Lampiran Daftar Harga Obat Jaminan Kesehatan

E-KATALOG 2023

NIE Harga E-Katalog 2023

No Nama Zat Aktif Nama Dagang Kemasan Isi per (Sudah termasuk PPN 11%) Divisi Link Produk
Box Per Satuan Per Box /
Nomor Terkecil Botol

1 Allopurinol tablet 100 mg GKL1633314610A1 Dus, 10 blister @ 10 tablet 100 Rp 178 Rp 17,800 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48806959?type=province

2 Allopurinol tablet 300 mg GKL1733314610A1 Dus, 3 blister @ 10 tablet 30 Rp 446 Rp 13,380 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48670363?type=province

3 Alprazolam tablet 0,5 mg GPL1333310510A1 Dus, 10 blister @ 10 tablet 100 Rp 156 Rp 15,600 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48550192?type=province

4 Alprazolam tablet 1 mg GPL1333310510B1 Dus, 10 strip @ 10 tablet 100 Rp 198 Rp 19,800 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48577560?type=province

5 Amlodipine tablet 10 mg GKL1933316910B1 Dus, 10 strip @ 10 tablet 100 Rp 110 Rp 11,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48538175?type=province

6 Amlodipine tablet 5 mg GKL1933316910A1 Dus, 10 strip @ 10 tablet 100 Rp 99 Rp 9,900 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48546570?type=province

7 Amoksisilin Kaplet 500 mg (Strip) GKL0133303804A1 Dus, 10 strip @ 10 kaplet 100 Rp 490 Rp 49,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48697184?type=province

8 Amoxicillin Sirup kering 125 mg/ 5 ml GKL1633312838A1 Botol @ 60 ml 1 Rp 3,480 Rp 3,480 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48594935?type=province

9 Amoxicillin sirup kering 250 mg/5 ml GKL1833312838B1 Botol plastik @ 60 ml 1 Rp 5,200 Rp 5,200 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48695999?type=province

10 Antasida Suspensi GBL1733314033A1 Botol plastik @ 60 ml 1 Rp 2,750 Rp 2,750 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/74569094?type=province

11 Antasida tablet kunyah GBL1733313963A1 Dus , 10 blister @ 10 tablet kunyah 100 Rp 99 Rp 9,900 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48699002?type=province

12 Asam Asetilsalisilat (asetosal) tablet 80 mg Miniaspi 80 DKL0333304915A1 Dus, 10 strip @ 10 tablet salut enterik 100 Rp 216 Rp 21,600 Neurologi https://e-katalog.lkpp.go.id/katalog/produk/detail/48732016?type=province

13 Asam askorbat (vitamin C) tablet/250 mg POM SD201579961 Dus, 10 Strip @ 10 Kaplet 100 Rp 220 Rp 22,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/74736877?type=province

14 Asam askorbat (vitamin C) tablet/50 mg POM SD201579971 Dus, 10 strip @ 10 tablet 100 Rp 117 Rp 11,655 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48548628?type=province

15 Betahistine Mesilatetablet 6 mg GKL1433312310A1 Dus, 3 strip @ 10 tablet 30 Rp 356 Rp 10,680 Neurologi https://e-katalog.lkpp.go.id/katalog/produk/detail/48738058?type=province

16 Calcium Carbonate kaplet 500 mg POM SD201578381 Dus, 3 blister @ 10 kaplet kunyah 30 Rp 550 Rp 16,500 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48506448?type=province

17 Calcium Lactate (Kalk) tablet 500 mg POM SD171550261 Dus, 10 blister @ 10 tablet 100 Rp 88 Rp 8,800 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48735484?type=province

18 Chlorpromazine injeksi 25 mg/ml ( i.m.) GKL1733315443A1 Dus, 10 ampul @ 2 ml 10 Rp 8,730 Rp 87,300 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48808146?type=province

19 Chlorpromazine injeksi 25 mg/ml ( i.m.) Cepezet Injeksi DKL0333304443A1 Dus, 10 ampul @ 2 ml 10 Rp 8,730 Rp 87,300 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/69954426?type=province

20 Chlorpromazine tablet 100 mg GKL1433312117A1 Dus, 10 blister @ 10 tablet salut selaput 100 Rp 525 Rp 52,500 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48530785?type=province

21 Chlorpromazine tablet 100 mg Cepezet Tab 100 DKL0033302517A1 Dus, 10 Strip @ 10 Tablet Salut Selaput 100 Rp 577 Rp 57,700 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/74497926?type=province

22 Ciprofloxacin infus 2 mg/ml GKL1933316849A1 Botol @ 100 ml 1 Rp 10,000 Rp 10,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48811667?type=province

23 Ciprofloxacin kaplet 500 mg GKL1833315909A1 Dus, 2 blister @ 10 kaplet salut selaput 20 Rp 630 Rp 12,600 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48732943?type=province

24 Clindamycin kapsul 300 mg GKL1433312501A1 Dus, 5 Strip @ 10 Kapsul 50 Rp 1,000 Rp 50,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48602848?type=province

25 Clobazam tablet 10 mg GPL1633313110A1 Dus, 10 strip @ 10 tablet 100 Rp 461 Rp 46,100 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/47948028?type=province
 NIE Harga E-Katalog 2023
No Nama Zat Aktif Nama Dagang Kemasan Isi per (Sudah termasuk PPN 11%) Divisi Link Produk
Box Per Satuan Per Box /
Nomor Terkecil Botol

26 Clonazepam tablet 2 mg GPL1433311717A1 Dus, 10 blister @ 10 tablet salut selaput 100 Rp 6,360 Rp 636,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48517857?type=province

27 Clozapine tablet 100 mg GKL1233310410B1 Dus, 5 blister @ 10 tablet 50 Rp 1,994 Rp 99,700 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48573187?type=province

28 Clozapine tablet 25 mg GKL1233310410A1 Dus, 5 blister @ 10 tablet 50 Rp 946 Rp 47,300 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48575546?type=province

29 Cotrimoxazole (dewasa) kombinasi: sulfametoksazol 400

mg + trimetoprim 80 mg (tab/kaptab 480 mg) GKL1733314110A1 Dus, 10 blister @ 10 tablet 100 Rp 240 Rp 24,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48729096?type=province

30 Cotrimoxazole forte kombinasi: sulfametoksazol 800 mg +

trimetoprim 160 mg (tab/kaptab 960 mg) GKL1733314509A1 Dus, 10 blister @ 10 kaplet salut selaput 100 Rp 408 Rp 40,800 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48603389?type=province

Cotrimoxazole Suspensi (anak) kombinasi tiap 5 ml

31 suspensi: sulfametoksazol 200 mg + trimetoprim 40 mg GKL1733314833A1 botol @ 60 ml 1 Rp 3,078 Rp 3,078 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/74586880?type=province
(susp 240 mg)

32 Diazepam tablet 5 mg GPL1433311910A1 Dus, 10 strip @ 10 tablet 100 Rp 216 Rp 21,600 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/47951470?type=province

33 Dexamethason injeksi 5 mg/mL GKL2233317843A1 Dus, 12 ampul @ 1 ml 12 Rp 1,269 Rp 15,228 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48804574?type=province

34 Flufenazin injeksi 25 mg/mL (i.m ) Sikzonoate Injeksi DKI1034100143A1 Dus, 5 ampul @ 1 ml 5 Rp 80,586 Rp 402,930 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/47946648?type=province

35 Fluoxetine HCl kapsul20 mg GKL1433312001A1 Dus, 5 strip @ 6 Kapsul 30 Rp 464 Rp 13,920 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48519921?type=province

36 Furosemide inj 10 mg/mL (i.v./i.m) GKL1833316143A1 Dus, 25 ampul @ 2 mL 25 Rp 1,846 Rp 46,150 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48579921?type=province

37 Gabapentin kapsul 100 mg GKL2033315101B1 Dus, 5 blister @ 10 kapsul 50 Rp 999 Rp 49,950 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48490353?type=province

38 Gabapentin kapsul 300 mg GKL1733315101A1 Dus, 5 blister @ 10 kapsul 50 Rp 2,360 Rp 118,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48604059?type=province

39 Glukosa larutan infus 10% / Dextrose GKL1733315049A2 botol plastik @ 500 ml 1 Rp 9,999 Rp 9,999 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48800750?type=province

40 Glukosa larutan infus 5 % / Dextrose GKL1733315049B2 Botol plastik @ 500 ml 1 Rp 7,753 Rp 7,753 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48702101?type=province

41 Haloperidol drops 2 mg/mL Lodomer Drops DKL0333305436A1 Dus, botol @ 15 ml 1 Rp 33,000 Rp 33,000 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/76278013?type=province

42 Haloperidol inj 5 mg/mL (i.m.) GKL1733313343A1 Dus, 12 ampul @ 1 ml 12 Rp 1,966 Rp 23,592 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48744119?type=province

43 Haloperidol tablet 2 mg Lodomer 2 DKL9933301617A1 Dus, 10 strip @ 10 tablet salut selaput 100 Rp 192 Rp 19,200 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/76272620?type=province

44 Haloperidol tablet 5 mg GKL1333311217A1 Dus, 10 strip @ 10 tablet salut selaput 100 Rp 218 Rp 21,800 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48747876?type=province

45 Isoflurane inhalasi 100 ml GKL2033317068A1 Dus, 1 botol @ 100 ml 1 Rp 317,900 Rp 317,900 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48492924?type=province

46 Isoflurane inhalasi 250 ml GKL2033317068A1 Dus, 1 botol @ 250 ml 1 Rp 401,500 Rp 401,500 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48493366?type=province

47 Karbamazepin tablet 200 mg GKL1433311410A1 Dus, 10 blister @ 10 tablet 100 Rp 706 Rp 70,600 Neurologi https://e-katalog.lkpp.go.id/katalog/produk/detail/48761200?type=province

48 Ketorolac tromethamine inj 30 mg/ml (3%) GKL1933316643A1 Dus, 12 ampul @ 1 ml 12 Rp 1,119 Rp 13,428 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48523412?type=province

Kombinasi (DHP): dihidroartemisinin 40 mg + Piperakuin

49 320 mg tablet DHP Frimal DKI1340100217A1 Dus, 1 blister @ 9 tablet salut selaput 9 Rp 3,500 Rp 31,500 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48594033?type=province

50 Kombinasi KDT/FDC mengandung: benserazid 25 mg +

levodopa 100 mg, tablet Levoben DKL0433306910A1 Dus, 3 strip @ 10 tablet 30 Rp 3,552 Rp 106,560 Neurologi https://e-katalog.lkpp.go.id/katalog/produk/detail/48805370?type=province

Kombinasi: ferro fumarat (setara dengan 60 mg Fe

51 elemental) + as. Folat 0,4 mg tablet salut gula (tablet GBL1833316016A1 Dus, 10 strip @ 10 tablet salut gula 100 Rp 176 Rp 17,600 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48491404?type=province
tambah darah)
 NIE Harga E-Katalog 2023
No Nama Zat Aktif Nama Dagang Kemasan Isi per (Sudah termasuk PPN 11%) Divisi Link Produk
Box Per Satuan Per Box /
Nomor Terkecil Botol

52 Levofloxacin inf 5 mg/mL GKL1933316749A1 1 botol @ 100 ml 1 Rp 24,444 Rp 24,444 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48604789?type=province

53 Litium karbonat tablet 200 mg Frimania 200 DKL0433306710A1 Dus, 10 strip @ 10 tablet 100 Rp 2,198 Rp 219,800 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/44913957?type=province

54 Litium karbonat tablet 400 mg Frimania 400 DKL0433306710B1 Dus, 10 strip @ 10 tablet 100 Rp 3,810 Rp 381,000 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/44913117?type=province

55 Lorazepam tablet 0,5 mg GPL1833316510A1 Dus, 10 strip @ 10 tablet 100 Rp 410 Rp 41,000 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48580922?type=province

56 Lorazepam tablet 2 mg GPL1433311517A1 Dus, 10 strip @ 10 tablet salut selaput 100 Rp 1,210 Rp 121,000 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48591863?type=province

57 Manitol inf 20% 500 ml GKL1733315349A2 Dus, I botol plastik @ 500 ML 1 Rp 36,526 Rp 36,526 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48801399?type=province

58 Maprotiline HCl tablet salut selaput 50 mg GKL1333311317A1 Dus, 5 strip @ 10 tablet salut selaput 50 Rp 4,500 Rp 225,000 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48516349?type=province

59 Mefenamic acid kaplet 500 mg (Blister) GKL1633313009A2 Dus, 10 blister @ 10 kaplet salut selaput 100 Rp 180 Rp 18,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48601809?type=province

60 Methylfenidat Hydrochloride tablet 10 mg GPL1733314310A1 Dus, 3 strip @ 10 tablet 30 Rp 5,328 Rp 159,852 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48511932?type=province

61 Metronidazole infus 5 mg/ ml GKL1833316249A1 Dus, 1 botol @ 100 mL 1 Rp 8,256 Rp 8,256 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48803456?type=province

62 N-asetil sistein kapsul 200 mg GTL2233317901A1 Dus, 10 strip @ 10 kapsul 100 Rp 1,898 Rp 189,810 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48536810?type=province

63 Paracetamol infus 10 mg/mL GKL1733314449A1 botol @ 100 ml 1 Rp 12,500 Rp 12,500 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48707188?type=province

64 Paracetamol syrup 120 mg / 5 ml GBL1533312737A1 Botol plastik @ 60 ml 1 Rp 2,999 Rp 2,999 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/74567947?type=province

65 Paracetamol tablet 500 mg GBL1533312610A1 Dus, 10 blister @ 10 tablet 100 Rp 160 Rp 16,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/47943324?type=province

66 Phenytoin Sodium Injeksi 50 mg/ml (100 mg/ 2 mL) GKL1333311043A1 Dus, 10 ampul @ 2 ml 10 Rp 2,999 Rp 29,990 Neurologi https://e-katalog.lkpp.go.id/katalog/produk/detail/48700245?type=province

67 Piridoksin (vitamin B6) tab 10 mg POM SD211516141 Dus, 10 strip @ 10 tablet 100 Rp 160 Rp 16,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/75800752?type=province

68 Ranitidine injeksi 25 mg/ml GKL1833315643A1 Dus, 10 ampul @ 2 mL 10 Rp 1,058 Rp 10,582 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48522227?type=province

69 Ranitidine tablet 150 mg GKL1733314217A1 Dus, 10 strip @ 10 tablet salut selaput 100 Rp 235 Rp 23,520 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48777825?type=province

70 Risperidone tablet 2 mg GKL1133310317A1 Dus, 5 strip @ 10 tablet salut selaput 50 Rp 209 Rp 10,450 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48763593?type=province

71 Sevoflurane 250 GKL2033317168A1 Dus, 1botol @ 250 mL 1 Rp 855,850 Rp 855,850 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48492335?type=province

72 Simvastatin tablet 10 mg GKL1433311617A1 Dus, 3 strip @ 10 tablet salut selaput 30 Rp 105 Rp 3,150 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48772465?type=province

73 Sodium Chloride 0,9% 500 mL / NaCl GKL1733314949A2 Dus, 1 botol @ 500 mL 1 Rp 7,673 Rp 7,673 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48773947?type=province

74 Sodium Valproate/ Valproic Acid Sirup 250 mg/5 ml Depval Syrup DKL1633313637A1 Dus, 1 Botol @ 120 mL 1 Rp 80,586 Rp 80,586 Neurologi https://e-katalog.lkpp.go.id/katalog/produk/detail/75298927?type=province

75 Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg POM SD211516951 Dus, 10 strip @ 10 tablet 100 Rp 225 Rp 22,500 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48813758?type=province

76 Tramadol inj 50 mg/ml GKL1333310743A1 Dus, 5 ampul @ 2 ml 5 Rp 3,432 Rp 17,160 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/48513329?type=province

77 Trifluoperazine 5 mg GKL1433312217A1 Dus, 10 strip @ 10 tablet salut selaput 100 Rp 242 Rp 24,200 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48515458?type=province

78 Trihexyphenidyl tablet 2 mg GKL1433312410A1 Dus, 10 blister @ 10 tablet 100 Rp 126 Rp 12,600 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/48585408?type=province
 Lampiran Daftar Harga Obat Non Jaminan Kesehatan
E-KATALOG 2023

Harga E-Katalog 2023

Isi per (Sudah termasuk PPN 11%)
No Nama Produk NIE Kemasan Box Divisi Link Produk
Per Satuan Per Box / Botol
Terkecil

1 Mersibion 5000 KSS (50) DBL0133301809B1 Dus, 5 blister @ 10 kaplet salut selaput 50 Rp 2,021 Rp 101,050 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/54151094?type=province

2 Mersibion KSS (30) DBL9933301809A1 Dus, 3 Blister @ 10 Kaplet salut selaput 30 Rp 851 Rp 25,530 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/54357965?type=province

3 Mersidryl Syrup DTL2033317337A1 Dus, 1 botol @ 75 mL 1 Rp 13,875 Rp 13,875 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/54481413?type=province

4 Mersidol - Paracetamol 500 mg DBL2133317404A1 Dus, 10 Amplop @ 1 Blister @ 10 Kaplet 100 Rp 311 Rp 31,100 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/54494652?type=province

5 Vitomil AF POM SD051523881 Dus, 3 blister @ 10 kaplet salut selaput 30 Rp 740 Rp 22,200 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/54502882?type=province

6 Calporosis D 500 POM SD061529611 Dus 3 blister @ 10 kaplet hisap 30 Rp 1,018 Rp 30,540 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/54505149?type=province

7 Calporosis D 800 POM SD031507961 Dus, botol plastik @ 30 tablet hisap 30 Rp 1,832 Rp 54,960 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/54506701?type=province

8 Merron 25 DKL0333304717A1 Dus, 5 strip @ 10 tablet salut selaput 50 Rp 1,643 Rp 82,150 Neurologi https://e-katalog.lkpp.go.id/katalog/produk/detail/55080973?type=province

9 Takelin 1000 Oral POM SD051524371 Dus, 5 Strip @ 6 Kaplet 30 Rp 18,574 Rp 557,220 Neurologi https://e-katalog.lkpp.go.id/katalog/produk/detail/74949657?type=province

10 Takelin 500 Oral POM SD051524361 Dus, 3 Strip @ 10 tablet 30 Rp 10,101 Rp 303,030 Neurologi https://e-katalog.lkpp.go.id/katalog/produk/detail/57450994?type=province
 Lampiran Daftar Harga Obat Non Jaminan Kesehatan
E-KATALOG 2023

Harga E-Katalog 2023

NIE
Isi per (Sudah termasuk PPN 11%)
No Nama Produk Nama Dagang Kemasan Divisi Link Produk
Box Per Satuan
Nomor Expire Date Per Box / Botol
Terkecil

1 Escitalopram 10 mg Elxion 10 DKL1521644917A1 3/23/2026 Dus, 3 Blister @ 10 Tablet salut selaput 30 Rp 12,821 Rp 384,630 Psikiatri https://e-katalog.lkpp.go.id/katalog/produk/detail/75630214?type=province
 Lampiran Daftar Harga Obat Non Jaminan Kesehatan
E-KATALOG 2023

Harga E-Katalog 2023

NIE (Sudah termasuk PPN 11%)
Isi per
No Nama Produk Nama Dagang Kemasan Box Divisi Link Produk
Per Satuan
Nomor Expire Date Terkecil Per Box / Botol

1 Vaksin Meningitis Meningokokus Formening DKI1642900144A1 8/6/2026 Dus, 1 vial @ 200 mcg + 1 ampul pelarut @ 0,5 mL 1 Rp 140,000 Rp 140,000 VakHos https://e-katalog.lkpp.go.id/katalog/produk/detail/44913682?type=province