E Katalog

No
Nama
Dagang
Nama Obat Generik

ACT (Artesunate tablet 50 mg +
1 Amodiaquine anhydrida tablet 200 n/a
mg)
Nama
Penyedia
Kemasan
1 blister@24
PT. Kimia Farma
tablet
Adefovir Dipivoksil tablet/kaplet

10 mg
Hepsera
Dus, 3 Blister
PT. SmithKline Beecham Phamaceuticals
@ 10 kapsul
3 Air untuk irigasi lar infus 1000 ml
WIDA WI
UNICAP
PT. Widatra Bhakti

Btl @ 1000 ml
4 Albendazol suspensi 200 mg/5 ml n/a
Dus, 10 dus @
PT. Indofarma 1 botol @ 10
ml
Albendazol tablet/kapsul/kaplet
400 mg
n/a
PT. Kimia Farmaktk 5 x 6 tablet
Albumin serum normal (human

albumin) injeksi 20%, 100 ml
Zenalb
PT. Ikapharmindo
Vial 100 ml

Zenalb
PT. Ikapharmindo
Vial 50 ml

albumin) injeksi 5% 250 ml
PLASBUMIN 5%
PT. Dipa Pharmalab
botol @ 250 ml
250 ML

PLASBUMIN 5%
PT. Dipa Pharmalab
botol @ 50 ml
50 ML
10
Alopurinol tablet/kapsul/kaplet
100 mg
n/a
Box, 10 strips
PT. Pertiwi Agung
@ 10 tablets
11
300 mg
n/a
PT. Bernofarm
12
Alprazolam tablet/kapsul/kaplet
0,25 mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
13
0,5 mg
n/a
1 box 10 Strip
PT. Otto Pharmaceuticals
X 10 tablet
Dus, 10 blister
@ 10 tablet
14
Alprazolam tablet/kapsul/kaplet 1
n/a
mg
Ktk 10x10
PT. Kimia Farma
tablet
15 Alteplase injeksi 50 mg/vial
Actilyse
Dus, 1
vial@50mg + 1
PT. Boehringer Ingelheim
vial pelarut @
50ml
16 Amfoterisin B salep mata 1%
Fungicide
PT. Cendo Industri

tubeFarmasi
3.5 gr
17 Amikasin injeksi 250 mg/ml
Glybotic 250
mg /ml
PT. Sanbe Farma

Vial 2 ml
18 Aminofilin injeksi 24 mg/ml
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
19 Aminofilin tablet scored 200 mg
n/a
PT. Erela
Botol @100
Tablet
n/a
PT. Erela
Btl @ 100
tablet
21 Amiodaron injeksi 150 mg/3 ml
Cordarone
Dus, 6 ampul
PT. Aventis Pharma
@ 3 ml
22 Amiodaron tablet/kaplet 200 mg
Cordarone
Dus, 3 blister
PT. Aventis Pharma
@ 10 tablet
n/a
PT. Indofarma
24 Amlodipin tablet 10 mg
n/a
Box, 3 strips @
PT. Pertiwi Agung
10 tablets
n/a
Box, 3 strips @
PT. Pertiwi Agung
10 tablets
20
23
Aminofilin tablet/kapsul/kaplet
150 mg
Amitriptilin tablet salut 25 mg

(HCl)
26 Amoksisilin kapsul/kaplet 250 mg n/a
27
Amoksisilin kapsul/kaplet/tablet
scored 500 mg
n/a
PT. Indofarma
Dus, 10 strip @
10 tss
Dus, 10 blister
@ 12 kapsul
KOTAK @ 10 x
PT. Mersifarma Tirmaku Mercusana
10 TAB
28
Amoksisilin sirup kering forte 250

n/a
mg/5 ml
Dus, Botol 60
PT. Holi Pharma
ml
29
Amoksisilin sirup kering 125 mg/ 5

n/a
ml
PT. Novapharinbtl @ 60 ml
30
Ampisilin serbuk injeksi i.v. 1000

mg/vial
PT. Bernofarm
Analog insulin long acting inj 100

UI/ml, vial/cartridge
31
disposible/penfill cartridge (Insulin
glargine
100 IU/ml)
Analog insulin
mix acting inj 100
n/a
Lantus
Solostar
100IU/ml
5pens x3ml
UI/ml, Analog insulin mix acting inj

Novomix
32 100 UI/ml (Premix 30% Insulin
Flexpen
Aspart + 70% Protaminated
Analog
insulin (Analogue))
mix insulininj 100
Insulin Aspart
Humalog Mix
33 disposible/penfill cartridge (25%
25
insulin lispro, 75% insulin lispro
protamine
suspension,
(rDNA))
Analog insulin
rapid acting
inj 100
Aspart (Analogue))
Analog insulin rapid acting inj 100
35
Aspart (Analogue))
Analog insulin rapid actinginj 100
36
glulisine 100 IU/ml)
37
lispro (rDNA origin))
34
38
Anastrozol tablet/kapsul/kaplet 1
mg
dus, 5 solostar
PT. Aventis Pharma
pen @ 3ml
Injeksi 100
IU/ml, Flexpen
disposible 3 ml
PT. Ferron Par Pharmaceuticals
(1 box isi 5
flexpen
disposible)
Penfill
PT. Tempo Scan Pacific
cartridge
Novorapid Vial PT. Ferron Par Pharmaceuticals

Dus, vial 10 ml
Injeksi 100
IU/ml, Flexpen
Novorapid
disposible 3 ml
Flexpen
(1 box isi 5
flexpen
disposible)
Apidra Solostar
dus, 5 solostar
100IU/ml
PT. Aventis Pharma
pen @ 3ml
5pens x3ml
Humalog
Penfill
cartridge
Dus, 2 blister
Arimidex 1 mg PT. AstraZeneca indonesia
@ 14 Tablet
Antasida DOEN I tablet kunyah,

kombinasi : Aluminium Hidroksida
39
n/a
200 mg Magnesium Hidroksida
200 mg
Antasida DOEN II suspensi,
40
n/a
200 mg/5 ml Magnesium
Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep
41 kombinasi: Basitrasin 500 IU/g
Polimiksin 10.000 IU/g
Dus, 10 vial @
1g
n/a
PT. Erela
Dus, 10 Strip
@ 10 Tablet
PT. Lucas Djajabtl 60 ml
PT. Indofarma
Dus, 25 tube @
5g
Antimalaria DOEN kombinasi :

42 Pirimetamin 25 mg Sulfadoksin
500 mg
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
Antimigren: Ergotamin Tartrat 1

mg + Kofein 50 mg
n/a
PT. Kimia FarmaBtl 100 tablet
43
Antiparkinson DOEN tablet

44 kombinasi : Benserazid 25 mg
Levodopa 100 mg
Levopar Tablet PT. Meprofarm
45 Artemether injeksi 80 mg/ml
Artem
Dus 6 amp @
PT. Kimia Farma
1ml
Dus, 5 strip @
10 tablet
46
Asam Asetilsalisilat (asetosal)

tablet 100 mg
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
47

tablet/kaplet/kapsul 80 mg
Miniaspi 80
KOTAK @ 10 x
10 TAB
48
Asam Askorbat (Vitamin C) tablet

n/a
250 mg
ktk 10x10
PT. Kimia Farma
tablet
49

n/a
50 mg
Dus 10 strip x
PT. Kimia Farma
10 tab
50
Asam Folat tablet/kapsul/kaplet

0,4 mg
Dus, 10 strip
PT. Dexa Medica
@10 tablet
51
Asam Folat tablet/kapsul/kaplet 1

n/a
mg
Starfolat
52 Asam Ibandronat injeksi 6mg/6ml Bondronat
53
Asam Mefenamat kapsul/kaplet

500 mg
54 Asam pipemidat kapsul 400 mg
55
Asam traneksamat injeksi 100

mg/ml
n/a
Botol @ 100
PT. Marin Liza Farmasi
tablet
PT. Boehringer Boks,

Ingelheim
1 ampul
PT. Bernofarm
Dus, 10 blister
@ 10 kaptab ss
Urotractin 400
PT. Sanbe Farma
Strip
mg
n/a
Dus, 10 ampul
PT. Hexpharm Jaya Laboratories
@ 5 ml
56

mg/ml
n/a
57 Asam zoledronat injeksi 4mg/5mL ZOMETA
58 Asiklovir salep mata 3%
Temiral Eye
Oint
PT. Bernofarm
Dus, 10 ampul
@ 5 ml
Dus, 1 vial
PT. Novartis Indonesia
plastik @ 5ml
PT. Sanbe Farma

Tube 3,5 gram
59
Asiklovir tablet/kapsul/kaplet 200

n/a
mg
ktk 10x10
PT. Kimia Farma
tablet
60

n/a
mg
ktk 10x10
PT. Kimia Farma
tablet
61
Asparaginase serbuk injeksi

10.000 UI/vial
Leunase
PT. Widatra Bhakti

10.000 UI/Vial
62 Atapulgit tablet 600 mg
Pularex
Dus 5 strip @
PT. Zenith Pharmaceuticals
10 tablet
63 Atrakurium injeksi 25 mg/2,5 ml
Tracrium
Dus, 5 ampul
PT. Glaxo Wellcome Indonesia
@ 2.5 ml
64 Atropin Sulfat tablet 0,5 mg
n/a
PT. Indofarma
n/a
PT. Soho Industri

botol
Pharmasi
@ 60 ml
66 Azitromisin tablet 500 mg
n/a
PT. Kimia Farmaktk 2x10 tablet
n/a
PT. Soho Industri

Strip
Pharmasi
68 Bedak salisil serbuk 2%
n/a
PT. Rama Emerald

DusMulti
@ 50Sukses
gram
n/a
Ds 10 vial x 1,2
PT. Phapros, Tbk
Jt IU
65
69
Azitromisin sir kering 200 mg/ 5

mL
Benzatin Benzil Penisilin 1,2 juta

IU/ vial
Dus, 10 strip @
10 tablet
70

IU/vial
n/a
PT. Phapros, Tbk

Dus @ 10 Vial
71
Beractant injeksi / suspensi 25

mg/mL
Survanta
PT. Abbott Indonesia

Vial
72 Beraprost sodium tablet 20 mcg
Dorner
PT. Combiphar
Box @ 3 blister
@ 10 Tablet
Dorner 20 g
PT. Combiphar
Box/ 3 blister
@ 10 Tablet
74
Betametason krim 0,1% (sebagai

n/a
Valerat)
PT. Kimia FarmaTube 5 gr
75 Betametason tetes mata 1 mg/ml
Betam Ophtal
PT. Sanbe Farma
botol @ 5 ml
ED
Bevasizumab injeksi 25 mg/ml

(Skema Risk Sharing sesuai
76
Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Avastin
Dus, 1 vial @ 4
ml
77 Bikalutamid tablet salut 150 mg
Casodex 150
mg
Dus, 2 blister
PT. AstraZeneca indonesia
@ 14 Tablet
Casodex 50
mg
Dus, 2 blister
@ 14 Tablet
79 Bisakodil suppositoria 10 mg
Stolax supp
PT. Sanbe Farma

Supp
80 Bisoprolol tablet 2,5 mg
Concor 2.5
PT. Merck Tbk
81 Bisoprolol tablet 5 mg
n/a
PT. Pratapa Nirmala

Box 3 X 10 tab
BLEOCIN
PT Kalbe FarmaVial
Cripsa tab
PT. Caprifarmindo
Box 3 x 10'S
82
Bleomisin serbuk injeksi 15

mg/ampul
83 Bromokriptin tablet 2,5 mg
Dus 10 blister
@ 10 tablet
84
Budesonid inhaler 200 mcg/puff,

100 dosis
Pulmicort
Turbuhaler
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
100 dosis
85
Budesonid respules / cairan

inhaler 0,25mg/mL
Pulmicort
Respules
Dus, 4 pak @ 5
PT. AstraZeneca
respules
indonesia
@2
ml
86
Symbicort
Budesonid-formoterol (fixed
Turbuhaler
combination) inhaler 160/4,5 mcg
160/4.5 mcg
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
120 dosis
87
Symbicort
80/4.5 mcg
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
60 dosis
88
Bupivakain injeksi 0,50% (HCl) +

glukosa 8%
n/a
Dus, 5 ampul
PT. Dexa Medica
@ 4 ml
89 Bupivakain injeksi 0,50% (P.V)
Dus, 5
Marcain Cairan
PT. AstraZeneca
polyamp
indonesia
Suntik
duofit@ 20 ml
90 Dabigatran eteksilat kapsul 75 mg Pradaxa
Dus, 3 blister
@ 10 kapsul
91
Dabigatran eteksilat kapsul 110

mg
Pradaxa
Dus, 3 blister
@ 10 kapsul
92
Dakarbazin serbuk injeksi 200

mg/vial
DBL
Dacarbazine
PT. Tempo Scanvial

Pacific
@ 20 ml
93
Daunorubisin serbuk injeksi 20

mg/vial
DAUNOCIN
PT. Novell Pharmaeutical

vial
Laboratories
94
Deferasiroks tablet disp/ eff 250

mg
Exjade 250 mg
Dus, 4 blister
Tab
@ 7 tablet
95

mg
Exjade 500 mg
Dus, 4 blister
Tab
@ 7 tablet
96 Deferipron larutan oral 100 mg/mL
Ferriprox Oral
Solution
Dus, Botol @
PT. Sydna Farma
500ml
97 Deferipron tablet 500 mg
Dus, Botol @
Ferriprox tablet PT. Sydna Farma
100 tablet
98
Deferoksamin Mesilat serbuk

injeksi 500 mg
Desferal
Dus, 10 vial @
500mg
99
Deksametason injeksi i.v./i.m. 5

mg/ml
n/a
PT. Indofarma
100 Deksametason tablet 0,5 mg
n/a
Dus, 10
PT. Promedrahardjo
Strip@10
Farmasi Industri
Tablet
101 Desogestrel tablet 75 mcg
Cerazette
Dus, 1 Blister
PT. Merck Sharp Dohme Pharma Tbk
@ 28 tablet
102 Desoksimetason krim 0,25%
n/a
Kotak, tube @
PT. Dexa Medica
15 gram
DEXIGEN
Dus, tube @ 5
PT. Ifars Pharmaceutical Laboratories
g
Dus, 100
ampul @ 1 ml
104
Diazepam larutan rektal 5 mg/2,5

STESOLID
mL
Dus, 5 alubag
PT. Actavis Indonesia
@ 1 tube @
2,5ml
105
Diazepam larutan rektal 10

mg/2,5 mL
STESOLID
Dus, 5 alubag
@ 1 tube @
2,5ml
106
Difenhidramin injeksi i.v./i.m. 10

mg/ml (HCl)
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
107 Digoksin injeksi 0,25 mg/ml
Fargoxin inj
Box @ 5 ampul
PT. Pratapa Nirmala
2 mL
108 Digoksin tablet 0,25 mg
n/a
Box 10 X 10
PT. Yarindo Farmatama
Tab
109 Diltiazem HCl tablet 30 mg
n/a
PT. Kimia FarmaKtk 10X10 TAB
110 Diltiazem infus injeksi 50 mg
Herbesser
10 vial @
Powder
PT. Tanabe Indonesia
50mg
Injection 50mg
111 Diltiazem injeksi 25 mg/5 mL
Farmabes
Injeksi 25 mg
PT. Pratapa Nirmala

Vial 5 mL
112 Diltiazem Kapsul SR 100 mg
Herbesser CD
100
3 blister @ 10
kapsul
Herbesser CD
200
3 blister @ 10
kapsul
114 Dimenhidrinat tablet 50 mg
n/a
E.D.T.A
PT. Cendo Industri

botol
Farmasi
15 ml
115
Dinatrium edetat tetes mata

0,35%
116
Dinatrium klodronat infus kons 60 Bonefos Infus

mg/mL
60 mg / 5 ml
PT. Bayer Indonesia

ampul
117 Dobutamin injeksi 50 mg/mL
DOBURAN
PT. Dipa Pharmalab

ampul @ 5 ml
118 Doksazosin mesilat tablet 1 mg
Cardura 1mg
Dus, 5 blister
PT. Pfizer Indonesia
@10's tab
Cardura 2mg
Dus, 5 blister
@10's tab
120
Doksorubisin serbuk injeksi i.v. 10 Doxorubicin

mg/vial
kalbe
PT Kalbe Farmavial @ 5 ml
121

mg/vial
kalbe
122
Domperidon suspensi/sirup 5
mg/5 ml
n/a
123 Domperidon tablet 10 mg
n/a
PT. Novapharindus 10 X 10'S
124 Domperidon tetes 5 mg/mL
n/a
PT. Bernofarm
125 Dopamin injeksi 40 mg/ml
Dopamin
Dus 5 amp @
PT. Kimia Farma
10 ml
Dus, botol @
10 ml
126 Dosetaksel injeksi 20 mg/0,5 ml
n/a
Dus, 1 vial
@0,5 ml+ 1
PT. Sanbe Farma
vial pelarut
@1,5 ml
DTPA (diethylene triamine

127 pentaacetic acid) 2,06-2,5 mg
pentetate calcium trisodium/mL
Renalscan
KaeF
PT. Kimia FarmaDus @ 5 vial
128 Dutasterid kaps lunak 0,5 mg
Avodart
Dus, Botol
PT. SmithKline Beecham
Plastik @ 30
Phamaceuticals
Tablet
129 Efavirens tablet salut 600 mg
n/a
PT. Kimia FarmaBotol 30 tab
130 Efedrin Inj 50 mg/ml
n/a
PT. Bernofarm Ampul @ 1 ml
131 Eksemestan tablet 25 mg
Aromasin
Dus, 2 blister
@ 15 tablet
132
dus, 2 prefilled
Enoksaparin sodium inj 20 mg/0,2 Lovenox 2000
PT. Aventis Pharma
syringe @ 0,2
mL
ANTI-XA
ml
133
dus, 2 prefilled
PT. Aventis Pharma
syringe @ 0,4
mL
ANTI-XA
ml
134
dus, 2 prefilled
PT. Aventis Pharma
syringe @ 0,6
mL
ANTI-XA
ml
135
Epinefrin (Adrenalin) injeksi

i.v/s.k./i.m 1 mg/ml
136 Epirubisin serb injeksi 50 mg/25ml
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
Epirubisin
Kalbe
PT Kalbe FarmaVial @ 25 ml
137 Epirubisin serb injeksi 10 mg/5 ml n/a
Dus, 1 vial @5
PT. Sanbe Farma
ml
138
Ergokalsiferol (vitamin D3/D2)

kapsul 50.000 UI
D-Vit FT
Dus 3 strip @
PT. Gracia Pharmindo
10 Flash tablet
139

suspensi 10.000 UI/ml
D-Vit Syrup
Dus, Botol
Plastik @ 100
mL
140 Eritromisin kapsul/kaplet 500 mg
141
n/a
Eritromisin sirup kering 200 mg/ 5

n/a
ml
PT. Indofarma
Dus, 10 blister
@ 10 kss
PT. Phyto KemoBotol

Agung
@60
Farma
ml
142 Eritropoetin-alfa inj 10000 UI/mL
Hemapo
10.000 IU
vial/ampul
PT Kalbe Farma(Prefilled
Syringe)
Eprex 2000
Dus, 6 prefilled
PT. Soho Industri
syrenge
Pharmasi
@ 0.5
ml
Prefilled
Hemapo 3000 PT Kalbe Farma
Syringe @ 1ml
145
Eritropoetin-beta inj 2000 UI/0,3

mL
Recormon

Ingelheim
6 ampul
146 Etambutol tablet 250 mg (HCl)
n/a
ktk 20 x 10
PT. Kimia Farma
tablet
Etambutol tablet salut 500 mg

(HCl)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
148 Etanol 70% cairan
n/a
149 Etinilestradiol tablet 0,05 mg
Lynoral
Dus, botol @
100 tablet
150 Etonogestrel implan 68 mcg
Implanon
Dus, 1 blister
PT. Merck Sharp@Dohme
1 subdermal
Pharma Tbk
implant
151 Etoposid injeksi 20 mg/ml
Etopul

ampul @ 5ml
Laboratories
152 Eugenol cairan
n/a
PT. Kimia FarmaBotol 10 ml
153 Everolimus tab 0,25 mg
Certican 0,25
mg Tab
Dus, 6 blister
@ 10 tablet
147
Certican 0,5
mg Tab
Faktor VIIa (rekombinan) serb inj 1

155
Novoseven
mg/vial + pelarut untuk injeksi
Dus, 6 blister
@ 10 tablet
KOTAK @ 1
VIAL SERBUK
OBAT &
INFUSION KIT
156
Faktor VIII (konsentrat) serb inj

230 -340 UI
Haemoctin
PT. Kimia Farmavial
157

250 UI/vial + pelarut 5 mL
Haemoctin
PT. Kimia Farmavial
158

480 - 600 UI
KOATE DVI 500

PT. Dipa Pharmalab
vial
IU
159 Fenitoin injeksi 50 mg/ml
n/a
KOTAK @ 10
ampul
160 Fenitoin kapsul/kaplet 100 mg
n/a
PT. Ikapharmindo
Botol @ 100
161 Fenitoin Na Inj 100 mg/2 ml
n/a
KOTAK @ 10
ampul
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
163 Fenofibrat kaps 100 mg
n/a
Dus, 3 strip @
10 kapsul
n/a
Dus, 3 strip @
10 kapsul
162
Fenobarbital injeksi i.m./i.v. 50

mg/ml
165
Fenoksimetil penisilin (penisilin V)

n/a
tablet 250 mg
Dus @ 10 X 10
PT. Phapros, Tbk
's
166

Fenocin
tab 125 mg
Dus 45 x 12
tab
167
Fenoksimetil penisilin (penisilin

V)tablet 500 mg
Dus @ 10 X 10
PT. Phapros, Tbk
's
n/a
168 Fenoterol HBr ih 100 mcg/puff
Berotec MDI
Box, canister
10mL
169 Fenoterol HBr inh solution 0,1%
Berotec
Solution
Dus, Canister
200 dosis
170
Fentanil injeksi i.m/i.v 0,05 mg/ml,

n/a
ampul 10 ml
Dus 5 ampul@
PT. Kimia Farma
10ml
171

n/a
ampul 2 ml
Dus 5 ampul@
PT. Kimia Farma
2ml
172 Fentanil patch 12,5 mcg/jam
Durogesic 12,5
PT. Kimia FarmaDus @ 5 patch
MU Matrix
173 Fentanil patch 25 mcg/jam
Durogesic 25
MU Matrix
PT. Kimia FarmaDus@ 5 patch
Durogesic 50
MU Matrix
175 Filgrastim inj 300 mcg/mL
Leucogen
PT Kalbe Farmapfs @ 0,5 ml
176 Finasterid tab 5 mg
Prostacom
PT. Combiphar
Box, isi 3 Strip

@ 10 tab
177
Fitomenadion (Vit.K1) tablet salut

n/a
gula 10 mg
Dus @ 10 X 10
PT. Phapros, Tbk
's
178
Fitomenadion (Vitamin K1) injeksi

n/a
i.m. 2 mg/ml
dus @ 30
PT. Phapros, Tbk
ampul
179 Fludarabin inj 50 mg
Dus, 5 vial @
Fludara IV LYO PT. Aventis Pharma
50 mg
180 Fludarabin tab 10 mg
Fludara Oral
Dus, 4 blister
PT. Aventis Pharma
@ 5 tablet
salut selaput
181 Flufenazin injeksi i.m. 25 mg/ml
Sikzonoate
Injeksi
Dus, 5 ampul
@ 1ml
182 Flukonazol injeksi 2 mg/ml
183
n/a

Botol
Laboratories
Flukonazol tablet/kaplet/kapsul 50
Diflucan 50mg PT. Pfizer Indonesia
Blister
mg
184 Flukonazol tablet/kapsul 150 mg
n/a
ktk 1 x 10
PT. Kimia Farma
kapsul
185 Fluoksetin tablet 10 mg
Foransi 10

strip
NOPRES
DUS, 30
PT. Dexa Medica
TABLET
187 Fluorometolon tetes mata 0,1 %
Ocuflam ED
PT. Sanbe Farma

botol @ 5 ml
188 Fluorourasil inj 250 mg/mL
Curacil
189 Fluorourasil inj 500 mg/ 5 mL
Curacil
190 Flusinolon asetonid krim 0,025%
SYNARCUS
PT. Ifars Pharmaceutical

Dus, TubeLaboratories
5g
191 Flutikason furoat intranasal spray Avamys
Dus, Botol 120

Dosis Spay
Flutikason propionat nebules 0,5

192
mg
Flixotide
Nbules
Dus, 2 flow
wrap@ 5
nebules @ 1
dosis (2ml)
193 Fondaparinuks inj 2,5 mg/0,5 mL
Arixtra
Dus, 2 pfs 0.5

ml
194 Fraksi protein plasma lar inf 5%
Plasmanate
dus, vial @ 250

PT. Dipa Pharmalab
ml
n/a
PT. Indofarma
195
Furosemid injeksi i.v./i.m. 10

mg/ml
Dus, 25 ampul
@ 2 ml
PT. Indofarma
Dus, 10 strip @
10 tablet
196 Furosemid tablet 40 mg
n/a
197 Gadobutrol macrocyclic 5 mg
Prefilled
Gadovist 5 mg PT. Bayer Indonesia
Syringe
198 Gadobutrol macrocyclic 7,5 mg
Gadovist 7,5
mg
Prefilled
PT. Bayer Indonesia
Syringe
199
Gadoksetat disodium 0,25 mmol

gadoxetate disodium/mL
Primovist
Prefilled
PT. Bayer Indonesia
Syringe
200
Gansiklovir serb inj 500 mg (50

mg/mL)
Cymevene

Ingelheim
1 ampul
Garam Oralit I serbuk, kombinasi :

Natrium klorida 0,52 g kalium
201 klorida 0,30 g Trinatrium sitrat
n/a
dihidrat 0,58 g Glukosa Anhidrat
2,70 g
202 Gefitinib tab 250 mg
Dus @ 100
PT. Phapros, Tbk
Sachet
Dus, 1 blister
Iressa 250 mg PT. AstraZeneca indonesia
@ 10 tablet
203 Gemfibrozil kapsul/kaplet 300 mg n/a
PT. Indofarma
Dus, 10 blister
@ 12 kapsul
204 Gemfibrozil tablet 600 mg
n/a
PT. Indofarma
Dus, 10 blister
@ 10 kaptab
205 Gemsitabin inj 1000 mg/vial
Gemzar 1000
mg
PT. Bayer Indonesia

vial
n/a
Dus, 1 vial
PT. Sanbe Farma
@200 mg
207 Gentamisin injeksi 40 mg/ ml
n/a
PT. Indofarma
208 Gentamisin salep mata 0,3%
Genoint Salep
PT. Erela
Mata
Tube @ 3,5 gr
209 Gentamisin tetes mata 0,3%
n/a
Dus, botol
plastik 5 ml
PT. Indofarma
Dus, 5 ampul
@ 2 ml
Dus, 10 blister
@ 10 kaptab
210 Glibenklamid tablet 5 mg
n/a
PT. Indofarma
211 Gliklazid tab 80 mg
Glicab
PT. Tempo ScanStrip

Pacific
Dus, 6 strip @
Diamicron MR
PT. Pradja Pharin
10 tablet lepas
30
lambat
213 Glikuidon tab 30 mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
214 Glimepiride tablet 1 mg
n/a
n/a
n/a
n/a
218 Gliseril trinitrat kaps SR 2,5 mg
Nitrokaf Retard PT. Kimia FarmaDus 10x10
219 Gliseril trinitrat kaps SR 5 mg
Nitrokaf Forte
220
Gliseril trinitrat tab sublingual 0,5

Nitral
mg
PT. Kimia FarmaDus 10x10

Btl @ 30 tablet
221 Gliserin lar 50%
Gliserin lar
50%
PT. Lucas Djaja
Glycerin 100
ml
222 Glukosa larutan infus 10 % steril
n/a
PT. Widatra Bhakti

botol @ 500 ml
n/a
PT. Widatra Bhakti

botol @ 500 ml
224 Goserelin asetat inj 10,8 mg/vial
Zoladex 10,8
mg
Dus, 1 syringe
@ 10.8 mg
225 Goserelin asetat inj 3,6 mg
Zoladex 3,6
mg
Dus, 1 syringe
@ 3.6 mg
226 Griseofulvin tablet 125 mg
n/a
PT. Indofarma
227 Haloperidol inj 50 mg/mL
Haldol
Decanoas
Dus 5
PT. Soho Industri Pharmasi
Ampul@1mL
228 Haloperidol injeksi i.m 5 mg/ml
Lodomer
Injeksi
KOTAK @ 12
ampul
229 Haloperidol tablet 0,5 mg
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
230 Haloperidol tablet 5 mg
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
Lodomer 2
KOTAK @ 10 x
10 TAB
233 Halotan Inhalasi
Halothane
PT. Dexa Medica

Botol
234 Heparin injeksi i.v./s.k. 5000 UI/ml Inviclot
235
Hepatitis B imunoglobulin
(human)
236 Hidrokortison krim 2,5 %
237
Dus, 10 blister
@ 10 tablet
PT. Pratapa Nirmala

vial
Hyperhep B
Dus, 1 syringe
PT. Dipa Pharmalab
@ 0.5 mL
n/a
Hidroksi Urea tablet/kaplet/kapsul HYDROXYUREA

PT. Dipa Pharmalab
vial
500 mg
MEDAC
238
Hiosin butilbromid injeksi 20

mg/ml
n/a
box 5ampul
@1 ml
Human insulin intermediate acting

239 inj 100 UI/ml, vial (Human Insulin Insulatard Vial PT. Ferron Par Pharmaceuticals
Dus, vial 10 ml
(Intermediate-Acting))
240 inj 100 UI/ml, vial (Insulin human Humulin N Vial PT. Bayer Indonesia
Dus, vial 10 ml
Basal)
241 inj 100 UI/ml, vial/cartridge
n/a
disposible/penfill cartridge
inj 100 UI/ml,penfill cartridge
Insulatard
242
(Human Insulin (IntermediatePenfill
Acting))
Dus, 1 Vial @ 5
PT. Aventis Pharma
ml
Injeksi 100
IU/ml, penfill
disposible 3 ml
(1 box isi 5
penfill
disposible)
Dus Isi 5

243 inj 100 UI/ml,penfill cartridge
Humulin N Cart PT. Bayer Indonesia
penfill/cartridg
(Insulin human Basal)
e @ 3ml
Sansulin N
penfillcartridge
PT. Sanbe Farma
@ 3ml
Injeksi 100
Human insulin mix insulin inj 100
IU/ml, penfill
UI/ml, penfill cartridge (Human
disposible 3 ml
245
Mixtard Penfill PT. Ferron Par Pharmaceuticals
Insulin (Premix: 30% Soluble + 70
(1 box isi 5
% NPH Insulin))
penfill
disposible)
Dus Isi 5
Humulin 30/70
246 UI/ml, penfill cartridge (Insulin
PT. Bayer Indonesia
penfill/cartridg
Cart
human Comb)
e @ 3ml
247 UI/ml, vial (Human Insulin (Premix: Mixtard Vial
30% Soluble + 70 % NPH Insulin))

Dus, vial 10 ml
Human insulin mix insulin inj 100 Humulin 30/70

PT. Bayer Indonesia
Dus, vial 10 ml
UI/ml, vial (Insulin human Comb) Vial
Injeksi 100
IU/ml, penfill
Human insulin short acting inj 100
disposible 3 ml
249 UI/ml, penfill cartridge (Human
Actrapid Penfill PT. Ferron Par Pharmaceuticals
(1 box isi 5
Insulin (Short Acting))
penfill
disposible)
penfill
248

human Rapd)
Sansulin R
PT. Sanbe Farma

cartridge @
3ml

Dus Isi 5
Humulin R Cart PT. Bayer Indonesia
penfill/cartridg
human Rapd)
e @ 3ml

252 UI/ml, vial (Human Insulin (Short Actrapid Vial
Acting))
253

Dus, vial 10 ml

Humulin R Vial PT. Bayer Indonesia
Dus, vial 10 ml
UI/ml, vial (Insulin human Rapd)

254 UI/ml, vial/cartridge
n/a
Tetagam
Prefilled
PT. Dexa Medica
syringe
256 Ibuprofen sirup 100 mg/5 ml
n/a
PT. Indofarma
Dus, botol 60
ml
257 Ibuprofen suspensi 200 mg/5 ml
n/a
PT. Indofarma
Dus, botol 60
ml
258 Ibuprofen tablet 200 mg
n/a
botol @ 100
tablet
n/a
255
260
Human tetanus imunoglobulinn

injeksi i.m. 250 UI
Dus, 1 Vial @ 5
PT. Aventis Pharma
ml
Ifosfamid serbuk injeksi 1000

mg/vial
Holoxan injeksi
Dus, 1 vial @ 1
PT. Mugi Laboratories
1000
g
Imanitib Mesilat tablet salut

selaput 100 mg (Skema Risk
261 Sharing sesuai Kepmenkes RI
Nomor
HK.02.02/Menkes/223/2014)
Glivec
Dus, 6 blister
@ 10 tablet
salut selaput
262 Imidapril tab 10 mg
Tanapress
10mg
3 blister @ 10
tablet
3 blister @ 10
Tanapress 5mg PT. Tanabe Indonesia
tablet
264
Iopamidol 200-300 mg Iodium/mL

Iopamiro
(300mg @ vial 100ml)
Dus, botol @
PT. Dipa Pharmalab
100 ml
265

Iopamiro
(300mg @ vial 30ml)
Dus, vial @ 30
PT. Dipa Pharmalab
ml
266

Iopamiro
(300mg @ vial 50ml)
Dus, vial @ 50
PT. Dipa Pharmalab
ml
267

Iopamiro
Dus, botol @
PT. Dipa Pharmalab
100 ml
268

Iopamiro
(370mg @ vial 30ml)
Dus, vial @ 30
PT. Dipa Pharmalab
ml
269

Iopamiro
(370mg @ vial 50ml)
Dus, vial @ 50
PT. Dipa Pharmalab
ml
270
Iopromide 300-370 mg Iodium/mL Ultravist

(300 mg / 100 ml)
300/100 mg
PT. Bayer Indonesia

Botol
271

(300 mg / 50 ml)
300/50 mg
PT. Bayer Indonesia

Botol
272

(370 mg / 100 ml)
370/100 mg
PT. Bayer Indonesia

Botol
273

(370 mg / 50 ml)
370/50 mg
PT. Bayer Indonesia

Botol
274
Ipratropium bromida inhalasi 20

mcg/semprot
Atrovent HFA
Box, canister
10mL
275 Irbesartan tab 150 mg
n/a
PT. Indofarma
Dus, 5 blister
@ 10 kss
n/a
PT. Indofarma
Dus, 5 blister
@ 10 kss
277 Irinotekan inf 20 mg/ml
n/a
Dus, 1 vial @2
PT. Sanbe Farma
ml
278 Isofluran inhalasi
Terrell
PT. Pratapa Nirmala

Botol 100 mL
279
Isoniazid tablet/kapsul/kaplet 100

n/a
mg
Botol 100
PT. Phyto Kemo Agung Farma
tablet
280

n/a
mg
Botol 100
tablet
281
Isosorbid Dinitrat injeksi i.v 10

mg/10 ml
PT. Pratapa Nirmala

vial
282
Isosorbid Dinitrat tablet sublingual

n/a
5 mg
Farsorbid inj
PT. Indofarma
Dus, 10 strip @
10 tablet
283 Kalium aspartat tab 300 mg
Kalipar
PT. Tempo ScanStrip

Pacific
284 Kalium Klorida tablet 600 mg
KSR
PT. Merck Tbk
Dus, 10 strip @
10 tablet
285
Kalsium Folinat (Leukovorin Ca) inj DBL

50 mg/ml
Leucovorin
Vial 50 mg/5
ml
286
Kalsium Glukonat injeksi i.v 10%

(100 mg/ml)
Kalsium
glukonat
PT. Ethica Industri

Ampul
Farmasi
287
Kalsium Laktat (Kalk)

tablet/kapsul/kaplet 500 mg
n/a
PT. Afifarma
288
Kalsium polistirena sulfonat ktg 5

KALQUEST
g
Dus,10 Strip @
10 tablet

kantong 5 Laboratories
g
289 Kandesartan tab 16 mg
n/a
Dus, 3 Blister
PT. Dexa Medica
@ 10 tablet
n/a
Dus, 3 Blister
PT. Dexa Medica
@ 10 tablet
291 Kapesitabin tab 500 mg
Xeloda
Boks, 120
tablet
292 Kaptopril tablet 50 mg
n/a
PT. Indofarma
293 Kaptopril tablet scored 25 mg
n/a
Dus, 10 strip
PT. Errita Pharma
@10 tablet
Dus, 10 strip @
10 tablet
294 Kaptopril tablet scored12,5 mg
n/a
PT. Indofarma
Dus, 10 strip @
10 tablet
Tegretol Syrup
Dus, botol @
295 Karbamazepin sirup 100 mg/5 ml 100mg/5ml,
120 ml
120ml
n/a
297 Karbimazol tab 5 mg
Dus,botol 100
Neo-Mercazole PT. Nicholas Laboratories Indonesia
tablet
298 Karbogliserin tetes telinga 10%
Karbogliserin
tetes telinga
10%
PT. Lucas Djaja
299 Karboplatin 150 mg / 15 ml
DBL
Carboplatin
150 mg
PT. Tempo Scanvial

Pacific
@ 15 ml
DBL
Carboplatin
450 mg
PT. Tempo Scanvial

Pacific
@ 45 ml
V - BLOC
PT Kalbe Farmastrip
302 Ketamin injeksi i.v. 100 mg/ml
KTM
PT. Guardian Pharmatama

Vial @ 10 ml
Ketamin
Hameln
PT. Combiphar
304 Ketokonazol krim 2%
n/a
Box isi 1 Tube

PT. Novell Pharmaeutical Laboratories
@ 15 g
n/a
PT. Kimia Farmatube 10 gr
n/a
PT. Hexpharm Jaya

tubeLaboratories
5 gr
307 Ketokonazol scalp sol 2%
Zoloral SS
PT. Ikapharmindo
Botol 80 ml
301
Karvediol tablet/kaplet/kapsul
6,25 mg
PT. Indofarma
Dus, 10 blister
@ 10 tablet
296 Karbamazepin tablet 200 mg
Fenol 100 mg /
1 ml
Box, isi 1 vial

@ 10 ml
308 Ketokonazol tablet 200 mg
n/a
309 Ketoprofen supositoria 100 mg
dus 2 's @ 10
Protofen Supp PT. Kimia Farma
supp
310 Ketorolac injeksi 30 mg/ml
n/a
Dus @ 12
PT. Phapros, Tbk
Ampul
311 Klaritromisin tab 500 mg
ORIXAL
Dus, 3 Strip @
10 Kaplet Laboratories
salut
selaput
312 Klindamisin kapsul/kaplet 150 mg n/a
PT. Indofarma
Dus, 5 blister
@ 10 kapsul
PT. Bernofarm
Dus, 3 strip @
10 kapsul
314 Klobazam tab 10 mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
Catapres
Injeksi
Box, 10
PT. Boehringer ampoules
Ingelheim @
1mL
316 Klonidin tablet 0,15 mg
n/a
PT. Indofarma
317 Klopidogrel tab 75 mg
n/a
PT. Kimia FarmaKtk 3X10 tablet
318 Kloramfenikol salep mata 1 %
n/a
315
Klonidin injeksi i.v 0,15 mg/ml

(HCL) (150)
Dus, 10 strip @
10 tablet
319
Kloramfenikol suspensi 125 mg/ 5

n/a
ml
PT. Bernofarm Botol @ 60 ml
320
Klorpromazin tablet salut 100 mg

n/a
(HCl)
Dus @ 10 X 10
PT. Phapros, Tbk
's
321
Klorpromazin injeksi i.m. 25 mg/ml

n/a
(HCl)
Dus @ 30
PT. Phapros, Tbk
Ampul
322
Klorpromazin injeksi i.m 5 mg/ml n/a

2 ml (HCl)
Dus @ 30
PT. Phapros, Tbk
Ampul
323 Klozapin 100 mg
n/a
KOTAK @ 5 x
10 TAB
324 Klozapin 25 mg
n/a
KOTAK @ 5 x
10 TAB
325 Kodein tablet 10 mg
n/a
ktk 10x10
PT. Kimia Farma
tablet
n/a
ktk 10x10
PT. Kimia Farma
tablet
n/a
ktk 10x10
PT. Kimia Farma
tablet
328
Kolekalsiferol (vitamin D3) kapsul

Ostriol
lunak 0,25 mcg
329 Koloid HES BM 130 000 lar inf 6% Voluven
330
Kombinasi suspensi : Parafin +

gliserin + fenolftalein
Kombinasi tablet salut : Besi (II)

331 sulfat 7H2O 200 mg Asam folat
0,25 mg
Btl @ 30
PT. Pratapa Nirmala
kapsul
Botol Plastik @
PT. Fresenius Kabi Combiphar
500 ml
Laxadine
Emulsi 60 ml
PT. Galenium Pharmasia

Botol @ 60
Laboratories
ml
n/a
PT. Erela
Dus, 100
Sachet @ 30
Tablet
Kombinasi tetes mata 2,5 mg/mL:

332 Natrium klorida 8,664 mg; Kalium Cendo Lyteers PT. Cendo Industri
botol
Farmasi
15 ml
klorida 1,32 mg
333
Kombinasi: Artemether 20 mg;

Lumefantrin 120 mg
Coartem
Kombinasi: Levodopa 100 mg;

334 Karbidopa 25 mg; Entekapon 200 Stalevo
mg
335
Kombinasi: Lopinavir 200 mg;

Ritonavir (LPV/r) 50 mg
Aluvia
Dus, 4 blister
@ 6 tablet
Dus, botol
plastik @ 30
tablet salut
selaput
botol @ 120
tablet
336
Kombinasi: Salmeterol 25 mcg;

Flutikason propionat 50 mcg
Seretide
Dus, Botol 120
Inhaler 50 mcg
Dosis
337

Seretide
Diskus 100
mcg
Dus, foil strip

@ 60 dosis
338

Seretide
Diskus 250
mcg
Dus, foil strip

@ 60 dosis
Kotrimoksazol DOEN I (dewasa)

339 kombinasi : Sulfametoksazol 400
mg Trimetoprim 80 mg
n/a
Dus, 10
PT. Promedrahardjo
Strip@10
Farmasi Industri
Tablet
Kotrimoksazol Suspensi komb:

340 Sulfametoksazol 200 mg +
Trimetoprim 40 mg / 5 ml
n/a
Dus, botol @
PT. Holi Pharma
60 ml
341 Kuinin (Kina) tablet 200 mg
n/a
PT. Kimia Farmaktk 60 tablet
342
Kuinin injeksi i.v. 25% (sebagai 2

HCl)
n/a
ktk 100 amp @

PT. Kimia Farma
2 ml
343
Kuinin tablet 222 mg

(H2SO4.7H2O)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
344
Lamivudin tablet/kaplet/kapsu 100

Heplav
mg
345 Lamivudine tablet 150 mg
n/a
PT. Kimia FarmaBotol 60 tablet
346 Lansoprazol inj 30 mg/ml
Prosogan Inj.
PT. Takeda Indonesia

Serbuk vial
347 Lanzoprazol kapsul/kaplet 30 mg
n/a
PT. Indofarma
348 Lapatinib tab 250 mg
Tykerb
Dus, 7 Blister
@ 10 tablet
349
Larutan mengandung Asam Amino

Kalbamin
(Asam Amino 10%)
Dus, 2 strip @
10 kapsul
PT. Finusolprima
botol
Farma
500Internasional
ml

350 (Asam Amino 100 g, Total N 15,7 Amiparen
g, Na+ 2 mEq, Asetat 120 mEq)
Softbag 500
PT Otsuka Indonesia
ML

351 (Asam Amino 27 g, Sorbitol 50 g, Pan-amin G
Cl- 52 mEq)
Softbag 500
PT Otsuka Indonesia
ML

352 (Asam Amino 30 g, Glukosa 7,3 % Aminofluid
dan elektrolit) 1000 ml
(Asam Amino 5% dengan BCAA
Aminofusin
354 45%, L-Ornithine L Aspartate 8.03
Hepar
gr/L, Sorbitol 50 gr/L, Xylitol 50
gr/L)
Aminosteril
355 (Asam Amino 6%, mengandung
Infant 6%
Taurine 0,24 gr/l)
(Asam Amino 7%, Komposisi:
356
Nephrosteril
Asam Amino esensial: Asam
Amino non esensial = 60 : 40)
(Asam Amino 72.05 g, Total N
357
Kidmin
11.53 g, AAE/AANE ratio 2.6, Na+
2 mEq, Asetat 46 mEq)
358 (Asam Amino 79.9 g, Total N 12.2 Aminoleban
g, Na+ 14 mEq, Cl 94 mEq)
359
Double
Chamber
PT Otsuka Indonesia
Softbag 1000
ML
Double
Chamber
PT Otsuka Indonesia
Softbag 500
ML
PT Kalbe Farmabotol 500 mL
Botol Gelas
100 ml
Botol Gelas
250 ml
Softbag 200
PT Otsuka Indonesia
ML
Softbag 500
PT Otsuka Indonesia
ML
Larutan mengandung Asam Amino Aminosteril NBotol Gelas

(Asam amino 8%)
Hepa
500 ml

360 (Asam Amino esensial 7%+Xylitol Eas Pfrimer
10 g/L)
(BCAA 25 gr/L, L-Ornithine L
Comafusin
mengandung
Asam
361 Larutan
Aspartate
10 gr/L, Xylitol
50 Amino
gr/L,
(Kombinasi
aminno 50
g/L, Hepar
Malic Acid 7Asam
gr/L, Piridoxin
0.12
Sorbitol
50 g/L, Xylitol 50 g/L,
gr/L)
Asam Askorbat (Vit C) 0.4 g/L,
Aminofusin
362 Inositol 0.5 g/L, Nikotinamida
L600
(Niasinamida) 0.06 g/L, Piridoksin
HCl (Vit B6) 0.04 g/L, Riboflavin
Larutan
Asam Amino
Natrium mengandung
Fosfat 2.5 mg/L,
Aminofusin
363 (Kombinasi
elektrolit) Asam amino 50 g/L,
Paed
vitamin dan elektrolit)
PT. Finusolprima
botol
Farma
250Internasional
ml
PT. Finusolprima
botol
Farma
500Internasional
ml

(Kombinasi Asam Amino: 34gr,
Kabiven 1440
364 Glukosa: 97gr, Lipid: 51gr dan
ml
Elektrolit (Kalori = 1000 kkal,
Larutan
mengandung Asam Amino
Akses peripheral))
Kabiven 1920
ml
Akses
peripheral))
Larutan
Bag (3
PT. Fresenius Kabi
Chamber)
Combiphar
1440 ml
Bag (3
PT. Fresenius Kabi
Chamber)
Combiphar
1920 ml
Bag Double
(Kombinasi Glukosa dan elektrolit Combiflex Plus
chamber (Dua
366
PT. Phapros, Tbk
150 gr + Asam Amino 48 gr dgn (790 kcal)
compartement)
akses sentral)
, 1000 mL
Bag Double
Combiflex peri
chamber (Dua
367 (Kombinasi Glukosa dan elektrolit
PT. Phapros, Tbk
(480 kcal)
compartement)
80 gr + Asam Amino 40 gr )
, 1000 mL
368
Larutan mengandung Elektrolit

(Kalium Klorida)
Otsu - KCl
7,46%
PT Otsuka Indonesia
Ampoel 25 ML
369

(Larutan Ringer Laktat)
Wida RL
PT. Widatra Bhakti

Botol 1000 ml

370 (Na 130 mEq, Cl 109 mEq, Ca 3
mEq, Asetat 28 mEq)
Asering
Plastic Bottle
PT Otsuka Indonesia
500 ML

371 (NaCl 1.125 gr, Dekstrosa 18.75
KA EN 1B
gr)
(Sodium Lactate sol (50%) 113
372 gr/L, Potassium Chloride 0.3 gr/L, Totilac
Larutan
Elektrolit
Calcium mengandung
Chloride 0.2 gr/L,
(Tiap
1000
ml
mengandung
elektrolit)
electrolit: Sodium 145 mmol/l,
Ringerfundin
373 Potassium 4.0 mmol/l, Calcium 2.5
500 mL
mmol/l, Magnesium 1.0 mmol/l,
Chloride 118 mmol/l, Acetate 24
Larutan
mengandung
Karbohidrat
mmol/l, Malate
5.0 mmol/l)
374 (Fructose 120 g, glucose 66 g,
Triofusin 1000
Xylitol 60 g/ L + elektrolit)
Larutan mengandung Karbohidrat
Triofusin 500
Xylitol 30 g/ L)
Martos
(Maltose 100 gr)
+ Elektrolit (25.00g maltose, 3.00
g sodium chloride, 0.15 g
377
Potacol inj
potassium chloride, 0.10 g
calcium chloride dihydrate dan
1.55 g sodium lactate)
376
Plastic Bottle
PT Otsuka Indonesia
500 ML
flexybag 250
PT Kalbe Farma
mL
LDPE (Low
Density Poly
PT. Phapros, Tbk
Ethilene), botol
plastik
Flexy bag 500

PT Kalbe Farma
mL
Plastic Bottle
PT Otsuka Indonesia
500 ML
Plastic Bottle
PT Otsuka Indonesia
500 ML

378 + Elektrolit (Acetate, Na, K, Cl, Ca, Tutofusin OPS
Mg, Sorbitol 50 gr/L)

Clinimix
379 + Elektrolit (Asam amino 28 gr/L,
N9G20E
Glukosa 100 gr/L, elektrolit)
Botol Plastik
PT Kalbe Farma
1000 mL

Clinimix
N9G15E
Botol Plastik
PT Kalbe Farma
1000 mL

381 + Elektrolit (Fructose 60 g,
Triofusin E1000 PT Kalbe Farmabotol 500 mL
glucose 33 g, Xylitol 30 g/ L)
+ Elektrolit (Glukosa 25 g, NaCl
382 2,0 g, KCl 1,3 g, Natrium Laktat
Wida HSD
PT. Widatra Bhakti
Botol 500 ml
3,1 g, air untuk injeksi ad 1000
ml)
383
+ Elektrolit (Glukosa 55 g ;
Natrium Chloride 9 g, air untuk
injeksi ad 1000 ml)
Wida D5-NS
PT. Widatra Bhakti

Botol 500 ml

384 + Elektrolit (Glukosa: 25,0 g; NaCl: WIDA 2A
4,5 g)
PT. Widatra Bhakti

Botol 500 ml

WIDA D5385 + Elektrolit (Glukosa: 55.0 g; NaCl:
1/4NS
2.25 g)
PT. Widatra Bhakti

Botol 500 ml

1/2NS
4.5
g) mengandung Karbohidrat
Larutan
PT. Widatra Bhakti

Botol 500 ml
+ Elektrolit (Larutan nutrisi

kombinasi infus per L: Na.
387
Futrolit
100mEQ, K 18mEQ, Ca. 4mEQ, Mg
6mEQ, Cl 90mEQ, Asetat 38mEQ,
Sorbitol
50g)
Larutan mengandung
Karbohidrat
388 + Elektrolit (Larutan Ringer &
Glukosa 5%)
Wida RD

389 + Elektrolit (NaCl 1.75 g, KCL
KA ENMG 3
1.5g, Glukosa 100 gr)
+ Elektrolit (Nacl 1.75 gr, KCl 1.5
390
KA EN 3B
gr, Na Lactat 2.24 gr, Dekstrosa
27 gr)
+ Elektrolit (Nacl 2.34 gr, Na
391
KA EN 3A
Laktat 2.24 gr, KCL 0.75 gr
Dekstrosa 27 gr)
PT. Sanbe Farma

softbag 500ml
PT. Widatra Bhakti

Botol 500 ml
Plastic Bottle
PT Otsuka Indonesia
500 ML
Plastic Bottle
PT Otsuka Indonesia
500 ML
Plastic Bottle
PT Otsuka Indonesia
500 ML
Larutan mengandung Lipid ( Infus Lipofundin

392 Lipid Emulsi MCT/LCT 20% 100
MCT/LCT 1%
ml)
100
393
Larutan mengandung Lipid

(Emulsi lemak 20%)
Intralipid
Larutan mengandung Lipid (Infus Lipofundin

MCT/LCT 1%
ml)
250
20%, Botol
PT. Phapros, Tbk
Kaca @100 ml,
single bottle
Botol Gelas
100 ml
20%, Botol
PT. Phapros, Tbk
Kaca @250 ml,
single bottle

(Kombinasi Glukosa dan elektrolit
395
180 gr + Asam Amino 71.8 gr +
Lipid 50 gr dgn akses sentral)
396
80 gr + Asam Amino 40 gr + Lipid
MCT/LCT 50 gr)
397
(Soybean Oil 200 g/L, Egg
398
Lecithins 12 gr/L, Glycerol Ph 25
gr/L, Sodium Oleate 0.3 gr/L)
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Special 1250
kompartemen),
1250 ml
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Peri 1250
kompartemen),
1250 ml
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Special 625
kompartemen),
625 ml
399 Latanoprost tetes mata 0,01%
Cendo Glaopen PT. Cendo Industri

stripFarmasi
5 x 0.6 ml
400
Latanoprost tts mata 0,005%

btl@2,5ml
401 Lenograstim inj 263 mcg/mL
Ivelip
Flexy bag 100

PT Kalbe Farma
mL
Xalatan
0,005%
dus, Botol @
2,5 ml
Granocyte 34
1vl HSA Free
Dus, 1 vial @
263 mcg + 1
PT. Aventis Pharma
prefilled
syringe pelarut
@ 1 ml
Dus, 3 blister
@ 10 tablet
402
Letrozol tablet/kaplet/kapsul 2,5

mg
FEMARA
403
Leuprorelin asetat inj depot 1,88

mg
Tapros 1.88mg PT. Takeda Indonesia

Vial
404

Tapros 3M
mg

Vial
405

mg

Vial
TAPROS 3.75
MG
406 Levofloksasin inf 5 mg/mL
n/a

Botol @ 100
Laboratories
ml
407 Levofloksasin tablet 500 mg
n/a
ktk 5 x 10
PT. Kimia Farma
tablet
408 Levofloksasin tts mata 0,5%
Optiflox
PT. Erela
Btl @ 5 ml
Euthyrox 100
PT. Merck Tbk
Dus 4 blister @
25 tablet
n/a
PT. Bernofarm
Dus, 100
ampul @ 2 ml
n/a
PT. Indofarma
Dus, 30 ampul
@ 2 ml
409
Levotiroksin tablet/kaplet/kapsul
100 mcg
410 Lidokain injeksi 2% (HCL)
411
Lidokain injeksi 2% (HCl) +

Epinefrin 1 : 80.000 - 2ml
412 Lidokain jeli 2%
Xylocaine Jelly
Dus, 10
2%
syringe @ 10 g
413 Lidokain semprot 10%
Xylocaine
Dus,Botol @ 50
Spray 10 mg / PT. AstraZeneca indonesia
ml (500 dosis)
dosis
414 Lisinopril tablet 10 mg
n/a
Box ,3 Strip @
10 tablet
n/a
Box ,3 Strip @
10 tablet
416 Litium karbonat tablet 200 mg
Frimania 200
KOTAK @ 10 x
10 TAB
Frimania 400
KOTAK @ 10 x
10 TAB
418 Loperamid tablet 2 mg
n/a
Dus, 10 Strip
@ 10 Tablet
419 Loratadin tablet 10 mg
n/a
PT. Indofarma
Dus, 5 strip @
10 tablet
420 Lorazepam tablet 2 mg
421
Merlopam 2
Low molecule feri sucrose inj amp

DIALIFER
100 mg/5 mL
KOTAK @ 10 x
10 TAB

ampul
Laboratories
422 Manitol
n/a
PT. Finusolprima
botol
Farma
500Internasional
ml
423 Maprotilin HCl tab 25 mg
Ludios
PT. Soho Industri

Strip
Pharmasi
Sandepril 50
KOTAK @ 5 x
10 TAB
MDP (methylene diphosphonate) 1

425 mg methylene diphosphonic
Bonescan KaeF PT. Kimia FarmaDus @ 5 vial
acid/mL
426 Mebendazol tablet 500 mg
Vermox 500
Dus,24 Catch
PT. Taisho Pharmaceutical Indonesia Tbk
@ 1 tablet
427 Melfalan tablet 2 mg
Alkeran
Box, Tablet 2
mg/25's
428 Meropenem inj 1 g
n/a
PT. Bernofarm
Dus, 1 vial @ 1
g
429 Meropenem serb inj 500 mg/vial
n/a
PT. Bernofarm
Dus, 1 vial @
0,5 g
430 Mesna inj 100 mg/mL
Uromitexan
injeksi.

Dus, 15 Ampul
431 Metadon sir 50mg/5ml
n/a
432 Metformin HCl tablet 500 mg
n/a
PT. Bernofarm
Dus, 10 blister
@ 10 tablet
n/a
PT. Bernofarm
Dus, 10 blister
@ 10 kaptab
434 Metildopa tablet salut 250 mg
DOPAMET
Dus, 10 Strip
@ 10 tablet
salut selaput
Metilergometrin Maleat
435 (Metilergometrin) tablet salut
0,125 mg
n/a
ktk 10 x 10
PT. Kimia Farma
tablet salut
436 Metilfenidat kapsul LA 20 mg
Ritalin LA
Dus, botol
plastik @ 30
kapsul
pelepasan
lambat
437 Metilfenidat tablet SR 10 mg
RITALIN
Dus, 2 blister
@ 15 tablet
438 Metilprednisolon inj 125 mg/2 mL n/a
PT. Bernofarm
Dus, 1 vial @
125 mg
PT. Bernofarm
Dus, 1 vial @
500 mg
440 Metilprednisolon tablet 16 mg
n/a
PT. Mahakam Beta

StripFarma
n/a
Dus, 10 Blister
PT. Natura Laboratoria Prima
@ 10 Tablet
n/a
Dus, 10 Blister
PT. Dexa Medica
@ 10 tablet
443 Metoklopramid drop botol 10 mL
GAVISTAL
drops
PT. Meprofarm
444 Metoklopramide sirup 5 mg/ 5 ml
LEXAPRAM
SIRUP
PT. Molex Ayus BOTOL 60 ML
445 Metoklopramide tablet 10 mg
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
447
Metotreksat serbuk injeksi

i.v/i.m./i.t. 5 mg
Dus, Botol 10
ml
METHOTREXAT
Box 10 ampul
PT. Sandoz Indonesia
E EBEWE
@ 1 ml
448
Metotreksat tablet/kaplet/kapsul
2,5 mg
METHOTREXAT
Box, bottle @
E EBEWE 2.5 PT. Sandoz Indonesia
50 tab
MG
449 Metronidazol infus 500 mg/100 ml n/a
Dus, 1 Botol @
100 ml
450 Metronidazol ovula 500 mg
Vagizol
dus 1 's @ 5
PT. Kimia Farma
ovula
451 Metronidazol supositoria 500 mg
Flagyl
Dus, 2 blister
PT. Aventis Pharma
@5
suppositoria
452 Metronidazol tablet 250 mg
n/a
10 strip @ 10
tab
n/a
10 strip @ 10
tab
454 MIBG (meta-iodobenzylguanidine)
Endoneuroscan
PT. Kimia Farmavial
KaeF 1
455
MIBI (metoxy iso butyl iso nitril) 5- Cardioscan

mL reaction vial
KaeF
456 Midazolam injeksi i.v. 1 mg/ml
Miloz 5 Inj

ampul
Laboratories
Miloz 15 Inj

ampul
Laboratories
458 Mikafungin Na serb inj 50 mg
Mycamine
PT. Combiphar
459 Mikofenolat Mofetil 500 mg
Cellcept

Ingelheim
50 tablet
460 Mikonazol krim/salep 2 % (Nitrat) n/a
461
Mitomisin C (crystallin) serbuk inj

Mitomycin C
10 mg/vial
Dus,1
vial@50mg
PT. Kimia FarmaTube 10 gram
PT. Widatra Bhakti

10 mg /Vial
462
Modified fluid gelatine BM 30 000

Gelofusine 4% PT. Phapros, Tbk
Btl @ 500 ml
lar inf 4%
463 Moksifloksasin tetes mata 0,5%
Vigamox
botol, tetes
mata 3 ml
464 Mometason furoat krim 0,1%
n/a

tube 10 gram
465 Morfin HCL inj 10 mg/ml
n/a
Dus 10 amp @
PT. Kimia Farma
1 ml
466 Morfin HCL tablet SR 10 mg
MST Continus
10 mg
Dus, 6 strip @
PT. Mahakam Beta Farma
10 tablet
MST Continus
15 mg
Dus, 6 strip @
10 tablet
n/a
Ktk 10 ampul
PT. Kimia Farma
@ 1ML
n/a
N-ace cairan
inhalasi
PT. Pratapa Nirmala

Box @ 5 ampul
n/a
PT. Widatra Bhakti

Botol 500 ml
468
Morfin injeksi i.m./s.k./i.v. 10

mg/ml
469 Morfin tablet 10 mg
470
N-asetil sistein inj. nebules 100

mg
471 Nacl 0,9%
472
Nadroparin inj 9500 Axa/mL

syringe 0,3 mL
Fraxiparine 0.3
Dus, 5 blister
ml
@ 2 pfs 0.3 ml
473
Nadroparin inj 9500 Axa/mL,

syringe 0,4 mL
Fraxiparine 0.4
Dus, 5 blister
ml
@ 2 pfs 0.4 ml
474

syringe 0,6 mL
Fraxiparine 0.6
Dus, 5 blister
ml
@ 2 pfs 0.6 ml
475 Nalokson injeksi 0,4 mg/ml
Nokoba
Dus, 5 Ampul
PT. Pratapa Nirmala
@ 2ml
476
Natrium Bikarbonat injeksi i.v

8,4%
Meylon
PT Otsuka Indonesia
Ampoel 25 ML
477 Natrium Diklofenak tablet 50 mg
n/a
Dus @ 5 X 10
PT. Phapros, Tbk
's
n/a
Dus @ 5 X 10
PT. Phapros, Tbk
's
479 Natrium fosfat lar oral 45 mL
Fleet
Phosphosoda
PT. Combiphar Botol, 45 ml
480 Natrium fusidat salep 20 mg/g
Fucilex
Ointment
PT. Molex Ayus Tube 5 gr
481 Neostigmin injeksi 0,5 mg/ml
Neostigmin
Hameln inj
Box, isi 5
PT. Pharma Health Care
ampul @ 1 ml
482 Nevirapin tablet 200 mg
n/a
PT. Kimia Farmabtl 60 tablet
483
Nifedipin tab 20 mg, slow release; Adalat Oros 20

PT. Bayer Indonesia
blister
oros
mg
484 Nifedipin tab 30 mg, oros
Adalat Oros 30
PT. Bayer Indonesia
blister
mg
485 Nifedipin tablet/kapsul 10 mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
salut selaput
Nilotinib kapsul 200 mg (Skema

Risk Sharing sesuai Kepmenkes RI
486
Tasigna
Nomor
HK.02.02/Menkes/223/2014)
Dus, 2 blister
@ 14 kapsul
487 Nistatin tablet salut 500.000 IU/ g n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
Nistatin vaginal tablet 100.000 IU/

n/a
g
Dus @ 10 X 10
PT. Phapros, Tbk
's
488
489 Norepinefrin injeksi 1 mg/ml
Levosol
Dus 5 amp @ 8
PT. Kimia Farma
ml
490 Noretisteron tablet 5 mg
Primolut N
PT. Bayer Indonesia

blister
491
Obat Antituberkulosis FDC

Kategori 1
n/a
PT. Phapros, Tbk

Paket
492

Kategori 2
n/a
PT. Kimia FarmaPaket
493

Kategori Anak
n/a
Dus,
1 dus @
Paket@84
PT. Indofarma 60 blister @ 8
tablet
Dus,
sachet
tablet60
tahap
tahap
intensif
intensif
@
(1 tablet
Obat Antituberkulosis Kategori 1
kategori
1+1
495
n/a
PT. Indofarma Isoniazid, 2
dewasa
Dus @ 54
kapsul
blister @ 3
Rifampicin,
tablet tahap2
Obat Antituberkulosis Kategori
tablet
496
n/a
PT. Indofarma lanjutan
anak
Pyrazinamide)
kategori 1
+ 120 sachet
tahap lanjutan
Dus,
ampul
@ (1 5
tablet
497 Octreotide Acetate0,05 - 6 mg/mL SANDOSTATIN PT. Novartis Indonesia
@
1ml
Isoniazid, 2
kapsul
Rifampicin)
Box ,5 Strip @
498 Ofloxacin tablet 200 mg
n/a
10 tablet
494 Obat Antituberkulosis FDC Sisipan n/a
n/a
Box ,5 Strip @
10 tablet
500
Oksaliplatin serbuk injeksi 100 mg

ELOXATIN
/ vial
Dus, 1 vial @
PT. Aventis Pharma
20 ml
501
Oksaliplatin serbuk injeksi 50 mg /

ELOXATIN
vial
Dus, 1 vial @
PT. Aventis Pharma
10 ml
502
Oksimetazolin tetes hidung

0,025%
Ilaidin Drops
PT. Merck Tbk botol @ 10 ml
Tiacinon
Dus, 10 ampul
PT. Tunggal Idaman Abdi
@ 1 ml
503 Oksitosin injeksi 10 IU/ml
504 Oktreotid 10 mg
Sandostatin
LAR
Dus, vial @
355m + 1
prefilled
syringe pelarut
@ 2,5 ml + 2
jarum suntik
505 Olanzapin inj 10 mg/vial
Zyprexa IM
PT. Bayer Indonesia

Vial
506 Olanzapin kapl salut 5 mg
Olandoz 5

3 X 10 fcc
507 Olanzapin tab 10 mg
Olandoz 10

3 X 10 fcc
508 Olopatadin tts mata 0,1%
Patanol
botol, tetes
mata 5 ml
509 Omeprazol injeksi 40 mg/ 10 ml
n/a
Dus, 1 Vial @
40 mg
510 Omeprazol kapsul/kaplet 20 mg
n/a
511 ondansetron inj 4 mg/ 2 mL
n/a
PT. Indofarma
512 Ondansetron tab 4 mg
n/a

Box 3 X 10 Tab
Dus, 5 Ampul
@ 2ml
Transfer
Set:
Box
3 X 10
Tab
Set; Ultaclam:
Kantong
Paket CAPD Awal (Komposisi: 1
Plastik;
unit Transfer Set, 2 unit Ultaclam,
514
n/a
PT Kalbe FarmaTenckoff
1 unit Tenckoff Catheter, Titanium Larutan Dialisa
Catheter: Box;
Adaptor)
1.5%: Dianeal
Titanium
Low Calcium
Adaptor:
Paket CAPD Pergantian Transfer
with
Dialisa
515
n/a 1,5%
PT Kalbe FarmaLarutan
Set
Kantong
Plastik
Set per 6 bulan
Dextrose;
1.5 %: 2.000
Paket CAPD Rutin 120 ( 4x ganti
Larutan Dialisa
ml; Larutan
cairan perhari dengan komposisi 2.5%: Dianeal
Dialisa 2.5 %:
516 Larutan Dialisa 1.5 %, Larutan
Low Calcium
PT Kalbe Farma2.000 ml;
Dialisa 2.5 %, Larutan Dialisa 4.25 with 2,5%
Larutan Dialisa
%, Minicap)
Dextrose;
4.25 %: 2.000
Vial
6mg/ml
Larutan
Dialisa
ml; Minicap:
SINDAXEL 100
517 Paklitaksel inj 100 mg/vial
(100mg/16.67
4.25%:
Dianeal
Kantong
Plastik
MG/16,67 ML
ml)
Low Calcium
with 4.25%
Dextrose
513 Ondansetron tablet 8 mg
n/a
SINDAXEL
260mg/43.33
ML
Vial 6mg/ml
(260mg/43.33
ml)
519 Paklitaksel injeksi 30 mg/vial
SINDAXEL 30
MG/5 ML
Vial 6mg/ml
(30mg/5ml)
Parasetamol drop 100 mg/ml btl

@15ml (60mg/0,6ml)
n/a
PT. Indofarma Dus, 15 botol
521 Parasetamol sirup 120 mg / 5 ml
n/a
PT. Afifarma
522 Parasetamol tablet 500 mg
n/a
Dus, 10
Strip@10
PT. Promedrahardjo Farmasi Industri
Kaplet Salut
Selaput
523 Parasetamol tetes 60 mg/0,6 mL
FASIDOL
Dus, botol @
15 ml
520
botol 60 ml
524
Pegylated interferon alfa-2a inj

135 mcg/0,5 ml
Pegasys

Ingelheim
1 pfs
525

180 mcg/0,5 ml
Pegasys

Ingelheim
1 pfs
Dus, 1 vial 100
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
Dus,
1 prefilled
2 jarum
syringe (serbuk
Sharpinjeksi
Dohme
120mcg
Pharma
+ pelarut 0.5
Dus,
50
ml) +11vial
jarum
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
Dus,
1 vial 80
2 jarum
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
2 jarum
526
Pegylated Interferon alfa-2b serb

inj 100 mcg
Pegintron Vial
100 Mcg
PT. Merck
527

inj 120 mcg
Pegintron Pen
120 Mcg
PT. Merck
528

inj 50 mcg
Pegintron
PT. Merck
529

inj 80 mcg
Pegintron Vial
80 Mcg
PT. Merck
530 Perak sulfadiazin krim 1%
BURNAZIN 35
GR
tube @ 35
PT. Darya Varia
gram
531 Perindoprilarginin tab 5 mg
Bioprexum 5
mg
Dus, botol
plastik @ 30
PT. Pradja Pharin
tablet salut
selaput
Tbk
Tbk
Tbk
Tbk
Scabimite
Cream 10

Tube @ 10Laboratories
g
n/a
Ktk 10
PT. Kimia Farma
ampx2ml
534 Pioglitazon tab 15 mg
DECULIN 15
MG
PT. Dexa Medica

30 TAB/BOX
DECULIN 30
MG
PT. Dexa Medica

30 TAB/BOX
536 Pirantel suspensi 125 mg/5 ml
n/a
PT. Holi PharmaBotol 60 ml
n/a
Dus, 25 Blister
PT. Holi Pharma
@ 4 tablet
538 Pirazinamid tablet 500 mg
n/a
Dus 10 strip @
PT. Holi Pharma
10 tablet
539 Polikresulen cairan
Aptil
Dus, Botol @
PT. Pratapa Nirmala
10ml
n/a
PT. Afifarma
botol @ 1000
ml
541 Povidon Iodida larutan 10% 30 ml n/a
PT. Afifarma
botol @ 30 ml
n/a
PT. Afifarma
botol @ 300 ml
543 Pramipeksol tab ER 0,375 mg
Sifrol ER
0,375mg
Dus, 3 alu
PT. Boehringer blister
Ingelheim
@ 10
tablet
Sifrol ER
0,750mg
Dus, 3 alu
Ingelheim
@ 10
tablet
545 Pravastatin tablet 20 mg
n/a
Box ,5 Strip @
10 tablet
532 Permetrin krim 5%
533
537
540
542
Petidin injeksi i.m/s.k/i.v lambat

50 mg/ml (HCl)
Pirantel tablet score (base) 125

mg
Povidon Iodida larutan 10% 1000

ml

ml
546
Prokain Benzilpenisilin serbuk

injeksi 3 juta IU/vial
547 Propanolol tablet 10 mg ( HCl )
548
n/a
PT. Bernofarm Vial @ 3 juta IU
n/a
Dus, 10 strip @
PT. Holi Pharma
10 tablet
Propiltiourasil tablet/kapsul/kaplet
n/a
100 mg
PT. Indofarma
Botol @ 100
Tablet
549 Propofol injeksi i.v., bolus 1%
Fresofol 1%
MCT/LCT
PT. Fresenius Kabi

Ampul
Combiphar
550 Propranolol tablet 40 mg (HCl)
n/a
Dus, 10 strip @
PT. Holi Pharma
10 tablet
551 Quetiapin tab 200 mg
Seroquel XR
200 mg
Dus, 1 blister
@ 10 tablet
Seroquel XR
300 mg
Dus, 1 blister
@ 10 tablet
Seroquel XR
400 mg
Dus, 1 blister
@ 10 tablet
554 Ramipril tablet 2,5 mg
Cardace 2.5mg
Dus, 6 blister
6x10 s tablet
@ 10 tablet
555 Ramipril tablet 5 mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 kaptab
n/a
Dus, 10 strip @
10 tablet
557 Ranitidin injeksi 25 mg/ml
n/a
Dus, 10 Ampul
@ 2 ml
558 Ranitidin tablet 150 mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
salut selaput
559 Retinol (Vitamin A) 100.000 IU
n/a
Botol 50 kapsul
PT. Kimia Farma
lunak
556
Ramipril tablet/kaplet/kapsul 10
mg
560
Retinol (Vitamin A) 200.000 IU

kapsul lunak
n/a
PT. Kimia FarmaBotol 50 Kapsul
561
Rifampisin tablet/kapsul/kaplet
300 mg
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kapsul
562
600 mg
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kaplet
563 Rifampisin tablet salut 450 mg
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kapsul
564 Ringer Laktat larutan infus
n/a
PT. Widatra Bhakti

botol 500 ml
565 Risperidon tablet 1 mg
n/a
Dus, 5 Blister
PT. Dexa Medica
@ 10 tablet
n/a
KOTAK @ 5 x
10 TAB
n/a
Dus, 5 Blister
PT. Dexa Medica
@ 10 tablet
Rituksimab injeksi 10 mg/ml

568
Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Mabthera
Dus, 1 vial @
10 ml
569 Rivaroksaban tab 10 mg
Xarelto 10 mg PT. Bayer Indonesia

Blister

Blister

Blister
572 Ropinirol Tablet Salut 2 mg
Requip PD 24
Hour 2 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Requip PD 24
Hour 4 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Requip PD 24
Hour 8 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
575 Salbutamol cairan ih 0,1%
Ventolin
Nebules
Dus, 4x5 Botol

Plastik@2.5 ml
Ventolin
Inhaler
Dus, botol 200

dosis
Ventolin
Rotacaps
Dus, 10 Blister
@ 10 Kapsul
578
Salbutamol serb inh 200 mcg/kaps Ventolin

+ rotahaler
Rotahaler
Dus, 1
Rotahaler
579
Salbutamol tablet 2 mg (sebagai

Sulfat)
n/a
strip @ 10
tablet
580

Sulfat)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
581
Salep 2-4 , Kombinasi : Asam

n/a
Salisilat 2% + Belerang endap 4%

Pot @ 30 gram
582
Sefadroksil sirup kering 125

mg/5ml
Dus, Botol 60
PT. Holi Pharma
ml
576
Salbutamol inhalasi/aerosol 100

mcg/dosis
577 Salbutamol serb inh 200 mcg/kaps
n/a
583 Sefadroksil kapsul/kaplet 250 mg n/a
PT. Hexpharm Jaya

stripLaboratories
PT. Bernofarm
585 Sefadroksil sir kering 250 mg/5 mL n/a
Dus, Botol 60
PT. Holi Pharma
ml
586 Sefaleksin kapsul/kaplet 500 mg
n/a
Dus, 5 Strip @
10 Kapsul
587 Sefazolin serbuk injeksi 1 g/vial
n/a
Dus, 2 Vial @ 1
PT. Dexa Medica
gram
Dus, 10 strip @
10 kapsul
588 Sefepim inj 1 g
n/a

vial
Laboratories
589 Sefiksim kapsul/kaplet 100 mg
n/a
PT. Bernofarm
n/a
Dus, Botol 30
ml
591 Sefoperazon inj 1 g
n/a
Dus, 2 vial @ 1
PT. Holi Pharma
g
592 Sefotaksim injeksi 0,5 g
n/a
PT. Hexpharm Jaya

vial Laboratories
593 Sefotaksim injeksi 1 g
n/a
Dus, 10 Vial @
1g
590
Sefiksim sirup kering 100 mg/ 5

ml
Dus, 10 blister
@ 10 kapsul
594 Sefpodoksim proksetil tab 100 mg Banadoz 100
Dus, 3 blister
@ 10 tablet
595 Seftazidim injeksi 1 g
Dus, 2 vial @ 1
g
n/a
596 Seftriakson serbuk injeksi 1 g/vial n/a
597
Sefuroksim tablet/kapsul/kaplet
250 mg
Dus, 10 Vial @
1g
Dus, 1 Blister
Zinnat 250 mg PT. Glaxo Wellcome
@ 10Indonesia
Tablet
salut selaput
598 Sefuroksim tab 500 mg
Zinnat 500
Dus, 1 Blister
PT. Glaxo Wellcome
@ 10Indonesia
Tablet
salut selaput
599 Sertralin tab 50 mg
Fatral
PT. Pratapa Nirmala

strip @ 10 tab
600 Setirizin sirup 5 mg/5 ml
n/a
PT. Indofarma Botol @ 60 ml
601 Setirizin tablet 10 mg
n/a
Box, 10 strips
PT. Pertiwi Agung
@ 10 capsules
Setuksimab infus 5 mg/ml (Skema

602
Erbitux
Nomor
HK.02.02/Menkes/223/2014)
PT. Merck Tbk
603 Sevofluran ih, btl
Sojourn
PT. Pratapa Nirmala

tabung/botol
PT. Lucas Djaja
Dus, 1 vial @
20 ml
604
Sianokobalamin (vitamin B12)

injeksi 500 mcg
n/a
100 ampul @ 1
ml
605
Siklofosfamid serbuk injeksi i.v.

1000 mg
Cyclovid 1000
vial
Laboratories
mg
606

200 mg
Cyclovid 200
mg
607

500 mg
CYCLOVID 500 PT. Novell Pharmaeutical

Vial
Laboratories

vial
Laboratories
608 Siklosporin kaps 100 mg
Sandimmun
Dus, 10 blister
Neoral 100mg PT. Novartis Indonesia
@ 5 kapsul
Kap
lunak
609 Siklosporin kapsul lunak 25 mg
Sandimmun
Neoral 25mg
Kap
Dus, 10 blister
@ 5 kapsul
lunak
610 Simvastatin scored tablet 10 mg
n/a
Box,3 strips @
PT. Pertiwi Agung
10 tablets
611 Simvastatin tablet 20 mg
n/a
Dus, 3 Strip @
PT. Natura Laboratoria
10 Kaplet
Prima
salut
selaput
612 Siprofloksasin infus 2%
n/a
PT. Dexa Medica

Vial 200 ml
n/a
PT. Bernofarm
614 Sisplatin serbuk injeksi 10 mg
Cisplatin
PT Kalbe Farmavial
Cisplatin
PT Kalbe Farmavial
613
Siprofloksasin tablet 500 mg

(sebagai HCl)
Dus, 10 blister
@ 10 tab ss
616
Sitarabin serbuk injeksi

i.m./i.v./s.k. 1gr/10ml
dus, 1 vial @
DBL Cytarabun PT. Tempo Scan Pacific
10 ml
Dus, 5 strip @
10 tablet
617 Spiramisin tablet 500 mg
n/a
PT. Indofarma
618 Spironolakton tablet 100 mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
620
Streptokinase injeksi 1,5 juta

UI/vial
Streptase
PT. Dexa Medica

Vial
621
Streptomisin serbuk injeksi i.v

1000 mg/ml
n/a
PT. Phapros, Tbk

Dus @ 56 Vial
Sufentanil injeksi iv, epidural 5

622
mcg/ml
Sufentanyl
Injeksi
iv.Epidural 5
mcg / ml
dus 5 amp @
PT. Kimia Farma
dus 10
623 Sukralfat susp 500 mg/5 mL
Ulsafate
624 Sukralfat tab 500 mg
ULSIDEX
DUS, 10 STRIP
PT. Dexa Medica
@ 10 TAB
625 Takrolimus kaps 0.5 mg
Prograf
Pounch @ 5
PT. Combiphar blister @ 10
capsule
626 Takrolimus kaps 1 mg
Prograf
Dus, 1 pouch
PT. Combiphar @5 blister@10
kaps
627 Tamsulosin tab 0,2 mg
Harnal D
PT. Combiphar
Harnal D 0.2
Box/ 2 blister
mg Disp.
PT. Combiphar
@ 14 tablet
Tablet
629 Tamsulosin tab SR 0,4 mg
Harnal
OCAS 0.4 mg
Tablet
PT. Combiphar
Box @ 2 blister
@ 14 tablet
Box/ 3 blister
@ 10 Tablet
630 Telbivudin tab 600 mg
Sebivo 600 mg
Dus, 2 blister
Tab
@ 14 tablet
631 Telmisartan tab 40mg
Dus, 2 aluMicardis 40mg PT. Boehringer blister

Ingelheim
@10
tablet
632 Telmisartan tab 80 mg
Box, 2 blisters
Micardis 80mg PT. Boehringer Ingelheim
@10 tablets
633 Temozolamid kaps 100 mg
Temodal
Dus, 5 sachet
@ 1 kapsul
Temodal
Dus, 5 sachet
@ 1 kapsul
635 Tenofovir tab 300 mg
n/a
636 Teofilin tab SR 300 mg
Rethapyl
Dus 10-s @ 10
PT. Kimia Farma
Kaptab
637
Terazosin HCl tablet/kapsul/kaplet

HYTROZ 1MG
1 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
638

HYTROZ 3MG
2 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
639 Terbutalin cairan ih 2,5 mg/mL
Bricasma
Respules
Dus, 2 pak @ 5
respules
640 Terbutalin tablet 2,5 mg
Molasma
Tablet
PT. Molex Ayus Box 50's
641
Terbutalin turbu (serbuk ih) 0,50

mg
Bricasma
Dus, 1
Turbuhaler 0,5 PT. AstraZeneca
Turbuhaler
indonesia@
mg
200 dosis
642 Testoteron soft capsul 40 mg
Andriol
Testocaps
Dus, 6 blister
10 kapsul
Pharma Tbk
lunak
643 Tetrakain HCl tetes mata 0,5%
Pantocain
0.5%
PT. Cendo Industri

botol
Farmasi
5 ml
n/a
Dus, 10 strip @
PT. Holi Pharma
10 kapsul
n/a
PT. Afifarma
DUS,10 STRIP
@ 10 KAPSUL
646 Tiamazol tab 10 mg
Thyrozol 10
PT. Merck Tbk
Dus, 10 blister
@ 10 tablet
Thyrozol 5
PT. Merck Tbk
Dus, 10 blister
@ 10 tablet
648 Timolol tetes mata 0,25%
Isotic Adretor
0,25%
Dus, Botol
PT. Pratapa Nirmala
Plastik @ 5ml
Isotic Adretor
0,5%
Dus, Botol
PT. Pratapa Nirmala
Plastik @ 5ml
Spiriva 10s +
Handihaler
Dus, 1 blister
PT. Boehringer @10
Ingelheim
kapsul +
handihaler
n/a
Dus, 10 Ampul
@ 2 ml
Trastuzumab serbuk injeksi 440

mg/vial (Skema Risk Sharing
652
sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Herceptin
Dus, 1 vial @
440 mg + 1
vial pelarut @
20 ml
653 Travoprost tetes mata 0,004%
Travatan
botol, tetes
mata 2,5 ml
644 Tetrasiklin kapsul/kaplet 250 mg
645
650
Tetrasiklin tablet/kapsul/kaplet
500 mg
Tiotropium kaps 18 mcg +

handihaller
651 Tramadol injeksi 50 mg/ml
654
Triamsinolon asetonid nasal spray

Nasacort AQ
55 mcg/puff
Dus, botol
PT. Aventis Pharma
plastik 120
dosis
655 Trifluoperazin tablet 5 mg
n/a
PT. Darya Variastrip
656 Urea krim 10%
Soft U Derm

tube
Laboratories
Imovax Polio
1 vial of 10ml
PT. Aventis Pharma
(10 d's)
657
Vaksin polio inj (Vaksin

Poliomyelitis yang diinaktifkan)
RABIPUR
Dus, 1 vial
serbuk + 1
ampul @ 1 ml
pelarut + 1
syringe &
jarum suntik
659 Valgansiklovir tab 450 mg
Valcyte

Ingelheim
60 tablet
660 Valproat sirup 250 mg/5 ml
Depakene

botol
661 Valproat tab SR 250 mg
Depakote ER
250 mg

Tablet
Depakote ER
500 mg

Tablet
663 Valproat tablet salut 250 mg
Depakote Tab
250 mg
Tablet salut
250 mg
664 Valsartan tab 80 mg
Diovan 80mg
Tab
Dus, 2 blister
@ 14 tablet
DIOVAN 160
MG
Dus, 2 blister
@ 14 tablet
Vancep
PT. Pratapa Nirmala

Box @ 2 vial
658
666
Vaksin rabies, untuk manusia

serbuk injeksi s.k./i.k. + booster
Vankomisin serbuk injeksi 500

mg/vial
667 Verapamil tab 240 mg
Isoptin 240 mg PT. Abbott Indonesia

Tablet
668 Verapamil tablet 80 mg (HCl)
n/a
669 Vinblastin serbuk injeksi 10 mg
Vinblastine
PT. Combiphar
670 Vinkristin serb inj i.v 2 mg/vial
Vincristine
Kalbe
671 Vinkristin serbuk injeksi i.v. 1 mg
Vincristine
Kalbe
Vial
10mg/10ml
672 Vinorelbin inj. 10 mg/ml
Navelbine
injeksi 10
Dus, 1 vial @ 1
ml
673 Vitamin B Kompleks tablet
n/a
Dus 10 strip x
PT. Kimia Farma
10 tab
n/a
674
Zidovudin 300 mg + Lamivudine

150 mg
675 Zinc drop 10 mg/mL
Drops 10
Zincpro Drops PT. Combiphar mg/ml, Botol
@15 ml
676 Zinc sir 20 mg/5 Ml
Zircum Kid
Sirup
PT. Meprofarm
677 Zinc tablet dispersible20 mg
n/a
Dus, 10 strip @
PT. Indofarma 10 tablet
dispersible
Dus, botol 60
ml
TAMBAHAN OBAT E KATALOG TANGGAL 13 OKTOBER 2014
No
Nama
Dagang
Nama Obat Generik
Nama
Penyedia
Kemasan
Eprex 2000
Dus, 6 prefilled
PT. Soho Industri
syrenge
Pharmasi
@ 0.5
ml
Zoloral SS
PT. Ikapharmindo
Botol 80 ml
n/a
ktk 5 x 10
PT. Kimia Farma
tablet
ULSIDEX
DUS, 10 STRIP
PT. Dexa Medica
@ 10 TAB
Rethapyl
Dus 10-s @ 10
PT. Kimia Farma
Kaptab

HYTROZ 1MG
1 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB

HYTROZ 3MG
2 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
Depakote Tab
250 mg
Tablet salut
250 mg
Harga Satuan
Terkecil (Rp)
Tanggal Berlaku
Harga
1,375.00
4/23/2013 10:24
28,875.00
3/18/2014 20:03
7,875.00
9/28/2014 21:46
4,041.00
4/23/2013 10:24
350.00
3/15/2014 16:05
787,500.00
7/21/2014 21:09
362,250.00
7/21/2014 21:09
945,000.00
9/28/2014 21:46
297,150.00
9/28/2014 21:46
88.00
3/15/2014 16:05
219.50
3/15/2014 16:05
410.00
3/15/2014 16:05
180.00
3/15/2014 16:05
233.00
3/15/2014 16:05
3,800,000.00
6/27/2014 19:33
18,500.00
4/3/2014 21:30
50,500.00
3/16/2014 18:23
4,010.00
4/23/2013 10:24
82.00
3/15/2014 16:05
82.00
9/28/2014 21:46
12,480.00
3/16/2014 18:23
1,300.00
3/16/2014 18:23
117.00
4/23/2013 10:24
341.00
3/15/2014 16:05
192.00
4/23/2013 10:24
210.00
3/15/2014 16:05
270.00
3/15/2014 16:05
4,212.00
3/15/2014 16:05
2,500.00
4/23/2013 10:24
5,355.00
3/15/2014 16:05
85,000.00
4/3/2014 21:30
106,000.00
4/3/2014 21:30
102,375.00
3/18/2014 20:03
200,000.00
4/3/2014 21:30
85,345.00
4/3/2014 21:30
83,125.00
3/18/2014 20:03
83,125.00
3/18/2014 20:03
32,000.00
4/3/2014 21:30
74.00
3/15/2014 16:05
2,200.00
3/15/2014 16:05
2,641.00
3/15/2014 16:05
546.00
3/15/2014 16:05
142.00
3/15/2014 16:05
1,575.00
3/16/2014 18:23
23,100.00
3/18/2014 20:03
122.00
3/15/2014 16:05
155.00
9/28/2014 21:46
159.00
3/15/2014 16:05
100.00
3/18/2014 20:03
93.00
7/21/2014 21:09
50.00
3/15/2014 16:05
2,209,000.00
4/3/2014 21:30
116.00
4/23/2013 10:24
1,815.00
3/16/2014 18:23
3,500.00
3/15/2014 16:05
3,100.00
3/15/2014 16:05
900,000.00
9/28/2014 21:46
24,750.00
3/16/2014 18:23
239.00
3/15/2014 16:05
345.00
3/15/2014 16:05
1,039,500.00
4/3/2014 21:30
210.00
3/16/2014 18:23
20,000.00
3/16/2014 18:23
77.00
4/23/2013 10:24
34,500.00
3/15/2014 16:05
4,500.00
3/15/2014 16:05
3,500.00
3/18/2014 20:03
1,250.00
3/15/2014 16:05
10,290.00
4/23/2013 10:24
14,070.00
4/23/2013 10:24
3,200,000.00
3/18/2014 20:03
3,600.00
3/18/2014 20:03
3,600.00
3/16/2014 19:08
1,520.00
3/15/2014 16:05
25,106.00
9/28/2014 21:46
4,803,697.00
9/28/2014 22:55
72,400.00
4/3/2014 21:30
45,000.00
4/3/2014 21:30
6,045.00
3/16/2014 18:23
746.00
7/21/2014 21:09
669.00
4/23/2013 10:24
320,000.00
7/21/2014 21:09
247,089.00
3/16/2014 19:08
93,000.00
4/3/2014 21:30
8,900.00
4/3/2014 21:30
117,600.00
3/16/2014 19:08
110,500.00
4/3/2014 21:30
26,880.00
7/21/2014 21:08
32,000.00
7/21/2014 21:09
12,936.00
5/21/2014 20:01
12,936.00
5/21/2014 20:01
307,000.00
9/5/2014 23:17
288,750.00
7/21/2014 21:09
80,000.00
3/16/2014 19:08
155,000.00
3/16/2014 19:08
2,600,000.00
4/3/2014 21:30
25,300.00
4/3/2014 21:30
112,000.00
4/3/2014 21:30
1,659.00
3/15/2014 16:05
64.00
3/15/2014 16:05
70,000.00
8/6/2014 18:35
9,983.00
3/16/2014 19:30
6,150.00
9/28/2014 21:46
12,159.00
9/28/2014 21:46
17,604.00
9/28/2014 21:46
1,100.00
3/15/2014 16:05
23,150.00
9/28/2014 21:46
100.00
4/23/2013 10:24
134.00
4/23/2013 10:24
134,050.00
3/18/2014 20:03
49,000.00
3/18/2014 20:03
3,850.00
3/18/2014 20:03
4,216.00
3/18/2014 20:03
104.00
4/23/2013 10:24
37,500.00
4/3/2014 21:30
124,955.00
9/28/2014 21:46
28,035.00
7/21/2014 21:09
3,480.00
3/16/2014 18:23
5,480.00
3/16/2014 18:23
58,500.00
3/16/2014 18:23
290,000.00
3/16/2014 18:23
3,410.00
3/15/2014 16:05
170.00
4/23/2013 10:24
16,350.00
3/15/2014 16:05
9,800.00
8/13/2014 2:04
970,200.00
4/3/2014 21:30
455,000.00
8/6/2014 18:35
7,455.00
3/18/2014 20:03
6,375.00
6/16/2014 19:59
13,900.00
7/21/2014 21:08
42,600.00
4/3/2014 21:30
42,780.00
3/18/2014 20:03
75,465.00
3/18/2014 20:03
105,000.00
3/18/2014 20:03
8,505.00
3/15/2014 16:05
550,000.00
3/16/2014 18:23
128,000.00
4/3/2014 21:30
680.00
3/16/2014 19:08
8,000.00
4/3/2014 21:30
976.00
4/23/2013 10:24
7,893.00
3/15/2014 16:05
278,000.00
9/28/2014 21:46
140,569.00
9/28/2014 21:46
128,000.00
5/21/2014 20:01
139,500.00
4/3/2014 21:30
314.00
4/23/2013 10:24
455.00
4/23/2013 10:24
2,575.00
3/15/2014 16:05
1,360.00
8/6/2014 18:35
128,779.00
3/24/2014 14:34
100,900.00
3/16/2014 18:23
17,500.00
3/18/2014 20:03
11,813.00
3/16/2014 19:08
23,250.00
3/16/2014 19:08
9,200,000.00
4/3/2014 21:30
1,189,650.00
9/28/2014 21:46
1,039,500.00
9/28/2014 21:46
2,257,500.00
9/28/2014 21:46
20,850.00
3/15/2014 16:05
140.00
4/23/2013 10:24
20,850.00
7/21/2014 21:08
1,890.00
4/23/2013 10:24
1,075.00
3/18/2014 20:03
1,375.00
3/18/2014 20:03
304.00
3/15/2014 16:05
235.00
4/3/2014 21:30
535.00
3/15/2014 16:05
72,900.00
8/6/2014 18:35
117,500.00
4/3/2014 21:30
134,400.00
3/18/2014 20:03
35,610.00
3/18/2014 20:03
81,375.00
4/3/2014 21:30
160,650.00
3/18/2014 20:03
299,250.00
3/18/2014 20:03
375,000.00
3/16/2014 18:23
2,950.00
7/21/2014 21:09
660.00
4/23/2013 10:24
3,582.00
8/6/2014 18:35
1,248,319.00
4/3/2014 21:30
275,000.00
4/3/2014 21:30
55,000.00
3/16/2014 19:08
39,810.00
3/15/2014 16:05
4,862.00
9/28/2014 21:46
23,100.00
3/15/2014 16:05
439.00
3/16/2014 18:23
454.00
3/16/2014 18:23
30,493.00
9/28/2014 21:46
25,725.00
3/16/2014 18:23
35,000.00
3/16/2014 18:23
2,500.00
3/16/2014 18:23
98,000.00
3/18/2014 20:03
13,563.00
3/18/2014 20:03
253,750.00
3/18/2014 20:03
972,000.00
8/6/2014 18:35
1,920.00
4/23/2013 10:24
94.00
4/23/2013 10:24
275,000.00
8/6/2014 18:35
412,500.00
8/6/2014 18:35
2,570,000.00
8/6/2014 18:35
399,500.00
4/3/2014 21:30
303.00
3/15/2014 16:05
295,000.00
4/3/2014 21:30
303.00
4/23/2013 10:24
713.00
4/23/2013 10:24
1,113,850.00
3/16/2014 18:23
330,000.00
4/3/2014 21:30
3,569.00
4/23/2013 10:24
2,660.00
3/16/2014 18:23
3,353.00
3/15/2014 16:05
58.00
3/15/2014 16:05
244.00
3/16/2014 18:23
638.00
4/3/2014 21:30
997.00
3/15/2014 16:05
265.00
4/23/2013 10:24
436.00
4/23/2013 10:24
404.00
4/23/2013 10:24
430.00
4/23/2013 10:24
1,493.00
4/3/2014 21:30
2,171.00
4/3/2014 21:30
1,575.00
3/18/2014 20:03
5,600.00
3/18/2014 20:03
5,985.00
4/23/2013 10:24
5,460.00
4/23/2013 10:24
2,300,000.00
4/3/2014 21:30
840,000.00
4/3/2014 21:30
230.00
4/23/2013 10:24
87,500.00
3/18/2014 20:03
6,563.00
9/28/2014 21:46
61.00
4/23/2013 10:24
100.00
4/23/2013 10:24
72.00
4/23/2013 10:24
130.00
3/16/2014 18:23
673,500.00
3/18/2014 20:03
45,100.00
7/21/2014 21:09
1,328,000.00
5/22/2014 14:25
2,798.00
4/23/2013 10:24
5,670.00
9/28/2014 21:46
4,725.00
3/18/2014 20:03
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
75,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
75,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
170,000.00
8/6/2014 18:35
3,674.00
3/15/2014 16:05
4,724.00
4/23/2013 10:24
116.00
4/23/2013 10:24
153.00
4/23/2013 10:24
1,329,163.00
4/3/2014 21:30
211,000.00
9/28/2014 22:55
4,104.00
3/18/2014 20:03
2,226.00
3/18/2014 20:03
350,000.00
4/3/2014 21:30
122,000.00
5/21/2014 10:06
166,000.00
4/3/2014 21:30
369,000.00
4/3/2014 21:30
147,000.00
5/21/2014 10:06
199,000.00
4/3/2014 21:30
245,000.00
4/3/2014 21:30
123,200.00
4/3/2014 21:30
299,000.00
4/3/2014 21:30
150,300.00
4/3/2014 21:30
80,000.00
8/6/2014 18:35
1,496.00
3/15/2014 16:05
2,593.00
3/15/2014 16:05
510,000.00
4/3/2014 21:30
270,000.00
9/28/2014 21:46
68.00
9/28/2014 21:46
166.00
9/28/2014 21:46
34,980.00
7/21/2014 21:09
93.00
4/23/2013 10:24
710.00
3/16/2014 18:23
1,580.00
4/3/2014 21:30
82,000.00
7/21/2014 21:09
7,800.00
4/3/2014 21:30
73.00
9/28/2014 21:46
8,333.00
9/28/2014 21:46
5,145.00
3/15/2014 16:05
3,255.00
3/15/2014 16:05
27,500.00
4/3/2014 21:30
141.00
4/23/2013 10:24
89.00
3/15/2014 16:05
62.00
3/15/2014 16:05
44,770.00
3/16/2014 19:30
257.00
4/23/2013 10:24
875.00
4/3/2014 21:30
2,144.00
3/18/2014 20:03
191,000.00
9/5/2014 23:17
410,000.00
9/5/2014 23:17
1,428.00
9/28/2014 21:46
110,000.00
3/16/2014 18:23
62,500.00
7/21/2014 21:09
4,930.00
4/23/2013 10:24
2,569.00
4/23/2013 10:24
2,993.00
4/23/2013 10:24
29,400.00
9/28/2014 21:46
310.00
4/23/2013 10:24
2,722.00
7/21/2014 21:09
2,539.00
3/15/2014 16:05
3,350.00
3/16/2014 18:23
379.00
4/23/2013 10:24
570.00
4/23/2013 10:24
900.00
3/15/2014 16:05
30,600.00
8/6/2014 18:35
214.00
4/23/2013 10:24
3,500.00
3/15/2014 16:05
1,600.00
4/23/2013 10:24
3,865.00
4/23/2013 10:24
158.00
4/23/2013 10:24
1,155.00
4/23/2013 10:24
1,103.00
4/23/2013 10:24
5,000.00
4/3/2014 21:30
1,550.00
4/3/2014 21:30
525.00
4/23/2013 10:24
893.00
4/23/2013 10:24
1,155.00
4/23/2013 10:24
2,600.00
9/28/2014 21:46
33,000.00
7/21/2014 21:09
12,450.00
3/16/2014 19:08
43.00
3/15/2014 16:05
15,750.00
4/3/2014 21:30
3,220.00
4/3/2014 21:30
8,900.00
4/3/2014 21:30
6,100.00
8/6/2014 18:35
95,200.00
3/18/2014 20:03
105,871.00
3/18/2014 20:03
119,000.00
3/18/2014 20:03
145.00
3/15/2014 16:05
2,268.00
3/15/2014 16:05
704.00
4/23/2013 10:24
6,510.00
4/23/2013 10:24
567.00
4/23/2013 10:24
2,100.00
9/28/2014 21:46
1,470.00
4/23/2013 10:24
82,042.00
4/3/2014 21:30
473.00
4/23/2013 10:24
70,560.00
3/18/2014 20:03
56,300.00
4/3/2014 21:30
56,300.00
3/18/2014 20:03
39,375.00
3/18/2014 20:03
115,500.00
5/28/2014 19:25
64,680.00
5/28/2014 19:25
75,350.00
4/3/2014 21:30
36,667.00
4/14/2014 9:16
50,820.00
4/14/2014 9:16
46,000.00
4/12/2014 17:56
65,000.00
4/12/2014 17:56
82,418.00
3/18/2014 20:03
51,260.00
4/3/2014 21:30
64,900.00
4/3/2014 21:30
42,000.00
4/3/2014 21:30
46,000.00
4/3/2014 21:30
295,240.00
4/14/2014 9:16
343,842.00
4/14/2014 9:16
322,000.00
4/3/2014 21:30
218,700.00
4/3/2014 21:30
2,153.00
3/18/2014 20:03
8,000.00
4/3/2014 21:30
9,000.00
4/3/2014 21:30
9,000.00
4/3/2014 21:30
87,000.00
4/3/2014 21:30
12,650.00
4/3/2014 21:30
50,500.00
4/3/2014 21:30
42,350.00
4/3/2014 21:30
30,625.00
3/18/2014 20:03
55,500.00
4/12/2014 17:56
37,500.00
4/3/2014 21:30
210,000.00
5/21/2014 20:01
199,000.00
4/3/2014 21:30
56,000.00
4/3/2014 21:30
9,500.00
4/3/2014 21:30
6,800.00
4/3/2014 21:30
7,263.00
3/18/2014 20:03
8,085.00
3/18/2014 20:03
8,085.00
3/18/2014 20:03
35,750.00
4/3/2014 21:30
6,930.00
4/3/2014 21:30
9,625.00
3/18/2014 20:03
10,000.00
4/3/2014 21:30
10,000.00
4/3/2014 21:30
105,500.00
4/3/2014 21:30
60,500.00
3/18/2014 20:03
210,000.00
4/3/2014 21:30
591,000.00
4/3/2014 21:30
511,000.00
4/3/2014 21:30
358,000.00
4/3/2014 21:30
89,800.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
127,000.00
8/6/2014 18:35
550,000.00
8/6/2014 18:35
17,500.00
9/28/2014 21:46
700,000.00
4/3/2014 21:30
2,700,000.00
4/3/2014 21:30
550,000.00
9/28/2014 21:46
41,905.00
3/15/2014 16:05
575.00
4/23/2013 10:24
13,365.00
9/28/2014 21:46
850.00
9/28/2014 21:46
879.00
3/15/2014 16:05
1,431.00
4/23/2013 10:24
40,000.00
4/3/2014 21:30
149,100.00
9/28/2014 21:46
630.00
4/23/2013 10:24
365.00
4/23/2013 10:24
1,050.00
4/3/2014 21:30
1,850.00
4/3/2014 21:30
92.00
4/23/2013 10:24
164.00
4/23/2013 10:24
1,381.00
3/16/2014 18:23
54,600.00
7/21/2014 21:09
62,000.00
6/16/2014 19:59
1,200.00
3/16/2014 18:23
3,374.00
3/16/2014 18:23
473,000.00
8/6/2014 18:35
7,497.00
3/18/2014 20:03
12,210.00
4/3/2014 21:30
57,000.00
3/15/2014 16:05
47,500.00
7/21/2014 21:08
74,998.00
4/3/2014 21:30
266,805.00
3/18/2014 20:03
114.50
4/23/2013 10:24
214.50
4/23/2013 10:24
840.00
9/28/2014 21:46
162.00
4/23/2013 10:24
6,537.00
4/3/2014 21:30
1,950.00
9/28/2014 21:46
22,740.00
7/21/2014 21:08
93,990.00
7/21/2014 21:08
681.00
4/23/2013 10:24
210.00
4/23/2013 10:24
375.00
4/23/2013 10:24
5,500.00
9/28/2014 21:46
2,800.00
9/28/2014 21:46
96.00
4/23/2013 10:24
108.00
4/23/2013 10:24
22,176.00
9/28/2014 21:46
1,764.00
9/28/2014 21:46
10,250.00
4/23/2013 10:24
4,043.00
9/28/2014 21:46
3,220.00
3/16/2014 18:23
113.00
4/23/2013 10:24
164.00
4/23/2013 10:24
2,021,250.00
9/28/2014 21:46
1,237,500.00
5/21/2014 20:01
5,762.00
3/16/2014 18:23
9,114.00
3/16/2014 18:23
260,000.00
4/3/2014 21:30
16,000.00
8/6/2014 18:35
3,000.00
4/23/2013 10:24
697,000.00
4/3/2014 21:30
72,000.00
9/28/2014 21:46
77,000.00
4/3/2014 21:30
17,820.00
3/15/2014 16:05
8,820.00
3/18/2014 20:03
15,620.00
4/3/2014 21:30
22,990.00
4/3/2014 21:30
11,024.00
3/15/2014 16:05
1,365.00
4/23/2013 10:24
13,750.00
9/28/2014 21:46
4,935.00
3/18/2014 20:03
56,851.00
3/18/2014 20:03
69,972.00
3/18/2014 20:03
99,710.00
3/18/2014 20:03
64,680.00
3/16/2014 18:23
6,510.00
3/18/2014 20:03
185.00
4/23/2013 10:24
140.00
4/23/2013 10:24
33,900.00
5/21/2014 20:01
6,555.00
3/16/2014 18:23
9,700.00
7/21/2014 21:09
2,940.00
4/23/2013 10:24
2,999.00
3/16/2014 18:23
3,500.00
3/16/2014 18:23
110.00
3/15/2014 16:05
380,875.00
9/28/2014 22:55
672.00
4/23/2013 10:24
504.00
4/23/2013 10:24
53,900.00
7/21/2014 21:09
2,618.00
3/16/2014 18:23
377,900.00
4/23/2013 10:24
1,259,990.00
4/23/2013 10:24
225,740.00
4/23/2013 10:24
168,000.00
4/23/2013 10:24
302,605.00
4/23/2013 10:24
180,595.00
4/23/2013 10:24
82,500.00
9/28/2014 21:46
420.00
4/23/2013 10:24
680.00
4/23/2013 10:24
1,100,000.00
9/5/2014 23:17
550,000.00
9/5/2014 23:17
28,928.00
3/16/2014 18:23
1,900.00
9/28/2014 21:46
2,950,000.00
4/3/2014 21:30
120,000.00
5/21/2014 20:01
6,773.00
3/16/2014 18:23
11,760.00
3/16/2014 18:23
68,000.00
9/6/2014 1:27
38,000.00
3/15/2014 16:05
216.00
4/23/2013 10:24
2,400.00
3/15/2014 16:05
759.00
3/15/2014 16:05
1,261.00
3/15/2014 16:05
1,902,240.00
3/15/2014 16:14
219,540.00
3/15/2014 16:14
5,522,580.00
3/16/2014 19:49
995,000.00
9/5/2014 23:17
3,100,000.00
9/5/2014 23:17
290,000.00
9/5/2014 23:17
5,460.00
5/20/2014 18:46
1,496.00
4/23/2013 10:24
84.00
4/23/2013 10:24
7,000.00
7/21/2014 21:09
1,077,815.00
3/16/2014 19:08
1,248,220.00
3/16/2014 19:08
973,500.00
4/3/2014 21:30
1,135,000.00
4/3/2014 21:30
915,000.00
8/6/2014 18:35
915,810.00
4/3/2014 21:30
24,150.00
7/21/2014 21:09
2,420.00
4/3/2014 21:30
11,475.00
3/16/2014 19:08
15,225.00
3/15/2014 16:05
3,275.00
3/16/2014 18:23
4,750.00
3/16/2014 18:23
8,728.00
3/15/2014 16:05
308.00
3/15/2014 16:05
220.00
4/23/2013 10:24
17,993.00
3/16/2014 18:23
38,594.00
3/15/2014 16:05
2,250.00
3/15/2014 16:05
14,771.00
3/15/2014 16:05
7,200.00
3/16/2014 19:08
11,268.00
3/16/2014 19:08
2,400.00
4/23/2013 10:24
7,550.00
3/15/2014 16:05
79.00
4/23/2013 10:24
335.00
9/28/2014 21:46
15,642.00
7/21/2014 21:09
110.00
3/15/2014 16:05
17,391.00
3/16/2014 19:08
19,500.00
3/16/2014 19:08
23,185.00
3/16/2014 19:08
995.00
7/21/2014 21:09
600.00
4/23/2013 10:24
1,064.00
9/28/2014 21:46
1,190.00
8/22/2014 0:44
126.00
4/23/2013 10:24
273.00
3/18/2014 20:03
482.00
7/10/2014 15:53
640.00
9/28/2014 21:46
1,154.00
9/28/2014 21:46
829.00
4/23/2013 10:24
5,460.00
4/23/2013 10:24
1,400.00
4/23/2013 10:24
1,038.00
4/23/2013 10:24
2,000.00
4/23/2013 10:24
3,164,805.00
9/28/2014 22:55
23,500.00
5/21/2014 20:01
23,500.00
5/21/2014 20:01
23,500.00
5/21/2014 20:01
5,510.00
3/18/2014 20:03
6,589.00
3/18/2014 20:03
7,753.00
3/18/2014 20:03
6,930.00
9/28/2014 21:46
66,938.00
3/18/2014 20:03
452.00
3/18/2014 20:03
6,160.00
3/18/2014 20:03
62.00
4/23/2013 10:24
89.00
4/23/2013 10:24
2,100.00
3/15/2014 16:05
5,064.00
4/23/2013 10:24
539.00
4/23/2013 10:24
519.00
4/23/2013 10:24
6,149.00
3/15/2014 16:05
1,100.00
4/23/2013 10:24
17,325.00
3/15/2014 16:05
45,048.00
3/15/2014 16:05
869.00
4/23/2013 10:24
9,000.00
4/23/2013 10:24
13,330.00
7/21/2014 21:08
5,247.00
4/23/2013 10:24
3,150.00
4/23/2013 10:24
3,700.00
3/16/2014 19:08
17,913.00
4/23/2013 10:24
3,500.00
3/15/2014 16:05
4,990.00
9/28/2014 21:46
7,200.00
3/16/2014 18:23
3,520.00
7/21/2014 21:09
8,399.00
3/15/2014 16:05
186.00
3/15/2014 16:05
3,650,000.00
9/28/2014 22:55
1,320,000.00
7/21/2014 21:09
1,132.00
4/23/2013 10:24
268,800.00
3/16/2014 18:23
86,100.00
3/16/2014 18:23
126,000.00
9/28/2014 21:46
43,000.00
3/16/2014 19:08
12,000.00
3/16/2014 19:08
174.00
3/15/2014 16:05
394.00
4/23/2013 10:24
15,000.00
4/23/2013 10:24
260.00
4/23/2013 10:24
23,000.00
9/5/2014 23:17
97,000.00
9/5/2014 23:17
575,000.00
8/6/2014 18:35
1,574.00
4/23/2013 10:24
900.00
4/23/2013 10:24
320.00
4/23/2013 10:24
3,290,000.00
5/21/2014 20:01
3,832.00
4/23/2013 10:24
133,350.00
3/18/2014 20:03
13,850.00
7/21/2014 21:09
440.00
9/28/2014 21:46
11,725.00
3/18/2014 20:03
21,500.00
4/3/2014 21:30
5,800.00
3/18/2014 20:03
5,800.00
3/16/2014 19:08
6,800.00
3/16/2014 19:08
28,500.00
3/16/2014 19:08
3,900.00
6/27/2014 19:33
6,500.00
8/6/2014 18:35
1,120,000.00
8/6/2014 18:35
223,000.00
8/6/2014 18:35
8,100.00
6/16/2014 19:59
1,103.00
3/16/2014 18:23
1,834.00
9/28/2014 21:46
3,099.00
9/28/2014 21:46
6,250.00
4/3/2014 21:30
100.00
3/16/2014 18:23
71,100.00
4/8/2014 18:23
6,200.00
8/6/2014 18:35
11,500.00
4/3/2014 21:30
154.00
4/23/2013 10:24
312.00
9/28/2014 21:46
1,135.00
4/3/2014 21:30
563.00
3/18/2014 20:03
9,397.00
3/16/2014 18:23
9,996.00
3/16/2014 18:23
152,543.00
3/16/2014 19:08
2,520.00
4/23/2013 10:24
19,608,034.00
9/28/2014 22:55
115,000.00
4/3/2014 21:30
90,000.00
4/3/2014 21:30
425.00
4/23/2013 10:24
6,720.00
3/16/2014 18:23
285,000.00
4/3/2014 21:30
78,500.00
9/28/2014 21:46
170,000.00
8/6/2014 18:35
41,800.00
7/21/2014 21:09
2,793.00
3/16/2014 19:08
5,450.00
3/16/2014 19:08
1,680.00
9/28/2014 21:46
3,900.00
3/16/2014 19:08
6,500.00
4/3/2014 21:30
129,000.00
9/28/2014 21:46
6,200.00
3/16/2014 19:08
234.00
4/23/2013 10:24
210,000.00
3/16/2014 18:23
78,000.00
9/5/2014 23:17
46,000.00
9/5/2014 23:17
1,229,998.00
5/21/2014 14:16
110.00
4/23/2013 10:24
3,600.00
3/18/2014 20:03
12,840.00
3/16/2014 18:23
7,770.00
3/16/2014 18:23
497.00
3/15/2014 16:05
OKTOBER 2014
Harga Satuan
Terkecil (Rp)
Tanggal Berlaku
Harga
140,569.00
9/28/2014 21:46
29,400.00
9/28/2014 21:46
575.00
4/23/2013 10:24
440.00
9/28/2014 21:46
1,103.00
3/16/2014 18:23
1,834.00
9/28/2014 21:46
3,099.00
9/28/2014 21:46
1,680.00
9/28/2014 21:46
No
Nama
Dagang
Nama Obat Generik

mg)
Nama
Penyedia
Kemasan
1 blister@24
PT. Kimia Farma
tablet

10 mg
Hepsera
Dus, 3 Blister
@ 10 kapsul
WIDA WI
UNICAP
PT. Widatra Bhakti

Btl @ 1000 ml
Dus, 10 dus @
ml
400 mg
n/a

Zenalb
PT. Ikapharmindo
Vial 100 ml

Zenalb
PT. Ikapharmindo
Vial 50 ml

PLASBUMIN 5%
PT. Dipa Pharmalab
botol @ 250 ml
250 ML

PLASBUMIN 5%
PT. Dipa Pharmalab
botol @ 50 ml
50 ML
10
100 mg
n/a
Box, 10 strips
PT. Pertiwi Agung
@ 10 tablets
11
300 mg
n/a
PT. Bernofarm
12
0,25 mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
13
0,5 mg
n/a
1 box 10 Strip
X 10 tablet
14
n/a
mg
Dus, 10 blister
@ 10 tablet
Ktk 10x10
PT. Kimia Farma
tablet
Actilyse
Dus, 1
vial@50mg + 1
vial pelarut @
50ml
Fungicide
PT. Cendo Industri

tubeFarmasi
3.5 gr
Glybotic 250
mg /ml
PT. Sanbe Farma

Vial 2 ml
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
n/a
PT. Erela
Botol @100
Tablet
n/a
PT. Erela
Btl @ 100
tablet
Cordarone
Dus, 6 ampul
PT. Aventis Pharma
@ 3 ml
Cordarone
Dus, 3 blister
PT. Aventis Pharma
@ 10 tablet
n/a
PT. Indofarma
n/a
Box, 3 strips @
PT. Pertiwi Agung
10 tablets
n/a
Box, 3 strips @
PT. Pertiwi Agung
10 tablets
20
23
150 mg

(HCl)
PT. Indofarma
Dus, 10 strip @
10 tss
Dus, 10 blister
@ 12 kapsul
27
scored 500 mg
28

n/a
mg/5 ml
Dus, Botol 60
PT. Holi Pharma
ml
29

n/a
ml
30

mg/vial
PT. Bernofarm

31
glargine
100 IU/ml)
Analog insulin
mix acting inj 100
n/a
n/a
Lantus
Solostar
100IU/ml
5pens x3ml

Novomix
Flexpen
Analog
insulin (Analogue))
mix insulininj 100
Insulin Aspart
Humalog Mix
25
protamine
suspension,
(rDNA))
Analog insulin
rapid acting
inj 100
KOTAK @ 10 x
10 TAB
Dus, 10 vial @
1g
dus, 5 solostar
PT. Aventis Pharma
pen @ 3ml
Injeksi 100
IU/ml, Flexpen
disposible 3 ml
(1 box isi 5
flexpen
disposible)
Penfill
cartridge
Dus, vial 10 ml
Injeksi 100
Aspart (Analogue))
IU/ml, Flexpen
Novorapid
disposible 3 ml
35
disposible/penfill cartridge (Insulin Flexpen
(1 box isi 5
Aspart (Analogue))
flexpen
disposible)
34

36
37
38
mg
Apidra Solostar
dus, 5 solostar
100IU/ml
PT. Aventis Pharma
pen @ 3ml
5pens x3ml
Humalog
Penfill
cartridge
Dus, 2 blister
@ 14 Tablet

39
n/a
200 mg
40
n/a
PT. Erela
Dus, 10 Strip
@ 10 Tablet

n/a
PT. Indofarma

500 mg
n/a
ktk 10 x 10
PT. Kimia Farma
tablet

mg + Kofein 50 mg
n/a
43
Dus, 25 tube @
5g

Levodopa 100 mg
Artem
Dus 6 amp @
PT. Kimia Farma
1ml
Dus, 5 strip @
10 tablet
46

tablet 100 mg
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
47

Miniaspi 80
KOTAK @ 10 x
10 TAB
48

n/a
250 mg
ktk 10x10
PT. Kimia Farma
tablet
49

n/a
50 mg
Dus 10 strip x
PT. Kimia Farma
10 tab
50

0,4 mg
Dus, 10 strip
PT. Dexa Medica
@10 tablet
51

n/a
mg
Starfolat
53

500 mg
n/a
Botol @ 100
tablet

Ingelheim
1 ampul
PT. Bernofarm
Dus, 10 blister
@ 10 kaptab ss
Urotractin 400
PT. Sanbe Farma
Strip
mg
55

mg/ml
n/a
Dus, 10 ampul
@ 5 ml
56

mg/ml
n/a
PT. Bernofarm
Temiral Eye
Oint
Dus, 10 ampul
@ 5 ml
Dus, 1 vial
plastik @ 5ml
PT. Sanbe Farma

Tube 3,5 gram
59

n/a
mg
ktk 10x10
PT. Kimia Farma
tablet
60

n/a
mg
ktk 10x10
PT. Kimia Farma
tablet
61

10.000 UI/vial
Leunase
PT. Widatra Bhakti

10.000 UI/Vial
Pularex
Dus 5 strip @
10 tablet
Tracrium
Dus, 5 ampul
@ 2.5 ml
n/a
PT. Indofarma
n/a
PT. Soho Industri

botol
Pharmasi
@ 60 ml
n/a
n/a
PT. Soho Industri

Strip
Pharmasi
n/a
PT. Rama Emerald

DusMulti
@ 50Sukses
gram
65

mL
Dus, 10 strip @
10 tablet
69

IU/ vial
n/a
Ds 10 vial x 1,2
PT. Phapros, Tbk
Jt IU
70

IU/vial
n/a
PT. Phapros, Tbk

Dus @ 10 Vial
71

mg/mL
Survanta

Vial
Dorner
PT. Combiphar
Box @ 3 blister
@ 10 Tablet
Dorner 20 g
PT. Combiphar
Box/ 3 blister
@ 10 Tablet
74

n/a
Valerat)
Betam Ophtal
PT. Sanbe Farma
botol @ 5 ml
ED

76
Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Avastin
Dus, 1 vial @ 4
ml
Casodex 150
mg
Dus, 2 blister
@ 14 Tablet
Casodex 50
mg
Dus, 2 blister
@ 14 Tablet
Stolax supp
PT. Sanbe Farma

Supp
Concor 2.5
PT. Merck Tbk
n/a
PT. Pratapa Nirmala

Box 3 X 10 tab
BLEOCIN
PT Kalbe FarmaVial
Cripsa tab
PT. Caprifarmindo
Box 3 x 10'S
82

mg/ampul
Dus 10 blister
@ 10 tablet
84

100 dosis
Pulmicort
Turbuhaler
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
100 dosis
85

inhaler 0,25mg/mL
Pulmicort
Respules
Dus, 4 pak @ 5
PT. AstraZeneca
respules
indonesia
@2
ml
86
Symbicort
Turbuhaler
160/4.5 mcg
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
120 dosis
87
Symbicort
80/4.5 mcg
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
60 dosis
88

glukosa 8%
n/a
Dus, 5 ampul
PT. Dexa Medica
@ 4 ml
Dus, 5
Marcain Cairan
PT. AstraZeneca
polyamp
indonesia
Suntik
duofit@ 20 ml
Dus, 3 blister
@ 10 kapsul
91

mg
Pradaxa
Dus, 3 blister
@ 10 kapsul
92

mg/vial
DBL
Dacarbazine
PT. Tempo Scanvial

Pacific
@ 20 ml
93

mg/vial
DAUNOCIN

vial
Laboratories
94

mg
Exjade 250 mg
Dus, 4 blister
Tab
@ 7 tablet
95

mg
Exjade 500 mg
Dus, 4 blister
Tab
@ 7 tablet
Ferriprox Oral
Solution
Dus, Botol @
PT. Sydna Farma
500ml
Dus, Botol @
100 tablet
98

injeksi 500 mg
Desferal
Dus, 10 vial @
500mg
99

mg/ml
n/a
PT. Indofarma
n/a
Dus, 10
PT. Promedrahardjo
Strip@10
Farmasi Industri
Tablet
Cerazette
Dus, 1 Blister
@ 28 tablet
n/a
Kotak, tube @
PT. Dexa Medica
15 gram
DEXIGEN
Dus, tube @ 5
g
Dus, 100
ampul @ 1 ml
104

STESOLID
mL
Dus, 5 alubag
@ 1 tube @
2,5ml
105

mg/2,5 mL
STESOLID
Dus, 5 alubag
@ 1 tube @
2,5ml
106

mg/ml (HCl)
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
Fargoxin inj
Box @ 5 ampul
PT. Pratapa Nirmala
2 mL
n/a
Box 10 X 10
Tab
n/a
Herbesser
10 vial @
Powder
50mg
Injection 50mg
Farmabes
Injeksi 25 mg
PT. Pratapa Nirmala

Vial 5 mL
Herbesser CD
100
3 blister @ 10
kapsul
Herbesser CD
200
3 blister @ 10
kapsul
n/a
E.D.T.A
PT. Cendo Industri

botol
Farmasi
15 ml
115

0,35%
116

mg/mL
60 mg / 5 ml
PT. Bayer Indonesia

ampul
DOBURAN
PT. Dipa Pharmalab

ampul @ 5 ml
Cardura 1mg
Dus, 5 blister
@10's tab
Cardura 2mg
Dus, 5 blister
@10's tab
120

mg/vial
kalbe
121

mg/vial
kalbe
122
mg/5 ml
n/a
n/a
n/a
PT. Bernofarm
Dopamin
Dus 5 amp @
PT. Kimia Farma
10 ml
Dus, botol @
10 ml
n/a
Dus, 1 vial
@0,5 ml+ 1
PT. Sanbe Farma
vial pelarut
@1,5 ml

Renalscan
KaeF
Avodart
Dus, Botol
Plastik @ 30
Phamaceuticals
Tablet
n/a
n/a
Aromasin
Dus, 2 blister
@ 15 tablet
132
dus, 2 prefilled
PT. Aventis Pharma
syringe @ 0,2
mL
ANTI-XA
ml
133
dus, 2 prefilled
PT. Aventis Pharma
syringe @ 0,4
mL
ANTI-XA
ml
134
dus, 2 prefilled
PT. Aventis Pharma
syringe @ 0,6
mL
ANTI-XA
ml
135

n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
Epirubisin
Kalbe
Dus, 1 vial @5
PT. Sanbe Farma
ml
138

kapsul 50.000 UI
D-Vit FT
Dus 3 strip @
10 Flash tablet
139

D-Vit Syrup
Dus, Botol
Plastik @ 100
mL
n/a
PT. Indofarma
141

n/a
ml
Dus, 10 blister
@ 10 kss
PT. Phyto KemoBotol

Agung
@60
Farma
ml
Hemapo
10.000 IU
vial/ampul
Syringe)
Eprex 2000
Dus, 6 prefilled
PT. Soho Industri
syrenge
Pharmasi
@ 0.5
ml
145

mL
Prefilled
Syringe @ 1ml
Recormon

Ingelheim
6 ampul
n/a
ktk 20 x 10
PT. Kimia Farma
tablet

(HCl)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
n/a
Lynoral
Dus, botol @
100 tablet
Implanon
Dus, 1 blister
1 subdermal
Pharma Tbk
implant
Etopul

ampul @ 5ml
Laboratories
152 Eugenol cairan
n/a
Certican 0,25
mg Tab
Dus, 6 blister
@ 10 tablet
Certican 0,5
mg Tab
Dus, 6 blister
@ 10 tablet
147

155
Novoseven
KOTAK @ 1
VIAL SERBUK
OBAT &
INFUSION KIT
156

230 -340 UI
Haemoctin
PT. Kimia Farmavial
157

Haemoctin
PT. Kimia Farmavial
158

480 - 600 UI
KOATE DVI 500

PT. Dipa Pharmalab
vial
IU
n/a
KOTAK @ 10
ampul
n/a
PT. Ikapharmindo
Botol @ 100
n/a
KOTAK @ 10
ampul
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
n/a
Dus, 3 strip @
10 kapsul
n/a
Dus, 3 strip @
10 kapsul
162

mg/ml
165

n/a
tablet 250 mg
Dus @ 10 X 10
PT. Phapros, Tbk
's
166

Fenocin
tab 125 mg
Dus 45 x 12
tab
167

V)tablet 500 mg
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
Berotec MDI
Box, canister
10mL
Berotec
Solution
Dus, Canister
200 dosis
170

n/a
ampul 10 ml
Dus 5 ampul@
PT. Kimia Farma
10ml
171

n/a
ampul 2 ml
Dus 5 ampul@
PT. Kimia Farma
2ml
Durogesic 12,5
MU Matrix
Durogesic 25
MU Matrix
Durogesic 50
MU Matrix
Leucogen
Prostacom
PT. Combiphar
Box, isi 3 Strip

@ 10 tab
177

n/a
gula 10 mg
Dus @ 10 X 10
PT. Phapros, Tbk
's
178

n/a
i.m. 2 mg/ml
dus @ 30
PT. Phapros, Tbk
ampul
Dus, 5 vial @
50 mg
Fludara Oral
Dus, 4 blister
PT. Aventis Pharma
@ 5 tablet
salut selaput
Sikzonoate
Injeksi
Dus, 5 ampul
@ 1ml
n/a

Botol
Laboratories
183
Blister
mg
n/a
ktk 1 x 10
PT. Kimia Farma
kapsul
Foransi 10

strip
NOPRES
DUS, 30
PT. Dexa Medica
TABLET
Ocuflam ED
PT. Sanbe Farma

botol @ 5 ml
Curacil
Curacil
SYNARCUS

5g
Dus, Botol 120

Dosis Spay

192
mg
Flixotide
Nbules
Dus, 2 flow
wrap@ 5
nebules @ 1
dosis (2ml)
Arixtra
Dus, 2 pfs 0.5

ml
Plasmanate
dus, vial @ 250

PT. Dipa Pharmalab
ml
n/a
PT. Indofarma
Dus, 25 ampul
@ 2 ml
n/a
PT. Indofarma
Dus, 10 strip @
10 tablet
Prefilled
Syringe
195

mg/ml
Gadovist 7,5
mg
Prefilled
PT. Bayer Indonesia
Syringe
199

Primovist
Prefilled
PT. Bayer Indonesia
Syringe
200

mg/mL)
Cymevene

Ingelheim
1 ampul

n/a
2,70 g
Dus @ 100
PT. Phapros, Tbk
Sachet
Dus, 1 blister
@ 10 tablet
PT. Indofarma
Dus, 10 blister
@ 12 kapsul
n/a
PT. Indofarma
Dus, 10 blister
@ 10 kaptab
Gemzar 1000
mg
PT. Bayer Indonesia

vial
n/a
Dus, 1 vial
PT. Sanbe Farma
@200 mg
n/a
PT. Indofarma
Genoint Salep
PT. Erela
Mata
Tube @ 3,5 gr
n/a
PT. Indofarma
Dus, botol
plastik 5 ml
n/a
PT. Indofarma
Dus, 10 blister
@ 10 kaptab
Glicab
PT. Tempo ScanStrip

Pacific
Dus, 6 strip @
Diamicron MR
PT. Pradja Pharin
10 tablet lepas
30
lambat
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
n/a
n/a
Dus, 5 ampul
@ 2 ml
n/a
n/a
Nitrokaf Forte
220

Nitral
mg

Btl @ 30 tablet
Gliserin lar
50%
PT. Lucas Djaja
Glycerin 100
ml
n/a
PT. Widatra Bhakti

botol @ 500 ml
n/a
PT. Widatra Bhakti

botol @ 500 ml
Zoladex 10,8
mg
Dus, 1 syringe
@ 10.8 mg
Zoladex 3,6
mg
Dus, 1 syringe
@ 3.6 mg
n/a
PT. Indofarma
Haldol
Decanoas
Dus 5
Ampul@1mL
Lodomer
Injeksi
KOTAK @ 12
ampul
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
Lodomer 2
KOTAK @ 10 x
10 TAB
Halothane
PT. Dexa Medica

Botol
Dus, 10 blister
@ 10 tablet
235
(human)
PT. Pratapa Nirmala

vial
Hyperhep B
Dus, 1 syringe
PT. Dipa Pharmalab
@ 0.5 mL
n/a
237

PT. Dipa Pharmalab
vial
500 mg
MEDAC
238

mg/ml
n/a
box 5ampul
@1 ml

Dus, vial 10 ml
Dus, vial 10 ml
Basal)
n/a
Insulatard
242
(Human Insulin (IntermediatePenfill
Acting))
Dus, 1 Vial @ 5
PT. Aventis Pharma
ml
Injeksi 100
IU/ml, penfill
disposible 3 ml
(1 box isi 5
penfill
disposible)
Dus Isi 5

penfill/cartridg
e @ 3ml
Sansulin N
penfillcartridge
PT. Sanbe Farma
@ 3ml
Injeksi 100
IU/ml, penfill
disposible 3 ml
245
(1 box isi 5
% NPH Insulin))
penfill
disposible)
Dus Isi 5
Humulin 30/70
PT. Bayer Indonesia
penfill/cartridg
Cart
human Comb)
e @ 3ml

Dus, vial 10 ml

PT. Bayer Indonesia
Dus, vial 10 ml
Injeksi 100
IU/ml, penfill
disposible 3 ml
(1 box isi 5
penfill
disposible)
penfill
248

human Rapd)
Sansulin R
PT. Sanbe Farma

cartridge @
3ml

Dus Isi 5
penfill/cartridg
human Rapd)
e @ 3ml

Acting))
253

Dus, vial 10 ml

Dus, vial 10 ml

n/a
Tetagam
Prefilled
PT. Dexa Medica
syringe
n/a
PT. Indofarma
Dus, botol 60
ml
n/a
PT. Indofarma
Dus, botol 60
ml
n/a
botol @ 100
tablet
n/a
255
260

injeksi i.m. 250 UI
Dus, 1 Vial @ 5
PT. Aventis Pharma
ml

mg/vial
Holoxan injeksi
Dus, 1 vial @ 1
1000
g

Nomor
HK.02.02/Menkes/223/2014)
Glivec
Dus, 6 blister
@ 10 tablet
salut selaput
Tanapress
10mg
3 blister @ 10
tablet
3 blister @ 10
tablet
264

Iopamiro
Dus, botol @
PT. Dipa Pharmalab
100 ml
265

Iopamiro
(300mg @ vial 30ml)
Dus, vial @ 30
PT. Dipa Pharmalab
ml
266

Iopamiro
(300mg @ vial 50ml)
Dus, vial @ 50
PT. Dipa Pharmalab
ml
267

Iopamiro
Dus, botol @
PT. Dipa Pharmalab
100 ml
268

Iopamiro
(370mg @ vial 30ml)
Dus, vial @ 30
PT. Dipa Pharmalab
ml
269

Iopamiro
(370mg @ vial 50ml)
Dus, vial @ 50
PT. Dipa Pharmalab
ml
270

(300 mg / 100 ml)
300/100 mg
PT. Bayer Indonesia

Botol
271

(300 mg / 50 ml)
300/50 mg
PT. Bayer Indonesia

Botol
272

(370 mg / 100 ml)
370/100 mg
PT. Bayer Indonesia

Botol
273

(370 mg / 50 ml)
370/50 mg
PT. Bayer Indonesia

Botol
274

mcg/semprot
Atrovent HFA
Box, canister
10mL
n/a
PT. Indofarma
Dus, 5 blister
@ 10 kss
n/a
PT. Indofarma
Dus, 5 blister
@ 10 kss
n/a
Dus, 1 vial @2
PT. Sanbe Farma
ml
Terrell
PT. Pratapa Nirmala

Botol 100 mL
279

n/a
mg
Botol 100
tablet
280

n/a
mg
Botol 100
tablet
281

mg/10 ml
PT. Pratapa Nirmala

vial
282

n/a
5 mg
Farsorbid inj
PT. Indofarma
Dus, 10 strip @
10 tablet
Kalipar
PT. Tempo ScanStrip

Pacific
KSR
PT. Merck Tbk
Dus, 10 strip @
10 tablet
285

50 mg/ml
Leucovorin
Vial 50 mg/5
ml
286

(100 mg/ml)
Kalsium
glukonat
PT. Ethica Industri

Ampul
Farmasi
287

n/a
PT. Afifarma
Dus,10 Strip @
10 tablet
288

KALQUEST
g

g
n/a
Dus, 3 Blister
PT. Dexa Medica
@ 10 tablet
n/a
Dus, 3 Blister
PT. Dexa Medica
@ 10 tablet
Xeloda
Boks, 120
tablet
n/a
PT. Indofarma
n/a
Dus, 10 strip
PT. Errita Pharma
@10 tablet
n/a
PT. Indofarma
Dus, 10 strip @
10 tablet
Dus, 10 strip @
10 tablet
Tegretol Syrup
Dus, botol @
120 ml
120ml
n/a
Dus,botol 100
tablet
Karbogliserin
tetes telinga
10%
PT. Lucas Djaja
DBL
Carboplatin
150 mg
PT. Tempo Scanvial

Pacific
@ 15 ml
DBL
Carboplatin
450 mg
PT. Tempo Scanvial

Pacific
@ 45 ml
V - BLOC
PT Kalbe Farmastrip
KTM

Vial @ 10 ml
Ketamin
Hameln
PT. Combiphar
n/a
Box isi 1 Tube

@ 15 g
n/a
301
6,25 mg
PT. Indofarma
Dus, 10 blister
@ 10 tablet
Fenol 100 mg /
1 ml
Box, isi 1 vial

@ 10 ml
n/a
PT. Hexpharm Jaya

tubeLaboratories
5 gr
Zoloral SS
PT. Ikapharmindo
Botol 80 ml
n/a
dus 2 's @ 10
supp
n/a
Dus @ 12
PT. Phapros, Tbk
Ampul
ORIXAL
Dus, 3 Strip @
salut
selaput
PT. Indofarma
Dus, 5 blister
@ 10 kapsul
PT. Bernofarm
Dus, 3 strip @
10 kapsul
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
Catapres
Injeksi
Box, 10
Ingelheim @
1mL
n/a
PT. Indofarma
n/a
n/a
315

(HCL) (150)
Dus, 10 strip @
10 tablet
319

n/a
ml
320

n/a
(HCl)
Dus @ 10 X 10
PT. Phapros, Tbk
's
321

n/a
(HCl)
Dus @ 30
PT. Phapros, Tbk
Ampul
322

2 ml (HCl)
Dus @ 30
PT. Phapros, Tbk
Ampul
323 Klozapin 100 mg
n/a
KOTAK @ 5 x
10 TAB
324 Klozapin 25 mg
n/a
KOTAK @ 5 x
10 TAB
n/a
ktk 10x10
PT. Kimia Farma
tablet
n/a
ktk 10x10
PT. Kimia Farma
tablet
n/a
ktk 10x10
PT. Kimia Farma
tablet
328

Ostriol
lunak 0,25 mcg
330


0,25 mg
Btl @ 30
PT. Pratapa Nirmala
kapsul
Botol Plastik @
500 ml
Laxadine
Emulsi 60 ml

Botol @ 60
Laboratories
ml
n/a
PT. Erela
Dus, 100
Sachet @ 30
Tablet

botol
Farmasi
15 ml
klorida 1,32 mg
333

Lumefantrin 120 mg
Coartem

mg
Dus, 4 blister
@ 6 tablet
Dus, botol
plastik @ 30
tablet salut
selaput
335

Aluvia
botol @ 120
tablet
336

Seretide
Dus, Botol 120
Inhaler 50 mcg
Dosis
337

Seretide
Diskus 100
mcg
Dus, foil strip

@ 60 dosis
338

Seretide
Diskus 250
mcg
Dus, foil strip

@ 60 dosis

n/a
Dus, 10
PT. Promedrahardjo
Strip@10
Farmasi Industri
Tablet

n/a
Dus, botol @
PT. Holi Pharma
60 ml
n/a
342

HCl)
n/a
ktk 100 amp @

PT. Kimia Farma
2 ml
343

(H2SO4.7H2O)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
344

Heplav
mg
n/a
Prosogan Inj.

Serbuk vial
n/a
PT. Indofarma
Tykerb
Dus, 7 Blister
@ 10 tablet
349

Kalbamin
(Asam Amino 10%)
Dus, 2 strip @
10 kapsul
PT. Finusolprima
botol
Farma
500Internasional
ml

Softbag 500
PT Otsuka Indonesia
ML

Cl- 52 mEq)
Softbag 500
PT Otsuka Indonesia
ML

Aminofusin
Hepar
gr/L)
Aminosteril
Infant 6%
Taurine 0,24 gr/l)
356
Nephrosteril
357
Kidmin
359
Double
Chamber
PT Otsuka Indonesia
Softbag 1000
ML
Double
Chamber
PT Otsuka Indonesia
Softbag 500
ML
Botol Gelas
100 ml
Botol Gelas
250 ml
Softbag 200
PT Otsuka Indonesia
ML
Softbag 500
PT Otsuka Indonesia
ML

(Asam amino 8%)
Hepa
500 ml

10 g/L)
Comafusin
mengandung
Asam
361 Larutan
Aspartate
10 gr/L, Xylitol
50 Amino
gr/L,
(Kombinasi
aminno 50
g/L, Hepar
Malic Acid 7Asam
gr/L, Piridoxin
0.12
Sorbitol
gr/L)
Aminofusin
L600
Larutan
Asam Amino
Natrium mengandung
Fosfat 2.5 mg/L,
Aminofusin
363 (Kombinasi
elektrolit) Asam amino 50 g/L,
Paed
Kabiven 1440
ml
Larutan
Akses peripheral))
Kabiven 1920
ml
Akses
peripheral))
Larutan
PT. Finusolprima
botol
Farma
250Internasional
ml
PT. Finusolprima
botol
Farma
500Internasional
ml

Bag (3
PT. Fresenius Kabi
Chamber)
Combiphar
1440 ml
Bag (3
PT. Fresenius Kabi
Chamber)
Combiphar
1920 ml
Bag Double
chamber (Dua
366
PT. Phapros, Tbk
compartement)
akses sentral)
, 1000 mL
Bag Double
Combiflex peri
chamber (Dua
PT. Phapros, Tbk
(480 kcal)
compartement)
, 1000 mL
368

(Kalium Klorida)
Otsu - KCl
7,46%
PT Otsuka Indonesia
Ampoel 25 ML
369

Wida RL
PT. Widatra Bhakti

Botol 1000 ml

370 (Na 130 mEq, Cl 109 mEq, Ca 3
mEq, Asetat 28 mEq)
Asering
Plastic Bottle
PT Otsuka Indonesia
500 ML
KA EN 1B
Plastic Bottle
PT Otsuka Indonesia
500 ML
Totilac
flexybag 250
PT Kalbe Farma
mL
Ringerfundin
500 mL
LDPE (Low
Density Poly
PT. Phapros, Tbk
Ethilene), botol
plastik

gr)
372 gr/L, Potassium Chloride 0.3 gr/L,
Larutan
Elektrolit
Calcium mengandung
Chloride 0.2 gr/L,
(Tiap
1000 ml mengandung
elektrolit)
Larutan
mengandung
Karbohidrat
mmol/l, Malate
5.0 mmol/l)
Triofusin 1000 PT Kalbe Farmabotol 500 mL

Triofusin 500
Xylitol 30 g/ L)
Martos
(Maltose 100 gr)
377
Potacol inj
1.55 g sodium lactate)
376
Flexy bag 500

PT Kalbe Farma
mL
Plastic Bottle
PT Otsuka Indonesia
500 ML
Plastic Bottle
PT Otsuka Indonesia
500 ML


Clinimix
N9G20E
Botol Plastik
PT Kalbe Farma
1000 mL

Clinimix
N9G15E
Botol Plastik
PT Kalbe Farma
1000 mL

Wida HSD
PT. Widatra Bhakti
Botol 500 ml
ml)
383
injeksi ad 1000 ml)
Wida D5-NS
PT. Widatra Bhakti

Botol 500 ml

4,5 g)
PT. Widatra Bhakti

Botol 500 ml

1/4NS
2.25 g)
PT. Widatra Bhakti

Botol 500 ml

1/2NS
4.5
Larutan
PT. Widatra Bhakti

Botol 500 ml

387
Futrolit
Sorbitol
50g)
Larutan mengandung
Karbohidrat
Glukosa 5%)
Wida RD

KA ENMG 3
390
KA EN 3B
27 gr)
391
KA EN 3A
Dekstrosa 27 gr)
MCT/LCT 1%
ml)
100
393

(Emulsi lemak 20%)
Intralipid

MCT/LCT 1%
ml)
250
PT. Sanbe Farma

softbag 500ml
PT. Widatra Bhakti

Botol 500 ml
Plastic Bottle
PT Otsuka Indonesia
500 ML
Plastic Bottle
PT Otsuka Indonesia
500 ML
Plastic Bottle
PT Otsuka Indonesia
500 ML
20%, Botol
PT. Phapros, Tbk
Kaca @100 ml,
single bottle
Botol Gelas
100 ml
20%, Botol
PT. Phapros, Tbk
Kaca @250 ml,
single bottle

Bag, 3
(Kombinasi Glukosa dan elektrolit Nutriflex Lipid
chamber ( 3
395
PT. Phapros, Tbk
Special 1250
kompartemen),
1250 ml

396
MCT/LCT 50 gr)
397
398
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Peri 1250
kompartemen),
1250 ml
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Special 625
kompartemen),
625 ml

stripFarmasi
5 x 0.6 ml
400

btl@2,5ml
Ivelip
Flexy bag 100

PT Kalbe Farma
mL
Xalatan
0,005%
dus, Botol @
2,5 ml
Granocyte 34
1vl HSA Free
Dus, 1 vial @
263 mcg + 1
PT. Aventis Pharma
prefilled
syringe pelarut
@ 1 ml
Dus, 3 blister
@ 10 tablet
402

mg
FEMARA
403

mg

Vial
404

Tapros 3M
mg

Vial
405

mg
TAPROS 3.75
MG

Vial
n/a

Botol @ 100
Laboratories
ml
n/a
ktk 5 x 10
PT. Kimia Farma
tablet
Optiflox
PT. Erela
Btl @ 5 ml
Euthyrox 100
PT. Merck Tbk
Dus 4 blister @
25 tablet
n/a
PT. Bernofarm
Dus, 100
ampul @ 2 ml
n/a
PT. Indofarma
Dus, 30 ampul
@ 2 ml
409
100 mcg
411

Xylocaine Jelly
Dus, 10
2%
syringe @ 10 g
Xylocaine
Dus,Botol @ 50
ml (500 dosis)
dosis
n/a
Box ,3 Strip @
10 tablet
n/a
Box ,3 Strip @
10 tablet
Frimania 200
KOTAK @ 10 x
10 TAB
Frimania 400
KOTAK @ 10 x
10 TAB
n/a
Dus, 10 Strip
@ 10 Tablet
n/a
PT. Indofarma
Merlopam 2
KOTAK @ 10 x
10 TAB
421

DIALIFER
100 mg/5 mL
Dus, 5 strip @
10 tablet

ampul
Laboratories
422 Manitol
n/a
PT. Finusolprima
botol
Farma
500Internasional
ml
Ludios
PT. Soho Industri

Strip
Pharmasi
Sandepril 50
KOTAK @ 5 x
10 TAB

acid/mL
Vermox 500
Dus,24 Catch
@ 1 tablet
Alkeran
Box, Tablet 2
mg/25's
n/a
PT. Bernofarm
Dus, 1 vial @ 1
g
n/a
PT. Bernofarm
Dus, 1 vial @
0,5 g
Uromitexan
injeksi.

Dus, 15 Ampul
n/a
n/a
PT. Bernofarm
Dus, 10 blister
@ 10 tablet
n/a
PT. Bernofarm
Dus, 10 blister
@ 10 kaptab
DOPAMET
Dus, 10 Strip
@ 10 tablet
salut selaput
0,125 mg
n/a
ktk 10 x 10
PT. Kimia Farma
tablet salut
Ritalin LA
Dus, botol
plastik @ 30
kapsul
pelepasan
lambat
RITALIN
Dus, 2 blister
@ 15 tablet
PT. Bernofarm
Dus, 1 vial @
125 mg
PT. Bernofarm
Dus, 1 vial @
500 mg
n/a
PT. Mahakam Beta

StripFarma
n/a
Dus, 10 Blister
@ 10 Tablet
n/a
Dus, 10 Blister
PT. Dexa Medica
@ 10 tablet
GAVISTAL
drops
PT. Meprofarm
LEXAPRAM
SIRUP
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
447

i.v/i.m./i.t. 5 mg
448
2,5 mg
Dus, Botol 10
ml
METHOTREXAT
Box 10 ampul
E EBEWE
@ 1 ml
METHOTREXAT
Box, bottle @
50 tab
MG
Dus, 1 Botol @
100 ml
Vagizol
dus 1 's @ 5
PT. Kimia Farma
ovula
Flagyl
Dus, 2 blister
PT. Aventis Pharma
@5
suppositoria
n/a
10 strip @ 10
tab
n/a
10 strip @ 10
tab
Endoneuroscan
PT. Kimia Farmavial
KaeF 1
455

mL reaction vial
KaeF
Miloz 5 Inj

ampul
Laboratories
Miloz 15 Inj

ampul
Laboratories
Mycamine
PT. Combiphar
Cellcept

Ingelheim
50 tablet
Dus,1
vial@50mg
461

Mitomycin C
10 mg/vial
462

Btl @ 500 ml
lar inf 4%
PT. Widatra Bhakti

10 mg /Vial
Vigamox
botol, tetes
mata 3 ml
n/a

tube 10 gram
n/a
Dus 10 amp @
PT. Kimia Farma
1 ml
MST Continus
10 mg
Dus, 6 strip @
10 tablet
MST Continus
15 mg
Dus, 6 strip @
10 tablet
468

mg/ml
470

mg
471 Nacl 0,9%
n/a
Ktk 10 ampul
PT. Kimia Farma
@ 1ML
n/a
N-ace cairan
inhalasi
PT. Pratapa Nirmala

Box @ 5 ampul
n/a
PT. Widatra Bhakti

Botol 500 ml
472

syringe 0,3 mL
Fraxiparine 0.3
Dus, 5 blister
ml
@ 2 pfs 0.3 ml
473

syringe 0,4 mL
Fraxiparine 0.4
Dus, 5 blister
ml
@ 2 pfs 0.4 ml
474

syringe 0,6 mL
Fraxiparine 0.6
Dus, 5 blister
ml
@ 2 pfs 0.6 ml
Nokoba
Dus, 5 Ampul
PT. Pratapa Nirmala
@ 2ml
Meylon
PT Otsuka Indonesia
Ampoel 25 ML
n/a
Dus @ 5 X 10
PT. Phapros, Tbk
's
n/a
Dus @ 5 X 10
PT. Phapros, Tbk
's
Fleet
Phosphosoda
Fucilex
Ointment
Neostigmin
Hameln inj
Box, isi 5
ampul @ 1 ml
n/a
476
483

8,4%

PT. Bayer Indonesia
blister
oros
mg
Adalat Oros 30
PT. Bayer Indonesia
blister
mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
salut selaput

486
Tasigna
Nomor
HK.02.02/Menkes/223/2014)
Dus, 2 blister
@ 14 kapsul
Dus @ 10 X 10
PT. Phapros, Tbk
's

n/a
g
Dus @ 10 X 10
PT. Phapros, Tbk
's
488
Levosol
Dus 5 amp @ 8
PT. Kimia Farma
ml
Primolut N
PT. Bayer Indonesia

blister
491

Kategori 1
n/a
PT. Phapros, Tbk

Paket
492

Kategori 2
n/a
493

Kategori Anak
n/a
Dus,
1 dus @
Paket@84
tablet
Dus,
sachet
tablet60
tahap
tahap
intensif
intensif
@
(1 tablet
kategori
1+1
495
n/a
dewasa
Dus @ 54
kapsul
blister @ 3
Rifampicin,
tablet tahap2
tablet
496
n/a
anak
Pyrazinamide)
kategori 1
+ 120 sachet
tahap lanjutan
Dus,
ampul
@ (1 5
tablet
@
1ml
Isoniazid,
2
kapsul
Rifampicin)
Box ,5 Strip @
n/a
10 tablet
n/a
Box ,5 Strip @
10 tablet
500

ELOXATIN
/ vial
Dus, 1 vial @
PT. Aventis Pharma
20 ml
501

ELOXATIN
vial
Dus, 1 vial @
PT. Aventis Pharma
10 ml
502

0,025%
Ilaidin Drops
Tiacinon
Dus, 10 ampul
@ 1 ml
504 Oktreotid 10 mg
Sandostatin
LAR
Dus, vial @
355m + 1
prefilled
syringe pelarut
@ 2,5 ml + 2
jarum suntik
Zyprexa IM
PT. Bayer Indonesia

Vial
Olandoz 5

3 X 10 fcc
Olandoz 10

3 X 10 fcc
Patanol
botol, tetes
mata 5 ml
n/a
Dus, 1 Vial @
40 mg
n/a
n/a
PT. Indofarma
n/a

Box 3 X 10 Tab
Dus, 5 Ampul
@ 2ml
Transfer
Set:
Box
3 X 10
Tab
Set; Ultaclam:
Kantong
Plastik;
514
n/a
Catheter: Box;
Adaptor)
1.5%: Dianeal
Titanium
Low Calcium
Adaptor:
with
Dialisa
515
n/a 1,5%
Set
Kantong
Plastik
Set per 6 bulan
Dextrose;
1.5 %: 2.000
Larutan Dialisa
ml; Larutan
Dialisa 2.5 %:
Low Calcium
Larutan Dialisa
%, Minicap)
Dextrose;
4.25 %: 2.000
Vial
6mg/ml
Larutan
Dialisa
ml; Minicap:
SINDAXEL 100
(100mg/16.67
4.25%:
Dianeal
Kantong
Plastik
MG/16,67 ML
ml)
Low Calcium
with 4.25%
SINDAXEL
Vial 6mg/ml
Dextrose
260mg/43.33 PT. Actavis Indonesia
(260mg/43.33
ML
ml)
n/a
SINDAXEL 30
MG/5 ML
Vial 6mg/ml
(30mg/5ml)

@15ml (60mg/0,6ml)
n/a
n/a
PT. Afifarma
520
botol 60 ml
n/a
Dus, 10
Strip@10
Kaplet Salut
Selaput
FASIDOL
Dus, botol @
15 ml
524

135 mcg/0,5 ml
Pegasys

Ingelheim
1 pfs
525

180 mcg/0,5 ml
Pegasys

Ingelheim
1 pfs
Dus, 1 vial 100
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
Dus,
1 prefilled
2 jarum
syringe (serbuk
Sharpinjeksi
Dohme
120mcg
Pharma
+ pelarut 0.5
Dus,
50
ml) +11vial
jarum
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
Dus,
1 vial 80
2 jarum
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
2 jarum
526

inj 100 mcg
Pegintron Vial
100 Mcg
PT. Merck
527

inj 120 mcg
Pegintron Pen
120 Mcg
PT. Merck
528

inj 50 mcg
Pegintron
PT. Merck
529

inj 80 mcg
Pegintron Vial
80 Mcg
PT. Merck
BURNAZIN 35
GR
tube @ 35
PT. Darya Varia
gram
Bioprexum 5
mg
Dus, botol
plastik @ 30
PT. Pradja Pharin
tablet salut
selaput
Scabimite
Cream 10

g
n/a
Ktk 10
PT. Kimia Farma
ampx2ml
DECULIN 15
MG
PT. Dexa Medica

30 TAB/BOX
DECULIN 30
MG
PT. Dexa Medica

30 TAB/BOX
n/a
n/a
Dus, 25 Blister
PT. Holi Pharma
@ 4 tablet
n/a
Dus 10 strip @
PT. Holi Pharma
10 tablet
Aptil
Dus, Botol @
PT. Pratapa Nirmala
10ml
533
537

50 mg/ml (HCl)

mg
Tbk
Tbk
Tbk
Tbk
n/a
PT. Afifarma
botol @ 1000
ml
PT. Afifarma
botol @ 30 ml
n/a
PT. Afifarma
botol @ 300 ml
Sifrol ER
0,375mg
Dus, 3 alu
Ingelheim
@ 10
tablet
Sifrol ER
0,750mg
Dus, 3 alu
Ingelheim
@ 10
tablet
n/a
Box ,5 Strip @
10 tablet
n/a
n/a
Dus, 10 strip @
PT. Holi Pharma
10 tablet
540
542
546

ml

ml

548
n/a
100 mg
PT. Indofarma
Botol @ 100
Tablet
Fresofol 1%
MCT/LCT
PT. Fresenius Kabi

Ampul
Combiphar
n/a
Dus, 10 strip @
PT. Holi Pharma
10 tablet
Seroquel XR
200 mg
Dus, 1 blister
@ 10 tablet
Seroquel XR
300 mg
Dus, 1 blister
@ 10 tablet
Seroquel XR
400 mg
Dus, 1 blister
@ 10 tablet
Cardace 2.5mg
Dus, 6 blister
6x10 s tablet
@ 10 tablet
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 kaptab
n/a
Dus, 10 strip @
10 tablet
n/a
Dus, 10 Ampul
@ 2 ml
556
mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
salut selaput
n/a
Botol 50 kapsul
PT. Kimia Farma
lunak
560

kapsul lunak
n/a
561
300 mg
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kapsul
562
600 mg
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kaplet
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kapsul
n/a
PT. Widatra Bhakti

botol 500 ml
n/a
Dus, 5 Blister
PT. Dexa Medica
@ 10 tablet
n/a
KOTAK @ 5 x
10 TAB
n/a
Dus, 5 Blister
PT. Dexa Medica
@ 10 tablet

568
Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Mabthera
Dus, 1 vial @
10 ml

Blister

Blister

Blister
Requip PD 24
Hour 2 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Requip PD 24
Hour 4 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Requip PD 24
Hour 8 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Ventolin
Nebules
Dus, 4x5 Botol

Plastik@2.5 ml
Ventolin
Inhaler
Dus, botol 200

dosis
Ventolin
Rotacaps
Dus, 10 Blister
@ 10 Kapsul
578

+ rotahaler
Rotahaler
Dus, 1
Rotahaler
579

Sulfat)
n/a
strip @ 10
tablet
580

Sulfat)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
581

n/a

Pot @ 30 gram
582

mg/5ml
n/a
Dus, Botol 60
PT. Holi Pharma
ml
583 Sefadroksil kapsul/kaplet 250 mg
n/a
PT. Hexpharm Jaya

stripLaboratories
n/a
PT. Bernofarm
576

mcg/dosis
Dus, 10 strip @
10 kapsul
Dus, Botol 60
PT. Holi Pharma
ml
n/a
Dus, 5 Strip @
10 Kapsul
n/a
Dus, 2 Vial @ 1
PT. Dexa Medica
gram
588 Sefepim inj 1 g
n/a

vial
Laboratories
n/a
PT. Bernofarm
n/a
Dus, Botol 30
ml
n/a
Dus, 2 vial @ 1
PT. Holi Pharma
g
n/a
PT. Hexpharm Jaya

vial Laboratories
n/a
Dus, 10 Vial @
1g
590

ml
Dus, 10 blister
@ 10 kapsul
Dus, 3 blister
@ 10 tablet
Dus, 2 vial @ 1
g
n/a
597
250 mg
Dus, 10 Vial @
1g
Dus, 1 Blister
@ 10Indonesia
Tablet
salut selaput
Zinnat 500
Dus, 1 Blister
PT. Glaxo Wellcome
@ 10Indonesia
Tablet
salut selaput
Fatral
PT. Pratapa Nirmala

strip @ 10 tab
n/a
n/a
Box, 10 strips
PT. Pertiwi Agung
@ 10 capsules

602
Erbitux
Nomor
HK.02.02/Menkes/223/2014)
PT. Merck Tbk
Sojourn
PT. Pratapa Nirmala

tabung/botol
PT. Lucas Djaja
Dus, 1 vial @
20 ml
604

injeksi 500 mcg
n/a
100 ampul @ 1
ml
605

1000 mg
Cyclovid 1000
vial
Laboratories
mg
606

200 mg
Cyclovid 200
mg
607

500 mg

Vial
Laboratories

vial
Laboratories
Sandimmun
Dus, 10 blister
@ 5 kapsul
Kap
lunak
Sandimmun
Neoral 25mg
Kap
Dus, 10 blister
@ 5 kapsul
lunak
n/a
Box,3 strips @
PT. Pertiwi Agung
10 tablets
n/a
Dus, 3 Strip @
10 Kaplet
Prima
salut
selaput
n/a
PT. Dexa Medica

Vial 200 ml
n/a
PT. Bernofarm
Cisplatin
PT Kalbe Farmavial
Cisplatin
PT Kalbe Farmavial
613
616

(sebagai HCl)

Dus, 10 blister
@ 10 tab ss
dus, 1 vial @
10 ml
Dus, 5 strip @
10 tablet
n/a
PT. Indofarma
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
620

UI/vial
Streptase
PT. Dexa Medica

Vial
621

1000 mg/ml
n/a
PT. Phapros, Tbk

Dus @ 56 Vial

622
mcg/ml
Sufentanyl
Injeksi
iv.Epidural 5
mcg / ml
dus 5 amp @
PT. Kimia Farma
dus 10
Ulsafate
ULSIDEX
DUS, 10 STRIP
PT. Dexa Medica
@ 10 TAB
Prograf
Pounch @ 5
capsule
Prograf
Dus, 1 pouch
kaps
Harnal D
PT. Combiphar
Harnal D 0.2
Box/ 2 blister
mg Disp.
PT. Combiphar
@ 14 tablet
Tablet
Harnal
OCAS 0.4 mg
Tablet
PT. Combiphar
Box @ 2 blister
@ 14 tablet
Box/ 3 blister
@ 10 Tablet
Sebivo 600 mg
Dus, 2 blister
Tab
@ 14 tablet

Ingelheim
@10
tablet
Box, 2 blisters
@10 tablets
Temodal
Dus, 5 sachet
@ 1 kapsul
Temodal
Dus, 5 sachet
@ 1 kapsul
n/a
Rethapyl
Dus 10-s @ 10
PT. Kimia Farma
Kaptab
637

HYTROZ 1MG
1 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
638

HYTROZ 3MG
2 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
Bricasma
Respules
Dus, 2 pak @ 5
respules
Molasma
Tablet
641

mg
Bricasma
Dus, 1
Turbuhaler
indonesia@
mg
200 dosis
Andriol
Testocaps
Dus, 6 blister
10 kapsul
Pharma Tbk
lunak
Pantocain
0.5%
PT. Cendo Industri

botol
Farmasi
5 ml
n/a
Dus, 10 strip @
PT. Holi Pharma
10 kapsul
n/a
PT. Afifarma
DUS,10 STRIP
@ 10 KAPSUL
Thyrozol 10
PT. Merck Tbk
Dus, 10 blister
@ 10 tablet
Thyrozol 5
PT. Merck Tbk
Dus, 10 blister
@ 10 tablet
645
500 mg
Isotic Adretor
0,25%
Dus, Botol
PT. Pratapa Nirmala
Plastik @ 5ml
Isotic Adretor
0,5%
Dus, Botol
PT. Pratapa Nirmala
Plastik @ 5ml
Spiriva 10s +
Handihaler
Dus, 1 blister
PT. Boehringer @10
Ingelheim
kapsul +
handihaler
n/a
Dus, 10 Ampul
@ 2 ml

652
HK.02.02/Menkes/223/2014)
Herceptin
Dus, 1 vial @
440 mg + 1
vial pelarut @
20 ml
Travatan
botol, tetes
mata 2,5 ml
650

handihaller
654

Nasacort AQ
55 mcg/puff
Dus, botol
PT. Aventis Pharma
plastik 120
dosis
n/a
656 Urea krim 10%
Soft U Derm

tube
Laboratories
657

Imovax Polio
658

RABIPUR
1 vial of 10ml
PT. Aventis Pharma
(10 d's)
Dus, 1 vial
serbuk + 1
ampul @ 1 ml
pelarut + 1
syringe &
jarum suntik
Valcyte

Ingelheim
60 tablet
Depakene

botol
Depakote ER
250 mg

Tablet
Depakote ER
500 mg

Tablet
Depakote Tab
250 mg
Tablet salut
250 mg
Diovan 80mg
Tab
Dus, 2 blister
@ 14 tablet
DIOVAN 160
MG
Dus, 2 blister
@ 14 tablet
666

mg/vial
Vancep
PT. Pratapa Nirmala

Box @ 2 vial

Tablet
n/a
Vinblastine
PT. Combiphar
Vincristine
Kalbe
Vincristine
Kalbe
Navelbine
injeksi 10
Dus, 1 vial @ 1
ml
n/a
Dus 10 strip x
PT. Kimia Farma
10 tab
n/a
674

150 mg
Vial
10mg/10ml
Drops 10
@15 ml
Zircum Kid
Sirup
PT. Meprofarm
n/a
Dus, 10 strip @
dispersible
Dus, botol 60
ml
No
Nama
Dagang
Nama Obat Generik
Nama
Penyedia
Kemasan
Eprex 2000
Dus, 6 prefilled
PT. Soho Industri
syrenge
Pharmasi
@ 0.5
ml
Zoloral SS
PT. Ikapharmindo
Botol 80 ml
n/a
ktk 5 x 10
PT. Kimia Farma
tablet
ULSIDEX
DUS, 10 STRIP
PT. Dexa Medica
@ 10 TAB
Rethapyl
Dus 10-s @ 10
PT. Kimia Farma
Kaptab

HYTROZ 1MG
1 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB

HYTROZ 3MG
2 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
Depakote Tab
250 mg
Tablet salut
250 mg
Harga Satuan
Terkecil (Rp)
Tanggal Berlaku
Harga
No
Nama Obat Generik
Nama
Dagang
Nama Penyedia

Amodiaquine anhydrida tablet 200
1 mg)
n/a
PT. Kimia Farma
Adefovir Dipivoksil tablet/kaplet 10

2 mg
Hepsera
WIDA WI
UNICAP
PT. Widatra Bhakti
4 Albendazol suspensi 200 mg/5 ml
n/a
PT. Indofarma
Albendazol tablet/kapsul/kaplet 400

5 mg
n/a
PT. Kimia Farma

6 albumin) injeksi 20%, 100 ml
Zenalb
PT. Ikapharmindo

7 albumin) injeksi 20%, 50 ml
Zenalb
PT. Ikapharmindo

8 albumin) injeksi 5% 250 ml
PLASBUMI
N 5% 250
ML
PT. Dipa Pharmalab

9 albumin) injeksi 5% 50 ml
PLASBUMI
N 5% 50
ML
PT. Dipa Pharmalab
Alopurinol tablet/kapsul/kaplet 100

10 mg
n/a
PT. Pertiwi Agung
Alopurinol tablet/kapsul/kaplet 300

11 mg
n/a
PT. Bernofarm
Alprazolam tablet/kapsul/kaplet 0,25

12 mg
n/a
PT. Dexa Medica
Alprazolam tablet/kapsul/kaplet 0,5

13 mg
n/a
14 Alprazolam tablet/kapsul/kaplet 1 mg n/a
PT. Kimia Farma
Actilyse
Fungicide PT. Cendo Industri Farmasi
Glybotic
250
mg /ml
PT. Sanbe Farma
n/a
PT. Phapros, Tbk
n/a
PT. Erela
Aminofilin tablet/kapsul/kaplet 150

20 mg
n/a
PT. Erela
Cordarone PT. Aventis Pharma
Cordarone PT. Aventis Pharma
23 Amitriptilin tablet salut 25 mg (HCl)
n/a
PT. Indofarma
n/a
PT. Pertiwi Agung
n/a
PT. Pertiwi Agung
26 Amoksisilin kapsul/kaplet 250 mg
n/a
PT. Indofarma
27 scored 500 mg
n/a

28 mg/5 ml
n/a
PT. Holi Pharma

29 ml
n/a
PT. Novapharin

30 mg/vial
Lantus
n/a
Solostar
100IU/ml
UI/ml, vial/cartridge disposible/penfill 5pens
insulin
mixglargine
acting inj
100
31 Analog
cartridge
(Insulin
100
IU/ml) x3ml
100 UI/ml (Premix 30% Insulin Aspart
+ 70% Protaminated Insulin Aspart Novomix
insulin mix insulininj 100
32 Analog
(Analogue))
Flexpen
UI/ml, vial/cartridge disposible/penfill
cartridge (25% insulin lispro, 75%
insulin lispro protamine suspension, Humalog
33 (rDNA))
Mix 25
PT. Bernofarm
PT. Aventis Pharma

UI/ml, vial/cartridge disposible/penfill Novorapid
34 cartridge (Insulin Aspart (Analogue)) Vial
UI/ml, vial/cartridge disposible/penfill Novorapid
35 cartridge (Insulin Aspart (Analogue)) Apidra
Flexpen
Solostar
100IU/ml
UI/ml, vial/cartridge disposible/penfill 5pens
36 cartridge (Insulin glulisine 100 IU/ml) x3ml
PT. Aventis Pharma
cartridge (Insulin lispro (rDNA
37 origin))
Humalog PT. Tempo Scan Pacific
Arimidex 1
38 Anastrozol tablet/kapsul/kaplet 1 mg mg

200 mg Magnesium Hidroksida 200
39 mg
n/a
200 mg/5 ml Magnesium Hidroksida
40 200 mg/5 ml
n/a
PT. Erela
PT. Lucas Djaja
Anti Bakteri DOEN salep kombinasi:

Basitrasin 500 IU/g Polimiksin 10.000
41 IU/g
n/a
PT. Indofarma

Pirimetamin 25 mg Sulfadoksin 500
42 mg
n/a
PT. Kimia Farma
Antimigren: Ergotamin Tartrat 1 mg

43 + Kofein 50 mg
n/a
PT. Kimia Farma

kombinasi : Benserazid 25 mg
44 Levodopa 100 mg
Levopar
Tablet
PT. Meprofarm
Artem
PT. Kimia Farma
Asam Asetilsalisilat (asetosal) tablet

46 100 mg
n/a
PT. Phapros, Tbk

47 tablet/kaplet/kapsul 80 mg
Miniaspi
80

48 250 mg
n/a
PT. Kimia Farma
Asam Askorbat (Vitamin C) tablet 50

49 mg
n/a
PT. Kimia Farma
Asam Folat tablet/kapsul/kaplet 0,4

50 mg
PT. Dexa Medica
Starfolat
51 Asam Folat tablet/kapsul/kaplet 1 mg n/a
52 Asam Ibandronat injeksi 6mg/6ml
Bondronat PT. Boehringer Ingelheim
Asam Mefenamat kapsul/kaplet 500

53 mg
n/a
Urotractin
400 mg
PT. Sanbe Farma
PT. Bernofarm
55 Asam traneksamat injeksi 100 mg/ml n/a
56 Asam traneksamat injeksi 50 mg/ml n/a
PT. Bernofarm
57 Asam zoledronat injeksi 4mg/5mL
ZOMETA
Temiral
Eye Oint
PT. Sanbe Farma
59 Asiklovir tablet/kapsul/kaplet 200 mg n/a
PT. Kimia Farma
60 Asiklovir tablet/kapsul/kaplet 400 mg n/a
PT. Kimia Farma
Asparaginase serbuk injeksi 10.000

61 UI/vial
Leunase
PT. Widatra Bhakti
Pularex
Tracrium
n/a
PT. Indofarma
65 Azitromisin sir kering 200 mg/ 5 mL
n/a
n/a
PT. Kimia Farma
n/a
n/a
PT. Rama Emerald Multi Sukses
Benzatin Benzil Penisilin 1,2 juta IU/

69 vial
n/a
PT. Phapros, Tbk

70 IU/vial
n/a
PT. Phapros, Tbk

71 mg/mL
Survanta
Dorner
PT. Combiphar
Dorner 20
g
PT. Combiphar

74 Valerat)
n/a

Kepmenkes RI Nomor
76 HK.02.02/Menkes/223/2014)
PT. Kimia Farma
Betam
Ophtal ED PT. Sanbe Farma
Avastin
Casodex
150 mg
Casodex
50 mg
Stolax
supp
PT. Sanbe Farma
Concor 2.5 PT. Merck Tbk
n/a
PT. Pratapa Nirmala

82 mg/ampul
BLEOCIN
PT Kalbe Farma
Cripsa tab PT. Caprifarmindo
Budesonid inhaler 200 mcg/puff, 100 Pulmicort

84 dosis
Turbuhaler PT. AstraZeneca indonesia
Budesonid respules / cairan inhaler
85 0,25mg/mL
86 combination) inhaler 160/4,5 mcg
Pulmicort
Respules PT. AstraZeneca indonesia
Symbicort
Turbuhaler
160/4.5
mcg
87 combination) inhaler 80/4,5 mcg
Symbicort
80/4.5
mcg

88 glukosa 8%
n/a
PT. Dexa Medica
Marcain
Cairan
Suntik
90 Dabigatran eteksilat kapsul 75 mg
Pradaxa
91 Dabigatran eteksilat kapsul 110 mg
Pradaxa

92 mg/vial
DBL
Dacarbazi
ne

93 mg/vial
DAUNOCIN PT. Novell Pharmaeutical Laboratories
Exjade
250 mg
94 Deferasiroks tablet disp/ eff 250 mg Tab
Exjade
500 mg
95 Deferasiroks tablet disp/ eff 500 mg Tab
Ferriprox
Oral
Solution
PT. Sydna Farma
Ferriprox
tablet
PT. Sydna Farma
Deferoksamin Mesilat serbuk injeksi

98 500 mg
Desferal

99 mg/ml
n/a
PT. Indofarma
n/a
Cerazette PT. Merck Sharp Dohme Pharma Tbk
n/a
PT. Dexa Medica
DEXIGEN
104 Diazepam larutan rektal 5 mg/2,5 mL STESOLID PT. Actavis Indonesia

105 mL
STESOLID PT. Actavis Indonesia

106 mg/ml (HCl)
n/a
PT. Phapros, Tbk
Fargoxin
inj
PT. Pratapa Nirmala
n/a
n/a
PT. Kimia Farma
Herbesser
Powder
Injection
50mg
Farmabes
Injeksi 25
mg
PT. Pratapa Nirmala
Herbesser
CD 100
Herbesser
CD 200
n/a
PT. Kimia Farma
115 Dinatrium edetat tetes mata 0,35%
E.D.T.A
PT. Cendo Industri Farmasi
Dinatrium klodronat infus kons 60

116 mg/mL
Bonefos
Infus 60
mg / 5 ml PT. Bayer Indonesia
DOBURAN PT. Dipa Pharmalab
Cardura
1mg
Cardura
2mg
Doksorubisin serbuk injeksi i.v. 10

120 mg/vial
Doxorubici
n kalbe
PT Kalbe Farma
Doksorubisin serbuk injeksi i.v. 50

121 mg/vial
Doxorubici
n kalbe
PT Kalbe Farma
Domperidon suspensi/sirup 5 mg/5

122 ml
n/a
PT. Novapharin
n/a
PT. Novapharin
n/a
PT. Bernofarm
Dopamin
PT. Kimia Farma
n/a
PT. Sanbe Farma

pentaacetic acid) 2,06-2,5 mg
127 pentetate calcium trisodium/mL
Renalscan
KaeF
PT. Kimia Farma
Avodart
n/a
PT. Kimia Farma
n/a
PT. Bernofarm
Aromasin PT. Pfizer Indonesia
Enoksaparin sodium inj 20 mg/0,2

132 mL
Lovenox
2000
ANTI-XA
PT. Aventis Pharma

133 mL
Lovenox
4000
ANTI-XA
PT. Aventis Pharma

134 mL
Lovenox
6000
ANTI-XA
PT. Aventis Pharma

135 i.v/s.k./i.m 1 mg/ml
n/a
PT. Phapros, Tbk
Epirubisin
Kalbe
PT Kalbe Farma
137 Epirubisin serb injeksi 10 mg/5 ml
n/a
PT. Sanbe Farma
Ergokalsiferol (vitamin D3/D2) kapsul

138 50.000 UI
D-Vit FT

139 suspensi 10.000 UI/ml
D-Vit
Syrup
n/a
PT. Indofarma
141 Eritromisin sirup kering 200 mg/ 5 ml n/a
Hemapo
10.000 IU PT Kalbe Farma
Eprex
2000
Hemapo
3000
PT Kalbe Farma
145 Eritropoetin-beta inj 2000 UI/0,3 mL
Recormon PT. Boehringer Ingelheim
n/a
PT. Kimia Farma
147 Etambutol tablet salut 500 mg (HCl) n/a
PT. Kimia Farma
n/a
PT. Novapharin
Lynoral
Implanon PT. Merck Sharp Dohme Pharma Tbk
Etopul
152 Eugenol cairan
n/a
PT. Kimia Farma
Certican
0,25 mg
Tab
Certican
0,5 mg
Tab

155 mg/vial + pelarut untuk injeksi
Novoseve
n
Faktor VIII (konsentrat) serb inj 230

156 -340 UI
Haemoctin PT. Kimia Farma
Faktor VIII (konsentrat) serb inj 250

Haemoctin PT. Kimia Farma
Faktor VIII (konsentrat) serb inj 480 - KOATE DVI

158 600 UI
500 IU
PT. Dipa Pharmalab
n/a
n/a
PT. Ikapharmindo
n/a

162 mg/ml
n/a
PT. Phapros, Tbk
n/a
n/a

165 tablet 250 mg
n/a
PT. Phapros, Tbk

166 tab 125 mg
Fenocin

167 V)tablet 500 mg
n/a
PT. Phapros, Tbk
Berotec
MDI
Berotec
Solution

170 ampul 10 ml
n/a
PT. Kimia Farma

171 ampul 2 ml
n/a
PT. Kimia Farma
Durogesic
12,5 MU
Matrix
PT. Kimia Farma
Durogesic
25 MU
Matrix
PT. Kimia Farma
Durogesic
50 MU
Matrix
PT. Kimia Farma
Leucogen PT Kalbe Farma
Prostacom PT. Combiphar

177 gula 10 mg
n/a
PT. Phapros, Tbk

178 i.m. 2 mg/ml
n/a
PT. Phapros, Tbk
Fludara IV
LYO
PT. Aventis Pharma
Fludara
Oral
Sikzonoat
e Injeksi
PT. Aventis Pharma
n/a
183 mg
Diflucan
50mg
n/a
PT. Kimia Farma
Foransi 10 PT. Gracia Pharmindo
NOPRES
PT. Dexa Medica
Ocuflam
ED
PT. Sanbe Farma
Curacil
PT Kalbe Farma
Curacil
PT Kalbe Farma
SYNARCUS PT. Ifars Pharmaceutical Laboratories
191 Flutikason furoat intranasal spray
Avamys
Flixotide
192 Flutikason propionat nebules 0,5 mg Nbules
Arixtra
Plasmanat
e
PT. Dipa Pharmalab
195 Furosemid injeksi i.v./i.m. 10 mg/ml
n/a
PT. Indofarma
n/a
PT. Indofarma
Gadovist 5
mg
PT. Bayer Indonesia
Gadovist
7,5 mg
PT. Bayer Indonesia

199 gadoxetate disodium/mL
Primovist
PT. Bayer Indonesia

200 mg/mL)
Cymevene PT. Boehringer Ingelheim
Natrium klorida 0,52 g kalium klorida
0,30 g Trinatrium sitrat dihidrat 0,58
201 g Glukosa Anhidrat 2,70 g
n/a
PT. Phapros, Tbk
Iressa 250
mg
203 Gemfibrozil kapsul/kaplet 300 mg
n/a
PT. Indofarma
n/a
PT. Indofarma
Gemzar
1000 mg
PT. Bayer Indonesia
n/a
PT. Sanbe Farma
n/a
PT. Indofarma
Genoint
Salep
Mata
PT. Erela
n/a
PT. Indofarma
n/a
PT. Indofarma
Glicab
Diamicron
MR 30
PT. Pradja Pharin
n/a
PT. Dexa Medica
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
Nitrokaf
Retard
PT. Kimia Farma
Nitrokaf
Forte
PT. Kimia Farma

220 mg
Nitral
Gliserin lar
50%
PT. Lucas Djaja
n/a
PT. Widatra Bhakti
n/a
PT. Widatra Bhakti
Zoladex
10,8 mg
Zoladex
3,6 mg
n/a
PT. Indofarma
Haldol
Decanoas PT. Soho Industri Pharmasi
Lodomer
Injeksi
n/a
PT. Indofarma
n/a
PT. Indofarma
n/a
PT. Indofarma
Lodomer 2 PT. Mersifarma Tirmaku Mercusana
Halothane PT. Dexa Medica
234 Heparin injeksi i.v./s.k. 5000 UI/ml
Inviclot
235 Hepatitis B imunoglobulin (human)
Hyperhep
B
PT. Dipa Pharmalab
n/a
Hidroksi Urea tablet/kaplet/kapsul

237 500 mg
HYDROXY
UREA
MEDAC
PT. Dipa Pharmalab
238 Hiosin butilbromid injeksi 20 mg/ml
n/a

inj 100 UI/ml, vial (Human Insulin
239 (Intermediate-Acting))
Insulatard
Vial

inj 100 UI/ml, vial (Insulin human
240 Basal)
Humulin N
Vial
PT. Bayer Indonesia

inj 100 UI/ml, vial/cartridge
241 disposible/penfill cartridge
(Human Insulin (Intermediate242 Acting))
n/a
PT. Pratapa Nirmala
PT. Kimia Farma
PT. Aventis Pharma
Insulatard
Penfill

inj 100 UI/ml,penfill cartridge (Insulin Humulin N
243 human Basal)
Cart
PT. Bayer Indonesia
inj 100 UI/ml,penfill cartridge (Insulin
244 human Basal)
Sansulin N PT. Sanbe Farma
Insulin (Premix: 30% Soluble + 70 % Mixtard
245 NPH Insulin))
Penfill
UI/ml, penfill cartridge (Insulin
246 human Comb)
Humulin
30/70 Cart PT. Bayer Indonesia

UI/ml, vial (Human Insulin (Premix:
247 30% Soluble + 70 % NPH Insulin))
Mixtard
Vial

248 UI/ml, vial (Insulin human Comb)
Humulin
30/70 Vial PT. Bayer Indonesia

249 Insulin (Short Acting))
Actrapid
Penfill

250 human Rapd)
Sansulin R PT. Sanbe Farma

251 human Rapd)
Humulin R
Cart
PT. Bayer Indonesia

UI/ml, vial (Human Insulin (Short
252 Acting))
Actrapid
Vial

253 UI/ml, vial (Insulin human Rapd)
Humulin R
Vial
PT. Bayer Indonesia

254 cartridge
n/a
PT. Aventis Pharma

255 injeksi i.m. 250 UI
Tetagam
PT. Dexa Medica
n/a
PT. Indofarma
n/a
PT. Indofarma
n/a
n/a
PT. Novapharin
Holoxan
injeksi
260 Ifosfamid serbuk injeksi 1000 mg/vial 1000
Imanitib Mesilat tablet salut selaput
100 mg (Skema Risk Sharing sesuai
Kepmenkes RI Nomor
261 HK.02.02/Menkes/223/2014)
Glivec
Tanapress
10mg
Tanapress
5mg

264 (300mg @ vial 100ml)
Iopamiro
PT. Dipa Pharmalab

265 (300mg @ vial 30ml)
Iopamiro
PT. Dipa Pharmalab

266 (300mg @ vial 50ml)
Iopamiro
PT. Dipa Pharmalab

267 (370mg @ vial 100ml)
Iopamiro
PT. Dipa Pharmalab

268 (370mg @ vial 30ml)
Iopamiro
PT. Dipa Pharmalab

269 (370mg @ vial 50ml)
Iopamiro
PT. Dipa Pharmalab
Iopromide 300-370 mg Iodium/mL

270 (300 mg / 100 ml)
Ultravist
300/100
mg
PT. Bayer Indonesia

271 (300 mg / 50 ml)
Ultravist
300/50 mg PT. Bayer Indonesia

272 (370 mg / 100 ml)
Ultravist
370/100
mg
PT. Bayer Indonesia

273 (370 mg / 50 ml)
Ultravist
370/50 mg PT. Bayer Indonesia

274 mcg/semprot
Atrovent
HFA
n/a
PT. Indofarma
n/a
PT. Indofarma
n/a
PT. Sanbe Farma
Terrell
PT. Pratapa Nirmala
279 Isoniazid tablet/kapsul/kaplet 100 mg n/a
280 Isoniazid tablet/kapsul/kaplet 300 mg n/a
Isosorbid Dinitrat injeksi i.v 10 mg/10 Farsorbid

281 ml
inj
PT. Pratapa Nirmala
Isosorbid Dinitrat tablet sublingual 5

282 mg
n/a
PT. Indofarma
Kalipar
KSR
PT. Merck Tbk
Kalsium Folinat (Leukovorin Ca) inj

285 50 mg/ml
DBL
Leucovori
n

286 (100 mg/ml)
Kalsium
glukonat
PT. Ethica Industri Farmasi

287 tablet/kapsul/kaplet 500 mg
n/a
PT. Afifarma
288 Kalsium polistirena sulfonat ktg 5 g
KALQUEST PT. Novell Pharmaeutical Laboratories
n/a
PT. Dexa Medica
n/a
PT. Dexa Medica
Xeloda
n/a
PT. Indofarma
n/a
PT. Errita Pharma
295 Karbamazepin sirup 100 mg/5 ml
n/a
PT. Indofarma
Tegretol
Syrup
100mg/5
ml, 120ml PT. Novartis Indonesia
n/a
PT. Indofarma
NeoMercazole PT. Nicholas Laboratories Indonesia

Karboglise
rin tetes
telinga
10%
PT. Lucas Djaja
DBL
Carboplati
n 150 mg PT. Tempo Scan Pacific
DBL
Carboplati
n 450 mg PT. Tempo Scan Pacific
Karvediol tablet/kaplet/kapsul 6,25

301 mg
V - BLOC
PT Kalbe Farma
KTM
Ketamin
Hameln
PT. Combiphar
n/a
n/a
PT. Kimia Farma
n/a
Zoloral SS PT. Ikapharmindo
n/a
PT. Novapharin
Protofen
Supp
PT. Kimia Farma
n/a
PT. Phapros, Tbk
ORIXAL
312 Klindamisin kapsul/kaplet 150 mg
n/a
PT. Indofarma
313 Klindamisin kapsul/kaplet 300 mg
n/a
PT. Bernofarm
n/a
PT. Dexa Medica
Klonidin injeksi i.v 0,15 mg/ml (HCL) Catapres

315 (150)
Injeksi
n/a
PT. Indofarma
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
319 Kloramfenikol suspensi 125 mg/ 5 ml n/a
PT. Bernofarm

320 (HCl)
n/a
PT. Phapros, Tbk

321 (HCl)
n/a
PT. Phapros, Tbk
Klorpromazin injeksi i.m 5 mg/ml - 2

322 ml (HCl)
n/a
PT. Phapros, Tbk
323 Klozapin 100 mg
n/a
324 Klozapin 25 mg
n/a
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma

328 lunak 0,25 mcg
Ostriol
PT. Pratapa Nirmala
329 Koloid HES BM 130 000 lar inf 6%
Voluven

330 gliserin + fenolftalein
Laxadine
Emulsi 60
ml
PT. Galenium Pharmasia Laboratories

sulfat 7H2O 200 mg Asam folat 0,25
331 mg
n/a
PT. Erela

Natrium klorida 8,664 mg; Kalium
332 klorida 1,32 mg
Cendo
Lyteers

333 Lumefantrin 120 mg
Coartem

334 Karbidopa 25 mg; Entekapon 200 mg Stalevo

335 Ritonavir (LPV/r) 50 mg
Aluvia

336 Flutikason propionat 50 mcg
Seretide
Inhaler 50
mcg

Seretide
Diskus
100 mcg

Seretide
Diskus
250 mcg

kombinasi : Sulfametoksazol 400 mg
339 Trimetoprim 80 mg
n/a

Sulfametoksazol 200 mg +
340 Trimetoprim 40 mg / 5 ml
n/a
PT. Holi Pharma
n/a
PT. Kimia Farma

342 HCl)
n/a
PT. Kimia Farma
343 Kuinin tablet 222 mg (H2SO4.7H2O) n/a
PT. Kimia Farma

344 mg
Heplav
PT. Kimia Farma
n/a
PT. Kimia Farma
Prosogan
Inj.
n/a
PT. Indofarma
Tykerb

349 (Asam Amino 10%)
Kalbamin PT. Finusolprima Farma Internasional

(Asam Amino 100 g, Total N 15,7 g,
350 Na+ 2 mEq, Asetat 120 mEq)
Amiparen PT Otsuka Indonesia

(Asam Amino 27 g, Sorbitol 50 g, Cl- Pan-amin
351 52 mEq)
G
PT Otsuka Indonesia
(Asam Amino 30 g, Glukosa 7,3 %
352 dan elektrolit) 1000 ml
Aminofluid PT Otsuka Indonesia

(Asam Amino 30 g, Glukosa 7,3 %
353 dan elektrolit) 500 ml
Aminofluid PT Otsuka Indonesia
(Asam Amino 5% dengan BCAA 45%,
L-Ornithine L Aspartate 8.03 gr/L,
Aminofusi
354 Sorbitol 50 gr/L, Xylitol 50 gr/L)
n Hepar
PT Kalbe Farma
(Asam Amino 6%, mengandung
355 Taurine 0,24 gr/l)
(Asam Amino 7%, Komposisi: Asam
Amino esensial: Asam Amino non
356 esensial = 60 : 40)
(Asam Amino 72.05 g, Total N 11.53
g, AAE/AANE ratio 2.6, Na+ 2 mEq,
357 Asetat 46 mEq)
Aminosteri
l Infant 6% PT. Fresenius Kabi Combiphar
Nephroste
ril
Kidmin
PT Otsuka Indonesia

(Asam Amino 79.9 g, Total N 12.2 g,
358 Na+ 14 mEq, Cl 94 mEq)
Aminoleba
n
PT Otsuka Indonesia

359 (Asam amino 8%)
Aminosteri
l N-Hepa PT. Fresenius Kabi Combiphar

(Asam Amino esensial 7%+Xylitol 10
360 g/L)
(Kombinasi
Asam
aminno 50
(BCAA 25 gr/L,
L-Ornithine
L g/L,
Sorbitol
50
g/L,
Xylitol
50
g/L,
Asam
Aspartate 10 gr/L, Xylitol 50 gr/L,
Askorbat
(Vit
C)
0.4
g/L,
Inositol
0.5
361 Malic Acid 7 gr/L, Piridoxin 0.12 gr/L)
g/L, Nikotinamida (Niasinamida) 0.06
g/L, Piridoksin HCl (Vit B6) 0.04 g/L,
Riboflavin Natrium Fosfat 2.5 mg/L,
362 elektrolit)
(Kombinasi Asam amino 50 g/L,
363 vitamin dan elektrolit)
Eas
Pfrimer
PT. Finusolprima Farma Internasional
Comafusin
Hepar
Aminofusi
n L600
PT Kalbe Farma
Aminofusi
n Paed
PT Kalbe Farma

Glukosa: 97gr, Lipid: 51gr dan
Elektrolit (Kalori = 1000 kkal, Akses
364 Larutan
peripheral))
Glukosa: 130gr, Lipid: 68gr dan
Elektrolit (Kalori = 1400 kkal, Akses
365 peripheral))
150 gr + Asam Amino 48 gr dgn
366 akses sentral)
Kabiven
1440 ml
Kabiven
1920 ml
Combiflex
Plus (790
kcal)
PT. Phapros, Tbk

Combiflex
(Kombinasi Glukosa dan elektrolit 80 peri (480
kcal)
PT. Phapros, Tbk
368 (Kalium Klorida)
Otsu - KCl
7,46%
PT Otsuka Indonesia

369 (Larutan Ringer Laktat)
Wida RL
PT. Widatra Bhakti
Larutan mengandung Elektrolit (Na

130 mEq, Cl 109 mEq, Ca 3 mEq,
370 Asetat 28 mEq)
Asering
PT Otsuka Indonesia
Larutan mengandung Elektrolit (NaCl

371 1.125 gr, Dekstrosa 18.75 gr)
Larutan
Elektrolit
(Tiap
(Sodiummengandung
Lactate sol (50%)
113 gr/L,
1000
ml
mengandung
electrolit:
Potassium Chloride 0.3 gr/L, Calcium
Potassium 4.0
372 Sodium
Chloride145
0.2 mmol/l,
gr/L, elektrolit)
mmol/l, Calcium 2.5 mmol/l,
Magnesium 1.0 mmol/l, Chloride 118
mmol/l, Acetate 24 mmol/l, Malate
373 5.0 mmol/l)
KA EN 1B PT Otsuka Indonesia
Totilac
PT Kalbe Farma
Ringerfun
din 500
mL
PT. Phapros, Tbk

(Fructose 120 g, glucose 66 g, Xylitol Triofusin
374 60 g/ L + elektrolit)
1000
PT Kalbe Farma

(Fructose 60 g, glucose 33 g, Xylitol
375 30 g/ L)
Triofusin
500
PT Kalbe Farma

376 (Maltose 100 gr)
Martos
PT Otsuka Indonesia
Larutan mengandung Karbohidrat +

Elektrolit (25.00g maltose, 3.00 g
sodium chloride, 0.15 g potassium
chloride, 0.10 g calcium chloride
377 dihydrate dan 1.55 g sodium lactate) Potacol inj PT Otsuka Indonesia
Elektrolit (Acetate, Na, K, Cl, Ca, Mg, Tutofusin
378 Sorbitol 50 gr/L)
OPS
PT Kalbe Farma

Elektrolit (Asam amino 28 gr/L,
Clinimix
379 Glukosa 100 gr/L, elektrolit)
N9G20E
PT Kalbe Farma

Elektrolit (Asam amino 28 gr/L,
Clinimix
380 Glukosa 75 gr/L, elektrolit)
N9G15E
PT Kalbe Farma

Elektrolit (Fructose 60 g, glucose 33
381 g, Xylitol 30 g/ L)
Elektrolit (Glukosa 25 g, NaCl 2,0 g,
KCl 1,3 g, Natrium Laktat 3,1 g, air
382 untuk injeksi ad 1000 ml)
Elektrolit (Glukosa 55 g ; Natrium
Chloride 9 g, air untuk injeksi ad
383 1000 ml)
Triofusin
E1000
PT Kalbe Farma
Wida HSD PT. Widatra Bhakti

Wida D5NS
PT. Widatra Bhakti

Elektrolit (Glukosa: 25,0 g; NaCl: 4,5
384 g)
WIDA 2A
PT. Widatra Bhakti

Elektrolit (Glukosa: 55.0 g; NaCl:
WIDA D5385 2.25 g)
1/4NS
PT. Widatra Bhakti
Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 WIDA D5mengandung Karbohidrat + 1/2NS
386 Larutan
g)
PT. Widatra Bhakti
Elektrolit (Larutan nutrisi kombinasi
infus per L: Na. 100mEQ, K 18mEQ,
Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ,
387 Asetat 38mEQ, Sorbitol 50g)
Futrolit
PT. Sanbe Farma
Elektrolit (Larutan Ringer & Glukosa
388 5%)
Wida RD
PT. Widatra Bhakti

Elektrolit (NaCl 1.75 g, KCL 1.5g,
KA ENMG
389 Glukosa 100 gr)
3
PT Otsuka Indonesia

Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na
390 Lactat 2.24 gr, Dekstrosa 27 gr)
KA EN 3B PT Otsuka Indonesia
Elektrolit (Nacl 2.34 gr, Na Laktat
391 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) KA EN 3A PT Otsuka Indonesia
Larutan mengandung Lipid ( Infus
392 Lipid Emulsi MCT/LCT 20% 100 ml)
Lipofundin
MCT/LCT
1% 100
PT. Phapros, Tbk
Larutan mengandung Lipid (Emulsi

393 lemak 20%)
Intralipid
Lipofundin
Larutan mengandung Lipid (Infus
MCT/LCT
394 Lipid Emulsi MCT/LCT 20% 250 ml)
1% 250
Nutriflex
Lipid
180 gr + Asam Amino 71.8 gr + Lipid Special
395 50 gr dgn akses sentral)
1250
(Kombinasi Glukosa dan elektrolit 80 Nutriflex
gr + Asam Amino 40 gr + Lipid
Lipid Peri
396 MCT/LCT 50 gr)
1250
Nutriflex
(Kombinasi Glukosa dan elektrolit 90 Lipid
gr + Asam Amino 35.9 gr + Lipid 25 Special
397 gr dgn akses sentral)
625
Larutan mengandung Lipid (Soybean
Oil 200 g/L, Egg Lecithins 12 gr/L,
Glycerol Ph 25 gr/L, Sodium Oleate
398 0.3 gr/L)
Ivelip
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT Kalbe Farma
Cendo
Glaopen

400 btl@2,5ml
Xalatan
0,005%
Granocyte
34 1vl
HSA Free PT. Aventis Pharma
402 Letrozol tablet/kaplet/kapsul 2,5 mg FEMARA
Tapros
403 Leuprorelin asetat inj depot 1,88 mg 1.88mg
404 mg
Tapros 3M PT. Takeda Indonesia
TAPROS
405 Leuprorelin asetat inj depot 3,75 mg 3.75 MG
n/a
n/a
PT. Kimia Farma
Optiflox
PT. Erela
Levotiroksin tablet/kaplet/kapsul 100 Euthyrox

409 mcg
100
PT. Merck Tbk
n/a
PT. Bernofarm
Lidokain injeksi 2% (HCl) + Epinefrin

411 1 : 80.000 - 2ml
n/a
PT. Indofarma
Xylocaine
Jelly 2%
Xylocaine
Spray 10
mg / dosis PT. AstraZeneca indonesia
n/a
n/a
Frimania
200
Frimania
400
n/a
n/a
PT. Indofarma
Merlopam
2

421 100 mg/5 mL
DIALIFER
422 Manitol
n/a
Ludios
Sandepril
50

Bonescan
425 mg methylene diphosphonic acid/mL KaeF
PT. Kimia Farma
Vermox
500
Alkeran
n/a
PT. Bernofarm
n/a
PT. Bernofarm
Uromitexa
n injeksi. PT. Mugi Laboratories
n/a
PT. Kimia Farma
n/a
PT. Bernofarm
n/a
PT. Bernofarm
DOPAMET PT. Actavis Indonesia
(Metilergometrin) tablet salut 0,125
435 mg
n/a
Ritalin LA PT. Novartis Indonesia
RITALIN
438 Metilprednisolon inj 125 mg/2 mL
n/a
PT. Bernofarm
439 Metilprednisolon inj 500 mg/8 mL
n/a
PT. Bernofarm
n/a
n/a
PT. Kimia Farma
n/a
PT. Dexa Medica
GAVISTAL
drops
PT. Meprofarm
LEXAPRAM
SIRUP
PT. Molex Ayus
n/a
PT. Phapros, Tbk
n/a
PT. Kimia Farma
METHOTR
Metotreksat serbuk injeksi i.v/i.m./i.t. EXATE
447 5 mg
EBEWE
METHOTR
EXATE
Metotreksat tablet/kaplet/kapsul 2,5 EBEWE
448 mg
2.5 MG
449 Metronidazol infus 500 mg/100 ml
n/a
Vagizol
PT. Kimia Farma
Flagyl
PT. Aventis Pharma
n/a
n/a
Endoneuro
scan KaeF
1
PT. Kimia Farma
MIBI (metoxy iso butyl iso nitril) 5-mL Cardiosca

455 reaction vial
n KaeF
PT. Kimia Farma
Miloz 5 Inj PT. Novell Pharmaeutical Laboratories
Miloz 15
Inj
Mycamine PT. Combiphar
Cellcept
460 Mikonazol krim/salep 2 % (Nitrat)
n/a
PT. Kimia Farma
Mitomisin C (crystallin) serbuk inj 10 Mitomycin

461 mg/vial
C
PT. Widatra Bhakti
Modified fluid gelatine BM 30 000 lar Gelofusine
462 inf 4%
4%
PT. Phapros, Tbk
Vigamox
n/a
n/a
PT. Kimia Farma
MST
Continus
10 mg
MST
Continus
15 mg
468 Morfin injeksi i.m./s.k./i.v. 10 mg/ml
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
470 N-asetil sistein inj. nebules 100 mg
N-ace
cairan
inhalasi
PT. Pratapa Nirmala
471 Nacl 0,9%
n/a
PT. Widatra Bhakti
Nadroparin inj 9500 Axa/mL syringe

472 0,3 mL
Fraxiparin
e 0.3 ml
Nadroparin inj 9500 Axa/mL, syringe Fraxiparin

473 0,4 mL
e 0.4 ml
Nadroparin inj 9500 Axa/mL, syringe Fraxiparin
474 0,6 mL
e 0.6 ml
Nokoba
PT. Pratapa Nirmala
476 Natrium Bikarbonat injeksi i.v 8,4%
Meylon
PT Otsuka Indonesia
n/a
PT. Phapros, Tbk
n/a
PT. Phapros, Tbk
Fleet
Phosphoso
da
PT. Combiphar
Fucilex
Ointment PT. Molex Ayus
Neostigmi
n Hameln
inj
n/a
PT. Kimia Farma
Nifedipin tab 20 mg, slow release;

483 oros
Adalat
Oros 20
mg
PT. Bayer Indonesia
Adalat
Oros 30
mg
PT. Bayer Indonesia
n/a
PT. Dexa Medica
Nilotinib kapsul 200 mg (Skema Risk

Sharing sesuai Kepmenkes RI Nomor
486 HK.02.02/Menkes/223/2014)
Tasigna
487 Nistatin tablet salut 500.000 IU/ g
n/a
PT. Phapros, Tbk
488 Nistatin vaginal tablet 100.000 IU/ g n/a
PT. Phapros, Tbk
Levosol
PT. Kimia Farma
Primolut N PT. Bayer Indonesia
491 Obat Antituberkulosis FDC Kategori 1 n/a
PT. Phapros, Tbk
492 Obat Antituberkulosis FDC Kategori 2 n/a
PT. Kimia Farma
Obat Antituberkulosis FDC Kategori

493 Anak
PT. Kimia Farma
n/a
494 Obat Antituberkulosis FDC Sisipan
n/a
PT. Indofarma

495 dewasa
n/a
PT. Indofarma
496 Obat Antituberkulosis Kategori anak n/a
PT. Indofarma
497 Octreotide Acetate0,05 - 6 mg/mL
SANDOSTA
TIN
n/a
n/a

500 vial
ELOXATIN PT. Aventis Pharma

501 vial
ELOXATIN PT. Aventis Pharma
502 Oksimetazolin tetes hidung 0,025%
Ilaidin
Drops
PT. Merck Tbk
Tiacinon
504 Oktreotid 10 mg
Sandostati
n LAR
Zyprexa
IM
Olandoz 5 PT. Sandoz Indonesia
PT. Bayer Indonesia
Olandoz
10
Patanol
n/a
Larutan
n/a
Dialisa
1.5%:
Dianeal
Low
n/a
Calcium
with 1,5%
Dextrose;
Larutan
n/a
Dialisa
2.5%:
Dianeal
Low
n/a
Calcium
Paket CAPD Awal (Komposisi: 1 unit with 2,5%
Transfer Set, 2 unit Ultaclam, 1 unit Dextrose;
514 Tenckoff Catheter, Titanium Adaptor) Larutan
n/a
Dialisa
4.25%:
Paket CAPD Pergantian Transfer Set Dianeal
CAPD Rutin 120 ( 4x ganti
Low
515 Paket
per 6 bulan
n/a
cairan perhari dengan komposisi
Calcium
Larutan Dialisa 1.5 %, Larutan
with
Dialisa 2.5 %, Larutan Dialisa 4.25
4.25%
516 %, Minicap)
Dextrose
SINDAXEL
100
MG/16,67
ML
PT. Novapharin
PT. Indofarma
PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
SINDAXEL
260mg/43.
33 ML
SINDAXEL
30 MG/5
ML

520 @15ml (60mg/0,6ml)
n/a
PT. Indofarma
n/a
PT. Afifarma
n/a
FASIDOL
Pegylated interferon alfa-2a inj 135

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

525 mcg/0,5 ml
Pegasys
Pegintron
Pegylated Interferon alfa-2b serb inj Vial 100
526 100 mcg
Mcg
Pegintron
Pegylated Interferon alfa-2b serb inj Pen 120
527 120 mcg
Mcg
Pegylated Interferon alfa-2b serb inj
528 50 mcg
Pegintron PT. Merck Sharp Dohme Pharma Tbk
Pegintron
Pegylated Interferon alfa-2b serb inj Vial 80
529 80 mcg
Mcg
BURNAZIN
35 GR
PT. Darya Varia
Bioprexum
5 mg
PT. Pradja Pharin
Scabimite
Cream 10 PT. Galenium Pharmasia Laboratories
Petidin injeksi i.m/s.k/i.v lambat 50

533 mg/ml (HCl)
n/a
PT. Kimia Farma
DECULIN
15 MG
PT. Dexa Medica
DECULIN
30 MG
PT. Dexa Medica
n/a
PT. Holi Pharma
537 Pirantel tablet score (base) 125 mg
n/a
PT. Holi Pharma
n/a
PT. Holi Pharma
Aptil
PT. Pratapa Nirmala
PT. Afifarma
541 Povidon Iodida larutan 10% 30 ml
n/a
PT. Afifarma
542 Povidon Iodida larutan 10% 300 ml
n/a
PT. Afifarma
Sifrol ER
0,375mg
Sifrol ER
0,750mg
n/a
Prokain Benzilpenisilin serbuk injeksi

546 3 juta IU/vial
n/a
PT. Bernofarm
n/a
PT. Holi Pharma
548 100 mg
n/a
PT. Indofarma
Fresofol
1%
MCT/LCT
n/a
PT. Holi Pharma
Seroquel
XR 200
mg
Seroquel
XR 300
mg
Seroquel
XR 400
mg
Cardace
2.5mg
6x10 s
tablet
n/a
PT. Dexa Medica
556 Ramipril tablet/kaplet/kapsul 10 mg
n/a
n/a
n/a
PT. Dexa Medica
n/a
PT. Kimia Farma
Retinol (Vitamin A) 200.000 IU kapsul

560 lunak
n/a
PT. Kimia Farma
Rifampisin tablet/kapsul/kaplet 300

561 mg
n/a
PT. Indofarma
Rifampisin tablet/kapsul/kaplet 600

562 mg
n/a
PT. Indofarma
n/a
PT. Indofarma
n/a
PT. Widatra Bhakti
n/a
PT. Dexa Medica
n/a
n/a
PT. Dexa Medica
Rituksimab injeksi 10 mg/ml (Skema

568 Nomor HK.02.02/Menkes/223/2014) Mabthera PT. Boehringer Ingelheim
Xarelto 10
mg
PT. Bayer Indonesia
Xarelto 15
mg
PT. Bayer Indonesia
Xarelto 20
mg
PT. Bayer Indonesia
Requip PD
24 Hour 2
mg
Requip PD
24 Hour 4
mg
Requip PD
24 Hour 8
mg
Ventolin
Nebules

576 mcg/dosis
Ventolin
Inhaler
Ventolin
Rotacaps
Salbutamol serb inh 200 mcg/kaps + Ventolin

578 rotahaler
Rotahaler PT. Glaxo Wellcome Indonesia
579 Sulfat)
n/a

580 Sulfat)
n/a
PT. Kimia Farma
Salep 2-4 , Kombinasi : Asam Salisilat

581 2% + Belerang endap 4%
n/a
582 Sefadroksil sirup kering 125 mg/5ml n/a
PT. Holi Pharma
n/a
n/a
PT. Bernofarm
585 Sefadroksil sir kering 250 mg/5 mL
n/a
PT. Holi Pharma
n/a
n/a
PT. Dexa Medica
588 Sefepim inj 1 g
n/a
n/a
PT. Bernofarm
590 Sefiksim sirup kering 100 mg/ 5 ml
n/a
n/a
PT. Holi Pharma
n/a
n/a
594 Sefpodoksim proksetil tab 100 mg
Banadoz
100
n/a
596 Seftriakson serbuk injeksi 1 g/vial
n/a
Sefuroksim tablet/kapsul/kaplet 250 Zinnat

597 mg
250 mg
Zinnat
500
Fatral
PT. Pratapa Nirmala
n/a
PT. Indofarma
n/a
PT. Pertiwi Agung

602 Nomor HK.02.02/Menkes/223/2014)
Erbitux
PT. Merck Tbk
Sojourn
PT. Pratapa Nirmala
Sianokobalamin (vitamin B12) injeksi

604 500 mcg
n/a
PT. Lucas Djaja
Siklofosfamid serbuk injeksi i.v. 1000 Cyclovid

605 mg
1000 mg
Siklofosfamid serbuk injeksi i.v. 200

606 mg
Cyclovid
200 mg
Siklofosfamid serbuk injeksi i.v. 500

607 mg
CYCLOVID
500
Sandimmu
n Neoral
100mg
Kap
Sandimmu
n Neoral
25mg Kap PT. Novartis Indonesia
n/a
PT. Pertiwi Agung
n/a
n/a
PT. Dexa Medica

613 (sebagai HCl)
n/a
PT. Bernofarm
Cisplatin
PT Kalbe Farma
Cisplatin
PT Kalbe Farma
Sitarabin serbuk injeksi i.m./i.v./s.k.

616 1gr/10ml
DBL
Cytarabun PT. Tempo Scan Pacific
n/a
PT. Indofarma
n/a
PT. Dexa Medica
n/a
PT. Dexa Medica
620 Streptokinase injeksi 1,5 juta UI/vial
Streptase PT. Dexa Medica
Streptomisin serbuk injeksi i.v 1000

621 mg/ml
622 mcg/ml
n/a
PT. Phapros, Tbk
Sufentanyl
Injeksi
iv.Epidural
5 mcg / ml PT. Kimia Farma
Ulsafate
PT. Combiphar
ULSIDEX
PT. Dexa Medica
Prograf
PT. Combiphar
Prograf
PT. Combiphar
PT. Combiphar
Harnal D
Harnal
D 0.2 mg
Disp.
Tablet
Harnal
OCAS 0.4
mg Tablet PT. Combiphar
Sebivo
600 mg
Tab
Micardis
40mg
Micardis
80mg
Temodal
Temodal
n/a
PT. Kimia Farma
Rethapyl
PT. Kimia Farma
PT. Combiphar
Terazosin HCl tablet/kapsul/kaplet 1

637 mg
HYTROZ
1MG
PT. Dexa Medica
Terazosin HCl tablet/kapsul/kaplet 2

638 mg
HYTROZ
3MG
PT. Dexa Medica
Bricasma
Respules
Molasma
Tablet
PT. Molex Ayus
Bricasma
Turbuhaler
641 Terbutalin turbu (serbuk ih) 0,50 mg 0,5 mg
Andriol
Testocaps PT. Merck Sharp Dohme Pharma Tbk
Pantocain
0.5%
n/a
PT. Holi Pharma
Tetrasiklin tablet/kapsul/kaplet 500

645 mg
n/a
PT. Afifarma
Thyrozol
10
PT. Merck Tbk
Thyrozol 5 PT. Merck Tbk
Isotic
Adretor
0,25%
PT. Pratapa Nirmala
Isotic
Adretor
0,5%
PT. Pratapa Nirmala

650 handihaller
Spiriva
10s +
Handihale
r

mg/vial (Skema Risk Sharing sesuai
Kepmenkes RI Nomor
652 HK.02.02/Menkes/223/2014)
n/a
Travatan
Herceptin PT. Boehringer Ingelheim
Triamsinolon asetonid nasal spray 55 Nasacort

654 mcg/puff
AQ
PT. Aventis Pharma
n/a
PT. Darya Varia
656 Urea krim 10%
Soft U
Derm
PT. Galenium Pharmasia Laboratories
Vaksin polio inj (Vaksin Poliomyelitis

657 yang diinaktifkan)
Imovax
Polio
PT. Aventis Pharma
Vaksin rabies, untuk manusia serbuk

658 injeksi s.k./i.k. + booster
RABIPUR
Valcyte
Depakene PT. Abbott Indonesia
Depakote
ER 250
mg
Depakote
ER 500
mg
Depakote
Tab 250
mg
Diovan
80mg Tab PT. Novartis Indonesia
DIOVAN
160 MG

666 mg/vial
Vancep
PT. Pratapa Nirmala
Isoptin
240 mg
n/a
PT. Kimia Farma
Vinblastin
e
PT. Combiphar
Vincristine
Kalbe
PT Kalbe Farma
Vincristine
Kalbe
PT Kalbe Farma
Navelbine
injeksi 10 PT. Mugi Laboratories
n/a
PT. Kimia Farma
Zidovudin 300 mg + Lamivudine 150

674 mg
n/a
PT. Kimia Farma
Zincpro
Drops
PT. Combiphar
Zircum Kid
Sirup
PT. Meprofarm
n/a
PT. Indofarma
Kemasan
Kontra
Harga
Distrib
Tanggal Berlaku
k
Satuan
utor Payun
Harga
Terkecil (Rp)
g
1 blister@24 tablet
1,375.00 Download
Download4/23/2013 10:24
Dus, 3 Blister @ 10
kapsul
28,875.00 Download
Download3/18/2014 20:03
Btl @ 1000 ml
7,875.00 Download
Download9/28/2014 21:46
Dus, 10 dus @ 1
botol @ 10 ml
4,041.00 Download
Download4/23/2013 10:24
ktk 5 x 6 tablet
350 Download
Download3/15/2014 16:05
Vial 100 ml
787,500.00 Download
Download7/21/2014 21:09
Vial 50 ml
362,250.00 Download
Download7/21/2014 21:09
botol @ 250 ml
945,000.00 Download
Download9/28/2014 21:46
botol @ 50 ml
297,150.00 Download
Download9/28/2014 21:46
Box, 10 strips @ 10
tablets
Dus, 10 blister @ 10
tablet
Dus, 10 Strip @ 10
tablet
88 Download
Download3/15/2014 16:05
219.5 Download
Download3/15/2014 16:05
410 Download
Download3/15/2014 16:05
1 box 10 Strip X 10
tablet
180 Download
Download3/15/2014 16:05
Ktk 10x10 tablet
233 Download
Download3/15/2014 16:05
Dus, 1 vial@50mg +
1 vial pelarut @
50ml
3,800,000.00 Download
Download6/27/2014 19:33
tube 3.5 gr
Downl
18,500.00 oad
Download 4/3/2014 21:30
Vial 2 ml
Downl
50,500.00 oad
Download3/16/2014 18:23
Dus @ 30 Ampul
4,010.00 Download
Download4/23/2013 10:24
Botol @100 Tablet
82 Download
Download3/15/2014 16:05
Btl @ 100 tablet
82 Download
Download9/28/2014 21:46
Dus, 6 ampul @ 3
ml
12,480.00 Download
Download3/16/2014 18:23
Dus, 3 blister @ 10
tablet
1,300.00 Download
Download3/16/2014 18:23
Dus, 10 strip @ 10
tss
117 Download
Download4/23/2013 10:24
Box, 3 strips @ 10
tablets
341 Download
Download3/15/2014 16:05
Box, 3 strips @ 10
tablets
192 Download
Download4/23/2013 10:24
kapsul
210 Download
Download3/15/2014 16:05
KOTAK @ 10 x 10
TAB
270 Download
Download3/15/2014 16:05
Dus, Botol 60 ml
4,212.00 Download
Download3/15/2014 16:05
btl @ 60 ml
2,500.00 Download
Download4/23/2013 10:24
Dus, 10 vial @ 1 g
5,355.00 Download
Download3/15/2014 16:05
dus, 5 solostar pen

@ 3ml
Injeksi 100 IU/ml,
Flexpen disposible 3
ml (1 box isi 5
flexpen disposible)
106,000.00 Download
Download 4/3/2014 21:30
Penfill cartridge
102,375.00 Download
Download3/18/2014 20:03
Dus, vial 10 ml
Injeksi 100 IU/ml,
Flexpen disposible 3
ml (1 box isi 5
flexpen disposible)
200,000.00 Download
Download 4/3/2014 21:30
85,000.00 Download
Download 4/3/2014 21:30
85,345.00 Download
Download 4/3/2014 21:30
dus, 5 solostar pen

@ 3ml
83,125.00 Download
Download3/18/2014 20:03
Penfill cartridge
83,125.00 Download
Download3/18/2014 20:03
Dus, 2 blister @ 14
Tablet
32,000.00 Download
Download 4/3/2014 21:30
Dus, 10 Strip @ 10
Tablet
74 Download
Download3/15/2014 16:05
btl 60 ml
2,200.00 Download
Download3/15/2014 16:05
Dus, 25 tube @ 5 g
2,641.00 Download
Download3/15/2014 16:05
ktk 10 x 10 tablet
546 Download
Download3/15/2014 16:05
Btl 100 tablet
142 Download
Download3/15/2014 16:05
Dus, 5 strip @ 10
tablet
1,575.00 Download
Download3/16/2014 18:23
Dus 6 amp @ 1ml
23,100.00 Download
Download3/18/2014 20:03
Dus @ 10 X 10 's
122 Download
Download3/15/2014 16:05
KOTAK @ 10 x 10
TAB
155 Download
Download9/28/2014 21:46
ktk 10x10 tablet
159 Download
Download3/15/2014 16:05
Dus 10 strip x 10
tab
100 Download
Download3/18/2014 20:03
Dus, 10 strip @10

tablet
93 Download
Download7/21/2014 21:09
Botol @ 100 tablet
50 Download
Download3/15/2014 16:05
Boks, 1 ampul
kaptab ss
2,209,000.00 Download
Download 4/3/2014 21:30
116 Download
Download4/23/2013 10:24
Strip
Downl
1,815.00 oad
Download3/16/2014 18:23
Dus, 10 ampul @ 5
ml
3,500.00 Download
Download3/15/2014 16:05
Dus, 10 ampul @ 5
ml
3,100.00 Download
Download3/15/2014 16:05
Dus, 1 vial plastik @

5ml
Tube 3,5 gram
900,000.00 Download
Download9/28/2014 21:46
Downl
24,750.00 oad
Download3/16/2014 18:23
ktk 10x10 tablet
239 Download
Download3/15/2014 16:05
ktk 10x10 tablet
345 Download
Download3/15/2014 16:05
10.000 UI/Vial
Dus 5 strip @ 10
tablet
Dus, 5 ampul @ 2.5
ml
Dus, 10 strip @ 10
tablet
1,039,500.00 Download
Download 4/3/2014 21:30
210 Download
Download3/16/2014 18:23
20,000.00 Download
Download3/16/2014 18:23
77 Download
Download4/23/2013 10:24
botol @ 60 ml
Downl
34,500.00 oad
Download3/15/2014 16:05
ktk 2x10 tablet
4,500.00 Download
Download3/15/2014 16:05
Strip
Downl
3,500.00 oad
Download3/18/2014 20:03
Dus @ 50 gram
1,250.00 Download
Download3/15/2014 16:05
Ds 10 vial x 1,2 Jt IU
10,290.00 Download
Download4/23/2013 10:24
Dus @ 10 Vial
14,070.00 Download
Download4/23/2013 10:24
Vial
3,200,000.00 Download
Download3/18/2014 20:03
Box @ 3 blister @
10 Tablet
3,600.00 Download
Download3/18/2014 20:03
Box/ 3 blister @ 10
Tablet
3,600.00 Download
Download3/16/2014 19:08
Tube 5 gr
1,520.00 Download
Download3/15/2014 16:05
botol @ 5 ml
Dus, 1 vial @ 4 ml
Dus, 2 blister @ 14
Tablet
Downl
25,106.00 oad
Download9/28/2014 21:46
4,803,697.00 Download
Download9/28/2014 22:55
72,400.00 Download
Download 4/3/2014 21:30
Dus, 2 blister @ 14
Tablet
Supp
45,000.00 Download
Download 4/3/2014 21:30
Downl
6,045.00 oad
Download3/16/2014 18:23
Dus 10 blister @ 10
tablet
746 Download
Download7/21/2014 21:09
Box 3 X 10 tab
669 Download
Download4/23/2013 10:24
Vial
320,000.00 Download
Download7/21/2014 21:09
Box 3 x 10'S
247,089.00 Download
Download3/16/2014 19:08
Dus, 1 Turbuhaler @
100 dosis
Dus, 4 pak @ 5
respules @ 2 ml
93,000.00 Download
Download 4/3/2014 21:30
8,900.00 Download
Download 4/3/2014 21:30
Dus, 1 Turbuhaler @
120 dosis
117,600.00 Download
Download3/16/2014 19:08
Dus, 1 Turbuhaler @
60 dosis
110,500.00 Download
Download 4/3/2014 21:30
Dus, 5 ampul @ 4
ml
26,880.00 Download
Download7/21/2014 21:08
Dus, 5 polyamp
duofit@ 20 ml
32,000.00 Download
Download7/21/2014 21:09
Dus, 3 blister @ 10
kapsul
12,936.00 Download
Download5/21/2014 20:01
Dus, 3 blister @ 10
kapsul
12,936.00 Download
Download5/21/2014 20:01
vial @ 20 ml
307,000.00 Download
Download 9/5/2014 23:17
vial
288,750.00 Download
Download7/21/2014 21:09
Dus, 4 blister @ 7
tablet
80,000.00 Download
Download3/16/2014 19:08
Dus, 4 blister @ 7
tablet
155,000.00 Download
Download3/16/2014 19:08
Dus, Botol @ 500ml

Dus, Botol @ 100
tablet
Dus, 10 vial @
500mg
Dus, 100 ampul @ 1
ml
Dus, 10 Strip@10
Tablet
Dus, 1 Blister @ 28
tablet
Downl
2,600,000.00 oad
Download 4/3/2014 21:30
Downl
25,300.00 oad
Download 4/3/2014 21:30
112,000.00 Download
Download 4/3/2014 21:30
1,659.00 Download
Download3/15/2014 16:05
64 Download
Download3/15/2014 16:05
Downl
70,000.00 oad
Download 8/6/2014 18:35
Kotak, tube @ 15
gram
9,983.00 Download
Download3/16/2014 19:30
Dus, tube @ 5 g
6,150.00 Download
Download9/28/2014 21:46
Dus, 5 alubag @ 1
tube @ 2,5ml
12,159.00 Download
Download9/28/2014 21:46
Dus, 5 alubag @ 1
tube @ 2,5ml
17,604.00 Download
Download9/28/2014 21:46
Dus @ 30 Ampul
1,100.00 Download
Download3/15/2014 16:05
Box @ 5 ampul 2
mL
23,150.00 Download
Download9/28/2014 21:46
Box 10 X 10 Tab
100 Download
Download4/23/2013 10:24
Ktk 10X10 TAB
134 Download
Download4/23/2013 10:24
10 vial @ 50mg
Vial 5 mL
134,050.00 Download
Download3/18/2014 20:03
49,000.00 Download
Download3/18/2014 20:03
3 blister @ 10
kapsul
3,850.00 Download
Download3/18/2014 20:03
3 blister @ 10
kapsul
4,216.00 Download
Download3/18/2014 20:03
Btl 100 tablet
104 Download
Download4/23/2013 10:24
botol 15 ml
ampul
Downl
37,500.00 oad
Download 4/3/2014 21:30
124,955.00 Download
Download9/28/2014 21:46
ampul @ 5 ml
28,035.00 Download
Download7/21/2014 21:09
Dus, 5 blister @10's

tab
3,480.00 Download
Download3/16/2014 18:23
Dus, 5 blister @10's

tab
5,480.00 Download
Download3/16/2014 18:23
vial @ 5 ml
vial @ 25 ml
btl @ 60 ml
dus 10 X 10'S
Dus, botol @ 10 ml
Dus 5 amp @ 10 ml
58,500.00 Download
Download3/16/2014 18:23
290,000.00 Download
Download3/16/2014 18:23
3,410.00 Download
Download3/15/2014 16:05
170 Download
Download4/23/2013 10:24
16,350.00 Download
Download3/15/2014 16:05
9,800.00 Download
Download 8/13/2014 2:04
Dus, 1 vial @0,5

ml+ 1 vial pelarut
@1,5 ml
Downl
970,200.00 oad
Download 4/3/2014 21:30
Dus @ 5 vial
455,000.00 Download
Download 8/6/2014 18:35
Dus, Botol Plastik @

30 Tablet
7,455.00 Download
Download3/18/2014 20:03
Botol 30 tab
6,375.00 Download
Download6/16/2014 19:59
Ampul @ 1 ml
13,900.00 Download
Download7/21/2014 21:08
Dus, 2 blister @ 15
tablet
42,600.00 Download
Download 4/3/2014 21:30
dus, 2 prefilled
syringe @ 0,2 ml
42,780.00 Download
Download3/18/2014 20:03
dus, 2 prefilled
syringe @ 0,4 ml
75,465.00 Download
Download3/18/2014 20:03
dus, 2 prefilled
syringe @ 0,6 ml
105,000.00 Download
Download3/18/2014 20:03
Dus @ 30 Ampul
8,505.00 Download
Download3/15/2014 16:05
Vial @ 25 ml
550,000.00 Download
Download3/16/2014 18:23
Dus, 1 vial @5 ml
Downl
128,000.00 oad
Download 4/3/2014 21:30
Dus 3 strip @ 10
Flash tablet
Downl
680 oad
Download3/16/2014 19:08

100 mL
Downl
8,000.00 oad
Download 4/3/2014 21:30
kss
976 Download
Download4/23/2013 10:24
Botol @60 ml
vial/ampul (Prefilled
Syringe)
7,893.00 Download
Download3/15/2014 16:05
278,000.00 Download
Download9/28/2014 21:46
Dus, 6 prefilled
syrenge @ 0.5 ml
Downl
140,569.00 oad
Download9/28/2014 21:46
Prefilled Syringe @
1ml
128,000.00 Download
Download5/21/2014 20:01
Boks, 6 ampul
139,500.00 Download
Download 4/3/2014 21:30
ktk 20 x 10 tablet
314 Download
Download4/23/2013 10:24
ktk 10 x 10 tablet
455 Download
Download4/23/2013 10:24
btl @ 100 ml
2,575.00 Download
Download3/15/2014 16:05
Dus, botol @ 100

tablet
Downl
1,360.00 oad
Download 8/6/2014 18:35
Dus, 1 blister @ 1
subdermal implant
Downl
128,779.00 oad
Download3/24/2014 14:34
ampul @ 5ml
100,900.00 Download
Download3/16/2014 18:23
Botol 10 ml
17,500.00 Download
Download3/18/2014 20:03
Dus, 6 blister @ 10
tablet
11,813.00 Download
Download3/16/2014 19:08
Dus, 6 blister @ 10
tablet
23,250.00 Download
Download3/16/2014 19:08
KOTAK @ 1 VIAL
SERBUK OBAT &
INFUSION KIT
9,200,000.00 Download
Download 4/3/2014 21:30
vial
1,189,650.00 Download
Download9/28/2014 21:46
vial
1,039,500.00 Download
Download9/28/2014 21:46
vial
2,257,500.00 Download
Download9/28/2014 21:46
KOTAK @ 10 ampul
Botol @ 100
KOTAK @ 10 ampul
20,850.00 Download
Download3/15/2014 16:05
140 Download
Download4/23/2013 10:24
20,850.00 Download
Download7/21/2014 21:08
Dus @ 30 Ampul
1,890.00 Download
Download4/23/2013 10:24
Dus, 3 strip @ 10
kapsul
1,075.00 Download
Download3/18/2014 20:03
Dus, 3 strip @ 10
kapsul
1,375.00 Download
Download3/18/2014 20:03
Dus @ 10 X 10 's
304 Download
Download3/15/2014 16:05
Dus 45 x 12 tab
235 Download
Download 4/3/2014 21:30
Dus @ 10 X 10 's
535 Download
Download3/15/2014 16:05
Box, canister 10mL
72,900.00 Download
Download 8/6/2014 18:35
Dus, Canister 200

dosis
117,500.00 Download
Download 4/3/2014 21:30
Dus 5 ampul@ 10ml
134,400.00 Download
Download3/18/2014 20:03
Dus 5 ampul@ 2ml
35,610.00 Download
Download3/18/2014 20:03
Dus @ 5 patch
81,375.00 Download
Download 4/3/2014 21:30
Dus@ 5 patch
160,650.00 Download
Download3/18/2014 20:03
Dus@ 5 patch
299,250.00 Download
Download3/18/2014 20:03
pfs @ 0,5 ml
375,000.00 Download
Download3/16/2014 18:23
Box, isi 3 Strip @ 10

tab
Dus @ 10 X 10 's
dus @ 30 ampul
Dus, 5 vial @ 50 mg
Dus, 4 blister @ 5
tablet salut selaput
Dus, 5 ampul @ 1ml
2,950.00 Download
Download7/21/2014 21:09
660 Download
Download4/23/2013 10:24
3,582.00 Download
Download 8/6/2014 18:35
1,248,319.00 Download
Download 4/3/2014 21:30
275,000.00 Download
Download 4/3/2014 21:30
55,000.00 Download
Download3/16/2014 19:08
Botol
Blister
ktk 1 x 10 kapsul
39,810.00 Download
Download3/15/2014 16:05
4,862.00 Download
Download9/28/2014 21:46
23,100.00 Download
Download3/15/2014 16:05
strip
Downl
439 oad
Download3/16/2014 18:23
DUS, 30 TABLET
454 Download
Download3/16/2014 18:23
botol @ 5 ml
Downl
30,493.00 oad
Download9/28/2014 21:46
vial @ 1 ml
25,725.00 Download
Download3/16/2014 18:23
vial @ 10 ml
35,000.00 Download
Download3/16/2014 18:23
Dus, Tube 5 g
2,500.00 Download
Download3/16/2014 18:23
Dus, Botol 120

Dosis Spay
98,000.00 Download
Download3/18/2014 20:03
Dus, 2 flow wrap@ 5

nebules @ 1 dosis
(2ml)
13,563.00 Download
Download3/18/2014 20:03
Dus, 2 pfs 0.5 ml
253,750.00 Download
Download3/18/2014 20:03
dus, vial @ 250 ml
972,000.00 Download
Download 8/6/2014 18:35
Dus, 25 ampul @ 2
ml
1,920.00 Download
Download4/23/2013 10:24
Dus, 10 strip @ 10
tablet
94 Download
Download4/23/2013 10:24
Prefilled Syringe
275,000.00 Download
Download 8/6/2014 18:35
Prefilled Syringe
412,500.00 Download
Download 8/6/2014 18:35
Prefilled Syringe
2,570,000.00 Download
Download 8/6/2014 18:35
Boks, 1 ampul
Dus @ 100 Sachet

Dus, 1 blister @ 10
tablet
399,500.00 Download
Download 4/3/2014 21:30
303 Download
Download3/15/2014 16:05
295,000.00 Download
Download 4/3/2014 21:30
kapsul
303 Download
Download4/23/2013 10:24
kaptab
713 Download
Download4/23/2013 10:24
vial
Dus, 1 vial @200
mg
Dus, 5 ampul @ 2
ml
1,113,850.00 Download
Download3/16/2014 18:23
Downl
330,000.00 oad
Download 4/3/2014 21:30
3,569.00 Download
Download4/23/2013 10:24
Tube @ 3,5 gr
2,660.00 Download
Download3/16/2014 18:23
Dus, botol plastik 5

ml
3,353.00 Download
Download3/15/2014 16:05
kaptab
58 Download
Download3/15/2014 16:05
Strip
244 Download
Download3/16/2014 18:23
Dus, 6 strip @ 10
tablet lepas lambat
638 Download
Download 4/3/2014 21:30
Dus, 10 Strip @ 10
tablet
997 Download
Download3/15/2014 16:05
ktk 5x10 tablet
265 Download
Download4/23/2013 10:24
ktk 5x10 tablet
436 Download
Download4/23/2013 10:24
ktk 5x10 tablet
404 Download
Download4/23/2013 10:24
ktk 5x10 tablet
430 Download
Download4/23/2013 10:24
Dus 10x10
1,493.00 Download
Download 4/3/2014 21:30
Dus 10x10
2,171.00 Download
Download 4/3/2014 21:30
Btl @ 30 tablet
1,575.00 Download
Download3/18/2014 20:03
Glycerin 100 ml
5,600.00 Download
Download3/18/2014 20:03
botol @ 500 ml
5,985.00 Download
Download4/23/2013 10:24
botol @ 500 ml
5,460.00 Download
Download4/23/2013 10:24
Dus, 1 syringe @
10.8 mg
2,300,000.00 Download
Download 4/3/2014 21:30
Dus, 1 syringe @
3.6 mg
840,000.00 Download
Download 4/3/2014 21:30
tablet
230 Download
Download4/23/2013 10:24
Dus 5 Ampul@1mL
Downl
87,500.00 oad
Download3/18/2014 20:03
KOTAK @ 12 ampul
6,563.00 Download
Download9/28/2014 21:46
tablet
61 Download
Download4/23/2013 10:24
tablet
100 Download
Download4/23/2013 10:24
tablet
72 Download
Download4/23/2013 10:24
KOTAK @ 10 x 10
TAB
Botol
130 Download
Download3/16/2014 18:23
673,500.00 Download
Download3/18/2014 20:03
vial
Dus, 1 syringe @
0.5 mL
45,100.00 Download
Download7/21/2014 21:09
1,328,000.00 Download
Download5/22/2014 14:25
Tube 5 gr
2,798.00 Download
Download4/23/2013 10:24
vial
5,670.00 Download
Download9/28/2014 21:46
box 5ampul @1 ml
4,725.00 Download
Download3/18/2014 20:03
Dus, vial 10 ml
138,000.00 Download
Download 4/3/2014 21:30
Dus, vial 10 ml
138,000.00 Download
Download 4/3/2014 21:30
Dus, 1 Vial @ 5 ml
Injeksi 100 IU/ml,
penfill disposible 3
ml (1 box isi 5
penfill disposible)
Dus Isi 5
penfill/cartridge @
3ml
penfillcartridge @
3ml
Injeksi 100 IU/ml,
ml (1 box isi 5
penfill disposible)
Dus Isi 5
penfill/cartridge @
3ml
72,000.00 Download
Download 4/3/2014 21:30
76,125.00 Download
Download 4/3/2014 21:30
76,125.00 Download
Download 4/3/2014 21:30
Downl
75,000.00 oad
Download 4/3/2014 21:30
76,125.00 Download
Download 4/3/2014 21:30
76,125.00 Download
Download 4/3/2014 21:30
Dus, vial 10 ml
138,000.00 Download
Download 4/3/2014 21:30
Dus, vial 10 ml
Injeksi 100 IU/ml,
ml (1 box isi 5
penfill disposible)
138,000.00 Download
Download 4/3/2014 21:30
penfill cartridge @
3ml
Downl
75,000.00 oad
Download 4/3/2014 21:30
Dus Isi 5
penfill/cartridge @
3ml
76,125.00 Download
Download 4/3/2014 21:30
76,125.00 Download
Download 4/3/2014 21:30
Dus, vial 10 ml
138,000.00 Download
Download 4/3/2014 21:30
Dus, vial 10 ml
138,000.00 Download
Download 4/3/2014 21:30
Dus, 1 Vial @ 5 ml
72,000.00 Download
Download 4/3/2014 21:30
Prefilled syringe
170,000.00 Download
Download 8/6/2014 18:35
Dus, botol 60 ml
3,674.00 Download
Download3/15/2014 16:05
Dus, botol 60 ml
4,724.00 Download
Download4/23/2013 10:24
botol @ 100 tablet
116 Download
Download4/23/2013 10:24
dus 10 X 10'S
153 Download
Download4/23/2013 10:24
Dus, 1 vial @ 1 g
Dus, 6 blister @ 10
1,329,163.00 Download
Download 4/3/2014 21:30
211,000.00 Download
Download9/28/2014 22:55
3 blister @ 10 tablet
4,104.00 Download
Download3/18/2014 20:03
3 blister @ 10 tablet
2,226.00 Download
Download3/18/2014 20:03
Dus, botol @ 100 ml
350,000.00 Download
Download 4/3/2014 21:30
Dus, vial @ 30 ml
122,000.00 Download
Download5/21/2014 10:06
Dus, vial @ 50 ml
166,000.00 Download
Download 4/3/2014 21:30
Dus, botol @ 100 ml
369,000.00 Download
Download 4/3/2014 21:30
Dus, vial @ 30 ml
147,000.00 Download
Download5/21/2014 10:06
Dus, vial @ 50 ml
199,000.00 Download
Download 4/3/2014 21:30
Botol
245,000.00 Download
Download 4/3/2014 21:30
Botol
123,200.00 Download
Download 4/3/2014 21:30
Botol
299,000.00 Download
Download 4/3/2014 21:30
Botol
150,300.00 Download
Download 4/3/2014 21:30
Box, canister 10mL
80,000.00 Download
Download 8/6/2014 18:35
Dus, 5 blister @ 10
kss
1,496.00 Download
Download3/15/2014 16:05
Dus, 5 blister @ 10
kss
2,593.00 Download
Download3/15/2014 16:05
Dus, 1 vial @2 ml
Downl
510,000.00 oad
Download 4/3/2014 21:30
Botol 100 mL
270,000.00 Download
Download9/28/2014 21:46
Botol 100 tablet
68 Download
Download9/28/2014 21:46
Botol 100 tablet
166 Download
Download9/28/2014 21:46
vial
Dus, 10 strip @ 10
tablet
Strip
Dus, 10 strip @ 10
tablet
Vial 50 mg/5 ml
34,980.00 Download
Download7/21/2014 21:09
93 Download
Download4/23/2013 10:24
710 Download
Download3/16/2014 18:23
1,580.00 Download
Download 4/3/2014 21:30
82,000.00 Download
Download7/21/2014 21:09
Ampul
Dus,10 Strip @ 10
tablet
7,800.00 Download
Download 4/3/2014 21:30
73 Download
Download9/28/2014 21:46
kantong 5 g
8,333.00 Download
Download9/28/2014 21:46
Dus, 3 Blister @ 10
tablet
5,145.00 Download
Download3/15/2014 16:05
Dus, 3 Blister @ 10
tablet
3,255.00 Download
Download3/15/2014 16:05
Boks, 120 tablet

Dus, 10 strip @ 10
tablet
27,500.00 Download
Download 4/3/2014 21:30
141 Download
Download4/23/2013 10:24
Dus, 10 strip @10

tablet
89 Download
Download3/15/2014 16:05
Dus, 10 strip @ 10
tablet
62 Download
Download3/15/2014 16:05
Dus, botol @ 120 ml
44,770.00 Download
Download3/16/2014 19:30
tablet
257 Download
Download4/23/2013 10:24
Dus,botol 100 tablet
875 Download
Download 4/3/2014 21:30
Fenol 100 mg / 1 ml
2,144.00 Download
Download3/18/2014 20:03
vial @ 15 ml
191,000.00 Download
Download 9/5/2014 23:17
vial @ 45 ml
410,000.00 Download
Download 9/5/2014 23:17
strip
Vial @ 10 ml
1,428.00 Download
Download9/28/2014 21:46
Downl
110,000.00 oad
Download3/16/2014 18:23
Box, isi 1 vial @ 10

ml
62,500.00 Download
Download7/21/2014 21:09
Box isi 1 Tube @ 15

g
4,930.00 Download
Download4/23/2013 10:24
tube 10 gr
2,569.00 Download
Download4/23/2013 10:24
tube 5 gr
2,993.00 Download
Download4/23/2013 10:24
Botol 80 ml
dus 10 X 5'S
29,400.00 Download
Download9/28/2014 21:46
310 Download
Download4/23/2013 10:24
dus 2 's @ 10 supp
2,722.00 Download
Download7/21/2014 21:09
Dus @ 12 Ampul
2,539.00 Download
Download3/15/2014 16:05
Dus, 3 Strip @ 10
Kaplet salut selaput
3,350.00 Download
Download3/16/2014 18:23
Dus, 5 blister @ 10
kapsul
379 Download
Download4/23/2013 10:24
Dus, 3 strip @ 10
kapsul
570 Download
Download4/23/2013 10:24
Dus, 10 Strip @ 10
tablet
900 Download
Download3/15/2014 16:05
Box, 10 ampoules @
1mL
Dus, 10 strip @ 10
tablet
30,600.00 Download
Download 8/6/2014 18:35
214 Download
Download4/23/2013 10:24
Ktk 3X10 tablet
3,500.00 Download
Download3/15/2014 16:05
Tube 5 gr
1,600.00 Download
Download4/23/2013 10:24
Botol @ 60 ml
3,865.00 Download
Download4/23/2013 10:24
Dus @ 10 X 10 's
158 Download
Download4/23/2013 10:24
Dus @ 30 Ampul
1,155.00 Download
Download4/23/2013 10:24
Dus @ 30 Ampul
1,103.00 Download
Download4/23/2013 10:24
KOTAK @ 5 x 10 TAB
5,000.00 Download
Download 4/3/2014 21:30
KOTAK @ 5 x 10 TAB
1,550.00 Download
Download 4/3/2014 21:30
ktk 10x10 tablet
525 Download
Download4/23/2013 10:24
ktk 10x10 tablet
893 Download
Download4/23/2013 10:24
ktk 10x10 tablet
1,155.00 Download
Download4/23/2013 10:24
Btl @ 30 kapsul
2,600.00 Download
Download9/28/2014 21:46
Botol Plastik @ 500

ml
33,000.00 Download
Download7/21/2014 21:09
Botol @ 60 ml
Downl
12,450.00 oad
Download3/16/2014 19:08
Dus, 100 Sachet @

30 Tablet
botol 15 ml
43 Download
Download3/15/2014 16:05
Downl
15,750.00 oad
Download 4/3/2014 21:30
Dus, 4 blister @ 6
tablet
3,220.00 Download
Download 4/3/2014 21:30
Dus, botol plastik @

30 tablet salut
selaput
8,900.00 Download
Download 4/3/2014 21:30
botol @ 120 tablet
6,100.00 Download
Download 8/6/2014 18:35
Dus, Botol 120

Dosis
Dus, foil strip @ 60
dosis
95,200.00 Download
Download3/18/2014 20:03
105,871.00 Download
Download3/18/2014 20:03
Dus, foil strip @ 60

dosis
Dus, 10 Strip@10
Tablet
Dus, botol @ 60 ml
ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
119,000.00 Download
Download3/18/2014 20:03
145 Download
Download3/15/2014 16:05
2,268.00 Download
Download3/15/2014 16:05
704 Download
Download4/23/2013 10:24
6,510.00 Download
Download4/23/2013 10:24
567 Download
Download4/23/2013 10:24
Botol 30 tab
2,100.00 Download
Download9/28/2014 21:46
Botol 60 tablet
1,470.00 Download
Download4/23/2013 10:24
Serbuk vial
Dus, 2 strip @ 10
kapsul
82,042.00 Download
Download 4/3/2014 21:30
473 Download
Download4/23/2013 10:24
Dus, 7 Blister @ 10
tablet
70,560.00 Download
Download3/18/2014 20:03
botol 500 ml
56,300.00 Download
Download 4/3/2014 21:30
Softbag 500 ML
56,300.00 Download
Download3/18/2014 20:03
Softbag 500 ML
39,375.00 Download
Download3/18/2014 20:03
Double Chamber
Softbag 1000 ML
115,500.00 Download
Download5/28/2014 19:25
Double Chamber
Softbag 500 ML
64,680.00 Download
Download5/28/2014 19:25
botol 500 mL
75,350.00 Download
Download 4/3/2014 21:30
Botol Gelas 100 ml
36,667.00 Download
Download 4/14/2014 9:16
Botol Gelas 250 ml
50,820.00 Download
Download 4/14/2014 9:16
Softbag 200 ML
46,000.00 Download
Download4/12/2014 17:56
Softbag 500 ML
65,000.00 Download
Download4/12/2014 17:56
Botol Gelas 500 ml
82,418.00 Download
Download3/18/2014 20:03
botol 250 ml
51,260.00 Download
Download 4/3/2014 21:30
botol 500 ml
64,900.00 Download
Download 4/3/2014 21:30
botol 500 mL
42,000.00 Download
Download 4/3/2014 21:30
botol 250 mL
46,000.00 Download
Download 4/3/2014 21:30
Bag (3 Chamber)
1440 ml
Bag (3 Chamber)
1920 ml
Bag Double
chamber (Dua
compartement),
1000 mL
Bag Double
chamber (Dua
compartement),
1000 mL
295,240.00 Download
Download 4/14/2014 9:16
343,842.00 Download
Download 4/14/2014 9:16
322,000.00 Download
Download 4/3/2014 21:30
218,700.00 Download
Download 4/3/2014 21:30
Ampoel 25 ML
2,153.00 Download
Download3/18/2014 20:03
Botol 1000 ml
8,000.00 Download
Download 4/3/2014 21:30
Plastic Bottle 500

ML
9,000.00 Download
Download 4/3/2014 21:30
Plastic Bottle 500

ML
9,000.00 Download
Download 4/3/2014 21:30
flexybag 250 mL
87,000.00 Download
Download 4/3/2014 21:30
LDPE (Low Density

Poly Ethilene), botol
plastik
12,650.00 Download
Download 4/3/2014 21:30
botol 500 mL
50,500.00 Download
Download 4/3/2014 21:30
Flexy bag 500 mL
42,350.00 Download
Download 4/3/2014 21:30
Plastic Bottle 500

ML
30,625.00 Download
Download3/18/2014 20:03
Plastic Bottle 500

ML
55,500.00 Download
Download4/12/2014 17:56
botol 500 mL
37,500.00 Download
Download 4/3/2014 21:30
Botol Plastik 1000

mL
210,000.00 Download
Download5/21/2014 20:01
Botol Plastik 1000

mL
199,000.00 Download
Download 4/3/2014 21:30
botol 500 mL
56,000.00 Download
Download 4/3/2014 21:30
Botol 500 ml
9,500.00 Download
Download 4/3/2014 21:30
Botol 500 ml
6,800.00 Download
Download 4/3/2014 21:30
Botol 500 ml
7,263.00 Download
Download3/18/2014 20:03
Botol 500 ml
8,085.00 Download
Download3/18/2014 20:03
Botol 500 ml
8,085.00 Download
Download3/18/2014 20:03
softbag 500ml
Downl
35,750.00 oad
Download 4/3/2014 21:30
Botol 500 ml
6,930.00 Download
Download 4/3/2014 21:30
Plastic Bottle 500

ML
9,625.00 Download
Download3/18/2014 20:03
Plastic Bottle 500

ML
10,000.00 Download
Download 4/3/2014 21:30
Plastic Bottle 500

ML
10,000.00 Download
Download 4/3/2014 21:30
20%, Botol Kaca

@100 ml, single
bottle
Botol Gelas 100 ml
105,500.00 Download
Download 4/3/2014 21:30
60,500.00 Download
Download3/18/2014 20:03
20%, Botol Kaca

@250 ml, single
bottle
210,000.00 Download
Download 4/3/2014 21:30
Bag, 3 chamber ( 3
kompartemen),
1250 ml
591,000.00 Download
Download 4/3/2014 21:30
Bag, 3 chamber ( 3
kompartemen),
1250 ml
511,000.00 Download
Download 4/3/2014 21:30
Bag, 3 chamber ( 3
kompartemen), 625
ml
358,000.00 Download
Download 4/3/2014 21:30
Flexy bag 100 mL
89,800.00 Download
Download 4/3/2014 21:30
strip 5 x 0.6 ml
Downl
72,000.00 oad
Download 4/3/2014 21:30
dus, Botol @ 2,5 ml

Dus, 1 vial @ 263
mcg + 1 prefilled
syringe pelarut @ 1
ml
Dus, 3 blister @ 10
tablet
127,000.00 Download
Download 8/6/2014 18:35
550,000.00 Download
Download 8/6/2014 18:35
17,500.00 Download
Download9/28/2014 21:46
Vial
700,000.00 Download
Download 4/3/2014 21:30
Vial
2,700,000.00 Download
Download 4/3/2014 21:30
Vial
550,000.00 Download
Download9/28/2014 21:46
Botol @ 100 ml
ktk 5 x 10 tablet
Btl @ 5 ml
41,905.00 Download
Download3/15/2014 16:05
575 Download
Download4/23/2013 10:24
13,365.00 Download
Download9/28/2014 21:46
Dus 4 blister @ 25
tablet
850 Download
Download9/28/2014 21:46
Dus, 100 ampul @ 2

ml
879 Download
Download3/15/2014 16:05
Dus, 30 ampul @ 2
ml
1,431.00 Download
Download4/23/2013 10:24
Dus, 10 syringe @
10 g
40,000.00 Download
Download 4/3/2014 21:30
Dus,Botol @ 50 ml
(500 dosis)
149,100.00 Download
Download9/28/2014 21:46
Box ,3 Strip @ 10
tablet
630 Download
Download4/23/2013 10:24
Box ,3 Strip @ 10
tablet
365 Download
Download4/23/2013 10:24
KOTAK @ 10 x 10
TAB
1,050.00 Download
Download 4/3/2014 21:30
KOTAK @ 10 x 10
TAB
1,850.00 Download
Download 4/3/2014 21:30
Dus, 10 Strip @ 10
Tablet
92 Download
Download4/23/2013 10:24
Dus, 5 strip @ 10
tablet
164 Download
Download4/23/2013 10:24
KOTAK @ 10 x 10
TAB
1,381.00 Download
Download3/16/2014 18:23
ampul
54,600.00 Download
Download7/21/2014 21:09
botol 500 ml
62,000.00 Download
Download6/16/2014 19:59
Strip
Downl
1,200.00 oad
Download3/16/2014 18:23
KOTAK @ 5 x 10 TAB
3,374.00 Download
Download3/16/2014 18:23
Dus @ 5 vial
Dus,24 Catch @ 1
tablet
473,000.00 Download
Download 8/6/2014 18:35
Downl
7,497.00 oad
Download3/18/2014 20:03
Box, Tablet 2
mg/25's
12,210.00 Download
Download 4/3/2014 21:30
Dus, 1 vial @ 1 g
57,000.00 Download
Download3/15/2014 16:05
Dus, 1 vial @ 0,5 g
47,500.00 Download
Download7/21/2014 21:08
Dus, 15 Ampul
74,998.00 Download
Download 4/3/2014 21:30
Botol 1000 ml
266,805.00 Download
Download3/18/2014 20:03
tablet
114.5 Download
Download4/23/2013 10:24
kaptab
214.5 Download
Download4/23/2013 10:24
Dus, 10 Strip @ 10
840 Download
Download9/28/2014 21:46
ktk 10 x 10 tablet
salut
162 Download
Download4/23/2013 10:24

30 kapsul pelepasan
lambat
6,537.00 Download
Download 4/3/2014 21:30
Dus, 2 blister @ 15
tablet
1,950.00 Download
Download9/28/2014 21:46
Dus, 1 vial @ 125

mg
22,740.00 Download
Download7/21/2014 21:08
Dus, 1 vial @ 500

mg
93,990.00 Download
Download7/21/2014 21:08
Strip
681 Download
Download4/23/2013 10:24
Dus, 10 Blister @ 10
Tablet
210 Download
Download4/23/2013 10:24
tablet
375 Download
Download4/23/2013 10:24
Dus, Botol 10 ml
5,500.00 Download
Download9/28/2014 21:46
BOTOL 60 ML
2,800.00 Download
Download9/28/2014 21:46
Dus @ 10 X 10 's
96 Download
Download4/23/2013 10:24
ktk 10 x 10 tablet
108 Download
Download4/23/2013 10:24
Box 10 ampul @ 1
ml
Downl
22,176.00 oad
Download9/28/2014 21:46
Box, bottle @ 50 tab

Dus, 1 Botol @ 100
ml
Downl
1,764.00 oad
Download9/28/2014 21:46
10,250.00 Download
Download4/23/2013 10:24
dus 1 's @ 5 ovula
4,043.00 Download
Download9/28/2014 21:46
Dus, 2 blister @ 5
suppositoria
3,220.00 Download
Download3/16/2014 18:23
10 strip @ 10 tab
113 Download
Download4/23/2013 10:24
10 strip @ 10 tab
164 Download
Download4/23/2013 10:24
vial
2,021,250.00 Download
Download9/28/2014 21:46
Dus @ 5 vial
1,237,500.00 Download
Download5/21/2014 20:01
ampul
5,762.00 Download
Download3/16/2014 18:23
ampul
9,114.00 Download
Download3/16/2014 18:23
Dus,1 vial@50mg
Boks, 50 tablet
Tube 10 gram
10 mg /Vial
260,000.00 Download
Download 4/3/2014 21:30
16,000.00 Download
Download 8/6/2014 18:35
3,000.00 Download
Download4/23/2013 10:24
697,000.00 Download
Download 4/3/2014 21:30
Btl @ 500 ml
72,000.00 Download
Download9/28/2014 21:46
botol, tetes mata 3

ml
77,000.00 Download
Download 4/3/2014 21:30
tube 10 gram
Downl
17,820.00 oad
Download3/15/2014 16:05
Dus 10 amp @ 1 ml
8,820.00 Download
Download3/18/2014 20:03
Dus, 6 strip @ 10
tablet
15,620.00 Download
Download 4/3/2014 21:30
Dus, 6 strip @ 10
tablet
22,990.00 Download
Download 4/3/2014 21:30
Ktk 10 ampul @
1ML
11,024.00 Download
Download3/15/2014 16:05
Botol 30 tablet
1,365.00 Download
Download4/23/2013 10:24
Box @ 5 ampul
13,750.00 Download
Download9/28/2014 21:46
Botol 500 ml
4,935.00 Download
Download3/18/2014 20:03
Dus, 5 blister @ 2
pfs 0.3 ml
56,851.00 Download
Download3/18/2014 20:03
Dus, 5 blister @ 2
pfs 0.4 ml
69,972.00 Download
Download3/18/2014 20:03
Dus, 5 blister @ 2
pfs 0.6 ml
99,710.00 Download
Download3/18/2014 20:03
Dus, 5 Ampul @ 2ml
64,680.00 Download
Download3/16/2014 18:23
Ampoel 25 ML
6,510.00 Download
Download3/18/2014 20:03
Dus @ 5 X 10 's
185 Download
Download4/23/2013 10:24
Dus @ 5 X 10 's
140 Download
Download4/23/2013 10:24
Botol, 45 ml
Tube 5 gr
33,900.00 Download
Download5/21/2014 20:01
6,555.00 Download
Download3/16/2014 18:23
Box, isi 5 ampul @ 1

ml
Downl
9,700.00 oad
Download7/21/2014 21:09
btl 60 tablet
2,940.00 Download
Download4/23/2013 10:24
blister
2,999.00 Download
Download3/16/2014 18:23
blister
3,500.00 Download
Download3/16/2014 18:23
Dus, 10 Strip @ 10
110 Download
Download3/15/2014 16:05
Dus, 2 blister @ 14
kapsul
380,875.00 Download
Download9/28/2014 22:55
Dus @ 10 X 10 's
672 Download
Download4/23/2013 10:24
Dus @ 10 X 10 's
504 Download
Download4/23/2013 10:24
Dus 5 amp @ 8 ml
blister
53,900.00 Download
Download7/21/2014 21:09
2,618.00 Download
Download3/16/2014 18:23
Paket
377,900.00 Download
Download4/23/2013 10:24
Paket
1,259,990.00 Download
Download4/23/2013 10:24
Paket
225,740.00 Download
Download4/23/2013 10:24
Dus, 1 dus @ 60
Dus,
60@sachet
blister
8 tablet
tahap
intensif
@ (1
Paket@84 tablet
tablet
Isoniazid,
2
kategori
1 + 1 Dus
kapsul
Rifampicin,
@ 54 blister @ 3 2
tablet tahap
Pyrazinamide)
+ 1
lanjutan kategori
120 sachet tahap
lanjutan @ (1 tablet
Isoniazid, 2 kapsul
Rifampicin)
Dus, 5 ampul @ 1ml
168,000.00 Download
Download4/23/2013 10:24
302,605.00 Download
Download4/23/2013 10:24
180,595.00 Download
Download4/23/2013 10:24
82,500.00 Download
Download9/28/2014 21:46
Box ,5 Strip @ 10
tablet
420 Download
Download4/23/2013 10:24
Box ,5 Strip @ 10
tablet
680 Download
Download4/23/2013 10:24
Dus, 1 vial @ 20 ml
1,100,000.00 Download
Download 9/5/2014 23:17
Dus, 1 vial @ 10 ml
550,000.00 Download
Download 9/5/2014 23:17
botol @ 10 ml
Dus, 10 ampul @ 1
ml
Dus, vial @ 355m +
1 prefilled syringe
pelarut @ 2,5 ml +
2 jarum suntik
Vial
3 X 10 fcc
28,928.00 Download
Download3/16/2014 18:23
Downl Downl
1,900.00 oad
oad
9/28/2014 21:46
2,950,000.00 Download
Download 4/3/2014 21:30
120,000.00 Download
Download5/21/2014 20:01
Downl
6,773.00 oad
Download3/16/2014 18:23
3 X 10 fcc
Downl
11,760.00 oad
Download3/16/2014 18:23
botol, tetes mata 5

ml
68,000.00 Download
Download 9/6/2014 1:27
Dus, 1 Vial @ 40 mg
38,000.00 Download
Download3/15/2014 16:05
dus 10 X 3'S
Dus, 5 Ampul @ 2ml
Box 3 X 10 Tab
Transfer Set: Set;
Ultaclam:
Box 3 X 10Kantong
Tab
Plastik; Tenckoff
Catheter: Box;
Titanium Adaptor:
Kantong Plastik
Larutan Dialisa 1.5
%: 2.000 ml;
Larutan Dialisa 2.5
%:
Set2.000 ml;
Larutan Dialisa 4.25
%: 2.000 ml;
Minicap: Kantong
Plastik
216 Download
Download4/23/2013 10:24
2,400.00 Download
Download3/15/2014 16:05
759 Download
Download3/15/2014 16:05
1,261.00 Download
Download3/15/2014 16:05
1,902,240.00 Download
Download3/15/2014 16:14
219,540.00 Download
Download3/15/2014 16:14
5,522,580.00 Download
Download3/16/2014 19:49
Vial 6mg/ml
(100mg/16.67ml)
995,000.00 Download
Download 9/5/2014 23:17
Vial 6mg/ml
(260mg/43.33ml)
3,100,000.00 Download
Download 9/5/2014 23:17
Vial 6mg/ml
(30mg/5ml)
290,000.00 Download
Download 9/5/2014 23:17
Dus, 15 botol
5,460.00 Download
Download5/20/2014 18:46
botol 60 ml
1,496.00 Download
Download4/23/2013 10:24
Dus, 10 Strip@10
Kaplet Salut Selaput
Dus, botol @ 15 ml
84 Download
Download4/23/2013 10:24
7,000.00 Download
Download7/21/2014 21:09
Boks, 1 pfs
1,077,815.00 Download
Download3/16/2014 19:08
Boks, 1 pfs
Dus, 1 vial 100 mcg
+ 1 ampul pelarut
0,7 ml + 1 syringe
Dus,
1 prefilled
+ 2 jarum
syringe (serbuk
injeksi 120mcg +
pelarut 0.5 ml) + 1
jarum
Dus, 1 vial 50 mcg
+ 1 ampul pelarut
0,7 ml + 1 syringe
+ 2 jarum
Dus, 1 vial 80 mcg
+ 1 ampul pelarut
0,7 ml + 1 syringe
+ 2 jarum
1,248,220.00 Download
Download3/16/2014 19:08
tube @ 35 gram
30 tablet salut
selaput
Tube @ 10 g
Downl
973,500.00 oad
Download 4/3/2014 21:30
Downl
1,135,000.00 oad
Download 4/3/2014 21:30
Downl
915,000.00 oad
Download 8/6/2014 18:35
Downl
915,810.00 oad
Download 4/3/2014 21:30
24,150.00 Download
Download7/21/2014 21:09
2,420.00 Download
Download 4/3/2014 21:30
Downl
11,475.00 oad
Download3/16/2014 19:08
Ktk 10 ampx2ml
15,225.00 Download
Download3/15/2014 16:05
30 TAB/BOX
3,275.00 Download
Download3/16/2014 18:23
30 TAB/BOX
4,750.00 Download
Download3/16/2014 18:23
Botol 60 ml
8,728.00 Download
Download3/15/2014 16:05
Dus, 25 Blister @ 4
tablet
308 Download
Download3/15/2014 16:05
Dus 10 strip @ 10
tablet
220 Download
Download4/23/2013 10:24
Dus, Botol @ 10ml
17,993.00 Download
Download3/16/2014 18:23
botol @ 1000 ml
38,594.00 Download
Download3/15/2014 16:05
botol @ 30 ml
botol @ 300 ml
2,250.00 Download
Download3/15/2014 16:05
14,771.00 Download
Download3/15/2014 16:05
Dus, 3 alu blister @

10 tablet
7,200.00 Download
Download3/16/2014 19:08
Dus, 3 alu blister @

10 tablet
11,268.00 Download
Download3/16/2014 19:08
Box ,5 Strip @ 10
tablet
2,400.00 Download
Download4/23/2013 10:24
Vial @ 3 juta IU
7,550.00 Download
Download3/15/2014 16:05
Dus, 10 strip @ 10
tablet
79 Download
Download4/23/2013 10:24
Botol @ 100 Tablet
335 Download
Download9/28/2014 21:46
Ampul
15,642.00 Download
Download7/21/2014 21:09
Dus, 10 strip @ 10
tablet
110 Download
Download3/15/2014 16:05
Dus, 1 blister @ 10
tablet
17,391.00 Download
Download3/16/2014 19:08
Dus, 1 blister @ 10
tablet
19,500.00 Download
Download3/16/2014 19:08
Dus, 1 blister @ 10
tablet
23,185.00 Download
Download3/16/2014 19:08
Dus, 6 blister @ 10
tablet
Downl
995 oad
Download7/21/2014 21:09
Dus, 10 Strip @ 10
kaptab
600 Download
Download4/23/2013 10:24
Dus, 10 strip @ 10
tablet
1,064.00 Download
Download9/28/2014 21:46
Dus, 10 Ampul @ 2
ml
1,190.00 Download
Download 8/22/2014 0:44
Dus, 10 Strip @ 10
126 Download
Download4/23/2013 10:24
Botol 50 kapsul
lunak
273 Download
Download3/18/2014 20:03
Botol 50 Kapsul
482 Download
Download7/10/2014 15:53
Dus, 10 Strip @ 10
Kapsul
640 Download
Download9/28/2014 21:46
Dus, 10 Strip @ 10
Kaplet
1,154.00 Download
Download9/28/2014 21:46
Dus, 10 Strip @ 10
Kapsul
829 Download
Download4/23/2013 10:24
botol 500 ml
5,460.00 Download
Download4/23/2013 10:24
Dus, 5 Blister @ 10
tablet
1,400.00 Download
Download4/23/2013 10:24
KOTAK @ 5 x 10 TAB
1,038.00 Download
Download4/23/2013 10:24
Dus, 5 Blister @ 10
tablet
2,000.00 Download
Download4/23/2013 10:24
Dus, 1 vial @ 10 ml
3,164,805.00 Download
Download9/28/2014 22:55
Blister
23,500.00 Download
Download5/21/2014 20:01
Blister
23,500.00 Download
Download5/21/2014 20:01
Blister
23,500.00 Download
Download5/21/2014 20:01
Dus, 7 blister @ 4
Tablet lepas Lambat
5,510.00 Download
Download3/18/2014 20:03
Dus, 7 blister @ 4
Tablet lepas Lambat
6,589.00 Download
Download3/18/2014 20:03
Dus, 7 blister @ 4
Tablet lepas Lambat
7,753.00 Download
Download3/18/2014 20:03
Dus, 4x5 Botol

Plastik@2.5 ml
6,930.00 Download
Download9/28/2014 21:46
Dus, botol 200 dosis
66,938.00 Download
Download3/18/2014 20:03
Kapsul
452 Download
Download3/18/2014 20:03
Dus, 1 Rotahaler
6,160.00 Download
Download3/18/2014 20:03
strip @ 10 tablet
62 Download
Download4/23/2013 10:24
ktk 10 x 10 tablet
89 Download
Download4/23/2013 10:24
Pot @ 30 gram
2,100.00 Download
Download3/15/2014 16:05
Dus, Botol 60 ml
5,064.00 Download
Download4/23/2013 10:24
strip
539 Download
Download4/23/2013 10:24
Dus, 10 strip @ 10
kapsul
519 Download
Download4/23/2013 10:24
Dus, Botol 60 ml
6,149.00 Download
Download3/15/2014 16:05
Dus, 5 Strip @ 10
Kapsul
1,100.00 Download
Download4/23/2013 10:24
Dus, 2 Vial @ 1
gram
17,325.00 Download
Download3/15/2014 16:05
vial
45,048.00 Download
Download3/15/2014 16:05
kapsul
869 Download
Download4/23/2013 10:24
Dus, Botol 30 ml
9,000.00 Download
Download4/23/2013 10:24
Dus, 2 vial @ 1 g
13,330.00 Download
Download7/21/2014 21:08
vial
5,247.00 Download
Download4/23/2013 10:24
Dus, 10 Vial @ 1 g
3,150.00 Download
Download4/23/2013 10:24
Dus, 3 blister @ 10
tablet
Downl
3,700.00 oad
Download3/16/2014 19:08
Dus, 2 vial @ 1 g
17,913.00 Download
Download4/23/2013 10:24
Dus, 10 Vial @ 1 g
3,500.00 Download
Download3/15/2014 16:05
Dus, 1 Blister @ 10
Tablet salut selaput
4,990.00 Download
Download9/28/2014 21:46
Dus, 1 Blister @ 10
Tablet salut selaput
7,200.00 Download
Download3/16/2014 18:23
strip @ 10 tab
3,520.00 Download
Download7/21/2014 21:09
Botol @ 60 ml
8,399.00 Download
Download3/15/2014 16:05
Box, 10 strips @ 10
capsules
186 Download
Download3/15/2014 16:05
Dus, 1 vial @ 20 ml
3,650,000.00 Download
Download9/28/2014 22:55
tabung/botol
1,320,000.00 Download
Download7/21/2014 21:09
100 ampul @ 1 ml
1,132.00 Download
Download4/23/2013 10:24
vial
268,800.00 Download
Download3/16/2014 18:23
vial
86,100.00 Download
Download3/16/2014 18:23
Vial
126,000.00 Download
Download9/28/2014 21:46
Dus, 10 blister @ 5
kapsul lunak
43,000.00 Download
Download3/16/2014 19:08
Dus, 10 blister @ 5
kapsul lunak
12,000.00 Download
Download3/16/2014 19:08
Box,3 strips @ 10
tablets
174 Download
Download3/15/2014 16:05
Dus, 3 Strip @ 10
Kaplet salut selaput
Vial 200 ml
tab ss
394 Download
Download4/23/2013 10:24
15,000.00 Download
Download4/23/2013 10:24
260 Download
Download4/23/2013 10:24
vial
23,000.00 Download
Download 9/5/2014 23:17
vial
97,000.00 Download
Download 9/5/2014 23:17
dus, 1 vial @ 10 ml
Dus, 5 strip @ 10
tablet
575,000.00 Download
Download 8/6/2014 18:35
1,574.00 Download
Download4/23/2013 10:24
Dus, 10 Strip @ 10
tablet
900 Download
Download4/23/2013 10:24
Dus, 10 Strip @ 10
tablet
320 Download
Download4/23/2013 10:24
Vial
Dus @ 56 Vial
dus 5 amp @ dus 10
Botol, 100 ml
3,290,000.00 Download
Download5/21/2014 20:01
3,832.00 Download
Download4/23/2013 10:24
133,350.00 Download
Download3/18/2014 20:03
13,850.00 Download
Download7/21/2014 21:09
DUS, 10 STRIP @ 10
TAB
440 Download
Download9/28/2014 21:46
Pounch @ 5 blister
@ 10 capsule
11,725.00 Download
Download3/18/2014 20:03
Dus, 1 pouch @5
blister@10 kaps
21,500.00 Download
Download 4/3/2014 21:30
Box @ 2 blister @
14 tablet
5,800.00 Download
Download3/18/2014 20:03
Box/ 2 blister @ 14
tablet
5,800.00 Download
Download3/16/2014 19:08
Box/ 3 blister @ 10
Tablet
6,800.00 Download
Download3/16/2014 19:08
Dus, 2 blister @ 14
tablet
28,500.00 Download
Download3/16/2014 19:08
Dus, 2 alu-blister
@10 tablet
3,900.00 Download
Download6/27/2014 19:33
Box, 2 blisters @10

tablets
6,500.00 Download
Download 8/6/2014 18:35
Dus, 5 sachet @ 1
kapsul
Downl
1,120,000.00 oad
Download 8/6/2014 18:35
Dus, 5 sachet @ 1
kapsul
Downl
223,000.00 oad
Download 8/6/2014 18:35
Botol 30 tab
8,100.00 Download
Download6/16/2014 19:59
Dus 10-s @ 10
Kaptab
1,103.00 Download
Download3/16/2014 18:23
DUS, 10 BLISTER @
10 TAB
1,834.00 Download
Download9/28/2014 21:46
DUS, 10 BLISTER @
10 TAB
3,099.00 Download
Download9/28/2014 21:46
Dus, 2 pak @ 5
respules
6,250.00 Download
Download 4/3/2014 21:30
Box 50's
Dus, 1 Turbuhaler @
200 dosis
Dus, 6 blister @ 10
kapsul lunak
botol 5 ml
100 Download
Download3/16/2014 18:23
71,100.00 Download
Download 4/8/2014 18:23
Downl
6,200.00 oad
Download 8/6/2014 18:35
Downl
11,500.00 oad
Download 4/3/2014 21:30
Dus, 10 strip @ 10
kapsul
154 Download
Download4/23/2013 10:24
DUS,10 STRIP @ 10
KAPSUL
312 Download
Download9/28/2014 21:46
tablet
1,135.00 Download
Download 4/3/2014 21:30
tablet
563 Download
Download3/18/2014 20:03

5ml
9,397.00 Download
Download3/16/2014 18:23

5ml
9,996.00 Download
Download3/16/2014 18:23
Dus, 1 blister @10

kapsul + handihaler
152,543.00 Download
Download3/16/2014 19:08
Dus, 10 Ampul @ 2
ml
2,520.00 Download
Download4/23/2013 10:24
Dus, 1 vial @ 440

mg + 1 vial pelarut
@ 20 ml
19,608,034.00 Download
Download9/28/2014 22:55
botol, tetes mata

2,5 ml
115,000.00 Download
Download 4/3/2014 21:30
Dus, botol plastik

120 dosis
90,000.00 Download
Download 4/3/2014 21:30
strip
425 Download
Download4/23/2013 10:24
tube
Downl
6,720.00 oad
Download3/16/2014 18:23
1 vial of 10ml (10

d's)
Dus, 1 vial serbuk +
1 ampul @ 1 ml
pelarut + 1 syringe
& jarum suntik
Boks, 60 tablet
botol
285,000.00 Download
Download 4/3/2014 21:30
78,500.00 Download
Download9/28/2014 21:46
170,000.00 Download
Download 8/6/2014 18:35
41,800.00 Download
Download7/21/2014 21:09
Tablet
2,793.00 Download
Download3/16/2014 19:08
Tablet
5,450.00 Download
Download3/16/2014 19:08
Tablet salut 250 mg
1,680.00 Download
Download9/28/2014 21:46
Dus, 2 blister @ 14
tablet
3,900.00 Download
Download3/16/2014 19:08
Dus, 2 blister @ 14
tablet
6,500.00 Download
Download 4/3/2014 21:30
Box @ 2 vial
Tablet
Ktk 10X10 TAB
Vial 10mg/10ml
129,000.00 Download
Download9/28/2014 21:46
6,200.00 Download
Download3/16/2014 19:08
234 Download
Download4/23/2013 10:24
210,000.00 Download
Download3/16/2014 18:23
vial @ 2 ml
78,000.00 Download
Download 9/5/2014 23:17
vial @ 1 ml
46,000.00 Download
Download 9/5/2014 23:17
Dus, 1 vial @ 1 ml
Dus 10 strip x 10
tab
Botol 60 tablet
Drops 10 mg/ml,
Botol @15 ml
1,229,998.00 Download
Download5/21/2014 14:16
110 Download
Download4/23/2013 10:24
3,600.00 Download
Download3/18/2014 20:03
12,840.00 Download
Download3/16/2014 18:23
Dus, botol 60 ml
Dus, 10 strip @ 10
tablet dispersible
7,770.00 Download
Download3/16/2014 18:23
497 Download
Download3/15/2014 16:05
TAMBAHAN E-KATALOG 16 OKTOBER 2014

Nama Obat
Generik
No
Vankomisin serbuk
injeksi 500 mg/vial
Fentanil injeksi
3 i.m/i.v 0,05 mg/ml,
ampul
2 ml Awal
Paket CAPD
Nama
Dagang
Nama
Harga Satuan
Kemasan Terkecil (Rp)
Penyedia
Terrell
Botol 100
PT. Pratapa Nirmala
mL
270,000.00
Vancep
Box @ 2
PT. Pratapa Nirmala
vial
129,000.00
Transfer
Dus
Set: 5
Set;
PT. Kimia Farma
ampul@
Ultaclam:
2ml
Kantong
Plastik;
Tenckoff
PT Kalbe Farma
Catheter:
Larutan
Box;
Dialisa 1.5
Titanium
%: 2.000
Adaptor:
ml;
PT Kalbe Farma
Set
Kantong
Larutan
Plastik
Dialisa 2.5
%: 2.000
PT Kalbe Farma
ml;
Larutan
Dialisa
4.25
botol%:
@
PT. Afifarma 2.000 ml;
1000 ml
Minicap:
Kantong
Plastik
botol @
PT. Afifarma
300 ml
Larutan
n/a
Dialisa
1.5%:
(Komposisi: 1 unit
Dianeal
Transfer Set, 2 unit Low
4
n/a
Ultaclam, 1 unit
Calcium
Tenckoff Catheter,
with 1,5%
Titanium
Adaptor)
Dextrose;
Paket CAPD
Larutan
5 Pergantian
n/a
Paket CAPDTransfer
Rutin
Dialisa
Set
per
6
bulan
120 ( 4x ganti cairan
2.5%:
perhari dengan
Dianeal
komposisi Larutan
6
Low
Dialisa 1.5 %,
Calcium
Larutan Dialisa 2.5
with 2,5%
%,
Larutan
Dialisa
Povidon
Iodida
Dextrose;
%, 10%
Minicap)
7 4.25
larutan
1000
n/a
Larutan
ml
Dialisa
4.25%:
Dianeal
Povidon Iodida
8
n/a
larutan 10% 300 ml Low
Calcium
with
4.25%
Povidon Iodida
botol @
9
n/a
PT. Afifarma
larutan 10% 30 ml Dextrose
30 ml
35,610.00
1,902,240.00
219,540.00
5,522,580.00
38,594.00
14,771.00
2,250.00
Kepala Instalasi Farmasi
Dra. Hj. Isma Sani Pane MSi, Apt

Nip : 195708061994032001
Jumlah
Total
Tanggal Berlaku
Harga
250.00
67,500,000.00
9/28/2014 21:46
500.00
64,500,000.00
9/28/2014 21:46
21,366,000.00
3/18/2014 20:03
1.00
1,902,240.00
3/15/2014 16:14
1.00
219,540.00
3/15/2014 16:14
10.00
55,225,800.00
3/16/2014 19:49
450.00
17,367,300.00
3/15/2014 16:05
600.00
8,862,600.00
3/15/2014 16:05
300.00
675,000.00
3/15/2014 16:05
600
a Instalasi Farmasi
Hj. Isma Sani Pane MSi, Apt

195708061994032001
No
Nama
Dagang
Nama Obat Generik

mg)
Nama
Penyedia
Kemasan
1 blister@24
PT. Kimia Farma
tablet

10 mg
Hepsera
Dus, 3 Blister
@ 10 kapsul
WIDA WI
UNICAP
PT. Widatra Bhakti

Btl @ 1000 ml
Dus, 10 dus @
ml
400 mg
n/a

Zenalb
PT. Ikapharmindo
Vial 100 ml

Zenalb
PT. Ikapharmindo
Vial 50 ml

PLASBUMIN 5%
PT. Dipa Pharmalab
botol @ 250 ml
250 ML

PLASBUMIN 5%
PT. Dipa Pharmalab
botol @ 50 ml
50 ML
10
100 mg
n/a
Box, 10 strips
PT. Pertiwi Agung
@ 10 tablets
11
300 mg
n/a
PT. Bernofarm
12
0,25 mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
13
0,5 mg
n/a
1 box 10 Strip
X 10 tablet
14
n/a
mg
Dus, 10 blister
@ 10 tablet
Ktk 10x10
PT. Kimia Farma
tablet
Actilyse
Dus, 1
vial@50mg + 1
vial pelarut @
50ml
Fungicide
PT. Cendo Industri

tubeFarmasi
3.5 gr
Glybotic 250
mg /ml
PT. Sanbe Farma

Vial 2 ml
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
n/a
PT. Erela
Botol @100
Tablet
n/a
PT. Erela
Btl @ 100
tablet
Cordarone
Dus, 6 ampul
PT. Aventis Pharma
@ 3 ml
Cordarone
Dus, 3 blister
PT. Aventis Pharma
@ 10 tablet
n/a
PT. Indofarma
n/a
Box, 3 strips @
PT. Pertiwi Agung
10 tablets
n/a
Box, 3 strips @
PT. Pertiwi Agung
10 tablets
20
23
150 mg

(HCl)
PT. Indofarma
Dus, 10 strip @
10 tss
Dus, 10 blister
@ 12 kapsul
27
scored 500 mg
28

n/a
mg/5 ml
Dus, Botol 60
PT. Holi Pharma
ml
29

n/a
ml
30

mg/vial
PT. Bernofarm

31
glargine
100 IU/ml)
Analog insulin
mix acting inj 100
n/a
n/a
Lantus
Solostar
100IU/ml
5pens x3ml

Novomix
Flexpen
Analog
insulin (Analogue))
mix insulininj 100
Insulin Aspart
Humalog Mix
25
protamine
suspension,
(rDNA))
Analog insulin
rapid acting
inj 100
Aspart (Analogue))
35
Aspart (Analogue))
36
37
34
KOTAK @ 10 x
10 TAB
Dus, 10 vial @
1g
dus, 5 solostar
PT. Aventis Pharma
pen @ 3ml
Injeksi 100
IU/ml, Flexpen
disposible 3 ml
(1 box isi 5
flexpen
disposible)
Penfill
cartridge

Dus, vial 10 ml
Injeksi 100
IU/ml, Flexpen
Novorapid
disposible 3 ml
Flexpen
(1 box isi 5
flexpen
disposible)
Apidra Solostar
dus, 5 solostar
100IU/ml
PT. Aventis Pharma
pen @ 3ml
5pens x3ml
Humalog
Penfill
cartridge
38
mg
Dus, 2 blister
@ 14 Tablet

39
n/a
200 mg
40
n/a
PT. Erela
Dus, 10 Strip
@ 10 Tablet

n/a
PT. Indofarma

500 mg
n/a
ktk 10 x 10
PT. Kimia Farma
tablet

mg + Kofein 50 mg
n/a
43
Dus, 25 tube @
5g

Levodopa 100 mg
Artem
Dus 6 amp @
PT. Kimia Farma
1ml
Dus, 5 strip @
10 tablet
46

tablet 100 mg
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
47

Miniaspi 80
KOTAK @ 10 x
10 TAB
48

n/a
250 mg
ktk 10x10
PT. Kimia Farma
tablet
49

n/a
50 mg
Dus 10 strip x
PT. Kimia Farma
10 tab
50

0,4 mg
Dus, 10 strip
PT. Dexa Medica
@10 tablet
51

n/a
mg
Starfolat
53

500 mg
n/a
Botol @ 100
tablet

Ingelheim
1 ampul
PT. Bernofarm
Dus, 10 blister
@ 10 kaptab ss
Urotractin 400
PT. Sanbe Farma
Strip
mg
55

mg/ml
n/a
Dus, 10 ampul
@ 5 ml
56

mg/ml
n/a
PT. Bernofarm
Dus, 10 ampul
@ 5 ml
Temiral Eye
Oint
Dus, 1 vial
plastik @ 5ml
PT. Sanbe Farma

Tube 3,5 gram
59

n/a
mg
ktk 10x10
PT. Kimia Farma
tablet
60

n/a
mg
ktk 10x10
PT. Kimia Farma
tablet
61

10.000 UI/vial
Leunase
PT. Widatra Bhakti

10.000 UI/Vial
Pularex
Dus 5 strip @
10 tablet
Tracrium
Dus, 5 ampul
@ 2.5 ml
n/a
PT. Indofarma
n/a
PT. Soho Industri

botol
Pharmasi
@ 60 ml
n/a
n/a
PT. Soho Industri

Strip
Pharmasi
n/a
PT. Rama Emerald

DusMulti
@ 50Sukses
gram
65

mL
Dus, 10 strip @
10 tablet
69

IU/ vial
n/a
Ds 10 vial x 1,2
PT. Phapros, Tbk
Jt IU
70

IU/vial
n/a
PT. Phapros, Tbk

Dus @ 10 Vial
71

mg/mL
Survanta

Vial
Dorner
PT. Combiphar
Box @ 3 blister
@ 10 Tablet
Dorner 20 g
PT. Combiphar
Box/ 3 blister
@ 10 Tablet
74

n/a
Valerat)
Betam Ophtal
PT. Sanbe Farma
botol @ 5 ml
ED

76
Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Avastin
Dus, 1 vial @ 4
ml
Casodex 150
mg
Dus, 2 blister
@ 14 Tablet
Casodex 50
mg
Dus, 2 blister
@ 14 Tablet
Stolax supp
PT. Sanbe Farma

Supp
Concor 2.5
PT. Merck Tbk
n/a
PT. Pratapa Nirmala

Box 3 X 10 tab
BLEOCIN
PT Kalbe FarmaVial
Cripsa tab
PT. Caprifarmindo
Box 3 x 10'S
82

mg/ampul
Dus 10 blister
@ 10 tablet
84

100 dosis
Pulmicort
Turbuhaler
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
100 dosis
85

inhaler 0,25mg/mL
Pulmicort
Respules
Dus, 4 pak @ 5
PT. AstraZeneca
respules
indonesia
@2
ml
86
Symbicort
Turbuhaler
160/4.5 mcg
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
120 dosis
87
Symbicort
80/4.5 mcg
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
60 dosis
88

glukosa 8%
n/a
Dus, 5 ampul
PT. Dexa Medica
@ 4 ml
Dus, 5
Marcain Cairan
PT. AstraZeneca
polyamp
indonesia
Suntik
duofit@ 20 ml
Dus, 3 blister
@ 10 kapsul
91

mg
Pradaxa
Dus, 3 blister
@ 10 kapsul
92

mg/vial
DBL
Dacarbazine
PT. Tempo Scanvial

Pacific
@ 20 ml
93

mg/vial
DAUNOCIN

vial
Laboratories
94

mg
Exjade 250 mg
Dus, 4 blister
Tab
@ 7 tablet
95

mg
Exjade 500 mg
Dus, 4 blister
Tab
@ 7 tablet
Ferriprox Oral
Solution
Dus, Botol @
PT. Sydna Farma
500ml
Dus, Botol @
100 tablet
98

injeksi 500 mg
Desferal
Dus, 10 vial @
500mg
99

mg/ml
n/a
PT. Indofarma
n/a
Dus, 10
PT. Promedrahardjo
Strip@10
Farmasi Industri
Tablet
Cerazette
Dus, 1 Blister
@ 28 tablet
n/a
Kotak, tube @
PT. Dexa Medica
15 gram
DEXIGEN
Dus, tube @ 5
g
Dus, 100
ampul @ 1 ml
104

STESOLID
mL
Dus, 5 alubag
@ 1 tube @
2,5ml
105

mg/2,5 mL
STESOLID
Dus, 5 alubag
@ 1 tube @
2,5ml
106

mg/ml (HCl)
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
Fargoxin inj
Box @ 5 ampul
PT. Pratapa Nirmala
2 mL
n/a
Box 10 X 10
Tab
n/a
Herbesser
10 vial @
Powder
50mg
Injection 50mg
Farmabes
Injeksi 25 mg
PT. Pratapa Nirmala

Vial 5 mL
Herbesser CD
100
3 blister @ 10
kapsul
Herbesser CD
200
3 blister @ 10
kapsul
n/a
E.D.T.A
PT. Cendo Industri

botol
Farmasi
15 ml
115

0,35%
116

mg/mL
60 mg / 5 ml
PT. Bayer Indonesia

ampul
DOBURAN
PT. Dipa Pharmalab

ampul @ 5 ml
Cardura 1mg
Dus, 5 blister
@10's tab
Cardura 2mg
Dus, 5 blister
@10's tab
120

mg/vial
kalbe
121

mg/vial
kalbe
122
mg/5 ml
n/a
n/a
n/a
PT. Bernofarm
Dopamin
Dus 5 amp @
PT. Kimia Farma
10 ml
n/a
Dus, 1 vial
@0,5 ml+ 1
PT. Sanbe Farma
vial pelarut
@1,5 ml

Renalscan
KaeF
Avodart
Dus, Botol
Plastik @ 30
Phamaceuticals
Tablet
n/a
n/a
Aromasin
Dus, 2 blister
@ 15 tablet
Dus, botol @
10 ml
dus, 2 prefilled
132
PT. Aventis Pharma
syringe @ 0,2
mL
ANTI-XA
ml
133
dus, 2 prefilled
PT. Aventis Pharma
syringe @ 0,4
mL
ANTI-XA
ml
dus, 2 prefilled
134
PT. Aventis Pharma
syringe @ 0,6
mL
ANTI-XA
ml
135

n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
Epirubisin
Kalbe
Dus, 1 vial @5
PT. Sanbe Farma
ml
138

kapsul 50.000 UI
D-Vit FT
Dus 3 strip @
10 Flash tablet
139

D-Vit Syrup
Dus, Botol
Plastik @ 100
mL
n/a
PT. Indofarma
141

n/a
ml
Dus, 10 blister
@ 10 kss
PT. Phyto KemoBotol

Agung
@60
Farma
ml
Hemapo
10.000 IU
vial/ampul
Syringe)
Eprex 2000
Dus, 6 prefilled
PT. Soho Industri
syrenge
Pharmasi
@ 0.5
ml
Prefilled
Syringe @ 1ml
145

mL
Recormon

Ingelheim
6 ampul
n/a
ktk 20 x 10
PT. Kimia Farma
tablet

(HCl)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
n/a
Lynoral
Dus, botol @
100 tablet
Implanon
Dus, 1 blister
1 subdermal
Pharma Tbk
implant
Etopul

ampul @ 5ml
Laboratories
147
152 Eugenol cairan
n/a
Certican 0,25
mg Tab
Dus, 6 blister
@ 10 tablet
Certican 0,5
mg Tab
Dus, 6 blister
@ 10 tablet

155
Novoseven
KOTAK @ 1
VIAL SERBUK
OBAT &
INFUSION KIT
156

230 -340 UI
Haemoctin
PT. Kimia Farmavial
157

Haemoctin
PT. Kimia Farmavial
158

480 - 600 UI
KOATE DVI 500

PT. Dipa Pharmalab
vial
IU
n/a
KOTAK @ 10
ampul
n/a
PT. Ikapharmindo
Botol @ 100
n/a
KOTAK @ 10
ampul
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
n/a
Dus, 3 strip @
10 kapsul
n/a
Dus, 3 strip @
10 kapsul
162

mg/ml
165

n/a
tablet 250 mg
Dus @ 10 X 10
PT. Phapros, Tbk
's
166

Fenocin
tab 125 mg
Dus 45 x 12
tab
167

V)tablet 500 mg
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
Berotec MDI
Box, canister
10mL
Berotec
Solution
Dus, Canister
200 dosis
170

n/a
ampul 10 ml
Dus 5 ampul@
PT. Kimia Farma
10ml
171

n/a
ampul 2 ml
Dus 5 ampul@
PT. Kimia Farma
2ml
Durogesic 12,5
MU Matrix
Durogesic 25
MU Matrix
Durogesic 50
MU Matrix
Leucogen
Prostacom
PT. Combiphar
Box, isi 3 Strip

@ 10 tab
177

n/a
gula 10 mg
Dus @ 10 X 10
PT. Phapros, Tbk
's
178

n/a
i.m. 2 mg/ml
dus @ 30
PT. Phapros, Tbk
ampul
Dus, 5 vial @
50 mg
Fludara Oral
Dus, 4 blister
PT. Aventis Pharma
@ 5 tablet
salut selaput
Sikzonoate
Injeksi
Dus, 5 ampul
@ 1ml
n/a

Botol
Laboratories
183
Blister
mg
n/a
ktk 1 x 10
PT. Kimia Farma
kapsul
Foransi 10

strip
NOPRES
DUS, 30
PT. Dexa Medica
TABLET
Ocuflam ED
PT. Sanbe Farma

botol @ 5 ml
Curacil
Curacil
SYNARCUS

5g
Dus, Botol 120

Dosis Spay
Flixotide
Nbules
Dus, 2 flow
wrap@ 5
nebules @ 1
dosis (2ml)
Arixtra
Dus, 2 pfs 0.5

ml
Plasmanate
dus, vial @ 250

PT. Dipa Pharmalab
ml
n/a
PT. Indofarma
Dus, 25 ampul
@ 2 ml
n/a
PT. Indofarma
Dus, 10 strip @
10 tablet
Prefilled
Syringe
Gadovist 7,5
mg
Prefilled
PT. Bayer Indonesia
Syringe
192
195

mg

mg/ml
199

Primovist
Prefilled
PT. Bayer Indonesia
Syringe
200

mg/mL)
Cymevene

Ingelheim
1 ampul

n/a
2,70 g
Dus @ 100
PT. Phapros, Tbk
Sachet
Dus, 1 blister
@ 10 tablet
PT. Indofarma
Dus, 10 blister
@ 12 kapsul
n/a
PT. Indofarma
Dus, 10 blister
@ 10 kaptab
Gemzar 1000
mg
PT. Bayer Indonesia

vial
n/a
Dus, 1 vial
PT. Sanbe Farma
@200 mg
n/a
PT. Indofarma
Genoint Salep
PT. Erela
Mata
Dus, 5 ampul
@ 2 ml
Tube @ 3,5 gr
n/a
PT. Indofarma
Dus, botol
plastik 5 ml
n/a
PT. Indofarma
Dus, 10 blister
@ 10 kaptab
Glicab
PT. Tempo ScanStrip

Pacific
Dus, 6 strip @
Diamicron MR
PT. Pradja Pharin
10 tablet lepas
30
lambat
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
n/a
n/a
n/a
n/a
Nitrokaf Forte
220

Nitral
mg

Btl @ 30 tablet
Gliserin lar
50%
PT. Lucas Djaja
Glycerin 100
ml
n/a
PT. Widatra Bhakti

botol @ 500 ml
n/a
PT. Widatra Bhakti

botol @ 500 ml
Zoladex 10,8
mg
Dus, 1 syringe
@ 10.8 mg
Zoladex 3,6
mg
Dus, 1 syringe
@ 3.6 mg
n/a
PT. Indofarma
Haldol
Decanoas
Dus 5
Ampul@1mL
Dus, 10 blister
@ 10 tablet
Lodomer
Injeksi
KOTAK @ 12
ampul
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
Lodomer 2
KOTAK @ 10 x
10 TAB
Halothane
PT. Dexa Medica

Botol
235
(human)
PT. Pratapa Nirmala

vial
Hyperhep B
Dus, 1 syringe
PT. Dipa Pharmalab
@ 0.5 mL
n/a
237

PT. Dipa Pharmalab
vial
500 mg
MEDAC
238

mg/ml
n/a
box 5ampul
@1 ml

Dus, vial 10 ml
Dus, vial 10 ml
Basal)
n/a
Insulatard
242
Penfill
(Human Insulin (IntermediateActing))
Dus, 1 Vial @ 5
PT. Aventis Pharma
ml
Injeksi 100
IU/ml, penfill
disposible 3 ml
(1 box isi 5
penfill
disposible)
Dus Isi 5

penfill/cartridg
e @ 3ml
Sansulin N
penfillcartridge
PT. Sanbe Farma
@ 3ml
Injeksi 100
IU/ml, penfill
disposible 3 ml
245
(1 box isi 5
% NPH Insulin))
penfill
disposible)
Dus Isi 5
Humulin 30/70
PT. Bayer Indonesia
penfill/cartridg
Cart
human Comb)
e @ 3ml


Dus, vial 10 ml

PT. Bayer Indonesia
Dus, vial 10 ml
Injeksi 100
IU/ml, penfill
disposible 3 ml
(1 box isi 5
penfill
disposible)
penfill
248

human Rapd)
Sansulin R
PT. Sanbe Farma

cartridge @
3ml

Dus Isi 5
penfill/cartridg
human Rapd)
e @ 3ml
Acting))
253

Dus, vial 10 ml

Dus, vial 10 ml

n/a
Tetagam
Prefilled
PT. Dexa Medica
syringe
n/a
PT. Indofarma
Dus, botol 60
ml
n/a
PT. Indofarma
Dus, botol 60
ml
n/a
botol @ 100
tablet
n/a
255
260

injeksi i.m. 250 UI
Dus, 1 Vial @ 5
PT. Aventis Pharma
ml

mg/vial
Holoxan injeksi
Dus, 1 vial @ 1
1000
g

Nomor
HK.02.02/Menkes/223/2014)
Glivec
Dus, 6 blister
@ 10 tablet
salut selaput
Tanapress
10mg
3 blister @ 10
tablet
3 blister @ 10
tablet
264

Iopamiro
Dus, botol @
PT. Dipa Pharmalab
100 ml
265

Iopamiro
(300mg @ vial 30ml)
Dus, vial @ 30
PT. Dipa Pharmalab
ml
266

Iopamiro
(300mg @ vial 50ml)
Dus, vial @ 50
PT. Dipa Pharmalab
ml
267

Iopamiro
Dus, botol @
PT. Dipa Pharmalab
100 ml
268

Iopamiro
(370mg @ vial 30ml)
Dus, vial @ 30
PT. Dipa Pharmalab
ml
269

Iopamiro
(370mg @ vial 50ml)
Dus, vial @ 50
PT. Dipa Pharmalab
ml
270

(300 mg / 100 ml)
300/100 mg
PT. Bayer Indonesia

Botol
271

(300 mg / 50 ml)
300/50 mg
PT. Bayer Indonesia

Botol
272

(370 mg / 100 ml)
370/100 mg
PT. Bayer Indonesia

Botol
273

(370 mg / 50 ml)
370/50 mg
PT. Bayer Indonesia

Botol
274

mcg/semprot
Atrovent HFA
Box, canister
10mL
n/a
PT. Indofarma
Dus, 5 blister
@ 10 kss
n/a
PT. Indofarma
Dus, 5 blister
@ 10 kss
n/a
Dus, 1 vial @2
PT. Sanbe Farma
ml
Terrell
PT. Pratapa Nirmala

Botol 100 mL
279

n/a
mg
Botol 100
tablet
280

n/a
mg
Botol 100
tablet
281

mg/10 ml
PT. Pratapa Nirmala

vial
282

n/a
5 mg
Farsorbid inj
PT. Indofarma
Dus, 10 strip @
10 tablet
Kalipar
PT. Tempo ScanStrip

Pacific
KSR
PT. Merck Tbk
Dus, 10 strip @
10 tablet
285

50 mg/ml
Leucovorin
Vial 50 mg/5
ml
286

(100 mg/ml)
Kalsium
glukonat
PT. Ethica Industri

Ampul
Farmasi
287

n/a
PT. Afifarma
288

KALQUEST
g
Dus,10 Strip @
10 tablet

g
n/a
Dus, 3 Blister
PT. Dexa Medica
@ 10 tablet
n/a
Dus, 3 Blister
PT. Dexa Medica
@ 10 tablet
Xeloda
Boks, 120
tablet
n/a
PT. Indofarma
n/a
Dus, 10 strip
PT. Errita Pharma
@10 tablet
n/a
PT. Indofarma
Dus, 10 strip @
10 tablet
Dus, 10 strip @
10 tablet
Tegretol Syrup
Dus, botol @
120 ml
120ml
n/a
Dus,botol 100
tablet
Karbogliserin
tetes telinga
10%
PT. Lucas Djaja
DBL
Carboplatin
150 mg
PT. Tempo Scanvial

Pacific
@ 15 ml
DBL
Carboplatin
450 mg
PT. Tempo Scanvial

Pacific
@ 45 ml
V - BLOC
PT Kalbe Farmastrip
KTM

Vial @ 10 ml
Ketamin
Hameln
PT. Combiphar
301
6,25 mg
PT. Indofarma
Dus, 10 blister
@ 10 tablet
Fenol 100 mg /
1 ml
Box, isi 1 vial

@ 10 ml
n/a
Box isi 1 Tube

@ 15 g
n/a
n/a
PT. Hexpharm Jaya

tubeLaboratories
5 gr
Zoloral SS
PT. Ikapharmindo
Botol 80 ml
n/a
dus 2 's @ 10
supp
n/a
Dus @ 12
PT. Phapros, Tbk
Ampul
ORIXAL
Dus, 3 Strip @
salut
selaput
PT. Indofarma
Dus, 5 blister
@ 10 kapsul
PT. Bernofarm
Dus, 3 strip @
10 kapsul
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
Catapres
Injeksi
Box, 10
Ingelheim @
1mL
n/a
PT. Indofarma
n/a
n/a
315

(HCL) (150)
Dus, 10 strip @
10 tablet
319

n/a
ml
320

n/a
(HCl)
Dus @ 10 X 10
PT. Phapros, Tbk
's
321

n/a
(HCl)
Dus @ 30
PT. Phapros, Tbk
Ampul
322

2 ml (HCl)
Dus @ 30
PT. Phapros, Tbk
Ampul
323 Klozapin 100 mg
n/a
KOTAK @ 5 x
10 TAB
324 Klozapin 25 mg
n/a
KOTAK @ 5 x
10 TAB
n/a
ktk 10x10
PT. Kimia Farma
tablet
n/a
ktk 10x10
PT. Kimia Farma
tablet
n/a
ktk 10x10
PT. Kimia Farma
tablet
328

Ostriol
lunak 0,25 mcg
330


0,25 mg
Btl @ 30
PT. Pratapa Nirmala
kapsul
Botol Plastik @
500 ml
Laxadine
Emulsi 60 ml

Botol @ 60
Laboratories
ml
n/a
PT. Erela
Dus, 100
Sachet @ 30
Tablet

botol
Farmasi
15 ml
klorida 1,32 mg
333

Lumefantrin 120 mg
Coartem

mg
Dus, 4 blister
@ 6 tablet
Dus, botol
plastik @ 30
tablet salut
selaput
335

Aluvia
botol @ 120
tablet
336

Seretide
Dus, Botol 120
Inhaler 50 mcg
Dosis
337

Seretide
Diskus 100
mcg
Dus, foil strip

@ 60 dosis
338

Seretide
Diskus 250
mcg
Dus, foil strip

@ 60 dosis

n/a
Dus, 10
PT. Promedrahardjo
Strip@10
Farmasi Industri
Tablet

n/a
Dus, botol @
PT. Holi Pharma
60 ml
n/a
342

HCl)
n/a
ktk 100 amp @

PT. Kimia Farma
2 ml
343

(H2SO4.7H2O)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
344

Heplav
mg
n/a
Prosogan Inj.

Serbuk vial
n/a
PT. Indofarma
Tykerb
Dus, 7 Blister
@ 10 tablet
349

Kalbamin
(Asam Amino 10%)
Dus, 2 strip @
10 kapsul
PT. Finusolprima
botol
Farma
500Internasional
ml

Softbag 500
PT Otsuka Indonesia
ML

Cl- 52 mEq)
Softbag 500
PT Otsuka Indonesia
ML

Aminofusin
Hepar
gr/L)
Aminosteril
Infant 6%
Taurine 0,24 gr/l)
356
Nephrosteril
357
Kidmin
359
Double
Chamber
PT Otsuka Indonesia
Softbag 1000
ML
Double
Chamber
PT Otsuka Indonesia
Softbag 500
ML
Botol Gelas
100 ml
Botol Gelas
250 ml
Softbag 200
PT Otsuka Indonesia
ML
Softbag 500
PT Otsuka Indonesia
ML

(Asam amino 8%)
Hepa
500 ml

10 g/L)
PT. Finusolprima
botol
Farma
250Internasional
ml

Comafusin
mengandung
Asam
361 Larutan
Aspartate
10 gr/L, Xylitol
50 Amino
gr/L,
(Kombinasi
aminno 50
g/L, Hepar
Malic Acid 7Asam
gr/L, Piridoxin
0.12
Sorbitol
gr/L)
Aminofusin
L600
Larutan
Asam Amino
Natrium mengandung
Fosfat 2.5 mg/L,
Aminofusin
363 (Kombinasi
Asam
amino
50 g/L,
elektrolit)
Paed
Kabiven 1440
ml
Larutan
Akses peripheral))
Kabiven 1920
ml
Akses
peripheral))
Larutan
PT. Finusolprima
botol
Farma
500Internasional
ml

Bag (3
PT. Fresenius Kabi
Chamber)
Combiphar
1440 ml
Bag (3
PT. Fresenius Kabi
Chamber)
Combiphar
1920 ml
Bag Double
chamber (Dua
366
PT. Phapros, Tbk
compartement)
akses sentral)
, 1000 mL
Bag Double
Combiflex peri
chamber (Dua
PT. Phapros, Tbk
(480 kcal)
compartement)
, 1000 mL
368

(Kalium Klorida)
Otsu - KCl
7,46%
PT Otsuka Indonesia
Ampoel 25 ML
369

Wida RL
PT. Widatra Bhakti

Botol 1000 ml

370 (Na 130 mEq, Cl 109 mEq, Ca 3
mEq, Asetat 28 mEq)
Asering
Plastic Bottle
PT Otsuka Indonesia
500 ML

KA EN 1B
gr)
372 gr/L, Potassium Chloride 0.3 gr/L, Totilac
Larutan
Elektrolit
Calcium mengandung
Chloride 0.2 gr/L,
(Tiap
1000 ml mengandung
elektrolit)
Ringerfundin
500 mL
Larutan
mengandung
Karbohidrat
mmol/l, Malate
5.0 mmol/l)
Triofusin 1000
Triofusin 500
Xylitol 30 g/ L)
Plastic Bottle
PT Otsuka Indonesia
500 ML
flexybag 250
PT Kalbe Farma
mL
LDPE (Low
Density Poly
PT. Phapros, Tbk
Ethilene), botol
plastik
Flexy bag 500

PT Kalbe Farma
mL

Martos
(Maltose 100 gr)
377
Potacol inj
1.55
g sodium
lactate)Karbohidrat
Larutan
mengandung
Plastic Bottle
PT Otsuka Indonesia
500 ML

376

Clinimix
N9G20E
Plastic Bottle
PT Otsuka Indonesia
500 ML
Botol Plastik
PT Kalbe Farma
1000 mL

Clinimix
N9G15E
Botol Plastik
PT Kalbe Farma
1000 mL

Wida HSD
PT. Widatra Bhakti
Botol 500 ml
ml)
383
injeksi ad 1000 ml)
Wida D5-NS
PT. Widatra Bhakti

Botol 500 ml

4,5 g)
PT. Widatra Bhakti

Botol 500 ml

1/4NS
2.25 g)
PT. Widatra Bhakti

Botol 500 ml

1/2NS
4.5
Larutan
PT. Widatra Bhakti

Botol 500 ml

387
Futrolit
Sorbitol
50g)
Larutan mengandung
Karbohidrat
Glukosa 5%)
Wida RD

KA ENMG 3
390
KA EN 3B
27 gr)
391
KA EN 3A
Dekstrosa 27 gr)
MCT/LCT 1%
ml)
100
393

(Emulsi lemak 20%)
Intralipid

MCT/LCT 1%
ml)
250
395
396
MCT/LCT 50 gr)
397
398
PT. Sanbe Farma

softbag 500ml
PT. Widatra Bhakti

Botol 500 ml
Plastic Bottle
PT Otsuka Indonesia
500 ML
Plastic Bottle
PT Otsuka Indonesia
500 ML
Plastic Bottle
PT Otsuka Indonesia
500 ML
20%, Botol
PT. Phapros, Tbk
Kaca @100 ml,
single bottle
Botol Gelas
100 ml
20%, Botol
PT. Phapros, Tbk
Kaca @250 ml,
single bottle
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Special 1250
kompartemen),
1250 ml
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Peri 1250
kompartemen),
1250 ml
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Special 625
kompartemen),
625 ml
Ivelip
Flexy bag 100

PT Kalbe Farma
mL
400

btl@2,5ml

stripFarmasi
5 x 0.6 ml
Xalatan
0,005%
dus, Botol @
2,5 ml
Granocyte 34
1vl HSA Free
Dus, 1 vial @
263 mcg + 1
PT. Aventis Pharma
prefilled
syringe pelarut
@ 1 ml
Dus, 3 blister
@ 10 tablet
402

mg
FEMARA
403

mg

Vial
404

Tapros 3M
mg

Vial
405

mg
TAPROS 3.75
MG

Vial
n/a

Botol @ 100
Laboratories
ml
n/a
ktk 5 x 10
PT. Kimia Farma
tablet
Optiflox
PT. Erela
Btl @ 5 ml
Euthyrox 100
PT. Merck Tbk
Dus 4 blister @
25 tablet
n/a
PT. Bernofarm
Dus, 100
ampul @ 2 ml
n/a
PT. Indofarma
Dus, 30 ampul
@ 2 ml
409
100 mcg
411

Xylocaine Jelly
Dus, 10
2%
syringe @ 10 g
Xylocaine
Dus,Botol @ 50
ml (500 dosis)
dosis
n/a
Box ,3 Strip @
10 tablet
n/a
Box ,3 Strip @
10 tablet
Frimania 200
KOTAK @ 10 x
10 TAB
Frimania 400
KOTAK @ 10 x
10 TAB
n/a
Dus, 10 Strip
@ 10 Tablet
n/a
PT. Indofarma
Merlopam 2
KOTAK @ 10 x
10 TAB
421

DIALIFER
100 mg/5 mL
Dus, 5 strip @
10 tablet

ampul
Laboratories
422 Manitol
n/a
PT. Finusolprima
botol
Farma
500Internasional
ml
Ludios
PT. Soho Industri

Strip
Pharmasi
Sandepril 50
KOTAK @ 5 x
10 TAB

acid/mL
Vermox 500
Dus,24 Catch
@ 1 tablet
Alkeran
Box, Tablet 2
mg/25's
n/a
PT. Bernofarm
Dus, 1 vial @ 1
g
n/a
PT. Bernofarm
Dus, 1 vial @
0,5 g
Uromitexan
injeksi.

Dus, 15 Ampul
n/a
n/a
PT. Bernofarm
Dus, 10 blister
@ 10 tablet
n/a
PT. Bernofarm
Dus, 10 blister
@ 10 kaptab
DOPAMET
Dus, 10 Strip
@ 10 tablet
salut selaput
0,125 mg
n/a
ktk 10 x 10
PT. Kimia Farma
tablet salut
Ritalin LA
Dus, botol
plastik @ 30
kapsul
pelepasan
lambat
RITALIN
Dus, 2 blister
@ 15 tablet
PT. Bernofarm
Dus, 1 vial @
125 mg
PT. Bernofarm
Dus, 1 vial @
500 mg
n/a
PT. Mahakam Beta

StripFarma
n/a
Dus, 10 Blister
@ 10 Tablet
n/a
Dus, 10 Blister
PT. Dexa Medica
@ 10 tablet
GAVISTAL
drops
PT. Meprofarm
LEXAPRAM
SIRUP
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
Dus, Botol 10
ml
447

i.v/i.m./i.t. 5 mg
METHOTREXAT
Box 10 ampul
E EBEWE
@ 1 ml
448
2,5 mg
METHOTREXAT
Box, bottle @
50 tab
MG
Dus, 1 Botol @
100 ml
Vagizol
dus 1 's @ 5
PT. Kimia Farma
ovula
Flagyl
Dus, 2 blister
PT. Aventis Pharma
@5
suppositoria
n/a
10 strip @ 10
tab
n/a
10 strip @ 10
tab
Endoneuroscan
PT. Kimia Farmavial
KaeF 1
455

mL reaction vial
KaeF
Miloz 5 Inj

ampul
Laboratories
Miloz 15 Inj

ampul
Laboratories
Mycamine
PT. Combiphar
Cellcept

Ingelheim
50 tablet
Dus,1
vial@50mg
461

Mitomycin C
10 mg/vial
462

Btl @ 500 ml
lar inf 4%
PT. Widatra Bhakti

10 mg /Vial
Vigamox
botol, tetes
mata 3 ml
n/a

tube 10 gram
n/a
Dus 10 amp @
PT. Kimia Farma
1 ml
MST Continus
10 mg
Dus, 6 strip @
10 tablet
MST Continus
15 mg
Dus, 6 strip @
10 tablet
n/a
Ktk 10 ampul
PT. Kimia Farma
@ 1ML
n/a
N-ace cairan
inhalasi
PT. Pratapa Nirmala

Box @ 5 ampul
n/a
PT. Widatra Bhakti

Botol 500 ml
468

mg/ml
470

mg
471 Nacl 0,9%
472

syringe 0,3 mL
Fraxiparine 0.3
Dus, 5 blister
ml
@ 2 pfs 0.3 ml
473

syringe 0,4 mL
Fraxiparine 0.4
Dus, 5 blister
ml
@ 2 pfs 0.4 ml
474

syringe 0,6 mL
Fraxiparine 0.6
Dus, 5 blister
ml
@ 2 pfs 0.6 ml
Nokoba
Dus, 5 Ampul
PT. Pratapa Nirmala
@ 2ml
Meylon
PT Otsuka Indonesia
Ampoel 25 ML
n/a
Dus @ 5 X 10
PT. Phapros, Tbk
's
n/a
Dus @ 5 X 10
PT. Phapros, Tbk
's
Fleet
Phosphosoda
Fucilex
Ointment
Neostigmin
Hameln inj
Box, isi 5
ampul @ 1 ml
n/a
476
483

8,4%

PT. Bayer Indonesia
blister
oros
mg
Adalat Oros 30
PT. Bayer Indonesia
blister
mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
salut selaput

486
Tasigna
Nomor
HK.02.02/Menkes/223/2014)
Dus, 2 blister
@ 14 kapsul
Dus @ 10 X 10
PT. Phapros, Tbk
's

n/a
g
Dus @ 10 X 10
PT. Phapros, Tbk
's
488
Levosol
Dus 5 amp @ 8
PT. Kimia Farma
ml
Primolut N
PT. Bayer Indonesia

blister
491

Kategori 1
n/a
PT. Phapros, Tbk

Paket
492

Kategori 2
n/a
493

Kategori Anak
n/a
Dus,
1 dus @
Paket@84
tablet
Dus,
sachet
tablet60
tahap
tahap
intensif
intensif
@
(1 tablet
kategori
1+1
495
n/a
dewasa
Dus @ 54
kapsul
blister @ 3
Rifampicin,
tablet tahap2
tablet
496
n/a
anak
Pyrazinamide)
kategori 1
+ 120 sachet
tahap lanjutan
Dus,
ampul
@ (1 5
tablet
@
1ml
Isoniazid, 2
kapsul
Rifampicin)
Box ,5 Strip @
n/a
10 tablet
n/a
Box ,5 Strip @
10 tablet
500

ELOXATIN
/ vial
Dus, 1 vial @
PT. Aventis Pharma
20 ml
501

ELOXATIN
vial
Dus, 1 vial @
PT. Aventis Pharma
10 ml
502

0,025%
Ilaidin Drops
Dus, 10 ampul
@ 1 ml
Dus, vial @
355m + 1
prefilled
syringe pelarut
@ 2,5 ml + 2
jarum suntik
Tiacinon
504 Oktreotid 10 mg
Sandostatin
LAR
Zyprexa IM
PT. Bayer Indonesia

Vial
Olandoz 5

3 X 10 fcc
Olandoz 10

3 X 10 fcc
Patanol
botol, tetes
mata 5 ml
n/a
Dus, 1 Vial @
40 mg
n/a
n/a
PT. Indofarma
n/a

Box 3 X 10 Tab
Dus, 5 Ampul
@ 2ml
Transfer
Set:
Box
3 X 10
Tab
Set; Ultaclam:
Kantong
Plastik;
514
n/a
Catheter: Box;
Adaptor)
1.5%: Dianeal
Titanium
Low Calcium
Adaptor:
with
515
n/a 1,5%
Set
KantongDialisa
Plastik
Set per 6 bulan
Dextrose;
1.5 %: 2.000
Larutan Dialisa
ml; Larutan
Dialisa 2.5 %:
Low Calcium
Larutan Dialisa
%, Minicap)
Dextrose;
4.25 %: 2.000
Vial
6mg/ml
Larutan
Dialisa
ml; Minicap:
SINDAXEL 100
PT.
Actavis
Indonesia
(100mg/16.67
4.25%:
Dianeal
Kantong Plastik
MG/16,67
ML
ml)
Low Calcium
with 4.25%
SINDAXEL
Vial 6mg/ml
Dextrose
(260mg/43.33
ML
ml)
n/a
SINDAXEL 30
MG/5 ML
Vial 6mg/ml
(30mg/5ml)

@15ml (60mg/0,6ml)
n/a
n/a
PT. Afifarma
n/a
Dus, 10
Strip@10
Kaplet Salut
Selaput
FASIDOL
Dus, botol @
15 ml
520
botol 60 ml
524

135 mcg/0,5 ml
Pegasys

Ingelheim
1 pfs
525

180 mcg/0,5 ml
Pegasys

Ingelheim
1 pfs
Dus, 1 vial 100
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
Dus,
1 prefilled
2 jarum
syringe (serbuk
Sharpinjeksi
Dohme
120mcg
Pharma
+ pelarut 0.5
Dus,
50
ml) +11vial
jarum
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
Dus,
1 vial 80
2 jarum
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
2 jarum
526

inj 100 mcg
Pegintron Vial
100 Mcg
PT. Merck
527

inj 120 mcg
Pegintron Pen
120 Mcg
PT. Merck
528

inj 50 mcg
Pegintron
PT. Merck
529

inj 80 mcg
Pegintron Vial
80 Mcg
PT. Merck
BURNAZIN 35
GR
tube @ 35
PT. Darya Varia
gram
Bioprexum 5
mg
Dus, botol
plastik @ 30
PT. Pradja Pharin
tablet salut
selaput
Tbk
Tbk
Tbk
Tbk
Scabimite
Cream 10

g
n/a
Ktk 10
PT. Kimia Farma
ampx2ml
DECULIN 15
MG
PT. Dexa Medica

30 TAB/BOX
DECULIN 30
MG
PT. Dexa Medica

30 TAB/BOX
n/a
n/a
Dus, 25 Blister
PT. Holi Pharma
@ 4 tablet
n/a
Dus 10 strip @
PT. Holi Pharma
10 tablet
Aptil
Dus, Botol @
PT. Pratapa Nirmala
10ml
n/a
PT. Afifarma
botol @ 1000
ml
PT. Afifarma
botol @ 30 ml
n/a
PT. Afifarma
botol @ 300 ml
Sifrol ER
0,375mg
Dus, 3 alu
Ingelheim
@ 10
tablet
Sifrol ER
0,750mg
Dus, 3 alu
Ingelheim
@ 10
tablet
n/a
Box ,5 Strip @
10 tablet
n/a
n/a
Dus, 10 strip @
PT. Holi Pharma
10 tablet
533
537
540
542
546

50 mg/ml (HCl)

mg

ml

ml

548
n/a
100 mg
PT. Indofarma
Botol @ 100
Tablet
Fresofol 1%
MCT/LCT
PT. Fresenius Kabi

Ampul
Combiphar
n/a
Dus, 10 strip @
PT. Holi Pharma
10 tablet
Seroquel XR
200 mg
Dus, 1 blister
@ 10 tablet
Seroquel XR
300 mg
Dus, 1 blister
@ 10 tablet
Seroquel XR
400 mg
Dus, 1 blister
@ 10 tablet
Cardace 2.5mg
Dus, 6 blister
6x10 s tablet
@ 10 tablet
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 kaptab
n/a
Dus, 10 strip @
10 tablet
n/a
Dus, 10 Ampul
@ 2 ml
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
salut selaput
n/a
Botol 50 kapsul
PT. Kimia Farma
lunak
560

kapsul lunak
n/a
561
300 mg
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kapsul
562
600 mg
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kaplet
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kapsul
n/a
PT. Widatra Bhakti

botol 500 ml
n/a
Dus, 5 Blister
PT. Dexa Medica
@ 10 tablet
n/a
KOTAK @ 5 x
10 TAB
n/a
Dus, 5 Blister
PT. Dexa Medica
@ 10 tablet

568
Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Mabthera
Dus, 1 vial @
10 ml

Blister
556
mg

Blister

Blister
Requip PD 24
Hour 2 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Requip PD 24
Hour 4 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Requip PD 24
Hour 8 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Ventolin
Nebules
Dus, 4x5 Botol

Plastik@2.5 ml
Ventolin
Inhaler
Dus, botol 200

dosis
Ventolin
Rotacaps
Dus, 10 Blister
@ 10 Kapsul
578

+ rotahaler
Rotahaler
Dus, 1
Rotahaler
579

Sulfat)
n/a
strip @ 10
tablet
580

Sulfat)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
581

n/a

Pot @ 30 gram
582

mg/5ml
Dus, Botol 60
PT. Holi Pharma
ml
576

mcg/dosis
n/a
PT. Hexpharm Jaya

stripLaboratories
PT. Bernofarm
Dus, Botol 60
PT. Holi Pharma
ml
n/a
Dus, 5 Strip @
10 Kapsul
n/a
Dus, 2 Vial @ 1
PT. Dexa Medica
gram
588 Sefepim inj 1 g
n/a

vial
Laboratories
Dus, 10 strip @
10 kapsul
Dus, 10 blister
@ 10 kapsul
n/a
PT. Bernofarm
n/a
Dus, Botol 30
ml
n/a
Dus, 2 vial @ 1
PT. Holi Pharma
g
n/a
PT. Hexpharm Jaya

vial Laboratories
n/a
Dus, 10 Vial @
1g
590

ml
Dus, 3 blister
@ 10 tablet
Dus, 2 vial @ 1
g
n/a
597
250 mg
Dus, 10 Vial @
1g
Dus, 1 Blister
@ 10Indonesia
Tablet
salut selaput
Zinnat 500
Dus, 1 Blister
PT. Glaxo Wellcome
@ 10Indonesia
Tablet
salut selaput
Fatral
PT. Pratapa Nirmala

strip @ 10 tab
n/a
n/a
Box, 10 strips
PT. Pertiwi Agung
@ 10 capsules

602
Erbitux
Nomor
HK.02.02/Menkes/223/2014)
PT. Merck Tbk
Sojourn
PT. Pratapa Nirmala

tabung/botol
PT. Lucas Djaja
Dus, 1 vial @
20 ml
604

injeksi 500 mcg
n/a
100 ampul @ 1
ml
605

1000 mg
Cyclovid 1000
vial
Laboratories
mg
606

200 mg
Cyclovid 200
mg
607

500 mg

Vial
Laboratories

vial
Laboratories
Sandimmun
Dus, 10 blister
@ 5 kapsul
Kap
lunak
Sandimmun
Neoral 25mg
Kap
Dus, 10 blister
@ 5 kapsul
lunak
n/a
Box,3 strips @
PT. Pertiwi Agung
10 tablets
n/a
Dus, 3 Strip @
10 Kaplet
Prima
salut
selaput
n/a
PT. Dexa Medica

Vial 200 ml
n/a
PT. Bernofarm
Cisplatin
PT Kalbe Farmavial
Cisplatin
PT Kalbe Farmavial
613
616

(sebagai HCl)

Dus, 10 blister
@ 10 tab ss
dus, 1 vial @
10 ml
Dus, 5 strip @
10 tablet
n/a
PT. Indofarma
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
620

UI/vial
Streptase
PT. Dexa Medica

Vial
621

1000 mg/ml
n/a
PT. Phapros, Tbk

Dus @ 56 Vial

622
mcg/ml
Sufentanyl
Injeksi
iv.Epidural 5
mcg / ml
dus 5 amp @
PT. Kimia Farma
dus 10
Ulsafate
ULSIDEX
DUS, 10 STRIP
PT. Dexa Medica
@ 10 TAB
Prograf
Pounch @ 5
capsule
Prograf
Dus, 1 pouch
kaps
PT. Combiphar
Box @ 2 blister
@ 14 tablet
Harnal D
Harnal D 0.2
Box/ 2 blister
mg Disp.
PT. Combiphar
@ 14 tablet
Tablet
Harnal
OCAS 0.4 mg
Tablet
Sebivo 600 mg
Dus, 2 blister
Tab
@ 14 tablet

Ingelheim
@10
tablet
Box, 2 blisters
@10 tablets
Temodal
Dus, 5 sachet
@ 1 kapsul
Temodal
Dus, 5 sachet
@ 1 kapsul
n/a
Rethapyl
Dus 10-s @ 10
PT. Kimia Farma
Kaptab
PT. Combiphar
Box/ 3 blister
@ 10 Tablet
637

HYTROZ 1MG
1 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
638

HYTROZ 3MG
2 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
Bricasma
Respules
Dus, 2 pak @ 5
respules
Molasma
Tablet
641

mg
Bricasma
Dus, 1
Turbuhaler
indonesia@
mg
200 dosis
Andriol
Testocaps
Dus, 6 blister
10 kapsul
Pharma Tbk
lunak
Pantocain
0.5%
PT. Cendo Industri

botol
Farmasi
5 ml
n/a
Dus, 10 strip @
PT. Holi Pharma
10 kapsul
n/a
PT. Afifarma
645
500 mg
DUS,10 STRIP
@ 10 KAPSUL
Thyrozol 10
PT. Merck Tbk
Dus, 10 blister
@ 10 tablet
Thyrozol 5
PT. Merck Tbk
Dus, 10 blister
@ 10 tablet
Isotic Adretor
0,25%
Dus, Botol
PT. Pratapa Nirmala
Plastik @ 5ml
Isotic Adretor
0,5%
Dus, Botol
PT. Pratapa Nirmala
Plastik @ 5ml
Spiriva 10s +
Handihaler
Dus, 1 blister
PT. Boehringer @10
Ingelheim
kapsul +
handihaler
n/a
Dus, 10 Ampul
@ 2 ml

652
HK.02.02/Menkes/223/2014)
Herceptin
Dus, 1 vial @
440 mg + 1
vial pelarut @
20 ml
Travatan
botol, tetes
mata 2,5 ml
650

handihaller
654

Nasacort AQ
55 mcg/puff
Dus, botol
PT. Aventis Pharma
plastik 120
dosis
n/a
656 Urea krim 10%
Soft U Derm

tube
Laboratories
657

Imovax Polio
658

RABIPUR
1 vial of 10ml
PT. Aventis Pharma
(10 d's)
Dus, 1 vial
serbuk + 1
ampul @ 1 ml
pelarut + 1
syringe &
jarum suntik
Valcyte

Ingelheim
60 tablet
Depakene

botol
Depakote ER
250 mg

Tablet
Depakote ER
500 mg

Tablet
Depakote Tab
250 mg
Tablet salut
250 mg
Diovan 80mg
Tab
Dus, 2 blister
@ 14 tablet
666

mg/vial
DIOVAN 160
MG
Dus, 2 blister
@ 14 tablet
Vancep
PT. Pratapa Nirmala

Box @ 2 vial

Tablet
n/a
Vinblastine
PT. Combiphar
Vincristine
Kalbe
Vincristine
Kalbe
Navelbine
injeksi 10
Dus, 1 vial @ 1
ml
n/a
Dus 10 strip x
PT. Kimia Farma
10 tab
n/a
674

150 mg
Vial
10mg/10ml
Drops 10
@15 ml
Zircum Kid
Sirup
PT. Meprofarm
n/a
Dus, 10 strip @
dispersible
Dus, botol 60
ml
No
Nama
Dagang
Nama Obat Generik
Nama
Penyedia
Kemasan
Eprex 2000
Dus, 6 prefilled
PT. Soho Industri
syrenge
Pharmasi
@ 0.5
ml
Zoloral SS
PT. Ikapharmindo
Botol 80 ml
n/a
ktk 5 x 10
PT. Kimia Farma
tablet
ULSIDEX
DUS, 10 STRIP
PT. Dexa Medica
@ 10 TAB
Rethapyl
Dus 10-s @ 10
PT. Kimia Farma
Kaptab

HYTROZ 1MG
1 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB

HYTROZ 3MG
2 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
Depakote Tab
250 mg
Tablet salut
250 mg
Harga Satuan
Terkecil (Rp)
Tanggal Berlaku
Harga
1,375.00
4/23/2013 10:24
28,875.00
3/18/2014 20:03
7,875.00
9/28/2014 21:46
4,041.00
4/23/2013 10:24
350.00
3/15/2014 16:05
787,500.00
7/21/2014 21:09
362,250.00
7/21/2014 21:09
945,000.00
9/28/2014 21:46
297,150.00
9/28/2014 21:46
88.00
3/15/2014 16:05
219.50
3/15/2014 16:05
410.00
3/15/2014 16:05
180.00
3/15/2014 16:05
233.00
3/15/2014 16:05
3,800,000.00
6/27/2014 19:33
18,500.00
4/3/2014 21:30
50,500.00
3/16/2014 18:23
4,010.00
4/23/2013 10:24
82.00
3/15/2014 16:05
82.00
9/28/2014 21:46
12,480.00
3/16/2014 18:23
1,300.00
3/16/2014 18:23
117.00
4/23/2013 10:24
341.00
3/15/2014 16:05
192.00
4/23/2013 10:24
210.00
3/15/2014 16:05
270.00
3/15/2014 16:05
4,212.00
3/15/2014 16:05
2,500.00
4/23/2013 10:24
5,355.00
3/15/2014 16:05
85,000.00
4/3/2014 21:30
106,000.00
4/3/2014 21:30
102,375.00
3/18/2014 20:03
200,000.00
4/3/2014 21:30
85,345.00
4/3/2014 21:30
83,125.00
3/18/2014 20:03
83,125.00
3/18/2014 20:03
32,000.00
4/3/2014 21:30
74.00
3/15/2014 16:05
2,200.00
3/15/2014 16:05
2,641.00
3/15/2014 16:05
546.00
3/15/2014 16:05
142.00
3/15/2014 16:05
1,575.00
3/16/2014 18:23
23,100.00
3/18/2014 20:03
122.00
3/15/2014 16:05
155.00
9/28/2014 21:46
159.00
3/15/2014 16:05
100.00
3/18/2014 20:03
93.00
7/21/2014 21:09
50.00
3/15/2014 16:05
2,209,000.00
4/3/2014 21:30
116.00
4/23/2013 10:24
1,815.00
3/16/2014 18:23
3,500.00
3/15/2014 16:05
3,100.00
3/15/2014 16:05
900,000.00
9/28/2014 21:46
24,750.00
3/16/2014 18:23
239.00
3/15/2014 16:05
345.00
3/15/2014 16:05
1,039,500.00
4/3/2014 21:30
210.00
3/16/2014 18:23
20,000.00
3/16/2014 18:23
77.00
4/23/2013 10:24
34,500.00
3/15/2014 16:05
4,500.00
3/15/2014 16:05
3,500.00
3/18/2014 20:03
1,250.00
3/15/2014 16:05
10,290.00
4/23/2013 10:24
14,070.00
4/23/2013 10:24
3,200,000.00
3/18/2014 20:03
3,600.00
3/18/2014 20:03
3,600.00
3/16/2014 19:08
1,520.00
3/15/2014 16:05
25,106.00
9/28/2014 21:46
4,803,697.00
9/28/2014 22:55
72,400.00
4/3/2014 21:30
45,000.00
4/3/2014 21:30
6,045.00
3/16/2014 18:23
746.00
7/21/2014 21:09
669.00
4/23/2013 10:24
320,000.00
7/21/2014 21:09
247,089.00
3/16/2014 19:08
93,000.00
4/3/2014 21:30
8,900.00
4/3/2014 21:30
117,600.00
3/16/2014 19:08
110,500.00
4/3/2014 21:30
26,880.00
7/21/2014 21:08
32,000.00
7/21/2014 21:09
12,936.00
5/21/2014 20:01
12,936.00
5/21/2014 20:01
307,000.00
9/5/2014 23:17
288,750.00
7/21/2014 21:09
80,000.00
3/16/2014 19:08
155,000.00
3/16/2014 19:08
2,600,000.00
4/3/2014 21:30
25,300.00
4/3/2014 21:30
112,000.00
4/3/2014 21:30
1,659.00
3/15/2014 16:05
64.00
3/15/2014 16:05
70,000.00
8/6/2014 18:35
9,983.00
3/16/2014 19:30
6,150.00
9/28/2014 21:46
12,159.00
9/28/2014 21:46
17,604.00
9/28/2014 21:46
1,100.00
3/15/2014 16:05
23,150.00
9/28/2014 21:46
100.00
4/23/2013 10:24
134.00
4/23/2013 10:24
134,050.00
3/18/2014 20:03
49,000.00
3/18/2014 20:03
3,850.00
3/18/2014 20:03
4,216.00
3/18/2014 20:03
104.00
4/23/2013 10:24
37,500.00
4/3/2014 21:30
124,955.00
9/28/2014 21:46
28,035.00
7/21/2014 21:09
3,480.00
3/16/2014 18:23
5,480.00
3/16/2014 18:23
58,500.00
3/16/2014 18:23
290,000.00
3/16/2014 18:23
3,410.00
3/15/2014 16:05
170.00
4/23/2013 10:24
16,350.00
3/15/2014 16:05
9,800.00
8/13/2014 2:04
970,200.00
4/3/2014 21:30
455,000.00
8/6/2014 18:35
7,455.00
3/18/2014 20:03
6,375.00
6/16/2014 19:59
13,900.00
7/21/2014 21:08
42,600.00
4/3/2014 21:30
42,780.00
3/18/2014 20:03
75,465.00
3/18/2014 20:03
105,000.00
3/18/2014 20:03
8,505.00
3/15/2014 16:05
550,000.00
3/16/2014 18:23
128,000.00
4/3/2014 21:30
680.00
3/16/2014 19:08
8,000.00
4/3/2014 21:30
976.00
4/23/2013 10:24
7,893.00
3/15/2014 16:05
278,000.00
9/28/2014 21:46
140,569.00
9/28/2014 21:46
128,000.00
5/21/2014 20:01
139,500.00
4/3/2014 21:30
314.00
4/23/2013 10:24
455.00
4/23/2013 10:24
2,575.00
3/15/2014 16:05
1,360.00
8/6/2014 18:35
128,779.00
3/24/2014 14:34
100,900.00
3/16/2014 18:23
17,500.00
3/18/2014 20:03
11,813.00
3/16/2014 19:08
23,250.00
3/16/2014 19:08
9,200,000.00
4/3/2014 21:30
1,189,650.00
9/28/2014 21:46
1,039,500.00
9/28/2014 21:46
2,257,500.00
9/28/2014 21:46
20,850.00
3/15/2014 16:05
140.00
4/23/2013 10:24
20,850.00
7/21/2014 21:08
1,890.00
4/23/2013 10:24
1,075.00
3/18/2014 20:03
1,375.00
3/18/2014 20:03
304.00
3/15/2014 16:05
235.00
4/3/2014 21:30
535.00
3/15/2014 16:05
72,900.00
8/6/2014 18:35
117,500.00
4/3/2014 21:30
134,400.00
3/18/2014 20:03
35,610.00
3/18/2014 20:03
81,375.00
4/3/2014 21:30
160,650.00
3/18/2014 20:03
299,250.00
3/18/2014 20:03
375,000.00
3/16/2014 18:23
2,950.00
7/21/2014 21:09
660.00
4/23/2013 10:24
3,582.00
8/6/2014 18:35
1,248,319.00
4/3/2014 21:30
275,000.00
4/3/2014 21:30
55,000.00
3/16/2014 19:08
39,810.00
3/15/2014 16:05
4,862.00
9/28/2014 21:46
23,100.00
3/15/2014 16:05
439.00
3/16/2014 18:23
454.00
3/16/2014 18:23
30,493.00
9/28/2014 21:46
25,725.00
3/16/2014 18:23
35,000.00
3/16/2014 18:23
2,500.00
3/16/2014 18:23
98,000.00
3/18/2014 20:03
13,563.00
3/18/2014 20:03
253,750.00
3/18/2014 20:03
972,000.00
8/6/2014 18:35
1,920.00
4/23/2013 10:24
94.00
4/23/2013 10:24
275,000.00
8/6/2014 18:35
412,500.00
8/6/2014 18:35
2,570,000.00
8/6/2014 18:35
399,500.00
4/3/2014 21:30
303.00
3/15/2014 16:05
295,000.00
4/3/2014 21:30
303.00
4/23/2013 10:24
713.00
4/23/2013 10:24
1,113,850.00
3/16/2014 18:23
330,000.00
4/3/2014 21:30
3,569.00
4/23/2013 10:24
2,660.00
3/16/2014 18:23
3,353.00
3/15/2014 16:05
58.00
3/15/2014 16:05
244.00
3/16/2014 18:23
638.00
4/3/2014 21:30
997.00
3/15/2014 16:05
265.00
4/23/2013 10:24
436.00
4/23/2013 10:24
404.00
4/23/2013 10:24
430.00
4/23/2013 10:24
1,493.00
4/3/2014 21:30
2,171.00
4/3/2014 21:30
1,575.00
3/18/2014 20:03
5,600.00
3/18/2014 20:03
5,985.00
4/23/2013 10:24
5,460.00
4/23/2013 10:24
2,300,000.00
4/3/2014 21:30
840,000.00
4/3/2014 21:30
230.00
4/23/2013 10:24
87,500.00
3/18/2014 20:03
6,563.00
9/28/2014 21:46
61.00
4/23/2013 10:24
100.00
4/23/2013 10:24
72.00
4/23/2013 10:24
130.00
3/16/2014 18:23
673,500.00
3/18/2014 20:03
45,100.00
7/21/2014 21:09
1,328,000.00
5/22/2014 14:25
2,798.00
4/23/2013 10:24
5,670.00
9/28/2014 21:46
4,725.00
3/18/2014 20:03
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
75,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
75,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
170,000.00
8/6/2014 18:35
3,674.00
3/15/2014 16:05
4,724.00
4/23/2013 10:24
116.00
4/23/2013 10:24
153.00
4/23/2013 10:24
1,329,163.00
4/3/2014 21:30
211,000.00
9/28/2014 22:55
4,104.00
3/18/2014 20:03
2,226.00
3/18/2014 20:03
350,000.00
4/3/2014 21:30
122,000.00
5/21/2014 10:06
166,000.00
4/3/2014 21:30
369,000.00
4/3/2014 21:30
147,000.00
5/21/2014 10:06
199,000.00
4/3/2014 21:30
245,000.00
4/3/2014 21:30
123,200.00
4/3/2014 21:30
299,000.00
4/3/2014 21:30
150,300.00
4/3/2014 21:30
80,000.00
8/6/2014 18:35
1,496.00
3/15/2014 16:05
2,593.00
3/15/2014 16:05
510,000.00
4/3/2014 21:30
270,000.00
9/28/2014 21:46
68.00
9/28/2014 21:46
166.00
9/28/2014 21:46
34,980.00
7/21/2014 21:09
93.00
4/23/2013 10:24
710.00
3/16/2014 18:23
1,580.00
4/3/2014 21:30
82,000.00
7/21/2014 21:09
7,800.00
4/3/2014 21:30
73.00
9/28/2014 21:46
8,333.00
9/28/2014 21:46
5,145.00
3/15/2014 16:05
3,255.00
3/15/2014 16:05
27,500.00
4/3/2014 21:30
141.00
4/23/2013 10:24
89.00
3/15/2014 16:05
62.00
3/15/2014 16:05
44,770.00
3/16/2014 19:30
257.00
4/23/2013 10:24
875.00
4/3/2014 21:30
2,144.00
3/18/2014 20:03
191,000.00
9/5/2014 23:17
410,000.00
9/5/2014 23:17
1,428.00
9/28/2014 21:46
110,000.00
3/16/2014 18:23
62,500.00
7/21/2014 21:09
4,930.00
4/23/2013 10:24
2,569.00
4/23/2013 10:24
2,993.00
4/23/2013 10:24
29,400.00
9/28/2014 21:46
310.00
4/23/2013 10:24
2,722.00
7/21/2014 21:09
2,539.00
3/15/2014 16:05
3,350.00
3/16/2014 18:23
379.00
4/23/2013 10:24
570.00
4/23/2013 10:24
900.00
3/15/2014 16:05
30,600.00
8/6/2014 18:35
214.00
4/23/2013 10:24
3,500.00
3/15/2014 16:05
1,600.00
4/23/2013 10:24
3,865.00
4/23/2013 10:24
158.00
4/23/2013 10:24
1,155.00
4/23/2013 10:24
1,103.00
4/23/2013 10:24
5,000.00
4/3/2014 21:30
1,550.00
4/3/2014 21:30
525.00
4/23/2013 10:24
893.00
4/23/2013 10:24
1,155.00
4/23/2013 10:24
2,600.00
9/28/2014 21:46
33,000.00
7/21/2014 21:09
12,450.00
3/16/2014 19:08
43.00
3/15/2014 16:05
15,750.00
4/3/2014 21:30
3,220.00
4/3/2014 21:30
8,900.00
4/3/2014 21:30
6,100.00
8/6/2014 18:35
95,200.00
3/18/2014 20:03
105,871.00
3/18/2014 20:03
119,000.00
3/18/2014 20:03
145.00
3/15/2014 16:05
2,268.00
3/15/2014 16:05
704.00
4/23/2013 10:24
6,510.00
4/23/2013 10:24
567.00
4/23/2013 10:24
2,100.00
9/28/2014 21:46
1,470.00
4/23/2013 10:24
82,042.00
4/3/2014 21:30
473.00
4/23/2013 10:24
70,560.00
3/18/2014 20:03
56,300.00
4/3/2014 21:30
56,300.00
3/18/2014 20:03
39,375.00
3/18/2014 20:03
115,500.00
5/28/2014 19:25
64,680.00
5/28/2014 19:25
75,350.00
4/3/2014 21:30
36,667.00
4/14/2014 9:16
50,820.00
4/14/2014 9:16
46,000.00
4/12/2014 17:56
65,000.00
4/12/2014 17:56
82,418.00
3/18/2014 20:03
51,260.00
4/3/2014 21:30
64,900.00
4/3/2014 21:30
42,000.00
4/3/2014 21:30
46,000.00
4/3/2014 21:30
295,240.00
4/14/2014 9:16
343,842.00
4/14/2014 9:16
322,000.00
4/3/2014 21:30
218,700.00
4/3/2014 21:30
2,153.00
3/18/2014 20:03
8,000.00
4/3/2014 21:30
9,000.00
4/3/2014 21:30
9,000.00
4/3/2014 21:30
87,000.00
4/3/2014 21:30
12,650.00
4/3/2014 21:30
50,500.00
4/3/2014 21:30
42,350.00
4/3/2014 21:30
30,625.00
3/18/2014 20:03
55,500.00
4/12/2014 17:56
37,500.00
4/3/2014 21:30
210,000.00
5/21/2014 20:01
199,000.00
4/3/2014 21:30
56,000.00
4/3/2014 21:30
9,500.00
4/3/2014 21:30
6,800.00
4/3/2014 21:30
7,263.00
3/18/2014 20:03
8,085.00
3/18/2014 20:03
8,085.00
3/18/2014 20:03
35,750.00
4/3/2014 21:30
6,930.00
4/3/2014 21:30
9,625.00
3/18/2014 20:03
10,000.00
4/3/2014 21:30
10,000.00
4/3/2014 21:30
105,500.00
4/3/2014 21:30
60,500.00
3/18/2014 20:03
210,000.00
4/3/2014 21:30
591,000.00
4/3/2014 21:30
511,000.00
4/3/2014 21:30
358,000.00
4/3/2014 21:30
89,800.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
127,000.00
8/6/2014 18:35
550,000.00
8/6/2014 18:35
17,500.00
9/28/2014 21:46
700,000.00
4/3/2014 21:30
2,700,000.00
4/3/2014 21:30
550,000.00
9/28/2014 21:46
41,905.00
3/15/2014 16:05
575.00
4/23/2013 10:24
13,365.00
9/28/2014 21:46
850.00
9/28/2014 21:46
879.00
3/15/2014 16:05
1,431.00
4/23/2013 10:24
40,000.00
4/3/2014 21:30
149,100.00
9/28/2014 21:46
630.00
4/23/2013 10:24
365.00
4/23/2013 10:24
1,050.00
4/3/2014 21:30
1,850.00
4/3/2014 21:30
92.00
4/23/2013 10:24
164.00
4/23/2013 10:24
1,381.00
3/16/2014 18:23
54,600.00
7/21/2014 21:09
62,000.00
6/16/2014 19:59
1,200.00
3/16/2014 18:23
3,374.00
3/16/2014 18:23
473,000.00
8/6/2014 18:35
7,497.00
3/18/2014 20:03
12,210.00
4/3/2014 21:30
57,000.00
3/15/2014 16:05
47,500.00
7/21/2014 21:08
74,998.00
4/3/2014 21:30
266,805.00
3/18/2014 20:03
114.50
4/23/2013 10:24
214.50
4/23/2013 10:24
840.00
9/28/2014 21:46
162.00
4/23/2013 10:24
6,537.00
4/3/2014 21:30
1,950.00
9/28/2014 21:46
22,740.00
7/21/2014 21:08
93,990.00
7/21/2014 21:08
681.00
4/23/2013 10:24
210.00
4/23/2013 10:24
375.00
4/23/2013 10:24
5,500.00
9/28/2014 21:46
2,800.00
9/28/2014 21:46
96.00
4/23/2013 10:24
108.00
4/23/2013 10:24
22,176.00
9/28/2014 21:46
1,764.00
9/28/2014 21:46
10,250.00
4/23/2013 10:24
4,043.00
9/28/2014 21:46
3,220.00
3/16/2014 18:23
113.00
4/23/2013 10:24
164.00
4/23/2013 10:24
2,021,250.00
9/28/2014 21:46
1,237,500.00
5/21/2014 20:01
5,762.00
3/16/2014 18:23
9,114.00
3/16/2014 18:23
260,000.00
4/3/2014 21:30
16,000.00
8/6/2014 18:35
3,000.00
4/23/2013 10:24
697,000.00
4/3/2014 21:30
72,000.00
9/28/2014 21:46
77,000.00
4/3/2014 21:30
17,820.00
3/15/2014 16:05
8,820.00
3/18/2014 20:03
15,620.00
4/3/2014 21:30
22,990.00
4/3/2014 21:30
11,024.00
3/15/2014 16:05
1,365.00
4/23/2013 10:24
13,750.00
9/28/2014 21:46
4,935.00
3/18/2014 20:03
56,851.00
3/18/2014 20:03
69,972.00
3/18/2014 20:03
99,710.00
3/18/2014 20:03
64,680.00
3/16/2014 18:23
6,510.00
3/18/2014 20:03
185.00
4/23/2013 10:24
140.00
4/23/2013 10:24
33,900.00
5/21/2014 20:01
6,555.00
3/16/2014 18:23
9,700.00
7/21/2014 21:09
2,940.00
4/23/2013 10:24
2,999.00
3/16/2014 18:23
3,500.00
3/16/2014 18:23
110.00
3/15/2014 16:05
380,875.00
9/28/2014 22:55
672.00
4/23/2013 10:24
504.00
4/23/2013 10:24
53,900.00
7/21/2014 21:09
2,618.00
3/16/2014 18:23
377,900.00
4/23/2013 10:24
1,259,990.00
4/23/2013 10:24
225,740.00
4/23/2013 10:24
168,000.00
4/23/2013 10:24
302,605.00
4/23/2013 10:24
180,595.00
4/23/2013 10:24
82,500.00
9/28/2014 21:46
420.00
4/23/2013 10:24
680.00
4/23/2013 10:24
1,100,000.00
9/5/2014 23:17
550,000.00
9/5/2014 23:17
28,928.00
3/16/2014 18:23
1,900.00
9/28/2014 21:46
2,950,000.00
4/3/2014 21:30
120,000.00
5/21/2014 20:01
6,773.00
3/16/2014 18:23
11,760.00
3/16/2014 18:23
68,000.00
9/6/2014 1:27
38,000.00
3/15/2014 16:05
216.00
4/23/2013 10:24
2,400.00
3/15/2014 16:05
759.00
3/15/2014 16:05
1,261.00
3/15/2014 16:05
1,902,240.00
3/15/2014 16:14
219,540.00
3/15/2014 16:14
5,522,580.00
3/16/2014 19:49
995,000.00
9/5/2014 23:17
3,100,000.00
9/5/2014 23:17
290,000.00
9/5/2014 23:17
5,460.00
5/20/2014 18:46
1,496.00
4/23/2013 10:24
84.00
4/23/2013 10:24
7,000.00
7/21/2014 21:09
1,077,815.00
3/16/2014 19:08
1,248,220.00
3/16/2014 19:08
973,500.00
4/3/2014 21:30
1,135,000.00
4/3/2014 21:30
915,000.00
8/6/2014 18:35
915,810.00
4/3/2014 21:30
24,150.00
7/21/2014 21:09
2,420.00
4/3/2014 21:30
11,475.00
3/16/2014 19:08
15,225.00
3/15/2014 16:05
3,275.00
3/16/2014 18:23
4,750.00
3/16/2014 18:23
8,728.00
3/15/2014 16:05
308.00
3/15/2014 16:05
220.00
4/23/2013 10:24
17,993.00
3/16/2014 18:23
38,594.00
3/15/2014 16:05
2,250.00
3/15/2014 16:05
14,771.00
3/15/2014 16:05
7,200.00
3/16/2014 19:08
11,268.00
3/16/2014 19:08
2,400.00
4/23/2013 10:24
7,550.00
3/15/2014 16:05
79.00
4/23/2013 10:24
335.00
9/28/2014 21:46
15,642.00
7/21/2014 21:09
110.00
3/15/2014 16:05
17,391.00
3/16/2014 19:08
19,500.00
3/16/2014 19:08
23,185.00
3/16/2014 19:08
995.00
7/21/2014 21:09
600.00
4/23/2013 10:24
1,064.00
9/28/2014 21:46
1,190.00
8/22/2014 0:44
126.00
4/23/2013 10:24
273.00
3/18/2014 20:03
482.00
7/10/2014 15:53
640.00
9/28/2014 21:46
1,154.00
9/28/2014 21:46
829.00
4/23/2013 10:24
5,460.00
4/23/2013 10:24
1,400.00
4/23/2013 10:24
1,038.00
4/23/2013 10:24
2,000.00
4/23/2013 10:24
3,164,805.00
9/28/2014 22:55
23,500.00
5/21/2014 20:01
23,500.00
5/21/2014 20:01
23,500.00
5/21/2014 20:01
5,510.00
3/18/2014 20:03
6,589.00
3/18/2014 20:03
7,753.00
3/18/2014 20:03
6,930.00
9/28/2014 21:46
66,938.00
3/18/2014 20:03
452.00
3/18/2014 20:03
6,160.00
3/18/2014 20:03
62.00
4/23/2013 10:24
89.00
4/23/2013 10:24
2,100.00
3/15/2014 16:05
5,064.00
4/23/2013 10:24
539.00
4/23/2013 10:24
519.00
4/23/2013 10:24
6,149.00
3/15/2014 16:05
1,100.00
4/23/2013 10:24
17,325.00
3/15/2014 16:05
45,048.00
3/15/2014 16:05
869.00
4/23/2013 10:24
9,000.00
4/23/2013 10:24
13,330.00
7/21/2014 21:08
5,247.00
4/23/2013 10:24
3,150.00
4/23/2013 10:24
3,700.00
3/16/2014 19:08
17,913.00
4/23/2013 10:24
3,500.00
3/15/2014 16:05
4,990.00
9/28/2014 21:46
7,200.00
3/16/2014 18:23
3,520.00
7/21/2014 21:09
8,399.00
3/15/2014 16:05
186.00
3/15/2014 16:05
3,650,000.00
9/28/2014 22:55
1,320,000.00
7/21/2014 21:09
1,132.00
4/23/2013 10:24
268,800.00
3/16/2014 18:23
86,100.00
3/16/2014 18:23
126,000.00
9/28/2014 21:46
43,000.00
3/16/2014 19:08
12,000.00
3/16/2014 19:08
174.00
3/15/2014 16:05
394.00
4/23/2013 10:24
15,000.00
4/23/2013 10:24
260.00
4/23/2013 10:24
23,000.00
9/5/2014 23:17
97,000.00
9/5/2014 23:17
575,000.00
8/6/2014 18:35
1,574.00
4/23/2013 10:24
900.00
4/23/2013 10:24
320.00
4/23/2013 10:24
3,290,000.00
5/21/2014 20:01
3,832.00
4/23/2013 10:24
133,350.00
3/18/2014 20:03
13,850.00
7/21/2014 21:09
440.00
9/28/2014 21:46
11,725.00
3/18/2014 20:03
21,500.00
4/3/2014 21:30
5,800.00
3/18/2014 20:03
5,800.00
3/16/2014 19:08
6,800.00
3/16/2014 19:08
28,500.00
3/16/2014 19:08
3,900.00
6/27/2014 19:33
6,500.00
8/6/2014 18:35
1,120,000.00
8/6/2014 18:35
223,000.00
8/6/2014 18:35
8,100.00
6/16/2014 19:59
1,103.00
3/16/2014 18:23
1,834.00
9/28/2014 21:46
3,099.00
9/28/2014 21:46
6,250.00
4/3/2014 21:30
100.00
3/16/2014 18:23
71,100.00
4/8/2014 18:23
6,200.00
8/6/2014 18:35
11,500.00
4/3/2014 21:30
154.00
4/23/2013 10:24
312.00
9/28/2014 21:46
1,135.00
4/3/2014 21:30
563.00
3/18/2014 20:03
9,397.00
3/16/2014 18:23
9,996.00
3/16/2014 18:23
152,543.00
3/16/2014 19:08
2,520.00
4/23/2013 10:24
19,608,034.00
9/28/2014 22:55
115,000.00
4/3/2014 21:30
90,000.00
4/3/2014 21:30
425.00
4/23/2013 10:24
6,720.00
3/16/2014 18:23
285,000.00
4/3/2014 21:30
78,500.00
9/28/2014 21:46
170,000.00
8/6/2014 18:35
41,800.00
7/21/2014 21:09
2,793.00
3/16/2014 19:08
5,450.00
3/16/2014 19:08
1,680.00
9/28/2014 21:46
3,900.00
3/16/2014 19:08
6,500.00
4/3/2014 21:30
129,000.00
9/28/2014 21:46
6,200.00
3/16/2014 19:08
234.00
4/23/2013 10:24
210,000.00
3/16/2014 18:23
78,000.00
9/5/2014 23:17
46,000.00
9/5/2014 23:17
1,229,998.00
5/21/2014 14:16
110.00
4/23/2013 10:24
3,600.00
3/18/2014 20:03
12,840.00
3/16/2014 18:23
7,770.00
3/16/2014 18:23
497.00
3/15/2014 16:05
ER 2014
Harga Satuan
Terkecil (Rp)
Tanggal Berlaku
Harga
140,569.00
9/28/2014 21:46
29,400.00
9/28/2014 21:46
575.00
4/23/2013 10:24
440.00
9/28/2014 21:46
1,103.00
3/16/2014 18:23
1,834.00
9/28/2014 21:46
3,099.00
9/28/2014 21:46
1,680.00
9/28/2014 21:46
No
Nama
Dagang
Nama Obat Generik

mg)
2

10 mg
Hepsera
Air untuk Injeksi amp 25
otsu
WIDA WI
UNICAP
Nama
Penyedia
Kemasan
1 blister@24
PT. Kimia Farma
tablet
Dus, 3 Blister
@ 10 kapsul
PT. Widatra Bhakti

Btl @ 1000 ml
Dus, 10 dus @
ml
400 mg
n/a

Zenalb
PT. Ikapharmindo
Vial 100 ml

Zenalb
PT. Ikapharmindo
Vial 50 ml

PLASBUMIN 5%
PT. Dipa Pharmalab
botol @ 250 ml
250 ML

PLASBUMIN 5%
PT. Dipa Pharmalab
botol @ 50 ml
50 ML
10
100 mg
n/a
Box, 10 strips
PT. Pertiwi Agung
@ 10 tablets
11
300 mg
n/a
PT. Bernofarm
12
0,25 mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
13
0,5 mg
n/a
1 box 10 Strip
X 10 tablet
14
n/a
mg
Dus, 10 blister
@ 10 tablet
Ktk 10x10
PT. Kimia Farma
tablet
Actilyse
Dus, 1
vial@50mg + 1
vial pelarut @
50ml
Fungicide
PT. Cendo Industri

tubeFarmasi
3.5 gr
Glybotic 250
mg /ml
PT. Sanbe Farma

Vial 2 ml
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
n/a
PT. Erela
Botol @100
Tablet
n/a
PT. Erela
Btl @ 100
tablet
Cordarone
Dus, 6 ampul
PT. Aventis Pharma
@ 3 ml
Cordarone
Dus, 3 blister
PT. Aventis Pharma
@ 10 tablet
n/a
PT. Indofarma
n/a
Box, 3 strips @
PT. Pertiwi Agung
10 tablets
n/a
Box, 3 strips @
PT. Pertiwi Agung
10 tablets
20
23
150 mg

(HCl)
PT. Indofarma
Dus, 10 strip @
10 tss
Dus, 10 blister
@ 12 kapsul
27
scored 500 mg
28

n/a
mg/5 ml
Dus, Botol 60
PT. Holi Pharma
ml
29

n/a
ml
30

mg/vial
PT. Bernofarm

31
glargine
100 IU/ml)
Analog insulin
mix acting inj 100
n/a
n/a
Lantus
Solostar
100IU/ml
5pens x3ml

Novomix
Flexpen
Analog
insulin (Analogue))
mix insulininj 100
Insulin Aspart
Humalog Mix
25
protamine
suspension,
(rDNA))
Analog insulin
rapid acting
inj 100
34
KOTAK @ 10 x
10 TAB
Dus, 10 vial @
1g
dus, 5 solostar
PT. Aventis Pharma
pen @ 3ml
Injeksi 100
IU/ml, Flexpen
disposible 3 ml
(1 box isi 5
flexpen
disposible)
Penfill
cartridge
Dus, vial 10 ml
Aspart (Analogue))

35
Aspart (Analogue))
36
37
38
mg
Injeksi 100
IU/ml, Flexpen
Novorapid
disposible 3 ml
Flexpen
(1 box isi 5
flexpen
disposible)
Apidra Solostar
dus, 5 solostar
100IU/ml
PT. Aventis Pharma
pen @ 3ml
5pens x3ml
Humalog
Penfill
cartridge
Dus, 2 blister
@ 14 Tablet

39
n/a
200 mg
40
n/a
PT. Erela
Dus, 10 Strip
@ 10 Tablet

n/a
PT. Indofarma

500 mg
n/a
ktk 10 x 10
PT. Kimia Farma
tablet

mg + Kofein 50 mg
n/a
43
Dus, 25 tube @
5g

Levodopa 100 mg
Artem
Dus 6 amp @
PT. Kimia Farma
1ml
Dus, 5 strip @
10 tablet
46

tablet 100 mg
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
47

Miniaspi 80
KOTAK @ 10 x
10 TAB
48

n/a
250 mg
ktk 10x10
PT. Kimia Farma
tablet
49

n/a
50 mg
Dus 10 strip x
PT. Kimia Farma
10 tab
50

0,4 mg
Dus, 10 strip
PT. Dexa Medica
@10 tablet
51

n/a
mg
Starfolat
Botol @ 100
tablet

Ingelheim
1 ampul
53

500 mg
n/a
PT. Bernofarm
Dus, 10 blister
@ 10 kaptab ss
Urotractin 400
PT. Sanbe Farma
Strip
mg
55

mg/ml
n/a
Dus, 10 ampul
@ 5 ml
56

mg/ml
n/a
PT. Bernofarm
Temiral Eye
Oint
Dus, 10 ampul
@ 5 ml
Dus, 1 vial
plastik @ 5ml
PT. Sanbe Farma

Tube 3,5 gram
59

n/a
mg
ktk 10x10
PT. Kimia Farma
tablet
60

n/a
mg
ktk 10x10
PT. Kimia Farma
tablet
61

10.000 UI/vial
Leunase
PT. Widatra Bhakti

10.000 UI/Vial
Pularex
Dus 5 strip @
10 tablet
Tracrium
Dus, 5 ampul
@ 2.5 ml
n/a
PT. Indofarma
n/a
PT. Soho Industri

botol
Pharmasi
@ 60 ml
n/a
n/a
PT. Soho Industri

Strip
Pharmasi
n/a
PT. Rama Emerald

DusMulti
@ 50Sukses
gram
65

mL
Dus, 10 strip @
10 tablet
69

IU/ vial
n/a
Ds 10 vial x 1,2
PT. Phapros, Tbk
Jt IU
70

IU/vial
n/a
PT. Phapros, Tbk

Dus @ 10 Vial
71

mg/mL
Survanta

Vial
Dorner
PT. Combiphar
Box @ 3 blister
@ 10 Tablet
Dorner 20 g
PT. Combiphar
Box/ 3 blister
@ 10 Tablet
74

n/a
Valerat)
Betam Ophtal
PT. Sanbe Farma
botol @ 5 ml
ED

76
Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Avastin
Dus, 1 vial @ 4
ml
Casodex 150
mg
Dus, 2 blister
@ 14 Tablet
Casodex 50
mg
Dus, 2 blister
@ 14 Tablet
Stolax supp
PT. Sanbe Farma

Supp
Concor 2.5
PT. Merck Tbk
n/a
PT. Pratapa Nirmala

Box 3 X 10 tab
BLEOCIN
PT Kalbe FarmaVial
Cripsa tab
PT. Caprifarmindo
Box 3 x 10'S
82

mg/ampul
Dus 10 blister
@ 10 tablet
84

100 dosis
Pulmicort
Turbuhaler
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
100 dosis
85

inhaler 0,25mg/mL
Pulmicort
Respules
Dus, 4 pak @ 5
PT. AstraZeneca
respules
indonesia
@2
ml
86
Symbicort
Turbuhaler
160/4.5 mcg
87
88

glukosa 8%
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
120 dosis
Symbicort
80/4.5 mcg
Dus, 1
PT. AstraZeneca
Turbuhaler
indonesia@
60 dosis
n/a
Dus, 5 ampul
PT. Dexa Medica
@ 4 ml
Dus, 5
Marcain Cairan
PT. AstraZeneca
polyamp
indonesia
Suntik
duofit@ 20 ml
Dus, 3 blister
@ 10 kapsul
91

mg
Pradaxa
Dus, 3 blister
@ 10 kapsul
92

mg/vial
DBL
Dacarbazine
PT. Tempo Scanvial

Pacific
@ 20 ml
93

mg/vial
DAUNOCIN

vial
Laboratories
94

mg
Exjade 250 mg
Dus, 4 blister
Tab
@ 7 tablet
95

mg
Exjade 500 mg
Dus, 4 blister
Tab
@ 7 tablet
Ferriprox Oral
Solution
Dus, Botol @
PT. Sydna Farma
500ml
Dus, Botol @
100 tablet
98

injeksi 500 mg
Desferal
Dus, 10 vial @
500mg
99

mg/ml
n/a
PT. Indofarma
n/a
Dus, 10
PT. Promedrahardjo
Strip@10
Farmasi Industri
Tablet
Cerazette
Dus, 1 Blister
@ 28 tablet
n/a
Kotak, tube @
PT. Dexa Medica
15 gram
DEXIGEN
Dus, tube @ 5
g
104

STESOLID
mL

105
mg/2,5 mL
106

mg/ml (HCl)
Dus, 100
ampul @ 1 ml
Dus, 5 alubag
@ 1 tube @
2,5ml
STESOLID
Dus, 5 alubag
@ 1 tube @
2,5ml
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
Fargoxin inj
Box @ 5 ampul
PT. Pratapa Nirmala
2 mL
n/a
Box 10 X 10
Tab
n/a
Herbesser
10 vial @
Powder
50mg
Injection 50mg
Farmabes
Injeksi 25 mg
PT. Pratapa Nirmala

Vial 5 mL
Herbesser CD
100
3 blister @ 10
kapsul
Herbesser CD
200
3 blister @ 10
kapsul
n/a
E.D.T.A
PT. Cendo Industri

botol
Farmasi
15 ml
115

0,35%
116

mg/mL
60 mg / 5 ml
PT. Bayer Indonesia

ampul
DOBURAN
PT. Dipa Pharmalab

ampul @ 5 ml
Cardura 1mg
Dus, 5 blister
@10's tab
Cardura 2mg
Dus, 5 blister
@10's tab
120

mg/vial
kalbe
121

mg/vial
kalbe
122
mg/5 ml
n/a
n/a
n/a
PT. Bernofarm
Dus, botol @
10 ml
Dopamin
Dus 5 amp @
PT. Kimia Farma
10 ml
n/a
Dus, 1 vial
@0,5 ml+ 1
PT. Sanbe Farma
vial pelarut
@1,5 ml

Renalscan
KaeF
Avodart
Dus, Botol
Plastik @ 30
Phamaceuticals
Tablet
n/a
n/a
Aromasin
Dus, 2 blister
@ 15 tablet
132
dus, 2 prefilled
PT. Aventis Pharma
syringe @ 0,2
mL
ANTI-XA
ml
133
dus, 2 prefilled
PT. Aventis Pharma
syringe @ 0,4
mL
ANTI-XA
ml
134
dus, 2 prefilled
PT. Aventis Pharma
syringe @ 0,6
mL
ANTI-XA
ml
135

n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
Epirubisin
Kalbe
Dus, 1 vial @5
PT. Sanbe Farma
ml
138

kapsul 50.000 UI
D-Vit FT
Dus 3 strip @
10 Flash tablet
139

D-Vit Syrup
Dus, Botol
Plastik @ 100
mL
n/a
PT. Indofarma
141

n/a
ml
Hemapo
10.000 IU
Dus, 10 blister
@ 10 kss
PT. Phyto KemoBotol

Agung
@60
Farma
ml
vial/ampul
Syringe)
Dus, 6 prefilled
PT. Soho Industri
syrenge
Pharmasi
@ 0.5
ml
Eprex 2000
Prefilled
Syringe @ 1ml
145

mL
Recormon

Ingelheim
6 ampul
n/a
ktk 20 x 10
PT. Kimia Farma
tablet

(HCl)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
n/a
Lynoral
Dus, botol @
100 tablet
Implanon
Dus, 1 blister
1 subdermal
Pharma Tbk
implant
Etopul

ampul @ 5ml
Laboratories
152 Eugenol cairan
n/a
Certican 0,25
mg Tab
Dus, 6 blister
@ 10 tablet
Certican 0,5
mg Tab
Dus, 6 blister
@ 10 tablet
147

155
Novoseven
KOTAK @ 1
VIAL SERBUK
OBAT &
INFUSION KIT
156

230 -340 UI
Haemoctin
PT. Kimia Farmavial
157

Haemoctin
PT. Kimia Farmavial
158

480 - 600 UI
KOATE DVI 500

PT. Dipa Pharmalab
vial
IU
n/a
KOTAK @ 10
ampul
n/a
PT. Ikapharmindo
Botol @ 100
n/a
KOTAK @ 10
ampul
n/a
Dus @ 30
PT. Phapros, Tbk
Ampul
n/a
Dus, 3 strip @
10 kapsul
n/a
Dus, 3 strip @
10 kapsul
162

mg/ml
165

n/a
tablet 250 mg
Dus @ 10 X 10
PT. Phapros, Tbk
's
166

Fenocin
tab 125 mg
Dus 45 x 12
tab
167

V)tablet 500 mg
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
Berotec MDI
Box, canister
10mL
Berotec
Solution
Dus, Canister
200 dosis
170

n/a
ampul 10 ml
Dus 5 ampul@
PT. Kimia Farma
10ml
171

n/a
ampul 2 ml
Dus 5 ampul@
PT. Kimia Farma
2ml
Durogesic 12,5
MU Matrix
Durogesic 25
MU Matrix
Durogesic 50
MU Matrix
Leucogen
Prostacom
PT. Combiphar
Box, isi 3 Strip

@ 10 tab
177

n/a
gula 10 mg
Dus @ 10 X 10
PT. Phapros, Tbk
's
178

n/a
i.m. 2 mg/ml
dus @ 30
PT. Phapros, Tbk
ampul
Dus, 5 vial @
50 mg
Fludara Oral
Dus, 4 blister
PT. Aventis Pharma
@ 5 tablet
salut selaput
Sikzonoate
Injeksi
Dus, 5 ampul
@ 1ml
n/a

Botol
Laboratories
183
Blister
mg
n/a
ktk 1 x 10
PT. Kimia Farma
kapsul
Foransi 10

strip
NOPRES
DUS, 30
PT. Dexa Medica
TABLET
Ocuflam ED
PT. Sanbe Farma

botol @ 5 ml
Curacil
Curacil
SYNARCUS

5g
Dus, Botol 120

Dosis Spay

192
mg
Flixotide
Nbules
Dus, 2 flow
wrap@ 5
nebules @ 1
dosis (2ml)
Arixtra
Dus, 2 pfs 0.5

ml
Plasmanate
dus, vial @ 250

PT. Dipa Pharmalab
ml
n/a
PT. Indofarma
Dus, 25 ampul
@ 2 ml
n/a
PT. Indofarma
Dus, 10 strip @
10 tablet
195

mg/ml
Prefilled
Syringe
Gadovist 7,5
mg
Prefilled
PT. Bayer Indonesia
Syringe
199

Primovist
Prefilled
PT. Bayer Indonesia
Syringe
200

mg/mL)
Cymevene

Ingelheim
1 ampul

n/a
2,70 g
Dus @ 100
PT. Phapros, Tbk
Sachet
Dus, 1 blister
@ 10 tablet
PT. Indofarma
Dus, 10 blister
@ 12 kapsul
n/a
PT. Indofarma
Dus, 10 blister
@ 10 kaptab
Gemzar 1000
mg
PT. Bayer Indonesia

vial
n/a
Dus, 1 vial
PT. Sanbe Farma
@200 mg
n/a
PT. Indofarma
Genoint Salep
PT. Erela
Mata
Tube @ 3,5 gr
n/a
PT. Indofarma
Dus, botol
plastik 5 ml
n/a
PT. Indofarma
Dus, 10 blister
@ 10 kaptab
Glicab
PT. Tempo ScanStrip

Pacific
Dus, 6 strip @
Diamicron MR
PT. Pradja Pharin
10 tablet lepas
30
lambat
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
n/a
Dus, 5 ampul
@ 2 ml
n/a
n/a
n/a
Nitrokaf Forte
220

Nitral
mg

Btl @ 30 tablet
Gliserin lar
50%
PT. Lucas Djaja
Glycerin 100
ml
n/a
PT. Widatra Bhakti

botol @ 500 ml
n/a
PT. Widatra Bhakti

botol @ 500 ml
Zoladex 10,8
mg
Dus, 1 syringe
@ 10.8 mg
Zoladex 3,6
mg
Dus, 1 syringe
@ 3.6 mg
n/a
PT. Indofarma
Haldol
Decanoas
Dus 5
Ampul@1mL
Lodomer
Injeksi
KOTAK @ 12
ampul
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
n/a
PT. Indofarma
Dus, 10 blister
@ 10 tablet
Lodomer 2
KOTAK @ 10 x
10 TAB
Dus, 10 blister
@ 10 tablet
Halothane
235
(human)
PT. Dexa Medica

Botol
PT. Pratapa Nirmala

vial
Hyperhep B
Dus, 1 syringe
PT. Dipa Pharmalab
@ 0.5 mL
n/a
237

PT. Dipa Pharmalab
vial
500 mg
MEDAC
238

mg/ml
n/a
box 5ampul
@1 ml

Dus, vial 10 ml
Dus, vial 10 ml
Basal)
n/a
Insulatard
242
Penfill
(Human Insulin (IntermediateActing))
Dus, 1 Vial @ 5
PT. Aventis Pharma
ml
Injeksi 100
IU/ml, penfill
disposible 3 ml
(1 box isi 5
penfill
disposible)
Dus Isi 5

penfill/cartridg
e @ 3ml
Sansulin N
penfillcartridge
PT. Sanbe Farma
@ 3ml
Injeksi 100
IU/ml, penfill
disposible 3 ml
245
(1 box isi 5
% NPH Insulin))
penfill
disposible)
Dus Isi 5
Humulin 30/70
PT. Bayer Indonesia
penfill/cartridg
Cart
human Comb)
e @ 3ml

Dus, vial 10 ml

PT. Bayer Indonesia
Dus, vial 10 ml
Injeksi 100
IU/ml, penfill
disposible 3 ml
(1 box isi 5
penfill
disposible)
penfill
248

human Rapd)
Sansulin R
PT. Sanbe Farma

cartridge @
3ml

Dus Isi 5
penfill/cartridg
human Rapd)
e @ 3ml
Acting))
253

Dus, vial 10 ml

Dus, vial 10 ml

n/a
Tetagam
Prefilled
PT. Dexa Medica
syringe
n/a
PT. Indofarma
Dus, botol 60
ml
n/a
PT. Indofarma
Dus, botol 60
ml
n/a
botol @ 100
tablet
n/a
255
260

injeksi i.m. 250 UI
Dus, 1 Vial @ 5
PT. Aventis Pharma
ml

mg/vial
Holoxan injeksi
Dus, 1 vial @ 1
1000
g

Nomor
HK.02.02/Menkes/223/2014)
Glivec
Dus, 6 blister
@ 10 tablet
salut selaput
Tanapress
10mg
3 blister @ 10
tablet
3 blister @ 10
tablet
264

Iopamiro
Dus, botol @
PT. Dipa Pharmalab
100 ml
265

Iopamiro
(300mg @ vial 30ml)
Dus, vial @ 30
PT. Dipa Pharmalab
ml
266

Iopamiro
(300mg @ vial 50ml)
Dus, vial @ 50
PT. Dipa Pharmalab
ml
267

Iopamiro
Dus, botol @
PT. Dipa Pharmalab
100 ml
268

Iopamiro
(370mg @ vial 30ml)
Dus, vial @ 30
PT. Dipa Pharmalab
ml
269

Iopamiro
(370mg @ vial 50ml)
Dus, vial @ 50
PT. Dipa Pharmalab
ml
270

(300 mg / 100 ml)
300/100 mg
PT. Bayer Indonesia

Botol
271

(300 mg / 50 ml)
300/50 mg
PT. Bayer Indonesia

Botol
272

(370 mg / 100 ml)
370/100 mg
PT. Bayer Indonesia

Botol
273

(370 mg / 50 ml)
370/50 mg
PT. Bayer Indonesia

Botol
274

mcg/semprot
Atrovent HFA
Box, canister
10mL
n/a
PT. Indofarma
Dus, 5 blister
@ 10 kss
n/a
PT. Indofarma
Dus, 5 blister
@ 10 kss
n/a
Dus, 1 vial @2
PT. Sanbe Farma
ml
Terrell
PT. Pratapa Nirmala

Botol 100 mL
279

n/a
mg
Botol 100
tablet
280

n/a
mg
Botol 100
tablet
281

mg/10 ml
PT. Pratapa Nirmala

vial
282

n/a
5 mg
Farsorbid inj
PT. Indofarma
Dus, 10 strip @
10 tablet
Kalipar
PT. Tempo ScanStrip

Pacific
KSR
PT. Merck Tbk
Dus, 10 strip @
10 tablet
285

50 mg/ml
Leucovorin
Vial 50 mg/5
ml
286

(100 mg/ml)
PT. Ethica Industri

Ampul
Farmasi
Kalsium
glukonat
287

288

KALQUEST
g
n/a
PT. Afifarma
Dus,10 Strip @
10 tablet

g
n/a
Dus, 3 Blister
PT. Dexa Medica
@ 10 tablet
n/a
Dus, 3 Blister
PT. Dexa Medica
@ 10 tablet
Xeloda
Boks, 120
tablet
n/a
PT. Indofarma
n/a
Dus, 10 strip
PT. Errita Pharma
@10 tablet
n/a
PT. Indofarma
Dus, 10 strip @
10 tablet
Dus, 10 strip @
10 tablet
Tegretol Syrup
Dus, botol @
120 ml
120ml
n/a
Dus,botol 100
tablet
Karbogliserin
tetes telinga
10%
PT. Lucas Djaja
DBL
Carboplatin
150 mg
PT. Tempo Scanvial

Pacific
@ 15 ml
DBL
Carboplatin
450 mg
PT. Tempo Scanvial

Pacific
@ 45 ml
V - BLOC
PT Kalbe Farmastrip
KTM

Vial @ 10 ml
Ketamin
Hameln
PT. Combiphar
n/a
Box isi 1 Tube

@ 15 g
301
6,25 mg
PT. Indofarma
Dus, 10 blister
@ 10 tablet
Fenol 100 mg /
1 ml
Box, isi 1 vial

@ 10 ml
n/a
n/a
PT. Hexpharm Jaya

tubeLaboratories
5 gr
Zoloral SS
PT. Ikapharmindo
Botol 80 ml
n/a
dus 2 's @ 10
supp
n/a
Dus @ 12
PT. Phapros, Tbk
Ampul
ORIXAL
Dus, 3 Strip @
salut
selaput
PT. Indofarma
Dus, 5 blister
@ 10 kapsul
PT. Bernofarm
Dus, 3 strip @
10 kapsul
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
Catapres
Injeksi
Box, 10
Ingelheim @
1mL
n/a
PT. Indofarma
n/a
n/a
315

(HCL) (150)
Dus, 10 strip @
10 tablet
319

n/a
ml
320

n/a
(HCl)
Dus @ 10 X 10
PT. Phapros, Tbk
's
321

n/a
(HCl)
Dus @ 30
PT. Phapros, Tbk
Ampul
322

2 ml (HCl)
Dus @ 30
PT. Phapros, Tbk
Ampul
323 Klozapin 100 mg
n/a
KOTAK @ 5 x
10 TAB
324 Klozapin 25 mg
n/a
KOTAK @ 5 x
10 TAB
n/a
ktk 10x10
PT. Kimia Farma
tablet
n/a
ktk 10x10
PT. Kimia Farma
tablet
n/a
ktk 10x10
PT. Kimia Farma
tablet
328

Ostriol
lunak 0,25 mcg
330


0,25 mg
Btl @ 30
PT. Pratapa Nirmala
kapsul
Botol Plastik @
500 ml
Laxadine
Emulsi 60 ml

Botol @ 60
Laboratories
ml
n/a
PT. Erela
Dus, 100
Sachet @ 30
Tablet

botol
Farmasi
15 ml
klorida 1,32 mg
333

Lumefantrin 120 mg
Coartem

mg
Dus, 4 blister
@ 6 tablet
Dus, botol
plastik @ 30
tablet salut
selaput
335

Aluvia
botol @ 120
tablet
336

Seretide
Dus, Botol 120
Inhaler 50 mcg
Dosis
337

Seretide
Diskus 100
mcg
Dus, foil strip

@ 60 dosis
338

Seretide
Diskus 250
mcg
Dus, foil strip

@ 60 dosis

n/a
Dus, 10
PT. Promedrahardjo
Strip@10
Farmasi Industri
Tablet

n/a
Dus, botol @
PT. Holi Pharma
60 ml
n/a
342

HCl)
n/a
ktk 100 amp @

PT. Kimia Farma
2 ml
343

(H2SO4.7H2O)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
344

Heplav
mg
n/a
Prosogan Inj.

Serbuk vial
n/a
PT. Indofarma
Tykerb
Dus, 7 Blister
@ 10 tablet
349

Kalbamin
(Asam Amino 10%)
Dus, 2 strip @
10 kapsul
PT. Finusolprima
botol
Farma
500Internasional
ml

Softbag 500
PT Otsuka Indonesia
ML

Cl- 52 mEq)
Softbag 500
PT Otsuka Indonesia
ML

Aminofusin
Hepar
gr/L)
Aminosteril
Infant 6%
Taurine 0,24 gr/l)
356
Nephrosteril
357
Kidmin
Double
Chamber
PT Otsuka Indonesia
Softbag 1000
ML
Double
Chamber
PT Otsuka Indonesia
Softbag 500
ML
Botol Gelas
100 ml
Botol Gelas
250 ml
Softbag 200
PT Otsuka Indonesia
ML
Softbag 500
PT Otsuka Indonesia
ML
359

(Asam amino 8%)
Hepa
500 ml

10 g/L)
Comafusin
mengandung
Asam
361 Larutan
Aspartate
10 gr/L, Xylitol
50 Amino
gr/L,
(Kombinasi
aminno 50
g/L, Hepar
Malic Acid 7Asam
gr/L, Piridoxin
0.12
Sorbitol
gr/L)
Aminofusin
L600
Larutan
Asam Amino
Natrium mengandung
Fosfat 2.5 mg/L,
Aminofusin
363 (Kombinasi
Asam
amino
50 g/L,
elektrolit)
Paed
Kabiven 1440
ml
Larutan
Akses peripheral))
Kabiven 1920
ml
Akses
peripheral))
Larutan
PT. Finusolprima
botol
Farma
250Internasional
ml
PT. Finusolprima
botol
Farma
500Internasional
ml

Bag (3
PT. Fresenius Kabi
Chamber)
Combiphar
1440 ml
Bag (3
PT. Fresenius Kabi
Chamber)
Combiphar
1920 ml
Bag Double
chamber (Dua
366
PT. Phapros, Tbk
compartement)
akses sentral)
, 1000 mL
Bag Double
Combiflex peri
chamber (Dua
PT. Phapros, Tbk
(480 kcal)
compartement)
, 1000 mL
368

(Kalium Klorida)
Otsu - KCl
7,46%
PT Otsuka Indonesia
Ampoel 25 ML
369

Wida RL
PT. Widatra Bhakti

Botol 1000 ml

370 (Na 130 mEq, Cl 109 mEq, Ca 3
mEq, Asetat 28 mEq)
Asering
Plastic Bottle
PT Otsuka Indonesia
500 ML
KA EN 1B
Plastic Bottle
PT Otsuka Indonesia
500 ML
Totilac
flexybag 250
PT Kalbe Farma
mL
Ringerfundin
500 mL
LDPE (Low
Density Poly
PT. Phapros, Tbk
Ethilene), botol
plastik

gr)
372 gr/L, Potassium Chloride 0.3 gr/L,
Larutan
Elektrolit
Calcium mengandung
Chloride 0.2 gr/L,
(Tiap
1000 ml mengandung
elektrolit)
Larutan
mengandung
Karbohidrat
mmol/l, Malate
5.0 mmol/l)
Triofusin 1000 PT Kalbe Farmabotol 500 mL

Triofusin 500
Xylitol 30 g/ L)
376

Martos
(Maltose 100 gr)
Flexy bag 500

PT Kalbe Farma
mL
Plastic Bottle
PT Otsuka Indonesia
500 ML

377
Potacol inj
1.55
g sodium
lactate)Karbohidrat
Larutan
mengandung
Plastic Bottle
PT Otsuka Indonesia
500 ML

Clinimix
N9G20E
Botol Plastik
PT Kalbe Farma
1000 mL

Clinimix
N9G15E
Botol Plastik
PT Kalbe Farma
1000 mL

Wida HSD
PT. Widatra Bhakti
Botol 500 ml
ml)
383
injeksi ad 1000 ml)
Wida D5-NS
PT. Widatra Bhakti

Botol 500 ml

4,5 g)
PT. Widatra Bhakti

Botol 500 ml

1/4NS
2.25 g)
PT. Widatra Bhakti

Botol 500 ml

1/2NS
4.5
Larutan
PT. Widatra Bhakti

Botol 500 ml

387
Futrolit
Sorbitol
50g)
Larutan mengandung
Karbohidrat
Glukosa 5%)
Wida RD

KA ENMG 3
390
KA EN 3B
27 gr)
391
KA EN 3A
Dekstrosa 27 gr)
MCT/LCT 1%
ml)
100
393

(Emulsi lemak 20%)
Intralipid

MCT/LCT 1%
ml)
250
PT. Sanbe Farma

softbag 500ml
PT. Widatra Bhakti

Botol 500 ml
Plastic Bottle
PT Otsuka Indonesia
500 ML
Plastic Bottle
PT Otsuka Indonesia
500 ML
Plastic Bottle
PT Otsuka Indonesia
500 ML
20%, Botol
PT. Phapros, Tbk
Kaca @100 ml,
single bottle
Botol Gelas
100 ml
20%, Botol
PT. Phapros, Tbk
Kaca @250 ml,
single bottle

395
396
MCT/LCT 50 gr)
397
398
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Special 1250
kompartemen),
1250 ml
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Peri 1250
kompartemen),
1250 ml
Bag, 3
Nutriflex Lipid
chamber ( 3
PT. Phapros, Tbk
Special 625
kompartemen),
625 ml

stripFarmasi
5 x 0.6 ml
400

btl@2,5ml
Ivelip
Flexy bag 100

PT Kalbe Farma
mL
Xalatan
0,005%
dus, Botol @
2,5 ml
Granocyte 34
1vl HSA Free
Dus, 1 vial @
263 mcg + 1
PT. Aventis Pharma
prefilled
syringe pelarut
@ 1 ml
Dus, 3 blister
@ 10 tablet
402

mg
FEMARA
403

mg

Vial
404

Tapros 3M
mg

Vial
405

mg
TAPROS 3.75
MG

Vial
n/a

Botol @ 100
Laboratories
ml
n/a
ktk 5 x 10
PT. Kimia Farma
tablet
Optiflox
PT. Erela
Btl @ 5 ml
Euthyrox 100
PT. Merck Tbk
Dus 4 blister @
25 tablet
n/a
PT. Bernofarm
Dus, 100
ampul @ 2 ml
n/a
PT. Indofarma
Dus, 30 ampul
@ 2 ml
409
100 mcg
411

Xylocaine Jelly
Dus, 10
2%
syringe @ 10 g
Xylocaine
Dus,Botol @ 50
ml (500 dosis)
dosis
n/a
Box ,3 Strip @
10 tablet
n/a
Box ,3 Strip @
10 tablet
Frimania 200
KOTAK @ 10 x
10 TAB
Frimania 400
KOTAK @ 10 x
10 TAB
n/a
Dus, 10 Strip
@ 10 Tablet
n/a
PT. Indofarma
Merlopam 2
KOTAK @ 10 x
10 TAB
421

DIALIFER
100 mg/5 mL
Dus, 5 strip @
10 tablet

ampul
Laboratories
422 Manitol
n/a
PT. Finusolprima
botol
Farma
500Internasional
ml
Ludios
PT. Soho Industri

Strip
Pharmasi
Sandepril 50
KOTAK @ 5 x
10 TAB

acid/mL
Vermox 500
Dus,24 Catch
@ 1 tablet
Alkeran
Box, Tablet 2
mg/25's
n/a
PT. Bernofarm
Dus, 1 vial @ 1
g
n/a
PT. Bernofarm
Dus, 1 vial @
0,5 g
Uromitexan
injeksi.

Dus, 15 Ampul
n/a
n/a
PT. Bernofarm
Dus, 10 blister
@ 10 tablet
n/a
PT. Bernofarm
Dus, 10 blister
@ 10 kaptab
DOPAMET
Dus, 10 Strip
@ 10 tablet
salut selaput
0,125 mg
n/a
ktk 10 x 10
PT. Kimia Farma
tablet salut
Ritalin LA
Dus, botol
plastik @ 30
kapsul
pelepasan
lambat
RITALIN
Dus, 2 blister
@ 15 tablet
PT. Bernofarm
Dus, 1 vial @
125 mg
PT. Bernofarm
Dus, 1 vial @
500 mg
n/a
PT. Mahakam Beta

StripFarma
n/a
Dus, 10 Blister
@ 10 Tablet
n/a
Dus, 10 Blister
PT. Dexa Medica
@ 10 tablet
GAVISTAL
drops
PT. Meprofarm
LEXAPRAM
SIRUP
n/a
Dus @ 10 X 10
PT. Phapros, Tbk
's
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
Dus, Botol 10
ml
447

i.v/i.m./i.t. 5 mg
METHOTREXAT
Box 10 ampul
E EBEWE
@ 1 ml
448
2,5 mg
METHOTREXAT
Box, bottle @
50 tab
MG
Dus, 1 Botol @
100 ml
Vagizol
dus 1 's @ 5
PT. Kimia Farma
ovula
Flagyl
Dus, 2 blister
PT. Aventis Pharma
@5
suppositoria
n/a
10 strip @ 10
tab
n/a
10 strip @ 10
tab
Endoneuroscan
PT. Kimia Farmavial
KaeF 1
455

mL reaction vial
KaeF
Miloz 5 Inj

ampul
Laboratories
Miloz 15 Inj

ampul
Laboratories
Mycamine
PT. Combiphar
Cellcept

Ingelheim
50 tablet
Dus,1
vial@50mg
461

Mitomycin C
10 mg/vial
462

Btl @ 500 ml
lar inf 4%
PT. Widatra Bhakti

10 mg /Vial
Vigamox
botol, tetes
mata 3 ml
n/a

tube 10 gram
n/a
Dus 10 amp @
PT. Kimia Farma
1 ml
MST Continus
10 mg
Dus, 6 strip @
10 tablet
468

mg/ml
470

mg
471 Nacl 0,9%
MST Continus
15 mg
Dus, 6 strip @
10 tablet
n/a
Ktk 10 ampul
PT. Kimia Farma
@ 1ML
n/a
N-ace cairan
inhalasi
PT. Pratapa Nirmala

Box @ 5 ampul
n/a
PT. Widatra Bhakti

Botol 500 ml
472

syringe 0,3 mL
Fraxiparine 0.3
Dus, 5 blister
ml
@ 2 pfs 0.3 ml
473

syringe 0,4 mL
Fraxiparine 0.4
Dus, 5 blister
ml
@ 2 pfs 0.4 ml
474

syringe 0,6 mL
Fraxiparine 0.6
Dus, 5 blister
ml
@ 2 pfs 0.6 ml
Nokoba
Dus, 5 Ampul
PT. Pratapa Nirmala
@ 2ml
Meylon
PT Otsuka Indonesia
Ampoel 25 ML
n/a
Dus @ 5 X 10
PT. Phapros, Tbk
's
n/a
Dus @ 5 X 10
PT. Phapros, Tbk
's
Fleet
Phosphosoda
Fucilex
Ointment
Neostigmin
Hameln inj
Box, isi 5
ampul @ 1 ml
n/a
476
483

8,4%

PT. Bayer Indonesia
blister
oros
mg
Adalat Oros 30
PT. Bayer Indonesia
blister
mg
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
salut selaput

486
Tasigna
Nomor
HK.02.02/Menkes/223/2014)
Dus, 2 blister
@ 14 kapsul
Dus @ 10 X 10
PT. Phapros, Tbk
's

n/a
g
Dus @ 10 X 10
PT. Phapros, Tbk
's
488
Levosol
Dus 5 amp @ 8
PT. Kimia Farma
ml
Primolut N
PT. Bayer Indonesia

blister
491

Kategori 1
n/a
PT. Phapros, Tbk

Paket
492

Kategori 2
n/a
493

Kategori Anak
n/a
Dus,
1 dus @
Paket@84
tablet
Dus,
sachet
tablet60
tahap
tahap
intensif
intensif
@
(1 tablet
kategori
1+1
495
n/a
dewasa
Dus @ 54
kapsul
blister @ 3
Rifampicin,
tablet tahap2
tablet
496
n/a
anak
Pyrazinamide)
kategori 1
+ 120 sachet
tahap lanjutan
Dus,
ampul
@ (1 5
tablet
@
1ml
Isoniazid,
2
kapsul
Rifampicin)
Box ,5 Strip @
n/a
10 tablet
n/a
Box ,5 Strip @
10 tablet
500

ELOXATIN
/ vial
Dus, 1 vial @
PT. Aventis Pharma
20 ml
501

ELOXATIN
vial
Dus, 1 vial @
PT. Aventis Pharma
10 ml
502

0,025%
Ilaidin Drops
Dus, 10 ampul
@ 1 ml
Dus, vial @
355m + 1
prefilled
syringe pelarut
@ 2,5 ml + 2
jarum suntik
Tiacinon
504 Oktreotid 10 mg
Sandostatin
LAR
Zyprexa IM
PT. Bayer Indonesia

Vial
Olandoz 5

3 X 10 fcc
Olandoz 10

3 X 10 fcc
Patanol
botol, tetes
mata 5 ml
n/a
Dus, 1 Vial @
40 mg
n/a
n/a
PT. Indofarma
n/a

Box 3 X 10 Tab
Dus, 5 Ampul
@ 2ml
Transfer
Set:
Box
3 X 10
Tab
Set; Ultaclam:
Kantong
Plastik;
514
n/a
Catheter: Box;
Adaptor)
1.5%: Dianeal
Titanium
Low Calcium
Adaptor:
with
515
n/a 1,5%
Set
KantongDialisa
Plastik
Set per 6 bulan
Dextrose;
1.5 %: 2.000
Larutan Dialisa
ml; Larutan
Dialisa 2.5 %:
Low Calcium
Larutan Dialisa
%, Minicap)
Dextrose;
4.25 %: 2.000
Vial
6mg/ml
Larutan
Dialisa
ml; Minicap:
SINDAXEL
100
PT.
Actavis
Indonesia
(100mg/16.67
4.25%:
Dianeal
Kantong Plastik
MG/16,67
ML
ml)
Low Calcium
with 4.25%
SINDAXEL
Vial 6mg/ml
Dextrose
(260mg/43.33
ML
ml)
n/a
SINDAXEL 30
MG/5 ML
Vial 6mg/ml
(30mg/5ml)
n/a
520

@15ml (60mg/0,6ml)
n/a
PT. Afifarma
botol 60 ml
n/a
Dus, 10
Strip@10
Kaplet Salut
Selaput
FASIDOL
Dus, botol @
15 ml
524

135 mcg/0,5 ml
Pegasys

Ingelheim
1 pfs
525

180 mcg/0,5 ml
Pegasys

Ingelheim
1 pfs
Dus, 1 vial 100
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
Dus,
1 prefilled
2 jarum
syringe (serbuk
Sharpinjeksi
Dohme
120mcg
Pharma
+ pelarut 0.5
Dus,
50
ml) +11vial
jarum
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
Dus,
1 vial 80
2 jarum
mcg + 1 ampul
Sharppelarut
Dohme
0,7
Pharma
ml
+ 1 syringe +
2 jarum
526

inj 100 mcg
Pegintron Vial
100 Mcg
PT. Merck
527

inj 120 mcg
Pegintron Pen
120 Mcg
PT. Merck
528

inj 50 mcg
Pegintron
PT. Merck
529

inj 80 mcg
Pegintron Vial
80 Mcg
PT. Merck
BURNAZIN 35
GR
tube @ 35
PT. Darya Varia
gram
Bioprexum 5
mg
Dus, botol
plastik @ 30
PT. Pradja Pharin
tablet salut
selaput
Scabimite
Cream 10

g
n/a
Ktk 10
PT. Kimia Farma
ampx2ml
DECULIN 15
MG
PT. Dexa Medica

30 TAB/BOX
DECULIN 30
MG
PT. Dexa Medica

30 TAB/BOX
n/a
n/a
Dus, 25 Blister
PT. Holi Pharma
@ 4 tablet
n/a
Dus 10 strip @
PT. Holi Pharma
10 tablet
533
537

50 mg/ml (HCl)

mg
Tbk
Tbk
Tbk
Tbk
Aptil
Dus, Botol @
PT. Pratapa Nirmala
10ml
n/a
PT. Afifarma
botol @ 1000
ml
PT. Afifarma
botol @ 30 ml
n/a
PT. Afifarma
botol @ 300 ml
Sifrol ER
0,375mg
Dus, 3 alu
Ingelheim
@ 10
tablet
Sifrol ER
0,750mg
Dus, 3 alu
Ingelheim
@ 10
tablet
n/a
Box ,5 Strip @
10 tablet
n/a
n/a
Dus, 10 strip @
PT. Holi Pharma
10 tablet
540
542
546

ml

ml

548
n/a
100 mg
PT. Indofarma
Botol @ 100
Tablet
Fresofol 1%
MCT/LCT
PT. Fresenius Kabi

Ampul
Combiphar
n/a
Dus, 10 strip @
PT. Holi Pharma
10 tablet
Seroquel XR
200 mg
Dus, 1 blister
@ 10 tablet
Seroquel XR
300 mg
Dus, 1 blister
@ 10 tablet
Seroquel XR
400 mg
Dus, 1 blister
@ 10 tablet
Cardace 2.5mg
Dus, 6 blister
6x10 s tablet
@ 10 tablet
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 kaptab
n/a
Dus, 10 strip @
10 tablet
556
mg
n/a
Dus, 10 Ampul
@ 2 ml
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
salut selaput
n/a
Botol 50 kapsul
PT. Kimia Farma
lunak
560

kapsul lunak
n/a
561
300 mg
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kapsul
562
600 mg
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kaplet
n/a
PT. Indofarma
Dus, 10 Strip
@ 10 Kapsul
n/a
PT. Widatra Bhakti

botol 500 ml
n/a
Dus, 5 Blister
PT. Dexa Medica
@ 10 tablet
n/a
KOTAK @ 5 x
10 TAB
n/a
Dus, 5 Blister
PT. Dexa Medica
@ 10 tablet

568
Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Mabthera
Dus, 1 vial @
10 ml

Blister

Blister

Blister
Requip PD 24
Hour 2 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Requip PD 24
Hour 4 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Requip PD 24
Hour 8 mg
Dus, 7 blister
PT. Glaxo Wellcome
@ 4 Tablet
Indonesia
lepas Lambat
Ventolin
Nebules
Dus, 4x5 Botol

Plastik@2.5 ml
Ventolin
Inhaler
Dus, botol 200

dosis
Ventolin
Rotacaps
Dus, 10 Blister
@ 10 Kapsul
578

+ rotahaler
Rotahaler
Dus, 1
Rotahaler
579

Sulfat)
n/a
strip @ 10
tablet
580

Sulfat)
n/a
ktk 10 x 10
PT. Kimia Farma
tablet
581

n/a

Pot @ 30 gram
582

mg/5ml
n/a
Dus, Botol 60
PT. Holi Pharma
ml
n/a
PT. Hexpharm Jaya

stripLaboratories
n/a
PT. Bernofarm
576

mcg/dosis
Dus, 10 strip @
10 kapsul
Dus, Botol 60
PT. Holi Pharma
ml
n/a
Dus, 5 Strip @
10 Kapsul
n/a
Dus, 2 Vial @ 1
PT. Dexa Medica
gram
588 Sefepim inj 1 g
n/a

vial
Laboratories
n/a
PT. Bernofarm
n/a
Dus, Botol 30
ml
n/a
Dus, 2 vial @ 1
PT. Holi Pharma
g
n/a
PT. Hexpharm Jaya

vial Laboratories
590

ml
Dus, 10 blister
@ 10 kapsul
n/a
Dus, 10 Vial @
1g
Dus, 3 blister
@ 10 tablet
Dus, 2 vial @ 1
g
n/a
597
250 mg
Dus, 10 Vial @
1g
Dus, 1 Blister
@ 10Indonesia
Tablet
salut selaput
Zinnat 500
Dus, 1 Blister
PT. Glaxo Wellcome
@ 10Indonesia
Tablet
salut selaput
Fatral
PT. Pratapa Nirmala

strip @ 10 tab
n/a
n/a
Box, 10 strips
PT. Pertiwi Agung
@ 10 capsules

602
Erbitux
Nomor
HK.02.02/Menkes/223/2014)
PT. Merck Tbk
Sojourn
PT. Pratapa Nirmala

tabung/botol
PT. Lucas Djaja
Dus, 1 vial @
20 ml
604

injeksi 500 mcg
n/a
100 ampul @ 1
ml
605

1000 mg
Cyclovid 1000
vial
Laboratories
mg
606

200 mg
Cyclovid 200
mg
607

500 mg

Vial
Laboratories

vial
Laboratories
Sandimmun
Dus, 10 blister
@ 5 kapsul
Kap
lunak
Sandimmun
Neoral 25mg
Kap
Dus, 10 blister
@ 5 kapsul
lunak
n/a
Box,3 strips @
PT. Pertiwi Agung
10 tablets
n/a
Dus, 3 Strip @
10 Kaplet
Prima
salut
selaput
n/a
PT. Dexa Medica

Vial 200 ml
n/a
PT. Bernofarm
Cisplatin
PT Kalbe Farmavial
Cisplatin
PT Kalbe Farmavial
613
616

(sebagai HCl)

Dus, 10 blister
@ 10 tab ss
dus, 1 vial @
10 ml
Dus, 5 strip @
10 tablet
n/a
PT. Indofarma
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
n/a
Dus, 10 Strip
PT. Dexa Medica
@ 10 tablet
620

UI/vial
Streptase
PT. Dexa Medica

Vial
621

1000 mg/ml
n/a
PT. Phapros, Tbk

Dus @ 56 Vial

622
mcg/ml
Sufentanyl
Injeksi
iv.Epidural 5
mcg / ml
dus 5 amp @
PT. Kimia Farma
dus 10
Ulsafate
ULSIDEX
DUS, 10 STRIP
PT. Dexa Medica
@ 10 TAB
Prograf
Pounch @ 5
capsule
Prograf
Dus, 1 pouch
kaps
Harnal D
PT. Combiphar
Harnal D 0.2
Box/ 2 blister
mg Disp.
PT. Combiphar
@ 14 tablet
Tablet
Box @ 2 blister
@ 14 tablet
Harnal
OCAS 0.4 mg
Tablet
Sebivo 600 mg
Dus, 2 blister
Tab
@ 14 tablet

Ingelheim
@10
tablet
Box, 2 blisters
@10 tablets
Temodal
Dus, 5 sachet
@ 1 kapsul
Temodal
Dus, 5 sachet
@ 1 kapsul
n/a
Rethapyl
Dus 10-s @ 10
PT. Kimia Farma
Kaptab
PT. Combiphar
Box/ 3 blister
@ 10 Tablet
637

HYTROZ 1MG
1 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
638

HYTROZ 3MG
2 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
Bricasma
Respules
Dus, 2 pak @ 5
respules
Molasma
Tablet
641

mg
Bricasma
Dus, 1
Turbuhaler
indonesia@
mg
200 dosis
Andriol
Testocaps
Dus, 6 blister
10 kapsul
Pharma Tbk
lunak
Pantocain
0.5%
PT. Cendo Industri

botol
Farmasi
5 ml
n/a
Dus, 10 strip @
PT. Holi Pharma
10 kapsul
n/a
PT. Afifarma
DUS,10 STRIP
@ 10 KAPSUL
Thyrozol 10
PT. Merck Tbk
Dus, 10 blister
@ 10 tablet
645
500 mg
Dus, 10 blister
@ 10 tablet
Thyrozol 5
PT. Merck Tbk
Isotic Adretor
0,25%
Dus, Botol
PT. Pratapa Nirmala
Plastik @ 5ml
Isotic Adretor
0,5%
Dus, Botol
PT. Pratapa Nirmala
Plastik @ 5ml
Spiriva 10s +
Handihaler
Dus, 1 blister
PT. Boehringer @10
Ingelheim
kapsul +
handihaler
n/a
Dus, 10 Ampul
@ 2 ml

652
HK.02.02/Menkes/223/2014)
Herceptin
Dus, 1 vial @
440 mg + 1
vial pelarut @
20 ml
Travatan
botol, tetes
mata 2,5 ml
650

handihaller
654

Nasacort AQ
55 mcg/puff
Dus, botol
PT. Aventis Pharma
plastik 120
dosis
n/a
656 Urea krim 10%
Soft U Derm

tube
Laboratories
657

Imovax Polio
658

RABIPUR
1 vial of 10ml
PT. Aventis Pharma
(10 d's)
Dus, 1 vial
serbuk + 1
ampul @ 1 ml
pelarut + 1
syringe &
jarum suntik
Valcyte

Ingelheim
60 tablet
Depakene

botol
Depakote ER
250 mg

Tablet
Depakote ER
500 mg

Tablet
Depakote Tab
250 mg
Tablet salut
250 mg
Diovan 80mg
Tab
Dus, 2 blister
@ 14 tablet
666

mg/vial
DIOVAN 160
MG
Dus, 2 blister
@ 14 tablet
Vancep
PT. Pratapa Nirmala

Box @ 2 vial

Tablet
n/a
Vinblastine
PT. Combiphar
Vincristine
Kalbe
Vincristine
Kalbe
Navelbine
injeksi 10
Dus, 1 vial @ 1
ml
n/a
Dus 10 strip x
PT. Kimia Farma
10 tab
n/a
674

150 mg
Vial
10mg/10ml
Drops 10
@15 ml
Zircum Kid
Sirup
PT. Meprofarm
n/a
Dus, 10 strip @
dispersible
Dus, botol 60
ml
No
Nama
Dagang
Nama Obat Generik
Nama
Penyedia
Kemasan
Eprex 2000
Dus, 6 prefilled
PT. Soho Industri
syrenge
Pharmasi
@ 0.5
ml
Zoloral SS
PT. Ikapharmindo
Botol 80 ml
n/a
ktk 5 x 10
PT. Kimia Farma
tablet
ULSIDEX
DUS, 10 STRIP
PT. Dexa Medica
@ 10 TAB
Rethapyl
Dus 10-s @ 10
PT. Kimia Farma
Kaptab

HYTROZ 1MG
1 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB

HYTROZ 3MG
2 mg
DUS, 10
PT. Dexa Medica
BLISTER @ 10
TAB
Depakote Tab
250 mg
Tablet salut
250 mg
JUMLAH KEBUTUHAN
1,000
PEMAKAIAN 2014
182
PEMBELIAN 2014
TOBER 2014
Harga Satuan Terkecil

(Rp)
Tanggal Berlaku
Harga
Tanggal Berlaku
Harga

E Katalog

Diunggah oleh

Informasi Dokumen

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Hak Cipta:

Format Tersedia

No

Nama Obat Generik

Adefovir Dipivoksil tablet/kaplet

3 Air untuk irigasi lar infus 1000 ml

PT. Widatra Bhakti

4 Albendazol suspensi 200 mg/5 ml n/a

PT. Kimia Farmaktk 5 x 6 tablet

Albumin serum normal (human

Albumin serum normal (human

Albumin serum normal (human

Albumin serum normal (human

15 Alteplase injeksi 50 mg/vial

16 Amfoterisin B salep mata 1%

PT. Cendo Industri

17 Amikasin injeksi 250 mg/ml

PT. Sanbe Farma

18 Aminofilin injeksi 24 mg/ml

19 Aminofilin tablet scored 200 mg

21 Amiodaron injeksi 150 mg/3 ml

22 Amiodaron tablet/kaplet 200 mg

Amitriptilin tablet salut 25 mg

26 Amoksisilin kapsul/kaplet 250 mg n/a

Amoksisilin sirup kering forte 250

Amoksisilin sirup kering 125 mg/ 5

Ampisilin serbuk injeksi i.v. 1000

Analog insulin long acting inj 100

UI/ml, Analog insulin mix acting inj

Novorapid Vial PT. Ferron Par Pharmaceuticals

Antasida DOEN I tablet kunyah,

PT. Lucas Djajabtl 60 ml

Antimalaria DOEN kombinasi :

Antimigren: Ergotamin Tartrat 1

PT. Kimia FarmaBtl 100 tablet

Antiparkinson DOEN tablet

Levopar Tablet PT. Meprofarm

45 Artemether injeksi 80 mg/ml

Asam Asetilsalisilat (asetosal)

Asam Asetilsalisilat (asetosal)

Asam Askorbat (Vitamin C) tablet

Asam Askorbat (Vitamin C) tablet

Asam Folat tablet/kapsul/kaplet

Asam Folat tablet/kapsul/kaplet 1

52 Asam Ibandronat injeksi 6mg/6ml Bondronat

Asam Mefenamat kapsul/kaplet

54 Asam pipemidat kapsul 400 mg

Asam traneksamat injeksi 100

PT. Boehringer Boks,

Asam traneksamat injeksi 50

57 Asam zoledronat injeksi 4mg/5mL ZOMETA

58 Asiklovir salep mata 3%

PT. Sanbe Farma

Asiklovir tablet/kapsul/kaplet 200

Asiklovir tablet/kapsul/kaplet 400

Asparaginase serbuk injeksi

PT. Widatra Bhakti

62 Atapulgit tablet 600 mg

63 Atrakurium injeksi 25 mg/2,5 ml

64 Atropin Sulfat tablet 0,5 mg

PT. Soho Industri

66 Azitromisin tablet 500 mg

PT. Kimia Farmaktk 2x10 tablet

67 Azitromisin tablet 250 mg

PT. Soho Industri