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. Daftar Obat OTC
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Adem Sari Sach Alkohol 70 % 100 Ml Alkohol 96 % 100 Ml Amanplast Antangin Jrg Cair Antangin Tab Antimo Anak Antimo Tab Aromatherapy Babycough Badak Botol Balpirik H Balpirik K Balpirik Kayu Putih Balpirik M Balsem Aktive K Balsem Aktive T Balsem Lang Bedak Salycil Betadin Kumur 100 Ml Betadin Plester Betadin Sol 15 Ml Betadin Sol 5 Ml Betadine 5 Ml Betason Cream Bodrek Flu Batuk Bodrex Bodrex Extra Bodrex Migra Bodrexyn Tablet
Jumlah (Satuan/Kemasan) 1 Box 3 Btl @ 4500 3 Btl @ 5000 Pak Pak Pak Pak 5 Strip @ Rp. 4.500 10 Psc 2 Btl Dus 5 Btl @ Rp. 4500 3 Btl @ 4500 3 Btl @ Rp.4500 3 Btl @ Rp. 4700 3 Btl @ Rp. 4300 3 Btl @ Rp. 7500 1 Box (24X20 g) 5 Btl 2 Btl 1 Box (10x10) 2 Btl 2 Btl Pak 3 Tube @ Rp.8.250 1 Box 1 Box 1 Box 1 Box 1 Box
31
Bye-Bye Fever Anak
5 Scht @ Rp. 8700
Rp.
43.500
32
Bye-Bye Fever Bayi
5 Scht @ Rp. 6000
Rp.
30.000
33 34 35 36 37
C-1000/Dus @1200 Caladin Lot 60 Ml Caladin Powder 100 Caladin Powder 60 Calcusol 30
2 Dus 2 Btl 2 Btl 2 Btl 1 Btl
Rp. Rp. Rp. Rp. Rp.
15.000 19.800 19.700 13.500 27.000
No.
Nama Obat
Total Harga Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
2.000 3.500 15.000 17.000 17.000 26.500 8.000 22.500 140.000 5.500 27.000 22.500 13.500 13.500 14.100 12.900 22.500 145.200 12.000 19.000 25.000 8.400 6.400 16.000 24.750 15.000 50.000 15.000 15.000 26.000
38
Caplang Balsem
2 Pot
Rp.
12.200
39
Caplang Minyak Angin
3 Btl
Rp.
19.100
40
Caplang Minyak Sereh
2 Btl
Rp.
10.400
41 42 43 44 45 46 47 48
Caplang Mkp 120 Ml Caplang Mkp 30 Ml Caplang Mkp 60 Ml Caplang Telon 30 Ml Caplang Telon 60 Ml CDR Cdr Fortos Cerebrofit Excel
1 Btl 2 Btl 1 Btl 3 Btl 1 Btl 1 Btl 1 Btl 2 Dus
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
23.200 12 800 12.100 17.000 10.900 27.800 30.900 29.000
49
Cerebrofit Ginko Biloba
2 Dus
Rp.
29.500
50 51
Cerebrofort Gold Cerebrofort Syr
1 Dus 1 Btl
Rp. Rp.
31.700 15.200
52
Cerebrovort Gold K
1 Btl
Rp.
16.500
53
CTM
1 Box (24x 12 Tab)
Rp.
24.000
54
Curcuma Emuls 200 Ml
1 Btl
Rp.
18.600
55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74
Curcuma Emuls 400 Ml Decolgen Dettol Cair 50 Ml Diapet Diapet Nr Diatabs Dulcolax Suppo Dulcolax Tab Enervon C 30's Entrostop Entrostop Anak Fatigon Fatigon Viro Feminax Fitkom Gummy Fitkom Tab Fresh Care Geliga Krim Otot K Handscone Non Steril Handscone Steril
1 Btl 1 Box 1 Btl 1 Box 1 Box 1 Box 2 suppo 10 ppn 1 btl 5 Strip 10 Strip 10 Strip 5 Strip 5 Strip 1 Btl 1 Btl 10 Psc 2 Pot 100pcs/Box 100 Pcs/Box
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
28.000 15.000 5.100 16.000 28.000 21.000 11.500 49.000 29.600 23.000 15.000 26.000 16.500 10.000 15.900 11.300 10.000 21.000 52.000 13.000
75
Hansaplast Silver Jumbo
1 Box 10x10
Rp.
50.000
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76 77 78 79 80 81 82 83 84 85 86
Hansaplast Silver Herocyn 150 G Herocyn 75 G Hufagrip Bf Hufagrip Pilek Ichtyol Inzana Kaki 3 Larutan Kalpanak Cair Kalpanaks Kana 30 Gr
1 Box 10x10 2 Btl 2 Btl 2 Btl 2 Btl 5 Tube 10 Strip 5 Btl 2 Tube Pak 1 Tube
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
25.000 18.000 13.000 16.600 15.000 20.000 8.000 14.000 5.000 24.000 13.900
87
Kapak Minyakangin No. 6
Pak
Rp.
43.000
88
Kapas Gulung 100 Gr
1 pc
Rp.
6.400
89 90
Kapas Gulung 25 Gr Kapas Gulung 50 Gr
2 Pcs 2 pc
Rp. Rp.
5.000 8.000
91
Kasa Steril Bunga Biru
2 pc
Rp.
6.600
92
Kasa Steril Molex
1 pc
Rp.
6.600
93
Kembang Bulan Bersih Darah
1 Box Isi 10
Rp.
69.000
94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110
Kiranti Komik Cair Sach Komix Komix Kid Komix Kids Konicare 125 Ml 0.15 Konicare 30 Ml 0.15 Konicare 60 Ml 0.15 Konicare Gel 30 Ml Konidin Konidin Koyo Cabe Kupu Kupu Puyer Lang Balsem 10 Gr Lang Balsem 20 Gr Laserin 30 Ml Laserin Madu
5 Btl Pak 1 Box (10x10) 1 Box (10x5) 1 Box ( 1 X 10 Scht) 1 Btl 1 Btl 1 Btl 1 Tube 10 Strip 10 Strip 1 Box Pak Pak Pak 2 Box 1 Box ( 1 X 10 Scht)
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
20.000 16.000 60.000 30.000 7.000 31.700 9.100 15.900 6.300 14.000 15.000 45.000 15.000 25.000 50.000 18.000 10.000
111
Madu Multisari 100 Ml
1 Btl
Rp.
14.600
112
Madu Multisari 250 Ml
1 Btl
Rp.
34.600
Page|2
1 Btl
Rp.
10.000
114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135
Madu Multisari Tropis/Flora 100 Ml Masker Gea Merit + Mextril Minyak Kapak 10 Ml Minyak Kapak 3 Ml Minyak Kapak 5 Ml Minyak Tawon Cc Minyak Tawon Dd Minyak Tawon Ee Minyak Tawon Ff Minyak Urut Geliga Mixagrip Mixagrip Pegal Linu My Baby Mylanta Natur E Neo Napacin Neo Rheumacyl Neo Rheumacyl Neuro Neo Ultasiline Neozep OBH Combi Batuk Flu
50 Pcs/Box 1 Box 10 Strip 2 Btl 3 Btl 1 Btl 2 Btl 2 Btl 1 Btl 1 Btl 2 Btl 10 Strip 5 Strip 2 Pc 5 Strip 10 Dus 10 Strip 2 Strip 1 Strip Pak 10 Strip 2 Btl
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
26.000 22.500 14.000 22.800 12.600 7.300 2.000 24.800 24.200 34.100 15.000 15.000 7.500 4.200 24.000 149.000 14.000 7.000 6.000 58.000 15.000 15.000
136
OBH Combi Batuk Flu Anak
2 Btl
Rp.
15.000
137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152
Oskadon Panadol Biru Panadol Cold Flu Panadol Merah Paramex Pegal Linu Komplit Perban 10 Cm Onemed Perban 5 Cm Onemed Pil Kita Pil Tuntas Poldan Mig Procold Promag Remacyl Salep 88 Salicyl Kimia Farma
5 Strip 10 Strip 10 Strip 10 Strip 10 Strip Pak 5 Pc 10 Pc Box 10 Dus 10 Strip 6 Strip 2 Box Isi 4 Strip 1 Box 2 Papan 1 Pak Isi 12 Pot 4 Btl @ Rp. 5.000
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
7.000 50.000 65.000 55.000 15.000 23.500 5.500 6.000 42.500 36.000 17.000 12.000 17.000 12.000 45.600 20.000
113
Page|3
153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189
Salonpas Sanaflu Sangobion Spuit One Med 10 Cc Spuit One Med 3 Cc Spuit One Med 5 Cc Stimuno Syr Stop Cold Susu Mdl Sutra Sutra 12's Sutra 3's Sutra Ok 12's Sutra Ok 3's Termometer Tolak Angin Anak Tolak Angin Anak Tolak Angin Biasa Tolak Angin Cair Tolak Angin Flu Tolak Angin Permen Ultraflu Vegeta Vegeta Herbal Vick 44 27 Ml Vick 44 Anak 27 Ml Vick 44 Sach Vick Inhaler Vidoran Emuls Vidoran Smart Syr Vipro G Vit B12 Ipi Vit. A Ipi Vit. Bcom Ipi Vit. C Ipi Vitacimin Wood Att / Exp 100 Ml
190 191 192 193
Strip 10 Strip Box 100 Pcs/Box 100 Pcs/Box 100 Pcs/Box 2 Btl @Rp.17.750 10 Strip 1 Box 3 Dus 3 Dus 3 Dus 2 Dus 3 Dus 1 Pc Pak 10 Sch 10 Sch Pak 10 Sch 10 Sch 10 Strip Pak Pak Pak Pak Pak 5 Tube 1 Btl 1 Btl 2 Strip 1 Pak Isi 12 Dus 1 Pak Isi 12 Dus 1 Pak Isi 12 Dus 1 Pak Isi 12 Dus 1 Box
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
42.000 13.000 31.000 7.000 57.000 80.000 35.500 15.000 36.000 15.300 27.000 8.000 25.000 11.100 9.000 13.500 14.000 17.000 20.500 18.000 12.000 18.000 13.500 17.500 25.500 25.500 11.000 42.000 16.500 15.000 10.400 43.000 43.000 45.000 45.000 13.000 21.500
Wood Att / Exp 50 Ml
Rp.
13.100
Wood Orange Wood Original Y Rins
Rp. Rp. Rp.
2.200 2.200 26.400
1 Btl
Page|4
194
Zevit Grow
10 Strip
Rp. Rp.
Total
10.000 4.868.850
2. Obat Luar No
Nama Obat
Jumlah (Satuan/Kemasan)
Harga
Total
1
Albothyl
Lar. Kons. Topical 10 mL x 3 botol
Rp. 26.950 Rp. 80.850
2
Baquinor
Tetes mata 5 mL x 6 botol
Rp. 26.925 Rp.161.550
3
5
Benzolac 2.5% Betam ophtal 0.1% Bioacne
6
4
Gel 5 g x 5 tube
Rp.
5.500 Rp. 27.500
Tetes mata 5 mL x 4 botol
Rp. 42.810 Rp.171.240
Krim 10 g x 5 tube
Rp. 15.500 Rp. 77.500
Biocream
Krim 20 g x 3 tube
Rp. 18.040 Rp. 54.120
7
Biolastin
Krim 10 g x 2 tube
Rp. 27.000 Rp. 54.000
8
Bioplacenton
Jeli tube 15 g x 6 tube
Rp. 10.900 Rp. 65.400
9
Burnazin
Krim 35 g x 3 tube
Rp. 36.500 Rp.109.500
10
Canesten 1%
Krim 3 g x 5 tube
Rp.
11
Canesten 1%
Krim 5 g x 5 tube
Rp. 12.105 Rp. 60.525
12
Lar 30 mL x 3 botol
Rp. 31.000 Rp. 93.000
Salep mata 5 g x 6 tube
Rp. 11.500 Rp. 69.000
Tetes telinga 8 mL x 5 botol
Rp. 13.000 Rp. 65.000
Tetes mata 8 mL x 6 botol
Rp. 13.000 Rp. 78.000
16
Clinika 1% Cloramidina salep mata 1% Colme ear Colme eye 0.5% Confortin
Krim 20 g x 3 tube
Rp. 28.600 Rp. 85.800
17
Corsasep
Lar 60 mL x 3 botol
Rp.
7.150 Rp. 21.450
18
Corsasep
Salep 5 g x 3 tube
Rp.
3.850 Rp. 11.550
19
Dactylen
Larutan 230 mL x 5 botol
Rp. 11.000 Rp. 55.000
20
Daktarin 2%
Krim 5 g x 5 tube
Rp. 13.700 Rp. 68.500
21
Daktarin 2%
Krim 10 g x 5 tube
Rp. 23.250 Rp.116.250
22
Daktarin Diaper
Salep 10 g x 3 tube
Rp. 30.000 Rp. 90.000
23
Danovir 5%
Krim 10 g x 2 tube
Rp. 40.000 Rp. 80.000
24
Krim 5 g x 3 tube
Rp. 27.000 Rp. 81.000
Krim 5 g x 5 tube
Rp.
5.500 Rp. 27.500
Krim 10 g x 5 tube
Rp.
8.250 Rp. 41.250
27
Danovir 5% Dermagen 0.1% Dermagen 0.1% Dermatix
Gel 15 g x 2 tube
Rp.181.818 Rp.363.636
28
Erymed 2%
Lar.topikal 30 mL x 3 botol
Rp. 21.500 Rp. 64.500
29
Flamar
Tetes mata 5 mL x 6 botol
Rp. 27.215 Rp.163.290
30
Forumen
Tetes telinga 10 mL x 5 botol
Rp. 19.835 Rp. 99.175
13 14 15
25 26
9.700 Rp. 48.500
Page|5
Gel 30 mL x 6 tube
Rp. 15.510 Rp. 93.060
32
Handy clean 62% Inmatrol
Tetes mata 5 mL x 6 botol
Rp. 15.000 Rp. 90.000
33
Insto
Tetes mata 15 mL x 8 botol
Rp.
9.817 Rp. 78.536
34
Insto moist
Tetes mata 7.5 mL x 8 botol
Rp.
7.090 Rp. 56.720
35
Intersun
36
42
Intersun Interzol Scalp solution 1% Isotic adretor 0.25% Isotic adretor 0.5% Kalmicetine 2% Meelanox forte 4% Melanox 2%
43
31
37 38 39 40 41
Krim SPF 35 20 g x 3 tube
Rp. 26.000 Rp. 78.000
Lot SPF 30 100 mL x 2 botol
Rp. 40.000 Rp. 80.000
Lar kulit kepala 100 mL x 3 botol
Rp. 35.000 Rp.105.000
Tetes mata 5 mL x 3 botol
Rp. 21.000 Rp. 63.000
Tetes mata 5 mL x 3 botol
Rp. 24.000 Rp. 72.000
Salep 15 g x 5 tube
Rp.
8.250 Rp. 41.250
Krim 4% x 15 g x 3 tube
Rp. 21.160 Rp. 63.480
Krim 2% 15 g x 3 tube
Rp. 19.975 Rp. 59.925
Midric
Tetes mata 5 mL x 6 botol
Rp. 22.090 Rp.132.540
44
Miokar
Tetes mata 5 mL x 6 botol
Rp. 16.965 Rp.101.790
45
Moisderm 10%
Krim 20 g x 3 tube
Rp. 12.000 Rp. 36.000
46
Molavir 5%
Krim 5 g x 3 tube
Rp.
9.600 Rp. 28.800
47
Mycoral 2%
Krim 5 g x 5 tube
Rp.
8.500 Rp. 42.500
48
Nebacetin
49
Novelas
50
Salep mata 2.5 g x 6 tube
Rp. 17.710 Rp.106.260
Lot 50 g x 3 botol
Rp. 42.900 Rp.128.700
Otilon
Tetes telinga 8 mL x 5 botol
Rp. 30.000 Rp.150.000
51
Otolin
Tetes telinga 10 mL x 3 botol
Rp. 17.000 Rp. 51.000
52
Otopain
Tetes telinga 8 mL x 5 botol
Rp. 20.000 Rp.100.000
53
Polidemisin
Tetes mata 5 mL x 6 botol
Rp. 19.575 Rp.117.450
54
Probio-C
Botol 10 mL x 3 botol
Rp. 38.500 Rp.115.500
55
Profungal 2%
Krim 5 g x 5 tube
Rp. 14.500 Rp. 72.500
56
Profungal 2%
Krim 10 g x 5 tube
Rp. 22.000 Rp.110.000
57
Sagestam
Tetes telinga 5 mL x 3 botol
Rp. 16.300 Rp. 48.900
58
Sastid
Sabun 100 g x 3 batang
Rp. 35.200 Rp.105.600
59
Obat kumur 200 mL x 5 botol
Rp. 12.100 Rp. 60.500
62
Septadine 1% SP Troches Meiji Tantum Lozenges Tarivid 0.3%
63 64
60 61
Tab hisap 0.25 mg x 5 box
Rp.
6.550 Rp. 32.750
Loz 3 mg x 3 box
Rp. 27.500 Rp. 82.500
Larutan mata 5mL x 3 botol
Rp. 43.000 Rp.129.000
Tigalin
Salep 10 g x 3 tube
Rp. 16.500 Rp. 49.500
Tripel 2%
Krim 12.5 g x 5 tube
Rp.
6.600 Rp. 33.000
Page|6
65
Vitadrop
66
Vitaquin 5%
67
Zoloral-SS
Tetes mata 10 mL x 3 botol
Rp. 80.000 Rp.240.000
Krim 5% 15 g x 2 tube
Rp. 41.000 Rp. 82.000
Shampo 80 mL x 3 botol
Rp. 44.000 Rp.132.000
Total
Rp. 5.754.347
3. Obat Paten
1
Mertigo
Jumlah (Satuan/Kemasan) 6mg /100 tab
2
Noverty
6 mg/ 6x10 tab
Rp.
26.250
Rp. 52500
3
Alphamol
Syr 60 mLx 20 btl
Rp.
5.250
Rp. 105000
4
Farmadol
500 mg/20x10 tab
Rp.
25.000
Rp. 50000
5
Fasgo Forte
650 mg/20x10 tab
Rp.
25.000
Rp. 50000
6
Fevrin
Syr 60 mL/20 btl
Rp.
10.500
Rp. 210000
7
Ibufenz
Syr 60 mL/10 btl
Rp.
12.500
Rp. 125000
8
Ikacetamol
Syr 100 mL/20 btl
Rp.
7.500
Rp. 150000
9
Kamoles Forte
Syr 60 mL/20 btl
Rp.
27.500
Rp. 550000
10
Lafalos
20 g/5 tube
Rp.
8.000
Rp. 40000
11
Lafalos Plus
20 g/5 tube
Rp.
12.000
Rp. 60000
12
Minigrip
25 mg/25x4 stp
Rp.
8.000
Rp. 200000
13
Naprex
Syr 60 mL/ 5 btl
Rp.
15.500
Rp. 77500
14
Nasamol
500 mg/100 tab
Rp.
18.800
Rp. 18800
15
Naspro Forte
25x4 stp
Rp.
30.000
Rp. 30000
16
Norspirinal
80 mg/5x10 tab
Rp.
22.500
Rp. 45000
17
Nufadol
Syrm60 mL/5 btl
Rp.
7.000
Rp. 35000
18
Pamol
500 mg/10x4 stp
Rp.
37.000
Rp. 74000
19
Pamol Syr
Syr 60 mL/ 5 btl
Rp.
7.000
Rp. 35000
20
Panadol
500 mg/20x10 tab
Rp.
43.000
Rp. 86000
21
Panadol Syr
Syr 60 mL/5 btl
Rp.
22.000
Rp. 110000
22
Panadol Extra
Kapl/20x10 tab
Rp.
52.000
Rp. 104000
23
Paracetamol OGB
Syr 60 mL/ 10 btl
Rp.
2.000
Rp. 20000
24
Poldan Mig
Kapl/50x4 stp
Rp.
38.000
Rp. 76000
25
Ponstan
500 mg/10x10 tab
Rp.
178.000
Rp. 178000
26
Praxion
Syr 60 mL/5 btl
Rp.
15.000
Rp. 75000
27
Praxion Forte
Syr 60 mL/ 5 btl
Rp.
21.000
Rp. 105000
No.
Nama Obat
Harga
Total
Rp.
220.000
Rp. 220000
Page|7
28
Progesic
500 mg/ 50x4 stp
Rp.
28.000
Rp. 56000
29
31
Progesic Syr Sanmol Child Tab Kunyah Sanmol
Syr 60 mL/ 5 btl
Rp.
10.500
Rp. 52500
120 mg/10x10 tab
Rp.
18.000
Rp. 36000
500 mg/ 50x4 stp
Rp.
22.000
Rp. 44000
32
Sanmol Forte
650 mg/10x10 tab
Rp.
25.000
Rp. 25000
33
Tempra
Syr 60 mL/ 3 btl
Rp.
28.000
Rp. 84000
34
Tempra Forte
Syr 60 mL/ 3 btl
Rp.
31.000
Rp. 93000
35
Aclonac
25 mg/3x10 tab
Rp.
40.000
Rp. 40000
36
Analsik
Kapl/ 10x10 tab
Rp.
91.000
Rp. 91000
37
Araclof
50 mg/5x10 tab
Rp.
76.000
Rp. 76000
38
Asimat
500 mg/10x10 tab
Rp.
66.000
Rp. 66000
39
Cataflam
25 mg/5x10 tab
Rp.
94.000
Rp. 94000
40
Cataflam D
50 mg/5x10 tab
Rp.
174.000
Rp. 174000
41
Catanac
25 mg/3x10 tab
Rp.
37.000
Rp. 37000
42
CounteRp.ain-PXM
Rp.
55.000
Rp. 165000
43
Datan
Rp.
32.000
Rp. 32000
44
Datan Forte
15 g/ 3 tube Kapl 250 mg/ 10x10 tab 500 mg/ 10x10 tab
Rp.
105.000
Rp. 105000
45
Dofen Forte
400 mg/ 10x10 tab
Rp.
32.000
Rp. 32000
46
Kaflam
25 mg/5x10 tab
Rp.
18.000
Rp. 90000
47
Kaflam Kalium Diklofenak OGB Kalium Diklofenak OGB
50 mg/5x10 tab
Rp.
33.000
Rp. 33000
25 mg/5x10 tab
Rp.
18.000
Rp. 18000
50 mg/5x10 tab
RP.
33.000
Rp. 33000
Rp.
70.000
Rp. 70000
Rp.
46.000
Rp. 46000
Rp.
34.500
Rp. 34500
Susp 60 mL/ 3 btl
Rp.
12.000
Rp. 36000
Kapl/ 10x10 tab Kapl 500 mg/ 10x10 tab 20 g/5 tube
Rp.
80.000
Rp. 80000
Rp.
33.500
Rp. 33500
Rp.
14.500
Rp. 72500
30
48 49
Kapl 500 mg/ 10x10 tab Kaps 250 mg/ 10x10 tab 7.5 mg/ 5x10 tab
50
Lapistan
51
Mefinal
52
Meloxicam OGB
53
Mofen
54
Neurosanbe Plus
55
Nichostan
56
Pirofel Gel
57
Proris
Syr 60 mL/ 5 btl
Rp.
16.000
Rp. 80000
58
Proris Forte
Syr 50 mL/ 5 btl
Rp.
20.000
Rp. 100000
Page|8
59
Renadinac
25 mg/ 10x10 tab
Rp.
36.000
Rp. 36000
60
Santagesik
500 mg/ 5x10 tab
Rp.
50.000
Rp. 50000
61
Valto
25 mg/ 5x10 tab
Rp.
42.000
Rp. 42000
62
Valto Forte
50 mg/5x10 tab
Rp.
67.000
Rp. 67000
63
Voltaren
25mg/ 5x10 tab
Rp.
118.000
Rp. 118000
64
Voren
20 g/5 tube
Rp.
16.500
Rp. 82500
65
Lysagor
500 mcg/ 6x10
Rp.
24.000
Rp. 48000
66
Nilapur
100 mg / 100 tab
Rp.
40.000
Rp. 40000
67
Rinolic 100
10x10 tab
Rp.
21.000
Rp. 42000
68
Rinolic 300
10x10 tab
Rp.
40.000
Rp. 80000
69
Sinoric
100mg/ 6x10 tab
Rp.
22.000
Rp. 22000
70
Jointfit
30 g/ 3 tube
Rp.
50.000
Rp. 150000
71
Ositin
5x4 stp
Rp.
120.000
Rp. 120000
72
Stop-X
15 g/ 5 tube
Rp.
12.000
Rp. 60000
73
Stop-X
30 g/ 5 tube
Rp.
17.000
Rp. 85000
74
Camidexon
Amp. 5 mg/ mL x 10
Rp.
50.000
Rp. 50000
75
Corsona
500 mcg/ 10x10
Rp.
22.000
Rp. 22000
76
Indexon
0.5 mg/ 20x10 tab
Rp.
19.000
Rp. 38000
77
0.5 mg/ 20x10 tab
Rp.
16.500
Rp. 16500
4 mg/ 100
Rp.
45.000
Rp. 45000
79
Kalmethasone Methylprednisolone OGB Molacort
0.5 mg/ 10x10 tab
Rp.
13.000
Rp. 13000
80
Andalan Pil Menyusui
5 Strip
Rp.
12.000
Rp. 75.000
81
Andalan Pil
1 Box
Rp.
109.500
Rp. 109.500
82
Microgynon Tab
Rp.
52.000
Rp. 52.000
83
Andalan Injeksi
Rp.
116.800
Rp. 116.800
84
Cyclogeston Inj
1 Box (100x28 Tab) 1 Box (3 Ml X 20 Vial) 1 Box ( 0.5 Ml X 20 Vial)
Rp.
169.000
Rp. 169.000
85
One Med Tespeck
86
Sensitif Tespeck
87
Kanamycin Kapsul
88
Kanamycin Sirup
89
Cefat Kaps
78
1 Box Isi 50 Pcs 3 Strip 1 Box (250 Mg X 10 X10) 2 Btl (50 Mg/Ml X 60 Ml) 1 Box (250 Mgx10x10)
Rp. 65.000 Rp.
Rp. 65.000 6500
Rp. 19.500
Rp.
130.000
Rp. 130.000
Rp.
25.200
Rp. 25.200
Rp.
420.000
Rp. 420.000
Page|9
96
Erysanbe Sirup Kering Velequin Tab
1 Botl (125mg/Ml X 60 Ml) 1 Box (250 Mgx10x10) 1 Box (500 Mgx10x10) 2 Btl (125mg/5ml X 60 Ml) 1 Box (250mgx10x10) 2 Btl (200 Mg/5mlx60 Ml) 1 Box (500mgx3x10)
97
Conmycin
1 Box (500mgx100)
Rp.
89.500
Rp. 89.500
98
Supertetra
1 Box (250mgx100)
Rp.
76.000
Rp. 76.000
99
Tetra Sanbe
1 Box (50 Mgx100)
Rp.
41.000
Rp. 41.000
1 Box (100mgx2x10)
Rp.
81.500
Rp. 81.500
101 Ikaprim Tab
1 Box (10x10)
Rp.
66.000
Rp. 66.000
102 Sanprima Tab
1 Box (10x10)
Rp.
68.000
Rp.
Rp.
19.835
Rp. 19.835
Rp.
68.432
Rp. 68.432
Rp.
35.000
Rp. 35.000
Rp.
120.000
Rp.
80.000
Rp. 80.000
Rp.
80.500
Rp. 80.500
109 Dexazol
2 Btl 60ml 1 Box (300mgx10x10) 1 Box (500mgx10x10) 1 Box (500mgx10x10) 1 Box (10x10) 1 Box (500mgx10x10) 1 Box (200mgx5x10)
Rp.
44.150
Rp. 44.150
110 Fulcin
1 Box (500mgx2x14)
Rp.
184.792
Rp. 184.792
111 Interzol Tab
1 Box (200mgx5x10)
Rp.
180.000
Rp. 180.000
112 Kandistatin
1 Btl 1 Box (200mgx10x10) 1 Box (400mgx3x10)
Rp.
29.700
Rp. 29.700
Rp.
83.600
Rp. 83.600
Rp
46.860
Rp. 46.860
115 Vermox 500
1 Box (500mgx24)
Rp.
345.000
Rp. 345.000
116 Fansidar
1 Box 60 Tab 1 Box (500mgx10x10) 1 Btl (0.2%X100ml)
Rp.
393.559
Rp. 393.559
Rp.
35.000
Rp. 35.000
Rp.
17.000
Rp. 17.000
90
Cefat Sirup
91
Amoxan
92
Penmox Tab
93
Penmox Sirup
94
Erysanbe
95
100 Siclidon
103 Sanprima Sirup Clindamycin OGB 104 Dexa 105 Fladex 106 Neotibi 107 Erabutol Plus 108 Santibi
113 Acifar Tab 114 Acifar Tab
117 Fladex 118 Progina Care
Rp.
35.100
Rp. 35.100
Rp.
136.850
Rp. 136.850
Rp.
251.070
Rp. 251.070
Rp.
16590
Rp. 33.180
Rp.
107.500
Rp.
17130
Rp. 34.260
Rp.
10.000
Rp. 210.000
Rp. 107.500
68.000
Rp. 120.000
P a g e | 10
119 Vagistin Absolute Feminine 120 Hygene 121 Urotractin Kaps
1 Ovula
Rp.
125.000
Rp. 125.000
2 Botol
Rp.
14.025
Rp. 28.050
1 Box (400mgx6x10)
Rp.
150.600
Rp. 150.600
122 Hystolan
1 Box (20mgx50)
Rp.
147.500
Rp. 147.500
123 Viagra
1 Box (50mgx4)
Rp.
345.700
Rp. 345.700
1 Box (0.2 Mgx2x14)
Rp.
284.707
Rp. 284.707
1 Box (15mgx4x7)
Rp.
271.040
Rp. 271.040
126 Aminoral Kap
1 Box (10x10)
Rp.
550.000
Rp. 550.000
127 Renoguard
1 Box (10x10)
Rp.
500.000
Rp. 500.000
128 Acylovir 200 Mg
1 Box (5 Strip)
Rp.
17.500
Rp. 17.500
129 Acylovir 400 Mg
1 Box (5 Strip)
Rp.
52.000
Rp. 52.000
1 Box (500 Mgx100) 2 Btl (125mg/5ml X 60 Ml) 1 Box (10x10)
Rp.
140.800
Rp. 140.800
Rp.
27.000
Rp. 27.000
Rp.
45.000
Rp. 45.000
1 Box
Rp.
38.500
Rp. 38.500
1 Box (10x100
Rp.
28.000
Rp. 28.000
Clindamycin 300 Mg
1 Box (5 Blisterx10)
Rp.
37.000
Rp. 37.000
Clindamycin 150 Mg
1 Box (5 Blisterx10)
Rp.
21.000
Rp. 21.000
Cloramfenicol 250 Mg Co-Trimoxazole 480 Mg Doxycyline Erythromycin Kap 250 Mg Erythromycin Btl
1 Box 10 Strip
Rp.
93.130
Rp. 93.130
1 Box 10 Strip
Rp.
35.925
Rp. 35.925
1 Box Isi 100
Rp.
27.600
Rp. 27.600
1 Box
Rp.
68.040
Rp. 68.040
2 Btl
Rp.
17000
Rp. 34.000
Ethambutol 500 Mg
1 Box (10x10)
Rp.
93.000
Rp. 93.000
Griseofulvin 500 Mg
1 Box (10x10)
Rp.
78.000
Rp. 78.000
Ketokonazole OGB
1 Box (200 Mgx50)
Rp.
16.909
Rp. 16.909
Levofloxacin
1 Box
Rp.
80.000
Rp. 80.000
Mebendazole
Rp.
20.000
Rp. 20.000
Rp.
42.496
Rp. 42.496
Rp.
32.000
Rp. 32.000
Rifampicin 300 Mg
1 Box (10x10) 1 Box (10 Strip @ 10) 1 Box (10 Strip @ 10) 1 Box (10x10)
Rp.
74.048
Rp. 74.048
Rifampicin Tablet
1 Box
Rp.
89.080
Rp. 89.080
124 Harnal D 125 Mictonorm
130 Amoxilin Amoxilin Sirup Ampicilin Cefadroxil 500 Mg Ciprofloxacin
Metronidazole Pyrazinamide
P a g e | 11
Salut 450 Mg Tetracylin Kapsul 500 Mg Penisilin Acrios
Amaryl
Deculin Diabinese Fredam
Glimepiride OGB
Glucophage Metformin HCl Calcit Oscal Osteonate OD MAX-E Natur-E SCOTT’S COD Liver Oil SCOTT’S Emulsion Becefort Becombion Syr
Folavit Forneuro
1 Box
Rp.
27.635
Rp. 27.635
1 Box (10x10) Tab 50 mg x 5 strips @10 tab x 2 box Tab 2 mg x 5 strips @10 tab x 3 box Tab 4 mg x 3 strips @10 tab x 3 box Tab 15 mg x 5 strips @6 tab x 2 box Tab 100 mg x 100 tab x 1 box Tab 80 mg x 10 strips @10 tab x 1 box Tab 2 mg x 5 strips @10 tab x 3 box Tab 4 mg x 5 strips @10 tab x 2 box Tab salut selaput 500 mg x 100 tab Tab 500 mg x 10 strips @10 tab x 2 box Kaps lunak 0.25 mcg x 30 kaps Kaps 0.25 mcg x 30 kaps Tab 5 mg x 3 strips @10 tab Kaps lunak 100 IU x 30 kaps x 2 box Kaps lunak 100 IU x 16 kaps x 10 box
Rp.
32.000
Rp. 32.000
Rp.
57.500
Rp. 115.000
Rp.
220.412
Rp. 661.236
Rp.
194.984
Rp. 584.952
Rp.
138.000
Rp. 276.000
Rp.
92.895
Rp. 92.895
Rp.
99.800
Rp. 99.800
Rp.
78.375
Rp. 235.125
Rp.
142.500
Rp. 285.000
Rp.
106.700
Rp. 106.700
Rp.
11.289
Rp. 22.578
Rp.
150.000
Rp. 150.000
Rp.
168.000
Rp. 168.000
Rp.
306.000
Rp. 306.000
Rp.
75.000
Rp. 150.000
Rp.
12.739
Rp. 127.390
Rp.
37.500
Rp. 37.500
Rp.
23.636
Rp. 236.360
Rp.
15.787
Rp. 157.870
Rp.
22.628
Rp. 226.280
Rp.
22.628
Rp. 226.280
Rp.
61.000
Rp. 61.000
Rp.
112.500
Rp. 112.500
Kaps @100 x 1 box Emulsi 400 mL/ btl x 10 btl Sir 60 mL/btl x 10 btl Sir 110 mL/btl x 10 btl Drop 15 mL/1 btl x 10 btl Tab 400 mcg x 10 strips @10 tab Kaps lunak 5 strips
P a g e | 12
@6 kaps x 1 box Neurobion
Tab @50 x 2 box
Rp.
54.371
Rp. 108.742
CDR
Tab eff @20 x 5
Rp.
35.450
Rp. 177.250
Osfit
Kapl @60 kapl
Rp.
70.000
Rp. 70.000
Tab kunyah @72 tab
Rp.
62.400
Rp. 62.400
Tab kunyah @100
Rp.
86.885
Rp. 86.885
Tab eff @20 x 5 Tab rasa @100 tab x 2 box Tab hisap 500 mg x 100 tab Tab 500 mg x 50 strips @2 tab Kapl salut selaput 10 strips @10 kaps Kaps 10 strips @10 kaps Emulsion 120 mL/btl x 5 btl Tab Eff @10 x 5
Rp.
35.185
Rp. 175.925
Rp.
30.745
Rp. 61.490
Rp.
47.565
Rp. 47.565
Rp.
31.900
Rp. 63.800
Rp.
102.500
Rp. 102.500
Rp.
115.500
Rp. 115.500
Rp.
38.950
Rp. 194.750
Rp.
20.300
Rp. 101.500
Sir 120 mL/btl x 5 btl Kapl 10 strips @4 kaps x 1 box Sir 60 mL/btl x 5 btl
Rp.
12.475
Rp. 62.375
Rp.
67.500
Rp. 67.500
Rp.
42.000
Rp. 210.000
Sir 100 mL/btl x 5 btl
Rp.
23.305
Rp. 116.525
Sir 100 mL/btl x 5 btl
Rp.
11.000
Rp. 55.000
Ferokid
Sir 100 mL/btl x 5 btl
Rp.
28.500
Rp. 142.500
Likurmin San-B-Plex Baby Drops Folamil Genio
Sir 100 mL/btl x 5 btl Tetes 15 mL/btl x 5 btl Kaps lunak @30 x 3 Kaps lunak 10 strips @10 kaps Kaps @40 x 2
Rp.
25.000
Rp. 125.000
Rp.
13.450
Rp. 67.250
Rp.
72.000
Rp. 216.000
Rp.
74.000
Rp. 74.000
Rp.
32.811
Rp. 65.622
Sir 100 mL/btl x 5 btl
Rp.
5.780
Rp. 28.900
Sir 330 mL/btl x 5 btl
Rp.
13.780
Rp. 68.900
400 g x 1 x 5 box Kaleng 800 g x 1 x 2 kaleng 400 g x 1 x 5 box
Rp.
55.900
Rp. 279.500
Rp.
108.800
Rp. 217.600
Rp.
51.900
Rp. 259.500
Osteocal Redoxon Double Action Vicee 500 Vitacimin Xon-Ce Becom-C Cerebrovit Senior Elkana CL Emulsion Enervon-C Eff Enervon-C Plus Fatigon C-Plus Imunos Becombion Plus Syrup Cerebrofort AA+DHA
Inbion Sangobion Tonikum Bayer
Bebelove 1 (0-6 bln) Bebelove 2 (6-12 bln)
P a g e | 13
Kaleng 800 g x 1 x 2 kaleng 350 g x 1 x 5 box
Rp.
101.300
Rp. 202.600
Rp.
36.300
Rp. 181.500
750 g x 1 x 2 box
Rp.
71.100
Rp. 142.200
350 g x 1 x 5 box
Rp.
35.600
Rp. 178.000
750 g x 1 x 2 box
Rp.
68.300
Rp. 136.600
400 g x 1 x 5 box Kaleng 800 g x 1 x 2 kaleng 400 g x 1 x 5 box Kaleng 800 g x 1 x 2 kaleng 400 g x 1 x 5 box Kaleng 800 g x 1 x 2 kaleng
Rp.
63.810
Rp. 319.050
Rp.
127.620
Rp. 255.240
Rp.
47.800
Rp. 239.000
Rp.
95.000
Rp. 190.000
Rp.
45.200
Rp. 226.000
Rp.
87.700
Rp. 175.400
200 g x 1 x 3 box
Rp.
26.763
Rp. 80.289
200 g x 1 x 3 box
Rp.
26.763
Rp. 80.289
200 g x 1 x 3 box
Rp.
26.763
Rp. 80.289
Sir 60 mL/btl x 5 btl
Rp.
15.000
Rp. 75.000
Rp.
23.000
Rp. 115.000
Rp.
132.000
Rp. 132.000
Rp.
121.000
Rp. 121.000
Curcuma Plus
Sir 120 mL/btl x 5 btl Kapl 5 srips @6 kapl x 1 box Kaps 10 strips @10 kaps x 1 box Sir 120 mL/btl x 5 btl
Rp.
11.000
Rp. 55.000
Fishqua
Kaps lunak @30 x 1
Rp.
50.250
Rp. 50.250
Hepamax
Kaps lunak @30 x 1 Tab salut selaput 5 strips @6 tab x 2 box Sir 60 mL/btl x 5 btl
Rp.
180.000
Rp. 180.000
Rp.
75.000
Rp. 150.000
Rp.
25.000
Rp. 125.000
Sir 120 mL/btl x 5 btl
Rp.
40.000
Rp. 200.000
Kaps @30 x 1
Rp.
75.000
Rp. 75.000
Sachet @4 x 10 Sirup 56 mL/btl x 20 btl Kapl salut selaput 10 mg x 2 strips @10 kaplet x 3 box
Rp.
3.200
Rp. 32.000
Rp.
4.909
Rp. 98.180
Rp.
53.300
Rp. 159.900
Lactogen 1 (0-6 bln) Lactogen 2 (6-12 bln)
Nutrilon
Bebelac 3 (1-3 thn)
Bebelac 4 (
