DAFTAR HARGA OGB INDOFARMA 2015

NO Produk KMS

1 Acyclovir 200 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100

2 Acyclovir 400 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
3 Acyclovir 5% Krim - Ktk 25 Tube @ 5 gr (Multi Box) Kotak 25
4 Albendazole 400 mg Tab Kunyah Rasa Jeruk Kotak 30 ( 5 Blister @ 6 Tablet ) Kotak 100
5 Allopurinol 100 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
6 Ambroxol 15 mg/5 ml Syrup Botol 60 ml (Multi Box) Botol 60 ml
7 Ambroxol 30 mg Tablet Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
8 Aminophylline 200 mg Tab Botol 100 Botol 100
9 Amitriptyline 25 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
10 Amlodipine 10 mg Tablet Kotak 30 ( 3 Blister @ 10 Tablet ) Kotak 30
11 Amlodipine 5 mg Tablet Kotak 30 ( 3 Blister @ 10 Tablet ) Kotak 30
12 Amoxicillin 125 mg/5 ml Sir Ker Botol 60 ml (multi box) Botol 60 ml
13 Amoxicillin 250 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120
14 Amoxicillin 500 mg Kapl Kotak 100 ( 10 Strip @ 10 Kaplet ) Kotak 100
15 Ampicillin 500 mg Kapl Kotak 100 ( 10 Strip @ 10 Kaplet ) Kotak 100
16 Antalgin 500 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
17 Asam Mefenamat 500 mg Tab Sal Sel Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
18 Atropin 0,25 mg/ml inj Kotak 30 Ampul Kotak 30
19 Captopril 12,5 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
20 Captopril 25 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
21 Captopril 50 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
22 Carbamazepine 200 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
23 Cefadroxil 125 mg / 5 mg Syrup Kering Botol 60 ml (Multi Box) Botol 60 ml
24 Cefadroxil 500 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Kotak 50
25 Cefixcim 100 mg kaps - Ktk 30 Kotak 30
26 Cefixime 100 mg / 5 ml Sirup Kering Btl 30 ml Botol 30 ml
27 Cefotaxime 1,0 g Injeksi Kering Kotak 2 Vial @ 10 ml Kotak 2
28 Ceftriaxone 1,0 g Injeksi Kering Kotak 2 Vial @ 10 ml Kotak 2
29 Cephalexin 500 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Kotak 50
30 Cetirizine 10 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Kotak 50
31 Cetirizine 5 mg/5 ml Sirop Botol 60 ml Botol 60 ml
32 Cetirizine Drops Botol 10 ml
33 Chloramphenicol 250 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120
34 Ciprofloxacin 500 mg Ktk 100 Kotak 100
35 Citicoline 250 mg / 2 ml Injeksi Kotak 5 Ampul @ 2 ml Ktk 5 amp @ 2
36 Citicoline 500 mg tablet Kotak 30
37 Clindamycin 150 mg Kaps Kotak 50 ( 5 Blister @ 10 Kapsul ) Kotak 50
38 Clindamycin 300 mg Kaps Kotak 50 ( 5 Blister @ 10 Kapsul ) Kotak 50
39 Clonidine 0,15 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
40 Co Amoxiclav 625 mg Tab Sal Sel Kotak 30 ( 5 Strip @ 6 Tablet ) Kotak 30
41 Cotrimoxazole 120 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
42 Cotrimoxazole 240 mg/5 ml Suspensi Botol 60 ml (multi box) Botol 60 ml
43 Cotrimoxazole 480 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
44 Cyanocobalamine 500 mcg/ml Injeksi Kotak 100 ampul @ 1 ml Kotak 100
45 Dexamethasone 0,5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
46 Dexamethasone 5 mg/ml Injeksi Kotak 100 ampul @ 1 ml Kotak 100
47 Dextromethorphan 10 mg/5 ml Sirop Botol 60 ml (multi box) Botol 60 ml
48 Dextromethorphan 15 mg Tab Sal Sel Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
49 Diazepam 2 mg Tab Botol 100 Botol 100
50 Diazepam 5 mg Tab Botol 250 Botol 250
51 Diazepam 5 mg/ml Injeksi Kotak 30 ampul @ 2 ml Kotak 30
52 Digoxin 0,25 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
53 Diltiazem 30 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
54 Domperidon Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
 55 Doxycycline 100 mg Kaps Kotak 100 ( 10 Strip @ 10 Kapsul ) Kotak 100
56 Erythromycin 200 mg/5 ml Sir Ker Botol 60 ml (multi box) Botol 60 ml
57 Erythromycin 250 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120
58 Erythromycin 500 mg Tab Sal Sel Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
59 Ethambutol 500 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
60 Famotidine 20 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50
61 Famotidine 40 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50
62 Furosemide 10 mg/ml Injeksi Kotak 25 ampul @ 2 ml Kotak 25
63 Furosemide 40 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
64 Gemfibrozil 300 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120
65 Gentamicin 0,1 % Salep Kulit Kotak 25 tube @ 5 g (Multi Box) Kotak 25
66 Gentamicin 0.3% OTM - Kotak 10 Btl @ 5 ml Kotak 10
67 Gentamicin 40 mg/ml Injeksi Kotak 5 ampul @ 2 ml Kotak 5
68 Glibenclamide 5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
69 Glucosamin 500mg Chondroitin 400mg Vitamin C 50mg Btl 30 Tab Botol 30
70 Griseofulvin 125 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
71 Haloperidol 0,5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
72 Haloperidol 1,5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
73 Haloperidol 5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
74 Hydrochlorthiazide (HCT) 25 mg Botol 1000 Botol 1000
75 Hydrocortisone 2,5 % Krim Kotak 24 tube @ 5 gr (multi box) Kotak 24

NO Produk KMS

76 Ibuprofen 200 mg Tab Sal Sel Botol 100 Botol 100

77 Ibuprofen 400 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
78 Ibuprofen Suspensi 100 mg / 5 ml Botol 60 ml Botol 60 ml
79 Ibuprofen Suspensi 200 mg / 5 ml Botol 60 ml Botol 60 ml
80 Isoniazide 300 mg Tab Botol 1000 Botol 1000
81 Isosorbide Dinitrate 5 mg Tab Sublingual Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
82 Ketorolac 30 mg/ml Box 6 Ampul
83 Ketorolac 10 mg/ml Box 5 Ampul Box 5 Ampul
84 Lansoprazole 30 mg Kaps Kotak 20 ( 2 Strip @ 10 Kapsul ) Kotak 20
85 Levofloxacin 500 mg tab - Ktk 30 Kotak 30
86 Lidocaine Compositum 2%/2 ml Injeksi Kotak 30 ampul @ 2 ml Kotak 30
87 Lincomycin 500 mg Kaps Kotak 60 ( 5 Blister @ 12 Kapsul ) Kotak 60
88 Loratadine 10 mg Tab Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50
89 Meloxicam 15 mg tab - Ktk 50 Kotak 50
90 Meloxicam 7.5 mg tab - Ktk 50 Kotak 50
91 Methylprednisolone 16 mg Tab Kotak 30 ( 3 Blister @ 10 Tablet ) Kotak 30
92 Methylprednisolone 4 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
93 Metronidazol 500 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
94 Na Diklofenak 50 mg Tab Sal Enterik Kotak 50 ( 5 Blister @ 10 Tablet ) Kotak 50
95 Ofloxacin 200 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50
96 Ofloxacin 400 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50
97 Omeprazole 20 mg Kaps Kotak 30 Kotak 30
98 Ondansetron 4 mg tab - Ktk 12 Kotak 12
99 Ondansetron 4 mg/2 ml inj - Ktk 5 Kotak 5
100 Ondansetron 8 mg tab - Ktk 12 Kotak 12
101 Ondansetron 8 mg/4 ml inj - Ktk 5 Kotak 5
102 Oralit 200 ml Serbuk Kotak 25 sachet Kotak 25
103 Oxytetracycline 3 % Salep Kulit Kotak 25 tube @ 5 g (multi box) Kotak 25
104 Paracetamol 120 mg /5ml Sir Botol 60 ml (multi box) Botol 60 ml
105 Paracetamol 500 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
106 Paracetamol Drops Btl 15 ml Botol 15 ml
107 Phenobarbital 30 mg tablet kotak 100 ( 10 Strip @ 10 tablet ) Kotak 100
108 Piracetam 1200 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50
109 Piracetam 3 g inj - Ktk 4 Kotak 4
110 Piroxicam 10 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120
111 Piroxicam 20 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120
112 Propylthiouracyl 100 mg Tab Botol 100 Botol 100
113 Pyrazinamide 500 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
114 Ranitidine 150 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
115 Ranitidine 25 mg/ml Injeksi Kotak 25 ampul @ 2 ml Kotak 25
116 Reserpine 0,25 mg Tab Botol 1000 Botol 1000
117 Rifampicin 300 mg Kaps Kotak 100 ( 10 Strip @ 10 Kapsul ) Kotak 100
118 Rifampicin 450 mg Kaps Kotak 100 ( 10 Strip @ 10 Kapsul ) Kotak 100
119 Rifampicin 600 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
120 Salbutamol 2 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
121 Salbutamol 2 mg/5 ml Sirop Botol 100 ml Botol 100 ml
122 Salbutamol 4 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
123 Spiramycin 500 mg Tab Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50
124 Sulfadoxine Pyrimehamine 525 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
125 Thiamphenicol 500 mg Kaps Kotak 100 ( 10 Strip @ 10 Kapsul ) Kotak 100
126 Tramadol 50 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Kotak 50
127 Tramadol 50 mg/ml injeksi Kotak 5 ampul @ 2 ml Kotak 5
128 Trihexyphenidyl 2 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100
129 Zinc 20 mg Tab Box 10 Strip @ 10 Tablet Kotak 100
130 Acetylcysteine 200 mg Kapsul Kotak 60
131 Ciprofloxacin Infus 2 mg/ml Vial 100 ml Kotak 1 vial
132 Clopidogrel 75 mg Tab kotak 30 Kotak 30
133 Irbesartan 300 mg Kaptab Box 5 Strip @ 10 Kaptab Kotak 50
134 Irbesartan 150 mg Kaptab Box 5 Strip @ 10 Kaptab Kotak 50
135 Levofloxacin Infus 5 mg/ml Vial 100 ml Kotak 1 vial
136 Metformin 500 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100
137 Pantoprazole Serbuk Injeksi 40 mg Kotak 1 vial
138 Glimepirid 2mg kotak 50
139 Glimepirid 4mg kotak 50
Catatan : Harga Sewaktu-waktu berubah
Terimakasih
 HNA (- HNA +
ISI / TAB
PPN) PPN
100 35,254 38,779 388
100 51,887 57,076 571
25 68,114 74,925 2,997
100 11,080 12,188 122
100 13,187 14,506 145
1 2,997 3,297 3,297
100 11,358 12,494 125
100 10,290 11,319 113
100 10,899 11,989 120
30 46,136 50,749 1,692
30 26,156 28,771 959
1 3,360 3,696 3,696
120 31,469 34,616 288
100 33,603 36,963 370
100 34,602 38,062 381
100 16,300 17,930 179
100 19,200 21,120 211
30 34,466 37,912 1,264
100 8,174 8,991 90
100 12,510 13,761 138
100 20,378 22,415 224
100 22,382 24,621 246
1 7,447 8,192 8,192
50 45,800 50,380 1,008
30 65,242 71,766 2,392
1 27,473 30,220 30,220
2 13,846 15,231 7,615
2 17,171 18,888 9,444
50 54,491 59,940 1,199
50 14,236 15,659 313
1 9,491 10,440 10,440
1 25,000 27,500 27,500
120 29,062 31,968 266
100 25,792 28,372 284
5 65,000 71,500 14,300
30 180,000 198,000 6,600
50 23,159 25,475 509
50 34,182 37,600 752
100 18,618 20,480 205
30 137,742 151,516 5,051
100 6,893 7,583 76
1 4,300 4,730 4,730
100 18,000 19,800 198
100 94,178 103,596 1,036
100 9,500 10,450 105
100 181,818 200,000 2,000
1 2,602 2,862 2,862
100 9,990 10,989 110
100 2,897 3,187 32
250 10,898 11,988 48
30 64,520 70,972 2,366
100 12,987 14,286 143
100 13,771 15,148 151
100 36,656 40,322 403
 100 22,977 25,275 253
1 7,356 8,092 8,092
120 54,491 59,940 500
100 84,461 92,907 929
100 52,093 57,303 573
50 6,150 6,765 135
50 8,038 8,842 177
25 46,773 51,451 2,058
100 11,125 12,238 122
120 34,865 38,352 320
25 41,708 45,879 1,835
10 32,930 36,223 3,622
5 16,783 18,462 3,692
100 7,193 7,912 79
30 66,000 72,600 2,420
100 23,976 26,374 264
100 6,018 6,620 66
100 7,500 8,250 82
100 11,106 12,217 122
1,000 32,967 36,264 36
24 71,429 78,572 3,274

HNA (- HNA +
ISI / TAB
PPN) PPN
100 12,600 13,860 139
100 18,621 20,483 205
1 3,179 3,497 3,497
1 4,087 4,496 4,496
1,000 88,094 96,903 97
100 9,725 10,698 107
6 72,827 80,110 13,352
5 34,057 37,463 7,493
20 24,545 27,000 1,350
30 30,152 33,167 1,106
30 30,969 34,066 1,136
60 35,419 38,961 649
50 15,125 16,637 333
50 54,446 59,890 1,198
50 31,418 34,560 691
30 31,877 35,065 1,169
100 40,010 44,011 440
100 21,978 24,176 242
50 9,884 10,873 217
50 26,796 29,476 590
50 39,642 43,607 872
30 11,126 12,238 408
12 16,800 18,480 1,540
5 27,500 30,250 6,050
12 27,600 30,360 2,530
 5 40,000 44,000 8,800
25 11,850 13,035 521
25 37,485 41,234 1,649
1 2,089 2,298 2,298
100 12,400 13,640 136
1 4,795 5,275 5,275
100 10,000 11,000 110
50 58,741 64,615 1,292
4 62,138 68,352 17,088
120 11,007 12,108 101
120 11,443 12,587 105
100 27,206 29,927 299
100 21,251 23,377 234
100 19,980 21,978 220
25 58,351 64,186 2,567
1,000 79,920 87,912 88
100 66,990 73,689 737
100 90,735 99,809 998
100 120,890 132,979 1,330
100 7,631 8,395 84
1 5,000 5,500 5,500
100 8,854 9,739 97
50 69,976 76,973 1,539
100 43,000 47,300 473
100 55,944 61,538 615
50 14,622 16,084 322
5 29,071 31,978 6,396
100 7,500 8,250 83
100 43,139 47,453 475
60 60,000 66,000 1,100
1 51,766 56,943 56,943
30 210,000 231,000 7,700
50 172,750 190,025 3,801
50 89,250 98,175 1,964
1 80,000 88,000 88,000
100 19,800 21,780 218
1 65,000 71,500 71,500
50 71,592 78,751 1,575
50 130,168 143,185 2,864
 DAFTAR HARGA EKATALOG JAWA TENGAH PT.INDOFARMA,Tbk 2015

Harga
NO NAMA OBAT SATUAN SEDIAAN (+PPn)
1 Albendazol suspensi 200 mg/5 ml 10 Sirup 3,849
2 Amitriptilin
Basitrasin tablet salut 25 mg (HCl)
500 IU/g 100 Tablet 112
3 Polimiksin 10.000 IU/g 25 Salep/Cream 2,516
4 Asam Mefenamat kapsul/kaplet 250 mg 120 Kapsul 126
5 Asiklovir tablet/kapsul/kaplet 200 mg 100 Tablet 237
6 Atropin Sulfat tablet 0,5 mg 100 Tablet 74
7 Deksametason injeksi i.v./i.m. 5 mg/ml 100 Injeksi 1,580
8 Diltiazem HCl tablet 30 mg 100 Tablet 134
9 Eritromisin kapsul/kaplet 500 mg 100 Tablet 930
10 Etambutol tablet salut 500 mg (HCl) 100 Tablet 451
11 Furosemid injeksi i.v./i.m. 10 mg/ml 25 Injeksi 1,829
12 Furosemid tablet 40 mg 50 Tablet 85
13 Gemfibrozil kapsul/kaplet 300 mg 120 Kapsul 289
14 Gemfibrozil tablet 600 mg 100 Tablet 679
15 Gentamisin injeksi 40 mg/ ml 5 Injeksi 3,399
16 Gentamisin tetes mata 0,3% 10 OTM 3,194
17 Glibenklamid tablet 5 mg 100 Tablet 56
18 Griseofulvin tablet 125 mg 100 Tablet 219
19 Haloperidol tablet 0,5 mg 100 Tablet 59
20 Haloperidol tablet 5 mg 100 Tablet 96
21 Haloperidol tablet 1,5 mg 100 Tablet 69
22 Hidroklorotiazida tablet 25 mg 100 Tablet 48
23 Ibuprofen sirup 100 mg/5 ml 1 Sirup 3,499
24 Ibuprofen suspensi 200 mg/5 ml 1 Sirup 4,499
25 Irbesartan tab 150 mg 50 Tablet 1,425
26 Irbesartan tab 300 mg 50 Tablet 2,470
27 Isosorbid Dinitrat tablet sublingual 5 mg 100 Tablet 88
28 Kaptopril tablet 50 mg 100 Tablet 140
29 Kaptopril tablet scored12,5 mg 100 Tablet 62
30 Karbamazepin tablet 200 mg 100 Tablet 245
31 Klindamisin kapsul/kaplet 150 mg 50 Kapsul 361
32 Klindamisin kapsul/kaplet 300 mg 50 Kapsul 553
33 Lanzoprazol kapsul/kaplet 30 mg 20 Kapsul 473
34 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2 30 Injeksi 1,363
35 Mebendazol tablet 100 mg 30 Tablet 249
36 Obat Antituberkulosis FDC Sisipan 1 Tablet 160,000
37 ondansetron inj 4 mg/ 2 mL 5 Injeksi 2,400
38 Spiramisin tablet 500 mg 50 Tablet 1,499

PEMENANG PAKET 7

JAWA TENGAH
NO NAMA GENERIK HARGA
RKO
HPS * PENAWA
PKD RS RAN *
 a b
1 Obat Antituberkulosis FDC Sisipan
2 Rifampisin tablet salut 450 mg 339,869 790 789
3 Setirizin sirup 5 mg/5 ml 56 2,344 8,000 7,999
PAKET 12 OBAT GENERIK

JAWA TENGAH
NO NAMA GENERIK HARGA
RKO
HPS * PENAWA
PKD RS RAN *
1 Diazepam injeksi i.v./i.m 5 mg/ml 22,695 36,408 4,180 4,180
2 Fenobarbital tablet/kapsul/kaplet 100 mg 95,000 128,852 220 220
3 Rifampisin tablet/kapsul/kaplet 300 mg 92,647 61,998 610 610
4 Rifampisin tablet/kapsul/kaplet 600 mg - 30,996 1,100 1,100
PAKET 13 OBAT GENERIK

JAWA TENGAH
NO NAMA GENERIK HARGA
RKO
HPS * PENAWA
PKD RS RAN *
1 Zinc sir 10 mg/mL 507,600 731 18,725 14,980
MA,Tbk 2015