Lampiran Harga Produk Sanbe Dan Capri 21 Nov'2016-1

Jl. Purnawarman No.
47 Bandung 40116
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
Website : www.binasanprima.com
LAMPIRAN
DAFTAR HARGA OBAT RESEP PER 21 NOPEMBER 2016
NO. NAMA PRODUK KEMASAN HNA HNA + PPN
1 Acetin 600 tablet effervescent Tube @ 10 tablet Rp. 84,100 Rp. 92,510
2 Acran 150 mg film-coated tablet Box 3x10's Rp. 136,800 Rp. 150,480
3 Acran 300 mg film-coated caplet Box 3x10's Rp. 199,950 Rp. 219,945
4 Akilen 200 mg film-coated tablet Box 3x10's Rp. 227,550 Rp. 250,305
5 Akilen 400 mg film-coated tablet Box 5x6's Rp. 444,300 Rp. 488,730
6 Aldisa SR capsule Box 5x10's Rp. 200,000 Rp. 220,000
7 Alloris tablet Box 10x10's Rp. 425,500 Rp. 468,050
8 Alloris syrup Botol 60 ml Rp. 50,000 Rp. 55,000
9 Analsik film-coated caplet Box 10x10's Rp. 113,000 Rp. 124,300
10 Anbacim 500 mg film-coated caplet Box 5x4's Rp. 390,600 Rp. 429,660
11 Anpiride tablet 1 mg Box 5x10's Rp. 102,500 Rp. 112,750
15 Astharol tablet Box 10x10's Rp. 108,000 Rp. 118,800
16 Astharol syrup Botol gelas 60 ml Rp. 13,950 Rp. 15,345
17 Bantif child syrup Botol gelas 60 ml Rp. 9,700 Rp. 10,670
18 Baquinor 250 mg film-coated tablet Box 2x10's Rp. 119,000 Rp. 130,900
19 Baquinor forte film-coated caplet Box 2x10's Rp. 252,000 Rp. 277,200
20 Bicrolid 250 mg film-coated caplet Box 3x10's Rp. 269,100 Rp. 296,010
21 Bicrolid 500 mg film-coated caplet Box 3x10's Rp. 684,300 Rp. 752,730
22 Biothicol 250 mg capsule Box 10x10's Rp. 169,000 Rp. 185,900
23 Biothicol 500 mg capsule Box 10x10's Rp. 338,500 Rp. 372,350
24 Biothicol dry syrup Botol gelas 60 ml Rp. 19,400 Rp. 21,340
25 Biothicol forte dry syrup Botol gelas 60 ml Rp. 53,600 Rp. 58,960
26 Bledstop sugar-coated tablet Box 10x10's Rp. 46,000 Rp. 50,600
27 Blesifen tablet Box 2x10's Rp. 233,700 Rp. 257,070
28 Braxidin film-coated tablet Box 10x10's Rp. 82,000 Rp. 90,200
29 Bufect forte suspensi Botol plastik 50 ml Rp. 19,000 Rp. 20,900
30 Bufect suspensi Botol plastik 60 ml Rp. 13,450 Rp. 14,795
31 Bufect film-coated tablet Box 25x4's Rp. 61,500 Rp. 67,650
32 Cardisan 5 mg tablet Box 5x10's Rp. 269,000 Rp. 295,900
33 Cardisan 10 mg tablet Box 5x10's Rp. 476,750 Rp. 524,425
34 Cefat 250 mg capsule Box 10x10's Rp. 490,000 Rp. 539,000
35 Cefat 500 mg capsule Box 10x10's Rp. 965,000 Rp. 1,061,500
36 Cefat dry syrup Botol gelas 60 ml Rp. 39,700 Rp. 43,670
37 Cefat forte dry syrup Botol gelas 60 ml Rp. 68,300 Rp. 75,130
Bandung, 21 Nopember 2016
Page 1 of 15
Jl. Purnawarman No. 47 Bandung 40116
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
38 Cerini film coated caplet Box 2x10's Rp. 63,600 Rp. 69,960
39 Cerini oral drops Botol tetes 20 ml Rp. 58,450 Rp. 64,295
40 Cerini syrup Botol gelas 60 ml Rp. 36,800 Rp. 40,480
41 Cholvastin tablet Box 3x10's Rp. 289,050 Rp. 317,955
42 Cinolon N cream Tube 10 gr Rp. 16,600 Rp. 18,260
43 Cinolon topical cream Tube 10 gr Rp. 15,200 Rp. 16,720
44 Claneksi dry syrup Botol gelas 60 ml Rp. 48,800 Rp. 53,680
45 Claneksi film-coated caplet Box 5x6's Rp. 335,250 Rp. 368,775
46 Claneksi forte dry syrup Botol gelas 60 ml Rp. 65,350 Rp. 71,885
47 Clobesan Cream Tube 10 gr Rp. 36,650 Rp. 40,315
48 Colsancetine capsule Box 10x10's Rp. 53,500 Rp. 58,850
49 Colsancetine syrup Botol gelas 60 ml Rp. 9,900 Rp. 10,890
50 Cortidex tablet Box 10x10's Rp. 26,000 Rp. 28,600
51 Cripsa tablet Box 3x10's Rp. 393,600 Rp. 432,960
52 Damaben oral solution Botol gelas 60 ml Rp. 9,000 Rp. 9,900
53 Damaben Paediatric drops Botol gelas 10 ml Rp. 12,500 Rp. 13,750
54 Damaben tablet Box 10x10's Rp. 41,000 Rp. 45,100
55 Decrilip film-coated tablet Box 10x10's Rp. 405,000 Rp. 445,500
56 Dilmen tablet Box 10x10's Rp. 97,500 Rp. 107,250
57 Dolones cream Tube 5 gr Rp. 46,400 Rp. 51,040
58 Edorisan oral drops Botol tetes 15 ml Rp. 36,900 Rp. 40,590
59 Eflagen 25 mg sugar enteric coated-tablet Box 5x10's Rp. 61,500 Rp. 67,650
60 Eflagen 50 mg sugar enteric coated-tablet Box 5x10's Rp. 97,500 Rp. 107,250
61 Epexol syrup Botol gelas 120 ml Rp. 15,850 Rp. 17,435
62 Epexol tablet Box 10x10's Rp. 77,000 Rp. 84,700
63 Epexol forte syrup Botol gelas 60 ml Rp. 25,600 Rp. 28,160
64 Epexol drops Botol gelas 20 ml Rp. 34,850 Rp. 38,335
65 Episan suspensi Botol gelas 100 ml Rp. 45,300 Rp. 49,830
66 Episan suspensi Botol gelas 200 ml Rp. 72,750 Rp. 80,025
67 Eprinoc sugar-coated tablet Box 10x10's Rp. 318,000 Rp. 349,800
68 Erysanbe 200 mg Chewable tablet Box 10x10's Rp. 149,000 Rp. 163,900
69 Erysanbe 250 mg capsule Box 10x10's Rp. 128,000 Rp. 140,800
70 Erysanbe 500 mg film-coated caplet Box 10x10's Rp. 246,000 Rp. 270,600
71 Erysanbe dry syrup Botol gelas 60 ml Rp. 20,400 Rp. 22,440
72 Famocid 20 mg film-coated tablet Box 5x6's Rp. 104,550 Rp. 115,005
73 Famocid 40 mg film-coated tablet Box 5x6's Rp. 158,400 Rp. 174,240
Page 2 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
74 Fibrozol 50 tablet Box 5x10's Rp. 315,250 Rp. 346,775

75 Fibrozol 100 tablet Box 3x10's Rp. 290,700 Rp. 319,770
76 Flamar 25 mg Enteric-coated tablet Box 10x10's Rp. 77,000 Rp. 84,700
77 Flamar 50 mg Enteric-coated tablet Box 10x10's Rp. 169,000 Rp. 185,900
78 Flamar emulgel Tube 20 gr Rp. 15,200 Rp. 16,720
79 Forbetes 500 mg film-coated tablet Box 10x10's Rp. 92,500 Rp. 101,750
80 Forbetes 850 mg film-coated tablet Box 10x10's Rp. 97,500 Rp. 107,250
81 Forifek 500 capsule Box 2x10's Rp. 393,600 Rp. 432,960
82 Forifek dry syrup Botol gelas 60 ml Rp. 75,400 Rp. 82,940
83 Forifek forte dry syrup Botol gelas 60 ml Rp. 96,950 Rp. 106,645
84 Formyco cream Tube 10 gr Rp. 16,600 Rp. 18,260
85 Formyco tablet Box 5x10's Rp. 235,750 Rp. 259,325
86 Funtas Cream Tube 20 gr Rp. 39,650 Rp. 43,615
87 Gliabetes tablet Box 3x10's Rp. 238,350 Rp. 262,185
88 Glukolos tablet Box 10x10's Rp. 210,000 Rp. 231,000
89 Gratizin 5 tablet Box 10x10's Rp. 420,500 Rp. 462,550
90 Gratizin 10 tablet Box 10x10's Rp. 502,500 Rp. 552,750
91 Herclov film-coated caplet Box 5x10's Rp. 689,500 Rp. 758,450
92 Histapan film-coated tablet Box 10x10's Rp. 61,500 Rp. 67,650
93 Hypofil capsule Box 10x10's Rp. 205,000 Rp. 225,500
94 Infelon tablet Box 5x10's Rp. 328,000 Rp. 360,800
95 Irbeten 150 film coated tablet Box 3x10's Rp. 235,000 Rp. 258,500
96 Irbeten 300 film coated tablet Box 3x10's Rp. 280,000 Rp. 308,000
97 Lapraz capsule Box 2x10's Rp. 222,400 Rp. 244,640
98 Levocin 500 mg film-coated tablet Box 3x6's Rp. 616,500 Rp. 678,150
99 Lodia 2 mg film-coated tablet Box 6x10's Rp. 55,500 Rp. 61,050
100 Mefinal 250 mg capsule Box 10x10's Rp. 56,500 Rp. 62,150
101 Mefinal 500 mg film-coated caplet Box 10x10's Rp. 123,000 Rp. 135,300
102 Mefurosan cream Tube 10 gr Rp. 66,250 Rp. 72,875
103 Megabal capsule Box 10x10's Rp. 154,000 Rp. 169,400
104 Mezatrin 250 mg capsule Box 5x6's Rp. 402,900 Rp. 443,190
105 Mucohexin elixir Botol gelas 120 ml Rp. 15,200 Rp. 16,720
106 Mucohexin tablet Box 25x4's Rp. 46,000 Rp. 50,600
107 Neo Kaolana suspensi Botol gelas 120 ml Rp. 11,800 Rp. 12,980
108 Neosanmag tablet Box 25x4's Rp. 82,000 Rp. 90,200
109 Neosanmag Fast tablet Box 8x2's Rp. 15,600 Rp. 17,160
110 Nifedin film-coated tablet Box 10x10's Rp. 61,500 Rp. 67,650
Page 3 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
111 Nolipo 500 capsule Box 10x10's Rp. 441,000 Rp. 485,100
112 Nolipo syrup Botol gelas 60 ml Rp. 45,250 Rp. 49,775
113 Notritis film-coated caplet Box 5x10's Rp. 156,500 Rp. 172,150
114 Nymiko suspensi drops Botol gelas 12 ml Rp. 30,500 Rp. 33,550
115 Ocuson tablet Box 10x10's Rp. 123,000 Rp. 135,300
116 Ostelox 15 mg tablet Box 2x10's Rp. 170,200 Rp. 187,220
117 Ostelox 7,5 mg tablet Box 2x10's Rp. 104,600 Rp. 115,060
118 Ostelox Suppositoria Box 1x6 supp. Rp. 57,900 Rp. 63,690
119 Otede tablet Box 4x25 catch cover Rp. 61,500 Rp. 67,650
120 Pibaksin topical ointment Tube 10 gr Rp. 38,000 Rp. 41,800
121 Pirofel 10 mg capsule Box 10x10's Rp. 46,000 Rp. 50,600
122 Pirofel 20 mg capsule Box 10x10's Rp. 154,000 Rp. 169,400
123 Pirofel gel Tube 20 gr Rp. 16,200 Rp. 17,820
124 Plasminex film-coated tablet Box 10x10's Rp. 251,000 Rp. 276,100
125 Platof sugar-coated caplet Box 5x10's Rp. 184,500 Rp. 202,950
126 Preabor tablet Box 3x10's Rp. 95,400 Rp. 104,940
127 Pridesia 5 mg tablet Box 5x10's Rp. 87,250 Rp. 95,975
128 Prolic 150 mg capsule Box 10x10's Rp. 328,000 Rp. 360,800
129 Prolic 300 mg capsule Box 10x10's Rp. 666,500 Rp. 733,150
130 Proxime tablet Box 3x10's Rp. 32,400 Rp. 35,640
131 Pumpitor capsule Box 2x10's Rp. 251,200 Rp. 276,320
132 Puricemia tablet Box 10x10's Rp. 261,500 Rp. 287,650
133 Regumen tablet Box 3x10's Rp. 95,400 Rp. 104,940
134 Renodiol sugar coated-tablet Box 2x10's Rp. 180,400 Rp. 198,440
135 Revolan 400 mg capsule Box 10x10's Rp. 195,000 Rp. 214,500
136 Revolan 800 mg film-coated caplet Box 5x10's Rp. 174,250 Rp. 191,675
137 Revolan 1200 mg film coated caplet Box 5x10's Rp. 210,250 Rp. 231,275
138 Rhetoflam Gel Tube 20 gr Rp. 29,000 Rp. 31,900
139 Rifamtibi 450 mg film-coated tablet Box 10x10's Rp. 400,000 Rp. 440,000
140 Rifamtibi 600 mg film-coated caplet Box 10x10's Rp. 533,000 Rp. 586,300
141 Sagestam cream Tube 10 gr Rp. 11,350 Rp. 12,485
142 Sagestam ointment Tube10 gr Rp. 17,850 Rp. 19,635
143 Sanadryl DMP syrup Botol gelas 60 ml Rp. 9,700 Rp. 10,670
144 Sanadryl DMP syrup Botol gelas 120 ml Rp. 16,000 Rp. 17,600
145 Sanadryl Expectorant syrup Botol gelas 60 ml Rp. 9,050 Rp. 9,955
146 Sanadryl Expectorant syrup Botol gelas 120 ml Rp. 13,150 Rp. 14,465
147 Sanazet tablet Box 10x10's Rp. 118,000 Rp. 129,800
Page 4 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
NO. NAMA PRODUK KEMASAN HNA HNA+PPN
148 Sanbenafil 50 mg film-coated caplet Box 1x4's Rp. 254,200 Rp. 279,620
149 Sanbenafil 100 mg film-coated caplet Box1x4's Rp. 333,600 Rp. 366,960
150 Sanexon 4 mg tablet Box 10x10's Rp. 205,000 Rp. 225,500
153 Sanfuro Suspensi Botol gelas 60 ml Rp. 36,250 Rp. 39,875
154 Sanlin 500 mg capsule Box 10x10's Rp. 82,000 Rp. 90,200
155 Sanmag suspension Botol gelas 120 ml Rp. 23,200 Rp. 25,520
156 Sanmag tablet Box 10x10's Rp. 72,000 Rp. 79,200
157 Sanmag Forte suspensi Botol gelas 60 ml Rp. 17,000 Rp. 18,700
158 Sanmetidin 200 mg film-coated tablet Box 10x10's Rp. 149,000 Rp. 163,900
159 Sanmol drops Botol gelas 20 ml Rp. 14,450 Rp. 15,895
160 Sanmol syrup Botol gelas 60 ml Rp. 10,750 Rp. 11,825
161 Sanmol tablet Box 25x4's Rp. 26,000 Rp. 28,600
162 Sanmol forte tablet Box10x10's Rp. 31,000 Rp. 34,100
163 Sanmol forte syrup Botol gelas 60 ml Rp. 23,700 Rp. 26,070
164 Sanmol 120 Child Chewable Box 5x10's Rp. 43,500 Rp. 47,850
165 Sanmol 120 mg Child Effervescent Tube 10 tablet Rp. 19,400 Rp. 21,340
166 Sanmol 500 mg effervescent Tube 10 tablet Rp. 23,200 Rp. 25,520
167 Sanpicillin 250 mg capsule Box 10x10's Rp. 51,500 Rp. 56,650
168 Sanpicillin 500 mg capsule Box 10x10's Rp. 159,000 Rp. 174,900
169 Sanpicillin dry syrup Botol gelas 60 ml Rp. 7,550 Rp. 8,305
170 Sanpicillin forte dry syrup Botol gelas 60 ml Rp. 13,200 Rp. 14,520
171 Sanprima forte caplet Box 10x10's Rp. 184,500 Rp. 202,950
172 Sanprima syrup Botol gelas 60 ml Rp. 23,600 Rp. 25,960
173 Sanprima tablet Box 10x10's Rp. 82,000 Rp. 90,200
174 Santagesik tablet Box 10x10's Rp. 56,500 Rp. 62,150
175 Santagesik syrup Botol gelas 60 ml Rp. 31,300 Rp. 34,430
176 Santesar film-coated tablet Box 3x10's Rp. 236,850 Rp. 260,535
177 Santibi 500 mg tablet Box 10x10's Rp. 92,500 Rp. 101,750
178 Santibi Plus tablet Box 10x10's Rp. 61,500 Rp. 67,650
179 Siclidon 100 mg capsule Box 2x10's Rp. 97,400 Rp. 107,140
180 Sinocort Oral Paste Tube 5 gr Rp. 34,350 Rp. 37,785
181 Spirasin film-coated tablet Box 10x10's Rp. 553,500 Rp. 608,850
182 Sporetik 100 mg capsule Box 3x10's Rp. 550,500 Rp. 605,550
183 Sporetik 50 mg capsule Box 3x10's Rp. 262,950 Rp. 289,245
184 Sporetik dry syrup Botol gelas 30 ml Rp. 77,400 Rp. 85,140
185 Stolax Suppositoria Box 1x6's Rp. 36,600 Rp. 40,260
Page 5 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
NO. NAMA PRODUK KEMASAN HNA HNA+PPN
186 Tensicap 12,5 mg tablet Box 5x10's Rp. 95,000 Rp. 104,500
187 Tensicap 25 mg tablet Box 5x10's Rp. 184,500 Rp. 202,950
188 Tensinop 5 mg tablet Box 3x10's Rp. 76,950 Rp. 84,645
189 Tensinop 10 mg tablet Box 3x10's Rp. 121,500 Rp. 133,650
190 Tetra Sanbe 250 mg capsule Box 10x10's Rp. 21,500 Rp. 23,650
191 Tetra Sanbe 500 mg capsule Box 10x10's Rp. 46,000 Rp. 50,600
192 Ticard film-coated tablet Box 2x10's Rp. 210,200 Rp. 231,220
193 Therodel film-coated tablet Box 3x10's Rp. 389,100 Rp. 428,010
194 Topcort Cream Tube 10 gr Rp. 20,700 Rp. 22,770
195 Tosma syrup Botol gelas 60 ml Rp. 42,950 Rp. 47,245
196 Tradosik capsule Box 10x10's Rp. 297,500 Rp. 327,250
197 Tremenza syrup Botol gelas 60 ml Rp. 15,200 Rp. 16,720
198 Tremenza tablet Box 10x10's Rp. 108,000 Rp. 118,800
199 Trichodazol 500 film-coated tablet Box 10x10's Rp. 154,000 Rp. 169,400
200 Trichodazol Plus Ovula Box 1x6 ovula Rp. 72,900 Rp. 80,190
201 Trichodazol suppositoria Box 1x6's Rp. 104,550 Rp. 115,005
202 Tripanzym Sugar-coated caplet Box 10x10's Rp. 118,000 Rp. 129,800
203 Trovensis 8 mg film-coated tablet Box 1x10's Rp. 159,900 Rp. 175,890
204 Trovensis 4 mg film-coated tablet Box 1x10's Rp. 113,300 Rp. 124,630
205 Tuzalos caplet Box 25x4's Rp. 67,000 Rp. 73,700
206 Uplores capsule Box 3x10's Rp. 147,600 Rp. 162,360
207 Uresix film-coated tablet Box 10x10's Rp. 82,000 Rp. 90,200
208 Urotractin capsule Box 6x10's Rp. 181,500 Rp. 199,650
209 Valemia 10 mg film-coated tablet Box 5x6's Rp. 255,300 Rp. 280,830
210 Valemia 5 mg film-coated tablet Box 5x6's Rp. 153,750 Rp. 169,125
211 Valisanbe 2 mg tablet Box 10x10's Rp. 16,500 Rp. 18,150
212 Valisanbe 5 mg tablet Box 10x10's Rp. 26,000 Rp. 28,600
213 Vertigosan tablet Box 5x10's Rp. 120,500 Rp. 132,550
214 Vosedon suspensi Botol gelas 60 ml Rp. 27,000 Rp. 29,700
215 Vosedon film-coated tablet Box 10x10's Rp. 215,500 Rp. 237,050
Page 6 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
1 Acran injeksi Box 5 ampul @ 2 ml Rp. 96,600 Rp. 106,260

2 Altofen injeksi intramuskular Box 5 ampul @ 2 ml Rp. 124,000 Rp. 136,400
3 Anbacim serbuk injeksi steril Vial 1 gr Rp. 71,050 Rp. 78,155
4 Bactirom serbuk injeksi steril Vial 1 gr Rp. 275,300 Rp. 302,830
5 Baquinor infus Softbag infus 100 ml Rp. 215,100 Rp. 236,610
6 Beclov injeksi Box 5 ampul @ 2 ml Rp. 162,500 Rp. 178,750
7 Bifotik injeksi Vial 1 gr Rp. 162,800 Rp. 179,080
8 Bledstop injeksi 10 ampul @ 1 ml Rp. 68,200 Rp. 75,020
9 Cefobactam serbuk injeksi steril Box 1 vial @ 1 gr Rp. 186,700 Rp. 205,370
10 Ceforim injeksi Vial 1 gr Rp. 292,450 Rp. 321,695
11 Cinam serbuk injeksi steril Vial 1,5 gr Rp. 132,500 Rp. 145,750
12 Claneksi serbuk injeksi steril Box 6 vial @ 1 gr Rp. 534,000 Rp. 587,400
13 Colsancetine injeksi Box 10 vial @ 1 gr Rp. 94,800 Rp. 104,280
14 Cortidex injeksi Box 10 ampul @ 1 ml Rp. 57,900 Rp. 63,690
15 Damaben injeksi Box 5 ampul @ 2 ml Rp. 42,550 Rp. 46,805
16 Dofacef injeksi Vial 1 gr Rp. 50,800 Rp. 55,880
17 Fotaram injeksi Box 6 vial @ 1 gr Rp. 669,600 Rp. 736,560
18 Glybotic 250 injeksi Box 4 vial @ 2 ml Rp. 365,800 Rp. 402,380
19 Glybotic 500 injeksi Box 4 vial @ 2 ml Rp. 633,800 Rp. 697,180
20 Levocin infus Softbag infus 100 ml Rp. 280,250 Rp. 308,275
21 Merosan 0,5 gr injeksi Vial 0,5 gr Rp. 255,900 Rp. 281,490
22 Merosan 1 gr injeksi Vial 1 gram Rp. 499,600 Rp. 549,560
23 Pelastin injeksi Vial 1 gr Rp. 311,000 Rp. 342,100
24 Plasminex injeksi Box 10 ampul @ 5 ml Rp. 115,300 Rp. 126,830
25 Pumpitor injeksi Box 1 vial 40 mg Rp. 139,200 Rp. 153,120
26 Pumpisel injeksi Box 1 vial 40 mg Rp. 137,300 Rp. 151,030
27 Rativol 10 injeksi Box 5 ampul @ 1 mL Rp. 107,750 Rp. 118,525
28 Rativol 30 injeksi Box 5 ampul @ 1 mg Rp. 169,750 Rp. 186,725
29 Revolan injeksi Box 10 ampul @ 5 ml Rp. 170,150 Rp. 187,165
30 Revolan injeksi Piracetam 3 g/15 ml Box 5 ampul @ 15 ml Rp. 249,350 Rp. 274,285
31 Sagestam injeksi Box 5 vial @ 2 ml Rp. 45,100 Rp. 49,610
32 Sanexon injeksi 500 mg Box 1 vial 500 mg Rp. 197,200 Rp. 216,920
33 Sanexon injeksi 125 mg Box 1 vial 125 mg Rp. 84,900 Rp. 93,390
34 Sankorbin injeksi Box 5 ampul @ 5 ml Rp. 124,800 Rp. 137,280
35 Sanmol infus Botol gelas 100 ml Rp. 56,600 Rp. 62,260
36 Sanpicillin injeksi Box 10 vial @ 1 gr Rp. 148,650 Rp. 163,515
Page 7 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
DAFTAR HARGA OBAT INJEKSI PER 21 NOPEMBER 2016
37 Sansulin N injeksi Box 5 cartridge @ 3 ml Rp. 593,250 Rp. 652,575

38 Sansulin R injeksi Box 5 cartridge @ 3 ml Rp. 593,250 Rp. 652,575
39 Sansulin M 30 injeksi Box 5 catridge @ 3 ml Rp. 593,250 Rp. 652,575
40 Santagesik injeksi Box 5 ampul @ 2 ml Rp. 43,050 Rp. 47,355
41 Santocyn injeksi Box 10 ampul @ 1 ml Rp. 106,600 Rp. 117,260
42 Taxegram 0,5 injeksi Vial 0,5 gr Rp. 67,500 Rp. 74,250
43 Taxegram injeksi Vial 1 gr Rp. 132,450 Rp. 145,695
44 Terfacef injeksi Vial 1 gr Rp. 195,800 Rp. 215,380
45 Tradosik injeksi Box 10 ampul @ 2 ml Rp. 149,650 Rp. 164,615
46 Trichodazol infus Softbag infus 100 ml Rp. 82,750 Rp. 91,025
47 Trovensis injeksi 4 mg Box 5 ampul @ 2 ml Rp. 156,750 Rp. 172,425
48 Trovensis injeksi 8 mg Box 5 ampul @ 4 ml Rp. 319,050 Rp. 350,955
49 Uresix injeksi Box 5 ampul @ 2 ml Rp. 38,700 Rp. 42,570
50 Valisanbe injeksi Box 10 ampul @ 2 ml Rp. 134,300 Rp. 147,730
51 Zidifec injeksi Vial 1 gr Rp. 241,800 Rp. 265,980
Page 8 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
DAFTAR HARGA VITAMIN/MINERAL + FOOD SUPPLEMENT PER 21 NOPEMBER 2016
1 Becom C film-coated caplet Box 10x10's Rp. 123,000 Rp. 135,300

2 Becom-Zet film-coated caplet Box 10x10's Rp. 164,000 Rp. 180,400
3 Berry Vision Dipersible tablet Box 10x10's Rp. 195,000 Rp. 214,500
4 Berry Vision tablet Box 10x10's Rp. 292,000 Rp. 321,200
5 Bevizil film-coated caplet Box 25x4's Rp. 138,500 Rp. 152,350
6 Biferce tablet effervescent Tube @ 10 tablet Rp. 21,850 Rp. 24,035
7 Biosanbe capsule Box 10x10's Rp. 92,500 Rp. 101,750
8 Caldece tablet effervescent Tube @ 10 tablet Rp. 25,650 Rp. 28,215
9 Day-Cal tablet Box 8x2's Rp. 23,200 Rp. 25,520
10 Elkana film-coated tablet Box 10x10's Rp. 72,000 Rp. 79,200
11 Elkana suspensi Botol gelas 60 ml Rp. 19,850 Rp. 21,835
12 Elkana CL Emulsi Botol gelas 120 ml Rp. 44,100 Rp. 48,510
13 Folavit 1 mg tablet Box 25x4's Rp. 164,000 Rp. 180,400
14 Folavit 400 g tablet Box 10x10's Rp. 77,000 Rp. 84,700
15 Munosan tablet effervescent Tube @ 10 tablet Rp. 87,250 Rp. 95,975
16 Neurosanbe 5000 sugar-coated tablet Box 10x10's Rp. 220,500 Rp. 242,550
17 Neurosanbe film-coated tablet Box 10x10's Rp. 102,500 Rp. 112,750
18 Neurosanbe Injeksi Box 10 ampul @ 3 ml Rp. 47,150 Rp. 51,865
19 Neurosanbe Plus film-coated caplet Box 10x10's Rp. 97,500 Rp. 107,250
20 Pervita film-coated caplet Box 10x10's Rp. 128,000 Rp. 140,800
21 Prenamia capsule Box 25x4's Rp. 102,500 Rp. 112,750
22 Probiokid powder Box @ 10 sachet Rp. 118,400 Rp. 130,240
23 Probistim capsule Box 3 blister x 10's Rp. 272,250 Rp. 299,475
24 Retivit film-coated caplet Box 10x10's Rp. 354,000 Rp. 389,400
25 Retivit plus film-coated caplet Box 10x10's Rp. 646,000 Rp. 710,600
26 San-B-Plex drops Botol gelas 15 ml Rp. 16,000 Rp. 17,600
27 Sanfuliq film-coated caplet Box 3x10's Rp. 135,300 Rp. 148,830
28 Santa E 100 sugar-coated caplet Box 25x4's Rp. 82,000 Rp. 90,200
29 Santa E 200 caplet Box 25x4's Rp. 179,500 Rp. 197,450
30 Santa E 400 caplet Box 25x4's Rp. 354,000 Rp. 389,400
31 Sanvita B syrup Botol gelas 120 ml Rp. 11,350 Rp. 12,485
32 Sanvita B Plus tablet effervescent Tube @ 10 tablet Rp. 33,350 Rp. 36,685
33 Vostem capsule Box 10x6's Rp. 240,000 Rp. 264,000
34 Vostem forte film-coated caplet Box 5x6's Rp. 169,200 Rp. 186,120
35 Vostem plus tablet effervescent Tube @ 10 tablet Rp. 77,550 Rp. 85,305
(Lemon / Orange)
Page 9 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
DAFTAR HARGA OBAT VISION PER 21 NOPEMBER 2016
1 Akilen ear drops Botol plastik 5 ml Rp. 56,200 Rp. 61,820

2 Baquinor eye drops Botol plastik 5 ml Rp. 31,250 Rp. 34,375
3 Betagentam eye drops Botol plastik 5 ml Rp. 50,900 Rp. 55,990
4 Betam-Ophtal eye drops Botol plastik 5 ml Rp. 50,900 Rp. 55,990
5 Blecidex sterile eye/ear drop Botol plastik 5 ml Rp. 38,900 Rp. 42,790
6 Bralifex eye drops Botol plastik 5 ml Rp. 31,100 Rp. 34,210
7 Bralifex Plus sterile eye drops Botol plastik 5 ml Rp. 43,050 Rp. 47,355
8 Crom-Ophtal eye drops Botol plastik 5 ml Rp. 46,650 Rp. 51,315
9 Flamar eye drops Botol plastik 5 ml Rp. 34,850 Rp. 38,335
10 Flamergi eye drops Botol plastik 5 ml Rp. 17,750 Rp. 19,525
11 Forumen ear drops Botol plastik 10 ml Rp. 23,650 Rp. 26,015
12 Fukricin eye drops Botol plastik 5 ml Rp. 64,100 Rp. 70,510
13 Glauseta tablet Box 10x10's Rp. 420,500 Rp. 462,550
14 Gaforin eye drops Botol plastik 5 ml Rp. 126,100 Rp. 138,710
15 Hyaloph eye drops Botol plastik 5 ml Rp. 59,800 Rp. 65,780
16 Levocin eye drops Botol plastik 5 ml Rp. 70,950 Rp. 78,045
17 Midric 0.5% eye drops Botol plastik 5 ml Rp. 26,650 Rp. 29,315
18 Miokar eye drops Botol plastik 5 ml Rp. 19,800 Rp. 21,780
19 Miriwash Larutan Irigasi Mata Softbag 500 ml Rp. 116,050 Rp. 127,655
20 Ocuflam eye drops Botol plastik 5 ml Rp. 47000
61,700 Rp. 67,870
21 Optibet eye drops Botol plastik 5 ml Rp. 39,000 Rp. 42,900
22 Otilon ear drops Botol plastik 8 ml Rp. 35,700 Rp. 39,270
23 Polidemisin eye drops Botol plastik 5 ml Rp. 25,650 Rp. 28,215
24 Polidemisin salep mata Tube 3,5 gr Rp. 32,800 Rp. 36,080
25 Polifrisin eye drops Botol plastik 5 ml Rp. 18,450 Rp. 20,295
26 Sagestam salep mata Tube 3,5 gr Rp. 33,850 Rp. 37,235
27 Sagestam eye drops Botol plastik 5 ml Rp. 26,650 Rp. 29,315
28 Sanbe Tears eye drops sterile Botol plastik 8 ml Rp. 20,350 Rp. 22,385
29 Santo tetes mata steril Botol plastik tetes 10 ml Rp. 15,050 Rp. 16,555
30 Temiral salep mata Tube 3,5 gr Rp. 44,500 Rp. 48,950
31 Tim-Ophtal 0,25% eye drops Botol plastik 5 ml Rp. 31,850 Rp. 35,035
32 Tim-Ophtal 0,5% eye drops Botol plastik 5 ml Rp. 44,100 Rp. 48,510
Page 10 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
DAFTAR HARGA BRANDED OBAT ONKOLOGI PER 21 NOPEMBER 2016
1 Doxetasan Injeksi 20 mg (Docetaxel) Box 1 vial @ 0,5 ml Rp. 1,854,450 Rp. 2,039,895
+ 1 vial solvent @ 1,5 ml
2 Doxetasan Injeksi 80 mg (Docetaxel) Box 1 vial @ 0,5 ml Rp. 5,408,700 Rp. 5,949,570
+ 1 vial solvent @ 1,5 ml
3 Getanosan 200 Injeksi (Gemcitabine) Box 1 vial @ 200 mg Rp. 695,450 Rp. 764,995
4 Getanosan 1000 Injeksi (Gemcitabine) Box 1 vial @ 1000 mg Rp. 2,972,500 Rp. 3,269,750
5 Neukin Injeksi (Filgrastim 300 g) Box 1 pre-filled syringe @ 1 mL Rp. 717,500 Rp. 789,250
6 Rasteo Injeksi (Vinkristin Sulfat 1 mg) Box 1 vial 1 ml Rp. 102,500 Rp. 112,750
7 Rasteo Injeksi (Vinkristin Sulfat 2 mg) Box 1 vial 2 ml Rp. 194,750 Rp. 214,225
8 Romisan 40 mg Injeksi (Irinotecan) Box 1 vial @ 2 ml Rp. 927,250 Rp. 1,019,975
9 Romisan 100 mg Injeksi (Irinotecan) Box 1 vial @ 5 ml Rp. 1,912,350 Rp. 2,103,585
10 Rubisandin 10 mg Injeksi (Epirubicin HCl) Box 1 vial @ 5 ml Rp. 255,000 Rp. 280,500
11 Sandobicin 10 mg Injeksi (Doxorubicin HCl) Box 1 vial @ 5 ml Rp. 169,300 Rp. 186,230
12 Sandobicin 50 mg Injeksi (Doxorubicin HCl) Box 1 vial @ 25 ml Rp. 695,550 Rp. 765,105
13 Santotaxel 30 mg Injeksi (Paclitaxel) Box 1 vial @ 5 ml Rp. 999,100 Rp. 1,099,010
14 Santotaxel Injeksi 100 mg (Paclitaxel) Box 1 vial @ 16,7 ml Rp. 2,595,050 Rp. 2,854,555
15 Sanroxa 50 mg Injeksi (Oxaliplatin) Box 1 vial @ 10 ml Rp. 1,970,400 Rp. 2,167,440
16 Sanotrexat 50 mg Injeksi (Methotrexate) Box 1 vial @ 2 ml Rp. 66,300 Rp. 72,930
DAFTAR HARGA GENERIK OBAT ONKOLOGI PER 21 NOPEMBER 2016
1 Docetaxel 20 mg Injeksi Box 1 vial @ 0,5 ml Rp. 1,390,850 Rp. 1,529,935

2 Docetaxel 80 mg injeksi Box 1 vial @ 0,5 ml Rp. 3,466,550 Rp. 3,813,205
3 Doxorubicin HCl 10 mg Injeksi Box 1 vial @ 5 ml Rp. 73,050 Rp. 80,355
4 Doxorubicin HCl 50 mg Injeksi Box 1 vial @ 25 ml Rp. 278,450 Rp. 306,295
5 Epirubicin HCl 10 mg Injeksi Box 1 vial @ 5 ml Rp. 173,900 Rp. 191,290
6 Gemcitabine 200 mg Injeksi Box 1 vial @ 200 mg Rp. 478,150 Rp. 525,965
7 Gemcitabine 1000 mg Injeksi Box 1 vial @ 1000 mg Rp. 1,694,350 Rp. 1,863,785
8 Irinotecan HCl 40 mg Injeksi Box 1 vial @ 2 ml Rp. 732,350 Rp. 805,585
9 Irinotecan HCl 100 mg Injeksi Box 1 vial @ 5 ml Rp. 1,778,500 Rp. 1,956,350
10 Oxaliplatin 50 mg Injeksi Box 1 vial @ 10 ml Rp. 1,501,500 Rp. 1,651,650
11 Paclitaxel 30 mg Injeksi Box 1 vial @ 5 ml Rp. 522,750 Rp. 575,025
12 Paclitaxel 100 mg Injeksi Box 1 vial @ 16,7 ml Rp. 1,313,300 Rp. 1,444,630
13 Methotrexate 50 mg Injeksi Box 1 vial @ 2 ml Rp. 44,200 Rp. 48,620
14 Vincristine Injeksi 1 mg Box 1 vial 1 ml Rp. 71,750 Rp. 78,925
15 Vincristine Injeksi 2 mg Box 1 vial 2 ml Rp. 107,650 Rp. 118,415
Page 11 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
DAFTAR HARGA - INFUS PER 21 NOPEMBER 2016
BASIC SOLUTION SANBE DOUBLE PORT

1 Infusan RL Softbag 500 ml Rp. 17,800 Rp. 19,580
2 Infusan D5 Softbag 500 ml Rp. 18,150 Rp. 19,965
3 Infusan NS Softbag 500 ml Rp. 17,350 Rp. 19,085
4 Infusan D5 + 1/2 NS Softbag 500 ml Rp. 18,550 Rp. 20,405
6 Infusan R + D Softbag 500 ml Rp. 18,650 Rp. 20,515
7 Infumal 10% Softbag 500 ml Rp. 84,400 Rp. 92,840
8 Infusan Ring AS Softbag 500 ml Rp. 20,000 Rp. 22,000
9 Tridex 27A Softbag 500 ml Rp. 19,500 Rp. 21,450
10 Tridex 27B Softbag 500 ml Rp. 19,500 Rp. 21,450
11 Tridex 100 Softbag 500 ml Rp. 21,250 Rp. 23,375
12 Tridex Plain Softbag 500 ml Rp. 18,100 Rp. 19,910
13 Hydromal Softbag 500 ml Rp. 66,000 Rp. 72,600
14 Infusan NS 100 ml Softbag 100 ml Rp. 15,450 Rp. 16,995
15 Infusan NS 250 ml Softbag 250 ml Rp. 15,300 Rp. 16,830
16 Infusan D5 100 ml Softbag 100 ml Rp. 16,200 Rp. 17,820
17 Infusan D5 250 ml Softbag 250 ml Rp. 16,100 Rp. 17,710
18 Futrolit Infus Softbag 500 ml Rp. 52,950 Rp. 58,245
20 Infusan D5 + NS Softbag 500 ml Rp. 16,850 Rp. 18,535
21 Infusan D2,5 + 1/2 NS Softbag 500 ml Rp. 16,250 Rp. 17,875
22 Sanbe Water for Irrigation Softbag 1000 ml Rp. 16,650 Rp. 18,315
23 Sanbe Water for Irrigation Softbag 2000 ml Rp. 25,950 Rp. 28,545
INFUS ASAM AMINO & NUTRISI

1 Amiten Botol gelas 200 ml Rp. 88,300 Rp. 97,130
2 Renosan Botol gelas 500 ml Rp. 228,200 Rp. 251,020
3 Livamin Botol gelas 500 ml Rp. 192,350 Rp. 211,585
4 Precopar Botol gelas 500 ml Rp. 193,850 Rp. 213,235
5 Benutrion VE Botol gelas 250 ml Rp. 100,700 Rp. 110,770
6 Valamin Infus Botol gelas 500 ml Rp. 65,350 Rp. 71,885
Page 12 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
DAFTAR HARGA - INFUS PER 21 NOPEMBER 2016
BASIC SOLUTION SANBE SINGLE PORT

1 Infusan RL Softbag 500 ml Rp. 16,300 Rp. 17,930
3 Infusan NS Softbag 500 ml Rp. 15,850 Rp. 17,435
6 Infusan R + D Softbag 500 ml Rp. 17,100 Rp. 18,810
7 Infumal 10% Softbag 500 ml Rp. 82,900 Rp. 91,190
8 Infusan Ring AS Softbag 500 ml Rp. 18,550 Rp. 20,405
9 Infusan M20 Softbag 500 ml Rp. 76,800 Rp. 84,480
10 Infucap RL Softbag 500 ml Rp. 16,300 Rp. 17,930
11 Infucap NS Softbag 500 ml Rp. 15,850 Rp. 17,435
12 Infucap Ring AS Softbag 500 ml Rp. 18,550 Rp. 20,405
13 Infucap D5 Softbag 500 ml Rp. 16,750 Rp. 18,425
14 Infucap D5 + 1/4 NS Softbag 500 ml Rp. 16,850 Rp. 18,535
15 Infucap D5 + 1/2 NS Softbag 500 ml Rp. 16,950 Rp. 18,645
16 Infucap R+D Softbag 500 ml Rp. 17,100 Rp. 18,810
17 Captosa 10% Softbag 500 ml Rp. 82,900 Rp. 91,190
OTHERS
1 Infusan NS irigasi Softbag 1000 ml Rp. 23,250 Rp. 25,575
2 Proanes 1% (MCT/LCT) Box 5 ampul @ 20 ml Rp. 365,500 Rp. 402,050
3 Sanbe Hest 130 Softbag 500 ml Rp. 190,050 Rp. 209,055
4 Sanbe Hest 200 Softbag 500 ml Rp. 178,250 Rp. 196,075
5 Enerton 500 Softbag 500 ml Rp. 71,300 Rp. 78,430
6 Asentrat Jerigen 5 liter Rp. 74,000 Rp. 81,400
7 Bicarlis Jerigen 5 liter Rp. 57,400 Rp. 63,140
8 Lipomed 20% (MCT/LCT) Botol gelas 100 ml Rp. 115,600 Rp. 127,160
Page 13 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
DAFTAR HARGA OBAT PERTANGGAL 21 NOVEMBER 2016
NO NAMA OBAT KEMASAN HNA HNA + PPN HET
1 Amoxsan 250 mg capsule Box 10x10's Rp 147,500 Rp 162,250 Rp 202,813
2 Amoxsan 250 mg dispersible tablet Box 10x10's Rp 130,000 Rp 143,000 Rp 178,750
3 Amoxsan 500 mg capsule Box 10x10's Rp 302,000 Rp 332,200 Rp 415,250
4 Amoxsan dry syrup Botol gelas 60 ml Rp 20,710 Rp 22,781 Rp 28,476
5 Amoxsan forte dry syrup Botol gelas 60 ml Rp 29,535 Rp 32,489 Rp 40,611
6 Amoxsan injeksi Box 10 vial @ 1 gr Rp 207,100 Rp 227,810 Rp 284,763
7 Amoxsan Peadiatric drop Botol gelas 15 ml Rp 20,710 Rp 22,781 Rp 28,476
8 Canicol 500 mg capsule Box 10x10's Rp 314,500 Rp 345,950 Rp 432,438
9 Caprenem 0,5 injeksi 1 vial @ 0,5 g Rp 226,300 Rp 248,930 Rp 311,163
10 Caprenem 1 injeksi 1 vial @ 1 g Rp 429,950 Rp 472,945 Rp 591,181
11 Caprazol Kapsul Box 2x10's Rp 214,200 Rp 235,620 Rp 294,525
12 Cardicap 5 Tablet Box 5x10's Rp 262,500 Rp 288,750 Rp 360,938
13 Cardicap 10 Tablet Box 5x10's Rp 460,000 Rp 506,000 Rp 632,500
14 Capsinat 500 mg film-coated caplet Box 5x6's Rp 310,500 Rp 341,550 Rp 426,938
15 Capsinat Dry Syrup Botol 60 ml Rp 45,200 Rp 49,720 Rp 62,150
16 Capsinat Forte Dry Syrup Botol 60 ml Rp 59,450 Rp 65,395 Rp 81,744
17 Capsinat Injeksi 6 vial @1,2 g Rp 452,400 Rp 497,640 Rp 622,050
18 Caprenafil 50 Box 1x4 Kaplet Salut Film Rp 222,600 Rp 244,860 Rp 306,075
19 Caprenafil 100 Box 1x4 Kaplet Salut Film Rp 292,400 Rp 321,640 Rp 402,050
20 Caprifim Injeksi 1 vial @ 1 g Rp 255,700 Rp 281,270 Rp 351,588
21 Capritazin Kaplet Box 3x10's Rp 75,000 Rp 82,500 Rp 103,125
22 Capritazin Syrup Botol 60 ml Rp 41,000 Rp 45,100 Rp 56,375
23 Capritazin Drop Botol 20 ml Rp 45,000 Rp 49,500 Rp 61,875
1 vial @ 1 g dan 1 ampul aqua pro

24 Caprocef Injeksi Rp 231,950 Rp 255,145 Rp 318,931
injeksi @ 10 ml
25 Caproliv Kaplet Box 6x10's Rp 271,500 Rp 298,650 Rp 373,313
26 Cefacef Kapsul Box 3x10's Rp 516,000 Rp 567,600 Rp 709,500
27 Cefacef Dry Syrup Botol 30 ml Rp 71,350 Rp 78,485 Rp 98,106
28 Centabio gel Tube 20 gr Rp 14,750 Rp 16,225 Rp 20,281
29 Ciprec 500 mg caplet Box 2x10's Rp 240,000 Rp 264,000 Rp 330,000
30 Denufam 20 mg film-coated tablet Box 5x6's Rp 97,500 Rp 107,250 Rp 134,063
Bandung, 21 November 2016
Page 14 of 15
Telp : (022) 4207725 (Hunting)
Fax : (022) 4261035, 4261036, 4261085
DAFTAR HARGA OBAT PERTANGGAL 21 NOVEMBER 2016
NO NAMA OBAT KEMASAN HNA HNA + PPN HET
31 Femisic 500 mg caplet Box 10x10's Rp 110,000 Rp 121,000 Rp 151,250
32 Floxacap Tablet Salut Film Box 3x6's Rp 577,800 Rp 635,580 Rp 794,475
33 Floxacap Infus Softbag 100 ml Rp 237,000 Rp 260,700 Rp 325,875
34 Folavicap 400 Box 10x10's Rp 65,000 Rp 71,500 Rp 89,375
35 Folavicap 1000 Box 10x10's Rp 140,000 Rp 154,000 Rp 192,500
36 Formuno film-coated caplet Box 3x10's Rp 175,500 Rp 193,050 Rp 241,313
37 Formuno extra effervescent tablet Tube @ 10 effervescent tablet Rp 90,500 Rp 99,550 Rp 124,438
38 Heptasan film-coated tablet Box 10x10's Rp 22,000 Rp 24,200 Rp 30,250
39 Intricef Inj 1 vial @ 1 g Rp 158,400 Rp 174,240 Rp 217,800
40 Liproqy capsule Box 5x6's Rp 192,000 Rp 211,200 Rp 264,000
41 Logista tablet Box 10x10's Rp 400,000 Rp 440,000 Rp 550,000
42 Pelascap Inj 1 vial @ 1 g Rp 267,050 Rp 293,755 Rp 367,194
43 Phenacold 60 ml Botol gelas 60 ml Rp 7,075 Rp 7,783 Rp 9,728
44 Phenacold 120 ml Botol gelas 120 ml Rp 10,750 Rp 11,825 Rp 14,781
45 Roksicap 500 mg capsule Box 10x10's Rp 890,000 Rp 979,000 Rp 1,223,750
46 Roksicap Dry Syrup Botol 60 ml Rp 36,850 Rp 40,535 Rp 50,669
47 Roksicap Forte Dry Syrup Botol 60 ml Rp 59,450 Rp 65,395 Rp 81,744
48 Sanbe Kids' Emulson Botol 200 ml Rp 32,850 Rp 36,135 Rp 45,169
49 Sancortmycin Ointment Tube 10 gr Rp 9,000 Rp 9,900 Rp 12,375
50 Taxecap Inj. 1 vial @ 1 g Rp 101,050 Rp 111,155 Rp 138,944
51 Ultravita film-coated caplet Box 4x25 catch cover Rp 120,000 Rp 132,000 Rp 165,000
52 Visancort Cream Tube 10 gr Rp 7,950 Rp 8,745 Rp 10,931
53 Zeliris cream Tube 10 gr Rp 27,600 Rp 30,360 Rp 37,950
54 Zolacap Box 2x10's Rp 215,000 Rp 236,500 Rp 295,625
-2- Bandung, 21 November 2016
Page 15 of 15

Lampiran Harga Produk Sanbe Dan Capri 21 Nov&#39;2016-1

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Lampiran Harga Produk Sanbe Dan Capri 21 Nov&#39;2016-1

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Jl. Purnawarman No.

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

Bandung, 21 Nopember 2016

DAFTAR HARGA OBAT RESEP PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

Bandung, 21 Nopember 2016

DAFTAR HARGA OBAT RESEP PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

74 Fibrozol 50 tablet Box 5x10's Rp. 315,250 Rp. 346,775

Bandung, 21 Nopember 2016

DAFTAR HARGA OBAT RESEP PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

Bandung, 21 Nopember 2016

DAFTAR HARGA OBAT RESEP PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA+PPN

Bandung, 21 Nopember 2016

DAFTAR HARGA OBAT RESEP PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA+PPN

Bandung, 21 Nopember 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

1 Acran injeksi Box 5 ampul @ 2 ml Rp. 96,600 Rp. 106,260

Bandung, 21 Nopember 2016

DAFTAR HARGA OBAT INJEKSI PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

37 Sansulin N injeksi Box 5 cartridge @ 3 ml Rp. 593,250 Rp. 652,575

DAFTAR HARGA VITAMIN/MINERAL + FOOD SUPPLEMENT PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

1 Becom C film-coated caplet Box 10x10's Rp. 123,000 Rp. 135,300

Bandung, 21 Nopember 2016

DAFTAR HARGA OBAT VISION PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

1 Akilen ear drops Botol plastik 5 ml Rp. 56,200 Rp. 61,820

Bandung, 21 Nopember 2016

DAFTAR HARGA BRANDED OBAT ONKOLOGI PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

DAFTAR HARGA GENERIK OBAT ONKOLOGI PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

1 Docetaxel 20 mg Injeksi Box 1 vial @ 0,5 ml Rp. 1,390,850 Rp. 1,529,935

Bandung, 21 Nopember 2016

DAFTAR HARGA - INFUS PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

BASIC SOLUTION SANBE DOUBLE PORT

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

INFUS ASAM AMINO & NUTRISI

Bandung, 21 Nopember 2016

DAFTAR HARGA - INFUS PER 21 NOPEMBER 2016

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

BASIC SOLUTION SANBE SINGLE PORT

NO. NAMA PRODUK KEMASAN HNA HNA + PPN

Bandung, 21 Nopember 2016

DAFTAR HARGA OBAT PERTANGGAL 21 NOVEMBER 2016

NO NAMA OBAT KEMASAN HNA HNA + PPN HET

1 Amoxsan 250 mg capsule Box 10x10's Rp 147,500 Rp 162,250 Rp 202,813

2 Amoxsan 250 mg dispersible tablet Box 10x10's Rp 130,000 Rp 143,000 Rp 178,750

3 Amoxsan 500 mg capsule Box 10x10's Rp 302,000 Rp 332,200 Rp 415,250

4 Amoxsan dry syrup Botol gelas 60 ml Rp 20,710 Rp 22,781 Rp 28,476

5 Amoxsan forte dry syrup Botol gelas 60 ml Rp 29,535 Rp 32,489 Rp 40,611

6 Amoxsan injeksi Box 10 vial @ 1 gr Rp 207,100 Rp 227,810 Rp 284,763

7 Amoxsan Peadiatric drop Botol gelas 15 ml Rp 20,710 Rp 22,781 Rp 28,476

8 Canicol 500 mg capsule Box 10x10's Rp 314,500 Rp 345,950 Rp 432,438

9 Caprenem 0,5 injeksi 1 vial @ 0,5 g Rp 226,300 Rp 248,930 Rp 311,163

10 Caprenem 1 injeksi 1 vial @ 1 g Rp 429,950 Rp 472,945 Rp 591,181

11 Caprazol Kapsul Box 2x10's Rp 214,200 Rp 235,620 Rp 294,525

12 Cardicap 5 Tablet Box 5x10's Rp 262,500 Rp 288,750 Rp 360,938

Lampiran Harga Produk Sanbe Dan Capri 21 Nov'2016-1

Lampiran Harga Produk Sanbe Dan Capri 21 Nov'2016-1