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PT Anugerah Pharmindo Lestari

DAFTAR HARGA
PT GLAXO WELLCOME INDONESIA

HNA HET
KODE BLM TERMSK SDH TERMSK
NO NAMA PRODUK NO. REGISTRASI KEMASAN NOTE
PRODUK PPN 10% PPN 10%
(RP) (RP)
1 GX3TCT 3TC HBV TABLET DKI1282002117A1 BOX, 2 BLISTERS @ 14 TAB 435,120 612,648
2 GX3TC1 3TC TABLET 150 MG DKI0282001517A1 BOX, BOTOL @ 60 TAB 436,364 614,401
3 GXALKTN ALKERAN TABLET 2MG DKI 1195600417A1 BOX, BOTOL @ 25 TAB 300,000 412,500
4 GXAVNS AVAMYS NASAL SPRAY DKI0975704356A1 BOTOL @ 120 SPRAY 173,250 243,936
5 GXBHLR BABYHALER SET 181,500 249,563
6 GXCTVC5 Cutivate Krim 0.05% 5gr DKL1732005829A1 Dus, Tube @ 5gr 46,083 63,364
7 GXCTVC1 Cutivate Krim 0.05% 10gr DKL1732005829A1 Dus, Tube @ 10gr 73,434 100,972
8 GXDMC5 DERMOVATE CR 5 GR DKL 9232000429A1 TUBE 5 GR 42,446 59,764
9 GXDMTC DERMOVATE CR 10 GR DKL 8704108429A1 TUBE 10 GR 68,355 96,244
10 GXDMTO DERMOVATE OINT 10 GR DKL 8704108530A1 TUBE 10 GR 68,355 96,244
11 GXDUOR DUODART KAPSUL 0.5/0.4MG DKI1232500101A1 DUS, BOTOL @ 30 KAPSUL 472,500 665,280
12 GXFANS FLIXONASE Aq NASAL SPRAY DKI 9475702256A1 BOX,CAN 120 DOSES 223,850 315,181
13 GXFXN5 FLIXOTIDE NEBULES 0.5MG/BOX 2 FW @ 5 Neb DKI0282001275AI BOX 2 FLOW WRAP @ 5 Nebul 191,400 269,492
14 GXFXI5 FLIXOTIDE INHALER 50 MCG DKI185100739A1 BOX, 1 CANISTER @ 120 DOSIS 120,000 168,960
15 GXFTM1 FORTUM INJ 1 GR DKI 8558100144A1 BOX, 1 VIAL 134,545 184,999
16 GXIMT1 IMURAN TAB. 50 MG DKI 8853200310A1 Box 100's 680,900 958,708
17 GXKET2 KEPPRA TABLET SALUT SELAPUT 250 MG DKI1083901017A1 BOX, 3 BLISTER @ 10 TABLET 240,896 339,183
18 GXKET5 KEPPRA TABLET SALUT SELAPUT 500 MG DKI1083901017B1 BOX, 2 BLISTER @ 10 TABLET 315,315 443,964
19 GXLCT1N LAMICTAL TAB. 100 MG DKL 9429202410B1 BOX 30 260,001 366,081
20 GXLCT25 LAMICTAL TAB 25 MG 30'S DKI1433900281B1 BOX, 3 BLISTER @ 10 TAB 118,809 163,362
21 GXLCTT LAMICTAL TAB 5 MG 30'S DKI1433900281A1 BOX, 3 BLISTER @ 10 TAB 109,091 150,000
22 GXLCT5N LAMICTAL TAB. 50 MG DKL 9429202410A1 BOX 30 135,602 190,929
23 GXREQ2 REQUIP PD 2MG/28'S DKI1291600614A1 BOX, 7 BLISTER @ 4 TABLET 176,153 248,024
24 GXREQ4 REQUIP PD 4MG/28'S DKI1291600614B1 BOX, 7 BLISTER @ 4 TABLET 208,335 293,335
25 GXREQ8 REQUIP PD 8MG/28'S DKI1291600614C1 BOX, 7 BLISTER @ 4 TABLET 245,132 345,149
26 GXSRD1N SERETIDE DISKUS 100 DKI 0785100667A1 BOX,CAN 60 PUFF 203,848 287,018
27 GXSRD2N SERETIDE DISKUS 250 DKI 0785100667B1 BOX,CAN 60 PUFF 239,893 337,769
28 GXSRD5N SERETIDE DISKUS 500 DKI 1629600267C1 BOX,CAN 60 PUFF 249,310 351,028
29 GXSRI1N SERETIDE INHALER 125 MCG DKI 0175704568B1 BOX,CAN 120 DOSES 160,083 225,397
30 GXSRI5N SERETIDE INHALER 50 MCG DKI 0175704568A1 BOX,CAN 120 DOSES 140,680 198,077
31 GXVL57 VALTREX TABLET 500 MG DKL 9675702517A1 BOX, 42 TAB 757,680 1,066,814
32 GXTCI2 TRACRIUM INJ 2.5 ML DKI9453200943A4 BOX 5 AMP 202,000 277,750
33 GXTCI5 TRACRIUM INJ 5 ML DKI9453200943A4 BOX 5 AMP 347,000 477,125
34 GXVTLE VENTOLIN EXP DKL 9332002437A1 BOX, BTL 100 ML 53,654 75,544 **
35 GXVICFN VENTOLIN INHALER CFC FREE DKI9975700139A1 BOX, Can 200 doses 109,250 153,825 **
36 GXVTN2 VENTOLIN NEBULES 2,5 MG DKI 9175700868A1 BOX, 4 X 5 AMP 188,748 265,756
37 GXVTS1 VENTOLIN SYR DKL 8604107237A1 BOX, BTL 100 ML 51,037 71,859 **
38 GXVTTC VENTOLIN TAB 2 MG DKL 8604107110A1 BOX, 30 TAB 72,765 102,453
39 GXXYZK XYZAL KAPTAB SALUT SELAPUT 5 MG DKI1005500609A1 BOX, 5 BLISTER @ 10 KAPTAB 360,360 507,385
40 GXZTCA ZANTAC INJ 2 ML DKI1000500643A1 BOX 5 AMP 92,647 130,447
41 GXZNT2 ZINNAT TABLET 250 MG DKI 8975700517B1 BOX, 10 TAB 69,300 97,574
42 GXZNT5 ZINNAT TABLET 500 MG DKI 9282000417C1 BOX, 10 TAB 100,801 141,928
43 GXZXC2 ZOVIRAX CREAM 2 GR DKI 9875703129A1 TUBE 2 GR 64,680 91,069
44 GXZXC5N ZOVIRAX CREAM 5 GR DKL 1632005529A1 TUBE 5 GR 121,275 170,755
45 GXZIV5 ZOVIRAX I.V. INF. DKI 9453201044A2 BOX 5 VIAL 1,050,000 1,478,400
46 GXZOO4 ZOVIRAX OPTH. OINT. DKI 9453201131A2 TUBE 4,5 GR 153,300 215,846
47 GXZXT2N ZOVIRAX TAB. 200 MG DKI0282001310A1 BOX 25 207,900 292,725
48 GXZT12 ZYLORIC TAB. 100 MG DKL 8329200110B1 BOX 200 418,606 589,400
49 GXZT16 ZYLORIC TAB. 100 MG DKL 8329200110B1 BOX 60 132,670 186,798
50 GXZT31 ZYLORIC TAB. 300 MG DKL 8329200110A1 BOX 100 461,860 650,300
51 GXZT33 ZYLORIC TAB. 300 MG DKL 8329200110A1 BOX 30 145,634 205,053

**: Naik Harga

BERLAKU MULAI 01 MARET 2020


HARGA TERSEBUT DI ATAS TIDAK MENGIKAT DAN SEWAKTU-WAKTU
DAPAT BERUBAH TANPA PEMBERITAHUAN TERLEBIH DAHULU

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