daftar hrga obat 1 april 2014

7/25/2019 Daftar Hrga Obat 1 APRIL 2014

1/25

HARGA OBAT TABLET PER 1 APRIL 2014

No Nama obat HNA HNA+PPN HJA (1.3) HJA (PEMBULATAN)1 Acetram 5700 6270 8151 8150

2 Acyclovir 200m !52"8# !88"17# 504"6!27 550 v

! Acyclovir 400m 51#"!# 571"!2# 742"7277 750 v

4 Al$e%&a'ol 400m !6#"7 406"67 528"671 550 v

5 Al&i(a )R !445 !78#"5 4#26"!5 4950 v

6 Alei #68 1258"4 1250 v

7 Ala%a* 0"5m 2255 2#!1"5 2950 v

8 Allero% 56 61"6 80"08 100 v

# Allo+,ri%ol 120 1!2 171"6 200 v

10 Al+ara 47!"!! 520"66! 676"861# 700 v11 Am$eve% 1020 1122 1458"6 1500 v

12 Am$ro*ol !0m 11!"7 125"07 162"5#1 200

1! Ami%o+-yli% 67"# 74"6# #7"0#7 100

14 Amlo&i+i% 10m 15!#"4 16#!"!4 2201"!42 2200 v

15 Amlo&i+i% 5m 872"7! #60"00! 1248"00!# 1250 v

16 Amo*(a% 500m 287!"5 !160"85 410#"105 4100 v

17 Amo*(a% &i(+ 250m 12!#"75 1!6!"725 1772"8425 1800 v

18 Amvar 0 0 6100

1# Amytri+tili% 300

20 A%al(i. 1010 1111 1444"! 1500 v21 A%a(ta% / 186"05 204"655 266"0515 300 v

22 A%&rolo% 6#66"67 #056"671 9100

2! A%ta(i&a OE 71"6 78"76 102"!88 150

24 Are(i& / 1100 1210 157! 1600

25 A(+ar 204!"6 2247"#6 2#22"!48 2950 v

26 A(+ilet c-e3 80m 5!0 58! 757"# 750 v

27 A'ytromi(i% 500m 10000 11000 14!00 14300

28 Ba,i%or / 11710 12881 16745"! 16750 v

2# Becom 1140 1254 16!0"2 1650 v

!0 Becomet 1520 1672 217!"6 2200 v!1 Be(tali% !1#0 4147 4150 v

!2 Beta(erc 24m

!! Beta(erc 8m 2805 !085"5 4011"15 4050

!4 Bio%emi 1210 157! 1600 v

!5 Ble&(to+ 415 456"5 5#!"45 600 v

!6 Ble(ie% 50m 10550 11605 15086"5 15100 v

!7 Brai%act 1000m 14!!! 15766"! 204#6"1# 20500

!8 Brai%act 500m 10!!!"!! 11!66"66! 14776"661# 14800

!# Bra*i&i% 660 726 #4!"8 950

40 Brica(ma ta$ 1##5"74 21#5"!14 285!"#082 2900 41 B,(co+a% 2!00 2##0 3000 v


2/25

42 alci,m Lactat 5! 58"! 75"7# 100

4! alc,(ol 70! 77!"! 1005"2# 1000 v

44 al&ece e 18440 20284 26!6#"2 26500

45 al+le* !166"67 !48!"!!7 4528"!!81 4550 v

46 a+to+ril 12"5m 81"82 #0"002 117"0026 150 v

47 a+to+ril 25m 125"2! 1!7"75! 17#"078# 200 v

48 ataro e 25000 27500 !5750 36000 v

4# ea&ro*yl 250m 404"6 445"06 578"578 600

50 ea&ro*yl 500m 76!"64 840"004 10#2"0052 1100 v

51 eat 500m #170 10087 1!11!"1 13150 v

52 ei*im 100m 2176"# 2!#4"5# !112"#67 3150 v

5! etiri'i% 10m 285 !1!"5 407"55 450 v

54 eva&il 10m 1540 16#4 2202"2 2200

55 eva&il 5m 1000 1100 14!0 1450 v

56 -ole(cor 4#16"67 5408"!!7 70!0"8!81 7050 v

57 -romal,* 8500 #!50 12155 12500 v

58 i+rolo*aci% 500m 28#"# !18"8# 414"557 450 v

5# la%e*i 625m

60 li%&amici% !00m 684"!2 752"752 #78"5776 1000

61 lo%i&i% 0 0 400

62 lo+i&orel 75m #000 ##00 12870 12900 v

6! o$a'ym 1000 2205 2425"5 !15!"15 3200

64 o&ei% 0 0 300

65 ol(a%ceti%e 250m 460 506 657"8 650

66 T9 4m 7"5 8"25 10"725 100

67 ,rc,ma 660 726 #4!"8 950

68 yto(tol 8000 8800 11440 11500

6# a%a(o% ## 108"# 141"57 200 v

70 arvo% 2400 2640 !4!2 3450

71 ecori% 215 2!6"5 !07"45 350

72 emacoli% 22#"# 252"8# !28"757 350

7! e*amet-a(o% 60 66 85"8 100

74 e*a%ta 147 161"7 210"21 300 v

75 e*tromet-or+-a% !2"4 !5"64 46"!!2 100

76 e*ymo* / 4!0 47! 614"# 700 v77 ia$e* #82 1080"2 1404"26 1400

78 io*i% 1!0 14! 185"# 200

7# i(me%o 2500 2750 !575 3600

80 ome(co 2500 2750 !575 3600

81 o*ycycli% 2!0 25! !28"# 350

82 rama(i%e 1!8#"15 1528"065 1#86"4845 2000

8! rova* 500m 8000 8800 11440 11450

84 ,lcolac 741 815"1 105#"6! 1100

85 Ea'ycal 2500 2750 !575 3600

86 Elae% 50m 1815 1##6"5 25#5"45 2600 v87 El.a%a 6!0 6#! #00"# 900 v


3/25

88 E+e*ol !0m 710 781 1015"! 1050 v

8# Eryra 500m 850 1105 1150

#0 Ery(a%$e 500m 22#0 251# !274"7 3300 v

#1 Ery(a%$e c-e3 200m 1!65 1501"5 1#51"#5 1950 v

#2 E(olat 2640 !4!2 3500 v

#! E(t-ero 4#8#"! 5488"2! 71!4"6## 7150

#4 Eta$io% 14#"## 164"#8# 214"4857 300

#5 Et-am$,tol 500m 520"#! 57!"02! 744"#2## 750

#6 Et,rol !750 4125 5!62"5 5400

#7 E'yar& / 4#50 64!5 6450

#8 /ero(+at e 40000 44000 57200 57500 v

## /etavita 5750 6!25 8222"5 8250

100 /G Troc-e( #75 1072"5 1!#4"25 1400

101 /io%at 550 605 786"5 800

102 /lo*ira 806 886"6 1152"58 1150

10! /olavit 680 748 #72"4 1000 v

104 /orela* !520 4576 4600

105 /or%e,ro 41!!"!! 4546"66! 5#10"661# 6000

106 /orre( !700 4070 52#1 5300 v

107 /reo 5m !#40 4!!4 56!4"2 5700

108 /,ro(emi& #2"8 102"08 1!2"704 150

10# Gemi$ro'il !00m 280"28 !08"!08 400"8004 400

110 Gita( +l,( 1845 202#"5 26!8"!5 2650 v

111 Gla,co% !800 4180 54!4 5450

112 Gli$e%clami& 65"45 71"##5 #!"5#!5 100

11! Gl,co(ami% 250m #60 1056 1!72"8 1400 v

114 Gl,or 1000 1100 14!0 1450 v

115 Gl,tro+ 11500 12650 16445 16450

116 Glyceril G,aicolat 27"! !0"0! !#"0!# 100

117 Gra&ile* 104 114"4 148"72 150 v

118 Graa&o% 128"5 141"!5 18!"755 300 v

11# Graamic 16! 17#"! 2!!"0# 300 v

120 Graa'ol 218 2!#"8 !11"74 350 v

121 Grat-a'o% #0"5 ##"55 12#"415 200 v

122 Gri(eo,lvi% 125m 50012! Gri(eo,lvi% 500m 1050 1155 1501"5 1500

124 He+ta(a% 18#"1 208"01 270"41! 300

125 H,a&i% 2!6"!! 25#"#6! !!7"#51# 350 v

126 H,ari+ / 186 204"6 265"#8 300 v

127 H,ama +l,( 1#7"!# 217"12# 282"2677 300 v

128 Hy(tola% !400 !740 4862 4900

12# Hy(tri% 42!!"!! 4656"66! 605!"661# 6050 v

1!0 I$,+roe% 400m 186"4 205"04 266"552 300

1!1 Imo&i,m 5675"25 6242"775 8115"6075 8150

1!2 Im,%o( 5500 7150 7150 v1!! I%ali% 156 171"6 22!"08 300


4/25

1!4 IH !00m 88"182 #7"0002 126"10026 300

1!5 I%ter-i(ti% 550 605 786"5 800

1!6 I(o(or$i& &i%itrat 88"5 #7"!5 126"555 200

1!7 almeco 250m 1180 12#8 1687"4 1700 v

1!8 almeco 500m 1860 2046 265#"8 2700 v

1!# altroe% ec 50m 2500 2750 !575 3450

140 a+e&o*i% 48! 5!1"! 6#0"6# 700 v

141 ete((e ta$ 6500 7150 #2#5 9300

142 eto.o%a'ol 200m !!#"8 !7!"78 485"#14 500

14! etrici% 4m 2650 2#15 !78#"5 3800

144 Lacto B !500 !850 5005 5000 v

145 La%aceti% 250m 0 0 500

146 La%(o+ra'ol !0m 1228"5 1!51"!5 1756"755 1800 v

147 La+ie& 1650 2145 2150 v

148 La+im,c 660 858 900 v

14# LBio 42#0 5577 5600 v

150 Li$ra* 1#4!"5! 21!7"88! 277#"247# 2800

151 Lico.al. 151"82 167"002 217"1026 300

152 Liva+ro )) 8600 v

15! Lorata&i% !02"8 !!!"08 4!!"004 500

154 9altoer c-e3 2567 282!"7 !670"81 3700 v

155 9eco$alami% 500m 700 770 1001 1000

156 9ei%al 500m 1140 1254 16!0"2 1650 v

157 9elo*icam 15m 10#0 11## 1558"7 1600

158 9elo*icam 7"5m 628"!6 6#1"1#6 8#8"5548 900

15# 9e+ti% 0"05m !606 !#66"6 5156"58 5200

160 9e+ti% mi%i 0"025m 2117 2!28"7 !027"!1 3050 v

161 9ertio 2770 !047 !#61"1 4000 v

162 9etormi% 165 181"5 2!5"#5 300

16! 9et-ylerometri% 110 121 157"! 200

164 9et-yl+re&%i(olo% 16m 106!"6! 116#"##! 1520"##0# 1600

165 9et-yl+re&%i(olo% 4m 400"5 440"55 572"715 600

166 9ilmor 2!50 2585 !!60"5 3400 v

167 9i%ia(+i 80m !00 !!0 42# 500

168 9o*ira !25 !57"5 464"75 70016# 9)T co%ti%,o,( 10m 14200 15620 20!06 20300

170 9ycroi%o% 8800 #680 12584 13000

171 9ylo*a% 160 176 228"8 300

172 9yore( 4400 5720 5750 v

17! eoer 5500 6050 7865 7900 v

174 erva Pl,( 1#25 2502"5 2500 v

175 ervito% E 1210 1#25 2502"5 2500 v

176 e,li% P) 10000 11000 14!00 14300

177 e,ro&e* 244"#5 26#"445 !50"2785 400

178 e,romec !2! !55"! 461"8# 500 v17# e,ro(a%$e #40 10!4 1!44"2 1350 v


5/25

180 e,ro(a%$e 5000 1#85 218!"5 28!8"55 2850 v

181 e,ro(a%$e +l,( 885 #7!"5 1265"55 1300 v

182 e,rotam 400m 1800 1#80 2574 2600 v

18! e,rotam 800m !!00 !6!0 471# 4750

184 e3 iata$ 440 484 62#"2 650 v

185 ie&i+i% 105 115"5 150"15 200 v

186 o+erte% 10m 4!50 4785 6220"5 6250 v

187 o+erte% 5m 0 0

188 orit 170"675 187"7425 244"06525 300

18# ovarol 400i, 8244"5 10717"85 11000 v

1#0 ove+i& 4600 v

1#1 ,trilam 5750 6!25 8222"5 8250

1#2 y(tati% va ta$ !1!"64 !45"004 448"5052 500

1#! Olo*aci% 400m 7#!"64 87!"004 11!4"#052 1200 v

1#4 Ome+ra'ol !71"2 408"!2 5!0"816 600

1#5 Oralit !64"6 401"06 521"!78 600

1#6 O(myci% 500m 4600 5060 6578 6600

1#7 O((ovit 2#00 !1#0 4147 4150 v

1#8 Oto+rim / !#0 42# 557"7 600 v

1## O*cal 2200 2420 !146 3150

200 O'e% 4!!!"!! 4766"66! 61#6"661# 6200 v

201 Patral 6800 7480 #724 9750 v

202 Pe+'ol 20m 11600 12760 16588 16600 v

20! Pe+'ol 40m 15000 16500 21450 21500

204 Piracetam 400m 410 451 586"! 600

205 Piracetam 800m 7!0 80! 104!"# 1050

206 Pirocam 20m 174 1#1"4 248"82 300

207 Pla(mi%e* 500m 2!25 2557"5 !!24"75 3350 v

208 Po%&e* / 20#"## 2!0"#8# !00"2857 300 v

20# Pre&%i(o% 68 74"8 #7"24 100

210 Prevomit 1750 1#25 2502"5 2500

211 Prema(to% 5m !566"66 !#2!"!26 5100"!2!8 5100

212 Pre%amia 880 #68 1258"4 1300

21! Pre%atal HA 1!#0 152# 1#87"7 2000

214 Pre%ati% Pl,( 500 550 715 750215 Prima&e* / !70 407 52#"1 550 v

216 Primol,t 4!48"67 478!"5!7 6218"5#81 6250

217 Pro$io.i& 0

218 Prolic 150m 2#10 !201 4161"! 4200

21# Promavit 1760 2288 2300 v

220 Pro%e,ro% 1045 1!58"5 1350 v

221 Pro+a%olol 10m 62"6 68"86 8#"518 100

222 Pro+a%olol 40m 144 158"4 205"#2 200

22! Pro+ylt-io,racil 100m !08"82 !!#"702 441"6126 450

224 Prot-yra !##6"67 4!#6"!!7 5715"2!81 5750225 Prov,la 10000 11000 14!00 14300


6/25

226 Pyra%tel Pamoat 125m 26!"64 2#0"004 !77"0052 500

227 Pyra'i%ami& 212"7! 2!4"00! !04"20!# 400

228 :10 +l,( 14465 18804"5 18800 v

22# Ra%iti&i% 200 220 286 300

2!0 Ra%ti% !#80 4!78 56#1"4 5700

2!1 Re,me% 2805 !085"5 4011"15 4000

2!2 Re%a+ar 2000 2200 2860 2900 v

2!! R-i%oe& 1500 1650 2145 2150

2!4 R-o&i,m 5225 5747"5 7471"75 7500 v

2!5 Riam+i(i% 450m 600 660 858 900

2!6 Riam+i(i% 600m 8!8"64 #22"504 11##"2552 1200

2!7 )al$,tamol 2m 76"!# 84"02# 10#"2!77 150

2!8 )al$,tamol 4m 88"6! #7"4#! 126"740# 200

2!# )a%,li

240 )a%ma 575 6!2"5 822"25 850 v

241 )a%meti&i% 1280 1408 18!0"4 1850

242 )a%mol 500m 240 264 !4!"2 350 v

24! )a%mol e 125m 26000

244 )a%mol e 500m 30000

245 )a%mol /orte 800

246 )a%+rima 480m 740 814 1058"2 1050 v

247 )a%+rima /orte 1705 1875"5 24!8"15 2450 v

248 )a%ta E !180 !4#8 4547"4 4550 v

24# )eleca !000 !!00 42#0 4300

250 )elo*y AA 5866"67 645!"!!7 8!8#"!!81 8400 v

251 )imva(tati% 466"!6 512"##6 666"8#48 700 v

252 )i(te%ol 1400 1540 2002 2000 v

25! )+a(mal !75 412"5 5!6"25 550 v

254 )+irola 25m 1400 1540 2002 2000 v

255 )+oretic 100m 17000 18700 24!10 24350 v

256 Teo(al 1#0 20# 271"7 300 v

257 T-yam+-e%icol 560 616 800"8 800

258 Tiaryt !800 4180 54!4 5450

25# Ti$io% 500m 5#8 657"8 855"14 900

260 Ti%e,ro% !00m 8800 11440 11500 v261 Trama&ol !00 !!0 42# 500

262 Tra%(ami% 250m 1!80 1518 1#7!"4 2000 v

26! Treme%'a 885 #7!"5 1265"55 1275 v

264 Tri$e(ta% 0 0 12500

265 Trove%(i( 4m 10510 11561 1502#"! 15050 v

266 Tr,va' 11000 12100 157!0 15750 v

267 ;%ali,m 5m 4620 6006 6000 v

268 ;%ivo*y 48!!"!! 5!16"66! 6#11"661# 6950

26# ;r&a-e*

270 ;troe(ta% 100m 6#!0 #00# 9000 v271 ;troe(ta% 200m 1!5!0 1758# 17600 v


7/25

272


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15/25

HA!A "BAT #$UP%#U#PEN#& PE AP&L 2014

No Nama obat HNA HNA+PPN HJA (1.3) HJA (PEMBULATAN)

1 Am$ro*ol (yr !000 !!00 42#0 5000

2 Amo*(a% /orte (yr 28110 !0#21 401#7"! 40500

! Amo*(a% +ae& &ro+ 1#710 21681 28185"! 28500

4 Amo*(a% (yr 60 ml 1#710 21681 28185"! 28500

5 A+ialy( (yr 26400 !4!20 34500

6 Bat,i% eli*ir !00ml 2#0#1 !2000"1 41600"1! 42000

7 Bat,i% eli*ir 120ml 14727 161##"7 2105#"61 21000

8 Bioly(i% (yr 60ml 8000 8800 11440 11500

# Biot-ycol (yr 171!0 1884! 244#5"# 24500

10 al%ic (yr 44000 57200 57500

11 ea&ro*il &ry (yr 7455 8200"5 10660"65 11000

12 ei*im (yr 27500 !0250 !#!25 39500

1! etiri'i% (yr 10000 11000 14!00 14500

14 ol(a%ceti% (yr #175 100#2"5 1!120"25 13500

15 ,rc,ma +l,( (yr 8500 #!50 12155 12500

16 ,rc,ma +l,( HA (yr 10000 11000 14!00 14500

17 ,rvit (yr 20000 22000 28600 29000

18 Etia% (yr !5000 !8500 50050 50000

1# El.a%a L (yr 40#25 45017"5 58522"75 58500

20 El.a%a (yr 18400 20240 26!12 26500

21 E+e*ol (yr 14710 16181 210!5"! 21000

22 Ery(a%$e &ry (yr 18#10 20801 27041"! 27000

2! /e%ri( (yr 15#00 174#0 227!7 23000

24 /erri' (yr 25500 28050 !6465 36500

25 /erri' &ro+ 25000 27500 !5750 36000

26 /i*i+-ar (yr !0ml 68000 74800 #7240 97500

27 /layl (,(+ 44606 4#066"6 6!786"58 64000

28 /l,ym,cil &ry (yr 75ml 42000 46200 60060 60000

2# Ga(tr,ci& (yr !8#7 4286"7 5572"71 6000

!0 H,ari+ l, (yr #410 10!51 1!456"! 13500

!1 H,ari+ BP (yr 8870 #757 12684"1 13000

!2 Hy(tri% (yr 40000 44000 57200 57500

!! Ia(tr,m &ro+ 22000 24200 !1460 31500

!4 Ia(tr,m e3 /orm,la 28500 !1!50 40755 41000

!5 Ia(tr,m +l,( (yr 1!500 14850 1#!05 19500

!6 Im,%o( (yr 55000 71500 71500

!7 Im,%o( +l,( (yr 82500 107250 107500

!8 I%+e+(a (yr 100ml 46000 50600 65780 66000

!# Lact,lac (yr !1#00 !50#0 45617 46000

40 La*a&ilac (yr !!000 !6!00 471#0 47500

41 La*a&y% (yr 60ml 27500 !0250 !#!25 3950042 La*a&y% (yr 110ml 40000 44000 57200 57500


16/25

4! Limo*i% &ro+ 26500 2#150 !78#5 38000

44 9altoer (yr 4#500 54450 70785 71000

45 9e+ti% (yr 45022 4#524"2 64!81"46 64500

46 aro' (yr !0ml 55000 60500 78650 79000

47 aro' (yr 60ml 80000 88000 114400 114500

48 eo aola%a (yr 10#20 12012 15615"6 16000

4# eo aomi%al (yr 5750 6!25 8222"5 8500

50 e,rotam (yr 58000 6!800 82#40 83000

51 i+e &ro+ 4#264 541#0"4 70447"52 70500

52 ovali% (yr !!!26 !6658"6 47656"18 48000

5! ymico &ro+ 282#0 !111# 40454"7 40500

54 Ore'i%c (yr 21212 2!!!!"2 !0!!!"16 30500

55 O*o+ect (yr 28500 !1!50 40755 41000

56 O'e% &ro+ 51100 56210 7!07! 73000

57 O'e% (yr 50000 55000 71500 71500

58 Pi+tal &ro+ 50000 55000 71500 71500

5# Pla%taci& (yr 6500 7150 #2#5 10000

60 Pra*io% &ro+ 18000 1#800 25740 26000

61 Pra*io% orte (yr 21500 2!650 !0745 31000

62 Pra*io% (yr 17000 18700 24!10 24500

6! Prima&e* (yr 4000 4400 5720 6000

64 Proly(i% +l,( (yr 1#800 25740 26000

65 Pro.i& &ro+ !1000 !4100 44!!0 44500

66 Pro+e+(a (,(+ 100ml 50050 65065 65000

67 Prori( orte (yr 20000 22000 28600 29000

68 Prori( (yr 17000 18700 24!10 24500

6# Ra%ivel (yr !5000 !8500 50050 50000

70 )al$,ve%t e*+ectora%t (yr 40000 44000 57200 57500

71 )al$,ve%t (yr 15650 17215 22!7#"5 22500

72 )a%mol (yr ##20 10#12 14185"6 14500

7! )a%+rima (yr 21885 2407!"5 !12#5"55 31500

74 )a%vita (yr 104#0 115!# 15000"7 15000

75 Treme%'a (yr 127#0 1406# 1828#"7 18500

76 Tyali(i% (yr 2#40 !2!4 4204"2 4500

77


17/25

HA!A "BAT &NJE'#& &NU# * NEBULE# PE AP&L 2014

No Nama "bat HNA HNA+PPN HJA (1.3) HJA (PEMBULATAN)

1 Acra% i%@ 17#20 1#712 25625"6 26000

2 A&re%ali%>e+i%eri% i%@ 0 0 3000! Ali%ami% / 0 0 17500

4 Ami%ol,i& 500ml #5000 104500 1!5850 136000

5 Ami%ole$a% 500ml 152405 167645"5 217#!#"15 218000

6 Ami%ovel 600 i%@ 500ml 72000 7#200 102#60 103000

7 Amo*(a% i%@ 1 r 1#710 21681 28185"! 28500

8 Amy%o+-yli% i%@ 2#45"8! !240"41! 4212"5!6# 4500

# A%$acim i%@ 65#60 72556 #4!22"8 94500

10 A%ti Bi(a ;lar !72#00 4101#0 5!!247 533500

11 A%ti Teta%,( )er,m 1500i, 115000 126500 164450 164500

12 A%trai% i%@ 8400 #240 12012 12000

1! A((eri% i%,(io% ot(,.a 500ml 15800 17!80 225#4 22500

14 Atro+i% i%@ 0 0 4500

15 Beclov 250m i%@ !0140 !!154 4!100"2 43500

16 Brai%act i%@ 250m 41000 45100 586!0 59000

17 Brai%act i%@ 500m 57474 6!221"4 82187"82 82500

18 Brica(ma i%@ 1658! 18241"! 2!71!"6# 24000

1# B,%a(ca% (+i%al i%@ 48000 52800 68640 69000

20 B,(co+a% i%@ 2!000 2##00 30000

21 eota*im i%@ 1 r 6!00 6#!0 #00# 9000

22 etria*o% i%@ 1r 7812"5 85#!"75 11171"875 11500

2! i+rolo*aci% i%,( 51818 56###"8 740##"74 74000

24 ol(a%ceti% i%@ 8775 #652"5 12548"25 12500

25 ycloem 80!0 104!# 10500

26 10 i%,(io% 10455 11500"5 14#50"65 15000

27 40 25ml 2800 !080 4004 4000

28 5 i%,(io% 100ml +iy$a #100 10010 1!01! 13000

2# 5 i%,(io% 500ml 827! #100"! 118!0"!# 12000

!0 ama$e% i%@ 7#00 86#0 112#7 11500

!1 e+o+roe(ti% 6#00 75#0 #867 10000

!2 e*amet-a'o% i%@ 2500 2750 !575 4000

!! oace i%@ 47150 51865 67424"5 67500

!4 ,ra&ryl i%@ !500 4550 5000

!5 E*trace 200 i%@ 0 0 9500

!6 E*trace1r i%@ 0 0 27000

!7 /ar(i* i%@ 6500 7150 #2#5 9500

!8 /ima HE) 200 16!000 17#!00 2!!0#0 233000

!# /li*oti& %e$,le( 2ml 17400 1#140 24882 25000

40 Ge%tamici% i%@ !!56"6 !6#2"26 47##"#!8 5000

41 Gita( i%@ 12000 1!200 17160 17500

42 Gramet i%@ 0 0 55000


18/25

4! aE% !A i%,(io% 500ml 142!7 15660"7 20!58"#1 20500

44 ae% !B i%,(io% 500ml 142!7 15660"7 20!58"#1 20500

45 almeco i%@ 500 17600 1#!60 25168 25500

46 al%e* i%@ 250m 8000 8800 11440 11500

47 altroe% i%@ 100m 2!500 25850 !!605 34000

48 a%amyci% i%@ 1r 8150 8#65 11654"5 12000

4# e%acort A i%@ 0 0 120000

50 etorolac i%@ 12150 1!!65 17!74"5 17500

51 ete((e 50m i%@ 42000 46200 60060 60000

52 La+i$al i%@ 1#800 25740 26000

5! Li&ocai% 2 i%@ #18"18 100#"##8 1!12"##74 1500

54 9a%itol 20 i% 250m !2#50 !6245 47118"5 47500

55 9et-eri% i%@ 81!! 8#46"! 116!0"1# 12000

56 9et-yl+re&%i(olo% i%@ 125m !0500 !!550 4!615 44000

57 9etro%i&a'ol i% 26818 2#4##"8 !8!4#"74 38500

58 9)O4 ot(,.a 20 25ml 4100 4510 586! 6000

5# 9)O4 ot(,.a 40 25ml 5500 6050 7865 8000

60 aL 0"# Ot(,.a 827! #100"! 118!0"!# 12000

61 aL 0"# i&atra OGB 4455 4#00"5 6!70"65 6500

62 al +iy $a #100 10010 1!01! 13000

6! eo i%@ 12!20 1!552 17617"6 18000

64 e,ro(a%$e i%@ 4140 4554 5#20"2 6000

65 e,rotam i%@ 1r 14700 16170 21021 21500

66 e,rotam i%@ !r 48000 52800 68640 69000

67 ovomi* le*+e% 1455!0 16008! 208107"# 208500

68 ovora+i& le*+e% 1455!0 16008! 208107"# 208500

6# O%&a%(etro% i%@ 7000 7700 10010 10000

70 Ot(,tra% 40 8466! #!12#"! 121068"0# 121500

71 O*ytoci% i%@ 4810 52#1 6878"! 7000

72 Pa+averi% i%@ 0 0 3000

7! Pe-acai% i%@ 5660 6226 80#!"8 8500

74 Peti&i% i%@ 12210"! 1!4!1"!! 17460"72# 17500

75 P-ytome%a&io% i%@ 0 0 5000

76 Piracetam 1r i%@ 5000 5500 7150 7500

77 Piracetam !r i%@ 16600 18260 2!7!8 2400078 Pla(mi%e* i%@ 10710 11781 15!15"! 15500

7# Pre%yl i%@ 216700

80 Pro(timi% i%@ 14444"6 1588#"06 20655"778 21000

81 Procai% Pe%icili% i%@ #800 10780 14014 14000

82 P,m+itor i%@ 12#2!0 14215! 1847#8"# 185000

8! Rativol i%@ !1520 !4672 4507!"6 45000

84 Ra%ti% i%@ 18000 1#800 25740 26000

85 Reco&ril i%@ 4500 4#50 64!5 6500

86 Revola% 1r i%@ 15800 17!80 225#4 22500

87 Revola% !r i%@ 46!05 50#!5"5 66216"15 6650088 Ri%er Lactat i%,(io% Ot(,.a #000 ##00 12870 13000


19/25

8# Ri%er Lactat i%,(io% i&atra 4727 51##"7 675#"61 7000

#0 )a%.or$i% i%@ 2!180 254#8 !!147"4 33500

#1 )a%mol i% 525!0 5778! 75117"# 75500

#2 )a%tae(i. i%@ 7#85 878!"5 11418"55 11500

#! )teril 3ater or i%@ 25ml 2800 !080 4004 4000

#4 )teril 3ater or iriatio% ##00 108#0 14157 14500

#5 )te(oli& i%@ 5m 0 0 17500

#6 ),(ta%o% 250m i%@ 1#07## 20#878"# 272842"57 273000

#7 Tat-io%il Cl,tatio%D 0 0 71000

#8 Ta*eram 0"5 i%@ 62655 68#20"5 8#5#6"65 89500

## Ta*eram 1 i%@ 122#75 1!5272"5 175854"25 176000

100 Tera%ol i%@ !0m !4650 !8115 4#54#"5 49500

101 Terace i%@ 181775 1###52"5 25##!8"25 260000

102 T-ric-o&a'ole i% 76825 84507"5 10#85#"75 110000

10! Tra&o(i. i%@ 1!860 15246 1#81#"8 20000

104 Trilac i%@ 60000 66000 85800 86000

105 Trove%(i( i%@ 4m 2#080 !1#88 41584"4 41500

106


20/25

A/TAR HARGA OBAT TOPIAL PER APRIL 2014

No Nama obat HNA HNA+PPN HJA (1.3)

1 Acyclovir cr 5 2728 !000"8 !#01"04

2 A,ci& cr 5 !6200 !#820 51766! AHA ,ltra(moot-i% lot 200ml 27#510 !07461 !##6##"!

4 AHA &aytime 40r !2!070 !55!77 461##0"1

6 Al$ot-yl co%c 5 ml 18000 1#800 25740

7 Al.o-ol 70 100ml !250 4225

8 Alletrol T9 8#!0 #82! 1276#"#

# A%ti-aemoroi& (,++ 1818"2 2000"02 2600"026

10 A+-o&erma (er,m 3-ite co%c 27800 !0580 !#754

11 A(" )ali(ilat 1 0 0

Avamy( a(al )+ray C120 (+rayD 10#0#0 11#### 155##8"7

12 Bacto&erm 5r !7500 41250 5!625Bacto&erm 10r 54000 5#400 77220

Bactro$a% 10r 54000 5#400 77220

Ba,i%or tete( mata 2#725 !26#7"5 42506"75

1! Be&a. ta$,r immortal 40000 44000 57200

14 Be&a. t3o 3ay ca.e immortal 0 0

15 Be%'olac L cr 10 24000 26400 !4!20

16 Beta&i% arle 100cc 7400 8140 10582

18 Beta(o% cr 5 > $e%o(o% 5r 8000 8800 11440

1# Beta(o% cr 5 #200 10120 1!156

20 Bio+la(e%to% el 15 11500 12650 1644521 B,acom$ i% ora $a(e 12000 1!200 17160

ala&i%e lotio% 60ml #500 10450 1!585

22 ar$ol Glyceri% 0 8500

2! arme& cr 10 40 0 0

24 arme& cr 20 40 !0750 !!825 4!#72"5

e%&o 9yco( tm 1#875 21862"5 28421"25

e%&o Lyter( tm 17250 18#75 24667"5

e%&o *ytrol 'm 25625 28187"5 !664!"75

25 -loramecort H 10##4 120#!"4 15721"42

26 i%oe%ta 10 !8500 42!50 55055

27 ye(t +e(arry 200 11000 12100 157!0

28 a.tari% Oral Gel 52!24 57556"4 7482!"!2

2# ermovel cr 10 57000 62700 81510

!0 e(ole* oi%t 10 18755 206!0"5 2681#"65

!1 e(ole* cr 10 18755 206!0"5 2681#"65

!2 e(ole* lotio% !0 ml !7#50 41745 54268"5

!! e(ole* 10 2!500 25850 !!605

!4 ,lcolac (,++ a%a. 5 m 10!00 11!!0 1472#

!5 ,lcolac (,++ &3( 10 m 1!#60 15!56 1##62"8

!6 Ely H2O lotio% 250 ml 0 0


21/25

!7 Elo* cr 5 !5750 46475

!8 Erlamiceti% )ale+ 9ata !#20 4!12 5605"6

!# Erlamiceti% Tete( 9ata Pl,( 6#!0 762! ##0#"#

40 Erlamiceti% Tete( Teli%a !500 !850 5005

41 Eryme& cr 20 2!650 26015 !!81#"5

42 Eryme& (ol,tio% !0 ml 2!650 26015 !!81#"5

4! Evale% el 40000 44000 57200

44 Eye cream ! 0 0

45 /acial 3a(- ac%e 20000 22000 28600

46 /acial 3a(- PHA 1!!00 146!0 1#01#

47 /acial 3a(- (e%(itive 18!00 201!0 2616#

48 /layl (,++ 18840"7 20724"77 26#42"2

4# /lay(tati% ov,la 1!450"6 147#5"66 1#2!4"!6

50 /lamar em,lel 20 140#5 15504"5 20155"85

51 /or&erm 10 !7000 40700 52#10

/or,me% ear &ro+ 21#10 24101 !1!!1"!

5! Ge%oi%t 15 !700 4070 52#1

54 Ge%tamici% 5 1700 1870 24!1

55 Ge%ta(olo% cr 5 15500 17050 22165

Ge%ta(olo% cr 10 22000 24200 !1460

56 Ge%tia% violet 0 0

57 Glyceri% 0 0

58 GO9> Bora* Gly(eri% 16!7 1800"7 2!40"#1

5# Hy&rocorti(o% 2"5 278# !067"# !#88"27

60 I.a&erm 10 cr>oi%t !0000 !!000 42#00

61 I.ae% 10 cr>oi%t 15000 16500 21450

62 I%er(o% oi%t 25625 28187"5 !664!"75

almiceti% 'al 8250 #075 117#7"5

eto.o%a'ol cr 5 !1## !518"# 4574"57

6! eto.o%a'ol cr 10 5### 65#8"# 8578"57

64 etome& cr 15 20700 22770 2#601

65 etome& )) !1625 !4787"5 4522!"75

66 lo&erma cr 10 25000 27500 !5750

67 lo&erma oi%t 10 25000 27500 !5750

68 L 0 06# 9e&erma 20 1!7500 151250 1#6625

70 9e&i.li% lotio% !0 ml !5000 !8500 50050

71 9e&i.li% el 18#00 207#0 27027

72 9ela%o* cr 15 0 0

7! 9ela%o* E) 45000 4#500 64!50

74 9icrola* t,$e 14500 15#50 207!5

75 9yco%a'ol cr 2##0 !28# 4275"7

76 iace el 15r 2!650 26015 !!81#"5

77 oroi& 200ml 110000 121000 157!00

78 Oil /ree PHA )P/ 15 eo )trata 50ml 22#000 251#00 !274707# Olive Oil 0 0


22/25

80 Oto+ai% E !0750 !!825 4!#72"5

81 O*oeri% (ol,tio% 65000 71500 #2#50

82 Para(ol )P/ !0 lot 6##00 768#0 ###57

8! Para(ol )P/ !! cr 0 0

84 Piroel el 20r 142#0 1571# 204!4"7

85 P ITO !575 !#!2"5 5112"25

86 Povi&o%e io&i% !0 ml !125 4062"5

Pro$io 42000 46200 60060

87 Pro+iretic (,++ 160m 6417 7058"7 #176"!1

88 Pro+iretic (,++ 80m 6050 6655 8651"5

8# Protectio% aytime ream PHA )P/ 15 4 !061!0 !!674! 4!7765"#

#0 Rea,i% 15r 51700 56870 7!#!1

#1 Re(orci%ol 0 0

Revi&erm 0"01 cr 15 1#800 21780 28!14

#2 Revi&erm 0"02 cr 15 21000 2!100 !00!0

#! Riva%ol 100ml 1625 2112"5

#4 )ae(tam E 17##0 1#78# 25725"7

#5 )alycil %elco me%t-ol 60 !482 !8!0"2 4#7#"26

)ca$imit cr 10 !0000 !!000 42#00

#6 )ca$imit cr !0 58000 6!800 82#40

#7 )orat,lle 16566"4 1822!"04 2!68#"#5

#8 )te(oli& Rectal T,$e 10m !2400 !5640 46!!2

## )te(oli& Rectal T,$e 5m 21600 2!760 !0888

Tarivi& otic (ol 68000 74800 #7240

100 Termi(il cr 10 46000 50600 65780

Terracortril (ale+ mata 1!#0# 152##"# 1#88#"87

Terracortril (ale+ .,lit 15167 1668!"7 21688"81

101 T-rom$o+-o+ oi%t !5000 !8500 50050

102 To+i(el lotio% 18000 1#800 25740

10! To+(y el !5000 !8500 50050

104 Tra%(+,lmi% $al( &e3a(a 20r !#881 4!86#"1 5702#"8!

105 Tra%(+,lmi% BB 10 !2!57 !55#2"7 46270"51

106 Tra%(+,lmi% BB 20 407!8 44811"8 58255"!4

107 Tric-o(tatic ov,la 11500 12650 16445

108 T,t,l TA 0 010#


23/25

HJA (PEMBULATAN)

4000 v

52000 v400000 v

462000 v

26000 v

4500

1!000 v

2600

40000 v

2000

156000 v

54000 v

77500

77500

42500 v

57500

!4500 v

10500 v

11500 v

1!500 v

16500 v

17500 v

1!500 v

8500

44000 v

28500

25000

!7000

16000 v

55000 v

16000

75000 v

81500 v

27000 v

27000 v

54500

!4000 v

15000 v

20000 v


24/25

46500

6000 v

10000 v

5000 v

!4000 v

!4000 v

57500 v

28500 v

16500 v

26500 v

27000

1#500

20500 v

5!000 v

!1500 v

5500 v

2500 v

22500 v

!1500 v

!000

1000>ml

2500

4000

4!000 v

21500 v

!7000 v

12000

4500 v

8500 v

!0000 v

45500 v

!6000 v

!6000 v

1000>ml1#7000 v

50000 v

27000 v

64500

21000 v

4500 v

!4000 v

157500 v

!27470200>ml


25/25

44000 v

#!000 v

100000 v

20500

5500

4500

60000 v

#500 v

#000 v

4!8000 v

74000 v

2000>r

28500 v

!0000

2500

26000 v

5000 v

4!000 v

8!000 v

24000 v

46500

!1000 v

#7500 v

66000 v

20000 v

22000 v

50000 v

26000 v

50000

57000

46500 v

58500

16500 v

50000>t,t,l!00>r

51500 v

55000 v

!5500

47500 v

!6000 v

daftar hrga obat 1 april 2014

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