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DAFTAR HARGA OBAT

RUMAH SAKIT TK IV SINTANG

NO NAMA OBAT HARGA NO NAMA OBAT


1 AMINOPHILIN INJ Rp 9,000 51 BRAXIDIN TAB
2 ALINAMIN F INJ Rp 18,000 52 BROXAL
3 ANTRAIN INJ Rp 16,500 53 CEDATOP 200 INJ
4 ARTEM INJ Rp 44,500 54 CEDOCARD INJ
5 ATROPIN INJ Rp 3,500 55 CLATAX INJ
6 AMPICILLIN INJ Rp 15,000 56 CERNEVIT INJ
7 AMLODIPINE 5 MG Rp 10,000 57 CYANOCOBALAMIN INJ
8 AMLODIPINE 10 MG Rp 26,000 58 CROME INJ
9 ASERING INFUS Rp 30,000 59 CYCLOFEM INJ
10 ASPILET Rp 7,000 60 CEFTRIMAX INJ
11 AQUADES Rp 7,500 61 CRIAX INJ
12 ALPRAZOLAM 1.500/tab 62 CHLORETHYL SPRAY
13 ALINAMIN TAB Rp 14,000 63 CEFTRIAXONE
14 AMINEFRON Rp 100,000 64 CEFOTAKSIME
15 ADALAT OROS Rp 130,000 65 CAVIPLEX
16 ARSUAMON 3.5OO/TAB 66 CAZETIN SYR
17 AMBROXOL TAB Rp 6,500 67 COMBIVEN NEBU
18 ACTAPIN 5 MG Rp 22,000 68 CIMALIUM
19 ALPARA SYR Rp 12,000 69 CIPROFLOXACIN TAB
20 ANTASIDA SYRUP Rp 5,000 70 CIPROFLOXACIN INF
21 ACYCLOVIR 400 Rp 8,000 71 CELEBREX
22 ACYCLOVIR ZALP Rp 4,500 72 CARGESIK
23 ATS INJ Rp 175,000 73 CITICOLIN TAB
24 ALERTEN 100 14.500/CAP 74 COVERPLAS TRANS
25 ANALTRAM Rp 91,500 75 CORSAGRIP
26 ANALSIK TAB Rp 16,500 76 CORSABUTOL
27 ANELAT Rp 5,000 77 COMBIVEN
28 ANVOMER 3.000/TAB 78 CIFIXIME
29 ANADIUM Rp 83,000 79 CORSATROCIN
30 ASMACEL 2 Rp 10,000 80 CODITAM
31 ASPAR K Rp 31,000 81 CODIKAV
32 AVODART 11.000/CAP 82 CODEIN
33 AVESCO 20 Rp 92,000 83 CAL 95
34 ARIXTRA Rp 451,000 84 CANDERIN
35 AVAMYS NASAL SPRAY Rp 144,000 85 CALNIC PLUS
36 ABOCAT NO 24 Rp 25,000 86 CAZEROL
37 BUSCOPAN INJ Rp 40,000 87 CEFADROXIL TAB
38 BIOXONE INJ Rp 218,000 88 CEFAT SIRUP
39 BRICASMA INJ Rp 27,500 89 CLANEKSI SIRUP
40 BATUGIN ELIXIR SYR Rp 40,000 90 CAVICUR
41 BAQUINOR FORTE Rp. 19.000/TAB 91 CURCUMA SYR
42 BROADAPEN Rp 10,000 92 CLINDAMYCIN
43 BARTOLIUM Rp 30,000 93 DOPAMIN INJ
44 BIPRO Rp 46,500 94 DOBUJEC INJ
45 BAQUINOR Rp 187,000 95 DIUVAR INJ
46 BEROTEC Rp 10,000 96 DUMIN RECTAL TUBES
47 BIODIAR TAB Rp 17,500 97 DULCOLAX SUP
48 BISOLVON SYRUP Rp 90,000 98 DUROGESIC PATCH 12
49 BISOLVON DROP Rp 5,000 99 DUROGESIC PATCH 25
50 BISOPROLOL 5 MG Rp 36,000 100 DOXYCYLINE

101 DOMPERIDONE TAB Rp 6,000 156 GLAMAROL 2


102 DECULIN Rp 80,000 157 GLIMEPIRIDE
103 DOXACIN Rp 35,000 158 GRANTUSIF
104 DEXICOL Rp 7,500 159 GRAFACETIN
105 DIONICOL Rp 6,500 160 GRAFALIN
106 DIAFROM Rp 5,000 161 GLUCODEK
107 DISFLATYL Rp 8,500 162 GRADILEK
108 DULCOLAC 1.500/TAB 163 GRAFAZOLE
109 DIGOXIN TAB Rp 5,000 164 GRAMETA
110 DUORDART 21.000/CAP 165 GRAPHALAC SIRUP
111 DIADIUM Rp 11,000 166 HYALGAN
112 D5% Rp 12,500 167 HANDSCON STERIL
113 D 5 1/2 NS Rp 20,000 168 HB VIT
114 D 5 1/4 NS Rp 20,000 169 HEPA Q
115 EPHEDRINE INJ Rp 14,500 170 HP PRO
116 ELPICEF INJ Rp 212,000 171 HUFADINE
117 EPRISONE Rp 11,000 172 HELIXIME
118 ETHAMBUTOL Rp 8,000 173 HELIXIME SYR
119 ESTALEX Rp 12,000 174 HYTROZ
120 ECLID 50 MG 2.000/TAB 175 IKANEURON INJ
121 ECLID 100 MG 3.000/TAB 176 INH
122 EPRINOC Rp 27,000 177 ISDN
123 ERYSANBE Rp 31,000 178 INFUS SET MACRO
124 ESTIN Rp 42,000 179 INFUS SET MICRO
125 EPISAN 100 ML SIRUP Rp 57,000 180 KALMETHASON INJ
126 ERYSANBE SIRUP Rp 26,000 181 KETEROLAC INJ
127 ESTIN SIRUP Rp 55,000 182 KETOPROFEN INJ
128 FUROSEMID NJ Rp 3,500 183 KALNEX INJ
129 FARLEV INJ Rp 238,000 184 KCL (FLASH)
130 FARPAIN INJ Rp 34,500 185 KINA
131 FLAMICORT Rp 145,000 186 KALRIFAM
132 FARSIX INJ Rp 9,000 187 KEMOREN
133 FARGOXIN INJ Rp 40,000 188 KADITIC
134 FOSMICIN INJ Rp 114,000 189 KALTROFEN SUP
135 FLAMAR 25 MG Rp 12,000 190 LIVAMIN INFUS
136 FLAMAR 50 MG Rp 25,000 191 LEVOFLOXACIN INFUS
137 FAKTU SUP Rp 11,000 192 LEVEMIR PEN
138 FARIZOLE SIRUP Rp 8,000 193 LANTUS INSULIN PEN
139 FARMASAL Rp 7,500 194 LAPIBAL INJ
140 FARGOXIN TAB Rp 10,000 195 LIDOCAIN
141 FASORBID Rp 5,000 196 LASAL SIRUP
142 FARTOLIN Rp 10,000 197 L-ZINC 100 ML SIRUP
143 FARSIFEN Rp 5,000 198 LASAL EXP SIRUP
144 FOLI CATETER NO 18 Rp 20,000 199 LACTULAC 60 ML SIRUP
145 FOLDA 5.000/TAB 200 LACTULAC 120 ML SIRUP
146 FIMEDIAB Rp 5,000 201 LIFADROX SYR
147 FARMOTEN Rp 5,000 202 LANSOPRAZOLE TAB
148 FITBON Rp 15,000 203 LERZINE
149 FLAMIC 50 Rp 26,000 204 LICODEXONE
150 FLIXOTIDE NEBU Rp 25,000 205 LOSTACEF
151 GOTROPIL 3 GRAM INJ Rp 57,000 206 LOSTACEF SYR
152 GRANON inj Rp 164,000 207 LORAN
153 GRACEF INJ Rp 234,000 208 LAZOL
154 GASTROFER INJ Rp 106,000 209 LETONAL
155 GRAFED Rp 10,500 210 LYRICA PREGABALIN

211 LACBON Rp 20,000 266 NIFEDIPINE


212 LANZOGRA Rp 27,000 267 NATTTO
213 L BIO 10.000/SAC 268 NEXIUM 20
214 LAFIKOT FORTE Rp 15,500 269 NEXIUM 40
215 LAPRAZ Rp 139,000 270 NOPRIL
216 LAPIFED Rp 19,500 271 NORMOTEN 5
217 LIPITOR Rp 200,000 272 NOVACOBALAMIN
218 MECLAM INJ Rp 9,000 273 NERVA PLUS
219 METYLPREDNISOLON INJ Rp 55,000 274 NOFLAM
220 MEIXAM INJ Rp 37,000 275 NOPERTEN 10 MG TAB
221 METRONIDAZOLE INF Rp 36,000 276 NORVOM SYR
222 MEYLON 8,4% Rp 14,000 277 NUVOPEC SYR
223 MANITOL 20 Rp 80,000 278 OBUCORT
224 MECOQUIN Rp 55,000 279 ONDANE INJ
225 MECODIAR Rp 5,000 280 ONDARIN 8 INJ
226 MEFINAL Rp 18,000 281 ONETIC 4 INJ
227 MATSUNAFLAM Rp 20,000 282 ONDANSENTRON 4
228 METYLPREDNISOLON 4 Rp 25,000 283 ONDANSENTRON 8 MG
229 METROLET Rp 7,000 284 OMEPRAZOLE INJEK
230 MELOXICAM 15 MG Rp 2,000 285 OTSU D-40 (FLASH)
231 MAXILIV 15.000/TAB 286 ONDARIN 4
232 MECOLA 5.500/TAB 287 OPICLAM 150
233 MECOLA FORTE 8.000/TAB 288 OPIXIME
234 MST 35.000/TAB 289 OPILAX SYR 60 Mg
235 MERTIGO Rp 45,000 290 OPILAX 120 ML SIRUP
236 MERTIGO XR Rp 70,000 291 ONDANSETRON
237 METFORMIN 500 MG Rp 3,000 292 OMEPRAZOLE TAB
238 METFORMIN 850 MG Rp 5,000 293 PRECOPAR INFUS
239 MUCOGARD SYR Rp 55,000 294 PIRACETAM INFUS
240 MOLAPEC SYR Rp 12,000 295 PANTOPRAZOLE
241 MOLAGIT TAB Rp 6,500 296 PEHACAIN INJ
242 MEPTIN SWINGHELER Rp 187,000 297 PIRACETAM 3G INJ
243 MYORES 13.500/TAB 298 PIRACETAM 200MG INJ
244 NOVORAPID/ ASPART Rp 550,000 299 PARACETAMOL INF
245 NOVOMIX PEN Rp 212,000 300 PIRALEN INJ
246 NOVORAPID PEN Rp 464,000 301 PITOGIN INJ
247 NEUROLIN INJ Rp 25,000 302 PIRALEN INJ
248 NULOGIL INFUS Rp 87,000 303 PUMPITOR
249 NEO-K INJ Rp 13,500 304 PROPEPSA SIRUP
250 NEUROSANBE INJ Rp 8,000 305 PROSTANAC
251 NOVALDO INJ Rp 8,000 306 PYRATIBI
252 NEURODEX Rp 8,500 307 PROPONOLOL 10
253 NOVO TWIS Rp 3,500 308 PROPONOLOL 40
254 NEO KAOMINAL SIRUP Rp 6,500 309 PHARMATON FORMULA
255 NYISTIN DROP SIRUP Rp 41,500 310 PICAMIC
256 NUFANIBROK Rp 15,000 311 PLANOTAB
257 NUVAMOX Rp 6,000 312 PLAVIX
258 NORVOM SIRUP Rp 6,000 313 PLETAAL
259 NACL Rp 12,500 314 PRIDESIA 5
260 NGT NO 16 Rp 42,000 315 PROLIC 150
261 NGT NO 18 Rp 25,000 316 PRAZOTEC
262 NGT NO 8 Rp 25,000 317 POVIRAL
263 NEEDLE UK 27 Rp 2,000 318 PROMACTIL 100
264 NEEDLE UK 23 Rp 2,000 319 PRONICY
265 NORVOM Rp 5,000 320 PIRALEN SIRUP

321 RECODRYL INJ Rp 10,000 376 SPUIT 3 CC


322 RANITIDINE INJ Rp 5,000 377 SPUIT 5 CC
323 RATINAL INJ Rp 23,000 378 SPUIT 1 CC
324 RATAN INJ Rp 15,000 379 SPUIT 10 CC
325 RAIVAS INJ Rp 121,000 380 SPUIT 50 CC
326 REMOPAIN 3% Rp 44,000 381 TRIKER INJ
327 RENATAC INJ Rp 20,000 382 TENSICAP 12,5 INJ
328 RIXONE INJ Rp 102,000 383 TENSICAP 25 INJ
329 RINDOPAIN INJ Rp 25,000 384 TERFACEF INJ
330 RONEM INJ Rp 1,016,500 385 TETAGAM (ATS) INJ
331 RITEX SIRUP Rp 42,000 386 TOPAZOL INJ
332 RENAMOCA SIRUP Rp 22,500 387 TRADOSIK INJ
333 RENAPAR Rp 25,500 388 TRAMADOL INJ
334 RELOX Rp 33,000 389 TRANEC INJ
335 RINDOPUMP 9.000/CAP 390 TRASIX INJ
336 RECOLFAR Rp 38,500 391 TRANESID INJ
337 REDUSEC Rp 13,000 392 TRANFUSI SET
338 REDACID 11.000/TAB 393 TROPIGESIX SYR
339 RENATOR Rp 132,000 394 TROPIGESIX
340 RINVOX Rp 220,000 395 TRODEB
341 RHODIUM 7.000/TAB 396 TRILIN
342 RITEZ Rp 35,500 397 TRAMIFEN
343 RECOLIN TAB 14.000/TAB 398 TROMBO ASPILET
344 RL Rp 12,500 399 TRIBESTAN
345 SPRIVA INHALER Rp 260,000 400 TENSICAP 12.5
346 SPRIVA TAB Rp 27,000 401 TENSICAP 25
347 SERETIDE 50 Rp 168,000 402 TENSINOP 10 MG
348 SINOVIAL Rp 619,000 403 TINEURON
349 SAGESTAM INJ Rp 12,000 404 TREMENZA
350 SANTAGESIK INJ Rp 13,000 405 TRIPANZIME
351 SERFAC 1000 Rp 105,000 406 TRANEC
352 STABIXIN INJ Rp 179,000 407 THIAMPILEX
353 STESOLID INJ Rp 8,000 408 ULCERANIN
354 SPASHI INJ Rp 10,000 409 UROTRACTIN
355 STESOLID RECTAL TUBE Rp 30,000 410 URIN BAG
356 SANPRIMA SIRUP Rp 30,000 411 ULTRACET
357 SANBE KIDS 200 ML SIRUP Rp 38,000 412 ULSIDEX
358 SANMOL DROP Rp 25,000 413 URESIX
359 SANMAG SYR Rp 35,000 414 URDAHEX
360 SALBUTAMOL Rp 2,500 415 YUSIMOX
361 SISTENOL 19.000/BTL 416 YUSIMOX SIRUP
362 SULDOX 2.700/TAB 417 VALISANBE INJ
363 STODIAR Rp 7,000 418 VENOFER INJ
364 STENIROL-4 Rp 27,000 419 VOMIZOLE INJ
365 SCOPMA Rp 15,000 420 VENTOLIN NEBU
366 SCOPAMIN TAB Rp 2,500 421 VENTOLIN ROTACEP
367 SCABIMET ZALP Rp 55,000 422 VENTOLIN ROTAHELER
368 SIMLEV Rp 31,000 423 VENTOLIN EXP SIRUP
369 SIMCOBAL Rp 22,000 424 VENFLON NO. 20
370 SLANG OKSIGEN DEWASA Rp 22,000 425 VENFLON NO 22
371 SPASMINAL Rp 8,500 426 VENFLON NO 24
372 STACARE Rp 76,000 427 VENFLON NO 26
373 SELTIFORT SYR Rp 10,000 428 VALSARTAN
374 SPRINOLACTON 25 MG Rp 10,000 429 VALISANBE 5 MG
375 SANTAGESIK Rp 12,500 430 VALESCO

431 VACLO 18.000/TAB


432 VITALAMIN Rp 5,000
433 VIA JOY 55.000/TAB
434 VIP ALBUMIN 8.000/TAB
435 VIAPOR 5.500/TAB
436 VOSEA SIRUP Rp 5,000
437 VESPERUM SIRUP Rp 6,000
438 VESPERUM TAB Rp 7,000
439 VECTRINE 6.000/TAB
440 VIDABION CAL Rp 8,000
441 XANAX 3.700/TAB
442 ZEGA SE Rp 20,500
443 ZINKID SYR Rp 39,000
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
CODIKAP 13000/TAB
426 LORATADINE Rp 6,000
427 KETOKONAZOLE DEXA Rp 9,000
428 GENOIN CREAM Rp 8,000

CLENDAMICINE 5000MG Rp 14,000


429
430 O2 Rp 250
431 SISTENOL Rp 20,000
432
HARGA
Rp 12,000
Rp 5,000
Rp 48,500
Rp 113,500
Rp 132,000
Rp 205,000
Rp 3,000
Rp 24,000
Rp 10,000
Rp 200,000
Rp 227,000
105.000/BOTOL
Rp 11,000
Rp 11,000
Rp 6,000
Rp 30,000
Rp 15,000
Rp 25,000
Rp 6,500
Rp 25,000
15.000/TAB
Rp 5,000
Rp 91,000
Rp 500
Rp 5,000
Rp 8,000
Rp 20,000
Rp 22,000
Rp 17,000
Rp 43,000
Rp 12,500
2.000/TAB
5.000/TAB
11.000/TAB
Rp 38,000
1.500/TAB
Rp 12,000
Rp 49,000
Rp 60,000
Rp 8,000
Rp 13,000
Rp 11,000
Rp 111,000
Rp 166,500
Rp 11,000
Rp 14,000
Rp 20,000
Rp 175,000
Rp 295,000
Rp 5,000

Rp 44,000
Rp 22,000
Rp 5,000
Rp 5,000
Rp 3,500
Rp 8,000
Rp 5,000
Rp 5,000
Rp 5,000
Rp 59,000
Rp 688,000
Rp 10,000
3.000/TAB
6.000/TAB
Rp 72,000
Rp 5,000
Rp 17,000
Rp 21,000
6.500/TAB
Rp 7,500
250/TAB
Rp 5,000
Rp 16,500
Rp 16,500
Rp 8,000
Rp 15,000
Rp 12,500
Rp 35,000
Rp 5,000
Rp 15,000
Rp 12,000
Rp 5,000
Rp 5,000
Rp 35,000
Rp 229,000
Rp 110,000
Rp 215,000
Rp 238,000
Rp 25,000
Rp 2,000
Rp 42,000
Rp 38,000
Rp 43,000
Rp 55,000
Rp 85,000
Rp 11,000
Rp 16,000
Rp 5,000
Rp 5,000
Rp 12,000
Rp 12,000
Rp 62,000
Rp 31,000
Rp 20,000
20.000/TAB

Rp 5,000
12.500/TAB
19.000/TAB
26.000/TAB
Rp 27,500
Rp 45,000
100/TAB
Rp 25,000
Rp 55,000
7.000/TAB
Rp 6,000
Rp 6,000
Rp 198,000
Rp 22,500
Rp 36,000
Rp 26,500
Rp 12,000
Rp 13,500
Rp 135,000
Rp 5,000
Rp 66,000
Rp 28,000
Rp 207,000
Rp 45,000
Rp 72,000
Rp 10,000
Rp 7,500
Rp 230,000
Rp 97,000
Rp 90,000
Rp 3,000
Rp 30,000
Rp 8,000
Rp 70,000
Rp 8,000
Rp 6,500
Rp 8,000
Rp 175,000
Rp 85,500
Rp 10,500
Rp 6,000
Rp 10,000
Rp 11,500
3.600/CAP
Rp 25,000
Rp 5,000
72.000/TAB
11.500/TAB
2.500/TAB
Rp 29,000
Rp 129,000
Rp 22,000
5.500/TAB
Rp 5,000
Rp 11,000

Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 30,500
Rp 25,000
Rp 22,000
Rp 43,500
Rp 234,500
Rp 245,000
Rp 152,000
Rp 16,000
Rp 13,500
Rp 14,000
Rp 20,000
Rp 15,000
Rp 27,500
Rp 5,000
Rp 5,000
Rp 5,000
Rp 5,000
8.500/TAB
1.000/TAB
15.000/TAB
Rp 22,000
Rp 44,000
Rp 70,000
Rp 34,500
3.500/TAB
Rp 13,500
Rp 27,000
Rp 10,000
Rp 22,000
Rp 36,000
Rp 10,000
Rp 91,000
Rp 16,000
Rp 12,000
Rp 150,000
Rp 5,000
Rp 6,000
Rp 16,000
Rp 225,000
Rp 137,500
Rp 14,000
Rp 15,000
Rp 35,000
Rp 57,000
Rp 25,000
Rp 25,000
Rp 30,000
Rp 40,000
5.000/TAB
5.000/TAB
12.500/TAB