NO NAMA OBAT SATUAN HARGA/BOX HARGA SATUAN

1 Acarbose 50mg tablet 100 78,000 780

2 Acetylcystein 200 mg 60 29,880 498
3 Acyclovir 200 mg 100 23,700 237
4 Acyclovir 5% cr 25 67,432 2,697
5 Adalat oros 30 mg 30 104,998 3,500
6 Albuman 20 % 100 cc 1 750,000 750,000
7 Albuminar 25% 100 cc 1 1,500,000 1,500,000
8 Alkohol 70 % 1 44,000 44,000
9 Allopurinol 100 mg 100 13,187 132
10 Allopurinol 300 mg 30 7,200 240
11 Allopurinol 300 mg 100 19,950 200
12 Alprazolam tablet 0,25 mg 100 38,000 380
13 Alprazolam tablet 0,5 mg 100 32,500 325
14 Alprazolam tablet 1 mg 100 23,300 233
15 Ambroxol 15 mg/ 5ml 1 3,132 3,132
16 Ambroxol 30 mg 100 12,494 125
17 Aminofluid 500 ml 1 64,990 64,990
18 Aminoleban infus 500 ml 1 71,099 71,099
19 Aminophylin 200 mg tab 100 8,000 80
20 Aminophylin injeksi 24 114,000 4,750
21 Amiparen 500 ml infus 1 86,275 86,275
22 Amitriptyline 25 mg 100 11,200 112
23 Amlodipin 10 mg (ENS) 30 19,800 660
24 Amlodipin 5 mg (ENS) 30 11,400 380
25 Amoxicillin 125mg/ 5ml syrup 1 3,511 3,511
26 Amoxicillin 500 mg tab 100 36,963 370
27 Ampicilin 1 gr 10 54,360 5,436
28 Anemolat 1mg 100 20,405 204
29 Antalgin tablet 500 mg 100 11,700 117
30 Antasida DOEN 100 11,000 110
31 Antasida DOEN Syrup 1 2,141 2,141
32 Antihemoroid supp 10 30,000 3,000
33 Arixtra 2,5mg injeksi 2 483,334 241,667
34 Asam mefenamat 500 mg 100 10,000 100
35 Asam tranexamat 500 mg 100 115,500 1,155
36 Asam tranexamat inj 10 40,425 4,043
37 Asam valproat 250 mg/5 ml 1 38,508 38,508
38 Asering Infus 1 9,000 9,000
39 Aspilet chewable 100 15,950 160
40 Atracurium Hameln 25 5 102,500 20,500
41 Atropin sulfat 0,25% 100 129,999 1,300
42 ATS 1500 IU injeksi 1 126,500 126,500
43 Avamys Nasal Spray 1 103,000 103,000
44 Azytromycin 0,5 g 1 34,400 34,400
45 Azytromycin 500 mg 20 34,403 1,720
46 Banadoz -100 mg 30 111,000 3,700
47 Berotec MDI 1 164,911 164,911
48 Betametason cream 1 1,520 1,520
49 Bicnat (sod.bicarbonat) 500 mg 1000 25,135 25
50 Bisolvon 10mg/ 5ml solution 1 65,450 65,450
51 Bisoprolol 5 mg 30 17,971 599
52 Bisoprolol 5 mg 50 29,941 599
53 Ca Gluconas inj 100 187,199 1,872
54 Calcium lactat 500 mg (kalk) 1000 49,610 50
55 Candesartan 16 mg tablet 30 147,000 4,900
56 Candesartan 8 mg tablet 30 93,000 3,100
57 Capsul kosong No.0 1000 32,000 32
58 Capsul kosong No.00 1000 67,000 67
59 Capsul kosong No.1 1000 30,000 30
60 Capsul kosong No.2 1000 27,000 27
61 Capsul kosong No.3 1000 26,000 26
62 Captopril 12,5 mg 100 6,200 62
63 Captopril 25 mg 100 8,500 85
64 Cefadroxil capsul 250 mg 100 25,650 257
65 Cefadroxil capsul 500 mg 100 50,900 509
66 Cefadroxil syrup 125 mg/ 5 ml 1 4,746 4,746
67 Cefazolin 1 gr 2 33,002 16,501
68 Cefixim capsul 100 mg 50 42,946 859
69 Cefixim Dry Syrup 100 mg 1 8,800 8,800
70 Cefotaxim 1gr 2 14,850 7,425
Cefotaxim 1gr 10 50,000 5,000
71 Ceftazidime 1 gr 2 34,122 17,061
72 Ceftriaxon 1 gr 2 14,300 7,150
73 Ceftriaxon 1 gr 100 2,062,500 20,625
Cendo Carpine 2% 1 20,900 20,900
Cendo Catarlent 1 33,688 33,688
Cendo Fenicol 0,25% 1 24,063 24,063
Cendo Fenicol 0.5% 1 33,688 33,688
Cendo Fenicol EO 1 24,062 24,062
Cendo Gentamicin 0,3% 1 40,013 40,013
Cendo Gentamicin 0,3% TM 1 31,213 31,213
Cendo Homatro 1 39,050 39,050
Cendo LFX 1 76,175 76,175
Cendo Mycos EO 1 28,875 28,875
Cendo Mycos TM 1 21,863 21,863
 Cendo Pantocain 0.5% 1 13,338 13,338
Cendo poligran 1 34,748 34,748
Cendo Tobroson MDS 1 31,900 31,900
74 Cendo Xytrol EO 3,5 gr 1 39,463 39,463
Cendo Xytrol TM 1 29,975 29,975
75 Cetirizin 10 mg (INF) 50 14,877 298
76 Cetirizine sirup 5mg/ 5ml 1 7,999 7,999
77 Chloramfenicol 125 mg/ 5 ml 1 3,680 3,680
78 Chloramfenicol 250 mg 120 46,365 386
79 Chloramfenicol 250 mg 100 22,646 226
80 Chlorfeniramin Maleat (CTM) 4mg 100 9,100 91
81 Chlorpromazin 100 mg 100 14,500 145
82 Ciprofloxacin 200 mg/ ml 1 11,489 11,489
83 Ciprofloxacin 500 mg 100 26,000 260
84 Citicolin 500mg tablet 30 150,000 5,000
85 Citicolin injeksi 125mg/ml 10 220,000 22,000
86 Clindamycin 150 mg 50 18,050 361
Clindamycin 300 mg 50 27,650 553
87 Clobazam 10 mg 100 90,000 900
88 Clonidine 0,15 mg 100 18,400 184
89 Clopidogrel tablet 75 mg 30 102,000 3,400
90 Clorilex 100 mg 50 300,000 6,000
91 Co-Amoxiclav 625 mg 30 165,532 5,518
92 Colsancetin injeksi 10 72,600 7,260
93 Combivent udv 20 99,900 4,995
94 Concort 2.5 mg 100 65,000 650
95 Cordarone inj 6 74,880 12,480
96 Curcuma FCT 100 72,600 726
97 Daryantulle sterile dus/10x10 101,750 #VALUE!
98 Decain Spinal Heavy 5 313,500 62,700
99 Deculin 30 mg tab 30 156,600 5,220
100 Depakote 250 mg 100 431,404 4,314
101 Depakote ER 250 mg 100 279,300 2,793
102 Depakote ER 500 mg 100 570,000 5,700
103 Dexametason 0,5mg tablet 100 8,700 87
104 Dexametason 5mg/ ml 100 158,000 1,580
105 Dexanta tablet 100 20,313 203
106 Diazepam 2mg tab 100 3,190 32
107 Digoxin 0,25 mg 100 9,700 97
108 Diltiazem 30 mg 100 13,400 134
109 Dimenhydrinate 50mg tablet 100 10,401 104
110 Dipenhidramin inj 30 28,800 960
111 Domperidon 10mg 100 16,701 167
112 Domperidon drop 5mg/ ml 1 15,600 15,600
113 Domperidon syr 5mg/ 5ml 1 3,333 3,333
114 Dopamet 250mg 100 87,998 880
115 Dopamin Giulini 200mg 5 49,000 9,800
116 Doxycycline capsul 100 mg 100 23,000 230
117 Dualvis 0,7 ml inj 5 1,650,000 330,000
118 Ephedrine HCL 10 550,000 55,000
119 Ephineprine inj 100 950,000 9,500
120 Erythromycin 250 mg 100 49,700 497
121 Erythromycin 500 mg 100 93,000 930
122 Erytromycin 200mg/5 ml syrup 1 8,092 8,092
123 Ethambutol 500 mg 100 74,493 745
124 Exjade 250 mg 28 2,128,000 76,000
125 Fentanyl 0,05 mg/2ml 1 33,914 33,914
126 Ferriprox TM 500 mg 100 3,299,997 33,000
Ferriprox TM cairan oral 1 1,679,981 1,679,981
127 Flamicort 10 mg/ ml 1 65,500 65,500
128 Flixotide Nebules 0,5 mg 10 145,000 14,500
Floramol infus 1 33,000 33,000
129 Fluconazole 150 mg tablet 10 187,000 18,700
130 Folic Acid 1 mg 100 4,800 48
131 Formalin 37% 1 472,500 472,500
132 Furosemide 10 mg/ ml 25 45,717 1,829
133 Furosemide 40 mg 100 18,173 182
134 Futrolit infus 1 35,753 35,753
135 Gabexal 100 mg 30 72,000 2,400
136 Gelafusal infus 1 71,500 71,500
137 Gemfibrozil 300 mg 120 34,680 289
138 Genoint Salep mata 1 2,600 2,600
139 Gentamicin 40mg/ml inj 5 15,500 3,100
140 Glibenclamid 5 mg inf 100 7,193 72
141 Glicuidon 30mg tablet 100 95,005 950
142 Glimepiride 2mg 50 43,600 872
143 Glimepiride 4 mg 50 21,500 430
144 Haloperidol 1,5 mg 100 6,900 69
145 Haloperidol 5 mg 100 9,600 96
146 Hexymer 2mg tablet 1000 297,000 297
147 Humalog cart 100 IU 5 435,419 87,084
148 Humalog Kwikpen 5 435,000 87,000
149 Humalog mix cart 100 IU/ ml 5 487,500 97,500
150 Humalog mix Kwikpen 5 550,000 110,000
151 Human Albumin 20% 1 750,000 750,000
152 Hydrex 1 836,160 836,160
153 Hydroclorotiazide (HCT) 25 mg 100 12,800 128
154 Hydrocortison 2.5% cr 24 117,859 4,911
155 Hytroz 2mg 100 294,900 2,949
Ibuprofen 200mg 100 10,500 105
156 Ibuprofen syrup 100mg/ 5ml 1 3,500 3,500
157 Ikalep syrup 250 mg/ 5 ml 1 40,000 40,000
158 Infimycin syr 200mg/5ml 1 34,238 34,238
159 Irbesartan kaplet 300mg 50 150,000 3,000
160 Isoflurane 250 ml 1 1,787,500 1,787,500
161 Isoniazid 100 mg 100 6,499 65
162 Isoniazid 300 mg 100 15,800 158
163 Isosorbid Dinitrat 5 mg (ISDN) 100 8,800 88
164 Isotic Adretor 0,25% 1 9,128 9,128
165 Isotic Adretor 0,5% 1 9,721 9,721
166 Kalipar tablet 50 35,000 700
Kandistatin drop 1 36,575 36,575
167 Karbogliserin TT 1 2,042 2,042
168 Kertas puyer pax/ 2 Rim 20,000 #VALUE!
169 Ketoconazol cr 1 5,000 5,000
170 Ketokonazole tablet 200 mg 50 13,750 275
171 Ketoprofen 100 mg tablet 50 47,250 945
172 Ketoprofen 50 mg/ ml 5 47,250 9,450
173 Ketorolac 10 mg tablet 30 59,998 2,000
174 Ketorolac 30 mg injeksi (ENS) 6 15,900 2,650
175 KTM 100 injeksi 1 200,200 200,200
176 Lactosum botol/ 1 kg 250,000 #VALUE!
177 Lactulac syrup 1 48,400 48,400
178 Lansoprazole 30 mg 20 9,460 473
179 Lantus solostar 5 425,000 85,000
180 Larutan infus Glukosa 10 % 1 5,200 5,200
181 Larutan infus glukosa 5 % 1 5,700 5,700
182 Larutan infus KAEN 1B 1 9,273 9,273
183 Larutan infus KAEN 3B 1 10,050 10,050
184 Larutan infus NaCl 0,9 % 1 6,409 6,409
185 Larutan infus Ringer Laktat 1 7,150 7,150
186 Leparson tablet 100 150,003 1,500
187 Levemir flexpen 5 425,000 85,000
188 Levofloxacin infus 1 64,002 64,002
189 Levofloxacin tablet 500 mg (Berno) 100 52,801 528
190 Levofloxacin tablet 500 mg (INF) 30 18,000 600
191 Lidocain 2 % injeksi 100 99,000 990
192 Lisinopril 10 mg 30 18,000 600
193 Lisinopril 10 mg 100 60,000 600
194 Lisinopril 5 mg 30 10,500 350
195 Lisinopril 5 mg 100 35,000 350
196 Loratadin 10 mg 50 12,000 240
197 Lovenox -40 mg syringe 2 143,750 71,875
198 Lovenox -60 mg syringe 2 200,000 100,000
199 Manitol infus-otsu 1 39,500 39,500
200 Meloxicam 15 mg 50 25,000 500
201 Meloxicam 7,5 mg 50 20,000 400
202 Meropenem 0,5 g 1 44,960 44,960
203 Meropenem 1 g vial 54,010 #VALUE!
204 Meropenem 1 g 10 540,100 54,010
205 Metformin 500 mg 100 11,000 110
206 Methylergometrin 0.125 mg 100 14,702 147
207 Methylergometrin inj 100 275,000 2,750
208 Methylprednisolon 125 1 21,490 21,490
209 Methylprednisolon 4 mg 100 20,500 205
210 Methylprednisolon 8 mg 100 30,003 300
Methylprednisolon 8 mg 50 15,450 309
211 Metoclopramide tablet 10 mg 100 11,000 110
212 Metronidazol infus 1 9,950 9,950
213 Metronidazol tablet 500mg 100 13,300 133
214 MgSO4 injeksi 20 % OTSU 1 3,200 3,200
215 MgSO4 injeksi 40 % OTSU 1 3,650 3,650
216 Miconazole 2% 1 3,000 3,000
217 Miniaspi-80mg tablet 100 14,800 148
218 Nasacort AQ 1 106,749 106,749
219 Natrium Diclofenak tablet 25 mg 50 8,384 168
220 Natrium Diclofenak tablet 50 mg 50 13,000 260
221 Neostigmin haemelin 0,5mg/ml inj 5 47,500 9,500
222 Neurodex FC 200 48,004 240
223 Neurosanbe injeksi 10 50,600 5,060
224 Nifedipin 10 mg 100 10,000 100
225 Nitrokaf Retard 100 13,700 137
226 Noperten tablet 10 mg 30 27,600 920
227 Nopres 20 mg 30 12,960 432
228 Novomix-30 flexpen 5 550,000 110,000
229 Novorapid flexpen 5 426,725 85,345
NTG inj 10 mg 10 537,625 53,763
230 OBH syrup 100 ml 1 1,800 1,800
231 Olandoz tablet 10 mg 30 336,000 11,200
232 Olandoz tablet 5 mg 30 193,500 6,450
233 Omeprazol 20 mg 30 6,331 211
234 Omeprazol injeksi 1 36,000 36,000
235 Omeprazol injeksi 10 359,040 35,904
236 Ondansetron 4 mg/ 2ml 5 8,250 1,650
237 Ondansetron tablet 4 mg 12 10,800 900
238 Ondansetron tablet 8 mg 30 48,000 1,600
239 Oralit sachet 100 28,800 288
240 Otsu D40% 1 7,920 7,920
241 Otsu KCL 7,46 % 1 3,099 3,099
243 Otsu NS Piggyback 1 11,110 11,110
244 Otsu Water injeksi 1 1,724 1,724
245 Oxytosin "s" injeksi 100 275,000 2,750
246 Paracetamol 500mg tablet 100 7,900 79
247 Parasetamol 1g/100 ml 1 44,550 44,550
248 Parasetamol drop 1 5,200 5,200
249 Parasetamol syrup 120mg/5ml 1 1,438 1,438
250 Phenobarbital injeksi 25 54,000 2,160
251 Phenytoin capsul 100mg 100 15,400 154
252 Piracetam 400mg tablet 50 22,550 451
253 Piracetam 800mg tablet 50 40,150 803
254 Piracetam injeksi 1g/5 ml 10 35,750 3,575
255 Povidon Iodin 10 % 1 51,500 51,500
256 PPD 2 TU 1 691,706 691,706
257 Prednison 5 mg tab 100 11,400 114
258 Primolut-N 30 78,540 2,618
259 Propanolol 10 mg 100 6,500 65
260 Propanolol 40 mg 100 11,500 115
Propylthiouracyl 100 27,900 279
261 Propyretic suppo 12 79,860 6,655
262 Prosogan injeksi 30 mg 1 88,490 88,490
263 Protofen suppo 20 54,440 2,722
264 Pulmicort Resp 0,25 mg 20 210,000 10,500
265 Pulmicort Resp 0,25 mg/0,5 ml 20 178,000 8,900
266 Pyrazinamid 500 mg 100 20,600 206
267 Quapro 200 mg/ ml 100 16,500 165
268 Raivas inj 4 ml 5 260,000 52,000
269 Ramipril 10mg 100 30,390 304
270 Ramipril 5mg 100 58,000 580
271 Ranitidin inj 25mg/ ml 10 14,000 1,400
Ranitidin inj 25mg/ ml 25 59,372 2,375
272 Ranitidin tablet 150 mg 100 14,000 140
Recofol N 5 495,000 99,000
273 Rifampisin 300 mg capsul 100 68,300 683
274 Rifampisin 450 mg 100 78,900 789
275 Rifampisin 600 mg tablet 100 109,900 1,099
276 Risperidone 2 mg 50 84,004 1,680
277 Rocuronium 50mg/5 ml 1 73,150 73,150
278 Salbutamol 2mg/5ml 100 5,500 55
279 Salbutamol 4 mg 100 8,900 89
280 Sanmol infus 1 44,004 44,004
281 Sedacum injeksi 5mg/ 5 ml 10 198,000 19,800
282 Seretide diskus 100 1 100,833 100,833
283 Seroquel 200 mg 60 1,211,835 20,197
284 Serum biosave (SABU) 6 ml 1 473,000 473,000
285 Sevodex 250 ml 1 1,491,490 1,491,490
Simarc 2 100 95,000 950
286 Simvastatin 10mg tablet 30 6,000 200
287 Simvastatin 10mg tablet 100 16,900 169
288 Spironolacton tablet 100 mg 100 90,000 900
289 Spironolacton tablet 25 mg 100 31,500 315
290 Starfolat 100 11,000 110
291 Stelosi 5 mg 100 44,000 440
292 Stesolid inj 5 20,002 4,000
293 Stesolid RT 10 mg 5 83,740 16,748
294 Stesolid RT 5 mg 5 57,629 11,526
295 Stolax suppo 6 36,270 6,045
296 Tablet tambah darah (SF) 30 1,500 50
297 Tarivid otic solution 1 77,000 77,000
298 Tetagam P injeksi 1 170,000 170,000
299 Theophyllin 1 444,000 444,000
300 Theophyllin 1 235,000 235,000
301 Tramadol capsul 50 mg 50 9,750 195
302 Tramadol inj 50 mg/ml 10 23,950 2,395
303 Tramix 10% inj 10 40,425 4,043
304 Tramus 1% 5 ml 5 401,500 80,300
305 Triamcinolon 4mg 100 71,726 717
306 Ulsafat Suspensi 1 13,425 13,425
307 Ulsidex 500mg 100 42,400 424
308 Urdafalk 30 268,983 8,966
309 Vagizol ovula 5 20,500 4,100
Valisanbe-5 mg 100 27,500 275
310 Valsartan FI NTC 160 30 81,000 2,700
311 Valsartan FI NTC 80 30 54,000 1,800
312 Vastigo tablet 100 40,095 401
313 Ventolin inhaler 1 63,751 63,751
314 Ventolin Nebules 2,5 mg 20 132,000 6,600
315 Viccilin - SX 500 mg 1 81,180 81,180
316 Vitamin B12 100 1,513 15
317 Vitamin B6 100 14,800 148
318 Vitamin B-complex 100 10,700 107
319 Vitamin C 50mg tablet 50 9,500 190
320 Vitamin C injeksi 100 609,462 6,095
321 Vitamin K 10 mg inj 100 145,000 1,450
322 WIDA 2A INFUS 1 6,917 6,917
323 Xylocain jelly 10 614,610 61,461
324 Zinc 20 mg 100 47,400 474
325 Zircum kid syrup 1 7,401 7,401