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NOMOR 094/MENKES/SK/II/2012
TENTANG
HARGA OBAT UNTUK PENGADAAN PEMERINTAH TAHUN 2012
DENGAN RAHMAT TUHAN YANG MAHA ESA
MENTERI KESEHATAN REPUBLIK INDONESIA,
Menimbang
: a. bahwa
untuk
menjamin
ketersediaan
dan
pemerataan obat yang aman, bermutu, dan
berkhasiat dalam rangka memenuhi kebutuhan
pelayanan kesehatan, perlu dilaksanakan pengadaan
secara efektif dan efisien serta hasilnya dapat
dipertanggungjawabkan dari segi fisik dan keuangan
oleh
Pemerintah,
Pemerintah
Provinsi
dan
Pemerintah Kabupaten/Kota;
b.bahwa berdasarkan pertimbangan sebagaimana
dimaksud dalam huruf a, perlu menetapkan
Keputusan Menteri Kesehatan tentang Harga Obat
Untuk Pengadaan Pemerintah Tahun 2012;
Mengingat
MEMUTUSKAN :
Menetapkan
-3KESATU
KEDUA
KETIGA
KEEMPAT
KELIMA
-4KEENAM
KETUJUH
KEDELAPAN
Ditetapkan di Jakarta
pada tanggal 23 Februari 2012
MENTERI KESEHATAN,
LAMPIRAN
KEPUTUSAN MENTERI KESEHATAN
NOMOR 094/MENKES/SK/II/2012
TENTANG
HARGA OBAT UNTUK PENGADAAN
PEMERINTAH TAHUN 2012
HARGA OBAT UNTUK PENGADAAN PEMERINTAH TAHUN 2012
NO
1
1
2
NAMA OBAT
2
ACT (Artesunate tablet 50 mg +
Amodiaquine anhydrida tablet 200 mg)
ACT (Artesunate tablet 50 mg +
Amodiaquine anhydrida tablet 200 mg)
KEMASAN
3
2 blister @
12 tablet / kotak
3 blister @
8 tablet / kotak
ktk 10 btl @ 10 ml
ktk 5 x 6 tablet
ktk 10 x 10 tablet
34.650
36.300
39.600
33.000
34.650
36.300
39.600
3.850
4.043
4.235
4.620
12.200
12.810
13.420
14.640
13.200
13.860
14.520
15.840
-6NO
NAMA OBAT
KEMASAN
ktk 3 x 10 tablet
ktk 10 x 10 tablet
ktk 10 x 10 tablet
Alprazolam tablet 1 mg
ktk 10 x 10 tablet
10
btl 60 ml
11
Ambroxol tablet 30 mg
ktk 10 x 10 tablet
12
ktk 10 x 10 tablet
13
ktk 30 ampul @ 10 ml
14
15
7.350
7.718
8.085
8.820
48.400
50.820
53.240
58.080
58.500
61.425
64.350
70.200
90.000
94.500
99.000
108.000
3.300
3.465
3.630
3.960
12.507
13.132
13.758
15.008
8.819
9.260
9.701
10.583
90.000
94.500
99.000
108.000
43.524
45.700
47.876
52.229
11.330
11.897
12.463
13.596
-7NO
NAMA OBAT
KEMASAN
16
17
Amlodipin tablet 5 mg
ktk 3 x 10 tablet
18
Amlodipin tablet 5 mg
ktk 5 x 10 tablet
19
Amlodipin tablet 10 mg
ktk 3 x 10 tablet
20
Amlodipin tablet 10 mg
ktk 5 x 10 tablet
21
22
ktk 10 x 10 kapsul
23
ktk 12 x 10 kapsul
24
ktk 10 x 10 kaplet
25
ktk 5 x 6 tablet
ktk 10 vial
12.001
12.601
13.201
14.401
28.800
30.240
31.680
34.560
48.000
50.400
52.800
57.600
50.800
53.340
55.880
60.960
84.640
88.872
93.104
101.568
151.668
159.251
166.835
182.002
28.740
30.177
31.614
34.488
34.650
36.383
38.115
41.580
37.000
38.850
40.700
44.400
75.000
78.750
82.500
90.000
-8NO
NAMA OBAT
KEMASAN
btl 60 ml
26
27
ktk 10 x 10 kaplet
28
ktk 10 x 10 kaplet
29
30
31
32
33
34
ktk 10 vial
ktk 10 vial
btl 60 ml
ktk 10 x 10 tablet
kunyah
btl 60 ml
ktk 25 tube @ 5 gram
3.700
3.885
4.070
4.440
26.900
28.245
29.590
32.280
38.100
40.005
41.910
45.720
53.680
56.364
59.048
64.416
30.000
31.500
33.000
36.000
4.400
4.620
4.840
5.280
16.200
17.010
17.820
19.440
3.850
4.043
4.235
4.620
62.920
66.066
69.212
75.504
-9NO
35
36
37
38
39
NAMA OBAT
KEMASAN
ktk 10 supp
ktk 10 x 10 tablet
btl 100 tablet
ktk 10 x 10 tablet
40
ktk 10 vial @ 20 ml
41
ktk 6 ampul
42
ktk 8 vial
43
ktk 10 x 10 tablet
43.313
45.375
49.500
20.000
21.000
22.000
24.000
48.250
50.663
53.075
57.900
12.330
12.947
13.563
14.796
127.010
133.361
139.711
152.412
55.000
57.750
60.500
66.000
133.000
139.650
146.300
159.600
200.500
210.525
220.550
240.600
9.600
10.080
10.560
11.520
- 10 NO
44
45
46
NAMA OBAT
Asam Asetilsalisilat tablet 500 mg
(Asetosal)
Asam Askorbat (Vitamin C) tablet
250 mg
Asam Askorbat (Vitamin C) tablet
100 mg
KEMASAN
ktk 10 x 10 tablet
btl 250 tablet
btl 500 tablet
47
48
49
50
ktk 10 x 10 kapsul
51
ktk 10 x 10 kaplet
52
53
Asiklovir krim 5%
15.580
16.359
17.138
18.696
32.000
33.600
35.200
38.400
21.538
22.615
23.692
25.846
32.000
33.600
35.200
38.400
6.800
7.140
7.480
8.160
47.000
49.350
51.700
56.400
12.320
12.936
13.552
14.784
17.600
18.480
19.360
21.120
17.762
18.650
19.538
21.314
3.150
3.308
3.465
3.780
- 11 NO
NAMA OBAT
KEMASAN
54
Asiklovir krim 5%
55
ktk 3 x 10 tablet
56
ktk 5 x 10 tablet
57
ktk 10 x 10 tablet
58
ktk 3 x 10 tablet
59
ktk 5 x 10 tablet
60
ktk 10 x 10 tablet
61
ktk 5 x 10 tablet
62
Atenolol tablet 50 mg
63
ktk 10 x 10 tablet
ktk 30 ampul @ 1 ml
75.000
78.750
82.500
90.000
14.550
15.278
16.005
17.460
26.675
28.009
29.343
32.010
38.818
40.759
42.700
46.582
21.825
22.916
24.008
26.190
31.525
33.101
34.678
37.830
57.133
59.990
62.846
68.560
25.496
26.771
28.046
30.595
26.979
28.328
29.677
32.375
37.950
39.848
41.745
45.540
- 12 NO
NAMA OBAT
KEMASAN
btl 100 tablet
64
65
66
ktk 24 btl @ 5 ml
67
btl 5 ml
68
Azatioprin tablet 50 mg
69
70
71
72
73
ktk 10 x 10 tablet
ktk 10 vial @ 20 ml
ktk 10 vial @ 20 ml
btl 1000 tablet salut
1 bungkus @ 30 tablet
ktk 3 x 10 tablet
6.000
6.300
6.600
7.200
35.200
36.960
38.720
42.240
67.216
70.577
73.938
80.659
3.025
3.176
3.328
3.630
20.948
21.995
23.043
25.138
82.000
86.100
90.200
98.400
114.000
119.700
125.400
136.800
26.232
27.544
28.855
31.478
2.000
2.100
2.200
2.400
27.720
29.106
30.492
33.264
- 13 NO
74
75
NAMA OBAT
Betametason krim 0,1 %
(sebagai Valerat)
Betametason krim 0.1 %
(sebagai Valerat)
KEMASAN
tube 5 gram
ktk 25 tube @ 5 gram
76
ktk 10 x 10 tablet
77
Bisoprolol tablet 5 mg
78
Bromheksin tablet 8 mg
79
80
Cetirizine tablet 10 mg
ktk 3 x 10 tablet
81
Cetirizine tablet 10 mg
ktk 5 x 10 tablet
82
Cisapride tablet 10 mg
ktk 10 x 10 tablet
83
Cisapride tablet 5 mg
ktk 10 x 10 tablet
ktk 3 x 10 tablet
ktk 10 x 10 tablet
btl 60 ml
2.026
2.127
2.229
2.431
46.650
48.983
51.315
55.980
6.997
7.347
7.697
8.396
69.650
73.133
76.615
83.580
3.852
4.045
4.237
4.622
10.450
10.973
11.495
12.540
9.900
10.395
10.890
11.880
15.675
16.459
17.243
18.810
135.850
142.643
149.435
163.020
78.375
82.294
86.213
94.050
- 14 NO
NAMA OBAT
KEMASAN
ktk 10 x 10 tablet
84
Clobazam tablet 10 mg
85
tube 10 gram
86
87
88
89
90
btl 60 ml
91
ktk 10 x 10 tablet
92
93
Diazepam tablet 2 mg
ktk 30 ampul @ 2 ml
btl 100 tablet
95.000
99.750
104.500
114.000
11.704
12.289
12.874
14.045
31.500
33.075
34.650
37.800
200.200
210.210
220.220
240.240
8.700
9.135
9.570
10.440
35.526
37.302
39.079
42.631
2.865
3.008
3.152
3.438
11.000
11.550
12.100
13.200
71.043
74.595
78.147
85.252
3.190
3.350
3.509
3.828
- 15 NO
NAMA OBAT
KEMASAN
ktk 10 x 10 tablet
94
Diazepam tablet 2 mg
95
Diazepam tablet 5 mg
96
Diazepam tablet 5 mg
97
Diazepam tablet 5 mg
ktk 10 x 10 tablet
98
ktk 10 x 10 tablet
99
ktk 30 ampul @ 1 ml
100
ktk 10 x 10 tablet
101
102
103
ktk 25 x 4 kapsul
4.000
4.200
4.400
4.800
12.000
12.600
13.200
14.400
4.800
5.040
5.280
5.760
6.600
6.930
7.260
7.920
9.750
10.238
10.725
11.700
28.800
30.240
31.680
34.560
14.300
15.015
15.730
17.160
7.243
7.605
7.968
8.692
22.783
23.922
25.061
27.340
31.558
33.136
34.714
37.870
- 16 NO
NAMA OBAT
KEMASAN
ktk 25 x 4 kapsul
104
105
ktk 10 x 10 tablet
106
Dimenhidrinat tablet 50 mg
107
108
ktk 10 x 10 kapsul
109
110
Domperidon tablet 10 mg
ktk 10 x 10 tablet
111
112
113
btl 60 ml
42.095
44.200
46.305
50.514
15.163
15.921
16.679
18.196
9.600
10.080
10.560
11.520
23.633
24.815
25.996
28.360
25.300
26.565
27.830
30.360
12.650
13.283
13.915
15.180
40.362
42.380
44.398
48.434
12.815
13.456
14.097
15.378
31.680
33.264
34.848
38.016
37.200
39.060
40.920
44.640
- 17 NO
NAMA OBAT
KEMASAN
114
115
ktk 12 x 10 kapsul
116
ktk 10 x 10 kaplet
117
118
119
ktk 10 x 10 tablet
120
ktk 20 x 10 tablet
121
122
btl 10 kapsul
123
Famotidine tablet 40 mg
ktk 5 x 10 tablet
ktk 10 x 10 kapsul
btl 60 ml
btl 300 ml
50.400
52.920
55.440
60.480
60.000
63.000
66.000
72.000
93.000
97.650
102.300
111.600
8.100
8.505
8.910
9.720
1.800
1.890
1.980
2.160
39.806
41.796
43.787
47.767
69.600
73.080
76.560
83.520
57.360
60.228
63.096
68.832
69.806
73.296
76.787
83.767
8.850
9.293
9.735
10.620
- 18 NO
NAMA OBAT
KEMASAN
ktk 5 x 10 tablet
124
Famotidine tablet 20 mg
125
126
127
ampul @ 2 ml
128
129
130
Fenobarbital tablet 30 mg
131
Fenobarbital tablet 30 mg
132
133
ktk 30 ampul @ 1 ml
ktk 10 x 10 tablet
5.655
5.938
6.221
6.786
81.000
85.050
89.100
97.200
19.884
20.878
21.872
23.861
48.368
50.786
53.205
58.042
18.260
19.173
20.086
21.912
46.800
49.140
51.480
56.160
6.490
6.815
7.139
7.788
13.900
14.595
15.290
16.680
36.520
38.346
40.172
43.824
26.200
27.510
28.820
31.440
- 19 NO
NAMA OBAT
134
135
136
137
138
KEMASAN
ktk 10 x 10 tablet
ktk 24 btl @ 5 ml
btl 100 tablet
btl 500 tablet
ktk 30 ampul @ 1 ml
139
140
ktk 10 tablet
141
142
Fluoride tablet 1 mg
143
ktk 25 ampul @ 2 ml
46.480
48.804
51.128
55.776
24.200
25.410
26.620
29.040
68.062
71.465
74.868
81.674
32.670
34.304
35.937
39.204
52.200
54.810
57.420
62.640
145.000
152.250
159.500
174.000
220.003
231.003
242.003
264.004
3.291
3.456
3.620
3.949
4.051
4.254
4.456
4.861
51.502
54.077
56.652
61.802
- 20 NO
NAMA OBAT
KEMASAN
ktk 20 x 10 tablet
144
Furosemid tablet 40 mg
145
Furosemid tablet 40 mg
ktk 10 x 10 tablet
146
Furosemid tablet 40 mg
147
Gameksan lotion 1 %
148
149
btl 30 ml
ktk 25 bungkus
150
ktk 12 x 10 kapsul
151
ktk 10 x 10 kapsul
20.200
21.210
22.220
24.240
10.208
10.718
11.229
12.250
18.200
19.110
20.020
21.840
2.200
2.310
2.420
2.640
10.026
10.527
11.029
12.031
38.000
39.900
41.800
45.600
34.900
36.645
38.390
41.880
29.222
30.683
32.144
35.066
- 21 NO
NAMA OBAT
KEMASAN
ktk 10 x 10 tablet
152
153
ktk 1 vial @ 2 ml
154
ktk 5 ampul
155
156
157
tube 5 gram
158
btl 5 ml
159
ktk 10 btl @ 5 ml
160
btl 10 ml
161
Glibenklamida tablet 5 mg
ktk 10 x 10 tablet
52.000
54.600
57.200
62.400
3.782
3.971
4.160
4.538
18.480
19.404
20.328
22.176
18.370
19.289
20.207
22.044
45.925
48.221
50.518
55.110
1.850
1.943
2.035
2.220
3.300
3.465
3.630
3.960
33.000
34.650
36.300
39.600
450
473
495
540
7.200
7.560
7.920
8.640
- 22 NO
NAMA OBAT
KEMASAN
ktk 5 x 10 tablet
162
Glimepiride tablet 1 mg
163
Glimepiride tablet 1 mg
ktk 3 x 10 tablet
164
Glimepiride tablet 2 mg
ktk 5 x 10 tablet
165
Glimepiride tablet 2 mg
ktk 3 x 10 tablet
166
Glimepiride tablet 3 mg
ktk 5 x 10 tablet
167
Glimepiride tablet 3 mg
ktk 3 x 10 tablet
168
Glimepiride tablet 4 mg
ktk 5 x 10 tablet
169
Glimepiride tablet 4 mg
ktk 3 x 10 tablet
170
Glipizid tablet 5 mg
171
Gliquidon tablet 30 mg
ktk 30 tablet
ktk 10 x 10 tablet
38.004
39.904
41.804
45.605
22.838
23.980
25.122
27.406
71.664
75.247
78.830
85.997
43.006
45.156
47.307
51.607
97.724
102.610
107.496
117.269
58.625
61.556
64.488
70.350
130.299
136.814
143.329
156.359
78.181
82.090
85.999
93.817
9.000
9.450
9.900
10.800
64.529
67.755
70.982
77.435
- 23 NO
NAMA OBAT
KEMASAN
172
173
Gliserin
btl 100 ml
174
btl 500 ml
175
ktk 10 ampul @ 25 ml
176
177
ktk 10 x 10 tablet
178
ktk 10 x 10 tablet
179
ktk 10 x 10 tablet
180
Haloperidol tablet 5 mg
ktk 10 x 10 tablet
181
ktk 10 x 10 tablet
btl 500 ml
27.900
29.295
30.690
33.480
4.730
4.967
5.203
5.676
5.727
6.013
6.300
6.872
14.524
15.250
15.976
17.429
5.060
5.313
5.566
6.072
45.000
47.250
49.500
54.000
24.000
25.200
26.400
28.800
6.024
6.325
6.626
7.229
12.229
12.840
13.452
14.675
8.258
8.671
9.084
9.910
- 24 NO
NAMA OBAT
KEMASAN
ktk 10 x 10 tablet
182
Haloperidol tablet 2 mg
183
Hidroklorotiazida tablet 25 mg
184
Hidrokortison krim 1%
tube 5 gram
185
tube 5 gram
186
187
188
btl 60 ml
189
btl 60 ml
190
191
ktk 10 x 10 tablet
ktk 10 x 10 tablet
9.525
10.001
10.478
11.430
36.300
38.115
39.930
43.560
2.300
2.415
2.530
2.760
3.000
3.150
3.300
3.600
71.500
75.075
78.650
85.800
30.000
31.500
33.000
36.000
3.500
3.675
3.850
4.200
4.500
4.725
4.950
5.400
11.550
12.128
12.705
13.860
20.504
21.529
22.554
24.605
- 25 NO
NAMA OBAT
KEMASAN
192
Indometasin kapsul 25 mg
193
194
195
196
ktk 10 x 10 tablet
sublingual
197
ktk 3 x 10 kapsul
198
ktk 5 x 10 tablet
199
ktk 5 x 10 tablet
200
201
ktk 10 x 10 kapsul
tube 10 tablet
btl 10 tablet
3.961
4.159
4.357
4.753
93.000
97.650
102.300
111.600
41.000
43.050
45.100
49.200
97.000
101.850
106.700
116.400
9.735
10.222
10.709
11.682
43.320
45.486
47.652
51.984
19.542
20.519
21.496
23.450
35.401
37.171
38.941
42.481
2.879
3.023
3.167
3.455
3.816
4.007
4.198
4.579
- 26 NO
NAMA OBAT
KEMASAN
202
203
204
ktk 10 x 10 tablet
205
ktk 6 x 10 tablet
206
Kaptopril tablet 25 mg
ktk 6 x 10 tablet
207
Kaptopril tablet 25 mg
ktk 10 x 10 tablet
208
Kaptopril tablet 50 mg
ktk 10 x 10 tablet
209
ktk 10 x 10 tablet
210
Ketokonazol krim 2%
211
tube 15 gram
ktk 5 x 10 tablet
4.322
4.538
4.754
5.186
52.000
54.600
57.200
62.400
9.000
9.450
9.900
10.800
5.500
5.775
6.050
6.600
8.602
9.032
9.462
10.322
13.775
14.464
15.153
16.530
22.438
23.560
24.682
26.926
24.645
25.877
27.110
29.574
7.000
7.350
7.700
8.400
20.500
21.525
22.550
24.600
- 27 NO
NAMA OBAT
KEMASAN
ktk 6 amp @ 1 ml
212
213
214
Ketorolac injeksi 10 mg
ktk 6 ampul @ 1 ml
215
Ketorolac injeksi 10 mg
ktk 5 ampul @ 1 ml
216
Ketorolac injeksi 10 mg
ktk 12 ampul @ 1 ml
217
Ketorolac injeksi 30 mg
ktk 6 ampul @ 1 ml
218
Ketorolac injeksi 30 mg
ktk 12 ampul @ 1 ml
219
ktk 10 x 10 kapsul
220
ktk 5 x 10 kapsul
221
ktk 5 x 10 kapsul
ktk 10 x 10 tablet
33.900
35.595
37.290
40.680
135.000
141.750
148.500
162.000
45.000
47.250
49.500
54.000
37.500
39.375
41.250
45.000
90.000
94.500
99.000
108.000
80.190
84.200
88.209
96.228
160.380
168.399
176.418
192.456
51.000
53.550
56.100
61.200
25.500
26.775
28.050
30.600
37.638
39.520
41.402
45.166
- 28 NO
NAMA OBAT
KEMASAN
222
223
224
Klomifen tablet 50 mg
225
226
ktk 12 X 10 kapsul
227
ktk 10 X 10 kapsul
228
229
tube 5 gram
230
231
ktk 10 x 10 kapsul
btl 100 kapsul
btl 10 tablet
ktk 10 x 10 tablet
btl 60 ml
btl 5 ml
75.275
79.039
82.803
90.330
207.900
218.295
228.690
249.480
16.766
17.604
18.443
20.119
20.500
21.525
22.550
24.600
32.000
33.600
35.200
38.400
26.650
27.983
29.315
31.980
57.750
60.638
63.525
69.300
1.563
1.641
1.719
1.876
4.500
4.725
4.950
5.400
2.500
2.625
2.750
3.000
- 29 NO
NAMA OBAT
KEMASAN
btl 5 ml
232
233
234
235
236
237
ktk 30 ampul @ 2 ml
ktk 30 ampul
238
239
240
Kodein tablet 10 mg
241
Kodein tablet 15 mg
1.600
1.680
1.760
1.920
24.000
25.200
26.400
28.800
85.000
89.250
93.500
102.000
105.000
110.250
115.500
126.000
24.500
25.725
26.950
29.400
21.700
22.785
23.870
26.040
38.000
39.900
41.800
45.600
30.500
32.025
33.550
36.600
106.821
112.162
117.503
128.185
181.995
191.095
200.195
218.394
- 30 NO
NAMA OBAT
242
Kodein tablet 20 mg
243
Kodein tablet 30 mg
244
245
246
247
KEMASAN
ktk 10 x 10 tablet
ktk 10 x 10 tablet
btl 60 ml
248
249
ktk 10 x 10 tablet
237.710
249.596
261.481
285.252
6.600
6.930
7.260
7.920
27.178
28.537
29.896
32.614
16.500
17.325
18.150
19.800
7.590
7.970
8.349
9.108
3.960
4.158
4.356
4.752
156.980
164.829
172.678
188.376
41.800
43.890
45.980
50.160
- 31 NO
NAMA OBAT
KEMASAN
ktk 60 tablet
250
251
252
253
254
btl 60 tablet
255
Lanzoprazol kapsul 30 mg
ktk 2 x 10 kapsul
256
Levamisol tablet 50 mg
ktk 4 x 9 tablet
257
Levamisol tablet 50 mg
btl 25 tablet
258
ktk 5 x 10 tablet
259
ktk 3 x 10 tablet
ktk 30 ampul
ktk 100 ampul @ 2 ml
btl 1000 tablet
35.000
36.750
38.500
42.000
126.800
133.140
139.480
152.160
359.520
377.496
395.472
431.424
400.000
420.000
440.000
480.000
76.000
79.800
83.600
91.200
27.027
28.378
29.730
32.432
2.842
2.984
3.126
3.410
2.950
3.098
3.245
3.540
57.684
60.568
63.452
69.221
33.200
34.860
36.520
39.840
- 32 NO
NAMA OBAT
KEMASAN
260
Lidokain injeksi 2%
261
262
ktk 10 x 10 kapsul
263
ktk 5 x 12 kapsul
264
ktk 5 x 10 kapsul
265
ktk 5 x 12 kapsul
266
Lisinopril tablet 10 mg
ktk 3 x 10 tablet
267
Lisinopril tablet 20 mg
ktk 3 x 10 tablet
268
Lisinopril tablet 5 mg
ktk 3 x 10 tablet
269
Loperamid tablet 2 mg
ktk 10 x 10 tablet
ktk 30 ampul @ 2 ml
101.000
106.050
111.100
121.200
34.100
35.805
37.510
40.920
27.778
29.167
30.556
33.334
16.680
17.514
18.348
20.016
32.500
34.125
35.750
39.000
39.000
40.950
42.900
46.800
17.321
18.187
19.053
20.785
21.917
23.013
24.109
26.300
10.051
10.554
11.056
12.061
9.155
9.613
10.071
10.986
- 33 NO
NAMA OBAT
KEMASAN
ktk 5 x 10 tablet
270
Loratadin tablet 10 mg
271
ktk 10 vial
272
ktk 10 vial
273
274
275
ktk 5 x 6 tablet
276
ktk 10 x 10 tablet
277
Meloksikam suppositoria
ktk 10 supp
278
Meloksikam tablet 15 mg
ktk 5 x 10 tablet
279
Meloksikam tablet 15 mg
ktk 2 x 10 tablet
ktk 10 bungkus
@ 30 gram
btl 30 ml
16.654
17.487
18.319
19.985
15.398
16.168
16.938
18.478
19.479
20.453
21.427
23.375
10.266
10.779
11.293
12.319
3.400
3.570
3.740
4.080
6.500
6.825
7.150
7.800
23.500
24.675
25.850
28.200
66.000
69.300
72.600
79.200
59.950
62.948
65.945
71.940
23.980
25.179
26.378
28.776
- 34 NO
NAMA OBAT
KEMASAN
ktk 5 x 10 tablet
280
281
282
Merkaptopurin tablet 50 mg
btl 25 tablet
283
ktk 30 ampul @ 2 ml
284
ktk 10 x 10 tablet
285
ktk 10 x 10 tablet
286
ktk 10 x 10 tablet
287
288
289
ktk 2 x 10 tablet
34.595
36.325
38.055
41.514
13.838
14.530
15.222
16.606
5.495
5.770
6.045
6.594
40.000
42.000
44.000
48.000
14.900
15.645
16.390
17.880
18.150
19.058
19.965
21.780
33.000
34.650
36.300
39.600
27.229
28.590
29.952
32.675
12.100
12.705
13.310
14.520
44.700
46.935
49.170
53.640
- 35 NO
NAMA OBAT
KEMASAN
ktk 1 vial
290
291
Metilprednisolon tablet 16 mg
ktk 3 x 10 tablet
292
Metilprednisolon tablet 16 mg
ktk 10 x 10 tablet
293
Metilprednisolon tablet 4 mg
ktk 10 x 10 tablet
294
Metilprednisolon tablet 8 mg
ktk 10 x 10 tablet
295
ktk 10 ampul @ 2 ml
296
btl 60 ml
297
Metoklopramide tablet 10 mg
ktk 10 x 10 tablet
298
Metoklopramide tablet 5 mg
ktk 10 x 10 tablet
299
btl 100 ml
83.025
87.176
91.328
99.630
35.100
36.855
38.610
42.120
103.500
108.675
113.850
124.200
44.055
46.258
48.461
52.866
58.500
61.425
64.350
70.200
10.000
10.500
11.000
12.000
2.100
2.205
2.310
2.520
11.000
11.550
12.100
13.200
7.880
8.274
8.668
9.456
29.500
30.975
32.450
35.400
- 36 NO
NAMA OBAT
KEMASAN
ktk 10 x 10 tablet
300
301
302
303
304
tube 5 gram
305
tube 10 gram
306
ktk 10 ampul @ 1 ml
307
Morfin tablet 10 mg
ktk 10 x 10 tablet
tube 10 gram
ktk 40 bungkus
btl 30 tablet
14.300
15.015
15.730
17.160
22.000
23.100
24.200
26.400
3.000
3.150
3.300
3.600
99.000
103.950
108.900
118.800
14.108
14.813
15.519
16.930
22.275
23.389
24.503
26.730
104.994
110.244
115.493
125.993
36.179
37.988
39.797
43.415
- 37 NO
NAMA OBAT
KEMASAN
308
309
ktk 5 x 10 tablet
310
ktk 5 x 10 tablet
311
ktk 24 btl @ 5 ml
312
btl 500 ml
313
ktk 10 ampul @ 10 ml
314
ktk 10 x 10 kapsul
315
btl 60 tablet
316
Nifedipin tablet 10 mg
317
ktk 10 x 10 tablet
ktk 10 x 10 tablet salut
14.300
15.015
15.730
17.160
10.884
11.428
11.972
13.061
8.384
8.803
9.222
10.061
94.216
98.927
103.638
113.059
4.900
5.145
5.390
5.880
30.000
31.500
33.000
36.000
31.650
33.233
34.815
37.980
156.750
164.588
172.425
188.100
12.900
13.545
14.190
15.480
60.000
63.000
66.000
72.000
- 38 NO
NAMA OBAT
KEMASAN
ktk 10 x 10 tablet
vaginal
318
319
320
paket
321
paket
322
btl 100 ml
323
btl 200 ml
324
paket
325
paket
326
paket
327
paket
38.850
40.700
44.400
6.180
6.489
6.798
7.416
288.200
302.610
317.020
345.840
172.000
180.600
189.200
206.400
1.430
1.502
1.573
1.716
2.849
2.991
3.134
3.419
215.000
225.750
236.500
258.000
360.000
378.000
396.000
432.000
1.200.000
1.260.000
1.320.000
1.440.000
160.000
168.000
176.000
192.000
- 39 NO
NAMA OBAT
KEMASAN
ktk 5 x 10 tablet
328
329
330
331
332
333
tube 5 gram
334
335
336
Omeprazol kapsul 20 mg
btl 7 kapsul
337
Omeprazol kapsul 20 mg
ktk 3 x 10 kapsul
ktk 5 x 10 tablet
ktk 10 vial
ktk 30 ampul
29.505
30.980
32.456
35.406
43.650
45.833
48.015
52.380
2.100
2.205
2.310
2.520
48.000
50.400
52.800
57.600
31.000
32.550
34.100
37.200
1.675
1.759
1.843
2.010
41.275
43.339
45.403
49.530
53.550
56.228
58.905
64.260
5.386
5.655
5.925
6.463
12.250
12.863
13.475
14.700
- 40 NO
NAMA OBAT
KEMASAN
ktk 10 kapsul
338
Oseltamivir 75 mg
339
340
Papaverin tablet 40 mg
341
Parasetamol drops
btl 15 ml
342
btl 60 ml
343
344
ktk 10 x 10 tablet
345
346
347
ktk 10 vial
ktk 10 x 10 tablet
btl 100 tablet
130.000
136.500
143.000
156.000
53.000
55.650
58.300
63.600
99.500
104.475
109.450
119.400
5.280
5.544
5.808
6.336
2.300
2.415
2.530
2.760
4.190
4.400
4.609
5.028
10.500
11.025
11.550
12.600
166.250
174.563
182.875
199.500
135.850
142.643
149.435
163.020
5.500
5.775
6.050
6.600
- 41 NO
NAMA OBAT
KEMASAN
ktk 15 x 10 tablet
348
349
350
351
352
353
354
ktk 10 x 10 tablet
355
ktk 5 x 10 tablet
356
ktk 10 x 10 tablet
357
ktk 10 x 10 tablet
ktk 15 x 10 tablet
ktk 10 ampul
btl 5 ml
ktk 10 ampul
ktk 4 ampul
6.800
7.140
7.480
8.160
10.000
10.500
11.000
12.000
131.914
138.510
145.105
158.297
5.214
5.475
5.735
6.257
55.000
57.750
60.500
66.000
68.420
71.841
75.262
82.104
129.360
135.828
142.296
155.232
64.680
67.914
71.148
77.616
45.100
47.355
49.610
54.120
80.300
84.315
88.330
96.360
- 42 NO
NAMA OBAT
358
359
ktk 25 x 4 tablet
360
ktk 30 x 2 tablet
361
362
363
KEMASAN
btl 60 ml
ktk 10 x 10 tablet
btl 1000 tablet
btl 1000 tablet
364
Piroksikam tablet 10 mg
ktk 10 x 10 tablet
365
Piroksikam kapsul 10 mg
366
Piroksikam tablet 20 mg
ktk 10 x 10 tablet
367
Piroksikam kapsul 20 mg
ktk 12 x 10 kapsul
3.500
3.675
3.850
4.200
32.000
33.600
35.200
38.400
18.600
19.530
20.460
22.320
23.400
24.570
25.740
28.080
17.400
18.270
19.140
20.880
30.000
31.500
33.000
36.000
8.400
8.820
9.240
10.080
10.100
10.605
11.110
12.120
10.500
11.025
11.550
12.600
12.600
13.230
13.860
15.120
- 43 NO
NAMA OBAT
KEMASAN
btl 30 ml
368
369
btl 60 ml
370
btl 300 ml
371
btl 1000 ml
372
Pravastatin tablet 10 mg
ktk 3 x 10 tablet
373
Pravastatin tablet 20 mg
ktk 3 x 10 tablet
374
Pravastatin tablet 20 mg
ktk 5 x 10 tablet
375
376
377
Prednison tablet 5 mg
2.400
2.520
2.640
2.880
3.500
3.675
3.850
4.200
14.500
15.225
15.950
17.400
42.000
44.100
46.200
50.400
44.000
46.200
48.400
52.800
73.480
77.154
80.828
88.176
122.320
128.436
134.552
146.784
814.450
855.173
895.895
977.340
170.000
178.500
187.000
204.000
62.500
65.625
68.750
75.000
- 44 NO
NAMA OBAT
KEMASAN
378
Primakuin tablet 15 mg
379
380
Prometazin tablet 25 mg
381
382
ktk 10 x 10 tablet
383
384
Propiltiourasil tablet 50 mg
385
ktk 10 x 10 tablet
386
Ramipril tablet 5 mg
ktk 10 x 10 tablet
387
ktk 30 vial
ktk 25 ampul
109.000
114.450
119.900
130.800
180.500
189.525
198.550
216.600
5.015
5.266
5.517
6.018
12.100
12.705
13.310
14.520
7.700
8.085
8.470
9.240
29.957
31.455
32.953
35.948
211.200
221.760
232.320
253.440
29.537
31.014
32.491
35.444
50.666
53.199
55.733
60.799
64.250
67.463
70.675
77.100
- 45 NO
NAMA OBAT
KEMASAN
ktk 3 x 10 tablet
388
389
ktk 10 x 10 tablet
390
391
392
393
394
395
ktk 10 x 10 kaplet
396
ktk 10 x 10 kapsul
397
ktk 12 x 10 kapsul
6.600
6.930
7.260
7.920
22.000
23.100
24.200
26.400
18.800
19.740
20.680
22.560
88.000
92.400
96.800
105.600
14.300
15.015
15.730
17.160
23.100
24.255
25.410
27.720
160.000
168.000
176.000
192.000
92.250
96.863
101.475
110.700
48.000
50.400
52.800
57.600
55.440
58.212
60.984
66.528
- 46 NO
NAMA OBAT
KEMASAN
398
399
400
Risperidon tablet 1 mg
ktk 2 x 10 tablet
401
Risperidon tablet 1 mg
ktk 5 x 10 tablet
402
Risperidon tablet 2 mg
ktk 5 x 10 tablet
403
Risperidon tablet 3 mg
ktk 2 x 10 tablet
404
Risperidon tablet 3 mg
ktk 5 x 10 tablet
405
ktk 10 x 10 tablet
406
ktk 10 x 10 tablet
407
btl 500 ml
66.000
69.300
72.600
79.200
5.200
5.460
5.720
6.240
37.620
39.501
41.382
45.144
94.050
98.753
103.455
112.860
118.750
124.688
130.625
142.500
57.000
59.850
62.700
68.400
142.500
149.625
156.750
171.000
8.403
8.823
9.243
10.084
9.749
10.236
10.724
11.699
29.500
30.975
32.450
35.400
- 47 NO
NAMA OBAT
KEMASAN
ktk 50 gram
408
Salisil Bedak 2 %
409
410
ktk 3 x 10 kapsul
411
ktk 10 x 10 kapsul
412
ktk 5 x 10 kapsul
413
ktk 10 x 10 kapsul
414
ktk 3 x 10 kapsul
415
ktk 3 x 10 kapsul
416
ktk 5 x 10 kapsul
417
ktk 5 x 10 kapsul
btl 60 ml
1.430
1.502
1.573
1.716
8.200
8.610
9.020
9.840
13.352
14.020
14.687
16.022
44.505
46.730
48.956
53.406
42.000
44.100
46.200
50.400
84.000
88.200
92.400
100.800
35.739
37.526
39.313
42.887
65.522
68.798
72.074
78.626
32.485
34.109
35.734
38.982
60.000
63.000
66.000
72.000
- 48 NO
NAMA OBAT
KEMASAN
ktk 2 vial
418
419
ktk 5 x 10 kapsul
420
ktk 3 x 10 kapsul
421
Sefiksim kapsul 50 mg
ktk 3 x 10 kapsul
422
423
424
ktk 2 vial
425
ktk 2 vial
426
ktk 10 vial
427
btl 30 ml
paket
ktk 1 vial
41.300
43.365
45.430
49.560
119.730
125.717
131.703
143.676
71.838
75.430
79.022
86.206
30.000
31.500
33.000
36.000
30.250
31.763
33.275
36.300
33.000
34.650
36.300
39.600
8.679
9.113
9.547
10.415
13.860
14.553
15.246
16.632
69.300
72.765
76.230
83.160
6.930
7.277
7.623
8.316
- 49 NO
NAMA OBAT
428
Seftazidim injeksi 1 g
429
Seftriakson injeksi 1 g
430
431
432
433
KEMASAN
ktk 2 vial
ktk 2 vial
1 vial
ktk 2 vial @ 10 ml
ktk 100 ampul @ 1 ml
btl 1000 tablet
434
Siklofosfamid tablet 50 mg
btl 50 tablet
435
436
ktk 10 x 10 tablet
437
Simvastatin tablet 5 mg
ktk 3 x 10 tablet
67.716
71.102
74.488
81.259
17.188
18.047
18.907
20.626
8.594
9.024
9.453
10.313
21.318
22.384
23.450
25.582
103.700
108.885
114.070
124.440
13.102
13.757
14.412
15.722
84.384
88.603
92.822
101.261
122.489
128.613
134.738
146.987
11.490
12.065
12.639
13.788
7.695
8.080
8.465
9.234
- 50 NO
NAMA OBAT
KEMASAN
ktk 3 x 10 tablet
438
Simvastatin tablet 10 mg
439
Simvastatin tablet 10 mg
ktk 5 x 10 tablet
440
Simvastatin tablet 20 mg
ktk 3 x 10 tablet
441
Simvastatin tablet 20 mg
ktk 5 x 10 tablet
442
443
Siprofloksasin infus 2%
444
445
446
447
Siprofloksasin
(sebagai HCl)
Siprofloksasin
(sebagai HCl)
Siprofloksasin
(sebagai HCl)
Siprofloksasin
(sebagai HCl)
tablet 250 mg
tablet 250 mg
tablet 250 mg
tablet 500 mg
btl 10 ml
btl 100 ml
ktk 3 x 10 tablet
ktk 5 x 10 tablet
ktk 10 x 10 tablet
ktk 5 x 10 tablet
15.390
16.160
16.929
18.468
25.650
26.933
28.215
30.780
30.780
32.319
33.858
36.936
51.300
53.865
56.430
61.560
3.872
4.066
4.259
4.647
57.000
59.850
62.700
68.400
7.500
7.875
8.250
9.000
12.500
13.125
13.750
15.000
25.000
26.250
27.500
30.000
13.000
13.650
14.300
15.600
- 51 NO
NAMA OBAT
KEMASAN
ktk 10 x 10 tablet
448
449
ktk 5 x 10 tablet
450
ktk 5 x 10 tablet
451
ktk 10 x 10 tablet
452
Spironolakton tablet 25 mg
ktk 10 x 10 tablet
453
Stavudin tablet 30 mg
454
455
456
457
btl 60 tablet
ktk 30 vial @ 15 ml
btl 100 tablet
ktk 10 x 10 tablet
btl 500 tablet
28.400
29.820
31.240
34.080
39.100
41.055
43.010
46.920
77.050
80.903
84.755
92.460
105.496
110.771
116.046
126.595
34.637
36.369
38.101
41.564
50.600
53.130
55.660
60.720
57.000
59.850
62.700
68.400
11.685
12.269
12.854
14.022
7.958
8.356
8.754
9.550
190.060
199.563
209.066
228.072
- 52 NO
NAMA OBAT
KEMASAN
458
459
Tamoksifen tablet 20 mg
460
461
ktk 5 x 10 tablet
462
ktk 24 btl @ 5 ml
463
464
ktk 10 x 10 kapsul
465
ktk 10 x 10 kapsul
466
ktk 10 x 10 kapsul
467
ktk 24 btl @ 5 ml
btl 30 tablet
ktk 10 x 10 tablet
ktk 30 ampul @ 1 ml
82.686
86.820
90.955
99.223
39.139
41.096
43.053
46.967
5.436
5.708
5.980
6.523
4.869
5.112
5.356
5.843
81.514
85.590
89.665
97.817
166.750
175.088
183.425
200.100
25.700
26.985
28.270
30.840
31.863
33.456
35.049
38.236
61.600
64.680
67.760
73.920
23.000
24.150
25.300
27.600
- 53 NO
NAMA OBAT
KEMASAN
468
469
470
ampul @ 10 ml
471
472
Tramadol kapsul 50 mg
ktk 5 x 10 kapsul
473
Tramadol tablet 50 mg
ktk 5 x 10 tablet
474
Trifluoperazin tablet 1 mg
ktk 10 x 10 tablet
475
Trifluoperazin tablet 5 mg
ktk 10 x 10 tablet
476
Triheksifenidil tablet 2 mg
ktk 10 x 10 tablet
477
ktk 5 ampul
39.690
41.580
45.360
75.173
78.932
82.690
90.208
60.579
63.608
66.637
72.695
32.010
33.611
35.211
38.412
16.500
17.325
18.150
19.800
16.100
16.905
17.710
19.320
23.475
24.649
25.823
28.170
38.000
39.900
41.800
45.600
4.125
4.331
4.538
4.950
9.405
9.875
10.346
11.286
- 54 NO
NAMA OBAT
KEMASAN
btl 50 tablet
478
479
480
481
482
btl 60 tablet
483
btl 60 tablet
484
Zinc tablet 20 mg
btl 50 tablet
ktk 10 x 10 tablet
btl 1000 tablet
ktk 10 x 10 tablet
11.794
12.384
12.973
14.153
17.383
18.252
19.121
20.860
35.215
36.976
38.737
42.258
22.200
23.310
24.420
26.640
187.000
196.350
205.700
224.400
56.925
59.771
62.618
68.310
47.500
49.875
52.250
57.000
MENTERI KESEHATAN,