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# Provinsi Nama Obat Generik
1. Jawa TengaACT (Artesunate tablet 50 mg + Amodiaquine

anhydrida tablet 200 mg)
2. Jawa TengaAdefovir Dipivoksil tablet/kaplet 10 mg
3. Jawa TengaAlbendazol suspensi 200 mg/5 ml
4. Jawa TengaAlbendazol tablet/kapsul/kaplet 400 mg
5. Jawa TengaAlopurinol tablet/kapsul/kaplet 100 mg
6. Jawa TengaAlprazolam tablet/kapsul/kaplet 0,25 mg
7. Jawa TengaAlprazolam tablet/kapsul/kaplet 0,5 mg
8. Jawa TengaAlprazolam tablet/kapsul/kaplet 1 mg
9. Jawa TengaAmikasin injeksi 250 mg/ml
10. Jawa TengaAminofilin injeksi 24 mg/ml
11. Jawa TengaAminofilin tablet scored 200 mg
12. Jawa TengaAmiodaron injeksi 150 mg/3 ml
13. Jawa TengaAmiodaron tablet/kaplet 200 mg
14. Jawa TengaAmitriptilin tablet salut 25 mg (HCl)
15. Jawa TengaAmlodipin tablet 10 mg
16. Jawa TengaAmlodipin tablet 5 mg
17. Jawa TengaAmoksisilin kapsul/kaplet 250 mg
18. Jawa TengaAmoksisilin kapsul/kaplet/tablet scored 500 mg
19. Jawa TengaAmoksisilin sirup kering forte 250 mg/5 ml

20. Jawa TengaAmoksisilin sirup kering 125 mg/ 5 ml
21. Jawa TengaAnalog insulin rapid actinginj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin glulisine 100
IU/ml)
22. Jawa TengaAntasida DOEN I tablet kunyah, kombinasi :
Aluminium Hidroksida 200 mg Magnesium Hidroksida
200 mg
23. Jawa TengaAntasida DOEN II suspensi, kombinasi : Aluminium
Hidroksida 200 mg/5 ml Magnesium Hidroksida 200
mg/5 ml
24. Jawa TengaAnti Bakteri DOEN salep kombinasi: Basitrasin 500
IU/g Polimiksin 10.000 IU/g
25. Jawa TengaAntimalaria DOEN kombinasi : Pirimetamin 25 mg
Sulfadoksin 500 mg
26. Jawa TengaAntimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
27. Jawa TengaAntiparkinson DOEN tablet kombinasi : Benserazid 25

mg Levodopa 100 mg
28. Jawa TengaArtemether injeksi 80 mg/ml
29. Jawa TengaAsam Askorbat (Vitamin C) tablet 50 mg
30. Jawa TengaAsam Folat tablet/kapsul/kaplet 1 mg
31. Jawa TengaAsam Mefenamat kapsul/kaplet 500 mg
32. Jawa TengaAsam pipemidat kapsul 400 mg
33. Jawa TengaAsam traneksamat injeksi 100 mg/ml
34. Jawa TengaAsiklovir salep mata 3%
35. Jawa TengaAsiklovir tablet/kapsul/kaplet 200 mg
36. Jawa TengaAsiklovir tablet/kapsul/kaplet 400 mg
37. Jawa TengaAtapulgit tablet 600 mg
38. Jawa TengaAtrakurium injeksi 25 mg/2,5 ml
39. Jawa TengaAtropin Sulfat tablet 0,5 mg
40. Jawa TengaAzitromisin sir kering 200 mg/ 5 mL
41. Jawa TengaAzitromisin tablet 500 mg
42. Jawa TengaAzitromisin tablet 250 mg
43. Jawa TengaBedak salisil serbuk 2%
44. Jawa TengaBenzatin Benzil Penisilin 1,2 juta IU/ vial
45. Jawa TengaBenzatin Benzil Penisilin 2,4 juta IU/vial
46. Jawa TengaBeractant injeksi / suspensi 25 mg/mL
47. Jawa TengaBeraprost sodium tablet 20 mcg

48. Jawa TengaBeraprost sodium tablet 20 mcg
49. Jawa TengaBetametason krim 0,1% (sebagai Valerat)
50. Jawa TengaBisakodil suppositoria 10 mg
51. Jawa TengaBisoprolol tablet 5 mg
52. Jawa TengaBromokriptin tablet 2,5 mg
53. Jawa TengaBudesonid-formoterol (fixed combination) inhaler
160/4,5 mcg
54. Jawa TengaDeksametason injeksi i.v./i.m. 5 mg/ml
55. Jawa TengaDesoksimetason krim 0,25%
56. Jawa TengaDifenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
57. Jawa TengaDigoksin tablet 0,25 mg
58. Jawa TengaDiltiazem HCl tablet 30 mg
59. Jawa TengaDiltiazem infus injeksi 50 mg
60. Jawa TengaDiltiazem injeksi 25 mg/5 mL
61. Jawa TengaDiltiazem Kapsul SR 100 mg

62. Jawa TengaDiltiazem Kapsul SR 200 mg
63. Jawa TengaDoksazosin mesilat tablet 1 mg
64. Jawa TengaDoksazosin mesilat tablet 2 mg
65. Jawa TengaDoksorubisin serbuk injeksi i.v. 10 mg/vial
66. Jawa TengaDoksorubisin serbuk injeksi i.v. 50 mg/vial
67. Jawa TengaDomperidon suspensi/sirup 5 mg/5 ml

68. Jawa TengaDomperidon tablet 10 mg
69. Jawa TengaDomperidon tetes 5 mg/mL
70. Jawa TengaDutasterid kaps lunak 0,5 mg
71. Jawa TengaEnoksaparin sodium inj 20 mg/0,2 mL
74. Jawa TengaEpinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
75. Jawa TengaEpirubisin serb injeksi 50 mg/25ml

76. Jawa TengaErgokalsiferol (vitamin D3/D2) kapsul 50.000 UI
77. Jawa TengaEritromisin kapsul/kaplet 500 mg

78. Jawa TengaEritromisin sirup kering 200 mg/ 5 ml
79. Jawa TengaEtambutol tablet 250 mg (HCl)
80. Jawa TengaEtambutol tablet salut 500 mg (HCl)
81. Jawa TengaEtanol 70% cairan
82. Jawa TengaEtonogestrel implan 68 mcg
83. Jawa TengaEtoposid injeksi 20 mg/ml
84. Jawa TengaEugenol cairan
85. Jawa TengaFenitoin injeksi 50 mg/ml
86. Jawa TengaFenitoin kapsul/kaplet 100 mg
87. Jawa TengaFenobarbital injeksi i.m./i.v. 50 mg/ml
88. Jawa TengaFenofibrat kaps 100 mg
89. Jawa TengaFenofibrat kaps 300 mg
90. Jawa TengaFenoksimetil penisilin (penisilin V) tablet 250 mg
91. Jawa TengaFenoksimetil penisilin (penisilin V)tablet 500 mg
92. Jawa TengaFentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml
93. Jawa TengaFentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml
94. Jawa TengaFentanil patch 25 mcg/jam
95. Jawa TengaFentanil patch 50 mcg/jam
96. Jawa TengaFilgrastim inj 300 mcg/mL

97. Jawa TengaFilgrastim inj 300 mcg/mL
98. Jawa TengaFitomenadion (Vit.K1) tablet salut gula 10 mg
99. Jawa TengaFlufenazin injeksi i.m. 25 mg/ml
100. Jawa TengaFlukonazol injeksi 2 mg/ml
101. Jawa TengaFlukonazol tablet/kapsul 150 mg
102. Jawa TengaFluoksetin tablet 10 mg

1
104. Jawa TengaFluorourasil inj 250 mg/mL
105. Jawa TengaFluorourasil inj 500 mg/ 5 mL
106. Jawa TengaFlusinolon asetonid krim 0,025%
107. Jawa TengaFlutikason furoat intranasal spray
108. Jawa TengaFlutikason propionat nebules 0,5 mg
109. Jawa TengaFondaparinuks inj 2,5 mg/0,5 mL
110. Jawa TengaFurosemid injeksi i.v./i.m. 10 mg/ml
111. Jawa TengaFurosemid tablet 40 mg
112. Jawa TengaGaram Oralit I serbuk, kombinasi : Natrium klorida

0,52 g kalium klorida 0,30 g Trinatrium sitrat dihidrat
0,58 g Glukosa Anhidrat 2,70 g
113. Jawa TengaGemfibrozil kapsul/kaplet 300 mg
114. Jawa TengaGemfibrozil tablet 600 mg
115. Jawa TengaGemsitabin inj 1000 mg/vial
116. Jawa TengaGentamisin injeksi 40 mg/ ml

117. Jawa TengaGentamisin salep mata 0,3%
118. Jawa TengaGentamisin tetes mata 0,3%
119. Jawa TengaGlibenklamid tablet 5 mg
120. Jawa TengaGlikuidon tab 30 mg
121. Jawa TengaGlimepiride tablet 1 mg
125. Jawa TengaGliseril trinitrat tab sublingual 0,5 mg
126. Jawa TengaGliserin lar 50%
127. Jawa TengaGlukosa larutan infus 10 % steril
129. Jawa TengaGriseofulvin tablet 125 mg
130. Jawa TengaHaloperidol inj 50 mg/mL
131. Jawa TengaHaloperidol tablet 0,5 mg
132. Jawa TengaHaloperidol tablet 5 mg

135. Jawa TengaHiosin butilbromid injeksi 20 mg/ml
136. Jawa TengaIbuprofen sirup 100 mg/5 ml
137. Jawa TengaIbuprofen suspensi 200 mg/5 ml
138. Jawa TengaIbuprofen tablet 400 mg
139. Jawa TengaImidapril tab 10 mg
141. Jawa TengaIrbesartan tab 150 mg
143. Jawa TengaIsosorbid Dinitrat tablet sublingual 5 mg
144. Jawa TengaKandesartan tab 16 mg
146. Jawa TengaKaptopril tablet 50 mg
147. Jawa TengaKaptopril tablet scored12,5 mg
148. Jawa TengaKarbamazepin tablet 200 mg
149. Jawa TengaKarbogliserin tetes telinga 10%
150. Jawa TengaKetamin injeksi i.v. 100 mg/ml

151. Jawa TengaKetokonazol krim 2%
153. Jawa TengaKetokonazol tablet 200 mg
154. Jawa TengaKetorolac injeksi 30 mg/ml
155. Jawa TengaKlaritromisin tab 500 mg
156. Jawa TengaKlindamisin kapsul/kaplet 150 mg
158. Jawa TengaKlobazam tab 10 mg
159. Jawa TengaKlonidin tablet 0,15 mg
160. Jawa TengaKlopidogrel tab 75 mg
161. Jawa TengaKlorpromazin injeksi i.m. 25 mg/ml (HCl)
162. Jawa TengaKlorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
163. Jawa TengaKodein tablet 10 mg
166. Jawa TengaKombinasi suspensi : Parafin + gliserin + fenolftalein
167. Jawa TengaKombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg
Asam folat 0,25 mg
168. Jawa TengaKombinasi: Salmeterol 25 mcg; Flutikason propionat
50 mcg

100 mcg

250 mcg
171. Jawa TengaKotrimoksazol DOEN I (dewasa) kombinasi :

Sulfametoksazol 400 mg Trimetoprim 80 mg
172. Jawa TengaKotrimoksazol Suspensi komb: Sulfametoksazol 200

mg + Trimetoprim 40 mg / 5 ml
173. Jawa TengaKuinin (Kina) tablet 200 mg
174. Jawa TengaKuinin injeksi i.v. 25% (sebagai 2 HCl)
175. Jawa TengaKuinin tablet 222 mg (H2SO4.7H2O)
176. Jawa TengaLamivudine tablet 150 mg
177. Jawa TengaLanzoprazol kapsul/kaplet 30 mg
178. Jawa TengaLapatinib tab 250 mg
179. Jawa TengaLarutan mengandung Asam Amino (Asam Amino 100

g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)
180. Jawa TengaLarutan mengandung Asam Amino (Asam Amino 27 g,

Sorbitol 50 g, Cl- 52 mEq)

Glukosa 7,3 % dan elektrolit)
182. Jawa TengaLarutan mengandung Asam Amino (Asam amino 8%)
183. Jawa TengaLarutan mengandung Elektrolit (Kalium Klorida)
184. Jawa TengaLarutan mengandung Karbohidrat (Maltose 100 gr)

185. Jawa TengaLarutan mengandung Karbohidrat + Elektrolit
(Glukosa: 25,0 g; NaCl: 4,5 g)

(Glukosa: 55.0 g; NaCl: 2.25 g)

188. Jawa TengaLarutan mengandung Karbohidrat + Elektrolit (NaCl

1.75 g, KCL 1.5g, Glukosa 100 gr)
189. Jawa TengaLarutan mengandung Lipid (Emulsi lemak 20%)
190. Jawa TengaLevofloksasin inf 5 mg/mL
191. Jawa TengaLevofloksasin tablet 500 mg
192. Jawa TengaLidokain injeksi 2% (HCL)
193. Jawa TengaLidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml
194. Jawa TengaLisinopril tablet 10 mg
196. Jawa TengaLoperamid tablet 2 mg
197. Jawa TengaLoratadin tablet 10 mg
198. Jawa TengaLorazepam tablet 2 mg
199. Jawa TengaMaprotilin HCl tab 25 mg
201. Jawa TengaMeropenem inj 1 g

202. Jawa TengaMetadon sir 50mg/5ml
203. Jawa TengaMetilprednisolon tablet 16 mg
206. Jawa TengaMetoklopramide tablet 5 mg
207. Jawa TengaMetronidazol infus 500 mg/100 ml
208. Jawa TengaMetronidazol supositoria 500 mg
209. Jawa TengaMetronidazol tablet 250 mg
210. Jawa TengaMetronidazol tablet 500 mg
211. Jawa TengaMidazolam injeksi i.v. 1 mg/ml
212. Jawa TengaMidazolam injeksi i.v. 5 mg/ml
213. Jawa TengaMikonazol krim/salep 2 % (Nitrat)
214. Jawa TengaMometason furoat krim 0,1%
215. Jawa TengaMorfin HCL inj 10 mg/ml
216. Jawa TengaMorfin injeksi i.m./s.k./i.v. 10 mg/ml
217. Jawa TengaMorfin tablet 10 mg
218. Jawa TengaNacl 0,9%
219. Jawa TengaNadroparin inj 9500 Axa/mL syringe 0,3 mL
220. Jawa TengaNadroparin inj 9500 Axa/mL, syringe 0,4 mL
221. Jawa TengaNadroparin inj 9500 Axa/mL, syringe 0,6 mL
222. Jawa TengaNalokson injeksi 0,4 mg/ml

223. Jawa TengaNatrium Bikarbonat injeksi i.v 8,4%
224. Jawa TengaNatrium Diklofenak tablet 50 mg
225. Jawa TengaNatrium Diklofenak tablet 25 mg
226. Jawa TengaNatrium fusidat salep 20 mg/g
227. Jawa TengaNevirapin tablet 200 mg
228. Jawa TengaNifedipin tab 20 mg, slow release; oros
229. Jawa TengaNifedipin tab 30 mg, oros
230. Jawa TengaNifedipin tablet/kapsul 10 mg
231. Jawa TengaNistatin tablet salut 500.000 IU/ g
232. Jawa TengaNoretisteron tablet 5 mg
233. Jawa TengaObat Antituberkulosis FDC Kategori 1
234. Jawa TengaObat Antituberkulosis FDC Kategori 2
235. Jawa TengaObat Antituberkulosis FDC Kategori Anak

236. Jawa TengaObat Antituberkulosis FDC Sisipan
237. Jawa TengaOfloxacin tablet 200 mg
238. Jawa TengaOfloxacin tablet 400 mg
239. Jawa TengaOksimetazolin tetes hidung 0,025%
240. Jawa TengaOlanzapin kapl salut 5 mg
241. Jawa TengaOlanzapin tab 10 mg
242. Jawa TengaOmeprazol injeksi 40 mg/ 10 ml
243. Jawa TengaOmeprazol kapsul/kaplet 20 mg
244. Jawa Tengaondansetron inj 4 mg/ 2 mL
245. Jawa TengaOndansetron tab 4 mg
246. Jawa TengaOndansetron tablet 8 mg
247. Jawa TengaPaket CAPD Awal (Komposisi: 1 unit Transfer Set, 2
unit Ultaclam, 1 unit Tenckoff Catheter, Titanium
Adaptor)
248. Jawa TengaPaket CAPD Pergantian Transfer Set per 6 bulan
249. Jawa TengaPaket CAPD Rutin 120 ( 4x ganti cairan perhari

dengan komposisi Larutan Dialisa 1.5 %, Larutan
Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)
250. Jawa TengaParasetamol sirup 120 mg / 5 ml

251. Jawa TengaPegylated interferon alfa-2a inj 135 mcg/0,5 ml
252. Jawa TengaPegylated interferon alfa-2a inj 180 mcg/0,5 ml
253. Jawa TengaPermetrin krim 5%

254. Jawa TengaPetidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
255. Jawa TengaPioglitazon tab 15 mg

256. Jawa TengaPioglitazon tab 30 mg
257. Jawa TengaPirantel suspensi 125 mg/5 ml
258. Jawa TengaPirantel tablet score (base) 125 mg
259. Jawa TengaPirazinamid tablet 500 mg
260. Jawa TengaPolikresulen cairan
261. Jawa TengaPovidon Iodida larutan 10% 1000 ml
264. Jawa TengaPramipeksol tab ER 0,375 mg
265. Jawa TengaPramipeksol tab ER 0,750 mg
266. Jawa TengaPravastatin tablet 20 mg
267. Jawa TengaPropanolol tablet 10 mg ( HCl )
268. Jawa TengaPropranolol tablet 40 mg (HCl)
269. Jawa TengaQuetiapin tab 200 mg
272. Jawa TengaRamipril tablet 5 mg
273. Jawa TengaRanitidin injeksi 25 mg/2 ml
274. Jawa TengaRanitidin tablet 150 mg
275. Jawa TengaRetinol (Vitamin A) 100.000 IU
276. Jawa TengaRinger Laktat larutan infus
277. Jawa TengaRisperidon tablet 1 mg
280. Jawa TengaRopinirol Tablet Salut 2 mg
283. Jawa TengaSalbutamol inhalasi/aerosol 100 mcg/dosis

284. Jawa TengaSalbutamol serb inh 200 mcg/kaps
285. Jawa TengaSalbutamol serb inh 200 mcg/kaps + rotahaler
286. Jawa TengaSefadroksil sirup kering 125 mg/5ml

287. Jawa TengaSefadroksil kapsul/kaplet 250 mg
288. Jawa TengaSefadroksil kapsul/kaplet 500 mg
289. Jawa TengaSefadroksil sir kering 250 mg/5 mL
290. Jawa TengaSefaleksin kapsul/kaplet 500 mg
291. Jawa TengaSefepim inj 1 g
292. Jawa TengaSefiksim kapsul/kaplet 100 mg
293. Jawa TengaSefiksim sirup kering 100 mg/ 5 ml
294. Jawa TengaSefotaksim injeksi 0,5 g
295. Jawa TengaSefotaksim injeksi 1 g
296. Jawa TengaSefpodoksim proksetil tab 100 mg
297. Jawa TengaSeftazidim injeksi 1 g
298. Jawa TengaSeftriakson serbuk injeksi 1 g/vial
299. Jawa TengaSefuroksim tab 500 mg
300. Jawa TengaSetirizin tablet 10 mg
301. Jawa TengaSianokobalamin (vitamin B12) injeksi 500 mcg
302. Jawa TengaSiklofosfamid serbuk injeksi i.v. 200 mg

303. Jawa TengaSimvastatin scored tablet 10 mg
304. Jawa TengaSimvastatin tablet 20 mg
305. Jawa TengaSiprofloksasin infus 2%
306. Jawa TengaSpiramisin tablet 500 mg
307. Jawa TengaSpironolakton tablet 100 mg
308. Jawa TengaSpironolakton tablet 25 mg
309. Jawa TengaSufentanil injeksi iv, epidural 5 mcg/ml
310. Jawa TengaTakrolimus kaps 0.5 mg

311. Jawa TengaTamsulosin tab 0,2 mg
312. Jawa TengaTamsulosin tab 0,2 mg

313. Jawa TengaTamsulosin tab SR 0,4 mg
314. Jawa TengaTerbutalin tablet 2,5 mg

315. Jawa TengaTerbutalin turbu (serbuk ih) 0,50 mg
316. Jawa TengaTetrasiklin kapsul/kaplet 250 mg

317. Jawa TengaTiamazol tab 5 mg
318. Jawa TengaTimolol tetes mata 0,25%
319. Jawa TengaTimolol tetes mata 0,5%
320. Jawa TengaTiotropium kaps 18 mcg + handihaller
321. Jawa TengaTramadol injeksi 50 mg/ml

322. Jawa TengaTrifluoperazin tablet 5 mg
323. Jawa TengaUrea krim 10%
324. Jawa TengaValproat tab SR 250 mg
325. Jawa TengaValproat tab SR 500 mg
326. Jawa TengaVerapamil tab 240 mg
327. Jawa TengaVerapamil tablet 80 mg (HCl)
328. Jawa TengaVinblastin serbuk injeksi 10 mg
329. Jawa TengaZidovudin 300 mg + Lamivudine 150 mg
330. Jawa TengaZinc drop 10 mg/mL
331. Jawa TengaZinc sir 20 mg/5 Ml
332. Jawa TengaZinc tablet dispersible20 mg
Harga Satuan
Nama Dagang Nama Penyedia Kemasan
Terkecil (Rp)
n/a PT. Kimia Farma

1 blister@24 tablet 1,375.00
Hepsera PT. SmithKline

Dus,Beecham
3 Blister Phamaceuticals
@ 10 kapsul 27,500.00
n/a PT. Indofarma
Dus, 10 dus @ 1 botol @ 10 ml 3,849.00
n/a PT. Holi Pharma
Dus, 5 strip @ 6 tablet 344.00
n/a PT. Pertiwi Agung
Box, 10 strips @ 10 tablets 86.00
n/a PT. Dexa Medica
Dus, 10 Strip @ 10 tablet 380.00
n/a PT. Kimia Farma
Ktk 10x10 tablet 214.00
n/a PT. Kimia Farma
Ktk 10x10 tablet 233.00
Glybotic 250 mg /ml PT. Sanbe Farma
Vial 2 ml 50,500.00
n/a PT. Lucas Djaja
dus 30 ampul @10 ml 3,823.00
n/a PT. Marin Liza
Botol
Farmasi
@ 100 tablet salut selapu 90.00
Cordarone PT. Aventis Dus,
Pharma6 ampul @ 3 ml 12,480.00
Kendaron Tablet PT. Darya Varia
strip 1,200.00
n/a PT. Indofarma
Dus, 10 strip @ 10 tss 112.00
n/a PT. Novapharin
strip 211.00
n/a PT. Bernofarm
Dus, 10 strip @ 10 kaptab 272.00
n/a PT. Holi Pharma

Dus, Botol 60 ml 4,070.00
n/a PT. Novapharin
btl @ 60 ml 2,445.00
Apidra Solostar 100IU/ml PT. Aventis dus,
Pharma
5 solostar pen @ 3ml 79,165.00
5pens x3ml
n/a PT. Promedrahardjo

STRIP Farmasi Industri 75.00
n/a PT. Erela Botol @ 60 ml 2,160.00
n/a PT. Indofarma

Dus, 25 tube @ 5 g 2,516.00
n/a PT. Kimia Farma

ktk 10 x 10 tablet 520.00
n/a PT. Kimia Farma
Btl 100 tablet 135.00
Levopar Tablet PT. Meprofarm

Dus, 5 strip @ 10 tablet 1,500.00
Artem PT. Kimia Farma

Dus 6 amp @ 1ml 22,000.00
n/a PT. Kimia Farma
Dus 10 strip x 10 tab 95.00
n/a PT. Marin Liza
Botol
Farmasi
@ 100 tablet 48.00
n/a PT. Bernofarm
Dus, 10 blister @ 10 kaptab ss 112.00
Urotractin 400 mg PT. Sanbe Farma
Strip 1,815.00
n/a PT. Hexpharm
Dus,Jaya
10 ampul
Laboratories
@ 5 ml 3,334.00
Temiral Eye Oint PT. Sanbe Farma
Tube 3,5 gram 24,750.00
n/a PT. Indofarma
Dus, 10 blister @ 10 tablet 237.00
n/a PT. Sampharindo
Dus, 5 Perdana
strip @ 10 tablet 336.00
Pularex PT. Zenith Pharmaceuticals
Dus 5 strip @ 10 tablet 190.00
Tracrium PT. Glaxo Wellcome
Dus, 5 ampul
Indonesia
@ 2.5 ml 20,000.00
n/a PT. Indofarma
n/a PT. Soho Industri
botol @Pharmasi
60 ml 34,400.00
n/a PT. Kimia Farma
ktk 2x10 tablet 4,500.00
n/a PT. Soho Industri
Strip Pharmasi 3,333.00
n/a PT. Rama Emerald
Dus @ 50 Multi
gram
Sukses 1,250.00
n/a PT. Phapros,
Dus
Tbk@ 10 Vial 9,800.00
n/a PT. Phapros,
Dus
Tbk@ 10 Vial 13,400.00
Survanta PT. Abbott Indonesia
Vial 3,200,000.00
Dorner PT. Combiphar

Box @ 3 blister @ 10 Tablet 3,600.00
Dorner 20 g PT. Combiphar
Box/ 3 blister @ 10 Tablet 3,600.00
n/a PT. Kimia Farma
Tube 5 gr 1,520.00
Stolax supp PT. Sanbe Farma
Supp 6,045.00
n/a PT. PratapaBox
Nirmala
3 X 10 tab 645.00
Cripsa tab PT. Caprifarmindo
Box 3 x 10'S 247,089.00
Symbicort Turbuhaler PT. AstraZeneca
Dus, 1indonesia
Turbuhaler @ 120 dosis 117,600.00
160/4.5 mcg
n/a PT. Indofarma
Dus, 100 ampul @ 1 ml 1,580.00
n/a PT. Dexa Medica
Kotak, tube @ 15 gram 9,983.00
n/a PT. Phapros,Dus
Tbk@ 30 Ampul 1,050.00
n/a PT. Yarindo Box
Farmatama
10 X 10 Tab 97.00
n/a PT. Indofarma
Herbesser Powder PT. Tanabe 10
Indonesia
vial @ 50mg 127,667.00
Injection 50mg
Farmabes Injeksi 25 mg PT. PratapaVial
Nirmala
5 mL 46,667.00
Herbesser CD 100 PT. Tanabe 3 Indonesia

blister @ 10 kapsul 3,667.00
Herbesser CD 200 PT. Tanabe 3 Indonesia
blister @ 10 kapsul 4,015.00
Cardura 1mg PT. Pfizer Indonesia
Dus, 5 blister @10's tab 3,480.00
Cardura 2mg PT. Pfizer Indonesia
Dus, 5 blister @10's tab 5,480.00
Doxorubicin kalbe PT Kalbe Farma
vial @ 5 ml 59,000.00
Doxorubicin Actavis 50 PT. Actavis Dus,
Indonesia
1 vial @ 50 mg 258,000.00
mg
n/a PT. Novapharin
btl @ 60 ml 3,333.00
n/a PT. Novapharin
strip 167.00
n/a PT. Bernofarm
Dus, botol @ 10 ml 15,600.00
Avodart PT. SmithKline
Dus,Beecham
Botol Plastik
Phamaceuticals
@ 30 Tablet 7,100.00
Lovenox 2000 ANTI-XA PT. Aventis dus,
Pharma2 prefilled syringe @ 0,2 m 40,740.00

Pharma
2 prefilled syringe @ 0,4 m 71,875.00

Pharma
2 prefilled syringe @ 0,6 m 100,000.00
n/a PT. Phapros,

Dus
Tbk@ 30 Ampul 8,100.00
Epirubisin Kalbe PT Kalbe Farma

Vial @ 25 ml 500,000.00
D-Vit FT PT. Gracia Pharmindo
Dus 3 strip @ 10 Flash tablet 650.00
n/a PT. Indofarma

Dus, 10 blister @ 10 kss 930.00
n/a PT. Phyto Kemo
BotolAgung
@60 ml Farma 7,700.00
n/a PT. Kimia Farma
n/a PT. Indofarma
Dus, 10 strip @ 10 tss 451.00
n/a PT. Novapharin
btl @ 100 ml 2,500.00
Implanon PT. Merck Sharp
Dus, 1Dohme
blister Pharma
@ 1 subdermal
Tbk i 128,779.00
Posyd PT. Combiphar
Vial 100mg/5ml 100,000.00
n/a PT. Kimia Farma
Botol 10 ml 16,667.00
n/a PT. Mersifarma
KOTAKTirmaku
@ 10 ampul
Mercusana 20,250.00
n/a PT. Ikapharmindo
Botol @ 100 133.00
n/a PT. Phapros,
Dus
Tbk@ 30 Ampul 1,800.00
n/a PT. Hexpharm
Dus,Jaya
3 strip
Laboratories
@ 10 kapsul 1,075.00
n/a PT. Hexpharm
Dus,Jaya
3 strip
Laboratories
@ 10 kapsul 1,375.00
n/a PT. Phapros,
Dus
Tbk@ 10 X 10 's 290.00
n/a PT. Phapros,

Dus
Tbk@ 10 X 10 's 510.00
n/a PT. Kimia Farma

Dus 5 ampul@ 10ml 128,000.00
n/a PT. Kimia Farma

Dus 5 ampul@ 2ml 33,914.00
Durogesic 25 MU Matrix PT. Kimia Farma

Dus@ 5 patch 153,000.00
Durogesic 50 MU Matrix PT. Kimia Farma

Dus@ 5 patch 285,000.00
Leucogen PT Kalbe Farma

pfs @ 0,5 ml 375,000.00
Zarzio PT. Sandoz pfs
Indonesia
@ 0,5 ml 380,000.00
n/a PT. Phapros,
Dus
Tbk@ 10 X 10 's 630.00
Sikzonoate Injeksi PT. Mersifarma
Dus,Tirmaku
5 ampulMercusana
@ 1ml 55,000.00
n/a PT. Natura Laboratoria
Dus, 1 BotolPrima
@ 100 mL 47,100.00
n/a PT. Kimia Farma
ktk 1 x 10 kapsul 22,000.00
Foransi 10 PT. Gracia Pharmindo

strip 419.00
NOPRES PT. Dexa Medica

DUS, 30 TABLET 410.00
Curacil PT Kalbe Farma

vial @ 1 ml 24,500.00
Curacil PT Kalbe Farma

vial @ 10 ml 33,000.00
SYNARCUS PT. Ifars Pharmaceutical

Dus, Tube 5 gLaboratories 2,400.00
Avamys PT. Glaxo Wellcome

Dus, Botol
Indonesia
120 Dosis Spay 93,333.00
Flixotide Nbules PT. Glaxo Wellcome

Dus, 2 flow
Indonesia
wrap@ 5 nebules @ 12,917.00
Arixtra PT. Glaxo Wellcome

Dus, 2 pfsIndonesia
0.5 ml 241,667.00
n/a PT. Indofarma

Dus, 25 ampul @ 2 ml 1,829.00
n/a PT. Indofarma

n/a PT. Phapros,

Dus
Tbk@ 100 Sachet 288.00
n/a PT. Indofarma

Dus, 10 blister @ 12 kapsul 289.00
n/a PT. Indofarma

Dus, 10 blister @ 10 kaptab 679.00
Gemzar 1000 mg PT. Bayer Indonesia

vial 1,098,900.00
n/a PT. Indofarma

Dus, 5 ampul @ 2 ml 3,399.00
Genoint Salep Mata PT. Erela Tube @ 3,5 gr 2,600.00
n/a PT. Indofarma

Dus, botol plastik 5 ml 3,194.00
n/a PT. Indofarma

Dus, 10 blister @ 10 kaptab 56.00
n/a PT. Dexa Medica

n/a PT. Kimia Farma

ktk 5x10 tablet 265.00
n/a PT. Kimia Farma

n/a PT. Kimia Farma

n/a PT. Kimia Farma

Nitral PT. Actavis Btl

Indonesia
@ 30 tablet 1,500.00
Gliserin lar 50% PT. Lucas Djaja

Glycerin 100 ml 5,333.00
n/a PT. Widatrabotol

Bhakti
@ 500 ml 5,700.00

Bhakti
@ 500 ml 5,200.00
n/a PT. Indofarma

Haldol Decanoas PT. Soho Industri

Dus 5 Pharmasi
Ampul@1mL 83,333.00
n/a PT. Indofarma

n/a PT. Indofarma

n/a PT. Indofarma

Lodomer 2 PT. Mersifarma
KOTAK
Tirmaku
@ 10 x
Mercusana
10 TAB 126.00
n/a PT. Otto Pharmaceuticals

box 5ampul @1 ml 4,500.00
n/a PT. Indofarma

Dus, botol 60 ml 3,499.00
n/a PT. Indofarma

n/a PT. Novapharin

strip 150.00
Tanapress 10mg PT. Tanabe 3

Indonesia
blister @ 10 tablet 3,908.00
Tanapress 5mg PT. Tanabe 3

Indonesia
n/a PT. Indofarma

Dus, 5 blister @ 10 kss 1,425.00
n/a PT. Indofarma

Dus, 5 blister @ 10 kss 2,470.00
n/a PT. Indofarma

n/a PT. Dexa Medica

Dus, 3 Blister @ 10 tablet 4,900.00
n/a PT. Dexa Medica

n/a PT. Indofarma

n/a PT. Indofarma

n/a PT. Indofarma

Karbogliserin tetes telinga PT. Lucas Djaja

Fenol 100 mg / 1 ml 2,042.00
10%
KTM PT. Guardian

Vial
Pharmatama
@ 10 ml 110,000.00
n/a PT. Novell Pharmaeutical
Box isi 1 Tube @
Laboratories
15 g 4,700.00
n/a PT. Kimia Farma

tube 10 gr 2,569.00
n/a PT. Dexa Medica

n/a PT. Phapros,

Dus
Tbk@ 12 Ampul 2,300.00
ORIXAL PT. Ifars Pharmaceutical

Dus, 3 Strip @Laboratories
10 Kaplet salut s 3,200.00
n/a PT. Indofarma

n/a PT. Indofarma

n/a PT. Dexa Medica

n/a PT. Kimia Farma

Ktk 10X10 TAB 184.00
n/a PT. Hexpharm

Dus,Jaya
3 strip
Laboratories
@ 10 tab 3,400.00
n/a PT. Phapros,

Dus
Tbk@ 30 Ampul 1,100.00
n/a PT. Phapros,

Dus
Tbk@ 30 Ampul 1,050.00
n/a PT. Kimia Farma

n/a PT. Kimia Farma

n/a PT. Kimia Farma

ktk 10x10 tablet 1,100.00
Laxadine Emulsi 60 ml PT. Galenium

Botol
Pharmasia
@ 60 mlLaboratories 12,450.00
n/a PT. Erela Dus, 100 Sachet @ 30 Tablet 42.00

Seretide Inhaler 50 mcg PT. Glaxo Wellcome
Dus, Botol
Indonesia
120 Dosis 90,667.00
Seretide Diskus 100 mcg PT. Glaxo Wellcome

Dus, foil strip
Indonesia
@ 60 dosis 100,833.00
Seretide Diskus 250 mcg PT. Glaxo Wellcome

Dus, foil strip
Indonesia
@ 60 dosis 113,333.00
n/a PT. Holi Pharma

Dus, 10 strip @ 10 kaptab 152.00
n/a PT. Novapharin

btl @ 60 ml 2,350.00
n/a PT. Kimia Farma

ktk 60 tablet 670.00
n/a PT. Kimia Farma

ktk 100 amp @ 2 ml 6,200.00
n/a PT. Kimia Farma

n/a PT. Kimia Farma

Botol 60 tablet 1,400.00
n/a PT. Indofarma

Dus, 2 strip @ 10 kapsul 473.00
Tykerb PT. SmithKline

Dus,Beecham
7 Blister Phamaceuticals
@ 10 tablet 67,200.00
Amiparen PT Otsuka Indonesia

Softbag 500 ML 67,400.00
Pan-amin G PT Otsuka Indonesia

Softbag 500 ML 37,500.00
Aminofluid PT Otsuka Indonesia

Double Chamber Softbag 500 M 61,600.00
Aminosteril N-Hepa PT. Fresenius

Botol
Kabi
Gelas
Combiphar
500 ml 78,720.00
Otsu - KCl 7,46% PT Otsuka Indonesia

Ampoel 25 ML 2,050.00
Martos PT Otsuka Indonesia

Plastic Bottle 500 ML 29,167.00
WIDA 2A PT. WidatraBotol
Bhakti
500 ml 6,917.00
WIDA D5-1/4NS PT. WidatraBotol

Bhakti
500 ml 7,700.00
WIDA D5-1/2NS PT. WidatraBotol

Bhakti
500 ml 7,700.00
KA ENMG 3 PT Otsuka Indonesia

Plastic Bottle 500 ML 9,167.00
Intralipid PT. Fresenius

Botol
Kabi
Gelas
Combiphar
100 ml 60,500.00
n/a PT. Infion Pharmaceutical

Box, 1 Botol @ 100 ml 40,000.00

n/a PT. Bernofarm

Dus, 100 ampul @ 2 ml 839.00
n/a PT. Indofarma

Dus, 30 ampul @ 2 ml 1,363.00

Box ,3 Strip @ Laboratories
10 tablet 600.00

10 tablet 350.00
n/a PT. Ifars Pharmaceutical

Dus, 10 Strip Laboratories
@ 10 Tablet 89.00

Merlopam 2 PT. Mersifarma

KOTAK
Tirmaku
@ 10 x
Mercusana
10 TAB 1,341.00
Ludios PT. Soho Industri

Strip Pharmasi 1,200.00
Sandepril 50 PT. Mersifarma

KOTAK
Tirmaku
@ 5 x Mercusana
10 TAB 3,276.00
n/a PT. Bernofarm

Dus, 1 vial @ 1 g 54,000.00
n/a PT. Kimia Farma
Botol 1000 ml 254,100.00
n/a PT. MahakamStrip
Beta Farma 635.00
Dus, 10 Blister
Prima
@ 10 Tablet 205.00
n/a PT. Dexa Medica
Dus, 10 Blister @ 10 tablet 300.00
n/a PT. Kimia Farma
Dus, 1 BotolPrima
@ 100 ml 9,950.00
Flagyl PT. Aventis Dus,
Pharma
2 blister @ 5 suppositoria 3,220.00
n/a PT. Phyto Kemo
10 strip
Agung
@ 10Farma
tab 110.00
n/a PT. Phyto Kemo
10 strip
Agung
@ 10Farma
tab 160.00
Fortanest PT Kalbe Farma
Box isi 5 ampul 5,600.00
Dormicum PT. Boehringer
BoksIngelheim
5 amp 12,060.00
n/a PT. Kimia Farma
Tube 10 gram 3,000.00
n/a PT. Guardiantube
Pharmatama
10 gram 17,820.00
n/a PT. Kimia Farma
Dus 10 amp @ 1 ml 8,400.00
n/a PT. Kimia Farma
Ktk 10 ampul @ 1ML 10,499.00
n/a PT. Kimia Farma
n/a PT. WidatraBotol
Bhakti
500 ml 4,700.00
Fraxiparine 0.3 ml PT. Glaxo Wellcome
Dus, 5 blister
Indonesia
@ 2 pfs 0.3 ml 54,144.00
Dus, 5 blister
Indonesia
@ 2 pfs 0.4 ml 66,640.00

Dus, 5 blister
Indonesia
@ 2 pfs 0.6 ml 94,962.00
Nokoba PT. PratapaDus,

Nirmala
5 Ampul @ 2ml 61,600.00
Meylon PT Otsuka Indonesia
Ampoel 25 ML 6,200.00
Box ,5 Blister @
Laboratories
10 tablet 200.00
n/a PT. Phapros,
Dus
Tbk@ 5 X 10 's 133.00
Fucilex Ointment PT. Molex Ayus
Tube 5 gr 6,490.00
n/a PT. Kimia Farma
btl 60 tablet 2,800.00
Adalat Oros 20 mg PT. Bayer Indonesia
blister 2,999.00
Adalat Oros 30 mg PT. Bayer Indonesia
blister 3,500.00
n/a PT. Dexa Medica
Dus, 10 Strip @ 10 tablet salut 100.00
n/a PT. Phapros,
Dus
Tbk@ 10 X 10 's 640.00
Primolut N PT. Bayer Indonesia
blister 2,618.00
n/a PT. Phapros,
Paket
Tbk 359,900.00
n/a PT. Kimia Farma
Paket 1,199,990.00
n/a PT. Kimia Farma

Paket 214,990.00
n/a PT. Indofarma
Dus, 3 blister @ 28 kss 160,000.00
10 tablet 400.00
10 tablet 650.00
Ilaidin Drops PT. Merck Tbk
botol @ 10 ml 27,550.00
Olandoz 5 PT. Sandoz 3Indonesia
X 10 fcc 6,450.00
Olandoz 10 PT. Sandoz 3Indonesia
X 10 fcc 11,200.00
Dus, 1 Vial @Prima
40 mg 36,000.00
n/a PT. Novapharin
strip 211.00
n/a PT. Indofarma
Dus, 5 Ampul @ 2ml 2,400.00
n/a PT. Yarindo Box
Farmatama
3 X 10 Tab 716.00
n/a PT. Yarindo Box
Farmatama
3 X 10 Tab 1,189.00
n/a PT Kalbe Farma
Transfer Set: Set; Ultaclam: Kan 1,902,240.00
n/a PT Kalbe Farma

Set 219,540.00
Larutan Dialisa 1.5%: PT Kalbe Farma

Larutan Dialisa 1.5 %: 2.000 ml 5,522,580.00
Dianeal Low Calcium with
1,5% Dextrose; Larutan
Dialisa 2.5%: Dianeal Low
Calcium with 2,5%
Dextrose; Larutan Dialisa
4.25%: Dianeal Low
Calcium with 4.25%
Dextrose
n/a PT. Afifarma

botol 60 ml 1,438.00
Pegasys PT. Boehringer
Boks,
Ingelheim
1 pfs 1,077,815.00
Pegasys PT. Boehringer

Boks,
Ingelheim
1 pfs 1,248,220.00
Scabimite Cream 10 PT. Galenium

Tube
Pharmasia
@ 10 g Laboratories 11,475.00
n/a PT. Kimia Farma
Ktk 10 ampx2ml 14,500.00
DECULIN 15 MG PT. Dexa Medica

30 TAB/BOX 3,120.00
DECULIN 30 MG PT. Dexa Medica
30 TAB/BOX 4,525.00
n/a PT. Holi Pharma
Botol 60 ml 8,360.00
n/a PT. Holi Pharma
Dus, 25 Blister @ 4 tablet 298.00
n/a PT. Holi Pharma
Dus 10 strip @ 10 tablet 208.00
Aptil PT. PratapaDus,
Nirmala
Botol @ 10ml 17,393.00
n/a PT. Afifarma
botol @ 1000 ml 37,109.00
n/a PT. Afifarma
botol @ 30 ml 2,163.00
n/a PT. Afifarma
botol @ 300 ml 14,203.00
Sifrol ER 0,375mg PT. Boehringer
Dus,Ingelheim
3 alu blister @ 10 tablet 7,200.00
Sifrol ER 0,750mg PT. Boehringer
Dus,Ingelheim
3 alu blister @ 10 tablet 11,268.00
10 tablet 2,300.00
n/a PT. Dexa Medica
n/a PT. Holi Pharma
Seroquel XR 200 mg PT. AstraZeneca
Dus, 1indonesia
Dus, 1indonesia
Dus, 1indonesia
n/a PT. Dexa Medica
Dus, 10 Strip @ 10 kaptab 580.00
Dus, 10 Ampul Prima
@ 2 ml 1,140.00
n/a PT. Dexa Medica
Dus, 10 Strip @ 10 tablet salut 120.00
n/a PT. Kimia Farma
Botol 50 kapsul lunak 260.00
Bhakti
500 ml 5,200.00
n/a PT. Dexa Medica
n/a PT. Mersifarma
KOTAK
Tirmaku
@ 5 x Mercusana
10 TAB 1,008.00
n/a PT. Dexa Medica
Requip PD 24 Hour 2 mg PT. Glaxo Wellcome
Dus, 7 blister
Indonesia
@ 4 Tablet lepas 5,248.00

Dus, 7 blister
Indonesia

Dus, 7 blister
Indonesia
Ventolin Inhaler PT. Glaxo Wellcome

Dus, botol
Indonesia
200 dosis 63,750.00
Ventolin Rotacaps PT. Glaxo Wellcome
Dus, 10 Blister
Indonesia
@ 10 Kapsul 431.00
Ventolin Rotahaler PT. Glaxo Wellcome
Dus, 1 Rotahaler
Indonesia 5,867.00
n/a PT. Holi Pharma

n/a PT. HexpharmDus,Jaya
5 strip
Laboratories
@ 10 kapsul 513.00
n/a PT. Bernofarm
n/a PT. Holi Pharma
Dus, 5 Strip @Laboratories
10 Kapsul 1,000.00
vial Laboratories 43,000.00
n/a PT. Dexa Medica
Dus, 5 Strip @ 10 kapsul 850.00
Dus, Botol 30 Laboratories
ml 8,800.00
2 vial
Laboratories
@ 500 mg 4,997.00
Dus, 10 Vial Prima
@1g 2,950.00
Banadoz 100 PT. Sandoz Dus,
Indonesia
3 blister @ 10 tablet 3,700.00
2 vial
Laboratories
@1g 17,060.00
Dus, 10 Vial Prima
@1g 3,300.00
Zinnat 500 PT. Glaxo Wellcome
Dus, 1 Blister
Indonesia
@ 10 Tablet salut 7,200.00
Box, 10 strips @ 10 capsules 181.00
n/a PT. Lucas Djaja
100 ampul @ 1 ml 1,077.00
Cyclovid 200 mg PT. Novell Pharmaeutical

vial Laboratories 82,000.00
Dus, 3 Strip Prima
@ 10 Kaplet salut s 169.00
Dus, 3 Strip Prima
@ 10 Kaplet salut s 391.00
n/a PT. Dexa Medica
Vial 200 ml 13,000.00
n/a PT. Indofarma
Dus, 5 strip @ 10 tablet 1,499.00
n/a PT. Dexa Medica
n/a PT. Dexa Medica
Sufentanyl Injeksi PT. Kimia Farma
dus 5 amp @ 2ml 127,000.00
iv.Epidural 5 mcg / ml
Prograf PT. Combiphar

Pounch @ 5 blister @ 10 capsul 11,167.00
Harnal D 0.2 mg Disp. PT. Combiphar
Box/ 2 blister @ 14 tablet 5,800.00
Tablet
Harnal D PT. Combiphar
Box @ 2 blister @ 14 tablet 5,800.00
Harnal OCAS 0.4 mg PT. Combiphar
Box/ 3 blister @ 10 Tablet 6,800.00
Tablet
Molasma Tablet PT. Molex Ayus
Box 50's 99.00
Bricasma Turbuhaler 0.5 PT. AstraZeneca
Dus, 1indonesia
Turbuhaler @ 200 dosis 71,100.00
mcg
n/a PT. Holi Pharma
Thyrozol 5 PT. Merck Tbk
Isotic Adretor 0,25% PT. PratapaDus,
Nirmala
Botol Plastik @ 5ml 9,128.00
Isotic Adretor 0,5% PT. PratapaDus,
Nirmala
Botol Plastik @ 5ml 9,722.00
Spiriva 10s + Handihaler PT. Boehringer
Dus,Ingelheim
1 blister @10 kapsul + han 152,543.00

Dus, 10 Ampul
Prima
@ 2 ml 2,395.00
n/a PT. Darya Varia
strip 405.00
Soft U Derm PT. Galenium
tube
Pharmasia Laboratories 6,400.00
Depakote ER 250 mg PT. Abbott Indonesia
Tablet 2,793.00
Depakote ER 500 mg PT. Abbott Indonesia
Tablet 5,450.00
Isoptin 240 mg PT. Abbott Indonesia
Tablet 6,200.00
n/a PT. Kimia Farma
Ktk 10X10 TAB 234.00
Vinblastine PT. Combiphar
Vial 10mg/10ml 210,000.00
n/a PT. Kimia Farma
Zincpro Drops PT. Combiphar
Drops 10 mg/ml, Botol @15 ml 12,840.00
Zircum Kid Sirup PT. Meprofarm
n/a PT. Kimia Farma
Distributor Kontrak Payung
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# Provinsi Nama Obat Generik
101. Jawa TengaFlukonazol tablet/kapsul 150 mg
104. Jawa TengaFluorourasil inj 250 mg/mL
105. Jawa TengaFluorourasil inj 500 mg/ 5 mL
106. Jawa TengaFlusinolon asetonid krim 0,025%
107. Jawa TengaFlutikason furoat intranasal spray
108. Jawa TengaFlutikason propionat nebules 0,5 mg
109. Jawa TengaFondaparinuks inj 2,5 mg/0,5 mL

110. Jawa TengaFurosemid injeksi i.v./i.m. 10 mg/ml
111. Jawa TengaFurosemid tablet 40 mg
112. Jawa TengaGaram Oralit I serbuk, kombinasi : Natrium klorida 0,52 g

kalium klorida 0,30 g Trinatrium sitrat dihidrat 0,58 g Glukosa
Anhidrat 2,70 g
113. Jawa TengaGemfibrozil kapsul/kaplet 300 mg
114. Jawa TengaGemfibrozil tablet 600 mg
115. Jawa TengaGemsitabin inj 1000 mg/vial
116. Jawa TengaGentamisin injeksi 40 mg/ ml
117. Jawa TengaGentamisin salep mata 0,3%
118. Jawa TengaGentamisin tetes mata 0,3%
119. Jawa TengaGlibenklamid tablet 5 mg
120. Jawa TengaGlikuidon tab 30 mg
125. Jawa TengaGliseril trinitrat tab sublingual 0,5 mg
126. Jawa TengaGliserin lar 50%

129. Jawa TengaGriseofulvin tablet 125 mg
130. Jawa TengaHaloperidol inj 50 mg/mL
135. Jawa TengaHiosin butilbromid injeksi 20 mg/ml
136. Jawa TengaIbuprofen sirup 100 mg/5 ml
137. Jawa TengaIbuprofen suspensi 200 mg/5 ml
138. Jawa TengaIbuprofen tablet 400 mg
143. Jawa TengaIsosorbid Dinitrat tablet sublingual 5 mg

146. Jawa TengaKaptopril tablet 50 mg
147. Jawa TengaKaptopril tablet scored12,5 mg
148. Jawa TengaKarbamazepin tablet 200 mg
149. Jawa TengaKarbogliserin tetes telinga 10%
150. Jawa TengaKetamin injeksi i.v. 100 mg/ml
153. Jawa TengaKetokonazol tablet 200 mg
154. Jawa TengaKetorolac injeksi 30 mg/ml
155. Jawa TengaKlaritromisin tab 500 mg
158. Jawa TengaKlobazam tab 10 mg
159. Jawa TengaKlonidin tablet 0,15 mg
160. Jawa TengaKlopidogrel tab 75 mg

161. Jawa TengaKlorpromazin injeksi i.m. 25 mg/ml (HCl)
162. Jawa TengaKlorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
166. Jawa TengaKombinasi suspensi : Parafin + gliserin + fenolftalein
167. Jawa TengaKombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam
folat 0,25 mg
168. Jawa TengaKombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg
171. Jawa TengaKotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol

400 mg Trimetoprim 80 mg
172. Jawa TengaKotrimoksazol Suspensi komb: Sulfametoksazol 200 mg +

Trimetoprim 40 mg / 5 ml
173. Jawa TengaKuinin (Kina) tablet 200 mg
174. Jawa TengaKuinin injeksi i.v. 25% (sebagai 2 HCl)
175. Jawa TengaKuinin tablet 222 mg (H2SO4.7H2O)
176. Jawa TengaLamivudine tablet 150 mg
177. Jawa TengaLanzoprazol kapsul/kaplet 30 mg

178. Jawa TengaLapatinib tab 250 mg
179. Jawa TengaLarutan mengandung Asam Amino (Asam Amino 100 g, Total
N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)


182. Jawa TengaLarutan mengandung Asam Amino (Asam amino 8%)
183. Jawa TengaLarutan mengandung Elektrolit (Kalium Klorida)
184. Jawa TengaLarutan mengandung Karbohidrat (Maltose 100 gr)
185. Jawa TengaLarutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0

g; NaCl: 4,5 g)
186. Jawa TengaLarutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0

g; NaCl: 2.25 g)
187. Jawa TengaLarutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0

g; NaCl: 4.5 g)
188. Jawa TengaLarutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g,

KCL 1.5g, Glukosa 100 gr)
189. Jawa TengaLarutan mengandung Lipid (Emulsi lemak 20%)
190. Jawa TengaLevofloksasin inf 5 mg/mL
191. Jawa TengaLevofloksasin tablet 500 mg
192. Jawa TengaLidokain injeksi 2% (HCL)
193. Jawa TengaLidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml

196. Jawa TengaLoperamid tablet 2 mg
197. Jawa TengaLoratadin tablet 10 mg
198. Jawa TengaLorazepam tablet 2 mg
Halaman
2
/ 4
2006-2014
Lembaga
Kebijakan
Pengadaan
Barang/Jasa
Pemerintah
(LKPP) e-
katalog.lkpp.g
o.id
n/a PT. Kimia Farma ktk 1 x 10 kapsul
Foransi 10 PT. Gracia Pharmindo strip
NOPRES PT. Dexa Medica DUS, 30 TABLET
Curacil PT Kalbe Farma vial @ 1 ml
SYNARCUS PT. Ifars Pharmaceutical Laboratories

Dus, Tube 5 g
Avamys PT. Glaxo Wellcome Indonesia

Dus, Botol 120 Dosis
Flixotide Nbules PT. Glaxo Wellcome Indonesia

Dus, 2 flow wrap@ 5 n
Arixtra PT. Glaxo Wellcome Indonesia

Dus, 2 pfs 0.5 ml
n/a PT. Indofarma Dus, 25 ampul @ 2 ml
n/a PT. Indofarma Dus, 10 strip @ 10 tab
n/a PT. Phapros, Tbk Dus @ 100 Sachet
n/a PT. Indofarma Dus, 10 blister @ 12 k
Gemzar 1000 mg PT. Bayer Indonesia vial
Genoint Salep Mata PT. Erela Tube @ 3,5 gr
n/a PT. Indofarma Dus, botol plastik 5 ml
n/a PT. Dexa Medica Dus, 10 Strip @ 10 tab
n/a PT. Kimia Farma ktk 5x10 tablet
Nitral PT. Actavis Indonesia Btl @ 30 tablet
Gliserin lar 50% PT. Lucas Djaja Glycerin 100 ml

n/a PT. Widatra Bhakti botol @ 500 ml
n/a PT. Indofarma Dus, 10 blister @ 10 ta
Haldol Decanoas PT. Soho Industri Pharmasi Dus 5 Ampul@1mL
Lodomer 2 PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB
n/a PT. Otto Pharmaceuticals box 5ampul @1 ml
n/a PT. Indofarma Dus, botol 60 ml
n/a PT. Novapharin strip
Tanapress 10mg PT. Tanabe Indonesia 3 blister @ 10 tablet
n/a PT. Indofarma Dus, 5 blister @ 10 ks
n/a PT. Indofarma Dus, 5 blister @ 10 ks

n/a PT. Dexa Medica Dus, 3 Blister @ 10 tab
n/a PT. Dexa Medica Dus, 3 Blister @ 10 tab
Karbogliserin tetes telinga PT. Lucas Djaja Fenol 100 mg / 1 ml

10%
KTM PT. Guardian Pharmatama Vial @ 10 ml
n/a PT. Novell Pharmaeutical Laboratories

Box isi 1 Tube @ 15 g
n/a PT. Kimia Farma tube 10 gr
n/a PT. Dexa Medica Dus, 5 Strip @ 10 tabl
n/a PT. Phapros, Tbk Dus @ 12 Ampul
ORIXAL PT. Ifars Pharmaceutical Laboratories

Dus, 3 Strip @ 10 Kapl
n/a PT. Indofarma Dus, 5 blister @ 10 ka
n/a PT. Indofarma Dus, 5 blister @ 10 ka
n/a PT. Kimia Farma Ktk 10X10 TAB
n/a PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10 tab
Laxadine Emulsi 60 ml PT. Galenium Pharmasia Laboratories

Botol @ 60 ml
n/a PT. Erela Dus, 100 Sachet @ 30
Seretide Inhaler 50 mcg PT. Glaxo Wellcome Indonesia

Seretide Diskus 100 mcg PT. Glaxo Wellcome Indonesia

Dus, foil strip @ 60 do

Dus, foil strip @ 60 do
n/a PT. Holi Pharma Dus, 10 strip @ 10 kap
n/a PT. Novapharin btl @ 60 ml
n/a PT. Kimia Farma ktk 60 tablet
n/a PT. Kimia Farma ktk 100 amp @ 2 ml
n/a PT. Kimia Farma ktk 10 x 10 tablet
n/a PT. Kimia Farma Botol 60 tablet
n/a PT. Indofarma Dus, 2 strip @ 10 kaps

Tykerb PT. SmithKline Beecham Phamaceuticals
Dus, 7 Blister @ 10 tab
Amiparen PT Otsuka Indonesia Softbag 500 ML
Pan-amin G PT Otsuka Indonesia Softbag 500 ML
Aminofluid PT Otsuka Indonesia Double Chamber Softb
Aminosteril N-Hepa PT. Fresenius Kabi Combiphar

Botol Gelas 500 ml
Otsu - KCl 7,46% PT Otsuka Indonesia Ampoel 25 ML
Martos PT Otsuka Indonesia Plastic Bottle 500 ML
WIDA 2A PT. Widatra Bhakti Botol 500 ml
WIDA D5-1/4NS PT. Widatra Bhakti Botol 500 ml
KA ENMG 3 PT Otsuka Indonesia Plastic Bottle 500 ML
Intralipid PT. Fresenius Kabi Combiphar

Botol Gelas 100 ml
n/a PT. Infion Pharmaceutical Box, 1 Botol @ 100 ml
n/a PT. Promedrahardjo FarmasiSTRIP

Industri
n/a PT. Bernofarm Dus, 100 ampul @ 2 m

Box ,3 Strip @ 10 table
Box ,3 Strip @ 10 table
n/a PT. Ifars Pharmaceutical Laboratories

Dus, 10 Strip @ 10 Tab
n/a PT. Promedrahardjo FarmasiSTRIP

Industri
Merlopam 2 PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10 TAB
Ludios PT. Soho Industri Pharmasi Strip
Sandepril 50 PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10 TAB
Harga Satuan
Distributor
Kontrak Payung
Terkecil (Rp)
22,000.00 Download Download
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1,098,900.00 Download Download






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299. Jawa Tengah
300. Jawa Tengah
Halaman
/ 43
2006-2014
Lembaga
Kebijakan
Pengadaan
Barang/Jasa
Pemerintah
(LKPP) e-
katalog.lkpp.g
o.id
Nama Obat Generik Nama Dagang
Meropenem inj 1 g n/a
Metadon sir 50mg/5ml n/a
Metilprednisolon tablet 16 mg n/a
Metoklopramide tablet 5 mg n/a
Metronidazol infus 500 mg/100 ml n/a
Metronidazol supositoria 500 mg Flagyl
Metronidazol tablet 250 mg n/a
Metronidazol tablet 500 mg n/a
Midazolam injeksi i.v. 1 mg/ml Fortanest
Midazolam injeksi i.v. 5 mg/ml Dormicum
Mikonazol krim/salep 2 % (Nitrat) n/a
Mometason furoat krim 0,1% n/a
Morfin HCL inj 10 mg/ml n/a
Morfin injeksi i.m./s.k./i.v. 10 mg/ml n/a
Morfin tablet 10 mg n/a
Nacl 0,9% n/a
Nadroparin inj 9500 Axa/mL syringe 0,3 mL Fraxiparine 0.3 ml
Nadroparin inj 9500 Axa/mL, syringe 0,4 mL Fraxiparine 0.4 ml
Nadroparin inj 9500 Axa/mL, syringe 0,6 mL Fraxiparine 0.6 ml
Nalokson injeksi 0,4 mg/ml Nokoba

Natrium Bikarbonat injeksi i.v 8,4% Meylon
Natrium Diklofenak tablet 50 mg n/a
Natrium Diklofenak tablet 25 mg n/a
Natrium fusidat salep 20 mg/g Fucilex Ointment
Nevirapin tablet 200 mg n/a

Nifedipin tab 20 mg, slow release; oros Adalat Oros 20 mg
Nifedipin tab 30 mg, oros Adalat Oros 30 mg
Nifedipin tablet/kapsul 10 mg n/a

Nistatin tablet salut 500.000 IU/ g n/a
Noretisteron tablet 5 mg Primolut N
Obat Antituberkulosis FDC Kategori 1 n/a
Obat Antituberkulosis FDC Kategori 2 n/a
Obat Antituberkulosis FDC Kategori Anak n/a
Obat Antituberkulosis FDC Sisipan n/a
Ofloxacin tablet 200 mg n/a
Ofloxacin tablet 400 mg n/a
Oksimetazolin tetes hidung 0,025% Ilaidin Drops
Olanzapin kapl salut 5 mg Olandoz 5
Olanzapin tab 10 mg Olandoz 10
Omeprazol injeksi 40 mg/ 10 ml n/a
Omeprazol kapsul/kaplet 20 mg n/a
ondansetron inj 4 mg/ 2 mL n/a
Ondansetron tab 4 mg n/a
Ondansetron tablet 8 mg n/a
Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit n/a
Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)
Paket CAPD Pergantian Transfer Set per 6 bulan n/a

Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan Larutan Dialisa
komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %, 1.5%: Dianeal Low
Larutan Dialisa 4.25 %, Minicap) Calcium with 1,5%
Dextrose; Larutan
Dialisa 2.5%:
Dianeal Low
Calcium with 2,5%
Dextrose; Larutan
Dialisa 4.25%:
Dianeal Low
Calcium with
4.25% Dextrose
Parasetamol sirup 120 mg / 5 ml n/a

Pegylated interferon alfa-2a inj 135 mcg/0,5 ml Pegasys
Pegylated interferon alfa-2a inj 180 mcg/0,5 ml Pegasys
Permetrin krim 5% Scabimite Cream

10
Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl) n/a
Pioglitazon tab 15 mg DECULIN 15 MG
Pioglitazon tab 30 mg DECULIN 30 MG
Pirantel suspensi 125 mg/5 ml n/a

Pirantel tablet score (base) 125 mg n/a
Pirazinamid tablet 500 mg n/a
Polikresulen cairan Aptil
Povidon Iodida larutan 10% 1000 ml n/a
Pramipeksol tab ER 0,375 mg Sifrol ER 0,375mg
Pramipeksol tab ER 0,750 mg Sifrol ER 0,750mg
Pravastatin tablet 20 mg n/a

Propanolol tablet 10 mg ( HCl ) n/a
Propranolol tablet 40 mg (HCl) n/a
Quetiapin tab 200 mg Seroquel XR 200
mg
mg
mg
Ramipril tablet 5 mg n/a
Ranitidin injeksi 25 mg/2 ml n/a
Ranitidin tablet 150 mg n/a
Retinol (Vitamin A) 100.000 IU n/a
Ringer Laktat larutan infus n/a
Risperidon tablet 1 mg n/a
Ropinirol Tablet Salut 2 mg Requip PD 24 Hour
2 mg
4 mg
8 mg
Salbutamol inhalasi/aerosol 100 mcg/dosis Ventolin Inhaler
Salbutamol serb inh 200 mcg/kaps Ventolin Rotacaps
Salbutamol serb inh 200 mcg/kaps + rotahaler Ventolin Rotahaler
Sefadroksil sirup kering 125 mg/5ml n/a

Sefadroksil kapsul/kaplet 250 mg n/a
Sefadroksil kapsul/kaplet 500 mg n/a
Sefadroksil sir kering 250 mg/5 mL n/a
Sefaleksin kapsul/kaplet 500 mg n/a
Sefepim inj 1 g n/a
Sefiksim kapsul/kaplet 100 mg n/a
Sefiksim sirup kering 100 mg/ 5 ml n/a
Sefotaksim injeksi 0,5 g n/a
Sefotaksim injeksi 1 g n/a
Sefpodoksim proksetil tab 100 mg Banadoz 100
Seftazidim injeksi 1 g n/a
Seftriakson serbuk injeksi 1 g/vial n/a
Sefuroksim tab 500 mg Zinnat 500
Setirizin tablet 10 mg n/a
Harga Satuan Terkecil
Nama Penyedia Kemasan
(Rp)
PT. Bernofarm Dus, 1 vial @ 1 g 54,000.00
PT. Kimia Farma Botol 1000 ml 254,100.00
PT. Mahakam Beta Farma Strip 635.00
PT. Natura Laboratoria Prima Dus, 10 Blister @ 10 Tablet 205.00
PT. Dexa Medica Dus, 10 Blister @ 10 tablet 300.00
PT. Kimia Farma ktk 10 x 10 tablet 108.00
PT. Natura Laboratoria Prima Dus, 1 Botol @ 100 ml 9,950.00
PT. Aventis Pharma Dus, 2 blister @ 5 suppositoria 3,220.00
PT. Phyto Kemo Agung Farma10 strip @ 10 tab 110.00
PT. Phyto Kemo Agung Farma10 strip @ 10 tab 160.00
PT Kalbe Farma Box isi 5 ampul 5,600.00
PT. Boehringer Ingelheim Boks 5 amp 12,060.00
PT. Kimia Farma Tube 10 gram 3,000.00
PT. Guardian Pharmatama tube 10 gram 17,820.00
PT. Kimia Farma Dus 10 amp @ 1 ml 8,400.00
PT. Kimia Farma Ktk 10 ampul @ 1ML 10,499.00
PT. Kimia Farma Botol 30 tablet 1,300.00
PT. Widatra Bhakti Botol 500 ml 4,700.00
PT. Glaxo Wellcome IndonesiaDus, 5 blister @ 2 pfs 0.3 ml 54,144.00
PT. Pratapa Nirmala Dus, 5 Ampul @ 2ml 61,600.00

PT Otsuka Indonesia Ampoel 25 ML 6,200.00
PT. Novell Pharmaeutical Laboratories
Box ,5 Blister @ 10 tablet 200.00
PT. Phapros, Tbk Dus @ 5 X 10 's 133.00
PT. Molex Ayus Tube 5 gr 6,490.00
PT. Kimia Farma btl 60 tablet 2,800.00

PT. Bayer Indonesia blister 2,999.00
PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut s 100.00

PT. Phapros, Tbk Dus @ 10 X 10 's 640.00
PT. Phapros, Tbk Paket 359,900.00
PT. Kimia Farma Paket 1,199,990.00
PT. Kimia Farma Paket 214,990.00
PT. Indofarma Dus, 3 blister @ 28 kss 160,000.00
Box ,5 Strip @ 10 tablet 400.00
Box ,5 Strip @ 10 tablet 650.00
PT. Merck Tbk botol @ 10 ml 27,550.00
PT. Sandoz Indonesia 3 X 10 fcc 6,450.00
PT. Sandoz Indonesia 3 X 10 fcc 11,200.00
PT. Natura Laboratoria Prima Dus, 1 Vial @ 40 mg 36,000.00
PT. Novapharin strip 211.00
PT. Indofarma Dus, 5 Ampul @ 2ml 2,400.00
PT. Yarindo Farmatama Box 3 X 10 Tab 716.00
PT. Yarindo Farmatama Box 3 X 10 Tab 1,189.00
PT Kalbe Farma Transfer Set: Set; Ultaclam: Kant 1,902,240.00
PT Kalbe Farma Set 219,540.00

PT Kalbe Farma Larutan Dialisa 1.5 %: 2.000 ml; 5,522,580.00
PT. Afifarma botol 60 ml 1,438.00

PT. Boehringer Ingelheim Boks, 1 pfs 1,077,815.00
PT. Boehringer Ingelheim Boks, 1 pfs 1,248,220.00
PT. Galenium Pharmasia Laboratories

Tube @ 10 g 11,475.00
PT. Kimia Farma Ktk 10 ampx2ml 14,500.00
PT. Dexa Medica 30 TAB/BOX 3,120.00
PT. Dexa Medica 30 TAB/BOX 4,525.00
PT. Holi Pharma Botol 60 ml 8,360.00

PT. Holi Pharma Dus, 25 Blister @ 4 tablet 298.00
PT. Holi Pharma Dus 10 strip @ 10 tablet 208.00
PT. Pratapa Nirmala Dus, Botol @ 10ml 17,393.00
PT. Afifarma botol @ 1000 ml 37,109.00
PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 7,200.00
PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 11,268.00

Box ,5 Strip @ 10 tablet 2,300.00
PT. Dexa Medica Dus, 10 Strip @ 10 tablet 65.00
PT. Holi Pharma Dus, 10 strip @ 10 tablet 107.00
PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 17,391.00

PT. Dexa Medica Dus, 10 Strip @ 10 kaptab 580.00

PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml 1,140.00
PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut s 120.00
PT. Kimia Farma Botol 50 kapsul lunak 260.00
PT. Widatra Bhakti botol 500 ml 5,200.00
PT. Dexa Medica Dus, 5 Blister @ 10 tablet 1,200.00
PT. Mersifarma Tirmaku Mercusana
KOTAK @ 5 x 10 TAB 1,008.00
PT. Dexa Medica Dus, 5 Blister @ 10 tablet 2,000.00
PT. Glaxo Wellcome IndonesiaDus, 7 blister @ 4 Tablet lepas 5,248.00
PT. Glaxo Wellcome IndonesiaDus, botol 200 dosis 63,750.00

PT. Glaxo Wellcome IndonesiaDus, 10 Blister @ 10 Kapsul 431.00
PT. Glaxo Wellcome IndonesiaDus, 1 Rotahaler 5,867.00
PT. Holi Pharma Dus, Botol 60 ml 4,896.00

PT. Hexpharm Jaya Laboratories
PT. Bernofarm Dus, 10 strip @ 10 kapsul 509.00
PT. Holi Pharma Dus, Botol 60 ml 5,940.00
PT. Ifars Pharmaceutical Laboratories
Dus, 5 Strip @ 10 Kapsul 1,000.00
vial 43,000.00
PT. Dexa Medica Dus, 5 Strip @ 10 kapsul 850.00
PT. Ifars Pharmaceutical Laboratories
Dus, 2 vial @ 500 mg 4,997.00
PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 2,950.00
PT. Sandoz Indonesia Dus, 3 blister @ 10 tablet 3,700.00
Dus, 2 vial @ 1 g 17,060.00
PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 3,300.00
PT. Glaxo Wellcome IndonesiaDus, 1 Blister @ 10 Tablet salut 7,200.00
PT. Pertiwi Agung Box, 10 strips @ 10 capsules 181.00
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# Provinsi Nama Obat Generik Nama Dagang
301. Jawa TengaSianokobalamin (vitamin B12) n/a

injeksi 500 mcg
302. Jawa TengaSiklofosfamid serbuk injeksi i.v. Cyclovid 200 mg
200 mg
303. Jawa TengaSimvastatin scored tablet 10 mg n/a
304. Jawa TengaSimvastatin tablet 20 mg n/a

305. Jawa TengaSiprofloksasin infus 2% n/a
306. Jawa TengaSpiramisin tablet 500 mg n/a
307. Jawa TengaSpironolakton tablet 100 mg n/a

308. Jawa TengaSpironolakton tablet 25 mg n/a
309. Jawa TengaSufentanil injeksi iv, epidural 5 Sufentanyl Injeksi iv.Epidural
mcg/ml 5 mcg / ml
310. Jawa TengaTakrolimus kaps 0.5 mg Prograf
311. Jawa TengaTamsulosin tab 0,2 mg Harnal D 0.2 mg Disp.

Tablet
312. Jawa TengaTamsulosin tab 0,2 mg Harnal D
313. Jawa TengaTamsulosin tab SR 0,4 mg Harnal OCAS 0.4 mg Tablet
314. Jawa TengaTerbutalin tablet 2,5 mg Molasma Tablet

315. Jawa TengaTerbutalin turbu (serbuk ih) 0,50 Bricasma Turbuhaler 0.5 mcg
mg
316. Jawa TengaTetrasiklin kapsul/kaplet 250 mg n/a
317. Jawa TengaTiamazol tab 5 mg Thyrozol 5

318. Jawa TengaTimolol tetes mata 0,25% Isotic Adretor 0,25%
319. Jawa TengaTimolol tetes mata 0,5% Isotic Adretor 0,5%
320. Jawa TengaTiotropium kaps 18 mcg + Spiriva 10s + Handihaler

handihaller
321. Jawa TengaTramadol injeksi 50 mg/ml n/a
322. Jawa TengaTrifluoperazin tablet 5 mg n/a

323. Jawa TengaUrea krim 10% Soft U Derm
324. Jawa TengaValproat tab SR 250 mg Depakote ER 250 mg
325. Jawa TengaValproat tab SR 500 mg Depakote ER 500 mg
326. Jawa TengaVerapamil tab 240 mg Isoptin 240 mg
327. Jawa TengaVerapamil tablet 80 mg (HCl) n/a
328. Jawa TengaVinblastin serbuk injeksi 10 mg Vinblastine
329. Jawa TengaZidovudin 300 mg + Lamivudine n/a

150 mg
330. Jawa TengaZinc drop 10 mg/mL Zincpro Drops
331. Jawa TengaZinc sir 20 mg/5 Ml Zircum Kid Sirup
332. Jawa TengaZinc tablet dispersible20 mg n/a
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No. Provinsi Nama Obat Generik
1. Jawa Tengah ACT (Artesunate tablet 50 mg + Amodiaquine

anhydrida tablet 200 mg)
2. Jawa Tengah Adefovir Dipivoksil tablet/kaplet 10 mg
3. Jawa Tengah Albendazol suspensi 200 mg/5 ml
4. Jawa Tengah Albendazol tablet/kapsul/kaplet 400 mg
5. Jawa Tengah Alopurinol tablet/kapsul/kaplet 100 mg
6. Jawa Tengah Alprazolam tablet/kapsul/kaplet 0,25 mg
7. Jawa Tengah Alprazolam tablet/kapsul/kaplet 0,5 mg
8. Jawa Tengah Alprazolam tablet/kapsul/kaplet 1 mg
9. Jawa Tengah Amikasin injeksi 250 mg/ml
10. Jawa Tengah Aminofilin injeksi 24 mg/ml
11. Jawa Tengah Aminofilin tablet scored 200 mg
12. Jawa Tengah Amiodaron injeksi 150 mg/3 ml
13. Jawa Tengah Amiodaron tablet/kaplet 200 mg
14. Jawa Tengah Amitriptilin tablet salut 25 mg (HCl)
15. Jawa Tengah Amlodipin tablet 10 mg
16. Jawa Tengah Amlodipin tablet 5 mg
17. Jawa Tengah Amoksisilin kapsul/kaplet 250 mg
18. Jawa Tengah Amoksisilin kapsul/kaplet/tablet scored 500 mg
19. Jawa Tengah Amoksisilin sirup kering forte 250 mg/5 ml
20. Jawa Tengah Amoksisilin sirup kering 125 mg/ 5 ml
21. Jawa Tengah Analog insulin rapid actinginj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin glulisine 100 IU/ml)
22. Jawa Tengah Antasida DOEN I tablet kunyah, kombinasi :

Aluminium Hidroksida 200 mg Magnesium Hidroksida
23. Jawa Tengah 200 mg DOEN II suspensi, kombinasi : Aluminium
Antasida
Hidroksida 200 mg/5 ml Magnesium Hidroksida 200
24. Jawa Tengah mg/5Bakteri
Anti ml DOEN salep kombinasi: Basitrasin 500
IU/g Polimiksin 10.000 IU/g
25. Jawa Tengah Antimalaria DOEN kombinasi : Pirimetamin 25 mg
26. Jawa Tengah Sulfadoksin
Antimigren: 500 mg
Ergotamin Tartrat 1 mg + Kofein 50 mg
27. Jawa Tengah Antiparkinson DOEN tablet kombinasi : Benserazid 25
mg Levodopa 100 mg
28. Jawa Tengah Artemether injeksi 80 mg/ml
29. Jawa Tengah Asam Askorbat (Vitamin C) tablet 50 mg
30. Jawa Tengah Asam Folat tablet/kapsul/kaplet 1 mg
31. Jawa Tengah Asam Mefenamat kapsul/kaplet 500 mg
32. Jawa Tengah Asam pipemidat kapsul 400 mg
33. Jawa Tengah Asam traneksamat injeksi 100 mg/ml
34. Jawa Tengah Asiklovir salep mata 3%
35. Jawa Tengah Asiklovir tablet/kapsul/kaplet 200 mg
36. Jawa Tengah Asiklovir tablet/kapsul/kaplet 400 mg
37. Jawa Tengah Atapulgit tablet 600 mg
38. Jawa Tengah Atrakurium injeksi 25 mg/2,5 ml
39. Jawa Tengah Atropin Sulfat tablet 0,5 mg
40. Jawa Tengah Azitromisin sir kering 200 mg/ 5 mL
41. Jawa Tengah Azitromisin tablet 500 mg
42. Jawa Tengah Azitromisin tablet 250 mg
43. Jawa Tengah Bedak salisil serbuk 2%
44. Jawa Tengah Benzatin Benzil Penisilin 1,2 juta IU/ vial
45. Jawa Tengah Benzatin Benzil Penisilin 2,4 juta IU/vial
46. Jawa Tengah Beractant injeksi / suspensi 25 mg/mL
47. Jawa Tengah Beraprost sodium tablet 20 mcg
48. Jawa Tengah Beraprost sodium tablet 20 mcg
49. Jawa Tengah Betametason krim 0,1% (sebagai Valerat)
50. Jawa Tengah Bisakodil suppositoria 10 mg
51. Jawa Tengah Bisoprolol tablet 5 mg
52. Jawa Tengah Bromokriptin tablet 2,5 mg
53. Jawa Tengah Budesonid-formoterol (fixed combination) inhaler
160/4,5 mcg
54. Jawa Tengah Deksametason injeksi i.v./i.m. 5 mg/ml
55. Jawa Tengah Desoksimetason krim 0,25%
56. Jawa Tengah Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
57. Jawa Tengah Digoksin tablet 0,25 mg

58. Jawa Tengah Diltiazem HCl tablet 30 mg
59. Jawa Tengah Diltiazem infus injeksi 50 mg
60. Jawa Tengah Diltiazem injeksi 25 mg/5 mL

61. Jawa Tengah Diltiazem Kapsul SR 100 mg
62. Jawa Tengah Diltiazem Kapsul SR 200 mg
63. Jawa Tengah Doksazosin mesilat tablet 1 mg
64. Jawa Tengah Doksazosin mesilat tablet 2 mg
65. Jawa Tengah Doksorubisin serbuk injeksi i.v. 10 mg/vial
66. Jawa Tengah Doksorubisin serbuk injeksi i.v. 50 mg/vial
67. Jawa Tengah Domperidon suspensi/sirup 5 mg/5 ml
68. Jawa Tengah Domperidon tablet 10 mg
69. Jawa Tengah Domperidon tetes 5 mg/mL
70. Jawa Tengah Dutasterid kaps lunak 0,5 mg
71. Jawa Tengah Enoksaparin sodium inj 20 mg/0,2 mL
74. Jawa Tengah Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
75. Jawa Tengah Epirubisin serb injeksi 50 mg/25ml

76. Jawa Tengah Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI
77. Jawa Tengah Eritromisin kapsul/kaplet 500 mg

78. Jawa Tengah Eritromisin sirup kering 200 mg/ 5 ml
79. Jawa Tengah Etambutol tablet 250 mg (HCl)
80. Jawa Tengah Etambutol tablet salut 500 mg (HCl)
81. Jawa Tengah Etanol 70% cairan
82. Jawa Tengah Etonogestrel implan 68 mcg
83. Jawa Tengah Etoposid injeksi 20 mg/ml
84. Jawa Tengah Eugenol cairan
85. Jawa Tengah Fenitoin injeksi 50 mg/ml
86. Jawa Tengah Fenitoin kapsul/kaplet 100 mg
87. Jawa Tengah Fenobarbital injeksi i.m./i.v. 50 mg/ml
88. Jawa Tengah Fenofibrat kaps 100 mg
89. Jawa Tengah Fenofibrat kaps 300 mg
90. Jawa Tengah Fenoksimetil penisilin (penisilin V) tablet 250 mg
91. Jawa Tengah Fenoksimetil penisilin (penisilin V)tablet 500 mg
92. Jawa Tengah Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml
93. Jawa Tengah Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml
94. Jawa Tengah Fentanil patch 25 mcg/jam

95. Jawa Tengah Fentanil patch 50 mcg/jam
96. Jawa Tengah Filgrastim inj 300 mcg/mL
97. Jawa Tengah Filgrastim inj 300 mcg/mL
98. Jawa Tengah Fitomenadion (Vit.K1) tablet salut gula 10 mg
99. Jawa Tengah Flufenazin injeksi i.m. 25 mg/ml

100. Jawa Tengah Flukonazol injeksi 2 mg/ml
101. Jawa Tengah Flukonazol tablet/kapsul 150 mg
102. Jawa Tengah Fluoksetin tablet 10 mg
103. Jawa Tengah Fluoksetin tablet 20 mg
104. Jawa Tengah Fluorourasil inj 250 mg/mL
105. Jawa Tengah Fluorourasil inj 500 mg/ 5 mL
106. Jawa Tengah Flusinolon asetonid krim 0,025%
107. Jawa Tengah Flutikason furoat intranasal spray
108. Jawa Tengah Flutikason propionat nebules 0,5 mg
109. Jawa Tengah Fondaparinuks inj 2,5 mg/0,5 mL
110. Jawa Tengah Furosemid injeksi i.v./i.m. 10 mg/ml
111. Jawa Tengah Furosemid tablet 40 mg
112. Jawa Tengah Garam Oralit I serbuk, kombinasi : Natrium klorida
0,52 g kalium klorida 0,30 g Trinatrium sitrat dihidrat
0,58 g Glukosa Anhidrat 2,70 g
113. Jawa Tengah Gemfibrozil kapsul/kaplet 300 mg

114. Jawa Tengah Gemfibrozil tablet 600 mg
115. Jawa Tengah Gemsitabin inj 1000 mg/vial
116. Jawa Tengah Gentamisin injeksi 40 mg/ ml
117. Jawa Tengah Gentamisin salep mata 0,3%
118. Jawa Tengah Gentamisin tetes mata 0,3%
119. Jawa Tengah Glibenklamid tablet 5 mg
120. Jawa Tengah Glikuidon tab 30 mg
121. Jawa Tengah Glimepiride tablet 1 mg
125. Jawa Tengah Gliseril trinitrat tab sublingual 0,5 mg
126. Jawa Tengah Gliserin lar 50%
127. Jawa Tengah Glukosa larutan infus 10 % steril
128. Jawa Tengah Glukosa larutan infus 5 % steril
129. Jawa Tengah Griseofulvin tablet 125 mg
130. Jawa Tengah Haloperidol inj 50 mg/mL
131. Jawa Tengah Haloperidol tablet 0,5 mg
132. Jawa Tengah Haloperidol tablet 5 mg
133. Jawa Tengah Haloperidol tablet 1,5 mg
134. Jawa Tengah Haloperidol tablet 2 mg
135. Jawa Tengah Hiosin butilbromid injeksi 20 mg/ml
136. Jawa Tengah Ibuprofen sirup 100 mg/5 ml
137. Jawa Tengah Ibuprofen suspensi 200 mg/5 ml
138. Jawa Tengah Ibuprofen tablet 400 mg
139. Jawa Tengah Imidapril tab 10 mg
140. Jawa Tengah Imidapril tab 5 mg
141. Jawa Tengah Irbesartan tab 150 mg
142. Jawa Tengah Irbesartan tab 300 mg
143. Jawa Tengah Isosorbid Dinitrat tablet sublingual 5 mg
144. Jawa Tengah Kandesartan tab 16 mg
145. Jawa Tengah Kandesartan tab 8 mg
146. Jawa Tengah Kaptopril tablet 50 mg
147. Jawa Tengah Kaptopril tablet scored12,5 mg
148. Jawa Tengah Karbamazepin tablet 200 mg
149. Jawa Tengah Karbogliserin tetes telinga 10%
150. Jawa Tengah Ketamin injeksi i.v. 100 mg/ml

151. Jawa Tengah Ketokonazol krim 2%
152. Jawa Tengah Ketokonazol krim 2%
153. Jawa Tengah Ketokonazol tablet 200 mg
154. Jawa Tengah Ketorolac injeksi 30 mg/ml
155. Jawa Tengah Klaritromisin tab 500 mg
156. Jawa Tengah Klindamisin kapsul/kaplet 150 mg
157. Jawa Tengah Klindamisin kapsul/kaplet 300 mg
158. Jawa Tengah Klobazam tab 10 mg
159. Jawa Tengah Klonidin tablet 0,15 mg
160. Jawa Tengah Klopidogrel tab 75 mg
161. Jawa Tengah Klorpromazin injeksi i.m. 25 mg/ml (HCl)
162. Jawa Tengah Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
163. Jawa Tengah Kodein tablet 10 mg

166. Jawa Tengah Kombinasi suspensi : Parafin + gliserin + fenolftalein
167. Jawa Tengah Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg
Asam folat 0,25 mg
168. Jawa Tengah Kombinasi: Salmeterol 25 mcg; Flutikason propionat
50 mcg
100 mcg
250 mcg
171. Jawa Tengah Kotrimoksazol DOEN I (dewasa) kombinasi :
Sulfametoksazol 400 mg Trimetoprim 80 mg
172. Jawa Tengah Kotrimoksazol Suspensi komb: Sulfametoksazol 200

mg + Trimetoprim 40 mg / 5 ml
173. Jawa Tengah Kuinin (Kina) tablet 200 mg

174. Jawa Tengah Kuinin injeksi i.v. 25% (sebagai 2 HCl)
175. Jawa Tengah Kuinin tablet 222 mg (H2SO4.7H2O)
176. Jawa Tengah Lamivudine tablet 150 mg
177. Jawa Tengah Lanzoprazol kapsul/kaplet 30 mg
178. Jawa Tengah Lapatinib tab 250 mg
179. Jawa Tengah Larutan mengandung Asam Amino (Asam Amino 100
g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)
180. Jawa Tengah Larutan mengandung Asam Amino (Asam Amino 27 g,

181. Jawa Tengah Larutan mengandung Asam Amino (Asam Amino 30 g,
182. Jawa Tengah Larutan mengandung Asam Amino (Asam amino 8%)
183. Jawa Tengah Larutan mengandung Elektrolit (Kalium Klorida)
184. Jawa Tengah Larutan mengandung Karbohidrat (Maltose 100 gr)
185. Jawa Tengah Larutan mengandung Karbohidrat + Elektrolit

(Glukosa: 25,0 g; NaCl: 4,5 g)
188. Jawa Tengah Larutan mengandung Karbohidrat + Elektrolit (NaCl
1.75 g, KCL 1.5g, Glukosa 100 gr)
189. Jawa Tengah Larutan mengandung Lipid (Emulsi lemak 20%)
190. Jawa Tengah Levofloksasin inf 5 mg/mL

191. Jawa Tengah Levofloksasin tablet 500 mg
192. Jawa Tengah Lidokain injeksi 2% (HCL)
193. Jawa Tengah Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml
194. Jawa Tengah Lisinopril tablet 10 mg

195. Jawa Tengah Lisinopril tablet 5 mg
196. Jawa Tengah Loperamid tablet 2 mg
197. Jawa Tengah Loratadin tablet 10 mg
198. Jawa Tengah Lorazepam tablet 2 mg
199. Jawa Tengah Maprotilin HCl tab 25 mg
200. Jawa Tengah Maprotilin HCl tab 50 mg
201. Jawa Tengah Meropenem inj 1 g
202. Jawa Tengah Metadon sir 50mg/5ml
203. Jawa Tengah Metilprednisolon tablet 16 mg
206. Jawa Tengah Metoklopramide tablet 5 mg
207. Jawa Tengah Metronidazol infus 500 mg/100 ml
208. Jawa Tengah Metronidazol supositoria 500 mg
209. Jawa Tengah Metronidazol tablet 250 mg
210. Jawa Tengah Metronidazol tablet 500 mg
211. Jawa Tengah Midazolam injeksi i.v. 1 mg/ml
212. Jawa Tengah Midazolam injeksi i.v. 5 mg/ml
213. Jawa Tengah Mikonazol krim/salep 2 % (Nitrat)
214. Jawa Tengah Mometason furoat krim 0,1%
215. Jawa Tengah Morfin HCL inj 10 mg/ml
216. Jawa Tengah Morfin injeksi i.m./s.k./i.v. 10 mg/ml
217. Jawa Tengah Morfin tablet 10 mg
218. Jawa Tengah Nacl 0,9%
219. Jawa Tengah Nadroparin inj 9500 Axa/mL syringe 0,3 mL
220. Jawa Tengah Nadroparin inj 9500 Axa/mL, syringe 0,4 mL
221. Jawa Tengah Nadroparin inj 9500 Axa/mL, syringe 0,6 mL
222. Jawa Tengah Nalokson injeksi 0,4 mg/ml

223. Jawa Tengah Natrium Bikarbonat injeksi i.v 8,4%
224. Jawa Tengah Natrium Diklofenak tablet 50 mg
225. Jawa Tengah Natrium Diklofenak tablet 25 mg
226. Jawa Tengah Natrium fusidat salep 20 mg/g
227. Jawa Tengah Nevirapin tablet 200 mg
228. Jawa Tengah Nifedipin tab 20 mg, slow release; oros
229. Jawa Tengah Nifedipin tab 30 mg, oros
230. Jawa Tengah Nifedipin tablet/kapsul 10 mg
231. Jawa Tengah Nistatin tablet salut 500.000 IU/ g
232. Jawa Tengah Noretisteron tablet 5 mg
233. Jawa Tengah Obat Antituberkulosis FDC Kategori 1
234. Jawa Tengah Obat Antituberkulosis FDC Kategori 2
235. Jawa Tengah Obat Antituberkulosis FDC Kategori Anak
236. Jawa Tengah Obat Antituberkulosis FDC Sisipan
237. Jawa Tengah Ofloxacin tablet 200 mg
238. Jawa Tengah Ofloxacin tablet 400 mg
239. Jawa Tengah Oksimetazolin tetes hidung 0,025%
240. Jawa Tengah Olanzapin kapl salut 5 mg
241. Jawa Tengah Olanzapin tab 10 mg
242. Jawa Tengah Omeprazol injeksi 40 mg/ 10 ml
243. Jawa Tengah Omeprazol kapsul/kaplet 20 mg
244. Jawa Tengah ondansetron inj 4 mg/ 2 mL
245. Jawa Tengah Ondansetron tab 4 mg
246. Jawa Tengah Ondansetron tablet 8 mg
247. Jawa Tengah Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2
unit Ultaclam, 1 unit Tenckoff Catheter, Titanium
Adaptor)
248. Jawa Tengah Paket CAPD Pergantian Transfer Set per 6 bulan
249. Jawa Tengah Paket CAPD Rutin 120 ( 4x ganti cairan perhari
dengan komposisi Larutan Dialisa 1.5 %, Larutan
Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)
250. Jawa Tengah Parasetamol sirup 120 mg / 5 ml

251. Jawa Tengah Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
252. Jawa Tengah Pegylated interferon alfa-2a inj 180 mcg/0,5 ml
253. Jawa Tengah Permetrin krim 5%

254. Jawa Tengah Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
255. Jawa Tengah Pioglitazon tab 15 mg

256. Jawa Tengah Pioglitazon tab 30 mg
257. Jawa Tengah Pirantel suspensi 125 mg/5 ml
258. Jawa Tengah Pirantel tablet score (base) 125 mg
259. Jawa Tengah Pirazinamid tablet 500 mg
260. Jawa Tengah Polikresulen cairan
261. Jawa Tengah Povidon Iodida larutan 10% 1000 ml
264. Jawa Tengah Pramipeksol tab ER 0,375 mg
265. Jawa Tengah Pramipeksol tab ER 0,750 mg
266. Jawa Tengah Pravastatin tablet 20 mg
267. Jawa Tengah Propanolol tablet 10 mg ( HCl )
268. Jawa Tengah Propranolol tablet 40 mg (HCl)
269. Jawa Tengah Quetiapin tab 200 mg
272. Jawa Tengah Ramipril tablet 5 mg
273. Jawa Tengah Ranitidin injeksi 25 mg/2 ml
274. Jawa Tengah Ranitidin tablet 150 mg
275. Jawa Tengah Retinol (Vitamin A) 100.000 IU
276. Jawa Tengah Ringer Laktat larutan infus
277. Jawa Tengah Risperidon tablet 1 mg
280. Jawa Tengah Ropinirol Tablet Salut 2 mg
283. Jawa Tengah Salbutamol inhalasi/aerosol 100 mcg/dosis
284. Jawa Tengah Salbutamol serb inh 200 mcg/kaps
285. Jawa Tengah Salbutamol serb inh 200 mcg/kaps + rotahaler
286. Jawa Tengah Sefadroksil sirup kering 125 mg/5ml

287. Jawa Tengah Sefadroksil kapsul/kaplet 250 mg
288. Jawa Tengah Sefadroksil kapsul/kaplet 500 mg
289. Jawa Tengah Sefadroksil sir kering 250 mg/5 mL
290. Jawa Tengah Sefaleksin kapsul/kaplet 500 mg
291. Jawa Tengah Sefepim inj 1 g
292. Jawa Tengah Sefiksim kapsul/kaplet 100 mg
293. Jawa Tengah Sefiksim sirup kering 100 mg/ 5 ml
294. Jawa Tengah Sefotaksim injeksi 0,5 g
295. Jawa Tengah Sefotaksim injeksi 1 g
296. Jawa Tengah Sefpodoksim proksetil tab 100 mg
297. Jawa Tengah Seftazidim injeksi 1 g
298. Jawa Tengah Seftriakson serbuk injeksi 1 g/vial
299. Jawa Tengah Sefuroksim tab 500 mg
300. Jawa Tengah Setirizin tablet 10 mg
301. Jawa Tengah Sianokobalamin (vitamin B12) injeksi 500 mcg
302. Jawa Tengah Siklofosfamid serbuk injeksi i.v. 200 mg

303. Jawa Tengah Simvastatin scored tablet 10 mg
304. Jawa Tengah Simvastatin tablet 20 mg
305. Jawa Tengah Siprofloksasin infus 2%
306. Jawa Tengah Spiramisin tablet 500 mg
307. Jawa Tengah Spironolakton tablet 100 mg
308. Jawa Tengah Spironolakton tablet 25 mg
309. Jawa Tengah Sufentanil injeksi iv, epidural 5 mcg/ml
310. Jawa Tengah Takrolimus kaps 0.5 mg

311. Jawa Tengah Tamsulosin tab 0,2 mg
312. Jawa Tengah Tamsulosin tab 0,2 mg

313. Jawa Tengah Tamsulosin tab SR 0,4 mg
314. Jawa Tengah Terbutalin tablet 2,5 mg

315. Jawa Tengah Terbutalin turbu (serbuk ih) 0,50 mg
316. Jawa Tengah Tetrasiklin kapsul/kaplet 250 mg
317. Jawa Tengah Tiamazol tab 5 mg
318. Jawa Tengah Timolol tetes mata 0,25%
319. Jawa Tengah Timolol tetes mata 0,5%
320. Jawa Tengah Tiotropium kaps 18 mcg + handihaller
321. Jawa Tengah Tramadol injeksi 50 mg/ml
322. Jawa Tengah Trifluoperazin tablet 5 mg
323. Jawa Tengah Urea krim 10%
324. Jawa Tengah Valproat tab SR 250 mg
325. Jawa Tengah Valproat tab SR 500 mg
326. Jawa Tengah Verapamil tab 240 mg
327. Jawa Tengah Verapamil tablet 80 mg (HCl)
328. Jawa Tengah Vinblastin serbuk injeksi 10 mg
329. Jawa Tengah Zidovudin 300 mg + Lamivudine 150 mg
330. Jawa Tengah Zinc drop 10 mg/mL
331. Jawa Tengah Zinc sir 20 mg/5 Ml
332. Jawa Tengah Zinc tablet dispersible20 mg
n/a PT. Kimia Farma 1 blister@24 tablet
Hepsera PT. SmithKline Beecham Phamaceuticals

Dus, 3 Blister @ 10 k
n/a PT. Indofarma Dus, 10 dus @ 1 boto
n/a PT. Holi Pharma Dus, 5 strip @ 6 table
n/a PT. Pertiwi Agung Box, 10 strips @ 10 t
n/a PT. Dexa Medica Dus, 10 Strip @ 10 ta
n/a PT. Kimia Farma Ktk 10x10 tablet
n/a PT. Kimia Farma Ktk 10x10 tablet
Glybotic 250 mg /ml PT. Sanbe Farma Vial 2 ml
n/a PT. Lucas Djaja dus 30 ampul @10 ml
n/a PT. Marin Liza Farmasi Botol @ 100 tablet sa
Cordarone PT. Aventis Pharma Dus, 6 ampul @ 3 ml
Kendaron Tablet PT. Darya Varia strip
n/a PT. Indofarma Dus, 10 strip @ 10 ts
n/a PT. Pertiwi Agung Box, 3 strips @ 10 tab
n/a PT. Pertiwi Agung Box, 3 strips @ 10 tab
n/a PT. Bernofarm Dus, 10 strip @ 10 ka
n/a PT. Holi Pharma Dus, Botol 60 ml
Apidra Solostar 100IU/ml 5pens x3ml PT. Aventis Pharma dus, 5 solostar pen @
n/a PT. Promedrahardjo Farmasi Industri

STRIP
n/a PT. Erela Botol @ 60 ml
n/a PT. Indofarma Dus, 25 tube @ 5 g

n/a PT. Kimia Farma Btl 100 tablet
Levopar Tablet PT. Meprofarm Dus, 5 strip @ 10 tabl
Artem PT. Kimia Farma Dus 6 amp @ 1ml

n/a PT. Kimia Farma Dus 10 strip x 10 tab
n/a PT. Marin Liza Farmasi Botol @ 100 tablet
n/a PT. Bernofarm Dus, 10 blister @ 10
Urotractin 400 mg PT. Sanbe Farma Strip
Dus, 10 ampul @ 5 m
Temiral Eye Oint PT. Sanbe Farma Tube 3,5 gram
n/a PT. Indofarma Dus, 10 blister @ 10
n/a PT. Sampharindo Perdana Dus, 5 strip @ 10 tabl
Pularex PT. Zenith Pharmaceuticals Dus 5 strip @ 10 tabl
Tracrium PT. Glaxo Wellcome Indonesia
Dus, 5 ampul @ 2.5 m
n/a PT. Indofarma Dus, 10 strip @ 10 ta
n/a PT. Soho Industri Pharmasi botol @ 60 ml
n/a PT. Soho Industri Pharmasi Strip
n/a PT. Rama Emerald Multi Sukses
Dus @ 50 gram
n/a PT. Phapros, Tbk Dus @ 10 Vial
n/a PT. Phapros, Tbk Dus @ 10 Vial
Survanta PT. Abbott Indonesia Vial
Dorner PT. Combiphar Box @ 3 blister @ 10
Dorner 20 g PT. Combiphar Box/ 3 blister @ 10 Ta
n/a PT. Kimia Farma Tube 5 gr
Stolax supp PT. Sanbe Farma Supp
n/a PT. Pratapa Nirmala Box 3 X 10 tab
Cripsa tab PT. Caprifarmindo Box 3 x 10'S
Symbicort Turbuhaler 160/4.5 mcg PT. AstraZeneca indonesia Dus, 1 Turbuhaler @
n/a PT. Indofarma Dus, 100 ampul @ 1

n/a PT. Dexa Medica Kotak, tube @ 15 gr
n/a PT. Yarindo Farmatama Box 10 X 10 Tab

Herbesser Powder Injection 50mg PT. Tanabe Indonesia 10 vial @ 50mg
Farmabes Injeksi 25 mg PT. Pratapa Nirmala Vial 5 mL

Herbesser CD 100 PT. Tanabe Indonesia 3 blister @ 10 kapsul
Herbesser CD 200 PT. Tanabe Indonesia 3 blister @ 10 kapsul
Cardura 1mg PT. Pfizer Indonesia Dus, 5 blister @10's
Cardura 2mg PT. Pfizer Indonesia Dus, 5 blister @10's
Doxorubicin kalbe PT Kalbe Farma vial @ 5 ml
Doxorubicin Actavis 50 mg PT. Actavis Indonesia Dus, 1 vial @ 50 mg
n/a PT. Bernofarm Dus, botol @ 10 ml
Avodart PT. SmithKline Beecham Phamaceuticals
Dus, Botol Plastik @ 3
Lovenox 2000 ANTI-XA PT. Aventis Pharma dus, 2 prefilled syrin
Epirubisin Kalbe PT Kalbe Farma Vial @ 25 ml

D-Vit FT PT. Gracia Pharmindo Dus 3 strip @ 10 Flas

n/a PT. Phyto Kemo Agung FarmaBotol @60 ml
n/a PT. Indofarma Dus, 10 strip @ 10 ts
Implanon PT. Merck Sharp Dohme Pharma
Dus,Tbk
1 blister @ 1 su
Posyd PT. Combiphar Vial 100mg/5ml
n/a PT. Kimia Farma Botol 10 ml
n/a PT. Mersifarma Tirmaku Mercusana
KOTAK @ 10 ampul
n/a PT. Ikapharmindo Botol @ 100
Dus, 3 strip @ 10 kap
n/a PT. Phapros, Tbk Dus @ 10 X 10 's
n/a PT. Kimia Farma Dus 5 ampul@ 10ml
n/a PT. Kimia Farma Dus 5 ampul@ 2ml
Durogesic 25 MU Matrix PT. Kimia Farma Dus@ 5 patch

Durogesic 50 MU Matrix PT. Kimia Farma Dus@ 5 patch
Leucogen PT Kalbe Farma pfs @ 0,5 ml
Zarzio PT. Sandoz Indonesia pfs @ 0,5 ml
Sikzonoate Injeksi PT. Mersifarma Tirmaku Mercusana

Dus, 5 ampul @ 1ml
n/a PT. Natura Laboratoria PrimaDus, 1 Botol @ 100 m
n/a PT. Kimia Farma ktk 1 x 10 kapsul
Foransi 10 PT. Gracia Pharmindo strip
NOPRES PT. Dexa Medica DUS, 30 TABLET
SYNARCUS PT. Ifars Pharmaceutical Laboratories
Dus, Tube 5 g
Avamys PT. Glaxo Wellcome IndonesiaDus, Botol 120 Dosis
Flixotide Nbules PT. Glaxo Wellcome IndonesiaDus, 2 flow wrap@ 5
Arixtra PT. Glaxo Wellcome IndonesiaDus, 2 pfs 0.5 ml
n/a PT. Indofarma Dus, 25 ampul @ 2 m
n/a PT. Phapros, Tbk Dus @ 100 Sachet

Gemzar 1000 mg PT. Bayer Indonesia vial
Genoint Salep Mata PT. Erela Tube @ 3,5 gr
n/a PT. Indofarma Dus, botol plastik 5 m
Nitral PT. Actavis Indonesia Btl @ 30 tablet
Gliserin lar 50% PT. Lucas Djaja Glycerin 100 ml
Haldol Decanoas PT. Soho Industri Pharmasi Dus 5 Ampul@1mL
Lodomer 2 PT. Mersifarma Tirmaku Mercusana
KOTAK @ 10 x 10 TAB
n/a PT. Otto Pharmaceuticals box 5ampul @1 ml
n/a PT. Dexa Medica Dus, 3 Blister @ 10 ta
Karbogliserin tetes telinga 10% PT. Lucas Djaja Fenol 100 mg / 1 ml
KTM PT. Guardian Pharmatama Vial @ 10 ml

Box isi 1 Tube @ 15 g
n/a PT. Kimia Farma tube 10 gr
ORIXAL PT. Ifars Pharmaceutical Laboratories
Dus, 3 Strip @ 10 Kap
Dus, 3 strip @ 10 tab

Laxadine Emulsi 60 ml PT. Galenium Pharmasia Laboratories
Botol @ 60 ml
n/a PT. Erela Dus, 100 Sachet @ 30
Seretide Inhaler 50 mcg PT. Glaxo Wellcome Indonesia


Dus, foil strip @ 60 d

Dus, foil strip @ 60 d
n/a PT. Holi Pharma Dus, 10 strip @ 10 ka
n/a PT. Kimia Farma ktk 60 tablet

n/a PT. Kimia Farma ktk 100 amp @ 2 ml
n/a PT. Indofarma Dus, 2 strip @ 10 kap
Tykerb PT. SmithKline Beecham Phamaceuticals
Dus, 7 Blister @ 10 ta
Amiparen PT Otsuka Indonesia Softbag 500 ML
Pan-amin G PT Otsuka Indonesia Softbag 500 ML
Aminofluid PT Otsuka Indonesia Double Chamber Soft
Aminosteril N-Hepa PT. Fresenius Kabi Combiphar

Botol Gelas 500 ml
Otsu - KCl 7,46% PT Otsuka Indonesia Ampoel 25 ML
Martos PT Otsuka Indonesia Plastic Bottle 500 ML
WIDA 2A PT. Widatra Bhakti Botol 500 ml

KA ENMG 3 PT Otsuka Indonesia Plastic Bottle 500 ML
Intralipid PT. Fresenius Kabi Combiphar

Botol Gelas 100 ml
n/a PT. Infion Pharmaceutical Box, 1 Botol @ 100 m

STRIP
n/a PT. Bernofarm Dus, 100 ampul @ 2
n/a PT. Indofarma Dus, 30 ampul @ 2 m

Box ,3 Strip @ 10 tab
Dus, 10 Strip @ 10 Ta
STRIP
Merlopam 2 PT. Mersifarma Tirmaku Mercusana
KOTAK @ 10 x 10 TAB
Ludios PT. Soho Industri Pharmasi Strip
Sandepril 50 PT. Mersifarma Tirmaku Mercusana
KOTAK @ 5 x 10 TAB
n/a PT. Bernofarm Dus, 1 vial @ 1 g
n/a PT. Kimia Farma Botol 1000 ml
n/a PT. Mahakam Beta Farma Strip
n/a PT. Natura Laboratoria PrimaDus, 10 Blister @ 10
n/a PT. Dexa Medica Dus, 10 Blister @ 10
n/a PT. Natura Laboratoria PrimaDus, 1 Botol @ 100 m
Flagyl PT. Aventis Pharma Dus, 2 blister @ 5 sup
n/a PT. Phyto Kemo Agung Farma10 strip @ 10 tab
n/a PT. Phyto Kemo Agung Farma10 strip @ 10 tab
Fortanest PT Kalbe Farma Box isi 5 ampul
Dormicum PT. Boehringer Ingelheim Boks 5 amp
n/a PT. Kimia Farma Tube 10 gram
n/a PT. Guardian Pharmatama tube 10 gram
n/a PT. Kimia Farma Dus 10 amp @ 1 ml
n/a PT. Kimia Farma Ktk 10 ampul @ 1ML
n/a PT. Widatra Bhakti Botol 500 ml
Fraxiparine 0.3 ml PT. Glaxo Wellcome IndonesiaDus, 5 blister @ 2 pfs
Fraxiparine 0.4 ml PT. Glaxo Wellcome IndonesiaDus, 5 blister @ 2 pfs
Fraxiparine 0.6 ml PT. Glaxo Wellcome Indonesia

Dus, 5 blister @ 2 pfs
Nokoba PT. Pratapa Nirmala Dus, 5 Ampul @ 2ml

Meylon PT Otsuka Indonesia Ampoel 25 ML
Box ,5 Blister @ 10 ta
Fucilex Ointment PT. Molex Ayus Tube 5 gr
n/a PT. Kimia Farma btl 60 tablet
Adalat Oros 20 mg PT. Bayer Indonesia blister
Adalat Oros 30 mg PT. Bayer Indonesia blister
Primolut N PT. Bayer Indonesia blister
n/a PT. Phapros, Tbk Paket
n/a PT. Kimia Farma Paket
n/a PT. Kimia Farma Paket
Ilaidin Drops PT. Merck Tbk botol @ 10 ml
Olandoz 5 PT. Sandoz Indonesia 3 X 10 fcc
Olandoz 10 PT. Sandoz Indonesia 3 X 10 fcc
n/a PT. Natura Laboratoria PrimaDus, 1 Vial @ 40 mg
n/a PT. Indofarma Dus, 5 Ampul @ 2ml
n/a PT Kalbe Farma Transfer Set: Set; Ul
n/a PT Kalbe Farma Set
Larutan Dialisa 1.5%: Dianeal Low PT Kalbe Farma Larutan Dialisa 1.5 %
Calcium with 1,5% Dextrose; Larutan
Dialisa 2.5%: Dianeal Low Calcium
with 2,5% Dextrose; Larutan Dialisa
4.25%: Dianeal Low Calcium with
4.25% Dextrose
n/a PT. Afifarma botol 60 ml

Pegasys PT. Boehringer Ingelheim Boks, 1 pfs
Pegasys PT. Boehringer Ingelheim Boks, 1 pfs
Scabimite Cream 10 PT. Galenium Pharmasia Laboratories

Tube @ 10 g
n/a PT. Kimia Farma Ktk 10 ampx2ml
DECULIN 15 MG PT. Dexa Medica 30 TAB/BOX

DECULIN 30 MG PT. Dexa Medica 30 TAB/BOX
n/a PT. Holi Pharma Botol 60 ml
n/a PT. Holi Pharma Dus, 25 Blister @ 4 ta
n/a PT. Holi Pharma Dus 10 strip @ 10 tab
Aptil PT. Pratapa Nirmala Dus, Botol @ 10ml
n/a PT. Afifarma botol @ 1000 ml
Sifrol ER 0,375mg PT. Boehringer Ingelheim Dus, 3 alu blister @ 1
Sifrol ER 0,750mg PT. Boehringer Ingelheim Dus, 3 alu blister @ 1
n/a PT. Holi Pharma Dus, 10 strip @ 10 ta
Seroquel XR 200 mg PT. AstraZeneca indonesia Dus, 1 blister @ 10 ta
n/a PT. Dexa Medica Dus, 10 Strip @ 10 k
n/a PT. Natura Laboratoria PrimaDus, 10 Ampul @ 2 m
n/a PT. Kimia Farma Botol 50 kapsul lunak
n/a PT. Widatra Bhakti botol 500 ml
n/a PT. Mersifarma Tirmaku Mercusana
KOTAK @ 5 x 10 TAB
Requip PD 24 Hour 2 mg PT. Glaxo Wellcome IndonesiaDus, 7 blister @ 4 Ta
Ventolin Inhaler PT. Glaxo Wellcome IndonesiaDus, botol 200 dosis
Ventolin Rotacaps PT. Glaxo Wellcome IndonesiaDus, 10 Blister @ 10
Ventolin Rotahaler PT. Glaxo Wellcome IndonesiaDus, 1 Rotahaler

n/a PT. Bernofarm Dus, 10 strip @ 10 ka
Dus, 5 Strip @ 10 Kap
vial
n/a PT. Dexa Medica Dus, 5 Strip @ 10 kap
Dus, Botol 30 ml
Dus, 2 vial @ 500 mg
n/a PT. Natura Laboratoria PrimaDus, 10 Vial @ 1 g
Banadoz 100 PT. Sandoz Indonesia Dus, 3 blister @ 10 ta
Dus, 2 vial @ 1 g
n/a PT. Natura Laboratoria PrimaDus, 10 Vial @ 1 g
Zinnat 500 PT. Glaxo Wellcome IndonesiaDus, 1 Blister @ 10 Ta
n/a PT. Pertiwi Agung Box, 10 strips @ 10 c
n/a PT. Lucas Djaja 100 ampul @ 1 ml
Cyclovid 200 mg PT. Novell Pharmaeutical Laboratories

vial
n/a PT. Natura Laboratoria PrimaDus, 3 Strip @ 10 Kap
n/a PT. Natura Laboratoria PrimaDus, 3 Strip @ 10 Kap
n/a PT. Dexa Medica Vial 200 ml
n/a PT. Indofarma Dus, 5 strip @ 10 tabl
Sufentanyl Injeksi iv.Epidural 5 mcg / PT. Kimia Farma dus 5 amp @ 2ml
ml
Prograf PT. Combiphar Pounch @ 5 blister @
Harnal D 0.2 mg Disp. Tablet PT. Combiphar Box/ 2 blister @ 14 ta
Harnal D PT. Combiphar Box @ 2 blister @ 14

Harnal OCAS 0.4 mg Tablet PT. Combiphar Box/ 3 blister @ 10 Ta
Molasma Tablet PT. Molex Ayus Box 50's

Bricasma Turbuhaler 0.5 mcg PT. AstraZeneca indonesia Dus, 1 Turbuhaler @
n/a PT. Holi Pharma Dus, 10 strip @ 10 ka
Thyrozol 5 PT. Merck Tbk Dus, 10 blister @ 10
Isotic Adretor 0,25% PT. Pratapa Nirmala Dus, Botol Plastik @
Isotic Adretor 0,5% PT. Pratapa Nirmala Dus, Botol Plastik @
Spiriva 10s + Handihaler PT. Boehringer Ingelheim Dus, 1 blister @10 ka
n/a PT. Natura Laboratoria PrimaDus, 10 Ampul @ 2 m
n/a PT. Darya Varia strip
Soft U Derm PT. Galenium Pharmasia Laboratories
tube
Depakote ER 250 mg PT. Abbott Indonesia Tablet
Depakote ER 500 mg PT. Abbott Indonesia Tablet
Isoptin 240 mg PT. Abbott Indonesia Tablet
Vinblastine PT. Combiphar Vial 10mg/10ml
Zincpro Drops PT. Combiphar Drops 10 mg/ml, Boto
Zircum Kid Sirup PT. Meprofarm Dus, botol 60 ml
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# Provinsi Nama Obat Generik

1. Jawa TengaACT (Artesunate tablet 50 mg + Amodiaquine

19. Jawa TengaAmoksisilin sirup kering forte 250 mg/5 ml

27. Jawa TengaAntiparkinson DOEN tablet kombinasi : Benserazid 25

47. Jawa TengaBeraprost sodium tablet 20 mcg

60. Jawa TengaDiltiazem injeksi 25 mg/5 mL

61. Jawa TengaDiltiazem Kapsul SR 100 mg

67. Jawa TengaDomperidon suspensi/sirup 5 mg/5 ml

72. Jawa TengaEnoksaparin sodium inj 40 mg/0,4 mL

73. Jawa TengaEnoksaparin sodium inj 60 mg/0,6 mL

74. Jawa TengaEpinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml

75. Jawa TengaEpirubisin serb injeksi 50 mg/25ml

77. Jawa TengaEritromisin kapsul/kaplet 500 mg

91. Jawa TengaFenoksimetil penisilin (penisilin V)tablet 500 mg

92. Jawa TengaFentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml

93. Jawa TengaFentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml

94. Jawa TengaFentanil patch 25 mcg/jam

95. Jawa TengaFentanil patch 50 mcg/jam

96. Jawa TengaFilgrastim inj 300 mcg/mL

102. Jawa TengaFluoksetin tablet 10 mg

104. Jawa TengaFluorourasil inj 250 mg/mL

105. Jawa TengaFluorourasil inj 500 mg/ 5 mL

106. Jawa TengaFlusinolon asetonid krim 0,025%

107. Jawa TengaFlutikason furoat intranasal spray

108. Jawa TengaFlutikason propionat nebules 0,5 mg

109. Jawa TengaFondaparinuks inj 2,5 mg/0,5 mL

110. Jawa TengaFurosemid injeksi i.v./i.m. 10 mg/ml

111. Jawa TengaFurosemid tablet 40 mg

112. Jawa TengaGaram Oralit I serbuk, kombinasi : Natrium klorida

114. Jawa TengaGemfibrozil tablet 600 mg

115. Jawa TengaGemsitabin inj 1000 mg/vial

116. Jawa TengaGentamisin injeksi 40 mg/ ml

118. Jawa TengaGentamisin tetes mata 0,3%

119. Jawa TengaGlibenklamid tablet 5 mg

120. Jawa TengaGlikuidon tab 30 mg

121. Jawa TengaGlimepiride tablet 1 mg

122. Jawa TengaGlimepiride tablet 2 mg

123. Jawa TengaGlimepiride tablet 3 mg

124. Jawa TengaGlimepiride tablet 4 mg

125. Jawa TengaGliseril trinitrat tab sublingual 0,5 mg

126. Jawa TengaGliserin lar 50%

127. Jawa TengaGlukosa larutan infus 10 % steril

128. Jawa TengaGlukosa larutan infus 5 % steril

129. Jawa TengaGriseofulvin tablet 125 mg

130. Jawa TengaHaloperidol inj 50 mg/mL

131. Jawa TengaHaloperidol tablet 0,5 mg

132. Jawa TengaHaloperidol tablet 5 mg

133. Jawa TengaHaloperidol tablet 1,5 mg

135. Jawa TengaHiosin butilbromid injeksi 20 mg/ml

136. Jawa TengaIbuprofen sirup 100 mg/5 ml

137. Jawa TengaIbuprofen suspensi 200 mg/5 ml

138. Jawa TengaIbuprofen tablet 400 mg

139. Jawa TengaImidapril tab 10 mg

140. Jawa TengaImidapril tab 5 mg

141. Jawa TengaIrbesartan tab 150 mg

142. Jawa TengaIrbesartan tab 300 mg

143. Jawa TengaIsosorbid Dinitrat tablet sublingual 5 mg

144. Jawa TengaKandesartan tab 16 mg

145. Jawa TengaKandesartan tab 8 mg

146. Jawa TengaKaptopril tablet 50 mg

147. Jawa TengaKaptopril tablet scored12,5 mg

148. Jawa TengaKarbamazepin tablet 200 mg