Harga Obat Generik 2008
Harga Obat Generik 2008
Menimbang
Mengingat
2.
3.
4.
5.
6.
8.
9.
Keputusan
Menteri
Kesehatan
Nomor
497/
Menkes/SK/VII/ 2006 tentang Daftar Obat Esensial
Nasional 2005;
MEMUTUSKAN:
Menetapkan
Pertama
Kedua
Keempat
Kelima
Keenam
Ketujuh
Kedelapan
Ditetapkan di Jakarta
Pada tanggal 26 Maret 2008
Lampiran
LAMPIRAN
KEPUTUSAN
KESEHATAN
KeputusanMENTERI
Menteri Kesehatan
RI
NOMOR
302/Menkes/SK/III/2008
Nomer
TANGGAL 26 MARET 2008
Tanggal
NO
NAMA OBAT
BENTUK
SEDIAAN
HARGA SATUAN
KEMASAN
HNA + PPN
HET
tablet
1.375,00
tablet
1.375,00
1.980,00
2.475,00
1 blister
3.135,00
3.918,75
1 blister
3.575,00
4.468,75
1 blister
5.968,00
7.460,00
1 vial
4.455,00
5.568,75
1 vial
3 Alat Kontrasepsi
Pil KB I : Ethinylestradiol 0,03 mg +
Levonorgestrel 0,15 mg
- Pil KB II: Lynestrenol 0,5 mg
-
tablet dalam
blister
tablet dalam
blister
tablet dalam
blister
larutan 3 ml / vial
larutan 0,5 ml /
vial
implant
implant
implant
tablet
tablet
tablet
269.840,00 337.300,00
95.579,00 119.473,75
47.234,17 59.042,71
304,50
380,63
120,00
150,00
222,93
278,67
1 set 1 implant
1 set 2 implant
1 set 6 implant
ktk 5 x 6
ktk 10 x 10
ktk 3 x 10
7
8
9
10
11
12
tablet
tablet
tablet
sirup 60 ml
tablet
tablet
484,00
585,00
900,00
2.584,00
113,27
88,19
605,00
731,25
1.125,00
3.230,00
141,59
110,24
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
btl 60 ml
ktk 10 x 10
ktk 10 x 10
larutan 10 ml /
ampul
1.191,47
1.489,33
ktk 30 ampul
31,01
65,00
80,30
92,10
238,00
238,00
370,00
38,76
81,25
100,38
115,13
297,50
297,50
462,50
btl 1000
btl 1000
btl 100
ktk 10 x 10
ktk 10 x 10
ktk 12 x 10
ktk 10 x 10
4.630,70
5.788,38
ktk 10 vial
3.400,00
4.250,00
btl 60 ml
238,00
370,00
297,50
462,50
ktk 10 x 10
ktk 10 x 10
3.176,00
3.970,00
ktk 10 vial
2.055,80
2.569,75
ktk 10 vial
3.400,00
4.250,00
btl 60 ml
tablet
tablet
tablet
tablet salut
kapsul
kapsul
kaplet
serbuk dalam
vial
granul dalam
botol
kaplet
kaplet
serbuk 1000
mg/ml dalam vial
serbuk 500
mg/vial
granul dalam
botol
tablet kunyah
30,53
38,17
btl 1000
tablet kunyah
91,17
113,96
ktk 10 x10
suspensi 60 ml
2.643,00
3.303,75
btl 60 ml
salep 5 gram /
tube
1.720,00
2.150,00
ktk 25 tube
31
salep 30 gram /
pot
1.154,17
1.442,71
ktk 24 pot
supp
2.000,00
2.500,00
ktk 10
tablet
473,00
591,25
ktk 10 x 10
Antimigren:
Ergotamin Tartrat 1 mg + Kofein 50 mg
tablet
102,80
128,50
btl 100
tablet
776,70
970,88
ktk 10 x 10
larutan 20 ml /
vial
1.500,00
1.875,00
ktk 10 vial
12.500,00
15.625,00
ktk 6 ampul
19.000,00
59,49
99,62
74,00
18,64
26,43
32,19
31,45
74,56
127,00
186,97
23.750,00
74,36
124,53
92,50
23,29
33,04
40,24
39,31
93,20
158,75
233,71
ktk 8 vial
ktk 10 x 10
ktk 10 x 10
btl 250
btl 1000
btl 1000
btl 100
btl 1000
ktk 10 x 10
ktk 10 x 10
btl 100
3.000,00
3.750,00
tube 5 gram
500,00
550,00
400,19
750,00
650,00
589,00
625,00
687,50
500,24
937,50
812,50
736,25
ktk 3 x 10
ktk 5 x 10
ktk 10 x 10
ktk 3 x 10
ktk 5 x 10
ktk 10 x 10
32
50 Asiklovir krim 5%
51
52
53
54
55
56
Asiklovir tablet
Asiklovir tablet
Asiklovir tablet
Asiklovir tablet
Asiklovir tablet
Asiklovir tablet
200 mg
200 mg
200 mg
400 mg
400 mg
400 mg
larutan 1 ml /
ampul
60 mg / vial
tablet
tablet
tablet
tablet
tablet
tablet
tablet
kapsul
kaplet
tablet
krim 5 gram /
tube
tablet
tablet
tablet
tablet
tablet
tablet
57 Atenolol tablet 50 mg
58 Atenolol tablet 100 mg
59 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat)
60 Atropin Sulfat tablet 0,5 mg
61 Atropin tablet 0,5 mg
62 Atropin Sulfat tetes mata 0,5%
63 Atropin tetes mata 0,5 % (Sulfat)
64 Azatioprin tablet 50 mg
65 Benzatin Benzil Penisilin 1,2 juta IU/ vial
66 Benzatin Benzil Penisilin 2,4 juta IU/vial
67 Besi (II) sulfat 7 H2O tablet salut 300 mg
Besi II Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet
68
tambah darah kombinasi )
69 Betahistin Mesilat tablet 6 mg
70 Betametason krim 0,1 % (sebagai Valerat)
71 Betametason krim 0.1%
72
73
74
75
76
77
78
79
tablet
tablet
larutan 1 ml /
ampul
tablet
tablet
larutan 0,5%/5 ml
/ botol
larutan 0,5%/5 ml
/ botol
tablet
larutan 20 ml /
vial
larutan 20 ml /
vial
tablet salut
269,79
509,92
337,24
637,40
ktk 10 x 10
ktk 5 x 10
372,53
465,67
ktk 30 amp
26,20
26,20
32,75
32,75
btl 500
btl 100
2.800,67
3.500,83
ktk 24 btl
3.025,00
3.781,25
btl 5 ml
209,48
261,85
ktk 10 x 10
3.802,50
4.753,13
ktk 10 vial
5.400,00
6.750,00
ktk 10 vial
21,86
27,33
btl 1000
tablet
27,30
34,13
100 sase
tablet
krim 5 gram /
tube
krim 5 gram /
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
tablet
krim 10 gram /
tube
tablet
924,00
1.155,00
ktk 3 x 10
2.026,00
2.532,50
tube 5 gram
1.800,00
2.250,00
ktk 25 tube
69,97
2.443,87
40,55
330,00
313,50
783,75
1.358,50
950,00
87,46
3.054,83
50,69
412,50
391,88
979,69
1.698,13
1.187,50
ktk 10 x 10
ktk 3 x 10
ktk 10 x 10
ktk 3 x 10
ktk 5 x 10
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
11.704,00
14.630,00
tube 10 gram
31,50
39,38
btl 1000
Diazepam tablet 2 mg
Diazepam tablet 5 mg
Diazepam tablet 5 mg
Dietilkarbamazin Sitrat tablet 100 mg
larutan 1 ml /
ampul
tablet
tablet
larutan 500 ml /
botol
sirup 60 ml /
botol
tablet
tablet
larutan 2 ml /
ampul
tablet
tablet
tablet
tablet
larutan 1 ml /
ampul
tablet
tablet
kapsul
kapsul
kapsul
tablet
tablet
kapsul
kapsul
tablet
suspensi 60 ml /
botol
tablet
640,91
801,14
57,45
24,09
71,81
30,11
ktk 10 x 10
btl 1000
35.526,00
44.407,50
btl 500 ml
2.400,00
3.000,00
btl 60 ml
99,00
35,64
123,75
44,55
ktk 10 x 10
btl 1000
872,57
1.090,71
ktk 30 ampul
13,20
28,75
34,77
73,64
16,50
35,94
43,46
92,05
btl 1000
btl 250
btl 1000
ktk 10 x 10
459,57
574,46
ktk 30 ampul
66,12
83,21
239,82
332,19
443,11
151,63
88,95
248,77
215,50
416,10
82,65
104,01
299,78
415,24
553,89
189,54
111,19
310,96
269,38
520,13
btl 100
ktk 10 x 10
ktk 100
ktk 25 x 4
ktk 25 x 4
ktk 10 x 10
btl 100
btl 100
ktk 10 x 10
ktk 10 x 10
12.650,00
15.812,50
btl 60 ml
35,39
44,24
btl 1000
Fenobarbital tablet 30 mg
Fenobarbital tablet 100 mg
Fenobarbital tablet 100 mg
Fenoksimetil Penisilin tablet 250 mg
Fenoksimetil Penisilin tablet 500 mg
tablet
larutan 1 ml /
ampul
kapsul
kapsul
kapsul
sirup 60 ml /
botol
larutan 300 ml /
botol
tablet
tablet
tablet salut
kapsul
tablet
tablet
tablet
kapsul
kapsul
larutan 2 ml /
ampul
larutan 1 ml /
ampul
tablet
tablet
tablet
tablet
tablet
larutan 5 ml /
botol
tablet
17,89
22,37
btl 1000
345,70
432,13
ktk 30 ampul
337,82
337,04
534,99
422,28
421,30
668,74
ktk 10 x 10
ktk 12 x 10
ktk 10 x 10
5.219,00
6.523,75
btl 60 ml
1.254,00
1.567,50
btl 300 ml
214,01
186,34
308,67
7.348,00
113,10
177,00
72,38
93,57
58,04
267,51
232,93
385,84
9.185,00
141,38
221,25
90,47
116,97
72,56
ktk 10 x 10
ktk 20 x 10
ktk 10 x 10
btl 10
ktk 5 x 10
ktk 5 x 10
btl 1000
btl 250
btl 250
48.368,00 60.460,00
ampul 2 ml
670,00
837,50
ktk 30 ampul
25,00
44,00
44,00
210,92
370,63
31,25
55,00
55,00
263,65
463,29
btl 1000
btl 250
btl 1000
ktk 10 x 10
ktk 10 x 10
770,83
963,54
ktk 24 btl
21,86
27,33
btl 1000
142
143
144
145
146
Glibenklamida tablet 5 mg
Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Glipizid tablet 5 mg
tablet
larutan 1 ml /
ampul
kapsul
tablet
tablet
larutan 2 ml /
ampul
tablet
tablet
tablet
680,62
850,78
btl 100
977,67
1.222,08
ktk 30 amp
485,60
34,64
40,51
607,00
43,30
50,64
ktk 10
btl 100
btl 100
1.035,04
1.293,80
ktk 25 amp
72,02
65,42
55,96
90,02
81,78
69,96
ktk 20 x 10
ktk 10 x 10
btl 250
lotion 30 ml /
botol
2.200,00
2.750,00
btl 30 ml
serbuk dalam
sachet
304,56
380,70
serbuk dalam
sachet
352,00
440,00
ktk 25 sachet
265,64
475,66
2.566,00
332,05
594,58
3.207,50
ktk 12 x 10
ktk 10 x 10
ktk 1 vial
2.500,00
3.125,00
ktk 5 ampul
1.650,00
2.062,50
ktk 10 tube
2.973,00
3.716,25
btl 5 ml
450,00
562,50
btl 10 ml
60,00
914,38
1.724,26
2.351,26
3.135,00
315,80
75,00
1.142,98
2.155,33
2.939,08
3.918,75
394,75
ktk 10 x 10
ktk 5 x 10
ktk 5 x 10
ktk 5 x 10
ktk 5 x 10
ktk 30
kapsul
tablet
larutan 2 ml / vial
larutan 2 ml /
ampul
salep 5 gram /
tube
larutan 5 ml /
botol
larutan 10 ml /
botol
tablet
tablet
tablet
tablet
tablet
tablet
tablet
tablet
cairan 100 ml /
botol
larutan 500 ml /
botol
larutan 25 ml /
ampul
larutan 500 ml /
botol
tablet
tablet
tablet
tablet
tablet
tablet
tablet
krim 5 gram /
tube
krim 5 gram /
tube
krim 5 gram /
tube
tablet
tablet
tablet
kapsul
kapsul
tablet
tablet
tablet
kapsul
617,50
23,24
771,88
29,05
ktk 10 x10
btl 1000
4.180,00
5.225,00
btl 100 ml
4.100,00
5.125,00
btl 500 ml
1.040,00
1.300,00
ktk 10 ampul
3.821,00
4.776,25
btl 500 ml
110,97
238,01
60,24
122,29
82,58
95,25
22,00
138,71
297,51
75,30
152,86
103,23
119,06
27,50
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
btl 1000
1.750,00
2.187,50
tube 5 gram
2.484,50
3.105,63
ktk 24 tube
2.825,00
3.531,25
tube 5 gram
300,00
73,36
147,51
39,61
930,00
25,00
66,14
65,24
1.520,00
375,00
91,70
184,39
49,51
1.162,50
31,25
82,68
81,55
1.900,00
ktk 10 x 10
btl 100
ktk 10 x 10
ktk 10 x 10
btl 100
btl 1000
btl 1000
ktk 10 x 10
ktk 3 x 10
182
183
184
185
186
187
188
189
190
191
192
193
tablet
tablet
tablet
tablet
tablet
tablet
tablet
tablet
tablet
tablet
tablet
tablet
larutan 20 ml /
vial
krim 15 gram /
tube
tablet
larutan 1 ml /
ampul
tablet
larutan 1 ml /
ampul
larutan 1 ml /
ampul
kapsul
kapsul
kapsul
kapsul
kapsul
tablet
390,84
708,02
287,90
381,60
43,22
39,33
70,90
70,90
137,75
146,30
236,19
246,45
488,55
885,03
359,88
477,00
54,03
49,16
88,63
88,63
172,19
182,88
295,24
308,06
ktk 5 x 10
ktk 5 x 10
tube 10
btl 10
btl 100
btl 1000
ktk 10 x 10
ktk 6 x 10
ktk 10 x 10
ktk 6 x 10
ktk 10 x 10
ktk 10 x 10
11.020,00 13.775,00
ktk 10 vial
7.000,00
8.750,00
tube 15 gram
372,00
465,00
ktk 5 x 10
5.197,50
6.496,88
ktk 6 ampul
1.227,60
1.534,50
ktk 10 x 10
9.900,00 12.375,00
ktk 6 ampul
14.850,00 18.562,50
ktk 6 ampul
510,00
679,70
900,00
752,75
2.309,77
1.764,80
637,50
849,63
1.125,00
940,94
2.887,21
2.206,00
ktk 5 x 10
ktk 10 x 10
ktk 5 x 10
ktk 10 x 10
btl 100
btl 10
207
208
209
210
tablet
kapsul
kapsul
kapsul
salep 5 gram /
tube
suspensi 60 ml /
botol
larutan 5 ml /
botol
larutan 5 ml /
botol
tablet
tablet
tablet
larutan 2 ml /
ampul
larutan 2 ml /
ampul
tablet salut
tablet
tablet salut
tablet
tablet
tablet
tablet
tablet
tablet
205,00
150,05
180,83
153,10
256,25
187,56
226,04
191,38
ktk 10 x 10
btl 1000
ktk 12 X 10
btl 250
1.563,00
1.953,75
tube 5 gram
3.370,00
4.212,50
btl 60 ml
2.500,00
3.125,00
btl 5 ml
1.000,00
1.250,00
ktk 24 btl
6,50
58,44
68,20
8,13
73,05
85,25
btl 1000
btl 1000
btl 1000
375,97
469,96
ktk 30 ampul
418,33
522,92
ktk 30 amp
24,45
79,44
83,19
307,11
388,44
661,80
864,40
330,00
271,78
30,57
99,30
103,99
383,89
485,55
827,25
1.080,50
412,50
339,73
btl 1000
btl 250
btl 1000
btl 1000
btl 250
btl 250
btl 250
btl 20
ktk 10 x 10
tablet
100,00
125,00
ktk 10 x 10
tablet
49,86
62,33
ktk 10 x 10
2.839,00
3.548,75
btl 60 ml
suspensi 60 ml /
botol
232
233
234
235
tablet
tablet
tablet
tablet
larutan 2 ml /
ampul
larutan 2 ml /
ampul
tablet
tablet
kapsul
tablet
tablet
tablet
larutan 2 ml /
ampul
156,98
301,38
418,00
249,52
196,23
376,73
522,50
311,90
btl 1000
btl 1000
ktk 10 x 10
ktk 60
1.171,17
1.463,96
ktk 30 ampul
1.345,61
1.682,01
243,67
1.760,00
1.760,00
124,20
83,11
1.214,40
304,59
2.200,00
2.200,00
155,25
103,89
1.518,00
btl 1000
btl 60
ktk 2 x 10
btl 25
ktk 4 x 9
ktk 5 x 10
573,00
716,25
larutan 2 ml / vial
451,50
564,38
ktk 30 vial
kapsul
tablet
kapsul
kapsul
tablet
tablet
tablet
tablet
tablet
larutan 25 ml /
vial
larutan 25 ml /
vial
277,78
277,78
650,00
650,00
641,53
811,73
372,27
91,55
343,20
347,23
347,23
812,50
812,50
801,92
1.014,67
465,33
114,44
429,00
ktk 5 x 12
ktk 10 x 10
ktk 5 x 10
ktk 5 x 12
ktk 3 x 10
ktk 3 x 10
ktk 3 x 10
ktk 10 x 10
ktk 5 x 10
1.539,80
1.924,75
ktk 10 vial
1.947,90
2.434,88
ktk 10 vial
Metilprednisolon tablet 16 mg
Metilprednisolon tablet 16 mg
Metilprednisolon tablet 4 mg
Metilprednisolon tablet 8 mg
serbuk dalam
sase
sirup 30 ml /
botol
tablet
tablet
supp
tablet
tablet
tablet
larutan 2 ml /
ampul
tablet
tablet
tablet
tablet
tablet
tablet
larutan 1 ml /
ampul
tablet
tablet
tablet
tablet
larutan 2 ml /
ampul
sirup 60 ml /
botol
tablet
tablet
larutan 100 ml /
botol
1.026,60
1.283,25
ktk 10 sase
2.035,00
2.543,75
btl 30 ml
180,00
141,03
7.700,00
990,00
1.485,00
219,80
225,00
176,29
9.625,00
1.237,50
1.856,25
274,75
ktk 10 x 10
ktk 5 x 6
supp
ktk 5 x 10
ktk 5 x 10
btl 25
407,80
509,75
ktk 30 ampul
51,58
90,00
124,18
201,12
272,29
64,47
112,50
155,23
251,40
340,36
btl 1000
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
btl 100
109,96
137,45
ktk 10 x 10
1.291,53
1.614,42
ktk 30 ampul
1.411,67
1.411,67
525,00
705,83
1.764,58
1.764,59
656,25
882,29
ktk 3 x 10
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
914,40
1.143,00
ktk 10 ampul
1.919,00
2.398,75
btl 60 ml
76,30
73,17
95,38
91,46
ktk 10 x 10
ktk 10 x 10
19.800,00
24.750,00
btl 100 ml
Morfin tablet 10 mg
Natrium Bikarbonat tablet 500 mg
Natrium Diklofenak tablet 50 mg
Natrium Diklofenak tablet 25 mg
tablet
tablet
krim/salep 10
gram / tube
krim 10 gram /
tube
krim 5 gram /
tube
larutan 1 ml /
ampul
tablet
tablet
tablet
tablet
larutan 5 ml /
botol
larutan 500 ml /
botol
larutan 10 ml /
ampul
kapsul
tablet
tablet
tablet salut
tablet vaginal
tablet
tablet/kapsul
dalam paket
tablet/kapsul
dalam paket
tablet/kapsul
dalam paket
tablet/kapsul
dalam paket
tablet/kapsul
dalam paket
larutan 100 ml /
botol
84,81
116,28
106,01
145,35
ktk 10 x 10
ktk 10 x 10
3.000,00
3.750,00
tube 10 gr
24.750,00
30.937,50
tube 10 gram
14.850,00
18.562,50
tube 5 gram
10.208,50
12.760,63
ktk 10 ampul
1.205,97
9,75
217,68
167,68
1.507,46
12,19
272,10
209,60
btl 30
btl 1000
ktk 5 x 10
ktk 5 x 10
3.925,67
4.907,08
ktk 24 btl
4.059,00
5.073,75
btl 500 ml
1.476,80
1.846,00
ktk 10 ampul
333,16
2.750,00
107,85
461,08
288,91
65,05
416,45
3.437,50
134,81
576,35
361,14
81,31
ktk 10 x 10
btl 60
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
btl 100
236.000,00 295.000,00
Paket / dos
376.500,00 470.625,00
Paket / dos
154.000,00 192.500,00
Paket / dos
127.200,00 159.000,00
Paket / dos
66.000,00
82.500,00
Paket / dos
1.250,00
1.562,50
btl 100 ml
larutan 200 ml /
botol
btl / ktk
aerosol 100 ml /
vial
cairan 10 ml /
botol
set / btl
pasta dalam
tube
larutan 10 ml /
botol
pasta dalam
botol
30 gram serbuk
dan cairan / botol
100 gram serbuk
dan cairan / botol
tablet
tablet
salep 3,5 gram /
tube
larutan 10 ml /
vial
salep 3,5 gram /
tube
salep 5 gram /
tube
larutan 1 ml /
ampul
kapsul
kapsul
larutan 1 ml /
ampul
tablet
sirup 60 ml /
botol
tablet
tablet
2.500,00
3.125,00
btl 200 ml
388.994,00 486.242,50
btl / ktk
81.392,00 101.740,00
3.177,50
3.971,88
ktk 12 btl
400.000,00 500.000,00
set / btl
102.363,00 127.953,75
ktk 2 tube
48.762,00
60.952,50
btl 10 ml
137.853,00 172.316,25
btl / ktk
80.659,00 100.823,75
botol
6.862,00
8.577,50
botol
608,36
900,00
760,45
1.125,00
ktk 5 x 10
ktk 5 x 10
1.238,92
1.548,65
ktk 25 tube
2.061,10
2.576,38
ktk 10 vial
1.357,00
1.696,25
1.675,00
2.093,75
tube 5 gram
1.785,00
2.231,25
ktk 30 ampul
785,14
416,67
981,43
520,83
btl 7 kapsul
ktk 3 x 10
360,00
450,00
63,00
78,75
btl 1000
1.725,00
2.156,25
btl 60 ml
25,69
33,70
32,11
42,13
btl 100
btl 1000
tablet
larutan 15 ml /
vial
tablet
tablet
tablet
tablet
larutan 1 ml /
ampul
larutan 5 ml /
botol
larutan 5 ml /
ampul
larutan 15 ml /
ampul
tablet
tablet
tablet
tablet scored
tablet scored
sirup 60 ml /
botol
tablet
tablet
tablet
tablet
kaplet
tablet
kapsul
larutan 1000 ml /
botol
larutan 300 ml /
botol
70,29
87,86
ktk 10 x 10
16.625,00
20.781,25
ktk 10 vial
1.358,50
42,41
41,97
62,30
1.698,13
53,01
52,47
77,88
ktk 10 x 10
btl 100
ktk 15 x 10
ktk 15 x 10
11.992,20
14.990,25
ktk 10 ampul
5.214,00
6.517,50
btl 5 ml
6.270,00
7.837,50
ktk 10 ampul
19.800,00
24.750,00
ktk 4 ampul
501,60
836,00
1.320,00
194,41
149,87
627,00
1.045,00
1.650,00
243,01
187,33
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
ktk 25 x 4
ktk 30 x 2
3.200,00
4.000,00
btl 60 ml
220,00
10,00
18,57
75,00
105,00
105,00
75,00
275,00
12,50
23,21
93,75
131,25
131,25
93,75
ktk 10 x 10
btl 1000
btl 1000
ktk 10 x 10
ktk 12 x 10
ktk 10 x 10
ktk 12 x10
42.000,00
52.500,00
btl 1000 ml
14.500,00
18.125,00
btl 300 ml
larutan 60 ml /
botol
larutan 30 ml /
botol
tablet
tablet
tablet
tablet
tablet
tablet
tablet
larutan 15 ml /
vial
tablet
tablet
tablet
tablet
tablet
tablet
tablet
larutan 2 ml /
ampul
tablet
tablet
tablet
tablet
kapsul lunak
kapsul lunak
tablet
3.300,00
4.125,00
btl 60 ml
2.000,00
2.500,00
btl 30 ml
1.815,00
3.025,00
3.025,00
768,39
1.600,00
38,10
30,00
2.268,75
3.781,25
3.781,25
960,49
2.000,00
47,63
37,50
ktk 3 x 10
ktk 3 x 10
ktk 5 x 10
btl 1000
btl 100
btl 1000
btl 1000
3.750,00
4.687,50
ktk 30 vial
50,15
57,90
82,18
211,20
308,83
310,92
533,33
62,69
72,38
102,73
264,00
386,04
388,65
666,66
ktk 100
ktk 10 x 10
btl 100
btl 1000
btl 100
ktk 10 x 10
ktk 10 x 10
2.570,00
3.212,50
ktk 25 ampul
200,00
200,00
32,00
55,00
255,00
335,40
160,00
250,00
250,00
40,00
68,75
318,75
419,25
200,00
ktk 3 x 10
ktk 10 x 10
btl 250
btl 1000
btl 50
btl 50
btl 1000
273
274
275
276
Metilprednisolon tablet 16 mg
Metilprednisolon tablet 16 mg
Metilprednisolon tablet 4 mg
Metilprednisolon tablet 8 mg
Morfin tablet 10 mg
Natrium Bikarbonat tablet 500 mg
Natrium Diklofenak tablet 50 mg
Natrium Diklofenak tablet 25 mg
tablet
tablet
tablet
tablet
larutan 2 ml /
ampul
sirup 60 ml /
botol
tablet
tablet
larutan 100 ml /
botol
tablet
tablet
krim/salep 10
gram / tube
krim 10 gram /
tube
krim 5 gram /
tube
larutan 1 ml /
ampul
tablet
tablet
tablet
tablet
larutan 5 ml /
botol
larutan 500 ml /
botol
larutan 10 ml /
ampul
kapsul
tablet
tablet
1.411,67
1.411,67
525,00
705,83
1.764,58
1.764,59
656,25
882,29
ktk 3 x 10
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
914,40
1.143,00
ktk 10 ampul
1.919,00
2.398,75
btl 60 ml
76,30
73,17
95,38
91,46
ktk 10 x 10
ktk 10 x 10
19.800,00
24.750,00
btl 100 ml
84,81
116,28
106,01
145,35
ktk 10 x 10
ktk 10 x 10
3.000,00
3.750,00
tube 10 gr
24.750,00
30.937,50
tube 10 gram
14.850,00
18.562,50
tube 5 gram
10.208,50
12.760,63
ktk 10 ampul
1.205,97
9,75
217,68
167,68
1.507,46
12,19
272,10
209,60
btl 30
btl 1000
ktk 5 x 10
ktk 5 x 10
3.925,67
4.907,08
ktk 24 btl
4.059,00
5.073,75
btl 500 ml
1.476,80
1.846,00
ktk 10 ampul
333,16
2.750,00
107,85
416,45
3.437,50
134,81
ktk 10 x 10
btl 60
ktk 10 x 10
tablet salut
tablet vaginal
tablet
tablet/kapsul
dalam paket
tablet/kapsul
dalam paket
tablet/kapsul
dalam paket
tablet/kapsul
dalam paket
tablet/kapsul
dalam paket
larutan 100 ml /
botol
larutan 200 ml /
botol
btl / ktk
aerosol 100 ml /
vial
cairan 10 ml /
botol
set / btl
pasta dalam
tube
larutan 10 ml /
botol
pasta dalam
botol
30 gram serbuk
dan cairan / botol
100 gram serbuk
dan cairan / botol
tablet
tablet
salep 3,5 gram /
tube
larutan 10 ml /
vial
salep 3,5 gram /
tube
461,08
288,91
65,05
576,35
361,14
81,31
ktk 10 x 10
ktk 10 x 10
btl 100
236.000,00 295.000,00
Paket / dos
376.500,00 470.625,00
Paket / dos
154.000,00 192.500,00
Paket / dos
127.200,00 159.000,00
Paket / dos
66.000,00
82.500,00
Paket / dos
1.250,00
1.562,50
btl 100 ml
2.500,00
3.125,00
btl 200 ml
388.994,00 486.242,50
btl / ktk
81.392,00 101.740,00
3.177,50
3.971,88
ktk 12 btl
400.000,00 500.000,00
set / btl
102.363,00 127.953,75
ktk 2 tube
48.762,00
60.952,50
btl 10 ml
137.853,00 172.316,25
btl / ktk
80.659,00 100.823,75
botol
6.862,00
8.577,50
botol
608,36
900,00
760,45
1.125,00
ktk 5 x 10
ktk 5 x 10
1.238,92
1.548,65
ktk 25 tube
2.061,10
2.576,38
ktk 10 vial
1.357,00
1.696,25
salep 5 gram /
tube
larutan 1 ml /
ampul
kapsul
kapsul
larutan 1 ml /
ampul
tablet
sirup 60 ml /
botol
tablet
tablet
tablet
larutan 15 ml /
vial
tablet
tablet
tablet
tablet
larutan 1 ml /
ampul
larutan 5 ml /
botol
larutan 5 ml /
ampul
larutan 15 ml /
ampul
tablet
tablet
tablet
tablet scored
tablet scored
sirup 60 ml /
botol
1.675,00
2.093,75
tube 5 gram
1.785,00
2.231,25
ktk 30 ampul
785,14
416,67
981,43
520,83
btl 7 kapsul
ktk 3 x 10
360,00
450,00
63,00
78,75
btl 1000
1.725,00
2.156,25
btl 60 ml
25,69
33,70
70,29
32,11
42,13
87,86
btl 100
btl 1000
ktk 10 x 10
16.625,00
20.781,25
ktk 10 vial
1.358,50
42,41
41,97
62,30
1.698,13
53,01
52,47
77,88
ktk 10 x 10
btl 100
ktk 15 x 10
ktk 15 x 10
11.992,20
14.990,25
ktk 10 ampul
5.214,00
6.517,50
btl 5 ml
6.270,00
7.837,50
ktk 10 ampul
19.800,00
24.750,00
ktk 4 ampul
501,60
836,00
1.320,00
194,41
149,87
627,00
1.045,00
1.650,00
243,01
187,33
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
ktk 25 x 4
ktk 30 x 2
3.200,00
4.000,00
btl 60 ml
339
340
341
342
343
344
345
Pravastatin tablet 10 mg
Pravastatin tablet 20 mg
Pravastatin tablet 20 mg
Prazikuantel tablet 300 mg
Prazikuantel tablet 600 mg
Prednison tablet 5 mg
Primakuin tablet 15 mg
Prometazin tablet 25 mg
Propanolol tablet 10 mg ( HCl )
Propanolol tablet 40 mg (HCl)
Propilitiourasil tablet 50 mg
Propilitiourasil tablet 100 mg
Ramipril tablet 2,5 mg
tablet
tablet
tablet
tablet
kaplet
tablet
kapsul
larutan 1000 ml /
botol
larutan 300 ml /
botol
larutan 60 ml /
botol
larutan 30 ml /
botol
tablet
tablet
tablet
tablet
tablet
tablet
tablet
larutan 15 ml /
vial
tablet
tablet
tablet
tablet
tablet
tablet
220,00
10,00
18,57
75,00
105,00
105,00
75,00
275,00
12,50
23,21
93,75
131,25
131,25
93,75
ktk 10 x 10
btl 1000
btl 1000
ktk 10 x 10
ktk 12 x 10
ktk 10 x 10
ktk 12 x10
42.000,00 52.500,00
btl 1000 ml
14.500,00 18.125,00
btl 300 ml
3.300,00
4.125,00
btl 60 ml
2.000,00
2.500,00
btl 30 ml
1.815,00
3.025,00
3.025,00
768,39
1.600,00
38,10
30,00
2.268,75
3.781,25
3.781,25
960,49
2.000,00
47,63
37,50
ktk 3 x 10
ktk 3 x 10
ktk 5 x 10
btl 1000
btl 100
btl 1000
btl 1000
3.750,00
4.687,50
ktk 30 vial
50,15
57,90
82,18
211,20
308,83
310,92
62,69
72,38
102,73
264,00
386,04
388,65
ktk 100
ktk 10 x 10
btl 100
btl 1000
btl 100
ktk 10 x 10
Risperidon tablet 1 mg
Risperidon tablet 1 mg
Risperidon tablet 2 mg
Risperidon tablet 3 mg
Risperidon tablet 3 mg
Salbutamol tablet 2 mg (sebagai Sulfat)
Salbutamol tablet 4 mg (sebagai Sulfat)
Salep 2-4 , Kombinasi: Asam Salisilat 2% +
385
Belerang endap 4%
386 Salisil Bedak 2 %
387 Sefadroksil sirup kering 125 mg/5ml
388 Sefadroksil kapsul 250 mg
tablet
larutan 2 ml /
ampul
tablet
tablet
tablet
tablet
kapsul lunak
kapsul lunak
tablet
kapsul
kapsul
tablet salut
kaplet
larutan 500 ml /
botol
tablet
tablet
tablet
tablet
tablet
tablet
tablet
salep 30 gram /
pot
serbuk 50 gram /
kotak
granul dalam
botol
kapsul
533,33
666,66
ktk 10 x 10
2.570,00
3.212,50
ktk 25 ampul
200,00
200,00
32,00
55,00
255,00
335,40
160,00
350,00
350,00
450,00
703,15
250,00
250,00
40,00
68,75
318,75
419,25
200,00
437,50
437,50
562,50
878,94
ktk 3 x 10
ktk 10 x 10
btl 250
btl 1000
btl 50
btl 50
btl 1000
ktk 12 x 10
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
4.820,00
6.025,00
btl 500 ml
1.980,00
1.980,00
2.500,00
3.000,00
3.000,00
88,45
100,50
2.475,00
2.475,00
3.125,00
3.750,00
3.750,00
110,56
125,63
ktk 2 x 10
ktk 5 x 10
ktk 5 x 10
ktk 2 x 10
ktk 5 x 10
ktk 10 x 10
ktk 10 x 10
824,92
1.031,15
ktk 24 pot
1.025,00
1.281,25
ktk 50 gram
7.230,00
9.037,50
btl 60 ml
445,05
556,31
ktk 10 x 10
389
390
391
392
393
394
395
kapsul
kapsul
kapsul
kapsul
kapsul
kapsul
kapsul
serbuk dalam
vial
kapsul
granul dalam
botol
serbuk dalam
vial
serbuk dalam
vial
serbuk dalam
vial
serbuk dalam
vial
serbuk dalam
vial
serbuk dalam
vial
serbuk dalam
vial
larutan 1 ml /
ampul
tablet
tablet
kapsul
tablet
tablet
tablet
tablet
445,07
700,00
700,00
1.254,00
2.299,00
683,90
1.315,00
556,33
875,00
875,00
1.567,50
2.873,75
854,88
1.643,75
ktk 3 x 10
ktk 5 x 10
ktk 10 x 10
ktk 3 x 10
ktk 3 x 10
ktk 5 x 10
ktk 5 x 10
23.930,50
29.913,13
ktk 2 vial
2.394,60
2.993,25
ktk 5 x 10
30.250,00
37.812,50
btl 30 ml
4.821,50
6.026,88
ktk 2 vial
9.642,50
12.053,13
ktk 2 vial
9.262,00
11.577,50
ktk 1 vial
41.800,00
52.250,00
ktk 2 vial
10.610,00
13.262,50
ktk 2 vial
10.610,00
13.262,50
ktk 1 vial
12.540,00
15.675,00
ktk 2 vial
520,00
650,00
12,36
1.776,50
2.578,72
72,26
270,00
540,00
540,00
15,45
2.220,63
3.223,40
90,33
337,50
675,00
675,00
btl 1000
btl 50
btl 50
ktk 10 x 10
ktk 3 x 10
ktk 3 x 10
ktk 5 x 10
414
415
416
417
418
419
420
Simvastatin tablet 20 mg
Simvastatin tablet 20 mg
Siprofloksasin tablet 250 mg
Siprofloksasin tablet 250 mg
Siproflokasasin tablet 250 mg
Siprofloksasin tablet 500 mg (sebagai HCl)
Siprofloksasin tablet 500 mg (sebagai HCl)
tablet
tablet
tablet
tablet
tablet
tablet
tablet
larutan 10 ml /
botol
larutan 100 ml /
botol
tablet
tablet
tablet
tablet
serbuk dalam
vial
tablet
tablet
tablet
larutan 5 ml /
botol
tablet
tablet
tablet
larutan 5 ml /
botol
kapsul
kapsul
kapsul
1.080,00
1.080,00
250,00
250,00
250,00
240,00
265,00
1.350,00
1.350,00
312,50
312,50
312,50
300,00
331,25
ktk 3 x 10
ktk 5 x 10
ktk 3 x 10
ktk 5 x 10
ktk 10 x 10
ktk 5 x 10
ktk 10 x 10
3.872,00
4.840,00
btl 10 ml
60.000,00 75.000,00
btl 100 ml
625,42
1.223,24
384,86
1.241,13
781,78
1.529,05
481,08
1.551,41
ktk 5 x 10
ktk 5 x 10
ktk 10 x 10
ktk 10 x 10
1.828,00
2.285,00
ktk 30 vial
116,85
79,58
380,12
146,06
99,48
475,16
btl 100
ktk 10 x 10
btl 500 ml
3.445,25
4.306,56
ktk 24 btl
1.373,30
54,36
97,38
1.716,63
67,95
121,73
btl 30
ktk 10 x 10
ktk 5 x 10
3.396,42
4.245,52
ktk 24 btl
73,00
185,94
218,74
91,25
232,43
273,43
btl 1000
ktk 10 x 10
ktk 10 x 10
Tramadol kapsul 50 mg
Tramadol tablet 50 mg
Trifluoperazin tablet 1 mg
Trifluoperazin tablet 5 mg
Triheksifenidil tablet 2 mg
Trimetoprim tablet scored 200 mg
Valproat tablet 150 mg
Valproat tablet 250 mg
Verapamil tablet 80 mg (HCl)
Vitamin B Kompleks tablet
Zidovudin tablet 100 mg
Zidovudin 300 mg + Lamivudine 150 mg
kapsul
larutan 1 ml /
ampul
tablet
serbuk dalam
ampul
larutan 1 ml /
ampul
kapsul
tablet
tablet
tablet
tablet
tablet scored
tablet
tablet
tablet
tablet
tablet
tablet
409,44
511,80
ktk 10 x 10
456,73
570,92
ktk 30 amp
23,88
29,85
btl 1000
60.579,00 75.723,75
ampul 10 ml
6.914,80
8.643,50
ktk 5 ampul
355,80
355,80
247,10
400,00
40,77
94,05
248,30
365,96
352,15
22,20
1.170,13
3.575,00
444,75
444,75
308,88
500,00
50,96
117,56
310,38
457,45
440,19
27,75
1.462,67
4.468,75
ktk 5 x 10
ktk 5 x 10
ktk 10 x 10
ktk 10 x 10
ktk 10 x 10
btl 100
btl 50
btl 50
ktk 10 x 10
btl 1000
btl 60
btl 60
MENTERI KESEHATAN