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DAFTAR PERMINTAAN OBAT

NO URUT OBAT NAMA GENERIK NAMA DAGANG

Fentanil

Fentanyl (Inj) Durogesic Durogesic Sufenta Novalgin (inj) Decamidon Mefinal Ponstan Voltaren Flamar Eflagen

1 2 3

Sufentanil Antalgin Asam Mefenamat Natrium - Kalium Diklofenak

Ibuprofen

Proris Proris Proris Proris Proris Benocid Profenid Kaltrofen Lantiflam

indometasin 5 ketoprofen

6 7

Ketorolak trometamin Meloksikam

Toradol Xevolac Movicox Movicox Movicox Naxen Sanmol

Naproksen 8 Parasetamol

9 10

Paresetamol+asetil sistein+B44 Parasetamol + coffein

Pamol Pamol Sanmol Sistenol Nogren

11 12

Parekoksib natrium chlordiazepoxide + clidinium bromida Piroksikam

Probenesid 13 14 15 16 Selekoksib Methampiron + diazepam Tinoridin HCl Tramadol HCI

Dynastat braxidin Feldene Feldene Feldene Feldene Probenid Celebrex Potensik, Neurodial Nonflamin Tramal Tramal Tramal Tramal Tramal Trisik Arcoxia Arcoxia Arcoxia Ketesse Ketesse Dolofenac Ultracet Patral Zaldiar Dansera Nutriflam Zyloric Zyloric

17

Etoricoxib

18

Dexketoprofen trometamol Dikolfenak Na

19

Vit B1, B6, B12 Tramadol + parasetamol

20

Serapeptase + Vit B C Seratiopeptidase +pancreatin Alopurinol

Asam Hyaluronat

Hyalgan Adant Dispo Imuran Plaquenil Recolfar Arava Methotrexate EBW Emthexate

Azatioprin Hidroksiklorokuin Kolkisin Leflunomid Metotreksat

Mofetil Mikrofenolat Sikofosfamid

Sulfasalazin Infiximab Bupivakain HCI

Cellcept Endoxan-Asta lyophilisate Endoxan-Asta lyophilisate Endoxan-Asta lyophilisate Sulcolon Remicade Marcain; Reqivell Decain

Etilklorida Levobupivakain Lidokain HCI

Chirocaine 0,5 % Xylocain

Lidokain 2% + Adrenalin Lidokain (5%)+ Dextrose 5% Lidokain HCI 25 mg

Pehacain Xylestesin Lidodex Emla cream Estesia LMX

+Prilokain 25 mg Prilokain HCI Prokain+Kafein Ropivakain HCI Tetrakain HCI Lidocain + epinefrin Dinitrogen oksid Droperidol Enfluran Etomidat Isofluran Ketamin HCI

Impletol Naropin Pehacain Xylestesin Dihydrobenz-peridol Ethran Compond 347 Etomidate-lipuro Forane Ketalar Ketamin-hameln Ivanes Dormicum Midazolam-Hameln Diprivan Propofol lipuro Fresofol Sevorane Sojorn Pentothal Sodium IV

Midazolam Propofol

Sevoflurane Sodalalime pro anestesi Tiopental Natrium Deksmedetomidin Diazepam Kloralhidrat Desloratadin Difenhidramin HCI Feksofenadin HCI

Aerius Decadryl Telfast BD Telfast OD Telfast HD Telfast plus Avil Bestalin Bestalin Homoclomin

Feksofenadin HCI +Pseudoefedrin Feniramin maleat Hidroksizin Homoklorsiklizin Klorfeniramin maleat Loratadin Loratadin+Pseudofedrin

2 3

Inclarin Rhinos SR

Prometazin HCI 4 Setirizin Histrin

Dexametason Bepotastin besilat Oxymetazolin Mebhidrolin napadisilat Deferipron

Talion Interhistin Bioalergi Exjade Exjade Exjade Ferriprox Ferriprox Zinecard Anexate Desferal Anexate Rescuvolin inj. 50 mg/amp Leucovorin Rescuvolin tab 15 mg Calcium gluconate 10% Uromitexan Nokoba Meylon 8,4% prostgmin Norit Magnesium sulfat constipen Valium Valisanbe

Deksrazoksan Desferoksamin mesilat Flumazenil Kalsium Folinat Kalsium glukonat Mesna

Nalokson HCI Natrium Bikarbonat Natrium Tiosulfat Protamin sulfat Neostigmin Apomorfin HCI Karbo Adsorben Magnesium sulfat Laktulosa Diazepam

2 3 4 5

Fenitoin natrium Fenobarbital Gabapentin Karbamazepin

Dilantin Dilantin Phental Sibital Neurontin Tegretol Tegretol Tegretol Tegretol Rivotril Keppra Keppra Trileptal Trileptal Lyrica Lyrica Lyrica Topamax Topamax Topamax Topamax

6 7

Klonazepam Levetiracetam Magnesium sulfat Oxcarbamazepin Pregabalin

8 9

Topiramat

10

Valproat(dlm btk asam /natrium)

Lamotrigine Zonesamid 1 Amoksisilin

Topamax Topamax Depakane (sirup) Depakote tablet Depakote tablet Depakote tablet Lamictal Lamictal Zonegran Amoxsan Amoxsan Amoxsan Amoxsan Amoxsan Amoxsan Amoxsan Amoxsan Amoxsan Amoxsan

Amoksisilin Klavulanat

Augmentin Clavamox Viaclav

Ampisilin Sulbaktam

Bactesyn

Benzatin Penisilin Diklosasilin Fenoksi Metil Penisilin

Penadur LA Ospen Ospen Ospen Floxapen Meixam Meixam Meixam Tazocin Procaine penicillin-G-Meiji Kedacilin

Flukloksasilin Kloksasilin

Piperasilin+Tazobaktam Prokain Penisilin G Sulbenisilin Tikarsilin Amikasin 1 Gentamisin

Mikasin Amikin
Garamycin

Gentamerck Sagestam Kanamisin sulfat Netilmicin Netromycin Netromycin Netromycin Netromycin Dibekacin Dibekacin

Dibekasin sulfat Streptomisin sulfat Kloramfenikol Tiamfenikol

Urfamycin

Thiamycin

Sulfasalazin 1 Levofloksasin

lazafin Cravit Volequin Levores Avelox Lexinor Pyrflox Tarivid Danaflox Peflacine Dexaflox

Moksifloksasin Norfloksasin Ofloksasin Pefloksasin

Siprofloksasin

Ciproxin Ciproxin XR Civell Baquinor

Ezitrromisin

Zitromax Ziatic

Erittromisin stearat

Erythrocin EES Kalthrocin

Klaritromisin Spiramisin Azitromisin

Abbotic Bicrolid Spiradan Zithromaxm Aztrin Zitromax Zitromax Zitromax Zitromax Duricef Cefat

Linkomisin Sefadroksil

Sefaklor Sefazolin

Ceclor Cefazol

Sefepim Sefiksim

Fabiolin Maxipim Cefspan Sporetik Fixacef Stabixin Cefobid Cerobid Sulperazon Fosular Stabactam Claforan Lancef Primocef Ceradolan Fadiclo Banadoz Velosef; Lovecef Cefrom Cefrin Lanpirom Fortum Ceftum Negacef Cedax Cefizox Tizos Elpicef Cefaxon Kalcef Sharox omnicef

Sefoperazon

Sefoperazon+Sulbactam

Sefotaksim

Sefotiam Sefpodoksim Sefradin

Sefpirom

Seftazidim

9 10

Seftibuten Seftizoksim Seftriakson Sefuroksim (kapsul:Axetil;inj.Na) Sefdinir Sefditoren

Doksisiklin Minosiklin Oksitetrasiklin Tetrasiklin Tigesiklin

Doxicor Interdoxin Minocin Terramycin

Tygacil Fosmicin Fosmidex Tienam Palestine Delacin Anerocid Clinium Colistine Sanprima

1 2 3

Fostomisin Imipenem+Cilastatin Klindamisin

Kolistin 4 Kotrikmosazol(TMP+SMZ)

Linezolid 5 6 Meropenem Metronidazol

Zyvox Meronem Ronem Flagyl Novamet

Teikoplanin Tinidazol Vankomisin Mesalazin

Targocid Flatin Vancep Salofalk

Doripenem Gentamycin sulfate

Doribax Garamycin Gentamerck Sagestam Invanz Azactam Vebac Bacbutol Tibitol INH Ciba Pehadoxin Forte Pezeta Prazina Rimactane Rifamtibi

Ertapenem Aztreonam

1 2 3 4

Etambutol Isoniasid+vit B6 Pirazinamid Rifampisin

5 6 7 8 9

Streptomisin sulfat Isoniazid + Rifampisin Rifampisin + Isoniazid + pirazinamid Etambutol + INH + Vit B6 Rifampisin + Isoniazid + pirazinamid + Etambutol Dapson Klofazimin Talidomid Amtoferisin B Flukonazol

Streptomycin Sulphare Meiji Rimactazid Rifinh Rimcure Rivastar Pulna forte Rimstar 4 FDC

Dapson Lamprene

Fungizone Diflucan

Griseofulvin Itrakonazol

Mycostop Sporanox

3 4

Ketokonazol Nistatin Vorikonazol

Sporacid Interzol Nizoral Mycostatin Vfend

Terbinafin

Interbi Lamisil

Artemisin/Artesunat+Amodiakuin Klorokuin fosfat/difosfat Kuinin diHCI Primetamin Primakuin Sulfadoksin+Pirimetamin Adefovir dipivoksil Asiklovir

Primet Fansidar Hepsera Zovirax Zoster

Entecavir Famasiklovir Gansiklovir Hepatitis B Imunoglobulin Human Alfa Interferon

Baraclude Famvir Cymevene Hepimun Intron-A Kalferon Alfanative Pegasys Peg Intron

Interferon Alfa 2a Pegylated Interferon Alfa 2b Pegylated

Interferon Alfa 2a Pegylated Lamivudin Metisoprinosin Oseltamivir Ribavirin Telbivudin Valasiklovir Valgansiklovir Lamivudin Nevirapin Zidovudin

Roferon 3TC-HBV Isoprinosine Tamiflu Rebetol Sebivo Veltrex Valvir Valcyte 3TC Viramun Retrovir

4 5 1

1 2 3

Dihidroergotamin mesilat Ergotamin+Kafein Ergotamin tab 0.3 mg+ Belladona alk 0.1 mg+ Fenobarbital 20 mg) Flunarizin Sinarizin Sumatriptan

Dihydergot Ericap Cafergot Bellapheen

Sibelium Frego Imetrix Triptaqic Betaserc Merison

1 2

Betahistin diHCI Betahistin mesilat

1 2 3 4 4

Bromokriptin Entacapone L Dopa+Benserasid Kabergolin Pramipexole

Elkrip Parlodel Comtan (Novartis) Madopar Cabergoline Sifrol

5 6 7

Selegiline Carbidopa+L-dopa+entacapone Triheksifenidil HCI Ropinirol

Jumex Stalevo Artane Requip

Donepezil Galantamin

Aricept Fordecia Reminyl

Rivastigmin

Exelon

Ginkobiloba

Tebokan Tanakam Avodart Memoran Neulin PS Abixa

Dutasterid Fosfatidil serin memantin HCL

Asam Folat 1 Besi (II) dlm bentuk garam Hemobion (komb)

sulfat,fumara)

Sianokobalamin

Iberet Folic 500 Sangobion Ferizz drops Vit B12

Fe + multivit, as.folat

Ferriz Sangobion

1 2 3

Alteplase Anti Thrombin III Asetosal

Actilyse Kybemin P Aspilet Ascardia Kardioaspirin

4 5 6

Cilostazol Clopidogrel Dipiridamol Enoksaparin natrium

Pletaal Citaz Plavix Persantin Lovenox

7 8

Fondaparinux natrium Heparin natrium Heparin dialisat Parnaparin natrium

Arixtra Inviclot Thrombophob Fluxum

10 11

Streptokinase Tiklopidin Urokinase Warfarin natrium Rivaroxaban

Ticlid Urokinase GCC Simarc 2 Xarelto

12

Dabigatran

Pradaxa

13 1

Triflusal heparin Nadroparin NKCP Nattokinase Asam Traneksamat

Grendis

Forkinase Transamin Clonex Kalnex

Etamsilat Fitomenadion(vit.K1) Karbazokrom

Dicynone Kavita Adona (AC -17)

Oktreotid Somatostatin Eritropoietin

Sandostatin Somatostatin-UCB Eprex

Rekombinan Human Eritropoetin Filgrastim (GCSF)

rHuEPO Neupogen Keukokine

Albumin (Human Albumin)

Human Albumin Behring Plasbumin Robumin

Faktor pembekuan darah VIII(konsentrat) Faktor pembekuan darah II,VII,IX,X (konsentrat) Kriopresipitat Plasma segar beku 2 3 4 5 Dekstran 40 Dekstran 70 Fraksi Protein Plasma (termasuk Fibrinogen) Hidroksietil pati 6%(HES) Poligelin

Koate-DVI Konine

Otsuran L HM Dextran-NS Plasmanate infusion Haes-Steril Haemaccel

Barium enema Barium sulfat EZ Gas II Gadodiamida

Liquid Polybar Plus Omniscan Maqnevist Dotarem Omnipaque Lopamiro Ultravist Optiray 320 Urografin

Lodine

Natrium/Meglumin amidotrizoat

Alkohol Etakridin Laktat (Rivanol) Hidrogen Peroksida

Rivanol Betadine Isodine

Lodine Povidon

Kalium Permanganat Kantaridin Polikresulen Canthacur Albothyl

Formalin Dialdehid Glutaraldehid Klorheksidin Diglukonat Klorheksidin 7,5%+

Cidex Cidex Hibiscrub Savlon Hibicet HC First Aid

Cetrimide 1,5% Lisol Sublimat

Boraks Gliserin Amilorid HCI Furosemid Lorinid-Mite Lasix Furosix Furosemid HCT Hygroton Manitol Aldactone

Gliserol Hidroklorotiazid Klortalidon Manitol Spironolakton Torasemid Asetazolamid Spironolakton + thiabutazid

asetazolamid Glaucon A,dazide

1 2

Acarbose Glibenklamid Gliklazid Glikuidon Glimepirid (+ metformin)

Glucobay Daonil Diamicron MR Glurenom Amaryl Gluvas

Glipizid 3 Metformin HCI

Minidiab Glucotrol XL Glucophage Glucophage XR Glumin

Metformin HCI+Glibenklamid

Glumin XR Glucovance

Natelglinid Pioglitazon Repaglinid Rosiglitazon Rosiglitazon+Glimepirid Rosiglitazon+Metformin saxagliptin langliptin Vildagliptin vildagliptin metformin

Starlix Deculin Actos Novonom Avandia Avandaryl Avandamet onglyza tragenta Galvus Galvusmet

Insulin Regular

Insulin Kerja Menengah(NPH)

Insulin Campur Iinsulin Regular+NPH) Insulin Analog Campur Lispro+NPH) Insulin Analog Campur Aspart+NPH) Insulin Analog Aspart Insulin Analog Detemir Insulin Analog Glargine Insulin Analog Glulisin Insulin Analog Lispro Karbimazol Methimazol Propiltiourasil L-Tiroksin natrium Budesonid Deksametason Hidrokortison natrium suksinat Human Somatotropin Kortikotropin(ACTH) Metil Prednisolon asetat

Actrapid HM Actravid HM Penfill Humulin R Actravpid Novolet Insulatard HM Insulatard HMPenfill Insulatard Novolet Humulin 30/70 Mixtard Novolet Mixtard HM Penfill Humalog Mixtard Novomix Flexpen Novorapid Flexpen Levemir Flexpen Lantus Apidra Apidra Humalog Nero-Mercazol Thyozol Thyozol Thyrax Budenofalk Solu-Cortef Norditropin

1 2

(tablet) Medrol Urbason Lameson (inj) Solumedrol Medixon

Prednisolon

2 3

Prednison Triamsinolon asetonid Kenacort A; Triamcort (tab) Kenacort inj Bemoson Parlodel Dostinex DDAVP Minirin Livial Teronac Xenical Acomplia Reductil (Abbot) Tenormin Concor Maintate

Betametason dipropionat Bromokriptin mesilat Cabergolin Desmopresin asetat Tibolon 1 2 3 3 Mazindol Orlistat Rimonaban Sibutramin Atenolol Bisoprolol

Diltiazem

Herbesser Herbesser Herbesser Herbesser Herbesser Cedocard Cedocard Cedocard Cedocard Cedocard Monecto-20 Imdur Seloken Lopresol Nitrocine Trizedon MR NITROkaf Retard NITROkaf forte Adenocor Adenocor Cordaron Tiaryt Herbesser Herbesser Herbesser Herbesser Herbesser Norpace Rythmodan Xylocard Inderal Famadral

Isosorbid dinitrat

Isosorbid mononitrat Metoprolol tartrat Nitrogliserin Trimetazidin Gliseril trinitrat

Adenosin Amiodaron 1 Diltiazem

Disopiramid Lidokain HCI Propranolol HCI

Verapamil 2 digoksin Imidapril Kaptopril Lisinopril 2 Ramipril

Isoptin Cardiover lanoxin Tanapress Tanapress Capoten Capoten Zestril Zestril Triatec Hyperil Melpril Renacardon bioprexum bioprexum plus coveram coveram coveram coveram coveram Tenormin Concor Concor Maintate Dilbloc Seloken Lopresol Sotacor Lodoz Lodoz nabilet Norvask Tensivask Theravask Herbesser Herbesser SR cap 90 mg Herbesser CD cap 100 mg Herbesser CD cap 200 mg Herbesser inj

Enalapril Perindropril + erginin Perindropril + indapamid Perindropril + amlodipin

1 2

Atenolol Bisoprolol fumarat

Carvedilol 3 4 5 Metoprolol tartrat Propranolol HCI Sotalol bisoprolol + HCT Nebivolol 1 Amlodipin besilat

Diltiazem

Felodipin 3 Nifedipin

Plendi Nirmadil Adalat Adalat oros Farmalat

4 5

Nicardipine Nimodipin

Perdipine Nimotop

Amlodipine + telmisartan

Amlodipine + Valsartam

Doksazosin Prazosin HCI Terazosin Irbesartan Kandesartan Losartan Telmisartan Valsartan

1 1 2 3 4 5

twinsta twinsta twinsta twinsta Exforge Exforge Exforge Cardura Cardura Minipres Hytrin Hytrin Aprovel Aprovel Blopress Blopress Cozaar Angioten Micardis Diovan Diovan Diovan Co aprovel Co aprovel Co diovan Co diovan Co diovan Micardis plus Micardis plus Blopress plus Olmetec Olmetec Catapres Catapres Catapres Dopamet Toviaz Toviaz Lanoxin (inj) Inotrop Dobuject Dobutamine Giulini Dopamin Indop Della Methason Oradexon Oradexon Isuprel Vascon Lipitor Atorsan

Irbesartan + HCT Valsartan + HCT

Telmisartan + HCT Kandesartan + HCT Olmesartan 1 Klonidin HCI

Metildopa anhidrat Fesoterodin fumarat

1 1

Digoksin Dobutamin

2 2

Dopamin HCI Deksametason natrium fosfat

3 4 1

Efedrin HCI Fenilefrin HCI Norepinefrin bitartrat Atorvastatin

Fenofibrat

Lipanthyl Lipanthyl

Gemfibrozil Kolestiramin Niacin Pravastatin

Lipanthyl Lopid Questran Niaspan Pravachol, Cholespar Crestor Crestor Crestor Cholestat rechol Zocor Ezetrol vytorin vytorin Caduet Caduet Caduet Caduet Sibelium Sibelium Ventavis Praxilene Vascuprax Trental Reotal Viagra Nicholin Brain Act Lancolin Cialis Cialis Levitra Levitra Levitra streptase Reotal Disolf Plasmin Erymed Erymed Erymed Sufratul Foban Fucidin Futadem

Resuvastatin

Simvastatin

Ezetimibe ezetimibe + atorvastatin Atorvastatin amlodipine

Flunarizin Iloprost Naftidrofuril oksalat

Pentoksifilin Sildenafil sitrat

Sitikolin

Tadalafil Vardenafil

Streptokinase Pentoksifilin Lumbrikus rubellus Fibrinolisin

Eritromisin

2 3

Framisetin sulfat Fusidat

4 5

Fusidat (asam) +Betametason valerat Klindamisin

Fucicort Comdacin Mediklin

6 7

Metronidazol Mupirosin

Dumozol Bactoderm Bactroban Acuatim Dermazin 50 g Dermazin 150 g Ketomed Nizoral

Nadifloksasin Perak Sulfadiazin 1 Ketokonazol

Klotrimazol

Mikonazol Nitrat

Candazole Candazole Candazole Mycorine Dactarin Brentan Daktarin Diaper Selsun Selsun Selsun Selsun Selsun Selsun Selsun Selsun Termicil Lamisil

Mikonazol Nitrat2%+Hidrokortison 1% Mikonazol Nitrat2%+ Seng Oksida Selenium sulfida

Terbinafin

1 1

Asiklovir Betametason dipropionat

Clinovir Danovir Beprosone Diprosan OV

2 3 4

Betametason valerat Desoksimetason Desonid

Benoson Esperson Inerson Dermades Desolex

Diflukortolon valerat 5 Doksepin Flusinolon asetonid Flutikason propionat Hidrokortison asetat

Nerisona Nerisona FO Sagalon Dermasolon Medicort

Hidrokortison butirat Kalamin

Locoid Caladine Calamed Kloderma

Klobetasol propinat

Metil Prednisolon aseponat 8 Mometason furoat Prednikarbat 9 Triamsinolon asetonid Larutan Hemodialisa Larutan Peri

Advantan Advantan FO Mofacort Dermovel Dermatop Kenacort -A

Peri Solution Otsuka

1 2 3

BCAA powder Oralit Nutrisi enteral

Falkamin

Ensure Pan Enteral Peptamen Diabetasol Nefrisol Oxepa

Aqua pro injeksi Asam amino

2 3

Asam amino+vitamin+elektrolit Asam amino rantai cabang (BCAA) Glukosa Kalium klorida Kalsium glukonat Larutan elektrolit Larutan kombinasi (dlm 1 liter): Fruktosa 120 g ,glukosa 66 g, xylitol 60 g,elektrolit vitamin Larutan kombinasi (dlm 1 liter): Natrium 38,5 mek, CI 38,5 mek,glukosa 37,5 g Larutan kombinasi (dlm 1 liter): Natrium 60 mek,k 10 mek, CI 50 mek, laktat 20 mek,gluk 27 g Larutan kombinasi (dlm 1 liter):Natrium 50 mek,k 20 mek,

Aminosteril infant Aminosteril 6% Pan AminG Kidmin Kalbamin Primen Aminofusin L 600 Aminofusin Paed, Aminoleban Aminofusin Hepar

4 5

Calcii Gluconas Tutofusin OPS Triofusin E 1000

KA-EN 1B

KA-EN 3A

KA-EN 3B

CI 50 mek, laktat 20 mek, glukosa 27 g Larutan kombinasi: Glukosa 2,5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,225% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,9%=4:1(N4) Larutan kombinasi: Glukosa 10 % & Natrium klorida 0,9%=4:1(N5) Larutan kombinasi: glukosa+asam amino + elekrolit Larutan nutrisi+ elektrolit

OTSU-D2,5,1/2 NS OTSU-D5,1/4 NS OTSU-D5,1/2 NS OTSU-D5, NS

OTSU-D10,0,18 NS

Kabiven

10

11 12

L-alanin+L-glutamin Lipid

13 14 15 16

Natrium bikarbonat Natrium klorida Ringer Asetat Ringer Laktat Asetazolamid Botulinum Toxin Gliserin Manitol

Triparen 1 Triparen 2 Clinimix Combiflex Vitrimix Dipeptiven Intralipid Ivelip Lipovenous Meylon Otsuka Widatra Asering Ringer laktat Diamox Glaucon Botox Manitol Manitol Firma International Fucithalmic Hervis Dibekacine Solnazol Cendo Gentamycin Cendo Fenicol Cendomycos

Asam Fusidat Asiklovir Benzil Penisilin Dibekacin Flukonazol Gentamisin Kloramfenikol Kloramfenikol + Hidrokortison asetat Levofloksasin

Cravit

Natamisin Neomisin+Polimiksin + Deksametason

Natacen Cendo Xitrol

Ofloksasin Oksitetrasiklin Polimiksin Sulfasetamid Tobramisin Betametason Diklofenak natrium Hidrokortison asetat Kromoglikat natrium Atropin Sulfat Fenilefrin HCI Homatropin hidrobromid Tropikamid Adrenalin HCI Betaksolol HCI Brinzolamid Dorzolamid Karbakol Latanoprost Pilokarpin HCI Timolol Travoprost Alprazolam

Cendo Floxa Tarivid Terramycin Ophth CendoPolygran Cendo Cetamide Albuvit Cendo Tobro Cendo Vosama Cendo Noncort

CendoTropin Cendo Efrisel Cendo Homatro Cendomydriatyl

Optibet Azopt Trusopt Xalatan Cendo Carpin Tim-Optha Isotic Adretor Travatan Xanax Frixitas Alganax Lexotan Valium Esilgan Frisium Ativan

Bromozepam Diazepam Estazolam Klobazam Lorazepam

Zolpidem Klonazepam Remelteon Amitriptilin HCI Duloksetin Escilatopram Fluoksetin

Stilnox Zolmia Riclona Rozerem

Imipramin Klomipramin Litium karbonat

Cymbalta Cipralex Prozac Lodep Kalxetin Tofranil Anafranil Frimania

Sertralin

Zoloft Zerlin

Venlafaksin HCI Maprotilin

Fridep Efexor XR Ludiomil

Klomipramin Aripiprazol

Anafranil Abilify

Haloperidol

Serenace Lodomer

Haloperidol dekanoat Klorpromazin HCI Klozapin Olanzapin Perfenazin

Haldol Decanoas

Clozaril Luften Zyprexa

Pimozid Quetiapin

Risperidon

Trifluoperazin Zotepin

Orap Forte Seroquel Seroquel Seroquel Seroquel Risperdal Zofredal Persidal Stelazine Lodopin

Metifenidat HCI

Ritalin

Atrakurium besilat Baklofen Esperison Klorzoksazon Pankuronium bromida Rokuronium bromida Suksinilkolin Tizanidin Vecuronium bromida

Tracrium Atracurium Hameln Lioresal Myonal Solaxin Pavulon Esmeron Quelicin Sirdalud Myores Phardex Norcuron Ecron Postigmin

Neostigmin metilsulfat

Pridostigmin bromida Azatioprin

Mestinon azathioprine Imuran

Alumunium hidroksida+ Magnesium hidroksida Alumunium hidroksida+Magnesium hidroksida+ Simetikon

Esomeprazol

Myalanta Polycrol Polycrol Polycrol Polycrol Polycrol Polycrol Polycrol Nexium Nexium IV Cytotec Losec OMZ Ozid Pantozol

3 4

Misoprostol Omeprazol

Pantoprazol

Ranitidin

7 7 8 10 11 9 13 14 1 2 3 4

Rebamipide Simetikon Sukralfat Teprenon rabeprazol Lansoprazol cisaprid Fucoidan Betahistin mesilat Dimenhidrinat Domperidon Metoklopramid HCI

Zantac Rantin Wiacid Mucosta

Inpepsa Purubex Pariet prosogan Lancid acpulsif fucoidan fucoidan Betaserc Merislon Dramine Domperidon Primperan

Ondansetron HCI

Zofran Narfos Ondavell Mediamer B6 Zelmaz

Piratiasin teoklat Tegaserod

Granisetron palonosetron ramosetron 1 2 Hidrosmin Diosmin 450 mg + Heesperidin 50 mg Atropin sulfat Butropium bromida 1 Hiosin n-butil bromida Garam Oralit I Loperamid HCI Smektit Bisakodil

kytril Granon paloxi nasea Nasea Venosmil Venosmil gel 2% Ardium Atropin Sulfat Caliopan Buscopan Buscopan inj Pedyalit Oralit Imodium Smecta Dulcolax

Kombinasi Natrium lauril sulfoasetat + Natrium sitrat asam sorbat+PEG +Sorbitol Laktulosa

Microlax

Magnesium sulfat Natrium Fosfosoda Parafin+Gliserin

Extralac Lactulac Duphalac Garam Inggris Fleet Enema Fleet Phosposoda Lexadine

Asam ursodeoksikholat Glicirrhyzin HEFC Kombinasi enzimsal cerna L-Ornitin L-Aspartat Mesalazin

Urdafalk Estazor Stronger Neo-Minophagen C HEFC Vitazym Hepa-Merz Salofalk Sulfilis tab

Schisandrin

Hp Pro

Adrenalin bitartrat Aminofilin Beklometason

Adrenalin Aminophylinum Becotide Beclomed easyhaler Pulmicort Inflammide Oradexon

2 3

Budesonide Deksametason natrium fosfat

Kalmethason 4 5 6 7 7 Efedrin HCI Fenoterol HBr Ipratropium bromida Isoprenalin HCI Klenbuterol Prokaterol HCI hemihidrat Ephedrin HCl tab Ephedrin HCI inj Berotec Atrovent Isupel Spiropent Meptin air inhaler

Salbutamol

Ventolin; Lasel

9 10

Salbutamol 2,5 mg + Ipratropium Bromida 0,5 mg Salmoterol 25 mcg + Flutikason proprionat 50 mcg/125 mcg

Combivent Seretide 50 inhalasi Seretide 125 inhalasi

11

Teofilin

Euphyllin R mite Quibron TSR

12

Terbutalin Sulfat

Bricasma Nairet Forasma

Kodein HCI

Codipront cap Codipront Syr Mucopect Transbroncho

Ambroksol

Bromheksin HCI

Bisolvon

Erdostein

Vectrin

N-asetil sistein

Obat batuk Hitam Beractant Gama Globulin Imun Serum Antibisa Ular Serum Antidifteri Serum Antitetanus Serum Hiperimun Antirabies Serum Imun Globulin Tetanus Imun Globulin Vaksin antirabies Vaksin Hemophilus influenzae B Vaksin Hepatitis A

Fluimucyl Fluimucyl Fluimucyl Fluimucyl Fluimucyl Fluimucyl Fluimucyl OBH Survanta Gammaraas

Gamimune N10% Teragem P Vaksin polio oral Imogam Rabbies Verorab (Hiberix) Havrix 720 junior Avaxim 80 Avaxim 160 Fluarix Vaxigrip Infanrix-Hib Tetrac Hib Pediacel Mencevax Trimovax Gardasil Servarix Prevenar (PCV) Pneumo 23 Rotarix Vaksin TT Bio Farma Varilix Okavax Kolkatriol Extrace Max C Folid Acid

Vaksin Influenza Vaksin Kombinasi DPaT-Hib Vaksin Kombinasi Vaksin Meningitis Vaksin MMR Vaksin HPV Vaksin Pneumokokus Vaksin Rotavirus Vaksin TT Vaksin Varisela 1,25 di (OH) kolekalsiferol 1 Asam Askorbat

Asam Folat Biotin Fluorida Hidroksokobalamin Isotretinoin/acitretin Kalium aspartat/klorida Kalium sitrat Kalium dihidrogen fosfat Kalsium glukonat Kalsium karbonat Kalsium laktat/fosfat Kombinasi Betakaroten,Vitamin

Neotigason KSR Aspar K

3 4

Calcii gluconas Osteocal Kalk Seloxy

C, vitamin E,Zinc,Selenium Kombinasi vitamin B

Neurobion Neurobion 5000 Neurobion 5000 nerva plus

L-Arginin L-Karnitin+Ubiquinon Mekobalamin Mineral-Mix

R-Gene Carnico-Q Methycobal Lapibal Nutrilin Licoxy Zegavit

Multivitamin

Natrium benzoat Multivitamin untuk infus Niasinamid Pridoksin HCI(vit B6) Retinol (Vit.A) Riboflavin Zn Pikolinat+Zn glukonat+ Cu glukonat Suplemen untuk mata Thiamin HCI Thiamin nitrat+Kalsium pantotenat+Medical yeast+cystin +keratin+ asam p-amino benzoat Thiamin Tetrahidrofurfuril Disulfid

MVI

Zinc Pharmacore

Optimax

Pantogar

Alinamin/Alinamin Alinamin F-Odorless

Trace elements untuk infus Vitamin B12 Vitamin B Kompleks Vitamin D Vitamin D analog: Alfakalsidol Vitamin D analog:Kalsitriol Vitamin D analog:Kolekalsiferol Vitamin D analog: Dihidrotakhisterol Vitamin D analog:Ergokalsiferol Vitamin E (Tokoferol) Vitamin K3/K1 Terazosin Doksazosin Tamsulosin Alfuzosin Finasterid

Peditrace

Evion;Dalfarol Hytrin Cardura Hamal Xatral XL Prostacom Proscar

1 2

Dutasterid

Avodart

Tolterodin I-tartrat Solifenasin

Detrusitol Vesicare

Karbakol Distigmin bromidum Lubricant untuk USG Lubricant Ko-dergokrin mesilat

Urocarb Ubretid Aquasonic KY Jelly Hydergin

Pirasetam Xantinol Xantinate Co enzym Q-!0 Piritinol Hcl

Nootropil Neurotam Complamin encephabol

Risedronat Kalsitonin

Actonel Miacalcic

zeledronat asam ibandronik Kalsitriol

Zometa Aclasta bonviva Rocaltrol Klokatriol Oscal Viopor Rebone mediflex Fitajoint Evista Osteonata OD Nichospor Bonefos

Glucosamin

Raloksifen Alendronat Klodronat dinatrium

TOTAL

USER

dr. Kemal Imran, SpS, MARS NIP. 196812292000031001

DAFTAR PERMINTAAN OBAT


PRODUSEN SEDIAAN PACKING KEMASAN HARGA SEDIAAN

Janssen-Cilag Janssen-Cilag Janssen-Cilag Janssen-Cilag Sanofi Aventis Pfizer, Gracia, Sanbe Novartis

10 mL patch 25 mcg/hr patch 50 mcg/hr 5 mcg/mL (10 mL) 500 mg/mL (2 mL) cap 250 mg cap 500 mg tab enteric coat 25 mg tabenteric coat 50 mg inj 75 mg/3 mL retard tab 100 mg SR tab 75 mg supp 100 mg supp 50 mg emulgel 1% 10 g emulgel 1% 20 g emulgel 1% 50 g

box box box box box box box box box box box box pack pack tube tube tube pack box box bottle bottle pack pack pack box pack

5x1 5x1 5x1 5x1 5x1 10x10 10x10 5x10 5x10 5x1 5x10 5x10 10 10 1 1 1 50x1 2x10 2x5 50 mLx1 60 mLx1 100 50 100 6x1 10 pcs 6x1 20 5x1 30 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

338,200 600,000 1,080,000 440,000 39,915 47,500 105,000 118,040 205,640 160,470 383,330 281,670 137,795 77,855 23,500 39,000 86,000 45,100 20,900 39,600 20,350 15,950 161,500 439,360 414,333 152,368 107,166 224,881 93,800 191,950 380,600 233,860

Otto, Zambon, Abbot, Lapi, Kalbe

caplet 200 mg chew tab 100 mg supp 125 mg forte syr 200 mg/5 mL syr 100 mg/5 mL cap 100 mg CR cap 200 mg coated tab 100 mg inj 100 mg/2 mL (2 mL) supp 100 mg inj 30 mg/mL tab 10 mg inj 15 mg/mL tab 15 mg tab 7.5 mg

Eisai Sanofi, Otto, Dexa medica, Kalbe

Roche, Kalbe, Novell, Dexa, Phapros, Soho Boehringer, Soho, Otto,

box pack pack

Sanbe

cap 500 mg

pack pack

100 1000 5x1 5x1 60 mLx1 6x10 10x10

Rp Rp Rp Rp Rp Rp Rp

30,450 288,450 48,000 68,000 13,328 69,000 100,000

Interbat Interbat Sanbe Dexa

rectal cr 125 mg/2.5 mL rectal cr 250 mg/4 mL syr 120 mg/5 mL FC cap FC cap

box box bottle box box

Pfizer Pfizer Pfizer Pfizer Dexa Medica, Pfizer Kimia Farma Takeda Pharos. Pharos. Pharos. Pharos. Pharos. MSD MSD MSD Ferron Ferron Merck Janssen-Cilag

powd for inj 40 mg tab cap 10 mg cap 20 mg dispersible tab 20 mg flash tab 20 mg

vial box pack pack pack pack

1 10x10 50 50 50 30

Rp Rp Rp Rp Rp Rp

89,805 64,000 226,820 449,525 441,485 341,085

cap 100 mg cap 200 mg FC caplet cap 50 mg cap 50 mg inj 50 mg/2 mL inj 50 mg/mL retard tab 100 mg supp 100 mg tab 120 mg tab 60 mg tab 90 mg tab 25 mg inj 50 mg/2 mL

pack pack box pack pack box box pack pack pack pack pack box box

10x3 10x3 10x10 60 50 5x1 5x1 10 10 30 30 30 5x10 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

196,875 340,045 99,000 183,603 235,000 145,750 100,650 77,000 139,150 363,000 257,400 280,500 235,000 178,500

tab

box

3x10

Rp

159,000

Ott0 Tropika mas Glaxo Glaxo Combiphar

tab cap tab 100 mg tab 300 mg inj 10 mg/mL

box pack pack pack pack pack prefilled syringe pack

10x10 60 200 60 100 30 2 mLx1

Rp Rp Rp Rp Rp Rp Rp

200,000 270,000 380,050 120,450 419,320 132,220 420,000

Glaxo

tab 50 mg

100

Rp

748,990

Fahrenheit

Asta Medica Asta Medica Asta Medica Tanabe Astra Zenica, Dexa Medica

tab 0.5 mg tab 10 mg tab 20 mg inj (amp) 5 mg/mL inj (vial) 5 mg/mL inj (vial) 50 mg/5 mL tab 2.5 mg tab 500 mg inj 1000 mg inj 200 mg inj 500 mg cap 500 mg infusion 100 mg inj 0.5%

box pack pack box box vial pack pack vial vial vial box vial box

3x10 30 30 10x10 10x10 1 50 50 1 1 1 10x10 5 mLx1 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

105,000 500,230 844,190 570,000 570,000 90,000 105,000 997,230 537,140 159,500 354,500 495,000 5,454,545 317,905

( duofit polyamp 20 mL)

Astra Zenica

Phapros Bernofarm Sanbe

inj 2% ( duofit polyamp 2 mL) inj 2% ( duofit polyamp 20 mL) inj 2 mL inj 50 mg/mL (amp 2 mL) cream 5 g

box box box box tube

50x1 5x1 20x1 5x1 1

Rp Rp Rp Rp Rp

294,456 230,116 53,906 275,000 44,221

inj 7.5 mg/mL (20 mL) Phapros inj 2 mL

box box

5x1 20x1

Rp Rp

444,010 53,906

Abbot B Braun Abbot Pfizer

inj 100 mg/mL (10 mL)

vial

Rp

239,350

Roche, Astra Zenica

inj 15 mg/3 mL inj 5 mg/5 mL

box box

5x1 10x1

Rp Rp

286,086 229,202

Abbot, Fahrenheit,Kalbe Transfarma Transfarma

inhalation vapour liquid 250 mL infusion 500 mg

bottle

Rp

2,420,000

vial

Rp

59,000

Roche, Actavis , Fahrenheit Scchering tab 5 mg syr 0.5 mg/mL (60 mL) tab 30 mg HD tab 180 mg OD tab 120 mg XR tab tab 25 mg syr 10 mg/5 mL (100 mL) tab 25 mg tab 10 mg pack bottle box pack box box pack bottle pack pack pack box box 30 1 5x10 10 10x10 10x10 100 1 100 100 300 5x10 5x10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 180,090 64,170 171,875 64,680 572,795 376,923 117,329 22,500 160,000 88,000 253,500 248,050 165,000

Sanofi Sanofi Sanofi

Lapi Lapi Eisai

Schering Schering, Soho, Sanbe, Inmark tab 10 mg cap

Kalbe , UCB, Ferron, Pharos, Novel, Lapi, Fahrenheit Kalbe Tanabe Merck Interbat, Konimex

drops 10 mg/mL (20 mL) syr 5 mg/5 mL (60 mL) tab 10 mg tab 5 mg tab 10 mg syr 50 mg/mL (60 mL) tab 50 mg dispertab 125 mg dispertab 250 mg dispertab 500 mg tab 500 mg

bottle bottle box pack box bottle pack box pack box pack

1 1 3x10 30 3x10 1 100 4x7 28 4x7 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

47,800 37,950 150,000 110,000 58,500 15,000 45,000 2,000,000 3,978,495 7,932,655 260,000

Roche Combiphar, Tempo, Kalbe powd for inj 500 mg inj 50 mg/10 mL tab 15 mg Fahrenheit Fahrenheit Transfarma infusion 400 mg inj 0.4 mg/mL (2 mL) inj 0.5 mg/mL box box box 15x1 5x1 5x1 Rp Rp Rp 1,126,780 350,000 45,100 box vial pack 10x1 1 20 Rp Rp Rp 990,845 325,000 275,000

Combiphar Roche, Fahrenheit, Actavis Sanbe Pfizer, Ikapharmindo Combiphar, Mersifarma Park Davis Novartis Novartis Novartis Novartis Roche UCB, Pharos UCB, Pharos Novartis Novartis

syr 66.7%/5 mL inj 10 mg/2 mL tab 5 mg cap 100 mg inj 250 mg/ 5 mL

bottle 120 ml box pack pack box tab amp pack box pack bottle box pack pack pack box box pack pack pack pack pack pack box

1 5x1 100 100 10x1

Rp Rp Rp Rp Rp

57,500 120,337 297,476 302,165 757,700

cap 300 mg chew tab 100 mg CR tab 200 mg syr 100 mg/5 mL (120 mL) tab 200 mg tab 2 mg FC tab 250 mg FC tab 500 mg tab 300 mg tab 600 mg cap 150 mg cap 50 mg cap 75 mg cap 15 mg cap 25 mg cap 50 mg tab 100 mg

100 5x10 50 1 5x10 100 30 20 5x10 5x10 14 14 14 60 60 60 6x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,093,010 128,000 202,500 74,000 174,500 516,624 240,350 315,600 388,735 726,705 239,425 100,585 145,110 227,600 377,500 468,125 482,500

Janssen-Cilag Janssen-Cilag Janssen-Cilag Janssen-Cilag

Janssen-Cilag Janssen-Cilag Abbot

Glaxi smith kline Glaxi smith kline Eisai Glaxo Sanbe, Otto, Lapi

tab 25 mg tab 50 mg tab 250 mg syr ER tab 250 mg ER tab 500 mg tab 100 mg tab 50 mg tab 50 mg cap 250 mg cap 500 mg dispers tab 250 mg dry syr 125 mg/5 mL (60 mL) Forte dry syr 250 mg/ 5 mL (60 mL) infusion 1 g paed oral drops 100 mg/mL (15 mL)

box box pack pack pack box box pack box box box bottle bottle box bottle pack pack bottle bottle vial vial pack

6x10 6x10 100 100 100 3x10 3x10 100 10x10 10x10 10x10 1 1 10x1 1 14 60 1 1 1 1 30

Rp Rp Rp Rp Rp Rp Rp ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

241,000 300,000 587,290 435,435 870,898 229,169 176,153 136,840 280,340 120,950 19,230 27,425 192,290 19,230 131,016 415,508 53,818 40,053 125,000 65,000 410,000

tab 1 g Glaxio, Kalbe, Sanbe, Interbat, Phapros, Soho tab 625 mg Forte oral susp (60 mL) oral susp (60 mL) Meiji, Inmark, Kalbe, Berno powd for inj 1.5 g powd for inj 750 mg tab 375 mg

syr 250 mg/5 mL (60 mL) tab 250 mg tab 625 mg Meiji Meiji Meiji Pfizer cap 500 mg powd for inj 1000 mg powd for inj 500 mg powd for inj 4.5 g powd for inj 3 juta U powd for inj 1 g pow for inj 2 g

bottle box box box box box vial vial box box

1 10x10 10x10 10x10 10x1 10x1 1 1 10x1 10x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

30,360 121,800 240,000 331,150 26,400 15,400 264,000 9,800 323,274 523,090

Bristol, Kalbe, Pharos Schering, Ethica

inj 250 mg (2 mL) inj 500 mg (2 mL) inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL inj 100 mg inj 150 mg/1.5 mL inj 300 mg/1.5 mL inj 50 mg inj 100 mg/2 mL inj 50 mg/mL

box box vial amp vial amp vial amp amp amp amp

10x1 10x1 1 1 1 1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

85,000 152,250 22,100 44,100 55,200 104,600 158,900 262,200 59,000 77,000 56,250

Schering Schering Schering Schering Meiji Meiji

Pharmacia Zambon, Sanbe

cap 250 mg

box

10x10

Rp

260,000

Novel

cap 500 mg dry syr 125 mg/5 mL (60 mL) cap 500 mg

box bottle box box box vial pack vial

10x10 1 3x10 3x10 3x10 1 5 1

Rp Rp Rp Rp Rp Rp Rp Rp

360,000 30,500 110,000 150,000 210,000 215,000 242,550 431,750

Kalbe, Soho, Dexa medica, Novell, tabSanbe, 250 mg Soho, tab 500 mg inf 500 mg/100 mL Bayer tab 400 mg inf 400 mg/250 mL

Kalbe

tab 200 mg tab 400 mg tab 400 mg

pack pack box

30 30 5x6

Rp Rp Rp

225,000 370,000 660,000

IV inf 200 mg/100 mL Bayer, Bernofarm, Soho, Tempo Scan, Gracia IV inf 400 mg/200 mL tab 500 mg XR tab 1000 mg XR tab 500 mg cap 250 mg cap 500 mg oral susp 200 mg/5 mL (15 mL) Abbot cap 250 mg

vial vial pack pack pack pack pack bottle

1 1 20 10 10 10 10 1

Rp Rp Rp Rp Rp Rp Rp Rp

201,600 309,750 370,700 347,600 185,850 148,500 275,000 88,000

pack pack pack pack bottle bottle bottle pack box box container bottle 15 ml bottle pack pack box box bottle 60 ml bottle 60 ml vial

100 500 100 100 1 1 1 100 3x10 3x10 1 1 1 6 3 10x10 10x10 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

367,345 887,530 385,385 660,000 50,160 47,300 28,302 304,975 231,750 589,050 122,245 86,910 148,465 143,920 143,920 430,500 872,500 35,980 61,835 82,000

Abbot, Combiphar Otto Pfizer, Pharos, Bernofarm

tab 200 mg Forte tab 500 mg oral susp 200 mg/5 mL (60 mL) oral drops 100 mg/2.5 mL (30 mL) Forte oral susp 250 mg/5 mL (60 mL) tab 200 mg FC cap 250 mg FC cap 500 mg oral susp 2 g susp 200 mg/5 mL, powd for inj 500 mg tab 250 mg tab 500 mg cap 250 mg cap 500 mg dry syr 125 mg/5 mL dry syr 250 mg/5 mL powd for inj 1 g

Pfizer, otto Sanbe, Otto, Phapros, Kalbe, Fahrenheit, Interbat,ferron

Kalbe

box Pharos, Fahrenhei Kalbe, Sanbe, Ferron, KF, Dexa, cap Interbat, 100 mg Pharos,Gracia box dry syr 100 mg/5 mL bottle 30 ml (30 mL) tab 200 mg box Pfizer, Interbat, Pharos, Sanbe inj 1 g box

3x1 3x10 1 1x10 2x1

Rp Rp Rp Rp Rp

65,000 505,000 75,000 259,000 240,000

Pfizer, Soho, Pharos,

powd for inj

vial

Rp

155,000

Sanofi, Sanbe, Kalbe, Gracia, Pharos inj 1 g

vial

Rp

120,000

Takeda Sandoz Ethica

powd for inj 1 g tab 100 mg tab 200 mg cap 500 mg

vial box box pack vial

1 3x10 3x10 30 1

Rp Rp Rp Rp Rp

92,000 300,000 450,000 210,000 290,462

Sanofi, Interbat, Fahrenheit, Pharos, powd for Dexa inj 1 g

Glaxo,Ferron, Soho, Pharos

powd for inj 1 g powd for inj 500 mg

vial vial vial vial pack box pack box

1 1 1 1 30 1 20 3x10

Rp Rp Rp Rp Rp Rp Rp Rp

148,000 72,000 185,000 250,000 520,000 120,000 385,000 350,000

Novell, Kalbe, Dexa

powd for inj 1 g

Roche, Sanbe, Kalbe, Dexa, Escolab, IV injOtto 1g cap 500 mg inj 750 mg tab 500 mg cap 100 mg

Astellas

Pfizerm Interbat

cap 100 mg cap 50 mg powd for inj 50 mg/10 mL (10 mL) cap 500 mg cap 250 mg inf 50 mg/5 mL

box box box box box box box box vial pack pack pack pack box bottle box

3x10 3x10 10x1 10x10 10x10 10x1 10x1 10x1 1 30 30 50 100 10x10 1 10x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

99,000 69,000 84,095 95,300 37,400 5,000,000 82,300 136,900 262,250 181,310 326,345 255,000 105,000 158,000 20,330 70,000

Pfizer

Meiji, Dexa Medica, Zambon

inj 1 g inj 2 g Merck sharp Dohme, Pharos, Sanbe IV inj Pfizer, Kalbe, Sanbe, Lapi cap 150 mg cap 300 mg tab 1.5 juta IU tab 2.5 juta IU Forte cap syr (60 mL) tab

Pfizer

inf 2 mg/mL (300 mL) bottle tab 600 mg pack Astra Zeneca, Kalbe, Fahrenheit, IV Bernofarm, inj 1 g Interbat, Sanbe, boxDexa IV inj 500 g box oral susp 125 mg/5 mL supp 0.5 g supp 1 g Forte tab 500 mg powd for inj 400 mg powd for inj 0.5 g enema 4 g tab 250 mg tab 500 mg supp 500 mg inj 500 mg inj 20 mg/2 mL bottle strip strip box vial box box pack pack pack box vial amp vial vial box

1 10 10x1 10x1 1 10 10 10x10 1 2x1 4x1 100 100 30 10x1 1 1 1 1 2x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

555,765 5,175,365 4,345,704 3,356,278 39,335 98,453 188,407 479,558 590,247 360,000 101,000 466,000 765,000 525,000 440,000 22,100 44,100 55,200 510,000 360,000

Sanofi Fahrenheit Darya

Janssen-Cilag Merck sharp Dohme

inj 60 mg/1.5 mL inj 80 mg/2 mL powd for inj 1 g Bristol Myers Squibb, Fahrenheit powd for inj 1 g

Samdoz, Phapros

tab 250 mg tab 500 mg Forte tab tab tab 500 mg cap 300 mg cap 450 mg cap 600 mg syr 20 mg/mL (50 mL) syr 20 mg/mL (100 mL) powd for inj 1 g powd for inj 5 g 450/300 captab paed chew tab paed chew tab 3FDC tab Forte cap tab 4FDC tab

pack pack pack pack box box box box bottle bottle vial vial box pack box pack box pack box

100 100 350 1500 10x10 5x10 25x4 25x4 1 1 1 1 5x6 50 6x10 30 10x10 100 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

42,000 88,000 274,034 505,310 121,000 217,500 544,000 700,000 45,000 84,000 4,600 12,000 232,200 99,600 144,000 144,000 154,350 81,900 160,500

Sandoz

Galenium Sandoz, Indofarma Sandoz , Indofarma Landson Sandoz

Pfizer, Fahrenheit, Novell

Pfizer, Jansenn Cilag

cap 150 mg cap 50 mg powd for inj 2 mg/mL (100 mL) tab 500 mg cap 100 mg

box pack vial box pack

5x1 10 1 10x10 28

Rp Rp Rp Rp Rp

411,225 274,165 308,980 506,000 700,000

Ikapharmindo

tab 200 mg oral susp 100.000 U/mL tab 200 mg tab 50 mg inf 200 mg tab 125 mg tab 250 mg cream 1% 5 g cream 1% 10 g

pack pack bottle pack vial box box tube tube

150 30 1 10 2x10 1 2x6 2x6 1 1

Rp Rp Rp Rp Rp ? Rp Rp Rp

1,500,000 315,000 45,300 3,322,370 1,129,600 385,500 25,200 45,500

KF tab tab 10 mg tab 200 mg IV infusion cream 5% tab 0.5 mg tab 1 mg tab 250 mg infusion 500 mg cap Plus syr 60 mL powd for inj 3MIU/mL pack pack box vial tube 2 g tube 5 g pack pack box vial box bottle box 60 30 5x5 1 1 1 10 3x10 3x7 1 3x10 1 3x1 Rp Rp Rp Rp Rp Rp ? ? Rp Rp Rp Rp Rp 393,559 1,080,882 198,000 1,000,000 56,000 105,000

Glaxo Smith Kline

Roche

623,230 668,342 66,150 22,050 400,000

inj 135 mcg inj 180 mcg powd for inj 120 mcg powd for inj 50 mcg powd for inj 80 mcg prefilled pen 100 mcg prefilled pen 120 mcg prefilled pen 50 mcg prefilled pen 80 mcg Glaxo Smith Kline tab 100 mg syr 250 mg/5 mL (60 mL) tab 500 mg cap 200 mg tab 600 mg cap 500 mg tab 450 mg tab 150 mg

prefilled syringe 0.5 mL vial vial vial pen pen pen pen pack bottle pack pack box box pack pack

1 1 1 1 1 1 1 1 1 14 1 8 36 2x14 5x10 60 60

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,959,664 2,269,491 2,558,520 1,301,000 2,081,390 2,282,180 2,558,520 1,319,630 2,092,770 480,000 61,200 63,500 332,640 1,316,500 600,000 14,542,936 480,000

Glaxo, Soho Roche Glaxo Smith Kline

Novartis

tab 2.5 mg tab drag

box box pack

10x1 10 500

Rp Rp Rp

1,092,733 666,314 650,000

Janssen-Cilag, Kalbe

tab 10 mg tab 5 mg cap 100 mg

box box pack

5x10 5x10 2

Rp Rp Rp

260,000 185,000 70,000

Abbot Eisai

tab 24 mg tab 8 mg tab 6 mg

pack pack pack

20 100 100

Rp Rp Rp

107,000 130,650 220,000

Novartis

tab 2.5 mg tab 200 mg disp tab 125 tab 0.125 mg tab 0.25 mg XR tab 0.375 mg XR tab 0.75 mg tab 5 mg tab 100/25/200 mg tab 200/50/200 tab 2 mg tab 2 mg tab 4 mg tab 8 mg

box pack pack box box box box pack pack pack pack pack pack pack pack pack blister bottle box box pack box box box pack box pack pack pack pack

30 30 30 3x10 3x10 3x10 3x10 50 30 30 1000 250 28 42 28 28 14 30 4x7 4x7 14 4x14 4x7 4x7 14 4x14 30 30 100 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

331,050 432,725 135,167 155,870 276,210 445,170 789,030 375,848 514,000 600,000 230,000 71,000 193,768 239,124 229,169 269,645 481,423 982,500 1,265,000 1,105,000 279,500 1,265,000 1,265,000 1,105,000 279,500 1,265,000 389,000 259,545 399,993 270,000

Roche Boehringer

Sanofi Novartis Mersifarma Glaxo Smith Kline

Eisai , pharos, interbat Janssen-Cilag

tab 5 mg PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg Forte tab 120 mg Spesial tab 80 mg tab cap 0.5 mg

Novartis

Phapros, Combiphar

Glaxo Smith Kline Soho, ferron Lunbeck

Otto, Sanbe,Novell,Dexa cap Combiphar, Dexa, Merck, Kalbe, Sanbe pack 10 Rp 122,100

inj 500 mcg/5 mL tab 50 mcg tab 115.4 mg Merck, Kalbe, Nicholas, Abbot, Combiphar, Fahrenheit drops 15 mg/mL (15 mL) syr 15 mg/5 mL (100 mL) infusion 50 mg inj 50 IU/mL (10 mL) chew tab 80 mg

box pack box bottle bottle vial vial pack

100 1000 3x10 1 1 1 1 100

Rp Rp Rp Rp Rp Rp Rp Rp

9,980 32,044 23,000 18,000 25,500 6,547,530 3,450,000 36,700

Dexa medica Darya , Bayer

Otsuka, Guardian, Kalbe, Dexa tab 100 mg tab 50 mg Sanofi, Ferron, Kalbe, Soho, Dexa tab 75 mg tab 25 mg tab 75 mg Sanofi inj 20 mg/0.2 mL inj 40 mg/0.4 mL inj 60 mg/0.6 mL Glaxo Smith Kline inj 2.5 mg/0.5 mL inj 5000 IU/mL (5 mL) oint 15 g topical gel 20000 IU 20 g Fahrenheit inj 4250 Axa IU/0.4 mL inj 6400 Axa IU/0.6 mL powd for inj 1.5 juta IU tab 250 mg Prtapa Nirmala Bayer tab 2 mg FC tab 10 mg FC tab 15 mg FC tab 20 mg cap 110 mg cap 150 mg cap 75 mg cap 300 mg

pack pack pack pack pack box box box box vial tube tube syringe syringe vial box box pack pack pack box box box pack

50 50 28 200 100 2x1 2x1 2x1 2x1 1 1 1 1 1 1 2x10 10x10 10 28 28 3x10 3x10 3x10 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

498,000 275,000 610,555 366,630 443,080 137,070 242,680 347,160 655,500 55,000 14,369 36,300 690,000 1,050,000 3,520,000 219,420 120,000 250,000 700,000 700,000 554,950 554,950 554,950 150,000

Boehringer

Abbot Glaxo smith kline Forpharm Kalbe, Sanbe, Dexa,

cap 50 mg cap 250 mg tab 500 mg inj 250 mg/5 mL inj 500 mg/5 mL inj 250 mg/2 mL tab 500 mg inj 10 mg/2 mL inj 25 mg/5 mL inj 50 mg/10 mL Forte tab 30 mg

cap pack pack box box box pack box box box box 100 100 10x1 10x1 6x1 20 10x1 10x1 10x1 10x10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 138,000 240,000 75,000 105,000 30,280 47,300 78,208 133,560 194,412 283,500

Combiphar Tanabe, Ferron

Novartis

tab 10 mg inj 0.1 mg/mL

box amp

10x10 5x1

Rp Rp

189,000 1,396,000

Jansem cillag, Kalbe, Novell inj 10000 IU/mL inj 2000 IU/0.5 mL inj 4000 IU/0.4 mL

box box box

6x1 6x1 6x1

Rp Rp Rp

6,747,300 1,493,100 2,946,300

Roche, Kalbe, Novell

inj 30 MU/mL

prefilled syrg

Rp

846,126

Dipa pharmalab, Kalbe, Dexa, fahremheit inf 25% 20 mL inf 25% 50 mL inf 25% 50 mL inf 20% 50 mL inf 20% 100 mL inf 5% 50 mL inf 5% 250 mL Dipa pharmalab inj 250 IU inj 500 IU

vial vial vial bottle bottle bottle bottle bottle bottle

1 1 1 1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp

338,000 792,500 1,585,000 681,250 1,362,500 300,000 1,040,000 1,268,225 2,536,450

inf 500 ml inf 5g/100 mL (250 mL) inf 10% inf 6% inf 3.5% 500 mL

bottle bottle box box bottle

1 1 10x1 12x1 1

Rp Rp Rp Rp Rp

80,631 1,031,650 214,200 155,000 170,000

ovule 90 mg soln conc 360 mg/g 5 mL soln conc 360 mg/g 10 mL soln conc 360 mg/g 30 mL sol conc 360 mg/g 100 mL vag gel 50 g

pack bottle bottle bottle bottle tube

6 1 1 1 1 1

Rp Rp Rp Rp Rp Rp

101,640 17,600 26,950 66,000 236,500 74,580

Actavis Sanofi, Landson

tab inj 20 mg/2 mL tab 40 mg

pack box pack

50 5x1 100

Rp Rp Rp

80,000 50,068 356,838

Phapros, Kalbe, Soho

inj 20% 250 mL inj 20% 500 mL tab 100 mg tab 25 mg

bottle bottle pack pack

1 1 100 100

Rp Rp Rp Rp

31,381 59,626 311,500 96,300

Cendo Pfizer tab pack 100 Rp 126,000

Bayer, Dexa

tab 100 mg tab 50 mg Sanofi tab 5 mg Servier tab 60 mg Boehringer tab 30 mg Samofi, Kalbe, Medifarma tab 1 mg tab 2 mg tab 3 mg tab 4 mg Pfizer tab 10 mg tab 5 mg Merck, Kalbe, Pharos, Ferrom tab 500 mg XR cap 500 mg

box box container pack pack box box box box pack pack pack box

10x5 10x5 100 30 10 5x10 5x10 5x10 3x10 30 30 50 10x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

123,600 77,100 280,722 155,000 228,360 120,915 220,412 290,813 198,984 116,460 116,460 42,750 135,000

Merck

Takeda, Kalbe, Dexa

tab 1.25 mg/250 mg tab 2.5 mg/500 mg tab 5 mg/500 mg tab 120 mg tab 15 mg tab 30 mg tab 4 mg tab 4mg/2 mg tab 4 mg/mg tab 2 mg/500 mg tab 4 mg/500 mg tab 5 mg FC tab 5 mg tab 50 mg tab 1000 mg/50 mg tab 500 mg/50 mg tab 860/50 mg

pack pack pack box box box pack pack pack pack pack box pack box box box

100 100 100 7x12 5x6 5x6 28 28 28 14 14 2x14 3x10 28 3x10 3x10 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ? Rp Rp Rp Rp

189,778 327,210 397,320 449,300 138,000 210,000 275,000 275,500 275,500 81,500 137,500 265,306 137,200 154,500 154,500 154,500

Astra zenica Boehringer Dexa medica Dexa medica

Elli Lilly

HM inj 100 IU/mL (10 mL) Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL HM inj 100 IU/mL (10 mL) Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL inj 30 Novolet 30 penfill 30 inj 100 IU/mL 3 mL flexpen 3 mL flexpen 3 mL flexpen 100 U/mL inj 100 IU/mL (10 mL) optipen 100 IU/mL (3mL) inf 100 IU/mL (10 mL) optipen 100 IU/mL (1 mL) tab 5 mg tab 5 mg tab 10 mg tab 5 mg tab 100 mcg cap 3 mg

vial box box vial box box vial box box box box box box vial box vial box pack pack pack pack pack pack vial

1 5x1 5x1 1 5x1 5x1 1 5x1 5x1 5x1 5x1 5x1 5x1 1 5x1 1 1 1 100 100 100 100 50 1 1 30 10x10 100 1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

350,900 762,300 659,450 350,900 762,300 659,450 350,900 762,300 659,450 750,200 762,300 762,300 818,598 304,500 678,132 294,667 678,132 96,000 96,000 147,400 104,390 165,080 1,045,000 990,000 1,448,410 249,930 200,000 281,915 76,500 207,660 60,000 143,850 76,500 207,660

Elli Lilly

Elli Lilly

Elli Lilly Novo Nordis Novo Nordis Novo Nordis Sanofi Sanofi Sanofi Elli Lilly

Kalbe, Phapros 12 IU inj 16 IU/mL Sanofi, Kalbe, Ferrom, Pharos, Soho, tab 16 Lapi, mg Pfizer tab 8 mg tab 4 mg act-o 125 mg/2 mL act-o 500 mg/8 mL inj 125 mg inj 500 mg act-o 125 mg/2 mL act-o 500 mg/8 mL

pack pack vial vial vial vial vial vial

tab 5 mg BMS, ferron, Novell, Pharos, Dexa Bermofarm tab 4 mg cream 0.1% 10 g

box bottle pack tube

10x10 1000 100 1

Rp Rp Rp Rp

14,000 48,300 343,200 67,200

tab 2.5 mg tab 1 mg cap 120 mg cap 10 mg cap 15 mg tab 50 mg tab 1.25 mg tab 2.5 mg tab 5 mg SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg

pack pack box pack pack pack box pack pack pack pack pack pack pack pack box box pack pack pack pack pack box box pack pack pack box box box box pack pack pack pack box

28 28 10x10 21 30 30 2x14 50 100 30 100 30 100 30 30 10x1 10x1 60 60 60 60 30 5x10 10x1 60 100 100 10x10 10x1 5x6 5x1 30 100 30 30 10x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

849,010 312,980 1,449,425 183,925 276,750 369,000 167,513 163,240 466,400 130,130 675,730 343,602 576,072 218,888 332,683 2,576,440 64,000 79,800 127,000 53,500 132,500 240,000 535,425 715,000 196,000 132,000 77,000 118,000 335,000 114,000 100,000 343,602 576,072 218,888 332,683 2,576,440

Tanabe, fahrenheit, dexa

Darya Varia, GSK, KF, Pharos inf 1 mg/mL tab 10 mg tab 20 mg tab 5 mg retard tab 20 mg Astra zenica, Pharos, Phapros tab 20 mg tab 100 mg Pharos Servier Pharsos , KF inj 10 mg/10 mL tab 35 mg cap 5 mg cap 2.5 mg tab 20 mg inj 20 mg/2 mL tab 200 mg inj 150 mg/3 mL SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg

Sanofi, Darya, pharos

tab 10 mg tab 40 mg

pack pack

50 50

Rp Rp

130,829 201,270

SR tab 240 mg Glaxo smith kline tanabe tanabe tab 0.25 mg tab 10 mg tab 5 mg tab 12.5 mg tab 25 mg tab 10 mg tab 5 mg tab 10 mg tab 2.5 mg tab 5 mg tab 20 mg tab 5 mg tab 10 mg tab 5 mg tab tab 10 mg/10 mg tab 10 mg/5 mg tab 5 mg/10 mg tab 5 mg/5 mg tab 50 mg Merck, pharos, Tanebe tab 1.25 mg tab 2.5 mg tab 5 mg tab 25 mg tab 6.25 mg tab 100 mg tab 10 mg tab 80 mg tab 2.5 mg tab 5 mg

pack box pack pack box box box pack pack pack pack pack pack pack blister blister blister blister blister box pack pack pack pack box box box box box pack pack

50 25x10 30 30 10x10 10x10 14 14 30 60 60 20 100 30 30 30 30 30 30 10 30 2x14 50 100 30 100 10x10 10x11 5x10 10x10 3x10 30 30

Rp Rp Rp Rp ? Rp Rp Rp Rp Rp Rp ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

477,675 161,000 373,086 275,335 10,000 283,223 176,860 397,500 362,520 572,400 257,600 385,000 280,000 308,000 385,000 385,000 280,000 98,700 280,000 167,513 163,240 466,400 130,130 675,730 680,932 265,846 535,425 19,000 220,720 181,720 283,360

dexa medica, KF, interbat sanofi, ferron

Fahrenheit, meiji Servier Servier Servier Servier Servier Servier Servier

roche, Kalbe Fahrenheit

Merck Merck Dexa medica

Pfizer, Merck, Kalbe, Darya, Dexa, tab Phapros 10 mg tab 5 mg tanabe tanabe tanabe tanabe tanabe SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg XR tab 5 mg Bayer tab 10 mg tab 5 mg OROS tab 20 mg OROS tab 30 mg OROS tab 60 mg

pack pack pack pack pack pack pack box box pack pack pack pack pack amp pack bottle

100 30 30 30 100 30 30 10x1 3x10 50 50 30 30 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

636,700 342,315 191,000 343,602 576,072 218,888 332,683 2,576,440 224,461 111,300 74,500 182,500 199,250 325,000 200,000 322,000 236,800

Astellas, Pharos Bayer, Kalbe tab 30 mg inf 10 mg/50 mL

50 1

boehringer boehringer boehringer boehringer Novartis Novartis Novartis

tab 40/10 mg tab 40/5 mg tab 80/10 mg tab 80/5 mg tab 10 mg/160 mg tab 5 mg/160 mg tab 5 mg/80 mg tab 1 mg tab 2 mg

pack pack pack pack pack pack pack pack pack pack pack box box box box box box pack pack box pack box box box pack pack pack box pack pack pack box box box vial

4x7 4x7 4x7 4x7 28 28 28 50 50 140 28 28 28 14 14 2x15 2x10 2x10 2x14 2x14 2x14 28 28 2x14 28 2x14 2x10 2x10 30 30 10x1 100 100 100 4x7 4x7 25x10 1

? ? ? ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

433,915 377,305 300,980 336,135 575,285 698,858 250,030 272,428 367,684 190,250 144,550 262,600 242,000 313,830 366,280 219,420 292,605 272,428 367,684 366,820 278,670 292,605 242,000 313,830 190,250 310,150 379,545 390,060 256,080 337,700 160,000 380,130 380,130 161,000 99,000

tab 1 mg tab 2 mg Indofarma, sanofi, kalbe tab 150 mg tab 300 mg Takeda tab 16 mg Takeda tab 8 mg darya varia, kalbe, Takeda, KF tab 50 mg boehringer Novartis Novartis Novartis sanofi sanofi Novartis Novartis Novartis boehringer boehringer Takeda, Dexa medica Pfizer Pfizer Boehringer Boehringer Boehringer Actavis tab 40 mg tab 80 mg tab 160 mg tab 40 mg tab 80 mg tab 150/12.5 tab 300/12.5 tab 160/12.5 mg tab 160/25 mg tab 80/12.5 mg tab 40/12.5 mg tab 80/12.5 mg tab tab 20 mg tab 40 mg inf 0.15 mg/mL tab 0.075 mg 0.15 mg tab 250 mg

Pfizer SR tab 4 mg Pfizer SR tab 8 mg Glaxo smith kline, Fahrenheit tab 0.25 mg Solvay, Kalbe, Fahremheit, Dexa inj 25 mg/mL

Fahremheit, phapros, Kalbeinj 40 mg/mL (5 mL) inj 5 mg/mL tab 0.5 mg inj 50 mg/mL Fahremheit, Dexa medica,inj samdoz, 1 mg/mL novell (amp 4 mL) tab 10 mg Pfizer, actavis, Kalbe, Combiphar, Dexa, Sandoz tab 20 mg tab 40 mg Abbot, Sandoz, Dexa, Ikapharmindo, cap 200 escolab mg cap 100 mg

vial amp box pack box box pack pack pack pack pack

1 1 100x1 100 10x1 5x1 30 30 30 30 48

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

30,000 24,500 1,854,000 117,500 110,000 350,000 437,535 437,535 437,535 351,000 236,000

astra zenica astra zenica astra zenica Pharos, Kalbe

cap 300 mg tab 90 mg powd for oral liqd PR tab 375 mg PR tab 500 mg tab 10 mg tab 20 mg tab 40 mg tab 10 mg tab 20 mg tab 40 mg tab 10 mg

pack pack box box box box box box box box box pack

30 30 20x1 2x14 2x14 3x10 3x10 3x10 2x14 2x14 4x7 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

347,000 430,165 350,000 92,400 118,800 363,000 506,000 528,000 371,022 401,800 529,200 27,700

Schering plough Schering plough Schering plough Pfizer

tab 10 mg tab 10/10 mg tab 10/20 mg tab 10 mg/10 mg tab 10 mg/20 mg tab 5 mg/10 mg tab 5 mg/20 mg tab 10 mg tab 5 mg inhal soln 2 mL tab 200 mg SR cap 400 mg inf 300 mg/15 mL tab 100 mg tab 50 mg inj 100 mg (2 mL) inj 250 mg (2 mL) tab 10 mg tab 20 mg tab 10 mg tab 20 mg tab 5 mg

pack pack pack pack pack pack pack pack pack box box box box pack pack box box pack pack pack pack pack vial box box box bottle blister tube tube container box tube tube tube tube container

30 30 30 30 30 30 30 100 100 30x1 10x10 3x10 5x1 4 4 5x1 5x1 4 2 4 4 4 1 3x10 5x1 5x6 180 3x12 1 1 1 10x1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

413,500 527,000 527,000 437,510 437,510 437,510 437,510 864,453 514,290 8,181,818 522,060 174,500 167,000 452,930 345,700 97,136 201,905 415,800 253,000 349,125 415,800 276,000 3,520,000 174,500 167,000 150,000 1,152,360 230,472 21,500 21,500 21,500 110,000 39,000 38,800 54,900 15,000 29,000

Kalbe

Dexa Medica Kalbe Dexa Medica Landson

powd for inj 1.5 juta IU SR cap 400 mg inf 300 mg/15 mL tab 490 mg cap 250 mg cream 2% 20 g gel 2% 15 g soln 2% 30 mL gauze pad 1% cream 2% 5 g oint 2% 5 g cream 5 g top gel 1.2% 5 g top soln 1.2% 30 mL

inf 5 mg/mL (100 mL) cream 2% 5 g cream 2% 10 g oint 2% 10 g cream 10 g cream 10 mg/g (35 g) cream 2% 15 g scalp soln 2% 60 mL gel 2% 15 g cream 1% 3 g cream 1% 5 g cream 1% 10 g cream 2% 5 g cream 2% 10 g top powd 2% cream 5 g oint 30 g blue shampoo 1% 60 ml blue shampoo 1% 120 ml blue 5 shampoo 1% 30 ml blue 5 shamp 1% 120 ml blue 5 shamp 1% 200 ml shampoo 1.8% 30 mL shampoo 1.8% 60 mL shampoo 1.8% 120 mL AT cream 1% 5 g AT cream 1% 10 g cream 1% 5 g cream 1% 10 g cream 5% 5 g cream 5% 10 g cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g tab 500 mcg oint 0.25% 5 g oint 0.25% 10 g cream 0.05% 10 g lotion 0.05% 10 mL lotion 0.05% 30 mL oint 0.05% 10 g cream 0.1% 10 g FO 0.1% 10 g cream 5% cream 0.025% 5 g oint 0.025% 10 g cream 0.05% 5 g cream 0.05% 10 g

bottle tube tube tube tube tube container tube bottle tube tube tube tube tube tube container tube tube container container container container container container container container tube tube tube tube tube tube tube tube tube tube pack tube tube tube container container tube tube tube tube box box tube tube

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 1 1 100 1 1 1 1 1 1 1 1 1 12x1 12x1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

60,000 37,500 54,000 54,000 87,000 36,500 325,000 18,000 27,500 18,000 9,700 12,105 28,100 13,700 23,250 29,500 33,275 30,000 2,870 4,700 2,040 5,100 8,470 2,150 3,500 6,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

25,200 45,500 27,000 40,000 32,200 51,800 32,200 51,800 115,500 35,020 82,513 15,500 17,500 34,500 15,500 69,650 73,125 25,000 13,500 18,000 23,000 39,700

scalp lotion 0.1% 20 g

container

Rp

79,000

cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g cream 10 g cream 0.1 % 5 g cream 0.1% 10 g cream 2.5 mg/g 5 g cream 2.5 mg/g 15 g cream 0.1 % 10 g

tube tube tube tube tube tube tube tube tube tube

1 1 1 1 1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

15,000 21,850 15,000 21,850 77,050 30,250 54,500 46,263 104,110 67,200

inf 1000 mL

24x1

powd for oral liqd 25 g powd for oral liqd 1 L powd for oral liqd 200 mL milk powd 1 kg

box sachet sachet container

6x1 1 1 1

Rp Rp Rp Rp

276,000 710 265 137,600

milk powd 0.4 kg

container

Rp

60,400

inf 10% 500 mL inf 5% 500 mL inf 200 mL inf 500 mL paed inf 250 mL inf 500 mL

bottle bottle bag container container container

1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp

82,000 75,000 67,522 65,000 68,000 146,000

inf 500 mL inf 500 mL

container box bottle box bottle

1 10x1 1 10x1 1

Rp Rp Rp Rp Rp

42,500 363,000 80,000 742,500 13,560

inf 500 mL

inf 500 mL

bottle

Rp

13,560

inf 500 mL

bottle

Rp

13,560

inf 1440 mL inf 1920 mL inf 1 L

bag bag bag

1 1 1

Rp Rp Rp

480,000 550,000 280,000

inf 100 mL inf 20% 100 mL inf 20% 100 mL inf 20% 100 mL inf 8.4% inf 0.9% 1000 mL inf 0.9% 500 mL inf 500 mL inf 500 mL

bottle bottle bottle bottle container box bottle bottle bottle container

1 1 1 1 1 10x1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

491,050 115,500 212,100 283,500 33,350 366,850 8,140 4,712 15,200 5,630

powd for inj 100 U inj 20% 250 mL inj 20% 500 mL eye drops 1% 5 g ophthalmic oint 3% 4.5 g eye drops 0.3% 5 mL eye drops 3 mg/mL (5 mL) bottle bottle container tube container container

1 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp 31,381 59,626 60,000 146,000 66,000 16,710

ophthal soln 0.5% 5 mL

container

Rp

75,000

eye drop 50 mg/mL (5 mL) eye susp 5 mL

container container

1 1

Rp Rp

56,580 26,500

ophth soln 0.3% (5 mL) ophth oint 3.5 g

container tube

1 1

Rp

43,000

drops 3 mg/mL (5 mL)

eye susp 1% (5 mL) eye drops 2% 5 mL eye drops 0.005% 2.5 mL

container container container

1 1 1

Rp

143,000

Rp

342,275

pfizer, pharos, Kalbe

eye drops 0.004% 2.5 mL tab 0.25 mg tab 0.5 mg tab 1 mg inj 10 mg/2 mL tab 5 mg tab 1 mg tab 2 mg tab 10 mg tab 0.5 mg tab 1 mg tab 2 mg tab 10 mg tab 2 mg tab 8 mg

container pack pack pack box pack pack pack pack pack pack pack pack box pack

1 100 100 100 5x1 100 100 100 100 100 100 100 20 10x10 14

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

215,000 174,170 248,505 408,255 120,337 297,476 243,306 372,435 286,532 190,996 289,389 410,405 90,720 460,000 130,997

Roche, actavis, fahrenheit Takeda Sanofi Sunthi sepuri, mersifarma

Mersifarma Takeda

Boehringer lunbeck Pharos, sunthi sepuri, kalbe

cap 60 mg cap 20 mg

box box

2x7 2x14

Rp Rp

231,000 330,000

novartis novartis

tab 25 mg tab 25 mg tab 200 mg tab 400 mg

pfizer, pharos, kalbe

tab 50 mg

box pack box pack box pack pack

50x10 50 10x10 300 10x10 300 30

Rp Rp Rp Rp Rp Rp Rp

260,546 355,815 200,000 400,000 351,000 700,000 434,820

Pfizer novartis

cap 75 mg tab 10 mg tab 25 mg tab 50 mg tab 75 mg tab 25 mg tab 10 mg tab 15 mg tab 5 mg inj 9.75 mg/1.3 mL (7.5 mL) tab 2 mg

box box box box pack pack pack pack pack vial box box box bottle box

2x14 5x10 5x10 5x10 50 50 10 10 10 1 10x10 10x10 12x1 1 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

373,380 197,538 285,929 450,387 642,885 355,815 385,880 446,500 202,130 262,900 99,000 170,500 136,620 25,000 453,750

Pfizer, Mersifarma, guardian

tab 5 mg inj 5 mg/mL oral drops 2 mg/15 mL inj 50 mg/mL Mersi farma Pharos Sandoz, pgaros Schering plough tab 100 mg

pack pack pack pack pack pack box box box box box box box pack pack box box pack box box box box pack pack pack box box box vial box vial amp box

50 50 150 150 150 50 6x10 6x10 6x10 6x10 2x10 2x10 2x10 100 100 2x15 2x15 30 3x10 3x10 5x1 5x1 50 100 100 50x1 10x1 12x1 25x1 10x10 1 1 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

715,000 220,000 264,930 368,630 451,110 258,500 1,221,996 1,430,990 823,949 1,816,380 72,000 122,430 185,300 44,000 90,750 199,000 345,000 331,835 323,593 195,715 211,200 363,000 314,495 295,000 130,000 1,625,000 362,000 1,237,000 117,300 385,000 140,500 675,000 45,100

tab 25 mg tab 2 mg tab 4 mg tab 8 mg tab 4 mg Astra zenica tab 100 mg Astra zenica tab 200 mg Astra zenica tab 25 mg Astra zenica tab 300 mg Jansen,Kalbe, guardian, pharos tab 1 mg tab 2 mg tab 3 mg Glaxo smith kline, mersi farma tab 1 mg tab 5 mg tab 25 mg tab 50 mg Novartis, Janssen cap 20 mg tab 20 mg tab 10 mg Glaxo smith kline, Dexa, Novell inj 25 mg/2.5 mL inj 50 mg/5 mL Novartis tab 10 mg Eisai, Interbat, Kalbe, Pharos Organon Kalbe, Novell Abbot Mepro, Prima Pharos tab 50 mg tab 200 mg inj 2mg/mL 2 mL inj 50 mg (5 mL) inj 200 mg/10 mL tab 2 mg inj 10 mg inj 4 mg inj 0.5 mg/mL

Transfarma

Transfarma Combiphar, Glaxo smith kline

tab 60 mg tab 50 mg

pack pack

150 100

Rp Rp

920,000 748,990

Astra zenica Astra Zenica

Astra zenica, ferron Dexa medica powd for inj 40 mg vial Pharos, novell, Otto, Soho, dexa,tab kalbe, 40 mg mahakam vial tab 20 mg pack tab 40 mg pack inj 50 mg/2 mL box tab 150 mg box tab 300 mg box Pharos, otsuka tab 100 mg chew tab 125 mg pack oral liqd 100 mg sachet Fahrenheit, Kalbe, Gracia, liqd otto, 500 ikapharmindo, mg/mL (100 mL) combiphar bottle 200 mL bottle Eisai cap 50 mg box Eisai tab 10 mg pack tab 20 mg Takeda, Kalbe, dexa, gracia, sanbe, cap novell, 30 mg takeda box Dexa medica Soho soho tab 5 mg syr 100 mg (120 mL) tab 100 mg tab 12 mg tab 6 mg tab 50 mg Janssen, Kalbe, Dexa, Ikapharm,tab Bernofarm, 10 mg Gracia susp oral 5 mg/5 mL Otto, fajhrenheit, soho, actavisinj 10 mg/2 mL oral drops 1 mg/10 drop syr 5 mg/5 mL tab 10 mg tab 5 mg box bottle box pack pack pack pack bottle box bottle bottle pack pack

oral gel 400 (100 mL) oral gel forte (100 mL) 180 mL oral gel (100 mL) 180 mL tab 400 tab forte tab tab 20 mg tab 40 mg soln for inj 40 mg tab 200 mcg cap 20 mg

tube tube tube tube bottle box box pack box box vial pack box

100 mL 1 1 1 1 12x10 24x10 20 4x7 2x7 1 50 2x7 1 1 7 7 5x1 10x10 3x10 4 1 1 1 10x10 14 2x10 5x10 1 3x6 100 100 100 30 1 6x1 1 1 100 100 5x1 5x1 10 10 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

36,400 24,000 33,800 14,300 22,800 58,500 11,400 7,273 342,360 208,980 143,110 1,005,000 276,949 161,441 139,000 94,500 120,000 79,000 398,000 178,000 818 227 43,000 67,000 200,000 121,500 215,000 132,500 66,000 189,000 355,100 241,564 120,000 45,000 21,000 54,000 22,000 17,500 110,000 66,000 98,280 149,091

4 mg/2 mL Glaxo smith kline, Kalbe, soho, inj fahrenheit, pharos, interbatbox inj 8 mg/4 mL tab 8 mg tab 6 mg box

pack pack

Rp Rp

93,555 294,700

Roche, dexa Dexa medica kalbe astellas Astelas

inj 1 mg/mL inj 3 mg/3 mL inf 0.25 mg/5 mL inj 0.3 mg/2 mL tab 0.1 mg cap 200 mg gel topical 2% 60 g tab 500 mg

box box vial box pack box tube pack

5x1 5x1 1 5x1 10 2x10 1 30

Rp Rp Rp Rp Rp Rp Rp Rp

42,000 100,000 660,000 1,065,000 1,000,000 11,250 120,750 189,000

Boehringer

drag 10 mg inj 20 mg/mL 1L 200 mL tab 2 mg

pack box sachet sachet pack pack pack box box box container box

100 10x1 1 1 100 10 4 1x5 10x5 1x6 1 3x1 1 1 1 1 1 1 1 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

192,060 197,010 710 265 466,520 165,880 77,440 70,070 573,790 62,700 14,850 38,500 31,900 49,500 65,000 62,700 19,950 32,585 44,555 214,500

Boehringer

tab 5 mg supp 10 mg paed supp 5 mg enema 5 mL

Pharos

Soho, Ikapharmindo, KF syr 3.335 g/5 mL (60 mL) 120 mL 200 mL 133 mL Galenium pharm oral emulsion 30 mL 60 mL 110 mL cap 250 mg

bottle bottle bottle bottle bottle bottle bottle pack

tab inj 500 mg/mL (10 mL) enema 4 g tab 250 mg tab 500 mg supp 500 mg

box box box pack pack pack

10x10 5x1 4x1 100 100 30

Rp Rp Rp Rp Rp Rp

35,000 350,000 101,000 466,000 765,000 525,000

tab 225 mg inj 24 mg/mL spray 100 mcg/dose spray 50 mcg/dose Astra zenica MDI 100 mcg/puff MDI 200 mcg/puff amp 4 mg/mL

pack container container canister canister box

50 10x1 1 1 1 1 5x1

Rp Rp Rp Rp Rp Rp Rp

95,000 38,636 145,200 90,750 151,910 198,800 25,000

amp 5 mg/mL vial 20 mg/mL tab 25 mg inj 50 mg/mL Boehringer inhal soln 0.1% MDI 100 mcg/puff inhal soln 0.025% inhaler 20 mcg/puff tab 20 mcg minitab 25 mcg syr 25 mcg/5 mL tab 50 mcg cap 2 mg Glaxo, pharos, Lapi, Boehringer, fahrenheit cap 4 mg inj 0.5 mg/mL syr 2 mg/5 mL Glaxo, pharos, Lapi, Boehringer, inhal fahrenheit soln 2.5 mL Glaxo smith kline diskus 100 diskus 250 diskus 500 inhaler 125 inhaler 50 tab 250 mg tab 125 mg Astra zenica inf 0.5 mg/mL respules 2.5 tab 2.5 mg turbuhaler 0.5 mg Pharmosolindo cap

box vial pack box canister canister bottle canister box

5x1 1 1000 10x1 1 1 1 1 10x10 100 1 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp

26,500 21,000 168,500 110,000 194,920 116,490 157,850 118,140 412,280

pack pack box bottle box box box box canister canister pack pack box carton box canister pack pack bottle box bottle bottle bottle pack bottle bottle box bottle box box pack

100 100 5x1 1 20x1 60x1 60x1 60x1 1 1 100 100 5x1 2x5 10x10 1 10 100 1 5x10 1 1 1 10 1 1 10x10 1 10x10 10x4 20

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

75,000 100,000 62,500 16,000 213,520 120,000 134,545 146,182 120,000 105,455 280,500 163,350 75,206 79,586 181,020 148,522 42,130 411,950 23,425 384,450 43,670 35,200 44,770 237,710 21,010 37,400 352,550 51,590 114,840 48,070 70,000

syr 60 mL Boehringer, sanbe, gracia, sanofi retard cap 75 mg oral drops 15 mg/mL syr 15 mg/5 mL syr 30 mg/5 mL tab 30 mg elixir 4 mg/5 mL

inj 4 mg/2 mL oral soln 2 mg/mL tab 8 mg cap 300 mg

Abbot

dry syr 175 mg/5 mL cap 200 mg syr 100 mg/5 mL (75 mL) 150 mL tab eff 600 mg oral soln 200 mg inj susp 300 mg/3 mL powd for oral liqd 100 mg syr 100 mL flavor 100 mL susp 25 mg/mL inj 2 g/50 mL

bottle pack bottle bottle pack box box box bottle bottle vial vial

1 60 1 1 20 30 5x1 30x1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

28,875 219,000 35,000 50,000 180,000 117,000 177,500 75,000 5,750 2,450 4,002,075 2,200,000

inj 300 IU/2 mL vacc 0.5 mL vacc 0.5 mL

prefilled syrg vial vial

1 1 1

Rp Rp Rp

1,409,091 90,000 159,000

vacc 80 IU/0.5 mL vacc 160 IU/0.5 mL

prefilled syrg prefilled syrg prefilled syrg prefilled syrg prefilled syrg vial vial prefilled syrg prefilled syrg

1 1 1

Rp Rp Rp

220,000 270,000 110,000

vacc 0.5 mL

1 1 1 1

Rp Rp Rp Rp

116,000 61,000 500,000 680,000

vacc 1 mL

softcap 0.5 mcg softcap 0.25 mcg inj 1000 mg/5 mL inj 200 mg/2 mL inj 500 mg/5 mL

pack pack box box box

30 30 5x1 6x1 5x1

Rp Rp Rp Rp Rp

291,218 175,944 87,500 35,000 55,000

tab 300 mg

pack

100

Rp

189,000

capl 500 mg FC capl

box pack

10x10 30

Rp Rp

22,177 94,050

tab inj 5000 tab 5000 FC capl 5000 FC capl

pack pack box box box box box

250 50 20x1 10x10 25x10 5x10 5x10

Rp Rp Rp Rp Rp Rp Rp

266,514 54,371 120,120 207,900 514,580 90,000 87,500

cap 250 mcg cap 500 mcg capl

pack pack box

100 100 5x10

Rp Rp Rp

100,000 140,000 98,000

capl

box

5x6

Rp

100,000

cap

box

3x5

Rp

189,000

inj 25 mg/10 mL tab 5 mg F-tab

box pack pack pack

5x1 100 1000 100

Rp Rp Rp Rp

56,243 36,425 348,096 75,758

chew drag 100 IU tab 1 mg tab 2 mg tab 1 mg tab 2 mg PR tab 10 mg tab 5 mg

pack pack pack pack pack pack pack

100 140 28 50 50 30 30

Rp Rp Rp Rp Rp Rp Rp

96,897 698,858 250,030 336,135 575,285 319,219 357,500

cap 0.5 mg

pack

30

Rp

270,000

tab 2 mg tab 10 mg tab 5 mg

box pack pack

2x14 30 30

Rp Rp Rp

232,590 465,675 381,150

inj 0.3 mg/mL FAS tab 4.5 mg tab 1 mg tab 4.5 mg UCB, Kalbe, Soho inf 200 mg/mL inj 200 mg/mL Fahrenheit, darya Merck

box box box box box box

5x1 3x10 10x10 3x10 1 4x1

Rp Rp Rp Rp Rp Rp

152,665 550,920 576,015 642,340 250,250 250,250

drag 100 mg Forte drag 200 mg oral liqd 100 mL tab 35 mg inj 100 IU/mL inj 50 IU/mL nasal spray 200 IU inf conc 4 mg/5 mL

pack pack bottle pack box box container vial pack prefilled syrg pack pack box

100 100 1 4 5x1 5x1 1 1 1 1 30 30 5x6

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

308,000 446,160 56,100 352,944 751,960 489,250 760,140 3,198,000 346,223 1,194,468 168,000 267,750 255,000

Sanofi, kalbe Novartis

Novartis Roche, kalbe

tab 150 mg inj 3 mg/3 mL Roche, phapros, escolab, kalbecap 0.25 mcg cap 0.5 mcg capl

Otto, puspa farma, combiphar

Elli lilly

tab 60 mg tab 10 mg cap 400 mg inf conc 60 mg/mL

box box pack box

2x14 5x10 30 5x1

Rp Rp Rp Rp

528,000 216,000 625,000 955,041

Mengetahui Direktur Pelayanan

Dr. dr. Andi Basuki Prima Birawa, SpS NIP. 196409131990031004

JUMLAH PESANAN

HARGA TOTAL

12 2 2 60 30 2 20 2 4 2 2 2 2 12 12 12 12 2 2 12 12 0 40 2 2 2 20 2 12 2 2 0 12 2 4 4 12 20 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,058,400 1,200,000 2,160,000 2,394,900 1,425,000 210,000 2,360,800 411,280 641,880 766,660 563,340 275,590 155,710 282,000 468,000 1,032,000 541,200 41,800 79,200 244,200 191,400 17,574,400 828,666 304,736 214,332 4,497,620 187,600 2,303,400 761,200 467,720 365,400 576,900 192,000 272,000 159,936 1,380,000 3,000,000

12 2 2 2 0 0 20 2 12 6 20 4 12 2 2 2 2 2 20 4 0 0 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

2,721,840 899,050 882,970 682,170 3,937,500 680,090 1,188,000 1,101,618 4,700,000 583,000 1,207,800 154,000 278,300 726,000 514,800 561,000 4,700,000 714,000 15,900,000

Rp

400,000

2 2 2 2 0 0 0 0 2

Rp Rp Rp Rp Rp Rp Rp Rp Rp

760,100 240,900 838,640 264,440 210,000

16 4 6

Rp Rp Rp

4,711,296 920,464 323,436

2 0 0 0 0 0 2 2

Rp Rp Rp Rp Rp Rp Rp Rp

234,658 496,100 330,000

0 12 12 2 2

Rp Rp Rp Rp Rp

573,600 455,400 300,000 220,000

10 4 8 8 334 8 4 8 8 68 4 12 16 0 8

Rp Rp Rp Rp

1,203,370 1,189,904 2,417,320 6,061,600

Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,372,040 1,024,000 1,620,000 5,032,000 2,066,496 2,884,200 5,049,600 3,109,880

4 4

Rp Rp

910,400 1,872,500

4 500 4 0

Rp Rp Rp

2,349,160 1,741,740 -

12 2 2 12 12 2 12 20 2 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 12 12 0 0 0 0 0 0 0 0 0 0 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,642,080 560,680 241,900 230,760 329,100 384,580 230,760 2,620,320 831,016 645,816 480,636 2,210,000 529,200 662,400 -

0 0 0 0 20 2 12 0 0 0 0 0 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,000,000 420,000 2,580,000 -

200 12 2 2 2 30 2 12

Rp Rp Rp Rp Rp Rp Rp Rp

40,320,000 3,717,000 741,400 695,200 371,700 4,455,000 550,000 1,056,000

12 2 2 2 12 12 12 2 0 0 0 120 12 12 2 2 60 2 12 12

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,408,140 1,775,060 770,770 1,320,000 601,920 567,600 339,624 609,950 14,669,400 1,042,920 1,781,580 287,840 287,840 25,830,000 1,745,000 431,760 742,020

20 12 2 200

Rp Rp Rp Rp

10,100,000 900,000 518,000 48,000,000

200

Rp

31,000,000

120

Rp

14,400,000

120 0 0 0 200

Rp Rp Rp Rp Rp

11,040,000 58,092,400

300 12 0 200 200 0 0 0 0 0 4 2 0 0 0 0 0 0 2 2 12 12 2 0 0 2 12 2

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

44,400,000 864,000 37,000,000 50,000,000 396,000 138,000 164,600 273,800 3,147,000 2,175,720 652,690 316,000 243,960 140,000

0 0 2 2 60 2 2 2 0 0 12 0 0 0 0 0 120 12 12 0 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

8,691,408 6,712,556 2,360,100 196,906 376,814 959,116 4,320,000 2,652,000 529,200 662,400 -

2 2 2 2 2 2 2 2 12 12 12 12 12 2 6 2 2 2 12

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

84,000 176,000 548,068 1,010,620 242,000 435,000 1,088,000 1,400,000 540,000 1,008,000 55,200 144,000 2,786,400 199,200 864,000 288,000 308,700 163,800 1,926,000

0 12 2 12 2 0

Rp Rp Rp Rp Rp Rp

4,934,700 548,330 3,707,760 1,012,000 -

2 2 120 0 0 0 0 0 0 0 0 0 0 0 0 2 0 50 2 12 12 0 0 0 12 0 0 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,000,000 630,000 5,436,000 787,118 9,900,000 2,000,000 672,000 1,260,000 8,020,104 -

0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 12 2 2 0 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

960,000 7,200,000 29,085,872 960,000 -

34 34 2

Rp Rp Rp

37,152,922 22,654,676 1,300,000

8 8 0 160

Rp Rp Rp Rp

2,080,000 1,480,000 11,200,000

160 4 4

Rp Rp Rp

17,120,000 522,600 880,000

12 6 24 0 24 0 0 0 8 6 0 2

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,972,600 2,596,350 3,244,008 3,740,880 3,006,784 3,084,000 460,000 142,000 387,536 478,248 458,338 539,290 5,777,076 5,060,000 4,420,000 1,118,000 2,530,000 2,334,000

12 0 0 0 0 0 4 4 4 2 6

Rp

244,200

Rp

2 2 10 12 12 2 2 6

Rp Rp Rp Rp Rp Rp Rp Rp

19,960 64,088 230,000 216,000 306,000 13,095,060 6,900,000 220,200

12 2 2 2 2 0 0 0 0 120 60 12 0 0 2 0 0 12 1 1 1 1 1 1 0 0 0 100 2 2 2 2 0 2 0 0 0 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

5,976,000 550,000 1,221,110 733,260 886,160 6,600,000 862,140 435,600 7,040,000 1,440,000 250,000 700,000 700,000 554,950 554,950 554,950 -

Rp Rp Rp Rp Rp Rp

276,000 480,000 150,000 210,000 94,600

0 0 0 0 0 0 0 0 0 0

12 2 2 2 2 12 2 0 0 0 0 0 0 0 12 0 2 2 2 2

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,056,000 1,585,000 3,170,000 1,362,500 2,725,000 3,600,000 2,080,000 967,572 2,063,300 428,400 310,000 340,000

12 2 20 0 0 0 0 0 0 0 0 4 2

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,483,200 154,200 5,614,440 171,000 270,000

12 2 2

Rp Rp Rp

2,277,336 654,420 794,640

60 2 2

Rp Rp Rp

21,054,000 1,524,600 1,318,900

20 2

Rp Rp

6,090,000 1,356,264

2 2 2 0 2

Rp Rp Rp Rp Rp

192,000 294,800 208,780 330,160

60 2 2 12 12 12 12 0 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp

14,995,800 400,000 563,830 918,000 2,491,920 720,000 1,726,200 -

2 2 20 12

Rp Rp Rp Rp

28,000 96,600 6,864,000 806,400

2 2 0 2 2 4 2 2 2 4 2 2 2 2 12 2 2 2 2

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

2,898,850 367,850 553,500 738,000 652,960 932,800 260,260 1,351,460 1,374,408 1,152,144 437,776 665,366 5,152,880 768,000 159,600 254,000 107,000 265,000

4 2 2 2 2 0 0 0 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,374,408 1,152,144 437,776 665,366 5,152,880 -

0 30

Rp Rp

4,830,000

2 0 0 10 2 2

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

20 4 2 2 2 0 0 4 2 0 20 2

20,000 3,975,000 725,040 1,144,800 #VALUE! 3,350,260 652,960 932,800 260,260 1,351,460 2,141,700 38,000 3,634,400 566,720

10 2 2 4 2 2 2 2

Rp Rp Rp Rp Rp Rp Rp Rp Rp

6,367,000 684,630 382,000 1,374,408 1,152,144 437,776 665,366 5,152,880 2,226,000 149,000 365,000 398,500 650,000 40,000,000 3,864,000 2,841,600

20 2 2 2 2 200 12 12

Rp Rp Rp Rp Rp Rp Rp Rp

0 0 0 0 60 2 2

Rp Rp Rp

#VALUE! #VALUE! #VALUE! #VALUE! 26,034,900 754,610 601,960

2 2 12 2 10 2 12 6 2 2 2 2

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,397,716 500,060 3,269,136 735,368 1,902,500 289,100 3,151,200 1,452,000 627,660 732,560 438,840 585,210

12 2 2 12

Rp Rp Rp Rp

4,680,720 512,160 675,400 1,920,000

8 120

Rp Rp

1,288,000 11,880,000

120 200 2 2 12 0 12 60 2 2 60 2

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,600,000 4,900,000 3,708,000 235,000 1,320,000 4,200,000 26,252,100 875,070 875,070 21,060,000 472,000

2 12 0 0 0 2 2 2 0 0 0 10

Rp Rp Rp Rp Rp Rp Rp Rp

694,000 5,161,980 726,000 1,012,000 1,056,000

Rp

277,000

2 2 0 0 2 4 0 0 60 4

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,728,906 1,028,580 349,000 668,000 5,828,160 807,620

Rp

7,040,000

12 12 12 2 12 12 12 12 12

Rp Rp Rp Rp Rp Rp Rp Rp Rp

258,000 258,000 258,000 220,000 468,000 465,600 658,800 180,000 348,000

12 12 12 12

Rp Rp Rp Rp

720,000 450,000 648,000 648,000

12 12 12 0 0 0 12 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 12 12 12 12 2 12 12 12 12 12 12 0 0 12 0 0 0 0 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

216,000 330,000 216,000 164,400 279,000 354,000 324,000 480,000 386,400 621,600 386,400 621,600 231,000 420,240 990,156 186,000 210,000 414,000 186,000 300,000 -

12 0 12 12 12 12 0 12 12 0 0 12

Rp

948,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

180,000 262,200 180,000 262,200 363,000 654,000 806,400

2 120 12 12

Rp Rp Rp Rp

552,000 85,200 3,180 1,651,200

12

Rp

724,800

60 12 12 120 12 12

Rp Rp Rp Rp Rp Rp

4,920,000 900,000 810,264 7,800,000 816,000 1,752,000

600 2 60 2 120

Rp Rp Rp Rp Rp

25,500,000 726,000 4,800,000 1,485,000 1,627,200

120

Rp

1,627,200

120

Rp

1,627,200

120 2 120

Rp Rp Rp

57,600,000 1,100,000 33,600,000

12 12 12 12 12 60 2 600 12 600

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

5,892,600 1,386,000 2,545,200 3,402,000 400,200 22,011,000 16,280 2,827,200 182,400 3,378,000

120 120 12 12 12 12 2 2 10 2 2 12 2 2 12 120 20 2 40 10 2 200 200 12 120 12 0 0 100 100 0 0 18 18 2 12 10 12 20 12 12 2 2 60 4 0 0 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,368,000 2,880,000 405,600 171,600 273,600 702,000 22,800 14,546 3,423,600 417,960 286,220 12,060,000 553,898 322,882 1,668,000 11,340,000 2,400,000 158,000 15,920,000 1,780,000 163,600 45,400 516,000 8,040,000 2,400,000 21,500,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

6,391,800 4,348,152 240,000 540,000 210,000 648,000 440,000 210,000 1,320,000 132,000 196,560 8,945,460

0 0 0 0 0 2 2 12

Rp Rp Rp

22,500 241,500 2,268,000

2 2 12 12 12 20 20 4 2 2 20 20 2 60 12

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

384,120 394,020 8,520 3,180 5,598,240 3,317,600 1,548,800 280,280 1,147,580 125,400 297,000 770,000 63,800 2,970,000 780,000

Rp

70,000

2 2 2 0 120 120 12

Rp Rp Rp Rp Rp Rp Rp

190,000 77,272 290,400 18,229,200 23,856,000 300,000

20 4 12 8 2 12 12 120 12 12 12 0 0 2 2 4 12 36 2 2 2 12 12 10 2 12 2 2 12 30 2 12 12 12 12 12 2 120 12 2 12 2 4 60

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

530,000 84,000 2,022,000 880,000 389,840 1,397,880 1,894,200 14,176,800 4,947,360 150,000 200,000 250,000 192,000 7,686,720 240,000 269,090 292,364 1,440,000 1,265,460 2,805,000 326,700 902,472 159,172 362,040 1,782,264 1,263,900 823,900 281,100 4,613,400 524,040 422,400 537,240 475,420 2,521,200 448,800 705,100 619,080 229,680 192,280 4,200,000

12 2 12 12 2 2 4 2 120 12

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

346,500 438,000 420,000 600,000 360,000 234,000 710,000 150,000 690,000 29,400

20 2 4 0 0 0 0 0 72 0 0 0 0 2 40

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,750,000 70,000 220,000 13,608,000 44,354 3,762,000

12 2 2 2 2 2 2 0 0 6 2 0 12

Rp Rp Rp Rp Rp Rp Rp

3,198,168 108,742 240,240 415,800 1,029,160 180,000 175,000

Rp Rp Rp Rp

600,000 280,000 1,176,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

37,800,000

200

4 2 2 2

Rp Rp Rp Rp

224,972 72,850 696,192 151,516

2 2 2 2

Rp Rp Rp Rp Rp Rp Rp

1,397,716 500,060 672,270 1,150,570 -

Rp

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 60 4 0 0 2 2 12 Rp Rp Rp Rp Rp Rp Rp

15,015,000 1,001,000 616,000 892,320 673,200

12

Rp

3,060,000

41676

Rp

1,713,688,536

. dr. Andi Basuki Prima Birawa, SpS P. 196409131990031004

1687548536

DAFTAR PERMINTAAN OBAT DONASI RUMAH SAKIT PUSAT OTAK NASIONAL JAKARTA
NO URUT OBAT PACKING SEDIAAN KEMASAN JUMLAH PERMINTA AN

NAMA GENERIK

ANALGESIK, ANTIPIRETIK, AINS, ANTI-REMATIK, ANTIPIRAI


ANALGESIK NARKOTIK 1 Fentanil 10 mL patch 25 mcg/hr patch 50 mcg/hr ANALGESIK NON NARKOTIK 1 Antalgin 2 Asam Mefenamat 500 mg/mL (2 mL) cap 250 mg cap 500 mg tab enteric coat 25 mg tabenteric coat 50 mg inj 75 mg/3 mL retard tab 100 mg SR tab 75 mg supp 100 mg supp 50 mg emulgel 1% 10 g emulgel 1% 20 g emulgel 1% 50 g caplet 200 mg chew tab 100 mg supp 125 mg forte syr 200 mg/5 mL syr 100 mg/5 mL CR cap 200 mg coated tab 100 mg inj 100 mg/2 mL (2 mL) supp 100 mg inj 30 mg/mL tab 10 mg inj 15 mg/mL tab 15 mg tab 7.5 mg cap 500 mg rectal cr 125 mg/2.5 mL rectal cr 250 mg/4 mL syr 120 mg/5 mL FC cap FC cap cap 10 mg cap 20 mg dispersible tab 20 mg flash tab 20 mg box box box box box box box box box box box pack pack tube tube tube pack box box bottle bottle pack pack box pack 5x1 5x1 5x1 5x1 10x10 10x10 5x10 5x10 5x1 5x10 5x10 10 10 1 1 1 50x1 2x10 2x5 50 mLx1 60 mLx1 50 100 6x1 10 pcs 6x1 20 5x1 30 30 100 1000 5x1 5x1 60 mLx1 6x10 10x10 50 50 50 30 2 2 60 30 2 20 2 4 2 2 2 2 12 12 12 12 2 2 12 12 40 2 2 2 20 2 12 2 2 12 2 4 4 12 20 30 12 2 2 2

Natrium - Kalium Diklofenak

Ibuprofen

Ketoprofen

6 7

Ketorolak trometamin Meloksikam

Parasetamol

9 10 12

Paresetamol+asetil sistein+B44 Parasetamol + coffein Piroksikam

box pack pack pack pack box box bottle box box pack pack pack pack

NO URUT NAMA GENERIK OBAT 13 Selekoksib

PACKING SEDIAAN cap 100 mg cap 200 mg KEMASAN pack 10x3 pack box pack pack box box pack pack pack pack pack box box box box pack pack pack pack box 10x3 10x10 60 50 5x1 5x1 10 10 30 30 30 5x10 5x1 3x10 10x10 200 60 100 30 3x10

JUMLAH PERMINTA AN 20 2 12 6 20 4 12 2 2 2 2 2 20 4 100 2 2 2 2 2 2

14 15 16

Methampiron + diazepam Tinoridin Tramadol HCI

17

18 19 20 1

FC caplet cap 50 mg cap 50 mg inj 50 mg/2 mL inj 50 mg/mL retard tab 100 mg supp 100 mg Etoricoxib tab 120 mg tab 60 mg tab 90 mg Dexketoprofen trometamol tab 25 mg inj 50 mg/2 mL Tramadol + parasetamol tab Serapeptase + Vit B C tab ANTIREMATIK, ANTIPIRAI Alopurinol tab 100 mg tab 300 mg

Kolkisin

tab 0.5 mg

ANESTETIK
Bupivakain HCI Etilklorida Lidokain HCI ANESTETIK LOKAL inj 0.5% ( duofit polyamp 20 mL) inj 2% ( duofit polyamp 2 mL) inj 2% ( duofit polyamp 20 mL) inj 2 mL box botol box box box 5x1 5 5 16 4 6

50x1 5x1 20x1

Lidokain 2% + Adrenalin

Ketamin HCI

ANESTETIK UMUM inj 100 mg/mL (10 mL)

vial

Midazolam

inj 15 mg/3 mL inj 5 mg/5 mL

box box box box pack box box

5x1 10x1 5x5 5x5 100 5x10 5x10

5 5 2 2 2 2 2 0

PROSEDUR PREOPERATIF
Atropin Sulfas Diazepam 1 2 3 Feniramin maleat Loratadin Loratadin+Pseudofedrin Prometazin HCI inj inj tab 25 mg tab 10 mg cap

ANTIALERGI DAN OBAT UNTUK ANAFILAKSIS

NO URUT NAMA GENERIK OBAT 4 Setirizin

PACKING SEDIAAN drops 10 mg/mL (20 mL) syr 5 mg/5 mL (60 mL) tab 10 mg tab 5 mg inj KEMASAN bottle 1 bottle 1 box 3x10 pack 30 ampul

Dexametason

JUMLAH PERMINTA AN 12 12 2 2 100

ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN


KHUSUS

ANTIEPILEPSI
1 2 3 4 5 Diazepam Fenitoin natrium Fenobarbital Gabapentin Karbamazepin inj 10 mg/2 mL tab 5 mg cap 100 mg inj 250 mg/ 5 mL tab cap 300 mg chew tab 100 mg CR tab 200 mg syr 100 mg/5 mL (120 mL) tab 2 mg FC tab 250 mg tab 300 mg cap 15 mg cap 50 mg tab 250 mg syr ER tab 250 mg box pack pack box box amp pack box pack bottle pack pack box pack pack pack pack 5x1 100 100 10x1 1000 100 5x10 50 1 100 30 5x10 60 60 100 100 10 4 8 8 1 8 4 8 8 68 4 12 8 4 4 4 500 4

6 7 8 9 10

Klonazepam Levetiracetam Oxcarbamazepin Topiramat Valproat(dlm btk asam /natrium)

ANTIBAKTERI
Golongan Penisilin 1 Amoksisilin cap 250 mg cap 500 mg dispers tab 250 mg dry syr 125 mg/5 mL (60 mL) Forte dry syr 250 mg/ 5 mL (60 mL) infusion 1 g paed oral drops 100 mg/mL (15 mL) tab 1 g tab 625 mg Forte oral susp (60 mL) oral susp (60 mL) box box box bottle bottle box bottle pack pack bottle bottle 10x10 10x10 10x10 1 1 10x1 1 14 60 1 1 12 2 2 12 12 2 12 20 2 12 12

Amoksisilin Klavulanat

NO URUT OBAT

NAMA GENERIK SEDIAAN Golongan Aminoglikosida Gentamisin

PACKING KEMASAN

JUMLAH PERMINTA AN

Levofloksasin

inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL Golongan Kuinolon tab 250 mg tab 500 mg inf 500 mg/100 mL IV inf 200 mg/100 mL IV inf 400 mg/200 mL tab 500 mg XR tab 1000 mg XR tab 500 mg Golongan Makrolid cap 250 mg cap 500 mg oral susp 200 mg/5 mL (15 mL) cap 250 mg tab 200 mg Forte tab 500 mg oral susp 200 mg/5 mL (60 ml oral drops 100 mg/2.5 mL (30 mL) Forte oral susp 250 mg/5 mL (60 mL) tab 200 mg oral susp 2 g oral susp 200 mg/5 mL (15 mL) powd for inj 500 mg tab 250 mg tab 500 mg Golongan Sefalosporin cap 250 mg cap 500 mg dry syr 125 mg/5 mL (60 mL) dry syr 250 mg/5 mL cap 100 mg dry syr 100 mg/5 mL tab 200 mg inj 1 g powd for inj inj 1 g powd for inj 1 g powd for inj 1 g

vial amp vial box box vial vial vial pack pack pack pack pack bottle pack pack pack pack bottle bottle bottle pack container bottle bottle pack pack box box bottle bottle box bottle box box vial vial vial vial

1 1 1 3x10 3x10 1 1 1 20 10 10 10 10 1 100 500 100 100 1 1 1 100 1 1 1 6 3 10x10 10x10 1 1 3x10 1 1x10 2x1 1 1 1 1

100 12 12 20 2 12 200 12 2 2 2 30 2 12 12 2 2 2 12 12 12 2 120 12 12 2 2 60 2 12 12 20 12 2 200 200 120 120 200

Siprofloksasin

Ezitrromisin

Erittromisin stearat

Azitromisin

Sefadroksil

Sefiksim

3 4 5 6 7

Sefoperazon Sefoperazon+Sulbactam Sefotaksim Sefotiam Sefpirom

NO URUT NAMA GENERIK OBAT 8 Seftazidim 9 10 1

PACKING KEMASAN vial 1 vial 1 vial 1 vial 1 box box box box vial pack pack box bottle box box box bottle strip strip box box vial amp vial pack pack pack box box box box bottle bottle vial vial box pack box pack box pack box 3x10 3x10 10x1 10x1 1 30 30 10x10 1 10x10 10x1 10x1 1 10 10 10x10 2x1 1 1 1 100 100 350 10x10 5x10 25x4 25x4 1 1 1 1 5x6 50 6x10 30 10x10 100 3x10

1 2 3 4

5 6

SEDIAAN powd for inj 1 g powd for inj 500 mg Seftizoksim powd for inj 1 g Seftriakson IV inj 1 g Golongan Tetrasiklin Doksisiklin cap 100 mg cap 50 mg Golongan lain-lain Fostomisin inj 1 g inj 2 g Imipenem+Cilastatin IV inj Klindamisin cap 150 mg cap 300 mg Kotrikmosazol(TMP+SMZ) Forte cap syr (60 mL) tab Meropenem IV inj 1 g IV inj 500 g Metronidazol oral susp 125 mg/5 mL supp 0.5 g supp 1 g Forte tab 500 mg powd for inj 0.5 g inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL

JUMLAH PERMINTA AN 300 12 200 200 4 2 2 2 12 12 2 2 12 2 2 2 60 2 2 2 12 120 12 12 2 2 2 2 2 2 2 12 12 12 12 12 2 6 2 2 2 12

7 8

Vankomisin Gentamycin sulfate

ANTITUBERKULOSIS
1 2 3 4 Etambutol Isoniasid+vit B6 Pirazinamid Rifampisin tab 250 mg tab 500 mg Forte tab tab 500 mg cap 300 mg cap 450 mg cap 600 mg syr 20 mg/mL (50 mL) syr 20 mg/mL (100 mL) powd for inj 1 g powd for inj 5 g 450/300 captab paed chew tab paed chew tab 3FDC tab Forte cap tab 4FDC tab

5 6 7 8 9

Streptomisin sulfat Isoniazid + Rifampisin Rifampisin + Isoniazid + pirazinamid Etambutol + INH + Vit B6 Rifampisin + Isoniazid + pirazinamid + Etambutol Flukonazol

ANTI FUNGI
1 cap 150 mg cap 50 mg infus 100 ml box pack botol 5x1 10 1 12 2 12

NO URUT NAMA GENERIK OBAT 2 Griseofulvin 3 Ketokonazol 4 1 1 Nistatin Sulfadoksin+Pirimetamin

PACKING SEDIAAN tab 200 mg oral susp 100.000 U/mL KEMASAN box 10x10 pack 150 pack 30 bottle 1 pack box vial tube 2 g tube 5 g vial pack box pack pack 60 5x5 1 1 1 1 14 5x10 60 60

JUMLAH PERMINTA AN 2 2 2 120 2 50 2 12 12 12 2 12 2 2

ANTIMALARIA
tab

ANTIVIRUS
Asiklovir tab 200 mg IV infusion cream 5% infusion 500 mg tab 100 mg cap 500 mg tab 450 mg

2 3 4 5 1

Gansiklovir Lamivudin Valasiklovir Valgansiklovir Lamivudin

ANTIRETROVIRAL
tab 150 mg

ANTIMIGRAIN/VERTIGO
1 2 3 Dihidroergotamin mesilat Ergotamin+Kafein Ergotamin tab 0.3 mg+ Belladona alk 0.1 mg+ Fenobarbital 20 mg) Flunarizin Sumatriptan Betahistin diHCI Betahistin mesilat ANTIMIGRAIN tab 2.5 mg tab drag box box pack 10x1 10 500 34 34 2

4 5 1 2

tab 10 mg tab 5 mg cap 100 mg ANTIVERTIGO tab 24 mg tab 8 mg tab 6 mg

box box pack pack pack pack

5x10 5x10 2 20 100 100

8 8 160 160 4 4

ANTIPARKINSON/DEMENTIA
1 2 3 4 5 6 7 1 2 ANTIPARKINSON Bromokriptin tab 2.5 mg Entacapone tab 200 mg L Dopa+Benserasid disp tab 125 Pramipexole tab 0.125 mg Selegiline tab 5 mg Carbidopa+L-dopa+entacapone tab 100/25/200 mg Triheksifenidil HCI tab 2 mg ANTI DEMENTIA Donepezil tab 5 mg Rivastigmin PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg Ginkobiloba Forte tab 120 mg box pack pack box pack pack pack blister box box pack box pack 30 30 30 3x10 50 30 1000 14 4x7 4x7 14 4x14 30 12 6 24 24 8 6 2 12 4 4 4 2 6

NO URUT OBAT

NAMA GENERIK SEDIAAN

PACKING KEMASAN

JUMLAH PERMINTA AN

OBAT YANG MEMPENGARUHI DARAH


ANTIANEMIA 1 2 Asam Folat Besi (II) dlm bentuk garam sulfat,fumarat Sianokobalamin tab cap inj 500 mcg/5 mL tab 50 mcg tab 115.4 mg drops 15 mg/mL (15 mL) syr 15 mg/5 mL (100 mL) box pack box pack box bottle bottle vial vial pack pack pack pack pack pack vial tube tube vial box pack pack pack box box box cap pack pack box box pack 1000 10 100 1000 3x10 1 1 1 1 100 50 50 28 200 100 1 1 1 1 10x10 10 28 28 3x10 3x10 3x10 1 2 2 2 10 12 12 2 2 6 12 2 2 2 2 120 60 12 2 12 1 1 1 1 1 1 100 2 2 2 2 2

Fe + multivit, as.folat

OBAT YANG MEMPENGARUHI DARAH


1 2 3 4 5 6 7 8 Alteplase Anti Thrombin III Asetosal Cilostazol Clopidogrel Dipiridamol Heparin natrium Heparin dialisat infusion 50 mg inj 50 IU/mL (10 mL) chew tab 80 mg tab 100 mg tab 50 mg tab 75 mg tab 25 mg tab 75 mg inj 5000 IU/mL (5 mL) oint 15 g topical gel 20000 IU 20 g 9 10 11 Streptokinase Warfarin natrium Rivaroxaban powd for inj 1.5 juta IU tab 2 mg FC tab 10 mg FC tab 15 mg FC tab 20 mg cap 110 mg cap 150 mg cap 75 mg cap 50 mg

12

Dabigatran

13 1

NKCP Nattokinase Asam Traneksamat

HEMOSTATIK
cap 250 mg tab 500 mg inj 250 mg/5 mL inj 500 mg/5 mL tab 500 mg 100 100 10x1 10x1 20

Fitomenadion(vit.K1)

PRODUK DARAH PENGGANTI PLASMA


1 FRAKSI PLASMA UNTUK PEMAKAIAN KHUSUS Albumin (Human Albumin) inf 25% 20 mL inf 25% 50 mL inf 25% 50 mL inf 20% 50 mL vial vial vial bottle 1 1 1 1 12 2 2 2

NO URUT OBAT

NAMA GENERIK

PACKING KEMASAN bottle 1 bottle 1 bottle bottle box box bottle 1 1 10x1 12x1 1

2 3 4 5

SEDIAAN inf 5% 50 mL inf 5% 250 mL PENGGANTI PLASMA Dekstran 40 inf 500 ml Fraksi Protein Plasma (termasuk inf 5g/100 mL (250 mL) Fibrinogen) Hidroksietil pati 6%(HES) inf 10% inf 6% Poligelin inf 3.5% 500 mL

JUMLAH PERMINTA AN 12 2 12 2 2 2 2

DIAGNOSTIK
OBAT KONTRAS

HORMON ENDOKRIN LAIN DAN KONTRASEPSI


ANTIDIABETIK Antidiabetik oral Acarbose tab 100 mg tab 50 mg Glibenklamid tab 5 mg Metformin HCI tab 500 mg XR cap 500 mg Metformin HCI+Glibenklamid tab 1.25 mg/250 mg tab 2.5 mg/500 mg tab 5 mg/500 mg Antidiabetik parenteral Insulin Regular HM inj 100 IU/mL (10 mL) Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL (3 mL) inj 100 IU/mL (10 mL) optipen 100 IU/mL (3mL)

1 2 3 4

box box container pack box pack pack pack vial box box vial box pack pack pack pack pack vial vial vial vial box bottle pack tube

10x5 10x5 100 50 10x10 100 100 100 1 5x1 5x1 1 5x1 100 100 100 30 10x10 100 1 1 1 1 10x10 1000 100 1

12 2 20 4 2 12 2 2 60 2 2 20 2 2 2 2 60 2 2 12 12 12 12 2 2 20 12

Insulin Analog Glargine

HORMON TIROID DAN ANTITIROID


1 2 3 1 Karbimazol Methimazol L-Tiroksin natrium Metil Prednisolon asetat tab 5 mg tab 10 mg tab 100 mcg tab 16 mg tab 8 mg tab 4 mg act-o 125 mg/2 mL act-o 500 mg/8 mL inj 125 mg inj 500 mg tab 5 mg tab 4 mg cream 0.1% 10 g Betametason dipropionat

KORTIKOSTEROID DAN KORTIKOTROPIN

2 3

Prednison Triamsinolon asetonid

NO URUT OBAT

NAMA GENERIK SEDIAAN

PACKING KEMASAN

JUMLAH PERMINTA AN

HORMON LAIN
1 2 3 Mazindol Orlistat Sibutramin tab 1 mg cap 120 mg cap 10 mg cap 15 mg box pack pack pack 10x10 21 30 30 2 2 2 2

OBAT KARDIOVASKULER
1 Bisoprolol ANTIANGINA tab 1.25 mg tab 2.5 mg tab 5 mg SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg inf 1 mg/mL tab 10 mg tab 20 mg tab 5 mg retard tab 20 mg ANTIDISTRITMIA SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg tab 0.25 mg pack pack pack pack pack pack pack pack box box pack pack pack pack pack pack pack pack box box 50 100 30 100 30 100 30 30 10x1 10x1 60 60 60 60 30 100 30 30 10x1 25x10 4 2 2 2 4 2 2 2 2 12 2 2 2 2 4 2 2 2 2 30

Diltiazem

Isosorbid dinitrat

Diltiazem

digoksin epinefrin (adrenalis)

ANTIHIPERTENSI
1 2 Kaptopril Ramipril Golongan ACE inhibitor tab 25 mg tab 10 mg tab 2.5 mg tab 5 mg Golongan beta blocker tab 50 mg tab 1.25 mg tab 2.5 mg tab 5 mg tab 100 mg tab 10 mg tab 2.5 mg tab 5 mg box pack pack pack box pack pack pack pack box box pack pack 10x10 30 60 60 2x14 50 100 30 100 5x10 10x10 30 30 2 10 2 2 20 4 2 2 2 4 2 20 2

1 2

Atenolol Bisoprolol fumarat

3 4 5

Metoprolol tartrat Propranolol HCI bisoprolol + HCT

NO URUT OBAT

NAMA GENERIK SEDIAAN

PACKING KEMASAN

JUMLAH PERMINTA AN

Amlodipin besilat

Golongan calcium channel blocker tab 10 mg tab 5 mg

pack pack pack pack pack pack pack box box pack pack pack pack pack amp pack bottle pack pack pack pack pack pack pack pack pack box box box box box box box pack pack pack box

100 30 30 30 100 30 30 10x1 3x10 50 50 30 30 30

10 2 2 4 2 2 2 2

Diltiazem

SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg

Felodipin 3 Nifedipin

XR tab 5 mg tab 10 mg tab 5 mg OROS tab 20 mg OROS tab 30 mg OROS tab 60 mg

4 5

Nicardipine Nimodipin tab 30 mg inf 10 mg/50 mL tab 10 mg/160 mg tab 5 mg/160 mg tab 5 mg/80 mg Golongan alpha blocker tab 1 mg tab 2 mg Golongan angiotensin II antagonist tab 150 mg tab 300 mg tab 16 mg tab 8 mg tab 50 mg tab 40 mg tab 80 mg tab 160 mg tab 40 mg tab 80 mg Golongan lain-lain inf 0.15 mg/mL tab 0.075 mg 0.15 mg tab 250 mg

20 2 2 2 2 200 12 12 60 2 2 2 2 12 2 10 2 12 6 2 2 2 2 12 2 2 12 8

50 1 28 28 28 140 28 28 28 14 14 2x15 2x10 2x10 2x14 2x14 2x14 10x1 100 100 100 25x10

Amlodipine + Valsartam

Terazosin

1 2 3 4 5

Irbesartan Kandesartan Losartan Telmisartan Valsartan

Klonidin HCI

2 1

Metildopa anhidrat Digoksin

GLIKOSIDA JANTUNG
tab 0.25 mg

NO URUT OBAT

NAMA GENERIK SEDIAAN

PACKING KEMASAN

JUMLAH PERMINTA AN

OBAT UNTUK SYOK


1 2 1 2 Dobutamin Dopamin HCI Adrenalin HCI/bitartrat Deksametason natrium fosfat Inotropik inj 25 mg/mL inj 40 mg/mL (5 mL) Vasokonstriktor inj 5 mg/mL tab 0.5 mg inj 50 mg/mL inj 1 mg/mL (amp 4 mL) vial vial 1 1 120 120

3 4 1

Efedrin HCI Norepinefrin bitartrat Atorvastatin

amp box pack box box pack pack pack pack pack pack pack box box box pack pack pack box box box box vial

1 100x1 100 10x1 5x1 30 30 30 30 48 30 30 3x10 3x10 3x10 30 100 100 3x10 5x1 5x1 5x1 1

200 2 2 12 12 60 2 2 60 2 2 12 2 2 2 10 2 2 2 4 60 4 2

ANTIHIPERLIPIDEMIA
tab 10 mg tab 20 mg tab 40 mg cap 200 mg cap 100 mg cap 300 mg tab 90 mg tab 10 mg tab 20 mg tab 40 mg tab 10 mg VASODILATOR tab 10 mg tab 5 mg SR cap 400 mg inf 300 mg/15 mL inj 100 mg (2 mL) inj 250 mg (2 mL) THROMBOLITIK powd for inj 1.5 juta IU LAIN-LAIN Prostaglandin E1

Fenofibrat

3 4

Gemfibrozil Pravastatin

5 1 2 3

Simvastatin Flunarizin Pentoksifilin Sitikolin

Streptokinase

OBAT TOPIKAL UNTUK KULIT


ANTIBAKTERI 1 Eritromisin cream 2% 20 g gel 2% 15 g soln 2% 30 mL gauze pad 1% cream 2% 5 g oint 2% 5 g 4 5 Fusidat (asam) +Betametason valerat Klindamisin cream 5 g top gel 1.2% 5 g top soln 1.2% 30 mL tube tube container box tube tube tube tube container 1 1 1 10x1 1 1 1 1 1 12 12 12 2 12 12 12 12 12

2 3

Framisetin sulfat Fusidat

NO URUT OBAT 6 7

NAMA GENERIK SEDIAAN Metronidazol Mupirosin

PACKING KEMASAN bottle tube tube tube tube tube container tube bottle tube tube tube container tube tube tube tube tube tube pack tube tube tube container container tube tube container tube tube tube tube tube tube tube 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 100 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

JUMLAH PERMINTA AN 12 12 12 12

inf 5 mg/mL (100 mL) cream 2% 5 g cream 2% 10 g oint 2% 10 g cream 10 g cream 10 mg/g (35 g) ANTIFUNGI

Nadifloksasin Perak Sulfadiazin

Ketokonazol

cream 2% 15 g

12 12 12 12 12 12 12 12 12 12 12 12 2 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12

2 3 4

5 6 7

scalp soln 2% 60 mL gel 2% 15 g Mikonazol Nitrat cream 2% 5 g cream 2% 10 g top powd 2% ANTIVIRUS Asiklovir cream 5% 5 g cream 5% 10 g ANTIIFLAMASI DAN ANTIPRURITIK Betametason dipropionat cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g Betametason valerat tab 500 mcg Desoksimetason oint 0.25% 5 g oint 0.25% 10 g Desonid cream 0.05% 10 g lotion 0.05% 10 mL lotion 0.05% 30 mL oint 0.05% 10 g Doksepin cream 5% Hidrokortison butirat Klobetasol propinat scalp lotion 0.1% 20 g cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g cream 0.1 % 5 g cream 0.1% 10 g cream 0.1 % 10 g ORAL powd for oral liqd 25 g powd for oral liqd 1 L powd for oral liqd 200 mL

8 9

Mometason furoat Triamsinolon asetonid

LARUTAN ELEKTROLIT,NUTRISI,DLL
1 2 BCAA powder Oralit box sachet sachet container container 6x1 1 1 1 1 2 120 12 12 12

Nutrisi enteral

milk powd 1 kg milk powd 0.4 kg

NO URUT OBAT

NAMA GENERIK SEDIAAN PARENTERAL Aqua pro injeksi Asam amino

PACKING KEMASAN

JUMLAH PERMINTA AN

2 3

Asam amino+vitamin+elektrolit Asam amino rantai cabang (BCAA) Glukosa Kalium klorida Kalsium glukonat Larutan elektrolit Larutan kombinasi (dlm 1 liter): Fruktosa 120 g ,glukosa 66 g, xylitol 60 g,elektrolit vitamin Larutan kombinasi (dlm 1 liter): Natrium 38,5 mek, CI 38,5 mek,glukosa 37,5 g Larutan kombinasi (dlm 1 liter): Natrium 60 mek,k 10 mek, CI 50 mek, laktat 20 mek,gluk 27 g Larutan kombinasi (dlm 1 liter):Natrium 50 mek,k 20 mek, CI 50 mek, laktat 20 mek, glukosa 27 g Larutan kombinasi: Glukosa 2,5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,225% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,9%=4:1(N4) Larutan kombinasi: Glukosa 10 % & Natrium klorida 0,9%=4:1(N5) Larutan kombinasi: glukosa+asam amino + elekrolit Larutan nutrisi+ elektrolit L-alanin+L-glutamin Lipid

inf 10% 500 mL inf 5% 500 mL inf 200 mL inf 500 mL paed inf 250 mL inf 500 mL

bottle bottle bag container container container

1 1 1 1 1 1

60 12 12 120 12 12

4 5

inf 500 mL inf 500 mL

container box bottle box bottle

1 10x1 1 10x1 1

600 2 60 2 120

inf 500 mL

inf 500 mL

bottle

120

inf 500 mL

bottle

120

inf 1440 mL inf 1920 mL inf 1 L inf 100 mL inf 20% 100 mL inf 20% 100 mL inf 20% 100 mL inf 8.4%

bag bag bag bottle bottle bottle bottle container box

1 1 1 1 1 1 1 1 10x1

120 2 120 12 12 12 12 12 60 JUMLAH PERMINTA AN

10 11 12

13 NO URUT OBAT

Natrium bikarbonat

NAMA GENERIK

PACKING

NO URUT OBAT 14 15 16

NAMA GENERIK SEDIAAN Natrium klorida Ringer Asetat Ringer Laktat inf 0.9% 1000 mL inf 0.9% 500 mL inf 500 mL inf 500 mL KEMASAN bottle bottle bottle container 1 1 1 1

JUMLAH PERMINTA AN 2 600 12 600

OBAT UNTUK SALURAN CERNA


1 ANTASIDA DAN ULKUS,ANTIBUSA Alumunium oral gel 400 (100 mL) hidroksida+Magnesium oral gel forte (100 mL) hidroksida+ Simetikon 180 mL oral gel (100 mL) 180 mL tab 400 tab forte tab Esomeprazol tab 20 mg tab 40 mg soln for inj 40 mg Misoprostol tab 200 mcg Omeprazol cap 20 mg powd for inj 40 mg Pantoprazol tab 40 mg tab 20 mg tab 40 mg Ranitidin inj 50 mg/2 mL tab 150 mg tab 300 mg Rebamipide tab 100 mg Simetikon chew tab 125 mg oral liqd 100 mg Sukralfat Teprenon Lansoprazol cisaprid Betahistin mesilat Dimenhidrinat Domperidon Metoklopramid HCI liqd 500 mg/mL (100 mL) 200 mL cap 50 mg cap 30 mg tab 5 mg ANTIEMETIK tab 12 mg tab 6 mg tab 50 mg tab 10 mg susp oral 5 mg/5 mL inj 10 mg/2 mL oral drops 1 mg/10 drop syr 5 mg/5 mL tab 10 mg tab 5 mg tube tube tube tube bottle box box pack box box vial pack box vial vial pack pack box box box pack sachet bottle bottle box box box pack pack pack pack bottle box bottle bottle pack pack 100 mL 1 1 1 1 12x10 24x10 20 4x7 2x7 1 50 2x7 1 1 7 7 5x1 10x10 3x10 4 1 1 1 10x10 2x10 5x10 100 100 100 30 1 6x1 1 1 100 100 120 120 12 12 12 12 2 2 10 2 2 12 2 2 12 120 20 2 40 10 2 200 200 12 120 12 100 100 18 18 2 12 10 12 20 12 12 2

3 4 5

7 7 8 10 9 13 1 2 3 4

NO URUT OBAT

NAMA GENERIK SEDIAAN

PACKING KEMASAN

JUMLAH PERMINTA AN

Ondansetron HCI

inj 4 mg/2 mL inj 8 mg/4 mL tab 8 mg ANTIHEMORRHOID cap 200 mg gel topical 2% 60 g tab 500 mg ANTISPASMODIK

box box

5x1 5x1 10 2x10 1 30

2 60 4 2 2 12

1 2

Hidrosmin Diosmin 450 mg + Heesperidin 50 mg Hiosin n-butil bromida

box tube pack

drag 10 mg inj 20 mg/mL OBAT UNTUK DIARE 1L 200 mL tab 2 mg LAKSATIF tab 5 mg supp 10 mg paed supp 5 mg

pack box sachet sachet pack pack pack box box box bottle container box

100 10x1 1 1X 25 100 10 4 1x5 10x5 1x6 1 3x1 1 1 1 10x10 5x1

2 2 12 12 12 20 20 4 2 2 2 20 3 2 60 12 2

Garam Oralit I Loperamid HCI 1 Bisakodil

Gliserin Kombinasi Natrium lauril sulfoasetat + Natrium sitrat asam sorbat+PEG +Sorbitol Laktulosa

enema 5 mL

syr 3.335 g/5 mL (60 mL) 120 mL 200 mL

bottle bottle bottle box box

Magnesium sulfat Kombinasi enzimsal cerna L-Ornitin L-Aspartat

tab inj 500 mg/mL (10 mL) ANTIASMA tab 225 mg inj 24 mg/mL spray 100 mcg/dose MDI 100 mcg/puff MDI 200 mcg/puff amp 4 mg/mL amp 5 mg/mL vial 20 mg/mL tab 25 mg inj 50 mg/mL inhal soln 0.1% MDI 100 mcg/puff

OBAT UNTUK SALURAN NAFAS


1 Aminofilin Beklometason 2 3 Budesonide Deksametason natrium fosfat pack container canister canister box box vial pack box canister canister 50 10x1 1 1 1 5x1 5x1 1 1000 10x1 1 1 2 2 2 120 120 12 20 4 12 8 2 12 JUMLAH PERMINTA AN 12

4 5

Efedrin HCI Fenoterol HBr

NO URUT NAMA GENERIK OBAT 6 Ipratropium bromida

PACKING SEDIAAN inhal soln 0.025% KEMASAN bottle 1

inhaler 20 mcg/puff 7 7 Isoprenalin HCI Klenbuterol Prokaterol HCI hemihidrat tab 20 mcg minitab 25 mcg

canister box

1 10x10 100

120 12 12 12

Salbutamol

cap 2 mg cap 4 mg inj 0.5 mg/mL syr 2 mg/5 mL inhal soln 2.5 mL diskus 100 diskus 250 diskus 500 inhaler 125 inhaler 50 tab 250 mg tab 125 mg

pack pack box bottle box box box box canister canister pack pack box carton box canister

100 100 5x1 1 20x1 60x1 60x1 60x1 1 1 100 100 5x1 2x5 10x10 1

2 2 4 12 36 2 2 2 12 12 10 2 12 2 2 12

9 10

Salbutamol 2,5 mg + Ipratropium Bromida 0,5 mg Salmoterol 25 mcg + Flutikason proprionat 50 mcg/125 mcg

11

Teofilin

12

Terbutalin Sulfat

inf 0.5 mg/mL respules 2.5 tab 2.5 mg turbuhaler 0.5 mg ANTITUSIF

Kodein HCI

cap syr 60 mL MUKOLITIK retard cap 75 mg oral drops 15 mg/mL syr 15 mg/5 mL syr 30 mg/5 mL tab 30 mg elixir 4 mg/5 mL

pack pack bottle box bottle bottle bottle pack bottle bottle box

10 100 1 5x10 1 1 1 10 1 1 10x10

30 2 12 12 12 12 12 2 120 12 2 JUMLAH PERMINTA AN 12 2

Ambroksol

Bromheksin HCI

inj 4 mg/2 mL NO URUT OBAT NAMA GENERIK PACKING SEDIAAN oral soln 2 mg/mL tab 8 mg

KEMASAN bottle 1 box 10x10

3 4

Erdostein N-asetil sistein

cap 300 mg dry syr 175 mg/5 mL cap 200 mg syr 100 mg/5 mL (75 mL) 150 mL tab eff 600 mg oral soln 200 mg inj susp 300 mg/3 mL powd for oral liqd 100 mg

box pack bottle pack bottle bottle pack box box box bottle bottle box box box pack box pack pack pack box box box box box pack pack box box

10x4 20 1 60 1 1 20 30 5x1 30x1 1 1 5x1 6x1 5x1 100 10x10 30 250 50 20x1 10x10 25x10 5x10 5x10 100 100 5x10 3x5

4 60 12 2 12 12 2 2 4 2 120 12 20 2 4 72 2 40 12 2 2 2 2 2 2 6 2 12 200

Obat batuk Hitam

EKSPEKTORAN syr 100 mL flavor 100 mL

VITAMIN DAN MINERAL


1 Asam Askorbat inj 1000 mg/5 mL inj 200 mg/2 mL inj 500 mg/5 mL tab 300 mg capl 500 mg FC capl tab inj 5000 tab 5000 FC capl 5000 FC capl cap 250 mcg cap 500 mcg capl cap

2 3 4 5

Kalium aspartat/klorida Kalsium laktat/fosfat Kombinasi Betakaroten,Vitamin C, vitamin E,Zinc,Selenium Kombinasi vitamin B

6 7 8

Mekobalamin Multivitamin Thiamin nitrat+Kalsium pantotenat+Medical yeast+cystin +keratin+ asam p-amino benzoat Thiamin Tetrahidrofurfuril Disulfid

inj 25 mg/10 mL tab 5 mg F-tab ALPHA BLOCKER tab 1 mg tab 2 mg PACKING SEDIAAN tab 1 mg tab 2 mg

box pack pack pack

5x1 100 1000 100

4 2 2 2

OBAT YANG MEMPENGARUHI SALURAN KEMIH


1 Terazosin pack pack 140 28 2 2 JUMLAH PERMINTA AN 2 2

NO URUT NAMA GENERIK OBAT 2 Doksazosin

KEMASAN pack 50 pack 50

LAIN-LAIN 1 2 Pirasetam Piritinol Hcl inf 200 mg/mL inj 200 mg/mL drag 100 mg Forte drag 200 mg oral liqd 100 mL box box pack pack bottle box 1 4x1 100 100 1 5x6 60 4 2 2 12 12

OSTEOARTRITIS dan METABOLISME TULANG


1 Glucosamin capl

1687548536

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

ANALGESIK, ANTIPIRETIK, AINS, ANTI-REMATIK, ANTIPIRAI


ANALGESIK NARKOTIK 1 Fentanil Inj. patch Tablet Inj. Tab short acting ; tab SR Inj. Inj. 0.05mg/ml;TTS 12,5, 25mcg/jam,50mcg/jam 10mg,15mg,20mg 10 mg/ml amp, MST 50mg/ml 5mcg/ml,50mcg/ml Sufenta,Sufenta forte 3 3 Janssen-Cilag 5 mcg/mL (10 mL) box 5x1 Rp 440,000 Fentanyl (Inj); Durogesic 2 Janssen-Cilag Janssen-Cilag 3 3 10 mL patch 25 mcg/hr patch 50 mcg/hr box box box 5x1 5x1 5x1 Rp Rp Rp 338,200 600,000 1,080,000

2 3 4 5 6

Kodein HCI Morfin HCI Morfin sulfat Petidin HCI Sufentanil

ANALGESIK NON NARKOTIK 1 2 3 Antalgin Asam Mefenamat Natrium - Kalium Diklofenak tablet,inj. kapsul;tablet tablet tab salut tab lepas lambat tab retard inj supp emulgel tab 500mg, inj;500mg/ml 250 mg,500mg tablet 25 mg,50mg ; Tab lepas lambat 50 & 75 mg, Tab retard 100 mg, inj 25 mg/ml, Supp 50 Novalgin (inj);Decamidon Mefinal; Ponstan Voltaren ;Flamar; Eflagen 2 Sanofi Aventis 2 Pfizer, Gracia, Sanbe 2 Novartis 500 mg/mL (2 mL) cap 250 mg cap 500 mg tab enteric coat 25 mg tabenteric coat 50 mg inj 75 mg/3 mL retard tab 100 mg SR tab 75 mg supp 100 mg supp 50 mg emulgel 1% 10 g emulgel 1% 20 g emulgel 1% 50 g caplet 200 mg chew tab 100 mg supp 125 mg forte syr 200 mg/5 mL syr 100 mg/5 mL 5 6 indometasin ketoprofen kapsul tablet,supp;inj 25 mg;50 mg tab 50 m,100mg; Tab lepas lambat 100 & 200 mg, supp 100 mg; inj.50 mg/ml, gel Benocid, Dialon Profenid;Kaltrofen;Lantiflam 2 Eisai 2 Sanofi, Otto, Dexa medica, Kalbe cap 100 mg CR cap 200 mg coated tab 100 mg inj 100 mg/2 mL (2 mL) supp 100 mg 7 8 Ketorolak trometamin Meloksikam tab, inj tablet Tab 10 mg, inj 10mg/ml,30mg/ml 7.5 mg, 15 mg Toradol ;Toramin;Xevolac Movicox 2 Roche, Kalbe, Novell, Dexa, Phapros, Soho 2 Boehringer, Nicholas, Soho, Bernofarm, Otto, Interbat 9 10 Naproksen Parasetamol tablet,kaplet,suppos tablet,suspensi,suppos, sir, drops, inf, rectal tube , 250 mg;500mg;500mg tab 500mg;,susp 120mg/5 ml;supp 125 mg, 250 mg, inf 500 mg/100 ml, rectal cr 125 mg/2.5 mL rectal cr 250 mg/4 mL syr 120 mg/5 mL 11 12 Paresetamol+asetil sistein+B44 Parasetamol + coffein Parekoksib natrium tablet tablet inj. 500 mg 20 mg,40 mg vial Sistenol Nogren Dynastat 2 Dexa 2 2 FC cap FC cap powd for inj 40 mg Naxen Panadol;Pamol;Dumin 2 2 cap 500 mg pack pack box box bottle box box vial 100 1000 5x1 5x1 60 mLx1 6x10 10x10 1 Rp Rp Rp Rp Rp Rp Rp Rp 30,450 288,450 48,000 68,000 13,328 69,000 100,000 89,805 inj 30 mg/mL tab 10 mg inj 15 mg/mL tab 15 mg tab 7.5 mg box pack pack box box box box box box box box pack pack tube tube tube pack box box bottle bottle pack pack pack box pack 5x1 10x10 10x10 5x10 5x10 5x1 5x10 5x10 10 10 1 1 1 50x1 2x10 2x5 50 mLx1 60 mLx1 100 50 100 6x1 10 pcs 6x1 20 5x1 30 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 39,915 47,500 105,000 118,040 205,640 160,470 383,330 281,670 137,795 77,855 23,500 39,000 86,000 45,100 20,900 39,600 20,350 15,950 161,500 439,360 414,333 152,368 107,166 224,881 93,800 191,950 380,600 233,860

Ibuprofen

Tablet;sirup;chew tab;supp

tab 200mg;400mg, 600 mg;sirup 100mg&200 mg/5ml;supp125mg

Proris

2 Otto, Zambon, Abbot, Lapi, Kalbe

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN box pack pack pack pack 10x10 50 50 50 30 Rp Rp Rp Rp Rp

HARGA

13

chlordiazepoxide + clidinium bromida Piroksikam

tablet kaps;tab;gel Kaps10 mg;tab 20 mg;5% 15 g,25 g

braxidin Feldene

2 2

tab cap 10 mg cap 20 mg dispersible tab 20 mg flash tab 20 mg

64,000 226,820 449,525 441,485 341,085

14 15

Probenesid Selekoksib Methampiron + diazepam Tinoridin Tramadol HCI

tablet kapsul tablet Kapsul Tablet; inj; supp

500 mg 10 mg,20 mg

Probenid Celebrex Potensik Nonflamin Tramal; Trsik

2 2 Pfizer 2 2 cap 100 mg cap 200 mg FC caplet cap 50 mg inj 50 mg/2 mL inj 50 mg/mL retard tab 100 mg supp 100 mg 2 MSD pack pack box pack pack box box pack pack pack pack pack box box 10x3 10x3 10x10 60 50 5x1 5x1 10 10 30 30 30 5x10 5x1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 196,875 340,045 99,000 183,603 235,000 145,750 100,650 77,000 139,150 363,000 257,400 280,500 235,000 178,500

16 17

50 mg Tab 50 mg, 100 mg; inj 100 mg/amp 2ml; 200 mg/amp2 ml Supp 100 mg

2 Pharos. Otto, Actavis, Mahakam cap 50 mg

18

Etoricoxib

Tablet

Ta b 60,90&120 mg

Arcoxia

tab 120 mg tab 60 mg tab 90 mg

19

Dexketoprofen trometamol

Tab, inj

Tab 25 mg, inj 50 mg

Ketesse

2 Ferron

tab 25 mg inj 50 mg/2 mL

20

Dikolfenak Na Vit B1, B6, B12

Tab salut enterik

Tab 50 mg

Dolofenac

2 Merck

21 22 23

Tramadol + parasetamol Serapeptase + Vit B C Seratiopeptidase +pancreatin

Caps Tab Caps

Caps 37,5 + 325 mf

Ultracet, Patral, Zaldiar Dansera Nutriflam

2 Janssen-Cilag 2 Ott0 2 Tropika mas

tab tab cap

box box pack

3x10 10x10 60

Rp Rp Rp

159,000 200,000 270,000

ANTIREMATIK, ANTIPIRAI 1 Alopurinol Tablet 100 & 300 mg Zyloric 2 Glaxo, Interbat tab 100 mg pack pack tab 300 mg pack pack 2 3 4 5 6 7 8 Asam Hyaluronat Azatioprin D-penisilamin Hidroksiklorokuin Kolkisin Leflunomid Metotreksat Inj. tablet tablet tablet tablet tablet Tablet 1o mg/ml syringe 2.5 ml 50 mg 125 mg 155 mg 0,5 mg 20 mg, 100 mg 2.5 mg Plaquenil Recolfar Arava Methotrexate EBW;Emthexate Hyalgan; Adant Dispo Imuran 3 3 3 3 3 Fahrenheit 3 3 tab 0.5 mg tab 10 mg tab 20 mg inj (amp) 5 mg/mL inj (vial) 5 mg/mL inj (vial) 50 mg/5 mL tab 2.5 mg tab 500 mg inj 1000 mg inj 200 mg box pack pack box box vial pack pack vial vial 3x10 30 30 10x10 10x10 1 50 50 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 105,000 500,230 844,190 570,000 570,000 90,000 105,000 997,230 537,140 159,500 inj 10 mg/mL tab 50 mg prefilled syringe pack 100 Rp 748,990 200 60 100 30 2 mLx1 Rp Rp Rp Rp Rp 380,050 120,450 419,320 132,220 420,000

9 10

Mofetil Mikrofenolat Sikofosfamid

Kapsul tablet;inj

250 mg,500 mg Tab 50 mg; inj 200 mg vial

Cellcept Endoxan-Asta lyophilisate

3 3

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN inj 500 mg cap 500 mg infusion 100 mg

PACKING KEMASAN vial box vial 1 10x10 5 mLx1 Rp Rp Rp

HARGA

11 12

Sulfasalazin Infiximab

kaplet inf

500 mg inf 100 mg

Sulcolon Remicade

3 3 Tanabe

354,500 495,000 5,454,545

ANESTETIK
ANESTETIK LOKAL 1 2 3 Bupivakain HCI Etilklorida Levobupivakain Lidokain HCI inj semprot, inj inj Inj;gel;spray 50 mg amp Inj1%;2%;4%;5% gel;10% spray Chirocaine 0,5 % Xylocain 0,5% duofit polyamp 20 ml;0,5% spinal heavy 4 ml;0,5% spinal 4 ml;0,5 % heavy 4 ml Marcain;Regivell; Decain 2 Astra Zenica, Kalbe, Dexa Medicainj 0.5% ( duofit polyamp 20 mL) 2 2 2 Astra Zenica inj 2% ( duofit polyamp 2 mL) inj 2% ( duofit polyamp 20 mL) 4 5 Lidokain 2% + Adrenalin Lidokain (5%)+ Dextrose 5% inj inj Lidocain HCI 20 mg;adrenalin 0,0125 mg 50 mg/ml(5%) Pehacain;Xylestesin Lidodex 2 2 inj 2 mL inj 50 mg/mL (amp 2 mL) 6 7 8 9 10 11 Lidokain HCI 25 mg +Prilokain 25 mg Prilokain HCI Prokain+Kafein Ropivakain HCI Tetrakain HCI Lidocain + epinefrin inj gas inj cairan cairan inj cairan Inhalasi cair inj inj inj cairan serbuk inj inj inj, Tab inj, tab, rectal tube syr tablet inj;tablet 100% 2.5 mg/ml 250 ml 140 ml 1%/20 ml 50 ml;250 ml 250 ml 50 mg/ml;100 mg/ml Inj.5mg/5 ml amp;15 mg/3 ml 1% dlm 20 ml,1% dlm 50 ml 250 ml Gallon 4,5 liter 500 mg 100 & 200 mcg / ml Inj 0,25 mg/l, tab 0,5 mg inj 5 mg/ml, tab 2 & 5 mg, rectal tube 5 mg & 10 mg 200 mg/5 ml 5 mg 10 mg/ml Etomidate-lipuro Fluothane Forane Ketalar;ketamin-hameln;ivanes Dormicum;Midazolam-Hameln Diprivan;propofol lipuro;fresofol Sevorane inj inj inj 7.5 mg/20 ml 1% Pehacain;Xylestesin 4% Impletol Naropin 2 2 2 2 2 Phapros 2 2 2 Abbot 2 2 2 2 2 B Braun Dexa Medica Abbot Pfizer inj 2 mL box 20x1 Rp 53,906 inj 7.5 mg/mL (20 mL) box 5x1 Rp 444,010 krim Krim 50 mg Emla cream ;Estesia;LMX 2 Sanbe cream 5 g tube 1 Rp 44,221 box box 20x1 5x1 Rp Rp 53,906 275,000 box 5x1 Rp 230,116 box 50x1 Rp 294,456 box 5x1 Rp 317,905

ANESTETIK UMUM 1 Dinitrogen oksid 2 Droperidol 3 Enfluran 4 5 6 7 8 9 10 11 12 13 14 1 2 3 1 2 Eter Anestesi Etomidat Halotan Isofluran Ketamin HCI Midazolam Propofol Sevoflurane Sodalalime pro anestesi Tiopental Natrium Deksmedetomidin Atropin Sulfas Diazepam Kloralhidrat Desloratadin Difenhidramin HCI

Dihydrobenz-peridol Ethrane;compond 347

inj 100 mg/mL (10 mL) inj 5 mg/5 mL

vial box box bottle

1 5x1 10x1 1

Rp Rp Rp Rp

239,350 286,086 229,202 2,420,000

2 Roche, kalbe, Novell, Dexa Medica inj 15 mg/3 mL 2 Novel, Pharos, B-Braun, Dexa Medica 2 Abbot, Fahrenheit,Kalbe 2 2 Transfarma 2 Transfarma 2 2 Roche, Actavis , Fahrenheit 2 3 Scchering 3 tab 5 mg syr 0.5 mg/mL (60 mL) inhalation vapour liquid 250 mL infusion 500 mg

Pentothal Sodium IV

vial

Rp

59,000

PROSEDUR PREOPERATIF
atropin sulfat

ANTIALERGI DAN OBAT UNTUK ANAFILAKSIS


Aerius Decadryl pack bottle 30 1 Rp Rp 180,090 64,170

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN box pack box box pack bottle pack pack pack 5x10 10 10x10 10x10 100 1 100 100 300 5x10 5x10 1 1 3x10 30 3x10 1 100 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

Feksofenadin HCI

tablet

Tab BD 60 mg;tab OD 120 mg;tab HD 180 mg

Telfast BD,OD,HD

3 Sanofi

4 5 6 7 8 9 10 11 12

Feksofenadin HCI +Pseudoefedrin Feniramin maleat Hidroksizin Homoklorsiklizin Klorfeniramin maleat Loratadin Loratadin+Pseudofedrin Prometazin HCI Setirizin

tablet SR tab,inj tablet,sirup tablet tablet tablet, syr tablet tablet tablet, drop, syr

60 mg+120 mg Tab 25 mg;inj.50 mg/amp 25 mg;10 mg/5 ml 10 mg 4 mg 10 mg Loratadine 5 mg+pseudoefedrin 60 mg

Telfast plus Avil Bestalin Homoclomin

3 3 3 3 3 Schering

tab 30 mg HD tab 180 mg OD tab 120 mg XR tab tab 25 mg syr 10 mg/5 mL (100 mL) tab 25 mg tab 10 mg

171,875 64,680 572,795 376,923 117,329 22,500 160,000 88,000 253,500 248,050 165,000 47,800 37,950 150,000 110,000 58,500 15,000 45,000

Inclarin Rhinos SR Histrin

3 Schering, Soho, Sanbe, Inmark tab 10 mg 3 3 3 Kalbe , UCB, Ferron, Pharos, Novel, Lapi, Fahrenheit drops 10 mg/mL (20 mL) syr 5 mg/5 mL (60 mL) tab 10 mg tab 5 mg cap

box box bottle bottle box pack box bottle pack

13 14 15 16

Dexametason Bepotastin besilat Oxymetazolin Mebhidrolin napadisilat

inj, tab tab salut tetes hidung Tab

inj 4 & 5 mg/ml Tab 10 mg Tab 50 mg

Talion Interhistin, Bioalergi

3 3 3 3

Kalbe Tanabe Merck Interbat, Konimex

tab 10 mg syr 50 mg/mL (60 mL) tab 50 mg

ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN


KHUSUS 1 2 3 Atropin Sulfat Biru Metilen Deferasiroks Deferipron inj inj Tablet effervescent 1 mg / ml 10 mg/ml 125 mg;250mg;500 mg 2 2 2

Exjade

dispertab 125 mg dispertab 250 mg dispertab 500 mg

box pack box pack

4x7 28 4x7 100

Rp Rp Rp Rp

2,000,000 3,978,495 7,932,655 260,000

4 5 6 7 8 9 10 11

Deksrazoksan Desferoksamin mesilat Flumazenil Kalsium Folinat Kalsium glukonat Mesna Nalokson HCI Natrium Bikarbonat

inj inj inj Tab;inj inj inj inj tablet;inj inj inj inj inj tablet serbuk, inj emulsi

250 mg/vial;500 mg/vial 500 mg/vial 0,5 mg/5 ml Tab 15 mg;50 mg/amp; 50 mg/5 ml 10 mg/amp 200 mg/2 ml;400 mg/4 ml 0,4 mg/ml Tab 500 mg; inj 8,4 % 250 mg/ml 10 mg/ml inj 0,5 mg/ml 5 mg/ml 500 mg Kantong 50 mg, inj 20 & 40 %

Ferriprox Zinecard, anexate Desferal Anexate Rescuvolin (tab 15 mg dan inj 50 mg/amp; leucovorin Calcium gluconate 10% Uromitexan Nokoba; Narcan Meylon 8,4% prostgmin

2 2 2 Roche 2 2 2 Fahrenheit 2 2 2 2 Transfarma 2

tab 500 mg

2 Combiphar, Tempo, Kalbe powd for inj 500 mg inj 50 mg/10 mL tab 15 mg infusion 400 mg (amp 4 mL) inj 0.4 mg/mL (2 mL) inj 0.5 mg/mL

box vial pack box box box

10x1 1 20 15x1 5x1 5x1

Rp Rp Rp Rp Rp Rp

990,845 325,000 275,000 1,126,780 350,000 45,100

12 Natrium Tiosulfat 13 Protamin sulfat 14 Neostigmin UMUM 1 2 3 4 Apomorfin HCI Karbo Adsorben Magnesium sulfat Laktulosa

Norit Magnesium sulfat constipen

2 2 2 Combiphar syr 66.7%/5 mL bottle 1 Rp 57,500

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

emulsi

(120 mL)

ANTIEPILEPSI
1 Diazepam tablet,inj ;supp 2 mg,5 mg/ml,10 mg/2ml;lar rektat 5 mg tube 2,5 Valium, Valisanbe ml Kap 100 mg; inj 100 mg/2ml 30 mg;50 mg;100 mg, 100 mg & 200 mg/ml 300 mg 100 & 200 mg, syr 100 mg Neurontin Tegretol Dilantin 1 Roche, Fahrenheit, Actavis 1 Pfizer, Ikapharmindo 1 Combiphar, Mersifarma 1 1 Novartis cap 300 mg chew tab 100 mg CR tab 200 mg syr 100 mg/5 mL (120 mL) tab 200 mg tab 2 mg FC tab 250 mg FC tab 500 mg tab 300 mg tab 600 mg 10 Pregabalin kaplet 75 mg,150 mg Lyrica 1 cap 150 mg cap 50 mg cap 75 mg 11 Topiramat tablet 25 mg,50 mg,100 mg Topamax 1 Janssen-Cilag cap 15 mg cap 25 mg cap 50 mg tab 100 mg tab 25 mg tab 50 mg 12 Valproat(dlm btk asam /natrium) tablet;sirup Tab 250 mg;Tab ER 250 mg, sirup 250mg/5 ml Depakane (sirup),depakote (tablet) ER tab 250 mg ER tab 500 mg 13 14 Lamotrigine Zonesamid Caps Cap 25mg ; 100mg Lamictal Zonegran 1 Glaxi smith kline 1 Eisai tab 100 mg tab 50 mg tab 50 mg pack pack box box pack 100 100 3x10 3x10 100 Rp Rp Rp Rp ? 435,435 870,898 229,169 176,153 1 Abbot tab 250 mg pack box pack bottle box pack pack pack box box pack pack pack pack pack pack box box box pack 100 5x10 50 1 5x10 100 30 20 5x10 5x10 14 14 14 60 60 60 6x10 6x10 6x10 100 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 1,093,010 128,000 202,500 74,000 174,500 516,624 240,350 315,600 388,735 726,705 239,425 100,585 145,110 227,600 377,500 468,125 482,500 241,000 300,000 587,290 inj 10 mg/2 mL tab 5 mg 2 3 4 5 Fenitoin natrium Fenobarbital Gabapentin Karbamazepin tablet;kapsul,inj tablet;inj kapsul tablet, syr cap 100 mg inj 250 mg/ 5 mL box pack pack box 5x1 100 100 10x1 Rp Rp Rp Rp 120,337 297,476 302,165 757,700

6 7 8 9

Klonazepam Levetiracetam Magnesium sulfat Oxcarbamazepin

tablet tablet inj kaplet

2 mg 250 mg,500 mg 20 %;40 % 300 mg

Rivotril Keppra

1 1 UCB, Pharos 1

Trileptal

1 Novartis

ANTIBAKTERI
Golongan Penisilin 1 Amoksisilin kapsul,kaplet,sirup kering 250 mg;500 mg; sirup 125 mg/5 ml Amoxsan 1 Glaxo Sanbe, Otto, Lapi cap 250 mg cap 500 mg dispers tab 250 mg dry syr 125 mg/5 mL (60 mL) Forte dry syr 250 mg/ 5 mL (60 mL) infusion 1 g paed oral drops 100 mg/mL (15 mL) box box box bottle bottle box bottle 10x10 10x10 10x10 1 1 10x1 1 Rp Rp Rp Rp Rp Rp Rp 136,840 280,340 120,950 19,230 27,425 192,290 19,230

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN pack pack bottle bottle vial vial pack 14 60 1 1 1 1 30 Rp Rp Rp Rp Rp Rp Rp

HARGA

Amoksisilin Klavulanat

tablet;sirup inj

Tab 500 mg,sir 125 mg/5 ml;inj 500 mg,1g

Augmentin;Clavamox;Viaclav

Soho 1 Glaxio, Kalbe, Sanbe, Interbat, Phapros, tab 1 g tab 625 mg Forte oral susp (60 mL) oral susp (60 mL)

131,016 415,508 53,818 40,053 125,000 65,000 410,000

3 4

Ampisilin Ampisilin Sulbaktam

tablet;inj inj

250 mg,500 mg;inj 1 g 375mg, 750 mg;1,5 g Bactesyn

1 1 Meiji, Inmark, Kalbe, Berno powd for inj 1.5 g powd for inj 750 mg tab 375 mg

5 6 7

Benzatin Penisilin Diklosasilin Fenoksi Metil Penisilin

inj tablet

1,2 juta IU;2,4 juta IU 625 mg

Penadur LA Ospen

1 1 1 syr 250 mg/5 mL (60 mL) tab 250 mg tab 625 mg cap 500 mg powd for inj 1000 mg powd for inj 500 mg powd for inj 4.5 g powd for inj 3 juta U powd for inj 1 g pow for inj 2 g bottle box box box box box vial vial box box 1 10x10 10x10 10x10 10x1 10x1 1 1 10x1 10x1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 30,360 121,800 240,000 331,150 26,400 15,400 264,000 9,800 323,274 523,090

8 9

Flukloksasilin Kloksasilin

kapsul kapsul;inj

250 mg;500 mg 250 mg; 500 mg

Floxapen Meixam

1 1 Meiji

10 11 12

Piperasilin+Tazobaktam Prokain Penisilin G Sulbenisilin

inj inj inj inj inj inj

4,5 g dalam vial 3 juta IU 1g 750 mg;1,5 g;3g 250 mg;500 mg 60 mg/1,5 ml;80 mg/2 ml

Tazocin Procaine penicillin-G-Meiji Kedacilin

1 Pfizer 1 1 1

13 Tikarsilin Golongan Aminoglikosida 1 2 Amikasin Gentamisin

Mikasin ;Amikin Garamycin;Gentamerck;Sagestam

1 Bristol, Kalbe, Pharos 1 Schering, Ethica

inj 250 mg (2 mL) inj 500 mg (2 mL) inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL

box box vial amp vial amp vial amp amp amp amp amp

10x1 10x1 1 1 1 1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

85,000 152,250 22,100 44,100 55,200 104,600 158,900 262,200 59,000 77,000 56,250

3 4

Kanamisin sulfat Netilmicin

inj inj

1 g vial 300 mg/1,5 ml

Netromycin

1 1 Schering

inj 100 mg inj 150 mg/1.5 mL inj 300 mg/1.5 mL inj 50 mg inj 100 mg/2 mL inj 50 mg/mL

5 6

Tobramisin Dibekasin sulfat

inj inj inj kapsul;inj kapsul

500 mg 100 mg/ 3 ml 1000 & 5000 mg /vial 250 mg;1 g 250 mg;500 mg

Dibekacin

1 1 Meiji 1 1 Pharmacia 1 Zambon, Sanbe

7 Streptomisin sulfat Golongan Kloramfenikol 1 2 Kloramfenikol Tiamfenikol

Urfamycin;Thiamycin

cap 250 mg cap 500 mg dry syr 125 mg/5 mL (60 mL)

box box bottle box box box vial pack vial

10x10 10x10 1 3x10 3x10 3x10 1 5 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp

260,000 360,000 30,500 110,000 150,000 210,000 215,000 242,550 431,750

3 Sulfasalazin Golongan Kuinolon 1 Levofloksasin

tab tablet,infus

500 mg 250 mg,500 mg

lazafin Cravit; Volequin; Levores

1 Novel

cap 500 mg

Moksifloksasin

tab salut film;infus

400 mg;400 mg/250 ml

Avelox

1 Kalbe, Soho, Dexa medica, Novell, tabSanbe, 250 mg Soho, tab 500 mg inf 500 mg/100 mL 1 Bayer tab 400 mg inf 400 mg/250 mL

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

3 4 5 6

Norfloksasin Ofloksasin Pefloksasin Siprofloksasin

kaplet tablet tablet;inj,infus tablet,infus

400 mg 200 mg,400 mg 400 mg Tab 200 mg,500 mg;tab XR 500 mg;infus 200 mg, 400 mg

Lexinor; Pyrflox Tarivid, Danoflox Peflacine; Dexaflox Ciproxin; Ciproxin XR; Civell; Baquinor

1 1 Kalbe 1

tab 200 mg tab 400 mg tab 400 mg IV inf 400 mg/200 mL tab 500 mg XR tab 1000 mg XR tab 500 mg

pack pack box vial vial pack pack pack

30 30 5x6 1 1 20 10 10

Rp Rp Rp Rp Rp Rp Rp Rp

225,000 370,000 660,000 201,600 309,750 370,700 347,600 185,850

GraciamL 1 Bayer, Bernofarm, Soho, Tempo IV inf Scan, 200 mg/100

Golongan Makrolid 1 Ezitrromisin kapsul 250 mg;500 MG Zitromax; Zistic 1 cap 250 mg cap 500 mg oral susp 200 mg/5 mL (15 mL) 2 Erittromisin stearat kapsul;kaplwt;tab kunyah;sirup kering 250 mg;500 mg;200 mg;60 ml(200 mg/5 ml) Erythrocin; EES; Kalthrocin 1 Abbot cap 250 mg pack pack EES tab 500 mg tab 200 mg Forte tab 500 mg oral susp 200 mg/5 mL (60 mL) oral drops 100 mg/2.5 mL (30 mL) Forte oral susp 250 mg/5 mL (60 mL) tab 200 mg 3 4 5 Klaritromisin Spiramisin Azitromisin tablet taplet Tab, Inj 250,500 mg 500 mg tab 250 & 500 mg, inj 500 mg Abbotic; Bicrolid Spiradan Zithromaxm Aztrin 1 Abbot, Combiphar 1 Otto 1 Pfizer, Pharos, Bernofarm oral susp 2 g oral susp 200 mg/5 mL (15 mL) powd for inj 500 mg tab 250 mg tab 500 mg 6 Linkomisin tab 250 & 500 mg 1 Pfizer, otto Golongan Sefalosporin 1 Sefadroksil kapsul 250 & 500 mg, DS, Forte DS, drops Duricef; Cefat 1 Sanbe, Otto, Phapros, Kalbe, Fahrenheit, Interbat,ferron cap 250 mg cap 500 mg dry syr 125 mg/5 mL (60 mL) dry syr 250 mg/5 mL (60 mL) bottle 1 Rp 61,835 box box bottle 10x10 10x10 1 Rp Rp Rp 430,500 872,500 35,980 bottle pack pack 1 6 3 Rp Rp Rp 148,465 143,920 143,920 container bottle 1 1 Rp Rp 122,245 86,910 FC cap 250 mg FC cap 500 mg pack box box 100 3x10 3x10 Rp Rp Rp 304,975 231,750 589,050 bottle 1 Rp 28,302 bottle 1 Rp 47,300 box pack pack bottle 100 500 100 100 100 1 Rp Rp ? Rp Rp Rp 385,385 660,000 50,160 367,345 887,530 pack pack bottle 10 10 1 Rp Rp Rp 148,500 275,000 88,000

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

2 3 4 5

Sefaklor Sefazolin Sefepim Sefiksim

caps inj inj kapsul, syr

250 & 500 mg 1g 0,5 g; 1 g tab 50 mg;100 mg;200 mg. syr 100 mg/5 ml

Ceclor Cefazol; Fabiolin Maxipim Cefspan; Sporetik; Fixacef

1 1 Kalbe 1 Pharos, Fahrenhei

powd for inj 1 g

vial box

1 3x1

Rp Rp

82,000 65,000

Interbat, Pharos,Gracia 1 Kalbe, Sanbe, Ferron, KF, Dexa,cap 100 mg dry syr 100 mg/5 mL (30 mL) tab 200 mg

box bottle box box vial vial vial box box pack vial vial vial

3x10 1 1x10 2x1 1 1 1 3x10 3x10 30 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

505,000 75,000 259,000 240,000 155,000 120,000 92,000 300,000 450,000 210,000 290,462 148,000 72,000

6 7 8 9 10 11 12 13 14 15 16 17

Sefoperazon Sefoperazon+Sulbactam Sefotaksim Sefotiam Sefpodoksim Sefradin Sefpirom Seftazidim Seftibuten Seftizoksim Seftriakson Sefuroksim (kapsul:Axetil;inj.Na)

inj inj inj inj tablet tablet inj inj kapsul injeksi inj kapsul;inj

1g 500 mg+500 mg 0,5 g;1 g 0,5 g;1 g 100 mg 250 mg;500 mg 1g 1g 200 mg,400 mg 0,5 g;1 g 1g Kaps 250 mg;inj.750 mg

Stabixin; Cefobid; Cerobid Sulperazon; Fosular; Stabactam Claforan; Lancef; Primocef Ceradolan; Fadiclo Banadoz Velosef; Lovecef Cefrom; Cefrin; Lanpirom Fortum; Ceftum; Negacef Cedax Cefizox; Tizos Elpicef; Cefaxon Kalcef; Sharox

1 Pfizer, Interbat, Pharos, Sanbe 1 Pfizer, Soho, Pharos,

inj 1 g powd for inj

1 Sanofi, Sanbe, Kalbe, Gracia, Pharos inj 1 g 1 Takeda 1 Sandoz powd for inj 1 g tab 100 mg

tab 200 mg 1 Ethica cap 500 mg 1 Sanofi, Interbat, Fahrenheit, Pharos, powd for Dexa inj 1 g 1 Glaxo,Ferron, Soho, Pharos 1 1 Novell, Kalbe, Dexa powd for inj 1 g powd for inj 1 g powd for inj 500 mg

vial vial pack box pack box

1 1 30 1 20 3x10

Rp Rp Rp Rp Rp Rp

185,000 250,000 520,000 120,000 385,000 350,000

1 Roche, Sanbe, Kalbe, Dexa, Escolab, IV inj Otto 1g 1 cap 500 mg inj 750 mg tab 500 mg

18 19

Sefdinir Sefditoren

tab tab, chew tab

100 mg tab 200 mg,chew tab 100 mg

omnicef

1 Astellas 1

cap 100 mg

Golongan Tetrasiklin 1 2 3 4 5 1 2 3 4 5 Doksisiklin Minosiklin Oksitetrasiklin Tetrasiklin Tigesiklin Fostomisin Imipenem+Cilastatin Klindamisin Kolistin Kotrikmosazol(TMP+SMZ) kapsul kapsul kapsul kapsul inj inj inj kapsul Tablet tablet 50 mg;100 mg 50,100 mg 250 mg,500 mg 250 mg 50 mg/5 ml vial 1g 500 mg/120 ml vial 150 mg,300 mg 250.000IU;1.500.000IU Tygacil Fosmicin; Fosmidex Tienam; Palestine Delacin; Anerocid; Clinium Colistine Doxicor; Interdoxin Minocin Terramycin 1 Pfizerm Interbat 1 1 Pfizer 1 1 1 Meiji, Dexa Medica, Zambon powd for inj 50 mg/10 mL (10 mL) cap 500 mg cap 250 mg inf 50 mg/5 mL inj 1 g inj 2 g 1 Merck sharp Dohme, Pharos, Sanbe IV inj 1 Pfizer, Kalbe, Sanbe, Lapi cap 150 mg cap 300 mg 1 1 tab 1.5 juta IU tab 2.5 juta IU 80 mg+400 mg;20 mg+100 mg;160 mg+800 mg Sanprima Forte cap syr (60 mL) Golongan lain-lain box box vial pack pack pack pack box bottle 10x1 10x1 1 30 30 50 100 10x10 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp 82,300 136,900 262,250 181,310 326,345 255,000 105,000 158,000 20,330 box box box 10x10 10x10 10x1 Rp Rp Rp 95,300 37,400 5,000,000 box 10x1 Rp 84,095 cap 100 mg cap 50 mg box box 3x10 3x10 Rp Rp 99,000 69,000

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN tab

PACKING KEMASAN box bottle pack box bottle strip strip box vial box box pack pack pack box vial amp vial vial box 10x10 1 10 10x1 10x1 1 10 10 10x10 1 2x1 4x1 100 100 30 10x1 1 1 1 1 2x1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

70,000 555,765 5,175,365 4,345,704 3,356,278 39,335 98,453 188,407 479,558 590,247 360,000 101,000 466,000 765,000 525,000 440,000 22,100 44,100 55,200 510,000 360,000

6 7 8

Linezolid Meropenem Metronidazol

tablet;infus inj tablet;inj;vag sup

Tab 600 mg;infus 2 mg/ml 300 ml 500 mg,1 g Tab 500 mg;infus 500 mg/kolf;supp 500 mg

Zyvox Meronem; Ronem Flagyl; Novamet

1 Pfizer

inf 2 mg/mL (300 mL) tab 600 mg IV inj 500 g

Dexa 1 Astra Zeneca, Kalbe, Fahrenheit, Bernofarm, IV inj 1 g Interbat, Sanbe, box 1 oral susp 125 mg/5 mL supp 0.5 g supp 1 g Forte tab 500 mg powd for inj 400 mg powd for inj 0.5 g enema 4 g tab 250 mg tab 500 mg supp 500 mg

9 10 11 12

Teikoplanin Tinidazol Vankomisin Mesalazin

inj tablet inj tab

400 mg 500 mg 500 mg tab 250 mg

Targocid Flatin Vancep Salofalk

1 Sanofi 1 1 Fahrenheit 1 Darya

13 14

Doripenem Gentamycin sulfate

inj inj

500 mg 1g

Doribax Garamycin;Gentamerck; Sagestam

1 Janssen-Cilag 1 Merck sharp Dohme

inj 500 mg inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL

15 16

Ertapenem Aztreonam inj 1g

Invanz Azactam, vebac

powd for inj 1 g 1 Bristol Myers Squibb, Fahrenheit powd for inj 1 g

ANTITUBERKULOSIS
1 2 3 4 Etambutol Isoniasid+vit B6 Pirazinamid Rifampisin tablet tablet tablet kaplet 250 mg;500 mg 100 mg;300 mg 500 mg 300 mg;450 mg ;600 mg Bacbutol; Tibitol INH Ciba; Pehadoxin Forte Pezeta; Prazina Rimactane; Rifamtibi 1 1 Samdoz, Phapros 1 1 Sandoz tab 250 mg tab 500 mg Forte tab tab tab 500 mg cap 300 mg cap 450 mg cap 600 mg syr 20 mg/mL (50 mL) syr 20 mg/mL (100 mL) 5 Streptomisin sulfat inj 1 g,5 g Streptomycin Sulphare Meiji 1 Galenium powd for inj 1 g powd for inj 5 g 6 Isoniazid + Rifampisin Tab tab 75 + 50 mg, Tab 150 + 150 mg Rimactazid, Rifinh 1 Sandoz, Indofarma 450/300 captab paed chew tab 7 Rifampisin + Isoniazid + pirazinamid 8 Etambutol + INH + Vit B6 Capl Pulna forte 1 Landson 1 Sandoz tab 75 + 50 + 150 mg, 150 + 75 + 400 mg Rimcure, rivastar 1 Sandoz , Indofarma paed chew tab 3FDC tab Forte cap tab 9 Rifampisin + Isoniazid + pirazinamid + Etambutol ANTILEPROTIK Tab Tab FDC 150 + 75 + 400 + 275 mg Rimstar 4 FDC 4FDC tab pack pack pack pack box box box box bottle bottle vial vial box pack box pack box pack box 100 100 350 1500 10x10 5x10 25x4 25x4 1 1 1 1 5x6 50 6x10 30 10x10 100 3x10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 42,000 88,000 274,034 505,310 121,000 217,500 544,000 700,000 45,000 84,000 4,600 12,000 232,200 99,600 144,000 144,000 154,350 81,900 160,500

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

1 2 3

Dapson Klofazimin Talidomid

kablet kapsul tablet

100 mg 50 mg,300 mg

Dapson Lamprene

3 3 3

ANTIFUNGI
1 2 Amtoferisin B Flukonazol inj;kapsul kapsul;inj 2 mg/ml(100ml);50 mg,150 mg Kapsul 50 mg.150 mg;inj.2 mg/ml 100 ml vial Fungizone Diflucan 2 2 Pfizer, Fahrenheit, Novell cap 150 mg cap 50 mg powd for inj 2 mg/mL (100 mL) tab 500 mg cap 100 mg tab 200 mg oral susp 100.000 U/mL tab 200 mg tab 50 mg 8 Terbinafin tablet 250 mg Interbi; Lamisil 3 inf 200 mg tab 125 mg tab 250 mg cream 1% 5 g cream 1% 10 g vial box box tube tube box pack vial box pack pack pack 6 7 Nistatin Vorikonazol tablet;susp tablet;inj Tab 500.000IU;100.000IU /ml Tab 50 mg,200 mg;inj 200 mg vial Mycostatin Vfend 2 3 bottle pack 5x1 10 1 10x10 28 150 30 1 10 2x10 1 2x6 2x6 1 1 Rp ? Rp Rp Rp 1,129,600 385,500 25,200 45,500 Rp Rp Rp Rp Rp Rp Rp Rp Rp 411,225 274,165 308,980 506,000 700,000 1,500,000 315,000 45,300 3,322,370

3 4 5

Griseofulvin Itrakonazol Ketokonazol

kablet tablet tablet

125 mg;500 mg 100 mg 200 mg

Mycostop Sporanox; Sporacid Interzol; Nizoral

3 2 Pfizer, Jansenn Cilag 2 Ikapharmindo

ANTIMALARIA
1 2 3 4 5 6 1 2 Artemisin/Artesunat+Amodiakuin tablet;inj Klorokuin fosfat/difosfat Kuinin diHCI Primetamin Primakuin Sulfadoksin+Pirimetamin Adefovir dipivoksil Asiklovir tablet inj tablet tablet tablet tablet tablet 10 mg 200 mg, 400 mg,800 mg 250 mg;100 mg 300 mg/ml amp 25 mg 15 mg Fansidar Primet 3 3 3 3 KF 3 3 2 2 Glaxo Smith Kline tab tab 10 mg tab 200 mg IV infusion cream 5% tab 0.5 mg tab 1 mg tab 250 mg infusion 500 mg cap Plus syr 60 mL powd for inj 3MIU/mL inj 135 mcg inj 180 mcg 9 Interferon Alfa 2b Pegylated inj 50 mcg,80 mcg,100 mcg,120 mcg,150 mcg Peg Intron 3 powd for inj 120 mcg powd for inj 50 mcg powd for inj 80 mcg prefilled pen 100 mcg pack pack box vial tube 2 g tube 5 g pack pack box vial box bottle box prefilled syringe 0.5 mL vial vial vial pen 60 30 5x5 1 1 1 10 3x10 3x7 1 3x10 1 3x1 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp ? ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 393,559 1,080,882 198,000 1,000,000 56,000 105,000

ANTIVIRUS
Hepsera Zovirax; Zoster

3 4 5 6 7 8

Entecavir Famasiklovir Gansiklovir Hepatitis B Imunoglobulin Human Alfa Interferon Interferon Alfa 2a Pegylated

tablet;larutan

0,5 mg,1 mg;0,05 mg/ml 250 mg,500 mg

Baraclude Famvir Cymevene Hepimun Intron-A; Kalferon; Alfanative Pegasys

2 2 2 Roche 3 3 3

623,230 668,342 66,150 22,050 400,000 1,959,664 2,269,491 2,558,520 1,301,000 2,081,390 2,282,180

inj inj inj inj

500 mg

3 MIU 135 mcg,180 mcg

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN pen pen pen pack bottle pack pack box box pack pack 1 1 1 14 1 8 36 2x14 5x10 60 60 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

prefilled pen 120 mcg prefilled pen 50 mcg prefilled pen 80 mcg 10 11 12 13 14 15 16 17 1 2 3 Interferon Alfa 2a Pegylated Lamivudin Metisoprinosin Oseltamivir Ribavirin Telbivudin Valasiklovir Valgansiklovir Lamivudin Nevirapin Zidovudin inj tablet tablet tablet kapsul tabltt tablet tablet tablet;larutan tablet kapsul 3 MIU;4,5 MIU 100 mg 500 mg Roferon 3TC-HBV Isoprinosine Tamiflu Rebetol Sebivo Veltrex; Valvir Valcyte 3 2 Glaxo Smith Kline 3 3 3 3 2 Glaxo, Soho 2 Roche 3 Glaxo Smith Kline 3 3 tab 100 mg syr 250 mg/5 mL (60 mL) tab 500 mg 200 mg 600 mg 500 mg 450 mg Tab 150b mg;larutan 10 mg/ml 240 ml 200 mg 100 mg,200 mg cap 200 mg tab 600 mg cap 500 mg tab 450 mg tab 150 mg

2,558,520 1,319,630 2,092,770 480,000 61,200 63,500 332,640 1,316,500 600,000 14,542,936 480,000

ANTIRETROVIRAL
3TC Viramun Retrovir

ANTIMIGRAIN/VERTIGO
ANTIMIGRAIN 1 2 3 Dihidroergotamin mesilat Ergotamin+Kafein Ergotamin tab 0.3 mg+ Belladona alk 0.1 mg+ Fenobarbital 20 mg) 4 5 6 Flunarizin Sinarizin Sumatriptan tablet tablet tablet 5 mg, 10 mg 25 mg 100 mg Imetrix; Triptagic Sibelium, Frego 1 Janssen-Cilag, Kalbe 1 1 cap 100 mg pack 2 Rp 70,000 tab 10 mg tab 5 mg box box 5x10 5x10 Rp Rp 260,000 185,000 tablet tablet dragee 2,5 mg 1 mg +100 mg 0,3 mg+0,1 mg+20 mg Dihydergot Ericap, Cafergot Bellapheen 1 1 Novartis 1 tab 2.5 mg tab drag box box pack 10x1 10 500 Rp Rp Rp 1,092,733 666,314 650,000

ANTIVERTIGO 1 Betahistin diHCI tablet 8 , 24 mg Betaserc 1 Abbot tab 24 mg tab 8 mg 2 Betahistin mesilat tablet 6 mg Merison 1 Eisai tab 6 mg pack pack pack 20 100 100 Rp Rp Rp 107,000 130,650 220,000

ANTIPARKINSON/DEMENTIA
ANTIPARKINSON 1 2 3 4 5 Bromokriptin Entacapone L Dopa+Benserasid Kabergolin Pramipexole tablet tablet tablet tablet tablet 2,5 mg 200 mg 100 mg+25 mg 1 mg,2 mg,4 mg 0,125 mg,0,25 mg,1 mg Elkrip;parlodel Comtan (Novartis) Madopar Cabergoline Sifrol 2 Novartis 2 2 Roche 2 2 Boehringer tab 200 mg disp tab 125 tab 0.125 mg tab 0.25 mg XR tab 0.375 mg XR tab 0.75 mg tab 5 mg tab 100/25/200 mg tab 200/50/200 tab 2 mg tab 2 mg pack pack box box box box pack pack pack pack pack 9 Ropinirol tab 2. 4 . 8 ,g Requip 2 Glaxo Smith Kline pack pack tab 4 mg pack 30 30 3x10 3x10 3x10 3x10 50 30 30 1000 250 28 42 28 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 432,725 135,167 155,870 276,210 445,170 789,030 375,848 514,000 600,000 230,000 71,000 193,768 239,124 229,169

6 7 8

Selegiline Carbidopa+L-dopa+entacapone Triheksifenidil HCI

tablet tablet tablet

5 mg

Jumex Stalevo Artane

2 Sanofi 2 Novartis 2 Mersifarma

2 mg

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN tab 8 mg

PACKING KEMASAN pack blister bottle box box pack box box box pack box pack pack pack pack 28 14 30 4x7 4x7 14 4x14 4x7 4x7 14 4x14 30 30 100 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

269,645 481,423 982,500 1,265,000 1,105,000 279,500 1,265,000 1,265,000 1,105,000 279,500 1,265,000 389,000 259,545 399,993 270,000

ANTI DEMENTIA 1 2 Donepezil Galantamin tablet tablet 5 mg, 10 mg 4 mg;8 mg Aricept,fordecia Reminyl 2 Eisai , pharos, interbat 2 Janssen-Cilag tab 5 mg PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg Forte tab 120 mg Spesial tab 80 mg tab cap 0.5 mg

Rivastigmin

kapsul, patch

1,5 mg,3 mg,4,5 mg,6 mg

Exelon

2 Novartis

Ginkobiloba

tab

40, 120 mg

Tebokan, tanakam

2 Phapros, Combiphar

5 6 7

Dutasterid Fosfatidil serin memantin HCL

cap cap tab

0,5 mg 100 mg 100 mg

Avodart memoran, Neulin PS Abixa

2 Glaxo Smith Kline 2 Soho, ferron 2 Lunbeck

OBAT YANG MEMPENGARUHI DARAH


ANTIANEMIA 1 2 3 4 Asam Folat Besi (II) dlm bentuk garam sulfat,fumara) Sianokobalamin Fe + multivit, as.folat tablet;inj Tab, Caps,drops Tablet tab, caps,drops, syr 5 mg Tab 300 mg,drops;kombinasi 50 mcg;100-1000 mcg/ml Hemobion (komb);Iberet folic500,sangobion ,Ferizz(drops) Vit B12 Ferriz, samgobion 3 Otto, Sanbe,Novell,Dexa 3 Combiphar, Dexa, Merck, Kalbe, Sanbe cap 3 inj 500 mcg/5 mL tab 50 mcg Fahrenheit 3 Merck, Kalbe, Nicholas, Abbot, Combiphar, tab 115.4 mg drops 15 mg/mL (15 mL) syr 15 mg/5 mL (100 mL) pack box pack box bottle bottle 10 100 1000 3x10 1 1 Rp Rp Rp Rp Rp Rp 122,100 9,980 32,044 23,000 18,000 25,500

OBAT YANG MEMPENGARUHI DARAH


1 2 3 4 5 6 Alteplase Anti Thrombin III Asetosal Cilostazol Clopidogrel Dipiridamol Enoksaparin natrium Inj Inj Tablet salut genterik Tablet salut film Tablet Tablet Inj 50 mg/50 ml 50 IU/ml vial 10 ml 80 mg;100 mg,160 mg 50 mg,100 mg 75 mg 25 mg,50 mg,75 mg 20 mg/0,2 ml:40 mg/0,4 ml,60 mg/0,6 ml Actilyse Kybemin P Aspilet;Ascardia;Kardioaspirin Pletaal:Citaz Plavix Persantin Lovenox 2 2 Dexa medica 1 Darya , Bayer infusion 50 mg inj 50 IU/mL (10 mL) vial vial pack pack pack pack pack pack box box box box vial tube tube syringe syringe 1 1 100 50 50 28 200 100 2x1 2x1 2x1 2x1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 6,547,530 3,450,000 36,700 498,000 275,000 610,555 366,630 443,080 137,070 242,680 347,160 655,500 55,000 14,369 36,300 690,000 1,050,000

chew tab 80 mg 1 Otsuka, Guardian, Kalbe, Dexa tab 100 mg tab 50 mg 1 Sanofi, Ferron, Kalbe, Soho, Dexa tab 75 mg 1 2 Sanofi tab 25 mg tab 75 mg inj 20 mg/0.2 mL inj 40 mg/0.4 mL inj 60 mg/0.6 mL

7 8 9 10

Fondaparinux natrium Heparin natrium Heparin dialisat Parnaparin natrium

Inj Inj Gel,salep Inj

2,5 mg/0,5 ml Gel 20 g;salep 15 g 0,4 ml;0,6 ml

Arixtra Inviclot Thrombophob Fluxum

2 Glaxo Smith Kline 2 2 2 Fahrenheit

inj 2.5 mg/0.5 mL inj 5000 IU/mL (5 mL) oint 15 g topical gel 20000 IU 20 g inj 4250 Axa IU/0.4 mL inj 6400 Axa IU/0.6 mL

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN vial box box pack pack pack box box box pack 1 2x10 10x10 10 28 28 3x10 3x10 3x10 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

11 12 13 14 15

Streptokinase Tiklopidin Urokinase Warfarin natrium Rivaroxaban

Inj Tablet Inj Tablet tab

1.500.000 IU 250 mg 500.000 IU 2 mg Ticlid Urokinase GCC Simarc 2 Xarelto

2 2 2 1 Prtapa Nirmala 1 Bayer

powd for inj 1.5 juta IU tab 250 mg tab 2 mg FC tab 10 mg FC tab 15 mg FC tab 20 mg

3,520,000 219,420 120,000 250,000 700,000 700,000 554,950 554,950 554,950 150,000

16

Dabigatran

80mg ; 160mg

Pradaxa

1 Boehringer

cap 110 mg cap 150 mg cap 75 mg

17 18 19

Triflusal heparin Nadroparin

tab inj inj

600 mg 5000 IU /ml 0,3. 0,4. & 0,6 ml

Grendis

1 Abbot 1 1 Glaxo smith kline

cap 300 mg

HEMOSTATIK
1 Asam Traneksamat Kapsul;tablet salut film ;inj Tab 250; 500 mg;250 mg/5 ml amp ;500 mg/5 ml Transamin;Clonex;Kalnex amp 3 Kalbe, Sanbe, Dexa, cap 250 mg tab 500 mg inj 250 mg/5 mL inj 500 mg/5 mL 2 3 4 Etamsilat Fitomenadion(vit.K1) Karbazokrom Inj Tablet;inj Tablet;inj 250 mg/2 ml 5 mg;2 mg/ml;10 mg/ml Tab 10 mg,30 mg;10 mg/2 ml amp Dicynone Kavita Adona (AC -17) 3 3 Combiphar 3 Tanabe, Ferron inj 250 mg/2 mL tab 500 mg inj 10 mg/2 mL inj 25 mg/5 mL inj 50 mg/10 mL Forte tab 30 mg tab 10 mg 5 Oktreotid Inj Amp 0,1 mg/ml Sandostatin 3 Novartis inj 0.1 mg/mL pack pack box box box pack box box box box box amp 100 100 10x1 10x1 6x1 20 10x1 10x1 10x1 10x10 10x10 5x1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 138,000 240,000 75,000 105,000 30,280 47,300 78,208 133,560 194,412 283,500 189,000 1,396,000

HEMATOPOIETIK
1 Eritropoietin Inj PFS 2.000 IU,4.000 IU/0,4 ml; 10.000 IU/ml Eprex 3 Jansem cillag, Kalbe, Novell inj 10000 IU/mL inj 2000 IU/0.5 mL inj 4000 IU/0.4 mL 2 Rekombinan Human Eritropoetin 3 Filgrastim (GCSF) Inj 30 MU/ml 0,5 ml Neupogen ; Keukokine 3 Roche, Kalbe, Novell inj 30 MU/mL prefilled syrg 1 Rp 846,126 Inj 500 IU,2.000 IU,4.000 IU rHuEPO 3 box box box 6x1 6x1 6x1 Rp Rp Rp 6,747,300 1,493,100 2,946,300

PRODUK DARAH PENGGANTI PLASMA


FRAKSI PLASMA UNTUK PEMAKAIAN KHUSUS 1 Albumin (Human Albumin) Inj 20% 5 0 ml;25% 100 ml dalam botol Human Albumin Behring;Plasbumin;Robumin 3 Dipa pharmalab, Kalbe, Dexa, fahremheit inf 25% 20 mL inf 25% 50 mL inf 25% 50 mL inf 20% 50 mL inf 20% 100 mL inf 5% 50 mL inf 5% 250 mL 2 Faktor pembekuan darah VIII(konsentrat) Inj 250 IU 5 ml/botol dosis tunggal Koate-DVI 3 Dipa pharmalab inj 250 IU inj 500 IU vial vial vial bottle bottle bottle bottle bottle bottle 1 1 1 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp 338,000 792,500 1,585,000 681,250 1,362,500 300,000 1,040,000 1,268,225 2,536,450

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

3 4 5

Faktor pembekuan darah II,VII,IX,X (konsentrat) Kriopresipitat Plasma segar beku

Inj

500 IU/vial,100 IU/vial

Konine

3 3

Kantong

PENGGANTI PLASMA 1 2 3 4 5 Dekstran 40 Infus 10% dlm NaCl 6% Kadar protein 5% 6%:10% 3,5% dlm 500 ml Otsuran L HM Dextran-NS Plasmanate infusion Haes-Steril Haemaccel 3 3 3 3 3 inf 5g/100 mL (250 mL) inf 10% inf 6% inf 3.5% 500 mL bottle box box bottle 1 10x1 12x1 1 Rp Rp Rp Rp 1,031,650 214,200 155,000 170,000 inf 500 ml bottle 1 Rp 80,631

Dekstran 70 Infus Fraksi Protein Plasma (termasuk Infus Fibrinogen) Hidroksietil pati 6%(HES) infus Poligelin Infus

DIAGNOSTIK
OBAT KONTRAS 1 2 3 4 5 6 Barium enema Barium sulfat EZ Gas II Gadodiamida Lodine Natrium/Meglumin amidotrizoat Tablet Suspensi Larutan larutan Inj 320 mg/ml dalam vial 100 ml 76% 5 mg% 998% w/w nett 340 g;105% w/v nett 1900 ml Liquid Polybar Plus Omniscan ;Magnevist;Dotarem Omnipaque;lopamiro; Ultravist;Optiray 320 Urografin 2 2 2 2 2 2

ANTISEPTIK DAN DESINFEKTAN


ANTISEPTIK 1 2 3 4 5 6 7 Alkohol Etakridin Laktat (Rivanol) Hidrogen Peroksida Lodine Povidon Kalium Permanganat Kantaridin Polikresulen Cairan,swab Larutan Cairan larutan; salep;obat kumur Larutan ;serbuk Tingtur Larutan konsentratuta gel;ovula 70% 0.10% 3% 10%;1% 0.1%;0,2%;1%;2%(sediaan segar);serbuk 1:5.000,1:10.000 0.70% Lar kons 360 mg/g 10 ml dan 100 ml Canthacur Albothyl 2 2 ovule 90 mg soln conc 360 mg/g 5 mL soln conc 360 mg/g 10 mL soln conc 360 mg/g 30 mL sol conc 360 mg/g 100 mL vag gel 50 g pack bottle bottle bottle bottle tube 6 1 1 1 1 1 Rp Rp Rp Rp Rp Rp 101,640 17,600 26,950 66,000 236,500 74,580 Rivanol Betadine; Isodine 2 2 2 2 2

DESINFEKTAN
1 2 3 4 5 6 7 Formalin Dialdehid Glutaraldehid Klorheksidin Diglukonat Klorheksidin 7,5%+ Cetrimide 1,5% Lisol Sublimat Larutan Larutan Larutan Larutan Larutan Cairan Cairan 10% 2.45% 4%;5% Cidex Cidex Hibiscrub Savlon; Hibicet HC;First Aid 2 2 2 2 2 2 2

50% 3%

OBAT UNTUK GIGI DAN MULUT

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

OBAT TOPIKAL UNTUK GIGI DAN MULUT 1 1 2 3 4 5 6 7 8 9 10 Boraks Gliserin Amilorid HCI Furosemid Gliserol Hidroklorotiazid Klortalidon Manitol Spironolakton Torasemid Asetazolamid Spironolakton + thiabutazid Cairan 3

DIURETIK
Tablet Tablet;inj Larutan Tablet Tablet Inj. Tablet Tablet;inj tab tab 5 mg;2.5 mg Tab 40 mg; inj 10 mg/ml;40 mg 10% 25 mg;50 mg 50 mg 20% 25 mg,100 mg 2,5 mg,5 mg,10 mg;5 mg/ml 250 mg tab 25 + 2,5 mg asetazolamid, glaucon A,dazide Lorinid-Mite Lasix; Furosix;Furosemid 2 Actavis 2 Sanofi, Landson 2 2 2 2 2 Phapros, Kalbe, Soho 2 2 Cendo 2 Pfizer tab pack 100 Rp 126,000 tab inj 20 mg/2 mL tab 40 mg pack box pack 50 5x1 100 Rp Rp Rp 80,000 50,068 356,838

HCT Hygroton Manitol Aldactone

inj 20% 250 mL inj 20% 500 mL tab 100 mg tab 25 mg

bottle bottle pack pack

1 1 100 100

Rp Rp Rp Rp

31,381 59,626 311,500 96,300

HORMON ENDOKRIN LAIN DAN KONTRASEPSI


ANTIDIABETIK Antidiabetik oral 1 Acarbose 2 3 4 5 Glibenklamid Gliklazid Glikuidon Glimepirid (+ metformin) Tablet Tablet tablet tablet tablet 50 mg,100 mg 5 mg 30 mg 30 mg 1 mg.2 mg,3 mg,4 mg Glucobay Daonil Diamicron MR Glurenom Amaryl;Gluvas 1 Bayer, Dexa 1 1 1 1 Sanofi Servier Boehringer Samofi, Kalbe, Medifarma tab 100 mg tab 50 mg tab 5 mg tab 60 mg tab 30 mg tab 1 mg tab 2 mg tab 3 mg tab 4 mg 6 7 8 Glipizid Metformin HCI Metformin HCI+Glibenklamid tablet tablet tablet 5 mg;10 mg 500 mg;850 mg 250 mg+1,25 mg;500 mg+2,5 mg Minidiab;Glucotrol XL Glucophage ; Glucophage XR;Glumin ;Glumin XR Glucovance 1 Merck 1 Pfizer 1 Merck, Kalbe, Pharos, Ferrom tab 10 mg tab 5 mg tab 500 mg XR cap 500 mg tab 1.25 mg/250 mg tab 2.5 mg/500 mg 9 10 11 12 13 14 15 16 17 18 Natelglinid Pioglitazon Repaglinid Rosiglitazon Rosiglitazon+Glimepirid Rosiglitazon+Metformin saxagliptin langliptin Vildagliptin vildagliptin metformin tablet tablet tablet tablet Tablet Tablet tab tab, inj tab tab 120 mg 15 mg,30 mg 0,5 mg, 1 mg,2 mg 4 mg 4 mg+1 mg;4 mg +2 mg;4 mg +4 mg 2 mg +500 mg; 4 mg+500 mg 5 mg 50 mg 50 + 500 mg Starlix Deculin ;Actos Novonom Avandia Avandaryl Avandamet onglyza tragenta Galvus Galvusmet 1 1 Takeda, Kalbe, Dexa 1 1 1 1 1 1 1 1 Astra zenica Boehringer Dexa medica Dexa medica tab 5 mg/500 mg tab 120 mg tab 15 mg tab 30 mg tab 4 mg tab 4mg/2 mg tab 4 mg/mg tab 2 mg/500 mg tab 4 mg/500 mg tab 5 mg FC tab 5 mg tab 50 mg tab 1000 mg/50 mg tab 500 mg/50 mg tab 860/50 mg box box container pack pack box box box box pack pack pack box pack pack pack box box box pack pack pack pack pack box pack box box box 10x5 10x5 100 30 10 5x10 5x10 5x10 3x10 30 30 50 10x10 100 100 100 7x12 5x6 5x6 28 28 28 14 14 2x14 3x10 28 3x10 3x10 3x10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ? Rp Rp Rp Rp 123,600 77,100 280,722 155,000 228,360 120,915 220,412 290,813 198,984 116,460 116,460 42,750 135,000 189,778 327,210 397,320 449,300 138,000 210,000 275,000 275,500 275,500 81,500 137,500 265,306 137,200 154,500 154,500 154,500

Antidiabetik parenteral 1 Insulin Regular Inj 100IU/ml 10 ml vial;100IU 3 ml penfill Actrapid HM/Actrapid HM Penfill; 1 Elli Lilly HM inj 100 IU/mL (10 mL) vial 1 Rp 350,900

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN box box vial box box vial box box box box box box vial box vial box pack pack pack pack pack pack vial 5x1 5x1 1 5x1 5x1 1 5x1 5x1 5x1 5x1 5x1 5x1 1 5x1 1 1 1 100 100 100 100 50 1 1 30 10x10 100 1 1 1 1 1 1 10x10 1000 100 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

Humulin R; Actrapid Novolet

Insulin Kerja Menengah(NPH)

Inj

100IU/ml 10 ml vial;100IU 3 ml penfill

Insulatard HM/ Insulatard HM Penfill; Humulin N; Insulatard Novolet Humulin 30/70; Mixtard Novolet Mixtard 30 HM/ Mixtard HM Penfill;

1 Elli Lilly

Insulin Campur Iinsulin Regular+NPH)

inj

100IU/ml 10 ml vial;100IU 3 ml penfill

1 Elli Lilly

Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL (3 mL) HM inj 100 IU/mL (10 mL) Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL (3 mL) inj 30 Novolet 30 penfill 30 inj 100 IU/mL 3 mL flexpen 3 mL flexpen 3 mL flexpen 100 U/mL inj 100 IU/mL (10 mL) optipen 100 IU/mL (3mL) inf 100 IU/mL (10 mL) optipen 100 IU/mL (1 mL) tab 5 mg tab 5 mg tab 10 mg tab 5 mg tab 100 mcg

762,300 659,450 350,900 762,300 659,450 350,900 762,300 659,450 750,200 762,300 762,300 818,598 304,500 678,132 294,667 678,132 96,000 96,000 147,400 104,390 165,080 1,045,000 990,000 1,448,410 249,930 200,000 281,915 76,500 207,660 60,000 143,850 76,500 207,660 14,000 48,300 343,200 67,200

4 5 6 7 8 9 10 1 2 3 4 5 1 2 3 4 5 6

Insulin Analog Campur Lispro+NPH) Insulin Analog Campur Aspart+NPH) Insulin Analog Aspart Insulin Analog Detemir Insulin Analog Glargine Insulin Analog Glulisin Insulin Analog Lispro Karbimazol Lugol Methimazol Propiltiourasil L-Tiroksin natrium Budesonid Deksametason Hidrokortison natrium suksinat Human Somatotropin Kortikotropin(ACTH) Metil Prednisolon asetat

Inj Inj Inj Inj Inj Inj Inj Tablet Cairan Tablet Tablet Tablet Kapsul Tablet;inj Inj Inj Inj Tablet,inj

100IU/ml 3 cc 100IU/ml 3 cc 100IU/ml 3 cc 100IU/ml 3 cc 100IU/ml 10 ml vial;100IU 3 ml penfill Vial 100IU/ml 10 ml 100IU/ml 3 cc 5 mg 30 ml 5 ml,10 mg 50 mg;100 mg 0,1 mg 3 mg Tab 0,5 mg;5 mg/amp 100 mg/2 ml vial 12 IU 5 IU/ml 4 mg,8 mg,16 mg;inj 125 mg/2 ml,500 mg/8 ml

Humalog Mixtard Novomix Flexpen Novorapid Flexpen Levemir Flexpen Lantus Apidra Humalog

1 1 1 1 1

Elli Lilly Novo Nordis Novo Nordis Novo Nordis Sanofi

1 Sanofi 1 Elli Lilly 3 3 3 3 3

HORMON TIROID DAN ANTITIROID


Nero-Mercazol Thyozol

Thyrax

KORTIKOSTEROID DAN KORTIKOTROPIN


Budenofalk Solu-Cortef Norditropin 3 cap 3 mg 2 Kalbe, Phapros 2 12 IU 3 inj 16 IU/mL 3 Lapi, 2 Sanofi, Kalbe, Ferrom, Pharos, Soho, tab 16 mg Pfizer tab 8 mg tab 4 mg act-o 125 mg/2 mL act-o 500 mg/8 mL inj 125 mg inj 500 mg act-o 125 mg/2 mL act-o 500 mg/8 mL tab 5 mg

(tablet)Medrol;Urbason;Lameson; (inj)solumedrol;Medixon

pack pack vial vial vial vial vial vial box bottle pack tube

7 8 9 10 11 1 2 3 4 5 1

Prednisolon Prednison TRH Triamsinolon asetonid Betametason dipropionat Bromokriptin mesilat Cabergolin Desmopresin asetat Tibolon Vasopresin Mazindol

Tablet Tablet Inj. Tablet;inj tab Tablet Tablet Larutan nasal;inj Tablet Inj. Tablet

5 mg 5 mg Tab 4 mg;inj.IA/ID 10 mg/ml vial 5 ml,IM 40mmg/ml vial 1 ml 0,5 mg 2,5 mg 500 mcg 0,1 mg/ml (lar. nasal ), 4 mcg/ml (vial) 2,5 mg 20 IU /ml

3 2 2 2 BMS, ferron, Novell, Pharos, Dexa 3 Bermofarm 3 3 3 3 3

Kenacort A; Triamcort (tab);Kenacort (Inj) Bemoson

tab 4 mg cream 0.1% 10 g

HORMON LAIN
Parlodel Dostinex DDAVP;Minirin Livial

tab 2.5 mg

pack pack

28 28

Rp Rp

849,010 312,980

OBAT ANTI OBESITAS


1 mg Teronac 3 tab 1 mg box 10x10 Rp 1,449,425

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN pack pack pack 21 30 30 Rp Rp Rp

HARGA

2 3 4

Orlistat Rimonaban Sibutramin

Kapsul Tablet Kapsul

120 mg 20 mg 10 mg,15 mg

Xenical Acomplia Reductil (Abbot)

3 3 3

cap 120 mg cap 10 mg cap 15 mg

183,925 276,750 369,000

OBAT KARDIOVASKULER
ANTIANGINA 1 Atenolol 2 Bisoprolol Tab;inj Tablet Tab 50 mg;100 mg;inj.5 mg/10 ml 2,5 mg;5 mg Tenormin Concor ;Maintate 2 2 tab 50 mg tab 1.25 mg tab 2.5 mg tab 5 mg SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg 4 Isosorbid dinitrat Tablet,tab SL,tab SR 5 mg,10 mg,20 mg Cedocard 2 Darya Varia, GSK, KF, Pharos inf 1 mg/mL tab 10 mg tab 20 mg tab 5 mg 5 6 7 8 9 Isosorbid mononitrat Metoprolol tartrat Nitrogliserin Trimetazidin Gliseril trinitrat Tab,tab SR Tab Inj. tab tab 20 mg,60 mg(SR) 50 mg;100 mg 10 mg/10 ml 35 mg 2,5 & 5 mg Monecto-20;Imdur Seloken;Lopresol Nitrocine Trizedon MR NITROkaf Retard/forte 2 2 2 2 2 retard tab 20 mg Astra zenica, Pharos, Phapros tab 20 mg tab 100 mg Pharos inj 10 mg/10 mL Servier tab 35 mg Pharsos , KF cap 5 mg cap 2.5 mg tab 20 mg inj 20 mg/2 mL tab 200 mg inj 150 mg/3 mL SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg box pack pack pack pack pack pack pack pack box box pack pack pack pack pack box box pack pack pack box box box box pack pack pack pack box 2x14 50 100 30 100 30 100 30 30 10x1 10x1 60 60 60 60 30 5x10 10x1 60 100 100 10x10 10x1 5x6 5x1 30 100 30 30 10x1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 167,513 163,240 466,400 130,130 675,730 343,602 576,072 218,888 332,683 2,576,440 64,000 79,800 127,000 53,500 132,500 240,000 535,425 715,000 196,000 132,000 77,000 118,000 335,000 114,000 100,000 343,602 576,072 218,888 332,683 2,576,440

Diltiazem

Tablet

Tab 30 mg;inj 10 mg;50 mg

Herbesser

2 Tanabe, fahrenheit, dexa

ANTIDISTRITMIA 1 Adenosin 2 3 Amiodaron Diltiazem

Inj Tablet,inj Tablet;inj

3 mg/ml vial 2 ml 200 mg;150 mg/3 m l Tab 30 mg;inj 10 mg,50 mg

Adenocor Cordaron;Tiaryt Herbesser

2 2 Sanofi, Darya, pharos 2

4 5 6 7 8 9 10

Esmolol Disopiramid Lidokain HCI Propranolol HCI Verapamil digoksin epinefrin (adrenalis)

Inj. Kapsul Inj Tab salut selaput Tablet,inj tab inj

100 mg 2% 10 mg,40 mg 80 mg 0,1 %

Norpace; Rythmodan Xylocard Inderal;Farmadral Isoptin;Cardiover lanoxin Ephinephrine

2 2 2 2 2 2 Glaxo smith kline 2

tab 10 mg tab 40 mg SR tab 240 mg tab 0.25 mg

pack pack pack box

50 50 50 25x10

Rp Rp Rp Rp

130,829 201,270 477,675 161,000

ANTIHIPERTENSI
Golongan ACE inhibitor 1 Imidapril 2 3 4 Kaptopril Lisinopril Ramipril Tablet Tablet Tablet Tablet 5 mg;10 mg 12,5 mg;25 mg 5 mg;10 mg 2,5 mg;5 mg Tanapress Capoten Zestril Triatec, hyperil 1 tanabe 1 1 dexa medica, KF, interbat 1 sanofi, ferron tab 10 mg tab 5 mg tab 12.5 mg tab 25 mg tab 10 mg tab 5 mg tab 10 mg tab 2.5 mg pack pack box box box pack pack 30 30 10x10 10x10 14 14 30 60 Rp Rp ? Rp Rp Rp Rp Rp 373,086 275,335 10,000 283,223 176,860 397,500 362,520

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN tab 5 mg tab 20 mg tab 5 mg tab 10 mg tab 5 mg tab tab 10 mg/10 mg tab 10 mg/5 mg tab 5 mg/10 mg tab 5 mg/5 mg

PACKING KEMASAN pack pack pack pack pack blister blister blister blister blister box pack pack pack pack box box box box box pack pack 60 20 100 30 30 30 30 30 30 10 30 2x14 50 100 30 100 10x10 10x11 5x10 10x10 3x10 30 30 Rp ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

572,400 257,600 385,000 280,000 308,000 385,000 385,000 280,000 98,700 280,000 167,513 163,240 466,400 130,130 675,730 680,932 265,846 535,425 19,000 220,720 181,720 283,360

5 6 7 8

Enalapril Perindropril + erginin Perindropril + indapamid Perindropril + amlodipin

tab tab tab tab

5 mg 5& 10 mg

Melpril, renacardon bioprexum bioprexum plus coveram

1 Fahrenheit, meiji 1 Servier 1 Servier 1 Servier

5 + 5, 5 + 10, 10 +5, 10 + 10 mg

Golongan beta blocker 1 Atenolol 2 Bisoprolol fumarat

Tablet Tab salut selaput

50 mg;100 mg 5 mg

Tenormin Concor;Maintate

1 1 Merck, pharos, Tanebe

tab 50 mg tab 1.25 mg tab 2.5 mg tab 5 mg tab 25 mg tab 6.25 mg tab 100 mg tab 10 mg tab 80 mg tab 2.5 mg tab 5 mg

3 4 5 6 7 8

Carvedilol Labetalol Metoprolol tartrat Propranolol HCI Sotalol bisoprolol + HCT

Tablet Inj Tablet Tablet Tablet tab tab Tablet

25 mg

Dilbloc

1 roche, Kalbe 1 1 Fahrenheit 1 1 1 Merck 1 Dexa medica

50 mg 10 mg;40 mg 80 mg 2,5 + 6,25 & 5 + 6,25 mg 5 mg 5 mg;10 mg

Seloken;Lopresol Sotacor Lodoz nabilet Norvask;Tensivask;Theravask

9 Nebivolol Golongan calcium channel blocker 1 Amlodipin besilat

1 Pfizer, Merck, Kalbe, Darya, Dexa, tab Phapros 10 mg tab 5 mg SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg XR tab 5 mg tab 10 mg tab 5 mg OROS tab 20 mg OROS tab 30 mg OROS tab 60 mg tab 30 mg inf 10 mg/50 mL tab 40/10 mg tab 40/5 mg tab 80/10 mg tab 80/5 mg tab 10 mg/160 mg tab 5 mg/160 mg tab 5 mg/80 mg tab 1 mg tab 2 mg tab 1 mg tab 2 mg

Diltiazem

Tablet;kapsul, Inj

30 mg,

Herbesser CD 100, Herbesser inj

1 tanabe

3 4

Felodipin Nifedipin

Tab salut selaput Tablet

5 mg 10 mg,20 mg(oros),30 mg (oros)

Plendi;Nirmadil Adalat/Adalat oros;Farmalat

1 1 Bayer

pack pack pack pack pack pack pack box box pack pack pack pack pack pack bottle

100 30 30 30 100 30 30 10x1 3x10 50 50 30 30 30 50 1 4x7 4x7 4x7 4x7 28 28 28 50 50 140 28

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ? ? ? ? Rp Rp Rp Rp Rp Rp Rp

636,700 342,315 191,000 343,602 576,072 218,888 332,683 2,576,440 224,461 111,300 74,500 182,500 199,250 325,000 322,000 236,800

5 6

Nicardipine Nimodipin Amlodipine + telmisartan

inj Tab salut selaput;lar infus tab

2 mg;10 mg 30 mg;10 mg/50 ml 40 + 80 mg

Perdipine Nimotop twinsta

1 Astellas, Pharos 1 Bayer, Kalbe 1 boehringer

Amlodipine + Valsartam

tab

5 + 80, 5 + 160, 10 + 160 mg

Exforge

1 Novartis

pack pack pack pack pack pack pack

433,915 377,305 300,980 336,135 575,285 698,858 250,030

Golongan alpha blocker 1 2 3 Doksazosin Prazosin HCI Terazosin Tablet Tablet Tablet 1 mg,2 mg 1 mg,2 mg 2 mg Cardura Minipres Hytrin 1 1 1

Golongan angiotensin II antagonist

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN pack pack pack pack box box box box box box pack pack box pack box box box pack pack pack box pack pack pack 28 28 14 14 2x15 2x10 2x10 2x14 2x14 2x14 28 28 2x14 28 2x14 2x10 2x10 30 30 10x1 100 100 100 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

1 2 3 4 5

Irbesartan Kandesartan Losartan Telmisartan Valsartan

Tablet Tablet tab Tablet Tab salut selaput

150 mg;300 mg 8 mg,16 mg 50 mg 40 mg,80 mg 80 mg;160 mg

Aprovel Blopress Cozaar , angioten Micardis Diovan

1 Indofarma, sanofi, kalbe 1 Takeda 1 darya varia, kalbe, Takeda, KF 1 boehringer 1 Novartis

tab 150 mg tab 300 mg tab 16 mg tab 8 mg tab 50 mg tab 40 mg tab 80 mg tab 160 mg tab 40 mg tab 80 mg tab 150/12.5 tab 300/12.5 tab 160/12.5 mg tab 160/25 mg tab 80/12.5 mg tab 40/12.5 mg tab 80/12.5 mg tab tab 20 mg tab 40 mg inf 0.15 mg/mL tab 0.075 mg 0.15 mg tab 250 mg

272,428 367,684 190,250 144,550 262,600 242,000 313,830 366,280 219,420 292,605 272,428 367,684 366,820 278,670 292,605 242,000 313,830 190,250 310,150 379,545 390,060 256,080 337,700 160,000

6 7

Irbesartan + HCT Valsartan + HCT

tab tab

150 & 300 + 12,5 mg 80 & 160 + 12,5 mg

Co aprovel Co diovan

1 sanofi 1 Novartis

8 9 10

Telmisartan + HCT Kandesartan + HCT Olmesartan

tab tab tab

40 & 80 + 12,5 mg 16 + 12,5 mg 20 & 40 mg

Micardis plus Blopress plus Olmetec

1 boehringer 1 Takeda, Dexa medica 1 Pfizer

Golongan lain-lain 1 Klonidin HCI Tab;inj 0,075 mg,0,15 mg Catapres 1 Boehringer

2 3

Metildopa anhidrat Natrium Nitroprusid

Tab salut selaput Inj

250 mg 50 mg/5 ml

Dopamet Nipride (Sodium Nitroprusside for IV Infusion DBL) Toviaz

1 Actavis 1

Fesoterodin fumarat

tab

tab SR 4 & 8 mg

1 Pfizer

SR tab 4 mg SR tab 8 mg tab 0.25 mg

box box box

4x7 4x7 25x10

Rp Rp Rp

380,130 380,130 161,000

GLIKOSIDA JANTUNG
1 Digoksin Tab;inj 0,25 mg Lanoxin (inj) 1 Glaxo smith kline, Fahrenheit

OBAT UNTUK SYOK


Inotropik 1 2 Dobutamin Dopamin HCI Inj Inj 250mmg/20 ml 10 mg/ml;40 mg/ml Inotrop;Dobuject;Dobutamine Giulini Dopamin Giulini;Indop 1 Solvay, Kalbe, Fahremheit, Dexa inj 25 mg/mL 1 Fahremheit, phapros, Kalbe inj 40 mg/mL (5 mL) vial vial 1 1 Rp Rp 99,000 30,000

Vasokonstriktor 1 2 Adrenalin HCI/bitartrat Deksametason natrium fosfat Inj Inj 1 mg/ml 5 mg/ml Ephinephrine Della Methason;Oradexon 1 1 inj 5 mg/mL tab 0.5 mg inj 50 mg/mL amp box pack box 1 100x1 100 10x1 Rp Rp Rp Rp 24,500 1,854,000 117,500 110,000

3 4 5 6

Efedrin HCI Fenilefrin HCI Isoprenalin HCI Norepinefrin bitartrat

Inj Inj Inj Inj

3 mg/ml amp 10 ml 10 mg/ml 0,2 mg/ml 4 mg/4 ml

Isuprel Vascon

1 1 1

1 Fahremheit, Dexa medica,inj samdoz, 1 mg/mL novell (amp 4 mL)

box

5x1

Rp

350,000

ANTIHIPERLIPIDEMIA
1 Atorvastatin Tab salu selaput 10 mg;20 mg;40 mg Lipitor;Atorsan Dexa, Sandoz 1 Pfizer, actavis, Kalbe, Combiphar, tab 10 mg tab 20 mg tab 40 mg 2 Fenofibrat Kapsul 100 mg;200 mg;300 mg Lipanthyl 1 Abbot, Sandoz, Dexa, Ikapharmindo, cap 200 escolab mg cap 100 mg cap 300 mg pack pack pack pack pack pack 30 30 30 30 48 30 Rp Rp Rp Rp Rp Rp 437,535 437,535 437,535 351,000 236,000 347,000

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN pack box box box box box box box box box pack pack pack pack pack pack pack pack pack pack box box box box pack pack box box pack pack pack pack pack vial box box box bottle blister 30 20x1 2x14 2x14 3x10 3x10 3x10 2x14 2x14 4x7 30 30 30 30 30 30 30 30 100 100 30x1 10x10 3x10 5x1 4 4 5x1 5x1 4 2 4 4 4 1 3x10 5x1 5x6 180 3x12 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

3 4 5 6

Gemfibrozil Kolestiramin Niacin Pravastatin

Kapsul serbuk Tablet Tablet

300 mg,600 mg,900 mg 4 g/bungkus 375 mg,500 mg,750 mg,1.000 mg 10 mg;20 mg

Lopid Questran Niaspan Pravachol, Cholespar

1 1 1 1

Resuvastatin

Tablet

10 mg;20 mg

Crestor

1 astra zenica

8 9 10 11

Simvastatin Ezetimibe ezetimibe + atorvastatin Atorvastatin amlodipine

Tablet tab tab tab

10 mg;20 mg 10 mg 10 & 20 mg 5 + 10 mg, 10 + 10 mg, 5 + 20 mg

Cholestat,, rechol, Zocor Ezetrol vytorin Caduet

1 Pharos, Kalbe 1 Schering plough 1 Schering plough 1 Pfizer

tab 90 mg powd for oral liqd PR tab 375 mg PR tab 500 mg tab 10 mg tab 20 mg tab 40 mg tab 10 mg tab 20 mg tab 40 mg tab 10 mg tab 10 mg tab 10/10 mg tab 10/20 mg tab 10 mg/10 mg tab 10 mg/20 mg tab 5 mg/10 mg tab 5 mg/20 mg tab 10 mg tab 5 mg inhal soln 2 mL tab 200 mg SR cap 400 mg inf 300 mg/15 mL tab 100 mg tab 50 mg inj 100 mg (2 mL) inj 250 mg (2 mL) tab 10 mg tab 20 mg tab 10 mg tab 20 mg tab 5 mg powd for inj 1.5 juta IU SR cap 400 mg inf 300 mg/15 mL tab 490 mg cap 250 mg

430,165 350,000 92,400 118,800 363,000 506,000 528,000 371,022 401,800 529,200 27,700 413,500 527,000 527,000 437,510 437,510 437,510 437,510 864,453 514,290 8,181,818 522,060 174,500 167,000 452,930 345,700 97,136 201,905 415,800 253,000 349,125 415,800 276,000 3,520,000 174,500 167,000 150,000 1,152,360 230,472

VASODILATOR 1 Flunarizin 2 3 4 5 6 7 8 Iloprost Naftidrofuril oksalat Pentoksifilin Sildenafil sitrat Sitikolin Tadalafil Vardenafil

Tablet Lar inhalasi Kaps;tab Inj Tablet Tab;inj Tablet Tablet

5 mg,10 mg 2 ml 100 mg;200 mg 100 mg/5 ml,300 mg/15 ml 50 mg,100 mg

Sibelium Ventavis Praxilene;Vascuprax Trental;Reotal Viagra

1 3 1 1 Kalbe 2 1 2 2

500 mg;1000 mg;1 g/8 ml;250 mg/2 ml;500 mg/4 Nicholin;Brain Act;Lancolin ml 5 mg,10 mg,20 mg 5 mg,10 mg,20 mg Cialis Levitra

THROMBOLITIK 1 Streptokinase 2 Pentoksifilin 3 4 Lumbrikus rubellus Fibrinolisin

inj 1,5 juta IU/vial Tab, Inj tab cap

tab 400 mg, inj 300 mg/15 ml

streptase Reotal Disolf Plasmin

3 Dexa Medica 3 Kalbe 3 Dexa Medica 3 Landson

250 mg

LAIN-LAIN 1 Prostaglandin E1 ANTIBAKTERI 1 Eritromisin

Inj

500 mcg/ ml

Prostin VR Pediatric

OBAT TOPIKAL UNTUK KULIT


Krim;gel;larutan 2% Erymed 3 cream 2% 20 g gel 2% 15 g soln 2% 30 mL gauze pad 1% cream 2% 5 g oint 2% 5 g cream 5 g top gel 1.2% 5 g top soln 1.2% 30 mL inf 5 mg/mL (100 mL) cream 2% 5 g cream 2% 10 g oint 2% 10 g cream 10 g tube tube container box tube tube tube tube container bottle tube tube tube tube 1 1 1 10x1 1 1 1 1 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 21,500 21,500 21,500 110,000 39,000 38,800 54,900 15,000 29,000 60,000 37,500 54,000 54,000 87,000

2 3 4 5 6 7

Framisetin sulfat Fusidat Fusidat (asam) +Betametason valerat Klindamisin Metronidazol Mupirosin

Kasa steril Krim(asam),salep (natrium) Krim Gel,larutan Tablet salut selaput;larutan infus Krim,salep

1% 2% (2%+0,1%)5 g 1%;(1,2%+0,5%)15 g Tablet 500 mg;larutan 5 mg/ml 2%

Framycetin Foban;Fucidin;Futadem Fucicort Comdacin;Mediklin Dumozol Bactoderm;Bactroban

3 3 3 3 3 3

Nadifloksasin

Krim

10 mg/g

Acuatim

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN tube container tube bottle tube tube tube tube tube tube container tube tube container container container container container container container container tube tube tube tube tube tube tube tube tube tube pack tube tube tube container container tube tube tube tube box box tube tube container tube tube tube 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 1 100 1 1 1 1 1 1 1 1 1 12x1 12x1 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

Perak Sulfadiazin

Krim

1%

Dermazin 50 g, 150 g

cream 10 mg/g (35 g)

36,500 325,000 18,000 27,500 18,000 9,700 12,105 28,100 13,700 23,250 29,500 33,275 30,000 2,870 4,700 2,040 5,100 8,470 2,150 3,500 6,000

ANTIFUNGI 1 Ketokonazol

Krim;shampoo

2%

Ketomed;Nizoral

Klotrimazol

0,4 mg/g

Candazole

cream 2% 15 g scalp soln 2% 60 mL gel 2% 15 g cream 1% 3 g cream 1% 5 g cream 1% 10 g cream 2% 5 g cream 2% 10 g top powd 2% cream 5 g oint 30 g blue shampoo 1% 60 ml blue shampoo 1% 120 ml blue 5 shampoo 1% 30 ml blue 5 shamp 1% 120 ml blue 5 shamp 1% 200 ml shampoo 1.8% 30 mL shampoo 1.8% 60 mL shampoo 1.8% 120 mL AT cream 1% 5 g AT cream 1% 10 g cream 1% 5 g cream 1% 10 g cream 5% 5 g cream 5% 10 g cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g tab 500 mcg oint 0.25% 5 g oint 0.25% 10 g cream 0.05% 10 g lotion 0.05% 10 mL lotion 0.05% 30 mL oint 0.05% 10 g cream 0.1% 10 g FO 0.1% 10 g cream 5% cream 0.025% 5 g oint 0.025% 10 g cream 0.05% 5 g cream 0.05% 10 g scalp lotion 0.1% 20 g cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g

3 4

Ketokonazol +Tar Mikonazol Nitrat

Shampoo Krim;bubuk

2%

Fungitar shampoo Mycorine; Daktarin

3 3

5 6 7

Mikonazol Nitrat2%+Hidrokortison 1% Mikonazol Nitrat2%+ Seng Oksida Selenium sulfida

Krim Krim/salep Shampoo

2%;1% 2% 1,8%

Brentan; Daktarin Diaper Selsun

3 3 3

Terbinafin

Krim

1%

Termicil;Lamisil

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

25,200 45,500 27,000 40,000 32,200 51,800 32,200 51,800 115,500 35,020 82,513 15,500 17,500 34,500 15,500 69,650 73,125 25,000 13,500 18,000 23,000 39,700 79,000 15,000 21,850 15,000

ANTIVIRUS 1 Asiklovir ANTIIFLAMASI DAN ANTIPRURITIK 1 Betametason dipropionat

Krim

5%

Clinovir ,Danovir

Krim ,salep

0,1%;0,5 mg/g

Beprosone ;Diprosone OV

2 3 4 5

Betametason valerat Boorschudmixture Desoksimetason Desonid

Krim Bedak kocok Krim;salep Krim

0,1 % 0,25% 0,5 mg/g

Benoson Esperson ;Inerson Dermades;Desolex

3 3 3 3

6 7 8 9 10 11 12 13

Diflukortolon valerat Doksepin Flusinolon asetonid Flutikason propionat Hidrokortison asetat Hidrokortison butirat Kalamin Klobetasol propinat

Krim;salep Krim Krim Krim

Krim, salep 0,1%;salep 0,3% 5% 0,025% 0,05%

Nerisona;Nerisona FO Sagalon Dermasolon Medicort

3 3 3 3 3 3 3 3

Krim 1%;2,5% Krim;krim lemak;scalp lotion Krim 1%;krim lemak 0,1%scalp lotion 0,1% Lotion Krim 0,05%

Locoid Caladine; Calamed Kloderma

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN tube tube tube tube tube tube tube 1 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp Rp

HARGA

14 15 16 17 1 2

Metil Prednisolon aseponat Mometason furoat Prednikarbat Triamsinolon asetonid Larutan Hemodialisa Larutan Peri

Krim;salep Krim;salep Krim Krim;salep Larutan Larutan

0,1% 0,1% 2,5 mg/g 0,1 %

Advantan;Advantan FO Mofacort, Dermovel Dermatop Kenacort -A

3 3 3 3 3 3

oint 0.05% 10 g cream 10 g cream 0.1 % 5 g cream 0.1% 10 g cream 2.5 mg/g 5 g cream 2.5 mg/g 15 g cream 0.1 % 10 g

21,850 77,050 30,250 54,500 46,263 104,110 67,200

LARUTAN DIALISIS
1000 ml Peri Solution Otsuka inf 1000 mL 24x1

LARUTAN ELEKTROLIT,NUTRISI,DLL
ORAL 1 BCAA powder 2 Oralit 3 Nutrisi enteral Serbuk Serbuk Serbuk 25 g/BCAA 3.3 g Falkamin 3 3 3 powd for oral liqd 25 g powd for oral liqd 1 L powd for oral liqd 200 mL milk powd 1 kg milk powd 0.4 kg box sachet sachet container container 6x1 1 1 1 1 Rp Rp Rp Rp Rp 276,000 710 265 137,600 60,400

Ensure ;Pan Enteral, Peptamen; Diabetasol;Nefrisol;Oxepa

PARENTERAL 1 Aqua pro injeksi 2 Asam amino

Cairan Infus

25 ml ampul 5%,6%,10%

3 4 5 6 7 8 9

Asam amino+vitamin+elektrolit Asam amino rantai cabang (BCAA) Glukosa Kalium klorida Kalsium glukonat Larutan elektrolit Larutan kombinasi (dlm 1 liter): Fruktosa 120 g ,glukosa 66 g, xylitol 60 g,elektrolit vitamin Larutan kombinasi (dlm 1 liter): Natrium 38,5 mek, CI 38,5 mek,glukosa 37,5 g Larutan kombinasi (dlm 1 liter): Natrium 60 mek,k 10 mek, CI 50 mek, laktat 20 mek,gluk 27 g Larutan kombinasi (dlm 1 liter):Natrium 50 mek,k 20 mek, CI 50 mek, laktat 20 mek, glukosa 27 g Larutan kombinasi: Glukosa 2,5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,225% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,9%=4:1(N4) Larutan kombinasi: Glukosa 10 % & Natrium klorida 0,9%=4:1(N5) Larutan kombinasi:

Infus Infus Infus Amp(inj)botol Infus Infus Infus 5%,10%,40% 25 mek/vial 10% 500 ml 500 ml

Aminosteril infant;Aminosteril 6%;Pan AminG;Kidmin; Kalbamin;Primen Aminofusin L 600,Aminofusin Paed, Aminoleban;Aminofusin Hepar

1 1

1 1 1 1 1 1 1

inf 10% 500 mL inf 5% 500 mL inf 200 mL inf 500 mL paed inf 250 mL inf 500 mL

bottle bottle bag container container container

1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp

82,000 75,000 67,522 65,000 68,000 146,000

Calcii Gluconas Tutofusin OPS Triofusin E 1000

inf 500 mL inf 500 mL

container box bottle box bottle

1 10x1 1 10x1 1

Rp Rp Rp Rp Rp

42,500 363,000 80,000 742,500 13,560

10

Infus

500 ml

KA-EN 1B

inf 500 mL

11

Infus

500 ml

KA-EN 3A

inf 500 mL

bottle

Rp

13,560

12

Infus

500 ml

KA-EN 3B

inf 500 mL

bottle

Rp

13,560

13 14 15 16

infus Infus Infus Infus

500 ml 500 ml

OTSU-D2,5,1/2 NS OTSU-D5,1/4 NS OTSU-D5,1/2 NS OTSU-D5, NS

1 1 1 1

17

Infus

OTSU-D10,0,18 NS

18

Infus

500 ml,1000 ml,1500 ml

Kabiven

inf 1440 mL

bag

Rp

480,000

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

glukosa+asam amino + elekrolit 19 20 21 Larutan nutrisi+ elektrolit L-alanin+L-glutamin Lipid Infus Infus Infus 1000 ml 50 ml,100 ml 20% Triparen 1;Triparen 2;Clinimix;Combiflex;Vitrimix Dipeptiven Intralipid ;lvelip;Lipovenous 1 1 1

inf 1920 mL inf 1 L inf 100 mL inf 20% 100 mL inf 20% 100 mL inf 20% 100 mL inf 8.4% inf 0.9% 1000 mL inf 0.9% 500 mL inf 500 mL inf 500 mL

bag bag bottle bottle bottle bottle container box bottle bottle bottle container

1 1 1 1 1 1 1 10x1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

550,000 280,000 491,050 115,500 212,100 283,500 33,350 366,850 8,140 4,712 15,200 5,630

22 23 24 25

Natrium bikarbonat Natrium klorida Ringer Asetat Ringer Laktat

Inj;infus Inj;infus Infus Infus

8.40% Inj.0,9% 25 ml;infus 100 ml;250 ml;500 ml ;3% 500 ml 500 ml

Meylon Otsuka ;Widatra Asering Ringer laktat

1 1 1 1

OBAT UNTUK MATA


SISTEMIK 1 Asetazolamid 2 Botulinum Toxin 3 Gliserin 4 Manitol TOPIKAL Antimikroba 1 Asam Fusidat 2 Asiklovir 3 Benzil Penisilin 4 Dibekacin 5 Flukonazol 6 Gentamisin 7 Kloramfenikol 8 Kloramfenikol + Hidrokortison asetat 9 Levofloksasin 10 Natamisin 11 Neomisin+Polimiksin + Deksametason 12 Ofloksasin 13 Oksitetrasiklin 14 Polimiksin 15 Sulfasetamid 16 Tobramisin Antiinflamasi 1 Betametason 2 Diklofenak natrium 3 Hidrokortison asetat 4 Kromoglikat natrium Midriatik 1 Atropin Sulfat 2 Fenilefrin HCI 3 Homatropin hidrobromid 4 Tropikamid Miotik dan antiglaukoma 1 Adrenalin HCI 2 Betaksolol HCI 3 Brinzolamid 4 Dorzolamid 5 Karbakol Tab Inj Larutan Inj 250 mg 100IU/vial 50% 20% Diamox;Glaucon Botox Manitol ;Manitol Firma International 3 3 3 3

powd for inj 100 U inj 20% 250 mL inj 20% 500 mL bottle bottle

1 1 1 Rp Rp 31,381 59,626

Tetes mata Salep mata Salep mata Tetes mata Tetes mata Salep mata Salep mata;tetes mata Krim Tetes mata/salep mata Tetes mata/salep mata Tetes mata Tetes mata Salep mata Tetes mata Tetes mata Vial Tetes mata Tetes mata Tetes mata Larutan Tetes mata Tetes mata Tetes mata Tetes mata Tetes mata Larutan Tetes mata Tetes mata Larutan

1% 3% 1.000IU 0.30% 2 mg 0.30% Salep mata 1%;tetes mata 3% Kloramfenikal 1%+hidrokortison asetat 0,5% 0,5% (3,5 mg+20.000IU+ 1,2 mg)ml 0,3 % 1% 10000IU/ml 10% 80 mg/ml 0,1% 1mg/ml 1% botol 5 ml 4% 10%/ml 10% 2% 0,5%;1% 0,25% 0,5% 1% dlm 5 ml 1%-2% 1%-6% dlm 5 ml

Fucithalmic Hervis Dibekacine Solnazol Cendo Gentamycin Cendo Fenicol Cendomycos Cravit Natacen Cendo Xitrol Cendo Floxa;Tarivid Terramycin Ophth CendoPolygran Cendo Cetamide;Albuvit Cendo Tobro Cendo Vosama Cendo Noncort

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

eye drops 1% 5 g ophthalmic oint 3% 4.5 g eye drops 0.3% 5 mL eye drops 3 mg/mL (5 mL)

container tube container container

1 1 1 1

Rp Rp Rp Rp

60,000 146,000 66,000 16,710

ophthal soln 0.5% 5 mL eye drop 50 mg/mL (5 mL) eye susp 5 mL ophth soln 0.3% (5 mL) ophth oint 3.5 g

container container container container tube

1 1 1 1 1

Rp Rp Rp Rp

75,000 56,580 26,500 43,000

drops 3 mg/mL (5 mL)

CendoTropin Cendo Efrisel Cendo Homatro Cendomydriatyl

Optibet Azopt Trusopt

eye susp 1% (5 mL) eye drops 2% 5 mL

container container

1 1

Rp

143,000

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN container 1 Rp

HARGA

6 7 8 9

Latanoprost Pilokarpin HCI Timolol Travoprost

Tetes mata Tetes mata Tetes mata Tetes mata

0,005% dlm 2,5 ml 0.25%-0,5% 0.25% ; 0,5% 0,04% dlm 2,5% ml

Xalatan Cendo Carpin Tim-Opthal; Isotic Adretor Travatan

3 3 3 3

eye drops 0.005% 2.5 mL

342,275

eye drops 0.004% 2.5 mL

container

Rp

215,000

PSIKOFARMAKA
ANTIANSIETAS DAN ANTIINSOMNIA 1 Alprazolam Tablet 0,25 mg;0,5 mg;1 mg Xanax;Frixitas;Alganax 1 pfizer, pharos, Kalbe tab 0.25 mg tab 0.5 mg tab 1 mg inj 10 mg/2 mL tab 5 mg tab 1 mg tab 2 mg tab 10 mg tab 0.5 mg tab 1 mg tab 2 mg tab 10 mg tab 2 mg tab 8 mg pack pack pack box pack pack pack pack pack pack pack pack box pack 100 100 100 5x1 100 100 100 100 100 100 100 20 10x10 14 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 174,170 248,505 408,255 120,337 297,476 243,306 372,435 286,532 190,996 289,389 410,405 90,720 460,000 130,997

2 3 4 5 6

Bromozepam Diazepam Estazolam Klobazam Lorazepam

Tablet Tablet;inj Kapsul Tablet Tablet

1,5 mg,3 mg,6 mg Tab 2 mg;inj.10 mg/2 ml 1 mg;2 mg 10 mg 0,5 mg;1 mg;2 mg

Lexotan Valium Esilgan Frisium Ativan

2 1 Roche, actavis, fahrenheit 1 Takeda 1 Sanofi 1 Sunthi sepuri, mersifarma

7 Zolpidem 8 Klonazepam 9 Remelteon ANTIDEPRESI DAN ANTIMANIA 1 Amitriptilin HCI 2 Duloksetin 3 Escilatopram 4 Fluoksetin 5 Imipramin 6 Klomipramin 7 Litium karbonat

Tablet tab tab Tablet Kapsul Tablet Kapsul Tablet Tablet Tablet

10 mg 2 mg 8 mg 25 mg 30 mg,60 mg 10 mg 10 mg;20 mg 25 mg 25 mg 200 mg;300 mg;400 mg

Stilnox;Zolmia Riclona Rozerem

1 1 Mersifarma 1 Takeda 1 1 1 2 2 2 2

Cymbalta Cipralex Prozac ;Lodep;Kalxetin Tofranil Anafranil Frimania

Boehringer lunbeck Pharos, sunthi sepuri, kalbe novartis novartis

cap 60 mg cap 20 mg tab 25 mg tab 25 mg tab 200 mg tab 400 mg

box box box pack box pack box pack pack box box box box pack

2x7 2x14 50x10 50 10x10 300 10x10 300 30 2x14 5x10 5x10 5x10 50

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

231,000 330,000 260,546 355,815 200,000 400,000 351,000 700,000 434,820 373,380 197,538 285,929 450,387 642,885

8 9 10

Sertralin Venlafaksin HCI Maprotilin

Tablet Kapsul tab

50 mg 75 mg,150 mg 10, 25 & 50 mg

Zoloft;Zerlin;Fridep Efexor XR Ludiomil

2 pfizer, pharos, kalbe 2 Pfizer 2 novartis

tab 50 mg cap 75 mg tab 10 mg tab 25 mg tab 50 mg tab 75 mg

ANTIOBSESI DAN ANTIKOMPULSI


1 1 Klomipramin Aripiprazol Tab;inj Tablet Tab 25 mg;inj 10 mg 10 mg,15 mg Anafranil 3 3 tab 25 mg pack pack pack pack vial box box box bottle box pack pack pack pack 50 10 10 10 1 10x10 10x10 12x1 1 5x1 50 50 150 150 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 355,815 385,880 446,500 202,130 262,900 99,000 170,500 136,620 25,000 453,750 715,000 220,000 264,930 368,630

ANTIPSIKOSIS
Abilify tab 10 mg tab 15 mg tab 5 mg inj 9.75 mg/1.3 mL (7.5 mL) 2 Pfizer, Mersifarma, guardian tab 2 mg tab 5 mg inj 5 mg/mL oral drops 2 mg/15 mL 3 2 3 3 3 inj 50 mg/mL Mersi farma Pharos Sandoz, pgaros Schering plough tab 100 mg tab 25 mg tab 2 mg tab 4 mg

Haloperidol

Tablet;inj;drops

Tab 0,5 mg;1,5 mg;5 mg;inj 5 mg/ml amp 1 ml;drops 2mg/15 ml

Serenace ; Lodomer

3 4 5 6 7

Haloperidol dekanoat Klorpromazin HCI Klozapin Olanzapin Perfenazin

Inj. Tab salut selaput;inj Tablet Tab;inj. Tablet

50 mg/ml amp 1 ml 25 mg;100 mg;5 mg/ml 25 mg,100 mg Tab 5 mg,10 mg; vial 2 mg;4 mg

Haldol Decanoas Clozaril ; Luften Zyprexa

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN tab 8 mg tab 4 mg tab 100 mg tab 200 mg tab 25 mg tab 300 mg 2 Jansen,Kalbe, guardian, pharos tab 1 mg tab 2 mg tab 3 mg 2 Glaxo smith kline, mersi farma tab 1 mg tab 5 mg 3 tab 25 mg tab 50 mg 3 3 Astra zenica 3 Novartis, Janssen cap 20 mg tab 20 mg tab 10 mg

PACKING KEMASAN pack pack box box box box box box box pack pack box box pack box box 150 50 6x10 6x10 6x10 6x10 2x10 2x10 2x10 100 100 2x15 2x15 30 3x10 3x10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

8 9

Pimozid Quetiapin

Tablet Tablet

4 mg 25 mg,100 mg,200 mg

Orap Forte Seroquel

10

Risperidon

Tablet

1 mg;2 mg;3 mg

Risperdal ;Zofredal ;Persidal

11 12

Trifluoperazin Zotepin

Tablet Tablet

1 mg; 5 mg 25 mg,50 mg

Stelazine Lodopin

451,110 258,500 1,221,996 1,430,990 823,949 1,816,380 72,000 122,430 185,300 44,000 90,750 199,000 345,000 331,835 323,593 195,715

ANTI ADHD
1 Metifenidat HCI Tablet 10 mg,20 mg,30 mg,10 mg intermediate release Ritalin

RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE


PENGHAMBAT NEUROMUSKULAR 1 2 3 4 5 6 7 8 9 Atrakurium besilat Baklofen Esperison Klorzoksazon Pankuronium bromida Rokuronium bromida Suksinilkolin Tizanidin Vecuronium bromida inj Tablet Tab salut selaput Tablet Inj Inj Inj Tablet Inj 25 mg/2,5 ml;50 mg/ml 10 mg 50 mg 200 mg 2 mg/ml 50 mg;25 mg 200 mg/10 ml 2 mg 4 mg/ml;10 mg Tracrium;Atracurium Hameln Lioresal Myonal Solaxin Pavulon Esmeron Quelicin SirdaludMyores, Phardex Norcuron;Ecron 3 Glaxo smith kline, Dexa, Novell inj 25 mg/2.5 mL 1 1 3 3 3 3 1 3 inj 50 mg/5 mL Novartis tab 10 mg Eisai, Interbat, Kalbe, Pharos tab 50 mg tab 200 mg Organon inj 2mg/mL 2 mL Kalbe, Novell inj 50 mg (5 mL) Abbot inj 200 mg/10 mL Mepro, Prima tab 2 mg Pharos inj 10 mg inj 4 mg box box pack pack pack box box box vial box vial amp box pack pack 5x1 5x1 50 100 100 50x1 10x1 12x1 25x1 10x10 1 1 5x1 150 100 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 211,200 363,000 314,495 295,000 130,000 1,625,000 362,000 1,237,000 117,300 385,000 140,500 675,000 45,100 920,000 748,990

OBAT UNTUK MISTENIA GRAVIS 1 2 3 Neostigmin metilsulfat Pridostigmin bromida Azatioprin Inj Tablet tab 0,5 mg/ml 60 mg 50 mg Postigmin Mestinon azathioprine, Imuran 2 Transfarma inj 0.5 mg/mL 2 Transfarma tab 60 mg 2 Combiphar, Glaxo smith kline tab 50 mg

OBAT UNTUK SALURAN CERNA


ANTASIDA DAN ULKUS,ANTIBUSA 1 Alumunium hidroksida+ Magnesium hidroksida 2 Alumunium hidroksida+Magnesium hidroksida+ Simetikon Tablet,susp Myalanta ;Polycrol 1 oral gel 400 (100 mL) oral gel forte (100 mL) 180 mL oral gel (100 mL) 180 mL tab 400 tab forte tab 1 Astra zenica tab 20 mg tab 40 mg soln for inj 40 mg 1 tab 200 mcg Sanbe 1 Astra zenica, ferron, Darya, Soho, cap 20 mg powd for inj 40 mg 6 Pantoprazol Tablet;inj 20 mg;40 mg;40 mg(vial) Pantozol kalbe, mahakam 1 Pharos, novell, Otto, Soho, dexa, tab 40 mg tube tube tube tube bottle box box pack box box vial pack box vial vial 100 mL 1 1 1 1 12x10 24x10 20 4x7 2x7 1 50 2x7 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 36,400 24,000 33,800 14,300 22,800 58,500 11,400 7,273 342,360 208,980 143,110 1,005,000 276,949 161,441 139,000 Tablet 200 mg+200 mg 1

Esomeprazol

Tablet;inj

Tab 20 mg,40 mg;inj 40 mg; vial

Nexium;Nexium IV

4 5

Misoprostol Omeprazol

Tablet Kapsul;inj

200 mg 10 mg;20 mg;40 mg

Cytotec Losec;OMZ;Ozid

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN tab 20 mg

PACKING KEMASAN pack 7 7 5x1 10x10 3x10 4 1 1 1 10x10 14 2x10 5x10 1 3x6 100 100 100 30 1 6x1 1 1 100 100 5x1 5x1 10 pack pack box box vial box pack 10 30 5x1 5x1 1 5x1 10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

94,500 120,000 79,000 398,000 178,000 818 227 43,000 67,000 200,000 121,500 215,000 132,500 66,000 189,000 355,100 241,564 120,000 45,000 21,000 54,000 22,000 17,500 110,000 66,000 98,280 149,091

Ranitidin

Tablet;inj

150 mg;25 mg/ml

Zantac;Rantin;Wiacid

8 9 10 11 12 13 14 15

Rebamipide Simetikon Sukralfat Teprenon rabeprazol Lansoprazol cisaprid Fucoidan

Tablet Tablet Suspensi Kapsul tab Cap tab cap

100 mg 20 mg 500 mg/ml 50 mg 10 & 20 mg 15, 20 & 30 mg 5 mg 100 mg

Mucosta

1 1 1

Inpepsa Purubex Pariet prosogan,lancid acpulsif fucoidan

tab 40 mg pack inj 50 mg/2 mL box tab 150 mg box tab 300 mg box Pharos, otsuka tab 100 mg chew tab 125 mg pack oral liqd 100 mg sachet Fahrenheit, Kalbe, Gracia, otto, ikapharmindo, liqd 500 mg/mL (100 combiphar mL) bottle bottle box pack box box bottle box pack pack pack pack bottle box bottle bottle pack pack

200 mL cap 50 mg tab 10 mg tab 20 mg 1 Takeda, Kalbe, dexa, gracia, sanbe, capnovell, 30 mg takeda 1 Dexa medica tab 5 mg 1 Soho syr 100 mg (120 mL) tab 100 mg 1 Eisai 1 Eisai 1 1 tab 12 mg tab 6 mg tab 50 mg

ANTIEMETIK 1 Betahistin mesilat 2 3 4 Dimenhidrinat Domperidon Metoklopramid HCI

Tablet Tablet Tablet Tablet;inj

8 mg; 6 mg 50 mg 10 mg 10 mg;10 mg/2 ml

Betaserc;Merislon Dramine Sed generik Primperan

1 Janssen, Kalbe, Dexa, Ikapharm,tab Bernofarm, 10 mg Gracia susp oral 5 mg/5 mL 1 Otto, fajhrenheit, soho, actavis inj 10 mg/2 mL oral drops 1 mg/10 drop syr 5 mg/5 mL tab 10 mg tab 5 mg

Ondansetron HCI

Tab salut selaput;kaplet;inj

Tablet 8 mg;4 mg,inj 4 mg/amp 2 ml, 8 mg/amp 4 ml;4 mg/2 ml

Zofran;Narfos;Ondavell

1 Glaxo smith kline, Kalbe, soho, inj fahrenheit, 4 mg/2 mL pharos, interbat box inj 8 mg/4 mL tab 8 mg box

6 7 8 9 10

Piratiasin teoklat Tegaserod Granisetron palonosetron ramosetron

Tablet Tablet tab, inj inj tab, inj

Piratiazin teoklat 40 mg+ vit B637,5 mg 6 mg

Mediamer B6 Zelmaz kytril, granon

1 1 1 Roche, dexa 1 kalbe 1 astellas

tab 6 mg inj 1 mg/mL inj 3 mg/3 mL inf 0.25 mg/5 mL inj 0.3 mg/2 mL tab 0.1 mg

0,25 mg / 5 ml tab 0,1 mg, inj 0,3 mg / 2 ml

paloxi nasea

93,555 294,700 42,000 100,000 660,000 1,065,000 1,000,000

ANTIHEMORRHOID 1 Bismut subgalat 2 Etoksisklerol/Polidocanol 3 Hidrosmin Diosmin 450 mg + Heesperidin 50 mg ANTISPASMODIK 1 Atropin sulfat 2 Butropium bromida 3 Hiosin n-butil bromida OBAT UNTUK DIARE 1 Garam Oralit I 2 Loperamid HCI 4

Supp Inj Tablet/kapsul Tablet

60,98 mg 1%;3% 200 mg 500 mg

Aethoxysklerol Venosmil Ardium

3 3 3 3

cap 200 mg gel topical 2% 60 g tab 500 mg

box tube pack

2x10 1 30

Rp Rp Rp

11,250 120,750 189,000

Inj Tablet Tab salut gula;inj

0,25 mg/ml 5 mg 10 mg;20 mg/mml

Atrium Sulfat Caliopan Buscopan

3 3 3 Boehringer

drag 10 mg inj 20 mg/mL 1L 200 mL tab 2 mg

pack box sachet sachet pack

100 10x1 1 1 100

Rp Rp Rp Rp Rp

192,060 197,010 710 265 466,520

Serbuk Tablet

NaCl 3,5 g+KCi 1,5 g +glukosa 20 g/1000 ml 2 mg Imodium

3 3

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

3 Smektit LAKSATIF 1 Bisakodil

Serbuk Supp 10 mg

Smecta Dulcolax

3 2 Boehringer tab 5 mg supp 10 mg paed supp 5 mg pack pack box box box container box bottle bottle bottle bottle bottle bottle bottle pack 10 4 1x5 10x5 1x6 1 3x1 1 1 1 1 1 1 1 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 165,880 77,440 70,070 573,790 62,700 14,850 38,500 31,900 49,500 65,000 62,700 19,950 32,585 44,555 214,500

2 3 4

Gliserin Larutan Kombinasi Natrium lauril Enema sulfoasetat + Natrium sitrat asam sorbat+PEG +Sorbitol Laktulosa Sirup

(45 mg + 450 mg+ 5 mg+625 mg+4465 mg)/5 ml Microlax 3,335 g/5 ml Extralac, lactulac, Duphalac

2 2 Pharos

enema 5 mL

5 6 7

Magnesium sulfat Natrium Fosfosoda Parafin+Gliserin

Kristal Enema Sirup

30 g Botol 133 ml(fleet Enema);Botol 45 ml (fleet Phosposoda) Fenolftalein 55 mg;Paraffin liq 1,2g;gliserin 378 mg

Garam Inggris Fleet Enema; Fleet Phosposoda Lexadine

2 Soho, Ikapharmindo, KF syr 3.335 g/5 mL (60 mL) 120 mL 200 mL 2 2 2 Galenium pharm 133 mL oral emulsion 30 mL 60 mL 110 mL cap 250 mg

1 2 3 4 5 6

Asam ursodeoksikholat Glicirrhyzin HEFC Kombinasi enzimsal cerna L-Ornitin L-Aspartat Mesalazin

Kapsul Inj Serbuk Dragee Sachet;inj Tablet ;enema,sup

250 mg 40 mg amp 20 ml 300 mg Sachet 3 g;5g/10 ml amp Tab 250 mg;500 mg;enema 4 g;sup 500 mg

Lain-lain Urdafalk; Estazor Stronger Neo-Minophagen C HEFC Vitazym Hepa-Merz Salofalk; Sulfitis (tab)

3 3 3 3 3 3

tab inj 500 mg/mL (10 mL) enema 4 g tab 250 mg tab 500 mg supp 500 mg

box box box pack pack pack

10x10 5x1 4x1 100 100 30

Rp Rp Rp Rp Rp Rp

35,000 350,000 101,000 466,000 765,000 525,000

Schisandrin

Kapsul

400 mg

Hp Pro

OBAT UNTUK SALURAN NAFAS


ANTIASMA 1 Adrenalin bitartrat 2 Aminofilin 3 4 5 Beklometason Budesonide Deksametason natrium fosfat Inj Inj Inhaler Aerol dosis terukur Inj 1 mg/ml;4 mg/4 ml 24 mg/10 ml 200 mcg/dosis 100 mcg;200 mcg 5 mg/ml Adrenalin Aminophylinum Becotide; Beclomed easyhaler Pulmicort; Inflammide Oradexon; Kalmethason 2 2 2 2 Astra zenica 2

6 7 8 9 10 11

Efedrin HCI Fenoterol HBr Ipratropium bromida Isoprenalin HCI Klenbuterol Prokaterol HCI hemihidrat

Inj,tablet Larutan,inhaler Inhalasi Inj Tab Mini tablet;tablet;inhaler

50 mg/ml;25 mg 0,1% 40 ml;MDI 100 mcg/puff,200 mcg/puff 20 mcg/spray 0,1 mg/ml;0,2 mg/ml 10 mcg,20 mcg Tab 25 mg,50 mg; inhaler 10 mcg/puff

(inj) Sed. Generik; Ephedrin HCI; (tab) sed generik Berotec Atrovent Isupel Spiropent Meptin air inhaler

2 2 Boehringer 2 2 2 2

tab 225 mg inj 24 mg/mL spray 100 mcg/dose spray 50 mcg/dose MDI 100 mcg/puff MDI 200 mcg/puff amp 4 mg/mL amp 5 mg/mL vial 20 mg/mL tab 25 mg inj 50 mg/mL inhal soln 0.1% MDI 100 mcg/puff inhal soln 0.025% inhaler 20 mcg/puff tab 20 mcg minitab 25 mcg syr 25 mcg/5 mL tab 50 mcg

pack container container canister canister box box vial pack box canister canister bottle canister box

50 10x1 1 1 1 1 5x1 5x1 1 1000 10x1 1 1 1 1 10x10 100 1 100 100 100 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

95,000 38,636 145,200 90,750 151,910 198,800 25,000 26,500 21,000 168,500 110,000 194,920 116,490 157,850 118,140 412,280

12

Salbutamol

Tab;sir;inhaler;nebules; 2 mg;4 mg;2 mg/5 mL;100 mcg/puff;2,5 mg; rotahaler;rotadadisk;diskhale 200 mcg;400 mcg r rotacap

Ventolin; Lasel

2 Glaxo, pharos, Lapi, Boehringer, fahrenheit cap 2 mg cap 4 mg inj 0.5 mg/mL

pack pack box

Rp Rp Rp

75,000 100,000 62,500

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN syr 2 mg/5 mL

PACKING KEMASAN bottle box box box box canister canister pack pack box carton box canister 1 20x1 60x1 60x1 60x1 1 1 100 100 5x1 2x5 10x10 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA

16,000 213,520 120,000 134,545 146,182 120,000 105,455 280,500 163,350 75,206 79,586 181,020 148,522

13 14

Salbutamol 2,5 mg + Ipratropium Bromida 0,5 mg Salmoterol 25 mcg + Flutikason proprionat 50 mcg/125 mcg

Inhaler Inhaler

MDI 200 puffs;vial 2,5 ml UDV 50 inhalasi ,125 inhalasi

Combivent Seretide 50 inhalasi, seretide 125 inhalasi

fahrenheit 2 Glaxo, pharos, Lapi, Boehringer, inhal soln 2.5 mL 2 Glaxo smith kline diskus 100 diskus 250 diskus 500 inhaler 125 inhaler 50 tab 250 mg tab 125 mg inf 0.5 mg/mL respules 2.5 tab 2.5 mg turbuhaler 0.5 mg

15 16

Teofilin Terbutalin Sulfat

Kaps lunak;tab,eliksir

130 mg;130 mg/15 ml

Euphyllin R mite; Quibron TSR

2 2 Astra zenica

Tab;sir;inj;canister;turbuhaler Tab 2,5 mg;sir 0,3 mg/ml; inj 0,5 mg/ml; Can 0,25 Bricasma; Nairet; Forasma

ANTITUSIF 1 Dekstrometorfan HBr 2 Kodein HCI

Tablet Tablet

15 mg 10 mg

Codipront

2 2 Pharmosolindo

cap syr 60 mL

pack pack bottle box bottle bottle bottle pack bottle bottle box bottle box box pack bottle pack bottle bottle pack box box box bottle bottle vial

10 100 1 5x10 1 1 1 10 1 1 10x10 1 10x10 10x4 20 1 60 1 1 20 30 5x1 30x1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

42,130 411,950 23,425 384,450 43,670 35,200 44,770 237,710 21,010 37,400 352,550 51,590 114,840 48,070 70,000 28,875 219,000 35,000 50,000 180,000 117,000 177,500 75,000 5,750 2,450 4,002,075

MUKOLITIK 1 Ambroksol Tablet,sirup 30 mg, sir: 15 mg/5 ml Mucopect; Transbroncho 2 Boehringer, sanbe, gracia, sanofi retard cap 75 mg oral drops 15 mg/mL syr 15 mg/5 mL syr 30 mg/5 mL tab 30 mg 2 Bromheksin HCI Tablet;eliksir;sirup;larutan utk inhalasi,inj Tab 8 mg; eliksir dan sirup 4 mg/5 ml; lar 8 mg/4 ml;inj.4 mg/2 ml amp Bisolvon 2 elixir 4 mg/5 mL inj 4 mg/2 mL oral soln 2 mg/mL tab 8 mg 3 4 Erdostein N-asetil sistein Sirup Serbuk;sirup 175 mg/5 ml Serbuk 100 mg,200 mg;sir 150 mg/ml Vectrin Fluimucyl 2 2 cap 300 mg dry syr 175 mg/5 mL cap 200 mg syr 100 mg/5 mL (75 mL) 150 mL tab eff 600 mg oral soln 200 mg inj susp 300 mg/3 mL powd for oral liqd 100 mg syr 100 mL flavor 100 mL susp 25 mg/mL

EKSPEKTORAN 1 Obat batuk Hitam LAIN-LAIN 1 Beractant SERUM DAN IMUNOGLOBULIN 1 Gama Globulin Imun 2 Serum Antibisa Ular 3 Serum Antidifteri 4 Serum Antitetanus 5 Serum Hiperimun Antirabies 6 Serum Imun Globulin 7 Tetanus Imun Globulin VAKSIN

Larutan

OBH

Inj

25 mg/ml 8 vial

Survanta

2 Abbot

OBAT YANG MEMPENGARUHI SISTEM IMUN


Inj Inj Amp Amp Vial Amp 5% 1.500IU ; 10.000IU.20.000 IU; 100 IU/ml vial 20 ml 10%,2,5 g/50 ml 250IU Gammaraas 3 3 3 3 3 3 3 inj 2 g/50 mL vial 1 Rp 2,200,000

Gamimune N10% Teragem P Vaksin polio oral

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2

Vaksin Antipolio Vaksin antirabies Vaksin BCG Vaksin Campak Vaksin Difteri Pertusis dan Tetanus Vaksin Difteri dan Tetanus Vaksin Hemophilus influenzae B Vaksin Hepatitis A Vaksin Hepatitis B Vaksin Influenza Vaksin Kombinasi DPaT-Hib Vaksin Kombinasi DPT,Hib,Polio Vaksin Meningitis meningokokal Vaksin MMR Vaksin HPV Vaksin Japanese ensefalitis Vaksin Pneumokokus Vaksin PPD Vaksin Rotavirus Vaksin Serap Tetanus Vaksin TT Vaksin Tipa Vaksin Varisela Vaksin Yellow Fever 1,25 di (OH) kolekalsiferol Asam Askorbat

Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj

40 antigen unit (type 1);4 antigen unit (type 2);32 Vaksin polio oral antigen unit (type 3) 300 I.U.,0,5 mg/0,5 ml Imogam Rabbies;Verorab 2 ml;4 ml 0,5 ml 0,5 ml 5 ml amp 10 mcg/0,5 ml vial 720 IU/ml;80 IU/0,5 ml;160 IU/0,5 ml 100 mcg/0,5 ml;20 mcg/0,5 ml vial 0,5 ml 0,5 ml 0,5 ml 0,5 ml 0,5 ml 0,5 ml 0,5 ml Vaksin BCG Vaksin Campak Vaksin serap DTP Vaksin serap DT (Hiberix) Havrix 720 junior;Avaxim 80;Avaxim 160 Fluarix;Vaxigrip Infanrix-Hib ; Tetrac Hib Pediacel Mencevax Trimovax Gardasil;Servarix Prevenar (PCV);Pneumo 23 Rotarix 5 ml Vial 5 ml,10 ml,uniject 0,5 ml 0,025 mg/0,5 ml;10 mL vial 0,5 ml vial Vaksin TT Bio Farma Varilix;Okavax

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 vacc 0.5 mL inj 300 IU/2 mL vacc 0.5 mL prefilled syrg vial 1 1 Rp Rp 1,409,091 90,000

vacc 0.5 mL vacc 160 IU/0.5 mL vacc 80 IU/0.5 mL

vial prefilled syrg prefilled syrg prefilled syrg prefilled syrg prefilled syrg vial vial prefilled syrg prefilled syrg

1 1 1 1

Rp Rp Rp Rp

159,000 270,000 220,000 110,000

1 1 1 1

Rp Rp Rp Rp

116,000 61,000 500,000 680,000

vacc 1 mL

VITAMIN DAN MINERAL


Kapsul lunak Tablet;inj 0,25 mcg Kolkatriol 2 2 softcap 0.5 mcg softcap 0.25 mcg Tab 50 mg;100 mg;inj.100 mg/ml,200 mg/ml, 1 g Extrace:Max C inj 1000 mg/5 mL inj 200 mg/2 mL inj 500 mg/5 mL 3 4 5 6 7 8 9 10 11 12 13 14 15 Asam Folat Biotin Fluorida Hidroksokobalamin Isotretinoin/acitretin Kalium aspartat/klorida Kalium sitrat Kalium dihidrogen fosfat Kalsium glukonat Kalsium karbonat Kalsium laktat/fosfat Kombinasi Betakaroten,Vitamin C, vitamin E,Zinc,Selenium Kombinasi vitamin B Tablet 100 mg+200 mg+200 mcg+400 mcg Neurobion; Neurobion 5000; 2 tab inj 5000 pack pack box 250 50 20x1 Rp Rp Rp 266,514 54,371 120,120 Tablet 400 mcg Folid Acid 2 2 2 2 2 2 2 2 2 2 2 2 pack pack box box box 30 30 5x1 6x1 5x1 Rp Rp Rp Rp Rp 291,218 175,944 87,500 35,000 55,000

Inj Kapsul;tablet Tablet Tablet Inj Inj Tablet Tablet Kapl salut selaput

500 mcg/ml Kapsul 10 mg,20 mg; tablet 25 mg 750 mg;300 mcg 500 mg 1 mmol/ml 100 mg/10 ml 1250 mg 500 mg 16 mg+500 mg+10 mg+ 50 mcg

Neotigason KSR;Aspar-K

tab 300 mg

pack

100

Rp

189,000

Calcii gluconas Osteocal Kalk Seloxy

capl 500 mg FC capl

box pack

10x10 30

Rp Rp

22,177 94,050

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN tab 5000

PACKING KEMASAN box box box box 10x10 25x10 5x10 5x10 Rp Rp Rp Rp

HARGA

nerva plus 16 17 18 19 20 22 23 24 25 26 27 L-Arginin L-Karnitin+Ubiquinon Mekobalamin Mineral-Mix Multivitamin Natrium benzoat Niasinamid Pridoksin HCI(vit B6) Retinol (Vit.A) Riboflavin Zn Pikolinat+Zn glukonat+ Cu glukonat 28 29 30 Suplemen untuk mata Thiamin HCI Thiamin nitrat+Kalsium pantotenat+Medical yeast+cystin +keratin+ 31 asam p-amino benzoat Thiamin Tetrahidrofurfuril Disulfid Tablet,inj 5 mg;10 mg/2 ml Alinamin/Alinamin-F-Odorless 2 Kaplet Tablet Kapsul Inj Kaplet Kapsul,inj 4%,10% dlm vial (30 mg+500 mg) 250 mcg,500 mcg; 500 mcg/ml R-Gene Carnico-Q Methycobal; Lapiqbal 2 2 2 2 2 2 2 2 2 2 Zinc Pharmacore 2

FC capl 5000 FC capl

207,900 514,580 90,000 87,500

cap 250 mcg cap 500 mcg capl

pack pack box

100 100 5x10

Rp Rp Rp

100,000 140,000 98,000

Kapsul,sirup,drops Tablet Tablet Tablet Kapsul 50 mg/ml 500 mg 10 mg;25 mg 6.000 IU.;20.000 IU.;50.000 IU Zn Pikolinat 50 mg+Zn glukonat 50 mg+

Nutrilin;Licoxy;Zegravit

Cu glukonat 8 mg Lutein 3 mg +lycopene 2 mg+vit E 25 mg+vit C Optimax 100 mg+Zn 10 mg +b-carotene 6000 iu =bilberry 50 mg; 100 mg; Thiamin nitrat 60 mg+ kalsium pantotenat 60 mg Pantogar + Medical yeas 100 mg+cystin 20 mg +keratin 20 mg +asam p-amino benzoate 20 mg

2 2 2

capl

box

5x6

Rp

100,000

cap

box

3x5

Rp

189,000

inj 25 mg/10 mL tab 5 mg F-tab

32 33 34 35 36 37 38 39 40 41 42

Trace elements untuk infus Vitamin B12 Vitamin B Kompleks Vitamin D Vitamin D analog: Alfakalsidol Vitamin D analog:Kalsitriol Vitamin D analog:Kolekalsiferol Vitamin D analog: Dihidrotakhisterol Vitamin D analog:Ergokalsiferol Vitamin E (Tokoferol) Vitamin K3/K1

Larutan Tablet Tablet Kaps lunak

Zn 250 mcg +copper 20 mcg+ manganese 1 Peditrace mcg+selenium 2 mcg +fluoride 57 mcg +iodide 1 50 mccg;100 mcg 200 IU.;300IU.;400 IU

box pack pack pack

5x1 100 1000 100

Rp Rp Rp Rp

56,243 36,425 348,096 75,758

2 2 2 2 2 2 2 2 2

Kaplet Inj

100 IU;200 IU 2 mg/ml

Evion;Dalfarol

2 2

chew drag 100 IU

pack

100

Rp

96,897

OBAT YANG MEMPENGARUHI SALURAN KEMIH


ALPHA BLOCKER 1 2 Terazosin Doksazosin Tablet Tablet Tablet Tablet Tablet Tablet 1 mg 1 mg,2 mg, 4 mg 0,2 mg 10 mg 5 mg 0,5 mg Hytrin Cardura Hamal Xatral XL Prostacom Proscar Avodart 2 2 2 2 3 3 tab 1 mg tab 2 mg tab 1 mg tab 2 mg PR tab 10 mg tab 5 mg cap 0.5 mg pack pack pack pack pack pack pack 140 28 50 50 30 30 30 Rp Rp Rp Rp Rp Rp Rp 698,858 250,030 336,135 575,285 319,219 357,500 270,000

3 Tamsulosin 4 Alfuzosin 5 ALPHAREDUCTASE INHIBITOR 1 Finasterid 2 Dutasterid ANTISEPTIK

NO URUT OBAT

NAMA GENERIK

BENTUK SEDIAAN

KEKUATAN

NAMA DAGANG

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

1 1 2

Fenazopiridin Tolterodin I-tartrat Solifenasin Tablet Tablet 2 mg 5 mg Detrusitol Vesicare

3 2 2 tab 2 mg tab 10 mg tab 5 mg box pack pack 2x14 30 30 Rp Rp Rp 232,590 465,675 381,150

ANTIMUSKARINIK

PARASIMPATOMIMETIK 1 2 Karbakol Distigmin bromidum Tablet Tablet Urocarb Ubretid 3 3

LAIN-LAIN 1 2 3 Lubricant untuk USG Lubricant Ko-dergokrin mesilat Jelly Jelly Tab;tab salut enterik;inj Aquasonic KY Jelly Hydergin 2 2 2

1 mg; 4,5 mg; 0,3 mg/ml

inj 0.3 mg/mL FAS tab 4.5 mg tab 1 mg tab 4.5 mg inf 200 mg/mL inj 200 mg/mL

box box box box box box

5x1 3x10 10x10 3x10 1 4x1

Rp Rp Rp Rp Rp Rp

152,665 550,920 576,015 642,340 250,250 250,250

4 5 6 7

Pirasetam Xantinol Xantinate Co enzym Q-!0 Piritinol Hcl

Kaplet;sirup;inj inj cap syr

Kaplet 400 mg, 800 mg;sirup 10%,inj. 1 g/5 ml,3 g/15 ml,12 g/60 ml 300 mg/amp 100 mg / 5ml

Nootropil,Neurotam Complamin encephabol

2 UCB, Kalbe, Soho 2 2 Fahrenheit, darya 2 Merck

drag 100 mg Forte drag 200 mg oral liqd 100 mL

pack pack bottle pack box box container vial pack prefilled syrg pack pack box box box pack box pack box vial

100 100 1 4 5x1 5x1 1 1 1 1 30 30 5x6 2x14 5x10 30 5x1 30 2x14 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

308,000 446,160 56,100 352,944 751,960 489,250 760,140 3,198,000 346,223 1,194,468 168,000 267,750 255,000 528,000 216,000 625,000 955,041 1,100,000 528,000 3,198,000

OSTEOARTRITIS dan METABOLISME TULANG


1 2 Risedronat Kalsitonin tab tab, spray 35 mg tab 50 & 100 IU, spray 200 Actonel Miacalcic 2 Sanofi, kalbe 2 Novartis tab 35 mg inj 100 IU/mL inj 50 IU/mL nasal spray 200 IU Novartis inf conc 4 mg/5 mL Roche, kalbe tab 150 mg inj 3 mg/3 mL Roche, phapros, escolab, kalbecap 0.25 mcg cap 0.5 mcg Otto, puspa farma, combiphar capl Elli lilly tab 60 mg tab 10 mg cap 400 mg inf conc 60 mg/mL tab 800 mg 10 11 Pamidronat Stronsium ranelat Tablet Inj. 2g Evista Zometa 2 2 tab 60 mg inf conc 4 mg/5 mL

3 4 5 6 7 8 9

zeledronat asam ibandronik Kalsitriol Glucosamin Raloksifen Alendronat Klodronat dinatrium

tab, inj tab, inj caps cap, krim, gel tab Tablet Kapsul,tablet,infus konsentrat

tab 4 mg, inj 4 mg / 5 ml

Zometa, aclasta bonviva Rocaltrol, klokatriol, oscal Viopor, rebone, mediflex, fitajoint Evista, osteonate OD Nichospor Bonefos

2 2 2 2 2 2 2

0,25 & 0,5 mcg cap 500 mg, krim 10 %, gel 35 g 60 mg 10 mg Kaps 400 mg;tab 800 mg;inf conc.60 ml/5 ml

KEBUTUHAN OBAT UNTUK FARMASI RS PUSAT OTAK NASIONAL


NO URUT OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 NAMA GENERIK Alopurinol tablet 100 mg Alopurinol tablet 300 mg Alprazolam tablet 0,5 mg Ambroxol sirup 15 mg/ml Ambroxol tablet 30 mg Amitriptilin talet 25 mg Amlodipin tablet 10 mg Amlodipin tablet 5 mg Amoksisilin kap 250 mg Amoksisilin kaplet 500 mg Amoksisilin sirup kering 125 mg/ 5 ml Antasida DOEN I tab.kunyak komb Antasida DOEN II suspensi komb. Antimigren tab. Ergot tart 1 mg+ Kofein 50 mg Asetosal tablet 100 mg Asetosal tablet 500 mg Asam askorbat (Vit. C) tablet 250 mg Asam askorbat (Vit. C) tablet 100 mg Asam folat tablet 1 mg Asam mefenamat kapsul 250 mg Asam mefenamat kaplet 500 mg Asiklovir tablet 400 mg Atropin inj. 0,25 mg/ml Betahistin mesilat tablet 6 mg Bisoprolol tablet 5 mg Cetirizin tablet 10 mg Clobazam tablet 10 mg Deksametason inj. i.v 5 mg/ml Deksametason tablet 0,5 mg Diazepam inj. 5 mg/ml Diazepam tablet 2 mg Diazepam tablet 5 mg Difenhiramin inj. i.m 10 mg/ml Digoksin tab 0.25 mg Diltiazem HCl tab 30 mg Domperidon susp 5 mg/5 mL Domperidon tab 10 mg Epinefrin HCl inj 0.1% Etambutol HCl tab 250 mg Etambutol HCl tab 500 mg Famotidine tab 40 mg Fenitoin cap 100 mg Fenitoin Na inj 50 mg/mL NAMA PENYEDIA Holi Pharma Bernofarm Dexa medika Bernofarm Indofarma Indofarma Hexpharm Jaya Hexpharm Jaya Holi Pharma Kimia Farma Lucas Jaya Afifarma Lucas Jaya Kimia Farma Phapros Phapros Kimia Farma Kimia Farma Marin Liza Indofarma Bernofarm Bernofarm Indofarma Novell Novell Indofarma Dexa medika Phapros Marin Liza Indofarma Kimia Farma Indofarma Lucas Jaya Yarindo farmatama Kimia Farma Novapharin Yarindo farmatama Phapros Kimia Farma Bernofarm Indofarma Lucas Jaya Phapros box box box botol dus box box box box box botol box botol botol box box box box botol box box box dus box box dus box box box dus botol box box box botol box box box dus botol box KEMASAN 10 strip 10 tab 30 tab 10 strip 10 tab 60 mL 10 blister 10 tab 10 strip 10 tab 3X 10 tab 3X 10 tab 12 strip 10 cap 10 X 10 cap 60 mL 10 X 10 tab 60 mL 100 tab 10 strip 10 tab 10 strip 10 tab 10 X 10 tab 10 X 10 tab 100 tab 12 blister 10 cap 100 cap 100 tab 30 amp 3X 10 tab 10 blister 10 tab 5 strip 10 cap 10 strip 10 tab 100 amp 10 X 10 tab 30 amp 100 tab 10 X 10 tab 30 amp 10 X 10 tab 10 X 10 tab 60 mL 10 X 10 tab 30 amp 20 X 10 tab 100 tab 5 strip 10 tab 100 cap 10 amp HARGA SATUAN TERKECIL 105 200 460 2,400 86 102 440 240 200 220 2,276 78 1,865 123 100 162 135 51 45 121 95 350 1,230 924 2,300 225 760 1,400 53 2,344 27 56 949 91 123 3,624 176 1,500 305 410 177 121 48,368 VOLUME PESANAN 1,000 2,000 1,000 2,000 4,000 300 1,000 1,000 10,000 50,000 5,000 3,000 5,000 25,000 200 200 1,000 500 300 2,400 8,000 8,000 30 2,000 3,000 5,000 500 100 4,000 60 3,000 2,000 60 200 500 1,000 3,000 30 200 500 500 500 20 TOTAL HARGA Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 105,000 400,000 460,000 4,800,000 344,000 30,600 440,000 240,000 2,000,000 11,000,000 11,380,000 233,820 9,325,000 3,075,000 20,000 32,400 135,000 25,500 13,461 290,400 760,000 2,800,000 36,900 1,848,000 6,900,000 1,125,000 380,000 140,000 210,320 140,640 81,000 112,000 56,967 18,200 61,500 3,624,000 528,000 45,000 61,000 205,000 88,500 60,500 967,360

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

NO URUT OBAT 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89

NAMA GENERIK Fenobarbital Fenobarbital Flukonazol Furosemid Garam oralit Gemfibrozil Gemfibrozil Gentian violet Glibenklamid Glimepiride Glimepiride Gliquidon Glukosa Glukosa Haloperidol Haloperidol Haloperidol Ibuprofen Ibuprofen Ibuprofen ISDN K-diklofenak Kaptopril Kaptopril Kaptopril Karbamazepin Ketokonazol Ketokonazol Ketoprofen Ketoprofen Ketorolac Ketorolac Klindamisin Klonidin Kloramfenikol Klorfeniramin (CTM) Klorpromazin HCl Kodein Kodein Kodein Kotrimoksazol DOEN I dws Kotrimoksazol DOEN II ped Kotrimoksazol kombinasi Lanzoprazol Levofloksasin Lidokain tab tab tab tab serbuk cap tap lar tab tab tab tab infus infus tab tab tab susp tab tab tab tab tab tab tab tab krim tab inj tab inj inj cap tab cap tab tab tab tab tab tab tab susp cap tab inj 30 mg 100 mg 150 mg 40 mg 300 mg 600 mg 1% 5 mg 1 mg 2 mg 30 mg 10% 5% 0.5 mg 5 mg 1.5 mg 100 mg/5 mL 200 mg 400 mg 5 mg 50 mg 12.5 mg 25 mg 50 mg 200 mg 2% 200 mg 100 mg 100 mg 10 mg 30 mg 300 mg 0.15 mg 250 mg 4 mg 100 mg 10 mg 15 mg 20 mg 400/80 mg 100/20 mg 200/40 mg 30 mg 500 mg 2%

NAMA PENYEDIA Kimia Farma Indofarma Kimia Farma Sampharindo Perdana Indofarma Indofarma Indofarma Holi Pharma Indofarma Hexpharm Jaya Bernofarm/Kimia Farma Dexa medika Widatra Bakti Widatra Bakti Yarindo farmatama Yarindo farmatama Yarindo farmatama Indofarma Novapharin Rama Emerald Indofarma Hexpharm Jaya Hexpharm Jaya Indofarma Indofarma Indofarma Kimia Farma Hexpharm Jaya Hexpharm Jaya Hexpharm Jaya Indofarma Hexpharm Jaya Indofarma Indofarma Kimia Farma Phapros Kimia Farma Kimia Farma Kimia Farma Kimia Farma Kimia Farma Indofarma Holi Pharma Hexpharm Jaya Bernofarm Bernofarm box box box box dus dus dus botol dus box box box botol botol

botol botol box dus box box dus dus dus tube box box box dus box dus dus box box box box box box box dus botol box box box

HARGA SATUAN TERKECIL 10 X 10 tab Rp 63 10 X 10 tab Rp 144 1X 10 cap Rp 22,000 10 X 10 tab Rp 78 100 sachet Rp 292 10 blister 12 cap Rp 272 10 blister 10 tab Rp 680 10 mL Rp 900 10 blister 10 tab Rp 54 5X 10 tab Rp 266 5X 10 tab Rp 490 10 X 10 tab Rp 645 500 mL Rp 5,727 500 mL Rp 5,313 10 X 10 tab Rp 52.52 10 X 10 tab Rp 88.23 10 X 10 tab Rp 60.47 60 mL Rp 3,465 100 tab Rp 92.57 10 X 10 tab Rp 145.00 10 strip 10 tab Rp 92 5X 10 tab Rp 489 10 X 10 tab Rp 63 10 X 10 tab Rp 88 10 X 10 tab Rp 134 10 blister 10 tab Rp 243 15 gram Rp 4,050 5X 10 tab Rp 267 5 amp Rp 2,542 5X 10 tab Rp 608 5 amp Rp 1,616 6 amp Rp 2,539 5 blister 10 cap Rp 527 10 strip 10 tab Rp 184 10 X 10 tab Rp 213 10 strip 10 tab Rp 21 10 X 10 tab Rp 133 10 X 10 tab Rp 470 10 X 10 tab Rp 800 10 X 10 tab Rp 1,045 10 X 10 tab Rp 135 10 strip 10 tab Rp 72 60 mL Rp 1,975 2X 10 cap Rp 473 30 tab Rp 570 100 amp Rp 850 KEMASAN

VOLUME PESANAN 1,000 500 500 200 500 600 500 500 2,000 100 120 100 100 500 200 200 200 200 1,000 500 500 300 3,000 2,000 1,000 500 480 1,000 20 300 10 12 500 500 200 150 6,000 200 1,500 1,000 1,000 2,000 1,000 1,000 200 500

TOTAL HARGA Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 63,000 72,000 11,000,000 15,600 146,000 163,200 340,000 450,000 108,000 26,600 58,800 64,500 572,700 2,656,500 10,504 17,646 12,094 693,000 92,570 72,500 46,000 146,700 189,000 176,000 134,000 121,500 1,944,000 267,000 50,840 182,400 16,160 30,468 263,500 92,000 42,600 3,150 798,000 94,000 1,200,000 1,045,000 135,000 144,000 1,975,000 473,000 114,000 425,000

NO URUT OBAT 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135

NAMA GENERIK Lidokain 2%+Epi 1:80 000 Loratadin Meloksikam Meloksikam Meloksikam Metformin HCl Metformin HCl Metilprednisolon Metilprednisolon Metilprednisolon Metilprednisolon Metronidazol Metronidazol Metronidazol Natrium diklofenak Natrium diklofenak NaCl Nifedipin Obat antituberkulosis FDC Obat antituberkulosis FDC Obat antituberkulosis FDC OBH OBH Omeprazol Parasetamol Parasetamol Parasetamol Parasetamol Pirecetam Pirecetam Pirecetam Pirecetam Pirecetam Piroksikam Piroksikam Povidon iodida Povidon iodida Povidon iodida Povidon iodida Prednison Propanolol HCl Propanolol HCl Ramipril Ramipril Ranitidin Reserpin inj tab supp tab tab tab tab inj tab tab tab infus tab tab tab tab infus tab kategori kategori kategori syr syr cap drop syr tab tab inj inj tab tab tab tab tab lar lar lar lar tab tab tab tab tab tab tab 2 mL 10 mg

NAMA PENYEDIA Indofarma Hexpharm Jaya Dexa medika 15 mg Indofarma 7.5 mg Indofarma 500 mg Hexpharm Jaya 850 mg Bernofarm 500 mg Bernofarm 16 mg Indofarma 4 mg Yarindo farmatama 8 mg Bernofarm 500 mg/100 mL Bernofarm 250 mg Sejahtera Lestari Farma 500 mg Novapharin 50 mg Kimia Farma/Novell 25 mg Phapros 0.9% Widatra Bakti 10 mg Kimia Farma 1 Indofarma 2 Indofarma anak Kimia Farma Afifarma Erela 20 mg Hexpharm Jaya Indofarma Afifarma 100 mg Novapharin 500 mg Afifarma 1 g/5 mL Hexpharm Jaya 3 g/15 mL Bernofarm/Indofarma 1200 mg Indofarma 400 mg Bernofarm 800 mg Hexpharm Jaya 10 mg Promedrahardjo 20 mg Kimia Farma 10% Kimia Farma 10% Kimia Farma 10% Kimia Farma 10% Kimia Farma 5 mg Phapros 40 mg Indofarma 10 mg Holi Pharma 2.5 mg Dexa medika 5 mg Dexa medika 150 mg Bernofarm 0.10 mg Indofarma dus box box dus dus box box box dus box box box box box botol box paket paket paket botol botol box dus botol botol box box box box box box strip box botol botol botol botol box botol box box box box box

KEMASAN 30 amp 10 tab 10 supp 10 tab 10 tab 10 tab 100 tab 1 vial 10 tab 10 tab 100 tab 1 vial 10 tab 10 tab 10 tab 10 tab 500 mL 10 tab

5X 5 strip 5 strip 10 X

3 blister 10 X

10 strip 10 X 5X 5 strip 10 X

3X

10 X

5 strip 5X 10 X 10 X

10 strip 10 strip 10 strip 10 strip 10 X

100 mL 200 mL 10 cap 15 botol 60 mL 100 tab 10 tab 5 amp 4 amp 10 tab 100 cap 10 tab 10 tab 10 tab 60 mL 300 mL 1000 mL 30 mL 10 tab 100 tab 10 tab 10 tab 10 tab 100 tab 10 tab

HARGA SATUAN TERKECIL Rp 1,295 Rp 160 Rp 6,600 Rp 348 Rp 234 Rp 105 Rp 220 Rp 60,000 Rp 1,076 Rp 295.83 Rp 370 Rp 24,000 Rp 119 Rp 163.74 Rp 210 Rp 134 Rp 4,900 Rp 112 Rp 358,200 Rp 1,197,900 Rp 214,898 Rp 1,258.95 Rp 2,783 Rp 265 Rp 5,227 Rp 1,318 Rp 42 Rp 83.93 Rp 1,925 Rp 3,800 Rp 776 Rp 240 Rp 321 Rp 64.86 Rp 88 Rp 3,500 Rp 14,000 Rp 31,174 Rp 2,000 Rp 52 Rp 108 Rp 77 Rp 300 Rp 530 105 81

VOLUME PESANAN 60 500 200 1,000 2,000 3,000 2,000 4 300 500 500 8 500 1,000 1,000 2,000 200 2,000 10 10 10 10,000 4,000 1,500 2,000 10,000 1,000 6,000 20 16 300 800 500 4,000 3,000 100 500 50 300 3,000 300 300 3,500 5,000 5,000 500

TOTAL HARGA Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 77,700 80,000 1,320,000 348,000 468,000 315,000 440,000 240,000 322,800 147,915 185,000 192,000 59,500 163,740 210,000 268,000 980,000 224,000 3,582,000 11,979,000 2,148,980 12,589,500 11,132,000 397,500 10,454,000 13,180,000 42,000 503,580 38,500 60,800 232,800 192,000 160,500 259,440 264,000 350,000 7,000,000 1,558,700 600,000 156,000 32,400 23,100 1,050,000 2,650,000 525,000 40,500

NO URUT OBAT 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153

NAMA GENERIK Reserpin Ringer Laktat Risperidon Salbutamol sulfat Salbutamol sulfat Sefadroksil Sefadroksil Sefiksim+Azitromisin Sianokobalamin (Vit. B 12) Sianokobalamin (Vit B 12) Simvastatin Simvastatin Siprofloksasin HCl Spiramisin Tiamin (Vit B1) Tramadol Triheksifenidil Zinc TOTAL tab 0.25 mg infus tab 2 mg tab 2 mg tab 4 mg cap 250 mg cap 500 mg 400 mg/1000 mg inj 500 mcg tab 50 mcg tab 10 mg tab 20 mg tab 500 mg tab 500 mg tab 100 mg tab 50 mg tab 2 mg tab 20 mg

NAMA PENYEDIA Indofarma Widatra bhakti Mersifarma Yarindo farmatama Phapros Hexpharm Jaya Bernofarm Kimia Farma Indofarma Kimia Farma Hexpharm Jaya Kimia Farma Bernofarm Indofarma Kimia Farma Indofarma/Novapharin Indofarma Indofarma box botol strip box box box paket dus box box dus box dus box dus dus dus

KEMASAN 10 X 10 tab 500 mL 10 tab 10 tab 10 cap 100 cap

10 X 10 strip 5X

100 amp 10 tab 10 tab 50 tab 100 tab 5 strip 10 tab 10 X 10 tab 5 strip 10 cap 10 blister 10 tab 10 strip 10 tab 10 X 3X

HARGA SATUAN TERKECIL 103 5,200 1,781 60 82 468 520 33,000 916 14 150 497 250 1,386 81 189 40 443

VOLUME PESANAN 1,000 500 3,000 1,000 2,000 3,000 5,000 12 500 2,000 5,100 5,000 800 3,000 5,000 1,000 2,000 1,000

TOTAL HARGA Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 103,000 2,600,000 5,343,000 59,820 164,000 1,404,000 2,600,000 396,000 458,000 28,000 765,000 2,485,000 200,000 4,158,000 405,000 188,930 80,000 443,000 200,468,305

310,892 Rp

Mengetahui Kepala Bidang Medik Direktur Utama

dr. Kemal Imran, SpS, MARS NIP. 196812292000031001

Dr. Mursyid Bustami, SpS (K,KIC) NIP. 196209131988031002

KEBUTUHAN ALAT IGD RS PUSAT OTAK NASIONAL


NO URUT 1 NAMA ALAT Tabung Oksigen BENTUK SEDIAAN besar (6m3) kecil (1m3) Trolley (0,5m3) 20 cm ukuran S (18-40,6 cm) ukuran M (33-45,7 cm) ukuran L (38-50,8 cm) HARGA 1,500,000 1,000,000 800,000 90,000 2,750,000 125,000 125,000 125,000 JUMLAH TOTAL HARGA KETERANGAN PERMINTAAN 10 10 10 10 2 5 5 5 15,000,000 10,000,000 8,000,000 900,000 5,500,000 625,000 625,000 625,000 41,275,000

2 3

Magile Forceps Long spine board

Neck collar rigid TOTAL

USER

Mengetahui Direktur Pelayanan

dr. Kemal Imran, SpS, MARS NIP. 196812292000031001

Dr. dr. Andi Basuki Prima Birawa, SpS NIP. 196409131990031004

KEBUTUHAN ALAT POLI GIGI RS PUSAT OTAK NASIONAL


NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 59 Kapas Cotton roll isi 50 2 bungkus Tissue serbet isi 100 sheets Kassa steril kotak sedang Topikal anastetikum gel Face mask Gloves ukuran ekstra small Dental towels Patients towel + klem Chlor aethyl spray Pelarut jaringan /debris (r c prep) Bahan anastesi lokal (xylestesin) Saliva ejector disposable Jarum suntik khusus ukuran 03x21mm,30g disposable Spongostan Alkohol 70% Leadermix pasta Calcium hidroksida ( calxyl) Eugenol Triple syringe Alvolgyl Aldizine (rockless) Saline solution Aquadest steril Cavit (tumpatan sementara) Naocl 3 % Terracortyl salep mata Minosep gargle (chlorhexidine ) Aloclair gargle Albothyl Dental floss Yodium povidon 10% Micro brusher Gips stone Gic (glass ionomer) Strips metal dan transparan Bahan tambalan komposit resin ( 3m) termasuk etching dan bonding warna a2,a3 dan flow Artikulating paper merah dan biru Wax Luting cement (crown &bridge cement) Alginate Assorted paper point Assorted guttap point Retraction cord (00 and 0) + loquid Putty Bahan internal bleaching Self curing acrilyc for temporary denture Self curing acrilyc Fisure sealant TOTAL BAHAN DAN ALAT BENTUK SEDIAAN HARGA VOLUME PESANAN TOTAL HARGA KETERANGAN

BAHAN MEDIS HABIS PAKAI LABORATORIUM RUMAH NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 NAMA Vacutainer tutup merah (clot activator) Vacutainer tutup ungu (K3-EDTA)
Vacutainer mini collect tutup ungu (K3-EDTA)

SATUAN buah buah buah buah buah buah buah buah buah buah buah buah roll buah buah buah buah buah buah buah buah

UKURAN 4 mL 3 mL 0,5 mL 3 mL 3 mL 22 G 23 G 1 mL 3 mL 5 mL 10 mL
Isopropyl alcohol 70%

Vacutainer tutup biru Vacutainer tutup hijau Vacuette (visio needle) Wing needle vacuette Spuit 1 mL Spuit 3 mL Spuit 5 mL Spuit 10 mL Kapas alkohol Kapas gulung Microphore Pot urin steril tutup kuning Pot urin non steril tutup merah/hijau Penampung urin 24 jam Pot sputum tutup putih Pot feses tutup coklat dengan sendok Tabung sentrifus urin Appendorf

1 inchi 75 mL 75 mL 3,5 mL 30 mL 30 mL 13 mL 1,5 mL

22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Tabung reaksi (plastik) Tabung reaksi (plastik) Tips biru Tips kuning Kaca objek Kaca tutup Safety lanset Kertas saring Parafilm Shandon filter cards Masker Sarung tangan Sarung tangan Sarung tangan Sarung tangan plastik bening Cotton swab steril Kartu Golongan Darah

buah buah buah buah box buah buah lembar roll box box box box box lembar buah lembar

13X75 mm 12X75 mm

24X24 mm

2 inch
Tebal, putih, untuk sampel 0,5 mL

tali, karet
ukuran S

ukuran M

ukuran L

Total

USER

dr. Kemal Imran, SpS, MARS NIP. 196812292000031001

EDIS HABIS PAKAI LABORATORIUM RUMAH SAKIT PUSAT OTAK NASIONAL SPESIFIKASI setara Greiner setara Greiner setara Greiner setara Greiner setara Greiner setara Greiner setara Greiner setara Terumo setara Terumo setara Terumo setara Terumo setara one med Lokal setara 3M Lokal Lokal setara SY (IAM) Lokal Lokal (IAM) BMS product BMS product 100/box 100/pack 100/pack 1/pack 1000/kantong 250/pack 100/pack 500/pack KEMASAN 50/pack 50/pack 100/pack 50/pack 50/pack 100/box 50/box 100/box 100/box 100/box 100/box 100/box KEBUTUHAN (perkiraan) 2000 1000 1000 1000 250 2000 1000 2000 2000 2000 2000 2000 10 100 1000 1000 100 1000 1000 100 1000

setara Greiner setara Greiner setara Greiner setara Greiner Sail brand No. 23 (No. Cat. 7101)

100/pack 250/pack 1000/pack 1000/pack 72/box 100/box

1000 1000 5000 5000 500 1000 1000 100

setara Greiner, Medisafe Terumo, Misawa

200/box

Lokal 3M setara Thermo electron corp. 1 roll 200/box 50/box Sensi gloves Sensi gloves Sensi gloves 50 pasang/box 50 pasang/box 50 pasang/box 50 pasang/box Lokal 500/box

5 10 100 25 50 25 50 1000 500

Total

HARGA SATUAN (sebelum discount) 2410 2700 3770 3210 2580 2460 10740 1311.2 833.8 1107.7 1436.6 460 65000 18362 3050 1730 16000 600 2475 5000 360 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HARGA TOTAL 4,820,000.00 2,700,000.00 3,770,000.00 3,210,000.00 645,000.00 4,920,000.00 10,740,000.00 2,622,400.00 1,667,600.00 2,215,400.00 2,873,200.00 920,000.00 650,000.00 1,836,200.00 3,050,000.00 1,730,000.00 1,600,000.00 600,000.00 2,475,000.00 500,000.00 360,000.00

750 700 282 265 20130 527 3475 8250 526,350 848815 32395 23980 23980 23980 160160 1500 495

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

750,000.00 700,000.00 1,410,000.00 1,325,000.00 10,065,000.00 527,000.00 3,475,000.00 825,000.00 2,631,750.00 8,488,150.00 3,239,500.00 599,500.00 1,199,000.00 599,500.00 8,008,000.00 1,500,000.00 247,500.00 99,494,700.00

Mengetahui Direktur Pelayanan

Dr. dr. Andi Basuki Prima Birawa, SpS NIP. 196409131990031004

PENGAJUAN ALAT MANUAL LABORATORIUM RUMAH SAKIT PUS NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Torniquet Safety vacuette holder Neraca digital Tachometer Tabung Esbach Higrometer dinding Thermometer dinding Rak LED 10 lubang Pipet Westergren Thermometer kulkas terkalibrasi Tabung Wintrobe Pipet Wintrobe Tensimeter digital Stetoskop Stopwatch Labu ukur 50 mL Labu ukur 100 mL Labu ukur 1000 mL Labu Erlenmeyer 100 mL Labu Erlenmeyer 500 mL Labu Erlenmeyer 1000 mL buah box buah buah buah buah buah buah buah buah buah buah buah NAMA BARANG SATUAN buah buah

22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44

Kamar hitung Improved Neubauer


Kaca tutup kamar hitung Improved Neubauer

buah

Rak tabung reaksi 24 lubang 20 place slide trays Lup (kaca pembesar) diameter 7,5 cm Botol tetes jernih Botol tetes inaktinis Spill kit Rak pot urin, feses, sputum Pipet serologis 1 mL Pipet serologis 2 mL Pipet serologis 5 mL Pipet serologis 10 mL Pipet volumetrik 1 mL Pipet volumetrik 2 mL Pipet volumetrik 5 mL Pipet volumetrik 10 mL Bunsen Alat ukur BB-TB Ose Staining Jar Penjepit kayu Dispenser 2 mL

box

buah

buah buah buah buah buah buah buah buah buah buah buah buah buah buah

45 46 47 48

Slide dispenser hold up to 72 pieces slide Karet penghisap pipet Tempat slide Kaca mata

buah box box box Total

USER

dr. Kemal Imran, SpS, MARS NIP. 196812292000031001

MANUAL LABORATORIUM RUMAH SAKIT PUSAT OTAK NASIONAL SPESIFIKASI setara Greiner setara Greiner KEBUTUHAN 10 10 1 1 Superior 2 5 5 30 300 5 Asisten 2 2 2 Spirit Alba Pyrex Pyrex Pyrex Pyrex Pyrex Pyrex 2 10 2 2 2 2 2 2 HARGA SATUAN (perkiraan) Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 156,000 20,000 7,500,000 5,000,000 85,000 200,000 15,000 585,500 20,000 400,000 60,000 1,500,000 210,000 160,000 60,000 176,000 385,000 60,000 65,000 135,000

Superior

3 6 5

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

460,000 148,500 167,000 65,000 20,000 200,000 250,000 750,000 309,000 40,000 42,500 47,500 50,000 47,500 47,500 60,000 70,000 20,000 900,000 25,000 200,000 5,000 6,715,000

IAM Lokal

10 2 10 10 2 10

Pyrex Pyrex Pyrex Pyrex Pyrex Pyrex Pyrex Pyrex Lokal Smic Lokal Superior Lokal Dispensette Brand

2 2 2 2 2 2 2 2 5 1 10 5 10 1

1 2 IAM 10 10 Total

Rp Rp Rp Rp

250,000 86,250 63,000 19,800

Direktur Pelayanan

Dr. dr. Andi Basuki Prima Birawa, SpS NIP. 196409131990031004

HARGA TOTAL Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 1,560,000 200,000 7,500,000 5,000,000 170,000 1,000,000 75,000 17,565,000 6,000,000 2,000,000 120,000 3,000,000 420,000 1,600,000 120,000 352,000 770,000 120,000 130,000 270,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,380,000 891,000 835,000 650,000 40,000 2,000,000 2,500,000 1,500,000 3,090,000 80,000 85,000 95,000 100,000 95,000 95,000 120,000 140,000 100,000 900,000 250,000 1,000,000 50,000 6,715,000

Rp Rp Rp Rp Rp

250,000 172,500 630,000 198,000 71,933,500

Basuki Prima Birawa, SpS

9131990031004

REAGENSIA MANUAL LABORATORIUM RUMAH SAKIT PUSAT OTAK NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Minyak imersi Xylol Metil alkohol 96% Alkohol 70% Aquabidest NaCl 0,9% Asam asetat glasial HCl 0,1 N BaCl 10% Asam sulfosalisil 3% TSA Reagen Esbach (asam pikrat, asam citrat) Serbuk batu apung Thymol Reagen Benedict Reagen Nonne Reagen Pandy Antisera A Antisera B Antisera D (Rh) Buffer Wright Wright Giemsa Sudan III Eosin 2% Lugol 2% Sternheimer-Malbin KOH 10% Kalium ferro sianida botol botol botol botol botol botol botol botol botol botol botol botol botol 1 kg 100 mL 100 mL NAMA SATUAN botol botol botol botol botol botol botol botol botol botol botol botol KEMASAN 100 mL 100 mL 25 L 1L 1L 1L 1L 1L 1L 1L 1L 500 mL

500 mL 500 mL 25 mL 100 mL

30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

Zat Warna Gram Zat Warna BTA-ZN Colo screen lab pack Reagen VDRL Reagen TPHA Tubex TF Reagen Widal NS1 Dengue
Anti Dengue IgM & IgG (Dengue duo cassette)

botol kit pak kit kit kit kit 100 tes, 80 mL 200 tes 5 mL 25 tes

Anti Chikungunya IgM ICT TB Ag ICT anti H pylori ICT Prokalsitonin (semikuantitatif) HCG strip Formalin 20% Ethanol HCl Indikator pH 0-14 Reagen Fouchet ICT Malaria ag Spiritus

liter galon botol pak kit box botol

1L 25 mL

500 mL 25 tes 1L TOTAL

USER

dr. Kemal Imran, SpS, MARS NIP. 196812292000031001

MAH SAKIT PUSAT OTAK NASIONAL SPESIFIKASI Asa Medika Surabaya Merck KEBUTUHAN 1 1 1 CV Bolang Farma CV Bolang Farma AMS AMS Merck AMS 10 50 50 1 1 1 1 1 Indo reagen 1 1 Merck 1 1 2 2 1 1 1 1 10 1 1 1 1 2 1 1 HARGA SATUAN (perkiraan) Rp Rp Rp Rp Rp Rp
Rp

HARGA TOTAL Rp 399,300 597,520 718,438 578,240 2,062,500 4,875,000 540,000 395,670 225,000 600,000 1,058,200 220,000 50,000 2,897,950 24,000 315,000 132,250 137,500 137,500 192,500 1,350,000 5,929,000 700,000 150,000 236,500 425,000 1,232,000 425,000 425,000

399,300

597,520 Rp 718,438 57,824 41,250 97,500


540,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

395,670 225,000 600,000 1,058,200 220,000 50,000 2,897,950 24,000 157,500 66,125 137,500 137,500 192,500 1,350,000 592,900 700,000 150,000 236,500 425,000 616,000 425,000 425,000

Primaco, AIM Primaco Primaco Merck Merck, AMS

IAM IAM IAM

Merck IAM
Randox, VDRL Carbon Ag 5 mL, MC

2 2 2 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 2 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

2,783,000 900,000 677,600 627,000 759,000 3,049,200 1,996,500 3,147,167 3,190,316 2,347,500 1,235,410 1,784,750 4,500,000 330,000 27,290 4,698,936 487,300 121,000 1,058,200 1,175,031 20,350

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

5,566,000 1,800,000 1,355,200 627,000 759,000 3,049,200 1,996,500 3,147,167 3,190,316 2,347,500 1,235,410 1,784,750 4,500,000 660,000 27,290 4,698,936 487,300 121,000 2,116,400 1,175,031 20,350 67,693,418

Randox Primaco Oncoprobe Panbio Panbio Oncoprobe Oncoprobe Merck Merck ST reagensia Focus

Mengetahui Direktur Pelayanan

Dr. dr. Andi Basuki Prima Birawa, SpS NIP. 196409131990031004

NO URUT OBAT

NAMA GENERIK ANALGESIK, ANTIPIRETIK, AINS ANTI-REMATIK, ANTIPIRAI ANALGESIK NARKOTIK 1 Fentanil

BENTUK SEDIAAN

KEKUATAN

Inj. patch

0.05mg/ml;TTS 12,5, 25mcg/jam,50mcg/jam

2 Kodein HCI 3 Morfin HCI 4 Morfin sulfat

Tablet Inj. Tab short acting ; tab SR

10mg,15mg,20mg 10 mg/ml amp, Tab short acting: 10 mg ; tab SR : 10 mg,15, 30mg,60mg 50mg/ml 5mcg/ml,50mcg/ml

5 Petidin HCI 6 Sufentanil ANALGESIK NON NARKOTIK 1 Antalgin 2 Asam Mefenamat 3 Natrium - Kalium Diklofenak

Inj. Inj.

tablet,inj. Kapsul;tablet Tablet;Tab Salut, tab lepas lambat, tab retard, inj, supp, emulgel

tab 500mg, inj;500mg/ml 250 mg,500mg tablet 25 mg,50mg ; Tab lepas lambat 50 & 75 mg, Tab retard 100 mg, inj 25 mg/ml, Supp 50 mg, emulgel 1% 10g,20 g tab 200mg;400mg, 600 mg;sirup 100mg&200 mg/5ml;supp125mg 25 mg;50 mg tab 50 m,100mg; Tab lepas lambat 100 & 200 mg,supp 100 mg; inj.50 mg/ml, gel Tab 10 mg, inj 10mg/ml,30mg/ml 7.5 mg, 15 mg

4 ibuprofen

Tablet;sirup;chew tab;supp

5 indometasin 6 ketoprofen

kapsul Tablet,supp;inj

7 Ketorolak trometamin

Tab, inj

8 Meloksikam

tablet

9 Naproksen 10 Parasetamol

tablet,kaplet,suppos tablet,suspensi,suppos, sir, drops, inf, rectal tube , tablet

250 mg;500mg;500mg tab 500mg;,susp 120mg/5 ml;supp 125 mg,250 mg, inf 500 mg/100 ml, 500 mg

11 Paresetamol+asetil sistein+B44

Parasetamol + coffein 12 Parekoksib natrium chlordiazepoxide + clidinium bromida 13 Piroksikam 14 Probenesid 15 Selekoksib Methampiron + diazepam 16 Tinoridin 17 Tramadol HCI

tablet inj. tablet kaps;tab;gel tablet kapsul tablet Kaps10 mg;tab 20 mg;5% 15 g,25 g 500 mg 10 mg,20 mg 20 mg,40 mg vial

Kapsul Tablet; inj; supp

50 mg Tab 50 mg, 100 mg; inj 100 mg/amp 2ml; 200 mg/amp2 ml Supp 100 mg

ANTIREMATIK, ANTIPIRAI 1 Alopurinol 2 Asam Hyaluronat 3 Azatioprin ANESTETIK ANESTETIK LOKAL Bupivakain HCI

Tablet Inj. tablet

100 & 300 mg 1o mg/ml syringe 2.5 ml 50 mg

inj

0,5% duofit polyamp 20 ml;0,5% spinal heavy 4 ml;0,5% spinal 4 ml;0,5 % heavy 4 ml 50 mg amp Inj1%;2%;4%;5% gel;10% spray Lidocain HCI 20 mg;adrenalin 0,0125 mg 50 mg/ml(5%) Krim 50 mg 4% 7.5 mg/20 ml 1%

2 Etilklorida Levobupivakain 3 Lidokain HCI 4 Lidokain 2% + Adrenalin 5 Lidokain (5%)+ Dextrose 5% 6 Lidokain HCI 25 mg+Prilokain 25 mg 7 Prilokain HCI 8 Prokain+Kafein 9 Ropivakain HCI 10 Tetrakain HCI 11 Lidocain + epinefrin ANESTETIK UMUM 1 Dinitrogen oksid 2 Droperidol 3 Enfluran 4 Eter Anestesi 5 Etomidat 6 Halotan 7 Isofluran 8 Ketamin HCI

semprot, inj inj Inj;gel;spray inj inj krim inj inj inj inj gas inj cairan cairan inj cairan Inhalasi cair inj 2.5 mg/ml 250 ml 140 ml 1%/20 ml 50 ml;250 ml 250 ml 50 mg/ml;100 mg/ml 100%

9 Midazolam

inj

Inj.5mg/5 ml amp;15 mg/3 ml 1% dlm 20 ml,1% dlm 50 ml

10 Propofol

inj

11 Sevoflurane

cairan

250 ml

12 Sodalalime pro anestesi 13 Tiopental Natrium 14 Deksmedetomidin PROSEDUR PREOPERATIF 1 Atropin Sulfas 2 Diazepam

serbuk inj inj inj, Tab inj, tab, rectal tube

Gallon 4,5 liter 500 mg 100 & 200 mcg / ml Inj 0,25 mg/l, tab 0,5 mg inj 5 mg/ml, tab 2 & 5 mg, rectal tube 5 mg & 10 mg 200 mg/5 ml

3 Kloralhidrat ANTIALERGI DAN OBAT UNTUK ANAFILAKSIS 1 Desloratadin 2 Difenhidramin HCI 8 Klorfeniramin maleat 9 Loratadin 13 Dexametason ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN KHUSUS 1 Atropin Sulfat Biru Metilen 2 Deferasiroks 3 Deferipron 4 Deksrazoksan 5 Desferoksamin mesilat 6 Flumazenil 7 Kalsium Folinat 8 Kalsium glukonat 9 Mesna 10 Nalokson HCI 11 Natrium Bikarbonat 12 Natrium Tiosulfat 13 Protamin sulfat 14 Neostigmin ANTIEPILEPSI

syr

tablet inj;tablet tablet tablet, syr inj, tab

5 mg 10 mg/ml 4 mg 10 mg inj 4 & 5 mg/ml

inj inj Tablet effervescent inj inj inj Tab;inj inj inj inj tablet;inj inj inj inj

1 mg / ml 10 mg/ml 125 mg;250mg;500 mg 250 mg/vial;500 mg/vial 500 mg/vial 0,5 mg/5 ml Tab 15 mg;50 mg/amp; 50 mg/5 ml 10 mg/amp 200 mg/2 ml;400 mg/4 ml 0,4 mg/ml Tab 500 mg; inj 8,4 % 250 mg/ml 10 mg/ml inj 0,5 mg/ml

1 Diazepam

tablet,inj ;supp

2 mg,5 mg/ml,10 mg/2ml;lar rektat 5 mg tube 2,5 ml Kap 100 mg; inj 100 mg/2ml 30 mg;50 mg;100 mg, 100 mg & 200 mg/ml 300 mg 100 & 200 mg, syr 100 mg

2 Fenitoin natrium 3 Fenobarbital

tablet;kapsul,inj tablet;inj

4 Gabapentin 5 Karbamazepin

kapsul tablet, syr

6 Klonazepam 7 Levetiracetam 9 Oxcarbamazepin 11 Topiramat

tablet tablet kaplet tablet

2 mg 250 mg,500 mg 300 mg 25 mg,50 mg,100 mg Tab 250 mg;Tab ER 250 mg, sirup 250mg/5 ml

12 Valproat(dlm btk asam /natrium) tablet;sirup ANTIBAKTERI Golongan Penisilin 1 Amoksisilin 2 Amoksisilin Klavulanat

kapsul,kaplet,sirup kering tablet;sirup inj

250 mg;500 mg; sirup 125 mg/5 ml Tab 500 mg,sir 125 mg/5 ml;inj 500 mg,1g

3 Ampisilin 4 Ampisilin Sulbaktam 5 Benzatin Penisilin 6 Diklosasilin 7 Fenoksi Metil Penisilin 8 Flukloksasilin 9 Kloksasilin 10 Piperasilin+Tazobaktam 11 Prokain Penisilin G 12 Sulbenisilin 13 Tikarsilin Golongan Kloramfenikol 1 Kloramfenikol 2 Tiamfenikol 3 Sulfasalazin Golongan Kuinolon

tablet;inj inj inj tablet kapsul kapsul;inj inj inj inj inj kapsul;inj kapsul tab

250 mg,500 mg;inj 1 g 375mg, 750 mg;1,5 g 1,2 juta IU;2,4 juta IU 625 mg 250 mg;500 mg 250 mg; 500 mg 4,5 g dalam vial 3 juta IU 1g 750 mg;1,5 g;3g 250 mg;1 g 250 mg;500 mg 500 mg

1 Levofloksasin

tablet,infus

250 mg,500 mg

4 Ofloksasin 5 Pefloksasin 6 Siprofloksasin

tablet tablet;inj,infus tablet,infus

200 mg,400 mg 400 mg Tab 200 mg,500 mg;tab XR 500 mg;infus 200 mg, 400 mg

Golongan Makrolid 1 Ezitrromisin 2 Erittromisin stearat 3 Klaritromisin 4 Spiramisin 5 Azitromisin 6 Linkomisin Golongan Sefalosporin 1 Sefadroksil

kapsul kapsul;kaplwt;tab kunyah;sirup kering tablet taplet Tab, Inj tab kapsul

250 mg;500 MG 250 mg;500 mg;200 mg;60 ml(200 mg/5 ml) 250,500 mg 500 mg tab 250 & 500 mg, inj 500 mg 250 & 500 mg 250 & 500 mg, DS, Forte DS, drops

2 Sefaklor 3 Sefazolin 4 Sefepim

caps inj inj

250 & 500 mg 1g 0,5 g; 1 g

5 Sefiksim

kapsul, syr

tab 50 mg;100 mg;200 mg. syr 100 mg/5 ml

6 Sefoperazon

inj

1g

7 Sefoperazon+Sulbactam

inj

500 mg+500 mg

8 Sefotaksim

inj

0,5 g;1 g

9 Sefotiam 10 Sefpodoksim 11 Sefradin 12 Sefpirom

inj tablet tablet inj

0,5 g;1 g 100 mg 250 mg;500 mg 1g

13 Seftazidim 14 Seftibuten 15 Seftizoksim 16 Seftriakson

inj kapsul injeksi inj

1g 200 mg,400 mg 0,5 g;1 g 1g

17 Sefuroksim (kapsul:Axetil;inj.Na) 18 Sefdinir Sefditoren Golongan Tetrasiklin 1 Doksisiklin 2 Minosiklin 3 Oksitetrasiklin 4 Tetrasiklin 5 Tigesiklin Golongan lain-lain 1 Fostomisin

kapsul;inj tab tab, chew tab

Kaps 250 mg;inj.750 mg 100 mg tab 200 mg,chew tab 100 mg

kapsul kapsul kapsul kapsul inj inj

50 mg;100 mg 50,100 mg 250 mg,500 mg 250 mg 50 mg/5 ml vial 1g

2 Imipenem+Cilastatin

inj

500 mg/120 ml vial

3 Klindamisin 4 Kolistin 5 Kotrikmosazol(TMP+SMZ) 6 Linezolid 7 Meropenem

kapsul Tablet tablet tablet;infus inj

150 mg,300 mg 250.000IU;1.500.000IU 80 mg+400 mg;20 mg+100 mg;160 mg+800 mg Tab 600 mg;infus 2 mg/ml 300 ml 500 mg,1 g

8 Metronidazol 9 Teikoplanin 10 Tinidazol 11 Vankomisin 12 Mesalazin 13 Doripenem 14 Ertapenem 15 Aztreonam

tablet;inj;vag sup inj tablet inj tab inj inj inj

Tab 500 mg;infus 500 mg/kolf;supp 500 mg 400 mg 500 mg 500 mg tab 250 mg 500 mg 1g 1g

ANTITUBERKULOSIS 1 Etambutol 2 Isoniasid+vit B6 3 Pirazinamid 4 Rifampisin 5 Streptomisin sulfat 6 Isoniazid + Rifampisin 7 Rifampisin + Isoniazid + pirazinamid 8 Etambutol + INH + Vit B6 9 Rifampisin + Isoniazid + pirazinamid + Etambutol ANTIFUNGI 1 Amtoferisin B

tablet tablet tablet kaplet inj Tab tab Capl Tab

250 mg;500 mg 100 mg;300 mg 500 mg 300 mg;450 mg ;600 mg 1 g,5 g tab 75 + 50 mg, Tab 150 + 150 mg 75 + 50 + 150 mg, 150 + 75 + 400 mg Tab FDC 150 + 75 + 400 + 275 mg 2 mg/ml(100ml);50 mg,150 mg Kapsul 50 mg.150 mg;inj.2 mg/ml 100 ml vial 125 mg;500 mg 100 mg 200 mg 250 mg;100 mg 300 mg/ml amp 25 mg 15 mg

inj;kapsul

2 Flukonazol

kapsul;inj

3 Griseofulvin 4 Itrakonazol 5 Ketokonazol ANTIMALARIA 2 Klorokuin fosfat/difosfat 3 Kuinin diHCI 4 Primetamin 5 Primakuin 6 Sulfadoksin+Pirimetamin ANTIVIRUS 1 Adefovir dipivoksil 2 Asiklovir 3 Entecavir 4 Famasiklovir 5 Gansiklovir 11 Lamivudin 12 Metisoprinosin 13 Oseltamivir 14 Ribavirin 15 Telbivudin 16 Valasiklovir 17 Valgansiklovir ANTIRETROVIRAL

kablet tablet tablet tablet inj tablet tablet tablet tablet tablet tablet;larutan inj tablet tablet tablet kapsul tabltt tablet tablet

10 mg 200 mg, 400 mg,800 mg 0,5 mg,1 mg;0,05 mg/ml 250 mg,500 mg 500 mg 100 mg 500 mg 200 mg 600 mg 500 mg 450 mg

1 Lamivudin 2 Nevirapin 3 Zidovudin ANTIMIGRAIN/VERTIGO ANTIMIGRAIN 1 Dihidroergotamin mesilat 2 Ergotamin+Kafein

tablet;larutan tablet kapsul

Tab 150b mg;larutan 10 mg/ml 240 ml 200 mg 100 mg,200 mg

tablet tablet

2,5 mg 1 mg +100 mg 0,3 mg+0,1 mg+20 mg

3 Ergotamin tab 0.3 mg+Belladona dragee alk 0.1 mg+Fenobarbital 20 mg) 4 Flunarizin 5 Sinarizin 6 Sumatriptan ANTIVERTIGO 1 Betahistin diHCI 2 Betahistin mesilat ANTIPARKINSON/DEMENTI A ANTIPARKINSON 1 Bromokriptin 2 Entacapone 3 L Dopa+Benserasid 5 Pramipexole 6 Selegiline 7 Carbidopa+L-dopa+entacapone 8 Triheksifenidil HCI ANTI DEMENTIA 1 Donepezil 2 Galantamin 3 Rivastigmin

tablet tablet tablet tablet tablet

5 mg, 10 mg 25 mg 100 mg 8 , 24 mg 6 mg

tablet tablet tablet tablet tablet tablet tablet tablet tablet kapsul, patch

2,5 mg 200 mg 100 mg+25 mg 0,125 mg,0,25 mg,1 mg 5 mg

2 mg 5 mg, 10 mg 4 mg;8 mg 1,5 mg,3 mg,4,5 mg,6 mg

4 Ginkobiloba 5 Dutasterid 6 Fosfatidil serin 7 memantin HCL OBAT YANG MEMPENGARUHI DARAH ANTIANEMIA 1 Asam Folat

tab cap cap tab

40, 120 mg 0,5 mg 100 mg 100 mg

tablet;inj

5 mg

2 Besi (II) dlm bentuk garam sulfat,fumara) 3 Sianokobalamin 4 Fe + multivit, as.folat

Tab, Caps,drops

Tab 300 mg,drops;kombinasi 50 mcg;100-1000 mcg/ml

Tablet tab, caps,drops, syr

OBAT YANG MEMPENGARUHI DARAH 2 Asetosal 3 Cilostazol

Tablet salut genterik Tablet salut film

80 mg;100 mg,160 mg 50 mg,100 mg

4 Clopidogrel

Tablet

75 mg

6 Enoksaparin natrium 7 Fondaparinux natrium 8 Heparin natrium 9 Heparin dialisat 10 Nattokinase 12 Tiklopidin 14 Warfarin natrium 18 heparin HEMOSTATIK 1 Asam Traneksamat

Inj Inj Inj Gel,salep Tab Tablet Tablet inj

20 mg/0,2 ml:40 mg/0,4 ml,60 mg/0,6 ml 2,5 mg/0,5 ml

Gel 20 g;salep 15 g 50 mg 250 mg 2 mg 5000 IU /ml

Kapsul;tablet salut film ;inj Tab 250; 500 mg;250 mg/5 ml amp ;500 mg/5 ml amp Tablet;inj 5 mg;2 mg/ml;10 mg/ml

3 Fitomenadion(vit.K1) HEMATOPOE TIK PRODUK DARAH PENGGANTI PLASMA FRAKSI PLASMA UNTUK PEMAKAIAN KHUSUS 1 Albumin (Human Albumin)

Inj

20% 5 0 ml;25% 100 ml dalam botol

PENGGANTI PLASMA 1 Dekstran 40 DIAGNOSTIK OBAT KONTRAS 1 Barium enema

Infus

10% dlm NaCl

Tablet

5 mg%

2 Barium sulfat 3 EZ Gas II 4 Gadodiamida 5 Lodine

Suspensi

998% w/w nett 340 g;105% w/v nett 1900 ml

Larutan larutan 320 mg/ml dalam vial 100 ml 76%

6 Natrium/Meglumin amidotrizoat Inj ANTISEPTIK DAN DESINFEKTAN ANTISEPTIK 1 Alkohol 2 Etakridin Laktat (Rivanol) 3 Hidrogen Peroksida 4 Lodine Povidon 6 Kantaridin 7 Polikresulen DESINFEKTAN 1 Formalin 2 Dialdehid 3 Glutaraldehid 4 Klorheksidin Diglukonat 5 Klorheksidin 7,5%+Cetrimide 1,5% 6 Lisol 7 Sublimat

Cairan,swab Larutan Cairan larutan; salep;obat kumur Tingtur Larutan konsentratuta;gel;ovula Larutan Larutan Larutan Larutan Larutan Cairan Cairan 4%;5% 10%;1%

70% 0.10% 3% 0.70% Lar kons 360 mg/g 10 ml dan 100 ml 10% 2.45%

50% 3%

OBAT UNTUK GIGI DAN MULUT OBAT TOPIKAL UNTUK GIGI DAN MULUT 1 Boraks Gliserin Cairan DIURETIK 2 Furosemid 3 Gliserol 4 Hidroklorotiazid 6 Manitol 9 Asetazolamid HORMON ENDOKRIN LAIN DAN KONTRASEPSI ANTIDIABETIK Antidiabetik oral 1 Acarbose 2 Glibenklamid 3 Gliklazid 4 Glikuidon

Tablet;inj Larutan Tablet Inj. tab

Tab 40 mg; inj 10 mg/ml;40 mg 10% 25 mg;50 mg 20% 250 mg

Tablet Tablet tablet tablet

50 mg,100 mg 5 mg 30 mg 30 mg

7 Metformin HCI

tablet

500 mg;850 mg

Antidiabetik parenteral 1 Insulin Regular

Inj

100IU/ml 10 ml vial;100IU 3 ml penfill 100IU/ml 3 cc

6 Insulin Analog Aspart KORTIKOSTEROID DAN KORTIKOTROPIN 2 Deksametason 3 Hidrokortison natrium suksinat 6 Metil Prednisolon asetat

Inj

Tablet;inj Inj Tablet,inj

Tab 0,5 mg;5 mg/amp 100 mg/2 ml vial 4 mg,8 mg,16 mg;inj 125 mg/2 ml,500 mg/8 ml

8 Prednison 10 Triamsinolon asetonid

Tablet Tablet;inj

5 mg Tab 4 mg;inj.IA/ID 10 mg/ml vial 5 ml,IM 40mmg/ml vial 1 ml 2,5 mg

HORMON LAIN 1 Bromokriptin mesilat OBAT KARDIOVASKULER ANTIANGINA 1 Atenolol 2 Bisoprolol 3 Diltiazem

Tablet Tab;inj Tab;inj Tablet Tablet

Tab 50 mg;100 mg;inj.5 mg/10 ml 2,5 mg;5 mg Tab 30 mg;inj 10 mg;50 mg

4 Isosorbid dinitrat

Tablet,tab SL,tab SR

5 mg,10 mg,20 mg

8 Trimetazidin ANTIDISTRITMIA 7 Propranolol HCI 9 digoksin 10 epinefrin (adrenalis) ANTIHIPERTENSI Golongan ACE inhibitor 2 Kaptopril 4 Ramipril Golongan beta blocker 1 Atenolol

tab Tab salut selaput tab inj

35 mg 10 mg,40 mg

0,1 %

Tablet Tablet

12,5 mg;25 mg 2,5 mg;5 mg

Tablet

50 mg;100 mg

2 Bisoprolol fumarat

Tab salut selaput

5 mg

6 Propranolol HCI bisoprolol + HCT Golongan calcium channel blocker 1 Amlodipin besilat

Tablet tab

10 mg;40 mg 2,5 + 6,25 & 5 + 6,25 mg

Tablet

5 mg;10 mg

2 Diltiazem 4 Nifedipin 5 Nicardipine 6 Nimodipin Golongan angiotensin II antagonist 1 Irbesartan 2 Kandesartan 4 Telmisartan 5 Valsartan 6 Irbesartan + HCT 7 Valsartan + HCT 8 Telmisartan + HCT 9 Kandesartan + HCT Golongan lain-lain 1 Klonidin HCI GLIKOSIDA JANTUNG 1 Digoksin

Tablet;kapsul, Inj Tablet inj Tab salut selaput;lar infus

30 mg, 10 mg,20 mg(oros),30 mg (oros) 2 mg;10 mg 30 mg;10 mg/50 ml

Tablet Tablet Tablet Tab salut selaput tab tab tab tab

150 mg;300 mg 8 mg,16 mg 40 mg,80 mg 80 mg;160 mg 150 & 300 + 12,5 mg 80 & 160 + 12,5 mg 40 & 80 + 12,5 mg 16 + 12,5 mg

Tab;inj Tab;inj

0,075 mg,0,15 mg 0,25 mg

OBAT UNTUK SYOK Inotropik 1 Dobutamin

Inj

250mmg/20 ml

2 Dopamin HCI

Inj

10 mg/ml;40 mg/ml

Vasokonstriktor 1 Adrenalin HCI/bitartrat 2 Deksametason natrium fosfat 3 Efedrin HCI

Inj Inj Inj

1 mg/ml 5 mg/ml 3 mg/ml amp 10 ml

4 Fenilefrin HCI 5 Isoprenalin HCI 6 Norepinefrin bitartrat

Inj Inj Inj

10 mg/ml 0,2 mg/ml 4 mg/4 ml

ANTIHIPERLIPIDEMIA 1 Atorvastatin

Tab salu selaput

10 mg;20 mg;40 mg

2 Fenofibrat

Kapsul

100 mg;200 mg;300 mg

3 Gemfibrozil 7 Resuvastatin 8 Simvastatin VASODILATOR 1 Flunarizin 3 Naftidrofuril oksalat 4 Pentoksifilin 5 Sildenafil sitrat 6 Sitikolin

Kapsul Tablet Tablet

300 mg,600 mg,900 mg 10 mg;20 mg 10 mg;20 mg

Tablet Kaps;tab Inj Tablet Tab;inj

5 mg,10 mg 100 mg;200 mg 100 mg/5 ml,300 mg/15 ml 50 mg,100 mg 500 mg;1000 mg;1 g/8 ml;250 mg/2 ml;500 mg/4 ml tab 400 mg, inj 300 mg/15 ml

THROMBOLITIK 2 Pentoksifilin LAIN-LAIN OBAT TOPIKAL UNTUK KULIT ANTIBAKTERI 1 Eritromisin 2 Framisetin sulfat 3 Fusidat 4 Fusidat (asam) +Betametason valerat 5 Klindamisin 6 Metronidazol ANTIFUNGI 1 Ketokonazol 2 Klotrimazol 6 Mikonazol Nitrat2%+Seng Oksida ANTIVIRUS

Tab, Inj

Krim;gel;larutan Kasa steril Krim(asam),salep (natrium) Krim Gel,larutan (2%+0,1%)5 g 1%;(1,2%+0,5%)15 g

2% 1% 2%

Tablet salut selaput;larutan Tablet 500 mg;larutan 5 infus mg/ml Krim;shampoo 0,4 mg/g Krim/salep 2% 2%

ANTIIFLAMASI DAN ANTIPRURITIK 4 Desoksimetason 12 Kalamin LARUTAN ELEKTROLIT,NUTRISI,DLL ORAL 3 Nutrisi enteral

Krim;salep Lotion

0,25%

Serbuk

PARENTERAL 1 Aqua pro injeksi 3 Asam amino+vitamin+elektrolit 5 Glukosa

Cairan Infus Infus

25 ml ampul

5%,10%,40% 500 ml

11 Larutan kombinasi (dlm 1 liter): Infus Natrium 60 mek,k 10 mek, CI 50 mek, laktat 20 mek,glukosa 27 g 12 Larutan kombinasi (dlm 1 Infus liter):Natrium 50 mek,k 20 mek, CI 50 mek, laktat 20 mek,glukoa 27 g 24 Ringer Asetat Infus 25 Ringer Laktat OBAT UNTUK MATA SISTEMIK 2 Botulinum Toxin TOPIKAL Antimikroba 1 Asam Fusidat 2 Asiklovir 3 Benzil Penisilin PSIKOFARMAKA ANTIANSIETAS DAN ANTIINSOMNIA 1 Alprazolam 3 Diazepam 4 Estazolam 5 Klobazam 8 Klonazepam ANTIDEPRESI DAN ANTIMANIA 1 Amitriptilin HCI ANTIPSIKOSIS

500 ml

Infus

500 ml

Inj

100IU/vial

Tetes mata Salep mata Salep mata 1.000IU

1% 3%

Tablet Tablet;inj Kapsul Tablet tab

0,25 mg;0,5 mg;1 mg Tab 2 mg;inj.10 mg/2 ml 1 mg;2 mg 10 mg 2 mg

Tablet

25 mg

2 Haloperidol

Tablet;inj;drops

3 Haloperidol dekanoat 4 Klorpromazin HCI 5 Klozapin ANTI ADHD 1 Metifenidat HCI RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE PENGHAMBAT NEUROMUSKULAR 2 Baklofen 3 Esperison 8 Tizanidin OBAT UNTUK MISTENIA GRAVIS 1 Neostigmin metilsulfat 2 Pridostigmin bromida 3 Azatioprin

Inj. Tab salut selaput;inj Tablet Tablet

Tab 0,5 mg;1,5 mg;5 mg;inj 5 mg/ml amp 1 ml;drops 2mg/15 ml 50 mg/ml amp 1 ml 25 mg;100 mg;5 mg/ml 25 mg,100 mg 10 mg,20 mg,30 mg,10 mg intermediate release

Tablet Tab salut selaput Tablet

10 mg 50 mg 2 mg

Inj Tablet tab

0,5 mg/ml 60 mg 50 mg

OBAT UNTUK SALURAN CERNA ANTASIDA DAN ULKUS,ANTIBUSA 1 Alumunium hidroksida+ Magnesium hidroksidata 2 Alumunium hidroksida+Magnesium hidroksida+ Simetikon 3 Esomeprazol 5 Omeprazol

Tablet Tablet,susp

200 mg+200 mg

Tablet;inj Kapsul;inj

Tab 20 mg,40 mg;inj 40 mg; vial 10 mg;20 mg;40 mg

6 Pantoprazol

Tablet;inj

20 mg;40 mg;40 mg(vial)

7 Ranitidin 10 Sukralfat

Tablet;inj Suspensi

150 mg;25 mg/ml 500 mg/ml

ANTIEMETIK/ Vertigo 2 Dimenhidrinat

Tablet

50 mg

3 Domperidon

Tablet

10 mg

5 Ondansetron HCI

Tab salut selaput;kaplet;inj Tablet 8 mg;4 mg,inj 4 mg/amp 2 ml,8 mg/amp 4 ml;4 mg/2 ml

ANTISPASMODIK 1 Atropin sulfat 3 Hiosin n-butil bromida OBAT UNTUK DIARE 1 Garam Oralit I 2 Loperamid HCI 3 Smektit LAKSATIF 1 Bisakodil 2 Gliserin 4 Laktulosa

Inj Tab salut gula;inj Serbuk Tablet Serbuk Supp Larutan Sirup

0,25 mg/ml 10 mg;20 mg/mml NaCl 3,5 g+KCi 1,5 g +glukosa 20 g/1000 ml 2 mg

10 mg 3,335 g/5 ml

5 Magnesium sulfat 7 Parafin+Gliserin

Kristal Sirup

30 g Fenolftalein 55 mg;Paraffin liq 1,2g;gliserin 378 mg

OBAT UNTUK SALURAN NAFAS ANTIASMA 1 Adrenalin bitartrat 2 Aminofilin 12 Salbutamol

Inj Inj

1 mg/ml;4 mg/4 ml 24 mg/10 ml

Tab;sir;inhaler;nebules;rota 2 mg;4 mg;2 mg/5 mL;100 cap;rotahaler;rotadadisk;dis mcg/puff;2,5 mg;200 khaler mcg;400 mcg Kaps lunak;tab,eliksir 130 mg;130 mg/15 ml

15 Teofilin ANTITUSIF 1 Dekstrometorfan HBr 2 Kodein HCI MUKOLITIK 1 Ambroksol

Tablet Tablet Tablet,sirup

15 mg 10 mg 30 mg, sir: 15 mg/5 ml

2 Bromheksin HCI

4 N-asetil sistein

Tablet;eliksir;sirup;larutan Tab 8 mg; eliksir dan sirup 4 utk inhalasi,inj mg/5 ml; lar 8 mg/4 ml;inj.4 mg/2 ml amp Serbuk;sirup Serbuk 100 mg,200 mg;sir 150 mg/ml

EKSPEKTORAN 1 Obat batuk Hitam LAIN-LAIN OBAT YANG MEMPENGARUHI SISTEM IMUN SERUM DAN IMUNOGLOBULIN 1 Gama Globulin Imun 7 Tetanus Imun Globulin VAKSIN VITAMIN DAN MINERAL 1 1,25 di (OH) kolekalsiferol 2 Asam Askorbat 3 Asam Folat 8 Kalium aspartat/klorida 13 Kalsium laktat/fosfat

Larutan

Inj Amp

5%

Kapsul lunak Tablet;inj Tablet Tablet Tablet

0,25 mcg Tab 50 mg;100 mg;inj.100 mg/ml,200 mg/ml, 1 g 400 mcg 750 mg;300 mcg 500 mg 16 mg+500 mg+10 mg+ 50 mcg 100 mg+200 mg+200 mcg+400 mcg 4%,10% dlm vial (30 mg+500 mg) 250 mcg,500 mcg; 500 mcg/ml

14 Kombinasi Betakaroten,Vitamin Kapl salut selaput C, vitamin E,Zinc,Selenium 15 Kombinasi vitamin B 16 L-Arginin 17 L-Karnitin+Ubiquinon 18 Mekobalamin 19 Mineral-Mix 20 Multivitamin 23 Niasinamid 24 Pridoksin HCI(vit B6) 29 Thiamin HCI 33 Vitamin B12 34 Vitamin B Kompleks 35 Vitamin D 41 Vitamin E (Tokoferol) OBAT YANG MEMPENGARUHI SALURAN KEMIH ALPHA BLOCKER 1 Terazosin 3 Tamsulosin ANTIMUSKARINIK 1 Tolterodin I-tartrat LAIN-LAIN 1 Lubricant untuk USG

Tablet Inj Kaplet Kapsul,inj

Kapsul,sirup,drops Tablet Tablet Tablet Tablet Tablet Kaps lunak Kaplet 200 IU.;300IU.;400 IU 100 IU;200 IU 500 mg 10 mg;25 mg 50 mg; 100 mg; 50 mccg;100 mcg

Tablet Tablet Tablet Jelly

1 mg 0,2 mg 2 mg

2 Lubricant 3 Ko-dergokrin mesilat 4 Pirasetam

Jelly Tab;tab salut enterik;inj Kaplet;sirup;inj 1 mg; 4,5 mg; 0,3 mg/ml Kaplet 400 mg, 800 mg;sirup 10%,inj. 1 g/5 ml,3 g/15 ml,12 g/60 ml

6 Co enzym Q-!0 7 Piritinol Hcl

cap syr 100 mg / 5ml

NAMA DAGANG

KEMASAN
PRODUSEN

JUMLAH

Fentanyl (Inj); Durogesic

MST

2 JanssenCilag JanssenCilag 3 3 2

Patch 25 mcg 10 box

Sufenta,Sufenta forte

3 3 JanssenCilag

Novalgin (inj);Decamidon Mefinal; Ponstan Voltaren ;Flamar; Eflagen

2 2 Pfizer, Gracia, Sanbe 2 Novartis

Proris

Benocid, Dialon Profenid;Kaltrofen;Lantiflam

2 Otto, Zambon, Abbot, Lapi, Kalbe 2 Eisai 2 Sanofi, Otto, Dexa medica, Kalbe 2 Roche, Kalbe, Novell, Dexa, Phapros, Soho 2 Boehringer, Nicholas, Soho, Bernofarm, Otto, Interbat 2 2

Toradol ;Toramin;Xevolac

Movicox

Naxen Panadol;Pamol;Dumin

Sistenol

Nogren Dynastat braxidin Feldene Probenid Celebrex Potensik Nonflamin Tramal; Trsik

2 2 2 2 2 2 Pfizer 2 2 2 Pharos. Otto, Actavis, Mahakam

Zyloric Hyalgan; Adant Dispo Imuran

2 Glaxo, Interbat 3 3

100 mg/ 300 mg 600 cap 2ml/ syringe 10 syringe

Marcain;Regivell; Decain

2 Astra Zenica, Kalbe, Dexa Medica 2

Chirocaine 0,5 % Xylocain Pehacain;Xylestesin Lidodex Emla cream ;Estesia;LMX

2 2 Astra Zenica 2 2 2 Sanbe 2

Impletol Naropin Pehacain;Xylestesin

2 2 2 2 Phapros

2 Dihydrobenz-peridol Ethrane;compond 347 Etomidate-lipuro Fluothane Forane Ketalar;ketaminhameln;ivanes 2 2 Abbot 2 2 B Braun 2 Dexa Medica 2 Abbot 2 Pfizer

Dormicum;MidazolamHameln Diprivan;propofol lipuro;fresofol

2 Roche, kalbe, Novell, Dexa Medica 2 Novel, Pharos, B-Braun, Dexa Medica 2 Abbot, Fahrenheit,Kal be 2

Sevorane

Pentothal Sodium IV

2 Transfarma 2 Transfarma

atropin sulfat

2 2 Roche, Actavis , Fahrenheit 2

Aerius Decadryl Inclarin

3 Scchering 3 3 Schering 3 Schering, Soho, Sanbe, Inmark 3 Kalbe

2 2 Exjade Ferriprox Zinecard, anexate Desferal Anexate Rescuvolin (tab 15 mg dan inj 50 mg/amp; leucovorin Calcium gluconate 10% Uromitexan Nokoba; Narcan Meylon 8,4% prostgmin 2 2 2 2 Roche 2 Combiphar, Tempo, Kalbe 2 2 2 Fahrenheit 2 2 2 2 Transfarma

Valium, Valisanbe

1 Roche, Fahrenheit, Actavis 1 Pfizer, Ikapharmindo 1 Combiphar, Mersifarma

inj 10mg/2ml, 30 box, 10 tab 5 mg pack 100mg 2000 caps, Inj 20 box 30 mg/50 mg/ 1000 tab / 100 mg/ 200 amp (200mg/ml) kaps 1000 100 mg/200 1000/ 1000/ mg/syr 200 botol tab 1000 250 mg/ 500 1000 / 1000 mg kaplet 1000 25 mg / 50 mg 500 / 500 250 mg/ ER 1000/ 1000/ 250mg / Syr 250

Dilantin

Neurontin Tegretol

1 1 Novartis

Rivotril Keppra Trileptal Topamax Depakane (sirup),depakote (tablet)

1 1 UCB, Pharos 1 Novartis 1 Janssen-Cilag 1 Abbot

Amoxsan Augmentin;Clavamox;Viacla v

1 Glaxo Sanbe, Otto, Lapi 1 Glaxio, Kalbe, Sanbe, Interbat, Phapros, Soho 1

Bactesyn Penadur LA Ospen Floxapen Meixam Tazocin Procaine penicillin-G-Meiji Kedacilin

1 Meiji, Inmark, Kalbe, Berno 1 1 1 1 1 Meiji 1 Pfizer 1 1 1 1 Pharmacia

Urfamycin;Thiamycin lazafin

1 Zambon, Sanbe 1 Novel

Cravit; Volequin; Levores

Tarivid, Danoflox Peflacine; Dexaflox Ciproxin; Ciproxin XR; Civell; Baquinor

1 Kalbe, Soho, Dexa medica, Novell, Sanbe, Soho, 1 Kalbe 1 1 Bayer, Bernofarm, Soho, Tempo Scan, Gracia 1 1 Abbot 1 Abbot, Combiphar 1 Otto 1 Pfizer, Pharos, Bernofarm 1 Pfizer, otto

Zitromax; Zistic Erythrocin; EES; Kalthrocin Abbotic; Bicrolid Spiradan Zithromaxm Aztrin

Duricef; Cefat

1 Sanbe, Otto, Phapros, Kalbe, Fahrenheit, Interbat,ferron 1 1 Kalbe 1 Pharos, Fahrenheit, Interbat, Actavis, Kalbe 1 Kalbe, Sanbe, Ferron, KF, Dexa, Interbat, Pharos,Gracia 1 Pfizer, Interbat, Pharos, Sanbe 1 Pfizer, Soho, Pharos, Fahrenheit 1 Sanofi, Sanbe, Kalbe, Gracia, Pharos 1 Takeda 1 Sandoz 1 Ethica 1 Sanofi, Interbat, Fahrenheit, Pharos, Dexa

Ceclor Cefazol; Fabiolin Maxipim

Cefspan; Sporetik; Fixacef

Stabixin; Cefobid; Cerobid

Sulperazon; Fosular; Stabactam Claforan; Lancef; Primocef

Ceradolan; Fadiclo Banan Velosef; Lovecef Cefrom; Cefrin; Lanpirom

Fortum; Ceftum; Negacef Cedax Cefizox; Tizos Elpicef; Cefaxon

1 Glaxo,Ferron, Soho, Pharos 1 1 Novell, Kalbe, Dexa 1 Roche, Sanbe, Kalbe, Dexa, Escolab, Otto 1 1 Astellas 1

Kalcef; Sharox omnicef

Doxicor; Interdoxin Minocin

1 Pfizerm Interbat 1 1 Pfizer 1

Tygacil Fosmicin; Fosmidex

1 1 Meiji, Dexa Medica, Zambon 1 Merck sharp Dohme, Pharos, Sanbe 1 Pfizer, Kalbe, Sanbe, Lapi 1 1 1 Pfizer 1 Astra Zeneca, Kalbe, Fahrenheit, Bernofarm, Interbat, Sanbe, Dexa 1 1 Sanofi 1 1 Fahrenheit 1 Darya 1 Janssen-Cilag 1 Merck sharp Dohme 1 Bristol Myers Squibb, Fahrenheit

Tienam; Palestine

Delacin; Anerocid; Clinium Colistine Sanprima Zyvox Meronem; Ronem

Flagyl; Novamet Targicid Flatin Vancep Salofalk Doribax Garamycin;Gentamerck;Sages tam Azactam, vebac

Bacbutol; Tibigon INH Ciba; Pehadoxin Forte Pezeta; Prazina Rimactane; Rifamtibi Streptomycin Sulphare Meiji Rimactazid, Rifinh Rimcure, rivastar Pulna forte Rimstar 4 FDC

1 1 Samdoz, Phapros 1 1 Sandoz 1 Galenium 1 Sandoz, Indofarma 1 Sandoz , Indofarma 1 Landson 1 Sandoz

Fungizone

Inj/ 50 mg/ 150 mg 50 mg/ 150 mg/ inj

10 amp/ 100 kap/ 100 kap 100 kap/ 100 kap/ 5 amp

Diflucan

Mycostop Sporanox; Sporacid Interzol; Nizoral

2 Pfizer, Fahrenheit, Novell 3 2 Pfizer, Jansenn Cilag 2 Ikapharmindo 3 3

tab

100 tab

Primet

3 KF 3 3

Hepsera Zovirax; Zoster Baraclude Cymevene 3TC-HBV Isoprinosine Tamiflu Rabetol Sebivo Veltrex; Valvir Valcyte

2 2 Glaxo Smith Kline 2 2 2 Roche 2 Glaxo Smith Kline 3 3 3 3 2 Glaxo, Soho 2 Roche

3TC Viramun Retrovir

3 Glaxo Smith Kline 3 3

Dihydergot Ericap, Cafergot Bellapheen

1 1 Novartis 1

tab tab tab

1000 tab 1000 tab 1000 tab 1000 tab 1000 tab 1000 / 1000

Sibelium, Frego

1 Janssen-Cilag, Kalbe 1 1 1 Abbot 1 Eisai

tab tab tab 8 / 24 mg

Imetrix; Triptagic Betaserc Merislon

Elkrip;parlodel Comtan (Novartis) Madopar Sifrol Jumex Stalevo Artane Aricept,fordecia Reminyl Exelon

2 Novartis 2 2 Roche 2 Boehringer 2 Sanofi 2 Novartis 2 Mersifarma 2 Eisai , pharos, interbat 2 Janssen-Cilag 2 Novartis

tab tab tab tab tab tab tab tab 5 mg / 10 mg

1000 500 2000 2000 1000 500 2000

500

kaps 1,5 mg/ 3 mg/ 4,5 mg/ patch 100/ 100/ 100/ patch 50 tab 40 500

Tebokan, tanakam Avodart Neulin PS Abixa

2 Phapros, Combiphar 2 Glaxo Smith Kline 2 Soho, ferron 2 Lunbeck

3 Otto, Sanbe,Novell,D exa

Hemobion (komb);Iberet folic500,sangobion ,Ferizz(drops) Vit B12, Lapibal Ferriz, samgobion

3 Combiphar, Dexa, Merck, Kalbe, Sanbe 3 Lapi 3 Merck, Kalbe, Nicholas, Abbot, Combiphar, Fahrenheit

tab/ inj

1000 tab/ 500 amp

Aspilet;Ascardia;Kardioaspiri n Pletaal:Citaz

1 Darya , Bayer 1 Otsuka, Guardian, Kalbe, Dexa 1 Sanofi, Ferron, Kalbe, Soho, Dexa 2 Sanofi 2 Glaxo Smith Kline 2 2 Forpharm

tab 80/ 100/ 160 tab 50 mg / 100 mg tab

5000/ 5000/ 5000 1000/ 1000 500

Plavix

Lovenox Arixtra Inviclot Thrombophob Forkinase Ticlid Simarc 2

inj 20 mg/ 40 150 / 150 mg 200 vial vial 500 500 500 3000

tab tab 1 Prtapa Nirmala tab


2 1

Transamin;Clonex;Kalnex

3 Kalbe, Sanbe, Dexa,

Kavita

3 Combiphar

tab 500 mg/ 100 tab / amp 500mg/ 100 amp 5ml tab / 10 mg/ml 1000 tab/ 200 amp

Human Albumin Behring;Plasbumin;Robumin

3 Dipa pharmalab, Kalbe, Dexa, fahremheit

Flc 20 %

50 flc

Otsuran L

Liquid Polybar Plus

2 2

Omniscan ;Magnevist;Dotarem Omnipaque;lopamiro; Ultravist;Optiray 320 Urografin

2 2 2

2 Rivanol Betadine; Isodine Canthacur Albothyl 2 2 2 2 2

2 Cidex Cidex Hibiscrub Savlon; Hibicet HC;First Aid 2 2 2 2 2 2

3 Lasix; Furosix;Furosemid 2 Sanofi, Landson 2 HCT Manitol asetazolamid, glaucon 2 2 2 Cendo

Glucobay Daonil Diamicron MR Glurenom

1 Bayer, Dexa 1 Sanofi 1 Servier 1 Boehringer

tab 50 mg/ 100 mg tab tab tab

300 / 300 3000 1000 1000

Glucophage ; Glucophage XR;Glumin ;Glumin XR

1 Merck, Kalbe, Pharos, Ferrom

tab 500 mg/ 850 mg

1000

Actrapid HM/Actrapid HM Penfill; Humulin R; Actrapid Novolet Novorapid Flexpen

1 Elli Lilly

1 Novo Nordis

vial 100IU/ 10 ml/ 100 IU 3ml penfill 50 / 50/ 50 200 vial

Solu-Cortef Norditropin (tablet)Medrol;Urbason;Lame son;(inj)solumedrol;Medixon

2 Kalbe, Phapros

tab / amp
2 2 Sanofi, Kalbe, Ferrom, Pharos, Soho, Lapi, Pfizer 2

2000/ 100

vial 50 4mg/ 8 mg/ 16 500/ mg/ vial 125 500/500/ mg 100 vial 1000

Kenacort A;Triamcort (tab);Kenacort (Inj)

Tab 2 BMS, ferron, vial10 mg/ 5 Novell, Pharos, ml


Dexa

100 vial 1000

Parlodel

tab

Tenormin Concor ;Maintate Herbesser

2 2 2 Tanabe, fahrenheit, dexa 2 Darya Varia, GSK, KF, Pharos 2 Servier 2 2 Glaxo smith kline 2

tab 1000 tab 2,5 / 5 mg 1000 / 1000 tab 30 mg tab 5 mg/ 10 mg/ 20 mg tab 1000 200 / 200/ 200 200

Cedocard

Trizedon MR Inderal;Farmadral lanoxin Ephinephrine

tab amp

100 300

Capoten Triatec, hyperil

1 1 sanofi, ferron

tab 12,5/ 25 5000 / 5000 tab 2,5 mg / 5 mg 100 / 100 tab 50 mg/ 100 mg

Tenormin

500/ 500

Concor;Maintate

1 Merck, pharos, Tanebe 1

Lodoz

1 Merck

tab 5 mg 1000 tab 10 mg / 40 mg 500 / 500 tab 100

Norvask;Tensivask;Theravask

Herbesser CD 100, Herbesser inj Adalat/Adalat oros;Farmalat Perdipine Nimotop

1 Pfizer, Merck, Kalbe, Darya, Dexa, Phapros 1 tanabe 1 Bayer 1 Astellas, Pharos

tab 5 mg / 10 mg

1000 / 1000

tab 500 10 mg / 30 mg 1000 / 1000 Oros inj 2 mg 10 100

1 Bayer, Kalbe

tab

Aprovel Blopress Micardis Diovan Co aprovel Co diovan Micardis plus Blopress plus

1 Indofarma, sanofi, kalbe 1 Takeda 1 boehringer 1 Novartis 1 sanofi 1 Novartis 1 boehringer 1 Takeda, Dexa medica 1 Boehringer 1 Glaxo smith kline, Fahrenheit

tab 150 mg / 300 mg tab 8 mg tab 40 mg tab 80 mg / 160 mg

100 /100 100 100 500 tab/ 200 tab

Catapres Lanoxin (inj)

tab 0,075 mg tab

100

100

Inotrop;Dobuject;Dobutamine Giulini Dopamin Giulini;Indop

1 Solvay, Kalbe, Fahremheit, Dexa 1 Fahremheit, phapros, Kalbe

Ephinephrine Della Methason;Oradexon

1 1 1

Isuprel Vascon

1 1 1 Fahremheit, Dexa medica, samdoz, novell

Lipitor;Atorsan

Lipanthyl

Lopid Crestor Cholestat,, rechol, Zocor

1 Pfizer, actavis, Kalbe, Combiphar, Dexa, Sandoz 1 Abbot, Sandoz, Dexa, Ikapharmindo, escolab 1 1 astra zenica 1 Pharos, Kalbe

tab 10 mg / 20 200 / 200 mg tab 300 mg 1000

tab 300 mg 1000 tab 10 mg 100 tab 10 mg / 20 mg 2000 /2000 tab 10 500 tab 100 100 Inj 300 mg/ 15 ml 300 amp vial 500 mg / 1g

Sibelium Praxilene;Vascuprax Trental;Reotal Viagra Nicholin;Brain Act;Lancolin

1 1 1 Kalbe 2 1

500 / 500

Reotal

3 Kalbe

Erymed Framycetin Foban;Fucidin;Futadem Fucicort Comdacin;Mediklin Dumozol

3 3 3 3 3 3

Ketomed;Nizoral Candazole Daktarin Diaper

3 3 3

Esperson ;Inerson Caladine; Calamed

3 3

Ensure ;Pan Enteral,Peptamen;Diabetasol; Nefrisol;Oxepa

1 Aminofusin L 600,Aminofusin Paed, KA-EN 3A 1 1 1

KA-EN 3B

Asering Ringer laktat

1 1

Botox

vial

50

Fucithalmic Hervis

3 3 3

Xanax;Frixitas;Alganax Valium Esilgan Frisium Riclona

1 pfizer, pharos, Kalbe 1 Roche, actavis, fahrenheit 1 Takeda 1 Sanofi 1 Mersifarma

0,25 mg /0,5 mg tab / amp tab 1 mg tab tab

100 /100 1000 / 100 100 500 200

tab

1000

Serenace ; Lodomer

2 Pfizer, Mersifarma, guardian 3 2 Mersi farma 3 Pharos 3 Novartis, Janssen

tab 0,5 mg/ inj/ drops

1000 / 20 /20

Haldol Decanoas Clozaril ; Luften Ritalin

tab 25 mg

200

tab 10 mg / 20 100 / 100 mg

Lioresal Myonal SirdaludMyores, Phardex

1 Novartis 1 Eisai, Interbat, Kalbe, Pharos 1 Mepro, Prima

tab tab tab

100 500 200

Postigmin Mestinon azathioprine, Imuran

2 Transfarma 2 Transfarma 2 Combiphar, Glaxo smith kline

amp tab

50 300

1 Myalanta ;Polycrol 1

Nexium;Nexium IV Losec;OMZ;Ozid

1 Astra zenica 1 Astra zenica, ferron, Darya, Soho, Sanbe 1 Pharos, novell, Otto, Soho, dexa, kalbe, mahakam 1 1 Fahrenheit, Kalbe, Gracia, otto, ikapharmindo, combiphar 1

Pantozol

Zantac;Rantin;Wiacid Inpepsa

Dramine

Tab

500

Sed generik

1 Janssen, Kalbe, Dexa, Ikapharm, Bernofarm, Gracia 1 Glaxo smith kline, Kalbe, soho, fahrenheit, pharos, interbat

Zofran;Narfos;Ondavell

Atrium Sulfat Buscopan

3 3 Boehringer 3

Imodium Smecta Dulcolax Extralac, lactulac, Duphalac

3 3 2 Boehringer 2 2 Soho, Ikapharmindo, KF 2 2 Galenium pharm

Garam Inggris Lexadine

Adrenalin Aminophylinum Ventolin; Lasel

2 2 2 Glaxo, pharos, Lapi, Boehringer, fahrenheit 2

Euphyllin R mite; Quibron TSR

2 Codipront Mucopect; Transbroncho 2 Pharmosolindo 2 Boehringer, sanbe, gracia, sanofi 2

Bisolvon

Fluimucyl

OBH

Gammaraas Vaksin polio oral

3 3

Kolkatriol Extrace:Max C Folid Acid KSR;Aspar-K Kalk Seloxy

2 2 2 2 2 2

Neurobion; Neurobion 5000; Nerva Plus R-Gene Carnico-Q Methycobal; Lapibal

2 2 2 2 2

Nutrilin;Licoxy;Zegravit

2 2 2 2 2 2 2

tab 100 tab 10 mg/ 25 mg 500 / 500 tab 50 mg/ 100 mg 500 / 500 tab 50 mcg 500 tab 5000 tab 100 IU 200

Evion;Dalfarol

Hytrin Hamal Detrusitol Aquasonic

2 2 2 2

KY Jelly Hydergin Nootropil,Neurotam

2 2 2 UCB, Kalbe, Soho 2 Fahrenheit, darya 2 Merck

tab 1 mg / 4,5 mg 200/ 200 kaplet 400 mg/ 800 mg/ Inj 1 g/ Inj 3 g/ In 12 g

Cap syr

100 50

encephabol

DAFTAR PERMINTAAN OBAT


NO URUT OBAT NAMA GENERIK NAMA DAGANG PRODUSEN

ANALGESIK, ANTIPIRETIK, AINS, ANTI-REMATIK, ANTIP


ANALGESIK NARKOTIK 1 Fentanil Fentanyl (Inj); Durogesic Kodein HCI Morfin HCI Morfin sulfat Petidin HCI Sufentanil ANALGESIK NON NARKOTIK 1 Antalgin 2 Asam Mefenamat 3 Natrium - Kalium Diklofenak MST Janssen-Cilag Janssen-Cilag

Sufenta,Sufenta forte Novalgin (inj);Decamidon Mefinal; Ponstan Voltaren ;Flamar; Eflagen

Janssen-Cilag Sanofi Aventis Pfizer, Gracia, Sanbe Novartis

Ibuprofen

Proris

Otto, Zambon, Abbot, Lapi, Kalbe

indometasin 5 ketoprofen

Benocid, Dialon Profenid;Kaltrofen;Lantiflam

Eisai Sanofi, Otto, Dexa medica, Kalbe

6 7

Ketorolak trometamin Meloksikam

Toradol ;Toramin;Xevolac Movicox

Roche, Kalbe, Novell, Dexa, Phapros, Soho Boehringer, Nicholas, Soho, Bernofarm, Otto, Interbat

Naproksen 8 Parasetamol

Naxen Panadol;Pamol;Dumin

9 10 11 12

Paresetamol+asetil sistein+B44 Parasetamol + coffein Parekoksib natrium chlordiazepoxide + clidinium bromida Piroksikam

Sistenol Nogren Dynastat braxidin Feldene

Dexa

Probenesid 13 14 15 16 Selekoksib Methampiron + diazepam Tinoridin Tramadol HCI

Probenid Celebrex Potensik Nonflamin Tramal; Trsik Pharos. Otto, Actavis, Mahakam Pfizer

17

Etoricoxib

Arcoxia

MSD

18

Dexketoprofen trometamol Dikolfenak Na

Ketesse Dolofenac Ultracet, Patral, Zaldiar Dansera Nutriflam Zyloric

Ferron Merck Janssen-Cilag Ott0 Tropika mas ANTIREMATIK, ANTIPIRAI Glaxo, Interbat

19 20

Vit B1, B6, B12 Tramadol + parasetamol Serapeptase + Vit B C Seratiopeptidase +pancreatin Alopurinol

Asam Hyaluronat Azatioprin D-penisilamin Hidroksiklorokuin Kolkisin Leflunomid Metotreksat

Hyalgan; Adant Dispo Imuran Plaquenil Recolfar Arava Methotrexate EBW;Emthexate

Fahrenheit

Mofetil Mikrofenolat Sikofosfamid

Cellcept Endoxan-Asta lyophilisate

Sulfasalazin Infiximab

Sulcolon Remicade

Tanabe

ANESTETIK
Bupivakain HCI Etilklorida Levobupivakain Lidokain HCI Marcain;Regivell; Decain ANESTETIK LOKAL Astra Zenica, Kalbe, Dexa Medica

Chirocaine 0,5 % Xylocain

Astra Zenica

Lidokain 2% + Adrenalin Lidokain (5%)+ Dextrose 5% Lidokain HCI 25 mg +Prilokain 25 mg Prilokain HCI Prokain+Kafein Ropivakain HCI Tetrakain HCI Lidocain + epinefrin Dinitrogen oksid Droperidol Enfluran Eter Anestesi Etomidat Halotan Isofluran Ketamin HCI Midazolam Propofol Sevoflurane Sodalalime pro anestesi Tiopental Natrium Deksmedetomidin Atropin Sulfas Diazepam Kloralhidrat

Pehacain;Xylestesin Lidodex Emla cream ;Estesia;LMX Sanbe

Impletol Naropin Pehacain;Xylestesin Phapros ANESTETIK UMUM

Dihydrobenz-peridol Ethrane;compond 347 Etomidate-lipuro Fluothane Forane Ketalar;ketamin-hameln;ivanes Dormicum;Midazolam-Hameln Diprivan;propofol lipuro;fresofol Sevorane

Abbot B Braun Dexa Medica Abbot Pfizer Roche, kalbe, Novell, Dexa Medica

Novel, Pharos, B-Braun, Dexa Medica Abbot, Fahrenheit,Kalbe Transfarma Transfarma

Pentothal Sodium IV

PROSEDUR PREOPERATIF
atropin sulfat Roche, Actavis , Fahrenheit

ANTIALERGI DAN OBAT UNTUK ANAFILAKSIS


Desloratadin Difenhidramin HCI Aerius Decadryl Scchering

Feksofenadin HCI

Telfast BD,OD,HD

Sanofi

Feksofenadin HCI +Pseudoefedrin Feniramin maleat Hidroksizin Homoklorsiklizin Klorfeniramin maleat Loratadin Loratadin+Pseudofedrin Prometazin HCI Setirizin

Telfast plus Avil Bestalin Homoclomin Schering Schering, Soho, Sanbe, Inmark

2 3 4

Inclarin Rhinos SR Histrin

Kalbe , UCB, Ferron, Pharos, Novel, Lapi, Fahrenheit

Dexametason Bepotastin besilat Oxymetazolin Mebhidrolin napadisilat

Talion Interhistin, Bioalergi

Kalbe Tanabe Merck Interbat, Konimex

ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN


KHUSUS Atropin Sulfat Biru Metilen Deferasiroks Deferipron Exjade

Deksrazoksan Desferoksamin mesilat Flumazenil Kalsium Folinat Kalsium glukonat Mesna Nalokson HCI Natrium Bikarbonat Natrium Tiosulfat Protamin sulfat Neostigmin Apomorfin HCI Karbo Adsorben Magnesium sulfat Laktulosa

Ferriprox Zinecard, anexate Desferal Anexate Rescuvolin (tab 15 mg dan inj 50 mg/amp; leucovorin Calcium gluconate 10% Uromitexan Nokoba; Narcan Meylon 8,4% prostgmin Roche Combiphar, Tempo, Kalbe

Fahrenheit

Transfarma UMUM

Norit Magnesium sulfat constipen

Combiphar

ANTIEPILEPSI
Diazepam Valium, Valisanbe Roche, Fahrenheit, Actavis

2 3 4 5

Fenitoin natrium Fenobarbital Gabapentin Karbamazepin

Dilantin

Pfizer, Ikapharmindo Combiphar, Mersifarma

Neurontin Tegretol

Novartis

6 7

Klonazepam Levetiracetam Magnesium sulfat Oxcarbamazepin Pregabalin

Rivotril Keppra

UCB, Pharos

8 9

Trileptal Lyrica

Novartis

Topiramat

Topamax

Janssen-Cilag

10

Valproat(dlm btk asam /natrium)

Depakane (sirup),depakote (tablet)

Abbot

Lamotrigine Zonesamid

Lamictal Zonegran

Glaxi smith kline Eisai

ANTIBAKTERI
Golongan Penisilin 1 Amoksisilin Amoxsan Glaxo Sanbe, Otto, Lapi

Amoksisilin Klavulanat

Augmentin;Clavamox;Viaclav

Glaxio, Kalbe, Sanbe, Interbat, Phapro

Ampisilin Ampisilin Sulbaktam

Bactesyn

Meiji, Inmark, Kalbe, Berno

Benzatin Penisilin Diklosasilin Fenoksi Metil Penisilin

Penadur LA Ospen

Flukloksasilin Kloksasilin

Floxapen Meixam

Meiji

Piperasilin+Tazobaktam Prokain Penisilin G Sulbenisilin Tikarsilin Amikasin 1 Gentamisin

Tazocin Procaine penicillin-G-Meiji Kedacilin

Pfizer

Mikasin ;Amikin
Garamycin;Gentamerck;Sagestam

Golongan Aminoglikosida Bristol, Kalbe, Pharos Schering, Ethica

Kanamisin sulfat Netilmicin

Netromycin

Schering

Tobramisin Dibekasin sulfat Streptomisin sulfat Kloramfenikol Tiamfenikol

Dibekacin

Meiji

Urfamycin;Thiamycin

Golongan Kloramfenikol Pharmacia Zambon, Sanbe

Sulfasalazin 1 Levofloksasin

lazafin Cravit; Volequin; Levores

Novel Golongan Kuinolon Kalbe, Soho, Dexa medica, Novell, Sa

Moksifloksasin Norfloksasin Ofloksasin Pefloksasin 2 Siprofloksasin

Avelox Lexinor; Pyrflox Tarivid, Danoflox Peflacine; Dexaflox Ciproxin; Ciproxin XR; Civell; Baquinor

Bayer

Kalbe

Bayer, Bernofarm, Soho, Tempo Scan

Golongan Makrolid

Ezitrromisin

Zitromax; Zistic

Erittromisin stearat

Erythrocin; EES; Kalthrocin

Abbot

Klaritromisin Spiramisin Azitromisin

Abbotic; Bicrolid Spiradan Zithromaxm Aztrin

Abbot, Combiphar Otto Pfizer, Pharos, Bernofarm

Linkomisin 1 Sefadroksil Duricef; Cefat

Pfizer, otto Golongan Sefalosporin Sanbe, Otto, Phapros, Kalbe, Fahrenheit, Interbat,ferron

Sefaklor Sefazolin Sefepim Sefiksim

Ceclor Cefazol; Fabiolin Maxipim Cefspan; Sporetik; Fixacef

Kalbe

Pharos, Fahrenhei Kalbe, Sanbe, Ferron, KF, Dexa, Interb

3 4 5 6

Sefoperazon Sefoperazon+Sulbactam Sefotaksim Sefotiam Sefpodoksim Sefradin Sefpirom Seftazidim Seftibuten Seftizoksim

Stabixin; Cefobid; Cerobid Sulperazon; Fosular; Stabactam Claforan; Lancef; Primocef Ceradolan; Fadiclo Banadoz Velosef; Lovecef Cefrom; Cefrin; Lanpirom Fortum; Ceftum; Negacef Cedax Cefizox; Tizos

Pfizer, Interbat, Pharos, Sanbe Pfizer, Soho, Pharos, Sanofi, Sanbe, Kalbe, Gracia, Pharos Takeda Sandoz

7 8

Ethica Sanofi, Interbat, Fahrenheit, Pharos, D Glaxo,Ferron, Soho, Pharos

Novell, Kalbe, Dexa

10

Seftriakson Sefuroksim (kapsul:Axetil;inj.Na) Sefdinir Sefditoren

Elpicef; Cefaxon Kalcef; Sharox

Roche, Sanbe, Kalbe, Dexa, Escolab,

omnicef

Astellas Golongan Tetrasiklin Pfizerm Interbat

Doksisiklin Minosiklin Oksitetrasiklin Tetrasiklin Tigesiklin

Doxicor; Interdoxin Minocin Terramycin

Pfizer

Tygacil Fosmicin; Fosmidex Tienam; Palestine Delacin; Anerocid; Clinium Colistine Sanprima Golongan lain-lain Meiji, Dexa Medica, Zambon Merck sharp Dohme, Pharos, Sanbe Pfizer, Kalbe, Sanbe, Lapi

1 2 3

Fostomisin Imipenem+Cilastatin Klindamisin Kolistin

Kotrikmosazol(TMP+SMZ)

Linezolid 5 6 Meropenem Metronidazol

Zyvox Meronem; Ronem Flagyl; Novamet

Pfizer

Astra Zeneca, Kalbe, Fahrenheit, Bern

Teikoplanin Tinidazol Vankomisin Mesalazin

Targocid Flatin Vancep Salofalk

Sanofi Fahrenheit Darya

Doripenem Gentamycin sulfate

Doribax Garamycin;Gentamerck; Sagestam Invanz Azactam, vebac Bacbutol; Tibitol INH Ciba; Pehadoxin Forte Pezeta; Prazina Rimactane; Rifamtibi

Janssen-Cilag Merck sharp Dohme

Ertapenem Aztreonam 1 2 3 4 Etambutol Isoniasid+vit B6 Pirazinamid Rifampisin

Bristol Myers Squibb, Fahrenheit

ANTITUBERKULOSIS

Samdoz, Phapros

Sandoz

5 6 7 8 9

Streptomisin sulfat Isoniazid + Rifampisin Rifampisin + Isoniazid + pirazinamid Etambutol + INH + Vit B6 Rifampisin + Isoniazid + pirazinamid + Etambutol Dapson Klofazimin Talidomid Amtoferisin B Flukonazol

Streptomycin Sulphare Meiji Rimactazid, Rifinh Rimcure, rivastar Pulna forte Rimstar 4 FDC

Galenium Sandoz, Indofarma Sandoz , Indofarma Landson Sandoz ANTILEPROTIK

Dapson Lamprene

ANTIFUNGI
1 Fungizone Diflucan Pfizer, Fahrenheit, Novell

2 3 4

Griseofulvin Itrakonazol Ketokonazol Nistatin Vorikonazol

Mycostop Sporanox; Sporacid Interzol; Nizoral Mycostatin Vfend

Pfizer, Jansenn Cilag Ikapharmindo

Terbinafin

Interbi; Lamisil

ANTIMALARIA
Artemisin/Artesunat+Amodiakuin Klorokuin fosfat/difosfat Kuinin diHCI Primetamin Primakuin Sulfadoksin+Pirimetamin Adefovir dipivoksil Asiklovir

Primet Fansidar

KF

ANTIVIRUS
1 Hepsera Zovirax; Zoster Glaxo Smith Kline

Entecavir Famasiklovir Gansiklovir Hepatitis B Imunoglobulin

Baraclude Famvir Cymevene Hepimun

Roche

Human Alfa Interferon Interferon Alfa 2a Pegylated Interferon Alfa 2b Pegylated

Intron-A; Kalferon; Alfanative Pegasys Peg Intron

Interferon Alfa 2a Pegylated Lamivudin Metisoprinosin Oseltamivir Ribavirin Telbivudin Valasiklovir Valgansiklovir Lamivudin Nevirapin Zidovudin

Roferon 3TC-HBV Isoprinosine Tamiflu Rebetol Sebivo Veltrex; Valvir Valcyte 3TC Viramun Retrovir

Glaxo Smith Kline

4 5 1

Glaxo, Soho Roche

ANTIRETROVIRAL
Glaxo Smith Kline

ANTIMIGRAIN/VERTIGO
ANTIMIGRAIN 1 2 3 Dihidroergotamin mesilat Ergotamin+Kafein Ergotamin tab 0.3 mg+ Belladona alk 0.1 mg+ Fenobarbital 20 mg) Flunarizin Sinarizin Sumatriptan Betahistin diHCI Betahistin mesilat Dihydergot Ericap, Cafergot Bellapheen Novartis

Sibelium, Frego

Janssen-Cilag, Kalbe

5 1 2

Imetrix; Triptagic Betaserc Merison ANTIVERTIGO Abbot Eisai

ANTIPARKINSON/DEMENTIA
1 2 3 4 4 Bromokriptin Entacapone L Dopa+Benserasid Kabergolin Pramipexole Elkrip;parlodel Comtan (Novartis) Madopar Cabergoline Sifrol ANTIPARKINSON Novartis Roche Boehringer

5 6 7

Selegiline Carbidopa+L-dopa+entacapone Triheksifenidil HCI

Jumex Stalevo Artane

Sanofi Novartis Mersifarma

Ropinirol

Requip

Glaxo Smith Kline

Donepezil Galantamin

Aricept,fordecia Reminyl

ANTI DEMENTIA Eisai , pharos, interbat Janssen-Cilag

Rivastigmin

Exelon

Novartis

Ginkobiloba

Tebokan, tanakam

Phapros, Combiphar

Dutasterid Fosfatidil serin memantin HCL

Avodart memoran, Neulin PS Abixa

Glaxo Smith Kline Soho, ferron Lunbeck

OBAT YANG MEMPENGARUHI DARAH


Asam Folat 1 2 Besi (II) dlm bentuk garam sulfat,fumara) Sianokobalamin Hemobion (komb);Iberet folic500,sangobion ,Ferizz(drops) Vit B12 ANTIANEMIA Otto, Sanbe,Novell,Dexa

Combiphar, Dexa, Merck, Kalbe, Sanb

Fe + multivit, as.folat

Ferriz, samgobion

Merck, Kalbe, Nicholas, Abbot, Combip

OBAT YANG MEMPENGARUHI DARAH


1 2 3 4 5 6 Alteplase Anti Thrombin III Asetosal Cilostazol Clopidogrel Dipiridamol Enoksaparin natrium Actilyse Kybemin P Aspilet;Ascardia;Kardioaspirin Pletaal:Citaz Plavix Persantin Lovenox Dexa medica Darya , Bayer Otsuka, Guardian, Kalbe, Dexa Sanofi, Ferron, Kalbe, Soho, Dexa

Sanofi

7 8

Fondaparinux natrium Heparin natrium Heparin dialisat Parnaparin natrium

Arixtra Inviclot Thrombophob Fluxum

Glaxo Smith Kline

Fahrenheit

10 11

Streptokinase Tiklopidin Urokinase Warfarin natrium Rivaroxaban

Ticlid Urokinase GCC Simarc 2 Xarelto

Prtapa Nirmala Bayer

12

Dabigatran

Pradaxa

Boehringer

13 1

Triflusal heparin Nadroparin NKCP Nattokinase Asam Traneksamat

Grendis

Abbot Glaxo smith kline Forpharm

Forkinase Transamin;Clonex;Kalnex

HEMOSTATIK
Kalbe, Sanbe, Dexa,

Etamsilat Fitomenadion(vit.K1) Karbazokrom

Dicynone Kavita Adona (AC -17)

Combiphar Tanabe, Ferron

Oktreotid Somatostatin Eritropoietin

Sandostatin Somatostatin-UCB Eprex

Novartis

HEMATOPOIETIK
Jansem cillag, Kalbe, Novell

Rekombinan Human Eritropoetin Filgrastim (GCSF)

rHuEPO Neupogen ; Keukokine Roche, Kalbe, Novell

PRODUK DARAH PENGGANTI PLASMA


1 Albumin (Human Albumin)

FRAKSI PLASMA UNTUK PEMAKAIAN KHUSUS Human Albumin Dipa pharmalab, Kalbe, Dexa, fahremh Behring;Plasbumin;Robumin

Faktor pembekuan darah VIII(konsentrat) Faktor pembekuan darah II,VII,IX,X (konsentrat) Kriopresipitat Plasma segar beku 2 Dekstran 40 Dekstran 70

Koate-DVI Konine

Dipa pharmalab

PENGGANTI PLASMA Otsuran L HM Dextran-NS

3 4 5

Fraksi Protein Plasma (termasuk Fibrinogen) Hidroksietil pati 6%(HES) Poligelin

Plasmanate infusion Haes-Steril Haemaccel

DIAGNOSTIK
OBAT KONTRAS Barium enema Barium sulfat EZ Gas II Gadodiamida Lodine Natrium/Meglumin amidotrizoat Liquid Polybar Plus Omniscan ;Magnevist;Dotarem Omnipaque;lopamiro; Ultravist;Optiray 320 Urografin

ANTISEPTIK DAN DESINFEKTAN


ANTISEPTIK Alkohol Etakridin Laktat (Rivanol) Hidrogen Peroksida Lodine Povidon Kalium Permanganat Kantaridin Polikresulen Canthacur Albothyl Rivanol Betadine; Isodine

DESINFEKTAN
Formalin Dialdehid Glutaraldehid Klorheksidin Diglukonat Klorheksidin 7,5%+ Cetrimide 1,5% Lisol Sublimat Cidex Cidex Hibiscrub Savlon; Hibicet HC;First Aid

OBAT UNTUK GIGI DAN MULUT


OBAT TOPIKAL UNTUK GIGI DAN MULUT Boraks Gliserin

DIURETIK
Amilorid HCI Furosemid Gliserol Hidroklorotiazid Klortalidon Manitol Lorinid-Mite Lasix; Furosix;Furosemid Actavis Sanofi, Landson

HCT Hygroton Manitol

Spironolakton Torasemid Asetazolamid Spironolakton + thiabutazid

Aldactone

Phapros, Kalbe, Soho

asetazolamid, glaucon A,dazide

Cendo Pfizer ANTIDIABETIK Antidiabetik oral Bayer, Dexa Sanofi Servier Boehringer Samofi, Kalbe, Medifarma

HORMON ENDOKRIN LAIN DAN KONTRASEPSI

1 2

Acarbose Glibenklamid Gliklazid Glikuidon Glimepirid (+ metformin)

Glucobay Daonil Diamicron MR Glurenom Amaryl;Gluvas

Glipizid 3 4 Metformin HCI Metformin HCI+Glibenklamid

Minidiab;Glucotrol XL Glucophage ; Glucophage XR;Glumin ;Glumin XR Glucovance

Pfizer Merck, Kalbe, Pharos, Ferrom Merck

Natelglinid Pioglitazon Repaglinid Rosiglitazon Rosiglitazon+Glimepirid Rosiglitazon+Metformin saxagliptin langliptin Vildagliptin vildagliptin metformin

Starlix Deculin ;Actos Novonom Avandia Avandaryl Avandamet onglyza tragenta Galvus Galvusmet

Takeda, Kalbe, Dexa

Astra zenica Boehringer Dexa medica Dexa medica

Insulin Regular

Actrapid HM/Actrapid HM Penfill; Humulin R; Actrapid Novolet

Antidiabetik parenteral Elli Lilly

Insulin Kerja Menengah(NPH)

Insulatard HM/ Insulatard HM Penfill; Humulin N; Insulatard Novolet Humulin 30/70; Mixtard Novolet Mixtard 30 HM/ Mixtard HM Penfill; Humalog Mixtard

Elli Lilly

Insulin Campur Iinsulin Regular+NPH) Insulin Analog Campur Lispro+NPH)

Elli Lilly

Elli Lilly

Insulin Analog Campur Aspart+NPH) Insulin Analog Aspart Insulin Analog Detemir Insulin Analog Glargine Insulin Analog Glulisin Insulin Analog Lispro

Novomix Flexpen Novorapid Flexpen Levemir Flexpen Lantus Apidra Humalog Nero-Mercazol Thyozol

Novo Nordis Novo Nordis Novo Nordis Sanofi Sanofi Elli Lilly

HORMON TIROID DAN ANTITIROID


1 2 Karbimazol Lugol Methimazol Propiltiourasil L-Tiroksin natrium Budesonid Deksametason Hidrokortison natrium suksinat Human Somatotropin Kortikotropin(ACTH) Metil Prednisolon asetat

Thyrax

KORTIKOSTEROID DAN KORTIKOTROPIN


Budenofalk Solu-Cortef Norditropin Kalbe, Phapros

(tablet)Medrol;Urbason;Lameson; (inj)solumedrol;Medixon

Sanofi, Kalbe, Ferrom, Pharos, Soho,

Prednisolon 2 Prednison TRH 3 Triamsinolon asetonid Betametason dipropionat Bromokriptin mesilat Cabergolin Desmopresin asetat Tibolon Vasopresin Kenacort A; Triamcort (tab);Kenacort (Inj) Bemoson Parlodel Dostinex DDAVP;Minirin Livial BMS, ferron, Novell, Pharos, Dexa Bermofarm

HORMON LAIN

OBAT ANTI OBESITAS


1 2 3 3 Mazindol Orlistat Rimonaban Sibutramin Teronac Xenical Acomplia Reductil (Abbot)

OBAT KARDIOVASKULER
ANTIANGINA Atenolol Tenormin

Bisoprolol

Concor ;Maintate

Diltiazem

Herbesser

Tanabe, fahrenheit, dexa

Isosorbid dinitrat

Cedocard

Darya Varia, GSK, KF, Pharos

Isosorbid mononitrat Metoprolol tartrat Nitrogliserin Trimetazidin Gliseril trinitrat

Monecto-20;Imdur Seloken;Lopresol Nitrocine Trizedon MR NITROkaf Retard/forte

Astra zenica, Pharos, Phapros Pharos Servier Pharsos , KF ANTIDISTRITMIA

Adenosin Amiodaron 1 Diltiazem

Adenocor Cordaron;Tiaryt Herbesser Sanofi, Darya, pharos

Esmolol Disopiramid Lidokain HCI Propranolol HCI Verapamil digoksin epinefrin (adrenalis)

Norpace; Rythmodan Xylocard Inderal;Farmadral Isoptin;Cardiover lanoxin Ephinephrine

Glaxo smith kline

ANTIHIPERTENSI
Imidapril 1 Kaptopril Lisinopril 2 Ramipril Tanapress Capoten Zestril Triatec, hyperil dexa medica, KF, interbat sanofi, ferron Golongan ACE inhibitor tanabe

Enalapril Perindropril + erginin

Melpril, renacardon bioprexum

Fahrenheit, meiji Servier

Perindropril + indapamid Perindropril + amlodipin

bioprexum plus coveram

Servier Servier

Golongan beta blocker 1 2 Atenolol Bisoprolol fumarat Tenormin Concor;Maintate Merck, pharos, Tanebe

Carvedilol Labetalol Metoprolol tartrat Propranolol HCI Sotalol bisoprolol + HCT Nebivolol 1 Amlodipin besilat

Dilbloc

roche, Kalbe

3 4 5

Seloken;Lopresol Sotacor Lodoz nabilet

Fahrenheit

Merck

Dexa medica Golongan calcium channel blocker Norvask;Tensivask;Theravask Pfizer, Merck, Kalbe, Darya, Dexa, Pha

Diltiazem

Herbesser CD 100, Herbesser inj

tanabe

Felodipin 3 Nifedipin

Plendi;Nirmadil Adalat/Adalat oros;Farmalat Bayer

4 5

Nicardipine Nimodipin

Perdipine Nimotop

Astellas, Pharos Bayer, Kalbe

Amlodipine + telmisartan

twinsta

boehringer

Amlodipine + Valsartam

Exforge

Novartis

Golongan alpha blocker Doksazosin Prazosin HCI Cardura Minipres

Terazosin

Hytrin Golongan angiotensin II antagonist Indofarma, sanofi, kalbe Takeda darya varia, kalbe, Takeda, KF boehringer Novartis

1 2 3 4 5

Irbesartan Kandesartan Losartan Telmisartan Valsartan

Aprovel Blopress Cozaar , angioten Micardis Diovan

Irbesartan + HCT Valsartan + HCT

Co aprovel Co diovan

sanofi Novartis

Telmisartan + HCT Kandesartan + HCT Olmesartan

Micardis plus Blopress plus Olmetec

boehringer Takeda, Dexa medica Pfizer Golongan lain-lain Boehringer

Klonidin HCI

Catapres

Metildopa anhidrat Natrium Nitroprusid

Dopamet Nipride (Sodium Nitroprusside for IV Infusion DBL) Toviaz

Actavis

Fesoterodin fumarat

Pfizer

GLIKOSIDA JANTUNG
1 Digoksin Lanoxin (inj) Glaxo smith kline, Fahrenheit

OBAT UNTUK SYOK


Inotropik 1 2 1 2 Dobutamin Dopamin HCI Adrenalin HCI/bitartrat Deksametason natrium fosfat Inotrop;Dobuject;Dobutamine Giulini Solvay, Kalbe, Fahremheit, Dexa Dopamin Giulini;Indop Ephinephrine Della Methason;Oradexon Fahremheit, phapros, Kalbe Vasokonstriktor

4 1

Efedrin HCI Fenilefrin HCI Isoprenalin HCI Norepinefrin bitartrat Atorvastatin

Isuprel Vascon Lipitor;Atorsan

Fahremheit, Dexa medica, samdoz, no

ANTIHIPERLIPIDEMIA

Pfizer, actavis, Kalbe, Combiphar, Dex

Fenofibrat

Lipanthyl

Abbot, Sandoz, Dexa, Ikapharmindo, e

Gemfibrozil Kolestiramin Niacin Pravastatin

Lopid Questran Niaspan Pravachol, Cholespar

Resuvastatin

Crestor

astra zenica

Simvastatin Ezetimibe ezetimibe + atorvastatin Atorvastatin amlodipine

Cholestat,, rechol, Zocor Ezetrol vytorin Caduet

Pharos, Kalbe Schering plough Schering plough Pfizer

VASODILATOR 1 Flunarizin Iloprost Naftidrofuril oksalat Pentoksifilin Sildenafil sitrat 3 Sitikolin Tadalafil Vardenafil Sibelium Ventavis Praxilene;Vascuprax Trental;Reotal Viagra Nicholin;Brain Act;Lancolin Cialis Levitra

Kalbe

THROMBOLITIK 1 Streptokinase Pentoksifilin Lumbrikus rubellus Fibrinolisin streptase Reotal Disolf Plasmin Dexa Medica Kalbe Dexa Medica Landson LAIN-LAIN Prostaglandin E1 Prostin VR Pediatric

OBAT TOPIKAL UNTUK KULIT


ANTIBAKTERI 1 Eritromisin Erymed

2 3

Framisetin sulfat Fusidat

Framycetin Foban;Fucidin;Futadem

4 5

Fusidat (asam) +Betametason valerat Klindamisin

Fucicort Comdacin;Mediklin

6 7

Metronidazol Mupirosin

Dumozol Bactoderm;Bactroban

Nadifloksasin Perak Sulfadiazin

Acuatim Dermazin 50 g, 150 g ANTIFUNGI

Ketokonazol

Ketomed;Nizoral

Klotrimazol

Candazole

Ketokonazol +Tar Mikonazol Nitrat

Fungitar shampoo Mycorine; Daktarin

Mikonazol Nitrat2%+Hidrokortison 1% Mikonazol Nitrat2%+ Seng Oksida Selenium sulfida

Brentan; Daktarin Diaper Selsun

Terbinafin

Termicil;Lamisil

ANTIVIRUS 1 Asiklovir Clinovir ,Danovir ANTIIFLAMASI DAN ANTIPRURITIK 1 Betametason dipropionat Beprosone ;Diprosone OV

Betametason valerat Boorschudmixture

Benoson

3 4

Desoksimetason Desonid

Esperson ;Inerson Dermades;Desolex

Diflukortolon valerat 5 Doksepin Flusinolon asetonid Flutikason propionat Hidrokortison asetat 6 Hidrokortison butirat Kalamin Klobetasol propinat

Nerisona;Nerisona FO Sagalon Dermasolon Medicort

Locoid Caladine; Calamed Kloderma

Metil Prednisolon aseponat Mometason furoat Prednikarbat

Advantan;Advantan FO Mofacort, Dermovel Dermatop Kenacort -A

Triamsinolon asetonid Larutan Hemodialisa Larutan Peri

LARUTAN DIALISIS
Peri Solution Otsuka

LARUTAN ELEKTROLIT,NUTRISI,DLL
ORAL 1 2 3 BCAA powder Oralit Nutrisi enteral Falkamin

Ensure ;Pan Enteral, Peptamen; Diabetasol;Nefrisol;Oxepa PARENTERAL

Aqua pro injeksi Asam amino

2 3

Asam amino+vitamin+elektrolit Asam amino rantai cabang (BCAA) Glukosa Kalium klorida Kalsium glukonat Larutan elektrolit Larutan kombinasi (dlm 1 liter):

Aminosteril infant;Aminosteril 6%;Pan AminG;Kidmin; Kalbamin;Primen Aminofusin L 600,Aminofusin Paed, Aminoleban;Aminofusin Hepar

4 5

Calcii Gluconas Tutofusin OPS Triofusin E 1000

Fruktosa 120 g ,glukosa 66 g, xylitol 60 g,elektrolit vitamin Larutan kombinasi (dlm 1 liter): Natrium 38,5 mek, CI 38,5 mek,glukosa 37,5 g Larutan kombinasi (dlm 1 liter): Natrium 60 mek,k 10 mek, CI 50 mek, laktat 20 mek,gluk 27 g Larutan kombinasi (dlm 1 liter):Natrium 50 mek,k 20 mek, CI 50 mek, laktat 20 mek, glukosa 27 g Larutan kombinasi: Glukosa 2,5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,225% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,9%=4:1(N4) Larutan kombinasi: Glukosa 10 % & Natrium klorida 0,9%=4:1(N5) Larutan kombinasi: glukosa+asam amino + elekrolit Larutan nutrisi+ elektrolit L-alanin+L-glutamin Lipid

KA-EN 1B

KA-EN 3A

KA-EN 3B

OTSU-D2,5,1/2 NS OTSU-D5,1/4 NS OTSU-D5,1/2 NS OTSU-D5, NS

OTSU-D10,0,18 NS

Kabiven

10 11 12

Triparen 1;Triparen 2;Clinimix;Combiflex;Vitrimix Dipeptiven Intralipid ;lvelip;Lipovenous

13 14 15 16

Natrium bikarbonat Natrium klorida Ringer Asetat Ringer Laktat

Meylon Otsuka ;Widatra Asering Ringer laktat

OBAT UNTUK MATA


SISTEMIK Asetazolamid Botulinum Toxin Gliserin Manitol Diamox;Glaucon Botox Manitol ;Manitol Firma International TOPIKAL Antimikroba Asam Fusidat Asiklovir Benzil Penisilin Dibekacin Flukonazol Fucithalmic Hervis Dibekacine Solnazol

Gentamisin Kloramfenikol Kloramfenikol + Hidrokortison asetat Levofloksasin

Cendo Gentamycin Cendo Fenicol Cendomycos

Cravit

Natamisin Neomisin+Polimiksin + Deksametason Ofloksasin Oksitetrasiklin Polimiksin Sulfasetamid Tobramisin Betametason Diklofenak natrium Hidrokortison asetat Kromoglikat natrium Atropin Sulfat Fenilefrin HCI Homatropin hidrobromid Tropikamid Adrenalin HCI Betaksolol HCI Brinzolamid Dorzolamid Karbakol Latanoprost Pilokarpin HCI Timolol Travoprost

Natacen Cendo Xitrol Cendo Floxa;Tarivid Terramycin Ophth CendoPolygran Cendo Cetamide;Albuvit Cendo Tobro Antiinflamasi Cendo Vosama Cendo Noncort

Midriatik CendoTropin Cendo Efrisel Cendo Homatro Cendomydriatyl Miotik dan antiglaukoma Optibet Azopt Trusopt Xalatan Cendo Carpin Tim-Opthal; Isotic Adretor Travatan

PSIKOFARMAKA
Alprazolam Xanax;Frixitas;Alganax ANTIANSIETAS DAN ANTIINSOMNIA pfizer, pharos, Kalbe

Bromozepam Diazepam Estazolam Klobazam Lorazepam

Lexotan Valium Esilgan Frisium Ativan

Roche, actavis, fahrenheit Takeda Sanofi Sunthi sepuri, mersifarma

Zolpidem Klonazepam

Stilnox;Zolmia Riclona

Mersifarma

Remelteon Amitriptilin HCI Duloksetin Escilatopram Fluoksetin Imipramin Klomipramin Litium karbonat

Rozerem

Takeda ANTIDEPRESI DAN ANTIMANIA Boehringer lunbeck Pharos, sunthi sepuri, kalbe novartis novartis

Cymbalta Cipralex Prozac ;Lodep;Kalxetin Tofranil Anafranil Frimania

Sertralin Venlafaksin HCI Maprotilin

Zoloft;Zerlin;Fridep Efexor XR Ludiomil

pfizer, pharos, kalbe Pfizer novartis

ANTIOBSESI DAN ANTIKOMPULSI


Klomipramin Aripiprazol Anafranil

ANTIPSIKOSIS
Abilify

Haloperidol

Serenace ; Lodomer

Pfizer, Mersifarma, guardian

Haloperidol dekanoat Klorpromazin HCI Klozapin Olanzapin Perfenazin

Haldol Decanoas Mersi farma Clozaril ; Luften Zyprexa Pharos Sandoz, pgaros Schering plough

Pimozid Quetiapin

Orap Forte Seroquel

Astra zenica

Risperidon

Risperdal ;Zofredal ;Persidal

Jansen,Kalbe, guardian, pharos

Trifluoperazin Zotepin

Stelazine Lodopin

Glaxo smith kline, mersi farma

ANTI ADHD
Metifenidat HCI Ritalin Novartis, Janssen

RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINEST


Atrakurium besilat Baklofen Esperison Klorzoksazon Pankuronium bromida Rokuronium bromida Suksinilkolin Tizanidin Vecuronium bromida PENGHAMBAT NEUROMUSKULAR Tracrium;Atracurium Hameln Glaxo smith kline, Dexa, Novell Lioresal Myonal Solaxin Pavulon Esmeron Quelicin SirdaludMyores, Phardex Norcuron;Ecron Novartis Eisai, Interbat, Kalbe, Pharos Organon Kalbe, Novell Abbot Mepro, Prima Pharos OBAT UNTUK MISTENIA GRAVIS Transfarma Transfarma Combiphar, Glaxo smith kline

Neostigmin metilsulfat Pridostigmin bromida Azatioprin

Postigmin Mestinon azathioprine, Imuran

OBAT UNTUK SALURAN CERNA


ANTASIDA DAN ULKUS,ANTIBUSA Alumunium hidroksida+ Magnesium hidroksida Alumunium hidroksida+Magnesium hidroksida+ Simetikon

Myalanta ;Polycrol

Esomeprazol

Nexium;Nexium IV

Astra zenica

3 4 5

Misoprostol Omeprazol Pantoprazol

Cytotec Losec;OMZ;Ozid Pantozol

Astra zenica, ferron, Darya, Soho, San

Pharos, novell, Otto, Soho, dexa, kalbe

Ranitidin

Zantac;Rantin;Wiacid

7 7 8 10 11

Rebamipide Simetikon Sukralfat Teprenon rabeprazol

Mucosta

Pharos, otsuka

Inpepsa Purubex Pariet

Fahrenheit, Kalbe, Gracia, otto, ikapha Eisai Eisai

9 13 14

Lansoprazol cisaprid Fucoidan

prosogan,lancid acpulsif fucoidan

Takeda, Kalbe, dexa, gracia, sanbe, no Dexa medica Soho ANTIEMETIK

1 2 3 4

Betahistin mesilat Dimenhidrinat Domperidon Metoklopramid HCI

Betaserc;Merislon Dramine Sed generik Primperan

Janssen, Kalbe, Dexa, Ikapharm, Bern Otto, fajhrenheit, soho, actavis

Ondansetron HCI

Zofran;Narfos;Ondavell

Glaxo smith kline, Kalbe, soho, fahrenh

Piratiasin teoklat Tegaserod Granisetron palonosetron ramosetron

Mediamer B6 Zelmaz kytril, granon paloxi nasea Roche, dexa kalbe astellas ANTIHEMORRHOID

1 2

Bismut subgalat Etoksisklerol/Polidocanol Hidrosmin Diosmin 450 mg + Heesperidin 50 mg Atropin sulfat Butropium bromida

Aethoxysklerol Venosmil Ardium ANTISPASMODIK Atrium Sulfat Caliopan Buscopan Boehringer OBAT UNTUK DIARE

Hiosin n-butil bromida

Garam Oralit I Loperamid HCI Smektit 1 Bisakodil Imodium Smecta Dulcolax LAKSATIF Boehringer

Gliserin Kombinasi Natrium lauril

Microlax

Pharos

sulfoasetat + Natrium sitrat asam sorbat+PEG +Sorbitol Laktulosa

Extralac, lactulac, Duphalac

Soho, Ikapharmindo, KF

Magnesium sulfat Natrium Fosfosoda Parafin+Gliserin

Garam Inggris Fleet Enema; Fleet Phosposoda Lexadine Galenium pharm

Lain-lain Asam ursodeoksikholat Glicirrhyzin HEFC Kombinasi enzimsal cerna L-Ornitin L-Aspartat Mesalazin Urdafalk; Estazor Stronger Neo-Minophagen C HEFC Vitazym Hepa-Merz Salofalk; Sulfitis (tab)

Schisandrin

Hp Pro

OBAT UNTUK SALURAN NAFAS


ANTIASMA 1 Adrenalin bitartrat Aminofilin Beklometason 2 3 Budesonide Deksametason natrium fosfat Adrenalin Aminophylinum Becotide; Beclomed easyhaler Pulmicort; Inflammide Oradexon; Kalmethason Astra zenica

4 5 6 7 7

Efedrin HCI Fenoterol HBr Ipratropium bromida Isoprenalin HCI Klenbuterol Prokaterol HCI hemihidrat

(inj) Sed. Generik; Ephedrin HCI; (tab) sed generik Berotec Atrovent Isupel Spiropent Meptin air inhaler Boehringer

Salbutamol

Ventolin; Lasel

Glaxo, pharos, Lapi, Boehringer, fahre

9 10

Salbutamol 2,5 mg + Ipratropium Bromida 0,5 mg Salmoterol 25 mcg + Flutikason proprionat 50 mcg/125 mcg

Combivent Seretide 50 inhalasi, seretide 125 inhalasi

Glaxo, pharos, Lapi, Boehringer, fahre Glaxo smith kline

11

Teofilin

Euphyllin R mite; Quibron TSR

12

Terbutalin Sulfat

Bricasma; Nairet; Forasma

Astra zenica

ANTITUSIF 1 1 Dekstrometorfan HBr Kodein HCI Codipront Pharmosolindo

Ambroksol

Mucopect; Transbroncho

MUKOLITIK Boehringer, sanbe, gracia, sanofi

Bromheksin HCI

Bisolvon

3 4

Erdostein N-asetil sistein

Vectrin Fluimucyl

EKSPEKTORAN 1 Obat batuk Hitam OBH LAIN-LAIN Abbot

Beractant

Survanta

OBAT YANG MEMPENGARUHI SISTEM IMUN

SERUM DAN IMUNOGLOBULIN Gama Globulin Imun Serum Antibisa Ular Serum Antidifteri Serum Antitetanus Serum Hiperimun Antirabies Serum Imun Globulin Tetanus Imun Globulin Vaksin Antipolio Vaksin antirabies Vaksin BCG Vaksin Campak Vaksin Difteri Pertusis dan Tetanus Vaksin Difteri dan Tetanus Vaksin Hemophilus influenzae B Vaksin Hepatitis A Vaksin Hepatitis B Vaksin Influenza Vaksin Kombinasi DPaT-Hib Vaksin Kombinasi DPT,Hib,Polio Vaksin Meningitis meningokokal Vaksin MMR Vaksin HPV Vaksin Japanese ensefalitis Vaksin Pneumokokus Vaksin PPD Vaksin Rotavirus Vaksin Serap Tetanus Vaksin TT Vaksin Tipa Vaksin Varisela Vaksin Yellow Fever 1,25 di (OH) kolekalsiferol 1 Asam Askorbat Gammaraas

Gamimune N10% Teragem P Vaksin polio oral VAKSIN Vaksin polio oral Imogam Rabbies;Verorab Vaksin BCG Vaksin Campak Vaksin serap DTP Vaksin serap DT (Hiberix) Havrix 720 junior;Avaxim 80;Avaxim 160 Fluarix;Vaxigrip Infanrix-Hib ; Tetrac Hib Pediacel Mencevax Trimovax Gardasil;Servarix Prevenar (PCV);Pneumo 23 Rotarix Vaksin TT Bio Farma Varilix;Okavax

VITAMIN DAN MINERAL


Kolkatriol Extrace:Max C

Asam Folat Biotin Fluorida Hidroksokobalamin Isotretinoin/acitretin Kalium aspartat/klorida Kalium sitrat Kalium dihidrogen fosfat Kalsium glukonat

Folid Acid

Neotigason KSR;Aspar-K

Calcii gluconas

3 4 5

Kalsium karbonat Kalsium laktat/fosfat Kombinasi Betakaroten,Vitamin C, vitamin E,Zinc,Selenium Kombinasi vitamin B

Osteocal Kalk Seloxy Neurobion; Neurobion 5000;

nerva plus L-Arginin L-Karnitin+Ubiquinon Mekobalamin Mineral-Mix 7 Multivitamin Natrium benzoat Multivitamin untuk infus Niasinamid Pridoksin HCI(vit B6) Retinol (Vit.A) Riboflavin Zn Pikolinat+Zn glukonat+ Cu glukonat Suplemen untuk mata Thiamin HCI Thiamin nitrat+Kalsium pantotenat+Medical yeast+cystin +keratin+ asam p-amino benzoat Thiamin Tetrahidrofurfuril Disulfid Nutrilin;Licoxy;Zegravit MVI R-Gene Carnico-Q Methycobal; Lapiqbal

Zinc Pharmacore

Optimax

Pantogar

Alinamin/Alinamin-F-Odorless

Trace elements untuk infus Vitamin B12 Vitamin B Kompleks Vitamin D Vitamin D analog: Alfakalsidol Vitamin D analog:Kalsitriol Vitamin D analog:Kolekalsiferol Vitamin D analog: Dihidrotakhisterol Vitamin D analog:Ergokalsiferol Vitamin E (Tokoferol) Vitamin K3/K1

Peditrace

Evion;Dalfarol

OBAT YANG MEMPENGARUHI SALURAN KEMIH


ALPHA BLOCKER

1 2

Terazosin Doksazosin Tamsulosin Alfuzosin Finasterid Dutasterid Fenazopiridin

Hytrin Cardura Hamal Xatral XL 5 ALPHAREDUCTASE INHIBITOR Prostacom Proscar Avodart ANTISEPTIK ANTIMUSKARINIK

Tolterodin I-tartrat Solifenasin

Detrusitol Vesicare PARASIMPATOMIMETIK

Karbakol Distigmin bromidum Lubricant untuk USG Lubricant Ko-dergokrin mesilat

Urocarb Ubretid LAIN-LAIN Aquasonic KY Jelly Hydergin

Pirasetam Xantinol Xantinate Co enzym Q-!0 Piritinol Hcl

Nootropil,Neurotam Complamin encephabol

UCB, Kalbe, Soho

Fahrenheit, darya Merck

OSTEOARTRITIS dan METABOLISME TULANG


Risedronat Kalsitonin Actonel Miacalcic Sanofi, kalbe Novartis

zeledronat asam ibandronik Kalsitriol 1 Glucosamin Raloksifen Alendronat Klodronat dinatrium

Zometa, aclasta bonviva Rocaltrol, klokatriol, oscal Viopor, rebone, mediflex, fitajoint Evista, osteonate OD Nichospor Bonefos

Novartis Roche, kalbe Roche, phapros, escolab, kalbe Otto, puspa farma, combiphar Elli lilly

TOTAL

USER

dr. Kemal Imran, SpS, MARS NIP. 196812292000031001

TAAN OBAT
PACKING SEDIAAN KEMASAN HARGA SEDIAAN JUMLAH PESANAN

ANTI-REMATIK, ANTIPIRAI
10 mL patch 25 mcg/hr patch 50 mcg/hr box box box 5x1 5x1 5x1 Rp Rp Rp 338,200 600,000 1,080,000 12 2 2

5 mcg/mL (10 mL) 500 mg/mL (2 mL) cap 250 mg cap 500 mg tab enteric coat 25 mg tabenteric coat 50 mg inj 75 mg/3 mL retard tab 100 mg SR tab 75 mg supp 100 mg supp 50 mg emulgel 1% 10 g emulgel 1% 20 g emulgel 1% 50 g caplet 200 mg chew tab 100 mg supp 125 mg forte syr 200 mg/5 mL syr 100 mg/5 mL cap 100 mg CR cap 200 mg coated tab 100 mg inj 100 mg/2 mL (2 mL) supp 100 mg inj 30 mg/mL tab 10 mg inj 15 mg/mL tab 15 mg tab 7.5 mg

box box box box box box box box box pack pack tube tube tube pack box box bottle bottle pack pack pack box pack

5x1 5x1 10x10 10x10 5x10 5x10 5x1 5x10 5x10 10 10 1 1 1 50x1 2x10 2x5 50 mLx1 60 mLx1 100 50 100 6x1 10 pcs 6x1 20 5x1 30 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

440,000 39,915 47,500 105,000 118,040 205,640 160,470 383,330 281,670 137,795 77,855 23,500 39,000 86,000 45,100 20,900 39,600 20,350 15,950 161,500 439,360 414,333 152,368 107,166 224,881 93,800 191,950 380,600 233,860 60 30 2 20 2 4 2 2 2 2 12 12 12 12 2 2 12 12 0 40 2 2 2 20 2 12 2 2

box pack pack

0 cap 500 mg pack pack rectal cr 125 mg/2.5 mL rectal cr 250 mg/4 mL syr 120 mg/5 mL FC cap FC cap powd for inj 40 mg tab cap 10 mg cap 20 mg dispersible tab 20 mg flash tab 20 mg box box bottle box box vial box pack pack pack pack 100 1000 5x1 5x1 60 mLx1 6x10 10x10 1 10x10 50 50 50 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 30,450 288,450 48,000 68,000 13,328 69,000 100,000 89,805 64,000 226,820 449,525 441,485 341,085 12 2 4 4 12 20 30

cap 100 mg cap 200 mg FC caplet cap 50 mg cap 50 mg inj 50 mg/2 mL inj 50 mg/mL retard tab 100 mg supp 100 mg tab 120 mg tab 60 mg tab 90 mg tab 25 mg inj 50 mg/2 mL

pack pack box pack pack box box pack pack pack pack pack box box

10x3 10x3 10x10 60 50 5x1 5x1 10 10 30 30 30 5x10 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

196,875 340,045 99,000 183,603 235,000 145,750 100,650 77,000 139,150 363,000 257,400 280,500 235,000 178,500

12 2 2 2 0 0 20 2 12 6 20 4 12 2 2 2 2 2 20 4 0

tab tab cap tab 100 mg tab 300 mg inj 10 mg/mL tab 50 mg

box box pack pack pack pack pack prefilled syringe pack

3x10 10x10 60 200 60 100 30 2 mLx1 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp

159,000 200,000 270,000 380,050 120,450 419,320 132,220 420,000 748,990

0 100 2

ANTIPIRAI 2 2 2 2 0 0 0 0 0 2

tab 0.5 mg tab 10 mg tab 20 mg inj (amp) 5 mg/mL inj (vial) 5 mg/mL

box pack pack box box

3x10 30 30 10x10 10x10

Rp Rp Rp Rp Rp

105,000 500,230 844,190 570,000 570,000

inj (vial) 50 mg/5 mL tab 2.5 mg tab 500 mg inj 1000 mg inj 200 mg inj 500 mg cap 500 mg infusion 100 mg

vial pack pack vial vial vial box vial

1 50 50 1 1 1 10x10 5 mLx1

Rp Rp Rp Rp Rp Rp Rp Rp

90,000 105,000 997,230 537,140 159,500 354,500 495,000 5,454,545

TIK
inj 0.5% ( duofit polyamp 20 mL) box 5x1 Rp 317,905

LOKAL

inj 2% ( duofit polyamp 2 mL) inj 2% ( duofit polyamp 20 mL) inj 2 mL inj 50 mg/mL (amp 2 mL) cream 5 g

box box box box tube

50x1 5x1 20x1 5x1 1

Rp Rp Rp Rp Rp

294,456 230,116 53,906 275,000 44,221

16 4 6

inj 7.5 mg/mL (20 mL) inj 2 mL

box box

5x1 20x1

Rp Rp

444,010 53,906

UMUM

inj 100 mg/mL (10 mL) inj 15 mg/3 mL inj 5 mg/5 mL os, B-Braun, Dexa Medica inhalation vapour liquid 250 mL infusion 500 mg

vial box box bottle

1 5x1 10x1 1

Rp Rp Rp Rp

239,350 286,086 229,202 2,420,000

vial

Rp

59,000

EOPERATIF

avis , Fahrenheit

NTUK ANAFILAKSIS
tab 5 mg syr 0.5 mg/mL (60 mL) pack bottle 30 1 Rp Rp 180,090 64,170

tab 30 mg HD tab 180 mg OD tab 120 mg XR tab tab 25 mg syr 10 mg/5 mL (100 mL) tab 25 mg tab 10 mg

box pack box box pack bottle pack pack pack box box bottle bottle box pack box bottle pack

5x10 10 10x10 10x10 100 1 100 100 300 5x10 5x10 1 1 3x10 30 3x10 1 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

171,875 64,680 572,795 376,923 117,329 22,500 160,000 88,000 253,500 248,050 165,000 47,800 37,950 150,000 110,000 58,500 15,000 45,000 2 0 0 0 0 0 2 2 0 12 12 2 2

tab 10 mg cap drops 10 mg/mL (20 mL) syr 5 mg/5 mL (60 mL) tab 10 mg tab 5 mg tab 10 mg syr 50 mg/mL (60 mL) tab 50 mg

UNTUK KERACUNAN

dispertab 125 mg dispertab 250 mg dispertab 500 mg tab 500 mg

box pack box pack

4x7 28 4x7 100

Rp Rp Rp Rp

2,000,000 3,978,495 7,932,655 260,000

powd for inj 500 mg inj 50 mg/10 mL tab 15 mg infusion 400 mg (amp 4 mL) inj 0.4 mg/mL (2 mL) inj 0.5 mg/mL

box vial pack box box box

10x1 1 20 15x1 5x1 5x1

Rp Rp Rp Rp Rp Rp

990,845 325,000 275,000 1,126,780 350,000 45,100

syr 66.7%/5 mL (120 mL) inj 10 mg/2 mL

bottle

Rp

57,500

EPSI
box 5x1 Rp 120,337 10

tab 5 mg cap 100 mg inj 250 mg/ 5 mL Mersifarma cap 300 mg chew tab 100 mg CR tab 200 mg syr 100 mg/5 mL (120 mL) tab 200 mg tab 2 mg FC tab 250 mg FC tab 500 mg tab 300 mg tab 600 mg cap 150 mg cap 50 mg cap 75 mg cap 15 mg cap 25 mg cap 50 mg tab 100 mg tab 25 mg tab 50 mg tab 250 mg syr ER tab 250 mg ER tab 500 mg tab 100 mg tab 50 mg tab 50 mg

pack pack box tab amp pack box pack bottle box pack pack pack box box pack pack pack pack pack pack box box box pack pack pack box box pack

100 100 10x1

Rp Rp Rp

297,476 302,165 757,700

4 8 8 334 8 4 8 8 68 4 12 16 0 8

100 5x10 50 1 5x10 100 30 20 5x10 5x10 14 14 14 60 60 60 6x10 6x10 6x10 100 100 100 3x10 3x10 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ?

1,093,010 128,000 202,500 74,000 174,500 516,624 240,350 315,600 388,735 726,705 239,425 100,585 145,110 227,600 377,500 468,125 482,500 241,000 300,000 587,290 435,435 870,898 229,169 176,153

4 4

4 500 4 0

TERI
cap 250 mg cap 500 mg dispers tab 250 mg dry syr 125 mg/5 mL (60 mL) Forte dry syr 250 mg/ 5 mL (60 mL) infusion 1 g paed oral drops 100 mg/mL (15 mL) tab 1 g tab 625 mg Forte oral susp (60 mL) oral susp (60 mL) powd for inj 1.5 g powd for inj 750 mg tab 375 mg box box box bottle bottle box bottle pack pack bottle bottle vial vial pack 10x10 10x10 10x10 1 1 10x1 1 14 60 1 1 1 1 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 136,840 280,340 120,950 19,230 27,425 192,290 19,230 131,016 415,508 53,818 40,053 125,000 65,000 410,000 12 2 2 12 12 2 12 20 2 12 12 0 0 0 0

enisilin

syr 250 mg/5 mL (60 mL) tab 250 mg tab 625 mg cap 500 mg powd for inj 1000 mg powd for inj 500 mg powd for inj 4.5 g powd for inj 3 juta U powd for inj 1 g pow for inj 2 g

bottle box box box box box vial vial box box

1 10x10 10x10 10x10 10x1 10x1 1 1 10x1 10x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

30,360 121,800 240,000 331,150 26,400 15,400 264,000 9,800 323,274 523,090

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 2 12 0 0 0 0 0 0 200 12 2 2 2

oglikosida inj 250 mg (2 mL) inj 500 mg (2 mL) inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL inj 100 mg inj 150 mg/1.5 mL inj 300 mg/1.5 mL inj 50 mg inj 100 mg/2 mL inj 50 mg/mL box box vial amp vial amp vial amp amp amp amp amp 10x1 10x1 1 1 1 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 85,000 152,250 22,100 44,100 55,200 104,600 158,900 262,200 59,000 77,000 56,250

amfenikol cap 250 mg cap 500 mg dry syr 125 mg/5 mL (60 mL) cap 500 mg tab 250 mg tab 500 mg inf 500 mg/100 mL tab 400 mg inf 400 mg/250 mL tab 200 mg tab 400 mg tab 400 mg IV inf 200 mg/100 mL IV inf 400 mg/200 mL tab 500 mg XR tab 1000 mg XR tab 500 mg box box bottle box box box vial pack vial pack pack box vial vial pack pack pack 10x10 10x10 1 3x10 3x10 3x10 1 5 1 30 30 5x6 1 1 20 10 10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 260,000 360,000 30,500 110,000 150,000 210,000 215,000 242,550 431,750 225,000 370,000 660,000 201,600 309,750 370,700 347,600 185,850

uinolon

akrolid

cap 250 mg cap 500 mg oral susp 200 mg/5 mL (15 mL) cap 250 mg

pack pack bottle

10 10 1

Rp Rp Rp

148,500 275,000 88,000

30 2 12

pack pack pack pack bottle bottle bottle pack box box container bottle bottle pack pack

100 500 100 100 1 1 1 100 3x10 3x10 1 1 1 6 3

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

367,345 887,530 385,385 660,000 50,160 47,300 28,302 304,975 231,750 589,050 122,245 86,910 148,465 143,920 143,920

12 2 2 2 12 12 12 2 0 0 0 120 12 12 2 2

tab 200 mg Forte tab 500 mg oral susp 200 mg/5 mL (60 mL) oral drops 100 mg/2.5 mL (30 mL) Forte oral susp 250 mg/5 mL (60 mL) tab 200 mg FC cap 250 mg FC cap 500 mg oral susp 2 g oral susp 200 mg/5 mL (15 mL) powd for inj 500 mg tab 250 mg tab 500 mg

losporin cap 250 mg cap 500 mg dry syr 125 mg/5 mL (60 mL) dry syr 250 mg/5 mL (60 mL) powd for inj 1 g box box bottle bottle 10x10 10x10 1 1 Rp Rp Rp Rp 430,500 872,500 35,980 61,835 60 2 12 12

vial box box bottle box box vial vial vial box box pack vial vial vial vial

1 3x1 3x10 1 1x10 2x1 1 1 1 3x10 3x10 30 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

82,000 65,000 505,000 75,000 259,000 240,000 155,000 120,000 92,000 300,000 450,000 210,000 290,462 148,000 72,000 185,000 20 12 2 200 200 120 120 0 0 0 200 300 12 0 200

cap 100 mg dry syr 100 mg/5 mL (30 mL) tab 200 mg inj 1 g powd for inj inj 1 g powd for inj 1 g tab 100 mg tab 200 mg cap 500 mg powd for inj 1 g powd for inj 1 g powd for inj 500 mg powd for inj 1 g

IV inj 1 g cap 500 mg inj 750 mg tab 500 mg cap 100 mg

vial pack box pack box

1 30 1 20 3x10

Rp Rp Rp Rp Rp

250,000 520,000 120,000 385,000 350,000

200 0 0 0 0 0 4 2 0 0 0 0 0 0 2 2 12 12 2 0 0 2 12 2 0 0 2 2 60 2 2 2 0 0 12 0 0 0 0 0 120 12 12 0 0 2 2 2 2 2 2

rasiklin cap 100 mg cap 50 mg powd for inj 50 mg/10 mL (10 mL) cap 500 mg cap 250 mg inf 50 mg/5 mL inj 1 g inj 2 g IV inj cap 150 mg cap 300 mg tab 1.5 juta IU tab 2.5 juta IU Forte cap syr (60 mL) tab inf 2 mg/mL (300 mL) tab 600 mg IV inj 1 g IV inj 500 g oral susp 125 mg/5 mL supp 0.5 g supp 1 g Forte tab 500 mg powd for inj 400 mg powd for inj 0.5 g enema 4 g tab 250 mg tab 500 mg supp 500 mg inj 500 mg inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL powd for inj 1 g powd for inj 1 g tab 250 mg tab 500 mg Forte tab tab tab 500 mg cap 300 mg box box box box box box box box vial pack pack pack pack box bottle box bottle pack box box bottle strip strip box vial box box pack pack pack box vial amp vial vial box pack pack pack pack box box 3x10 3x10 10x1 10x10 10x10 10x1 10x1 10x1 1 30 30 50 100 10x10 1 10x10 1 10 10x1 10x1 1 10 10 10x10 1 2x1 4x1 100 100 30 10x1 1 1 1 1 2x1 100 100 350 1500 10x10 5x10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 99,000 69,000 84,095 95,300 37,400 5,000,000 82,300 136,900 262,250 181,310 326,345 255,000 105,000 158,000 20,330 70,000 555,765 5,175,365 4,345,704 3,356,278 39,335 98,453 188,407 479,558 590,247 360,000 101,000 466,000 765,000 525,000 440,000 22,100 44,100 55,200 510,000 360,000 42,000 88,000 274,034 505,310 121,000 217,500

in-lain

ULOSIS

cap 450 mg cap 600 mg syr 20 mg/mL (50 mL) syr 20 mg/mL (100 mL) powd for inj 1 g powd for inj 5 g 450/300 captab paed chew tab paed chew tab 3FDC tab Forte cap tab 4FDC tab

box box bottle bottle vial vial box pack box pack box pack box

25x4 25x4 1 1 1 1 5x6 50 6x10 30 10x10 100 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

544,000 700,000 45,000 84,000 4,600 12,000 232,200 99,600 144,000 144,000 154,350 81,900 160,500

2 2 12 12 12 12 12 2 6 2 2 2 12

OTIK

NGI
cap 150 mg cap 50 mg powd for inj 2 mg/mL (100 mL) tab 500 mg cap 100 mg tab 200 mg oral susp 100.000 U/mL tab 200 mg tab 50 mg inf 200 mg tab 125 mg tab 250 mg cream 1% 5 g cream 1% 10 g box pack vial box pack pack pack bottle pack vial box box tube tube 5x1 10 1 10x10 28 150 30 1 10 2x10 1 2x6 2x6 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ? Rp Rp Rp 411,225 274,165 308,980 506,000 700,000 1,500,000 315,000 45,300 3,322,370 1,129,600 385,500 25,200 45,500 0 12 2 12 2 0 2 2 120 0 0 0 0 0 0 0 0 0 0 0 0 2 0 50 2 12 12 0 0 0 12 0

ARIA

tab tab 10 mg tab 200 mg IV infusion cream 5% tab 0.5 mg tab 1 mg tab 250 mg infusion 500 mg cap

pack pack box vial tube 2 g tube 5 g pack pack box vial box

60 30 5x5 1 1 1 10 3x10 3x7 1 3x10

Rp Rp Rp Rp Rp Rp ? ? Rp Rp Rp

393,559 1,080,882 198,000 1,000,000 56,000 105,000

US

623,230 668,342 66,150

Plus syr 60 mL powd for inj 3MIU/mL inj 135 mcg inj 180 mcg powd for inj 120 mcg powd for inj 50 mcg powd for inj 80 mcg prefilled pen 100 mcg prefilled pen 120 mcg prefilled pen 50 mcg prefilled pen 80 mcg tab 100 mg syr 250 mg/5 mL (60 mL) tab 500 mg cap 200 mg tab 600 mg cap 500 mg tab 450 mg tab 150 mg

bottle box prefilled syringe 0.5 mL vial vial vial pen pen pen pen pack bottle pack pack box box pack pack

1 3x1 1 1 1 1 1 1 1 1 1 14 1 8 36 2x14 5x10 60 60

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

22,050 400,000 1,959,664 2,269,491 2,558,520 1,301,000 2,081,390 2,282,180 2,558,520 1,319,630 2,092,770 480,000 61,200 63,500 332,640 1,316,500 600,000 14,542,936 480,000

0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 12 2 2 0 0

VIRAL

VERTIGO
tab 2.5 mg tab drag box box pack 10x1 10 500 Rp Rp Rp 1,092,733 666,314 650,000 34 34 2

RAIN

tab 10 mg tab 5 mg cap 100 mg tab 24 mg tab 8 mg tab 6 mg

box box pack pack pack pack

5x10 5x10 2 20 100 100

Rp Rp Rp Rp Rp Rp

260,000 185,000 70,000 107,000 130,650 220,000

8 8 0 160 160 4 4

IGO

/DEMENTIA
tab 2.5 mg tab 200 mg disp tab 125 tab 0.125 mg tab 0.25 mg XR tab 0.375 mg XR tab 0.75 mg tab 5 mg tab 100/25/200 mg tab 200/50/200 tab 2 mg box pack pack box box box box pack pack pack pack pack 30 30 30 3x10 3x10 3x10 3x10 50 30 30 1000 250 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 331,050 432,725 135,167 155,870 276,210 445,170 789,030 375,848 514,000 600,000 230,000 71,000 12 6 24 0 24 0 0 0 8 6 0 2

NSON

tab 2 mg tab 4 mg tab 8 mg tab 5 mg PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg Forte tab 120 mg Spesial tab 80 mg tab cap 0.5 mg

pack pack pack pack blister bottle box box pack box box box pack box pack pack pack pack

28 42 28 28 14 30 4x7 4x7 14 4x14 4x7 4x7 14 4x14 30 30 100 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

193,768 239,124 229,169 269,645 481,423 982,500 1,265,000 1,105,000 279,500 1,265,000 1,265,000 1,105,000 279,500 1,265,000 389,000 259,545 399,993 270,000 12 0 0 0 0 0 4 4 4 2 6

ENTIA

GARUHI DARAH

MIA ,Novell,Dexa cap inj 500 mcg/5 mL tab 50 mcg tab 115.4 mg drops 15 mg/mL (15 mL) syr 15 mg/5 mL (100 mL) infusion 50 mg inj 50 IU/mL (10 mL) chew tab 80 mg tab 100 mg tab 50 mg tab 75 mg tab 25 mg tab 75 mg inj 20 mg/0.2 mL inj 40 mg/0.4 mL inj 60 mg/0.6 mL inj 2.5 mg/0.5 mL inj 5000 IU/mL (5 mL) oint 15 g topical gel 20000 IU 20 g inj 4250 Axa IU/0.4 mL inj 6400 Axa IU/0.6 mL pack box pack box bottle bottle vial vial pack pack pack pack pack pack box box box box vial tube tube syringe syringe 10 100 1000 3x10 1 1 1 1 100 50 50 28 200 100 2x1 2x1 2x1 2x1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 122,100 9,980 32,044 23,000 18,000 25,500 6,547,530 3,450,000 36,700 498,000 275,000 610,555 366,630 443,080 137,070 242,680 347,160 655,500 55,000 14,369 36,300 690,000 1,050,000 2 0 2 2 10 12 12 2 2 6 12 2 2 2 2 0 0 0 0 120 60 12 0 0

GARUHI DARAH

powd for inj 1.5 juta IU tab 250 mg tab 2 mg FC tab 10 mg FC tab 15 mg FC tab 20 mg cap 110 mg cap 150 mg cap 75 mg cap 300 mg

vial box box pack pack pack box box box pack

1 2x10 10x10 10 28 28 3x10 3x10 3x10 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,520,000 219,420 120,000 250,000 700,000 700,000 554,950 554,950 554,950 150,000

cap 50 mg cap 250 mg tab 500 mg inj 250 mg/5 mL inj 500 mg/5 mL inj 250 mg/2 mL tab 500 mg inj 10 mg/2 mL inj 25 mg/5 mL inj 50 mg/10 mL Forte tab 30 mg tab 10 mg inj 0.1 mg/mL

cap pack pack box box box pack box box box box box amp 100 100 10x1 10x1 6x1 20 10x1 10x1 10x1 10x10 10x10 5x1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 138,000 240,000 75,000 105,000 30,280 47,300 78,208 133,560 194,412 283,500 189,000 1,396,000

2 0 0 12 1 1 1 1 1 1 0 0 0 100 2 2 2 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ATIK

OIETIK
inj 10000 IU/mL inj 2000 IU/0.5 mL inj 4000 IU/0.4 mL box box box 6x1 6x1 6x1 Rp Rp Rp 6,747,300 1,493,100 2,946,300

inj 30 MU/mL

prefilled syrg

Rp

846,126

GGANTI PLASMA
vial vial vial bottle bottle bottle bottle bottle bottle 1 1 1 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp 338,000 792,500 1,585,000 681,250 1,362,500 300,000 1,040,000 1,268,225 2,536,450 12 2 2 2 2 12 2 0 0 0 0 0 0 0 12 0

EMAKAIAN KHUSUS inf 25% 20 mL inf 25% 50 mL inf 25% 50 mL inf 20% 50 mL inf 20% 100 mL inf 5% 50 mL inf 5% 250 mL inj 250 IU inj 500 IU

PLASMA inf 500 ml bottle 1 Rp 80,631

inf 5g/100 mL (250 mL) inf 10% inf 6% inf 3.5% 500 mL

bottle box box bottle

1 10x1 12x1 1

Rp Rp Rp Rp

1,031,650 214,200 155,000 170,000

2 2 2 2

STIK

TRAS

DESINFEKTAN

TIK

ovule 90 mg soln conc 360 mg/g 5 mL soln conc 360 mg/g 10 mL soln conc 360 mg/g 30 mL sol conc 360 mg/g 100 mL vag gel 50 g

pack bottle bottle bottle bottle tube

6 1 1 1 1 1

Rp Rp Rp Rp Rp Rp

101,640 17,600 26,950 66,000 236,500 74,580

KTAN

DAN MULUT

GIGI DAN MULUT

IK
tab inj 20 mg/2 mL tab 40 mg pack box pack 50 5x1 100 Rp Rp Rp 80,000 50,068 356,838

inj 20% 250 mL

bottle

Rp

31,381

inj 20% 500 mL tab 100 mg tab 25 mg

bottle pack pack

1 100 100

Rp Rp Rp

59,626 311,500 96,300

tab

pack

100

Rp

126,000

DAN KONTRASEPSI

ETIK k oral tab 100 mg tab 50 mg tab 5 mg tab 60 mg tab 30 mg tab 1 mg tab 2 mg tab 3 mg tab 4 mg tab 10 mg tab 5 mg tab 500 mg XR cap 500 mg tab 1.25 mg/250 mg tab 2.5 mg/500 mg tab 5 mg/500 mg tab 120 mg tab 15 mg tab 30 mg tab 4 mg tab 4mg/2 mg tab 4 mg/mg tab 2 mg/500 mg tab 4 mg/500 mg tab 5 mg FC tab 5 mg tab 50 mg tab 1000 mg/50 mg tab 500 mg/50 mg tab 860/50 mg box box container pack pack box box box box pack pack pack box pack pack pack box box box pack pack pack pack pack box pack box box box 10x5 10x5 100 30 10 5x10 5x10 5x10 3x10 30 30 50 10x10 100 100 100 7x12 5x6 5x6 28 28 28 14 14 2x14 3x10 28 3x10 3x10 3x10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ? Rp Rp Rp Rp 123,600 77,100 280,722 155,000 228,360 120,915 220,412 290,813 198,984 116,460 116,460 42,750 135,000 189,778 327,210 397,320 449,300 138,000 210,000 275,000 275,500 275,500 81,500 137,500 265,306 137,200 154,500 154,500 154,500 12 2 20 0 0 0 0 0 0 0 0 4 2 12 2 2

arenteral HM inj 100 IU/mL (10 mL) Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL (3 mL) HM inj 100 IU/mL (10 mL) Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL (3 mL) inj 30 Novolet 30 penfill 30 inj 100 IU/mL 3 mL vial box box vial box box vial box box box 1 5x1 5x1 1 5x1 5x1 1 5x1 5x1 5x1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 350,900 762,300 659,450 350,900 762,300 659,450 350,900 762,300 659,450 750,200 60 2 2

flexpen 3 mL flexpen 3 mL flexpen 100 U/mL inj 100 IU/mL (10 mL) optipen 100 IU/mL (3mL) inf 100 IU/mL (10 mL) optipen 100 IU/mL (1 mL) tab 5 mg tab 5 mg tab 10 mg tab 5 mg tab 100 mcg

box box box vial box vial box pack pack pack pack pack pack vial

5x1 5x1 5x1 1 5x1 1 1 1 100 100 100 100 50 1 1 30 10x10 100 1 1 1 1 1 1 10x10 1000 100 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

762,300 762,300 818,598 304,500 678,132 294,667 678,132 96,000 96,000 147,400 104,390 165,080 1,045,000 990,000 1,448,410 249,930 200,000 281,915 76,500 207,660 60,000 143,850 76,500 207,660 14,000 48,300 343,200 67,200

20 2

AN ANTITIROID
2 0 2 2 0 2

KORTIKOTROPIN
cap 3 mg 12 IU inj 16 IU/mL tab 16 mg tab 8 mg tab 4 mg act-o 125 mg/2 mL act-o 500 mg/8 mL inj 125 mg inj 500 mg act-o 125 mg/2 mL act-o 500 mg/8 mL tab 5 mg

pack pack vial vial vial vial vial vial box bottle pack tube

60 2 2 12 12 12 12 0 0 2 2 0 20 12

tab 4 mg cream 0.1% 10 g

LAIN

tab 2.5 mg

pack pack

28 28

Rp Rp

849,010 312,980

BESITAS
tab 1 mg cap 120 mg cap 10 mg cap 15 mg box pack pack pack 10x10 21 30 30 Rp Rp Rp Rp 1,449,425 183,925 276,750 369,000 2 2 0 2 2

ASKULER
tab 50 mg box 2x14 Rp 167,513

INA

tab 1.25 mg tab 2.5 mg tab 5 mg SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg inf 1 mg/mL tab 10 mg tab 20 mg tab 5 mg retard tab 20 mg tab 20 mg tab 100 mg inj 10 mg/10 mL tab 35 mg cap 5 mg cap 2.5 mg tab 20 mg inj 20 mg/2 mL tab 200 mg inj 150 mg/3 mL SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg

pack pack pack pack pack pack pack pack box box pack pack pack pack pack box box pack pack pack box box box box pack pack pack pack box

50 100 30 100 30 100 30 30 10x1 10x1 60 60 60 60 30 5x10 10x1 60 100 100 10x10 10x1 5x6 5x1 30 100 30 30 10x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

163,240 466,400 130,130 675,730 343,602 576,072 218,888 332,683 2,576,440 64,000 79,800 127,000 53,500 132,500 240,000 535,425 715,000 196,000 132,000 77,000 118,000 335,000 114,000 100,000 343,602 576,072 218,888 332,683 2,576,440

4 2 2 2 4 2 2 2 2 12 2 2 2 2

TMIA

4 2 2 2 2 0 0 0 0 0 0 30

tab 10 mg tab 40 mg SR tab 240 mg tab 0.25 mg

pack pack pack box

50 50 50 25x10

Rp Rp Rp Rp

130,829 201,270 477,675 161,000

TENSI
inhibitor tab 10 mg tab 5 mg tab 12.5 mg tab 25 mg tab 10 mg tab 5 mg tab 10 mg tab 2.5 mg tab 5 mg tab 20 mg tab 5 mg tab 10 mg tab 5 mg pack pack box box box pack pack pack pack pack pack 30 30 10x10 10x10 14 14 30 60 60 20 100 30 30 Rp Rp ? Rp Rp Rp Rp Rp Rp ? Rp Rp Rp 373,086 275,335 10,000 283,223 176,860 397,500 362,520 572,400 257,600 385,000 280,000 2 0 0 10 2 2

tab tab 10 mg/10 mg tab 10 mg/5 mg tab 5 mg/10 mg tab 5 mg/5 mg blocker tab 50 mg tab 1.25 mg tab 2.5 mg tab 5 mg tab 25 mg tab 6.25 mg tab 100 mg tab 10 mg tab 80 mg tab 2.5 mg tab 5 mg

pack blister blister blister blister blister box pack pack pack pack box box box box box pack pack

30 30 30 30 10 30 2x14 50 100 30 100 10x10 10x11 5x10 10x10 3x10 30 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

308,000 385,000 385,000 280,000 98,700 280,000 167,513 163,240 466,400 130,130 675,730 680,932 265,846 535,425 19,000 220,720 181,720 283,360 20 4 2 2 2 0 0 0 4 2 0 20 2

hannel blocker tab 10 mg tab 5 mg SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg XR tab 5 mg tab 10 mg tab 5 mg OROS tab 20 mg OROS tab 30 mg OROS tab 60 mg pack pack pack pack pack pack pack box box pack pack pack pack pack amp pack bottle 100 30 30 30 100 30 30 10x1 3x10 50 50 30 30 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ? ? ? ? Rp Rp Rp Rp Rp 636,700 342,315 191,000 343,602 576,072 218,888 332,683 2,576,440 224,461 111,300 74,500 182,500 199,250 325,000 200,000 322,000 236,800 20 2 2 2 2 200 12 12 0 0 0 0 60 2 2 10 2 2 4 2 2 2 2

tab 30 mg inf 10 mg/50 mL tab 40/10 mg tab 40/5 mg tab 80/10 mg tab 80/5 mg tab 10 mg/160 mg tab 5 mg/160 mg tab 5 mg/80 mg tab 1 mg tab 2 mg

50 1 4x7 4x7 4x7 4x7 28 28 28 50 50

pack pack pack pack pack

433,915 377,305 300,980 336,135 575,285

a blocker

tab 1 mg tab 2 mg tab 150 mg tab 300 mg tab 16 mg tab 8 mg tab 50 mg tab 40 mg tab 80 mg tab 160 mg tab 40 mg tab 80 mg tab 150/12.5 tab 300/12.5 tab 160/12.5 mg tab 160/25 mg tab 80/12.5 mg tab 40/12.5 mg tab 80/12.5 mg tab tab 20 mg tab 40 mg inf 0.15 mg/mL tab 0.075 mg 0.15 mg tab 250 mg

pack pack pack pack pack pack box box box box box box pack pack box pack box box box pack pack pack box pack pack pack

140 28 28 28 14 14 2x15 2x10 2x10 2x14 2x14 2x14 28 28 2x14 28 2x14 2x10 2x10 30 30 10x1 100 100 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

698,858 250,030 272,428 367,684 190,250 144,550 262,600 242,000 313,830 366,280 219,420 292,605 272,428 367,684 366,820 278,670 292,605 242,000 313,830 190,250 310,150 379,545 390,060 256,080 337,700 160,000

2 2 12 2 10 2 12 6 2 2 2 2

n II antagonist

in-lain 12 2 2 12

SR tab 4 mg SR tab 8 mg tab 0.25 mg

box box box

4x7 4x7 25x10

Rp Rp Rp

380,130 380,130 161,000 8

ANTUNG

K SYOK
inj 25 mg/mL inj 40 mg/mL (5 mL) vial vial 1 1 Rp Rp 99,000 30,000 120 120

riktor inj 5 mg/mL tab 0.5 mg inj 50 mg/mL amp box pack box 1 100x1 100 10x1 Rp Rp Rp Rp 24,500 1,854,000 117,500 110,000 200 2 2 12 0 0 12 60

inj 1 mg/mL (amp 4 mL) tab 10 mg

box pack

5x1 30

Rp Rp

350,000 437,535

PIDEMIA

tab 20 mg tab 40 mg cap 200 mg cap 100 mg cap 300 mg tab 90 mg powd for oral liqd PR tab 375 mg PR tab 500 mg tab 10 mg tab 20 mg tab 40 mg tab 10 mg tab 20 mg tab 40 mg tab 10 mg tab 10 mg tab 10/10 mg tab 10/20 mg tab 10 mg/10 mg tab 10 mg/20 mg tab 5 mg/10 mg tab 5 mg/20 mg tab 10 mg tab 5 mg inhal soln 2 mL tab 200 mg SR cap 400 mg inf 300 mg/15 mL tab 100 mg tab 50 mg inj 100 mg (2 mL) inj 250 mg (2 mL) tab 10 mg tab 20 mg tab 10 mg tab 20 mg tab 5 mg powd for inj 1.5 juta IU SR cap 400 mg inf 300 mg/15 mL tab 490 mg cap 250 mg

pack pack pack pack pack pack box box box box box box box box box pack pack pack pack pack pack pack pack pack pack box box box box pack pack box box pack pack pack pack pack vial box box box bottle blister

30 30 30 48 30 30 20x1 2x14 2x14 3x10 3x10 3x10 2x14 2x14 4x7 30 30 30 30 30 30 30 30 100 100 30x1 10x10 3x10 5x1 4 4 5x1 5x1 4 2 4 4 4 1 3x10 5x1 5x6 180 3x12

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

437,535 437,535 351,000 236,000 347,000 430,165 350,000 92,400 118,800 363,000 506,000 528,000 371,022 401,800 529,200 27,700 413,500 527,000 527,000 437,510 437,510 437,510 437,510 864,453 514,290 8,181,818 522,060 174,500 167,000 452,930 345,700 97,136 201,905 415,800 253,000 349,125 415,800 276,000 3,520,000 174,500 167,000 150,000 1,152,360 230,472

2 2 60 2 2 12 0 0 0 2 2 2 0 0 0 10

TOR 2 2 0 0 2 4 0 0 60 4

LITIK 2

IN

NTUK KULIT
cream 2% 20 g gel 2% 15 g soln 2% 30 mL tube tube container 1 1 1 Rp Rp Rp 21,500 21,500 21,500 12 12 12

TERI

gauze pad 1% cream 2% 5 g oint 2% 5 g cream 5 g top gel 1.2% 5 g top soln 1.2% 30 mL inf 5 mg/mL (100 mL) cream 2% 5 g cream 2% 10 g oint 2% 10 g cream 10 g cream 10 mg/g (35 g)

box tube tube tube tube container bottle tube tube tube tube tube container tube bottle tube tube tube tube tube tube container tube tube container container container container container container container container tube tube tube tube tube tube tube tube tube tube pack

10x1 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 1 1 1 1 1 1 1 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

110,000 39,000 38,800 54,900 15,000 29,000 60,000 37,500 54,000 54,000 87,000 36,500 325,000 18,000 27,500 18,000 9,700 12,105 28,100 13,700 23,250 29,500 33,275 30,000 2,870 4,700 2,040 5,100 8,470 2,150 3,500 6,000

2 12 12 12 12 12 12 12 12 12

NGI cream 2% 15 g scalp soln 2% 60 mL gel 2% 15 g cream 1% 3 g cream 1% 5 g cream 1% 10 g cream 2% 5 g cream 2% 10 g top powd 2% cream 5 g oint 30 g blue shampoo 1% 60 ml blue shampoo 1% 120 ml blue 5 shampoo 1% 30 ml blue 5 shamp 1% 120 ml blue 5 shamp 1% 200 ml shampoo 1.8% 30 mL shampoo 1.8% 60 mL shampoo 1.8% 120 mL AT cream 1% 5 g AT cream 1% 10 g cream 1% 5 g cream 1% 10 g cream 5% 5 g cream 5% 10 g cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g tab 500 mcg 12 12 12 0 0 0 0 12 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 12 12 12 12 2 0

Rp Rp Rp Rp Rp Rp Rp Rp Rp

25,200 45,500 27,000 40,000 32,200 51,800 32,200 51,800 115,500

US

ANTIPRURITIK

oint 0.25% 5 g oint 0.25% 10 g cream 0.05% 10 g lotion 0.05% 10 mL lotion 0.05% 30 mL oint 0.05% 10 g cream 0.1% 10 g FO 0.1% 10 g cream 5% cream 0.025% 5 g oint 0.025% 10 g cream 0.05% 5 g cream 0.05% 10 g

tube tube tube container container tube tube tube tube box box tube tube

1 1 1 1 1 1 1 1 1 12x1 12x1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

35,020 82,513 15,500 17,500 34,500 15,500 69,650 73,125 25,000 13,500 18,000 23,000 39,700

12 12 12 12 12 12 0 0 12 0 0 0 0 0 12 0 12 12 12 12 0 12 12 0 0 12

scalp lotion 0.1% 20 g

container

Rp

79,000

cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g cream 10 g cream 0.1 % 5 g cream 0.1% 10 g cream 2.5 mg/g 5 g cream 2.5 mg/g 15 g cream 0.1 % 10 g

tube tube tube tube tube tube tube tube tube tube

1 1 1 1 1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

15,000 21,850 15,000 21,850 77,050 30,250 54,500 46,263 104,110 67,200

ALISIS
inf 1000 mL 24x1

LIT,NUTRISI,DLL
powd for oral liqd 25 g powd for oral liqd 1 L powd for oral liqd 200 mL milk powd 1 kg milk powd 0.4 kg box sachet sachet container container 6x1 1 1 1 1 Rp Rp Rp Rp Rp 276,000 710 265 137,600 60,400 2 120 12 12 12

RAL inf 10% 500 mL inf 5% 500 mL inf 200 mL inf 500 mL paed inf 250 mL inf 500 mL bottle bottle bag container container container 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp 82,000 75,000 67,522 65,000 68,000 146,000 60 12 12 120 12 12

inf 500 mL inf 500 mL

container box bottle

1 10x1 1

Rp Rp Rp

42,500 363,000 80,000

600 2 60

box inf 500 mL bottle

10x1 1

Rp Rp

742,500 13,560

2 120

inf 500 mL

bottle

Rp

13,560

120

inf 500 mL

bottle

Rp

13,560

120

inf 1440 mL inf 1920 mL inf 1 L inf 100 mL inf 20% 100 mL inf 20% 100 mL inf 20% 100 mL inf 8.4% inf 0.9% 1000 mL inf 0.9% 500 mL inf 500 mL inf 500 mL

bag bag bag bottle bottle bottle bottle container box bottle bottle bottle container

1 1 1 1 1 1 1 1 10x1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

480,000 550,000 280,000 491,050 115,500 212,100 283,500 33,350 366,850 8,140 4,712 15,200 5,630

120 2 120 12 12 12 12 12 60 2 600 12 600

K MATA

IK powd for inj 100 U inj 20% 250 mL inj 20% 500 mL bottle bottle 1 1 1 Rp Rp 31,381 59,626

L oba eye drops 1% 5 g ophthalmic oint 3% 4.5 g eye drops 0.3% 5 mL container tube container 1 1 1 Rp Rp Rp 60,000 146,000 66,000

eye drops 3 mg/mL (5 mL)

container

Rp

16,710

ophthal soln 0.5% 5 mL

container

Rp

75,000

eye drop 50 mg/mL (5 mL) eye susp 5 mL ophth soln 0.3% (5 mL) ophth oint 3.5 g

container container container tube

1 1 1 1

Rp Rp Rp

56,580 26,500 43,000

drops 3 mg/mL (5 mL)

masi

glaukoma

eye susp 1% (5 mL) eye drops 2% 5 mL eye drops 0.005% 2.5 mL

container container container

1 1 1

Rp

143,000

Rp

342,275

eye drops 0.004% 2.5 mL

container

Rp

215,000

MAKA
tab 0.25 mg tab 0.5 mg tab 1 mg inj 10 mg/2 mL tab 5 mg tab 1 mg tab 2 mg tab 10 mg tab 0.5 mg tab 1 mg tab 2 mg tab 10 mg tab 2 mg pack pack pack box pack pack pack pack pack pack pack pack box 100 100 100 5x1 100 100 100 100 100 100 100 20 10x10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 174,170 248,505 408,255 120,337 297,476 243,306 372,435 286,532 190,996 289,389 410,405 90,720 460,000

ANTIINSOMNIA

tab 8 mg

pack

14

Rp

130,997

N ANTIMANIA cap 60 mg cap 20 mg tab 25 mg tab 25 mg tab 200 mg tab 400 mg tab 50 mg cap 75 mg tab 10 mg tab 25 mg tab 50 mg tab 75 mg tab 25 mg tab 10 mg tab 15 mg tab 5 mg inj 9.75 mg/1.3 mL (7.5 mL) tab 2 mg tab 5 mg inj 5 mg/mL oral drops 2 mg/15 mL inj 50 mg/mL box box box pack box pack box pack pack box box box box pack pack pack pack pack vial box box box bottle box 2x7 2x14 50x10 50 10x10 300 10x10 300 30 2x14 5x10 5x10 5x10 50 50 10 10 10 1 10x10 10x10 12x1 1 5x1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 231,000 330,000 260,546 355,815 200,000 400,000 351,000 700,000 434,820 373,380 197,538 285,929 450,387 642,885 355,815 385,880 446,500 202,130 262,900 99,000 170,500 136,620 25,000 453,750

NTIKOMPULSI

OSIS

tab 100 mg tab 25 mg tab 2 mg tab 4 mg tab 8 mg tab 4 mg tab 100 mg tab 200 mg tab 25 mg tab 300 mg tab 1 mg tab 2 mg tab 3 mg tab 1 mg tab 5 mg tab 25 mg tab 50 mg cap 20 mg

pack pack pack pack pack pack box box box box box box box pack pack box box pack

50 50 150 150 150 50 6x10 6x10 6x10 6x10 2x10 2x10 2x10 100 100 2x15 2x15 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

715,000 220,000 264,930 368,630 451,110 258,500 1,221,996 1,430,990 823,949 1,816,380 72,000 122,430 185,300 44,000 90,750 199,000 345,000 331,835

HD

tab 20 mg tab 10 mg

box box

3x10 3x10

Rp Rp

323,593 195,715

NGHAMBAT KOLINESTERASE
inj 25 mg/2.5 mL inj 50 mg/5 mL tab 10 mg tab 50 mg tab 200 mg inj 2mg/mL 2 mL inj 50 mg (5 mL) inj 200 mg/10 mL tab 2 mg inj 10 mg inj 4 mg inj 0.5 mg/mL tab 60 mg tab 50 mg box box pack pack pack box box box vial box vial amp box pack pack 5x1 5x1 50 100 100 50x1 10x1 12x1 25x1 10x10 1 1 5x1 150 100 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 211,200 363,000 314,495 295,000 130,000 1,625,000 362,000 1,237,000 117,300 385,000 140,500 675,000 45,100 920,000 748,990

ROMUSKULAR

ENIA GRAVIS

URAN CERNA

US,ANTIBUSA

oral gel 400 (100 mL) oral gel forte (100 mL) 180 mL oral gel (100 mL) 180 mL tab 400 tab forte tab tab 20 mg tab 40 mg soln for inj 40 mg tab 200 mcg cap 20 mg powd for inj 40 mg tab 40 mg tab 20 mg tab 40 mg inj 50 mg/2 mL tab 150 mg tab 300 mg tab 100 mg chew tab 125 mg oral liqd 100 mg liqd 500 mg/mL (100 mL) 200 mL cap 50 mg tab 10 mg tab 20 mg

tube tube tube tube bottle box box pack box box vial pack box vial vial pack pack box box box pack sachet bottle bottle box pack

100 mL 1 1 1 1 12x10 24x10 20 4x7 2x7 1 50 2x7 1 1 7 7 5x1 10x10 3x10 4 1 1 1 10x10 14

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

36,400 24,000 33,800 14,300 22,800 58,500 11,400 7,273 342,360 208,980 143,110 1,005,000 276,949 161,441 139,000 94,500 120,000 79,000 398,000 178,000 818 227 43,000 67,000 200,000 121,500

120 120 12 12 12 12 2 2 10 2 2 12 2 2 12 120 20 2 40 10 2 200 200 12 120 12 0 0

cap 30 mg tab 5 mg syr 100 mg (120 mL) tab 100 mg tab 12 mg tab 6 mg tab 50 mg tab 10 mg susp oral 5 mg/5 mL inj 10 mg/2 mL oral drops 1 mg/10 drop syr 5 mg/5 mL tab 10 mg tab 5 mg inj 4 mg/2 mL inj 8 mg/4 mL tab 8 mg tab 6 mg inj 1 mg/mL inj 3 mg/3 mL inf 0.25 mg/5 mL inj 0.3 mg/2 mL tab 0.1 mg

box box bottle box pack pack pack pack bottle box bottle bottle pack pack box box

2x10 5x10 1 3x6 100 100 100 30 1 6x1 1 1 100 100 5x1 5x1 10 10 30 5x1 5x1 1 5x1 10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

215,000 132,500 66,000 189,000 355,100 241,564 120,000 45,000 21,000 54,000 22,000 17,500 110,000 66,000 98,280 149,091

100 100 0 0 18 18 2 12 10 12 20 12 12 2 2 60 4 0 0 0 0 0 0 0 0 0 0 2 2 12

TIK

pack pack box box vial box pack

Rp Rp Rp Rp Rp Rp Rp

93,555 294,700 42,000 100,000 660,000 1,065,000 1,000,000

RHOID

cap 200 mg gel topical 2% 60 g tab 500 mg

box tube pack

2x10 1 30

Rp Rp Rp

11,250 120,750 189,000

MODIK

drag 10 mg inj 20 mg/mL 1L 200 mL tab 2 mg

pack box sachet sachet pack

100 10x1 1 1 100

Rp Rp Rp Rp Rp

192,060 197,010 710 265 466,520

2 2 12 12 12

K DIARE

IF tab 5 mg supp 10 mg paed supp 5 mg enema 5 mL pack pack box box box container 10 4 1x5 10x5 1x6 1 Rp Rp Rp Rp Rp Rp 165,880 77,440 70,070 573,790 62,700 14,850 20 20 4 2 2 2 20

box syr 3.335 g/5 mL (60 mL) 120 mL 200 mL 133 mL oral emulsion 30 mL 60 mL 110 mL cap 250 mg bottle bottle bottle bottle bottle bottle bottle pack

3x1 1 1 1 1 1 1 1 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp

38,500 31,900 49,500 65,000 62,700 19,950 32,585 44,555 214,500

20 2 60 12

tab inj 500 mg/mL (10 mL) enema 4 g tab 250 mg tab 500 mg supp 500 mg

box box box pack pack pack

10x10 5x1 4x1 100 100 30

Rp Rp Rp Rp Rp Rp

35,000 350,000 101,000 466,000 765,000 525,000

URAN NAFAS

MA tab 225 mg inj 24 mg/mL spray 100 mcg/dose spray 50 mcg/dose MDI 100 mcg/puff MDI 200 mcg/puff amp 4 mg/mL amp 5 mg/mL vial 20 mg/mL tab 25 mg inj 50 mg/mL inhal soln 0.1% MDI 100 mcg/puff inhal soln 0.025% inhaler 20 mcg/puff tab 20 mcg minitab 25 mcg syr 25 mcg/5 mL tab 50 mcg cap 2 mg cap 4 mg pack pack pack container container canister canister box box vial pack box canister canister bottle canister box 50 10x1 1 1 1 1 5x1 5x1 1 1000 10x1 1 1 1 1 10x10 100 1 100 100 100 Rp Rp 75,000 100,000 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 95,000 38,636 145,200 90,750 151,910 198,800 25,000 26,500 21,000 168,500 110,000 194,920 116,490 157,850 118,140 412,280 2 2 2 0 120 120 12 20 4 12 8 2 12 12 120 12 12 12 0 0 2 2

inj 0.5 mg/mL syr 2 mg/5 mL inhal soln 2.5 mL diskus 100 diskus 250 diskus 500 inhaler 125 inhaler 50 tab 250 mg tab 125 mg inf 0.5 mg/mL respules 2.5 tab 2.5 mg turbuhaler 0.5 mg

box bottle box box box box canister canister pack pack box carton box canister

5x1 1 20x1 60x1 60x1 60x1 1 1 100 100 5x1 2x5 10x10 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

62,500 16,000 213,520 120,000 134,545 146,182 120,000 105,455 280,500 163,350 75,206 79,586 181,020 148,522

4 12 36 2 2 2 12 12 10 2 12 2 2 12

SIF cap syr 60 mL retard cap 75 mg oral drops 15 mg/mL syr 15 mg/5 mL syr 30 mg/5 mL tab 30 mg elixir 4 mg/5 mL pack pack bottle box bottle bottle bottle pack bottle bottle box bottle box box pack bottle pack bottle bottle pack box box box bottle bottle vial 10 100 1 5x10 1 1 1 10 1 1 10x10 1 10x10 10x4 20 1 60 1 1 20 30 5x1 30x1 1 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 42,130 411,950 23,425 384,450 43,670 35,200 44,770 237,710 21,010 37,400 352,550 51,590 114,840 48,070 70,000 28,875 219,000 35,000 50,000 180,000 117,000 177,500 75,000 5,750 2,450 4,002,075 0 30 2 12 12 12 12 12 2 120 12 2 12 2 4 60 12 2 12 12 2 2 4 2 120 12

TIK

inj 4 mg/2 mL oral soln 2 mg/mL tab 8 mg cap 300 mg dry syr 175 mg/5 mL cap 200 mg syr 100 mg/5 mL (75 mL) 150 mL tab eff 600 mg oral soln 200 mg inj susp 300 mg/3 mL powd for oral liqd 100 mg syr 100 mL flavor 100 mL susp 25 mg/mL

ORAN

IN

RUHI SISTEM IMUN

OGLOBULIN inj 2 g/50 mL vial 1 Rp 2,200,000

inj 300 IU/2 mL vacc 0.5 mL

prefilled syrg vial

1 1

Rp Rp

1,409,091 90,000

vacc 0.5 mL vacc 160 IU/0.5 mL vacc 80 IU/0.5 mL

vial prefilled syrg prefilled syrg prefilled syrg prefilled syrg prefilled syrg

1 1 1 1

Rp Rp Rp Rp

159,000 270,000 220,000 110,000

vacc 0.5 mL

vial vial prefilled syrg prefilled syrg

1 1 1 1

Rp Rp Rp Rp

116,000 61,000 500,000 680,000

vacc 1 mL

MINERAL
softcap 0.5 mcg softcap 0.25 mcg inj 1000 mg/5 mL inj 200 mg/2 mL inj 500 mg/5 mL pack pack box box box 30 30 5x1 6x1 5x1 Rp Rp Rp Rp Rp 291,218 175,944 87,500 35,000 55,000

tab 300 mg

pack

100

Rp

189,000

20 2 4 0 0 0 0 0 72 0 0 0

capl 500 mg FC capl tab inj 5000 tab 5000 FC capl 5000 FC capl

box pack pack pack box box box box box

10x10 30 250 50 20x1 10x10 25x10 5x10 5x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp

22,177 94,050 266,514 54,371 120,120 207,900 514,580 90,000 87,500

0 2 40 12 2 2 2 2 2 2 0 0 6 2 0 12

cap 250 mcg cap 500 mcg capl

pack pack box

100 100 5x10

Rp Rp Rp

100,000 140,000 98,000

capl

box

5x6

Rp

100,000

cap

box

3x5

Rp

189,000

200

inj 25 mg/10 mL tab 5 mg F-tab

box pack pack pack

5x1 100 1000 100

Rp Rp Rp Rp

56,243 36,425 348,096 75,758

4 2 2 2

chew drag 100 IU

pack

100

Rp

96,897

UHI SALURAN KEMIH

CKER

tab 1 mg tab 2 mg tab 1 mg tab 2 mg PR tab 10 mg tab 5 mg cap 0.5 mg

pack pack pack pack pack pack pack

140 28 50 50 30 30 30

Rp Rp Rp Rp Rp Rp Rp

698,858 250,030 336,135 575,285 319,219 357,500 270,000

2 2 2 2

SE INHIBITOR

TIK

ARINIK tab 2 mg tab 10 mg tab 5 mg box pack pack 2x14 30 30 Rp Rp Rp 232,590 465,675 381,150

MIMETIK

IN

inj 0.3 mg/mL FAS tab 4.5 mg tab 1 mg tab 4.5 mg inf 200 mg/mL inj 200 mg/mL

box box box box box box

5x1 3x10 10x10 3x10 1 4x1

Rp Rp Rp Rp Rp Rp

152,665 550,920 576,015 642,340 250,250 250,250 60 4 0 0 2 2 12

drag 100 mg Forte drag 200 mg oral liqd 100 mL tab 35 mg inj 100 IU/mL inj 50 IU/mL nasal spray 200 IU inf conc 4 mg/5 mL tab 150 mg inj 3 mg/3 mL cap 0.25 mcg cap 0.5 mcg capl tab 60 mg tab 10 mg cap 400 mg inf conc 60 mg/mL

pack pack bottle pack box box container vial pack prefilled syrg pack pack box box box pack box

100 100 1 4 5x1 5x1 1 1 1 1 30 30 5x6 2x14 5x10 30 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

308,000 446,160 56,100 352,944 751,960 489,250 760,140 3,198,000 346,223 1,194,468 168,000 267,750 255,000 528,000 216,000 625,000 955,041

ABOLISME TULANG

12

41676

Mengetahui Direktur Pelayanan

Dr. dr. Andi Basuki Prima Birawa, SpS NIP. 196409131990031004

HARGA TOTAL

Rp Rp Rp

4,058,400 1,200,000 2,160,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

2,394,900 1,425,000 210,000 2,360,800 411,280 641,880 766,660 563,340 275,590 155,710 282,000 468,000 1,032,000 541,200 41,800 79,200 244,200 191,400 17,574,400 828,666 304,736 214,332 4,497,620 187,600 2,303,400 761,200 467,720

Rp Rp Rp Rp Rp Rp Rp Rp

365,400 576,900 192,000 272,000 159,936 1,380,000 3,000,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

2,721,840 899,050 882,970 682,170 3,937,500 680,090 1,188,000 1,101,618 4,700,000 583,000 1,207,800 154,000 278,300 726,000 514,800 561,000 4,700,000 714,000 15,900,000 400,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

760,100 240,900 838,640 264,440 210,000

Rp Rp Rp

4,711,296 920,464 323,436

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

234,658 496,100 330,000 573,600 455,400 300,000 220,000

Rp

1,203,370

Rp Rp Rp

1,189,904 2,417,320 6,061,600

Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,372,040 1,024,000 1,620,000 5,032,000 2,066,496 2,884,200 5,049,600 3,109,880

Rp Rp

910,400 1,872,500

Rp Rp Rp

2,349,160 1,741,740 -

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,642,080 560,680 241,900 230,760 329,100 384,580 230,760 2,620,320 831,016 645,816 480,636 -

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

2,210,000 529,200 662,400 3,000,000 420,000 2,580,000 40,320,000 3,717,000 741,400 695,200 371,700

Rp Rp Rp

4,455,000 550,000 1,056,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,408,140 1,775,060 770,770 1,320,000 601,920 567,600 339,624 609,950 14,669,400 1,042,920 1,781,580 287,840 287,840

Rp Rp Rp Rp

25,830,000 1,745,000 431,760 742,020

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

10,100,000 900,000 518,000 48,000,000 31,000,000 14,400,000 11,040,000 58,092,400 44,400,000 864,000 37,000,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

50,000,000 396,000 138,000 164,600 273,800 3,147,000 2,175,720 652,690 316,000 243,960 140,000 8,691,408 6,712,556 2,360,100 196,906 376,814 959,116 4,320,000 2,652,000 529,200 662,400 84,000 176,000 548,068 1,010,620 242,000 435,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,088,000 1,400,000 540,000 1,008,000 55,200 144,000 2,786,400 199,200 864,000 288,000 308,700 163,800 1,926,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,934,700 548,330 3,707,760 1,012,000 3,000,000 630,000 5,436,000 787,118 9,900,000 2,000,000 672,000 1,260,000 8,020,104 -

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

960,000 7,200,000 29,085,872 960,000 -

Rp Rp Rp

37,152,922 22,654,676 1,300,000

Rp Rp Rp Rp Rp Rp Rp

2,080,000 1,480,000 11,200,000 17,120,000 522,600 880,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,972,600 2,596,350 3,244,008 3,740,880 3,006,784 3,084,000 460,000 142,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

387,536 478,248 458,338 539,290 5,777,076 5,060,000 4,420,000 1,118,000 2,530,000 2,334,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

244,200 19,960 64,088 230,000 216,000 306,000 13,095,060 6,900,000 220,200 5,976,000 550,000 1,221,110 733,260 886,160 6,600,000 862,140 435,600 -

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

7,040,000 1,440,000 250,000 700,000 700,000 554,950 554,950 554,950 1687548536

Rp Rp Rp Rp Rp Rp

276,000 480,000 150,000 210,000 94,600

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,056,000 1,585,000 3,170,000 1,362,500 2,725,000 3,600,000 2,080,000 967,572 -

Rp Rp Rp Rp

2,063,300 428,400 310,000 340,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,483,200 154,200 5,614,440 171,000 270,000 2,277,336 654,420 794,640

Rp Rp Rp

21,054,000 1,524,600 1,318,900

Rp Rp

6,090,000 1,356,264

Rp Rp Rp Rp Rp Rp

192,000 294,800 208,780 330,160

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

14,995,800 400,000 563,830 918,000 2,491,920 720,000 1,726,200 28,000 96,600 6,864,000 806,400

Rp Rp Rp Rp Rp

2,898,850 367,850 553,500 738,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

652,960 932,800 260,260 1,351,460 1,374,408 1,152,144 437,776 665,366 5,152,880 768,000 159,600 254,000 107,000 265,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,374,408 1,152,144 437,776 665,366 5,152,880 4,830,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp

20,000 3,975,000 725,040 1,144,800 #VALUE! -

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,350,260 652,960 932,800 260,260 1,351,460 2,141,700 38,000 3,634,400 566,720

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

6,367,000 684,630 382,000 1,374,408 1,152,144 437,776 665,366 5,152,880 2,226,000 149,000 365,000 398,500 650,000 40,000,000 3,864,000 2,841,600 #VALUE! #VALUE! #VALUE! #VALUE! 26,034,900 754,610 601,960

Rp Rp Rp

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,397,716 500,060 3,269,136 735,368 1,902,500 289,100 3,151,200 1,452,000 627,660 732,560 438,840 585,210

Rp Rp Rp Rp

4,680,720 512,160 675,400 1,920,000

Rp

1,288,000

Rp Rp

11,880,000 3,600,000

Rp Rp Rp Rp Rp Rp Rp Rp

4,900,000 3,708,000 235,000 1,320,000 4,200,000 26,252,100

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

875,070 875,070 21,060,000 472,000 694,000 5,161,980 726,000 1,012,000 1,056,000

Rp

277,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,728,906 1,028,580 349,000 668,000 5,828,160 807,620

Rp

7,040,000

Rp Rp Rp

258,000 258,000 258,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

220,000 468,000 465,600 658,800 180,000 348,000 720,000 450,000 648,000 648,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

216,000 330,000 216,000 164,400 279,000 354,000 324,000 480,000 386,400 621,600 386,400 621,600 231,000 -

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

420,240 990,156 186,000 210,000 414,000 186,000 300,000 948,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

180,000 262,200 180,000 262,200 363,000 654,000 806,400

Rp Rp Rp Rp Rp

552,000 85,200 3,180 1,651,200 724,800

Rp Rp Rp Rp Rp Rp

4,920,000 900,000 810,264 7,800,000 816,000 1,752,000

Rp Rp Rp

25,500,000 726,000 4,800,000

Rp Rp

1,485,000 1,627,200

Rp

1,627,200

Rp

1,627,200

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

57,600,000 1,100,000 33,600,000 5,892,600 1,386,000 2,545,200 3,402,000 400,200 22,011,000 16,280 2,827,200 182,400 3,378,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,368,000 2,880,000 405,600 171,600 273,600 702,000 22,800 14,546 3,423,600 417,960 286,220 12,060,000 553,898 322,882 1,668,000 11,340,000 2,400,000 158,000 15,920,000 1,780,000 163,600 45,400 516,000 8,040,000 2,400,000 -

Rp

21,500,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

6,391,800 4,348,152 240,000 540,000 210,000 648,000 440,000 210,000 1,320,000 132,000 196,560 8,945,460

Rp Rp Rp

22,500 241,500 2,268,000

Rp Rp Rp Rp Rp

384,120 394,020 8,520 3,180 5,598,240

Rp Rp Rp Rp Rp Rp

3,317,600 1,548,800 280,280 1,147,580 125,400 297,000

Rp Rp Rp Rp

770,000 63,800 2,970,000 780,000

Rp

70,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

190,000 77,272 290,400 18,229,200 23,856,000 300,000 530,000 84,000 2,022,000 880,000 389,840 1,397,880 1,894,200 14,176,800 4,947,360 150,000 200,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

250,000 192,000 7,686,720 240,000 269,090 292,364 1,440,000 1,265,460 2,805,000 326,700 902,472 159,172 362,040 1,782,264

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,263,900 823,900 281,100 4,613,400 524,040 422,400 537,240 475,420 2,521,200 448,800 705,100 619,080 229,680 192,280 4,200,000 346,500 438,000 420,000 600,000 360,000 234,000 710,000 150,000 690,000 29,400

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,750,000 70,000 220,000 13,608,000 -

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

44,354 3,762,000 3,198,168 108,742 240,240 415,800 1,029,160 180,000 175,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

600,000 280,000 1,176,000 37,800,000

Rp Rp Rp Rp

224,972 72,850 696,192 151,516

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,397,716 500,060 672,270 1,150,570 15,015,000 1,001,000 616,000 892,320 673,200

Rp

3,060,000

Rp

1,713,688,536

a Birawa, SpS

KEBUTUHAN ALAT KESEHATAN HABIS PAKAI IGD


NO 1 1-1 1-2 1-3 2 3 4 5 5-1 5-2 5-3 6 6-1 6-2 7 7-1 7-2 7-3 7-4 7-5 7-6 8 9 10 10-1 10-2 10-3 10-4 10-5 NAMA ALAT nasal kanul oksigen bayi anak dewasa simple mask rebreathing mask non rebreathing mask bag valve mask bayi anak dewasa suction cathether no 8 suction cathether no 10 suction cathether no 12 abocath no 14 abocath no 16 abocath no 18 abocath no 20 abocath no 22 abocath no 24 abocath no 26 infus set blood set canule spuit cc 1 spuit cc 3 spuit cc 5 spuit cc 10 spuit cc 20 spuit cc 50 JUMLAH 11 30 60 180 180 90 90 30 60 180 90 90 90 90 90 180 180 180 90 90 300 100 300 300 300 100 100 100 11-1 12 13 14 15 16 17 18 19 20 21 22 23 24 24-1 24-2 25 26 27 28 28-1 28-2 28-3 NO NAMA ALAT folley catheter no 16 folley catheter no 18 urine bag NGT handscoen masker kassa gulung kassa steril besar kassa steril kecil Hypafix mitela xylocaine jelly 2% elastic bandage alkohol swab venflon no 18 venflon no 20 venflon no 22 three way cathether verband microphore Endothracheal tube bayi anak dewasa JUMLAH 100 100 100 100 100 100 50 50 50 100 20 10 50 500 100 200 100 100 50 50 50 50 100

USER

Mengetahui Direktur Pelayanan

dr. Kemal Imran, SpS, MARS NIP. 196812292000031001

Dr. dr. Andi Basuki Prima Birawa, SpS NIP. 196409131990031004

NO URUT OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 4 Ibuprofen 3

NAMA GENERIK

BENTUK SEDIAAN

ANALG
ANALGESIK NARKOTIK 1 Fentanil Inj. patch Tablet Inj. Tab short acting ; tab SR Inj. Inj. tablet,inj. kapsul;tabl et

2 3 4

Kodein HCI Morfin HCI Morfin sulfat

5 Petidin HCI 6 Sufentanil ANALGESIK NON NARKOTIK 1 Antalgin 2 Asam Mefenamat

Natrium - Kalium Diklofenak

tablet tab salut tab lepas lambat tab retard inj supp emulgel

Tablet;sirup ;chew tab;supp

5 6

indometasin ketoprofen

kapsul tablet,supp; inj

7 8

Ketorolak trometamin Meloksikam

tab, inj tablet

40 41

9 10

Naproksen Parasetamol

42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86

tablet,kaple t,suppos tablet,susp ensi,suppo s, sir, drops, inf, rectal tube ,

11 12 13

Paresetamol+asetil sistein+B44 Parasetamol + coffein Parekoksib natrium chlordiazepoxide + clidinium bromida Piroksikam

tablet tablet inj. tablet kaps;tab;ge l

14 15

Probenesid Selekoksib Methampiron + diazepam Tinoridin Tramadol HCI

tablet kapsul tablet Kapsul Tablet; inj; supp

16 17

18

Etoricoxib

Tablet

19 20

Dexketoprofen trometamol Dikolfenak Na

Tab, inj Tab salut enterik Caps Tab Caps Tablet

Vit B1, B6, B12 21 Tramadol + parasetamol 22 Serapeptase + Vit B C 23 Seratiopeptidase +pancreatin ANTIREMATIK, ANTIPIRAI 1 Alopurinol

2 3 4 5 6 7

Asam Hyaluronat Azatioprin D-penisilamin Hidroksiklorokuin Kolkisin Leflunomid

Inj. tablet tablet tablet tablet tablet

87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130

Metotreksat

Tablet

9 10

Mofetil Mikrofenolat Sikofosfamid

Kapsul tablet;inj

11 12

Sulfasalazin Infiximab

kaplet inf

ANESTETIK LOKAL 1 2 Bupivakain HCI Etilklorida Levobupivakain 3 Lidokain HCI inj semprot, inj inj Inj;gel;spra y

4 5

Lidokain 2% + Adrenalin Lidokain (5%)+ Dextrose 5%

inj inj

6 7 8 9 10 11

Lidokain HCI 25 mg +Prilokain 25 mg Prilokain HCI Prokain+Kafein Ropivakain HCI Tetrakain HCI Lidocain + epinefrin

krim inj inj inj inj gas inj cairan cairan inj cairan Inhalasi cair inj inj inj cairan

ANESTETIK UMUM 1 Dinitrogen oksid 2 Droperidol 3 Enfluran 4 5 6 7 8 9 10 11 Eter Anestesi Etomidat Halotan Isofluran Ketamin HCI Midazolam Propofol Sevoflurane

131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179

12 13 14 1 2 3 1 2 3

Sodalalime pro anestesi Tiopental Natrium Deksmedetomidin Atropin Sulfas Diazepam Kloralhidrat Desloratadin Difenhidramin HCI Feksofenadin HCI

serbuk inj inj inj, Tab inj, tab, rectal tube syr tablet inj;tablet tablet

4 5 6 7 8 9 10 11 12

Feksofenadin HCI +Pseudoefedrin Feniramin maleat Hidroksizin Homoklorsiklizin Klorfeniramin maleat Loratadin Loratadin+Pseudofedrin Prometazin HCI Setirizin

tablet SR tab,inj tablet,sirup tablet tablet tablet, syr tablet tablet tablet, drop, syr

13 14 15 16

Dexametason Bepotastin besilat Oxymetazolin Mebhidrolin napadisilat

inj, tab tab salut tetes hidung Tab

KHUSUS 1 Atropin Sulfat Biru Metilen 2 Deferasiroks 3 Deferipron

inj inj Tablet effervescen t

4 5 6 7 8 9

Deksrazoksan Desferoksamin mesilat Flumazenil Kalsium Folinat Kalsium glukonat Mesna

inj inj inj Tab;inj inj inj

180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229

10 11 12 13 14 UMUM 1 2 3 4

Nalokson HCI Natrium Bikarbonat Natrium Tiosulfat Protamin sulfat Neostigmin Apomorfin HCI Karbo Adsorben Magnesium sulfat Laktulosa

inj tablet;inj inj inj inj inj tablet serbuk, inj emulsi emulsi tablet,inj ;supp tablet;kaps ul,inj tablet;inj kapsul tablet, syr

Diazepam

2 3 4 5

Fenitoin natrium Fenobarbital Gabapentin Karbamazepin

6 7 8 9 10

Klonazepam Levetiracetam Magnesium sulfat Oxcarbamazepin Pregabalin

tablet tablet inj kaplet kaplet

11

Topiramat

tablet

12

Valproat(dlm btk asam /natrium)

tablet;sirup

13 14

Lamotrigine Zonesamid Caps

Golongan Penisilin 1 Amoksisilin kapsul,kapl et,sirup kering

230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 2 Amoksisilin Klavulanat tablet;sirup inj

3 4

Ampisilin Ampisilin Sulbaktam

tablet;inj inj

5 6 7

Benzatin Penisilin Diklosasilin Fenoksi Metil Penisilin

inj tablet

8 9

Flukloksasilin Kloksasilin

kapsul kapsul;inj

10 11 12

Piperasilin+Tazobaktam Prokain Penisilin G Sulbenisilin

inj inj inj inj inj inj

13 Tikarsilin Golongan Aminoglikosida 1 Amikasin 2 Gentamisin

3 4

Kanamisin sulfat Netilmicin

inj inj

5 6

Tobramisin Dibekasin sulfat

inj inj inj kapsul;inj kapsul

7 Streptomisin sulfat Golongan Kloramfenikol 1 Kloramfenikol 2 Tiamfenikol

3 Sulfasalazin Golongan Kuinolon 1 Levofloksasin

tab tablet,infus

283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 2 3 4 5 6 Moksifloksasin Norfloksasin Ofloksasin Pefloksasin Siprofloksasin tab salut film;infus kaplet tablet tablet;inj,inf us tablet,infus

Golongan Makrolid 1 Ezitrromisin

kapsul

Erittromisin stearat

kapsul;kapl wt;tab kunyah;siru p kering

3 4 5

Klaritromisin Spiramisin Azitromisin

tablet taplet Tab, Inj

6 Linkomisin Golongan Sefalosporin 1 Sefadroksil

tab kapsul

2 3

Sefaklor Sefazolin

caps inj

332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384

4 5

Sefepim Sefiksim

inj kapsul, syr

6 7 8 9 10 11 12 13 14 15 16 17

Sefoperazon Sefoperazon+Sulbactam Sefotaksim Sefotiam Sefpodoksim Sefradin Sefpirom Seftazidim Seftibuten Seftizoksim Seftriakson Sefuroksim (kapsul:Axetil;inj.Na) Sefdinir Sefditoren

inj inj inj inj tablet tablet inj inj kapsul injeksi inj kapsul;inj

18 19

tab tab, chew tab kapsul kapsul kapsul kapsul inj inj inj kapsul Tablet tablet

Golongan Tetrasiklin 1 Doksisiklin 2 3 4 Minosiklin Oksitetrasiklin Tetrasiklin

5 Tigesiklin Golongan lain-lain 1 Fostomisin 2 3 4 5 Imipenem+Cilastatin Klindamisin Kolistin Kotrikmosazol(TMP+SMZ)

6 7 8

Linezolid Meropenem Metronidazol

tablet;infus inj tablet;inj;va g sup

Teikoplanin

inj

385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438

10 11 12

Tinidazol Vankomisin Mesalazin

tablet inj tab

13 14

Doripenem Gentamycin sulfate

inj inj

15 16 1 2 3 4

Ertapenem Aztreonam Etambutol Isoniasid+vit B6 Pirazinamid Rifampisin

inj tablet tablet tablet kaplet

5 6 7 8 9

Streptomisin sulfat Isoniazid + Rifampisin Rifampisin + Isoniazid + pirazinamid Etambutol + INH + Vit B6 Rifampisin + Isoniazid + pirazinamid + Etambutol Dapson Klofazimin Talidomid Amtoferisin B Flukonazol

inj Tab tab Capl Tab

1 2 3 1 2

kablet kapsul tablet inj;kapsul kapsul;inj

3 4 5 6 7

Griseofulvin Itrakonazol Ketokonazol Nistatin Vorikonazol

kablet tablet tablet tablet;susp tablet;inj

Terbinafin

tablet

439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490

1 2 3 4 5 6 1 2

Artemisin/Artesunat+Amodiakuin Klorokuin fosfat/difosfat Kuinin diHCI Primetamin Primakuin Sulfadoksin+Pirimetamin Adefovir dipivoksil Asiklovir

tablet;inj tablet inj tablet tablet tablet tablet tablet

3 4 5 6 7 8 9

Entecavir Famasiklovir Gansiklovir Hepatitis B Imunoglobulin Human Alfa Interferon Interferon Alfa 2a Pegylated Interferon Alfa 2b Pegylated

tablet;laruta n

inj inj inj inj inj

10 11 12 13 14 15 16 17 1 2 3

Interferon Alfa 2a Pegylated Lamivudin Metisoprinosin Oseltamivir Ribavirin Telbivudin Valasiklovir Valgansiklovir Lamivudin Nevirapin Zidovudin

inj tablet tablet tablet kapsul tabltt tablet tablet tablet;laruta n tablet kapsul

ANTIMIGRAIN 1 Dihidroergotamin mesilat 2 Ergotamin+Kafein 3 Ergotamin tab 0.3 mg+ Belladona alk 0.1 mg+ Fenobarbital 20 mg) 4 Flunarizin

tablet tablet dragee

tablet

491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539

5 Sinarizin 6 Sumatriptan ANTIVERTIGO 1 Betahistin diHCI 2 Betahistin mesilat

tablet tablet tablet tablet

ANTIPARKINSON 1 Bromokriptin 2 Entacapone 3 L Dopa+Benserasid 4 Kabergolin 5 Pramipexole

tablet tablet tablet tablet tablet

6 7 8 9

Selegiline Carbidopa+L-dopa+entacapone Triheksifenidil HCI Ropinirol

tablet tablet tablet tab

ANTI DEMENTIA 1 Donepezil 2 Galantamin

tablet tablet

Rivastigmin

kapsul, patch

Ginkobiloba

tab

5 6 7

Dutasterid Fosfatidil serin memantin HCL

cap cap tab

ANTIANEMIA 1 Asam Folat 2 Besi (II) dlm bentuk garam sulfat,fumara) Sianokobalamin

tablet;inj Tab, Caps,drop s Tablet

540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586

Fe + multivit, as.folat

tab, caps,drops, syr

Alteplase Anti Thrombin III Asetosal Cilostazol Clopidogrel Dipiridamol Enoksaparin natrium

Inj Inj Tablet salut genterik Tablet salut film Tablet Tablet Inj

2 3 4 5 6

7 8 9 10 11 12 13 14 15

Fondaparinux natrium Heparin natrium Heparin dialisat Parnaparin natrium Streptokinase Tiklopidin Urokinase Warfarin natrium Rivaroxaban

Inj Inj Gel,salep Inj Inj Tablet Inj Tablet tab

16

Dabigatran

17 18 19

Triflusal heparin Nadroparin

tab inj inj Kapsul;tabl et salut film ;inj

Asam Traneksamat

2 3 4

Etamsilat Fitomenadion(vit.K1) Karbazokrom

Inj Tablet;inj Tablet;inj

Oktreotid

Inj

587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635

6 1

Somatostatin Eritropoietin

Inj Inj

2 3

Rekombinan Human Eritropoetin Filgrastim (GCSF)

Inj Inj

FRAKSI PLASMA UNTUK PEMAKAIAN KHUSUS 1 Albumin (Human Albumin)

Inj

Faktor pembekuan darah VIII(konsentrat) 3 Faktor pembekuan darah II,VII,IX,X (konsentrat) 4 Kriopresipitat 5 Plasma segar beku PENGGANTI PLASMA 1 Dekstran 40 2 Dekstran 70 3 Fraksi Protein Plasma (termasuk Fibrinogen) 4 Hidroksietil pati 6%(HES) 5 Poligelin

Inj Inj

Kantong Infus Infus Infus infus Infus

OBAT KONTRAS 1 Barium enema 2 Barium sulfat 3 EZ Gas II 4 Gadodiamida 5 Lodine 6 Natrium/Meglumin amidotrizoat

Tablet Suspensi Larutan larutan Inj

ANTISEPTIK 1 2 3 4 5 6 Alkohol Etakridin Laktat (Rivanol) Hidrogen Peroksida Lodine Povidon Kalium Permanganat Kantaridin Cairan,swa b Larutan Cairan larutan; salep;obat kumur Larutan ;serbuk Tingtur

636 637 638 639 640 641 642 643 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687

Polikresulen

Larutan konsentratu ta gel;ovula

1 2 3 4 5 6 7

Formalin Dialdehid Glutaraldehid Klorheksidin Diglukonat Klorheksidin 7,5%+ Cetrimide 1,5% Lisol Sublimat

Larutan Larutan Larutan Larutan Larutan Cairan Cairan

OBAT TOPIKAL UNTUK GIGI DAN MULUT 1 Boraks Gliserin 1 2 3 4 5 6 7 8 9 10 Amilorid HCI Furosemid Gliserol Hidroklorotiazid Klortalidon Manitol Spironolakton Torasemid Asetazolamid Spironolakton + thiabutazid

Cairan Tablet Tablet;inj Larutan Tablet Tablet Inj. Tablet Tablet;inj tab tab

ANTIDIABETIK Antidiabetik oral 1 Acarbose 2 3 4 5 Glibenklamid Gliklazid Glikuidon Glimepirid (+ metformin)

Tablet Tablet tablet tablet tablet

6 7 8

Glipizid Metformin HCI Metformin HCI+Glibenklamid

tablet tablet tablet

Natelglinid

tablet

688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 703 704 705 706 707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725 726 727 728 729 730 731 732 733 734 735 736 737 738 739 740

10 11 12 13 14 15 16 17 18

Pioglitazon Repaglinid Rosiglitazon Rosiglitazon+Glimepirid Rosiglitazon+Metformin saxagliptin langliptin Vildagliptin vildagliptin metformin

tablet tablet tablet Tablet Tablet tab tab, inj tab tab

Antidiabetik parenteral 1 Insulin Regular

Inj

Insulin Kerja Menengah(NPH)

Inj

Insulin Campur Iinsulin Regular+NPH)

inj

4 5 6 7 8 9 10 1 2 3 4 5 1 2 3 4 5 6

Insulin Analog Campur Lispro+NPH) Insulin Analog Campur Aspart+NPH) Insulin Analog Aspart Insulin Analog Detemir Insulin Analog Glargine Insulin Analog Glulisin Insulin Analog Lispro Karbimazol Lugol Methimazol Propiltiourasil L-Tiroksin natrium Budesonid Deksametason Hidrokortison natrium suksinat Human Somatotropin Kortikotropin(ACTH) Metil Prednisolon asetat

Inj Inj Inj Inj Inj Inj Inj Tablet Cairan Tablet Tablet Tablet Kapsul Tablet;inj Inj Inj Inj Tablet,inj

741 742 743 744 745 746 747 748 749 750 751 752 753 754 755 756 757 758 759 760 761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 777 778 779 780 781 782 783 784 785 786 787 788 789 790

7 8 9 10 11 1 2 3 4 5 1 2 3 4

Prednisolon Prednison TRH Triamsinolon asetonid Betametason dipropionat Bromokriptin mesilat Cabergolin Desmopresin asetat Tibolon Vasopresin Mazindol Orlistat Rimonaban Sibutramin

Tablet Tablet Inj. Tablet;inj tab Tablet Tablet Larutan nasal;inj Tablet Inj. Tablet Kapsul Tablet Kapsul

ANTIANGINA 1 Atenolol 2 Bisoprolol

Tab;inj Tablet

Diltiazem

Tablet

Isosorbid dinitrat

Tablet,tab SL,tab SR

5 6 7 8 9

Isosorbid mononitrat Metoprolol tartrat Nitrogliserin Trimetazidin Gliseril trinitrat

Tab,tab SR Tab Inj. tab tab

ANTIDISTRITMIA 1 Adenosin

Inj

791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821 822 823 824 825 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842 843

2 3

Amiodaron Diltiazem

Tablet,inj Tablet;inj

4 5 6 7 8 9 10

Esmolol Disopiramid Lidokain HCI Propranolol HCI Verapamil digoksin epinefrin (adrenalis)

Inj. Kapsul Inj Tab salut selaput Tablet,inj tab inj

Golongan ACE inhibitor 1 Imidapril 2 3 4 Kaptopril Lisinopril Ramipril

Tablet Tablet Tablet Tablet

5 6 7 8

Enalapril Perindropril + erginin Perindropril + indapamid Perindropril + amlodipin

tab tab tab tab

Golongan beta blocker 1 Atenolol 2 Bisoprolol fumarat

Tablet Tab salut selaput

3 4 5 6 7 8

Carvedilol Labetalol Metoprolol tartrat Propranolol HCI Sotalol bisoprolol + HCT

Tablet Inj Tablet Tablet Tablet tab tab Tablet

9 Nebivolol Golongan calcium channel blocker 1 Amlodipin besilat

844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863 864 865 866 867 868 869 870 871 872 873 874 875 876 877 878 879 880 881 882 883 884 885 886 887 888 889 890 891 892 893 3 4 Felodipin Nifedipin Tab salut selaput Tablet 2 Diltiazem Tablet;kaps ul, Inj

5 6

Nicardipine Nimodipin

inj Tab salut selaput;lar infus tab

Amlodipine + telmisartan

Amlodipine + Valsartam

tab

Golongan alpha blocker 1 Doksazosin 2 3 Prazosin HCI Terazosin

Tablet Tablet Tablet

Golongan angiotensin II antagonist 1 Irbesartan 2 3 4 5 Kandesartan Losartan Telmisartan Valsartan

Tablet Tablet tab Tablet Tab salut selaput

6 7

Irbesartan + HCT Valsartan + HCT

tab tab

8 9 10

Telmisartan + HCT Kandesartan + HCT Olmesartan

tab tab tab

894 895 896 897 898 899 900 901 902 903 904 905 906 907 908 909 910 911 912 913 914 915 916 917 918 919 920 921 922 923 924 925 926 927 928 929 930 931 932 933 934 935 936 937 938 939 940 941 942 943 944

Golongan lain-lain 1 Klonidin HCI

Tab;inj

2 3

Metildopa anhidrat Natrium Nitroprusid

Tab salut selaput Inj

Fesoterodin fumarat

tab

Digoksin

Tab;inj

Inotropik 1 Dobutamin Inj Inj Inj Inj

2 Dopamin HCI Vasokonstriktor 1 Adrenalin HCI/bitartrat 2 Deksametason natrium fosfat

3 4 5 6 1

Efedrin HCI Fenilefrin HCI Isoprenalin HCI Norepinefrin bitartrat Atorvastatin

Inj Inj Inj Inj Tab salu selaput

Fenofibrat

Kapsul

3 4 5 6

Gemfibrozil Kolestiramin Niacin Pravastatin

Kapsul serbuk Tablet Tablet

Resuvastatin

Tablet

8 9 10 11

Simvastatin Ezetimibe ezetimibe + atorvastatin Atorvastatin amlodipine

Tablet tab tab tab

VASODILATOR

945 946 947 948 949 950 951 952 953 954 955 956 957 958 959 960 961 962 963 964 965 966 967 968 969 970 971 972 973 974 975 976 977 978 979 980 981 982 983 984 985 986 987 988 989 990

1 2 3 4 5 6 7 8

Flunarizin Iloprost Naftidrofuril oksalat Pentoksifilin Sildenafil sitrat Sitikolin Tadalafil Vardenafil

Tablet Lar inhalasi Kaps;tab Inj Tablet Tab;inj Tablet Tablet

THROMBOLITIK 1 2 3 4 Streptokinase Pentoksifilin Lumbrikus rubellus Fibrinolisin inj 1,5 juta IU/vial Tab, Inj tab cap

LAIN-LAIN 1 Prostaglandin E1 ANTIBAKTERI 1 Eritromisin

Inj

Krim;gel;lar utan

2 3

Framisetin sulfat Fusidat

Kasa steril Krim(asam) ,salep (natrium) Krim Gel,larutan Tablet salut selaput;laru tan infus Krim,salep

4 5

Fusidat (asam) +Betametason valerat Klindamisin

6 7

Metronidazol Mupirosin

8 9

Nadifloksasin Perak Sulfadiazin

Krim Krim

ANTIFUNGI 1 Ketokonazol Krim;sham poo

991 992 993 994 995 996 997 998 999 1000 1001 1002 1003 1004 1005 1006 1007 1008 1009 1010 1011 1012 1013 1014 1015 1016 1017 1018 1019 1020 1021 1022 1023 1024 1025 1026 1027 1028 1029 1030 1031 1032 1033 1034 1035 1036 1037 1038 1039 1040

Klotrimazol

3 4

Ketokonazol +Tar Mikonazol Nitrat

Shampoo Krim;bubuk

5 6 7

Mikonazol Nitrat2%+Hidrokortison 1% Mikonazol Nitrat2%+ Seng Oksida Selenium sulfida

Krim Krim/salep Shampoo

Terbinafin

Krim

ANTIVIRUS 1 Asiklovir ANTIIFLAMASI DAN ANTIPRURITIK 1 Betametason dipropionat

Krim

Krim ,salep

2 3 4 5

Betametason valerat Boorschudmixture Desoksimetason Desonid

Krim Bedak kocok Krim;salep Krim

6 7 8 9 10 11 12 13

Diflukortolon valerat Doksepin Flusinolon asetonid Flutikason propionat Hidrokortison asetat Hidrokortison butirat Kalamin Klobetasol propinat

Krim;salep Krim Krim Krim Krim Krim;krim lemak;scal p lotion Lotion Krim

1041 1042 1043 1044 1045 1046 1047 1048 1049 1050 1051 1052 1053 1054 1055 1056 1057 1058 1059 1060 1061 1062 1063 1064 1065 1066 1067 1068 1069 1070 1071 1072 1073 1074 1075 1076 1077 1078 1079 1080 1081 1082 1083 1084 1085 1086 1087 1088 1089 1090 1091 1092 1093

14 15 16 17 1 2

Metil Prednisolon aseponat Mometason furoat Prednikarbat Triamsinolon asetonid Larutan Hemodialisa Larutan Peri

Krim;salep Krim;salep Krim Krim;salep Larutan Larutan

ORAL 1 BCAA powder 2 Oralit 3 Nutrisi enteral

Serbuk Serbuk Serbuk

PARENTERAL 1 Aqua pro injeksi 2 Asam amino

Cairan Infus

3 4 5 6 7 8 9

Asam amino+vitamin+elektrolit Asam amino rantai cabang (BCAA) Glukosa Kalium klorida Kalsium glukonat Larutan elektrolit Larutan kombinasi (dlm 1 liter): Fruktosa 120 g ,glukosa 66 g, xylitol 60 g,elektrolit vitamin Larutan kombinasi (dlm 1 liter): Natrium 38,5 mek, CI 38,5 mek,glukosa 37,5 g Larutan kombinasi (dlm 1 liter): Natrium 60 mek,k 10 mek, CI 50 mek, laktat 20 mek,gluk 27 g Larutan kombinasi (dlm 1 liter):Natrium 50 mek,k 20 mek, CI 50 mek, laktat 20 mek, glukosa 27 g Larutan kombinasi: Glukosa 2,5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,225% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,45%

Infus Infus Infus Amp(inj)bot ol Infus Infus Infus

10

Infus

11

Infus

12

Infus

13 14 15

infus Infus Infus

1094 1095 1096 1097 1098 1099 1100 1101 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134

16

17

18

Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,9%=4:1(N4) Larutan kombinasi: Glukosa 10 % & Natrium klorida 0,9%=4:1(N5) Larutan kombinasi: glukosa+asam amino + elekrolit Larutan nutrisi+ elektrolit L-alanin+L-glutamin Lipid

Infus

Infus

Infus

19 20 21

Infus Infus Infus

22 23 24 25

Natrium bikarbonat Natrium klorida Ringer Asetat Ringer Laktat

Inj;infus Inj;infus Infus Infus

SISTEMIK 1 Asetazolamid 2 Botulinum Toxin 3 Gliserin 4 Manitol TOPIKAL Antimikroba 1 2 3 4 5 6 7 8 Asam Fusidat Asiklovir Benzil Penisilin Dibekacin Flukonazol Gentamisin Kloramfenikol Kloramfenikol + Hidrokortison asetat Levofloksasin

Tab Inj Larutan Inj

Tetes mata Salep mata Salep mata Tetes mata Tetes mata Salep mata Salep mata;tetes mata Krim Tetes mata/salep mata Tetes mata/salep mata

1135

10

Natamisin

1136 1137 1138 1139 1140 1141 1142 1143 1144 1145 1146 1147 1148 1149 1150 1151 1152 1153 1154 1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166 1167 1168 1169 1170 1171

11

Neomisin+Polimiksin + Deksametason

Tetes mata

12 13 14 15

Ofloksasin Oksitetrasiklin Polimiksin Sulfasetamid

Tetes mata Salep mata Tetes mata Tetes mata Vial Tetes mata Tetes mata Tetes mata Larutan Tetes mata Tetes mata Tetes mata Tetes mata

16 Tobramisin Antiinflamasi 1 2 3 Betametason Diklofenak natrium Hidrokortison asetat

4 Kromoglikat natrium Midriatik 1 2 3 4 Atropin Sulfat Fenilefrin HCI Homatropin hidrobromid Tropikamid

Miotik dan antiglaukoma 1 2 3 4 5 6 7 8 9 Adrenalin HCI Betaksolol HCI Brinzolamid Dorzolamid Karbakol Latanoprost Pilokarpin HCI Timolol Travoprost Tetes mata Larutan Tetes mata Tetes mata Larutan Tetes mata Tetes mata Tetes mata Tetes mata

ANTIANSIETAS DAN ANTIINSOMNIA 1 Alprazolam

Tablet

2 3 4

Bromozepam Diazepam Estazolam

Tablet Tablet;inj Kapsul

1172 1173 1174 1175 1176 1177 1178 1179 1180 1181 1182 1183 1184 1185 1186 1187 1188 1189 1190 1191 1192 1193 1194 1195 1196 1197 1198 1199 1200 1201 1202 1203 1204 1205 1206 1207 1208 1209 1210 1211 1212 1213 1214 1215 1216 1217 1218 1219 1220 1221 1222 1223

5 6

Klobazam Lorazepam

Tablet Tablet

7 Zolpidem 8 Klonazepam 9 Remelteon ANTIDEPRESI DAN ANTIMANIA 1 Amitriptilin HCI 2 Duloksetin 3 Escilatopram 4 Fluoksetin 5 Imipramin 6 Klomipramin 7 Litium karbonat

Tablet tab tab Tablet Kapsul Tablet Kapsul Tablet Tablet Tablet

8 9 10

Sertralin Venlafaksin HCI Maprotilin

Tablet Kapsul tab

1 1

Klomipramin Aripiprazol

Tab;inj Tablet

Haloperidol

Tablet;inj;dr ops

3 4 5 6 7

Haloperidol dekanoat Klorpromazin HCI Klozapin Olanzapin Perfenazin

Inj. Tab salut selaput;inj Tablet Tab;inj. Tablet

8 9

Pimozid Quetiapin

Tablet Tablet

10

Risperidon

Tablet

1224 1225 1226 1227 1228 1229 1230 1231 1232 1233 1234 1235 1236 1237 1238 1239 1240 1241 1242 1243 1244 1245 1246 1247 1248 1249 1250 1251 1252 1253 1254 1255 1256 1257 1258 1259 1260 1261 1262 1263 1264 1265 1266 1267 1268 1269 1270 1271 1272 1273 1274 1275

11 12

Trifluoperazin Zotepin

Tablet Tablet

Metifenidat HCI

Tablet

RELAKSA
PENGHAMBAT NEUROMUSKULAR 1 Atrakurium besilat 2 3 4 5 6 7 8 9 Baklofen Esperison Klorzoksazon Pankuronium bromida Rokuronium bromida Suksinilkolin Tizanidin Vecuronium bromida inj Tablet Tab salut selaput Tablet Inj Inj Inj Tablet Inj

OBAT UNTUK MISTENIA GRAVIS 1 Neostigmin metilsulfat 2 Pridostigmin bromida 3 Azatioprin ANTASIDA DAN ULKUS,ANTIBUSA 1 Alumunium hidroksida+ Magnesium hidroksida 2 Alumunium hidroksida+Magnesium hidroksida+ Simetikon

Inj Tablet tab

Tablet Tablet,susp

Esomeprazol

Tablet;inj

4 5 6

Misoprostol Omeprazol Pantoprazol

Tablet Kapsul;inj Tablet;inj

Ranitidin

Tablet;inj

1276 1277 1278 1279 1280 1281 1282 1283 1284 1285 1286 1287 1288 1289 1290 1291 1292 1293 1294 1295 1296 1297 1298 1299 1300 1301 1302 1303 1304 1305 1306 1307 1308 1309 1310 1311 1312 1313 1314 1315 1316 1317 1318 1319 1320 1321 1322 1323 1324 1325 1326

8 9 10 11 12 13 14 15

Rebamipide Simetikon Sukralfat Teprenon rabeprazol Lansoprazol cisaprid Fucoidan

Tablet Tablet Suspensi Kapsul tab Cap tab cap

ANTIEMETIK 1 Betahistin mesilat 2 3 4 Dimenhidrinat Domperidon Metoklopramid HCI

Tablet Tablet Tablet Tablet;inj

Ondansetron HCI

Tab salut selaput;kap let;inj

6 7 8 9 10

Piratiasin teoklat Tegaserod Granisetron palonosetron ramosetron

Tablet Tablet tab, inj inj tab, inj

ANTIHEMORRHOID 1 Bismut subgalat 2 Etoksisklerol/Polidocanol 3 4 Hidrosmin

Supp Inj Tablet/kaps ul Tablet

Diosmin 450 mg + Heesperidin 50 mg ANTISPASMODIK 1 Atropin sulfat 2 Butropium bromida 3 Hiosin n-butil bromida

Inj Tablet Tab salut gula;inj

OBAT UNTUK DIARE 1 Garam Oralit I 2 3 Loperamid HCI Smektit

Serbuk Tablet Serbuk

1327 1328 1329 1330 1331 1332 1333 1334 1335 1336 1337 1338 1339 1340 1341 1342 1343 1344 1345 1346 1347 1348 1349 1350 1351 1352 1353 1354 1355 1356 1357 1358 1359 1360 1361 1362 1363 1364 1365 1366 1367 1368 1369 1370 1371 1372 1373 1374

LAKSATIF 1 Bisakodil

Supp

2 3 4

Gliserin Kombinasi Natrium lauril sulfoasetat + Natrium sitrat asam sorbat+PEG +Sorbitol Laktulosa

Larutan Enema Sirup

5 6 7

Magnesium sulfat Natrium Fosfosoda Parafin+Gliserin

Kristal Enema Sirup

1 2 3 4 5 6

Asam ursodeoksikholat Glicirrhyzin HEFC Kombinasi enzimsal cerna L-Ornitin L-Aspartat Mesalazin

Kapsul Inj Serbuk Dragee Sachet;inj Tablet ;enema,sup

Schisandrin

Kapsul

ANTIASMA 1 Adrenalin bitartrat 2 Aminofilin 3 Beklometason

Inj Inj Inhaler Aerol dosis terukur Inj

Budesonide

Deksametason natrium fosfat

6 7 8 9 10

Efedrin HCI Fenoterol HBr Ipratropium bromida Isoprenalin HCI Klenbuterol

Inj,tablet Larutan,inh aler Inhalasi Inj Tab

1375 1376 1377 1378

11

Prokaterol HCI hemihidrat

Mini tablet;tablet ;inhaler

12

Salbutamol

Tab;sir;inha ler;nebules; rotahaler;ro tadadisk;di skhaler rotacap

1379 1380 1381 1382 1383 1384 1385 1386 1387 1388 1389 1390 1391 1392 1393 1394 1395 1396 1397 1398 1399 1400 1401 1402 1403 1404 1405 1406 1407 1408 1409 1410 1411 1412 1413 1414 2 Bromheksin HCI 16 Terbutalin Sulfat

13 14

Salbutamol 2,5 mg + Ipratropium Bromida 0,5 mg Salmoterol 25 mcg + Flutikason proprionat 50 mcg/125 mcg

Inhaler Inhaler

15

Teofilin

Kaps lunak;tab,el iksir Tab;sir;inj;c anister;turb uhaler;resp ules

ANTITUSIF 1 Dekstrometorfan HBr 2 Kodein HCI

Tablet Tablet

MUKOLITIK 1 Ambroksol Tablet,sirup

Tablet;eliks ir;sirup;larut an utk inhalasi,inj

Erdostein

Sirup

1415 1416 1417 1418 1419 1420 1421 1422 1423 1424 1425 1426 1427 1428 1429 1430 1431 1432 1433 1434 1435 1436 1437 1438 1439 1440 1441 1442 1443 1444 1445 1446 1447 1448 1449 1450 1451 1452 1453 1454 1455 1456 1457 1458 1459 1460 1461 1462 1463 1464 1465 1466

N-asetil sistein

Serbuk;siru p

EKSPEKTORAN 1 Obat batuk Hitam LAIN-LAIN 1 Beractant SERUM DAN IMUNOGLOBULIN 1 Gama Globulin Imun 2 Serum Antibisa Ular 3 Serum Antidifteri 4 Serum Antitetanus 5 Serum Hiperimun Antirabies 6 Serum Imun Globulin 7 Tetanus Imun Globulin VAKSIN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Vaksin Antipolio Vaksin antirabies Vaksin BCG Vaksin Campak Vaksin Difteri Pertusis dan Tetanus Vaksin Difteri dan Tetanus Vaksin Hemophilus influenzae B Vaksin Hepatitis A Vaksin Hepatitis B Vaksin Influenza Vaksin Kombinasi DPaT-Hib Vaksin Kombinasi DPT,Hib,Polio Vaksin Meningitis meningokokal Vaksin MMR Vaksin HPV Vaksin Japanese ensefalitis Vaksin Pneumokokus Vaksin PPD Vaksin Rotavirus Vaksin Serap Tetanus Vaksin TT Vaksin Tipa Vaksin Varisela Vaksin Yellow Fever

Larutan

Inj

Inj Inj Amp Amp Vial Amp Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj Inj

1467 1468 1469 1470 1471 1472 1473 1474 1475 1476 1477 1478 1479 1480 1481 1482 1483 1484 1485 1486 1487 1488 1489 1490 1491 1492 1493 1494 1495 1496 1497 1498 1499 1500 1501 1502 1503 1504 1505 1506 1507 1508 1509 1510 1511 1512 1513 1514 1 2 1,25 di (OH) kolekalsiferol Asam Askorbat Kapsul lunak Tablet;inj

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

Asam Folat Biotin Fluorida Hidroksokobalamin Isotretinoin/acitretin Kalium aspartat/klorida Kalium sitrat Kalium dihidrogen fosfat Kalsium glukonat Kalsium karbonat Kalsium laktat/fosfat Kombinasi Betakaroten,Vitamin C, vitamin E,Zinc,Selenium Kombinasi vitamin B

Tablet

Inj Kapsul;tabl et Tablet Tablet Inj Inj Tablet Tablet Kapl salut selaput Tablet

16 17 18 19 20 21 22 23 24 25 26 27

L-Arginin L-Karnitin+Ubiquinon Mekobalamin Mineral-Mix Multivitamin Multivitamin untuk infus Natrium benzoat Niasinamid Pridoksin HCI(vit B6) Retinol (Vit.A) Riboflavin Zn Pikolinat+Zn glukonat+ Cu glukonat Suplemen untuk mata Thiamin HCI Thiamin nitrat+Kalsium pantotenat+Medical yeast+cystin +keratin+ asam p-amino benzoat Thiamin Tetrahidrofurfuril Disulfid

Inj Kaplet Kapsul,inj

Kapsul,siru p,drops Larutan Tablet Tablet Tablet Kapsul

28 29 30

Kaplet Tablet Kapsul

31

Tablet,inj

1515 1516 1517 1518 1519 1520 1521 1522 1523 1524 1525 1526 1527 1528 1529 1530 1531 1532 1533 1534 1535 1536 1537 1538 1539 1540 1541 1542 1543 1544 1545 1546 1547 1548 1549 1550 1551 1552 1553 1554 1555 1556 1557 1558 1559 1560 1561 1562 4 5 6 7 Pirasetam Xantinol Xantinate Co enzym Q-!0 Piritinol Hcl Kaplet;sirup ;inj inj cap syr 32 33 34 35 36 37 38 39 40 41 42 Trace elements untuk infus Vitamin B12 Vitamin B Kompleks Vitamin D Vitamin D analog: Alfakalsidol Vitamin D analog:Kalsitriol Vitamin D analog:Kolekalsiferol Vitamin D analog: Dihidrotakhisterol Vitamin D analog:Ergokalsiferol Vitamin E (Tokoferol) Vitamin K3/K1 Larutan Tablet Tablet Kaps lunak

Kaplet Inj

ALPHA BLOCKER 1 Terazosin 2 Doksazosin

Tablet Tablet Tablet Tablet Tablet Tablet

3 Tamsulosin 4 Alfuzosin 5 ALPHAREDUCTASE INHIBITOR 1 Finasterid 2 Dutasterid ANTISEPTIK 1 Fenazopiridin ANTIMUSKARINIK 1 Tolterodin I-tartrat 2 Solifenasin PARASIMPATOMIMETIK 1 Karbakol 2 Distigmin bromidum LAIN-LAIN 1 Lubricant untuk USG 2 Lubricant 3 Ko-dergokrin mesilat

Tablet Tablet

Tablet Tablet Jelly Jelly Tab;tab salut enterik;inj

1563 1564 1565 1566 1567 1568 1569 1570 1571 1572 1573 1574 1575 1576 1577 1578 1579

1 2

Risedronat Kalsitonin

tab tab, spray

3 4 5 6 7 8 9

zeledronat asam ibandronik Kalsitriol Glucosamin Raloksifen Alendronat Klodronat dinatrium

tab, inj tab, inj caps cap, krim, gel tab Tablet Kapsul,tabl et,infus konsentrat

10 11

Pamidronat Stronsium ranelat

Tablet Inj.

KEKUATAN

NAMA DAGANG

ANALGESIK, ANTIPIRETIK, AINS, ANTI-REMATIK, ANTIPIRAI


0.05mg/ml;TTS 12,5, 25mcg/jam,50mcg/jam 10mg,15mg,20mg 10 mg/ml amp, MST 50mg/ml 5mcg/ml,50mcg/ml tab 500mg, inj;500mg/ml 250 mg,500mg tablet 25 mg,50mg ; Tab lepas lambat 50 & 75 mg, Tab retard 100 mg, inj 25 mg/ml, Supp 50 mg, emulgel 1% 10g,20 g 3 3 2 2 Fentanyl (Inj); Durogesic 2

3 3

Sufenta,Sufenta forte Novalgin (inj);Decamidon Mefinal; Ponstan

Voltaren ;Flamar; Eflagen

tab 200mg;400mg, 600 mg;sirup 100mg&200 mg/5ml;supp125mg

Proris

25 mg;50 mg tab 50 m,100mg; Tab lepas lambat 100 & 200 mg, supp 100 mg; inj.50 mg/ml, gel

Benocid, Dialon Profenid;Kaltrofen;Lantiflam

2 2

Tab 10 mg, inj 10mg/ml,30mg/ml 7.5 mg, 15 mg

Toradol ;Toramin;Xevolac Movicox

2 2

250 mg;500mg;500mg tab 500mg;,susp 120mg/5 ml;supp 125 mg,

Naxen Panadol;Pamol;Dumin

2 2

250 mg, inf 500 mg/100 ml,

500 mg 20 mg,40 mg vial Kaps10 mg;tab 20 mg;5% 15 g,25 g

Sistenol Nogren Dynastat braxidin Feldene

2 2 2 2 2

500 mg 10 mg,20 mg

Probenid Celebrex Potensik Nonflamin Tramal; Trsik

2 2 2 2 2

50 mg Tab 50 mg, 100 mg; inj 100 mg/amp 2ml; 200 mg/amp2 ml Supp 100 mg

Ta b 60,90&120 mg

Arcoxia

Tab 25 mg, inj 50 mg Tab 50 mg Caps 37,5 + 325 mf

Ketesse Dolofenac Ultracet, Patral, Zaldiar Dansera Nutriflam Zyloric

2 2 2 2 2 2

100 & 300 mg

1o mg/ml syringe 2.5 ml 50 mg 125 mg 155 mg 0,5 mg 20 mg, 100 mg

Hyalgan; Adant Dispo Imuran Plaquenil Recolfar Arava

3 3 3 3 3 3

2.5 mg

Methotrexate EBW;Emthexate

250 mg,500 mg Tab 50 mg; inj 200 mg vial

Cellcept Endoxan-Asta lyophilisate

3 3

500 mg inf 100 mg

Sulcolon Remicade

3 3

ANESTETIK
0,5% duofit polyamp 20 ml;0,5% spinal heavy 4 ml;0,5% spinal 4 ml;0,5 % heavy 4 ml 50 mg amp Inj1%;2%;4%;5% gel;10% spray Marcain;Regivell; Decain 2 2 Chirocaine 0,5 % Xylocain 2 2

Lidocain HCI 20 mg;adrenalin 0,0125 mg 50 mg/ml(5%)

Pehacain;Xylestesin Lidodex

2 2

Krim 50 mg 4%

Emla cream ;Estesia;LMX

2 2

Impletol 7.5 mg/20 ml 1% Pehacain;Xylestesin 100% 2.5 mg/ml 250 ml 140 ml 1%/20 ml 50 ml;250 ml 250 ml 50 mg/ml;100 mg/ml Inj.5mg/5 ml amp;15 mg/3 ml 1% dlm 20 ml,1% dlm 50 ml 250 ml Naropin

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

Dihydrobenz-peridol Ethrane;compond 347 Etomidate-lipuro Fluothane Forane Ketalar;ketamin-hameln;ivanes Dormicum;Midazolam-Hameln Diprivan;propofol lipuro;fresofol Sevorane

Gallon 4,5 liter 500 mg 100 & 200 mcg / ml Inj 0,25 mg/l, tab 0,5 mg inj 5 mg/ml, tab 2 & 5 mg, rectal tube 5 mg & 10 mg 200 mg/5 ml

Pentothal Sodium IV

2 2 2 2 2 2

PROSEDUR PREOPERATIF
atropin sulfat

ANTIALERGI DAN OBAT UNTUK ANAFILAKSIS


5 mg 10 mg/ml Tab BD 60 mg;tab OD 120 mg;tab HD 180 mg Aerius Decadryl Telfast BD,OD,HD 3 3 3

60 mg+120 mg Tab 25 mg;inj.50 mg/amp 25 mg;10 mg/5 ml 10 mg 4 mg 10 mg Loratadine 5 mg+pseudoefedrin 60 mg

Telfast plus Avil Bestalin Homoclomin

3 3 3 3 3 3 3 3 3

Inclarin Rhinos SR Histrin

inj 4 & 5 mg/ml Tab 10 mg

Talion

3 3 3

Tab 50 mg

Interhistin, Bioalergi

ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN


1 mg / ml 10 mg/ml 125 mg;250mg;500 mg Exjade 2 2 2

250 mg/vial;500 mg/vial 500 mg/vial 0,5 mg/5 ml Tab 15 mg;50 mg/amp; 50 mg/5 ml 10 mg/amp 200 mg/2 ml;400 mg/4 ml

Ferriprox Zinecard, anexate Desferal Anexate Rescuvolin (tab 15 mg dan inj 50 mg/amp; leucovorin

2 2 2 2 2 2

0,4 mg/ml Tab 500 mg; inj 8,4 % 250 mg/ml 10 mg/ml inj 0,5 mg/ml 5 mg/ml 500 mg Kantong 50 mg, inj 20 & 40 %

Calcium gluconate 10% Uromitexan Nokoba; Narcan Meylon 8,4% prostgmin

2 2 2 2 2 2 2 2 2

Norit Magnesium sulfat constipen

ANTIEPILEPSI
2 mg,5 mg/ml,10 mg/2ml;lar rektat 5 mg tube 2,5 ml Valium, Valisanbe 1

Kap 100 mg; inj 100 mg/2ml 30 mg;50 mg;100 mg, 100 mg & 200 mg/ml 300 mg 100 & 200 mg, syr 100 mg

Dilantin

1 1 1 1

Neurontin Tegretol

2 mg 250 mg,500 mg 20 %;40 % 300 mg 75 mg,150 mg

Rivotril Keppra

1 1 1 1 1

Trileptal Lyrica

25 mg,50 mg,100 mg

Topamax

Tab 250 mg;Tab ER 250 mg, sirup 250mg/5 ml

Depakane (sirup),depakote (tablet)

Lamictal Cap 25mg ; 100mg Zonegran

1 1

ANTIBAKTERI

250 mg;500 mg; sirup 125 mg/5 ml

Amoxsan

Tab 500 mg,sir 125 mg/5 ml;inj 500 mg,1g

Augmentin;Clavamox;Viaclav

250 mg,500 mg;inj 1 g 375mg, 750 mg;1,5 g

Bactesyn

1 1

1,2 juta IU;2,4 juta IU 625 mg

Penadur LA Ospen

1 1 1

250 mg;500 mg 250 mg; 500 mg

Floxapen Meixam

1 1

4,5 g dalam vial 3 juta IU 1g 750 mg;1,5 g;3g 250 mg;500 mg 60 mg/1,5 ml;80 mg/2 ml

Tazocin Procaine penicillin-G-Meiji Kedacilin

1 1 1 1

Mikasin ;Amikin Garamycin;Gentamerck;Sagestam

1 1

1 g vial 300 mg/1,5 ml

Netromycin

1 1

500 mg 100 mg/ 3 ml 1000 & 5000 mg /vial 250 mg;1 g 250 mg;500 mg

Dibekacin

1 1 1 1 1

Urfamycin;Thiamycin

500 mg 250 mg,500 mg

lazafin Cravit; Volequin; Levores

1 1

400 mg;400 mg/250 ml 400 mg 200 mg,400 mg 400 mg Tab 200 mg,500 mg;tab XR 500 mg;infus 200 mg, 400 mg

Avelox Lexinor; Pyrflox Tarivid, Danoflox Peflacine; Dexaflox Ciproxin; Ciproxin XR; Civell; Baquinor

1 1 1 1 1

250 mg;500 MG

Zitromax; Zistic

250 mg;500 mg;200 mg;60 ml(200 mg/5 ml)

Erythrocin; EES; Kalthrocin

250,500 mg 500 mg tab 250 & 500 mg, inj 500 mg

Abbotic; Bicrolid Spiradan Zithromaxm Aztrin

1 1 1

250 & 500 mg 250 & 500 mg, DS, Forte DS, drops Duricef; Cefat

1 1

250 & 500 mg 1g

Ceclor Cefazol; Fabiolin

1 1

0,5 g; 1 g tab 50 mg;100 mg;200 mg. syr 100 mg/5 ml

Maxipim Cefspan; Sporetik; Fixacef

1 1

1g 500 mg+500 mg 0,5 g;1 g 0,5 g;1 g 100 mg 250 mg;500 mg 1g 1g 200 mg,400 mg 0,5 g;1 g 1g Kaps 250 mg;inj.750 mg

Stabixin; Cefobid; Cerobid Sulperazon; Fosular; Stabactam Claforan; Lancef; Primocef Ceradolan; Fadiclo Banadoz Velosef; Lovecef Cefrom; Cefrin; Lanpirom Fortum; Ceftum; Negacef Cedax Cefizox; Tizos Elpicef; Cefaxon Kalcef; Sharox

1 1 1 1 1 1 1 1 1 1 1 1

100 mg tab 200 mg,chew tab 100 mg 50 mg;100 mg 50,100 mg 250 mg,500 mg 250 mg 50 mg/5 ml vial 1g 500 mg/120 ml vial 150 mg,300 mg 250.000IU;1.500.000IU 80 mg+400 mg;20 mg+100 mg;160 mg+800 mg

omnicef

1 1

Doxicor; Interdoxin Minocin Terramycin

1 1 1 1

Tygacil Fosmicin; Fosmidex Tienam; Palestine Delacin; Anerocid; Clinium Colistine Sanprima

1 1 1 1 1 1

Tab 600 mg;infus 2 mg/ml 300 ml 500 mg,1 g Tab 500 mg;infus 500 mg/kolf;supp 500 mg

Zyvox Meronem; Ronem Flagyl; Novamet

1 1 1

400 mg

Targocid

500 mg 500 mg tab 250 mg

Flatin Vancep Salofalk

1 1 1

500 mg 1g

Doribax Garamycin;Gentamerck; Sagestam Invanz Azactam, vebac

1 1

1g 250 mg;500 mg 100 mg;300 mg 500 mg 300 mg;450 mg ;600 mg

1 1 1 1 1

ANTITUBERKULOSIS
Bacbutol; Tibitol INH Ciba; Pehadoxin Forte Pezeta; Prazina Rimactane; Rifamtibi

1 g,5 g tab 75 + 50 mg, Tab 150 + 150 mg 75 + 50 + 150 mg, 150 + 75 + 400 mg

Streptomycin Sulphare Meiji Rimactazid, Rifinh Rimcure, rivastar Pulna forte

1 1 1 1 1

Tab FDC 150 + 75 + 400 + 275 mg

Rimstar 4 FDC ANTILEPROTIK Dapson Lamprene

100 mg 50 mg,300 mg

3 3 3 2 2

ANTIFUNGI
2 mg/ml(100ml);50 mg,150 mg Kapsul 50 mg.150 mg;inj.2 mg/ml 100 ml vial Fungizone Diflucan

125 mg;500 mg 100 mg 200 mg Tab 500.000IU;100.000IU /ml Tab 50 mg,200 mg;inj 200 mg vial

Mycostop Sporanox; Sporacid Interzol; Nizoral Mycostatin Vfend

3 2 2 2 3

250 mg

Interbi; Lamisil

ANTIMALARIA
250 mg;100 mg 300 mg/ml amp 25 mg 15 mg 3 3 3 3 3 3 2 2

Primet Fansidar

ANTIVIRUS
10 mg 200 mg, 400 mg,800 mg Hepsera Zovirax; Zoster

0,5 mg,1 mg;0,05 mg/ml 250 mg,500 mg 500 mg

Baraclude Famvir Cymevene Hepimun Intron-A; Kalferon; Alfanative Pegasys Peg Intron

2 2 2 3 3 3 3

3 MIU 135 mcg,180 mcg 50 mcg,80 mcg,100 mcg,120 mcg,150 mcg

3 MIU;4,5 MIU 100 mg 500 mg

Roferon 3TC-HBV Isoprinosine Tamiflu Rebetol Sebivo Veltrex; Valvir Valcyte

3 2 3 3 3 3 2 2 3 3 3

200 mg 600 mg 500 mg 450 mg Tab 150b mg;larutan 10 mg/ml 240 ml 200 mg 100 mg,200 mg

ANTIRETROVIRAL
3TC Viramun Retrovir

ANTIMIGRAIN/VERTIGO
2,5 mg 1 mg +100 mg 0,3 mg+0,1 mg+20 mg Dihydergot Ericap, Cafergot Bellapheen 1 1 1

5 mg, 10 mg

Sibelium, Frego

25 mg 100 mg 8 , 24 mg 6 mg

Imetrix; Triptagic Betaserc Merison

1 1 1 1

ANTIPARKINSON/DEMENTIA
2,5 mg 200 mg 100 mg+25 mg 1 mg,2 mg,4 mg 0,125 mg,0,25 mg,1 mg Elkrip;parlodel Comtan (Novartis) Madopar Cabergoline Sifrol 2 2 2 2 2

5 mg

Jumex Stalevo Artane Requip

2 2 2 2

2 mg 2. 4 . 8 ,g

5 mg, 10 mg 4 mg;8 mg

Aricept,fordecia Reminyl

2 2

1,5 mg,3 mg,4,5 mg,6 mg

Exelon

40, 120 mg

Tebokan, tanakam

0,5 mg 100 mg 100 mg

Avodart memoran, Neulin PS Abixa

2 2 2

OBAT YANG MEMPENGARUHI DARAH


5 mg Tab 300 mg,drops;kombinasi Hemobion (komb);Iberet folic500,sangobion ,Ferizz(drops) Vit B12 3 3

50 mcg;100-1000 mcg/ml

Ferriz, samgobion

OBAT YANG MEMPENGARUHI DARAH


50 mg/50 ml 50 IU/ml vial 10 ml 80 mg;100 mg,160 mg 50 mg,100 mg 75 mg 25 mg,50 mg,75 mg 20 mg/0,2 ml:40 mg/0,4 ml,60 mg/0,6 ml Actilyse Kybemin P Aspilet;Ascardia;Kardioaspirin Pletaal:Citaz Plavix Persantin Lovenox 2 2 1 1 1 1 2

2,5 mg/0,5 ml Gel 20 g;salep 15 g 0,4 ml;0,6 ml 1.500.000 IU 250 mg 500.000 IU 2 mg

Arixtra Inviclot Thrombophob Fluxum

2 2 2 2 2 2 2 1 1

Ticlid Urokinase GCC Simarc 2 Xarelto

80mg ; 160mg

Pradaxa

600 mg 5000 IU /ml 0,3. 0,4. & 0,6 ml

Grendis

1 1 1

HEMOSTATIK
Tab 250; 500 mg;250 mg/5 ml amp ;500 mg/5 ml amp Transamin;Clonex;Kalnex 3

250 mg/2 ml 5 mg;2 mg/ml;10 mg/ml Tab 10 mg,30 mg;10 mg/2 ml amp

Dicynone Kavita Adona (AC -17)

3 3 3

Amp 0,1 mg/ml

Sandostatin

Ampul 250 mcg,3.000 mcg PFS 2.000 IU,4.000 IU/0,4 ml; 10.000 IU/ml

Somatostatin-UCB

HEMATOPOIETIK
Eprex 3

500 IU,2.000 IU,4.000 IU 30 MU/ml 0,5 ml

rHuEPO Neupogen ; Keukokine

3 3

PRODUK DARAH PENGGANTI PLASMA


20% 5 0 ml;25% 100 ml dalam botol Human Albumin Behring;Plasbumin;Robumin 3

250 IU 5 ml/botol dosis tunggal 500 IU/vial,100 IU/vial

Koate-DVI Konine

3 3 3 3

10% dlm NaCl 6% Kadar protein 5% 6%:10% 3,5% dlm 500 ml

Otsuran L HM Dextran-NS Plasmanate infusion Haes-Steril Haemaccel

3 3 3 3 3

DIAGNOSTIK
5 mg% 998% w/w nett 340 g;105% w/v nett 1900 ml 2 2 2 2 2 2

Liquid Polybar Plus Omniscan ;Magnevist;Dotarem Omnipaque;lopamiro; Ultravist;Optiray 320 Urografin

320 mg/ml dalam vial 100 ml 76%

ANTISEPTIK DAN DESINFEKTAN


70% 0.10% 3% 10%;1% 0.1%;0,2%;1%;2%(sediaan segar);serbuk 1:5.000,1:10.000 0.70% Canthacur Rivanol Betadine; Isodine 2 2 2 2 2 2

Lar kons 360 mg/g 10 ml dan 100 ml

Albothyl

DESINFEKTAN
10% 2.45% 4%;5% Cidex Cidex Hibiscrub Savlon; Hibicet HC;First Aid 2 2 2 2 2 2 2

50% 3%

OBAT UNTUK GIGI DAN MULUT


3

DIURETIK
5 mg;2.5 mg Tab 40 mg; inj 10 mg/ml;40 mg 10% 25 mg;50 mg 50 mg 20% 25 mg,100 mg 2,5 mg,5 mg,10 mg;5 mg/ml 250 mg tab 25 + 2,5 mg Lorinid-Mite Lasix; Furosix;Furosemid 2 2 2 2 2 2 2 2 2 2

HCT Hygroton Manitol Aldactone

asetazolamid, glaucon A,dazide

HORMON ENDOKRIN LAIN DAN KONTRASEPSI

50 mg,100 mg 5 mg 30 mg 30 mg 1 mg.2 mg,3 mg,4 mg

Glucobay Daonil Diamicron MR Glurenom Amaryl;Gluvas

1 1 1 1 1

5 mg;10 mg 500 mg;850 mg 250 mg+1,25 mg;500 mg+2,5 mg

Minidiab;Glucotrol XL Glucophage ; Glucophage XR;Glumin ;Glumin XR Glucovance

1 1 1

120 mg

Starlix

15 mg,30 mg 0,5 mg, 1 mg,2 mg 4 mg 4 mg+1 mg;4 mg +2 mg;4 mg +4 mg 2 mg +500 mg; 4 mg+500 mg 5 mg 50 mg 50 + 500 mg

Deculin ;Actos Novonom Avandia Avandaryl Avandamet onglyza tragenta Galvus Galvusmet

1 1 1 1 1 1 1 1 1

100IU/ml 10 ml vial;100IU 3 ml penfill

Actrapid HM/Actrapid HM Penfill; Humulin R; Actrapid Novolet

100IU/ml 10 ml vial;100IU 3 ml penfill

Insulatard HM/ Insulatard HM Penfill; Humulin N; Insulatard Novolet Humulin 30/70; Mixtard Novolet Mixtard 30 HM/ Mixtard HM Penfill;

100IU/ml 10 ml vial;100IU 3 ml penfill

100IU/ml 3 cc 100IU/ml 3 cc 100IU/ml 3 cc 100IU/ml 3 cc 100IU/ml 10 ml vial;100IU 3 ml penfill Vial 100IU/ml 10 ml 100IU/ml 3 cc 5 mg 30 ml 5 ml,10 mg 50 mg;100 mg 0,1 mg 3 mg Tab 0,5 mg;5 mg/amp 100 mg/2 ml vial 12 IU 5 IU/ml 4 mg,8 mg,16 mg;inj 125 mg/2 ml,500 mg/8 ml

Humalog Mixtard Novomix Flexpen Novorapid Flexpen Levemir Flexpen Lantus Apidra Humalog

1 1 1 1 1 1 1 3 3 3 3 3 3 2 2 3 3 2

HORMON TIROID DAN ANTITIROID


Nero-Mercazol Thyozol

Thyrax

KORTIKOSTEROID DAN KORTIKOTROPIN


Budenofalk Solu-Cortef Norditropin

(tablet)Medrol;Urbason;Lameson; (inj)solumedrol;Medixon

5 mg 5 mg

3 2 2

Tab 4 mg;inj.IA/ID 10 mg/ml vial 5 ml,IM 40mmg/ml vial 1 ml 0,5 mg 2,5 mg 500 mcg 0,1 mg/ml (lar. nasal ), 4 mcg/ml (vial) 2,5 mg 20 IU /ml

Kenacort A; Triamcort (tab);Kenacort (Inj) Bemoson

2 3 3 3 3 3 3

HORMON LAIN
Parlodel Dostinex DDAVP;Minirin Livial

OBAT ANTI OBESITAS


1 mg 120 mg 20 mg 10 mg,15 mg Teronac Xenical Acomplia Reductil (Abbot) 3 3 3 3

OBAT KARDIOVASKULER
Tab 50 mg;100 mg;inj.5 mg/10 ml 2,5 mg;5 mg Tenormin Concor ;Maintate 2 2

Tab 30 mg;inj 10 mg;50 mg

Herbesser

5 mg,10 mg,20 mg

Cedocard

20 mg,60 mg(SR) 50 mg;100 mg 10 mg/10 ml 35 mg 2,5 & 5 mg

Monecto-20;Imdur Seloken;Lopresol Nitrocine Trizedon MR NITROkaf Retard/forte

2 2 2 2 2

3 mg/ml vial 2 ml

Adenocor

200 mg;150 mg/3 m l Tab 30 mg;inj 10 mg,50 mg

Cordaron;Tiaryt Herbesser

2 2

100 mg 2% 10 mg,40 mg 80 mg 0,1 %

Norpace; Rythmodan Xylocard Inderal;Farmadral Isoptin;Cardiover lanoxin Ephinephrine

2 2 2 2 2 2 2

ANTIHIPERTENSI
5 mg;10 mg 12,5 mg;25 mg 5 mg;10 mg 2,5 mg;5 mg Tanapress Capoten Zestril Triatec, hyperil 1 1 1 1

5 mg 5& 10 mg

Melpril, renacardon bioprexum bioprexum plus coveram

1 1 1 1

5 + 5, 5 + 10, 10 +5, 10 + 10 mg

50 mg;100 mg 5 mg

Tenormin Concor;Maintate

1 1

25 mg

Dilbloc

1 1 1 1 1 1 1 1

50 mg 10 mg;40 mg 80 mg 2,5 + 6,25 & 5 + 6,25 mg 5 mg 5 mg;10 mg

Seloken;Lopresol Sotacor Lodoz nabilet Norvask;Tensivask;Theravask

30 mg,

Herbesser CD 100, Herbesser inj

5 mg 10 mg,20 mg(oros),30 mg (oros)

Plendi;Nirmadil Adalat/Adalat oros;Farmalat

1 1

2 mg;10 mg 30 mg;10 mg/50 ml

Perdipine Nimotop

1 1

40 + 80 mg

twinsta

5 + 80, 5 + 160, 10 + 160 mg

Exforge

1 mg,2 mg 1 mg,2 mg 2 mg

Cardura Minipres Hytrin

1 1 1

150 mg;300 mg 8 mg,16 mg 50 mg 40 mg,80 mg 80 mg;160 mg

Aprovel Blopress Cozaar , angioten Micardis Diovan

1 1 1 1 1

150 & 300 + 12,5 mg 80 & 160 + 12,5 mg

Co aprovel Co diovan

1 1

40 & 80 + 12,5 mg 16 + 12,5 mg 20 & 40 mg

Micardis plus Blopress plus Olmetec

1 1 1

0,075 mg,0,15 mg

Catapres

250 mg 50 mg/5 ml

Dopamet Nipride (Sodium Nitroprusside for IV Infusion DBL) Toviaz

1 1

tab SR 4 & 8 mg

GLIKOSIDA JANTUNG
0,25 mg Lanoxin (inj) 1

OBAT UNTUK SYOK


250mmg/20 ml 10 mg/ml;40 mg/ml 1 mg/ml 5 mg/ml Inotrop;Dobuject;Dobutamine Giulini Dopamin Giulini;Indop Ephinephrine Della Methason;Oradexon 1 1 1 1

3 mg/ml amp 10 ml 10 mg/ml 0,2 mg/ml 4 mg/4 ml 10 mg;20 mg;40 mg

Isuprel Vascon

1 1 1 1 1

ANTIHIPERLIPIDEMIA
Lipitor;Atorsan

100 mg;200 mg;300 mg

Lipanthyl

300 mg,600 mg,900 mg 4 g/bungkus 375 mg,500 mg,750 mg,1.000 mg 10 mg;20 mg

Lopid Questran Niaspan Pravachol, Cholespar

1 1 1 1

10 mg;20 mg

Crestor

10 mg;20 mg 10 mg 10 & 20 mg 5 + 10 mg, 10 + 10 mg, 5 + 20 mg

Cholestat,, rechol, Zocor Ezetrol vytorin Caduet

1 1 1 1

5 mg,10 mg 2 ml 100 mg;200 mg 100 mg/5 ml,300 mg/15 ml 50 mg,100 mg 500 mg;1000 mg;1 g/8 ml;250 mg/2 ml;500 mg/4 ml 5 mg,10 mg,20 mg 5 mg,10 mg,20 mg

Sibelium Ventavis Praxilene;Vascuprax Trental;Reotal Viagra Nicholin;Brain Act;Lancolin Cialis Levitra

1 3 1 1 2 1 2 2

streptase tab 400 mg, inj 300 mg/15 ml Reotal Disolf Plasmin

3 3 3 3

250 mg

500 mcg/ ml

Prostin VR Pediatric

OBAT TOPIKAL UNTUK KULIT


2% Erymed 3

1% 2%

Framycetin Foban;Fucidin;Futadem

3 3

(2%+0,1%)5 g 1%;(1,2%+0,5%)15 g

Fucicort Comdacin;Mediklin

3 3

Tablet 500 mg;larutan 5 mg/ml 2%

Dumozol Bactoderm;Bactroban

3 3

10 mg/g 1%

Acuatim Dermazin 50 g, 150 g

3 3

2%

Ketomed;Nizoral

0,4 mg/g

Candazole

Fungitar shampoo 2% Mycorine; Daktarin

3 3

2%;1% 2% 1,8%

Brentan; Daktarin Diaper Selsun

3 3 3

1%

Termicil;Lamisil

5%

Clinovir ,Danovir

0,1%;0,5 mg/g

Beprosone ;Diprosone OV

0,1 %

Benoson

3 3

0,25% 0,5 mg/g

Esperson ;Inerson Dermades;Desolex

3 3

Krim, salep 0,1%;salep 0,3% 5% 0,025% 0,05% 1%;2,5% Krim 1%;krim lemak 0,1%scalp lotion 0,1%

Nerisona;Nerisona FO Sagalon Dermasolon Medicort

3 3 3 3 3

Locoid Caladine; Calamed Kloderma

3 3 3

0,05%

0,1% 0,1% 2,5 mg/g 0,1 %

Advantan;Advantan FO Mofacort, Dermovel Dermatop Kenacort -A

3 3 3 3 3 3

LARUTAN DIALISIS
1000 ml Peri Solution Otsuka

LARUTAN ELEKTROLIT,NUTRISI,DLL
25 g/BCAA 3.3 g Falkamin 3 3 3

Ensure ;Pan Enteral, Peptamen; Diabetasol;Nefrisol;Oxepa

25 ml ampul 5%,6%,10%

Aminosteril infant;Aminosteril 6%;Pan AminG;Kidmin; Kalbamin;Primen Aminofusin L 600,Aminofusin Paed, Aminoleban;Aminofusin Hepar

1 1

1 1 1 1

5%,10%,40% 25 mek/vial 10% 500 ml 500 ml Calcii Gluconas Tutofusin OPS Triofusin E 1000

1 1 1

500 ml

KA-EN 1B

500 ml

KA-EN 3A

500 ml

KA-EN 3B

500 ml 500 ml

OTSU-D2,5,1/2 NS OTSU-D5,1/4 NS OTSU-D5,1/2 NS

1 1 1

OTSU-D5, NS

OTSU-D10,0,18 NS

500 ml,1000 ml,1500 ml

Kabiven

1000 ml 50 ml,100 ml 20%

Triparen 1;Triparen 2;Clinimix;Combiflex;Vitrimix Dipeptiven Intralipid ;lvelip;Lipovenous

1 1 1

8.40% Inj.0,9% 25 ml;infus 100 ml;250 ml;500 ml ;3% 500 ml

Meylon Otsuka ;Widatra Asering Ringer laktat

1 1 1 1

500 ml

OBAT UNTUK MATA


250 mg 100IU/vial 50% 20% Diamox;Glaucon Botox Manitol ;Manitol Firma International 3 3 3 3

1% 3% 1.000IU 0.30% 2 mg 0.30% Salep mata 1%;tetes mata 3% Kloramfenikal 1%+hidrokortison asetat 0,5%

Fucithalmic Hervis

3 3 3

Dibekacine Solnazol Cendo Gentamycin Cendo Fenicol Cendomycos

3 3 3 3 3

0,5%

Cravit

Natacen

(3,5 mg+20.000IU+ 1,2 mg)ml

Cendo Xitrol

0,3 % 1% 10000IU/ml 10% 80 mg/ml 0,1% 1mg/ml 1% botol 5 ml 4% 10%/ml 10% 2% 0,5%;1%

Cendo Floxa;Tarivid Terramycin Ophth CendoPolygran Cendo Cetamide;Albuvit Cendo Tobro Cendo Vosama Cendo Noncort

3 3 3 3 3 3 3 3 3

CendoTropin Cendo Efrisel Cendo Homatro Cendomydriatyl

3 3 3 3

0,25% 0,5% 1% dlm 5 ml 1%-2% 1%-6% dlm 5 ml 0,005% dlm 2,5 ml 0.25%-0,5% 0.25% ; 0,5% 0,04% dlm 2,5% ml Xalatan Cendo Carpin Tim-Opthal; Isotic Adretor Travatan Optibet Azopt Trusopt

3 3 3 3 3 3 3 3 3

PSIKOFARMAKA
0,25 mg;0,5 mg;1 mg Xanax;Frixitas;Alganax 1

1,5 mg,3 mg,6 mg Tab 2 mg;inj.10 mg/2 ml 1 mg;2 mg

Lexotan Valium Esilgan

2 1 1

10 mg 0,5 mg;1 mg;2 mg

Frisium Ativan

1 1

10 mg 2 mg 8 mg 25 mg 30 mg,60 mg 10 mg 10 mg;20 mg 25 mg 25 mg 200 mg;300 mg;400 mg

Stilnox;Zolmia Riclona Rozerem

1 1 1 1 1 1 2 2 2 2

Cymbalta Cipralex Prozac ;Lodep;Kalxetin Tofranil Anafranil Frimania

50 mg 75 mg,150 mg 10, 25 & 50 mg

Zoloft;Zerlin;Fridep Efexor XR Ludiomil

2 2 2

ANTIOBSESI DAN ANTIKOMPULSI


Tab 25 mg;inj 10 mg 10 mg,15 mg Anafranil 3 3

ANTIPSIKOSIS
Abilify

Tab 0,5 mg;1,5 mg;5 mg;inj 5 mg/ml amp 1 ml;drops 2mg/15 ml

Serenace ; Lodomer

50 mg/ml amp 1 ml 25 mg;100 mg;5 mg/ml 25 mg,100 mg Tab 5 mg,10 mg; vial 2 mg;4 mg

Haldol Decanoas

3 2

Clozaril ; Luften Zyprexa

3 3 3

4 mg 25 mg,100 mg,200 mg

Orap Forte Seroquel

3 3

1 mg;2 mg;3 mg

Risperdal ;Zofredal ;Persidal

1 mg; 5 mg 25 mg,50 mg

Stelazine Lodopin

2 3

ANTI ADHD
10 mg,20 mg,30 mg,10 mg intermediate release Ritalin 3

RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE


25 mg/2,5 ml;50 mg/ml 10 mg 50 mg 200 mg 2 mg/ml 50 mg;25 mg 200 mg/10 ml 2 mg 4 mg/ml;10 mg Tracrium;Atracurium Hameln Lioresal Myonal Solaxin Pavulon Esmeron Quelicin SirdaludMyores, Phardex Norcuron;Ecron 3 1 1 3 3 3 3 1 3

0,5 mg/ml 60 mg 50 mg

Postigmin Mestinon azathioprine, Imuran

2 2 2

OBAT UNTUK SALURAN CERNA


200 mg+200 mg Myalanta ;Polycrol 1 1

Tab 20 mg,40 mg;inj 40 mg; vial

Nexium;Nexium IV

200 mg 10 mg;20 mg;40 mg 20 mg;40 mg;40 mg(vial)

Cytotec Losec;OMZ;Ozid Pantozol

1 1 1

150 mg;25 mg/ml

Zantac;Rantin;Wiacid

100 mg 20 mg 500 mg/ml 50 mg 10 & 20 mg 15, 20 & 30 mg 5 mg 100 mg

Mucosta

1 1 1 1 1 1 1 1

Inpepsa Purubex Pariet prosogan,lancid acpulsif fucoidan

8 mg; 6 mg 50 mg 10 mg 10 mg;10 mg/2 ml

Betaserc;Merislon Dramine Sed generik Primperan

1 1 1 1

Tablet 8 mg;4 mg,inj 4 mg/amp 2 ml, 8 mg/amp 4 ml;4 mg/2 ml Piratiazin teoklat 40 mg+ vit B637,5 mg 6 mg

Zofran;Narfos;Ondavell

Mediamer B6 Zelmaz kytril, granon

1 1 1 1 1

0,25 mg / 5 ml tab 0,1 mg, inj 0,3 mg / 2 ml

paloxi nasea

60,98 mg 1%;3% 200 mg 500 mg

Aethoxysklerol Venosmil Ardium

3 3 3 3

0,25 mg/ml 5 mg 10 mg;20 mg/mml

Atrium Sulfat Caliopan Buscopan

3 3 3

NaCl 3,5 g+KCi 1,5 g +glukosa 20 g/1000 ml 2 mg Imodium Smecta

3 3 3

10 mg

Dulcolax

(45 mg + 450 mg+ 5 mg+625 mg+4465 mg)/5 ml 3,335 g/5 ml

Microlax Extralac, lactulac, Duphalac

2 2 2

30 g Botol 133 ml(fleet Enema);Botol 45 ml (fleet Phosposoda) Fenolftalein 55 mg;Paraffin liq 1,2g;gliserin 378 mg

Garam Inggris Fleet Enema; Fleet Phosposoda Lexadine

2 2 2

250 mg 40 mg amp 20 ml 300 mg Sachet 3 g;5g/10 ml amp Tab 250 mg;500 mg;enema 4 g;sup 500 mg

Lain-lain Urdafalk; Estazor Stronger Neo-Minophagen C HEFC Vitazym Hepa-Merz Salofalk; Sulfitis (tab)

3 3 3 3 3 3

400 mg

Hp Pro

OBAT UNTUK SALURAN NAFAS


1 mg/ml;4 mg/4 ml 24 mg/10 ml 200 mcg/dosis Adrenalin Aminophylinum Becotide; Beclomed easyhaler 2 2 2

100 mcg;200 mcg

Pulmicort; Inflammide

5 mg/ml

Oradexon; Kalmethason

50 mg/ml;25 mg 0,1% 40 ml;MDI 100 mcg/puff,200 mcg/puff 20 mcg/spray 0,1 mg/ml;0,2 mg/ml 10 mcg,20 mcg

(inj) Sed. Generik; Ephedrin HCI; (tab) sed generik Berotec Atrovent Isupel Spiropent

2 2 2 2 2

Tab 25 mg,50 mg; inhaler 10 mcg/puff

Meptin air inhaler

2 mg;4 mg;2 mg/5 mL;100 mcg/puff;2,5 mg;

Ventolin; Lasel

200 mcg;400 mcg

MDI 200 puffs;vial 2,5 ml UDV 50 inhalasi ,125 inhalasi

Combivent Seretide 50 inhalasi, seretide 125 inhalasi

2 2

130 mg;130 mg/15 ml

Euphyllin R mite; Quibron TSR

Tab 2,5 mg;sir 0,3 mg/ml; inj 0,5 mg/ml; Can 0,25 mg/puff; turb 0,25 mg,0,5 mg;resp 2,5 mg/ml

Bricasma; Nairet; Forasma

15 mg 10 mg

Codipront

2 2

30 mg, sir: 15 mg/5 ml

Mucopect; Transbroncho

Tab 8 mg; eliksir dan sirup 4 mg/5 ml; lar 8 mg/4 ml;inj.4 Bisolvon mg/2 ml amp

175 mg/5 ml

Vectrin

Serbuk 100 mg,200 mg;sir 150 mg/ml

Fluimucyl

OBH

25 mg/ml 8 vial

Survanta

OBAT YANG MEMPENGARUHI SISTEM IMUN


5% 1.500IU ; 10.000IU.20.000 IU; 100 IU/ml vial 20 ml 10%,2,5 g/50 ml 250IU Gammaraas 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

Gamimune N10% Teragem P Vaksin polio oral

40 antigen unit (type 1);4 antigen unit (type 2);32 antigen Vaksin polio oral unit (type 3) 300 I.U.,0,5 mg/0,5 ml Imogam Rabbies;Verorab 2 ml;4 ml 0,5 ml 0,5 ml 5 ml amp 10 mcg/0,5 ml vial 720 IU/ml;80 IU/0,5 ml;160 IU/0,5 ml 100 mcg/0,5 ml;20 mcg/0,5 ml vial 0,5 ml 0,5 ml 0,5 ml 0,5 ml 0,5 ml 0,5 ml 0,5 ml Vaksin BCG Vaksin Campak Vaksin serap DTP Vaksin serap DT (Hiberix) Havrix 720 junior;Avaxim 80;Avaxim 160 Fluarix;Vaxigrip Infanrix-Hib ; Tetrac Hib Pediacel Mencevax Trimovax Gardasil;Servarix Prevenar (PCV);Pneumo 23 Rotarix 5 ml Vial 5 ml,10 ml,uniject 0,5 ml 0,025 mg/0,5 ml;10 mL vial 0,5 ml vial Vaksin TT Bio Farma Varilix;Okavax

VITAMIN DAN MINERAL


0,25 mcg Tab 50 mg;100 mg;inj.100 mg/ml,200 mg/ml, 1 g Kolkatriol Extrace:Max C 2 2

400 mcg

Folid Acid

500 mcg/ml Kapsul 10 mg,20 mg; tablet 25 mg 750 mg;300 mcg 500 mg 1 mmol/ml 100 mg/10 ml 1250 mg 500 mg 16 mg+500 mg+10 mg+ 50 mcg 100 mg+200 mg+200 mcg+400 mcg Neotigason KSR;Aspar-K

2 2 2 2 2 2 2 2 2 2 2 2 2

Calcii gluconas Osteocal Kalk Seloxy Neurobion; Neurobion 5000;

nerva plus 4%,10% dlm vial (30 mg+500 mg) 250 mcg,500 mcg; 500 mcg/ml R-Gene Carnico-Q Methycobal; Lapiqbal 2 2 2 2 Nutrilin;Licoxy;Zegravit MVI 50 mg/ml 500 mg 10 mg;25 mg 6.000 IU.;20.000 IU.;50.000 IU Zn Pikolinat 50 mg+Zn glukonat 50 mg+ Cu glukonat 8 mg Lutein 3 mg +lycopene 2 mg+vit E 25 mg+vit C 100 mg+Zn 10 mg +b-carotene 6000 iu =bilberry extr 80 mg 50 mg; 100 mg; Thiamin nitrat 60 mg+ kalsium pantotenat 60 mg + Medical yeas 100 mg+cystin 20 mg +keratin 20 mg +asam p-amino benzoate 20 mg Zinc Pharmacore 2 2 2 2 2 2 2

Optimax

2 2 2

Pantogar

5 mg;10 mg/2 ml

Alinamin/Alinamin-F-Odorless

Zn 250 mcg +copper 20 mcg+ manganese 1 mcg+selenium 2 mcg +fluoride 57 mcg +iodide 1 mcg 50 mccg;100 mcg 200 IU.;300IU.;400 IU

Peditrace

2 2 2 2 2 2 2 2 2 2 2

100 IU;200 IU 2 mg/ml

Evion;Dalfarol

OBAT YANG MEMPENGARUHI SALURAN KEMIH


1 mg 1 mg,2 mg, 4 mg 0,2 mg 10 mg 5 mg 0,5 mg Hytrin Cardura Hamal Xatral XL Prostacom Proscar Avodart 2 2 2 2 3 3 3 2 mg 5 mg Detrusitol Vesicare 2 2

Urocarb Ubretid Aquasonic KY Jelly 1 mg; 4,5 mg; 0,3 mg/ml Hydergin

3 3 2 2 2

Kaplet 400 mg, 800 mg;sirup 10%,inj. 1 g/5 ml,3 g/15 ml,12 g/60 ml 300 mg/amp 100 mg / 5ml

Nootropil,Neurotam Complamin encephabol

2 2 2 2

OSTEOARTRITIS dan METABOLISME TULANG

35 mg tab 50 & 100 IU, spray 200

Actonel Miacalcic

2 2

tab 4 mg, inj 4 mg / 5 ml

Zometa, aclasta bonviva Rocaltrol, klokatriol, oscal Viopor, rebone, mediflex, fitajoint Evista, osteonate OD Nichospor Bonefos

2 2 2 2 2 2 2

0,25 & 0,5 mcg cap 500 mg, krim 10 %, gel 35 g 60 mg 10 mg Kaps 400 mg;tab 800 mg;inf conc.60 ml/5 ml

2g

Evista Zometa

2 2

PRODUSEN SEDIAAN

PACKING KEMASAN

HARGA

TIPIRAI
Janssen-Cilag Janssen-Cilag 10 mL patch 25 mcg/hr patch 50 mcg/hr box box box 5x1 5x1 5x1 Rp Rp Rp 338,200 600,000 1,080,000

Janssen-Cilag Sanofi Aventis Pfizer, Gracia, Sanbe

5 mcg/mL (10 mL) 500 mg/mL (2 mL) cap 250 mg cap 500 mg

box box box box box box box box box pack pack tube tube tube pack box box bottle bottle pack pack pack box pack

5x1 5x1 10x10 10x10 5x10 5x10 5x1 5x10 5x10 10 10 1 1 1 50x1 2x10 2x5 50 mLx1 60 mLx1 100 50 100 6x1 10 pcs 6x1 20 5x1 30 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

440,000 39,915 47,500 105,000 118,040 205,640 160,470 383,330 281,670 137,795 77,855 23,500 39,000 86,000 45,100 20,900 39,600 20,350 15,950 161,500 439,360 414,333 152,368 107,166 224,881 93,800 191,950 380,600 233,860

Novartis

tab enteric coat 25 mg tabenteric coat 50 mg inj 75 mg/3 mL retard tab 100 mg SR tab 75 mg supp 100 mg supp 50 mg emulgel 1% 10 g emulgel 1% 20 g emulgel 1% 50 g

Otto, Zambon, Abbot, Lapi, Kalbe

caplet 200 mg chew tab 100 mg supp 125 mg forte syr 200 mg/5 mL syr 100 mg/5 mL cap 100 mg CR cap 200 mg coated tab 100 mg inj 100 mg/2 mL (2 mL) supp 100 mg inj 30 mg/mL tab 10 mg inj 15 mg/mL tab 15 mg tab 7.5 mg

Eisai Sanofi, Otto, Dexa medica, Kalbe

Roche, Kalbe, Novell, Dexa, Phapros, Soho Boehringer, Nicholas, Soho, Bernofarm, Otto, Interbat

box pack pack

cap 500 mg

pack

100

Rp

30,450

pack rectal cr 125 mg/2.5 mL rectal cr 250 mg/4 mL syr 120 mg/5 mL FC cap FC cap powd for inj 40 mg tab cap 10 mg cap 20 mg dispersible tab 20 mg flash tab 20 mg box box bottle box box vial box pack pack pack pack

1000 5x1 5x1 60 mLx1 6x10 10x10 1 10x10 50 50 50 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

288,450 48,000 68,000 13,328 69,000 100,000 89,805 64,000 226,820 449,525 441,485 341,085

Dexa

Pfizer

cap 100 mg cap 200 mg FC caplet cap 50 mg

pack pack box pack pack box box pack pack pack pack pack box box

10x3 10x3 10x10 60 50 5x1 5x1 10 10 30 30 30 5x10 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

196,875 340,045 99,000 183,603 235,000 145,750 100,650 77,000 139,150 363,000 257,400 280,500 235,000 178,500

Pharos. Otto, Actavis, Mahakam cap 50 mg inj 50 mg/2 mL inj 50 mg/mL retard tab 100 mg supp 100 mg tab 120 mg tab 60 mg tab 90 mg tab 25 mg inj 50 mg/2 mL

MSD

Ferron Merck Janssen-Cilag Ott0 Tropika mas Glaxo, Interbat

tab tab cap tab 100 mg tab 300 mg inj 10 mg/mL tab 50 mg

box box pack pack pack pack pack prefilled syringe pack

3x10 10x10 60 200 60 100 30 2 mLx1 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp

159,000 200,000 270,000 380,050 120,450 419,320 132,220 420,000 748,990

Fahrenheit

tab 0.5 mg tab 10 mg

box pack

3x10 30

Rp Rp

105,000 500,230

tab 20 mg inj (amp) 5 mg/mL inj (vial) 5 mg/mL inj (vial) 50 mg/5 mL tab 2.5 mg tab 500 mg inj 1000 mg inj 200 mg inj 500 mg cap 500 mg infusion 100 mg

pack box box vial pack pack vial vial vial box vial

30 10x10 10x10 1 50 50 1 1 1 10x10 5 mLx1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

844,190 570,000 570,000 90,000 105,000 997,230 537,140 159,500 354,500 495,000 5,454,545

Tanabe

Astra Zenica, Kalbe, Dexa Medica inj 0.5% ( duofit polyamp 20 mL)

box

5x1

Rp

317,905

Astra Zenica

inj 2% ( duofit polyamp 2 mL) inj 2% ( duofit polyamp 20 mL) inj 2 mL inj 50 mg/mL (amp 2 mL)

box box box box

50x1 5x1 20x1 5x1

Rp Rp Rp Rp

294,456 230,116 53,906 275,000

Sanbe

cream 5 g

tube

Rp

44,221

inj 7.5 mg/mL (20 mL) Phapros inj 2 mL

box box

5x1 20x1

Rp Rp

444,010 53,906

Abbot B Braun Dexa Medica Abbot Pfizer inj 100 mg/mL (10 mL) Roche, kalbe, Novell, Dexa Medica inj 15 mg/3 mL inj 5 mg/5 mL Novel, Pharos, B-Braun, Dexa Medica Abbot, inhalation vapour liquid vial box box bottle 1 5x1 10x1 1 Rp Rp Rp Rp 239,350 286,086 229,202 2,420,000

Fahrenheit,Kalbe Transfarma Transfarma

250 mL infusion 500 mg vial 1 Rp 59,000

Roche, Actavis , Fahrenheit

Scchering

tab 5 mg syr 0.5 mg/mL (60 mL) tab 30 mg HD tab 180 mg OD tab 120 mg XR tab tab 25 mg syr 10 mg/5 mL (100 mL) tab 25 mg tab 10 mg

pack bottle box pack box box pack bottle pack pack pack box box bottle bottle box pack box

30 1 5x10 10 10x10 10x10 100 1 100 100 300 5x10 5x10 1 1 3x10 30 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

180,090 64,170 171,875 64,680 572,795 376,923 117,329 22,500 160,000 88,000 253,500 248,050 165,000 47,800 37,950 150,000 110,000 58,500

Sanofi

Schering Schering, Soho, Sanbe, Inmark tab 10 mg cap Kalbe , UCB, Ferron, Pharos, Novel, Lapi, Fahrenheit Kalbe Tanabe Merck Interbat, Konimex syr 50 mg/mL (60 mL) tab 50 mg drops 10 mg/mL (20 mL) syr 5 mg/5 mL (60 mL) tab 10 mg tab 5 mg tab 10 mg

bottle pack

1 100

Rp Rp

15,000 45,000

dispertab 125 mg dispertab 250 mg dispertab 500 mg tab 500 mg Roche Combiphar, Tempo, Kalbe powd for inj 500 mg inj 50 mg/10 mL tab 15 mg

box pack box pack

4x7 28 4x7 100

Rp Rp Rp Rp

2,000,000 3,978,495 7,932,655 260,000

box vial pack

10x1 1 20

Rp Rp Rp

990,845 325,000 275,000

Fahrenheit infusion 400 mg (amp 4 mL) inj 0.4 mg/mL (2 mL) Transfarma inj 0.5 mg/mL box box box 15x1 5x1 5x1 Rp Rp Rp 1,126,780 350,000 45,100

Combiphar

syr 66.7%/5 mL (120 mL) inj 10 mg/2 mL tab 5 mg

bottle

Rp

57,500

Roche, Fahrenheit, Actavis

box pack pack box pack box pack bottle box pack pack pack box box pack pack pack pack pack pack box box box pack pack pack box box pack

5x1 100 100 10x1 100 5x10 50 1 5x10 100 30 20 5x10 5x10 14 14 14 60 60 60 6x10 6x10 6x10 100 100 100 3x10 3x10 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ?

120,337 297,476 302,165 757,700 1,093,010 128,000 202,500 74,000 174,500 516,624 240,350 315,600 388,735 726,705 239,425 100,585 145,110 227,600 377,500 468,125 482,500 241,000 300,000 587,290 435,435 870,898 229,169 176,153

Pfizer, Ikapharmindo Combiphar, Mersifarma Novartis

cap 100 mg inj 250 mg/ 5 mL cap 300 mg chew tab 100 mg CR tab 200 mg syr 100 mg/5 mL (120 mL) tab 200 mg tab 2 mg FC tab 250 mg FC tab 500 mg tab 300 mg tab 600 mg cap 150 mg cap 50 mg cap 75 mg cap 15 mg cap 25 mg cap 50 mg tab 100 mg tab 25 mg tab 50 mg tab 250 mg ER tab 250 mg ER tab 500 mg tab 100 mg tab 50 mg tab 50 mg

UCB, Pharos

Novartis

Janssen-Cilag

Abbot

Glaxi smith kline Eisai

Glaxo Sanbe, Otto, Lapi

cap 250 mg cap 500 mg dispers tab 250 mg

box box box

10x10 10x10 10x10

Rp Rp Rp

136,840 280,340 120,950

dry syr 125 mg/5 mL (60 mL) Forte dry syr 250 mg/ 5 mL (60 mL) infusion 1 g paed oral drops 100 mg/mL (15 mL) Glaxio, Kalbe, Sanbe, Interbat, Phapros, tab 1 g Soho tab 625 mg Forte oral susp (60 mL) oral susp (60 mL) Meiji, Inmark, Kalbe, Berno powd for inj 1.5 g powd for inj 750 mg tab 375 mg

bottle bottle box bottle pack pack bottle bottle vial vial pack

1 1 10x1 1 14 60 1 1 1 1 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

19,230 27,425 192,290 19,230 131,016 415,508 53,818 40,053 125,000 65,000 410,000

syr 250 mg/5 mL (60 mL) tab 250 mg tab 625 mg Meiji cap 500 mg powd for inj 1000 mg powd for inj 500 mg powd for inj 4.5 g powd for inj 3 juta U powd for inj 1 g pow for inj 2 g

bottle box box box box box vial vial box box

1 10x10 10x10 10x10 10x1 10x1 1 1 10x1 10x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

30,360 121,800 240,000 331,150 26,400 15,400 264,000 9,800 323,274 523,090

Pfizer

Bristol, Kalbe, Pharos Schering, Ethica

inj 250 mg (2 mL) inj 500 mg (2 mL) inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL

box box vial amp vial amp vial amp amp amp amp amp

10x1 10x1 1 1 1 1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

85,000 152,250 22,100 44,100 55,200 104,600 158,900 262,200 59,000 77,000 56,250

Schering

inj 100 mg inj 150 mg/1.5 mL inj 300 mg/1.5 mL inj 50 mg inj 100 mg/2 mL inj 50 mg/mL

Meiji

Pharmacia Zambon, Sanbe

Novel

cap 250 mg cap 500 mg dry syr 125 mg/5 mL (60 mL) cap 500 mg

box box bottle box box

10x10 10x10 1 3x10 3x10

Rp Rp Rp Rp Rp

260,000 360,000 30,500 110,000 150,000

Kalbe, Soho, Dexa medica, Novell, tabSanbe, 250 mg Soho,

tab 500 mg inf 500 mg/100 mL Bayer tab 400 mg inf 400 mg/250 mL Kalbe tab 200 mg tab 400 mg tab 400 mg Bayer, Bernofarm, Soho, Tempo IV inf Scan, 200 mg/100 GraciamL IV inf 400 mg/200 mL tab 500 mg XR tab 1000 mg XR tab 500 mg cap 250 mg cap 500 mg oral susp 200 mg/5 mL (15 mL) Abbot cap 250 mg

box vial pack vial pack pack box vial vial pack pack pack pack pack bottle

3x10 1 5 1 30 30 5x6 1 1 20 10 10 10 10 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

210,000 215,000 242,550 431,750 225,000 370,000 660,000 201,600 309,750 370,700 347,600 185,850 148,500 275,000 88,000

pack pack box pack pack bottle bottle bottle pack box box container bottle bottle pack pack

100 500 100 100 100 1 1 1 100 3x10 3x10 1 1 1 6 3

Rp Rp ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

367,345 887,530 385,385 660,000 50,160 47,300 28,302 304,975 231,750 589,050 122,245 86,910 148,465 143,920 143,920

Abbot, Combiphar Otto Pfizer, Pharos, Bernofarm

EES tab 500 mg tab 200 mg Forte tab 500 mg oral susp 200 mg/5 mL (60 mL) oral drops 100 mg/2.5 mL (30 mL) Forte oral susp 250 mg/5 mL (60 mL) tab 200 mg FC cap 250 mg FC cap 500 mg oral susp 2 g oral susp 200 mg/5 mL (15 mL) powd for inj 500 mg tab 250 mg tab 500 mg

Pfizer, otto Sanbe, Otto, Phapros, Kalbe, Fahrenheit, Interbat,ferron cap 250 mg cap 500 mg dry syr 125 mg/5 mL (60 mL) dry syr 250 mg/5 mL (60 mL) powd for inj 1 g box box bottle bottle 10x10 10x10 1 1 Rp Rp Rp Rp 430,500 872,500 35,980 61,835

Kalbe

vial

Rp

82,000

box Pharos, Fahrenhei Kalbe, Sanbe, Ferron, KF, Dexa,cap Interbat, 100 mg Pharos,Gracia box dry syr 100 mg/5 mL bottle (30 mL) tab 200 mg box Pfizer, Interbat, Pharos, Sanbe inj 1 g box Pfizer, Soho, Pharos, powd for inj vial Sanofi, Sanbe, Kalbe, Gracia, Pharos inj 1 g vial Takeda powd for inj 1 g vial Sandoz tab 100 mg box tab 200 mg box Ethica cap 500 mg pack Sanofi, Interbat, Fahrenheit, Pharos, powd for Dexa inj 1 g vial Glaxo,Ferron, Soho, Pharos powd for inj 1 g vial powd for inj 500 mg vial Novell, Kalbe, Dexa powd for inj 1 g Roche, Sanbe, Kalbe, Dexa, Escolab, IV inj Otto 1g cap 500 mg inj 750 mg tab 500 mg Astellas cap 100 mg vial vial pack box pack box

3x1 3x10 1 1x10 2x1 1 1 1 3x10 3x10 30 1 1 1 1 1 30 1 20 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

65,000 505,000 75,000 259,000 240,000 155,000 120,000 92,000 300,000 450,000 210,000 290,462 148,000 72,000 185,000 250,000 520,000 120,000 385,000 350,000

Pfizerm Interbat

cap 100 mg cap 50 mg powd for inj 50 mg/10 mL (10 mL) cap 500 mg cap 250 mg inf 50 mg/5 mL

box box box box box box

3x10 3x10 10x1 10x10 10x10 10x1 10x1 10x1 1 30 30 50 100 10x10 1 10x10 1 10 10x1 10x1 1 10 10 10x10 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

99,000 69,000 84,095 95,300 37,400 5,000,000 82,300 136,900 262,250 181,310 326,345 255,000 105,000 158,000 20,330 70,000 555,765 5,175,365 4,345,704 3,356,278 39,335 98,453 188,407 479,558 590,247

Pfizer

Meiji, Dexa Medica, Zambon

inj 1 g box inj 2 g box Merck sharp Dohme, Pharos, Sanbe IV inj vial Pfizer, Kalbe, Sanbe, Lapi cap 150 mg pack cap 300 mg pack tab 1.5 juta IU pack tab 2.5 juta IU pack Forte cap box syr (60 mL) bottle tab box Pfizer inf 2 mg/mL (300 mL) bottle tab 600 mg pack Astra Zeneca, Kalbe, Fahrenheit, Bernofarm, IV inj 1 g Interbat, Sanbe, box Dexa IV inj 500 g box oral susp 125 mg/5 mL supp 0.5 g supp 1 g Forte tab 500 mg powd for inj 400 mg bottle strip strip box vial

Sanofi

Fahrenheit Darya

powd for inj 0.5 g enema 4 g tab 250 mg tab 500 mg supp 500 mg Janssen-Cilag inj 500 mg Merck sharp Dohme inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL powd for inj 1 g Bristol Myers Squibb, Fahrenheit powd for inj 1 g tab 250 mg tab 500 mg Forte tab tab tab 500 mg cap 300 mg cap 450 mg cap 600 mg syr 20 mg/mL (50 mL) syr 20 mg/mL (100 mL) powd for inj 1 g powd for inj 5 g 450/300 captab paed chew tab paed chew tab 3FDC tab Forte cap tab 4FDC tab

box box pack pack pack box vial amp vial vial box pack pack pack pack box box box box bottle bottle vial vial box pack box pack box pack box

2x1 4x1 100 100 30 10x1 1 1 1 1 2x1 100 100 350 1500 10x10 5x10 25x4 25x4 1 1 1 1 5x6 50 6x10 30 10x10 100 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

360,000 101,000 466,000 765,000 525,000 440,000 22,100 44,100 55,200 510,000 360,000 42,000 88,000 274,034 505,310 121,000 217,500 544,000 700,000 45,000 84,000 4,600 12,000 232,200 99,600 144,000 144,000 154,350 81,900 160,500

Samdoz, Phapros

Sandoz

Galenium Sandoz, Indofarma Sandoz , Indofarma Landson Sandoz

Pfizer, Fahrenheit, Novell

Pfizer, Jansenn Cilag Ikapharmindo

cap 150 mg cap 50 mg powd for inj 2 mg/mL (100 mL) tab 500 mg cap 100 mg tab 200 mg oral susp 100.000 U/mL tab 200 mg tab 50 mg inf 200 mg tab 125 mg tab 250 mg cream 1% 5 g

box pack vial box pack pack pack bottle pack vial box box tube

5x1 10 1 10x10 28 150 30 1 10 2x10 1 2x6 2x6 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ? Rp Rp

411,225 274,165 308,980 506,000 700,000 1,500,000 315,000 45,300 3,322,370 1,129,600 385,500 25,200

cream 1% 10 g

tube

Rp

45,500

KF tab tab 10 mg tab 200 mg IV infusion cream 5% tab 0.5 mg tab 1 mg tab 250 mg infusion 500 mg cap Plus syr 60 mL powd for inj 3MIU/mL inj 135 mcg inj 180 mcg powd for inj 120 mcg powd for inj 50 mcg powd for inj 80 mcg prefilled pen 100 mcg prefilled pen 120 mcg prefilled pen 50 mcg prefilled pen 80 mcg tab 100 mg syr 250 mg/5 mL (60 mL) tab 500 mg cap 200 mg tab 600 mg cap 500 mg tab 450 mg tab 150 mg pack pack box vial tube 2 g tube 5 g pack pack box vial box bottle box prefilled syringe 0.5 mL vial vial vial pen pen pen pen pack bottle pack pack box box pack pack 60 30 5x5 1 1 1 10 3x10 3x7 1 3x10 1 3x1 1 1 1 1 1 1 1 1 1 14 1 8 36 2x14 5x10 60 60 Rp Rp Rp Rp Rp Rp ? ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 623,230 668,342 66,150 22,050 400,000 1,959,664 2,269,491 2,558,520 1,301,000 2,081,390 2,282,180 2,558,520 1,319,630 2,092,770 480,000 61,200 63,500 332,640 1,316,500 600,000 14,542,936 480,000 393,559 1,080,882 198,000 1,000,000 56,000 105,000

Glaxo Smith Kline

Roche

Glaxo Smith Kline

Glaxo, Soho Roche Glaxo Smith Kline

Novartis

tab 2.5 mg tab drag

box box pack

10x1 10 500

Rp Rp Rp

1,092,733 666,314 650,000

Janssen-Cilag, Kalbe

tab 10 mg tab 5 mg

box box

5x10 5x10

Rp Rp

260,000 185,000

cap 100 mg Abbot Eisai tab 24 mg tab 8 mg tab 6 mg

pack pack pack pack

2 20 100 100

Rp Rp Rp Rp

70,000 107,000 130,650 220,000

Novartis Roche Boehringer tab 200 mg disp tab 125 tab 0.125 mg tab 0.25 mg XR tab 0.375 mg XR tab 0.75 mg tab 5 mg tab 100/25/200 mg tab 200/50/200 tab 2 mg tab 2 mg tab 4 mg tab 8 mg Eisai , pharos, interbat Janssen-Cilag tab 5 mg PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg Forte tab 120 mg Spesial tab 80 mg tab cap 0.5 mg pack pack box box box box pack pack pack pack pack pack pack pack pack blister bottle box box pack box box box pack box pack pack pack pack 30 30 3x10 3x10 3x10 3x10 50 30 30 1000 250 28 42 28 28 14 30 4x7 4x7 14 4x14 4x7 4x7 14 4x14 30 30 100 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 432,725 135,167 155,870 276,210 445,170 789,030 375,848 514,000 600,000 230,000 71,000 193,768 239,124 229,169 269,645 481,423 982,500 1,265,000 1,105,000 279,500 1,265,000 1,265,000 1,105,000 279,500 1,265,000 389,000 259,545 399,993 270,000

Sanofi Novartis Mersifarma Glaxo Smith Kline

Novartis

Phapros, Combiphar

Glaxo Smith Kline Soho, ferron Lunbeck

Otto, Sanbe,Novell,Dexa Combiphar, Dexa, Merck, Kalbe, Sanbe cap pack 10 Rp 122,100

inj 500 mcg/5 mL tab 50 mcg

box pack

100 1000

Rp Rp

9,980 32,044

Merck, Kalbe, Nicholas, Abbot, Combiphar, tab 115.4 mg Fahrenheit drops 15 mg/mL (15 mL) syr 15 mg/5 mL (100 mL) infusion 50 mg inj 50 IU/mL (10 mL) chew tab 80 mg

box bottle bottle vial vial pack pack pack pack pack pack box box box box vial tube tube syringe syringe vial box box pack pack pack box box box pack

3x10 1 1 1 1 100 50 50 28 200 100 2x1 2x1 2x1 2x1 1 1 1 1 1 1 2x10 10x10 10 28 28 3x10 3x10 3x10 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

23,000 18,000 25,500 6,547,530 3,450,000 36,700 498,000 275,000 610,555 366,630 443,080 137,070 242,680 347,160 655,500 55,000 14,369 36,300 690,000 1,050,000 3,520,000 219,420 120,000 250,000 700,000 700,000 554,950 554,950 554,950 150,000

Dexa medica Darya , Bayer

Otsuka, Guardian, Kalbe, Dexa tab 100 mg tab 50 mg Sanofi, Ferron, Kalbe, Soho, Dexa tab 75 mg tab 25 mg tab 75 mg Sanofi inj 20 mg/0.2 mL inj 40 mg/0.4 mL inj 60 mg/0.6 mL Glaxo Smith Kline inj 2.5 mg/0.5 mL inj 5000 IU/mL (5 mL) oint 15 g topical gel 20000 IU 20 g Fahrenheit inj 4250 Axa IU/0.4 mL inj 6400 Axa IU/0.6 mL powd for inj 1.5 juta IU tab 250 mg Prtapa Nirmala Bayer tab 2 mg FC tab 10 mg FC tab 15 mg FC tab 20 mg cap 110 mg cap 150 mg cap 75 mg cap 300 mg

Boehringer

Abbot Glaxo smith kline

Kalbe, Sanbe, Dexa,

cap 250 mg tab 500 mg inj 250 mg/5 mL inj 500 mg/5 mL inj 250 mg/2 mL tab 500 mg inj 10 mg/2 mL inj 25 mg/5 mL inj 50 mg/10 mL Forte tab 30 mg tab 10 mg inj 0.1 mg/mL

pack pack box box box pack box box box box box amp

100 100 10x1 10x1 6x1 20 10x1 10x1 10x1 10x10 10x10 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

138,000 240,000 75,000 105,000 30,280 47,300 78,208 133,560 194,412 283,500 189,000 1,396,000

Combiphar Tanabe, Ferron

Novartis

Jansem cillag, Kalbe, Novell

inj 10000 IU/mL inj 2000 IU/0.5 mL inj 4000 IU/0.4 mL

box box box

6x1 6x1 6x1

Rp Rp Rp

6,747,300 1,493,100 2,946,300

Roche, Kalbe, Novell

inj 30 MU/mL

prefilled syrg

Rp

846,126

Dipa pharmalab, Kalbe, Dexa, fahremheit inf 25% 20 mL inf 25% 50 mL inf 25% 50 mL inf 20% 50 mL inf 20% 100 mL inf 5% 50 mL inf 5% 250 mL Dipa pharmalab inj 250 IU inj 500 IU

vial vial vial bottle bottle bottle bottle bottle bottle

1 1 1 1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp

338,000 792,500 1,585,000 681,250 1,362,500 300,000 1,040,000 1,268,225 2,536,450

inf 500 ml inf 5g/100 mL (250 mL) inf 10% inf 6% inf 3.5% 500 mL

bottle bottle box box bottle

1 1 10x1 12x1 1

Rp Rp Rp Rp Rp

80,631 1,031,650 214,200 155,000 170,000

ovule 90 mg soln conc 360 mg/g 5 mL soln conc 360 mg/g 10 mL soln conc 360 mg/g 30 mL sol conc 360 mg/g 100 mL vag gel 50 g

pack bottle bottle bottle bottle tube

6 1 1 1 1 1

Rp Rp Rp Rp Rp Rp

101,640 17,600 26,950 66,000 236,500 74,580

Actavis Sanofi, Landson

tab inj 20 mg/2 mL tab 40 mg

pack box pack

50 5x1 100

Rp Rp Rp

80,000 50,068 356,838

Phapros, Kalbe, Soho

inj 20% 250 mL inj 20% 500 mL tab 100 mg tab 25 mg

bottle bottle pack pack

1 1 100 100

Rp Rp Rp Rp

31,381 59,626 311,500 96,300

Cendo Pfizer

tab

pack

100

Rp

126,000

Bayer, Dexa

tab 100 mg tab 50 mg Sanofi tab 5 mg Servier tab 60 mg Boehringer tab 30 mg Samofi, Kalbe, Medifarma tab 1 mg tab 2 mg tab 3 mg tab 4 mg Pfizer tab 10 mg tab 5 mg Merck, Kalbe, Pharos, Ferrom tab 500 mg XR cap 500 mg Merck tab 1.25 mg/250 mg tab 2.5 mg/500 mg tab 5 mg/500 mg tab 120 mg

box box container pack pack box box box box pack pack pack box pack pack pack box

10x5 10x5 100 30 10 5x10 5x10 5x10 3x10 30 30 50 10x10 100 100 100 7x12

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

123,600 77,100 280,722 155,000 228,360 120,915 220,412 290,813 198,984 116,460 116,460 42,750 135,000 189,778 327,210 397,320 449,300

Takeda, Kalbe, Dexa

tab 15 mg tab 30 mg tab 4 mg tab 4mg/2 mg tab 4 mg/mg tab 2 mg/500 mg tab 4 mg/500 mg tab 5 mg FC tab 5 mg tab 50 mg tab 1000 mg/50 mg tab 500 mg/50 mg tab 860/50 mg

box box pack pack pack pack pack box pack box box box

5x6 5x6 28 28 28 14 14 2x14 3x10 28 3x10 3x10 3x10

Rp Rp Rp Rp Rp Rp Rp Rp ? Rp Rp Rp Rp

138,000 210,000 275,000 275,500 275,500 81,500 137,500 265,306 137,200 154,500 154,500 154,500

Astra zenica Boehringer Dexa medica Dexa medica

Elli Lilly

Elli Lilly

Elli Lilly

HM inj 100 IU/mL (10 mL) Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL (3 mL) HM inj 100 IU/mL (10 mL) Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL (3 mL) inj 30 Novolet 30

vial box box vial box box vial box box box box box box vial box vial box pack pack pack pack pack pack vial

1 5x1 5x1 1 5x1 5x1 1 5x1 5x1 5x1 5x1 5x1 5x1 1 5x1 1 1 1 100 100 100 100 50 1 1 30 10x10 100 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

350,900 762,300 659,450 350,900 762,300 659,450 350,900 762,300 659,450 750,200 762,300 762,300 818,598 304,500 678,132 294,667 678,132 96,000 96,000 147,400 104,390 165,080 1,045,000 990,000 1,448,410 249,930 200,000 281,915 76,500

Elli Lilly Novo Nordis Novo Nordis Novo Nordis Sanofi Sanofi Elli Lilly

penfill 30 inj 100 IU/mL 3 mL flexpen 3 mL flexpen 3 mL flexpen 100 U/mL inj 100 IU/mL (10 mL) optipen 100 IU/mL (3mL) inf 100 IU/mL (10 mL) optipen 100 IU/mL (1 mL) tab 5 mg tab 5 mg tab 10 mg tab 5 mg tab 100 mcg cap 3 mg

Kalbe, Phapros 12 IU inj 16 IU/mL Sanofi, Kalbe, Ferrom, Pharos, Soho, tab 16 Lapi, mg Pfizer tab 8 mg tab 4 mg act-o 125 mg/2 mL

pack pack vial

act-o 500 mg/8 mL inj 125 mg inj 500 mg act-o 125 mg/2 mL act-o 500 mg/8 mL tab 5 mg

vial vial vial vial vial box bottle pack tube

1 1 1 1 1 10x10 1000 100 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp

207,660 60,000 143,850 76,500 207,660 14,000 48,300 343,200 67,200

BMS, ferron, Novell, Pharos, Dexa Bermofarm

tab 4 mg cream 0.1% 10 g

tab 2.5 mg

pack pack

28 28

Rp Rp

849,010 312,980

tab 1 mg cap 120 mg cap 10 mg cap 15 mg

box pack pack pack

10x10 21 30 30

Rp Rp Rp Rp

1,449,425 183,925 276,750 369,000

tab 50 mg tab 1.25 mg tab 2.5 mg tab 5 mg SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg

Tanabe, fahrenheit, dexa

box pack pack pack pack pack pack pack pack box box pack pack pack pack pack box box pack pack pack box box

2x14 50 100 30 100 30 100 30 30 10x1 10x1 60 60 60 60 30 5x10 10x1 60 100 100 10x10 10x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

167,513 163,240 466,400 130,130 675,730 343,602 576,072 218,888 332,683 2,576,440 64,000 79,800 127,000 53,500 132,500 240,000 535,425 715,000 196,000 132,000 77,000 118,000 335,000

Darya Varia, GSK, KF, Pharos inf 1 mg/mL tab 10 mg tab 20 mg tab 5 mg retard tab 20 mg Astra zenica, Pharos, Phapros Pharos Servier Pharsos , KF tab 20 mg

tab 100 mg inj 10 mg/10 mL tab 35 mg cap 5 mg cap 2.5 mg tab 20 mg inj 20 mg/2 mL

Sanofi, Darya, pharos

tab 200 mg inj 150 mg/3 mL SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg

box box pack pack pack pack box

5x6 5x1 30 100 30 30 10x1

Rp Rp Rp Rp Rp Rp Rp

114,000 100,000 343,602 576,072 218,888 332,683 2,576,440

tab 10 mg tab 40 mg SR tab 240 mg tab 0.25 mg

pack pack pack box

50 50 50 25x10

Rp Rp Rp Rp

130,829 201,270 477,675 161,000

Glaxo smith kline

tanabe

dexa medica, KF, interbat sanofi, ferron

Fahrenheit, meiji Servier Servier Servier

tab 10 mg tab 5 mg tab 12.5 mg tab 25 mg tab 10 mg tab 5 mg tab 10 mg tab 2.5 mg tab 5 mg tab 20 mg tab 5 mg tab 10 mg tab 5 mg tab tab 10 mg/10 mg tab 10 mg/5 mg tab 5 mg/10 mg tab 5 mg/5 mg

pack pack box box box pack pack pack pack pack pack pack blister blister blister blister blister box pack pack pack pack box box box box box pack pack

30 30 10x10 10x10 14 14 30 60 60 20 100 30 30 30 30 30 30 10 30 2x14 50 100 30 100 10x10 10x11 5x10 10x10 3x10 30 30

Rp Rp ? Rp Rp Rp Rp Rp Rp ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

373,086 275,335 10,000 283,223 176,860 397,500 362,520 572,400 257,600 385,000 280,000 308,000 385,000 385,000 280,000 98,700 280,000 167,513 163,240 466,400 130,130 675,730 680,932 265,846 535,425 19,000 220,720 181,720 283,360

tab 50 mg Merck, pharos, Tanebe tab 1.25 mg tab 2.5 mg tab 5 mg tab 25 mg tab 6.25 mg tab 100 mg tab 10 mg tab 80 mg tab 2.5 mg tab 5 mg

roche, Kalbe

Fahrenheit

Merck Dexa medica

Pfizer, Merck, Kalbe, Darya, Dexa, tab Phapros 10 mg

pack

100

Rp

636,700

tab 5 mg tanabe SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg XR tab 5 mg Bayer tab 10 mg tab 5 mg OROS tab 20 mg OROS tab 30 mg OROS tab 60 mg

pack pack pack pack pack pack box box pack pack pack pack pack

30 30 30 100 30 30 10x1 3x10 50 50 30 30 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

342,315 191,000 343,602 576,072 218,888 332,683 2,576,440 224,461 111,300 74,500 182,500 199,250 325,000

Astellas, Pharos Bayer, Kalbe tab 30 mg inf 10 mg/50 mL tab 40/10 mg tab 40/5 mg tab 80/10 mg tab 80/5 mg tab 10 mg/160 mg tab 5 mg/160 mg tab 5 mg/80 mg tab 1 mg tab 2 mg tab 1 mg tab 2 mg Indofarma, sanofi, kalbe tab 150 mg tab 300 mg Takeda tab 16 mg tab 8 mg darya varia, kalbe, Takeda, KF tab 50 mg boehringer tab 40 mg tab 80 mg Novartis tab 160 mg tab 40 mg tab 80 mg tab 150/12.5 tab 300/12.5 tab 160/12.5 mg tab 160/25 mg tab 80/12.5 mg tab 40/12.5 mg tab 80/12.5 mg tab tab 20 mg tab 40 mg pack bottle 50 1 4x7 4x7 4x7 4x7 28 28 28 50 50 140 28 28 28 14 14 2x15 2x10 2x10 2x14 2x14 2x14 28 28 2x14 28 2x14 2x10 2x10 30 30 Rp Rp ? ? ? ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 322,000 236,800

boehringer

Novartis

pack pack pack pack pack pack pack pack pack pack pack box box box box box box pack pack box pack box box box pack pack pack

433,915 377,305 300,980 336,135 575,285 698,858 250,030 272,428 367,684 190,250 144,550 262,600 242,000 313,830 366,280 219,420 292,605 272,428 367,684 366,820 278,670 292,605 242,000 313,830 190,250 310,150 379,545

sanofi Novartis

boehringer Takeda, Dexa medica Pfizer

Boehringer

inf 0.15 mg/mL tab 0.075 mg 0.15 mg tab 250 mg

box pack pack pack

10x1 100 100 100

Rp Rp Rp Rp

390,060 256,080 337,700 160,000

Actavis

Pfizer

SR tab 4 mg SR tab 8 mg tab 0.25 mg

box box box

4x7 4x7 25x10

Rp Rp Rp

380,130 380,130 161,000

Glaxo smith kline, Fahrenheit

Solvay, Kalbe, Fahremheit, Dexa inj 25 mg/mL Fahremheit, phapros, Kalbe inj 40 mg/mL (5 mL)

vial vial

1 1

Rp Rp

99,000 30,000

inj 5 mg/mL tab 0.5 mg inj 50 mg/mL

amp box pack box

1 100x1 100 10x1

Rp Rp Rp Rp

24,500 1,854,000 117,500 110,000

Fahremheit, Dexa medica,inj samdoz, 1 mg/mL novell (amp 4 mL) Pfizer, actavis, Kalbe, Combiphar, tab Dexa, 10 mg Sandoz tab 20 mg tab 40 mg Abbot, Sandoz, Dexa, Ikapharmindo, cap 200 escolab mg cap 100 mg cap 300 mg tab 90 mg powd for oral liqd PR tab 375 mg PR tab 500 mg tab 10 mg tab 20 mg tab 40 mg astra zenica tab 10 mg tab 20 mg tab 40 mg Pharos, Kalbe tab 10 mg Schering plough tab 10 mg Schering plough tab 10/10 mg tab 10/20 mg Pfizer tab 10 mg/10 mg tab 10 mg/20 mg tab 5 mg/10 mg tab 5 mg/20 mg

box pack pack pack pack pack pack pack box box box box box box box box box pack pack pack pack pack pack pack pack

5x1 30 30 30 30 48 30 30 20x1 2x14 2x14 3x10 3x10 3x10 2x14 2x14 4x7 30 30 30 30 30 30 30 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

350,000 437,535 437,535 437,535 351,000 236,000 347,000 430,165 350,000 92,400 118,800 363,000 506,000 528,000 371,022 401,800 529,200 27,700 413,500 527,000 527,000 437,510 437,510 437,510 437,510

tab 10 mg tab 5 mg inhal soln 2 mL Kalbe tab 200 mg SR cap 400 mg inf 300 mg/15 mL tab 100 mg tab 50 mg inj 100 mg (2 mL) inj 250 mg (2 mL) tab 10 mg tab 20 mg tab 10 mg tab 20 mg tab 5 mg powd for inj 1.5 juta IU SR cap 400 mg inf 300 mg/15 mL tab 490 mg cap 250 mg

pack pack box box box box pack pack box box pack pack pack pack pack vial box box box bottle blister

100 100 30x1 10x10 3x10 5x1 4 4 5x1 5x1 4 2 4 4 4 1 3x10 5x1 5x6 180 3x12

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

864,453 514,290 8,181,818 522,060 174,500 167,000 452,930 345,700 97,136 201,905 415,800 253,000 349,125 415,800 276,000 3,520,000 174,500 167,000 150,000 1,152,360 230,472

Dexa Medica Kalbe Dexa Medica Landson

cream 2% 20 g gel 2% 15 g soln 2% 30 mL gauze pad 1% cream 2% 5 g oint 2% 5 g cream 5 g top gel 1.2% 5 g top soln 1.2% 30 mL inf 5 mg/mL (100 mL) cream 2% 5 g cream 2% 10 g oint 2% 10 g cream 10 g cream 10 mg/g (35 g)

tube tube container box tube tube tube tube container bottle tube tube tube tube tube container tube bottle tube

1 1 1 10x1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

21,500 21,500 21,500 110,000 39,000 38,800 54,900 15,000 29,000 60,000 37,500 54,000 54,000 87,000 36,500 325,000 18,000 27,500 18,000

cream 2% 15 g scalp soln 2% 60 mL gel 2% 15 g

cream 1% 3 g cream 1% 5 g cream 1% 10 g cream 2% 5 g cream 2% 10 g top powd 2% cream 5 g oint 30 g blue shampoo 1% 60 ml blue shampoo 1% 120 ml blue 5 shampoo 1% 30 ml blue 5 shamp 1% 120 ml blue 5 shamp 1% 200 ml shampoo 1.8% 30 mL shampoo 1.8% 60 mL shampoo 1.8% 120 mL AT cream 1% 5 g AT cream 1% 10 g cream 1% 5 g cream 1% 10 g cream 5% 5 g cream 5% 10 g cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g tab 500 mcg

tube tube tube tube tube container tube tube container container container container container container container container tube tube tube tube tube tube tube tube tube tube pack

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 1 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

9,700 12,105 28,100 13,700 23,250 29,500 33,275 30,000 2,870 4,700 2,040 5,100 8,470 2,150 3,500 6,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp

25,200 45,500 27,000 40,000 32,200 51,800 32,200 51,800 115,500

oint 0.25% 5 g oint 0.25% 10 g cream 0.05% 10 g lotion 0.05% 10 mL lotion 0.05% 30 mL oint 0.05% 10 g cream 0.1% 10 g FO 0.1% 10 g cream 5% cream 0.025% 5 g oint 0.025% 10 g cream 0.05% 5 g cream 0.05% 10 g

tube tube tube container container tube tube tube tube box box tube tube

1 1 1 1 1 1 1 1 1 12x1 12x1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

35,020 82,513 15,500 17,500 34,500 15,500 69,650 73,125 25,000 13,500 18,000 23,000 39,700

scalp lotion 0.1% 20 g

container

Rp

79,000

cream 0.05% 5 g

tube

Rp

15,000

cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g cream 10 g cream 0.1 % 5 g cream 0.1% 10 g cream 2.5 mg/g 5 g cream 2.5 mg/g 15 g cream 0.1 % 10 g

tube tube tube tube tube tube tube tube tube

1 1 1 1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp

21,850 15,000 21,850 77,050 30,250 54,500 46,263 104,110 67,200

inf 1000 mL

24x1

powd for oral liqd 25 g powd for oral liqd 1 L powd for oral liqd 200 mL milk powd 1 kg milk powd 0.4 kg

box sachet sachet container container

6x1 1 1 1 1

Rp Rp Rp Rp Rp

276,000 710 265 137,600 60,400

inf 10% 500 mL inf 5% 500 mL inf 200 mL inf 500 mL paed inf 250 mL inf 500 mL

bottle bottle bag container container container

1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp

82,000 75,000 67,522 65,000 68,000 146,000

inf 500 mL inf 500 mL

container box bottle box bottle

1 10x1 1 10x1 1

Rp Rp Rp Rp Rp

42,500 363,000 80,000 742,500 13,560

inf 500 mL

inf 500 mL

bottle

Rp

13,560

inf 500 mL

bottle

Rp

13,560

inf 1440 mL inf 1920 mL inf 1 L inf 100 mL inf 20% 100 mL inf 20% 100 mL inf 20% 100 mL inf 8.4% inf 0.9% 1000 mL inf 0.9% 500 mL inf 500 mL inf 500 mL

bag bag bag bottle bottle bottle bottle container box bottle bottle bottle container

1 1 1 1 1 1 1 1 10x1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

480,000 550,000 280,000 491,050 115,500 212,100 283,500 33,350 366,850 8,140 4,712 15,200 5,630

powd for inj 100 U inj 20% 250 mL inj 20% 500 mL bottle bottle

1 1 1 Rp Rp 31,381 59,626

eye drops 1% 5 g ophthalmic oint 3% 4.5 g

container tube

1 1

Rp Rp

60,000 146,000

eye drops 0.3% 5 mL

container

Rp

66,000

eye drops 3 mg/mL (5 mL)

container

Rp

16,710

ophthal soln 0.5% 5 mL

container

Rp

75,000

eye drop 50 mg/mL (5 mL)

container

Rp

56,580

eye susp 5 mL

container

Rp

26,500

ophth soln 0.3% (5 mL) ophth oint 3.5 g

container tube

1 1

Rp

43,000

drops 3 mg/mL (5 mL)

eye susp 1% (5 mL) eye drops 2% 5 mL

container container

1 1

Rp

143,000

eye drops 0.005% 2.5 mL

container

Rp

342,275

eye drops 0.004% 2.5 mL

container

Rp

215,000

pfizer, pharos, Kalbe

tab 0.25 mg tab 0.5 mg tab 1 mg inj 10 mg/2 mL tab 5 mg tab 1 mg

pack pack pack box pack pack

100 100 100 5x1 100 100

Rp Rp Rp Rp Rp Rp

174,170 248,505 408,255 120,337 297,476 243,306

Roche, actavis, fahrenheit Takeda

Sanofi Sunthi sepuri, mersifarma

Mersifarma Takeda

tab 2 mg tab 10 mg tab 0.5 mg tab 1 mg tab 2 mg tab 10 mg tab 2 mg tab 8 mg

pack pack pack pack pack pack box pack

100 100 100 100 100 20 10x10 14

Rp Rp Rp Rp Rp Rp Rp Rp

372,435 286,532 190,996 289,389 410,405 90,720 460,000 130,997

Boehringer lunbeck Pharos, sunthi sepuri, kalbe novartis novartis

cap 60 mg cap 20 mg tab 25 mg tab 25 mg tab 200 mg tab 400 mg

box box box pack box pack box pack pack box box box box pack pack pack pack pack vial box box box bottle box

2x7 2x14 50x10 50 10x10 300 10x10 300 30 2x14 5x10 5x10 5x10 50 50 10 10 10 1 10x10 10x10 12x1 1 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

231,000 330,000 260,546 355,815 200,000 400,000 351,000 700,000 434,820 373,380 197,538 285,929 450,387 642,885 355,815 385,880 446,500 202,130 262,900 99,000 170,500 136,620 25,000 453,750

pfizer, pharos, kalbe Pfizer novartis

tab 50 mg cap 75 mg tab 10 mg tab 25 mg tab 50 mg tab 75 mg tab 25 mg tab 10 mg tab 15 mg tab 5 mg inj 9.75 mg/1.3 mL (7.5 mL)

Pfizer, Mersifarma, guardian

tab 2 mg

tab 5 mg inj 5 mg/mL oral drops 2 mg/15 mL inj 50 mg/mL Mersi farma Pharos Sandoz, pgaros Schering plough tab 100 mg tab 25 mg tab 2 mg tab 4 mg tab 8 mg tab 4 mg Astra zenica tab 100 mg tab 200 mg tab 25 mg tab 300 mg Jansen,Kalbe, guardian, pharos tab 1 mg tab 2 mg

pack pack pack pack pack pack box box box box box box

50 50 150 150 150 50 6x10 6x10 6x10 6x10 2x10 2x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

715,000 220,000 264,930 368,630 451,110 258,500 1,221,996 1,430,990 823,949 1,816,380 72,000 122,430

Glaxo smith kline, mersi farma

tab 3 mg tab 1 mg tab 5 mg tab 25 mg tab 50 mg cap 20 mg tab 20 mg tab 10 mg

box pack pack box box pack box box

2x10 100 100 2x15 2x15 30 3x10 3x10

Rp Rp Rp Rp Rp Rp Rp Rp

185,300 44,000 90,750 199,000 345,000 331,835 323,593 195,715

Novartis, Janssen

ESTERASE
Glaxo smith kline, Dexa, Novell inj 25 mg/2.5 mL inj 50 mg/5 mL Novartis tab 10 mg Eisai, Interbat, Kalbe, Pharos Organon Kalbe, Novell Abbot Mepro, Prima Pharos tab 50 mg tab 200 mg inj 2mg/mL 2 mL inj 50 mg (5 mL) inj 200 mg/10 mL tab 2 mg inj 10 mg inj 4 mg box box pack pack pack box box box vial box vial amp box pack pack 5x1 5x1 50 100 100 50x1 10x1 12x1 25x1 10x10 1 1 5x1 150 100 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 211,200 363,000 314,495 295,000 130,000 1,625,000 362,000 1,237,000 117,300 385,000 140,500 675,000 45,100 920,000 748,990

Transfarma inj 0.5 mg/mL Transfarma tab 60 mg Combiphar, Glaxo smith kline tab 50 mg

oral gel 400 (100 mL) oral gel forte (100 mL) 180 mL oral gel (100 mL) 180 mL tab 400 tab forte tab Astra zenica tab 20 mg tab 40 mg soln for inj 40 mg tab 200 mcg Astra zenica, ferron, Darya, Soho, cap Sanbe 20 mg powd for inj 40 mg Pharos, novell, Otto, Soho, dexa, tab kalbe, 40 mg mahakam tab 20 mg tab 40 mg inj 50 mg/2 mL tab 150 mg tab 300 mg

tube tube tube tube bottle box box pack box box vial pack box vial vial pack pack box box box

100 mL 1 1 1 1 12x10 24x10 20 4x7 2x7 1 50 2x7 1 1 7 7 5x1 10x10 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

36,400 24,000 33,800 14,300 22,800 58,500 11,400 7,273 342,360 208,980 143,110 1,005,000 276,949 161,441 139,000 94,500 120,000 79,000 398,000 178,000

Pharos, otsuka

tab 100 mg chew tab 125 mg pack oral liqd 100 mg sachet Fahrenheit, Kalbe, Gracia, liqd otto, 500 ikapharmindo, mg/mL (100 combiphar mL) bottle 200 mL bottle Eisai cap 50 mg box Eisai tab 10 mg pack tab 20 mg Takeda, Kalbe, dexa, gracia, sanbe, capnovell, 30 mg takeda box Dexa medica tab 5 mg box Soho syr 100 mg (120 mL) bottle tab 100 mg box tab 12 mg tab 6 mg tab 50 mg Janssen, Kalbe, Dexa, Ikapharm,tab Bernofarm, 10 mg Gracia susp oral 5 mg/5 mL Otto, fajhrenheit, soho, actavis inj 10 mg/2 mL oral drops 1 mg/10 drop syr 5 mg/5 mL tab 10 mg tab 5 mg pack pack pack pack bottle box bottle bottle pack pack

4 1 1 1 10x10 14 2x10 5x10 1 3x6 100 100 100 30 1 6x1 1 1 100 100 5x1 5x1 10 10 30 5x1 5x1 1 5x1 10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

818 227 43,000 67,000 200,000 121,500 215,000 132,500 66,000 189,000 355,100 241,564 120,000 45,000 21,000 54,000 22,000 17,500 110,000 66,000 98,280 149,091

Glaxo smith kline, Kalbe, soho, inj fahrenheit, 4 mg/2 mL pharos, interbat box inj 8 mg/4 mL tab 8 mg tab 6 mg Roche, dexa kalbe astellas inj 1 mg/mL inj 3 mg/3 mL inf 0.25 mg/5 mL inj 0.3 mg/2 mL tab 0.1 mg box

pack pack box box vial box pack

Rp Rp Rp Rp Rp Rp Rp

93,555 294,700 42,000 100,000 660,000 1,065,000 1,000,000

cap 200 mg gel topical 2% 60 g tab 500 mg

box tube pack

2x10 1 30

Rp Rp Rp

11,250 120,750 189,000

Boehringer

drag 10 mg inj 20 mg/mL 1L 200 mL tab 2 mg

pack box sachet sachet pack

100 10x1 1 1 100

Rp Rp Rp Rp Rp

192,060 197,010 710 265 466,520

Boehringer

tab 5 mg supp 10 mg paed supp 5 mg

pack pack box box box container box bottle bottle bottle bottle bottle bottle bottle pack

10 4 1x5 10x5 1x6 1 3x1 1 1 1 1 1 1 1 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

165,880 77,440 70,070 573,790 62,700 14,850 38,500 31,900 49,500 65,000 62,700 19,950 32,585 44,555 214,500

Pharos

enema 5 mL

Soho, Ikapharmindo, KF syr 3.335 g/5 mL (60 mL) 120 mL 200 mL 133 mL Galenium pharm oral emulsion 30 mL 60 mL 110 mL cap 250 mg

tab inj 500 mg/mL (10 mL) enema 4 g tab 250 mg tab 500 mg supp 500 mg

box box box pack pack pack

10x10 5x1 4x1 100 100 30

Rp Rp Rp Rp Rp Rp

35,000 350,000 101,000 466,000 765,000 525,000

tab 225 mg inj 24 mg/mL spray 100 mcg/dose spray 50 mcg/dose Astra zenica MDI 100 mcg/puff MDI 200 mcg/puff amp 4 mg/mL amp 5 mg/mL vial 20 mg/mL tab 25 mg inj 50 mg/mL Boehringer inhal soln 0.1% MDI 100 mcg/puff inhal soln 0.025% inhaler 20 mcg/puff tab 20 mcg

pack container container canister canister box box vial pack box canister canister bottle canister box

50 10x1 1 1 1 1 5x1 5x1 1 1000 10x1 1 1 1 1 10x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

95,000 38,636 145,200 90,750 151,910 198,800 25,000 26,500 21,000 168,500 110,000 194,920 116,490 157,850 118,140 412,280

minitab 25 mcg syr 25 mcg/5 mL tab 50 mcg Glaxo, pharos, Lapi, Boehringer, fahrenheit cap 2 mg pack

100 1 100 100 Rp 75,000

cap 4 mg inj 0.5 mg/mL syr 2 mg/5 mL Glaxo, pharos, Lapi, Boehringer, inhal fahrenheit soln 2.5 mL Glaxo smith kline diskus 100 diskus 250 diskus 500 inhaler 125 inhaler 50 tab 250 mg tab 125 mg Astra zenica inf 0.5 mg/mL respules 2.5 tab 2.5 mg turbuhaler 0.5 mg

pack box bottle box box box box canister canister pack pack box carton box canister

100 5x1 1 20x1 60x1 60x1 60x1 1 1 100 100 5x1 2x5 10x10 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

100,000 62,500 16,000 213,520 120,000 134,545 146,182 120,000 105,455 280,500 163,350 75,206 79,586 181,020 148,522

Pharmosolindo

cap syr 60 mL

pack pack bottle box bottle bottle bottle pack bottle bottle box bottle box box pack bottle

10 100 1 5x10 1 1 1 10 1 1 10x10 1 10x10 10x4 20 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

42,130 411,950 23,425 384,450 43,670 35,200 44,770 237,710 21,010 37,400 352,550 51,590 114,840 48,070 70,000 28,875

Boehringer, sanbe, gracia, sanofi retard cap 75 mg oral drops 15 mg/mL syr 15 mg/5 mL syr 30 mg/5 mL tab 30 mg elixir 4 mg/5 mL

inj 4 mg/2 mL oral soln 2 mg/mL tab 8 mg cap 300 mg dry syr 175 mg/5 mL

cap 200 mg syr 100 mg/5 mL (75 mL) 150 mL tab eff 600 mg oral soln 200 mg inj susp 300 mg/3 mL powd for oral liqd 100 mg syr 100 mL flavor 100 mL Abbot susp 25 mg/mL

pack bottle bottle pack box box box bottle bottle vial

60 1 1 20 30 5x1 30x1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

219,000 35,000 50,000 180,000 117,000 177,500 75,000 5,750 2,450 4,002,075

inj 2 g/50 mL

vial

Rp

2,200,000

inj 300 IU/2 mL vacc 0.5 mL

prefilled syrg vial

1 1

Rp Rp

1,409,091 90,000

vacc 0.5 mL vacc 160 IU/0.5 mL vacc 80 IU/0.5 mL

vial prefilled syrg prefilled syrg prefilled syrg prefilled syrg prefilled syrg

1 1 1 1

Rp Rp Rp Rp

159,000 270,000 220,000 110,000

vacc 0.5 mL

vial vial prefilled syrg prefilled syrg

1 1 1 1

Rp Rp Rp Rp

116,000 61,000 500,000 680,000

vacc 1 mL

softcap 0.5 mcg softcap 0.25 mcg inj 1000 mg/5 mL inj 200 mg/2 mL inj 500 mg/5 mL

pack pack box box box

30 30 5x1 6x1 5x1

Rp Rp Rp Rp Rp

291,218 175,944 87,500 35,000 55,000

tab 300 mg

pack

100

Rp

189,000

capl 500 mg FC capl tab inj 5000 tab 5000 FC capl 5000 FC capl

box pack pack pack box box box box box

10x10 30 250 50 20x1 10x10 25x10 5x10 5x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp

22,177 94,050 266,514 54,371 120,120 207,900 514,580 90,000 87,500

cap 250 mcg cap 500 mcg capl

pack pack box

100 100 5x10

Rp Rp Rp

100,000 140,000 98,000

capl

box

5x6

Rp

100,000

cap

box

3x5

Rp

189,000

inj 25 mg/10 mL tab 5 mg

box pack

5x1 100

Rp Rp

56,243 36,425

F-tab

pack pack

1000 100

Rp Rp

348,096 75,758

chew drag 100 IU

pack

100

Rp

96,897

H
tab 1 mg tab 2 mg tab 1 mg tab 2 mg PR tab 10 mg tab 5 mg cap 0.5 mg pack pack pack pack pack pack pack 140 28 50 50 30 30 30 Rp Rp Rp Rp Rp Rp Rp 698,858 250,030 336,135 575,285 319,219 357,500 270,000

tab 2 mg tab 10 mg tab 5 mg

box pack pack

2x14 30 30

Rp Rp Rp

232,590 465,675 381,150

inj 0.3 mg/mL FAS tab 4.5 mg tab 1 mg tab 4.5 mg UCB, Kalbe, Soho inf 200 mg/mL inj 200 mg/mL Fahrenheit, darya Merck

box box box box box box

5x1 3x10 10x10 3x10 1 4x1

Rp Rp Rp Rp Rp Rp

152,665 550,920 576,015 642,340 250,250 250,250

drag 100 mg Forte drag 200 mg oral liqd 100 mL

pack pack bottle

100 100 1

Rp Rp Rp

308,000 446,160 56,100

Sanofi, kalbe Novartis

tab 35 mg inj 100 IU/mL inj 50 IU/mL nasal spray 200 IU Novartis inf conc 4 mg/5 mL Roche, kalbe tab 150 mg inj 3 mg/3 mL Roche, phapros, escolab, kalbecap 0.25 mcg cap 0.5 mcg Otto, puspa farma, combiphar capl Elli lilly tab 60 mg tab 10 mg cap 400 mg inf conc 60 mg/mL tab 800 mg tab 60 mg inf conc 4 mg/5 mL

pack box box container vial pack prefilled syrg pack pack box box box pack box pack box vial

4 5x1 5x1 1 1 1 1 30 30 5x6 2x14 5x10 30 5x1 30 2x14 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

352,944 751,960 489,250 760,140 3,198,000 346,223 1,194,468 168,000 267,750 255,000 528,000 216,000 625,000 955,041 1,100,000 528,000 3,198,000

JUMLAH PESANAN

HARGA TOTAL

1 Rp 338,200 2

BAHAN DAN ALAT POLI GIGI HABIS PAKAI RS.PON untuk 6 Bulan NO. BAHAN DAN ALAT BENTUK SEDIAAN HARGA VOLUME PESANAN 1 KAPAS Gulungan 10,000 1 2 COTTON ROLL Bungkus isi 50 35,000 12 3 TISSUE SERBET size 40x40 Bungkus isi 50 sheets 10,000 12 4 KASSA STERIL KOTAK SEDANG Kotak 120,000 1 5 6 7 8 9 10 11 12 TOPIKAL ANASTETIKUM GEL FACE MASK GLOVES ukuran ekstra small DENTAL TOWELS PATIENTS TOWEL KLEM CHLOR AETHYL SPRAY PELARUT JARINGAN /DEBRIS (R C PREP) 13 BAHAN ANASTESI LOKAL (Xylestesin) 14 SALIVA EJECTOR DISPOSABLE 15 BENANG HECTING+NALD DISPOSABLE merk HU--Friedy ukuran 3 atau 4 (silk) 16 JARUM SUNTiK khusus ukuran 03x21mm,30G Disposable 17 DENTAL GEL SUPER RELIEF OXYFRESH 18 ALKOHOL 70% 19 LEDERMIX PASTE for Dental Use Tube 5 g 20 CALCIUM HIDROKSIDA pasta (Calxyl) 21 EUGENOL 22 TRIPLE SYRINGE (syringe khusus endo) 23 ALVOLGYL 24 ALDIZINE (ROCKLESS) 25 SALINE SOLUTiON 26 CAVIT (TUMPATAN SEMENTARA) 27 NaOCl 3 % (Germisep Tablet) 28 MINOSEP GARGLE (CHLORHEXIDINE ) 29 ALOCLAIR GARGLE 30 ALBOTHYl 31 DENTAL FLOSS 32 YODIUM POVIDON 10% 33 MICRO BRUSHER 34 GIPS STONE 35 GIC (GLASS IONOMER) 36 Strips metal dan Transparan Botol Box Box pcs pcs Set Botol Tube Box Bungkus kotak Gel 80,000 45,000 70,000 35,000 50,000 100,000 50,000 350,000 350,000 39,000 1,050,000 1 3 6 6 3 1 1 3 2 1

Pasta 50 Ampul isi 100 isi 24

Box Tube Botol Tube Tube Botol kotak Botol Botol Botol Botol Botol Botol Botol Botol Kotak Botol pcs Bungkus Botol Bungkus

isi 100 Pasta 1 liter Pasta Pasta

85,000 250,000 25,000 550,000 125,000 20,000 200,000 290,000 350,000 6,000 85,000 150,000 23,500 50,000 35,000 35,000 20,000 10,000 165,000 500,000 85,000

2 1 6 1 1 1 1 1 1 3 1 1 3 3 1 1 3 6 3 2 1

isi 25

isi 500 ml

isi 250 tablet

37 BAHAN TAMBALAN KOMPOSIT RESIN ( 3M) Termasuk Etching dan Bonding Warna A2,A3 dan Flow 38 Artikulating paper merah dan biru 39 WAX 40 LUTING CEMENT (CROWN & BRIDGE CEMENT) 41 ALGINATE normal setting 42 ASSORTED PAPER POINT 43 ASSORTED GUTTAP POINT 44 RETRACTION CORD (00 AND 0) + LOQUID 45 PUTTY 46 APLIKATOR 47 TITANIUM SCREW Dental post merk NORDIN swiss Dental Products 48 PINLOCK Titanium 49 BAHAN INTERNAL BLEACHING 50 SELF CURING ACRILYC FOR TEMPORARY DENTURE 51 SELF CURING ACRILYC 52 FISURE SEALANT 53 ULTRABLEND 54 PROTAPER manual 55 FILE ukuran 08 56 FILE ukuran 10 57 FILE ukuran 15-40 58 EDTA solution for dental use TOTAL

Set

3,500,000

kotak Kotak Set Bungkus Bungkus Botol Set Kotak Kotak

85,000 85,000 1,300,000 80,000 37,500 80,000 100,000 640,000 100,000 720,000

1 1 1 1 3 3 1 1 1 1

kotak Tube Set Set Set Tube Set

isi 20 pcs

285,000 300,000 650,000 250,000 160,000 200,000 700,000 50,000 50,000 50,000 135,000

2 1 1 1 1 2 2 2 2 2 2

set botol

250 cc

PENGAJUAN ALAT POLI KLINIK GIGI

H SAKIT PUSAT OTAK NASIONAL CAWANG JAKARTA TIMUR

S.PON TOTAL KETERANGAN HARGA 10,000 420,000 120,000 120,000 80,000 135,000 420,000 210,000 150,000 50,000 350,000 1,050,000 78,000 1,050,000

170,000 250,000 150,000 550,000 125,000 20,000 200,000 290,000 350,000 18,000 85,000 150,000 70,500 150,000 35,000 35,000 60,000 60,000 495,000 1,000,000 85,000

3,500,000 85,000 85,000 1,300,000 80,000 112,500 240,000 100,000 640,000 100,000 720,000

570,000 300,000 650,000 250,000 160,000 400,000 1,400,000 100,000 100,000 100,000 270,000 19,854,000

DAFTAR PERMINTAAN OBAT


NO URUT OBAT NAMA GENERIK NAMA DAGANG PRODUSEN

ANALGESIK, ANTIPIRETIK, AINS, ANTI-REMATIK, ANTIP


ANALGESIK NARKOTIK 1 Fentanil Fentanyl (Inj); Durogesic Kodein HCI Morfin HCI Morfin sulfat Petidin HCI Sufentanil ANALGESIK NON NARKOTIK 1 Antalgin 2 Asam Mefenamat MST Janssen-Cilag Janssen-Cilag

Sufenta,Sufenta forte Novalgin (inj) Mefinal Ponstan Voltaren Flamar Eflagen

Janssen-Cilag Sanofi Aventis Sanbe Pfizer Gracia Novartis Sanbe Sanbe

Natrium - Kalium Diklofenak

Ibuprofen

indometasin Ketoprofen

Ketorolak trometamin

Proris Ostarin Rhelafen Spedifen Brufen Benocid, Dialon Kaltrofen Profenid Rofiden Pronalges Lantiflam Toradol Toramin Torasic Xevolac Remopain Lactor Ketopain

Pharos Otto Lapi Zambon Abbot Eisai Kalbe Sanofi Otto Dexa medica Landson Roche Otto Kalbe Novell Dexa Phapros Soho

Meloksikam

Movicox Cameloc Loxinic Mobiflex Meloxin Moxic Naxen Panadol Pamol Dumin

Boehringer Dexa Nicholas Soho Interbat Otto, Bernofarm Sterling Interbat Actavis

Naproksen Parasetamol

9 10 11 12

Paresetamol+asetil sistein+B44 Parasetamol + coffein Parekoksib natrium chlordiazepoxide + clidinium bromida Piroksikam

Sistenol Nogren Dynastat braxidin Feldene

Dexa Pyridam Pfizer Sanbe Pfizer

Probenesid 13 14 15 16 Selekoksib Methampiron + diazepam Tinoridin Tramadol HCI

Probenid Celebrex Potensik Nonflamin Tramal Trasik Orasic Seminac Tragesik Arcoxia Pfizer Pyridam Takeda Pharos Fahrenheit Otto Mahakam Kalbe MSD

17

Etoricoxib

18

Dexketoprofen trometamol Dikolfenak Na

Ketesse Dolofenac Ultracet Patral Zaldiar Dansera Nutriflam Zyloric Isoric

Ferron Merck Janssen-Cilag Mahakam Pharos Ott0 Tropika mas ANTIREMATIK, ANTIPIRAI Glaxo Interbat

19

Vit B1, B6, B12 Tramadol + parasetamol

20

Serapeptase + Vit B C Seratiopeptidase +pancreatin Alopurinol

Asam Hyaluronat Azatioprin D-penisilamin

Adant Dispo Hyalgan Imuran

Meiji Glaxo

Hidroksiklorokuin Kolkisin Leflunomid Metotreksat

Plaquenil Recolfar Arava Methotrexate EBW Emthexate

Fahrenheit Sanofi Ferron

Mofetil Mikrofenolat Sikofosfamid

Cellcept Endoxan-Asta lyophilisate

Roche Transfarma

Sulfasalazin Infiximab

Sulcolon Remicade

Bernofarm Tanabe

ANESTETIK
Bupivakain HCI Marcain;Regivell; Decain Decain Regivell Chirocaine 0,5 % Xylocain ANESTETIK LOKAL Astra Zenica Dexa Medica Novell

Etilklorida Levobupivakain Lidokain HCI

Astra Zenica

Lidokain 2% + Adrenalin Lidokain (5%)+ Dextrose 5% Lidokain HCI 25 mg +Prilokain 25 mg Prilokain HCI Prokain+Kafein Ropivakain HCI Tetrakain HCI Lidocain + epinefrin

Pehacain Xylestesin Lidodex Emla cream LMX Estesia Impletol Naropin Pehacain Xylestesin

Phapros Bernofarm Sanbe Pharmacore

Astra Zenica Phapros ANESTETIK UMUM

Dinitrogen oksid Droperidol Enfluran Eter Anestesi Etomidat Halotan Isofluran Ketamin HCI

Dihydrobenz-peridol Ethrane;compond 347 Etomidate-lipuro Fluothane Forane Ketalar;ketamin-hameln;ivanes Ketamin-hameln ivanes Dormicum Fortanes Sedacum Midazolam-hameln Recofol Diprivan

Abbot B Braun Dexa Medica Abbot Pfizer Ikapharmindo Roche Kalbe Dexa Medica Dexa Medica Astra Zeneca

Midazolam

Propofol

Sevoflurane Sodalalime pro anestesi Tiopental Natrium Deksmedetomidin Atropin Sulfas Diazepam

Fresofol Safol Trivam Sevorane Sevoflurane baxter Pentothal Sodium IV

Fresenius Kabi Novell Pharos Abbot Kalbe Transfarma Transfarma

PROSEDUR PREOPERATIF
Atropin sulfat Valium Stesolid Trazep Roche Actavis Fahrenheit

Kloralhidrat

ANTIALERGI DAN OBAT UNTUK ANAFILAKSIS


Desloratadin Difenhidramin HCI Feksofenadin HCI Aerius Decadryl Telfast BD,OD,HD Scchering

Sanofi

Feksofenadin HCI +Pseudoefedrin Feniramin maleat Hidroksizin Homoklorsiklizin Klorfeniramin maleat Loratadin

Telfast plus Avil Bestalin Homoclomin

Sanofi

Lapi Eisai Schering Interbat Schering Sanbe Dexa Medica Ferron Pharos Fahrenheit Kalbe Novel Lapi Kalbe Tanabe Merck Interbat Konimex

3 4

Loratadin+Pseudofedrin Prometazin HCI Setirizin

Inclarin Claritin Alloris Rhinos SR Histrine Ozen Falergi Cetinal Ryvell Tiriz Talion Interhistin Bioalergi

Dexametason Bepotastin besilat Oxymetazolin Mebhidrolin napadisilat

ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN


KHUSUS Atropin Sulfat Biru Metilen Deferasiroks Deferipron

Exjade

Novartis

Deksrazoksan

Ferriprox

Quamed

Desferoksamin mesilat Flumazenil Kalsium Folinat

Zinecard Anexate Desferal

Kalbe Combiphar Tempo Kalbe Fahrenheit Transfarma Fahrenheit

Kalsium glukonat Mesna Nalokson HCI Natrium Bikarbonat Natrium Tiosulfat Protamin sulfat Neostigmin Apomorfin HCI Karbo Adsorben Magnesium sulfat Laktulosa

Anexate Rescuvolin (tab 15 mg dan inj 50 mg/amp; leucovorin Calcium gluconate 10% Uromitexan Nokoba Narcan Meylon 8,4% Prostigmin

Transfarma UMUM

Norit Magnesium sulfat constipen

Combiphar

ANTIEPILEPSI
Diazepam Valium Valisanbe Stesolid Trazep Dilantin Ikaphen Sibital Neurontin Tegretol Roche Sanbe Actavis Fahrenheit Pfizer Ikapharmindo Mersifarma Combiphar Pfizer Novartis

2 3 4 5

Fenitoin natrium Fenobarbital Gabapentin Karbamazepin

6 7

Klonazepam Levetiracetam Magnesium sulfat Oxcarbamazepin Pregabalin

Rivotril Keppra

Roche Glaxo UCB, Pharos Novartis Pfizer

8 9

Trileptal Lyrica

Topiramat

Topamax

Janssen-Cilag

10

Valproat(dlm btk asam /natrium)

Depakene (sirup) Depakote (tablet)

Abbot Abbot

Lamotrigine Zonesamid

Lamictal Zonegran

Glaxo smith kline Eisai

ANTIBAKTERI
Golongan Penisilin 1 Amoksisilin Amoxsan Amoxil Opimox Lapimox Caprifarmindo Glaxo Otto Lapi

Amoksisilin Klavulanat

Augmentin;Clavamox;Viaclav Augmentin Clavamox, Viaclav Bellamox Auspilic Clabat

Ampisilin

Ampisilin Sulbaktam

Benzatin Penisilin Diklosasilin Fenoksi Metil Penisilin

Bactesyn Viccilin Picyn Penadur LA Ospen

Sanbe Glaxo Kalbe Soho Pharos Interbat Glaxio Kalbe Sanbe Interbat Phapros Soho Kalbe Meiji Bernofarm

Flukloksasilin Kloksasilin

Floxapen Meixam

Meiji

Piperasilin+Tazobaktam Prokain Penisilin G Sulbenisilin Tikarsilin Amikasin

Tazocin Procaine penicillin-G-Meiji Kedacilin

Pfizer Meiji

Alostil Mikasin Amikin


Garamycin Sagestam Gentamerck

Golongan Aminoglikosida Pharos Kalbe Schering Sanbe

Gentamisin

Kanamisin sulfat Netilmicin

Netromycin

Schering

Tobramisin Dibekasin sulfat Streptomisin sulfat Kloramfenikol Tiamfenikol

Dibekacin

Meiji

Golongan Kloramfenikol Pharmacia Urfamycin Thiamycin Biothicol lazafin Cravit, Reskuin Volequin Levocin Levores Avelox Lexinor Pyrflox Tarivid Danoflox Peflacine; Dexaflox Ciproxin; Ciproxin XR Baquinor Civell Bernoflox Cetafloxo Zitromax Zistic Interbat Sanbe Novel Golongan Kuinolon Kalbe Dexa medica Sanbe Novell Bayer

Sulfasalazin 1 Levofloksasin

Moksifloksasin Norfloksasin Ofloksasin Pefloksasin Siprofloksasin

Kalbe Kalbe Bayer Sanbe Novell Bernofarm Soho Golongan Makrolid Pfizer Bernofarm

Ezitrromisin

Erittromisin stearat

Erythrocin EES Kalthrocin

Abbot

Klaritromisin Spiramisin Azitromisin

Abbotic; Bicrolid Spiradan Zithromaxm Aztrin

Abbot, Combiphar Otto Pfizer, Pharos, Bernofarm

Linkomisin 1 Sefadroksil Duricef; Cefat

Pfizer, otto Golongan Sefalosporin Sanbe, Otto, Phapros, Kalbe, Fahrenheit, Interbat,ferron

Sefaklor Sefazolin Sefepim Sefiksim

Ceclor Cefazol; Fabiolin Maxipim Cefspan; Sporetik; Fixacef

Kalbe

Pharos, Fahrenhei Kalbe, Sanbe, Ferron, KF, Dexa, Interb

3 4 5 6

Sefoperazon Sefoperazon+Sulbactam Sefotaksim Sefotiam Sefpodoksim Sefradin Sefpirom Seftazidim Seftibuten Seftizoksim Seftriakson Sefuroksim (kapsul:Axetil;inj.Na) Sefdinir Sefditoren

Stabixin; Cefobid; Cerobid Sulperazon; Fosular; Stabactam Claforan; Lancef; Primocef Ceradolan; Fadiclo Banadoz Velosef; Lovecef Cefrom; Cefrin; Lanpirom Fortum; Ceftum; Negacef Cedax Cefizox; Tizos Elpicef; Cefaxon Kalcef; Sharox

Pfizer, Interbat, Pharos, Sanbe Pfizer, Soho, Pharos, Sanofi, Sanbe, Kalbe, Gracia, Pharos Takeda Sandoz

7 8

Ethica Sanofi, Interbat, Fahrenheit, Pharos, D Glaxo,Ferron, Soho, Pharos

9 10

Novell, Kalbe, Dexa Roche, Sanbe, Kalbe, Dexa, Escolab,

omnicef

Astellas Golongan Tetrasiklin Pfizerm Interbat

Doksisiklin Minosiklin Oksitetrasiklin Tetrasiklin Tigesiklin

Doxicor; Interdoxin Minocin Terramycin

Pfizer

Tygacil Fosmicin; Fosmidex Tienam; Palestine Delacin; Anerocid; Clinium Colistine Sanprima Golongan lain-lain Meiji, Dexa Medica, Zambon Merck sharp Dohme, Pharos, Sanbe Pfizer, Kalbe, Sanbe, Lapi

1 2 3

Fostomisin Imipenem+Cilastatin Klindamisin Kolistin

Kotrikmosazol(TMP+SMZ)

Linezolid 5 6 Meropenem Metronidazol

Zyvox Meronem; Ronem Flagyl; Novamet

Pfizer

Astra Zeneca, Kalbe, Fahrenheit, Bern

Teikoplanin Tinidazol Vankomisin Mesalazin

Targocid Flatin Vancep Salofalk

Sanofi Fahrenheit Darya

Doripenem Gentamycin sulfate

Doribax Garamycin;Gentamerck; Sagestam Invanz Azactam, vebac Bacbutol; Tibitol INH Ciba; Pehadoxin Forte Pezeta; Prazina Rimactane; Rifamtibi

Janssen-Cilag Merck sharp Dohme

Ertapenem Aztreonam 1 2 3 4 Etambutol Isoniasid+vit B6 Pirazinamid Rifampisin

Bristol Myers Squibb, Fahrenheit

ANTITUBERKULOSIS

Samdoz, Phapros

Sandoz

5 6 7 8 9

Streptomisin sulfat Isoniazid + Rifampisin Rifampisin + Isoniazid + pirazinamid Etambutol + INH + Vit B6 Rifampisin + Isoniazid + pirazinamid + Etambutol Dapson Klofazimin Talidomid Amtoferisin B Flukonazol

Streptomycin Sulphare Meiji Rimactazid, Rifinh Rimcure, rivastar Pulna forte Rimstar 4 FDC

Galenium Sandoz, Indofarma Sandoz , Indofarma Landson Sandoz ANTILEPROTIK

Dapson Lamprene

ANTIFUNGI
1 Fungizone Diflucan Pfizer, Fahrenheit, Novell

2 3 4

Griseofulvin Itrakonazol Ketokonazol Nistatin Vorikonazol

Mycostop Sporanox; Sporacid Interzol; Nizoral Mycostatin Vfend

Pfizer, Jansenn Cilag Ikapharmindo

Terbinafin

Interbi; Lamisil

ANTIMALARIA
Artemisin/Artesunat+Amodiakuin Klorokuin fosfat/difosfat Kuinin diHCI Primetamin Primakuin Sulfadoksin+Pirimetamin Adefovir dipivoksil Asiklovir

Primet Fansidar

KF

ANTIVIRUS
1 Hepsera Zovirax; Zoster Glaxo Smith Kline

Entecavir Famasiklovir Gansiklovir Hepatitis B Imunoglobulin Human Alfa Interferon Interferon Alfa 2a Pegylated Interferon Alfa 2b Pegylated

Baraclude Famvir Cymevene Hepimun Intron-A; Kalferon; Alfanative Pegasys Peg Intron

Roche

Interferon Alfa 2a Pegylated Lamivudin Metisoprinosin Oseltamivir Ribavirin Telbivudin Valasiklovir Valgansiklovir Lamivudin Nevirapin Zidovudin

Roferon 3TC-HBV Isoprinosine Tamiflu Rebetol Sebivo Veltrex; Valvir Valcyte 3TC Viramun Retrovir

Glaxo Smith Kline

4 5 1

Glaxo, Soho Roche

ANTIRETROVIRAL
Glaxo Smith Kline

ANTIMIGRAIN/VERTIGO
ANTIMIGRAIN 1 2 3 Dihidroergotamin mesilat Ergotamin+Kafein Ergotamin tab 0.3 mg+ Belladona alk 0.1 mg+ Fenobarbital 20 mg) Flunarizin Sinarizin Sumatriptan Betahistin diHCI Betahistin mesilat Dihydergot Ericap, Cafergot Bellapheen Novartis

Sibelium, Frego

Janssen-Cilag, Kalbe

5 1 2

Imetrix; Triptagic Betaserc Merison ANTIVERTIGO Abbot Eisai

ANTIPARKINSON/DEMENTIA
1 2 3 4 4 Bromokriptin Entacapone L Dopa+Benserasid Kabergolin Pramipexole Elkrip;parlodel Comtan (Novartis) Madopar Cabergoline Sifrol ANTIPARKINSON Novartis Roche Boehringer

5 6 7

Selegiline Carbidopa+L-dopa+entacapone Triheksifenidil HCI Ropinirol

Jumex Stalevo Artane Requip

Sanofi Novartis Mersifarma Glaxo Smith Kline

Donepezil Galantamin

Aricept,fordecia Reminyl

ANTI DEMENTIA Eisai , pharos, interbat Janssen-Cilag

Rivastigmin

Exelon

Novartis

Ginkobiloba

Tebokan, tanakam

Phapros, Combiphar

Dutasterid Fosfatidil serin memantin HCL

Avodart memoran, Neulin PS Abixa

Glaxo Smith Kline Soho, ferron Lunbeck

OBAT YANG MEMPENGARUHI DARAH


Asam Folat ANTIANEMIA Otto, Sanbe,Novell,Dexa

1 2

Besi (II) dlm bentuk garam sulfat,fumara) Sianokobalamin

Hemobion (komb);Iberet folic500,sangobion ,Ferizz(drops) Vit B12

Combiphar, Dexa, Merck, Kalbe, Sanb

Fe + multivit, as.folat

Ferriz, samgobion

Merck, Kalbe, Nicholas, Abbot, Combip

OBAT YANG MEMPENGARUHI DARAH


1 2 3 4 5 6 Alteplase Anti Thrombin III Asetosal Cilostazol Clopidogrel Dipiridamol Enoksaparin natrium Actilyse Kybemin P Aspilet;Ascardia;Kardioaspirin Pletaal:Citaz Plavix Persantin Lovenox Dexa medica Darya , Bayer Otsuka, Guardian, Kalbe, Dexa Sanofi, Ferron, Kalbe, Soho, Dexa

Sanofi

7 8

Fondaparinux natrium Heparin natrium Heparin dialisat Parnaparin natrium

Arixtra Inviclot Thrombophob Fluxum

Glaxo Smith Kline

Fahrenheit

10 11

Streptokinase Tiklopidin Urokinase Warfarin natrium Rivaroxaban

Ticlid Urokinase GCC Simarc 2 Xarelto

Prtapa Nirmala Bayer

12

Dabigatran

Pradaxa

Boehringer

13 1

Triflusal heparin Nadroparin NKCP Nattokinase Asam Traneksamat

Grendis

Abbot Glaxo smith kline Forpharm

Forkinase Transamin;Clonex;Kalnex

HEMOSTATIK
Kalbe, Sanbe, Dexa,

Etamsilat Fitomenadion(vit.K1) Karbazokrom

Dicynone Kavita Adona (AC -17)

Combiphar Tanabe, Ferron

Oktreotid Somatostatin Eritropoietin

Sandostatin Somatostatin-UCB Eprex

Novartis

HEMATOPOIETIK
Jansem cillag, Kalbe, Novell

Rekombinan Human Eritropoetin Filgrastim (GCSF)

rHuEPO Neupogen ; Keukokine Roche, Kalbe, Novell

PRODUK DARAH PENGGANTI PLASMA


1 Albumin (Human Albumin)

FRAKSI PLASMA UNTUK PEMAKAIAN KHUSUS Human Albumin Dipa pharmalab, Kalbe, Dexa, fahremh Behring;Plasbumin;Robumin

Faktor pembekuan darah VIII(konsentrat) Faktor pembekuan darah II,VII,IX,X (konsentrat) Kriopresipitat Plasma segar beku 2 3 4 5 Dekstran 40 Dekstran 70 Fraksi Protein Plasma (termasuk Fibrinogen) Hidroksietil pati 6%(HES) Poligelin

Koate-DVI Konine

Dipa pharmalab

PENGGANTI PLASMA Otsuran L HM Dextran-NS Plasmanate infusion Haes-Steril Haemaccel

DIAGNOSTIK
OBAT KONTRAS Barium enema Barium sulfat EZ Gas II Gadodiamida Lodine Natrium/Meglumin amidotrizoat Liquid Polybar Plus Omniscan ;Magnevist;Dotarem Omnipaque;lopamiro; Ultravist;Optiray 320 Urografin

ANTISEPTIK DAN DESINFEKTAN


ANTISEPTIK Alkohol Etakridin Laktat (Rivanol) Hidrogen Peroksida Lodine Povidon Rivanol Betadine; Isodine

Kalium Permanganat Kantaridin Polikresulen Canthacur Albothyl

DESINFEKTAN
Formalin Dialdehid Glutaraldehid Klorheksidin Diglukonat Klorheksidin 7,5%+ Cetrimide 1,5% Lisol Sublimat Cidex Cidex Hibiscrub Savlon; Hibicet HC;First Aid

OBAT UNTUK GIGI DAN MULUT


OBAT TOPIKAL UNTUK GIGI DAN MULUT Boraks Gliserin

DIURETIK
Amilorid HCI Furosemid Gliserol Hidroklorotiazid Klortalidon Manitol Spironolakton Torasemid Asetazolamid Spironolakton + thiabutazid Lorinid-Mite Lasix; Furosix;Furosemid Actavis Sanofi, Landson

HCT Hygroton Manitol Aldactone Phapros, Kalbe, Soho

asetazolamid, glaucon A,dazide

Cendo Pfizer ANTIDIABETIK Antidiabetik oral Bayer, Dexa Sanofi Servier Boehringer Samofi, Kalbe, Medifarma

HORMON ENDOKRIN LAIN DAN KONTRASEPSI

1 2

Acarbose Glibenklamid Gliklazid Glikuidon Glimepirid (+ metformin)

Glucobay Daonil Diamicron MR Glurenom Amaryl;Gluvas

Glipizid 3 4 Metformin HCI Metformin HCI+Glibenklamid

Minidiab;Glucotrol XL Glucophage ; Glucophage XR;Glumin ;Glumin XR Glucovance

Pfizer Merck, Kalbe, Pharos, Ferrom Merck

Natelglinid Pioglitazon Repaglinid Rosiglitazon Rosiglitazon+Glimepirid Rosiglitazon+Metformin saxagliptin langliptin Vildagliptin vildagliptin metformin

Starlix Deculin ;Actos Novonom Avandia Avandaryl Avandamet onglyza tragenta Galvus Galvusmet

Takeda, Kalbe, Dexa

Astra zenica Boehringer Dexa medica Dexa medica

Insulin Regular

Actrapid HM/Actrapid HM Penfill; Humulin R; Actrapid Novolet

Antidiabetik parenteral Elli Lilly

Insulin Kerja Menengah(NPH)

Insulatard HM/ Insulatard HM Penfill; Humulin N; Insulatard Novolet Humulin 30/70; Mixtard Novolet Mixtard 30 HM/ Mixtard HM Penfill; Humalog Mixtard Novomix Flexpen Novorapid Flexpen Levemir Flexpen Lantus Apidra Humalog Nero-Mercazol Thyozol

Elli Lilly

Insulin Campur Iinsulin Regular+NPH) Insulin Analog Campur Lispro+NPH) Insulin Analog Campur Aspart+NPH) Insulin Analog Aspart Insulin Analog Detemir Insulin Analog Glargine Insulin Analog Glulisin Insulin Analog Lispro 1 2 Karbimazol Lugol Methimazol Propiltiourasil L-Tiroksin natrium Budesonid Deksametason Hidrokortison natrium suksinat Human Somatotropin Kortikotropin(ACTH) Metil Prednisolon asetat

Elli Lilly

Elli Lilly Novo Nordis Novo Nordis Novo Nordis Sanofi Sanofi Elli Lilly

HORMON TIROID DAN ANTITIROID

Thyrax

KORTIKOSTEROID DAN KORTIKOTROPIN


Budenofalk Solu-Cortef Norditropin Kalbe, Phapros

(tablet)Medrol;Urbason;Lameson;

Sanofi, Kalbe, Ferrom, Pharos, Soho,

(inj)solumedrol;Medixon

Prednisolon 2 Prednison TRH 3 Triamsinolon asetonid Betametason dipropionat Bromokriptin mesilat Cabergolin Desmopresin asetat Tibolon Vasopresin Kenacort A; Triamcort (tab);Kenacort (Inj) Bemoson Parlodel Dostinex DDAVP;Minirin Livial BMS, ferron, Novell, Pharos, Dexa Bermofarm

HORMON LAIN

OBAT ANTI OBESITAS


1 2 3 3 Mazindol Orlistat Rimonaban Sibutramin Teronac Xenical Acomplia Reductil (Abbot)

OBAT KARDIOVASKULER
ANTIANGINA 1 Atenolol Bisoprolol Tenormin Concor ;Maintate

Diltiazem

Herbesser

Tanabe, fahrenheit, dexa

Isosorbid dinitrat

Cedocard

Darya Varia, GSK, KF, Pharos

Isosorbid mononitrat Metoprolol tartrat Nitrogliserin Trimetazidin Gliseril trinitrat

Monecto-20;Imdur Seloken;Lopresol Nitrocine Trizedon MR NITROkaf Retard/forte

Astra zenica, Pharos, Phapros Pharos Servier Pharsos , KF ANTIDISTRITMIA

Adenosin Amiodaron 1 Diltiazem

Adenocor Cordaron;Tiaryt Herbesser Sanofi, Darya, pharos

Esmolol Disopiramid Lidokain HCI Propranolol HCI Verapamil digoksin epinefrin (adrenalis)

Norpace; Rythmodan Xylocard Inderal;Farmadral Isoptin;Cardiover lanoxin Ephinephrine

Glaxo smith kline

ANTIHIPERTENSI
Imidapril 1 Kaptopril Lisinopril 2 Ramipril Tanapress Capoten Zestril Triatec, hyperil dexa medica, KF, interbat sanofi, ferron Golongan ACE inhibitor tanabe

Enalapril Perindropril + erginin Perindropril + indapamid Perindropril + amlodipin

Melpril, renacardon bioprexum bioprexum plus coveram

Fahrenheit, meiji Servier Servier Servier

Golongan beta blocker 1 2 Atenolol Bisoprolol fumarat Tenormin Concor;Maintate Merck, pharos, Tanebe

Carvedilol Labetalol Metoprolol tartrat Propranolol HCI Sotalol bisoprolol + HCT Nebivolol

Dilbloc

roche, Kalbe

3 4 5

Seloken;Lopresol Sotacor Lodoz nabilet

Fahrenheit

Merck Dexa medica

Amlodipin besilat

Golongan calcium channel blocker Norvask;Tensivask;Theravask Pfizer, Merck, Kalbe, Darya, Dexa, Pha

Diltiazem

Herbesser CD 100, Herbesser inj

tanabe

Felodipin 3 Nifedipin

Plendi;Nirmadil Adalat/Adalat oros;Farmalat Bayer

4 5

Nicardipine Nimodipin

Perdipine Nimotop

Astellas, Pharos Bayer, Kalbe

Amlodipine + telmisartan

twinsta

boehringer

Amlodipine + Valsartam

Exforge

Novartis

Golongan alpha blocker Doksazosin Prazosin HCI Terazosin Cardura Minipres Hytrin Golongan angiotensin II antagonist Indofarma, sanofi, kalbe Takeda darya varia, kalbe, Takeda, KF boehringer Novartis

1 2 3 4 5

Irbesartan Kandesartan Losartan Telmisartan Valsartan

Aprovel Blopress Cozaar , angioten Micardis Diovan

Irbesartan + HCT Valsartan + HCT

Co aprovel Co diovan

sanofi Novartis

Telmisartan + HCT Kandesartan + HCT

Micardis plus Blopress plus

boehringer Takeda, Dexa medica

Olmesartan

Olmetec

Pfizer Golongan lain-lain Boehringer

Klonidin HCI

Catapres

Metildopa anhidrat Natrium Nitroprusid

Dopamet Nipride (Sodium Nitroprusside for IV Infusion DBL) Toviaz

Actavis

Fesoterodin fumarat

Pfizer

GLIKOSIDA JANTUNG
1 Digoksin Lanoxin (inj) Glaxo smith kline, Fahrenheit

OBAT UNTUK SYOK


Inotropik 1 2 1 2 Dobutamin Dopamin HCI Adrenalin HCI/bitartrat Deksametason natrium fosfat Inotrop;Dobuject;Dobutamine Giulini Solvay, Kalbe, Fahremheit, Dexa Dopamin Giulini;Indop Ephinephrine Della Methason;Oradexon Fahremheit, phapros, Kalbe Vasokonstriktor

4 1

Efedrin HCI Fenilefrin HCI Isoprenalin HCI Norepinefrin bitartrat Atorvastatin

Isuprel Vascon Lipitor;Atorsan

Fahremheit, Dexa medica, samdoz, no

ANTIHIPERLIPIDEMIA

Pfizer, actavis, Kalbe, Combiphar, Dex

Fenofibrat

Lipanthyl

Abbot, Sandoz, Dexa, Ikapharmindo, e

Gemfibrozil Kolestiramin Niacin Pravastatin

Lopid Questran Niaspan Pravachol, Cholespar

Resuvastatin

Crestor

astra zenica

Simvastatin Ezetimibe ezetimibe + atorvastatin Atorvastatin amlodipine

Cholestat,, rechol, Zocor Ezetrol vytorin Caduet

Pharos, Kalbe Schering plough Schering plough Pfizer

VASODILATOR 1 Flunarizin Iloprost Naftidrofuril oksalat Pentoksifilin Sildenafil sitrat 3 Sitikolin Tadalafil Vardenafil Sibelium Ventavis Praxilene;Vascuprax Trental;Reotal Viagra Nicholin;Brain Act;Lancolin Cialis Levitra

Kalbe

THROMBOLITIK 1 Streptokinase Pentoksifilin Lumbrikus rubellus Fibrinolisin streptase Reotal Disolf Plasmin Dexa Medica Kalbe Dexa Medica Landson LAIN-LAIN Prostaglandin E1 Prostin VR Pediatric

OBAT TOPIKAL UNTUK KULIT


ANTIBAKTERI 1 Eritromisin Erymed

2 3

Framisetin sulfat Fusidat

Framycetin Foban;Fucidin;Futadem

4 5

Fusidat (asam) +Betametason valerat Klindamisin

Fucicort Comdacin;Mediklin

6 7

Metronidazol Mupirosin

Dumozol Bactoderm;Bactroban

Nadifloksasin Perak Sulfadiazin

Acuatim Dermazin 50 g, 150 g ANTIFUNGI

Ketokonazol

Ketomed;Nizoral

Klotrimazol

Candazole

Ketokonazol +Tar Mikonazol Nitrat

Fungitar shampoo Mycorine; Daktarin

Mikonazol Nitrat2%+Hidrokortison 1% Mikonazol Nitrat2%+ Seng Oksida Selenium sulfida

Brentan; Daktarin Diaper Selsun

Terbinafin

Termicil;Lamisil

ANTIVIRUS 1 Asiklovir Clinovir ,Danovir ANTIIFLAMASI DAN ANTIPRURITIK 1 Betametason dipropionat Beprosone ;Diprosone OV

2 3 4

Betametason valerat Boorschudmixture Desoksimetason Desonid

Benoson Esperson ;Inerson Dermades;Desolex

Diflukortolon valerat 5 Doksepin Flusinolon asetonid Flutikason propionat Hidrokortison asetat 6 Hidrokortison butirat Kalamin Klobetasol propinat

Nerisona;Nerisona FO Sagalon Dermasolon Medicort

Locoid Caladine; Calamed Kloderma

Metil Prednisolon aseponat Mometason furoat Prednikarbat

Advantan;Advantan FO Mofacort, Dermovel Dermatop Kenacort -A

Triamsinolon asetonid Larutan Hemodialisa Larutan Peri

LARUTAN DIALISIS
Peri Solution Otsuka

LARUTAN ELEKTROLIT,NUTRISI,DLL
ORAL 1 2 3 BCAA powder Oralit Nutrisi enteral Falkamin

Ensure ;Pan Enteral, Peptamen; Diabetasol;Nefrisol;Oxepa PARENTERAL

Aqua pro injeksi Asam amino

2 3

Asam amino+vitamin+elektrolit Asam amino rantai cabang (BCAA) Glukosa Kalium klorida Kalsium glukonat Larutan elektrolit Larutan kombinasi (dlm 1 liter): Fruktosa 120 g ,glukosa 66 g, xylitol 60 g,elektrolit vitamin Larutan kombinasi (dlm 1 liter): Natrium 38,5 mek, CI 38,5 mek,glukosa 37,5 g Larutan kombinasi (dlm 1 liter): Natrium 60 mek,k 10 mek, CI 50 mek, laktat 20 mek,gluk 27 g Larutan kombinasi (dlm 1 liter):Natrium 50 mek,k 20 mek, CI 50 mek, laktat 20 mek, glukosa 27 g Larutan kombinasi: Glukosa 2,5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,225% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,45% Larutan kombinasi: Glukosa 5 % & Natrium klorida 0,9%=4:1(N4) Larutan kombinasi: Glukosa 10

Aminosteril infant;Aminosteril 6%;Pan AminG;Kidmin; Kalbamin;Primen Aminofusin L 600,Aminofusin Paed, Aminoleban;Aminofusin Hepar

4 5

Calcii Gluconas Tutofusin OPS Triofusin E 1000

KA-EN 1B

KA-EN 3A

KA-EN 3B

OTSU-D2,5,1/2 NS OTSU-D5,1/4 NS OTSU-D5,1/2 NS OTSU-D5, NS

OTSU-D10,0,18 NS

% & Natrium klorida 0,9%=4:1(N5) Larutan kombinasi: glukosa+asam amino + elekrolit Larutan nutrisi+ elektrolit L-alanin+L-glutamin Lipid

Kabiven

10 11 12

Triparen 1;Triparen 2;Clinimix;Combiflex;Vitrimix Dipeptiven Intralipid ;lvelip;Lipovenous

13 14 15 16

Natrium bikarbonat Natrium klorida Ringer Asetat Ringer Laktat

Meylon Otsuka ;Widatra Asering Ringer laktat

OBAT UNTUK MATA


SISTEMIK Asetazolamid Botulinum Toxin Gliserin Manitol Diamox;Glaucon Botox Manitol ;Manitol Firma International TOPIKAL Antimikroba Asam Fusidat Asiklovir Benzil Penisilin Dibekacin Flukonazol Gentamisin Kloramfenikol Kloramfenikol + Hidrokortison asetat Levofloksasin Fucithalmic Hervis Dibekacine Solnazol Cendo Gentamycin Cendo Fenicol Cendomycos

Cravit

Natamisin Neomisin+Polimiksin + Deksametason Ofloksasin Oksitetrasiklin Polimiksin Sulfasetamid Tobramisin Betametason Diklofenak natrium

Natacen Cendo Xitrol Cendo Floxa;Tarivid Terramycin Ophth CendoPolygran Cendo Cetamide;Albuvit Cendo Tobro Antiinflamasi Cendo Vosama Cendo Noncort

Hidrokortison asetat Kromoglikat natrium Midriatik Atropin Sulfat Fenilefrin HCI Homatropin hidrobromid Tropikamid Adrenalin HCI Betaksolol HCI Brinzolamid Dorzolamid Karbakol Latanoprost Pilokarpin HCI Timolol Travoprost CendoTropin Cendo Efrisel Cendo Homatro Cendomydriatyl Miotik dan antiglaukoma Optibet Azopt Trusopt Xalatan Cendo Carpin Tim-Opthal; Isotic Adretor Travatan

PSIKOFARMAKA
Alprazolam Xanax;Frixitas;Alganax ANTIANSIETAS DAN ANTIINSOMNIA pfizer, pharos, Kalbe

Bromozepam Diazepam Estazolam Klobazam Lorazepam

Lexotan Valium Esilgan Frisium Ativan

Roche, actavis, fahrenheit Takeda Sanofi Sunthi sepuri, mersifarma

Zolpidem Klonazepam Remelteon Amitriptilin HCI Duloksetin Escilatopram Fluoksetin Imipramin Klomipramin Litium karbonat

Stilnox;Zolmia Riclona Rozerem

Mersifarma Takeda ANTIDEPRESI DAN ANTIMANIA Boehringer lunbeck Pharos, sunthi sepuri, kalbe novartis novartis

Cymbalta Cipralex Prozac ;Lodep;Kalxetin Tofranil Anafranil Frimania

Sertralin Venlafaksin HCI Maprotilin

Zoloft;Zerlin;Fridep Efexor XR Ludiomil

pfizer, pharos, kalbe Pfizer novartis

ANTIOBSESI DAN ANTIKOMPULSI


Klomipramin Anafranil

ANTIPSIKOSIS

Aripiprazol

Abilify

Haloperidol

Serenace ; Lodomer

Pfizer, Mersifarma, guardian

Haloperidol dekanoat Klorpromazin HCI Klozapin Olanzapin Perfenazin

Haldol Decanoas Mersi farma Clozaril ; Luften Zyprexa Pharos Sandoz, pgaros Schering plough

Pimozid Quetiapin

Orap Forte Seroquel

Astra zenica

Risperidon

Risperdal ;Zofredal ;Persidal

Jansen,Kalbe, guardian, pharos

Trifluoperazin Zotepin

Stelazine Lodopin

Glaxo smith kline, mersi farma

ANTI ADHD
Metifenidat HCI Ritalin Novartis, Janssen

RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINEST


Atrakurium besilat Baklofen Esperison Klorzoksazon Pankuronium bromida Rokuronium bromida Suksinilkolin Tizanidin Vecuronium bromida PENGHAMBAT NEUROMUSKULAR Tracrium;Atracurium Hameln Glaxo smith kline, Dexa, Novell Lioresal Myonal Solaxin Pavulon Esmeron Quelicin SirdaludMyores, Phardex Norcuron;Ecron Novartis Eisai, Interbat, Kalbe, Pharos Organon Kalbe, Novell Abbot Mepro, Prima Pharos OBAT UNTUK MISTENIA GRAVIS Transfarma Transfarma

Neostigmin metilsulfat Pridostigmin bromida

Postigmin Mestinon

Azatioprin

azathioprine, Imuran

Combiphar, Glaxo smith kline

OBAT UNTUK SALURAN CERNA


ANTASIDA DAN ULKUS,ANTIBUSA Alumunium hidroksida+ Magnesium hidroksida Alumunium hidroksida+Magnesium hidroksida+ Simetikon

Myalanta ;Polycrol

Esomeprazol

Nexium;Nexium IV

Astra zenica

3 4 5

Misoprostol Omeprazol Pantoprazol

Cytotec Losec;OMZ;Ozid Pantozol

Astra zenica, ferron, Darya, Soho, San

Pharos, novell, Otto, Soho, dexa, kalbe

Ranitidin

Zantac;Rantin;Wiacid

7 7 8 10 11 9 13 14

Rebamipide Simetikon Sukralfat Teprenon rabeprazol Lansoprazol cisaprid Fucoidan

Mucosta

Pharos, otsuka

Inpepsa Purubex Pariet prosogan,lancid acpulsif fucoidan

Fahrenheit, Kalbe, Gracia, otto, ikapha Eisai Eisai

Takeda, Kalbe, dexa, gracia, sanbe, no Dexa medica Soho ANTIEMETIK

1 2 3 4

Betahistin mesilat Dimenhidrinat Domperidon Metoklopramid HCI

Betaserc;Merislon Dramine Sed generik Primperan

Janssen, Kalbe, Dexa, Ikapharm, Bern Otto, fajhrenheit, soho, actavis

Ondansetron HCI

Zofran;Narfos;Ondavell

Glaxo smith kline, Kalbe, soho, fahrenh

Piratiasin teoklat Tegaserod

Mediamer B6 Zelmaz

Granisetron palonosetron ramosetron

kytril, granon paloxi nasea

Roche, dexa kalbe astellas ANTIHEMORRHOID

1 2

Bismut subgalat Etoksisklerol/Polidocanol Hidrosmin Diosmin 450 mg + Heesperidin 50 mg Atropin sulfat Butropium bromida

Aethoxysklerol Venosmil Ardium ANTISPASMODIK Atrium Sulfat Caliopan Buscopan Boehringer OBAT UNTUK DIARE

Hiosin n-butil bromida

Garam Oralit I Loperamid HCI Smektit 1 Bisakodil Imodium Smecta Dulcolax LAKSATIF Boehringer

Gliserin Kombinasi Natrium lauril sulfoasetat + Natrium sitrat asam sorbat+PEG +Sorbitol Laktulosa

Microlax

Pharos

Extralac, lactulac, Duphalac

Soho, Ikapharmindo, KF

Magnesium sulfat Natrium Fosfosoda Parafin+Gliserin

Garam Inggris Fleet Enema; Fleet Phosposoda Lexadine Galenium pharm

Lain-lain Asam ursodeoksikholat Glicirrhyzin HEFC Kombinasi enzimsal cerna L-Ornitin L-Aspartat Mesalazin Urdafalk; Estazor Stronger Neo-Minophagen C HEFC Vitazym Hepa-Merz Salofalk; Sulfitis (tab)

Schisandrin

Hp Pro

OBAT UNTUK SALURAN NAFAS


ANTIASMA 1 Adrenalin bitartrat Aminofilin Beklometason 2 3 Budesonide Deksametason natrium fosfat Adrenalin Aminophylinum Becotide; Beclomed easyhaler Pulmicort; Inflammide Oradexon; Kalmethason Astra zenica

4 5 6 7 7

Efedrin HCI Fenoterol HBr Ipratropium bromida Isoprenalin HCI Klenbuterol Prokaterol HCI hemihidrat

(inj) Sed. Generik; Ephedrin HCI; (tab) sed generik Berotec Atrovent Isupel Spiropent Meptin air inhaler Boehringer

Salbutamol

Ventolin; Lasel

Glaxo, pharos, Lapi, Boehringer, fahre

9 10

Salbutamol 2,5 mg + Ipratropium Bromida 0,5 mg Salmoterol 25 mcg + Flutikason proprionat 50 mcg/125 mcg

Combivent Seretide 50 inhalasi, seretide 125 inhalasi

Glaxo, pharos, Lapi, Boehringer, fahre Glaxo smith kline

11

Teofilin

Euphyllin R mite; Quibron TSR

12

Terbutalin Sulfat

Bricasma; Nairet; Forasma

Astra zenica

ANTITUSIF 1 1 Dekstrometorfan HBr Kodein HCI Codipront Pharmosolindo

Ambroksol

Mucopect; Transbroncho

MUKOLITIK Boehringer, sanbe, gracia, sanofi

Bromheksin HCI

Bisolvon

3 4

Erdostein N-asetil sistein

Vectrin Fluimucyl

EKSPEKTORAN 1 Obat batuk Hitam OBH LAIN-LAIN Abbot

Beractant

Survanta

OBAT YANG MEMPENGARUHI SISTEM IMUN


SERUM DAN IMUNOGLOBULIN Gama Globulin Imun Serum Antibisa Ular Serum Antidifteri Serum Antitetanus Serum Hiperimun Antirabies Serum Imun Globulin Tetanus Imun Globulin Vaksin Antipolio Vaksin antirabies Vaksin BCG Vaksin Campak Vaksin Difteri Pertusis dan Tetanus Vaksin Difteri dan Tetanus Vaksin Hemophilus influenzae B Vaksin Hepatitis A Vaksin Hepatitis B Gammaraas

Gamimune N10% Teragem P Vaksin polio oral VAKSIN Vaksin polio oral Imogam Rabbies;Verorab Vaksin BCG Vaksin Campak Vaksin serap DTP Vaksin serap DT (Hiberix) Havrix 720 junior;Avaxim 80;Avaxim 160

Vaksin Influenza Vaksin Kombinasi DPaT-Hib Vaksin Kombinasi DPT,Hib,Polio Vaksin Meningitis meningokokal Vaksin MMR Vaksin HPV Vaksin Japanese ensefalitis Vaksin Pneumokokus Vaksin PPD Vaksin Rotavirus Vaksin Serap Tetanus Vaksin TT Vaksin Tipa Vaksin Varisela Vaksin Yellow Fever 1,25 di (OH) kolekalsiferol 1 Asam Askorbat

Fluarix;Vaxigrip Infanrix-Hib ; Tetrac Hib Pediacel Mencevax Trimovax Gardasil;Servarix Prevenar (PCV);Pneumo 23 Rotarix Vaksin TT Bio Farma Varilix;Okavax

VITAMIN DAN MINERAL


Kolkatriol Extrace:Max C

3 4 5

Asam Folat Biotin Fluorida Hidroksokobalamin Isotretinoin/acitretin Kalium aspartat/klorida Kalium sitrat Kalium dihidrogen fosfat Kalsium glukonat Kalsium karbonat Kalsium laktat/fosfat Kombinasi Betakaroten,Vitamin C, vitamin E,Zinc,Selenium Kombinasi vitamin B

Folid Acid

Neotigason KSR;Aspar-K

Calcii gluconas Osteocal Kalk Seloxy Neurobion; Neurobion 5000;

nerva plus L-Arginin L-Karnitin+Ubiquinon Mekobalamin Mineral-Mix 7 Multivitamin Natrium benzoat Multivitamin untuk infus Niasinamid Pridoksin HCI(vit B6) Nutrilin;Licoxy;Zegravit MVI R-Gene Carnico-Q Methycobal; Lapiqbal

Retinol (Vit.A) Riboflavin Zn Pikolinat+Zn glukonat+ Cu glukonat Suplemen untuk mata Thiamin HCI Thiamin nitrat+Kalsium pantotenat+Medical yeast+cystin +keratin+ asam p-amino benzoat Thiamin Tetrahidrofurfuril Disulfid

Zinc Pharmacore

Optimax

Pantogar

Alinamin/Alinamin-F-Odorless

Trace elements untuk infus Vitamin B12 Vitamin B Kompleks Vitamin D Vitamin D analog: Alfakalsidol Vitamin D analog:Kalsitriol Vitamin D analog:Kolekalsiferol Vitamin D analog: Dihidrotakhisterol Vitamin D analog:Ergokalsiferol Vitamin E (Tokoferol) Vitamin K3/K1

Peditrace

Evion;Dalfarol

OBAT YANG MEMPENGARUHI SALURAN KEMIH


ALPHA BLOCKER 1 2 Terazosin Doksazosin Tamsulosin Alfuzosin Finasterid Dutasterid Fenazopiridin ANTIMUSKARINIK Tolterodin I-tartrat Solifenasin Detrusitol Vesicare PARASIMPATOMIMETIK Karbakol Distigmin bromidum Lubricant untuk USG Lubricant Ko-dergokrin mesilat Urocarb Ubretid LAIN-LAIN Aquasonic KY Jelly Hydergin Hytrin Cardura Hamal Xatral XL 5 ALPHAREDUCTASE INHIBITOR Prostacom Proscar Avodart ANTISEPTIK

Pirasetam Xantinol Xantinate Co enzym Q-!0 Piritinol Hcl

Nootropil,Neurotam Complamin encephabol

UCB, Kalbe, Soho

Fahrenheit, darya Merck

OSTEOARTRITIS dan METABOLISME TULANG


Risedronat Kalsitonin Actonel Miacalcic Sanofi, kalbe Novartis

zeledronat asam ibandronik Kalsitriol 1 Glucosamin Raloksifen Alendronat Klodronat dinatrium

Zometa, aclasta bonviva Rocaltrol, klokatriol, oscal Viopor, rebone, mediflex, fitajoint Evista, osteonate OD Nichospor Bonefos

Novartis Roche, kalbe Roche, phapros, escolab, kalbe Otto, puspa farma, combiphar Elli lilly

TOTAL

USER

dr. Kemal Imran, SpS, MARS NIP. 196812292000031001

TAAN OBAT
PACKING SEDIAAN KEMASAN HARGA SEDIAAN JUMLAH PESANAN

ANTI-REMATIK, ANTIPIRAI
10 mL patch 25 mcg/hr patch 50 mcg/hr box box box 5x1 5x1 5x1 Rp Rp Rp 338,200 600,000 1,080,000 12 2 2

5 mcg/mL (10 mL) 500 mg/mL (2 mL) cap 250 mg cap 500 mg tab enteric coat 25 mg tabenteric coat 50 mg inj 75 mg/3 mL retard tab 100 mg SR tab 75 mg supp 100 mg supp 50 mg emulgel 1% 10 g emulgel 1% 20 g emulgel 1% 50 g caplet 200 mg chew tab 100 mg supp 125 mg forte syr 200 mg/5 mL syr 100 mg/5 mL cap 100 mg CR cap 200 mg coated tab 100 mg inj 100 mg/2 mL (2 mL) supp 100 mg inj 30 mg/mL tab 10 mg

box box box box box box box box box pack pack tube tube tube pack box box bottle bottle pack pack pack box pack

5x1 5x1 10x10 10x10 5x10 5x10 5x1 5x10 5x10 10 10 1 1 1 50x1 2x10 2x5 50 mLx1 60 mLx1 100 50 100 6x1 10 pcs 6x1 20

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

440,000 39,915 47,500 105,000 118,040 205,640 160,470 383,330 281,670 137,795 77,855 23,500 39,000 86,000 45,100 20,900 39,600 20,350 15,950 161,500 439,360 414,333 152,368 107,166 224,881 93,800 60 30 2 20 2 4 2 2 2 2 12 12 12 12 2 2 12 12 0 40 2 2 2 20 2

inj 15 mg/mL tab 15 mg tab 7.5 mg

box pack pack

5x1 30 30

Rp Rp Rp

191,950 380,600 233,860

12 2 2

cap 500 mg rectal cr 125 mg/2.5 mL rectal cr 250 mg/4 mL syr 120 mg/5 mL FC cap FC cap powd for inj 40 mg tab cap 10 mg cap 20 mg dispersible tab 20 mg flash tab 20 mg

pack pack box box bottle box box vial box pack pack pack pack

100 1000 5x1 5x1 60 mLx1 6x10 10x10 1 10x10 50 50 50 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

30,450 288,450 48,000 68,000 13,328 69,000 100,000 89,805 64,000 226,820 449,525 441,485 341,085

0 12 2 4 4 12 20 30

cap 100 mg cap 200 mg FC caplet cap 50 mg cap 50 mg inj 50 mg/2 mL inj 50 mg/mL retard tab 100 mg supp 100 mg tab 120 mg tab 60 mg tab 90 mg tab 25 mg inj 50 mg/2 mL

pack pack box pack pack box box pack pack pack pack pack box box

10x3 10x3 10x10 60 50 5x1 5x1 10 10 30 30 30 5x10 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

196,875 340,045 99,000 183,603 235,000 145,750 100,650 77,000 139,150 363,000 257,400 280,500 235,000 178,500

12 2 2 2 0 0 20 2 12 6 20 4 12 2 2 2 2 2 20 4 0

tab

box

3x10

Rp

159,000

0 100

tab cap tab 100 mg tab 300 mg inj 10 mg/mL tab 50 mg

box pack pack pack pack pack prefilled syringe pack

10x10 60 200 60 100 30 2 mLx1 100

Rp Rp Rp Rp Rp Rp Rp Rp

200,000 270,000 380,050 120,450 419,320 132,220 420,000 748,990

ANTIPIRAI 2 2 2 2 0 0 0 0

tab 0.5 mg tab 10 mg tab 20 mg inj (amp) 5 mg/mL inj (vial) 5 mg/mL inj (vial) 50 mg/5 mL tab 2.5 mg tab 500 mg inj 1000 mg inj 200 mg inj 500 mg cap 500 mg infusion 100 mg

box pack pack box box vial pack pack vial vial vial box vial

3x10 30 30 10x10 10x10 1 50 50 1 1 1 10x10 5 mLx1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

105,000 500,230 844,190 570,000 570,000 90,000 105,000 997,230 537,140 159,500 354,500 495,000 5,454,545

0 2

TIK
inj 0.5% ( duofit polyamp 20 mL) box 5x1 Rp 317,905

LOKAL

inj 2% ( duofit polyamp 2 mL) inj 2% ( duofit polyamp 20 mL) inj 2 mL inj 50 mg/mL (amp 2 mL) cream 5 g

box box box box tube

50x1 5x1 20x1 5x1 1

Rp Rp Rp Rp Rp

294,456 230,116 53,906 275,000 44,221

16 4 6

inj 7.5 mg/mL (20 mL) inj 2 mL

box box

5x1 20x1

Rp Rp

444,010 53,906

UMUM

inj 100 mg/mL (10 mL)

vial

Rp

239,350

inj 15 mg/3 mL inj 5 mg/5 mL

box box

5x1 10x1

Rp Rp

286,086 229,202

inhalation vapour liquid 250 mL infusion 500 mg

bottle

Rp

2,420,000

vial

Rp

59,000

EOPERATIF

NTUK ANAFILAKSIS
tab 5 mg syr 0.5 mg/mL (60 mL) tab 30 mg HD tab 180 mg OD tab 120 mg XR tab tab 25 mg syr 10 mg/5 mL (100 mL) tab 25 mg tab 10 mg pack bottle box pack box box pack bottle pack pack pack box 30 1 5x10 10 10x10 10x10 100 1 100 100 300 5x10 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 180,090 64,170 171,875 64,680 572,795 376,923 117,329 22,500 160,000 88,000 253,500 248,050 2 0 0 0 0 0 2

tab 10 mg

cap drops 10 mg/mL (20 mL) syr 5 mg/5 mL (60 mL) tab 10 mg tab 5 mg

box bottle bottle box pack

5x10 1 1 3x10 30

Rp Rp Rp Rp Rp

165,000 47,800 37,950 150,000 110,000

2 0 12 12 2 2

tab 10 mg syr 50 mg/mL (60 mL) tab 50 mg

box bottle pack

3x10 1 100

Rp Rp Rp

58,500 15,000 45,000

UNTUK KERACUNAN

dispertab 125 mg dispertab 250 mg dispertab 500 mg tab 500 mg

box pack box pack

4x7 28 4x7 100

Rp Rp Rp Rp

2,000,000 3,978,495 7,932,655 260,000

powd for inj 500 mg

box

10x1

Rp

990,845

inj 50 mg/10 mL tab 15 mg infusion 400 mg (amp 4 mL) inj 0.4 mg/mL (2 mL)

vial pack box box

1 20 15x1 5x1

Rp Rp Rp Rp

325,000 275,000 1,126,780 350,000

inj 0.5 mg/mL

box

5x1

Rp

45,100

syr 66.7%/5 mL (120 mL) inj 10 mg/2 mL tab 5 mg

bottle

Rp

57,500

EPSI
box pack 5x1 100 Rp Rp 120,337 297,476 10 4

cap 100 mg inj 250 mg/ 5 mL

cap 300 mg chew tab 100 mg CR tab 200 mg syr 100 mg/5 mL (120 mL) tab 200 mg tab 2 mg FC tab 250 mg FC tab 500 mg tab 300 mg tab 600 mg cap 150 mg cap 50 mg cap 75 mg cap 15 mg cap 25 mg cap 50 mg tab 100 mg tab 25 mg tab 50 mg tab 250 mg syr ER tab 250 mg

pack box tab amp pack box pack bottle box pack pack pack box box pack pack pack pack pack pack box box box pack pack

100 10x1

Rp Rp

302,165 757,700

100 5x10 50 1 5x10 100 30 20 5x10 5x10 14 14 14 60 60 60 6x10 6x10 6x10 100 100

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,093,010 128,000 202,500 74,000 174,500 516,624 240,350 315,600 388,735 726,705 239,425 100,585 145,110 227,600 377,500 468,125 482,500 241,000 300,000 587,290 435,435

8 8 334 8 4 8 8 68 4 12 16 0 8

4 4

4 500 4

ER tab 500 mg tab 100 mg tab 50 mg tab 50 mg

pack box box pack

100 3x10 3x10 100

Rp Rp Rp ?

870,898 229,169 176,153

TERI
cap 250 mg cap 500 mg dispers tab 250 mg dry syr 125 mg/5 mL (60 mL) Forte dry syr 250 mg/ 5 mL (60 mL) infusion 1 g paed oral drops 100 mg/mL (15 mL) tab 1 g tab 625 mg Forte oral susp (60 mL) oral susp (60 mL) box box box bottle bottle box bottle pack pack bottle bottle 10x10 10x10 10x10 1 1 10x1 1 14 60 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 136,840 280,340 120,950 19,230 27,425 192,290 19,230 131,016 415,508 53,818 40,053 12 2 2 12 12 2 12 20 2 12 12

enisilin

powd for inj 1.5 g powd for inj 750 mg tab 375 mg

vial vial pack

1 1 30

Rp Rp Rp

125,000 65,000 410,000

syr 250 mg/5 mL (60 mL) tab 250 mg tab 625 mg cap 500 mg powd for inj 1000 mg powd for inj 500 mg powd for inj 4.5 g powd for inj 3 juta U powd for inj 1 g pow for inj 2 g

bottle box box box box box vial vial box box

1 10x10 10x10 10x10 10x1 10x1 1 1 10x1 10x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

30,360 121,800 240,000 331,150 26,400 15,400 264,000 9,800 323,274 523,090

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 12 12 0 0

oglikosida inj 250 mg (2 mL) inj 500 mg (2 mL) inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL inj 100 mg box box vial amp vial amp 10x1 10x1 1 1 1 1 Rp Rp Rp Rp Rp Rp 85,000 152,250 22,100 44,100 55,200 104,600

inj 150 mg/1.5 mL inj 300 mg/1.5 mL inj 50 mg inj 100 mg/2 mL inj 50 mg/mL

vial amp amp amp amp amp

1 1 1 1 1

Rp Rp Rp Rp Rp

158,900 262,200 59,000 77,000 56,250

amfenikol cap 250 mg cap 500 mg dry syr 125 mg/5 mL (60 mL) cap 500 mg tab 250 mg tab 500 mg inf 500 mg/100 mL tab 400 mg inf 400 mg/250 mL box box bottle box box box vial pack vial 10x10 10x10 1 3x10 3x10 3x10 1 5 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp 260,000 360,000 30,500 110,000 150,000 210,000 215,000 242,550 431,750

0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 2 12 0 0 0 0 0 0 200 12 2 2 2 30 2 12 12 2 2 2 12 12 12 2 0 0 0 120 12 12

uinolon

tab 200 mg tab 400 mg tab 400 mg IV inf 200 mg/100 mL IV inf 400 mg/200 mL tab 500 mg XR tab 1000 mg XR tab 500 mg cap 250 mg cap 500 mg oral susp 200 mg/5 mL (15 mL) cap 250 mg tab 200 mg Forte tab 500 mg oral susp 200 mg/5 mL (60 mL) oral drops 100 mg/2.5 mL (30 mL) Forte oral susp 250 mg/5 mL (60 mL) tab 200 mg FC cap 250 mg FC cap 500 mg oral susp 2 g oral susp 200 mg/5 mL (15 mL) powd for inj 500 mg

pack pack box vial vial pack pack pack pack pack bottle pack pack pack pack bottle bottle bottle pack box box container bottle bottle

30 30 5x6 1 1 20 10 10 10 10 1 100 500 100 100 1 1 1 100 3x10 3x10 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

225,000 370,000 660,000 201,600 309,750 370,700 347,600 185,850 148,500 275,000 88,000 367,345 887,530 385,385 660,000 50,160 47,300 28,302 304,975 231,750 589,050 122,245 86,910 148,465

akrolid

tab 250 mg tab 500 mg

pack pack

6 3

Rp Rp

143,920 143,920

2 2

losporin cap 250 mg cap 500 mg dry syr 125 mg/5 mL (60 mL) dry syr 250 mg/5 mL (60 mL) powd for inj 1 g box box bottle bottle 10x10 10x10 1 1 Rp Rp Rp Rp 430,500 872,500 35,980 61,835 60 2 12 12

vial box box bottle box box vial vial vial box box pack vial vial vial vial vial pack box pack box

1 3x1 3x10 1 1x10 2x1 1 1 1 3x10 3x10 30 1 1 1 1 1 30 1 20 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

82,000 65,000 505,000 75,000 259,000 240,000 155,000 120,000 92,000 300,000 450,000 210,000 290,462 148,000 72,000 185,000 250,000 520,000 120,000 385,000 350,000 20 12 2 200 200 120 120 0 0 0 200 300 12 0 200 200 0 0 0 0 0 4 2 0 0 0 0 0 0 2 2 12 12 2 0 0 2 12

cap 100 mg dry syr 100 mg/5 mL (30 mL) tab 200 mg inj 1 g powd for inj inj 1 g powd for inj 1 g tab 100 mg tab 200 mg cap 500 mg powd for inj 1 g powd for inj 1 g powd for inj 500 mg powd for inj 1 g IV inj 1 g cap 500 mg inj 750 mg tab 500 mg cap 100 mg

rasiklin cap 100 mg cap 50 mg powd for inj 50 mg/10 mL (10 mL) cap 500 mg cap 250 mg inf 50 mg/5 mL inj 1 g inj 2 g IV inj cap 150 mg cap 300 mg tab 1.5 juta IU tab 2.5 juta IU Forte cap syr (60 mL) box box box box box box box box vial pack pack pack pack box bottle 3x10 3x10 10x1 10x10 10x10 10x1 10x1 10x1 1 30 30 50 100 10x10 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 99,000 69,000 84,095 95,300 37,400 5,000,000 82,300 136,900 262,250 181,310 326,345 255,000 105,000 158,000 20,330

in-lain

tab inf 2 mg/mL (300 mL) tab 600 mg IV inj 1 g IV inj 500 g oral susp 125 mg/5 mL supp 0.5 g supp 1 g Forte tab 500 mg powd for inj 400 mg powd for inj 0.5 g enema 4 g tab 250 mg tab 500 mg supp 500 mg inj 500 mg inj 20 mg/2 mL inj 60 mg/1.5 mL inj 80 mg/2 mL powd for inj 1 g powd for inj 1 g tab 250 mg tab 500 mg Forte tab tab tab 500 mg cap 300 mg cap 450 mg cap 600 mg syr 20 mg/mL (50 mL) syr 20 mg/mL (100 mL) powd for inj 1 g powd for inj 5 g 450/300 captab paed chew tab paed chew tab 3FDC tab Forte cap tab 4FDC tab

box bottle pack box box bottle strip strip box vial box box pack pack pack box vial amp vial vial box pack pack pack pack box box box box bottle bottle vial vial box pack box pack box pack box

10x10 1 10 10x1 10x1 1 10 10 10x10 1 2x1 4x1 100 100 30 10x1 1 1 1 1 2x1 100 100 350 1500 10x10 5x10 25x4 25x4 1 1 1 1 5x6 50 6x10 30 10x10 100 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

70,000 555,765 5,175,365 4,345,704 3,356,278 39,335 98,453 188,407 479,558 590,247 360,000 101,000 466,000 765,000 525,000 440,000 22,100 44,100 55,200 510,000 360,000 42,000 88,000 274,034 505,310 121,000 217,500 544,000 700,000 45,000 84,000 4,600 12,000 232,200 99,600 144,000 144,000 154,350 81,900 160,500

2 0 0 2 2 60 2 2 2 0 0 12 0 0 0 0 0 120 12 12 0 0 2 2 2 2 2 2 2 2 12 12 12 12 12 2 6 2 2 2 12

ULOSIS

OTIK

NGI
cap 150 mg cap 50 mg powd for inj 2 mg/mL (100 mL) box pack vial 5x1 10 1 Rp Rp Rp 411,225 274,165 308,980 0 12 2 12

tab 500 mg cap 100 mg tab 200 mg oral susp 100.000 U/mL tab 200 mg tab 50 mg inf 200 mg tab 125 mg tab 250 mg cream 1% 5 g cream 1% 10 g

box pack pack pack bottle pack vial box box tube tube

10x10 28 150 30 1 10 2x10 1 2x6 2x6 1 1

Rp Rp Rp Rp Rp Rp Rp ? Rp Rp Rp

506,000 700,000 1,500,000 315,000 45,300 3,322,370 1,129,600 385,500 25,200 45,500

2 0 2 2 120 0 0 0 0 0 0 0 0 0 0 0 0 2 0 50 2 12 12 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 12 2 2 0 0

ARIA

tab tab 10 mg tab 200 mg IV infusion cream 5% tab 0.5 mg tab 1 mg tab 250 mg infusion 500 mg cap Plus syr 60 mL powd for inj 3MIU/mL inj 135 mcg inj 180 mcg powd for inj 120 mcg powd for inj 50 mcg powd for inj 80 mcg prefilled pen 100 mcg prefilled pen 120 mcg prefilled pen 50 mcg prefilled pen 80 mcg tab 100 mg syr 250 mg/5 mL (60 mL) tab 500 mg cap 200 mg tab 600 mg cap 500 mg tab 450 mg tab 150 mg

pack pack box vial tube 2 g tube 5 g pack pack box vial box bottle box prefilled syringe 0.5 mL vial vial vial pen pen pen pen pack bottle pack pack box box pack pack

60 30 5x5 1 1 1 10 3x10 3x7 1 3x10 1 3x1 1 1 1 1 1 1 1 1 1 14 1 8 36 2x14 5x10 60 60

Rp Rp Rp Rp Rp Rp ? ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

393,559 1,080,882 198,000 1,000,000 56,000 105,000

US

623,230 668,342 66,150 22,050 400,000 1,959,664 2,269,491 2,558,520 1,301,000 2,081,390 2,282,180 2,558,520 1,319,630 2,092,770 480,000 61,200 63,500 332,640 1,316,500 600,000 14,542,936 480,000

VIRAL

VERTIGO
tab 2.5 mg tab drag box box pack 10x1 10 500 Rp Rp Rp 1,092,733 666,314 650,000 34 34 2

RAIN

tab 10 mg tab 5 mg cap 100 mg tab 24 mg tab 8 mg tab 6 mg

box box pack pack pack pack

5x10 5x10 2 20 100 100

Rp Rp Rp Rp Rp Rp

260,000 185,000 70,000 107,000 130,650 220,000

8 8 0 160 160 4 4

IGO

/DEMENTIA
tab 2.5 mg tab 200 mg disp tab 125 tab 0.125 mg tab 0.25 mg XR tab 0.375 mg XR tab 0.75 mg tab 5 mg tab 100/25/200 mg tab 200/50/200 tab 2 mg tab 2 mg tab 4 mg tab 8 mg tab 5 mg PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg PR cap 16 mg PR cap 8 mg tab 4 mg tab 8 mg Forte tab 120 mg Spesial tab 80 mg tab cap 0.5 mg box pack pack box box box box pack pack pack pack pack pack pack pack pack blister bottle box box pack box box box pack box pack pack pack pack 30 30 30 3x10 3x10 3x10 3x10 50 30 30 1000 250 28 42 28 28 14 30 4x7 4x7 14 4x14 4x7 4x7 14 4x14 30 30 100 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 331,050 432,725 135,167 155,870 276,210 445,170 789,030 375,848 514,000 600,000 230,000 71,000 193,768 239,124 229,169 269,645 481,423 982,500 1,265,000 1,105,000 279,500 1,265,000 1,265,000 1,105,000 279,500 1,265,000 389,000 259,545 399,993 270,000 12 6 24 0 24 0 0 0 8 6 0 2

NSON

ENTIA 12 0 0 0 0 0 4 4 4 2 6

GARUHI DARAH

MIA ,Novell,Dexa

cap inj 500 mcg/5 mL tab 50 mcg tab 115.4 mg drops 15 mg/mL (15 mL) syr 15 mg/5 mL (100 mL) infusion 50 mg inj 50 IU/mL (10 mL) chew tab 80 mg tab 100 mg tab 50 mg tab 75 mg tab 25 mg tab 75 mg inj 20 mg/0.2 mL inj 40 mg/0.4 mL inj 60 mg/0.6 mL inj 2.5 mg/0.5 mL inj 5000 IU/mL (5 mL) oint 15 g topical gel 20000 IU 20 g inj 4250 Axa IU/0.4 mL inj 6400 Axa IU/0.6 mL powd for inj 1.5 juta IU tab 250 mg tab 2 mg FC tab 10 mg FC tab 15 mg FC tab 20 mg cap 110 mg cap 150 mg cap 75 mg cap 300 mg

pack box pack box bottle bottle vial vial pack pack pack pack pack pack box box box box vial tube tube syringe syringe vial box box pack pack pack box box box pack

10 100 1000 3x10 1 1 1 1 100 50 50 28 200 100 2x1 2x1 2x1 2x1 1 1 1 1 1 1 2x10 10x10 10 28 28 3x10 3x10 3x10 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

122,100 9,980 32,044 23,000 18,000 25,500 6,547,530 3,450,000 36,700 498,000 275,000 610,555 366,630 443,080 137,070 242,680 347,160 655,500 55,000 14,369 36,300 690,000 1,050,000 3,520,000 219,420 120,000 250,000 700,000 700,000 554,950 554,950 554,950 150,000

2 0 2 2 10 12 12 2 2 6 12 2 2 2 2 0 0 0 0 120 60 12 0 0 2 0 0 12 1 1 1 1 1 1 0 0 0 100 2 2 2 2 0 2 0 0

GARUHI DARAH

cap 50 mg cap 250 mg tab 500 mg inj 250 mg/5 mL inj 500 mg/5 mL inj 250 mg/2 mL tab 500 mg inj 10 mg/2 mL inj 25 mg/5 mL

cap pack pack box box box pack box box 100 100 10x1 10x1 6x1 20 10x1 10x1 Rp Rp Rp Rp Rp Rp Rp Rp 138,000 240,000 75,000 105,000 30,280 47,300 78,208 133,560

ATIK

inj 50 mg/10 mL Forte tab 30 mg tab 10 mg inj 0.1 mg/mL

box box box amp

10x1 10x10 10x10 5x1

Rp Rp Rp Rp

194,412 283,500 189,000 1,396,000

OIETIK
inj 10000 IU/mL inj 2000 IU/0.5 mL inj 4000 IU/0.4 mL box box box 6x1 6x1 6x1 Rp Rp Rp 6,747,300 1,493,100 2,946,300

inj 30 MU/mL

prefilled syrg

Rp

846,126

0 0 0 0 0 0 0 0 0 0 0 0

GGANTI PLASMA
vial vial vial bottle bottle bottle bottle bottle bottle 1 1 1 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp 338,000 792,500 1,585,000 681,250 1,362,500 300,000 1,040,000 1,268,225 2,536,450 12 2 2 2 2 12 2 0 0 0 0 0 0 0 12 0 2 2 2 2

EMAKAIAN KHUSUS inf 25% 20 mL inf 25% 50 mL inf 25% 50 mL inf 20% 50 mL inf 20% 100 mL inf 5% 50 mL inf 5% 250 mL inj 250 IU inj 500 IU

PLASMA inf 500 ml inf 5g/100 mL (250 mL) inf 10% inf 6% inf 3.5% 500 mL bottle bottle box box bottle 1 1 10x1 12x1 1 Rp Rp Rp Rp Rp 80,631 1,031,650 214,200 155,000 170,000

STIK

TRAS

DESINFEKTAN

TIK

ovule 90 mg soln conc 360 mg/g 5 mL soln conc 360 mg/g 10 mL soln conc 360 mg/g 30 mL sol conc 360 mg/g 100 mL vag gel 50 g

pack bottle bottle bottle bottle tube

6 1 1 1 1 1

Rp Rp Rp Rp Rp Rp

101,640 17,600 26,950 66,000 236,500 74,580

KTAN

DAN MULUT

GIGI DAN MULUT

IK
tab inj 20 mg/2 mL tab 40 mg pack box pack 50 5x1 100 Rp Rp Rp 80,000 50,068 356,838

inj 20% 250 mL inj 20% 500 mL tab 100 mg tab 25 mg

bottle bottle pack pack

1 1 100 100

Rp Rp Rp Rp

31,381 59,626 311,500 96,300

tab

pack

100

Rp

126,000

DAN KONTRASEPSI

ETIK k oral tab 100 mg tab 50 mg tab 5 mg tab 60 mg tab 30 mg tab 1 mg tab 2 mg tab 3 mg tab 4 mg tab 10 mg tab 5 mg tab 500 mg XR cap 500 mg tab 1.25 mg/250 mg box box container pack pack box box box box pack pack pack box pack 10x5 10x5 100 30 10 5x10 5x10 5x10 3x10 30 30 50 10x10 100 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 123,600 77,100 280,722 155,000 228,360 120,915 220,412 290,813 198,984 116,460 116,460 42,750 135,000 189,778 12 2 20 0 0 0 0 0 0 0 0 4 2 12

tab 2.5 mg/500 mg tab 5 mg/500 mg tab 120 mg tab 15 mg tab 30 mg tab 4 mg tab 4mg/2 mg tab 4 mg/mg tab 2 mg/500 mg tab 4 mg/500 mg tab 5 mg FC tab 5 mg tab 50 mg tab 1000 mg/50 mg tab 500 mg/50 mg tab 860/50 mg

pack pack box box box pack pack pack pack pack box pack box box box

100 100 7x12 5x6 5x6 28 28 28 14 14 2x14 3x10 28 3x10 3x10 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ? Rp Rp Rp Rp

327,210 397,320 449,300 138,000 210,000 275,000 275,500 275,500 81,500 137,500 265,306 137,200 154,500 154,500 154,500

2 2

arenteral HM inj 100 IU/mL (10 mL) Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL (3 mL) HM inj 100 IU/mL (10 mL) Novolet 100 IU/mL (3 mL) Penfill for inj 100 IU/mL (3 mL) inj 30 Novolet 30 penfill 30 inj 100 IU/mL 3 mL flexpen 3 mL flexpen 3 mL flexpen 100 U/mL inj 100 IU/mL (10 mL) optipen 100 IU/mL (3mL) inf 100 IU/mL (10 mL) optipen 100 IU/mL (1 mL) tab 5 mg tab 5 mg tab 10 mg tab 5 mg tab 100 mcg vial box box vial box box vial box box box box box box vial box vial box pack pack pack pack pack pack vial 1 5x1 5x1 1 5x1 5x1 1 5x1 5x1 5x1 5x1 5x1 5x1 1 5x1 1 1 1 100 100 100 100 50 1 1 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 350,900 762,300 659,450 350,900 762,300 659,450 350,900 762,300 659,450 750,200 762,300 762,300 818,598 304,500 678,132 294,667 678,132 96,000 96,000 147,400 104,390 165,080 1,045,000 990,000 1,448,410 249,930 60 60 2 2

20 2

AN ANTITIROID
2 0 2 2 0 2

KORTIKOTROPIN
cap 3 mg 12 IU inj 16 IU/mL tab 16 mg

pack

tab 8 mg tab 4 mg act-o 125 mg/2 mL act-o 500 mg/8 mL inj 125 mg inj 500 mg act-o 125 mg/2 mL act-o 500 mg/8 mL tab 5 mg

pack vial vial vial vial vial vial box bottle pack tube

10x10 100 1 1 1 1 1 1 10x10 1000 100 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

200,000 281,915 76,500 207,660 60,000 143,850 76,500 207,660 14,000 48,300 343,200 67,200

2 2 12 12 12 12 0 0 2 2 0 20 12

tab 4 mg cream 0.1% 10 g

LAIN

tab 2.5 mg

pack pack

28 28

Rp Rp

849,010 312,980

BESITAS
tab 1 mg cap 120 mg cap 10 mg cap 15 mg box pack pack pack 10x10 21 30 30 Rp Rp Rp Rp 1,449,425 183,925 276,750 369,000 2 2 0 2 2

ASKULER
tab 50 mg tab 1.25 mg tab 2.5 mg tab 5 mg SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg inf 1 mg/mL tab 10 mg tab 20 mg tab 5 mg retard tab 20 mg tab 20 mg tab 100 mg inj 10 mg/10 mL tab 35 mg cap 5 mg cap 2.5 mg box pack pack pack pack pack pack pack pack box box pack pack pack pack pack box box pack pack pack 2x14 50 100 30 100 30 100 30 30 10x1 10x1 60 60 60 60 30 5x10 10x1 60 100 100 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 167,513 163,240 466,400 130,130 675,730 343,602 576,072 218,888 332,683 2,576,440 64,000 79,800 127,000 53,500 132,500 240,000 535,425 715,000 196,000 132,000 77,000

INA 4 2 2 2 4 2 2 2 2 12 2 2 2 2

TMIA

tab 20 mg inj 20 mg/2 mL tab 200 mg inj 150 mg/3 mL SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg

box box box box pack pack pack pack box

10x10 10x1 5x6 5x1 30 100 30 30 10x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp

118,000 335,000 114,000 100,000 343,602 576,072 218,888 332,683 2,576,440

4 2 2 2 2 0 0 0 0 0 0 30

tab 10 mg tab 40 mg SR tab 240 mg tab 0.25 mg

pack pack pack box

50 50 50 25x10

Rp Rp Rp Rp

130,829 201,270 477,675 161,000

TENSI
inhibitor tab 10 mg tab 5 mg tab 12.5 mg tab 25 mg tab 10 mg tab 5 mg tab 10 mg tab 2.5 mg tab 5 mg tab 20 mg tab 5 mg tab 10 mg tab 5 mg tab tab 10 mg/10 mg tab 10 mg/5 mg tab 5 mg/10 mg tab 5 mg/5 mg blocker tab 50 mg tab 1.25 mg tab 2.5 mg tab 5 mg tab 25 mg tab 6.25 mg tab 100 mg tab 10 mg tab 80 mg tab 2.5 mg tab 5 mg box pack pack pack pack box box box box box pack pack 2x14 50 100 30 100 10x10 10x11 5x10 10x10 3x10 30 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 167,513 163,240 466,400 130,130 675,730 680,932 265,846 535,425 19,000 220,720 181,720 283,360 20 4 2 2 2 0 0 0 4 2 0 20 2 pack pack box box box pack pack pack pack pack pack pack blister blister blister blister blister 30 30 10x10 10x10 14 14 30 60 60 20 100 30 30 30 30 30 30 10 30 Rp Rp ? Rp Rp Rp Rp Rp Rp ? Rp Rp Rp Rp Rp Rp Rp Rp Rp 373,086 275,335 10,000 283,223 176,860 397,500 362,520 572,400 257,600 385,000 280,000 308,000 385,000 385,000 280,000 98,700 280,000 2 0 0 10 2 2

hannel blocker tab 10 mg tab 5 mg SR cap 180 mg SR cap 90 mg CD cap 100 mg CD cap 200 mg inj 50 mg XR tab 5 mg tab 10 mg tab 5 mg OROS tab 20 mg OROS tab 30 mg OROS tab 60 mg pack pack pack pack pack pack pack box box pack pack pack pack pack amp pack bottle 100 30 30 30 100 30 30 10x1 3x10 50 50 30 30 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp ? ? ? ? Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 636,700 342,315 191,000 343,602 576,072 218,888 332,683 2,576,440 224,461 111,300 74,500 182,500 199,250 325,000 200,000 322,000 236,800 20 2 2 2 2 200 12 12 0 0 0 0 60 2 2 10 2 2 4 2 2 2 2

tab 30 mg inf 10 mg/50 mL tab 40/10 mg tab 40/5 mg tab 80/10 mg tab 80/5 mg tab 10 mg/160 mg tab 5 mg/160 mg tab 5 mg/80 mg tab 1 mg tab 2 mg tab 1 mg tab 2 mg tab 150 mg tab 300 mg tab 16 mg tab 8 mg tab 50 mg tab 40 mg tab 80 mg tab 160 mg tab 40 mg tab 80 mg tab 150/12.5 tab 300/12.5 tab 160/12.5 mg tab 160/25 mg tab 80/12.5 mg tab 40/12.5 mg tab 80/12.5 mg tab

50 1 4x7 4x7 4x7 4x7 28 28 28 50 50 140 28 28 28 14 14 2x15 2x10 2x10 2x14 2x14 2x14 28 28 2x14 28 2x14 2x10 2x10

pack pack pack pack pack pack pack pack pack pack pack box box box box box box pack pack box pack box box box pack

433,915 377,305 300,980 336,135 575,285 698,858 250,030 272,428 367,684 190,250 144,550 262,600 242,000 313,830 366,280 219,420 292,605 272,428 367,684 366,820 278,670 292,605 242,000 313,830 190,250

a blocker

2 2 12 2 10 2 12 6 2 2 2 2

n II antagonist

tab 20 mg tab 40 mg inf 0.15 mg/mL tab 0.075 mg 0.15 mg tab 250 mg

pack pack box pack pack pack

30 30 10x1 100 100 100

Rp Rp Rp Rp Rp Rp

310,150 379,545 390,060 256,080 337,700 160,000 12 2 2 12

in-lain

SR tab 4 mg SR tab 8 mg tab 0.25 mg

box box box

4x7 4x7 25x10

Rp Rp Rp

380,130 380,130 161,000 8

ANTUNG

K SYOK
inj 25 mg/mL inj 40 mg/mL (5 mL) vial vial 1 1 Rp Rp 99,000 30,000 120 120

riktor inj 5 mg/mL tab 0.5 mg inj 50 mg/mL amp box pack box 1 100x1 100 10x1 Rp Rp Rp Rp 24,500 1,854,000 117,500 110,000 200 2 2 12 0 0 12 60 2 2 60 2 2 12 0 0 0 2 2 2 0 0 0 10

inj 1 mg/mL (amp 4 mL) tab 10 mg tab 20 mg tab 40 mg cap 200 mg cap 100 mg cap 300 mg tab 90 mg powd for oral liqd PR tab 375 mg PR tab 500 mg tab 10 mg tab 20 mg tab 40 mg tab 10 mg tab 20 mg tab 40 mg tab 10 mg tab 10 mg tab 10/10 mg tab 10/20 mg tab 10 mg/10 mg tab 10 mg/20 mg tab 5 mg/10 mg

box pack pack pack pack pack pack pack box box box box box box box box box pack pack pack pack pack pack pack

5x1 30 30 30 30 48 30 30 20x1 2x14 2x14 3x10 3x10 3x10 2x14 2x14 4x7 30 30 30 30 30 30 30

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

350,000 437,535 437,535 437,535 351,000 236,000 347,000 430,165 350,000 92,400 118,800 363,000 506,000 528,000 371,022 401,800 529,200 27,700 413,500 527,000 527,000 437,510 437,510 437,510

PIDEMIA

tab 5 mg/20 mg tab 10 mg tab 5 mg inhal soln 2 mL tab 200 mg SR cap 400 mg inf 300 mg/15 mL tab 100 mg tab 50 mg inj 100 mg (2 mL) inj 250 mg (2 mL) tab 10 mg tab 20 mg tab 10 mg tab 20 mg tab 5 mg powd for inj 1.5 juta IU SR cap 400 mg inf 300 mg/15 mL tab 490 mg cap 250 mg

pack pack pack box box box box pack pack box box pack pack pack pack pack vial box box box bottle blister

30 100 100 30x1 10x10 3x10 5x1 4 4 5x1 5x1 4 2 4 4 4 1 3x10 5x1 5x6 180 3x12

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

437,510 864,453 514,290 8,181,818 522,060 174,500 167,000 452,930 345,700 97,136 201,905 415,800 253,000 349,125 415,800 276,000 3,520,000 174,500 167,000 150,000 1,152,360 230,472 2 2 0 0 2 4 0 0 60 4

TOR

LITIK 2

IN

NTUK KULIT
cream 2% 20 g gel 2% 15 g soln 2% 30 mL gauze pad 1% cream 2% 5 g oint 2% 5 g cream 5 g top gel 1.2% 5 g top soln 1.2% 30 mL inf 5 mg/mL (100 mL) cream 2% 5 g cream 2% 10 g oint 2% 10 g cream 10 g cream 10 mg/g (35 g) tube tube container box tube tube tube tube container bottle tube tube tube tube tube container tube bottle tube 1 1 1 10x1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 21,500 21,500 21,500 110,000 39,000 38,800 54,900 15,000 29,000 60,000 37,500 54,000 54,000 87,000 36,500 325,000 18,000 27,500 18,000 12 12 12 2 12 12 12 12 12 12 12 12 12

TERI

NGI cream 2% 15 g scalp soln 2% 60 mL gel 2% 15 g 12 12 12

cream 1% 3 g cream 1% 5 g cream 1% 10 g cream 2% 5 g cream 2% 10 g top powd 2% cream 5 g oint 30 g blue shampoo 1% 60 ml blue shampoo 1% 120 ml blue 5 shampoo 1% 30 ml blue 5 shamp 1% 120 ml blue 5 shamp 1% 200 ml shampoo 1.8% 30 mL shampoo 1.8% 60 mL shampoo 1.8% 120 mL AT cream 1% 5 g AT cream 1% 10 g cream 1% 5 g cream 1% 10 g cream 5% 5 g cream 5% 10 g cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g tab 500 mcg oint 0.25% 5 g oint 0.25% 10 g cream 0.05% 10 g lotion 0.05% 10 mL lotion 0.05% 30 mL oint 0.05% 10 g cream 0.1% 10 g FO 0.1% 10 g cream 5% cream 0.025% 5 g oint 0.025% 10 g cream 0.05% 5 g cream 0.05% 10 g

tube tube tube tube tube container tube tube container container container container container container container container tube tube tube tube tube tube tube tube tube tube pack tube tube tube container container tube tube tube tube box box tube tube

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 1 100 1 1 1 1 1 1 1 1 1 12x1 12x1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

9,700 12,105 28,100 13,700 23,250 29,500 33,275 30,000 2,870 4,700 2,040 5,100 8,470 2,150 3,500 6,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

25,200 45,500 27,000 40,000 32,200 51,800 32,200 51,800 115,500 35,020 82,513 15,500 17,500 34,500 15,500 69,650 73,125 25,000 13,500 18,000 23,000 39,700

0 0 0 0 12 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 12 12 12 12 2 0 12 12 12 12 12 12 0 0 12 0 0 0 0 0 12 0 12 12 12 12

US

ANTIPRURITIK

scalp lotion 0.1% 20 g

container

Rp

79,000

cream 0.05% 5 g cream 0.05% 10 g oint 0.05% 5 g oint 0.05% 10 g

tube tube tube tube

1 1 1 1

Rp Rp Rp Rp

15,000 21,850 15,000 21,850

cream 10 g cream 0.1 % 5 g cream 0.1% 10 g cream 2.5 mg/g 5 g cream 2.5 mg/g 15 g cream 0.1 % 10 g

tube tube tube tube tube tube

1 1 1 1 1 1

Rp Rp Rp Rp Rp Rp

77,050 30,250 54,500 46,263 104,110 67,200

0 12 12 0 0 12

ALISIS
inf 1000 mL 24x1

LIT,NUTRISI,DLL
powd for oral liqd 25 g powd for oral liqd 1 L powd for oral liqd 200 mL milk powd 1 kg milk powd 0.4 kg box sachet sachet container container 6x1 1 1 1 1 Rp Rp Rp Rp Rp 276,000 710 265 137,600 60,400 2 120 12 12 12

RAL inf 10% 500 mL inf 5% 500 mL inf 200 mL inf 500 mL paed inf 250 mL inf 500 mL bottle bottle bag container container container 1 1 1 1 1 1 Rp Rp Rp Rp Rp Rp 82,000 75,000 67,522 65,000 68,000 146,000 60 12 12 120 12 12

inf 500 mL inf 500 mL

container box bottle box bottle

1 10x1 1 10x1 1

Rp Rp Rp Rp Rp

42,500 363,000 80,000 742,500 13,560

600 2 60 2 120

inf 500 mL

inf 500 mL

bottle

Rp

13,560

120

inf 500 mL

bottle

Rp

13,560

120

inf 1440 mL inf 1920 mL inf 1 L inf 100 mL inf 20% 100 mL inf 20% 100 mL inf 20% 100 mL inf 8.4% inf 0.9% 1000 mL inf 0.9% 500 mL inf 500 mL inf 500 mL

bag bag bag bottle bottle bottle bottle container box bottle bottle bottle container

1 1 1 1 1 1 1 1 10x1 1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

480,000 550,000 280,000 491,050 115,500 212,100 283,500 33,350 366,850 8,140 4,712 15,200 5,630

120 2 120 12 12 12 12 12 60 2 600 12 600

K MATA

IK powd for inj 100 U inj 20% 250 mL inj 20% 500 mL bottle bottle 1 1 1 Rp Rp 31,381 59,626

L oba eye drops 1% 5 g ophthalmic oint 3% 4.5 g eye drops 0.3% 5 mL eye drops 3 mg/mL (5 mL) container tube container container 1 1 1 1 Rp Rp Rp Rp 60,000 146,000 66,000 16,710

ophthal soln 0.5% 5 mL

container

Rp

75,000

eye drop 50 mg/mL (5 mL) eye susp 5 mL ophth soln 0.3% (5 mL) ophth oint 3.5 g

container container container tube

1 1 1 1

Rp Rp Rp

56,580 26,500 43,000

drops 3 mg/mL (5 mL)

masi

glaukoma

eye susp 1% (5 mL) eye drops 2% 5 mL eye drops 0.005% 2.5 mL

container container container

1 1 1

Rp

143,000

Rp

342,275

eye drops 0.004% 2.5 mL

container

Rp

215,000

MAKA
tab 0.25 mg tab 0.5 mg tab 1 mg inj 10 mg/2 mL tab 5 mg tab 1 mg tab 2 mg tab 10 mg tab 0.5 mg tab 1 mg tab 2 mg tab 10 mg tab 2 mg tab 8 mg pack pack pack box pack pack pack pack pack pack pack pack box pack 100 100 100 5x1 100 100 100 100 100 100 100 20 10x10 14 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 174,170 248,505 408,255 120,337 297,476 243,306 372,435 286,532 190,996 289,389 410,405 90,720 460,000 130,997

ANTIINSOMNIA

N ANTIMANIA cap 60 mg cap 20 mg tab 25 mg tab 25 mg tab 200 mg tab 400 mg tab 50 mg cap 75 mg tab 10 mg tab 25 mg tab 50 mg tab 75 mg tab 25 mg box box box pack box pack box pack pack box box box box pack pack 2x7 2x14 50x10 50 10x10 300 10x10 300 30 2x14 5x10 5x10 5x10 50 50 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 231,000 330,000 260,546 355,815 200,000 400,000 351,000 700,000 434,820 373,380 197,538 285,929 450,387 642,885 355,815

NTIKOMPULSI

OSIS

tab 10 mg tab 15 mg tab 5 mg inj 9.75 mg/1.3 mL (7.5 mL) tab 2 mg tab 5 mg inj 5 mg/mL oral drops 2 mg/15 mL inj 50 mg/mL

pack pack pack vial box box box bottle box

10 10 10 1 10x10 10x10 12x1 1 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp

385,880 446,500 202,130 262,900 99,000 170,500 136,620 25,000 453,750

tab 100 mg tab 25 mg tab 2 mg tab 4 mg tab 8 mg tab 4 mg tab 100 mg tab 200 mg tab 25 mg tab 300 mg tab 1 mg tab 2 mg tab 3 mg tab 1 mg tab 5 mg tab 25 mg tab 50 mg cap 20 mg tab 20 mg tab 10 mg

pack pack pack pack pack pack box box box box box box box pack pack box box pack box box

50 50 150 150 150 50 6x10 6x10 6x10 6x10 2x10 2x10 2x10 100 100 2x15 2x15 30 3x10 3x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

715,000 220,000 264,930 368,630 451,110 258,500 1,221,996 1,430,990 823,949 1,816,380 72,000 122,430 185,300 44,000 90,750 199,000 345,000 331,835 323,593 195,715

HD

NGHAMBAT KOLINESTERASE
inj 25 mg/2.5 mL inj 50 mg/5 mL tab 10 mg tab 50 mg tab 200 mg inj 2mg/mL 2 mL inj 50 mg (5 mL) inj 200 mg/10 mL tab 2 mg inj 10 mg inj 4 mg inj 0.5 mg/mL tab 60 mg box box pack pack pack box box box vial box vial amp box pack 5x1 5x1 50 100 100 50x1 10x1 12x1 25x1 10x10 1 1 5x1 150 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 211,200 363,000 314,495 295,000 130,000 1,625,000 362,000 1,237,000 117,300 385,000 140,500 675,000 45,100 920,000

ROMUSKULAR

ENIA GRAVIS

tab 50 mg

pack

100

Rp

748,990

URAN CERNA

US,ANTIBUSA

oral gel 400 (100 mL) oral gel forte (100 mL) 180 mL oral gel (100 mL) 180 mL tab 400 tab forte tab tab 20 mg tab 40 mg soln for inj 40 mg tab 200 mcg cap 20 mg powd for inj 40 mg tab 40 mg tab 20 mg tab 40 mg inj 50 mg/2 mL tab 150 mg tab 300 mg tab 100 mg chew tab 125 mg oral liqd 100 mg liqd 500 mg/mL (100 mL) 200 mL cap 50 mg tab 10 mg tab 20 mg cap 30 mg tab 5 mg syr 100 mg (120 mL) tab 100 mg tab 12 mg tab 6 mg tab 50 mg tab 10 mg susp oral 5 mg/5 mL inj 10 mg/2 mL oral drops 1 mg/10 drop syr 5 mg/5 mL tab 10 mg tab 5 mg inj 4 mg/2 mL inj 8 mg/4 mL tab 8 mg tab 6 mg

tube tube tube tube bottle box box pack box box vial pack box vial vial pack pack box box box pack sachet bottle bottle box pack box box bottle box pack pack pack pack bottle box bottle bottle pack pack box box

100 mL 1 1 1 1 12x10 24x10 20 4x7 2x7 1 50 2x7 1 1 7 7 5x1 10x10 3x10 4 1 1 1 10x10 14 2x10 5x10 1 3x6 100 100 100 30 1 6x1 1 1 100 100 5x1 5x1 10 10

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

36,400 24,000 33,800 14,300 22,800 58,500 11,400 7,273 342,360 208,980 143,110 1,005,000 276,949 161,441 139,000 94,500 120,000 79,000 398,000 178,000 818 227 43,000 67,000 200,000 121,500 215,000 132,500 66,000 189,000 355,100 241,564 120,000 45,000 21,000 54,000 22,000 17,500 110,000 66,000 98,280 149,091

120 120 12 12 12 12 2 2 10 2 2 12 2 2 12 120 20 2 40 10 2 200 200 12 120 12 0 0 100 100 0 0 18 18 2 12 10 12 20 12 12 2 2 60 4 0 0

TIK

pack

Rp

93,555

inj 1 mg/mL inj 3 mg/3 mL inf 0.25 mg/5 mL inj 0.3 mg/2 mL tab 0.1 mg

pack box box vial box pack

30 5x1 5x1 1 5x1 10

Rp Rp Rp Rp Rp Rp

294,700 42,000 100,000 660,000 1,065,000 1,000,000

0 0 0 0 0 0 0 0 2 2 12

RHOID

cap 200 mg gel topical 2% 60 g tab 500 mg

box tube pack

2x10 1 30

Rp Rp Rp

11,250 120,750 189,000

MODIK

drag 10 mg inj 20 mg/mL 1L 200 mL tab 2 mg

pack box sachet sachet pack

100 10x1 1 1 100

Rp Rp Rp Rp Rp

192,060 197,010 710 265 466,520

2 2 12 12 12

K DIARE

IF tab 5 mg supp 10 mg paed supp 5 mg enema 5 mL pack pack box box box container box syr 3.335 g/5 mL (60 mL) 120 mL 200 mL 133 mL oral emulsion 30 mL 60 mL 110 mL cap 250 mg bottle bottle bottle bottle bottle bottle bottle pack 10 4 1x5 10x5 1x6 1 3x1 1 1 1 1 1 1 1 30 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 165,880 77,440 70,070 573,790 62,700 14,850 38,500 31,900 49,500 65,000 62,700 19,950 32,585 44,555 214,500 20 20 4 2 2 2 20 20 2 60 12

tab inj 500 mg/mL (10 mL) enema 4 g tab 250 mg tab 500 mg supp 500 mg

box box box pack pack pack

10x10 5x1 4x1 100 100 30

Rp Rp Rp Rp Rp Rp

35,000 350,000 101,000 466,000 765,000 525,000

URAN NAFAS

MA tab 225 mg inj 24 mg/mL spray 100 mcg/dose spray 50 mcg/dose MDI 100 mcg/puff MDI 200 mcg/puff amp 4 mg/mL amp 5 mg/mL vial 20 mg/mL tab 25 mg inj 50 mg/mL inhal soln 0.1% MDI 100 mcg/puff inhal soln 0.025% inhaler 20 mcg/puff tab 20 mcg minitab 25 mcg syr 25 mcg/5 mL tab 50 mcg cap 2 mg cap 4 mg inj 0.5 mg/mL syr 2 mg/5 mL inhal soln 2.5 mL diskus 100 diskus 250 diskus 500 inhaler 125 inhaler 50 tab 250 mg tab 125 mg inf 0.5 mg/mL respules 2.5 tab 2.5 mg turbuhaler 0.5 mg pack pack box bottle box box box box canister canister pack pack box carton box canister pack container container canister canister box box vial pack box canister canister bottle canister box 50 10x1 1 1 1 1 5x1 5x1 1 1000 10x1 1 1 1 1 10x10 100 1 100 100 100 5x1 1 20x1 60x1 60x1 60x1 1 1 100 100 5x1 2x5 10x10 1 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 75,000 100,000 62,500 16,000 213,520 120,000 134,545 146,182 120,000 105,455 280,500 163,350 75,206 79,586 181,020 148,522 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 95,000 38,636 145,200 90,750 151,910 198,800 25,000 26,500 21,000 168,500 110,000 194,920 116,490 157,850 118,140 412,280 2 2 2 0 120 120 12 20 4 12 8 2 12 12 120 12 12 12 0 0 2 2 4 12 36 2 2 2 12 12 10 2 12 2 2 12

SIF cap pack 10 Rp 42,130 0 30

syr 60 mL retard cap 75 mg oral drops 15 mg/mL syr 15 mg/5 mL syr 30 mg/5 mL tab 30 mg elixir 4 mg/5 mL

pack bottle box bottle bottle bottle pack bottle bottle box bottle box box pack bottle pack bottle bottle pack box box box bottle bottle vial

100 1 5x10 1 1 1 10 1 1 10x10 1 10x10 10x4 20 1 60 1 1 20 30 5x1 30x1 1 1 1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

411,950 23,425 384,450 43,670 35,200 44,770 237,710 21,010 37,400 352,550 51,590 114,840 48,070 70,000 28,875 219,000 35,000 50,000 180,000 117,000 177,500 75,000 5,750 2,450 4,002,075

2 12 12 12 12 12 2 120 12 2 12 2 4 60 12 2 12 12 2 2 4 2 120 12

TIK

inj 4 mg/2 mL oral soln 2 mg/mL tab 8 mg cap 300 mg dry syr 175 mg/5 mL cap 200 mg syr 100 mg/5 mL (75 mL) 150 mL tab eff 600 mg oral soln 200 mg inj susp 300 mg/3 mL powd for oral liqd 100 mg syr 100 mL flavor 100 mL susp 25 mg/mL

ORAN

IN

RUHI SISTEM IMUN


inj 2 g/50 mL vial 1 Rp 2,200,000

OGLOBULIN

inj 300 IU/2 mL vacc 0.5 mL

prefilled syrg vial

1 1

Rp Rp

1,409,091 90,000

vacc 0.5 mL vacc 160 IU/0.5 mL vacc 80 IU/0.5 mL

vial prefilled syrg prefilled syrg

1 1 1

Rp Rp Rp

159,000 270,000 220,000

prefilled syrg prefilled syrg prefilled syrg vacc 0.5 mL vial vial prefilled syrg prefilled syrg vacc 1 mL

Rp

110,000

1 1 1 1

Rp Rp Rp Rp

116,000 61,000 500,000 680,000

MINERAL
softcap 0.5 mcg softcap 0.25 mcg inj 1000 mg/5 mL inj 200 mg/2 mL inj 500 mg/5 mL pack pack box box box 30 30 5x1 6x1 5x1 Rp Rp Rp Rp Rp 291,218 175,944 87,500 35,000 55,000

tab 300 mg

pack

100

Rp

189,000

capl 500 mg FC capl tab inj 5000 tab 5000 FC capl 5000 FC capl

box pack pack pack box box box box box

10x10 30 250 50 20x1 10x10 25x10 5x10 5x10

Rp Rp Rp Rp Rp Rp Rp Rp Rp

22,177 94,050 266,514 54,371 120,120 207,900 514,580 90,000 87,500

20 2 4 0 0 0 0 0 72 0 0 0 0 2 40 12 2 2 2 2 2 2 0 0 6 2 0 12

cap 250 mcg cap 500 mcg capl

pack pack box

100 100 5x10

Rp Rp Rp

100,000 140,000 98,000

capl

box

5x6

Rp

100,000

cap

box

3x5

Rp

189,000

200

inj 25 mg/10 mL tab 5 mg F-tab

box pack pack pack

5x1 100 1000 100

Rp Rp Rp Rp

56,243 36,425 348,096 75,758

4 2 2 2

chew drag 100 IU

pack

100

Rp

96,897

UHI SALURAN KEMIH


tab 1 mg tab 2 mg tab 1 mg tab 2 mg PR tab 10 mg tab 5 mg cap 0.5 mg pack pack pack pack pack pack pack 140 28 50 50 30 30 30 Rp Rp Rp Rp Rp Rp Rp 698,858 250,030 336,135 575,285 319,219 357,500 270,000 2 2 2 2

CKER

SE INHIBITOR

TIK

ARINIK tab 2 mg tab 10 mg tab 5 mg box pack pack 2x14 30 30 Rp Rp Rp 232,590 465,675 381,150

MIMETIK

IN

inj 0.3 mg/mL

box

5x1

Rp

152,665

FAS tab 4.5 mg tab 1 mg tab 4.5 mg inf 200 mg/mL inj 200 mg/mL

box box box box box

3x10 10x10 3x10 1 4x1

Rp Rp Rp Rp Rp

550,920 576,015 642,340 250,250 250,250 60 4 0 0 2 2 12

drag 100 mg Forte drag 200 mg oral liqd 100 mL tab 35 mg inj 100 IU/mL inj 50 IU/mL nasal spray 200 IU inf conc 4 mg/5 mL tab 150 mg inj 3 mg/3 mL cap 0.25 mcg cap 0.5 mcg capl tab 60 mg tab 10 mg cap 400 mg inf conc 60 mg/mL

pack pack bottle pack box box container vial pack prefilled syrg pack pack box box box pack box

100 100 1 4 5x1 5x1 1 1 1 1 30 30 5x6 2x14 5x10 30 5x1

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

308,000 446,160 56,100 352,944 751,960 489,250 760,140 3,198,000 346,223 1,194,468 168,000 267,750 255,000 528,000 216,000 625,000 955,041

ABOLISME TULANG

12

41676 Mengetahui Direktur Pelayanan

Dr. dr. Andi Basuki Prima Birawa, SpS NIP. 196409131990031004

HARGA TOTAL

Rp Rp Rp

4,058,400 1,200,000 2,160,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

2,394,900 1,425,000 210,000 2,360,800 411,280 641,880 766,660 563,340 275,590 155,710 282,000 468,000 1,032,000 541,200 41,800 79,200 244,200 191,400 17,574,400 828,666 304,736 214,332 4,497,620 187,600

Rp Rp Rp

2,303,400 761,200 467,720

Rp Rp Rp Rp Rp Rp Rp Rp

365,400 576,900 192,000 272,000 159,936 1,380,000 3,000,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

2,721,840 899,050 882,970 682,170 3,937,500 680,090 1,188,000 1,101,618 4,700,000 583,000 1,207,800 154,000 278,300 726,000 514,800 561,000 4,700,000 714,000 15,900,000

Rp

400,000

Rp Rp Rp Rp Rp Rp Rp Rp

760,100 240,900 838,640 264,440 -

Rp Rp

210,000

Rp Rp Rp

4,711,296 920,464 323,436

Rp Rp Rp Rp Rp Rp Rp

234,658 496,100

Rp Rp Rp Rp Rp Rp

330,000 573,600 455,400 300,000 220,000

Rp Rp

1,203,370 1,189,904

Rp Rp

2,417,320 6,061,600

Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,372,040 1,024,000 1,620,000 5,032,000 2,066,496 2,884,200 5,049,600 3,109,880

Rp Rp

910,400 1,872,500

Rp Rp

2,349,160 1,741,740

Rp

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,642,080 560,680 241,900 230,760 329,100 384,580 230,760 2,620,320 831,016 645,816 480,636

Rp

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

2,210,000 529,200 662,400 -

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,000,000 420,000 2,580,000 40,320,000 3,717,000 741,400 695,200 371,700 4,455,000 550,000 1,056,000 4,408,140 1,775,060 770,770 1,320,000 601,920 567,600 339,624 609,950 14,669,400 1,042,920 1,781,580

Rp Rp

287,840 287,840

Rp Rp Rp Rp

25,830,000 1,745,000 431,760 742,020

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

10,100,000 900,000 518,000 48,000,000 31,000,000 14,400,000 11,040,000 58,092,400 44,400,000 864,000 37,000,000 50,000,000 396,000 138,000 164,600 273,800 3,147,000 2,175,720 652,690 316,000 243,960

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

140,000 8,691,408 6,712,556 2,360,100 196,906 376,814 959,116 4,320,000 2,652,000 529,200 662,400 84,000 176,000 548,068 1,010,620 242,000 435,000 1,088,000 1,400,000 540,000 1,008,000 55,200 144,000 2,786,400 199,200 864,000 288,000 308,700 163,800 1,926,000

Rp Rp Rp Rp

4,934,700 548,330 3,707,760

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,012,000 3,000,000 630,000 5,436,000 787,118 9,900,000 2,000,000 672,000 1,260,000 8,020,104 960,000 7,200,000 29,085,872 960,000 -

Rp Rp Rp

37,152,922 22,654,676 1,300,000

Rp Rp Rp Rp Rp Rp Rp

2,080,000 1,480,000 11,200,000 17,120,000 522,600 880,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,972,600 2,596,350 3,244,008 3,740,880 3,006,784 3,084,000 460,000 142,000 387,536 478,248 458,338 539,290 5,777,076 5,060,000 4,420,000 1,118,000 2,530,000 2,334,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

244,200 19,960 64,088 230,000 216,000 306,000 13,095,060 6,900,000 220,200 5,976,000 550,000 1,221,110 733,260 886,160 6,600,000 862,140 435,600 7,040,000 1,440,000 250,000 700,000 700,000 554,950 554,950 554,950 1687548536

Rp Rp Rp Rp Rp Rp

276,000 480,000 150,000 210,000 94,600

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,056,000 1,585,000 3,170,000 1,362,500 2,725,000 3,600,000 2,080,000 967,572 2,063,300 428,400 310,000 340,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,483,200 154,200 5,614,440 171,000 270,000 2,277,336

Rp Rp

654,420 794,640

Rp Rp Rp

21,054,000 1,524,600 1,318,900

Rp Rp

6,090,000 1,356,264

Rp Rp Rp Rp Rp Rp

192,000 294,800 208,780 330,160

Rp

14,995,800

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

400,000 563,830 918,000 2,491,920 720,000 1,726,200 28,000 96,600 6,864,000 806,400

Rp Rp Rp Rp Rp

2,898,850 367,850 553,500 738,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

652,960 932,800 260,260 1,351,460 1,374,408 1,152,144 437,776 665,366 5,152,880 768,000 159,600 254,000 107,000 265,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,374,408 1,152,144 437,776 665,366 5,152,880 4,830,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

20,000 3,975,000 725,040 1,144,800 #VALUE! 3,350,260 652,960 932,800 260,260 1,351,460 2,141,700 38,000 3,634,400 566,720

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

6,367,000 684,630 382,000 1,374,408 1,152,144 437,776 665,366 5,152,880 2,226,000 149,000 365,000 398,500 650,000 40,000,000 3,864,000 2,841,600 #VALUE! #VALUE! #VALUE! #VALUE! 26,034,900 754,610 601,960

Rp Rp Rp

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,397,716 500,060 3,269,136 735,368 1,902,500 289,100 3,151,200 1,452,000 627,660 732,560 438,840 585,210

Rp Rp Rp Rp

4,680,720 512,160 675,400 1,920,000

Rp

1,288,000

Rp Rp

11,880,000 3,600,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,900,000 3,708,000 235,000 1,320,000 4,200,000 26,252,100 875,070 875,070 21,060,000 472,000 694,000 5,161,980 726,000 1,012,000 1,056,000

Rp

277,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,728,906 1,028,580 349,000 668,000 5,828,160 807,620

Rp

7,040,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

258,000 258,000 258,000 220,000 468,000 465,600 658,800 180,000 348,000 720,000 450,000 648,000 648,000

Rp Rp Rp

216,000 330,000 216,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

164,400 279,000 354,000 324,000 480,000 386,400 621,600 386,400 621,600 231,000 420,240 990,156 186,000 210,000 414,000 186,000 300,000 948,000

Rp Rp Rp Rp

180,000 262,200 180,000 262,200

Rp Rp Rp Rp Rp Rp

363,000 654,000 806,400

Rp Rp Rp Rp Rp

552,000 85,200 3,180 1,651,200 724,800

Rp Rp Rp Rp Rp Rp

4,920,000 900,000 810,264 7,800,000 816,000 1,752,000

Rp Rp Rp Rp Rp

25,500,000 726,000 4,800,000 1,485,000 1,627,200

Rp

1,627,200

Rp

1,627,200

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

57,600,000 1,100,000 33,600,000 5,892,600 1,386,000 2,545,200 3,402,000 400,200 22,011,000 16,280 2,827,200 182,400 3,378,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

4,368,000 2,880,000 405,600 171,600 273,600 702,000 22,800 14,546 3,423,600 417,960 286,220 12,060,000 553,898 322,882 1,668,000 11,340,000 2,400,000 158,000 15,920,000 1,780,000 163,600 45,400 516,000 8,040,000 2,400,000 21,500,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

6,391,800 4,348,152 240,000 540,000 210,000 648,000 440,000 210,000 1,320,000 132,000 196,560 8,945,460

Rp Rp Rp

22,500 241,500 2,268,000

Rp Rp Rp Rp Rp

384,120 394,020 8,520 3,180 5,598,240

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,317,600 1,548,800 280,280 1,147,580 125,400 297,000 770,000 63,800 2,970,000 780,000

Rp

70,000

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

190,000 77,272 290,400 18,229,200 23,856,000 300,000 530,000 84,000 2,022,000 880,000 389,840 1,397,880 1,894,200 14,176,800 4,947,360 150,000 200,000 250,000 192,000 7,686,720 240,000 269,090 292,364 1,440,000 1,265,460 2,805,000 326,700 902,472 159,172 362,040 1,782,264

Rp

1,263,900

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

823,900 281,100 4,613,400 524,040 422,400 537,240 475,420 2,521,200 448,800 705,100 619,080 229,680 192,280 4,200,000 346,500 438,000 420,000 600,000 360,000 234,000 710,000 150,000 690,000 29,400

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,750,000 70,000 220,000 13,608,000 44,354 3,762,000 3,198,168 108,742 240,240 415,800 1,029,160 180,000 175,000

Rp Rp Rp Rp Rp Rp Rp Rp

600,000 280,000 1,176,000 -

Rp Rp Rp Rp Rp Rp Rp

37,800,000

Rp Rp Rp Rp

224,972 72,850 696,192 151,516

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,397,716 500,060 672,270 1,150,570 -

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

15,015,000 1,001,000 616,000 892,320 673,200

Rp

3,060,000

Rp

1,713,688,536

a Birawa, SpS