DAFTAR HARGA OGB

PT INDOFARMA TBK
No HNA -
Produk KMS
PPN
1 Acyclovir 200 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 50,000
2 Acyclovir 400 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 85,000
3 Acyclovir 5% Krim - Ktk 25 Tube @ 5 gr (Multi Box) Kotak 25 82,375
4 Acetylcystein 200mg Kapsul Kotak 60 60,000
5 Albendazole 400 mg Tab Kunyah Rasa Jeruk Kotak 30 ( 5 Blister @ 6 Tabl Kotak 30 11,080
6 Allopurinol 100 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 30,000
7 Ambroxol 30 mg Tablet Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 28,000
8 Ambroxol 15 mg/5 ml Syrup Botol 60 ml (Multi Box) Botol 60 ml 3,297
9 Aminophylline 200 mg Tab Botol 100 Botol 100 10,290
10 Amitriptyline 25 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 15,585
11 Amlodipine 5 mg Tablet Kotak 30 ( 3 Blister @ 10 Tablet ) Kotak 30 26,156
12 Amlodipine 10 mg Tablet Kotak 30 ( 3 Blister @ 10 Tablet ) Kotak 30 46,136
13 Amoxicillin 125 mg/5 ml Sir Ker Botol 60 ml (multi box) Botol 60 ml 3,360
14 Amoxicillin 250 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120 39,336
15 Amoxicillin 500 mg Kapl Kotak 100 ( 10 Strip @ 10 Kaplet ) Kotak 100 33,603
16 Ampicillin 500 mg Kapl Kotak 100 ( 10 Strip @ 10 Kaplet ) Kotak 100 34,602
17 Antalgin 500 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 21,190
18 Asam Mefenamat 500 mg Tab Sal Sel Kotak 100 ( 10 Blister @ 10 TabletKotak 100 23,040
19 Atropin 0,25 mg/ml inj Kotak 30 Ampul Kotak 30 34,466
20 Captopril 12,5 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 9,890
21 Captopril 25 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 12,510
22 Captopril 50 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 20,378
23 Carbamazepine 200 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 29,097
24 Cefadroxil 500 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Kotak 50 50,000
25 Cefadroxil 125 mg / 5 mg Syrup Kering Botol 60 ml (Multi Box) Botol 60 ml 7,447
26 Cefixcim 100 mg kaps - Ktk 30 Kotak 30 67,500
27 Cefixime 100 mg / 5 ml Sirup Kering Btl 30 ml Botol 30 ml 27,473
28 Cefotaxime 1,0 g Injeksi Kering Kotak 2 Vial @ 10 ml Kotak 2 7,273
29 Ceftriaxone 1,0 g Injeksi Kering Kotak 2 Vial @ 10 ml Kotak 2 21,100
30 Ceftazidime Inj Kotak 2 61,449
31 Cephalexin 500 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Kotak 50 54,491
32 Cetirizine 10 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Kotak 50 14,236
33 Cetirizine 5 mg/5 ml Sirop Botol 60 ml Botol 60 ml 9,491
34 Cetirizine Drops Botol 10 ml 25,000
35 Chloramphenicol 250 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120 54,795
36 Ciprofloxacin 500 mg Ktk 100 Kotak 100 25,792
37 Ciprofloxacin Infus 2mg/ml Vial 100ml Botol 100 51,766
38 Citicoline 250 mg / 2 ml Injeksi Kotak 5 Ampul @ 2 ml Kotak 5 65,000
39 Citicoline 500mg tablet Kotak 30 180,000
40 Clindamycin 150 mg Kaps Kotak 50 ( 5 Blister @ 10 Kapsul ) Kotak 50 31,920
41 Clindamycin 300 mg Kaps Kotak 50 ( 5 Blister @ 10 Kapsul ) Kotak 50 65,000
42 Clonidine 0,15 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 18,618
43 Co Amoxiclav 625 mg Tab Sal Sel Kotak 30 ( 5 Strip @ 6 Tablet ) Kotak 30 158,404
44 Cotrimoxazole 120 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 6,893
45 Cotrimoxazole 240 mg/5 ml Suspensi Botol 60 ml (multi box) Botol 60 ml 4,945
46 Cotrimoxazole 480 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 24,300
47 Cyanocobalamine 500 mcg/ml Injeksi Kotak 100 ampul @ 1 ml Kotak 100 169,521
48 Dexamethasone 0,5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 14,250
49 Dexamethasone 5 mg/ml Injeksi Kotak 100 ampul @ 1 ml Kotak 100 181,818
50 Desoxymetasone krim 0,25% kotak 25 Kotak 25 90,612
51 Diazepam 2 mg Tab Botol 100 tablet Botol 100 10,140
52 Diazepam 5 mg Tab Kotak 100 tablet Kotak 100 13,077
53 Diazepam 5 mg/ml Injeksi Kotak 30 ampul @ 2 ml Kotak 30 125,400
54 Digoxin 0,25 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 16,883
55 Diltiazem 30 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 16,525
56 Domperidon Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 36,656
57 Doxycycline 100 mg Kaps Kotak 100 ( 10 Strip @ 10 Kapsul ) Kotak 100 26,424
58 Erythromycin 200 mg/5 ml Sir Ker Botol 60 ml (multi box) Botol 60 ml 8,828
59 Erythromycin 250 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120 54,491
60 Erythromycin 500 mg Tab Sal Sel Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 84,461
61 Ethambutol 500 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 80,000
62 Famotidine 20 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50 7,380
63 Famotidine 40 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50 10,047
64 Furosemide 10 mg/ml Injeksi Kotak 25 ampul @ 2 ml Kotak 25 46,773
65 Furosemide 40 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 16,521
66 Gemfibrozil 300 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120 44,160
67 Gentamicin 40 mg/ml Injeksi Kotak 5 ampul @ 2 ml Kotak 5 16,783
68 Gentamicin 0.3% OTM - Kotak 10 Btl @ 5 ml Kotak 10 37,870
69 Gentamicin 0,1 % Salep Kulit Kotak 25 tube @ 5 g (Multi Box) Kotak 25 41,708
70 Glibenclamide 5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 13,885
71 Glimepiride 4 mg Tablet Kotak, 5 Strip @ 10 Tablet Kotak 50 130,168
72 Glimepiride 2 mg Tablet Kotak, 5 Strip @ 10 Tablet Kotak 50 71,592
73 Glucosamin 500mg Chondroitin 400mg Vitamin C 50mg Btl 30 Tab Botol 30 79,200
74 Griseofulvin 125 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 29,970
75 Haloperidol 0,5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 8,425
76 Haloperidol 1,5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 9,374
77 Haloperidol 5 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 12,217
78 Hydrochlorthiazide (HCT) 25 mg Botol 1000 Botol 1000 32,967
79 Hydrocortisone 2,5 % Krim Kotak 24 tube @ 5 gr (multi box) Kotak 24 107,144
80 Ibuprofen 200 mg Tab Sal Sel Botol 100 Botol 100 18,900
81 Ibuprofen 400 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 27,932
82 Ibuprofen Suspensi 100 mg / 5 ml Botol 60 ml Botol 60 ml 3,814
 83 Ibuprofen Suspensi 200 mg / 5 ml Botol 60 ml Botol 60 ml 5,722
84 Irbesartan 300 mg Kaptab Box 5 Strip @ 10 Kaptab Kotak 50 172,750
85 Irbesartan 150 mg Kaptab Box 5 Strip @ 10 Kaptab Kotak 50 89,250
86 Isoniazide 300 mg Tab Botol 1000 Botol 1000 88,094
87 Isosorbide Dinitrate 5 mg Tab Sublingual Kotak 100 ( 10 Strip @ 10 TableKotak 100 15,000
88 Ketorolac 10 mg/ml Box 5 Ampul Box 5 Amp 34,057
89 Ketorolac 30 mg/ml Box 6 Ampu 72,900
90 Lansoprazole 30 mg Kaps Kotak 20 ( 2 Strip @ 10 Kapsul ) Kotak 20 24,545
91 Levofloxacin 500 mg tab - Ktk 30 Kotak 30 30,152
92 Levofloxacin Infus 5 mg/ml Vial 100 ml Botol 100m 80,000
93 Lidocaine Compositum 2%/2 ml Injeksi Kotak 30 ampul @ 2 ml Kotak 30 30,969
94 Lincomycin 500 mg Kaps Kotak 60 ( 5 Blister @ 12 Kapsul ) Kotak 60 81,000
95 Loratadine 10 mg Tab Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50 15,125
96 Meloxicam 15 mg tab - Ktk 50 Kotak 50 54,446
97 Meloxicam 7.5 mg tab - Ktk 50 Kotak 50 31,418
98 Metformin 500 mg tab kotak 100 23,760
99 Methylprednisolone 16 mg Tab Kotak 30 ( 3 Blister @ 10 Tablet ) Kotak 30 31,877
100 Methylprednisolone 4 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 40,010
101 Metronidazol 250 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 12,987
102 Metronidazol 500 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 25,275
103 Mineral mix 8 gr sachet (40 sachet ) Kotak 40 90,000
104 Na Diklofenak 50 mg Tab Sal Enterik Kotak 50 ( 5 Blister @ 10 Tablet ) Kotak 50 13,344
105 Ofloxacin 200 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50 26,796
106 Ofloxacin 400 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50 39,642
107 Omeprazole 20 mg Kaps Kotak 30 Kotak 30 11,126
108 Ondansetron 4 mg tab - Ktk 12 Kotak 12 17,400
109 Ondansetron 4 mg/2 ml inj - Ktk 5 Kotak 5 27,500
110 Ondansetron 8 mg tab - Ktk 12 Kotak 12 27,600
111 Ondansetron 8 mg/4 ml inj - Ktk 5 Kotak 5 77,750
112 Oralit 200 ml Serbuk Kotak 25 sachet Kotak 25 11,850
113 Oxytetracycline 3 % Salep Kulit Kotak 25 tube @ 5 g (multi box) Kotak 25 37,485
114 Paracetamol 120 mg /5ml Sir Botol 60 ml (multi box) Botol 60 ml 2,872
114 Piracetam 1200 mg Tab Sal Sel Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50 58,741
115 Paracetamol 500 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 16,740
115 Piracetam 3 g inj - Ktk 4 Kotak 4 62,138
116 Paracetamol Drops Btl 15 ml Botol 15 ml 6,234
116 Piroxicam 10 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120 30,000
117 Pantoprazol Serbuk Injeksi 40 Mg - Kotak 1 Vial Kotak 1 Via 65,000
117 Piroxicam 20 mg Kaps Kotak 120 ( 10 Blister @ 12 Kapsul ) Kotak 120 27,000
118 Phenobarbital 30mg Tablet kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 19,575
118 Propylthiouracyl 100 mg Tab Botol 100 Botol 100 41,000
119 Pyrazinamide 500 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 21,251
120 Ranitidine 150 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 22,977
121 Ranitidine 25 mg/ml Injeksi Kotak 25 ampul @ 2 ml Kotak 25 58,351
122 Rifampicin 300 mg Kaps Kotak 100 ( 10 Strip @ 10 Kapsul ) Kotak 100 121,404
123 Rifampicin 450 mg Kaps Kotak 100 ( 10 Strip @ 10 Kapsul ) Kotak 100 157,500
124 Rifampicin 600 mg Tab Sal Sel Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 219,101
125 Salbutamol 2 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 9,539
126 Salbutamol 4 mg Tab Kotak 100 ( 10 Strip @ 10 Tablet ) Kotak 100 8,854
127 Salbutamol 2 mg/5 ml Sirop Botol 100 ml Botol 100 m 5,000
128 Spiramycin 500 mg Tab Kotak 50 ( 5 Strip @ 10 Tablet ) Kotak 50 69,976
129 Sulfadoxine Pyrimehamine 525 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 56,966
130 Taburia serbuk 1 gr kotak 30 sachet Kotak 30 25,000
131 Tetracycline 250 mg Kaps Botol 1000 Botol 100 151,440
132 Thiamphenicol 500 mg Kaps Kotak 100 ( 10 Strip @ 10 Kapsul ) Kotak 100 89,510
133 Tramadol 50 mg Kaps Kotak 50 ( 5 Strip @ 10 Kapsul ) Kotak 50 14,985
134 Tramadol 50 mg/ml injeksi Kotak 5 ampul @ 2 ml Kotak 5 29,071
135 Trihexyphenidyl 2 mg Tab Kotak 100 ( 10 Blister @ 10 Tablet ) Kotak 100 10,500
136 Urispas 200 mg Tab Sal Sel - Kotak 30 Kotak 30 152,500
137 Zinc 20 mg Tab Box 10 Strip @ 10 Tablet Kotak 100 61,315
HNA +
PPN
55,000
93,500
90,613
66,000
12,188
33,000
30,800
3,627
11,319
17,144
28,771
50,749
3,696
43,270
36,963
38,062
23,309
25,344
37,912
10,879
13,761
22,415
32,007
55,000
8,192
74,250
30,220
8,000
23,210
67,594
59,940
15,659
10,440
27,500
60,275
28,372
56,943
71,500
198,000
 35,112
71,500
20,480
174,244
7,583
5,440
26,730
186,473
15,675
200,000
99,673
11,154
14,385
137,940
18,571
18,178
40,322
29,066
9,711
59,940
92,907
88,000
8,118
11,052
51,451
18,173
48,576
18,462
41,657
45,879
15,274
143,185
78,751
87,120
32,967
9,268
10,311
13,439
36,264
117,858
20,790
30,725
4,195
 6,294
190,025
98,175
96,903
16,500
37,463
80,190
27,000
33,167
88,000
34,066
89,100
16,637
59,890
34,560
26,136
35,065
44,011
14,286
27,803
99,000
14,678
29,476
43,607
12,238
19,140
30,250
30,360
85,525
13,035
41,234
3,159
64,615
18,414
68,352
6,857
33,000
71,500
29,700
21,533
45,100
23,377
25,275
 64,186
133,544
173,250
241,011
10,493
9,739
5,500
76,973
62,663
27,500
166,584
98,461
16,484
31,978
11,550
167,750
67,447