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# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
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ACT (Artesunate tablet 50 mg +
1 blister@24 2013-04-23
1. Amodiaquine anhydrida tablet 200 n/a PT. Kimia Farma 1,375.00 Download Download
tablet 10:24:28
mg)
PT. SmithKline
Adefovir Dipivoksil tablet/kaplet 10 Dus, 3 Blister @ 2014-03-18
2. Hepsera Beecham 27,500.00 Download Download
mg 10 kapsul 20:03:16
Phamaceuticals
Air untuk injeksi (Aqua pro Injeks) 2015-01-05
3. n/a PT. Ikapharmindo Vial 20 ml 2,030.00 Download Download
20 ml 14:07:16
Dus, 120 ampul 2015-04-28
4. Air untuk Injeksi 25 ml Otsu SWI 25 ml PT Otsuka Indonesia 2,200.00 Download Download
PE @ 25ML 11:26:19
WIDA WI 2014-09-28
5. Air untuk irigasi lar infus 1000 ml PT. Widatra Bhakti Btl @ 1000 ml 7,500.00 Download Download
UNICAP 21:46:47
Dus, 10 strip 2014-12-05
6. Akarbose tablet/kaplet 100 mg n/a PT. Dexa Medica 990.00 Download Download
@10tablet 22:08:39
Dus, 10 strip 2014-12-05
7. Akarbose tablet/kaplet 50 mg n/a PT. Dexa Medica 780.00 Download Download
@10tablet 22:08:39
Dus, 10 dus @ 1 2013-04-23
8. Albendazol suspensi 200 mg/5 ml n/a PT. Indofarma 3,849.00 Download Download
botol @ 10 ml 10:24:28
Albendazol tablet/kapsul/kaplet 400 Dus, 5 strip @ 6 2014-03-15
9. n/a PT. Holi Pharma 338.00 Download Download
mg tablet 16:05:33
Albumin serum normal (human 2014-07-21
10. Zenalb PT. Ikapharmindo Vial 100 ml 750,000.00 Download Download
albumin) injeksi 20%, 100 ml 21:09:56
Albumin serum normal (human 2014-07-21
11. Zenalb PT. Ikapharmindo Vial 50 ml 345,000.00 Download Download
albumin) injeksi 20%, 50 ml 21:09:56
Albumin serum normal (human PT. Ferron Par Dus, botol @ 100 2015-01-05
12. Albuminar 25 1,515,000.00 Download Download
albumin) injeksi 25%, 100 ml Pharmaceuticals ml 14:07:16
13. Albumin serum normal (human PLASBUMIN PT. Dipa Pharmalab botol @ 20 ml 321,552.00 Download Download 2015-01-05
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albumin) injeksi 25%, 20 ml 25% 20 ML 14:07:16
Albumin serum normal (human PLASBUMIN 2015-01-05
14. PT. Dipa Pharmalab botol @ 50 ml 732,727.00 Download Download
albumin) injeksi 25%, 50 ml 25% 50 ML 14:07:16
Albumin serum normal (human PLASBUMIN 5% 2014-09-28
15. PT. Dipa Pharmalab botol @ 250 ml 900,000.00 Download Download
albumin) injeksi 5% 250 ml 250 ML 21:46:47
Albumin serum normal (human PLASBUMIN 5% 2014-09-28
16. PT. Dipa Pharmalab botol @ 50 ml 283,000.00 Download Download
albumin) injeksi 5% 50 ml 50 ML 21:46:47
Alopurinol tablet/kapsul/kaplet 100 Box, 10 strips @ 2014-03-15
17. n/a PT. Pertiwi Agung 86.00 Download Download
mg 10 tablets 16:05:33
Alopurinol tablet/kapsul/kaplet 300 Dus, 10 blister @ 2014-03-15
18. n/a PT. Bernofarm 199.50 Download Download
mg 10 tablet 16:05:33
Alprazolam tablet/kapsul/kaplet 0,25 Dus, 10 Strip @ 2014-03-15
19. n/a PT. Dexa Medica 380.00 Download Download
mg 10 tablet 16:05:33
Alprazolam tablet/kapsul/kaplet 0,5 PT. Otto 1 box 10 Strip X 2014-03-15
20. n/a 176.00 Download Download
mg Pharmaceuticals 10 tablet 16:05:33
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# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
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2014-03-15
21. Alprazolam tablet/kapsul/kaplet 1 mg n/a PT. Kimia Farma Ktk 10x10 tablet 233.00 Download Download
16:05:33
PT. Boehringer Dus, 1 vial@50mg + 1 2014-06-27
22. Alteplase injeksi 50 mg/vial Actilyse 3,800,000.00 Download Download
Ingelheim vial pelarut @ 50ml 19:33:25
PT. Cendo Industri 2014-04-03
23. Amfoterisin B salep mata 1% Fungicide tube 3.5 gr 18,500.00 Download Download
Farmasi 21:30:54
Glybotic 250 2014-03-16
24. Amikasin injeksi 250 mg/ml PT. Sanbe Farma Vial 2 ml 50,500.00 Download Download
mg /ml 18:23:37
2013-04-23
25. Aminofilin injeksi 24 mg/ml n/a PT. Lucas Djaja dus 30 ampul @10 ml 3,822.00 Download Download
10:24:28
PT. Marin Liza Botol @ 100 tablet 2014-03-15
26. Aminofilin tablet scored 200 mg n/a 90.00 Download Download
Farmasi salut selaput 16:05:33
2014-09-28
27. Aminofilin tablet/kapsul/kaplet 150 mg n/a PT. Erela Btl @ 100 tablet 80.00 Download Download
21:46:47
PT. Aventis 2014-03-16
28. Amiodaron injeksi 150 mg/3 ml Cordarone Dus, 6 ampul @ 3 ml 12,480.00 Download Download
Pharma 18:23:37
Kendaron 2014-03-16
29. Amiodaron tablet/kaplet 200 mg PT. Darya Varia strip 1,200.00 Download Download
Tablet 18:23:37
2013-04-23
30. Amitriptilin tablet salut 25 mg (HCl) n/a PT. Indofarma Dus, 10 strip @ 10 tss 112.00 Download Download
10:24:55
Box, 3 strips @ 10 2014-03-15
31. Amlodipin tablet 10 mg n/a PT. Pertiwi Agung 330.00 Download Download
tablets 16:05:33
Box, 3 strips @ 10 2013-04-23
32. Amlodipin tablet 5 mg n/a PT. Pertiwi Agung 187.00 Download Download
tablets 10:24:28
2014-03-15
33. Amoksisilin kapsul/kaplet 250 mg n/a PT. Novapharin dus 10 X 10'S 211.00 Download Download
16:05:33
34. Amoksisilin kapsul/kaplet/tablet scored 500 n/a PT. Bernofarm Dus, 10 strip @ 10 272.00 Download Download 2014-03-15
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mg kaptab 16:05:33
2014-03-15
35. Amoksisilin sirup kering forte 250 mg/5 ml n/a PT. Holi Pharma Dus, Botol 60 ml 4,045.00 Download Download
16:05:33
2013-04-23
36. Amoksisilin sirup kering 125 mg/ 5 ml n/a PT. Novapharin btl @ 60 ml 2,445.00 Download Download
10:24:28
2014-03-15
37. Ampisilin serbuk injeksi i.v. 1000 mg/vial n/a PT. Bernofarm Dus, 10 vial @ 1 g 5,100.00 Download Download
16:05:33
Analog insulin long acting inj 100 UI/ml, Lantus Solostar
PT. Aventis dus, 5 solostar pen @ 2014-04-03
38. vial/cartridge disposible/penfill cartridge 100IU/ml 85,000.00 Download Download
Pharma 3ml 21:30:54
(Insulin glargine 100 IU/ml) 5pens x3ml
Analog insulin mix acting inj 100 UI/ml, Injeksi 100 IU/ml,
Analog insulin mix acting inj 100 UI/ml Novomix PT. Ferron Par Flexpen disposible 3 ml 2014-04-03
39. 106,000.00 Download Download
(Premix 30% Insulin Aspart + 70% Flexpen Pharmaceuticals (1 box isi 5 flexpen 21:30:54
Protaminated Insulin Aspart (Analogue)) disposible)
Humalog Mix PT. Bayer Dus, 5 Prefilled pen @ 2015-04-27
40. Analog Insulin Mix Insulin Inj 100 UI/ml 102,990.00 Download Download
25 Kwikpen Indonesia 3 ml 18:36:45
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# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
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Harga
Analog insulin mix insulininj 100 UI/ml,
vial/cartridge disposible/penfill cartridge Humalog Mix 2014-03-18
41. PT. Bayer Indonesia Penfill cartridge 97,500.00 Download Download
(25% insulin lispro, 75% insulin lispro 25 20:03:16
protamine suspension, (rDNA))
Humalog Dus, 5 Prefilled pen @ 2015-04-27
42. Analog Insulin Rapid Acting Inj 100 UI/ml PT. Bayer Indonesia 82,495.00 Download Download
Kwikpen 3 ml 18:36:45
Injeksi 100 IU/ml,
Analog insulin rapid acting inj 100 UI/ml,
Novorapid PT. Ferron Par Flexpen disposible 3 2014-04-03
43. vial/cartridge disposible/penfill cartridge 85,345.00 Download Download
Flexpen Pharmaceuticals ml (1 box isi 5 flexpen 21:30:54
(Insulin Aspart (Analogue))
disposible)
Analog insulin rapid acting inj 100 UI/ml,
PT. Ferron Par 2014-04-03
44. vial/cartridge disposible/penfill cartridge Novorapid Vial Dus, vial 10 ml 200,000.00 Download Download
Pharmaceuticals 21:30:54
(Insulin Aspart (Analogue))
Analog insulin rapid actinginj 100 UI/ml, Apidra Solostar
dus, 5 solostar pen @ 2014-03-18
45. vial/cartridge disposible/penfill cartridge 100IU/ml 5pens PT. Aventis Pharma 79,165.00 Download Download
3ml 20:03:16
(Insulin glulisine 100 IU/ml) x3ml
Analog insulin rapid actinginj 100 UI/ml,
2014-03-18
46. vial/cartridge disposible/penfill cartridge Humalog PT. Bayer Indonesia Penfill cartridge 79,167.00 Download Download
20:03:16
(Insulin lispro (rDNA origin))
PT. AstraZeneca Dus, 2 blister @ 14 2014-04-03
47. Anastrozol tablet/kapsul/kaplet 1 mg Arimidex 1 mg 32,000.00 Download Download
indonesia Tablet 21:30:54
Antasida DOEN I tablet kunyah, kombinasi :
PT. Promedrahardjo Dus, 10 Strip@10 2014-03-15
48. Aluminium Hidroksida 200 mg Magnesium n/a 75.00 Download Download
Farmasi Industri Tablet 16:05:33
Hidroksida 200 mg
Antasida DOEN II suspensi, kombinasi :
PT. Rama Emerald 2014-03-15
49. Aluminium Hidroksida 200 mg/5 ml n/a Boto 60 ml 2,100.00 Download Download
Multi Sukses 16:05:33
Magnesium Hidroksida 200 mg/5 ml
Tanggal
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# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Anti Bakteri DOEN salep kombinasi: 2014-03-15
50. n/a PT. Indofarma Dus, 25 tube @ 5 g 2,516.00 Download Download
Basitrasin 500 IU/g Polimiksin 10.000 IU/g 16:05:33
Antihemoroid, kombinasi: bismut subgalat
DUS, 10 SUPP @ 2 2015-04-23
51. 150 mg heksaklorofen 2,5 mg lidokain 10 mg n/a PT. Kimia Farma 3,045.00 Download Download
GRAM 15:45:40
seng oksida 120 mg
Antimalaria DOEN kombinasi : Pirimetamin 2014-03-15
52. n/a PT. Kimia Farma ktk 10 x 10 tablet 520.00 Download Download
25 mg Sulfadoksin 500 mg 16:05:33
Antimigren: Ergotamin Tartrat 1 mg + Kofein 2014-03-15
53. n/a PT. Kimia Farma Btl 100 tablet 135.00 Download Download
50 mg 16:05:33
Antiparkinson DOEN tablet kombinasi : 2014-03-16
54. Levopar Tablet PT. Meprofarm Dus, 5 strip @ 10 tablet 1,500.00 Download Download
Benserazid 25 mg Levodopa 100 mg 18:23:37
2014-03-18
55. Artemether injeksi 80 mg/ml Artem PT. Kimia Farma Dus 6 amp @ 1ml 22,000.00 Download Download
20:03:16
Dus, 1 Vial @ 60 mg +
PT. Pharma 2015-04-27
56. Artesunate injeksi i.v./i.m. 60 mg/ml Artesunate 1 Ampul Pelarut @ 1 38,999.00 Download Download
Laboratories 18:36:45
mL
2014-03-15
57. Asam Asetilsalisilat (asetosal) tablet 100 mg n/a PT. Phapros, Tbk Dus @ 10 X 10 's 116.00 Download Download
16:05:33
Asam Asetilsalisilat (asetosal) PT. Mersifarma KOTAK @ 10 x 10 2014-09-28
58. Miniaspi 80 148.00 Download Download
tablet/kaplet/kapsul 80 mg Tirmaku Mercusana TAB 21:46:47
2014-03-15
59. Asam Askorbat (Vitamin C) tablet 250 mg n/a PT. Kimia Farma ktk 10x10 tablet 159.00 Download Download
16:05:33
2014-03-18
60. Asam Askorbat (Vitamin C) tablet 50 mg n/a PT. Kimia Farma Dus 10 strip x 10 tab 95.00 Download Download
20:03:16

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Harga Satuan Kontrak Tanggal


# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
Asam Folat tablet/kapsul/kaplet Dus, 10 strip @10 2014-07-21
61. Starfolat PT. Dexa Medica 84.00 Download Download
0,4 mg tablet 21:09:56
Asam Folat tablet/kapsul/kaplet 2014-03-15
62. n/a PT. Marin Liza Farmasi Botol @ 100 tablet 48.00 Download Download
1 mg 16:05:33
Asam Ibandronat injeksi PT. Boehringer 2014-04-03
63. Bondronat Boks, 1 ampul 2,209,000.00 Download Download
6mg/6ml Ingelheim 21:30:54
Asam Mefenamat kapsul/kaplet dus, 10 blister @ 10 2015-04-23
64. n/a PT. Afifarma 158.00 Download Download
250 mg kapsul 15:45:40
Asam Mefenamat kapsul/kaplet Dus, 10 blister @ 10 2013-04-23
65. n/a PT. Bernofarm 112.00 Download Download
500 mg kaptab ss 10:24:28
Urotractin 400 2014-03-16
66. Asam pipemidat kapsul 400 mg PT. Sanbe Farma Strip 1,815.00 Download Download
mg 18:23:37
Asam traneksamat injeksi 50 Dus, 10 ampul @ 5 2014-03-15
67. n/a PT. Bernofarm 2,950.00 Download Download
mg/ml ml 16:05:33
Asam zoledronat injeksi Dus, 1 vial plastik 2014-09-28
68. ZOMETA PT. Novartis Indonesia 900,000.00 Download Download
4mg/5mL @ 5ml 21:46:47
Temiral Eye 2014-03-16
69. Asiklovir salep mata 3% PT. Sanbe Farma Tube 3,5 gram 24,750.00 Download Download
Oint 18:23:37
Asiklovir tablet/kapsul/kaplet Dus, 10 blister @ 10 2014-03-15
70. n/a PT. Indofarma 237.00 Download Download
200 mg tablet 16:05:33
Asiklovir tablet/kapsul/kaplet 2014-03-15
71. n/a PT. Kimia Farma ktk 10x10 tablet 345.00 Download Download
400 mg 16:05:33
Asparaginase serbuk injeksi 2014-04-03
72. Leunase PT. Widatra Bhakti 10.000 UI/Vial 1,039,500.00 Download Download
10.000 UI/vial 21:30:54
PT. Zenith Dus 5 strip @ 10 2014-03-16
73. Atapulgit tablet 600 mg Pularex 190.00 Download Download
Pharmaceuticals tablet 18:23:37
74. Atenolol tablet/kapsul/kaplet Betablok PT Kalbe Farma strip 700.00 Download Download 2015-01-05
Harga Satuan Kontrak Tanggal
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
100 mg 14:07:16
Atenolol tablet/kapsul/kaplet 50 Box @ 10 strip 10 2015-04-23
75. Farnormin PT. Pratapa Nirmala 352.00 Download Download
mg tab 15:45:40
Atrakurium injeksi 25 mg/2,5 PT. Glaxo Wellcome Dus, 5 ampul @ 2.5 2014-03-16
76. Tracrium 20,000.00 Download Download
ml Indonesia ml 18:23:37
Atropin injeksi i.v./i.m./s.k. PT. Ethica Industri 100 AMPUL @ 1 2015-04-23
77. n/a 1,350.00 Download Download
0,25 mg/ml Farmasi ML 15:45:40
Dus, 10 strip @ 10 2013-04-23
78. Atropin Sulfat tablet 0,5 mg n/a PT. Indofarma 74.00 Download Download
tablet 10:24:28
Cendo Tropin PT. Cendo Industri 2014-12-05
79. Atropin Sulfat tetes mata 0,5% Botol 5ml 13,500.00 Download Download
0,5% Farmasi 22:08:39
Cendo Tropin PT. Cendo Industri 2014-12-05
80. Atropin Sulfat tetes mata 1% Botol 5ml 13,500.00 Download Download
1% Farmasi 22:08:39

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# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
PT. Soho Industri 2014-03-15
81. Azitromisin sir kering 200 mg/ 5 mL n/a botol @ 60 ml 34,400.00 Download Download
Pharmasi 16:05:33
2014-03-15
82. Azitromisin tablet 500 mg n/a PT. Kimia Farma ktk 2x10 tablet 4,500.00 Download Download
16:05:33
PT. Soho Industri 2014-03-18
83. Azitromisin tablet 250 mg n/a Strip 3,333.00 Download Download
Pharmasi 20:03:16
PT. Rama Emerald 2014-03-15
84. Bedak salisil serbuk 2% n/a Dus @ 50 gram 1,250.00 Download Download
Multi Sukses 16:05:33
Ds 10 vial x 1,2 2013-04-23
85. Benzatin Benzil Penisilin 1,2 juta IU/ vial n/a PT. Phapros, Tbk 9,800.00 Download Download
Jt IU 10:24:55
10 vial @ 2013-04-23
86. Benzatin Benzil Penisilin 2,4 juta IU/vial n/a PT. Phapros, Tbk 13,400.00 Download Download
2.400.000 IU 10:24:28
PT. Abbott 2014-03-18
87. Beractant injeksi / suspensi 25 mg/mL Survanta Vial 3,200,000.00 Download Download
Indonesia 20:03:16
Box/ 3 blister @ 2014-03-16
88. Beraprost sodium tablet 20 mcg Dorner PT. Combiphar 3,600.00 Download Download
10 Tablet 19:08:48
2014-03-15
89. Betametason krim 0,1% (sebagai Valerat) n/a PT. Kimia Farma Tube 5 gr 1,520.00 Download Download
16:05:33
Betam 2014-09-28
90. Betametason tetes mata 1 mg/ml PT. Sanbe Farma botol @ 5 ml 25,106.00 Download Download
Ophtal ED 21:46:47
Bevasizumab injeksi 25 mg/ml (Skema Risk
PT. Boehringer Dus, 1 vial @ 4 2014-09-28
91. Sharing sesuai Kepmenkes RI Nomor Avastin 4,803,697.00 Download Download
Ingelheim ml 22:55:48
HK.02.02/Menkes/223/2014)
Casodex 150 PT. AstraZeneca Dus, 2 blister @ 2014-04-03
92. Bikalutamid tablet salut 150 mg 72,400.00 Download Download
mg indonesia 14 Tablet 21:30:54
93. Bikalutamid tablet salut 50 mg Casodex 50 PT. AstraZeneca Dus, 2 blister @ 45,000.00 Download Download 2014-04-03
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# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
mg indonesia 14 Tablet 21:30:54
2014-03-16
94. Bisakodil suppositoria 10 mg Stolax supp PT. Sanbe Farma Supp 6,045.00 Download Download
18:23:37
Dulcolax PT. Boehringer 2015-01-05
95. Bisakodil suppositoria 5 mg 1 Box @ 6's 4,990.00 Download Download
Supp Infant Ingelheim 14:07:16
Dus 10 blister 2014-07-21
96. Bisoprolol tablet 2,5 mg Concor 2.5 PT. Merck Tbk 746.00 Download Download
@ 10 tablet 21:09:56
PT. Pratapa 2013-04-23
97. Bisoprolol tablet 5 mg n/a Box 3 X 10 tab 645.00 Download Download
Nirmala 10:24:28
2014-07-21
98. Bleomisin serbuk injeksi 15 mg/ampul BLEOCIN PT Kalbe Farma Vial 304,000.00 Download Download
21:09:56
2014-03-16
99. Bromokriptin tablet 2,5 mg Cripsa tab PT. Caprifarmindo Box 3 x 10'S 247,089.00 Download Download
19:08:48
Dus, 1
Pulmicort PT. AstraZeneca 2014-04-03
100. Budesonid inhaler 200 mcg/puff, 100 dosis Turbuhaler @ 93,000.00 Download Download
Turbuhaler indonesia 21:30:54
100 dosis

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Budesonid inhaler 200 mcg/puff, 2014-12-05
101. Obucort Swinghaler PT Otsuka Indonesia Unit, 200 dosis 106,000.00 Download Download
200 dosis 22:08:39
Budesonid respules / cairan PT. AstraZeneca Dus, 4 pak @ 5 2014-04-03
102. Pulmicort Respules 8,900.00 Download Download
inhaler 0,25mg/mL indonesia respules @ 2 ml 21:30:54
Budesonid-formoterol (fixed Symbicort
PT. AstraZeneca Dus, 1 Turbuhaler 2014-03-16
103. combination) inhaler 160/4,5 Turbuhaler 160/4.5 117,600.00 Download Download
indonesia @ 120 dosis 19:08:48
mcg mcg
Budesonid-formoterol (fixed Symbicort 80/4.5 PT. AstraZeneca Dus, 1 Turbuhaler 2014-04-03
104. 110,500.00 Download Download
combination) inhaler 80/4,5 mcg mcg indonesia @ 60 dosis 21:30:54
Bupivakain injeksi 0,50% (HCl) Dus, 5 ampul @ 4 2014-07-21
105. n/a PT. Dexa Medica 25,600.00 Download Download
+ glukosa 8% ml 21:08:50
2014-07-21
106. Bupivakain injeksi 0,50% (P.V) Bunascan PT. Pratapa Nirmala ampul 30,800.00 Download Download
21:09:56
Dabigatran eteksilat kapsul 75 PT. Boehringer Dus, 3 blister @ 2014-05-21
107. Pradaxa 12,936.00 Download Download
mg Ingelheim 10 kapsul 20:01:48
Dabigatran eteksilat kapsul 110 PT. Boehringer Dus, 3 blister @ 2014-05-21
108. Pradaxa 12,936.00 Download Download
mg Ingelheim 10 kapsul 20:01:48
Dakarbazin serbuk injeksi 200 PT. Tempo Scan 2014-09-05
109. DBL Dacarbazine vial @ 20 ml 305,000.00 Download Download
mg/vial Pacific 23:17:45
PT. Novell
Daunorubisin serbuk injeksi 20 2014-07-21
110. DAUNOCIN Pharmaeutical vial 275,000.00 Download Download
mg/vial 21:09:56
Laboratories
Deferasiroks tablet disp/ eff 250 Dus, 4 blister @ 7 2014-03-16
111. Exjade 250 mg Tab PT. Novartis Indonesia 76,000.00 Download Download
mg tablet 19:08:48
Deferasiroks tablet disp/ eff 500 Dus, 4 blister @ 7 2014-03-16
112. Exjade 500 mg Tab PT. Novartis Indonesia 150,000.00 Download Download
mg tablet 19:08:48
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Deferipron larutan oral 100 Ferriprox Oral Dus, Botol @ 2014-04-03
113. PT. Sydna Farma 2,600,000.00 Download Download
mg/mL Solution 500ml 21:30:54
Dus, Botol @ 100 2014-04-03
114. Deferipron tablet 500 mg Ferriprox tablet PT. Sydna Farma 25,300.00 Download Download
tablet 21:30:54
Deferoksamin Mesilat serbuk Dus, 10 vial @ 2014-04-03
115. Desferal PT. Novartis Indonesia 112,000.00 Download Download
injeksi 500 mg 500mg 21:30:54
Deksametason injeksi i.v./i.m. 5 Dus, 100 ampul @ 2014-03-15
116. n/a PT. Indofarma 1,580.00 Download Download
mg/ml 1 ml 16:05:33
Dus, 10 blister @ 2014-03-15
117. Deksametason tablet 0,5 mg n/a PT. Indofarma 68.00 Download Download
10 tablet 16:05:33
PT. Merck Sharp Dus, 1 Blister @ 2014-08-06
118. Desogestrel tablet 75 mcg Cerazette 70,000.00 Download Download
Dohme Pharma Tbk 28 tablet 18:35:06
PT. Ifars
2014-09-28
119. Desoksimetason krim 0,25% DEXIGEN Pharmaceutical Dus, tube @ 5 g 5,700.00 Download Download
21:46:47
Laboratories
Kotak, tube @ 15 2014-03-16
120. Desoksimetason krim 0,25% n/a PT. Dexa Medica 9,983.00 Download Download
gram 19:30:13

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# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
2015-04-23
121. Desoksimetason salep 0,25% Dexocort PT. Kimia Farma Dus Tube 10 gram 9,818.00 Download Download
15:45:40
Diazepam larutan rektal 5 PT. Actavis Dus, 5 alubag @ 1 2014-09-28
122. STESOLID 11,525.00 Download Download
mg/2,5 mL Indonesia tube @ 2,5ml 21:46:47
Diazepam injeksi i.v./i.m 5 Dus, 30 ampul @ 2 2014-03-15
123. n/a PT. Indofarma 4,180.00 Download Download
mg/ml ml 16:05:33
Diazepam larutan rektal 10 PT. Actavis Dus, 5 alubag @ 1 2014-09-28
124. STESOLID 16,748.00 Download Download
mg/2,5 mL Indonesia tube @ 2,5ml 21:46:47
Diazepam tablet/kapsul/kaplet 2 Botol Plastik @ 100 2015-01-05
125. n/a PT. Kimia Farma 45.00 Download Download
mg tablet 14:07:16
Dietilkarbamazin tablet scored Dus, 10 blister @10 2014-03-15
126. n/a PT. Holi Pharma 136.00 Download Download
100 mg tablet 16:05:33
Difenhidramin injeksi i.v./i.m. 2014-03-15
127. n/a PT. Lucas Djaja ampul @ 1 ml 1,054.00 Download Download
10 mg/ml (HCl) 16:05:33
PT. Pratapa Box @ 5 ampul 2 2014-09-28
128. Digoksin injeksi 0,25 mg/ml Fargoxin inj 22,000.00 Download Download
Nirmala mL 21:46:47
PT. Yarindo 2013-04-23
129. Digoksin tablet 0,25 mg n/a Box 10 X 10 Tab 97.00 Download Download
Farmatama 10:24:28
Dus, 10 strip @ 10 2013-04-23
130. Diltiazem HCl tablet 30 mg n/a PT. Indofarma 134.00 Download Download
tablet 10:24:55
Herbesser Powder PT. Tanabe 2014-03-18
131. Diltiazem infus injeksi 50 mg 10 vial @ 50mg 127,667.00 Download Download
Injection 50mg Indonesia 20:03:16
Farmabes Injeksi 25 PT. Pratapa 2014-03-18
132. Diltiazem injeksi 25 mg/5 mL Vial 5 mL 46,667.00 Download Download
mg Nirmala 20:03:16
PT. Tanabe 3 blister @ 10 2014-03-18
133. Diltiazem Kapsul SR 100 mg Herbesser CD 100 3,667.00 Download Download
Indonesia kapsul 20:03:16
134. Diltiazem Kapsul SR 200 mg Herbesser CD 200 PT. Tanabe 3 blister @ 10 4,015.00 Download Download 2014-03-18
Harga Satuan Kontrak Tanggal
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
Indonesia kapsul 20:03:16
2013-04-23
135. Dimenhidrinat tablet 50 mg n/a PT. Kimia Farma Btl 100 tablet 104.00 Download Download
10:24:55
Dinatrium edetat tetes mata PT. Cendo 2014-04-03
136. E.D.T.A botol 15 ml 37,500.00 Download Download
0,35% Industri Farmasi 21:30:54
Dinatrium klodronat infus kons Bonefos Infus 60 mg / PT. Bayer 2014-09-28
137. ampul 124,955.00 Download Download
60 mg/mL 5 ml Indonesia 21:46:47
PT. Dipa 2014-07-21
138. Dobutamin injeksi 50 mg/mL DOBURAN ampul @ 5 ml 26,700.00 Download Download
Pharmalab 21:09:56
PT. Pfizer Dus, 5 blister @10's 2014-03-16
139. Doksazosin mesilat tablet 1 mg Cardura 1mg 3,480.00 Download Download
Indonesia tab 18:23:37
PT. Pfizer Dus, 5 blister @10's 2014-03-16
140. Doksazosin mesilat tablet 2 mg Cardura 2mg 5,480.00 Download Download
Indonesia tab 18:23:37

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# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
PT. Yarindo Box @ 10 strip 10 2015-01-05
141. Doksisiklin tablet/kapsul/kaplet 100 mg n/a 270.00 Download Download
Farmatama kapsul 14:07:16
Doksorubisin serbuk injeksi i.v. 10 Doxorubicin Dus, 1 vial @ 10 2014-03-16
142. PT. Actavis Indonesia 55,500.00 Download Download
mg/vial Actavis 10 mg mg 18:23:37
Doksorubisin serbuk injeksi i.v. 50 Doxorubicin Dus, 1 vial @ 50 2014-03-16
143. PT. Actavis Indonesia 274,125.00 Download Download
mg/vial Actavis 50 mg mg 18:23:37
2014-03-15
144. Domperidon suspensi/sirup 5 mg/5 ml n/a PT. Novapharin btl @ 60 ml 3,333.00 Download Download
16:05:33
2013-04-23
145. Domperidon tablet 10 mg n/a PT. Novapharin dus 10 X 10'S 167.00 Download Download
10:24:28
2014-03-15
146. Domperidon tetes 5 mg/mL n/a PT. Bernofarm Dus, botol @ 10 ml 15,600.00 Download Download
16:05:33
2014-07-21
147. Dopamin injeksi 40 mg/ml UDOPA PT. Dipa Pharmalab ampul @ 5 ml 9,840.00 Download Download
21:09:56
Dus, 1 vial @0,5
2014-04-03
148. Dosetaksel injeksi 20 mg/0,5 ml n/a PT. Sanbe Farma ml+ 1 vial pelarut 970,200.00 Download Download
21:30:54
@1,5 ml
DTPA (diethylene triamine pentaacetic
2014-08-06
149. acid) 2,06-2,5 mg pentetate calcium Renalscan KaeF PT. Kimia Farma Dus @ 5 vial 455,000.00 Download Download
18:35:06
trisodium/mL
PT. SmithKline
Dus, Botol Plastik 2014-03-18
150. Dutasterid kaps lunak 0,5 mg Avodart Beecham 7,100.00 Download Download
@ 30 Tablet 20:03:16
Phamaceuticals
2014-06-16
151. Efavirens tablet salut 600 mg n/a PT. Kimia Farma Botol 30 tab 6,375.00 Download Download
19:59:45
2014-07-21
152. Efedrin Inj 50 mg/ml n/a PT. Bernofarm Ampul @ 1 ml 12,990.00 Download Download
21:08:50
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Dus, 2 blister @ 15 2014-04-03
153. Eksemestan tablet 25 mg Aromasin PT. Pfizer Indonesia 42,600.00 Download Download
tablet 21:30:54
Lovenox 2000 dus, 2 prefilled 2014-03-18
154. Enoksaparin sodium inj 20 mg/0,2 mL PT. Aventis Pharma 40,740.00 Download Download
ANTI-XA syringe @ 0,2 ml 20:03:16
Lovenox 4000 dus, 2 prefilled 2014-03-18
155. Enoksaparin sodium inj 40 mg/0,4 mL PT. Aventis Pharma 71,875.00 Download Download
ANTI-XA syringe @ 0,4 ml 20:03:16
Lovenox 6000 dus, 2 prefilled 2014-03-18
156. Enoksaparin sodium inj 60 mg/0,6 mL PT. Aventis Pharma 100,000.00 Download Download
ANTI-XA syringe @ 0,6 ml 20:03:16
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 2014-03-15
157. n/a PT. Phapros, Tbk Dus @ 30 Ampul 8,100.00 Download Download
1 mg/ml 16:05:33
Epirubisin serb injeksi 50 mg/25ml 2014-03-16
158. Epirubisin Kalbe PT Kalbe Farma Vial @ 25 ml 500,000.00 Download Download
(Produk Kosong s/d awal Agustus 2015) 18:23:37
2014-04-03
159. Epirubisin serb injeksi 10 mg/5 ml n/a PT. Sanbe Farma Dus, 1 vial @5 ml 128,000.00 Download Download
21:30:54
Ergokalsiferol (vitamin D3/D2) kapsul Dus 3 strip @ 10 2014-03-16
160. D-Vit FT PT. Gracia Pharmindo 650.00 Download Download
50.000 UI Flash tablet 19:08:48

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# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
Ergokalsiferol (vitamin D3/D2) suspensi PT. Gracia Dus, Botol Plastik @ 2014-04-03
161. D-Vit Syrup 8,000.00 Download Download
10.000 UI/ml Pharmindo 100 mL 21:30:54
2013-04-23
162. Eritromisin kapsul/kaplet 250 mg n/a PT. Kimia Farma ktk 10 x 10 kapsul 497.00 Download Download
10:24:28
Dus, 10 blister @ 10 2013-04-23
163. Eritromisin kapsul/kaplet 500 mg n/a PT. Indofarma 930.00 Download Download
kss 10:24:28
PT. Phyto Kemo 2014-03-15
164. Eritromisin sirup kering 200 mg/ 5 ml n/a Botol @60 ml 7,700.00 Download Download
Agung Farma 16:05:33
Hemapo vial/ampul (Prefilled 2014-09-28
165. Eritropoetin-alfa inj 10000 UI/mL PT Kalbe Farma 275,000.00 Download Download
10.000 IU Syringe) 21:46:47
PT. Soho Industri Dus, 6 prefilled 2014-09-28
166. Eritropoetin-alfa inj 2000 UI/mL Eprex 2000 133,875.00 Download Download
Pharmasi syrenge @ 0.5 ml 21:46:47
Hemapo Prefilled Syringe @ 2014-05-21
167. Eritropoetin-alfa inj 3000 UI/mL PT Kalbe Farma 128,000.00 Download Download
3000 1ml 20:01:48
PT. Boehringer 2014-04-03
168. Eritropoetin-beta inj 2000 UI/0,3 mL Recormon Boks, 6 ampul 139,500.00 Download Download
Ingelheim 21:30:54
2013-04-23
169. Etambutol tablet 250 mg (HCl) n/a PT. Kimia Farma ktk 20 x 10 tablet 314.00 Download Download
10:24:28
2013-04-23
170. Etambutol tablet salut 500 mg (HCl) n/a PT. Indofarma Dus, 10 strip @ 10 tss 451.00 Download Download
10:24:28
2014-03-15
171. Etanol 70% cairan n/a PT. Novapharin btl @ 100 ml 2,500.00 Download Download
16:05:33
PT. Merck Sharp
Dus, botol @ 100 2014-08-06
172. Etinilestradiol tablet 0,05 mg Lynoral Dohme Pharma 1,360.00 Download Download
tablet 18:35:06
Tbk
173. Etonogestrel implan 68 mcg Implanon PT. Merck Sharp Dus, 1 blister @ 1 128,779.00 Download Download 2014-03-24
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
Dohme Pharma subdermal implant 14:34:20
Tbk
2014-03-16
174. Etoposid injeksi 20 mg/ml Posyd PT. Combiphar Vial 100mg/5ml 100,000.00 Download Download
18:23:37
2014-03-18
175. Eugenol cairan n/a PT. Kimia Farma Botol 10 ml 16,667.00 Download Download
20:03:16
Certican 0,25 PT. Novartis Dus, 6 blister @ 10 2014-03-16
176. Everolimus tab 0,25 mg 11,813.00 Download Download
mg Tab Indonesia tablet 19:08:48
Certican 0,5 PT. Novartis Dus, 6 blister @ 10 2014-03-16
177. Everolimus tab 0,5 mg 23,250.00 Download Download
mg Tab Indonesia tablet 19:08:48
Dus, 1 vial @ 1000
Faktor IX kompleks serbuk injeksi 1.000 Nonafact 2015-04-27
178. PT. Graha Farma IU+ 1 vial pelarut @ 8,500,000.00 Download Download
UI/vial + pelarut 10 ml 1000 IU 18:36:45
10ml
Dus, 1 vial @ 500
Faktor IX kompleks serbuk injeksi 500 Nonafact 500 2015-04-27
179. PT. Graha Farma IU+ 1 vial pelarut @ 4,423,500.00 Download Download
UI/vial + pelarut 5 ml IU 18:36:45
5ml
Faktor koagulasi II 14-35 UI, faktor
Cofact 500 2014-12-11
180. koagulasi VII 7-20 UI, faktor koagulasi IX PT. Graha Farma Dual, vial 500 IU 4,400,000.00 Download Download
IU/20 ml 02:12:14
25 UI, faktor koagulasi X 14-35 UI

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Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
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Harga
Faktor Koagulasi II 14-35 UI, Faktor
Dus, vial @ 250 IU+ 1
Koagulasi VIII 7-20 UI, Faktor Koagulasi 2015-04-23
181. Cofact 250 IU PT. Graha Farma vial pelarut @10 mL+ 2,095,000.00 Download Download
IX 25 UI, Faktor Koagulasi X 14-35 UI 15:45:40
transfer needle+swab
(250 IU/10ml)
KOTAK @ 1 VIAL
Faktor VIIa (rekombinan) serb inj 1 mg/vial PT. Ferron Par 2014-04-03
182. Novoseven SERBUK OBAT & 9,200,000.00 Download Download
+ pelarut untuk injeksi Pharmaceuticals 21:30:54
INFUSION KIT
Faktor VIII (konsentrat) serb inj 230 -340 2014-09-28
183. Haemoctin PT. Kimia Farma vial 1,133,000.00 Download Download
UI 21:46:47
Faktor VIII (konsentrat) serb inj 250 KOATE 250 2015-01-05
184. PT. Dipa Pharmalab Vial/ampul 990,000.00 Download Download
UI/vial + pelarut 5 Ml UI 14:07:16
Faktor VIII (konsentrat) serb inj 480 - 600 KOATE DVI 2014-09-28
185. PT. Dipa Pharmalab vial 2,150,000.00 Download Download
UI 500 IU 21:46:47
PT. Mersifarma 2014-03-15
186. Fenitoin injeksi 50 mg/ml n/a KOTAK @ 10 ampul 20,250.00 Download Download
Tirmaku Mercusana 16:05:33
2013-04-23
187. Fenitoin kapsul/kaplet 100 mg n/a PT. Ikapharmindo Botol @ 100 133.00 Download Download
10:24:55
PT. Mersifarma 2014-07-21
188. Fenitoin Na Inj 100 mg/2 ml n/a KOTAK @ 10 ampul 20,250.00 Download Download
Tirmaku Mercusana 21:08:50
2013-04-23
189. Fenobarbital injeksi i.m./i.v. 50 mg/ml n/a PT. Phapros, Tbk Dus @ 30 Ampul 1,800.00 Download Download
10:24:28
Dus, 10 strip @ 10 2015-04-23
190. Fenobarbital tablet/kapsul/kaplet 100 mg n/a PT. Indofarma 220.00 Download Download
tablet 15:45:40
PT. Hexpharm Jaya Dus, 3 strip @ 10 2014-03-18
191. Fenofibrat kaps 100 mg n/a 1,075.00 Download Download
Laboratories kapsul 20:03:16
PT. Hexpharm Jaya Dus, 3 strip @ 10 2014-03-18
192. Fenofibrat kaps 300 mg n/a 1,375.00 Download Download
Laboratories kapsul 20:03:16
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
Fenoksimetil penisilin (penisilin V) tab 125 PT. Actavis 2014-04-03
193. Fenocin Dus 45 x 12 tab 235.00 Download Download
mg Indonesia 21:30:54
Fenoksimetil penisilin (penisilin V) 2014-09-28
194. n/a PT. Phapros, Tbk Ds 10 str x 10's 510.00 Download Download
tablet/kapsul/kaplet 500 mg 21:46:47
Fenoksimetil penisilin (penisilin V) 2015-01-05
195. n/a PT. Phapros, Tbk 10 X 10 290.00 Download Download
tablet/kapsul/kaplet 250 mg 14:07:16
PT. Boehringer 2014-08-06
196. Fenoterol HBr ih 100 mcg/puff Berotec MDI Box, canister 10mL 72,900.00 Download Download
Ingelheim 18:35:06
Berotec PT. Boehringer 2014-04-03
197. Fenoterol HBr inh solution 0,1% Dus, Canister 200 dosis 117,500.00 Download Download
Solution Ingelheim 21:30:54
Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2014-03-18
198. n/a PT. Kimia Farma Dus 5 ampul@ 10ml 128,000.00 Download Download
10 ml 20:03:16
Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 2014-03-18
199. n/a PT. Kimia Farma Dus 5 ampul@ 2ml 33,914.00 Download Download
ml 20:03:16
Durogesic
2014-04-03
200. Fentanil patch 12,5 mcg/jam 12,5 MU PT. Kimia Farma Dus @ 5 patch 80,000.00 Download Download
21:30:54
Matrix

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# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Durogesic 25 MU 2014-03-18
201. Fentanil patch 25 mcg/jam PT. Kimia Farma Dus@ 5 patch 153,000.00 Download Download
Matrix 20:03:16
Durogesic 50 MU 2014-03-18
202. Fentanil patch 50 mcg/jam PT. Kimia Farma Dus@ 5 patch 285,000.00 Download Download
Matrix 20:03:16
2014-03-16
203. Filgrastim inj 300 mcg/mL Leucogen PT Kalbe Farma pfs @ 0,5 ml 375,000.00 Download Download
18:23:37
Box, isi 3 Strip @ 10 2014-07-21
204. Finasterid tab 5 mg Prostacom PT. Combiphar 2,950.00 Download Download
tab 21:09:56
Fitomenadion (Vit.K1) tablet Botol @ 100 tablet 2013-04-23
205. n/a PT. Marin Liza Farmasi 634.00 Download Download
salut gula 10 mg salut gula 10:24:28
Fitomenadion (Vitamin K1) 2014-08-06
206. n/a PT. Phapros, Tbk dus @ 30 ampul 3,417.00 Download Download
injeksi i.m. 2 mg/ml 18:35:06
2014-04-03
207. Fludarabin inj 50 mg Fludara IV LYO PT. Aventis Pharma Dus, 5 vial @ 50 mg 1,248,319.00 Download Download
21:30:54
Dus, 4 blister @ 5 2014-04-03
208. Fludarabin tab 10 mg Fludara Oral PT. Aventis Pharma 275,000.00 Download Download
tablet salut selaput 21:30:54
Flufenazin injeksi i.m. 25 Sikzonoate PT. Mersifarma Tirmaku 2014-03-16
209. Dus, 5 ampul @ 1ml 55,000.00 Download Download
mg/ml Injeksi Mercusana 19:08:48
PT. Novell
2014-03-15
210. Flukonazol injeksi 2 mg/ml n/a Pharmaeutical Botol 38,000.00 Download Download
16:05:33
Laboratories
Flukonazol tablet/kaplet/kapsul 2014-09-28
211. Diflucan 50mg PT. Pfizer Indonesia Blister 4,862.00 Download Download
50 mg 21:46:47
Flukonazol tablet/kapsul 150 2014-03-15
212. n/a PT. Kimia Farma ktk 1 x 10 kapsul 22,000.00 Download Download
mg 16:05:33
213. Fluoksetin tablet 10 mg Foransi 10 PT. Gracia Pharmindo strip 419.00 Download Download 2014-03-16
Tanggal
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# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
18:23:37
2014-03-16
214. Fluoksetin tablet 20 mg NOPRES PT. Dexa Medica DUS, 30 TABLET 410.00 Download Download
18:23:37
Fluorometolon tetes mata 0,1 2014-09-28
215. Ocuflam ED PT. Sanbe Farma botol @ 5 ml 30,493.00 Download Download
% 21:46:47
2014-03-16
216. Fluorourasil inj 250 mg/mL Curacil PT Kalbe Farma vial @ 1 ml 24,500.00 Download Download
18:23:37
2014-03-16
217. Fluorourasil inj 500 mg/ 5 mL Curacil PT Kalbe Farma vial @ 10 ml 33,000.00 Download Download
18:23:37
Flusinolon asetonid krim PT. Ifars Pharmaceutical 2014-03-16
218. SYNARCUS Dus, Tube 5 g 2,400.00 Download Download
0,025% Laboratories 18:23:37
flusinolon asetonid salep 2015-08-19
219. Dermasolon oint PT. Ikapharmindo Dus, tube @ 10 g 5,489.00 Download Download
0,025% 18:52:14
Flutikason furoat intranasal PT. Glaxo Wellcome Dus, Botol 120 2014-03-18
220. Avamys 93,333.00 Download Download
spray Indonesia Dosis Spay 20:03:16

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Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
PT. Glaxo Dus, 2 flow wrap@
Flixotide 2014-03-18
221. Flutikason propionat nebules 0,5 mg Wellcome 5 nebules @ 1 dosis 12,917.00 Download Download
Nbules 20:03:16
Indonesia (2ml)
PT. Glaxo
2014-03-18
222. Fondaparinuks inj 2,5 mg/0,5 mL Arixtra Wellcome Dus, 2 pfs 0.5 ml 241,667.00 Download Download
20:03:16
Indonesia
PT. Dipa 2014-08-06
223. Fraksi protein plasma lar inf 5% Plasmanate dus, vial @ 250 ml 972,000.00 Download Download
Pharmalab 18:35:06
Dus, 25 ampul @ 2 2013-04-23
224. Furosemid injeksi i.v./i.m. 10 mg/ml n/a PT. Indofarma 1,829.00 Download Download
ml 10:24:28
Dus, 10 strip @ 10 2013-04-23
225. Furosemid tablet 40 mg n/a PT. Indofarma 85.00 Download Download
tablet 10:24:28
Gadovist 5 PT. Bayer 2014-08-06
226. Gadobutrol macrocyclic 5 mg Prefilled Syringe 275,000.00 Download Download
mg Indonesia 18:35:06
Gadovist 7,5 PT. Bayer 2014-08-06
227. Gadobutrol macrocyclic 7,5 mg Prefilled Syringe 412,500.00 Download Download
mg Indonesia 18:35:06
Gadoksetat disodium 0,25 mmol gadoxetate PT. Bayer 2014-08-06
228. Primovist Prefilled Syringe 2,570,000.00 Download Download
disodium/mL Indonesia 18:35:06
PT. Boehringer 2014-04-03
229. Gansiklovir serb inj 500 mg (50 mg/mL) Cymevene Boks, 1 ampul 399,500.00 Download Download
Ingelheim 21:30:54
Garam Oralit I serbuk, kombinasi : Natrium PT. Rama
2014-03-15
230. klorida 0,52 g kalium klorida 0,30 g Trinatrium n/a Emerald Multi Kotak 100 Shachet 285.00 Download Download
16:05:33
sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g Sukses
Iressa 250 PT. AstraZeneca Dus, 1 blister @ 10 2014-04-03
231. Gefitinib tab 250 mg 295,000.00 Download Download
mg indonesia tablet 21:30:54
Dus, 10 blister @ 2013-04-23
232. Gemfibrozil kapsul/kaplet 300 mg n/a PT. Indofarma 289.00 Download Download
12 kapsul 10:24:28
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
Dus, 10 blister @ 2013-04-23
233. Gemfibrozil tablet 600 mg n/a PT. Indofarma 679.00 Download Download
10 kaptab 10:24:55
Gemzar 1000 PT. Bayer 2014-03-16
234. Gemsitabin inj 1000 mg/vial vial 1,098,900.00 Download Download
mg Indonesia 18:23:37
Dus, 1 vial @200 2014-04-03
235. Gemsitabin inj 200 mg/vial n/a PT. Sanbe Farma 330,000.00 Download Download
mg 21:30:54
Dus, 5 ampul @ 2 2013-04-23
236. Gentamisin injeksi 40 mg/ ml n/a PT. Indofarma 3,399.00 Download Download
ml 10:24:28
Genoint 2014-03-16
237. Gentamisin salep mata 0,3% PT. Erela Tube @ 3,5 gr 2,600.00 Download Download
Salep Mata 18:23:37
Dus, botol plastik 5 2014-03-15
238. Gentamisin tetes mata 0,3% n/a PT. Indofarma 3,194.00 Download Download
ml 16:05:33
Dus, 10 blister @ 2014-03-15
239. Glibenklamid tablet 5 mg n/a PT. Indofarma 56.00 Download Download
10 kaptab 16:05:33
PT. Tempo Scan 2014-03-16
240. Gliklazid tab 80 mg Glicab Strip 235.00 Download Download
Pacific 18:23:37

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Harga Satuan Kontrak Tanggal


# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
Dus, 6 strip @ 10 tablet 2014-04-03
241. Gliklazid tab 30 mg Diamicron MR 30 PT. Pradja Pharin 638.00 Download Download
lepas lambat 21:30:54
Gliklazid tablet lepas 2014-12-05
242. Diamicron MR 60 PT. Darya Varia Box, 30 Tablet 5,500.00 Download Download
lambat 60 Mg 22:08:39
Dus, 10 Strip @ 10 2014-03-15
243. Glikuidon tab 30 mg n/a PT. Dexa Medica 950.00 Download Download
tablet 16:05:33
2013-04-23
244. Glimepiride tablet 1 mg n/a PT. Kimia Farma ktk 5x10 tablet 265.00 Download Download
10:24:28
2013-04-23
245. Glimepiride tablet 2 mg n/a PT. Kimia Farma ktk 5x10 tablet 436.00 Download Download
10:24:28
2013-04-23
246. Glimepiride tablet 3 mg n/a PT. Kimia Farma ktk 5x10 tablet 404.00 Download Download
10:24:28
2013-04-23
247. Glimepiride tablet 4 mg n/a PT. Kimia Farma ktk 5x10 tablet 430.00 Download Download
10:24:28
Glipizid PT. Pfizer Dus, botol@TAB 2015-01-05
248. Glucotrol 10 mg 3,207.00 Download Download
tablet/kaplet/kapsul 10 mg Indonesia 10MG 30 14:07:16
Glipizid PT. Pfizer Dus, botol@TAB 2015-01-05
249. Glucotrol 5 mg 3,000.00 Download Download
tablet/kaplet/kapsul 5 mg Indonesia 10MG 31 14:07:16
Gliseril trinitrat inj 50 DBL Gliceryl Trinitrate PT. Tempo Scan 2015-04-28
250. 1 box isi 5 ampul 10 ml 119,900.00 Download Download
mg/10 mL 50 mg/10 ml inj. Pacific 11:39:07
Gliseril trinitrat kaps SR 2014-04-03
251. Nitrokaf Retard PT. Kimia Farma Dus 10x10 1,493.00 Download Download
2,5 mg 21:30:54
Gliseril trinitrat kaps SR 5 2014-04-03
252. Nitrokaf Forte PT. Kimia Farma Dus 10x10 2,171.00 Download Download
mg 21:30:54
Gliseril trinitrat tab PT. Actavis 2014-03-18
253. Nitral Btl @ 30 tablet 1,500.00 Download Download
sublingual 0,5 mg Indonesia 20:03:16
254. Gliserin lar 50% Gliserin lar 50% PT. Lucas Djaja Glycerin 100 ml 5,333.00 Download Download 2014-03-18
Harga Satuan Kontrak Tanggal
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
20:03:16
Glukosa larutan infus 10 % PT. Widatra 2013-04-23
255. n/a botol @ 500 ml 5,700.00 Download Download
steril Bhakti 10:24:28
Glukosa larutan infus 5 % PT. Widatra 2013-04-23
256. n/a botol @ 500 ml 5,200.00 Download Download
steril Bhakti 10:24:28
Goserelin asetat inj 10,8 PT. AstraZeneca Dus, 1 syringe @ 10.8 2014-04-03
257. Zoladex 10,8 mg 2,300,000.00 Download Download
mg/vial indonesia mg 21:30:54
PT. AstraZeneca Dus, 1 syringe @ 3.6 2014-04-03
258. Goserelin asetat inj 3,6 mg Zoladex 3,6 mg 840,000.00 Download Download
indonesia mg 21:30:54
Dus, 10 blister @ 10 2013-04-23
259. Griseofulvin tablet 125 mg n/a PT. Indofarma 219.00 Download Download
tablet 10:24:28
PT. Soho Industri 2014-03-18
260. Haloperidol inj 50 mg/mL Haldol Decanoas Dus 5 Ampul@1mL 83,333.00 Download Download
Pharmasi 20:03:16

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
PT. Mersifarma 2014-09-28
261. Haloperidol injeksi i.m 5 mg/ml Lodomer Injeksi KOTAK @ 12 ampul 6,250.00 Download Download
Tirmaku Mercusana 21:46:47
Dus, 10 blister @ 10 2013-04-23
262. Haloperidol tablet 0,5 mg n/a PT. Indofarma 59.00 Download Download
tablet 10:24:55
Dus, 10 blister @ 10 2013-04-23
263. Haloperidol tablet 5 mg n/a PT. Indofarma 96.00 Download Download
tablet 10:24:55
Dus, 10 blister @ 10 2013-04-23
264. Haloperidol tablet 1,5 mg n/a PT. Indofarma 69.00 Download Download
tablet 10:24:55
PT. Mersifarma 2014-03-16
265. Haloperidol tablet 2 mg Lodomer 2 KOTAK @ 10 x 10 TAB 126.00 Download Download
Tirmaku Mercusana 18:23:37
PT. Mersifarma 2014-10-24
266. Haloperidol tts 2 mg/mL LODOMER DROPS BOTOL @ 15 ML 16,500.00 Download Download
Tirmaku Mercusana 21:14:34
2014-03-18
267. Halotan Inhalasi Halothane PT. Dexa Medica Botol 641,500.00 Download Download
20:03:16
PT. Pratapa 2014-07-21
268. Heparin injeksi i.v./s.k. 5000 UI/ml Inviclot vial 42,900.00 Download Download
Nirmala 21:09:56
2014-05-22
269. Hepatitis B imunoglobulin (human) Hyperhep B PT. Dipa Pharmalab Dus, 1 syringe @ 0.5 mL 1,328,000.00 Download Download
14:25:18
2015-04-23
270. hidroklorotiazid tab 25 mg n/a PT. Kimia Farma dus, 10 strip @ 10 tablet 149.00 Download Download
15:45:40
PT. Marin Liza 2013-04-23
271. Hidrokortison krim 1% n/a tube @ 5 ml 2,570.00 Download Download
Farmasi 10:24:55
2013-04-23
272. Hidrokortison krim 2,5 % n/a PT. Kimia Farma Tube 5 gr 2,798.00 Download Download
10:24:28
Hidroksi Urea tablet/kaplet/kapsul HYDROXYUREA 2014-09-28
273. PT. Dipa Pharmalab vial 5,400.00 Download Download
500 mg MEDAC 21:46:47
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Hiosin butilbromid injeksi 20 PT. Otto 2014-03-18
274. n/a box 5ampul @1 ml 4,500.00 Download Download
mg/ml Pharmaceuticals 20:03:16
PT. Cendo Industri 2014-12-05
275. Homatropin tetes mata 2% Homatro 2% Botol 5ml 18,000.00 Download Download
Farmasi 22:08:39
Human Insulin Intermediate Acting PT. Bayer Dus, 5 Prefilled pen @ 3 2015-04-27
276. Humulin N Kwikpen 76,125.00 Download Download
Inj 100 UI/ml Indonesia ml 18:36:45
Human insulin intermediate acting
PT. Ferron Par 2014-04-03
277. inj 100 UI/ml, vial (Human Insulin Insulatard Vial Dus, vial 10 ml 138,000.00 Download Download
Pharmaceuticals 21:30:54
(Intermediate-Acting))
Human insulin intermediate acting
PT. Bayer 2014-04-03
278. inj 100 UI/ml, vial (Insulin human Humulin N Vial Dus, vial 10 ml 138,000.00 Download Download
Indonesia 21:30:54
Basal)
Human insulin intermediate acting
Injeksi 100 IU/ml, penfill
inj 100 UI/ml,penfill cartridge PT. Ferron Par 2014-04-03
279. Insulatard Penfill disposible 3 ml (1 box isi 76,125.00 Download Download
(Human Insulin (Intermediate- Pharmaceuticals 21:30:54
5 penfill disposible)
Acting))
Human insulin intermediate acting
2014-04-03
280. inj 100 UI/ml,penfill cartridge Sansulin N PT. Sanbe Farma penfillcartridge @ 3ml 75,000.00 Download Download
21:30:54
(Insulin human Basal)

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Human insulin intermediate acting inj
Humulin N PT. Bayer Dus Isi 5 penfill/cartridge @ 2014-04-03
281. 100 UI/ml,penfill cartridge (Insulin 76,125.00 Download Download
Cart Indonesia 3ml 21:30:54
human Basal)
Insuman Basal
Human insulin intermediate acting inj PT. Aventis 2015-04-13
282. vial 5ml, Dus, 1 Vial @ 5 ml 72,000.00 Download Download
100iu/ml, vial (Insulin Human Basal) Pharma 15:52:51
100iu/ml
Insuman Comb
Human insulin mix inj 100iu/ml, vial PT. Aventis 2015-04-13
283. 25 vial 5ml, Dus, 1 Vial @ 5 ml 72,000.00 Download Download
(Insulin Human Comb 25) Pharma 15:52:51
100iu/ml
Human Insulin Mix Insulin Inj 100 Humulin 30/70 PT. Bayer 2015-04-27
284. Dus, 5 Prefilled pen @ 3 ml 76,125.00 Download Download
UI/ml Kwikpen Indonesia 18:36:45
Human insulin mix insulin inj 100
Injeksi 100 IU/ml, penfill
UI/ml, penfill cartridge (Human Insulin PT. Ferron Par 2014-04-03
285. Mixtard Penfill disposible 3 ml (1 box isi 5 76,125.00 Download Download
(Premix: 30% Soluble + 70 % NPH Pharmaceuticals 21:30:54
penfill disposible)
Insulin))
Human insulin mix insulin inj 100
Humulin 30/70 PT. Bayer Dus Isi 5 penfill/cartridge @ 2014-04-03
286. UI/ml, penfill cartridge (Insulin human 76,125.00 Download Download
Cart Indonesia 3ml 21:30:54
Comb)
Human insulin mix insulin inj 100
PT. Ferron Par 2014-04-03
287. UI/ml, vial (Human Insulin (Premix: Mixtard Vial Dus, vial 10 ml 138,000.00 Download Download
Pharmaceuticals 21:30:54
30% Soluble + 70 % NPH Insulin))
Human insulin mix insulin inj 100 Humulin 30/70 PT. Bayer 2014-04-03
288. Dus, vial 10 ml 138,000.00 Download Download
UI/ml, vial (Insulin human Comb) Vial Indonesia 21:30:54
Human Insulin Short Acting Inj 100 Humulin R PT. Bayer 2015-04-27
289. Dus, 5 Prefilled pen @ 3 ml 76,125.00 Download Download
UI/ml Kwikpen Indonesia 18:36:45
Human insulin short acting inj 100 Actrapid PT. Ferron Par Injeksi 100 IU/ml, penfill 2014-04-03
290. 76,125.00 Download Download
UI/ml, penfill cartridge (Human Insulin Penfill Pharmaceuticals disposible 3 ml (1 box isi 5 21:30:54
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
(Short Acting)) penfill disposible)
Human insulin short acting inj 100
Humulin R PT. Bayer Dus Isi 5 penfill/cartridge @ 2014-04-03
291. UI/ml, penfill cartridge (Insulin human 76,125.00 Download Download
Cart Indonesia 3ml 21:30:54
Rapd)
Human insulin short acting inj 100
2014-04-03
292. UI/ml, penfill cartridge (Insulin human Sansulin R PT. Sanbe Farma penfill cartridge @ 3ml 75,000.00 Download Download
21:30:54
Rapd)
Human insulin short acting inj 100
PT. Ferron Par 2014-04-03
293. UI/ml, vial (Human Insulin (Short Actrapid Vial Dus, vial 10 ml 138,000.00 Download Download
Pharmaceuticals 21:30:54
Acting))
Human insulin short acting inj 100 Humulin R PT. Bayer 2014-04-03
294. Dus, vial 10 ml 138,000.00 Download Download
UI/ml, vial (Insulin human Rapd) Vial Indonesia 21:30:54
Insuman Rapid
Human insulin short acting inj PT. Aventis 2015-04-13
295. vial 5ml, Dus, 1 Vial @ 5 ml 72,000.00 Download Download
100iu/ml, vial (Insulin Human Rapid) Pharma 15:52:51
100iu/ml
Human tetanus imunoglobulinn injeksi 2014-08-06
296. Tetagam PT. Dexa Medica Prefilled syringe 170,000.00 Download Download
i.m. 250 UI 18:35:06
2014-03-15
297. Ibuprofen sirup 100 mg/5 ml n/a PT. Indofarma Dus, botol 60 ml 3,499.00 Download Download
16:05:33
2013-04-23
298. Ibuprofen suspensi 200 mg/5 ml n/a PT. Indofarma Dus, botol 60 ml 4,499.00 Download Download
10:24:28
PT. Yarindo 2013-04-23
299. Ibuprofen tablet 200 mg n/a botol @ 100 tablet 110.00 Download Download
Farmatama 10:24:28
2013-04-23
300. Ibuprofen tablet 400 mg n/a PT. Holi Pharma Dus, 10 strip @ 10 tablet 149.00 Download Download
10:24:28

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Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Kemasan Distributor Berlaku
Penyedia Terkecil (Rp) Payung
Harga
Holoxan injeksi PT. Mugi Dus, 1 vial @ 1 2014-04-03
301. Ifosfamid serbuk injeksi 1000 mg/vial 1,329,163.00 Download Download
1000 Laboratories g 21:30:54
Imanitib Mesilat tablet salut selaput 100 mg (Skema Dus, 6 blister @
PT. Novartis 2014-09-28
302. Risk Sharing sesuai Kepmenkes RI Nomor Glivec 10 tablet salut 211,000.00 Download Download
Indonesia 22:55:48
HK.02.02/Menkes/223/2014) selaput
PT. Tanabe 3 blister @ 10 2014-03-18
303. Imidapril tab 10 mg Tanapress 10mg 3,908.00 Download Download
Indonesia tablet 20:03:16
PT. Tanabe 3 blister @ 10 2014-03-18
304. Imidapril tab 5 mg Tanapress 5mg 2,120.00 Download Download
Indonesia tablet 20:03:16
Iopamidol 200-300 mg Iodium/mL (300mg @ vial PT. Dipa Dus, botol @ 2014-04-03
305. Iopamiro 350,000.00 Download Download
100ml) Pharmalab 100 ml 21:30:54
Iopamidol 200-300 mg Iodium/mL (300mg @ vial PT. Dipa Dus, vial @ 30 2014-05-21
306. Iopamiro 122,000.00 Download Download
30ml) Pharmalab ml 10:06:49
Iopamidol 200-300 mg Iodium/mL (300mg @ vial PT. Dipa Dus, vial @ 50 2014-04-03
307. Iopamiro 166,000.00 Download Download
50ml) Pharmalab ml 21:30:54
Iopamidol 300-370 mg Iodium/mL (370mg @ vial PT. Dipa Dus, botol @ 2014-04-03
308. Iopamiro 369,000.00 Download Download
100ml) Pharmalab 100 ml 21:30:54
Iopamidol 300-370 mg Iodium/mL (370mg @ vial PT. Dipa Dus, vial @ 30 2014-05-21
309. Iopamiro 147,000.00 Download Download
30ml) Pharmalab ml 10:06:49
Iopamidol 300-370 mg Iodium/mL (370mg @ vial PT. Dipa Dus, vial @ 50 2014-04-03
310. Iopamiro 199,000.00 Download Download
50ml) Pharmalab ml 21:30:54
Iopromide 300-370 mg Iodium/mL (300 mg / 100 Ultravist PT. Bayer 2014-04-03
311. Botol 245,000.00 Download Download
ml) 300/100 mg Indonesia 21:30:54
Ultravist 300/50 PT. Bayer 2014-04-03
312. Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml) Botol 123,200.00 Download Download
mg Indonesia 21:30:54
313. Iopromide 300-370 mg Iodium/mL (370 mg / 100 Ultravist PT. Bayer Botol 299,000.00 Download Download 2014-04-03
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Kemasan Distributor Berlaku
Penyedia Terkecil (Rp) Payung
Harga
ml) 370/100 mg Indonesia 21:30:54
Ultravist 370/50 PT. Bayer 2014-04-03
314. Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml) Botol 150,300.00 Download Download
mg Indonesia 21:30:54
PT. Boehringer Box, canister 2014-08-06
315. Ipratropium bromida inhalasi 20 mcg/semprot Atrovent HFA 80,000.00 Download Download
Ingelheim 10mL 18:35:06
Atrovent
solution for PT. Boehringer Box, bottle 2014-12-05
316. Ipratropium bromida nebulizer 0,025% 90,000.00 Download Download
inhalation Ingelheim 20mL 22:08:39
0.025%
Dus, 5 blister @ 2014-03-15
317. Irbesartan tab 150 mg n/a PT. Indofarma 1,425.00 Download Download
10 kss 16:05:33
Dus, 5 blister @ 2014-03-15
318. Irbesartan tab 300 mg n/a PT. Indofarma 2,470.00 Download Download
10 kss 16:05:33
PT. Sanbe Dus, 1 vial @2 2014-04-03
319. Irinotekan inf 20 mg/ml n/a 510,000.00 Download Download
Farma ml 21:30:54
PT. Pratapa 2014-09-28
320. Isofluran inhalasi Terrell Botol 100 mL 270,000.00 Download Download
Nirmala 21:46:47

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Isoniazid tablet/kapsul/kaplet PT. Phyto Kemo Agung 2014-09-28
321. n/a Botol 100 tablet 65.00 Download Download
100 mg Farma 21:46:47
Isoniazid tablet/kapsul/kaplet PT. Phyto Kemo Agung 2014-09-28
322. n/a Botol 100 tablet 158.00 Download Download
300 mg Farma 21:46:47
Isosorbid Dinitrat injeksi i.v 10 2014-07-21
323. Farsorbid inj PT. Pratapa Nirmala vial 33,000.00 Download Download
mg/10 ml 21:09:56
Isosorbid Dinitrat tablet Dus, 10 strip @ 2013-04-23
324. n/a PT. Indofarma 88.00 Download Download
sublingual 5 mg 10 tablet 10:24:28
Isosorbid dinitrat Dus, 5 strip @ 2015-01-05
325. Isonat PT. Kimia Farma 189.00 Download Download
tablet/kaplet/kapsul 10 mg 10 tablet 14:07:16
2014-03-16
326. Kalium aspartat tab 300 mg Kalipar PT. Tempo Scan Pacific Strip 694.00 Download Download
18:23:37
Dus, 10 strip @ 2014-04-03
327. Kalium Klorida tablet 600 mg KSR PT. Merck Tbk 1,580.00 Download Download
10 tablet 21:30:54
Kalsium Folinat (Leukovorin 2014-07-21
328. DBL Leucovorin PT. Tempo Scan Pacific Vial 50 mg/5 ml 82,000.00 Download Download
Ca) inj 50 mg/ml 21:09:56
Kalsium Glukonat injeksi i.v PT. Ethica Industri 2014-04-03
329. Kalsium glukonat Ampul 7,800.00 Download Download
10% (100 mg/ml) Farmasi 21:30:54
Kalsium Laktat (Kalk) Dus,10 Strip @ 2014-09-28
330. n/a PT. Afifarma 70.00 Download Download
tablet/kapsul/kaplet 500 mg 10 tablet 21:46:47
PT. Novell
Kalsium polistirena sulfonat ktg 2014-09-28
331. KALQUEST Pharmaeutical kantong 5 g 7,700.00 Download Download
5g 21:46:47
Laboratories
PT. Hexpharm Jaya 2014-03-15
332. Kanamisin inj 1000 mg/ vial n/a vial 5,000.00 Download Download
Laboratories 16:05:33
333. Kandesartan tab 16 mg n/a PT. Dexa Medica Dus, 3 Blister @ 4,900.00 Download Download 2014-03-15
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
10 tablet 16:05:33
Dus, 3 Blister @ 2014-03-15
334. Kandesartan tab 8 mg n/a PT. Dexa Medica 3,100.00 Download Download
10 tablet 16:05:33
PT. Boehringer 2014-04-03
335. Kapesitabin tab 500 mg Xeloda Boks, 120 tablet 27,500.00 Download Download
Ingelheim 21:30:54
Dus, 10 strip @ 2013-04-23
336. Kaptopril tablet 50 mg n/a PT. Indofarma 140.00 Download Download
10 tablet 10:24:55
Dus, 10 strip 2014-03-15
337. Kaptopril tablet scored 25 mg n/a PT. Errita Pharma 80.00 Download Download
@10 tablet 16:05:33
Dus, 10 strip @ 2014-03-15
338. Kaptopril tablet scored12,5 mg n/a PT. Indofarma 62.00 Download Download
10 tablet 16:05:33
Karbamazepin sirup 100 mg/5 Tegretol Syrup Dus, botol @ 2014-03-16
339. PT. Novartis Indonesia 44,770.00 Download Download
ml 100mg/5ml, 120ml 120 ml 19:30:13
Dus, 10 blister 2013-04-23
340. Karbamazepin tablet 200 mg n/a PT. Indofarma 245.00 Download Download
@ 10 tablet 10:24:28

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
PT. Nicholas 2014-04-03
341. Karbimazol tab 5 mg Neo-Mercazole Dus,botol 100 tablet 875.00 Download Download
Laboratories Indonesia 21:30:54
Karbogliserin tetes telingaKarbogliserin tetes 2014-03-18
342. PT. Lucas Djaja Fenol 100 mg / 1 ml 2,042.00 Download Download
10% telinga 10% 20:03:16
DBL Carboplatin 2014-09-05
343. Karboplatin 150 mg / 15 ml PT. Tempo Scan Pacific vial @ 15 ml 190,000.00 Download Download
150 mg 23:17:45
DBL Carboplatin 2014-09-05
344. Karboplatin 450 mg / 45 ml PT. Tempo Scan Pacific vial @ 45 ml 408,000.00 Download Download
450 mg 23:17:45
Karvediol 2014-09-28
345. V - BLOC PT Kalbe Farma strip 1,360.00 Download Download
tablet/kaplet/kapsul 6,25 mg 21:46:47
Ketamin injeksi i.v. 100 PT. Guardian 2014-03-16
346. KTM Vial @ 10 ml 110,000.00 Download Download
mg/ml Pharmatama 18:23:37
Ketamin injeksi i.v. 50 Box, isi 1 vial @ 10 2014-07-21
347. Ketamin Hameln PT. Combiphar 60,300.00 Download Download
mg/ml ml 21:09:56
PT. Hexpharm Jaya 2013-04-23
348. Ketokonazol krim 2% n/a tube 5 gr 2,850.00 Download Download
Laboratories 10:24:28
PT. Novell
Box isi 1 Tube @ 15 2013-04-23
349. Ketokonazol krim 2% n/a Pharmaeutical 4,700.00 Download Download
g 10:24:28
Laboratories
2013-04-23
350. Ketokonazol krim 2% n/a PT. Kimia Farma tube 10 gr 2,569.00 Download Download
10:24:28
2014-09-28
351. Ketokonazol scalp sol 2% Zoloral SS PT. Ikapharmindo Botol 80 ml 28,000.00 Download Download
21:46:47
Dus, 5 Strip @ 10 2013-04-23
352. Ketokonazol tablet 200 mg n/a PT. Dexa Medica 300.00 Download Download
tablet 10:24:28
353. Ketoprofen supositoria 100 Protofen Supp PT. Kimia Farma dus 2 's @ 10 supp 2,722.00 Download Download 2014-07-21
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
mg 21:09:56
2014-03-15
354. Ketorolac injeksi 30 mg/ml n/a PT. Phapros, Tbk Dus @ 12 Ampul 2,300.00 Download Download
16:05:33
PT. Ifars Pharmaceutical Dus, 3 Strip @ 10 2014-03-16
355. Klaritromisin tab 500 mg ORIXAL 3,200.00 Download Download
Laboratories Kaplet salut selaput 18:23:37
Klindamisin kapsul/kaplet Dus, 5 blister @ 10 2013-04-23
356. n/a PT. Indofarma 361.00 Download Download
150 mg kapsul 10:24:28
Klindamisin kapsul/kaplet Dus, 5 blister @ 10 2013-04-23
357. n/a PT. Indofarma 553.00 Download Download
300 mg kapsul 10:24:28
Dus, 10 Strip @ 10 2014-03-15
358. Klobazam tab 10 mg n/a PT. Dexa Medica 900.00 Download Download
tablet 16:05:33
Klonidin injeksi i.v 0,15 PT. Boehringer Box, 10 ampoules @ 2014-08-06
359. Catapres Injeksi 30,600.00 Download Download
mg/ml (HCL) (150) Ingelheim 1mL 18:35:06
2013-04-23
360. Klonidin tablet 0,15 mg n/a PT. Kimia Farma Ktk 10X10 TAB 184.00 Download Download
10:24:55

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
PT. Hexpharm Jaya Dus, 3 strip @ 10 2014-03-15
361. Klopidogrel tab 75 mg n/a 3,400.00 Download Download
Laboratories tab 16:05:33
Box isi 24 tube @ 2015-04-23
362. Kloramfenikol salep kulit 2% Bufacetin PT. Bufa Aneka 3,524.00 Download Download
15 gram 15:45:40
2013-04-23
363. Kloramfenikol salep mata 1 % n/a PT. Erela Tube @ 5 gram 1,600.00 Download Download
10:24:28
Colsancetine 2015-01-05
364. Kloramfenikol serb inj 1000 mg/mL PT. Sanbe Farma vial 7,260.00 Download Download
Injeksi 14:07:16
2013-04-23
365. Kloramfenikol suspensi 125 mg/ 5 ml n/a PT. Bernofarm Botol @ 60 ml 3,680.00 Download Download
10:24:28
Klorfeniramina Maleat (CTM) PT. Rama Emerald kotak,10strip@10 2015-04-23
366. n/a 51.00 Download Download
tablet/kapsul/kaplet 4 mg Multi Sukses tablet 15:45:40
2013-04-23
367. Klorpromazin injeksi i.m. 25 mg/ml (HCl) n/a PT. Phapros, Tbk Dus @ 30 Ampul 1,100.00 Download Download
10:24:55
Klorpromazin injeksi i.m 5 mg/ml - 2 ml 2013-04-23
368. n/a PT. Phapros, Tbk Dus @ 30 Ampul 1,050.00 Download Download
(HCl) 10:24:55
PT. Mersifarma 2015-01-05
369. Klorpromazin tablet salut 100 mg (HCl) n/a Kotak @ 10 x 10 tab 144.00 Download Download
Tirmaku Mercusana 14:07:16
2015-01-05
370. Klorpromazin tablet salut 25 mg (HCl) n/a PT. Phapros, Tbk 10 X 10 68.00 Download Download
14:07:16
PT. Mersifarma KOTAK @ 5 x 10 2014-04-03
371. Klozapin 100 mg n/a 5,000.00 Download Download
Tirmaku Mercusana TAB 21:30:54
PT. Mersifarma KOTAK @ 5 x 10 2014-04-03
372. Klozapin 25 mg n/a 1,550.00 Download Download
Tirmaku Mercusana TAB 21:30:54
2013-04-23
373. Kodein tablet 10 mg n/a PT. Kimia Farma ktk 10x10 tablet 500.00 Download Download
10:24:28
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
2013-04-23
374. Kodein tablet 15 mg n/a PT. Kimia Farma ktk 10x10 tablet 850.00 Download Download
10:24:55
2013-04-23
375. Kodein tablet 20 mg n/a PT. Kimia Farma ktk 10x10 tablet 1,100.00 Download Download
10:24:55
Kolekalsiferol (vitamin D3) kapsul lunak 2014-09-28
376. Ostriol PT. Pratapa Nirmala Btl @ 30 kapsul 2,500.00 Download Download
0,25 mcg 21:46:47
2015-04-23
377. Kolkisin tablet/kaplet/kapsul 500 mcg Recolfar PT. Pratapa Nirmala Box @ 3 strip 10 tab 3,950.00 Download Download
15:45:40
PT. Fresenius Kabi Botol Plastik @ 500 2014-07-21
378. Koloid HES BM 130 000 lar inf 6% Voluven 33,000.00 Download Download
Combiphar ml 21:09:56
Kombinasi : Ipratropium bromida inhalasi Combivent PT. Boehringer 2015-01-05
379. 1 dus @ 20 vial 5,990.00 Download Download
0,5 mg Salbutamol 2,5 mg UDV Ingelheim 14:07:16
Kombinasi injeksi depot : Medroksi
PT. Triyasa 2014-12-05
380. progesteron asetat 25 mg Estradiol n/a Vial 5,350.00 Download Download
Nagamas Farma 22:08:39
sipionat 5 mg

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Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
PT. Galenium
Kombinasi suspensi : Parafin + gliserin + Laxadine 2014-03-16
381. Pharmasia Botol @ 60 ml 12,450.00 Download Download
fenolftalein Emulsi 60 ml 19:08:48
Laboratories
Kombinasi tablet salut : Besi (II) sulfat 2014-03-15
382. n/a PT. Kimia Farma 1 sase @30 tablet 50.00 Download Download
7H2O 200 mg Asam folat 0,25 mg 16:05:33
Kombinasi tetes mata 2,5 mg/mL: Natrium Cendo PT. Cendo Industri 2014-04-03
383. botol 15 ml 15,750.00 Download Download
klorida 8,664 mg; Kalium klorida 1,32 mg Lyteers Farmasi 21:30:54
Kombinasi: Artemether 20 mg; PT. Novartis Dus, 4 blister @ 6 2014-04-03
384. Coartem 3,220.00 Download Download
Lumefantrin 120 mg Indonesia tablet 21:30:54
Dus, botol plastik @
Kombinasi: Levodopa 100 mg; Karbidopa PT. Novartis 2014-04-03
385. Stalevo 30 tablet salut 8,900.00 Download Download
25 mg; Entekapon 200 mg Indonesia 21:30:54
selaput
Kombinasi: Lopinavir 200 mg; Ritonavir 2014-08-06
386. Aluvia PT. Abbott Indonesia botol @ 120 tablet 6,100.00 Download Download
(LPV/r) 50 mg 18:35:06
Seretide
Kombinasi: Salmeterol 25 mcg; Flutikason PT. Glaxo Wellcome Dus, Botol 120 2014-03-18
387. Inhaler 50 90,667.00 Download Download
propionat 50 mcg Indonesia Dosis 20:03:16
mcg
Seretide
Kombinasi: Salmeterol 50 mcg; Flutikason PT. Glaxo Wellcome Dus, foil strip @ 60 2014-03-18
388. Diskus 100 100,833.00 Download Download
propionat 100 mcg Indonesia dosis 20:03:16
mcg
Seretide
Kombinasi: Salmeterol 50 mcg; Flutikason PT. Glaxo Wellcome Dus, foil strip @ 60 2014-03-18
389. Diskus 250 113,333.00 Download Download
propionat 250 mcg Indonesia dosis 20:03:16
mcg
Kontrasepsi pil oral, kombinasi :*
Dus, 100 blister @ 2015-01-05
390. Levonorgestrel 150 mcg Etinilestradiol 30 n/a PT. Kimia Farma 2,089.00 Download Download
28 tablet 14:07:16
mcg
391. Kotrimoksazol DOEN I (dewasa) n/a PT. Holi Pharma Dus, 10 strip @ 10 149.00 Download Download 2014-03-15
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
kombinasi : Sulfametoksazol 400 mg kaptab 16:05:33
Trimetoprim 80 mg
Kotrimoksazol Suspensi komb:
2014-03-15
392. Sulfametoksazol 200 mg + Trimetoprim n/a PT. Lucas Djaja Botol @ 60 ml 2,145.00 Download Download
16:05:33
40 mg / 5 ml
2013-04-23
393. Kuinin (Kina) tablet 200 mg n/a PT. Kimia Farma ktk 60 tablet 670.00 Download Download
10:24:28
2013-04-23
394. Kuinin injeksi i.v. 25% (sebagai 2 HCl) n/a PT. Kimia Farma ktk 100 amp @ 2 ml 6,200.00 Download Download
10:24:28
2013-04-23
395. Kuinin tablet 222 mg (H2SO4.7H2O) n/a PT. Kimia Farma ktk 10 x 10 tablet 540.00 Download Download
10:24:28
2015-04-28
396. Laktulosa sir 3,335 g/5 mL n/a PT. Ikapharmindo Botol 60 ml 14,500.00 Download Download
11:14:49
2014-09-28
397. Lamivudin tablet/kaplet/kapsu 100 mg Heplav PT. Kimia Farma Botol 30 tab 2,000.00 Download Download
21:46:47
2013-04-23
398. Lamivudine tablet 150 mg n/a PT. Kimia Farma Botol 60 tablet 1,400.00 Download Download
10:24:55
2014-04-03
399. Lansoprazol inj 30 mg/ml Prosogan Inj. PT. Takeda Indonesia Serbuk vial 82,042.00 Download Download
21:30:54
Dus, 2 strip @ 10 2013-04-23
400. Lanzoprazol kapsul/kaplet 30 mg n/a PT. Indofarma 473.00 Download Download
kapsul 10:24:28

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Harga
Tanggal
Nama Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil Payung
Harga
(Rp)
PT. SmithKline 2014-03-
Dus, 7 Blister @ 10
401. Lapatinib tab 250 mg Tykerb Beecham 67,200.00 Download Download 18
tablet
Phamaceuticals 20:03:16
PT. Finusolprima 2014-04-
Larutan mengandung Asam Amino (Asam Amino
402. Kalbamin Farma botol 500 ml 56,300.00 Download Download 03
10%)
Internasional 21:30:54
2014-03-
Larutan mengandung Asam Amino (Asam Amino PT Otsuka
403. Amiparen Softbag 500 ML 56,300.00 Download Download 18
100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq) Indonesia
20:03:16
2014-03-
Larutan mengandung Asam Amino (Asam Amino PT Otsuka
404. Pan-amin G Softbag 500 ML 37,500.00 Download Download 18
27 g, Sorbitol 50 g, Cl- 52 mEq) Indonesia
20:03:16
2014-05-
Larutan mengandung Asam Amino (Asam Amino PT Otsuka Double Chamber
405. Aminofluid 115,500.00 Download Download 28
30 g, Glukosa 7,3 % dan elektrolit) 1000 ml Indonesia Softbag 1000 ML
19:25:57
2014-05-
Larutan mengandung Asam Amino (Asam Amino PT Otsuka Double Chamber
406. Aminofluid 61,600.00 Download Download 28
30 g, Glukosa 7,3 % dan elektrolit) 500 ml Indonesia Softbag 500 ML
19:25:57
Larutan mengandung Asam Amino (Asam Amino 2014-04-
Aminofusin
407. 5% dengan BCAA 45%, L-Ornithine L Aspartate PT Kalbe Farma botol 500 mL 75,350.00 Download Download 03
Hepar
8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50 gr/L) 21:30:54
2014-04-
Larutan mengandung Asam Amino (Asam Amino Aminosteril PT. Fresenius Kabi
408. Botol Gelas 100 ml 36,667.00 Download Download 14
6%, mengandung Taurine 0,24 gr/l) Infant 6% Combiphar
09:16:16
Larutan mengandung Asam Amino (Asam Amino PT. Fresenius Kabi 2014-04-
409. Nephrosteril Botol Gelas 250 ml 50,820.00 Download Download
7%, Komposisi: Asam Amino esensial: Asam Combiphar 14
Harga
Tanggal
Nama Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil Payung
Harga
(Rp)
Amino non esensial = 60 : 40) 09:16:16
Larutan mengandung Asam Amino (Asam Amino 2014-04-
PT Otsuka
410. 72.05 g, Total N 11.53 g, AAE/AANE ratio 2.6, Kidmin Softbag 200 ML 46,000.00 Download Download 12
Indonesia
Na+ 2 mEq, Asetat 46 mEq) 17:56:28
2014-04-
Larutan mengandung Asam Amino (Asam Amino PT Otsuka
411. Aminoleban Softbag 500 ML 65,000.00 Download Download 12
79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq) Indonesia
17:56:28
2014-03-
Larutan mengandung Asam Amino (Asam amino Aminosteril PT. Fresenius Kabi
412. Botol Gelas 500 ml 78,720.00 Download Download 18
8%) N-Hepa Combiphar
20:03:16
PT. Finusolprima 2014-04-
Larutan mengandung Asam Amino (Asam Amino
413. Eas Pfrimer Farma botol 250 ml 51,260.00 Download Download 03
esensial 7%+Xylitol 10 g/L)
Internasional 21:30:54
Larutan mengandung Asam Amino (BCAA 25 gr/L, PT. Finusolprima 2014-04-
Comafusin
414. L-Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L, Farma botol 500 ml 64,900.00 Download Download 03
Hepar
Malic Acid 7 gr/L, Piridoxin 0.12 gr/L) Internasional 21:30:54
Larutan mengandung Asam Amino (Kombinasi
Asam aminno 50 g/L, Sorbitol 50 g/L, Xylitol 50
2014-04-
g/L, Asam Askorbat (Vit C) 0.4 g/L, Inositol 0.5 Aminofusin
415. PT Kalbe Farma botol 500 mL 42,000.00 Download Download 03
g/L, Nikotinamida (Niasinamida) 0.06 g/L, L600
21:30:54
Piridoksin HCl (Vit B6) 0.04 g/L, Riboflavin
Natrium Fosfat 2.5 mg/L, elektrolit)
2014-04-
Larutan mengandung Asam Amino (Kombinasi Aminofusin
416. PT Kalbe Farma botol 250 mL 46,000.00 Download Download 03
Asam amino 50 g/L, vitamin dan elektrolit) Paed
21:30:54
Larutan mengandung Asam Amino (Kombinasi 2014-04-
Kabiven 1440 PT. Fresenius Kabi Bag (3 Chamber)
417. Asam Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan 295,240.00 Download Download 14
ml Combiphar 1440 ml
Elektrolit (Kalori = 1000 kkal, Akses peripheral)) 09:16:16
418. Larutan mengandung Asam Amino (Kombinasi Kabiven 1920 PT. Fresenius Kabi Bag (3 Chamber) 343,842.00 Download Download 2014-04-
Harga
Tanggal
Nama Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil Payung
Harga
(Rp)
Asam Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan ml Combiphar 1920 ml 14
Elektrolit (Kalori = 1400 kkal, Akses peripheral)) 09:16:16
Bag Double chamber
Larutan mengandung Asam Amino (Kombinasi Combiflex 2014-04-
(Dua
419. Glukosa dan elektrolit 150 gr + Asam Amino 48 gr Plus (790 PT. Phapros, Tbk 322,000.00 Download Download 03
compartement),
dgn akses sentral) kcal) 21:30:54
1000 mL
Bag Double chamber
Combiflex 2014-04-
Larutan mengandung Asam Amino (Kombinasi (Dua
420. peri (480 PT. Phapros, Tbk 218,700.00 Download Download 03
Glukosa dan elektrolit 80 gr + Asam Amino 40 gr ) compartement),
kcal) 21:30:54
1000 mL

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Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Kemasan Distributor Berlaku
Penyedia Terkecil (Rp) Payung
Harga
Otsu - KCl PT Otsuka 2014-03-18
421. Larutan mengandung Elektrolit (Kalium Klorida) Ampoel 25 ML 2,050.00 Download Download
7,46% Indonesia 20:03:16
PT. Widatra 2014-04-03
422. Larutan mengandung Elektrolit (Larutan Ringer Laktat) Wida RL Botol 1000 ml 8,000.00 Download Download
Bhakti 21:30:54
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 PT Otsuka Plastic Bottle 500 2014-04-03
423. Asering 9,000.00 Download Download
mEq, Ca 3 mEq, Asetat 28 mEq) Indonesia ML 21:30:54
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa PT Otsuka Plastic Bottle 500 2014-04-03
424. KA EN 1B 9,000.00 Download Download
18.75 gr) Indonesia ML 21:30:54
Larutan mengandung Elektrolit (Sodium Lactate sol (50%)
PT Kalbe 2014-04-03
425. 113 gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride Totilac flexybag 250 mL 87,000.00 Download Download
Farma 21:30:54
0.2 gr/L, elektrolit)
Larutan mengandung Elektrolit (Tiap 1000 ml
LDPE (Low
mengandung electrolit: Sodium 145 mmol/l, Potassium 4.0 PT.
Ringerfundin Density Poly 2014-04-03
426. mmol/l, Calcium 2.5 mmol/l, Magnesium 1.0 mmol/l, Phapros, 12,650.00 Download Download
500 mL Ethilene), botol 21:30:54
Chloride 118 mmol/l, Acetate 24 mmol/l, Malate 5.0 Tbk
plastik
mmol/l)
Larutan mengandung Karbohidrat (Fructose 120 g, glucose PT Kalbe 2014-04-03
427. Triofusin 1000 botol 500 mL 50,500.00 Download Download
66 g, Xylitol 60 g/ L + elektrolit) Farma 21:30:54
Larutan mengandung Karbohidrat (Fructose 60 g, glucose PT Kalbe 2014-04-03
428. Triofusin 500 Flexy bag 500 mL 42,350.00 Download Download
33 g, Xylitol 30 g/ L) Farma 21:30:54
PT Otsuka Plastic Bottle 500 2014-03-18
429. Larutan mengandung Karbohidrat (Maltose 100 gr) Martos 29,167.00 Download Download
Indonesia ML 20:03:16
Larutan mengandung Karbohidrat + Elektrolit (25.00g
maltose, 3.00 g sodium chloride, 0.15 g potassium PT Otsuka Plastic Bottle 500 2014-04-12
430. Potacol inj 55,500.00 Download Download
chloride, 0.10 g calcium chloride dihydrate dan 1.55 g Indonesia ML 17:56:28
sodium lactate)
431. Larutan mengandung Karbohidrat + Elektrolit (Acetate, Tutofusin OPS PT Kalbe botol 500 mL 37,500.00 Download Download 2014-04-03
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Kemasan Distributor Berlaku
Penyedia Terkecil (Rp) Payung
Harga
Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L) Farma 21:30:54
Larutan mengandung Karbohidrat + Elektrolit (Asam Clinimix PT Kalbe Botol Plastik 1000 2014-05-21
432. 210,000.00 Download Download
amino 28 gr/L, Glukosa 100 gr/L, elektrolit) N9G20E Farma mL 20:01:48
Larutan mengandung Karbohidrat + Elektrolit (Asam Clinimix PT Kalbe Botol Plastik 1000 2014-04-03
433. 199,000.00 Download Download
amino 28 gr/L, Glukosa 75 gr/L, elektrolit) N9G15E Farma mL 21:30:54
Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 Triofusin PT Kalbe 2014-04-03
434. botol 500 mL 56,000.00 Download Download
g, glucose 33 g, Xylitol 30 g/ L) E1000 Farma 21:30:54
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25
PT. Widatra 2014-04-03
435. g, NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk Wida HSD Botol 500 ml 9,500.00 Download Download
Bhakti 21:30:54
injeksi ad 1000 ml)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 PT. Widatra 2014-04-03
436. Wida D5-NS Botol 500 ml 6,800.00 Download Download
g ; Natrium Chloride 9 g, air untuk injeksi ad 1000 ml) Bhakti 21:30:54
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: PT. Widatra 2014-03-18
437. WIDA 2A Botol 500 ml 6,917.00 Download Download
25,0 g; NaCl: 4,5 g) Bhakti 20:03:16
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: WIDA D5- PT. Widatra 2014-03-18
438. Botol 500 ml 7,700.00 Download Download
55.0 g; NaCl: 2.25 g) 1/4NS Bhakti 20:03:16
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: WIDA D5- PT. Widatra 2014-03-18
439. Botol 500 ml 7,700.00 Download Download
55.0 g; NaCl: 4.5 g) 1/2NS Bhakti 20:03:16
Larutan mengandung Karbohidrat + Elektrolit (Larutan
nutrisi kombinasi infus per L: Na. 100mEQ, K 18mEQ, PT. Sanbe 2014-04-03
440. Futrolit softbag 500ml 35,750.00 Download Download
Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Farma 21:30:54
Sorbitol 50g)

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Larutan mengandung Karbohidrat + 2014-04-03
441. Wida RD PT. Widatra Bhakti Botol 500 ml 6,930.00 Download Download
Elektrolit (Larutan Ringer & Glukosa 5%) 21:30:54
Larutan mengandung Karbohidrat +
PT Otsuka 2014-03-18
442. Elektrolit (NaCl 1.75 g, KCL 1.5g, KA ENMG 3 Plastic Bottle 500 ML 9,167.00 Download Download
Indonesia 20:03:16
Glukosa 100 gr)
Larutan mengandung Karbohidrat +
PT Otsuka 2014-04-03
443. Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na KA EN 3B Plastic Bottle 500 ML 10,000.00 Download Download
Indonesia 21:30:54
Lactat 2.24 gr, Dekstrosa 27 gr)
Larutan mengandung Karbohidrat +
PT Otsuka 2014-04-03
444. Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KA EN 3A Plastic Bottle 500 ML 10,000.00 Download Download
Indonesia 21:30:54
KCL 0.75 gr Dekstrosa 27 gr)
Lipofundin
Larutan mengandung Lipid ( Infus Lipid 20%, Botol Kaca @100 2014-04-03
445. MCT/LCT 1% PT. Phapros, Tbk 105,500.00 Download Download
Emulsi MCT/LCT 20% 100 ml) ml, single bottle 21:30:54
100
Larutan mengandung Lipid (Emulsi lemak PT. Fresenius Kabi 2014-03-18
446. Intralipid Botol Gelas 100 ml 60,500.00 Download Download
20%) Combiphar 20:03:16
Lipofundin
Larutan mengandung Lipid (Infus Lipid 20%, Botol Kaca @250 2014-04-03
447. MCT/LCT 1% PT. Phapros, Tbk 210,000.00 Download Download
Emulsi MCT/LCT 20% 250 ml) ml, single bottle 21:30:54
250
Larutan mengandung Lipid (Kombinasi
Glukosa dan elektrolit 180 gr + Asam Nutriflex Lipid Bag, 3 chamber ( 3 2014-04-03
448. PT. Phapros, Tbk 591,000.00 Download Download
Amino 71.8 gr + Lipid 50 gr dgn akses Special 1250 kompartemen), 1250 ml 21:30:54
sentral)
Larutan mengandung Lipid (Kombinasi
Nutriflex Lipid Bag, 3 chamber ( 3 2014-04-03
449. Glukosa dan elektrolit 80 gr + Asam PT. Phapros, Tbk 511,000.00 Download Download
Peri 1250 kompartemen), 1250 ml 21:30:54
Amino 40 gr + Lipid MCT/LCT 50 gr)
450. Larutan mengandung Lipid (Kombinasi Nutriflex Lipid PT. Phapros, Tbk Bag, 3 chamber ( 3 358,000.00 Download Download 2014-04-03
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Glukosa dan elektrolit 90 gr + Asam Special 625 kompartemen), 625 ml 21:30:54
Amino 35.9 gr + Lipid 25 gr dgn akses
sentral)
Cendo PT. Cendo Industri 2014-04-03
451. Latanoprost tetes mata 0,01% strip 5 x 0.6 ml 72,000.00 Download Download
Glaopen Farmasi 21:30:54
Xalatan 2014-08-06
452. Latanoprost tts mata 0,005% btl@2,5ml PT. Pfizer Indonesia dus, Botol @ 2,5 ml 127,000.00 Download Download
0,005% 18:35:06
Dus, 1 vial @ 263 mcg
Granocyte 34 2014-08-06
453. Lenograstim inj 263 mcg/mL PT. Aventis Pharma + 1 prefilled syringe 550,000.00 Download Download
1vl HSA Free 18:35:06
pelarut @ 1 ml
PT. Novartis Dus, 3 blister @ 10 2014-09-28
454. Letrozol tablet/kaplet/kapsul 2,5 mg FEMARA 17,500.00 Download Download
Indonesia tablet 21:46:47
PT. Takeda 2014-04-03
455. Leuprorelin asetat inj depot 1,88 mg Tapros 1.88mg Vial 700,000.00 Download Download
Indonesia 21:30:54
PT. Takeda 2014-04-03
456. Leuprorelin asetat inj depot 11,25 mg Tapros 3M Vial 2,700,000.00 Download Download
Indonesia 21:30:54
TAPROS 3.75 PT. Takeda 2014-09-28
457. Leuprorelin asetat inj depot 3,75 mg Vial 500,000.00 Download Download
MG Indonesia 21:46:47
PT. Infion 2014-03-15
458. Levofloksasin inf 5 mg/mL n/a Box, 1 Botol @ 100 ml 40,000.00 Download Download
Pharmaceutical 16:05:33
PT. Promedrahardjo 2013-04-23
459. Levofloksasin tablet 500 mg n/a Dus, 5 Strip@10 Tablet 528.00 Download Download
Farmasi Industri 10:24:28
2014-09-28
460. Levofloksasin tts mata 0,5% Optiflox PT. Erela Btl @ 5 ml 13,068.00 Download Download
21:46:47

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Levotiroksin tablet/kaplet/kapsul Dus 4 blister @ 25 2014-09-28
461. Euthyrox 100 PT. Merck Tbk 850.00 Download Download
100 mcg tablet 21:46:47
Levotiroksin tablet/kaplet/kapsul Dus 4 blister @ 25 2015-04-28
462. Euthyrox 50 PT. Merck Tbk 637.50 Download Download
50 mcg tablet 11:14:49
Dus, 100 ampul @ 2014-03-15
463. Lidokain injeksi 2% (HCL) n/a PT. Bernofarm 839.00 Download Download
2 ml 16:05:33
Lidokain injeksi 2% (HCl) + Dus, 30 ampul @ 2013-04-23
464. n/a PT. Indofarma 1,363.00 Download Download
Epinefrin 1 : 80.000 - 2ml 2 ml 10:24:28
PT. AstraZeneca Dus, 10 syringe @ 2014-04-03
465. Lidokain jeli 2% Xylocaine Jelly 2% 40,000.00 Download Download
indonesia 10 g 21:30:54
Xylocaine Spray 10 PT. AstraZeneca Dus,Botol @ 50 2014-09-28
466. Lidokain semprot 10% 142,000.00 Download Download
mg / dosis indonesia ml (500 dosis) 21:46:47
PT. Novell
Box ,3 Strip @ 10 2013-04-23
467. Lisinopril tablet 10 mg n/a Pharmaeutical 600.00 Download Download
tablet 10:24:28
Laboratories
PT. Novell
Box ,3 Strip @ 10 2013-04-23
468. Lisinopril tablet 5 mg n/a Pharmaeutical 350.00 Download Download
tablet 10:24:55
Laboratories
PT. Mersifarma Tirmaku KOTAK @ 10 x 2014-04-03
469. Litium karbonat tablet 200 mg Frimania 200 1,050.00 Download Download
Mercusana 10 TAB 21:30:54
PT. Mersifarma Tirmaku KOTAK @ 10 x 2014-04-03
470. Litium karbonat tablet 400 mg Frimania 400 1,850.00 Download Download
Mercusana 10 TAB 21:30:54
PT. Ifars Pharmaceutical Dus, 10 Strip @ 2013-04-23
471. Loperamid tablet 2 mg n/a 89.00 Download Download
Laboratories 10 Tablet 10:24:55
PT. Promedrahardjo Dus, 5 Strip@10 2013-04-23
472. Loratadin tablet 10 mg n/a 154.00 Download Download
Farmasi Industri Tablet 10:24:28
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
MERLOPAM 0,5 PT. Mersifarma Tirmaku KOTAK @ 10 x 2014-10-24
473. Lorazepam tablet 0,5 mg 685.00 Download Download
mg Mercusana 10 TAB 21:14:34
PT. Mersifarma Tirmaku KOTAK @ 10 x 2014-03-16
474. Lorazepam tablet 2 mg Merlopam 2 1,341.00 Download Download
Mercusana 10 TAB 18:23:37
PT. Novell
Low molecule feri sucrose inj 2014-07-21
475. DIALIFER Pharmaeutical ampul 52,000.00 Download Download
amp 100 mg/5 mL 21:09:56
Laboratories
Dus, 120 ampul 2015-04-28
476. Magnesium sulfat injeksi 20% OTSU-MgSO4 20 PT Otsuka Indonesia 2,800.00 Download Download
plastik @ 25 ml 11:14:49
Dus, 120 ampul 2015-04-28
477. Magnesium sulfat injeksi 40% OTSU-MgSO4 40 PT Otsuka Indonesia 3,500.00 Download Download
plastik @ 25 ml 11:14:49
PT. Finusolprima Farma 2014-06-16
478. Manitol n/a botol 500 ml 62,000.00 Download Download
Internasional 19:59:45
PT. Soho Industri 2014-03-16
479. Maprotilin HCl tab 25 mg Ludios Strip 1,200.00 Download Download
Pharmasi 18:23:37
PT. Mersifarma Tirmaku KOTAK @ 5 x 10 2014-03-16
480. Maprotilin HCl tab 50 mg Sandepril 50 3,276.00 Download Download
Mercusana TAB 18:23:37

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# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
MDP (methylene diphosphonate) 1 Bonescan 2014-08-06
481. PT. Kimia Farma Dus @ 5 vial 473,000.00 Download Download
mg methylene diphosphonic acid/mL KaeF 18:35:06
PT. Taisho
Dus,24 Catch @ 1 2014-03-18
482. Mebendazol tablet 500 mg Vermox 500 Pharmaceutical 7,140.00 Download Download
tablet 20:03:16
Indonesia Tbk
Medroksi Progesteron Asetat Provera Dus, 10 blister @10 2014-12-05
483. PT. Pfizer Indonesia 6,125.00 Download Download
tablet/kaplet/kapsul 100 mg 100mg tablet 22:08:39
PT. Glaxo Wellcome 2014-04-03
484. Melfalan tablet 2 mg Alkeran Box, Tablet 2 mg/25's 12,210.00 Download Download
Indonesia 21:30:54
2014-03-15
485. Meropenem inj 1 g n/a PT. Bernofarm Dus, 1 vial @ 1 g 54,000.00 Download Download
16:05:33
2014-07-21
486. Meropenem serb inj 500 mg/vial n/a PT. Bernofarm Dus, 1 vial @ 0,5 g 44,960.00 Download Download
21:08:50
Uromitexan 2014-04-03
487. Mesna inj 100 mg/mL PT. Mugi Laboratories Dus, 15 Ampul 74,998.00 Download Download
injeksi. 21:30:54
2014-03-18
488. Metadon sir 50mg/5ml n/a PT. Kimia Farma Botol 1000 ml 254,100.00 Download Download
20:03:16
Dus, 10 blister @ 10 2013-04-23
489. Metformin HCl tablet 500 mg n/a PT. Bernofarm 112.50 Download Download
tablet 10:24:28
Dus, 10 blister @ 10 2013-04-23
490. Metformin HCl tablet 850 mg n/a PT. Bernofarm 197.50 Download Download
kaptab 10:24:28
Dus, 10 Strip @ 10 2014-09-28
491. Metildopa tablet salut 250 mg DOPAMET PT. Actavis Indonesia 800.00 Download Download
tablet salut selaput 21:46:47
Metilergometrin Maleat
2013-04-23
492. (Metilergometrin) tablet salut 0,125 n/a PT. Kimia Farma ktk 10 x 10 tablet salut 154.00 Download Download
10:24:28
mg
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
Metilergometrin Maleat injeksi 0,200 PT. Ethica Industri 2015-01-05
493. n/a ampul @ 1 ml 2,750.00 Download Download
mg-1 ml Farmasi 14:07:16
Dus, botol plastik @
2014-04-03
494. Metilfenidat kapsul LA 20 mg Ritalin LA PT. Novartis Indonesia 30 kapsul pelepasan 6,537.00 Download Download
21:30:54
lambat
Dus, 2 blister @ 15 2014-09-28
495. Metilfenidat tablet SR 10 mg RITALIN PT. Novartis Indonesia 1,950.00 Download Download
tablet 21:46:47
Dus, 1 Vial @125mg
2014-07-21
496. Metilprednisolon inj 125 mg/2 mL n/a PT. Dexa Medica + 1 ampul pelarut @ 19,500.00 Download Download
21:08:50
2ml
2014-07-21
497. Metilprednisolon inj 500 mg/8 mL n/a PT. Bernofarm Dus, 1 vial @ 500 mg 89,990.00 Download Download
21:08:50
PT. Mahakam Beta 2013-04-23
498. Metilprednisolon tablet 16 mg n/a Strip 635.00 Download Download
Farma 10:24:28
PT. Natura Laboratoria Dus, 10 Blister @ 10 2013-04-23
499. Metilprednisolon tablet 4 mg n/a 205.00 Download Download
Prima Tablet 10:24:28
Dus, 10 Blister @ 10 2013-04-23
500. Metilprednisolon tablet 8 mg n/a PT. Dexa Medica 300.00 Download Download
tablet 10:24:28

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Metoklopramid drop botol 10 2014-09-28
501. GAVISTAL drops PT. Meprofarm Dus, Botol 10 ml 5,280.00 Download Download
mL 21:46:47
Metoklopramide sirup 5 mg/ 5 2014-09-28
502. LEXAPRAM SIRUP PT. Molex Ayus BOTOL 60 ML 2,600.00 Download Download
ml 21:46:47
2013-04-23
503. Metoklopramide tablet 5 mg n/a PT. Kimia Farma ktk 10 x 10 tablet 108.00 Download Download
10:24:55
Metotreksat serb inj 50 mg/2 2014-09-28
504. Methotrexate Kalbe PT Kalbe Farma vial @ 2 ml 35,750.00 Download Download
mL 21:46:47
Metotreksat serbuk injeksi METHOTREXATE Box 10 ampul @ 2014-09-28
505. PT. Sandoz Indonesia 21,120.00 Download Download
i.v/i.m./i.t. 5 mg EBEWE 1 ml 21:46:47
Metotreksat METHOTREXATE Box, bottle @ 50 2014-09-28
506. PT. Sandoz Indonesia 1,680.00 Download Download
tablet/kaplet/kapsul 2,5 mg EBEWE 2.5 MG tab 21:46:47
Metronidazol infus 500 mg/100 PT. Natura Dus, 1 Botol @ 2013-04-23
507. n/a 9,950.00 Download Download
ml Laboratoria Prima 100 ml 10:24:28
2014-09-28
508. Metronidazol ovula 500 mg Vagizol PT. Kimia Farma dus 1 's @ 5 ovula 3,850.00 Download Download
21:46:47
PT. Ifars
Metronidazol sirup 125 mg/5 2015-04-23
509. Farizol Pharmaceutical Dus, botol 60ml 4,100.00 Download Download
Ml 15:45:40
Laboratories
Metronidazol supositoria 500 Dus, 2 blister @ 5 2014-03-16
510. Flagyl PT. Aventis Pharma 3,220.00 Download Download
mg suppositoria 18:23:37
PT. Phyto Kemo 2013-04-23
511. Metronidazol tablet 250 mg n/a 10 strip @ 10 tab 110.00 Download Download
Agung Farma 10:24:28
PT. Phyto Kemo 2013-04-23
512. Metronidazol tablet 500 mg n/a 10 strip @ 10 tab 160.00 Download Download
Agung Farma 10:24:28
513. MIBG (meta- Endoneuroscan KaeF 1 PT. Kimia Farma vial 1,925,000.00 Download Download 2014-09-28
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
iodobenzylguanidine) 21:46:47
MIBI (metoxy iso butyl iso 2014-05-21
514. Cardioscan KaeF PT. Kimia Farma Dus @ 5 vial 1,237,500.00 Download Download
nitril) 5-mL reaction vial 20:01:48
PT. Boehringer 2014-03-16
515. Midazolam injeksi i.v. 1 mg/ml Dormicum Boks 10 amp 6,119.00 Download Download
Ingelheim 18:23:37
PT. Boehringer 2014-03-16
516. Midazolam injeksi i.v. 5 mg/ml Dormicum Boks 5 amp 12,060.00 Download Download
Ingelheim 18:23:37
2014-04-03
517. Mikafungin Na serb inj 50 mg Mycamine PT. Combiphar Dus,1 vial@50mg 260,000.00 Download Download
21:30:54
PT. Boehringer 2014-08-06
518. Mikofenolat Mofetil 500 mg Cellcept Boks, 50 tablet 16,000.00 Download Download
Ingelheim 18:35:06
Mikonazol krim/salep 2 % 2013-04-23
519. n/a PT. Kimia Farma Tube 10 gram 3,000.00 Download Download
(Nitrat) 10:24:28
Modified fluid gelatine BM 30 2014-09-28
520. Gelofusine 4% PT. Phapros, Tbk Btl @ 500 ml 72,000.00 Download Download
000 lar inf 4% 21:46:47

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Harga Satuan Kontrak Tanggal


# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
Moksifloksasin tetes mata botol, tetes mata 3 2014-04-03
521. Vigamox PT. Tempo Scan Pacific 77,000.00 Download Download
0,5% ml 21:30:54
2014-03-15
522. Mometason furoat krim 0,1% n/a PT. Guardian Pharmatama tube 10 gram 17,820.00 Download Download
16:05:33
Dus 10 amp @ 1 2014-03-18
523. Morfin HCL inj 10 mg/ml n/a PT. Kimia Farma 8,400.00 Download Download
ml 20:03:16
MST Continus 10 Dus, 6 strip @ 10 2014-04-03
524. Morfin HCL tablet SR 10 mg PT. Mahakam Beta Farma 15,620.00 Download Download
mg tablet 21:30:54
MST Continus 15 Dus, 6 strip @ 10 2014-04-03
525. Morfin HCL tablet SR 15 mg PT. Mahakam Beta Farma 22,990.00 Download Download
mg tablet 21:30:54
2013-04-23
526. Morfin tablet 10 mg n/a PT. Kimia Farma Botol 30 tablet 1,300.00 Download Download
10:24:28
N-asetil sistein inj. nebules N-ace cairan 2014-09-28
527. PT. Pratapa Nirmala Box @ 5 ampul 13,200.00 Download Download
100 mg inhalasi 21:46:47
2014-03-18
528. Nacl 0,9% n/a PT. Widatra Bhakti Botol 500 ml 4,700.00 Download Download
20:03:16
Nadroparin inj 9500 Axa/mL Fraxiparine 0.3 PT. Glaxo Wellcome Dus, 5 blister @ 2 2014-03-18
529. 54,144.00 Download Download
syringe 0,3 mL ml Indonesia pfs 0.3 ml 20:03:16
Nadroparin inj 9500 Axa/mL, Fraxiparine 0.4 PT. Glaxo Wellcome Dus, 5 blister @ 2 2014-03-18
530. 66,640.00 Download Download
syringe 0,4 mL ml Indonesia pfs 0.4 ml 20:03:16
Nadroparin inj 9500 Axa/mL, Fraxiparine 0.6 PT. Glaxo Wellcome Dus, 5 blister @ 2 2014-03-18
531. 94,962.00 Download Download
syringe 0,6 mL ml Indonesia pfs 0.6 ml 20:03:16
Dus, 5 Ampul @ 2014-03-16
532. Nalokson injeksi 0,4 mg/ml Nokoba PT. Pratapa Nirmala 61,600.00 Download Download
2ml 18:23:37
Natrium Bikarbonat injeksi 2014-03-18
533. Meylon PT Otsuka Indonesia Ampoel 25 ML 6,200.00 Download Download
i.v 8,4% 20:03:16
534. Natrium Diklofenak tablet 50 n/a PT. Novell Pharmaeutical Box ,5 Blister @ 200.00 Download Download 2013-04-23
Harga Satuan Kontrak Tanggal
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
mg Laboratories 10 tablet 10:24:28
Fleet 2014-05-21
535. Natrium fosfat lar oral 45 mL PT. Combiphar Botol, 45 ml 33,900.00 Download Download
Phosphosoda 20:01:48
2014-03-16
536. Natrium fusidat salep 20 mg/g Fucilex Ointment PT. Molex Ayus Tube 5 gr 6,490.00 Download Download
18:23:37
Neostigmin Box, isi 5 ampul 2014-07-21
537. Neostigmin injeksi 0,5 mg/ml PT. Pharma Health Care 9,500.00 Download Download
Hameln inj @ 1 ml 21:09:56
2013-04-23
538. Nevirapin tablet 200 mg n/a PT. Kimia Farma btl 60 tablet 2,800.00 Download Download
10:24:28
Nifedipin tab 20 mg, slow Adalat Oros 20 2014-03-16
539. PT. Bayer Indonesia blister 2,999.00 Download Download
release; oros mg 18:23:37
Adalat Oros 30 2014-03-16
540. Nifedipin tab 30 mg, oros PT. Bayer Indonesia blister 3,500.00 Download Download
mg 18:23:37

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Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
2014-03-
Dus, 10 Strip @ 10 tablet salut
541. Nifedipin tablet/kapsul 10 mg n/a PT. Dexa Medica 100.00 Download Download 15
selaput
16:05:33
2015-04-
PT. Pratapa
542. Nikardipin inj 10 mg/vial n/a Box @ 1 vial 66,000.00 Download Download 23
Nirmala
15:45:40
Nilotinib kapsul 200 mg (Skema Risk 2014-09-
PT. Novartis
543. Sharing sesuai Kepmenkes RI Nomor Tasigna Dus, 2 blister @ 14 kapsul 380,875.00 Download Download 28
Indonesia
HK.02.02/Menkes/223/2014) 22:55:48
2013-04-
544. Nistatin tablet salut 500.000 IU/ g n/a PT. Phapros, Tbk Dus @ 10 X 10 's 640.00 Download Download 23
10:24:28
2013-04-
545. Nistatin vaginal tablet 100.000 IU/ g n/a PT. Phapros, Tbk Dus @ 10 X 10 's 480.00 Download Download 23
10:24:28
2014-07-
546. Norepinefrin injeksi 1 mg/ml Raivas PT. Dexa Medica ampul 52,000.00 Download Download 21
21:09:56
2014-03-
PT. Bayer
547. Noretisteron tablet 5 mg Primolut N blister 2,618.00 Download Download 16
Indonesia
18:23:37
2013-04-
548. Obat Antituberkulosis FDC Kategori 1 n/a PT. Phapros, Tbk Paket 359,900.00 Download Download 23
10:24:28
2013-04-
549. Obat Antituberkulosis FDC Kategori 2 n/a PT. Indofarma Paket 1,199,990.00 Download Download 23
10:24:28
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
2013-04-
Obat Antituberkulosis FDC Kategori
550. n/a PT. Phapros, Tbk Paket 214,900.00 Download Download 23
Anak
10:24:28
2013-04-
551. Obat Antituberkulosis FDC Sisipan n/a PT. Indofarma Paket@84 tablet 160,000.00 Download Download 23
10:24:55
Dus, 1 dus @ 60 blister @ 8 tablet
2013-04-
Obat Antituberkulosis Kategori 1 tahap intensif kategori 1 + 1 Dus @
552. n/a PT. Indofarma 288,199.00 Download Download 23
dewasa 54 blister @ 3 tablet tahap lanjutan
10:24:28
kategori 1
Dus, 60 sachet tahap intensif @ (1
tablet Isoniazid, 2 kapsul
2013-04-
Rifampicin, 2 tablet Pyrazinamide)
553. Obat Antituberkulosis Kategori anak n/a PT. Indofarma 171,195.00 Download Download 23
+ 120 sachet tahap lanjutan @ (1
10:24:28
tablet Isoniazid, 2 kapsul
Rifampicin)
2014-09-
PT. Pratapa
554. Octreotide Acetate0,05 - 6 mg/mL Octide Box @ 5 ampul 80,000.00 Download Download 28
Nirmala
21:46:47
2015-01-
Tarivid Otic
555. Ofloksasin tets telinga 3% PT Kalbe Farma Btl @ 5 ml 48,500.00 Download Download 05
Solution
14:07:16
PT. Novell 2013-04-
556. Ofloxacin tablet 200 mg n/a Pharmaeutical Box ,5 Strip @ 10 tablet 400.00 Download Download 23
Laboratories 10:24:55
PT. Novell 2013-04-
557. Ofloxacin tablet 400 mg n/a Pharmaeutical Box ,5 Strip @ 10 tablet 650.00 Download Download 23
Laboratories 10:24:28
Oksaliplatin serbuk injeksi 100 mg / PT. Aventis 2014-09-
558. ELOXATIN Dus, 1 vial @ 20 ml 1,100,000.00 Download Download
vial Pharma 05
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
23:17:45
2014-09-
PT. Aventis
559. Oksaliplatin serbuk injeksi 50 mg / vial ELOXATIN Dus, 1 vial @ 10 ml 550,000.00 Download Download 05
Pharma
23:17:45
2014-03-
560. Oksimetazolin tetes hidung 0,025% Ilaidin Drops PT. Merck Tbk botol @ 10 ml 27,550.00 Download Download 16
18:23:37

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# Nama Obat Generik Nama Dagang Kemasan Distributor Berlaku
Penyedia Terkecil (Rp) Payung
Harga
2015-04-
Oksimetazolin tetes hidung PT. Merck
561. Iliadin Spray botol 15 ml 29,000.00 Download Download 23
0,050% Tbk
15:45:40
PT. Ethica 2014-09-
562. Oksitosin injeksi 10 IU/ml Oxytocin "S" Industri ampul @ 1 ml 2,200.00 Download Download 28
Farmasi 21:46:47
Dus, vial @ 355m + 1 2014-04-
PT. Novartis
563. Oktreotid 10 mg Sandostatin LAR prefilled syringe pelarut @ 2,950,000.00 Download Download 03
Indonesia
2,5 ml + 2 jarum suntik 21:30:54
2014-05-
PT. Bayer
564. Olanzapin inj 10 mg/vial Zyprexa IM Vial 120,000.00 Download Download 21
Indonesia
20:01:48
2014-03-
PT. Sandoz
565. Olanzapin kapl salut 5 mg Olandoz 5 3 X 10 fcc 6,450.00 Download Download 16
Indonesia
18:23:37
2014-03-
PT. Sandoz
566. Olanzapin tab 10 mg Olandoz 10 3 X 10 fcc 11,200.00 Download Download 16
Indonesia
18:23:37
2014-09-
PT. Tempo
567. Olopatadin tts mata 0,1% Patanol botol, tetes mata 5 ml 68,000.00 Download Download 06
Scan Pacific
01:27:12
PT. Natura 2014-03-
Omeprazol injeksi 40 mg/ 10
568. n/a Laboratoria Dus, 1 Vial @ 40 mg 36,000.00 Download Download 15
ml
Prima 16:05:33
2013-04-
Omeprazol kapsul/kaplet 20 PT.
569. n/a dus 10 X 3'S 211.00 Download Download 23
mg Novapharin
10:24:28
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Kemasan Distributor Berlaku
Penyedia Terkecil (Rp) Payung
Harga
2014-03-
PT.
570. ondansetron inj 4 mg/ 2 mL n/a Dus, 5 Ampul @ 2ml 2,400.00 Download Download 15
Indofarma
16:05:33
2014-03-
PT. Yarindo
571. Ondansetron tab 4 mg n/a Box 3 X 10 Tab 716.00 Download Download 15
Farmatama
16:05:33
2014-03-
PT. Yarindo
572. Ondansetron tablet 8 mg n/a Box 3 X 10 Tab 1,189.00 Download Download 15
Farmatama
16:05:33
Paket CAPD Awal
Transfer Set: Set; Ultaclam:
(Komposisi: 1 unit Transfer 2014-03-
PT Kalbe Kantong Plastik; Tenckoff
573. Set, 2 unit Ultaclam, 1 unit n/a 1,902,240.00 Download Download 15
Farma Catheter: Box; Titanium
Tenckoff Catheter, Titanium 16:14:40
Adaptor: Kantong Plastik
Adaptor)
2014-03-
Paket CAPD Pergantian PT Kalbe
574. n/a Set 219,540.00 Download Download 15
Transfer Set per 6 bulan Farma
16:14:40
Larutan Dialisa 1.5%: Dianeal
Paket CAPD Rutin 120 ( 4x
Low Calcium with 1,5% Larutan Dialisa 1.5 %: 2.000
ganti cairan perhari dengan
Dextrose; Larutan Dialisa 2.5%: ml; Larutan Dialisa 2.5 %: 2014-03-
komposisi Larutan Dialisa PT Kalbe
575. Dianeal Low Calcium with 2,5% 2.000 ml; Larutan Dialisa 5,522,580.00 Download Download 16
1.5 %, Larutan Dialisa 2.5 %, Farma
Dextrose; Larutan Dialisa 4.25%: 4.25 %: 2.000 ml; Minicap: 19:49:49
Larutan Dialisa 4.25 %,
Dianeal Low Calcium with 4.25% Kantong Plastik
Minicap)
Dextrose
2014-09-
PT. Actavis Vial 6mg/ml
576. Paklitaksel inj 100 mg/vial SINDAXEL 100 MG/16,67 ML 984,000.00 Download Download 05
Indonesia (100mg/16.67ml)
23:17:45
2014-09-
PT. Actavis Vial 6mg/ml
577. Paklitaksel inj 300 mg/vial SINDAXEL 260mg/43.33 ML 3,000,000.00 Download Download 05
Indonesia (260mg/43.33ml)
23:17:45
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Kemasan Distributor Berlaku
Penyedia Terkecil (Rp) Payung
Harga
2014-09-
PT. Actavis
578. Paklitaksel injeksi 30 mg/vial SINDAXEL 30 MG/5 ML Vial 6mg/ml (30mg/5ml) 274,560.00 Download Download 05
Indonesia
23:17:45
2014-05-
Parasetamol drop 100 mg/ml PT.
579. n/a Dus, 15 botol 5,200.00 Download Download 20
btl @15ml (60mg/0,6ml) Indofarma
18:46:18
2013-04-
Parasetamol sirup 120 mg / 5
580. n/a PT. Afifarma botol 60 ml 1,438.00 Download Download 23
ml
10:24:28

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
PT. Imfarmind 2013-04-23
581. Parasetamol tablet 500 mg n/a Dus, 10 strip @ 10 kaptab 89.00 Download Download
Farmasi industri 10:24:28
PT. Ifars
Parasetamol tetes 60 mg/0,6 2014-07-21
582. FASIDOL Pharmaceutical Dus, botol @ 15 ml 6,450.00 Download Download
mL 21:09:56
Laboratories
Pegylated interferon alfa-2a inj PT. Boehringer 2014-03-16
583. Pegasys Boks, 1 pfs 1,077,815.00 Download Download
135 mcg/0,5 ml Ingelheim 19:08:48
Pegylated interferon alfa-2a inj PT. Boehringer 2014-03-16
584. Pegasys Boks, 1 pfs 1,248,220.00 Download Download
180 mcg/0,5 ml Ingelheim 19:08:48
Dus, 1 vial 100 mcg + 1
Pegylated Interferon alfa-2b Pegintron Vial PT. Merck Sharp 2014-04-03
585. ampul pelarut 0,7 ml + 1 973,500.00 Download Download
serb inj 100 mcg 100 Mcg Dohme Pharma Tbk 21:30:54
syringe + 2 jarum
Dus, 1 prefilled syringe
Pegylated Interferon alfa-2b Pegintron Pen PT. Merck Sharp 2014-04-03
586. (serbuk injeksi 120mcg + 1,135,000.00 Download Download
serb inj 120 mcg 120 Mcg Dohme Pharma Tbk 21:30:54
pelarut 0.5 ml) + 1 jarum
Dus, 1 vial 50 mcg + 1 ampul
Pegylated Interferon alfa-2b PT. Merck Sharp 2014-08-06
587. Pegintron pelarut 0,7 ml + 1 syringe + 2 915,000.00 Download Download
serb inj 50 mcg Dohme Pharma Tbk 18:35:06
jarum
Dus, 1 vial 80 mcg + 1 ampul
Pegylated Interferon alfa-2b Pegintron Vial PT. Merck Sharp 2014-04-03
588. pelarut 0,7 ml + 1 syringe + 2 915,810.00 Download Download
serb inj 80 mcg 80 Mcg Dohme Pharma Tbk 21:30:54
jarum
BURNAZIN 35 2014-07-21
589. Perak sulfadiazin krim 1% PT. Darya Varia tube @ 35 gram 23,000.00 Download Download
GR 21:09:56
Bioprexum 5 Dus, botol plastik @ 30 tablet 2014-04-03
590. Perindoprilarginin tab 5 mg PT. Pradja Pharin 2,420.00 Download Download
mg salut selaput 21:30:54
Scabimite PT. Galenium 2014-03-16
591. Permetrin krim 5% Tube @ 10 g 11,475.00 Download Download
Cream 10 Pharmasia 19:08:48
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Laboratories
Petidin injeksi i.m/s.k/i.v 2014-03-15
592. n/a PT. Kimia Farma Ktk 10 ampx2ml 14,500.00 Download Download
lambat 50 mg/ml (HCl) 16:05:33
DECULIN 15 2014-03-16
593. Pioglitazon tab 15 mg PT. Dexa Medica 30 TAB/BOX 3,120.00 Download Download
MG 18:23:37
DECULIN 30 2014-03-16
594. Pioglitazon tab 30 mg PT. Dexa Medica 30 TAB/BOX 4,525.00 Download Download
MG 18:23:37
2014-03-15
595. Pirantel suspensi 125 mg/5 ml n/a PT. Holi Pharma Botol 60 ml 8,360.00 Download Download
16:05:33
Pirantel tablet score (base) 125 2014-03-15
596. n/a PT. Holi Pharma Dus, 25 Blister @ 4 tablet 296.00 Download Download
mg 16:05:33
2013-04-23
597. Pirazinamid tablet 500 mg n/a PT. Holi Pharma Dus 10 strip @ 10 tablet 206.00 Download Download
10:24:28
Piridoksin (Vitamin B6)
2015-04-23
598. tablet/kapsul/kaplet 10 mg n/a PT. Kimia Farma dus, 10 strip @ 10 tablet 110.00 Download Download
15:45:40
(HCl)
Piridoksin (vitamin B6) inj 2015-01-05
599. n/a PT. Ikapharmindo Ampul 1 ml 1,000.00 Download Download
100 mg/mL 14:07:16
2014-03-16
600. Polikresulen cairan Aptil PT. Pratapa Nirmala Dus, Botol @ 10ml 17,393.00 Download Download
18:23:37

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Harga Satuan Kontrak Tanggal


# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
Povidon Iodida larutan 10% 1000 2014-03-15
601. n/a PT. Afifarma botol @ 1000 ml 37,109.00 Download Download
ml 16:05:33
Povidon Iodida larutan 10% 30 2014-03-15
602. n/a PT. Afifarma botol @ 30 ml 2,163.00 Download Download
ml 16:05:33
Povidon Iodida larutan 10% 300 2014-03-15
603. n/a PT. Afifarma botol @ 300 ml 14,203.00 Download Download
ml 16:05:33
Povidon Iodida larutan 10% 60 2015-01-05
604. n/a PT. Kimia Farma btl 60 ml 5,998.00 Download Download
ml 14:07:16
Sifrol ER PT. Boehringer Dus, 3 alu blister 2014-03-16
605. Pramipeksol tab ER 0,375 mg 7,200.00 Download Download
0,375mg Ingelheim @ 10 tablet 19:08:48
Sifrol ER PT. Boehringer Dus, 3 alu blister 2014-03-16
606. Pramipeksol tab ER 0,750 mg 11,268.00 Download Download
0,750mg Ingelheim @ 10 tablet 19:08:48
PT. Novell
Box ,5 Strip @ 10 2013-04-23
607. Pravastatin tablet 20 mg n/a Pharmaeutical 2,300.00 Download Download
tablet 10:24:55
Laboratories
Dus,10 blister 2013-04-23
608. Primakuin tablet 15 mg n/a PT. Phapros, Tbk 205.00 Download Download
@10 tablet 10:24:28
Probenesid tablet/kapsul/kaplet Dus, 10 strip @ 2015-01-05
609. Probenid PT. Dexa Medica 1,650.00 Download Download
500 mg 10 tablet 14:07:16
Prokain Benzilpenisilin serbuk 2014-03-15
610. n/a PT. Bernofarm Vial @ 3 juta IU 7,190.00 Download Download
injeksi 3 juta IU/vial 16:05:33
Dus, 10 Strip @ 2013-04-23
611. Propanolol tablet 10 mg ( HCl ) n/a PT. Dexa Medica 65.00 Download Download
10 tablet 10:24:55
Propiltiourasil Botol @ 100 2014-09-28
612. n/a PT. Indofarma 319.00 Download Download
tablet/kapsul/kaplet 100 mg Tablet 21:46:47
Fresofol 1% PT. Fresenius Kabi 2014-07-21
613. Propofol injeksi i.v., bolus 1% Ampul 15,642.00 Download Download
MCT/LCT Combiphar 21:09:56
Harga Satuan Kontrak Tanggal
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
Dus, 10 strip @ 2014-03-15
614. Propranolol tablet 40 mg (HCl) n/a PT. Holi Pharma 106.00 Download Download
10 tablet 16:05:33
Seroquel XR 200 PT. AstraZeneca Dus, 1 blister @ 2014-03-16
615. Quetiapin tab 200 mg 17,391.00 Download Download
mg indonesia 10 tablet 19:08:48
Seroquel XR 300 PT. AstraZeneca Dus, 1 blister @ 2014-03-16
616. Quetiapin tab 300 mg 19,500.00 Download Download
mg indonesia 10 tablet 19:08:48
Seroquel XR 400 PT. AstraZeneca Dus, 1 blister @ 2014-03-16
617. Quetiapin tab 400 mg 23,185.00 Download Download
mg indonesia 10 tablet 19:08:48
Cardace 2.5mg Dus, 6 blister @ 2014-07-21
618. Ramipril tablet 2,5 mg PT. Pharma Health Care 995.00 Download Download
6x10 s tablet 10 tablet 21:09:56
Dus, 10 Strip @ 2013-04-23
619. Ramipril tablet 5 mg n/a PT. Dexa Medica 580.00 Download Download
10 kaptab 10:24:55
PT. Novell
Ramipril tablet/kaplet/kapsul 10 Dus, 10 strip @ 2014-09-28
620. n/a Pharmaeutical 1,013.00 Download Download
mg 10 tablet 21:46:47
Laboratories

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Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
PT. Natura Dus, 10 Ampul @ 2014-08-22
621. Ranitidin injeksi 25 mg/ml n/a 1,140.00 Download Download
Laboratoria Prima 2 ml 00:44:44
Dus, 10 Strip @
2013-04-23
622. Ranitidin tablet 150 mg n/a PT. Dexa Medica 10 tablet salut 120.00 Download Download
10:24:28
selaput
Botol 50 kapsul 2014-03-18
623. Retinol (Vitamin A) 100.000 IU n/a PT. Kimia Farma 260.00 Download Download
lunak 20:03:16
2014-07-10
624. Retinol (Vitamin A) 200.000 IU kapsul lunak n/a PT. Lucas Djaja Botol 50 Kapsul 459.00 Download Download
15:53:25
Dus, 10 strip @ 10 2015-04-23
625. Rifampisin tablet/kapsul/kaplet 300 mg n/a PT. Indofarma 610.00 Download Download
kapsul 15:45:40
Dus, 10 strip @ 10 2015-04-23
626. Rifampisin tablet/kapsul/kaplet 450 mg n/a PT. Indofarma 790.00 Download Download
kapsul 15:45:40
Dus, 10 strip @10 2015-04-23
627. Rifampisin tablet/kapsul/kaplet 600 mg n/a PT. Indofarma 1,100.00 Download Download
kaptab 15:45:40
PT. Widatra 2013-04-23
628. Ringer Laktat larutan infus n/a botol 500 ml 5,200.00 Download Download
Bhakti 10:24:28
Dus, 5 Blister @ 2013-04-23
629. Risperidon tablet 1 mg n/a PT. Dexa Medica 1,400.00 Download Download
10 tablet 10:24:55
PT. Mersifarma
KOTAK @ 5 x 10 2013-04-23
630. Risperidon tablet 2 mg n/a Tirmaku 1,008.00 Download Download
TAB 10:24:28
Mercusana
Dus, 5 Blister @ 2013-04-23
631. Risperidon tablet 3 mg n/a PT. Dexa Medica 2,000.00 Download Download
10 tablet 10:24:55
Rituksimab injeksi 10 mg/ml (Skema Risk
PT. Boehringer Dus, 1 vial @ 10 2014-09-28
632. Sharing sesuai Kepmenkes RI Nomor Mabthera 3,164,805.00 Download Download
Ingelheim ml 22:55:48
HK.02.02/Menkes/223/2014)
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
Xarelto 10 PT. Bayer 2014-05-21
633. Rivaroksaban tab 10 mg Blister 23,500.00 Download Download
mg Indonesia 20:01:48
Xarelto 15 PT. Bayer 2014-05-21
634. Rivaroksaban tab 15 mg Blister 23,500.00 Download Download
mg Indonesia 20:01:48
Xarelto 20 PT. Bayer 2014-05-21
635. Rivaroksaban tab 20 mg Blister 23,500.00 Download Download
mg Indonesia 20:01:48
PT. Merck Sharp
Dus, 10 vial @ 5 2015-04-23
636. Rokuronium injeksi i.v. 50 mg/5ml Esmeron Dohme Pharma 46,539.00 Download Download
ml 15:45:40
Tbk
Requip PD PT. Glaxo Dus, 7 blister @ 4
2014-03-18
637. Ropinirol Tablet Salut 2 mg 24 Hour 2 Wellcome Tablet lepas 5,248.00 Download Download
20:03:16
mg Indonesia Lambat
Requip PD PT. Glaxo Dus, 7 blister @ 4
2014-03-18
638. Ropinirol Tablet Salut 4 mg 24 Hour 4 Wellcome Tablet lepas 6,275.00 Download Download
20:03:16
mg Indonesia Lambat
Requip PD PT. Glaxo Dus, 7 blister @ 4
2014-03-18
639. Ropinirol Tablet Salut 8 mg 24 Hour 8 Wellcome Tablet lepas 7,383.00 Download Download
20:03:16
mg Indonesia Lambat
PT. Glaxo
Ventolin Dus, 4x5 Botol 2014-09-28
640. Salbutamol cairan ih 0,1% Wellcome 6,600.00 Download Download
Nebules Plastik@2.5 ml 21:46:47
Indonesia

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Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
Salbutamol inhalasi/aerosol 100 Ventolin PT. Glaxo Wellcome 2014-03-18
641. Dus, botol 200 dosis 63,750.00 Download Download
mcg/dosis Inhaler Indonesia 20:03:16
Ventolin PT. Glaxo Wellcome Dus, 10 Blister @ 10 2014-03-18
642. Salbutamol serb inh 200 mcg/kaps 431.00 Download Download
Rotacaps Indonesia Kapsul 20:03:16
Salbutamol serb inh 200 mcg/kaps + Ventolin PT. Glaxo Wellcome 2014-03-18
643. Dus, 1 Rotahaler 5,867.00 Download Download
rotahaler Rotahaler Indonesia 20:03:16
Salbutamol tablet 2 mg (sebagai 2013-04-23
644. n/a PT. Yarindo Farmatama strip @ 10 tablet 59.00 Download Download
Sulfat) 10:24:28
Salep 2-4 , Kombinasi : Asam 2014-03-15
645. n/a PT. Marin Liza Farmasi Pot @ 30 gram 2,000.00 Download Download
Salisilat 2% + Belerang endap 4% 16:05:33
2013-04-23
646. Sefadroksil sirup kering 125 mg/5ml n/a PT. Holi Pharma Dus, Botol 60 ml 4,746.00 Download Download
10:24:28
PT. Hexpharm Jaya 2013-04-23
647. Sefadroksil kapsul/kaplet 250 mg n/a strip 513.00 Download Download
Laboratories 10:24:28
Dus, 10 strip @ 10 2013-04-23
648. Sefadroksil kapsul/kaplet 500 mg n/a PT. Holi Pharma 509.00 Download Download
kapsul 10:24:28
2014-03-15
649. Sefadroksil sir kering 250 mg/5 mL n/a PT. Holi Pharma Dus, Botol 60 ml 5,895.00 Download Download
16:05:33
PT. Ifars
Dus, 5 Strip @ 10 2013-04-23
650. Sefaleksin kapsul/kaplet 500 mg n/a Pharmaceutical 1,000.00 Download Download
Kapsul 10:24:55
Laboratories
2014-03-15
651. Sefazolin serbuk injeksi 1 g/vial n/a PT. Dexa Medica Dus, 2 Vial @ 1 gram 16,500.00 Download Download
16:05:33
Box 2 Vial @ 2014-03-15
652. Sefepim inj 1 g n/a PT. Yarindo Farmatama 48,060.00 Download Download
1000mg 16:05:33
653. Sefiksim kapsul/kaplet 100 mg n/a PT. Bernofarm Dus, 10 blister @ 10 859.00 Download Download 2013-04-23
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
kapsul 10:24:28
PT. Ifars
2013-04-23
654. Sefiksim sirup kering 100 mg/ 5 ml n/a Pharmaceutical Dus, Botol 30 ml 8,800.00 Download Download
10:24:28
Laboratories
2014-07-21
655. Sefoperazon inj 1 g n/a PT. Yarindo Farmatama vial 38,500.00 Download Download
21:08:50
PT. Hexpharm Jaya 2013-04-23
656. Sefotaksim injeksi 0,5 g n/a vial 4,800.00 Download Download
Laboratories 10:24:28
PT. Natura Laboratoria 2013-04-23
657. Sefotaksim injeksi 1 g n/a Dus, 10 Vial @ 1 g 2,950.00 Download Download
Prima 10:24:28
2013-04-23
658. Seftazidim injeksi 1 g n/a PT. Dexa Medica Dus, 2 Vial @ 1 gram 16,000.00 Download Download
10:24:28
PT. Natura Laboratoria 2014-03-15
659. Seftriakson serbuk injeksi 1 g/vial n/a Dus, 10 Vial @ 1 g 3,300.00 Download Download
Prima 16:05:33
Sefuroksim tablet/kapsul/kaplet 250 Zinnat 250 PT. Glaxo Wellcome Dus, 1 Blister @ 10 2014-09-28
660. 4,752.00 Download Download
mg mg Indonesia Tablet salut selaput 21:46:47

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
PT. Pratapa 2015-04-23
661. Sefuroksim serbuk injeksi 750 mg/vial Sharox inj Box @ 2 vial 52,800.00 Download Download
Nirmala 15:45:40
PT. Glaxo Dus, 1 Blister @
2014-03-16
662. Sefuroksim tab 500 mg Zinnat 500 Wellcome 10 Tablet salut 7,200.00 Download Download
18:23:37
Indonesia selaput
PT. Pratapa 2014-07-21
663. Sertralin tab 50 mg Fatral strip @ 10 tab 3,300.00 Download Download
Nirmala 21:09:56
2014-03-15
664. Setirizin sirup 5 mg/5 ml n/a PT. Indofarma Botol @ 60 ml 7,999.00 Download Download
16:05:33
Box, 10 strips @ 2014-03-15
665. Setirizin tablet 10 mg n/a PT. Pertiwi Agung 181.00 Download Download
10 capsules 16:05:33
Setuksimab infus 5 mg/ml (Skema Risk
Dus, 1 vial @ 20 2014-09-28
666. Sharing sesuai Kepmenkes RI Nomor Erbitux PT. Merck Tbk 3,650,000.00 Download Download
ml 22:55:48
HK.02.02/Menkes/223/2014)
PT. Pratapa 2014-07-21
667. Sevofluran ih, btl Sojourn tabung/botol 1,320,000.00 Download Download
Nirmala 21:09:56
Sianokobalamin (vitamin B12) injeksi 500 2013-04-23
668. n/a PT. Lucas Djaja 100 ampul @ 1 ml 1,078.00 Download Download
mcg 10:24:28
Sianokobalamin (vitamin B12) Dus, 10 Strip @ 2015-01-05
669. n/a PT. Afifarma 57.00 Download Download
tablet/kapsul/kaplet 50 mcg 10 tablet 14:07:16
PT. Novell
Cyclovid 1000 2014-03-16
670. Siklofosfamid serbuk injeksi i.v. 1000 mg Pharmaeutical vial 256,000.00 Download Download
mg 18:23:37
Laboratories
PT. Novell
Cyclovid 200 2014-03-16
671. Siklofosfamid serbuk injeksi i.v. 200 mg Pharmaeutical vial 82,000.00 Download Download
mg 18:23:37
Laboratories
672. Siklofosfamid serbuk injeksi i.v. 500 mg CYCLOVID PT. Novell Vial 120,000.00 Download Download 2014-09-28
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
500 Pharmaeutical 21:46:47
Laboratories
Sandimmun
PT. Novartis Dus, 10 blister @ 2014-03-16
673. Siklosporin kaps 100 mg Neoral 100mg 43,000.00 Download Download
Indonesia 5 kapsul lunak 19:08:48
Kap
Sandimmun
PT. Novartis Dus, 10 blister @ 2014-03-16
674. Siklosporin kapsul lunak 25 mg Neoral 25mg 12,000.00 Download Download
Indonesia 5 kapsul lunak 19:08:48
Kap
2015-01-05
675. Silostazol tablet/kapsul/kaplet 100 mg Citaz PT. Dankos Farma strip 7,000.00 Download Download
14:07:16
Dus, 3 Strip @ 10
PT. Natura 2014-03-15
676. Simvastatin scored tablet 10 mg n/a Kaplet salut 169.00 Download Download
Laboratoria Prima 16:05:33
selaput
Dus, 3 Strip @ 10
PT. Natura 2013-04-23
677. Simvastatin tablet 20 mg n/a Kaplet salut 391.00 Download Download
Laboratoria Prima 10:24:55
selaput
2013-04-23
678. Siprofloksasin infus 2% n/a PT. Dexa Medica Vial 200 ml 13,000.00 Download Download
10:24:28
Dus, 10 blister @ 2013-04-23
679. Siprofloksasin tablet 500 mg (sebagai HCl) n/a PT. Bernofarm 255.00 Download Download
10 tab ss 10:24:28
2014-09-05
680. Sisplatin serbuk injeksi 10 mg Cisplatin PT Kalbe Farma vial 22,000.00 Download Download
23:17:45

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Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
2014-09-05
681. Sisplatin serbuk injeksi 50 mg Cisplatin PT Kalbe Farma vial 93,000.00 Download Download
23:17:45
Sitarabin serbuk injeksi PT. Tempo Scan 2014-08-06
682. DBL Cytarabun dus, 1 vial @ 10 ml 575,000.00 Download Download
i.m./i.v./s.k. 1gr/10ml Pacific 18:35:06
Dus, 5 strip @ 10 2013-04-23
683. Spiramisin tablet 500 mg n/a PT. Indofarma 1,499.00 Download Download
tablet 10:24:28
Dus, 10 Strip @ 10 2013-04-23
684. Spironolakton tablet 100 mg n/a PT. Dexa Medica 900.00 Download Download
tablet 10:24:28
Dus, 10 Strip @ 10 2013-04-23
685. Spironolakton tablet 25 mg n/a PT. Dexa Medica 315.00 Download Download
tablet 10:24:28
Stavudin tablet/kapsul/kaplet 2015-01-05
686. n/a PT. Kimia Farma Botol @ 60 tablet 930.00 Download Download
30 mg 14:07:16
Streptokinase injeksi 1,5 juta 2014-05-21
687. Streptase PT. Dexa Medica Vial 3,290,000.00 Download Download
UI/vial 20:01:48
Streptomisin serbuk injeksi i.v 2013-04-23
688. n/a PT. Phapros, Tbk Dus @ 56 Vial 3,650.00 Download Download
1000 mg/ml 10:24:55
Sufentanil injeksi iv, epidural Sufentanyl Injeksi 2014-03-18
689. PT. Kimia Farma dus 5 amp @ dus 10 127,000.00 Download Download
5 mcg/ml iv.Epidural 5 mcg / ml 20:03:16
2014-07-21
690. Sukralfat susp 500 mg/5 mL Ulsafate PT. Combiphar Botol, 100 ml 13,425.00 Download Download
21:09:56
DUS, 10 STRIP @ 2014-09-28
691. Sukralfat tab 500 mg ULSIDEX PT. Dexa Medica 424.00 Download Download
10 TAB 21:46:47
Pounch @ 5 blister 2014-03-18
692. Takrolimus kaps 0.5 mg Prograf PT. Combiphar 11,167.00 Download Download
@ 10 capsule 20:03:16
Dus, 1 pouch @5 2014-04-03
693. Takrolimus kaps 1 mg Prograf PT. Combiphar 21,500.00 Download Download
blister@10 kaps 21:30:54
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
PT. Sandoz 2015-06-24
694. Tamoksifen tablet 20 mg TAMOXIFEN EBEWE Botol @30tablet 2,654.00 Download Download
Indonesia 12:59:41
Box @ 2 blister @ 2014-03-18
695. Tamsulosin tab 0,2 mg Harnal D PT. Combiphar 5,800.00 Download Download
14 tablet 20:03:16
Box/ 2 blister @ 14 2014-03-16
696. Tamsulosin tab 0,2 mg Harnal D PT. Combiphar 5,800.00 Download Download
tablet 19:08:48
Box/ 3 blister @ 10 2014-03-16
697. Tamsulosin tab SR 0,4 mg Harnal OCAS PT. Combiphar 6,800.00 Download Download
Tablet 19:08:48
PT. Novartis Dus, 2 blister @ 14 2014-03-16
698. Telbivudin tab 600 mg Sebivo 600 mg Tab 28,500.00 Download Download
Indonesia tablet 19:08:48
PT. Boehringer Dus, 2 alu-blister 2014-06-27
699. Telmisartan tab 40mg Micardis 40mg 3,900.00 Download Download
Ingelheim @10 tablet 19:33:25
PT. Boehringer Box, 2 blisters @10 2014-08-06
700. Telmisartan tab 80 mg Micardis 80mg 6,500.00 Download Download
Ingelheim tablets 18:35:06

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Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
PT. Merck Sharp Dus, 5 sachet @ 1 2014-08-06
701. Temozolamid kaps 100 mg Temodal 1,120,000.00 Download Download
Dohme Pharma Tbk kapsul 18:35:06
PT. Merck Sharp Dus, 5 sachet @ 1 2014-08-06
702. Temozolamid kaps 20 mg Temodal 223,000.00 Download Download
Dohme Pharma Tbk kapsul 18:35:06
2014-06-16
703. Tenofovir tab 300 mg n/a PT. Kimia Farma Botol 30 tab 8,100.00 Download Download
19:59:45
Dus 10-s @ 10 2014-03-16
704. Teofilin tab SR 300 mg Rethapyl PT. Kimia Farma 1,050.00 Download Download
Kaptab 18:23:37
2015-01-05
705. Teofilin tablet 150 mg Bronsolvan PT Kalbe Farma strip 250.00 Download Download
14:07:16
Terazosin HCl DUS, 10 BLISTER 2014-09-28
706. HYTROZ 1MG PT. Dexa Medica 1,669.00 Download Download
tablet/kapsul/kaplet 1 mg @ 10 TAB 21:46:47
Terazosin HCl DUS, 10 BLISTER 2014-09-28
707. HYTROZ 3MG PT. Dexa Medica 2,949.00 Download Download
tablet/kapsul/kaplet 2 mg @ 10 TAB 21:46:47
Terbutalin cairan ih 2,5 PT. AstraZeneca Dus, 2 pak @ 5 2014-04-03
708. Bricasma Respules 6,250.00 Download Download
mg/mL indonesia respules 21:30:54
2014-03-16
709. Terbutalin tablet 2,5 mg Molasma Tablet PT. Molex Ayus Box 50's 99.00 Download Download
18:23:37
Terbutalin turbu (serbuk ih) Bricasma Turbuhaler PT. AstraZeneca Dus, 1 Turbuhaler @ 2014-04-08
710. 71,100.00 Download Download
0,50 mg 0,5 mg indonesia 200 dosis 18:23:48
Testoteron soft capsul 40 PT. Merck Sharp Dus, 6 blister @ 10 2014-08-06
711. Andriol Testocaps 6,200.00 Download Download
mg Dohme Pharma Tbk kapsul lunak 18:35:06
Tetrakain HCl tetes mata PT. Cendo Industri 2014-04-03
712. Pantocain 0.5% botol 5 ml 11,500.00 Download Download
0,5% Farmasi 21:30:54
Tetrasiklin kapsul/kaplet Dus, 10 strip @ 10 2013-04-23
713. n/a PT. Holi Pharma 148.00 Download Download
250 mg kapsul 10:24:28
Tanggal
Harga Satuan Kontrak
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor Berlaku
Terkecil (Rp) Payung
Harga
Tetrasiklin DUS,10 STRIP @ 10 2014-09-28
714. n/a PT. Afifarma 300.00 Download Download
tablet/kapsul/kaplet 500 mg KAPSUL 21:46:47
Dus, 10 blister @ 10 2014-04-03
715. Tiamazol tab 10 mg Thyrozol 10 PT. Merck Tbk 1,135.00 Download Download
tablet 21:30:54
Dus, 10 blister @ 10 2014-03-18
716. Tiamazol tab 5 mg Thyrozol 5 PT. Merck Tbk 563.00 Download Download
tablet 20:03:16
Dus, Botol Plastik @ 2014-03-16
717. Timolol tetes mata 0,25% Isotic Adretor 0,25% PT. Pratapa Nirmala 9,128.00 Download Download
5ml 18:23:37
Dus, Botol Plastik @ 2014-03-16
718. Timolol tetes mata 0,5% Isotic Adretor 0,5% PT. Pratapa Nirmala 9,722.00 Download Download
5ml 18:23:37
Spiriva powder for PT. Boehringer Box, 3 blisters @10 2014-12-05
719. Tiotropium 18 mcg refill 13,867.27 Download Download
inhalation 18mcg 30s Ingelheim capsules 22:08:39
Tiotropium kaps 18 mcg + Spiriva 10s + PT. Boehringer Dus, 1 blister @10 2014-03-16
720. 152,543.00 Download Download
handihaller Handihaler Ingelheim kapsul + handihaler 19:08:48

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Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
PT. Natura Dus, 10 Ampul @ 2013-04-23
721. Tramadol injeksi 50 mg/ml n/a 2,395.00 Download Download
Laboratoria Prima 2 ml 10:24:28
Trastuzumab serbuk injeksi 440 mg/vial (Skema Dus, 1 vial @ 440
PT. Boehringer 2014-09-28
722. Risk Sharing sesuai Kepmenkes RI Nomor Herceptin mg + 1 vial 19,608,034.00 Download Download
Ingelheim 22:55:48
HK.02.02/Menkes/223/2014) pelarut @ 20 ml
PT. Tempo Scan botol, tetes mata 2014-04-03
723. Travoprost tetes mata 0,004% Travatan 115,000.00 Download Download
Pacific 2,5 ml 21:30:54
Nasacort PT. Aventis Dus, botol plastik 2014-04-03
724. Triamsinolon asetonid nasal spray 55 mcg/puff 90,000.00 Download Download
AQ Pharma 120 dosis 21:30:54
2015-04-23
725. Triamsinolon inj 10 mg/mL Flamicort PT. Dexa Medica Dus,1 vial@ 5ml 65,500.00 Download Download
15:45:40
2013-04-23
726. Trifluoperazin tablet 5 mg n/a PT. Darya Varia strip 405.00 Download Download
10:24:55
Cendo
PT. Cendo 2014-12-05
727. Tropikamid tetes mata 1% Mydriatil Botol 5ml 36,500.00 Download Download
Industri Farmasi 22:08:39
1%
PT. Galenium
Soft U 2014-03-16
728. Urea krim 10% Pharmasia tube 6,400.00 Download Download
Derm 18:23:37
Laboratories
Vaksin BCG (Harga pengadaan di Kementerian BCG
2015-05-22
729. Kesehatan Pusat franco ibukota provinsi (DIPA Vaccine PT. Bio Farma 20 ds / amp / vial 59,950.00 Download Download
14:48:32
Kemkes)) (SII)
Vaksin BCG (Harga pengadaan di Kementerian
BCG 2015-05-22
730. Kesehatan Pusat franco ibukota provinsi (DIPA PT. Bio Farma 20 ds / amp / vial 59,950.00 Download Download
Vaccine SSI 14:48:32
Kemkes))
Vaksin BCG (Harga pengadaan di Kementerian BCG 2015-05-22
731. PT. Bio Farma 20 ds / amp / vial 59,950.00 Download Download
Kesehatan Pusat franco ibukota provinsi (DIPA Vaccine 14:48:32
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
Kemkes)) (GS)
BCG
Vaksin BCG (Harga pengadaan di Provinsi franco 2015-05-22
732. Vaccine PT. Bio Farma 20 ds / amp / vial 70,521.00 Download Download
ibukota Provinsi (Non DIPA Kemkes)) 14:48:32
(SII)
Vaksin BCG (Harga pengadaan di Provinsi franco BCG 2015-05-22
733. PT. Bio Farma 20 ds / amp / vial 70,521.00 Download Download
ibukota Provinsi (Non DIPA Kemkes)) Vaccine SSI 14:48:32
BCG
Vaksin BCG (Harga pengadaan di Provinsi franco 2015-05-22
734. Vaccine PT. Bio Farma 20 ds / amp / vial 70,521.00 Download Download
ibukota Provinsi (Non DIPA Kemkes)) 14:48:32
(GS)
Vaksin BCG Kering (BF) (Harga pengadaan di
2015-05-22
735. Kementerian Kesehatan Pusat franco ibukota n/a PT. Bio Farma 20 ds / amp / vial 59,950.00 Download Download
14:48:32
provinsi (DIPA Kemkes))
Vaksin BCG Kering (BF) (Harga pengadaan di
2015-05-22
736. Provinsi franco ibukota Provinsi (Non DIPA n/a PT. Bio Farma 20 ds / amp / vial 70,521.00 Download Download
14:48:32
Kemkes))
Vaksin Campak Kering (Harga pengadaan di
2015-05-22
737. Kementerian Kesehatan Pusat franco ibukota n/a PT. Bio Farma 10 ds / vial 28,204.00 Download Download
14:48:32
provinsi (DIPA Kemkes))
Vaksin Campak Kering (Harga pengadaan di
2015-05-22
738. Provinsi franco ibukota Provinsi (Non DIPA n/a PT. Bio Farma 10 ds / vial 33,176.00 Download Download
14:48:32
Kemkes))
Vaksin DTP-HB-Hib (Harga pengadaan di
2015-05-22
739. Kementerian Kesehatan Pusat franco ibukota Pentabio PT. Bio Farma 5 ds / vial 76,285.00 Download Download
14:48:32
provinsi (DIPA Kemkes))
Vaksin DTP-HB-Hib (Harga pengadaan di Provinsi 2015-05-22
740. Pentabio PT. Bio Farma 5 ds / vial 89,738.00 Download Download
franco ibukota Provinsi (Non DIPA Kemkes)) 14:48:32

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Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
Vaksin Hepatitis B Rekombinan (Harga
2015-05-22
741. pengadaan di Kementerian Kesehatan Pusat n/a PT. Bio Farma 1 ds / pouch 20,900.00 Download Download
14:48:32
franco ibukota provinsi (DIPA Kemkes))
Vaksin Hepatitis B Rekombinan (Harga
2015-05-22
742. pengadaan di Provinsi franco ibukota Provinsi n/a PT. Bio Farma 1 ds / pouch 24,585.00 Download Download
14:48:32
(Non DIPA Kemkes))
Vaksin Jerap DT (Adsorbed DT Vaccine)
2015-05-22
743. (Harga pengadaan di Kementerian Kesehatan n/a PT. Bio Farma 10 ds / vial 17,798.00 Download Download
14:48:32
Pusat franco ibukota provinsi (DIPA Kemkes))
Vaksin Jerap DT (Adsorbed DT Vaccine)
2015-05-22
744. (Harga pengadaan di Provinsi franco ibukota n/a PT. Bio Farma 10 ds / vial 20,933.00 Download Download
14:48:32
Provinsi (Non DIPA Kemkes))
Vaksin Jerap Td (Adsorbed Td Vaccine)
2015-05-22
745. (Harga pengadaan di Kementerian Kesehatan n/a PT. Bio Farma 10 ds/ vial 16,500.00 Download Download
14:48:32
Pusat franco ibukota provinsi (DIPA Kemkes))
Vaksin Jerap Td (Adsorbed Td Vaccine)
2015-05-22
746. (Harga pengadaan di Provinsi franco ibukota n/a PT. Bio Farma 10 ds/ vial 19,404.00 Download Download
14:48:32
Provinsi (Non DIPA Kemkes))
Dus, 1 dosis @ (1 vial
PT. Novartis 2015-05-22
747. Vaksin Meningitis Meningokokus Menveo serbuk injeksi + 1 vial 307,400.00 Download Download
Indonesia 15:37:35
larutan injeksi @ 0,6 ml)
Vaksin polio inj (Vaksin Poliomyelitis yang PT. Aventis 2014-04-03
748. Imovax Polio 1 vial of 10ml (10 d's) 285,000.00 Download Download
diinaktifkan) Pharma 21:30:54
Vaksin Poliomyelitis Oral (Harga pengadaan di
2015-05-22
749. Kementerian Kesehatan Pusat franco ibukota n/a PT. Bio Farma 10 ds/ vial 19,954.00 Download Download
14:48:32
provinsi (DIPA Kemkes))
750. Vaksin Poliomyelitis Oral (Harga pengadaan di n/a PT. Bio Farma 10 ds/ vial 23,474.00 Download Download 2015-05-22
Tanggal
Nama Harga Satuan Kontrak
# Nama Obat Generik Nama Penyedia Kemasan Distributor Berlaku
Dagang Terkecil (Rp) Payung
Harga
Provinsi franco ibukota Provinsi (Non DIPA 14:48:32
Kemkes))
Dus, 1 vial@ 1dosis + 1
Vaksin rabies, untuk manusia serbuk injeksi 2015-01-05
751. Verorab PT. Bio Farma Syringe @ 0,5 ml NaCl 78,000.00 Download Download
s.k./i.k. + booster 14:07:16
4%
Dus, 1 vial serbuk + 1
Vaksin rabies, untuk manusia serbuk injeksi PT. Novartis 2014-09-28
752. RABIPUR ampul @ 1 ml pelarut + 78,500.00 Download Download
s.k./i.k. + booster Indonesia 21:46:47
1 syringe & jarum suntik
Vaksin TT (Harga pengadaan di Kementerian
2015-05-22
753. Kesehatan Pusat franco ibukota provinsi (DIPA n/a PT. Bio Farma 10 ds/ vial 14,498.00 Download Download
14:48:32
Kemkes))
Vaksin TT (Harga pengadaan di Provinsi 2015-05-22
754. n/a PT. Bio Farma 10 ds/ vial 17,050.00 Download Download
franco ibukota Provinsi (Non DIPA Kemkes)) 14:48:32
PT. Soho
2015-04-23
755. Valasiklovir tablet/kapsul/kaplet 500 mg Valvir Industri 5 strip @ 10 kaptab 5,390.00 Download Download
15:45:40
Pharmasi
PT. Boehringer 2014-08-06
756. Valgansiklovir tab 450 mg Valcyte Boks, 60 tablet 170,000.00 Download Download
Ingelheim 18:35:06
PT. 2014-07-21
757. Valproat sirup 250 mg/5 ml Ikalep Botol 120 ml 40,000.00 Download Download
Ikapharmindo 21:09:56
Depakote ER PT. Abbott 2014-03-16
758. Valproat tab SR 250 mg Tablet 2,793.00 Download Download
250 mg Indonesia 19:08:48
Depakote ER PT. Abbott 2014-03-16
759. Valproat tab SR 500 mg Tablet 5,450.00 Download Download
500 mg Indonesia 19:08:48
Depakote PT. Abbott 2014-09-28
760. Valproat tablet salut 250 mg Tablet salut 250 mg 1,680.00 Download Download
Tab 250 mg Indonesia 21:46:47

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Harga Satuan Kontrak Tanggal
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
Diovan 80mg PT. Novartis DUS, 3 ALU-ALU STRIP @ 2014-03-16
761. Valsartan tab 80 mg 3,900.00 Download Download
Tab Indonesia 10 tablet salut selaput. 19:08:48
DIOVAN 160 PT. Novartis DUS, 3 ALU-ALU STRIP @ 2014-04-03
762. Valsartan tab 160 mg 6,500.00 Download Download
MG Indonesia 10 tablet salut selaput. 21:30:54
Vankomisin serbuk injeksi PT. Pratapa 2014-09-28
763. Vancep Box @ 2 vial 122,000.00 Download Download
500 mg/vial Nirmala 21:46:47
PT. Abbott 2014-03-16
764. Verapamil tab 240 mg Isoptin 240 mg Tablet 6,200.00 Download Download
Indonesia 19:08:48
Verapamil tablet 80 mg 2013-04-23
765. n/a PT. Kimia Farma Ktk 10X10 TAB 234.00 Download Download
(HCl) 10:24:55
Vinblastin serbuk injeksi 2014-03-16
766. Vinblastine PT. Combiphar Vial 10mg/10ml 210,000.00 Download Download
10 mg 18:23:37
Vinkristin serb inj i.v 2 Vincristine 2014-09-05
767. PT Kalbe Farma vial @ 2 ml 78,000.00 Download Download
mg/vial Kalbe 23:17:45
Vinkristin serbuk injeksi Vincristine 2014-09-05
768. PT Kalbe Farma vial @ 1 ml 46,000.00 Download Download
i.v. 1 mg Kalbe 23:17:45
Navelbine PT. Mugi 2014-05-21
769. Vinorelbin inj. 10 mg/ml Dus, 1 vial @ 1 ml 1,229,998.00 Download Download
injeksi 10 Laboratories 14:16:19
Vitamin B Kompleks 2013-04-23
770. n/a PT. Kimia Farma Dus 10 strip x 10 tab 107.00 Download Download
tablet 10:24:28
2014-12-05
771. Zidofudin 100 mg n/a PT. Kimia Farma Botol 60 Kapsul 1,575.00 Download Download
22:08:39
Zidovudin 300 mg + 2014-03-18
772. n/a PT. Kimia Farma Botol 60 tablet 3,429.00 Download Download
Lamivudine 150 mg 20:03:16
Drops 10 mg/ml, Botol @15 2014-03-16
773. Zinc drop 10 mg/mL Zincpro Drops PT. Combiphar 12,840.00 Download Download
ml 18:23:37
2015-04-23
774. Zinc sir 10 mg/mL Zinkid PT. Indofarma Dus, botol @ 100 ml 14,980.00 Download Download
15:45:40
Harga Satuan Kontrak Tanggal
# Nama Obat Generik Nama Dagang Nama Penyedia Kemasan Distributor
Terkecil (Rp) Payung Berlaku Harga
Zircum Kid 2014-03-16
775. Zinc sir 20 mg/5 Ml PT. Meprofarm Dus, botol 60 ml 7,400.00 Download Download
Sirup 18:23:37
Zinc tablet dispersible20 2014-03-15
776. n/a PT. Kimia Farma ktk 10 x 10 tablet 473.00 Download Download
mg 16:05:33

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