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Nama Obat Generik

Nama Dagang

Nama Penyedia

1.

ACT (Artesunate tablet 50 mg + Amodiaquine


anhydrida tablet 200 mg)

n/a

PT. Kimia Farma

2.

Adefovir Dipivoksil tablet/kaplet 10 mg

Hepsera

PT. SmithKline Beecham Phamaceuticals

3.
4.
5.
6.

Air untuk Injeksi 25 ml


Air untuk irigasi lar infus 1000 ml
Akarbose tablet/kaplet 100 mg
Akarbose tablet/kaplet 50 mg

Otsu SWI 25 ml
WIDA WI UNICAP
n/a
n/a

PT Otsuka Indonesia
PT. Widatra Bhakti
PT. Dexa Medica
PT. Dexa Medica

7.

Albendazol suspensi 200 mg/5 ml

n/a

PT. Indofarma

8.

Albendazol tablet/kapsul/kaplet 400 mg

n/a

PT. Holi Pharma

9.

Albumin serum normal (human albumin) injeksi


20%, 100 ml

Zenalb

PT. Ikapharmindo

10.

Albumin serum normal (human albumin) injeksi


20%, 50 ml

Zenalb

PT. Ikapharmindo

11.

Albumin serum normal (human albumin) injeksi


25%, 100 ml

Octalbin 25%

PT. Dankos Farma

12.

Albumin serum normal (human albumin) injeksi


25%, 20 ml

PLASBUMIN 25% 20 ML

PT. Dipa Pharmalab

13.

Albumin serum normal (human albumin) injeksi


25%, 50 ml

PLASBUMIN 25% 50 ML

PT. Dipa Pharmalab

14.

Albumin serum normal (human albumin) injeksi


5% 250 ml

PLASBUMIN 5% 250 ML

PT. Dipa Pharmalab

PLASBUMIN 5% 50 ML

PT. Dipa Pharmalab

n/a
n/a

PT. Pertiwi Agung


PT. Bernofarm

n/a

PT. Dexa Medica

16.
17.

Albumin serum normal (human albumin) injeksi


5% 50 ml
Alopurinol tablet/kapsul/kaplet 100 mg
Alopurinol tablet/kapsul/kaplet 300 mg

18.

Alprazolam tablet/kapsul/kaplet 0,25 mg

15.

19.
20.

Alprazolam tablet/kapsul/kaplet 0,5 mg


Alprazolam tablet/kapsul/kaplet 1 mg

n/a
n/a

PT. Kimia Farma


PT. Kimia Farma

21.

Alteplase injeksi 50 mg/vial

Actilyse

PT. Boehringer Ingelheim

22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.

Amfoterisin B salep mata 1%


Amikasin injeksi 250 mg/ml
Aminofilin injeksi 24 mg/ml
Aminofilin tablet scored 200 mg
Aminofilin tablet/kapsul/kaplet 150 mg
Amiodaron injeksi 150 mg/3 ml
Amiodaron tablet/kaplet 200 mg
Amitriptilin tablet salut 25 mg (HCl)
Amlodipin tablet 10 mg
Amlodipin tablet 5 mg
Amoksisilin kapsul/kaplet 250 mg

Fungicide
Glybotic 250 mg /ml
n/a
n/a
n/a
Cordarone
Kendaron Tablet
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

33.

Amoksisilin kapsul/kaplet/tablet scored 500 mg

n/a

PT. Mersifarma Tirmaku Mercusana

34.

Amoksisilin sirup kering forte 250 mg/5 ml

n/a

PT. Holi Pharma

35.

Amoksisilin sirup kering 125 mg/ 5 ml

n/a

PT. Novapharin

36.

Ampisilin serbuk injeksi i.v. 1000 mg/vial

n/a

PT. Bernofarm

37.

Analog insulin long acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
glargine 100 IU/ml)

Lantus Solostar 100IU/ml


PT. Aventis Pharma
5pens x3ml

38.

Analog insulin mix acting inj 100 UI/ml, Analog


insulin mix acting inj 100 UI/ml (Premix 30%
Novomix Flexpen
Insulin Aspart + 70% Protaminated Insulin Aspart
(Analogue))

39.

Analog Insulin Mix Insulin Inj 100 UI/ml

Cendo Industri Farmasi


Sanbe Farma
Lucas Djaja
Erela
Erela
Aventis Pharma
Darya Varia
Indofarma
Pertiwi Agung
Pertiwi Agung
Novapharin

PT. Ferron Par Pharmaceuticals

Humalog Mix 25 Kwikpen PT. Bayer Indonesia

40.

Analog insulin mix insulininj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (25%
insulin lispro, 75% insulin lispro protamine
suspension, (rDNA))

Humalog Mix 25

PT. Bayer Indonesia

41.

Analog Insulin Rapid Acting Inj 100 UI/ml

Humalog Kwikpen

PT. Bayer Indonesia

42.

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
Aspart (Analogue))

Novorapid Vial

PT. Ferron Par Pharmaceuticals

43.

Analog insulin rapid acting inj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
Aspart (Analogue))

Novorapid Flexpen

PT. Ferron Par Pharmaceuticals

44.

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
glulisine 100 IU/ml)

Apidra Solostar 100IU/ml


PT. Aventis Pharma
5pens x3ml

45.

Analog insulin rapid actinginj 100 UI/ml,


vial/cartridge disposible/penfill cartridge (Insulin
lispro (rDNA origin))

Humalog

PT. Bayer Indonesia

46.

Anastrozol tablet/kapsul/kaplet 1 mg

Arimidex 1 mg

PT. AstraZeneca indonesia

47.

Antasida DOEN I tablet kunyah, kombinasi :


Aluminium Hidroksida 200 mg Magnesium
Hidroksida 200 mg

n/a

PT. Erela

48.

Antasida DOEN II suspensi, kombinasi :


Aluminium Hidroksida 200 mg/5 ml Magnesium
Hidroksida 200 mg/5 ml

n/a

PT. Erela

49.

Anti Bakteri DOEN salep kombinasi: Basitrasin


500 IU/g Polimiksin 10.000 IU/g

n/a

PT. Indofarma

50.

Antihemoroid, kombinasi: bismut subgalat 150


mg heksaklorofen 2,5 mg lidokain 10 mg seng
oksida 120 mg

n/a

PT. Kimia Farma

51.

Antimalaria DOEN kombinasi : Pirimetamin 25 mg


n/a
Sulfadoksin 500 mg

PT. Kimia Farma

52.

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50


mg

n/a

PT. Kimia Farma

Levopar Tablet

PT. Meprofarm

Artem

PT. Kimia Farma

54.

Antiparkinson DOEN tablet kombinasi :


Benserazid 25 mg Levodopa 100 mg
Artemether injeksi 80 mg/ml

55.

Artesunate injeksi i.v./i.m. 60 mg/ml

Artesunate

PT. Pharma Laboratories

56.

Asam Asetilsalisilat (asetosal) tablet 100 mg

n/a

PT. Phapros, Tbk

57.

Asam Asetilsalisilat (asetosal)


tablet/kaplet/kapsul 80 mg

Miniaspi 80

PT. Mersifarma Tirmaku Mercusana

58.

Asam Askorbat (Vitamin C) tablet 250 mg

n/a

PT. Kimia Farma

59.
60.
61.
62.
63.

Asam
Asam
Asam
Asam
Asam

n/a
Starfolat
n/a
Bondronat
n/a

PT.
PT.
PT.
PT.
PT.

64.

Asam Mefenamat kapsul/kaplet 500 mg

n/a

PT. Bernofarm

65.
66.
67.
68.
69.
70.

Asam pipemidat kapsul 400 mg


Asam traneksamat injeksi 50 mg/ml
Asam zoledronat injeksi 4mg/5mL
Asiklovir salep mata 3%
Asiklovir tablet/kapsul/kaplet 200 mg
Asiklovir tablet/kapsul/kaplet 400 mg

Urotractin 400 mg
n/a
ZOMETA
Temiral Eye Oint
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

71.

Asparaginase serbuk injeksi 10.000 UI/vial

Leunase

PT. Widatra Bhakti

72.
73.

Atapulgit tablet 600 mg


Atenolol tablet/kapsul/kaplet 100 mg

Pularex
Betablok

PT. Zenith Pharmaceuticals


PT Kalbe Farma

53.

Askorbat (Vitamin C) tablet 50 mg


Folat tablet/kapsul/kaplet 0,4 mg
Folat tablet/kapsul/kaplet 1 mg
Ibandronat injeksi 6mg/6ml
Mefenamat kapsul/kaplet 250 mg

Kimia Farma
Dexa Medica
Marin Liza Farmasi
Boehringer Ingelheim
Afifarma

Sanbe Farma
Bernofarm
Novartis Indonesia
Sanbe Farma
Indofarma
Sampharindo Perdana

74.

Atenolol tablet/kapsul/kaplet 50 mg

Farnormin

PT. Pratapa Nirmala

75.

Atrakurium injeksi 25 mg/2,5 ml

Tracrium

PT. Glaxo Wellcome Indonesia

76.
77.
78.
79.
80.
81.
82.

Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml


Atropin Sulfat tablet 0,5 mg
Atropin Sulfat tetes mata 0,5%
Atropin Sulfat tetes mata 1%
Azitromisin sir kering 200 mg/ 5 mL
Azitromisin tablet 500 mg
Azitromisin tablet 250 mg

n/a
n/a
Cendo Tropin 0,5%
Cendo Tropin 1%
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.

83.

Bedak salisil serbuk 2%

n/a

PT. Rama Emerald Multi Sukses

84.

Benzatin Benzil Penisilin 1,2 juta IU/ vial

n/a

PT. Phapros, Tbk

85.
86.
87.

Benzatin Benzil Penisilin 2,4 juta IU/vial


Beractant injeksi / suspensi 25 mg/mL
Beraprost sodium tablet 20 mcg

n/a
Survanta
Dorner

PT. Phapros, Tbk


PT. Abbott Indonesia
PT. Combiphar

88.

Betametason krim 0,1% (sebagai Valerat)

n/a

PT. Kimia Farma

89.

Betametason tetes mata 1 mg/ml

Betam Ophtal ED

PT. Sanbe Farma

90.

Bevasizumab injeksi 25 mg/ml (Skema Risk


Sharing sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)

Avastin

PT. Boehringer Ingelheim

91.
92.
93.
94.
95.
96.
97.
98.

Bikalutamid tablet salut 150 mg


Bikalutamid tablet salut 50 mg
Bisakodil suppositoria 10 mg
Bisakodil suppositoria 5 mg
Bisoprolol tablet 2,5 mg
Bisoprolol tablet 5 mg
Bleomisin serbuk injeksi 15 mg/ampul
Bromokriptin tablet 2,5 mg

Casodex 150 mg
Casodex 50 mg
Stolax supp
Dulcolax Supp Infant
Concor 2.5
n/a
BLEOCIN
Cripsa tab

PT. AstraZeneca indonesia


PT. AstraZeneca indonesia
PT. Sanbe Farma
PT. Boehringer Ingelheim
PT. Merck Tbk
PT. Pratapa Nirmala
PT Kalbe Farma
PT. Caprifarmindo

Ethica Industri Farmasi


Indofarma
Cendo Industri Farmasi
Cendo Industri Farmasi
Soho Industri Pharmasi
Kimia Farma
Soho Industri Pharmasi

99.

Budesonid inhaler 200 mcg/puff, 100 dosis

Pulmicort Turbuhaler

PT. AstraZeneca indonesia

100. Budesonid inhaler 200 mcg/puff, 200 dosis

Obucort Swinghaler

PT Otsuka Indonesia

101. Budesonid respules / cairan inhaler 0,25mg/mL

Pulmicort Respules

PT. AstraZeneca indonesia

102.

Budesonid-formoterol (fixed combination) inhaler Symbicort Turbuhaler


160/4,5 mcg
160/4.5 mcg

PT. AstraZeneca indonesia

103.

Budesonid-formoterol (fixed combination) inhaler


Symbicort 80/4.5 mcg
80/4,5 mcg

PT. AstraZeneca indonesia

104. Bupivakain injeksi 0,50% (HCl) + glukosa 8%

n/a

PT. Dexa Medica

105.
106.
107.
108.

Bunascan
Pradaxa
Pradaxa
DBL Dacarbazine

PT.
PT.
PT.
PT.

109. Daunorubisin serbuk injeksi 20 mg/vial

DAUNOCIN

PT. Novell Pharmaeutical Laboratories

110. Deferasiroks tablet disp/ eff 250 mg


111. Deferasiroks tablet disp/ eff 500 mg

Exjade 250 mg Tab


Exjade 500 mg Tab

PT. Novartis Indonesia


PT. Novartis Indonesia

112. Deferipron larutan oral 100 mg/mL

Ferriprox Oral Solution

PT. Sydna Farma

113. Deferipron tablet 500 mg

Ferriprox tablet

PT. Sydna Farma

114. Deferoksamin Mesilat serbuk injeksi 500 mg

Desferal

PT. Novartis Indonesia

115. Deksametason injeksi i.v./i.m. 5 mg/ml

n/a

PT. Indofarma

116. Deksametason tablet 0,5 mg

n/a

PT. Promedrahardjo Farmasi Industri

117. Desogestrel tablet 75 mcg

Cerazette

PT. Merck Sharp Dohme Pharma Tbk

118. Desoksimetason krim 0,25%

DEXIGEN

PT. Ifars Pharmaceutical Laboratories

Bupivakain injeksi 0,50% (P.V)


Dabigatran eteksilat kapsul 75 mg
Dabigatran eteksilat kapsul 110 mg
Dakarbazin serbuk injeksi 200 mg/vial

Pratapa Nirmala
Boehringer Ingelheim
Boehringer Ingelheim
Tempo Scan Pacific

119. Desoksimetason krim 0,25%


120. Desoksimetason salep 0,25%

n/a
Dexocort

PT. Dexa Medica


PT. Kimia Farma

121. Diazepam larutan rektal 5 mg/2,5 mL

STESOLID

PT. Actavis Indonesia

122. Diazepam injeksi i.v./i.m 5 mg/ml

n/a

PT. Indofarma

123. Diazepam larutan rektal 10 mg/2,5 mL

STESOLID

PT. Actavis Indonesia

124. Diazepam tablet 2 mg


125. Dietilkarbamazin tablet scored 100 mg

n/a
n/a

PT. Kimia Farma


PT. Holi Pharma

126. Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)

n/a

PT. Phapros, Tbk

127. Digoksin injeksi 0,25 mg/ml


128. Digoksin tablet 0,25 mg
129. Diltiazem HCl tablet 30 mg

Fargoxin inj
n/a
n/a
Herbesser Powder
Injection 50mg

PT. Pratapa Nirmala


PT. Yarindo Farmatama
PT. Indofarma

131. Diltiazem injeksi 25 mg/5 mL

Farmabes Injeksi 25 mg

PT. Pratapa Nirmala

132.
133.
134.
135.

Herbesser CD 100
Herbesser CD 200
n/a
E.D.T.A
Bonefos Infus 60 mg / 5
ml
DOBURAN
Cardura 1mg
Cardura 2mg
n/a
Doxorubicin Actavis 10
mg

PT.
PT.
PT.
PT.

130. Diltiazem infus injeksi 50 mg

Diltiazem Kapsul SR 100 mg


Diltiazem Kapsul SR 200 mg
Dimenhidrinat tablet 50 mg
Dinatrium edetat tetes mata 0,35%

136. Dinatrium klodronat infus kons 60 mg/mL


137.
138.
139.
140.

Dobutamin injeksi 50 mg/mL


Doksazosin mesilat tablet 1 mg
Doksazosin mesilat tablet 2 mg
Doksisiklin tablet/kapsul/kaplet 100 mg

141. Doksorubisin serbuk injeksi i.v. 10 mg/vial


142. Doksorubisin serbuk injeksi i.v. 50 mg/vial

Doxorubicin Actavis 50
mg

PT. Tanabe Indonesia

Tanabe Indonesia
Tanabe Indonesia
Kimia Farma
Cendo Industri Farmasi

PT. Bayer Indonesia


PT.
PT.
PT.
PT.

Dipa Pharmalab
Pfizer Indonesia
Pfizer Indonesia
Yarindo Farmatama

PT. Actavis Indonesia


PT. Actavis Indonesia

143.
144.
145.
146.

Domperidon suspensi/sirup 5 mg/5 ml


Domperidon tablet 10 mg
Domperidon tetes 5 mg/mL
Dopamin injeksi 40 mg/ml

147. Dosetaksel injeksi 20 mg/0,5 ml


148.

n/a
n/a
n/a
UDOPA

PT.
PT.
PT.
PT.

n/a

PT. Sanbe Farma

DTPA (diethylene triamine pentaacetic acid) 2,06Renalscan KaeF


2,5 mg pentetate calcium trisodium/mL

Novapharin
Novapharin
Bernofarm
Dipa Pharmalab

PT. Kimia Farma

149. Dutasterid kaps lunak 0,5 mg

Avodart

PT. SmithKline Beecham Phamaceuticals

150. Efavirens tablet salut 600 mg


151. Efedrin Inj 50 mg/ml
152. Eksemestan tablet 25 mg

n/a
n/a
Aromasin

PT. Kimia Farma


PT. Bernofarm
PT. Pfizer Indonesia

153. Enoksaparin sodium inj 20 mg/0,2 mL

Lovenox 2000 ANTI-XA

PT. Aventis Pharma

154. Enoksaparin sodium inj 40 mg/0,4 mL

Lovenox 4000 ANTI-XA

PT. Aventis Pharma

155. Enoksaparin sodium inj 60 mg/0,6 mL

Lovenox 6000 ANTI-XA

PT. Aventis Pharma

156. Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml

n/a

PT. Phapros, Tbk

Epirubisin Kalbe

PT Kalbe Farma

n/a

PT. Sanbe Farma

D-Vit FT

PT. Gracia Pharmindo

D-Vit Syrup

PT. Gracia Pharmindo

n/a
n/a
n/a

PT. Kimia Farma


PT. Indofarma
PT. Phyto Kemo Agung Farma

Epirubisin serb injeksi 50 mg/25ml (Produk


Kosong s/d awal Agustus 2015)
158. Epirubisin serb injeksi 10 mg/5 ml
157.

159. Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI


Ergokalsiferol (vitamin D3/D2) suspensi 10.000
UI/ml
161. Eritromisin kapsul/kaplet 250 mg
162. Eritromisin kapsul/kaplet 500 mg
163. Eritromisin sirup kering 200 mg/ 5 ml
160.

164. Eritropoetin-alfa inj 10000 UI/mL

Hemapo 10.000 IU

PT Kalbe Farma

165. Eritropoetin-alfa inj 2000 UI/mL

Eprex 2000

PT. Soho Industri Pharmasi

166.
167.
168.
169.
170.

Hemapo 3000
Recormon
n/a
n/a
n/a

PT Kalbe Farma
PT. Boehringer Ingelheim
PT. Kimia Farma
PT. Indofarma
PT. Novapharin

171. Etinilestradiol tablet 0,05 mg

Lynoral

PT. Merck Sharp Dohme Pharma Tbk

172. Etonogestrel implan 68 mcg

Implanon

PT. Merck Sharp Dohme Pharma Tbk

Eritropoetin-alfa inj 3000 UI/mL


Eritropoetin-beta inj 2000 UI/0,3 mL
Etambutol tablet 250 mg (HCl)
Etambutol tablet salut 500 mg (HCl)
Etanol 70% cairan

173.
174.
175.
176.

Etoposid injeksi 20 mg/ml


Posyd
Eugenol cairan
n/a
Everolimus tab 0,25 mg
Certican 0,25 mg Tab
Everolimus tab 0,5 mg
Certican 0,5 mg Tab
Faktor IX kompleks serbuk injeksi 1.000 UI/vial +
177.
Nonafact 1000 IU
pelarut 10 ml
178.

Faktor IX kompleks serbuk injeksi 500 UI/vial +


pelarut 5 ml

Faktor koagulasi II 14-35 UI, faktor koagulasi VII


179. 7-20 UI, faktor koagulasi IX 25 UI, faktor
koagulasi X 14-35 UI

Faktor VIIa (rekombinan) serb inj 1 mg/vial +


pelarut untuk injeksi

182. Faktor VIII (konsentrat) serb inj 230 -340 UI

Combiphar
Kimia Farma
Novartis Indonesia
Novartis Indonesia

PT. Graha Farma

Nonafact 500 IU

PT. Graha Farma

Cofact 500 IU/20 ml

PT. Graha Farma

Faktor Koagulasi II 14-35 UI, Faktor Koagulasi VIII


180. 7-20 UI, Faktor Koagulasi IX 25 UI, Faktor
Cofact 250 IU
Koagulasi X 14-35 UI (250 IU/10ml)
181.

PT.
PT.
PT.
PT.

PT. Graha Farma

Novoseven

PT. Ferron Par Pharmaceuticals

Haemoctin

PT. Kimia Farma

183.

Faktor VIII (konsentrat) serb inj 250 UI/vial +


pelarut 5 mL

Haemoctin

PT. Kimia Farma

184. Faktor VIII (konsentrat) serb inj 480 - 600 UI

KOATE DVI 500 IU

PT. Dipa Pharmalab

185. Fenitoin injeksi 50 mg/ml

n/a

PT. Mersifarma Tirmaku Mercusana

186. Fenitoin kapsul/kaplet 100 mg

n/a

PT. Ikapharmindo

187. Fenitoin Na Inj 100 mg/2 ml

n/a

PT. Mersifarma Tirmaku Mercusana

188. Fenobarbital injeksi i.m./i.v. 50 mg/ml

n/a

PT. Phapros, Tbk

189. Fenobarbital tablet/kapsul/kaplet 100 mg

n/a

PT. Indofarma

190. Fenofibrat kaps 100 mg

n/a

PT. Hexpharm Jaya Laboratories

191. Fenofibrat kaps 300 mg

n/a

PT. Hexpharm Jaya Laboratories

192. Fenoksimetil penisilin (penisilin V) tablet 250 mg n/a

PT. Phapros, Tbk

193. Fenoksimetil penisilin (penisilin V) tab 125 mg

Fenocin

PT. Actavis Indonesia

194. Fenoksimetil penisilin (penisilin V)tablet 500 mg

n/a

PT. Phapros, Tbk

195. Fenoterol HBr ih 100 mcg/puff


196. Fenoterol HBr inh solution 0,1%

Berotec MDI
Berotec Solution

PT. Boehringer Ingelheim


PT. Boehringer Ingelheim

197. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml

n/a

PT. Kimia Farma

198. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml

n/a

PT. Kimia Farma

199. Fentanil patch 12,5 mcg/jam

Durogesic 12,5 MU
Matrix

PT. Kimia Farma

200. Fentanil patch 25 mcg/jam

Durogesic 25 MU Matrix

PT. Kimia Farma

201. Fentanil patch 50 mcg/jam

Durogesic 50 MU Matrix

PT. Kimia Farma

202. Filgrastim inj 300 mcg/mL


203. Finasterid tab 5 mg

Leucogen
Prostacom

PT Kalbe Farma
PT. Combiphar

204. Fitomenadion (Vit.K1) tablet salut gula 10 mg

n/a

PT. Phapros, Tbk

205. Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml

n/a

PT. Phapros, Tbk

206. Fludarabin inj 50 mg

Fludara IV LYO

PT. Aventis Pharma

207. Fludarabin tab 10 mg

Fludara Oral

PT. Aventis Pharma

208. Flufenazin injeksi i.m. 25 mg/ml

Sikzonoate Injeksi

PT. Mersifarma Tirmaku Mercusana

209.
210.
211.
212.
213.
214.
215.
216.

n/a
Diflucan 50mg
n/a
Foransi 10
NOPRES
Ocuflam ED
Curacil
Curacil

PT. Natura Laboratoria Prima


PT. Pfizer Indonesia
PT. Kimia Farma
PT. Gracia Pharmindo
PT. Dexa Medica
PT. Sanbe Farma
PT Kalbe Farma
PT Kalbe Farma

217. Flusinolon asetonid krim 0,025%

SYNARCUS

PT. Ifars Pharmaceutical Laboratories

218. flusinolon asetonid salep 0,025%

Dermasolon oint

PT. Ikapharmindo

219. Flutikason furoat intranasal spray

Avamys

PT. Glaxo Wellcome Indonesia

220. Flutikason propionat nebules 0,5 mg

Flixotide Nbules

PT. Glaxo Wellcome Indonesia

221. Fondaparinuks inj 2,5 mg/0,5 mL

Arixtra

PT. Glaxo Wellcome Indonesia

222. Fraksi protein plasma lar inf 5%


223. Furosemid injeksi i.v./i.m. 10 mg/ml

Plasmanate
n/a

PT. Dipa Pharmalab


PT. Indofarma

Flukonazol injeksi 2 mg/ml


Flukonazol tablet/kaplet/kapsul 50 mg
Flukonazol tablet/kapsul 150 mg
Fluoksetin tablet 10 mg
Fluoksetin tablet 20 mg
Fluorometolon tetes mata 0,1 %
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL

224. Furosemid tablet 40 mg


225. Gadobutrol macrocyclic 5 mg
226. Gadobutrol macrocyclic 7,5 mg
Gadoksetat disodium 0,25 mmol gadoxetate
227.
disodium/mL
228. Gansiklovir serb inj 500 mg (50 mg/mL)

n/a
Gadovist 5 mg
Gadovist 7,5 mg

PT. Indofarma
PT. Bayer Indonesia
PT. Bayer Indonesia

Primovist

PT. Bayer Indonesia

Cymevene

PT. Boehringer Ingelheim

Garam Oralit I serbuk, kombinasi : Natrium


229. klorida 0,52 g kalium klorida 0,30 g Trinatrium
sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g

n/a

PT. Phapros, Tbk

230. Gefitinib tab 250 mg


231. Gemfibrozil kapsul/kaplet 300 mg

Iressa 250 mg
n/a

PT. AstraZeneca indonesia


PT. Indofarma

232. Gemfibrozil tablet 600 mg

n/a

PT. Indofarma

233.
234.
235.
236.
237.

Gemzar 1000 mg
n/a
n/a
Genoint Salep Mata
n/a

PT.
PT.
PT.
PT.
PT.

238. Glibenklamid tablet 5 mg

n/a

PT. Indofarma

239. Gliklazid tab 80 mg

GLUCODEX

PT. Dexa Medica

240. Gliklazid tab 30 mg

Diamicron MR 30

PT. Pradja Pharin

241.
242.
243.
244.
245.
246.
247.
248.

Diamicron MR 60
n/a
n/a
n/a
n/a
n/a
Glucotrol 10 mg
Glucotrol 5 mg

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Gemsitabin
Gemsitabin
Gentamisin
Gentamisin
Gentamisin

inj 1000 mg/vial


inj 200 mg/vial
injeksi 40 mg/ ml
salep mata 0,3%
tetes mata 0,3%

Gliklazid tablet lepas lambat 60 Mg


Glikuidon tab 30 mg
Glimepiride tablet 1 mg
Glimepiride tablet 2 mg
Glimepiride tablet 3 mg
Glimepiride tablet 4 mg
Glipizid tablet/kaplet/kapsul 10 mg
Glipizid tablet/kaplet/kapsul 5 mg

Bayer Indonesia
Sanbe Farma
Indofarma
Erela
Indofarma

Darya Varia
Dexa Medica
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Pfizer Indonesia
Pfizer Indonesia

249. Gliseril trinitrat inj 50 mg/10 mL


250.
251.
252.
253.
254.
255.
256.
257.
258.
259.

Gliseril trinitrat kaps SR 2,5 mg


Gliseril trinitrat kaps SR 5 mg
Gliseril trinitrat tab sublingual 0,5 mg
Gliserin lar 50%
Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril
Goserelin asetat inj 10,8 mg/vial
Goserelin asetat inj 3,6 mg
Griseofulvin tablet 125 mg
Haloperidol inj 50 mg/mL

DBL Gliceryl Trinitrate 50


PT. Tempo Scan Pacific
mg/10 ml inj.
Nitrokaf Retard
PT. Kimia Farma
Nitrokaf Forte
PT. Kimia Farma
Nitral
PT. Actavis Indonesia
Gliserin lar 50%
PT. Lucas Djaja
n/a
PT. Widatra Bhakti
n/a
PT. Widatra Bhakti
Zoladex 10,8 mg
PT. AstraZeneca indonesia
Zoladex 3,6 mg
PT. AstraZeneca indonesia
n/a
PT. Phapros, Tbk
Haldol Decanoas
PT. Soho Industri Pharmasi

260. Haloperidol injeksi i.m 5 mg/ml

Lodomer Injeksi

PT. Mersifarma Tirmaku Mercusana

261. Haloperidol tablet 0,5 mg


262. Haloperidol tablet 5 mg
263. Haloperidol tablet 1,5 mg

n/a
n/a
n/a

PT. Indofarma
PT. Indofarma
PT. Indofarma

264. Haloperidol tablet 2 mg

Lodomer 2

PT. Mersifarma Tirmaku Mercusana

265. Haloperidol tts 2 mg/mL

LODOMER DROPS

PT. Mersifarma Tirmaku Mercusana

266.
267.
268.
269.
270.
271.

Halothane
Inviclot
Hyperhep B
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

272. Hidroksi Urea tablet/kaplet/kapsul 500 mg

HYDROXYUREA MEDAC

PT. Dipa Pharmalab

273. Hiosin butilbromid injeksi 20 mg/ml


274. Homatropin tetes mata 2%

n/a
Homatro 2%

PT. Otto Pharmaceuticals


PT. Cendo Industri Farmasi

Halotan Inhalasi
Heparin injeksi i.v./s.k. 5000 UI/ml
Hepatitis B imunoglobulin (human)
hidroklorotiazid tab 25 mg
Hidrokortison krim 1%
Hidrokortison krim 2,5 %

Dexa Medica
Pratapa Nirmala
Dipa Pharmalab
Kimia Farma
Marin Liza Farmasi
Kimia Farma

275. Human Insulin Intermediate Acting Inj 100 UI/ml

Humulin N Kwikpen

PT. Bayer Indonesia

276.

Human insulin intermediate acting inj 100 UI/ml,


Insulatard Vial
vial (Human Insulin (Intermediate-Acting))

PT. Ferron Par Pharmaceuticals

277.

Human insulin intermediate acting inj 100 UI/ml,


Humulin N Vial
vial (Insulin human Basal)

PT. Bayer Indonesia

Human insulin intermediate acting inj 100


278. UI/ml,penfill cartridge (Human Insulin
(Intermediate-Acting))

Insulatard Penfill

PT. Ferron Par Pharmaceuticals

279.

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Insulin human Basal)

Sansulin N

PT. Sanbe Farma

280.

Human insulin intermediate acting inj 100


UI/ml,penfill cartridge (Insulin human Basal)

Humulin N Cart

PT. Bayer Indonesia

281.

Human insulin intermediate acting inj 100iu/ml,


vial (Insulin Human Basal)

Insuman Basal vial 5ml,


100iu/ml

PT. Aventis Pharma

282.

Human insulin mix inj 100iu/ml, vial (Insulin


Human Comb 25)

Insuman Comb 25 vial


5ml, 100iu/ml

PT. Aventis Pharma

Humulin 30/70 Kwikpen

PT. Bayer Indonesia

283. Human Insulin Mix Insulin Inj 100 UI/ml

Human insulin mix insulin inj 100 UI/ml, penfill


284. cartridge (Human Insulin (Premix: 30% Soluble + Mixtard Penfill
70 % NPH Insulin))
285.

Human insulin mix insulin inj 100 UI/ml, penfill


cartridge (Insulin human Comb)

Humulin 30/70 Cart

Human insulin mix insulin inj 100 UI/ml, vial


286. (Human Insulin (Premix: 30% Soluble + 70 % NPH Mixtard Vial
Insulin))

PT. Ferron Par Pharmaceuticals

PT. Bayer Indonesia


PT. Ferron Par Pharmaceuticals

287.

Human insulin mix insulin inj 100 UI/ml, vial


(Insulin human Comb)

288. Human Insulin Short Acting Inj 100 UI/ml

Humulin 30/70 Vial

PT. Bayer Indonesia

Humulin R Kwikpen

PT. Bayer Indonesia

289.

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Human Insulin (Short Acting))

Actrapid Penfill

PT. Ferron Par Pharmaceuticals

290.

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Insulin human Rapd)

Humulin R Cart

PT. Bayer Indonesia

291.

Human insulin short acting inj 100 UI/ml, penfill


cartridge (Insulin human Rapd)

Sansulin R

PT. Sanbe Farma

292.

Human insulin short acting inj 100 UI/ml, vial


(Human Insulin (Short Acting))

Actrapid Vial

PT. Ferron Par Pharmaceuticals

293.

Human insulin short acting inj 100 UI/ml, vial


(Insulin human Rapd)

Humulin R Vial

PT. Bayer Indonesia

294.

Human insulin short acting inj 100iu/ml, vial


(Insulin Human Rapid)

Insuman Rapid vial 5ml,


100iu/ml

PT. Aventis Pharma

Tetagam

PT. Dexa Medica

n/a
n/a
n/a
n/a
Holoxan injeksi 1000

PT.
PT.
PT.
PT.
PT.

295.
296.
297.
298.
299.
300.

Human tetanus imunoglobulinn injeksi i.m. 250


UI
Ibuprofen sirup 100 mg/5 ml
Ibuprofen suspensi 200 mg/5 ml
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Ifosfamid serbuk injeksi 1000 mg/vial

Indofarma
Indofarma
Yarindo Farmatama
Novapharin
Mugi Laboratories

Imanitib Mesilat tablet salut selaput 100 mg


301. (Skema Risk Sharing sesuai Kepmenkes RI Nomor Glivec
HK.02.02/Menkes/223/2014)

PT. Novartis Indonesia

302. Imidapril tab 10 mg

PT. Tanabe Indonesia

Tanapress 10mg

303. Imidapril tab 5 mg


Tanapress 5mg
Iopamidol 200-300 mg Iodium/mL (300mg @ vial
304.
Iopamiro
100ml)

PT. Tanabe Indonesia


PT. Dipa Pharmalab

305.

Iopamidol 200-300 mg Iodium/mL (300mg @ vial


Iopamiro
30ml)

PT. Dipa Pharmalab

306.

Iopamidol 200-300 mg Iodium/mL (300mg @ vial


Iopamiro
50ml)

PT. Dipa Pharmalab

307.

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


Iopamiro
100ml)

PT. Dipa Pharmalab

308.

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


Iopamiro
30ml)

PT. Dipa Pharmalab

309.

Iopamidol 300-370 mg Iodium/mL (370mg @ vial


Iopamiro
50ml)

PT. Dipa Pharmalab

310.

Iopromide 300-370 mg Iodium/mL (300 mg / 100


Ultravist 300/100 mg
ml)

PT. Bayer Indonesia

311.

Iopromide 300-370 mg Iodium/mL (300 mg / 50


ml)

PT. Bayer Indonesia

312.

Iopromide 300-370 mg Iodium/mL (370 mg / 100


Ultravist 370/100 mg
ml)

PT. Bayer Indonesia

313.

Iopromide 300-370 mg Iodium/mL (370 mg / 50


ml)

Ultravist 370/50 mg

PT. Bayer Indonesia

Atrovent HFA

PT. Boehringer Ingelheim

314. Ipratropium bromida inhalasi 20 mcg/semprot


315. Ipratropium bromida nebulizer 0,025%
316.
317.
318.
319.
320.
321.

Irbesartan tab 150 mg


Irbesartan tab 300 mg
Irinotekan inf 20 mg/ml
Isofluran inhalasi
Isoniazid tablet/kapsul/kaplet 100 mg
Isoniazid tablet/kapsul/kaplet 300 mg

Ultravist 300/50 mg

Atrovent solution for


inhalation 0.025%
n/a
n/a
n/a
Terrell
n/a
n/a

PT. Boehringer Ingelheim


PT.
PT.
PT.
PT.
PT.
PT.

Indofarma
Indofarma
Sanbe Farma
Pratapa Nirmala
Phyto Kemo Agung Farma
Phyto Kemo Agung Farma

322. Isosorbid Dinitrat injeksi i.v 10 mg/10 ml

Farsorbid inj

PT. Pratapa Nirmala

323. Isosorbid Dinitrat tablet sublingual 5 mg

n/a

PT. Indofarma

324. Isosorbid dinitrat tablet/kaplet/kapsul 10 mg

Isonat

PT. Kimia Farma

325. Kalium aspartat tab 300 mg


326. Kalium Klorida tablet 600 mg

Kalipar
KSR

PT. Tempo Scan Pacific


PT. Merck Tbk

327. Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml

DBL Leucovorin

PT. Tempo Scan Pacific

328. Kalsium Glukonat injeksi i.v 10% (100 mg/ml)

Kalsium glukonat

PT. Ethica Industri Farmasi

329. Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg n/a

PT. Afifarma

330. Kalsium polistirena sulfonat ktg 5 g

KALQUEST

PT. Novell Pharmaeutical Laboratories

331. Kanamisin inj 1000 mg/ vial

n/a

PT. Hexpharm Jaya Laboratories

332.
333.
334.
335.
336.
337.

PT.
PT.
PT.
PT.
PT.
PT.

339. Karbamazepin tablet 200 mg

n/a
n/a
Xeloda
n/a
n/a
n/a
Tegretol Syrup
100mg/5ml, 120ml
n/a

340. Karbimazol tab 5 mg

Neo-Mercazole

PT. Nicholas Laboratories Indonesia

341. Karbogliserin tetes telinga 10%

Karbogliserin tetes
telinga 10%

PT. Lucas Djaja

342. Karboplatin 150 mg / 15 ml

DBL Carboplatin 150 mg PT. Tempo Scan Pacific

Kandesartan tab 16 mg
Kandesartan tab 8 mg
Kapesitabin tab 500 mg
Kaptopril tablet 50 mg
Kaptopril tablet scored 25 mg
Kaptopril tablet scored12,5 mg

338. Karbamazepin sirup 100 mg/5 ml

Dexa Medica
Dexa Medica
Boehringer Ingelheim
Indofarma
Errita Pharma
Indofarma

PT. Novartis Indonesia


PT. Indofarma

343. Karboplatin 450 mg / 45 ml

DBL Carboplatin 450 mg PT. Tempo Scan Pacific

344.
345.
346.
347.

V - BLOC
KTM
Ketamin Hameln
n/a

PT Kalbe Farma
PT. Guardian Pharmatama
PT. Combiphar
PT. Kimia Farma

348. Ketokonazol krim 2%

n/a

PT. Hexpharm Jaya Laboratories

349. Ketokonazol krim 2%

n/a

PT. Novell Pharmaeutical Laboratories

350.
351.
352.
353.

Zoloral SS
n/a
Protofen Supp
n/a

PT.
PT.
PT.
PT.

354. Klaritromisin tab 500 mg

ORIXAL

PT. Ifars Pharmaceutical Laboratories

355. Klindamisin kapsul/kaplet 150 mg


356. Klindamisin kapsul/kaplet 300 mg
357. Klobazam tab 10 mg

n/a
n/a
n/a

PT. Indofarma
PT. Indofarma
PT. Dexa Medica

358. Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)

Catapres Injeksi

PT. Boehringer Ingelheim

359. Klonidin tablet 0,15 mg

n/a

PT. Kimia Farma

360. Klopidogrel tab 75 mg

n/a

PT. Hexpharm Jaya Laboratories

361.
362.
363.
364.
365.

n/a
Bufacetin
n/a
Colsancetine Injeksi
n/a

PT.
PT.
PT.
PT.
PT.

n/a

PT. Rama Emerald Multi Sukses

Karvediol tablet/kaplet/kapsul 6,25 mg


Ketamin injeksi i.v. 100 mg/ml
Ketamin injeksi i.v. 50 mg/ml
Ketokonazol krim 2%

Ketokonazol scalp sol 2%


Ketokonazol tablet 200 mg
Ketoprofen supositoria 100 mg
Ketorolac injeksi 30 mg/ml

Kloramfenikol kapsul/kaplet 250 mg


Kloramfenikol salep kulit 2%
Kloramfenikol salep mata 1 %
Kloramfenikol serb inj 1000 mg/mL
Kloramfenikol suspensi 125 mg/ 5 ml
Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet
366.
4 mg

Ikapharmindo
Dexa Medica
Kimia Farma
Phapros, Tbk

Kimia Farma
Bufa Aneka
Kimia Farma
Sanbe Farma
Bernofarm

367. Klorpromazin injeksi i.m. 25 mg/ml (HCl)

n/a

PT. Phapros, Tbk

368. Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)

n/a

PT. Phapros, Tbk

369. Klorpromazin tablet salut 100 mg (HCl)

n/a

PT. Mersifarma Tirmaku Mercusana

370. Klorpromazin tablet salut 25 mg (HCl)

n/a

PT. Phapros, Tbk

371. Klozapin 100 mg

n/a

PT. Mersifarma Tirmaku Mercusana

372. Klozapin 25 mg

n/a

PT. Mersifarma Tirmaku Mercusana

373. Kodein tablet 10 mg


374. Kodein tablet 15 mg
375. Kodein tablet 20 mg

n/a
n/a
n/a

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma

376. Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg Ostriol

PT. Pratapa Nirmala

377. Kolkisin tablet/kaplet/kapsul 500 mcg


Recolfar
378. Koloid HES BM 130 000 lar inf 6%
Voluven
Kombinasi : Ipratropium bromida inhalasi 0,5 mg
379.
Combivent UDV
Salbutamol 2,5 mg

PT. Pratapa Nirmala


PT. Fresenius Kabi Combiphar
PT. Boehringer Ingelheim

380.

Kombinasi injeksi depot : Medroksi progesteron


asetat 25 mg Estradiol sipionat 5 mg

n/a

PT. Triyasa Nagamas Farma

381.

Kombinasi suspensi : Parafin + gliserin +


fenolftalein

Laxadine Emulsi 60 ml

PT. Galenium Pharmasia Laboratories

382.

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200


n/a
mg Asam folat 0,25 mg

PT. Kimia Farma

383.

Kombinasi tetes mata 2,5 mg/mL: Natrium klorida


Cendo Lyteers
8,664 mg; Kalium klorida 1,32 mg

PT. Cendo Industri Farmasi

384.

Kombinasi: Artemether 20 mg; Lumefantrin 120


mg

PT. Novartis Indonesia

Coartem

385.

Kombinasi: Levodopa 100 mg; Karbidopa 25 mg;


Stalevo
Entekapon 200 mg

PT. Novartis Indonesia

386.

Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50


Aluvia
mg

PT. Abbott Indonesia

387.

Kombinasi: Salmeterol 25 mcg; Flutikason


propionat 50 mcg

Seretide Inhaler 50 mcg

PT. Glaxo Wellcome Indonesia

388.

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 100 mcg

Seretide Diskus 100 mcg PT. Glaxo Wellcome Indonesia

389.

Kombinasi: Salmeterol 50 mcg; Flutikason


propionat 250 mcg

Seretide Diskus 250 mcg PT. Glaxo Wellcome Indonesia

390.

Kontrasepsi pil oral, kombinasi :* Levonorgestrel


150 mcg Etinilestradiol 30 mcg

n/a

PT. Kimia Farma

391.

Kotrimoksazol DOEN I (dewasa) kombinasi :


Sulfametoksazol 400 mg Trimetoprim 80 mg

n/a

PT. Promedrahardjo Farmasi Industri

392.

Kotrimoksazol Suspensi komb: Sulfametoksazol


200 mg + Trimetoprim 40 mg / 5 ml

n/a

PT. Sampharindo Perdana

393.
394.
395.
396.
397.
398.
399.
400.

Kuinin (Kina) tablet 200 mg


Kuinin injeksi i.v. 25% (sebagai 2 HCl)
Kuinin tablet 222 mg (H2SO4.7H2O)
Laktulosa sir 3,335 g/5 mL
Lamivudin tablet/kaplet/kapsu 100 mg
Lamivudine tablet 150 mg
Lansoprazol inj 30 mg/ml
Lanzoprazol kapsul/kaplet 30 mg

n/a
n/a
n/a
n/a
Heplav
n/a
Prosogan Inj.
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Tykerb

PT. SmithKline Beecham Phamaceuticals

401. Lapatinib tab 250 mg


402.

Larutan mengandung Asam Amino (Asam Amino


Kalbamin
10%)

Kimia Farma
Kimia Farma
Kimia Farma
Ikapharmindo
Kimia Farma
Kimia Farma
Takeda Indonesia
Indofarma

PT. Finusolprima Farma Internasional

Larutan mengandung Asam Amino (Asam Amino


403. 100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120
Amiparen
mEq)

PT Otsuka Indonesia

404.

Larutan mengandung Asam Amino (Asam Amino


Pan-amin G
27 g, Sorbitol 50 g, Cl- 52 mEq)

PT Otsuka Indonesia

405.

Larutan mengandung Asam Amino (Asam Amino


Aminofluid
30 g, Glukosa 7,3 % dan elektrolit) 1000 ml

PT Otsuka Indonesia

406.

Larutan mengandung Asam Amino (Asam Amino


Aminofluid
30 g, Glukosa 7,3 % dan elektrolit) 500 ml

PT Otsuka Indonesia

Larutan mengandung Asam Amino (Asam Amino


407. 5% dengan BCAA 45%, L-Ornithine L Aspartate
Aminofusin Hepar
8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50 gr/L)
408.

Larutan mengandung Asam Amino (Asam Amino


Aminosteril Infant 6%
6%, mengandung Taurine 0,24 gr/l)

PT Kalbe Farma

PT. Fresenius Kabi Combiphar

Larutan mengandung Asam Amino (Asam Amino


409. 7%, Komposisi: Asam Amino esensial: Asam
Nephrosteril
Amino non esensial = 60 : 40)

PT. Fresenius Kabi Combiphar

Larutan mengandung Asam Amino (Asam Amino


410. 72.05 g, Total N 11.53 g, AAE/AANE ratio 2.6,
Kidmin
Na+ 2 mEq, Asetat 46 mEq)

PT Otsuka Indonesia

411.

Larutan mengandung Asam Amino (Asam Amino


Aminoleban
79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

PT Otsuka Indonesia

412.

Larutan mengandung Asam Amino (Asam amino


Aminosteril N-Hepa
8%)

PT. Fresenius Kabi Combiphar

Larutan mengandung Asam Amino (Asam Amino


Eas Pfrimer
esensial 7%+Xylitol 10 g/L)

PT. Finusolprima Farma Internasional

Larutan mengandung Asam Amino (BCAA 25 gr/L,


414. L-Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L,
Comafusin Hepar
Malic Acid 7 gr/L, Piridoxin 0.12 gr/L)

PT. Finusolprima Farma Internasional

Larutan mengandung Asam Amino (Kombinasi


Asam aminno 50 g/L, Sorbitol 50 g/L, Xylitol 50
g/L, Asam Askorbat (Vit C) 0.4 g/L, Inositol 0.5
415.
g/L, Nikotinamida (Niasinamida) 0.06 g/L,
Piridoksin HCl (Vit B6) 0.04 g/L, Riboflavin
Natrium Fosfat 2.5 mg/L, elektrolit)

Aminofusin L600

PT Kalbe Farma

Larutan mengandung Asam Amino (Kombinasi


Asam amino 50 g/L, vitamin dan elektrolit)

Aminofusin Paed

PT Kalbe Farma

413.

416.

Larutan mengandung Asam Amino (Kombinasi


417. Asam Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan Kabiven 1440 ml
Elektrolit (Kalori = 1000 kkal, Akses peripheral))

PT. Fresenius Kabi Combiphar

Larutan mengandung Asam Amino (Kombinasi


Asam Amino: 45gr, Glukosa: 130gr, Lipid: 68gr
418.
dan Elektrolit (Kalori = 1400 kkal, Akses
peripheral))

Kabiven 1920 ml

PT. Fresenius Kabi Combiphar

Larutan mengandung Asam Amino (Kombinasi


419. Glukosa dan elektrolit 150 gr + Asam Amino 48
gr dgn akses sentral)

Combiflex Plus (790 kcal) PT. Phapros, Tbk

Larutan mengandung Asam Amino (Kombinasi


420. Glukosa dan elektrolit 80 gr + Asam Amino 40
gr )

Combiflex peri (480 kcal) PT. Phapros, Tbk

421. Larutan mengandung Elektrolit (Kalium Klorida)

Otsu - KCl 7,46%

PT Otsuka Indonesia

422.

Larutan mengandung Elektrolit (Larutan Ringer


Laktat)

Wida RL

PT. Widatra Bhakti

423.

Larutan mengandung Elektrolit (Na 130 mEq, Cl


109 mEq, Ca 3 mEq, Asetat 28 mEq)

Asering

PT Otsuka Indonesia

424.

Larutan mengandung Elektrolit (NaCl 1.125 gr,


Dekstrosa 18.75 gr)

KA EN 1B

PT Otsuka Indonesia

Larutan mengandung Elektrolit (Sodium Lactate


425. sol (50%) 113 gr/L, Potassium Chloride 0.3 gr/L,
Calcium Chloride 0.2 gr/L, elektrolit)

Totilac

PT Kalbe Farma

Larutan mengandung Elektrolit (Tiap 1000 ml


mengandung electrolit: Sodium 145 mmol/l,
426. Potassium 4.0 mmol/l, Calcium 2.5 mmol/l,
Magnesium 1.0 mmol/l, Chloride 118 mmol/l,
Acetate 24 mmol/l, Malate 5.0 mmol/l)

Ringerfundin 500 mL

PT. Phapros, Tbk

Triofusin 1000

PT Kalbe Farma

427.

Larutan mengandung Karbohidrat (Fructose 120


g, glucose 66 g, Xylitol 60 g/ L + elektrolit)

428.

Larutan mengandung Karbohidrat (Fructose 60 g,


Triofusin 500
glucose 33 g, Xylitol 30 g/ L)

PT Kalbe Farma

429.

Larutan mengandung Karbohidrat (Maltose 100


gr)

PT Otsuka Indonesia

Martos

Larutan mengandung Karbohidrat + Elektrolit


(25.00g maltose, 3.00 g sodium chloride, 0.15 g
430.
potassium chloride, 0.10 g calcium chloride
dihydrate dan 1.55 g sodium lactate)

Potacol inj

PT Otsuka Indonesia

Tutofusin OPS

PT Kalbe Farma

431.

Larutan mengandung Karbohidrat + Elektrolit


(Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L)

432.

Larutan mengandung Karbohidrat + Elektrolit


Clinimix N9G20E
(Asam amino 28 gr/L, Glukosa 100 gr/L, elektrolit)

PT Kalbe Farma

433.

Larutan mengandung Karbohidrat + Elektrolit


Clinimix N9G15E
(Asam amino 28 gr/L, Glukosa 75 gr/L, elektrolit)

PT Kalbe Farma

434.

Larutan mengandung Karbohidrat + Elektrolit


(Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)

Triofusin E1000

PT Kalbe Farma

Larutan mengandung Karbohidrat + Elektrolit


435. (Glukosa 25 g, NaCl 2,0 g, KCl 1,3 g, Natrium
Laktat 3,1 g, air untuk injeksi ad 1000 ml)

Wida HSD

PT. Widatra Bhakti

Larutan mengandung Karbohidrat + Elektrolit


436. (Glukosa 55 g ; Natrium Chloride 9 g, air untuk
injeksi ad 1000 ml)

Wida D5-NS

PT. Widatra Bhakti

437.

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 25,0 g; NaCl: 4,5 g)

WIDA 2A

PT. Widatra Bhakti

438.

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 2.25 g)

WIDA D5-1/4NS

PT. Widatra Bhakti

439.

Larutan mengandung Karbohidrat + Elektrolit


(Glukosa: 55.0 g; NaCl: 4.5 g)

WIDA D5-1/2NS

PT. Widatra Bhakti

Larutan mengandung Karbohidrat + Elektrolit


(Larutan nutrisi kombinasi infus per L: Na.
440.
100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl
90mEQ, Asetat 38mEQ, Sorbitol 50g)

Futrolit

PT. Sanbe Farma

441.

Larutan mengandung Karbohidrat + Elektrolit


(Larutan Ringer & Glukosa 5%)

Wida RD

PT. Widatra Bhakti

442.

Larutan mengandung Karbohidrat + Elektrolit


(NaCl 1.75 g, KCL 1.5g, Glukosa 100 gr)

KA ENMG 3

PT Otsuka Indonesia

Larutan mengandung Karbohidrat + Elektrolit


443. (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr,
Dekstrosa 27 gr)

KA EN 3B

PT Otsuka Indonesia

Larutan mengandung Karbohidrat + Elektrolit


444. (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr
Dekstrosa 27 gr)

KA EN 3A

PT Otsuka Indonesia

Lipofundin MCT/LCT 1%
100

PT. Phapros, Tbk

Intralipid

PT. Fresenius Kabi Combiphar

Lipofundin MCT/LCT 1%
250

PT. Phapros, Tbk

Larutan mengandung Lipid (Kombinasi Glukosa


448. dan elektrolit 180 gr + Asam Amino 71.8 gr +
Lipid 50 gr dgn akses sentral)

Nutriflex Lipid Special


1250

PT. Phapros, Tbk

Larutan mengandung Lipid (Kombinasi Glukosa


449. dan elektrolit 80 gr + Asam Amino 40 gr + Lipid
MCT/LCT 50 gr)

Nutriflex Lipid Peri 1250

PT. Phapros, Tbk

445.

Larutan mengandung Lipid ( Infus Lipid Emulsi


MCT/LCT 20% 100 ml)

446. Larutan mengandung Lipid (Emulsi lemak 20%)


447.

Larutan mengandung Lipid (Infus Lipid Emulsi


MCT/LCT 20% 250 ml)

Larutan mengandung Lipid (Kombinasi Glukosa


450. dan elektrolit 90 gr + Asam Amino 35.9 gr +
Lipid 25 gr dgn akses sentral)

Nutriflex Lipid Special


625

PT. Phapros, Tbk

451. Latanoprost tetes mata 0,01%


452. Latanoprost tts mata 0,005% btl@2,5ml

Cendo Glaopen
Xalatan 0,005%

PT. Cendo Industri Farmasi


PT. Pfizer Indonesia

453. Lenograstim inj 263 mcg/mL

Granocyte 34 1vl HSA


Free

PT. Aventis Pharma

454.
455.
456.
457.
458.

FEMARA
Tapros 1.88mg
Tapros 3M
TAPROS 3.75 MG
n/a

PT.
PT.
PT.
PT.
PT.

459. Levofloksasin tablet 500 mg

n/a

PT. Promedrahardjo Farmasi Industri

460. Levofloksasin tts mata 0,5%

Optiflox

PT. Erela

461. Levotiroksin tablet/kaplet/kapsul 100 mcg

Euthyrox 100

PT. Merck Tbk

462. Levotiroksin tablet/kaplet/kapsul 50 mcg

Euthyrox 50

PT. Merck Tbk

Letrozol tablet/kaplet/kapsul 2,5 mg


Leuprorelin asetat inj depot 1,88 mg
Leuprorelin asetat inj depot 11,25 mg
Leuprorelin asetat inj depot 3,75 mg
Levofloksasin inf 5 mg/mL

463. Lidokain injeksi 2% (HCL)


n/a
PT.
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 464.
n/a
PT.
2ml
465. Lidokain jeli 2%
Xylocaine Jelly 2%
PT.
Xylocaine Spray 10 mg /
466. Lidokain semprot 10%
PT.
dosis

Novartis Indonesia
Takeda Indonesia
Takeda Indonesia
Takeda Indonesia
Infion Pharmaceutical

Bernofarm
Indofarma
AstraZeneca indonesia
AstraZeneca indonesia

467. Lisinopril tablet 10 mg

n/a

PT. Novell Pharmaeutical Laboratories

468. Lisinopril tablet 5 mg

n/a

PT. Novell Pharmaeutical Laboratories

469. Litium karbonat tablet 200 mg

Frimania 200

PT. Mersifarma Tirmaku Mercusana

470. Litium karbonat tablet 400 mg

Frimania 400

PT. Mersifarma Tirmaku Mercusana

471. Loperamid tablet 2 mg

n/a

PT. Ifars Pharmaceutical Laboratories

472. Loratadin tablet 10 mg

n/a

PT. Promedrahardjo Farmasi Industri

473. Lorazepam tablet 0,5 mg

MERLOPAM 0,5 mg

PT. Mersifarma Tirmaku Mercusana

474. Lorazepam tablet 2 mg

Merlopam 2

PT. Mersifarma Tirmaku Mercusana

475. Low molecule feri sucrose inj amp 100 mg/5 mL

DIALIFER

PT. Novell Pharmaeutical Laboratories

476. Magnesium sulfat injeksi 20%

OTSU-MgSO4 20

PT Otsuka Indonesia

477. Magnesium sulfat injeksi 40%

OTSU-MgSO4 40

PT Otsuka Indonesia

478. Manitol

n/a

PT. Finusolprima Farma Internasional

479. Maprotilin HCl tab 25 mg

Ludios

PT. Soho Industri Pharmasi

480. Maprotilin HCl tab 50 mg

Sandepril 50

PT. Mersifarma Tirmaku Mercusana

481.

MDP (methylene diphosphonate) 1 mg methylene


Bonescan KaeF
diphosphonic acid/mL

482. Mebendazol tablet 500 mg


483.

Vermox 500

Medroksi Progesteron Asetat tablet/kaplet/kapsul


Provera 100mg
100 mg

PT. Kimia Farma


PT. Taisho Pharmaceutical Indonesia Tbk
PT. Pfizer Indonesia

484. Melfalan tablet 2 mg

Alkeran

PT. Glaxo Wellcome Indonesia

485. Meropenem inj 1 g

n/a

PT. Bernofarm

486.
487.
488.
489.

n/a
Uromitexan injeksi.
n/a
n/a

PT.
PT.
PT.
PT.

490. Metformin HCl tablet 850 mg

n/a

PT. Bernofarm

491. Metildopa tablet salut 250 mg

DOPAMET

PT. Actavis Indonesia

n/a

PT. Kimia Farma

493. Metilergometrin Maleat injeksi 0,200 mg-1 ml

n/a

PT. Ethica Industri Farmasi

494. Metilfenidat kapsul LA 20 mg

Ritalin LA

PT. Novartis Indonesia

495. Metilfenidat tablet SR 10 mg

RITALIN

PT. Novartis Indonesia

496. Metilprednisolon inj 125 mg/2 mL

n/a

PT. Dexa Medica

497.
498.
499.
500.
501.
502.
503.
504.

n/a
n/a
n/a
n/a
GAVISTAL drops
LEXAPRAM SIRUP
n/a
Methotrexate Kalbe

PT. Bernofarm
PT. Mahakam Beta Farma
PT. Natura Laboratoria Prima
PT. Dexa Medica
PT. Meprofarm
PT. Molex Ayus
PT. Kimia Farma
PT Kalbe Farma

METHOTREXATE EBEWE

PT. Sandoz Indonesia

492.

Meropenem serb inj 500 mg/vial


Mesna inj 100 mg/mL
Metadon sir 50mg/5ml
Metformin HCl tablet 500 mg

Metilergometrin Maleat (Metilergometrin) tablet


salut 0,125 mg

Metilprednisolon inj 500 mg/8 mL


Metilprednisolon tablet 16 mg
Metilprednisolon tablet 4 mg
Metilprednisolon tablet 8 mg
Metoklopramid drop botol 10 mL
Metoklopramide sirup 5 mg/ 5 ml
Metoklopramide tablet 5 mg
Metotreksat serb inj 50 mg/2 mL

505. Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg


506. Metotreksat tablet/kaplet/kapsul 2,5 mg
507. Metronidazol infus 500 mg/100 ml
508. Metronidazol ovula 500 mg

METHOTREXATE EBEWE
2.5 MG
n/a
Vagizol

Bernofarm
Mugi Laboratories
Kimia Farma
Bernofarm

PT. Sandoz Indonesia


PT. Natura Laboratoria Prima
PT. Kimia Farma

509. Metronidazol sirup 125 mg/5 Ml

Farizol

PT. Ifars Pharmaceutical Laboratories

510. Metronidazol supositoria 500 mg

Flagyl

PT. Aventis Pharma

511. Metronidazol tablet 250 mg


512. Metronidazol tablet 500 mg

n/a
n/a

PT. Phyto Kemo Agung Farma


PT. Phyto Kemo Agung Farma

513. MIBG (meta-iodobenzylguanidine)

Endoneuroscan KaeF 1

PT. Kimia Farma

Cardioscan KaeF

PT. Kimia Farma

Dormicum
Mycamine
Cellcept
n/a

PT.
PT.
PT.
PT.

519. Modified fluid gelatine BM 30 000 lar inf 4%

Gelofusine 4%

PT. Phapros, Tbk

520.
521.
522.
523.
524.
525.
526.
527.

Vigamox
n/a
n/a
MST Continus 10 mg
MST Continus 15 mg
n/a
N-ace cairan inhalasi
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

528. Nadroparin inj 9500 Axa/mL syringe 0,3 mL

Fraxiparine 0.3 ml

PT. Glaxo Wellcome Indonesia

529. Nadroparin inj 9500 Axa/mL, syringe 0,4 mL

Fraxiparine 0.4 ml

PT. Glaxo Wellcome Indonesia

530. Nadroparin inj 9500 Axa/mL, syringe 0,6 mL

Fraxiparine 0.6 ml

PT. Glaxo Wellcome Indonesia

531. Nalokson injeksi 0,4 mg/ml


532. Natrium Bikarbonat injeksi i.v 8,4%

Nokoba
Meylon

PT. Pratapa Nirmala


PT Otsuka Indonesia

514.
515.
516.
517.
518.

MIBI (metoxy iso butyl iso nitril) 5-mL reaction


vial
Midazolam injeksi i.v. 5 mg/ml
Mikafungin Na serb inj 50 mg
Mikofenolat Mofetil 500 mg
Mikonazol krim/salep 2 % (Nitrat)

Moksifloksasin tetes mata 0,5%


Mometason furoat krim 0,1%
Morfin HCL inj 10 mg/ml
Morfin HCL tablet SR 10 mg
Morfin HCL tablet SR 15 mg
Morfin tablet 10 mg
N-asetil sistein inj. nebules 100 mg
Nacl 0,9%

Boehringer Ingelheim
Combiphar
Boehringer Ingelheim
Kimia Farma

Tempo Scan Pacific


Guardian Pharmatama
Kimia Farma
Mahakam Beta Farma
Mahakam Beta Farma
Kimia Farma
Pratapa Nirmala
Widatra Bhakti

533.
534.
535.
536.

Natrium
Natrium
Natrium
Natrium

Diklofenak tablet 50 mg
Diklofenak tablet 25 mg
fosfat lar oral 45 mL
fusidat salep 20 mg/g

n/a
n/a
Fleet Phosphosoda
Fucilex Ointment

PT.
PT.
PT.
PT.

537. Neostigmin injeksi 0,5 mg/ml

Neostigmin Hameln inj

PT. Pharma Health Care

538. Nevirapin tablet 200 mg


539. Nifedipin tab 20 mg, slow release; oros
540. Nifedipin tab 30 mg, oros

n/a
Adalat Oros 20 mg
Adalat Oros 30 mg

PT. Kimia Farma


PT. Bayer Indonesia
PT. Bayer Indonesia

541. Nifedipin tablet/kapsul 10 mg

n/a

PT. Dexa Medica

542. Nikardipin inj 10 mg/vial

n/a

PT. Pratapa Nirmala

Nilotinib kapsul 200 mg (Skema Risk Sharing


543. sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)

Tasigna

PT. Novartis Indonesia

544.
545.
546.
547.
548.
549.

n/a
n/a
Levosol
Primolut N
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

550. Obat Antituberkulosis FDC Kategori Anak

n/a

PT. Phapros, Tbk

551. Obat Antituberkulosis FDC Sisipan

n/a

PT. Indofarma

552. Obat Antituberkulosis Kategori 1 dewasa

n/a

PT. Indofarma

Nistatin tablet salut 500.000 IU/ g


Nistatin vaginal tablet 100.000 IU/ g
Norepinefrin injeksi 1 mg/ml
Noretisteron tablet 5 mg
Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori 2

Phapros, Tbk
Phapros, Tbk
Combiphar
Molex Ayus

Phapros, Tbk
Phapros, Tbk
Kimia Farma
Bayer Indonesia
Kimia Farma
Indofarma

553. Obat Antituberkulosis Kategori anak

n/a

PT. Indofarma

554. Octreotide Acetate0,05 - 6 mg/mL


555. Ofloksasin tets telinga 3%

Octide
Tarivid Otic Solution

PT. Pratapa Nirmala


PT Kalbe Farma

556. Ofloxacin tablet 200 mg

n/a

PT. Novell Pharmaeutical Laboratories

557. Ofloxacin tablet 400 mg

n/a

PT. Novell Pharmaeutical Laboratories

558.
559.
560.
561.
562.

ELOXATIN
ELOXATIN
Ilaidin Drops
Iliadin Spray
Oxytocin "S"

PT.
PT.
PT.
PT.
PT.

563. Oktreotid 10 mg

Sandostatin LAR

PT. Novartis Indonesia

564.
565.
566.
567.
568.
569.
570.
571.
572.

Zyprexa IM
Olandoz 5
Olandoz 10
Patanol
n/a
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Oksaliplatin serbuk injeksi 100 mg / vial


Oksaliplatin serbuk injeksi 50 mg / vial
Oksimetazolin tetes hidung 0,025%
Oksimetazolin tetes hidung 0,050%
Oksitosin injeksi 10 IU/ml

Olanzapin inj 10 mg/vial


Olanzapin kapl salut 5 mg
Olanzapin tab 10 mg
Olopatadin tts mata 0,1%
Omeprazol injeksi 40 mg/ 10 ml
Omeprazol kapsul/kaplet 20 mg
ondansetron inj 4 mg/ 2 mL
Ondansetron tab 4 mg
Ondansetron tablet 8 mg

Aventis Pharma
Aventis Pharma
Merck Tbk
Merck Tbk
Ethica Industri Farmasi

Bayer Indonesia
Sandoz Indonesia
Sandoz Indonesia
Tempo Scan Pacific
Natura Laboratoria Prima
Novapharin
Indofarma
Yarindo Farmatama
Yarindo Farmatama

Paket CAPD Awal (Komposisi: 1 unit Transfer Set,


573. 2 unit Ultaclam, 1 unit Tenckoff Catheter,
n/a
Titanium Adaptor)

PT Kalbe Farma

574. Paket CAPD Pergantian Transfer Set per 6 bulan

PT Kalbe Farma

n/a

Larutan Dialisa 1.5%:


Dianeal Low Calcium with
1,5% Dextrose; Larutan
Paket CAPD Rutin 120 ( 4x ganti cairan perhari
Dialisa 2.5%: Dianeal
575. dengan komposisi Larutan Dialisa 1.5 %, Larutan Low Calcium with 2,5% PT Kalbe Farma
Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)
Dextrose; Larutan Dialisa
4.25%: Dianeal Low
Calcium with 4.25%
Dextrose
576. Paklitaksel inj 100 mg/vial
577. Paklitaksel inj 300 mg/vial
578. Paklitaksel injeksi 30 mg/vial
Parasetamol drop 100 mg/ml btl @15ml
579.
(60mg/0,6ml)
580. Parasetamol sirup 120 mg / 5 ml

SINDAXEL 100 MG/16,67


PT. Actavis Indonesia
ML
SINDAXEL 260mg/43.33
ML
SINDAXEL 30 MG/5 ML

PT. Actavis Indonesia


PT. Actavis Indonesia

n/a

PT. Indofarma

n/a

PT. Afifarma

581. Parasetamol tablet 500 mg

n/a

PT. Promedrahardjo Farmasi Industri

582. Parasetamol tetes 60 mg/0,6 mL

NAPREX DROPS

PT. Darya Varia

583. Pegylated interferon alfa-2a inj 135 mcg/0,5 ml

Pegasys

PT. Boehringer Ingelheim

584. Pegylated interferon alfa-2a inj 180 mcg/0,5 ml

Pegasys

PT. Boehringer Ingelheim

585. Pegylated Interferon alfa-2b serb inj 100 mcg

Pegintron Vial 100 Mcg

PT. Merck Sharp Dohme Pharma Tbk

586. Pegylated Interferon alfa-2b serb inj 120 mcg

Pegintron Pen 120 Mcg

PT. Merck Sharp Dohme Pharma Tbk

587. Pegylated Interferon alfa-2b serb inj 50 mcg

Pegintron

PT. Merck Sharp Dohme Pharma Tbk

588. Pegylated Interferon alfa-2b serb inj 80 mcg

Pegintron Vial 80 Mcg

PT. Merck Sharp Dohme Pharma Tbk

589. Perak sulfadiazin krim 1%

BURNAZIN 35 GR

PT. Darya Varia

590. Perindoprilarginin tab 5 mg

Bioprexum 5 mg

PT. Pradja Pharin

591. Permetrin krim 5%

Scabimite Cream 10

PT. Galenium Pharmasia Laboratories

592. Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)

n/a

PT. Kimia Farma

593.
594.
595.
596.
597.

DECULIN 15 MG
DECULIN 30 MG
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.

n/a

PT. Kimia Farma

n/a
Aptil
n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.
PT.
PT.

598.
599.
600.
601.
602.
603.
604.

Pioglitazon tab 15 mg
Pioglitazon tab 30 mg
Pirantel suspensi 125 mg/5 ml
Pirantel tablet score (base) 125 mg
Pirazinamid tablet 500 mg
Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10
mg (HCl)
Piridoksin (vitamin B6) inj 100 mg/mL
Polikresulen cairan
Povidon Iodida larutan 10% 1000 ml
Povidon Iodida larutan 10% 30 ml
Povidon Iodida larutan 10% 300 ml
Povidon Iodida larutan 10% 60 ml

Dexa Medica
Dexa Medica
Holi Pharma
Holi Pharma
Holi Pharma

Ikapharmindo
Pratapa Nirmala
Afifarma
Afifarma
Afifarma
Kimia Farma

605. Pramipeksol tab ER 0,375 mg

Sifrol ER 0,375mg

PT. Boehringer Ingelheim

606. Pramipeksol tab ER 0,750 mg

Sifrol ER 0,750mg

PT. Boehringer Ingelheim

607. Pravastatin tablet 20 mg

n/a

PT. Novell Pharmaeutical Laboratories

608. Prednison tablet/kapsul/kaplet 5 mg


609. Primakuin tablet 15 mg

n/a
n/a

PT. Holi Pharma


PT. Phapros, Tbk

610. Probenesid tablet/kapsul/kaplet 500 mg

Probenid

PT. Dexa Medica

611. Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial n/a

PT. Bernofarm

612. Propanolol tablet 10 mg ( HCl )

n/a

PT. Dexa Medica

613. Propiltiourasil tablet/kapsul/kaplet 100 mg

n/a

PT. Indofarma

614.
615.
616.
617.
618.

PT.
PT.
PT.
PT.
PT.

620. Ramipril tablet 5 mg

Fresofol 1% MCT/LCT
n/a
Seroquel XR 200 mg
Seroquel XR 300 mg
Seroquel XR 400 mg
Cardace 2.5mg 6x10 s
tablet
n/a

621. Ramipril tablet/kaplet/kapsul 10 mg

n/a

PT. Novell Pharmaeutical Laboratories

622. Ranitidin injeksi 25 mg/ml

n/a

PT. Natura Laboratoria Prima

623. Ranitidin tablet 150 mg

n/a

PT. Dexa Medica

624. Retinol (Vitamin A) 100.000 IU

n/a

PT. Kimia Farma

625. Retinol (Vitamin A) 200.000 IU kapsul lunak

n/a

PT. Kimia Farma

626. Rifampisin tablet/kapsul/kaplet 300 mg

n/a

PT. Indofarma

Propofol injeksi i.v., bolus 1%


Propranolol tablet 40 mg (HCl)
Quetiapin tab 200 mg
Quetiapin tab 300 mg
Quetiapin tab 400 mg

619. Ramipril tablet 2,5 mg

Fresenius Kabi Combiphar


Holi Pharma
AstraZeneca indonesia
AstraZeneca indonesia
AstraZeneca indonesia

PT. Pharma Health Care


PT. Dexa Medica

627.
628.
629.
630.

Rifampisin tablet/kapsul/kaplet 450 mg


Rifampisin tablet/kapsul/kaplet 600 mg
Ringer Laktat larutan infus
Risperidon tablet 1 mg

n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.

Indofarma
Indofarma
Widatra Bhakti
Dexa Medica

631. Risperidon tablet 2 mg

n/a

PT. Mersifarma Tirmaku Mercusana

632. Risperidon tablet 3 mg

n/a

PT. Dexa Medica

Rituksimab injeksi 10 mg/ml (Skema Risk Sharing


633. sesuai Kepmenkes RI Nomor
Mabthera
HK.02.02/Menkes/223/2014)

PT. Boehringer Ingelheim

634. Rivaroksaban tab 10 mg


635. Rivaroksaban tab 15 mg
636. Rivaroksaban tab 20 mg

Xarelto 10 mg
Xarelto 15 mg
Xarelto 20 mg

PT. Bayer Indonesia


PT. Bayer Indonesia
PT. Bayer Indonesia

637. Rokuronium injeksi i.v. 50 mg/5ml

Esmeron

PT. Merck Sharp Dohme Pharma Tbk

638. Ropinirol Tablet Salut 2 mg

Requip PD 24 Hour 2 mg PT. Glaxo Wellcome Indonesia

639. Ropinirol Tablet Salut 4 mg

Requip PD 24 Hour 4 mg PT. Glaxo Wellcome Indonesia

640. Ropinirol Tablet Salut 8 mg

Requip PD 24 Hour 8 mg PT. Glaxo Wellcome Indonesia

641. Salbutamol cairan ih 0,1%

Ventolin Nebules

PT. Glaxo Wellcome Indonesia

642. Salbutamol inhalasi/aerosol 100 mcg/dosis

Ventolin Inhaler

PT. Glaxo Wellcome Indonesia

643. Salbutamol serb inh 200 mcg/kaps

Ventolin Rotacaps

PT. Glaxo Wellcome Indonesia

644. Salbutamol serb inh 200 mcg/kaps + rotahaler

Ventolin Rotahaler

PT. Glaxo Wellcome Indonesia

645. Salbutamol tablet 2 mg (sebagai Sulfat)


646. Salbutamol tablet 4 mg (sebagai Sulfat)

n/a
n/a

PT. Yarindo Farmatama


PT. Kimia Farma

Salep 2-4 , Kombinasi : Asam Salisilat 2% +


Belerang endap 4%
648. Sefadroksil sirup kering 125 mg/5ml
647.

n/a

PT. Marin Liza Farmasi

n/a

PT. Holi Pharma

649. Sefadroksil kapsul/kaplet 250 mg

n/a

PT. Hexpharm Jaya Laboratories

650. Sefadroksil kapsul/kaplet 500 mg


651. Sefadroksil sir kering 250 mg/5 mL

n/a
n/a

PT. Bernofarm
PT. Holi Pharma

652. Sefaleksin kapsul/kaplet 500 mg

n/a

PT. Ifars Pharmaceutical Laboratories

653. Sefazolin serbuk injeksi 1 g/vial


654. Sefepim inj 1 g
655. Sefiksim kapsul/kaplet 100 mg

n/a
n/a
n/a

PT. Dexa Medica


PT. Yarindo Farmatama
PT. Bernofarm

656. Sefiksim sirup kering 100 mg/ 5 ml

n/a

PT. Ifars Pharmaceutical Laboratories

657. Sefoperazon inj 1 g

n/a

PT. Holi Pharma

658. Sefotaksim injeksi 0,5 g

n/a

PT. Hexpharm Jaya Laboratories

659. Sefotaksim injeksi 1 g


660. Seftazidim injeksi 1 g
661. Seftriakson serbuk injeksi 1 g/vial

n/a
n/a
n/a

PT. Natura Laboratoria Prima


PT. Dexa Medica
PT. Natura Laboratoria Prima

662. Sefuroksim tablet/kapsul/kaplet 250 mg

Zinnat 250 mg

PT. Glaxo Wellcome Indonesia

663. Sefuroksim serbuk injeksi 750 mg/vial

Sharox inj

PT. Pratapa Nirmala

664. Sefuroksim tab 500 mg

Zinnat 500

PT. Glaxo Wellcome Indonesia

665. Sertralin tab 50 mg


666. Setirizin sirup 5 mg/5 ml

Fatral
n/a

PT. Pratapa Nirmala


PT. Indofarma

667. Setirizin tablet 10 mg

n/a

PT. Pertiwi Agung

Setuksimab infus 5 mg/ml (Skema Risk Sharing


668. sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)

Erbitux

PT. Merck Tbk

669. Sevofluran ih, btl

Sojourn

PT. Pratapa Nirmala

670. Sianokobalamin (vitamin B12) injeksi 500 mcg

n/a

PT. Lucas Djaja

n/a

PT. Afifarma

672. Siklofosfamid serbuk injeksi i.v. 1000 mg

Cyclovid 1000 mg

PT. Novell Pharmaeutical Laboratories

673. Siklofosfamid serbuk injeksi i.v. 200 mg

Cyclovid 200 mg

PT. Novell Pharmaeutical Laboratories

674. Siklofosfamid serbuk injeksi i.v. 500 mg

CYCLOVID 500

PT. Novell Pharmaeutical Laboratories

675. Siklosporin kaps 100 mg

Sandimmun Neoral
100mg Kap

PT. Novartis Indonesia

671.

Sianokobalamin (vitamin B12)


tablet/kapsul/kaplet 50 mcg

677. Silostazol tablet/kapsul/kaplet 100 mg

Sandimmun Neoral 25mg


PT. Novartis Indonesia
Kap
Citaz
PT. Dankos Farma

678. Simvastatin scored tablet 10 mg

n/a

PT. Natura Laboratoria Prima

679. Simvastatin tablet 20 mg

n/a

PT. Natura Laboratoria Prima

680. Siprofloksasin infus 2%

n/a

PT. Dexa Medica

681. Siprofloksasin tablet 500 mg (sebagai HCl)

n/a

PT. Bernofarm

682. Sisplatin serbuk injeksi 10 mg


683. Sisplatin serbuk injeksi 50 mg

Cisplatin
Cisplatin

PT Kalbe Farma
PT Kalbe Farma

684. Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml

DBL Cytarabun

PT. Tempo Scan Pacific

685.
686.
687.
688.
689.

n/a
n/a
n/a
n/a
Streptase

PT.
PT.
PT.
PT.
PT.

676. Siklosporin kapsul lunak 25 mg

Spiramisin tablet 500 mg


Spironolakton tablet 100 mg
Spironolakton tablet 25 mg
Stavudin tablet/kapsul/kaplet 30 mg
Streptokinase injeksi 1,5 juta UI/vial

Indofarma
Dexa Medica
Dexa Medica
Kimia Farma
Dexa Medica

690. Streptomisin serbuk injeksi i.v 1000 mg/ml

n/a

PT. Phapros, Tbk

692. Sukralfat susp 500 mg/5 mL


693. Sukralfat tab 500 mg

Sufentanyl Injeksi
iv.Epidural 5 mcg / ml
Ulsafate
ULSIDEX

694. Takrolimus kaps 0.5 mg

Prograf

PT. Combiphar

695. Takrolimus kaps 1 mg

Prograf

PT. Combiphar

696. Tamoksifen tablet 20 mg

TAMOXIFEN EBEWE

PT. Sandoz Indonesia

697. Tamsulosin tab 0,2 mg

Harnal D

PT. Combiphar

698. Tamsulosin tab 0,2 mg


699. Tamsulosin tab SR 0,4 mg
700. Telbivudin tab 600 mg

Harnal D
Harnal OCAS
Sebivo 600 mg Tab

PT. Combiphar
PT. Combiphar
PT. Novartis Indonesia

701. Telmisartan tab 40mg

Micardis 40mg

PT. Boehringer Ingelheim

702. Telmisartan tab 80 mg

Micardis 80mg

PT. Boehringer Ingelheim

703. Temozolamid kaps 100 mg

Temodal

PT. Merck Sharp Dohme Pharma Tbk

704. Temozolamid kaps 20 mg

Temodal

PT. Merck Sharp Dohme Pharma Tbk

705.
706.
707.
708.
709.
710.
711.

n/a
PT. Kimia Farma
Rethapyl
PT. Kimia Farma
Bronsolvan
PT Kalbe Farma
HYTROZ 1MG
PT. Dexa Medica
HYTROZ 3MG
PT. Dexa Medica
Bricasma Respules
PT. AstraZeneca indonesia
Molasma Tablet
PT. Molex Ayus
Bricasma Turbuhaler 0,5
PT. AstraZeneca indonesia
mg

691. Sufentanil injeksi iv, epidural 5 mcg/ml

Tenofovir tab 300 mg


Teofilin tab SR 300 mg
Teofilin tablet 150 mg
Terazosin HCl tablet/kapsul/kaplet 1 mg
Terazosin HCl tablet/kapsul/kaplet 2 mg
Terbutalin cairan ih 2,5 mg/mL
Terbutalin tablet 2,5 mg

712. Terbutalin turbu (serbuk ih) 0,50 mg

PT. Kimia Farma


PT. Combiphar
PT. Dexa Medica

713. Testoteron soft capsul 40 mg

Andriol Testocaps

PT. Merck Sharp Dohme Pharma Tbk

714.
715.
716.
717.
718.
719.
720.

Pantocain 0.5%
n/a
n/a
Thyrozol 10
Thyrozol 5
Isotic Adretor 0,25%
Isotic Adretor 0,5%
Spiriva powder for
inhalation 18mcg 30s

PT.
PT.
PT.
PT.
PT.
PT.
PT.

Tetrakain HCl tetes mata 0,5%


Tetrasiklin kapsul/kaplet 250 mg
Tetrasiklin tablet/kapsul/kaplet 500 mg
Tiamazol tab 10 mg
Tiamazol tab 5 mg
Timolol tetes mata 0,25%
Timolol tetes mata 0,5%

721. Tiotropium 18 mcg refill

Cendo Industri Farmasi


Holi Pharma
Afifarma
Merck Tbk
Merck Tbk
Pratapa Nirmala
Pratapa Nirmala

PT. Boehringer Ingelheim

722. Tiotropium kaps 18 mcg + handihaller

Spiriva 10s + Handihaler PT. Boehringer Ingelheim

723. Tramadol injeksi 50 mg/ml

n/a

PT. Natura Laboratoria Prima

Trastuzumab serbuk injeksi 440 mg/vial (Skema


724. Risk Sharing sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)

Herceptin

PT. Boehringer Ingelheim

725. Travoprost tetes mata 0,004%

Travatan

PT. Tempo Scan Pacific

726. Triamsinolon asetonid nasal spray 55 mcg/puff

Nasacort AQ

PT. Aventis Pharma

727. Triamsinolon inj 10 mg/mL


728. Trifluoperazin tablet 5 mg
729. Tropikamid tetes mata 1%

Flamicort
n/a
Cendo Mydriatil 1%

PT. Dexa Medica


PT. Darya Varia
PT. Cendo Industri Farmasi

730. Urea krim 10%

Soft U Derm

PT. Galenium Pharmasia Laboratories

Vaksin BCG (Harga pengadaan di Kementerian


731. Kesehatan Pusat franco ibukota provinsi (DIPA
Kemkes))

BCG Vaccine SSI

PT. Bio Farma

Vaksin BCG (Harga pengadaan di Kementerian


732. Kesehatan Pusat franco ibukota provinsi (DIPA
Kemkes))

BCG Vaccine (GS)

PT. Bio Farma

Vaksin BCG (Harga pengadaan di Kementerian


733. Kesehatan Pusat franco ibukota provinsi (DIPA
Kemkes))

BCG Vaccine (SII)

PT. Bio Farma

734.

Vaksin BCG (Harga pengadaan di Provinsi franco


ibukota Provinsi (Non DIPA Kemkes))

BCG Vaccine (GS)

PT. Bio Farma

735.

Vaksin BCG (Harga pengadaan di Provinsi franco


ibukota Provinsi (Non DIPA Kemkes))

BCG Vaccine (SII)

PT. Bio Farma

736.

Vaksin BCG (Harga pengadaan di Provinsi franco


ibukota Provinsi (Non DIPA Kemkes))

BCG Vaccine SSI

PT. Bio Farma

Vaksin BCG Kering (BF) (Harga pengadaan di


737. Kementerian Kesehatan Pusat franco ibukota
provinsi (DIPA Kemkes))

n/a

PT. Bio Farma

Vaksin BCG Kering (BF) (Harga pengadaan di


738. Provinsi franco ibukota Provinsi (Non DIPA
Kemkes))

n/a

PT. Bio Farma

Vaksin Campak Kering (Harga pengadaan di


739. Kementerian Kesehatan Pusat franco ibukota
provinsi (DIPA Kemkes))

n/a

PT. Bio Farma

Vaksin Campak Kering (Harga pengadaan di


740. Provinsi franco ibukota Provinsi (Non DIPA
Kemkes))

n/a

PT. Bio Farma

Vaksin DTP-HB-Hib (Harga pengadaan di


741. Kementerian Kesehatan Pusat franco ibukota
provinsi (DIPA Kemkes))

Pentabio

PT. Bio Farma

Vaksin DTP-HB-Hib (Harga pengadaan di Provinsi


Pentabio
franco ibukota Provinsi (Non DIPA Kemkes))

PT. Bio Farma

742.

Vaksin Hepatitis B Rekombinan (Harga


743. pengadaan di Kementerian Kesehatan Pusat
franco ibukota provinsi (DIPA Kemkes))

n/a

PT. Bio Farma

Vaksin Hepatitis B Rekombinan (Harga


744. pengadaan di Provinsi franco ibukota Provinsi
(Non DIPA Kemkes))

n/a

PT. Bio Farma

Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga


745. pengadaan di Kementerian Kesehatan Pusat
franco ibukota provinsi (DIPA Kemkes))

n/a

PT. Bio Farma

Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga


746. pengadaan di Provinsi franco ibukota Provinsi
(Non DIPA Kemkes))

n/a

PT. Bio Farma

Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga


747. pengadaan di Kementerian Kesehatan Pusat
franco ibukota provinsi (DIPA Kemkes))

n/a

PT. Bio Farma

Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga


748. pengadaan di Provinsi franco ibukota Provinsi
(Non DIPA Kemkes))

n/a

PT. Bio Farma

749. Vaksin Meningitis Meningokokus

Menveo

PT. Novartis Indonesia

Imovax Polio

PT. Aventis Pharma

n/a

PT. Bio Farma

750.

Vaksin polio inj (Vaksin Poliomyelitis yang


diinaktifkan)

Vaksin Poliomyelitis Oral (Harga pengadaan di


751. Kementerian Kesehatan Pusat franco ibukota
provinsi (DIPA Kemkes))

Vaksin Poliomyelitis Oral (Harga pengadaan di


752. Provinsi franco ibukota Provinsi (Non DIPA
Kemkes))

n/a

PT. Bio Farma

753.

Vaksin rabies, untuk manusia serbuk injeksi


s.k./i.k. + booster

Verorab

PT. Bio Farma

754.

Vaksin rabies, untuk manusia serbuk injeksi


s.k./i.k. + booster

RABIPUR

PT. Novartis Indonesia

Vaksin TT (Harga pengadaan di Kementerian


755. Kesehatan Pusat franco ibukota provinsi (DIPA
Kemkes))

n/a

PT. Bio Farma

Vaksin TT (Harga pengadaan di Provinsi franco


ibukota Provinsi (Non DIPA Kemkes))

n/a

PT. Bio Farma

757. Valasiklovir tablet/kapsul/kaplet 500 mg

Valvir

PT. Soho Industri Pharmasi

758.
759.
760.
761.
762.

Valcyte
Ikalep
Depakote ER 250 mg
Depakote ER 500 mg
Depakote Tab 250 mg

PT.
PT.
PT.
PT.
PT.

763. Valsartan tab 80 mg

Diovan 80mg Tab

PT. Novartis Indonesia

764. Valsartan tab 160 mg

DIOVAN 160 MG

PT. Novartis Indonesia

765.
766.
767.
768.
769.
770.
771.

Vancep
Isoptin 240 mg
n/a
Vinblastine
Vincristine Kalbe
Vincristine Kalbe
Navelbine injeksi 10

PT. Pratapa Nirmala


PT. Abbott Indonesia
PT. Kimia Farma
PT. Combiphar
PT Kalbe Farma
PT Kalbe Farma
PT. Mugi Laboratories

756.

Valgansiklovir tab 450 mg


Valproat sirup 250 mg/5 ml
Valproat tab SR 250 mg
Valproat tab SR 500 mg
Valproat tablet salut 250 mg

Vankomisin serbuk injeksi 500 mg/vial


Verapamil tab 240 mg
Verapamil tablet 80 mg (HCl)
Vinblastin serbuk injeksi 10 mg
Vinkristin serb inj i.v 2 mg/vial
Vinkristin serbuk injeksi i.v. 1 mg
Vinorelbin inj. 10 mg/ml

Boehringer Ingelheim
Ikapharmindo
Abbott Indonesia
Abbott Indonesia
Abbott Indonesia

772. Vitamin B Kompleks tablet


773. Zidofudin 100 mg
774. Zidovudin 300 mg + Lamivudine 150 mg

n/a
n/a
n/a

PT. Kimia Farma


PT. Kimia Farma
PT. Kimia Farma

775. Zinc drop 10 mg/mL

Zincpro Drops

PT. Combiphar

776. Zinc sir 10 mg/mL


777. Zinc sir 20 mg/5 Ml

Zinkid
Zircum Kid Sirup

PT. Indofarma
PT. Meprofarm

778. Zinc tablet dispersible20 mg

n/a

PT. Indofarma

Kemasan

Harga Satuan
Terkecil (Rp)

1 blister@24 tablet

1,375.00

Dus, 3 Blister @ 10 kapsul

27,500.00

Dus, 120 ampul PE @ 25ML


Btl @ 1000 ml
Dus, 10 strip @10tablet
Dus, 10 strip @10tablet

2,200.00
7,500.00
990.00
780.00

Dus, 10 dus @ 1 botol @ 10 ml 3,849.00


Dus, 5 strip @ 6 tablet

344.00

Vial 100 ml

750,000.00

Vial 50 ml

345,000.00

botol @ 100 ml

1,520,000.00

botol @ 20 ml

321,552.00

botol @ 50 ml

732,727.00

botol @ 250 ml

900,000.00

botol @ 50 ml

283,000.00

Box, 10 strips @ 10 tablets


Dus, 10 blister @ 10 tablet

86.00
199.50

Dus, 10 Strip @ 10 tablet

380.00

Ktk 10x10 tablet


Ktk 10x10 tablet
Dus, 1 vial@50mg + 1 vial
pelarut @ 50ml
tube 3.5 gr
Vial 2 ml
dus 30 ampul @10 ml
Botol @100 Tablet
Btl @ 100 tablet
Dus, 6 ampul @ 3 ml
strip
Dus, 10 strip @ 10 tss
Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets
dus 10 X 10'S

214.00
233.00

KOTAK @ 10 x 10 TAB

261.00

Dus, Botol 60 ml

4,070.00

btl @ 60 ml

2,445.00

Dus, 10 vial @ 1 g

5,100.00

dus, 5 solostar pen @ 3ml

85,000.00

Injeksi 100 IU/ml, Flexpen


disposible 3 ml (1 box isi 5
flexpen disposible)

106,000.00

Dus, 5 Prefilled pen @ 3 ml

102,990.00

3,800,000.00
18,500.00
50,500.00
3,822.00
80.00
80.00
12,480.00
1,200.00
112.00
330.00
187.00
211.00

Penfill cartridge

97,500.00

Dus, 5 Prefilled pen @ 3 ml

82,495.00

Dus, vial 10 ml

200,000.00

Injeksi 100 IU/ml, Flexpen


disposible 3 ml (1 box isi 5
flexpen disposible)

85,345.00

dus, 5 solostar pen @ 3ml

79,165.00

Penfill cartridge

79,167.00

Dus, 2 blister @ 14 Tablet

32,000.00

Dus, 10 Strip @ 10 Tablet

72.00

Botol @ 60 ml

2,160.00

Dus, 25 tube @ 5 g

2,516.00

DUS, 10 SUPP @ 2 GRAM

3,045.00

ktk 10 x 10 tablet

520.00

Btl 100 tablet

135.00

Dus, 5 strip @ 10 tablet

1,500.00

Dus 6 amp @ 1ml


Dus, 1 Vial @ 60 mg + 1
Ampul Pelarut @ 1 mL

22,000.00

Dus @ 10 X 10 's

116.00

KOTAK @ 10 x 10 TAB

148.00

ktk 10x10 tablet

159.00

Dus 10 strip x 10 tab


Dus, 10 strip @10 tablet
Botol @ 100 tablet
Boks, 1 ampul
dus, 10 blister @ 10 kapsul

95.00
84.00
48.00
2,209,000.00
158.00

38,999.00

Dus, 10 blister @ 10 kaptab ss 112.00


Strip
Dus, 10 ampul @ 5 ml
Dus, 1 vial plastik @ 5ml
Tube 3,5 gram
Dus, 10 blister @ 10 tablet
Dus, 5 strip @ 10 tablet

1,815.00
2,950.00
900,000.00
24,750.00
237.00
336.00

10.000 UI/Vial

1,039,500.00

Dus 5 strip @ 10 tablet


strip

190.00
700.00

Box @ 10 strip 10 tab

352.00

Dus, 5 ampul @ 2.5 ml

20,000.00

100 AMPUL @ 1 ML
Dus, 10 strip @ 10 tablet
Botol 5ml
Botol 5ml
botol @ 60 ml
ktk 2x10 tablet
Strip

1,350.00
74.00
13,500.00
13,500.00
34,400.00
4,500.00
3,333.00

Dus @ 50 gram

1,250.00

Ds 10 vial x 1,2 Jt IU

9,800.00

10 vial @ 2.400.000 IU
Vial
Box/ 3 blister @ 10 Tablet

13,400.00
3,200,000.00
3,600.00

Tube 5 gr

1,520.00

botol @ 5 ml

25,106.00

Dus, 1 vial @ 4 ml

4,803,697.00

Dus, 2 blister @ 14 Tablet


Dus, 2 blister @ 14 Tablet
Supp
1 Box @ 6's
Dus 10 blister @ 10 tablet
Box 3 X 10 tab
Vial
Box 3 x 10'S

72,400.00
45,000.00
6,045.00
4,990.00
746.00
645.00
304,000.00
247,089.00

Dus, 1 Turbuhaler @ 100 dosis 93,000.00


Unit, 200 dosis

106,000.00

Dus, 4 pak @ 5 respules @ 2


ml

8,900.00

Dus, 1 Turbuhaler @ 120 dosis 117,600.00


Dus, 1 Turbuhaler @ 60 dosis

110,500.00

Dus, 5 ampul @ 4 ml

25,600.00

ampul
Dus, 3 blister @ 10 kapsul
Dus, 3 blister @ 10 kapsul
vial @ 20 ml

30,800.00
12,936.00
12,936.00
305,000.00

vial

275,000.00

Dus, 4 blister @ 7 tablet


Dus, 4 blister @ 7 tablet

76,000.00
150,000.00

Dus, Botol @ 500ml

2,600,000.00

Dus, Botol @ 100 tablet

25,300.00

Dus, 10 vial @ 500mg

112,000.00

Dus, 100 ampul @ 1 ml

1,580.00

Dus, 10 Strip@10 Tablet

62.00

Dus, 1 Blister @ 28 tablet

70,000.00

Dus, tube @ 5 g

5,700.00

Kotak, tube @ 15 gram


Dus Tube 10 gram
Dus, 5 alubag @ 1 tube @
2,5ml
Dus, 30 ampul @ 2 ml
Dus, 5 alubag @ 1 tube @
2,5ml
Btl 100
Dus, 10 blister @10 tablet

9,983.00
9,818.00

Dus @ 30 Ampul

1,050.00

Box @ 5 ampul 2 mL
Box 10 X 10 Tab
Dus, 10 strip @ 10 tablet

22,000.00
97.00
134.00

10 vial @ 50mg

127,667.00

Vial 5 mL

46,667.00

3 blister @ 10 kapsul
3 blister @ 10 kapsul
Btl 100 tablet
botol 15 ml

3,667.00
4,015.00
104.00
37,500.00

ampul

124,955.00

ampul @ 5 ml
Dus, 5 blister @10's tab
Dus, 5 blister @10's tab
Box @ 10 strip 10 kapsul

26,700.00
3,480.00
5,480.00
270.00

Dus, 1 vial @ 10 mg

55,500.00

Dus, 1 vial @ 50 mg

258,000.00

11,525.00
4,180.00
16,748.00
45.00
136.00

btl @ 60 ml
dus 10 X 10'S
Dus, botol @ 10 ml
ampul @ 5 ml
Dus, 1 vial @0,5 ml+ 1 vial
pelarut @1,5 ml

3,333.00
167.00
15,600.00
9,840.00

Dus @ 5 vial

455,000.00

970,200.00

Dus, Botol Plastik @ 30 Tablet 7,100.00


Botol 30 tab
Ampul @ 1 ml
Dus, 2 blister @ 15 tablet
dus, 2 prefilled syringe @ 0,2
ml

6,375.00
12,990.00
42,600.00
40,740.00

dus, 2 prefilled syringe @ 0,4


ml

71,875.00

dus, 2 prefilled syringe @ 0,6


ml

100,000.00

Dus @ 30 Ampul

8,100.00

Vial @ 25 ml

500,000.00

Dus, 1 vial @5 ml

128,000.00

Dus 3 strip @ 10 Flash tablet

650.00

Dus, Botol Plastik @ 100 mL

8,000.00

ktk 10 x 10 kapsul
Dus, 10 blister @ 10 kss
Botol @60 ml

497.00
930.00
7,700.00

vial/ampul (Prefilled Syringe)

275,000.00

Dus, 6 prefilled syrenge @ 0.5


133,875.00
ml
Prefilled Syringe @ 1ml
128,000.00
Boks, 6 ampul
139,500.00
ktk 20 x 10 tablet
314.00
Dus, 10 strip @ 10 tss
451.00
btl @ 100 ml
2,500.00
Dus, botol @ 100 tablet
Dus, 1 blister @ 1 subdermal
implant
Vial 100mg/5ml
Botol 10 ml
Dus, 6 blister @ 10 tablet
Dus, 6 blister @ 10 tablet
Dus, 1 vial @ 1000 IU+ 1 vial
pelarut @ 10ml

1,360.00
128,779.00
100,000.00
16,667.00
11,813.00
23,250.00
8,500,000.00

Dus, 1 vial @ 500 IU+ 1 vial


pelarut @ 5ml

4,423,500.00

Dual, vial 500 IU

4,400,000.00

Dus, vial @ 250 IU+ 1 vial


pelarut @10 mL+ transfer
needle+swab

2,095,000.00

KOTAK @ 1 VIAL SERBUK OBAT


9,200,000.00
& INFUSION KIT
vial

1,133,000.00

vial

990,000.00

vial

2,150,000.00

KOTAK @ 10 ampul

20,250.00

Botol @ 100

133.00

KOTAK @ 10 ampul

20,250.00

Dus @ 30 Ampul

1,800.00

Dus, 10 strip @ 10 tablet

220.00

Dus, 3 strip @ 10 kapsul

1,075.00

Dus, 3 strip @ 10 kapsul

1,375.00

Dus @ 10 X 10 's

290.00

Dus 45 x 12 tab

235.00

Dus @ 10 X 10 's

510.00

Box, canister 10mL


Dus, Canister 200 dosis

72,900.00
117,500.00

Dus 5 ampul@ 10ml

128,000.00

Dus 5 ampul@ 2ml

33,914.00

Dus @ 5 patch

80,000.00

Dus@ 5 patch

153,000.00

Dus@ 5 patch

285,000.00

pfs @ 0,5 ml
Box, isi 3 Strip @ 10 tab

375,000.00
2,950.00

Dus @ 10 X 10 's

630.00

dus @ 30 ampul

3,417.00

Dus, 5 vial @ 50 mg
1,248,319.00
Dus, 4 blister @ 5 tablet salut
275,000.00
selaput
Dus, 5 ampul @ 1ml

55,000.00

Dus, 1 Botol @ 100 mL


Blister
ktk 1 x 10 kapsul
strip
DUS, 30 TABLET
botol @ 5 ml
vial @ 1 ml
vial @ 10 ml

47,550.00
4,862.00
22,000.00
419.00
432.00
30,493.00
24,500.00
33,000.00

Dus, Tube 5 g

2,400.00

Dus, tube @ 10 g

5,489.00

Dus, Botol 120 Dosis Spay

93,333.00

Dus, 2 flow wrap@ 5 nebules


@ 1 dosis (2ml)

12,917.00

Dus, 2 pfs 0.5 ml

241,667.00

dus, vial @ 250 ml


Dus, 25 ampul @ 2 ml

972,000.00
1,829.00

Dus, 10 strip @ 10 tablet


Prefilled Syringe
Prefilled Syringe

85.00
275,000.00
412,500.00

Prefilled Syringe

2,570,000.00

Boks, 1 ampul

399,500.00

Dus @ 100 Sachet

288.00

Dus, 1 blister @ 10 tablet


Dus, 10 blister @ 12 kapsul

295,000.00
289.00

Dus, 10 blister @ 10 kaptab

679.00

vial
Dus, 1 vial @200 mg
Dus, 5 ampul @ 2 ml
Tube @ 3,5 gr
Dus, botol plastik 5 ml

1,098,900.00
330,000.00
3,399.00
2,600.00
3,194.00

Dus, 10 blister @ 10 kaptab

56.00

DUS, 100 TABLET


Dus, 6 strip @ 10 tablet lepas
lambat
Box, 30 Tablet
Dus, 10 Strip @ 10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
Dus, botol@TAB 10MG 30
Dus, botol@TAB 10MG 31

236.00
638.00
5,500.00
950.00
265.00
436.00
404.00
430.00
3,207.00
3,000.00

1 box isi 5 ampul 10 ml

119,900.00

Dus 10x10
Dus 10x10
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml
Dus, 1 syringe @ 10.8 mg
Dus, 1 syringe @ 3.6 mg
Dus @ 10 X 10 's
Dus 5 Ampul@1mL

1,493.00
2,171.00
1,500.00
5,333.00
5,700.00
5,200.00
2,300,000.00
840,000.00
209.00
83,333.00

KOTAK @ 12 ampul

6,250.00

Dus, 10 blister @ 10 tablet


Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet

59.00
96.00
69.00

KOTAK @ 10 x 10 TAB

126.00

BOTOL @ 15 ML

16,500.00

Botol
vial
Dus, 1 syringe @ 0.5 mL
dus, 10 strip @ 10 tablet
tube @ 5 ml
Tube 5 gr

641,500.00
42,900.00
1,328,000.00
149.00
2,570.00
2,798.00

vial

5,400.00

box 5ampul @1 ml
Botol 5ml

4,500.00
18,000.00

Dus, 5 Prefilled pen @ 3 ml

76,125.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5
penfill disposible)

76,125.00

penfillcartridge @ 3ml

75,000.00

Dus Isi 5 penfill/cartridge @


3ml

76,125.00

Dus, 1 Vial @ 5 ml

72,000.00

Dus, 1 Vial @ 5 ml

72,000.00

Dus, 5 Prefilled pen @ 3 ml

76,125.00

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5
penfill disposible)

76,125.00

Dus Isi 5 penfill/cartridge @


3ml

76,125.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Dus, 5 Prefilled pen @ 3 ml

76,125.00

Injeksi 100 IU/ml, penfill


disposible 3 ml (1 box isi 5
penfill disposible)

76,125.00

Dus Isi 5 penfill/cartridge @


3ml

76,125.00

penfill cartridge @ 3ml

75,000.00

Dus, vial 10 ml

138,000.00

Dus, vial 10 ml

138,000.00

Dus, 1 Vial @ 5 ml

72,000.00

Prefilled syringe

170,000.00

Dus, botol 60 ml
Dus, botol 60 ml
botol @ 100 tablet
dus 10 X 10'S
Dus, 1 vial @ 1 g

3,499.00
4,499.00
110.00
150.00
1,329,163.00

Dus, 6 blister @ 10 tablet


salut selaput

211,000.00

3 blister @ 10 tablet

3,908.00

3 blister @ 10 tablet

2,120.00

Dus, botol @ 100 ml

350,000.00

Dus, vial @ 30 ml

122,000.00

Dus, vial @ 50 ml

166,000.00

Dus, botol @ 100 ml

369,000.00

Dus, vial @ 30 ml

147,000.00

Dus, vial @ 50 ml

199,000.00

Botol

245,000.00

Botol

123,200.00

Botol

299,000.00

Botol

150,300.00

Box, canister 10mL

80,000.00

Box, bottle 20mL

90,000.00

Dus, 5 blister @ 10 kss


Dus, 5 blister @ 10 kss
Dus, 1 vial @2 ml
Botol 100 mL
Botol 100 tablet
Botol 100 tablet

1,425.00
2,470.00
510,000.00
270,000.00
65.00
158.00

vial

33,000.00

Dus, 10 strip @ 10 tablet

88.00

Dus, 5 strip @ 10 tablet

189.00

Strip
Dus, 10 strip @ 10 tablet

700.00
1,580.00

Vial 50 mg/5 ml

82,000.00

Ampul

7,800.00

Dus,10 Strip @ 10 tablet

70.00

kantong 5 g

7,700.00

vial

5,000.00

Dus, 3 Blister @ 10 tablet


Dus, 3 Blister @ 10 tablet
Boks, 120 tablet
Dus, 10 strip @ 10 tablet
Dus, 10 strip @10 tablet
Dus, 10 strip @ 10 tablet

4,900.00
3,100.00
27,500.00
140.00
84.00
62.00

Dus, botol @ 120 ml

44,770.00

Dus, 10 blister @ 10 tablet

245.00

Dus,botol 100 tablet

875.00

Fenol 100 mg / 1 ml

2,042.00

vial @ 15 ml

190,000.00

vial @ 45 ml

408,000.00

strip
Vial @ 10 ml
Box, isi 1 vial @ 10 ml
tube 10 gr

1,360.00
110,000.00
60,300.00
2,569.00

tube 5 gr

2,850.00

Box isi 1 Tube @ 15 g

4,700.00

Botol 80 ml
Dus, 5 Strip @ 10 tablet
dus 2 's @ 10 supp
Dus @ 12 Ampul
Dus, 3 Strip @ 10 Kaplet salut
selaput
Dus, 5 blister @ 10 kapsul
Dus, 5 blister @ 10 kapsul
Dus, 10 Strip @ 10 tablet

28,000.00
300.00
2,722.00
2,300.00

Box, 10 ampoules @ 1mL

30,600.00

Ktk 10X10 TAB

184.00

Dus, 3 strip @ 10 tab

3,400.00

ktk 10x10 tablet


Box isi 24 tube @ 15 gram
Tube 5 gr
vial
Botol @ 60 ml

249.00
3,524.00
1,600.00
7,260.00
3,680.00

kotak,10strip@10 tablet

51.00

3,200.00
361.00
553.00
900.00

Dus @ 30 Ampul

1,100.00

Dus @ 30 Ampul

1,050.00

Kotak @ 10 x 10 tab

144.00

10 X 10

68.00

KOTAK @ 5 x 10 TAB

5,000.00

KOTAK @ 5 x 10 TAB

1,550.00

ktk 10x10 tablet


ktk 10x10 tablet
ktk 10x10 tablet

500.00
850.00
1,100.00

Btl @ 30 kapsul

2,500.00

Box @ 3 strip 10 tab


Botol Plastik @ 500 ml

3,950.00
33,000.00

1 dus @ 20 vial

5,990.00

Vial

5,350.00

Botol @ 60 ml

12,450.00

1 sase @30 tablet

50.00

botol 15 ml

15,750.00

Dus, 4 blister @ 6 tablet

3,220.00

Dus, botol plastik @ 30 tablet


8,900.00
salut selaput
botol @ 120 tablet

6,100.00

Dus, Botol 120 Dosis

90,667.00

Dus, foil strip @ 60 dosis

100,833.00

Dus, foil strip @ 60 dosis

113,333.00

Dus, 100 blister @ 28 tablet

2,089.00

Dus, 10 Strip@10 Tablet

138.00

Botol, 60 ml

2,167.00

ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 ml
Botol 30 tab
Botol 60 tablet
Serbuk vial
Dus, 2 strip @ 10 kapsul

670.00
6,200.00
540.00
14,500.00
2,000.00
1,400.00
82,042.00
473.00

Dus, 7 Blister @ 10 tablet

67,200.00

botol 500 ml

56,300.00

Softbag 500 ML

56,300.00

Softbag 500 ML

37,500.00

Double Chamber Softbag 1000


115,500.00
ML
Double Chamber Softbag 500
61,600.00
ML

botol 500 mL

75,350.00

Botol Gelas 100 ml

36,667.00

Botol Gelas 250 ml

50,820.00

Softbag 200 ML

46,000.00

Softbag 500 ML

65,000.00

Botol Gelas 500 ml

78,720.00

botol 250 ml

51,260.00

botol 500 ml

64,900.00

botol 500 mL

42,000.00

botol 250 mL

46,000.00

Bag (3 Chamber) 1440 ml

295,240.00

Bag (3 Chamber) 1920 ml

343,842.00

Bag Double chamber (Dua


compartement), 1000 mL

322,000.00

Bag Double chamber (Dua


compartement), 1000 mL

218,700.00

Ampoel 25 ML

2,050.00

Botol 1000 ml

8,000.00

Plastic Bottle 500 ML

9,000.00

Plastic Bottle 500 ML

9,000.00

flexybag 250 mL

87,000.00

LDPE (Low Density Poly


Ethilene), botol plastik

12,650.00

botol 500 mL

50,500.00

Flexy bag 500 mL

42,350.00

Plastic Bottle 500 ML

29,167.00

Plastic Bottle 500 ML

55,500.00

botol 500 mL

37,500.00

Botol Plastik 1000 mL

210,000.00

Botol Plastik 1000 mL

199,000.00

botol 500 mL

56,000.00

Botol 500 ml

9,500.00

Botol 500 ml

6,800.00

Botol 500 ml

6,917.00

Botol 500 ml

7,700.00

Botol 500 ml

7,700.00

softbag 500ml

35,750.00

Botol 500 ml

6,930.00

Plastic Bottle 500 ML

9,167.00

Plastic Bottle 500 ML

10,000.00

Plastic Bottle 500 ML

10,000.00

20%, Botol Kaca @100 ml,


single bottle

105,500.00

Botol Gelas 100 ml

60,500.00

20%, Botol Kaca @250 ml,


single bottle

210,000.00

Bag, 3 chamber ( 3
kompartemen), 1250 ml

591,000.00

Bag, 3 chamber ( 3
kompartemen), 1250 ml

511,000.00

Bag, 3 chamber ( 3
kompartemen), 625 ml

358,000.00

strip 5 x 0.6 ml
dus, Botol @ 2,5 ml

72,000.00
127,000.00

Dus, 1 vial @ 263 mcg + 1


prefilled syringe pelarut @ 1
ml

550,000.00

Dus, 3 blister @ 10 tablet


Vial
Vial
Vial
Box, 1 Botol @ 100 ml

17,500.00
700,000.00
2,700,000.00
500,000.00
40,000.00

Dus, 5 Strip@10 Tablet

528.00

Btl @ 5 ml

13,068.00

Dus 4 blister @ 25 tablet

850.00

Dus 4 blister @ 25 tablet

637.50

Dus, 100 ampul @ 2 ml

839.00

Dus, 30 ampul @ 2 ml

1,363.00

Dus, 10 syringe @ 10 g

40,000.00

Dus,Botol @ 50 ml (500 dosis) 142,000.00


Box ,3 Strip @ 10 tablet

600.00

Box ,3 Strip @ 10 tablet

350.00

KOTAK @ 10 x 10 TAB

1,050.00

KOTAK @ 10 x 10 TAB

1,850.00

Dus, 10 Strip @ 10 Tablet

89.00

Dus, 5 Strip@10 Tablet

154.00

KOTAK @ 10 x 10 TAB

685.00

KOTAK @ 10 x 10 TAB

1,341.00

ampul

52,000.00

Dus, 120 ampul plastik @ 25


ml

2,800.00

Dus, 120 ampul plastik @ 25


ml

3,500.00

botol 500 ml

62,000.00

Strip

1,200.00

KOTAK @ 5 x 10 TAB

3,276.00

Dus @ 5 vial

473,000.00

Dus,24 Catch @ 1 tablet

7,140.00

Dus, 10 blister @10 tablet

6,125.00

Box, Tablet 2 mg/25's

12,210.00

Dus, 1 vial @ 1 g

54,000.00

Dus, 1 vial @ 0,5 g


Dus, 15 Ampul
Botol 1000 ml
Dus, 10 blister @ 10 tablet

44,960.00
74,998.00
254,100.00
112.50

Dus, 10 blister @ 10 kaptab

197.50

Dus, 10 Strip @ 10 tablet salut


800.00
selaput
ktk 10 x 10 tablet salut

154.00

ampul @ 1 ml

2,750.00

Dus, botol plastik @ 30 kapsul


pelepasan lambat
Dus, 2 blister @ 15 tablet
Dus, 1 Vial @125mg + 1
ampul pelarut @ 2ml
Dus, 1 vial @ 500 mg
Strip
Dus, 10 Blister @ 10 Tablet
Dus, 10 Blister @ 10 tablet
Dus, Botol 10 ml
BOTOL 60 ML
ktk 10 x 10 tablet
vial @ 2 ml

6,537.00
1,950.00
19,200.00
89,990.00
635.00
205.00
300.00
5,280.00
2,600.00
108.00
35,750.00

Box 10 ampul @ 1 ml

21,120.00

Box, bottle @ 50 tab

1,680.00

Dus, 1 Botol @ 100 ml


dus 1 's @ 5 ovula

9,950.00
3,850.00

Dus, botol 60ml

4,100.00

Dus, 2 blister @ 5 suppositoria 3,220.00


10 strip @ 10 tab
10 strip @ 10 tab

110.00
160.00

vial

1,925,000.00

Dus @ 5 vial

1,237,500.00

Boks 5 amp
Dus,1 vial@50mg
Boks, 50 tablet
Tube 10 gram

12,060.00
260,000.00
16,000.00
3,000.00

Btl @ 500 ml

72,000.00

botol, tetes mata 3 ml


tube 10 gram
Dus 10 amp @ 1 ml
Dus, 6 strip @ 10 tablet
Dus, 6 strip @ 10 tablet
Botol 30 tablet
Box @ 5 ampul
Botol 500 ml

77,000.00
17,820.00
8,400.00
15,620.00
22,990.00
1,300.00
13,200.00
4,700.00

Dus, 5 blister @ 2 pfs 0.3 ml

54,144.00

Dus, 5 blister @ 2 pfs 0.4 ml

66,640.00

Dus, 5 blister @ 2 pfs 0.6 ml

94,962.00

Dus, 5 Ampul @ 2ml


Ampoel 25 ML

61,600.00
6,200.00

Dus @ 5 X 10 's
Dus @ 5 X 10 's
Botol, 45 ml
Tube 5 gr

176.00
133.00
33,900.00
6,490.00

Box, isi 5 ampul @ 1 ml

9,500.00

btl 60 tablet
2,800.00
blister
2,999.00
blister
3,500.00
Dus, 10 Strip @ 10 tablet salut
110.00
selaput
Box @ 1 vial
66,000.00
Dus, 2 blister @ 14 kapsul

380,875.00

Dus @ 10 X 10 's
Dus @ 10 X 10 's
Dus 5 amp @ 8 ml
blister
Paket
Paket

640.00
480.00
53,900.00
2,618.00
359,990.00
1,199,990.00

Paket

214,900.00

Paket@84 tablet

160,000.00

Dus, 1 dus @ 60 blister @ 8


tablet tahap intensif kategori
1 + 1 Dus @ 54 blister @ 3
288,199.00
tablet tahap lanjutan kategori
1

Dus, 60 sachet tahap intensif


@ (1 tablet Isoniazid, 2 kapsul
Rifampicin, 2 tablet
171,195.00
Pyrazinamide) + 120 sachet
tahap lanjutan @ (1 tablet
Isoniazid, 2 kapsul Rifampicin)
Box @ 5 ampul
Btl @ 5 ml

80,000.00
48,500.00

Box ,5 Strip @ 10 tablet

400.00

Box ,5 Strip @ 10 tablet

650.00

Dus, 1 vial @ 20 ml
Dus, 1 vial @ 10 ml
botol @ 10 ml
botol 15 ml
ampul @ 1 ml

1,100,000.00
550,000.00
27,550.00
29,000.00
2,200.00

Dus, vial @ 355m + 1 prefilled


syringe pelarut @ 2,5 ml + 2 2,950,000.00
jarum suntik
Vial
3 X 10 fcc
3 X 10 fcc
botol, tetes mata 5 ml
Dus, 1 Vial @ 40 mg
dus 10 X 3'S
Dus, 5 Ampul @ 2ml
Box 3 X 10 Tab
Box 3 X 10 Tab

120,000.00
6,450.00
11,200.00
68,000.00
36,000.00
211.00
2,400.00
716.00
1,189.00

Transfer Set: Set; Ultaclam:


Kantong Plastik; Tenckoff
Catheter: Box; Titanium
Adaptor: Kantong Plastik

1,902,240.00

Set

219,540.00

Larutan Dialisa 1.5 %: 2.000


ml; Larutan Dialisa 2.5 %:
2.000 ml; Larutan Dialisa 4.25 5,522,580.00
%: 2.000 ml; Minicap: Kantong
Plastik

Vial 6mg/ml (100mg/16.67ml) 984,000.00


Vial 6mg/ml (260mg/43.33ml) 3,000,000.00
Vial 6mg/ml (30mg/5ml)

274,560.00

Dus, 15 botol

5,200.00

botol 60 ml
1,438.00
Dus, 10 Strip@10 Kaplet Salut
79.00
Selaput
botol @ 15 ml
6,730.00
Boks, 1 pfs

1,077,815.00

Boks, 1 pfs

1,248,220.00

Dus, 1 vial 100 mcg + 1


ampul pelarut 0,7 ml + 1
syringe + 2 jarum

973,500.00

Dus, 1 prefilled syringe


(serbuk injeksi 120mcg +
pelarut 0.5 ml) + 1 jarum

1,135,000.00

Dus, 1 vial 50 mcg + 1 ampul


pelarut 0,7 ml + 1 syringe + 2 915,000.00
jarum
Dus, 1 vial 80 mcg + 1 ampul
pelarut 0,7 ml + 1 syringe + 2 915,810.00
jarum
tube @ 35 gram
23,000.00
Dus, botol plastik @ 30 tablet
2,420.00
salut selaput
Tube @ 10 g

11,475.00

Ktk 10 ampx2ml

14,500.00

30 TAB/BOX
30 TAB/BOX
Botol 60 ml
Dus, 25 Blister @ 4 tablet
Dus 10 strip @ 10 tablet

3,120.00
4,525.00
8,360.00
298.00
208.00

dus, 10 strip @ 10 tablet

110.00

Ampul 1 ml
Dus, Botol @ 10ml
botol @ 1000 ml
botol @ 30 ml
botol @ 300 ml
btl 60 ml

1,000.00
17,393.00
37,109.00
2,163.00
14,203.00
5,998.00

Dus, 3 alu blister @ 10 tablet

7,200.00

Dus, 3 alu blister @ 10 tablet

11,268.00

Box ,5 Strip @ 10 tablet

2,300.00

Dus, 10 strip @ 10 tablet


Dus,10 blister @10 tablet

114.00
205.00

Dus, 10 strip @ 10 tablet

1,650.00

Vial @ 3 juta IU

7,190.00

Dus, 10 Strip @ 10 tablet

65.00

Botol @ 100 Tablet

319.00

Ampul
Dus, 10 strip @ 10 tablet
Dus, 1 blister @ 10 tablet
Dus, 1 blister @ 10 tablet
Dus, 1 blister @ 10 tablet

15,642.00
107.00
17,391.00
19,500.00
23,185.00

Dus, 6 blister @ 10 tablet

995.00

Dus, 10 Strip @ 10 kaptab

580.00

Dus, 10 strip @ 10 tablet

1,013.00

Dus, 10 Ampul @ 2 ml
1,140.00
Dus, 10 Strip @ 10 tablet salut
120.00
selaput
Botol 50 kapsul lunak
260.00
Botol 50 Kapsul

459.00

Dus, 10 Strip @ 10 Kapsul

609.00

Dus, 10 strip @ 10 kapsul


Dus, 10 strip @10 kaptab
botol 500 ml
Dus, 5 Blister @ 10 tablet

790.00
1,100.00
5,200.00
1,200.00

KOTAK @ 5 x 10 TAB

1,008.00

Dus, 5 Blister @ 10 tablet

2,000.00

Dus, 1 vial @ 10 ml

3,164,805.00

Blister
Blister
Blister

23,500.00
23,500.00
23,500.00

Dus, 10 vial @ 5 ml

46,539.00

Dus, 7 blister @ 4 Tablet lepas


5,248.00
Lambat
Dus, 7 blister @ 4 Tablet lepas
6,275.00
Lambat
Dus, 7 blister @ 4 Tablet lepas
7,383.00
Lambat
Dus, 4x5 Botol Plastik@2.5 ml 6,600.00
Dus, botol 200 dosis

63,750.00

Dus, 10 Blister @ 10 Kapsul

431.00

Dus, 1 Rotahaler

5,867.00

strip @ 10 tablet
ktk 10 x 10 tablet

59.00
89.00

Pot @ 30 gram

2,000.00

Dus, Botol 60 ml

4,896.00

strip

513.00

Dus, 10 strip @ 10 kapsul


Dus, Botol 60 ml

509.00
5,940.00

Dus, 5 Strip @ 10 Kapsul

1,000.00

Dus, 2 Vial @ 1 gram


Box 2 Vial @ 1000mg
Dus, 10 blister @ 10 kapsul

16,500.00
48,060.00
859.00

Dus, Botol 30 ml

8,800.00

Dus, 2 vial @ 1 g

12,775.00

vial

4,800.00

Dus, 10 Vial @ 1 g
Dus, 2 Vial @ 1 gram
Dus, 10 Vial @ 1 g
Dus, 1 Blister @ 10 Tablet
salut selaput
Box @ 2 vial
Dus, 1 Blister @ 10 Tablet
salut selaput
strip @ 10 tab
Botol @ 60 ml

2,950.00
16,000.00
3,300.00

Box, 10 strips @ 10 capsules

181.00

Dus, 1 vial @ 20 ml

3,650,000.00

4,752.00
52,800.00
7,200.00
3,300.00
7,999.00

tabung/botol

1,320,000.00

100 ampul @ 1 ml

1,078.00

Dus, 10 Strip @ 10 tablet

57.00

vial

256,000.00

vial

82,000.00

Vial

120,000.00

Dus, 10 blister @ 5 kapsul


lunak

43,000.00

Dus, 10 blister @ 5 kapsul


12,000.00
lunak
strip
7,000.00
Dus, 3 Strip @ 10 Kaplet salut
169.00
selaput
Dus, 3 Strip @ 10 Kaplet salut
391.00
selaput
Vial 200 ml
13,000.00
Dus, 10 blister @ 10 tab ss

255.00

vial
vial

22,000.00
93,000.00

dus, 1 vial @ 10 ml

575,000.00

Dus, 5 strip @ 10 tablet


Dus, 10 Strip @ 10 tablet
Dus, 10 Strip @ 10 tablet
Botol @ 60 tablet
Vial

1,499.00
900.00
315.00
930.00
3,290,000.00

Dus @ 56 Vial

3,650.00

dus 5 amp @ dus 10

127,000.00

Botol, 100 ml
DUS, 10 STRIP @ 10 TAB
Pounch @ 5 blister @ 10
capsule

13,425.00
424.00

Dus, 1 pouch @5 blister@10


kaps
Botol @30tablet

11,167.00
21,500.00
2,654.00

Box @ 2 blister @ 14 tablet

5,800.00

Box/ 2 blister @ 14 tablet


Box/ 3 blister @ 10 Tablet
Dus, 2 blister @ 14 tablet

5,800.00
6,800.00
28,500.00

Dus, 2 alu-blister @10 tablet

3,900.00

Box, 2 blisters @10 tablets

6,500.00

Dus, 5 sachet @ 1 kapsul

1,120,000.00

Dus, 5 sachet @ 1 kapsul

223,000.00

Botol 30 tab
Dus 10-s @ 10 Kaptab
strip
DUS, 10 BLISTER @ 10 TAB
DUS, 10 BLISTER @ 10 TAB
Dus, 2 pak @ 5 respules
Box 50's

8,100.00
1,050.00
250.00
1,669.00
2,949.00
6,250.00
99.00

Dus, 1 Turbuhaler @ 200 dosis 71,100.00

Dus, 6 blister @ 10 kapsul


lunak
botol 5 ml
Dus, 10 strip @ 10 kapsul
DUS,10 STRIP @ 10 KAPSUL
Dus, 10 blister @ 10 tablet
Dus, 10 blister @ 10 tablet
Dus, Botol Plastik @ 5ml
Dus, Botol Plastik @ 5ml
Box, 3 blisters @10 capsules
Dus, 1 blister @10 kapsul +
handihaler
Dus, 10 Ampul @ 2 ml

6,200.00
11,500.00
149.00
300.00
1,135.00
563.00
9,128.00
9,722.00
13,867.27
152,543.00
2,395.00

Dus, 1 vial @ 440 mg + 1 vial


19,608,034.00
pelarut @ 20 ml
botol, tetes mata 2,5 ml

115,000.00

Dus, botol plastik 120 dosis

90,000.00

Dus,1 vial@ 5ml


strip
Botol 5ml

65,500.00
405.00
36,500.00

tube

6,400.00

20 ds / amp / vial

59,950.00

20 ds / amp / vial

59,950.00

20 ds / amp / vial

59,950.00

20 ds / amp / vial

70,521.00

20 ds / amp / vial

70,521.00

20 ds / amp / vial

70,521.00

20 ds / amp / vial

59,950.00

20 ds / amp / vial

70,521.00

10 ds / vial

28,204.00

10 ds / vial

33,176.00

5 ds / vial

76,285.00

5 ds / vial

89,738.00

1 ds / pouch

20,900.00

1 ds / pouch

24,585.00

10 ds / vial

17,798.00

10 ds / vial

20,933.00

10 ds/ vial

16,500.00

10 ds/ vial

19,404.00

Dus, 1 dosis @ (1 vial serbuk


injeksi + 1 vial larutan injeksi 307,400.00
@ 0,6 ml)
1 vial of 10ml (10 d's)

285,000.00

10 ds/ vial

19,954.00

10 ds/ vial

23,474.00

Dus, 1 vial@ 1dosis + 1


Syringe @ 0,5 ml NaCl 4%

78,000.00

Dus, 1 vial serbuk + 1 ampul


@ 1 ml pelarut + 1 syringe &
jarum suntik

78,500.00

10 ds/ vial

14,498.00

10 ds/ vial

17,050.00

5 strip @ 10 kaptab

5,390.00

Boks, 60 tablet
Botol 120 ml
Tablet
Tablet
Tablet salut 250 mg
DUS, 3 ALU-ALU STRIP @ 10
tablet salut selaput.

170,000.00
40,000.00
2,793.00
5,450.00
1,680.00

DUS, 3 ALU-ALU STRIP @ 10


tablet salut selaput.
Box @ 2 vial
Tablet
Ktk 10X10 TAB
Vial 10mg/10ml
vial @ 2 ml
vial @ 1 ml
Dus, 1 vial @ 1 ml

3,900.00
6,500.00
122,000.00
6,200.00
234.00
210,000.00
78,000.00
46,000.00
1,229,998.00

Dus 10 strip x 10 tab


Botol 60 Kapsul
Botol 60 tablet

107.00
1,575.00
3,429.00

Drops 10 mg/ml, Botol @15 ml 12,840.00


Dus, botol @ 100 ml
Dus, botol 60 ml
Dus, 10 strip @ 10 tablet
dispersible

14,980.00
7,400.00
474.00