Obat Katalog Tahun 2017 2

DAFTAR E-KATALOG OBAT TAHUN 2017
No. Nama Obat Generik Kemasan Harga

1 4-EPEEDO-10 Epirubisin INJ 10 mg/5 ml Dus, 1 Vial @ 10 mg Rp 93,578.00
2 4-EPEEDO-50 Epirubisin serbuk 50 mg/25 ml Dus, 1 Vial @ 50 mg Rp 427,500.00
3 ABILIFY DISCMELT 10 MG Aripiprazol tab discmelt 10 mg tablet discmelt 10 mg Rp 22,148.00
4 ABINGEM 1000 gemsitabin serb inj 1000 mg Dus, 1 Vial @ 1000 mg Rp 720,000.00
5 ABINGEM 200 gemsitabin serb inj 200 mg Dus, Tube @ 5 g Rp 157,500.00
6 ACDAT Natrium fusidat krim 20 mg/g Dus, Tube @ 5 g Rp 6,709.00
7 ACTATECAN Irinotekan inf 20 mg/ml Dus, 1 Vial @ 5 ml Rp 715,500.00
Dus, 2 Dus @1Vial @ 50mg + 1 Vial
8 ACTILYSE Alteplase serb inj 50mg/vial Rp 4,125,000.00
Pelarut @50mL + 1 Cannula transfer
9 ACTOPLATIN karboplatin inj 150 mg/15ml Dus, 1 vial @ 45 mL Rp 165,375.00
10 ACTOPLATIN karboplatin inj 450 mg/45ml Dus, 1 vial @ 15 Ml Rp 416,233.00
11 ACTRAPID HM Human insulin Short vial 10 ml Dus, 1 vial @ 10 ml Rp 143,500.00
Dus, 2 Dus @1Vial @ 50mg + 1 Vial
12 ACTRAPID HM PENFILL Human insulin Short penvil/catridge 100 UI Rp 76,000.00
Pelarut @50mL + 1 Cannula transfer
13 ADALAT OROS 20 Nifedipin tab 20 mg, slow release; oros Dus, 3 blister @ 10 tablet Rp 3,285.00
14 ADALAT OROS 30 Nifedipin tab 30 mg, SR, oros Dus, 3 blister @ 10 tablet Rp 3,645.00
15 ALBAPURE 20 Albumin 20% 100 ml Dus, 1 Vial @ 100 mL Rp 850,000.00
16 ALBUMINAR 25 Albumin 25% 100 ml Dus, Vial @ 100 mL Rp 1,500,000.00
17 ALBUNORM 25% Albumin 25% 100 ml Botol, 100 mL Rp 1,500,000.00
18 ALBUNORM 25% Albumin 25% 50 ml Botol, 50 mL Rp 750,000.00
19 ALIMTA Pemetrekset ser binj 500 mg Dua, vial @ 500 mg Rp 10,582,000.00
20 ALKERAN Melphalan 2 mg Dus, botol@25 tablet salut selaput Rp 12,144.00
21 ALPENTIN Gabapentin tablet/kapsul/kaplet 100 mg Dus, 5 blister @ 10 kapsul Rp 1,396.00
22 ALUVIA Kombinasi: Lopinavir 200 mg + Ritonavir (LPV/r) 50 mg Botol @ 120 Tablet Rp 6,600.00
23 AMINOFLUID Larutan mengandung Asam Amino (Aminofluid 1000 ml) Softbag, 1000 ml Rp 118,250.00
24 AMINOFLUID Larutan mengandung Asam Amino (Aminofluid 500 ml) Softdoublebag @500ml Rp 64,990.00
25 AMINOFUSIN HEPAR Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%,
Botol
L-Ornithine
@ 500 mlL Aspartate 8,03 g/L, Sorbitol
Rp50 g/L, Xylitol
88,500.00
50 g/L)
26 AMINOFUSIN L 600 Larutan mengandung Asam Amino (kombinasi AA 50 g/L, sorbitol 50 g/L,
Botol
Xylitol
@ 500 50 ml
g/L, vit C 0,4 g/L, Inositol 0,5 g/L,
Rp Niasinamid
56,200.00
0,06 g/L, vit B6 0,04 g/L, Riboplavin Na Fosfat
27 AMINOFUSIN PAED Larutan mengandung Asam Amino (Kombinasi Asam Amino 50 gr/L, vitamin
Botol @
dan
250
elektronik)
ml Rp 52,000.00
28 AMINOLEBAN INJ Larutan mengandung Asam Amino (Aminoleban, 500 mL) Softbag, 500 ml Rp 71,100.00
29 AMINOSTERIL INFANT 6% Larutan mengandung Asam Amino (Asam Amino 6%) Botol Rp 43,450.00
30 AMINOSTERIL N-HEPA 8% Larutan mengandung Asam Amino (Asam Amino 8%) Botol Rp 71,500.00
31 AMIPAREN INJ Larutan mengandung Asam Amino (aminparen injeksi) Softbag, 500 ml Rp 86,275.00
32 ANDRIOL TESTOCAPS Testosteron kapsul lunak 40 mg Dus, 6 blister @ 10 kapsul lunak Rp 6,200.00
33 ANZATAX paklitaksel inj 6 mg/ml (inj 30 mg/ml) Dus, 1 vial @ 5mL Rp 130,500.00
34 APIDRA Rapid insulin pen/flexpen/catridge Dus, 5 solostar pen @ cartridge 3 mL Rp 87,000.00
35 ARAVA Leflunomid tab sal selaput 20 mg Dus, botol @ 30 tablet salut selaput Rp 23,322.00
36 ARICEPT EVESS 10 MG Donepezil tablet effervescent 10 mg Dus,1 sachet @ 2 blister @ 14 tablet Rp 12,485.00
37 ARIMIDEX 1MG Anastrozol tablet salut selaput 1 mg Dus, 2 blister @ 14 tablet salut selaput Rp 8,800.00
38 ARIXTRA Fondaparinuks sodium 2,5 mg/0,5 ml Dus, 2 prefilled syringe@ 2,5 ml Rp 290,000.00
39 AROMARA 2.5 MG Letrozole tab 2,5 mg Dus 3 Blister@10 tablet salut selaput Rp 8,525.00
40 AROMASIN Eksemestan tablet 25 mg Blister, Tablet Rp 42,129.00
Dus, 1 vial @ 60 mg + 1 ampul pelarut @
41 ARTESUNATE Artesunate injeksi i.v./i.m. 60 mg/ml Rp 46,800.00
1 mL
42 ASERING Asetat Ringer (Plabot) Plabott,500 ml Rp 9,275.00
43 ASERING Asetat Ringer (Softbag) Sotbag 500 ml Rp 9,275.00
44 ATIVAN 1 MG Lorazepam tablet/kapsul/kaplet 1 mg Dus, 10 strip @ 10 tablet Rp 1,100.00
45 ATROVENT Ipratropium bromida inhalasi 20 mcg/semprot Dus, Canister @200 Dosis (10mL) Rp 83,500.00
46 AVAMYS Flutikason furoat 27,5 mcg/spray (Flutikason furoat intranasal spray) Dus, Botol@120 spray Rp 103,000.00
47 AVELOX Moksifloksasin infus 400mg/250ml (inf 1,6 mg/ml) Dus, botol @ 250 ml Rp 240,000.00
48 AVODART Dutasterid 0,5 mg Dus, 3 Blister@10 Kapsul lunak Rp 7,750.00
49 AZOPT Brinzolamid tetes mata 1% Botol 5 mL Rp 127,000.00
50 BACTESYN Kombinasi: Ampisilin 500 mg + Sulbaktam 250 mg serb inj 750 mg Dus, 1 vial @ 0.75 gr Rp 51,843.00
Dus, 1 dus @ 10 vial @ 0,75 mg (10 dosis Rp

51 BCG VACCINE SSI Vaksin BCG inj. Ik 0,75 mg/ml + pelarut 59,950.00
dewasa) + 1 dus @ 10 vial pelarut @ 1 mL
52 BCG VACCINE Vaksin BCG (SII) Dus, 50 Vial @ 20 dosis + pelarut Rp 59,950.00
53 BELLOXA oksaliplatin serb inj 100 mg Dus, vial @ 100 mg Rp 794,500.00
54 BELLOXA oksaliplatin serb inj 50 mg Dus, vial @ 50 mg Rp 394,500.00
55 BEROTEC MDI Fenoterol HBr ih 100 mcg/puff Dus, Canister @200 Dosis Rp 80,000.00
56 BEROTEC SOLUTION Fenoterol HBr inh solution 0,1% Dus, Botol @50ml Rp 25,750.00
57 BETA-ONE Bisoprolol tablet/kapsul/kaplet 2,5 mg Dus, 5 strip @ 10 tablet salut selaput Rp 649
58 BETABLOK Atenolol tablet/kapsul/kaplet 100 mg Dus, 3 strip @ 10 tablet Rp 730
59 BETABLOK Atenolol tablet/kapsul/kaplet 50 mg Dus, 3 strip @ 10 tablet Rp 310
60 BIOPREXUM 5 MG Perindoprilarginin tab 5 mg Dus, Botol Plastik @ 30 tablet Rp 2,640.00
61 BIOSAT 1,5 Serum antitetanus (A.T.S) cairan inj 1500 IU/amp (i.m) Dus, 10 Ampul @ 1 ml Rp 126,500.00
62 BIOSAVE Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v) Dus, 1 Vial @ 5 ml Rp 462,000.00
63 BLEOCIN Bleomisin Serb inj 15 mg/ml Dus, 1 Vial @ 15 mg Rp 345,000.00
64 BLOREC Karvedilol tablet/kapsul/kaplet 25 mg Dus, 3 strip @ 10 salut selaput Rp 2,800.00
65 BONDRONAT Asam Ibandronat inj 6mg/6ml Box, 1 vial Rp 2,150,000.00
66 BONEFOS INFUS 60 MG/ML Dinatrium klodronat infus kons 60 mg/mL Dus, 5 Ampul @ 5 mL Rp 98,500.00
67 BONESCAN KAEF MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/mlDus, @ 5 vial Rp 612,000.00
Dus, 1 Vial @ 0,5 ml + 1 Vial pelarut @1,5 Rp

68 BREXEL Dosetaksel inj 20 mg/ 0.5 ml 421,250.00
mL
69 BREXEL dosetaksel inj 80 mg/2 ml Dus, 1 Vial @ 2 ml + 1 Vial pelarut @6 mL Rp 1,325,000.00

70 BRICASMA 0,5 MG/ML Terbutalin injeksi s.k./i.v. 0,5 mg/ml Dus, 5 ampul @1ml Rp 11,500.00
Dus, 2 pouch @5 respules @2ml - Dus, 4 Rp

71 BRICASMA RESPULES Terbutalin cairan ih 2,5 mg/ml 6,850.00
pouch @5 respules @2ml (kemasan bulk)
72 BRICASMA Terbutalin serbuk ih 0,50 mg Dus, 1 turbuhaler @100 dosis Rp 56,012.00

73 BRILINTA Tikagrelor tablet 90 mg Dus, 4 blister @14 tablet salut selaput Rp 7,500.00
74 BRONSOLVAN Teofilin tablet/kapsul/kaplet 150 mg Dus, 10 strip @ 10 tablet Rp 342
75 BUFACETINE Kloramfenikol salep kulit 2% Dus, tube @ 15 g Rp 3,382.00
76 CALPOROSIS D 500 Kalsium Karbonat tablet/kapsul/kaplet 500 mg Dus, 3 Blister @ 10 Kaplet hisap Rp 500
77 CAMPTO 100MG/5ML Irinotekan inf 20 mg/ml vial Rp 715,500.00
78 CAMPTO 40MG/2ML Irinotekan inj 20 mg/ml vial Rp 380,843.00
79 CARDURA 1MG Doksazosin mesilat tablet 1 mg Blister, Tablet Rp 3,395.00
80 CARDURA 2MG Doksazosin mesilat tablet 2 mg Blister, Tablet Rp 5,363.00
81 CASODEX 150MG Bikalutamid tablet salut 150 mg Dus, 2 blister @ 14 tablet salut selaput Rp 33,988.00
82 CASODEX 50MG Bikalutamid tablet salut 50 mg Dus, 2 blister @ 14 tablet salut selaput Rp 20,090.00
83 CATAPRES 150MCG Klonidin injeksi i.v 0,15 mg/ml (HCL) (150 mcg/ml) Dus, 10 Ampul @1mL Rp 32,600.00
84 CELLCEPT Mikofenolat mofetil tab 500 mg Box , 50 tabs. Rp 17,500.00
85 CERAZETTE Desogestrel tablet 75 mcg Dus, 1 blister @ 28 tablet salut selaput Rp 75,000.00
86 CERTICAN Everolimus tab 0,25 mg Dus Rp 11,813.00
87 CERTICAN Everolimus tab 0,5 mg Dus Rp 23,000.00
88 CETADOP Dopamin injeksi 40 mg/ml Dus, 5 Ampul @ 5 ml Rp 7,579.00
89 CHLORAMEX Kloramfenikol tablet/kapsul/kaplet 500 mg Dus, 10 strip @ 10 kapsul Rp 1,258.00
90 CIAZIL epirubisin inj 10mg/5ml Dus, 1 vial @ 5 ml Rp 89,000,00
91 CIAZIL epirubisin serb 50 mg/25ml Dus, 1 vial @ 25 ml Rp 427,500.00
92 CISTEEN Sisplatin serb inj 10 mg Dus, 1 vial 10 ml Rp 24,750.00
93 CISTEEN Sisplatin serb inj 50 mg Dus, 1 vial 50 ml Rp 108,900.00
94 CITABOL gemsitabin serb inj 1000 mg Dus, 1 vial @ 1000 mg Rp 695,000.00
95 CITABOL gemsitabin serb inj 200 mg Dus, 1 vial @ 200 mg Rp 145,000.00
96 CLINIMIX N9G15E Larutan mengandung Asam Amino Kombinasi (kombinasi glukosa 75 g dan
Botol
elektrolit
Plastik @
+ Asam
1000 Amino
ml 28 g) Rp 225,000.00
97 CLINIMIX N9G20E Larutan mengandung Asam Amino Kombinasi (kombinasi glukosa 100 g Botol
dan elektrolit
Plastik @+1000
Asamml
Amino 28 g) Rp 230,000.00
98 CLINOLEIC 20% Larutan mengandung Lipid (Lipomed 20%, Lipofudin 20%, Clinololeic, Smoflipi),
Plastickemasan
bag @250
250
mlml Rp 169,125.00
99 COMAFUSIN HEPAR Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 50%,
Botol
L-Ornithine
@ 500 mlL Aspartate 10 gr/L, Sorbito 50
Rp gr/L, Xylitol
81,750.00
50 gr/L)
Dus, 5 kantong plastik

100 COMBIFLEX PERI Larutan mengandung Asam Amino (kombinasi glukosa & elektrolit 80 gram + Asam Amino 40 gr)(2 kompartemen) Rp 225,000.00
@1,000ml
101 COMBIVENT UDV Kombinasi: Ipratropium bromida inhalasi 0,5 mg + Salbutamol 2,5 mg Dus, 20 Vial @ 2,5ml Rp 5,700.00
102 COMTRO Klaritromisin sir kering 125 mg/5 ml Dus, botol @ 30 ml Rp 31,680.00
103 CONCOR 1.25 Bisoprolol tab 1,25 mg Dus, 5 blister @ 10 tablet Rp 1,808.00
104 CONCOR 10 Bisoprolol tab 10 mg Dus, 3 blister @ 10 tablet Rp 2,848.00
105 CORALAN TAB 5 MG Ivabradin tab 5 mg dus, 4 blister @ 14 tablet salut selaput Rp 7,260.00
106 CURACIL fluorourasil inj 50 mg/ml (10 ml) Dus, 1 Vial @ 10 ml Rp 36,050.00
107 CYCLOVID 1.000 siklofosfamid serb inj 1.000 mg (i.v.) DUS, 1 VIAL @ 1 G Rp 241,164.00
108 CYCLOVID 200 siklofosfamid serb inj 200 mg (i.v.) DUS, 1 VIAL @ 200 MG Rp 75,240.00
109 CYCLOVID 500 siklofosfamid serb inj 500 mg (i.v.) DUS, 1 VIAL @ 500 MG Rp 125,830.00
110 CYMEVENE Gansiklovir serb inj 500 mg Box, 1 amp Rp 445,000.00
111 CYTODROX Hidroksi Urea tablet/kapsul/kaplet 500 mg Dus, 10 strip @ 10 kapsul Rp 4,895.00
112 DACARBAZINE MEDAC dakarbazin serb inj 200 mg Dus, 10 vial @ 200 mg Rp 275,000.00
113 DARYANT TULLE Framisetin sulfat tulle 1% Dus Rp 10,175.00
114 DAUNOCIN 20 MG Daunorubisin serb inj 20 mg/vial DUS, 1 VIAL @ 20 MG Rp 251,460.00
115 DAXOTEL Dosetaksel inj 20 mg/ 0.5 ml Vial Rp 352,000.00
116 DAXOTEL dosetaksel inj 80 mg/2 ml Vial Rp 990,000.00
117 DBL CARBOPLATIN karboplatin inj 150 mg/15ml Dus, 1 vial @ 15mL Rp 129,000.00
118 DBL CARBOPLATIN karboplatin inj 450 mg/45ml Dus, 1 vial @ 45mL Rp 297,000.00
119 DBL CYTARABINE INJECTION Sitarabin inj 100 mg/vial Dus, 1 Vial @ 10 mL Rp 573,500.00
120 DBL DACARBAZINE dakarbazin serb inj 200 mg Dus, 1 vial @ 200 mg Rp 247,500.00
121 DBL GEMCITABINE gemsitabin serb inj 1000 mg Dus, vial @ 1 g Rp 800,000.00
122 DBL GEMCITABINE gemsitabin serb inj 200 mg Dus, vial @ 200 mg Rp 175,000.00
123 DBL GLYCERYL TRINITRATE CONCENTRATE Gliseril Trinitrat inj 50mg/10ml (5 mg/ml) Dus, 5 ampul @ 10mL Rp 127,500.00
124 DBL OXALIPLATIN oksaliplatin serb inj 100 mg Dus, vial @ 100mg Rp 500,000.00
125 DBL OXALIPLATIN oksaliplatin serb inj 50 mg Dus, vial @ 50mg Rp 250,000.00
126 DBL VINCRISTINE SULFATE vinkristin inj 1 mg/ml (i.v.) Dus, 5 vial @ 1mL Rp 43,650.00
127 DECACETIN TETES MATA 0.5% Kloramfenikol tetes mata 0,5 % Dus, botol plastik @ 10 ml Rp 4,250.00
128 DECATONA Fenitoin Na 30 mg Botol @ 100 kapsul Rp 142:00:00
129 DEPAKOTE Valproat tab salut 250 mg Botol, @120 tab salut 250 mg Rp 1,750.00
130 DEPAKOTE Valproat tab SR 250 mg Tab SR 250 mg Rp 2,840.00
131 DEPAKOTE Valproat tab SR 500 mg Botol @100 Tab SR 500 mg Rp 5,700.00
132 DERMASOLON Flusinolon Asetonid salep 0,025% Tube @ 10 gr Rp 5,200.00
133 DESFERAL Deferoksamin Mesilat serbuk injeksi 500 mg Dus Rp 117,500.00
134 DEXOCORT Desoksimetason salep 0,25% Dus, 1 tube @ 10 gr Rp 7,793.00
135 DHP - FRIMAL Kombinasi (DHP): dihidroartemisin 40 mg + Piperakuin 320 mg tab sal selaput
Dus, 1 Blister @ 9 Tablet salut selaput Rp 2,160.00
136 DIALIFER Low molecule feri sucrose inj amp 100 mg/5 mL Dus, 5 Ampul @ 5 ml Rp 35,640.00
137 DIAMICRON MR 60 Gliklazid tab lepas lambat 60 mg Box, 30 tablet Rp 2,992.00
138 DIFLUCAN 50MG Flukonazol kaps 50 mg Blister, Capsul Rp 7,360.00
139 DIPEPTIVEN Larutan mengandung Asam Amino (Glutamine 20gr) Botol Rp 229,900.00
140 DIPSAMOL Salbutamol aerosol/inhalasi 100mcg/dosis Dus @ 200 dosis canister Rp 41,250.00
Dus, 1 vial @ 0,5 ml + 1 vial pelarut @ 1,5
141 DOCETAXEL ACTAVIS Dosetaksel inj 20 mg/ 0.5 ml Rp 379,125.00
Ml
142 DOCETAXEL ACTAVIS Dosetaksel inj 80 mg/2 ml Dus, 1 vial @ 2ml + 1 vial pelarut @ 6 Ml Rp 1,228,275.00
143 DOPAMET Metildopa tablet/kaplet/salut 250 mg Dus, 10 strip @ 10 tablet Rp 1,096.00
144 DORNER Beraprost sodium tablet 20 mcg Dus, 3 blister@10 tablet Rp 4,400.00
145 DOXOTIL doksorubisin serb inj 10 mg (i.v.) Dus, 1 vial @ 5 ml Rp 49,500.00
146 DULCOLAX SUPP ADULT Bisakodil suppositoria 10 mg Dus, 1 strip @ 5 suppositoria Rp 5,800.00
147 DULCOLAX SUPP INFANT Bisakodil suppositoria 5 mg Dus, 1 strip @ 5 suppositoria Rp 5,800.00
148 DUROGESIC 12 MCG/H Fentanil patch 12,5 mcg/jam Dus, @ 5 patch Rp 97,725.00
149 DUROGESIC 25 MCG/H Fentanil patch 25 mcg/jam n/a Rp 188,000.00
150 DUROGESIC 50 MCG/H Fentanil patch 50 mcg/jam n/a Rp 350,000.00
151 EAS PFRIMMER Larutan mengandung Asam Amino (Asam Amino Esensial 7%+Xylitol 10 g/L+
Dus,
Histidine)
Botol @ 250 ml Rp 53,000.00
152 ELIZAC 20 Fluoksetin tablet/kaplsul/kaplet 20 mg Dus, 5 Strip @ 6 Kapsul Rp 230:00:00
153 ELOXATIN Oksaliplatin serb inj 100 mg Dus, 1 vial @ 20 mL Rp 800,000.00
154 ELOXATIN Oksaliplatin serb inj 50 mg Dus, 1 vial @ 10 mL Rp 400,000.00
155 ENDOXAN SER INJ 1000 MG siklofosfamid serb inj 1.000 mg (i.v.) Dus, 1 Vial @ 1000 mg Rp 250,000.00
156 ENDOXAN SER INJ 200 MG siklofosfamid serb inj 200 mg (i.v.) Dus, 1 Vial @ 200 mg Rp 85,000.00
Dus, 1 vial @ 3,75 mg + 1 ampul pelarut Rp

157 ENDROLIN Leuprorelin asetat inj depot 3,75 mg 619,300.00
@ 2 ml + 1 syringe @ 5 ml + 1 jarum 23 G
158 EPIROL epirubisin inj 10mg/5ml Dus, 1 vial @ 10 mg Rp 85,000.00

159 EPIROL epirubisin serb 50 mg/25ml Dus, 1 vial @ 50 mg Rp 420,000.00
160 EPISINDAN epirubisin inj 10mg/5ml Dus, 1 vial @ 10 mg Rp 93,578.00
161 EPISINDAN epirubisin serb 50 mg/25ml Dus, 1 vial @ 50 mg Rp 440,325.00
162 EPODION 2000 IU Eritropoetin alfa 2000 IU/ml Dus, 6 prefilled syringe @ 0,5 mL Rp 92,400.00
163 EPODION 3000 IU Eritropoetin alfa 3000 IU/ml Dus, 6 prefilled syringe @ 0,3 mL Rp 119,790.00
164 EPOTREX 2000 Eritropoetin-alfa inj 2000 UI/ml DUS, 6 PREFILLED SYRINGE @ 0,5 ML Rp 89,100.00
165 EPREX 2000 Eritropoetin-alfa inj 2000 UI/ml Dus, 6 prefilled syringe@ 0,5 ml Rp 121,000.00
166 ERBITUX Setuximab infus 5 mg/ml Dus, 1 vial @ 20 ml Rp 3,550,000.00
167 ETOPUL etoposid inj 20 mg/ml DUS, 1 AMPUL @ 5 ML Rp 107,460.00
168 EUTHYROX 100 Levotiroksin tablet/kapsul/kaplet 100 mcg Dus, 4 blister (PVC-alublister) @ 25 tablet Rp 1,178.00
169 EUTHYROX 50 Levotiroksin tablet/kaplet/kapsul 50 mcg Dus, 4 blister @ 25 tablet Rp 719:00:00
170 EXJADE Deferasiroks tablet disp/ eff 250 mg Dus Rp 80,000.00
171 EXJADE Deferasiroks tablet disp/ eff 500 mg Dus Rp 155,000.00
172 EZELIN Analog long insulin 100 IU pen/flexpen Dus, 1 cartridge @ 3 ml Rp 85,000.00
173 FARGOXIN Digoksin injeksi 0,25 mg/ml Dus, 5 Ampul @ 2 ml Rp 30,030.00
174 FARMABES Diltiazem injeksi 25 mg/5 ml (inj 5mg/ml) vial Rp 55,000.00
175 FARPRESIN Vasopresin injeksi i.m/s.k. 20 UI/ml vial Rp 77,000.00
176 FARSORBID Isosorbid Dinitrat injeksi i.v 10 mg/10 ml Dus, 2 Vial @ 10 mL Rp 38,490.00
177 FENOCIN Fenoksimetil penisilin (penisilin V) tablet/kapsul/kaplet 125 mg Dus, BOTOL @250ML Rp 321:00:00
178 FERRIPROX Deferipron larutan oral 100 mg/ml Dus, BOTOL @250ML Rp 1,680,000.00
179 FERRIPROX Deferipron tablet salut 500 mg TABLET, Dus Botol @100 tablet Rp 33,000.00
180 FETIK SUPP Ketoprofen supositoria 100 mg DUS,2 Blister @ 5 supp Rp 2,640.00
181 FINPRO 5 MG Finasterid tablet/kapsul/kaplet 5 mg DUS,3 Strip @ 10 tablet selaput Rp 1,920.00
FLIXOTIDE Flutikason propionat (micronized) 0,5 mg/dosis (Flutikason propionat nebules Dus, 2 Flow wrap@5 nebules@ 1 dosis(2
182 Rp 14,500.00
0,5 mg) ml)
183 FLUDARA Fludarabin serb inj 50 mg Dus, 5 vial @ 50 mg Rp 1,500,000.00
184 FLUDARA Fludarabin tab 10 mg Dus, 4 blister @ 5 tablet salut selaput Rp 330,000.00
185 FONKOGEM gemsitabin serb inj 1000 mg DUS, 1 VIAL @ 1000 MG Rp 799,500.00
186 FONKOGEM gemsitabin serb inj 200 mg DUS, 1 VIAL @ 200 MG Rp 174,500.00
187 FONKOPAC paklitaksel inj 6 mg/ml (inj 100 mg/ml) DUS, 1 VIAL @ 16.7 ML Rp 499,500.00
188 FONKOPAC paklitaksel inj 6 mg/ml (inj 30 mg/ml) DUS, 1 VIAL @ 5 ML Rp 199,500.00
189 FONKOPAC paklitaksel inj 6 mg/ml (inj 300 mg/ml) DUS, 1 VIAL @ 50 ML Rp 1,499,500.00
190 FORANE Isofluran inhalasi botol 250 ml Kemasan Botol Rp 695,400.00
191 FORMENING Vaksin Meningitis Meningococcoal Polysacharide Group A.C.Y.W135 Dus, 1 vial @ 200mcg + pelarut @ 0,5ml Rp 144,000.00
192 FRESOFOL 1% MCT/LCT Propofol injeksi i.v., bolus 1% Dus, 5 Ampul @ 20 ml Rp 11,330.00
193 FRIMANIA 200MG Litium karbonat tablet 200 mg Dus, 10 strip @10 tablet Rp 949:00:00
194 FRIMANIA 400MG Litium karbonat tablet 400 mg Dus, 10 strip @10 tablet Rp 1,672.00
195 GADOVIST Gadobutrol macrocyclic 5 mg Dus,1 prefilled syringe @ 5 ml Rp 292,000.00
196 GADOVIST Gadobutrol macrocyclic 7,5 mg Dus,1 prefilled syringe @ 7,5 ml Rp 440,000.00
197 GEMCIKAL gemsitabin serb inj 1000 mg Dus, 1 Vial @ 1000 mg Rp 800,000.00
198 GEMCIKAL gemsitabin serb inj 200 mg Dus, 1 Vial @ 200 mg Rp 175,000.00
199 GEMEDAC gemsitabin serb inj 1000 mg Dus, 1 vial @ 1000 mg Rp 720,000.00
200 GEMEDAC gemsitabin serb inj 200 mg Dus, 1 vial @ 200 mg Rp 157,500.00
201 GEMFIX 1.000 gemsitabin serb inj 1000 mg DUS, 1 VIAL @ 1000 MG Rp 800,000.00
202 GEMFIX 200 gemsitabin serb inj 200 mg DUS, 1 VIAL @ 200 MG Rp 175,000.00
203 GEMTAN gemsitabin serb inj 1000 mg Dus, vial @ 1 g Rp 794,500.00
204 GEMTAN gemsitabin serb inj 200 mg Dus, vial @ 200 mg Rp 169,500.00
205 GENERIK Akarbose tablet 100 mg Dus, 10 Strip @ 10 Tablet Rp 917
206 GENERIK Akarbose tablet 50 mg Dus, 10 Strip @ 10 Tablet Rp 665
207 GENERIK Albendazol sup 200mg/5 ml Dus, 10 Dus @ 1 botol @ 10 ml Rp 4,619.00
208 GENERIK Albendazol tablet/kapsul/kaplet 400 mg Dus, 5 strip @ 6 tablet kunyah Rp 470
209 GENERIK Alopurinol tablet/kapsul/kaplet 100 mg Dus, 10 Strip @ 10 Tablet Rp 120
210 GENERIK Alopurinol tablet/kapsul/kaplet 300 mg Dus, 10 Strip @ 10 Tablet Rp 240
211 GENERIK Alprazolam tablet/kapsul/kaplet 0,25 mg Dus, 10 Strip @ 10 Tablet Rp 336
212 GENERIK Alprazolam tablet/kapsul/kaplet 0,5 mg Dus, 10 Strip @ 10 Tablet Rp 111
213 GENERIK Alprazolam tablet/kapsul/kaplet 1 mg Dus, 10 Strip @ 10 Tablet Rp 148
214 GENERIK Amikasin injeksi 250 mg/ml Dus, 1 Vial @ 2 mL Rp 29,700.00
215 GENERIK Aminofilin inj 24 mg/ml Dus, 24 ampul @ 10 ml Rp 3,080.00
216 GENERIK Aminofilin tablet/kapsul/kaplet 200 mg botol @ 100 tablet salut selaput Rp 99
217 GENERIK Amiodaron inj 150 mg/ 3 mL box, 6 ampul Rp 8,649.00
218 GENERIK Amlodipin tablet/kapsul/kaplet 10 mg Dus, 3 strip @ 10 kaptab Rp 110
219 GENERIK Amlodipin tablet/kapsul/kaplet 5 mg Dus, 3 strip @ 10 tablet Rp 93
220 GENERIK Amoksisilin kapsul/kaplet/tablet scored 500 mg Dus, 10 strip @ 10 kaptab Rp 192
221 GENERIK Amoksisilin sirup kering 125 mg/ 5 ml Botol @ 60 ml Rp 1,975.00
222 GENERIK Amoksisilin sirup kering forte 250 mg/5 ml Dus, Botol @ 60 ml Rp 3,797.00
223 GENERIK Amoksisilin tablet/kapsul/kaplet 250 mg Dus,strip 10 @ 10 kapsul Rp 198
224 GENERIK Antasida DOEN I tablet kunyah, kombinasi: Aluminium Hidroksida 200 mg + Magnesium
Dus, 10 Hidroksida
Strip @ 10 200
tablet
mgkunyah Rp 61
225 GENERIK Antasida DOEN II suspensi, kombinasi: Aluminium Hidroksida 200 mg/5 ml + Magnesium
Botol @ 60
Hidroksida
ml 200 mg/5 ml Rp 2,019.00
226 GENERIK Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Dus, 25 Tube @ 5 gram Rp 3,511.00
227 GENERIK Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% pot plastik 30 g Rp 5,188.00
228 GENERIK Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet 100 mg Dus, 10 strip @ 10 tablet salut selaput Rp 156
229 GENERIK Asam askorbat (vitamin C) tab 50 mg n/a Rp 125
230 GENERIK Asam askorbat (vitamin C) tablet/kapsul/kaplet 250 mg Dus, 100 strip @ 10 tablet Rp 124
231 GENERIK Asam folat tablet/kapsul/kaplet 1 mg botol @ 100 tablet Rp 81
232 GENERIK Asam Mefenamat tablet/kapsul/kaplet 500 mg Dus, 10 Strip @ 10 Kaptab Salut Selaput Rp 105
233 GENERIK Asam traneksamat injeksi 100 mg/ml Dus, 2 blister @ 5 ampul @ 5 mL Rp 2,728.00
234 GENERIK Asam traneksamat injeksi 50 mg/ml Dus, 10 ampul @ 5 ml Rp 2,168.00
235 GENERIK Asam ursodeoksikolat tablet/kapsul/kaplet 250 mg Dus, 5 Strip @ 6 Kapsul Rp 2,759.00
236 GENERIK Asiklovir tablet/kapsul/kaplet 200 mg Dus, 5 strip @ 10 tablet Rp 263
237 GENERIK Asiklovir tablet/kapsul/kaplet 400 mg Dus, 5 strip @ 10 tablet Rp 415
238 GENERIK Atorvastatin tablet/kapsul/kaplet 20 mg Dus, 3 strip @ 10 tablet salut selaput Rp 1,265.00
239 GENERIK Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Dus, 100 ampul @ 1 ml Rp 1,540.00
240 GENERIK Azitromisin sir kering 200 mg/ 5 mL Dus, Botol @ 15 mL Rp 32,768.00
241 GENERIK Azitromisin tablet/kapsul/kaplet 500 mg Dus, 2 strip @10 kaptab salut selaput Rp 1,888.00
242 GENERIK Bedak salisil serbuk 2% Plastik-Dus-serbuk 50 gram Rp 1,081.00
243 GENERIK Benzatin Penisilin 1,2 UI/ml Dus, 10 vial @ 1.200.000 IU Rp 12,840.00
244 GENERIK Benzatin Penisilin 2,4 UI/ml Dus, 10 vial @ 2.400.000 IU Rp 17,400.00
245 GENERIK Betahistin tablet/kapsul/kaplet 6 mg Dus, 3 Strip @ 10 Tablet Rp 165
246 GENERIK Betametason krim 0,1% (sebagai Valerat) Dus, 25 tube @5 gram Rp 1,450.00
Dus, 3 catch cover @ 1 strip @ 10 tablet
247 GENERIK Bisakodil tablet/kapsul/kaplet 5 mg Rp 324
salut enterik
248 GENERIK Bisoprolol tablet/kapsul/kaplet 5 mg Dus, 10 Blister @ 10 Tablet Salut Selaput Rp 324
249 GENERIK Deksametason injeksi i.v./i.m. 5 mg/ml Dus, 100 ampul @ 1 ml Rp 1,892.00
250 GENERIK Deksametason tablet/kapsul/kaplet 0,5 mg Dus,strip 10 @ 10 kapsul Rp 46
251 GENERIK Desoksimetason krim 0,25% Dus, Tube @ 15 gram Rp 12,000.00
252 GENERIK Diazepam tablet/kapsul/kaplet 5 mg Dus , 10 Strip @ 10 Tablet Rp 109
253 GENERIK Dietilkarbamazin tablet scored 100 mg Dus, 10 Strip @ 10 Tablet Rp 190
254 GENERIK Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) Dus, 30 ampul @ 1ml Rp 1,277.00
255 GENERIK Digoksin tablet/kapsul/kaplet 0,25 mg Dus, 10 blister @ 10 tablet Rp 114
256 GENERIK Diltiazem HCl tablet/kapsul/kaplet 30 mg Dus, 10 Strip @ 10 Tablet Rp 143
257 GENERIK Dimenhidrinat tablet/kapsul/kaplet 50 mg botol plastik @ 100 tablet Rp 110
258 GENERIK Dobutamin injeksi 50 mg/mL Dus, 1 vial @ 5 mL Rp 15,444.00
259 GENERIK Doksisiklin tablet/kapsul/kaplet 100 mg Dus, 10 strip @ 10 kapsul Rp 312
260 GENERIK doksorubisin serb inj 10 mg (i.v.) Box 1 vial@ 5 ml Rp 49,500.00
261 GENERIK doksorubisin serb inj 10 mg (i.v.) Dus, 1 Vial @ 5 mL Rp 49,500.00
262 GENERIK doksorubisin serb inj 50 mg (i.v.) Box 1 vial@ 25 ml Rp 253,000.00
263 GENERIK doksorubisin serb inj 50 mg (i.v.) Dus, 1 Vial @ 25 mL Rp 253,000.00
264 GENERIK Domperidon tablet/kapsul/kaplet 10 mg Dus, 10 blister @ 10 tablet Rp 116
265 GENERIK Donepezil tablet/kapsul/kaplet 5 mg Dus, 3 strip @ 10 tablet salut selaput Rp 2,420.00
266 GENERIK Dosetaksel inj 20 mg/ 0.5 ml Box 1 vial@ 0.5 ml +1,5 ml pelarut Rp 421,250.00
267 GENERIK dosetaksel inj 80 mg/2 ml Box 1 vial@ 2 ml +6 ml pelarut Rp 1,325,000.00
Dus, botol plastik @ 30 tablet salut
268 GENERIK Efavirens tablet salut 600 mg Rp 7,650.00
selaput
269 GENERIK Efedrin Inj 50 mg/ml Dus, 10 ampul @ 1 ml Rp 9,878.00
270 GENERIK Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) Dus, 100 ampul @ 1 ml Rp 1,848.00
271 GENERIK epirubisin inj 10mg/5ml Dus, 1 Vial @ 5 mL Rp 103,975.00
272 GENERIK epirubisin inj 10mg/5ml Box 1 vial@ 5 ml Rp 103,975.00
273 GENERIK epirubisin serb 50 mg/25ml Dus, 1 Vial @ 25 mL Rp 475,000.00
274 GENERIK epirubisin serb 50 mg/25ml Box 1 vial@ 25 ml Rp 475,000.00
275 GENERIK Eritromisin sirup kering 200 mg/ 5 ml Dus, botol @ 60 ml Rp 6,622.00
276 GENERIK Eritromisin tablet/kapsul/kaplet 250 mg Dus, 10 strip @ 10 kapsul Rp 677
277 GENERIK Eritromisin tablet/kapsul/kaplet 500 mg Dus, 10 strip @ 10 kaptab Rp 771
278 GENERIK Esomeprazol serbuk Inj. 40 mg Dus, 2 vial @ 40 mg Rp 39,789.00
279 GENERIK Etambutol tablet/kaplet salut 500 mg (HCl) Dus, 10 strip @ 10 tablet salut selaput Rp 543
280 GENERIK Etambutol tablet/kapsul/kaplet 250 mg (HCl) Dus, 20 strip @10 tablet salut selaput Rp 385
281 GENERIK Fenitoin injeksi 50 mg/ml (100 mg/2 ml) Dus, 10 ampul @ 2 ml Rp 6,231.00
282 GENERIK Fenitoin kapsul 100 mg Botol @ 100 Kapsul Rp 152
283 GENERIK Fenobarbital injeksi i.m./i.v. 50 mg/ml n/a Rp 1,925.00
284 GENERIK Fenofibrat kaps 100 mg Dus,3 strip @ 10 kapsul Rp 1,073.00
285 GENERIK Fenofibrat kaps 300 mg Dus,3 strip @ 10 kapsul Rp 1,303.00
286 GENERIK Fenoksimetil penisilin (penisilin V) tab 250 mg Dus, 10 strip @ 10 tablet Rp 420
287 GENERIK Fenoksimetil penisilin (penisilin V) tab 500 mg Dus, 10 strip @ 10 tablet Rp 726
288 GENERIK Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml Dus, 5 ampul @ 2 mL Rp 151,000.00
289 GENERIK Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml Dus, 5 ampul @ 10 mL Rp 40,000.00
290 GENERIK Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg Dus, 10 strip @ 10 TSG Rp 824
291 GENERIK Fitomenadion (vitamin K1) inj 10 mg/ml (i.m) Dus, 30 ampul @ 1 mL Rp 4,167.00
292 GENERIK Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml Dus, 30 ampul @ 1 mL Rp 4,260.00
293 GENERIK Flukonazol injeksi 2 mg/ml Dus, Botol @ 100 mL Rp 30,240.00
294 GENERIK Flukonazol tab/kaps 150 mg Dus, 10 kapsul Rp 21,600.00
295 GENERIK fluorourasil inj 50 mg/ml (10 ml) Dus, 1 vial @ 10 mL Rp 36,050.00
296 GENERIK fluorourasil inj 50 mg/ml (5 ml) Dus, 1 vial @ 5 mL Rp 24,200.00
297 GENERIK Furosemid tablet/kapsul/kaplet 40 mg Dus,10 strip @ 10 tablet Rp 89
298 GENERIK Gabapentin tablet/kapsul/kaplet 300 mg Dus, 3 strip @ 10 kapsul Rp 1,397.00
299 GENERIK Garam Oralit I serbuk, kombinasi: Natrium klorida 0,52 g + kalium klorida 0,30 g +Dus,
Trinatrium
100 sachet
sitrat
@4,26
dihidrat
gram0,58 g + GlukosaRp
Anhidrat 2,70 g 276
300 GENERIK Gemfibrozil tablet/kapsul/kaplet 300 mg Dus, 10 blister @ 10 kapsul Rp 430
301 GENERIK Gemfibrozil tablet/kapsul/kaplet 600 mg Dus, 10 blister @ 10 kaptab Rp 925
302 GENERIK gemsitabin serb inj 200 mg Box 1 vial@ 200 mg Rp 175,000.00
303 GENERIK Gentamisin injeksi 40 mg/ ml Dus, 5 ampul @ 2 ml Rp 4,066.00
304 GENERIK Gentamisin tetes mata 0,3% Botol Plastik 5 ml Rp 5,010.00
305 GENERIK Glikuidon tablet/kapsul/kaplet 30 mg Dus, 10 Strip @ 10 Tablet Rp 1,264.00
306 GENERIK Glimepiride tablet/kapsul/kaplet 1 mg Dus, 5 strip @10 tablet Rp 200
307 GENERIK Glimepiride tablet/kapsul/kaplet 2 mg Dus, 5 strip @ 10 tablet Rp 271
308 GENERIK Glimepiride tablet/kapsul/kaplet 3 mg Dus, 5 strip @ 10 tablet Rp 316
309 GENERIK Glimepiride tablet/kapsul/kaplet 4 mg Dus, 5 strip @10 tablet Rp 320
310 GENERIK Glukosa larutan infus 10% Botol plastik 500 ml Rp 7,500.00
311 GENERIK Glukosa larutan infus 5 % Botol plastik 500ml Rp 6,900.00
312 GENERIK Griseofulvin (micronized) tablet/kapsul/kaplet 125 mg n/a Rp 263
313 GENERIK Haloperidol tablet/kapsul/kaplet 0,5 mg Dus, 10 Strip @ 10 Tablet Rp 60
314 GENERIK Haloperidol tablet/kapsul/kaplet 1,5 mg Dus, 10 Strip @ 10 Tablet Rp 65
315 GENERIK Haloperidol tablet/kapsul/kaplet 5 mg Dus , 10 Strip @ 10 Tablet salut selaput Rp 88
316 GENERIK Hidroklorotiazid tab 25 mg Dus, 10 strip @ 10 tablet Rp 179
317 GENERIK Hidrokortison krim 1% Dus, 24 tube @ 5 g Rp 3,591.00
318 GENERIK Hidrokortison krim 2,5% Dus, 24 tube @ 5 gram Rp 2,838.00
319 GENERIK Ibuprofen susp 100 mg/5 ml Botol @ 60 ml Rp 2,620.00
320 GENERIK Ibuprofen susp 200 mg/5 ml Dus, botol @ 60 ml Rp 5,934.00
321 GENERIK Ibuprofen tablet/kapsul/kaplet 200 mg Dus,strip 10 @ 10 tablet Rp 112
322 GENERIK Ibuprofen tablet/kapsul/kaplet 400 mg Dus, 10 strip @ 10 tablet Rp 115
323 GENERIK Irbesartan tablet/kapsul/kaplet 150 mg Dus, 5 blister @ 10 kaptab salut selaput Rp 527
324 GENERIK Irbesartan tablet/kapsul/kaplet 300 mg Dus, 5 blister @ 10 kaptab salut selaput Rp 866
325 GENERIK Irinotekan inf 20 mg/ml Box 1 vial@ 5 ml Rp 795,000.00
326 GENERIK Irinotekan inj 20 mg/ml Box 1 vial@ 2 ml Rp 423,159.00
327 GENERIK Isoniazid tablet/kapsul/kaplet 100 mg Dus, 10 Strip @ 10 Tablet Rp 89
328 GENERIK Isoniazid tablet/kapsul/kaplet 300 mg Dus, 10 Strip @ 10 Tablet Rp 182
329 GENERIK Isosorbid Dinitrat tablet/kaplet sublingual 5 mg Dus, 10 strip @ 10 tablet Rp 98
330 GENERIK Kalsium Folinat inj 10 mg/ml Dus, 1 vial @ 5 ml Rp 59,664.00
331 GENERIK Kalsium Glukonat inj i.v 10 % Dus, 24 ampul @ 10 mL Rp 9,955.00
332 GENERIK Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg Dus, 10 blister @ 10 tablet Rp 64
333 GENERIK Kandesartan tablet/kapsul/kaplet 16 mg Dus, 3 Strip @ 10 Tablet Rp 1,265.00
334 GENERIK Kandesartan tablet/kapsul/kaplet 8 mg Dus, 3 Strip @ 10 Tablet Rp 803
335 GENERIK Kaptopril tablet/kaplet scored 12,5 mg Dus, 10 strip @ 10 tablet Rp 72
336 GENERIK Kaptopril tablet/kaplet scored 25 mg Dus, 10 Strip @ 10 Tablet Rp 89
337 GENERIK Kaptopril tablet/kapsul/kaplet 50 mg Dus, 5 strip @ 10 tablet Rp 144
338 GENERIK Karbamazepin tablet/kapsul/kaplet 200 mg Dus, 10 Strip @ 10 Kaptab Salut Selaput Rp 268
339 GENERIK Karbogliserin tetes telinga 10% Botol plastik @ 5 ml Rp 2,500.00
340 GENERIK karboplatin inj 150 mg/15ml Dus, 1 Vial @ 15 Ml Rp 183,700.00
341 GENERIK karboplatin inj 450 mg/45ml Dus, 1 vial @ 45 ml Rp 427,875.00
342 GENERIK Ketokonazol krim 2% Dus, tube @10 gr Rp 2,790.00
343 GENERIK Ketokonazol tablet/kapsul/kaplet 200 mg Dus,strip 5 @ 10 tablet Rp 308
344 GENERIK Ketorolak inj 30 mg/ml Dus, 10 ampul @ 1 ml Rp 1,390.00
DUS, 3 STRIP @ 10 KAPTAB SALUT
345 GENERIK Klaritromisin 500 mg Rp 2,870.00
SELAPUT
346 GENERIK Klindamisin tablet/kapsul/kaplet 300 mg Dus, 5 strip @ 10 kapsul Rp 646
347 GENERIK Klobazam tablet/kapsul/kaplet 10 mg Dus, 10 Strip @ 10 Tablet Rp 1,110.00
348 GENERIK Klomifen sitrat tablet/kapsul/kaplet 50 mg Dus, 3 Strip @ 10 Tablet Rp 1,296.00
349 GENERIK Klonazepam tablet/kapsul 2 mg Dus, 10 strip @10 tablet Rp 4,750.00
350 GENERIK Klonidin tablet/kapsul/kaplet 0,15 mg Dus, 10 strip @10 tablet Rp 182
351 GENERIK Klopidogrel tablet/kapsul/kaplet 75 mg Dus, 5 Strip @ 6 tablet salut selaput Rp 1,799.00
352 GENERIK Kloramfenikol salep mata 1 % Dus, 24 tube @ 5 gram Rp 1,850.00
353 GENERIK Kloramfenikol suspensi 125 mg/ 5 ml Dus, btl 60 ml Rp 5,170.00
354 GENERIK Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg Dus, 20 strip @ 10 tablet Rp 40
355 GENERIK Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) Dus, 30 ampul @ 2 ml Rp 1,672.00
356 GENERIK Klorpromazin injeksi i.m. 25 mg/ml (HCl) Dus, 30 ampul @ 1 ml Rp 1,457.00
357 GENERIK Klorpromazin tablet/kaplet salut 100 mg (HCl) Dus, 10 Blister @ 10 Tablet Salut Selaput Rp 152
358 GENERIK Klozapin 100 mg Dus, 5 blister @ 10 tablet Rp 5,000.00
359 GENERIK Klozapin 25 mg Dus, 5 blister @ 10 tablet Rp 1,550.00
360 GENERIK Kodein tablet/kapsul/kaplet 10 mg Dus, 10 Strip @ 10 Tablet Rp 660
361 GENERIK Kodein tablet/kapsul/kaplet 15 mg Dus, 10 Strip @ 10 Tablet Rp 1,140.00
362 GENERIK Kodein tablet/kapsul/kaplet 20 mg Dus, 10 Strip @ 10 Tablet Rp 1,500.00
363 GENERIK Kombinasi injeksi depot: Medroksi progesteron asetat 25 mg + Estradiol sipionat Dus,
5 mg4 Blister @ 5 vial @ 0.5 mL Rp 6,840.00
364 GENERIK kombinasi: (Sefoperazon 500 mg + Sulbaktam 500 mg) serb inj 1000 mg Dus, 1 vial @ 1 gram Rp 31,000.00
365 GENERIK kombinasi: ergotamin 1 mg + kafein 50 mg botol plastik @ 100 tablet salut selaput Rp 179
366 GENERIK kombinasi: ferro fumarat 60 mg + as. Folat 0,4 mg tablet salut gula (tablet tambah
Dus,
darah)
10 strip @ 10 tablet salut gula Rp 425
367 GENERIK kombinasi: Levonogestrel 150 mcg + etinilestradiol 30 mcg 1blister@28 tablet Rp 1,350.00
368 GENERIK Kombinasi: Sefiksim 400 mg + Azythromycin 1000 mg Paket Rp 30,030.00
369 GENERIK Kotrimoksazol (anak) kombinasi tiap 5 ml suspensi: sulfametoksazol 200 mg + trimetoprim
Dus, Botol40
@ mg
60 ml Rp 2,462.00
370 GENERIK Kotrimoksazol (dewasa) kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mgDus, 10 blister @ 10 tablet Rp 135
371 GENERIK Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg + trimetoprim 160 mg Dus, 10 strip @ 10 kaptab Rp 331
372 GENERIK Kuinin tab salut selaput 200 mg (222 mg sebagai garam) Dus, 10 strip @ 6 tablet salut selaput Rp 771
373 GENERIK Lamivudin tab 100 mg n/a Rp 2,400.00
374 GENERIK Lamivudine tablet 150 mg Dus, botol plastik @ 60 tablet Rp 1,800.00
375 GENERIK Lansoprazol tablet/kapsul/kaplet 30 mg Dus, 2 strip @ 10 kapsul Rp 370
376 GENERIK Levofloksasin inf 5 mg/mL Dus, Botol @ 100ml Rp 26,879.00
377 GENERIK Levofloksasin tablet/kapsul/kaplet 500 mg Dus, 5 blister @ 10 kaptab salut selaput Rp 702
378 GENERIK Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL Dus, 30 ampul @ 2 ml Rp 2,327.00
379 GENERIK Lidokain injeksi 2% (HCL) Dus, 100 ampul @ 2 ml Rp 1,337.00
380 GENERIK Lisinopril tablet/kapsul/kaplet 10 mg Dus, 10 Strip @ 10 Tablet Rp 387
381 GENERIK Lisinopril tablet/kapsul/kaplet 5 mg Dus, 10 Strip @ 10 Tablet Rp 294
382 GENERIK Loperamid tablet/kapsul/kaplet 2 mg Dus, 10 Strip @ 10 Tablet Rp 91
383 GENERIK Loratadin tablet/kapsul/kaplet 10 mg Dus, 10 blister @ 10 kaptab Rp 139
384 GENERIK Lorazepam tablet/kapsul/kaplet 2 mg Dus, 10 strip @10 tablet Rp 935
385 GENERIK Manitol lar infus 20% Botol @ 500 ml Rp 44,000.00
Dus, 20 vial @ 3 mL; Dus, 4 blister @ 5
386 GENERIK Medroksi progesteron asetat injeksi 150 mg/3ml (50 mg/mL) Rp R 6,460.00
vial @ 3 mL
387 GENERIK Meropenem serb inj 1000 mg Dus, 10 vial @ 1 g Rp 42,990.00
388 GENERIK Meropenem serb inj 500 mg Dus, 1 Vial @ 0.5 g Rp 29,226.00
389 GENERIK Metadon sir 50mg/5ml Botol @1000 ml Rp 330,000.00
390 GENERIK Metamizol Inj 500 mg/ml Dus, 100 ampul @ 2 ml Rp 3,100.00
391 GENERIK Metformin HCl tablet/kapsul/kaplet 500 mg Dus, 10 strip @ 10 tablet salut selaput Rp 113
392 GENERIK Metformin HCl tablet/kapsul/kaplet 850 mg Dus, 10 blister @ 10 kaptab salut selaput Rp 170
393 GENERIK Metilergometrin inj 0,2 mg/ml Dus, 100 ampul @ 1 ml Rp 3,421.00
Dus, 1 vial @ 125 mg + 1 ampul pelarut @ Rp
394 GENERIK Metilprednisolon inj 125 mg/mL 13,601.00
2 ml
Dus, 1 vial @ 500 mg + 1 ampul @mL
395 GENERIK Metilprednisolon inj 500 mg/vial Rp 77,946.00
pelarut
396 GENERIK Metilprednisolon tablet/kapsul/kaplet 16 mg Dus, 3 strip @ 10 kaptab Rp 696
397 GENERIK Metilprednisolon tablet/kapsul/kaplet 4 mg Dus, 10 strip @ 10 Tablet Rp 170
398 GENERIK Metilprednisolon tablet/kapsul/kaplet 8 mg Dus, 10 blister @ 10 tablet Rp 329
399 GENERIK Metoklopramide inj 5 mg/mL Dus, 10 ampul @ 2 mL Rp 4,074.00
400 GENERIK Metoklopramide tablet/kapsul/kaplet 10 mg Dus, 10 strip @10 tablet Rp 93
401 GENERIK metotreksat inj 25 mg/ml Dus, 1 Vial @ 2 mL Rp 38,500.00
402 GENERIK metotreksat inj 25 mg/ml Box 1 vial@ 2 ml Rp 38,500.00
403 GENERIK Metronidazol infus 5 mg/ ml Dus, 1 botol @ 100 ml Rp 11,100.00
404 GENERIK Metronidazol sirup 125 mg/5 ml Dus,Botol @ 60 ml Rp 3,800.00
405 GENERIK Metronidazol tablet/kapsul/kaplet 250 mg Dus, 10 strip @ 10 tablet Rp 97
406 GENERIK Metronidazol tablet/kapsul/kaplet 500 mg Dus, 10 strip @ 10 tablet Rp 117
407 GENERIK Mometason furoat krim 0,1% Dus, tube @ 10 g Rp 14,040.00
408 GENERIK Morfin tablet 10 mg Botol @ 30 tablet Rp 1,680.00
409 GENERIK Nacl 0,9% Botol plastik 500 ml Rp 6,410.00
410 GENERIK Natrium diklofenak tablet/kapsul/kaplet 25 mg Dus, 5 strip @ 10 TSE Rp 160
411 GENERIK Natrium diklofenak tablet/kapsul/kaplet 50 mg Dus, 5 strip @ 10 TSE Rp 154
412 GENERIK Nevirapin tablet/kapsul/kaplet 200 mg Dus, botol plastik @ 60 tablet Rp 3,164.00
413 GENERIK Nifedipin tablet/kapsul/kaplet 10 mg Dus, 10 strip @ 10 tablet salut selaput Rp 110
414 GENERIK Nikardipin inj 10 mg Dus, 5 Ampul @ 10 mL Rp 34,979.00
415 GENERIK Nistatin tablet/kaplet salut 500.000 IU/ g Dus, 10 strip @ 10 TSG Rp 919
416 GENERIK Nistatin vaginal tablet 100.000 IU/ g Dus, 10 strip @ 10 tablet vaginal Rp 654
"Dus, 12 blister @ 28 tablet dispersibel

417 GENERIK Obat Anti Tuberculosis FDC Kategori Anak Rp 268,304.00
Dus, 6 blister @ 28 tablet dispersibel"
418 GENERIK Obat Anti Tuberculosis FDC Kategori I Paket Rp 449,257.00
"Dus, 7 blister @ 28 tablet salut selaput

419 GENERIK Obat Anti Tuberculosis FDC Kategori II Dus, 7 blister @ 28 tablet salut selaput Rp 1,497,581.00
Dus, 9 blister @ 28 kaptab salut selaput"
420 GENERIK Obat Anti Tuberculosis FDC Kategori Sisipan Dus, 3 blister @ 28 katab salut selaput Rp 199,662.00
421 GENERIK Ofloksasin tablet/kapsul/kaplet 200 mg Dus, 5 strip @ 10 tablet salut selaput Rp 531
422 GENERIK Ofloksasin tablet/kapsul/kaplet 400 mg Dus, 5 strip @ 10 tablet salut selaput Rp 729
423 GENERIK oksaliplatin serb inj 50 mg Box 1 vial@ 10 ml Rp 400,000.00
424 GENERIK Oksitosin inj 10 UI/ml Dus, 100 ampul @ 1 mL Rp 1,900.00
425 GENERIK Omeprazol injeksi 40 mg/ 10 ml Dus, 10 Vial @ 40 mg Rp 15,368.00
426 GENERIK Omeprazol tablet/kapsul/kaplet 20 mg Dus, strip 3 @ 10 kapsul Rp 154
427 GENERIK Ondansetron inj 2 mg/ml (4 mg/ 2 mL) Dus, 5 Ampul @ 2 mL Rp 1,254.00
428 GENERIK Ondansetron tablet/kapsul/kaplet 4 mg Dus, 2 strip @ 6 tablet salut selaput Rp 546
429 GENERIK Ondansetron tablet/kapsul/kaplet 8 mg Dus, 2 strip @ 6 tablet salut selaput Rp 475
430 GENERIK paklitaksel inj 6 mg/ml (inj 100 mg/ml) Dus, Vial @ 16,7 ml Rp 500,000.00
431 GENERIK paklitaksel inj 6 mg/ml (inj 100 mg/ml) Box 1 vial@ 16.7 ml Rp 500,000.00
432 GENERIK paklitaksel inj 6 mg/ml (inj 30 mg/ml) Dus, 1 Vial @ 5 mL Rp 200,000.00
433 GENERIK paklitaksel inj 6 mg/ml (inj 30 mg/ml) Box 1 vial@5 ml Rp 200,000.00
434 GENERIK Parasetamol drips (infus) 1000 mg/100 mL Dus, Botol @ 1000 mg Rp 14,990.00
435 GENERIK Parasetamol sirup 120 mg / 5 ml Botol Plastik @ 60 mL Rp 1,190.00
436 GENERIK Parasetamol tablet/kapsul/kaplet 500 mg Dus, 10 Blister @ 10 tablet Rp 52
437 GENERIK Perak sulfadiazin krim 1% tube 35 g Rp 23,000.00
438 GENERIK Pirantel pamoat susp 125 mg/5 ml Botol @ 60 ml Rp 11,385.00
439 GENERIK Pirantel pamoat tablet/kapsul/kaplet 125 mg Dus, 25 catch cover @ 1 blister @ 4 tablet Rp 305
440 GENERIK Pirazinamid tablet/kapsul/kaplet 500 mg Dus, 10 strip @10 tablet Rp 238
441 GENERIK Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) Dus, 10 strip @ 10 tablet Rp 142
442 GENERIK Pravastatin tablet/kapsul/kaplet 20 mg Dus, 5 strip @ 10 tablet Rp 2,321.00
443 GENERIK Prednison tablet/kapsul/kaplet 5 mg Dus, 10 Strip @ 10 Tablet Rp 85
444 GENERIK Primakuin tablet 15 mg Dus, 10 blister @ 10 tablet Rp 269
445 GENERIK Propranolol tab 40 mg Dus, 10 Strip @ 10 Tablet Rp 82
446 GENERIK Propranolol tablet/kapsul/kaplet 10 mg Dus, 10 Strip @ 10 Tablet Rp 59
447 GENERIK Ramipril tablet 2,5 mg Dus,10 Strip @ 10 Kaptab Rp 340
448 GENERIK Ramipril tablet/kapsul/kaplet 10 mg Dus, 3 strip @ 10 tablet Rp 863
449 GENERIK Ramipril tablet/kapsul/kaplet 5 mg Dus, 10 strip @ 10 kaptab Rp 348
450 GENERIK Ranitidin injeksi 25 mg/ml Dus, 10 ampul @ 2 mL Rp 1,750.00
451 GENERIK Ranitidin tablet/kapsul/kaplet 150 mg Dus, 10 strip @ 10 tablet salut selaput Rp 110
452 GENERIK Retinol (vitamin A) 100.000 Botol plastik @ 50 kapsul lunak Rp 341
453 GENERIK Retinol (vitamin A) kaps lunak 200.000 UI botol plastik @ 50 kapsul lunak Rp 609
454 GENERIK Rifampisin tablet/kapsul/kaplet 300 mg Dus, 10 strip @ 10 kapsul Rp 899
455 GENERIK Rifampisin tablet/kapsul/kaplet 450 mg Dus, 10 strip @ 10 kaptab salut selaput Rp 999
456 GENERIK Rifampisin tablet/kapsul/kaplet 600 mg Dus, 10 strip @ 10 kaptab salut selaput Rp 1,330.00
457 GENERIK Ringer Laktat Botol plastik 500ml Rp 7,150.00
458 GENERIK Risperidon tablet/kapsul/kaplet 1 mg Dus, 5 blister @ 10 tablet Rp 396
459 GENERIK Risperidon tablet/kapsul/kaplet 2 mg Dus, 10 Blister @ 10 Tablet Salut Selaput Rp 384
460 GENERIK Risperidon tablet/kapsul/kaplet 3 mg Dus, 10 Blister @ 10 Tablet Salut Selaput Rp 583
461 GENERIK Salbutamol sirup Dus, botol @ 100 ml Rp 5,130.00
462 GENERIK Salbutamol tablet/kapsul/kaplet 2 mg (sebagai Sulfat) Dus, 10 strip @ 10 tablet Rp 85
463 GENERIK Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) Dus, 10 strip @ 10 tablet Rp 107
464 GENERIK Salep 2-4, kombinasi: asam salisilat 2% + belerang endap 4% pot @ 30 gram Rp 3,033.00
465 GENERIK Sefadroksil sir kering 250 mg/5 ml Dus, botol @ 60 ml Rp 5,449.00
466 GENERIK Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml Rp 4,200.00
467 GENERIK Sefadroksil tablet/kapsul/kaplet 500 mg Dus, 10 Strip @ 10 Kapsul Rp 455
468 GENERIK Sefaleksin tablet/kapsul/kaplet 500 mg Dus, 5 strip @ 10 kapsul Rp 761
469 GENERIK Sefazolin serbuk injeksi 1 g Dus, 2 Vial @ 1 g Rp 19,676.00
470 GENERIK Sefepim serb inj 1000 mg Dus, 2 Vial @ 1 g Rp 39,124.00
471 GENERIK Sefiksim sirup kering 100 mg/ 5 ml Dus, botol @ 30 ml Rp 7,250.00
472 GENERIK Sefiksim tablet/kapsul/kaplet 100 mg Dus, 5 strip @ 10 kapsul Rp 750
473 GENERIK Sefiksim tablet/kapsul/kaplet 200 mg Dus, 10 Strip @ 10 Kapsul Rp 2,958.00
474 GENERIK Sefoperazon serb inj 1.000 mg Dus, 10 vial @ 1 g Rp 27,900.00
475 GENERIK Sefotaksim serb inj 1.000 mg Dus, 2 Vial @ 1 g Rp 7,040.00
476 GENERIK Sefotaksim serb inj 500 mg Dus, 2 vial @ 0,5 g Rp 7,044.00
477 GENERIK Sefpirom serb inj 1000 mg Dus, 2 Vial @ 1 g Rp 56,700.00
478 GENERIK Seftazidim serb inj 1.000 mg Kemasan 14,900.00
479 GENERIK Sertralin tablet/kapsul/kaplet 50 mg Dus, 3 strip @ 10 kaptab salut selaput 2,200.00
480 GENERIK Setirizin sirup 5 mg/5 ml Botol Plastik @ 60 mL Rp 3,300.00
481 GENERIK Setirizin tablet/kapsul/kaplet 10 mg Dus 5 blister @ 10 TSS Rp 132
482 GENERIK Sianokobalamin (vitamin B12) injeksi 500 mcg Dus, 100 ampul @ 1 ml Rp 1,277.00
483 GENERIK Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg strip @ 10 tablet Rp 57
484 GENERIK siklofosfamid serb inj 1.000 mg (i.v.) Dus, 1 vial @ 1000 mg Rp 267,960.00
485 GENERIK siklofosfamid serb inj 200 mg (i.v.) Dus, 1 vial @ 200 mg Rp 99,000.00
486 GENERIK Simvastatin tablet/kaplet/salut 10 mg Dus, 3 strip @ 10 tablet salut selaput Rp 116
487 GENERIK Simvastatin tablet/kaplet/salut 20 mg Dus, 5 strip @10 tablet Rp 250
488 GENERIK Siprofloksasin inf 2 mg/ml (2%) Dus, 1 vial @ 100 mL Rp 12,980.00
489 GENERIK Siprofloksasin tab scored 500 mg Dus, strip 10 @ 10 tablet salut selaput Rp 264
490 GENERIK Sisplatin serb inj 10 mg Dus, 1 Vial @ 10 mL Rp 25,250.00
491 GENERIK Sisplatin serb inj 50 mg Dus, 1 Vial @ 50 mL Rp 121,000.00
492 GENERIK Spironolakton tablet/kapsul/kaplet 100 mg Dus, 10 Strip @ 10 Tablet Rp 745
493 GENERIK Spironolakton tablet/kapsul/kaplet 25 mg Dus, 10 Strip @ 10 Tablet Rp 277
494 GENERIK Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml Rp 9,192.00
495 GENERIK Sulfadiazin tablet 500 mg Dus, 10 Strip @ 10 Tablet Rp 310
Dus, botol plastik @ 30 tablet salut
496 GENERIK Tenofovir tab 300 mg Rp 9,720.00
selaput
497 GENERIK Tetrasiklin tablet/kapsul/kaplet 250 mg Dus, 10 Strip @ 10 Kapsul Rp 181
498 GENERIK Tetrasiklin tablet/kapsul/kaplet 500 mg Dus, strip 10 @ 10 kapsul Rp 341
499 GENERIK Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) Dus, strip 10 @ 10 tablet Rp 90
500 GENERIK Tramadol injeksi 50 mg/ml Dus, 5 Ampul @ 2 mL Rp 1,812.00
501 GENERIK Trifluoperazin tablet/kaplet/salut 5 mg Dus, 10 Strip @ 10 Tablet salut selaput Rp 343
502 GENERIK Triheksifenidil tablet/kapsul/kaplet 2 mg Dus, 10 Strip @ 10 Tabler salut selaput Rp 83

503 GENERIK Vaksin BCG (GS) Dus, 50 Vial @ 20 dosis + pelarut Rp 59,950.00
Dus, 10 ampul @ 20 dosis + Dus, 10
504 GENERIK Vaksin BCG kering (BF) Rp 59,950.00
ampul pelarut @ 4 mL
Dus, 10 vial @ 10 dosis + 10 ampul
505 GENERIK Vaksin Campak inj s.k + pelarut Rp 28,232.00
pelarut @ 5 ml
506 GENERIK Vaksin DTP-HB-Hib Dus, 10 vial @ 2,5 ml (5 dosis) Rp 76,285.00
Dus, 100 sachet @ 1 prefilled syringe
507 GENERIK Vaksin Hepatitis B Rekombinan Rp 23,320.00
(uniject) @ 0,5 ml
Dus, 10 pouch @ 1 PREFILLED SYRINGE
508 GENERIK Vaksin Hepatitis B Rekombinan dewasa Rp 50,050.00
(UNIJECT) @ 1 ml
509 GENERIK Vaksin Jerap difteri tetanus (DT) cairan inj i.m 40/15 If per ml Dus, 10 vial @ 5 ml (10 dosis) Rp 17,798.00
510 GENERIK Vaksin Jerap difteri tetanus (Td) cairan inj i.m 4/15 If per ml Dus, 10 vial @ 5 ml (10 dosis) Rp 16,500.00
511 GENERIK Valasiklovir tablet/kapsul/kaplet 500 mg Dus, 10 vial @ 10 dosis (5 mL) Rp 7,998.00
512 GENERIK Valproat sirup 250 mg/5 ml Dus, 3 blister @ 10 kaptab salut selaput Rp 26,987.00
513 GENERIK Verapamil tablet/kapsul/kaplet 80 mg (HCl) Dus, Botol @ 100 mL Rp 325
514 GENERIK vinkristin inj 1 mg/ml (i.v.) Dus, 10 strip @10 tablet salut selaput Rp 48,500.00
515 GENERIK vinkristin inj 2 mg/ml (i.v.) Box 1 vial@1 ml Rp 84,250.00
516 GENERIK vinorelbin inj 10 mg/ml Box 1 vial@ 2 ml Rp 685,000.00
517 GENERIK Vitamin B Kompleks tablet DUS, VIAL @ 1 ML Rp 138
518 GENERIK Warfarin tablet/kapsul/kaplet 1 mg Dus, 10 strip @ 10 tablet Rp 979
519 GENERIK Zidofudin kapsul 100 mg Dus, botol plastik 60 kapsul Rp 2,040.00
520 GENERIK Zidovudin 300 mg + Lamivudine 150 mg Dus, botol plastik 60 Kaptab Rp 4,440.00
521 GENERIK Zinc sir 20 mg/5 ml Dus, Botol @ 60 ml Rp 5,179.00
522 GENERIK Zinc tablet dispersible 20 mg Dus, 10 strip @ 10 tablet dispersible Rp 618
523 GENOINT SALEP MATA Gentamisin salep mata 0,3% Tube @ 3.5 gram Rp 3,500.00
Dus, 4 Pouch @1 Alublister @ 7 Tablet
524 GIOTRIF 40MG Afatinib tab salselaput 40 mg Rp 560,000.00
Salut Selaput
525 GLIVEC Imatinib tab 100 mg Dus Rp 211,000.00
526 GLIVEC Imatinib tab 400 mg Dus Rp 786,500.00
527 GLUCODEX TABLET 80 MG Gliklazid tablet/kapsul/kaplet 80 mg Dus, 10 blister @ 10 tablet Rp 219
Dus, 1 vial @ 263 mcg + prefilled syringe
528 GRANOCYTE Lenogastrim inj 263 mcg/mI Rp 760,000.00
pelarut @ 1 mL
Dus, 1 vial serbuk injeksi @ 1000 IU + 1
vial pelarut @ 10 mL + 1 dysposible
529 HAEMOCTIN 1000 Faktor VIII Konsentrat 1000 IU/vial Rp 3,600,000.00
syringe + 1 transfer system with integral
filter + 1 butterfly cannula
Dus, 1 vial serbuk injeksi @ 250 IU + 1 vial

pelarut @ 5 mL + 1 dysposible syringe + 1 Rp
530 HAEMOCTIN 250 Faktor VIII Konsentrat 230-340 IU/vial 925,000.00
transfer system with integral filter + 1
butterfly cannula
531 HAEMOCTIN 250 Faktor VIII Konsentrat 250 IU/vial n/a Rp 925,000.00
532 HAEMOCTIN 500 Faktor VIII Konsentrat 480 -600 IU/vial n/a Rp 1,850,000.00
533 HAEMOCTIN 500 Faktor VIII Konsentrat 500 IU/vial n/a Rp 1,850,000.00
534 HALDOL DECANOAS Haloperidol inj 50 mg/ml Dus, 5 ampul @ 1 ml Rp 97,500.00
535 HARNAL D Tamsulosin tab 0,2 mg Dus, 2 blister@14 tablet dispersibel Rp 7,100.00
Dus, 3 blister@10 tablet pelepasan
536 HARNAL OCAS Tamsulosin tab SR 0,4 mg Rp 6,400.00
lambat
537 HEMAPO Eritropoetin-alfa inj 3000 UI/ml Dus, prefilled syringe @ 1 mL Rp 139,950.00
Dus, 10 blister @ 10 kapsul pelepasan
538 HERBESSER CD 100 Diltiazem Kapsul SR 100 mg Rp 4,290.00
lambat
Dus, 10 blister @ 10 kapsul pelepasan
539 HERBESSER CD 200 Diltiazem Kapsul SR 200 mg Rp 4,650.00
lambat
540 HERBESSER INJEKSI 50 MG Diltiazem injeksi 50 mg Dus, 10 vial @ 50 mg Rp 148,500.00
541 HOLOXAN INJ 1000 MG Ifosfamid serb inj 1000 mg/vial Dus, 1 Vial @ gram Rp 1,413,500.00
542 HOLOXAN INJ 2000 MG Ifosfamid serb inj 2000 mg/vial Dus, 1 Vial @ 2 gram Rp 2,011,038.00
543 HUMALOG KWIKPEN Rapid insulin pen/flexpen/catridge Dus, 5 Prefilled pen @ 3 ml Rp 87,000.00
Dus, 5 Prefilled pen @ 3 ml ( Humalog
544 HUMALOG MIX 25 KWIKPEN Mix Insulin flexpen/catridge (Mix 25) Rp 110,000.00
mix 25 )
Dus,5 Prefilled pen @ 3 ml (Humalog mix Rp
545 HUMALOG MIX 50 KWIKPEN Mix Insulin flexpen/catridge (Mix 50) 110,000.00
50)
546 HUMAN ALBUMIN 20% BIOTEST Albumin 20% 100 ml Dus, Botol @ 100 mL Rp 850,000.00
547 HUMAN ALBUMIN 20% BIOTEST Albumin 20% 50 ml Dus, Botol @ 50 mL Rp 409,200.00
548 HUMULIN R Human insulin Short vial 10 ml Dus, 1 Vial @ 10 ml Rp 143,500.00
549 HUMULIN R KWIKPEN Human insulin Short penvil/catridge 100 UI Dus, 5 Prefilled pen @ 3 ml Rp 79,800.00
550 HYDROMAL Larutan mengandung Karbohidrat + Elektrolit Softbag 500 mL Rp 49,500.00
551 HYPERHEP B S/D Hepatitis B imunoglobullin Dus, 1 syringe @ 0,5 ml Rp 1,300,000.00
552 HYTROZ TABLET 1 MG Terazosin HCl tablet/kapsul/kaplet 1 mg Dus, 10 blister @ 10 tablet Rp 713
553 HYTROZ TABLET 2 MG Terazosin HCl tablet/kapsul/kaplet 2 mg Dus, 10 blister @ 10 tablet Rp 949
554 ICUNES Deksmedetomidin Inj 100 mcg/ml Dus, 1 vial @ 2 mL Rp 184,140.00
555 ILIADIN Oksimetazolin tetes hidung 0,025% Dus, botol @ 10 mL Rp 37,600.00
556 ILIADIN Oksimetazolin tetes hidung 0,050% Dus, botol @ 10 ml Rp 39,600.00
557 IMURAN Azatioprin tablet 50 mg Dus, 4 Blister@ 25 Tablet salut selaput Rp 7,489.00
558 INFUSAN D5 (100 ML) Larutan mengandung Karbohidrat (Glukosa 5g/100 ml) Softbag 100 mL Rp 11,450.00
559 INFUSAN D5 (250 ML) Larutan mengandung Karbohidrat (Glukosa 12,5 g/250 ml) Softbag 250 mL Rp 11,400.00
560 INSULATARD HM PENFILL Human insulin intermediate catridge/penvil Dus, 5 cartridge @ 3 ml (Penfill) Rp 75,000.00
561 INTERZINC SYR Zinc sirup 10 mg/mL DUS,Botol @ 60 ml Rp 6,600.00
562 INTERZOL SS 2% Ketokonazol scalp sol 2% DUS,Botol plastik @ 80 ml Rp 26,400.00
563 INTRALIPID 20% Larutan mengandung Lipid (Infus Emulsi Lipid 20%) Botol Rp 71,995.00
564 INTRATECT Imunoglobulin intravena inj 50 mg/ml Dus, 1 vial @ 2,5 g in 50 ml Rp 1,950,000.00
565 INVICLOT Heparin injeksi i.v./s.k. 5000 UI/ml Dus, 1 vial @ 5 mL Rp 49,495.00
566 IRESSA Gefitinib tab 250 mg Dus, 1 blister @10 tablet salut selaput Rp 560,000.00
567 ISONAT Isosorbid dinitrat tablet/kapsul/kaplet 10 mg Dus, 5 strip @ 10 tablet sublingual Rp 213
568 ISOPTIN Verapamil tablet lepas lambat 240 mg Botol @ 50 tab SR 240 mg Rp 6,680.00
569 ISOTIC ADRETOR 0,25% Timolol tetes mata 0,25% Dus, botol plastik @ 5 mL Rp 10,755.00
570 ISOTIC ADRETOR 0,5% Timolol tetes mata 0,5% Dus, botol plastik @ 5 mL Rp 12,955.00
571 IVANES Ketamin injeksi i.v. 100 mg/ml n/a Rp 51,750.00
Dus, 4 blister @ 7 tablet pelepasan
572 JURNISTA Hidromorfon HCL tablet oros 16 mg Rp 50,000.00
lambat
Dus, 4 blister @ 7 tablet pelepasan
573 JURNISTA Hidromorfon HCL tablet oros 8 mg Rp 37,500.00
lambat
574 KA-EN 1B INJECTION Larutan mengandung Elektrolit (KA-EN 1B injection) Plabott, 500 ml Rp 9,273.00
575 KA-EN 3A INJECTION Larutan mengandung Elektrolit (KA-EN 3A injection) Plabott, 500 ml Rp 10,285.00
576 KA-EN 3B INJECTION Larutan mengandung Elektrolit (KA-EN 3B injection) Plabott, 500 ml Rp 10,285.00
577 KA-EN 3B Larutan mengandung Elektrolit (KA-EN 3B) (Softbag) Kemasan 10,285.00
578 KA-EN MG3 INJECTION Larutan mengandung Karbohidrat + Elektrolit (KA-EN MG3 Injection)
Plabott, 500 ml 9,600.00
579 KABIVEN PERIPHERAL Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa:
Three chamber
97gr, Lipid:
bag51gr
1440dan
ml Elektrolit (Kalori
Rp = 1000308,000.00
kkal, Akses peripheral))
580 KABIVEN PERIPHERAL Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa:
Three chamber
130gr, Lipid:
bag 1920
68gr ml
dan Elektrolit (Kalori
Rp = 1400
358,600.00
kkal, Akses peripheral))
581 KALIPAR Kalium aspartat tablet/kapsul/kaplet 300 mg Dus, 5 strip @ 10 kaptab salut selaput Rp 687
582 KALITAKE Kalsium polistirena sulfonat ktg 5 g Dus, 20 sachet @ 5 gr Rp 6,232.00
583 KEMOBOTIN karboplatin inj 150 mg/15ml Dus, vial @ 15 mL Rp 182,650.00
584 KEMOBOTIN karboplatin inj 450 mg/45ml Dus, vial @ 45 mL Rp 426,900.00
585 KEMOCARB karboplatin inj 150 mg/15ml Dus, Vial @15ml Rp 174,900.00
586 KEMOCARB karboplatin inj 450 mg/45ml Dus, vial @45ml Rp 414,040.00
587 KEMODOXIN doksorubisin serb inj 10 mg (i.v.) dus, 1 vial @ 5mL Rp 48,400.00
588 KEMODOXIN doksorubisin serb inj 50 mg (i.v.) Dus, 1 vial @ 25 mL Rp 251,700.00
589 KEMOPIRIN epirubisin inj 10mg/5ml Dus, vial @ 5 mL Rp 102,900.00
590 KEMOPIRIN epirubisin serb 50 mg/25ml Dus, vial @ 25 mL Rp 473,700.00
591 KENDARON TABLET Amiodaron tablet 200 mg Dus, 3 strip @ 10 tablet Rp 1,210.00
592 KEPPRA Levetirasetam tab 250 mg Dus, 3 blister@ 10 tablet salut selaput Rp 5,608.00
593 KEPPRA levetirasetam tab 500 mg Dus, 2 blister@ 10 tablet salut selaput Rp 5,118.00
594 KIDMIN Larutan mengandung Asam Amino (KIDMIN) Softbag, 200 ml Rp 49,220.00
Dus, 1 vial @ 1000 IU + 1 vial pelarut @
595 KOATE DVI Faktor VIII Konsentrat 1000 IU/vial Rp 3,600,000.00
10 ml
Dus, 1 vial @ 250 IU + 1 vial pelarut @ 5 Rp
596 KOATE DVI Faktor VIII Konsentrat 250 IU/vial 925,000.00
ml
Dus, 1 vial @ 500 IU + 1 vial pelarut @ 5
597 KOATE DVI Faktor VIII Konsentrat 500 IU/vial Rp 1,850,000.00
ml
598 KSR Kalium Klorida tablet lepas lambat 600 mg Dus, 10 strip @ 10 tablet Rp 1,700.00
599 L-CISIN Kolkisin tablet/kapsul/kaplet 500 mcg Dus, 3 strip @ 10 tablet Rp 3,500.00
600 LAMICTAL Lamotrigin tab 50 mg Dus, 3 blister@ 10 Tablet Rp 2,996.00
601 LAMICTAL Lamotrigin tab dispersible 25 mg Dus, 3 blister@ 10 Tablet dispersibel Rp 2,756.00
602 LANTUS Analog long insulin 100 IU pen/flexpen (Solostar Pen) Dus, 5 solostar pen @ cartridge 3 mL Rp 85,000.00
603 LAXADINE EMULSI 30 ML Kombinasi: parafin + gliserin + fenolftalein Susp Dus, Botol @ 30 ml Rp 7,700.00
604 LEUCOGEN Filgrastim inj 300 mcg/mL Dus, 1 vial @ 1 ml Rp 215,000.00
605 LEUNASE Asparaginase serb inj 10.000 IU Dus, 5 Dus @1vial@10.000 K.U Rp 1,175,000.00
606 LEVEMIR FLEXPEN Analog long insulin 100 IU pen/flexpen Dus, 5 cartridge @ 3 ml in prefilled pen Rp 85,000.00
607 LEVOPAR Antiparkinson DOEN tablet kombinasi: Benserazid 25 mg + Levodopa 100 mg Dus, 5 strip @10 tablet Rp 1,310.00
608 LEXAPRAM SIRUP Metoklopramide sirup 5 mg/ 5 ml Botol 60 ml Rp 3,100.00
609 LIPOFUNDIN MCT / LCT 20 % Larutan mengandung Lipid (infus lipid emulsi MCT/LCT 20% 100
Botol
ml)@ 100 ml dan Botol @ 250 ml Rp 71,500.00
610 LIPOFUNDIN MCT / LCT 20 % Larutan mengandung Lipid (infus lipid emulsi MCT/LCT 20% 250
Botol
ml)@ 100 ml dan Botol @ 250 ml Rp 169,125.00
611 LIPOMED 20% MCT/LCT Larutan mengandung Lipid (Lipomed 20%, Lipofudin 20%, Clinololeic,
BotolSmoflipi),
Gelas 250 kemasan
mL 250 ml Rp 169,125.00
612 LODOMER Haloperidol injeksi i.m 5 mg/ml Dus, 12 Ampul @ 1 mL Rp 4,050.00
613 LODOMER Haloperidol tablet/kapsul/kaplet 2 mg Dus, 10 Strip @ 10 Tablet salut selaput Rp 95
614 LODOMER Haloperidol tts 2 mg/mL Dus, Botol @ 15 mL Rp 20,000.00
615 LOVENOX Enoksaparin sodium inj 20 mg/0,2 ml Dus, 2 prefilled syringe @ 0.2 mL Rp 48,000.00
618 MARTOS - 10 Larutan mengandung Karbohidrat Plabott, 500 ml Rp 31,100.00
619 MAXIFLON Moksifloksasin tab 400 mg Dus, 2 strip @ 3 kaptab salut selaput Rp 23,980.00
620 MELAVITA CREAM 0.1 Asam Retinoat krim 0,1 % Tube @ 10 g Rp 9,750.00
621 MENIVAX ACYW Vaksin Meningitis Meningococcoal Polysacharide Group A.C.Y.W135 Dus, 1 vial @ 1 dosis + Pelarut Rp 214,500.00
622 MEPRAMIDE Metoklopramide drop 2 mg/mL Dus, botol plastik @ 10 mL Rp 4,760.00
623 MEPTIN INHALATION SOLUTION 0,3 ML Prokaterol cairan inh 30 mcg Ampul 0,3 ml Rp 6,000.00
624 MEPTIN INHALATION SOLUTION 0,5 ML Prokaterol cairan inh 50 mcg Ampul 0,5 ml Rp 6,000.00
625 MEPTIN SWINGHALER Prokaterol serb inh 10 mcg unit, 10 mcg/puff, 200 dosis Rp 84,000.00
626 MERLOPAM Lorazepam tablet/kapsul/kaplet 0,5 mg Dus, 10 Strip @ 10 Tablet Rp 405
627 MESTINON TABLET Piridostigmin Dus, botol @ 150 tablet salut gula Rp 7,447.00
628 MEYLON 84 Natrium Bikarbonat inj i.v 8,4% Ampul, 25 ml Rp 6,200.00
629 MILOZ 15 Midazolam injeksi i.v. 5 mg/ml Dus, 5 ampul @ 3 mL Rp 9,504.00
630 MILOZ 5 Midazolam injeksi i.v. 1 mg/ml Dus, 10 Strip @ 10 Tablet salut enterik Rp 4,510.00
631 MINIASPI 80 Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg Dus, 5 cartridge @ 3 ml (Penfill) Rp 104
632 MIXTARD 30 HM PENFILL Human insulin mix catridge/penvil Dus, 6 strip @ 10 tablet Rp 75,000.00
633 MST CONTINUS 10 MG Morfin HCL tablet lepas lambat 10 mg Dus, 1 Vial@50 mg Rp 15,620.00
634 MST CONTINUS 15 MG Morfin HCL tablet lepas lambat 15 mg Botol Rp 22,990.00
635 MYCAMINE Mikafungin serb inj 50 mg Dus, 1 Vial@50 mg Rp 320,000.00
636 MYCORINE POWDER Mikonazol serbuk 2% Botol Rp 26,950.00
637 MYCOSTOP TAB. 250 Griseofulvin tablet/kapsul/kaplet 250 mg Box @ 100 tab Rp 1,705.00
638 MYFORTIC Mikofenolat sodium tab sal 180 mg Dus Rp 8,000.00
639 MYFORTIC Mikofenolat sodium tab sal 360 mg Dus Rp 16,000.00
640 N-ACE N-asetil sistein inj. nebules 100 mg n/a Rp 15,300.00
641 NAPRO-TAX paklitaksel inj 6 mg/ml (inj 30 mg/ml) Dus, 1 vial @ 5 mL Rp 180,000.00
642 NAPRODOX 10 doksorubisin serb inj 10 mg (i.v.) Dus, 1 vial @ 10 mg Rp 44,550.00
643 NAPRODOX 50 doksorubisin serb inj 50 mg (i.v.) Dus, 1 vial @ 50 mg Rp 227,700.00
644 NAROPIN Ropivakain Inj 7,5 mg/ml Dus, 5 polyamp duofit @20 ml Rp 71,865.00
645 NASACORT Triamsinolon Asetonid Nasal Spray 55 mcg/puff Dus, botol plastik @ 120 dosis Rp 106,750.00
646 NAVELBINE INJ 10 MG vinorelbin inj 10 mg/ml Dus, 1 Vial @ 1 ml Rp 685,750.00
647 NEBIDO Testosteron inj 250 mg/mL Dus, 1 vial @ 4 mL Rp 1,696,845.00
648 NEO DIAGON Attapulgit tab 650 mg Dus, 25 amplop@ 1 strip @ 4 tablet Rp 245
649 NEOSMA Terbutalin tablet/kapsul/kaplet 2,5 mg Dus, 10 strip @ 10 kaptab Rp 109
650 NEPHROSTERIL Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino
botol
esensial:
@250 ml Asam Amino non esensial = 60Rp: 40) 45,870.00
651 NERILON KRIM Diflukortolon valerat salep berlemak 0,1% n/a Rp 12,250.00
652 NEW ANTIDES Atapulgit tablet/kapsul/kaplet 600 mg Dus, 10 amplop @ 1 strip @ 10 tablet Rp 196
653 NIFLEC Polietilen Glikol Dus,10 sachet @137,155 gram Rp 123,200.00
654 NIMOTOP Nimodipine tablet/kapsul/kaplet 30 mg Dus, 5 strip @ 10 tablet salut selaput Rp 3,520.00
655 NITRAL Gliseril trinitrat tab sublingual 0,5 mg Dus, Botol @ 30 tablet sublingual Rp 1,485.00
656 NITROKAF FORTE Gliseril trinitrat kaps lepas lambat SR 5 mg Dus, 10 blister @ 10 kapsul Rp 2,772.00
657 NITROKAF RETARD Gliseril trinitrat kaps lepas lambat 2,5 mg Dus, 10 blister @ 10 kapsul Rp 1,800.00
658 NOKOBA Nalokson injeksi 0,4 mg/ml n/a Rp 85,690.00
659 NORESTIL Noretisteron tablet/kapsul/kaplet 5 mg Dus, 3 strip @ 10 tablet Rp 1,980.00
660 NOTRIXUM Atrakurium injeksi 25 mg/2,5 ml (10mg/mL) Dus, 5 ampul @ 2,5 mL Rp 11,826.00
Dus, 5 cartridge @ 3 ml in prefilled pen
661 NOVOMIX 30 FLEXPEN Mix Insulin flexpen/catridge Rp 110,000.00
(FlexPen)
Dus, 5 cartridge @ 3 ml in prefilled pen
662 NOVORAPID FLEXPEN Rapid insulin pen/flexpen/catridge Rp 87,000.00
(FlexPen)
Dus, 1 vial @ 1 mg + 1 vial pelarut @ 1.1 Rp
663 NOVOSEVEN RT Faktor VIIA Rekombinan 1mg/vial 9,749,993.00
ml
Kantong,
gram +5Asam
plastic bag (340 gr + lipid MCT/LCT
664 NUTRIFLEX LIPID PERI Larutan mengandung Asam Amino (kombinasi glukosa & elektrolit 80 Amino Rp50 gr) 470,000.00
chamber/1250ml)
Kantong, 5 plastic bag (3 71.8 gr + lipid 50
665 NUTRIFLEX LIPID SPECIAL Larutan mengandung Asam Amino (kombinasi glukosa & elektrolit 180 gram + Asam Amino Rpgr dgn akses
560,000.00
sentral)
chamber/1250ml)
666 NUTRIFLEX LIPID SPECIAL Larutan mengandung Asam Amino (kombinasi glukosa & elektrolit
Kantong,
90 gram
5 plastic
+ Asambag
Amino
(3 chamber/625ml)
35.9 gr dan LipidRp
25 gr dgn340,000.00
akses sentral)
667 OBUCORT SWINGHALER Budesonid inhaler 200 mcg/puff, 200 dosis unit, 200 mcg/puff, 200 dosis Rp 105,000.00
668 OCTALBIN 25% Albumin 25% 100 ml Dus, botol @100 ml Rp 1,500,000.00
669 OCTALBIN 25% Albumin 25% 50 ml Dus, botol @50 ml Rp 750,000.00
670 OCTALBIN 5% Albumin 5% 250 ml Dus, botol @250 ml Rp 900,000.00
Dus, 1 Vial Serbuk Inj 1000 IU + Dus, 1 vial Rp
671 OCTANATE 1000 IU Faktor VIII Konsentrat 1000 IU/vial 3,600,000.00
pelarut 10 mL
672 OCTANATE 250 IU Faktor VIII Konsentrat 250 IU/vial 925,000.00
pelarut 5 mL
673 OCTANATE 500 IU Faktor VIII Konsentrat 500 IU/vial 1,850,000.00
pelarut 5 mL
Dus, 1 Vial Serbuk Inj + Dus, 1 vial pelarut
674 OCTANINE F Faktor IX kompleks 500 IU/vial Rp 4,620,000.00
(WFI) 5 mL
675 OMNISCAN gadodiamid inj 287 mg/ml Dus @ 10 vial Rp 287,000.00
676 ONBREZ BREEZHALER Indakaterol serbuk ih 150 mcg Dus Rp 11,750.00
677 ONBREZ BREEZHALER Indakaterol serbuk ih 300 mcg Dus Rp 11,750.00
678 ONZAPIN 10 MG Olanzapin tablet/kaplet/salut 10 mg Dus, 4 blister @ 7 tablet salut selaput Rp 6,995.00
679 ONZAPIN 5 MG Olanzapin tablet/kaplet/salut 5 mg Dus, 4 blister @ 7 tablet salut selaput Rp 4,498.00
680 OPTIFLOX Levofloksasin tts mata 0,5% n/a Rp 21,460.00
681 OSTOVEL Kalsitriol (vitamin D3) kapsul lunak 0,25 mcg Dus, botol @ 30 kapsul lunak Rp 1,903.00
682 OTSU - MGSO4 20 Magnesium sulfat injeksi 20% Ampul, 25 ml Rp 3,200.00
683 OTSU - MGSO4 40 Magnesium sulfat injeksi 40% Ampul, 25 ml Rp 3,650.00
684 OTSU - WI Air untuk injeksi 25ml Ampul, 25 ml Rp 2,750.00
685 OTSU KCL 7,46% Kalium Klorida 7,46% 25 ml Ampul, 25 ml Rp 3,099.00
686 OXALIPLATIN MEDAC oksaliplatin serb inj 100 mg Dus, 1 vial @ 100 mg Rp 720,000.00
687 OXALIPLATIN MEDAC oksaliplatin serb inj 50 mg Dus, 1 vial @ 50 mg Rp 360,000.00
688 OXITEL oksaliplatin serb inj 50 mg DUS, 1 VIAL @ 50 MG Rp 400,000.00
689 OXTERCID INJEKSI Sefuroksim serbuk injeksi 750 mg DUS,Vial @ 750 mg Rp 32,973.00
690 PACLIMEDAC paklitaksel inj 6 mg/ml (inj 100 mg/ml) Dus, 1 vial @ 16,7 ml Rp 500,000.00
691 PACLIMEDAC paklitaksel inj 6 mg/ml (inj 30 mg/ml) Dus, 1 vial @ 5 ml Rp 200,000.00
692 PACLIMEDAC paklitaksel inj 6 mg/ml (inj 300 mg/ml) Dus, 1 vial @ 50 ml Rp 1,500,000.00
693 PACLON 100 paklitaksel inj 6 mg/ml (inj 100 mg/ml) DUS, 1 VIAL @ 16,7 ML Rp 450,000.00
694 PACLON 30 paklitaksel inj 6 mg/ml (inj 30 mg/ml) DUS, 1 VIAL @ 5 ML Rp 200,000.00
695 PAN AMIN - G Larutan mengandung Asam Amino (pan amin-g) Softbag, 500 ml Rp 45,950.00
696 PATANOL Olopatadin tts mata 0,1% Botol 5 mL Rp 72,500.00
697 PAXOMED paklitaksel inj 6 mg/ml (inj 100 mg/ml) Dus, 1 vial @ 16,7 ml Rp 415,000.00
698 PAXOMED paklitaksel inj 6 mg/ml (inj 30 mg/ml) Dus, 1 vial @ 5 ml Rp 165,000.00
Dus, 1 vial @ 100mcg + 1 ampul pelarut@
699 PEG INTRON Pegylated interferon alfa-2b inj serb inj 100 mcg 0,7mL + 1 syringe + 2 jarum + 1 cleansing Rp 1,200,000.00
swab
swabs
swab
702 PEG INTRON PEN Pegylated interferon alfa-2b inj serb inj 120 mcg n/a Rp 1,400,000.00
703 PEGASYS Pegylated interferon alfa-2a inj 135 mcg/0,5 ml Box , 1 Pfs Rp 1,050,000.00
704 PEGASYS Pegylated interferon alfa-2a inj 180 mcg/0,5 ml Box , 1 Pfs Rp 1,200,000.00
705 PLASBUMIN 20 Albumin 20% 100 ml Dus, 1 vial @ 100 ml Rp 850,000.00
707 PLASBUMIN 25 Albumin 25% 100 ml Dus, 1 vial @ 100 ml Rp 1,500,000.00
712 PLASMANATE Fraksi Protein Plasma lar inf 5% Dus, 1 vial @ 250 ml Rp 900,000.00
713 PLAVIX Klopidogrel tab salut selaput 300 mg Dus, 1 blister @ 10 tablet salut selaput Rp 16,393.00
714 PLAXAT oksaliplatin serb inj 100 mg Dus, 1 vial @ 100 mg Rp 741,600.00
715 PLAXAT oksaliplatin serb inj 50 mg Dus, 1 vial @ 50 mg Rp 370,800.00
716 PRADAXA 110MG Dabigatran eteksilat kapsul 110 mg Dus, 3 Blister @10 Kapsul Rp 14,250.00
717 PRADAXA 75MG Dabigatran eteksilat kapsul 75 mg Dus, 3 Blister @10 Kapsul Rp 14,250.00
718 PRIMOVIST Gadoksetat disodium 0,25 mmol gadoxetate disodium/ml Dus,1 prefilled syringe @ 10 ml Rp 2,720,000.00
719 PROBENID TABLET 500 MG Probenesid tablet/kapsul/kaplet 500 mg Dus, 10 strip @ 10 tablet Rp 2,085.00
720 PROFOLAT Asam Folat tablet/kapsul/kaplet 0,4 mg Dus, 10 strip @ 10 tablet Rp 64
721 PROGRAF 0,5 MG Takrolimus kaps 0.5 mg Dus, 1 pouch @5 blister@10 kapsul Rp 12,850.00
722 PROGRAF 1 MG Takrolimus kaps 1 mg Dus, 1 pouch @5 blister@10 kapsul Rp 25,800.00
723 PROGRAF XL Takrolimus kaps lepas lambat 0,5 mg Dus, 1 pouch @5 blister@10 kapsul Rp 12,850.00
724 PROGRAF XL Takrolimus kaps lepas lambat 1 mg n/a Rp 25,800.00
725 PROHIPER 10 Metilfenidat tablet lepas lambat 10 mg Dus, 3 Strip @ 10 Tablet Rp 1,680.00
726 PROSOGAN INJ 30MG Lansoprazol inj 30 mg/ml Vial Rp 88,500.00
727 PROTHYRA Medroksi Progesteron asetat tablet/kapsul/kaplet 10 mg Dus, 3 Blister @ 10 Tablet Rp 2,300.00
728 PROVERA 100MG Medroksi Progesteron Asetat tablet/kapsul/kaplet 100 mg Dus, 10 Blister @ 10 tablet Rp 6,100.00
729 PULAREX Attapulgit tab 630 mg Dus, 5 strip @ 10 tablet Rp 179
730 REBETOL Ribavirin tab 200 mg Dus, 2 blister @ 20 kapsul Rp 3,992.00
731 RECANSA 10 Rosuvastatin tablet/kapsul/kaplet 10 mg Dus, 3 blister @ 10 tablet salut selaput Rp 1,800.00
732 RECORMON PFS, 2,000 IU INJ. Eritropoetin-beta inj 2000 UI/0,3 ml Box , 6 amps Rp 115,650.00
733 RENALSCAN KAEF DTPA 2,06-2,5 mg pantetate calsium trisodium Dus, @ 5 vial Rp 570,000.00
734 REQUIP PD 24 HOUR Ropinirol tab lepas lambat 2 mg Dus, 7 blister@ 4 tablet pelepasan lambat Rp 5,750.00
Dus, 10 strip @ 10 kaptab pelepasan

737 RETAPHYL SR Teofilin tab SR 300 mg Rp 1,128.00
lambat
738 REXTA oksaliplatin serb inj 50 mg Dus, 1 Vial @ 50 mg Rp 400,000.00
739 RINGERFUNDIN Larutan mengandung Elektrolit (Tiap 1L mengandung: NaCl 145 mmol/l, KCl
Dus,
4.010
mmol/l,
botol PE
Ca@500
2.5 mmol/l,
ml Mg 1.0 mmol/l,
Rp Cl 118 mmol/l,
11,000.00
Acetate 24 mmol/l, Malate 5.0 mmol/l)
740 SANDEPRIL 50 Maprotilin HCl tablet/kapsul/kaplet 50 mg Dus, 5 Strip @ 10 Tablet salut selapu Rp 2,540.00
741 SANDIMMUN NEORAL Siklosporin kaps 100 mg Dus Rp 42,500.00
742 SANDIMMUN NEORAL Siklosporin Kaps lunak 50 mg Dus Rp 20,075.00
743 SANDIMMUN NEORAL Siklosporin kapsul lunak 25 mg Dus Rp 11,800.00
744 SANDOSTATIN LAR Oktreotid LAR serb inj 20 mg Dus Rp 7,451,885.00
745 SANDOSTATIN LAR Oktreotid LAR serb inj 30 mg Dus Rp 9,687,450.00
746 SANDOSTATIN Octreotide acetate 0,05 - 6 mg/mL Dus Rp 63,000.00
747 SANSULIN M30 Human insulin mix catridge/penvil Box, 5 cartridge @ 3 ml Rp 75,000.00
748 SANSULIN R Human insulin Short penvil/catridge 100 UI Box, 5 cartridge @ 3 ml Rp 79,800.00
749 SCABIMITE CREAM 10 Permetrin Krim 5% Tube @ 10 g Rp 12,155.00
750 SEBIVO Telbivudin tab 600 mg Dus Rp 28,300.00
Dus kanister 120 dosis dengan dose
751 SERETIDE 50 Kombinasi: Salmeterol 25 mcg + Flutikason propionat 50 mcg Rp 55,000.00
counter
752 SERETIDE DISKUS Kombinasi: Salmeterol 50 mcg + Flutikason 100 mcg + ih 100mcg/puff Dus, Strip @ 60 Blister Dosis Rp 121,000.00
753 SERETIDE DISKUS Kombinasi: Salmeterol 50 mcg + Flutikason 250 + ih 250 mcg/puff Dus, Strip @ 60 Blister Dosis Rp 136,000.00
754 SERETIDE DISKUS Kombinasi: Salmeterol 50 mcg + Flutikason 500 + ih 500 mcg/puff Dus, Strip @ 60 Blister Dosis Rp 123,948.00
Dus, 1 blister @10 tablet pelepasan

755 SEROQUEL XR Quetiapin tab SR 200 mg Rp 13,750.00
lambat
Dus, 1 blister @10 tablet pelepasan
756 SEROQUEL XR Quetiapin tab SR 300 mg Rp 14,950.00
lambat
757 SEROQUEL XR Quetiapin tab SR 400 mg Botol Rp 17,900.00
758 SEVORANE Sevofluran ih Dus, 50 vial @ 2,5 mL (5 dosis) Rp 1,257,500.00
759 SHAN IPV Vaksin polio IPV inj 0,5 ml 5 dosis Dus, 50 vial @ 2,5 mL (5 dosis) Rp 153,736.00
Dus, 3 Alublister @10 Tablet Pelepasan
760 SIFROL 0,125MG Pramipeksol tablet 0,125 mg Rp 4,481.00
Lambat
761 SIFROL ER 0,375MG Pramipeksol tab lepas lambat 0,375 mg Rp 8,000.00
Lambat
762 SIFROL ER 0,750MG Pramipeksol tab lepas lambat 0,750 mg Rp 12,700.00
Lambat
763 SIKZONOATE INJEKSI Flufenazin injeksi i.m 25 mg/ml Dus, 5 ampul @ 1ml Rp 57,500.00
764 SIMARC Warfarin tablet 2 mg tablet Rp 950
765 SINDAXEL 100 MG/16,67 ML paklitaksel inj 6 mg/ml (inj 100 mg/ml) Dus, 1 vial @ 16,67 Ml Rp 509,850.00
766 SINDAXEL 30 MG/5 ML paklitaksel inj 6 mg/ml (inj 30 mg/ml) Dus, 1 vial @ 5 Ml Rp 185,400.00
767 SINDROXOCIN doksorubisin serb inj 50 mg (i.v.) Dus, 1 vial @ 50 mg Rp 234,531.00
768 SKIZON Betametason krim 0,5 mg/g Dus, tube @ 5 gram Rp 3,575.00
769 SMOFLIPID 20% Larutan mengandung Lipid (Lipomed 20%, Lipofudin 20%, Clinololeic, Smoflipi),
Botol @100
kemasan
ml 100 ml Rp 71,500.00
770 SOFT U DERM HYDRO Urea krim 10% Tube Rp 6,809.00
771 SOLUVIT N Larutan mengandung Lipid (Vitamin larut air: B komplek dan Vitamin C) kombinasi
Dus dengan
10 Vial@
vitamin
166 mglarut lemak untuk bayi,Rp
anak dan dewasa
61,490.00
772 SPICA SPINAL Bupivakain inj 0,50% (P.V) Dus 5 ampul @ 4 mL Rp 11,850.00
773 SPIRIVA Tiotropium 18 mcg refill Dus, 3 Blister @10 Kapsul Rp 14,750.00
774 SPIRIVA Tiotropium kaps 18 mcg + handihaller Dus, 1 Blister @10 Kapsul + Handihaler Rp 162,000.00
775 STALEVO Kombinasi: Levodopa 100 mg + Karbidopa 25 mg + Entekapon 200 mg Dus Rp 8,800.00
776 STAMARIL Vaksin Yellow Fever Box 0,5 ml, vial Rp 296,000.00
777 STESOLID 10 MG Diazepam enema 10 mg/2,5 mL Dus, 5 alubag @ 1 tube @ 2.5 ml Rp 20,348.00
778 STESOLID 5 MG Diazepam enema 5 mg/2,5 mL Dus, 5 alubag @ 1 tube @ 2.5 ml Rp 14,054.00
779 SUFENTA Sufentanil injeksi 5 mcg/ml Dus, 5 ampul @ 10 mL Rp 160,000.00
780 SURVANTA Surfaktan susp 25 mg/ml (intratekal) Vial 8 ml Rp 3,450,000.00
781 SYMBICORT Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg, 120 dosis Dus, 1 turbuhaler @120 dosis Rp 134,500.00
782 SYMBICORT Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg, 60 dosis Dus, 1 turbuhaler @60 dosis Rp 121,000.00
783 SYMBICORT Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg Dus, 1 turbuhaler @60 dosis Rp 121,000.00
784 SYNARCUS Flusinolon asetonid krim 0,025% Dus, Tube @ 5 g Rp 2,700.00
Dus, 1 vial @ 0,5 mL + 1 vial pelarut @
785 TACEEDO 20 Dosetaksel inj 20 mg/ 0.5 ml Rp 379,125.00
1,5 mL
Dus, 1 vial @ 0,5 mL + 1 vial pelarut @
786 TACEEDO 80 dosetaksel inj 80 mg/2 ml Rp 1,192,500.00
1,5 mL
787 TAMOFEN Tamoksifen 10 mg Dus, 1 vial @ 2 mL + 1 vial pelarut @ 6 mL Rp 1,790.00

788 TANAPRESS 10 Imidapril tab 10 mg Dus, 3 strip @ 10 tablet salut selaput Rp 4,554.00
789 TANAPRESS 5 Imidapril tab 5 mg Dus, 10 blister @ 10 tablet Rp 2,442.00
790 TAPROS 1,88MG Leuprorelin asetat inj depot 1,88 mg Dus, 10 blister @ 10 tablet Rp 750,000.00
791 TAPROS 11,25MG Leuprorelin asetat inj depot 11,25 mg Vial Rp 2,916,000.00
792 TARCEVA 100 Erlotinib tablet salut selaput 100 mg Vial Rp 555,000.00
793 TARCEVA 150 Erlotinib tablet salut selaput 150 mg Box, 30 tabs Rp 560,000.00
794 TARIVID Ofloksasin tets telinga 3% Dus, 1 botol plastik @ 5 ml Rp 37,400.00
795 TASIGNA Nilotinib kapsul 150 mg Dus Rp 211,000.00
796 TASIGNA Nilotinib kapsul 200 mg Dus Rp 380,875.00
797 TEMODAL Temozolamid kaps 100 mg Dus, 5 sachet @ 1 kapsul Rp 1,150,000.00
798 TEMODAL Temozolamid kaps 20 mg Dus, 5 sachet @ 1 kapsul Rp 225,000.00
799 TERRELL 100 Isofluran inhalasi botol 100 ml Dus, Botol @ 100 mL Rp 369,150.00
800 TETAGAM Human tetanus imunoglobulin inj 250 IU (i.m.) Dus, 1 prfilled syringe @ 1 mL Rp 170,000.00
801 THYROZOL 10 Tiamazol tab 10 mg Dus, 10 blister @ 10 tablet Rp 1,195.00
802 THYROZOL 5 Tiamazol tab 5 mg Dus, 10 blister @ 10 tablet Rp 610
803 TOPAMAX Topiramat tablet 100 mg Dus, 6 alublister @ 10 tablet Rp 9,195.00
806 TOTILAC Larutan mengandung Elektrolit (sodium lactate sol (50%) 113 gr/L, potassium chloride
Flexybag
0,3 gr/L,
@250Calcium
ml chloride 0,2 gr/L, elektrolit)
Rp 90,000.00
807 TRAVATAN Travoprost tetes mata 0,004% (botol 1,5 ml) Botol 1,5 mL Rp 80,000.00
808 TRILAC Triamsinolon inj 10 mg/mL Dus, 1 vial @ 5 mL Rp 47,520.00
809 TRIOFUSIN 1600 Larutan mengandung Karbohidrat 40% Botol @500 ml Rp 95,250.00
810 TRIOFUSIN 500 Larutan mengandung Karbohidrat 12% Botol @500 ml Rp 47,000.00
811 TRIOFUSIN E 1000 Larutan mengandung Karbohidrat 24% + Elektrolit Botol @500 ml Rp 57,750.00
812 TUTOFUSIN OPS Larutan mengandung Karbohidrat + Elektrolit (Larutan Nutrisi Kombinasi Infus
Flexybag
Na, K,
@500
Ca, Mg,
ml Cl, Asetat, Sorbitol) Rp 39,328.00
813 TYKERB Lapatinib 250 mg Dus Rp 60,500.00
814 ULSIDEX TABLET 500 MG Sukralfat tablet/kapsul/kaplet 500 mg Dus, 10 strip @ 10 tablet Rp 373
815 ULTRAVIST 300 Iopromid 300 -370 mg Iodium/ml (300 mg / 100 ml) Dus,10 botol @ 100 ml Rp 280,000.00
819 URINTER Asam Pipemidat tablet/kapsul/kaplet 400 mg DUS,10 Strip @ 10 Rp 1,348.00
820 UROMITEXAN Mesna inj 100 mg/ml Dus, 15 Ampul @ 4 ml Rp 80,443.00
821 V-BLOC Karvedilol tablet/kapsul/kaplet 6,25 mg Dus, 3 strip @ 10 tablet Rp 1,850.00
822 VAGIZOL Metronidazol ovula 500 mg Dus, 1 strip @ 5 ovula Rp 4,920.00
823 VALCYTE Valgansiklovir tab 450 mg Box, 60 tabs Rp 169,500.00
824 VANCEP Vankomisin serbuk injeksi 500 mg Dus, 2 vial @ 0,5 mg Rp 148,500.00
825 VENTOLIN ROTACAPS Salbutamol serb ih 200 mcg/kapsul Dus, 8 blister @ 16 kapsul Rp 450
826 Rp
VENTOLIN ROTAHALER Ventolin Rotahaler (Alat Hirup Salbutamol 200 mcg/kapsul) 1 Rotahaler 6,550.00
Dus, 24 catch cover @ 1 blister @ 1 tablet Rp
827
VERMOX Mebendazol tablet 500 mg kunyah 8,800.00
828 VICCILLIN SX Kombinasi: Ampisilin 1000 mg + Sulbaktam 500 mg serb inj 1500 mg Dus, 10 vial @ 1500 mg Rp 47,000.00
829 VIGAMOX Moksifloksasin tts mata 0,5% Botol 3 mL Rp 81,000.00
830 VINCRISTINE KALBE vinkristin inj 1 mg/ml (i.v.) Dus, Vial @ 1 mg Rp 48,500.00
831 VINCRISTINE KALBE vinkristin inj 2 mg/ml (i.v.) Dus, vial @ 2 mL Rp 84,250.00
832 VINORELSIN vinorelbin inj 10 mg/ml Dus, 1 vial @ 1 Ml Rp 635,690.00
833 VISANNE Dienogest tab 2 mg Dus, 2 Pouch @ 1 Blister @ 14 Tablet Rp 12,700.00
834 Rp
VITALIPID N-ADULT Larutan mengandung Lipid (Vitamin larut lemak: A, D, E, K) untuk dewasa
Dus, 10 ampul@ 10 ml 29,975.00
835 Rp
VITALIPID N-INFANT Larutan mengandung Lipid (Vitamin larut lemak: A, D, E, K) untuk bayiDus,
& anak
10 ampul@ 10 ml 23,749.00
836 VOLUVEN Koloid HES BM 130 000 lar inf 6% Botol plastik @ 500ml Rp 22,319.00
837 WIDA 2A Larutan mengandung Karbohidrat + Elektrolit (2A) Botol plastik 500 ml Rp 8,100.00
838 WIDA D5-1/2NS Larutan mengandung Karbohidrat + Elektrolit (D5-1/2NS) Botol plastik 500 ml Rp 9,400.00
839 WIDA D5-1/4NS Larutan mengandung Karbohidrat + Elektrolit (D5-1/4NS) Botol plastik 500 ml Rp 9,350.00
840 WIDA D5NS Larutan mengandung Karbohidrat + Elektrolit (D5NS) Botol plastik 500 ml Rp 8,025.00
841 Larutan mengandung Karbohidrat + Elektrolit (HSD) Botol plastik 500 ml Rp 10,850.00
842 Rp
Larutan mengandung Karbohidrat + Elektrolit (D2,5 %+ KCl 0,15 %+ NaCl 0,45 %) 500 ml Botol plastik 500 ml 11,435.00
843 Rp
Larutan mengandung Karbohidrat + Elektrolit (D2,5 %+ KCl 0,3 %+ NaCl 0,45 %) 500 ml Botol plastik 500 ml 11,435.00
844 Larutan mengandung Elektrolit (KCl 0,15% + NaCl 0,9%) Botol plastik 500 ml Rp 11,011.00
845 Larutan mengandung elektrolit (KCl 0,3% + NaCl 0,9%) Botol plastik 500 ml Rp 11,011.00
846 Larutan mengandung Karbohidrat + Elektrolit (RD) Botol plastik 500 ml Rp 8,550.00
847 Latanoprost tts mata 0,005% botol @2,5 ml Botol.2,5 ml Rp 120,696.00
848 Rivaroksaban tab 10 mg Dus,1 blister @ 10 Tablet salut selaput Rp 23,500.00
849 Rivaroksaban tab 15 mg Dus,2 blister @ 14 Tablet salut selaput Rp 23,500.00
850 Rivaroksaban tab 20 mg Dus, 2 blister @ 14 tablet salut selaput Rp 23,500.00
851 Kapesitabin tab 500 mg n/a Rp 31,000.00
852 Lidokain jeli 2% Dus, 10 Syringe plastic @10 g Rp 40,000.00
853 Lidokain spray 10% Dus, botol @50 ml (500 dosis) Rp 170,400.00
854 Sefuroksim tablet/kaplet/salut selaput 500 mg n/a Rp 4,800.00
855 Sefuroksim tablet/kapsul/kaplet 250 mg Dus, 1 blister @ 10 tablet salut selaput Rp 4,800.00
856 ZOLADEX Goserelin asetat inj 3,6 mg Dus, 1 Syringe @3,6 mg Rp 882,000.00
857 ZOLADEX LA Goserelin asetat inj 10,8 mg/vial Dus, 1 Syringe @10,8 mg Rp 2,467,000.00
858 ZOMETA Asam Zoledronat inf 4mg/100 ml Dus Rp 1,500,000.00
859 ZYPREXA IM Olanzapin inj 10 mg/vial Dus,1 Vial @ 10 mg Rp 130,000.00
2017
Nama Penyedia Nama Distributor

PT. Kimia Farma (Persero) Tbk PT. Kimia Farma (Persero) Tbk Cbg Palangkaraya
PT. Otsuka Indonesia PT. Anugerah Pharmindo Lestari
PT. Ifars Pharmaceutical Laboratories PT.Indofarma Global Medika
PT. Activis Indonesia PT. MBS Banjarmasin
PT. Boehringer Ingelheim PT. Tempo
PT. Beta Pharmacon PT Anugrah Argon Medica Cabang Banjarmasin
PT. Bayer Indonesia PT. Anugrah Argon Medica
PT. Dexa Medica PT. Anugrah Argon Medica
PT Ferron Par Pharmaceuticals PT.Anugrah Argon Medica Banjarmasin
PT HARSEN LABORATORIES PT PENTA VALENT BANJARMASIN
PT Glaxo Wellcome Indonesia PT Anugerah Pharmindo Lestari Cabang Banjarmasin
PT ACTAVIS INDONESIA PT. MBS Banjarmasin
PT. Abbott Indonesia PT. Anugerah Pharmindo Lestari Cabang Banjarmasin
PT. Otsuka Indonesia PT. Anugerah Pharmindo Lestari - Banjarmasin
PT KALBE FARMA Tbk PT. ENSEVAL PUTERA MEGATRADING Cabang Banjarmasin

PT. Fresenius Kabi Combiphar PT. Anugerah Pharmindo Lestari Cabang Banjarmasin
PT Merck Sharp Dohme Pharma Tbk PT. Anugerah Pharmindo Lestari Cabang Banjarmasin
PT Tempo Scan Pacific, Tbk PT Tempo - Banjarmasin
PT Aventis Pharma PT Anugerah Pharmindo Lestari Cabang Banjarmasin
PT Eisai Indonesia PT. Anugerah Pharmindo Lestari (Banjarmasin)
PT AstraZeneca Indonesia PT. Anugerah Pharmindo Lestari (Banjarmasin)
PT Ikapharmindo Putramas KFTD PALANGKARAYA
PT. Pfizer Indonesia PT. Anugerah Pharmindo Lestari - Banjarmasin
PT. PHARMA LABORATORIES PT. Kimia Farma Trading & Distribution (Palangkaraya)
PT SUNTHI SEPURI PT Mensa Bina Sukses Cab. Banjarmasin
PT SmithKline Beecham Pharmaceuticals PT Anugerah Pharmindo Lestari Cabang Banjarmasin
PT. Bio Farma PT.Rajawali Nusindo - Banjarmasin

PT. OTTO Pharmaceutical Industries PT. Mensa Binasukses
PT. DANKOS FARMA PT. ENSEVAL PUTERA MEGATRADING Cabang Banjarmasin
PT Darya Varia PT. Anugerah Pharmindo Lestari - Banjarmasin
PT Pratapa Nirmala PT. Rajawali Nusindo Cabang Banjarmasin
PT Boehringer Ingelheim Indonesia PT. TEMPO

PT AstraZeneca Indonesia PT Anugerah Pharmindo Lestari Banjarmasin

PT Bufa Aneka PT. Indofarma Global Medika Cabang Banjarmasin
PT. Mersifarma Tirmaku Mercusana PT. Merapi Utama Pharma - Banjarmasin
PT. Pfizer Indonesia PT Anugerah Pharmindo Lestari Banjarmasin

PT Novartis Indonesia Anugerah Argon Medika cabang Banjarmasin
PT Ethica Industri Farmasi PT. Parit Padang Global Banjarmasin
PT. DIPA PHARMALAB INTERSAINS PT. SAPTA SARI TAMA BANJARMASIN
FUTAMED PHARMACEUTICALS PT ANUGERAH PHARMINDO LESTARI CABANG BANJARMASIN
PT. FINUSOLPRIMA FARMA INTERNASIONAL PT. ENSEVAL PUTERA MEGATRADING Cabang Banjarmasin
PT.Phapros Tbk PT Rajawali Nusindo Cabang Palangkaraya

PT. COMBINED IMPERIAL PHARMACEUTICALS PT. Anugerah Pharmindo Lestari Cabang Banjarmasin
PT. Merck Tbk PT ANUGERAH PHARMINDO LESTARI CABANG BANJARMASIN
PT. NOVELL PHARMACEUTICAL LABORATORIES PT Rajawali Nusindo Cabang Banjarmasin

PT. DIPA PHARMALAB INTERSAINS PT. PARIT PADANG GLOBAL BANJARMASIN
PT Menarini Indria Laboratories PT. Anugerah Pharmindo Lestari - Banjarmasin

Daewoong Infion PT United Dico Citas Cabang Banjarmasin
Daewoong Infion PT United Dico Citas Cabang Banjarmasin
PT. SOHO Industri Pharmasi PT. Parit Padang Global Banjarmasin
PT. Merck Tbk PT. ANUGRAH ARGON MEDICA CABANG BANJARMASIN
PT Novartis Indonesia
PT Novartis Indonesia
PT KALBE FARMA Tbk
PT Pratapa Nirmala PT. Parit Padang Global Banjarmasin
PT Sydna Farma PT United Dico Citas Cabang Banjarmasin
PT Sydna Farma PT United Dico Citas Cabang Banjarmasin
PT. Interbat PT. Mensa Binasukses Cabang Banjarmasin
PT FONKO INTERNATIONAL PHARMACEUTICALS PT ANUGRAH ARGON MEDICA BANJARMASIN
PT Bayer Indonesia PT. Anugrah Argon Medica-Banjarmasin
PT Bayer Indonesia PT. Anugrah Argon Medica-Banjarmasin
PT. OTTO Pharmaceutical Industries PT Mensa Bina Sukses Cab. Banjarmasin
PT. OTTO Pharmaceutical Industries PT Mensa Bina Sukses Cab. Banjarmasin
P.T. Dexa Medica Pt Anugrah Argon Medica Banjarmasin
PT. Indofarma (Persero) Tbk PT. Indofarma Global Medika Cabang Banjarmasin
PT. Holi Pharma PT. Kimia Farma TD Cabang Palangkaraya
PT. Hexpharm Jaya Laboratories PT. ENSEVAL PUTERA MEGATRADING Cab. Banjarmasin
PT. MARIN LIZA FARMASI PT. Sapta Sari Tama Cabang Banjarmasin Kalsel-Tengah [Baru]
PT NOVAPHARIN PT. INDOFARMA GLOBAL MEDIKA - BANJARMASIN
PT. Kimia Farma (Persero) Tbk PT. Kimia Farma (Persero) Tbk
PT. RAMA EMERALD MULTI SUKSES PT. INDOFARMA GLOBAL MEDIKA BANJARMASIN
PT. ETERCON PHARMA PT Rajawali Nusindo Cabang Banjarmasin

PT.Bernofarm PT METRO DRUG INDONESIA - BANJARMASIN
PT. LUCAS DJAJA PT. Sapta Sari Tama Cabang Banjarmasin Kalsel-Tengah
PT Yarindo Farmatama PT. Parit Padang Global Banjarmasin
PT. PYRIDAM FARMA, Tbk. T.MERAPI UTAMA PHARMA CABANG BANJARMASIN
PT SANBE FARMA PT. Bina San Prima
PT. GUARDIAN PHARMATAMA PT. Penta Valent Banjarmasin
PT.Phyto Kemo Agung Farma KFTD PALANGKARAYA
PT. RAMA EMERALD MULTI SUKSES PT.RAJAWALI NUSINDO CABANG PALANGKARAYA
PT. MEPROFARM PT Kimia Farma TD Cabang Palangkaraya
PT. Sampharindo Perdana PT.Indofarma Global Medika Banjarmasin
PT.ERELA PT. Indofarma Global Medika Banjarmasin
PT Widatra Bhakti PT. Indofarma Global Medika Cabang Banjarmasin
PT Yarindo Farmatama PT. Rajawali Nusindo Cabang Banjarmasin
PT PERTIWI AGUNG PT Mensa Bina Sukses Cab. Banjarmasin ( Provinsi Kalimantan Tengah )
PT. ETERCON PHARMA PT. Indofarma Global Medika Cabang Banjarmasin
PT.Imfarmind Farmasi Industri PT.Indofarma Global Medika - Banjarmasin
PT TRIYASA NAGAMAS FARMA PT Usahatama Sentosa Mas
PT.INFION PT. United Dico Citas Cab Kalteng (Banjarmasin)

PT. IFARS PHARMACEUTICAL LABORATORIES PT. Indofarma Global Medika Cabang Banjarmasin
PT Tunggal Idaman Abdi Merapi Utama Cab. Banjarmasin

PT. IFARS PHARMACEUTICAL LABORATORIES PT. Indofarma Global Medika Cabang Banjarmasin
PT. MOLEX AYUS PT. Indofarma Global Medika Cabang Banjarmasin
PT. MEPROFARM PT Sapta Sari Tama Cabang Banjarmasin
PT. Natura Laboratoria Prima PT METRO DRUG INDONESIA - Banjarmasin
PT. Natura Laboratoria Prima PT METRO DRUG INDONESIA - Banjarmasin

PT Yarindo Farmatama PT. Parit Padang Global Banjarmasin
PT.Imfarmind Farmasi Industri PT.Indofarma Global Medika - Banjarmasin



PT Eisai Indonesia PT. Anugerah Pharmindo Lestari (Banjarmasin)
PT Eisai Indonesia PT. Kimia Farma (Persero) Tbk
PT. Tanabe Indonesia Pt Anugrah Argon Medica Banjarmasin


PT. DIPA PHARMALAB INTERSAINS
PT Anugrah Argon Medica Cabang Banjarmasin PT. PARIT PADANG GLOBAL BANJARMASIN
PT. Tempo PT. Tempo


PT LAPI LABORATORIES MILLINNIUM PHARMACON INTERNATIONALCABANG BANJARMASIN
PT. Galenium Pharmasia Laboratories PT UNITED DICO CITAS CAB BANJARMASIN

PT. MOLEX AYUS PT. Indofarma Global Medika Cabang Banjarmasin

PT. PYRIDAM FARMA, Tbk. PT.MERAPI UTAMA PHARMA CABANG BANJARMASIN
PT. Mahakam Beta Farma PT MERAPI UTAMA PHARMA CABANG BANJARMASIN
PT. TROPICA MAS PHARMACEUTICALS PT. Indofarma Global Medika Banjarmasin
PT. Meiji Indonesia MERAPI UTAMA PHARMA (BANJARMASIN)


PT Tunggal Idaman Abdi PT Rajawali Nusindo Cabang Banjarmasin
PT. Tempo PT. Tempo
PT. PROMEDRAHARDJO FARMASI INDUSTRI PT KImia Farma T&D Cab Palangkaraya
PT.Takeda Indonesia PT. United Dico Citas cabang Kalimantan Tengah/Banjarmasin
PT SUNTHI SEPURI PT Mensa Bina Sukses Cab. Banjarmasin
PT. Pfizer Indonesia PT. Anugerah Pharmindo Lestari - Banjarmasin
PT Pabrik Pharmasi Zenith PT. Indofarma Global Medika Cabang Banjarmasin




PT. TAISHO PHARMACEUTICAL INDONESIA Tbk. PT. Parit Padang Global Banjarmasin
PT. Meiji Indonesia MERAPI UTAMA PHARMA (BANJARMASIN)
PT Widatra Bhakti KFTD PALANGKARAYA

PT. Pfizer Indonesia PT Anugrah Argon Medica Cabang Banjarmasin
PT Bayer Indonesia PT. Anugrah Argon Medica-Palangkaraya
PT Boehringer Ingelheim Indonesia PT. TEMPO CABANG BANJARMASIN

Obat Katalog Tahun 2017 2

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DAFTAR E-KATALOG OBAT TAHUN 2017

No. Nama Obat Generik Kemasan Harga

Dus, 1 dus @ 10 vial @ 0,75 mg (10 dosis Rp

Dus, 1 Vial @ 0,5 ml + 1 Vial pelarut @1,5 Rp

69 BREXEL dosetaksel inj 80 mg/2 ml Dus, 1 Vial @ 2 ml + 1 Vial pelarut @6 mL Rp 1,325,000.00

Dus, 2 pouch @5 respules @2ml - Dus, 4 Rp

72 BRICASMA Terbutalin serbuk ih 0,50 mg Dus, 1 turbuhaler @100 dosis Rp 56,012.00

Dus, 5 kantong plastik

Dus, 1 vial @ 3,75 mg + 1 ampul pelarut Rp

158 EPIROL epirubisin inj 10mg/5ml Dus, 1 vial @ 10 mg Rp 85,000.00

"Dus, 12 blister @ 28 tablet dispersibel

418 GENERIK Obat Anti Tuberculosis FDC Kategori I Paket Rp 449,257.00

"Dus, 7 blister @ 28 tablet salut selaput

502 GENERIK Triheksifenidil tablet/kapsul/kaplet 2 mg Dus, 10 Strip @ 10 Tabler salut selaput Rp 83

Dus, 1 vial serbuk injeksi @ 250 IU + 1 vial

Dus, 10 strip @ 10 kaptab pelepasan

Dus, 1 blister @10 tablet pelepasan

787 TAMOFEN Tamoksifen 10 mg Dus, 1 vial @ 2 mL + 1 vial pelarut @ 6 mL Rp 1,790.00

Nama Penyedia Nama Distributor

PT KALBE FARMA Tbk PT. ENSEVAL PUTERA MEGATRADING Cabang Banjarmasin

PT. Bio Farma PT.Rajawali Nusindo - Banjarmasin

PT. Bio Farma PT.Rajawali Nusindo - Banjarmasin

PT KALBE FARMA Tbk PT. ENSEVAL PUTERA MEGATRADING Cabang Banjarmasin

PT KALBE FARMA Tbk PT. ENSEVAL PUTERA MEGATRADING Cabang Banjarmasin

PT AstraZeneca Indonesia PT Anugerah Pharmindo Lestari Banjarmasin

PT AstraZeneca Indonesia PT Anugerah Pharmindo Lestari Banjarmasin

PT AstraZeneca Indonesia PT Anugerah Pharmindo Lestari Banjarmasin

PT KALBE FARMA Tbk PT. ENSEVAL PUTERA MEGATRADING Cabang Banjarmasin

PT KALBE FARMA Tbk PT. ENSEVAL PUTERA MEGATRADING Cabang Banjarmasin

PT.Phapros Tbk PT Rajawali Nusindo Cabang Palangkaraya

PT Boehringer Ingelheim Indonesia PT. TEMPO

PT ACTAVIS INDONESIA PT. MBS Banjarmasin

PT KALBE FARMA Tbk PT. ENSEVAL PUTERA MEGATRADING Cabang Banjarmasin

FUTAMED PHARMACEUTICALS PT ANUGERAH PHARMINDO LESTARI CABANG BANJARMASIN

PT. Mersifarma Tirmaku Mercusana PT. Merapi Utama Pharma - Banjarmasin

PT. NOVELL PHARMACEUTICAL LABORATORIES PT Rajawali Nusindo Cabang Banjarmasin

PT. Mersifarma Tirmaku Mercusana PT. Merapi Utama Pharma - Banjarmasin

PT.Bernofarm PT METRO DRUG INDONESIA - BANJARMASIN

PT.Bernofarm PT METRO DRUG INDONESIA - BANJARMASIN

PT.Phapros Tbk PT Rajawali Nusindo Cabang Palangkaraya

P.T. Dexa Medica Pt Anugrah Argon Medica Banjarmasin

PT. Mersifarma Tirmaku Mercusana PT. Merapi Utama Pharma - Banjarmasin

PT. Bio Farma PT.Rajawali Nusindo - Banjarmasin

PT. Bio Farma PT.Rajawali Nusindo - Banjarmasin

PT. Tanabe Indonesia Pt Anugrah Argon Medica Banjarmasin

PT. Bayer Indonesia PT. Anugrah Argon Medica

PT. Tempo PT. Tempo

PT. DIPA PHARMALAB INTERSAINS PT. SAPTA SARI TAMA BANJARMASIN

PT. DIPA PHARMALAB INTERSAINS PT. SAPTA SARI TAMA BANJARMASIN

PT. MEPROFARM PT Kimia Farma TD Cabang Palangkaraya

PT.Phapros Tbk PT Rajawali Nusindo Cabang Palangkaraya

PT SANBE FARMA PT. Bina San Prima

PT Ferron Par Pharmaceuticals PT.Anugrah Argon Medica Banjarmasin

PT.Phapros Tbk PT Rajawali Nusindo Cabang Palangkaraya

PT.Phapros Tbk PT Rajawali Nusindo Cabang Palangkaraya

PT.Phapros Tbk PT Rajawali Nusindo Cabang Palangkaraya

PT HARSEN LABORATORIES PT PENTA VALENT BANJARMASIN

PT HARSEN LABORATORIES PT PENTA VALENT BANJARMASIN

PT HARSEN LABORATORIES PT PENTA VALENT BANJARMASIN

PT Glaxo Wellcome Indonesia PT Anugerah Pharmindo Lestari Cabang Banjarmasin

PT Glaxo Wellcome Indonesia PT Anugerah Pharmindo Lestari Cabang Banjarmasin

PT.Phapros Tbk PT Rajawali Nusindo Cabang Palangkaraya

PT. Mersifarma Tirmaku Mercusana PT. Merapi Utama Pharma - Banjarmasin

PT Novartis Indonesia Anugerah Argon Medika cabang Banjarmasin