DAFTAR HARGA GENERIK KIMIA FARMA 2019

NO. NAMA PRODUK

1 Acyclovir 200 mg Tablet

2 Acyclovir 400 mg Tablet
3 Acyclovir Cream
4 ALBENDAZOLE TABLET KUNYAH 400
5 ALLOPURINOL 100/250 MG
6 Alprazolam 0.5 mg tablet
7 Alprazolam 1 mg Tablet
8 AMBROXOL 30/230 MG
9 AMBROXOL SIRUP
10 AMLODIPINE 5/80 MG TABLET
11 AMLODIPINE 10/120 MG TABLET
12 Amoxicillin 500 mg Kaplet
13 Ampicillin 500 mg Tablet
14 ANTALGIN 500 MG TABLET
15 ANTASIDA DOEN
16 Antasida DOEN Suspensi
17 ANTIHEMOROID SUPP 2G
18 ASAM ASKORBAT (Vit C) TAB 100 MG
19 ASAM ASKORBAT (Vit C) TAB 250 MG
20 Azithromycin 500 mg Kapsalsel
21 BETAMETASON 0,1% KRIM
22 CAPTOPRIL 12.5 MG
23 CAPTOPRIL 25 MG
24 Cefixime 100 mg Kapsul
25 Cetirizine 10 mg Tabsalsel
26 CHLORAMPHENICOL TTS TELINGA 3 %
27 CHLOROQUIN 150/300 MG
28 CHLOROQUINIE 150 MG
29 CHLORPROMAZIN 100/400 MG
30 CHLORPROMAZINE TAB SALUT 100 MG
31 CIMETIDINE 200/250 MG.
32 CLONIDINE 0.15 MG.
33 CLOPIDOGREL 75 MG
34 CODEIN TABLET 10 MG
35 CODEIN TABLET 15 MG
36 CODEIN TABLET 20 MG
37 Codein 10 mg Tablet (strip)
38 Codein 15 mg Tablet (Strip)
39 Codein 20 mg Tablet (Strip)
40 COTRIMOXAZOLE ADULT
41 DEXAMETHASONE 0.5 MG
42 DEXAMETHASONE 0.5 MG
43 DILTIAZEM 30/200 MG
44 DIMENHYDRINATE 50 MG
45 Doxycycline 100 mg Kapsul
46 EPHEDRIN 25 MG TABLET
47 EPHEDRINE 25 MG
48 ERGOTAMINE COFFEINE
49 Erythromycin 250 mg Kapsul
50 Erythromycin Sirup Kering
51 ETHAMBUTOL 250 MG.
52 ETHAMBUTOL 500 MG.
53 FERROSUS SULFHATE TABLET 300 MG
54 Fluconazole 150 mg Kapsul
55 FUROSEMIDE 40 MG.
56 GENTAMISIN SULFAT 0,1% KRIM
57 Glibenclamide 5 mg Tablet
58 Glimepiride 1 mg Tablet
59 Glimepiride 2 mg Tablet
60 Glimepiride 3 mg Tablet
61 Glimepiride 4 mg Tablet
62 GLYCERIL GUAIKOLAT
63 GRISEOFULVIN 125/175 MG
64 HIDROKORTISON ASETAT 2,5% KRIM
65 HYDROCHLOROTHIAZIDE 25 MG
66 HYDROCHLOROTHIAZIDE 25 MG
67 IODINE POVIDON 10%
68 IODINE POVIDON 10%
69 IODINE POVIDON 10%
70 IODINE POVIDON 10%
71 ISONIAZID (INH) 100/250 MG
72 ISONIAZID TABLET 100 MG
73 ISONIAZIDE 300 MG
74 ISONIAZIDE 300 MG
75 KETOCONAZOLE 200/300 MG
76 KETOKONAZOLE 2% KRIM
77 KETOKONAZOLE 2% KRIM
78 KLORAMFENIKOL SM 1% (STERIL)
79 LEVOFLOXACIN 500/700 MG
80 Lidocain 2% Injeksi
81 MELOXICAM 15/150 MG
82 MELOXICAM 7,5/75 MG
83 MENADION (Vitamin K3) TSG 10 MG
 84 MENADION (Vitamin K3) TSG 10 MG
85 Methylergometrine 0,125 mg
86 METOCLOPRAMID 10 MG
87 METOCLOPRAMIDE 5/100 MG-BLISTE
88 METRONIDAZOLE 250 MG.
89 METRONIDAZOLE 500 MG.
90 MICONAZOLE KRIM 2%
91 Morfina 10 mg/ml Injeksi
92 Morphine 10 mg Tablet
93 Natrium Diklofenak 25 mg TSE
94 Natrium Diklofenak 50 mg TSE
95 NIFEDIPIN 10 MG.
96 OKSITETRASIKLIN SK 3%
97 OKSITETRASIKLIN SM 1%
98 Omeprazole 20 mg Kapsul
99 ORALIT 200 ML
100 PAPAVERIN 40/190 MG
101 PAPAVERIN TABLET 40 MG
102 PARASETAMOL 500 MG TABLET
103 Pethidin HCl 50 mg/ml Injeksi
104 PHENOBARBITAL 30 MG
105 PHERPENAZINE 4 MG
106 PIROXICAM 10 MG
107 PIROXICAM 20 MG
108 PREDNISON TABLET 5 MG
109 Propranolol HCl 40 mg Tablet
110 PYRANTEL 125 MG.
111 PYRAZINAMIDE 500/700 MG.
112 PYRIDOXINE (Vit B6) TABLET 10 MG
113 PYRIDOXINE (Vit B6) TABLET 10 MG
114 QUININE 222 MG
115 Quinine 25% Injeksi
116 QUININE TABLET SALUT 222 MG
117 RANITIDIN 150/250 MG
118 RIFAMPICIN 300 MG KAPSUL
119 Rifampicin 450 mg Tabsalsel
120 Rifampicin 600 mg Tabsalsel
121 SALBUTAMOL 2 MG.
122 SALBUTAMOL 4/100 MG.
123 SIMVASTATIN 10/100 MG
124 SIMVASTATIN 20/200 MG
125 SULFADOXINE PYRIMETHAMINE
126 Tetracycline 250 mg Kapsul
127 Tetracycline 500 mg
128 TETRASIKLIN KAPSUL 250 MG
129 THIAMIN (Vitamin B1) TABLET 100 MG
130 THIAMIN (Vitamin B1) TABLET 50 MG
131 Tramadol 50 mg Kapsul
132 VERAPAMIL 80 MG.
133 VITAMIN B KOMPLEKS
134 VITAMIN B KOMPLEKS
135 VITAMIN B1 100/225 MG
136 VITAMIN B1 50/125 MG
137 VITAMIN B12 0.05/100 MG
138 VITAMIN B12 TABLET 50 MG
139 VITAMIN C 100 MG
140 VITAMIN C 100/140 MG
141 VITAMIN C 250/350 MG
142 VITAMIN C 50/100 MG
143 Vitamin K 10 mg TSG (Generik)
144 Vitamin K 10 mg/ml Injeksi
145 Vitamin K3 10 mg/ml Injeksi
146 Zink Dispersibel Tablet

NO. NAMA PRODUK

1 Amoxicillin Sirup Kering

2 ASAM ASKORBAT (Vit C) TAB 50 MG
3 Asam Mefenamat 500mg tabsalsel
4 CALCIUM LACTATE TABLET
5 Cefadroxil 500 mg Kapsul
6 CHLORAMPHENICOL SUSPENSI
7 CHLORAMPHENIKOL 250 MG KAPSUL
8 CHLORAMPHENIKOL 250 MG KAPSUL
9 Ciprofloxacin 500mg Tabsalsel
10 COTRIMOXAZOLE SUSPENSI
11 Diazepam 2 mg Tablet (100)
12 Fenobarbital tablet 30 mg*
13 FUROSEMIDE 40 MG TABLET
14 GLYCERIL GUAIACOLATE 100/300 MG
15 Kalsium Laktat tablet 500 mg*
16 PARACETAMOL SYRUP
17 PARASETAMOL 500 MG TABL
18 PREDNISON 5 MG/100 MG

PRODUK KOMODITI :

NO. NAMA PRODUK

NO. NAMA PRODUK

1 BETASON - N KRIM
2 BETASON KRIM
3 Chloramfecort Cream
4 Chloramfecort H Cream
5 TRINOLON 4 MG TABLET
6 KINA TABLET
7 ENKAPYRIN TABLET SALUT GULA
HARGA GENERIK KIMIA FARMA 2019
HNA
ISI PER-KARTON
ISI KEMASAN
Excl. PPN Incl. PPN
MASTER BOX
Dus 100 tabl 65 59,638 65,601
Dus 100 tabl 56 87,776 96,554
Tube 5 gram 1750 3,948 4,343
DUS 10X10 TABL 40 40,600 44,660
DUS 10X10 TABL 52 18,720 20,592
Dus 100 tabl 62 53,182 58,500
Dus 100 tabl 58 81,818 90,000
DUS 10X10 TABL 52 14,121 15,534
BTL 60 ML 48 4,556 5,012
DUS 5X10 TABL 110 43,636 48,000
DUS 5X10 TABL 110 76,945 84,640
Dus 100 tabl 42 47,168 51,885
Dus 100 tabl 42 48,395 53,235
DUS 10X10 TABL 36 28,008 30,809
DUS 10X10 TABL 40 19,145 21,060
Fles 60 ml 50 10,445 11,489
DUS 10 SUPP 60 30,000 33,000
BOTOL 100 10,182 11,200
BOTOL 100 30 12,000 13,200
Dus 20 kapl 146 200,000 220,000
TUBE 5 GRAM 750 2,327 2,559
DUS 10X10 TABL 52 10,227 11,250
DUS 10X10 TABL 52 13,149 14,464
Dus 30 kaps 95 65,307 71,838
Dus 30 Tabl 110 12,600 13,860
BTL. 5 ML 1,455 1,600
DUS 10X10 TABL 40 18,869 20,756
BTL @100 TABL 15,273 16,800
DUS 10X10 TABL 40 24,025 26,428
BOTOL 100 19,855 21,840
DUS 10X10 TABL 46 17,515 19,267
DUS 10X10 TABL 52 18,636 20,500
DUS 3X10 TABL 96 270,000 297,000
BOTOL 100 24 43,636 48,000
BOTOL 100 24 72,727 80,000
BOTOL 100 24 98,182 108,000
Dus 100 tabl 67 62,270 68,497
Dus 100 tabl 62 112,180 123,398
Dus 100 tabl 65 147,600 162,360
DUS 10X10 TABL 24,928 27,421
BTL @100 TABL 144 10,909 12,000
DUS 10X10 TABL 52 10,677 11,745
DUS 10X10 TABL 52 18,628 20,490
BTL 100 TABL 144 12,980 14,278
Dus 100 kaps 42 60,018 66,020
DUS 10 x 10 tablet 15,636 17,200
BTL @100 TABL 14,327 15,760
BTL 100 TABL 144 20,350 22,385
Dus 100 kaps 27 88,296 97,126
Fles 60 ml 24 12,474 13,721
DUS 20X10 TABL 16 83,496 91,846
DUS 10X10 TABL 36 76,138 83,752
BOTOL 100 8,168 8,984
Dus 10 kaps 96 200,003 220,003
DUS 20X10 TABL 24 24,240 26,664
TUBE 5 GRAM 720 3,319 3,651
Dus 100 tabl 67 21,736 23,910
Dus 50 tabl 110 34,549 38,004
Dus 50 tabl 126 65,149 71,664
Dus 50 tabl 126 88,840 97,724
Dus 50 tabl 126 118,454 130,299
DUS 10 x 10 tablet 68 21,353 23,488
DUS 10X10 TABL 52 46,999 51,699
TUBE 5 GRAM 1080 3,498 3,848
BOTOL 100 10,909 12,000
DUS 10X10 TABL 52 11,636 12,800
BTL 300 ML 30 18,070 19,877
BTL 30 ML 96 5,940 6,534
BTL 1000 ML 54,515 59,967
BTL 60 ML 48 6,550 7,205
DUS 10X10 TABL 48 12,960 14,256
BOTOL 100 23,527 25,880
DUS 100 TAB 17,300 19,030
BTL 100 TABL 144 14,738 16,212
DUS 5X10 TABL 82 25,530 28,083
TUBE 15 GRAM 6,873 7,560
TUBE 10 GRAM 500 5,100 5,610
TUBE 5 GRAM 4,725 5,198
DUS 5X10 TABL 64 52,440 57,684
Dus 100 ampul 12 200,808 220,889
DUS 2X10 TABL 96 25,045 27,549
DUS 2X10 TABL 140 14,452 15,897
DUS 10 x 10 tablet 19,636 21,600
BOTOL 100 16,436 18,080
Dus 100 tabl 67 24,600 27,060
DUS 10X10 TABL 52 13,000 14,300
DUS @ 10 BLIS X 10 TAB 180 11,500 12,650
DUS 10X10 TABL 40 18,200 20,020
DUS 10X10 TABL 40 26,000 28,600
TUBE 10 GRAM 648 3,250 3,575
Dus 10 x 1 ml 24 309,545 340,500
Fles 30 tabl 32,890 36,179
Dus 50 tabl 110 16,645 18,310
Dus 50 tabl 126 20,835 22,919
DUS 10X10 TABL 44 17,590 19,349
TUBE 5 GRAM 900 2,193 2,412
TUBE 3,5 GRAM 600 4,235 4,659
Dus 30 kaps 110 19,210 21,131
DUS 100 SASE 18 71,855 79,041
DUS 10X10 TABL 52 15,116 16,628
BOTOL 100 16,727 18,400
DUS 10X10 TABL 36 26,085 28,693
Dus 10 x 2 ml 24 177,100 194,810
BTL @100 TABL 144 12,000 13,200
BTL 100 TABL 144 6,986 7,685
DUS 10X10 TABL 52 12,093 13,302
DUS 10X10 TABL 52 14,226 15,649
BOTOL 100 13,091 14,400
Dus 100 tabl 94 27,265 29,992
DUS 25X4 TABL 28 36,810 40,491
DUS 10X10 TABL 40 31,285 34,414
DUS 10 x 10 tablet 70 13,455 14,800
BOTOL 100 12,727 14,000
DUS 10X6 TABL 40,200 44,220
Dus 100 ampul 12 392,204 431,424
BOTOL 100 61,818 68,000
DUS 3X10 TABL 96 12,600 13,860
DUS 100 KAPS 42 65,455 72,000
Dus 100 kapl 42 165,048 181,553
Dus 100 kapl 42 235,485 259,034
DUS 10X10 TABL 70 7,639 8,403
DUS 10X10 TABL 70 9,130 10,043
DUS 5X10 TABL 150 23,318 25,650
DUS 5X10 TABL 100 46,636 51,300
DUS 10X10 TABL 40 91,200 100,320
Dus 100 kaps 42,950 47,245
Dus 100 kaps 27 122,200 134,420
BOTOL 100 29,818 32,800
 BOTOL 100 11,273 12,400
BOTOL 100 10,909 12,000
Dus 50 kaps 84 25,730 28,303
DUS 10X10 TABL 52 43,809 48,190
BTL 100 TABL 196 9,455 10,400
DUS 10X10 TABL 36 13,090 14,399
DUS 10X10 TABL 52 24,700 27,170
DUS 10X10 TABL 14,215 15,637
DUS @ 10X10 TAB 7,105 7,816
BOTOL 100 6,909 7,600
BTL 500 TABL 19,580 21,538
DUS 10X10 TABL 52 11,040 12,144
DUS 10X10 TABL 30 14,914 16,405
DUS 10X10 TABL 70 15,301 16,831
Dus 100 tabl 19,636 21,600
Dus 100 ampul 12 184,183 202,602
Dus 100 ampul 131,818 145,000
Dus 100 tabl 60 43,182 47,500

HNA
KEMASAN
Excl. PPN Incl. PPN

Fles 60 ml 6,727 7,400

BOTOL 100 9,236 10,160
Dus 100 tabl 42 24,624 27,086
BTL 100 TABL 36 8,582 9,440
Dus 50 kaps 46 71,578 78,736
BTL 60 ML 8,135 8,949
BTL 100 KAPS 47,650 52,415
DUS 10X10 KAPS 28 61,985 68,184
Dus 50 tabsal 70 32,000 35,200
BTL 60 ML 48 6,050 6,655
BTL 100 tabl 12,355 13,591
Dus 10 x 10 tablet 6,372 7,010
BOTOL 100 24 12,945 14,240
BTL 100 TABL 36 8,364 9,200
Dus 10 x 10 tablet 20,362 22,399
BTL 60 ML 48 4,605 5,066
BTL 100 TABL 36 10,909 12,000
DUS @ 10X10 TAB 5,548 6,103

PRODUK KOMODITI :
HNA 2019
KEMASAN
 KEMASAN
Excl. PPN Incl. PPN

TUBE 5 GRAM 960 12,250 13,475

TUBE 5 GRAM 960 7,950 8,745
Tube 10 gram 648 13,400 14,740
Tube 10 gram 648 11,500 12,650
DUS 50 TABL 163 67,500 74,250
DUS (STRIP 12X24 TAB) 16 355,200 390,720
BTL 250 KAPL 69,300 76,230
*KINA Per Dus = 24 strip
 KENAIKAN HARGA PRODUK OGB 2019

KODE
NO. MATERIAL NAMA PRODUK
SAP

I. PRODUK REGULER OGB

1 11000000 Acyclovir 200 mg Tablet

2 11000002 Acyclovir 400 mg Tablet
3 11000004 Acyclovir Cream
4 11000146 ALLOPURINOL 100/250 MG
5 11000149 AMBROXOL SIRUP
6 11000011 Amoxicillin 500 mg Kaplet
7 11000382 ANTALGIN 500 MG TABLET
8 11000013 Antasida DOEN Suspensi
9 11000383 BETAMETASON 0,1% KRIM
10 11000424 CAPTOPRIL 25 MG
11 11000022 Cefadroxil 500 mg Kapsul
12 11000165 CHLOROQUIN 150/300 MG
13 11000173 COTRIMOXAZOLE ADULT
14 11000175 COTRIMOXAZOLE SUSPENSI
15 11000049 Diazepam 2 mg Tablet (100)
16 11000187 DILTIAZEM 30/200 MG
17 11000056 Doxycycline 100 mg Kapsul
18 11000192 ERGOTAMINE COFFEINE
19 11000194 ETHAMBUTOL 500 MG.
20 11000200 FUROSEMIDE 40 MG.
21 11000391 GENTAMISIN SULFAT 0,1% KRIM
22 11000072 Glibenclamide 5 mg Tablet
23 11000392 GLYCERIL GUAIKOLAT
24 11000394 HIDROKORTISON ASETAT 2,5% KRIM
25 11000305 IODINE POVIDON 10%
26 11000386 Kalsium Laktat tablet 500 mg*
27 11000213 KETOCONAZOLE 200/300 MG
28 11000395 KETOKONAZOLE 2% KRIM
29 11000295 KLORAMFENIKOL SM 1% (STERIL)
30 11000298 OKSITETRASIKLIN SK 3%
31 11000297 OKSITETRASIKLIN SM 1%
32 11000397 PARASETAMOL 500 MG TABLET
33 11000241 PIROXICAM 10 MG
34 11000243 PIROXICAM 20 MG
35 11000256 RANITIDIN 150/250 MG
36 11000124 Rifampicin 450 mg Tabsalsel
37 11000125 Rifampicin 600 mg Tabsalsel
38 11000268 SULFADOXINE PYRIMETHAMINE
39 11000274 VERAPAMIL 80 MG.
40 11000275 VITAMIN B1 100/225 MG
41 11000287 VITAMIN C 50/100 MG
42 Pethidin HCl 50 mg/ml Injeksi
RGA PRODUK OGB 2019

KEMASAN HNA HNA

2018 2019
EXC. PPN EXC. PPN
UK REGULER OGB C D

Dus 100 tabl 45,875 59,638

Dus 100 tabl 67,520 87,776
Tube 5 gram 3,290 3,948
DUS 10X10 TABL 15,600 18,720
BTL 60 ML 4,480 4,556
Dus 100 tabl 33,636 47,168
DUS 10X10 TABL 23,340 28,008
Fles 60 ml 9,495 10,445
TUBE 5 GRAM 2,115 2,327
DUS 10X10 TABL 12,523 13,149
Dus 50 kaps 67,440 71,578
DUS 10X10 TABL 18,869 28,303
DUS 10X10 TABL 22,520 24,928
BTL 60 ML 5,500 6,050
BTL 100 tabl 11,250 12,355
DUS 10X10 TABL 16,415 18,628
Dus 100 kaps 50,015 60,018
BTL 100 TABL 18,500 20,350
DUS 10X10 TABL 62,575 76,138
DUS 20X10 TABL 20,200 24,240
TUBE 5 GRAM 1,933 3,319
Dus 100 tabl 16,720 21,736
DUS 10 x 10 tablet 14,235 21,353
TUBE 5 GRAM 2,915 3,498
BTL 30 ML 4,500 5,940
Dus 10 x 10 tablet 17,900 20,362
DUS 5X10 TABL 24,227 25,530
TUBE 10 GRAM 4,250 5,100
TUBE 5 GRAM 3,150 4,725
TUBE 5 GRAM 1,827 2,193
TUBE 3,5 GRAM 3,025 4,235
DUS 10X10 TABL 20,065 26,085
DUS 10X10 TABL 10,077 12,093
DUS 10X10 TABL 11,855 14,226
DUS 3X10 TABL 10,500 12,600
Dus 100 kapl 103,155 165,048
Dus 100 kapl 130,825 235,485
DUS 10X10 TABL 57,000 91,200
DUS 10X10 TABL 37,485 43,809
DUS 10X10 TABL 19,000 24,700
DUS 10X10 TABL 11,440 15,301
Dus 10 x 2 ml 24 177,100