E Catalogue

No
Nama Obat Generik
Nama Dagang
Nama Penyedia
Kemasan
1.
ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida

tablet 200 mg)
n/a
PT. Kimia Farma
1 blister@24 tablet
2.
Adefovir Dipivoksil tablet/kaplet 10 mg
Hepsera
PT. SmithKline Beecham

Phamaceuticals
3.
Albendazol suspensi 200 mg/5 ml
n/a
PT. Indofarma
4.
Albendazol tablet/kapsul/kaplet 400 mg
n/a
PT. Holi Pharma
5.
Alopurinol tablet/kapsul/kaplet 100 mg
n/a
PT. Pertiwi Agung
Dus, 3 Blister @ 10
kapsul
Dus, 10 dus @ 1 botol @
10 ml
Dus, 5 strip @ 6 tablet
Box, 10 strips @ 10
tablets
6.
Alprazolam tablet/kapsul/kaplet 0,25 mg
n/a
PT. Dexa Medica
7.
Alprazolam tablet/kapsul/kaplet 0,5 mg
n/a
8.
Alprazolam tablet/kapsul/kaplet 1 mg
9.
Amfoterisin B salep mata 1%
Harga Satuan
Terkecil (Rp)
FORN
AS
1,375.00
FOR
RS
nama obat di for

RS
harga
Allopurinol tab 100

mg
143.00
PT Indofarma
27,500.00
3,849.00
344.00
86.00
Dus, 10 Strip @ 10 tablet
380.00
PT. Kimia Farma
Ktk 10x10 tablet
214.00
Alprazolam tab 0,5

mg
631.00
PT Otto Pharma Indonesia
n/a
PT. Kimia Farma
Ktk 10x10 tablet
233.00
Alprazolam tab 1 mg
972.00
Fungicide
PT. Cendo Industri Farmasi
tube 3.5 gr
18,500.00
PT. Sanbe Farma
Vial 2 ml
50,500.00
PT. Lucas Djaja
3,823.00
5000.00
PT Ethica
90.00
113.00
PT Indofarma
12,480.00
inj Aminophylin
Aminophylin tab
200 mg
Inj Kendaron
24,750.00
1,200.00
TIARYT tab
4180.00
Amitriptilin tab
Amlodipin Tab 10
mg
120.00
PT Darya Varia
PT Farrenheit pratapa
Nirmala
PT Indofarma
1749.00
PT Hexapharm
Amlodipin tab 5 mg
960.00
Amoksisilin tab 500

mg
333.00
PT Phapros
11. Aminofilin injeksi 24 mg/ml
Glybotic 250
mg /ml
n/a
12. Aminofilin tablet scored 200 mg
n/a
PT. Marin Liza Farmasi
13. Amiodaron injeksi 150 mg/3 ml
PT. Aventis Pharma

PT. Darya Varia
strip
15. Amitriptilin tablet salut 25 mg (HCl)
Cordarone
Kendaron
Tablet
n/a
dus 30 ampul @10 ml

Botol @ 100 tablet salut
selaput
Dus, 6 ampul @ 3 ml
PT. Indofarma
Dus, 10 strip @ 10 tss
112.00
16. Amlodipin tablet 10 mg
n/a
PT. Pertiwi Agung
Box, 3 strips @ 10 tablets
330.00
17. Amlodipin tablet 5 mg
n/a
PT. Pertiwi Agung
Box, 3 strips @ 10 tablets
187.00
18. Amoksisilin kapsul/kaplet 250 mg
n/a
PT. Novapharin
211.00
19. Amoksisilin kapsul/kaplet/tablet scored 500 mg
n/a
PT. Bernofarm
272.00
20. Amoksisilin sirup kering forte 250 mg/5 ml
n/a
PT. Holi Pharma
strip
Dus, 10 strip @ 10
kaptab
Dus, Botol 60 ml
4,070.00
21. Amoksisilin sirup kering 125 mg/ 5 ml
n/a
PT. Novapharin
btl @ 60 ml
2,445.00
Amoksisilin syr
125mg/5ml
3996
85,000.00
Lantus
180.082
106,000.00
10. Amikasin injeksi 250 mg/ml
14. Amiodaron tablet/kaplet 200 mg
22.
Analog insulin long acting inj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin glargine 100 IU/ml)
pabrikan
Lantus Solostar
100IU/ml
PT. Aventis Pharma
5pens x3ml
Analog insulin mix acting inj 100 UI/ml, Analog insulin mix
Novomix
23. acting inj 100 UI/ml (Premix 30% Insulin Aspart + 70%
Flexpen
Protaminated Insulin Aspart (Analogue))
PT. Ferron Par

Pharmaceuticals
dus, 5 solostar pen @

3ml
Injeksi 100 IU/ml,
Flexpen disposible 3 ml
(1 box isi 5 flexpen
disposible)
PT Indofarma
PT Sanofi Aventis
Analog insulin mix insulininj 100 UI/ml, vial/cartridge

24. disposible/penfill cartridge (25% insulin lispro, 75%
insulin lispro protamine suspension, (rDNA))
Humalog Mix
25
PT. Tempo Scan Pacific
Penfill cartridge
97,500.00
inj Humalog mix
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge

25.
disposible/penfill cartridge (Insulin Aspart (Analogue))
Novorapid
Flexpen
PT. Ferron Par

Pharmaceuticals
Injeksi 100 IU/ml,

Flexpen disposible 3 ml
(1 box isi 5 flexpen
disposible)
85,345.00
Novorapid
PT. Ferron Par

Pharmaceuticals
Dus, vial 10 ml
200,000.00
150,300.00 Laboratories Urgo
160,083.00
26.
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin Aspart (Analogue))
Novorapid Vial
27.
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin glulisine 100 IU/ml)
Apidra Solostar
100IU/ml
PT. Aventis Pharma
5pens x3ml
dus, 5 solostar pen @

3ml
79,165.00
28.
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin lispro (rDNA origin))
Humalog
Penfill cartridge
79,167.00
Dus, 2 blister @ 14
Tablet
32,000.00
75.00
Antasid doen tab
79.00
Antasida doen syr
3850.00
PT Kimia Farma
29. Anastrozol tablet/kapsul/kaplet 1 mg

30.
Antasida DOEN I tablet kunyah, kombinasi : Aluminium

Hidroksida 200 mg Magnesium Hidroksida 200 mg
Arimidex 1 mg PT. AstraZeneca indonesia

n/a
Antasida DOEN II suspensi, kombinasi : Aluminium

31. Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 mg/5 n/a
ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g
32.
n/a
Polimiksin 10.000 IU/g
Antimalaria DOEN kombinasi : Pirimetamin 25 mg
33.
n/a
Sulfadoksin 500 mg
34. Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg
Levodopa 100 mg
Artemether injeksi 80 mg/ml
Asam Askorbat (Vitamin C) tablet 50 mg
Asam Folat tablet/kapsul/kaplet 1 mg
Asam Ibandronat injeksi 6mg/6ml
n/a
PT. Promedrahardjo Farmasi

STRIP
Industri
PT Indofarma
Botol @ 60 ml
2,160.00
PT. Indofarma
Dus, 25 tube @ 5 g
2,516.00
PT. Kimia Farma
ktk 10 x 10 tablet
520.00
PT. Kimia Farma
Btl 100 tablet
135.00
Ergotamine coffein
103.00
PT Kimia Farma
1,500.00
Levoben
4510.00
PT Mersifarma Tirmaku
22,000.00
95.00
48.00
2,209,000.00
Y
Y
Y
N
N
Y
Y
N
Vit C 50 mg
Anemolat
32.00
205.00
PT Kimia Farma
PT Phapros
112.00
Asam Mefenamat
tab 500 mg
176.00
PT Indofarma
Strip
1,815.00
Urinter
3383.00
PT Interbat
3,334.00
Inj Asam
Tranexamat 500 mg
5775
24,750.00
Artem
n/a
n/a
Bondronat
PT. Kimia Farma

PT. Kimia Farma
PT. Marin Liza Farmasi
PT. Boehringer Ingelheim
40. Asam Mefenamat kapsul/kaplet 500 mg
n/a
PT. Bernofarm
Dus 6 amp @ 1ml

Dus 10 strip x 10 tab
Botol @ 100 tablet
Boks, 1 ampul
Dus, 10 blister @ 10
kaptab ss
41. Asam pipemidat kapsul 400 mg
Urotractin 400
PT. Sanbe Farma
mg
42. Asam traneksamat injeksi 100 mg/ml
n/a
PT. Hexpharm Jaya

Laboratories
Dus, 10 ampul @ 5 ml
43. Asiklovir salep mata 3%
Temiral Eye
Oint
PT. Sanbe Farma
Tube 3,5 gram
36.
37.
38.
39.
102,000.00 Laboratories Urgo
PT. Erela
Levopar Tablet PT. Meprofarm
35.
Inj Humalog
PT Hexapharm
44. Asiklovir tablet/kapsul/kaplet 200 mg
n/a
PT. Indofarma
tablet
237.00
45. Asiklovir tablet/kapsul/kaplet 400 mg
n/a
PT. Sampharindo Perdana
336.00
46. Asparaginase serbuk injeksi 10.000 UI/vial
Leunase
PT. Widatra Bhakti
10.000 UI/Vial
1,039,500.00
47. Atapulgit tablet 600 mg
Pularex
PT. Zenith Pharmaceuticals
Dus 5 strip @ 10 tablet
190.00
48. Atrakurium injeksi 25 mg/2,5 ml
Tracrium
PT. Glaxo Wellcome

Indonesia
Dus, 5 ampul @ 2.5 ml
20,000.00
49. Atropin Sulfat tablet 0,5 mg
n/a
PT. Indofarma
74.00
50. Azitromisin sir kering 200 mg/ 5 mL
n/a
PT. Soho Industri Pharmasi
botol @ 60 ml
34,400.00
51. Azitromisin tablet 500 mg
n/a
PT. Kimia Farma
ktk 2x10 tablet
4,500.00
52. Azitromisin tablet 250 mg
n/a
Strip
3,333.00
53. Bedak salisil serbuk 2%
n/a
Dus @ 50 gram
1,250.00
54. Benzatin Benzil Penisilin 1,2 juta IU/ vial

55. Benzatin Benzil Penisilin 2,4 juta IU/vial
56. Beractant injeksi / suspensi 25 mg/mL
n/a
n/a
Survanta
PT. Rama Emerald Multi

Sukses
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Abbott Indonesia
9,800.00
13,400.00
3,200,000.00
Y
Y
N
N
N
N
57. Beraprost sodium tablet 20 mcg
Dorner 20 g
PT. Combiphar
3,600.00
58. Beraprost sodium tablet 20 mcg
Dorner
PT. Combiphar
3,600.00
59. Betametason krim 0,1% (sebagai Valerat)
n/a
Casodex 150
mg
PT. Kimia Farma
1,520.00
72,400.00
45,000.00
6,045.00
645.00
61. Bikalutamid tablet salut 50 mg
Casodex 50 mg PT. AstraZeneca indonesia
62. Bisakodil suppositoria 10 mg
Stolax supp
PT. Sanbe Farma
Dus @ 10 Vial
Dus @ 10 Vial
Vial
Box/ 3 blister @ 10
Tablet
Box @ 3 blister @ 10
Tablet
Tube 5 gr
Dus, 2 blister @ 14
Tablet
Dus, 2 blister @ 14
Tablet
Supp
63. Bisoprolol tablet 5 mg
n/a
PT. Pratapa Nirmala
Box 3 X 10 tab
64. Bromokriptin tablet 2,5 mg
PT. Caprifarmindo
65.
PT. AstraZeneca indonesia
Box 3 x 10'S
Dus, 1 Turbuhaler @ 100
dosis
Dus, 4 pak @ 5 respules
@ 2 ml
60. Bikalutamid tablet salut 150 mg
66.
67.
68.
Cripsa tab
Pulmicort
Budesonid inhaler 200 mcg/puff, 100 dosis
Turbuhaler
Pulmicort
Budesonid respules / cairan inhaler 0,25mg/mL
Respules
Symbicort
Budesonidformoterol (fixed combination) inhaler 160/4,5
Turbuhaler
mcg
160/4.5 mcg
Budesonidformoterol (fixed combination) inhaler 80/4,5 Symbicort
mcg
80/4.5 mcg
69. Dabigatran eteksilat kapsul 75 mg
Pradaxa


dosis
dosis
Dus, 3 blister @ 10
kapsul
Acyclovir tab 200

mg
Acyclovir tab 400
mg
Inj Tracurium
534.00
PT Novell Pharmaceutical
630.00
76,340.00
Azitromycin kap 500

11,000.00
mg
PT Soho Industri Pharmasi
Salycil talk
5,500.00
PT Kimia Farma
Betametason krim
2026.00
PT Kimia Farma
Dulcolax supp
12,822.00
PT Boehringer
Bisoprolol tab 5 mg
2,322.00
247,089.00
93,000.00
Pulmicort inhaler
200,349.00 PT Aztra Zeneca
8,900.00
Pulmicort respule
16,665.00
117,600.00
110,500.00
12,936.00
70. Dabigatran eteksilat kapsul 110 mg
Pradaxa
Dus, 3 blister @ 10
kapsul
12,936.00
PT. Novartis Indonesia
Dus, 4 blister @ 7 tablet
76,000.00
150,000.00

PT. Indofarma
Dus, 10 vial @ 500mg

112,000.00
1,580.00
N
Y
N
Y
73. Deferoksamin Mesilat serbuk injeksi 500 mg

74. Deksametason injeksi i.v./i.m. 5 mg/ml
Exjade 250 mg
Tab
Exjade 500 mg
Tab
Desferal
n/a
75. Desoksimetason krim 0,25%
n/a
PT. Dexa Medica
Kotak, tube @ 15 gram
9,983.00
76. Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
n/a
PT. Phapros, Tbk
Dus @ 30 Ampul
1,050.00
77. Digoksin tablet 0,25 mg
n/a
PT. Yarindo Farmatama
Box 10 X 10 Tab
97.00
78. Diltiazem HCl tablet 30 mg
n/a
PT. Indofarma
79. Diltiazem infus injeksi 50 mg
Herbesser
Powder
PT. Tanabe Indonesia
Injection 50mg
71. Deferasiroks tablet disp/ eff 250 mg

72. Deferasiroks tablet disp/ eff 500 mg
80. Diltiazem injeksi 25 mg/5 mL

81. Diltiazem Kapsul SR 100 mg
82. Diltiazem Kapsul SR 200 mg
Farmabes
PT. Pratapa Nirmala
Injeksi 25 mg
Herbesser CD
100
Herbesser CD
200
12,100.00
Inj Dexametason
Deoximetason 0,25
% 15 gr
Inj Dulladril
Digoxin tab 0,25mg
143.00
PT Indofarma
134.00
Diltiazem tab 30 mg
152.00
PT Indofarma
127,667.00
Inj Herbeser
249,920.00 PT Tanabe Indonesia
46,667.00
Inj Farmabes
108,900.00
3 blister @ 10 kapsul
3,667.00
Herbeser CD 100
8,888.00
PT Tanabe Indonesia
3 blister @ 10 kapsul
4,015.00
37,500.00
Domperidon syr
Domperidone Tab
12,650.00
404.00
PT Hexapharm
PT Hexapharm
Avodart cap
9,000.00
PT Glaxo Wellcome Indonesia
10 vial @ 50mg
Vial 5 mL
83. Dinatrium edetat tetes mata 0,35%
E.D.T.A
PT. Cendo Industri Farmasi
botol 15 ml
84. Doksazosin mesilat tablet 1 mg
Cardura 1mg
PT. Pfizer Indonesia
Dus, 5 blister @10's tab
3,480.00
85. Doksazosin mesilat tablet 2 mg
Cardura 2mg
Dus, 5 blister @10's tab
5,480.00
PT Kalbe Farma
vial @ 5 ml
59,000.00
PT. Actavis Indonesia
Dus, 1 vial @ 50 mg
258,000.00
PT. Novapharin
PT. Novapharin
PT. Bernofarm
3,333.00
167.00
15,600.00
Y
Y
Y
Y
Y
N
970,200.00
7,100.00
88. Domperidon suspensi/sirup 5 mg/5 ml

89. Domperidon tablet 10 mg
90. Domperidon tetes 5 mg/mL
Doxorubicin
kalbe
Doxorubicin
Actavis 50 mg
n/a
n/a
n/a
91. Dosetaksel injeksi 20 mg/0,5 ml
n/a
PT. Sanbe Farma
92. Dutasterid kaps lunak 0,5 mg
Avodart

Phamaceuticals
btl @ 60 ml
strip
Dus, botol @ 10 ml
Dus, 1 vial @0,5 ml+ 1
vial pelarut @1,5 ml
Dus, Botol Plastik @ 30
Tablet
93. Eksemestan tablet 25 mg
Aromasin
42,600.00
94. Enoksaparin sodium inj 20 mg/0,2 mL
Lovenox 2000
PT. Aventis Pharma
ANTIXA
dus, 2 prefilled syringe @

0,2 ml
40,740.00
86. Doksorubisin serbuk injeksi i.v. 10 mg/vial

87. Doksorubisin serbuk injeksi i.v. 50 mg/vial
1,550.00
PT Indofarma
1,170.00
Nirmala
PT. Phapros, Tbk

0,4 ml
0,6 ml
Dus @ 30 Ampul
PT Kalbe Farma
Vial @ 25 ml
500,000.00
PT. Sanbe Farma
Dus, 1 vial @5 ml
Dus 3 strip @ 10 Flash
tablet
Dus, Botol Plastik @ 100
mL
128,000.00
650.00
8,000.00
930.00
7,700.00
99. Epirubisin serb injeksi 10 mg/5 ml
Lovenox 4000
ANTIXA
Lovenox 6000
ANTIXA
n/a
Epirubisin
Kalbe
n/a
100. Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI
DVit FT
PT. Gracia Pharmindo
101. Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml
DVit Syrup
102. Eritromisin kapsul/kaplet 500 mg
n/a
PT. Indofarma
Dus, 10 blister @ 10 kss
103. Eritromisin sirup kering 200 mg/ 5 ml
n/a
PT. Phyto Kemo Agung

Farma
Botol @60 ml
104. Eritropoetinalfa inj 3000 UI/mL
Hemapo 3000
PT Kalbe Farma
Prefilled Syringe @ 1ml
128,000.00
105. Eritropoetinbeta inj 2000 UI/0,3 mL

106. Etambutol tablet 250 mg (HCl)
Recormon
n/a

PT. Kimia Farma
Boks, 6 ampul
ktk 20 x 10 tablet
139,500.00
314.00
Y
Y
N
N
107. Etambutol tablet salut 500 mg (HCl)
n/a
PT. Indofarma
Dus, 10 strip @ 10 tss
451.00
108. Etanol 70% cairan
n/a
Implanon
128,779.00
110. Etoposid injeksi 20 mg/ml

111. Eugenol cairan
Posyd
n/a
Certican 0,25
mg Tab
Certican 0,5 mg
Tab
btl @ 100 ml
Dus, 1 blister @ 1
subdermal implant
Vial 100mg/5ml
Botol 10 ml
2,500.00
109. Etonogestrel implan 68 mcg
PT. Novapharin
PT. Merck Sharp Dohme
Pharma Tbk
PT. Combiphar
PT. Kimia Farma
100,000.00
16,667.00
Y
Y
N
N
11,813.00
23,250.00
9,200,000.00
20,250.00
Inj Phenytoin 2 ml
56,005.00
PT Phapros
Botol @ 100
Dus @ 30 Ampul
133.00
1,800.00
Y
Y
Y
Y
Phenytoin caps
Inj Phental
605.00
8,250.00
PT Ikapharmindo Putramas
PT Combiphar Farma
Dus, 3 strip @ 10 kapsul
1,075.00
1,375.00
290.00
235.00
510.00
Y
Y
Y
N
N
N

97. Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
98. Epirubisin serb injeksi 50 mg/25ml
112. Everolimus tab 0,25 mg

113. Everolimus tab 0,5 mg
114.
Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut

untuk injeksi
Novoseven
115. Fenitoin injeksi 50 mg/ml
n/a
116. Fenitoin kapsul/kaplet 100 mg

117. Fenobarbital injeksi i.m./i.v. 50 mg/ml
n/a
n/a
118. Fenofibrat kaps 100 mg
n/a
119. Fenofibrat kaps 300 mg
n/a
120. Fenoksimetil penisilin (penisilin V) tablet 250 mg

121. Fenoksimetil penisilin (penisilin V) tab 125 mg
122. Fenoksimetil penisilin (penisilin V)tablet 500 mg
n/a
Fenocin
n/a
PT. Aventis Pharma

PT. Aventis Pharma
PT. Ferron Par

Pharmaceuticals
PT. Mersifarma Tirmaku
Mercusana
PT. Ikapharmindo
PT. Phapros, Tbk
PT. Hexpharm Jaya
Laboratories
PT. Hexpharm Jaya
Laboratories
PT. Phapros, Tbk
PT. Phapros, Tbk
KOTAK @ 1 VIAL
SERBUK OBAT &
INFUSION KIT
KOTAK @ 10 ampul
Dus @ 10 X 10 's
Dus 45 x 12 tab
Dus @ 10 X 10 's
71,875.00
100,000.00
8,100.00
Inj Epinefrin
1,240.00
Eritromisin caps 250

mg
504.00
Eritomisin syr
8100.00
PT Phapros
PT Kimia Farma
INJ HEMAPO 3000UI 251,900.00 PT Kalbe Farma
Etambutol tab
500mg
Etanol 70 %
573
PT Kimia Farma
123. Fenoterol HBr inh solution 0,1%

124. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml
125. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml
126. Fentanil patch 12,5 mcg/jam
Berotec
Solution
n/a
n/a
Dus, Canister 200 dosis
117,500.00
Berotec
118,910.00
PT. Kimia Farma

PT. Kimia Farma
Dus 5 ampul@ 10ml

Dus 5 ampul@ 2ml
128,000.00
33,914.00
Y
Y
Inj Fentanil 0,05
40.697
Dus @ 5 patch
80,000.00
PT. Kimia Farma
Dus@ 5 patch
153,000.00
PT. Kimia Farma
Dus@ 5 patch
285,000.00
PT Kalbe Farma
PT. Phapros, Tbk
pfs @ 0,5 ml
Dus @ 10 X 10 's
375,000.00
630.00
N
Y
N
Y
vitamin K
275
1,248,319.00
275,000.00
Dus, 5 ampul @ 1ml
55,000.00
Dus, 1 Botol @ 100 mL
47,100.00
Durogesic 12,5
PT. Kimia Farma
MU Matrix
129. Filgrastim inj 300 mcg/mL

130. Fitomenadion (Vit.K1) tablet salut gula 10 mg
Durogesic 25
MU Matrix
Durogesic 50
MU Matrix
Leucogen
n/a
131. Fludarabin inj 50 mg
Fludara IV LYO PT. Aventis Pharma
Dus, 5 vial @ 50 mg
132. Fludarabin tab 10 mg
Fludara Oral
PT. Aventis Pharma

salut selaput
133. Flufenazin injeksi i.m. 25 mg/ml
Sikzonoate
Injeksi
134. Flukonazol injeksi 2 mg/ml
n/a

Mercusana
PT. Natura Laboratoria
Prima
135. Flukonazol tablet/kapsul 150 mg
n/a
PT. Kimia Farma
ktk 1 x 10 kapsul
22,000.00
136.
137.
138.
139.
Foransi 10
NOPRES
Curacil
Curacil

PT. Dexa Medica
PT Kalbe Farma
PT Kalbe Farma
PT. Ifars Pharmaceutical
Laboratories
PT. Glaxo Wellcome
Indonesia
strip
DUS, 30 TABLET
vial @ 1 ml
vial @ 10 ml
419.00
410.00
24,500.00
33,000.00
Y
Y
N
N
Y
N
N
N
2,400.00
Dus, Botol 120 Dosis

Spay
93,333.00
12,917.00
241,667.00
1,829.00
85.00
399,500.00
288.00
295,000.00
127. Fentanil patch 25 mcg/jam

128. Fentanil patch 50 mcg/jam
Fluoksetin tablet 10 mg
Fluoksetin tablet 20 mg
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL
140. Flusinolon asetonid krim 0,025%
SYNARCUS
141. Flutikason furoat intranasal spray
Avamys
142. Flutikason propionat nebules 0,5 mg
Flixotide
Nbules
PT. Glaxo Wellcome

Indonesia
Dus, 2 flow wrap@ 5

nebules @ 1 dosis (2ml)
143. Fondaparinuks inj 2,5 mg/0,5 mL
Arixtra
PT. Glaxo Wellcome

Indonesia
Dus, 2 pfs 0.5 ml
144. Furosemid injeksi i.v./i.m. 10 mg/ml
n/a
PT. Indofarma
145. Furosemid tablet 40 mg
n/a
PT. Indofarma
146. Gansiklovir serb inj 500 mg (50 mg/mL)

Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g
147. kalium klorida 0,30 g Trinatrium sitrat dihidrat 0,58 g
Glukosa Anhidrat 2,70 g
Cymevene
Boks, 1 ampul
n/a
PT. Phapros, Tbk
Dus @ 100 Sachet
Iressa 250 mg
148. Gefitinib tab 250 mg
Dus, Tube 5 g
Fluconazole cap 150

mg
Kalxetin tab 10 mg
PT Kimia Farma
22,000.00
PT Kimia Farma
4,510.00
PT Kalbe Farma
Flixotide nebulizer
19,140.00
PT Glaxo Smitth
Inj Arixtra 2.5 mg
360,525.00 PT Glaxo Smitth
Inj Furosemide 10
mg/ml
Furosemide tab 40
mg
Oralit sachet
1,830.00
PT Indofarma
102.00
PT Indofarma
402
PT Indofarma
149. Gemfibrozil kapsul/kaplet 300 mg
n/a
PT. Indofarma
150. Gemfibrozil tablet 600 mg
n/a
PT. Indofarma
kapsul
kaptab
289.00
679.00
1,098,900.00
152. Gemsitabin inj 200 mg/vial
Gemzar 1000
mg
n/a
153. Gentamisin injeksi 40 mg/ ml
n/a
154. Gentamisin salep mata 0,3%
Genoint Salep
PT. Erela
Mata
Tube @ 3,5 gr
2,600.00
155. Gentamisin tetes mata 0,3%
n/a
PT. Indofarma
Dus, botol plastik 5 ml
3,194.00
156. Glibenklamid tablet 5 mg
n/a
PT. Indofarma
157. Gliklazid tab 80 mg
Glicab
158. Glikuidon tab 30 mg
151. Gemsitabin inj 1000 mg/vial
PT. Sanbe Farma
Dus, 1 vial @200 mg
330,000.00
PT. Indofarma
Dus, 5 ampul @ 2 ml
3,399.00
Inj Gentamisin 40
mg
3,100.00
PT Indofarma
Cendo genta SM
26,675.00
PT Cendo Pharmaceutical
23,925.00
242.00
n/a
PT. Dexa Medica
950.00
159. Glimepiride tablet 1 mg
n/a
PT. Kimia Farma
ktk 5x10 tablet
265.00
n/a
PT. Kimia Farma
ktk 5x10 tablet
436.00
n/a
PT. Kimia Farma
ktk 5x10 tablet
404.00
n/a
PT. Kimia Farma
ktk 5x10 tablet
430.00
163. Gliseril trinitrat kaps SR 2,5 mg
Nitrokaf
Retard
PT. Kimia Farma
Dus 10x10
1,493.00
164. Gliseril trinitrat kaps SR 5 mg
Nitrokaf Forte PT. Kimia Farma
Dus 10x10
2,171.00
165. Gliseril trinitrat tab sublingual 0,5 mg
Nitral
Gliserin lar
50%
n/a
n/a
Zoladex 10,8
mg
Btl @ 30 tablet
1,500.00
PT. Lucas Djaja
Glycerin 100 ml
5,333.00
PT. Widatra Bhakti

PT. Widatra Bhakti
botol @ 500 ml
botol @ 500 ml
5,700.00
5,200.00
Y
Y
Y
Y
Dus, 1 syringe @ 10.8 mg
2,300,000.00
840,000.00
219.00
83,333.00
59.00
169. Goserelin asetat inj 10,8 mg/vial
PT Phapros
vial
56.00
167. Glukosa larutan infus 10 % steril

168. Glukosa larutan infus 5 % steril
293
PT. Bayer Indonesia
kaptab
Strip
166. Gliserin lar 50%
Gemfibrozil caps
300 mg
170. Goserelin asetat inj 3,6 mg
Zoladex 3,6 mg PT. AstraZeneca indonesia
Dus, 1 syringe @ 3.6 mg
171. Griseofulvin tablet 125 mg
n/a
PT. Indofarma
tablet
172. Haloperidol inj 50 mg/mL
Haldol
Decanoas
Dus 5 Ampul@1mL
173. Haloperidol tablet 0,5 mg
n/a
PT. Indofarma
tablet
Cendo genta TM
0,3%
Gibenclamide tab 5
mg
Gliquidon tab 30 mg
Glimepiride tab 1
mg
Glimepiride tab 2
mg
Glimepiride tab 3
mg
Glimepiride tab 4
mg
Infus D10%
Infus D5%
72.00
PT Indofarma
646.00
PT Dexa Medica
760.00
PT Hexapharm
1,433.00
PT Hexapharm
1,955.00
PT Hexapharm
2,606.00
PT Hexapharm
5,727.00
5,060.00
PT Widatra Bhakti
PT Widatra Bhakti
174. Haloperidol tablet 5 mg
n/a
PT. Indofarma
175. Haloperidol tablet 1,5 mg
n/a
PT. Indofarma
176. Haloperidol tablet 2 mg
Lodomer 2
177. Halotan Inhalasi
Halothane

Mercusana
PT. Dexa Medica
178. Hepatitis B imunoglobulin (human)
Hyperhep B
PT. Dipa Pharmalab
179. Hiosin butilbromid injeksi 20 mg/ml

Human insulin intermediate acting inj 100 UI/ml, vial
180.
(Human Insulin (IntermediateActing))
Human insulin intermediate acting inj 100 UI/ml, vial
181.
(Insulin human Basal)
Human insulin intermediate acting inj 100 UI/ml,
182.
vial/cartridge disposible/penfill cartridge
n/a
tablet
tablet
KOTAK @ 10 x 10 TAB
Botol
Dus, 1 syringe @ 0.5 mL
96.00
69.00
126.00
641,500.00
1,328,000.00
4,500.00
PT. Otto Pharmaceuticals

PT. Ferron Par
Insulatard Vial
Pharmaceuticals
box 5ampul @1 ml
Dus, vial 10 ml
138,000.00
Humulin N Vial PT. Bayer Indonesia
Dus, vial 10 ml
138,000.00
n/a
PT. Aventis Pharma
Dus, 1 Vial @ 5 ml
72,000.00
PT. Ferron Par

Pharmaceuticals
Injeksi 100 IU/ml, penfill

disposible 3 ml (1 box isi
5 penfill disposible)
76,125.00
Haloperidol tab 5
mg
Haloperidol tab 1,5
mg
122.00
PT Indofarma
83.00
PT Indofarma
Inj Hyosin N
8,800.00
Inj humulin N 10 ml
235,400.00
183.
Human insulin intermediate acting inj 100 UI/ml,penfill

cartridge (Human Insulin (IntermediateActing))
Insulatard
Penfill
184.

cartridge (Insulin human Basal)
Humulin N Cart PT. Bayer Indonesia
Dus Isi 5
penfill/cartridge @ 3ml
76,125.00
Inj Humulin N cat
120,000.00
185.

cartridge (Insulin human Basal)
Sansulin N
penfillcartridge @ 3ml
75,000.00
Inj Sansulin N cat
118,200.00 PT Sanbe Farma

76,125.00
Dus Isi 5
76,125.00
Dus, vial 10 ml
138,000.00
Humulin 30/70
PT. Bayer Indonesia
Vial
Dus, vial 10 ml
138,000.00
n/a
Dus, 1 Vial @ 5 ml
72,000.00
PT. Sanbe Farma
Human insulin mix insulin inj 100 UI/ml, penfill cartridge

PT. Ferron Par
186. (Human Insulin (Premix: 30% Soluble + 70 % NPH
Mixtard Penfill
Pharmaceuticals
Insulin))
187.
Human insulin mix insulin inj 100 UI/ml, penfill cartridge Humulin 30/70
PT. Bayer Indonesia
(Insulin human Comb)
Cart
Human insulin mix insulin inj 100 UI/ml, vial (Human

Insulin (Premix: 30% Soluble + 70 % NPH Insulin))
Human insulin mix insulin inj 100 UI/ml, vial (Insulin
189.
human Comb)
Human insulin mix insulin inj 100 UI/ml, vial/cartridge
190.
disposible/penfill cartridge
188.
Mixtard Vial
PT. Ferron Par

Pharmaceuticals
PT. Aventis Pharma
191.
Human insulin short acting inj 100 UI/ml, penfill cartridge

PT. Ferron Par
Actrapid Penfill
Pharmaceuticals
(Human Insulin (Short Acting))

76,125.00
192.

Sansulin R
(Insulin human Rapd)
penfill cartridge @ 3ml
75,000.00
PT. Sanbe Farma
Inj Sansulin R ampul 121,200.00 PT Sanbe Farma
193.
194.
195.
196.
197.
198.

Humulin R Cart PT. Bayer Indonesia
(Insulin human Rapd)
Human insulin short acting inj 100 UI/ml, vial (Human
Insulin (Short Acting))
Human insulin short acting inj 100 UI/ml, vial (Insulin
human Rapd)
Human insulin short acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge
Ibuprofen sirup 100 mg/5 ml
Ibuprofen suspensi 200 mg/5 ml
199. Ibuprofen tablet 400 mg

200. Ifosfamid serbuk injeksi 1000 mg/vial
201. Imidapril tab 10 mg
202. Imidapril tab 5 mg
Dus Isi 5
76,125.00
Dus, vial 10 ml
138,000.00
Humulin R Vial PT. Bayer Indonesia
Dus, vial 10 ml
138,000.00
n/a
PT. Aventis Pharma
Dus, 1 Vial @ 5 ml
72,000.00
n/a
n/a
PT. Indofarma
PT. Indofarma
Dus, botol 60 ml
Dus, botol 60 ml
3,499.00
4,499.00
Y
Y
Y
N
n/a
PT. Novapharin
strip
150.00
1,329,163.00
3 blister @ 10 tablet
3,908.00
3 blister @ 10 tablet
2,120.00
Actrapid Vial
PT. Ferron Par

Pharmaceuticals
Holoxan injeksi
PT. Mugi Laboratories
1000
Tanapress
10mg
Tanapress 5mg PT. Tanabe Indonesia
Dus, 1 vial @ 1 g
Inj Humulin R ampul 120,000.00 PT Combiphar Farma
Inj Humulin R vial
235,540.00
Ibuprofen syr
3,497.00
PT Indofarma
Ibuprofen tab 400

mg
205.00
PT Indofarma
Tanapres 10 mg
17,204.00
Tanapres 5 mg
10,893.00
Iopamiro 300
mg/50 ml
209,000.00
Irvell tab 150 mg

Irbesartan 300 mg
7.59
3,801.00
203. Iopamidol 200300 mg Iodium/mL (300mg @ vial 100ml) Iopamiro
PT. Dipa Pharmalab
Dus, botol @ 100 ml
350,000.00
204. Iopamidol 200300 mg Iodium/mL (300mg @ vial 30ml)
Iopamiro
PT. Dipa Pharmalab
Dus, vial @ 30 ml
122,000.00
Iopamiro
PT. Dipa Pharmalab
Dus, vial @ 50 ml
166,000.00
206. Iopamidol 300370 mg Iodium/mL (370mg @ vial 100ml) Iopamiro
PT. Dipa Pharmalab
Dus, botol @ 100 ml
369,000.00
Iopamiro
PT. Dipa Pharmalab
Dus, vial @ 30 ml
147,000.00
Iopamiro
PT. Dipa Pharmalab
Dus, vial @ 50 ml
199,000.00
PT. Bayer Indonesia
Botol
245,000.00
PT. Bayer Indonesia
Botol
123,200.00
PT. Bayer Indonesia
Botol
299,000.00
PT. Bayer Indonesia
Botol
150,300.00
PT. Indofarma
PT. Indofarma
PT. Sanbe Farma

Dus, 1 vial @2 ml
1,425.00
2,470.00
510,000.00
Y
Y
N
Y
Y
N
88.00
Isosorbid Dinitrat SL
5 mg
98
700.00
AsparK tab 300 mg
2,248.00
213. Irbesartan tab 150 mg

214. Irbesartan tab 300 mg
215. Irinotekan inf 20 mg/ml
Ultravist
300/100 mg
Ultravist
300/50 mg
Ultravist
370/100 mg
Ultravist
370/50 mg
n/a
n/a
n/a
216. Isosorbid Dinitrat tablet sublingual 5 mg
n/a
PT. Indofarma
217. Kalium aspartat tab 300 mg
Kalipar
Strip
209. Iopromide 300370 mg Iodium/mL (300 mg / 100 ml)

PT Indofarma
PT Tanabe Indonesia
218. Kalium Klorida tablet 600 mg
KSR
PT. Merck Tbk
1,580.00
KCL tab 10 mg
219. Kalsium Glukonat injeksi i.v 10% (100 mg/ml)
Kalsium
glukonat
PT. Ethica Industri Farmasi
Ampul
7,800.00
Inj Kalsium Gluconat
10.437
220. Kandesartan tab 16 mg
n/a
PT. Dexa Medica
Dus, 3 Blister @ 10 tablet
4,900.00
Candesartan tab 16
mg
7,150.00
PT Dexa Medica
221. Kandesartan tab 8 mg
n/a
PT. Dexa Medica
3,100.00
222. Kapesitabin tab 500 mg
Xeloda
Boks, 120 tablet
27,500.00
223. Kaptopril tablet 50 mg
n/a
PT. Indofarma
140.00
224. Kaptopril tablet scored 25 mg
n/a
PT. Errita Pharma
Dus, 10 strip @10 tablet
84.00
Captopril 25 mg
138.00
PT Hexapharm
225. Kaptopril tablet scored12,5 mg
n/a
PT. Indofarma
62.00
Captopril 12,5mg
90.00
PT Hexapharm
226. Karbamazepin sirup 100 mg/5 ml
Tegretol Syrup
100mg/5ml, PT. Novartis Indonesia
120ml
Dus, botol @ 120 ml
44,770.00
227. Karbamazepin tablet 200 mg
n/a
tablet
245.00
Fenol 100 mg / 1 ml
2,042.00
110,000.00
Inj KTM 100 mg

Ketokonazole cream
PT. Indofarma
229. Ketamin injeksi i.v. 100 mg/ml
Karbogliserin
tetes telinga
PT. Lucas Djaja
10%
KTM
PT. Guardian Pharmatama
230. Ketokonazol krim 2%
n/a
PT. Kimia Farma
tube 10 gr
2,569.00
231. Ketokonazol krim 2%
n/a
PT. Novell Pharmaeutical

Laboratories
Box isi 1 Tube @ 15 g
4,700.00
232. Ketokonazol tablet 200 mg
n/a
PT. Dexa Medica
300.00
233. Ketorolac injeksi 30 mg/ml
n/a
ORIXAL
3,200.00
235. Klindamisin kapsul/kaplet 150 mg
n/a
PT. Indofarma
361.00
236. Klindamisin kapsul/kaplet 300 mg
n/a
PT. Indofarma
Dus @ 12 Ampul
Dus, 3 Strip @ 10 Kaplet
salut selaput
Dus, 5 blister @ 10
kapsul
Dus, 5 blister @ 10
kapsul
2,300.00
234. Klaritromisin tab 500 mg
PT. Phapros, Tbk

Laboratories
553.00
237. Klobazam tab 10 mg
n/a
PT. Dexa Medica
900.00
238. Klonidin tablet 0,15 mg
n/a
Ktk 10X10 TAB
184.00
239. Klopidogrel tab 75 mg
n/a
Dus, 3 strip @ 10 tab
3,400.00
240. Klorpromazin injeksi i.m. 25 mg/ml (HCl)

241. Klorpromazin injeksi i.m 5 mg/ml 2 ml (HCl)
n/a
n/a
PT. Kimia Farma

PT. Hexpharm Jaya
Laboratories
PT. Phapros, Tbk
PT. Phapros, Tbk
Dus @ 30 Ampul
Dus @ 30 Ampul
1,100.00
1,050.00
Y
Y
N
N
228. Karbogliserin tetes telinga 10%
Vial @ 10 ml
Ketokonazole tab
200 mg
Inj Ketorolac
Clindamycin caps
150 mg
Clindamycin caps
300 mg
PT Phapros
PT Ethica
165,000.00 PT Lapi Laboratories

2,569.00
PT Kimia Farma
380.00
PT Kimia Farma
5,500.00
PT Phapros
509.00
PT Indofarma
752.00
Clobazam tab 10 mg
950.00
PT Dexa Medica
Clopidogrel tab
7,700.00
242. Klozapin 100 mg
n/a
243. Klozapin 25 mg
n/a
244. Kodein tablet 10 mg

n/a
n/a
n/a
Laxadine
Emulsi 60 ml
247. Kombinasi suspensi : Parafin + gliserin + fenolftalein

Mercusana
Mercusana
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Galenium Pharmasia
Laboratories
KOTAK @ 5 x 10 TAB
5,000.00
KOTAK @ 5 x 10 TAB
1,550.00
ktk 10x10 tablet

ktk 10x10 tablet
ktk 10x10 tablet
500.00
850.00
1,100.00
Y
Y
Y
Y
Y
Y
Codein tab 10 mg
Codein tab 15 mg
Codein tab 20 mg
427.00
728.00
950.00
12,450.00
Laxadine syr
30,250.00
PT Galenium Pharmasia
42.00
15,750.00
Cendo Lyters
24,750.00
Botol @ 60 ml
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam

n/a
PT. Erela
folat 0,25 mg
Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664
249.
Cendo Lyteers PT. Cendo Industri Farmasi
mg; Kalium klorida 1,32 mg
Dus, 100 Sachet @ 30

Tablet
250. Kombinasi: Artemether 20 mg; Lumefantrin 120 mg
248.
botol 15 ml
Coartem
3,220.00
Dus, botol plastik @ 30

tablet salut selaput
8,900.00
90,667.00
PT Kimia Farma
PT Kimia Farma
PT Kimia Farma
251.
Kombinasi: Levodopa 100 mg; Karbidopa 25 mg;

Entekapon 200 mg
Stalevo
252.
Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50

mcg
Seretide
PT. Glaxo Wellcome
Inhaler 50 mcg Indonesia
Dus, Botol 120 Dosis
253.

mcg
Seretide Diskus PT. Glaxo Wellcome

Indonesia
100 mcg
Dus, foil strip @ 60 dosis
100,833.00
254.

mcg
Seretide Diskus PT. Glaxo Wellcome

Indonesia
250 mcg
Dus, foil strip @ 60 dosis
113,333.00
n/a
PT. Holi Pharma
Dus, 10 strip @ 10
kaptab
152.00
Cotrimoxazole
165.00
n/a
PT. Novapharin
btl @ 60 ml
2,350.00
Cotrimoxazole syr
3,960.00
PT Kimia Farma
n/a
n/a
n/a
n/a
Prosogan Inj.
PT. Kimia Farma

PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Takeda Indonesia
ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 tablet
Serbuk vial
670.00
6,200.00
540.00
1,400.00
82,042.00
Y
Y
Y
Y
Y
N
N
N
N
N
262. Lanzoprazol kapsul/kaplet 30 mg
n/a
PT. Indofarma
473.00
Lanzoprazole caps
30 mg
1,352.00
263. Lapatinib tab 250 mg
Tykerb
67,200.00
264. Larutan mengandung Asam Amino (Asam Amino 10%)
Kalbamin
botol 500 ml
56,300.00
Infus Kalbamin
96,800.00
PT Kalbe Farma
255.
256.
257.
258.
259.
260.
261.
Kotrimoksazol DOEN I (dewasa) kombinasi :

Sulfametoksazol 400 mg Trimetoprim 80 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg +
Trimetoprim 40 mg / 5 ml
Kuinin (Kina) tablet 200 mg
Kuinin injeksi i.v. 25% (sebagai 2 HCl)
Kuinin tablet 222 mg (H2SO4.7H2O)
Lamivudine tablet 150 mg
Lansoprazol inj 30 mg/ml
Larutan mengandung Asam Amino (Asam Amino 100 g,

Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)
266.
Sorbitol 50 g, Cl 52 mEq)
265.

Phamaceuticals
PT. Finusolprima Farma
Internasional
Amiparen
PT Otsuka Indonesia
Softbag 500 ML
67,400.00
Panamin G
PT Otsuka Indonesia
Softbag 500 ML
37,500.00
PT Indofarma
267.
268.
269.
270.
271.
272.

Glukosa 7,3 % dan elektrolit)
Larutan mengandung Asam Amino (Asam Amino 5%
dengan BCAA 45%, LOrnithine L Aspartate 8.03 gr/L,
Sorbitol 50 gr/L, Xylitol 50 gr/L)
Larutan mengandung Asam Amino (Asam Amino 6%,
mengandung Taurine 0,24 gr/l)
Larutan mengandung Asam Amino (Asam Amino 7%,
Komposisi: Asam Amino esensial: Asam Amino non
esensial = 60 : 40)
Larutan mengandung Asam Amino (Asam Amino 72.05 g,
Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat 46
mEq)
Larutan mengandung Asam Amino (Asam Amino 79.9 g,
Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)
273. Larutan mengandung Asam Amino (Asam amino 8%)
Aminofluid
PT Otsuka Indonesia
Double Chamber Softbag

1000 ML
Aminofusin
Hepar
PT Kalbe Farma
Aminosteril
Infant 6%
115,500.00
botol 500 mL
75,350.00
PT. Fresenius Kabi

Combiphar
Botol Gelas 100 ml
36,667.00
Nephrosteril
PT. Fresenius Kabi

Combiphar
Botol Gelas 250 ml
50,820.00
Kidmin
PT Otsuka Indonesia
Softbag 200 ML
46,000.00
Aminoleban
PT Otsuka Indonesia
Softbag 500 ML
65,000.00
Botol Gelas 500 ml
78,720.00
botol 250 ml
51,260.00
Infus EAS 7% 250 ml

Internasional
botol 500 ml
64,900.00
Infus Comafusin
Hepar
189,200.00 PT Kalbe Farma
Aminofusin
L600
PT Kalbe Farma
botol 500 mL
42,000.00
Infus aminofusin
L600
75,350.00
PT Kalbe Farma
Aminofusin
Paed
PT Kalbe Farma
botol 250 mL
46,000.00
Aminosteril N PT. Fresenius Kabi

Combiphar
Hepa
Eas Pfrimer
Internasional
Larutan mengandung Asam Amino (Asam Amino esensial

7%+Xylitol 10 g/L)
Larutan mengandung Asam Amino (BCAA 25 gr/L, L
Comafusin
275. Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L, Malic Acid 7
Hepar
gr/L, Piridoxin 0.12 gr/L)
274.
Larutan mengandung Asam Amino (Kombinasi Asam

aminno 50 g/L, Sorbitol 50 g/L, Xylitol 50 g/L, Asam
276. Askorbat (Vit C) 0.4 g/L, Inositol 0.5 g/L, Nikotinamida
(Niasinamida) 0.06 g/L, Piridoksin HCl (Vit B6) 0.04 g/L,
Riboflavin Natrium Fosfat 2.5 mg/L, elektrolit)
amino 50 g/L, vitamin dan elektrolit)
278. Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit
(Kalori = 1000 kkal, Akses peripheral))
279. Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit
(Kalori = 1400 kkal, Akses peripheral))
Larutan mengandung Asam Amino (Kombinasi Glukosa
280. dan elektrolit 150 gr + Asam Amino 48 gr dgn akses
sentral)
277.
281.
Larutan mengandung Asam Amino (Kombinasi Glukosa

dan elektrolit 80 gr + Asam Amino 40 gr )
Kabiven 1440 PT. Fresenius Kabi

Combiphar
ml
Bag (3 Chamber) 1440

ml
295,240.00
Kabiven 1920 PT. Fresenius Kabi

Combiphar
ml
Bag (3 Chamber) 1920

ml
343,842.00
322,000.00
218,700.00
Combiflex Plus
PT. Phapros, Tbk
(790 kcal)
Combiflex peri
PT. Phapros, Tbk
(480 kcal)
Bag Double chamber

(Dua compartement),
1000 mL
Bag Double chamber
(Dua compartement),
1000 mL
Infus Aminofusin
Hepar
195,250.00 PT Kalbe Farma
57,200.00
PT Finusolprima Farma Int
282. Larutan mengandung Elektrolit (Kalium Klorida)
Otsu KCl
7,46%
PT Otsuka Indonesia
Ampoel 25 ML
2,050.00
Inj KCL 7.46
2,400.00
PT Otsuka Indonesia
283. Larutan mengandung Elektrolit (Larutan Ringer Laktat)
Wida RL
PT. Widatra Bhakti
Botol 1000 ml
8,000.00
Infus RL (wida)
5,200.00
PT Widatra Bhakti
284.
285.
286.
287.
288.
289.
290.
291.
292.
293.
294.
295.
296.
297.
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq,

Asering
Ca 3 mEq, Asetat 28 mEq)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa
KA EN 1B
18.75 gr)
Larutan mengandung Elektrolit (Sodium Lactate sol (50%)
113 gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride
Totilac
0.2 gr/L, elektrolit)
Larutan mengandung Elektrolit (Tiap 1000 ml
mengandung electrolit: Sodium 145 mmol/l, Potassium 4.0
Ringerfundin
mmol/l, Calcium 2.5 mmol/l, Magnesium 1.0 mmol/l,
500 mL
Chloride 118 mmol/l, Acetate 24 mmol/l, Malate 5.0
mmol/l)
Larutan mengandung Karbohidrat (Fructose 120 g, glucose
Triofusin 1000
66 g, Xylitol 60 g/ L + elektrolit)
Larutan mengandung Karbohidrat (Fructose 60 g, glucose
Triofusin 500
33 g, Xylitol 30 g/ L)
Larutan mengandung Karbohidrat (Maltose 100 gr)
Martos
Larutan mengandung Karbohidrat + Elektrolit (25.00g
maltose, 3.00 g sodium chloride, 0.15 g potassium chloride,
Potacol inj
0.10 g calcium chloride dihydrate dan 1.55 g sodium
lactate)
Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na,
Tutofusin OPS
K, Cl, Ca, Mg, Sorbitol 50 gr/L)
Larutan mengandung Karbohidrat + Elektrolit (Asam
Clinimix
amino 28 gr/L, Glukosa 100 gr/L, elektrolit)
N9G20E
Larutan mengandung Karbohidrat + Elektrolit (Asam
Clinimix
amino 28 gr/L, Glukosa 75 gr/L, elektrolit)
N9G15E
Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 Triofusin
g, glucose 33 g, Xylitol 30 g/ L)
E1000
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25
g, NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk
Wida HSD
injeksi ad 1000 ml)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55
Wida D5NS
g ; Natrium Chloride 9 g, air untuk injeksi ad 1000 ml)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa:

25,0 g; NaCl: 4,5 g)
299.
55.0 g; NaCl: 2.25 g)
300.
55.0 g; NaCl: 4.5 g)
298.
Larutan mengandung Karbohidrat + Elektrolit (Larutan

301. nutrisi kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca.
4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g)
WIDA 2A
WIDA D5
1/4NS
WIDA D5
1/2NS
Futrolit
PT Otsuka Indonesia
Plastic Bottle 500 ML
9,000.00
Infus Asering 500 cc
15,901.00
PT Otsuka Indonesia
PT Otsuka Indonesia
9,000.00
PT Kalbe Farma
flexybag 250 mL
87,000.00
PT. Phapros, Tbk
LDPE (Low Density Poly

Ethilene), botol plastik
12,650.00
Infus Ringerfundin
14,850.00
PT Bibraun Aesculap
PT Kalbe Farma
botol 500 mL
50,500.00
PT Kalbe Farma
Flexy bag 500 mL
42,350.00
PT Otsuka Indonesia
29,167.00
Infus Martos
74,048.00
PT Otsuka Indonesia
PT Otsuka Indonesia
55,500.00
PT Kalbe Farma
botol 500 mL
37,500.00
Infus Tutofusin OPS
51,700.00
PT Finusolprima Farma Int
PT Kalbe Farma
Botol Plastik 1000 mL
210,000.00
PT Kalbe Farma
Botol Plastik 1000 mL
199,000.00
PT Kalbe Farma
botol 500 mL
56,000.00
PT. Widatra Bhakti
Botol 500 ml
9,500.00
PT. Widatra Bhakti
Botol 500 ml
6,800.00
Infus D5 NS
10,340.00
PT Widatra Bhakti
PT. Widatra Bhakti
Botol 500 ml
6,917.00
PT. Widatra Bhakti
Botol 500 ml
7,700.00
Infus D51/4
7,560.00
PT Widatra Bhakti
PT. Widatra Bhakti
Botol 500 ml
7,700.00
Infus D5 1/2
10,340.00
PT Widatra Bhakti
PT. Sanbe Farma
softbag 500ml
35,750.00
Infus Futrolit
52,729.00
PT Sanbe Farma
Larutan mengandung Karbohidrat + Elektrolit (Larutan

Wida RD
Ringer & Glukosa 5%)
Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g,
303.
KA ENMG 3
KCL 1.5g, Glukosa 100 gr)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75
304.
KA EN 3B
gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)
302.
305.
306.
307.
308.
309.
310.
311.
312.
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34

gr, Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)
KA EN 3A
PT. Widatra Bhakti
Botol 500 ml
6,930.00
PT Otsuka Indonesia
9,167.00
PT Otsuka Indonesia
10,000.00
Infus KAEN 3B
15,661.00
PT Otsuka Indonesia
PT Otsuka Indonesia
10,000.00
Infus KAEN 3A
15,661.00
PT Otsuka Indonesia
105,500.00
60,500.00
20%, Botol Kaca @250

ml, single bottle
210,000.00
Bag, 3 chamber ( 3
kompartemen), 1250 ml
591,000.00
Bag, 3 chamber ( 3
511,000.00
Bag, 3 chamber ( 3
358,000.00
Flexy bag 100 mL
89,800.00
72,000.00
Lipofundin
Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT
MCT/LCT 1% PT. Phapros, Tbk
20% 100 ml)
100
PT. Fresenius Kabi
Larutan mengandung Lipid (Emulsi lemak 20%)
Intralipid
Combiphar
Lipofundin
Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT
MCT/LCT 1% PT. Phapros, Tbk
20% 250 ml)
250
Larutan mengandung Lipid (Kombinasi Glukosa dan
Nutriflex Lipid
elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn
PT. Phapros, Tbk
Special 1250
akses sentral)
Nutriflex Lipid
elektrolit 80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50
PT. Phapros, Tbk
Peri 1250
gr)
Nutriflex Lipid
elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn
PT. Phapros, Tbk
Special 625
akses sentral)
Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg
Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate 0.3 Ivelip
PT Kalbe Farma
gr/L)
20%, Botol Kaca @100

ml, single bottle
Botol Gelas 100 ml
313. Latanoprost tetes mata 0,01%
Cendo Glaopen PT. Cendo Industri Farmasi
strip 5 x 0.6 ml
314. Leuprorelin asetat inj depot 1,88 mg
Tapros 1.88mg PT. Takeda Indonesia
Vial
700,000.00
315. Leuprorelin asetat inj depot 11,25 mg
Tapros 3M
PT. Takeda Indonesia
Vial
2,700,000.00
316. Levofloksasin inf 5 mg/mL
n/a
PT. Infion Pharmaceutical
Box, 1 Botol @ 100 ml
40,000.00
317. Levofloksasin tablet 500 mg
n/a
318. Lidokain injeksi 2% (HCL)

319. Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 2ml
n/a
n/a
Xylocaine Jelly
2%
n/a
Laboratories
n/a
Laboratories
320. Lidokain jeli 2%

321. Lisinopril tablet 10 mg
322. Lisinopril tablet 5 mg
Infus Levofloxaxin
90,750.00
500 mg
Levofloxaxin tab 500
1,154.00
mg
Inj Lidocain 2 %
1,010.00
Inj Pehacain
3,113.00
PT Phapros
PT Phapros
Encefall

STRIP
Industri
PT. Bernofarm
PT. Indofarma
528.00
839.00
1,363.00
Y
Y
Y
Y
Dus, 10 syringe @ 10 g
40,000.00
Box ,3 Strip @ 10 tablet
600.00
Lisinopril tab 10 mg
605
350.00
Lisinopril tab 5 mg
352.00
323. Litium karbonat tablet 200 mg
Frimania 200
324. Litium karbonat tablet 400 mg
Frimania 400
325. Loperamid tablet 2 mg
n/a
326. Loratadin tablet 10 mg
n/a
327. Lorazepam tablet 2 mg
Merlopam 2
328. Maprotilin HCl tab 25 mg
Ludios
329. Maprotilin HCl tab 50 mg
Sandepril 50
330. Melfalan tablet 2 mg
Alkeran
331. Meropenem inj 1 g
333. Metadon sir 50mg/5ml
n/a
Uromitexan
injeksi.
n/a
334. Metilfenidat kapsul LA 20 mg

Mercusana
Mercusana
Laboratories
Industri
Mercusana
KOTAK @ 10 x 10 TAB
1,050.00
KOTAK @ 10 x 10 TAB
1,850.00
89.00
Lopamid tab
242.00
PT Harsen
154.00
Loratadin tab 10 mg
333.00
PT Indofarma
KOTAK @ 10 x 10 TAB
1,341.00
merlopam tab 2 mg
2,860.00
PT Mersifarma Tirmaku
Strip
1,200.00
KOTAK @ 5 x 10 TAB
3,276.00
Box, Tablet 2 mg/25's
12,210.00
Alkeran tab 2 mg
13,200.00
AAM
Dus, 1 vial @ 1 g
54,000.00
Inj Meropenem 1 g
Dus, 15 Ampul
74,998.00
PT. Kimia Farma
Botol 1000 ml
254,100.00
Ritalin LA
Dus, botol plastik @ 30

kapsul pelepasan lambat
6,537.00
335. Metilprednisolon tablet 16 mg
n/a
PT. Mahakam Beta Farma
Strip
635.00
n/a

Prima
205.00
n/a
PT. Dexa Medica
Dus, 10 Blister @ 10
Tablet
tablet
300.00
338. Metoklopramide tablet 5 mg
n/a
PT. Kimia Farma
ktk 10 x 10 tablet
108.00
339. Metronidazol infus 500 mg/100 ml
n/a

Prima
Dus, 1 Botol @ 100 ml
9,950.00
Infus Metronidazole
23,100.00
PT Ikapharmindo Putramas
340. Metronidazol supositoria 500 mg
Flagyl
PT. Aventis Pharma
Dus, 2 blister @ 5
suppositoria
3,220.00
Neo gynoxa supp
13,200.00
PT Durafarma Jaya
341. Metronidazol tablet 250 mg
n/a
10 strip @ 10 tab
110.00
342. Metronidazol tablet 500 mg
n/a
10 strip @ 10 tab
160.00
Metronidazole tab
500 mg
220.00
PT Bernofarma Gen
1,237,500.00
5,600.00
12,060.00
260,000.00
3,000.00
697,000.00
Y
Y
N
Y
N
Y
Y
N
Y
N
Inj Sedacum
Inj Sedacum
19,250.00
46,200.00
PT Dexa Medica
PT Dexa Medica
Miconazole cr
3,000.00
PT Kimia Farma
332. Mesna inj 100 mg/mL
343. MIBI (metoxy iso butyl iso nitril) 5mL reaction vial
344.
345.
346.
347.
348.
Midazolam injeksi i.v. 1 mg/ml

Midazolam injeksi i.v. 5 mg/ml
Mikafungin Na serb inj 50 mg
Mikonazol krim/salep 2 % (Nitrat)
Mitomisin C (crystallin) serbuk inj 10 mg/vial
Cardioscan
KaeF
Fortanest
Dormicum
Mycamine
n/a
Mitomycin C

Mercusana
PT. Glaxo Wellcome
Indonesia
PT. Bernofarm

Farma
Farma
Dus, 10 Strip @ 10 Tablet

STRIP
PT. Kimia Farma
Dus @ 5 vial
PT Kalbe Farma
PT. Combiphar
PT. Kimia Farma
PT. Widatra Bhakti
Box isi 5 ampul

Boks 5 amp
Dus,1 vial@50mg
Tube 10 gram
10 mg /Vial
Methylprednisolon
16 mg
Methylprednisolon
4 mg
Methylprednisolon
8 mg
Metochlorpramid
tab 10 mg
220,000.00 AAM
1,035.00
PT Indofarma
440.00
PT Indofarma
585.00
PT Indofarma
110.00
PT Kimia Farma
349. Moksifloksasin tetes mata 0,5%
Vigamox
botol, tetes mata 3 ml
77,000.00
350. Mometason furoat krim 0,1%
n/a
PT. Guardian Pharmatama
tube 10 gram
17,820.00
351. Morfin HCL inj 10 mg/ml
n/a
PT. Kimia Farma
MST Continus
10 mg
MST Continus
15 mg
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
n/a
PT. Widatra Bhakti
Fraxiparine 0.3 PT. Glaxo Wellcome
Indonesia
ml
Indonesia
ml
Indonesia
ml
Dus 10 amp @ 1 ml
8,400.00
15,620.00
22,990.00
Ktk 10 ampul @ 1ML

Botol 30 tablet
Botol 500 ml
Dus, 5 blister @ 2 pfs 0.3
ml
ml
ml
10,499.00
1,300.00
4,700.00
N
N
Y
N
N
Y
54,144.00
66,640.00
94,962.00
360. Nalokson injeksi 0,4 mg/ml
Nokoba
PT. Pratapa Nirmala
Dus, 5 Ampul @ 2ml
61,600.00
361. Natrium Bikarbonat injeksi i.v 8,4%
Meylon
PT Otsuka Indonesia
Ampoel 25 ML
6,200.00
362. Natrium Diklofenak tablet 50 mg
n/a

Laboratories
Box ,5 Blister @ 10 tablet
363. Natrium Diklofenak tablet 25 mg
n/a
Fleet
Phosphosoda
Fucilex
Ointment
n/a
Adalat Oros 20
mg
Adalat Oros 30
mg
PT. Phapros, Tbk
Dus @ 5 X 10 's
PT. Combiphar
Botol, 45 ml
PT. Molex Ayus
352. Morfin HCL tablet SR 10 mg

353. Morfin HCL tablet SR 15 mg
354. Morfin injeksi i.m./s.k./i.v. 10 mg/ml
355. Morfin tablet 10 mg
356. Nacl 0,9%
357. Nadroparin inj 9500 Axa/mL syringe 0,3 mL
358. Nadroparin inj 9500 Axa/mL, syringe 0,4 mL
359. Nadroparin inj 9500 Axa/mL, syringe 0,6 mL
364. Natrium fosfat lar oral 45 mL

365. Natrium fusidat salep 20 mg/g
366. Nevirapin tablet 200 mg
367. Nifedipin tab 20 mg, slow release; oros
368. Nifedipin tab 30 mg, oros
MST Cont 10 mg
15,620.00
PT Kimia Farma
Infus Nacl 0,9%
8,690.00
PT Bibraun Aesculap
Inj Fraxiparine 0,4

ml
84,000.00
PT Glaxo Wellcome Indonesia
Inj Nokoba
93,625.00
Inj Meylon
6,200.00
200.00
Natrium Diklofenac
tab 50 mg
218.00
133.00
33,900.00
Fleet enema
99,220.00
Tube 5 gr
6,490.00
PT. Kimia Farma
btl 60 tablet
2,800.00
PT. Bayer Indonesia
blister
2,999.00
PT. Bayer Indonesia
blister
3,500.00
100.00
Nifedipin tab 10 mg
129.00
640.00
2,618.00
359,900.00
1,199,990.00
214,990.00
160,000.00
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
N
Primolut N
4,554.00
369. Nifedipin tablet/kapsul 10 mg
n/a
PT. Dexa Medica
370.
371.
372.
373.
374.
375.
n/a
Primolut N
n/a
n/a
n/a
n/a
PT. Phapros, Tbk

PT. Bayer Indonesia
PT. Phapros, Tbk
PT. Kimia Farma
PT. Kimia Farma
PT. Indofarma
Nistatin tablet salut 500.000 IU/ g

Noretisteron tablet 5 mg
Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori 2
Obat Antituberkulosis FDC Kategori Anak
Obat Antituberkulosis FDC Sisipan
Vigamox
122,100.00 PT Tempo
Mometasone furoat
14,108.00 PT Guardian Pharmatama
0,1%
Inj Morfin
10,500.00 PT Kimia Farma

salut selaput
Dus @ 10 X 10 's
blister
Paket
Paket
Paket
Nirmala
PT Otsuka Indonesia
PT Combiphar Farma
PT Dexa Medica
PT Bayer Indonesia
376. Obat Antituberkulosis Kategori 1 dewasa
n/a
PT. Indofarma
Dus, 1 dus @ 60 blister @

8 tablet tahap intensif
kategori 1 + 1 Dus @ 54
blister @ 3 tablet tahap
lanjutan kategori 1
288,199.00
PT. Indofarma
Dus, 60 sachet tahap

intensif @ (1 tablet
Isoniazid, 2 kapsul
Rifampicin, 2 tablet
Pyrazinamide) + 120
sachet tahap lanjutan @
(1 tablet Isoniazid, 2
kapsul Rifampicin)
171,195.00
400.00
650.00
27,550.00
2,950,000.00
120,000.00
6,450.00
11,200.00
Y
Y
Y
N
N
N
Dus, 1 Vial @ 40 mg
36,000.00
strip
Dus, 5 Ampul @ 2ml
211.00
2,400.00
377. Obat Antituberkulosis Kategori anak
n/a
378. Ofloxacin tablet 200 mg
n/a
379. Ofloxacin tablet 400 mg
n/a
380. Oksimetazolin tetes hidung 0,025%
Ilaidin Drops
381. Oktreotid 10 mg
Sandostatin
LAR
382. Olanzapin inj 10 mg/vial

383. Olanzapin kapl salut 5 mg
384. Olanzapin tab 10 mg
Zyprexa IM
Olandoz 5
Olandoz 10
385. Omeprazol injeksi 40 mg/ 10 ml
n/a
386. Omeprazol kapsul/kaplet 20 mg

387. ondansetron inj 4 mg/ 2 mL
n/a
n/a
PT. Bayer Indonesia

PT. Sandoz Indonesia
Prima
PT. Novapharin
PT. Indofarma
388. Ondansetron tab 4 mg
n/a
Box 3 X 10 Tab
389. Ondansetron tablet 8 mg
n/a
Box 3 X 10 Tab
n/a
PT Kalbe Farma
Transfer Set: Set;

Ultaclam: Kantong
Plastik; Tenckoff
Catheter: Box; Titanium
Adaptor: Kantong Plastik
n/a
PT Kalbe Farma
Set
390.
Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit

Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)
391. Paket CAPD Pergantian Transfer Set per 6 bulan

Laboratories
Laboratories
PT. Merck Tbk
botol @ 10 ml
Dus, vial @ 355m + 1
prefilled syringe pelarut
@ 2,5 ml + 2 jarum
suntik
Vial
3 X 10 fcc
3 X 10 fcc
Ofloxaxin tab 400

mg
873.00
Inj Omeprazole
74,800.00
Y
Y
Y
Y
408.00
3,550.00
PT Hexapharm
PT Indofarma
716.00
Omperazole caps
Inj Ondasentron
Ondansentron tab 4
mg
1,540.00
1,189.00
1,902,240.00
219,540.00
PT Dexa Medica
Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan

392. komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %,
Larutan Dialisa 4.25 %, Minicap)
Larutan Dialisa
1.5%: Dianeal
Low Calcium
with 1,5%
Dextrose;
Larutan Dialisa
2.5%: Dianeal
Low Calcium PT Kalbe Farma
with 2,5%
Dextrose;
Larutan Dialisa
4.25%: Dianeal
Low Calcium
with 4.25%
Dextrose
Larutan Dialisa 1.5 %:

2.000 ml; Larutan Dialisa
2.5 %: 2.000 ml; Larutan
Dialisa 4.25 %: 2.000 ml;
Minicap: Kantong Plastik
393. Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
n/a
PT. Indofarma
394. Parasetamol sirup 120 mg / 5 ml
n/a
395. Parasetamol tablet 500 mg
n/a
396. Pegylated interferon alfa2a inj 135 mcg/0,5 ml

397. Pegylated interferon alfa2a inj 180 mcg/0,5 ml
402. Pirantel suspensi 125 mg/5 ml
Pegasys
Pegasys
Scabimite
Cream 10
n/a
DECULIN 15
MG
DECULIN 30
MG
n/a
403. Pirantel tablet score (base) 125 mg
5,522,580.00
Dus, 15 botol
5,200.00
SANMOL DROP
14,383.00
PT Sanbe Farma
PT. Afifarma
PT. Imfarmind Farmasi
industri
Laboratories
PT. Kimia Farma
botol 60 ml
Dus, 10 strip @ 10
kaptab
Boks, 1 pfs
Boks, 1 pfs
1,438.00
sanmol syr
10912
PT Sanbe Farma
89.00
SANMOL TAB
264
PT Sanbe Farma
1,077,815.00
1,248,220.00
N
N
N
N
Tube @ 10 g
11,475.00
Ktk 10 ampx2ml
14,500.00
INJ PETHIDIN
13,191
PT Kimia Farma
PT. Dexa Medica
30 TAB/BOX
3,120.00
PT. Dexa Medica
30 TAB/BOX
4,525.00
PT. Holi Pharma
Botol 60 ml
8,360.00
n/a
PT. Holi Pharma
298.00
PYRANTEL 125MG
319
PT Kimia Farma
404. Pirazinamid tablet 500 mg
n/a
PT. Holi Pharma
Dus 10 strip @ 10 tablet
208.00
234
INDOFARMA
405. Polikresulen cairan
Aptil
PT. Pratapa Nirmala
Dus, Botol @ 10ml
17,393.00
406. Povidon Iodida larutan 10% 1000 ml
n/a
PT. Afifarma
botol @ 1000 ml
37,109.00

n/a
n/a
Sifrol ER
0,375mg
Sifrol ER
0,750mg
PT. Afifarma
PT. Afifarma
botol @ 30 ml
botol @ 300 ml
Dus, 3 alu blister @ 10
tablet
Dus, 3 alu blister @ 10
tablet
398. Permetrin krim 5%

399. Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
400. Pioglitazon tab 15 mg
401. Pioglitazon tab 30 mg
409. Pramipeksol tab ER 0,375 mg

410. Pramipeksol tab ER 0,750 mg

PYRAZINAMIDE
500MG
ALBOTHYL 10 ML
28600
PT Phapros
POVIDONE IODINE
56.925
ONEMED
2,163.00
14,203.00
Y
Y
Y
N
POVIDON IODINE
2,750
ONEMED
7,200.00
11,268.00
411. Pravastatin tablet 20 mg
n/a

Laboratories
412. Propanolol tablet 10 mg ( HCl )
n/a
PT. Dexa Medica
413. Propranolol tablet 40 mg (HCl)
n/a
414. Quetiapin tab 200 mg

Seroquel XR
200 mg
Seroquel XR
300 mg
Seroquel XR
400 mg
2,300.00
PRAVASTATIN
20MG
2446
65.00
PROPANOLOL
76
PT Dexa Medica
PT. Holi Pharma
107.00
PROPANOLOL 40
121
PT Dexa Medica
17,391.00
19,500.00
23,185.00
580.00
1,140.00
1711
PT Phapros
275
PT Hexapharm
Infus RL (wida)
5200
PT Widatra Bhakti
RISPERIDONE 2MG
3454
PT Dexa Medica
CEFADROXIL SYR
8192
PT Indofarma
CEFADROXIL CAPS
500
840
PT Hexapharm
417. Ramipril tablet 5 mg
n/a
PT. Dexa Medica
Dus, 10 Strip @ 10
kaptab
418. Ranitidin injeksi 25 mg/2 ml
n/a

Prima
Dus, 10 Ampul @ 2 ml
419. Ranitidin tablet 150 mg
n/a
PT. Dexa Medica
420. Retinol (Vitamin A) 100.000 IU

421. Ringer Laktat larutan infus
n/a
n/a
422. Risperidon tablet 1 mg
120.00
PT. Kimia Farma

PT. Widatra Bhakti

salut selaput
Botol 50 kapsul lunak
botol 500 ml
260.00
5,200.00
Y
Y
N
Y
n/a
PT. Dexa Medica
1,200.00
n/a

Mercusana
KOTAK @ 5 x 10 TAB
1,008.00
n/a
PT. Dexa Medica
2,000.00
425. Rivaroksaban tab 10 mg

23,500.00
23,500.00
23,500.00
Y
Y
Y
N
N
N
5,248.00
6,275.00
7,383.00
Dus, botol 200 dosis
63,750.00
Kapsul
431.00
Dus, 1 Rotahaler
5,867.00
Dus, Botol 60 ml
4,896.00
435. Sefadroksil kapsul/kaplet 250 mg
n/a
PT. Bayer Indonesia

PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Glaxo Wellcome
Indonesia
PT. Glaxo Wellcome
Indonesia
PT. Glaxo Wellcome
Indonesia
PT. Glaxo Wellcome
Indonesia
PT. Glaxo Wellcome
Indonesia
PT. Glaxo Wellcome
Indonesia
PT. Holi Pharma
PT. Hexpharm Jaya
Laboratories
Blister
Blister
Blister
Dus, 7 blister @ 4 Tablet
lepas Lambat
lepas Lambat
lepas Lambat
434. Sefadroksil sirup kering 125 mg/5ml
Xarelto 10 mg
Xarelto 15 mg
Xarelto 20 mg
Requip PD 24
Hour 2 mg
Requip PD 24
Hour 4 mg
Requip PD 24
Hour 8 mg
Ventolin
Inhaler
Ventolin
Rotacaps
Ventolin
Rotahaler
n/a
513.00
436. Sefadroksil kapsul/kaplet 500 mg
n/a
PT. Bernofarm
509.00
428. Ropinirol Tablet Salut 2 mg

431. Salbutamol inhalasi/aerosol 100 mcg/dosis
432. Salbutamol serb inh 200 mcg/kaps
433. Salbutamol serb inh 200 mcg/kaps + rotahaler
INJ RANITIDINE
25MG/ML
RANITIDINE TAB
150 MG
437. Sefadroksil sir kering 250 mg/5 mL
n/a
438. Sefaleksin kapsul/kaplet 500 mg
n/a
439. Sefepim inj 1 g
n/a
440. Sefiksim kapsul/kaplet 100 mg
n/a
441. Sefiksim sirup kering 100 mg/ 5 ml
n/a
442. Sefotaksim injeksi 0,5 g
n/a
443. Sefotaksim injeksi 1 g
n/a
444. Sefpodoksim proksetil tab 100 mg
Banadoz 100
445. Seftazidim injeksi 1 g
n/a
446. Seftriakson serbuk injeksi 1 g/vial
n/a
447. Sefuroksim tab 500 mg
Zinnat 500
448. Setirizin tablet 10 mg
n/a
PT. Pertiwi Agung
449. Sianokobalamin (vitamin B12) injeksi 500 mcg
n/a
Cyclovid 200
mg
Sandimmun
Neoral 100mg
Kap
Sandimmun
Neoral 25mg
Kap
PT. Lucas Djaja

Laboratories
450. Siklofosfamid serbuk injeksi i.v. 200 mg

451. Siklosporin kaps 100 mg
452. Siklosporin kapsul lunak 25 mg
PT. Holi Pharma
CEFADROXIL SYR
FORTE
Dus, Botol 60 ml
5,940.00
Dus, 5 Strip @ 10 Kapsul
1,000.00
43,000.00
Inj Daryacef
850.00
Cefixime caps 100

mg
2,395.00
Dus, Botol 30 ml
8,800.00
Cefixieme syr
30,250.00
PT Hexapharm
Dus, 2 vial @ 500 mg
4,997.00
Dus, 10 Vial @ 1 g
2,950.00
Inj Cefotaxime 1 g
6,050.00
PT Hexapharm
3,700.00
17,060.00
Inj Ceftazidime 1 g
33,858.00
PT Hexapharm
3,300.00
Inj Ceftriaxon 1 g
8,594.00
PT Phapros
7,200.00
Inj Oxtercid
71,500.00
PT Interbat
181.00
Cetirizine tab 10 mg
314.00
1,077.00
vial
82,000.00
Dus, 10 blister @ 5
kapsul lunak
43,000.00
Dus, 10 blister @ 5
kapsul lunak
12,000.00
169.00
391.00
13,000.00
255.00
1,499.00

Laboratories
Laboratories
PT. Dexa Medica
Laboratories
PT. Hexpharm Jaya
Laboratories
Prima
PT. Hexpharm Jaya
Laboratories
Prima
PT. Glaxo Wellcome
Indonesia
vial
Dus, 5 Strip @ 10 kapsul
Dus, 2 vial @ 1 g
Dus, 10 Vial @ 1 g
Dus, 1 Blister @ 10
Tablet salut selaput
Box, 10 strips @ 10
capsules
100 ampul @ 1 ml

salut selaput
salut selaput
Vial 200 ml
Dus, 10 blister @ 10 tab
ss
453. Simvastatin scored tablet 10 mg
n/a
454. Simvastatin tablet 20 mg
n/a
455. Siprofloksasin infus 2%
n/a

Prima
Prima
PT. Dexa Medica
456. Siprofloksasin tablet 500 mg (sebagai HCl)
n/a
PT. Bernofarm
457. Spiramisin tablet 500 mg
n/a
PT. Indofarma
458. Spironolakton tablet 100 mg
n/a
PT. Dexa Medica
900.00
459. Spironolakton tablet 25 mg
n/a
PT. Dexa Medica
315.00
16500
181,500.00 PT Darya Varia
Simvastatin tab 10
513.00
mg
Atorvastatin tab 20
4,400.00
mg
Infus Ciprofloxaxin
57,000.00
Ciprofloxaxin tab
363.00
500 mg
Spiramycin tab 500
1,541.00
mg
Spironolacton tab
1,140.00
100 mg
Spironolacton tab 25
347.00
mg
PT Indofarma
PT Dexa Medica
PT Yarindo Farmatama
PT Hexapharm
PT Hexapharm
PT Dexa Medica
460. Streptokinase injeksi 1,5 juta UI/vial

461. Sufentanil injeksi iv, epidural 5 mcg/ml
Streptase
Sufentanyl
Injeksi
iv.Epidural 5
mcg / ml
PT. Dexa Medica
Vial
PT. Kimia Farma
dus 5 amp @ dus 10

Pounch @ 5 blister @ 10
capsule
Dus, 1 pouch @5
blister@10 kaps
Box @ 2 blister @ 14
tablet
3,290,000.00
127,000.00
11,167.00
21,500.00
5,800.00
462. Takrolimus kaps 0.5 mg
Prograf
PT. Combiphar
463. Takrolimus kaps 1 mg
Prograf
PT. Combiphar
464. Tamsulosin tab 0,2 mg
Harnal D
PT. Combiphar
465. Tamsulosin tab 0,2 mg
Harnal D 0.2
PT. Combiphar
mg Disp. Tablet
Box/ 2 blister @ 14
tablet
5,800.00
466. Tamsulosin tab SR 0,4 mg
Harnal OCAS
PT. Combiphar
0.4 mg Tablet
Box/ 3 blister @ 10
Tablet
6,800.00
467. Telbivudin tab 600 mg

468. Terbutalin cairan ih 2,5 mg/mL
469. Terbutalin tablet 2,5 mg
470. Terbutalin turbu (serbuk ih) 0,50 mg
Sebivo 600 mg
Tab
Bricasma
Respules
Molasma
Tablet
Bricasma
Turbuhaler 0,5
mg
28,500.00
Dus, 2 pak @ 5 respules
6,250.00
Inj Nairet
16,302.00
PT. Molex Ayus
Box 50's
99.00
Nairet tab
880.00

dosis
71,100.00
11,500.00
Cendo pantocain 0,5

%
13,338.00
149.00
Suprabiotic
501.00
1,135.00
Thyrozol tab 10 mg
1,823.00
563.00
Dus, Botol Plastik @ 5ml
9,128.00
Dus, Botol Plastik @ 5ml
9,722.00
152,543.00
2,395.00
115,000.00
90,000.00
405.00
471. Tetrakain HCl tetes mata 0,5%
Pantocain 0.5% PT. Cendo Industri Farmasi
botol 5 ml
472. Tetrasiklin kapsul/kaplet 250 mg
n/a
PT. Holi Pharma
473. Tiamazol tab 10 mg
Thyrozol 10
PT. Merck Tbk
474. Tiamazol tab 5 mg
Thyrozol 5
PT. Merck Tbk
479. Travoprost tetes mata 0,004%
Isotic Adretor
PT. Pratapa Nirmala
0,25%
Isotic Adretor
PT. Pratapa Nirmala
0,5%
Spiriva 10s +
Handihaler
n/a
Prima
Travatan
480. Triamsinolon asetonid nasal spray 55 mcg/puff
Nasacort AQ
PT. Aventis Pharma
481. Trifluoperazin tablet 5 mg
n/a
PT. Darya Varia
475. Timolol tetes mata 0,25%

476. Timolol tetes mata 0,5%
477. Tiotropium kaps 18 mcg + handihaller
478. Tramadol injeksi 50 mg/ml
tablet
tablet
Dus, 1 blister @10 kapsul

+ handihaler
Dus, 10 Ampul @ 2 ml
botol, tetes mata 2,5 ml
Dus, botol plastik 120
dosis
strip
Cendo timolo 0,25%

TM
Cendo timolol ),5 %
TM
Inj Tramadol 50 mg
Nasacort AQ
33,550.00
52,525.00
6,395.00
PT Indofarma
189,420.00 PT Sanofi Aventis
482. Urea krim 10%
Soft U Derm

Laboratories
tube
483. Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)
Imovax Polio
PT. Aventis Pharma
1 vial of 10ml (10 d's)
484. Valproat tab SR 250 mg

485. Valproat tab SR 500 mg
486. Valsartan tab 80 mg
487. Valsartan tab 160 mg
Depakote ER
250 mg
Depakote ER
500 mg
Diovan 80mg
Tab
DIOVAN 160
MG
6,400.00
285,000.00
Tablet
2,793.00
Depakote ER 250 mg
2,793.00
PT Abbot Indonesia
Tablet
5,450.00
Depakote ER 500 mg
6.916
PT Abbot Indonesia
3,900.00
6,500.00
6,200.00
234.00
210,000.00
Y
N
N
N
1,229,998.00
107.00
3,429.00
Y
Y
Y
N
Vit B compleks
22
12,840.00
7,400.00
Zincpro syr 60 ml
29,040.00
473.00
Zinc tab generik
475.00
488. Verapamil tab 240 mg
Isoptin 240 mg PT. Abbott Indonesia
Tablet
489. Verapamil tablet 80 mg (HCl)

490. Vinblastin serbuk injeksi 10 mg
PT. Kimia Farma

PT. Combiphar
Ktk 10X10 TAB

Vial 10mg/10ml
Dus, 1 vial @ 1 ml
492. Vitamin B Kompleks tablet

493. Zidovudin 300 mg + Lamivudine 150 mg
n/a
Vinblastine
Navelbine
injeksi 10
n/a
n/a
PT. Kimia Farma

PT. Kimia Farma
494. Zinc drop 10 mg/mL
Zincpro Drops PT. Combiphar
Dus 10 strip x 10 tab

Botol 60 tablet
Drops 10 mg/ml, Botol
@15 ml
491. Vinorelbin inj. 10 mg/ml
495. Zinc sir 20 mg/5 Ml

496. Zinc tablet dispersible20 mg
Zircum Kid
Sirup
n/a
PT. Meprofarm
Dus, botol 60 ml
PT. Kimia Farma
ktk 10 x 10 tablet
PT Kimia Farma
PT Combiphar Farma
PT Kimia Farma

E Catalogue

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

E Catalogue

Diunggah oleh

Hak Cipta:

Format Tersedia

No

Nama Obat Generik

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida

PT. Kimia Farma

Adefovir Dipivoksil tablet/kaplet 10 mg

PT. SmithKline Beecham

Albendazol suspensi 200 mg/5 ml

Albendazol tablet/kapsul/kaplet 400 mg

PT. Holi Pharma

Alopurinol tablet/kapsul/kaplet 100 mg

PT. Pertiwi Agung

Alprazolam tablet/kapsul/kaplet 0,25 mg

PT. Dexa Medica

Alprazolam tablet/kapsul/kaplet 0,5 mg

Amfoterisin B salep mata 1%

nama obat di for

Allopurinol tab 100

Dus, 10 Strip @ 10 tablet

PT. Kimia Farma

Ktk 10x10 tablet

Alprazolam tab 0,5

PT Otto Pharma Indonesia

PT. Kimia Farma

Ktk 10x10 tablet

PT Otto Pharma Indonesia

PT. Cendo Industri Farmasi

PT. Sanbe Farma

PT. Lucas Djaja

PT Otto Pharma Indonesia

Amoksisilin tab 500

11. Aminofilin injeksi 24 mg/ml

12. Aminofilin tablet scored 200 mg

PT. Marin Liza Farmasi

13. Amiodaron injeksi 150 mg/3 ml

PT. Aventis Pharma

15. Amitriptilin tablet salut 25 mg (HCl)

dus 30 ampul @10 ml

Dus, 10 strip @ 10 tss

16. Amlodipin tablet 10 mg

PT. Pertiwi Agung

Box, 3 strips @ 10 tablets

17. Amlodipin tablet 5 mg

PT. Pertiwi Agung

Box, 3 strips @ 10 tablets

18. Amoksisilin kapsul/kaplet 250 mg

19. Amoksisilin kapsul/kaplet/tablet scored 500 mg

20. Amoksisilin sirup kering forte 250 mg/5 ml

PT. Holi Pharma

21. Amoksisilin sirup kering 125 mg/ 5 ml

10. Amikasin injeksi 250 mg/ml

14. Amiodaron tablet/kaplet 200 mg

Analog insulin long acting inj 100 UI/ml, vial/cartridge

PT. Ferron Par

dus, 5 solostar pen @

Analog insulin mix insulininj 100 UI/ml, vial/cartridge

PT. Tempo Scan Pacific

inj Humalog mix

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge

PT. Ferron Par

Injeksi 100 IU/ml,

PT. Ferron Par

150,300.00 Laboratories Urgo

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge