#Nama Obat GenerikNama DagangKemasanHarga Satuan Terkecil (Rp)

1.ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)n/a1 blister@24 tablet1,375.00

2.Adefovir Dipivoksil tablet/kaplet 10 mgHepseraDus, 3 Blister @ 10 kapsul27,500.00

3.Air untuk Injeksi 25 mlOtsu SWI 25 mlDus, 120 ampul PE @ 25ML2,200.00

4.Air untuk irigasi lar infus 1000 mlWIDA WI UNICAPBtl @ 1000 ml7,500.00

5.Akarbose tablet/kaplet 100 mgn/aDus, 10 strip @10tablet990.00

6.Akarbose tablet/kaplet 50 mgn/aDus, 10 strip @10tablet780.00

7.Albendazol suspensi 200 mg/5 mln/aDus, 10 dus @ 1 botol @ 10 ml3,849.00

8.Albendazol tablet/kapsul/kaplet 400 mgn/aDus, 5 strip @ 6 tablet344.00

9.Albumin serum normal (human albumin) injeksi 20%, 100 mlZenalbVial 100 ml750,000.00

10.Albumin serum normal (human albumin) injeksi 20%, 50 mlZenalbVial 50 ml345,000.00

11.Albumin serum normal (human albumin) injeksi 25%, 100 mlPLASBUMIN 25% 100 MLbotol @ 100 ml1,525,456.00

12.Albumin serum normal (human albumin) injeksi 25%, 20 mlPLASBUMIN 25% 20 MLbotol @ 20 ml321,552.00

13.Albumin serum normal (human albumin) injeksi 25%, 50 mlPLASBUMIN 25% 50 MLbotol @ 50 ml732,727.00

14.Albumin serum normal (human albumin) injeksi 5% 250 mlPLASBUMIN 5% 250 MLbotol @ 250 ml900,000.00

15.Albumin serum normal (human albumin) injeksi 5% 50 mlPLASBUMIN 5% 50 MLbotol @ 50 ml283,000.00

16.Alopurinol tablet/kapsul/kaplet 100 mgn/aBox, 10 strips @ 10 tablets86.00

17.Alopurinol tablet/kapsul/kaplet 300 mgn/aDus, 10 blister @ 10 tablet199.50

18.Alprazolam tablet/kapsul/kaplet 0,25 mgn/aDus, 10 Strip @ 10 tablet380.00

19.Alprazolam tablet/kapsul/kaplet 0,5 mgn/aKtk 10x10 tablet214.00

20.Alprazolam tablet/kapsul/kaplet 1 mgn/aKtk 10x10 tablet233.00

21.Alteplase injeksi 50 mg/vialActilyseDus, 1 vial@50mg + 1 vial pelarut @ 50ml3,800,000.00

22.Amfoterisin B salep mata 1%Fungicidetube 3.5 gr18,500.00

23.Amikasin injeksi 250 mg/mlGlybotic 250 mg /mlVial 2 ml50,500.00

24.Aminofilin injeksi 24 mg/mln/adus 30 ampul @10 ml3,823.00

25.Aminofilin tablet scored 200 mgn/aBotol @ 100 tablet salut selaput90.00

26.Aminofilin tablet/kapsul/kaplet 150 mgn/aBtl @ 100 tablet80.00

27.Amiodaron injeksi 150 mg/3 mlCordaroneDus, 6 ampul @ 3 ml12,480.00

28.Amiodaron tablet/kaplet 200 mgKendaron Tabletstrip1,200.00

29.Amitriptilin tablet salut 25 mg (HCl)n/aDus, 10 strip @ 10 tss112.00

30.Amlodipin tablet 10 mgn/aBox, 3 strips @ 10 tablets330.00

31.Amlodipin tablet 5 mgn/aBox, 3 strips @ 10 tablets187.00

32.Amoksisilin kapsul/kaplet 250 mgn/adus 10 X 10'S211.00

33.Amoksisilin kapsul/kaplet/tablet scored 500 mgn/aDus, 10 strip @ 10 kaptab272.00

34.Amoksisilin sirup kering forte 250 mg/5 mln/aDus, Botol 60 ml4,070.00

35.Amoksisilin sirup kering 125 mg/ 5 mln/abtl @ 60 ml2,445.00

36.Ampisilin serbuk injeksi i.v. 1000 mg/vialn/aDus, 10 vial @ 1 g5,100.00

37.Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glargine 100 IU/ml)Lantus Solostar 100IU/ml 5pens x3mldus, 5 solostar pen @ 3ml85,000.00

38.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))Novomix FlexpenInjeksi 100 IU/ml, Flexpen disposible 3 ml (1 box isi 5 flexpen disposible)106,000.00

39.Analog Insulin Mix Insulin Inj 100 UI/mlHumalog Mix 25 KwikpenDus, 5 Prefilled pen @ 3 ml102,990.00

40.Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cartridge (25% insulin lispro, 75% insulin lispro protamine suspension, (rDNA))Humalog Mix 25Penfill cartridge97,500.00

41.Analog Insulin Rapid Acting Inj 100 UI/mlHumalog KwikpenDus, 5 Prefilled pen @ 3 ml82,495.00

42.Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue))Novorapid VialDus, vial 10 ml200,000.00

43.Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue))Novorapid FlexpenInjeksi 100 IU/ml, Flexpen disposible 3 ml (1 box isi 5 flexpen disposible)85,345.00

44.Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glulisine 100 IU/ml)Apidra Solostar 100IU/ml 5pens x3mldus, 5 solostar pen @ 3ml79,165.00

45.Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin lispro (rDNA origin))HumalogPenfill cartridge79,167.00

46.Anastrozol tablet/kapsul/kaplet 1 mgArimidex 1 mgDus, 2 blister @ 14 Tablet32,000.00

47.Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium Hidroksida 200 mgn/aDus, 10 Strip@10 Tablet75.00

48.Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 mg/5 mln/aBotol @ 60 ml2,160.00

49.Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU/gn/aDus, 25 tube @ 5 g2,516.00

50.Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg lidokain 10 mg seng oksida 120 mgn/aDUS, 10 SUPP @ 2 GRAM3,045.00

51.Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mgn/aktk 10 x 10 tablet520.00

52.Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mgn/aBtl 100 tablet135.00

53.Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mgLevopar TabletDus, 5 strip @ 10 tablet1,500.00

54.Artemether injeksi 80 mg/mlArtemDus 6 amp @ 1ml22,000.00

55.Artesunate injeksi i.v./i.m. 60 mg/mlArtesunateDus, 1 Vial @ 60 mg + 1 Ampul Pelarut @ 1 mL38,999.00

56.Asam Asetilsalisilat (asetosal) tablet 100 mgn/aDus @ 10 X 10 's116.00

57.Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mgMiniaspi 80KOTAK @ 10 x 10 TAB148.00

58.Asam Askorbat (Vitamin C) tablet 250 mgn/aktk 10x10 tablet159.00

59.Asam Askorbat (Vitamin C) tablet 50 mgn/aDus 10 strip x 10 tab95.00

60.Asam Folat tablet/kapsul/kaplet 0,4 mgStarfolatDus, 10 strip @10 tablet84.00

61.Asam Folat tablet/kapsul/kaplet 1 mgn/aBotol @ 100 tablet48.00

62.Asam Ibandronat injeksi 6mg/6mlBondronatBoks, 1 ampul2,209,000.00

63.Asam Mefenamat kapsul/kaplet 250 mgn/adus, 10 blister @ 10 kapsul158.00

64.Asam Mefenamat kapsul/kaplet 500 mgn/aDus, 10 blister @ 10 kaptab ss112.00

65.Asam pipemidat kapsul 400 mgUrotractin 400 mgStrip1,815.00

66.Asam traneksamat injeksi 50 mg/mln/aDus, 10 ampul @ 5 ml2,950.00

67.Asam zoledronat injeksi 4mg/5mLZOMETADus, 1 vial plastik @ 5ml900,000.00

68.Asiklovir salep mata 3%Temiral Eye OintTube 3,5 gram24,750.00

69.Asiklovir tablet/kapsul/kaplet 200 mgn/aDus, 10 blister @ 10 tablet237.00

70.Asiklovir tablet/kapsul/kaplet 400 mgn/aDus, 5 strip @ 10 tablet336.00

71.Asparaginase serbuk injeksi 10.000 UI/vialLeunase10.000 UI/Vial1,039,500.00

72.Atapulgit tablet 600 mgPularexDus 5 strip @ 10 tablet190.00

73.Atenolol tablet/kapsul/kaplet 100 mgBetablokstrip700.00

74.Atenolol tablet/kapsul/kaplet 50 mgFarnorminBox @ 10 strip 10 tab352.00

75.Atrakurium injeksi 25 mg/2,5 mlTracriumDus, 5 ampul @ 2.5 ml20,000.00

76.Atropin injeksi i.v./i.m./s.k. 0,25 mg/mln/a100 AMPUL @ 1 ML1,350.00

77.Atropin Sulfat tablet 0,5 mgn/aDus, 10 strip @ 10 tablet74.00

78.Atropin Sulfat tetes mata 0,5%Cendo Tropin 0,5%Botol 5ml13,500.00

79.Atropin Sulfat tetes mata 1%Cendo Tropin 1%Botol 5ml13,500.00

80.Azitromisin sir kering 200 mg/ 5 mLn/abotol @ 60 ml34,400.00

81.Azitromisin tablet 500 mgn/aktk 2x10 tablet4,500.00

82.Azitromisin tablet 250 mgn/aStrip3,333.00

83.Bedak salisil serbuk 2%n/aDus @ 50 gram1,250.00

84.Benzatin Benzil Penisilin 1,2 juta IU/ vialn/aDs 10 vial x 1,2 Jt IU9,800.00

85.Benzatin Benzil Penisilin 2,4 juta IU/vialn/a10 vial @ 2.400.000 IU13,400.00

86.Beractant injeksi / suspensi 25 mg/mLSurvantaVial3,200,000.00

87.Beraprost sodium tablet 20 mcgDornerBox/ 3 blister @ 10 Tablet3,600.00

88.Betametason krim 0,1% (sebagai Valerat)n/aTube 5 gr1,520.00

89.Betametason tetes mata 1 mg/mlBetam Ophtal EDbotol @ 5 ml25,106.00

90.Bevasizumab injeksi 25 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)AvastinDus, 1 vial @ 4 ml4,803,697.00

91.Bikalutamid tablet salut 150 mgCasodex 150 mgDus, 2 blister @ 14 Tablet72,400.00

92.Bikalutamid tablet salut 50 mgCasodex 50 mgDus, 2 blister @ 14 Tablet45,000.00

93.Bisakodil suppositoria 10 mgStolax suppSupp6,045.00

94.Bisakodil suppositoria 5 mgDulcolax Supp Infant1 Box @ 6's4,990.00

95.Bisoprolol tablet 2,5 mgConcor 2.5Dus 10 blister @ 10 tablet746.00

96.Bisoprolol tablet 5 mgn/aBox 3 X 10 tab645.00

97.Bleomisin serbuk injeksi 15 mg/ampulBLEOCINVial304,000.00

98.Bromokriptin tablet 2,5 mgCripsa tabBox 3 x 10'S247,089.00

99.Budesonid inhaler 200 mcg/puff, 100 dosisPulmicort TurbuhalerDus, 1 Turbuhaler @ 100 dosis93,000.00

100.Budesonid inhaler 200 mcg/puff, 200 dosisObucort SwinghalerUnit, 200 dosis106,000.00