E Catalog Obat BPJS

No
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.
Air untuk Injeksi 25 ml
Otsu SWI 25 ml
PT Otsuka Indonesia
4.
Air untuk irigasi lar infus 1000 ml
WIDA WI UNICAP
PT. Widatra Bhakti
5.
Akarbose tablet/kaplet 100 mg
n/a
PT. Dexa Medica
6.
n/a
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.

20%, 50 ml
Zenalb
PT. Ikapharmindo
11.

25%, 100 ml
PLASBUMIN 25% 100 ML
PT. Dipa Pharmalab
12.

25%, 20 ml
PLASBUMIN 25% 20 ML
PT. Dipa Pharmalab
13.

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
15.
Albumin serum normal (human albumin) injeksi 5%

50 ml
PLASBUMIN 5% 50 ML
PT. Dipa Pharmalab
16.
Alopurinol tablet/kapsul/kaplet 100 mg
n/a
PT. Pertiwi Agung
17.
n/a
PT. Bernofarm
18.
Alprazolam tablet/kapsul/kaplet 0,25 mg
n/a
PT. Dexa Medica
19.
n/a
PT. Kimia Farma
20.
Alprazolam tablet/kapsul/kaplet 1 mg
n/a
PT. Kimia Farma
21.
Alteplase injeksi 50 mg/vial
Actilyse
PT. Boehringer Ingelheim
22.
Amfoterisin B salep mata 1%
Fungicide
PT. Cendo Industri Farmasi
23.
Amikasin injeksi 250 mg/ml
Glybotic 250 mg /ml
PT. Sanbe Farma
24.
Aminofilin injeksi 24 mg/ml
n/a
PT. Lucas Djaja
25.
Aminofilin tablet scored 200 mg
n/a
PT. Marin Liza Farmasi
26.
Aminofilin tablet/kapsul/kaplet 150 mg
n/a
PT. Erela
27.
Amiodaron injeksi 150 mg/3 ml
Cordarone
PT. Aventis Pharma
28.
Amiodaron tablet/kaplet 200 mg
Kendaron Tablet
PT. Darya Varia
29.
Amitriptilin tablet salut 25 mg (HCl)
n/a
PT. Indofarma
30.
Amlodipin tablet 10 mg
n/a
PT. Pertiwi Agung
31.
n/a
PT. Pertiwi Agung
32.
Amoksisilin kapsul/kaplet 250 mg
n/a
PT. Novapharin
33.
Amoksisilin kapsul/kaplet/tablet scored 500 mg
n/a
PT. Bernofarm
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

5pens x3ml
PT. Aventis Pharma
38.
Analog insulin mix acting inj 100 UI/ml, Analog

insulin mix acting inj 100 UI/ml (Premix 30% Insulin
Aspart + 70% Protaminated Insulin Aspart
(Analogue))
Novomix Flexpen
PT. Ferron Par Pharmaceuticals
39.
Analog Insulin Mix Insulin Inj 100 UI/ml
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,

Aspart (Analogue))
Novorapid Vial
43.
Analog insulin rapid acting inj 100 UI/ml,

Aspart (Analogue))
Novorapid Flexpen
44.
Analog insulin rapid actinginj 100 UI/ml,

glulisine 100 IU/ml)
Apidra Solostar 100IU/ml

5pens x3ml
PT. Aventis Pharma
45.
Analog insulin rapid actinginj 100 UI/ml,

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. Promedrahardjo Farmasi Industri
48.
Antasida DOEN II suspensi, kombinasi : Aluminium n/a

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

Sulfadoksin 500 mg
n/a
PT. Kimia Farma
52.
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg n/a
PT. Kimia Farma
53.
Antiparkinson DOEN tablet kombinasi : Benserazid

25 mg Levodopa 100 mg
Levopar Tablet
PT. Meprofarm
54.
Artemether injeksi 80 mg/ml
Artem
PT. Kimia Farma
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.
n/a
PT. Kimia Farma
60.
Asam Folat tablet/kapsul/kaplet 0,4 mg
Starfolat
PT. Dexa Medica
61.
Asam Folat tablet/kapsul/kaplet 1 mg
n/a
62.
Asam Ibandronat injeksi 6mg/6ml
Bondronat
63.
Asam Mefenamat kapsul/kaplet 250 mg
n/a
PT. Afifarma
64.
n/a
PT. Bernofarm
65.
Asam pipemidat kapsul 400 mg
Urotractin 400 mg
PT. Sanbe Farma
66.
Asam traneksamat injeksi 50 mg/ml
n/a
PT. Bernofarm
67.
Asam zoledronat injeksi 4mg/5mL
ZOMETA
PT. Novartis Indonesia
68.
Asiklovir salep mata 3%
Temiral Eye Oint
PT. Sanbe Farma
69.
Asiklovir tablet/kapsul/kaplet 200 mg
n/a
PT. Indofarma
70.
n/a
PT. Sampharindo Perdana
71.
Asparaginase serbuk injeksi 10.000 UI/vial
Leunase
PT. Widatra Bhakti
72.
Atapulgit tablet 600 mg
Pularex
PT. Zenith Pharmaceuticals
73.
Atenolol tablet/kapsul/kaplet 100 mg
Betablok
PT Kalbe Farma
74.
Farnormin
PT. Pratapa Nirmala
75.
Atrakurium injeksi 25 mg/2,5 ml
Tracrium
PT. Glaxo Wellcome Indonesia
76.
Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml
n/a
PT. Ethica Industri Farmasi
77.
Atropin Sulfat tablet 0,5 mg
n/a
PT. Indofarma
78.
Atropin Sulfat tetes mata 0,5%
Cendo Tropin 0,5%
79.
Atropin Sulfat tetes mata 1%
Cendo Tropin 1%
80.
Azitromisin sir kering 200 mg/ 5 mL
n/a
PT. Soho Industri Pharmasi
81.
Azitromisin tablet 500 mg
n/a
PT. Kimia Farma
82.
n/a
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.
Benzatin Benzil Penisilin 2,4 juta IU/vial
n/a
PT. Phapros, Tbk
86.
Beractant injeksi / suspensi 25 mg/mL
Survanta
PT. Abbott Indonesia
87.
Beraprost sodium tablet 20 mcg
Dorner
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 Avastin

sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
91.
Bikalutamid tablet salut 150 mg
Casodex 150 mg
92.
Casodex 50 mg
93.
Bisakodil suppositoria 10 mg
Stolax supp
PT. Sanbe Farma
94.
Dulcolax Supp Infant
95.
Bisoprolol tablet 2,5 mg
Concor 2.5
PT. Merck Tbk
96.
Bisoprolol tablet 5 mg
n/a
PT. Pratapa Nirmala
97.
Bleomisin serbuk injeksi 15 mg/ampul
BLEOCIN
PT Kalbe Farma
98.
Bromokriptin tablet 2,5 mg
Cripsa tab
PT. Caprifarmindo
99.
Budesonid inhaler 200 mcg/puff, 100 dosis
Pulmicort Turbuhaler
100. Budesonid inhaler 200 mcg/puff, 200 dosis
Obucort Swinghaler
PT Otsuka Indonesia
101. Budesonid respules / cairan inhaler 0,25mg/mL
Pulmicort Respules
102. Budesonid-formoterol (fixed combination) inhaler

160/4,5 mcg
Symbicort Turbuhaler 160/4.5

mcg
103. Budesonid-formoterol (fixed combination) inhaler

80/4,5 mcg
Symbicort 80/4.5 mcg
104. Bupivakain injeksi 0,50% (HCl) + glukosa 8%
n/a
PT. Dexa Medica
105. Bupivakain injeksi 0,50% (P.V)
Bunascan
PT. Pratapa Nirmala
106. Dabigatran eteksilat kapsul 75 mg
Pradaxa
Pradaxa
108. Dakarbazin serbuk injeksi 200 mg/vial
DBL Dacarbazine
PT. Tempo Scan Pacific
109. Daunorubisin serbuk injeksi 20 mg/vial
DAUNOCIN
PT. Novell Pharmaeutical Laboratories
110. Deferasiroks tablet disp/ eff 250 mg
Exjade 250 mg Tab
Exjade 500 mg Tab
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
115. Deksametason injeksi i.v./i.m. 5 mg/ml
n/a
PT. Indofarma
116. Deksametason tablet 0,5 mg
n/a
PT. Bernofarm
117. Desogestrel tablet 75 mcg
Cerazette
PT. Merck Sharp Dohme Pharma Tbk
118. Desoksimetason krim 0,25%
DEXIGEN
PT. Ifars Pharmaceutical Laboratories
n/a
PT. Dexa Medica
120. Desoksimetason salep 0,25%
Dexocort
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
STESOLID
124. Diazepam tablet/kapsul/kaplet 2 mg
n/a
PT. Kimia Farma
125. Dietilkarbamazin tablet scored 100 mg
n/a
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
Fargoxin inj
PT. Pratapa Nirmala
128. Digoksin tablet 0,25 mg
n/a
PT. Yarindo Farmatama
129. Diltiazem HCl tablet 30 mg
n/a
PT. Indofarma
130. Diltiazem infus injeksi 50 mg
Herbesser Powder Injection

50mg
PT. Tanabe Indonesia
131. Diltiazem injeksi 25 mg/5 mL
Farmabes Injeksi 25 mg
PT. Pratapa Nirmala
132. Diltiazem Kapsul SR 100 mg
Herbesser CD 100
Herbesser CD 200
134. Dimenhidrinat tablet/kapsul/kaplet 50 mg
n/a
PT. Kimia Farma
135. Dinatrium edetat tetes mata 0,35%
E.D.T.A
136. Dinatrium klodronat infus kons 60 mg/mL
Bonefos Infus 60 mg / 5 ml
PT. Bayer Indonesia
137. Dobutamin injeksi 50 mg/mL
DOBURAN
PT. Dipa Pharmalab
138. Doksazosin mesilat tablet 1 mg
Cardura 1mg
PT. Pfizer Indonesia
Cardura 2mg
140. Doksisiklin tablet/kapsul/kaplet 100 mg
n/a
141. Doksorubisin serbuk injeksi i.v. 10 mg/vial
Doxorubicin kalbe
PT Kalbe Farma
Doxorubicin Actavis 50 mg
143. Domperidon suspensi/sirup 5 mg/5 ml
n/a
PT. Novapharin
144. Domperidon tablet 10 mg
n/a
PT. Novapharin
145. Domperidon tetes 5 mg/mL
n/a
PT. Bernofarm
146. Dopamin injeksi 40 mg/ml
UDOPA
PT. Dipa Pharmalab
147. Dosetaksel injeksi 20 mg/0,5 ml
n/a
PT. Sanbe Farma
148. DTPA (diethylene triamine pentaacetic acid) 2,062,5 mg pentetate calcium trisodium/mL
Renalscan KaeF
PT. Kimia Farma
149. Dutasterid kaps lunak 0,5 mg
Avodart
150. Efavirens tablet salut 600 mg
n/a
PT. Kimia Farma
151. Efedrin Inj 50 mg/ml
n/a
PT. Bernofarm
152. Eksemestan tablet 25 mg
Aromasin
153. Enoksaparin sodium inj 20 mg/0,2 mL
Lovenox 2000 ANTI-XA
PT. Aventis Pharma
PT. Aventis Pharma
PT. Aventis Pharma
156. Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
n/a
PT. Phapros, Tbk
157. Epirubisin serb injeksi 50 mg/25ml (Produk Kosong

s/d awal Agustus 2015)
Epirubisin Kalbe
PT Kalbe Farma
158. Epirubisin serb injeksi 10 mg/5 ml
n/a
PT. Sanbe Farma
159. Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI
D-Vit FT
PT. Gracia Pharmindo
160. Ergokalsiferol (vitamin D3/D2) suspensi 10.000

UI/ml
D-Vit Syrup
161. Eritromisin kapsul/kaplet 250 mg
n/a
PT. Kimia Farma
n/a
PT. Indofarma
163. Eritromisin sirup kering 200 mg/ 5 ml
n/a
PT. Phyto Kemo Agung Farma
164. Eritropoetin-alfa inj 10000 UI/mL
Hemapo 10.000 IU
PT Kalbe Farma
Eprex 2000
Hemapo 3000
PT Kalbe Farma
167. Eritropoetin-beta inj 2000 UI/0,3 mL
Recormon
168. Estrogen terkonjugasi tablet salut 0,625 mg
Esthero 0.625mg
PT SUNTHI SEPURI
169. Etambutol tablet 250 mg (HCl)
n/a
PT. Kimia Farma
170. Etambutol tablet salut 500 mg (HCl)
n/a
PT. Indofarma
171. Etanol 70% cairan
n/a
PT. Novapharin
172. Etinilestradiol tablet 0,05 mg
Lynoral
173. Etonogestrel implan 68 mcg
Implanon
174. Etoposid injeksi 20 mg/ml
Posyd
PT. Combiphar
175. Eugenol cairan
n/a
PT. Kimia Farma
176. Everolimus tab 0,25 mg
Certican 0,25 mg Tab
Certican 0,5 mg Tab
178. Faktor IX kompleks serbuk injeksi 1.000 UI/vial +

pelarut 10 ml
Nonafact 1000 IU
PT. Graha Farma
179. Faktor IX kompleks serbuk injeksi 500 UI/vial +

pelarut 5 ml
Nonafact 500 IU
PT. Graha Farma
180. Faktor koagulasi II 14-35 UI, faktor koagulasi VII 720 UI, faktor koagulasi IX 25 UI, faktor koagulasi X
14-35 UI
Cofact 500 IU/20 ml
PT. Graha Farma
181. Faktor Koagulasi II 14-35 UI, Faktor Koagulasi VIII 720 UI, Faktor Koagulasi IX 25 UI, Faktor Koagulasi X
14-35 UI (250 IU/10ml)
Cofact 250 IU
PT. Graha Farma
182. Faktor VIIa (rekombinan) serb inj 1 mg/vial +

pelarut untuk injeksi
Novoseven
183. Faktor VIII (konsentrat) serb inj 230 -340 UI
Haemoctin
PT. Kimia Farma
184. Faktor VIII (konsentrat) serb inj 250 UI/vial + pelarut Haemoctin
5 mL
PT. Kimia Farma
185. Faktor VIII (konsentrat) serb inj 480 - 600 UI
PT. Dipa Pharmalab
KOATE DVI 500 IU
186. Faktor VIII (konsentrat) serb inj 500 UI/vial + pelarut Aafact 500 IU
5 ml
PT. Graha Farma
187. Fenitoin injeksi 50 mg/ml
n/a
188. Fenitoin kapsul/kaplet 100 mg
n/a
PT. Ikapharmindo
189. Fenitoin Na Inj 100 mg/2 ml
n/a
190. Fenobarbital injeksi i.m./i.v. 50 mg/ml
n/a
PT. Phapros, Tbk
191. Fenobarbital tablet/kapsul/kaplet 100 mg
n/a
PT. Indofarma
192. Fenofibrat kaps 100 mg
n/a
PT. Hexpharm Jaya Laboratories
n/a
194. Fenoksimetil penisilin (penisilin V) tablet 250 mg
n/a
PT. Phapros, Tbk
195. Fenoksimetil penisilin (penisilin V) tab 125 mg
Fenocin
196. Fenoksimetil penisilin (penisilin V)tablet 500 mg
n/a
PT. Phapros, Tbk
197. Fenoterol HBr ih 100 mcg/puff
Berotec MDI
198. Fenoterol HBr inh solution 0,1%
Berotec Solution
199. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
201. Fentanil patch 12,5 mcg/jam
Durogesic 12,5 MU Matrix
PT. Kimia Farma
202. Fentanil patch 25 mcg/jam
Durogesic 25 MU Matrix
PT. Kimia Farma
PT. Kimia Farma
204. Filgrastim inj 300 mcg/mL
Leucogen
PT Kalbe Farma
205. Finasterid tab 5 mg
Prostacom
PT. Combiphar
206. Fitomenadion (Vit.K1) tablet salut gula 10 mg
n/a
PT. Phapros, Tbk
207. Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml
n/a
PT. Phapros, Tbk
208. Fludarabin inj 50 mg
Fludara IV LYO
PT. Aventis Pharma
209. Fludarabin tab 10 mg
Fludara Oral
PT. Aventis Pharma
210. Flufenazin injeksi i.m. 25 mg/ml
Sikzonoate Injeksi
211. Flukonazol injeksi 2 mg/ml
n/a
PT. Natura Laboratoria Prima
212. Flukonazol tablet/kaplet/kapsul 50 mg
Diflucan 50mg
213. Flukonazol tablet/kapsul 150 mg
n/a
PT. Kimia Farma
214. Fluoksetin tablet 10 mg
Foransi 10
NOPRES
PT. Dexa Medica
216. Fluorometolon tetes mata 0,1 %
Ocuflam ED
PT. Sanbe Farma
217. Fluorourasil inj 250 mg/mL
Curacil
PT Kalbe Farma
218. Fluorourasil inj 500 mg/ 5 mL
Curacil
PT Kalbe Farma
219. Flusinolon asetonid krim 0,025%
SYNARCUS
220. flusinolon asetonid salep 0,025%
Dermasolon oint
PT. Ikapharmindo
221. Flutikason furoat intranasal spray
Avamys
222. Flutikason propionat nebules 0,5 mg
Flixotide Nbules
223. Fondaparinuks inj 2,5 mg/0,5 mL
Arixtra
224. Fraksi protein plasma lar inf 5%
Plasmanate
PT. Dipa Pharmalab
225. Furosemid injeksi i.v./i.m. 10 mg/ml
n/a
PT. Indofarma
226. Furosemid tablet 40 mg
n/a
PT. Indofarma
227. Gadobutrol macrocyclic 5 mg
Gadovist 5 mg
PT. Bayer Indonesia
228. Gadobutrol macrocyclic 7,5 mg
Gadovist 7,5 mg
PT. Bayer Indonesia
229. Gadoksetat disodium 0,25 mmol gadoxetate

disodium/mL
Primovist
PT. Bayer Indonesia
230. Gansiklovir serb inj 500 mg (50 mg/mL)
Cymevene
231. Garam Oralit I serbuk, kombinasi : Natrium 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
232. Gefitinib tab 250 mg
Iressa 250 mg
233. Gemfibrozil kapsul/kaplet 300 mg
n/a
PT. Indofarma
234. Gemfibrozil tablet 600 mg
n/a
PT. Indofarma
235. Gemsitabin inj 1000 mg/vial
Gemzar 1000 mg
PT. Bayer Indonesia
n/a
PT. Sanbe Farma
237. Gentamisin injeksi 40 mg/ ml
n/a
PT. Indofarma
238. Gentamisin salep mata 0,3%
Genoint Salep Mata
PT. Erela
239. Gentamisin tetes mata 0,3%
n/a
PT. Indofarma
240. Glibenklamid tablet 5 mg
n/a
PT. Indofarma
241. Gliklazid tab 80 mg
Glicab
Diamicron MR 30
PT. Pradja Pharin
243. Gliklazid tablet lepas lambat 60 Mg
Diamicron MR 60
PT. Darya Varia
244. Glikuidon tab 30 mg
n/a
PT. Dexa Medica
245. Glimepiride tablet 1 mg
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
249. Glipizid tablet/kaplet/kapsul 10 mg
Glucotrol 10 mg
Glucotrol 5 mg
251. Gliseril trinitrat inj 50 mg/10 mL
DBL Gliceryl Trinitrate 50

mg/10 ml inj.
252. Gliseril trinitrat kaps SR 2,5 mg
Nitrokaf Retard
PT. Kimia Farma
253. Gliseril trinitrat kaps SR 5 mg
Nitrokaf Forte
PT. Kimia Farma
254. Gliseril trinitrat tab sublingual 0,5 mg
Nitral
255. Gliserin lar 50%
Gliserin lar 50%
PT. Lucas Djaja
256. Glukosa larutan infus 10 % steril
n/a
PT. Widatra Bhakti
n/a
PT. Widatra Bhakti
258. Goserelin asetat inj 10,8 mg/vial
Zoladex 10,8 mg
259. Goserelin asetat inj 3,6 mg
Zoladex 3,6 mg
260. Griseofulvin tablet 125 mg
n/a
PT. Indofarma
261. Haloperidol inj 50 mg/mL
Haldol Decanoas
262. Haloperidol injeksi i.m 5 mg/ml
Lodomer Injeksi
263. Haloperidol tablet 0,5 mg
n/a
PT. Indofarma
264. Haloperidol tablet 5 mg
n/a
PT. Indofarma
n/a
PT. Indofarma
Lodomer 2
267. Haloperidol tts 2 mg/mL
LODOMER DROPS
268. Halotan Inhalasi
Halothane
PT. Dexa Medica
269. Heparin injeksi i.v./s.k. 5000 UI/ml
Inviclot
PT. Pratapa Nirmala
270. Hepatitis B imunoglobulin (human)
Hyperhep B
PT. Dipa Pharmalab
271. hidroklorotiazid tab 25 mg
n/a
PT. Kimia Farma
272. Hidrokortison krim 1%
n/a
273. Hidrokortison krim 2,5 %
n/a
PT. Kimia Farma
274. Hidroksi Urea tablet/kaplet/kapsul 500 mg
HYDROXYUREA MEDAC
PT. Dipa Pharmalab
275. Hiosin butilbromid injeksi 20 mg/ml
n/a
PT. Otto Pharmaceuticals
276. Homatropin tetes mata 2%
Homatro 2%
277. Human Insulin Intermediate Acting Inj 100 UI/ml
Humulin N Kwikpen
PT. Bayer Indonesia
278. Human insulin intermediate acting inj 100 UI/ml,

vial (Human Insulin (Intermediate-Acting))
Insulatard Vial
279. Human insulin intermediate acting inj 100 UI/ml,

vial (Insulin human Basal)
Humulin N Vial
PT. Bayer Indonesia
280. Human insulin intermediate acting inj 100

Insulatard Penfill
UI/ml,penfill cartridge (Human Insulin (IntermediateActing))

UI/ml,penfill cartridge (Insulin human Basal)
Sansulin N
PT. Sanbe Farma

UI/ml,penfill cartridge (Insulin human Basal)
Humulin N Cart
PT. Bayer Indonesia
283. Human insulin intermediate acting inj 100iu/ml, vial Insuman Basal vial 5ml,
(Insulin Human Basal)
100iu/ml
PT. Aventis Pharma
284. Human insulin mix inj 100iu/ml, vial (Insulin Human Insuman Comb 25 vial 5ml,
Comb 25)
100iu/ml
PT. Aventis Pharma
285. Human Insulin Mix Insulin Inj 100 UI/ml
PT. Bayer Indonesia
Humulin 30/70 Kwikpen
286. Human insulin mix insulin inj 100 UI/ml, penfill

Mixtard Penfill
cartridge (Human Insulin (Premix: 30% Soluble + 70
% NPH Insulin))
287. Human insulin mix insulin inj 100 UI/ml, penfill

cartridge (Insulin human Comb)
Humulin 30/70 Cart
PT. Bayer Indonesia
288. Human insulin mix insulin inj 100 UI/ml, vial

(Human Insulin (Premix: 30% Soluble + 70 % NPH
Insulin))
Mixtard Vial
289. Human insulin mix insulin inj 100 UI/ml, vial (Insulin Humulin 30/70 Vial
human Comb)
PT. Bayer Indonesia
290. Human Insulin Short Acting Inj 100 UI/ml
Humulin R Kwikpen
PT. Bayer Indonesia
291. Human insulin short acting inj 100 UI/ml, penfill

cartridge (Human Insulin (Short Acting))
Actrapid Penfill

cartridge (Insulin human Rapd)
Humulin R Cart
PT. Bayer Indonesia

cartridge (Insulin human Rapd)
Sansulin R
PT. Sanbe Farma
294. Human insulin short acting inj 100 UI/ml, vial

(Human Insulin (Short Acting))
Actrapid Vial
295. Human insulin short acting inj 100 UI/ml, vial

(Insulin human Rapd)
Humulin R Vial
PT. Bayer Indonesia
296. Human insulin short acting inj 100iu/ml, vial (Insulin Insuman Rapid vial 5ml,
Human Rapid)
100iu/ml
PT. Aventis Pharma
297. Human tetanus imunoglobulinn injeksi i.m. 250 UI
Tetagam
PT. Dexa Medica
298. Ibuprofen sirup 100 mg/5 ml
n/a
PT. Indofarma
299. Ibuprofen suspensi 200 mg/5 ml
n/a
PT. Indofarma
300. Ibuprofen tablet 200 mg
n/a
n/a
PT. Novapharin
302. Ifosfamid serbuk injeksi 1000 mg/vial
Holoxan injeksi 1000
PT. Mugi Laboratories
303. Imanitib Mesilat tablet salut selaput 100 mg (Skema Glivec

Risk Sharing sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
304. Imidapril tab 10 mg
Tanapress 10mg
Tanapress 5mg
306. Iopamidol 200-300 mg Iodium/mL (300mg @ vial

100ml)
Iopamiro
PT. Dipa Pharmalab

30ml)
Iopamiro
PT. Dipa Pharmalab

50ml)
Iopamiro
PT. Dipa Pharmalab

100ml)
Iopamiro
PT. Dipa Pharmalab

30ml)
Iopamiro
PT. Dipa Pharmalab

50ml)
Iopamiro
PT. Dipa Pharmalab
312. Iopromide 300-370 mg Iodium/mL (300 mg / 100

ml)
Ultravist 300/100 mg
PT. Bayer Indonesia
313. Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml) Ultravist 300/50 mg
PT. Bayer Indonesia
314. Iopromide 300-370 mg Iodium/mL (370 mg / 100

ml)
PT. Bayer Indonesia
315. Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml) Ultravist 370/50 mg
PT. Bayer Indonesia
316. Ipratropium bromida inhalasi 20 mcg/semprot
Atrovent HFA
317. Ipratropium bromida nebulizer 0,025%
Atrovent solution for

inhalation 0.025%
318. Irbesartan tab 150 mg
n/a
PT. Indofarma
n/a
PT. Indofarma
320. Irinotekan inf 20 mg/ml
n/a
PT. Sanbe Farma
321. Isofluran inhalasi
Terrell
PT. Pratapa Nirmala
322. Isoniazid tablet/kapsul/kaplet 100 mg
n/a
n/a
324. Isosorbid Dinitrat injeksi i.v 10 mg/10 ml
Farsorbid inj
PT. Pratapa Nirmala
325. Isosorbid Dinitrat tablet sublingual 5 mg
n/a
PT. Indofarma
326. Isosorbid dinitrat tablet/kaplet/kapsul 10 mg
Isonat
PT. Kimia Farma
327. Kalium aspartat tab 300 mg
Kalipar
328. Kalium Klorida tablet 600 mg
KSR
PT. Merck Tbk
329. Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml
DBL Leucovorin
330. Kalsium Glukonat injeksi i.v 10% (100 mg/ml)
Kalsium glukonat
331. Kalsium Karbonat tablet/kapsul/kaplet 500 mg
Calporosis D500
332. Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg
n/a
PT. Afifarma
333. Kalsium polistirena sulfonat ktg 5 g
KALQUEST
334. Kanamisin inj 1000 mg/ vial
n/a
335. Kandesartan tab 16 mg
n/a
PT. Dexa Medica
n/a
PT. Dexa Medica
337. Kapesitabin tab 500 mg
Xeloda
338. Kaptopril tablet 50 mg
n/a
PT. Indofarma
339. Kaptopril tablet scored 25 mg
n/a
PT. Errita Pharma
340. Kaptopril tablet scored12,5 mg
n/a
PT. Indofarma
341. Karbamazepin sirup 100 mg/5 ml
Tegretol Syrup 100mg/5ml,

120ml
342. Karbamazepin tablet 200 mg
n/a
PT. Indofarma
343. Karbimazol tab 5 mg
Neo-Mercazole
PT. Nicholas Laboratories Indonesia
344. Karbogliserin tetes telinga 10%
Karbogliserin tetes telinga

10%
PT. Lucas Djaja
345. Karboplatin 150 mg / 15 ml
DBL Carboplatin 150 mg
347. Karvediol tablet/kaplet/kapsul 6,25 mg
V - BLOC
PT Kalbe Farma
348. Ketamin injeksi i.v. 100 mg/ml
KTM
PT. Guardian Pharmatama
Ketamin Hameln
PT. Combiphar
350. Ketokonazol krim 2%
n/a
PT. Kimia Farma
n/a
n/a
353. Ketokonazol scalp sol 2%
Zoloral SS
PT. Ikapharmindo
354. Ketokonazol tablet 200 mg
n/a
PT. Dexa Medica
355. Ketoprofen supositoria 100 mg
Protofen Supp
PT. Kimia Farma
356. Ketorolac injeksi 30 mg/ml
n/a
PT. Phapros, Tbk
357. Klaritromisin tab 500 mg
ORIXAL
358. Klindamisin kapsul/kaplet 150 mg
n/a
PT. Indofarma
n/a
PT. Indofarma
360. Klobazam tab 10 mg
n/a
PT. Dexa Medica
361. Klomifen sitrat tablet/kapsul/kaplet t 50 mg
Clomifil 50mg
PT SUNTHI SEPURI
362. Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)
Catapres Injeksi
363. Klonidin tablet 0,15 mg
n/a
PT. Kimia Farma
364. Klopidogrel tab 75 mg
n/a
365. Kloramfenikol salep kulit 2%
Bufacetin
PT. Bufa Aneka
366. Kloramfenikol salep mata 1 %
n/a
PT. Kimia Farma
367. Kloramfenikol serb inj 1000 mg/mL
Colsancetine Injeksi
PT. Sanbe Farma
368. Kloramfenikol suspensi 125 mg/ 5 ml
n/a
PT. Bernofarm
369. Kloramfenikol tablet/kapsul/kaplet 500 mg
Chloramex
370. Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4

mg
n/a
371. Klorpromazin injeksi i.m. 25 mg/ml (HCl)
n/a
PT. Phapros, Tbk
372. Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
n/a
PT. Phapros, Tbk
373. Klorpromazin tablet salut 100 mg (HCl)
n/a
n/a
PT. Phapros, Tbk
375. Klozapin 100 mg
n/a
376. Klozapin 25 mg
n/a
377. Kodein tablet 10 mg
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
380. Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg
Ostriol
PT. Pratapa Nirmala
381. Kolkisin tablet/kaplet/kapsul 500 mcg
Recolfar
PT. Pratapa Nirmala
382. Koloid HES BM 130 000 lar inf 6%
Voluven
PT. Fresenius Kabi Combiphar
383. Kombinasi : Ipratropium bromida inhalasi 0,5 mg

Salbutamol 2,5 mg
Combivent UDV
384. Kombinasi injeksi depot : Medroksi progesteron

asetat 25 mg Estradiol sipionat 5 mg
n/a
PT. Triyasa Nagamas Farma
385. Kombinasi suspensi : Parafin + gliserin +

fenolftalein
Laxadine Emulsi 60 ml
PT. Galenium Pharmasia Laboratories
386. Kombinasi tablet salut : Besi (II) sulfat 7H2O 200

mg Asam folat 0,25 mg
n/a
PT. Kimia Farma
387. Kombinasi tetes mata 2,5 mg/mL: Natrium klorida

8,664 mg; Kalium klorida 1,32 mg
Cendo Lyteers
388. Kombinasi: Artemether 20 mg; Lumefantrin 120 mg Coartem
389. Kombinasi: Levodopa 100 mg; Karbidopa 25 mg;

Entekapon 200 mg
Stalevo
390. Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50

mg
Aluvia
391. Kombinasi: Salmeterol 25 mcg; Flutikason propionat Seretide Inhaler 50 mcg

50 mcg
392. Kombinasi: Salmeterol 50 mcg; Flutikason propionat Seretide Diskus 100 mcg
100 mcg
393. Kombinasi: Salmeterol 50 mcg; Flutikason propionat Seretide Diskus 250 mcg
250 mcg
394. Kontrasepsi pil oral, kombinasi :* Levonorgestrel

150 mcg Etinilestradiol 30 mcg
n/a
PT. Kimia Farma
395. Kotrimoksazol DOEN I (dewasa) kombinasi :

Sulfametoksazol 400 mg Trimetoprim 80 mg
n/a
PT. Holi Pharma
396. Kotrimoksazol Suspensi komb: Sulfametoksazol 200 n/a

mg + Trimetoprim 40 mg / 5 ml
PT. Novapharin
397. Kuinin (Kina) tablet 200 mg
n/a
PT. Kimia Farma
398. Kuinin injeksi i.v. 25% (sebagai 2 HCl)
n/a
PT. Kimia Farma
399. Kuinin tablet 222 mg (H2SO4.7H2O)
n/a
PT. Kimia Farma
400. Laktulosa sir 3,335 g/5 mL
n/a
PT. Ikapharmindo
401. Lamivudin tablet/kaplet/kapsu 100 mg
Heplav
PT. Kimia Farma
402. Lamivudine tablet 150 mg
n/a
PT. Kimia Farma
403. Lansoprazol inj 30 mg/ml
Prosogan Inj.
PT. Takeda Indonesia
404. Lanzoprazol kapsul/kaplet 30 mg
n/a
PT. Indofarma
405. Lapatinib tab 250 mg
Tykerb
406. Larutan mengandung Asam Amino (Asam Amino

10%)
Kalbamin
PT. Finusolprima Farma Internasional

100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)
Amiparen
PT Otsuka Indonesia
408. Larutan mengandung Asam Amino (Asam Amino 27 Pan-amin G

g, Sorbitol 50 g, Cl- 52 mEq)
PT Otsuka Indonesia
409. Larutan mengandung Asam Amino (Asam Amino 30 Aminofluid

g, Glukosa 7,3 % dan elektrolit) 1000 ml
PT Otsuka Indonesia
410. Larutan mengandung Asam Amino (Asam Amino 30 Aminofluid

g, Glukosa 7,3 % dan elektrolit) 500 ml
PT Otsuka Indonesia

Aminofusin Hepar
5% dengan BCAA 45%, L-Ornithine L Aspartate 8.03
gr/L, Sorbitol 50 gr/L, Xylitol 50 gr/L)
PT Kalbe Farma

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

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

Kidmin
72.05 g, Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2
mEq, Asetat 46 mEq)
PT Otsuka Indonesia

79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)
Aminoleban
PT Otsuka Indonesia
416. Larutan mengandung Asam Amino (Asam amino

8%)
Aminosteril N-Hepa

esensial 7%+Xylitol 10 g/L)
Eas Pfrimer
418. Larutan mengandung Asam Amino (BCAA 25 gr/L,

L-Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L,
Malic Acid 7 gr/L, Piridoxin 0.12 gr/L)
Comafusin Hepar
419. 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 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

Asam amino 50 g/L, vitamin dan elektrolit)
Aminofusin Paed
PT Kalbe Farma

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

Asam Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan
Elektrolit (Kalori = 1400 kkal, Akses peripheral))
Kabiven 1920 ml

Glukosa dan elektrolit 150 gr + Asam Amino 48 gr
dgn akses sentral)
Combiflex Plus (790 kcal)
PT. Phapros, Tbk

Glukosa dan elektrolit 80 gr + Asam Amino 40 gr )
Combiflex peri (480 kcal)
PT. Phapros, Tbk
425. Larutan mengandung Elektrolit (Kalium Klorida)
Otsu - KCl 7,46%
PT Otsuka Indonesia
426. Larutan mengandung Elektrolit (Larutan Ringer

Laktat)
Wida RL
PT. Widatra Bhakti
427. Larutan mengandung Elektrolit (Na 130 mEq, Cl

109 mEq, Ca 3 mEq, Asetat 28 mEq)
Asering
PT Otsuka Indonesia
428. Larutan mengandung Elektrolit (NaCl 1.125 gr,

Dekstrosa 18.75 gr)
KA EN 1B
PT Otsuka Indonesia
429. Larutan mengandung Elektrolit (Sodium Lactate sol Totilac

(50%) 113 gr/L, Potassium Chloride 0.3 gr/L,
Calcium Chloride 0.2 gr/L, elektrolit)
PT Kalbe Farma
430. Larutan mengandung Elektrolit (Tiap 1000 ml

mengandung electrolit: Sodium 145 mmol/l,
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
431. Larutan mengandung Karbohidrat (Fructose 120 g,

glucose 66 g, Xylitol 60 g/ L + elektrolit)
Triofusin 1000
PT Kalbe Farma
432. Larutan mengandung Karbohidrat (Fructose 60 g,

glucose 33 g, Xylitol 30 g/ L)
Triofusin 500
PT Kalbe Farma
433. Larutan mengandung Karbohidrat (Maltose 100 gr)
Martos
PT Otsuka Indonesia
434. Larutan mengandung Karbohidrat + Elektrolit

(25.00g maltose, 3.00 g sodium chloride, 0.15 g
potassium chloride, 0.10 g calcium chloride
dihydrate dan 1.55 g sodium lactate)
Potacol inj
PT Otsuka Indonesia

(Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L)
Tutofusin OPS
PT Kalbe Farma

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

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

(Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)
Triofusin E1000
PT Kalbe Farma

Wida HSD
(Glukosa 25 g, NaCl 2,0 g, KCl 1,3 g, Natrium Laktat
3,1 g, air untuk injeksi ad 1000 ml)
PT. Widatra Bhakti

(Glukosa 55 g ; Natrium Chloride 9 g, air untuk
injeksi ad 1000 ml)
Wida D5-NS
PT. Widatra Bhakti

(Glukosa: 25,0 g; NaCl: 4,5 g)
WIDA 2A
PT. Widatra Bhakti

(Glukosa: 55.0 g; NaCl: 2.25 g)
WIDA D5-1/4NS
PT. Widatra Bhakti

(Glukosa: 55.0 g; NaCl: 4.5 g)
WIDA D5-1/2NS
PT. Widatra Bhakti

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

(Larutan Ringer & Glukosa 5%)
PT. Widatra Bhakti
Wida RD
446. Larutan mengandung Karbohidrat + Elektrolit (NaCl KA ENMG 3

1.75 g, KCL 1.5g, Glukosa 100 gr)
PT Otsuka Indonesia
447. Larutan mengandung Karbohidrat + Elektrolit (Nacl KA EN 3B

1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27
gr)
PT Otsuka Indonesia
448. Larutan mengandung Karbohidrat + Elektrolit (Nacl KA EN 3A

2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27
gr)
PT Otsuka Indonesia
449. Larutan mengandung Lipid ( Infus Lipid Emulsi

MCT/LCT 20% 100 ml)
Lipofundin MCT/LCT 1% 100
PT. Phapros, Tbk
450. Larutan mengandung Lipid (Emulsi lemak 20%)
Intralipid
451. Larutan mengandung Lipid (Infus Lipid Emulsi

MCT/LCT 20% 250 ml)
PT. Phapros, Tbk
452. Larutan mengandung Lipid (Kombinasi Glukosa dan Nutriflex Lipid Special 1250
elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50
gr dgn akses sentral)
PT. Phapros, Tbk
453. Larutan mengandung Lipid (Kombinasi Glukosa dan Nutriflex Lipid Peri 1250
elektrolit 80 gr + Asam Amino 40 gr + Lipid
MCT/LCT 50 gr)
PT. Phapros, Tbk
454. Larutan mengandung Lipid (Kombinasi Glukosa dan Nutriflex Lipid Special 625
elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr
dgn akses sentral)
PT. Phapros, Tbk
455. Latanoprost tetes mata 0,01%
Cendo Glaopen
456. Latanoprost tts mata 0,005% btl@2,5ml
Xalatan 0,005%
457. Lenograstim inj 263 mcg/mL
Granocyte 34 1vl HSA Free
PT. Aventis Pharma
458. Letrozol tablet/kaplet/kapsul 2,5 mg
FEMARA
459. Leuprorelin asetat inj depot 1,88 mg
Tapros 1.88mg
Tapros 3M
TAPROS 3.75 MG
462. Levofloksasin inf 5 mg/mL
n/a
PT. Infion Pharmaceutical
463. Levofloksasin tablet 500 mg
n/a
464. Levofloksasin tts mata 0,5%
Optiflox
PT. Erela
465. Levotiroksin tablet/kaplet/kapsul 100 mcg
Euthyrox 100
PT. Merck Tbk
Euthyrox 50
PT. Merck Tbk
467. Lidokain injeksi 2% (HCL)
n/a
PT. Bernofarm
468. Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 2ml
n/a
PT. Indofarma
469. Lidokain jeli 2%
Xylocaine Jelly 2%
470. Lidokain semprot 10%
Xylocaine Spray 10 mg / dosis PT. AstraZeneca indonesia
471. Lisinopril tablet 10 mg
n/a
n/a
473. Litium karbonat tablet 200 mg
Frimania 200
Frimania 400
475. Loperamid tablet 2 mg
n/a
476. Loratadin tablet 10 mg
n/a
477. Lorazepam tablet 0,5 mg
MERLOPAM 0,5 mg
478. Lorazepam tablet 2 mg
Merlopam 2
479. Low molecule feri sucrose inj amp 100 mg/5 mL
DIALIFER
480. Magnesium sulfat injeksi 20%
OTSU-MgSO4 20
PT Otsuka Indonesia
OTSU-MgSO4 40
PT Otsuka Indonesia
482. Manitol
n/a
483. Maprotilin HCl tab 25 mg
Ludios
Sandepril 50
485. MDP (methylene diphosphonate) 1 mg methylene

diphosphonic acid/mL
Bonescan KaeF
PT. Kimia Farma
486. Mebendazol tablet 500 mg
Vermox 500
PT. Taisho Pharmaceutical Indonesia Tbk
487. Medroksi Progesteron Asetat tablet/kaplet/kapsul

100 mg
Provera 100mg
488. Medroksi Progesteron asetat tablet/kaplet/kapsul 10 Prothyra 10mg

mg
PT SUNTHI SEPURI
489. Melfalan tablet 2 mg
Alkeran
490. Meropenem inj 1 g
n/a
PT. Bernofarm
491. Meropenem serb inj 500 mg/vial
n/a
PT. Bernofarm
492. Mesna inj 100 mg/mL
Uromitexan injeksi.
493. Metadon sir 50mg/5ml
n/a
PT. Kimia Farma
494. Metformin HCl tablet 500 mg
n/a
PT. Bernofarm
n/a
PT. Bernofarm
496. Metildopa tablet salut 250 mg
DOPAMET
497. Metilergometrin Maleat (Metilergometrin) tablet

salut 0,125 mg
n/a
PT. Kimia Farma
498. Metilergometrin Maleat injeksi 0,200 mg-1 ml
n/a
499. Metilfenidat kapsul LA 20 mg
Ritalin LA
500. Metilfenidat tablet SR 10 mg
RITALIN
501. Metilprednisolon inj 125 mg/2 mL
n/a
PT. Dexa Medica
n/a
PT. Phapros, Tbk
503. Metilprednisolon tablet 16 mg
n/a
PT. Mahakam Beta Farma
n/a
n/a
PT. Dexa Medica
506. Metoklopramid drop botol 10 mL
GAVISTAL drops
PT. Meprofarm
507. Metoklopramide sirup 5 mg/ 5 ml
LEXAPRAM SIRUP
PT. Molex Ayus
508. Metoklopramide tablet 5 mg
n/a
PT. Kimia Farma
509. Metotreksat serb inj 50 mg/2 mL
Methotrexate Kalbe
PT Kalbe Farma
510. Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg
METHOTREXATE EBEWE
PT. Sandoz Indonesia
511. Metotreksat tablet/kaplet/kapsul 2,5 mg
METHOTREXATE EBEWE 2.5

MG
512. Metronidazol infus 500 mg/100 ml
n/a
513. Metronidazol ovula 500 mg
Vagizol
PT. Kimia Farma
514. Metronidazol sirup 125 mg/5 Ml
Farizol
515. Metronidazol supositoria 500 mg
Flagyl
PT. Aventis Pharma
516. Metronidazol tablet 250 mg
n/a
n/a
518. MIBG (meta-iodobenzylguanidine)
Endoneuroscan KaeF 1
PT. Kimia Farma
519. MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial
Cardioscan KaeF
PT. Kimia Farma
520. Midazolam injeksi i.v. 5 mg/ml
Dormicum
521. Mikafungin Na serb inj 50 mg
Mycamine
PT. Combiphar
522. Mikofenolat Mofetil 500 mg
Cellcept
523. Mikonazol krim/salep 2 % (Nitrat)
n/a
PT. Kimia Farma
524. Modified fluid gelatine BM 30 000 lar inf 4%
Gelofusine 4%
PT. Phapros, Tbk
525. Moksifloksasin tetes mata 0,5%
Vigamox
526. Mometason furoat krim 0,1%
n/a
527. Morfin HCL inj 10 mg/ml
n/a
PT. Kimia Farma
528. Morfin HCL tablet SR 10 mg
MST Continus 10 mg
MST Continus 15 mg
MST Continus 30 mg
531. Morfin tablet 10 mg
n/a
PT. Kimia Farma
532. N-asetil sistein inj. nebules 100 mg
N-ace cairan inhalasi
PT. Pratapa Nirmala
533. Nacl 0,9%
n/a
PT. Widatra Bhakti
534. Nadroparin inj 9500 Axa/mL syringe 0,3 mL
Fraxiparine 0.3 ml
535. Nadroparin inj 9500 Axa/mL, syringe 0,4 mL
Fraxiparine 0.4 ml
Fraxiparine 0.6 ml
537. Nalokson injeksi 0,4 mg/ml
Nokoba
PT. Pratapa Nirmala
538. Natrium Bikarbonat injeksi i.v 8,4%
Meylon
PT Otsuka Indonesia
539. Natrium Diklofenak tablet 50 mg
n/a
n/a
PT. Phapros, Tbk
541. Natrium fosfat btl, 133 mL
Fleet Enema
PT. Combiphar
542. Natrium fosfat lar oral 45 mL
Fleet Phosphosoda
PT. Combiphar
543. Natrium fusidat krim 20 mg/g
Acdat
544. Natrium fusidat salep 20 mg/g
Fucilex Ointment
PT. Molex Ayus
545. Neostigmin injeksi 0,5 mg/ml
Neostigmin Hameln inj
PT. Pharma Health Care
546. Nevirapin tablet 200 mg
n/a
PT. Kimia Farma
547. Nifedipin tab 20 mg, slow release; oros
Adalat Oros 20 mg
PT. Bayer Indonesia
548. Nifedipin tab 30 mg, oros
Adalat Oros 30 mg
PT. Bayer Indonesia
549. Nifedipin tablet/kapsul 10 mg
n/a
PT. Dexa Medica
550. Nikardipin inj 10 mg/vial
n/a
PT. Pratapa Nirmala
551. Nilotinib kapsul 200 mg (Skema Risk Sharing sesuai Tasigna

Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)
552. Nistatin tablet salut 500.000 IU/ g
n/a
PT. Phapros, Tbk
553. Nistatin vaginal tablet 100.000 IU/ g
n/a
PT. Phapros, Tbk
554. Norepinefrin injeksi 1 mg/ml
Levosol
PT. Kimia Farma
555. Noretisteron tablet 5 mg
Primolut N
PT. Bayer Indonesia
556. Obat Antituberkulosis FDC Kategori 1
n/a
PT. Phapros, Tbk
n/a
PT. Kimia Farma
558. Obat Antituberkulosis FDC Kategori Anak
n/a
PT. Kimia Farma
559. Obat Antituberkulosis FDC Sisipan
n/a
PT. Indofarma
560. Obat Antituberkulosis Kategori 1 dewasa
n/a
PT. Indofarma
561. Obat Antituberkulosis Kategori anak
n/a
PT. Indofarma
562. Octreotide Acetate0,05 - 6 mg/mL
Octide
PT. Pratapa Nirmala
563. Ofloksasin tets telinga 3%
Tarivid Otic Solution
PT Kalbe Farma
564. Ofloxacin tablet 200 mg
n/a
n/a
566. Oksaliplatin serbuk injeksi 100 mg / vial
ELOXATIN
PT. Aventis Pharma
ELOXATIN
PT. Aventis Pharma
568. Oksimetazolin tetes hidung 0,025%
Ilaidin Drops
PT. Merck Tbk
Iliadin Spray
PT. Merck Tbk
570. Oksitosin injeksi 10 IU/ml
Oxytocin "S"
571. Oktreotid 10 mg
Sandostatin LAR
572. Olanzapin inj 10 mg/vial
Zyprexa IM
PT. Bayer Indonesia
573. Olanzapin kapl salut 5 mg
Olandoz 5
574. Olanzapin tab 10 mg
Olandoz 10
575. Olopatadin tts mata 0,1%
Patanol
576. Omeprazol injeksi 40 mg/ 10 ml
n/a
577. Omeprazol kapsul/kaplet 20 mg
n/a
PT. Novapharin
578. ondansetron inj 4 mg/ 2 mL
n/a
PT. Indofarma
579. Ondansetron tab 4 mg
n/a
580. Ondansetron tablet 8 mg
n/a
581. Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2

unit Ultaclam, 1 unit Tenckoff Catheter, Titanium
Adaptor)
n/a
PT Kalbe Farma
582. Paket CAPD Pergantian Transfer Set per 6 bulan
n/a
PT Kalbe Farma
583. Paket CAPD Rutin 120 ( 4x ganti cairan perhari

dengan komposisi Larutan Dialisa 1.5 %, Larutan
Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)
Larutan Dialisa 1.5%: Dianeal

Low Calcium with 1,5%
Dextrose; Larutan Dialisa
2.5%: Dianeal Low Calcium
with 2,5% Dextrose; Larutan
Dialisa 4.25%: Dianeal Low
Calcium with 4.25% Dextrose
PT Kalbe Farma
584. Paklitaksel inj 100 mg/vial
SINDAXEL 100 MG/16,67 ML
SINDAXEL 260mg/43.33 ML
586. Paklitaksel injeksi 30 mg/vial
SINDAXEL 30 MG/5 ML
587. Parasetamol drop 100 mg/ml btl @15ml

(60mg/0,6ml)
n/a
PT. Indofarma
588. Parasetamol sirup 120 mg / 5 ml
n/a
PT. Afifarma
589. Parasetamol tablet 500 mg
n/a
PT. Imfarmind Farmasi industri
590. Parasetamol tetes 60 mg/0,6 mL
FASIDOL
591. Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
Pegasys
Pegasys
593. Pegylated Interferon alfa-2b serb inj 100 mcg
Pegintron Vial 100 Mcg
Pegintron Pen 120 Mcg
Pegintron
597. Perak sulfadiazin krim 1%
BURNAZIN 35 GR
PT. Darya Varia
598. Perindoprilarginin tab 5 mg
Bioprexum 5 mg
PT. Pradja Pharin
599. Permetrin krim 5%
Scabimite Cream 10
600. Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
n/a
PT. Kimia Farma
601. Pioglitazon tab 15 mg
DECULIN 15 MG
PT. Dexa Medica
DECULIN 30 MG
PT. Dexa Medica
603. Pirantel suspensi 125 mg/5 ml
n/a
PT. Holi Pharma
604. Pirantel tablet score (base) 125 mg
n/a
PT. Holi Pharma
605. Pirazinamid tablet 500 mg
n/a
PT. Holi Pharma
606. Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg

(HCl)
n/a
PT. Kimia Farma
607. Piridoksin (vitamin B6) inj 100 mg/mL
n/a
PT. Ikapharmindo
608. Polikresulen cairan
Aptil
PT. Pratapa Nirmala
609. Povidon Iodida larutan 10% 1000 ml
n/a
PT. Afifarma
n/a
PT. Afifarma
n/a
PT. Afifarma
n/a
PT. Kimia Farma
613. Pramipeksol tab ER 0,375 mg
Sifrol ER 0,375mg
Sifrol ER 0,750mg
615. Pravastatin tablet 20 mg
n/a
616. Prednison tablet/kapsul/kaplet 5 mg
n/a
PT. Holi Pharma
617. Primakuin tablet 15 mg
n/a
PT. Phapros, Tbk
618. Probenesid tablet/kapsul/kaplet 500 mg
Probenid
PT. Dexa Medica
619. Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial
n/a
PT. Bernofarm
620. Propanolol tablet 10 mg ( HCl )
n/a
PT. Dexa Medica
621. Propiltiourasil tablet/kapsul/kaplet 100 mg
n/a
PT. Indofarma
622. Propofol injeksi i.v., bolus 1%
Fresofol 1% MCT/LCT
623. Propranolol tablet 40 mg (HCl)
n/a
PT. Holi Pharma
624. Quetiapin tab 200 mg
Seroquel XR 200 mg
Seroquel XR 300 mg
Seroquel XR 400 mg
627. Ramipril tablet 2,5 mg
Cardace 2.5mg 6x10 s tablet
PT. Pharma Health Care
628. Ramipril tablet 5 mg
n/a
PT. Dexa Medica
629. Ramipril tablet/kaplet/kapsul 10 mg
n/a
630. Ranitidin injeksi 25 mg/ml
n/a
631. Ranitidin tablet 150 mg
n/a
PT. Dexa Medica
632. Retinol (Vitamin A) 100.000 IU
n/a
PT. Kimia Farma
633. Retinol (Vitamin A) 200.000 IU kapsul lunak
n/a
PT. Lucas Djaja
634. Rifampisin tablet salut 450 mg
n/a
PT. Indofarma
635. Rifampisin tablet/kapsul/kaplet 300 mg
n/a
PT. Indofarma
n/a
PT. Indofarma
637. Ringer Laktat larutan infus
n/a
PT. Widatra Bhakti
638. Risperidon tablet 1 mg
n/a
PT. Dexa Medica
n/a
n/a
PT. Dexa Medica
641. Rituksimab injeksi 10 mg/ml (Skema Risk Sharing

HK.02.02/Menkes/223/2014)
Mabthera
642. Rivaroksaban tab 10 mg
Xarelto 10 mg
PT. Bayer Indonesia
Xarelto 15 mg
PT. Bayer Indonesia
Xarelto 20 mg
PT. Bayer Indonesia
645. Rokuronium injeksi i.v. 50 mg/5ml
Esmeron
646. Ropinirol Tablet Salut 2 mg
Requip PD 24 Hour 2 mg
649. Salbutamol cairan ih 0,1%
Ventolin Nebules
650. Salbutamol inhalasi/aerosol 100 mcg/dosis
Ventolin Inhaler
651. Salbutamol serb inh 200 mcg/kaps
Ventolin Rotacaps
652. Salbutamol serb inh 200 mcg/kaps + rotahaler
Ventolin Rotahaler
653. Salbutamol tablet 2 mg (sebagai Sulfat)
n/a
654. Salep 2-4 , Kombinasi : Asam Salisilat 2% +

Belerang endap 4%
n/a
655. Sefadroksil sirup kering 125 mg/5ml
n/a
PT. Holi Pharma
656. Sefadroksil kapsul/kaplet 250 mg
n/a
n/a
PT. Bernofarm
658. Sefadroksil sir kering 250 mg/5 mL
n/a
PT. Holi Pharma
659. Sefaleksin kapsul/kaplet 500 mg
n/a
660. Sefazolin serbuk injeksi 1 g/vial
n/a
PT. Dexa Medica
661. Sefepim inj 1 g
n/a
662. Sefiksim kapsul/kaplet 100 mg
n/a
PT. Dexa Medica
663. Sefiksim sirup kering 100 mg/ 5 ml
n/a
664. Sefoperazon inj 1 g
n/a
PT. Holi Pharma
665. Sefotaksim injeksi 0,5 g
n/a
666. Sefotaksim injeksi 1 g
n/a
667. Seftazidim injeksi 1 g
n/a
668. Seftriakson serbuk injeksi 1 g/vial
n/a
669. Sefuroksim tablet/kapsul/kaplet 250 mg
Zinnat 250 mg
670. Sefuroksim serbuk injeksi 750 mg/vial
Sharox inj
PT. Pratapa Nirmala
671. Sefuroksim tab 500 mg
Zinnat 500
672. Sertralin tab 50 mg
Fatral
PT. Pratapa Nirmala
673. Setirizin sirup 5 mg/5 ml
n/a
PT. Indofarma
674. Setirizin tablet 10 mg
n/a
PT. Pertiwi Agung
675. Setuksimab infus 5 mg/ml (Skema Risk Sharing

HK.02.02/Menkes/223/2014)
Erbitux
PT. Merck Tbk
676. Sevofluran ih, btl
Sojourn
PT. Pratapa Nirmala
677. Sianokobalamin (vitamin B12) injeksi 500 mcg
n/a
PT. Lucas Djaja
678. Sianokobalamin (vitamin B12) tablet/kapsul/kaplet

50 mcg
n/a
PT. Afifarma
679. Siklofosfamid serbuk injeksi i.v. 1000 mg
CYCLOVID 1000
Cyclovid 200 mg
CYCLOVID 500
682. Siklosporin kaps 100 mg
Sandimmun Neoral 100mg

Kap
683. Siklosporin kapsul lunak 25 mg
Sandimmun Neoral 25mg Kap
684. Silostazol tablet/kapsul/kaplet 100 mg
Citaz
PT. Dankos Farma
685. Simvastatin scored tablet 10 mg
n/a
686. Simvastatin tablet 20 mg
n/a
687. Siprofloksasin infus 2%
n/a
PT. Dexa Medica
688. Siprofloksasin tablet 500 mg (sebagai HCl)
n/a
PT. Bernofarm
689. Sisplatin serbuk injeksi 10 mg
Cisplatin
PT Kalbe Farma
Cisplatin
PT Kalbe Farma
691. Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml
DBL Cytarabun
692. Spiramisin tablet 500 mg
n/a
PT. Indofarma
693. Spironolakton tablet 100 mg
n/a
PT. Dexa Medica
n/a
PT. Dexa Medica
695. Stavudin tablet/kapsul/kaplet 30 mg
n/a
PT. Kimia Farma
696. Streptokinase injeksi 1,5 juta UI/vial
Streptase
PT. Dexa Medica
697. Streptomisin serbuk injeksi i.v 1000 mg/ml
n/a
PT. Phapros, Tbk
698. Sufentanil injeksi iv, epidural 5 mcg/ml
Sufentanyl Injeksi iv.Epidural 5 PT. Kimia Farma

mcg / ml
699. Sukralfat susp 500 mg/5 mL
Ulsafate
PT. Combiphar
700. Sukralfat tab 500 mg
ULSIDEX
PT. Dexa Medica
701. Takrolimus kaps 0.5 mg
Prograf
PT. Combiphar
702. Takrolimus kaps 1 mg
Prograf
PT. Combiphar
703. Tamoksifen tablet 20 mg
TAMOXIFEN EBEWE
704. Tamsulosin tab 0,2 mg
Harnal D
PT. Combiphar
Harnal D
PT. Combiphar
706. Tamsulosin tab SR 0,4 mg
Harnal OCAS
PT. Combiphar
707. Telbivudin tab 600 mg
Sebivo 600 mg Tab
708. Telmisartan tab 40mg
Micardis 40mg
709. Telmisartan tab 80 mg
Micardis 80mg
710. Temozolamid kaps 100 mg
Temodal
Temodal
712. Tenofovir tab 300 mg
n/a
PT. Kimia Farma
713. Teofilin tab SR 300 mg
Rethapyl
PT. Kimia Farma
714. Teofilin tablet 150 mg
Bronsolvan
PT Kalbe Farma
715. Terazosin HCl tablet/kapsul/kaplet 1 mg
HYTROZ 1MG
PT. Dexa Medica
HYTROZ 3MG
PT. Dexa Medica
717. Terbutalin cairan ih 2,5 mg/mL
Bricasma Respules
718. Terbutalin tablet 2,5 mg
Molasma Tablet
PT. Molex Ayus
719. Terbutalin turbu (serbuk ih) 0,50 mg
Bricasma Turbuhaler 0,5 mg
720. Testoteron soft capsul 40 mg
Andriol Testocaps
721. Tetrakain HCl tetes mata 0,5%
Pantocain 0.5%
722. Tetrasiklin kapsul/kaplet 250 mg
n/a
PT. Holi Pharma
723. Tetrasiklin tablet/kapsul/kaplet 500 mg
n/a
PT. Afifarma
724. Tiamazol tab 10 mg
Thyrozol 10
PT. Merck Tbk
Thyrozol 5
PT. Merck Tbk
726. Timolol tetes mata 0,25%
Isotic Adretor 0,25%
PT. Pratapa Nirmala
Isotic Adretor 0,5%
PT. Pratapa Nirmala
728. Tiotropium 18 mcg refill
Spiriva powder for inhalation

18mcg 30s
729. Tiotropium kaps 18 mcg + handihaller
Spiriva 10s + Handihaler
730. Tramadol injeksi 50 mg/ml
n/a
731. Trastuzumab serbuk injeksi 440 mg/vial (Skema

Risk Sharing sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Herceptin
732. Travoprost tetes mata 0,004%
Travatan
733. Triamsinolon asetonid nasal spray 55 mcg/puff
Nasacort AQ
PT. Aventis Pharma
734. Triamsinolon inj 10 mg/mL
Flamicort
PT. Dexa Medica
735. Trifluoperazin tablet 5 mg
n/a
PT. Darya Varia
736. Tropikamid tetes mata 1%
Cendo Mydriatil 1%
737. Urea krim 10%
Soft U Derm
738. Vaksin BCG (Harga pengadaan di Kementerian

Kesehatan Pusat franco ibukota provinsi (DIPA
Kemkes))
BCG Vaccine (GS)
PT. Bio Farma

Kemkes))
BCG Vaccine (SII)
PT. Bio Farma

Kemkes))
BCG Vaccine SSI
PT. Bio Farma
741. Vaksin BCG (Harga pengadaan di Provinsi franco

ibukota Provinsi (Non DIPA Kemkes))
BCG Vaccine (SII)
PT. Bio Farma

BCG Vaccine SSI
PT. Bio Farma

BCG Vaccine (GS)
PT. Bio Farma
744. Vaksin BCG Kering (BF) (Harga pengadaan di

Kementerian Kesehatan Pusat franco ibukota
provinsi (DIPA Kemkes))
n/a
PT. Bio Farma
745. Vaksin BCG Kering (BF) (Harga pengadaan di

n/a
Provinsi franco ibukota Provinsi (Non DIPA Kemkes))
PT. Bio Farma
746. Vaksin Campak Kering (Harga pengadaan di

n/a
PT. Bio Farma
747. Vaksin Campak Kering (Harga pengadaan di Provinsi n/a

franco ibukota Provinsi (Non DIPA Kemkes))
PT. Bio Farma
748. Vaksin DTP-HB-Hib (Harga pengadaan di

Pentabio
PT. Bio Farma
749. Vaksin DTP-HB-Hib (Harga pengadaan di Provinsi

franco ibukota Provinsi (Non DIPA Kemkes))
Pentabio
PT. Bio Farma
750. Vaksin Hepatitis B Rekombinan (Harga pengadaan

di Kementerian Kesehatan Pusat franco ibukota
n/a
PT. Bio Farma
751. Vaksin Hepatitis B Rekombinan (Harga pengadaan

di Provinsi franco ibukota Provinsi (Non DIPA
Kemkes))
n/a
PT. Bio Farma
752. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga

pengadaan di Kementerian Kesehatan Pusat franco
ibukota provinsi (DIPA Kemkes))
n/a
PT. Bio Farma
753. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga

pengadaan di Provinsi franco ibukota Provinsi (Non
DIPA Kemkes))
n/a
PT. Bio Farma
754. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga

pengadaan di Kementerian Kesehatan Pusat franco
n/a
PT. Bio Farma
755. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga

pengadaan di Provinsi franco ibukota Provinsi (Non
DIPA Kemkes))
n/a
PT. Bio Farma
756. Vaksin Meningitis Meningokokus
Menveo
757. Vaksin polio inj (Vaksin Poliomyelitis yang

diinaktifkan)
Imovax Polio
PT. Aventis Pharma
758. Vaksin Poliomyelitis Oral (Harga pengadaan di

n/a
PT. Bio Farma
759. Vaksin Poliomyelitis Oral (Harga pengadaan di

n/a
Provinsi franco ibukota Provinsi (Non DIPA Kemkes))
PT. Bio Farma
760. Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k.

+ booster
Verorab
PT. Bio Farma
761. Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k.

+ booster
Verorab
PT. Bio Farma
762. Vaksin TT (Harga pengadaan di Kementerian

Kemkes))
n/a
PT. Bio Farma
763. Vaksin TT (Harga pengadaan di Provinsi franco

n/a
PT. Bio Farma
764. Valasiklovir tablet/kapsul/kaplet 500 mg
Valvir
765. Valgansiklovir tab 450 mg
Valcyte
766. Valproat sirup 250 mg/5 ml
Ikalep
PT. Ikapharmindo
767. Valproat tab SR 250 mg
Depakote ER 250 mg
Depakote ER 500 mg
769. Valproat tablet salut 250 mg
Depakote Tab 250 mg
770. Valsartan tab 80 mg
Diovan 80mg Tab
DIOVAN 160 MG
772. Vankomisin serbuk injeksi 500 mg/vial
Vancep
PT. Pratapa Nirmala
773. Verapamil tab 240 mg
Isoptin 240 mg
774. Verapamil tablet 80 mg (HCl)
n/a
PT. Kimia Farma
775. Vinblastin serbuk injeksi 10 mg
Vinblastine
PT. Combiphar
776. Vinkristin serb inj i.v 2 mg/vial
Vincristine Kalbe
PT Kalbe Farma
777. Vinkristin serbuk injeksi i.v. 1 mg
Vincristine Kalbe
PT Kalbe Farma
778. Vinorelbin inj. 10 mg/ml
Navelbine injeksi 10
779. Vitamin B Kompleks tablet
n/a
PT. Kimia Farma
780. Zidofudin 100 mg
n/a
PT. Kimia Farma
781. Zidovudin 300 mg + Lamivudine 150 mg
n/a
PT. Kimia Farma
782. Zinc drop 10 mg/mL
Zincpro Drops
PT. Combiphar
783. Zinc sir 10 mg/mL
Zinkid
PT. Indofarma
784. Zinc sir 20 mg/5 Ml
Zircum Kid Sirup
PT. Meprofarm
785. Zinc tablet dispersible20 mg
n/a
PT. Kimia Farma
Kemasan
1 blister@24 tablet
Dus, 3 Blister @ 10 kapsul
Harga Satuan Terkecil

(Rp)
1,375.00
27,500.00
Dus, 120 ampul PE @ 25ML
2,200.00
Btl @ 1000 ml
7,500.00
Dus, 10 strip @10tablet
990.00
780.00
Dus, 10 dus @ 1 botol @ 10 ml

Dus, 5 strip @ 6 tablet
3,849.00
344.00
Vial 100 ml
750,000.00
Vial 50 ml
345,000.00
botol @ 100 ml
1,525,456.00
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
86.00
Dus, 10 blister @ 10 tablet
199.50
Dus, 10 Strip @ 10 tablet
380.00
Ktk 10x10 tablet
214.00
Ktk 10x10 tablet
233.00
Dus, 1 vial@50mg + 1 vial pelarut @

50ml
3,800,000.00
tube 3.5 gr
18,500.00
Vial 2 ml
50,500.00
dus 30 ampul @10 ml
3,823.00
Botol @ 100 tablet salut selaput
90.00
Btl @ 100 tablet
80.00
Dus, 6 ampul @ 3 ml
strip
12,480.00
1,200.00
Dus, 10 strip @ 10 tss
112.00
330.00
187.00
dus 10 X 10'S
211.00
Dus, 10 strip @ 10 kaptab
272.00
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
Penfill cartridge
97,500.00
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
79,165.00
Penfill cartridge
79,167.00
Dus, 2 blister @ 14 Tablet
32,000.00
Dus, 10 Strip@10 Tablet
75.00
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
1,500.00
Dus 6 amp @ 1ml
22,000.00
Dus, 1 Vial @ 60 mg + 1 Ampul

Pelarut @ 1 mL
38,999.00
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
95.00
Dus, 10 strip @10 tablet
84.00
Botol @ 100 tablet

Boks, 1 ampul
48.00
2,209,000.00
dus, 10 blister @ 10 kapsul
158.00
Dus, 10 blister @ 10 kaptab ss
112.00
Strip
1,815.00
Dus, 10 ampul @ 5 ml
2,950.00
Dus, 1 vial plastik @ 5ml

Tube 3,5 gram
900,000.00
24,750.00
237.00
336.00
10.000 UI/Vial
1,039,500.00
Dus 5 strip @ 10 tablet
190.00
strip
700.00
Box @ 10 strip 10 tab
352.00
Dus, 5 ampul @ 2.5 ml

100 AMPUL @ 1 ML
20,000.00
1,350.00
74.00
Botol 5ml
13,500.00
Botol 5ml
13,500.00
botol @ 60 ml
34,400.00
ktk 2x10 tablet
4,500.00
Strip
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
13,400.00
3,200,000.00
Box/ 3 blister @ 10 Tablet
3,600.00
Tube 5 gr
1,520.00
botol @ 5 ml
Dus, 1 vial @ 4 ml
25,106.00
4,803,697.00
72,400.00
45,000.00
Supp
6,045.00
1 Box @ 6's
4,990.00
Dus 10 blister @ 10 tablet
746.00
Box 3 X 10 tab
645.00
Vial
304,000.00
Box 3 x 10'S
247,089.00
Dus, 1 Turbuhaler @ 100 dosis

Unit, 200 dosis
Dus, 4 pak @ 5 respules @ 2 ml
93,000.00
106,000.00
8,900.00
117,600.00
110,500.00
Dus, 5 ampul @ 4 ml
25,600.00
ampul
30,800.00
Dus, 3 blister @ 10 kapsul
12,936.00
12,936.00
vial @ 20 ml
305,000.00
vial
275,000.00
76,000.00
150,000.00
Dus, Botol @ 500ml

Dus, Botol @ 100 tablet
Dus, 10 vial @ 500mg
Dus, 1 Blister @ 28 tablet
2,600,000.00
25,300.00
112,000.00
1,580.00
67.50
70,000.00
Dus, tube @ 5 g
5,700.00
Kotak, tube @ 15 gram
9,983.00
Dus Tube 10 gram
9,818.00
Dus, 5 alubag @ 1 tube @ 2,5ml

11,525.00
4,180.00
16,748.00
Botol Plastik @ 100 tablet
45.00
Dus, 10 blister @10 tablet
136.00
Dus @ 30 Ampul
Box @ 5 ampul 2 mL
Box 10 X 10 Tab
10 vial @ 50mg
Vial 5 mL
1,050.00
22,000.00
97.00
134.00
127,667.00
46,667.00
3 blister @ 10 kapsul
3,667.00
4,015.00

botol 15 ml
ampul
ampul @ 5 ml
104.00
37,500.00
124,955.00
26,700.00
Dus, 5 blister @10's tab
3,480.00
5,480.00
Box @ 10 strip 10 kapsul

vial @ 5 ml
Dus, 1 vial @ 50 mg
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
270.00
59,000.00
258,000.00
3,333.00
167.00
15,600.00
9,840.00
970,200.00
Dus @ 5 vial
455,000.00
Dus, Botol Plastik @ 30 Tablet
7,100.00
Botol 30 tab
6,375.00
Ampul @ 1 ml
12,990.00
42,600.00
dus, 2 prefilled syringe @ 0,2 ml
40,740.00
71,875.00
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

Dus, Botol Plastik @ 100 mL
650.00
8,000.00
ktk 10 x 10 kapsul
497.00
Dus, 10 blister @ 10 kss
930.00
Botol @60 ml
7,700.00
vial/ampul (Prefilled Syringe)
275,000.00
Dus, 6 prefilled syrenge @ 0.5 ml
133,875.00
Prefilled Syringe @ 1ml
128,000.00
Boks, 6 ampul
139,500.00
dus, 1 blister @ 28 kaptab salut gula
82,000.00
ktk 20 x 10 tablet
314.00
451.00
btl @ 100 ml
2,500.00
Dus, botol @ 100 tablet
1,360.00
Dus, 1 blister @ 1 subdermal implant
128,779.00
Vial 100mg/5ml
100,000.00
Botol 10 ml
16,667.00
11,813.00
23,250.00
Dus, 1 vial @ 1000 IU+ 1 vial pelarut

@ 10ml
8,500,000.00

@ 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 &

INFUSION KIT
9,200,000.00
vial
1,133,000.00
vial
990,000.00
vial
2,150,000.00
500 IU
1,990,417.00
KOTAK @ 10 ampul
Botol @ 100
20,250.00
133.00
KOTAK @ 10 ampul
Dus @ 30 Ampul
20,250.00
1,800.00
220.00
Dus, 3 strip @ 10 kapsul
1,075.00
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
72,900.00
Dus, Canister 200 dosis
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
375,000.00
Box, isi 3 Strip @ 10 tab

Dus @ 10 X 10 's
dus @ 30 ampul
Dus, 5 vial @ 50 mg
Dus, 4 blister @ 5 tablet salut selaput
Dus, 5 ampul @ 1ml
2,950.00
630.00
3,417.00
1,248,319.00
275,000.00
55,000.00
Dus, 1 Botol @ 100 mL

Blister
ktk 1 x 10 kapsul
47,100.00
4,862.00
22,000.00
strip
419.00
DUS, 30 TABLET
410.00
botol @ 5 ml
30,493.00
vial @ 1 ml
24,500.00
vial @ 10 ml
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
972,000.00
1,829.00
85.00
Prefilled Syringe
275,000.00
Prefilled Syringe
412,500.00
Prefilled Syringe
2,570,000.00
Boks, 1 ampul
Dus @ 100 Sachet
399,500.00
288.00
295,000.00
289.00
Dus, 10 blister @ 10 kaptab
679.00
vial
1,098,900.00
Dus, 1 vial @200 mg
330,000.00
Dus, 5 ampul @ 2 ml
3,399.00
Tube @ 3,5 gr
2,600.00
Dus, botol plastik 5 ml
3,194.00
56.00
Strip
242.00
Dus, 6 strip @ 10 tablet lepas lambat
638.00
Box, 30 Tablet
5,500.00
950.00
ktk 5x10 tablet
265.00
ktk 5x10 tablet
436.00
ktk 5x10 tablet
404.00
ktk 5x10 tablet
430.00
Dus, botol@TAB 10MG 30
3,207.00
3,000.00
1 box isi 5 ampul 10 ml
119,900.00
Dus 10x10
1,493.00
Dus 10x10
2,171.00
Btl @ 30 tablet
1,500.00
Glycerin 100 ml
5,333.00
botol @ 500 ml
5,700.00
botol @ 500 ml
5,200.00
Dus, 1 syringe @ 10.8 mg

2,300,000.00
840,000.00
219.00
Dus 5 Ampul@1mL
83,333.00
KOTAK @ 12 ampul
6,250.00
59.00
96.00
69.00
KOTAK @ 10 x 10 TAB
BOTOL @ 15 ML
Botol
vial
126.00
16,500.00
641,500.00
42,900.00
Dus, 1 syringe @ 0.5 mL
1,328,000.00
dus, 10 strip @ 10 tablet
149.00
tube @ 5 ml
2,570.00
Tube 5 gr
2,798.00
vial
5,400.00
box 5ampul @1 ml
4,500.00
Botol 5ml
18,000.00
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
76,125.00

76,125.00
76,125.00
Dus, vial 10 ml
138,000.00
Dus, vial 10 ml
138,000.00
76,125.00

76,125.00
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
3,499.00
Dus, botol 60 ml
4,499.00
botol @ 100 tablet
110.00
dus 10 X 10'S
150.00
Dus, 1 vial @ 1 g
Dus, 6 blister @ 10 tablet salut
selaput
1,329,163.00
211,000.00
3 blister @ 10 tablet
3,908.00
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
1,425.00
2,470.00
Dus, 1 vial @2 ml
510,000.00
Botol 100 mL
270,000.00
Botol 100 tablet
65.00
Botol 100 tablet
158.00
vial
33,000.00
88.00
189.00
Strip
700.00

Vial 50 mg/5 ml
Ampul
Dus, 3 blister @10 kaplet
Dus,10 Strip @ 10 tablet
1,580.00
82,000.00
7,800.00
405.00
70.00
kantong 5 g
7,700.00
vial
5,000.00
4,900.00
3,100.00
Boks, 120 tablet

27,500.00
140.00
84.00
62.00
Dus, botol @ 120 ml
44,770.00
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
1,360.00
110,000.00
60,300.00
tube 10 gr
2,569.00
tube 5 gr
2,850.00
Box isi 1 Tube @ 15 g
4,700.00
Botol 80 ml
28,000.00
300.00
dus 2 's @ 10 supp
2,722.00
Dus @ 12 Ampul
2,300.00
Dus, 3 Strip @ 10 Kaplet salut selaput
3,200.00
361.00
553.00
900.00

Box, 10 ampoules @ 1mL
Ktk 10X10 TAB
1,625.00
30,600.00
184.00
Dus, 3 strip @ 10 tab
3,400.00
Box isi 24 tube @ 15 gram
3,524.00
Tube 5 gr
1,600.00
vial
7,260.00
Botol @ 60 ml
3,680.00
Dus, 10 Strip @ 10 Kapsul

kotak,10strip@10 tablet
850.00
51.00
Dus @ 30 Ampul
1,100.00
Dus @ 30 Ampul
1,050.00
Kotak @ 10 x 10 tab
10 X 10
144.00
68.00
KOTAK @ 5 x 10 TAB
5,000.00
KOTAK @ 5 x 10 TAB
1,550.00
ktk 10x10 tablet
500.00
ktk 10x10 tablet
850.00
ktk 10x10 tablet
1,100.00
Btl @ 30 kapsul
2,500.00

Botol Plastik @ 500 ml
3,950.00
33,000.00
1 dus @ 20 vial
5,990.00
Vial
5,350.00
Botol @ 60 ml
1 sase @30 tablet
botol 15 ml
12,450.00
50.00
15,750.00
3,220.00
Dus, botol plastik @ 30 tablet salut

selaput
8,900.00
botol @ 120 tablet
6,100.00
Dus, Botol 120 Dosis
90,667.00
Dus, foil strip @ 60 dosis
100,833.00
113,333.00
btl @ 60 ml
ktk 60 tablet
ktk 100 amp @ 2 ml
ktk 10 x 10 tablet
Botol 60 ml
2,089.00
152.00
2,350.00
670.00
6,200.00
540.00
14,500.00
Botol 30 tab
2,000.00
Botol 60 tablet
1,400.00
Serbuk vial
82,042.00
473.00
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 ML
115,500.00
61,600.00
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
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
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
29,167.00
55,500.00
botol 500 mL
37,500.00
Botol Plastik 1000 mL
210,000.00
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
9,167.00
10,000.00
10,000.00
20%, Botol Kaca @100 ml, single

bottle
Botol Gelas 100 ml
105,500.00
60,500.00
20%, Botol Kaca @250 ml, single

bottle
210,000.00
Bag, 3 chamber ( 3 kompartemen),

1250 ml
591,000.00

1250 ml
511,000.00

625 ml
358,000.00
strip 5 x 0.6 ml
72,000.00
dus, Botol @ 2,5 ml
127,000.00
Dus, 1 vial @ 263 mcg + 1 prefilled

syringe pelarut @ 1 ml
550,000.00
17,500.00
Vial
700,000.00
Vial
2,700,000.00
Vial
Box, 1 Botol @ 100 ml
Btl @ 5 ml
500,000.00
40,000.00
528.00
13,068.00
850.00
719.00
839.00
Dus, 10 syringe @ 10 g
Dus,Botol @ 50 ml (500 dosis)
1,363.00
40,000.00
142,000.00
Box ,3 Strip @ 10 tablet
600.00
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
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
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
6,125.00
dus, 3 blister @ 10 tablet
2,500.00
Box, Tablet 2 mg/25's
12,210.00
Dus, 1 vial @ 1 g
54,000.00
Dus, 1 vial @ 0,5 g
44,960.00
Dus, 15 Ampul
74,998.00
Botol 1000 ml
254,100.00
112.50
197.50
Dus, 10 Strip @ 10 tablet salut

selaput
800.00
ktk 10 x 10 tablet salut
154.00
ampul @ 1 ml
2,750.00
Dus, botol plastik @ 30 kapsul

pelepasan lambat
6,537.00
1,950.00
Dus, 1 Vial @125mg + 1 ampul

pelarut @ 2ml
19,200.00
Dus @ 1 vial
93,393.00
Strip
635.00
Dus, 10 Blister @ 10 Tablet
205.00
300.00
Dus, Botol 10 ml
5,280.00
BOTOL 60 ML
2,600.00
ktk 10 x 10 tablet
108.00
vial @ 2 ml
35,750.00
Box 10 ampul @ 1 ml
21,120.00
Box, bottle @ 50 tab
1,680.00
Dus, 1 Botol @ 100 ml
9,950.00
dus 1 's @ 5 ovula
3,850.00
Dus, botol 60ml
4,100.00
Dus, 2 blister @ 5 suppositoria
3,220.00
10 strip @ 10 tab
110.00
10 strip @ 10 tab
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
77,000.00
tube 10 gram
17,820.00
Dus 10 amp @ 1 ml
8,400.00
15,620.00
22,990.00
41,470.00
Botol 30 tablet
1,300.00
Box @ 5 ampul
13,200.00
Botol 500 ml
4,700.00
Dus, 5 blister @ 2 pfs 0.3 ml
54,144.00
66,640.00
94,962.00
Dus, 5 Ampul @ 2ml
61,600.00
Ampoel 25 ML
6,200.00
Box ,5 Blister @ 10 tablet
200.00
Dus @ 5 X 10 's
133.00
Botol, 133 ml
39,950.00
Botol, 45 ml
33,900.00
Dus, tube @ 5 g
6,475.00
Tube 5 gr
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

selaput
Box @ 1 vial
100.00
66,000.00
380,875.00
Dus @ 10 X 10 's
640.00
Dus @ 10 X 10 's
480.00
Dus 5 amp @ 8 ml
blister
53,900.00
2,618.00
Paket
359,900.00
Paket
1,199,990.00
Paket
214,990.00
Paket@84 tablet
160,000.00
Dus, 1 dus @ 60 blister @ 8 tablet

tahap intensif kategori 1 + 1 Dus @
54 blister @ 3 tablet tahap lanjutan
kategori 1
288,199.00
Dus, 60 sachet tahap intensif @ (1

tablet Isoniazid, 2 kapsul Rifampicin,
2 tablet Pyrazinamide) + 120 sachet
tahap lanjutan @ (1 tablet Isoniazid,
2 kapsul Rifampicin)
171,195.00
Box @ 5 ampul
80,000.00
Btl @ 5 ml
48,500.00
400.00
650.00
Dus, 1 vial @ 20 ml
1,100,000.00
Dus, 1 vial @ 10 ml
550,000.00
botol @ 10 ml
27,550.00
botol 15 ml
29,000.00
ampul @ 1 ml
Dus, vial @ 355m + 1 prefilled
syringe pelarut @ 2,5 ml + 2 jarum
suntik
Vial
2,200.00
2,950,000.00
120,000.00
3 X 10 fcc
6,450.00
3 X 10 fcc
11,200.00
68,000.00
Dus, 1 Vial @ 40 mg
36,000.00
dus 10 X 3'S
Dus, 5 Ampul @ 2ml
211.00
2,400.00
Box 3 X 10 Tab
716.00
Box 3 X 10 Tab
1,189.00
Transfer Set: Set; Ultaclam: Kantong

Plastik; Tenckoff Catheter: Box;
Titanium Adaptor: Kantong Plastik
Set
Larutan Dialisa 1.5 %: 2.000 ml;
Minicap: Kantong Plastik
1,902,240.00
219,540.00
5,522,580.00
Vial 6mg/ml (100mg/16.67ml)
984,000.00
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, botol @ 15 ml
89.00
6,450.00
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 jarum
915,000.00

0,7 ml + 1 syringe + 2 jarum
915,810.00
tube @ 35 gram
Dus, botol plastik @ 30 tablet salut
selaput
23,000.00
2,420.00
Tube @ 10 g
11,475.00
Ktk 10 ampx2ml
14,500.00
30 TAB/BOX
3,120.00
30 TAB/BOX
4,525.00
Botol 60 ml
8,360.00
298.00
208.00
110.00
Ampul 1 ml
1,000.00
Dus, Botol @ 10ml
17,393.00
botol @ 1000 ml
37,109.00
botol @ 30 ml
botol @ 300 ml
2,163.00
14,203.00
btl 60 ml
5,998.00
Dus, 3 alu blister @ 10 tablet
7,200.00
11,268.00
2,300.00
114.00
Dus,10 blister @10 tablet
205.00
1,650.00
Vial @ 3 juta IU
7,190.00

Botol @ 100 Tablet
Ampul
65.00
319.00
16,236.00
107.00
17,391.00
19,500.00
23,185.00
995.00
Dus, 10 Strip @ 10 kaptab
580.00
1,013.00
Dus, 10 Ampul @ 2 ml
1,140.00

selaput
120.00
Botol 50 kapsul lunak
260.00
Botol 50 Kapsul
459.00
789.00
610.00
Dus, 10 strip @10 kaptab
1,100.00
botol 500 ml
5,200.00
1,200.00
KOTAK @ 5 x 10 TAB
1,008.00
2,000.00
Dus, 1 vial @ 10 ml
3,164,805.00
Blister
23,500.00
Blister
23,500.00
Blister
23,500.00
Dus, 10 vial @ 5 ml
46,539.00
Dus, 7 blister @ 4 Tablet lepas

Lambat
5,248.00

Lambat
6,275.00

Lambat
7,383.00
Dus, 4x5 Botol Plastik@2.5 ml
6,600.00
Dus, botol 200 dosis

Dus, 10 Blister @ 10 Kapsul
63,750.00
431.00
Dus, 1 Rotahaler
5,867.00
strip @ 10 tablet
59.00
Pot @ 30 gram
2,000.00
Dus, Botol 60 ml
4,896.00
strip
513.00
509.00
Dus, Botol 60 ml
5,940.00
1,000.00
Dus, 2 Vial @ 1 gram
16,500.00
vial
43,000.00
Dus, 5 Strip @ 10 kapsul
850.00
Dus, Botol 30 ml
8,800.00
Dus, 2 vial @ 1 g
12,775.00
vial
4,997.00
Dus, 10 Vial @ 1 g
2,950.00
Dus, 2 vial @ 1 g
Dus, 10 Vial @ 1 g
17,060.00
3,300.00
Dus, 1 Blister @ 10 Tablet salut

selaput
Box @ 2 vial
4,752.00
52,800.00
Dus, 1 Blister @ 10 Tablet salut

selaput
7,200.00
strip @ 10 tab
3,300.00
Botol @ 60 ml
7,999.00
Box, 10 strips @ 10 capsules
181.00
Dus, 1 vial @ 20 ml
3,650,000.00
tabung/botol
1,320,000.00
100 ampul @ 1 ml
1,077.00
57.00
Vial
256,000.00
vial
82,000.00
Vial
120,000.00
Dus, 10 blister @ 5 kapsul lunak
43,000.00
12,000.00
strip
7,000.00
169.00
391.00
Vial 200 ml
Dus, 10 blister @ 10 tab ss
vial
13,000.00
255.00
22,000.00
vial
dus, 1 vial @ 10 ml
93,000.00
575,000.00
1,499.00
900.00
315.00
Botol @ 60 tablet
930.00
Vial
Dus @ 56 Vial
dus 5 amp @ dus 10
Botol, 100 ml
DUS, 10 STRIP @ 10 TAB
3,290,000.00
3,650.00
127,000.00
13,425.00
424.00
Pounch @ 5 blister @ 10 capsule
11,167.00
Dus, 1 pouch @5 blister@10 kaps
21,500.00
Botol @30tablet
2,654.00
Box @ 2 blister @ 14 tablet
5,800.00
Box/ 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
223,000.00
Botol 30 tab
8,100.00
Dus 10-s @ 10 Kaptab
1,050.00
strip
250.00
DUS, 10 BLISTER @ 10 TAB
1,669.00
2,949.00
Dus, 2 pak @ 5 respules
6,250.00
Box 50's
botol 5 ml
99.00
71,100.00
6,200.00
11,500.00
149.00
DUS,10 STRIP @ 10 KAPSUL
300.00
1,135.00
563.00
Dus, Botol Plastik @ 5ml
9,128.00
9,722.00
Box, 3 blisters @10 capsules

Dus, 1 blister @10 kapsul +
handihaler
Dus, 1 vial @ 440 mg + 1 vial pelarut
@ 20 ml
botol, tetes mata 2,5 ml
13,867.27
152,543.00
2,395.00
19,608,034.00
115,000.00
Dus, botol plastik 120 dosis
90,000.00
Dus,1 vial@ 5ml
65,500.00
strip
Botol 5ml
tube
405.00
36,500.00
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 @ 0,6 ml)
307,400.00
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@ 1dosis + 1 Syringe @

0,5 ml NaCl 4%
78,000.00
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
170,000.00
40,000.00
Tablet
2,793.00
Tablet
5,450.00
Tablet salut 250 mg
1,680.00
DUS, 3 ALU-ALU STRIP @ 10 tablet

salut selaput.
3,900.00
DUS, 3 ALU-ALU STRIP @ 10 tablet

salut selaput.
6,500.00
Box @ 2 vial
Tablet
Ktk 10X10 TAB
Vial 10mg/10ml
122,000.00
6,200.00
234.00
210,000.00
vial @ 2 ml
77,000.00
vial @ 1 ml
45,000.00
Dus, 1 vial @ 1 ml
1,229,998.00
107.00
Botol 60 Kapsul
1,575.00
Botol 60 tablet
3,429.00
Drops 10 mg/ml, Botol @15 ml
12,840.00
Dus, botol @ 100 ml
14,980.00
Dus, botol 60 ml
ktk 10 x 10 tablet
7,400.00
473.00
No
Nama Obat Generik
Nama Dagang
1.
ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)
n/a
2.
Adefovir Dipivoksil tablet/kaplet 10 mg
Hepsera
3.
Air untuk Injeksi 25 ml
Otsu SWI 25 ml
4.
Air untuk irigasi lar infus 1000 ml
WIDA WI UNICAP
5.
n/a
6.
n/a
7.
Albendazol suspensi 200 mg/5 ml
n/a
8.
Albendazol tablet/kapsul/kaplet 400 mg
n/a
9.
Albumin serum normal (human albumin) injeksi 20%, 100 ml
Zenalb
10.
Zenalb
11.
PLASBUMIN 25% 100 ML
12.
PLASBUMIN 25% 20 ML
13.
PLASBUMIN 25% 50 ML
14.
Albumin serum normal (human albumin) injeksi 5% 250 ml
PLASBUMIN 5% 250 ML
15.
Albumin serum normal (human albumin) injeksi 5% 50 ml
PLASBUMIN 5% 50 ML
16.
n/a
17.
n/a
18.
n/a
19.
n/a
20.
Alprazolam tablet/kapsul/kaplet 1 mg
n/a
21.
Alteplase injeksi 50 mg/vial
Actilyse
22.
Amfoterisin B salep mata 1%
Fungicide
23.
Amikasin injeksi 250 mg/ml
Glybotic 250 mg /ml
24.
Aminofilin injeksi 24 mg/ml
n/a
25.
Aminofilin tablet scored 200 mg
n/a
26.
Aminofilin tablet/kapsul/kaplet 150 mg
n/a
27.
Amiodaron injeksi 150 mg/3 ml
Cordarone
28.
Amiodaron tablet/kaplet 200 mg
Kendaron Tablet
29.
Amitriptilin tablet salut 25 mg (HCl)
n/a
30.
n/a
31.
n/a
32.
Amoksisilin kapsul/kaplet 250 mg
n/a
33.
Amoksisilin kapsul/kaplet/tablet scored 500 mg
n/a
34.
Amoksisilin sirup kering forte 250 mg/5 ml
n/a
35.
Amoksisilin sirup kering 125 mg/ 5 ml
n/a
36.
Ampisilin serbuk injeksi i.v. 1000 mg/vial
n/a
37.
Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Lantus Solostar 100IU/ml 5pen
38.
Analog insulin mix acting inj 100 UI/ml, Analog insulin mix acting inj 100 UI/ml (Premix
Novomix Flexpen
39.
Analog Insulin Mix Insulin Inj 100 UI/ml
Humalog Mix 25 Kwikpen
40.
Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cartridge (25% in Humalog Mix 25
41.
Analog Insulin Rapid Acting Inj 100 UI/ml
Humalog Kwikpen
42.
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge
(Insulin Aspart (Analogue))
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge
(Insulin Aspart (Analogue))
Novorapid Vial
43.
Novorapid Flexpen
44.
45.
46.
47.
48.
49.
50.
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge

(Insulin glulisine 100 IU/ml)
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge
(Insulin lispro (rDNA origin))
Anastrozol tablet/kapsul/kaplet 1 mg
Apidra Solostar 100IU/ml

5pens x3ml
Humalog
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium

Hidroksida 200 mg
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml Magnesium
Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU/g
n/a
Arimidex 1 mg
n/a
n/a
51.
Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg lidokain 10 mg n/a

seng oksida 120 mg
Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg
n/a
52.
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
n/a
53.
Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg
Levopar Tablet
54.
Artemether injeksi 80 mg/ml
Artem
55.
Artesunate injeksi i.v./i.m. 60 mg/ml
Artesunate
56.
Asam Asetilsalisilat (asetosal) tablet 100 mg
n/a
57.
Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg
Miniaspi 80
58.
n/a
59.
n/a
60.
Asam Folat tablet/kapsul/kaplet 0,4 mg
Starfolat
61.
Asam Folat tablet/kapsul/kaplet 1 mg
n/a
62.
Asam Ibandronat injeksi 6mg/6ml
Bondronat
63.
n/a
64.
n/a
65.
Asam pipemidat kapsul 400 mg
Urotractin 400 mg
66.
Asam traneksamat injeksi 50 mg/ml
n/a
67.
Asam zoledronat injeksi 4mg/5mL
ZOMETA
68.
Asiklovir salep mata 3%
Temiral Eye Oint
69.
n/a
70.
n/a
71.
Asparaginase serbuk injeksi 10.000 UI/vial
Leunase
72.
Atapulgit tablet 600 mg
Pularex
73.
Betablok
74.
Farnormin
75.
Atrakurium injeksi 25 mg/2,5 ml
Tracrium
76.
Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml
n/a
77.
Atropin Sulfat tablet 0,5 mg
n/a
78.
Atropin Sulfat tetes mata 0,5%
Cendo Tropin 0,5%
79.
Atropin Sulfat tetes mata 1%
Cendo Tropin 1%
80.
Azitromisin sir kering 200 mg/ 5 mL
n/a
81.
n/a
82.
n/a
83.
Bedak salisil serbuk 2%
n/a
84.
Benzatin Benzil Penisilin 1,2 juta IU/ vial
n/a
85.
Benzatin Benzil Penisilin 2,4 juta IU/vial
n/a
86.
Beractant injeksi / suspensi 25 mg/mL
Survanta
87.
Beraprost sodium tablet 20 mcg
Dorner
88.
Betametason krim 0,1% (sebagai Valerat)
n/a
89.
Betametason tetes mata 1 mg/ml
Betam Ophtal ED
90.
Avastin
91.
Bevasizumab injeksi 25 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor

HK.02.02/Menkes/223/2014)
92.
Casodex 50 mg
93.
Stolax supp
94.
Dulcolax Supp Infant
95.
Bisoprolol tablet 2,5 mg
Concor 2.5
96.
Bisoprolol tablet 5 mg
n/a
97.
Bleomisin serbuk injeksi 15 mg/ampul
BLEOCIN
98.
Bromokriptin tablet 2,5 mg
Cripsa tab
99.
Budesonid inhaler 200 mcg/puff, 100 dosis
Pulmicort Turbuhaler
Casodex 150 mg
100. Budesonid inhaler 200 mcg/puff, 200 dosis
Obucort Swinghaler
101. Budesonid respules / cairan inhaler 0,25mg/mL
Pulmicort Respules
102. Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg

103. Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg
Symbicort Turbuhaler 160/4.5

mcg
Symbicort 80/4.5 mcg
104. Bupivakain injeksi 0,50% (HCl) + glukosa 8%
n/a
105. Bupivakain injeksi 0,50% (P.V)
Bunascan
Pradaxa
Pradaxa
108. Dakarbazin serbuk injeksi 200 mg/vial
DBL Dacarbazine
109. Daunorubisin serbuk injeksi 20 mg/vial
DAUNOCIN
Exjade 250 mg Tab
Exjade 500 mg Tab
112. Deferipron larutan oral 100 mg/mL
Ferriprox Oral Solution
113. Deferipron tablet 500 mg
Ferriprox tablet
114. Deferoksamin Mesilat serbuk injeksi 500 mg
Desferal
115. Deksametason injeksi i.v./i.m. 5 mg/ml
n/a
116. Deksametason tablet 0,5 mg
n/a
117. Desogestrel tablet 75 mcg
Cerazette
DEXIGEN
n/a
120. Desoksimetason salep 0,25%
Dexocort
STESOLID
122. Diazepam injeksi i.v./i.m 5 mg/ml
n/a
STESOLID
124. Diazepam tablet/kapsul/kaplet 2 mg
n/a
125. Dietilkarbamazin tablet scored 100 mg
n/a
126. Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
n/a
127. Digoksin injeksi 0,25 mg/ml
Fargoxin inj
128. Digoksin tablet 0,25 mg
n/a
129. Diltiazem HCl tablet 30 mg
n/a
130. Diltiazem infus injeksi 50 mg

131. Diltiazem injeksi 25 mg/5 mL
Herbesser Powder Injection

50mg
Farmabes Injeksi 25 mg
Herbesser CD 100
Herbesser CD 200
134. Dimenhidrinat tablet/kapsul/kaplet 50 mg
n/a
135. Dinatrium edetat tetes mata 0,35%
E.D.T.A
136. Dinatrium klodronat infus kons 60 mg/mL
Bonefos Infus 60 mg / 5 ml
137. Dobutamin injeksi 50 mg/mL
DOBURAN
Cardura 1mg
Cardura 2mg
140. Doksisiklin tablet/kapsul/kaplet 100 mg
n/a
Doxorubicin kalbe
Doxorubicin Actavis 50 mg
143. Domperidon suspensi/sirup 5 mg/5 ml
n/a
144. Domperidon tablet 10 mg
n/a
145. Domperidon tetes 5 mg/mL
n/a
146. Dopamin injeksi 40 mg/ml
UDOPA
147. Dosetaksel injeksi 20 mg/0,5 ml
n/a
148. DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate calcium

trisodium/mL
149. Dutasterid kaps lunak 0,5 mg
Renalscan KaeF
150. Efavirens tablet salut 600 mg
n/a
151. Efedrin Inj 50 mg/ml
n/a
152. Eksemestan tablet 25 mg
Aromasin
156. Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
n/a
157. Epirubisin serb injeksi 50 mg/25ml (Produk Kosong s/d awal Agustus 2015)
Epirubisin Kalbe
158. Epirubisin serb injeksi 10 mg/5 ml
n/a
159. Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI
D-Vit FT
160. Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml
D-Vit Syrup
n/a
n/a
163. Eritromisin sirup kering 200 mg/ 5 ml
n/a
Hemapo 10.000 IU
Eprex 2000
Hemapo 3000
167. Eritropoetin-beta inj 2000 UI/0,3 mL
Recormon
168. Estrogen terkonjugasi tablet salut 0,625 mg
Esthero 0.625mg
169. Etambutol tablet 250 mg (HCl)
n/a
170. Etambutol tablet salut 500 mg (HCl)
n/a
171. Etanol 70% cairan
n/a
172. Etinilestradiol tablet 0,05 mg
Lynoral
Avodart
173. Etonogestrel implan 68 mcg
Implanon
174. Etoposid injeksi 20 mg/ml
Posyd
175. Eugenol cairan
n/a
Certican 0,25 mg Tab
Certican 0,5 mg Tab
178. Faktor IX kompleks serbuk injeksi 1.000 UI/vial + pelarut 10 ml
Nonafact 1000 IU
179. Faktor IX kompleks serbuk injeksi 500 UI/vial + pelarut 5 ml
Nonafact 500 IU
180. Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi IX 25 UI, faktor Cofact 500 IU/20 ml
koagulasi X 14-35 UI
181. Faktor Koagulasi II 14-35 UI, Faktor Koagulasi VIII 7-20 UI, Faktor Koagulasi IX 25 UI,
Faktor Koagulasi X 14-35 UI (250 IU/10ml)
182. Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi
Cofact 250 IU
183. Faktor VIII (konsentrat) serb inj 230 -340 UI
Haemoctin
184. Faktor VIII (konsentrat) serb inj 250 UI/vial + pelarut 5 mL
Haemoctin
185. Faktor VIII (konsentrat) serb inj 480 - 600 UI
KOATE DVI 500 IU
186. Faktor VIII (konsentrat) serb inj 500 UI/vial + pelarut 5 ml
Aafact 500 IU
187. Fenitoin injeksi 50 mg/ml
n/a
188. Fenitoin kapsul/kaplet 100 mg
n/a
189. Fenitoin Na Inj 100 mg/2 ml
n/a
190. Fenobarbital injeksi i.m./i.v. 50 mg/ml
n/a
191. Fenobarbital tablet/kapsul/kaplet 100 mg
n/a
n/a
n/a
194. Fenoksimetil penisilin (penisilin V) tablet 250 mg
n/a
195. Fenoksimetil penisilin (penisilin V) tab 125 mg
Fenocin
196. Fenoksimetil penisilin (penisilin V)tablet 500 mg
n/a
197. Fenoterol HBr ih 100 mcg/puff
Berotec MDI
198. Fenoterol HBr inh solution 0,1%
Berotec Solution
n/a
n/a
201. Fentanil patch 12,5 mcg/jam
Durogesic 12,5 MU Matrix
204. Filgrastim inj 300 mcg/mL
Leucogen
205. Finasterid tab 5 mg
Prostacom
206. Fitomenadion (Vit.K1) tablet salut gula 10 mg
n/a
207. Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml
n/a
208. Fludarabin inj 50 mg
Fludara IV LYO
209. Fludarabin tab 10 mg
Fludara Oral
210. Flufenazin injeksi i.m. 25 mg/ml
Sikzonoate Injeksi
211. Flukonazol injeksi 2 mg/ml
n/a
212. Flukonazol tablet/kaplet/kapsul 50 mg
Diflucan 50mg
213. Flukonazol tablet/kapsul 150 mg
n/a
Foransi 10
NOPRES
216. Fluorometolon tetes mata 0,1 %
Ocuflam ED
Novoseven
217. Fluorourasil inj 250 mg/mL
Curacil
218. Fluorourasil inj 500 mg/ 5 mL
Curacil
219. Flusinolon asetonid krim 0,025%
SYNARCUS
220. flusinolon asetonid salep 0,025%
Dermasolon oint
221. Flutikason furoat intranasal spray
Avamys
222. Flutikason propionat nebules 0,5 mg
Flixotide Nbules
223. Fondaparinuks inj 2,5 mg/0,5 mL
Arixtra
224. Fraksi protein plasma lar inf 5%
Plasmanate
225. Furosemid injeksi i.v./i.m. 10 mg/ml
n/a
226. Furosemid tablet 40 mg
n/a
227. Gadobutrol macrocyclic 5 mg
Gadovist 5 mg
228. Gadobutrol macrocyclic 7,5 mg
Gadovist 7,5 mg
229. Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL
Primovist
230. Gansiklovir serb inj 500 mg (50 mg/mL)
Cymevene
231. Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium klorida 0,30 g
Trinatrium sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g
232. Gefitinib tab 250 mg
n/a
233. Gemfibrozil kapsul/kaplet 300 mg
n/a
234. Gemfibrozil tablet 600 mg
n/a
Gemzar 1000 mg
n/a
237. Gentamisin injeksi 40 mg/ ml
n/a
238. Gentamisin salep mata 0,3%
Genoint Salep Mata
239. Gentamisin tetes mata 0,3%
n/a
240. Glibenklamid tablet 5 mg
n/a
Glicab
Diamicron MR 30
243. Gliklazid tablet lepas lambat 60 Mg
Diamicron MR 60
244. Glikuidon tab 30 mg
n/a
n/a
n/a
n/a
n/a
Glucotrol 10 mg
Glucotrol 5 mg
251. Gliseril trinitrat inj 50 mg/10 mL

252. Gliseril trinitrat kaps SR 2,5 mg
DBL Gliceryl Trinitrate 50

mg/10 ml inj.
Nitrokaf Retard
253. Gliseril trinitrat kaps SR 5 mg
Nitrokaf Forte
254. Gliseril trinitrat tab sublingual 0,5 mg
Nitral
255. Gliserin lar 50%
Gliserin lar 50%
n/a
n/a
258. Goserelin asetat inj 10,8 mg/vial
Zoladex 10,8 mg
259. Goserelin asetat inj 3,6 mg
Zoladex 3,6 mg
260. Griseofulvin tablet 125 mg
n/a
Iressa 250 mg
261. Haloperidol inj 50 mg/mL
Haldol Decanoas
262. Haloperidol injeksi i.m 5 mg/ml
Lodomer Injeksi
n/a
n/a
n/a
Lodomer 2
267. Haloperidol tts 2 mg/mL
LODOMER DROPS
268. Halotan Inhalasi
Halothane
269. Heparin injeksi i.v./s.k. 5000 UI/ml
Inviclot
270. Hepatitis B imunoglobulin (human)
Hyperhep B
271. hidroklorotiazid tab 25 mg
n/a
272. Hidrokortison krim 1%
n/a
273. Hidrokortison krim 2,5 %
n/a
274. Hidroksi Urea tablet/kaplet/kapsul 500 mg
HYDROXYUREA MEDAC
275. Hiosin butilbromid injeksi 20 mg/ml
n/a
276. Homatropin tetes mata 2%
Homatro 2%
277. Human Insulin Intermediate Acting Inj 100 UI/ml
Humulin N Kwikpen
278. Human insulin intermediate acting inj 100 UI/ml, vial (Human Insulin (IntermediateActing))
279. Human insulin intermediate acting inj 100 UI/ml, vial (Insulin human Basal)
Insulatard Vial
280. Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Human Insulin
(Intermediate-Acting))
Insulatard Penfill
281. Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin human Basal)
Sansulin N
282. Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin human Basal)
Humulin N Cart
283. Human insulin intermediate acting inj 100iu/ml, vial (Insulin Human Basal)
Insuman Basal vial 5ml,

100iu/ml
Insuman Comb 25 vial 5ml,
100iu/ml
Humulin 30/70 Kwikpen
284. Human insulin mix inj 100iu/ml, vial (Insulin Human Comb 25)
285. Human Insulin Mix Insulin Inj 100 UI/ml
Humulin N Vial
286. Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Human Insulin (Premix: 30%
Soluble + 70 % NPH Insulin))
287. Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Insulin human Comb)
Mixtard Penfill
288. Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin (Premix: 30% Soluble + 70
% NPH Insulin))
289. Human insulin mix insulin inj 100 UI/ml, vial (Insulin human Comb)
Mixtard Vial
290. Human Insulin Short Acting Inj 100 UI/ml
Humulin R Kwikpen
Humulin 30/70 Cart
Humulin 30/70 Vial
291. Human insulin short acting inj 100 UI/ml, penfill cartridge (Human Insulin (Short Acting)) Actrapid Penfill
292. Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Rapd)
Humulin R Cart
293. Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Rapd)
Sansulin R
294. Human insulin short acting inj 100 UI/ml, vial (Human Insulin (Short Acting))
Actrapid Vial
295. Human insulin short acting inj 100 UI/ml, vial (Insulin human Rapd)
Humulin R Vial
296. Human insulin short acting inj 100iu/ml, vial (Insulin Human Rapid)
297. Human tetanus imunoglobulinn injeksi i.m. 250 UI
Insuman Rapid vial 5ml,

100iu/ml
Tetagam
298. Ibuprofen sirup 100 mg/5 ml
n/a
299. Ibuprofen suspensi 200 mg/5 ml
n/a
n/a
n/a
302. Ifosfamid serbuk injeksi 1000 mg/vial
Holoxan injeksi 1000
303. Imanitib Mesilat tablet salut selaput 100 mg (Skema Risk Sharing sesuai Kepmenkes RI
Nomor HK.02.02/Menkes/223/2014)
Glivec
Tanapress 5mg
306. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml)
Iopamiro
Iopamiro
Iopamiro
Iopamiro
Iopamiro
Iopamiro
312. Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)
Ultravist 300/50 mg
Ultravist 370/50 mg
316. Ipratropium bromida inhalasi 20 mcg/semprot
Atrovent HFA
317. Ipratropium bromida nebulizer 0,025%

Atrovent solution for

inhalation 0.025%
n/a
n/a
320. Irinotekan inf 20 mg/ml
n/a
321. Isofluran inhalasi
Terrell
n/a
n/a
324. Isosorbid Dinitrat injeksi i.v 10 mg/10 ml
Farsorbid inj
325. Isosorbid Dinitrat tablet sublingual 5 mg
n/a
326. Isosorbid dinitrat tablet/kaplet/kapsul 10 mg
Isonat
327. Kalium aspartat tab 300 mg
Kalipar
328. Kalium Klorida tablet 600 mg
KSR
329. Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml
DBL Leucovorin
330. Kalsium Glukonat injeksi i.v 10% (100 mg/ml)
Kalsium glukonat
331. Kalsium Karbonat tablet/kapsul/kaplet 500 mg
Calporosis D500
332. Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg
n/a
333. Kalsium polistirena sulfonat ktg 5 g
KALQUEST
334. Kanamisin inj 1000 mg/ vial
n/a
n/a
n/a
337. Kapesitabin tab 500 mg
Xeloda
338. Kaptopril tablet 50 mg
n/a
339. Kaptopril tablet scored 25 mg
n/a
340. Kaptopril tablet scored12,5 mg
n/a
341. Karbamazepin sirup 100 mg/5 ml

342. Karbamazepin tablet 200 mg
Tegretol Syrup 100mg/5ml,

120ml
n/a
343. Karbimazol tab 5 mg
Neo-Mercazole
Tanapress 10mg
344. Karbogliserin tetes telinga 10%

Karbogliserin tetes telinga

10%
347. Karvediol tablet/kaplet/kapsul 6,25 mg
V - BLOC
KTM
Ketamin Hameln
n/a
n/a
n/a
353. Ketokonazol scalp sol 2%
Zoloral SS
354. Ketokonazol tablet 200 mg
n/a
355. Ketoprofen supositoria 100 mg
Protofen Supp
356. Ketorolac injeksi 30 mg/ml
n/a
357. Klaritromisin tab 500 mg
ORIXAL
n/a
n/a
360. Klobazam tab 10 mg
n/a
361. Klomifen sitrat tablet/kapsul/kaplet t 50 mg
Clomifil 50mg
362. Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)
Catapres Injeksi
363. Klonidin tablet 0,15 mg
n/a
364. Klopidogrel tab 75 mg
n/a
365. Kloramfenikol salep kulit 2%
Bufacetin
366. Kloramfenikol salep mata 1 %
n/a
367. Kloramfenikol serb inj 1000 mg/mL
Colsancetine Injeksi
368. Kloramfenikol suspensi 125 mg/ 5 ml
n/a
369. Kloramfenikol tablet/kapsul/kaplet 500 mg
Chloramex
370. Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg
n/a
371. Klorpromazin injeksi i.m. 25 mg/ml (HCl)
n/a
372. Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
n/a
n/a
n/a
375. Klozapin 100 mg
n/a
376. Klozapin 25 mg
n/a
n/a
n/a
n/a
380. Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg
Ostriol
381. Kolkisin tablet/kaplet/kapsul 500 mcg
Recolfar
382. Koloid HES BM 130 000 lar inf 6%
Voluven
383. Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
Combivent UDV
384. Kombinasi injeksi depot : Medroksi progesteron asetat 25 mg Estradiol sipionat 5 mg
n/a
385. Kombinasi suspensi : Parafin + gliserin + fenolftalein
Laxadine Emulsi 60 ml
386. Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg
n/a
387. Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida 1,32 mg
Cendo Lyteers
388. Kombinasi: Artemether 20 mg; Lumefantrin 120 mg
Coartem
389. Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg
Stalevo
390. Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg
Aluvia
391. Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg
Seretide Inhaler 50 mcg
Seretide Diskus 100 mcg
Seretide Diskus 250 mcg
394. Kontrasepsi pil oral, kombinasi :* Levonorgestrel 150 mcg Etinilestradiol 30 mcg
n/a
395. Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimetoprim 80 mg n/a

396. Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml
n/a
397. Kuinin (Kina) tablet 200 mg
n/a
398. Kuinin injeksi i.v. 25% (sebagai 2 HCl)
n/a
399. Kuinin tablet 222 mg (H2SO4.7H2O)
n/a
400. Laktulosa sir 3,335 g/5 mL
n/a
401. Lamivudin tablet/kaplet/kapsu 100 mg
Heplav
402. Lamivudine tablet 150 mg
n/a
403. Lansoprazol inj 30 mg/ml
Prosogan Inj.
404. Lanzoprazol kapsul/kaplet 30 mg
n/a
405. Lapatinib tab 250 mg
Tykerb
406. Larutan mengandung Asam Amino (Asam Amino 10%)
Kalbamin
407. Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2 mEq,
Asetat 120 mEq)
408. Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 mEq)
Amiparen
Pan-amin G
409. Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit)
Aminofluid
1000 ml
410. Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) 500 Aminofluid
ml
411. Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, L-Ornithine L
Aminofusin Hepar
Aspartate 8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50 gr/L)
412. Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,24 gr/l)
Aminosteril Infant 6%
413. Larutan mengandung Asam Amino (Asam

Asam Amino non esensial = 60 : 40)
ratio 2.6, Na+ 2 mEq, Asetat 46 mEq)
94 mEq)
Amino 7%, Komposisi: Asam Amino esensial:
Nephrosteril
Amino 72.05 g, Total N 11.53 g, AAE/AANE
Kidmin
Amino 79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl
Aminoleban
amino 8%)
Aminosteril N-Hepa
417. Larutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L)
Eas Pfrimer
418. Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine L Aspartate 10 gr/L,
Comafusin Hepar
Xylitol 50 gr/L, Malic Acid 7 gr/L, Piridoxin 0.12 gr/L)
419. Larutan mengandung Asam Amino (Kombinasi Asam aminno 50 g/L, Sorbitol 50 g/L,
Aminofusin L600
Xylitol 50 g/L, Asam Askorbat (Vit C) 0.4 g/L, Inositol 0.5 g/L, Nikotinamida (Niasinamida)
0.06 g/L, Piridoksin HCl (Vit B6) 0.04 g/L, Riboflavin Natrium Fosfat 2.5 mg/L, elektrolit)
420. Larutan mengandung Asam Amino (Kombinasi Asam amino 50 g/L, vitamin dan
elektrolit)
Aminofusin Paed
421. Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr, Lipid:
51gr dan Elektrolit (Kalori = 1000 kkal, Akses peripheral))
Kabiven 1440 ml
422. Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr, Lipid: Kabiven 1920 ml
68gr dan Elektrolit (Kalori = 1400 kkal, Akses peripheral))
423. Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150 gr + Asam
Amino 48 gr dgn akses sentral)
424. Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 80 gr + Asam
Amino 40 gr )
425. Larutan mengandung Elektrolit (Kalium Klorida)
Combiflex Plus (790 kcal)
426. Larutan mengandung Elektrolit (Larutan Ringer Laktat)
Wida RL
427. Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq)
Asering
428. Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
KA EN 1B
Combiflex peri (480 kcal)

Otsu - KCl 7,46%
429. Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Potassium Chloride Totilac
0.3 gr/L, Calcium Chloride 0.2 gr/L, elektrolit)
430. Larutan mengandung Elektrolit (Tiap 1000 ml mengandung electrolit: Sodium 145
Ringerfundin 500 mL
mmol/l, 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)
431. Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 g/ L +
elektrolit)
432. Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)
Triofusin 1000
433. Larutan mengandung Karbohidrat (Maltose 100 gr)
Martos
Triofusin 500
434. Larutan mengandung Karbohidrat + Elektrolit (25.00g maltose, 3.00 g sodium chloride, Potacol inj
0.15 g potassium chloride, 0.10 g calcium chloride dihydrate dan 1.55 g sodium lactate)
435. Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50
gr/L)
436. Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 100 gr/L,
elektrolit)
437. Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 75 gr/L,
elektrolit)
438. Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g, glucose 33 g, Xylitol 30 g/
L)
439. Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g, KCl 1,3 g,
Natrium Laktat 3,1 g, air untuk injeksi ad 1000 ml)
440. Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium Chloride 9 g, air
untuk injeksi ad 1000 ml)
Tutofusin OPS
441. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g)
WIDA 2A
442. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g)
WIDA D5-1/4NS
443. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g)
WIDA D5-1/2NS
Clinimix N9G20E
Clinimix N9G15E
Triofusin E1000
Wida HSD
Wida D5-NS
444. Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi infus per L: Na. Futrolit
100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g)
445. Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%)
Wida RD
446. Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Glukosa 100 gr)
KA ENMG 3
447. Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24
gr, Dekstrosa 27 gr)
448. Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75
gr Dekstrosa 27 gr)
449. Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20% 100 ml)
KA EN 3B
450. Larutan mengandung Lipid (Emulsi lemak 20%)
Intralipid
451. Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml)
KA EN 3A
452. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr + Asam Amino 71.8 Nutriflex Lipid Special 1250
gr + Lipid 50 gr dgn akses sentral)
453. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 80 gr + Asam Amino 40 gr Nutriflex Lipid Peri 1250
+ Lipid MCT/LCT 50 gr)
454. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90 gr + Asam Amino 35.9 Nutriflex Lipid Special 625
gr + Lipid 25 gr dgn akses sentral)
455. Latanoprost tetes mata 0,01%
Cendo Glaopen
456. Latanoprost tts mata 0,005% btl@2,5ml
Xalatan 0,005%
457. Lenograstim inj 263 mcg/mL
Granocyte 34 1vl HSA Free
458. Letrozol tablet/kaplet/kapsul 2,5 mg
FEMARA
Tapros 1.88mg
Tapros 3M
TAPROS 3.75 MG
462. Levofloksasin inf 5 mg/mL
n/a
463. Levofloksasin tablet 500 mg
n/a
464. Levofloksasin tts mata 0,5%
Optiflox
Euthyrox 100
Euthyrox 50
467. Lidokain injeksi 2% (HCL)
n/a
468. Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml
n/a
469. Lidokain jeli 2%
Xylocaine Jelly 2%
470. Lidokain semprot 10%
Xylocaine Spray 10 mg / dosis
n/a
n/a
Frimania 200
Frimania 400
475. Loperamid tablet 2 mg
n/a
476. Loratadin tablet 10 mg
n/a
477. Lorazepam tablet 0,5 mg
MERLOPAM 0,5 mg
478. Lorazepam tablet 2 mg
Merlopam 2
479. Low molecule feri sucrose inj amp 100 mg/5 mL
DIALIFER
OTSU-MgSO4 20
OTSU-MgSO4 40
482. Manitol
n/a
Ludios
Sandepril 50
485. MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/mL
Bonescan KaeF
486. Mebendazol tablet 500 mg
Vermox 500
487. Medroksi Progesteron Asetat tablet/kaplet/kapsul 100 mg
Provera 100mg
488. Medroksi Progesteron asetat tablet/kaplet/kapsul 10 mg
Prothyra 10mg
489. Melfalan tablet 2 mg
Alkeran
490. Meropenem inj 1 g
n/a
491. Meropenem serb inj 500 mg/vial
n/a
492. Mesna inj 100 mg/mL
Uromitexan injeksi.
493. Metadon sir 50mg/5ml
n/a
n/a
n/a
496. Metildopa tablet salut 250 mg
DOPAMET
497. Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg
n/a
498. Metilergometrin Maleat injeksi 0,200 mg-1 ml
n/a
499. Metilfenidat kapsul LA 20 mg
Ritalin LA
500. Metilfenidat tablet SR 10 mg
RITALIN
n/a
n/a
n/a
n/a
n/a
506. Metoklopramid drop botol 10 mL
GAVISTAL drops
507. Metoklopramide sirup 5 mg/ 5 ml
LEXAPRAM SIRUP
508. Metoklopramide tablet 5 mg
n/a
509. Metotreksat serb inj 50 mg/2 mL
Methotrexate Kalbe
510. Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg
METHOTREXATE EBEWE
511. Metotreksat tablet/kaplet/kapsul 2,5 mg

512. Metronidazol infus 500 mg/100 ml
METHOTREXATE EBEWE 2.5

MG
n/a
513. Metronidazol ovula 500 mg
Vagizol
514. Metronidazol sirup 125 mg/5 Ml
Farizol
515. Metronidazol supositoria 500 mg
Flagyl
n/a
n/a
518. MIBG (meta-iodobenzylguanidine)
Endoneuroscan KaeF 1
519. MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial
Cardioscan KaeF
520. Midazolam injeksi i.v. 5 mg/ml
Dormicum
521. Mikafungin Na serb inj 50 mg
Mycamine
522. Mikofenolat Mofetil 500 mg
Cellcept
523. Mikonazol krim/salep 2 % (Nitrat)
n/a
524. Modified fluid gelatine BM 30 000 lar inf 4%
Gelofusine 4%
525. Moksifloksasin tetes mata 0,5%
Vigamox
526. Mometason furoat krim 0,1%
n/a
527. Morfin HCL inj 10 mg/ml
n/a
MST Continus 10 mg
MST Continus 15 mg
MST Continus 30 mg
531. Morfin tablet 10 mg
n/a
532. N-asetil sistein inj. nebules 100 mg
N-ace cairan inhalasi
533. Nacl 0,9%
n/a
534. Nadroparin inj 9500 Axa/mL syringe 0,3 mL
Fraxiparine 0.3 ml
Fraxiparine 0.4 ml
Fraxiparine 0.6 ml
537. Nalokson injeksi 0,4 mg/ml
Nokoba
538. Natrium Bikarbonat injeksi i.v 8,4%
Meylon
n/a
n/a
541. Natrium fosfat btl, 133 mL
Fleet Enema
542. Natrium fosfat lar oral 45 mL
Fleet Phosphosoda
543. Natrium fusidat krim 20 mg/g
Acdat
544. Natrium fusidat salep 20 mg/g
Fucilex Ointment
545. Neostigmin injeksi 0,5 mg/ml
Neostigmin Hameln inj
546. Nevirapin tablet 200 mg
n/a
547. Nifedipin tab 20 mg, slow release; oros
Adalat Oros 20 mg
548. Nifedipin tab 30 mg, oros
Adalat Oros 30 mg
549. Nifedipin tablet/kapsul 10 mg
n/a
550. Nikardipin inj 10 mg/vial
n/a
551. Nilotinib kapsul 200 mg (Skema Risk Sharing sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
552. Nistatin tablet salut 500.000 IU/ g
Tasigna
553. Nistatin vaginal tablet 100.000 IU/ g
n/a
554. Norepinefrin injeksi 1 mg/ml
Levosol
555. Noretisteron tablet 5 mg
Primolut N
n/a
n/a
558. Obat Antituberkulosis FDC Kategori Anak
n/a
559. Obat Antituberkulosis FDC Sisipan
n/a
560. Obat Antituberkulosis Kategori 1 dewasa
n/a
561. Obat Antituberkulosis Kategori anak
n/a
562. Octreotide Acetate0,05 - 6 mg/mL
Octide
563. Ofloksasin tets telinga 3%
Tarivid Otic Solution
n/a
n/a
ELOXATIN
ELOXATIN
Ilaidin Drops
Iliadin Spray
570. Oksitosin injeksi 10 IU/ml
Oxytocin "S"
571. Oktreotid 10 mg
Sandostatin LAR
572. Olanzapin inj 10 mg/vial
Zyprexa IM
573. Olanzapin kapl salut 5 mg
Olandoz 5
574. Olanzapin tab 10 mg
Olandoz 10
575. Olopatadin tts mata 0,1%
Patanol
576. Omeprazol injeksi 40 mg/ 10 ml
n/a
577. Omeprazol kapsul/kaplet 20 mg
n/a
578. ondansetron inj 4 mg/ 2 mL
n/a
579. Ondansetron tab 4 mg
n/a
580. Ondansetron tablet 8 mg
n/a
581. Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Tenckoff
Catheter, Titanium Adaptor)
582. Paket CAPD Pergantian Transfer Set per 6 bulan
n/a
n/a
n/a
583. Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan komposisi Larutan Dialisa 1.5 %,
Larutan Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)
Larutan Dialisa 1.5%: Dianeal

Low Calcium with 1,5%
Dextrose; Larutan Dialisa
2.5%: Dianeal Low Calcium
with 2,5% Dextrose; Larutan
Dialisa 4.25%: Dianeal Low
Calcium with 4.25% Dextrose
SINDAXEL 100 MG/16,67 ML
SINDAXEL 260mg/43.33 ML
586. Paklitaksel injeksi 30 mg/vial
SINDAXEL 30 MG/5 ML
587. Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
n/a
588. Parasetamol sirup 120 mg / 5 ml
n/a
589. Parasetamol tablet 500 mg
n/a
590. Parasetamol tetes 60 mg/0,6 mL
FASIDOL
Pegasys
Pegasys
Pegintron Pen 120 Mcg
Pegintron
597. Perak sulfadiazin krim 1%
BURNAZIN 35 GR
598. Perindoprilarginin tab 5 mg
Bioprexum 5 mg
599. Permetrin krim 5%
Scabimite Cream 10
600. Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
n/a
DECULIN 15 MG
DECULIN 30 MG
603. Pirantel suspensi 125 mg/5 ml
n/a
604. Pirantel tablet score (base) 125 mg
n/a
605. Pirazinamid tablet 500 mg
n/a
606. Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl)
n/a
607. Piridoksin (vitamin B6) inj 100 mg/mL
n/a
608. Polikresulen cairan
Aptil
n/a
n/a
n/a
n/a
Sifrol ER 0,375mg
Sifrol ER 0,750mg
615. Pravastatin tablet 20 mg
n/a
616. Prednison tablet/kapsul/kaplet 5 mg
n/a
617. Primakuin tablet 15 mg
n/a
618. Probenesid tablet/kapsul/kaplet 500 mg
Probenid
619. Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial
n/a
620. Propanolol tablet 10 mg ( HCl )
n/a
621. Propiltiourasil tablet/kapsul/kaplet 100 mg
n/a
622. Propofol injeksi i.v., bolus 1%
Fresofol 1% MCT/LCT
623. Propranolol tablet 40 mg (HCl)
n/a
Seroquel XR 200 mg
Seroquel XR 300 mg
Seroquel XR 400 mg
627. Ramipril tablet 2,5 mg
Cardace 2.5mg 6x10 s tablet
628. Ramipril tablet 5 mg
n/a
629. Ramipril tablet/kaplet/kapsul 10 mg
n/a
630. Ranitidin injeksi 25 mg/ml
n/a
631. Ranitidin tablet 150 mg
n/a
632. Retinol (Vitamin A) 100.000 IU
n/a
633. Retinol (Vitamin A) 200.000 IU kapsul lunak
n/a
634. Rifampisin tablet salut 450 mg
n/a
n/a
n/a
637. Ringer Laktat larutan infus
n/a
n/a
n/a
n/a
641. Rituksimab injeksi 10 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
Mabthera
Xarelto 15 mg
Xarelto 20 mg
645. Rokuronium injeksi i.v. 50 mg/5ml
Esmeron
649. Salbutamol cairan ih 0,1%
Ventolin Nebules
650. Salbutamol inhalasi/aerosol 100 mcg/dosis
Ventolin Inhaler
651. Salbutamol serb inh 200 mcg/kaps
Ventolin Rotacaps
652. Salbutamol serb inh 200 mcg/kaps + rotahaler
Ventolin Rotahaler
653. Salbutamol tablet 2 mg (sebagai Sulfat)
n/a
654. Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4%
n/a
655. Sefadroksil sirup kering 125 mg/5ml
n/a
n/a
n/a
658. Sefadroksil sir kering 250 mg/5 mL
n/a
659. Sefaleksin kapsul/kaplet 500 mg
n/a
660. Sefazolin serbuk injeksi 1 g/vial
n/a
661. Sefepim inj 1 g
n/a
662. Sefiksim kapsul/kaplet 100 mg
n/a
663. Sefiksim sirup kering 100 mg/ 5 ml
n/a
664. Sefoperazon inj 1 g
n/a
665. Sefotaksim injeksi 0,5 g
n/a
Xarelto 10 mg
666. Sefotaksim injeksi 1 g
n/a
667. Seftazidim injeksi 1 g
n/a
668. Seftriakson serbuk injeksi 1 g/vial
n/a
669. Sefuroksim tablet/kapsul/kaplet 250 mg
Zinnat 250 mg
670. Sefuroksim serbuk injeksi 750 mg/vial
Sharox inj
671. Sefuroksim tab 500 mg
Zinnat 500
672. Sertralin tab 50 mg
Fatral
673. Setirizin sirup 5 mg/5 ml
n/a
674. Setirizin tablet 10 mg
n/a
675. Setuksimab infus 5 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
676. Sevofluran ih, btl
Erbitux
677. Sianokobalamin (vitamin B12) injeksi 500 mcg
n/a
678. Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg
n/a
CYCLOVID 1000
Cyclovid 200 mg
CYCLOVID 500
682. Siklosporin kaps 100 mg

683. Siklosporin kapsul lunak 25 mg
Sandimmun Neoral 100mg

Kap
Sandimmun Neoral 25mg Kap
684. Silostazol tablet/kapsul/kaplet 100 mg
Citaz
685. Simvastatin scored tablet 10 mg
n/a
686. Simvastatin tablet 20 mg
n/a
687. Siprofloksasin infus 2%
n/a
688. Siprofloksasin tablet 500 mg (sebagai HCl)
n/a
Cisplatin
Cisplatin
691. Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml
DBL Cytarabun
692. Spiramisin tablet 500 mg
n/a
n/a
n/a
695. Stavudin tablet/kapsul/kaplet 30 mg
n/a
696. Streptokinase injeksi 1,5 juta UI/vial
Streptase
697. Streptomisin serbuk injeksi i.v 1000 mg/ml
n/a
698. Sufentanil injeksi iv, epidural 5 mcg/ml

699. Sukralfat susp 500 mg/5 mL
Sufentanyl Injeksi iv.Epidural 5

mcg / ml
Ulsafate
700. Sukralfat tab 500 mg
ULSIDEX
701. Takrolimus kaps 0.5 mg
Prograf
702. Takrolimus kaps 1 mg
Prograf
703. Tamoksifen tablet 20 mg
TAMOXIFEN EBEWE
Harnal D
Harnal D
706. Tamsulosin tab SR 0,4 mg
Harnal OCAS
707. Telbivudin tab 600 mg
Sebivo 600 mg Tab
708. Telmisartan tab 40mg
Micardis 40mg
Sojourn
709. Telmisartan tab 80 mg
Micardis 80mg
Temodal
Temodal
712. Tenofovir tab 300 mg
n/a
713. Teofilin tab SR 300 mg
Rethapyl
714. Teofilin tablet 150 mg
Bronsolvan
HYTROZ 1MG
HYTROZ 3MG
717. Terbutalin cairan ih 2,5 mg/mL
Bricasma Respules
718. Terbutalin tablet 2,5 mg
Molasma Tablet
719. Terbutalin turbu (serbuk ih) 0,50 mg
Bricasma Turbuhaler 0,5 mg
720. Testoteron soft capsul 40 mg
Andriol Testocaps
721. Tetrakain HCl tetes mata 0,5%
Pantocain 0.5%
722. Tetrasiklin kapsul/kaplet 250 mg
n/a
723. Tetrasiklin tablet/kapsul/kaplet 500 mg
n/a
Thyrozol 10
Thyrozol 5
Isotic Adretor 0,25%
Isotic Adretor 0,5%
728. Tiotropium 18 mcg refill

729. Tiotropium kaps 18 mcg + handihaller
Spiriva powder for inhalation

18mcg 30s
Spiriva 10s + Handihaler
730. Tramadol injeksi 50 mg/ml
n/a
731. Trastuzumab serbuk injeksi 440 mg/vial (Skema Risk Sharing sesuai Kepmenkes RI
Nomor HK.02.02/Menkes/223/2014)
732. Travoprost tetes mata 0,004%
Herceptin
733. Triamsinolon asetonid nasal spray 55 mcg/puff
Nasacort AQ
734. Triamsinolon inj 10 mg/mL
Flamicort
735. Trifluoperazin tablet 5 mg
n/a
736. Tropikamid tetes mata 1%
Cendo Mydriatil 1%
737. Urea krim 10%
Soft U Derm
738. Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi
(DIPA Kemkes))
(DIPA Kemkes))
(DIPA Kemkes))
BCG Vaccine (GS)
741. Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes))
BCG Vaccine (SII)
BCG Vaccine SSI
BCG Vaccine (GS)
744. Vaksin BCG Kering (BF) (Harga pengadaan di Kementerian Kesehatan Pusat franco
745. Vaksin BCG Kering (BF) (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA
Kemkes))
746. Vaksin Campak Kering (Harga pengadaan di Kementerian Kesehatan Pusat franco
747. Vaksin Campak Kering (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA
Kemkes))
n/a
Travatan
BCG Vaccine (SII)

BCG Vaccine SSI
n/a
n/a
n/a
748. Vaksin DTP-HB-Hib (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota
749. Vaksin DTP-HB-Hib (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA
Kemkes))
750. Vaksin Hepatitis B Rekombinan (Harga pengadaan di Kementerian Kesehatan Pusat
franco ibukota provinsi (DIPA Kemkes))
751. Vaksin Hepatitis B Rekombinan (Harga pengadaan di Provinsi franco ibukota Provinsi
(Non DIPA Kemkes))
752. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga pengadaan di Kementerian Kesehatan
Pusat franco ibukota provinsi (DIPA Kemkes))
753. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga pengadaan di Provinsi franco ibukota
Provinsi (Non DIPA Kemkes))
754. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga pengadaan di Kementerian Kesehatan
Pusat franco ibukota provinsi (DIPA Kemkes))
755. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga pengadaan di Provinsi franco ibukota
Provinsi (Non DIPA Kemkes))
756. Vaksin Meningitis Meningokokus
Pentabio
757. Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)
Imovax Polio
Pentabio
n/a
n/a
n/a
n/a
n/a
n/a
Menveo
758. Vaksin Poliomyelitis Oral (Harga pengadaan di Kementerian Kesehatan Pusat franco
n/a
759. Vaksin Poliomyelitis Oral (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA n/a
Kemkes))
760. Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster
Verorab
761. Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster
Verorab
762. Vaksin TT (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota provinsi
(DIPA Kemkes))
763. Vaksin TT (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA Kemkes))
n/a
764. Valasiklovir tablet/kapsul/kaplet 500 mg
Valvir
765. Valgansiklovir tab 450 mg
Valcyte
766. Valproat sirup 250 mg/5 ml
Ikalep
Depakote ER 250 mg
Depakote ER 500 mg
769. Valproat tablet salut 250 mg
Depakote Tab 250 mg
Diovan 80mg Tab
DIOVAN 160 MG
772. Vankomisin serbuk injeksi 500 mg/vial
Vancep
773. Verapamil tab 240 mg
Isoptin 240 mg
774. Verapamil tablet 80 mg (HCl)
n/a
775. Vinblastin serbuk injeksi 10 mg
Vinblastine
776. Vinkristin serb inj i.v 2 mg/vial
Vincristine Kalbe
777. Vinkristin serbuk injeksi i.v. 1 mg
Vincristine Kalbe
778. Vinorelbin inj. 10 mg/ml
Navelbine injeksi 10
779. Vitamin B Kompleks tablet
n/a
780. Zidofudin 100 mg
n/a
781. Zidovudin 300 mg + Lamivudine 150 mg
n/a
782. Zinc drop 10 mg/mL
Zincpro Drops
783. Zinc sir 10 mg/mL
Zinkid
784. Zinc sir 20 mg/5 Ml
Zircum Kid Sirup
785. Zinc tablet dispersible20 mg
n/a
n/a
Nama Penyedia
Kemasan
PT. Kimia Farma

PT Otsuka Indonesia
PT. Widatra Bhakti
PT. Dexa Medica
PT. Dexa Medica
PT. Indofarma
PT. Holi Pharma
PT. Ikapharmindo
PT. Ikapharmindo
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Pertiwi Agung
PT. Bernofarm
PT. Dexa Medica
PT. Kimia Farma
PT. Kimia Farma
PT. Sanbe Farma
PT. Lucas Djaja
PT. Erela
PT. Aventis Pharma
PT. Darya Varia
PT. Indofarma
PT. Pertiwi Agung
PT. Pertiwi Agung
PT. Novapharin
PT. Bernofarm
PT. Holi Pharma
PT. Novapharin
PT. Bernofarm
PT. Aventis Pharma
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
1 blister@24 tablet
Injeksi 100 IU/ml, Flexpen disposible 3
Dus, 3 Blister @ 10 kapsul

Dus, 120 ampul PE @ 25ML
Btl @ 1000 ml
Dus, 10 dus @ 1 botol @ 10 ml
Vial 100 ml
Vial 50 ml
botol @ 100 ml
botol @ 20 ml
botol @ 50 ml
botol @ 250 ml
botol @ 50 ml
Ktk 10x10 tablet
Ktk 10x10 tablet
Dus, 1 vial@50mg + 1 vial pelarut @
tube 3.5 gr
Vial 2 ml
dus 30 ampul @10 ml
Botol @ 100 tablet salut selaput
Btl @ 100 tablet
Dus, 6 ampul @ 3 ml
strip
dus 10 X 10'S
Dus, Botol 60 ml
btl @ 60 ml
Dus, 10 vial @ 1 g
Injeksi 100 IU/ml, Flexpen disposible 3
Penfill cartridge
Dus, vial 10 ml
PT. Aventis Pharma
PT. Bayer Indonesia
Penfill cartridge

PT. Erela
Botol @ 60 ml
PT. Indofarma
Dus, 25 tube @ 5 g
PT. Kimia Farma
DUS, 10 SUPP @ 2 GRAM
PT. Kimia Farma

PT. Kimia Farma
PT. Meprofarm
ktk 10 x 10 tablet
PT. Kimia Farma

PT. Pharma Laboratories
PT. Phapros, Tbk
PT. Kimia Farma
PT. Kimia Farma
PT. Dexa Medica
PT. Afifarma
PT. Bernofarm
PT. Sanbe Farma
PT. Bernofarm
PT. Sanbe Farma
PT. Indofarma
PT. Sampharindo Perdana
PT. Widatra Bhakti
PT. Zenith Pharmaceuticals
PT Kalbe Farma
PT. Pratapa Nirmala
PT. Indofarma
PT. Kimia Farma
PT. Phapros, Tbk
PT. Phapros, Tbk
Dus 6 amp @ 1ml
Btl 100 tablet

Dus, 1 Vial @ 60 mg + 1 Ampul Pelaru

Dus @ 10 X 10 's
KOTAK @ 10 x 10 TAB
ktk 10x10 tablet
Botol @ 100 tablet
Boks, 1 ampul
dus, 10 blister @ 10 kapsul
Dus, 10 blister @ 10 kaptab ss
Strip
Dus, 1 vial plastik @ 5ml
Tube 3,5 gram
10.000 UI/Vial
strip
Dus, 5 ampul @ 2.5 ml
100 AMPUL @ 1 ML
Botol 5ml
Botol 5ml
botol @ 60 ml
ktk 2x10 tablet
Strip
Dus @ 50 gram
Ds 10 vial x 1,2 Jt IU
10 vial @ 2.400.000 IU
PT.
PT.
PT.
PT.
PT.
Abbott Indonesia
Combiphar
Kimia Farma
Sanbe Farma
Boehringer Ingelheim
Vial
Tube 5 gr
botol @ 5 ml
Dus, 1 vial @ 4 ml

PT. Sanbe Farma
PT. Merck Tbk
PT. Pratapa Nirmala
PT Kalbe Farma
PT. Caprifarmindo
PT Otsuka Indonesia
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
AstraZeneca indonesia
Dexa Medica
Pratapa Nirmala
Tempo Scan Pacific
Novell Pharmaeutical Laboratories
Novartis Indonesia
Novartis Indonesia
Sydna Farma
Sydna Farma
Novartis Indonesia
Indofarma
Bernofarm
Merck Sharp Dohme Pharma Tbk
Ifars Pharmaceutical Laboratories
Dexa Medica
Kimia Farma
Actavis Indonesia
Indofarma
Actavis Indonesia
Kimia Farma
Holi Pharma
Phapros, Tbk
Pratapa Nirmala
Yarindo Farmatama
Indofarma

Supp
1 Box @ 6's
Box 3 X 10 tab
Vial
Box 3 x 10'S
Unit, 200 dosis
Dus, 4 pak @ 5 respules @ 2 ml
Dus, 5 ampul @ 4 ml
ampul
vial @ 20 ml
vial
Dus, Botol @ 500ml
Dus, Botol @ 100 tablet
Dus, 10 vial @ 500mg
Dus, tube @ 5 g
Kotak, tube @ 15 gram
Dus Tube 10 gram
Dus @ 30 Ampul
Box @ 5 ampul 2 mL
Box 10 X 10 Tab
10 vial @ 50mg
PT.
PT.
PT.
PT.
PT.
PT.
Vial 5 mL
Pratapa Nirmala
Tanabe Indonesia
Tanabe Indonesia
Kimia Farma
Cendo Industri Farmasi
Bayer Indonesia
botol 15 ml
ampul
PT. Dipa Pharmalab

PT Kalbe Farma
ampul @ 5 ml
PT.
PT.
PT.
PT.
PT.
PT.
btl @ 60 ml
Novapharin
Novapharin
Bernofarm
Dipa Pharmalab
Sanbe Farma
Kimia Farma

Box @ 10 strip 10 kapsul
vial @ 5 ml
Dus, 1 vial @ 50 mg
dus 10 X 10'S
Dus, botol @ 10 ml
ampul @ 5 ml
Dus, 1 vial @0,5 ml+ 1 vial pelarut @1
Dus @ 5 vial

PT. Kimia Farma
PT. Bernofarm
PT. Aventis Pharma
PT. Aventis Pharma
PT. Aventis Pharma
PT. Phapros, Tbk
PT Kalbe Farma
Dus, Botol Plastik @ 30 Tablet
PT. Sanbe Farma

PT. Kimia Farma
PT. Indofarma
PT Kalbe Farma
PT Kalbe Farma
PT SUNTHI SEPURI
PT. Kimia Farma
PT. Indofarma
PT. Novapharin
Dus, 1 vial @5 ml
Botol 30 tab
Ampul @ 1 ml
Dus @ 30 Ampul
Vial @ 25 ml
Dus 3 strip @ 10 Flash tablet

Dus, Botol Plastik @ 100 mL
ktk 10 x 10 kapsul
Botol @60 ml
vial/ampul (Prefilled Syringe)
Dus, 6 prefilled syrenge @ 0.5 ml
Prefilled Syringe @ 1ml
Boks, 6 ampul
dus, 1 blister @ 28 kaptab salut gula
ktk 20 x 10 tablet
btl @ 100 ml
Dus, botol @ 100 tablet
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Combiphar
Kimia Farma
Novartis Indonesia
Novartis Indonesia
Graha Farma
Graha Farma
Graha Farma
Dus, 1 blister @ 1 subdermal implant

Vial 100mg/5ml
Botol 10 ml
Dus, 1 vial @ 500 IU+ 1 vial pelarut @
Dual, vial 500 IU
PT. Graha Farma
Dus, vial @ 250 IU+ 1 vial pelarut @
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
KOTAK @ 1 VIAL SERBUK OBAT & INFUS
Ferron Par Pharmaceuticals

Kimia Farma
Kimia Farma
Dipa Pharmalab
Graha Farma
Mersifarma Tirmaku Mercusana
Ikapharmindo
Phapros, Tbk
Indofarma
Hexpharm Jaya Laboratories
Phapros, Tbk
Actavis Indonesia
Phapros, Tbk
Kimia Farma
Kimia Farma
Kimia Farma
PT. Kimia Farma

PT. Kimia Farma
PT Kalbe Farma
PT. Combiphar
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Aventis Pharma
PT. Aventis Pharma
PT. Kimia Farma
PT. Dexa Medica
PT. Sanbe Farma
vial
vial
vial
500 IU
KOTAK @ 10 ampul
Botol @ 100
KOTAK @ 10 ampul
Dus @ 30 Ampul
Dus @ 10 X 10 's
Dus 45 x 12 tab
Dus @ 10 X 10 's
Box, canister 10mL
Dus, Canister 200 dosis
Dus 5 ampul@ 10ml
Dus 5 ampul@ 2ml
Dus @ 5 patch
Dus@ 5 patch
Dus@ 5 patch
pfs @ 0,5 ml
Box, isi 3 Strip @ 10 tab
Dus @ 10 X 10 's
dus @ 30 ampul
Dus, 5 vial @ 50 mg
Dus, 5 ampul @ 1ml
Dus, 1 Botol @ 100 mL
Blister
ktk 1 x 10 kapsul
strip
DUS, 30 TABLET
botol @ 5 ml
PT Kalbe Farma
PT Kalbe Farma
PT. Ikapharmindo
PT. Dipa Pharmalab
PT. Indofarma
PT. Indofarma
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Phapros, Tbk
vial @ 1 ml
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Indofarma
Indofarma
Bayer Indonesia
Sanbe Farma
Indofarma
Erela
Indofarma
Indofarma
Tempo Scan Pacific
Pradja Pharin
Darya Varia
Dexa Medica
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Pfizer Indonesia
Pfizer Indonesia
Tempo Scan Pacific
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Kimia Farma
Kimia Farma
Actavis Indonesia
Lucas Djaja
Widatra Bhakti
Widatra Bhakti
Indofarma
Dus 10x10
vial @ 10 ml
Dus, Tube 5 g
Dus, tube @ 10 g
Dus, Botol 120 Dosis Spay
Dus, 2 flow wrap@ 5 nebules @ 1 dosis
Dus, 2 pfs 0.5 ml
dus, vial @ 250 ml
Prefilled Syringe
Prefilled Syringe
Prefilled Syringe
Boks, 1 ampul
Dus @ 100 Sachet

vial
Dus, 1 vial @200 mg
Dus, 5 ampul @ 2 ml
Tube @ 3,5 gr
Dus, botol plastik 5 ml
Strip
Dus, 6 strip @ 10 tablet lepas lambat
Box, 30 Tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
ktk 5x10 tablet
1 box isi 5 ampul 10 ml
Dus 10x10
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Soho Industri Pharmasi

Indofarma
Indofarma
Indofarma
Dexa Medica
Pratapa Nirmala
Dipa Pharmalab
Kimia Farma
Marin Liza Farmasi
Kimia Farma
Dipa Pharmalab
Otto Pharmaceuticals
Bayer Indonesia
Ferron Par Pharmaceuticals
Dus 5 Ampul@1mL
KOTAK @ 12 ampul
KOTAK @ 10 x 10 TAB
BOTOL @ 15 ML
Botol
vial
Dus, 1 syringe @ 0.5 mL
tube @ 5 ml
Tube 5 gr
vial
box 5ampul @1 ml
Botol 5ml
Dus, vial 10 ml
PT. Bayer Indonesia
Dus, vial 10 ml
Injeksi 100 IU/ml, penfill disposible 3 ml
PT. Sanbe Farma
penfillcartridge @ 3ml
PT. Bayer Indonesia
PT. Aventis Pharma
Dus, 1 Vial @ 5 ml
PT. Aventis Pharma
Dus, 1 Vial @ 5 ml
PT. Bayer Indonesia

PT. Bayer Indonesia
Dus, vial 10 ml
PT. Bayer Indonesia

PT. Bayer Indonesia
Dus, vial 10 ml
PT. Bayer Indonesia
PT. Sanbe Farma
penfill cartridge @ 3ml
Dus, vial 10 ml
PT. Bayer Indonesia

PT. Aventis Pharma
Dus, vial 10 ml
PT. Dexa Medica

PT. Indofarma
PT. Indofarma
Prefilled syringe

Dus, 1 Vial @ 5 ml
Dus, botol 60 ml
Dus, botol 60 ml
PT.
PT.
PT.
PT.
Yarindo Farmatama
Novapharin
Mugi Laboratories
Novartis Indonesia
botol @ 100 tablet
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Tanabe Indonesia
Tanabe Indonesia
Dipa Pharmalab
Dipa Pharmalab
Dipa Pharmalab
Dipa Pharmalab
Dipa Pharmalab
Dipa Pharmalab
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Indofarma
Indofarma
Sanbe Farma
Pratapa Nirmala
Phyto Kemo Agung Farma
Phyto Kemo Agung Farma
Pratapa Nirmala
Indofarma
Kimia Farma
Tempo Scan Pacific
Merck Tbk
Tempo Scan Pacific
Ethica Industri Farmasi
Afifarma
Dexa Medica
Dexa Medica
Indofarma
Errita Pharma
Indofarma
Novartis Indonesia
PT. Indofarma
PT. Nicholas Laboratories Indonesia
dus 10 X 10'S
Dus, 1 vial @ 1 g
Dus, botol @ 100 ml
Dus, vial @ 30 ml
Dus, vial @ 50 ml
Dus, botol @ 100 ml
Dus, vial @ 30 ml
Dus, vial @ 50 ml
Botol
Botol
Botol
Botol
Box, canister 10mL
Box, bottle 20mL

Dus, 1 vial @2 ml
Botol 100 mL
Botol 100 tablet
Botol 100 tablet
vial
Strip
Vial 50 mg/5 ml
Ampul
Dus, 3 blister @10 kaplet
Dus,10 Strip @ 10 tablet
kantong 5 g
vial
Boks, 120 tablet
Dus, botol @ 120 ml
Dus,botol 100 tablet
PT. Lucas Djaja
Fenol 100 mg / 1 ml

PT Kalbe Farma
PT. Combiphar
PT. Kimia Farma
PT. Ikapharmindo
PT. Dexa Medica
PT. Kimia Farma
PT. Phapros, Tbk
PT. Indofarma
PT. Indofarma
PT. Dexa Medica
PT SUNTHI SEPURI
PT. Kimia Farma
PT. Bufa Aneka
PT. Kimia Farma
PT. Sanbe Farma
PT. Bernofarm
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Pratapa Nirmala
PT. Pratapa Nirmala
PT. Triyasa Nagamas Farma
vial @ 15 ml

PT. Kimia Farma
Botol @ 60 ml
vial @ 45 ml
strip
Vial @ 10 ml
Box, isi 1 vial @ 10 ml
tube 10 gr
tube 5 gr
Box isi 1 Tube @ 15 g
Botol 80 ml
dus 2 's @ 10 supp
Dus @ 12 Ampul
Box, 10 ampoules @ 1mL
Ktk 10X10 TAB
Dus, 3 strip @ 10 tab
Box isi 24 tube @ 15 gram
Tube 5 gr
vial
Botol @ 60 ml
kotak,10strip@10 tablet
Dus @ 30 Ampul
Dus @ 30 Ampul
Kotak @ 10 x 10 tab
10 X 10
KOTAK @ 5 x 10 TAB
KOTAK @ 5 x 10 TAB
ktk 10x10 tablet
ktk 10x10 tablet
ktk 10x10 tablet
Btl @ 30 kapsul
Botol Plastik @ 500 ml
1 dus @ 20 vial
Vial
1 sase @30 tablet
botol 15 ml
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Novartis Indonesia
Novartis Indonesia
Abbott Indonesia
Glaxo Wellcome Indonesia
Kimia Farma
Dus, botol plastik @ 30 tablet salut sel

botol @ 120 tablet
Dus, Botol 120 Dosis
PT. Holi Pharma
PT. Novapharin
btl @ 60 ml
PT. Kimia Farma

PT. Kimia Farma
PT. Kimia Farma
PT. Ikapharmindo
PT. Kimia Farma
PT. Kimia Farma
PT. Indofarma
PT Otsuka Indonesia
ktk 60 tablet
PT Otsuka Indonesia
Softbag 500 ML
PT Otsuka Indonesia
PT Otsuka Indonesia
PT Kalbe Farma
botol 500 mL
Botol Gelas 100 ml
Botol Gelas 250 ml
PT Otsuka Indonesia
Softbag 200 ML
PT Otsuka Indonesia
Softbag 500 ML

Botol Gelas 500 ml
botol 500 ml
PT Kalbe Farma
botol 500 mL
PT Kalbe Farma
botol 250 mL
ktk 100 amp @ 2 ml

ktk 10 x 10 tablet
Botol 60 ml
Botol 30 tab
Botol 60 tablet
Serbuk vial
botol 500 ml
Softbag 500 ML
botol 250 ml
PT. Phapros, Tbk
Bag Double chamber (Dua comparteme
PT. Phapros, Tbk
Bag Double chamber (Dua comparteme
PT Otsuka Indonesia
PT. Widatra Bhakti
PT Otsuka Indonesia
Ampoel 25 ML
PT Otsuka Indonesia
PT Kalbe Farma
PT. Phapros, Tbk
LDPE (Low Density Poly Ethilene), botol
PT Kalbe Farma
botol 500 mL
PT Kalbe Farma
Flexy bag 500 mL
PT Otsuka Indonesia
PT Otsuka Indonesia
PT Kalbe Farma
botol 500 mL
PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
botol 500 mL
PT. Widatra Bhakti
Botol 500 ml
PT. Widatra Bhakti
Botol 500 ml
PT. Widatra Bhakti
Botol 500 ml
PT. Widatra Bhakti
Botol 500 ml
PT. Widatra Bhakti
Botol 500 ml
PT. Sanbe Farma
softbag 500ml
PT. Widatra Bhakti
Botol 500 ml
PT Otsuka Indonesia
PT Otsuka Indonesia
PT Otsuka Indonesia
PT. Phapros, Tbk
20%, Botol Kaca @100 ml, single bottl

PT. Phapros, Tbk
Botol Gelas 100 ml
PT. Phapros, Tbk
Bag, 3 chamber ( 3 kompartemen), 12
Botol 1000 ml
flexybag 250 mL
20%, Botol Kaca @250 ml, single bottl
PT. Phapros, Tbk
PT. Phapros, Tbk

PT. Aventis Pharma
strip 5 x 0.6 ml
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Novartis Indonesia
Takeda Indonesia
Takeda Indonesia
Takeda Indonesia
Infion Pharmaceutical
Promedrahardjo Farmasi Industri
Erela
Merck Tbk
Merck Tbk
Bernofarm
Indofarma

PT Otsuka Indonesia
PT Otsuka Indonesia
PT. Kimia Farma
PT. Taisho Pharmaceutical Indonesia Tbk
PT SUNTHI SEPURI
PT. Bernofarm
PT. Bernofarm
PT. Kimia Farma
PT. Bernofarm
PT. Bernofarm
dus, Botol @ 2,5 ml

Dus, 1 vial @ 263 mcg + 1 prefilled sy
Vial
Vial
Vial
Box, 1 Botol @ 100 ml
Btl @ 5 ml
Dus, 10 syringe @ 10 g
Dus,Botol @ 50 ml (500 dosis)
KOTAK @ 10 x 10 TAB
KOTAK @ 10 x 10 TAB
KOTAK @ 10 x 10 TAB
KOTAK @ 10 x 10 TAB
ampul
botol 500 ml
Strip
KOTAK @ 5 x 10 TAB
Dus @ 5 vial
Dus,24 Catch @ 1 tablet
dus, 3 blister @ 10 tablet
Box, Tablet 2 mg/25's
Dus, 1 vial @ 1 g
Dus, 1 vial @ 0,5 g
Dus, 15 Ampul
Botol 1000 ml

PT. Kimia Farma
PT. Dexa Medica
PT. Phapros, Tbk
PT. Dexa Medica
PT. Meprofarm
PT. Molex Ayus
PT. Kimia Farma
PT Kalbe Farma
Dus, 10 Strip @ 10 tablet salut selaput

PT. Kimia Farma
PT. Aventis Pharma
PT. Kimia Farma
PT. Kimia Farma
PT. Combiphar
PT. Kimia Farma
PT. Phapros, Tbk
PT. Kimia Farma
PT. Kimia Farma
PT. Pratapa Nirmala
PT. Widatra Bhakti
PT. Pratapa Nirmala
PT Otsuka Indonesia
PT. Phapros, Tbk
Dus, 1 Botol @ 100 ml
ktk 10 x 10 tablet salut

ampul @ 1 ml
Dus, botol plastik @ 30 kapsul pelepa
Dus, 1 Vial @125mg + 1 ampul pelaru
Dus @ 1 vial
Strip
Dus, 10 Blister @ 10 Tablet
Dus, Botol 10 ml
BOTOL 60 ML
ktk 10 x 10 tablet
vial @ 2 ml
Box 10 ampul @ 1 ml
Box, bottle @ 50 tab
dus 1 's @ 5 ovula

Dus, botol 60ml
Dus, 2 blister @ 5 suppositoria
10 strip @ 10 tab
10 strip @ 10 tab
vial
Dus @ 5 vial
Boks 5 amp
Dus,1 vial@50mg
Boks, 50 tablet
Tube 10 gram
Btl @ 500 ml
tube 10 gram
Dus 10 amp @ 1 ml
Botol 30 tablet
Box @ 5 ampul
Botol 500 ml
Dus, 5 Ampul @ 2ml
Ampoel 25 ML
Box ,5 Blister @ 10 tablet
Dus @ 5 X 10 's
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Combiphar
Combiphar
Molex Ayus
Pharma Health Care
Kimia Farma
Bayer Indonesia
Bayer Indonesia
Dexa Medica
Pratapa Nirmala
Novartis Indonesia
Botol, 133 ml
Botol, 45 ml
Dus, tube @ 5 g
Tube 5 gr
Box, isi 5 ampul @ 1 ml
btl 60 tablet
blister
blister
Box @ 1 vial
PT. Phapros, Tbk

PT. Phapros, Tbk
PT. Kimia Farma
PT. Bayer Indonesia
PT. Phapros, Tbk
PT. Kimia Farma
PT. Kimia Farma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Pratapa Nirmala
PT Kalbe Farma
PT. Aventis Pharma
PT. Aventis Pharma
PT. Merck Tbk
PT. Merck Tbk
PT. Bayer Indonesia
PT. Novapharin
PT. Indofarma
PT Kalbe Farma
Dus @ 10 X 10 's
PT Kalbe Farma
Set
Dus @ 10 X 10 's
Dus 5 amp @ 8 ml
blister
Paket
Paket
Paket
Paket@84 tablet
Dus, 1 dus @ 60 blister @ 8 tablet taha
Dus, 60 sachet tahap intensif @ (1 tabl
Box @ 5 ampul
Btl @ 5 ml
Dus, 1 vial @ 20 ml
Dus, 1 vial @ 10 ml
botol @ 10 ml
botol 15 ml
ampul @ 1 ml
Dus, vial @ 355m + 1 prefilled syringe
Vial
3 X 10 fcc
3 X 10 fcc
Dus, 1 Vial @ 40 mg
dus 10 X 3'S
Dus, 5 Ampul @ 2ml
Box 3 X 10 Tab
Box 3 X 10 Tab
Transfer Set: Set; Ultaclam: Kantong Pl
PT Kalbe Farma
Larutan Dialisa 1.5 %: 2.000 ml; Laruta
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Vial 6mg/ml (30mg/5ml)
Actavis Indonesia
Indofarma
Afifarma
Imfarmind Farmasi industri
Darya Varia
Pradja Pharin
Galenium Pharmasia Laboratories
Kimia Farma
Dexa Medica
Dexa Medica
Holi Pharma
Holi Pharma
Holi Pharma
Kimia Farma
Ikapharmindo
Pratapa Nirmala
Afifarma
Afifarma
Afifarma
Kimia Farma
Holi Pharma
Phapros, Tbk
Dexa Medica
Bernofarm
Dexa Medica
Indofarma
Dus, 15 botol
botol 60 ml
Dus, botol @ 15 ml
Boks, 1 pfs
Boks, 1 pfs
Dus, 1 prefilled syringe (serbuk injek
tube @ 35 gram
Dus, botol plastik @ 30 tablet salut sel
Tube @ 10 g
Ktk 10 ampx2ml
30 TAB/BOX
30 TAB/BOX
Botol 60 ml
Ampul 1 ml
Dus, Botol @ 10ml
botol @ 1000 ml
botol @ 30 ml
botol @ 300 ml
btl 60 ml
Dus,10 blister @10 tablet
Vial @ 3 juta IU
Botol @ 100 Tablet
PT.
PT.
PT.
PT.
PT.
PT.
Fresenius Kabi Combiphar

Holi Pharma
Pharma Health Care
Ampul
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Dexa Medica
Natura Laboratoria Prima
Dexa Medica
Kimia Farma
Lucas Djaja
Indofarma
Indofarma
Indofarma
Widatra Bhakti
Dexa Medica
Dexa Medica
Dus, 10 Strip @ 10 kaptab
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Yarindo Farmatama
Marin Liza Farmasi
Holi Pharma
Bernofarm
Holi Pharma
Dexa Medica
Dexa Medica
Holi Pharma
Blister


Botol 50 kapsul lunak
Botol 50 Kapsul
Dus, 10 strip @10 kaptab
botol 500 ml
KOTAK @ 5 x 10 TAB
Dus, 1 vial @ 10 ml
Blister
Blister
Dus, 10 vial @ 5 ml
Dus, 7 blister @ 4 Tablet lepas Lambat
Dus, 4x5 Botol Plastik@2.5 ml
Dus, botol 200 dosis
Dus, 10 Blister @ 10 Kapsul
Dus, 1 Rotahaler
strip @ 10 tablet
Pot @ 30 gram
Dus, Botol 60 ml
strip
Dus, Botol 60 ml
Dus, 2 Vial @ 1 gram
vial
Dus, 5 Strip @ 10 kapsul
Dus, Botol 30 ml
Dus, 2 vial @ 1 g
vial
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Pratapa Nirmala
Pratapa Nirmala
Indofarma
Pertiwi Agung
Merck Tbk
Dus, 10 Vial @ 1 g
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Pratapa Nirmala
Lucas Djaja
Afifarma
Novartis Indonesia
tabung/botol
Dus, 2 vial @ 1 g
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
Box, 10 strips @ 10 capsules
Dus, 1 vial @ 20 ml
100 ampul @ 1 ml
Vial
vial
Vial
PT. Dankos Farma

PT. Dexa Medica
PT. Bernofarm
PT Kalbe Farma
PT Kalbe Farma
PT. Indofarma
PT. Dexa Medica
PT. Dexa Medica
PT. Kimia Farma
PT. Dexa Medica
PT. Phapros, Tbk
PT. Kimia Farma
strip
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
Botol, 100 ml
Combiphar
Dexa Medica
Combiphar
Combiphar
Sandoz Indonesia
Combiphar
Combiphar
Combiphar
Novartis Indonesia

Vial 200 ml
Dus, 10 blister @ 10 tab ss
vial
vial
dus, 1 vial @ 10 ml
Botol @ 60 tablet
Vial
Dus @ 56 Vial
dus 5 amp @ dus 10
DUS, 10 STRIP @ 10 TAB

Pounch @ 5 blister @ 10 capsule
Dus, 1 pouch @5 blister@10 kaps
Botol @30tablet
Box @ 2 blister @ 14 tablet
Box/ 2 blister @ 14 tablet
Dus, 2 alu-blister @10 tablet

PT. Kimia Farma
PT. Kimia Farma
PT Kalbe Farma
PT. Dexa Medica
PT. Dexa Medica
PT. Molex Ayus
Box, 2 blisters @10 tablets
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.
PT.

Holi Pharma
Afifarma
Merck Tbk
Merck Tbk
Pratapa Nirmala
Pratapa Nirmala

Botol 30 tab
Dus 10-s @ 10 Kaptab
strip
Dus, 2 pak @ 5 respules
Box 50's
botol 5 ml
DUS,10 STRIP @ 10 KAPSUL
Box, 3 blisters @10 capsules

Dus, 1 blister @10 kapsul + handihaler
PT.
PT.
PT.
PT.
PT.
PT.
PT.
botol, tetes mata 2,5 ml
Tempo Scan Pacific

Aventis Pharma
Dexa Medica
Darya Varia
Galenium Pharmasia Laboratories
Bio Farma
Dus, 1 vial @ 440 mg + 1 vial pelarut
Dus, botol plastik 120 dosis

Dus,1 vial@ 5ml
strip
Botol 5ml
tube
20 ds / amp / vial
PT. Bio Farma
20 ds / amp / vial
PT. Bio Farma
20 ds / amp / vial
PT. Bio Farma
20 ds / amp / vial
PT. Bio Farma
20 ds / amp / vial
PT. Bio Farma
20 ds / amp / vial
PT. Bio Farma
20 ds / amp / vial
PT. Bio Farma
20 ds / amp / vial
PT. Bio Farma
10 ds / vial
PT. Bio Farma
10 ds / vial
PT. Bio Farma
5 ds / vial
PT. Bio Farma
5 ds / vial
PT. Bio Farma
1 ds / pouch
PT. Bio Farma
1 ds / pouch
PT. Bio Farma
10 ds / vial
PT. Bio Farma
10 ds / vial
PT. Bio Farma
10 ds/ vial
PT. Bio Farma
10 ds/ vial

PT. Aventis Pharma
PT. Bio Farma
Dus, 1 dosis @ (1 vial serbuk injeksi +
PT. Bio Farma
10 ds/ vial
PT. Bio Farma

PT. Bio Farma
PT. Bio Farma
Dus, 1 vial@ 1dosis + 1 Syringe @ 0,5
PT. Bio Farma
10 ds/ vial

PT. Ikapharmindo
PT. Pratapa Nirmala
PT. Kimia Farma
PT. Combiphar
PT Kalbe Farma
PT Kalbe Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Combiphar
PT. Indofarma
PT. Meprofarm
PT. Kimia Farma
5 strip @ 10 kaptab
1 vial of 10ml (10 d's)

10 ds/ vial
Dus, 1 vial@ 1dosis + 1 Syringe @ 0,5

10 ds/ vial
Boks, 60 tablet
Botol 120 ml
Tablet
Tablet
Tablet salut 250 mg
DUS, 3 ALU-ALU STRIP @ 10 tablet salut
DUS, 3 ALU-ALU STRIP @ 10 tablet salut
Box @ 2 vial
Tablet
Ktk 10X10 TAB
Vial 10mg/10ml
vial @ 2 ml
vial @ 1 ml
Dus, 1 vial @ 1 ml
Botol 60 Kapsul
Botol 60 tablet
Drops 10 mg/ml, Botol @15 ml
Dus, botol @ 100 ml
Dus, botol 60 ml
ktk 10 x 10 tablet
Harga Satuan Terkecil (Rp)

1,375.00
Distributor
Kontrak Payung
Tanggal Berlaku Harga

4/23/2013 10:24
200,000.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
85,345.00
Download
Download
4/3/2014 21:30
27,500.00
2,200.00
7,500.00
990.00
780.00
3,849.00
344.00
750,000.00
345,000.00
1,525,456.00
321,552.00
732,727.00
900,000.00
283,000.00
86.00
199.50
380.00
214.00
233.00
3,800,000.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
18,500.00 Download
50,500.00 Download
3,823.00
90.00
80.00
12,480.00
1,200.00
112.00
330.00
187.00
211.00
272.00
4,070.00
2,445.00
5,100.00
85,000.00
106,000.00
102,990.00
97,500.00
82,495.00
3/18/2014 20:03
4/28/2015 11:26
9/28/2014 21:46
12/5/2014 22:08
12/5/2014 22:08
4/23/2013 10:24
3/15/2014 16:05
7/21/2014 21:09
7/21/2014 21:09
1/5/2015 14:07
1/5/2015 14:07
1/5/2015 14:07
9/28/2014 21:46
9/28/2014 21:46
3/15/2014 16:05
3/15/2014 16:05
3/15/2014 16:05
3/15/2014 16:05
3/15/2014 16:05
6/27/2014 19:33
4/3/2014 21:30
3/16/2014 18:23
4/23/2013 10:24
3/15/2014 16:05
9/28/2014 21:46
3/16/2014 18:23
3/16/2014 18:23
4/23/2013 10:24
3/15/2014 16:05
4/23/2013 10:24
3/15/2014 16:05
3/15/2014 16:05
3/15/2014 16:05
4/23/2013 10:24
3/15/2014 16:05
4/3/2014 21:30
4/3/2014 21:30
4/27/2015 18:36
3/18/2014 20:03
4/27/2015 18:36
4/3/2014 21:30
79,165.00
Download
Download
3/18/2014 20:03
79,167.00
Download
Download
3/18/2014 20:03
32,000.00
Download
Download
4/3/2014 21:30
75.00
Download
Download
3/15/2014 16:05
2,160.00
Download
Download
3/15/2014 16:05
2,516.00
Download
Download
3/15/2014 16:05
3,045.00
Download
Download
4/23/2015 15:45
520.00
Download
Download
Download
Download
Download
Download
3/15/2014 16:05
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
3/18/2014 20:03
135.00
1,500.00
22,000.00
38,999.00
116.00
148.00
159.00
95.00
84.00
48.00
2,209,000.00
158.00
112.00
1,815.00 Download
2,950.00
900,000.00
Download
Download
24,750.00 Download
237.00
336.00
1,039,500.00
190.00
700.00
352.00
20,000.00
1,350.00
74.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
13,500.00 Download
13,500.00 Download
34,400.00 Download
4,500.00
Download
3,333.00 Download
1,250.00
9,800.00
13,400.00
Download
Download
Download
3/15/2014 16:05
3/16/2014 18:23
4/27/2015 18:36
3/15/2014 16:05
9/28/2014 21:46
3/15/2014 16:05
3/18/2014 20:03
7/21/2014 21:09
3/15/2014 16:05
4/3/2014 21:30
4/23/2015 15:45
4/23/2013 10:24
3/16/2014 18:23
3/15/2014 16:05
9/28/2014 21:46
3/16/2014 18:23
3/15/2014 16:05
3/15/2014 16:05
4/3/2014 21:30
3/16/2014 18:23
1/5/2015 14:07
4/23/2015 15:45
3/16/2014 18:23
4/23/2015 15:45
4/23/2013 10:24
12/5/2014 22:08
12/5/2014 22:08
3/15/2014 16:05
3/15/2014 16:05
3/18/2014 20:03
3/15/2014 16:05
4/23/2013 10:24
4/23/2013 10:24
3,200,000.00
3,600.00
1,520.00
Download
Download
Download
25,106.00 Download
4,803,697.00
Download
72,400.00
Download
Download
45,000.00
6,045.00 Download
4,990.00
746.00
645.00
304,000.00
247,089.00
93,000.00
106,000.00
8,900.00
117,600.00
110,500.00
25,600.00
30,800.00
12,936.00
12,936.00
305,000.00
275,000.00
76,000.00
150,000.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
2,600,000.00 Download
25,300.00 Download
112,000.00
1,580.00
67.50
Download
Download
Download
70,000.00 Download
5,700.00
9,983.00
9,818.00
11,525.00
4,180.00
16,748.00
45.00
136.00
1,050.00
22,000.00
97.00
134.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
3/18/2014 20:03
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/3/2014 21:30
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
3/16/2014 19:08
3/15/2014 16:05
9/28/2014 21:46
9/28/2014 22:55
4/3/2014 21:30
3/16/2014 18:23
1/5/2015 14:07
7/21/2014 21:09
4/23/2013 10:24
7/21/2014 21:09
3/16/2014 19:08
4/3/2014 21:30
12/5/2014 22:08
4/3/2014 21:30
3/16/2014 19:08
4/3/2014 21:30
7/21/2014 21:08
7/21/2014 21:09
5/21/2014 20:01
5/21/2014 20:01
9/5/2014 23:17
7/21/2014 21:09
3/16/2014 19:08
3/16/2014 19:08
4/3/2014 21:30
4/3/2014 21:30
4/3/2014 21:30
3/15/2014 16:05
3/15/2014 16:05
8/6/2014 18:35
9/28/2014 21:46
3/16/2014 19:30
4/23/2015 15:45
9/28/2014 21:46
3/15/2014 16:05
9/28/2014 21:46
1/5/2015 14:07
3/15/2014 16:05
3/15/2014 16:05
9/28/2014 21:46
4/23/2013 10:24
4/23/2013 10:24
127,667.00
Download
Download
3/18/2014 20:03
46,667.00
Download
Download
Download
Download
3/18/2014 20:03
124,955.00
Download
Download
Download
Download
Download
Download
Download
26,700.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
7/21/2014 21:09
Download
Download
Download
Download
3/15/2014 16:05
3,667.00
4,015.00
104.00
37,500.00 Download
3,480.00
5,480.00
270.00
59,000.00
258,000.00
3,333.00
3/18/2014 20:03
3/18/2014 20:03
1/5/2015 14:07
4/3/2014 21:30
9/28/2014 21:46
3/16/2014 18:23
3/16/2014 18:23
1/5/2015 14:07
3/16/2014 18:23
3/16/2014 18:23
455,000.00
Download
Download
Download
Download
Download
Download
Download
7,100.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
3/18/2014 20:03
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/3/2014 21:30
167.00
15,600.00
9,840.00
970,200.00 Download
6,375.00
12,990.00
42,600.00
40,740.00
71,875.00
100,000.00
8,100.00
500,000.00
128,000.00 Download
650.00
8,000.00
497.00
930.00
7,700.00
275,000.00
Download
Download
Download
Download
Download
Download
133,875.00 Download
128,000.00
139,500.00
Download
Download
82,000.00 Download
314.00
451.00
2,500.00
Download
Download
Download
1,360.00 Download
Download
Download
Download
Download
Download
4/23/2013 10:24
3/15/2014 16:05
7/21/2014 21:09
4/3/2014 21:30
8/6/2014 18:35
6/16/2014 19:59
7/21/2014 21:08
4/3/2014 21:30
3/18/2014 20:03
3/18/2014 20:03
3/18/2014 20:03
3/15/2014 16:05
3/16/2014 18:23
3/16/2014 19:08
4/3/2014 21:30
4/23/2013 10:24
4/23/2013 10:24
3/15/2014 16:05
9/28/2014 21:46
9/28/2014 21:46
5/21/2014 20:01
4/3/2014 21:30
10/19/2015 18:57
4/23/2013 10:24
4/23/2013 10:24
3/15/2014 16:05
8/6/2014 18:35
128,779.00 Download
3/24/2014 14:34
4,400,000.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
2,095,000.00
Download
Download
4/23/2015 15:45
9,200,000.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/3/2014 21:30
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
100,000.00
16,667.00
11,813.00
23,250.00
8,500,000.00
4,423,500.00
1,133,000.00
990,000.00
2,150,000.00
1,990,417.00
20,250.00
133.00
20,250.00
1,800.00
220.00
1,075.00
1,375.00
290.00
235.00
510.00
72,900.00
117,500.00
128,000.00
33,914.00
80,000.00
153,000.00
285,000.00
375,000.00
2,950.00
630.00
3,417.00
1,248,319.00
275,000.00
55,000.00
47,100.00
4,862.00
22,000.00
419.00
410.00
30,493.00 Download
3/16/2014 18:23
3/18/2014 20:03
3/16/2014 19:08
3/16/2014 19:08
4/27/2015 18:36
4/27/2015 18:36
12/11/2014 2:12
9/28/2014 21:46
9/28/2014 21:46
9/28/2014 21:46
10/9/2015 18:21
3/15/2014 16:05
4/23/2013 10:24
7/21/2014 21:08
4/23/2013 10:24
4/23/2015 15:45
3/18/2014 20:03
3/18/2014 20:03
3/15/2014 16:05
4/3/2014 21:30
3/15/2014 16:05
8/6/2014 18:35
4/3/2014 21:30
3/18/2014 20:03
3/18/2014 20:03
4/3/2014 21:30
3/18/2014 20:03
3/18/2014 20:03
3/16/2014 18:23
7/21/2014 21:09
4/23/2013 10:24
8/6/2014 18:35
4/3/2014 21:30
4/3/2014 21:30
3/16/2014 19:08
3/15/2014 16:05
9/28/2014 21:46
3/15/2014 16:05
3/16/2014 18:23
3/16/2014 18:23
9/28/2014 21:46
24,500.00
33,000.00
2,400.00
5,489.00
93,333.00
12,917.00
241,667.00
972,000.00
1,829.00
85.00
275,000.00
412,500.00
2,570,000.00
399,500.00
288.00
295,000.00
289.00
679.00
1,098,900.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
3/16/2014 18:23
Download
Download
Download
Download
4/3/2014 21:30
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
330,000.00 Download
3,399.00
2,600.00
3,194.00
56.00
242.00
638.00
5,500.00
950.00
265.00
436.00
404.00
430.00
3,207.00
3,000.00
119,900.00
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
219.00
3/16/2014 18:23
3/16/2014 18:23
8/19/2015 18:52
3/18/2014 20:03
3/18/2014 20:03
3/18/2014 20:03
8/6/2014 18:35
4/23/2013 10:24
4/23/2013 10:24
8/6/2014 18:35
8/6/2014 18:35
8/6/2014 18:35
4/3/2014 21:30
3/15/2014 16:05
4/23/2013 10:24
4/23/2013 10:24
3/16/2014 18:23
4/3/2014 21:30
4/23/2013 10:24
3/16/2014 18:23
3/15/2014 16:05
3/15/2014 16:05
3/16/2014 18:23
4/3/2014 21:30
12/5/2014 22:08
3/15/2014 16:05
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
1/5/2015 14:07
1/5/2015 14:07
4/28/2015 11:39
4/3/2014 21:30
4/3/2014 21:30
3/18/2014 20:03
3/18/2014 20:03
4/23/2013 10:24
4/23/2013 10:24
4/3/2014 21:30
4/3/2014 21:30
4/23/2013 10:24
83,333.00 Download
3/18/2014 20:03
138,000.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
138,000.00
Download
Download
4/3/2014 21:30
76,125.00
Download
Download
4/3/2014 21:30
75,000.00 Download
Download
4/3/2014 21:30
76,125.00
Download
Download
4/3/2014 21:30
72,000.00
Download
Download
4/13/2015 15:52
72,000.00
Download
Download
4/13/2015 15:52
76,125.00
Download
Download
4/27/2015 18:36
76,125.00
Download
Download
76,125.00
Download
Download
4/3/2014 21:30
138,000.00
Download
Download
4/3/2014 21:30
138,000.00
Download
Download
Download
4/3/2014 21:30
4/27/2015 18:36
76,125.00
Download
Download
Download
76,125.00
Download
Download
4/3/2014 21:30
Download
4/3/2014 21:30
6,250.00
59.00
96.00
69.00
126.00
16,500.00
641,500.00
42,900.00
1,328,000.00
149.00
2,570.00
2,798.00
5,400.00
4,500.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
18,000.00 Download
76,125.00
76,125.00
75,000.00 Download
9/28/2014 21:46
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
3/16/2014 18:23
10/24/2014 21:14
3/18/2014 20:03
7/21/2014 21:09
5/22/2014 14:25
4/23/2015 15:45
4/23/2013 10:24
4/23/2013 10:24
9/28/2014 21:46
3/18/2014 20:03
12/5/2014 22:08
4/27/2015 18:36
4/3/2014 21:30
4/3/2014 21:30
4/3/2014 21:30
138,000.00
Download
Download
4/3/2014 21:30
138,000.00
Download
Download
Download
Download
4/3/2014 21:30
Download
Download
Download
Download
Download
Download
72,000.00
170,000.00
3,499.00
4,499.00
4/13/2015 15:52
8/6/2014 18:35
3/15/2014 16:05
4/23/2013 10:24
110.00
150.00
1,329,163.00
211,000.00
3,908.00
2,120.00
350,000.00
122,000.00
166,000.00
369,000.00
147,000.00
199,000.00
245,000.00
123,200.00
299,000.00
150,300.00
80,000.00
90,000.00
1,425.00
2,470.00
Download
Download
Download
Download
Download
Download
Download
Download
4/23/2013 10:24
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
3/18/2014 20:03
Download
Download
3/15/2014 16:05
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
510,000.00 Download
270,000.00
65.00
158.00
33,000.00
88.00
189.00
700.00
1,580.00
82,000.00
7,800.00
405.00
70.00
7,700.00
5,000.00
4,900.00
3,100.00
27,500.00
140.00
84.00
62.00
44,770.00
245.00
875.00
4/23/2013 10:24
4/3/2014 21:30
9/28/2014 22:55
3/18/2014 20:03
4/3/2014 21:30
5/21/2014 10:06
4/3/2014 21:30
4/3/2014 21:30
5/21/2014 10:06
4/3/2014 21:30
4/3/2014 21:30
4/3/2014 21:30
4/3/2014 21:30
4/3/2014 21:30
8/6/2014 18:35
12/5/2014 22:08
3/15/2014 16:05
4/3/2014 21:30
9/28/2014 21:46
9/28/2014 21:46
9/28/2014 21:46
7/21/2014 21:09
4/23/2013 10:24
1/5/2015 14:07
3/16/2014 18:23
4/3/2014 21:30
7/21/2014 21:09
4/3/2014 21:30
10/19/2015 18:57
9/28/2014 21:46
9/28/2014 21:46
3/15/2014 16:05
3/15/2014 16:05
3/15/2014 16:05
4/3/2014 21:30
4/23/2013 10:24
3/15/2014 16:05
3/15/2014 16:05
3/16/2014 19:30
4/23/2013 10:24
4/3/2014 21:30
2,042.00
Download
Download
3/18/2014 20:03
190,000.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
9/5/2014 23:17
408,000.00
1,360.00
110,000.00 Download
60,300.00
2,569.00
2,850.00
4,700.00
28,000.00
300.00
2,722.00
2,300.00
3,200.00
361.00
553.00
900.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
1,625.00 Download
30,600.00
184.00
3,400.00
Download
Download
Download
3,524.00 Download
1,600.00
Download
7,260.00 Download
3,680.00
850.00
51.00
1,100.00
1,050.00
144.00
68.00
5,000.00
1,550.00
500.00
850.00
1,100.00
2,500.00
3,950.00
33,000.00
5,990.00
5,350.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
12,450.00 Download
50.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
9/5/2014 23:17
9/28/2014 21:46
3/16/2014 18:23
7/21/2014 21:09
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
9/28/2014 21:46
4/23/2013 10:24
7/21/2014 21:09
3/15/2014 16:05
3/16/2014 18:23
4/23/2013 10:24
4/23/2013 10:24
3/15/2014 16:05
10/19/2015 18:57
8/6/2014 18:35
4/23/2013 10:24
3/15/2014 16:05
4/23/2015 15:45
4/23/2013 10:24
1/5/2015 14:07
4/23/2013 10:24
10/19/2015 18:57
4/23/2015 15:45
4/23/2013 10:24
4/23/2013 10:24
1/5/2015 14:07
1/5/2015 14:07
4/3/2014 21:30
4/3/2014 21:30
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
9/28/2014 21:46
4/23/2015 15:45
7/21/2014 21:09
1/5/2015 14:07
12/5/2014 22:08
3/16/2014 19:08
3/15/2014 16:05
15,750.00 Download
Download
4/3/2014 21:30
Download
Download
Download
Download
Download
Download
Download
4/3/2014 21:30
3/18/2014 20:03
2,089.00
Download
Download
Download
Download
Download
Download
Download
152.00
Download
Download
3/15/2014 16:05
2,350.00
Download
Download
3/15/2014 16:05
670.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/23/2013 10:24
56,300.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
37,500.00
Download
Download
3/18/2014 20:03
115,500.00
Download
Download
5/28/2014 19:25
61,600.00
Download
Download
5/28/2014 19:25
75,350.00
Download
Download
4/3/2014 21:30
36,667.00
Download
Download
4/14/2014 9:16
50,820.00
Download
Download
4/14/2014 9:16
46,000.00
Download
Download
4/12/2014 17:56
65,000.00
Download
Download
4/12/2014 17:56
78,720.00
Download
Download
3/18/2014 20:03
51,260.00
Download
Download
64,900.00
Download
Download
4/3/2014 21:30
42,000.00
Download
Download
4/3/2014 21:30
46,000.00
Download
Download
4/3/2014 21:30
295,240.00
Download
Download
4/14/2014 9:16
3,220.00
8,900.00
6,100.00
90,667.00
100,833.00
113,333.00
6,200.00
540.00
14,500.00
2,000.00
1,400.00
82,042.00
473.00
67,200.00
56,300.00
4/3/2014 21:30
8/6/2014 18:35
3/18/2014 20:03
3/18/2014 20:03
1/5/2015 14:07
4/23/2013 10:24
4/23/2013 10:24
4/28/2015 11:14
9/28/2014 21:46
4/23/2013 10:24
4/3/2014 21:30
4/23/2013 10:24
3/18/2014 20:03
4/3/2014 21:30
3/18/2014 20:03
4/3/2014 21:30
343,842.00
Download
Download
4/14/2014 9:16
322,000.00
Download
Download
4/3/2014 21:30
218,700.00
Download
Download
4/3/2014 21:30
2,050.00
Download
Download
Download
Download
Download
Download
3/18/2014 20:03
Download
Download
4/3/2014 21:30
87,000.00
Download
Download
12,650.00
Download
Download
4/3/2014 21:30
50,500.00
Download
Download
4/3/2014 21:30
42,350.00
Download
Download
4/3/2014 21:30
29,167.00
Download
Download
3/18/2014 20:03
55,500.00
Download
Download
37,500.00
Download
Download
4/3/2014 21:30
210,000.00
Download
Download
5/21/2014 20:01
199,000.00
Download
Download
4/3/2014 21:30
56,000.00
Download
Download
4/3/2014 21:30
9,500.00
Download
Download
4/3/2014 21:30
6,800.00
Download
Download
4/3/2014 21:30
6,917.00
Download
Download
3/18/2014 20:03
7,700.00
Download
Download
3/18/2014 20:03
7,700.00
Download
Download
3/18/2014 20:03
Download
4/3/2014 21:30
8,000.00
9,000.00
9,000.00
35,750.00 Download
4/3/2014 21:30
4/3/2014 21:30
4/3/2014 21:30
4/12/2014 17:56
6,930.00
Download
Download
4/3/2014 21:30
9,167.00
Download
Download
3/18/2014 20:03
10,000.00
Download
Download
4/3/2014 21:30
10,000.00
Download
Download
4/3/2014 21:30
105,500.00
Download
Download
4/3/2014 21:30
60,500.00
Download
Download
Download
Download
3/18/2014 20:03
210,000.00
591,000.00
Download
Download
4/3/2014 21:30
4/3/2014 21:30
511,000.00
Download
Download
4/3/2014 21:30
358,000.00
Download
Download
4/3/2014 21:30
4/3/2014 21:30
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
9/28/2014 21:46
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/23/2013 10:24
72,000.00 Download
127,000.00
550,000.00
17,500.00
700,000.00
2,700,000.00
500,000.00
40,000.00
528.00
13,068.00
850.00
719.00
839.00
1,363.00
40,000.00
142,000.00
600.00
350.00
1,050.00
1,850.00
89.00
154.00
685.00
1,341.00
52,000.00
2,800.00
3,500.00
62,000.00
1,200.00 Download
3,276.00
473,000.00
Download
Download
7,140.00 Download
6,125.00
Download
2,500.00 Download
12,210.00
54,000.00
44,960.00
74,998.00
254,100.00
112.50
197.50
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
8/6/2014 18:35
8/6/2014 18:35
4/3/2014 21:30
4/3/2014 21:30
9/28/2014 21:46
3/15/2014 16:05
4/23/2013 10:24
9/28/2014 21:46
9/28/2014 21:46
4/28/2015 11:14
3/15/2014 16:05
4/23/2013 10:24
4/3/2014 21:30
9/28/2014 21:46
4/23/2013 10:24
4/3/2014 21:30
4/3/2014 21:30
4/23/2013 10:24
4/23/2013 10:24
10/24/2014 21:14
3/16/2014 18:23
7/21/2014 21:09
4/28/2015 11:14
4/28/2015 11:14
6/16/2014 19:59
3/16/2014 18:23
3/16/2014 18:23
8/6/2014 18:35
3/18/2014 20:03
12/5/2014 22:08
10/19/2015 18:57
4/3/2014 21:30
3/15/2014 16:05
7/21/2014 21:08
4/3/2014 21:30
3/18/2014 20:03
4/23/2013 10:24
4/23/2013 10:24
800.00
154.00
2,750.00
6,537.00
1,950.00
19,200.00
93,393.00
635.00
205.00
300.00
5,280.00
2,600.00
108.00
35,750.00
21,120.00
1,680.00
9,950.00
3,850.00
4,100.00
3,220.00
110.00
160.00
1,925,000.00
1,237,500.00
12,060.00
260,000.00
16,000.00
3,000.00
72,000.00
77,000.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
9/28/2014 21:46
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/23/2013 10:24
17,820.00 Download
8,400.00
15,620.00
22,990.00
41,470.00
1,300.00
13,200.00
4,700.00
54,144.00
66,640.00
94,962.00
61,600.00
6,200.00
200.00
133.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/23/2013 10:24
1/5/2015 14:07
4/3/2014 21:30
9/28/2014 21:46
7/21/2014 21:08
7/21/2014 21:08
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
9/28/2014 21:46
9/28/2014 21:46
4/23/2013 10:24
9/28/2014 21:46
9/28/2014 21:46
9/28/2014 21:46
9/28/2014 21:46
4/23/2015 15:45
3/16/2014 18:23
4/23/2013 10:24
4/23/2013 10:24
9/28/2014 21:46
5/21/2014 20:01
3/16/2014 18:23
4/3/2014 21:30
8/6/2014 18:35
4/23/2013 10:24
9/28/2014 21:46
4/3/2014 21:30
3/15/2014 16:05
3/18/2014 20:03
4/3/2014 21:30
4/3/2014 21:30
10/9/2015 18:21
4/23/2013 10:24
9/28/2014 21:46
3/18/2014 20:03
3/18/2014 20:03
3/18/2014 20:03
3/18/2014 20:03
3/16/2014 18:23
3/18/2014 20:03
4/23/2013 10:24
4/23/2013 10:24
39,950.00
10/19/2015 18:57
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/23/2013 10:24
1,902,240.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
219,540.00
Download
Download
3/15/2014 16:14
33,900.00
6,475.00
6,490.00
Download
Download
Download
Download
9,500.00 Download
2,800.00
2,999.00
3,500.00
100.00
66,000.00
380,875.00
640.00
480.00
53,900.00
2,618.00
359,900.00
1,199,990.00
214,990.00
160,000.00
288,199.00
171,195.00
80,000.00
48,500.00
400.00
650.00
1,100,000.00
550,000.00
27,550.00
29,000.00
2,200.00
2,950,000.00
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
5/21/2014 20:01
10/19/2015 18:57
3/16/2014 18:23
7/21/2014 21:09
4/23/2013 10:24
3/16/2014 18:23
3/16/2014 18:23
3/15/2014 16:05
4/23/2015 15:45
9/28/2014 22:55
4/23/2013 10:24
7/21/2014 21:09
3/16/2014 18:23
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
9/28/2014 21:46
1/5/2015 14:07
4/23/2013 10:24
4/23/2013 10:24
9/5/2014 23:17
9/5/2014 23:17
3/16/2014 18:23
4/23/2015 15:45
9/28/2014 21:46
4/3/2014 21:30
5/21/2014 20:01
3/16/2014 18:23
3/16/2014 18:23
9/6/2014 1:27
3/15/2014 16:05
4/23/2013 10:24
3/15/2014 16:05
3/15/2014 16:05
3/15/2014 16:05
3/15/2014 16:14
5,522,580.00
Download
Download
3/16/2014 19:49
984,000.00
Download
Download
9/5/2014 23:17
3,000,000.00
Download
Download
9/5/2014 23:17
274,560.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
9/5/2014 23:17
5,200.00
1,438.00
89.00
6,450.00
1,077,815.00
1,248,220.00
973,500.00 Download
1,135,000.00 Download
915,000.00 Download
915,810.00 Download
23,000.00
2,420.00
Download
Download
11,475.00 Download
14,500.00
3,120.00
4,525.00
8,360.00
298.00
208.00
110.00
1,000.00
17,393.00
37,109.00
2,163.00
14,203.00
5,998.00
7,200.00
11,268.00
2,300.00
114.00
205.00
1,650.00
7,190.00
65.00
319.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
5/20/2014 18:46
4/23/2013 10:24
4/23/2013 10:24
7/21/2014 21:09
3/16/2014 19:08
3/16/2014 19:08
4/3/2014 21:30
4/3/2014 21:30
8/6/2014 18:35
4/3/2014 21:30
7/21/2014 21:09
4/3/2014 21:30
3/16/2014 19:08
3/15/2014 16:05
3/16/2014 18:23
3/16/2014 18:23
3/15/2014 16:05
3/15/2014 16:05
4/23/2013 10:24
4/23/2015 15:45
1/5/2015 14:07
3/16/2014 18:23
3/15/2014 16:05
3/15/2014 16:05
3/15/2014 16:05
1/5/2015 14:07
3/16/2014 19:08
3/16/2014 19:08
4/23/2013 10:24
1/5/2015 14:07
4/23/2013 10:24
1/5/2015 14:07
3/15/2014 16:05
4/23/2013 10:24
9/28/2014 21:46
16,236.00
107.00
17,391.00
19,500.00
23,185.00
Download
Download
Download
Download
Download
Download
7/21/2014 21:09
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/23/2013 10:24
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
5/21/2014 20:01
Download
Download
Download
Download
Download
995.00 Download
580.00
1,013.00
1,140.00
120.00
260.00
459.00
789.00
610.00
1,100.00
5,200.00
1,200.00
1,008.00
2,000.00
3,164,805.00
23,500.00
23,500.00
23,500.00
46,539.00 Download
5,248.00
6,275.00
7,383.00
6,600.00
63,750.00
431.00
5,867.00
59.00
2,000.00
4,896.00
513.00
509.00
5,940.00
1,000.00
16,500.00
43,000.00
850.00
8,800.00
12,775.00
4,997.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
3/15/2014 16:05
3/16/2014 19:08
3/16/2014 19:08
3/16/2014 19:08
7/21/2014 21:09
9/28/2014 21:46
8/22/2014 0:44
4/23/2013 10:24
3/18/2014 20:03
7/10/2014 15:53
4/23/2013 10:24
4/23/2015 15:45
4/23/2015 15:45
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
9/28/2014 22:55
5/21/2014 20:01
5/21/2014 20:01
4/23/2015 15:45
3/18/2014 20:03
3/18/2014 20:03
3/18/2014 20:03
9/28/2014 21:46
3/18/2014 20:03
3/18/2014 20:03
3/18/2014 20:03
4/23/2013 10:24
3/15/2014 16:05
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
3/15/2014 16:05
4/23/2013 10:24
3/15/2014 16:05
3/15/2014 16:05
4/23/2013 10:24
4/23/2013 10:24
7/21/2014 21:08
4/23/2013 10:24
2,950.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/23/2013 10:24
Download
Download
Download
Download
Download
Download
Download
7/21/2014 21:09
43,000.00
Download
Download
Download
Download
Download
Download
Download
12,000.00
Download
Download
3/16/2014 19:08
17,060.00
3,300.00
4,752.00
52,800.00
7,200.00
3,300.00
7,999.00
181.00
3,650,000.00
1,320,000.00
1,077.00
57.00
256,000.00
82,000.00
120,000.00
7,000.00 Download
169.00
391.00
13,000.00
255.00
22,000.00
93,000.00
575,000.00
1,499.00
900.00
315.00
930.00
3,290,000.00
3,650.00
127,000.00
13,425.00
424.00
11,167.00
21,500.00
2,654.00
5,800.00
5,800.00
6,800.00
28,500.00
3,900.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/23/2013 10:24
3/15/2014 16:05
9/28/2014 21:46
4/23/2015 15:45
3/16/2014 18:23
7/21/2014 21:09
3/15/2014 16:05
3/15/2014 16:05
9/28/2014 22:55
4/23/2013 10:24
1/5/2015 14:07
9/28/2014 21:46
3/16/2014 18:23
9/28/2014 21:46
3/16/2014 19:08
1/5/2015 14:07
3/15/2014 16:05
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
9/5/2014 23:17
9/5/2014 23:17
8/6/2014 18:35
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
1/5/2015 14:07
5/21/2014 20:01
4/23/2013 10:24
3/18/2014 20:03
7/21/2014 21:09
9/28/2014 21:46
3/18/2014 20:03
4/3/2014 21:30
6/24/2015 12:59
3/18/2014 20:03
3/16/2014 19:08
3/16/2014 19:08
3/16/2014 19:08
6/27/2014 19:33
6,500.00
Download
1,120,000.00 Download
223,000.00 Download
8,100.00
1,050.00
250.00
1,669.00
2,949.00
6,250.00
99.00
71,100.00
Download
Download
Download
Download
Download
Download
Download
Download
6,200.00 Download
300.00
1,135.00
563.00
9,128.00
9,722.00
13,867.27
152,543.00
2,395.00
19,608,034.00
115,000.00
8/6/2014 18:35
8/6/2014 18:35
8/6/2014 18:35
6/16/2014 19:59
3/16/2014 18:23
1/5/2015 14:07
9/28/2014 21:46
9/28/2014 21:46
4/3/2014 21:30
3/16/2014 18:23
4/8/2014 18:23
8/6/2014 18:35
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
3/16/2014 19:08
Download
Download
Download
Download
4/3/2014 21:30
11,500.00 Download
149.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/3/2014 21:30
4/23/2013 10:24
9/28/2014 21:46
4/3/2014 21:30
3/18/2014 20:03
3/16/2014 18:23
3/16/2014 18:23
12/5/2014 22:08
4/23/2013 10:24
9/28/2014 22:55
59,950.00
Download
Download
Download
Download
Download
Download
Download
Download
59,950.00
Download
Download
5/22/2015 14:48
59,950.00
Download
Download
5/22/2015 14:48
70,521.00
Download
Download
5/22/2015 14:48
70,521.00
Download
Download
5/22/2015 14:48
70,521.00
Download
Download
5/22/2015 14:48
59,950.00
Download
Download
5/22/2015 14:48
70,521.00
Download
Download
5/22/2015 14:48
28,204.00
Download
Download
5/22/2015 14:48
33,176.00
Download
Download
5/22/2015 14:48
90,000.00
65,500.00
405.00
36,500.00 Download
6,400.00 Download
4/3/2014 21:30
4/23/2015 15:45
4/23/2013 10:24
12/5/2014 22:08
3/16/2014 18:23
5/22/2015 14:48
76,285.00
Download
Download
5/22/2015 14:48
89,738.00
Download
Download
5/22/2015 14:48
20,900.00
Download
Download
5/22/2015 14:48
24,585.00
Download
Download
5/22/2015 14:48
17,798.00
Download
Download
5/22/2015 14:48
20,933.00
Download
Download
5/22/2015 14:48
16,500.00
Download
Download
5/22/2015 14:48
19,404.00
Download
Download
5/22/2015 14:48
307,400.00
Download
Download
Download
5/22/2015 15:37
19,954.00
Download
Download
Download
23,474.00
Download
Download
5/22/2015 14:48
78,000.00
Download
Download
Download
1/5/2015 14:07
14,498.00
Download
Download
Download
5/22/2015 14:48
17,050.00
Download
Download
5/22/2015 14:48
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/23/2015 15:45
285,000.00
78,000.00
5,390.00 Download
170,000.00
40,000.00
2,793.00
5,450.00
1,680.00
3,900.00
6,500.00
122,000.00
6,200.00
234.00
210,000.00
77,000.00
45,000.00
1,229,998.00
107.00
1,575.00
3,429.00
12,840.00
14,980.00
7,400.00
473.00
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
Download
4/3/2014 21:30
5/22/2015 14:48
1/5/2015 14:07
8/6/2014 18:35
7/21/2014 21:09
3/16/2014 19:08
3/16/2014 19:08
9/28/2014 21:46
3/16/2014 19:08
4/3/2014 21:30
9/28/2014 21:46
3/16/2014 19:08
4/23/2013 10:24
3/16/2014 18:23
9/5/2014 23:17
9/5/2014 23:17
5/21/2014 14:16
4/23/2013 10:24
12/5/2014 22:08
3/18/2014 20:03
3/16/2014 18:23
4/23/2015 15:45
3/16/2014 18:23
3/15/2014 16:05
Nama Generik
Nama Dagang
Pabrik
Distributor
Harga Per Kemasan Terkecil
NO. Nama Barang

Merk
Distributor Harga e catalog
1
SN Medika
2
3
4
5
6
7

E Catalog Obat BPJS

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

E Catalog Obat BPJS

Uploaded by

Copyright:

Available Formats

No

Nama Obat Generik

ACT (Artesunate tablet 50 mg + Amodiaquine

PT. Kimia Farma

Adefovir Dipivoksil tablet/kaplet 10 mg

PT. SmithKline Beecham Phamaceuticals

Air untuk Injeksi 25 ml

Air untuk irigasi lar infus 1000 ml

PT. Widatra Bhakti

Akarbose tablet/kaplet 100 mg

PT. Dexa Medica

PT. Dexa Medica

Albendazol suspensi 200 mg/5 ml

Albendazol tablet/kapsul/kaplet 400 mg

PT. Holi Pharma

Albumin serum normal (human albumin) injeksi

Albumin serum normal (human albumin) injeksi

Albumin serum normal (human albumin) injeksi

PLASBUMIN 25% 100 ML

PT. Dipa Pharmalab

Albumin serum normal (human albumin) injeksi

PT. Dipa Pharmalab

Albumin serum normal (human albumin) injeksi

PT. Dipa Pharmalab

Albumin serum normal (human albumin) injeksi 5%

PT. Dipa Pharmalab

Albumin serum normal (human albumin) injeksi 5%

PT. Dipa Pharmalab

Alopurinol tablet/kapsul/kaplet 100 mg

PT. Pertiwi Agung

Alopurinol tablet/kapsul/kaplet 300 mg

Alprazolam tablet/kapsul/kaplet 0,25 mg

PT. Dexa Medica

Alprazolam tablet/kapsul/kaplet 0,5 mg

PT. Kimia Farma

PT. Kimia Farma

Alteplase injeksi 50 mg/vial

PT. Boehringer Ingelheim

Amfoterisin B salep mata 1%

PT. Cendo Industri Farmasi

Amikasin injeksi 250 mg/ml

Glybotic 250 mg /ml

PT. Sanbe Farma

Aminofilin injeksi 24 mg/ml

PT. Lucas Djaja

Aminofilin tablet scored 200 mg

PT. Marin Liza Farmasi

Aminofilin tablet/kapsul/kaplet 150 mg

Amiodaron injeksi 150 mg/3 ml

PT. Aventis Pharma

Amiodaron tablet/kaplet 200 mg

PT. Darya Varia

Amitriptilin tablet salut 25 mg (HCl)

PT. Pertiwi Agung

PT. Pertiwi Agung

Amoksisilin kapsul/kaplet 250 mg

Amoksisilin kapsul/kaplet/tablet scored 500 mg

Amoksisilin sirup kering forte 250 mg/5 ml

PT. Holi Pharma

Amoksisilin sirup kering 125 mg/ 5 ml

Ampisilin serbuk injeksi i.v. 1000 mg/vial

Analog insulin long acting inj 100 UI/ml,

Lantus Solostar 100IU/ml