DAFTAR HARGA OBAT KERAS

No Nama Obat Harga+PPN 10% Satuan Kekuatan

1 Ambroxol 700 Tablet 30mg
2 Aminofillin tablet 200 Tablet 200mg
3 Amoksisillin 1,000 Tablet 500mg
4 Asam mefenamat 2,000 Caplet 250mg
5 Asam mefenamat 2,500 Caplet 500mg
6 Bactrim Tab 3000 tablet
7 Bronsolvan tab 450 tablet 150 mg
8 CTM 500 Tablet 4mg
9 Dexamathasone tab 450 Tablet 0,75mg
10 Dexamethasone tab 400 Tablet 0,50 mg
11 Efedrin HCL 300 Tablet 25 mg
12 Equal 250 Tablet
13 Faktu supp 9000 Sup
14 INH tablet 400 Tablet 100mg
15 INH tablet 600 Tablet 300 mg
16 Laktosa 1,000 1000mg
17 Ol. Mentha Piperitae 500 tetes
18 Papaverin HCl 257 tablet 40mg
19 Pehadoxin 1,500 Tablet
20 Prednison tablet 150 Tablet 5mg
21 Rifampisin 300mg 1,200 Tablet 300mg
22 Rifampisin 450mg 1,700 Tablet 450mg
23 Rifampisin 600mg 1,800 Tablet 600mg
24 Rimactan capsul 3500 capsul 300 mg
25 Salbutamol 300 Tablet 2mg
26 Sanprima tab 250 Tablet
27 Vitamin B6 400 Tablet 10 mg
28 Vitamin C 50 mg 500 Tablet 50mg
29 Vometa syrup 68,000 botol
30 Yusimox syr 10,000 botol 60 ml
31 Omedon syr 10,000 botol 60 ml
 DAFTAR HARGA OBAT BEBAS

No Nama Obat Harga+PPn10% Satuan Kekuatan

1 Antangin cair 2,500 Sachet
2 Antimo tablet 5,000 Strip
3 Apyalis Syr 100 ml 40,000 Botol
4 Balsem kaki 3 8,000 Pot
5 Bedak Salicyl 2 % 8,000 Pot
6 Betadin 15 ml 7,000 Botol
7 Betadin 30 ml 12,000 Botol
8 Curbeflex syrup 15,000 Botol
9 Curvit syr 30,000 Botol 60 ml
10 Decolgen tab 3,000 Strip
11 Decolgen tab 2,500 Strip
12 Decolsin capsul 5,000 Strip
13 Diapet 3,000 Strip
14 Enervon C 30's 36,000 Botol
15 Enervon C 4'S 5,000 Strip
16 Enkasari Gargle 16,000 Botol
17 Fludan plus tab 5,500 Strip
18 Gastrucid Sirup 10,000 Botol
19 GPU 60 ml 12,000 Botol
20 Hemaviton Action 15,000 Strip
21 Hufalysin Syrup 12,000 Botol
22 Insto 11,000 Botol
23 Konidin Tablet 2,500 Strip
24 Miconazol cream 6,000 Tube
25 Migran Tab 4,000 Strip
26 MKP 15 Ml 9,000 Botol
27 Mylanta syr 11,000 Botol
28 Mylanta tablet 8,500 Strip
29 Mylanta tablet 8,000 Strip
30 Neozef Forte 4,000 Strip
31 OBH Combi Berdahak 12,500 Botol 100 ml
32 OBH Combi Plus 11 700 Botol 60 ml
33 OBH Combi Plus 17,000 Botol 100 ml
34 OBH Itrasal 7,000 Botol 60 ml
35 OBH Nelco 22,500 Botol 100 ml
36 OBH Nelco 18,500 Botol 55 ml
37 OBP Itrasal 5,000 Botol 60 ml
38 Paracetamol Tab 250 mg 200 Tablet
39 Paracetamol Tab 500 mg 300 Tablet
40 Pharolit 2,000 Sachet
41 Procold Tab 3,000 Strip
42 Promag 8,000 Strip
43 Salep 88 5,000 Pot
44 Sanaflu tab 2,000 Strip
45 Sangobion Femine 15,000 Strip 10 tab
46 Sangobion tablet 11,000 Strip
47 Salycyl Talk 8,000 Pot
48 Stimuno syr 19,000 Botol 60 ml
49 Surbex T 20,000 Strip
50 Tolak angin cair 2,500 Sachet
51 Vitalong C 6,000 Strip
52 Viostin DS 16,000 Strip
53 Vitacimin tab 2,000 Strip
54 Vitamin B Complek IPI 5,000 Botol
55 Vitamin C IPI 5,000 Botol
56 Xonce 2,000 Strip
57 Zink Kid F 25,000 Botol
 DAFTAR HARGA OBAT KERAS NARKOTIKA DAN PSIKOTROPIKA

No Nama Obat Harga+PPN 10% Satuan Kekuatan

1 Codein Tablet 500 tablet 10 mg
2 Codipront Capsule 9,550 Strip 10 mg
3 Codipront Syrup 27,000 Strip 10 mg
4 Diazepam tablet 200 Tablet 2 mg
5 Diazepam tablet 300 Tablet 5 mg
6 Luminal 30mg 140 Tablet 30mg
7 Luminal 10mg 125 Tablet 10mg

DAFTAR HARGA ALAT KESEHATAN

No Nama Obat Harga+ppn 10% Satuan Kekuatan

1 Foley Catheter 22,000 pcs
2 Handscoon No. 6,5 12,500 pcs
3 Hansaplast plester 1,000 Lembar
4 Infuset 21,000 pcs
5 Kapas Pembalut 25 g 3,500 buah
6 Kapas Pembalut 50 g 6,500 buah
7 Kassa Steril 6,000 box
8 Masker 2,000 lembar
9 Micropore (K) 14,000 pcs
10 Perban gulung (B) 8,000 pcs
11 Perban gulung (K) 4,000 pcs
12 Plester (B) 8,000 pcs
13 Sarung Tangan 2,000 pcs
14 Spuit 1 cc 5,000 pcs
15 Spuit 5 cc 3,000 pcs
16 Testpack 5,000 strip
17 Thermometer Digital 22,000 pcs
18 Wing needle 10,000 Pcs

DAFTAR HARGA VAKSIN

No Nama Obat Harga (Rp) Satuan Kekuatan
1 Vaksin BCG 27,500 ampul
2 Vaksin DPT 35000 ampul

DAFTAR HARGA LAINNYA

No Uraian Harga (Rp) Satuan
1 Tuslah Racikan 5,000 per R/
Tuslah sediaan jadi 1000 per R/