Lampiran srt, No.

14 /UM 000/9000/I/2019
DAFTAR 60 ITEM PRODUK GENERIK MENGALAMI KENAIKAN HNA TAHUN 2019

KODE
NO. MATERIAL NAMA PRODUK KEMASAN HNA
SAP 2018
EXC. PPN
I. PRODUK REGULER OGB C

1 11000000 Acyclovir 200 mg Tablet Dus 100 tabl 45,875

2 11000002 Acyclovir 400 mg Tablet Dus 100 tabl 67,520
3 11000004 Acyclovir Cream Tube 5 gram 3,290
4 11000146 ALLOPURINOL 100/250 MG DUS 10X10 TABL 15,600
5 11000149 AMBROXOL SIRUP BTL 60 ML 4,480
6 11000011 Amoxicillin 500 mg Kaplet Dus 100 tabl 33,636
7 11000382 ANTALGIN 500 MG TABLET DUS 10X10 TABL 23,340
8 11000013 Antasida DOEN Suspensi Fles 60 ml 9,495
9 11000383 BETAMETASON 0,1% KRIM TUBE 5 GRAM 2,115
10 11000424 CAPTOPRIL 25 MG DUS 10X10 TABL 12,523
11 11000022 Cefadroxil 500 mg Kapsul Dus 50 kaps 67,440
12 11000165 CHLOROQUIN 150/300 MG DUS 10X10 TABL 18,869
13 11000173 COTRIMOXAZOLE ADULT DUS 10X10 TABL 22,520
14 11000175 COTRIMOXAZOLE SUSPENSI BTL 60 ML 5,500
15 11000049 Diazepam 2 mg Tablet (100) BTL 100 tabl 11,250
16 11000187 DILTIAZEM 30/200 MG DUS 10X10 TABL 16,415
17 11000056 Doxycycline 100 mg Kapsul Dus 100 kaps 50,015
18 11000192 ERGOTAMINE COFFEINE BTL 100 TABL 18,500
19 11000065 Erythromycin 250 mg Kapsul Dus 100 kaps 73,580
20 11000194 ETHAMBUTOL 500 MG. DUS 10X10 TABL 62,575
21 11000200 FUROSEMIDE 40 MG. DUS 20X10 TABL 20,200
22 11000391 GENTAMISIN SULFAT 0,1% KRIM TUBE 5 GRAM 1,933
23 11000072 Glibenclamide 5 mg Tablet Dus 100 tabl 16,720
24 11000392 GLYCERIL GUAIKOLAT DUS 10 x 10 tablet 14,235
25 11000394 HIDROKORTISON ASETAT 2,5% KRIM TUBE 5 GRAM 2,915
26 11000305 IODINE POVIDON 10% BTL 30 ML 4,500
27 11000386 Kalsium Laktat tablet 500 mg* Dus 10 x 10 tablet 17,900
28 11000213 KETOCONAZOLE 200/300 MG DUS 5X10 TABL 24,227
29 11000395 KETOKONAZOLE 2% KRIM TUBE 10 GRAM 4,250
30 11000295 KLORAMFENIKOL SM 1% (STERIL) TUBE 5 GRAM 3,150
31 11000298 OKSITETRASIKLIN SK 3% TUBE 5 GRAM 1,827
32 11000297 OKSITETRASIKLIN SM 1% TUBE 3,5 GRAM 3,025
33 11000397 PARASETAMOL 500 MG TABLET DUS 10X10 TABL 20,065
34 11000241 PIROXICAM 10 MG DUS 10X10 TABL 10,077
35 11000243 PIROXICAM 20 MG DUS 10X10 TABL 11,855
36 11000256 RANITIDIN 150/250 MG DUS 3X10 TABL 10,500
37 11000124 Rifampicin 450 mg Tabsalsel Dus 100 kapl 103,155
38 11000125 Rifampicin 600 mg Tabsalsel Dus 100 kapl 130,825
39 11000268 SULFADOXINE PYRIMETHAMINE DUS 10X10 TABL 57,000
40 11000274 VERAPAMIL 80 MG. DUS 10X10 TABL 37,485
41 11000275 VITAMIN B1 100/225 MG DUS 10X10 TABL 19,000
42 11000287 VITAMIN C 50/100 MG DUS 10X10 TABL 11,440

II. PRODUK OGB TENDER C

1 11000185 DIETHYLCARBAMAZINE 100 MG DUS 10X10 TABL 13,818
2 11000310 EUGENOL CAIRAN BTL 10 ML 3,686
3 11000092 LAMIVUDINE 150 MG Btl 60 tabl 102,273
4 11000304 RETINOL (VITAMIN A 200.000 UI) BTL 50 KAPS 25,100
5 11000309 RETIONOL (VITAMIN A 100.000 UI) BTL 50 KAPS 15,000
6 11000308 YODIUM TES BTL 10 ML 5,303
7 11000307 YODIUM TES KIT BTL 6X10 ML 31,818
8 11000143 Zidovudine 100 mg Kapsul Btl 60 kaps 86,364
9 11000793 Tablet Tambah Darah NEO Dus 10 strip @ 10 TSG 45,455
10 11000111 Nevirapine 200 MG Btl 60 tabl 166,800
Kombinasi Lamivudine 150 mg +
11 11000090 Btl 60 tabl 262,364
Zidovudine 300 mg
12 11000060 Efavirens 600 mg Botol 30 tabl 226,036
Kombinasi Cefixime 400 mg +
13 11000088 Paket 28,392
Azitromycin 1000 mg
14 11000091 Lamivudine 100 mg Btl 60 tabl 62,182
Tenofovir Disoproxil Fumarate 300
15 11001243 Btl 60 tabl 287,182
MG TSS
Obat Anti Tuberculosis FDC Kategori
16 11000117 Paket 264,227
Anak
17 11000118 Obat Anti Tuberculosis FDC Kategori 1 Paket 442,439

18 11000119 Obat Anti Tuberculosis FDC Kategori 2 Paket 1,622,364

N HNA TAHUN 2019

FEE DIST 2018

HNA %
2019 EXC. KENAIKAN HOLDING
KFTD
KE- KFTD
KE-KFA
PPN HNA
D D/C E F

59,638 30.0% 7.5% 6.0%

87,776 30.0% 7.5% 3.5%
3,948 20.0% 7.5% 3.5%
18,720 20.0% 7.50% 3.5%
4,556 1.7% 10.0% 6.0%
47,168 40.2% 3.5% 0.0%
28,008 20.0% 7.5% 3.5%
10,445 10.0% 7.5% 3.5%
2,327 10.0% 10.0% 6.0%
13,149 5.0% 7.5% 3.5%
71,578 6.1% 10.0% 6.0%
28,303 50.0% 10.0% 6.0%
24,928 10.7% 5.0% 0.0%
6,050 10.0% 10.0% 6.0%
12,355 9.8% 7.5% 3.5%
18,628 13.5% 10.0% 6.0%
60,018 20.0% 10.0% 6.0%
20,350 10.0% 8.50% 3.5%
88,296 20.0% 7.50% 3.5%
76,138 21.7% 10.0% 6.0%
24,240 20.0% 7.50% 3.5%
3,319 71.7% 10.0% 6.0%
21,736 30.0% 8.50% 3.5%
21,353 50.0% 7.5% 3.5%
3,498 20.0% 7.50% 3.5%
5,940 32.0% 8.50% 3.5%
20,362 13.8% 10.0% 6.0%
25,530 5.4% 7.50% 3.5%
5,100 20.0% 10.0% 6.0%
4,725 50.0% 7.5% 3.5%
2,193 20.0% 7.5% 3.5%
4,235 40.0% 10.0% 6.0%
26,085 30.0% 7.5% 3.5%
12,093 20.0% 7.5% 3.5%
14,226 20.0% 7.5% 3.5%
 12,600 20.0% 8.50% 3.5%
165,048 60.0% 7.50% 3.5%
235,485 80.0% 7.5% 3.5%
91,200 60.0% 7.50% 3.5%
43,809 16.9% 10.0% 6.0%
24,700 30.0% 7.5% 3.5%
15,301 33.7% 7.50% 3.5%

D D/C E F
20,000 44.7% 10.0% 6.0%
24,000 551.1% 10.0% 6.0%
120,000 17.3% 10.0% 6.0%
37,650 50.0% 10.0% 6.0%
22,500 50.0% 10.0% 6.0%
10,000 88.6% 10.0% 6.0%
60,000 88.6% 10.0% 6.0%
140,000 62.1% 10.0% 6.0%
50,000 10.0% 15.0% 6.0%
180,000 7.9% 15.0% 6.0%
300,000 14.3% 15.0% 6.0%
250,000 10.6% 15.0% 6.0%
50,000 76.1% 15.0% 6.0%
80,000 28.7% 15.0% 6.0%
300,000 4.5% 15.0% 6.0%

350,000 32.5% 15.0% 6.0%

600,000 35.6% 15.0% 6.0%

1,800,000 10.9% 15.0% 6.0%

Lampiran srt, No. 14/UM 000/9000/I/2019
DAFTAR HNA PRODUK GENERIK TAHUN 2019

KODE
NO. MATERIAL NAMA PRODUK KEMASAN HNA
SAP 2018
EXC. PPN
I. PRODUK REGULER OGB C

1 11000000 Acyclovir 200 mg Tablet Dus 100 tabl 45,875

2 11000002 Acyclovir 400 mg Tablet Dus 100 tabl 67,520
3 11000004 Acyclovir Cream Tube 5 gram 3,290
4 11000145 ALBENDAZOLE TABLET KUNYAH 400 DUS 10X10 TABL 40,600
5 11000146 ALLOPURINOL 100/250 MG DUS 10X10 TABL 15,600
6 11000008 Alprazolam 0.5 mg tablet Dus 100 tabl 53,182
7 11000009 Alprazolam 1 mg Tablet Dus 100 tabl 81,818
8 11000147 AMBROXOL 30/230 MG DUS 10X10 TABL 14,121
9 11000149 AMBROXOL SIRUP BTL 60 ML 4,480
10 11000150 AMLODIPINE 5/80 MG TABLET DUS 5X10 TABL 43,636
11 11000151 AMLODIPINE 10/120 MG TABLET DUS 5X10 TABL 76,945
12 11000011 Amoxicillin 500 mg Kaplet Dus 100 tabl 33,636
13 11000012 Ampicillin 500 mg Tablet Dus 100 tabl 48,395
14 11000382 ANTALGIN 500 MG TABLET DUS 10X10 TABL 23,340
15 11000152 ANTASIDA DOEN DUS 10X10 TABL 19,145
16 11000013 Antasida DOEN Suspensi Fles 60 ml 9,495
17 11000291 ANTIHEMOROID SUPP 2G DUS 10 SUPP 30,000
18 11000016 Azithromycin 500 mg Kapsalsel Dus 20 kapl 200,000
19 11000383 BETAMETASON 0,1% KRIM TUBE 5 GRAM 2,115
20 11000161 CAPTOPRIL 12.5 MG DUS 10X10 TABL 10,227
21 11000424 CAPTOPRIL 25 MG DUS 10X10 TABL 12,523
22 11000022 Cefadroxil 500 mg Kapsul Dus 50 kaps 67,440
23 11000024 Cefixime 100 mg Kapsul Dus 30 kaps 65,307
24 11000025 Cetirizine 10 mg Tabsalsel Dus 30 Tabl 12,600
25 11000164 CHLORAMPHENICOL SUSPENSI BTL 60 ML 8,135
26 11000388 CHLORAMPHENIKOL 250 MG KAPSUL DUS 10X10 KAPS 61,985
27 11000165 CHLOROQUIN 150/300 MG DUS 10X10 TABL 18,869
28 11000167 CHLORPROMAZIN 100/400 MG DUS 10X10 TABL 24,025
29 11000169 CIMETIDINE 200/250 MG. DUS 10X10 TABL 17,515
30 11000029 Ciprofloxacin 500mg Tabsalsel Dus 50 tabsal 32,000
31 11000170 CLONIDINE 0.15 MG. DUS 10X10 TABL 18,636
32 11000171 CLOPIDOGREL 75 MG DUS 3X10 TABL 270,000
33 11000033 Codein 10 mg Tablet (strip) Dus 100 tabl 62,270
34 11000035 Codein 15 mg Tablet (Strip) Dus 100 tabl 112,180
35 11000037 Codein 20 mg Tablet (Strip) Dus 100 tabl 147,600
36 11000173 COTRIMOXAZOLE ADULT DUS 10X10 TABL 22,520
37 11000175 COTRIMOXAZOLE SUSPENSI BTL 60 ML 5,500
38 11000182 DEXAMETHASONE 0.5 MG DUS 10X10 TABL 10,677
39 11000049 Diazepam 2 mg Tablet (100) BTL 100 tabl 11,250
40 11000187 DILTIAZEM 30/200 MG DUS 10X10 TABL 16,415
41 11000188 DIMENHYDRINATE 50 MG BTL 100 TABL 12,980
42 11000056 Doxycycline 100 mg Kapsul Dus 100 kaps 50,015
43 11000190 EPHEDRIN 25 MG TABLET DUS 10 x 10 tablet 15,636
44 11000192 ERGOTAMINE COFFEINE BTL 100 TABL 18,500
45 11000065 Erythromycin 250 mg Kapsul Dus 100 kaps 73,580
46 11000067 Erythromycin Sirup Kering Fles 60 ml 12,474
47 11000193 ETHAMBUTOL 250 MG. DUS 20X10 TABL 83,496
48 11000194 ETHAMBUTOL 500 MG. DUS 10X10 TABL 62,575
49 11000233 Fenobarbital tablet 30 mg Dus 10 x 10 tablet 21,818
50 11000300 FERROSUS SULFHATE TABLET 300 MG BOTOL 100 8,168
51 11000071 Fluconazole 150 mg Kapsul Dus 10 kaps 200,003
52 11000200 FUROSEMIDE 40 MG. DUS 20X10 TABL 20,200
53 11000391 GENTAMISIN SULFAT 0,1% KRIM TUBE 5 GRAM 1,933
54 11000072 Glibenclamide 5 mg Tablet Dus 100 tabl 16,720
55 11000073 Glimepiride 1 mg Tablet Dus 50 tabl 34,549
56 11000074 Glimepiride 2 mg Tablet Dus 50 tabl 65,149
57 11000075 Glimepiride 3 mg Tablet Dus 50 tabl 88,840
58 11000076 Glimepiride 4 mg Tablet Dus 50 tabl 118,454
59 11000392 GLYCERIL GUAIKOLAT DUS 10 x 10 tablet 14,235
60 11000202 GRISEOFULVIN 125/175 MG DUS 10X10 TABL 46,999
61 11000394 HIDROKORTISON ASETAT 2,5% KRIM TUBE 5 GRAM 2,915
62 11000204 HYDROCHLOROTHIAZIDE 25 MG DUS 10X10 TABL 11,636
63 11000305 IODINE POVIDON 10% BTL 30 ML 4,500
64 11000303 IODINE POVIDON 10% BTL 60 ML 6,550
65 11000306 IODINE POVIDON 10% BTL 300 ML 18,070
66 11000302 IODINE POVIDON 10% BTL 1000 ML 54,515
67 11000208 ISONIAZID (INH) 100/250 MG DUS 10X10 TABL 12,960
68 11000210 ISONIAZIDE 300 MG DUS 100 TAB 17,300
69 11000386 Kalsium Laktat tablet 500 mg* Dus 10 x 10 tablet 17,900
70 11000213 KETOCONAZOLE 200/300 MG DUS 5X10 TABL 24,227
71 11000395 KETOKONAZOLE 2% KRIM TUBE 10 GRAM 4,250
72 11000295 KLORAMFENIKOL SM 1% (STERIL) TUBE 5 GRAM 3,150
73 11000217 LEVOFLOXACIN 500/700 MG DUS 5X10 TABL 52,440
74 11000094 Lidocain 2% Injeksi Dus 100 ampul 200,808
75 11000220 MELOXICAM 15/150 MG DUS 2X10 TABL 25,045
76 11000219 MELOXICAM 7,5/75 MG DUS 2X10 TABL 14,452
77 11000104 Methylergometrine 0,125 mg Dus 100 tabl 24,600
78 11000222 METOCLOPRAMID 10 MG DUS 10X10 TABL 13,000
79 11000221 METOCLOPRAMIDE 5/100 MG-BLISTE DUS @ 10 BLIS X 10 TAB 11,500
80 11000223 METRONIDAZOLE 250 MG. DUS 10X10 TABL 18,200
 81 11000225 METRONIDAZOLE 500 MG. DUS 10X10 TABL 26,000
82 11000296 MICONAZOLE KRIM 2% TUBE 10 GRAM 3,250
83 11000105 Morfina 10 mg/ml Injeksi Dus 10 x 1 ml 95,449
84 11000106 Morphine 10 mg Tablet Fles 30 tabl 32,890
85 11000107 Natrium Diklofenak 25 mg TSE Dus 50 tabl 16,645
86 11000108 Natrium Diklofenak 50 mg TSE Dus 50 tabl 20,835
87 11000227 NIFEDIPIN 10 MG. DUS 10X10 TABL 17,590
88 11000298 OKSITETRASIKLIN SK 3% TUBE 5 GRAM 1,827
89 11000297 OKSITETRASIKLIN SM 1% TUBE 3,5 GRAM 3,025
90 11000115 Omeprazole 20 mg Kapsul Dus 30 kaps 19,210
91 11000229 ORALIT 200 ML DUS 100 SASE 71,855
92 11000230 PAPAVERIN 40/190 MG DUS 10X10 TABL 15,116
93 11000232 PARACETAMOL SYRUP BTL 60 ML 4,605
94 11000397 PARASETAMOL 500 MG TABLET DUS 10X10 TABL 20,065
95 11000120 Pethidin HCl 50 mg/ml Injeksi Dus 10 x 2 ml 119,922
96 11000241 PIROXICAM 10 MG DUS 10X10 TABL 10,077
97 11000243 PIROXICAM 20 MG DUS 10X10 TABL 11,855
98 11000245 PREDNISON TABLET 5 MG DUS 10X10 TABL 13,091
99 11000121 Propranolol HCl 40 mg Tablet Dus 100 tabl 27,265
100 11000248 PYRANTEL 125 MG. DUS 25X4 TABL 36,810
101 11000251 PYRAZINAMIDE 500/700 MG. DUS 10X10 TABL 31,285
102 11000486 PYRIDOXINE (Vit B6) TABLET 10 MG DUS 10 x 10 tablet 13,455
103 11000281 PYRIDOXINE (Vit B6) TABLET 10 MG DUS 10 x 10 tablet 13,455
104 11000253 QUININE 222 MG DUS 10X6 TABL 40,200
105 11000122 Quinine 25% Injeksi Dus 100 ampul 392,204
106 11000256 RANITIDIN 150/250 MG DUS 3X10 TABL 10,500
107 11000124 Rifampicin 450 mg Tabsalsel Dus 100 kapl 103,155
108 11000125 Rifampicin 600 mg Tabsalsel Dus 100 kapl 130,825
109 11000259 SALBUTAMOL 2 MG. DUS 10X10 TABL 7,639
110 11000262 SALBUTAMOL 4/100 MG. DUS 10X10 TABL 9,130
111 11000353 SALISIL BEDAK 2% KOTAK 50 GR 3,300
112 11000264 SIMVASTATIN 10/100 MG DUS 5X10 TABL 23,318
113 11000266 SIMVASTATIN 20/200 MG DUS 5X10 TABL 46,636
114 11000268 SULFADOXINE PYRIMETHAMINE DUS 10X10 TABL 57,000
115 11000128 Tetracycline 250 mg Kapsul Dus 100 kaps 42,950
116 11000130 Tetracycline 500 mg Dus 100 kaps 122,200
117 11000133 Tramadol 50 mg Kapsul Dus 50 kaps 25,730
118 11000274 VERAPAMIL 80 MG. DUS 10X10 TABL 37,485
119 11000487 VITAMIN B KOMPLEKS SUPLEMEN DUS 10X10 TABL 13,090
120 11000275 VITAMIN B1 100/225 MG DUS 10X10 TABL 19,000
121 11000277 VITAMIN B1 50/125 MG DUS 10X10 TABL 14,215
122 11000279 VITAMIN B12 0.05/100 MG DUS @ 10X10 TAB 7,105
123 11000283 VITAMIN C 100/140 MG DUS 10X10 TABL 11,040
124 11000285 VITAMIN C 250/350 MG DUS 10X10 TABL 14,914
125 11000288 VITAMIN C 50 SUPLEMEN DUS 10X10 TABL 11,440
 126 11000287 VITAMIN C 50/100 MG DUS 10X10 TABL 11,440
127 11000144 Zink Dispersibel Tablet Dus 100 tabl 43,182

II. PRODUK OGB TENDER C

128 11000185 DIETHYLCARBAMAZINE 100 MG DUS 10X10 TABL 13,818
129 11000310 EUGENOL CAIRAN BTL 10 ML 3,686
130 11000092 LAMIVUDINE 150 MG Btl 60 tabl 102,273
131 11000304 RETINOL (VITAMIN A 200.000 UI) BTL 50 KAPS 25,100
132 11000309 RETIONOL (VITAMIN A 100.000 UI) BTL 50 KAPS 15,000
133 11000308 YODIUM TES BTL 10 ML 5,303
134 11000307 YODIUM TES KIT BTL 6X10 ML 31,818
135 11000143 Zidovudine 100 mg Kapsul Btl 60 kaps 86,364
136 11000793 Tablet Tambah Darah NEO Dus 10 strip @ 10 TSG 45,455
137 11000111 Nevirapine 200 MG Btl 60 tabl 166,800
Kombinasi Lamivudine 150 mg +
138 11000090 Btl 60 tabl 262,364
Zidovudine 300 mg
139 11000060 Efavirens 600 mg Botol 30 tabl 226,036
Kombinasi Cefixime 400 mg +
140 11000088 Paket 28,392
Azitromycin 1000 mg
141 11000091 Lamivudine 100 mg Btl 60 tabl 62,182
Tenofovir Disoproxil Fumarate 300
142 11001243 Btl 60 tabl 287,182
MG TSS
Obat Anti Tuberculosis FDC Kategori
143 11000117 Paket 264,227
Anak
144 11000118 Obat Anti Tuberculosis FDC Kategori 1 Paket 442,439

145 11000119 Obat Anti Tuberculosis FDC Kategori 2 Paket 1,622,364

III. PRODUK REGULER KOMODITI C

146 11000384 BETASON - N KRIM TUBE 5 GRAM 12,250
147 11000385 BETASON KRIM TUBE 5 GRAM 7,950
148 11000026 Chloramfecort Cream Tube 10 gram 13,400
149 11000027 Chloramfecort H Cream Tube 10 gram 11,500
150 11000216 KINA TABLET STRIP 12 TAB 14,800
151 11000136 TRINOLON 4 MG TABLET DUS 50 TABL 65,000

IV. PRODUK REGULER YANG TIDAK REPEAT PRODUKSI 2019 C

1 152 11000284 ASAM ASKORBAT (Vit C) TAB 100 MG BOTOL 100 11,040
2 153 11000286 ASAM ASKORBAT (Vit C) TAB 250 MG BOTOL 100 14,914
3 154 11000289 ASAM ASKORBAT (Vit C) TAB 50 MG BOTOL 100 11,440
4 155 11000014 Asam Mefenamat 500mg tabsalsel Dus 100 tabl 24,624
5 156 11000387 CALCIUM LACTATE TABLET BTL 100 TABL 8,582
6 157 11000389 CHLORAMPHENIKOL 250 MG KAPSUL BTL 100 KAPS 33,862
7 158 11000166 CHLOROQUINIE 150 MG BTL @100 TABL 15,273
8 159 11000168 CHLORPROMAZINE TAB SALUT 100 MG BOTOL 100 19,855
9 160 11000032 CODEIN TABLET 10 MG BOTOL 100 45,455
10 161 11000034 CODEIN TABLET 15 MG BOTOL 100 77,273
11 162 11000036 CODEIN TABLET 20 MG BOTOL 100 100,000
12 163 11000183 DEXAMETHASONE 0.5 MG BTL @100 TABL 10,909
13 164 11000191 EPHEDRINE 25 MG BTL @100 TABL 14,327
14 165 11000199 FUROSEMIDE 40 MG TABLET BOTOL 100 12,945
15 166 11000393 GLYCERIL GUAIACOLATE 100/300 MG BTL 100 TABL 8,364
16 167 11000205 HYDROCHLOROTHIAZIDE 25 MG BOTOL 100 10,909
17 168 11000582 ISONIAZID TABLET 100 MG BOTOL 100 23,527
18 169 11000211 ISONIAZIDE 300 MG BTL 100 TABL 14,738
19 170 11000231 PAPAVERIN TABLET 40 MG BOTOL 100 16,727
20 171 11000398 PARASETAMOL 500 MG TABL BTL 100 TABL 10,909
21 172 11000234 PHENOBARBITAL 30 MG BTL @100 TABL 12,000
22 173 11000235 PHERPENAZINE 4 MG BTL 100 TABL 6,986
23 174 11000282 PYRIDOXINE (Vit B6) TABLET 10 MG BOTOL 100 12,727
24 175 11000254 QUININE TABLET SALUT 222 MG BOTOL 100 61,818
25 176 11000589 RIFAMPICIN 300 MG KAPSUL DUS 100 KAPS 65,455
26 177 11000129 TETRASIKLIN KAPSUL 250 MG BOTOL 100 29,818
27 178 11000276 THIAMIN (Vitamin B1) TABLET 100 MG BOTOL 100 11,273
28 179 11000278 THIAMIN (Vitamin B1) TABLET 50 MG BOTOL 100 10,909
29 180 11000400 VITAMIN B KOMPLEKS BTL 100 TABL 9,455
30 181 11000280 VITAMIN B12 TABLET 50 MG BOTOL 100 6,909
31 182 11000459 Vitamin K 10 mg TSG (Generik) Dus 100 tabl 29,700
32 183 11000141 Vitamin K 10 mg/ml Injeksi Dus 100 ampul 184,183
33 184 11000299 TABLET TAMBAH DARAH SASE 30 TAB 2,000
34 185 11000456 ENKAPYRIN TABLET SALUT GULA BTL 250 KAPL 69,300
35 186 11000396 KETOKONAZOLE 2% KRIM TUBE 15 GRAM 6,873
36 187 11000272 Tablet Tambah Darah NEO Dus 10 strip @ 10 TSF 36,364
 HNA %
2019 EXC. KENAIKAN
PPN HNA
D D/C

59,638 30.0%
87,776 30.0%
3,948 20.0%
40,600 0.0%
18,720 20.0%
53,182 0.0%
81,818 0.0%
14,121 0.0%
4,556 1.7%
43,636 0.0%
76,945 0.0%
47,168 40.2%
48,395 0.0%
28,008 20.0%
19,145 0.0%
10,445 10.0%
30,000 0.0%
200,000 0.0%
2,327 10.0%
10,227 0.0%
13,149 5.0%
71,578 6.1%
65,307 0.0%
12,600 0.0%
8,135 0.0%
61,985 0.0%
28,303 50.0%
24,025 0.0%
17,515 0.0%
32,000 0.0%
18,636 0.0%
270,000 0.0%
62,270 0.0%
112,180 0.0%
147,600 0.0%
 24,928 10.7%
6,050 10.0%
10,677 0.0%
12,355 9.8%
18,628 13.5%
12,980 0.0%
60,018 20.0%
15,636 0.0%
20,350 10.0%
88,296 20.0%
12,474 0.0%
83,496 0.0%
76,138 21.7%
21,818 0.0%
8,168 0.0%
200,003 0.0%
24,240 20.0%
3,319 71.7%
21,736 30.0%
34,549 0.0%
65,149 0.0%
88,840 0.0%
118,454 0.0%
21,353 50.0%
46,999 0.0%
3,498 20.0%
11,636 0.0%
5,940 32.0%
6,550 0.0%
18,070 0.0%
54,515 0.0%
12,960 0.0%
17,300 0.0%
20,362 13.8%
25,530 5.4%
5,100 20.0%
4,725 50.0%
52,440 0.0%
200,808 0.0%
25,045 0.0%
14,452 0.0%
24,600 0.0%
13,000 0.0%
11,500 0.0%
18,200 0.0%
 26,000 0.0%
3,250 0.0%
95,449 0.0%
32,890 0.0%
16,645 0.0%
20,835 0.0%
17,590 0.0%
2,193 20.0%
4,235 40.0%
19,210 0.0%
71,855 0.0%
15,116 0.0%
4,605 0.0%
26,085 30.0%
119,922 0.0%
12,093 20.0%
14,226 20.0%
13,091 0.0%
27,265 0.0%
36,810 0.0%
31,285 0.0%
13,455 0.0%
13,455 0.0%
40,200 0.0%
392,204 0.0%
12,600 20.0%
165,048 60.0%
235,485 80.0%
7,639 0.0%
9,130 0.0%
3,300 0.0%
23,318 0.0%
46,636 0.0%
91,200 60.0%
42,950 0.0%
122,200 0.0%
25,730 0.0%
43,809 16.9%
13,090 0.0%
24,700 30.0%
14,215 0.0%
7,105 0.0%
11,040 0.0%
14,914 0.0%
11,440 0.0%
 15,301 33.7%
43,182 0.0%

D D/C
20,000 44.7%
24,000 551.1%
120,000 17.3%
37,650 50.0%
22,500 50.0%
10,000 88.6%
60,000 88.6%
140,000 62.1%
50,000 10.0%
180,000 7.9%
300,000 14.3%
250,000 10.6%
50,000 76.1%
80,000 28.7%
300,000 4.5%

350,000 32.5%

600,000 35.6%

1,800,000 10.9%

D D/C
12,250 0.0%
7,950 0.0%
13,400 0.0%
11,500 0.0%
14,800 0.0%
65,000 0.0%

D D/C
11,040 0.0%
14,914 0.0%
11,440 0.0%
24,624 0.0%
8,582 0.0%
33,862 0.0%
15,273 0.0%
19,855 0.0%
45,455 0.0%
77,273 0.0%
100,000 0.0%
10,909 0.0%
14,327 0.0%
12,945 0.0%
8,364 0.0%
10,909 0.0%
23,527 0.0%
14,738 0.0%
16,727 0.0%
10,909 0.0%
12,000 0.0%
6,986 0.0%
12,727 0.0%
61,818 0.0%
65,455 0.0%
29,818 0.0%
11,273 0.0%
10,909 0.0%
9,455 0.0%
6,909 0.0%
29,700 0.0%
184,183 0.0%
2,000 0.0%
69,300 0.0%
6,873 0.0%
36,364 0.0%