Tabel Penawaran Harga Negosiasi Katalog Obat 2018-2019

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CATATAN :
Untuk Item Obat yang berlogo (G) : Obat NIE Generik

Harga Penawaran Regional I : Lampung,Banten,Daerah Khusus Ibukota (DKI) Jakarta, Jawa Barat, Jawa Tengah, Daerah Is
Harga Penawaran Regional II : Sumatera Utara, Sumatera Barat, Riau, Jambi, Sumatera Selatan, Bengkulu, Kepulauan Ban
Harga Penawaran Regional III : Aceh, Kalimantan Barat, Kalimantan Selatan, Kalimantan Timur, Sulawesi Utara, Sulawesi T
Harga Penawaran Regional IV : Kalimantan Utara, Kalimantan Tengah, Sulawesi Tenggara, Gorontalo, Sulawesi Barat (Harg
Harga Penawaran Regional V : Nusa Tenggara Timur, Maluku, Maluku Utara, dan Papua Barat (Harga Franco Kabupaten/K
Harga Penawaran Regional Papua : Harga Franco Provinsi Papua.
Harga vaksin merupakan harga Franco Provinsi di setiap regional.
Tabel Penawaran Harga Negosiasi Katalog Obat 2018-2019

NAMA GENERIK

Adefovir Dipivoksil tablet/kaplet 10 mg

Air untuk injeksi / water for injection 25 ml
Albendazol susp 200mg/5 ml
albumin serum normal (human
albumin) inj 20% 100 mL
albumin serum normal (human
albumin) inj 20% 50 mL
albumin serum normal (human
albumin) inj 25% 100 mL
albumin serum normal (human
albumin) inj 25% 20 mL
albumin serum normal (human
albumin) inj 25% 50 mL
albumin serum normal (human
albumin) inj 5% 250 mL
albumin serum normal (human
albumin) inj 5% 50 mL
Alprazolam tablet/kapsul/kaplet 0,25 mg (G)
Alteplase serb inj 50mg/ Alteplase 50mg/vial
Amfoterisin B salep mata 1%
Amiodaron inj 50 mg/ml (150 mg/ 3 mL) (G)
Amoksisilin/Amoxicillin/Amoxicillin trihydrate 100 mg/mL drops/ sirup kering, @ 10 mL (G)
Ampisilin serbuk injeksi 250 mg (i.m/i.v)
Analog insulin fast acting inj 100 IU/mL, vial/cartridge disposible/penfill cartridge
Analog insulin intermediate acting inj 100 IU/mL, vial/cartridge disposible/penfill cartridge
Analog insulin long acting inj 100 IU/mL, vial/cartridge disposible/penfill cartridge
Analog
bismut insulinintermediate
subgalat acting combine with short or long acting inj 100 IU/mL, vial/cartridge disposible/penfill cartridge
heksaklorofen
lidokain oral solution 1 mg/ml
Aripiprazol
Aripiprazol tab discmelt 10 mg
Aripiprazol tab discmelt 15 mg
Artemether inj 80 mg/mL
Artesunate injeksi 60 mg/mL (i.v./i.m.)
Asam askorbat (vitamin C) tab 50 mg
Asam Fusidat tetes mata 1%
Asam traneksamat tablet/kapsul/kaplet salut selaput 500 mg
Asam Zoledronat/Zoledronic acid inf 4mg/100 ml
Asetazolamid tablet 250 mg
ATRACURIUM BESILATE/ Atrakurium injeksi 10mg/mL (i.v) (2,5 mL) (G)
Atropin tetes mata 0,5%
Atropine sulfate/ Atropine/ Atropin tab 0.5 mg
Atropine sulfate/ Atropine/ Atropin tetes mata 1%
Azatioprin tablet 50 mg
Azitromisin/Azithromycin tablet/kaplet/kapsul 250 mg (G)
Benzatin Benzil Penisilin 1,2 juta IU/mL (i.m)
Benzatin Benzil Penisilin 2,4 juta IU/mL (i.m)
Beraprost sodium tablet 20 mcg
Betahistin tablet 24 mg
Betamethasone Dipropionate/ Betametason krim 0,05% (0,5mg/g) (G)
Bisoprolol tab 1,25 mg
Bisoprolol tab salut selaput 10 mg
Brinzolamid tetes mata 1%
Bromokriptin tablet 2,5 mg
Budesonid cairan inhalasi 0,25mg/mL, respoules 2 mL
Budesonid cairan inhalasi 0,5 mg/mL, respoules 2 mL
Budesonid serbuk ih 200 mcg/dosis, 200 dosis
Budesonid serbuk inhalasi 200 mcg/dosis, 100 dosis
Budesonide/ Budesonid cairan inhalasi 0,25mg/mL (G)
Budesonide/ Budesonid cairan inhalasi 0,5 mg/mL (G)
Carbamazepine/ Karbamazepin sir 100 mg/5 mL
Cefpodoxime/ sefpodoksim proksetil tab sal selaput 100 mg
Cefuroxime sodium/ Cefuroxime/ Sefuroksim serbuk injeksi 750 mg (G)
Chloramphenicol/ kloramfenikol tts telinga
Chloramphenicol/Kloramfenikol tetes mata 0,5 %
CHLORHEXIDINE GLUCONATE/ Klorheksidin 0,2%
Chloroquine phosphate/ Chloroquine/ Chloroquine diphosphate/ klorokuin tab 250 mg
CHLORPROMAZINE HYDROCHLORIDE/ Chlorpromazine / Klorpromazin tab salut 25 mg (G)
CICLOSPORIN A/ Ciclosporin/ Siklosporin Inj 50 mg/ml
Ciclosporin A/ Siklosporin kaps 100 mg
Ciclosporin A/ Siklosporin Kaps lunak 50 mg
Ciclosporin A/ Siklosporin kapsul lunak 25 mg
Cilostazol/ Silostazol tablet 100 mg
Clonazepam/ Klonazepam tablet/kaplet/salut selaput 2 mg (G)
Clonidinehydrochloride/ Clonidine/ Klonidin injeksi 150 mcg/mL (i.v.)
Clopidogrel bisulfate/ Clopidogrel/ Clopidogrel hydrogen sulfate/ Klopidogrel tablet/kapsul/kaplet salut selaput 300 mg
CLOTRIMAZOLE/ klotrimazol tab vaginal 100 mg
Dabigatran etexilate mesilate/ Dabigatran etexilate/ Dabigatran eteksilat kapsul 110 mg
Dabigatran etexilate mesilate/ Dabigatran etexilate/ Dabigatran eteksilat kapsul 75 mg
Deferasiroks tablet disp 250 mg
Deferasiroks tablet disp 500 mg
Deferipron sir 100 mg/mL
Deferipron tablet salut selaput 500 mg
Deferoksamin Mesilat serbuk injeksi 500 mg
Desogestrel tablet 75 mcg
Desoksimetason/ Desoximetasone salep 0,25% (G)
Desoksimetason/ Desoximethasone krim 0,25% (G)
Diclofenac sodium/ Natrium diklofenak tetes mata 1 mg/ml
Dienogest tab 2 mg
DILTIAZEM HYDROCHLORIDE/ Diltiazem serbuk injeksi 10 mg
Diltiazem injeksi inj 5mg/mL
Diltiazem Kapsul lepas lambat 100 mg
Diltiazem Kapsul lepas lambat 200 mg
Diltiazem serbuk injeksi 50 mg
Dinatrium edetat/disodium edetate tts mata 0,35% (3,5 mg/mL)
Divalproex sodium / Valproat tab lepas lambat 250 mg
Divalproex sodium / Valproat tab lepas lambat 500 mg
Dobutamin Injeksi 12,5 mg/ml
DOBUTAMINE HYDROCHLORIDE/ Dobutamine/ Dobutamin Injeksi 25 mg/ml
Donepezil tablet dispersible 10 mg
DTPA 2,06-2,5 mg pantetate calsium trisodium/ mL / DTPA- Pentasodium diethylene triamine pentaacetate 10 mg; SnCl2 2
H2O 0,8 mg
Efavirens tablet salut selaput 600 mg
Eksemestan tablet salut gula 25 mg
Enoksaparin sodium inj 20 mg/0,2 mL
Enoksaparin sodium inj 40 mg/0,4 mL
Enoksaparin sodium inj 60 mg/0,6 mL
Entekavir tablet salut selaput 0,5 mg
Entekavir tablet salut selaput 1 mg
Eritropoetin-alfa inj 10000 IU/mL
Eritropoetin-alfa inj 2000 IU/0,5 mL
Eritropoetin-alfa inj 3000 IU/mL
Eritropoetin-beta inj 2000 IU/0,3 mL
Etonogestrel implan 68 mg
Eugenol cairan
Everolimus tab 0,25 mg
Everolimus tab 0,5 mg
Faktor IX kompleks serb inj 1.000 IU + pelarut 10 mL
Faktor IX kompleks serb inj 500 IU + pelarut 5 mL
faktor koagulasi II, faktor
koagulasi VII, faktor koagulasi, faktor koagulasi X, serb inj 250 IU/10 mL
faktor koagulasi II, faktor
koagulasi VII, faktor koagulasi, faktor koagulasi X, serb inj 500 IU/10 mL
Faktor VIIA serb inj + pelarut untuk injeksi
Faktor VIII serb inj 1.000 IU
Faktor VIII serb inj 230-340 IU
Faktor VIII serb inj 250 IU + pelarut 10 mL
Faktor VIII serb inj 480-600 IU
Faktor VIII serb inj 500 IU + pelarut 5 mL
Fenitoin/ Phenytoin sodium kapsul 30 mg
Fenitoin/ Phenytoin/ Phenytoin sodium kapsul 100 mg (G)
Fenofibrat kaps 100 mg (G)
Fenofibrat kaps 300 mg (G)
Fenoksimetil penisilin/ Phenoxymethyl Penicillin (penisilin V) tab 250 mg
Fenoksimetil penisilin/ Phenoxymethyl Penicillin (penisilin V) tab 500 mg
Fenoterol Hydromide/ Fenoterol HBr aerosol 100 mcg/puff
Fenoterol Hydromide/ Fenoterol HBr cairan inh 0,1%
Fentanil patch 12,5 mcg/jam
Fentanil patch 25 mcg/jam
Fentanil patch 50 mcg/jam
Fentanil/ Fentanyl injeksi 0,05 mg/ml (i.m/i.v), ampul 10 mL (G)
Fentanil/ Fentanyl injeksi 0,05 mg/ml (i.m/i.v), ampul 2 mL (G)
Fitomenadion/ Phytomenadion (vitamin K1) inj 10 mg/ml (i.m) (G)
Fitomenadion/ Phytomenadion (Vitamin K1) injeksi 2 mg/ml (i.m.)
Fludarabin tab salut 10 mg
Flufenazin injeksi 25 mg/mL (i.m )
Flukonazol/ Fluconazole tab/kaps 150 mg (G)
Fluoksetin/Fluoxetine HCl kapsul 20 mg (G)
Fluorescein Sodium Natrium Fluoresein tetes mata 2%
Flusinolon Asetonid salep 0,025%
Flutikason furoat semprot hidung 0,025%
Flutikason propionat cairan ih 0,5 mg/dosis
Fondaparinuks inj 2,5 mg/0,5 mL
Fraksi Protein Plasma inf 5%
Framisetin sulfat tulle 1%
Gadobutrol inj 1 mmol/mL, @ 5 mL
Gadobutrol inj 1 mmol/mL, @ 7,5 mL
Gadodiamid inj 287 mg/mL
Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL
Gadopentetatdimenglumin inj 469 mg/mL
Gansiklovir serb inj 500 mg
Gentamisin/ Gentamycin sulfate salep mata 0,3% (G)
Glibenklamid/ Glibenclamide tablet/kapsul/kaplet 2,5 mg
Gliclazide/ Gliklazid tab lepas lambat 30 mg
Gliklazid tab lepas lambat 60 mg
Gliklazid tablet/kapsul/kaplet 80 mg (G)
Glipizid tablet/kapsul/kaplet 10 mg
Glipizid tablet/kapsul/kaplet 5 mg
Gliseril trinitrat kaps lepas lambat 2,5 mg
Gliseril trinitrat kaps lepas lambat 5 mg
Gliseril trinitrat tab sublingual 0,5 mg
Gliseril Trinitrat/ Glyceryl trinitrate inj 5 mg/ml
Gliserin lar 50%
Goserelin asetat serb inj 10,8 mg
Goserelin asetat serb inj 3,6 mg
Griseofulvin tablet/kapsul/kaplet 250 mg
Haloperidol inj 50 mg/mL
Halotan cairan inhalasi
Hepatitis B imunoglobulin (human) inj 220 IU/mL
Hidroklorotiazid/ Hydrochlorothiazide tab 25 mg
Hidrokortison serb inj 100 mg
Hidromorfon tab lepas lambat/oros 16 mg
Hidromorfon tab lepas lambat/oros 8 mg
Hiosin butilbromid inj 20 mg/ml
Human insulin fast acting inj 100 IU/ml, cartridge disposible/penfill cartridge
Human insulin fast acting inj 100 IU/mL, vial 10 mL
Human insulin intermediate acting combine with short or long acting inj 100 IU/mL, cartridge disposible/penfill cartridge
Human insulin intermediate acting combine with short or long acting inj 100 IU/mL, vial 10 mL
Human insulin intermediate acting combine with short or long acting inj 100 IU/mL, vial 5 mL
Human insulin intermediate acting inj 100 IU/mL, cartridge disposible/penfill cartridge
Human insulin intermediate acting inj 100 IU/mL, vial 10 mL
Human insulin intermediate acting inj 100 IU/mL, vial 5 mL
Human tetanus imunoglobulin inj 250 IU (i.m.)
Imidapril tab 10 mg
Imidapril tab 5 mg
Imunoglobulin intravena inj 50 mg/mL
Indakaterol serbuk ih 150 mcg
Indakaterol serbuk ih 300 mcg
Ioheksol / Iohexol 140 - 350 mg Iodium / mL (350 mg/ 100 mL) (G)
Ioheksol / Iohexol 140 - 350 mg Iodium / mL (350 mg/ 50 mL) (G)
Ioheksol / Iohexol 180 - 300 mg Iodium / mL (300 mg/ 100 mL) (G)
Ioheksol / Iohexol 180 - 300 mg Iodium / mL (300 mg/ 50 mL) (G)
Ioheksol / Iohexol 180 - 300 mg Iodium / mL (300 mg/ 20 mL) (G)
Iopamidol 200 - 300 mg Iodium/mL (300 mg / 200 mL)
Iopamidol 300 - 370 mg Iodium/mL (370 mg / 200 mL)
Iopromid 300 -370 mg Iodium/mL (300 mg / 100 ml)
Iopromid 300 -370 mg Iodium/mL (300 mg / 50 ml)
Iopromid 300 -370 mg Iodium/mL (370 mg / 100 ml)
Iopromid 300 -370 mg Iodium/mL (370 mg / 50 ml)
Ipratropium Bromida Anhidrous/ Ipratropium bromida aerosol 20 mcg/semprot
Ipratropium Bromide/ Ipratropium bromida cairan ih 0,025% (G)
Isosorbid Dinitrat injeksi 1 mg/ml (i.v) (G)
Isosorbid dinitrat/ Isosorbide dinitrate tablet/kapsul/kaplet 10 mg (G)
Ivabradin tablet 5 mg
Japanese enchepalitis virus purified inactivated vaccine*)
Kalium Klorida tablet lepas lambat 600 mg
Kalsium glukonat/ Calcium gluconate inj 10% (G)
Kanamisin/ Kanamycin serb inj 1000 mg
Karbimazol/Carbimazole tab 5 mg
Karbogliserin tetes telinga 10%
Karboksimetilselulosa tetes mata
Klaritromisin sir kering 250 mg/5 ml
Klaritromisin tablet salut selaput 500 mg (G)
Kombinasi (LPV/r), tablet salut selaput:
Lopinavir 200 mg
Ritonavir 50 mg
Benserazid 25 mg
Levodopa 100 mg
Kombinasi : Meglumin amidotrizoat + Sodium amidotrizoat cairan inj 76%
Salmeterol 50 mcg
Flutikason propionat 100 mcg
Kombinasi injeksi depot (G) :
Medroksi progesteron asetat 25 mg
Estradiol sipionat 5 mg
Kombinasi tab:
Zidovudin 300 mg + Lamivudin 150 mg
Kombinasi tab:
Levodopa 100 mg
Karbidopa 25 mg
Entekapon 200 mg
Kombinasi tetes mata 2,5 mg/mL:
Natrium klorida 8,664 mg
Kalium klorida 1,32 mg
Kombinasi Vaksin Tifoid dan Hepatitis A, 0,5 mL
kombinasi, setiap dosis mengandung :
Budesonid 160 mcg
Formoterol 4,5 mcg
(inhalasi), 120 dosis
kombinasi, setiap dosis mengandung :
Budesonid 160 mcg
Formoterol 4,5 mcg
(inhalasi), 60 dosis
kombinasi, setiap dosis mengandung :
Budesonid 80 mcg
Formoterol 4,5 mcg
(inhalasi)
Kombinasi: Sefiksim 400 mg + Azitromisin 1000 mg
Kombinasi:
Salmeterol 50 mcg
Flutikason propionat 250 mcg
ih 250 mcg/puff
Kombinasi:
Salmeterol 50 mcg
Flutikason propionat 500 mcg
ih 500 mcg/puff
Kombipak Kategori 1
Kombipak Kategori Anak
Lactulose/ Laktulosa sir 3,335 g/5 mL (G)
Lamivudine/ Lamivudin tab 100 mg (G)
Lamivudine/ Lamivudine tablet 150 mg (G)
Lamotrigine/ Lamotrigin tab dispersible 25 mg
Lansoprazole/ Lansoprazol serbuk inj 30 mg/ml
Leflunomide/ Leflunamid tab sal selaput 20 mg
Lenograstim/ Lenogastrim inj 263 mcg
Leuprorelin asetat serbuk injeksi 1,88 mg
Leuprorelin asetat serbuk injeksi 11,25 mg
Levothyroxine Sodium/ Levothyroxine/ Levotiroksin tablet/kaplet/kapsul 50 mcg
Lidocaine Hydrochloride/ Lidocaine/ Lidocain/ Lidokain jel 2%
Lidocaine Hydrochloride/ Lidocaine/ Lidocain/ Lidokain spray oral 10%
linestrenol tab 0.5 mg
linestrenol tab 5 mg
Litium karbonat tablet 200 mg
Litium karbonat tablet 400 mg
Live attenuated japanese enchepalitis (JE) *)
Lopinavir 100 mg + Ritonavir 25 mg
Lorazepam tablet/kapsul/kaplet 2 mg (G)
Magnesium sulfate/ Magnesium sulfate heptahydrate/ Magnesium sulfat injeksi 20%v (i.v.)
Magnesium sulfate/ Magnesium sulfate heptahydrate/ Magnesium sulfat injeksi 40%v (i.v.)
Manitol infus 20% (G)
Maprotilin/Maprotiline HCl tablet salut selaput 50 mg (G)
MDP- Acidum methylene diphosphonicum 10 mg; SnCl2 2 H2O 0,238 mg; Acidum ascorbicum 2 mg
Mebendazole/ Mebendazol sir 100 mg/5 mL
Mebendazole/ Mebendazol tab 100 mg
Mebendazole/ Mebendazol tablet 500 mg
MEDROXYPROGESTERONE ACETATE/ Medroksi Progesteron Asetat tablet/kapsul/kaplet 5 mg
Melphalan 2 mg
Mesna inj 100 mg/mL
Metadon/Methadone hydrochloride/ Methadone sir 50 mg/mL
Metamizol/Antalgin Inj 500 mg/ml atau Metamizole Sodium Monohydrate/Antalgin inj 1000 mg/2ml
Metilfenidat tablet lepas lambat 10 mg / Methylfenidat Hydrochloride 10 mg (G)
Metotreksat tablet 2,5 mg
Metronidazole/Metronidazol suspensi 125 mg/5 mL (G)
MIBI 5 ml, reaction vial / MIBI- Tetra (2-methoxyisobutyl isonitrile) Copper (1) tetrafluoroborate 1 mg; SnCl2 2 H2O 0,1 mg;
Sodium Citrate dihydrate 2,6 mg; L-Cystein 1 mg
Mikafungin serb inj 50 mg / Micafungin serbuk infus 50 mg
Mikofenolat mofetil tab 500 mg
Mikofenolat sodium tab sal 180 mg
Mikofenolat sodium tab sal 360 mg
Mineral Mix (Bismuth Subcitrate Tripottasium, Copper sulfate, Magnesium Chloride Anhydrous, Pottasium Chloride, Zinc
Acetate)
Morfin Injeksi 10 mg/ml (i.m/s.k/ i.v) (G)
Morphine hydrochloride(HCl)/ Morphine/ Morfin tablet 10 mg (G)
Morphine sulfate/ Morphine/ Morfin tablet lepas lambat 10 mg
Morphine sulfate/ Morphine/ Morfin tablet lepas lambat 15 mg
Moxifloxacin hydrochloride (HCl)/ Moxifloxacin/ Moksifloksasin infus 1,6 mg/mL (400mg/250ml) (G)
Moxifloxacin hydrochloride (HCl)/ Moxifloxacin/ Moksifloksasin tts mata 0,5%
N-Acetylcysteine granula 200 mg
Nadroparin Calcium/ Nadroparin inj 9500 Axa/mL, Syringe 0,3 ml
Nadroparin Calcium/ Nadroparin inj 9500 Axa/mL, Syringe 0,4 ml
Nadroparin Calcium/ Nadroparin inj 9500 Axa/mL, Syringe 0,6 ml
Natrium fosfat lar oral 45 mL
Nevirapine/ Nevirapin tablet/kapsul/kaplet 200 mg
Nifedipine/ Nifedipin tab lepas lambat 20 mg
Nifedipine/ Nifedipin tab lepas lambat 30 mg
Nimodipine tablet/kaplet/salut 30 mg
Nomegestrol asetat kaps/tab 5 mg
Octreotide/ Oktreotid LAR serb inj 20 mg
Octreotide/ Oktreotid LAR serb inj 30 mg
Olanzapine/ Olanzapin inj 10 mg/vial
Olopatadine hydrochloride (HCl)/ Olopatadine/ Olopatadin tts mata 0,1%
OXYTETRACYCLINE HYDROCHLORIDE/ OXYTETRACYCLINE/ Oksitetrasiklin inj 50 mg/mL (i.m.)
Oxytocin/ Oksitosin inj 10 IU/ml (G)
PANCURONIUM BROMIDE/ Pancuronium/ pankuronium inj 2 mg/mL
Paracetamol/ Parasetamol drops 100 mg/ml btl @15ml (60mg/0,6ml) (G)
Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
Pegylated interferon alfa-2a inj 180 mcg/0,5 ml
Pegylated interferon alfa-2b serb inj 100 mcg
Pegylated interferon alfa-2b serb inj 120 mcg
Pegylated interferon alfa-2b serb inj 50 mcg
Pegylated interferon alfa-2b serb inj 80 mcg
Pengganti plasma golongan gelatin inf
Perindopril arginine tab 5 mg
Pethidine hydrochloride/ Petidin inj 50 mg/mL (i.m./s.k./i.v.)
Phenobarbital/ fenobarbital tab 100 mg
Pilocarpine/ Pilocarpine hydrochloride/ Pilokarpin tetes mata 2%
Pirantel pamoat susp 125 mg/5 ml
Polietilen Glikol serb
Pramipexole dihydrochloride monohydrate/Pramipexole/ Pramipeksol tab lepas lambat 0,375mg
Pramipexole dihydrochloride monohydrate/Pramipexole/ Pramipeksol tab lepas lambat 0,750mg
Primaquine phosphate/ Primakuin tablet 15 mg (G)
Procaterol hydrochloride (HCl)/ Prokaterol cairan inh 30 mcg
Procaterol hydrochloride (HCl)/ Prokaterol cairan inh 50 mcg
Procaterol hydrochloride (HCl)/ Prokaterol serb inh 10 mcg/Procaterol hydrochloride (HCl) serbuk inh 10 mcg/dosis
Produk untuk Dialisis Peritoneal
Pyridostigmin bromide/ Pyridostigmin/ Piridostigmin tablet 60 mg
Pyridoxine/ Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl)
PYRIMETHAMINE/ Pirimetamin tab 25 mg
Quetiapine fumarate/ Quetiapin tab SR 200 mg
Quetiapine fumarate/ Quetiapin tab SR 300 mg
Quetiapine fumarate/ Quetiapin tab SR 400 mg
Quinine Dihydrochloride/ kuinin inj 25% (i.v) (G)
Quinine/ Quinine sulfate/ Kuinin tab 200 mg (222 mg sebagai garam)
Ramipril tablet 2,5 mg
Ranibizumab inj 10 mg/mL
Rilpivirine hydrochloride(HCl)/ Rilpivirine 25 mg
Rivaroxaban/ Rivaroksaban tab salut 10 mg
Rivaroxaban/ Rivaroksaban tab salut 15 mg
Rivaroxaban/ Rivaroksaban tab salut 20 mg
Rocuronium bromide/ Rokuronium inj 10 mg/ml (i.v.) (G)
Ropinirole hydrochloride (HCl)/ Ropinirol tab lepas lambat 2 mg
Ropinirole hydrochloride (HCl)/ Ropinirol tab lepas lambat 4 mg
Ropinirole hydrochloride (HCl)/ Ropinirol tab lepas lambat 8 mg
Ropivacaine hydrochloride (HCl)/ Ropivakain inj 7,5 mg/ml
Rosuvastatin calcium/ Rosuvastatin tablet/kapsul/kaplet 10 mg (G)
Salbutamol sulfate/ Salbutamol cairan ih 1mg/ml (G)
Salbutamol sulfate/ Salbutamol serb ih 200 mcg/kapsul + rotahaler
Salbutamol sulfate/ Salbutamol sir 2 mg/5 mL (G)
Serum anti bisa ular A.B.U. I inj (i.m./i.v)
Serum anti bisa ular A.B.U. II inj (i.m./i.v)
Serum antidifteri (A.D.S) inj i.m 20.000 IU/mL (i.m.)
Serum antirabies inj 200 - 400 IU/mL
Serum antitetanus (A.T.S) inj 1500 IU/mL (i.m)
Simeprevir 150 mg
Sodium bicarbonate/ Natrium Bikarbonat inj 8,4% (i.v.)
Stavudine/ Stavudin tablet/kapsul/kaplet 30 mg
Streptokinase serb inj 1,5 juta IU
Streptomycin sulfate/ Streptomycin/ Streptomisin serbuk inj 1000 mg (G)
Sufentanil citrate/Sufentanil injeksi 5 mcg/ml (i.v)
sugammadex+ORG488302/ sugammadeks inj 100 mg/mL
Sulfadiazine silver/ Perak sulfadiazin krim 1% (tube 35 g) (G)
Sulfasalazine/ Sulfasalazin tablet/kaplet salut enterik 500 mg (G)
Surfaktan susp 25 mg/mL (intratekal)
Tacrolimus/ Takrolimus kaps 0.5 mg
Tacrolimus/ Takrolimus kaps 1 mg
Takrolimus/ Tacrolimus kaps lepas lambat 0,5 mg
Takrolimus/ Tacrolimus kaps lepas lambat 1 mg
Tamoxifen citrate/ Tamoksifen tab 10 mg
Tamsulosin tab 0,2 mg
Telbivudin tab 600 mg
Telmisartan tab 40 mg
Telmisartan tab 80 mg
Temozolomide/ Temozolamid kaps 100 mg
Temozolomide/ Temozolamid kaps 20 mg
Tenofovir Disoproxil Fumarate/ Tenofovir tab salut selaput 300 mg
Terbinafine hydrochloride (HCl) / Terbinafin tab 250 mg
Terbutaline sulfate/ Terbutalin cairan ih 2,5 mg/mL
Terbutaline sulfate/ Terbutalin serbuk ih 0,50 mg/dosis
Testosterone undecylate/ Testosteron kapsul lunak 40 mg
Tetracaine/ Tetrakain tetes mata 0,5%
Thiamazole/ Tiamazol tab sal selaput 10 mg
Thiamazole/ Tiamazol tab sal selaput 5 mg
Thiopental Sodium with sodium carbonate/ Thiopental sodium/ Tiopental serb inj 1.000 mg (i.v. bolus)
Thiopental Sodium with sodium carbonate/ Thiopental sodium/ Tiopental serb inj 500 mg (i.v. bolus)
Ticagrelor/ Tikagrelor tablet 90 mg
Tiotropium Bromide/ Tiotropium serb ih 18mcg + handihaller
Tiotropium Bromide/ Tiotropium serb ih 18mcg, refill
Topiramate/ Topiramat tablet 50 mg
Topiramate/ Topiramat tablet 100 mg
Topiramate/ Topiramat tablet 25 mg
Travoprost tetes mata 0,004%/ Travoprost cairan mata 0,004%
Triamcinolone acetonide/ Triamsinolon Asetonid Nasal Spray 55 mcg/puff
Tuberkulin protein purified derivative serb inj 2 TU / 0,1 mL
Vaksin BCG (GS)
Vaksin BCG (SII)
Vaksin BCG inj. Ik 0,75 mg/mL + pelarut
Vaksin BCG kering (BF)
Vaksin Campak inj s.k + pelarut
Vaksin DPT-HB-Hib
Vaksin Hepatitis B Rekombinan
Vaksin Hepatitis B Rekombinan dewasa
Vaksin Human Papilomavirus (HPV)
Vaksin Influenza
Vaksin Jerap difteri tetanus (DT) cairan inj i.m 40/15 If per mL
Vaksin Jerap difteri tetanus (Td) cairan inj i.m 4/15 If per mL
Vaksin jerap tetanus (tetanus adsorbed toxoid/TT) inj (im)
Vaksin Meningitis Meningococcoal Polysacharide Group A.C.Y.W135
Vaksin MR (Measles and Rubella Vaccine), 10 dosis
Vaksin Pneumococcus dengan 13 strain untuk bayi 2-3 bulan
Vaksin Polio 10 dosis (b-opv)
Vaksin polio IPV inj 0,5 ml 5 dosis
Vaksin Rabies untuk manusia, serb inj + booster (s.k.)
Vaksin Rabies untuk manusia, serb inj 2,5 IU (s.k.)
Vaksin Yellow Fever
Valganciclovir hydrochloride (HCl)/ Valgansiklovir tab salut 450 mg
Vancomycin hydrochloride (HCl)/ Vankomisin serbuk injeksi 500 mg (G)
Vasopressin injection/ Vasopresin injeksi 20 IU/ml (i.m/s.k.)
Verapamil hydrochloride (HCL)/ Verapamil tablet lepas lambat 240 mg
Warfarin potassium/ Warfarin tablet/kapsul/kaplet 1 mg
Zidovudine/ Zidofudin kapsul 100 mg
AMINOFLUID - Larutan mengandung Asam Amino 500 ml
COMBIFLEX PERI (480 KCAL) - Larutan mengandung asam amino (kombinasi glukosa & elektrolit 80 gram + asam amino 40
gr)
DIPEPTIVEN - Larutan mengandung Asam Amino (Glutamine 20gr)
HYDROMAL - Larutan mengandung Karbohidrat + Elektrolit
INFUSAN D5 (100 ML) - Larutan mengandung karbohidrat (Glukosa 5g/100 ml)
INFUSAN D5 (250 ML) Larutan mengandung Karbohidrat (Glukosa 12,5 g/250 ml)
INTRALIPID - Larutan mengandung Lipid (Infus Emulsi Lipid 20%)
Kabiven Peripheral1440 ML - Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan
Elektrolit (Kalori = 1000 kkal, Akses peripheral))
Kaiven Peripheral 1920 ML - Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan
Elektrolit (Kalori = 1400 kkal, Akses peripheral))
Larutan Karbohidrat + elektrolit (55 gram, NaCl 4,5 gram) - Infusan D5 + 1/2 NS SP
Larutan Karbohidrat + elektrolit (Glukosa 55, NaCl 225) - Infusan D5 + 1/4 NS SP
Larutan Karbohidrat + elektrolit (Larutan nutrisi kombinasi infus Na, K, Ca, Mg, Asetat, Sorbitol) - Tutofusin OPS
Larutan Karbohidrat + elektrolit (Larutan Nutrisi Kombinasi Infus Na, K, Ca, Mg, Cl, Asetat, Sorbitol) - Futrolit
Larutan mengandung asam amino (Aminofluid 1000 ml)
Larutan mengandung Asam Amino (Aminoleban, 500 mL)
Larutan mengandung Asam Amino (Renosa, 500 mL)
Larutan mengandung Asam Amino (Amiparen)
Larutan mengandung asam Amino (Asam amino 5% dengan BCAA 45%, L-Ornithine L Aspartate 8,03 g/L, Sorbitol 50 g/L, Xylitol 5
Larutan mengandung asam Amino (Asam amino 5% dengan BCAA 45%, L-Ornithine L Aspartate 8,03 g/L, Sorbitol 50 g/L, Xylitol 50
Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 50%, L-Ornithine L Aspartate 10 gr/L, Sorbito 50 gr/L,
Xylitol 50 gr/L) - Comafusin Hepar
Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 50%, L-Ornithine L Aspartate 10 gr/L, Sorbito 50 gr/L,
Xylitol 50 gr/L) - Precopar
Larutan mengandung Asam Amino (asam amino 6%) - Aminosteril infant 6%
Larutan mengandung Asam Amino (asam amino 8%) - Aminosteril N-Hepa 8%
Larutan mengandung Asam Amino (Asam Amino Esensial 7%+Xylitol 10 g/L+ Histidine) - EAS Pfrimmer
Larutan mengandung Asam Amino (Benutrion VE)
Larutan mengandung asam amino (KIDMIN)
Larutan mengandung asam amino (kombinasi AA 50 g/L, sorbitol 50 g/L, Xylitol 50 g/L, vit C 0,4 g/L, Inositol 0,5 g/L, Niasinamid
0,06 g/L, vit B6 0,04 g/L, Riboplavin Na Fosfat 2,5 mg/L, elektrolit) - Aminofusin L 600
Larutan mengandung asam Amino (Kombinasi asam amino 50 gr/L, vitamin dan elektronik) - Aminofusin Paed
Larutan mengandung Asam Amino (pan amin-g)
Larutan mengandung Asam Amino (Valamin)
Larutan mengandung asam Amino Kombinasi (kombinasi glukosa 100 g dan elektrolit + asam amino 28 g) - Clinimix N9G20E
Larutan mengandung asam Amino Kombinasi (kombinasi glukosa 75 g dan elektrolit + asam amino 28 g) - Clinimix N9G15E
Larutan mengandung elektrolilt (sodium lactate sol (50%) 113 gr/L, potassium chloride 0,3 gr/L, Calcium chloride 0,2 gr/L,
elektrolit) - Totilac
Larutan mengandung elektrolit (KA-EN 1B)
Larutan mengandung elektrolit (Tridex Plain)
Larutan mengandung elektrolit (KA-EN 3A)
Larutan mengandung elektrolit (KA-EN 3B), botol plastik
Larutan mengandung Elektrolit (KA-EN 3B) , Softbag
Larutan mengandung elektrolit (Tridex 27A)
Larutan mengandung elektrolit (Tridex 27B)
Larutan mengandung karbohdidrat 12% - Triofusin 500
Larutan mengandung karbohdidrat 24% - Triofusin 1000
Larutan mengandung karbohdidrat 24% + Elektrolit - Triofusin E 1000
Larutan mengandung karbohidrat (Martos - 10)
Larutan mengandung karbohidrat (Infumal 10 SP)
Larutan mengandung karbohidrat + elektrolit (KA-EN MG3)
Larutan mengandung karbohidrat + elektrolit (Tridex 100)
Larutan mengandung karbohidrat 40% - Triofusin 1600
Larutan Mengandung Karbohidrat+Elektrolit (WIDA 2A)
Larutan Mengandung Karbohidrat+Elektrolit (WIDA D5-1/4NS)
Larutan Mengandung Karbohidrat+Elektrolit (Wida D5NS)
Larutan Mengandung Karbohidrat+Elektrolit (Infusan D5+NS)
Larutan Mengandung Karbohidrat+Elektrolit (WIDA HSD)
Larutan Mengandung Karbohidrat+Elektrolit (WIDA RD)
Larutan Mengandung Karbohidrat+Elektrolit (Infusan RD SP)
Larutan mengandung lipid (infus lipid emulsi MCT/LCT 20% 100 mL) - Lipofundin MCT/LCT 20%
Larutan mengandung lipid (infus lipid emulsi MCT/LCT 20% 100 mL) - SMOFLIPID 20%
Larutan mengandung Lipid , kemasan 100 ml - Clinoleic 20%
Larutan mengandung Lipid, kemasan100 ml - Lipomed 20% MCT/LCT
Larutan mengandung Lipid , kemasan250 ml - Clinoleic 20%

Larutan mengandung Lipid , kemasan250 ml - Lipomed 20% MCT/LCT

Larutan mengandung lipid - Lipofundin MCT/LCT 20%, 250 mL

L-Threonine 8.98 g, L-Serine 3.52 g, L-Aspargine 6.55 g, L-Proline 8.77 g, Glycine 7.69 g, L-Valine 6.09 g, L-Methionine 1.76 g,
L-Isoleucine 3.45 g, L-Leucine 6.17 g, N-Acetyl-L-Tyrosine 4.77 g, L-Pneyl alanine 4.69 g, L-Lysine acetate 14.53 g, L-Histidine
HCl 5.05 g, L-Arginine 6.99 g, L-Tryptophan 2.12 g (Kalbamin)
Nephrosteril - Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino esensial: Asam Amino non
esensial = 60 : 40)
Nutriflex Lipid Peri 1250 - Larutan mengandung asam amino (kombinasi glukosa & elektrolit 80 gram + asam amino 40 gr + lipid
MCT/LCT 50 gr )
Nutriflex Lipid Special 1250 - Larutan mengandung asam amino (kombinasi glukosa & elektrolit 180 gram + asam amino 71.8 gr
+ lipid 50 gr dgn akses sentral)
Nutriflex Lipid Special 625 - Larutan mengandung asam amino (kombinasi glukosa & elektrolit 90 gram + asam amino 35.9 gr
dan Lipid 25 gr dgn akses sentral)
Ringerfundin 500 ML - Larutan mengandung Elektrolit (Tiap 1L mengandung : NaCl 145 mmol/l, KCl 4.0 mmol/l, Ca 2.5 mmol/l,
Mg 1.0 mmol/l, Cl 118 mmol/l, Acetate 24 mmol/l, Malate 5.0 mmol/l)
WIDA D5-1/2NS - Larutan Mengandung Karbohidrat+Elektrolit (D5-1/2NS)
WIDA KDN1-Larutan mengandung karbohidrat+elektrolit (D2,5 %+ KCl 0,15 %+ NaCl 0,45 %) 500 ml
WIDA KDN2-Larutan mengandung karbohidrat+elektrolit (D2,5 %+ KCl 0,3 %+ NaCl 0,45 %) 500 ml
WIDA KN1-Larutan mengandung elektrolit (KCl 0,15% + NaCl 0,9%) 500 ml
WIDA KN2-Larutan mengandung elektrolit (KCl 0,3% + NaCl 0,9%) 500 ml
Larutan Mengandung Lipid - Omegaven
Larutan Mengandung Karbohidrat + elektrolit - Smofkabiven
Larutan Mengandung Asam Amino - Aminosteril Infant 10%
Nacl 0,9% / Sodium Chloride 0,9%, 500 mL
Kalium klorida / Potasium klorida injeksi 25 mg 7,46% 25 mL
Ringer Laktat/ Ringer Lactate, @1000 ml
Ringer Laktat/ Ringer Lactate, @500 mL
Glukosa larutan infus 10% 500 mL
Glukosa larutan infus 5 % 500 mL
Asetat Ringer (Asering) (softbag, flexy bag, plabot)
Afatinib Dimaleate/ Afatinib tab salut selaput 40mg
Asparaginase serb inj 10.000 IU
Bevasizumab inj 25 mg/mL
Bleomisin Serb inj 15 mg
Cetuximab/ Setuksimab inj 5 mg/mL
Cisplatin/ Sisplatin serb inj 10 mg
Cisplatin/ Sisplatin serb inj 50 mg
Cyclophosphamide monohydrate/ Cyclophosphamide/ siklofosfamid serb inj 1.000 mg (i.v.)
Cyclophosphamide monohydrate/ Cyclophosphamide/ siklofosfamid serb inj 200 mg (i.v.)
Cyclophosphamide monohydrate/ Cyclophosphamide/ siklofosfamid serb inj 500 mg (i.v.)
Cytarabine/ Sitarabin inj 100 mg/ml (i.m./i.v/s.k.)
 Dakarbazin/Dacarbazine serb inj 200 mg
Daunorubisin serb inj 20 mg
Doksorubisin /Doxorubicin HCl serbuk inj 50 mg
Doksorubisin/ Doxorubicin HCl serb inj 10 mg (i.v.)
Dosetaksel/docetaxel inj 40 mg/ml (vial 0,5 ml)
Dosetaksel/docetaxel inj 40 mg/ml (vial 2 ml)
Epirubisin/Epirubicin Hydrochloride injeksi 2 mg/mL, vial 5 mL
Epirubisin/Epirubicin Hydrochloride serb injeksi 50 mg / inj 50 mg/25 mL
Erlotinib tablet salut selaput 100 mg
Erlotinib tablet salut selaput 150 mg
etoposid inj 20 mg/mL
Fludarabin serb inj 50 mg
fluorourasil inj 50 mg/mL (@ 10 mL)
fluorourasil inj 50 mg/mL (@ 5 mL)
Gefitinib tab 250 mg
Gemsitabin/ Gemcitabine / Gemcitabine HCl serb inj / lar inj 1000 mg
Gemsitabin/ Gemcitabine / Gemcitabine HCl serb inj / lar inj 200 mg
ifosfamid serb inj 1.000 mg
Ifosfamid serb inj 2000 mg
Ifosfamid serb inj 500 mg
Imatinib mesilat tab 100 mg
Imatinib mesilat tab 400 mg
Irinotekan/ Irininotecan HCl/ Irinotecan HCl trihydrate inf 20 mg/mL
Irinotekan/ Irininotecan HCl/ Irinotecan HCl trihydrate inj 20 mg/mL
karboplatin/ carboplatin inj/inf 10 mg/mL (vial 15mL)
karboplatin/ carboplatin inj/inf 10 mg/mL (vial 45mL)
Lapatinib tosilate/ Lapatinib tab 250 mg
Methotrexate/ metotreksat inj 25 mg/mL
Metotreksat inj 5 mg/mL
Nilotinib hydrochloride (HCl)/ Nilotinib tab 150 mg
Nilotinib hydrochloride (HCl)/ Nilotinib tab 200 mg
Oxaliplatin/ oksaliplatin serb inj 100 mg
Oxaliplatin/ oksaliplatin serb inj 50 mg
Paclitaxel/ paklitaksel inj 6 mg/mL, vial @ 16,7 mL(inj 100 mg)
Paclitaxel/ paklitaksel inj 6 mg/mL, vial @ 5 mL (inj 30 mg)
Paclitaxel/ paklitaksel inj 6 mg/mL, vial @ 50 mL (inj 300 mg)
Pemetrekset serb inj 500 mg
Rituximab/ Rituksimab infus 10 mg/ml (vial @ 10 ml)
Rituximab/ Rituksimab infus 10 mg/ml (vial @ 50 ml)
Trastuzumab serbuk inj 440 mg
Vinblastin inj 1 mg/mL
Vincristine sulfate/ Vinkristin inj 1 mg/ml (vial 1 mL) (i.v.)
Vincristine sulfate/ Vinkristin inj 1 mg/ml (vial 2 mL) (i.v.)
Vinorelbine tartrate/ vinorelbin inj 50 mg/ 5 mL (10 mg/mL)

CATATAN :
Untuk Item Obat yang berlogo (G) : Obat NIE Generik

Harga Penawaran Regional I : Lampung,Banten,Daerah Khusus Ibukota (DKI) Jakarta, Jawa Barat, Jawa Tengah, Daerah Istimew
Harga Penawaran Regional II : Sumatera Utara, Sumatera Barat, Riau, Jambi, Sumatera Selatan, Bengkulu, Kepulauan Bangka Be
Harga Penawaran Regional III : Aceh, Kalimantan Barat, Kalimantan Selatan, Kalimantan Timur, Sulawesi Utara, Sulawesi Tengah
Harga Penawaran Regional IV : Kalimantan Utara, Kalimantan Tengah, Sulawesi Tenggara, Gorontalo, Sulawesi Barat (Harga Fran
Harga Penawaran Regional V : Nusa Tenggara Timur, Maluku, Maluku Utara, dan Papua Barat (Harga Franco Kabupaten/Kotamad
Harga Penawaran Regional Papua : Harga Franco Provinsi Papua.
Harga vaksin merupakan harga Franco Provinsi di setiap regional.
 INDUSTRI FARMASI NAMA DAGANG NAMA INDUSTRI FARMASI

PT Glaxo Wellcome (Smithkline Beecham)

PT Otsuka
PT Indofarma
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PT. Dexa Medica
PT Boehringer Ingelheim
PT Cendo
PT Darya Varia
PT Natura
PT Meiji
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PT Kimia Farma
PT Otsuka
PT Otsuka
PT Otsuka
PT Kimia Farma
PT Pharmalabs
PT Kimia Farma
PT Cendo
PT Bernofarm
PT Novartis
PT Sanbe
PT Etercon
PT Cendo
PT Cendo
PT Cendo
 PT Glaxo Wellcome
PT Soho
PT Phapros
PT Phapros
PT Combiphar
PT Abbott
PT Tempo
PT Merck
PT Merck
PT Tempo
PT Sanbe
PT Astrazeneca
PT Astrazeneca
PT Otsuka
PT Astrazeneca
PT Pratapa Nirmala
PT Pratapa Nirmala
PT Novartis
PT Sandos
PT Darya Varia
PT Global Multi Pharmalab
PT Erela
PT. Nufarindo
PT Novapharin
PT Phapros
PT Novartis
PT Novartis
PT Novartis
PT Novartis
PT Bernofarm
PT Mersifarma
PT Boehringer Ingelheim
PT Aventis Farma
PT Bayer
PT Boehringer Ingelheim
PT Boehringer Ingelheim
PT Novartis
PT Novartis
PT Sydna Farma
PT Sydna Farma
PT Novartis
PT. Merck Sharp Dohme Pharma Tbk.
PT Etercon
PT Dexa Medica
PT Cendo
PT Bayer
 PT Tanabe
PT Pratapa Nirmala
PT Tanabe Indonesia
PT Tanabe Indonesia
PT Tanabe Indonesia
PT Cendo
PT Abbott
PT Abbott
PT Combiphar
PT Pratapa Nirmala
PT Eisai Indonesia
PT Kimia Farma
PT Kimia Farma
PT Pfizer
PT Aventis Pharma
PT Aventis Pharma
PT Aventis Pharma
PT Taisho
PT Taisho
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PT Merck Shape Dohme
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PT Novartis
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PT Harsen
PT Ikapharmindo
PT Hexpharm
PT Hexpharm
PT Phapros
PT Phapros
PT Boehringer Ingelheim
PT Boehringer Ingelheim
 PT Kimia Farma
PT Kimia Farma
PT Kimia Farma
PT KImia Farma
PT KImia Farma
PT Phapros
PT Phapros
PT Aventis Farma
PT Mersifarma
PT Kimia Farma
PT Mersifarma
PT Cendo
PT Ikapharmindo
PT Glaxo Wellcome
PT Glaxo Wellcome
PT Tanabe
PT. Dipa Pharmalab Intersains
PT Darya Varia
PT Bayer
PT Bayer
PT Tunggal Idaman Abdi (Medicon)
PT Bayer
PT Bayer
PT Boehringer (Roche)
PT Erela
PT Harsen
PT Darya Varia
PT Darya Varia (Servier)
PT Tempo
PT Pfizer
PT Pfizer
PT Kimia Farma
PT Kimia Farma
PT. Actavis Indonesia
PT Tempo
PT Afifarma
PT. AstraZeneca Indonesia
PT. AstraZeneca Indonesia
PT Galenium
PT Soho
PT Dexa Medica
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PT Kimia Farma
PT Pratapa Nirmala
PT Kimia Farma
PT Kimia Farma
 PT Otto
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PT Tanabe
PT Tanabe
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PT. Novartis Indonesia
PT. Novartis Indonesia
PT. Novell
PT Novell
PT Pratapa Nirmala
PT Novell
PT Novell
PT Graha
PT Graha
PT Bayer
PT Bayer
PT Bayer
PT Bayer
PT Boehringer Ingelheim
PT Pratapa Nirmala
PT Etercon
PT Novell
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PT Merck
PT Ethica
PT Harsen
PT. Nicholas Laboratories Indonesia
PT Lucas Djaja
PT. Cendo
PT Abbott Indonesia
PT Etercon

PT Abbott Indonesia

PT Boehringer (Roche)
PT Bayer
PT Glaxo Wellcome
PT. Triyasa Nagamas Farma

PT Kimia Farma

PT Novartis

PT Cendo

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PT Astrazeneca

PT Astrazeneca

PT Astrazeneca

PT Kimia Farma

PT Glaxo Wellcome

PT Glaxo Wellcome

PT Indofarma
PT Indofarma
PT Ikapharmindo
PT Kimia Farma
PT Kimia Farma
PT Glaxo Wellcome
PT Takeda
PT Aventis Farma
PT Aventis Farma
PT Takeda
PT Takeda
PT Merck
PT Astrazeneca
PT Astrazeneca
 Merck Sharp Dohme Pharma
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PT Mersifarma
PT Mersifarma
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PT Abbott Indonesia
PT Mersifarma
PT Otsuka
PT Otsuka
PT. Finusol Farma Prima Internasional
PT Natura
PT Kimia Farma
PT Indofarma
PT Indofarma
PT Taisho (PT. Johnson & Johnson)
PT Sunthi Sepuri
PT. Glaxo Wellcome Indonesia
PT. Menarini Indria laboratories
PT Kimia Farma
PT Bernofarm
PT Mersifarma
PT. Novartis
PT Meprofarm
PT Kimia Farma
PT Astellas
PT Boehringer (Roche)
PT Novartis
PT Novartis
PT Indofarma
PT Kimia Farma
PT Kimia Farma
PT. Mahakam Beta Farma
PT. Mahakam Beta Farma
PT Dexa Medica
PT Tempo
PT Dankos
PT Tanabe
PT Tanabe
PT Tanabe
PT Combiphar
PT Kimia Farma
PT Bayer
PT Bayer
PT Bayer
PT Merck
 PT Novartis
PT Novartis
PT Bayer
PT Tempo
PT Bernofarm
PT Ethica
PT MSD
PT Indofarma
Seuruh industri farmasi
Seuruh industri farmasi
Seuruh industri farmasi
Seuruh industri farmasi
Seuruh industri farmasi
Seuruh industri farmasi
Seluruh industri farmasi
PT Darya Varia Laboratoria (Servier)
PT Kimia Farma
PT Indofarma
PT Cendo
PT Holi Pharma
PT Meiji
PT Boehringer Ingelheim
PT Boehringer Ingelheim
PT. Phapros
PT. Otsuka
PT. Otsuka
PT. Otsuka
Seluruh industri farmasi
PT. Menarini Indria laboratories
PT Kimia Farma
PT Kimia Farma
PT Astrazeneca
PT Astrazeneca
PT Astrazeneca
PT Kimia Farma
PT Kimia Farma
PT Dexa Medica
PT. Novartis
PT Soho (PT. Johnson & Johnson)
PT Bayer
PT Bayer
PT Bayer
PT Benofarm
PT Glaxo Wellcome
PT Glaxo Wellcome
PT Glaxo Wellcome
 PT Astrazeneca
PT Guardian
PT Pratapa Nirmala
PT Glaxo Wellcome
PT Indofarma
PT Biofarma
PT Biofarma
PT Biofarma
PT Aventis
PT Biofarma
PT Soho (PT. Johnson & Johnson)
PT Otsuka
PT Kimia Farma
PT Dexa Medica
PT Phapros
PT KImia Farma
PT. MSD
PT Darya Varia
PT Bernofarm
Seluruh industri farmasi
PT Combiphar
PT Combiphar
PT Combiphar
PT Combiphar
PT Kalbe Farma
PT Combiphar
PT Novartis
PT Boehringer Ingelheim
PT Boehringer Ingelheim
PT. Merck Sharp Dohme Pharma
PT. Merck Sharp Dohme Pharma
PT Kimia Farma
PT Interbat
PT Astrazeneca
PT Astrazeneca
PT Merck Sharp Dohme Pharma
PT Cendo
PT Merck
PT Merck
PT Bernofarm
PT Bernofarm
PT Astrazeneca
PT Boehringer Ingelheim
PT Boehringer Ingelheim
PT. Soho (PT. Johnson & Johnson)
PT .Soho (PT. Johnson & Johnson)
PT. Soho (PT. Johnson & Johnson)
PT Tempo
PT Aventis Farma
PT Biofarma
PT Biofarma
PT Biofarma
PT Biofarma
PT Biofarma
PT Biofarma
PT Biofarma
PT Biofarma
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
PT Biofarma
PT Biofarma
PT Biofarma
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
PT Biofarma
PT Biofarma
Seluruh industri farmasi
Seluruh industri farmasi
PT Aventis Farma
PT Boehringer (Roche)
PT Pratapa Nirmala
PT Pratapa Nirmala
PT Abbott
PT. Eisai
PT. Kimia Farma
PT Otsuka
PT B Braun
PT. Fresenius Kabi Combiphar
PT Sanbe
PT Sanbe
PT Sanbe
PT. Fresenius Kabi Combiphar
PT. Fresenius Kabi Combiphar

PT. Fresenius Kabi Combiphar

PT Sanbe
PT Sanbe
PT Kalbe Farma
PT Sanbe
 PT Otsuka
PT Otsuka
PT Sanbe
PT Otsuka
PT Kalbe Farma
PT Sanbe
PT. Finusol Farma Prima Internasional

PT sanbe
PT. Fresenius Kabi Combiphar
PT. Fresenius Kabi Combiphar
PT. Finusol Farma Prima Internasional
PT Sanbe
PT Otsuka
PT Kalbe Farma
PT Kalbe Farma
PT Otsuka
PT Sanbe
PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
PT Osuka
PT Sanbe
PT Otsuka
PT Otsuka
PT Otsuka
PT Sanbe
PT Sanbe
PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
PT Otsuka
PT Sanbe
PT Otsuka
PT Sanbe
PT Kalbe Farma
PT Widatra
PT Widatra
PT Widatra
PT Sanbe
PT Widatra
PT Widatra
PT Sanbe
PT B Braun
 PT. Fresenius Kabi Combiphar
PT Kalbe Farma
PT Sanbe
PT Kalbe Farma

PT Sanbe

PT B Braun

PT. Finusol Farma Prima Internasional

PT. Fresenius Kabi Combiphar

PT B Braun

PT B Braun

PT B Braun

PT B Braun
PT Widatra
PT Widatra
PT Widatra
PT Widatra
PT Widatra
PT. Fresenius Kabi Combiphar
PT. Fresenius Kabi Combiphar
PT. Fresenius Kabi Combiphar
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
PT Boehringer Ingelheim
Seluruh industri farmasi
PT Boehringer (Roche)
Seluruh industri farmasi
PT Merck
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
PT Boehringer (Roche)
PT Boehringer (Roche)
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
PT Atrazeneca
Seluruh industri farmasi
Seluruh industri farmasu
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
PT. Novartis Indonesia
PT. Novartis Indonesia
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
PT Novartis
Seluruh industri farmasi
Seluruh industri farmasi
PT Novartis
PT Novartis
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
PT Bayer
PT Boehringer (Roche)
PT Boehringer (Roche)
PT Boehringer (Roche)
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
Seluruh industri farmasi
ah, Daerah Istimewa (DI) Yogyakarta, JawaTimur, dan Bali (Harga Franco Kabupaten/Kotamadya).
pulauan Bangka Belitung, dan Nusa Tenggara Barat (Harga Franco Kabupaten/Kotamadya).
a, Sulawesi Tengah, Sulawesi Selatan, Kepulauan Riau (Harga Franco Kabupaten/Kotamadya).
si Barat (Harga Franco Kabupaten/Kotamadya).
Kabupaten/Kotamadya).
KEMASAN YANG TANGGAL BERAKHIR
NOMOR IZIN EDAR
DITAWARKAN NOMOR IZIN EDAR
 TANGGAL TANDA TERIMA
KOMITMEN
PERPANJANGAN NIE & BUKTI RKO NASIONAL
NASIONAL REGIONAL I
BAYAR
311,960
61,842,520
15,015,126
741,742

309,438

349,946

54,086

113,806

60,698

1,514,068
6,002,792
254,276
9,966
959,614
1,397,248
5,324,674
5,108,976
1,015,624
1,060,036
3,027,984
4,791,648
33,812
884,718
433,296
812,248
668,618
549,314,938
79,760
29,406,272
72,532
7,122,194
1,534,170
117,998
4,547,868
141,282
 1,472,992
901,612
114,490
99,342
228,938
3,937,928
20,264,156
2,834,064
2,221,218
31,812
768,630
4,669,916
2,640
285,620
168,554
4,669,916
2,640
791,388
358,076
2,081,764
4,576,386
5,418,904
424,018
2,262,942
12,580,684
16,198
908,250
170,882
2,852,912
8,527,168
1,565,994
559,600
1,695,978
56,686
887,052
510,540
1,734,502
661,274
160,262
8,279,820
286,950
309,228
435,426
1,498,896
360,904
338,704
 395,472
229,466
11,479,176
10,702,220
395,472
66,586
14,092,458
10,822,748
169,836
445,158
846,128
10,286
70,298,798
1,182,904
144,784
354,222
740,622
68,036
50,654
364,878
1,167,318
2,107,840
1,154,260
16,272
2,351,170
17,944
17,604
4,200
22,492
3,320
4,640
3,708
3,708
21,796
42,634
151,842
54,798
3,987,456
97,347,738
7,115,408
55,911,704
4,069,032
7,230,216
880,610
409,310
 342,276
338,894
123,168
2,950,882
2,950,882
10,759,170
9,552,132
232,542
359,144
2,552,844
13,543,490
26,244
208,796
179,644
1,560,958
540,738
107,238
7,358,404
22,080
5,874
10,682
2,470
135,050
32,826
1,559,104
4,626,170
3,866,556
9,726,800
33,743,936
929,720
3,479,058
59,824,610
11,942,328
9,399,514
1,624,148
509,146
133,710
44,624
5,573,914
2,083,204
400,404
39,104
43,074,048
186,360
68,156
106,822
 2,122,506
1,958,894
6,298
1,649
1,649
1,649
292,444
292,444
292,444
1,242,948
3,757,578
6,031,888
29,374
281,338
243,340
17,005
17,005
22,217
22,217
22,217
88,966
245,828
258,876
104,386
85,860
73,496
449,322
2,524,080
1,446,924
34,188,866
97,092
1,200
17,954,646
4,644,992
382,010
1,097,248
1,415,888
310,794
2,742,112
771,608

9,117,330

3,029,858
392,866
199,387
 307,942

32,144,376

4,665,316

1,121,526

20,264

599,028

92,761

257,078

700,000

969,404

104,531

477,906
160,620
1,599,510
1,865,170
100,630,186
191,240
3,111,660
37,194
14,816
10,362
182,456
2,251,580
1,847,120
218,712
 342,018
397,566
1,305,356
752,294
41,528
9,117,330
9,618,030
1,616,834
2,180,828
1,420,028
3,303,044
8,224
411,658
2,089,776
2,370,648
137,120
316,784
334,334
15,411,404
16,280,700
895,386
1,764,084
1,035,622
2,940
82,648
1,269,584
100,438
141,710
10,353,294
999,000
1,043,632
4,775,560
917,184
93,458
720,974
3,369,302
8,172
14,038
10,952
105,862
72,529,216
4,742,836
27,775,110
1,306,772
89,778
 132,746
1,273,652
193,240
71,188
20,358
19,921,646
171,442
7,808,358
9,670
54,912
15,900
30,190
6,334
7,072
438,470
2,314,796
1,934,982
7,115,408
80,326
1,490,922
160,712
3,920,112
1,075,850
29,665,514
130,898
161,986
116,562
2,402,192
2,696,666
401,084,860
637,530
4,413,698
1,475,662
1,596,358
1,870,542
8,383,172
12,568,802
1,338,160
900,000
540,970
1,804,162
497,702
550,386
231,286
342,422
116,758
 1,371,354
4,705,200
1,898,674
405,552
1,454,402
394,650
530,484
55,496
164,622
1,707,852
371,118
1,200,478
236,406
62,180
1,144,924
88,772
64,866
353,218
2,817,852
26,038
107,902
390,296
59,920
320,192
5,319,224
10,953,832
1,741,646
18,486,502
50,143,966
71,228
163,802
36,185,882
141,672
1,434,888
347,378
130,568
249,066
7,277,876
6,951,478
39,352
48,750
2,331,962
478,106
5,338,520
434,946
347,084
 421,020
46,182
201,718
105,868
1,099,446
1,099,446
1,099,446
1,099,446
4,430,594
12,816,580
8,692,250
152,856
341,440
3,986
1,575,192
4,761,610
134,896
2,932,992
10,548,848
419,456
7,387,086
1,135,006
782,244
548,740
47,090
144,686
171,328
215,744
758,326
4,885,032
1,335,994
1,203,608
218,342
8,420
518,298
1,948,546
210,714
121,738
141,876

132,448
1,737,674
1,750,208
1,420,958
1,420,958
 447,934
153,615
153,615
249,248
116,360
116,360
116,360

116,360
414,040
158,974
491,524
72,000
306,922
81,802
342,058
33,728
33,728
373,992
315,808
3,317,474
539,234
539,234
475,971
1,316,186
1,316,186
475,971
1,316,186
507,342
19,440
440,144
220,234
220,234
390,777
390,777
13,364
513,260
1,750,208
257,822
257,822
138,160
1,221,871
1,221,871
45,183
 45,183
45,183
45,183
91,341

91,341

91,341

96,808

491,524

67,486

57,440

60,032

867,738
1,737,674
403,462
102,944
198,418
151,124
516
18,600
487,400
101,987,028
3,279,996
4,648,972
201,475,172
5,634,152
17,707,944
14,974,040
155,192
152,054
80,368
455,764
113,116
214,004
193,638
225,014
862,136
259,616
56,966
 79,674
155,710
314,342
973,132
168,188
168,188
108,872
121,732
50,658
170,360
199,528
99,700
435,234
32,374
732,832
99,138
147,960
102,100
13,262
13,440
4,087,086
254,204
43,688
39,620
87,404
87,404
1,091,472
328,100
82,940
325,608
887,896
111,630
89,776
262,726
590,942
138,558
120,480
81,940
75,636
63,948
38,068
67,523
67,523
101,498
 HARGA PENAWARAN
REGIONAL
REGIONAL II REGIONAL III REGIONAL IV REGIONAL V
PAPUA