HARGA E-CAT Obat Edit 2018 PDF

DAFTAR HARGA E-CATALOG 2018
NO NAMA E-CATALOG NAMA GENERIK HARGA 2018 PRINCIPAL
1 Madopar Benserazid 25 mg, levodopa 100 mg (Rp 3,950) PT Boehringer Ingelheim

2 Avastin Bevasizumab inj 25 mg/ml (Rp 4,659,587) PT Boehringer Ingelheim
3 Copegus Ribavirin 200 mg (Rp 4,000) PT Boehringer Ingelheim
4 Mabthera inj 10 ml Rituksimab 100 mg/10 ml (Rp 3,058,000) PT Boehringer Ingelheim
6 Mikardis 40 Telmisartan 40 mg (Rp 3,045) PT Boehringer Ingelheim
8 Levonogestrel implan 2 rods 75 mg (3-4th)
Levonogestrel implan 2 rods 75 mg (3-4th) (Rp 175,181) PT Catur Dakwah
9 Fungasol Ketokonazol scalp sol 2 % (Rp 24,200) PT Guardian
10 Mometasone furoate 0,1 % Mometasone furoate 0,1 % (Rp 11,000) PT Guardian
11 Rosuvastatin 10 mg Rosuvastatin 10 mg (Rp 1,650) PT Guardian
12 Fucilex krim Na Fusidat krim 20 % (Rp 4,699) PT Molex Ayus
13 Molasma Terbutalin sulfat 2,5 mg (Rp 89) PT Molex Ayus
14 Desirett Desogestrel 75 mcg (Rp 55,066) PT Nufarindo
15 Perio Kin spray Klorhexidin glukonate 0,2 % (Rp 124,355) PT Nufarindo
16 Abilify discmelt 15 mg Aripiprazol tab discmelt 15 mg (Rp 32,400) PT Otsuka
17 Otsu D 10% Glukosa lart infus 10 % 500 ml (Rp 7,500) PT Otsuka
18 Otsu D5 Glukosa lart infus 5% 500 ml (Rp 6,980) PT Otsuka
19 Otsu manitol 20 manitol infus 20 % 250 ml (Rp 28,275) PT Otsuka
20 Otsu NS Na Cl 0,9 % 500 ml (Rp 6,410) PT Otsuka
21 Otsu RL Ringer laktat 500 ml (Rp 7,150) PT Otsuka
22 Asiklovir 200 mg Asiklovir 200 mg (Rp 236) PT Yarindo
23 Diazepam tab 2 mg Diazepam tab 2 mg (Rp 86) PT Yarindo
24 Doksisiklin 100 mg Doksisiklin 100 mg (Rp 264) PT Yarindo
25 Haloperidol 0,5 mg Haloperidol 0,5 mg (Rp 55) PT Yarindo
27 Simvastatin 10 mg Simvastatin 10 mg (Rp 110) PT Yarindo
28 Aluvia tab Lopinavir 200 mg+Ritonavir 50 mg Tablet (Rp 6,600) PT. Abbot Indonesia
29 Survanta susp Surfaktan susp 25 mg/mL (intratekal) Botol (Rp 3,500) PT. Abbot Indonesia
30 Depakote 250 mg Valproat tab 250 mg Tablet (Rp 1,200) PT. Abbot Indonesia
31 Isoptin tab 240 mg Verapamil tab 240 mg lepas lambat Tablet (Rp 6,940) PT. Abbot Indonesia
32 Betaserc 24 mg Betahistin 24 mg tab (Rp 7,050) PT. Abbott
33 Insulatard HM vial 10 ml Human insulin intermediate acting inj 100 IU/ml vial 10 (Rp 147,090) PT. Abbott
34 Mixtard 30 HM Vial 10 ml Human insulin mix penfill 100 IU/ml vial 10 ml (Rp 147,090) PT. Abbott
35 Abbotic granule 250 mg Klaritromisin sirup kering 250 mg/5 ml (Rp 150,500) PT. Abbott
36 Aluvia Lopinavir 100 mg + Ritonavir 25 mg tab (Rp 4,960) PT. Abbott
37 Stesolid 10 mg Diazepam 10 mg/2,5 mL Rectal tube
(Rp 18,279) PT. Actavis
38 Stesolid 5 mg Diazepam 5mg/2,5 mL Rectal tube
39 Actabone Dinatrium klodronat 60 mg/ml Vial (Rp 72,000) PT. Actavis
40 Sindroxocin inj 50 mg Doksorubisin inj 50 mg Vial (Rp 227,700) PT. Actavis
41 Docetaxel inj 20 mg/0,5 mL Dosetaksel inj 20 mg/0,5 mL Vial (Rp 181,000) PT. Actavis
42 Docetaxel inj 80 mg/2 mL Dosetaksel inj 80 mg/2 mL Vial (Rp 934,450) PT. Actavis
43 Episindan 10mg/5mL Epirubicin inj 10 mg/5 mL Vial (Rp 86,000) PT. Actavis
45 Alpentin 100 mg Gabapentin 100 mg Tablet (Rp 1,045) PT. Actavis
46 Gemtavis 1000 Gemsitabin 1.000 mg Vial (Rp 700,000) PT. Actavis
47 Gemtavis 200 Gemsitabin 200 mg Vial (Rp 145,000) PT. Actavis
48 Nitral Gliseril Trinitrat 0,5 mg Tablet (Rp 1,400) PT. Actavis
49 Actatecan inj Irinoteksan inj 20 mg/mL Vial (Rp 715,500) PT. Actavis
50 Chloramex Kloramfenikol 500 tab Tablet (Rp 1,090) PT. Actavis
51 Lezra Letrozol 2,5 mg Tablet (Rp 3,900) PT. Actavis
52 Dopamet 250 mg Metildopa 250 mg Tablet (Rp 946) PT. Actavis
53 Plaxat inj 100 mg Oksaliplatin inj 100 mg Vial (Rp 500,000) PT. Actavis
55 Sindaxel inj 100 mg/16,67 mL Paklitaksel inj 100 mg/16,67 mL Vial (Rp 260,000) PT. Actavis
56 Sindaxel inj 30 mg/5 mL Paklitaksel inj 30 mg/5 mL Vial (Rp 130,500) PT. Actavis
57 Arimidex Anastrozol 1 mg Tablet (Rp 5,980) PT. Astra Zeneca
58 Casodex 150 mg Bikalutamid 150 mg Tablet (Rp 37,294) PT. Astra Zeneca
59 Casodex 50 mg Bikalutamid 50 mg (Rp 10,999) PT. Astra Zeneca
60 Symbicort 160/4,5 mcg 120 dosis Budenosid Formoterol inhaler 160/4,5 mcg Fls (Rp 139,880) PT. Astra Zeneca
63 Pulmicort respules Budesonid cairan ih 0,5 mg/2 ml (Rp 9,725) PT. Astra Zeneca
64 Pulmicort respules Budesonid cairan inhalasi 0,5 mg/ml (Rp 13,242) Pt. Astra Zeneca
65 Pulmicort turbuhaler Budesonid serbuk inhalasi 200 mcg/dosisi 100 dosis (Rp 105,040) PT. Astra Zeneca
66 Iressa tab Gefitinib 250 mg tab Tablet (Rp 560,000) PT. Astra Zeneca
67 Zoladex LA inj 10,8 mg Goserelin asetat inj 10,8 mg Vial (Rp 2,565,680) PT. Astra Zeneca
68 Zoladex inj 3,6 mg Goserelin asetat inj 3,6 mg Vial (Rp 917,280) PT. Astra Zeneca
69 Xylocain Gel Lidocain jeli 2% Tube (Rp 41,600) PT. Astra Zeneca
70 Xylocain Spray Lidocain spray oral 10% Fls (Rp 177,216) PT. Astra Zeneca
71 Seroquel XR 200 mg Quetiapin SR 200 mg Tablet (Rp 14,300) PT. Astra Zeneca
74 Naropin inj Ropivakain inj 7,5 mg/mL Ampul (Rp 74,740) PT. Astra Zeneca
75 Bricasma turbuhaler Terbutaline sulfat 0,5 mg/dosis (Rp 58,252) PT. Astra Zeneca
76 Bricasma respules Terbutaline sulfat cairan ih 2,5 mg/ml Ampul (Rp 7,124) PT. Astra Zeneca
77 Brilinta tab Tikagrelor 90 mg Tablet (Rp 7,800) PT. Astra Zeneca
78 Imojev japanese enchepalitis virus (Rp 241,535) PT. Aventis
79 Lantus 100 IU Analog insulin long acting 100 IU inj Flexpen (Rp 83,950) PT. Aventis Pharma
80 Lovenox inj 20 mg/0,2 mL Enoksaparin Na inj 20 mg/0,2 mL Syringe (Rp 48,000) PT. Aventis Pharma
83 Fludara 10 mg tab Fludarabin 10 mg Tablet (Rp 333,000) PT. Aventis Pharma
84 Fludara inj 50 mg Fludarabin inj 50 mg Vial (Rp 1,500,000) PT. Aventis Pharma
85 Plavix 300 mg Klopidogrel 300 mg Tablet (Rp 16,393) PT. Aventis Pharma
86 Arava 20 mg Leflunomid 20 mg Tablet (Rp 23,322) PT. Aventis Pharma
87 Granocyte inj Lenogastrim inj 263 mcg/mL Ampul (Rp 760,000) PT. Aventis Pharma
88 Apidra 100 IU/ml Rapid insulin analog insulin fast acting inj 100 IU/ml Flexpen (Rp 87,000) PT. Aventis Pharma
89 Nasacort Triamcinolon asetonid nasal spray 55 mcg/puff Fls (Rp 106,750) PT. Aventis Pharma
90 Stamaril Vaksin Yellow Fever Vial (Rp 296,000) PT. Aventis Pharma
91 Basaglar Analog insulin long acting inj 100 IU/ml (Rp 83,950) PT. Bayer
92 Humalog kwikpen Analog insulin fast acting inj 100 IU/ml Kwikpen(Rp 87,000) PT. Bayer Indonesia
93 Visanne 2 mg Dienogest 2 mg Tablet (Rp 13,000) PT. Bayer Indonesia
94 Gadovist 7,5 ml Gadobrutol macrocyclic 7,5 ml Vial (Rp 448,500) PT. Bayer Indonesia
95 Primovist Gadoksetat Disodium 0,25 mmol Vial (Rp 2,772,500) PT. Bayer Indonesia
96 Humulin R 100 UI /ml Human Insulin 100 IU/ ml Kwikpen(Rp 80,502) PT. Bayer Indonesia
97 Humulin R 10 mL Human Insulin fast acting inj 100 IU/ml 10 mL Vial (Rp 144,763) PT. Bayer Indonesia
98 Humalog mix 25 Insulin Mix 25 Kwikpen(Rp 110,968) PT. Bayer Indonesia
100 Ultravist 300 mg/ 100 mL Iopromid 300 mg / 100 mL Botol (Rp 285,000) PT. Bayer Indonesia
104 Adalat Oros 20 mg Nifedipin 20 mg tab Tablet (Rp 3,350) PT. Bayer Indonesia
106 Nimotop 30 mg Nimodipin 30 mg tab Tablet (Rp 3,600) PT. Bayer Indonesia
107 Zyprexa IM 10 mg Olanzapin inj 10 mg Vial (Rp 132,496) PT. Bayer Indonesia
108 Alimta inj 500 mg Pemetrekset inj 500 mg Vial (Rp 10,582,000) PT. Bayer Indonesia
109 Xarelto 10 mg Rivaroksaban 10 mg tab Tablet (Rp 24,100) PT. Bayer Indonesia
112 Thiopental 1000 Tiopental serb inj 1.000 mg (Rp 72,000) PT. Bernofarm
113 Thiopental 500 Tiopental serb inj 500 mg (Rp 60,000) PT. Bernofarm
114 Novorapid Analog insulin fast acting inj 100 IU/ml Flexpen (Rp 87,000) PT. Beta Pharmacon / Novo
115 Levemir Analog insulin long acting 100 IU inj Flexpen (Rp 83,950) PT. Beta Pharmacon / Novo
116 Actrapid HM Human Insulin fast acting inj 100 IU/ml 10 ml Vial (Rp 144,763) PT. Beta Pharmacon / Novo
117 Actrapid HM Penfil Human Insulin fast acting penfil 100 UI/ml Penfil (Rp 80,502) PT. Beta Pharmacon / Novo
118 Insulataerd HM Penfill Human Insulin intermediate 100 IU/ml Penfil (Rp 76,875) PT. Beta Pharmacon / Novo
119 Mixtard 30 HM Penfill Human Insulin Mix penfill Penfil (Rp 76,875) PT. Beta Pharmacon / Novo
120 Novomix 30 Insulin Mix 100 IU/ ml Flexpen (Rp 110,968) PT. Beta Pharmacon / Novo
121 BIOSAVE inj Serum Anti Bisa Ular (A.B.U) inj Vial (Rp 479,996) PT. Bio Farma
122 BIOSAT 1,5 Serum Antitetanus (A.T.S) inj 1500 IU/amp Ampul (Rp 130,999) PT. Bio Farma
123 Vaksin DTP-HB-Hib Vaksin DTP-HB-Hib Ampul (Rp 78,991) PT. Bio Farma
124 Vaksin Hepatitis B Rekombinan Vaksin Hepatitis B Rekombinan Vial (Rp 23,991) PT. Bio Farma
125 Vaksin Hepatitis B Rekombinan dewsaVaksin Hepatitis B Rekombinan dewsa Vial (Rp 52,052) PT. Bio Farma
126 Vaksin Jerap Difteri tetanus (TD) 4/15 IfVaksin
per mLJerap
(i.m) Difteri tetanus (TD) 4/15 If per mL (i.m) Vial (Rp 16,995) PT. Bio Farma
127 Vaksin Jerap Difteri tetanus (TD) 40/15Vaksin
If per mL
Jerap
(i.m)Difteri tetanus (TD) 40/15 If per mL (i.m) Vial (Rp 17,996) PT. Bio Farma
128 MENIVAX ACYW Vaksin Meningitis Meningococcoal polisakarida ACYW135 Ampul (Rp 135,000) PT. Bio Farma
129 SHAN IPV Vaksin Polio IPV inj 0,5 mL 5 dosis Ampul (Rp 158,994) PT. Bio Farma
130 Vaksin BCG (511) Vaksin BCG (511) (Rp 61,996) PT. Biofarma
131 Measles & Rubella Vaksin MR (measles & rubella) 10 dosis (Rp 155,813) PT. Biofarma
132 Vaksin polio 10 dosis Vaksin polio 10 dosis (Rp 19,954) PT. Biofarma
134 Verorab Vaksin Rabies serb inj 2,5 IU (Rp 165,000) PT. Biofarma
135 Giotrif 40 mg Afatinib tab 40 mg Tablet (Rp 560,000) PT. Boehringer Ingelhem
136 Actilyse inj 50 mg Alteplase inj 50 mg Vial (Rp 4,250,000) PT. Boehringer Ingelhem
137 Dulcolax supp 10 mg Bisakodil Supp 10 mg Suppositoria
(Rp 5,900) PT. Boehringer Ingelhem
139 Pradaxa 110 mg Dabigratan eteksilat 110 mg Tablet (Rp 14,800) PT. Boehringer Ingelhem
141 Recormon PFS Eritropoetin-beta inj 2000UI/0,3 mL Syringe (Rp 121,433) PT. Boehringer Ingelhem
142 Tarceva 100 mg Erlotinib tab 100 mg Tablet (Rp 555,000) PT. Boehringer Ingelhem
144 Berotec MDI Fenoterol Hbr ih 100 mcg/puff Fls (Rp 83,190) PT. Boehringer Ingelhem
145 Berotec Solution Fenoterol Hbr inh solution 0,1% Botol (Rp 130,190) PT. Boehringer Ingelhem
146 Cymevene inj 500 mg Gansiklovir inj 500 mg Vial (Rp 448,916) PT. Boehringer Ingelhem
147 Combivent UDV Ipratropium bromida 0,5 mg inh + salutamol 2,5 mg Fls (Rp 4,550) PT. Boehringer Ingelhem
148 Artrovent inh Ipratropium bromida inh 20 mcg/semprot Fls (Rp 86,600) PT. Boehringer Ingelhem
149 Catapres 150 mcg inj Klonidin inj 150 mcg/mL Ampul (Rp 33,900) PT. Boehringer Ingelhem
150 Cellcept 500 mg Mikrofenolat mofetil 500 mg Tablet (Rp 17,654) PT. Boehringer Ingelhem
151 Pegasys 135 mcg/0,5 mL inj Pegylated interferon alfa-2a inj 135mcg/0,5mL Ampul (Rp 1,092,000) PT. Boehringer Ingelhem
153 Sifrol 0,125 mg Pramipeksol tab 0,125 mg Tablet (Rp 4,401) PT. Boehringer Ingelhem
154 Sifrol ER 0,375 mg Pramipeksol tab 0,375 mg Tablet (Rp 8,300) PT. Boehringer Ingelhem
156 Spiriva Refill Tiotropium 18 mcg refill Pcs (Rp 15,100) PT. Boehringer Ingelhem
157 Spiriva Combo Tiotropium 18 mcg refill + handihaller Fls (Rp 167,000) PT. Boehringer Ingelhem
158 Valcyte 450 mg Valgansiklovir 450 mg Tablet (Rp 176,250) PT. Boehringer Ingelhem
159 Dobutamine-Hameln Dobutamin inj 12,5 mg/ml (Rp 91,009) PT. Combined Imperial
160 Gammaraas Imunoglobulin IV inj 50 mg/ml (Rp 2,009,150) PT. Combined Imperial
161 Ketamine-Hameln Ketamin inj 50 mg/ml (Rp 59,950) PT. Combined Imperial
162 Midazolam-Hameln Midazolam inj 5 mg/ml (Rp 7,887) PT. Combined Imperial
163 Fleet enema Na fosfat 133 ml (Rp 35,700) PT. Combined Imperial
164 Fleet phospo-soda Na fosfat lart oral 45 ml (Rp 36,300) PT. Combined Imperial
165 Zincpro sirup Zinc sulfat 10 mg/ ml (Rp 6,281) PT. Combined Imperial
166 Dorner tab Beraprost Na tab 20 mcg Tablet (Rp 4,570) PT. Combined Imperial Pharm
167 Comtro sir kering Klaritromisin sir kering 125mg/5mL Botol (Rp 25,949) PT. Combined Imperial Pharm
168 Mycamine inj 50 mg Mikafungin inj 50 mg Vial (Rp 330,500) PT. Combined Imperial Pharm
169 Prograf 0,5 mg Takrolimus kaps 0,5 mg Kapsul (Rp 13,300) PT. Combined Imperial Pharm
170 Prograf 1 mg Takrolimus kaps 1 mg Kapsul (Rp 26,600) PT. Combined Imperial Pharm
171 Prograf XL 0,5 mg Takrolimus kaps lepas lambat 0,5 mg Kapsul (Rp 13,300) PT. Combined Imperial Pharm
172 Prograf XL 1 mg Takrolimus kaps lepas lambat 1 mg Kapsul (Rp 26,600) PT. Combined Imperial Pharm
173 Harnal D Tamsulosin tab 0,2 mg Tablet (Rp 7,300) PT. Combined Imperial Pharm
174 Harnal OCAS Tamsulosin tab SR 0,4 mg Tablet (Rp 4,799) PT. Combined Imperial Pharm
175 Epodion 2000 IU Eritropoetin-alfa inj 2000 IU/ mL Syringe (Rp 77,000) PT. Daewong Infion
176 Amiodaron inj Amiodaron inj 150 mg/ 3 mL Ampul (Rp 8,700) PT. Darya Varia
177 Renogen Eritropoetin alfa inj 3000 IU/ml (Rp 99,000) PT. Darya Varia
178 Diamicron MR Gliklazid 60 mg Tablet (Rp 3,014) PT. Darya Varia
179 Coralan 5 mg tab Ivabradin 5 mg Tablet (Rp 7,260) PT. Darya Varia
180 Perak Sulfadiazin krim 1% Perak Sulfadiazin krim 1% Tube (Rp 20,700) PT. Darya Varia
181 Bioprexum 5 mg Perindoprilarginin 5 mg Tablet (Rp 2,706) PT. Darya Varia
182 Sefuroksim 750 mg Sefuroksim 750 mg (Rp 29,975) PT. Darya Varia
183 Human albumin inj 20% 50 ml Albumin serum normal (human albumin) inj 20% 50 ml (Rp 425,568) PT. Dexa Medica
184 Asam Traneksamat inj 100 mg/ml Asam Traneksamat inj 100 mg/ml (Rp 1,945) PT. Dexa Medica
185 Betahistin 6 mg Betahistin 6 mg (Rp 110) PT. Dexa Medica
186 Dobutamin inj 50 mg/ml Dobutamin inj 50 mg/ml (Rp 11,279) PT. Dexa Medica
187 Furosemid inj 10 mg/ml Furosemid inj 10 mg/ml (Rp 1,333) PT. Dexa Medica
188 Glimepirid 1 mg Glimepirid 1 mg (Rp 174) PT. Dexa Medica
191 Kandesartan 16 mg Kandesartan 16 mg (Rp 898) PT. Dexa Medica
193 Klozapin 100 mg Klozapin 100 mg (Rp 3,288) PT. Dexa Medica
195 Metilprednisolon 16 mg Metilprednisolon 16 mg (Rp 516) PT. Dexa Medica
196 Metronidazol infus 5 mg/ml Metronidazol infus 5 mg/ml (Rp 8,110) PT. Dexa Medica
197 Ondansetron inj 2 mg/mL Ondansetron inj 2 mg/mL(4ml) Ampul (Rp 1,070) PT. Dexa Medica
198 Gelafusal inj Pengganti plasma gol gelatin inj (Rp 145,015) PT. Dexa Medica
199 Ramipril 2,5 mg Ramipril 2,5 mg (Rp 295) PT. Dexa Medica
200 Ramipril 5 mg Ramipril 5 mg (Rp 245) PT. Dexa Medica
201 Seftriakson serb inj 1000 mg Seftriakson serb inj 1000 mg (Rp 4,483) PT. Dexa Medica
202 Siprofloksasin infus 2 mg/ml Siprofloksasin infus 2 mg/ml (Rp 9,699) PT. Dexa Medica
203 Valsartan 80 mg Valsartan 80 mg (Rp 655) PT. Dexa Medica
204 Akarbose 100 mg Akarbose 100 mg Tablet (Rp 779) PT. Dexa Medica
206 Albapure 20% 100 mL Albumin serum normal (human albumin) 20% 100 mL Botol (Rp 880,000) PT. Dexa Medica
207 Alprazolam 0,25 mg Alprazolam 0,25 mg Tablet (Rp 316) PT. Dexa Medica
208 Asam Traneksamat inj 50 mg/mL Asam Traneksamat inj 50 mg/mL Ampul (Rp 1,748) PT. Dexa Medica
209 Asam Ursodeoksikolat 250 mg Asam Ursodeoksikolat 250 mg Tablet (Rp 2,139) PT. Dexa Medica
210 Azitromisin sirup kering 200 mg/5mL Azitromisin sirup kering 200 mg/5mL Botol (Rp 23,448) PT. Dexa Medica
211 Desoksimetason krim 0,25% Desoksimetason krim 0,25% Tube (Rp 10,400) PT. Dexa Medica
212 Glikuidon 30 mg Glikuidon 30 mg Tablet (Rp 1,075) PT. Dexa Medica
213 Tetagam inj 250 IU Human Tetanus imunoglobin inj 250 IU Syringe (Rp 176,800) PT. Dexa Medica
214 Klobazam 10 mg Klobazam 10 mg Tablet (Rp 739) PT. Dexa Medica
215 Klopidogrel 75 mg Klopidogrel 75 mg Tablet (Rp 1,318) PT. Dexa Medica
216 Lisinopril 10 mg Lisinopril 10 mg Tablet (Rp 259) PT. Dexa Medica
218 Nikardipin inj 1 mg/ml 10 mg Nikardipin inj 10 mg Ampul (Rp 23,649) PT. Dexa Medica
219 Omeprazol inj 40 mg/10 mL Omeprazol inj 40 mg/10 mL Vial (Rp 9,898) PT. Dexa Medica
220 Probenid 500 mg Probenesid 500 mg Tablet (Rp 1,822) PT. Dexa Medica
221 Risperidon 1 mg Risperidon 1 mg Tablet (Rp 228) PT. Dexa Medica
224 Sefazolin inj 1 g Sefazolin inj 1 g Vial (Rp 11,738) PT. Dexa Medica
225 Sefepim inj 1 g Sefepim inj 1 g Vial (Rp 22,535) PT. Dexa Medica
226 Seftazidim inj 1 g Seftazidim inj 1 g Vial (Rp 10,000) PT. Dexa Medica
227 Spironolakton 100 mg Spironolakton 100 mg Tablet (Rp 539) PT. Dexa Medica
229 Hytroz 1 mg Terazosin HCl 1 mg Tablet (Rp 578) PT. Dexa Medica
231 Plasbumin 25 Albumin serum normal (human albumin) inj 25 % 20 mg (Rp 287,920) PT. Dipa Pharmalab
232 Doxotil 50 mg Doksorubisin ser inj 50 mg (Rp 227,700) PT. Dipa Pharmalab
233 Koate DVI Faktor VIII serb inj 230-340 IU
Faktor VIII serb inj 230-340 IU (Rp 950,000) PT. Dipa Pharmalab
234 Plasbumin 20% 100 mL Albumin serum normal (human albumin) 20% 100 mL Botol (Rp 880,000) PT. Dipa Pharmalab Intersains
236 Plasbumin 25% 100 mL Albumin serum normal (human albumin)25% 100 mL Botol (Rp 1,510,000) PT. Dipa Pharmalab Intersains
237 Plasbumin 25% 50 mL Albumin serum normal (human albumin)25% 50 mL Botol (Rp 765,000) PT. Dipa Pharmalab Intersains
240 Dacarbazine Medac Dakarbazin inj 200 mg Vial (Rp 250,000) PT. Dipa Pharmalab Intersains
241 Doxotil inj 10 mg Doksorubisin inj 10 mg Vial (Rp 44,500) PT. Dipa Pharmalab Intersains
242 Ciazil inj 10 mg/5mL Epirubisin inj 10 mg/5 mL Vial (Rp 86,000) PT. Dipa Pharmalab Intersains
244 KOATE DVI 1000 IU Faktor VIII serb inj 1000 IU Vial (Rp 3,700,000) PT. Dipa Pharmalab Intersains
245 KOATE DVI 480 - 600 IU Faktor VIII serb inj 480-600 IU Vial (Rp 1,900,000) PT. Dipa Pharmalab Intersains
246 KOATE DVI 500 IU Faktor VIII serb inj 500 IU + pelarut 5 ml Vial (Rp 1,900,000) PT. Dipa Pharmalab Intersains
247 Plasmanate 5% infus Fraksi Protein plasma inf 5% Botol (Rp 936,000) PT. Dipa Pharmalab Intersains
248 Gemedac inj 1000 mg Gemsitabin inj 1000 mg Vial (Rp 700,000) PT. Dipa Pharmalab Intersains
250 Hyperhep B Hepatitis B imunoglobulin inj 220 IU/ml Vial (Rp 1,325,000) PT. Dipa Pharmalab Intersains
251 Hydroxyurea Medac Hidroksi Urea tab 500 mg Tablet (Rp 3,800) PT. Dipa Pharmalab Intersains
252 Kalitake Kalsium Polistiren Sulfonat 5 g Tablet (Rp 4,999) PT. Dipa Pharmalab Intersains
253 Oxaliplatin Medac inj 100 mg Oksaliplatin serb inj 100 mg Vial (Rp 500,000) PT. Dipa Pharmalab Intersains
255 Paclimedac inj 100 mg/16,7 mL Paklitaksel inj 100 mg/16,7 mL Vial (Rp 260,000) PT. Dipa Pharmalab Intersains
256 Paclimedac inj 30 mg/5 mL Paklitaksel inj 30 mg/5 mL Vial (Rp 130,500) PT. Dipa Pharmalab Intersains
257 Paclimedac inj 300 mg/50 mL Paklitaksel inj 300 mg/50 mL Vial (Rp 1,499,500) PT. Dipa Pharmalab Intersains
258 Aricept Evess 10 mg Donepezil tab effervescent 10 mg Tablet (Rp 12,485) PT. Eisai Indonesia
259 Warfarin 1 mg Warfarin 1 mg Tablet (Rp 979) PT. Eisai Indonesia
260 Optiflox 0,5% TM Levofloksasin Tetes mata 0,5% Botol (Rp 18,000) PT. Erela
261 Bupivakain heavy Bupivakain heavy inj 0,5% +glukosa 8% (Rp 13,900) PT. Etercon
262 Donepezil 5 mg Donepezil 5 mg (Rp 1,650) PT. Etercon
263 ISDN inj 1 mg/ml ISDN inj 1 mg/ml (Rp 20,900) PT. Etercon
264 Acetyl cystein N-asetil sistein (Rp 350) PT. Etercon
265 Sefoperazon 500 mg mg + sulbactam 500
Sefoperazon
mg serb inj
500 mg mg + sulbactam 500 mg serb inj (Rp 18,700) PT. Etercon
266 Valsartan 160 mg Valsartan 160 mg (Rp 999) PT. Etercon
267 Bisakodil tab 5 mg Bisakodil tab 5 mg Tablet (Rp 300) PT. Etercon Pharma
268 Calsium Gluconate Kalsium Glukonat inj 10% Ampul (Rp 10,351) PT. Ethica
269 Norepinephrine Norepinephrine inj 1 mg/ml Ampul (Rp 25,839) PT. Ethica
270 Oxytocin Oksitosin inj 10 IU/ml Ampul (Rp 1,199) PT. Ethica
271 Kabitarin Sitarabin inj 100 mg/ml Vial (Rp 570,350) PT. Ethica
272 Atropin inj 0,25 mg/mL Atropin inj 0,25 mg/mL Ampul (Rp 1,595) PT. Ethica Industri Farmasi
273 Cetadop inj Dopamin inj 40 mg/mL Ampul (Rp 6,160) PT. Ethica Industri Farmasi
274 Efedrin inj 50 mg/mL Efedrin inj 50 mg/mL Ampul (Rp 8,569) PT. Ethica Industri Farmasi
275 Epinefrin (Adrenalin) inj Epinefrin (Adrenalin) 0,1 % inj Ampul (Rp 1,408) PT. Ethica Industri Farmasi
276 Ketorolak inj 30 mg/mL Ketorolak inj 30 mg/mL Ampul (Rp 1,045) PT. Ethica Industri Farmasi
277 Metilergometrin inj 0,2 mg/mL Metilergometrin inj 0,2 mg/mL Ampul (Rp 2,959) PT. Ethica Industri Farmasi
278 Binecap Kapesitabin 500 mg (Rp 16,899) PT. Ferron
279 Albuminar 25% 100 mL Albumin 25% 100 mL Botol (Rp 1,510,000) PT. Ferron Par Pharmaceuticals
280 Atorvastatin tab 20 mg Atorvastatin tab 20 mg Tablet (Rp 795) PT. Ferron Par Pharmaceuticals
281 Epirubisin inj 10 mg/5 mL Epirubisin inj 10 mg/5 mL Vial (Rp 86,000) PT. Ferron Par Pharmaceuticals
283 Novoseven 1 mg inj Faktor VIIA Rekombinan 1 mg inj Vial (Rp 9,749,993) PT. Ferron Par Pharmaceuticals
284 Kalsium Folinat inj 10 mg/mL Kalsium Folinat inj 10 mg/mL Vial (Rp 47,088) PT. Ferron Par Pharmaceuticals
285 Karboplatin inj 150 mg/15 mL Karboplatin inj 150 mg/15 mL Vial (Rp 131,000) PT. Ferron Par Pharmaceuticals
287 Fonkogem 1000 mg Gemsitabin inj 1000 mg Vial (Rp 700,000) PT. Fonko International
289 Fonkopac 100 mg/16,7 mL inj Paklitaksel inj 100 mg/16,7 mL Vial (Rp 260,000) PT. Fonko International
290 Fonkopac 30 mg/5 mL inj Paklitaksel inj 30 mg/5 mL Vial (Rp 130,500) PT. Fonko International
291 Fonkopac 300 mg/50 mL inj Paklitaksel inj 300 mg/50 mL Vial (Rp 1,499,500) PT. Fonko International
292 Aminosteril infant 10 % Larutan asam amino 10% (Rp 57,497) PT. Fresenius Kabi
293 Omegaven Larutan mengandung lipid (Rp 153,593) PT. Fresenius Kabi
294 Kemocarb inj 150 mg/15 mL Karboplatin inj 150 mg/15 mL Vial (Rp 131,000) PT. Fresenius Kabi Combiphar
295 Voluven Koloid HES BM 130000 6% Botol (Rp 21,780) PT. Fresenius Kabi Combiphar
296 Aminosteril Infant 6% Larutan Asam amino Botol (Rp 44,990) PT. Fresenius Kabi Combiphar
297 Aminosteril N-HEPA 8% Larutan Asam amino Botol (Rp 73,997) PT. Fresenius Kabi Combiphar
298 Nephrosteril Larutan Asam amino Botol (Rp 47,498) PT. Fresenius Kabi Combiphar
299 Dipeptiven Larutan Asam amino glutamine 20 g Botol (Rp 239,041) PT. Fresenius Kabi Combiphar
300 Kabiven Peripheral (kalori 1000kkal) Larutan Asam amino, glukosa, lipid, elektrolit Botol (Rp 319,990) PT. Fresenius Kabi Combiphar
302 Smoflipid 20% Larutan Lipid Botol (Rp 74,195) PT. Fresenius Kabi Combiphar
303 Intralipid 20% Larutan Lipid 20% Botol (Rp 74,294) PT. Fresenius Kabi Combiphar
304 Fresofol 1% MCT/LCT Propofol inj 1% Ampul (Rp 10,758) PT. Fresenius Kabi Combiphar
305 Epirol 50 Epirubisin HCl inj 2 mg/ml 25 ml Vial (Rp 425,000) PT. Futamed
307 Citabol 1000 Gemsitabin 1.000 mg Vial (Rp 700,000) PT. Futamed
308 Citabol 200 Gemsitabin 200 mg Vial (Rp 145,000) PT. Futamed
309 Moximed Moxifloksasin HCl 40 mg Tablet (Rp 22,500) PT. Futamed
310 Paxomed 100 Paklitaksel 6 mg/ml 16,7 ml Vial (Rp 260,000) PT. Futamed
311 Paxomed 30 Paklitaksel 6 mg/ml 5 ml Vial (Rp 130,500) PT. Futamed
312 Setirizin tab 10 mg Setirizin tab 10 mg Tablet (Rp 90) PT. Futamed
313 Imuran 50 mg Azatioprin tab 50 mg Tablet (Rp 2,837) PT. Glaxo Wellcome Indonesia
314 Flixotide nebules Flutikason Propionat cairan inhalasi nebules 0,5 mg/dosis Fls (Rp 14,929) PT. Glaxo Wellcome Indonesia
315 Lamictal 25 mg Lamotrigin 25 mg tab Tablet (Rp 2,837) PT. Glaxo Wellcome Indonesia
317 Kepra 250 mg Levetirasetam 250 mg Tablet (Rp 4,000) PT. Glaxo Wellcome Indonesia
319 Alkeran 2 mg Melphalan 2 mg Tablet (Rp 11,552) PT. Glaxo Wellcome Indonesia
320 Requib PD 24 Hour 2 mg Ropinirol tab 2 mg Tablet (Rp 5,920) PT. Glaxo Wellcome Indonesia
323 Seretide 50 Salmeterol 25 mcg + Flutikason propionat 50 mg Fls (Rp 55,000) PT. Glaxo Wellcome Indonesia
324 Seretide Diskus 100 Salmeterol 50 mcg + Flutikason propionat 100 mcg/puff Fls (Rp 103,817) PT. Glaxo Wellcome Indonesia
327 Zinnat 250 mg Sefuroksim 250 mg Tablet (Rp 4,500) PT. Glaxo Wellcome Indonesia
329 AAFACT faktor VIII serbuk inj 500 IU + AAFACT
pelarut 5 faktor
ml VIII serbuk inj 500 IU + pelarut 5 ml (Rp 1,900,000) PT. Graha Farma
330 Metoklopramid 10 mg Metoklopramid 10 mg (Rp 80) PT. Graha Farma
331 Salbutamol sulfat 4 mg Salbutamol sulfat 4 mg (Rp 70) PT. Graha Farma
332 Norestil 5 mg tab Noretisteron tab 5 mg Tablet (Rp 1,760) PT. Guardian Pharmatama
333 Sertralin tab 50 mg Sertralin tab 50 mg Tablet (Rp 1,595) PT. Guardian Pharmatama
334 Decafil Aminofillin 150 mg (Rp 139) PT. Harsen
335 Tensidox 1 mg Doksasozin 1 mg (Rp 1,795) PT. Harsen
337 Reprosid Finasterid 5 mg (Rp 1,645) PT. Harsen
338 Medroksi progesterone inj Medroksi progesterone inj 150 mg/ 3 ml (Rp 4,595) PT. Harsen
339 Albunorm 25% 100 mL Albumin serum normal 25% 100 mL Botol (Rp 1,510,000) PT. Harsen Laboratories
340 Albunorm 25% 50 mL Albumin serum normal 25% 50 mL Botol (Rp 765,000) PT. Harsen Laboratories
341 Neo Diagon Attapulgit tab 650 mg Tablet (Rp 206) PT. Harsen Laboratories
342 Octanine F 1000 IU + pelarut Faktor IX kompleks serb inj 1000 IU + pelarut 10 ml (Rp 8,888,000) PT. Harsen Laboratories
343 Octanine F 500 IU + pelarut 5 ml Faktor IX serb inj 500 IU + pelarut 5 ml Botol (Rp 4,620,000) PT. Harsen Laboratories
344 Octanate 1000 IU Faktor VIII serb inj 1000 IU Botol (Rp 3,700,000) PT. Harsen Laboratories
345 Octanate 250 IU Faktor VIII serb inj 250 IU Botol (Rp 950,000) PT. Harsen Laboratories
347 Octanate 500 + pelarut Faktor VIII serb inj 500 IU + pelarut (Rp 1,900,000) PT. Harsen Laboratories
348 Salep 24 Asam salisilat 2 % + belerang endap 4 % (Rp 2,620) PT. Holi
349 Salep 2-4 Asam salisilat 2%+belerang endap 4% Tube (Rp 2,620) PT. Holi Pharma
350 Pirantel Pamoat susp 125 mg Pirantel Pamoat susp 125 mg Botol (Rp 9,700) PT. Holi Pharma
351 Pirazinamid tab 500 mg Pirazinamid tab 500 mg Tablet (Rp 222) PT. Holi Pharma
352 Prednison tab 5 mg Prednison tab 5 mg Tablet (Rp 68) PT. Holi Pharma
353 Propanolol tab 10 mg Propanolol tab 10 mg Tablet (Rp 54) PT. Holi Pharma
355 Sefadroksil sir kering 125 mg/5mL Sefadroksil sir kering 125 mg/5mL Botol (Rp 3,922) PT. Holi Pharma
356 Sefoperazon inj 1000 mg Sefoperazon inj 1000 mg Vial (Rp 14,660) PT. Holi Pharma
357 Sefotaksim inj 500 mg Sefotaksim inj 500 mg Vial (Rp 5,967) PT. Holi Pharma
358 Tetrasiklin kaps 250 mg Tetrasiklin kaps 250 mg Tablet (Rp 174) PT. Holi Pharma
359 Sulfadiazine 500 mg Sulfadiazine 500 mg (Rp 283) PT. Ifars
360 Lactulosa Laktulosa sirup 3,335g/5 ml Botol (Rp 15,060) PT. Ikapharmindo
361 Fenitoin caps 100 mg Fenitoin caps 100 mg Kapsul (Rp 158) PT. Ikapharmindo Putramas
362 Dermasolon salep 0,025% Flusinolon Asetonid salep 0,025% Tube (Rp 5,408) PT. Ikapharmindo Putramas
363 Salbulin Salbutamol MDI/aerosol 100 mcg/dosis (Rp 29,400) PT. Imedco Djaja
364 Niotinex Forte Tretinoin / asan retinoat krim 0,1 % krim (Rp 9,759) PT. Immortal Pharmaceutical
365 Albendazol 400 mg Albendazol 400 mg (Rp 404) PT. Indofarma
366 Albendazol susp 200 mg/5 mL Albendazol susp 200 mg/5 mL Botol (Rp 4,000) PT. Indofarma
367 Amitriptilin 25 mg Amitriptilin 25 mg (Rp 167) PT. Indofarma
368 Salep anti bakteri Basitrasin 500 IU/g + polimiksin 10.000 IU/g (Rp 3,035) PT. Indofarma
369 Mineral Mix Bismuth subcitrate, cooper sulfat, mgCl, Potasium Cl, Zinc acetat (Rp 2,920) PT. Indofarma
370 Dietil Karbamazepin 100 mg Dietil Karbamazepin 100 mg (Rp 158) PT. Indofarma
371 Gemfibrozil tab 300 mg Gemfibrozil tab 300 mg Tablet (Rp 372) PT. Indofarma
373 Gentamisin inj 40 mg Gentamisin inj 40 mg Ampul (Rp 3,509) PT. Indofarma
374 Glibenklamid 5 mg Glibenklamid 5 mg (Rp 119) PT. Indofarma
375 Glimepirid tab 4 mg Glimepirid tab 4 mg Tablet (Rp 270) PT. Indofarma
376 Kaptopril 50 mg Kaptopril 50 mg (Rp 124) PT. Indofarma
377 Lansoprazol kaps 30 mg Lansoprazol kaps 30 mg Tablet (Rp 303) PT. Indofarma
378 Ofloksasin tab 200 mg Ofloksasin tab 200 mg Tablet (Rp 427) PT. Indofarma
380 Ondansetron 8 mg Ondansetron 8 mg (Rp 351) PT. Indofarma
381 Parasetamol drops 100 mg/ml 15 ml Oparasetamol 100 mg/ml 15 ml (Rp 6,649) PT. Indofarma
382 Rifampisin tab 300 mg Rifampisin tab 300 mg Tablet (Rp 725) PT. Indofarma
384 Salbutamol sirup Salbutamol sirup 2 mg/5 ml Botol (Rp 4,446) PT. Indofarma
385 Kombifak kategori I (Rp 317,018) PT. Indofarma
386 Urinter 400 mg Asam Pipemidat tab 400 mg Tablet (Rp 1,400) PT. Interbat
387 Interdoksin 50 mg Doksisiklin 50 mg (Rp 1,540) PT. Interbat
388 Human Albumin 20% Biotest 100 mL Albumin serum normal 20% 100 mL Botol (Rp 880,000) PT. Kimia Farma
390 Artem Artemeter inj 80 mg/ml (Rp 34,419) PT. Kimia Farma
391 Betametason krim 0,1% Betametason krim 0,1% Tube (Rp 1,340) PT. Kimia Farma
392 Anti hemorroid kombinasi Bismuth subgalat (Rp 3,167) PT. Kimia Farma
393 Diltiazem HCl tab 30 mg Diltiazem HCl tab 30 mg Tablet (Rp 133) PT. Kimia Farma
394 Dimenhidrinat tab 50 mg Dimenhidrinat tab 50 mg Tablet (Rp 105) PT. Kimia Farma
395 Naprodox 10 mg inj Doksorubisin inj 10 mg Vial (Rp 44,500) PT. Kimia Farma
397 Taceedo 20 inj Dosetaksel inj 20 mg/0,5 mL Vial (Rp 181,500) PT. Kimia Farma
398 Efavirens tab 600 mg Efavirens tab 600 mg Tablet (Rp 6,630) PT. Kimia Farma
399 Epeedo 10 mg Epirubisin inj 2 mg/ml 5 ml (Rp 86,000) PT. Kimia Farma
400 Epeedo 50 mg Epirubisin inj 50 mg/25 ml (Rp 425,000) PT. Kimia Farma
401 Ergotamin 1 mg+ Kafein 50 mg Ergotamin 1 mg+ Kafein 50 mg Tablet (Rp 173) PT. Kimia Farma
402 Haemoctin 1000 IU Faktor VIII serb inj 1000 IU Vial (Rp 3,700,000) PT. Kimia Farma
403 Haemoctin 250 IU Faktor VIII serb inj 230-340 IU Vial (Rp 950,000) PT. Kimia Farma
404 Haemoctin 500 IU Faktor VIII serb inj 480-600 IU Vial (Rp 1,900,000) PT. Kimia Farma
405 Fenobarbital tab 30 mg Fenobarbital tab 30 mg (Rp 171) PT. Kimia Farma
406 Fentanil inj 0,05 mg/mL 10 mL Fentanil inj 0,05 mg/mL 10 mL Ampul (Rp 157,040) PT. Kimia Farma
408 Durogesic Patch 25 mcg/jam Fentanil Patch 25 mcg/jam Patch (Rp 195,520) PT. Kimia Farma
409 Durogesic 50 Patch 50 mcg/jam Fentanil Patch 50 mcg/jam Patch (Rp 364,000) PT. Kimia Farma
410 Durogesic Patch 12,5 mcg/jam Fentanil Patch12,5 mcg/jam Patch (Rp 101,634) PT. Kimia Farma
411 Furosemid 40mg Furosemid 40mg (Rp 77) PT. Kimia Farma
412 Garam oralit Garam oralit (Rp 257) PT. Kimia Farma
413 Abingem inj 1000 mg Gemsitabin serb inj 1000 mg Vial (Rp 700,000) PT. Kimia Farma
415 Ketokonazol krim 2% Ketokonazol krim 2% Tube (Rp 2,518) PT. Kimia Farma
416 Kloramfenikol Salep mata 1% Kloramfenikol Salep mata 1% Tube (Rp 1,881) PT. Kimia Farma
417 Kodein tab 10 mg Kodein tab 10 mg Tablet (Rp 571) PT. Kimia Farma
419 Kodein tab 20 mg Kodein tab 20 mg Tablet (Rp 1,299) PT. Kimia Farma
420 Napro-Tax inj 30 mg/mL Paklitaksel inj 30 mg/mL Vial (Rp 130,500) PT. Kimia Farma
421 Renalscan KAEF DTPA Pantetate Ca trisodium 10 mg Vial (Rp 575,016) PT. Kimia Farma
422 Cisteen inj 10 mg Sisplatin serb inj 10 mg Vial (Rp 23,634) PT. Kimia Farma
424 Anti malaria sulfadoksin 500 mg+pirimetamin 25 mg (Rp 616) PT. Kimia Farma
425 Vitamin C (Asam Askorbat tab 50 mg Vitamin C (Asam Askorbat tab 50 mg Tablet (Rp 105) PT. Kimia Farma
426 Atorvastatin 10 mg Atorvavastatin 10 mg tab Tablet (Rp 1,100) PT. Lapi Laboratories
427 Antasida susp AL OH 200 mg + Mg OH susp (Rp 1,995) PT. Lucas Djaja
428 Difenhidramin HCl inj 10 mg/mL Difenhidramin HCl inj 10 mg/mL Ampul (Rp 1,095) PT. Lucas Djaja
429 Eritromisin tab 250 mg Eritromisin tab 250 mg Tablet (Rp 546) PT. Lucas Djaja
430 Phenol glycerol TT Karbogliserin TT 10% (Rp 2,590) PT. Lucas Djaja
431 Lidokain 2% Lidokain inj 2% (Rp 1,149) PT. Lucas Djaja
432 Vitamin B12 (Sianokobalamin) inj 500 mcg
Vitamin B12 (Sianokobalamin) inj 500 mcg Vial (Rp 1,035) PT. Lucas Djaja
433 Aminofilin tab 200 mg Aminofilin tab 200 mg Tablet (Rp 89) PT. Marin Liza Farmasi
434 Antifungi DOEN salep Asam Benzoat 6%+Asam salisilat 3% Tube (Rp 4,496) PT. Marin Liza Farmasi
435 Asam Folat tab 1 mg Asam Folat tab 1 mg Tablet (Rp 70) PT. Marin Liza Farmasi
436 Vitamin B12 (Sianokobalamin) tab 50 mcg
Vitamin B12 (Sianokobalamin) tab 50 mcg Tablet (Rp 46) PT. Marin Liza Farmasi
437 Viccilin SX inj Ampicillin 1000mg + Sulbactam 500mg inj Vial (Rp 34,000) PT. Meiji Indonesia
438 NiflecPowder Polietilen Glikol Sachet (Rp 123,500) PT. Meiji Indonesia
439 Precedex Deksmedetomidin inj 100 mcg/ml (Rp 159,250) PT. Menarini
440 Holoxan Ifosfamid serb inj 500 mg (Rp 851,250) PT. Menarini
441 Holoxan inj 1000 mg Ifosfamid inj 1000 mg Vial (Rp 1,470,040) PT. Menarini Indria Lab
443 Mestinon Piridostigmin 60 mg tab Tablet (Rp 7,513) PT. Menarini Indria Lab
444 Endoxan inj 1000 mg Siklofosfamid inj 1000 mg Vial (Rp 197,890) PT. Menarini Indria Lab
446 Levopar tab Benserazid 25mg + Levodopa 100mg Tablet (Rp 1,030) PT. Meprofarm
447 Deksamethason inj Deksametason inj 5 mg/ml (Rp 1,097) PT. Meprofarm
448 Diazepam inj 5 mg/ml Diazepam inj 5 mg/ml (Rp 1,735) PT. Meprofarm
449 Fenitoin inj Fenitoin inj 100 mg/2 ml (Rp 3,738) PT. Meprofarm
450 Suprafenid supp Ketoprofen supp 100 mg (Rp 2,380) PT. Meprofarm
451 Meropenen inj Meropenem serb inj 1.000 mg (Rp 32,345) PT. Meprofarm
452 Gavistal drop Metoklopramid drop 2 mg/ml (Rp 3,900) PT. Meprofarm
453 Metronidazol susp 125 mg/5 mL Metronidazol susp up 125 mg/5 mL Botol (Rp 3,950) PT. Meprofarm
454 Sukralfat susp 500 mg/5 mL, 100 mL Sukralfat susp 500 mg/5 mL, 100 mL Botol (Rp 6,789) PT. Meprofarm
455 Tabas sirup Terbutalin sulfate sir 1,5 mg/5 ml (Rp 6,459) PT. Meprofarm
456 Valproat sirup Valproat sirup 250 mg/5 ml (Rp 15,789) PT. Meprofarm
457 Lutenyl Nomegestrol asetat 5 mg (Rp 7,450) PT. Merck
458 Boidion Sugammadeks inj 100 mg/ml (Rp 1,100,000) PT. Merck Sharp Dohme
459 Temodal 100 mg Temozolamid kaps 100 mg Kapsul (Rp 1,170,000) PT. Merck Sharp Dohme p
460 Temodal 20 mg Temozolamid kaps 20 mg Tablet (Rp 230,000) PT. Merck Sharp Dohme p
461 Andriol Testocaps Testosteron caps 40 mg Kapsul (Rp 6,300) PT. Merck Sharp Dohme p
462 Concor 1,25 mg Bisoprolol 1,25 mg Tablet (Rp 1,815) PT. Merck Tbk
463 Concor 10 mg Bisoprolol 10 mg Tablet (Rp 2,950) PT. Merck Tbk
464 Concor 2,5 mg Bisoprolol 2,5 mg Tablet (Rp 597) PT. Merck Tbk
465 KSR 600 mg Kalium Klorida 600 mg Tablet (Rp 1,755) PT. Merck Tbk
466 KSR Kalium Klorida tab 600 mg lepas lambat Tablet (Rp 1,755) PT. Merck Tbk
467 Euthyrox 100 mcg Levotiroksin tab 100 mcg Tablet (Rp 1,021) PT. Merck Tbk
468 Euthyrox 50 mcg Levotiroksin tab 50 mcg Tablet (Rp 735) PT. Merck Tbk
469 Iliadin 0,025% tts hidung Oksimetazolin 0,025% tetes hidung Fls (Rp 32,549) PT. Merck Tbk
471 Erbitux infus Setuksimab infus 5mg/mL Vial (Rp 3,500,000) PT. Merck Tbk
472 Thyrozol 10 mg Tiamazol 10 mg Tablet (Rp 1,225) PT. Merck Tbk
473 Thyrozol 5 mg Tiamazol 5 mg Tablet (Rp 630) PT. Merck Tbk
474 Alopurinol 300 mg Alopurinol 300 mg (Rp 210) PT. Mersi
475 Clonazepam 2 mg Klonazepam 2 mg (Rp 4,940) PT. Mersi
476 Methylphenidat 10 mg Metil fenidat tab 10 mg (Rp 1,162) PT. Mersi
477 Parasetamol infus 10 mg/ml Parasetamol infus 10 mg/ml (Rp 11,610) PT. Mersi
478 Kotrimoksazol anak susp Sulfametoksazol 200 + Trimetropin 40 (Rp 2,052) PT. Mersi
479 Kotrimoksazol Forte Sulfametoksazol 800 + Trimetropin 160 (Rp 299) PT. Mersi
480 Trihexyphenidyl 2 mg Trihexyphenidyl 2 mg (Rp 85) PT. Mersi
481 Alprazolam tab 0,5 mg Alprazolam tab 0,5 mg Tablet (Rp 88) PT. Mersifarma Tirmaku Mercusana
482 Alprazolam tab 1 mg Alprazolam tab 1 mg Tablet (Rp 120) PT. Mersifarma Tirmaku Mercusana
483 Antasida DOEN tab Antasida DOEN tab Al OH 200 mg Mg OH 200 mg Tablet (Rp 54) PT. Mersifarma Tirmaku Mercusana
484 Asam Mefenamat tab 500 mg Asam Mefenamat tab 500 mg Tablet (Rp 103) PT. Mersifarma Tirmaku Mercusana
485 Miniaspi 80 mg Asetosal tab 80 mg Tablet (Rp 99) PT. Mersifarma Tirmaku Mercusana
486 DHP - Firmal tab DHP : dihidroartemisin 40mg+piperakuin 320mg Tablet (Rp 2,000) PT. Mersifarma Tirmaku Mercusana
487 Diazepam tab 5 mg Diazepam tab 5 mg Tablet (Rp 109) PT. Mersifarma Tirmaku Mercusana
488 Sikzonoate inj 25 mg/mL Flufenazin inj 25 mg/mL Ampul (Rp 59,800) PT. Mersifarma Tirmaku Mercusana
489 Lodomer 2 mg Haloperidol tab 2 mg Tablet (Rp 84) PT. Mersifarma Tirmaku Mercusana
490 Haloperidol tab 5 mg Haloperidol tab 5 mg Tablet (Rp 56) PT. Mersifarma Tirmaku Mercusana
491 Lodomer Tetes Haloperidol tetes 2 mg/mL Botol (Rp 18,700) PT. Mersifarma Tirmaku Mercusana
492 Kalsium Laktat (Kalk) tab 500 mg Kalsium Laktat (Kalk) tab 500 mg Tablet (Rp 59) PT. Mersifarma Tirmaku Mercusana
493 Karbamazepin tab 200 mg Karbamazepin tab 200 mg Tablet (Rp 230) PT. Mersifarma Tirmaku Mercusana
494 Klorpromazin tab 100 mg Klorpromazin tab 100 mg Tablet (Rp 147) PT. Mersifarma Tirmaku Mercusana
495 Kotrimoksazol tab 480 mg Kotrimoksazol tab 480 mg Tablet (Rp 125) PT. Mersifarma Tirmaku Mercusana
496 Frimania tab 200 mg Litium Karbonat 200 mg Tablet (Rp 987) PT. Mersifarma Tirmaku Mercusana
497 Frimania tab 400 mg Litium Karbonat 400 mg Tablet (Rp 1,739) PT. Mersifarma Tirmaku Mercusana
498 Merlopam 0,5 mg Lorazepam tab 0,5 mg Tablet (Rp 355) PT. Mersifarma Tirmaku Mercusana
499 Lorazepam tab 2 mg Lorazepam tab 2 mg Tablet (Rp 810) PT. Mersifarma Tirmaku Mercusana
500 Paracetamol sirup 120 mg/5 mL Paracetamol sirup 120 mg/5 mL Botol (Rp 1,107) PT. Mersifarma Tirmaku Mercusana
501 Parasetamol tab 500 mg Parasetamol tab 500 mg Tablet (Rp 53) PT. Mersifarma Tirmaku Mercusana
502 Tramadol inj 50 mg/mL Tramadol inj 50 mg/mL Ampul (Rp 1,764) PT. Mersifarma Tirmaku Mercusana
503 Trifluoperazin tab 5 mg Trifluoperazin tab 5 mg Tablet (Rp 269) PT. Mersifarma Tirmaku Mercusana
504 FORMENING vaksin Vaksin Meningitis Meningococcoal polisakarida ACYW135 Vial (Rp 135,000) PT. Mersifarma Tirmaku Mercusana
505 Metilprednisolon tab 4 mg Metilprednisolon tab 4 mg Tablet (Rp 134) PT. Molex Ayus
506 Amoksisilin sir kering Forte 250 mg/5 mL
Amoksisilin sir kering Forte 250 mg/5 mL Botol (Rp 3,400) PT. Novapharin
507 Amoksisilin tab 250 mg Amoksisilin tab 250 mg Tablet (Rp 184) PT. Novapharin
508 Deksametason 0,5 mg tab Deksametason 0,5 mg tab Tablet (Rp 32) PT. Novapharin
509 Domperidon tab 10 mg Domperidon 10 mg Tablet (Rp 85) PT. Novapharin
510 Domperidon susp 5 mg/ml Domperidon susp 5 mg/ml Botol (Rp 2,700) PT. Novapharin
511 Griseofulvin tab 125 mg Griseofulvin tab 125 mg Tablet (Rp 210) PT. Novapharin
512 Ibuprofen 200 mg Ibuprofen 200 mg Tablet (Rp 105) PT. Novapharin
513 Ketokonazol 200 mg Ketokonazol 200 mg Tablet (Rp 270) PT. Novapharin
514 Kloramfenikol 250 mg Kloramfenikol kaps 250 mg Kapsul (Rp 310) PT. Novapharin
515 CTM 4 mg Tab Klorfeniramin Maleat (CTM) 4 mg tab Tablet (Rp 22) PT. Novapharin
516 Omeprazol tab 20 mg Omeprazol tab 20 mg Tablet (Rp 130) PT. Novapharin
517 Sefadroksil 250 mg Sefadroksil 250 mg Kapsul (Rp 690) PT. Novapharin
518 Siprofloksasin 500 mg Siprofloksasin 500 mg Tablet (Rp 265) PT. Novapharin
519 Vitamin B1 (Tiamin) tab 50 mg Vitamin B1 (Tiamin) tab 50 mg Tablet (Rp 85) PT. Novapharin
520 Zometa inj Asam Zoledronat inj 4 mg/100 mL Vial (Rp 1,528,800) PT. Novartis Indonesia
521 Exjade 250 mg Deferasiroks tab 250 mg eff Tablet (Rp 77,459) PT. Novartis Indonesia
523 Desferal 500 mg inj Deferoksamin Mesilat inj 500 mg Vial (Rp 119,756) PT. Novartis Indonesia
524 Certican 0,25 mg Everolimus tab 0,25 mg Tablet (Rp 11,813) PT. Novartis Indonesia
526 Glivec 100 mg Imatinib tab 100 mg Tablet (Rp 211,000) PT. Novartis Indonesia
528 Onbrez Breezhaler 150 mcg Indakaterol serbuk ih 150 mcg Fls (Rp 11,750) PT. Novartis Indonesia
530 Tykerb 250 mg Lepatinib 250 mg Tablet (Rp 61,662) PT. Novartis Indonesia
531 Stalevo Levodopa 100 + Karbidopa 25 + Entekapon 200 mg Tablet (Rp 8,800) PT. Novartis Indonesia
532 Tasigna 150 mg Nilotinib kaps 150 mg Kapsul (Rp 211,000) PT. Novartis Indonesia
534 Sandostatin inj 20 mg Oktreotide inj 20 mg Vial (Rp 7,594,961) PT. Novartis Indonesia
536 Patizra Ranibizumab inj 10 mg/ml (Rp 3,836,500) PT. Novartis Indonesia
537 Sandimmun Neoral 25 mg Siklosporin kaps 25 mg Kapsul (Rp 11,800) PT. Novartis Indonesia
539 Sebivo 600 mg Telbivudin tab 600 mg Tablet (Rp 28,300) PT. Novartis Indonesia
540 Bisoprolol 5 mg Bisoprolol 5 mg (Rp 236) PT. Novell
541 Epotrex-NP Eritropoetin alfa 1 mg 10.000 IU/ml (Rp 330,000) PT. Novell
542 Gabapentin 300 mg Gabapentin 300 mg (Rp 1,000) PT. Novell
543 Bonevell Ibandronic sodium / asam ibandronat inj 1 mg/ml (Rp 550,000) PT. Novell
544 Iohexol Iohexol 180-300 mg iodium /ml 300 mg/20 ml (Rp 77,000) PT. Novell
545 Klindamisin 150 mg Klindamisin 150 mg (Rp 715) PT. Novell
546 Levofloksasin infus 5 mg/ml Levofloksasin infus 5 mg/ml (Rp 17,999) PT. Novell
547 Spiramisin 500 mg Spiramisin 500 mg (Rp 1,780) PT. Novell
548 Notisil 2 Warfarin tab 2 mg (Rp 699) PT. Novell
549 Daunocin inj 20 Daunorubisin inj 20 mg Vial (Rp 219,305) PT. Novell Pharmaceutical
550 Epotrex 2000 Eritopoetin-alfa inj 2000 IU/ 0,5 ml syringe (Rp 77,000) PT. Novell Pharmaceutical
551 Etopul 20 mg inj Etoposid inj 20 mg/mL Vial (Rp 79,200) PT. Novell Pharmaceutical
552 Flukonazol inj 2mg/mL Flukonazol inj 2mg/mL Vial (Rp 17,999) PT. Novell Pharmaceutical
553 Ostovel Kalsitriol kaps 0,25 mcg Kapsul (Rp 1,650) PT. Novell Pharmaceutical
554 Klomifen Sitrat tab 50 mg Klomifen Sitrat tab 50 mg Tablet (Rp 1,236) PT. Novell Pharmaceutical
555 Dialifer inj Low molecule feri sucrose inj 100 mg/5mL Ampul (Rp 28,500) PT. Novell Pharmaceutical
556 Miloz 5 Midazolam inj 5 mg/mL Ampul (Rp 4,125) PT. Novell Pharmaceutical
557 Pravastatin tab 20 mg Pravastatin tab 20 mg Tablet (Rp 2,090) PT. Novell Pharmaceutical
558 Ramipril tab 10 mg/ml Ramipril tab 10 mg Tablet (Rp 660) PT. Novell Pharmaceutical
559 Cyclovid 1000 Siklofosfamid inj 1000 mg Vial (Rp 197,890) PT. Novell Pharmaceutical
562 Trilac inj Triamsinolon inj 10 mg/mL Vial (Rp 34,999) PT. Novell Pharmaceutical
563 Otsu WI 25 mL Air untuk injeksi 25 mL Fls (Rp 2,860) PT. Otsuka Indonesia
564 Abilify Discmelt 10 mg Aripiprazol tab discmelt 10 mg Tablet (Rp 23,034) PT. Otsuka Indonesia
565 Asering Softbag Asetat Ringer (softbag) Softbag (Rp 9,646) PT. Otsuka Indonesia
566 Obucort Swinghaler Budesonid inhaler 200 mcg/puff, 200 dosis Fls (Rp 103,000) PT. Otsuka Indonesia
567 Otsu KCl 7,46% Kalium Klorida inj 25 mL Fls (Rp 3,223) PT. Otsuka Indonesia
568 Amiparen inj Larutan asam amino Softbag (Rp 89,726) PT. Otsuka Indonesia
569 Kidmin Sol Larutan asam amino Softbag (Rp 50,697) PT. Otsuka Indonesia
570 Pan Amin - G Larutan asam amino Softbag (Rp 47,788) PT. Otsuka Indonesia
571 Aminofluid 1000 mL Larutan asam amino 1000 ml Softbag (Rp 122,980) PT. Otsuka Indonesia
573 Aminoleban inj Larutan asam amino 500 ml Softbag (Rp 67,590) PT. Otsuka Indonesia
574 KA-EN 1B Injection Larutan elektolit Botol (Rp 9,644) PT. Otsuka Indonesia
575 KA-EN 3A injection Larutan elektolit Botol (Rp 10,696) PT. Otsuka Indonesia
576 KA-EN 3B Larutan elektolit Softbag (Rp 10,696) PT. Otsuka Indonesia
577 KA-EN 3B injection Larutan elektolit Botol (Rp 10,696) PT. Otsuka Indonesia
578 KA-EN MG3 injection Larutan elektolit Botol (Rp 9,984) PT. Otsuka Indonesia
579 Martos - 10 Larutan elektolit Botol (Rp 32,033) PT. Otsuka Indonesia
580 Otsu MGSO4 20 Magnesium Sulfat inj 20% Fls (Rp 3,328) PT. Otsuka Indonesia
582 Meylon 84 Natrium Bicarbonat inj 8,4% Fls (Rp 6,448) PT. Otsuka Indonesia
583 Meptin Inhalation Solution 0,3 mL Prokaterol cairan inh 30 mcg Fls (Rp 5,800) PT. Otsuka Indonesia
585 Meptin Swinghaler Prokaterol serbuk inh 10 mcg/dosis Fls (Rp 82,000) PT. Otsuka Indonesia
586 Esomeprazol sodium Asomeprazol serb inj 40 mg (Rp 27,487) PT. Otto
587 Kemotrexate Metotreksat inj 25 mg/ml (Rp 38,500) PT. Otto
588 Sefadroksil 500 mg Sefadroksil 500 mg (Rp 478) PT. Otto
589 Kemodoxin inj 10 mg Doksorubisin serb inj 10 mg Vial (Rp 44,500) PT. Otto Pharmaceutical Indtr
591 Kemopirin inj 10 mg/5 mL Epirubisin inj 10 mg/5 mL Vial (Rp 86,000) PT. Otto Pharmaceutical Indtr
593 Gemtan inj 1000 mg Gemsitabin serb inj 1000 mg Vial (Rp 700,000) PT. Otto Pharmaceutical Indtr
595 Kemobotin inj 150 mg/ 15 mL Karboplatin inj 150 mg/15 mL Vial (Rp 131,000) PT. Otto Pharmaceutical Indtr
597 Belloxa inj 100 mg Oksaliplatin serb inj 100 mg Vial (Rp 500,000) PT. Otto Pharmaceutical Indtr
599 Irbesartan tab 150 mg Irbesartan tab 150 mg Tablet (Rp 400) PT. Pertiwi Agung
601 Kaptopril tab 25 mg Kaptopril tab 25 mg Tablet (Rp 75) PT. Pertiwi Agung
602 Glucotrol XL Glipizid 10 mg (Rp 3,400) PT. Pfizer
603 Aromasin 25 mg Eksemestan tab 25 mg Tablet (Rp 43,000) PT. Pfizer Indonesia
604 Diflucan 50 mg Flikonazol kaps 50 mg Kapsul (Rp 5,900) PT. Pfizer Indonesia
605 Campto 100 mg/5 mL Irinoteksan inj 20 mg/mL Vial (Rp 715,500) PT. Pfizer Indonesia
607 Amikasin 250 mg/ml Amikasin 250 mg/ml (Rp 30,740) PT. Phapros
608 Anti TBC FDC Kategori Sisipan Anti TBC FDC Kategori Sisipan Tablet (Rp 173,030) PT. Phapros
609 Asam asetil salisilat /asetosal 100 mg Asam asetil salisilat /asetosal 100 mg (Rp 133) PT. Phapros
610 Asiklovir tab 400 mg Asiklovir tab 400 mg Tablet (Rp 380) PT. Phapros
611 Fenobarbital inj 50 mg/ mL Fenobarbital inj 50 mg/ mL Ampul (Rp 1,857) PT. Phapros
612 Klorpromazin inj 25 mg/mL Klorpromazin inj 25 mg/mL Ampul (Rp 1,243) PT. Phapros
613 Klorpromazin inj 5 mg/mL- 2 mL Klorpromazin inj 5 mg/mL- 2 mL Ampul (Rp 1,510) PT. Phapros
614 Lidokain inj 2% + epinefrin 1:80.000 injLidokain
2 ml inj 2% + epinefrin 1:80.000 inj 2 ml (Rp 1,145) PT. Phapros
615 Methylprednisolon 500 mg Methylprednisolon serb inj 500 mg (Rp 67,560) PT. Phapros
616 Metilprednisolon inj 125 mg/mL Metilprednisolon serb inj 125 mg/mL Vial (Rp 10,800) PT. Phapros
617 Natrium Diklofenac tab 25 mg Natrium Diklofenac tab 25 mg Tablet (Rp 115) PT. Phapros
619 Nistatin tab 500.000 IU/g Nistatin tab 500.000 IU/g Tablet (Rp 790) PT. Phapros
620 Nistatin vaginal tab 100.000 IU/g Nistatin vaginal tab 100.000 IU/g Tablet (Rp 560) PT. Phapros
621 Obat anti tuberculosisi TDC kategori anak
Obat anti tuberculosisi TDC kategori anak (Rp 232,518) PT. Phapros
622 Obat anti tuberculosisi TDC kategori IIObat anti tuberculosisi TDC kategori II (Rp 1,297,894) PT. Phapros
623 Ristonat Risedronat tab 35 mg (Rp 30,546) PT. Phapros
624 Sefpirom Sefpirom serbuk inj 1.000 mg (Rp 49,300) PT. Phapros
625 Vitamin K1 (Fitomenadion) tab 10 mg Vitamin K1 (Fitomenadion) tab 10 mg Tablet (Rp 710) PT. Phapros
626 Zinc sulfat 20 mg Zinc sulfat 20 mg (Rp 524) PT. Phapros
627 Neostigmin-Hameln Neostigmin inj 0,5 mg/ml (Rp 7,271) PT. Pharma Health Care
628 Griseofulvin 500 mg Griseofulvin 500 mg (Rp 849) PT. Pharma lab
629 Sefiksim sirup kering 100 mg/5 mL Sefiksim sirup kering 100 mg/5 mL Botol (Rp 5,530) PT. Pharma Lab
630 Metronidazol 500 mg tab Metronidazol 500 mg tab Tablet (Rp 124) PT. Phyto Kemo agung Farma
631 Farnormin 50 Atenolol 50 mg (Rp 297) PT. Pratapa Nirmala
632 Terrel 250 ml Cairan inhalasi 250 ml (Rp 549,028) PT. Pratapa Nirmala
633 Fargoxin inj Digoksin inj 0,25 mg/mL Ampul (Rp 25,300) PT. Pratapa Nirmala
634 Farmabes inj Diltiazem 5 mg/ ml inj Ampul (Rp 56,628) PT. Pratapa Nirmala
635 Inviclot inj Heparin inj 5000 IU/mL Vial (Rp 43,995) PT. Pratapa Nirmala
636 Ipratropium Bromida Ipratropium bromida cairan inhalasi 0,025 (Rp 21,000) PT. Pratapa Nirmala
637 Terrel 100 mL Isofluran inhalasi 100 mL Botol (Rp 319,900) PT. Pratapa Nirmala
638 Renaquil Lorazepam 1 mg (Rp 715) PT. Pratapa Nirmala
639 Medroxy progesteron acetat Medroxy progesteron acetat inj depo 15 mg/ml (Rp 5,390) PT. Pratapa Nirmala
640 Fapresor Metoprolol tartat inj 1 mg/ml (Rp 53,900) PT. Pratapa Nirmala
641 Moxifloxacin Moksiflokssin infus 1,6 mg/ml(400 mg/250 ml) (Rp 187,000) PT. Pratapa Nirmala
642 N ACE N-Acetil sistein cairan ih 100 mg/ml (Rp 10,000) PT. Pratapa Nirmala
643 Nokoba inj Nalokson inj 0,4 mg/mL Ampul (Rp 72,600) PT. Pratapa Nirmala
644 Octide Oktreotid inj 0,1 mg/ml (Rp 58,500) PT. Pratapa Nirmala
645 Pioglitazon 15 mg Pioglitazon 15 mg (Rp 2,145) PT. Pratapa Nirmala
647 Aptil Polikresulen larutan (Rp 19,250) PT. Pratapa Nirmala
648 Sojourn Sevoflurane cairan ih (Rp 994,892) PT. Pratapa Nirmala
649 Isotic Adretor TM 0,25% Timolol TM 0,25% Botol (Rp 10,400) PT. Pratapa Nirmala
650 Farpresin inj 20 IU Vasopresin inj 20 IU/ml Vial (Rp 79,279) PT. Pratapa Nirmala
651 Levofloksasin 500 mg Levofloksasin 500 mg (Rp 424) PT. Promed
652 Profolat tab Asam Folat tab 0,4 mg Tablet (Rp 52) PT. Promedrahardjo Farmasi
653 Cetirisin sirup Cetirisin sirup 5 mg/5 ml (Rp 2,850) PT. Rama
654 Sefadroksil sirup kering 250 mg/5 ml Sefadroksil sirup kering 250 mg/5 ml (Rp 5,200) PT. Rama
655 Sefotaksim 1.000 mg Sefotaksim 1.000 mg (Rp 4,200) PT. Rama
656 Ibuprofen susp 100 mg/ 5mL Ibuprofen susp 100 mg/ 5mL Botol (Rp 2,550) PT. Rama Emerald Multi Sukses
657 Primperan sirup Metoklopramid sirup 5 mg/5 ml (Rp 2,530) PT. Sampharindo
658 Sansulin LOG-G Analog insulin long acting inj 100 IU/ml (Rp 83,950) PT. Sanbe Farma
659 Infusan Ring As Asetat ringer (Rp 9,646) PT. Sanbe Farma
660 Doksorubisin inj 10 mg Doksorubisin inj 10 mg Vial (Rp 44,500) PT. Sanbe Farma
662 Dosetaksel inj 80 mg/2 mL Dosetaksel inj 80 mg/2 mL Vial (Rp 934,450) PT. Sanbe Farma
663 Neukine inj Filgrastim inj 300 mcg/mL Ampul (Rp 190,000) PT. Sanbe Farma
664 Gemsitabin inj 1000 mg Gemsitabin serb inj 1000 mg Vial (Rp 700,000) PT. Sanbe Farma
665 Irinotekan inj 20 mg/mL Irinotekan inj 20 mg/mL Vial (Rp 396,077) PT. Sanbe Farma
667 Valamin Larutan asam amino (Rp 45,000) PT. Sanbe Farma
668 Hydromal Larutan karbohidrat dan elektrolit Botol (Rp 45,735) PT. Sanbe Farma
669 Tridex 27 A Larutan mengandung elektrolit (Rp 9,625) PT. Sanbe Farma
670 Tridex 27 B Larutan mengandung elektrolit (Rp 9,625) PT. Sanbe Farma
671 Tridex Plain Larutan mengandung elektrolit (Rp 9,110) PT. Sanbe Farma
672 Infusan D5 (100 mL) Larutan mengandung karbohidrat Softbag (Rp 10,715) PT. Sanbe Farma
674 Futrolit Larutan mengandung karbohidrat dan elektrolit (Rp 36,800) PT. Sanbe Farma
675 Infusan D5 + NS Larutan mengandung karbohidrat dan elektrolit (Rp 9,035) PT. Sanbe Farma
676 Tridex 100 Larutan mengandung karbohidrat dan elektrolit (Rp 9,884) PT. Sanbe Farma
677 Methotreksat inj 25 mg/mL Metotreksat inj 25 mg/mL Ampul (Rp 38,500) PT. Sanbe Farma
678 Oxaliplatin 50 mg Oksaliplatin serb inj 50 mg (Rp 250,000) PT. Sanbe Farma
679 Paklitaksel inj 100 mg Paklitaksel inj 6 mg/mL16,7 ml Vial (Rp 260,000) PT. Sanbe Farma
680 Dialisan Produk untuk dialisis peritoneal (Rp 6,900,000) PT. Sanbe Farma
681 Infusan RL Ringer laktat 500 ml (Rp 7,150) PT. Sanbe Farma
682 Midric 0,5% Tropikamide TM 0,5 % (Rp 17,500) PT. Sanbe Farma
683 Vinkristin inj 1 mg/mL 1 ml Vinkristin inj 1 mg/mL Vial (Rp 45,396) PT. Sanbe Farma
685 Glukosa 10 % 500 ml Glukosa 10 % 500 ml (Rp 7,500) PT. Satoria
686 Glukosa 5% 500 ml Glukosa 5% 500 ml (Rp 6,900) PT. Satoria
687 Na Cl 0,9 % 500 ml Na Cl 0,9 % 500 ml (Rp 6,410) PT. Satoria
688 Ringer Laktat 500 ml Ringer Laktat 500 ml (Rp 7,150) PT. Satoria
689 Hepsera Adefovir Dipivoksil 10 mg (Rp 30,700) PT. Smith Kline
690 Ranitidin inj 25 mg/ml Ranitidin inj 25 mg/ml (Rp 1,155) PT. SOHO
691 Edurant Rilpivirine 25 mg (Rp 3,127) PT. SOHO
692 Olysio Simeprevir 150 mg (Rp 196,714) PT. SOHO
693 EPREX 2000 Eritropoetin-alfa inj 2000 IU/ 0,5 mL syringe (Rp 77,000) PT. Soho Industri Farmasi
694 Haldol Decanoas Haloperidol inj 50 mg/mL Ampul (Rp 101,300) PT. Soho Industri Farmasi
695 Topamax tab 100 mg Topiramat tab 100 mg Tablet (Rp 9,560) PT. Soho Industri Farmasi
698 Ferriprox 100 mg/mL sirup Deferipron lar oral 100 mg/mL Botol (Rp 1,680,000) PT. Sydna Farma
699 Ferriprox 500 mg tablet Deferipron tab 500 mg Tablet (Rp 33,000) PT. Sydna Farma
700 Vermox 500 mg Mebendazol 500 mg tab Tablet (Rp 9,150) PT. Taisho Pharma
701 Prosogan inj 30 mg Lansoprazol inj 30 mg/mL Vial (Rp 92,040) PT. Takeda Indonesia
702 Tapros inj 1,88 mg Leuprorelin asetat inj depot 1,88 mg Vial (Rp 780,000) PT. Takeda Indonesia
703 Tapros inj 11,25 mg Leuprorelin asetat inj depot 11,25 mg Vial (Rp 3,032,640) PT. Takeda Indonesia
704 Herbesser CD 100 Diltiazem kaps SR 100 mg Tablet (Rp 4,460) PT. Tanabe Indonesia
706 Herbesser inj 50 mg Diltiazem serb inj 50 mg Ampul (Rp 154,400) PT. Tanabe Indonesia
707 Arixtra Fondaparinuks inj 2,5 mg/0,5 mL Syringe (Rp 248,950) PT. Tanabe Indonesia
708 Tanapress 10 Imidapril tab 10 mg Tablet (Rp 4,735) PT. Tanabe Indonesia
710 Amlodipin 10 mg Amlodipin 10 mg (Rp 93) PT. Tempo Scan Pacific
712 Betametason dipropionate Betametason dipropionate krim 0,05%(0,5 mg/g) (Rp 3,350) PT. Tempo Scan Pacific
713 Azopt TM 1% Brinzolamid TM 1% Botol (Rp 130,000) PT. Tempo Scan pacific
714 DBL Dacarbazine inj 200 mg Dakarbazin inj 200 mg Vial (Rp 250,000) PT. Tempo Scan pacific
715 DBL Gemcitabine inj 1000 mg Gemsitabin inj 1000 mg Vial (Rp 700,000) PT. Tempo Scan pacific
716 Gliclazid Gliclazid 80 mg (Rp 220) PT. Tempo Scan Pacific
717 DBL Glyceril Trinitrate Conc inj Gliseril Trinitrat 50 mg/10mL inj Vial (Rp 132,600) PT. Tempo Scan pacific
718 Ibuprofen susp 200 mg/5 ml Ibuprofen susp 200 mg/5 ml (Rp 4,465) PT. Tempo Scan Pacific
719 Metformin 850 mg Metformin 850 mg (Rp 150) PT. Tempo Scan Pacific
720 Vigamox TM 0,5% Moksifloksasin TM 0,5% Botol (Rp 81,000) PT. Tempo Scan pacific
721 DBL Oxaliplatin inj 100 mg Oksaliplatin inj 100 mg Vial (Rp 500,000) PT. Tempo Scan pacific
722 Patanol TM 0,1% Olopatadin TM 0,1% Botol (Rp 72,500) PT. Tempo Scan pacific
723 Anzatax inj 30 mg/mL Paklitaksel inj 6 mg/ml 5 ml Vial (Rp 130,500) PT. Tempo Scan pacific
724 Simvastatin 20 mg Simvastatin 20 mg (Rp 205) PT. Tempo Scan Pacific
725 DBL Cytarabine inj100 mg Sitarabin inj100 mg Vial (Rp 570,350) PT. Tempo Scan pacific
726 Travatan TM 0,004% Travoprost TM 0,004% Botol (Rp 83,200) PT. Tempo Scan pacific
727 Vincristine 2 mg Vincristine inj 1 mg/ml 2 ml (Rp 81,000) PT. Tempo Scan Pacific
728 Zinc Sulfat sirup Zinc Sulfat sirup 20 mg/5 ml (Rp 2,970) PT. Tempo Scan Pacific
729 New Antides tab Atapulgit 600 mg tab Tablet (Rp 136) PT. Tropica Mas Pharmc
730 Wida WI UNICAP Air untuk irigasi infus 1.000 ml (Rp 10,500) PT. Widatra
731 Wida BES Asetat Ringer (Rp 9,646) PT. Widatra
732 Wida RL 1000 ml Ringer laktat 1.000 ml (Rp 13,167) PT. Widatra
733 Leunase inj 10.000IU Asparaginase inj 10.000 IU Vial (Rp 1,222,000) PT. Widatra Bhakti
734 Glukosa 10% 500 mL Glukosa 10% 500 mL Botol (Rp 7,500) PT. Widatra Bhakti
736 Wida 2A 500 mL Larutan Elektrolit Botol (Rp 8,424) PT. Widatra Bhakti
737 Wida D5-1/2 NS Larutan Elektrolit Botol (Rp 9,776) PT. Widatra Bhakti
739 Wida D5NS 500 mL Larutan Elektrolit Botol (Rp 8,346) PT. Widatra Bhakti
740 Wida HSD Larutan Elektrolit Botol (Rp 10,696) PT. Widatra Bhakti
741 Wida RD 500 mL Larutan Elektrolit Botol (Rp 8,892) PT. Widatra Bhakti
742 Wida KDN1 Larutan Elektrolit (D2,5%+KCl 0,15% + NaCl 0,45%) Botol (Rp 11,435) PT. Widatra Bhakti
744 Wida KN1 Larutan Elektrolit (KCl 0,15% + NaCl 0,9%) Botol (Rp 11,011) PT. Widatra Bhakti
746 NaCl 0,9% 500 mL NaCl 0,9% 500 mL Botol (Rp 6,410) PT. Widatra Bhakti
747 Ringer Laktat 500 mL Ringer Laktat 500 ml Botol (Rp 7,150) PT. Widatra Bhakti
748 Digoksin tab 0,25 mg Digoksin tab 0,25 mg Tablet (Rp 104) PT. Yarindo
749 Isosorbid Dinitrat tab 5 mg Isosorbid Dinitrat tab 5 mg Tablet (Rp 89) PT. Yarindo
750 Ondansetron 4 mg Ondansetron 4 mg (Rp 385) PT. Yarindo
NO NAMA E-CATALOG NAMA GENERIK HARGA 2017 HARGA 2018 PRINCIPAL
1 AAFACT faktor VIII serbuk inj 500 IU + pelarut 5AAFACT

ml faktor VIII serbuk inj 500 IU + pelarut 5 ml (Rp 1,900,000) PT. Graha Farma
3 Giotrif 40 mg Afatinib tab 40 mg Tablet (Rp 560,000) (Rp 560,000) PT. Boehringer Ingelhem
4 Otsu WI 25 mL Air untuk injeksi 25 mL Fls (Rp 2,750) (Rp 2,860) PT. Otsuka Indonesia
6 Akarbose 100 mg Akarbose 100 mg Tablet (Rp 768) (Rp 779) PT. Dexa Medica
7 Akarbose 50 mg Akarbose 50 mg Tablet (Rp 551) (Rp 562) PT. Dexa Medica
10 Albendazol susp 200 mg/5 mL Albendazol susp 200 mg/5 mL Botol (Rp 3,849) (Rp 4,000) PT. Indofarma
11 Albuminar 25% 100 mL Albumin 25% 100 mL Botol (Rp 1,500,000) (Rp 1,510,000) PT. Ferron Par Pharmaceuticals
12 Albapure 20% 100 mL Albumin serum normal (human albumin) 20% 100 mL Botol (Rp 850,000) (Rp 880,000) PT. Dexa Medica
13 Plasbumin 20% 100 mL Albumin serum normal (human albumin) 20% 100 mL Botol (Rp 850,000) (Rp 880,000) PT. Dipa Pharmalab Intersains
14 Plasbumin 20% 50 mL Albumin serum normal (human albumin) 20% 50 mL Botol (Rp 409,200) (Rp 425,568) PT. Dipa Pharmalab Intersains
17 Plasbumin 25% 100 mL Albumin serum normal (human albumin)25% 100 mL Botol (Rp 1,500,000) (Rp 1,510,000) PT. Dipa Pharmalab Intersains
18 Plasbumin 25% 50 mL Albumin serum normal (human albumin)25% 50 mL Botol (Rp 750,000) (Rp 765,000) PT. Dipa Pharmalab Intersains
21 Human Albumin 20% Biotest 100 mL Albumin serum normal 20% 100 mL Botol (Rp 850,000) (Rp 880,000) PT. Kimia Farma
22 Human Albumin 20% Biotest 50 mL Albumin serum normal 20% 50 mL Botol (Rp 409,200) (Rp 425,568) PT. Kimia Farma
23 Albunorm 25% 100 mL Albumin serum normal 25% 100 mL Botol (Rp 1,500,000) (Rp 1,510,000) PT. Harsen Laboratories
24 Albunorm 25% 50 mL Albumin serum normal 25% 50 mL Botol (Rp 750,000) (Rp 765,000) PT. Harsen Laboratories
26 Alprazolam 0,25 mg Alprazolam 0,25 mg Tablet (Rp 336) (Rp 316) PT. Dexa Medica
27 Alprazolam tab 0,5 mg Alprazolam tab 0,5 mg Tablet (Rp 108) (Rp 88) PT. Mersifarma Tirmaku Mercusana
28 Alprazolam tab 1 mg Alprazolam tab 1 mg Tablet (Rp 143) (Rp 120) PT. Mersifarma Tirmaku Mercusana
29 Actilyse inj 50 mg Alteplase inj 50 mg Vial (Rp 4,125,000) (Rp 4,250,000) PT. Boehringer Ingelhem
31 Aminofilin tab 200 mg Aminofilin tab 200 mg Tablet (Rp 91) (Rp 89) PT. Marin Liza Farmasi
33 Amiodaron inj Amiodaron inj 150 mg/ 3 mL Ampul (Rp 8,649) (Rp 8,700) PT. Darya Varia
37 Amoksisilin sir kering Forte 250 mg/5 mL Amoksisilin sir kering Forte 250 mg/5 mL Botol (Rp 3,473) (Rp 3,400) PT. Novapharin
38 Amoksisilin tab 250 mg Amoksisilin tab 250 mg Tablet (Rp 180) (Rp 184) PT. Novapharin
39 Viccilin SX inj Ampicillin 1000mg + Sulbactam 500mg inj Vial (Rp 35,000) (Rp 34,000) PT. Meiji Indonesia
40 Humalog kwikpen Analog insulin fast acting inj 100 IU/ml Kwikpen(Rp 87,000) (Rp 87,000) PT. Bayer Indonesia
41 Novorapid Analog insulin fast acting inj 100 IU/ml Flexpen (Rp 87,000) (Rp 87,000) PT. Beta Pharmacon / Novo
42 Lantus 100 IU Analog insulin long acting 100 IU inj Flexpen (Rp 85,000) (Rp 83,950) PT. Aventis Pharma
43 Levemir Analog insulin long acting 100 IU inj Flexpen (Rp 85,000) (Rp 83,950) PT. Beta Pharmacon / Novo
47 Antasida DOEN tab Antasida DOEN tab Al OH 200 mg Mg OH 200 mg Tablet (Rp 58) (Rp 54) PT. Mersifarma Tirmaku Mercusana
48 Anti TBC FDC Kategori Sisipan Anti TBC FDC Kategori Sisipan Tablet (Rp 166,380) (Rp 173,030) PT. Phapros
49 Abilify Discmelt 10 mg Aripiprazol tab discmelt 10 mg Tablet (Rp 22,148) (Rp 23,034) PT. Otsuka Indonesia
53 Antifungi DOEN salep Asam Benzoat 6%+Asam salisilat 3% Tube (Rp 4,323) (Rp 4,496) PT. Marin Liza Farmasi
54 Profolat tab Asam Folat tab 0,4 mg Tablet (Rp 55) (Rp 52) PT. Promedrahardjo Farmasi
55 Asam Folat tab 1 mg Asam Folat tab 1 mg Tablet (Rp 67) (Rp 70) PT. Marin Liza Farmasi
56 Asam Mefenamat tab 500 mg Asam Mefenamat tab 500 mg Tablet (Rp 100) (Rp 103) PT. Mersifarma Tirmaku Mercusana
57 Urinter 400 mg Asam Pipemidat tab 400 mg Tablet (Rp 1,348) (Rp 1,400) PT. Interbat
59 Salep 2-4 Asam salisilat 2%+belerang endap 4% Tube (Rp 2,527) (Rp 2,620) PT. Holi Pharma
61 Asam Traneksamat inj 50 mg/mL Asam Traneksamat inj 50 mg/mL Ampul (Rp 1,956) (Rp 1,748) PT. Dexa Medica
62 Asam Ursodeoksikolat 250 mg Asam Ursodeoksikolat 250 mg Tablet (Rp 2,445) (Rp 2,139) PT. Dexa Medica
63 Zometa inj Asam Zoledronat inj 4 mg/100 mL Vial (Rp 1,500,000) (Rp 1,528,800) PT. Novartis Indonesia
66 Asering Softbag Asetat Ringer (softbag) Softbag (Rp 9,275) (Rp 9,646) PT. Otsuka Indonesia
67 Miniaspi 80 mg Asetosal tab 80 mg Tablet (Rp 92) (Rp 99) PT. Mersifarma Tirmaku Mercusana
69 Asiklovir tab 400 mg Asiklovir tab 400 mg Tablet (Rp 365) (Rp 380) PT. Phapros
71 Leunase inj 10.000IU Asparaginase inj 10.000 IU Vial (Rp 1,175,000) (Rp 1,222,000) PT. Widatra Bhakti
72 New Antides tab Atapulgit 600 mg tab Tablet (Rp 142) (Rp 136) PT. Tropica Mas Pharmc
74 Atorvastatin tab 20 mg Atorvastatin tab 20 mg Tablet (Rp 1,100) (Rp 795) PT. Ferron Par Pharmaceuticals
76 Atropin inj 0,25 mg/mL Atropin inj 0,25 mg/mL Ampul (Rp 1,540) (Rp 1,595) PT. Ethica Industri Farmasi
77 Neo Diagon Attapulgit tab 650 mg Tablet (Rp 200) (Rp 206) PT. Harsen Laboratories
78 Imuran 50 mg Azatioprin tab 50 mg Tablet (Rp 7,489) (Rp 2,837) PT. Glaxo Wellcome Indonesia
79 Azitromisin sirup kering 200 mg/5mL Azitromisin sirup kering 200 mg/5mL Botol (Rp 29,898) (Rp 23,448) PT. Dexa Medica
82 Levopar tab Benserazid 25mg + Levodopa 100mg Tablet (Rp 1,168) (Rp 1,030) PT. Meprofarm
83 Dorner tab Beraprost Na tab 20 mcg Tablet (Rp 4,400) (Rp 4,570) PT. Combined Imperial Pharm
87 Betametason krim 0,1% Betametason krim 0,1% Tube (Rp 1,349) (Rp 1,340) PT. Kimia Farma
89 Casodex 150 mg Bikalutamid 150 mg Tablet (Rp 33,988) (Rp 37,294) PT. Astra Zeneca
(Rp 5,800) (Rp 5,900) PT. Boehringer Ingelhem
(Rp 5,800) (Rp 6,000) PT. Boehringer Ingelhem
93 Bisakodil tab 5 mg Bisakodil tab 5 mg Tablet (Rp 300) (Rp 300) PT. Etercon Pharma
96 Concor 1,25 mg Bisoprolol 1,25 mg Tablet (Rp 1,750) (Rp 1,815) PT. Merck Tbk
97 Concor 10 mg Bisoprolol 10 mg Tablet (Rp 2,848) (Rp 2,950) PT. Merck Tbk
98 Concor 2,5 mg Bisoprolol 2,5 mg Tablet (Rp 635) (Rp 597) PT. Merck Tbk
100 Azopt TM 1% Brinzolamid TM 1% Botol (Rp 127,000) (Rp 130,000) PT. Tempo Scan pacific
101 Symbicort 160/4,5 mcg 120 dosis Budenosid Formoterol inhaler 160/4,5 mcg Fls (Rp 134,500) (Rp 139,880) PT. Astra Zeneca
106 Obucort Swinghaler Budesonid inhaler 200 mcg/puff, 200 dosis Fls (Rp 105,000) (Rp 103,000) PT. Otsuka Indonesia
111 Pradaxa 110 mg Dabigratan eteksilat 110 mg Tablet (Rp 14,250) (Rp 14,800) PT. Boehringer Ingelhem
112 Pradaxa 75 mg Dabigratan eteksilat 75 mg Tablet (Rp 14,250) (Rp 14,800) PT. Boehringer Ingelhem
113 Dacarbazine Medac Dakarbazin inj 200 mg Vial (Rp 275,000) (Rp 250,000) PT. Dipa Pharmalab Intersains
114 DBL Dacarbazine inj 200 mg Dakarbazin inj 200 mg Vial (Rp 247,500) (Rp 250,000) PT. Tempo Scan pacific
115 Daunocin inj 20 Daunorubisin inj 20 mg Vial (Rp 210,870) (Rp 219,305) PT. Novell Pharmaceutical
116 Exjade 250 mg Deferasiroks tab 250 mg eff Tablet (Rp 76,000) (Rp 77,459) PT. Novartis Indonesia
117 Exjade 500 mg Deferasiroks tab 500 mg eff Tablet (Rp 150,000) (Rp 152,880) PT. Novartis Indonesia
118 Ferriprox 100 mg/mL sirup Deferipron lar oral 100 mg/mL Botol (Rp 1,680,000) (Rp 1,680,000) PT. Sydna Farma
119 Ferriprox 500 mg tablet Deferipron tab 500 mg Tablet (Rp 33,000) (Rp 33,000) PT. Sydna Farma
120 Desferal 500 mg inj Deferoksamin Mesilat inj 500 mg Vial (Rp 117,500) (Rp 119,756) PT. Novartis Indonesia
121 Deksametason 0,5 mg tab Deksametason 0,5 mg tab Tablet (Rp 41) (Rp 32) PT. Novapharin
125 Desoksimetason krim 0,25% Desoksimetason krim 0,25% Tube (Rp 10,000) (Rp 10,400) PT. Dexa Medica
126 DHP - Firmal tab DHP : dihidroartemisin 40mg+piperakuin 320mg Tablet (Rp 2,160) (Rp 2,000) PT. Mersifarma Tirmaku Mercusana
(Rp 17,577) (Rp 18,279) PT. Actavis
(Rp 12,090) (Rp 12,573) PT. Actavis
131 Diazepam tab 5 mg Diazepam tab 5 mg Tablet (Rp 103) (Rp 109) PT. Mersifarma Tirmaku Mercusana
132 Visanne 2 mg Dienogest 2 mg Tablet (Rp 12,700) (Rp 13,000) PT. Bayer Indonesia
134 Difenhidramin HCl inj 10 mg/mL Difenhidramin HCl inj 10 mg/mL Ampul (Rp 1,060) (Rp 1,095) PT. Lucas Djaja
135 Fargoxin inj Digoksin inj 0,25 mg/mL Ampul (Rp 25,025) (Rp 25,300) PT. Pratapa Nirmala
136 Digoksin tab 0,25 mg Digoksin tab 0,25 mg Tablet (Rp 104) (Rp 104) PT. Yarindo
137 Farmabes inj Diltiazem 5 mg/ ml inj Ampul (Rp 55,000) (Rp 56,628) PT. Pratapa Nirmala
138 Diltiazem HCl tab 30 mg Diltiazem HCl tab 30 mg Tablet (Rp 135) (Rp 133) PT. Kimia Farma
139 Herbesser CD 100 Diltiazem kaps SR 100 mg Tablet (Rp 4,290) (Rp 4,460) PT. Tanabe Indonesia
140 Herbesser CD 200 Diltiazem kaps SR 200 mg Tablet (Rp 4,650) (Rp 4,835) PT. Tanabe Indonesia
141 Herbesser inj 50 mg Diltiazem serb inj 50 mg Ampul (Rp 148,500) (Rp 154,400) PT. Tanabe Indonesia
142 Dimenhidrinat tab 50 mg Dimenhidrinat tab 50 mg Tablet (Rp 99) (Rp 105) PT. Kimia Farma
150 Doksorubisin inj 10 mg Doksorubisin inj 10 mg Vial (Rp 49,500) (Rp 44,500) PT. Sanbe Farma
151 Doxotil inj 10 mg Doksorubisin inj 10 mg Vial (Rp 49,500) (Rp 44,500) PT. Dipa Pharmalab Intersains
152 Naprodox 10 mg inj Doksorubisin inj 10 mg Vial (Rp 44,550) (Rp 44,500) PT. Kimia Farma
153 Doksorubisin inj 50 mg Doksorubisin inj 50 mg Vial (Rp 253,000) (Rp 227,700) PT. Sanbe Farma
154 Naprodox 50 mg inj Doksorubisin inj 50 mg Vial (Rp 227,700) (Rp 227,700) PT. Kimia Farma
155 Sindroxocin inj 50 mg Doksorubisin inj 50 mg Vial (Rp 227,700) (Rp 227,700) PT. Actavis
157 Kemodoxin inj 10 mg Doksorubisin serb inj 10 mg Vial (Rp 48,400) (Rp 44,500) PT. Otto Pharmaceutical Indtr
158 Kemodoxin inj 50 mg Doksorubisin serb inj 50 mg Vial (Rp 251,700) (Rp 227,700) PT. Otto Pharmaceutical Indtr
159 Domperidon tab 10 mg Domperidon 10 mg Tablet (Rp 95) (Rp 85) PT. Novapharin
162 Aricept Evess 10 mg Donepezil tab effervescent 10 mg Tablet (Rp 12,485) (Rp 12,485) PT. Eisai Indonesia
163 Cetadop inj Dopamin inj 40 mg/mL Ampul (Rp 6,468) (Rp 6,160) PT. Ethica Industri Farmasi
164 Docetaxel inj 20 mg/0,5 mL Dosetaksel inj 20 mg/0,5 mL Vial (Rp 360,000) (Rp 181,000) PT. Actavis
165 Taceedo 20 inj Dosetaksel inj 20 mg/0,5 mL Vial (Rp 360,000) (Rp 181,500) PT. Kimia Farma
166 Docetaxel inj 80 mg/2 mL Dosetaksel inj 80 mg/2 mL Vial (Rp 1,192,500) (Rp 934,450) PT. Actavis
167 Dosetaksel inj 80 mg/2 mL Dosetaksel inj 80 mg/2 mL Vial (Rp 1,325,000) (Rp 934,450) PT. Sanbe Farma
168 Efavirens tab 600 mg Efavirens tab 600 mg Tablet (Rp 6,375) (Rp 6,630) PT. Kimia Farma
169 Efedrin inj 50 mg/mL Efedrin inj 50 mg/mL Ampul (Rp 9,878) (Rp 8,569) PT. Ethica Industri Farmasi
170 Aromasin 25 mg Eksemestan tab 25 mg Tablet (Rp 42,129) (Rp 43,000) PT. Pfizer Indonesia
171 Lovenox inj 20 mg/0,2 mL Enoksaparin Na inj 20 mg/0,2 mL Syringe (Rp 48,000) (Rp 48,000) PT. Aventis Pharma
174 Epinefrin (Adrenalin) inj Epinefrin (Adrenalin) 0,1 % inj Ampul (Rp 1,749) (Rp 1,408) PT. Ethica Industri Farmasi
175 Episindan 10mg/5mL Epirubicin inj 10 mg/5 mL Vial (Rp 89,100) (Rp 86,000) PT. Actavis
176 Episindan 50mg/25mL Epirubicin inj 50 mg/25 mL Vial (Rp 427,500) (Rp 425,000) PT. Actavis
179 Ciazil inj 10 mg/5mL Epirubisin inj 10 mg/5 mL Vial (Rp 89,000) (Rp 86,000) PT. Dipa Pharmalab Intersains
180 Epirubisin inj 10 mg/5 mL Epirubisin inj 10 mg/5 mL Vial (Rp 99,000) (Rp 86,000) PT. Ferron Par Pharmaceuticals
181 Kemopirin inj 10 mg/5 mL Epirubisin inj 10 mg/5 mL Vial (Rp 97,900) (Rp 86,000) PT. Otto Pharmaceutical Indtr
183 Ciazil inj 50 mg/25mL Epirubisin inj 50 mg/25 mL Vial (Rp 427,500) (Rp 425,000) PT. Dipa Pharmalab Intersains
185 Epirubisin inj 50 mg/25 mL Epirubisin inj 50 mg/25 mL Vial (Rp 475,000) (Rp 425,000) PT. Ferron Par Pharmaceuticals
186 Kemopirin inj 50 mg/25 mL Epirubisin inj 50 mg/25 mL Vial (Rp 473,700) (Rp 425,000) PT. Otto Pharmaceutical Indtr
187 Ergotamin 1 mg+ Kafein 50 mg Ergotamin 1 mg+ Kafein 50 mg Tablet (Rp 167) (Rp 173) PT. Kimia Farma
188 Epotrex 2000 Eritopoetin-alfa inj 2000 IU/ 0,5 ml syringe (Rp 89,100) (Rp 77,000) PT. Novell Pharmaceutical
189 Eritromisin tab 250 mg Eritromisin tab 250 mg Tablet (Rp 557) (Rp 546) PT. Lucas Djaja
192 EPREX 2000 Eritropoetin-alfa inj 2000 IU/ 0,5 mL syringe (Rp 99,000) (Rp 77,000) PT. Soho Industri Farmasi
193 Epodion 2000 IU Eritropoetin-alfa inj 2000 IU/ mL Syringe (Rp 77,000) (Rp 77,000) PT. Daewong Infion
194 Recormon PFS Eritropoetin-beta inj 2000UI/0,3 mL Syringe (Rp 115,650) (Rp 121,433) PT. Boehringer Ingelhem
195 Tarceva 100 mg Erlotinib tab 100 mg Tablet (Rp 555,000) (Rp 555,000) PT. Boehringer Ingelhem
196 Tarceva 150 mg Erlotinib tab 150 mg Tablet (Rp 560,000) (Rp 560,000) PT. Boehringer Ingelhem
197 Etopul 20 mg inj Etoposid inj 20 mg/mL Vial (Rp 89,550) (Rp 79,200) PT. Novell Pharmaceutical
198 Certican 0,25 mg Everolimus tab 0,25 mg Tablet (Rp 11,813) (Rp 11,813) PT. Novartis Indonesia
199 Certican 0,5 mg Everolimus tab 0,5 mg Tablet (Rp 23,000) (Rp 23,000) PT. Novartis Indonesia
201 Octanine F 500 IU + pelarut 5 ml Faktor IX serb inj 500 IU + pelarut 5 ml Botol (Rp 4,620,000) (Rp 4,620,000) PT. Harsen Laboratories
202 Novoseven 1 mg inj Faktor VIIA Rekombinan 1 mg inj Vial (Rp 9,749,993) (Rp 9,749,993) PT. Ferron Par Pharmaceuticals
203 Haemoctin 1000 IU Faktor VIII serb inj 1000 IU Vial (Rp 3,600,000) (Rp 3,700,000) PT. Kimia Farma
204 KOATE DVI 1000 IU Faktor VIII serb inj 1000 IU Vial (Rp 3,600,000) (Rp 3,700,000) PT. Dipa Pharmalab Intersains
205 Octanate 1000 IU Faktor VIII serb inj 1000 IU Botol (Rp 3,600,000) (Rp 3,700,000) PT. Harsen Laboratories
206 Haemoctin 250 IU Faktor VIII serb inj 230-340 IU Vial (Rp 925,000) (Rp 950,000) PT. Kimia Farma
207 Koate DVI Faktor VIII serb inj 230-340 IU Faktor VIII serb inj 230-340 IU (Rp 950,000) PT. Dipa Pharmalab
208 Octanate 250 IU Faktor VIII serb inj 250 IU Botol (Rp 925,000) (Rp 950,000) PT. Harsen Laboratories
209 Haemoctin 500 IU Faktor VIII serb inj 480-600 IU Vial (Rp 1,850,000) (Rp 1,900,000) PT. Kimia Farma
210 KOATE DVI 480 - 600 IU Faktor VIII serb inj 480-600 IU Vial (Rp 925,000) (Rp 1,900,000) PT. Dipa Pharmalab Intersains
211 Octanate 500 IU Faktor VIII serb inj 500 IU Botol (Rp 1,850,000) (Rp 1,900,000) PT. Harsen Laboratories
213 KOATE DVI 500 IU Faktor VIII serb inj 500 IU + pelarut 5 ml Vial (Rp 1,850,000) (Rp 1,900,000) PT. Dipa Pharmalab Intersains
214 Fenitoin caps 100 mg Fenitoin caps 100 mg Kapsul (Rp 152) (Rp 158) PT. Ikapharmindo Putramas
216 Fenobarbital inj 50 mg/ mL Fenobarbital inj 50 mg/ mL Ampul (Rp 1,740) (Rp 1,857) PT. Phapros
218 Berotec MDI Fenoterol Hbr ih 100 mcg/puff Fls (Rp 80,000) (Rp 83,190) PT. Boehringer Ingelhem
219 Berotec Solution Fenoterol Hbr inh solution 0,1% Botol (Rp 125,750) (Rp 130,190) PT. Boehringer Ingelhem
220 Fentanil inj 0,05 mg/mL 10 mL Fentanil inj 0,05 mg/mL 10 mL Ampul (Rp 151,000) (Rp 157,040) PT. Kimia Farma
221 Fentanil inj 0,05 mg/mL 2 mL Fentanil inj 0,05 mg/mL 2 mL Ampul (Rp 40,000) (Rp 41,600) PT. Kimia Farma
222 Durogesic Patch 25 mcg/jam Fentanil Patch 25 mcg/jam Patch (Rp 188,000) (Rp 195,520) PT. Kimia Farma
223 Durogesic 50 Patch 50 mcg/jam Fentanil Patch 50 mcg/jam Patch (Rp 350,000) (Rp 364,000) PT. Kimia Farma
224 Durogesic Patch 12,5 mcg/jam Fentanil Patch12,5 mcg/jam Patch (Rp 97,725) (Rp 101,634) PT. Kimia Farma
225 Neukine inj Filgrastim inj 300 mcg/mL Ampul (Rp 200,000) (Rp 190,000) PT. Sanbe Farma
227 Diflucan 50 mg Flikonazol kaps 50 mg Kapsul (Rp 7,360) (Rp 5,900) PT. Pfizer Indonesia
228 Fludara 10 mg tab Fludarabin 10 mg Tablet (Rp 330,000) (Rp 333,000) PT. Aventis Pharma
229 Fludara inj 50 mg Fludarabin inj 50 mg Vial (Rp 1,500,000) (Rp 1,500,000) PT. Aventis Pharma
230 Sikzonoate inj 25 mg/mL Flufenazin inj 25 mg/mL Ampul (Rp 57,500) (Rp 59,800) PT. Mersifarma Tirmaku Mercusana
231 Flukonazol inj 2mg/mL Flukonazol inj 2mg/mL Vial (Rp 28,000) (Rp 17,999) PT. Novell Pharmaceutical
232 Dermasolon salep 0,025% Flusinolon Asetonid salep 0,025% Tube (Rp 5,200) (Rp 5,408) PT. Ikapharmindo Putramas
233 Flixotide nebules Flutikason Propionat cairan inhalasi nebules 0,5 mg/dosis Fls (Rp 14,500) (Rp 14,929) PT. Glaxo Wellcome Indonesia
234 Arixtra Fondaparinuks inj 2,5 mg/0,5 mL Syringe (Rp 241,667) (Rp 248,950) PT. Tanabe Indonesia
235 Plasmanate 5% infus Fraksi Protein plasma inf 5% Botol (Rp 900,000) (Rp 936,000) PT. Dipa Pharmalab Intersains
238 Alpentin 100 mg Gabapentin 100 mg Tablet (Rp 1,396) (Rp 1,045) PT. Actavis
240 Gadovist 7,5 ml Gadobrutol macrocyclic 7,5 ml Vial (Rp 440,000) (Rp 448,500) PT. Bayer Indonesia
241 Primovist Gadoksetat Disodium 0,25 mmol Vial (Rp 2,720,000) (Rp 2,772,500) PT. Bayer Indonesia
242 Cymevene inj 500 mg Gansiklovir inj 500 mg Vial (Rp 445,000) (Rp 448,916) PT. Boehringer Ingelhem
244 Iressa tab Gefitinib 250 mg tab Tablet (Rp 560,000) (Rp 560,000) PT. Astra Zeneca
245 Gemfibrozil tab 300 mg Gemfibrozil tab 300 mg Tablet (Rp 364) (Rp 372) PT. Indofarma
246 Gemfibrozil tab 600 mg Gemfibrozil tab 600 mg Tablet (Rp 769) (Rp 794) PT. Indofarma
251 DBL Gemcitabine inj 1000 mg Gemsitabin inj 1000 mg Vial (Rp 800,000) (Rp 700,000) PT. Tempo Scan pacific
252 Fonkogem 1000 mg Gemsitabin inj 1000 mg Vial (Rp 799,500) (Rp 700,000) PT. Fonko International
253 Gemedac inj 1000 mg Gemsitabin inj 1000 mg Vial (Rp 720,000) (Rp 700,000) PT. Dipa Pharmalab Intersains
254 Fonkogem 200 mg Gemsitabin inj 200 mg Vial (Rp 174,500) (Rp 145,000) PT. Fonko International
255 Gemedac inj 200 mg Gemsitabin inj 200 mg Vial (Rp 157,500) (Rp 145,000) PT. Dipa Pharmalab Intersains
256 Abingem inj 1000 mg Gemsitabin serb inj 1000 mg Vial (Rp 720,000) (Rp 700,000) PT. Kimia Farma
257 Gemsitabin inj 1000 mg Gemsitabin serb inj 1000 mg Vial (Rp 175,000) (Rp 700,000) PT. Sanbe Farma
258 Gemtan inj 1000 mg Gemsitabin serb inj 1000 mg Vial (Rp 794,500) (Rp 700,000) PT. Otto Pharmaceutical Indtr
259 Abingem inj 200 mg Gemsitabin serb inj 200 mg Vial (Rp 157,500) (Rp 145,000) PT. Kimia Farma
260 Gemtan inj 200 mg Gemsitabin serb inj 200 mg Vial (Rp 169,500) (Rp 145,000) PT. Otto Pharmaceutical Indtr
261 Gentamisin inj 40 mg Gentamisin inj 40 mg Ampul (Rp 3,386) (Rp 3,509) PT. Indofarma
264 Diamicron MR Gliklazid 60 mg Tablet (Rp 2,992) (Rp 3,014) PT. Darya Varia
265 Glikuidon 30 mg Glikuidon 30 mg Tablet (Rp 1,055) (Rp 1,075) PT. Dexa Medica
269 Glimepirid tab 4 mg Glimepirid tab 4 mg Tablet (Rp 281) (Rp 270) PT. Indofarma
271 Nitral Gliseril Trinitrat 0,5 mg Tablet (Rp 1,350) (Rp 1,400) PT. Actavis
272 DBL Glyceril Trinitrate Conc inj Gliseril Trinitrat 50 mg/10mL inj Vial (Rp 127,500) (Rp 132,600) PT. Tempo Scan pacific
274 Glukosa 10% 500 mL Glukosa 10% 500 mL Botol (Rp 7,500) (Rp 7,500) PT. Widatra Bhakti
275 Glukosa 5% 500 mL Glukosa 5% 500 mL Botol (Rp 6,900) (Rp 6,900) PT. Widatra Bhakti
279 Zoladex LA inj 10,8 mg Goserelin asetat inj 10,8 mg Vial (Rp 2,467) (Rp 2,565,680) PT. Astra Zeneca
280 Zoladex inj 3,6 mg Goserelin asetat inj 3,6 mg Vial (Rp 882,000) (Rp 917,280) PT. Astra Zeneca
282 Griseofulvin tab 125 mg Griseofulvin tab 125 mg Tablet (Rp 245) (Rp 210) PT. Novapharin
285 Haldol Decanoas Haloperidol inj 50 mg/mL Ampul (Rp 97,500) (Rp 101,300) PT. Soho Industri Farmasi
286 Lodomer 2 mg Haloperidol tab 2 mg Tablet (Rp 94) (Rp 84) PT. Mersifarma Tirmaku Mercusana
287 Haloperidol tab 5 mg Haloperidol tab 5 mg Tablet (Rp 69) (Rp 56) PT. Mersifarma Tirmaku Mercusana
288 Lodomer Tetes Haloperidol tetes 2 mg/mL Botol (Rp 18,000) (Rp 18,700) PT. Mersifarma Tirmaku Mercusana
289 Inviclot inj Heparin inj 5000 IU/mL Vial (Rp 43,995) (Rp 43,995) PT. Pratapa Nirmala
290 Hyperhep B Hepatitis B imunoglobulin inj 220 IU/ml Vial (Rp 1,300,000) (Rp 1,325,000) PT. Dipa Pharmalab Intersains
291 Hydroxyurea Medac Hidroksi Urea tab 500 mg Tablet (Rp 3,927) (Rp 3,800) PT. Dipa Pharmalab Intersains
292 Humulin R 100 UI /ml Human Insulin 100 IU/ ml Kwikpen(Rp 79,800) (Rp 80,502) PT. Bayer Indonesia
293 Actrapid HM Human Insulin fast acting inj 100 IU/ml 10 ml Vial (Rp 143,500) (Rp 144,763) PT. Beta Pharmacon / Novo
294 Humulin R 10 mL Human Insulin fast acting inj 100 IU/ml 10 mL Vial (Rp 143,500) (Rp 144,763) PT. Bayer Indonesia
295 Actrapid HM Penfil Human Insulin fast acting penfil 100 UI/ml Penfil (Rp 76,000) (Rp 80,502) PT. Beta Pharmacon / Novo
296 Insulataerd HM Penfill Human Insulin intermediate 100 IU/ml Penfil (Rp 75,000) (Rp 76,875) PT. Beta Pharmacon / Novo
298 Mixtard 30 HM Penfill Human Insulin Mix penfill Penfil (Rp 75,000) (Rp 76,875) PT. Beta Pharmacon / Novo
300 Tetagam inj 250 IU Human Tetanus imunoglobin inj 250 IU Syringe (Rp 170,000) (Rp 176,800) PT. Dexa Medica
302 Ibuprofen 200 mg Ibuprofen 200 mg Tablet (Rp 102) (Rp 105) PT. Novapharin
303 Ibuprofen susp 100 mg/ 5mL Ibuprofen susp 100 mg/ 5mL Botol (Rp 2,475) (Rp 2,550) PT. Rama Emerald Multi Sukses
305 Holoxan inj 1000 mg Ifosfamid inj 1000 mg Vial (Rp 1,413,500) (Rp 1,470,040) PT. Menarini Indria Lab
306 Holoxan inj 2000 mg Ifosfamid inj 2000 mg Vial (Rp 2,011,038) (Rp 2,091,480) PT. Menarini Indria Lab
308 Glivec 100 mg Imatinib tab 100 mg Tablet (Rp 211,000) (Rp 211,000) PT. Novartis Indonesia
309 Glivec 400 mg Imatinib tab 400 mg Tablet (Rp 786,500) (Rp 786,500) PT. Novartis Indonesia
310 Tanapress 10 Imidapril tab 10 mg Tablet (Rp 4,554) (Rp 4,735) PT. Tanabe Indonesia
311 Tanapress 5 Imidapril tab 5 mg Tablet (Rp 2,442) (Rp 2,530) PT. Tanabe Indonesia
313 Onbrez Breezhaler 150 mcg Indakaterol serbuk ih 150 mcg Fls (Rp 11,750) (Rp 11,750) PT. Novartis Indonesia
314 Onbrez Breezhaler 300 mcg Indakaterol serbuk ih 300 mcg Fls (Rp 11,750) (Rp 11,750) PT. Novartis Indonesia
315 Novomix 30 Insulin Mix 100 IU/ ml Flexpen (Rp 110,000) (Rp 110,968) PT. Beta Pharmacon / Novo
316 Humalog mix 25 Insulin Mix 25 Kwikpen(Rp 110,000) (Rp 110,968) PT. Bayer Indonesia
317 Humalog mix 50 Insulin Mix 50 Kwikpen(Rp 110,000) (Rp 110,968) PT. Bayer Indonesia
319 Ultravist 300 mg/ 100 mL Iopromid 300 mg / 100 mL Botol (Rp 280,000) (Rp 285,000) PT. Bayer Indonesia
323 Combivent UDV Ipratropium bromida 0,5 mg inh + salutamol 2,5 mg Fls (Rp 5,700) (Rp 4,550) PT. Boehringer Ingelhem
325 Artrovent inh Ipratropium bromida inh 20 mcg/semprot Fls (Rp 83,500) (Rp 86,600) PT. Boehringer Ingelhem
326 Irbesartan tab 150 mg Irbesartan tab 150 mg Tablet (Rp 483) (Rp 400) PT. Pertiwi Agung
327 Irbesartan tab 300 mg Irbesartan tab 300 mg Tablet (Rp 793) (Rp 720) PT. Pertiwi Agung
328 Irinotekan inj 20 mg/mL Irinotekan inj 20 mg/mL Vial (Rp 423,159) (Rp 396,077) PT. Sanbe Farma
329 Irinotekan inj 20 mg/mL Irinotekan inj 20 mg/mL Vial (Rp 795,000) (Rp 715,500) PT. Sanbe Farma
330 Actatecan inj Irinoteksan inj 20 mg/mL Vial (Rp 715,500) (Rp 715,500) PT. Actavis
331 Campto 100 mg/5 mL Irinoteksan inj 20 mg/mL Vial (Rp 715,500) (Rp 715,500) PT. Pfizer Indonesia
332 Campto 40 mg/2 mL Irinoteksan inj 20 mg/mL Vial (Rp 380,843) (Rp 396,077) PT. Pfizer Indonesia
334 Terrel 100 mL Isofluran inhalasi 100 mL Botol (Rp 307,600) (Rp 319,900) PT. Pratapa Nirmala
335 Isosorbid Dinitrat tab 5 mg Isosorbid Dinitrat tab 5 mg Tablet (Rp 90) (Rp 89) PT. Yarindo
336 Coralan 5 mg tab Ivabradin 5 mg Tablet (Rp 7,260) (Rp 7,260) PT. Darya Varia
338 KSR 600 mg Kalium Klorida 600 mg Tablet (Rp 1,700) (Rp 1,755) PT. Merck Tbk
339 Otsu KCl 7,46% Kalium Klorida inj 25 mL Fls (Rp 3,099) (Rp 3,223) PT. Otsuka Indonesia
340 KSR Kalium Klorida tab 600 mg lepas lambat Tablet (Rp 1,700) (Rp 1,755) PT. Merck Tbk
341 Ostovel Kalsitriol kaps 0,25 mcg Kapsul (Rp 1,760) (Rp 1,650) PT. Novell Pharmaceutical
342 Kalsium Folinat inj 10 mg/mL Kalsium Folinat inj 10 mg/mL Vial (Rp 59,664) (Rp 47,088) PT. Ferron Par Pharmaceuticals
344 Kalsium Laktat (Kalk) tab 500 mg Kalsium Laktat (Kalk) tab 500 mg Tablet (Rp 56) (Rp 59) PT. Mersifarma Tirmaku Mercusana
345 Kalitake Kalsium Polistiren Sulfonat 5 g Tablet (Rp 4,999) (Rp 4,999) PT. Dipa Pharmalab Intersains
350 Kaptopril tab 25 mg Kaptopril tab 25 mg Tablet (Rp 80) (Rp 75) PT. Pertiwi Agung
351 Karbamazepin tab 200 mg Karbamazepin tab 200 mg Tablet (Rp 228) (Rp 230) PT. Mersifarma Tirmaku Mercusana
353 Karboplatin inj 150 mg/15 mL Karboplatin inj 150 mg/15 mL Vial (Rp 175,000) (Rp 131,000) PT. Ferron Par Pharmaceuticals
354 Kemobotin inj 150 mg/ 15 mL Karboplatin inj 150 mg/15 mL Vial (Rp 173,900) (Rp 131,000) PT. Otto Pharmaceutical Indtr
355 Kemocarb inj 150 mg/15 mL Karboplatin inj 150 mg/15 mL Vial (Rp 174,900) (Rp 131,000) PT. Fresenius Kabi Combiphar
356 Karboplatin inj 450 mg/45 mL Karboplatin inj 450 mg/45 mL Vial (Rp 407,500) (Rp 304,200) PT. Ferron Par Pharmaceuticals
357 Kemobotin inj 450 mg/ 45 mL Karboplatin inj 450 mg/45 mL Vial (Rp 406,400) (Rp 304,200) PT. Otto Pharmaceutical Indtr
359 Ketokonazol 200 mg Ketokonazol 200 mg Tablet (Rp 280) (Rp 270) PT. Novapharin
360 Ketokonazol krim 2% Ketokonazol krim 2% Tube (Rp 2,596) (Rp 2,518) PT. Kimia Farma
363 Ketorolak inj 30 mg/mL Ketorolak inj 30 mg/mL Ampul (Rp 1,100) (Rp 1,045) PT. Ethica Industri Farmasi
364 Comtro sir kering Klaritromisin sir kering 125mg/5mL Botol (Rp 26,224) (Rp 25,949) PT. Combined Imperial Pharm
367 Klobazam 10 mg Klobazam 10 mg Tablet (Rp 967) (Rp 739) PT. Dexa Medica
368 Klomifen Sitrat tab 50 mg Klomifen Sitrat tab 50 mg Tablet (Rp 1,155) (Rp 1,236) PT. Novell Pharmaceutical
370 Catapres 150 mcg inj Klonidin inj 150 mcg/mL Ampul (Rp 32,600) (Rp 33,900) PT. Boehringer Ingelhem
371 Plavix 300 mg Klopidogrel 300 mg Tablet (Rp 16,393) (Rp 16,393) PT. Aventis Pharma
372 Klopidogrel 75 mg Klopidogrel 75 mg Tablet (Rp 1,650) (Rp 1,318) PT. Dexa Medica
373 Chloramex Kloramfenikol 500 tab Tablet (Rp 1,048) (Rp 1,090) PT. Actavis
375 Kloramfenikol Salep mata 1% Kloramfenikol Salep mata 1% Tube (Rp 1,810) (Rp 1,881) PT. Kimia Farma
376 CTM 4 mg Tab Klorfeniramin Maleat (CTM) 4 mg tab Tablet (Rp 36) (Rp 22) PT. Novapharin
378 Klorpromazin inj 25 mg/mL Klorpromazin inj 25 mg/mL Ampul (Rp 1,205) (Rp 1,243) PT. Phapros
379 Klorpromazin inj 5 mg/mL- 2 mL Klorpromazin inj 5 mg/mL- 2 mL Ampul (Rp 1,456) (Rp 1,510) PT. Phapros
380 Klorpromazin tab 100 mg Klorpromazin tab 100 mg Tablet (Rp 144) (Rp 147) PT. Mersifarma Tirmaku Mercusana
383 Kodein tab 10 mg Kodein tab 10 mg Tablet (Rp 550) (Rp 571) PT. Kimia Farma
384 Kodein tab 15 mg Kodein tab 15 mg Tablet (Rp 950) (Rp 987) PT. Kimia Farma
385 Kodein tab 20 mg Kodein tab 20 mg Tablet (Rp 1,250) (Rp 1,299) PT. Kimia Farma
386 Voluven Koloid HES BM 130000 6% Botol (Rp 22,319) (Rp 21,780) PT. Fresenius Kabi Combiphar
387 Kotrimoksazol tab 480 mg Kotrimoksazol tab 480 mg Tablet (Rp 129) (Rp 125) PT. Mersifarma Tirmaku Mercusana
389 Lamictal 25 mg Lamotrigin 25 mg tab Tablet (Rp 2,756) (Rp 2,837) PT. Glaxo Wellcome Indonesia
390 Lamictal 50 mg Lamotrigin 50 mg tab Tablet (Rp 2,996) (Rp 2,650) PT. Glaxo Wellcome Indonesia
391 Prosogan inj 30 mg Lansoprazol inj 30 mg/mL Vial (Rp 88,500) (Rp 92,040) PT. Takeda Indonesia
392 Lansoprazol kaps 30 mg Lansoprazol kaps 30 mg Tablet (Rp 315) (Rp 303) PT. Indofarma
393 Aminosteril Infant 6% Larutan Asam amino Botol (Rp 43,450) (Rp 44,990) PT. Fresenius Kabi Combiphar
394 Aminosteril N-HEPA 8% Larutan Asam amino Botol (Rp 71,500) (Rp 73,997) PT. Fresenius Kabi Combiphar
395 Amiparen inj Larutan asam amino Softbag (Rp 86,275) (Rp 89,726) PT. Otsuka Indonesia
396 Kidmin Sol Larutan asam amino Softbag (Rp 49,220) (Rp 50,697) PT. Otsuka Indonesia
397 Nephrosteril Larutan Asam amino Botol (Rp 45,870) (Rp 47,498) PT. Fresenius Kabi Combiphar
398 Pan Amin - G Larutan asam amino Softbag (Rp 45,950) (Rp 47,788) PT. Otsuka Indonesia
401 Aminofluid 1000 mL Larutan asam amino 1000 ml Softbag (Rp 118,250) (Rp 122,980) PT. Otsuka Indonesia
402 Aminofluid 500 mL Larutan asam amino 500 ml Softbag (Rp 64,990) (Rp 67,590) PT. Otsuka Indonesia
403 Aminoleban inj Larutan asam amino 500 ml Softbag (Rp 71,100) (Rp 67,590) PT. Otsuka Indonesia
404 Dipeptiven Larutan Asam amino glutamine 20 g Botol (Rp 229,900) (Rp 239,041) PT. Fresenius Kabi Combiphar
405 Kabiven Peripheral (kalori 1000kkal) Larutan Asam amino, glukosa, lipid, elektrolit Botol (Rp 308,000) (Rp 319,990) PT. Fresenius Kabi Combiphar
406 Kabiven Peripheral (kalori 1400kkal) Larutan Asam amino, glukosa, lipid, elektrolit Botol (Rp 358,600) (Rp 372,493) PT. Fresenius Kabi Combiphar
407 KA-EN 1B Injection Larutan elektolit Botol (Rp 9,273) (Rp 9,644) PT. Otsuka Indonesia
408 KA-EN 3A injection Larutan elektolit Botol (Rp 10,285) (Rp 10,696) PT. Otsuka Indonesia
409 KA-EN 3B Larutan elektolit Softbag (Rp 10,285) (Rp 10,696) PT. Otsuka Indonesia
410 KA-EN 3B injection Larutan elektolit Botol (Rp 10,285) (Rp 10,696) PT. Otsuka Indonesia
411 KA-EN MG3 injection Larutan elektolit Botol (Rp 9,600) (Rp 9,984) PT. Otsuka Indonesia
412 Martos - 10 Larutan elektolit Botol (Rp 31,100) (Rp 32,033) PT. Otsuka Indonesia
413 Wida 2A 500 mL Larutan Elektrolit Botol (Rp 8,100) (Rp 8,424) PT. Widatra Bhakti
414 Wida D5-1/2 NS Larutan Elektrolit Botol (Rp 9,400) (Rp 9,776) PT. Widatra Bhakti
415 Wida D5-1/4 NS Larutan Elektrolit Botol (Rp 9,350) (Rp 9,724) PT. Widatra Bhakti
416 Wida D5NS 500 mL Larutan Elektrolit Botol (Rp 8,025) (Rp 8,346) PT. Widatra Bhakti
417 Wida HSD Larutan Elektrolit Botol (Rp 10,850) (Rp 10,696) PT. Widatra Bhakti
418 Wida RD 500 mL Larutan Elektrolit Botol (Rp 8,550) (Rp 8,892) PT. Widatra Bhakti
419 Wida KDN1 Larutan Elektrolit (D2,5%+KCl 0,15% + NaCl 0,45%) Botol (Rp 11,435) (Rp 11,435) PT. Widatra Bhakti
420 Wida KDN2 Larutan Elektrolit (D2,5%+KCl 0,3% + NaCl 0,45%) Botol (Rp 11,435) (Rp 11,435) PT. Widatra Bhakti
421 Wida KN1 Larutan Elektrolit (KCl 0,15% + NaCl 0,9%) Botol (Rp 11,011) (Rp 11,011) PT. Widatra Bhakti
422 Wida KN2 Larutan Elektrolit (KCl 0,3% + NaCl 0,9%) Botol (Rp 11,011) (Rp 11,011) PT. Widatra Bhakti
423 Hydromal Larutan karbohidrat dan elektrolit Botol (Rp 49,500) (Rp 45,735) PT. Sanbe Farma
424 Smoflipid 20% Larutan Lipid Botol (Rp 71,500) (Rp 74,195) PT. Fresenius Kabi Combiphar
425 Intralipid 20% Larutan Lipid 20% Botol (Rp 71,995) (Rp 74,294) PT. Fresenius Kabi Combiphar
429 Infusan D5 (100 mL) Larutan mengandung karbohidrat Softbag (Rp 11,450) (Rp 10,715) PT. Sanbe Farma
430 Infusan D5 (250 mL) Larutan mengandung karbohidrat Softbag (Rp 11,400) (Rp 10,665) PT. Sanbe Farma
435 Arava 20 mg Leflunomid 20 mg Tablet (Rp 23,322) (Rp 23,322) PT. Aventis Pharma
436 Granocyte inj Lenogastrim inj 263 mcg/mL Ampul (Rp 760,000) (Rp 760,000) PT. Aventis Pharma
437 Tykerb 250 mg Lepatinib 250 mg Tablet (Rp 60,500) (Rp 61,662) PT. Novartis Indonesia
439 Tapros inj 1,88 mg Leuprorelin asetat inj depot 1,88 mg Vial (Rp 750,000) (Rp 780,000) PT. Takeda Indonesia
440 Tapros inj 11,25 mg Leuprorelin asetat inj depot 11,25 mg Vial (Rp 2,916,000) (Rp 3,032,640) PT. Takeda Indonesia
441 Kepra 250 mg Levetirasetam 250 mg Tablet (Rp 4,673) (Rp 4,000) PT. Glaxo Wellcome Indonesia
442 Kepra 500 mg Levetirasetam 500 mg Tablet (Rp 4,673) (Rp 4,700) PT. Glaxo Wellcome Indonesia
443 Stalevo Levodopa 100 + Karbidopa 25 + Entekapon 200 mg Tablet (Rp 8,800) (Rp 8,800) PT. Novartis Indonesia
446 Optiflox 0,5% TM Levofloksasin Tetes mata 0,5% Botol (Rp 17,880) (Rp 18,000) PT. Erela
447 Levonogestrel implan 2 rods 75 mg (3-4th) Levonogestrel implan 2 rods 75 mg (3-4th) (Rp 175,181) PT Catur Dakwah
448 Euthyrox 100 mcg Levotiroksin tab 100 mcg Tablet (Rp 982) (Rp 1,021) PT. Merck Tbk
449 Euthyrox 50 mcg Levotiroksin tab 50 mcg Tablet (Rp 719) (Rp 735) PT. Merck Tbk
450 Xylocain Gel Lidocain jeli 2% Tube (Rp 40,000) (Rp 41,600) PT. Astra Zeneca
451 Xylocain Spray Lidocain spray oral 10% Fls (Rp 170,400) (Rp 177,216) PT. Astra Zeneca
453 Lidokain inj 2% + epinefrin 1:80.000 inj 2 ml Lidokain inj 2% + epinefrin 1:80.000 inj 2 ml (Rp 1,145) PT. Phapros
454 Lisinopril 10 mg Lisinopril 10 mg Tablet (Rp 319) (Rp 259) PT. Dexa Medica
455 Lisinopril 5 mg Lisinopril 5 mg Tablet (Rp 269) (Rp 209) PT. Dexa Medica
456 Frimania tab 200 mg Litium Karbonat 200 mg Tablet (Rp 949) (Rp 987) PT. Mersifarma Tirmaku Mercusana
457 Frimania tab 400 mg Litium Karbonat 400 mg Tablet (Rp 1,672) (Rp 1,739) PT. Mersifarma Tirmaku Mercusana
459 Aluvia tab Lopinavir 200 mg+Ritonavir 50 mg Tablet (Rp 6,600) (Rp 6,600) PT. Abbot Indonesia
461 Merlopam 0,5 mg Lorazepam tab 0,5 mg Tablet (Rp 405) (Rp 355) PT. Mersifarma Tirmaku Mercusana
462 Lorazepam tab 2 mg Lorazepam tab 2 mg Tablet (Rp 779) (Rp 810) PT. Mersifarma Tirmaku Mercusana
463 Dialifer inj Low molecule feri sucrose inj 100 mg/5mL Ampul (Rp 33,000) (Rp 28,500) PT. Novell Pharmaceutical
464 Otsu MGSO4 20 Magnesium Sulfat inj 20% Fls (Rp 3,200) (Rp 3,328) PT. Otsuka Indonesia
465 Otsu MGSO4 40 Magnesium Sulfat inj 40% Fls (Rp 3,650) (Rp 3,796) PT. Otsuka Indonesia
467 Vermox 500 mg Mebendazol 500 mg tab Tablet (Rp 8,800) (Rp 9,150) PT. Taisho Pharma
470 Alkeran 2 mg Melphalan 2 mg Tablet (Rp 11,220) (Rp 11,552) PT. Glaxo Wellcome Indonesia
475 Dopamet 250 mg Metildopa 250 mg Tablet (Rp 911) (Rp 946) PT. Actavis
476 Metilergometrin inj 0,2 mg/mL Metilergometrin inj 0,2 mg/mL Ampul (Rp 2,849) (Rp 2,959) PT. Ethica Industri Farmasi
478 Metilprednisolon inj 125 mg/mL Metilprednisolon serb inj 125 mg/mL Vial (Rp 12,090) (Rp 10,800) PT. Phapros
479 Metilprednisolon tab 4 mg Metilprednisolon tab 4 mg Tablet (Rp 150) (Rp 134) PT. Molex Ayus
485 Methotreksat inj 25 mg/mL Metotreksat inj 25 mg/mL Ampul (Rp 38,500) (Rp 38,500) PT. Sanbe Farma
486 Metronidazol 500 mg tab Metronidazol 500 mg tab Tablet (Rp 113) (Rp 124) PT. Phyto Kemo agung Farma
488 Metronidazol susp 125 mg/5 mL Metronidazol susp up 125 mg/5 mL Botol (Rp 3,800) (Rp 3,950) PT. Meprofarm
490 Miloz 5 Midazolam inj 5 mg/mL Ampul (Rp 4,180) (Rp 4,125) PT. Novell Pharmaceutical
491 Mycamine inj 50 mg Mikafungin inj 50 mg Vial (Rp 320,000) (Rp 330,500) PT. Combined Imperial Pharm
492 Cellcept 500 mg Mikrofenolat mofetil 500 mg Tablet (Rp 17,500) (Rp 17,654) PT. Boehringer Ingelhem
493 Vigamox TM 0,5% Moksifloksasin TM 0,5% Botol (Rp 81,000) (Rp 81,000) PT. Tempo Scan pacific
503 NaCl 0,9% 500 mL NaCl 0,9% 500 mL Botol (Rp 6,410) (Rp 6,410) PT. Widatra Bhakti
504 Nokoba inj Nalokson inj 0,4 mg/mL Ampul (Rp 71,445) (Rp 72,600) PT. Pratapa Nirmala
506 Meylon 84 Natrium Bicarbonat inj 8,4% Fls (Rp 6,200) (Rp 6,448) PT. Otsuka Indonesia
507 Natrium Diklofenac tab 25 mg Natrium Diklofenac tab 25 mg Tablet (Rp 132) (Rp 115) PT. Phapros
508 Natrium Diklofenac tab 50 mg Natrium Diklofenac tab 50 mg Tablet (Rp 122) (Rp 128) PT. Phapros
510 Adalat Oros 20 mg Nifedipin 20 mg tab Tablet (Rp 3,285) (Rp 3,350) PT. Bayer Indonesia
511 Adalat Oros 30 mg Nifedipin 30 mg tab Tablet (Rp 3,520) (Rp 3,700) PT. Bayer Indonesia
512 Nikardipin inj 1 mg/ml 10 mg Nikardipin inj 10 mg Ampul (Rp 29,588) (Rp 23,649) PT. Dexa Medica
513 Tasigna 150 mg Nilotinib kaps 150 mg Kapsul (Rp 211,000) (Rp 211,000) PT. Novartis Indonesia
514 Tasigna 200 mg Nilotinib kaps 200 mg Kapsul (Rp 380,875) (Rp 380,875) PT. Novartis Indonesia
515 Nimotop 30 mg Nimodipin 30 mg tab Tablet (Rp 3,645) (Rp 3,600) PT. Bayer Indonesia
516 Nistatin tab 500.000 IU/g Nistatin tab 500.000 IU/g Tablet (Rp 765) (Rp 790) PT. Phapros
517 Nistatin vaginal tab 100.000 IU/g Nistatin vaginal tab 100.000 IU/g Tablet (Rp 545) (Rp 560) PT. Phapros
520 Norestil 5 mg tab Noretisteron tab 5 mg Tablet (Rp 1,980) (Rp 1,760) PT. Guardian Pharmatama
521 Obat anti tuberculosisi TDC kategori anak Obat anti tuberculosisi TDC kategori anak (Rp 232,518) PT. Phapros
522 Obat anti tuberculosisi TDC kategori II Obat anti tuberculosisi TDC kategori II (Rp 1,297,894) PT. Phapros
523 Ofloksasin tab 200 mg Ofloksasin tab 200 mg Tablet (Rp 440) (Rp 427) PT. Indofarma
524 Ofloksasin tab 400 mg Ofloksasin tab 400 mg Tablet (Rp 605) (Rp 616) PT. Indofarma
525 DBL Oxaliplatin inj 100 mg Oksaliplatin inj 100 mg Vial (Rp 500,000) (Rp 500,000) PT. Tempo Scan pacific
526 Plaxat inj 100 mg Oksaliplatin inj 100 mg Vial (Rp 720,000) (Rp 500,000) PT. Actavis
527 Plaxat inj 50 mg Oksaliplatin inj 50 mg Vial (Rp 360,000) (Rp 250,000) PT. Actavis
528 Belloxa inj 100 mg Oksaliplatin serb inj 100 mg Vial (Rp 794,500) (Rp 500,000) PT. Otto Pharmaceutical Indtr
529 Oxaliplatin Medac inj 100 mg Oksaliplatin serb inj 100 mg Vial (Rp 720,000) (Rp 500,000) PT. Dipa Pharmalab Intersains
530 Belloxa inj 50 mg Oksaliplatin serb inj 50 mg Vial (Rp 394,500) (Rp 250,000) PT. Otto Pharmaceutical Indtr
532 Oxaliplatin Medac inj 50 mg Oksaliplatin serb inj 50 mg Vial (Rp 360,000) (Rp 250,000) PT. Dipa Pharmalab Intersains
533 Iliadin 0,025% tts hidung Oksimetazolin 0,025% tetes hidung Fls (Rp 31,300) (Rp 32,549) PT. Merck Tbk
534 Iliadin 0,05% tts hidung Oksimetazolin 0,05% tetes hidung Fls (Rp 33,000) (Rp 34,320) PT. Merck Tbk
537 Sandostatin inj 20 mg Oktreotide inj 20 mg Vial (Rp 7,451,885) (Rp 7,594,961) PT. Novartis Indonesia
538 Sandostatin inj 30 mg Oktreotide inj 30 mg Vial (Rp 9,687,450) (Rp 9,873,449) PT. Novartis Indonesia
539 Zyprexa IM 10 mg Olanzapin inj 10 mg Vial (Rp 130,000) (Rp 132,496) PT. Bayer Indonesia
540 Patanol TM 0,1% Olopatadin TM 0,1% Botol (Rp 72,500) (Rp 72,500) PT. Tempo Scan pacific
541 Omeprazol inj 40 mg/10 mL Omeprazol inj 40 mg/10 mL Vial (Rp 11,868) (Rp 9,898) PT. Dexa Medica
542 Omeprazol tab 20 mg Omeprazol tab 20 mg Tablet (Rp 140) (Rp 130) PT. Novapharin
545 Ondansetron inj 2 mg/mL Ondansetron inj 2 mg/mL(4ml) Ampul (Rp 1,254) (Rp 1,070) PT. Dexa Medica
549 Sindaxel inj 100 mg/16,67 mL Paklitaksel inj 100 mg/16,67 mL Vial (Rp 495,000) (Rp 260,000) PT. Actavis
550 Fonkopac 100 mg/16,7 mL inj Paklitaksel inj 100 mg/16,7 mL Vial (Rp 499,500) (Rp 260,000) PT. Fonko International
551 Paclimedac inj 100 mg/16,7 mL Paklitaksel inj 100 mg/16,7 mL Vial (Rp 500,000) (Rp 260,000) PT. Dipa Pharmalab Intersains
552 Fonkopac 30 mg/5 mL inj Paklitaksel inj 30 mg/5 mL Vial (Rp 199,500) (Rp 130,500) PT. Fonko International
553 Paclimedac inj 30 mg/5 mL Paklitaksel inj 30 mg/5 mL Vial (Rp 200,000) (Rp 130,500) PT. Dipa Pharmalab Intersains
554 Sindaxel inj 30 mg/5 mL Paklitaksel inj 30 mg/5 mL Vial (Rp 180,000) (Rp 130,500) PT. Actavis
555 Napro-Tax inj 30 mg/mL Paklitaksel inj 30 mg/mL Vial (Rp 180,000) (Rp 130,500) PT. Kimia Farma
556 Fonkopac 300 mg/50 mL inj Paklitaksel inj 300 mg/50 mL Vial (Rp 1,499,500) (Rp 1,499,500) PT. Fonko International
557 Paclimedac inj 300 mg/50 mL Paklitaksel inj 300 mg/50 mL Vial (Rp 1,500,000) (Rp 1,499,500) PT. Dipa Pharmalab Intersains
558 Anzatax inj 30 mg/mL Paklitaksel inj 6 mg/ml 5 ml Vial (Rp 130,500) (Rp 130,500) PT. Tempo Scan pacific
559 Paklitaksel inj 100 mg Paklitaksel inj 6 mg/mL16,7 ml Vial (Rp 500,000) (Rp 260,000) PT. Sanbe Farma
560 Renalscan KAEF DTPA Pantetate Ca trisodium 10 mg Vial (Rp 570,000) (Rp 575,016) PT. Kimia Farma
561 Paracetamol sirup 120 mg/5 mL Paracetamol sirup 120 mg/5 mL Botol (Rp 1,010) (Rp 1,107) PT. Mersifarma Tirmaku Mercusana
563 Parasetamol tab 500 mg Parasetamol tab 500 mg Tablet (Rp 49) (Rp 53) PT. Mersifarma Tirmaku Mercusana
564 Pegasys 135 mcg/0,5 mL inj Pegylated interferon alfa-2a inj 135mcg/0,5mL Ampul (Rp 1,050,000) (Rp 1,092,000) PT. Boehringer Ingelhem
565 Pegasys 180 mcg/0,5 mL inj Pegylated interferon alfa-2a inj 180mcg/0,5mL Ampul (Rp 1,200,000) (Rp 1,248,000) PT. Boehringer Ingelhem
566 Alimta inj 500 mg Pemetrekset inj 500 mg Vial (Rp 10,582,000) (Rp 10,582,000) PT. Bayer Indonesia
568 Perak Sulfadiazin krim 1% Perak Sulfadiazin krim 1% Tube (Rp 20,700) (Rp 20,700) PT. Darya Varia
569 Bioprexum 5 mg Perindoprilarginin 5 mg Tablet (Rp 2,640) (Rp 2,706) PT. Darya Varia
572 Pirantel Pamoat susp 125 mg Pirantel Pamoat susp 125 mg Botol (Rp 9,510) (Rp 9,700) PT. Holi Pharma
573 Pirazinamid tab 500 mg Pirazinamid tab 500 mg Tablet (Rp 228) (Rp 222) PT. Holi Pharma
574 Mestinon Piridostigmin 60 mg tab Tablet (Rp 7,447) (Rp 7,513) PT. Menarini Indria Lab
575 NiflecPowder Polietilen Glikol Sachet (Rp 123,200) (Rp 123,500) PT. Meiji Indonesia
577 Sifrol 0,125 mg Pramipeksol tab 0,125 mg Tablet (Rp 4,481) (Rp 4,401) PT. Boehringer Ingelhem
578 Sifrol ER 0,375 mg Pramipeksol tab 0,375 mg Tablet (Rp 8,000) (Rp 8,300) PT. Boehringer Ingelhem
579 Sifrol ER 0,750 mg Pramipeksol tab 0,750 mg Tablet (Rp 12,700) (Rp 13,200) PT. Boehringer Ingelhem
580 Pravastatin tab 20 mg Pravastatin tab 20 mg Tablet (Rp 1,980) (Rp 2,090) PT. Novell Pharmaceutical
581 Prednison tab 5 mg Prednison tab 5 mg Tablet (Rp 76) (Rp 68) PT. Holi Pharma
582 Probenid 500 mg Probenesid 500 mg Tablet (Rp 1,755) (Rp 1,822) PT. Dexa Medica
584 Meptin Inhalation Solution 0,3 mL Prokaterol cairan inh 30 mcg Fls (Rp 6,000) (Rp 5,800) PT. Otsuka Indonesia
585 Meptin Inhalation Solution 0,5 mL Prokaterol cairan inh 50 mcg Fls (Rp 6,000) (Rp 5,800) PT. Otsuka Indonesia
586 Meptin Swinghaler Prokaterol serbuk inh 10 mcg/dosis Fls (Rp 84,000) (Rp 82,000) PT. Otsuka Indonesia
587 Propanolol tab 10 mg Propanolol tab 10 mg Tablet (Rp 52) (Rp 54) PT. Holi Pharma
588 Propanolol tab 40 mg Propanolol tab 40 mg Tablet (Rp 74) (Rp 76) PT. Holi Pharma
589 Fresofol 1% MCT/LCT Propofol inj 1% Ampul (Rp 11,330) (Rp 10,758) PT. Fresenius Kabi Combiphar
590 Seroquel XR 200 mg Quetiapin SR 200 mg Tablet (Rp 13,750) (Rp 14,300) PT. Astra Zeneca
595 Ramipril tab 10 mg/ml Ramipril tab 10 mg Tablet (Rp 770) (Rp 660) PT. Novell Pharmaceutical
598 Apidra 100 IU/ml Rapid insulin analog insulin fast acting inj 100 IU/ml Flexpen (Rp 87,000) (Rp 87,000) PT. Aventis Pharma
600 Rifampisin tab 300 mg Rifampisin tab 300 mg Tablet (Rp 747) (Rp 725) PT. Indofarma
601 Rifampisin tab 450 mg Rifampisin tab 450 mg Tablet (Rp 868) (Rp 868) PT. Indofarma
606 Ringer Laktat 500 mL Ringer Laktat 500 ml Botol (Rp 7,150) (Rp 7,150) PT. Widatra Bhakti
609 Risperidon 1 mg Risperidon 1 mg Tablet (Rp 300) (Rp 228) PT. Dexa Medica
614 Xarelto 10 mg Rivaroksaban 10 mg tab Tablet (Rp 23,500) (Rp 24,100) PT. Bayer Indonesia
617 Requib PD 24 Hour 2 mg Ropinirol tab 2 mg Tablet (Rp 5,750) (Rp 5,920) PT. Glaxo Wellcome Indonesia
620 Naropin inj Ropivakain inj 7,5 mg/mL Ampul (Rp 71,865) (Rp 74,740) PT. Astra Zeneca
623 Salbutamol sirup Salbutamol sirup 2 mg/5 ml Botol (Rp 4,275) (Rp 4,446) PT. Indofarma
625 Seretide 50 Salmeterol 25 mcg + Flutikason propionat 50 mg Fls (Rp 55,000) (Rp 55,000) PT. Glaxo Wellcome Indonesia
626 Seretide Diskus 100 Salmeterol 50 mcg + Flutikason propionat 100 mcg/puff Fls (Rp 100,833) (Rp 103,817) PT. Glaxo Wellcome Indonesia
631 Sefadroksil sir kering 125 mg/5mL Sefadroksil sir kering 125 mg/5mL Botol (Rp 3,980) (Rp 3,922) PT. Holi Pharma
633 Sefazolin inj 1 g Sefazolin inj 1 g Vial (Rp 16,718) (Rp 11,738) PT. Dexa Medica
634 Sefepim inj 1 g Sefepim inj 1 g Vial (Rp 28,797) (Rp 22,535) PT. Dexa Medica
635 Sefiksim sirup kering 100 mg/5 mL Sefiksim sirup kering 100 mg/5 mL Botol (Rp 6,150) (Rp 5,530) PT. Pharma Lab
636 Sefoperazon 500 mg mg + sulbactam 500 mg serb
Sefoperazon
inj 500 mg mg + sulbactam 500 mg serb inj (Rp 18,700) PT. Etercon
637 Sefoperazon inj 1000 mg Sefoperazon inj 1000 mg Vial (Rp 17,450) (Rp 14,660) PT. Holi Pharma
639 Sefotaksim inj 500 mg Sefotaksim inj 500 mg Vial (Rp 5,830) (Rp 5,967) PT. Holi Pharma
641 Seftazidim inj 1 g Seftazidim inj 1 g Vial (Rp 11,898) (Rp 10,000) PT. Dexa Medica
643 Zinnat 250 mg Sefuroksim 250 mg Tablet (Rp 4,800) (Rp 4,500) PT. Glaxo Wellcome Indonesia
644 Zinnat 500 mg Sefuroksim 500 mg Tablet (Rp 4,800) (Rp 4,500) PT. Glaxo Wellcome Indonesia
646 Sertralin tab 50 mg Sertralin tab 50 mg Tablet (Rp 1,960) (Rp 1,595) PT. Guardian Pharmatama
647 BIOSAVE inj Serum Anti Bisa Ular (A.B.U) inj Vial (Rp 462,000) (Rp 479,996) PT. Bio Farma
648 BIOSAT 1,5 Serum Antitetanus (A.T.S) inj 1500 IU/amp Ampul (Rp 126,500) (Rp 130,999) PT. Bio Farma
649 Setirizin tab 10 mg Setirizin tab 10 mg Tablet (Rp 96) (Rp 90) PT. Futamed
650 Erbitux infus Setuksimab infus 5mg/mL Vial (Rp 3,550,000) (Rp 3,500,000) PT. Merck Tbk
652 Cyclovid 1000 Siklofosfamid inj 1000 mg Vial (Rp 200,970) (Rp 197,890) PT. Novell Pharmaceutical
653 Endoxan inj 1000 mg Siklofosfamid inj 1000 mg Vial (Rp 223,300) (Rp 197,890) PT. Menarini Indria Lab
655 Endoxan inj 200 mg Siklofosfamid inj 200 mg Vial (Rp 85,000) (Rp 63,690) PT. Menarini Indria Lab
657 Sandimmun Neoral 25 mg Siklosporin kaps 25 mg Kapsul (Rp 11,800) (Rp 11,800) PT. Novartis Indonesia
658 Sandimmun Neoral 50 mg Siklosporin kaps 50 mg Kapsul (Rp 20,075) (Rp 20,075) PT. Novartis Indonesia
662 Siprofloksasin 500 mg Siprofloksasin 500 mg Tablet (Rp 240) (Rp 265) PT. Novapharin
664 Cisteen inj 10 mg Sisplatin serb inj 10 mg Vial (Rp 22,725) (Rp 23,634) PT. Kimia Farma
665 Cisteen inj 50 mg Sisplatin serb inj 50 mg Vial (Rp 99,000) (Rp 102,960) PT. Kimia Farma
667 DBL Cytarabine inj100 mg Sitarabin inj100 mg Vial (Rp 573,500) (Rp 570,350) PT. Tempo Scan pacific
669 Spironolakton 100 mg Spironolakton 100 mg Tablet (Rp 699) (Rp 539) PT. Dexa Medica
670 Spironolakton 25 mg Spironolakton 25 mg Tablet (Rp 244) (Rp 195) PT. Dexa Medica
672 Sukralfat susp 500 mg/5 mL, 100 mL Sukralfat susp 500 mg/5 mL, 100 mL Botol (Rp 8,338) (Rp 6,789) PT. Meprofarm
677 Survanta susp Surfaktan susp 25 mg/mL (intratekal) Botol (Rp 3,450) (Rp 3,500) PT. Abbot Indonesia
678 Prograf 0,5 mg Takrolimus kaps 0,5 mg Kapsul (Rp 12,850) (Rp 13,300) PT. Combined Imperial Pharm
679 Prograf 1 mg Takrolimus kaps 1 mg Kapsul (Rp 25,800) (Rp 26,600) PT. Combined Imperial Pharm
680 Prograf XL 0,5 mg Takrolimus kaps lepas lambat 0,5 mg Kapsul (Rp 12,850) (Rp 13,300) PT. Combined Imperial Pharm
681 Prograf XL 1 mg Takrolimus kaps lepas lambat 1 mg Kapsul (Rp 25,800) (Rp 26,600) PT. Combined Imperial Pharm
682 Harnal D Tamsulosin tab 0,2 mg Tablet (Rp 7,100) (Rp 7,300) PT. Combined Imperial Pharm
683 Harnal OCAS Tamsulosin tab SR 0,4 mg Tablet (Rp 4,900) (Rp 4,799) PT. Combined Imperial Pharm
684 Sebivo 600 mg Telbivudin tab 600 mg Tablet (Rp 28,300) (Rp 28,300) PT. Novartis Indonesia
687 Temodal 100 mg Temozolamid kaps 100 mg Kapsul (Rp 1,150,000) (Rp 1,170,000) PT. Merck Sharp Dohme p
688 Temodal 20 mg Temozolamid kaps 20 mg Tablet (Rp 225,000) (Rp 230,000) PT. Merck Sharp Dohme p
689 Hytroz 1 mg Terazosin HCl 1 mg Tablet (Rp 604) (Rp 578) PT. Dexa Medica
690 Hytroz 2 mg Terazosin HCl 2 mg Tablet (Rp 949) (Rp 938) PT. Dexa Medica
695 Andriol Testocaps Testosteron caps 40 mg Kapsul (Rp 6,200) (Rp 6,300) PT. Merck Sharp Dohme p
696 Tetrasiklin kaps 250 mg Tetrasiklin kaps 250 mg Tablet (Rp 166) (Rp 174) PT. Holi Pharma
697 Thyrozol 10 mg Tiamazol 10 mg Tablet (Rp 1,195) (Rp 1,225) PT. Merck Tbk
698 Thyrozol 5 mg Tiamazol 5 mg Tablet (Rp 610) (Rp 630) PT. Merck Tbk
699 Brilinta tab Tikagrelor 90 mg Tablet (Rp 7,500) (Rp 7,800) PT. Astra Zeneca
700 Isotic Adretor TM 0,25% Timolol TM 0,25% Botol (Rp 10,425) (Rp 10,400) PT. Pratapa Nirmala
703 Spiriva Refill Tiotropium 18 mcg refill Pcs (Rp 14,750) (Rp 15,100) PT. Boehringer Ingelhem
704 Spiriva Combo Tiotropium 18 mcg refill + handihaller Fls (Rp 162,000) (Rp 167,000) PT. Boehringer Ingelhem
705 Topamax tab 100 mg Topiramat tab 100 mg Tablet (Rp 9,195) (Rp 9,560) PT. Soho Industri Farmasi
708 Tramadol inj 50 mg/mL Tramadol inj 50 mg/mL Ampul (Rp 1,710) (Rp 1,764) PT. Mersifarma Tirmaku Mercusana
709 Travatan TM 0,004% Travoprost TM 0,004% Botol (Rp 80,000) (Rp 83,200) PT. Tempo Scan pacific
711 Nasacort Triamcinolon asetonid nasal spray 55 mcg/puff Fls (Rp 106,750) (Rp 106,750) PT. Aventis Pharma
712 Trilac inj Triamsinolon inj 10 mg/mL Vial (Rp 44,000) (Rp 34,999) PT. Novell Pharmaceutical
713 Trifluoperazin tab 5 mg Trifluoperazin tab 5 mg Tablet (Rp 274) (Rp 269) PT. Mersifarma Tirmaku Mercusana
717 Vaksin DTP-HB-Hib Vaksin DTP-HB-Hib Ampul (Rp 76,285) (Rp 78,991) PT. Bio Farma
718 Vaksin Hepatitis B Rekombinan Vaksin Hepatitis B Rekombinan Vial (Rp 23,320) (Rp 23,991) PT. Bio Farma
719 Vaksin Hepatitis B Rekombinan dewsa Vaksin Hepatitis B Rekombinan dewsa Vial (Rp 50,050) (Rp 52,052) PT. Bio Farma
720 Vaksin Jerap Difteri tetanus (TD) 4/15 If per mLVaksin
(i.m) Jerap Difteri tetanus (TD) 4/15 If per mL (i.m) Vial (Rp 16,500) (Rp 16,995) PT. Bio Farma
721 Vaksin Jerap Difteri tetanus (TD) 40/15 If per mL
Vaksin
(i.m) Jerap Difteri tetanus (TD) 40/15 If per mL (i.m) Vial (Rp 17,798) (Rp 17,996) PT. Bio Farma
722 FORMENING vaksin Vaksin Meningitis Meningococcoal polisakarida ACYW135 Vial (Rp 144,000) (Rp 135,000) PT. Mersifarma Tirmaku Mercusana
723 MENIVAX ACYW Vaksin Meningitis Meningococcoal polisakarida ACYW135 Ampul (Rp 214,500) (Rp 135,000) PT. Bio Farma
727 SHAN IPV Vaksin Polio IPV inj 0,5 mL 5 dosis Ampul (Rp 153,736) (Rp 158,994) PT. Bio Farma
729 Stamaril Vaksin Yellow Fever Vial (Rp 296,000) (Rp 296,000) PT. Aventis Pharma
730 Valcyte 450 mg Valgansiklovir 450 mg Tablet (Rp 169,500) (Rp 176,250) PT. Boehringer Ingelhem
732 Depakote 250 mg Valproat tab 250 mg Tablet (Rp 1,750) (Rp 1,200) PT. Abbot Indonesia
735 Farpresin inj 20 IU Vasopresin inj 20 IU/ml Vial (Rp 77,000) (Rp 79,279) PT. Pratapa Nirmala
736 Isoptin tab 240 mg Verapamil tab 240 mg lepas lambat Tablet (Rp 6,680) (Rp 6,940) PT. Abbot Indonesia
738 Vinkristin inj 1 mg/mL 1 ml Vinkristin inj 1 mg/mL Vial (Rp 48,500) (Rp 45,396) PT. Sanbe Farma
739 Vinkristin inj 2 mg/mL 2 ml Vinkristin inj 2 mg/mL Vial (Rp 84,250) (Rp 81,000) PT. Sanbe Farma
740 Vitamin B1 (Tiamin) tab 50 mg Vitamin B1 (Tiamin) tab 50 mg Tablet (Rp 82) (Rp 85) PT. Novapharin
741 Vitamin B12 (Sianokobalamin) inj 500 mcg Vitamin B12 (Sianokobalamin) inj 500 mcg Vial (Rp 1,087) (Rp 1,035) PT. Lucas Djaja
742 Vitamin B12 (Sianokobalamin) tab 50 mcg Vitamin B12 (Sianokobalamin) tab 50 mcg Tablet (Rp 51) (Rp 46) PT. Marin Liza Farmasi
743 Vitamin C (Asam Askorbat tab 50 mg Vitamin C (Asam Askorbat tab 50 mg Tablet (Rp 104) (Rp 105) PT. Kimia Farma
744 Vitamin K1 (Fitomenadion) tab 10 mg Vitamin K1 (Fitomenadion) tab 10 mg Tablet (Rp 686) (Rp 710) PT. Phapros
745 Warfarin 1 mg Warfarin 1 mg Tablet (Rp 979) (Rp 979) PT. Eisai Indonesia
1 AAFACT faktor VIII serbuk inj 500 IU + pelarut 5 ml AAFACT faktor VIII serbuk inj 500 IU + pelarut 5 ml (Rp 1,900,000) PT. Graha Farma
45 Amoksisilin sir kering Forte 250 mg/5 mL Amoksisilin sir kering Forte 250 mg/5 mL Botol (Rp 3,400) PT. Novapharin
378 Koate DVI Faktor VIII serb inj 230-340 IU Faktor VIII serb inj 230-340 IU (Rp 950,000) PT. Dipa Pharmalab
397 Levonogestrel implan 2 rods 75 mg (3-4th) Levonogestrel implan 2 rods 75 mg (3-4th) (Rp 175,181) PT Catur Dakwah
401 Lidokain inj 2% + epinefrin 1:80.000 inj 2 ml Lidokain inj 2% + epinefrin 1:80.000 inj 2 ml (Rp 1,145) PT. Phapros
481 Obat anti tuberculosisi TDC kategori anak Obat anti tuberculosisi TDC kategori anak (Rp 232,518) PT. Phapros
482 Obat anti tuberculosisi TDC kategori II Obat anti tuberculosisi TDC kategori II (Rp 1,297,894) PT. Phapros
609 Sefoperazon 500 mg mg + sulbactam 500 mg serb inj Sefoperazon 500 mg mg + sulbactam 500 mg serb inj (Rp 18,700) PT. Etercon
699 Vaksin Hepatitis B Rekombinan dewsa Vaksin Hepatitis B Rekombinan dewsa Vial (Rp 52,052) PT. Bio Farma
700 Vaksin Jerap Difteri tetanus (TD) 4/15 If per mL (i.m) Vaksin Jerap Difteri tetanus (TD) 4/15 If per mL (i.m) Vial (Rp 16,995) PT. Bio Farma
701 Vaksin Jerap Difteri tetanus (TD) 40/15 If per mL (i.m) Vaksin Jerap Difteri tetanus (TD) 40/15 If per mL (i.m) Vial (Rp 17,996) PT. Bio Farma
718 Vitamin B12 (Sianokobalamin) inj 500 mcg Vitamin B12 (Sianokobalamin) inj 500 mcg Vial (Rp 1,035) PT. Lucas Djaja
719 Vitamin B12 (Sianokobalamin) tab 50 mcg Vitamin B12 (Sianokobalamin) tab 50 mcg Tablet (Rp 46) PT. Marin Liza Farmasi
1 4-Epeedo-10 mg/5 mL inj Epirubisin inj 10 mg/5 mL Vial PT. Kimia Farma
2 4-Epeedo-50 mg/mL inj Epirubisin inj 50 mg/25 mL Vial PT. Kimia Farma
3 AAFACT faktor VIII serbuk inj 500 IU + AAFACT
pelarut 5 faktor
ml VIII serbuk inj 500 IU + pelarut 5 ml (Rp 1,900,000) PT. Graha Farma
9 Acdat krim Natrium fusidat krim 20 mg/g Tube PT. Ifars Pharmaceutical
14 Actoplatin inj 150 mg/15 mL Karboplatin inj 150 mg/15 mL Vial PT. Actavis
15 Actoplatin inj 450 mg/45 mL Karboplatin inj 450 mg/45 mL Vial PT. Actavis
25 Albendazol tab 400 mg Albendazol tab 400 mg Tablet PT. Holi Pharma
32 Alopurinol tab 100 mg Alopurinol tab 100 mg Tablet PT. Sampharindo
33 Alopurinol tab 300 mg Alopurinol tab 300 mg Tablet PT. Hexpharm Jaya Lab
41 Amikasin inj 250 mg/mL Amikasin inj 250 mg/mL Vial PT. Dexa Medica
42 Aminofilin inj 24mg/mL Aminofilin inj 24mg/mL Ampul PT. Phapros
46 Aminofusin Hepar Larutan Asam amino Botol PT. Kalbe Farma
47 Aminofusin L 600 Larutan Asam amino Botol PT. Kalbe Farma
48 Aminofusin Paed Larutan Asam amino Botol PT. Kalbe Farma
58 Amlodipin tab 10 mg Amlodipin tab 10 mg Tablet PT. Pharma Lab
59 Amlodipin tab 5 mg Amlodipin tab 5 mg Tablet PT. Pertiwi Agung
Amoksisilin sir kering Forte 125 mg/5 mL Botol PT. Mersifarma Tirmaku Mercusana
Amoksisilin sir kering Forte 250 mg/5 mL Botol PT. Holi Pharma
62 Amoksisilin tab 250 mg Amoksisilin tab 250 mg Tablet PT. Novapharin
63 Amoksisilin tab 500 mg Amoksisilin tab 500 mg Tablet PT. Pharma Lab
65 Antasida DOEN susp 200 mg/5 mL Antasida DOEN susp 200 mg/5 mL Botol PT. Mersifarma Tirmaku Mercusana
70 Anti TBC FDC kategori Anak Anti TBC FDC kategori Anak Tablet PT. Indofarma
71 Anti TBC FDC kategori I Anti TBC FDC kategori I Tablet PT. Indofarma
73 Antibakteri DOEN salep Basitrasin 500IU+Polimiksin 10.000IU salep Tube PT. Indofarma
78 Aquadest 20 mL Air untuk injeksi 20 mL Fls PT. Ikapharmindo Putramas
85 Artesunate inj Artesunat inj 60 mg/mL Ampul PT. Pharma Lab
90 Asam Traneksamat inj 100 mg/mL Asam Traneksamat inj 100 mg/mL Ampul PT. Bernofarm
94 Asering Asetat Ringer (plabot) Botol PT. Otsuka Indonesia
97 Asiklovir tab 200 mg Asiklovir tab 200 mg Tablet PT. Phapros
99 Ativan 1 mg Lorazepam tab 1 mg Tablet PT. Sunthi Sepuri
103 Avamys Spray Flutikason Furoat 27,5 mcg/spray Fls PT. Glaxo Wellcome Indonesia
105 Avelox infus (1,6 mg/mL) Moksifloxasin inj 400 mg/250 mL Vial PT. Bayer Indonesia
106 Avodart 0,5 mg Dutasterid 0,5 mg Tablet PT. SmithKline Beecham Pharm
108 Azitromisin tab 500 mg Azitromisin tab 500 mg Tablet PT. Kimia Farma
111 BCG Vaccine (SII) Vaksin BCG (SII) Vial PT. Bio Farma
112 Bedak salisil serbuk 2% Bedak salisil serbuk 2% Pcs PT. Rama Emerald Multi Sukses
115 Benzatin Penisilin tab 1,2 UI/mL Benzatin Penisilin tab 1,2 UI/mL Tablet PT. Phapros
116 Benzatin Penisilin tab 2,4 UI/mL Benzatin Penisilin tab 2,4 UI/mL Tablet PT. Phapros
119 Betablok 100 mg Atenolol tab 100 mg Tablet PT. Kalbe Farma
120 Betablok 50 mg Atenolol tab 50 mg Tablet PT. Kalbe Farma
122 Betahistin tab 6 mg Betahistin tab 6 mg Tablet PT. Mersifarma Tirmaku Mercusana
126 Bicastra 50 mg Bikalutamid 50 mg Tablet PT. Ferron Par Pharmaceuticals
133 Bisoprolol tab 5 mg Bisoprolol tab 5 mg Tablet PT. Hexpharm Jaya Lab
134 Bleocin inj 15 mg/mL Bleomisin inj 15 mg/mL Vial PT. Kalbe Farma
135 Blorec tab 25 mg Karvedilol tab 25 mg Tablet PT. Pratapa Nirmala
137 Bondronat inj Asam Ibandronat inj 6 mg/6mL Syringe PT. Boehringer Ingelhem
138 Bonefos infus 60 mg/mL Dinatrium Klodronat infus 60 mg/mL Vial PT. Bayer Indonesia
139 Bonescan KAEF MDP inj Metilen Difosfonat inj 1 mg Vial PT. Kimia Farma
141 Bracer 1 mg Anastrazol tab 1 mg Tablet PT. Ferron Par Pharmaceuticals
142 Brexel 20 mg Dosetaksel inj 250 mg/0,5mL Vial PT. Kalbe Farma
143 Brexel 80 mg Dosetaksel inj 80 mg/ 2 mL Vial PT. Kalbe Farma
144 Bricasma 0,5 mg/mL inj Terbutalin inj 0,5 mg/mL Ampul PT. Astra Zeneca
145 Bricasma 0,50 mg serbuk ih Terbutalin serbuk ih 0,50 mg Fls PT. Astra Zeneca
146 Bricasma Respules Terbutalin cairan ih 2,5 mg/mL Fls PT. Astra Zeneca
150 Bronsolvan Teofilin tab 150 mg Tablet PT. Kalbe Farma
151 Bufacetin SK 2% Kloramfenikol salep kulit 2% Tube PT. Bufa Aneka
153 Ca Glukonat inj 10% Ca Glukonat inj 10% Ampul PT. Ethica Industri Farmasi
154 Calporosis D 500 mg Kalsium Karbonat tab 500 mg Tablet PT. Mersifarma Tirmaku Mercusana
158 Cardura 1 mg Doksazosin mesilat tab 1 mg Tablet PT. Pfizer Indonesia
159 Cardura 2 mg Doksazosin mesilat tab 2 mg Tablet PT. Pfizer Indonesia
164 Cerazette Desogestrel tab 75 mcg Tablet PT. Merck Sharp Dohme p
176 Clinimix N9G15E Larutan Asam amino Softbag PT. Kalbe Farma
177 Clinimix N9G20E Larutan Asam amino Softbag PT. Kalbe Farma
178 Clinoleic 20% Larutan Lipid Softbag PT. Kalbe Farma
180 Comafusin Hepar Larutan Asam amino Botol PT. Finusolprima Farma
181 Combiflex Peri Larutan Asam amino Softbag PT. Phapros
185 Concor 1,25 mg Bisoprolol tab 1,25 mg Tablet PT. Meprofarm
187 Concor 10 mg Bisoprolol tab 10 mg Tablet PT. Meprofarm
189 Concor 2,5 mg Bisoprolol tab 2,5 mg Tablet PT. Meprofarm
190 Concor 2,5 mg Levotiroksin tab 100 mcg Tablet PT. Meprofarm
193 CTM 4 mg Tab Klorfeniramin Maleat (CTM) 4 mg tab Tablet PT. Imfarmind Farmasi Indtr
194 Curacil inj 50 mg/mL Fluorourasil inj 50 mg/mL (10 mL) Vial PT. Kalbe Farma
200 Daryantulle 1% Framisetin sulfat tulle 1% Lembar PT. Darya Varia
202 Daxotel inj 20 mg/0,5mL Dosetaksel inj 20 mg/0,5 mL Vial PT. Fresenius Kabi Combiphar
203 Daxotel inj 80 mg/2mL Dosetaksel inj 80 mg/2 mL Vial PT. Fresenius Kabi Combiphar
204 DBL Carboplatin inj 150 mg/15mL Karboplatin inj 150 mg/15mL Vial PT. Tempo Scan pacific
205 DBL Carboplatin inj 450 mg/45mL Karboplatin inj 450 mg/45mL Vial PT. Tempo Scan pacific
209 DBL Gemcitabine inj 200 mg Gemsitabin inj 200 mg Vial PT. Tempo Scan pacific
212 DBL Oxaliplatin inj 50 mg Oksaliplatin inj 50 mg Vial PT. Tempo Scan pacific
213 DBL Vincristine inj 1 mg/mL Vinkristin inj 1 mg/mL Vial PT. Tempo Scan pacific
214 Decacetin TM Kloramfenikol TM 0,5% Botol PT. Harsen Laboratories
216 Decatona Fenitoin Na 30 mg Tablet PT. Harsen Laboratories
217 Deksametason 0,5 mg tab Deksametason 0,5 mg tab Tablet PT. Promedrahardjo Farmasi
218 Deksametason inj 5 mg/mL Deksametason inj 5 mg/mL Ampul PT. Bernofarm
221 Depakote SR 250 mg Valproat tab SR 250 mg Tablet PT. Abbot Indonesia
222 Depakote SR 500 mg Valproat tab SR 500 mg Tablet PT. Abbot Indonesia
227 Desoksimetason salep 0,25% Desoksimetason salep 0,25% Tube PT. Kimia Farma
236 Dietilkarbamazepin tab 100 mg Dietilkarbamazepin tab 100 mg Tablet PT. Holi Pharma
243 Dipsamol inhalasi Salbutamol aerosol/inhalasi 100 mcg/dose Fls PT. Dipa Pharmalab Intersains
244 Dobutain inj 50 mg/mL Dobutain inj 50 mg/mL Vial PT. Etercon Pharma
250 Doksisiklin tab 100 mg Doksisiklin tab 100 mg Tablet PT. Indofarma
251 Doksorubisin inj 10 mg Doksorubisin inj 10 mg Vial PT. Dankos Farma
253 Doksorubisin inj 50 mg Doksorubisin inj 50 mg Vial PT. Dankos Farma
255 Domperidon 10 mg Domperidon 10 mg Tablet PT. Dexa Medica
257 Donepezil tab 5 mg Donepezil tab 5 mg Tablet PT. Guardian Pharmatama
260 Dosetaksel inj 20 mg/0,5 mL Dosetaksel inj 20 mg/0,5 mL Vial PT. Sanbe Farma
269 EAS PFRimmer Larutan Asam amino Botol PT. Finusolprima Farma
273 Elizac 20 Fluoksetin tab 20 mg Tablet PT. Mersifarma Tirmaku Mercusana
274 Eloxatin inj 100 mg Oksaliplatin inj 100 mg Vial PT. Aventis Pharma
275 Eloxatin inj 50 mg Oksaliplatin inj 50 mg Vial PT. Aventis Pharma
278 Endrolin inj Leuprorelin asetat inj 3,75 mg Vial PT. Kalbe Farma
285 Epirubisin inj 10 mg/5 mL Epirubisin inj 10 mg/5 mL Vial PT. Sanbe Farma
287 Epirubisin inj 50 mg/25 mL Epirubisin inj 50 mg/25 mL Vial PT. Sanbe Farma
291 Epodion 3000 IU Eritropoetin-alfa inj 3000 IU/ mL Syringe PT. Daewong Infion
295 Erbitux infus Setuksimab infus 5mg/mL Botol PT. Meprofarm
298 Eritromisin sirup kering 200 mg/ 5 mL Eritromisin sirup kering 200 mg/ 5 mL Botol PT. Phyto Kemo agung Farma
300 Eritromisin tab 500 mg Eritromisin tab 500 mg Tablet PT. Rama Emerald Multi Sukses
301 Esomeprazol inj 40 mg Esomeprazol inj 40 mg Vial PT. Meprofarm
303 Etambutol HCl tab 500 mg Etambutol HCl tab 500 mg Tablet PT. Bernofarm
304 Etambutol tab 250 mg Etambutol tab 250 mg Tablet PT. Kimia Farma
306 Euthyrox 100 mcg Levotiroksin tab 100 mcg Tablet PT. Meprofarm
311 Ezelin inj Analog long insulin 100 IU inj Flexpen PT. Kalbe Farma
317 Farsorbid inj Isosorbid Dinitrat inj 10 mg/10 mL Ampul PT. Pratapa Nirmala
320 Fenitoin inj 50 mg/mL Fenitoin inj 50 mg/mL Ampul PT. Phapros
323 Fenocin 125 mg Fenoksimetil Penisilin 125 mg Tablet PT. Actavis
324 Fenofibrat kaps 100 mg Fenofibrat kaps 100 mg Kapsul PT. Hexpharm Jaya Lab
325 Fenofibrat kaps 300 mg Fenofibrat kaps 300 mg Tablet PT. Hexpharm Jaya Lab
326 Fenoksimetil Penisilin tab 250 mg Fenoksimetil Penisilin tab 250 mg Tablet PT. Phapros
327 Fenoksimetil Penisilin tab 500 mg Fenoksimetil Penisilin tab 500 mg Tablet PT. Phapros
332 Ferro fumarat+as. Folat tab Ferro fumarat+as. Folat tab Tablet PT. Phapros
333 Fetik Supp Ketoprofen Supp 100 mg Supp PT. Interbat
334 Finpro 5 mg Finasterid tab 5 mg Tablet PT. Interbat
340 Fluimucil inj 100 mg N-Asetil sistein inj nebules 100 mg Ampul PT. Tunggal Idaman Abadi
342 Flukonazol tab 150 mg Flukonazol tab 150 mg Tablet PT. Kimia Farma
343 Fluorourasil inj 50 mg/mL (10 mL) Fluorourasil inj 50 mg/mL (10 mL) Vial PT. Dankos Farma
344 Fluorourasil inj 50 mg/mL (5 mL) Fluorourasil inj 50 mg/mL (5 mL) Vial PT. Dankos Farma
351 Fortanest inj Midazolam inj 5 mg/mL Tablet PT. Kalbe Farma
357 Furosemid 40 mg tab Furosemid 40 mg tab Tablet PT. Sampharindo
362 Gabpentin 300 g tab Gabpentin 300 g tab Tablet PT. Guardian Pharmatama
363 Gadovist 5 mg Gadobrutol macrocyclic 5 mg Vial PT. Bayer Indonesia
366 Garam Oralit Garam Oralit Sachet PT. Rama Emerald Multi Sukses
370 Gemcikal inj 1000 mg Gemsitabin inj 1000 mg Vial PT. Kalbe Farma
371 Gemcikal inj 200 mg Gemsitabin inj 200 mg Vial PT. Kalbe Farma
376 Gemfix inj 1000 Gemsitabin inj 1000 mg Vial PT. Novell Pharmaceutical
377 Gemfix inj 200 Gemsitabin inj 200 mg Vial PT. Novell Pharmaceutical
383 Genoint SM 0,3% Gentamisin salep mata 0,3% Tube PT. Erela
385 Gentamisin tetes mata 0,3% Gentamisin tetes mata 0,3% Botol PT. Erela
393 Glimepirid tab 1 mg Glimepirid tab 1 mg Tablet PT. Hexpharm Jaya Lab
394 Glimepirid tab 2 mg Glimepirid tab 2 mg Tablet PT. Guardian Pharmatama
395 Glimepirid tab 3 mg Glimepirid tab 3 mg Tablet PT. Hexpharm Jaya Lab
404 Gored 80 mg Gliklazid tab 80 mg Tablet PT. Bernofarm
407 Griseofulvin tab 125 mg Griseofulvin tab 125 mg Tablet PT. Kimia Farma
416 Haloperidol tab 0,5 mg Haloperidol tab 0,5 mg Tablet PT. Holi Pharma
417 Haloperidol tab 1,5 mg Haloperidol tab 1,5 mg Tablet PT. Holi Pharma
421 Hemapo 3000 IU Eritropoetin-alfa inj 3000 IU/ mL Syringe PT. Kalbe Farma
426 Hidroklorotiazid tab 25 mg Hidroklorotiazid tab 25 mg Tablet PT. Kimia Farma
427 Hidrokortison krim 1% Hidrokortison krim 1% Tube PT. Marin Liza Farmasi
428 Hidrokortison krim 2,5% Hidrokortison krim 2,5% Tube PT. Kimia Farma
445 Ibuprofen 200 mg Ibuprofen 200 mg Tablet PT. Novapharin
446 Ibuprofen 400 mg tab Ibuprofen 400 mg tab Tablet PT. Phyto Kemo agung Farma
448 Ibuprofen susp 200 mg/ 5mL Ibuprofen susp 200 mg/ 5mL Botol PT. Indofarma
450 Icunes inj 100 mg Deksmedetomidin inj 100 mcg/mL Vial PT. Novell Pharmaceutical
453 Iliadin tts hidung 0,025% Oksimetazolin tts Hidung 0,025% Botol PT. Meprofarm
454 Iliadin tts hidung 0,05% Oksimetazolin tts Hidung 0,050% Botol PT. Meprofarm
465 Interzinc syr Zinc sirup 10 mg/ml Botol PT. Interbat
466 Interzol SS 2% Ketokonazol Scalp Sol 2% Botol PT. Interbat
468 Intratect inj Imunoglobulin iv inj 50 mg/mL Vial PT. Kimia Farma
478 Isoflurane 250 mL Isofluran inhalasi 250 mL botol PT. Dexa Medica
479 Isoniazid tab 100 mg Isoniazid tab 100 mg Tablet PT. Holi Pharma
480 Isoniazid tab 300 mg Isoniazid tab 300 mg Tablet PT. Kimia Farma
484 Isotic Adretor TM 0,5% Timolol TM 0,5% Botol PT. Pratapa Nirmala
485 Jurnista tab 16 mg Hidromorfon HCl tab oros 16 mg Tablet PT. Kimia Farma
486 Jurnista tab 8 mg Hidromorfon HCl tab oros 8 mg Tablet PT. Kimia Farma
495 Kalipar Kalium Aspartat 300 mg Tablet PT. Tempo Scan pacific
501 Kandesartan tab 16 mg Kandesartan tab 16 mg Tablet PT. Novell Pharmaceutical
502 Kandesartan tab 8 mg Kandesartan tab 8 mg Tablet PT. Novell Pharmaceutical
504 Kaptopril tab 12,5 mg Kaptopril tab 12,5 mg Tablet PT. Phapros
506 Kaptopril tab 50 mg Kaptopril tab 50 mg Tablet PT. Hexpharm Jaya Lab
508 Karbogliserin tts telinga 10% Karbogliserin tts telinga 10% Botol PT. Lucas Djaja
514 Kemocarb inj 450 mg/45 mL Karboplatin inj 450 mg/45 mL Vial PT. Fresenius Kabi Combiphar
520 Kendaron Amiodaron 200 mg Tablet PT. Darya Varia
524 Ketokonazol 200 mg Ketokonazol 200 mg Tablet PT. Novapharin
528 Klaritomisin tab 500 mg Klaritomisin tab 500 mg Tablet PT. Etercon Pharma
530 Klindamisin tab 300 mg Klindamisin tab 300 mg Tablet PT. Mersifarma Tirmaku Mercusana
533 Klonazepam tab 2 mg Klonazepam tab 2 mg Tablet PT. Mersifarma Tirmaku Mercusana
534 Klonidin tab 0,15 mg Klonidin tab 0,15 mg Tablet PT. Kimia Farma
537 Kloramfenikol suspensi 125 mg/5 mL Kloramfenikol suspensi 125 mg/5 mL Botol PT. Novapharin
541 Klozapin 100 mg Klozapin 100 mg Tablet PT. Mersifarma Tirmaku Mercusana
543 Klozapin 25 mg Klozapin 25 mg Tablet PT. Mersifarma Tirmaku Mercusana
548 Koate DVI Faktor VIII serb inj 230-340 IU
Faktor VIII serb inj 230-340 IU (Rp 950,000) PT. Dipa Pharmalab
555 Kotrimoksazol susp 240 mg/5 mL Kotrimoksazol susp 240 mg/5 mL Botol PT. Holi Pharma
557 Kotrimoksazol tab 960 mg Kotrimoksazol tab 960 mg Tablet PT. Bernofarm
560 Kuinin tab 200 mg Kuinin tab 200 mg Tablet PT. Kimia Farma
564 Lamivudin tab 100 mg Lamivudin tab 100 mg Tablet PT. Kimia Farma
565 Lamivudin tab 150 mg Lamivudin tab 150 mg Tablet PT. Kimia Farma
568 Laxadine Emulsi 30 mL Parafin +gliserin+fenolftalein Botol PT. Galenium Pharmasia Lab
569 L-Cisin 500 mg Kolkisin 500 mg Tablet PT. Lapi Laboratories
570 Lebrest 2,5 mg Letrozol 2,5 mg tab Tablet PT. Ferron Par Pharmaceuticals
573 Levitam tab 500 mg Levetirasetam tab 500 mg Tablet PT. Etercon Pharma
575 Levofloksasin infus 5 mg/mL Levofloksasin infus 5 mg/mL Botol PT. Dexa Medica
577 Levofloksasin tab 500 mg Levofloksasin tab 500 mg Tablet PT. Kimia Farma
578 Levonogestrel 150mcg + etinilestradiolLevonogestrel
30 mcg 150mcg + etinilestradiol 30 mcg Tablet PT. Kimia Farma
579 Levonogestrel implan 2 rods 75 mg (3-4th)
Levonogestrel implan 2 rods 75 mg (3-4th) (Rp 175,181) PT Catur Dakwah
581 Lexapram sirup Metoklopramid sirup 5 mg/5 mL Botol PT. Molex Ayus
584 Lidokain HCl inj 2% Lidokain HCl inj 2% Ampul PT. Bernofarm
585 Lidokain inj 2% + epinefrin 1:80.000 injLidokain
2 ml inj 2% + epinefrin 1:80.000 inj 2 ml (Rp 1,145) PT. Phapros
586 Lidokain inj 2% + epinefrin 1:80000 Lidokain inj 2% + epinefrin 1:80000 Ampul PT. Lucas Djaja
587 Lipofudin MCT/LCT 20% Larutan Lipid Botol PT. Phapros
588 Lipofudin MCT/LCT 20% 250 mL Larutan Lipid Botol PT. Phapros
589 Lipomed 20% MCT/LCT 250 mL Larutan Lipid Softbag PT. Sanbe Farma
593 Lodomer inj 5 mg/mL Haloperidol inj 5 mg/mL Ampul PT. Mersifarma Tirmaku Mercusana
595 Loperamid tab 2 mg Loperamid tab 2 mg Tablet PT. Ifars Pharmaceutical
596 Loratadin tab 10 mg Loratadin tab 10 mg Tablet PT. Hexpharm Jaya Lab
605 Manitol 20% Manitol 20% Botol PT. Finusolprima Farma
607 Maxiflon 400 mg Moksifloksasin tab 400 mg Tablet PT. Guardian Pharmatama
609 Medroksi progesteron 25 mg+EstradiolMedroksi
5 mg inj progesteron 25 mg+Estradiol 5 mg inj Vial PT. Triyasa Nagamas Farma
610 Medroksi Progesteron asetat inj 150 mg/mL
Medroksi Progesteron asetat inj 150 mg/mL Ampul PT. Tunggal Idaman Abadi
613 Melavita cream 0,1% Asam retinoat krim 0,1% Tube PT. Galenium Pharmasia Lab
615 Mepramide drop Metoklopramid drop 2 mg/mL Botol PT. Pyridam Farma
620 Meropenem inj 1 g Meropenem inj 1 g Vial PT. Bernofarm
621 Meropenem inj 500 mg Meropenem inj 500 mg Vial PT. Dexa Medica
624 Metadon sir 50 mg/5mL Metadon sir 50 mg/5mL Botol PT. Kimia Farma
625 Metamizol inj 500 mg/mL Metamizol inj 500 mg/mL Vial PT. Bernofarm
627 Metformin HCl 500 mg Metformin HCl 500 mg Tablet PT. Tempo Scan pacific
628 Metformin HCl tab 500 mg Metformin HCl tab 500 mg Tablet PT. Hexpharm Jaya Lab
635 Metilprednisolon inj 500 mg/mL Metilprednisolon inj 500 mg/mL Vial PT. Bernofarm
636 Metilprednisolon tab 16 mg Metilprednisolon tab 16 mg Tablet PT. Ifars Pharmaceutical
638 Metilprednisolon tab 8 mg Metilprednisolon tab 8 mg Tablet PT. Bernofarm
640 Metoklopramid inj 5 mg/mL Metoklopramid inj 5 mg/mL Ampul PT. Bernofarm
641 Metoklopramid tab 10 mg Metoklopramid tab 10 mg Tablet PT. Kimia Farma
642 Metoklopramid tab 5 mg Metoklopramid tab 5 mg Tablet PT. Kimia Farma
643 Metotreksat inj 25 mg/mL Metotreksat inj 25 mg/mL Vial PT. Dankos Farma
644 Metronidazol 250 mg tab Metronidazol 250 mg tab Tablet PT. Phyto Kemo agung Farma
646 Metronidazol infus 5 mg/mL Metronidazol infus 5 mg/mL Botol PT. Finusolprima Farma
660 Mometason Furoat krim 0,1% Mometason Furoat krim 0,1% Tube PT. Etercon Pharma
662 Morfin tab 10 mg Morfin tab 10 mg Tablet PT. Kimia Farma
665 MST Continous 10 mg Morfin tab 10 mg Tablet PT. Mahakam Beta Farma
666 MST Continous 15 mg Morfin tab 15 mg Tablet PT. Mahakam Beta Farma
668 Mycorine Powder 25 Mikonazol serbuk 2% Botol PT. Galenium Pharmasia Lab
669 Mycostop tab 250 mg Griseofulvin tab 250 mg Tablet PT. Galenium Pharmasia Lab
670 Myfortic 180 mg Mikofenolat Na tab 180 mg Tablet PT. Novartis Indonesia
671 Myfortic 360 mg Mikofenolat Na tab 360 mg Tablet PT. Novartis Indonesia
682 Navelbine inj 10 mg Vinorelbin inj 10 mg/mL Vial PT. Menarini Indria Lab
683 Nebido inj Testosteron inj 250 mg/mL Ampul PT. Bayer Indonesia
687 Nerilon Cream Diflukortolon valerat salep 0,1% Tube PT. Interbat
689 Nevirapin tab 200 mg Nevirapin tab 200 mg Tablet PT. Kimia Farma
691 Nifedipin 10 mg Nifedipin 10 mg Tablet PT. Dexa Medica
699 Nitrokaf Forte 5 mg kaps Gliseril Trinitrat kaps 5 mg Kapsul PT. Kimia Farma
700 Nitrokaf Retard 2,5 mg kaps Gliseril Trinitrat kaps 2,5 mg Kapsul PT. Kimia Farma
705 Notrixum inj 25 mg/2,5 mL Atracurium inj 25 mg/2,5mL Ampul PT. Novell Pharmaceutical
709 Nutriflex Lipid Peri Larutan Asam amino Softbag PT. Phapros
710 Nutriflex Lipid Special Larutan Asam amino (glukosa&elektrolit 180) Softbag PT. Phapros
711 Nutriflex Lipid Special Larutan Asam amino (glukosa&elektrolit 90) Softbag PT. Phapros
712 Obat anti tuberculosisi TDC kategori anak
Obat anti tuberculosisi TDC kategori anak (Rp 232,518) PT. Phapros
713 Obat anti tuberculosisi TDC kategori IIObat anti tuberculosisi TDC kategori II (Rp 1,297,894) PT. Phapros
715 Octalbin 25% 100 mL Albumin 25% 100 mL Botol PT. Kalbe Farma
727 Oksaliplatin inj 50 mg Oksaliplatin inj 50 mg Vial PT. Sanbe Farma
728 Oksitosin inj 10 IU/mL Oksitosin inj 10 IU/mL Ampul PT. Ethica Industri Farmasi
732 Omeprazol tab 20 mg Omeprazol tab 20 mg Tablet PT. Novapharin
733 Omniscan inj Gadodiamid inj 287 mg/mL Ampul PT. Tunggal Idaman Abadi
739 Ondansetron tab 4 mg Ondansetron tab 4 mg Tablet PT. Indofarma
740 Ondansetron tab 8 mg Ondansetron tab 8 mg Tablet PT. Novell Pharmaceutical
741 Onzapin 10 mg Olanzapin 10 mg Tablet PT. Actavis
742 Onzapin 5 mg Olanzapin 5 mg Tablet PT. Actavis
757 Oxitel inj 50 Oksaliplatin inj 50 mg Vial PT. Novell Pharmaceutical
758 Oxtercid inj 750 mg Sefuroksim inj 750 mg Vial PT. Interbat
763 Paclon inj 100 Paklitaksel inj 100 mg/mL Vial PT. Novell Pharmaceutical
764 Paclon inj 30 Paklitaksel inj 30 mg/mL Vial PT. Novell Pharmaceutical
766 Paklitaksel inj 100 mg/mL Paklitaksel inj 100 mg/mL Vial PT. Dankos Farma
767 Paklitaksel inj 30 mg/mL Paklitaksel inj 30 mg/mL Vial PT. Dankos Farma
768 Paklitaksel inj 30 mg/mL Paklitaksel inj 30 mg/mL Vial PT. Sanbe Farma
773 Parasetamol infus 1000mg/100 mL Parasetamol infus 1000mg/100 mL Botol PT. Natura Lab Prima
779 PEG Intron inj 100 mcg Pegylated Interferon alfa-2b inj 100 mcg Vial PT. Merck Sharp Dohme p
790 Pirantel Pamoat tab 125 mg Pirantel Pamoat tab 125 mg Tablet PT. Holi Pharma
793 Plasbumin 20% 20 mL Albumin 20% 20 mL Botol PT. Dipa Pharmalab Intersains
809 Primakuin tab 15 mg Primakuin tab 15 mg Tablet PT. Phapros
818 Prohiper tab 10 mg Metilfenidat tab 10 mg Tablet PT. Mersifarma Tirmaku Mercusana
822 Prothyra 10 mg Medroksi Progesteron asetat tab 10 mg Tablet PT. Sunthi Sepuri
823 Provera 100 mg Medroksi progesteron asetat tab 100 mg Tablet PT. Pfizer Indonesia
827 Puralex tab Attapulgit tab 650 mg Tablet PT. Zenith
828 Pycin inj Ampicillin 500mg + Sulbactam 250mg inj Vial PT. Bernofarm
829 Ramipril 2,5 mg Ramipril 2,5 mg Tablet PT. Dexa Medica
833 Ramipril tab 5 mg Ramipril tab 5 mg Tablet PT. Novell Pharmaceutical
834 Ranitidin inj 25 mg/mL Ranitidin inj 25 mg/mL Ampul PT. Natura Lab Prima
836 Ranitidin tab 150 mg Ranitidin tab 150 mg Tablet PT. Hexpharm Jaya Lab
837 Rebetol 200 mg Ribavirin tab 200 mg Tablet PT. Merck Sharp Dohme p
838 Recansa 10 mg Rosuvastatin 10 mg Tablet PT. Aventis Pharma
847 Retaphyl SR 300 Teofilin tab SR 300 mg Tablet PT. Kimia Farma
848 Rexta inj Oksaliplatin inj 50 mg Vial PT. Kalbe Farma
851 Rifampisin tab 600 mg Rifampisin tab 600 mg Tablet PT. Indofarma
854 Ringerfudin Larutan Elektrolit Botol PT. Phapros
863 Salbutamol tab 2 mg Salbutamol tab 2 mg Tablet PT. Phapros
864 Salbutamol tab 4 mg Salbutamol tab 4 mg Tablet PT. Kimia Farma
868 Sandepril 50 mg Maprotilin HCl tab 50 mg Tablet PT. Mersifarma Tirmaku Mercusana
869 Sandimmun Neoral 100 mg Siklosporin kaps 100 mg Kapsul PT. Novartis Indonesia
872 Sandostatin 0,05-6 mg/mL Okreotide acetat 0,05-6 mg/mL Ampul PT. Novartis Indonesia
876 Sansulin M30 Human Insulin Mix penfill Fls PT. Sanbe Farma
877 Sansulin R Human Insulin Short 100 IU Kwikpen PT. Sanbe Farma
878 Scabimite Cream 5% 10 g Permetrin krim 5% Tube PT. Galenium Pharmasia Lab
882 Sefadroksil sir kering 250 mg/5mL Sefadroksil sir kering 250 mg/5mL Botol PT. Holi Pharma
884 Sefadroksil tab 500 mg Sefadroksil tab 500 mg Tablet PT. Pharma Lab
885 Sefaleksin tab 500 mg Sefaleksin tab 500 mg Tablet PT. Ifars Pharmaceutical
888 Sefiksim 100 mg Sefiksim 100 mg Tablet PT. Dexa Medica
889 Sefiksim 100 mg Sefiksim 100 mg Tablet PT. Hexpharm Jaya Lab
890 Sefiksim 400 mg + Azitromisin 1000 mg
Sefiksim 400 mg + Azitromisin 1000 mg Tablet PT. Kimia Farma
892 Sefoperazon + Sulbactam inj 1000 mg)Sefoperazon 500 mg + Sulbactam 500 mg ( inj 1000 mg) Vial PT. Infion
893 Sefoperazon 500 mg mg + sulbactam 500
Sefoperazon
mg serb inj
500 mg mg + sulbactam 500 mg serb inj (Rp 18,700) PT. Etercon
896 Sefotaksim inj 1 g Sefotaksim inj 1 g Vial PT. Dexa Medica
899 Sefpirom inj 1000 mg Sefpirom inj 1000 mg Vial PT. Etercon Pharma
910 Sertirizin sirup 5 mg/5 mL Sertirizin sirup 5 mg/5 mL Botol PT. Erela
913 Sevodex Sevofluran Botol PT. Dexa Medica
918 Siklofosfamid inj 1.000 mg Siklofosfamid inj 1.000 mg Vial PT. Dankos Farma
919 Siklofosfamid inj 200 mg Siklofosfamid inj 200 mg Vial PT. Dankos Farma
921 Simarc 2 mg Warfarin 2 mg Tablet PT. Pratapa Nirmala
924 Simvastatin tab 10 mg Simvastatin tab 10 mg Tablet PT. Mersifarma Tirmaku Mercusana
925 Simvastatin tab 20 mg Simvastatin tab 20 mg Tablet PT. Natura Lab Prima
929 Siprofloksasin 500 mg Siprofloksasin 500 mg Tablet PT. Novapharin
930 Siprofloksasin 500 mg infus Siprofloksasin 500 mg infus Botol PT. Hexpharm Jaya Lab
932 Sisplatin inj 10 mg Sisplatin inj 10 mg Vial PT. Dankos Farma
933 Sisplatin inj 50 mg Sisplatin inj 50 mg Vial PT. Dankos Farma
934 Skizon Cream Betametason krim 0,5mg/g Tube PT. Hexpharm Jaya Lab
936 Soft U Derm Hydro 10% Urea krim 10% Tube PT. Galenium Pharmasia Lab
938 Soluvit N Larutan Lipid Vial PT. Fresenius Kabi Combiphar
939 Spica Spinal inj Buvipacain inj 0,50% Ampul PT. Phapros
949 Sufenta inj 5 mcg/mL Sufentanil inj 5 mcg/mL Ampul PT. Kimia Farma
952 Sulfasalazin 500 mg tab Sulfasalazin 500 mg tab Tablet PT. Imfarmind Farmasi Indtr
958 Synarcus Cream Flusinolon Asetonid salep 0,025% krim Tube PT. Ifars Pharmaceutical
961 Taceedo 80 inj Dosetaksel inj 80 mg/2 mL Vial PT. Kimia Farma
962 Tamofen 10 mg Tamoksifen 10 mg Tablet PT. Kalbe Farma
969 Tarivid TM 3% Ofloksasin TM 3% Botol PT. Kalbe Farma
972 Temiral SM 3% Asiklovir Salep Mata 3% Tube PT. Sanbe Farma
975 Tenofovir tab 300 mg Tenofovir tab 300 mg Tablet PT. Kimia Farma
978 Terbutalin tab 2,5 mg Terbutalin tab 2,5 mg Tablet PT. Ifars Pharmaceutical
982 Tetrasiklin 500 mg Tetrasiklin 500 mg Tablet PT. Novapharin
987 Thyrozol 10 mg Tiamazol tab 10 mg Tablet PT. Meprofarm
989 Thyrozol 5 mg Tiamazol tab 5 mg Tablet PT. Meprofarm
993 Totilac Larutan Elektrolit Botol PT. Kalbe Farma
1001 Triheksifenidil tab 2 mg Triheksifenidil tab 2 mg Tablet PT. Holi Pharma
1004 Triofusin 1600 Larutan Elektrolit Botol PT. Kalbe Farma
1005 Triofusin 500 Larutan Elektrolit Botol PT. Kalbe Farma
1006 Triofusin E 1000 Larutan Elektrolit Botol PT. Kalbe Farma
1007 Tutofusin OPS Larutan Elektrolit Botol PT. Kalbe Farma
1009 Ulsidex 500 mg Sukralfat 500 mg tab Tablet PT. Dexa Medica
1015 Uromitexan inj 100 mg Mesna inj 100 mg/mL Vial PT. Menarini Indria Lab
1016 Vagizol ovula Metronidazol ovula 500 mg Ovula PT. Kimia Farma
1018 Vaksin BCG (GS) Vaksin BCG (GS) Vial PT. Bio Farma
1019 Vaksin BCG (SSI) inj lk 0,75 mg/mL + pelarut
Vaksin BCG (SSI) inj lk 0,75 mg/mL + pelarut Vial PT. Bio Farma
1020 Vaksin BCG kering (BF) Vaksin BCG kering (BF) Vial PT. Bio Farma
1021 Vaksin Campak inj s.k + pelarut Vaksin Campak inj s.k + pelarut Vial PT. Bio Farma
1024 Vaksin Hepatitis B Rekombinan dewsaVaksin Hepatitis B Rekombinan dewsa Vial (Rp 52,052) PT. Bio Farma
1025 Vaksin Jerap Difteri tetanus (TD) 4/15 IfVaksin
per mLJerap
(i.m) Difteri tetanus (TD) 4/15 If per mL (i.m) Vial (Rp 16,995) PT. Bio Farma
1026 Vaksin Jerap Difteri tetanus (TD) 40/15Vaksin
If per mL
Jerap
(i.m)Difteri tetanus (TD) 40/15 If per mL (i.m) Vial (Rp 17,996) PT. Bio Farma
1030 Valasiklovir tab 500 mg Valasiklovir tab 500 mg Tablet PT. Bernofarm
1033 Valproat sirup 250 mg/5 mL Valproat sirup 250 mg/5 mL Botol PT. Dexa Medica
1036 Vancep 500 mg inj Vankomisin inj 500 mg Vial PT. Pratapa Nirmala
1037 V-Bloc 6,325 mg Karvedilol tab 6,25 mg Tablet PT. Kalbe Farma
1038 Ventolin Rotacaps 200 mcg Salbutamol serbuk inh 200 mcg Fls PT. Glaxo Wellcome Indonesia
1039 Ventolin Rotahaler 200 mcg Salbutamol inh 200 mcg (alat hirup) Fls PT. Glaxo Wellcome Indonesia
1040 Verapamil tab 80 mg Verapamil tab 80 mg Tablet PT. Kimia Farma
1046 Vincristine Kalbe 1 mg/mL Vinkristin inj 1 mg/mL Vial PT. Kalbe Farma
1047 Vincristine Kalbe 2 mg/mL Vinkristin inj 2 mg/mL Vial PT. Kalbe Farma
1050 Vinorelbin inj 10 mg/mL Vinorelbin inj 10 mg/mL Vial PT. Ferron Par Pharmaceuticals
1051 Vinorelsin inj 10 mg/mL Vinorelbin inj 10 mg/mL Vial PT. Actavis
1053 Vitalipid N- Infant Larutan Lipid Botol PT. Fresenius Kabi Combiphar
1054 Vitalipid N-Adult Larutan Lipid Botol PT. Fresenius Kabi Combiphar
1055 Vitamin A (Retinol) tab 100.000 IU Vitamin A (Retinol) tab 100.000 IU Tablet PT. Kimia Farma
1056 Vitamin A (Retinol) tab 200.000 IU Vitamin A (Retinol) tab 200.000 IU Tablet PT. Kimia Farma
1057 Vitamin B Komplex tab Vitamin B Komplex tab Tablet PT. Kimia Farma
1058 Vitamin B1 (Tiamin) tab 50 mg Vitamin B1 (Tiamin) tab 50 mg Tablet PT. Novapharin
1059 Vitamin B12 (Sianokobalamin) inj 500 mcg
Vitamin B12 (Sianokobalamin) inj 500 mcg Vial (Rp 1,035) PT. Lucas Djaja
1060 Vitamin B12 (Sianokobalamin) tab 50 mcg
Vitamin B12 (Sianokobalamin) tab 50 mcg Tablet (Rp 46) PT. Marin Liza Farmasi
1061 Vitamin B6 (Piridoksin) tab 10 mg Vitamin B6 (Piridoksin) tab 10 mg Tablet PT. Kimia Farma
1063 Vitamin C (Asam Askorbat) tab 250 mgVitamin C (Asam Askorbat) tab 250 mg Tablet PT. Kimia Farma
1064 Vitamin K1 (Fitomenadion) inj 10 mg/mL
Vitamin
(i.m) K1 (Fitomenadion) inj 10 mg/mL (i.m) Ampul PT. Phapros
1065 Vitamin K1 (Fitomenadion) inj mg/mL Vitamin
(i.m) K1 (Fitomenadion) inj mg/mL (i.m) Tablet PT. Phapros
1082 Xalatan 0,005% Latanopros TM 0,005% 2,5mL Botol PT. Pfizer Indonesia
1086 Xeloda 500 mg Kapesitabin 500 mg Tablet PT. Boehringer Ingelhem
1089 Zidofudin 300 mg + Lamivudin 150 mg Zidofudin 300 mg + Lamivudin 150 mg Tablet PT. Kimia Farma
1090 Zidofudin kaps 100 mg Zidofudin kaps 100 mg Kapsul PT. Kimia Farma
1091 Zinc sir 20 mg/5mL Zinc sir 20 mg/5mL Botol PT. Meprofarm
1094 Zinc tab 20 mg Zinc tab 20 mg Tablet PT. Kimia Farma
Amoksisilin sir kering Forte 250 mg/5 mL Botol (Rp 3,400) PT. Novapharin

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DAFTAR HARGA E-CATALOG 2018

NO NAMA E-CATALOG NAMA GENERIK HARGA 2018 PRINCIPAL

1 Madopar Benserazid 25 mg, levodopa 100 mg (Rp 3,950) PT Boehringer Ingelheim

NO NAMA E-CATALOG NAMA GENERIK HARGA 2017 HARGA 2018 PRINCIPAL

1 AAFACT faktor VIII serbuk inj 500 IU + pelarut 5AAFACT

NO NAMA E-CATALOG NAMA GENERIK HARGA 2018 PRINCIPAL

NO NAMA E-CATALOG NAMA GENERIK HARGA 2018 PRINCIPAL

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