ekatalog obat jawa timur excel copas 6-1-2015
DESCRIPTION
obat e katalogTRANSCRIPT
1 ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg) n/a 1 blister@24 tablet 1,375.00
2 Adefovir Dipivoksil tablet/kaplet 10 mg Hepsera Dus, 3 Blister @ 10 kapsul 27,500.00
3 Air untuk irigasi lar infus 1000 ml WIDA WI UNICAP Btl @ 1000 ml 7,500.00
4 Akarbose tablet/kaplet 100 mg n/a Dus, 10 strip @10tablet 1,397.00
5 Akarbose tablet/kaplet 50 mg n/a Dus, 10 strip @10tablet 950
6 Albendazol suspensi 200 mg/5 ml n/a Dus, 10 dus @ 1 botol @ 10 3,849.00
7 Albendazol tablet/kapsul/kaplet 400 mg n/a Dus, 5 strip @ 6 tablet 344
8 Albumin serum normal (human albumin) injeksi 20%, 100 ml Zenalb Vial 100 ml 750,000.00
9 Albumin serum normal (human albumin) injeksi 20%, 50 ml Zenalb Vial 50 ml 345,000.00
10 Albumin serum normal (human albumin) injeksi 25%, 20 ml PLASBUMIN 25% 20 ML botol @ 20 ml 321,552.00
11 Albumin serum normal (human albumin) injeksi 25%, 50 ml PLASBUMIN 25% 50 ML botol @ 50 ml 732,727.00
12 Albumin serum normal (human albumin) injeksi 5% 250 ml PLASBUMIN 5% 250 ML botol @ 250 ml 900,000.00
13 Albumin serum normal (human albumin) injeksi 5% 50 ml PLASBUMIN 5% 50 ML botol @ 50 ml 283,000.00
14 Alopurinol tablet/kapsul/kaplet 100 mg n/a Box, 10 strips @ 10 tablets 86
15 Alopurinol tablet/kapsul/kaplet 300 mg n/a Dus, 10 blister @ 10 tablet 199.5
16 Alprazolam tablet/kapsul/kaplet 0,25 mg n/a Dus, 10 Strip @ 10 tablet 380
17 Alprazolam tablet/kapsul/kaplet 0,5 mg n/a Ktk 10x10 tablet 214
18 Alprazolam tablet/kapsul/kaplet 1 mg n/a Ktk 10x10 tablet 233
19 Alteplase injeksi 50 mg/vial Actilyse Dus, 1 vial@50mg + 1 vial pe 3,800,000.00
20 Amfoterisin B salep mata 1% Fungicide tube 3.5 gr 18,500.00
21 Amikasin injeksi 250 mg/ml Glybotic 250 mg /ml Vial 2 ml 50,500.00
22 Aminofilin injeksi 24 mg/ml n/a dus 30 ampul @10 ml 3,822.00
23 Aminofilin tablet scored 200 mg n/a Botol @100 Tablet 80
24 Aminofilin tablet/kapsul/kaplet 150 mg n/a Btl @ 100 tablet 80
25 Amiodaron injeksi 150 mg/3 ml Cordarone Dus, 6 ampul @ 3 ml 12,480.00
26 Amiodaron tablet/kaplet 200 mg Kendaron Tablet strip 1,200.00
27 Amitriptilin tablet salut 25 mg (HCl) n/a Dus, 10 strip @ 10 tss 112
28 Amlodipin tablet 10 mg n/a Box, 3 strips @ 10 tablets 330
29 Amlodipin tablet 5 mg n/a Box, 3 strips @ 10 tablets 187
30 Amoksisilin kapsul/kaplet 250 mg n/a dus 10 X 10'S 211
31 Amoksisilin kapsul/kaplet/tablet scored 500 mg n/a KOTAK @ 10 x 10 TAB 261
32 Amoksisilin sirup kering forte 250 mg/5 ml n/a Dus, Botol 60 ml 4,070.00
33 Amoksisilin sirup kering 125 mg/ 5 ml n/a btl @ 60 ml 2,445.00
34 Ampisilin serbuk injeksi i.v. 1000 mg/vial n/a Dus, 10 vial @ 1 g 5,100.00
PT. Kimia Farma
PT. SmithKline
PT. Widatra Bhakti
PT. Dexa Medica
PT. Dexa Medica
PT. Indofarma
PT. Holi Pharma
PT. Ikapharmindo
PT. Ikapharmindo
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Pertiwi Agung
PT. Bernofarm
PT. Dexa Medica
PT. Kimia Farma
PT. Kimia Farma
PT. Boehringer
PT. Cendo
PT. Sanbe Farma
PT. Lucas Djaja
PT. Erela
PT. Erela
PT. Aventis Pharma
PT. Darya Varia
PT. Indofarma
PT. Pertiwi Agung
PT. Pertiwi Agung
PT. Novapharin
PT. Mersifarma
PT. Holi Pharma
PT. Novapharin
PT. Bernofarm
35 dus, 5 solostar pen @ 3ml 85,000.00
36 Novomix Flexpen Injeksi 100 IU/ml, Flexpen dis 106,000.00
37 Humalog Mix 25 Penfill cartridge 97,500.00
38 Novorapid Vial Dus, vial 10 ml 200,000.00
39 Novorapid Flexpen Injeksi 100 IU/ml, Flexpen dis 85,345.00
40 dus, 5 solostar pen @ 3ml 79,165.00
41 Humalog Penfill cartridge 79,167.00
42 Anastrozol tablet/kapsul/kaplet 1 mg Arimidex 1 mg Dus, 2 blister @ 14 Tablet 32,000.00
43 n/a Dus, 10 Strip @ 10 Tablet 72
44 n/a Botol @ 60 ml 2,160.00
45 Anti Bakteri DOEN salep komb: Basitrasin 500 IU/g Polimiksin 10.000 IU/g n/a Dus, 25 tube @ 5 g 2,516.00
46 Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg n/a ktk 10 x 10 tablet 520
47 Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg n/a Btl 100 tablet 135
48 Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg Levopar Tablet Dus, 5 strip @ 10 tablet 1,500.00
49 Artemether injeksi 80 mg/ml Artem Dus 6 amp @ 1ml 22,000.00
50 Asam Asetilsalisilat (asetosal) tablet 100 mg n/a Dus @ 10 X 10 's 116
51 Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg Miniaspi 80 KOTAK @ 10 x 10 TAB 148
52 Asam Askorbat (Vitamin C) tablet 250 mg n/a ktk 10x10 tablet 159
53 Asam Askorbat (Vitamin C) tablet 50 mg n/a Dus 10 strip x 10 tab 95
54 Asam Folat tablet/kapsul/kaplet 0,4 mg Starfolat Dus, 10 strip @10 tablet 84
55 Asam Folat tablet/kapsul/kaplet 1 mg n/a Botol @ 100 tablet 48
56 Asam Ibandronat injeksi 6mg/6ml Bondronat Boks, 1 ampul 2,209,000.00
57 Asam Mefenamat kapsul/kaplet 500 mg n/a Dus, 10 blister @ 10 kaptab s 112
58 Asam pipemidat kapsul 400 mg Urotractin 400 mg Strip 1,815.00
59 Asam traneksamat injeksi 100 mg/ml n/a Dus, 10 ampul @ 5 ml 3,334.00
60 Asam traneksamat injeksi 50 mg/ml n/a Dus, 10 ampul @ 5 ml 2,950.00
61 Asam zoledronat injeksi 4mg/5mL ZOMETA Dus, 1 vial plastik @ 5ml 900,000.00
62 Asiklovir salep mata 3% Temiral Eye Oint Tube 3,5 gram 24,750.00
63 Asiklovir tablet/kapsul/kaplet 200 mg n/a Dus, 10 blister @ 10 tablet 237
Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glargine 100 IU/ml)
Lantus Solostar 100IU/ml 5pens x3ml PT. Aventis Pharma
Analog insulin mix acting inj 100 UI/ml, Analog insulin mix acting inj 100 UI/ml (Premix 30% Insulin Aspart + 70% Protaminated Insulin Aspart (Analogue)) PT. Ferron
Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cartridge (25% insulin lispro, 75% insulin lispro protamine suspension, (rDNA)) PT. Bayer Indonesia
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue)) PT. Ferron
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue)) PT. Ferron
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glulisine 100 IU/ml)
Apidra Solostar 100IU/ml 5pens x3ml PT. Aventis Pharma
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin lispro (rDNA origin)) PT. Bayer Indonesia
PT. Astra
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium Hidroksida 200 mg PT. Erela
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml PT. Erela
PT. Indofarma
PT. Kimia Farma
PT. Kimia Farma
PT. Meprofarm
PT. Kimia Farma
PT. Phapros, Tbk
PT. Mersifarma
PT. Kimia Farma
PT. Kimia Farma
PT. Dexa Medica
PT. Marin Liza Farmasi
PT. Boehringer
PT. Bernofarm
PT. Sanbe Farma
PT. Hexpharm
PT. Bernofarm
PT. Novartis
PT. Sanbe Farma
PT. Indofarma
64 Asiklovir tablet/kapsul/kaplet 400 mg n/a Dus, 5 strip @ 10 tablet 336
65 Asparaginase serbuk injeksi 10.000 UI/vial Leunase 10.000 UI/Vial 1,039,500.00
66 Atapulgit tablet 600 mg Pularex Dus 5 strip @ 10 tablet 190
67 Atenolol tablet/kapsul/kaplet 100 mg Betablok strip 700
68 Atrakurium injeksi 25 mg/2,5 ml Tracrium Dus, 5 ampul @ 2.5 ml 20,000.00
69 Atropin Sulfat tablet 0,5 mg n/a Dus, 10 strip @ 10 tablet 74
70 Atropin Sulfat tetes mata 0,5% Cendo Tropin 0,5% Botol 5ml 13,500.00
71 Atropin Sulfat tetes mata 1% Cendo Tropin 1% Botol 5ml 13,500.00
72 Azitromisin sir kering 200 mg/ 5 mL n/a botol @ 60 ml 34,400.00
73 Azitromisin tablet 500 mg n/a ktk 2x10 tablet 4,500.00
74 Azitromisin tablet 250 mg n/a Strip 3,333.00
75 Bedak salisil serbuk 2% n/a Dus @ 50 gram 1,250.00
76 Benzatin Benzil Penisilin 1,2 juta IU/ vial n/a Ds 10 vial x 1,2 Jt IU 9,800.00
77 Benzatin Benzil Penisilin 2,4 juta IU/vial n/a 10 vial @ 2.400.000 IU 13,400.00
78 Beractant injeksi / suspensi 25 mg/mL Survanta Vial 3,200,000.00
79 Beraprost sodium tablet 20 mcg Dorner 20 µg Box/ 3 blister @ 10 Tablet 3,600.00
80 Betametason krim 0,1% (sebagai Valerat) n/a Tube 5 gr 1,520.00
81 Betametason tetes mata 1 mg/ml Betam Ophtal ED botol @ 5 ml 25,106.00
82 Avastin Dus, 1 vial @ 4 ml 4,803,697.00
83 Bikalutamid tablet salut 150 mg Casodex 150 mg Dus, 2 blister @ 14 Tablet 72,400.00
84 Bikalutamid tablet salut 50 mg Casodex 50 mg Dus, 2 blister @ 14 Tablet 45,000.00
85 Bisakodil suppositoria 10 mg Stolax supp Supp 6,045.00
86 Bisakodil suppositoria 5 mg Dulcolax Supp Infant 1 Box @ 6's 4,990.00
87 Bisoprolol tablet 2,5 mg Concor 2.5 Dus 10 blister @ 10 tablet 746
88 Bisoprolol tablet 5 mg n/a Box 3 X 10 tab 645
89 Bleomisin serbuk injeksi 15 mg/ampul BLEOCIN Vial 304,000.00
90 Bromokriptin tablet 2,5 mg Cripsa tab Box 3 x 10'S 247,089.00
91 Budesonid inhaler 200 mcg/puff, 100 dosis Pulmicort Turbuhaler Dus, 1 Turbuhaler @ 100 dosi 93,000.00
92 Budesonid inhaler 200 mcg/puff, 200 dosis Obucort Swinghaler Unit, 200 dosis 106,000.00
93 Budesonid respules / cairan inhaler 0,25mg/mL Pulmicort Respules Dus, 4 pak @ 5 respules @ 2 8,900.00
94 Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg Dus, 1 Turbuhaler @ 120 dosi 117,600.00
95 Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg Symbicort 80/4.5 mcg Dus, 1 Turbuhaler @ 60 dosis 110,500.00
96 Bupivakain injeksi 0,50% (HCl) + glukosa 8% n/a Dus, 5 ampul @ 4 ml 25,600.00
97 Bupivakain injeksi 0,50% (P.V) Bunascan ampul 30,800.00
PT. Sampharindo
PT. Widatra Bhakti
PT. Zenith
PT Kalbe Farma
PT. Glaxo
PT. Indofarma
PT. Cendo
PT. Cendo
PT. Soho
PT. Kimia Farma
PT. Soho
PT. Rama
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Abbott Indonesia
PT. Combiphar
PT. Kimia Farma
PT. Sanbe FarmaBevasizumab injeksi 25 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) PT. Boehringer
PT. Astra
PT. Astra
PT. Sanbe Farma
PT. Boehringer
PT. Merck Tbk
PT. Pratapa Nirmala
PT Kalbe Farma
PT. Caprifarmindo
PT. Astra
PT Otsuka Indonesia
PT. AstraSymbicort Turbuhaler 160/4.5 mcg PT. Astra
PT. Astra
PT. Dexa Medica
PT. Pratapa Nirmala
98 Dabigatran eteksilat kapsul 75 mg Pradaxa Dus, 3 blister @ 10 kapsul 12,936.00
99 Dabigatran eteksilat kapsul 110 mg Pradaxa Dus, 3 blister @ 10 kapsul 12,936.00
100 Dakarbazin serbuk injeksi 200 mg/vial DBL Dacarbazine vial @ 20 ml 305,000.00
101 Daunorubisin serbuk injeksi 20 mg/vial DAUNOCIN vial 275,000.00
102 Deferasiroks tablet disp/ eff 250 mg Exjade 250 mg Tab Dus, 4 blister @ 7 tablet 76,000.00
103 Deferasiroks tablet disp/ eff 500 mg Exjade 500 mg Tab Dus, 4 blister @ 7 tablet 150,000.00
104 Deferipron larutan oral 100 mg/mL Ferriprox Oral Solution Dus, Botol @ 500ml 2,600,000.00
105 Deferipron tablet 500 mg Ferriprox tablet Dus, Botol @ 100 tablet 25,300.00
106 Deferoksamin Mesilat serbuk injeksi 500 mg Desferal Dus, 10 vial @ 500mg 112,000.00
107 Deksametason injeksi i.v./i.m. 5 mg/ml n/a Dus, 100 ampul @ 1 ml 1,580.00
108 Deksametason tablet 0,5 mg n/a Dus, 10 Strip@10 Tablet 62
109 Desogestrel tablet 75 mcg Cerazette Dus, 1 Blister @ 28 tablet 70,000.00
110 Desoksimetason krim 0,25% DEXIGEN Dus, tube @ 5 g 5,700.00
111 Desoksimetason krim 0,25% n/a Kotak, tube @ 15 gram 9,983.00
112 Diazepam larutan rektal 5 mg/2,5 mL STESOLID Dus, 5 alubag @ 1 tube @ 2, 11,525.00
113 Diazepam larutan rektal 10 mg/2,5 mL STESOLID Dus, 5 alubag @ 1 tube @ 2, 16,748.00
114 Diazepam tablet 2 mg n/a Btl 100 45
115 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) n/a Dus @ 30 Ampul 1,050.00
116 Digoksin injeksi 0,25 mg/ml Fargoxin inj Box @ 5 ampul 2 mL 22,000.00
117 Digoksin tablet 0,25 mg n/a Box 10 X 10 Tab 97
118 Diltiazem HCl tablet 30 mg n/a Dus, 10 strip @ 10 tablet 134
119 Diltiazem infus injeksi 50 mg 10 vial @ 50mg 127,667.00
120 Diltiazem injeksi 25 mg/5 mL Farmabes Injeksi 25 mg Vial 5 mL 46,667.00
121 Diltiazem Kapsul SR 100 mg Herbesser CD 100 3 blister @ 10 kapsul 3,667.00
122 Diltiazem Kapsul SR 200 mg Herbesser CD 200 3 blister @ 10 kapsul 4,015.00
123 Dimenhidrinat tablet 50 mg n/a Btl 100 tablet 104
124 Dinatrium edetat tetes mata 0,35% E.D.T.A botol 15 ml 37,500.00
125 Dinatrium klodronat infus kons 60 mg/mL Bonefos Infus 60 mg / 5 ml ampul 124,955.00
126 Dobutamin injeksi 50 mg/mL DOBURAN ampul @ 5 ml 26,700.00
127 Doksazosin mesilat tablet 1 mg Cardura 1mg Dus, 5 blister @10's tab 3,480.00
128 Doksazosin mesilat tablet 2 mg Cardura 2mg Dus, 5 blister @10's tab 5,480.00
129 Doksisiklin tablet/kapsul/kaplet 100 mg n/a Box @ 10 strip 10 kapsul 270
130 Doksorubisin serbuk injeksi i.v. 10 mg/vial Doxorubicin Actavis 10 mg Dus, 1 vial @ 10 mg 55,500.00
131 Doksorubisin serbuk injeksi i.v. 50 mg/vial Doxorubicin Actavis 50 mg Dus, 1 vial @ 50 mg 258,000.00
132 Domperidon suspensi/sirup 5 mg/5 ml n/a btl @ 60 ml 3,333.00
PT. Boehringer
PT. Boehringer
PT. Tempo
PT. Novell
PT. Novartis
PT. Novartis
PT. Sydna Farma
PT. Sydna Farma
PT. Novartis
PT. Indofarma
PT. Merck
PT. Ifars
PT. Dexa Medica
PT. Actavis
PT. Actavis
PT. Kimia Farma
PT. Phapros, Tbk
PT. Pratapa Nirmala
PT. Yarindo
PT. IndofarmaHerbesser Powder Injection 50mg PT. Tanabe Indonesia
PT. Pratapa Nirmala
PT. Tanabe Indonesia
PT. Tanabe Indonesia
PT. Kimia Farma
PT. Cendo
PT. Bayer Indonesia
PT. Dipa Pharmalab
PT. Pfizer Indonesia
PT. Pfizer Indonesia
PT. Yarindo
PT. Actavis
PT. Actavis
PT. Novapharin
133 Domperidon tablet 10 mg n/a dus 10 X 10'S 167
134 Domperidon tetes 5 mg/mL n/a Dus, botol @ 10 ml 15,600.00
135 Dopamin injeksi 40 mg/ml UDOPA ampul @ 5 ml 9,840.00
136 Dosetaksel injeksi 20 mg/0,5 ml n/a Dus, 1 vial @0,5 ml+ 1 vial p 970,200.00
137 Renalscan KaeF Dus @ 5 vial 455,000.00
138 Dutasterid kaps lunak 0,5 mg Avodart Dus, Botol Plastik @ 30 Table 7,100.00
139 Efavirens tablet salut 600 mg n/a Botol 30 tab 6,375.00
140 Efedrin Inj 50 mg/ml n/a Ampul @ 1 ml 12,990.00
141 Eksemestan tablet 25 mg Aromasin Dus, 2 blister @ 15 tablet 42,600.00
142 Enoksaparin sodium inj 20 mg/0,2 mL Lovenox 2000 ANTI-XA dus, 2 prefilled syringe @ 0,2 40,740.00
143 Enoksaparin sodium inj 40 mg/0,4 mL Lovenox 4000 ANTI-XA dus, 2 prefilled syringe @ 0,4 71,875.00
144 Enoksaparin sodium inj 60 mg/0,6 mL Lovenox 6000 ANTI-XA dus, 2 prefilled syringe @ 0,6 100,000.00
145 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml n/a Dus @ 30 Ampul 8,100.00
146 Epirubisin serb injeksi 50 mg/25ml Epirubisin Kalbe Vial @ 25 ml 500,000.00
147 Epirubisin serb injeksi 10 mg/5 ml n/a Dus, 1 vial @5 ml 128,000.00
148 Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI D-Vit FT Dus 3 strip @ 10 Flash tablet 650
149 Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml D-Vit Syrup Dus, Botol Plastik @ 100 mL 8,000.00
150 Eritromisin kapsul/kaplet 250 mg n/a ktk 10 x 10 kapsul 497
151 Eritromisin kapsul/kaplet 500 mg n/a Dus, 10 blister @ 10 kss 930
152 Eritromisin sirup kering 200 mg/ 5 ml n/a Botol @60 ml 7,700.00
153 Eritropoetin-alfa inj 10000 UI/mL Hemapo 10.000 IU vial/ampul (Prefilled Syringe) 275,000.00
154 Eritropoetin-alfa inj 2000 UI/mL Eprex 2000 Dus, 6 prefilled syrenge @ 0. 133,875.00
155 Eritropoetin-alfa inj 3000 UI/mL Hemapo 3000 Prefilled Syringe @ 1ml 128,000.00
156 Eritropoetin-beta inj 2000 UI/0,3 mL Recormon Boks, 6 ampul 139,500.00
157 Etambutol tablet 250 mg (HCl) n/a ktk 20 x 10 tablet 314
158 Etambutol tablet salut 500 mg (HCl) n/a Dus, 10 strip @ 10 tss 451
159 Etanol 70% cairan n/a btl @ 100 ml 2,500.00
160 Etinilestradiol tablet 0,05 mg Lynoral Dus, botol @ 100 tablet 1,360.00
161 Etonogestrel implan 68 mcg Implanon Dus, 1 blister @ 1 subdermal 128,779.00
162 Etoposid injeksi 20 mg/ml Posyd Vial 100mg/5ml 100,000.00
163 Eugenol cairan n/a Botol 10 ml 16,667.00
164 Everolimus tab 0,25 mg Certican 0,25 mg Tab Dus, 6 blister @ 10 tablet 11,813.00
165 Everolimus tab 0,5 mg Certican 0,5 mg Tab Dus, 6 blister @ 10 tablet 23,250.00
166 Coffact 500 IU/20 ml Dual, vial 500 IU 4,400,000.00
PT. Novapharin
PT. Bernofarm
PT. Dipa Pharmalab
PT. Sanbe Farma
DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate calcium trisodium/mL PT. Kimia Farma
PT. SmithKline
PT. Kimia Farma
PT. Bernofarm
PT. Pfizer Indonesia
PT. Aventis Pharma
PT. Aventis Pharma
PT. Aventis Pharma
PT. Phapros, Tbk
PT Kalbe Farma
PT. Sanbe Farma
PT. Gracia Pharmindo
PT. Gracia Pharmindo
PT. Kimia Farma
PT. Indofarma
PT. Phyto
PT Kalbe Farma
PT. Soho
PT Kalbe Farma
PT. Boehringer
PT. Kimia Farma
PT. Indofarma
PT. Novapharin
PT. Merck
PT. Merck
PT. Combiphar
PT. Kimia Farma
PT. Novartis
PT. Novartis
Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi IX 25 UI, faktor koagulasi X 14-35 UI PT. Graha Farma
167 Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi Novoseven KOTAK @ 1 VIAL SERBUK OBA 9,200,000.00
168 Faktor VIII (konsentrat) serb inj 230 -340 UI Haemoctin vial 1,133,000.00
169 Faktor VIII (konsentrat) serb inj 250 UI/vial + pelarut 5 mL Haemoctin vial 990,000.00
170 Faktor VIII (konsentrat) serb inj 480 - 600 UI KOATE DVI 500 IU vial 2,150,000.00
171 Fenitoin injeksi 50 mg/ml n/a KOTAK @ 10 ampul 20,250.00
172 Fenitoin kapsul/kaplet 100 mg n/a Botol @ 100 133
173 Fenitoin Na Inj 100 mg/2 ml n/a KOTAK @ 10 ampul 20,250.00
174 Fenobarbital injeksi i.m./i.v. 50 mg/ml n/a Dus @ 30 Ampul 1,800.00
175 Fenofibrat kaps 100 mg n/a Dus, 3 strip @ 10 kapsul 1,075.00
176 Fenofibrat kaps 300 mg n/a Dus, 3 strip @ 10 kapsul 1,375.00
177 Fenoksimetil penisilin (penisilin V) tablet 250 mg n/a Dus @ 10 X 10 's 290
178 Fenoksimetil penisilin (penisilin V) tab 125 mg Fenocin Dus 45 x 12 tab 235
179 Fenoksimetil penisilin (penisilin V)tablet 500 mg n/a Dus @ 10 X 10 's 510
180 Fenoterol HBr ih 100 mcg/puff Berotec MDI Box, canister 10mL 72,900.00
181 Fenoterol HBr inh solution 0,1% Berotec Solution Dus, Canister 200 dosis 117,500.00
182 Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml n/a Dus 5 ampul@ 10ml 128,000.00
183 Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml n/a Dus 5 ampul@ 2ml 33,914.00
184 Fentanil patch 12,5 mcg/jam Durogesic 12,5 MU Matrix Dus @ 5 patch 80,000.00
185 Fentanil patch 25 mcg/jam Durogesic 25 MU Matrix Dus@ 5 patch 153,000.00
186 Fentanil patch 50 mcg/jam Durogesic 50 MU Matrix Dus@ 5 patch 285,000.00
187 Filgrastim inj 300 mcg/mL Leucogen pfs @ 0,5 ml 375,000.00
188 Finasterid tab 5 mg Prostacom Box, isi 3 Strip @ 10 tab 2,950.00
189 Fitomenadion (Vit.K1) tablet salut gula 10 mg n/a Dus @ 10 X 10 's 630
190 Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml n/a dus @ 30 ampul 3,417.00
191 Fludarabin inj 50 mg Fludara IV LYO Dus, 5 vial @ 50 mg 1,248,319.00
192 Fludarabin tab 10 mg Fludara Oral Dus, 4 blister @ 5 tablet salu 275,000.00
193 Flufenazin injeksi i.m. 25 mg/ml Sikzonoate Injeksi Dus, 5 ampul @ 1ml 55,000.00
194 Flukonazol injeksi 2 mg/ml n/a Dus, 1 Botol @ 100 mL 47,550.00
195 Flukonazol tablet/kaplet/kapsul 50 mg Diflucan 50mg Blister 4,862.00
196 Flukonazol tablet/kapsul 150 mg n/a ktk 1 x 10 kapsul 22,000.00
197 Fluoksetin tablet 10 mg Foransi 10 strip 419
198 Fluoksetin tablet 20 mg NOPRES DUS, 30 TABLET 432
199 Fluorometolon tetes mata 0,1 % Ocuflam ED botol @ 5 ml 30,493.00
200 Fluorourasil inj 250 mg/mL Curacil vial @ 1 ml 24,500.00
201 Fluorourasil inj 500 mg/ 5 mL Curacil vial @ 10 ml 33,000.00
PT. Ferron
PT. Kimia Farma
PT. Kimia Farma
PT. Dipa Pharmalab
PT. Mersifarma
PT. Ikapharmindo
PT. Mersifarma
PT. Phapros, Tbk
PT. Hexpharm
PT. Hexpharm
PT. Phapros, Tbk
PT. Actavis
PT. Phapros, Tbk
PT. Boehringer
PT. Boehringer
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT Kalbe Farma
PT. Combiphar
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Aventis Pharma
PT. Aventis Pharma
PT. Mersifarma
PT. Natura
PT. Pfizer Indonesia
PT. Kimia Farma
PT. Gracia Pharmindo
PT. Dexa Medica
PT. Sanbe Farma
PT Kalbe Farma
PT Kalbe Farma
202 Flusinolon asetonid krim 0,025% SYNARCUS Dus, Tube 5 g 2,400.00
203 Flutikason furoat intranasal spray Avamys Dus, Botol 120 Dosis Spay 93,333.00
204 Flutikason propionat nebules 0,5 mg Flixotide Nbules Dus, 2 flow wrap@ 5 nebules 12,917.00
205 Fondaparinuks inj 2,5 mg/0,5 mL Arixtra Dus, 2 pfs 0.5 ml 241,667.00
206 Fraksi protein plasma lar inf 5% Plasmanate dus, vial @ 250 ml 972,000.00
207 Furosemid injeksi i.v./i.m. 10 mg/ml n/a Dus, 25 ampul @ 2 ml 1,829.00
208 Furosemid tablet 40 mg n/a Dus, 10 strip @ 10 tablet 85
209 Gadobutrol macrocyclic 5 mg Gadovist 5 mg Prefilled Syringe 275,000.00
210 Gadobutrol macrocyclic 7,5 mg Gadovist 7,5 mg Prefilled Syringe 412,500.00
211 Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL Primovist Prefilled Syringe 2,570,000.00
212 Gansiklovir serb inj 500 mg (50 mg/mL) Cymevene Boks, 1 ampul 399,500.00
213 n/a Dus @ 100 Sachet 288
214 Gefitinib tab 250 mg Iressa 250 mg Dus, 1 blister @ 10 tablet 295,000.00
215 Gemfibrozil kapsul/kaplet 300 mg n/a Dus, 10 blister @ 12 kapsul 289
216 Gemfibrozil tablet 600 mg n/a Dus, 10 blister @ 10 kaptab 679
217 Gemsitabin inj 1000 mg/vial Gemzar 1000 mg vial 1,098,900.00
218 Gemsitabin inj 200 mg/vial n/a Dus, 1 vial @200 mg 330,000.00
219 Gentamisin injeksi 40 mg/ ml n/a Dus, 5 ampul @ 2 ml 3,399.00
220 Gentamisin salep mata 0,3% Genoint Salep Mata Tube @ 3,5 gr 2,600.00
221 Gentamisin tetes mata 0,3% n/a Dus, botol plastik 5 ml 3,194.00
222 Glibenklamid tablet 5 mg n/a Dus, 10 blister @ 10 kaptab 56
223 Gliklazid tab 80 mg GLUCODEX DUS, 100 TABLET 236
224 Gliklazid tab 30 mg Diamicron MR 30 Dus, 6 strip @ 10 tablet lepa 638
225 Glikuidon tab 30 mg n/a Dus, 10 Strip @ 10 tablet 950
226 Glimepiride tablet 1 mg n/a ktk 5x10 tablet 265
227 Glimepiride tablet 2 mg n/a ktk 5x10 tablet 436
228 Glimepiride tablet 3 mg n/a ktk 5x10 tablet 404
229 Glimepiride tablet 4 mg n/a ktk 5x10 tablet 430
230 Glipizid tablet/kaplet/kapsul 10 mg Glucotrol 10 mg Dus, botol@TAB 10MG 30 3,207.00
231 Glipizid tablet/kaplet/kapsul 5 mg Glucotrol 5 mg Dus, botol@TAB 10MG 31 3,000.00
232 Gliseril trinitrat kaps SR 2,5 mg Nitrokaf Retard Dus 10x10 1,493.00
233 Gliseril trinitrat kaps SR 5 mg Nitrokaf Forte Dus 10x10 2,171.00
234 Gliseril trinitrat tab sublingual 0,5 mg Nitral Btl @ 30 tablet 1,500.00
235 Gliserin lar 50% Gliserin lar 50% Glycerin 100 ml 5,333.00
236 Glukosa larutan infus 10 % steril n/a botol @ 500 ml 5,700.00
PT. Ifars
PT. Glaxo
PT. Glaxo
PT. Glaxo
PT. Dipa Pharmalab
PT. Indofarma
PT. Indofarma
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Boehringer Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium klorida 0,30 g Trinatrium sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g PT. Phapros, Tbk
PT. Astra
PT. Indofarma
PT. Indofarma
PT. Bayer Indonesia
PT. Sanbe Farma
PT. Indofarma
PT. Erela
PT. Indofarma
PT. Indofarma
PT. Dexa Medica
PT. Pradja Pharin
PT. Dexa Medica
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Pfizer Indonesia
PT. Pfizer Indonesia
PT. Kimia Farma
PT. Kimia Farma
PT. Actavis
PT. Lucas Djaja
PT. Widatra Bhakti
237 Glukosa larutan infus 5 % steril n/a botol @ 500 ml 5,200.00
238 Goserelin asetat inj 10,8 mg/vial Zoladex 10,8 mg Dus, 1 syringe @ 10.8 mg 2,300,000.00
239 Goserelin asetat inj 3,6 mg Zoladex 3,6 mg Dus, 1 syringe @ 3.6 mg 840,000.00
240 Griseofulvin tablet 125 mg n/a Dus @ 10 X 10 's 209
241 Haloperidol inj 50 mg/mL Haldol Decanoas Dus 5 Ampul@1mL 83,333.00
242 Haloperidol injeksi i.m 5 mg/ml Lodomer Injeksi KOTAK @ 12 ampul 6,250.00
243 Haloperidol tablet 0,5 mg n/a Dus, 10 blister @ 10 tablet 59
244 Haloperidol tablet 5 mg n/a Dus, 10 blister @ 10 tablet 96
245 Haloperidol tablet 1,5 mg n/a Dus, 10 blister @ 10 tablet 69
246 Haloperidol tablet 2 mg Lodomer 2 KOTAK @ 10 x 10 TAB 126
247 Haloperidol tts 2 mg/mL LODOMER DROPS BOTOL @ 15 ML 16,500.00
248 Halotan Inhalasi Halothane Botol 641,500.00
249 Heparin injeksi i.v./s.k. 5000 UI/ml Inviclot vial 42,900.00
250 Hepatitis B imunoglobulin (human) Hyperhep B Dus, 1 syringe @ 0.5 mL 1,328,000.00
251 Hidrokortison krim 1% n/a tube @ 5 ml 2,570.00
252 Hidrokortison krim 2,5 % n/a Tube 5 gr 2,798.00
253 Hidroksi Urea tablet/kaplet/kapsul 500 mg HYDROXYUREA MEDAC vial 5,400.00
254 Hiosin butilbromid injeksi 20 mg/ml n/a box 5ampul @1 ml 4,500.00
255 Homatropin tetes mata 2% Homatro 2% Botol 5ml 18,000.00
256 Insulatard Vial Dus, vial 10 ml 138,000.00
257 Human insulin intermediate acting inj 100 UI/ml, vial (Insulin human Basal) Humulin N Vial Dus, vial 10 ml 138,000.00
258 n/a Dus, 1 Vial @ 5 ml 72,000.00
259 Insulatard Penfill Injeksi 100 IU/ml, penfill disp 76,125.00
260 Humulin N Cart Dus Isi 5 penfill/cartridge @ 76,125.00
261 Sansulin N penfillcartridge @ 3ml 75,000.00
262 Mixtard Penfill Injeksi 100 IU/ml, penfill disp 76,125.00
263 Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Insulin human Comb) Humulin 30/70 Cart Dus Isi 5 penfill/cartridge @ 76,125.00
264 Mixtard Vial Dus, vial 10 ml 138,000.00
PT. Widatra Bhakti
PT. Astra
PT. Astra
PT. Phapros, Tbk
PT. Soho
PT. Mersifarma
PT. Indofarma
PT. Indofarma
PT. Indofarma
PT. Mersifarma
PT. Mersifarma
PT. Dexa Medica
PT. Pratapa Nirmala
PT. Dipa Pharmalab
PT. Marin Liza Farmasi
PT. Kimia Farma
PT. Dipa Pharmalab
PT. Otto
PT. Cendo
Human insulin intermediate acting inj 100 UI/ml, vial (Human Insulin (Intermediate-Acting)) PT. Ferron
PT. Bayer Indonesia
Human insulin intermediate acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge PT. Aventis Pharma
Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Human Insulin (Intermediate-Acting)) PT. Ferron
Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin human Basal) PT. Bayer Indonesia
Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin human Basal) PT. Sanbe Farma
Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin)) PT. Ferron
PT. Bayer Indonesia
Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin)) PT. Ferron
265 Human insulin mix insulin inj 100 UI/ml, vial (Insulin human Comb) Humulin 30/70 Vial Dus, vial 10 ml 138,000.00
266 Actrapid Penfill Injeksi 100 IU/ml, penfill disp 76,125.00
267 Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Rapd) Sansulin R penfill cartridge @ 3ml 75,000.00
268 Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Rapd) Humulin R Cart Dus Isi 5 penfill/cartridge @ 76,125.00
269 Human insulin short acting inj 100 UI/ml, vial (Human Insulin (Short Acting)) Actrapid Vial Dus, vial 10 ml 138,000.00
270 Human insulin short acting inj 100 UI/ml, vial (Insulin human Rapd) Humulin R Vial Dus, vial 10 ml 138,000.00
271 n/a Dus, 1 Vial @ 5 ml 72,000.00
272 Human tetanus imunoglobulinn injeksi i.m. 250 UI Tetagam Prefilled syringe 170,000.00
273 Ibuprofen sirup 100 mg/5 ml n/a Dus, botol 60 ml 3,499.00
274 Ibuprofen suspensi 200 mg/5 ml n/a Dus, botol 60 ml 4,499.00
275 Ibuprofen tablet 200 mg n/a botol @ 100 tablet 110
276 Ibuprofen tablet 400 mg n/a dus 10 X 10'S 150
277 Ifosfamid serbuk injeksi 1000 mg/vial Holoxan injeksi 1000 Dus, 1 vial @ 1 g 1,329,163.00
278 Glivec Dus, 6 blister @ 10 tablet sal 211,000.00
279 Imidapril tab 10 mg Tanapress 10mg 3 blister @ 10 tablet 3,908.00
280 Imidapril tab 5 mg Tanapress 5mg 3 blister @ 10 tablet 2,120.00
281 Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml) Iopamiro Dus, botol @ 100 ml 350,000.00
282 Iopamidol 200-300 mg Iodium/mL (300mg @ vial 30ml) Iopamiro Dus, vial @ 30 ml 122,000.00
283 Iopamidol 200-300 mg Iodium/mL (300mg @ vial 50ml) Iopamiro Dus, vial @ 50 ml 166,000.00
284 Iopamidol 300-370 mg Iodium/mL (370mg @ vial 100ml) Iopamiro Dus, botol @ 100 ml 369,000.00
285 Iopamidol 300-370 mg Iodium/mL (370mg @ vial 30ml) Iopamiro Dus, vial @ 30 ml 147,000.00
286 Iopamidol 300-370 mg Iodium/mL (370mg @ vial 50ml) Iopamiro Dus, vial @ 50 ml 199,000.00
287 Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml) Ultravist 300/100 mg Botol 245,000.00
288 Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml) Ultravist 300/50 mg Botol 123,200.00
289 Iopromide 300-370 mg Iodium/mL (370 mg / 100 ml) Ultravist 370/100 mg Botol 299,000.00
290 Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml) Ultravist 370/50 mg Botol 150,300.00
291 Ipratropium bromida inhalasi 20 mcg/semprot Atrovent HFA Box, canister 10mL 80,000.00
292 Ipratropium bromida nebulizer 0,025% Box, bottle 20mL 90,000.00
293 Irbesartan tab 150 mg n/a Dus, 5 blister @ 10 kss 1,425.00
PT. Bayer Indonesia
Human insulin short acting inj 100 UI/ml, penfill cartridge (Human Insulin (Short Acting)) PT. Ferron
PT. Sanbe Farma
PT. Bayer Indonesia
PT. Ferron
PT. Bayer Indonesia
Human insulin short acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge PT. Aventis Pharma
PT. Dexa Medica
PT. Indofarma
PT. Indofarma
PT. Yarindo
PT. Novapharin
PT. Mugi Laboratories
Imanitib Mesilat tablet salut selaput 100 mg (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) PT. Novartis
PT. Tanabe Indonesia
PT. Tanabe Indonesia
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Dipa Pharmalab
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Boehringer Atrovent solution for inhalation 0.025% PT. Boehringer
PT. Indofarma
294 Irbesartan tab 300 mg n/a Dus, 5 blister @ 10 kss 2,470.00
295 Irinotekan inf 20 mg/ml n/a Dus, 1 vial @2 ml 510,000.00
296 Isofluran inhalasi Terrell Botol 100 mL 270,000.00
297 Isoniazid tablet/kapsul/kaplet 100 mg n/a Botol 100 tablet 65
298 Isoniazid tablet/kapsul/kaplet 300 mg n/a Botol 100 tablet 158
299 Isosorbid Dinitrat injeksi i.v 10 mg/10 ml Farsorbid inj vial 33,000.00
300 Isosorbid Dinitrat tablet sublingual 5 mg n/a Dus, 10 strip @ 10 tablet 88
301 Isosorbid dinitrat tablet/kaplet/kapsul 10 mg Isonat Dus, 5 strip @ 10 tablet 189
302 Kalium aspartat tab 300 mg Kalipar Strip 700
303 Kalium Klorida tablet 600 mg KSR Dus, 10 strip @ 10 tablet 1,580.00
304 Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml DBL Leucovorin Vial 50 mg/5 ml 82,000.00
305 Kalsium Glukonat injeksi i.v 10% (100 mg/ml) Kalsium glukonat Ampul 7,800.00
306 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg n/a Dus,10 Strip @ 10 tablet 70
307 Kalsium polistirena sulfonat ktg 5 g KALQUEST kantong 5 g 7,700.00
308 Kanamisin inj 1000 mg/ vial n/a vial 5,000.00
309 Kandesartan tab 16 mg n/a Dus, 3 Blister @ 10 tablet 4,900.00
310 Kandesartan tab 8 mg n/a Dus, 3 Blister @ 10 tablet 3,100.00
311 Kapesitabin tab 500 mg Xeloda Boks, 120 tablet 27,500.00
312 Kaptopril tablet 50 mg n/a Dus, 10 strip @ 10 tablet 140
313 Kaptopril tablet scored 25 mg n/a Dus, 10 strip @10 tablet 84
314 Kaptopril tablet scored12,5 mg n/a Dus, 10 strip @ 10 tablet 62
315 Karbamazepin sirup 100 mg/5 ml Dus, botol @ 120 ml 44,770.00
316 Karbamazepin tablet 200 mg n/a Dus, 10 blister @ 10 tablet 245
317 Karbimazol tab 5 mg Neo-Mercazole Dus,botol 100 tablet 875
318 Karbogliserin tetes telinga 10% Karbogliserin tetes telinga 10% Fenol 100 mg / 1 ml 2,042.00
319 Karboplatin 150 mg / 15 ml DBL Carboplatin 150 mg vial @ 15 ml 190,000.00
320 Karboplatin 450 mg / 45 ml DBL Carboplatin 450 mg vial @ 45 ml 408,000.00
321 Karvediol tablet/kaplet/kapsul 6,25 mg V - BLOC strip 1,360.00
322 Ketamin injeksi i.v. 100 mg/ml KTM Vial @ 10 ml 110,000.00
323 Ketamin injeksi i.v. 50 mg/ml Ketamin Hameln Box, isi 1 vial @ 10 ml 60,300.00
324 Ketokonazol krim 2% n/a Box isi 1 Tube @ 15 g 4,700.00
325 Ketokonazol krim 2% n/a tube 5 gr 2,850.00
326 Ketokonazol krim 2% n/a tube 10 gr 2,569.00
327 Ketokonazol scalp sol 2% Zoloral SS Botol 80 ml 28,000.00
PT. Indofarma
PT. Sanbe Farma
PT. Pratapa Nirmala
PT. Phyto
PT. Phyto
PT. Pratapa Nirmala
PT. Indofarma
PT. Kimia Farma
PT. Tempo
PT. Merck Tbk
PT. Tempo
PT. Ethica
PT. Afifarma
PT. Novell
PT. Hexpharm
PT. Dexa Medica
PT. Dexa Medica
PT. Boehringer
PT. Indofarma
PT. Errita Pharma
PT. Indofarma
Tegretol Syrup 100mg/5ml, 120ml PT. Novartis
PT. Indofarma
PT. Nicholas
PT. Lucas Djaja
PT. Tempo
PT. Tempo
PT Kalbe Farma
PT. Guardian
PT. Combiphar
PT. Novell
PT. Hexpharm
PT. Kimia Farma
PT. Ikapharmindo
328 Ketokonazol tablet 200 mg n/a Dus, 5 Strip @ 10 tablet 300
329 Ketoprofen supositoria 100 mg Protofen Supp dus 2 's @ 10 supp 2,722.00
330 Ketorolac injeksi 30 mg/ml n/a Dus @ 12 Ampul 2,300.00
331 Klaritromisin tab 500 mg ORIXAL Dus, 3 Strip @ 10 Kaplet salu 3,200.00
332 Klindamisin kapsul/kaplet 150 mg n/a Dus, 5 blister @ 10 kapsul 361
333 Klindamisin kapsul/kaplet 300 mg n/a Dus, 5 blister @ 10 kapsul 553
334 Klobazam tab 10 mg n/a Dus, 10 Strip @ 10 tablet 900
335 Klonidin injeksi i.v 0,15 mg/ml (HCL) (150) Catapres Injeksi Box, 10 ampoules @ 1mL 30,600.00
336 Klonidin tablet 0,15 mg n/a Ktk 10X10 TAB 184
337 Klopidogrel tab 75 mg n/a Dus, 3 strip @ 10 tab 3,400.00
338 Kloramfenikol kapsul/kaplet 250 mg n/a ktk 10x10 tablet 249
339 Kloramfenikol salep mata 1 % n/a Tube 5 gr 1,600.00
340 Kloramfenikol serb inj 1000 mg/mL Colsancetine Injeksi vial 7,260.00
341 Kloramfenikol suspensi 125 mg/ 5 ml n/a Botol @ 60 ml 3,680.00
342 Klorpromazin injeksi i.m. 25 mg/ml (HCl) n/a Dus @ 30 Ampul 1,100.00
343 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) n/a Dus @ 30 Ampul 1,050.00
344 Klorpromazin tablet salut 100 mg (HCl) n/a Kotak @ 10 x 10 tab 144
345 Klorpromazin tablet salut 25 mg (HCl) n/a 10 X 10 68
346 Klozapin 100 mg n/a KOTAK @ 5 x 10 TAB 5,000.00
347 Klozapin 25 mg n/a KOTAK @ 5 x 10 TAB 1,550.00
348 Kodein tablet 10 mg n/a ktk 10x10 tablet 500
349 Kodein tablet 15 mg n/a ktk 10x10 tablet 850
350 Kodein tablet 20 mg n/a ktk 10x10 tablet 1,100.00
351 Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg Ostriol Btl @ 30 kapsul 2,500.00
352 Koloid HES BM 130 000 lar inf 6% Voluven Botol Plastik @ 500 ml 33,000.00
353 Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg Combivent UDV 1 dus @ 20 vial 5,990.00
354 Kombinasi suspensi : Parafin + gliserin + fenolftalein Laxadine Emulsi 60 ml Botol @ 60 ml 12,450.00
355 Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg n/a Dus, 100 Sachet @ 30 Tablet 42
356 Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg n/a 1 sase @30 tablet 50
357 Cendo Lyteers botol 15 ml 15,750.00
358 Kombinasi: Artemether 20 mg; Lumefantrin 120 mg Coartem Dus, 4 blister @ 6 tablet 3,220.00
359 Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg Stalevo Dus, botol plastik @ 30 tablet 8,900.00
360 Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg Aluvia botol @ 120 tablet 6,100.00
361 Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg Seretide Inhaler 50 mcg Dus, Botol 120 Dosis 90,667.00
PT. Dexa Medica
PT. Kimia Farma
PT. Phapros, Tbk
PT. Ifars
PT. Indofarma
PT. Indofarma
PT. Dexa Medica
PT. Boehringer
PT. Kimia Farma
PT. Hexpharm
PT. Kimia Farma
PT. Kimia Farma
PT. Sanbe Farma
PT. Bernofarm
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Mersifarma
PT. Phapros, Tbk
PT. Mersifarma
PT. Mersifarma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Pratapa Nirmala
PT. Fresenius
PT. Boehringer
PT. Galenium
PT. Erela
PT. Kimia Farma
Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida 1,32 mg PT. Cendo
PT. Novartis
PT. Novartis
PT. Abbott Indonesia
PT. Glaxo
362 Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg Seretide Diskus 100 mcg Dus, foil strip @ 60 dosis 100,833.00
363 Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg Seretide Diskus 250 mcg Dus, foil strip @ 60 dosis 113,333.00
364 Kontrasepsi pil oral, kombinasi :* Levonorgestrel 150 mcg Etinilestradiol 30 mcg n/a Dus, 100 blister @ 28 tablet 2,089.00
365 n/a Dus, 10 Strip@10 Tablet 138
366 n/a Botol, 60 ml 2,167.00
367 Kuinin (Kina) tablet 200 mg n/a ktk 60 tablet 670
368 Kuinin injeksi i.v. 25% (sebagai 2 HCl) n/a ktk 100 amp @ 2 ml 6,200.00
369 Kuinin tablet 222 mg (H2SO4.7H2O) n/a ktk 10 x 10 tablet 540
370 Lamivudin tablet/kaplet/kapsu 100 mg Heplav Botol 30 tab 2,000.00
371 Lamivudine tablet 150 mg n/a Botol 60 tablet 1,400.00
372 Lansoprazol inj 30 mg/ml Prosogan Inj. Serbuk vial 82,042.00
373 Lanzoprazol kapsul/kaplet 30 mg n/a Dus, 2 strip @ 10 kapsul 473
374 Lapatinib tab 250 mg Tykerb Dus, 7 Blister @ 10 tablet 67,200.00
375 Larutan mengandung Asam Amino (Asam Amino 10%) Kalbamin botol 500 ml 56,300.00
376 Amiparen Softbag 500 ML 56,300.00
377 Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 mEq) Pan-amin G Softbag 500 ML 37,500.00
378 Aminofluid Double Chamber Softbag 10 115,500.00
379 Aminofluid Double Chamber Softbag 500 61,600.00
380 Aminofusin Hepar botol 500 mL 75,350.00
381 Aminosteril Infant 6% Botol Gelas 100 ml 36,667.00
382 Nephrosteril Botol Gelas 250 ml 50,820.00
383 Kidmin Softbag 200 ML 46,000.00
384 Aminoleban Softbag 500 ML 65,000.00
385 Larutan mengandung Asam Amino (Asam amino 8%) Aminosteril N-Hepa Botol Gelas 500 ml 78,720.00
386 Larutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L) Eas Pfrimer botol 250 ml 51,260.00
PT. Glaxo
PT. Glaxo
PT. Kimia FarmaKotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimetoprim 80 mg PT. PromedrahardjoKotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml PT. Sampharindo
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Takeda Indonesia
PT. Indofarma
PT. SmithKline
PT. Finusolprima
Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq) PT Otsuka Indonesia
PT Otsuka Indonesia
Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) 1000 ml PT Otsuka Indonesia
Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) 500 ml PT Otsuka Indonesia
Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, L-Ornithine L Aspartate 8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50 gr/L) PT Kalbe Farma
Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,24 gr/l) PT. Fresenius
Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino esensial: Asam Amino non esensial = 60 : 40) PT. Fresenius
Larutan mengandung Asam Amino (Asam Amino 72.05 g, Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat 46 mEq) PT Otsuka Indonesia
Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq) PT Otsuka Indonesia
PT. Fresenius
PT. Finusolprima
387 Comafusin Hepar botol 500 ml 64,900.00
388 Aminofusin L600 botol 500 mL 42,000.00
389 Aminofusin Paed botol 250 mL 46,000.00
390 Kabiven 1440 ml Bag (3 Chamber) 1440 ml 295,240.00
391 Kabiven 1920 ml Bag (3 Chamber) 1920 ml 343,842.00
392 Combiflex Plus (790 kcal) Bag Double chamber (Dua co 322,000.00
393 Combiflex peri (480 kcal) Bag Double chamber (Dua co 218,700.00
394 Larutan mengandung Elektrolit (Kalium Klorida) Otsu - KCl 7,46% Ampoel 25 ML 2,050.00
395 Larutan mengandung Elektrolit (Larutan Ringer Laktat) Wida RL Botol 1000 ml 8,000.00
396 Asering Plastic Bottle 500 ML 9,000.00
397 Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr) KA EN 1B Plastic Bottle 500 ML 9,000.00
398 Totilac flexybag 250 mL 87,000.00
399 Ringerfundin 500 mL LDPE (Low Density Poly Ethile 12,650.00
400 Triofusin 1000 botol 500 mL 50,500.00
401 Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L) Triofusin 500 Flexy bag 500 mL 42,350.00
402 Larutan mengandung Karbohidrat (Maltose 100 gr) Martos Plastic Bottle 500 ML 29,167.00
Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L, Malic Acid 7 gr/L, Piridoxin 0.12 gr/L) PT. Finusolprima
Larutan mengandung Asam Amino (Kombinasi Asam aminno 50 g/L, Sorbitol 50 g/L, Xylitol 50 g/L, Asam Askorbat (Vit C) 0.4 g/L, Inositol 0.5 g/L, Nikotinamida (Niasinamida) 0.06 g/L, Piridoksin HCl (Vit B6) 0.04 g/L, Riboflavin Natrium Fosfat 2.5 mg/L, elektrolit)
PT Kalbe Farma
Larutan mengandung Asam Amino (Kombinasi Asam amino 50 g/L, vitamin dan elektrolit) PT Kalbe Farma
Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit (Kalori = 1000 kkal, Akses peripheral)) PT. Fresenius
Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses peripheral)) PT. Fresenius
Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral) PT. Phapros, Tbk
Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 80 gr + Asam Amino 40 gr ) PT. Phapros, Tbk
PT Otsuka Indonesia
PT. Widatra Bhakti
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq) PT Otsuka Indonesia
PT Otsuka Indonesia
Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L, elektrolit) PT Kalbe Farma
Larutan mengandung Elektrolit (Tiap 1000 ml mengandung electrolit: Sodium 145 mmol/l, Potassium 4.0 mmol/l, Calcium 2.5 mmol/l, Magnesium 1.0 mmol/l, Chloride 118 mmol/l, Acetate 24 mmol/l, Malate 5.0 mmol/l)
PT. Phapros, Tbk
Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 g/ L + elektrolit) PT Kalbe Farma
PT Kalbe Farma
PT Otsuka Indonesia
403 Potacol inj Plastic Bottle 500 ML 55,500.00
404 Tutofusin OPS botol 500 mL 37,500.00
405 Clinimix N9G20E Botol Plastik 1000 mL 210,000.00
406 Clinimix N9G15E Botol Plastik 1000 mL 199,000.00
407 Triofusin E1000 botol 500 mL 56,000.00
408 Wida HSD Botol 500 ml 9,500.00
409 Wida D5-NS Botol 500 ml 6,800.00
410 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g) WIDA 2A Botol 500 ml 6,917.00
411 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g) WIDA D5-1/4NS Botol 500 ml 7,700.00
412 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g) WIDA D5-1/2NS Botol 500 ml 7,700.00
413 Futrolit softbag 500ml 35,750.00
414 Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%) Wida RD Botol 500 ml 6,930.00
415 KA ENMG 3 Plastic Bottle 500 ML 9,167.00
416 KA EN 3B Plastic Bottle 500 ML 10,000.00
417 KA EN 3A Plastic Bottle 500 ML 10,000.00
418 Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20% 100 ml) Lipofundin MCT/LCT 1% 100 20%, Botol Kaca @100 ml, sin 105,500.00419 Larutan mengandung Lipid (Emulsi lemak 20%) Intralipid Botol Gelas 100 ml 60,500.00420 Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml) Lipofundin MCT/LCT 1% 250 20%, Botol Kaca @250 ml, sin 210,000.00
421 Nutriflex Lipid Special 1250 Bag, 3 chamber ( 3 komparte 591,000.00
422 Nutriflex Lipid Peri 1250 Bag, 3 chamber ( 3 komparte 511,000.00
Larutan mengandung Karbohidrat + Elektrolit (25.00g maltose, 3.00 g sodium chloride, 0.15 g potassium chloride, 0.10 g calcium chloride dihydrate dan 1.55 g sodium lactate)
PT Otsuka Indonesia
Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L) PT Kalbe Farma
Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 100 gr/L, elektrolit) PT Kalbe Farma
Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 75 gr/L, elektrolit) PT Kalbe Farma
Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L) PT Kalbe Farma
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk injeksi ad 1000 ml) PT. Widatra Bhakti
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium Chloride 9 g, air untuk injeksi ad 1000 ml) PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti
PT. Widatra Bhakti
Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g)
PT. Sanbe Farma
PT. Widatra Bhakti
Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Glukosa 100 gr) PT Otsuka Indonesia
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr) PT Otsuka Indonesia
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) PT Otsuka Indonesia
PT. Phapros, TbkPT. Fresenius PT. Phapros, Tbk
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn akses sentral) PT. Phapros, Tbk
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr) PT. Phapros, Tbk
423 Nutriflex Lipid Special 625 Bag, 3 chamber ( 3 komparte 358,000.00
424 Ivelip Flexy bag 100 mL 89,800.00
425 Latanoprost tetes mata 0,01% Cendo Glaopen strip 5 x 0.6 ml 72,000.00
426 Latanoprost tts mata 0,005% btl@2,5ml Xalatan 0,005% dus, Botol @ 2,5 ml 127,000.00
427 Lenograstim inj 263 mcg/mL Granocyte 34 1vl HSA Free Dus, 1 vial @ 263 mcg + 1 pre 550,000.00
428 Letrozol tablet/kaplet/kapsul 2,5 mg FEMARA Dus, 3 blister @ 10 tablet 17,500.00
429 Leuprorelin asetat inj depot 1,88 mg Tapros 1.88mg Vial 700,000.00
430 Leuprorelin asetat inj depot 11,25 mg Tapros 3M Vial 2,700,000.00
431 Leuprorelin asetat inj depot 3,75 mg TAPROS 3.75 MG Vial 500,000.00
432 Levofloksasin inf 5 mg/mL n/a Box, 1 Botol @ 100 ml 40,000.00
433 Levofloksasin tablet 500 mg n/a Dus, 5 Strip@10 Tablet 528
434 Levofloksasin tts mata 0,5% Optiflox Btl @ 5 ml 13,068.00
435 Levotiroksin tablet/kaplet/kapsul 100 mcg Euthyrox 100 Dus 4 blister @ 25 tablet 850
436 Lidokain injeksi 2% (HCL) n/a Dus, 100 ampul @ 2 ml 839
437 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml n/a Dus, 30 ampul @ 2 ml 1,363.00
438 Lidokain jeli 2% Xylocaine Jelly 2% Dus, 10 syringe @ 10 g 40,000.00
439 Lidokain semprot 10% Xylocaine Spray 10 mg/dosis Dus,Botol @ 50 ml (500 dosis 142,000.00
440 Lisinopril tablet 10 mg n/a Box ,3 Strip @ 10 tablet 600
441 Lisinopril tablet 5 mg n/a Box ,3 Strip @ 10 tablet 350
442 Litium karbonat tablet 200 mg Frimania 200 KOTAK @ 10 x 10 TAB 1,050.00
443 Litium karbonat tablet 400 mg Frimania 400 KOTAK @ 10 x 10 TAB 1,850.00
444 Loperamid tablet 2 mg n/a Dus, 10 Strip @ 10 Tablet 89
445 Loratadin tablet 10 mg n/a Dus, 5 Strip@10 Tablet 154
446 Lorazepam tablet 0,5 mg MERLOPAM 0,5 mg KOTAK @ 10 x 10 TAB 685
447 Lorazepam tablet 2 mg Merlopam 2 KOTAK @ 10 x 10 TAB 1,341.00
448 Low molecule feri sucrose inj amp 100 mg/5 mL DIALIFER ampul 52,000.00
449 Manitol n/a botol 500 ml 62,000.00
450 Maprotilin HCl tab 25 mg Ludios Strip 1,200.00
451 Maprotilin HCl tab 50 mg Sandepril 50 KOTAK @ 5 x 10 TAB 3,276.00
452 MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/mL Bonescan KaeF Dus @ 5 vial 473,000.00
453 Mebendazol tablet 500 mg Vermox 500 Dus,24 Catch @ 1 tablet 7,140.00
454 Medroksi Progesteron Asetat tablet/kaplet/kapsul 100 mg Provera 100mg Dus, 10 blister @10 tablet 6,125.00
455 Melfalan tablet 2 mg Alkeran Box, Tablet 2 mg/25's 12,210.00
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn akses sentral) PT. Phapros, Tbk
Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate 0.3 gr/L) PT Kalbe Farma
PT. Cendo
PT. Pfizer Indonesia
PT. Aventis Pharma
PT. Novartis
PT. Takeda Indonesia
PT. Takeda Indonesia
PT. Takeda Indonesia
PT. Infion
PT. Promedrahardjo
PT. Erela
PT. Merck Tbk
PT. Bernofarm
PT. Indofarma
PT. Astra
PT. Astra
PT. Novell
PT. Novell
PT. Mersifarma
PT. Mersifarma
PT. Ifars
PT. Promedrahardjo
PT. Mersifarma
PT. Mersifarma
PT. Novell
PT. Finusolprima
PT. Soho
PT. Mersifarma
PT. Kimia Farma
PT. Taisho
PT. Pfizer Indonesia
PT. Glaxo
456 Meropenem inj 1 g n/a Dus, 1 vial @ 1 g 54,000.00
457 Meropenem serb inj 500 mg/vial n/a Dus, 1 vial @ 0,5 g 44,960.00
458 Mesna inj 100 mg/mL Uromitexan injeksi. Dus, 15 Ampul 74,998.00
459 Metadon sir 50mg/5ml n/a Botol 1000 ml 254,100.00
460 Metformin HCl tablet 500 mg n/a Dus, 10 blister @ 10 tablet 112.5
461 Metformin HCl tablet 850 mg n/a Dus, 10 blister @ 10 kaptab 197.5
462 Metildopa tablet salut 250 mg DOPAMET Dus, 10 Strip @ 10 tablet salu 800
463 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg n/a ktk 10 x 10 tablet salut 154
464 Metilergometrin Maleat injeksi 0,200 mg-1 ml n/a ampul @ 1 ml 2,750.00
465 Metilfenidat kapsul LA 20 mg Ritalin LA Dus, botol plastik @ 30 kaps 6,537.00
466 Metilfenidat tablet SR 10 mg RITALIN Dus, 2 blister @ 15 tablet 1,950.00
467 Metilprednisolon inj 125 mg/2 mL n/a Dus, 1 Vial @125mg + 1 ampu 19,200.00
468 Metilprednisolon inj 500 mg/8 mL n/a Dus, 1 vial @ 500 mg 89,990.00
469 Metilprednisolon tablet 16 mg n/a Strip 635
470 Metilprednisolon tablet 4 mg n/a Dus, 10 Blister @ 10 Tablet 205
471 Metilprednisolon tablet 8 mg n/a Dus, 10 Blister @ 10 tablet 300
472 Metoklopramid drop botol 10 mL GAVISTAL drops Dus, Botol 10 ml 5,280.00
473 Metoklopramide sirup 5 mg/ 5 ml LEXAPRAM SIRUP BOTOL 60 ML 2,600.00
474 Metoklopramide tablet 5 mg n/a ktk 10 x 10 tablet 108
475 Metotreksat serb inj 50 mg/2 mL Methotrexate Kalbe vial @ 2 ml 35,750.00
476 Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg METHOTREXATE EBEWE Box 10 ampul @ 1 ml 21,120.00
477 Metotreksat tablet/kaplet/kapsul 2,5 mg METHOTREXATE EBEWE 2.5 MG Box, bottle @ 50 tab 1,680.00
478 Metronidazol infus 500 mg/100 ml n/a Dus, 1 Botol @ 100 ml 9,950.00
479 Metronidazol ovula 500 mg Vagizol dus 1 's @ 5 ovula 3,850.00
480 Metronidazol supositoria 500 mg Flagyl Dus, 2 blister @ 5 suppositor 3,220.00
481 Metronidazol tablet 250 mg n/a 10 strip @ 10 tab 110
482 Metronidazol tablet 500 mg n/a 10 strip @ 10 tab 160
483 MIBG (meta-iodobenzylguanidine) Endoneuroscan KaeF 1 vial 1,925,000.00
484 MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial Cardioscan KaeF Dus @ 5 vial 1,237,500.00
485 Midazolam injeksi i.v. 1 mg/ml Fortanest Box isi 5 ampul 6,000.00
486 Midazolam injeksi i.v. 5 mg/ml Dormicum Boks 5 amp 12,060.00
487 Mikafungin Na serb inj 50 mg Mycamine Dus,1 vial@50mg 260,000.00
488 Mikofenolat Mofetil 500 mg Cellcept Boks, 50 tablet 16,000.00
489 Mikonazol krim/salep 2 % (Nitrat) n/a Tube 10 gram 3,000.00
PT. Bernofarm
PT. Bernofarm
PT. Mugi Laboratories
PT. Kimia Farma
PT. Bernofarm
PT. Bernofarm
PT. Actavis
PT. Kimia Farma
PT. Ethica
PT. Novartis
PT. Novartis
PT. Dexa Medica
PT. Bernofarm
PT. Mahakam
PT. Natura
PT. Dexa Medica
PT. Meprofarm
PT. Molex Ayus
PT. Kimia Farma
PT Kalbe Farma
PT. Sandoz
PT. Sandoz
PT. Natura
PT. Kimia Farma
PT. Aventis Pharma
PT. Phyto
PT. Phyto
PT. Kimia Farma
PT. Kimia Farma
PT Kalbe Farma
PT. Boehringer
PT. Combiphar
PT. Boehringer
PT. Kimia Farma
490 Mitomisin C (crystallin) serbuk inj 10 mg/vial Mitomycin C 10 mg /Vial 697,000.00
491 Modified fluid gelatine BM 30 000 lar inf 4% Gelofusine 4% Btl @ 500 ml 72,000.00
492 Moksifloksasin tetes mata 0,5% Vigamox botol, tetes mata 3 ml 77,000.00
493 Mometason furoat krim 0,1% n/a tube 10 gram 17,820.00
494 Morfin HCL inj 10 mg/ml n/a Dus 10 amp @ 1 ml 8,400.00
495 Morfin HCL tablet SR 10 mg MST Continus 10 mg Dus, 6 strip @ 10 tablet 15,620.00
496 Morfin HCL tablet SR 15 mg MST Continus 15 mg Dus, 6 strip @ 10 tablet 22,990.00
497 Morfin tablet 10 mg n/a Botol 30 tablet 1,300.00
498 N-asetil sistein inj. nebules 100 mg N-ace cairan inhalasi Box @ 5 ampul 13,200.00
499 Nacl 0,9% n/a Botol 500 ml 4,700.00
500 Nadroparin inj 9500 Axa/mL syringe 0,3 mL Fraxiparine 0.3 ml Dus, 5 blister @ 2 pfs 0.3 ml 54,144.00
501 Nadroparin inj 9500 Axa/mL, syringe 0,4 mL Fraxiparine 0.4 ml Dus, 5 blister @ 2 pfs 0.4 ml 66,640.00
502 Nadroparin inj 9500 Axa/mL, syringe 0,6 mL Fraxiparine 0.6 ml Dus, 5 blister @ 2 pfs 0.6 ml 94,962.00
503 Nalokson injeksi 0,4 mg/ml Nokoba Dus, 5 Ampul @ 2ml 61,600.00
504 Natrium Bikarbonat injeksi i.v 8,4% Meylon Ampoel 25 ML 6,200.00
505 Natrium Diklofenak tablet 50 mg n/a Dus @ 5 X 10 's 176
506 Natrium Diklofenak tablet 25 mg n/a Dus @ 5 X 10 's 133
507 Natrium fosfat lar oral 45 mL Fleet Phosphosoda Botol, 45 ml 33,900.00
508 Natrium fusidat salep 20 mg/g Fucilex Ointment Tube 5 gr 6,490.00
509 Neostigmin injeksi 0,5 mg/ml Neostigmin Hameln inj Box, isi 5 ampul @ 1 ml 9,500.00
510 Nevirapin tablet 200 mg n/a btl 60 tablet 2,800.00
511 Nifedipin tab 20 mg, slow release; oros Adalat Oros 20 mg blister 2,999.00
512 Nifedipin tab 30 mg, oros Adalat Oros 30 mg blister 3,500.00
513 Nifedipin tablet/kapsul 10 mg n/a Dus, 10 Strip @ 10 tablet salu 110
514 Tasigna Dus, 2 blister @ 14 kapsul 380,875.00
515 Nistatin tablet salut 500.000 IU/ g n/a Dus @ 10 X 10 's 640
516 Nistatin vaginal tablet 100.000 IU/ g n/a Dus @ 10 X 10 's 480
517 Norepinefrin injeksi 1 mg/ml Levosol Dus 5 amp @ 8 ml 53,900.00
518 Noretisteron tablet 5 mg Primolut N blister 2,618.00
519 Obat Antituberkulosis FDC Kategori 1 n/a Paket 359,990.00
520 Obat Antituberkulosis FDC Kategori 2 n/a Paket 1,199,990.00
521 Obat Antituberkulosis FDC Kategori Anak n/a Paket 214,900.00
522 Obat Antituberkulosis FDC Sisipan n/a Paket@84 tablet 160,000.00
523 Obat Antituberkulosis Kategori 1 dewasa n/a Dus, 1 dus @ 60 blister @ 8 t 288,199.00
524 Obat Antituberkulosis Kategori anak n/a Dus, 60 sachet tahap intensif 171,195.00
PT. Widatra Bhakti
PT. Phapros, Tbk
PT. Tempo
PT. Guardian
PT. Kimia Farma
PT. Mahakam
PT. Mahakam
PT. Kimia Farma
PT. Pratapa Nirmala
PT. Widatra Bhakti
PT. Glaxo
PT. Glaxo
PT. Glaxo
PT. Pratapa Nirmala
PT Otsuka Indonesia
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Combiphar
PT. Molex Ayus
PT. Pharma Health Care
PT. Kimia Farma
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Dexa MedicaNilotinib kapsul 200 mg (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) PT. Novartis
PT. Phapros, Tbk
PT. Phapros, Tbk
PT. Kimia Farma
PT. Bayer Indonesia
PT. Kimia Farma
PT. Indofarma
PT. Phapros, Tbk
PT. Indofarma
PT. Indofarma
PT. Indofarma
525 Octreotide Acetate0,05 - 6 mg/mL Octide Box @ 5 ampul 80,000.00
526 Ofloksasin tets telinga 3% Tarivid Otic Solution Btl @ 5 ml 48,500.00
527 Ofloxacin tablet 200 mg n/a Box ,5 Strip @ 10 tablet 400
528 Ofloxacin tablet 400 mg n/a Box ,5 Strip @ 10 tablet 650
529 Oksaliplatin serbuk injeksi 100 mg / vial ELOXATIN Dus, 1 vial @ 20 ml 1,100,000.00
530 Oksaliplatin serbuk injeksi 50 mg / vial ELOXATIN Dus, 1 vial @ 10 ml 550,000.00
531 Oksimetazolin tetes hidung 0,025% Ilaidin Drops botol @ 10 ml 27,550.00
532 Oksitosin injeksi 10 IU/ml Oxytocin "S" ampul @ 1 ml 2,200.00
533 Oktreotid 10 mg Sandostatin LAR Dus, vial @ 355m + 1 prefille 2,950,000.00
534 Olanzapin inj 10 mg/vial Zyprexa IM Vial 120,000.00
535 Olanzapin kapl salut 5 mg Olandoz 5 3 X 10 fcc 6,450.00
536 Olanzapin tab 10 mg Olandoz 10 3 X 10 fcc 11,200.00
537 Olopatadin tts mata 0,1% Patanol botol, tetes mata 5 ml 68,000.00
538 Omeprazol injeksi 40 mg/ 10 ml n/a Dus, 1 Vial @ 40 mg 36,000.00
539 Omeprazol kapsul/kaplet 20 mg n/a dus 10 X 3'S 211
540 ondansetron inj 4 mg/ 2 mL n/a Dus, 5 Ampul @ 2ml 2,400.00
541 Ondansetron tab 4 mg n/a Box 3 X 10 Tab 716
542 Ondansetron tablet 8 mg n/a Box 3 X 10 Tab 1,189.00
543 n/a Transfer Set: Set; Ultaclam: 1,902,240.00
544 Paket CAPD Pergantian Transfer Set per 6 bulan n/a Set 219,540.00
545 Larutan Dialisa 1.5 %: 2.000 m 5,522,580.00
546 Paklitaksel inj 100 mg/vial SINDAXEL 100 MG/16,67 ML Vial 6mg/ml (100mg/16.67ml 984,000.00
547 Paklitaksel inj 300 mg/vial SINDAXEL 260mg/43.33 ML Vial 6mg/ml (260mg/43.33ml 3,000,000.00
548 Paklitaksel injeksi 30 mg/vial SINDAXEL 30 MG/5 ML Vial 6mg/ml (30mg/5ml) 274,560.00
549 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) n/a Dus, 15 botol 5,200.00
550 Parasetamol sirup 120 mg / 5 ml n/a botol 60 ml 1,438.00
551 Parasetamol tablet 500 mg n/a Dus, 10 Strip@10 Kaplet Salu 79
552 Parasetamol tetes 60 mg/0,6 mL NAPREX DROPS botol @ 15 ml 6,730.00
553 Pegylated interferon alfa-2a inj 135 mcg/0,5 ml Pegasys Boks, 1 pfs 1,077,815.00
554 Pegylated interferon alfa-2a inj 180 mcg/0,5 ml Pegasys Boks, 1 pfs 1,248,220.00
555 Pegylated Interferon alfa-2b serb inj 100 mcg Pegintron Vial 100 Mcg Dus, 1 vial 100 mcg + 1 ampul 973,500.00
556 Pegylated Interferon alfa-2b serb inj 120 mcg Pegintron Pen 120 Mcg Dus, 1 prefilled syringe (serb 1,135,000.00
557 Pegylated Interferon alfa-2b serb inj 50 mcg Pegintron Dus, 1 vial 50 mcg + 1 ampul 915,000.00
558 Pegylated Interferon alfa-2b serb inj 80 mcg Pegintron Vial 80 Mcg Dus, 1 vial 80 mcg + 1 ampul 915,810.00
PT. Pratapa Nirmala
PT Kalbe Farma
PT. Novell
PT. Novell
PT. Aventis Pharma
PT. Aventis Pharma
PT. Merck Tbk
PT. Ethica
PT. Novartis
PT. Bayer Indonesia
PT. Sandoz
PT. Sandoz
PT. Tempo
PT. Natura
PT. Novapharin
PT. Indofarma
PT. Yarindo
PT. Yarindo Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor) PT Kalbe Farma
PT Kalbe Farma
Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)
Larutan Dialisa 1.5%: Dianeal Low Calcium with 1,5% Dextrose; Larutan Dialisa 2.5%: Dianeal Low Calcium with 2,5% Dextrose; Larutan Dialisa 4.25%: Dianeal Low Calcium with 4.25% Dextrose
PT Kalbe Farma
PT. Actavis
PT. Actavis
PT. Actavis
PT. Indofarma
PT. Afifarma
PT. Promedrahardjo
PT. Darya Varia
PT. Boehringer
PT. Boehringer
PT. Merck
PT. Merck
PT. Merck
PT. Merck
559 Perak sulfadiazin krim 1% BURNAZIN 35 GR tube @ 35 gram 23,000.00
560 Perindoprilarginin tab 5 mg Bioprexum 5 mg Dus, botol plastik @ 30 tablet 2,420.00
561 Permetrin krim 5% Scabimite Cream 10 Tube @ 10 g 11,475.00
562 Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl) n/a Ktk 10 ampx2ml 14,500.00
563 Pioglitazon tab 15 mg DECULIN 15 MG 30 TAB/BOX 3,120.00
564 Pioglitazon tab 30 mg DECULIN 30 MG 30 TAB/BOX 4,525.00
565 Pirantel suspensi 125 mg/5 ml n/a Botol 60 ml 8,360.00
566 Pirantel tablet score (base) 125 mg n/a Dus, 25 Blister @ 4 tablet 298
567 Pirazinamid tablet 500 mg n/a Dus 10 strip @ 10 tablet 208
568 Piridoksin (vitamin B6) inj 100 mg/mL n/a Ampul 1 ml 1,000.00
569 Polikresulen cairan Aptil Dus, Botol @ 10ml 17,393.00
570 Povidon Iodida larutan 10% 1000 ml n/a botol @ 1000 ml 37,109.00
571 Povidon Iodida larutan 10% 30 ml n/a botol @ 30 ml 2,163.00
572 Povidon Iodida larutan 10% 300 ml n/a botol @ 300 ml 14,203.00
573 Povidon Iodida larutan 10% 60 ml n/a btl 60 ml 5,998.00
574 Pramipeksol tab ER 0,375 mg Sifrol ER 0,375mg Dus, 3 alu blister @ 10 tablet 7,200.00
575 Pramipeksol tab ER 0,750 mg Sifrol ER 0,750mg Dus, 3 alu blister @ 10 tablet 11,268.00
576 Pravastatin tablet 20 mg n/a Box ,5 Strip @ 10 tablet 2,300.00
577 Prednison tablet/kapsul/kaplet 5 mg n/a Dus, 10 strip @ 10 tablet 114
578 Probenesid tablet/kapsul/kaplet 500 mg Probenid Dus, 10 strip @ 10 tablet 1,650.00
579 Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial n/a Vial @ 3 juta IU 7,190.00
580 Propanolol tablet 10 mg ( HCl ) n/a Dus, 10 Strip @ 10 tablet 65
581 Propiltiourasil tablet/kapsul/kaplet 100 mg n/a Botol @ 100 Tablet 319
582 Propofol injeksi i.v., bolus 1% Fresofol 1% MCT/LCT Ampul 15,642.00
583 Propranolol tablet 40 mg (HCl) n/a Dus, 10 strip @ 10 tablet 107
584 Quetiapin tab 200 mg Seroquel XR 200 mg Dus, 1 blister @ 10 tablet 17,391.00
585 Quetiapin tab 300 mg Seroquel XR 300 mg Dus, 1 blister @ 10 tablet 19,500.00
586 Quetiapin tab 400 mg Seroquel XR 400 mg Dus, 1 blister @ 10 tablet 23,185.00
587 Ramipril tablet 2,5 mg Cardace 2.5mg 6x10 s tablet Dus, 6 blister @ 10 tablet 995
588 Ramipril tablet 5 mg n/a Dus, 10 Strip @ 10 kaptab 580
589 Ramipril tablet/kaplet/kapsul 10 mg n/a Dus, 10 strip @ 10 tablet 1,013.00
590 Ranitidin injeksi 25 mg/ml n/a Dus, 10 Ampul @ 2 ml 1,140.00
591 Ranitidin tablet 150 mg n/a Dus, 10 Strip @ 10 tablet salu 120
592 Retinol (Vitamin A) 100.000 IU n/a Botol 50 kapsul lunak 260
593 Retinol (Vitamin A) 200.000 IU kapsul lunak n/a Botol 50 Kapsul 459
PT. Darya Varia
PT. Pradja Pharin
PT. Galenium
PT. Kimia Farma
PT. Dexa Medica
PT. Dexa Medica
PT. Holi Pharma
PT. Holi Pharma
PT. Holi Pharma
PT. Ikapharmindo
PT. Pratapa Nirmala
PT. Afifarma
PT. Afifarma
PT. Afifarma
PT. Kimia Farma
PT. Boehringer
PT. Boehringer
PT. Novell
PT. Holi Pharma
PT. Dexa Medica
PT. Bernofarm
PT. Dexa Medica
PT. Indofarma
PT. Fresenius
PT. Holi Pharma
PT. Astra
PT. Astra
PT. Astra
PT. Pharma Health Care
PT. Dexa Medica
PT. Novell
PT. Natura
PT. Dexa Medica
PT. Kimia Farma
PT. Kimia Farma
594 Rifampisin tablet/kapsul/kaplet 300 mg n/a Dus, 10 Strip @ 10 Kapsul 609
595 Ringer Laktat larutan infus n/a botol 500 ml 5,200.00
596 Risperidon tablet 1 mg n/a Dus, 5 Blister @ 10 tablet 1,200.00
597 Risperidon tablet 2 mg n/a KOTAK @ 5 x 10 TAB 1,008.00
598 Risperidon tablet 3 mg n/a Dus, 5 Blister @ 10 tablet 2,000.00
599 Mabthera Dus, 1 vial @ 10 ml 3,164,805.00
600 Rivaroksaban tab 10 mg Xarelto 10 mg Blister 23,500.00
601 Rivaroksaban tab 15 mg Xarelto 15 mg Blister 23,500.00
602 Rivaroksaban tab 20 mg Xarelto 20 mg Blister 23,500.00
603 Ropinirol Tablet Salut 2 mg Requip PD 24 Hour 2 mg Dus, 7 blister @ 4 Tablet lep 5,248.00
604 Ropinirol Tablet Salut 4 mg Requip PD 24 Hour 4 mg Dus, 7 blister @ 4 Tablet lep 6,275.00
605 Ropinirol Tablet Salut 8 mg Requip PD 24 Hour 8 mg Dus, 7 blister @ 4 Tablet lep 7,383.00
606 Salbutamol cairan ih 0,1% Ventolin Nebules Dus, 4x5 Botol [email protected] m 6,600.00
607 Salbutamol inhalasi/aerosol 100 mcg/dosis Ventolin Inhaler Dus, botol 200 dosis 63,750.00
608 Salbutamol serb inh 200 mcg/kaps Ventolin Rotacaps Dus, 10 Blister @ 10 Kapsul 431
609 Salbutamol serb inh 200 mcg/kaps + rotahaler Ventolin Rotahaler Dus, 1 Rotahaler 5,867.00
610 Salbutamol tablet 2 mg (sebagai Sulfat) n/a strip @ 10 tablet 59
611 Salbutamol tablet 4 mg (sebagai Sulfat) n/a ktk 10 x 10 tablet 89
612 Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% n/a Pot @ 30 gram 2,000.00
613 Sefadroksil sirup kering 125 mg/5ml n/a Dus, Botol 60 ml 4,896.00
614 Sefadroksil kapsul/kaplet 250 mg n/a strip 513
615 Sefadroksil kapsul/kaplet 500 mg n/a Dus, 10 strip @ 10 kapsul 509
616 Sefadroksil sir kering 250 mg/5 mL n/a Dus, Botol 60 ml 5,940.00
617 Sefaleksin kapsul/kaplet 500 mg n/a Dus, 5 Strip @ 10 Kapsul 1,000.00
618 Sefazolin serbuk injeksi 1 g/vial n/a Dus, 2 Vial @ 1 gram 16,500.00
619 Sefepim inj 1 g n/a Box 2 Vial @ 1000mg 48,060.00
620 Sefiksim kapsul/kaplet 100 mg n/a Dus, 10 blister @ 10 kapsul 859
621 Sefiksim sirup kering 100 mg/ 5 ml n/a Dus, Botol 30 ml 8,800.00
622 Sefoperazon inj 1 g n/a Dus, 2 vial @ 1 g 12,775.00
623 Sefotaksim injeksi 0,5 g n/a vial 4,800.00
624 Sefotaksim injeksi 1 g n/a Dus, 10 Vial @ 1 g 2,950.00
625 Sefpodoksim proksetil tab 100 mg Banadoz 100 Dus, 3 blister @ 10 tablet 3,700.00
626 Seftazidim injeksi 1 g n/a Dus, 2 Vial @ 1 gram 16,000.00
627 Seftriakson serbuk injeksi 1 g/vial n/a Dus, 10 Vial @ 1 g 3,300.00
PT. Indofarma
PT. Widatra Bhakti
PT. Dexa Medica
PT. Mersifarma
PT. Dexa Medica
Rituksimab injeksi 10 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) PT. Boehringer
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Bayer Indonesia
PT. Glaxo
PT. Glaxo
PT. Glaxo
PT. Glaxo
PT. Glaxo
PT. Glaxo
PT. Glaxo
PT. Yarindo
PT. Kimia Farma
PT. Marin Liza Farmasi
PT. Holi Pharma
PT. Hexpharm
PT. Bernofarm
PT. Holi Pharma
PT. Ifars
PT. Dexa Medica
PT. Yarindo
PT. Bernofarm
PT. Ifars
PT. Holi Pharma
PT. Hexpharm
PT. Natura
PT. Sandoz
PT. Dexa Medica
PT. Natura
628 Sefuroksim tablet/kapsul/kaplet 250 mg Zinnat 250 mg Dus, 1 Blister @ 10 Tablet sal 4,752.00
629 Sefuroksim tab 500 mg Zinnat 500 Dus, 1 Blister @ 10 Tablet sal 7,200.00
630 Sertralin tab 50 mg Fatral strip @ 10 tab 3,300.00
631 Setirizin sirup 5 mg/5 ml n/a Botol @ 60 ml 7,999.00
632 Setirizin tablet 10 mg n/a Box, 10 strips @ 10 capsules 181
633 Erbitux Dus, 1 vial @ 20 ml 3,650,000.00
634 Sevofluran ih, btl Sojourn tabung/botol 1,320,000.00
635 Sianokobalamin (vitamin B12) injeksi 500 mcg n/a 100 ampul @ 1 ml 1,078.00
636 Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg n/a Dus, 10 Strip @ 10 tablet 57
637 Siklofosfamid serbuk injeksi i.v. 1000 mg Cyclovid 1000 mg vial 256,000.00
638 Siklofosfamid serbuk injeksi i.v. 200 mg Cyclovid 200 mg vial 82,000.00
639 Siklofosfamid serbuk injeksi i.v. 500 mg CYCLOVID 500 Vial 120,000.00
640 Siklosporin kaps 100 mg Sandimmun Neoral 100mg Kap Dus, 10 blister @ 5 kapsul lu 43,000.00
641 Siklosporin kapsul lunak 25 mg Sandimmun Neoral 25mg Kap Dus, 10 blister @ 5 kapsul lu 12,000.00
642 Simvastatin scored tablet 10 mg n/a Dus, 3 Strip @ 10 Kaplet salu 169
643 Simvastatin tablet 20 mg n/a Dus, 3 Strip @ 10 Kaplet salu 391
644 Siprofloksasin infus 2% n/a Vial 200 ml 13,000.00
645 Siprofloksasin tablet 500 mg (sebagai HCl) n/a Dus, 10 blister @ 10 tab ss 255
646 Sisplatin serbuk injeksi 10 mg Cisplatin vial 22,000.00
647 Sisplatin serbuk injeksi 50 mg Cisplatin vial 93,000.00
648 Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml DBL Cytarabun dus, 1 vial @ 10 ml 575,000.00
649 Spiramisin tablet 500 mg n/a Dus, 5 strip @ 10 tablet 1,499.00
650 Spironolakton tablet 100 mg n/a Dus, 10 Strip @ 10 tablet 900
651 Spironolakton tablet 25 mg n/a Dus, 10 Strip @ 10 tablet 315
652 Stavudin tablet/kapsul/kaplet 30 mg n/a Botol @ 60 tablet 930
653 Streptokinase injeksi 1,5 juta UI/vial Streptase Vial 3,290,000.00
654 Streptomisin serbuk injeksi i.v 1000 mg/ml n/a Dus @ 56 Vial 3,650.00
655 Sufentanil injeksi iv, epidural 5 mcg/ml dus 5 amp @ dus 10 127,000.00
656 Sukralfat susp 500 mg/5 mL Ulsafate Botol, 100 ml 13,425.00
657 Sukralfat tab 500 mg ULSIDEX DUS, 10 STRIP @ 10 TAB 424
658 Takrolimus kaps 0.5 mg Prograf Pounch @ 5 blister @ 10 cap 11,167.00
659 Takrolimus kaps 1 mg Prograf Dus, 1 pouch @5 blister@10 21,500.00
660 Tamsulosin tab 0,2 mg Harnal ® D 0.2 mg Disp. Tablet Box/ 2 blister @ 14 tablet 5,800.00
PT. Glaxo
PT. Glaxo
PT. Pratapa Nirmala
PT. Indofarma
PT. Pertiwi AgungSetuksimab infus 5 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) PT. Merck Tbk
PT. Pratapa Nirmala
PT. Lucas Djaja
PT. Afifarma
PT. Novell
PT. Novell
PT. Novell
PT. Novartis
PT. Novartis
PT. Natura
PT. Natura
PT. Dexa Medica
PT. Bernofarm
PT Kalbe Farma
PT Kalbe Farma
PT. Tempo
PT. Indofarma
PT. Dexa Medica
PT. Dexa Medica
PT. Kimia Farma
PT. Dexa Medica
PT. Phapros, TbkSufentanyl Injeksi iv.Epidural 5 mcg / ml PT. Kimia Farma
PT. Combiphar
PT. Dexa Medica
PT. Combiphar
PT. Combiphar
PT. Combiphar
661 Tamsulosin tab 0,2 mg Harnal D Box @ 2 blister @ 14 tablet 5,800.00
662 Tamsulosin tab SR 0,4 mg Harnal ® OCAS 0.4 mg Tablet Box/ 3 blister @ 10 Tablet 6,800.00
663 Telbivudin tab 600 mg Sebivo 600 mg Tab Dus, 2 blister @ 14 tablet 28,500.00
664 Telmisartan tab 40mg Micardis 40mg Dus, 2 alu-blister @10 tablet 3,900.00
665 Telmisartan tab 80 mg Micardis 80mg Box, 2 blisters @10 tablets 6,500.00
666 Temozolamid kaps 100 mg Temodal Dus, 5 sachet @ 1 kapsul 1,120,000.00
667 Temozolamid kaps 20 mg Temodal Dus, 5 sachet @ 1 kapsul 223,000.00
668 Tenofovir tab 300 mg n/a Botol 30 tab 8,100.00
669 Teofilin tab SR 300 mg Rethapyl Dus 10-s @ 10 Kaptab 1,050.00
670 Teofilin tablet 150 mg Bronsolvan strip 250
671 Terazosin HCl tablet/kapsul/kaplet 1 mg HYTROZ 1MG DUS, 10 BLISTER @ 10 TAB 1,669.00
672 Terazosin HCl tablet/kapsul/kaplet 2 mg HYTROZ 3MG DUS, 10 BLISTER @ 10 TAB 2,949.00
673 Terbutalin cairan ih 2,5 mg/mL Bricasma Respules Dus, 2 pak @ 5 respules 6,250.00
674 Terbutalin tablet 2,5 mg Molasma Tablet Box 50's 99
675 Terbutalin turbu (serbuk ih) 0,50 mg Bricasma Turbuhaler 0,5 mg Dus, 1 Turbuhaler @ 200 dosi 71,100.00
676 Testoteron soft capsul 40 mg Andriol Testocaps Dus, 6 blister @ 10 kapsul lu 6,200.00
677 Tetrakain HCl tetes mata 0,5% Pantocain 0.5% botol 5 ml 11,500.00
678 Tetrasiklin kapsul/kaplet 250 mg n/a Dus, 10 strip @ 10 kapsul 149
679 Tetrasiklin tablet/kapsul/kaplet 500 mg n/a DUS,10 STRIP @ 10 KAPSUL 300
680 Tiamazol tab 10 mg Thyrozol 10 Dus, 10 blister @ 10 tablet 1,135.00
681 Tiamazol tab 5 mg Thyrozol 5 Dus, 10 blister @ 10 tablet 563
682 Timolol tetes mata 0,25% Isotic Adretor 0,25% Dus, Botol Plastik @ 5ml 9,128.00
683 Timolol tetes mata 0,5% Isotic Adretor 0,5% Dus, Botol Plastik @ 5ml 9,722.00
684 Tiotropium 18 mcg refill Box, 3 blisters @10 capsules 13,867.27
685 Tiotropium kaps 18 mcg + handihaller Spiriva 10s + Handihaler Dus, 1 blister @10 kapsul + h 152,543.00
686 Tramadol injeksi 50 mg/ml n/a Dus, 10 Ampul @ 2 ml 2,395.00
687 Herceptin Dus, 1 vial @ 440 mg + 1 vial 19,608,034.00
688 Travoprost tetes mata 0,004% Travatan botol, tetes mata 2,5 ml 115,000.00
689 Triamsinolon asetonid nasal spray 55 mcg/puff Nasacort AQ Dus, botol plastik 120 dosis 90,000.00
690 Trifluoperazin tablet 5 mg n/a strip 405
691 Tropikamid tetes mata 1% Cendo Mydriatil 1% Botol 5ml 36,500.00
692 Urea krim 10% Soft U Derm tube 6,400.00
693 Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan) Imovax Polio 1 vial of 10ml (10 d's) 285,000.00
694 Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster RABIPUR Dus, 1 vial serbuk + 1 ampul 78,500.00
PT. Combiphar
PT. Combiphar
PT. Novartis
PT. Boehringer
PT. Boehringer
PT. Merck
PT. Merck
PT. Kimia Farma
PT. Kimia Farma
PT Kalbe Farma
PT. Dexa Medica
PT. Dexa Medica
PT. Astra
PT. Molex Ayus
PT. Astra
PT. Merck
PT. Cendo
PT. Holi Pharma
PT. Afifarma
PT. Merck Tbk
PT. Merck Tbk
PT. Pratapa Nirmala
PT. Pratapa NirmalaSpiriva powder for inhalation 18mcg 30s PT. Boehringer
PT. Boehringer
PT. Natura Trastuzumab serbuk injeksi 440 mg/vial (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014) PT. Boehringer
PT. Tempo
PT. Aventis Pharma
PT. Darya Varia
PT. Cendo
PT. Galenium
PT. Aventis Pharma
PT. Novartis
695 Valgansiklovir tab 450 mg Valcyte Boks, 60 tablet 170,000.00
696 Valproat sirup 250 mg/5 ml Ikalep Botol 120 ml 40,000.00
697 Valproat tab SR 250 mg Depakote ER 250 mg Tablet 2,793.00
698 Valproat tab SR 500 mg Depakote ER 500 mg Tablet 5,450.00
699 Valproat tablet salut 250 mg Depakote Tab 250 mg Tablet salut 250 mg 1,680.00
700 Valsartan tab 80 mg Diovan 80mg Tab DUS, 3 ALU-ALU STRIP @ 10 ta 3,900.00
701 Valsartan tab 160 mg DIOVAN 160 MG DUS, 3 ALU-ALU STRIP @ 10 ta 6,500.00
702 Vankomisin serbuk injeksi 500 mg/vial Vancep Box @ 2 vial 122,000.00
703 Verapamil tab 240 mg Isoptin 240 mg Tablet 6,200.00
704 Verapamil tablet 80 mg (HCl) n/a Ktk 10X10 TAB 234
705 Vinblastin serbuk injeksi 10 mg Vinblastine Vial 10mg/10ml 210,000.00
706 Vinkristin serb inj i.v 2 mg/vial Vincristine Kalbe vial @ 2 ml 78,000.00
707 Vinkristin serbuk injeksi i.v. 1 mg Vincristine Kalbe vial @ 1 ml 46,000.00
708 Vinorelbin inj. 10 mg/ml Navelbine injeksi 10 Dus, 1 vial @ 1 ml 1,229,998.00
709 Vitamin B Kompleks tablet n/a Dus 10 strip x 10 tab 107
710 Zidofudin 100 mg n/a Botol 60 Kapsul 1,575.00
711 Zidovudin 300 mg + Lamivudine 150 mg n/a Botol 60 tablet 3,429.00
712 Zinc drop 10 mg/mL Zincpro Drops Drops 10 mg/ml, Botol @15 12,840.00
713 Zinc sir 20 mg/5 Ml Zircum Kid Sirup Dus, botol 60 ml 7,400.00
714 Zinc tablet dispersible20 mg n/a Dus, 10 strip @ 10 tablet disp 474
PT. Boehringer
PT. Ikapharmindo
PT. Abbott Indonesia
PT. Abbott Indonesia
PT. Abbott Indonesia
PT. Novartis
PT. Novartis
PT. Pratapa Nirmala
PT. Abbott Indonesia
PT. Kimia Farma
PT. Combiphar
PT Kalbe Farma
PT Kalbe Farma
PT. Mugi Laboratories
PT. Kimia Farma
PT. Kimia Farma
PT. Kimia Farma
PT. Combiphar
PT. Meprofarm
PT. Indofarma