Professional Documents
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Daftar Harga Farma Dan Otc 13 Juli 2022
Daftar Harga Farma Dan Otc 13 Juli 2022
K30142
K30141
K30274
Part No Part Desc HNA HNA+PPN
A70001 BRENTAN OINTMENT 5G 54,978 61,026
A70094 CAELYX 10 ML VIAL - CCP 6,662,300 7,395,153
A70063 DACOGEN 50 MG VIAL 11,387,250 12,639,848
A70004 DAKTARIN 2PCT ORAL GEL 10G 52,324 58,080
A70048 DAKTARIN CREAM 10 GR 30,500 33,855
A70047 DAKTARIN CREAM 5 GR 19,260 21,379
A70006 DAKTARIN DIAPER 0.25PCT OINTMNT 10G 46,818 51,968
A70049 DAKTARIN POWDER 20 GR 43,260 48,019
A70098 DARZALEX 100 MG / 5 ML VIAL 1扴 - CCP 5,625,000 6,243,750
A70099 DARZALEX 400 MG / 20 ML VIAL 1扴 - CCP 22,500,000 24,975,000
A70062 EPREX PROTECS 10000 IU - CCP 1,150,000 1,276,500
A70060 EPREX PROTECS 2000 IU - CCP 267,750 297,203
A70060-E EPREX PROTECS 2000 IU-E - CCP 146,045 162,110
A70061 EPREX PROTECS 4000 IU - CCP 530,250 588,578
A70075 EPREX PROTECS 40000 IU - CCP 2,090,909 2,320,909
A70097 ERLEADA 120 TABLET 53,000,000 58,830,000
A70007 HALDOL 2MG TABLET 10'SX5 122,490 135,964
A70008 HALDOL 5MG TABLET 10'SX5 237,902 264,071
A70009-E HALDOL DEC 50 MG/ML 1 MLX5 454,545 504,545
A70009 HALDOL DEC.50MG/ML 1MLX5 747,290 829,492
A70067 HALDOL DEC.50MG/ML 1MLX5 ASKES 430,000 477,300
A70095 IMBRUVICA KAPSUL 140 MG 86,663,483 96,196,466
A70050 IMODIUM TABLET 10'S X 10 751,450 834,110
A70103 IMODIUM TABLET 5'S X 10 413,300 458,763
A70059 INVEGA 3 MG 28'S 1,248,772 1,386,137
A70010 INVEGA 6MG 28'S 1,248,772 1,386,137
A70011 INVEGA 9MG 28'S 1,248,772 1,386,137
A70080 INVEGA SUSTENNA 100 MG 1,880,495 2,087,349
A70081 INVEGA SUSTENNA 150 MG 1,880,495 2,087,349
A70078 INVEGA SUSTENNA 50 MG 1,880,495 2,087,349
A70079 INVEGA SUSTENNA 75 MG 1,880,495 2,087,349
A70012 MOTILIUM 10MG TABLET 10'SX5 291,980 324,098
A70013 MOTILIUM 1MG/ML SYRUP 60ML 64,278 71,349
A70051 NIZORAL (1PCT) 80 ML 61,851 68,655
A70054 NIZORAL (2PCT) 80 ML 115,158 127,825
A70053 NIZORAL CREAM 15 GR 97,519 108,246
A70052 NIZORAL CREAM 5 GR 40,859 45,353
A70055 NIZORAL TABLET 10'S X 15 1,800,691 1,998,767
A70056 NIZORAL TABLET 10'S X 3 379,046 420,741
A70101 OPSUMIT 30,600,000 33,966,000
A70016 PROTOPIC 0.03PCT OINTMENT 10G 272,538 302,517
A70017 PROTOPIC 0.1PCT OINTMENT 10G 343,817 381,637
A70019 REMINYL 8MG TABLET 14'SX4 1,447,160 1,606,348
A70020 REMINYL PRC 16MG 28'S 1,447,160 1,606,348
A70022 RETIN-A 0.025PCT CREAM 20G 50,993 56,602
A70023 RETIN-A 0.05PCT CREAM 20G 79,548 88,298
A70024 RETIN-A 0.1PCT CREAM 20G 144,706 160,624
A70091 RIBOMUSTIN 100 MG 4,612,426 5,119,793
A70092 RIBOMUSTIN 25 MG 1,153,106 1,279,948
A70026 RISPERDAL 1MG/ML ORAL SOL 30ML 375,375 416,666
A70072 RISPERDAL CONSTA DELTOID 25 MG 950,250 1,054,778
A70074 RISPERDAL CONSTA DELTOID 37.5 MG 950,250 1,054,778
A70073 RISPERDAL CONSTA DELTOID 50 MG 1,050,000 1,165,500
A70029 SIBELIUM 5MG TABLET 10'SX10 790,071 876,979
A70031 SPORANOX 100MG CAPSULE 4'SX7 1,008,823 1,119,794
A70102 SPRAVATO 1X28MG NASPRAY 3,363,024 3,732,957
A70076 STELARA 45 MG - CCP 35,000,000 38,850,000
A70104 STELARA IV 1X130MG VIAL - CCP 41,300,000 45,843,000
A70057 STUGERON TABLET 10'S X 25 724,320 803,995
A70033 TOPAMAX 100MG TABLET 10'SX6 674,730 748,950
A70100 TREMFYA 1 ML INJEKSI - CCP 41,000,000 45,510,000
A70039 ULTRACET 37.5MG TAB 30'S 230,596 255,962
A70093 VELCADE 1 MG 5,121,000 5,684,310
A70046 VELCADE 3.5MG VIAL 1'S 10,971,000 12,177,810
A70064 VERMOX TABLET 500 MG 1S BPJS 16,710 18,548
A70058 VERMOX TABLET 500 MG 1S X 24 BPJS 401,020 445,132
A70087 ZYTIGA 250 MG TABLET 37,400,000 41,514,000
A70096 ZYTIGA 500 MG TABLET 37,400,000 41,514,000
Part No Part Desc HNA HNA+PPN
E50012 CONCERTA 18MG ER CAPTAB 30'S 706,860 784,615
E50013 CONCERTA 36MG ER CAPTAB 30'S 902,171 1,001,410
E50042 HALDOL DEC.50MG/ML 1MLX5 747,290 829,492
E50031 INVEGA 3 MG 28'S 1,248,772 1,386,137
E50014 INVEGA 6 MG 28'S 1,248,772 1,386,137
E50015 INVEGA 9 MG 28'S 1,248,772 1,386,137
E50035 INVEGA SUSTENNA 100 MG 1,880,495 2,087,349
E50036 INVEGA SUSTENNA 150 MG #VALUE!
E50040 INVEGA SUSTENNA 25 MG 1,810,000 2,009,100
E50041 INVEGA SUSTENNA 50 MG 1,880,495 2,087,349
E50034 INVEGA SUSTENNA 75 MG 1,880,495 2,087,349
E50043 INVEGA TRINZA 350 MG 5,641,485 6,262,048
E50044 INVEGA TRINZA 525 MG 5,641,485 6,262,048
E50017 MOTILIUM 1 MG / ML SYRUP 60 ML 64,278 71,349
E50016 MOTILIUM 10 MG TABLET 10'S X 5 275,213 305,486
E50027 NIZORAL (1 PCT) 80 ML 61,851 68,655
E50030 NIZORAL (2 PCT) 80 ML 115,158 127,825
E50029 NIZORAL CREAM 15 GR 90,170 100,089
E50028 NIZORAL CREAM 5 GR 37,780 41,936
E50018 PROTOPIC 0.03 PCT OINTMENT 10 G 272,538 302,517
E50019 PROTOPIC 0.1 PCT OINTMENT 10 G 343,817 381,637
E50008 REMINYL 4MG TABLET 14'SX1 351,780 390,476
E50009 REMINYL 8MG TABLET 14'SX4 1,447,160 1,606,348
E50010 REMINYL PRC 16MG 28'S 1,447,160 1,606,348
E50020 RETIN-A 0.025 PCT CREAM 20 G 50,993 56,602
E50021 RETIN-A 0.05 PCT CREAM 20 G 79,548 88,298
E50022 RETIN-A 0.1 PCT CREAM 20 G 144,706 160,624
E50032 RISPERDAL 1 MG 96,000 106,560
E50023 RISPERDAL 1 MG/ML ORAL SOL 30 ML 375,375 416,666
E50033 RISPERDAL 2 MG 150,000 166,500
E50037 RISPERDAL CONSTA DELTOID 25 MG - CCP 950,250 1,054,778
E50039 RISPERDAL CONSTA DELTOID 37.5 MG - CCP 950,250 1,054,778
E50038 RISPERDAL CONSTA DELTOID 50 MG - CCP 1,050,000 1,165,500
E50025 SIBELIUM 10 MG TABLET 10'S X 10 1,316,785 1,461,631
E50024 SIBELIUM 5 MG TABLET 10'S X 10 790,071 876,979
E50026 SPORANOX 100 MG CAPSULE 4'S X 7 1,008,823 1,119,794
E50001 TOPAMAX 100MG TABLET 10'SX6 743,894 825,722
E50002 TOPAMAX 15MG SPRINKLE CAPSULE 60 300,985 334,093
E50003 TOPAMAX 25MG SPRINKLE CAPSULE 60 364,655 404,767
E50004 TOPAMAX 25MG TABLET 10'SX6 313,604 348,100
E50006 TOPAMAX 50MG TABLET 10'SX6 480,128 532,942
Part No Part Desc HNA HNA+PPN
J10001 ADALAT OROS 20 MG 30S 198,925 220,807
J10001-E ADALAT OROS 20 MG 30S - E 97,500 108,225
J10002 ADALAT OROS 30 MG 30S 268,824 298,395
J10002-E ADALAT OROS 30 MG 30S - E 108,709 120,667
J10003 ADALAT OROS 60 MG 30S 325,000 360,750
J10078 ADVANTAN CREAM 10G 101,661 112,844
J10057 AFRIN NASAL SPRAY 15ML 48,550 53,891
J10058 AFRIN PAED DROPS 10ML 63,246 70,203
J10075 ASPIRIN TABLET 10x12s TAB 67,714 75,163
J10012 AVELOX INFUS 250 ML 550,497 611,052
J10012-E AVELOX INFUS 250 ML - E 218,181 242,181
J10011 AVELOX TABLET 5S 306,856 340,610
J10011-E AVELOX TABLET 5S - E 122,213 135,656
J10053 BAYCUTEN N CREAM 5 GR -TUB 48,250 53,558
J10051 BEPANTHEN OINTMENT 20G 49,650 55,112
J10044 BEROCCA PERFORMANCE ORANGE TAB EFF 10 41,658 46,240
J10050 CANESTEN CREAM 10 G 31,315 34,760
J10048 CANESTEN CREAM 3 G 14,675 16,289
J10049 CANESTEN CREAM 5 G 17,830 19,791
J10076 340 110,125 122,239
J10021 CARDIO ASPIRIN 30S 53,896 59,825
J10034 32,800 36,408
J10033 CDR FRUIT PUNCH TAB EFF 10 33,800 37,518
J10030 CDR SWEET ORANGE TAB EFF 10 33,800 37,518
J10032 CDR SWEET ORANGE TAB EFF 15 47,150 52,337
J10031 CDR SWEET ORANGE TAB EFF 20 62,800 69,708
J10013 CIPROXIN 500 MG 20S 557,372 618,683
J10014 CIPROXIN INFUS 200 MG/100 ML 272,019 301,941
J10015 CIPROXIN INFUS 400 MG/200 ML 417,950 463,925
J10017 CIPROXIN XR 1000 10S 364,980 405,128
J10016 CIPROXIN XR 500 10S 221,588 245,963
J10064 CLARINASE BOX 5x10s TAB 262,789 291,696
J10061 CLARITIN BOX 10x10s TAB 731,659 812,141
J10062 CLARITIN BOX 3x10s TAB 219,416 243,552
J10059 CLARITIN SYRUP 30ML 41,074 45,592
J10060 CLARITIN SYRUP 60ML 79,000 87,690
J10040 ELEVIT PRONATAL CAPLET 30 99,325 110,251
J10023 EYLEA 1 VIAL - CCP 11,974,027 13,291,170
J10066 GADOVIST - 7,5 ML 550,000 610,500
J10067 GADOVIST- 5 ML 370,000 410,700
J10090 GADOVIST 7.5 ML - VIAL 540,000 599,400
J10066-E GADOVIST JKN - 7,5 ML - E 434,909 482,749
J10067-E GADOVIST JKN -5 ML - E 294,545 326,945
J10005 GLUCOBAY 100 MG 50S 158,534 175,973
J10004 GLUCOBAY 50 MG 50S 133,269 147,929
J10019 LEVITRA 10 4S 471,710 523,598
J10020 LEVITRA 20 4S 561,799 623,597
J10068 MAGNEVIST 1X10 ML-VLS 295,000 327,450
J10025 MICROGYNON 10X28 SCT 167,185 185,575
J10026 MICROGYNON 25X28 SCT 289,800 321,678
J10027 MICROLUT 1X35 SCT 34,346 38,124
J10055 MYCOSPOR CREAM 15 GR 98,750 109,613
J10054 MYCOSPOR CREAM 5 GR 43,000 47,730
J10018 NEBIDO 4 ML 2,675,372 2,969,663
J10079 NERISONA COMBI CREAM 10G 102,743 114,045
J10080 NERISONA COMBI CREAM 5G 58,401 64,825
J10081 NERISONA CREAM 10G 91,928 102,040
J10082 NERISONA FAT OINT 10G 92,185 102,325
J10022 NEXAVAR TAB 60S 22,180,000 24,619,800
J10007 NIMOTOP INFUS 50 ML 341,975 379,592
J10007-E NIMOTOP INFUS 50 ML - E 105,895 117,543
J10006 NIMOTOP TABLET 50S 473,873 525,999
J10006-E NIMOTOP TABLET 50S - E 174,636 193,846
J10028 PRIMOLUT N TAB 30S 166,469 184,781
J10028-E PRIMOLUT N TAB 30'S JKN - E 71,400 79,254
J10069 PRIMOVIST 3,300,000 3,663,000
J10069-E PRIMOVIST JKN - E 2,517,818 2,794,778
J10088 REDOXON BLACKCURRANT TAB EFF 10 31,400 34,854
J10038 REDOXON EFF ZINC BLACKCURRANT TAB 10 31,400 34,854
J10035 REDOXON EFF ZINC ORANGE TAB 10 31,400 34,854
J10037 REDOXON EFF ZINC ORANGE TAB 15 37,395 41,508
J10036 REDOXON EFF ZINC ORANGE TAB 20 61,550 68,321
J10086 REDOXON EFF ZINC ORANGE TAB STRIPS 12x2' 78,000 86,580
J10039 REDOXON FORTIMUN TAB EFF 10 35,700 39,627
J10089 REDOXON ZINC TAB EFF 10 31,400 34,854
J10087 REDOXON ZINC TAB EFF 10+5 31,400 34,854
J10065 REFAGAN TABLETS 30x4s TAB ID 77,080 85,559
J10052 ROMILAR EXPECTORANT 3MG/1ML 100 SYRUP 37,351 41,460
J10047 SARIDON FCT 30x4s TAB 87,600 97,236
J10063 SARIDON WHITE & BLACK 10x6s TAB 69,507 77,153
J10024 STIVARGA TAB 28S 15,834,069 17,575,817
J10042 SUPRADYN FCT BOTTLE 30 71,422 79,278
J10041 SUPRADYN ORANGE TAB EFF 10 34,759 38,582
J10045 TONIKUM 100ML 11,670 12,954
J10046 TONIKUM 330ML 23,106 25,648
J10083 TRAVOCORT CREAM 5G 70,298 78,031
J10084 ULTRAPROCT N CREAM 10G 98,365 109,185
J10085 ULTRAPROCT N SUPP 6s 86,520 96,037
J10070 ULTRAVIST - 300 -100MLX10VIAL 5,000,000 5,550,000
J10071 ULTRAVIST - 300 -50MLX10VIAL 2,500,000 2,775,000
J10072 ULTRAVIST - 370 -100MLX10VIAL 6,000,000 6,660,000
J10073 ULTRAVIST - 370 -50MLX10VIAL 3,000,000 3,330,000
J10070-E ULTRAVIST JKN - 300 -100MLX10VIAL - E 2,796,291 3,103,883
J10071-E ULTRAVIST JKN - 300 -50MLX10VIAL - E 1,471,873 1,633,779
J10072-E ULTRAVIST JKN - 370 -100MLX10VIAL - E 3,398,645 3,772,496
J10073-E ULTRAVIST JKN - 370 -50MLX10VIAL - E 1,704,218 1,891,682
J10077 UPIXON SUSPENSION 10ML 11,000 12,210
J10074 UROGRAFIN 76 -20MLX10AMP 840,000 932,400
J10029 VISANNE TAB 28S 541,652 601,234
J10029-E VISANNE TAB 28S - E 353,105 391,947
J10008 XARELTO 10 MG 10S 331,772 368,267
J10008-E XARELTO 10 MG 10S - E 221,182 245,512
J10009 XARELTO 15 MG 28S 928,963 1,031,149
J10009-E XARELTO 15 MG 28'S JKN - E 619,309 687,433
J10010 XARELTO 20 MG 28S 928,963 1,031,149
J10010-E XARELTO 20 MG 28'S JKN - E 619,309 687,433
J10056 ZAMBUK 29,150 32,357
Part No Part Desc HNA HNA+PPN
L90001 DERMAKEL GEL TUBE 19G 140,000 155,400
L90002 SOHOBION 5000 10 STRIP @ 10 TAB SALUT 200,000 220,000