E-Katalog 2014

#
Nama Obat Generik
Nama
Dagang
Nama Penyedia
1.
ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida

tablet 200 mg)
n/a
PT. Kimia Farma
2.
Adefovir Dipivoksil tablet/kaplet 10 mg
Hepsera
PT. SmithKline Beecham Phamaceuticals
3.
Albendazol suspensi 200 mg/5 ml
n/a
PT. Indofarma
4.
Albendazol tablet/kapsul/kaplet 400 mg
n/a
PT. Holi Pharma
5.
Albumin serum normal (human albumin) injeksi 20%, 100 ml Zenalb
PT. Ikapharmindo
6.
Albumin serum normal (human albumin) injeksi 20%, 50 ml
Zenalb
PT. Ikapharmindo
7.
Alopurinol tablet/kapsul/kaplet 100 mg
n/a
PT. Pertiwi Agung
8.
n/a
PT. Bernofarm
9.
Alprazolam tablet/kapsul/kaplet 0,25 mg
n/a
PT. Dexa Medica
10.
n/a
PT. Otto Pharmaceuticals
11.
Alprazolam tablet/kapsul/kaplet 1 mg
n/a
PT. Kimia Farma
12.
Alteplase injeksi 50 mg/vial
Actilyse
PT. Boehringer Ingelheim
13.
Amfoterisin B salep mata 1%
Fungicide
PT. Cendo Industri Farmasi
14.
Amikasin injeksi 250 mg/ml
Glybotic 250
PT. Sanbe Farma
mg /ml
15.
Aminofilin injeksi 24 mg/ml
n/a
PT. Phapros, Tbk
16.
Aminofilin tablet scored 200 mg
n/a
PT. Erela
17.
Amiodaron injeksi 150 mg/3 ml
Cordarone
PT. Aventis Pharma
18.
Amiodaron tablet/kaplet 200 mg
Cordarone
PT. Aventis Pharma
19.
Amitriptilin tablet salut 25 mg (HCl)
n/a
PT. Indofarma
20.
Amlodipin tablet 10 mg
n/a
PT. Pertiwi Agung
21.
n/a
PT. Pertiwi Agung
22.
Amoksisilin kapsul/kaplet 250 mg
n/a
PT. Novapharin
23.
Amoksisilin kapsul/kaplet/tablet scored 500 mg
n/a
PT. Mersifarma Tirmaku Mercusana
24.
Amoksisilin sirup kering forte 250 mg/5 ml
n/a
PT. Holi Pharma
25.
Amoksisilin sirup kering 125 mg/ 5 ml
n/a
PT. Novapharin
26.
Ampisilin serbuk injeksi i.v. 1000 mg/vial
n/a
Lantus
Solostar
100IU/ml
5pens
x3ml
Novomix
PT. Bernofarm
27.
28.
29.
30.
31.
Analog insulin long acting inj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin glargine 100 IU/ml)
Analog insulin mix acting inj 100 UI/ml, Analog insulin mix
acting inj 100 UI/ml (Premix 30% Insulin Aspart + 70%
Protaminated
Aspart (Analogue))
Analog insulinInsulin
mix insulininj
100 UI/ml, vial/cartridge
disposible/penfill cartridge (25% insulin lispro, 75% insulin
lispro protamine suspension, (rDNA))
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin Aspart (Analogue))
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin Aspart (Analogue))
Flexpen
PT. Aventis Pharma

PT. Ferron Par Pharmaceuticals
Humalog Mix
PT. Tempo Scan Pacific
25
Novorapid
Vial
Novorapid
Flexpen
Apidra
Solostar
100IU/ml
5pens x3ml
Humalog
PT. Aventis Pharma
32.
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin glulisine 100 IU/ml)
33.
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin lispro (rDNA origin))
34.
Anastrozol tablet/kapsul/kaplet 1 mg
Arimidex 1
mg
PT. AstraZeneca indonesia
35.
Antasida DOEN I tablet kunyah, kombinasi : Aluminium

Hidroksida 200 mg Magnesium Hidroksida 200 mg
n/a
PT. Erela
36.
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida

n/a
200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml
PT. Lucas Djaja
37.
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g

Polimiksin 10.000 IU/g
PT. Indofarma
38.
Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin

n/a
500 mg
PT. Kimia Farma
39.
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
n/a
PT. Kimia Farma
40.
Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg

Levodopa 100 mg
Levopar
Tablet
PT. Meprofarm
41.
Artemether injeksi 80 mg/ml
Artem
PT. Kimia Farma
42.
Asam Asetilsalisilat (asetosal) tablet 100 mg
n/a
PT. Phapros, Tbk
43.
Asam Askorbat (Vitamin C) tablet 50 mg
n/a
PT. Kimia Farma
44.
Asam Folat tablet/kapsul/kaplet 0,4 mg
Afolat
PT. Rama Emerald Multi Sukses
45.
Asam Folat tablet/kapsul/kaplet 1 mg
n/a
PT. Marin Liza Farmasi
46.
Asam Ibandronat injeksi 6mg/6ml
Bondronat
47.
Asam Mefenamat kapsul/kaplet 500 mg
n/a
PT. Promedrahardjo Farmasi Industri
n/a
48.
Asam pipemidat kapsul 400 mg
Urotractin
400 mg
PT. Sanbe Farma
49.
Asam traneksamat injeksi 100 mg/ml
n/a
PT. Hexpharm Jaya Laboratories
50.
Asiklovir salep mata 3%
Temiral Eye
Oint
PT. Sanbe Farma
51.
Asiklovir tablet/kapsul/kaplet 200 mg
n/a
PT. Novell Pharmaeutical Laboratories
52.
n/a
PT. Sampharindo Perdana
53.
Asparaginase serbuk injeksi 10.000 UI/vial
Leunase
PT. Widatra Bhakti
54.
Atapulgit tablet 600 mg
Pularex
PT. Zenith Pharmaceuticals
55.
Atrakurium injeksi 25 mg/2,5 ml
Notrixum Inj
2,5 ml
56.
Atropin Sulfat tablet 0,5 mg
n/a
PT. Indofarma
57.
Azitromisin sir kering 200 mg/ 5 mL
n/a
PT. Soho Industri Pharmasi
58.
Azitromisin tablet 500 mg
n/a
PT. Kimia Farma
59.
n/a
60.
Bedak salisil serbuk 2%
n/a
PT. Rama Emerald Multi Sukses
61.
Benzatin Benzil Penisilin 1,2 juta IU/ vial
n/a
PT. Phapros, Tbk
62.
Benzatin Benzil Penisilin 2,4 juta IU/vial
n/a
PT. Phapros, Tbk
63.
Beractant injeksi / suspensi 25 mg/mL
Survanta
PT. Abbott Indonesia
64.
Beraprost sodium tablet 20 mcg
Dorner 20 g PT. Combiphar
65.
Dorner
PT. Combiphar
66.
Betametason krim 0,1% (sebagai Valerat)
n/a
PT. Kimia Farma
67.
Bikalutamid tablet salut 150 mg
Casodex 150
mg
68.
Casodex 50
mg
69.
Bisakodil suppositoria 10 mg
Stolax supp
PT. Sanbe Farma
70.
Bisoprolol tablet 2,5 mg
Concor 2.5
PT. Merck Tbk
71.
Bisoprolol tablet 5 mg
n/a
PT. Pratapa Nirmala
72.
Bleomisin serbuk injeksi 15 mg/ampul
BLEOCIN
PT Kalbe Farma
73.
Bromokriptin tablet 2,5 mg
Cripsa tab
PT. Caprifarmindo
74.
Budesonid inhaler 200 mcg/puff, 100 dosis
Pulmicort
Turbuhaler
75.
Budesonid respules / cairan inhaler 0,25mg/mL
76.
77.
Pulmicort
Respules
Symbicort
Budesonid-formoterol (fixed combination) inhaler 160/4,5
Turbuhaler
mcg
160/4.5 mcg
Symbicort
Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg
80/4.5 mcg
78.
Bupivakain injeksi 0,50% (HCl) + glukosa 8%
n/a
PT. Dexa Medica
79.
Bupivakain injeksi 0,50% (P.V)
Marcain
Cairan
Suntik
80.
Dabigatran eteksilat kapsul 75 mg
Pradaxa
81.
Pradaxa
82.
Daunorubisin serbuk injeksi 20 mg/vial
DAUNOCIN
83.
Deferasiroks tablet disp/ eff 250 mg
Exjade 250
mg Tab
PT. Novartis Indonesia
84.
Exjade 500
mg Tab
85.
Deferipron larutan oral 100 mg/mL
Ferriprox
PT. Sydna Farma
Oral Solution
86.
Deferipron tablet 500 mg
Ferriprox
tablet
PT. Sydna Farma
87.
Deferoksamin Mesilat serbuk injeksi 500 mg
Desferal
88.
Deksametason injeksi i.v./i.m. 5 mg/ml
n/a
PT. Indofarma
89.
Deksametason tablet 0,5 mg
n/a
90.
Desogestrel tablet 75 mcg
Cerazette
PT. Merck Sharp Dohme Pharma Tbk
91.
Desoksimetason krim 0,25%
n/a
PT. Dexa Medica
92.
Diazepam tablet 2 mg
n/a
PT. Kimia Farma
93.
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
n/a
PT. Phapros, Tbk
94.
Digoksin tablet 0,25 mg
n/a
PT. Indofarma
95.
Diltiazem HCl tablet 30 mg
n/a
PT. Dexa Medica
96.
Diltiazem infus injeksi 50 mg
97.
Diltiazem injeksi 25 mg/5 mL
98.
Diltiazem Kapsul SR 100 mg
99.
Herbesser
Powder
Injection
Farmabes
50mg
Injeksi 25
mg
Herbesser
CD 100
PT. Tanabe Indonesia

PT. Pratapa Nirmala
Herbesser
CD 200
100. Dimenhidrinat tablet 50 mg
n/a
PT. Kimia Farma
101. Dinatrium edetat tetes mata 0,35%
E.D.T.A
102. Doksazosin mesilat tablet 1 mg
Cardura 1mg PT. Pfizer Indonesia
103. Doksazosin mesilat tablet 2 mg
Cardura 2mg PT. Pfizer Indonesia
104. Doksorubisin serbuk injeksi i.v. 10 mg/vial
Doxorubicin
PT. Sanbe Farma
HCl 2 mg/ml
105. Domperidon suspensi/sirup 5 mg/5 ml
n/a
PT. Novapharin
106. Domperidon tablet 10 mg
n/a
PT. Novapharin
107. Dopamin injeksi 40 mg/ml
Dopamin
PT. Kimia Farma
108. Dosetaksel injeksi 20 mg/0,5 ml
n/a
PT. Sanbe Farma
Renalscan
KaeF
PT. Kimia Farma
110. Dutasterid kaps lunak 0,5 mg
Avodart
111. Efavirens tablet salut 600 mg
n/a
PT. Kimia Farma
109.
DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg

pentetate calcium trisodium/mL
112. Eksemestan tablet 25 mg
Aromasin
PT. Pfizer Indonesia
113. Enoksaparin sodium inj 20 mg/0,2 mL
Lovenox
2000 ANTIXA
Lovenox
PT. Aventis Pharma
4000 ANTIXA
Lovenox
PT. Aventis Pharma
6000 ANTIXA
PT. Aventis Pharma
116. Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
n/a
PT. Phapros, Tbk
117. Epirubisin serb injeksi 50 mg/25ml
Epirubisin
Kalbe
PT Kalbe Farma
118. Epirubisin serb injeksi 10 mg/5 ml
n/a
PT. Sanbe Farma
119. Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI
D-Vit FT
PT. Gracia Pharmindo
120. Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml
D-Vit Syrup
121. Eritromisin kapsul/kaplet 250 mg
n/a
PT. Kimia Farma
122. Eritromisin kapsul/kaplet 500 mg
n/a
PT. Indofarma
123. Eritromisin sirup kering 200 mg/ 5 ml
n/a
PT. Phyto Kemo Agung Farma
124. Eritropoetin-alfa inj 3000 UI/mL
Hemapo
3000
PT Kalbe Farma
125. Eritropoetin-beta inj 2000 UI/0,3 mL
Recormon
126. Etambutol tablet 250 mg (HCl)
n/a
PT. Kimia Farma
127. Etambutol tablet salut 500 mg (HCl)
n/a
PT. Indofarma
128. Etanol 70% cairan
n/a
PT. Novapharin
129. Etinilestradiol tablet 0,05 mg
Lynoral
130. Etonogestrel implan 68 mcg
Implanon
131. Etoposid injeksi 20 mg/ml
Posyd
PT. Combiphar
132. Eugenol cairan
n/a
PT. Kimia Farma
133. Everolimus tab 0,25 mg
Certican
0,25 mg Tab
134. Everolimus tab 0,5 mg
Certican 0,5
mg Tab
135.
Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk

injeksi
Novoseven
136. Fenitoin injeksi 50 mg/ml
n/a
137. Fenitoin kapsul/kaplet 100 mg
n/a
PT. Ikapharmindo
138. Fenitoin Na Inj 100 mg/2 ml
n/a
139. Fenobarbital injeksi i.m./i.v. 50 mg/ml
n/a
PT. Phapros, Tbk
140. Fenofibrat kaps 100 mg
n/a
141. Fenofibrat kaps 300 mg
n/a
142. Fenoksimetil penisilin (penisilin V) tablet 250 mg
n/a
PT. Phapros, Tbk
143. Fenoksimetil penisilin (penisilin V) tab 125 mg
Fenocin
PT. Actavis Indonesia
144. Fenoksimetil penisilin (penisilin V)tablet 500 mg
n/a
145. Fenoterol HBr ih 100 mcg/puff
Berotec MDI PT. Boehringer Ingelheim
146. Fenoterol HBr inh solution 0,1%
Berotec
Solution
147. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml
n/a
PT. Kimia Farma
148. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml
n/a
PT. Kimia Farma
149. Fentanil patch 12,5 mcg/jam

150. Fentanil patch 25 mcg/jam
PT. Phapros, Tbk
Durogesic
12,5 MU
PT. Kimia Farma
Matrix
Durogesic 25
PT. Kimia Farma
MU Matrix
151. Fentanil patch 50 mcg/jam
Durogesic 50
PT. Kimia Farma
MU Matrix
152. Filgrastim inj 300 mcg/mL
Leucogen
PT Kalbe Farma
153. Fitomenadion (Vit.K1) tablet salut gula 10 mg
n/a
PT. Phapros, Tbk
154. Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml
n/a
PT. Phapros, Tbk
155. Fludarabin inj 50 mg
Fludara IV
LYO
PT. Aventis Pharma
156. Fludarabin tab 10 mg
Fludara Oral PT. Aventis Pharma
157. Flufenazin injeksi i.m. 25 mg/ml
Sikzonoate
Injeksi
158. Flukonazol injeksi 2 mg/ml
n/a
159. Flukonazol tablet/kapsul 150 mg
n/a
PT. Kimia Farma
160. Fluoksetin tablet 10 mg
Foransi 10
161. Fluoksetin tablet 20 mg
NOPRES
PT. Dexa Medica
162. Fluorourasil inj 250 mg/mL
Curacil
PT Kalbe Farma
163. Fluorourasil inj 500 mg/ 5 mL
Curacil
PT Kalbe Farma
164. Flusinolon asetonid krim 0,025%
SYNARCUS
PT. Ifars Pharmaceutical Laboratories
165. Flutikason furoat intranasal spray
Avamys
PT. Glaxo Wellcome Indonesia
166. Flutikason propionat nebules 0,5 mg
Flixotide
Nbules
167. Fondaparinuks inj 2,5 mg/0,5 mL
Arixtra
168. Fraksi protein plasma lar inf 5%
Plasmanate
PT. Dipa Pharmalab
169. Furosemid injeksi i.v./i.m. 10 mg/ml
n/a
PT. Indofarma
170. Furosemid tablet 40 mg
n/a
171. Gadobutrol macrocyclic 5 mg
Gadovist 5
mg
PT. Bayer Indonesia
172. Gadobutrol macrocyclic 7,5 mg
Gadovist 7,5
PT. Bayer Indonesia
mg
173. Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL
Primovist
PT. Bayer Indonesia
174. Gansiklovir serb inj 500 mg (50 mg/mL)
Cymevene
175. Gefitinib tab 250 mg
Iressa 250
mg
176. Gemfibrozil kapsul/kaplet 300 mg
n/a
PT. Indofarma
177. Gemfibrozil tablet 600 mg
n/a
PT. Indofarma
178. Gemsitabin inj 1000 mg/vial
Gemzar
1000 mg
PT. Bayer Indonesia
179. Gemsitabin inj 200 mg/vial
n/a
PT. Sanbe Farma
180. Gentamisin injeksi 40 mg/ ml
n/a
PT. Indofarma
181. Gentamisin salep mata 0,3%
Genoint
Salep Mata
PT. Erela
182. Gentamisin tetes mata 0,3%
n/a
PT. Indofarma
183. Glibenklamid tablet 5 mg
n/a
PT. Indofarma
184. Gliklazid tab 80 mg
Glicab
185. Gliklazid tab 30 mg
Diamicron
MR 30
PT. Pradja Pharin
186. Glikuidon tab 30 mg
n/a
PT. Dexa Medica
187. Glimepiride tablet 1 mg
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
191. Gliseril trinitrat kaps SR 2,5 mg
Nitrokaf
Retard
PT. Kimia Farma
192. Gliseril trinitrat kaps SR 5 mg
Nitrokaf
Forte
PT. Kimia Farma
193. Gliseril trinitrat tab sublingual 0,5 mg
Nitral
194. Gliserin lar 50%
Gliserin lar
50%
PT. Lucas Djaja
195. Glukosa larutan infus 10 % steril
n/a
PT. Widatra Bhakti
196. Glukosa larutan infus 5 % steril
n/a
PT. Widatra Bhakti
197. Goserelin asetat inj 10,8 mg/vial
Zoladex 10,8
mg
198. Goserelin asetat inj 3,6 mg
Zoladex 3,6
mg
199. Griseofulvin tablet 125 mg
n/a
PT. Indofarma
200. Haloperidol inj 50 mg/mL
Haldol
Decanoas
201. Haloperidol tablet 0,5 mg
n/a
PT. Indofarma
202. Haloperidol tablet 5 mg
n/a
PT. Indofarma
203. Haloperidol tablet 1,5 mg
n/a
PT. Indofarma
204. Haloperidol tablet 2 mg
Lodomer 2
205. Halotan Inhalasi
Halothane
PT. Dexa Medica
206. Heparin injeksi i.v./s.k. 5000 UI/ml
Inviclot
PT. Pratapa Nirmala
207. Hepatitis B imunoglobulin (human)
Hyperhep B
PT. Dipa Pharmalab
208. Hidrokortison krim 1%
n/a
209. Hidrokortison krim 2,5 %
n/a
PT. Kimia Farma
210. Hiosin butilbromid injeksi 20 mg/ml
n/a
PT. Otto Pharmaceuticals
211.
Human insulin intermediate acting inj 100 UI/ml, vial (Human Insulatard
Insulin (Intermediate-Acting))
Vial
212.
Human insulin intermediate acting inj 100 UI/ml, vial (Insulin

human Basal)
Humulin N
Vial
PT. Bayer Indonesia
213.
Human insulin intermediate acting inj 100 UI/ml,

vial/cartridge disposible/penfill cartridge
n/a
PT. Aventis Pharma
214.
Human insulin intermediate acting inj 100 UI/ml,penfill

cartridge (Human Insulin (Intermediate-Acting))
Insulatard
Penfill
215.

cartridge (Insulin human Basal)
Sansulin N
PT. Sanbe Farma
216.

cartridge (Insulin human Basal)
Humulin N
Cart
PT. Bayer Indonesia
217.
Human insulin mix insulin inj 100 UI/ml, penfill cartridge

(Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin))
Mixtard
Penfill
218.
Human insulin mix insulin inj 100 UI/ml, penfill cartridge

(Insulin human Comb)
Humulin
30/70 Cart
PT. Bayer Indonesia
219.
Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin
(Premix: 30% Soluble + 70 % NPH Insulin))
Mixtard Vial
220.
Human insulin mix insulin inj 100 UI/ml, vial (Insulin human
Comb)
Humulin
30/70 Vial
PT. Bayer Indonesia
221.
Human insulin short acting inj 100 UI/ml, penfill cartridge

(Human Insulin (Short Acting))
Actrapid
Penfill
222.

(Insulin human Rapd)
Humulin R
Cart
PT. Bayer Indonesia
223.

(Insulin human Rapd)
Sansulin R
PT. Sanbe Farma
224.
Human insulin short acting inj 100 UI/ml, vial (Human Insulin
(Short Acting))
Actrapid Vial PT. Ferron Par Pharmaceuticals
225.
Human insulin short acting inj 100 UI/ml, vial (Insulin human
Rapd)
Humulin R
Vial
PT. Bayer Indonesia
226.
Human insulin short acting inj 100 UI/ml, vial/cartridge

disposible/penfill cartridge
n/a
PT. Aventis Pharma
227. Human tetanus imunoglobulinn injeksi i.m. 250 UI
Tetagam
PT. Dexa Medica
228. Ibuprofen sirup 100 mg/5 ml
n/a
PT. Indofarma
229. Ibuprofen suspensi 200 mg/5 ml
n/a
PT. Indofarma
230. Ibuprofen tablet 200 mg
n/a
PT. Yarindo Farmatama
231. Ibuprofen tablet 400 mg
n/a
PT. Novapharin
232. Ifosfamid serbuk injeksi 1000 mg/vial
Holoxan
PT. Mugi Laboratories
injeksi 1000
233. Imidapril tab 10 mg
Tanapress
10mg
234. Imidapril tab 5 mg
Tanapress
5mg
235. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml)
Iopamiro
PT. Dipa Pharmalab
Iopamiro
PT. Dipa Pharmalab
Iopamiro
PT. Dipa Pharmalab
Iopamiro
PT. Dipa Pharmalab
Iopamiro
PT. Dipa Pharmalab
Iopamiro
PT. Dipa Pharmalab
241. Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)
Ultravist
PT. Bayer Indonesia
300/100 mg
Ultravist
300/50 mg
Ultravist
PT. Bayer Indonesia
370/100 mg
Ultravist
370/50 mg
245. Ipratropium bromida inhalasi 20 mcg/semprot
Atrovent HFA PT. Boehringer Ingelheim
246. Irbesartan tab 150 mg
n/a
PT. Indofarma
247. Irbesartan tab 300 mg
n/a
248. Irinotekan inf 20 mg/ml
n/a
PT. Sanbe Farma
249. Isosorbid Dinitrat injeksi i.v 10 mg/10 ml
Farsorbid inj PT. Pratapa Nirmala
250. Isosorbid Dinitrat tablet sublingual 5 mg
n/a
PT. Indofarma
251. Kalium aspartat tab 300 mg
Kalipar
252. Kalium Klorida tablet 600 mg
KSR
PT. Merck Tbk
253. Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml
Rescuvolin
inj 50 mg
PT. Combiphar
254. Kalsium Glukonat injeksi i.v 10% (100 mg/ml)
Kalsium
glukonat
PT. Ethica Industri Farmasi
255. Kandesartan tab 16 mg
n/a
PT. Dexa Medica
PT. Bayer Indonesia
PT. Bayer Indonesia
256. Kandesartan tab 8 mg
n/a
PT. Dexa Medica
257. Kapesitabin tab 500 mg
Xeloda
258. Kaptopril tablet 50 mg
n/a
PT. Indofarma
259. Kaptopril tablet scored 25 mg
n/a
PT. Phapros, Tbk
260. Kaptopril tablet scored12,5 mg
n/a
PT. Phapros, Tbk
Tegretol
Syrup
100mg/5ml,
120ml
n/a
PT. Indofarma
261. Karbamazepin sirup 100 mg/5 ml

262. Karbamazepin tablet 200 mg
263. Karbimazol tab 5 mg
264. Karbogliserin tetes telinga 10%
NeoPT. Nicholas Laboratories Indonesia

Mercazole
Karbogliserin
tetes telinga PT. Lucas Djaja
10%
265. Ketamin injeksi i.v. 100 mg/ml
KTM
PT. Guardian Pharmatama
266. Ketokonazol krim 2%
n/a
267.
n/a
PT. Kimia Farma
268. Ketokonazol tablet 200 mg
n/a
PT. Dexa Medica
269.
Protofen
Supp
PT. Kimia Farma
270. +
n/a
PT. Indofarma
271. Klaritromisin tab 500 mg
ORIXAL
272. Klindamisin kapsul/kaplet 150 mg
n/a
PT. Indofarma
273. Klindamisin kapsul/kaplet 300 mg
n/a
PT. Indofarma
274. Klobazam tab 10 mg
n/a
PT. Dexa Medica
275. Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)
Catapres
Injeksi
276. Klonidin tablet 0,15 mg
n/a
PT. Kimia Farma
277. Klopidogrel tab 75 mg
n/a
278. Kloramfenikol salep mata 1 %
n/a
PT. Kimia Farma
279. Klorpromazin tablet salut 100 mg (HCl)
n/a
PT. Kimia Farma
280. Klorpromazin injeksi i.m. 25 mg/ml (HCl)
n/a
PT. Phapros, Tbk
281. Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)
n/a
PT. Phapros, Tbk
282. Klozapin 100 mg
n/a
283. Klozapin 25 mg
n/a
284. Kodein tablet 10 mg
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
n/a
PT. Kimia Farma
287. Koloid HES BM 130 000 lar inf 6%
Voluven
PT. Fresenius Kabi Combiphar
288. Kombinasi suspensi : Parafin + gliserin + fenolftalein
Laxadine
PT. Galenium Pharmasia Laboratories
Emulsi 60 ml
289.
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam

folat 0,25 mg
n/a
PT. Erela
290.
Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg;

Kalium klorida 1,32 mg
Cendo
Lyteers
Coartem
Stalevo
293. Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg
Aluvia
294. Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg
Seretide
Inhaler 50
mcg
Seretide
291. Kombinasi: Artemether 20 mg; Lumefantrin 120 mg

292.
Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon

200 mg
295. Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg Diskus 100
mcg
Seretide
296. Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg Diskus 250
mcg
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol
297.
n/a
400 mg Trimetoprim 80 mg
298.
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg +

Trimetoprim 40 mg / 5 ml
n/a
299. Kuinin (Kina) tablet 200 mg
n/a
PT. Kimia Farma
300. Kuinin injeksi i.v. 25% (sebagai 2 HCl)
n/a
PT. Kimia Farma
301. Kuinin tablet 222 mg (H2SO4.7H2O)
n/a
PT. Kimia Farma
302. Lamivudine tablet 150 mg
n/a
PT. Kimia Farma
303. Lansoprazol inj 30 mg/ml
Prosogan Inj. PT. Takeda Indonesia
304. Lanzoprazol kapsul/kaplet 30 mg
n/a
PT. Indofarma
305. Lapatinib tab 250 mg
Tykerb
306. Larutan mengandung Asam Amino (Asam Amino 10%)
Kalbamin
PT. Finusolprima Farma Internasional
307.
Larutan mengandung Asam Amino (Asam Amino 100 g, Total

Amiparen
N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)
PT Otsuka Indonesia
308.
Larutan mengandung Asam Amino (Asam Amino 27 g,

Sorbitol 50 g, Cl- 52 mEq)
Pan-amin G
PT Otsuka Indonesia
309.

Glukosa 7,3 % dan elektrolit) 1000 ml
Aminofluid
PT Otsuka Indonesia
Aminofluid
PT Otsuka Indonesia
Aminofusin
Hepar
PT Kalbe Farma
Aminosteril
Infant 6%

Glukosa 7,3 % dan elektrolit) 500 ml
Larutan mengandung Asam Amino (Asam Amino 5% dengan
311. BCAA 45%, L-Ornithine L Aspartate 8.03 gr/L, Sorbitol 50 gr/L,
Xylitol 50 gr/L)
Larutan mengandung Asam Amino (Asam Amino 6%,
312.
mengandung Taurine 0,24 gr/l)
Larutan mengandung Asam Amino (Asam Amino 7%,
313. Komposisi: Asam Amino esensial: Asam Amino non esensial =
60
: 40) mengandung Asam Amino (Asam Amino 72.05 g,
Larutan
310.
Nephrosteril PT. Fresenius Kabi Combiphar
314. Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat 46

Kidmin
PT Otsuka Indonesia
mEq)
Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total
315.
Aminoleban PT Otsuka Indonesia
N 12.2 g, Na+ 14 mEq, Cl 94 mEq)
316. Larutan mengandung Asam Amino (Asam amino 8%)
Aminosteril
N-Hepa
Larutan mengandung Asam Amino (Asam Amino esensial 7%

Eas Pfrimer
+Xylitol 10 g/L)
Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine
Comafusin
318. L
Aspartate
10 gr/L, Xylitol
gr/L, (Kombinasi
Malic Acid 7Asam
gr/L, Piridoxin
Larutan
mengandung
Asam50
Amino
aminno Hepar
0.12
gr/L)
50 g/L,
Sorbitol 50 g/L, Xylitol 50 g/L, Asam Askorbat (Vit C)
Aminofusin
319. 0.4 g/L, Inositol 0.5 g/L, Nikotinamida (Niasinamida) 0.06 g/L,
L600
Piridoksin HCl (Vit B6) 0.04 g/L, Riboflavin Natrium Fosfat 2.5
mg/L, elektrolit)
317.

PT Kalbe Farma
Larutan mengandung Asam Amino (Kombinasi Asam amino

50 g/L, vitamin dan elektrolit)
Larutan mengandung Asam Amino (Kombinasi Asam Amino:
321. 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit (Kalori = 1000
kkal,
Akses
peripheral))
Larutan
mengandung
Asam Amino (Kombinasi Asam Amino:
320.
Aminofusin
Paed
PT Kalbe Farma
Kabiven
1440 ml
Kabiven
322. 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400
1920 ml
kkal, Akses peripheral))
Combiflex
Larutan mengandung Asam Amino (Kombinasi Glukosa dan
323.
Plus (790
elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral)
kcal)
Combiflex
Larutan mengandung Asam Amino (Kombinasi Glukosa dan
324.
peri (480
elektrolit 80 gr + Asam Amino 40 gr )
kcal)
Otsu - KCl
325. Larutan mengandung Elektrolit (Kalium Klorida)
7,46%
326. Larutan mengandung Elektrolit (Larutan Ringer Laktat)
327.
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca

Asering
3 mEq, Asetat 28 mEq)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa

18.75 gr)
Larutan mengandung Elektrolit (Sodium Lactate sol (50%)
329. 113 gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2
Larutan
mengandung Elektrolit (Tiap 1000 ml mengandung
gr/L, elektrolit)
electrolit: Sodium 145 mmol/l, Potassium 4.0 mmol/l, Calcium
330.
2.5 mmol/l, Magnesium 1.0 mmol/l, Chloride 118 mmol/l,
Acetate
mmol/l, Malate
5.0 mmol/l)
Larutan 24
mengandung
Karbohidrat
(Fructose 120 g, glucose 66
331.
g, Xylitol 60 g/ L + elektrolit)
328.
332.
Wida RL

PT. Phapros, Tbk
PT. Phapros, Tbk
PT Otsuka Indonesia
PT. Widatra Bhakti
PT Otsuka Indonesia
KA EN 1B
PT Otsuka Indonesia
Totilac
PT Kalbe Farma
Ringerfundin
PT. Phapros, Tbk
500 mL
Triofusin
1000
PT Kalbe Farma
Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33

Triofusin 500 PT Kalbe Farma
g, Xylitol 30 g/ L)
333. Larutan mengandung Karbohidrat (Maltose 100 gr)
Martos
Larutan mengandung Karbohidrat + Elektrolit (25.00g

334. maltose, 3.00 g sodium chloride, 0.15 g potassium chloride, Potacol inj
0.10 g calcium chloride dihydrate dan 1.55 g sodium lactate)
Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Tutofusin
335.
Cl, Ca, Mg, Sorbitol 50 gr/L)
OPS
PT Otsuka Indonesia
PT Otsuka Indonesia
PT Kalbe Farma
336.
Larutan mengandung Karbohidrat + Elektrolit (Asam amino

28 gr/L, Glukosa 100 gr/L, elektrolit)
Clinimix
N9G20E
PT Kalbe Farma
337.
Larutan mengandung Karbohidrat + Elektrolit (Asam amino

28 gr/L, Glukosa 75 gr/L, elektrolit)
Clinimix
N9G15E
PT Kalbe Farma
Triofusin
E1000
PT Kalbe Farma
Wida HSD
PT. Widatra Bhakti
Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g,

glucose 33 g, Xylitol 30 g/ L)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g,
339. NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk injeksi
ad 1000 ml)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ;
340.
Natrium Chloride 9 g, air untuk injeksi ad 1000 ml)
338.
Wida D5-NS PT. Widatra Bhakti
341.
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0

g; NaCl: 4,5 g)
WIDA 2A
PT. Widatra Bhakti
342.
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0

g; NaCl: 2.25 g)
WIDA D51/4NS
PT. Widatra Bhakti
WIDA D51/2NS
PT. Widatra Bhakti
Futrolit
PT. Sanbe Farma
Wida RD
PT. Widatra Bhakti
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0

g; NaCl: 4.5 g)
Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi
344. kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg
6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g)
Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer
345.
& Glukosa 5%)
343.
346.
Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g,

KCL 1.5g, Glukosa 100 gr)
KA ENMG 3
PT Otsuka Indonesia
347.
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr,

KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)
KA EN 3B
PT Otsuka Indonesia
348.
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr,

Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)
KA EN 3A
PT Otsuka Indonesia
349.
Lipofundin
Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20%
MCT/LCT 1% PT. Phapros, Tbk
100 ml)
100
350. Larutan mengandung Lipid (Emulsi lemak 20%)

351.
Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20%

250 ml)
Intralipid
Lipofundin
MCT/LCT 1% PT. Phapros, Tbk
250
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit

352. 180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn akses
sentral)
353.
80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr)
Nutriflex
Lipid Special PT. Phapros, Tbk
1250
Nutriflex
Lipid Peri
1250
Nutriflex
PT. Phapros, Tbk

Lipid Special PT. Phapros, Tbk
90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn akses sentral)
625
Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg
355.
Ivelip
PT Kalbe Farma
Lecithins 12 gr/L, Glycerol Ph 25 gr/L, Sodium Oleate 0.3 gr/L)
354.
356. Latanoprost tetes mata 0,01%

357. Latanoprost tts mata 0,005% btl@2,5ml
358. Lenograstim inj 263 mcg/mL
359. Leuprorelin asetat inj depot 1,88 mg
Cendo
Glaopen
Xalatan
0,005%
Granocyte
34 1vl HSA
Free
Tapros
1.88mg

PT. Pfizer Indonesia
PT. Aventis Pharma
PT. Takeda Indonesia
360. Leuprorelin asetat inj depot 11,25 mg
Tapros 3M
361. Levofloksasin inf 5 mg/mL
n/a
362. Levofloksasin tablet 500 mg
n/a
363. Lidokain injeksi 2% (HCL)
n/a
PT. Phapros, Tbk
364. Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml
n/a
PT. Indofarma
365. Lidokain jeli 2%
Xylocaine
Jelly 2%
366. Lisinopril tablet 10 mg
n/a
367. Lisinopril tablet 5 mg
n/a
368. Litium karbonat tablet 200 mg
Frimania 200 PT. Mersifarma Tirmaku Mercusana
369. Litium karbonat tablet 400 mg
Frimania 400 PT. Mersifarma Tirmaku Mercusana
370. Loperamid tablet 2 mg
n/a
371. Loratadin tablet 10 mg
n/a
372. Lorazepam tablet 2 mg
Merlopam 2 PT. Mersifarma Tirmaku Mercusana
373. Low molecule feri sucrose inj amp 100 mg/5 mL
DIALIFER
374. Manitol
n/a
375. Maprotilin HCl tab 25 mg
Ludios
376. Maprotilin HCl tab 50 mg
Sandepril 50 PT. Mersifarma Tirmaku Mercusana

Bonescan
KaeF
PT. Kimia Farma
378. Melfalan tablet 2 mg
Alkeran
379. Meropenem inj 1 g
n/a
380. Meropenem serb inj 500 mg/vial
n/a
PT. Bernofarm
381. Mesna inj 100 mg/mL
Uromitexan
injeksi.
382. Metadon sir 50mg/5ml
n/a
PT. Kimia Farma
383. Metformin HCl tablet 500 mg
n/a
PT. Phapros, Tbk
377.
MDP (methylene diphosphonate) 1 mg methylene

diphosphonic acid/mL
384.
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125

mg
n/a
PT. Kimia Farma
385. Metilfenidat kapsul LA 20 mg
Ritalin LA
386. Metilprednisolon inj 125 mg/2 mL
n/a
PT. Dexa Medica
387. Metilprednisolon inj 500 mg/8 mL
n/a
PT. Phapros, Tbk
388. Metilprednisolon tablet 16 mg
n/a
PT. Dexa Medica
389. Metilprednisolon tablet 8 mg
n/a
390. Metoklopramide tablet 5 mg
n/a
PT. Kimia Farma
391. Metronidazol infus 500 mg/100 ml
n/a
PT. Dexa Medica
392. Metronidazol supositoria 500 mg
Flagyl
PT. Aventis Pharma
393. Metronidazol tablet 250 mg
n/a
394. Metronidazol tablet 500 mg
n/a
395. MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial
Cardioscan
KaeF
PT. Kimia Farma
396. Midazolam injeksi i.v. 1 mg/ml
Dormicum
397. Midazolam injeksi i.v. 5 mg/ml
Miloz 15 Inj
398. Mikafungin Na serb inj 50 mg
Mycamine
PT. Combiphar
399. Mikofenolat Mofetil 500 mg
Cellcept
400. Mikonazol krim/salep 2 % (Nitrat)
n/a
PT. Kimia Farma
401. Mitomisin C (crystallin) serbuk inj 10 mg/vial
Mitomycin C PT. Widatra Bhakti
402. Moksifloksasin tetes mata 0,5%
Vigamox
403. Morfin HCL inj 10 mg/ml
n/a
PT. Kimia Farma
404. Morfin HCL tablet SR 10 mg
MST
Continus 10 PT. Mahakam Beta Farma
mg
MST
405. Morfin HCL tablet SR 15 mg
Continus 15 PT. Mahakam Beta Farma

mg
406. Morfin injeksi i.m./s.k./i.v. 10 mg/ml
n/a
PT. Kimia Farma
407. Morfin tablet 10 mg
n/a
PT. Kimia Farma
408. Nacl 0,9%
n/a
PT. Widatra Bhakti
409. Nadroparin inj 9500 Axa/mL syringe 0,3 mL
Fraxiparine
0.3 ml
410. Nadroparin inj 9500 Axa/mL, syringe 0,4 mL
Fraxiparine
0.4 ml
411. Nadroparin inj 9500 Axa/mL, syringe 0,6 mL
Fraxiparine
0.6 ml
412. Nalokson injeksi 0,4 mg/ml
Nokoba
PT. Pratapa Nirmala
413. Natrium Bikarbonat injeksi i.v 8,4%
Meylon
PT Otsuka Indonesia
414. Natrium Diklofenak tablet 50 mg
n/a
PT. Phapros, Tbk
415. Natrium fosfat lar oral 45 mL
Fleet
PT. Combiphar
Phosphosoda
416. Natrium fusidat salep 20 mg/g
Fucilex
Ointment
PT. Molex Ayus
417. Nevirapin tablet 200 mg
n/a
PT. Kimia Farma
418. Nifedipin tab 20 mg, slow release; oros
Adalat Oros
20 mg
PT. Bayer Indonesia
419. Nifedipin tab 30 mg, oros
Adalat Oros
30 mg
PT. Bayer Indonesia
420. Nifedipin tablet/kapsul 10 mg
n/a
PT. Dexa Medica
421. Nistatin tablet salut 500.000 IU/ g
n/a
PT. Phapros, Tbk
422. Nistatin vaginal tablet 100.000 IU/ g
n/a
PT. Phapros, Tbk
423. Norepinefrin injeksi 1 mg/ml
Levosol
PT. Kimia Farma
424. Noretisteron tablet 5 mg
Primolut N
PT. Bayer Indonesia
425. Obat Antituberkulosis FDC Kategori 1
n/a
PT. Kimia Farma
426. Obat Antituberkulosis FDC Kategori 2
n/a
PT. Kimia Farma
427. Obat Antituberkulosis FDC Kategori Anak
n/a
PT. Kimia Farma
428. Obat Antituberkulosis FDC Sisipan
n/a
PT. Indofarma
429. Obat Antituberkulosis Kategori 1 dewasa
n/a
PT. Indofarma
430. Obat Antituberkulosis Kategori anak
n/a
PT. Indofarma
431. Ofloxacin tablet 200 mg
n/a
432. Ofloxacin tablet 400 mg
n/a
433. Oksimetazolin tetes hidung 0,025%
Ilaidin Drops PT. Merck Tbk
434. Oktreotid 10 mg
Sandostatin
LAR
435. Olanzapin inj 10 mg/vial
Zyprexa IM
PT. Bayer Indonesia
436. Olanzapin kapl salut 5 mg
Olandoz 5
PT. Sandoz Indonesia
437. Olanzapin tab 10 mg
Olandoz 10
PT. Sandoz Indonesia
438. Omeprazol injeksi 40 mg/ 10 ml
n/a
PT. Dexa Medica
439. Omeprazol kapsul/kaplet 20 mg
n/a
PT. Novapharin
440. ondansetron inj 4 mg/ 2 mL
n/a
PT. Indofarma
441. Ondansetron tab 4 mg
n/a
Larutan
Dialisa 1.5%:
Dianeal
Low
n/a
Calcium with
1,5%
n/a
Dextrose;
Larutan
n/a
Dialisa 2.5%:
Dianeal Low
Calcium with
2,5%
Dextrose;
n/a
Larutan
Dialisa
n/a
4.25%:
Dianeal Low
Calcium with
4.25%
Dextrose
442. Ondansetron tablet 8 mg

443.
Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit

Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)
444. Paket CAPD Pergantian Transfer Set per 6 bulan

Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan
445. komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %,
Larutan Dialisa 4.25 %, Minicap)
446. Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
447. Parasetamol sirup 120 mg / 5 ml

PT Kalbe Farma
PT Kalbe Farma
PT Kalbe Farma
PT. Indofarma
PT. Novapharin
448. Parasetamol tablet 500 mg
n/a
449. Parasetamol tetes 60 mg/0,6 mL
NAPREX
DROPS
PT. Darya Varia
450. Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
Pegasys
451. Pegylated interferon alfa-2a inj 180 mcg/0,5 ml
Pegasys
452. Pegylated Interferon alfa-2b serb inj 100 mcg
Pegintron
Vial 100 Mcg
Pegintron
Pen 120 Mcg
Pegintron
Pegintron
Vial 80 Mcg
456. Perak sulfadiazin krim 1%
BURNAZIN
35 GR
PT. Darya Varia
457. Perindoprilarginin tab 5 mg
Bioprexum 5
PT. Pradja Pharin
mg
458. Permetrin krim 5%
Scabimite
Cream 10
PT. Galenium Pharmasia Laboratories
459. Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
n/a
PT. Kimia Farma
460. Pioglitazon tab 15 mg
Actos
461. Pioglitazon tab 30 mg
Gliabetes 30
PT. Sanbe Farma
mg
462. Pirantel suspensi 125 mg/5 ml
n/a
PT. Holi Pharma
463. Pirantel tablet score (base) 125 mg
n/a
PT. Holi Pharma
464. Pirazinamid tablet 500 mg
n/a
PT. Holi Pharma
465. Piridostigmin tablet salut 60 mg
Mestinon
tab.60 mg
PT. Combiphar
466. Polikresulen cairan
Aptil
PT. Pratapa Nirmala
467. Povidon Iodida larutan 10% 1000 ml
n/a
PT. Afifarma
n/a
PT. Afifarma
n/a
PT. Afifarma
470. Pramipeksol tab ER 0,375 mg
Sifrol ER
0,375mg
471. Pramipeksol tab ER 0,750 mg
Sifrol ER
0,750mg
472. Pravastatin tablet 20 mg
n/a
473. Propanolol tablet 10 mg ( HCl )
n/a
PT. Dexa Medica
474. Propofol injeksi i.v., bolus 1%
Fresofol 1%
MCT/LCT
475. Propranolol tablet 40 mg (HCl)
n/a
PT. Holi Pharma
476. Quetiapin tab 200 mg
Seroquel XR
200 mg
Seroquel XR
300 mg
Seroquel XR
400 mg
479. Ramipril tablet 2,5 mg
VIVACE
2,5mg
480. Ramipril tablet 5 mg
n/a
PT. Dexa Medica
481. Ranitidin injeksi 25 mg/2 ml
n/a
PT. Phapros, Tbk
482. Ranitidin tablet 150 mg
n/a
PT. Erela
483. Retinol (Vitamin A) 100.000 IU
n/a
PT. Kimia Farma
484. Retinol (Vitamin A) 200.000 IU kapsul lunak
n/a
PT. Lucas Djaja
485. Ringer Laktat larutan infus
n/a
PT. Widatra Bhakti
486. Risperidon tablet 1 mg
n/a
PT. Dexa Medica
n/a
n/a
PT. Dexa Medica
489. Rivaroksaban tab 10 mg
Xarelto 10
mg
PT. Bayer Indonesia
Xarelto 15
mg
PT. Bayer Indonesia

492. Ropinirol Tablet Salut 2 mg
Xarelto 20
mg
Requip PD
24 Hour 2
mg
Requip PD
PT. Bayer Indonesia

24 Hour 4
mg
Requip PD
24 Hour 8
mg
Ventolin
Inhaler
495. Salbutamol inhalasi/aerosol 100 mcg/dosis
496. Salbutamol serb inh 200 mcg/kaps
Ventolin
Rotacaps
497. Salbutamol serb inh 200 mcg/kaps + rotahaler
Ventolin
Rotahaler
498. Salbutamol tablet 2 mg (sebagai Sulfat)
n/a
499. Salbutamol tablet 4 mg (sebagai Sulfat)
n/a
PT. Phapros, Tbk
n/a
501. Sefadroksil sirup kering 125 mg/5ml
n/a
PT. Holi Pharma
502. Sefadroksil kapsul/kaplet 250 mg
n/a
503. Sefadroksil kapsul/kaplet 500 mg
n/a
PT. Pharma Laboratories
504. Sefadroksil sir kering 250 mg/5 mL
n/a
PT. Holi Pharma
505. Sefaleksin kapsul/kaplet 500 mg
n/a
506. Sefazolin serbuk injeksi 1 g/vial
n/a
PT. Dexa Medica
507. Sefepim inj 1 g
n/a
508. Sefiksim kapsul/kaplet 100 mg
n/a
509. Sefiksim sirup kering 100 mg/ 5 ml
n/a
510. Sefoperazon inj 1 g
n/a
PT. Holi Pharma
511. Sefotaksim injeksi 0,5 g
n/a
500.
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap

4%
512. Sefotaksim injeksi 1 g
n/a
513. Sefpodoksim proksetil tab 100 mg
Banadoz 100 PT. Sandoz Indonesia
514. Seftazidim injeksi 1 g
n/a
515. Seftriakson serbuk injeksi 1 g/vial
n/a
516. Sefuroksim tab 500 mg
Zinnat 500
517. Sertralin tab 50 mg
Fatral
PT. Pratapa Nirmala
518. Setirizin tablet 10 mg
n/a
PT. Pertiwi Agung
519. Sevofluran ih, btl
Sojourn
PT. Pratapa Nirmala
520. Siklofosfamid serbuk injeksi i.v. 1000 mg
Cyclovid
1000 mg
Cyclovid 200
mg

523. Siklosporin kaps 100 mg
Cyclovid 500
mg
Sandimmun
Neoral
100mg
Kap
Sandimmun
524. Siklosporin kapsul lunak 25 mg
Neoral 25mg PT. Novartis Indonesia

Kap
525. Simvastatin scored tablet 10 mg
n/a
PT. Pertiwi Agung
526. Simvastatin tablet 20 mg
n/a
PT. Natura Laboratoria Prima
527. Siprofloksasin infus 2%
n/a
528. Siprofloksasin tablet 500 mg (sebagai HCl)
n/a
529. Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml
DBL
Cytarabun
530. Spiramisin tablet 500 mg
n/a
PT. Indofarma
531. Spironolakton tablet 100 mg
n/a
PT. Dexa Medica
532. Spironolakton tablet 25 mg
n/a
PT. Dexa Medica
533. Streptokinase injeksi 1,5 juta UI/vial
Streptase
PT. Dexa Medica
534. Streptomisin serbuk injeksi i.v 1000 mg/ml
536. Sukralfat susp 500 mg/5 mL
n/a
PT. Phapros, Tbk
Sufentanyl
Injeksi
PT. Kimia Farma
iv.Epidural 5
mcg / ml
Ulsafate
PT. Combiphar
537. Takrolimus kaps 0.5 mg
Prograf
PT. Combiphar
538. Takrolimus kaps 1 mg
Prograf
PT. Combiphar
539. Tamsulosin tab 0,2 mg
Harnal D
0.2 mg Disp. PT. Combiphar
Tablet
540. Tamsulosin tab 0,2 mg
Harnal D
535. Sufentanil injeksi iv, epidural 5 mcg/ml
541. Tamsulosin tab SR 0,4 mg

542. Telbivudin tab 600 mg
543. Telmisartan tab 40mg
PT. Combiphar
Harnal
OCAS 0.4 mg PT. Combiphar
Tablet
Sebivo 600
mg Tab
Micardis
40mg
544. Telmisartan tab 80 mg
Micardis
80mg
545. Temozolamid kaps 100 mg
Temodal
546. Temozolamid kaps 20 mg
Temodal
547. Tenofovir tab 300 mg
n/a
PT. Kimia Farma
548. Terbutalin cairan ih 2,5 mg/mL
Bricasma
Respules
549. Terbutalin tablet 2,5 mg

550. Terbutalin turbu (serbuk ih) 0,50 mg
551. Testoteron soft capsul 40 mg
Molasma
Tablet
Bricasma
Turbuhaler
0,5 mg
Andriol
Testocaps
PT. Molex Ayus

552. Tetrakain HCl tetes mata 0,5%
Pantocain
0.5%
553. Tetrasiklin kapsul/kaplet 250 mg
n/a
PT. Holi Pharma
554. Tiamazol tab 10 mg
Thyrozol 10
PT. Merck Tbk
555. Tiamazol tab 5 mg
Thyrozol 5
PT. Merck Tbk
556. Timolol tetes mata 0,25%
Isotic Adretor
PT. Pratapa Nirmala
0,25%
557. Tiotropium kaps 18 mcg + handihaller
Spiriva 10s +
Handihaler
558. Tramadol injeksi 50 mg/ml
n/a
559. Travoprost tetes mata 0,004%
Travatan
560. Triamsinolon asetonid nasal spray 55 mcg/puff
Nasacort AQ PT. Aventis Pharma
561. Trifluoperazin tablet 5 mg
n/a
562. Urea krim 10%
Soft U Derm PT. Galenium Pharmasia Laboratories
563. Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)
Imovax Polio PT. Aventis Pharma
564. Valgansiklovir tab 450 mg
Valcyte
565. Valproat sirup 250 mg/5 ml
Depakene
566. Valproat tab SR 250 mg
Depakote ER
250 mg
567. Valproat tab SR 500 mg
Depakote ER
500 mg
568. Valsartan tab 80 mg
Diovan 80mg
Tab
569. Valsartan tab 160 mg
DIOVAN 160
MG
570. Verapamil tab 240 mg
Isoptin 240
mg
571. Verapamil tablet 80 mg (HCl)
n/a
PT. Kimia Farma
572. Vinblastin serbuk injeksi 10 mg
Vinblastine
PT. Combiphar
573. Vinorelbin inj. 10 mg/ml
Navelbine
injeksi 10
574. Vitamin B Kompleks tablet
n/a
PT. Kimia Farma
575. Zidovudin 300 mg + Lamivudine 150 mg
n/a
PT. Kimia Farma
PT. Darya Varia
576. Zinc drop 10 mg/mL
Daryazinc
Drops
PT. Darya Varia
577. Zinc sir 20 mg/5 Ml
Zircum Kid
Sirup
PT. Meprofarm
578. Zinc tablet dispersible20 mg
n/a
PT. Kimia Farma
Kemasan
Harga Satuan
Terkecil (Rp)
Tanggal Berlaku
Harga
1 blister@24 tablet
1,650.00
4/23/2013 10:24
Dus, 3 Blister @ 10 kapsul
33,000.00
3/18/2014 20:03
Dus, 10 dus @ 1 botol @ 10 ml
4,619.00
4/23/2013 10:24
Dus, 5 strip @ 6 tablet
415.00
3/15/2014 16:05
Vial 100 ml
900,000.00
7/21/2014 21:09
Vial 50 ml
414,000.00
7/21/2014 21:09
Box, 10 strips @ 10 tablets
100.00
3/15/2014 16:05
Dus, 10 blister @ 10 tablet
254.50
3/15/2014 16:05
Dus, 10 Strip @ 10 tablet
450.00
3/15/2014 16:05
1 box 10 Strip X 10 tablet
256.00
3/15/2014 16:05
Ktk 10x10 tablet
280.00
3/15/2014 16:05
Dus, 1 vial@50mg + 1 vial pelarut

@ 50ml
3,800,000.00
6/27/2014 19:33
tube 3.5 gr
18,500.00
4/3/2014 21:30
Vial 2 ml
50,500.00
3/16/2014 18:23
Dus @ 30 Ampul
4,583.00
4/23/2013 10:24
Botol @100 Tablet
94.00
3/15/2014 16:05
Dus, 6 ampul @ 3 ml
14,400.00
3/16/2014 18:23
1,500.00
3/16/2014 18:23
Dus, 10 strip @ 10 tss
135.00
4/23/2013 10:24
391.00
3/15/2014 16:05
218.00
4/23/2013 10:24
dus 10 X 10'S
243.00
3/15/2014 16:05
KOTAK @ 10 x 10 TAB
288.00
3/15/2014 16:05
Dus, Botol 60 ml
5,500.00
3/15/2014 16:05
btl @ 60 ml
2,790.00
4/23/2013 10:24
Dus, 10 vial @ 1 g
6,120.00
3/15/2014 16:05
dus, 5 solostar pen @ 3ml
85,000.00
4/3/2014 21:30
Injeksi 100 IU/ml, Flexpen

disposible 3 ml (1 box isi 5 flexpen
disposible)
106,000.00
4/3/2014 21:30
Penfill cartridge
117,000.00
3/18/2014 20:03
Dus, vial 10 ml
200,000.00
4/3/2014 21:30
Injeksi 100 IU/ml, Flexpen

disposible 3 ml (1 box isi 5 flexpen
disposible)
85,345.00
4/3/2014 21:30
95,000.00
3/18/2014 20:03
Penfill cartridge
95,000.00
3/18/2014 20:03
Dus, 2 blister @ 14 Tablet
32,000.00
4/3/2014 21:30
Dus, 10 Strip @ 10 Tablet
85.00
3/15/2014 16:05
btl 60 ml
2,500.00
3/15/2014 16:05
Dus, 25 tube @ 5 g
3,019.00
3/15/2014 16:05
ktk 10 x 10 tablet
622.00
3/15/2014 16:05
Btl 100 tablet
162.00
3/15/2014 16:05
1,800.00
3/16/2014 18:23
Dus 6 amp @ 1ml
26,600.00
3/18/2014 20:03
Dus @ 10 X 10 's
127.00
3/15/2014 16:05
Dus 10 strip x 10 tab
114.00
3/18/2014 20:03
Kotak 10 Strip @ 10 tablet
115.00
7/21/2014 21:09
Botol @ 100 tablet
57.00
3/15/2014 16:05
Boks, 1 ampul
2,209,000.00
Dus, 10 Strip@10 Tablet
139.00
4/3/2014 21:30
4/23/2013 10:24
Strip
1,815.00
3/16/2014 18:23
Dus, 10 ampul @ 5 ml
4,000.00
3/15/2014 16:05
Tube 3,5 gram
24,750.00
3/16/2014 18:23
Box ,5 Blister @ 10 tablet
280.00
3/15/2014 16:05
400.00
3/15/2014 16:05
10.000 UI/Vial
1,039,500.00
Dus 5 strip @ 10 tablet
240.00
3/16/2014 18:23
ampul @ 2,5 ml
15,662.00
3/16/2014 18:23
89.00
4/23/2013 10:24
botol @ 60 ml
37,500.00
3/15/2014 16:05
ktk 2x10 tablet
5,400.00
3/15/2014 16:05
Strip
4,000.00
3/18/2014 20:03
Dus @ 50 gram
1,450.00
3/15/2014 16:05
Dus @ 10 Vial
11,760.00
4/23/2013 10:24
Dus @ 10 Vial
16,080.00
4/23/2013 10:24
Vial
3,200,000.00
3/18/2014 20:03
4/3/2014 21:30
Box/ 3 blister @ 10 Tablet
3,600.00
3/16/2014 19:08
Box @ 3 blister @ 10 Tablet
3,600.00
3/18/2014 20:03
Tube 5 gr
1,824.00
3/15/2014 16:05
72,400.00
4/3/2014 21:30
45,000.00
4/3/2014 21:30
Supp
6,045.00
3/16/2014 18:23
Dus 10 blister @ 10 tablet
746.00
7/21/2014 21:09
Box 3 X 10 tab
909.00
4/23/2013 10:24
Vial
366,000.00
7/21/2014 21:09
Box 3 x 10'S
247,089.00
3/16/2014 19:08
Dus, 1 Turbuhaler @ 100 dosis
93,000.00
4/3/2014 21:30
Dus, 4 pak @ 5 respules @ 2 ml
8,900.00
4/3/2014 21:30
117,600.00
3/16/2014 19:08
110,500.00
4/3/2014 21:30
Dus, 5 ampul @ 4 ml
30,720.00
7/21/2014 21:08
Dus, 5 polyamp duofit@ 20 ml
32,000.00
7/21/2014 21:09
Dus, 3 blister @ 10 kapsul
12,936.00
5/21/2014 20:01
12,936.00
5/21/2014 20:01
vial
330,000.00
7/21/2014 21:09
80,000.00
3/16/2014 19:08
155,000.00
3/16/2014 19:08
Dus, Botol @ 500ml
2,600,000.00
4/3/2014 21:30
Dus, Botol @ 100 tablet
25,300.00
4/3/2014 21:30
Dus, 10 vial @ 500mg
112,000.00
4/3/2014 21:30
1,897.00
3/15/2014 16:05
75.00
3/15/2014 16:05
Dus, 1 Blister @ 28 tablet
70,000.00
Kotak, tube @ 15 gram
9,983.00
3/16/2014 19:30
Btl 100
54.00
4/23/2013 10:24
Dus @ 30 Ampul
1,260.00
3/15/2014 16:05
119.00
4/23/2013 10:24
160.00
4/23/2013 10:24
8/6/2014 18:35
10 vial @ 50mg
140,433.00
3/18/2014 20:03
Vial 5 mL
56,000.00
3/18/2014 20:03
3 blister @ 10 kapsul
4,400.00
3/18/2014 20:03
4,818.00
3/18/2014 20:03
Btl 100 tablet
125.00
4/23/2013 10:24
botol 15 ml
37,500.00
Dus, 5 blister @10's tab
3,480.00
3/16/2014 18:23
5,480.00
3/16/2014 18:23
vial @ 5 ml
68,750.00
3/16/2014 18:23
btl @ 60 ml
3,833.00
3/15/2014 16:05
dus 10 X 10'S
190.00
4/23/2013 10:24
Dus 5 amp @ 10 ml
11,760.00
4/3/2014 21:30
8/13/2014 2:04
Dus, 1 vial @0,5 ml+ 1 vial pelarut

970,200.00
@1,5 ml
4/3/2014 21:30
Dus @ 5 vial
455,000.00
8/6/2014 18:35
Dus, Botol Plastik @ 30 Tablet
8,520.00
3/18/2014 20:03
Botol 30 tab
6,375.00
6/16/2014 19:59
42,600.00
4/3/2014 21:30
dus, 2 prefilled syringe @ 0,2 ml
48,890.00
3/18/2014 20:03
86,250.00
3/18/2014 20:03
120,000.00
3/18/2014 20:03
Dus @ 30 Ampul
9,720.00
3/15/2014 16:05
Vial @ 25 ml
600,000.00
3/16/2014 18:23
Dus, 1 vial @5 ml
128,000.00
4/3/2014 21:30
Dus 3 strip @ 10 Flash tablet
900.00
Dus, Botol Plastik @ 100 mL
8,000.00
ktk 10 x 10 kapsul
596.00
4/23/2013 10:24
Dus, 10 blister @ 10 kss
1,116.00
4/23/2013 10:24
Botol @60 ml
8,495.00
3/15/2014 16:05
Prefilled Syringe @ 1ml
128,000.00
5/21/2014 20:01
Boks, 6 ampul
139,500.00
4/3/2014 21:30
ktk 20 x 10 tablet
377.00
4/23/2013 10:24
545.00
4/23/2013 10:24
3/16/2014 19:08
4/3/2014 21:30
btl @ 100 ml
2,875.00
3/15/2014 16:05
Dus, botol @ 100 tablet
1,360.00
8/6/2014 18:35
Dus, 1 blister @ 1 subdermal

implant
128,779.00
3/24/2014 14:34
Vial 100mg/5ml
121,000.00
3/16/2014 18:23
Botol 10 ml
20,000.00
3/18/2014 20:03
11,813.00
3/16/2014 19:08
23,250.00
3/16/2014 19:08
KOTAK @ 1 VIAL SERBUK OBAT &

INFUSION KIT
9,200,000.00
KOTAK @ 10 ampul
22,127.00
3/15/2014 16:05
Botol @ 100
160.00
4/23/2013 10:24
KOTAK @ 10 ampul
22,127.00
7/21/2014 21:08
Dus @ 30 Ampul
2,160.00
4/23/2013 10:24
Dus, 3 strip @ 10 kapsul
1,075.00
3/18/2014 20:03
1,375.00
3/18/2014 20:03
Dus @ 10 X 10 's
348.00
3/15/2014 16:05
Dus 45 x 12 tab
235.00
4/3/2014 21:30
4/3/2014 21:30
Dus @ 10 X 10 's
612.00
3/15/2014 16:05
Box, canister 10mL
72,900.00
8/6/2014 18:35
Dus, Canister 200 dosis
117,500.00
4/3/2014 21:30
Dus 5 ampul@ 10ml
153,600.00
3/18/2014 20:03
Dus 5 ampul@ 2ml
40,697.00
3/18/2014 20:03
Dus @ 5 patch
93,000.00
4/3/2014 21:30
Dus@ 5 patch
183,600.00
3/18/2014 20:03
Dus@ 5 patch
342,000.00
3/18/2014 20:03
pfs @ 0,5 ml
400,000.00
3/16/2014 18:23
Dus @ 10 X 10 's
759.00
4/23/2013 10:24
dus @ 30 ampul
4,100.00
8/6/2014 18:35
Dus, 5 vial @ 50 mg
1,248,319.00
4/3/2014 21:30
Dus, 4 blister @ 5 tablet salut

selaput
275,000.00
4/3/2014 21:30
Dus, 5 ampul @ 1ml
55,000.00
3/16/2014 19:08
Botol
45,087.00
3/15/2014 16:05
ktk 1 x 10 kapsul
26,400.00
3/15/2014 16:05
strip
508.00
3/16/2014 18:23
DUS, 30 TABLET
518.00
3/16/2014 18:23
vial @ 1 ml
29,400.00
3/16/2014 18:23
vial @ 10 ml
35,500.00
3/16/2014 18:23
Dus, Tube 5 g
3,000.00
3/16/2014 18:23
Dus, Botol 120 Dosis Spay
112,000.00
3/18/2014 20:03
Dus, 2 flow wrap@ 5 nebules @ 1

dosis (2ml)
15,500.00
3/18/2014 20:03
Dus, 2 pfs 0.5 ml
290,000.00
3/18/2014 20:03
dus, vial @ 250 ml
972,000.00
8/6/2014 18:35
2,195.00
4/23/2013 10:24
89.00
4/23/2013 10:24
Prefilled Syringe
275,000.00
8/6/2014 18:35
Prefilled Syringe
412,500.00
8/6/2014 18:35
Prefilled Syringe
2,570,000.00
8/6/2014 18:35
Boks, 1 ampul
399,500.00
4/3/2014 21:30
295,000.00
4/3/2014 21:30
347.00
4/23/2013 10:24
Dus, 10 blister @ 10 kaptab
815.00
4/23/2013 10:24
vial
1,200,800.00
3/16/2014 18:23
Dus, 1 vial @200 mg
330,000.00
Dus, 5 ampul @ 2 ml
4,079.00
4/23/2013 10:24
Tube @ 3,5 gr
3,039.00
3/16/2014 18:23
Dus, botol plastik 5 ml
3,832.00
3/15/2014 16:05
70.00
3/15/2014 16:05
Strip
249.00
3/16/2014 18:23
Dus, 6 strip @ 10 tablet lepas

lambat
638.00
4/3/2014 21:30
1,140.00
3/15/2014 16:05
ktk 5x10 tablet
318.00
4/23/2013 10:24
ktk 5x10 tablet
523.00
4/23/2013 10:24
ktk 5x10 tablet
485.00
4/23/2013 10:24
ktk 5x10 tablet
516.00
4/23/2013 10:24
Dus 10x10
1,493.00
4/3/2014 21:30
4/3/2014 21:30
Dus 10x10
2,171.00
4/3/2014 21:30
Btl @ 30 tablet
1,800.00
3/18/2014 20:03
Glycerin 100 ml
6,400.00
3/18/2014 20:03
botol @ 500 ml
6,840.00
4/23/2013 10:24
botol @ 500 ml
6,240.00
4/23/2013 10:24
Dus, 1 syringe @ 10.8 mg
2,300,000.00
4/3/2014 21:30
840,000.00
4/3/2014 21:30
263.00
4/23/2013 10:24
Dus 5 Ampul@1mL
100,000.00
3/18/2014 20:03
71.00
4/23/2013 10:24
115.00
4/23/2013 10:24
83.00
4/23/2013 10:24
KOTAK @ 10 x 10 TAB
138.00
3/16/2014 18:23
Botol
770,000.00
3/18/2014 20:03
vial
53,400.00
7/21/2014 21:09
Dus, 1 syringe @ 0.5 mL
1,328,000.00
5/22/2014 14:25
Dus 24 tube @ 5 g
3,000.00
4/23/2013 10:24
Tube 5 gr
3,358.00
4/23/2013 10:24
box 5ampul @1 ml
5,400.00
3/18/2014 20:03
Dus, vial 10 ml
138,000.00
4/3/2014 21:30
Dus, vial 10 ml
138,000.00
4/3/2014 21:30
Dus, 1 Vial @ 5 ml
72,000.00
4/3/2014 21:30
Injeksi 100 IU/ml, penfill disposible

76,125.00
3 ml (1 box isi 5 penfill disposible)
4/3/2014 21:30
penfillcartridge @ 3ml
75,000.00
4/3/2014 21:30
Dus Isi 5 penfill/cartridge @ 3ml
76,125.00
4/3/2014 21:30

76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
Dus, vial 10 ml
138,000.00
4/3/2014 21:30
Dus, vial 10 ml
138,000.00
4/3/2014 21:30

76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
penfill cartridge @ 3ml
75,000.00
4/3/2014 21:30
Dus, vial 10 ml
138,000.00
4/3/2014 21:30
Dus, vial 10 ml
138,000.00
4/3/2014 21:30
Dus, 1 Vial @ 5 ml
72,000.00
4/3/2014 21:30
Prefilled syringe
170,000.00
8/6/2014 18:35
Dus, botol 60 ml
4,199.00
3/15/2014 16:05
Dus, botol 60 ml
5,399.00
4/23/2013 10:24
botol @ 100 tablet
132.00
4/23/2013 10:24
dus 10 X 10'S
171.00
4/23/2013 10:24
Dus, 1 vial @ 1 g
1,329,163.00
3 blister @ 10 tablet
4,690.00
3/18/2014 20:03
2,545.00
3/18/2014 20:03
Dus, botol @ 100 ml
350,000.00
4/3/2014 21:30
Dus, vial @ 30 ml
122,000.00
5/21/2014 10:06
Dus, vial @ 50 ml
166,000.00
4/3/2014 21:30
Dus, botol @ 100 ml
369,000.00
4/3/2014 21:30
Dus, vial @ 30 ml
147,000.00
5/21/2014 10:06
4/3/2014 21:30
Dus, vial @ 50 ml
199,000.00
4/3/2014 21:30
Botol
245,000.00
4/3/2014 21:30
Botol
123,200.00
4/3/2014 21:30
Botol
299,000.00
4/3/2014 21:30
Botol
150,300.00
4/3/2014 21:30
Box, canister 10mL
80,000.00
8/6/2014 18:35
1,710.00
3/15/2014 16:05
strip
2,980.00
3/15/2014 16:05
Dus, 1 vial @2 ml
510,000.00
vial
40,920.00
7/21/2014 21:09
107.00
4/23/2013 10:24
Strip
738.00
3/16/2014 18:23
1,580.00
Vial 50mg/5ml
165,000.00
Ampul
7,800.00
4/3/2014 21:30
5,880.00
3/15/2014 16:05
4/3/2014 21:30
4/3/2014 21:30
7/21/2014 21:09
3,720.00
3/15/2014 16:05
Boks, 120 tablet
27,500.00
161.00
4/23/2013 10:24
Dus @ 10 X 10 's
102.00
3/15/2014 16:05
Dus @ 10 X 10 's
73.00
3/15/2014 16:05
Dus, botol @ 120 ml
44,770.00
3/16/2014 19:30
294.00
4/23/2013 10:24
Dus,botol 100 tablet
875.00
4/3/2014 21:30
Fenol 100 mg / 1 ml
2,450.00
3/18/2014 20:03
Vial @ 10 ml
132,000.00
3/16/2014 18:23
Box isi 1 Tube @ 15 g
5,500.00
4/23/2013 10:24
tube 10 gr
3,083.00
4/23/2013 10:24
330.00
4/23/2013 10:24
dus 2 's @ 10 supp
3,266.00
7/21/2014 21:09
Dus, 6 ampul @ 1 ml
2,799.00
3/15/2014 16:05
Dus, 3 Strip @ 10 Kaplet salut

selaput
4,000.00
3/16/2014 18:23
4/3/2014 21:30
451.00
4/23/2013 10:24
678.00
4/23/2013 10:24
1,000.00
3/15/2014 16:05
Box, 10 ampoules @ 1mL
30,600.00
Ktk 10X10 TAB
221.00
4/23/2013 10:24
strip
3,990.00
3/15/2014 16:05
Tube 5 gr
1,920.00
4/23/2013 10:24
ktk 10x10 tablet
179.00
4/23/2013 10:24
Dus @ 30 Ampul
1,320.00
4/23/2013 10:24
Dus @ 30 Ampul
1,260.00
4/23/2013 10:24
KOTAK @ 5 x 10 TAB
5,000.00
4/3/2014 21:30
KOTAK @ 5 x 10 TAB
1,550.00
4/3/2014 21:30
ktk 10x10 tablet
600.00
4/23/2013 10:24
ktk 10x10 tablet
1,020.00
4/23/2013 10:24
ktk 10x10 tablet
1,320.00
4/23/2013 10:24
Botol Plastik @ 500 ml
33,000.00
7/21/2014 21:09
8/6/2014 18:35
Botol @ 60 ml
12,450.00
3/16/2014 19:08
Dus, 100 Sachet @ 30 Tablet
49.00
3/15/2014 16:05
botol 15 ml
15,750.00
4/3/2014 21:30
3,220.00
4/3/2014 21:30
Dus, botol plastik @ 30 tablet salut

8,900.00
selaput
4/3/2014 21:30
botol @ 120 tablet
6,100.00
8/6/2014 18:35
Dus, Botol 120 Dosis
108,800.00
3/18/2014 20:03
Dus, foil strip @ 60 dosis
121,000.00
3/18/2014 20:03
136,000.00
3/18/2014 20:03
166.00
3/15/2014 16:05
Botol, 60 ml
2,590.00
3/15/2014 16:05
ktk 60 tablet
804.00
4/23/2013 10:24
ktk 100 amp @ 2 ml
7,440.00
4/23/2013 10:24
ktk 10 x 10 tablet
648.00
4/23/2013 10:24
Botol 60 tablet
1,680.00
4/23/2013 10:24
Serbuk vial
82,042.00
4/3/2014 21:30
596.00
4/23/2013 10:24
70,560.00
3/18/2014 20:03
botol 500 ml
56,300.00
4/3/2014 21:30
Softbag 500 ML
56,300.00
3/18/2014 20:03
Softbag 500 ML
45,000.00
3/18/2014 20:03
Double Chamber Softbag 1000 ML
115,500.00
5/28/2014 19:25
73,920.00
5/28/2014 19:25
botol 500 mL
75,350.00
4/3/2014 21:30
Botol Gelas 100 ml
36,667.00
4/14/2014 9:16
Botol Gelas 250 ml
50,820.00
4/14/2014 9:16
Softbag 200 ML
46,000.00
4/12/2014 17:56
Softbag 500 ML
65,000.00
4/12/2014 17:56
Botol Gelas 500 ml
94,500.00
3/18/2014 20:03
botol 250 ml
51,260.00
4/3/2014 21:30
botol 500 ml
64,900.00
4/3/2014 21:30
botol 500 mL
42,000.00
4/3/2014 21:30
botol 250 mL
46,000.00
4/3/2014 21:30
Bag (3 Chamber) 1440 ml
295,240.00
4/14/2014 9:16
343,842.00
4/14/2014 9:16
Bag Double chamber (Dua

compartement), 1000 mL
322,000.00
4/3/2014 21:30
Bag Double chamber (Dua

compartement), 1000 mL
218,700.00
4/3/2014 21:30
Ampoel 25 ML
2,460.00
3/18/2014 20:03
Botol 1000 ml
8,000.00
4/3/2014 21:30
Plastic Bottle 500 ML
9,000.00
4/3/2014 21:30
9,000.00
4/3/2014 21:30
flexybag 250 mL
87,000.00
4/3/2014 21:30
LDPE (Low Density Poly Ethilene),

botol plastik
12,650.00
4/3/2014 21:30
botol 500 mL
50,500.00
4/3/2014 21:30
Flexy bag 500 mL
42,350.00
4/3/2014 21:30
35,000.00
3/18/2014 20:03
55,500.00
4/12/2014 17:56
botol 500 mL
37,500.00
4/3/2014 21:30
Botol Plastik 1000 mL
210,000.00
5/21/2014 20:01
199,000.00
4/3/2014 21:30
botol 500 mL
56,000.00
4/3/2014 21:30
Botol 500 ml
9,500.00
4/3/2014 21:30
Botol 500 ml
6,800.00
4/3/2014 21:30
Botol 500 ml
8,300.00
3/18/2014 20:03
Botol 500 ml
9,240.00
3/18/2014 20:03
Botol 500 ml
9,240.00
3/18/2014 20:03
softbag 500ml
35,750.00
4/3/2014 21:30
Botol 500 ml
6,930.00
4/3/2014 21:30
11,000.00
3/18/2014 20:03
10,000.00
4/3/2014 21:30
10,000.00
4/3/2014 21:30
20%, Botol Kaca @100 ml, single

bottle
105,500.00
4/3/2014 21:30
Botol Gelas 100 ml
60,500.00
20%, Botol Kaca @250 ml, single

bottle
210,000.00
3/18/2014 20:03
4/3/2014 21:30
Bag, 3 chamber ( 3 kompartemen),

591,000.00
1250 ml
4/3/2014 21:30

511,000.00
1250 ml
4/3/2014 21:30

358,000.00
625 ml
4/3/2014 21:30
Flexy bag 100 mL
89,800.00
4/3/2014 21:30
strip 5 x 0.6 ml
72,000.00
4/3/2014 21:30
dus, Botol @ 2,5 ml
127,000.00
8/6/2014 18:35
Dus, 1 vial @ 263 mcg + 1 prefilled

550,000.00
syringe pelarut @ 1 ml
8/6/2014 18:35
Vial
700,000.00
4/3/2014 21:30
Vial
2,700,000.00
4/3/2014 21:30
Botol @ 100 ml
47,460.00
3/15/2014 16:05
633.00
4/23/2013 10:24
Dus @ 100 Ampul
1,026.00
3/15/2014 16:05
1,635.00
4/23/2013 10:24
Dus, 10 syringe @ 10 g
40,000.00
Box ,3 Strip @ 10 tablet
720.00
4/23/2013 10:24
420.00
4/23/2013 10:24
4/3/2014 21:30
KOTAK @ 10 x 10 TAB
1,050.00
4/3/2014 21:30
KOTAK @ 10 x 10 TAB
1,850.00
4/3/2014 21:30
107.00
4/23/2013 10:24
185.00
4/23/2013 10:24
KOTAK @ 10 x 10 TAB
1,465.00
3/16/2014 18:23
ampul
60,197.00
7/21/2014 21:09
botol 500 ml
62,000.00
6/16/2014 19:59
Strip
1,400.00
3/16/2014 18:23
KOTAK @ 5 x 10 TAB
3,580.00
3/16/2014 18:23
Dus @ 5 vial
473,000.00
8/6/2014 18:35
Box, Tablet 2 mg/25's
12,210.00
4/3/2014 21:30
Box 2 Vial @ 1000mg
88,759.00
3/15/2014 16:05
Dus, 1 vial @ 0,5 g
77,990.00
7/21/2014 21:08
Dus, 15 Ampul
74,998.00
4/3/2014 21:30
Botol 1000 ml
304,920.00
3/18/2014 20:03
Dus @ 10 X 10 's
138.00
4/23/2013 10:24
ktk 10 x 10 tablet salut
185.00
4/23/2013 10:24
Dus, botol plastik @ 30 kapsul

pelepasan lambat
6,537.00
Dus, 1 Vial @125mg + 1 ampul

pelarut @ 2ml
25,500.00
7/21/2014 21:08
Dus @ 1 vial
112,074.00
7/21/2014 21:08
900.00
4/23/2013 10:24
440.00
4/23/2013 10:24
ktk 10 x 10 tablet
130.00
4/23/2013 10:24
Botol @ 100 ml
14,400.00
4/23/2013 10:24
Dus, 2 blister @ 5 suppositoria
3,715.00
3/16/2014 18:23
10 strip @ 10 tab
122.00
4/23/2013 10:24
10 strip @ 10 tab
176.00
4/23/2013 10:24
Dus @ 5 vial
1,237,500.00
5/21/2014 20:01
Boks 10 amp
6,119.00
3/16/2014 18:23
ampul
10,322.00
3/16/2014 18:23
Dus,1 vial@50mg
260,000.00
4/3/2014 21:30
Boks, 50 tablet
16,000.00
8/6/2014 18:35
4/3/2014 21:30
Tube 10 gram
3,600.00
4/23/2013 10:24
10 mg /Vial
697,000.00
4/3/2014 21:30
botol, tetes mata 3 ml
77,000.00
4/3/2014 21:30
Dus 10 amp @ 1 ml
10,080.00
3/18/2014 20:03
15,620.00
4/3/2014 21:30
22,990.00
4/3/2014 21:30
Ktk 10 ampul @ 1ML
12,599.00
3/15/2014 16:05
Botol 30 tablet
1,560.00
4/23/2013 10:24
Botol 500 ml
5,640.00
3/18/2014 20:03
Dus, 5 blister @ 2 pfs 0.3 ml
64,973.00
3/18/2014 20:03
79,968.00
3/18/2014 20:03
113,954.00
3/18/2014 20:03
Dus, 5 Ampul @ 2ml
73,900.00
3/16/2014 18:23
Ampoel 25 ML
7,440.00
3/18/2014 20:03
Dus @ 5 X 10 's
211.00
4/23/2013 10:24
Botol, 45 ml
33,900.00
5/21/2014 20:01
Tube 5 gr
6,815.00
3/16/2014 18:23
btl 60 tablet
3,360.00
4/23/2013 10:24
blister
2,999.00
3/16/2014 18:23
blister
3,500.00
3/16/2014 18:23
Dus, 10 Strip @ 10 tablet salut

selaput
140.00
3/15/2014 16:05
Dus @ 10 X 10 's
768.00
4/23/2013 10:24
Dus @ 10 X 10 's
576.00
4/23/2013 10:24
Dus 5 amp @ 8 ml
64,680.00
7/21/2014 21:09
blister
2,618.00
3/16/2014 18:23
Paket
431,990.00
4/23/2013 10:24
Paket
1,439,990.00
4/23/2013 10:24
Paket
257,990.00
4/23/2013 10:24

192,000.00
Dus, 1 dus @ 60 blister @ 8 tablet
tahap
intensif
1 + 1 Dus
Dus, 60
sachetkategori
tahap intensif
@ (1@ 345,835.00
54
blister
@
3
tablet
tahap
lanjutan
tablet Isoniazid, 2 kapsul
kategori
1 2 tablet Pyrazinamide)
Rifampicin,
206,395.00
+ 120 sachet tahap lanjutan @ (1
tablet Isoniazid, 2 kapsul
Box
,5 Strip @ 10 tablet
480.00
Rifampicin)
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
4/23/2013 10:24
800.00
4/23/2013 10:24
botol @ 10 ml
33,060.00
3/16/2014 18:23
Dus, vial @ 355m + 1 prefilled

syringe pelarut @ 2,5 ml + 2 jarum 2,950,000.00
suntik
4/3/2014 21:30
Vial
120,000.00
5/21/2014 20:01
3 X 10 fcc
7,740.00
3/16/2014 18:23
3 X 10 fcc
13,440.00
3/16/2014 18:23
Dus, 1 Vial @ 40 mg + 1 Ampul

Pelarut @ 10 ml
49,000.00
3/15/2014 16:05
dus 10 X 3'S
240.00
4/23/2013 10:24
Dus, 5 Ampul @ 2ml
2,700.00
3/15/2014 16:05
Box 3 X 10 Tab
1,090.00
3/15/2014 16:05
Box 3 X 10 Tab
1,486.00
3/15/2014 16:05
Transfer Set: Set; Ultaclam: Kantong

1,902,240.00
Plastik; Tenckoff Catheter: Box;
Titanium Adaptor: Kantong Plastik
3/15/2014 16:14
Set
Larutan Dialisa 1.5 %: 2.000 ml;
Minicap: Kantong Plastik
Dus, 15 botol
219,540.00
3/15/2014 16:14
5,522,580.00
3/16/2014 19:49
6,240.00
5/20/2014 18:46
btl @ 60 ml
1,675.00
4/23/2013 10:24
Dus, 10 Strip@10 Kaplet Salut

Selaput
96.00
4/23/2013 10:24
botol @ 15 ml
8,095.00
7/21/2014 21:09
Boks, 1 pfs
1,077,815.00
3/16/2014 19:08
Boks, 1 pfs
1,248,220.00
3/16/2014 19:08
Dus, 1 vial 100 mcg + 1 ampul

pelarut 0,7 ml + 1 syringe + 2
jarum
Dus, 1 prefilled syringe (serbuk
973,500.00
4/3/2014 21:30
injeksi 120mcg + pelarut 0.5 ml) + 1,135,000.00

1
jarum
Dus,
1 vial 50 mcg + 1 ampul
4/3/2014 21:30

jarum
Dus, 1 vial 80 mcg + 1 ampul
915,000.00
8/6/2014 18:35

jarum
915,810.00
4/3/2014 21:30
tube @ 35 gram
27,650.00
Dus, botol plastik @ 30 tablet salut

2,420.00
selaput
7/21/2014 21:09
4/3/2014 21:30
Tube @ 10 g
11,475.00
3/16/2014 19:08
Ktk 10 ampx2ml
17,400.00
3/15/2014 16:05
dus 2 blister@ 7 Tablet
4,400.00
3/16/2014 18:23
Strip
5,225.00
3/16/2014 18:23
Botol 60 ml
10,420.00
3/15/2014 16:05
362.00
3/15/2014 16:05
258.00
4/23/2013 10:24
Dus botol @ 150 tab
6,952.00
Dus, Botol @ 10ml
22,686.00
3/16/2014 18:23
botol @ 1000 ml
44,434.00
3/15/2014 16:05
botol @ 30 ml
2,590.00
3/15/2014 16:05
botol @ 300 ml
17,006.00
3/15/2014 16:05
Dus, 3 alu blister @ 10 tablet
7,200.00
3/16/2014 19:08
11,268.00
3/16/2014 19:08
2,700.00
4/23/2013 10:24
90.00
4/23/2013 10:24
Ampul
16,236.00
7/21/2014 21:09
130.00
3/15/2014 16:05
17,391.00
3/16/2014 19:08
19,500.00
3/16/2014 19:08
23,185.00
3/16/2014 19:08
1,247.00
7/21/2014 21:09
8/6/2014 18:35
Dus, 10 Strip @ 10 kaptab
690.00
4/23/2013 10:24
Dus @25 amp x 2 ml
1,680.00
4/23/2013 10:24
140.00
4/23/2013 10:24
Botol 50 kapsul lunak
312.00
3/18/2014 20:03
Botol 50 Kapsul
551.00
7/10/2014 15:53
botol 500 ml
6,240.00
4/23/2013 10:24
1,600.00
4/23/2013 10:24
KOTAK @ 5 x 10 TAB
1,101.00
4/23/2013 10:24
2,400.00
4/23/2013 10:24
Blister
23,500.00
5/21/2014 20:01
Blister
23,500.00
5/21/2014 20:01
Blister
23,500.00
5/21/2014 20:01
Dus, 7 blister @ 4 Tablet lepas

Lambat
6,297.00
3/18/2014 20:03

Lambat
7,530.00
3/18/2014 20:03

Lambat
8,860.00
3/18/2014 20:03
Dus, botol 200 dosis
76,500.00
3/18/2014 20:03
Dus, 10 Blister @ 10 Kapsul
517.00
3/18/2014 20:03
Dus, 1 Rotahaler
7,040.00
3/18/2014 20:03
strip @ 10 tablet
71.00
4/23/2013 10:24
Dus @ 10 X 10 's
108.00
4/23/2013 10:24
Pot @ 30 gram
2,400.00
3/15/2014 16:05
Dus, Botol 60 ml
5,984.00
4/23/2013 10:24
strip
616.00
4/23/2013 10:24
Dus, 10 strip @ 10 Kapsul
618.00
4/23/2013 10:24
Dus, Botol 60 ml
7,157.00
3/15/2014 16:05
Dus, 5 Strip @ 10 Kapsul
1,600.00
4/23/2013 10:24
Dus, 2 Vial @ 1 gram
19,800.00
3/15/2014 16:05
Box 2 Vial @ 1000mg
77,240.00
3/15/2014 16:05
1,100.00
4/23/2013 10:24
Dus, Botol 30 ml
10,500.00
4/23/2013 10:24
Dus, 2 vial @ 1 g
14,645.00
7/21/2014 21:08
vial
5,500.00
4/23/2013 10:24
Dus, 2 vial@ 1000 mg
5,394.00
4/23/2013 10:24
3,700.00
3/16/2014 19:08
Dus, 2 vial @ 1 g
20,472.00
4/23/2013 10:24
Dus, 2 vial @ 1 gram
5,688.00
3/15/2014 16:05
Dus, 1 Blister @ 10 Tablet salut

selaput
7,200.00
3/16/2014 18:23
strip @ 10 tab
3,960.00
7/21/2014 21:09
Box, 10 strips @ 10 capsules
211.00
3/15/2014 16:05
tabung/botol
1,320,000.00
7/21/2014 21:09
vial
307,200.00
3/16/2014 18:23
vial
98,400.00
3/16/2014 18:23
vial
144,000.00
3/16/2014 18:23
Dus, 10 blister @ 5 kapsul lunak
43,000.00
3/16/2014 19:08
12,000.00
3/16/2014 19:08
Box,3 strips @ 10 tablets
198.00
3/15/2014 16:05
Dus, 3 Strip @ 10 Kaplet salut

selaput
585.00
4/23/2013 10:24
Dus, vial @ 100 ml
24,487.00
4/23/2013 10:24
324.00
4/23/2013 10:24
dus, 1 vial @ 10 ml
575,000.00
1,799.00
4/23/2013 10:24
1,100.00
4/23/2013 10:24
400.00
4/23/2013 10:24
Vial
3,290,000.00
5/21/2014 20:01
Dus @ 56 Vial
4,380.00
4/23/2013 10:24
dus 5 amp @ dus 10
152,400.00
3/18/2014 20:03
Botol, 100 ml
19,500.00
7/21/2014 21:09
Pounch @ 5 blister @ 10 capsule
11,725.00
3/18/2014 20:03
Dus, 1 pouch @5 blister@10 kaps
21,500.00
4/3/2014 21:30
Box/ 2 blister @ 14 tablet
5,800.00
3/16/2014 19:08
Box @ 2 blister @ 14 tablet
5,800.00
3/18/2014 20:03
6,800.00
3/16/2014 19:08
28,500.00
3/16/2014 19:08
Dus, 2 alu-blister @10 tablet
3,900.00
6/27/2014 19:33
8/6/2014 18:35
Box, 2 blisters @10 tablets
6,500.00
8/6/2014 18:35
Dus, 5 sachet @ 1 kapsul
1,120,000.00
8/6/2014 18:35
223,000.00
8/6/2014 18:35
Botol 30 tab
8,100.00
6/16/2014 19:59
Dus, 2 pak @ 5 respules
6,250.00
4/3/2014 21:30
Box 50's
104.00
71,100.00
4/8/2014 18:23
6,200.00
8/6/2014 18:35
botol 5 ml
11,500.00
4/3/2014 21:30
179.00
1,135.00
563.00
3/18/2014 20:03
Dus, Botol Plastik @ 5ml
12,000.00
3/16/2014 18:23
Dus, 1 blister @10 kapsul +

handihaler
152,543.00
3/16/2014 19:08
ampul @ 2 ml
3,000.00
4/23/2013 10:24
botol, tetes mata 2,5 ml
115,000.00
3/16/2014 18:23
4/23/2013 10:24
4/3/2014 21:30
4/3/2014 21:30
Dus, botol plastik 120 dosis
90,000.00
4/3/2014 21:30
strip
490.00
4/23/2013 10:24
tube
7,680.00
3/16/2014 18:23
1 vial of 10ml (10 d's)
285,000.00
4/3/2014 21:30
Boks, 60 tablet
170,000.00
8/6/2014 18:35
botol
41,800.00
7/21/2014 21:09
Tablet
2,793.00
3/16/2014 19:08
Tablet
5,450.00
3/16/2014 19:08
3,900.00
3/16/2014 19:08
6,500.00
4/3/2014 21:30
Tablet
6,200.00
3/16/2014 19:08
Ktk 10X10 TAB
281.00
4/23/2013 10:24
Vial 10mg/10ml
295,000.00
3/16/2014 18:23
Dus, 1 vial @ 1 ml
1,229,998.00
5/21/2014 14:16
122.00
4/23/2013 10:24
Botol 60 tablet
4,115.00
3/18/2014 20:03
botol 15 ml
16,500.00
3/16/2014 18:23
Dus, botol 60 ml
8,880.00
3/16/2014 18:23
ktk 10 x 10 tablet
568.00
3/15/2014 16:05
NO
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
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Nama Obat Generik

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)
Albendazol suspensi 200 mg/5 ml
Aminofilin injeksi 24 mg/ml
Amoksisilin sirup kering 125 mg/ 5 ml
Asam Mefenamat kapsul/kaplet 500 mg
Atropin Sulfat tablet 0,5 mg
Benzatin Benzil Penisilin 2,4 juta IU/vial
Bisoprolol tablet 5 mg
Digoksin tablet 0,25 mg
Domperidon tablet 10 mg
Eritromisin kapsul/kaplet 250 mg
Eritromisin kapsul/kaplet 500 mg
Etambutol tablet 250 mg (HCl)
Etambutol tablet salut 500 mg (HCl)
Fenobarbital injeksi i.m./i.v. 50 mg/ml
Fitomenadion (Vit.K1) tablet salut gula 10 mg
Furosemid injeksi i.v./i.m. 10 mg/ml
Furosemid tablet 40 mg
Gemfibrozil kapsul/kaplet 300 mg
Gentamisin injeksi 40 mg/ ml
Glimepiride tablet 1 mg
Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril
Griseofulvin tablet 125 mg
Hidrokortison krim 2,5 %
Ibuprofen suspensi 200 mg/5 ml
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Karbamazepin tablet 200 mg
Ketokonazol krim 2%
Ketokonazol krim 2%
Ketokonazol tablet 200 mg
Klindamisin kapsul/kaplet 150 mg
Klindamisin kapsul/kaplet 300 mg
Kloramfenikol salep mata 1 %
Kodein tablet 10 mg
Kuinin (Kina) tablet 200 mg
Kuinin injeksi i.v. 25% (sebagai 2 HCl)
Kuinin tablet 222 mg (H2SO4.7H2O)

Lanzoprazol kapsul/kaplet 30 mg
Levofloksasin tablet 500 mg
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml
Lisinopril tablet 10 mg
Loratadin tablet 10 mg
Metformin HCl tablet 500 mg
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg
Metilprednisolon tablet 16 mg
Metilprednisolon tablet 8 mg
Metronidazol infus 500 mg/100 ml
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Mikonazol krim/salep 2 % (Nitrat)
Morfin tablet 10 mg
Natrium Diklofenak tablet 50 mg
Nevirapin tablet 200 mg
Nistatin tablet salut 500.000 IU/ g
Nistatin vaginal tablet 100.000 IU/ g
Obat Antituberkulosis FDC Kategori 1
Obat Antituberkulosis FDC Kategori 2
Obat Antituberkulosis FDC Kategori Anak
Obat Antituberkulosis Kategori 1 dewasa

Obat Antituberkulosis Kategori anak
Ofloxacin tablet 400 mg
Omeprazol kapsul/kaplet 20 mg
Parasetamol sirup 120 mg / 5 ml
Parasetamol tablet 500 mg
Pirazinamid tablet 500 mg
Ranitidin injeksi 25 mg/2 ml
Ranitidin tablet 150 mg
Ringer Laktat larutan infus
Risperidon tablet 2 mg
Salbutamol tablet 2 mg (sebagai Sulfat)
Salbutamol tablet 4 mg (sebagai Sulfat)
Sefadroksil sirup kering 125 mg/5ml
Sefadroksil kapsul/kaplet 250 mg
Sefadroksil kapsul/kaplet 500 mg
Sefiksim kapsul/kaplet 100 mg
Sefiksim sirup kering 100 mg/ 5 ml
Sefotaksim injeksi 0,5 g
Sefotaksim injeksi 1 g
Seftazidim injeksi 1 g
Siprofloksasin infus 2%
Siprofloksasin tablet 500 mg (sebagai HCl)

Spiramisin tablet 500 mg
Spironolakton tablet 100 mg
Spironolakton tablet 25 mg
Tetrasiklin kapsul/kaplet 250 mg
Tramadol injeksi 50 mg/ml
Vitamin B Kompleks tablet
Amitriptilin tablet salut 25 mg (HCl)
Benzatin Benzil Penisilin 1,2 juta IU/ vial
Diazepam tablet 2 mg
Diltiazem HCl tablet 30 mg
Dimenhidrinat tablet 50 mg
Fenitoin kapsul/kaplet 100 mg
Gemfibrozil tablet 600 mg
Haloperidol tablet 0,5 mg
Haloperidol tablet 5 mg
Haloperidol tablet 1,5 mg
Hidrokortison krim 1%
Kaptopril tablet 50 mg
Klonidin tablet 0,15 mg
Klorpromazin tablet salut 100 mg (HCl)
Klorpromazin injeksi i.m. 25 mg/ml (HCl)
Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)

Kodein tablet 15 mg
Kodein tablet 20 mg
Lamivudine tablet 150 mg
Lisinopril tablet 5 mg
Loperamid tablet 2 mg
Metoklopramide tablet 5 mg
Obat Antituberkulosis FDC Sisipan
Ofloxacin tablet 200 mg
Pravastatin tablet 20 mg
Propanolol tablet 10 mg ( HCl )
Ramipril tablet 5 mg
Sefaleksin kapsul/kaplet 500 mg
Simvastatin tablet 20 mg
Streptomisin serbuk injeksi i.v 1000 mg/ml
Trifluoperazin tablet 5 mg
Verapamil tablet 80 mg (HCl)
Albendazol tablet/kapsul/kaplet 400 mg

Alprazolam tablet/kapsul/kaplet 1 mg
Aminofilin tablet scored 200 mg
Amoksisilin kapsul/kaplet 250 mg
Amoksisilin kapsul/kaplet/tablet scored 500 mg
Amoksisilin sirup kering forte 250 mg/5 ml
Ampisilin serbuk injeksi i.v. 1000 mg/vial
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg
Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU/g
Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
Asam Asetilsalisilat (asetosal) tablet 100 mg
Asam Folat tablet/kapsul/kaplet 1 mg
Asam traneksamat injeksi 100 mg/ml
Azitromisin sir kering 200 mg/ 5 mL
Bedak salisil serbuk 2%
Betametason krim 0,1% (sebagai Valerat)

Deksametason injeksi i.v./i.m. 5 mg/ml
Deksametason tablet 0,5 mg
Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
Domperidon suspensi/sirup 5 mg/5 ml
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
Eritromisin sirup kering 200 mg/ 5 ml
Etanol 70% cairan
Fenitoin injeksi 50 mg/ml
Fenoksimetil penisilin (penisilin V) tablet 250 mg
Fenoksimetil penisilin (penisilin V)tablet 500 mg
Flukonazol injeksi 2 mg/ml
Flukonazol tablet/kapsul 150 mg
Gentamisin tetes mata 0,3%
Glibenklamid tablet 5 mg
Glikuidon tab 30 mg
Ibuprofen sirup 100 mg/5 ml
Irbesartan tab 150 mg
Irbesartan tab 300 mg
Kandesartan tab 16 mg
Kandesartan tab 8 mg
Kaptopril tablet scored 25 mg
Kaptopril tablet scored12,5 mg

Ketorolac injeksi 30 mg/ml
Klobazam tab 10 mg
Klopidogrel tab 75 mg
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimetoprim
80 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5
ml
Levofloksasin inf 5 mg/mL
Lidokain injeksi 2% (HCL)
Meropenem inj 1 g
Morfin injeksi i.m./s.k./i.v. 10 mg/ml
Nifedipin tablet/kapsul 10 mg
Omeprazol injeksi 40 mg/ 10 ml
ondansetron inj 4 mg/ 2 mL
Ondansetron tab 4 mg
Ondansetron tablet 8 mg
Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
Pirantel suspensi 125 mg/5 ml
Pirantel tablet score (base) 125 mg
Povidon Iodida larutan 10% 1000 ml
Propranolol tablet 40 mg (HCl)

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4%
Sefadroksil sir kering 250 mg/5 mL
Sefazolin serbuk injeksi 1 g/vial
Sefepim inj 1 g
Seftriakson serbuk injeksi 1 g/vial
Setirizin tablet 10 mg
Simvastatin scored tablet 10 mg
Zinc tablet dispersible20 mg
Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Tenckoff
Catheter, Titanium Adaptor)
Paket CAPD Pergantian Transfer Set per 6 bulan
Amikasin injeksi 250 mg/ml
Amiodaron injeksi 150 mg/3 ml
Amiodaron tablet/kaplet 200 mg
Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg
Asam pipemidat kapsul 400 mg
Asiklovir salep mata 3%
Atapulgit tablet 600 mg
Atrakurium injeksi 25 mg/2,5 ml
Bisakodil suppositoria 10 mg
Doksazosin mesilat tablet 1 mg
Doksazosin mesilat tablet 2 mg
Doksorubisin serbuk injeksi i.v. 10 mg/vial

Epirubisin serb injeksi 50 mg/25ml
Etoposid injeksi 20 mg/ml
Filgrastim inj 300 mcg/mL
Fluoksetin tablet 10 mg
Fluoksetin tablet 20 mg
Fluorourasil inj 250 mg/mL
Fluorourasil inj 500 mg/ 5 mL
Flusinolon asetonid krim 0,025%
Gemsitabin inj 1000 mg/vial
Gentamisin salep mata 0,3%
Gliklazid tab 80 mg
Haloperidol tablet 2 mg
Kalium aspartat tab 300 mg
Ketamin injeksi i.v. 100 mg/ml
Klaritromisin tab 500 mg
Lorazepam tablet 2 mg
Maprotilin HCl tab 25 mg
Maprotilin HCl tab 50 mg
Metronidazol supositoria 500 mg
Midazolam injeksi i.v. 1 mg/ml
Midazolam injeksi i.v. 5 mg/ml
Nalokson injeksi 0,4 mg/ml

Natrium fusidat salep 20 mg/g
Nifedipin tab 20 mg, slow release; oros
Nifedipin tab 30 mg, oros
Noretisteron tablet 5 mg
Oksimetazolin tetes hidung 0,025%
Olanzapin kapl salut 5 mg
Olanzapin tab 10 mg
Pioglitazon tab 15 mg
Pioglitazon tab 30 mg
Polikresulen cairan
Sefuroksim tab 500 mg
Siklofosfamid serbuk injeksi i.v. 1000 mg
Terbutalin tablet 2,5 mg
Timolol tetes mata 0,25%
Urea krim 10%
Vinblastin serbuk injeksi 10 mg
Zinc drop 10 mg/mL
Zinc sir 20 mg/5 Ml
Bromokriptin tablet 2,5 mg

Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI
Everolimus tab 0,25 mg
Everolimus tab 0,5 mg
Flufenazin injeksi i.m. 25 mg/ml
Kombinasi suspensi : Parafin + gliserin + fenolftalein
Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
Pegylated interferon alfa-2a inj 180 mcg/0,5 ml
Permetrin krim 5%
Pramipeksol tab ER 0,375 mg
Pramipeksol tab ER 0,750 mg
Quetiapin tab 200 mg
Sefpodoksim proksetil tab 100 mg
Siklosporin kaps 100 mg
Siklosporin kapsul lunak 25 mg
Tamsulosin tab 0,2 mg
Tamsulosin tab SR 0,4 mg
Telbivudin tab 600 mg

Tiotropium kaps 18 mcg + handihaller
Valproat tab SR 250 mg
Valproat tab SR 500 mg
Valsartan tab 80 mg
Verapamil tab 240 mg
Desoksimetason krim 0,25%
Karbamazepin sirup 100 mg/5 ml
Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan komposisi Larutan Dialisa
1.5 %, Larutan Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)
Adefovir Dipivoksil tablet/kaplet 10 mg
Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cartridge
(25% insulin lispro, 75% insulin lispro protamine suspension, (rDNA))
Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge
(Insulin glulisine 100 IU/ml)
(Insulin lispro (rDNA origin))
Artemether injeksi 80 mg/ml
Asam Askorbat (Vitamin C) tablet 50 mg
Beractant injeksi / suspensi 25 mg/mL
Diltiazem infus injeksi 50 mg
Diltiazem injeksi 25 mg/5 mL
Dutasterid kaps lunak 0,5 mg

Enoksaparin sodium inj 20 mg/0,2 mL
Eugenol cairan
Fenofibrat kaps 100 mg
Fenofibrat kaps 300 mg
Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml
Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml
Fentanil patch 25 mcg/jam
Fentanil patch 50 mcg/jam
Flutikason furoat intranasal spray
Flutikason propionat nebules 0,5 mg
Fondaparinuks inj 2,5 mg/0,5 mL
Gliseril trinitrat tab sublingual 0,5 mg
Gliserin lar 50%
Haloperidol inj 50 mg/mL
Halotan Inhalasi
Hiosin butilbromid injeksi 20 mg/ml
Imidapril tab 10 mg
Imidapril tab 5 mg
Karbogliserin tetes telinga 10%
Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg

Lapatinib tab 250 mg
Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2
mEq, Asetat 120 mEq)
Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 mEq)
Larutan mengandung Asam Amino (Asam amino 8%)
Larutan mengandung Elektrolit (Kalium Klorida)
Larutan mengandung Karbohidrat (Maltose 100 gr)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g)
Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Glukosa
100 gr)
Larutan mengandung Lipid (Emulsi lemak 20%)
Metadon sir 50mg/5ml
Morfin HCL inj 10 mg/ml
Nacl 0,9%
Nadroparin inj 9500 Axa/mL syringe 0,3 mL
Nadroparin inj 9500 Axa/mL, syringe 0,4 mL
Nadroparin inj 9500 Axa/mL, syringe 0,6 mL
Natrium Bikarbonat injeksi i.v 8,4%
Retinol (Vitamin A) 100.000 IU
Ropinirol Tablet Salut 2 mg

Salbutamol inhalasi/aerosol 100 mcg/dosis
Salbutamol serb inh 200 mcg/kaps
Salbutamol serb inh 200 mcg/kaps + rotahaler
Sufentanil injeksi iv, epidural 5 mcg/ml
Takrolimus kaps 0.5 mg
Tamsulosin tab 0,2 mg
Tiamazol tab 5 mg
Zidovudin 300 mg + Lamivudine 150 mg
Etonogestrel implan 68 mcg
Amfoterisin B salep mata 1%
Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge
(Insulin glargine 100 IU/ml)
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))
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge
(Insulin Aspart (Analogue))
Anastrozol tablet/kapsul/kaplet 1 mg
Asam Ibandronat injeksi 6mg/6ml
Asparaginase serbuk injeksi 10.000 UI/vial
Budesonid inhaler 200 mcg/puff, 100 dosis

Budesonid respules / cairan inhaler 0,25mg/mL
Deferipron larutan oral 100 mg/mL
Deferipron tablet 500 mg
Deferoksamin Mesilat serbuk injeksi 500 mg
Dinatrium edetat tetes mata 0,35%
Dosetaksel injeksi 20 mg/0,5 ml
Eksemestan tablet 25 mg
Epirubisin serb injeksi 10 mg/5 ml
Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml
Eritropoetin-beta inj 2000 UI/0,3 mL
Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi
Fenoksimetil penisilin (penisilin V) tab 125 mg
Fenoterol HBr inh solution 0,1%
Fentanil patch 12,5 mcg/jam
Fludarabin inj 50 mg
Fludarabin tab 10 mg
Gansiklovir serb inj 500 mg (50 mg/mL)
Gefitinib tab 250 mg
Gemsitabin inj 200 mg/vial
Gliklazid tab 30 mg
Gliseril trinitrat kaps SR 2,5 mg

Gliseril trinitrat kaps SR 5 mg
Goserelin asetat inj 10,8 mg/vial
Goserelin asetat inj 3,6 mg
Human insulin intermediate acting inj 100 UI/ml, vial (Human Insulin
(Intermediate-Acting))
Human insulin intermediate acting inj 100 UI/ml, vial (Insulin human Basal)
Human insulin intermediate acting inj 100 UI/ml, vial/cartridge disposible/penfill
cartridge
Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Human Insulin
Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin human
Basal)
Basal)
Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Human Insulin (Premix:
30% Soluble + 70 % NPH Insulin))
Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Insulin human Comb)
Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin (Premix: 30% Soluble
+ 70 % NPH Insulin))
Human insulin mix insulin inj 100 UI/ml, vial (Insulin human Comb)
Human insulin short acting inj 100 UI/ml, penfill cartridge (Human Insulin (Short
Acting))
Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Rapd)
Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Rapd)
Human insulin short acting inj 100 UI/ml, vial (Human Insulin (Short Acting))
Human insulin short acting inj 100 UI/ml, vial (Insulin human Rapd)
Human insulin short acting inj 100 UI/ml, vial/cartridge disposible/penfill
cartridge
Ifosfamid serbuk injeksi 1000 mg/vial
Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml)

Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)
Irinotekan inf 20 mg/ml
Kalium Klorida tablet 600 mg
Kalsium Glukonat injeksi i.v 10% (100 mg/ml)
Kapesitabin tab 500 mg
Karbimazol tab 5 mg
Klozapin 100 mg
Klozapin 25 mg
Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida 1,32
mg
Kombinasi: Artemether 20 mg; Lumefantrin 120 mg
Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg
Lansoprazol inj 30 mg/ml
Larutan mengandung Asam Amino (Asam Amino 10%)
Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, LOrnithine L Aspartate 8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50 gr/L)
Larutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L)
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)
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) Asam Amino (Kombinasi Asam amino 50 g/L, vitamin dan
Larutan
mengandung
elektrolit)
Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150 gr +
Asam Amino 48 gr dgn akses sentral)
Asam Amino 40 gr )
Larutan mengandung Elektrolit (Larutan Ringer Laktat)
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28
mEq)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Potassium
Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L, elektrolit)
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)
Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 g/ L +
elektrolit)
Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)
Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, Sorbitol
50 gr/L)
Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 75
gr/L, elektrolit)
Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g, glucose 33 g,
Xylitol 30 g/ L)
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)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium Chloride 9
g, air untuk injeksi ad 1000 ml)
Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi infus
per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ,
Sorbitol 50g)
Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat
2.24 gr, Dekstrosa 27 gr)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr,
KCL 0.75 gr Dekstrosa 27 gr)
Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20% 100 ml)
Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml)
Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr + Asam

Amino 71.8 gr + Lipid 50 gr dgn akses sentral)
Amino 40 gr + Lipid MCT/LCT 50 gr)
Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg Lecithins 12 gr/L, Glycerol
Ph 25 gr/L, Sodium Oleate 0.3 gr/L)
Latanoprost tetes mata 0,01%
Leuprorelin asetat inj depot 1,88 mg
Leuprorelin asetat inj depot 11,25 mg
Lidokain jeli 2%
Litium karbonat tablet 200 mg
Litium karbonat tablet 400 mg
Melfalan tablet 2 mg
Mesna inj 100 mg/mL
Metilfenidat kapsul LA 20 mg
Mikafungin Na serb inj 50 mg
Mitomisin C (crystallin) serbuk inj 10 mg/vial
Moksifloksasin tetes mata 0,5%
Morfin HCL tablet SR 10 mg
Morfin HCL tablet SR 15 mg
Oktreotid 10 mg
Pegylated Interferon alfa-2b serb inj 100 mcg
Perindoprilarginin tab 5 mg
Takrolimus kaps 1 mg
Terbutalin cairan ih 2,5 mg/mL
Tetrakain HCl tetes mata 0,5%
Tiamazol tab 10 mg
Travoprost tetes mata 0,004%
Triamsinolon asetonid nasal spray 55 mcg/puff
Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)
Valsartan tab 160 mg
Terbutalin turbu (serbuk ih) 0,50 mg
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)
Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ 14
mEq, Cl 94 mEq)
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)
Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,24
gr/l)
Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino
esensial: Asam Amino non esensial = 60 : 40)
Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr,
Lipid: 51gr dan Elektrolit (Kalori = 1000 kkal, Akses peripheral))
Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa:
130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses peripheral))
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)
Vinorelbin inj. 10 mg/ml

Eritropoetin-alfa inj 3000 UI/mL
gr/L, elektrolit)
MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial
Natrium fosfat lar oral 45 mL
Olanzapin inj 10 mg/vial
Rivaroksaban tab 10 mg
Streptokinase injeksi 1,5 juta UI/vial
Hepatitis B imunoglobulin (human)
Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan
elektrolit) 1000 ml
elektrolit) 500 ml
Efavirens tablet salut 600 mg
Manitol
Tenofovir tab 300 mg
Alteplase injeksi 50 mg/vial
Telmisartan tab 40mg
Retinol (Vitamin A) 200.000 IU kapsul lunak
Bupivakain injeksi 0,50% (HCl) + glukosa 8%
Fenitoin Na Inj 100 mg/2 ml
Meropenem serb inj 500 mg/vial
Metilprednisolon inj 125 mg/2 mL

Metilprednisolon inj 500 mg/8 mL
Sefoperazon inj 1 g
Asam Folat tablet/kapsul/kaplet 0,4 mg
Bisoprolol tablet 2,5 mg
Bleomisin serbuk injeksi 15 mg/ampul
Bupivakain injeksi 0,50% (P.V)
Daunorubisin serbuk injeksi 20 mg/vial
Heparin injeksi i.v./s.k. 5000 UI/ml
Isosorbid Dinitrat injeksi i.v 10 mg/10 ml
Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml
Ketoprofen supositoria 100 mg
Koloid HES BM 130 000 lar inf 6%
Low molecule feri sucrose inj amp 100 mg/5 mL
Norepinefrin injeksi 1 mg/ml
Parasetamol tetes 60 mg/0,6 mL
Perak sulfadiazin krim 1%
Propofol injeksi i.v., bolus 1%
Ramipril tablet 2,5 mg
Sertralin tab 50 mg
Sevofluran ih, btl

Sukralfat susp 500 mg/5 mL
Valproat sirup 250 mg/5 ml
Desogestrel tablet 75 mcg
DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate calcium
trisodium/mL
Etinilestradiol tablet 0,05 mg
Fenoterol HBr ih 100 mcg/puff
Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml
Fraksi protein plasma lar inf 5%
Gadobutrol macrocyclic 5 mg
Gadobutrol macrocyclic 7,5 mg
Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL
Human tetanus imunoglobulinn injeksi i.m. 250 UI
Ipratropium bromida inhalasi 20 mcg/semprot
Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)
Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg
Latanoprost tts mata 0,005% btl@2,5ml
Lenograstim inj 263 mcg/mL
MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/mL
Mikofenolat Mofetil 500 mg
Piridostigmin tablet salut 60 mg
Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml

Telmisartan tab 80 mg
Temozolamid kaps 100 mg
Temozolamid kaps 20 mg
Testoteron soft capsul 40 mg
Valgansiklovir tab 450 mg
Dopamin injeksi 40 mg/ml
Nama Dagang
Kemasan
n/a
1 blister@24 tablet
n/a
n/a
Dus @ 30 Ampul
n/a
n/a
btl @ 60 ml
n/a
n/a
n/a
Dus @ 10 Vial
n/a
Box 3 X 10 tab
n/a
n/a
dus 10 X 10'S
n/a
ktk 10 x 10 kapsul
n/a
n/a
ktk 20 x 10 tablet
n/a
n/a
Dus @ 30 Ampul
n/a
Dus @ 10 X 10 's
n/a
n/a
n/a
n/a
Dus, 5 ampul @ 2 ml
n/a
ktk 5x10 tablet
n/a
ktk 5x10 tablet
n/a
ktk 5x10 tablet
n/a
ktk 5x10 tablet
n/a
botol @ 500 ml
n/a
botol @ 500 ml
n/a
n/a
Tube 5 gr
n/a
Dus, botol 60 ml
n/a
botol @ 100 tablet
n/a
dus 10 X 10'S
n/a
n/a
n/a
n/a
tube 10 gr
n/a
n/a
n/a
n/a
Tube 5 gr
n/a
ktk 10x10 tablet
n/a
ktk 60 tablet
n/a
ktk 100 amp @ 2 ml
n/a
ktk 10 x 10 tablet
n/a
n/a
n/a
n/a
n/a
n/a
Dus @ 10 X 10 's
n/a
n/a
n/a
n/a
Botol @ 100 ml
n/a
10 strip @ 10 tab
n/a
10 strip @ 10 tab
n/a
Tube 10 gram
n/a
Botol 30 tablet
n/a
Dus @ 5 X 10 's
n/a
btl 60 tablet
n/a
Dus @ 10 X 10 's
n/a
Dus @ 10 X 10 's
n/a
Paket
n/a
Paket
n/a
Paket
n/a
Dus, 1 dus @ 60 blister @ 8 tablet tahap

intensif kategori 1 + 1 Dus @ 54 blister @ 3
Dus,
sachet
tahap kategori
intensif @
tablet60
tahap
lanjutan
1 (1 tablet
Isoniazid, 2 kapsul Rifampicin, 2 tablet
Pyrazinamide) + 120 sachet tahap lanjutan @
(1 tablet Isoniazid, 2 kapsul Rifampicin)
n/a
dus 10 X 3'S
n/a
btl @ 60 ml
n/a
Dus, 10 Strip@10 Kaplet Salut Selaput
n/a
n/a
Dus @25 amp x 2 ml
n/a
n/a
botol 500 ml
n/a
KOTAK @ 5 x 10 TAB
n/a
strip @ 10 tablet
n/a
Dus @ 10 X 10 's
n/a
Dus, Botol 60 ml
n/a
strip
n/a
n/a
n/a
Dus, Botol 30 ml
n/a
vial
n/a
n/a
Dus, 2 vial @ 1 g
n/a
Dus, vial @ 100 ml
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
ampul @ 2 ml
n/a
n/a
n/a
Dus @ 10 Vial
n/a
Btl 100
n/a
n/a
Btl 100 tablet
n/a
Botol @ 100
n/a
n/a
n/a
n/a
n/a
Dus 24 tube @ 5 g
n/a
n/a
Ktk 10X10 TAB
n/a
ktk 10x10 tablet
n/a
Dus @ 30 Ampul
n/a
Dus @ 30 Ampul
n/a
ktk 10x10 tablet
n/a
ktk 10x10 tablet
n/a
Botol 60 tablet
n/a
n/a
n/a
ktk 10 x 10 tablet
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Dus, 3 Strip @ 10 Kaplet salut selaput
n/a
Dus @ 56 Vial
n/a
strip
n/a
Ktk 10X10 TAB
n/a
n/a
n/a
n/a
n/a
n/a
Ktk 10x10 tablet
n/a
Botol @100 Tablet
n/a
n/a
dus 10 X 10'S
n/a
KOTAK @ 10 x 10 TAB
n/a
Dus, Botol 60 ml
n/a
Dus, 10 vial @ 1 g
n/a
n/a
btl 60 ml
n/a
Dus, 25 tube @ 5 g
n/a
ktk 10 x 10 tablet
n/a
Btl 100 tablet
n/a
Dus @ 10 X 10 's
n/a
Botol @ 100 tablet
n/a
n/a
n/a
n/a
botol @ 60 ml
n/a
ktk 2x10 tablet
n/a
Dus @ 50 gram
n/a
Tube 5 gr
n/a
n/a
n/a
Dus @ 30 Ampul
n/a
btl @ 60 ml
n/a
Dus @ 30 Ampul
n/a
Botol @60 ml
n/a
btl @ 100 ml
n/a
KOTAK @ 10 ampul
n/a
Dus @ 10 X 10 's
n/a
Dus @ 10 X 10 's
n/a
Botol
n/a
ktk 1 x 10 kapsul
n/a
n/a
n/a
n/a
Dus, botol 60 ml
n/a
n/a
strip
n/a
n/a
n/a
Dus @ 10 X 10 's
n/a
Dus @ 10 X 10 's
n/a
Dus, 6 ampul @ 1 ml
n/a
n/a
strip
n/a
n/a
n/a
Botol, 60 ml
n/a
Botol @ 100 ml
n/a
Dus @ 100 Ampul
n/a
Box 2 Vial @ 1000mg
n/a
Ktk 10 ampul @ 1ML
n/a
Dus, 10 Strip @ 10 tablet salut selaput
n/a
Dus, 1 Vial @ 40 mg + 1 Ampul Pelarut @ 10

ml
n/a
Dus, 5 Ampul @ 2ml
n/a
Box 3 X 10 Tab
n/a
Box 3 X 10 Tab
n/a
Ktk 10 ampx2ml
n/a
Botol 60 ml
n/a
n/a
botol @ 1000 ml
n/a
botol @ 30 ml
n/a
botol @ 300 ml
n/a
n/a
Pot @ 30 gram
n/a
Dus, Botol 60 ml
n/a
n/a
Box 2 Vial @ 1000mg
n/a
n/a
n/a
n/a
ktk 10 x 10 tablet
n/a
Transfer Set: Set; Ultaclam: Kantong Plastik;

Tenckoff Catheter: Box; Titanium Adaptor:
Kantong Plastik
n/a
Set
Glybotic 250 mg /ml
Vial 2 ml
Cordarone
Dus, 6 ampul @ 3 ml
Cordarone
Levopar Tablet
Urotractin 400 mg
Strip
Temiral Eye Oint
Tube 3,5 gram
Pularex
Notrixum Inj 2,5 ml
ampul @ 2,5 ml
Stolax supp
Supp
Cardura 1mg
Cardura 2mg
Doxorubicin HCl 2
mg/ml
vial @ 5 ml
Epirubisin Kalbe
Vial @ 25 ml
Posyd
Vial 100mg/5ml
Leucogen
pfs @ 0,5 ml
Foransi 10
strip
NOPRES
DUS, 30 TABLET
Curacil
vial @ 1 ml
Curacil
vial @ 10 ml
SYNARCUS
Dus, Tube 5 g
Gemzar 1000 mg
vial
Genoint Salep Mata
Tube @ 3,5 gr
Glicab
Strip
Lodomer 2
KOTAK @ 10 x 10 TAB
Kalipar
Strip
KTM
Vial @ 10 ml
ORIXAL
Merlopam 2
KOTAK @ 10 x 10 TAB
Ludios
Strip
Sandepril 50
KOTAK @ 5 x 10 TAB
Flagyl
Dormicum
Boks 10 amp
Miloz 15 Inj
ampul
Nokoba
Dus, 5 Ampul @ 2ml
Fucilex Ointment
Tube 5 gr
Adalat Oros 20 mg
blister
Adalat Oros 30 mg
blister
Primolut N
blister
Ilaidin Drops
botol @ 10 ml
Olandoz 5
3 X 10 fcc
Olandoz 10
3 X 10 fcc
Actos
Gliabetes 30 mg
Strip
Aptil
Dus, Botol @ 10ml
Zinnat 500
Dus, 1 Blister @ 10 Tablet salut selaput
Cyclovid 1000 mg
vial
Cyclovid 200 mg
vial
Cyclovid 500 mg
vial
Molasma Tablet
Box 50's
Isotic Adretor 0,25%
Soft U Derm
tube
Vinblastine
Vial 10mg/10ml
Daryazinc Drops
botol 15 ml
Zircum Kid Sirup
Dus, botol 60 ml
Dorner 20 g
Cripsa tab
Box 3 x 10'S
Symbicort Turbuhaler
160/4.5 mcg
Exjade 250 mg Tab
Exjade 500 mg Tab
D-Vit FT
Certican 0,25 mg Tab
Certican 0,5 mg Tab
Sikzonoate Injeksi
Dus, 5 ampul @ 1ml
Laxadine Emulsi 60 ml Botol @ 60 ml

Pegasys
Boks, 1 pfs
Pegasys
Boks, 1 pfs
Scabimite Cream 10
Tube @ 10 g
Sifrol ER 0,375mg
Sifrol ER 0,750mg
Seroquel XR 200 mg
Seroquel XR 300 mg
Seroquel XR 400 mg
Banadoz 100
Sandimmun Neoral
100mg Kap
Sandimmun Neoral
25mg Kap
Harnal D 0.2 mg
Disp. Tablet
Harnal OCAS 0.4 mg

Tablet
Sebivo 600 mg Tab
Spiriva 10s +
Handihaler
Dus, 1 blister @10 kapsul + handihaler
Depakote ER 250 mg
Tablet
Depakote ER 500 mg
Tablet
Diovan 80mg Tab
Isoptin 240 mg
Tablet
n/a
Larutan Dialisa 1.5%:
Dianeal
Calcium
Tegretol Low
Syrup
with
1,5%
Dextrose;
100mg/5ml, 120ml
Dianeal Low Calcium
with 2,5% Dextrose;
Larutan
HepseraDialisa 4.25%:
Dianeal Low Calcium
with 4.25% Dextrose
Humalog Mix 25

Dus, botol @ 120 ml
Larutan Dialisa 1.5 %: 2.000 ml; Larutan
Dialisa 2.5 %: 2.000 ml; Larutan Dialisa 4.25
%: 2.000 ml; Minicap: Kantong Plastik
Penfill cartridge
Apidra Solostar
100IU/ml 5pens x3ml
Humalog
Penfill cartridge
Artem
Dus 6 amp @ 1ml
n/a
n/a
Strip
Survanta
Vial
Dorner
Herbesser Powder
Injection 50mg
10 vial @ 50mg
Farmabes Injeksi 25
mg
Vial 5 mL
Herbesser CD 100
Herbesser CD 200
Avodart
Lovenox 2000 ANTI-XA dus, 2 prefilled syringe @ 0,2 ml

n/a
Botol 10 ml
n/a
n/a
n/a
Dus 5 ampul@ 10ml
n/a
Dus 5 ampul@ 2ml
Durogesic 25 MU
Matrix
Dus@ 5 patch
Durogesic 50 MU
Matrix
Dus@ 5 patch
Avamys
Flixotide Nbules
Dus, 2 flow wrap@ 5 nebules @ 1 dosis (2ml)
Arixtra
Dus, 2 pfs 0.5 ml
Nitral
Btl @ 30 tablet
Gliserin lar 50%
Glycerin 100 ml
Haldol Decanoas
Dus 5 Ampul@1mL
Halothane
Botol
n/a
box 5ampul @1 ml
Tanapress 10mg
Tanapress 5mg
Karbogliserin tetes
telinga 10%
Fenol 100 mg / 1 ml
Seretide Inhaler 50
mcg
Seretide Diskus 100

mcg
Seretide Diskus 250

mcg
Tykerb
Amiparen
Softbag 500 ML
Pan-amin G
Softbag 500 ML
Aminosteril N-Hepa
Botol Gelas 500 ml
Otsu - KCl 7,46%
Ampoel 25 ML
Martos
WIDA 2A
Botol 500 ml
WIDA D5-1/4NS
Botol 500 ml
WIDA D5-1/2NS
Botol 500 ml
KA ENMG 3
Intralipid
Botol Gelas 100 ml
n/a
Botol 1000 ml
n/a
Dus 10 amp @ 1 ml
n/a
Botol 500 ml
Fraxiparine 0.3 ml
Fraxiparine 0.4 ml
Fraxiparine 0.6 ml
Meylon
Ampoel 25 ML
n/a
Requip PD 24 Hour 2
mg
Dus, 7 blister @ 4 Tablet lepas Lambat
Requip PD 24 Hour 4
mg
Requip PD 24 Hour 8
mg
Ventolin Inhaler
Ventolin Rotacaps
Ventolin Rotahaler
Dus, 1 Rotahaler
Sufentanyl Injeksi
iv.Epidural 5 mcg / ml
dus 5 amp @ dus 10
Prograf
Harnal D
Thyrozol 5
n/a
Botol 60 tablet
Implanon
Dus, 1 blister @ 1 subdermal implant
Fungicide
tube 3.5 gr
Lantus Solostar
100IU/ml 5pens x3ml
Novomix Flexpen
Injeksi 100 IU/ml, Flexpen disposible 3 ml (1

box isi 5 flexpen disposible)
Novorapid Vial
Dus, vial 10 ml
Novorapid Flexpen

Arimidex 1 mg
Bondronat
Boks, 1 ampul
Leunase
10.000 UI/Vial
Casodex 150 mg
Casodex 50 mg
Pulmicort Turbuhaler
Pulmicort Respules
Symbicort 80/4.5 mcg Dus, 1 Turbuhaler @ 60 dosis

Ferriprox Oral Solution Dus, Botol @ 500ml
Ferriprox tablet
Desferal
E.D.T.A
botol 15 ml
n/a
Dus, 1 vial @0,5 ml+ 1 vial pelarut @1,5 ml
Aromasin
n/a
Dus, 1 vial @5 ml
D-Vit Syrup
Recormon
Boks, 6 ampul
Novoseven
KOTAK @ 1 VIAL SERBUK OBAT & INFUSION KIT
Fenocin
Dus 45 x 12 tab
Berotec Solution
Durogesic 12,5 MU
Matrix
Dus @ 5 patch
Fludara IV LYO
Dus, 5 vial @ 50 mg
Fludara Oral
Dus, 4 blister @ 5 tablet salut selaput
Cymevene
Boks, 1 ampul
Iressa 250 mg
n/a
Dus, 1 vial @200 mg
Diamicron MR 30
Dus, 6 strip @ 10 tablet lepas lambat
Nitrokaf Retard
Dus 10x10
Nitrokaf Forte
Dus 10x10
Zoladex 10,8 mg
Zoladex 3,6 mg
Insulatard Vial
Dus, vial 10 ml
Humulin N Vial
Dus, vial 10 ml
n/a
Dus, 1 Vial @ 5 ml
Insulatard Penfill
Injeksi 100 IU/ml, penfill disposible 3 ml (1 box

isi 5 penfill disposible)
Sansulin N
Humulin N Cart
Mixtard Penfill

Humulin 30/70 Cart
Mixtard Vial
Dus, vial 10 ml
Humulin 30/70 Vial
Dus, vial 10 ml
Actrapid Penfill

Humulin R Cart
Sansulin R
Actrapid Vial
Dus, vial 10 ml
Humulin R Vial
Dus, vial 10 ml
n/a
Dus, 1 Vial @ 5 ml
Holoxan injeksi 1000
Dus, 1 vial @ 1 g
Iopamiro
Dus, botol @ 100 ml
Iopamiro
Dus, vial @ 50 ml
Iopamiro
Dus, botol @ 100 ml
Iopamiro
Dus, vial @ 50 ml
Ultravist 300/100 mg
Botol
Ultravist 300/50 mg
Botol
Botol
Ultravist 370/50 mg
Botol
n/a
Dus, 1 vial @2 ml
KSR
Kalsium glukonat
Ampul
Xeloda
Boks, 120 tablet
Neo-Mercazole
n/a
KOTAK @ 5 x 10 TAB
n/a
KOTAK @ 5 x 10 TAB
Cendo Lyteers
botol 15 ml
Coartem
Stalevo
Dus, botol plastik @ 30 tablet salut selaput
Prosogan Inj.
Serbuk vial
Kalbamin
botol 500 ml
Aminofusin Hepar
botol 500 mL
Eas Pfrimer
botol 250 ml
Comafusin Hepar
botol 500 ml
Aminofusin L600
botol 500 mL
Aminofusin Paed
botol 250 mL
Combiflex Plus (790

kcal)
Bag Double chamber (Dua compartement),

1000 mL
Combiflex peri (480

kcal)

1000 mL
Wida RL
Botol 1000 ml
Asering
KA EN 1B
Totilac
flexybag 250 mL
Ringerfundin 500 mL
LDPE (Low Density Poly Ethilene), botol plastik
Triofusin 1000
botol 500 mL
Triofusin 500
Flexy bag 500 mL
Tutofusin OPS
botol 500 mL
Clinimix N9G15E
Triofusin E1000
botol 500 mL
Wida HSD
Botol 500 ml
Wida D5-NS
Botol 500 ml
Futrolit
softbag 500ml
Wida RD
Botol 500 ml
KA EN 3B
KA EN 3A
Lipofundin MCT/LCT
1% 100
20%, Botol Kaca @100 ml, single bottle
Lipofundin MCT/LCT
1% 250
Nutriflex Lipid Special

1250
Bag, 3 chamber ( 3 kompartemen), 1250 ml
Nutriflex Lipid Peri

1250

625
Ivelip
Flexy bag 100 mL
Cendo Glaopen
strip 5 x 0.6 ml
Tapros 1.88mg
Vial
Tapros 3M
Vial
Xylocaine Jelly 2%
Frimania 200
KOTAK @ 10 x 10 TAB
Frimania 400
KOTAK @ 10 x 10 TAB
Alkeran
Uromitexan injeksi.
Dus, 15 Ampul
Ritalin LA
Dus, botol plastik @ 30 kapsul pelepasan

lambat
Mycamine
Dus,1 vial@50mg
Mitomycin C
10 mg /Vial
Vigamox
MST Continus 10 mg
MST Continus 15 mg
Sandostatin LAR
Dus, vial @ 355m + 1 prefilled syringe pelarut

@ 2,5 ml + 2 jarum suntik
Pegintron Vial 100 Mcg
Dus, 1 vial 100 mcg + 1 ampul pelarut 0,7 ml

+ 1 syringe + 2 jarum
Pegintron Pen 120 Mcg
Dus, 1 prefilled syringe (serbuk injeksi 120mcg

+ pelarut 0.5 ml) + 1 jarum
Dus, 1 vial 80 mcg + 1 ampul pelarut 0,7 ml +

1 syringe + 2 jarum
Bioprexum 5 mg
Prograf
Bricasma Respules
Pantocain 0.5%
botol 5 ml
Thyrozol 10
Travatan
Nasacort AQ
Imovax Polio
DIOVAN 160 MG
Bricasma Turbuhaler
0,5 mg
Kidmin
Softbag 200 ML
Aminoleban
Softbag 500 ML
Potacol inj
Aminosteril Infant 6%
Botol Gelas 100 ml
Nephrosteril
Botol Gelas 250 ml
Kabiven 1440 ml
Kabiven 1920 ml
n/a
Dus, 15 botol
Iopamiro
Dus, vial @ 30 ml
Iopamiro
Dus, vial @ 30 ml
Navelbine injeksi 10
Dus, 1 vial @ 1 ml
Pradaxa
Pradaxa
Hemapo 3000
Clinimix N9G20E
Cardioscan KaeF
Dus @ 5 vial
Fleet Phosphosoda
Botol, 45 ml
Zyprexa IM
Vial
Xarelto 10 mg
Blister
Xarelto 15 mg
Blister
Xarelto 20 mg
Blister
Streptase
Vial
Hyperhep B
Aminofluid
Aminofluid
n/a
Botol 30 tab
n/a
botol 500 ml
n/a
Botol 30 tab
Actilyse
Dus, 1 vial@50mg + 1 vial pelarut @ 50ml
Micardis 40mg
n/a
Botol 50 Kapsul
n/a
Dus, 5 ampul @ 4 ml
n/a
KOTAK @ 10 ampul
n/a
Dus, 1 vial @ 0,5 g
n/a
Dus, 1 Vial @125mg + 1 ampul pelarut @ 2ml
n/a
Dus @ 1 vial
n/a
Dus, 2 vial @ 1 g
Zenalb
Vial 100 ml
Zenalb
Vial 50 ml
Afolat
Concor 2.5
BLEOCIN
Vial
Marcain Cairan Suntik Dus, 5 polyamp duofit@ 20 ml

DAUNOCIN
vial
Inviclot
vial
Farsorbid inj
vial
Rescuvolin inj 50 mg
Vial 50mg/5ml
Protofen Supp
dus 2 's @ 10 supp
Voluven
DIALIFER
ampul
Levosol
Dus 5 amp @ 8 ml
NAPREX DROPS
botol @ 15 ml
BURNAZIN 35 GR
tube @ 35 gram
Fresofol 1% MCT/LCT
Ampul
VIVACE 2,5mg
Fatral
strip @ 10 tab
Sojourn
tabung/botol
Ulsafate
Botol, 100 ml
Depakene
botol
Cerazette
Renalscan KaeF
Dus @ 5 vial
Lynoral
Berotec MDI
Box, canister 10mL
n/a
dus @ 30 ampul
Plasmanate
dus, vial @ 250 ml
Gadovist 5 mg
Prefilled Syringe
Gadovist 7,5 mg
Prefilled Syringe
Primovist
Prefilled Syringe
Tetagam
Prefilled syringe
Atrovent HFA
Box, canister 10mL
Catapres Injeksi
Aluvia
botol @ 120 tablet
Xalatan 0,005%
dus, Botol @ 2,5 ml
Granocyte 34 1vl HSA Dus, 1 vial @ 263 mcg + 1 prefilled syringe

Free
pelarut @ 1 ml
Bonescan KaeF
Dus @ 5 vial
Cellcept
Boks, 50 tablet
Pegintron

1 syringe + 2 jarum
Mestinon tab.60 mg
Dus botol @ 150 tab
DBL Cytarabun
dus, 1 vial @ 10 ml
Micardis 80mg
Temodal
Temodal
Andriol Testocaps
Valcyte
Boks, 60 tablet
Dopamin
Dus 5 amp @ 10 ml
Harga Satuan Terkecil (Rp) Tanggal Berlaku Harga

1,650.00
4/23/2013 10:24
4,619.00
4/23/2013 10:24
4,583.00
4/23/2013 10:24
218.00
4/23/2013 10:24
2,790.00
4/23/2013 10:24
139.00
4/23/2013 10:24
89.00
4/23/2013 10:24
16,080.00
4/23/2013 10:24
909.00
4/23/2013 10:24
119.00
4/23/2013 10:24
190.00
4/23/2013 10:24
596.00
4/23/2013 10:24
1,116.00
4/23/2013 10:24
377.00
4/23/2013 10:24
545.00
4/23/2013 10:24
2,160.00
4/23/2013 10:24
759.00
4/23/2013 10:24
2,195.00
4/23/2013 10:24
89.00
4/23/2013 10:24
347.00
4/23/2013 10:24
4,079.00
4/23/2013 10:24
318.00
4/23/2013 10:24
523.00
4/23/2013 10:24
485.00
4/23/2013 10:24
516.00
4/23/2013 10:24
6,840.00
4/23/2013 10:24
6,240.00
4/23/2013 10:24
263.00
4/23/2013 10:24
3,358.00
4/23/2013 10:24
5,399.00
4/23/2013 10:24
132.00
4/23/2013 10:24
171.00
4/23/2013 10:24
107.00
4/23/2013 10:24
294.00
4/23/2013 10:24
5,500.00
4/23/2013 10:24
3,083.00
4/23/2013 10:24
330.00
4/23/2013 10:24
451.00
4/23/2013 10:24
678.00
4/23/2013 10:24
1,920.00
4/23/2013 10:24
600.00
4/23/2013 10:24
804.00
4/23/2013 10:24
7,440.00
4/23/2013 10:24
648.00
4/23/2013 10:24
596.00
4/23/2013 10:24
633.00
4/23/2013 10:24
1,635.00
4/23/2013 10:24
720.00
4/23/2013 10:24
185.00
4/23/2013 10:24
138.00
4/23/2013 10:24
185.00
4/23/2013 10:24
900.00
4/23/2013 10:24
440.00
4/23/2013 10:24
14,400.00
4/23/2013 10:24
122.00
4/23/2013 10:24
176.00
4/23/2013 10:24
3,600.00
4/23/2013 10:24
1,560.00
4/23/2013 10:24
211.00
4/23/2013 10:24
3,360.00
4/23/2013 10:24
768.00
4/23/2013 10:24
576.00
4/23/2013 10:24
431,990.00
4/23/2013 10:24
1,439,990.00
4/23/2013 10:24
257,990.00
4/23/2013 10:24
345,835.00
4/23/2013 10:24
206,395.00
4/23/2013 10:24
800.00
4/23/2013 10:24
240.00
4/23/2013 10:24
1,675.00
4/23/2013 10:24
96.00
4/23/2013 10:24
258.00
4/23/2013 10:24
1,680.00
4/23/2013 10:24
140.00
4/23/2013 10:24
6,240.00
4/23/2013 10:24
1,101.00
4/23/2013 10:24
71.00
4/23/2013 10:24
108.00
4/23/2013 10:24
5,984.00
4/23/2013 10:24
616.00
4/23/2013 10:24
618.00
4/23/2013 10:24
1,100.00
4/23/2013 10:24
10,500.00
4/23/2013 10:24
5,500.00
4/23/2013 10:24
5,394.00
4/23/2013 10:24
20,472.00
4/23/2013 10:24
24,487.00
4/23/2013 10:24
324.00
4/23/2013 10:24
1,799.00
4/23/2013 10:24
1,100.00
4/23/2013 10:24
400.00
4/23/2013 10:24
179.00
4/23/2013 10:24
3,000.00
4/23/2013 10:24
122.00
4/23/2013 10:24
135.00
4/23/2013 10:24
11,760.00
4/23/2013 10:24
54.00
4/23/2013 10:24
160.00
4/23/2013 10:24
125.00
4/23/2013 10:24
160.00
4/23/2013 10:24
815.00
4/23/2013 10:24
71.00
4/23/2013 10:24
115.00
4/23/2013 10:24
83.00
4/23/2013 10:24
3,000.00
4/23/2013 10:24
161.00
4/23/2013 10:24
221.00
4/23/2013 10:24
179.00
4/23/2013 10:24
1,320.00
4/23/2013 10:24
1,260.00
4/23/2013 10:24
1,020.00
4/23/2013 10:24
1,320.00
4/23/2013 10:24
1,680.00
4/23/2013 10:24
420.00
4/23/2013 10:24
107.00
4/23/2013 10:24
130.00
4/23/2013 10:24
192,000.00
4/23/2013 10:24
480.00
4/23/2013 10:24
2,700.00
4/23/2013 10:24
90.00
4/23/2013 10:24
690.00
4/23/2013 10:24
1,600.00
4/23/2013 10:24
2,400.00
4/23/2013 10:24
1,600.00
4/23/2013 10:24
585.00
4/23/2013 10:24
4,380.00
4/23/2013 10:24
490.00
4/23/2013 10:24
281.00
4/23/2013 10:24
415.00
3/15/2014 16:05
100.00
3/15/2014 16:05
254.50
3/15/2014 16:05
450.00
3/15/2014 16:05
256.00
3/15/2014 16:05
280.00
3/15/2014 16:05
94.00
3/15/2014 16:05
391.00
3/15/2014 16:05
243.00
3/15/2014 16:05
288.00
3/15/2014 16:05
5,500.00
3/15/2014 16:05
6,120.00
3/15/2014 16:05
85.00
3/15/2014 16:05
2,500.00
3/15/2014 16:05
3,019.00
3/15/2014 16:05
622.00
3/15/2014 16:05
162.00
3/15/2014 16:05
127.00
3/15/2014 16:05
57.00
3/15/2014 16:05
4,000.00
3/15/2014 16:05
280.00
3/15/2014 16:05
400.00
3/15/2014 16:05
37,500.00
3/15/2014 16:05
5,400.00
3/15/2014 16:05
1,450.00
3/15/2014 16:05
1,824.00
3/15/2014 16:05
1,897.00
3/15/2014 16:05
75.00
3/15/2014 16:05
1,260.00
3/15/2014 16:05
3,833.00
3/15/2014 16:05
9,720.00
3/15/2014 16:05
8,495.00
3/15/2014 16:05
2,875.00
3/15/2014 16:05
22,127.00
3/15/2014 16:05
348.00
3/15/2014 16:05
612.00
3/15/2014 16:05
45,087.00
3/15/2014 16:05
26,400.00
3/15/2014 16:05
3,832.00
3/15/2014 16:05
70.00
3/15/2014 16:05
1,140.00
3/15/2014 16:05
4,199.00
3/15/2014 16:05
1,710.00
3/15/2014 16:05
2,980.00
3/15/2014 16:05
5,880.00
3/15/2014 16:05
3,720.00
3/15/2014 16:05
102.00
3/15/2014 16:05
73.00
3/15/2014 16:05
2,799.00
3/15/2014 16:05
1,000.00
3/15/2014 16:05
3,990.00
3/15/2014 16:05
49.00
3/15/2014 16:05
166.00
3/15/2014 16:05
2,590.00
3/15/2014 16:05
47,460.00
3/15/2014 16:05
1,026.00
3/15/2014 16:05
88,759.00
3/15/2014 16:05
12,599.00
3/15/2014 16:05
140.00
3/15/2014 16:05
49,000.00
3/15/2014 16:05
2,700.00
3/15/2014 16:05
1,090.00
3/15/2014 16:05
1,486.00
3/15/2014 16:05
17,400.00
3/15/2014 16:05
10,420.00
3/15/2014 16:05
362.00
3/15/2014 16:05
44,434.00
3/15/2014 16:05
2,590.00
3/15/2014 16:05
17,006.00
3/15/2014 16:05
130.00
3/15/2014 16:05
2,400.00
3/15/2014 16:05
7,157.00
3/15/2014 16:05
19,800.00
3/15/2014 16:05
77,240.00
3/15/2014 16:05
5,688.00
3/15/2014 16:05
211.00
3/15/2014 16:05
198.00
3/15/2014 16:05
568.00
3/15/2014 16:05
1,902,240.00
3/15/2014 16:14
219,540.00
3/15/2014 16:14
50,500.00
3/16/2014 18:23
14,400.00
3/16/2014 18:23
1,500.00
3/16/2014 18:23
1,800.00
3/16/2014 18:23
1,815.00
3/16/2014 18:23
24,750.00
3/16/2014 18:23
240.00
3/16/2014 18:23
15,662.00
3/16/2014 18:23
6,045.00
3/16/2014 18:23
3,480.00
3/16/2014 18:23
5,480.00
3/16/2014 18:23
68,750.00
3/16/2014 18:23
600,000.00
3/16/2014 18:23
121,000.00
3/16/2014 18:23
400,000.00
3/16/2014 18:23
508.00
3/16/2014 18:23
518.00
3/16/2014 18:23
29,400.00
3/16/2014 18:23
35,500.00
3/16/2014 18:23
3,000.00
3/16/2014 18:23
1,200,800.00
3/16/2014 18:23
3,039.00
3/16/2014 18:23
249.00
3/16/2014 18:23
138.00
3/16/2014 18:23
738.00
3/16/2014 18:23
132,000.00
3/16/2014 18:23
4,000.00
3/16/2014 18:23
1,465.00
3/16/2014 18:23
1,400.00
3/16/2014 18:23
3,580.00
3/16/2014 18:23
3,715.00
3/16/2014 18:23
6,119.00
3/16/2014 18:23
10,322.00
3/16/2014 18:23
73,900.00
3/16/2014 18:23
6,815.00
3/16/2014 18:23
2,999.00
3/16/2014 18:23
3,500.00
3/16/2014 18:23
2,618.00
3/16/2014 18:23
33,060.00
3/16/2014 18:23
7,740.00
3/16/2014 18:23
13,440.00
3/16/2014 18:23
4,400.00
3/16/2014 18:23
5,225.00
3/16/2014 18:23
22,686.00
3/16/2014 18:23
7,200.00
3/16/2014 18:23
307,200.00
3/16/2014 18:23
98,400.00
3/16/2014 18:23
144,000.00
3/16/2014 18:23
104.00
3/16/2014 18:23
12,000.00
3/16/2014 18:23
7,680.00
3/16/2014 18:23
295,000.00
3/16/2014 18:23
16,500.00
3/16/2014 18:23
8,880.00
3/16/2014 18:23
3,600.00
3/16/2014 19:08
247,089.00
3/16/2014 19:08
117,600.00
3/16/2014 19:08
80,000.00
3/16/2014 19:08
155,000.00
3/16/2014 19:08
900.00
3/16/2014 19:08
11,813.00
3/16/2014 19:08
23,250.00
3/16/2014 19:08
55,000.00
3/16/2014 19:08
12,450.00
3/16/2014 19:08
1,077,815.00
3/16/2014 19:08
1,248,220.00
3/16/2014 19:08
11,475.00
3/16/2014 19:08
7,200.00
3/16/2014 19:08
11,268.00
3/16/2014 19:08
17,391.00
3/16/2014 19:08
19,500.00
3/16/2014 19:08
23,185.00
3/16/2014 19:08
3,700.00
3/16/2014 19:08
43,000.00
3/16/2014 19:08
12,000.00
3/16/2014 19:08
5,800.00
3/16/2014 19:08
6,800.00
3/16/2014 19:08
28,500.00
3/16/2014 19:08
152,543.00
3/16/2014 19:08
2,793.00
3/16/2014 19:08
5,450.00
3/16/2014 19:08
3,900.00
3/16/2014 19:08
6,200.00
3/16/2014 19:08
9,983.00
3/16/2014 19:30
44,770.00
3/16/2014 19:30
5,522,580.00
3/16/2014 19:49
33,000.00
3/18/2014 20:03
117,000.00
3/18/2014 20:03
95,000.00
3/18/2014 20:03
95,000.00
3/18/2014 20:03
26,600.00
3/18/2014 20:03
114.00
3/18/2014 20:03
4,000.00
3/18/2014 20:03
3,200,000.00
3/18/2014 20:03
3,600.00
3/18/2014 20:03
140,433.00
3/18/2014 20:03
56,000.00
3/18/2014 20:03
4,400.00
3/18/2014 20:03
4,818.00
3/18/2014 20:03
8,520.00
3/18/2014 20:03
48,890.00
3/18/2014 20:03
86,250.00
3/18/2014 20:03
120,000.00
3/18/2014 20:03
20,000.00
3/18/2014 20:03
1,075.00
3/18/2014 20:03
1,375.00
3/18/2014 20:03
153,600.00
3/18/2014 20:03
40,697.00
3/18/2014 20:03
183,600.00
3/18/2014 20:03
342,000.00
3/18/2014 20:03
112,000.00
3/18/2014 20:03
15,500.00
3/18/2014 20:03
290,000.00
3/18/2014 20:03
1,800.00
3/18/2014 20:03
6,400.00
3/18/2014 20:03
100,000.00
3/18/2014 20:03
770,000.00
3/18/2014 20:03
5,400.00
3/18/2014 20:03
4,690.00
3/18/2014 20:03
2,545.00
3/18/2014 20:03
2,450.00
3/18/2014 20:03
108,800.00
3/18/2014 20:03
121,000.00
3/18/2014 20:03
136,000.00
3/18/2014 20:03
70,560.00
3/18/2014 20:03
56,300.00
3/18/2014 20:03
45,000.00
3/18/2014 20:03
94,500.00
3/18/2014 20:03
2,460.00
3/18/2014 20:03
35,000.00
3/18/2014 20:03
8,300.00
3/18/2014 20:03
9,240.00
3/18/2014 20:03
9,240.00
3/18/2014 20:03
11,000.00
3/18/2014 20:03
60,500.00
3/18/2014 20:03
304,920.00
3/18/2014 20:03
10,080.00
3/18/2014 20:03
5,640.00
3/18/2014 20:03
64,973.00
3/18/2014 20:03
79,968.00
3/18/2014 20:03
113,954.00
3/18/2014 20:03
7,440.00
3/18/2014 20:03
312.00
3/18/2014 20:03
6,297.00
3/18/2014 20:03
7,530.00
3/18/2014 20:03
8,860.00
3/18/2014 20:03
76,500.00
3/18/2014 20:03
517.00
3/18/2014 20:03
7,040.00
3/18/2014 20:03
152,400.00
3/18/2014 20:03
11,725.00
3/18/2014 20:03
5,800.00
3/18/2014 20:03
563.00
3/18/2014 20:03
4,115.00
3/18/2014 20:03
128,779.00
3/24/2014 14:34
18,500.00
4/3/2014 21:30
85,000.00
4/3/2014 21:30
106,000.00
4/3/2014 21:30
200,000.00
4/3/2014 21:30
85,345.00
4/3/2014 21:30
32,000.00
4/3/2014 21:30
2,209,000.00
4/3/2014 21:30
1,039,500.00
4/3/2014 21:30
72,400.00
4/3/2014 21:30
45,000.00
4/3/2014 21:30
93,000.00
4/3/2014 21:30
8,900.00
4/3/2014 21:30
110,500.00
4/3/2014 21:30
2,600,000.00
4/3/2014 21:30
25,300.00
4/3/2014 21:30
112,000.00
4/3/2014 21:30
37,500.00
4/3/2014 21:30
970,200.00
4/3/2014 21:30
42,600.00
4/3/2014 21:30
128,000.00
4/3/2014 21:30
8,000.00
4/3/2014 21:30
139,500.00
4/3/2014 21:30
9,200,000.00
4/3/2014 21:30
235.00
4/3/2014 21:30
117,500.00
4/3/2014 21:30
93,000.00
4/3/2014 21:30
1,248,319.00
4/3/2014 21:30
275,000.00
4/3/2014 21:30
399,500.00
4/3/2014 21:30
295,000.00
4/3/2014 21:30
330,000.00
4/3/2014 21:30
638.00
4/3/2014 21:30
1,493.00
4/3/2014 21:30
2,171.00
4/3/2014 21:30
2,300,000.00
4/3/2014 21:30
840,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
75,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
75,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
1,329,163.00
4/3/2014 21:30
350,000.00
4/3/2014 21:30
166,000.00
4/3/2014 21:30
369,000.00
4/3/2014 21:30
199,000.00
4/3/2014 21:30
245,000.00
4/3/2014 21:30
123,200.00
4/3/2014 21:30
299,000.00
4/3/2014 21:30
150,300.00
4/3/2014 21:30
510,000.00
4/3/2014 21:30
1,580.00
4/3/2014 21:30
7,800.00
4/3/2014 21:30
27,500.00
4/3/2014 21:30
875.00
4/3/2014 21:30
5,000.00
4/3/2014 21:30
1,550.00
4/3/2014 21:30
15,750.00
4/3/2014 21:30
3,220.00
4/3/2014 21:30
8,900.00
4/3/2014 21:30
82,042.00
4/3/2014 21:30
56,300.00
4/3/2014 21:30
75,350.00
4/3/2014 21:30
51,260.00
4/3/2014 21:30
64,900.00
4/3/2014 21:30
42,000.00
4/3/2014 21:30
46,000.00
4/3/2014 21:30
322,000.00
4/3/2014 21:30
218,700.00
4/3/2014 21:30
8,000.00
4/3/2014 21:30
9,000.00
4/3/2014 21:30
9,000.00
4/3/2014 21:30
87,000.00
4/3/2014 21:30
12,650.00
4/3/2014 21:30
50,500.00
4/3/2014 21:30
42,350.00
4/3/2014 21:30
37,500.00
4/3/2014 21:30
199,000.00
4/3/2014 21:30
56,000.00
4/3/2014 21:30
9,500.00
4/3/2014 21:30
6,800.00
4/3/2014 21:30
35,750.00
4/3/2014 21:30
6,930.00
4/3/2014 21:30
10,000.00
4/3/2014 21:30
10,000.00
4/3/2014 21:30
105,500.00
4/3/2014 21:30
210,000.00
4/3/2014 21:30
591,000.00
4/3/2014 21:30
511,000.00
4/3/2014 21:30
358,000.00
4/3/2014 21:30
89,800.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
700,000.00
4/3/2014 21:30
2,700,000.00
4/3/2014 21:30
40,000.00
4/3/2014 21:30
1,050.00
4/3/2014 21:30
1,850.00
4/3/2014 21:30
12,210.00
4/3/2014 21:30
74,998.00
4/3/2014 21:30
6,537.00
4/3/2014 21:30
260,000.00
4/3/2014 21:30
697,000.00
4/3/2014 21:30
77,000.00
4/3/2014 21:30
15,620.00
4/3/2014 21:30
22,990.00
4/3/2014 21:30
2,950,000.00
4/3/2014 21:30
973,500.00
4/3/2014 21:30
1,135,000.00
4/3/2014 21:30
915,810.00
4/3/2014 21:30
2,420.00
4/3/2014 21:30
21,500.00
4/3/2014 21:30
6,250.00
4/3/2014 21:30
11,500.00
4/3/2014 21:30
1,135.00
4/3/2014 21:30
115,000.00
4/3/2014 21:30
90,000.00
4/3/2014 21:30
285,000.00
4/3/2014 21:30
6,500.00
4/3/2014 21:30
71,100.00
4/8/2014 18:23
46,000.00
4/12/2014 17:56
65,000.00
4/12/2014 17:56
55,500.00
4/12/2014 17:56
36,667.00
4/14/2014 9:16
50,820.00
4/14/2014 9:16
295,240.00
4/14/2014 9:16
343,842.00
4/14/2014 9:16
6,240.00
5/20/2014 18:46
122,000.00
5/21/2014 10:06
147,000.00
5/21/2014 10:06
1,229,998.00
5/21/2014 14:16
12,936.00
5/21/2014 20:01
12,936.00
5/21/2014 20:01
128,000.00
5/21/2014 20:01
210,000.00
5/21/2014 20:01
1,237,500.00
5/21/2014 20:01
33,900.00
5/21/2014 20:01
120,000.00
5/21/2014 20:01
23,500.00
5/21/2014 20:01
23,500.00
5/21/2014 20:01
23,500.00
5/21/2014 20:01
3,290,000.00
5/21/2014 20:01
1,328,000.00
5/22/2014 14:25
115,500.00
5/28/2014 19:25
73,920.00
5/28/2014 19:25
6,375.00
6/16/2014 19:59
62,000.00
6/16/2014 19:59
8,100.00
6/16/2014 19:59
3,800,000.00
6/27/2014 19:33
3,900.00
6/27/2014 19:33
551.00
7/10/2014 15:53
30,720.00
7/21/2014 21:08
22,127.00
7/21/2014 21:08
77,990.00
7/21/2014 21:08
25,500.00
7/21/2014 21:08
112,074.00
7/21/2014 21:08
14,645.00
7/21/2014 21:08
900,000.00
7/21/2014 21:09
414,000.00
7/21/2014 21:09
115.00
7/21/2014 21:09
746.00
7/21/2014 21:09
366,000.00
7/21/2014 21:09
32,000.00
7/21/2014 21:09
330,000.00
7/21/2014 21:09
53,400.00
7/21/2014 21:09
40,920.00
7/21/2014 21:09
165,000.00
7/21/2014 21:09
3,266.00
7/21/2014 21:09
33,000.00
7/21/2014 21:09
60,197.00
7/21/2014 21:09
64,680.00
7/21/2014 21:09
8,095.00
7/21/2014 21:09
27,650.00
7/21/2014 21:09
16,236.00
7/21/2014 21:09
1,247.00
7/21/2014 21:09
3,960.00
7/21/2014 21:09
1,320,000.00
7/21/2014 21:09
19,500.00
7/21/2014 21:09
41,800.00
7/21/2014 21:09
70,000.00
8/6/2014 18:35
455,000.00
8/6/2014 18:35
1,360.00
8/6/2014 18:35
72,900.00
8/6/2014 18:35
4,100.00
8/6/2014 18:35
972,000.00
8/6/2014 18:35
275,000.00
8/6/2014 18:35
412,500.00
8/6/2014 18:35
2,570,000.00
8/6/2014 18:35
170,000.00
8/6/2014 18:35
80,000.00
8/6/2014 18:35
30,600.00
8/6/2014 18:35
6,100.00
8/6/2014 18:35
127,000.00
8/6/2014 18:35
550,000.00
8/6/2014 18:35
473,000.00
8/6/2014 18:35
16,000.00
8/6/2014 18:35
915,000.00
8/6/2014 18:35
6,952.00
8/6/2014 18:35
575,000.00
8/6/2014 18:35
6,500.00
8/6/2014 18:35
1,120,000.00
8/6/2014 18:35
223,000.00
8/6/2014 18:35
6,200.00
8/6/2014 18:35
170,000.00
8/6/2014 18:35
11,760.00
8/13/2014 2:04
NO
Nama Obat Generik
1 ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)

2 Albendazol suspensi 200 mg/5 ml
3 Aminofilin injeksi 24 mg/ml
4 Amlodipin tablet 5 mg
5 Amoksisilin sirup kering 125 mg/ 5 ml
6 Asam Mefenamat kapsul/kaplet 500 mg
7 Atropin Sulfat tablet 0,5 mg
8 Benzatin Benzil Penisilin 2,4 juta IU/vial
9 Bisoprolol tablet 5 mg
10 Digoksin tablet 0,25 mg
11 Domperidon tablet 10 mg
12 Eritromisin kapsul/kaplet 250 mg
13 Eritromisin kapsul/kaplet 500 mg
14 Etambutol tablet 250 mg (HCl)
15 Etambutol tablet salut 500 mg (HCl)
16 Fenobarbital injeksi i.m./i.v. 50 mg/ml
17 Fitomenadion (Vit.K1) tablet salut gula 10 mg
18 Furosemid injeksi i.v./i.m. 10 mg/ml
19 Furosemid tablet 40 mg
20 Gemfibrozil kapsul/kaplet 300 mg
21 Gentamisin injeksi 40 mg/ ml
22 Glimepiride tablet 1 mg
26 Glukosa larutan infus 10 % steril
27 Glukosa larutan infus 5 % steril
28 Griseofulvin tablet 125 mg
29 Hidrokortison krim 2,5 %
30 Ibuprofen suspensi 200 mg/5 ml
31 Ibuprofen tablet 200 mg
32 Ibuprofen tablet 400 mg
33 Isosorbid Dinitrat tablet sublingual 5 mg
34 Karbamazepin tablet 200 mg
35 Ketokonazol krim 2%
36 Ketokonazol krim 2%
37 Ketokonazol tablet 200 mg
38 Klindamisin kapsul/kaplet 150 mg
39 Klindamisin kapsul/kaplet 300 mg
40 Kloramfenikol salep mata 1 %
41 Kodein tablet 10 mg
42 Kuinin (Kina) tablet 200 mg
43 Kuinin injeksi i.v. 25% (sebagai 2 HCl)
44 Kuinin tablet 222 mg (H2SO4.7H2O)

45 Lanzoprazol kapsul/kaplet 30 mg
46 Levofloksasin tablet 500 mg
47 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml
48 Lisinopril tablet 10 mg
49 Loratadin tablet 10 mg
50 Metformin HCl tablet 500 mg
51 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg
52 Metilprednisolon tablet 16 mg
53 Metilprednisolon tablet 8 mg
54 Metronidazol infus 500 mg/100 ml
55 Metronidazol tablet 250 mg
56 Metronidazol tablet 500 mg
57 Mikonazol krim/salep 2 % (Nitrat)
58 Morfin tablet 10 mg
59 Natrium Diklofenak tablet 50 mg
60 Nevirapin tablet 200 mg
61 Nistatin tablet salut 500.000 IU/ g
62 Nistatin vaginal tablet 100.000 IU/ g
63 Obat Antituberkulosis FDC Kategori 1
64 Obat Antituberkulosis FDC Kategori 2
65 Obat Antituberkulosis FDC Kategori Anak
66 Obat Antituberkulosis Kategori 1 dewasa

67 Obat Antituberkulosis Kategori anak
68 Ofloxacin tablet 400 mg
69 Omeprazol kapsul/kaplet 20 mg
70 Parasetamol sirup 120 mg / 5 ml
71 Parasetamol tablet 500 mg
72 Pirazinamid tablet 500 mg
73 Ranitidin injeksi 25 mg/2 ml
74 Ranitidin tablet 150 mg
75 Ringer Laktat larutan infus
76 Risperidon tablet 2 mg
77 Salbutamol tablet 2 mg (sebagai Sulfat)
78 Salbutamol tablet 4 mg (sebagai Sulfat)
79 Sefadroksil sirup kering 125 mg/5ml
80 Sefadroksil kapsul/kaplet 250 mg
81 Sefadroksil kapsul/kaplet 500 mg
82 Sefiksim kapsul/kaplet 100 mg
83 Sefiksim sirup kering 100 mg/ 5 ml
84 Sefotaksim injeksi 0,5 g
85 Sefotaksim injeksi 1 g
86 Seftazidim injeksi 1 g
87 Siprofloksasin infus 2%
88 Siprofloksasin tablet 500 mg (sebagai HCl)

89 Spiramisin tablet 500 mg
90 Spironolakton tablet 100 mg
91 Spironolakton tablet 25 mg
92 Tetrasiklin kapsul/kaplet 250 mg
93 Tramadol injeksi 50 mg/ml
94 Vitamin B Kompleks tablet
95 Amitriptilin tablet salut 25 mg (HCl)
96 Benzatin Benzil Penisilin 1,2 juta IU/ vial
97 Diazepam tablet 2 mg
98 Diltiazem HCl tablet 30 mg
99 Dimenhidrinat tablet 50 mg
100 Fenitoin kapsul/kaplet 100 mg
101 Gemfibrozil tablet 600 mg
102 Haloperidol tablet 0,5 mg
103 Haloperidol tablet 5 mg
104 Haloperidol tablet 1,5 mg
105 Hidrokortison krim 1%
106 Kaptopril tablet 50 mg
107 Klonidin tablet 0,15 mg
108 Klorpromazin tablet salut 100 mg (HCl)
109 Klorpromazin injeksi i.m. 25 mg/ml (HCl)
110 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)

113 Lamivudine tablet 150 mg
114 Lisinopril tablet 5 mg
115 Loperamid tablet 2 mg
116 Metoklopramide tablet 5 mg
117 Obat Antituberkulosis FDC Sisipan
118 Ofloxacin tablet 200 mg
119 Pravastatin tablet 20 mg
120 Propanolol tablet 10 mg ( HCl )
121 Ramipril tablet 5 mg
124 Sefaleksin kapsul/kaplet 500 mg
125 Simvastatin tablet 20 mg
126 Streptomisin serbuk injeksi i.v 1000 mg/ml
127 Trifluoperazin tablet 5 mg
128 Verapamil tablet 80 mg (HCl)
Nama Dagang
Kemasan
n/a
1 blister@24 tablet
n/a
n/a
Dus @ 30 Ampul
n/a
n/a
btl @ 60 ml
n/a
n/a
n/a
Dus @ 10 Vial
n/a
Box 3 X 10 tab
n/a
n/a
dus 10 X 10'S
n/a
ktk 10 x 10 kapsul
n/a
n/a
ktk 20 x 10 tablet
n/a
n/a
Dus @ 30 Ampul
n/a
Dus @ 10 X 10 's
n/a
n/a
n/a
n/a
Dus, 5 ampul @ 2 ml
n/a
ktk 5x10 tablet
n/a
ktk 5x10 tablet
n/a
ktk 5x10 tablet
n/a
ktk 5x10 tablet
n/a
botol @ 500 ml
n/a
botol @ 500 ml
n/a
n/a
Tube 5 gr
n/a
Dus, botol 60 ml
n/a
botol @ 100 tablet
n/a
dus 10 X 10'S
n/a
n/a
n/a
n/a
tube 10 gr
n/a
n/a
n/a
n/a
Tube 5 gr
n/a
ktk 10x10 tablet
n/a
ktk 60 tablet
n/a
ktk 100 amp @ 2 ml
n/a
ktk 10 x 10 tablet
n/a
n/a
n/a
n/a
n/a
n/a
Dus @ 10 X 10 's
n/a
n/a
n/a
n/a
Botol @ 100 ml
n/a
10 strip @ 10 tab
n/a
10 strip @ 10 tab
n/a
Tube 10 gram
n/a
Botol 30 tablet
n/a
Dus @ 5 X 10 's
n/a
btl 60 tablet
n/a
Dus @ 10 X 10 's
n/a
Dus @ 10 X 10 's
n/a
Paket
n/a
Paket
n/a
Paket
n/a
Dus, 1 dus @ 60 blister @ 8 tablet tahap

intensif kategori 1 + 1 Dus @ 54 blister @ 3
Dus,
sachet
tahap kategori
intensif @
tablet60
tahap
lanjutan
1 (1 tablet
Isoniazid, 2 kapsul Rifampicin, 2 tablet
Pyrazinamide) + 120 sachet tahap lanjutan @
(1 tablet Isoniazid, 2 kapsul Rifampicin)
n/a
dus 10 X 3'S
n/a
btl @ 60 ml
n/a
Dus, 10 Strip@10 Kaplet Salut Selaput
n/a
n/a
Dus @25 amp x 2 ml
n/a
n/a
botol 500 ml
n/a
KOTAK @ 5 x 10 TAB
n/a
strip @ 10 tablet
n/a
Dus @ 10 X 10 's
n/a
Dus, Botol 60 ml
n/a
strip
n/a
n/a
n/a
Dus, Botol 30 ml
n/a
vial
n/a
n/a
Dus, 2 vial @ 1 g
n/a
Dus, vial @ 100 ml
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
ampul @ 2 ml
n/a
n/a
n/a
Dus @ 10 Vial
n/a
Btl 100
n/a
n/a
Btl 100 tablet
n/a
Botol @ 100
n/a
n/a
n/a
n/a
n/a
Dus 24 tube @ 5 g
n/a
n/a
Ktk 10X10 TAB
n/a
ktk 10x10 tablet
n/a
Dus @ 30 Ampul
n/a
Dus @ 30 Ampul
n/a
ktk 10x10 tablet
n/a
ktk 10x10 tablet
n/a
Botol 60 tablet
n/a
n/a
n/a
ktk 10 x 10 tablet
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Dus @ 56 Vial
n/a
strip
n/a
Ktk 10X10 TAB

1,650.00
4/23/2013 10:24
4,619.00
4/23/2013 10:24
4,583.00
4/23/2013 10:24
218.00
4/23/2013 10:24
2,790.00
4/23/2013 10:24
139.00
4/23/2013 10:24
89.00
4/23/2013 10:24
16,080.00
4/23/2013 10:24
909.00
4/23/2013 10:24
119.00
4/23/2013 10:24
190.00
4/23/2013 10:24
596.00
4/23/2013 10:24
1,116.00
4/23/2013 10:24
377.00
4/23/2013 10:24
545.00
4/23/2013 10:24
2,160.00
4/23/2013 10:24
759.00
4/23/2013 10:24
2,195.00
4/23/2013 10:24
89.00
4/23/2013 10:24
347.00
4/23/2013 10:24
4,079.00
4/23/2013 10:24
318.00
4/23/2013 10:24
523.00
4/23/2013 10:24
485.00
4/23/2013 10:24
516.00
4/23/2013 10:24
6,840.00
4/23/2013 10:24
6,240.00
4/23/2013 10:24
263.00
4/23/2013 10:24
3,358.00
4/23/2013 10:24
5,399.00
4/23/2013 10:24
132.00
4/23/2013 10:24
171.00
4/23/2013 10:24
107.00
4/23/2013 10:24
294.00
4/23/2013 10:24
5,500.00
4/23/2013 10:24
3,083.00
4/23/2013 10:24
330.00
4/23/2013 10:24
451.00
4/23/2013 10:24
678.00
4/23/2013 10:24
1,920.00
4/23/2013 10:24
600.00
4/23/2013 10:24
804.00
4/23/2013 10:24
7,440.00
4/23/2013 10:24
648.00
4/23/2013 10:24
596.00
4/23/2013 10:24
633.00
4/23/2013 10:24
1,635.00
4/23/2013 10:24
720.00
4/23/2013 10:24
185.00
4/23/2013 10:24
138.00
4/23/2013 10:24
185.00
4/23/2013 10:24
900.00
4/23/2013 10:24
440.00
4/23/2013 10:24
14,400.00
4/23/2013 10:24
122.00
4/23/2013 10:24
176.00
4/23/2013 10:24
3,600.00
4/23/2013 10:24
1,560.00
4/23/2013 10:24
211.00
4/23/2013 10:24
3,360.00
4/23/2013 10:24
768.00
4/23/2013 10:24
576.00
4/23/2013 10:24
431,990.00
4/23/2013 10:24
1,439,990.00
4/23/2013 10:24
257,990.00
4/23/2013 10:24
345,835.00
4/23/2013 10:24
206,395.00
4/23/2013 10:24
800.00
4/23/2013 10:24
240.00
4/23/2013 10:24
1,675.00
4/23/2013 10:24
96.00
4/23/2013 10:24
258.00
4/23/2013 10:24
1,680.00
4/23/2013 10:24
140.00
4/23/2013 10:24
6,240.00
4/23/2013 10:24
1,101.00
4/23/2013 10:24
71.00
4/23/2013 10:24
108.00
4/23/2013 10:24
5,984.00
4/23/2013 10:24
616.00
4/23/2013 10:24
618.00
4/23/2013 10:24
1,100.00
4/23/2013 10:24
10,500.00
4/23/2013 10:24
5,500.00
4/23/2013 10:24
5,394.00
4/23/2013 10:24
20,472.00
4/23/2013 10:24
24,487.00
4/23/2013 10:24
324.00
4/23/2013 10:24
1,799.00
4/23/2013 10:24
1,100.00
4/23/2013 10:24
400.00
4/23/2013 10:24
179.00
4/23/2013 10:24
3,000.00
4/23/2013 10:24
122.00
4/23/2013 10:24
135.00
4/23/2013 10:24
11,760.00
4/23/2013 10:24
54.00
4/23/2013 10:24
160.00
4/23/2013 10:24
125.00
4/23/2013 10:24
160.00
4/23/2013 10:24
815.00
4/23/2013 10:24
71.00
4/23/2013 10:24
115.00
4/23/2013 10:24
83.00
4/23/2013 10:24
3,000.00
4/23/2013 10:24
161.00
4/23/2013 10:24
221.00
4/23/2013 10:24
179.00
4/23/2013 10:24
1,320.00
4/23/2013 10:24
1,260.00
4/23/2013 10:24
1,020.00
4/23/2013 10:24
1,320.00
4/23/2013 10:24
1,680.00
4/23/2013 10:24
420.00
4/23/2013 10:24
107.00
4/23/2013 10:24
130.00
4/23/2013 10:24
192,000.00
4/23/2013 10:24
480.00
4/23/2013 10:24
2,700.00
4/23/2013 10:24
90.00
4/23/2013 10:24
690.00
4/23/2013 10:24
1,600.00
4/23/2013 10:24
2,400.00
4/23/2013 10:24
1,600.00
4/23/2013 10:24
585.00
4/23/2013 10:24
4,380.00
4/23/2013 10:24
490.00
4/23/2013 10:24
281.00
4/23/2013 10:24
NO
Nama Obat Generik
1 Albendazol tablet/kapsul/kaplet 400 mg

2 Alopurinol tablet/kapsul/kaplet 100 mg
3 Alopurinol tablet/kapsul/kaplet 300 mg
4 Alprazolam tablet/kapsul/kaplet 0,25 mg
5 Alprazolam tablet/kapsul/kaplet 0,5 mg
6 Alprazolam tablet/kapsul/kaplet 1 mg
7 Aminofilin tablet scored 200 mg
8 Amlodipin tablet 10 mg
9 Amoksisilin kapsul/kaplet 250 mg
10 Amoksisilin kapsul/kaplet/tablet scored 500 mg
11 Amoksisilin sirup kering forte 250 mg/5 ml
12 Ampisilin serbuk injeksi i.v. 1000 mg/vial
13
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg

Magnesium Hidroksida 200 mg
14
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml

Magnesium Hidroksida 200 mg/5 ml
15 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU/g
16 Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg
17 Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
18 Asam Asetilsalisilat (asetosal) tablet 100 mg
19 Asam Folat tablet/kapsul/kaplet 1 mg
20 Asam traneksamat injeksi 100 mg/ml
21 Asiklovir tablet/kapsul/kaplet 200 mg
22 Asiklovir tablet/kapsul/kaplet 400 mg

23 Azitromisin sir kering 200 mg/ 5 mL
24 Azitromisin tablet 500 mg
25 Bedak salisil serbuk 2%
26 Betametason krim 0,1% (sebagai Valerat)
27 Deksametason injeksi i.v./i.m. 5 mg/ml
28 Deksametason tablet 0,5 mg
29 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
30 Domperidon suspensi/sirup 5 mg/5 ml
31 Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml
32 Eritromisin sirup kering 200 mg/ 5 ml
33 Etanol 70% cairan
34 Fenitoin injeksi 50 mg/ml
35 Fenoksimetil penisilin (penisilin V) tablet 250 mg
36 Fenoksimetil penisilin (penisilin V)tablet 500 mg
37 Flukonazol injeksi 2 mg/ml
38 Flukonazol tablet/kapsul 150 mg
39 Gentamisin tetes mata 0,3%
40 Glibenklamid tablet 5 mg
41 Glikuidon tab 30 mg
42 Ibuprofen sirup 100 mg/5 ml
43 Irbesartan tab 150 mg
44 Irbesartan tab 300 mg

45 Kandesartan tab 16 mg
46 Kandesartan tab 8 mg
47 Kaptopril tablet scored 25 mg
48 Kaptopril tablet scored12,5 mg
49 Ketorolac injeksi 30 mg/ml
50 Klobazam tab 10 mg
51 Klopidogrel tab 75 mg
52 Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg
53
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimetoprim

80 mg
54
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5

ml
55 Levofloksasin inf 5 mg/mL

56 Lidokain injeksi 2% (HCL)
57 Meropenem inj 1 g
58 Morfin injeksi i.m./s.k./i.v. 10 mg/ml
59 Nifedipin tablet/kapsul 10 mg
60 Omeprazol injeksi 40 mg/ 10 ml
61 ondansetron inj 4 mg/ 2 mL
62 Ondansetron tab 4 mg
63 Ondansetron tablet 8 mg
64 Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)
65 Pirantel suspensi 125 mg/5 ml
66 Pirantel tablet score (base) 125 mg

67 Povidon Iodida larutan 10% 1000 ml
70 Propranolol tablet 40 mg (HCl)
71 Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4%
72 Sefadroksil sir kering 250 mg/5 mL
73 Sefazolin serbuk injeksi 1 g/vial
74 Sefepim inj 1 g
75 Seftriakson serbuk injeksi 1 g/vial
76 Setirizin tablet 10 mg
77 Simvastatin scored tablet 10 mg
78 Zinc tablet dispersible20 mg
79
Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Tenckoff
Catheter, Titanium Adaptor)
80 Paket CAPD Pergantian Transfer Set per 6 bulan

81 Amikasin injeksi 250 mg/ml
82 Amiodaron injeksi 150 mg/3 ml
83 Amiodaron tablet/kaplet 200 mg
84 Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg
85 Asam pipemidat kapsul 400 mg
86 Asiklovir salep mata 3%
87 Atapulgit tablet 600 mg
88 Atrakurium injeksi 25 mg/2,5 ml

89 Bisakodil suppositoria 10 mg
90 Doksazosin mesilat tablet 1 mg
91 Doksazosin mesilat tablet 2 mg
92 Doksorubisin serbuk injeksi i.v. 10 mg/vial
93 Epirubisin serb injeksi 50 mg/25ml
94 Etoposid injeksi 20 mg/ml
95 Filgrastim inj 300 mcg/mL
96 Fluoksetin tablet 10 mg
97 Fluoksetin tablet 20 mg
98 Fluorourasil inj 250 mg/mL
99 Fluorourasil inj 500 mg/ 5 mL
100 Flusinolon asetonid krim 0,025%
101 Gemsitabin inj 1000 mg/vial
102 Gentamisin salep mata 0,3%
103 Gliklazid tab 80 mg
104 Haloperidol tablet 2 mg
105 Kalium aspartat tab 300 mg
106 Ketamin injeksi i.v. 100 mg/ml
107 Klaritromisin tab 500 mg
108 Lorazepam tablet 2 mg
109 Maprotilin HCl tab 25 mg
110 Maprotilin HCl tab 50 mg

111 Metronidazol supositoria 500 mg
112 Midazolam injeksi i.v. 1 mg/ml
113 Midazolam injeksi i.v. 5 mg/ml
114 Nalokson injeksi 0,4 mg/ml
115 Natrium fusidat salep 20 mg/g
116 Nifedipin tab 20 mg, slow release; oros
117 Nifedipin tab 30 mg, oros
118 Noretisteron tablet 5 mg
119 Oksimetazolin tetes hidung 0,025%
120 Olanzapin kapl salut 5 mg
121 Olanzapin tab 10 mg
122 Pioglitazon tab 15 mg
123 Pioglitazon tab 30 mg
124 Polikresulen cairan
125 Sefuroksim tab 500 mg
126 Siklofosfamid serbuk injeksi i.v. 1000 mg
129 Terbutalin tablet 2,5 mg
130 Timolol tetes mata 0,25%
131 Urea krim 10%
132 Vinblastin serbuk injeksi 10 mg

133 Zinc drop 10 mg/mL
134 Zinc sir 20 mg/5 Ml
135 Beraprost sodium tablet 20 mcg
136 Bromokriptin tablet 2,5 mg
137 Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg
138 Deferasiroks tablet disp/ eff 250 mg
139 Deferasiroks tablet disp/ eff 500 mg
140 Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI
141 Everolimus tab 0,25 mg
142 Everolimus tab 0,5 mg
143 Flufenazin injeksi i.m. 25 mg/ml
144 Kombinasi suspensi : Parafin + gliserin + fenolftalein
145 Pegylated interferon alfa-2a inj 135 mcg/0,5 ml
146 Pegylated interferon alfa-2a inj 180 mcg/0,5 ml
147 Permetrin krim 5%
148 Pramipeksol tab ER 0,375 mg
149 Pramipeksol tab ER 0,750 mg
150 Quetiapin tab 200 mg
153 Sefpodoksim proksetil tab 100 mg
154 Siklosporin kaps 100 mg

155 Siklosporin kapsul lunak 25 mg
156 Tamsulosin tab 0,2 mg
157 Tamsulosin tab SR 0,4 mg
158 Telbivudin tab 600 mg
159 Tiotropium kaps 18 mcg + handihaller
160 Valproat tab SR 250 mg
161 Valproat tab SR 500 mg
162 Valsartan tab 80 mg
163 Verapamil tab 240 mg
164 Desoksimetason krim 0,25%
165 Karbamazepin sirup 100 mg/5 ml
166
Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan komposisi Larutan Dialisa
1.5 %, Larutan Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)
167 Adefovir Dipivoksil tablet/kaplet 10 mg

168
Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cartridge

(25% insulin lispro, 75% insulin lispro protamine suspension, (rDNA))
169

(Insulin glulisine 100 IU/ml)
170

(Insulin lispro (rDNA origin))
171 Artemether injeksi 80 mg/ml

172 Asam Askorbat (Vitamin C) tablet 50 mg
173 Azitromisin tablet 250 mg
174 Beractant injeksi / suspensi 25 mg/mL
175 Beraprost sodium tablet 20 mcg
176 Diltiazem infus injeksi 50 mg

177 Diltiazem injeksi 25 mg/5 mL
178 Diltiazem Kapsul SR 100 mg
179 Diltiazem Kapsul SR 200 mg
180 Dutasterid kaps lunak 0,5 mg
181 Enoksaparin sodium inj 20 mg/0,2 mL
184 Eugenol cairan
185 Fenofibrat kaps 100 mg
186 Fenofibrat kaps 300 mg
187 Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml
188 Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml
189 Fentanil patch 25 mcg/jam
190 Fentanil patch 50 mcg/jam
191 Flutikason furoat intranasal spray
192 Flutikason propionat nebules 0,5 mg
193 Fondaparinuks inj 2,5 mg/0,5 mL
194 Gliseril trinitrat tab sublingual 0,5 mg
195 Gliserin lar 50%
196 Haloperidol inj 50 mg/mL
197 Halotan Inhalasi
198 Hiosin butilbromid injeksi 20 mg/ml

199 Imidapril tab 10 mg
200 Imidapril tab 5 mg
201 Karbogliserin tetes telinga 10%
202 Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg
205 Lapatinib tab 250 mg
206
Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2
mEq, Asetat 120 mEq)
207 Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 mEq)
208 Larutan mengandung Asam Amino (Asam amino 8%)
209 Larutan mengandung Elektrolit (Kalium Klorida)
210 Larutan mengandung Karbohidrat (Maltose 100 gr)
211 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g)
212 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g)
213 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g)
214
Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Glukosa

100 gr)
215 Larutan mengandung Lipid (Emulsi lemak 20%)

216 Metadon sir 50mg/5ml
217 Morfin HCL inj 10 mg/ml
218 Nacl 0,9%
219 Nadroparin inj 9500 Axa/mL syringe 0,3 mL
220 Nadroparin inj 9500 Axa/mL, syringe 0,4 mL

221 Nadroparin inj 9500 Axa/mL, syringe 0,6 mL
222 Natrium Bikarbonat injeksi i.v 8,4%
223 Retinol (Vitamin A) 100.000 IU
224 Ropinirol Tablet Salut 2 mg
227 Salbutamol inhalasi/aerosol 100 mcg/dosis
228 Salbutamol serb inh 200 mcg/kaps
229 Salbutamol serb inh 200 mcg/kaps + rotahaler
230 Sufentanil injeksi iv, epidural 5 mcg/ml
231 Takrolimus kaps 0.5 mg
232 Tamsulosin tab 0,2 mg
233 Tiamazol tab 5 mg
234 Zidovudin 300 mg + Lamivudine 150 mg
235 Etonogestrel implan 68 mcg
Nama Dagang
Kemasan
n/a
n/a
n/a
n/a
n/a
n/a
Ktk 10x10 tablet
n/a
Botol @100 Tablet
n/a
n/a
dus 10 X 10'S
n/a
KOTAK @ 10 x 10 TAB
n/a
Dus, Botol 60 ml
n/a
Dus, 10 vial @ 1 g
n/a
n/a
btl 60 ml
n/a
Dus, 25 tube @ 5 g
n/a
ktk 10 x 10 tablet
n/a
Btl 100 tablet
n/a
Dus @ 10 X 10 's
n/a
Botol @ 100 tablet
n/a
n/a
n/a
n/a
botol @ 60 ml
n/a
ktk 2x10 tablet
n/a
Dus @ 50 gram
n/a
Tube 5 gr
n/a
n/a
n/a
Dus @ 30 Ampul
n/a
btl @ 60 ml
n/a
Dus @ 30 Ampul
n/a
Botol @60 ml
n/a
btl @ 100 ml
n/a
KOTAK @ 10 ampul
n/a
Dus @ 10 X 10 's
n/a
Dus @ 10 X 10 's
n/a
Botol
n/a
ktk 1 x 10 kapsul
n/a
n/a
n/a
n/a
Dus, botol 60 ml
n/a
n/a
strip
n/a
n/a
n/a
Dus @ 10 X 10 's
n/a
Dus @ 10 X 10 's
n/a
Dus, 6 ampul @ 1 ml
n/a
n/a
strip
n/a
n/a
n/a
Botol, 60 ml
n/a
Botol @ 100 ml
n/a
Dus @ 100 Ampul
n/a
Box 2 Vial @ 1000mg
n/a
Ktk 10 ampul @ 1ML
n/a
Dus, 10 Strip @ 10 tablet salut selaput
n/a
Dus, 1 Vial @ 40 mg + 1 Ampul Pelarut @ 10

ml
n/a
Dus, 5 Ampul @ 2ml
n/a
Box 3 X 10 Tab
n/a
Box 3 X 10 Tab
n/a
Ktk 10 ampx2ml
n/a
Botol 60 ml
n/a
n/a
botol @ 1000 ml
n/a
botol @ 30 ml
n/a
botol @ 300 ml
n/a
n/a
Pot @ 30 gram
n/a
Dus, Botol 60 ml
n/a
n/a
Box 2 Vial @ 1000mg
n/a
n/a
n/a
n/a
ktk 10 x 10 tablet
n/a
Transfer Set: Set; Ultaclam: Kantong Plastik;

Tenckoff Catheter: Box; Titanium Adaptor:
Kantong Plastik
n/a
Set
Glybotic 250 mg /ml
Vial 2 ml
Cordarone
Dus, 6 ampul @ 3 ml
Cordarone
Levopar Tablet
Urotractin 400 mg
Strip
Temiral Eye Oint
Tube 3,5 gram
Pularex
Notrixum Inj 2,5 ml
ampul @ 2,5 ml
Stolax supp
Supp
Cardura 1mg
Cardura 2mg
Doxorubicin HCl 2
mg/ml
vial @ 5 ml
Epirubisin Kalbe
Vial @ 25 ml
Posyd
Vial 100mg/5ml
Leucogen
pfs @ 0,5 ml
Foransi 10
strip
NOPRES
DUS, 30 TABLET
Curacil
vial @ 1 ml
Curacil
vial @ 10 ml
SYNARCUS
Dus, Tube 5 g
Gemzar 1000 mg
vial
Genoint Salep Mata
Tube @ 3,5 gr
Glicab
Strip
Lodomer 2
KOTAK @ 10 x 10 TAB
Kalipar
Strip
KTM
Vial @ 10 ml
ORIXAL
Merlopam 2
KOTAK @ 10 x 10 TAB
Ludios
Strip
Sandepril 50
KOTAK @ 5 x 10 TAB
Flagyl
Dormicum
Boks 10 amp
Miloz 15 Inj
ampul
Nokoba
Dus, 5 Ampul @ 2ml
Fucilex Ointment
Tube 5 gr
Adalat Oros 20 mg
blister
Adalat Oros 30 mg
blister
Primolut N
blister
Ilaidin Drops
botol @ 10 ml
Olandoz 5
3 X 10 fcc
Olandoz 10
3 X 10 fcc
Actos
Gliabetes 30 mg
Strip
Aptil
Dus, Botol @ 10ml
Zinnat 500
Dus, 1 Blister @ 10 Tablet salut selaput
Cyclovid 1000 mg
vial
Cyclovid 200 mg
vial
Cyclovid 500 mg
vial
Molasma Tablet
Box 50's
Isotic Adretor 0,25%
Soft U Derm
tube
Vinblastine
Vial 10mg/10ml
Daryazinc Drops
botol 15 ml
Zircum Kid Sirup
Dus, botol 60 ml
Dorner 20 g
Cripsa tab
Box 3 x 10'S
Symbicort Turbuhaler
160/4.5 mcg
Exjade 250 mg Tab
Exjade 500 mg Tab
D-Vit FT
Certican 0,25 mg Tab
Certican 0,5 mg Tab
Sikzonoate Injeksi
Dus, 5 ampul @ 1ml
Laxadine Emulsi 60 ml Botol @ 60 ml

Pegasys
Boks, 1 pfs
Pegasys
Boks, 1 pfs
Scabimite Cream 10
Tube @ 10 g
Sifrol ER 0,375mg
Sifrol ER 0,750mg
Seroquel XR 200 mg
Seroquel XR 300 mg
Seroquel XR 400 mg
Banadoz 100
Sandimmun Neoral
100mg Kap
Sandimmun Neoral
25mg Kap
Harnal D 0.2 mg
Disp. Tablet
Harnal OCAS 0.4 mg

Tablet
Sebivo 600 mg Tab
Spiriva 10s +
Handihaler
Dus, 1 blister @10 kapsul + handihaler
Depakote ER 250 mg
Tablet
Depakote ER 500 mg
Tablet
Diovan 80mg Tab
Isoptin 240 mg
Tablet
n/a
Dianeal
Calcium
Tegretol Low
Syrup
with
1,5%
Dextrose;
100mg/5ml, 120ml
Dianeal Low Calcium
with 2,5% Dextrose;
Larutan
HepseraDialisa 4.25%:
Dianeal Low Calcium
with 4.25% Dextrose
Humalog Mix 25

Dus, botol @ 120 ml
Larutan Dialisa 1.5 %: 2.000 ml; Larutan
Dialisa 2.5 %: 2.000 ml; Larutan Dialisa 4.25
%: 2.000 ml; Minicap: Kantong Plastik
Penfill cartridge
Apidra Solostar
100IU/ml 5pens x3ml
Humalog
Penfill cartridge
Artem
Dus 6 amp @ 1ml
n/a
n/a
Strip
Survanta
Vial
Dorner
Herbesser Powder
Injection 50mg
10 vial @ 50mg
Farmabes Injeksi 25
mg
Vial 5 mL
Herbesser CD 100
Herbesser CD 200
Avodart

n/a
Botol 10 ml
n/a
n/a
n/a
Dus 5 ampul@ 10ml
n/a
Dus 5 ampul@ 2ml
Durogesic 25 MU
Matrix
Dus@ 5 patch
Durogesic 50 MU
Matrix
Dus@ 5 patch
Avamys
Flixotide Nbules
Dus, 2 flow wrap@ 5 nebules @ 1 dosis (2ml)
Arixtra
Dus, 2 pfs 0.5 ml
Nitral
Btl @ 30 tablet
Gliserin lar 50%
Glycerin 100 ml
Haldol Decanoas
Dus 5 Ampul@1mL
Halothane
Botol
n/a
box 5ampul @1 ml
Tanapress 10mg
Tanapress 5mg
Karbogliserin tetes
telinga 10%
Fenol 100 mg / 1 ml
Seretide Inhaler 50
mcg
Seretide Diskus 100

mcg
Seretide Diskus 250

mcg
Tykerb
Amiparen
Softbag 500 ML
Pan-amin G
Softbag 500 ML
Aminosteril N-Hepa
Botol Gelas 500 ml
Otsu - KCl 7,46%
Ampoel 25 ML
Martos
WIDA 2A
Botol 500 ml
WIDA D5-1/4NS
Botol 500 ml
WIDA D5-1/2NS
Botol 500 ml
KA ENMG 3
Intralipid
Botol Gelas 100 ml
n/a
Botol 1000 ml
n/a
Dus 10 amp @ 1 ml
n/a
Botol 500 ml
Fraxiparine 0.3 ml
Fraxiparine 0.4 ml
Fraxiparine 0.6 ml
Meylon
Ampoel 25 ML
n/a
Requip PD 24 Hour 2
mg
Requip PD 24 Hour 4
mg
Requip PD 24 Hour 8
mg
Ventolin Inhaler
Ventolin Rotacaps
Ventolin Rotahaler
Dus, 1 Rotahaler
Sufentanyl Injeksi
iv.Epidural 5 mcg / ml
dus 5 amp @ dus 10
Prograf
Harnal D
Thyrozol 5
n/a
Botol 60 tablet
Implanon
Dus, 1 blister @ 1 subdermal implant

415.00
3/15/2014 16:05
100.00
3/15/2014 16:05
254.50
3/15/2014 16:05
450.00
3/15/2014 16:05
256.00
3/15/2014 16:05
280.00
3/15/2014 16:05
94.00
3/15/2014 16:05
391.00
3/15/2014 16:05
243.00
3/15/2014 16:05
288.00
3/15/2014 16:05
5,500.00
3/15/2014 16:05
6,120.00
3/15/2014 16:05
85.00
3/15/2014 16:05
2,500.00
3/15/2014 16:05
3,019.00
3/15/2014 16:05
622.00
3/15/2014 16:05
162.00
3/15/2014 16:05
127.00
3/15/2014 16:05
57.00
3/15/2014 16:05
4,000.00
3/15/2014 16:05
280.00
3/15/2014 16:05
400.00
3/15/2014 16:05
37,500.00
3/15/2014 16:05
5,400.00
3/15/2014 16:05
1,450.00
3/15/2014 16:05
1,824.00
3/15/2014 16:05
1,897.00
3/15/2014 16:05
75.00
3/15/2014 16:05
1,260.00
3/15/2014 16:05
3,833.00
3/15/2014 16:05
9,720.00
3/15/2014 16:05
8,495.00
3/15/2014 16:05
2,875.00
3/15/2014 16:05
22,127.00
3/15/2014 16:05
348.00
3/15/2014 16:05
612.00
3/15/2014 16:05
45,087.00
3/15/2014 16:05
26,400.00
3/15/2014 16:05
3,832.00
3/15/2014 16:05
70.00
3/15/2014 16:05
1,140.00
3/15/2014 16:05
4,199.00
3/15/2014 16:05
1,710.00
3/15/2014 16:05
2,980.00
3/15/2014 16:05
5,880.00
3/15/2014 16:05
3,720.00
3/15/2014 16:05
102.00
3/15/2014 16:05
73.00
3/15/2014 16:05
2,799.00
3/15/2014 16:05
1,000.00
3/15/2014 16:05
3,990.00
3/15/2014 16:05
49.00
3/15/2014 16:05
166.00
3/15/2014 16:05
2,590.00
3/15/2014 16:05
47,460.00
3/15/2014 16:05
1,026.00
3/15/2014 16:05
88,759.00
3/15/2014 16:05
12,599.00
3/15/2014 16:05
140.00
3/15/2014 16:05
49,000.00
3/15/2014 16:05
2,700.00
3/15/2014 16:05
1,090.00
3/15/2014 16:05
1,486.00
3/15/2014 16:05
17,400.00
3/15/2014 16:05
10,420.00
3/15/2014 16:05
362.00
3/15/2014 16:05
44,434.00
3/15/2014 16:05
2,590.00
3/15/2014 16:05
17,006.00
3/15/2014 16:05
130.00
3/15/2014 16:05
2,400.00
3/15/2014 16:05
7,157.00
3/15/2014 16:05
19,800.00
3/15/2014 16:05
77,240.00
3/15/2014 16:05
5,688.00
3/15/2014 16:05
211.00
3/15/2014 16:05
198.00
3/15/2014 16:05
568.00
3/15/2014 16:05
1,902,240.00
3/15/2014 16:14
219,540.00
3/15/2014 16:14
50,500.00
3/16/2014 18:23
14,400.00
3/16/2014 18:23
1,500.00
3/16/2014 18:23
1,800.00
3/16/2014 18:23
1,815.00
3/16/2014 18:23
24,750.00
3/16/2014 18:23
240.00
3/16/2014 18:23
15,662.00
3/16/2014 18:23
6,045.00
3/16/2014 18:23
3,480.00
3/16/2014 18:23
5,480.00
3/16/2014 18:23
68,750.00
3/16/2014 18:23
600,000.00
3/16/2014 18:23
121,000.00
3/16/2014 18:23
400,000.00
3/16/2014 18:23
508.00
3/16/2014 18:23
518.00
3/16/2014 18:23
29,400.00
3/16/2014 18:23
35,500.00
3/16/2014 18:23
3,000.00
3/16/2014 18:23
1,200,800.00
3/16/2014 18:23
3,039.00
3/16/2014 18:23
249.00
3/16/2014 18:23
138.00
3/16/2014 18:23
738.00
3/16/2014 18:23
132,000.00
3/16/2014 18:23
4,000.00
3/16/2014 18:23
1,465.00
3/16/2014 18:23
1,400.00
3/16/2014 18:23
3,580.00
3/16/2014 18:23
3,715.00
3/16/2014 18:23
6,119.00
3/16/2014 18:23
10,322.00
3/16/2014 18:23
73,900.00
3/16/2014 18:23
6,815.00
3/16/2014 18:23
2,999.00
3/16/2014 18:23
3,500.00
3/16/2014 18:23
2,618.00
3/16/2014 18:23
33,060.00
3/16/2014 18:23
7,740.00
3/16/2014 18:23
13,440.00
3/16/2014 18:23
4,400.00
3/16/2014 18:23
5,225.00
3/16/2014 18:23
22,686.00
3/16/2014 18:23
7,200.00
3/16/2014 18:23
307,200.00
3/16/2014 18:23
98,400.00
3/16/2014 18:23
144,000.00
3/16/2014 18:23
104.00
3/16/2014 18:23
12,000.00
3/16/2014 18:23
7,680.00
3/16/2014 18:23
295,000.00
3/16/2014 18:23
16,500.00
3/16/2014 18:23
8,880.00
3/16/2014 18:23
3,600.00
3/16/2014 19:08
247,089.00
3/16/2014 19:08
117,600.00
3/16/2014 19:08
80,000.00
3/16/2014 19:08
155,000.00
3/16/2014 19:08
900.00
3/16/2014 19:08
11,813.00
3/16/2014 19:08
23,250.00
3/16/2014 19:08
55,000.00
3/16/2014 19:08
12,450.00
3/16/2014 19:08
1,077,815.00
3/16/2014 19:08
1,248,220.00
3/16/2014 19:08
11,475.00
3/16/2014 19:08
7,200.00
3/16/2014 19:08
11,268.00
3/16/2014 19:08
17,391.00
3/16/2014 19:08
19,500.00
3/16/2014 19:08
23,185.00
3/16/2014 19:08
3,700.00
3/16/2014 19:08
43,000.00
3/16/2014 19:08
12,000.00
3/16/2014 19:08
5,800.00
3/16/2014 19:08
6,800.00
3/16/2014 19:08
28,500.00
3/16/2014 19:08
152,543.00
3/16/2014 19:08
2,793.00
3/16/2014 19:08
5,450.00
3/16/2014 19:08
3,900.00
3/16/2014 19:08
6,200.00
3/16/2014 19:08
9,983.00
3/16/2014 19:30
44,770.00
3/16/2014 19:30
5,522,580.00
3/16/2014 19:49
33,000.00
3/18/2014 20:03
117,000.00
3/18/2014 20:03
95,000.00
3/18/2014 20:03
95,000.00
3/18/2014 20:03
26,600.00
3/18/2014 20:03
114.00
3/18/2014 20:03
4,000.00
3/18/2014 20:03
3,200,000.00
3/18/2014 20:03
3,600.00
3/18/2014 20:03
140,433.00
3/18/2014 20:03
56,000.00
3/18/2014 20:03
4,400.00
3/18/2014 20:03
4,818.00
3/18/2014 20:03
8,520.00
3/18/2014 20:03
48,890.00
3/18/2014 20:03
86,250.00
3/18/2014 20:03
120,000.00
3/18/2014 20:03
20,000.00
3/18/2014 20:03
1,075.00
3/18/2014 20:03
1,375.00
3/18/2014 20:03
153,600.00
3/18/2014 20:03
40,697.00
3/18/2014 20:03
183,600.00
3/18/2014 20:03
342,000.00
3/18/2014 20:03
112,000.00
3/18/2014 20:03
15,500.00
3/18/2014 20:03
290,000.00
3/18/2014 20:03
1,800.00
3/18/2014 20:03
6,400.00
3/18/2014 20:03
100,000.00
3/18/2014 20:03
770,000.00
3/18/2014 20:03
5,400.00
3/18/2014 20:03
4,690.00
3/18/2014 20:03
2,545.00
3/18/2014 20:03
2,450.00
3/18/2014 20:03
108,800.00
3/18/2014 20:03
121,000.00
3/18/2014 20:03
136,000.00
3/18/2014 20:03
70,560.00
3/18/2014 20:03
56,300.00
3/18/2014 20:03
45,000.00
3/18/2014 20:03
94,500.00
3/18/2014 20:03
2,460.00
3/18/2014 20:03
35,000.00
3/18/2014 20:03
8,300.00
3/18/2014 20:03
9,240.00
3/18/2014 20:03
9,240.00
3/18/2014 20:03
11,000.00
3/18/2014 20:03
60,500.00
3/18/2014 20:03
304,920.00
3/18/2014 20:03
10,080.00
3/18/2014 20:03
5,640.00
3/18/2014 20:03
64,973.00
3/18/2014 20:03
79,968.00
3/18/2014 20:03
113,954.00
3/18/2014 20:03
7,440.00
3/18/2014 20:03
312.00
3/18/2014 20:03
6,297.00
3/18/2014 20:03
7,530.00
3/18/2014 20:03
8,860.00
3/18/2014 20:03
76,500.00
3/18/2014 20:03
517.00
3/18/2014 20:03
7,040.00
3/18/2014 20:03
152,400.00
3/18/2014 20:03
11,725.00
3/18/2014 20:03
5,800.00
3/18/2014 20:03
563.00
3/18/2014 20:03
4,115.00
3/18/2014 20:03
128,779.00
3/24/2014 14:34
NO
Nama Obat Generik
1 Amfoterisin B salep mata 1%

2
Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge
(Insulin glargine 100 IU/ml)
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))
6 Anastrozol tablet/kapsul/kaplet 1 mg
7 Asam Ibandronat injeksi 6mg/6ml
8 Asparaginase serbuk injeksi 10.000 UI/vial
9 Bikalutamid tablet salut 150 mg
10 Bikalutamid tablet salut 50 mg
11 Budesonid inhaler 200 mcg/puff, 100 dosis
12 Budesonid respules / cairan inhaler 0,25mg/mL
13 Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg
14 Deferipron larutan oral 100 mg/mL
15 Deferipron tablet 500 mg
16 Deferoksamin Mesilat serbuk injeksi 500 mg
17 Dinatrium edetat tetes mata 0,35%
18 Dosetaksel injeksi 20 mg/0,5 ml
19 Eksemestan tablet 25 mg
20 Epirubisin serb injeksi 10 mg/5 ml
21 Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml
22 Eritropoetin-beta inj 2000 UI/0,3 mL

23 Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi
24 Fenoksimetil penisilin (penisilin V) tab 125 mg
25 Fenoterol HBr inh solution 0,1%
26 Fentanil patch 12,5 mcg/jam
27 Fludarabin inj 50 mg
28 Fludarabin tab 10 mg
29 Gansiklovir serb inj 500 mg (50 mg/mL)
30 Gefitinib tab 250 mg
31 Gemsitabin inj 200 mg/vial
32 Gliklazid tab 30 mg
33 Gliseril trinitrat kaps SR 2,5 mg
34 Gliseril trinitrat kaps SR 5 mg
35 Goserelin asetat inj 10,8 mg/vial
36 Goserelin asetat inj 3,6 mg
37
Human insulin intermediate acting inj 100 UI/ml, vial (Human Insulin
38 Human insulin intermediate acting inj 100 UI/ml, vial (Insulin human Basal)
39
Human insulin intermediate acting inj 100 UI/ml, vial/cartridge disposible/penfill

cartridge
40
Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Human Insulin
41
Basal)
42
Basal)
43
Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Human Insulin (Premix:
30% Soluble + 70 % NPH Insulin))
44 Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Insulin human Comb)
45
Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin (Premix: 30% Soluble
+ 70 % NPH Insulin))
46 Human insulin mix insulin inj 100 UI/ml, vial (Insulin human Comb)
47
Human insulin short acting inj 100 UI/ml, penfill cartridge (Human Insulin (Short
Acting))
48 Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Rapd)
49 Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Rapd)
50 Human insulin short acting inj 100 UI/ml, vial (Human Insulin (Short Acting))
51 Human insulin short acting inj 100 UI/ml, vial (Insulin human Rapd)
52
Human insulin short acting inj 100 UI/ml, vial/cartridge disposible/penfill

cartridge
53 Ifosfamid serbuk injeksi 1000 mg/vial

54 Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml)
58 Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)
62 Irinotekan inf 20 mg/ml
63 Kalium Klorida tablet 600 mg
64 Kalsium Glukonat injeksi i.v 10% (100 mg/ml)
65 Kapesitabin tab 500 mg
66 Karbimazol tab 5 mg
67 Klozapin 100 mg
68 Klozapin 25 mg
69
Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida 1,32
mg
70 Kombinasi: Artemether 20 mg; Lumefantrin 120 mg

71 Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg
72 Lansoprazol inj 30 mg/ml
73 Larutan mengandung Asam Amino (Asam Amino 10%)
74
Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, LOrnithine L Aspartate 8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50 gr/L)
75 Larutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L)

76
77
78
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 Asam
0.12 gr/L)
Larutan
mengandung
Asam
Amino
(Kombinasi
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) Asam Amino (Kombinasi Asam amino 50 g/L, vitamin dan
Larutan
mengandung
elektrolit)
79

Asam Amino 48 gr dgn akses sentral)
80

Asam Amino 40 gr )
81 Larutan mengandung Elektrolit (Larutan Ringer Laktat)

82
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28
mEq)
83 Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)

Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Potassium
Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L, elektrolit)
Larutan mengandung Elektrolit (Tiap 1000 ml mengandung electrolit: Sodium
85 145 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)
Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 g/ L +
86
elektrolit)
84
87 Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)
88
Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, Sorbitol
50 gr/L)
89

gr/L, elektrolit)
90
Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g, glucose 33 g,

Xylitol 30 g/ L)
91
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)
Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium Chloride 9

g, air untuk injeksi ad 1000 ml)
Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi infus
93 per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ,
Sorbitol 50g)
92
94 Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%)

95
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat
2.24 gr, Dekstrosa 27 gr)
96
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr,
KCL 0.75 gr Dekstrosa 27 gr)
97 Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20% 100 ml)
98 Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml)
99

100

Amino 40 gr + Lipid MCT/LCT 50 gr)
101

102
Larutan mengandung Lipid (Soybean Oil 200 g/L, Egg Lecithins 12 gr/L, Glycerol
Ph 25 gr/L, Sodium Oleate 0.3 gr/L)
103 Latanoprost tetes mata 0,01%

104 Leuprorelin asetat inj depot 1,88 mg
105 Leuprorelin asetat inj depot 11,25 mg
106 Lidokain jeli 2%
107 Litium karbonat tablet 200 mg
108 Litium karbonat tablet 400 mg
109 Melfalan tablet 2 mg
110 Mesna inj 100 mg/mL

111 Metilfenidat kapsul LA 20 mg
112 Mikafungin Na serb inj 50 mg
113 Mitomisin C (crystallin) serbuk inj 10 mg/vial
114 Moksifloksasin tetes mata 0,5%
115 Morfin HCL tablet SR 10 mg
116 Morfin HCL tablet SR 15 mg
117 Oktreotid 10 mg
118 Pegylated Interferon alfa-2b serb inj 100 mcg
121 Perindoprilarginin tab 5 mg
122 Takrolimus kaps 1 mg
123 Terbutalin cairan ih 2,5 mg/mL
124 Tetrakain HCl tetes mata 0,5%
125 Tiamazol tab 10 mg
126 Travoprost tetes mata 0,004%
127 Triamsinolon asetonid nasal spray 55 mcg/puff
128 Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)
129 Valsartan tab 160 mg
130 Terbutalin turbu (serbuk ih) 0,50 mg
131
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)
Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ 14
mEq, Cl 94 mEq)
Larutan mengandung Karbohidrat + Elektrolit (25.00g maltose, 3.00 g sodium
133 chloride, 0.15 g potassium chloride, 0.10 g calcium chloride dihydrate dan 1.55 g
sodium lactate)
Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,24
134
gr/l)
132
135
Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino
esensial: Asam Amino non esensial = 60 : 40)
136
Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr,
Lipid: 51gr dan Elektrolit (Kalori = 1000 kkal, Akses peripheral))
137
Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa:

130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses peripheral))
Nama Dagang
Kemasan
Fungicide
tube 3.5 gr
Lantus Solostar
100IU/ml 5pens x3ml
Novomix Flexpen

Novorapid Vial
Dus, vial 10 ml
Novorapid Flexpen

Arimidex 1 mg
Bondronat
Boks, 1 ampul
Leunase
10.000 UI/Vial
Casodex 150 mg
Casodex 50 mg
Pulmicort Turbuhaler
Pulmicort Respules
Symbicort 80/4.5 mcg Dus, 1 Turbuhaler @ 60 dosis

Ferriprox Oral Solution Dus, Botol @ 500ml
Ferriprox tablet
Desferal
E.D.T.A
botol 15 ml
n/a
Dus, 1 vial @0,5 ml+ 1 vial pelarut @1,5 ml
Aromasin
n/a
Dus, 1 vial @5 ml
D-Vit Syrup
Recormon
Boks, 6 ampul
Novoseven
KOTAK @ 1 VIAL SERBUK OBAT & INFUSION KIT
Fenocin
Dus 45 x 12 tab
Berotec Solution
Durogesic 12,5 MU
Matrix
Dus @ 5 patch
Fludara IV LYO
Dus, 5 vial @ 50 mg
Fludara Oral
Dus, 4 blister @ 5 tablet salut selaput
Cymevene
Boks, 1 ampul
Iressa 250 mg
n/a
Dus, 1 vial @200 mg
Diamicron MR 30
Dus, 6 strip @ 10 tablet lepas lambat
Nitrokaf Retard
Dus 10x10
Nitrokaf Forte
Dus 10x10
Zoladex 10,8 mg
Zoladex 3,6 mg
Insulatard Vial
Dus, vial 10 ml
Humulin N Vial
Dus, vial 10 ml
n/a
Dus, 1 Vial @ 5 ml
Insulatard Penfill

Sansulin N
Humulin N Cart
Mixtard Penfill

Humulin 30/70 Cart
Mixtard Vial
Dus, vial 10 ml
Humulin 30/70 Vial
Dus, vial 10 ml
Actrapid Penfill

Humulin R Cart
Sansulin R
Actrapid Vial
Dus, vial 10 ml
Humulin R Vial
Dus, vial 10 ml
n/a
Dus, 1 Vial @ 5 ml
Holoxan injeksi 1000
Dus, 1 vial @ 1 g
Iopamiro
Dus, botol @ 100 ml
Iopamiro
Dus, vial @ 50 ml
Iopamiro
Dus, botol @ 100 ml
Iopamiro
Dus, vial @ 50 ml
Botol
Ultravist 300/50 mg
Botol
Botol
Ultravist 370/50 mg
Botol
n/a
Dus, 1 vial @2 ml
KSR
Kalsium glukonat
Ampul
Xeloda
Boks, 120 tablet
Neo-Mercazole
n/a
KOTAK @ 5 x 10 TAB
n/a
KOTAK @ 5 x 10 TAB
Cendo Lyteers
botol 15 ml
Coartem
Stalevo
Prosogan Inj.
Serbuk vial
Kalbamin
botol 500 ml
Aminofusin Hepar
botol 500 mL
Eas Pfrimer
botol 250 ml
Comafusin Hepar
botol 500 ml
Aminofusin L600
botol 500 mL
Aminofusin Paed
botol 250 mL
Combiflex Plus (790

kcal)

1000 mL
Combiflex peri (480

kcal)

1000 mL
Wida RL
Botol 1000 ml
Asering
KA EN 1B
Totilac
flexybag 250 mL
Ringerfundin 500 mL
LDPE (Low Density Poly Ethilene), botol plastik
Triofusin 1000
botol 500 mL
Triofusin 500
Flexy bag 500 mL
Tutofusin OPS
botol 500 mL
Clinimix N9G15E
Triofusin E1000
botol 500 mL
Wida HSD
Botol 500 ml
Wida D5-NS
Botol 500 ml
Futrolit
softbag 500ml
Wida RD
Botol 500 ml
KA EN 3B
KA EN 3A
Lipofundin MCT/LCT
1% 100
Lipofundin MCT/LCT
1% 250

1250
Nutriflex Lipid Peri

1250

625
Ivelip
Flexy bag 100 mL
Cendo Glaopen
strip 5 x 0.6 ml
Tapros 1.88mg
Vial
Tapros 3M
Vial
Xylocaine Jelly 2%
Frimania 200
KOTAK @ 10 x 10 TAB
Frimania 400
KOTAK @ 10 x 10 TAB
Alkeran
Uromitexan injeksi.
Dus, 15 Ampul
Ritalin LA
Dus, botol plastik @ 30 kapsul pelepasan

lambat
Mycamine
Dus,1 vial@50mg
Mitomycin C
10 mg /Vial
Vigamox
MST Continus 10 mg
MST Continus 15 mg
Sandostatin LAR
Dus, vial @ 355m + 1 prefilled syringe pelarut

@ 2,5 ml + 2 jarum suntik
Dus, 1 vial 100 mcg + 1 ampul pelarut 0,7 ml

+ 1 syringe + 2 jarum
Pegintron Pen 120 Mcg
Dus, 1 prefilled syringe (serbuk injeksi 120mcg

+ pelarut 0.5 ml) + 1 jarum

1 syringe + 2 jarum
Bioprexum 5 mg
Prograf
Bricasma Respules
Pantocain 0.5%
botol 5 ml
Thyrozol 10
Travatan
Nasacort AQ
Imovax Polio
DIOVAN 160 MG
Bricasma Turbuhaler
0,5 mg
Kidmin
Softbag 200 ML
Aminoleban
Softbag 500 ML
Potacol inj
Aminosteril Infant 6%
Botol Gelas 100 ml
Nephrosteril
Botol Gelas 250 ml
Kabiven 1440 ml
Kabiven 1920 ml

18,500.00
4/3/2014 21:30
85,000.00
4/3/2014 21:30
106,000.00
4/3/2014 21:30
200,000.00
4/3/2014 21:30
85,345.00
4/3/2014 21:30
32,000.00
4/3/2014 21:30
2,209,000.00
4/3/2014 21:30
1,039,500.00
4/3/2014 21:30
72,400.00
4/3/2014 21:30
45,000.00
4/3/2014 21:30
93,000.00
4/3/2014 21:30
8,900.00
4/3/2014 21:30
110,500.00
4/3/2014 21:30
2,600,000.00
4/3/2014 21:30
25,300.00
4/3/2014 21:30
112,000.00
4/3/2014 21:30
37,500.00
4/3/2014 21:30
970,200.00
4/3/2014 21:30
42,600.00
4/3/2014 21:30
128,000.00
4/3/2014 21:30
8,000.00
4/3/2014 21:30
139,500.00
4/3/2014 21:30
9,200,000.00
4/3/2014 21:30
235.00
4/3/2014 21:30
117,500.00
4/3/2014 21:30
93,000.00
4/3/2014 21:30
1,248,319.00
4/3/2014 21:30
275,000.00
4/3/2014 21:30
399,500.00
4/3/2014 21:30
295,000.00
4/3/2014 21:30
330,000.00
4/3/2014 21:30
638.00
4/3/2014 21:30
1,493.00
4/3/2014 21:30
2,171.00
4/3/2014 21:30
2,300,000.00
4/3/2014 21:30
840,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
75,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
76,125.00
4/3/2014 21:30
75,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
138,000.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
1,329,163.00
4/3/2014 21:30
350,000.00
4/3/2014 21:30
166,000.00
4/3/2014 21:30
369,000.00
4/3/2014 21:30
199,000.00
4/3/2014 21:30
245,000.00
4/3/2014 21:30
123,200.00
4/3/2014 21:30
299,000.00
4/3/2014 21:30
150,300.00
4/3/2014 21:30
510,000.00
4/3/2014 21:30
1,580.00
4/3/2014 21:30
7,800.00
4/3/2014 21:30
27,500.00
4/3/2014 21:30
875.00
4/3/2014 21:30
5,000.00
4/3/2014 21:30
1,550.00
4/3/2014 21:30
15,750.00
4/3/2014 21:30
3,220.00
4/3/2014 21:30
8,900.00
4/3/2014 21:30
82,042.00
4/3/2014 21:30
56,300.00
4/3/2014 21:30
75,350.00
4/3/2014 21:30
51,260.00
4/3/2014 21:30
64,900.00
4/3/2014 21:30
42,000.00
4/3/2014 21:30
46,000.00
4/3/2014 21:30
322,000.00
4/3/2014 21:30
218,700.00
4/3/2014 21:30
8,000.00
4/3/2014 21:30
9,000.00
4/3/2014 21:30
9,000.00
4/3/2014 21:30
87,000.00
4/3/2014 21:30
12,650.00
4/3/2014 21:30
50,500.00
4/3/2014 21:30
42,350.00
4/3/2014 21:30
37,500.00
4/3/2014 21:30
199,000.00
4/3/2014 21:30
56,000.00
4/3/2014 21:30
9,500.00
4/3/2014 21:30
6,800.00
4/3/2014 21:30
35,750.00
4/3/2014 21:30
6,930.00
4/3/2014 21:30
10,000.00
4/3/2014 21:30
10,000.00
4/3/2014 21:30
105,500.00
4/3/2014 21:30
210,000.00
4/3/2014 21:30
591,000.00
4/3/2014 21:30
511,000.00
4/3/2014 21:30
358,000.00
4/3/2014 21:30
89,800.00
4/3/2014 21:30
72,000.00
4/3/2014 21:30
700,000.00
4/3/2014 21:30
2,700,000.00
4/3/2014 21:30
40,000.00
4/3/2014 21:30
1,050.00
4/3/2014 21:30
1,850.00
4/3/2014 21:30
12,210.00
4/3/2014 21:30
74,998.00
4/3/2014 21:30
6,537.00
4/3/2014 21:30
260,000.00
4/3/2014 21:30
697,000.00
4/3/2014 21:30
77,000.00
4/3/2014 21:30
15,620.00
4/3/2014 21:30
22,990.00
4/3/2014 21:30
2,950,000.00
4/3/2014 21:30
973,500.00
4/3/2014 21:30
1,135,000.00
4/3/2014 21:30
915,810.00
4/3/2014 21:30
2,420.00
4/3/2014 21:30
21,500.00
4/3/2014 21:30
6,250.00
4/3/2014 21:30
11,500.00
4/3/2014 21:30
1,135.00
4/3/2014 21:30
115,000.00
4/3/2014 21:30
90,000.00
4/3/2014 21:30
285,000.00
4/3/2014 21:30
6,500.00
4/3/2014 21:30
71,100.00
4/8/2014 18:23
46,000.00
4/12/2014 17:56
65,000.00
4/12/2014 17:56
55,500.00
4/12/2014 17:56
36,667.00
4/14/2014 9:16
50,820.00
4/14/2014 9:16
295,240.00
4/14/2014 9:16
343,842.00
4/14/2014 9:16
NO
Nama Obat Generik
1 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)

4 Vinorelbin inj. 10 mg/ml
5 Dabigatran eteksilat kapsul 75 mg
6 Dabigatran eteksilat kapsul 110 mg
7 Eritropoetin-alfa inj 3000 UI/mL
8

gr/L, elektrolit)
9 MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial

10 Natrium fosfat lar oral 45 mL
11 Olanzapin inj 10 mg/vial
12 Rivaroksaban tab 10 mg
15 Streptokinase injeksi 1,5 juta UI/vial
16 Hepatitis B imunoglobulin (human)
17

elektrolit) 1000 ml
18

elektrolit) 500 ml
Nama Dagang
Kemasan
n/a
Dus, 15 botol
Iopamiro
Dus, vial @ 30 ml
Iopamiro
Dus, vial @ 30 ml
Navelbine injeksi 10
Dus, 1 vial @ 1 ml
Pradaxa
Pradaxa
Hemapo 3000
Clinimix N9G20E
Cardioscan KaeF
Dus @ 5 vial
Fleet Phosphosoda
Botol, 45 ml
Zyprexa IM
Vial
Xarelto 10 mg
Blister
Xarelto 15 mg
Blister
Xarelto 20 mg
Blister
Streptase
Vial
Hyperhep B
Aminofluid
Aminofluid

6,240.00
5/20/2014 18:46
122,000.00
5/21/2014 10:06
147,000.00
5/21/2014 10:06
1,229,998.00
5/21/2014 14:16
12,936.00
5/21/2014 20:01
12,936.00
5/21/2014 20:01
128,000.00
5/21/2014 20:01
210,000.00
5/21/2014 20:01
1,237,500.00
5/21/2014 20:01
33,900.00
5/21/2014 20:01
120,000.00
5/21/2014 20:01
23,500.00
5/21/2014 20:01
23,500.00
5/21/2014 20:01
23,500.00
5/21/2014 20:01
3,290,000.00
5/21/2014 20:01
1,328,000.00
5/22/2014 14:25
115,500.00
5/28/2014 19:25
73,920.00
5/28/2014 19:25
NO
1 Efavirens tablet salut 600 mg
2 Manitol
3 Tenofovir tab 300 mg
4 Alteplase injeksi 50 mg/vial
5 Telmisartan tab 40mg
Nama Obat Generik
Nama Dagang
Kemasan
n/a
Botol 30 tab
n/a
botol 500 ml
n/a
Botol 30 tab
Actilyse
Dus, 1 vial@50mg + 1 vial pelarut @ 50ml
Micardis 40mg

6,375.00
6/16/2014 19:59
62,000.00
6/16/2014 19:59
8,100.00
6/16/2014 19:59
3,800,000.00
6/27/2014 19:33
3,900.00
6/27/2014 19:33
NO
Nama Obat Generik
1 Retinol (Vitamin A) 200.000 IU kapsul lunak

2 Bupivakain injeksi 0,50% (HCl) + glukosa 8%
3 Fenitoin Na Inj 100 mg/2 ml
4 Meropenem serb inj 500 mg/vial
5 Metilprednisolon inj 125 mg/2 mL
6 Metilprednisolon inj 500 mg/8 mL
7 Sefoperazon inj 1 g
8 Albumin serum normal (human albumin) injeksi 20%, 100 ml
9 Albumin serum normal (human albumin) injeksi 20%, 50 ml
10 Asam Folat tablet/kapsul/kaplet 0,4 mg
11 Bisoprolol tablet 2,5 mg
12 Bleomisin serbuk injeksi 15 mg/ampul
13 Bupivakain injeksi 0,50% (P.V)
14 Daunorubisin serbuk injeksi 20 mg/vial
15 Heparin injeksi i.v./s.k. 5000 UI/ml
16 Isosorbid Dinitrat injeksi i.v 10 mg/10 ml
17 Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml
18 Ketoprofen supositoria 100 mg
19 Koloid HES BM 130 000 lar inf 6%
20 Low molecule feri sucrose inj amp 100 mg/5 mL
21 Norepinefrin injeksi 1 mg/ml
22 Parasetamol tetes 60 mg/0,6 mL

23 Perak sulfadiazin krim 1%
24 Propofol injeksi i.v., bolus 1%
25 Ramipril tablet 2,5 mg
26 Sertralin tab 50 mg
27 Sevofluran ih, btl
28 Sukralfat susp 500 mg/5 mL
29 Valproat sirup 250 mg/5 ml
Nama Dagang
Kemasan
n/a
Botol 50 Kapsul
n/a
Dus, 5 ampul @ 4 ml
n/a
KOTAK @ 10 ampul
n/a
Dus, 1 vial @ 0,5 g
n/a
Dus, 1 Vial @125mg + 1 ampul pelarut @ 2ml
n/a
Dus @ 1 vial
n/a
Dus, 2 vial @ 1 g
Zenalb
Vial 100 ml
Zenalb
Vial 50 ml
Afolat
Concor 2.5
BLEOCIN
Vial
Marcain Cairan Suntik Dus, 5 polyamp duofit@ 20 ml

DAUNOCIN
vial
Inviclot
vial
Farsorbid inj
vial
Rescuvolin inj 50 mg
Vial 50mg/5ml
Protofen Supp
dus 2 's @ 10 supp
Voluven
DIALIFER
ampul
Levosol
Dus 5 amp @ 8 ml
NAPREX DROPS
botol @ 15 ml
BURNAZIN 35 GR
tube @ 35 gram
Fresofol 1% MCT/LCT
Ampul
VIVACE 2,5mg
Fatral
strip @ 10 tab
Sojourn
tabung/botol
Ulsafate
Botol, 100 ml
Depakene
botol

551.00
7/10/2014 15:53
30,720.00
7/21/2014 21:08
22,127.00
7/21/2014 21:08
77,990.00
7/21/2014 21:08
25,500.00
7/21/2014 21:08
112,074.00
7/21/2014 21:08
14,645.00
7/21/2014 21:08
900,000.00
7/21/2014 21:09
414,000.00
7/21/2014 21:09
115.00
7/21/2014 21:09
746.00
7/21/2014 21:09
366,000.00
7/21/2014 21:09
32,000.00
7/21/2014 21:09
330,000.00
7/21/2014 21:09
53,400.00
7/21/2014 21:09
40,920.00
7/21/2014 21:09
165,000.00
7/21/2014 21:09
3,266.00
7/21/2014 21:09
33,000.00
7/21/2014 21:09
60,197.00
7/21/2014 21:09
64,680.00
7/21/2014 21:09
8,095.00
7/21/2014 21:09
27,650.00
7/21/2014 21:09
16,236.00
7/21/2014 21:09
1,247.00
7/21/2014 21:09
3,960.00
7/21/2014 21:09
1,320,000.00
7/21/2014 21:09
19,500.00
7/21/2014 21:09
41,800.00
7/21/2014 21:09
NO
Nama Obat Generik
1 Desogestrel tablet 75 mcg

2
DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate calcium

trisodium/mL
3 Etinilestradiol tablet 0,05 mg

4 Fenoterol HBr ih 100 mcg/puff
5 Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml
6 Fraksi protein plasma lar inf 5%
7 Gadobutrol macrocyclic 5 mg
8 Gadobutrol macrocyclic 7,5 mg
9 Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL
10 Human tetanus imunoglobulinn injeksi i.m. 250 UI
11 Ipratropium bromida inhalasi 20 mcg/semprot
12 Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)
13 Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg
14 Latanoprost tts mata 0,005% btl@2,5ml
15 Lenograstim inj 263 mcg/mL
16 MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/mL
17 Mikofenolat Mofetil 500 mg
19 Piridostigmin tablet salut 60 mg
20 Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml
21 Telmisartan tab 80 mg
22 Temozolamid kaps 100 mg

23 Temozolamid kaps 20 mg
24 Testoteron soft capsul 40 mg
25 Valgansiklovir tab 450 mg
26 Dopamin injeksi 40 mg/ml
Nama Dagang
Kemasan
Cerazette
Renalscan KaeF
Dus @ 5 vial
Lynoral
Berotec MDI
Box, canister 10mL
n/a
dus @ 30 ampul
Plasmanate
dus, vial @ 250 ml
Gadovist 5 mg
Prefilled Syringe
Gadovist 7,5 mg
Prefilled Syringe
Primovist
Prefilled Syringe
Tetagam
Prefilled syringe
Atrovent HFA
Box, canister 10mL
Catapres Injeksi
Aluvia
botol @ 120 tablet
Xalatan 0,005%
dus, Botol @ 2,5 ml
Granocyte 34 1vl HSA Dus, 1 vial @ 263 mcg + 1 prefilled syringe

Free
pelarut @ 1 ml
Bonescan KaeF
Dus @ 5 vial
Cellcept
Boks, 50 tablet
Pegintron

1 syringe + 2 jarum
Mestinon tab.60 mg
Dus botol @ 150 tab
DBL Cytarabun
dus, 1 vial @ 10 ml
Micardis 80mg
Temodal
Temodal
Andriol Testocaps
Valcyte
Boks, 60 tablet
Dopamin
Dus 5 amp @ 10 ml

70,000.00
8/6/2014 18:35
455,000.00
8/6/2014 18:35
1,360.00
8/6/2014 18:35
72,900.00
8/6/2014 18:35
4,100.00
8/6/2014 18:35
972,000.00
8/6/2014 18:35
275,000.00
8/6/2014 18:35
412,500.00
8/6/2014 18:35
2,570,000.00
8/6/2014 18:35
170,000.00
8/6/2014 18:35
80,000.00
8/6/2014 18:35
30,600.00
8/6/2014 18:35
6,100.00
8/6/2014 18:35
127,000.00
8/6/2014 18:35
550,000.00
8/6/2014 18:35
473,000.00
8/6/2014 18:35
16,000.00
8/6/2014 18:35
915,000.00
8/6/2014 18:35
6,952.00
8/6/2014 18:35
575,000.00
8/6/2014 18:35
6,500.00
8/6/2014 18:35
1,120,000.00
8/6/2014 18:35
223,000.00
8/6/2014 18:35
6,200.00
8/6/2014 18:35
170,000.00
8/6/2014 18:35
11,760.00
8/13/2014 2:04

E-Katalog 2014

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#

Nama Obat Generik

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida

PT. Kimia Farma

Adefovir Dipivoksil tablet/kaplet 10 mg

PT. SmithKline Beecham Phamaceuticals

Albendazol suspensi 200 mg/5 ml

Albendazol tablet/kapsul/kaplet 400 mg

PT. Holi Pharma

Albumin serum normal (human albumin) injeksi 20%, 100 ml Zenalb

Albumin serum normal (human albumin) injeksi 20%, 50 ml

Alopurinol tablet/kapsul/kaplet 100 mg

PT. Pertiwi Agung

Alopurinol tablet/kapsul/kaplet 300 mg

Alprazolam tablet/kapsul/kaplet 0,25 mg

PT. Dexa Medica

Alprazolam tablet/kapsul/kaplet 0,5 mg

PT. Otto Pharmaceuticals

PT. Kimia Farma

Alteplase injeksi 50 mg/vial

PT. Boehringer Ingelheim

Amfoterisin B salep mata 1%

PT. Cendo Industri Farmasi

Amikasin injeksi 250 mg/ml

Aminofilin injeksi 24 mg/ml

PT. Phapros, Tbk

Aminofilin tablet scored 200 mg

Amiodaron injeksi 150 mg/3 ml

PT. Aventis Pharma

Amiodaron tablet/kaplet 200 mg

PT. Aventis Pharma

Amitriptilin tablet salut 25 mg (HCl)

PT. Pertiwi Agung

PT. Pertiwi Agung

Amoksisilin kapsul/kaplet 250 mg

Amoksisilin kapsul/kaplet/tablet scored 500 mg

PT. Mersifarma Tirmaku Mercusana

Amoksisilin sirup kering forte 250 mg/5 ml

PT. Holi Pharma

Amoksisilin sirup kering 125 mg/ 5 ml

Ampisilin serbuk injeksi i.v. 1000 mg/vial

Analog insulin long acting inj 100 UI/ml, vial/cartridge

PT. Aventis Pharma

PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals

PT. Aventis Pharma

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge

PT. AstraZeneca indonesia

Antasida DOEN I tablet kunyah, kombinasi : Aluminium

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida

PT. Lucas Djaja

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g

Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin

PT. Kimia Farma

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

PT. Kimia Farma

Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg

Artemether injeksi 80 mg/ml

PT. Kimia Farma

Asam Asetilsalisilat (asetosal) tablet 100 mg

PT. Phapros, Tbk

Asam Askorbat (Vitamin C) tablet 50 mg