obat e-katalog 2014 pengadaan

of 32

DAFTAR OBAT E-KATALOG

No Wilayah Spesifiaksi obat Pabrikan Satuan Harga

1. DKI Jakarta n/a 1 blister@24 tablet 1,375.00

2. DKI Jakarta Adefovir Dipivoksil tablet/kaplet 10 mg Hepsera 27,500.00

3. DKI Jakarta Albendazol suspensi 200 mg/5 ml n/a 3,849.00

4. DKI Jakarta Albendazol tablet/kapsul/kaplet 400 mg n/a Dus, 5 strip @ 6 tablet 344.00

5. DKI Jakarta Alopurinol tablet/kapsul/kaplet 100 mg n/a 86.00

6. DKI Jakarta Alprazolam tablet/kapsul/kaplet 0,25 mg n/a 380.00

7. DKI Jakarta Alprazolam tablet/kapsul/kaplet 0,5 mg n/a strip 176.008. DKI Jakarta Alprazolam tablet/kapsul/kaplet 1 mg n/a Ktk 10x10 tablet 233.009. DKI Jakarta Amfoterisin B salep mata 1% Fungicide tube 3.5 gr 18,500.00

10. DKI Jakarta Amikasin injeksi 250 mg/ml Vial 2 ml 50,500.00

11. DKI Jakarta Aminofilin injeksi 24 mg/ml n/a Dus @ 30 Ampul 3,818.0012. DKI Jakarta Aminofilin tablet scored 200 mg n/a Botol @100 Tablet 80.0013. DKI Jakarta Amiodaron injeksi 150 mg/3 ml Cordarone Dus, 6 ampul @ 3 ml 12,480.00

14. DKI Jakarta Amiodaron tablet/kaplet 200 mg strip 1,200.00

15. DKI Jakarta Amitriptilin tablet salut 25 mg (HCl) n/a Dus, 10 strip @ 10 tss 112.00

16. DKI Jakarta Amlodipin tablet 10 mg n/a 330.00

17. DKI Jakarta Amlodipin tablet 5 mg n/a 187.00

18. DKI Jakarta Amoksisilin kapsul/kaplet 250 mg n/a strip 211.00

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg) PT. Kimia Farma

PT. SmithKline Beecham PhamaceuticalsDus, 3 Blister @ 10 kapsul

PT. Indofarma Dus, 10 dus @ 1 botol @ 10 ml

PT. Holi Pharma

PT. Pertiwi Agung Box, 10 strips @ 10 tablets

PT. Dexa Medica Dus, 10 Strip @ 10 tablet

PT. Otto PharmaceuticalsPT. Kimia FarmaPT. Cendo Industri Farmasi

Glybotic 250 mg /ml PT. Sanbe Farma

PT. Phapros, TbkPT. ErelaPT. Aventis Pharma

Kendaron Tablet PT. Darya Varia

PT. Indofarma



PT. Novapharin

http://e-katalog.lkpp.go.id/e-katalog-obat/index.php/katalog/info_penyedia/9


















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19. DKI Jakarta Amoksisilin kapsul/kaplet/tablet scored 500 mg n/a KOTAK @ 10 x 10 TAB 261.00

20. DKI Jakarta Amoksisilin sirup kering forte 250 mg/5 ml n/a Dus, Botol 60 ml 4,070.0021. DKI Jakarta Amoksisilin sirup kering 125 mg/ 5 ml n/a btl @ 60 ml 2,445.00

22. DKI Jakarta 85,000.00

23. DKI Jakarta 106,000.00

24. DKI Jakarta Penfill cartridge 97,500.00


26. DKI Jakarta Novorapid Vial Dus, vial 10 ml 200,000.00


28. DKI Jakarta Humalog Penfill cartridge 79,167.00

29. DKI Jakarta Anastrozol tablet/kapsul/kaplet 1 mg Arimidex 1 mg 32,000.00

PT. Mersifarma Tirmaku Mercusana

PT. Holi PharmaPT. Novapharin

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 dus, 5 solostar pen @ 3ml

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 Flexpen PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, Flexpen disposible 3 ml (1 box isi 5 flexpen disposible)

Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cartridge (25% insulin lispro, 75% insulin lispro protamine suspension, (rDNA))

Humalog Mix 25 PT. Tempo Scan Pacific

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue))

Novorapid Flexpen PT. Ferron Par Pharmaceuticals

Injeksi 100 IU/ml, Flexpen disposible 3 ml (1 box isi 5 flexpen disposible)

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue))

PT. Ferron Par Pharmaceuticals

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 dus, 5 solostar pen @ 3ml

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin lispro (rDNA origin))

PT. Tempo Scan Pacific

PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet












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30. DKI Jakarta n/a 72.00

31. DKI Jakarta n/a btl 60 ml 2,140.00

32. DKI Jakarta n/a Dus, 25 tube @ 5 g 2,516.00

33. DKI Jakarta n/a ktk 10 x 10 tablet 518.00

34. DKI Jakarta Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg n/a Btl 100 tablet 135.00

35. DKI Jakarta Levopar Tablet 1,500.00

36. DKI Jakarta Artemether injeksi 80 mg/ml Artem Dus 6 amp @ 1ml 22,000.0037. DKI Jakarta Asam Askorbat (Vitamin C) tablet 50 mg n/a Dus 10 strip x 10 tab 95.0038. DKI Jakarta Asam Folat tablet/kapsul/kaplet 1 mg n/a Botol @ 100 tablet 48.0039. DKI Jakarta Asam Ibandronat injeksi 6mg/6ml Bondronat Boks, 1 ampul 2,209,000.00

40. DKI Jakarta Asam Mefenamat kapsul/kaplet 500 mg n/a 112.00

41. DKI Jakarta Asam pipemidat kapsul 400 mg Strip 1,815.00

42. DKI Jakarta Asam traneksamat injeksi 100 mg/ml n/a Dus, 10 ampul @ 5 ml 3,334.00

43. DKI Jakarta Asiklovir salep mata 3% Tube 3,5 gram 24,750.00

44. DKI Jakarta Asiklovir tablet/kapsul/kaplet 200 mg n/a 237.00

45. DKI Jakarta Asiklovir tablet/kapsul/kaplet 400 mg n/a 355.00

46. DKI Jakarta Asparaginase serbuk injeksi 10.000 UI/vial Leunase 10.000 UI/Vial 1,039,500.00

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium Hidroksida 200 mg

PT. Erela Dus, 10 Strip @ 10 Tablet

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml

PT. Lucas Djaja

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU/g PT. Indofarma

Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg PT. Kimia Farma

PT. Kimia Farma

Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg PT. Meprofarm Dus, 5 strip @ 10

tablet

PT. Kimia FarmaPT. Kimia FarmaPT. Marin Liza FarmasiPT. Boehringer Ingelheim

PT. Bernofarm Dus, 10 blister @ 10 kaptab ss

Urotractin 400 mg PT. Sanbe Farma

PT. Hexpharm Jaya Laboratories

Temiral Eye Oint PT. Sanbe Farma

PT. Indofarma Dus, 10 blister @ 10 tablet


PT. Widatra Bhakti


















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47. DKI Jakarta Atapulgit tablet 600 mg Pularex Dus 5 strip @ 10 tablet 190.00

48. DKI Jakarta Atrakurium injeksi 25 mg/2,5 ml Tracrium Dus, 5 ampul @ 2.5 ml 20,000.00

49. DKI Jakarta Atropin Sulfat tablet 0,5 mg n/a 74.00

50. DKI Jakarta Azitromisin sir kering 200 mg/ 5 mL n/a botol @ 60 ml 34,400.0051. DKI Jakarta Azitromisin tablet 500 mg n/a ktk 2x10 tablet 4,500.0052. DKI Jakarta Azitromisin tablet 250 mg n/a Strip 3,333.00

53. DKI Jakarta Bedak salisil serbuk 2% n/a Dus @ 50 gram 1,250.00

54. DKI Jakarta Benzatin Benzil Penisilin 1,2 juta IU/ vial n/a Dus @ 10 Vial 9,800.0055. DKI Jakarta Benzatin Benzil Penisilin 2,4 juta IU/vial n/a Dus @ 10 Vial 13,400.0056. DKI Jakarta Beractant injeksi / suspensi 25 mg/mL Survanta Vial 3,200,000.00

57. DKI Jakarta Beraprost sodium tablet 20 mcg Dorner 3,600.00

58. DKI Jakarta Beraprost sodium tablet 20 mcg Dorner 20 µg 3,600.00

59. DKI Jakarta Betametason krim 0,1% (sebagai Valerat) n/a Tube 5 gr 1,520.00

60. DKI Jakarta Bikalutamid tablet salut 150 mg 72,400.00

61. DKI Jakarta Bikalutamid tablet salut 50 mg Casodex 50 mg 45,000.00

62. DKI Jakarta Bisakodil suppositoria 10 mg Stolax supp Supp 6,045.0063. DKI Jakarta Bisoprolol tablet 5 mg n/a Box 3 X 10 tab 645.0064. DKI Jakarta Bromokriptin tablet 2,5 mg Cripsa tab Box 3 x 10'S 247,089.00

65. DKI Jakarta Budesonid inhaler 200 mcg/puff, 100 dosis 93,000.00

66. DKI Jakarta Budesonid respules / cairan inhaler 0,25mg/mL 8,900.00

PT. Zenith Pharmaceuticals

PT. Glaxo Wellcome Indonesia

PT. Indofarma Dus, 10 strip @ 10 tablet

PT. Soho Industri PharmasiPT. Kimia FarmaPT. Soho Industri Pharmasi

PT. Rama Emerald Multi Sukses

PT. Phapros, TbkPT. Phapros, TbkPT. Abbott Indonesia

PT. Combiphar Box @ 3 blister @ 10 Tablet

PT. Combiphar Box/ 3 blister @ 10 Tablet

PT. Kimia Farma

Casodex 150 mg PT. AstraZeneca indonesia Dus, 2 blister @ 14

Tablet

PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet

PT. Sanbe FarmaPT. Pratapa NirmalaPT. Caprifarmindo

Pulmicort Turbuhaler PT. AstraZeneca indonesia Dus, 1 Turbuhaler @

100 dosis

Pulmicort Respules PT. AstraZeneca indonesia Dus, 4 pak @ 5

respules @ 2 ml





















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67. DKI Jakarta 117,600.00

68. DKI Jakarta 110,500.00

69. DKI Jakarta Deferasiroks tablet disp/ eff 250 mg 76,000.00

70. DKI Jakarta Deferasiroks tablet disp/ eff 500 mg 150,000.00

71. DKI Jakarta Deferoksamin Mesilat serbuk injeksi 500 mg Desferal Dus, 10 vial @ 500mg 112,000.00

72. DKI Jakarta Deksametason injeksi i.v./i.m. 5 mg/ml n/a Dus, 100 ampul @ 1 ml 1,580.00

73. DKI Jakarta Deksametason tablet 0,5 mg n/a 68.00

74. DKI Jakarta Desoksimetason krim 0,25% n/a Kotak, tube @ 15 gram 9,983.00

75. DKI Jakarta Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) n/a ampul @ 1 ml 1,054.00

76. DKI Jakarta Digoksin tablet 0,25 mg n/a Box 10 X 10 Tab 97.00

77. DKI Jakarta Diltiazem HCl tablet 30 mg n/a 134.00

78. DKI Jakarta Diltiazem infus injeksi 50 mg 10 vial @ 50mg 127,667.00

79. DKI Jakarta Diltiazem injeksi 25 mg/5 mL Vial 5 mL 46,667.00

80. DKI Jakarta Diltiazem Kapsul SR 100 mg 3 blister @ 10 kapsul 3,667.00

81. DKI Jakarta Diltiazem Kapsul SR 200 mg 3 blister @ 10 kapsul 4,015.00

Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg

Symbicort Turbuhaler 160/4.5 mcg

PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 120 dosis

Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg

Symbicort 80/4.5 mcg PT. AstraZeneca indonesia Dus, 1 Turbuhaler @

60 dosis

Exjade 250 mg Tab PT. Novartis Indonesia Dus, 4 blister @ 7

tablet

Exjade 500 mg Tab PT. Novartis Indonesia Dus, 4 blister @ 7

tablet

PT. Novartis Indonesia

PT. Indofarma

PT. Marin Liza Farmasi Dus, 10 strip @ 10 tablet

PT. Dexa Medica

PT. Lucas Djaja

PT. Yarindo Farmatama


Herbesser Powder Injection 50mg

PT. Tanabe Indonesia

Farmabes Injeksi 25 mg PT. Pratapa Nirmala

Herbesser CD 100 PT. Tanabe Indonesia

Herbesser CD 200 PT. Tanabe Indonesia
















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82. DKI Jakarta Dimenhidrinat tablet 50 mg n/a Btl 100 tablet 104.0083. DKI Jakarta Dinatrium edetat tetes mata 0,35% E.D.T.A botol 15 ml 37,500.00

84. DKI Jakarta Doksazosin mesilat tablet 1 mg Cardura 1mg 3,480.00

85. DKI Jakarta Doksazosin mesilat tablet 2 mg Cardura 2mg 5,480.00

86. DKI Jakarta Doksorubisin serbuk injeksi i.v. 10 mg/vial vial @ 5 ml 60,000.00

87. DKI Jakarta Doksorubisin serbuk injeksi i.v. 50 mg/vial Doxorubin Vial 50mg/25ml 279,000.0088. DKI Jakarta Domperidon suspensi/sirup 5 mg/5 ml n/a btl @ 60 ml 3,333.0089. DKI Jakarta Domperidon tablet 10 mg n/a strip 167.0090. DKI Jakarta Domperidon tetes 5 mg/mL n/a Dus, botol @ 10 ml 15,600.00

91. DKI Jakarta Dosetaksel injeksi 20 mg/0,5 ml n/a 970,200.00

92. DKI Jakarta Dutasterid kaps lunak 0,5 mg Avodart 7,100.00

93. DKI Jakarta Eksemestan tablet 25 mg Aromasin 42,600.00

94. DKI Jakarta Enoksaparin sodium inj 20 mg/0,2 mL 40,740.00



97. DKI Jakarta Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml n/a Dus @ 30 Ampul 8,100.00

98. DKI Jakarta Epirubisin serb injeksi 50 mg/25ml Epirubisin Kalbe Vial @ 25 ml 500,000.00

99. DKI Jakarta Epirubisin serb injeksi 10 mg/5 ml n/a Dus, 1 vial @5 ml 128,000.00

100. DKI Jakarta Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI D-Vit FT 650.00

PT. Kimia FarmaPT. Cendo Industri Farmasi

PT. Pfizer Indonesia Dus, 5 blister @10's tab

PT. Pfizer Indonesia Dus, 5 blister @10's tab

Doxorubicin HCl 2 mg/ml PT. Sanbe Farma

PT. CombipharPT. NovapharinPT. NovapharinPT. Bernofarm

PT. Sanbe Farma Dus, 1 vial @0,5 ml+ 1 vial pelarut @1,5 ml

PT. SmithKline Beecham PhamaceuticalsDus, Botol Plastik @ 30 Tablet

PT. Pfizer Indonesia Dus, 2 blister @ 15 tablet

Lovenox 2000 ANTI-XA PT. Aventis Pharma dus, 2 prefilled syringe

@ 0,2 ml


@ 0,4 ml


@ 0,6 ml

PT. Phapros, Tbk

PT Kalbe Farma

PT. Sanbe Farma

PT. Gracia Pharmindo Dus 3 strip @ 10 Flash tablet




















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101. DKI Jakarta D-Vit Syrup 8,000.00

102. DKI Jakarta Eritromisin kapsul/kaplet 250 mg n/a ktk 10 x 10 kapsul 497.00

103. DKI Jakarta Eritromisin kapsul/kaplet 500 mg n/a 930.00

104. DKI Jakarta Eritromisin sirup kering 200 mg/ 5 ml n/a Botol @60 ml 7,700.00

105. DKI Jakarta Eritropoetin-beta inj 2000 UI/0,3 mL Recormon Boks, 6 ampul 139,500.00

106. DKI Jakarta Etambutol tablet 250 mg (HCl) n/a ktk 20 x 10 tablet 314.00

107. DKI Jakarta Etambutol tablet salut 500 mg (HCl) n/a Dus, 10 strip @ 10 tss 451.00

108. DKI Jakarta Etanol 70% cairan n/a btl @ 100 ml 2,500.00

109. DKI Jakarta Etonogestrel implan 68 mcg Implanon 128,779.00

110. DKI Jakarta Etoposid injeksi 20 mg/ml Posyd Vial 100mg/5ml 100,000.00

111. DKI Jakarta Eugenol cairan n/a Botol 10 ml 16,667.00

112. DKI Jakarta Everolimus tab 0,25 mg 11,813.00

113. DKI Jakarta Everolimus tab 0,5 mg 23,250.00

114. DKI Jakarta Novoseven 9,200,000.00

115. DKI Jakarta Fenitoin injeksi 50 mg/ml n/a KOTAK @ 10 ampul 20,250.00

Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml PT. Gracia Pharmindo Dus, Botol Plastik @

100 mL

PT. Kimia Farma

PT. Indofarma Dus, 10 blister @ 10 kss

PT. Phyto Kemo Agung Farma

PT. Boehringer Ingelheim

PT. Kimia Farma

PT. Indofarma

PT. Novapharin

PT. Merck Sharp Dohme Pharma TbkDus, 1 blister @ 1 subdermal implant

PT. Combiphar

PT. Kimia Farma

Certican 0,25 mg Tab PT. Novartis Indonesia Dus, 6 blister @ 10

tablet

Certican 0,5 mg Tab PT. Novartis Indonesia Dus, 6 blister @ 10

tablet

Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi PT. Ferron Par Pharmaceuticals

KOTAK @ 1 VIAL SERBUK OBAT & INFUSION KIT

















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116. DKI Jakarta Fenitoin kapsul/kaplet 100 mg n/a Botol @ 100 133.00

117. DKI Jakarta Fenobarbital injeksi i.m./i.v. 50 mg/ml n/a Dus @ 30 Ampul 1,800.00

118. DKI Jakarta Fenofibrat kaps 100 mg n/a 1,075.00

119. DKI Jakarta Fenofibrat kaps 300 mg n/a 1,375.00

120. DKI Jakarta Fenoksimetil penisilin (penisilin V) tablet 250 mg n/a Dus @ 10 X 10 's 290.00

121. DKI Jakarta Fenoksimetil penisilin (penisilin V) tab 125 mg Fenocin Dus 45 x 12 tab 235.00

122. DKI Jakarta Fenoksimetil penisilin (penisilin V)tablet 500 mg n/a Dus @ 10 X 10 's 510.00

123. DKI Jakarta Fenoterol HBr inh solution 0,1% Dus, Canister 200 dosis 117,500.00

124. DKI Jakarta Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml n/a Dus 5 ampul@ 10ml 128,000.00

125. DKI Jakarta Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml n/a Dus 5 ampul@ 2ml 33,914.00

126. DKI Jakarta Fentanil patch 12,5 mcg/jam Dus @ 5 patch 80,000.00

127. DKI Jakarta Fentanil patch 25 mcg/jam Dus@ 5 patch 153,000.00

128. DKI Jakarta Fentanil patch 50 mcg/jam Dus@ 5 patch 285,000.00

129. DKI Jakarta Filgrastim inj 300 mcg/mL Leucogen pfs @ 0,5 ml 375,000.00

130. DKI Jakarta Fitomenadion (Vit.K1) tablet salut gula 10 mg n/a 634.00

PT. Ikapharmindo

PT. Phapros, Tbk

PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 kapsul


PT. Phapros, Tbk

PT. Actavis Indonesia

PT. Phapros, Tbk

Berotec Solution PT. Boehringer Ingelheim

PT. Kimia Farma

PT. Kimia Farma

Durogesic 12,5 MU Matrix PT. Kimia Farma

Durogesic 25 MU Matrix PT. Kimia Farma

Durogesic 50 MU Matrix PT. Kimia Farma

PT Kalbe Farma

PT. Marin Liza Farmasi Botol @ 100 tablet salut gula
















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131. DKI Jakarta Fludarabin inj 50 mg Fludara IV LYO Dus, 5 vial @ 50 mg 1,248,319.00

132. DKI Jakarta Fludarabin tab 10 mg Fludara Oral 275,000.00

133. DKI Jakarta Flufenazin injeksi i.m. 25 mg/ml Dus, 5 ampul @ 1ml 55,000.00

134. DKI Jakarta Flukonazol injeksi 2 mg/ml n/a Dus, 1 Botol @ 100 mL 47,100.00

135. DKI Jakarta Flukonazol tablet/kapsul 150 mg n/a ktk 1 x 10 kapsul 22,000.00

136. DKI Jakarta Fluoksetin tablet 10 mg Foransi 10 strip 419.00

137. DKI Jakarta Fluoksetin tablet 20 mg NOPRES DUS, 30 TABLET 421.00

138. DKI Jakarta Fluorourasil inj 250 mg/mL Curacil vial @ 1 ml 24,500.00

139. DKI Jakarta Fluorourasil inj 500 mg/ 5 mL Curacil vial @ 10 ml 33,000.00

140. DKI Jakarta Flusinolon asetonid krim 0,025% SYNARCUS Dus, Tube 5 g 2,400.00

141. DKI Jakarta Flutikason furoat intranasal spray Avamys 93,333.00

142. DKI Jakarta Flutikason propionat nebules 0,5 mg Flixotide Nbules 12,917.00

143. DKI Jakarta Fondaparinuks inj 2,5 mg/0,5 mL Arixtra Dus, 2 pfs 0.5 ml 241,667.00

144. DKI Jakarta Furosemid injeksi i.v./i.m. 10 mg/ml n/a Dus, 25 ampul @ 2 ml 1,829.00

145. DKI Jakarta Furosemid tablet 40 mg n/a 85.00

PT. Aventis Pharma

PT. Aventis Pharma Dus, 4 blister @ 5 tablet salut selaput

Sikzonoate Injeksi PT. Mersifarma Tirmaku Mercusana

PT. Natura Laboratoria Prima

PT. Kimia Farma

PT. Gracia Pharmindo

PT. Dexa Medica

PT Kalbe Farma

PT Kalbe Farma

PT. Ifars Pharmaceutical Laboratories

PT. Glaxo Wellcome Indonesia Dus, Botol 120 Dosis Spay

PT. Glaxo Wellcome IndonesiaDus, 2 flow wrap@ 5 nebules @ 1 dosis (2ml)


PT. Indofarma

















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146. DKI Jakarta Gansiklovir serb inj 500 mg (50 mg/mL) Cymevene Boks, 1 ampul 399,500.00

147. DKI Jakarta Gefitinib tab 250 mg Iressa 250 mg 295,000.00

148. DKI Jakarta Gemfibrozil kapsul/kaplet 300 mg n/a 289.00

149. DKI Jakarta Gemfibrozil tablet 600 mg n/a 679.00

150. DKI Jakarta Gemsitabin inj 1000 mg/vial vial 1,098,900.00

151. DKI Jakarta Gemsitabin inj 200 mg/vial n/a Dus, 1 vial @200 mg 330,000.00

152. DKI Jakarta Gentamisin injeksi 40 mg/ ml n/a Dus, 5 ampul @ 2 ml 3,399.00

153. DKI Jakarta Gentamisin salep mata 0,3% Tube @ 3,5 gr 2,600.00

154. DKI Jakarta Gentamisin tetes mata 0,3% n/a Dus, botol plastik 5 ml 3,194.00

155. DKI Jakarta Glibenklamid tablet 5 mg n/a 56.00

156. DKI Jakarta Gliklazid tab 80 mg Glicab Strip 232.00

157. DKI Jakarta Glikuidon tab 30 mg n/a 950.00

158. DKI Jakarta Glimepiride tablet 1 mg n/a ktk 5x10 tablet 265.00





PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet

PT. Indofarma Dus, 10 blister @ 12 kapsul

PT. Indofarma Dus, 10 blister @ 10 kaptab

Gemzar 1000 mg PT. Bayer Indonesia

PT. Sanbe Farma

PT. Indofarma

Genoint Salep Mata PT. Erela

PT. Indofarma

PT. Indofarma Dus, 10 blister @ 10 kaptab



PT. Kimia Farma

PT. Kimia Farma

PT. Kimia Farma

PT. Kimia Farma

















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162. DKI Jakarta Gliseril trinitrat kaps SR 2,5 mg Nitrokaf Retard Dus 10x10 1,493.00

163. DKI Jakarta Gliseril trinitrat kaps SR 5 mg Nitrokaf Forte Dus 10x10 2,171.00

164. DKI Jakarta Gliseril trinitrat tab sublingual 0,5 mg Nitral Btl @ 30 tablet 1,500.00

165. DKI Jakarta Gliserin lar 50% Gliserin lar 50% Glycerin 100 ml 5,333.00

166. DKI Jakarta Glukosa larutan infus 10 % steril n/a botol @ 500 ml 5,700.00

167. DKI Jakarta Glukosa larutan infus 5 % steril n/a botol @ 500 ml 5,200.00

168. DKI Jakarta Goserelin asetat inj 10,8 mg/vial 2,300,000.00

169. DKI Jakarta Goserelin asetat inj 3,6 mg Zoladex 3,6 mg 840,000.00

170. DKI Jakarta Griseofulvin tablet 125 mg n/a 219.00

171. DKI Jakarta Haloperidol inj 50 mg/mL Dus 5 Ampul@1mL 83,333.00

172. DKI Jakarta Haloperidol tablet 0,5 mg n/a 59.00

173. DKI Jakarta Haloperidol tablet 5 mg n/a 96.00

174. DKI Jakarta Haloperidol tablet 1,5 mg n/a 69.00

175. DKI Jakarta Haloperidol tablet 2 mg Lodomer 2 KOTAK @ 10 x 10 TAB 126.00

176. DKI Jakarta Hiosin butilbromid injeksi 20 mg/ml n/a box 5ampul @1 ml 4,500.00

177. DKI Jakarta Ibuprofen sirup 100 mg/5 ml n/a Dus, botol 60 ml 3,499.00

PT. Kimia Farma

PT. Kimia Farma

PT. Actavis Indonesia

PT. Lucas Djaja

PT. Widatra Bhakti

PT. Widatra Bhakti

Zoladex 10,8 mg PT. AstraZeneca indonesia Dus, 1 syringe @ 10.8

mg

PT. AstraZeneca indonesia Dus, 1 syringe @ 3.6 mg


Haldol Decanoas PT. Soho Industri Pharmasi





PT. Otto Pharmaceuticals

PT. Indofarma

















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178. DKI Jakarta Ibuprofen suspensi 200 mg/5 ml n/a Dus, botol 60 ml 4,499.00

179. DKI Jakarta Ibuprofen tablet 400 mg n/a strip 150.00

180. DKI Jakarta Imidapril tab 10 mg 3 blister @ 10 tablet 3,908.00

181. DKI Jakarta Imidapril tab 5 mg Tanapress 5mg 3 blister @ 10 tablet 2,120.00

182. DKI Jakarta Botol 245,000.00

183. DKI Jakarta Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml) Botol 123,200.00

184. DKI Jakarta Botol 299,000.00

185. DKI Jakarta Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml) Botol 150,300.00

186. DKI Jakarta Irbesartan tab 150 mg n/a Dus, 5 blister @ 10 kss 1,425.00

187. DKI Jakarta Irbesartan tab 300 mg n/a Dus, 5 blister @ 10 kss 2,470.00

188. DKI Jakarta Irinotekan inf 20 mg/ml n/a Dus, 1 vial @2 ml 510,000.00

189. DKI Jakarta Isosorbid Dinitrat tablet sublingual 5 mg n/a 88.00

190. DKI Jakarta Kalium aspartat tab 300 mg Kalipar Strip 691.00

191. DKI Jakarta Kalium Klorida tablet 600 mg KSR 1,580.00

192. DKI Jakarta Kalsium Glukonat injeksi i.v 10% (100 mg/ml) Ampul 7,800.00

193. DKI Jakarta Kandesartan tab 16 mg n/a 4,900.00

PT. Indofarma

PT. Novapharin

Tanapress 10mg PT. Tanabe Indonesia

PT. Tanabe Indonesia

Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)

Ultravist 300/100 mg PT. Bayer Indonesia


Iopromide 300-370 mg Iodium/mL (370 mg / 100 ml)



PT. Indofarma

PT. Indofarma

PT. Sanbe Farma



PT. Merck Tbk Dus, 10 strip @ 10 tablet

Kalsium glukonat PT. Ethica Industri Farmasi

PT. Dexa Medica Dus, 3 Blister @ 10 tablet

















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194. DKI Jakarta Kandesartan tab 8 mg n/a 3,100.00

195. DKI Jakarta Kapesitabin tab 500 mg Xeloda Boks, 120 tablet 27,500.00

196. DKI Jakarta Kaptopril tablet 50 mg n/a 140.00

197. DKI Jakarta Kaptopril tablet scored 25 mg n/a 84.00

198. DKI Jakarta Kaptopril tablet scored12,5 mg n/a 62.00

199. DKI Jakarta Karbamazepin sirup 100 mg/5 ml Dus, botol @ 120 ml 44,770.00

200. DKI Jakarta Karbamazepin tablet 200 mg n/a 245.00

201. DKI Jakarta Karbogliserin tetes telinga 10% Fenol 100 mg / 1 ml 2,042.00

202. DKI Jakarta Ketamin injeksi i.v. 100 mg/ml KTM Vial @ 10 ml 110,000.00

203. DKI Jakarta Ketokonazol krim 2% n/a Box isi 1 Tube @ 15 g 4,700.00

204. DKI Jakarta Ketokonazol krim 2% n/a tube 10 gr 2,569.00

205. DKI Jakarta Ketokonazol tablet 200 mg n/a 300.00

206. DKI Jakarta Ketorolac injeksi 30 mg/ml n/a Dus @ 12 Ampul 2,300.00

207. DKI Jakarta Klaritromisin tab 500 mg ORIXAL 3,200.00




PT. Errita Pharma Dus, 10 strip @10 tablet


Tegretol Syrup 100mg/5ml, 120ml

PT. Novartis Indonesia


Karbogliserin tetes telinga 10%

PT. Lucas Djaja

PT. Guardian Pharmatama

PT. Novell Pharmaeutical Laboratories

PT. Kimia Farma


PT. Phapros, Tbk

PT. Ifars Pharmaceutical LaboratoriesDus, 3 Strip @ 10 Kaplet salut selaput















of 32

208. DKI Jakarta Klindamisin kapsul/kaplet 150 mg n/a 361.00

209. DKI Jakarta Klindamisin kapsul/kaplet 300 mg n/a 553.00

210. DKI Jakarta Klobazam tab 10 mg n/a 900.00

211. DKI Jakarta Klonidin tablet 0,15 mg n/a Ktk 10X10 TAB 184.00

212. DKI Jakarta Klopidogrel tab 75 mg n/a Dus, 3 strip @ 10 tab 3,400.00

213. DKI Jakarta Klorpromazin tablet salut 100 mg (HCl) n/a Dus @ 10 X 10 's 150.00

214. DKI Jakarta Klorpromazin injeksi i.m. 25 mg/ml (HCl) n/a Dus @ 30 Ampul 1,100.00

215. DKI Jakarta Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) n/a Dus @ 30 Ampul 1,050.00

216. DKI Jakarta Klozapin 100 mg n/a KOTAK @ 5 x 10 TAB 5,000.00

217. DKI Jakarta Klozapin 25 mg n/a KOTAK @ 5 x 10 TAB 1,550.00

218. DKI Jakarta Kodein tablet 10 mg n/a ktk 10x10 tablet 500.00

219. DKI Jakarta Kodein tablet 15 mg n/a ktk 10x10 tablet 850.00

220. DKI Jakarta Kodein tablet 20 mg n/a ktk 10x10 tablet 1,100.00

221. DKI Jakarta Kombinasi suspensi : Parafin + gliserin + fenolftalein Botol @ 60 ml 12,450.00

222. DKI Jakarta n/a 42.00

223. DKI Jakarta Cendo Lyteers botol 15 ml 15,750.00




PT. Kimia Farma


PT. Phapros, Tbk

PT. Phapros, Tbk

PT. Phapros, Tbk



PT. Kimia Farma

PT. Kimia Farma

PT. Kimia Farma

Laxadine Emulsi 60 ml PT. Galenium Pharmasia Laboratories

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg PT. Erela Dus, 100 Sachet @ 30

Tablet

Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida 1,32 mg PT. Cendo Industri Farmasi

















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224. DKI Jakarta Kombinasi: Artemether 20 mg; Lumefantrin 120 mg Coartem 3,220.00

225. DKI Jakarta Stalevo 8,900.00

226. DKI Jakarta Dus, Botol 120 Dosis 90,667.00

227. DKI Jakarta 100,833.00

228. DKI Jakarta 113,333.00

229. DKI Jakarta n/a STRIP 138.00

230. DKI Jakarta n/a Botol, 60 ml 2,167.00

231. DKI Jakarta Kuinin (Kina) tablet 200 mg n/a ktk 60 tablet 670.00

232. DKI Jakarta Kuinin injeksi i.v. 25% (sebagai 2 HCl) n/a ktk 100 amp @ 2 ml 6,200.00

233. DKI Jakarta Kuinin tablet 222 mg (H2SO4.7H2O) n/a ktk 10 x 10 tablet 540.00

234. DKI Jakarta Lamivudine tablet 150 mg n/a Botol 60 tablet 1,400.00

235. DKI Jakarta Lansoprazol inj 30 mg/ml Prosogan Inj. Serbuk vial 82,042.00

236. DKI Jakarta Lanzoprazol kapsul/kaplet 30 mg n/a 473.00

PT. Novartis Indonesia Dus, 4 blister @ 6 tablet

Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg PT. Novartis Indonesia Dus, botol plastik @ 30

tablet salut selaput

Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg

Seretide Inhaler 50 mcg PT. Glaxo Wellcome Indonesia


Seretide Diskus 100 mcg PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60

dosis


Seretide Diskus 250 mcg PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60

dosis

Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimetoprim 80 mg PT. Promedrahardjo Farmasi Industri

Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml PT. Sampharindo Perdana

PT. Kimia Farma

PT. Kimia Farma

PT. Kimia Farma

PT. Kimia Farma

PT. Takeda Indonesia

PT. Indofarma Dus, 2 strip @ 10 kapsul














of 32

237. DKI Jakarta Lapatinib tab 250 mg Tykerb 67,200.00

238. DKI Jakarta Kalbamin botol 500 ml 56,300.00

239. DKI Jakarta Amiparen Softbag 500 ML 67,400.00

240. DKI Jakarta Pan-amin G Softbag 500 ML 37,500.00

241. DKI Jakarta Aminofluid 61,600.00

242. DKI Jakarta botol 500 mL 75,350.00

243. DKI Jakarta Botol Gelas 100 ml 36,667.00

244. DKI Jakarta Nephrosteril Botol Gelas 250 ml 50,820.00

245. DKI Jakarta Kidmin Softbag 200 ML 46,000.00

246. DKI Jakarta Aminoleban Softbag 500 ML 65,000.00

247. DKI Jakarta Botol Gelas 500 ml 78,720.00

248. DKI Jakarta Eas Pfrimer botol 250 ml 51,260.00

PT. SmithKline Beecham PhamaceuticalsDus, 7 Blister @ 10 tablet

Larutan mengandung Asam Amino (Asam Amino 10%) PT. Finusolprima Farma Internasional

Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq) PT Otsuka Indonesia

Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 mEq) PT Otsuka Indonesia

Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) PT Otsuka Indonesia Double Chamber

Softbag 500 ML

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)

Aminofusin Hepar PT Kalbe Farma

Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,24 gr/l)

Aminosteril Infant 6% PT. Fresenius Kabi Combiphar

Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino esensial: Asam Amino non esensial = 60 : 40)

PT. Fresenius Kabi Combiphar

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

Larutan mengandung Asam Amino (Asam amino 8%)

Aminosteril N-Hepa PT. Fresenius Kabi Combiphar

Larutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L) PT. Finusolprima Farma Internasional













of 32

249. DKI Jakarta botol 500 ml 64,900.00



252. DKI Jakarta 295,240.00

253. DKI Jakarta 343,842.00

254. DKI Jakarta 322,000.00

255. DKI Jakarta 218,700.00

256. DKI Jakarta Larutan mengandung Elektrolit (Kalium Klorida) Ampoel 25 ML 2,050.00

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)

Comafusin Hepar PT. Finusolprima Farma Internasional

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)

Aminofusin L600 PT Kalbe Farma

Larutan mengandung Asam Amino (Kombinasi Asam amino 50 g/L, vitamin dan elektrolit)

Aminofusin Paed PT Kalbe Farma

Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit (Kalori = 1000 kkal, Akses peripheral))

Kabiven 1440 ml PT. Fresenius Kabi Combiphar Bag (3 Chamber) 1440

ml

Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses peripheral))

Kabiven 1920 ml PT. Fresenius Kabi Combiphar Bag (3 Chamber) 1920

ml

Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral)

Combiflex Plus (790 kcal) PT. Phapros, Tbk

Bag Double chamber (Dua compartement), 1000 mL

Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 80 gr + Asam Amino 40 gr )

Combiflex peri (480 kcal) PT. Phapros, Tbk

Bag Double chamber (Dua compartement), 1000 mL

Otsu - KCl 7,46% PT Otsuka Indonesia









of 32

257. DKI Jakarta Wida RL Botol 1000 ml 8,000.00

258. DKI Jakarta Asering Plastic Bottle 500 ML 9,000.00

259. DKI Jakarta KA EN 1B Plastic Bottle 500 ML 9,000.00

260. DKI Jakarta Totilac flexybag 250 mL 87,000.00

261. DKI Jakarta 12,650.00

262. DKI Jakarta Triofusin 1000 botol 500 mL 50,500.00

263. DKI Jakarta Triofusin 500 Flexy bag 500 mL 42,350.00

264. DKI Jakarta Larutan mengandung Karbohidrat (Maltose 100 gr) Martos Plastic Bottle 500 ML 29,167.00

265. DKI Jakarta Potacol inj Plastic Bottle 500 ML 55,500.00

266. DKI Jakarta Tutofusin OPS botol 500 mL 37,500.00

267. DKI Jakarta Botol Plastik 1000 mL 199,000.00

268. DKI Jakarta Triofusin E1000 botol 500 mL 56,000.00

Larutan mengandung Elektrolit (Larutan Ringer Laktat) PT. Widatra Bhakti

Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq) PT Otsuka Indonesia

Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr) 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)

Ringerfundin 500 mL PT. Phapros, Tbk LDPE (Low Density Poly

Ethilene), botol plastik

Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 g/ L + elektrolit) PT Kalbe Farma

Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L) PT Kalbe Farma

PT Otsuka Indonesia

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 75 gr/L, elektrolit)

Clinimix N9G15E PT Kalbe Farma

Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L) PT Kalbe Farma













of 32

269. DKI Jakarta Wida HSD Botol 500 ml 9,500.00

270. DKI Jakarta Wida D5-NS Botol 500 ml 6,800.00

271. DKI Jakarta WIDA 2A Botol 500 ml 6,917.00

272. DKI Jakarta WIDA D5-1/4NS Botol 500 ml 7,700.00

273. DKI Jakarta WIDA D5-1/2NS Botol 500 ml 7,700.00

274. DKI Jakarta Futrolit softbag 500ml 35,750.00

275. DKI Jakarta Wida RD Botol 500 ml 6,930.00

276. DKI Jakarta KA ENMG 3 Plastic Bottle 500 ML 9,167.00

277. DKI Jakarta KA EN 3B Plastic Bottle 500 ML 10,000.00

278. DKI Jakarta KA EN 3A Plastic Bottle 500 ML 10,000.00

279. DKI Jakarta 105,500.00

280. DKI Jakarta Larutan mengandung Lipid (Emulsi lemak 20%) Intralipid Botol Gelas 100 ml 60,500.00

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

Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g) PT. Widatra Bhakti

Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g) PT. Widatra Bhakti

Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g) 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

Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%) 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

Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20% 100 ml)

Lipofundin MCT/LCT 1% 100

PT. Phapros, Tbk 20%, Botol Kaca @100 ml, single bottle

PT. Fresenius Kabi Combiphar













of 32

281. DKI Jakarta 210,000.00

282. DKI Jakarta 591,000.00

283. DKI Jakarta 511,000.00

284. DKI Jakarta 358,000.00

285. DKI Jakarta Ivelip Flexy bag 100 mL 89,800.00

286. DKI Jakarta Latanoprost tetes mata 0,01% Cendo Glaopen strip 5 x 0.6 ml 72,000.00

287. DKI Jakarta Leuprorelin asetat inj depot 1,88 mg Tapros 1.88mg Vial 700,000.00

288. DKI Jakarta Leuprorelin asetat inj depot 11,25 mg Tapros 3M Vial 2,700,000.00

289. DKI Jakarta Levofloksasin inf 5 mg/mL n/a Box, 1 Botol @ 100 ml 40,000.00

290. DKI Jakarta Levofloksasin tablet 500 mg n/a STRIP 528.00

291. DKI Jakarta Lidokain injeksi 2% (HCL) n/a Dus, 100 ampul @ 2 ml 839.00

292. DKI Jakarta Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml n/a Dus, 30 ampul @ 2 ml 1,363.00

293. DKI Jakarta Lidokain jeli 2% Dus, 10 syringe @ 10 g 40,000.00

Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml)

Lipofundin MCT/LCT 1% 250

PT. Phapros, Tbk 20%, Botol Kaca @250 ml, single bottle

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn akses sentral)

Nutriflex Lipid Special 1250 PT. Phapros, Tbk

Bag, 3 chamber ( 3 kompartemen), 1250 ml

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr)

Nutriflex Lipid Peri 1250 PT. Phapros, Tbk

Bag, 3 chamber ( 3 kompartemen), 1250 ml

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn akses sentral)

Nutriflex Lipid Special 625 PT. Phapros, Tbk Bag, 3 chamber ( 3

kompartemen), 625 ml

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 Industri Farmasi



PT. Infion Pharmaceutical

PT. Promedrahardjo Farmasi Industri

PT. Bernofarm

PT. Indofarma

Xylocaine Jelly 2% PT. AstraZeneca indonesia














of 32

294. DKI Jakarta Lisinopril tablet 10 mg n/a 600.00

295. DKI Jakarta Lisinopril tablet 5 mg n/a 350.00

296. DKI Jakarta Litium karbonat tablet 200 mg Frimania 200 KOTAK @ 10 x 10 TAB 1,050.00

297. DKI Jakarta Litium karbonat tablet 400 mg Frimania 400 KOTAK @ 10 x 10 TAB 1,850.00

298. DKI Jakarta Loperamid tablet 2 mg n/a 89.00

299. DKI Jakarta Loratadin tablet 10 mg n/a STRIP 154.00

300. DKI Jakarta Lorazepam tablet 2 mg Merlopam 2 KOTAK @ 10 x 10 TAB 1,341.00

301. DKI Jakarta Maprotilin HCl tab 25 mg Ludios Strip 1,200.00

302. DKI Jakarta Maprotilin HCl tab 50 mg Sandepril 50 KOTAK @ 5 x 10 TAB 3,276.00

303. DKI Jakarta Melfalan tablet 2 mg Alkeran Box, Tablet 2 mg/25's 12,210.00

304. DKI Jakarta Meropenem inj 1 g n/a Dus, 1 vial @ 1 g 54,000.00

305. DKI Jakarta Metadon sir 50mg/5ml n/a Botol 1000 ml 254,100.00

306. DKI Jakarta n/a ktk 10 x 10 tablet salut 154.00

307. DKI Jakarta Metilfenidat kapsul LA 20 mg Ritalin LA 6,537.00

308. DKI Jakarta Metilprednisolon tablet 16 mg n/a Strip 635.00

PT. Novell Pharmaeutical LaboratoriesBox ,3 Strip @ 10 tablet




PT. Ifars Pharmaceutical LaboratoriesDus, 10 Strip @ 10 Tablet

PT. Promedrahardjo Farmasi Industri


PT. Soho Industri Pharmasi



PT. Bernofarm

PT. Kimia Farma

Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg PT. Kimia Farma

PT. Novartis IndonesiaDus, botol plastik @ 30 kapsul pelepasan lambat

PT. Mahakam Beta Farma
















of 32

309. DKI Jakarta Metilprednisolon tablet 4 mg n/a 205.00

310. DKI Jakarta Metilprednisolon tablet 8 mg n/a 300.00

311. DKI Jakarta Metoklopramide tablet 5 mg n/a ktk 10 x 10 tablet 108.00

312. DKI Jakarta Metronidazol infus 500 mg/100 ml n/a Dus, 1 Botol @ 100 ml 9,950.00

313. DKI Jakarta Metronidazol supositoria 500 mg Flagyl 3,220.00

314. DKI Jakarta Metronidazol tablet 250 mg n/a 10 strip @ 10 tab 110.00

315. DKI Jakarta Metronidazol tablet 500 mg n/a 10 strip @ 10 tab 160.00

316. DKI Jakarta Midazolam injeksi i.v. 1 mg/ml Fortanest Box isi 5 ampul 5,300.00

317. DKI Jakarta Midazolam injeksi i.v. 5 mg/ml Fortanest Box isi 5 ampul 12,000.00

318. DKI Jakarta Mikafungin Na serb inj 50 mg Mycamine Dus,1 vial@50mg 260,000.00

319. DKI Jakarta Mikonazol krim/salep 2 % (Nitrat) n/a Tube 10 gram 3,000.00

320. DKI Jakarta Mitomisin C (crystallin) serbuk inj 10 mg/vial Mitomycin C 10 mg /Vial 697,000.00

321. DKI Jakarta Moksifloksasin tetes mata 0,5% Vigamox botol, tetes mata 3 ml 77,000.00

322. DKI Jakarta Mometason furoat krim 0,1% n/a tube 10 gram 17,820.00

323. DKI Jakarta Morfin HCL inj 10 mg/ml n/a Dus 10 amp @ 1 ml 8,400.00

324. DKI Jakarta Morfin HCL tablet SR 10 mg 15,620.00

PT. Natura Laboratoria Prima Dus, 10 Blister @ 10 Tablet


PT. Kimia Farma


PT. Aventis Pharma Dus, 2 blister @ 5 suppositoria



PT Kalbe Farma

PT Kalbe Farma

PT. Combiphar

PT. Kimia Farma

PT. Widatra Bhakti


PT. Guardian Pharmatama

PT. Kimia Farma

MST Continus 10 mg PT. Mahakam Beta Farma Dus, 6 strip @ 10

tablet

















of 32

325. DKI Jakarta Morfin HCL tablet SR 15 mg 22,990.00

326. DKI Jakarta Morfin injeksi i.m./s.k./i.v. 10 mg/ml n/a Ktk 10 ampul @ 1ML 10,499.00

327. DKI Jakarta Morfin tablet 10 mg n/a Botol 30 tablet 1,300.00

328. DKI Jakarta Nacl 0,9% n/a Botol 500 ml 4,700.00

329. DKI Jakarta Nadroparin inj 9500 Axa/mL syringe 0,3 mL 54,144.00

330. DKI Jakarta Nadroparin inj 9500 Axa/mL, syringe 0,4 mL 66,640.00

331. DKI Jakarta Nadroparin inj 9500 Axa/mL, syringe 0,6 mL 94,962.00

332. DKI Jakarta Nalokson injeksi 0,4 mg/ml Nokoba Dus, 5 Ampul @ 2ml 61,600.00

333. DKI Jakarta Natrium Bikarbonat injeksi i.v 8,4% Meylon Ampoel 25 ML 6,200.00

334. DKI Jakarta Natrium Diklofenak tablet 50 mg n/a Dus @ 5 X 10 's 176.00

335. DKI Jakarta Natrium fusidat salep 20 mg/g Tube 5 gr 6,490.00

336. DKI Jakarta Nevirapin tablet 200 mg n/a btl 60 tablet 2,800.00

337. DKI Jakarta Nifedipin tab 20 mg, slow release; oros blister 2,999.00

338. DKI Jakarta Nifedipin tab 30 mg, oros blister 3,500.00

339. DKI Jakarta Nifedipin tablet/kapsul 10 mg n/a 95.00

340. DKI Jakarta Nistatin tablet salut 500.000 IU/ g n/a Dus @ 10 X 10 's 640.00

MST Continus 15 mg PT. Mahakam Beta Farma Dus, 6 strip @ 10

tablet

PT. Kimia Farma

PT. Kimia Farma

PT. Widatra Bhakti

Fraxiparine 0.3 ml PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs

0.3 ml


0.4 ml


0.6 ml

PT. Pratapa Nirmala

PT Otsuka Indonesia

PT. Phapros, Tbk

Fucilex Ointment PT. Molex Ayus

PT. Kimia Farma

Adalat Oros 20 mg PT. Bayer Indonesia

Adalat Oros 30 mg PT. Bayer Indonesia

PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut selaput

PT. Phapros, Tbk

















of 32

341. DKI Jakarta Noretisteron tablet 5 mg Primolut N blister 2,618.00

342. DKI Jakarta Obat Antituberkulosis FDC Kategori 1 n/a Paket 359,990.00

343. DKI Jakarta Obat Antituberkulosis FDC Kategori 2 n/a Paket 1,199,900.00

344. DKI Jakarta Obat Antituberkulosis FDC Kategori Anak n/a Paket 214,990.00

345. DKI Jakarta Obat Antituberkulosis FDC Sisipan n/a Dus, 3 blister @ 28 kss 159,990.00

346. DKI Jakarta Ofloxacin tablet 200 mg n/a 400.00

347. DKI Jakarta Ofloxacin tablet 400 mg n/a 650.00

348. DKI Jakarta Oksimetazolin tetes hidung 0,025% Ilaidin Drops botol @ 10 ml 27,550.00

349. DKI Jakarta Oktreotid 10 mg 2,950,000.00

350. DKI Jakarta Olanzapin kapl salut 5 mg Olandoz 5 3 X 10 fcc 6,450.00

351. DKI Jakarta Olanzapin tab 10 mg Olandoz 10 3 X 10 fcc 11,200.00

352. DKI Jakarta Omeprazol injeksi 40 mg/ 10 ml n/a Dus, 1 Vial @ 40 mg 36,000.00

353. DKI Jakarta Omeprazol kapsul/kaplet 20 mg n/a strip 211.00

354. DKI Jakarta ondansetron inj 4 mg/ 2 mL n/a Dus, 5 Ampul @ 2ml 2,400.00

355. DKI Jakarta Ondansetron tab 4 mg n/a Box 3 X 10 Tab 716.00

PT. Bayer Indonesia

PT. Kimia Farma

PT. Phapros, Tbk

PT. Indofarma

PT. Indofarma



PT. Merck Tbk

Sandostatin LAR PT. Novartis Indonesia

Dus, vial @ 355m + 1 prefilled syringe pelarut @ 2,5 ml + 2 jarum suntik

PT. Sandoz Indonesia

PT. Sandoz Indonesia


PT. Novapharin

PT. Indofarma

















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356. DKI Jakarta Ondansetron tablet 8 mg n/a Box 3 X 10 Tab 1,189.00

357. DKI Jakarta n/a 1,902,240.00

358. DKI Jakarta Paket CAPD Pergantian Transfer Set per 6 bulan n/a Set 219,540.00

359. DKI Jakarta 5,522,580.00

360. DKI Jakarta Parasetamol sirup 120 mg / 5 ml n/a botol 60 ml 1,438.00

361. DKI Jakarta Parasetamol tablet 500 mg n/a 87.00


Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

PT Kalbe Farma

Transfer Set: Set; Ultaclam: Kantong Plastik; Tenckoff Catheter: Box; Titanium Adaptor: Kantong Plastik

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

Larutan Dialisa 1.5 %: 2.000 ml; Larutan Dialisa 2.5 %: 2.000 ml; Larutan Dialisa 4.25 %: 2.000 ml; Minicap: Kantong Plastik

PT. Afifarma

PT. Afifarma Dus, 10 strip @10tablet







of 32

362. DKI Jakarta Pegylated interferon alfa-2a inj 135 mcg/0,5 ml Pegasys Boks, 1 pfs 1,077,815.00

363. DKI Jakarta Pegylated interferon alfa-2a inj 180 mcg/0,5 ml Pegasys Boks, 1 pfs 1,248,220.00

364. DKI Jakarta Permetrin krim 5% Tube @ 10 g 11,475.00

365. DKI Jakarta Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl) n/a Ktk 10 ampx2ml 14,500.00

366. DKI Jakarta Pioglitazon tab 15 mg DECULIN 15 MG 30 TAB/BOX 3,120.00

367. DKI Jakarta Pioglitazon tab 30 mg DECULIN 30 MG 30 TAB/BOX 4,525.00

368. DKI Jakarta Pirantel suspensi 125 mg/5 ml n/a Botol 60 ml 8,360.00

369. DKI Jakarta Pirantel tablet score (base) 125 mg n/a 298.00

370. DKI Jakarta Pirazinamid tablet 500 mg n/a 208.00

371. DKI Jakarta Polikresulen cairan Aptil Dus, Botol @ 10ml 17,393.00

372. DKI Jakarta Povidon Iodida larutan 10% 1000 ml n/a botol @ 1000 ml 37,109.00



375. DKI Jakarta Pramipeksol tab ER 0,375 mg 7,200.00

376. DKI Jakarta Pramipeksol tab ER 0,750 mg 11,268.00

377. DKI Jakarta Pravastatin tablet 20 mg n/a 2,300.00



Scabimite Cream 10 PT. Galenium Pharmasia Laboratories

PT. Kimia Farma

PT. Dexa Medica

PT. Dexa Medica

PT. Holi Pharma

PT. Holi Pharma Dus, 25 Blister @ 4 tablet

PT. Holi Pharma Dus 10 strip @ 10 tablet

PT. Pratapa Nirmala

PT. Afifarma

PT. Afifarma

PT. Afifarma

Sifrol ER 0,375mg PT. Boehringer Ingelheim Dus, 3 alu blister @ 10

tablet

Sifrol ER 0,750mg PT. Boehringer Ingelheim Dus, 3 alu blister @ 10

tablet


















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378. DKI Jakarta Propanolol tablet 10 mg ( HCl ) n/a 65.00

379. DKI Jakarta Propranolol tablet 40 mg (HCl) n/a 107.00

380. DKI Jakarta Quetiapin tab 200 mg 17,391.00



383. DKI Jakarta Ramipril tablet 5 mg n/a 580.00

384. DKI Jakarta Ranitidin injeksi 25 mg/2 ml n/a Dus, 10 Ampul @ 2 ml 1,140.00

385. DKI Jakarta Ranitidin tablet 150 mg n/a 120.00

386. DKI Jakarta Retinol (Vitamin A) 100.000 IU n/a Botol 50 kapsul lunak 260.00

387. DKI Jakarta Ringer Laktat larutan infus n/a botol 500 ml 5,200.00

388. DKI Jakarta Risperidon tablet 1 mg n/a 1,000.00

389. DKI Jakarta Risperidon tablet 2 mg n/a KOTAK @ 5 x 10 TAB 1,008.00

390. DKI Jakarta Risperidon tablet 3 mg n/a 2,000.00

391. DKI Jakarta Ropinirol Tablet Salut 2 mg 5,248.00




PT. Holi Pharma Dus, 10 strip @ 10 tablet

Seroquel XR 200 mg PT. AstraZeneca indonesia Dus, 1 blister @ 10

tablet


tablet


tablet

PT. Dexa Medica Dus, 10 Strip @ 10 kaptab


PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut selaput

PT. Kimia Farma

PT. Widatra Bhakti




Requip PD 24 Hour 2 mg PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4

Tablet lepas Lambat


Tablet lepas Lambat


Tablet lepas Lambat

















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394. DKI Jakarta Salbutamol inhalasi/aerosol 100 mcg/dosis Ventolin Inhaler Dus, botol 200 dosis 63,750.00

395. DKI Jakarta Salbutamol serb inh 200 mcg/kaps 431.00

396. DKI Jakarta Salbutamol serb inh 200 mcg/kaps + rotahaler Dus, 1 Rotahaler 5,867.00

397. DKI Jakarta Salbutamol tablet 4 mg (sebagai Sulfat) n/a ktk 10 x 10 tablet 89.00

398. DKI Jakarta Sefadroksil sirup kering 125 mg/5ml n/a Dus, Botol 60 ml 4,896.00

399. DKI Jakarta Sefadroksil kapsul/kaplet 250 mg n/a 513.00

400. DKI Jakarta Sefadroksil kapsul/kaplet 500 mg n/a 509.00

401. DKI Jakarta Sefadroksil sir kering 250 mg/5 mL n/a Dus, Botol 60 ml 5,940.00

402. DKI Jakarta Sefaleksin kapsul/kaplet 500 mg n/a 1,000.00

403. DKI Jakarta Sefepim inj 1 g n/a Box 2 Vial @ 1000mg 48,060.00

404. DKI Jakarta Sefiksim kapsul/kaplet 100 mg n/a 850.00

405. DKI Jakarta Sefiksim sirup kering 100 mg/ 5 ml n/a Dus, Botol 30 ml 8,800.00

406. DKI Jakarta Sefotaksim injeksi 0,5 g n/a Dus, 2 vial @ 500 mg 4,997.00

407. DKI Jakarta Sefotaksim injeksi 1 g n/a Dus, 10 Vial @ 1 g 2,950.00

408. DKI Jakarta Sefpodoksim proksetil tab 100 mg Banadoz 100 3,700.00

409. DKI Jakarta Seftazidim injeksi 1 g n/a Dus, 2 vial @ 1 g 17,060.00


Ventolin Rotacaps PT. Glaxo Wellcome Indonesia Dus, 10 Blister @ 10

Kapsul

Ventolin Rotahaler PT. Glaxo Wellcome Indonesia

PT. Kimia Farma

PT. Holi Pharma


PT. Bernofarm Dus, 10 strip @ 10 kapsul

PT. Holi Pharma

PT. Ifars Pharmaceutical LaboratoriesDus, 5 Strip @ 10 Kapsul


PT. Dexa Medica Dus, 5 Strip @ 10 kapsul

PT. Ifars Pharmaceutical Laboratories



PT. Sandoz Indonesia Dus, 3 blister @ 10 tablet


















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410. DKI Jakarta Seftriakson serbuk injeksi 1 g/vial n/a Dus, 10 Vial @ 1 g 3,300.00

411. DKI Jakarta Sefuroksim tab 500 mg Zinnat 500 7,200.00

412. DKI Jakarta Setirizin tablet 10 mg n/a 181.00

413. DKI Jakarta Sianokobalamin (vitamin B12) injeksi 500 mcg n/a 100 ampul @ 1 ml 1,077.00

414. DKI Jakarta Siklosporin kaps 100 mg 43,000.00

415. DKI Jakarta Siklosporin kapsul lunak 25 mg 12,000.00

416. DKI Jakarta Simvastatin scored tablet 10 mg n/a 169.00

417. DKI Jakarta Simvastatin tablet 20 mg n/a 485.00

418. DKI Jakarta Siprofloksasin infus 2% n/a Vial 200 ml 15,000.00

419. DKI Jakarta Siprofloksasin tablet 500 mg (sebagai HCl) n/a 255.00

420. DKI Jakarta Spiramisin tablet 500 mg n/a 1,499.00

421. DKI Jakarta Spironolakton tablet 100 mg n/a 900.00

422. DKI Jakarta Spironolakton tablet 25 mg n/a 315.00

423. DKI Jakarta Sufentanil injeksi iv, epidural 5 mcg/ml dus 5 amp @ dus 10 127,000.00


PT. Glaxo Wellcome Indonesia Dus, 1 Blister @ 10 Tablet salut selaput

PT. Pertiwi Agung Box, 10 strips @ 10 capsules

PT. Lucas Djaja

Sandimmun Neoral 100mg Kap

PT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak

Sandimmun Neoral 25mg Kap

PT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak

PT. Natura Laboratoria Prima Dus, 3 Strip @ 10 Kaplet salut selaput

PT. Bernofarm Dus, 3 strip @ 10 kaptab ss

PT. Dexa Medica

PT. Bernofarm Dus, 10 blister @ 10 tab ss




Sufentanyl Injeksi iv.Epidural 5 mcg / ml

PT. Kimia Farma















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424. DKI Jakarta Takrolimus kaps 0.5 mg Prograf 11,167.00

425. DKI Jakarta Takrolimus kaps 1 mg Prograf 21,500.00

426. DKI Jakarta Tamsulosin tab 0,2 mg Harnal D 5,800.00

427. DKI Jakarta Tamsulosin tab 0,2 mg 5,800.00

428. DKI Jakarta Tamsulosin tab SR 0,4 mg 6,800.00

429. DKI Jakarta Telbivudin tab 600 mg 28,500.00

430. DKI Jakarta Terbutalin cairan ih 2,5 mg/mL 6,250.00

431. DKI Jakarta Terbutalin tablet 2,5 mg Molasma Tablet Box 50's 99.00

432. DKI Jakarta Terbutalin turbu (serbuk ih) 0,50 mg 71,100.00

433. DKI Jakarta Tetrakain HCl tetes mata 0,5% Pantocain 0.5% botol 5 ml 11,500.00

434. DKI Jakarta Tetrasiklin kapsul/kaplet 250 mg n/a 149.00

435. DKI Jakarta Tiamazol tab 10 mg Thyrozol 10 1,135.00

436. DKI Jakarta Tiamazol tab 5 mg Thyrozol 5 563.00

437. DKI Jakarta Timolol tetes mata 0,25% 9,128.00

PT. Combiphar Pounch @ 5 blister @ 10 capsule

PT. Combiphar Dus, 1 pouch @5 blister@10 kaps

PT. Combiphar Box @ 2 blister @ 14 tablet

Harnal ® D 0.2 mg Disp. Tablet PT. Combiphar Box/ 2 blister @ 14

tablet

Harnal ® OCAS 0.4 mg Tablet PT. Combiphar Box/ 3 blister @ 10

Tablet

Sebivo 600 mg Tab PT. Novartis Indonesia Dus, 2 blister @ 14

tablet

Bricasma Respules PT. AstraZeneca indonesia Dus, 2 pak @ 5

respules

PT. Molex Ayus

Bricasma Turbuhaler 0,5 mg

PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 200 dosis

PT. Cendo Industri Farmasi

PT. Holi Pharma Dus, 10 strip @ 10 kapsul

PT. Merck Tbk Dus, 10 blister @ 10 tablet

PT. Merck Tbk Dus, 10 blister @ 10 tablet

Isotic Adretor 0,25% PT. Pratapa Nirmala Dus, Botol Plastik @

5ml















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438. DKI Jakarta Timolol tetes mata 0,5% 9,722.00

439. DKI Jakarta Tiotropium kaps 18 mcg + handihaller 152,543.00

440. DKI Jakarta Tramadol injeksi 50 mg/ml n/a Dus, 10 Ampul @ 2 ml 2,395.00

441. DKI Jakarta Travoprost tetes mata 0,004% Travatan 115,000.00

442. DKI Jakarta Triamsinolon asetonid nasal spray 55 mcg/puff Nasacort AQ 90,000.00

443. DKI Jakarta Trifluoperazin tablet 5 mg n/a strip 405.00

444. DKI Jakarta Urea krim 10% Soft U Derm tube 6,400.00

445. DKI Jakarta Imovax Polio 1 vial of 10ml (10 d's) 285,000.00

446. DKI Jakarta Valproat tab SR 250 mg Tablet 2,793.00

447. DKI Jakarta Valproat tab SR 500 mg Tablet 5,450.00

448. DKI Jakarta Valsartan tab 80 mg 3,900.00

449. DKI Jakarta Valsartan tab 160 mg 6,500.00

450. DKI Jakarta Verapamil tab 240 mg Isoptin 240 mg Tablet 6,200.00

451. DKI Jakarta Verapamil tablet 80 mg (HCl) n/a Ktk 10X10 TAB 234.00

452. DKI Jakarta Vinblastin serbuk injeksi 10 mg Vinblastine Vial 10mg/10ml 210,000.00

453. DKI Jakarta Vitamin B Kompleks tablet n/a Dus 10 strip x 10 tab 107.00

Isotic Adretor 0,5% PT. Pratapa Nirmala Dus, Botol Plastik @

5ml

Spiriva 10s + Handihaler PT. Boehringer Ingelheim Dus, 1 blister @10

kapsul + handihaler


PT. Tempo Scan Pacific botol, tetes mata 2,5 ml

PT. Aventis Pharma Dus, botol plastik 120 dosis

PT. Darya Varia

PT. Galenium Pharmasia Laboratories

Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan) PT. Aventis Pharma

Depakote ER 250 mg PT. Abbott Indonesia

Depakote ER 500 mg PT. Abbott Indonesia

Diovan 80mg Tab PT. Novartis Indonesia Dus, 2 blister @ 14

tablet

DIOVAN 160 MG PT. Novartis Indonesia Dus, 2 blister @ 14

tablet

PT. Abbott Indonesia

PT. Kimia Farma

PT. Combiphar

PT. Kimia Farma

















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454. DKI Jakarta Zidovudin 300 mg + Lamivudine 150 mg n/a Botol 60 tablet 3,429.00

455. DKI Jakarta Zinc drop 10 mg/mL Zincpro Drops 12,840.00

456. DKI Jakarta Zinc sir 20 mg/5 Ml Dus, botol 60 ml 7,400.00

457. DKI Jakarta Zinc tablet dispersible20 mg n/a 474.00

PT. Kimia Farma

PT. Combiphar Drops 10 mg/ml, Botol @15 ml

Zircum Kid Sirup PT. Meprofarm

PT. Indofarma Dus, 10 strip @ 10 tablet dispersible





obat e-katalog 2014 pengadaan

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