAN/KEKUATAN
1. tablet 500 mg

NAMA DAGANG Hydroxyurea Medac

KEKUATAN dan KEMASAN - tablet 500 mg vial

Box, 1 Vial

PABRIK FARMASI DIPA PHARMA LABS Kalbe KALBE

Novel

HNA REGULER 825.000 660.000 385.000

935.000

HNA ASKES 6.600 605.000 244.971

600.000 PT AMS

DISTRIBUTOR FARMASI

27.3
27.3 27.3

SITOTOKSIK
SITOTOKSIK SITOTOKSIK

Filgrastim*)
Kalsium Folinat Filgrastim*)

1. Inj/ Prefilled Syringe 0,3 mg/0,5 ml. LEUCOGEN

2. inj. 50 mg/ml, vial 1. Inj/ Prefilled Syringe 0,3 mg/0,5 ml. LEUKOKINE

LEUCOVORIN KLB 50 MGvial Leunase 10.000 IU MabThera 100mg MabThera 500mg Methotrexate ebewe
Methotrexate ebewe

27.3 27.3 27.3 27.3

27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK

Asparaginase Rituximab.*) Rituximab.*) Metotreksat

Metotreksat

1. serb. inj. 10.000 IU/vial 1. inj. 100 mg / 10 ml. 2. inj. 500 mg / 50 ml. 2.serb.inj. 5 mg/ 2 ml, vial (sbg.garam Na)
1. tab. 2,5 mg (sbg. garam Na)

serb. inj. 10.000 IU/vial Widatra 1.298.000 Dus 2 vial @10mL ATAU Dus 1 vial @10mL ??? 3.164.805 Roche Dus 1 vial @50mL Roche 15.824.026 10 Amp/Box
50 Tab/Box

950.000 3.164.805 15.824.026 34.650

1.334 AAM

Ferron
Ferron

62.700
2.310

27.3
27.3

SITOTOKSIK
SITOTOKSIK

Metotreksat
Mitomicin C *)

1. serb.inj. 50 mg/ 2 ml, vial

2. serb.inj. 10 mg/vial

27.3 27.3 27.3

27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK

Mitomicin C *) Vinorelbine *) Filgrastim*)

Filgrastim*)

2. serb.inj. 10 mg/vial 1. inj. 10 mg/vial

METHOTREXATE KLB 50MG Mitomycin C Mitomycin C Navelbine 10 mg

vial serb.inj. 10 mg/vial serb.inj. 10 mg/vial Injeksi 10 mg/vial Dus, 1PFS @0,5mL
Dus, 1PFS @0,5mL

Kalbe Wida Widatra Transfarma Roche

Roche

60.500 869.000 869.000 1.221.250 930.739

930.739

49.610 662.500 662.500 1.710.654 560.000

560.000 PT Tempo

1. Inj/ Prefilled Syringe 0,3 mg/0,5 ml. Neupogen

1. Inj/ Prefilled Syringe 0,3 mg/0,5 ml. Neupogen

27.3 27.3 27.3 27.3

27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK

Oxaliplatine*) Oxaliplatine*) Oxaliplatine*) Oxaliplatine*)

Oxaliplatine*)

1. inj 50 mg 2. inj 100 mg 2. inj 100 mg 1. inj 50 mg

2. inj 100 mg

OXALIPLATIN ACTAVIS INJ 50 MG OXALIPLATIN ACTAVIS INJ 100 MG Oxaliplatin ebewe Oxaliplatin ebewe Oxaliplatin Medac 1 Vial/Box 1 Vial/Box - inj 100 mg

Actavis Actavis Ferron Ferron DIPA PHARMA LABS DIPA PHARMA LABS Kalbe Kalbe Combiphar Onco Combiphar Onco combi combi Roche Combi Kalbe Actavis Actavis

1.870.000 3.630.000 3.520.000 1.958.000 4.717.900

1.550.000 3.100.000 3.307.500 1.680.000 3.302.530

27.3

SITOTOKSIK

Oxaliplatine*)

1. inj 50 mg

Oxaliplatin Medac 27.3 27.3 27.3 27.3 27.3 27.3 27.3 27.3 27.3 27.3 27.3
27.3 27.3

- inj 50 mg

2.396.900 2.860.000 998.250 90.750 334.235 90.750 334.235 280.090 375.375 1.980.000 957.000 2.750.000
60.500 275.000

1.677.830 1.837.000 572.000 33.000 154.750 33.000 154.750 190.000 222.700 1.759.999 519.000 1.610.000
31.350 MBS 147.400 MBS

SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK SITOTOKSIK

Paclitaxel *) Paclitaxel *) Cisplatin Cisplatin

Cisplatin Cisplatin

2. inj 100 mg/vial 1. inj 30 mg/vial 1. serb. inj. 10 mg/vial 2. serb. inj. 50 mg/vial
1. serb. inj. 10 mg/vial 2. serb. inj. 50 mg/vial

SITOTOKSIK
SITOTOKSIK

Eritropoetin- Beta*)
Kalsium Folinat

1. Prefilled Syringe 2000 IU

2. inj. 50 mg/ml, vial

SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK SITOTOKSIK

Oxaliplatine*) Paclitaxel Paclitaxel

Cisplatin Cisplatin

1. inj 50 mg inj 30 mg/ml inj 100 mg/16,7 ml

1. serb. inj. 10 mg/vial 2. serb. inj. 50 mg/vial

PAXUS 100 MG vial PAXUS 30 MG vial PLATOSIN Vial 10 mg/ 10 ml PLATOSIN Vial 50 mg/ 50 ml PLATOSIN INJ. RTUS 10 MG/ Vial 10 mg/ ML 10 ml PLATOSIN INJ. RTUS 50 MG/ Vial 50 mg/ ML 50 ml Recormon 2000 Dus, 6PFS@ 0,3mL RESCUVOLIN , INJ. RTUS Vial 50 MG/ 50 mg/ 10 ML 10 ml REXTA 50 MG vial SINDAXEL INJ 30 MG/VIAL SINDAXEL INJ 100 MG/VIAL
SINPLATIN SINPLATIN

SERB. INJ. 10 MG/VIAL Actavis SERB. INJ. 50 MG/VIAL Actavis

27.3 27.3 27.3

27.3 27.3 27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK SITOTOKSIK SITOTOKSIK

Leuprorelin Acetate*) Leuprorelin Acetate*) Leuprorelin Acetate*)

Docetaxel *) Docetaxel *) Lapatinib ditosylate*)

1. inj 1.88 mg/vial 2. inj.3,75 mg/vial 3. inj 11.25 mg/vial

1. inj. 20 mg/vial 2. inj. 80 mg/vial 1. tab salut 250 mg

Tapros 1.88 Tapros 3.75 Tapros 3M TAXOTERE TAXOTERE

27.3 27.3 27.3 27.3 27.3 27.3 27.3 27.3

27.3 27.3 27.3

SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK

Cisplatin Cisplatin Vinblastin

Vinblastin

1. serb. inj. 10 mg/vial 2. serb. inj. 50 mg/vial 1. serb. inj. 10 mg/vial (Sulfat)
1. serb. inj. 10 mg/vial (Sulfat)

SITOTOKSIK SITOTOKSIK SITOTOKSIK SITOTOKSIK

SITOTOKSIK SITOTOKSIK SITOTOKSIK

Vinkristin Vinkristin Vinkristin Vinkristin

Vinkristin Vinkristin Capecitabine *)

1. serb. inj.1 mg/vial (sbg. Sulfat) 2. serb. inj.2 mg/vial 1. serb. inj.1 mg/vial (sbg. Sulfat) 2. serb. inj.2 mg/vial
1. serb. inj.1 mg/vial (sbg. Sulfat) 2. serb. inj.2 mg/vial 1. tab 500 mg

Box, 1 vial Box, 1 vial Box, 1 vial box 1 vial box 1 vial tab 250 mg/box 7 Tykerb blister @ 10 tab Box, 1 Vial UNISTIN Box, 1 Vial UNISTIN VINBLASTINE Vial 10 mg/ 10 ml VINBLASTINE INJ. 10 MG/ Vial 1010 ML mg/ 10 ml VINCRISTINE KALBE Inj. 1vial mg VINCRISTINE KALBE Inj. 2vial mg VINCRISTINE PCH Vial 1 mg/ 1 ml VINCRISTINE PCH Vial 2 mg/ 2 ml VINCRISTINE PCH INJ. RTUS Vial1 1MG/ mg/ 1ML 1 ml VINCRISTINE PCH INJ. RTUS Vial2 2MG/ mg/ 2 ML ml
Xeloda 500mg Dus,12 blister@10 tab

Takeda Takeda Takeda SANOFI AVENTIS SANOFI AVENTIS GLAXO SMITH KLIEN Novel Novel Combiphar Onco combi KALBE KALBE Combiphar Onco Combiphar Onco combi combi
Roche

935.550 1.566.429 3.947.479 2.599.709 8.017.756 82.353 60.500 250.470 311.575 311.575 111.320 214.500 115.500 228.690 115.500 228.690
40.238

750.000 1.105.000 2.950.000 1.386.000 4.200.000 80.294 55.000 170.499 247.700 247.700 84.149 127.050 76.500 115.500 76.500 115.500
31.750 PT Tempo

27.3 28 28
24/26

SITOTOKSIK ANALGESIK NARKOTIK ANALGESIK NARKOTIK

Zoledronic Acid *) Kombinasi : *) Codein 30 mg; Parasetamol 500 mg Sufentanil

1. inj. 4mg / 5ml 1. tab inj. 12,5 mcg/ml (sbg Sitrat), vial @ 10 ml

Zometa CODITAM Durogesic

Box 1 vial Dus 10 x 10 Tab Dus, 5 patch

Novartis KIMIA FARMA JOHNSON

3.517.800 2.928 82.500

2.525.000 2.640 PT. AAM 66.000 PT Indofarma Global Medika

KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK KELAS 28 ANALGESIK NARKOTIK Sufentanil 28 28 28 28 28 28 29 ANALGESIK NARKOTIK ANALGESIK NARKOTIK ANALGESIK NARKOTIK ANALGESIK NARKOTIK ANALGESIK NARKOTIK ANALGESIK NARKOTIK PRODUK DARAH Sufentanil Sufentanil Morfin Morfin Petidin Sufentanil Faktor VIII (Konsentrat)

KEKUATAN dan PABRIK SEDIAAN/KEKUATAN NAMA DAGANG HNA REGULER KEMASAN FARMASI inj. 25 mcg/ml (sbg Sitrat), vial @ 10 Durogesic Dus, 5 patch JOHNSON 132.000 ml inj. 50 mcg/ml (sbg Sitrat), vial @ 10 Durogesic Dus, 5 patch JOHNSON 233.640 ml 1. inj. 5 mcg/ml (sbg Sitrat), vial @ Fentanyl Dus, 5 ampul @ 10 ml JOHNSON 110.000 10 ml MORFIN 10 MG TAB (OGB) FLS 30 TAB KIMIA FARMA 1.351 1. tab. 10 mg 4. inj.10 mg/ml,(Sulfat), amp @ 1 ml MORPHINE 10 MG DS. 10 X 1ML KIMIA FARMA 11.434 1. inj. 50 mg/ml (HCl), amp @ 2 ml 1. inj. 5 mcg/ml (sbg Sitrat), vial @ 10 ml 3. serb. Inj. 480 - 600 IU PETHIDINE 50 MG Sufenta Koate DVI DS. 10 X 2ML KIMIA FARMA 13.431 121.000 2.790.095

HNA ASKES

DISTRIBUTOR FARMASI

105.600 PT Indofarma Global Medika 186.912 AMS, PV 110.000 PT. AAM 1.351 PT. AAM 11.434 PT. PENTA VALENT 13.431 PT Dos Ni Roha; PT Parazelsus Indonesia 108.900 MBS/MUP/SBF 2.604.089 PT. AAM

Dus, 5 ampul @ 10 ml JOHNSON DIPA - serb. Inj. 480 - 600 IU PHARMA LABS DIPA - serb. Inj. 230 - 340 IU PHARMA LABS Box, vial 250 IU, serbuk BAYER + Pelarut Box, vial 500 IU, serbuk BAYER + Pelarut
Infusion 20%, fls 50ml, Botol Dexa 50 ml

29

PRODUK DARAH

Faktor VIII (Konsentrat)

1. serb. Inj. 230 - 340 IU Koate DVI

1.395.048 1.663.200 2.420.000

715.000,00

1.302.044 AMS, PV 1.400.000 2.057.000

450,000,00 PT. AAM

29.1 29.1
29.2

PRODUK DARAH PRODUK DARAH

Anti Hemophilic Recombinant Anti Hemophilic Recombinant

vial serbuk vial serbuk

1. inj. 20%, 50 ml.

Kogenate FS Kogenate FS
Albapure

PENGGANTI PLASMA DAN PLASMA EKSPANDER Albumin serum normal *)

29.2 29.2 29.2 29.2 29.2 29.2 29.2 29.2 29.2 29.2 29.2 29.2 29.2 29.2

PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER

Albumin serum normal *) Albumin serum normal *) Albumin serum normal *) Koloid HES BM 40.000 Hidroxyl Ethyl Starch BM 200.000

1. inj. 20%, 50 ml. 1. inj. 20%, 50 ml. 2. inj. 20%, 100 ml. 1. lar. Inf. 6%, btl 500 ml 1. lar. Inf 6%, btl 500 ml

ALBUMIN BIOTEST Cealb Cealb EXPAFUSIN FIMAHES FLEXY BAG Gelofusine Gelofusine Haes Haes steril 6 %

BTL 50 ML

KIMIA FARMA

847.000 770.000 1.375.000 80.000 179.300 159.500 159.500 170.500 170.500 184.800 184.800 110.000 450.000 900.000 749.375

450.000 450.000 900.000 80.000 55.000 90.508 90.508 52.500 52.500 59.400 59.400 52.250 825.000 1.650.000 499.583

vial inj.20% 50 ml VIAL Graha vial inj.20% 100 ml VIAL Graha Botol Flexi Bag 500 ml Btl Plastik 500ml Btl Plastik 500ml lar. Infus 6%, btl 500 ml lar. Infus 6%, btl 500 ml Btl Plastik 500ml Btl Plastik 500ml Kalbe Finusolprima Bbmi BBRAUN Fres Kabi fresenius Bbmi BBRAUN

Modified Fluid Gelatine BM 30.000 1. lar. Inf. 4%, btl 500 ml Modified Fluid Gelatine BM 30.000 1. lar. Inf. 4%, btl 500 ml Hidroxyl Ethyl Starch BM 200.000 Hydroxyl Ethyl Starch BM 200.000 1. lar. Inf 6%, btl 500 ml

PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER

Hidroxyl Ethyl Starch BM 200.000 Hidroxyl Ethyl Starch BM 200.000 Hidroxyl Ethyl Starch BM 200.000 Albumin serum normal *) Albumin serum normal *)

1. lar. Inf 6%, btl 500 ml 1. lar. Inf 6%, btl 500 ml 1. lar. Inf 6%, btl 500 ml 1. inj. 20%, 50 ml. 2. inj. 20%, 100 ml.

Hemohes 6% Hemohes 6% Hestar-200 6% Octalbin 20% Octalbin 20% Plasbumin 20

Unibag plastik 500 mL Prom Inj 20%, 50 ml Inj 20%, 100 ml - inj. 20%, 50 ml. DANKOS DANKOS DIPA PHARMA LABS DIPA PHARMA LABS DIPA PHARMA LABS DIPA PHARMA LABS DIPA PHARMA LABS

29.2

Albumin serum normal *)

1. inj. 20%, 50 ml.

29.2

Albumin serum normal *)

2. inj. 20%, 100 ml.

Plasbumin 20

- inj. 20%, 100 ml.

1.498.750

999.167

29.2 29.2

Albumin serum normal *) Albumin 5%

3. inj. 25%, 20 ml. 250 ml

Plasbumin 25

- inj. 25%, 20 ml.

371.800

340.817

Plasbumin 5 Albumin 5% 50 ml Plasbumin 5

- inj. 5%, 250 ml.

1.144.000

1.016.889

29.2

- inj. 5%, 50 ml.

330.000

302.500

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KODE KELAS TERAPI/SUB KELAS TERAPI NAMA GENERIK SEDIAAN/KEKUATAN KELAS 29.2 PENGGANTI PLASMA DAN Plasma Proten Fraction (Human) *) 1. lar. Inf 5%, btl 250 ml PLASMA EKSPANDER 29.2 29.2 29.2 29.2 29.2
29.2 29.2

NAMA DAGANG Plasmanate Venofundin Voluven Voluven

KEKUATAN dan KEMASAN - Plasma Proten Fraction (Human) 5% Btl Plastik 500ml lar. Infus 6%, btl 500 ml lar. Infus 6%, btl 500 ml

PABRIK FARMASI DIPA PHARMA LABS Bbmi Fres Kabi fresenius

HNA REGULER 1.134.815 170.500 187.000 187.000 163.900 165.000

753.500 1.523.500

HNA ASKES 1.008.724 59.290 52.500 52.500 80.300 77.000

DISTRIBUTOR FARMASI

PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER

Koloid HES BM 130.000 Koloid HES BM 130.000 Koloid HES BM 130.000

1. lar. Inf. 6%, btl 500 ml 1. lar. Inf. 6%, btl 500 ml

PENGGANTI PLASMA DAN PLASMA EKSPANDER PENGGANTI PLASMA DAN PLASMA EKSPANDER

Hidroxyl Ethyl Starch BM 200.000 Koloid HES BM 130.000

1. lar. Inf 6%, btl 500 ml 1. lar. Inf. 6%, btl 500 ml
1. inj. 20%, 50 ml. 2. inj. 20%, 100 ml.

Widahes Widahes 130

Zenalb 20 Zenalb 20

lar. infus, botol 500 ml Widatra lar. infus, botol 500 ml Widatra
Botol 50 ml Botol 100 ml Ikapharmindo Ikapharmindo

PENGGANTI PLASMA DAN PLASMA EKSPANDER Albumin serum normal *) PENGGANTI PLASMA DAN PLASMA EKSPANDER Albumin serum normal *)

440.000 Distriversa / kebayoran 907.500 Distriversa / kebayoran

30

RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE IMUNOGLOBULIN

Atracurium Besylate *)

1. Inj. 10 mg/ml amp @ 2.5 ml Atracurium - Hameln Inj, Box 5 ampul COMBIPHAR FARMA 44.000 22.000 AMS, APL

30

Atracurium Besylate *)

2. Inj. 10 mg/ml amp @ 5 ml Atracurium - Hameln Inj, Box 5 ampul COMBIPHAR FARMA 75.900 41.745 PT Indofarma Global Medika

30

Atracurium Besylate *)

3. Inj. 25 mg/ml amp @ 5 ml

NOTRIXUM

box isi 5 ampul @ 2,5 mlNovel

20.100

22.110 AMS, PV

30 31.1

Atracurium Besylate *) Hepatitis B Immunoglobulin (Human)*) Imunoglobulin Anti Tetanus (Human Tetanus Imunoglobulin) Anti Bisa Ular (ABU.I)
Anti Bisa Ular (ABU.I)

4. Inj. 10 mg/ml amp @ 5 ml 1. inj. 0.5 ml/syringe

NOTRIXUM

box isi 5 ampul @ 5 ml Novel - Hepatitis B Immunoglobulin (Human) DIPA PHARMA LABS

39.000

42.900 AMS, PV

HyperHep B S/D 1. inj.250 IU/amp. Tetagam 1. inj. vial @ 5 ml

1. inj. vial @ 5 ml

1.540.000

1.347.500

31.1

IMUNOGLOBULIN

Injeksi, 250iu/ ml, ampoule, Dexa Box 1 ampoule Vial 5 ml Biofar

Biofar

181.500 372.900
372.900

178,000,00 347.600
347.600

31.2
31.2

SERUM
SERUM

Serum Anti Bisa Ular Polivalen (KUDA) Serum Anti Tetanus (KUDA) 1.500 IU

Serum Anti Bisa Ular Polivalen Vial 5 (KUDA) ml

31.2
31.2

SERUM
SERUM

Anti Tetanus (A.T.S.)

Anti Tetanus (A.T.S.)

1. inj.1.500 I.U/amp, amp @ 1 ml

1. inj.1.500 I.U/amp, amp @ 1 ml

Ampul 1.500 IU

Biofar
Biofar

99.825
99.825

95.700
95.700

Serum Anti Tetanus (KUDA) Ampul 1.500 1.500 IU IU

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