2020

DAFTAR HARGA PT. INTERBAT PER 1 JANUARI 2020

NAMA PRODUK UNIT GENERIK HARGA HARGA @
ACITRAL LIQUID 120 ML 1 Magnesium hydroxide 200mg + Aluminium Hydroxide 200mg + Simethicone 20mg per 5 ml 37,500 37,500
ACITRAL TABLET 100TAB 100 Magnesium hydroxide 200mg + Aluminium Hydroxide 200mg + Simethicone 20mg 115,500 1,155
ALCO ORAL DROPS 15 ML 1 Pseudoefedrine HCI 7,5mg/0,8 ml 77,500 77,500
Pseudoefedrine HCI 30 mg + Brompheniramine maleate 2mg + Dextromethorphan HBr 10mg / 5 ml
ALCO PLUS DMP SYRUP 100 ML 1 44,500 44,500

ALCO PLUS SYRUP 100 ML 1 Pseudoefedrine HCI 30 mg + Brompheniramine maleate 2mg / 5 ml 55,000 55,000
ALOXID SOLUTION 2 % 1 Minoxidil 2% 100,000 100,000
Paracetamol 500mg + Dextromethorphan HBr 15mg+ Clhlorpheniramine maleate 1mg
ANADEX DRAGEE 100 Phenylopropanolamine HCI 15mg 250,000 2,500

Paracetamol 120 mg + Dextromethorphan Hbr 3,5 mg + Chlorpheniramine maleate 0,5 mg +

ANADEX SYRUP 60 ML (N) 1 Phenylpropanolamine Hcl 3,5 mg per 5 ml 30,000 30,000
Lycopene 2 mg + Grape Seed extr 40 mg + Green Tea extr 50 mg + Beta carotene 6 mg + Vit B3 20 mg
ANTOX 60 + Vit B6 25 mg + Vit B12 6 mcg + Vit C 100 mg + Vit E 25 mg + Zinc 15 mg + Selenium 50 mcg 371,700 17,700

ANTRAIN TABLET 100 Metamizole Na 500 mg 186,375 1,864

ANTRAIN INJ 5 Metamizole Na 1 g per 2 ml 50,000 10,000
Malic acid 700 mg + Glucosamine Hcl 800 mg + L-Arginine Hcl 800 mg + Glycine 333 mg + Glycyrrhizinic
acid 33.3 mg + Zinc sulfate 5 mg + Calcium pantothenate 3 mg + Pyridoxine 0.6 mg + Folic acid 133 mcg
AVITER 21 + Cyanocobalamin 0.5 mcg + Cistus incanus 125 mg + Zinc sulphate 5 mg 672,000 32,000

CEPTIK 100 MG 30 Cefixime 100 mg 735,000 24,500

CEPTIK 200 MG 10 Cefixime 200 mg 362,500 36,250
CEPTIK SYRUP KERING 30 ML 1 Cefixime 100 mg per 5 ml (30 ml) 100,000 100,000
CLABAT 500 MG 20 Amoxicillin 500 mg + Clavulanic Acid 125 mg 328,000 16,400
CLABAT DRY SYRUP 60 ML 1 Amoxicillin 125 mg + Clavulanic Acid 31,25 mg/5ml (60 ml) 87,000 87,000
CLABAT FORTE DRY SYRUP 60 ML 1 Amoxicillin 250 mg + Clavulanic Acid 6,25mg/5ml (60 ml) 108,000 108,000
Potassium Clavulanate setara dengan Clavulanic Acid 200 mg dan Amoxicillin Sodium setara dg
CLABAT SERBUK INJEKSI 10 900,000 90,000
Amoxicillin 1000 mg
CLIAD TABLET 50 Chlordiazepoxide 5mg+Clidinium Br 2,5 mg 125,000 2,500
CLINIUM 1% GEL 1 Clindamycin 1% (15 g) 36,700 36,700
CLINIUM CAP 150 mr 100 Clindamycin 150 mg 515,000 5,150
CLINIUM CAP 300 mg 100 Clindamycin 300 mg 870,000 8,700
CLOGIN 28 Clopidogrel bisulfate setara dengan Dopidogrel 75 mg 502,500 17,946
COBAZIM CAP 3000MG 100 Coezyim B12 3000 mcg 1,050,000 10,500
COBAZIM CAP 1000MG 100 Coezyim B12 1000 mcg 430,000 4,300
COLME CAP 100 Chloramphenicol 250 mg 99,000 990
COLME EAR DROPS 8 ML 1 Chloramphenicol 10% + Lidocain HCI 4% + Propylen glycol to 100ml 36,750 36,750

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COLME EYE DROPS 8 ML 1 Chloramphenicol 0,5% 41,000 41,000

CORTAMINE 60 ML 1 Betamethasone 0.25 mg + Dexchlorpheniramine Maleate 2 mg per 5 ml 49,000 49,000
CORTAMIN TABLET 50 Betamethasone 0.25 mg + Dexchlorpheniramine Maleate 2 mg 150,000 3,000
COTEN LICAPS 30 MG 30 Coenzyme Q10/ Ubidecarenone 30mg 210,000 7,000
COTEN 100 MG 30 Coenzyme Q10 100 mg 435,000 14,500
Curcuminoid 2 mg + FOS 2,5 g + DHA liquid 100 mg + Arachidonic acid 50 mg + Vit B1 1 mg + Vit B2 1
CURFOS Syrup 1 mg + Vit B6 1,5 mg + Vit B12 3 mcg + Beta Carotene 2 mg + Pantothenol 3 mg per 5 ml 123,000 123,000

DAZOLIN 1 Metronidazole 5 mg/mL 100,000 100,000

DERMANIDE CREAM / OINT 1 Desonide 0.05% 30,000 30,000
DERMIA 1 Ekstrak Pandanus Conoideus dan Microsilver 42,000 42,000
DIAGIT TABLET 100 100 Activated Attapulgite 600mg + Pectin 50mg 235,000 2,350
DIFLAM 50 FCT 50 Diklofenak Kalium 50 mg 190,000 3,800
DIGENTA CREAM 1 Gentamicin Sulfate 0,1% + Betamethasone 0,05% (10 gr) 85,000 85,000
DOZIL 30 Donepezil Hcl 5 mg 585,000 19,500
EPIVAS 5 Norepinephrine bitartrate monohydrate 2,1 mg setara dengan Norepinephrine 1 mg 450,000 90,000
ERDOBAT KAPSUL 20 Erdosteine 300 mg 132,000 6,600
ERDOBAT DS 1 Erdosteine 175 mg per 5 ml 45,000 45,000
ERYTHRIN CAP 500 MG 50 Erythromycin 500 mg 357,500 7,150
ERYTHRIN CAP 250 MG 100 Erythromycin 250 mg 117,273 1,173
ERYTHRIN DRY SYRUP 60 ML 1 Erythromycin 200 mg per 5 ml 50,000 50,000
EXTIMON 1 Ceftazidime 1 gr 297,500 297,500
FENRIS SUSP. JERUK 60 ML 1 Ibuprofen 100 mg / 5 ml 32,500 32,500
FERTIN 10 10 Clomiphene citrate 50mg 172,500 17,250
FERZOBAT 1 Cefoperazone 1 gr 207,500 207,500
FETIK SUPPOSITORIA 10 Ketoprofen 100 mg 157,500 15,750
FINPRO 30 Finastreride 5 mg 378,000 12,600
FRILADAR 2 MG 30 Glimepiride 2 mg 187,500 6,250
FRILADAR 3 MG 30 Glimepiride 3 mg 219,000 7,300
FUTADERM CREAM /OINT 1 Fusidic Acid 2% / Na Fusidate 2 % 102,000 102,000
GASTRIDIN TABLET 100 Ranitidine HCI 150 mg 565,000 5,650
GASTRIDIN INJ 5 Ranitidine HCI 50 mg per 2 ml 125,000 25,000
GITAS PLUS TABLET 50 Hyoscine N-butylbromide 10 mg + Paracetamol 500 mg 305,000 6,100
GITAS INJ 5 Hyoscine N-butylbromide 20 mg 136,250 27,250
HESMIN 30 Diosmin 450 MG + Hesperidin 50 MG 282,000 9,400
Euqeniae polyanthae folium 24.4% + Physalis angulata herba 24.4% + Sonchus arvensis folium 12.2% +
HYRIC 50 Plantago major folium 12.2% 370,000 7,400

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Echinacea Purpurea extr Powder 500 mg + Odorless Garlic Powder 300 mg + Vit C 100 mg + Zinc
IMMUCEA Kaplet 30 picolinate 10 mg 294,000 9,800

IMMUCEA SYRUP 1 Echinacea Fresh Juice 50% 1.66 ml + Zinc picolinate 50 mg 95,000 95,000
INADRYL EXPEC 50 ML 1 Diphenhydramine HCI 12,5 mg + Ammonium chloride 135 mg + Menthol 2,5 mg per 5 ml 22,500 22,500
INADRYL EXPECTORANT 100 ML 1 Diphenhydramine HCI 12,5 mg + Ammonium chloride 135 mg + Menthol 2,5 mg per 5 ml 39,000 39,000
Diphenhydramine HCI 12,5 + Ammonium expect syrup chloride 125 mg + Sodium citrate 50 mg +
INADRYL PLUS EXP 120 ML 1 menthol 1 mg 15,500 15,500

Ferro Glukonat 250mg, Mangan Sulfat 0,2mg, Copper Sulfat 0,2mg, vit C 50 mg, Asam Folat 1mg, Vit B
INBION CAP 100 12 with intrisik Faktor 7,5 mcg, Sorbitol 25 mg 250,000 2,500

INCELIN 500 mg 30 Citicoline 500 mg 502,500 16,750

INCELIN INJ 1000 MG 5 Citicoline 1000 mg 587,500 117,500
INCELIN INJ 250 MG 5 Citicoline 250 mg 235,000 47,000
INCELIN INJ 500 MG 5 Citicoline 500 mg 410,000 82,000
INCLARIN 50 Loratadine 10 mg 290,000 5,800
INCLOVIR 42 Valacyclovir 500 mg 766,500 18,250
INDEXON TABLET 100 Dexamethasone 0,5 mg 75,000 750
INDEXON INJ 5 Dexamethasone 5 mg per 1 ml 60,000 12,000
INERSON OINT 15gr 1 Desoxymethasone 0.25% 72,250 72,250
INFELD CAP 20 MG 50 Piroxicam 20mg 125,000 2,500
INFELD CAP 10 MG 50 Piroxicam 10mg 35,000 700
INFELD GEL 1 Piroxicam 0,5% 35,000 35,000
INKALOA 30 Pelargonium sidoides radix 20 mg 86,100 2,870
INKURIN 30 Pumpkin Seed extr EFLA 940 250 mg 262,500 8,750
INLACTA 30 Fish oil 500 mg (DHA 225 mg, EPA 45 mg) + Vit E 5 mg 195,000 6,500
Dexamethasone Sodium phosphate 1 mg + polymycin B sulfate 6000 IU +Neomycin sulfate 3,5mg/1ml
INMATROL TETES MATA 5 ML 1 41,000 41,000

INSAAR 50MG 30 Losartan 50mg 390,000 13,000

INTERBI 5gr 1 Terbinafine HCL 1% 30,000 30,000
INTERBI 250gr 12 Terbinafine HCL 250 mg 378,000 31,500
INTERCO INJEKSI 5 Mecobalamin 500 mcg per 1 ml 170,000 34,000
INTERCO KAPSUL 500 MG 100 Mecobalamin 500 mcg 300,000 3,000
INTERCON CREAM /OINT 1 Mometasone Furoate 0,1% (10 g) 88,000 88,000
INTERDOXIN 50mg 20 Doxycycline hyclate 50mg 92,000 4,600
INTERDOXIN 100mg 20 Doxycycline hyclate 100mg 150,000 7,500
INTERFLOX CAP 500 MG 12 Ciprofloxacin 500 mg 192,000 16,000
INTERHISTIN SYRUP 60 ML 1 Mebhydrolin napadisilate 50 mg / 5 ml 38,500 38,500

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INTERHISTIN TABLET 100 Mebhydrolin napadisilate 50 mg 83,000 830

INTERKRILL 30 Krill Oil 500 mg 285,000 9,500
INTERLAC 1 Lactobacillus reuteri protectis 255,000 255,000
INTERLAC PRO D 30 Lactobacillus reuteri DSM 17938 (1 x 10 CFU), Lactobacillus reuteri ATCC PTA 5289 (1 x 10 CFU)
8 8
290,000 9,667
INTERLAC MINI PACK 30 Lactobacillus reuteri protectis DSM 17938 hidup 10 CFU
8
300,000 10,000
INTERLAC TABLET KUNYAH LEMON 30 Lactobacillus reuteri protectis DSM 17938 hidup 10 8 CFU 279,000 9,300
INTERLAC TABLET KUNYAH STRAWBERRY 30 Lactobacillus reuteri protectis DSM 17938 hidup 10 8 CFU 279,000 9,300
INTERMIC INJ 5 Tranexamic acid 250 mg per 5 ml 112,500 22,500
INTERMOXIL 500 MG 100 Amoxycillin 500mg 370,000 3,700
INTERMOXIL 1000 MG 50 Amoxycillin 1000mg 323,400 6,468
INTERMOXIL FORTE SYR 60 ML 1 Amoxycillin 250 mg per 5 ml 53,000 53,000
INTERMOXIL SYRUP 60 ML 1 Amoxycillin 125 mg per 5 ml 45,000 45,000
INTERMOXIL INJ 10 Amoxycillin 307,500 30,750
INTERNOLOL TAB 50 MG 30 Atenolol 50mg 102,000 3,400
INTEROME INJ 1 Cefpirome 1 gr 335,000 335,000
INTERPEC 15 ELIXIR 60 ML 1 Ambroxol HCI 15 mg/5 ml 44,750 44,750
INTERPEC 30 ELIXIR 60 ML 1 Ambroxol HCI 30 mg/5 ml 48,000 48,000
INTERPEC 30 MG TABLET 100 Ambroxol HCI 30 mg 150,000 1,500
INTERPIM INJ 1 Cefepime 1 gram 357,000 357,000
INTERPRIL TAB 10 MG 30 Lisinopril 10 mg 157,500 5,250
INTERPRIL TAB 5 MG 30 Lisinopril 5 mg 106,500 3,550
INTERQUIN 5% 1 Hydroquinone 5% + AHA 4% 54,500 54,500
INTERSUN SPF 25 (LOTION) 1 SPF 25 48,465 48,465
INTERSUN SPF 30 (CREAM) 1 SPF 30 42,000 42,000
INTERVASK TAB 5 MG 30 Amlodipine besylate 5 mg 228,000 7,600
INTERVASK TAB 10 MG 30 Amlodipine besylate 10 mg 397,500 13,250
INTERXANTHIN 30 (Natural) Astaxanthin 4 mg 334,500 11,150
INTERZINC TABLET 100 Zinc sulphate 20 mg 400,000 4,000
INTERZINC SYRUP 1 Zinc sulphate 20 mg / 5 ml 40,000 40,000
INTERZOL CREAM 5 mg 1 Ketoconazole 2% 25,500 25,500
INTERZOL TABLET 50 Ketoconazole 200 mg 300,000 6,000
INTERZOL SS 2% 1 Ketoconazole 2% 91,500 91,500
INTIDROL 4 MG 50 Methylprednisolone 4 mg 187,500 3,750
INTIDROL TAB 16 MG 20 Methylprednisolone 16 mg 180,000 9,000
INTIDROL VIAL 125 MG 1 Metilprednisolon sodium succinate buffered 3% stril setara dengan Metylprednisolon 125 mg 120,000 120,000
INTIFEN TABLET 100 Ketotifen 1 mg 405,000 4,050

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INTRIZIN TAB 10 MG 30 Cetirizine 2HCL 10 mg 196,500 6,550

INTRIZIN SYRUP 60 ML 1 Cetirizine 2HCL 5 mg per 5 ml 63,000 63,000
INTRIZIN DROP 15 ML 1 Cetirizine 2HCL 10 mg per 1 ml 88,000 88,000
INVOMIT TABLET 4 MG 18 Ondansetron 4 mg 301,500 16,750
INVOMIT TABLET 8 MG 18 Ondansetron 8 mg 450,000 25,000
INVOMIT 4 MG INJ 5 Ondansetron HCI 4 mg 192,500 38,500
INVOMIT 8 MG INJ 5 Ondansetron HCI 8 mg 385,000 77,000
ISORIC 100 MG 50 Allopurinol 100 mg 106,250 2,125
ISORIC 300MG 50 Allopurinol 300 mg 197,500 3,950
KETROBAT 10 MG INJ 5 Ketorolac Tromethamine 10 mg 110,000 22,000
KETROBAT 30 MG INJ 5 Ketorolac Tromethamine 30 mg 247,500 49,500
LADERMA 1 Aloe Vera, Jojoba Oil, Vitamin E, Vitamin C 72,000 72,000
LECITROL 30 Resveratol 25 mg + Lechitin 95% (Soybean) 300 mg 268,500 8,950
LOTASBAT CREAM 1 Clobetasol Propionat 0,05% (10 g) 51,000 51,000
LOTASBAT OINTMENT TUBE 1 Clobetasol Propionat 0,05% (10 g) 47,000 47,000
LOTYN TABLET 30 Lovastatin 20 mg 353,250 11,775
LOXINTER TABLET 30 Ofloxacin 200 mg 311,063 10,369
Vit A 3000 IU + Vit B1 5mg + Vit B2 1,5mg + Vit B6 1,5mg + Vit B12 5mcg + Vit C 50mg + Vit D 600 IU +
LYCALVIT SYRUP 60 ML 1 Nicotinamide 20 mg + Calcium Panthotenate 7,5 mg + Calcium Gluconate 300mg + Phosphorus 15 mg + 39,500 39,500
Lysine HCI 100 mg / 5ml

Vit B6 20 mg, Vit C 25 mg, Vit D3 100 IU, Ca laktat 100 mg, Ca monohidrogen fosfat 200 mg
LYCALVIT TAB 100 155,000 1,550

Vit A 5000IU + Vit B1 3 mg+ Vit B2 1,5mg + Vit B6 2,5mg +Vit B12 5mcg + Vit C 50 mg + Vit D 1000 IU +
LYVIT SYRUP 60 ML 1 Nicotinamide 20 mg. + d-Panthenol 5 mg+ Lysine HCI 200mg/5ml 35,000 35,000

MEFINTER 500 MG 100 Mefenamic acid 500mg 210,000 2,100

MELOXIN 7,5 50 Meloxicam 7,5 mg 325,000 6,500
MELOXIN 15 MG 50 Meloxicam 15 mg 537,500 10,750
MELOXIN INJ 5 Meloxicam 15 mg per 1.5 ml 140,925 28,185
MEROBAT 500 MG 1 Meropenem 500 mg 315,000 315,000
MEROBAT 1 G INJ 1 Meropenem 1 G 608,000 608,000
MOISDERM 10 % 1 Urea 10% (20 g) 37,800 37,800
MOISDERM 20 % 1 Urea 20% (20 g) 61,950 61,950
MOXIBAT 5 Moxifloxacin 400 mg 190,000 38,000
Elastoregulator, Natural Lactic Acid (AHA), Vegetable Oil, Silicium, Trace Element, saphora Japonica
MUSTELA STRETCH MARKS CREAM 150 ML (SMDA) 1 (Chinese Tree), Extract Chlorophycea, Perfume 370,800 370,800

329,600
MUSTELA STRECH MARKS SERUM 75 ML (SMIA) 1 Alastoregulator, Lupeol, Extract Chlorophycea 329,600

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MUSTELA BC 123 100 ML 1 Zinc Oxide, Avocado Perseose, Oxeoline of alcacea, Sunflower oil distillate 127,339 127,339
MUSTELA BC 123 50 ML 1 Zinc Oxide, Avocado Perseose, Oxeoline of alcacea, Sunflower oil distillate 75,000 75,000
MUSTELA STELATOPIA EMOLLIENT CREAM 200 ML 1 Sunflower oleodistillate 295,000 295,000
MUSTELA STELATOPIA MBO 200 ML 1 Sunflower oleodistillate 286,350 286,350
MUSTELA STELATOPIA CLEANSING CREAM 200 ML 1 Sunflower oleodistillate 260,000 260,000
MUSTELA 2 IN 1 HAIR & BODY WASH 200 ML 1 Avocado Perseose, Glycerin dan Gentle Surfactants 99,225 99,225
MUSTELA BABY SHAMPOO 200 ML 1 Avocado Perseose, Chamomile dan Gentle Surfactants 109,975 109,975
MUSTELA BB GENT CLEAN GEL 500 ML 1 225,737 225,737
MUSTELA DERMO CLEANSING 200 ML 1 Avocado Perseose, Vitamin B5 dan Gentle Surfactants 121,551 121,551
MUSTELA HYDRA BB BODY LOTION 300 ML 1 Avocado Perseose, Jojoba Oil, Vitamin E & F dan Shea Butter 176,015 176,015
MUSTELA HYDRA BB FACIAL CREAM 40 ML 1 Avocado Perseose, Jojoba Oil, Vitamin E & F dan Shea Butter 109,975 109,975
MUSTELA MASSAGE OIL 110 ML 1 Avocado Perseose, Pomegranate Seed Oil, Sunflower Oil 152,880 152,880
MUSTELA MUSTI EAU DE SOIN 50 ML 1 144,450 144,450
MUSTELA NO RINSE CLEANSING WATER 300 ML 1 115,000 115,000
MUSTELA SOOTHING COMFORT BALM 40 ML 1 Avocado Perseose, Shea Butter & Ekstrak madu, Aroma Pinus & Rosemary, Ekstrak Jeruk Nipis & Chamo 112,350 112,350
MUSTELA GENTLE SOAP NUTRIPROTECTIVE 150 G 1 Avocado Perseose, Natural Cold Cream dan Ceramide 74,970 74,970
MYOBAT 50 Eperisone Hcl 50 mg 262,500 5,250
NEOSINOL CREAM 10gr 1 Fluocinolone acetonide 0.025% + Neomycin 0,5% (10 g) 29,500 29,500
NERILON CREAM 1 Diflucortolone valerate 0.1% 47,500 47,500
NEUROBAT A DRAGEE 100 Methampyrone 250mg + Vit B1 50 mg + Vit B6 100mg + Vit B12 100 mcg 262,500 2,625
NEUROBAT DRAGEE 100 Vit B1 100 mg + Vit B6 200 mg + Vit B12 200 mcg 260,000 2,600
NEUROBAT FORTE INJ 20 Vit B1 100 mg + Vit B6 100 mg + Vit B12 5000 mcg per 3 ml 240,000 12,000
Glucosamine Hcl 500 mg + Chondroitin Sulfate 400 mg + Vit C 50 mg + Vit E 50 mg + Mangan 2.5 mg +
OA FORTE 60 Magnesium 20 mg + Selenium 50 mcg + Zinc 5 mg 493,750 8,229

OCULEX AX 30 DHA 400 mg + Astaxanthin 3 mg + Lutein 10 mg + Zeaxanthin 2 mg 375,000 12,500

Bilberry dry extr 80 mg + Lutein 2 mg + Vit B2 3 mg + Vit C 100 mg + Vit E 50 IU + Zinc 5 mg+ Selenium
OCULEX Kapsul 30 20 mcg + Beta carotene 1,5 mg + Vit A 1500 IU 255,000 8,500

OCULEX Syrup 1 Bilberry dry extr 40 mg + Lutein 1 mg + Vit B2 1.5 mg + Vit E 12 IU + Beta Carotene 2.5 mg + Vit A 750 IU 66,675 66,675
OSSOVIT Kaplet 60 Calcium Citrate 500 mg + Magnesium 100 mg + Zinc 5 mg + Vit D3 200 IU + Vit K1 20 mcg 291,000 4,850
OSSOVIT Syrup 1 Calcium Citrate 250 mg + Magnesium 25 mg + Zinc 5 mg + Vit D3 100 IU 70,500 70,500
Calcium citrate 2000 mg (setara dg calcium 482,47 mg) + vitamin D3 200 IU + vitamin K1 5 mcg +
Ossovit Plus 30 Magnesium 100 mg + Zinc 10 mg + Manganese 2 mg + copper 100 mcg + soy isoflavone 60 mg (sachet 252,000 8,400
5 g)
Polymicin B sulfate 10,000 IU + Neomycin sulfate 5 mg + Fludrocortisone acetate 1 mg + Lidocain HCI
OTOPAIN EAR DROPS 8 ML 1 40mg/1ml 72,500 72,500

OXTERCID 1 Cefuroxime 750 mg 85,000 85,000

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PAMOL ORAL DROP 1 Paracetamol 60 mg 45,250 45,250

PAMOL SYRUP 60 ML 1 Paracetamol 120 mg/5ml 25,750 25,750
PAMOL TABLET 100 Paracetamol 500 mg 68,500 685
PAMOL SUPPOSITORIA 125 MG 12 Parasetamol 125 mg 153,600 12,800
PAMOL SUPPOSITORIA 250 MG 12 Parasetamol 250 mg 228,000 19,000
PANTOPUMP 1 Pantoprazole sodium setara dengan pantoprazole 40 mg/vial 172,500 172,500
PANTOPUMP TABLET 7 Pantoprazole sodium sesquihydrate 40 mg 145,250 20,750
PIRABRAIN 1200 MG 60 Piracetam 1200 mg 360,000 6,000
PIRABRAIN 1G INJ 5 Piracetam 1 g per 5 ml 87,500 17,500
PIRABRAIN 3G INJ 4 Piracetam 3 g per 15 ml 272,000 68,000
PRAVINAT 10 MG 60 Pravastatin Sodium 10 MG 729,000 12,150
PRAVINAT 20 MG 60 Pravastatin Sodium 20 MG 1,020,000 17,000
PRESTRENOL TAB 50 Allylestrenol 5 mg 217,500 4,350
Promethazine HCI 5mg + Tincture Ipecacuanha 0,1 ml + Potassium sulfoguaiacolsulfonate 44 mg+
PROME EXPECTORANT 100 ML 1 Sodium citrate 197 mg + Menthol 1 mg/5ml 44,500 44,500

Promethazine HCI 5mg + Tincture Ipecacuanha 0,1 ml + Potassium guaiacolsulfonate 44 mg + Sodium

PROME EXPECTORANT 60 ML 1 citrate 197 mg + Menthol 1 mg/5ml 29,000 29,000

Dextromethorphan HBr 5 mg + Glyceryguaiacolate 50mg +Promethazine HCI 5 mg + Tincture Ipecac

PROMEDEX SYRUP 60 ML 1 0,1ml + Sodium citrate 197 mg + Menthol 1 mg/5ml 31,500 31,500

PROMEDEX TABLET 100 Dextromethorphan HBr 15mg+Glycerilguaiacolate 100mg+Chlorpheniramine maleate 1 mg 187,500 1,875
PROMENO 30 Red Clover (Trifolium pratense L) extr (Total isoflavone 40 mg) 292,500 9,750
PROTOP CAPSUL 14 Omeprazole 20 mg 217,000 15,500
Sericocalyx folium 21.4% + Orthosiphon herba 21.4% + Sanchus folium 17.85% + Plantago folium 7.15%
RENAX 50 412,500 8,250

RESPIMER BABY NASAL HYGIENE 115 ML 1 100% air laut murni equivalent NaCl 9 g/L 163,000 163,000
RESPIMER NORMAL JET NASAL HYGIENE 135 ML 1 100% air laut murni equivalent NaCl 9 g/L 146,000 146,000
RESPIMER BABY DECONGESTANT 60 ML 1 100% air laut murni equivalent NaCl 22 g/L 142,000 142,000
RESPIMER HIPERTONIC DECONGESTANT 135 ML 1 100% air laut murni equivalent NaCl 22 g/L 163,000 163,000
ROSAGEN 15 Kolagen Hidrolisat 5 g dan Ekstrak Rosehip 0,55 g 360,000 24,000

ROVASTAR 30 Rosuvastatin Calcium setara dengan Rosuvastatin 20 mg 336,000 11,200

RYCEF 1 Cefotaxime 1g 193,000 193,000

SALTICIN INJ 5 Gentamicin Sulfate 80 mg per 2 ml 110,000 22,000
SALTICIN CREAM 1 Gentamicin Sulfate 0.1 % (5 gr) 26,500 26,500
SANOSKIN MELLADERM PLUS 1 Eco honey, Glyceryn, propylene glycol, PEG 4000 (20 g) 190,000 190,000
SANOSKIN MELLADERM PLUS TULLE 10 Kasa Polyester, Eco Honey, Glyserol, Propylen Glycol, PEG 4000 760,000 76,000
SANOSKIN OXY 1 Oxygen converted into ozone and added to refined olive oil 332,000 332,000

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SANOSKIN FOAM 5 Hydrocellular Polyurethane Dressing Sterile 550,000 110,000

SEDROFEN 250 MG 30 Cefadroxil 250 mg 110,000 3,667
SEDROFEN 500 MG 30 Cefadroxil 500 mg 382,500 12,750
SEDROFEN SYRUP BTL 1 Cefadroxil 125mg/5ml 64,250 64,250
SEDROFEN FORTE SIRUP KERING 1 Cefadroxil monohydrate (setara dengan Cefadroxil 250 mg) 86,250 86,250
SITRO 300 MG 12 Roxithromycin 300 mg 151,200 12,600
SITRO 150 MG 30 Roxithromycin 150 mg 202,500 6,750
SPIRANTER 500 MG 100 Spiramycin 500 mg 825,000 8,250
SPYROCON CAP 12 Itraconazol 100 mg 294,000 24,500
STARXON 1 Ceftriaxone 1g 237,500 237,500
TETRIN 250 MG 100 Tetracycline Phosphate buffered 250 mg 40,000 400
THENIL TAB 20 MG 50 X 50 Tenoxicam 20 mg 182,700 3,654
THEOBRON CAPSUL 100 Theophylline 130 mg 235,000 2,350
THEOBRON ELIXIR 100 ML 1 Theophylline 130 mg/15 ml 42,500 42,500
THIAMYCIN 1000 MG 50 Thiamphenicol 1000mg 395,000 7,900
THIAMYCIN 250 MG 100 Thiamphenicol 250mg 205,000 2,050
THIAMYCIN 500 MG 100 Thiamphenicol 500mg 440,000 4,400
THIAMYCIN FORTE SYRUP BLT 60 ML 1 Thiamphenicol 250 mg per 5 ml 79,500 79,500
THIAMYCIN SYRUP 60 ML 1 Thiamphenicol 125 mg per 5 ml 47,000 47,000
TICLON TAB - 30 TAB / BOX 30 Ticlopidine HCI 250 mg 260,000 8,667
TILIDON 10 MG 30 Domperidone 10 mg 142,500 4,750
TILIDON SYRUP 60 ML 1 Domperidone 10 mg/5ml 48,500 48,500
TIMIPEN INJ 1 Imepenem 500 mg dan Cilastatin 500 mg 377,000 377,000
TOMIT TABLET 50 Metochlopramide HCl 10 mg 46,250 925
TOMIT INJ 5 Metochlopramide HCl 10 mg per 2 ml 58,750 11,750
TORDEX TABLET 50 Dexketoprofen 25 mg 300,000 6,000
TORDEX INJEKSI 5 Dexketoprofen 50 mg / 2 ml 205,000 41,000
TRADYL KAPSUL 50 MG 50 Tramodol HCI 50mg 218,750 4,375
TRADYL INJ 5 Tramadol Hcl 100 mg per 2 ml 110,250 22,050
Diphehydramine HCI 12,5mg + Glycerilguaiacolate 50mg + Natrium Citrate 180mg +
TRIADEX EXP/BTL 60 MI (N) 1 Phenylpropanolamin HCI 12,5 mg/5ml 13,125 13,125

TRIFED SYRUP 60 ML 1 Triprolidine HCI 1,25 mg + Pseudoephedrine HCI 30 mg/5ml 31,000 31,000
TRIFED TABLET 50 Triprolidine HCI 2,5mg+ Pseudoephedrine HCI 60mg 130,000 2,600
TRIMOXSUL FORTE 100 Trimethoprim 160 mg + Sulphamethoxazole 800mg 230,000 2,300
TRIMOXSUL SYRUP 50 ML 1 Trimethoprim 40 mg + Sulphamethoxazole 200mg/5ml 26,500 26,500
TRIMOXSUL TABLET 100 Trimethoprim 80 mg + Sulphamethoxazole 400mg 120,000 1,200

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 2020

TRACNE CREAM 0,05 % TUBE 20 GR 1 Tretinoin 0,05% 45,150 45,150

TRACNE CREAM 0,1 % TUBE 20 GR 1 Tretinoin 0,1% 52,000 52,000
TRIAMCORT TAB 100 Triamcinolone 4 mg 365,000 3,650
TRIAMCORT A CREAM 1 Triamcinolone Acetonide 0,1 % 70,000 70,000
URINTER CAPSUL 100 Pipemidic acid 400mg 532,500 5,325
Vit E 30 IU, Vit C 750 mg,Vit B1 15 mg, Vit B2 15 mg, Vit B6 25 mg, Vit B12 12 mcg, Nicotinamide 100
VITAZET 30 KAPLET 30 mg, Panthotenate acid 20 mg, Olic acid 0,4 mg, Ca 20 mg, Zinc 20 mg
226,500 7,550
VOLOX 10 Levofloxacin hemihydrate setara dengan Levofloxacin 500 mg 442,500 44,250
VOLOX EYE DROP 1 Levofloxacin 0,5% (5 ml) 62,500 62,500
VOLOX 750 MG INJEKSI 1 Levofloxacin hemihydrate setara dengan Levofloxacin 750 mg 336,000 336,000
VOLOX INFUS 1 Levofloxacin hemihydrate setara dengan Levofloxacin 5 mg 347,550 347,550
Vit E 30 IU, Vit C 750 mg,Vit B1 15 mg, Vit B2 15 mg, Vit B6 25 mg, Vit B12 12 mcg, Nicotinamide 100
VITAZET 30 KAPLET 30 mg, Panthotenate acid 20 mg, Olic acid 0,4 mg, Ca 20 mg, Zinc 20 mg 215,250 7,175

ZOTER CREAM 5 GR 1 Acyclovir 5% 49,875 49,875

ZOTER TAB 200 MG 25 Acyclovir 200mg 177,000 7,080
ZOTER TAB 400 MG 12 Acyclovir 400mg 126,000 10,500
ZYCIN CAP 250 MB 8 Azythromycin 250mg 147,000 18,375
ZYCIN 500 MG 3 Azythromycin 500mg 126,000 42,000

Page 9
 2020

Page 10
 PPN 2020

DAFTAR HARGA PT. INTERBAT PER 1 JANUARI 2020

NAMA PRODUK UNIT GENERIK HARGA
ACITRAL LIQUID 120 ML 1 Magnesium hydroxide 200mg + Aluminium Hydroxide 200mg + Simethicone 20mg per 5 ml 37,500
ACITRAL TABLET 100TAB 100 Magnesium hydroxide 200mg + Aluminium Hydroxide 200mg + Simethicone 20mg 115,500
ALCO ORAL DROPS 15 ML 1 Pseudoefedrine HCI 7,5mg/0,8 ml 77,500
Pseudoefedrine HCI 30 mg + Brompheniramine maleate 2mg + Dextromethorphan HBr 10mg / 5 ml
ALCO PLUS DMP SYRUP 100 ML 1 44,500

ALCO PLUS SYRUP 100 ML 1 Pseudoefedrine HCI 30 mg + Brompheniramine maleate 2mg / 5 ml 55,000
ALOXID SOLUTION 2 % 1 Minoxidil 2% 100,000
Paracetamol 500mg + Dextromethorphan HBr 15mg+ Clhlorpheniramine maleate 1mg
ANADEX DRAGEE 100 Phenylopropanolamine HCI 15mg 250,000

Paracetamol 120 mg + Dextromethorphan Hbr 3,5 mg + Chlorpheniramine maleate 0,5 mg +

ANADEX SYRUP 60 ML (N) 1 Phenylpropanolamine Hcl 3,5 mg per 5 ml 30,000
Lycopene 2 mg + Grape Seed extr 40 mg + Green Tea extr 50 mg + Beta carotene 6 mg + Vit B3 20 mg
ANTOX 60 + Vit B6 25 mg + Vit B12 6 mcg + Vit C 100 mg + Vit E 25 mg + Zinc 15 mg + Selenium 50 mcg 371,700

ANTRAIN TABLET 100 Metamizole Na 500 mg 186,375

ANTRAIN INJ 5 Metamizole Na 1 g per 2 ml 50,000
Malic acid 700 mg + Glucosamine Hcl 800 mg + L-Arginine Hcl 800 mg + Glycine 333 mg + Glycyrrhizinic
acid 33.3 mg + Zinc sulfate 5 mg + Calcium pantothenate 3 mg + Pyridoxine 0.6 mg + Folic acid 133 mcg
AVITER 21 + Cyanocobalamin 0.5 mcg + Cistus incanus 125 mg + Zinc sulphate 5 mg 672,000

CEPTIK 100 MG 30 Cefixime 100 mg 735,000

CEPTIK 200 MG 10 Cefixime 200 mg 362,500
CEPTIK SYRUP KERING 30 ML 1 Cefixime 100 mg per 5 ml (30 ml) 100,000
CLABAT 500 MG 20 Amoxicillin 500 mg + Clavulanic Acid 125 mg 328,000
CLABAT DRY SYRUP 60 ML 1 Amoxicillin 125 mg + Clavulanic Acid 31,25 mg/5ml (60 ml) 87,000
CLABAT FORTE DRY SYRUP 60 ML 1 Amoxicillin 250 mg + Clavulanic Acid 6,25mg/5ml (60 ml) 108,000
Potassium Clavulanate setara dengan Clavulanic Acid 200 mg dan Amoxicillin Sodium setara dg
CLABAT SERBUK INJEKSI 10 900,000
Amoxicillin 1000 mg
CLIAD TABLET 50 Chlordiazepoxide 5mg+Clidinium Br 2,5 mg 125,000
CLINIUM 1% GEL 1 Clindamycin 1% (15 g) 36,700
CLINIUM CAP 150 mr 100 Clindamycin 150 mg 515,000
CLINIUM CAP 300 mg 100 Clindamycin 300 mg 870,000
CLOGIN 28 Clopidogrel bisulfate setara dengan Dopidogrel 75 mg 502,500
COBAZIM CAP 3000MG 100 Coezyim B12 3000 mcg 1,050,000
COBAZIM CAP 1000MG 100 Coezyim B12 1000 mcg 430,000
COLME CAP 100 Chloramphenicol 250 mg 99,000
COLME EAR DROPS 8 ML 1 Chloramphenicol 10% + Lidocain HCI 4% + Propylen glycol to 100ml 36,750

Page 11
 PPN 2020

COLME EYE DROPS 8 ML 1 Chloramphenicol 0,5% 41,000

CORTAMINE 60 ML 1 Betamethasone 0.25 mg + Dexchlorpheniramine Maleate 2 mg per 5 ml 49,000
CORTAMIN TABLET 50 Betamethasone 0.25 mg + Dexchlorpheniramine Maleate 2 mg 150,000
COTEN LICAPS 30 MG 30 Coenzyme Q10/ Ubidecarenone 30mg 210,000
COTEN 100 MG 30 Coenzyme Q10 100 mg 435,000
Curcuminoid 2 mg + FOS 2,5 g + DHA liquid 100 mg + Arachidonic acid 50 mg + Vit B1 1 mg + Vit B2 1
CURFOS Syrup 1 mg + Vit B6 1,5 mg + Vit B12 3 mcg + Beta Carotene 2 mg + Pantothenol 3 mg per 5 ml 123,000

DAZOLIN 1 Metronidazole 5 mg/mL 100,000

DERMANIDE CREAM / OINT 1 Desonide 0.05% 30,000
DERMIA 1 Ekstrak Pandanus Conoideus dan Microsilver 42,000
DIAGIT TABLET 100 100 Activated Attapulgite 600mg + Pectin 50mg 235,000
DIFLAM 50 FCT 50 Diklofenak Kalium 50 mg 190,000
DIGENTA CREAM 1 Gentamicin Sulfate 0,1% + Betamethasone 0,05% (10 gr) 85,000
DOZIL 30 Donepezil Hcl 5 mg 585,000
EPIVAS 5 Norepinephrine bitartrate monohydrate 2,1 mg setara dengan Norepinephrine 1 mg 450,000
ERDOBAT KAPSUL 20 Erdosteine 300 mg 132,000
ERDOBAT DS 1 Erdosteine 175 mg per 5 ml 45,000
ERYTHRIN CAP 500 MG 50 Erythromycin 500 mg 357,500
ERYTHRIN CAP 250 MG 100 Erythromycin 250 mg 117,273
ERYTHRIN DRY SYRUP 60 ML 1 Erythromycin 200 mg per 5 ml 50,000
EXTIMON 1 Ceftazidime 1 gr 297,500
FENRIS SUSP. JERUK 60 ML 1 Ibuprofen 100 mg / 5 ml 32,500
FERTIN 10 10 Clomiphene citrate 50mg 172,500
FERZOBAT 1 Cefoperazone 1 gr 207,500
FETIK SUPPOSITORIA 10 Ketoprofen 100 mg 157,500
FINPRO 30 Finastreride 5 mg 378,000
FRILADAR 2 MG 30 Glimepiride 2 mg 187,500
FRILADAR 3 MG 30 Glimepiride 3 mg 219,000
FUTADERM CREAM /OINT 1 Fusidic Acid 2% / Na Fusidate 2 % 102,000
GASTRIDIN TABLET 100 Ranitidine HCI 150 mg 565,000
GASTRIDIN INJ 5 Ranitidine HCI 50 mg per 2 ml 125,000
GITAS PLUS TABLET 50 Hyoscine N-butylbromide 10 mg + Paracetamol 500 mg 305,000
GITAS INJ 5 Hyoscine N-butylbromide 20 mg 136,250
HESMIN 30 Diosmin 450 MG + Hesperidin 50 MG 282,000
Euqeniae polyanthae folium 24.4% + Physalis angulata herba 24.4% + Sonchus arvensis folium 12.2% +
HYRIC 50 Plantago major folium 12.2% 370,000

Page 12
 PPN 2020

Echinacea Purpurea extr Powder 500 mg + Odorless Garlic Powder 300 mg + Vit C 100 mg + Zinc
IMMUCEA Kaplet 30 picolinate 10 mg 294,000

IMMUCEA SYRUP
INADRYL EXPEC 50 ML
INADRYL EXPECTORANT 100 ML
INADRYL PLUS EXP 120 ML
1 Echinacea Fresh Juice 50% 1.66 ml + Zinc picolinate 50 mg 95,000
1 Diphenhydramine HCI 12,5 mg + Ammonium chloride 135 mg + Menthol 2,5 mg per 5 ml 22,500
1 Diphenhydramine HCI 12,5 mg + Ammonium chloride 135 mg + Menthol 2,5 mg per 5 ml 39,000
Diphenhydramine HCI 12,5 + Ammonium expect syrup chloride 125 mg + Sodium citrate 50 mg +
1 menthol 1 mg 15,500

Ferro Glukonat 250mg, Mangan Sulfat 0,2mg, Copper Sulfat 0,2mg, vit C 50 mg, Asam Folat 1mg, Vit B
INBION CAP 100 12 with intrisik Faktor 7,5 mcg, Sorbitol 25 mg 250,000

INCELIN 500 mg 30 Citicoline 500 mg 502,500

INCELIN INJ 1000 MG 5 Citicoline 1000 mg 587,500
INCELIN INJ 250 MG 5 Citicoline 250 mg 235,000
INCELIN INJ 500 MG 5 Citicoline 500 mg 410,000
INCLARIN 50 Loratadine 10 mg 290,000
INCLOVIR 42 Valacyclovir 500 mg 766,500
INDEXON TABLET 100 Dexamethasone 0,5 mg 75,000
INDEXON INJ 5 Dexamethasone 5 mg per 1 ml 60,000
INERSON OINT 15gr 1 Desoxymethasone 0.25% 72,250
INFELD CAP 20 MG 50 Piroxicam 20mg 125,000
INFELD CAP 10 MG 50 Piroxicam 10mg 35,000
INFELD GEL 1 Piroxicam 0,5% 35,000
INKALOA 30 Pelargonium sidoides radix 20 mg 86,100
INKURIN 30 Pumpkin Seed extr EFLA 940 250 mg 262,500
INLACTA 30 Fish oil 500 mg (DHA 225 mg, EPA 45 mg) + Vit E 5 mg 195,000
Dexamethasone Sodium phosphate 1 mg + polymycin B sulfate 6000 IU +Neomycin sulfate 3,5mg/1ml
INMATROL TETES MATA 5 ML 1 41,000

INSAAR 50MG 30 Losartan 50mg 390,000

INTERBI 5gr 1 Terbinafine HCL 1% 30,000
INTERBI 250gr 12 Terbinafine HCL 250 mg 378,000
INTERCO INJEKSI 5 Mecobalamin 500 mcg per 1 ml 170,000
INTERCO KAPSUL 500 MG 100 Mecobalamin 500 mcg 300,000
INTERCON CREAM /OINT 1 Mometasone Furoate 0,1% (10 g) 88,000
INTERDOXIN 50mg 20 Doxycycline hyclate 50mg 92,000
INTERDOXIN 100mg 20 Doxycycline hyclate 100mg 150,000
INTERFLOX CAP 500 MG 12 Ciprofloxacin 500 mg 192,000
INTERHISTIN SYRUP 60 ML 1 Mebhydrolin napadisilate 50 mg / 5 ml 38,500

Page 13
 PPN 2020

INTERHISTIN TABLET 100 Mebhydrolin napadisilate 50 mg 83,000

INTERKRILL 30 Krill Oil 500 mg 285,000
INTERLAC 1 Lactobacillus reuteri protectis 255,000
INTERLAC PRO D 30 Lactobacillus reuteri DSM 17938 (1 x 10 CFU), Lactobacillus reuteri ATCC PTA 5289 (1 x 10 CFU)
8 8
290,000
INTERLAC MINI PACK 30 Lactobacillus reuteri protectis DSM 17938 hidup 10 CFU
8
300,000
INTERLAC TABLET KUNYAH LEMON 30 Lactobacillus reuteri protectis DSM 17938 hidup 10 8 CFU 279,000
INTERLAC TABLET KUNYAH STRAWBERRY 30 Lactobacillus reuteri protectis DSM 17938 hidup 10 8 CFU 279,000
INTERMIC INJ 5 Tranexamic acid 250 mg per 5 ml 112,500
INTERMOXIL 500 MG 100 Amoxycillin 500mg 370,000
INTERMOXIL 1000 MG 50 Amoxycillin 1000mg 323,400
INTERMOXIL FORTE SYR 60 ML 1 Amoxycillin 250 mg per 5 ml 53,000
INTERMOXIL SYRUP 60 ML 1 Amoxycillin 125 mg per 5 ml 45,000
INTERMOXIL INJ 10 Amoxycillin 307,500
INTERNOLOL TAB 50 MG 30 Atenolol 50mg 102,000
INTEROME INJ 1 Cefpirome 1 gr 335,000
INTERPEC 15 ELIXIR 60 ML 1 Ambroxol HCI 15 mg/5 ml 44,750
INTERPEC 30 ELIXIR 60 ML 1 Ambroxol HCI 30 mg/5 ml 48,000
INTERPEC 30 MG TABLET 100 Ambroxol HCI 30 mg 150,000
INTERPIM INJ 1 Cefepime 1 gram 357,000
INTERPRIL TAB 10 MG 30 Lisinopril 10 mg 157,500
INTERPRIL TAB 5 MG 30 Lisinopril 5 mg 106,500
INTERQUIN 5% 1 Hydroquinone 5% + AHA 4% 54,500
INTERSUN SPF 25 (LOTION) 1 SPF 25 48,465
INTERSUN SPF 30 (CREAM) 1 SPF 30 42,000
INTERVASK TAB 5 MG 30 Amlodipine besylate 5 mg 228,000
INTERVASK TAB 10 MG 30 Amlodipine besylate 10 mg 397,500
INTERXANTHIN 30 (Natural) Astaxanthin 4 mg 334,500
INTERZINC TABLET 100 Zinc sulphate 20 mg 400,000
INTERZINC SYRUP 1 Zinc sulphate 20 mg / 5 ml 40,000
INTERZOL CREAM 5 mg 1 Ketoconazole 2% 25,500
INTERZOL TABLET 50 Ketoconazole 200 mg 300,000
INTERZOL SS 2% 1 Ketoconazole 2% 91,500
INTIDROL 4 MG 50 Methylprednisolone 4 mg 187,500
INTIDROL TAB 16 MG 20 Methylprednisolone 16 mg 180,000
INTIDROL VIAL 125 MG 1 Metilprednisolon sodium succinate buffered 3% stril setara dengan Metylprednisolon 125 mg 120,000
INTIFEN TABLET 100 Ketotifen 1 mg 405,000

Page 14
 PPN 2020

INTRIZIN TAB 10 MG 30 Cetirizine 2HCL 10 mg 196,500

INTRIZIN SYRUP 60 ML 1 Cetirizine 2HCL 5 mg per 5 ml 63,000
INTRIZIN DROP 15 ML 1 Cetirizine 2HCL 10 mg per 1 ml 88,000
INVOMIT TABLET 4 MG 18 Ondansetron 4 mg 301,500
INVOMIT TABLET 8 MG 18 Ondansetron 8 mg 450,000
INVOMIT 4 MG INJ 5 Ondansetron HCI 4 mg 192,500
INVOMIT 8 MG INJ 5 Ondansetron HCI 8 mg 385,000
ISORIC 100 MG 50 Allopurinol 100 mg 106,250
ISORIC 300MG 50 Allopurinol 300 mg 197,500
KETROBAT 10 MG INJ 5 Ketorolac Tromethamine 10 mg 110,000
KETROBAT 30 MG INJ 5 Ketorolac Tromethamine 30 mg 247,500
LADERMA 1 Aloe Vera, Jojoba Oil, Vitamin E, Vitamin C 72,000
LECITROL 30 Resveratol 25 mg + Lechitin 95% (Soybean) 300 mg 268,500
LOTASBAT CREAM 1 Clobetasol Propionat 0,05% (10 g) 51,000
LOTASBAT OINTMENT TUBE 1 Clobetasol Propionat 0,05% (10 g) 47,000
LOTYN TABLET 30 Lovastatin 20 mg 353,250
LOXINTER TABLET 30 Ofloxacin 200 mg 311,063
Vit A 3000 IU + Vit B1 5mg + Vit B2 1,5mg + Vit B6 1,5mg + Vit B12 5mcg + Vit C 50mg + Vit D 600 IU +
LYCALVIT SYRUP 60 ML 1 Nicotinamide 20 mg + Calcium Panthotenate 7,5 mg + Calcium Gluconate 300mg + Phosphorus 15 mg + 39,500
Lysine HCI 100 mg / 5ml

Vit B6 20 mg, Vit C 25 mg, Vit D3 100 IU, Ca laktat 100 mg, Ca monohidrogen fosfat 200 mg
LYCALVIT TAB 100 155,000

Vit A 5000IU + Vit B1 3 mg+ Vit B2 1,5mg + Vit B6 2,5mg +Vit B12 5mcg + Vit C 50 mg + Vit D 1000 IU +
LYVIT SYRUP 60 ML 1 Nicotinamide 20 mg. + d-Panthenol 5 mg+ Lysine HCI 200mg/5ml 35,000

MEFINTER 500 MG 100 Mefenamic acid 500mg 210,000

MELOXIN 7,5 50 Meloxicam 7,5 mg 325,000
MELOXIN 15 MG 50 Meloxicam 15 mg 537,500
MELOXIN INJ 5 Meloxicam 15 mg per 1.5 ml 140,925
MEROBAT 500 MG 1 Meropenem 500 mg 315,000
MEROBAT 1 G INJ 1 Meropenem 1 G 608,000
MOISDERM 10 % 1 Urea 10% (20 g) 37,800
MOISDERM 20 % 1 Urea 20% (20 g) 61,950
MOXIBAT 5 Moxifloxacin 400 mg 190,000
Elastoregulator, Natural Lactic Acid (AHA), Vegetable Oil, Silicium, Trace Element, saphora Japonica
MUSTELA STRETCH MARKS CREAM 150 ML (SMDA) 1 (Chinese Tree), Extract Chlorophycea, Perfume 370,800

329,600
MUSTELA STRECH MARKS SERUM 75 ML (SMIA) 1 Alastoregulator, Lupeol, Extract Chlorophycea

Page 15
 PPN 2020

MUSTELA BC 123 100 ML
MUSTELA BC 123 50 ML
MUSTELA STELATOPIA EMOLLIENT CREAM 200 ML
MUSTELA STELATOPIA MBO 200 ML
MUSTELA STELATOPIA CLEANSING CREAM 200 ML
MUSTELA 2 IN 1 HAIR & BODY WASH 200 ML
MUSTELA BABY SHAMPOO 200 ML
MUSTELA BB GENT CLEAN GEL 500 ML
MUSTELA DERMO CLEANSING 200 ML
MUSTELA HYDRA BB BODY LOTION 300 ML
MUSTELA HYDRA BB FACIAL CREAM 40 ML
MUSTELA MASSAGE OIL 110 ML
MUSTELA MUSTI EAU DE SOIN 50 ML
MUSTELA NO RINSE CLEANSING WATER 300 ML
MUSTELA SOOTHING COMFORT BALM 40 ML
MUSTELA GENTLE SOAP NUTRIPROTECTIVE 150 G
MYOBAT
NEOSINOL CREAM 10gr
NERILON CREAM
NEUROBAT A DRAGEE
NEUROBAT DRAGEE
NEUROBAT FORTE INJ
OA FORTE
1 Zinc Oxide, Avocado Perseose, Oxeoline of alcacea, Sunflower oil distillate 127,339
1 Zinc Oxide, Avocado Perseose, Oxeoline of alcacea, Sunflower oil distillate 75,000
1 Sunflower oleodistillate 295,000
1 Sunflower oleodistillate 286,350
1 Sunflower oleodistillate 260,000
1 Avocado Perseose, Glycerin dan Gentle Surfactants 99,225
1 Avocado Perseose, Chamomile dan Gentle Surfactants 109,975
1 225,737
1 Avocado Perseose, Vitamin B5 dan Gentle Surfactants 121,551
1 Avocado Perseose, Jojoba Oil, Vitamin E & F dan Shea Butter 176,015
1 Avocado Perseose, Jojoba Oil, Vitamin E & F dan Shea Butter 109,975
1 Avocado Perseose, Pomegranate Seed Oil, Sunflower Oil 152,880
1 144,450
1 115,000
1 Avocado Perseose, Shea Butter & Ekstrak madu, Aroma Pinus & Rosemary, Ekstrak Jeruk Nipis & Chamo 112,350
1 Avocado Perseose, Natural Cold Cream dan Ceramide 74,970
50 Eperisone Hcl 50 mg 262,500
1 Fluocinolone acetonide 0.025% + Neomycin 0,5% (10 g) 29,500
1 Diflucortolone valerate 0.1% 47,500
100 Methampyrone 250mg + Vit B1 50 mg + Vit B6 100mg + Vit B12 100 mcg 262,500
100 Vit B1 100 mg + Vit B6 200 mg + Vit B12 200 mcg 260,000
20 Vit B1 100 mg + Vit B6 100 mg + Vit B12 5000 mcg per 3 ml 240,000
Glucosamine Hcl 500 mg + Chondroitin Sulfate 400 mg + Vit C 50 mg + Vit E 50 mg + Mangan 2.5 mg +
60 Magnesium 20 mg + Selenium 50 mcg + Zinc 5 mg 493,750

OCULEX AX 30 DHA 400 mg + Astaxanthin 3 mg + Lutein 10 mg + Zeaxanthin 2 mg 375,000

Bilberry dry extr 80 mg + Lutein 2 mg + Vit B2 3 mg + Vit C 100 mg + Vit E 50 IU + Zinc 5 mg+ Selenium
OCULEX Kapsul 30 20 mcg + Beta carotene 1,5 mg + Vit A 1500 IU 255,000

OCULEX Syrup 1 Bilberry dry extr 40 mg + Lutein 1 mg + Vit B2 1.5 mg + Vit E 12 IU + Beta Carotene 2.5 mg + Vit A 750 IU 66,675
OSSOVIT Kaplet 60 Calcium Citrate 500 mg + Magnesium 100 mg + Zinc 5 mg + Vit D3 200 IU + Vit K1 20 mcg 291,000
OSSOVIT Syrup 1 Calcium Citrate 250 mg + Magnesium 25 mg + Zinc 5 mg + Vit D3 100 IU 70,500
Calcium citrate 2000 mg (setara dg calcium 482,47 mg) + vitamin D3 200 IU + vitamin K1 5 mcg +
Ossovit Plus 30 Magnesium 100 mg + Zinc 10 mg + Manganese 2 mg + copper 100 mcg + soy isoflavone 60 mg (sachet 252,000
5 g)
Polymicin B sulfate 10,000 IU + Neomycin sulfate 5 mg + Fludrocortisone acetate 1 mg + Lidocain HCI
OTOPAIN EAR DROPS 8 ML 1 40mg/1ml 72,500

OXTERCID 1 Cefuroxime 750 mg 85,000

Page 16
 PPN 2020

PAMOL ORAL DROP 1 Paracetamol 60 mg 45,250

PAMOL SYRUP 60 ML 1 Paracetamol 120 mg/5ml 25,750
PAMOL TABLET 100 Paracetamol 500 mg 68,500
PAMOL SUPPOSITORIA 125 MG 12 Parasetamol 125 mg 153,600
PAMOL SUPPOSITORIA 250 MG 12 Parasetamol 250 mg 228,000
PANTOPUMP 1 Pantoprazole sodium setara dengan pantoprazole 40 mg/vial 172,500
PANTOPUMP TABLET 7 Pantoprazole sodium sesquihydrate 40 mg 145,250
PIRABRAIN 1200 MG 60 Piracetam 1200 mg 360,000
PIRABRAIN 1G INJ 5 Piracetam 1 g per 5 ml 87,500
PIRABRAIN 3G INJ 4 Piracetam 3 g per 15 ml 272,000
PRAVINAT 10 MG 60 Pravastatin Sodium 10 MG 729,000
PRAVINAT 20 MG 60 Pravastatin Sodium 20 MG 1,020,000
PRESTRENOL TAB 50 Allylestrenol 5 mg 217,500
Promethazine HCI 5mg + Tincture Ipecacuanha 0,1 ml + Potassium sulfoguaiacolsulfonate 44 mg+
PROME EXPECTORANT 100 ML 1 Sodium citrate 197 mg + Menthol 1 mg/5ml 44,500

Promethazine HCI 5mg + Tincture Ipecacuanha 0,1 ml + Potassium guaiacolsulfonate 44 mg + Sodium

PROME EXPECTORANT 60 ML 1 citrate 197 mg + Menthol 1 mg/5ml 29,000

Dextromethorphan HBr 5 mg + Glyceryguaiacolate 50mg +Promethazine HCI 5 mg + Tincture Ipecac

PROMEDEX SYRUP 60 ML 1 0,1ml + Sodium citrate 197 mg + Menthol 1 mg/5ml 31,500

PROMEDEX TABLET 100 Dextromethorphan HBr 15mg+Glycerilguaiacolate 100mg+Chlorpheniramine maleate 1 mg 187,500

PROMENO 30 Red Clover (Trifolium pratense L) extr (Total isoflavone 40 mg) 292,500
PROTOP CAPSUL 14 Omeprazole 20 mg 217,000
Sericocalyx folium 21.4% + Orthosiphon herba 21.4% + Sanchus folium 17.85% + Plantago folium 7.15%
RENAX 50 412,500

RESPIMER BABY NASAL HYGIENE 115 ML 1 100% air laut murni equivalent NaCl 9 g/L 163,000
RESPIMER NORMAL JET NASAL HYGIENE 135 ML 1 100% air laut murni equivalent NaCl 9 g/L 146,000
RESPIMER BABY DECONGESTANT 60 ML 1 100% air laut murni equivalent NaCl 22 g/L 142,000
RESPIMER HIPERTONIC DECONGESTANT 135 ML 1 100% air laut murni equivalent NaCl 22 g/L 163,000
ROSAGEN 15 Kolagen Hidrolisat 5 g dan Ekstrak Rosehip 0,55 g 360,000

ROVASTAR 30 Rosuvastatin Calcium setara dengan Rosuvastatin 20 mg 336,000

RYCEF 1 Cefotaxime 1g 193,000

SALTICIN INJ 5 Gentamicin Sulfate 80 mg per 2 ml 110,000
SALTICIN CREAM 1 Gentamicin Sulfate 0.1 % (5 gr) 26,500
SANOSKIN MELLADERM PLUS 1 Eco honey, Glyceryn, propylene glycol, PEG 4000 (20 g) 190,000
SANOSKIN MELLADERM PLUS TULLE 10 Kasa Polyester, Eco Honey, Glyserol, Propylen Glycol, PEG 4000 760,000
SANOSKIN OXY 1 Oxygen converted into ozone and added to refined olive oil 332,000

Page 17
 PPN 2020

SANOSKIN FOAM 5 Hydrocellular Polyurethane Dressing Sterile 550,000

SEDROFEN 250 MG 30 Cefadroxil 250 mg 110,000
SEDROFEN 500 MG 30 Cefadroxil 500 mg 382,500
SEDROFEN SYRUP BTL 1 Cefadroxil 125mg/5ml 64,250
SEDROFEN FORTE SIRUP KERING 1 Cefadroxil monohydrate (setara dengan Cefadroxil 250 mg) 86,250
SITRO 300 MG 12 Roxithromycin 300 mg 151,200
SITRO 150 MG 30 Roxithromycin 150 mg 202,500
SPIRANTER 500 MG 100 Spiramycin 500 mg 825,000
SPYROCON CAP 12 Itraconazol 100 mg 294,000
STARXON 1 Ceftriaxone 1g 237,500
TETRIN 250 MG 100 Tetracycline Phosphate buffered 250 mg 40,000
THENIL TAB 20 MG 50 X 50 Tenoxicam 20 mg 182,700
THEOBRON CAPSUL 100 Theophylline 130 mg 235,000
THEOBRON ELIXIR 100 ML 1 Theophylline 130 mg/15 ml 42,500
THIAMYCIN 1000 MG 50 Thiamphenicol 1000mg 395,000
THIAMYCIN 250 MG 100 Thiamphenicol 250mg 205,000
THIAMYCIN 500 MG 100 Thiamphenicol 500mg 440,000
THIAMYCIN FORTE SYRUP BLT 60 ML 1 Thiamphenicol 250 mg per 5 ml 79,500
THIAMYCIN SYRUP 60 ML 1 Thiamphenicol 125 mg per 5 ml 47,000
TICLON TAB - 30 TAB / BOX 30 Ticlopidine HCI 250 mg 260,000
TILIDON 10 MG 30 Domperidone 10 mg 142,500
TILIDON SYRUP 60 ML 1 Domperidone 10 mg/5ml 48,500
TIMIPEN INJ 1 Imepenem 500 mg dan Cilastatin 500 mg 377,000
TOMIT TABLET 50 Metochlopramide HCl 10 mg 46,250
TOMIT INJ 5 Metochlopramide HCl 10 mg per 2 ml 58,750
TORDEX TABLET 50 Dexketoprofen 25 mg 300,000
TORDEX INJEKSI 5 Dexketoprofen 50 mg / 2 ml 205,000
TRADYL KAPSUL 50 MG 50 Tramodol HCI 50mg 218,750
TRADYL INJ 5 Tramadol Hcl 100 mg per 2 ml 110,250
Diphehydramine HCI 12,5mg + Glycerilguaiacolate 50mg + Natrium Citrate 180mg +
TRIADEX EXP/BTL 60 MI (N) 1 Phenylpropanolamin HCI 12,5 mg/5ml 13,125

TRIFED SYRUP 60 ML 1 Triprolidine HCI 1,25 mg + Pseudoephedrine HCI 30 mg/5ml 31,000

TRIFED TABLET 50 Triprolidine HCI 2,5mg+ Pseudoephedrine HCI 60mg 130,000
TRIMOXSUL FORTE 100 Trimethoprim 160 mg + Sulphamethoxazole 800mg 230,000
TRIMOXSUL SYRUP 50 ML 1 Trimethoprim 40 mg + Sulphamethoxazole 200mg/5ml 26,500
TRIMOXSUL TABLET 100 Trimethoprim 80 mg + Sulphamethoxazole 400mg 120,000

Page 18
 PPN 2020

TRACNE CREAM 0,05 % TUBE 20 GR 1 Tretinoin 0,05% 45,150

TRACNE CREAM 0,1 % TUBE 20 GR 1 Tretinoin 0,1% 52,000
TRIAMCORT TAB 100 Triamcinolone 4 mg 365,000
TRIAMCORT A CREAM 1 Triamcinolone Acetonide 0,1 % 70,000
URINTER CAPSUL 100 Pipemidic acid 400mg 532,500
VITAZET 30 KAPLET 30 Vit E 30 IU, Vit C 750 mg,Vit B1 15 mg, Vit B2 15 mg, Vit B6 25 mg, Vit B12 12 mcg, Nicotinamide 100 226,500
mg, Panthotenate acid 20 mg, Olic acid 0,4 mg, Ca 20 mg, Zinc 20 mg
VOLOX 10 Levofloxacin hemihydrate setara dengan Levofloxacin 500 mg 442,500
VOLOX EYE DROP 1 Levofloxacin 0,5% (5 ml) 62,500
VOLOX 750 MG INJEKSI 1 Levofloxacin hemihydrate setara dengan Levofloxacin 750 mg 336,000
VOLOX INFUS 1 Levofloxacin hemihydrate setara dengan Levofloxacin 5 mg 347,550
Glucosamine 0.666 g + Malic Acid Sulphate 0.005 g + Arginine 0.666 g + Glycine 0.333 g + Vit C 0.020 g
VIUSID 21 + Calcium pantothenate 0.002 g + Vit B6 0.6 mg + Folic Acid 66 mcg + Vit B12 0.3 mcg 700,000

Vit E 30 IU, Vit C 750 mg,Vit B1 15 mg, Vit B2 15 mg, Vit B6 25 mg, Vit B12 12 mcg, Nicotinamide 100
VITAZET 30 KAPLET 30 mg, Panthotenate acid 20 mg, Olic acid 0,4 mg, Ca 20 mg, Zinc 20 mg 215,250

ZOTER CREAM 5 GR 1 Acyclovir 5% 49,875

ZOTER TAB 200 MG 25 Acyclovir 200mg 177,000
ZOTER TAB 400 MG 12 Acyclovir 400mg 126,000
ZYCIN CAP 250 MB 8 Azythromycin 250mg 147,000
ZYCIN 500 MG 3 Azythromycin 500mg 126,000

Page 19
 PPN 2020

HARGA PPN HARGA @

41,250 41,250
127,050 1,271
85,250 85,250

48,950
48,950
60,500 60,500
110,000 110,000

275,000
2,750
33,000
33,000
408,870
6,815
205,013 2,050
55,000 11,000

739,200
35,200
808,500 26,950
398,750 39,875
110,000 110,000
360,800 18,040
95,700 95,700
118,800 118,800
990,000 99,000

137,500 2,750
40,370 40,370
566,500 5,665
957,000 9,570
552,750 19,741
1,155,000 11,550
473,000 4,730
108,900 1,089
40,425 40,425

Page 20
 PPN 2020

45,100 45,100
53,900 53,900
165,000 3,300
231,000 7,700
478,500 15,950

135,300
135,300
110,000 110,000
33,000 33,000
46,200 46,200
258,500 2,585
209,000 4,180
93,500 93,500
643,500 21,450
495,000 99,000
145,200 7,260
49,500 49,500
393,250 7,865
129,000 1,290
55,000 55,000
327,250 327,250
35,750 35,750
189,750 18,975
228,250 228,250
173,250 17,325
415,800 13,860
206,250 6,875
240,900 8,030
112,200 112,200
621,500 6,215
137,500 27,500
335,500 6,710
149,875 29,975
310,200 10,340

407,000
8,140

Page 21
 PPN 2020

323,400
10,780
104,500 104,500
24,750 24,750
42,900 42,900

17,050
17,050

275,000
2,750
552,750 18,425
646,250 129,250
258,500 51,700
451,000 90,200
319,000 6,380
843,150 20,075
82,500 825
66,000 13,200
79,475 79,475
137,500 2,750
38,500 770
38,500 38,500
94,710 3,157
288,750 9,625
214,500 7,150

45,100
45,100
429,000 14,300
33,000 33,000
415,800 34,650
187,000 37,400
330,000 3,300
96,800 96,800
101,200 5,060
165,000 8,250
211,200 17,600
42,350 42,350

Page 22
 PPN 2020

91,300 913
313,500 10,450
280,500 280,500
319,000 10,633
330,000 11,000
306,900 10,230
306,900 10,230
123,750 24,750
407,000 4,070
355,740 7,115
58,300 58,300
49,500 49,500
338,250 33,825
112,200 3,740
368,500 368,500
49,225 49,225
52,800 52,800
165,000 1,650
392,700 392,700
173,250 5,775
117,150 3,905
59,950 59,950
53,312 53,312
46,200 46,200
250,800 8,360
437,250 14,575
367,950 12,265
440,000 4,400
44,000 44,000
28,050 28,050
330,000 6,600
100,650 100,650
206,250 4,125
198,000 9,900
132,000 132,000
445,500 4,455

Page 23
 PPN 2020

216,150 7,205
69,300 69,300
96,800 96,800
331,650 18,425
495,000 27,500
211,750 42,350
423,500 84,700
116,875 2,338
217,250 4,345
121,000 24,200
272,250 54,450
79,200 79,200
295,350 9,845
56,100 56,100
51,700 51,700
388,575 12,953
342,169 11,406

43,450
43,450

170,500
1,705

38,500
38,500
231,000 2,310
357,500 7,150
591,250 11,825
155,018 31,004
346,500 346,500
668,800 668,800
41,580 41,580
68,145 68,145
209,000 41,800

407,880
407,880

362,560
362,560

Page 24
 PPN 2020

140,073 140,073
82,500 82,500
324,500 324,500
314,985 314,985
286,000 286,000
109,148 109,148
120,973 120,973
248,311 248,311
133,706 133,706
193,617 193,617
120,973 120,973
168,168 168,168
158,895 158,895
126,500 126,500
123,585 123,585
82,467 82,467
288,750 5,775
32,450 32,450
52,250 52,250
288,750 2,888
286,000 2,860
264,000 13,200

543,125
9,052
412,500 13,750

280,500
9,350
73,343
73,343
320,100 5,335
77,550 77,550

277,200
9,240

79,750
79,750
93,500 93,500

Page 25
 PPN 2020

49,775 49,775
28,325 28,325
75,350 754
168,960 14,080
250,800 20,900
189,750 189,750
159,775 22,825
396,000 6,600
96,250 19,250
299,200 74,800
801,900 13,365
1,122,000 18,700
239,250 4,785

48,950
48,950

31,900
31,900

34,650
34,650
206,250 2,063
321,750 10,725
238,700 17,050

453,750
9,075
179,300 179,300
160,600 160,600
156,200 156,200
179,300 179,300
396,000 26,400
369,600 12,320
212,300 212,300
121,000 24,200
29,150 29,150
209,000 209,000
836,000 83,600
365,200 365,200

Page 26
 PPN 2020

605,000 121,000
121,000 4,033
420,750 14,025
70,675 70,675
94,875 94,875
166,320 13,860
222,750 7,425
907,500 9,075
323,400 26,950
261,250 261,250
44,000 440
200,970 4,019
258,500 2,585
46,750 46,750
434,500 8,690
225,500 2,255
484,000 4,840
87,450 87,450
51,700 51,700
286,000 9,533
156,750 5,225
53,350 53,350
414,700 414,700
50,875 1,018
64,625 12,925
330,000 6,600
225,500 45,100
240,625 4,813
121,275 24,255

14,438
14,438
34,100 34,100
143,000 2,860
253,000 2,530
29,150 29,150
132,000 1,320

Page 27
 PPN 2020

49,665 49,665
57,200 57,200
401,500 4,015
77,000 77,000
585,750 5,858
249,150 8,305
486,750 48,675
68,750 68,750
369,600 369,600
382,305 382,305

770,000
36,667
236,775
7,893
54,863 54,863
194,700 7,788
138,600 11,550
161,700 20,213
138,600 46,200

Page 28