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NO 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 31 32 33
KANDUNGAN AMOXILIN 100MG/ML AMIKASIN 250MG/ML AMOXILIN + CALVULANIC ACID AMOXILIN 125MG/5ML AZITHROMYCIN 500MG AZITHROMYCIN 500MG CEFACHLOR 125MG/5ML CEFACHLOR 250MG/5ML CEFADROXIL 125MG/5ML CEFADROXIL 500MG CEFIXIME 100 MG CEFIXIME 100MG/5ML CEFIXIME 100MG/5ML CEFIXIME 100MG/5ML CEFIXIME 200 MG CEFOTAXIME 1GR CEFTRIAXONE 1GR CHLORAMPHENICOL CLINDAMYCIN 300MG ERITHROMYCIN 125MG/5ML LEVOFLOXACIN 500MG LINCOMYCIN MEROPENEM 1 GRAM METRONIDAZOL 500MG METRONIDAZOL+NYSTATIN METRONIDAZOLE 125MG/5ML NIFUROXACID NIFUROXACID SPIRAMYCIN 1,5 MIU SPIRAMYCIN 125MG/5ML THIAMFENICOL 125MG/5ML THIAMFENICOL 250MG/5ML THIAMFENICOL 500 MG
NAMA MERK ANTIBIOTIK AMOXSAN DROP AMIKASIN INJ Claneksy syr LEOMOXYL syr ZIBRAMAX CAP ZIBRAMAX FORIFEK SYR FORIFEK FORTE SYR ROKSICAP SYR Q CEF CEFACEF 100 CEFACEF DS LANFIX DS NUCEF DS CEFACEF 200 MG CEFOTAXIME INJ INTRICEF COLSANCETIN INDANOX ERYSANBE SYR LEXA INF BIOLINCOM SYR MEROPENEM TRICHODAZOL TAB TRICHODAZOL OVULA TROGYL SYR NIRAL SYR NIFURAL ROVADIN TAB ROVADIN SYR BIOTHICOL SYR BIOTHICOL FORTE SYR GENICOL CAP
SEDIAAN DROP KAPSUL SIRUP SIRUP KAPSUL SIRUP SIRUP SIRUP SIRUP KAPSUL KAPSUL SIRUP SIRUP SIRUP KAPSIUL INJEKSI INJEKSI INJEKSI TABLET SIRUP INFUS SIRUP INJEKSI TABLET OVULA SIRUP SIRUP SIRUP TABLET SIRUP SIRUP SIRUP KAPSUL
ANALGETIK/ANTIPIRETIK 1 2 3 4 5 6 7
ASAM MEFENAMAT 500MG DEKSKETOPROFEN IBUPROFEN 100MG/5ML IBUPROFEN 200MG5ML IBUPROFEN 400 MG KETOPROFEN 100MG KETOROLAC INJ
PONSAMIC DEKSKETOPROFEN INJ PROFEN SYR OSTARIN FORTE SYR ETAFEN TAB ROVADIN TERANOL INJ
TABLET INJEKSI SIRUP SIRUP TABLET SUPPO INJEKSI
8 9 10 11 12 13 14 15
METAMIZOLE 250MG/5ML METAMIZOLE 250MG/ML METAMPIRON 500MG, DIAZEPAM 2MG PARACETAMOL + N-ACETYLSISTEIN PARACETAMOL 250MG/5ML PARACETAMOL 500MG PARACETAMOL 60MG/ML TRAMADOL INJEKSI
NORAGES SYR NORAGES DROP ANALSIK SISTENOL NAPREX SYR MAGANOL TAB OTTOPAN DROP TRAMADOL INJ
SIRUP DROP TABLET KAPSUL SIRUP INFUS DROP INJEKSI
ANTIHISTAMIN CAPRITAZIN TAB CAPRITAZIN DROP CAPRITAZIN SYR
TABLET DROP SIRUP
DEXTAFEN TAB
TABLET
6 FLUNARIZINE TAB 7 LORATADINE TAB 8 METHYL PREDNISOLON 8MG
UNALIUM TAB RIHEST TAB STENIROL TAB
TABLET TABLET TABLET
1 DICLOFENAK SODIUM 25 MG 2 DICLOFENAK SODIUM 50 MG 9 TRIAMCINOLONE 4MG
ANTIINFLAMASI EXAFLAM TAB EXAFLAM TAB OPICORT TAB
TABLET TABLET TABLET
1 2 3 4
AMIODARONE TAB FUROSEMIDE Hydrochlortiazid tab 25mg VALSARTAN 80MG
ANTIHIPERTENSI KENDARON TAB URESIX INJ HCT TAB VALSARTAN 80MG
TABLET INJEKSI TABLET TABLET
1 2 3 4 5
DILTIAZEM TAB ASAM ASETILSALISILAT CLOPIDOGREL 75MG SPIRONOLACTON 100MG SPIRONOLACTON 25 MG
OBAT JANTUNG DILTIAZEM ASPILET CLOPIDOGREL 75MG LETONAL 100MG LETONAL 25MG
TABLET TABLET TABLET TABLET TABLET
1 2 3 4 5 6 7 8 10
OBAT SALURAN PENCERNAAN BISACODYL 10MG/ML DULCOLAX SUPP DIMETHYL-POLI-SILOXANE POLYSILANE CAP DOMPERIDONE 5MG/5ML GERDILIUM DROP DOMPERIDONE 5MG/5MML GERDILIUM SYR HYOSCINE N-BUTYL BROMIDE SCOPAMINE PLUS KLORDIAZEPOXIDE, KLIDINIUM BROMIDA BRAXIDIN LAKTULOSE OPILAX SYR METOCLOPRAMIDE MECLAM INJ ONDANSETRON 4MG/2ML TROVENSIS INJ
1 CETIRIZINE 10MG 2 CETIRIZINE 10MG/ML 3 CETIRIZINE 5MG/5ML 0.5MG, 5 DEXAMETHASONE Dexchlorpheniramine maleat 2mg
SUPO KAPSUL DROP SIRUP TABLET TABLET SIRUP INJEKSI INJEKSI
11 12 13 14 15 16
ONDANSETRON 4MG/5ML PROBIOTIK & PREBIOTIK RANITIDINE RANITIDINE 150 MG SUCRALFAT 500MG/5ML ZINC 20 MG
ONDANE SYR PROBI WIACID INJ WIACID TAB NUCRAL SYR DARYAZINC SYR
natrium lauril sulfoasetat 0,045 g, natrium 0,450 g, PEG 400 0,625 g, sorbitol 17 sitrat Microlax supp 4,465 g, asam sorbat 0,005 g, dan air murni 6,250 g
1 2 3 4 5
ASAM TRANEXAMAT 500MG ASAM TRANEXAMAT 500MG METHYL ERGOMETRIN METHYLERGOMETRIN MALEAT 125MG CARBAZOCHROME
HEMOSTATIK ASAM TRANEXAMAT INJ PLASMINEX TAB METHYL ERGOMETRIN BLEDSTOP TAB CARBAZOCHROME
SIRUP SACHET INJEKSI TABLET SIRUP SIRUP SUPPO
INJEKSI TABLET INJEKSI TABLET INJEKSI
OAT 1 2 3 4 1 2 3 3
ISONIAZIDE 400MG, B6 24MG PYRAZINAMIDE 500MG RIFAMPICIN 600MG ETHAMBUTOL 500 MG
TB VIT SANAZET RIFAMTIBI SANTIBI
TABLET TABLET TABLET TABLET
ASAM AMINO, TAURINE ASERING GLUKOSA 10% GLUKOSA 5%
CAIRAN AMINOSTERIL ASERING OTSU D10% D5%
INFUS INFUS INFUS INFUS
Hydroxyethyl starch (HES 200/0.5) 60 g, Na 4 154 mEq, Cl 154 mEq, (NaCl 9 g). WIDAHES Osmolarity: 308 mOsm
INFUS
5 NaCl 0.9%
INFUS
NaCl WIDATRA
30 mEq, Kalium 8 mEq, chlorida 28 6 Natium mEg, lactate 10 mEq, glucose 37,5 gram. KAEN 4B
INFUS
30 mEq, chlorida 20 mEq, lactate KA EN 4A 7 natrium 10 mEq, glucose 40 mg
INFUS
Natrium, Cl , Kalium, Ca, Magnesium, 8 acetate, NaCl, KCl, CaCl2, Mg(OH)2, Na acetate
FUTROLIT
INFUS
9 RL
RL WIDATRA
INFUS
Acetate Trihydrate, NaCl, KCl, CaCl, 10 Na MgCl, NaOH, Gelatin Polysuccinate
GELAFUSAL
INFUS
PSIKOTROPIKA
1 2 3 4 5 6 7
DIAZEPAM 2 MG DIAZEPAM 5MG DIAZEPAM 5MG/ML METAMPIRON, DIAZEPAM CLONIDIUM + CHLORDIARZIPOXIDE DIAZEPAM 5 MG DIAZEPAM 10 MG
VALISANBE VALISANBE VALISANBE ANALSIK BRAXIDIN STESOLID STESOLID NARKOTIKA FENTANYL CLOPEDIN CODEIN 10 MG
1 FENTANYL 2 PETHIDIN 3 CODEIN 10 MG 11.11 mg, phenyltoloxamine 3.67 CODIPRONT SYR 4 Codeine mg 11.11 mg, phenyltoloxamine 3.67 CODIPRONT CUM 5 Codeine mg, GG, Thyme liq
1 2 3 4 5 1 3 4 9 10 12 13 14
Na. SULFACETAMIDE HIDROKORTISON+KLORAMFENIKOL HIDROKORTISON+KLORAMFENIKOL NEOMYCIN, POLYMIXIN, GRAMICIDIN NEOMYCIN, POLYMIXIN, GRAMICIDIN
OBAT MATA Cendo Albuvit Cendo Mycos OINT Cendo Mycos ED Cendo Polygran ED Cendo Polygran OINT
DHA, FOLAS ASAM FOLAT CALVIT D PROGESTERON NORETHISTERON 5MG OXYTOKSIN MESOPROSTOL FLUCONAZOL
OBAT KANDUNGAN PROHELIC FOLAS TAB KALSIUM ULTROGESTAN 100 NORESTIL TAB OKSITOSIN INJ PROSTER GOVAZOL 150MG
1 2 3 4 5 6 7 8 9
PROCATEROL SALBUTAMOL 2.5MG ERDOSTEIN 300MG ERDOSTEIN 175MG/5ML TERBUTALINE SULFAT TERBUTALINE SULFAT AMBROXOL 30 MG AMBROXOL 15MG/5ML AMBROXOL hcl 60mg, triprolidine 10 Pseudoephedrine hcl 2.5mg hcl 30mg, triprolidine 11 Pseudoephedrine hcl 2.5mg
RESPIRASI Ataroc tab COMBIVENT NEB RECUSTEIN RECUSTEIN FORASMA TAB FORASMA SYR EXTROPECT TAB EXTROPECT SYR MUCERA DROP
TABLET TABLET INJEK TABLET TABLET RECTAL TUBE RECTAL TUBE INJEK INJEK TABLET SIRUP SIRUP
ED OINT ED ED OINT TABLET TABLET TABLET TABLET TABLET INJEKSI TABLET TABLET TABLET INHALER KAPSUL SIRUP TABLET SIRUP TABLET SIRUP DROP
TREMENZA TAB
TABLET
TREMENZA SIRUP
SIRUP
12 Pseudoephedrine hcl 13 Salbutamol, Glyceril Guaiacolat 14 SALBUTAMOL
EDORISAN DROP LASAL EXPECTORANT LASAL SYR
DROP SIRUP SIRUP
1 ALBENDAZOL 400 MG 2 PYRANTEL PAMOAT
ANTELMINTIK ALBENDAZOLE PYRANTEL TAB
TABLET TABLET
1 SIMVASTATIN 10 MG
ANTIHIPERLIPID SIMVASTATIN TAB
TABLET
SUPLEMEN, MULTIVITAMIN DAN MINERAL Bcomplex, VitC, nicotinamide, 1 Vit pantothenic acid
BECOM C
2 KALSIUM Elkana tab 3 VitB1 100mg, VitB6 200mg, VitB12 200mcg Neurohax ELDBERRY EXT, PYLLANTUS NIRUNI Munosan ef 4 BLACK EXT, LYCOPENE, ZINC, Sn, VIT. C 5 MULTIVITAMIN DHAVIT SYR 6 VITAMIN & IRON FERLIN SYR 7 Zinc, Vitamin C IMUNPED DROP 8 Zinc, Vitamin C IMUNPED SYR 9 ECHINACEA, ZINC Proza syr 10 ELEKTROLIT Renalyte tiap ml: 3000IU vit A, 1mg vit B1, 1,2mg vit 11 B2, 0,8mg vit B6, 50mg vit C, 16mg BEXCE nicotinamide, 30mcg vit B12, 5mg panthenol, 400IU vit D, 10IU vit E tiap 5ml: 10mg vit B1, 6mg vit B2, 10mg 12 vit B6, 10mcg vit B12, 100mg vit C, 10mg panthenol, 50mg nicotinamide
TABLET TABLET TABLET EFFERVESCENT SIRUP SIRUP DROP SIRUP SIRUP SIRUP DROP
BEXCE
SIRUP
1 Fluconazole 150mg
ANTIFUNGI Govazol tab
TABLET
1 2 3 4
EXTRACT CURCUMINOID CURCUMINOID, ECHINACEA, VIT B6 URSODEOXYCHOLIC ACID 250MG EXTRACT CURCUMINOID
HEPATOPROTEKTOR CURCUMA PCT TAB HEPATIN TAB URDAHEX VITACUR
TABLET TABLET KAPSUL SIRUP
PIRACETAM 500MG/5ML PIRACETAM 500MG/5ML VALPROIC ACID PHENITOIN
SSP PIRACETAM TAB LATROPIL SYR VELLEPSY PHENITOIN
TABLET SIRUP SIRUP INJEKSI
1 2 3 4
SALEP/KRIM/LOTION
1 2 3 4 5 6 7 8 9
Placenta extra, neomycin MIKONAZOLE FUSIDIC ACID 2% FLUTICASON PROPIONATE 0,05% Nystatin, zinc chloride Permethrine 5% MOMETASONE FUROATE GENTAMICIN Triamcinolone acetonide 0.1%
Centabio gel Daktarin oralgel Fuladic cream Medicort cream Myco-Z Ointment Scabimite Cream ELOX CR SAGESTAM CR KENALOG ORABASE
GEL GEL KRIM KRIM OINT KRIM KRIM KRIM SALEP
1 METHYL ISOPRINOL 2 ACYCLOVIR 400MG
ANTIVIRUS ISOPRINOSINE SYR ACYCLOVIR TAB
SIRUP TABLET
1 Potassium chloride 600mg
KALIUM KSR tab
TABLET
TETES TELINGA B sulfate, Neomycin sulfate, 1 Polymyxin Fludrocortisone acetate, Lidocaine HCl.
OTTOPAIN ED
2 H2O2 3%
H2O2 3%
1 2 3 4 5 6 7 8
ANASTESI ATRACURIUM PROPOFOL BUPIVACAIN PEHACAIN LIDOCAIN EPHINEPRIN EPHEDRIN ATROPINE
ATRACURIUM BESYLATE 10MG/ML PROPOFOL BUPIVACAIN HCL 5MG/ML LIDOCAIN. EPHINEPRIN LIDOCAIN 2% EPINEPHRIN 1 MG/ML EPHEDRIN 50 MG/ML ATROPINE SULFATE 0.25MG/ML
DROP
INJEKSI INJEKSI INJEKSI INJEKSI INJEKSI INJEKSI INJEKSI INJEKSI
PABRIK SANBE PHAPROS SANBE GUARDIAN GUARDIAN GUARDIAN CAPRI CAPRI CAPRI GUARDIAN CAPRI CAPRI LANDSON GUARDIAN CAPRI DEXA CAPRI SANBE GUARDIAN SANBE LANDSON OTTO BERNOFARM SANBE SANBE OTTO GUARDIAN DARYA VARIA OTTO OTTO SANBE SANBE GUARDIAN GUARDIAN NOVELL GUARDIAN OTTO GUARDIAN OTTO GUARDIAN
*APA YG AKAN DIGUNAKAN RS UNTUK CEFOTAXIME INJ PATEN
CLINDAMYCIN CAP 300 MG MOVE TO BPJS
MEPRO MEPRO SANBE DEXA DARYA VARIA GUARDIAN OTTO NOVELL CAPRI CAPRI CAPRI OTTO GUARDIAN OTTO GUARDIAN
GUARDIAN GUARDIAN OTTO DARYA VARIA CAPRI KIMIA FARMA NOVELL DEXA DARYA VARIA HEXPHARM OTTO OTTO BOEHRINGER OTTO OTTO OTTO SANBE OTTO GRACIA SANBE
GUARDIAN DARYA VARIA LANDSON LANDSON GUARDIAN DARYA VARIA PHAROS
NOVELL SANBE DARYA VARIA SANBE NOVELL MEPRO SANBE SANBE SANBE FRESINISIUS OTSUKA SANBE OTSUKA WIDATRA WIDATRA SANBE SANBE SANBE WIDATRA DEXA MEDICA
SANBE SANBE SANBE SANBE SANBE ACTAVIS ACTAVIS KIMIA FIRMA KIMIA FIRMA KIMIA FIRMA KIMIA FIRMA KIMIA FIRMA
CENDO CENDO CENDO CENDO CENDO PROMED SANBE PROMED LAPI GUARDIAN DARYA VARIA GUARDIAN GUARDIAN NOVELL BOEHRINGER LANDSON LANDSON GUARDIAN GUARDIAN GUARDIAN GUARDIAN OTTO SANBE SANBE
SANBE LAPI LAPI KIMIA FARMA KIMIA FARMA INDOFARMA
L SANBE SANBE GUARDIAN CAPRI GUARDIAN DARYA VARIA DARYA VARIA DARYA VARIA LANDSON PRATAPA NIRMALA PHAPROS
PHAPROS
GUARDIAN SOHO LAPI KALBE LAPI INDOFARMA LAPI NOVELL NOVELL
CAPRI JOHNSON GUARDIAN SURYA DERMATO TAISHO YUPHARIN FARMA GUARDIAN SANBE TAISHO DARYA VARIA INDOFARMA MERCK
INTERBAT
NOVELL NOVELL FAHRENHEIT PHAPROS PHAPROS ETHICA ETHICA ETHICA
NO
KANDUNGAN
NAMA MERK
SEDIAAN
HARGA
ANTIBIOTIK 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
AMOXICILLIN AMOXICILLIN AZITHROMYCIN CEFADROXIL CEFADROXIL CEFIXIME Cefixime LIAXON CEFTAZIDIME LITAXIME CIPROFLOXACIN Gentamicin 40mg LEVOFLOXACIN LEVOFLOXACIN MEROPENEM GRAFAZOL CAP FARIZOL Metronidazole inf 100ml
SIRUP TABLET TABLET SIRUP KAPSUL KAPSUL SIRUP INJEKSI INJEKSI INJEKSI KAPSUL INJEKSI INFUS KAPSUL INJEKSI KAPSUL SIRUP BOTOL
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
5,188 367 15,444 22,308 815 1,001 18,590 13,228 59,345 12,513 390 6,078 114,400 778 171,600 379 6,435 51,766
Cotrimoxazol tab
TABLET
Rp
237
Rp Rp Rp
5,577 12,269 965
24 25 26 27
SULFAMETOXAZOL. COTRIMOXAZOINFATRIM SIRUP THIAMFENIKOL 125MG/5ML TIAMFILEX SIRUP THIAMFENIKOL 500MG DIONICOL KAPSUL ANALGETIK/ANTIPIRETIK TABLET Antalgin 500mg, papaverin hcl 30mSpasmal ASAM MEFENAMAT 500MG LISFEN TAB TABLET BETAHISTIN 6MG HISTIGO TABLET Ibu Profen Novaxifen syr SIRUP
Rp Rp Rp Rp
1,273 215 672 6,349
28 29 30
Ibu profen 200mg, paracetamol 325mg IBUPROFEN 400MG KETOROLAC 30MG/ML
TABLET INJEKSI
Rp Rp Rp
535 200 9,750
L Carnitine 100mg, Kafein 50mg, Lesugon B1 20mg, B6 5mg, B12 5mg
TABLET
Rp
630
Paracetamol Paracetamol PARACETAMOL 10MG/ML Paracetamol tab 500mg TRAMADOL INJEKSI
SIRUP DROP INFUS TABLET INJEKSI
Rp Rp Rp Rp Rp
3,736 11,440 60,775 129 4,161
KAPSUL
Rp
140
19 20 21 22
31 32 33 34 35 36 37
AMOXICILLIN 125MG/5ML AMOXICILLIN 500 MG AZITHROMYCIN 500 MG CEFADROXIL 125MG/5ML CEFADROXIL 500MG CEFIXIME 100MG CEFIXIME 100MG/5ML CEFOTAXIME 1GR CEFTAZIDIME 1GR CEFTRIAXONE 1GR CIPROFLOXACIN 500MG Gentamicin Sulfat LEVOFLOXACIN 5 MG/ML Levofloxacin 500mg MEROPENEM 1 GRAM METRONIDAZOL 500MG METRONIDAZOLE 125MG/5ML Metronidazole 5mg/ml Sulfametoxazol 400mg, Trimetroprim 80mg
CETIRIZINE 10MG
Tyrema tab IBUPROFEN KETOROLAC INJ
Nutradon syr Hufagesic drop PARACETAMOL INF PARACETAMOL TAB TRAMADOL INJ ANTIHISTAMIN CETIRIZINE KAP
TABLET
38 39
Cetirizine 5MG/5ML Chlorpheniramin maleat 4mg
40
Dexametasone inj
41 42 43
Loratadine 10mg Methyl Prednisolon 125mg Methylprednisolone tab 4mg
44 45 46 47
Diclofenac kalium 50mg Meloxicam 15mg Meloxicam 7.5mg Natrium diclofenac 50mg
48 49 50 51 52
AMLODIPIN 10 MG AMLODIPIN5MG CAPTOPRIL 25MG FUROSEMIDE 40 MG FUROSEMIDE
53 54 55 56 57 58 59 60
ASETOSAL 100MG BISOPROLOL 5MG CANDESARTAN 8MG CLOPIDOGREL 75MG DIGOXIN 0.25MG DILTIAZEM 30 MG ISDN 5MG Valsartan 80mg
61 63 64 65 66 67 68 69 70 71 72 73 74 75 76
ANTASIDA Attalpulgit 600mg BISACODYL 5MG Domperidon DOMPERIDON 10 MG KAOLIN, PEKTIN LANSOPRAZOLE 30MG Loperamid 2mg Metoklopramid hcl OMEPRAZOLE 20 MG OMEPRAZOLE 40MG/ML Ondansetron 4mg/2ml ONDANSETRON 4MG ONDANSETRON 8 MG/2ML Pantoprazole 40mg/vial
77
PARAVIN, PHENOLPTALEIN, GLISEROL
Lerzin syr Orphen tab Dexamethasone Phosphate 5mg/ml
SIRUP TABLET
Rp Rp
7,722 164
Rp
2,717
LORATADINE TABLET Methyl Prednisolon INJEKSI METHYL PREDNISOLONE TABLET ANTIINFLAMASI Mezac tab TABLET Meloxicam tab TABLET Meloxicam tab TABLET NA DIKLOFENAK TABLET ANTIHIPERTENSI AMLODIPIN TAB TABLET AMLODIPIN TAB TABLET CAPTOPRIL TAB TABLET FUROSEMIDE TABLET FUROSEMIDE INJ INJEKSI OBAT JANTUNG APTOR TABLET BISOPROLOL TAB TABLET CANDESARTAN TABLET CLOPIDOGREL TAB TABLET DIGOXIN TAB TABLET DILTIAZEM TABLET FASORBID TABLET VALSARTAN TABLET OBAT SAL. PENCERNAAN ANTASIDA DOEN TABLET Diatabs TABLET LAXANA TAB TABLET VESPERUM SIRUP GRAMETA TABLET KAOTIN SIRUP LANSOPRAZOLE CAP KAPSUL Colidium TABLET Lexapram syr SIRUP OMEPRAZOLE KAPSUL OMPERAZOLE INJ INJEKSI Ondansetron 2mg/ml INJEKSI ONDANSETRON TABLET ONDANSTERON INJEKSI Pantoprazole inj INJEKSI
Rp Rp Rp
515 45,760 386
Rp Rp Rp Rp
386 700 429 506
Rp Rp Rp Rp
620 286 156 601
Rp Rp Rp Rp Rp Rp Rp Rp
273 858 6,435 3,682 624 247 179 5,720
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
254 815 378 10,219 272 6,178 822 234 5,749 405 71,500 8,342 1,502 10,010 84,370
KOMPOLAX SYR
Rp
10,468
SIRUP
78 79 80 81
Ranitidin tab 150mg Ranitidine 50mg/2ml SUCRALFAT 500MG/5ML ZinC tab 20mg
82 83 84 85
ASAM TRANEXAMAT 500MG Methyl Ergometrine 0,2mg PHYTOMENADION 10MG VIT K 100 MG Carbazochrome 25mg/5ml
86 87
NaCl 0.9% RL
88 89 90 91 92 93 94 95 96 97
ASAM FOLAT CURCUMA
98
ACYCLOVIR 400 MG
KALSIUM Mecobalamine inj Multivitamin dan mineral Multivitamin dan mineral VIT B KOMP VIT B6 Vit C 100 MG
99 AMBROXOL 15MG/5ML 100 Ambroxol 30mg 101 102 103 104 105 106 107 108 109 110
DEXTRO, GG, DIPHENHIDRAMIN ERDOSTEIN 30MG Salbutamol 4mg Salbutamol 4mg Sambutamol 2mg Sambutamol 4mg Terbutaine 2.5mg GG, CHLORENUM AMMONICUM GUAIFENESIN 60MG, CTM 1MG AMINOPHILIN 24 MG/ML
111 Allopurinol tab 100mg 112 Curcuma extra
RANITIDINE TABLET Ranitidine HCl 25mg/ml INJEKSI SUCRALFAT SYR SIRUP ZINC TABLET HEMOSTATIK ASAM TRANEXAMAT INJ INJEKSI Myomergin Inj INJEKSI VIT K INJEKSI VIT K TABLET Carbazochrome INJEKSI CAIRAN NaCl WIDATRA INFUS RL WIDATRA INFUS MULTIVITAMIN AFOLAT TABLET CAVICUR TABLET FE BIO TABLET CALCIFAR TAB TABLET Mecobalamine 500mcg/ml INJEKSI Recovit drop DROP Recovit syr SIRUP Vastarel tab TABLET VIT B6 10MG TRF TABLET VIT C TABLET ANTIVIRUS ACYCLOVIR TABLET SALURAN PERNAFASAN ROVERTON SIRUP Roverton TABLET
Rp Rp Rp Rp
572 4,505 21,808 450
Rp Rp Rp Rp Rp
3,289 6,078 7,150 257 13,090
Rp Rp
11,440 12,155
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
455 6,240 624 2,600 11,440 11,050 10,468 459 247 182
Rp
410
Rp Rp
10,468 129
GRANTUSIF ERDOSTEIN Grafalin 4mg COMBIVENT UDV Sambutamol tab Sambutamol tab Astherin tab OBH Surya PASABA AMINOPHILIN ANTI GOUT ALLOPURINOL HEPATOPROTEKTOR Cavicur ANTIHIPERLIPIDEMIA
TABLET KAPSUL TABLET AMPUL TABLET TABLET TABLET SIRUP SIRUP INJEKSI
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
429 1,475 379 1,444 255 453 107 4,805 10,468 7,734
TABLET
Rp
200
TABLET
Rp
572
113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148
ATORVASTATIN Glimepiride 2mg GLIMEPIRIDE 4MG Simvastatin tab 10mg
ATORVASTATIN GLIMEPIRID 2MG GLIMEPIRIDE SIMVASTATIN ANTIHIPERGLIKEMIA Glibenclamide tab 2mg GLIBENCLAMIDE Metformin tab 500mg METFORMIN ANTIFUNGI Ketoconazole tab 200mg KETOKONAZOL OAT Pyrazinamid 500mg PYRAZINAMIDE ISONIAZIDE 440MG, VIT B6 INADOXINE FORTE RIFAMPICIN 450 MG RIFAMPICIN SSP PIRACETAM 39MG/15ML PIRACETAM VALPROIC ACID SYR Valporic acid syr CITICOLINE 250 MG/ML CITICOLINE TOPIKAL ACYCLOVIR 5% Acyclovir cream Bethamethasone valerate Orsaderm cream Diclofenac diethylamine Erphaflam gel Gentamycin Genalten cream HIDROKORTISON HIDROKORTISON KETOKONAZOLE Ketoconazole salp Neomycin sulfat, bovine placenta eNeocenta gel KANDUNGAN Oksitosin 10 I.U OXYTOCIN Phytomenadione 2mg/ml Neo-K Inj ASAM FOLAT AFOLAT OBAT MATA Dexamethasone, Neomycin, Polymyx Alletrol salep mata Dexamethasone, Neomycin, Polymyx Alletrol tetes mata Gentamycin Genoint salep mata Gentamycin Genoint tetes mata NARKOTIKA FENTANYL 0.05 MG/ML FENTANYL PETHIDIN CLODEPIN CODEIN 10 MG CODEIN 10 MG ANESTESI LIDOCAIN. EPHINEPRIN PEHACAIN LIDOCAIN 2% LIDOCAIN ATRACURIUM BESYLATE 10 MG/MLATRACURIUM EPINEPHRIN 1 MG/ML EPHINEPRIN EPHEDRIN 50 MG/ML EPHEDRIN ATROPINE SULFATE 0.25MG/ML ATROPINE
TABLET TABLET TABLET TABLET
Rp Rp Rp Rp
560 611 801 453
TABLET TABLET
Rp Rp
211 186
TABLET
Rp
289
TABLET TABLET TABLET
Rp Rp Rp
388 572 1,475
INJEKSI SIRUP INJEKSI
Rp Rp
23,092 60,060
KRIM KRIM GEL KRIM SALEP SALEP GEL
Rp Rp Rp Rp Rp Rp Rp
4,290 4,004 12,155 3,933 8,424 13,228 15,730
INJEKSI INJEKSI TABLET
Rp Rp Rp
6,578 20,020 455
SALEP DROP SALEP DROP
Rp Rp Rp Rp
12,012 16,926 8,736 11,388
INJEK INJEK TABLET
Rp Rp Rp
65,807 36,179 395
INJEKSI INJEKSI INJEKSI INJEKSI INJEKSI INJEKSI
Rp Rp Rp Rp Rp Rp
935 1,440 69,300 3,693 31,339 2,453
149 150 151 152 153
HALOTAN LIQ HALOTHANE BP SEVOFLURANE SOUJOURN ATRACURIUM BESYLATE 10MG/MLATRACURIUM PROPOFOL PROPOFOL BUPIVACAIN HCL 5MG/ML BUPIVACAIN
INFUS BOTOL INJEKSI INJEKSI INJEKSI
Rp 1,437,500 Rp 1,000,000 Rp 29,700 Rp 25,000 Rp 31,790
DAFTAR OBAT BPJS
PABRIK NOVA NOVA NOVELL HEXPHARM NOVA HEXPHARM HEXPHARM HOLI NOVELL HOLI ERRITA INDOFARMA NOVELL NULAB BERNOFARM GRAHA IFARS NOVELL
STOK OPNAME SYRUP BPJS NO 1 2 3 4 5 6 7 8 9 10 12 13 14 15 16 17
NAMA OBAT AMOXICILIN SYR CEFADROXIL SYR CEFIXIME SYR GRAMETA SYR KAOTIN SYR KOMPOLAX SYR LERZIN SYR LEXAPRAM SYR MOLAPECT SYR NOVAMAG SYR NOVAXIVEN SYR NUTRADON SYR OBH SYR PASABA SYR RECOVIT SYR ROVERTON SYR
ED ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
HARGA BELI Rp 3,628 Rp 7,320 Rp 15,600 Rp 3,820 Rp 4,320 Rp 7,320 Rp 5,400 Rp 4,020 Rp 26,400 Rp 5,400 Rp 4,440 Rp 3,318 Rp 6,600 Rp 3,360 Rp 7,320 Rp 4,320
HARGA BELI + PPN Rp 3,991 Rp 8,052 Rp 17,160 Rp 4,202 Rp 4,752 Rp 8,052 Rp 5,940 Rp 4,422 Rp 29,040 Rp 5,940 Rp 4,884 Rp 3,650 Rp 7,260 Rp 3,696 Rp 8,052 Rp 4,752
### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
ERRITA IFARS MOLEX IFARS
19 THIAMPILEX SYR 20 TROPYDRYL plus k
DARYA VARIA HOLI MOLEX NOVA GRAHA NOVA HEXPHARM
### Rp Rp
8,580 Rp 4,200 Rp
9,438 ### 4,620 ###
TOTAL
ACYCLOVIR CR ALOPURINOL 100MG
5 Rp ### Rp
15,000 Rp 14,000 Rp
3,000 ### 140 ###
AMLODIPIN 10MG AMLODIPIN 5HX ASTHERIN CAP ERMETHASONE 0.5MG FARIZOLSYR FLUTAMOL CAP GENALTEN KRIM GENTAMICIN INJ
30 30 ### ### 5 ### 10 5
13,000 6,000 22,000 7,500 22,500 26,000 27,500 21,250
433 200 220 75 4,500 260 2,750 4,250
ERELA CANDRA NUSANTARA GRAHA KALBE NOVA NOVELL HEXPHARM
Rp Rp Rp Rp Rp Rp Rp Rp
Rp Rp Rp Rp Rp Rp Rp Rp
### ### ### ### ### ### ### ###
IFARS SOLAS
GRAFALIN 4MG GRAFAZOL 500
### Rp ### Rp
16,000 Rp 26,500 Rp
160 ### 265 ###
BERNOFARM
GRANTUSIF
### Rp
30,000 Rp
300 ###
INDOFARMA HEXPHARM HEXPHARM
HELIXIME CAP HELIXIME SYR HISTIGO TAB HUFAGESIC DROP IBUPROFEN 400 INADOXINE FORTE INFATRIM SYR KETOKONAZOL KRIM LIAXON INJ LITAXIME INJ LORATADINE INF MELOXICAM 15MG MELOXICAM7.5MG METHYLPREDNISOLONE NEO K INJ NUTRADON SYR ORPHEN
60 10 50 7 ### ### 3 5 30 50 50 50 50 ### 5 20 ###
Rp 65,000 Rp Rp 100,000 Rp Rp 23,500 Rp Rp 56,000 Rp Rp 14,000 Rp Rp 40,000 Rp Rp 11,700 Rp Rp 21,250 Rp Rp 277,500 Rp Rp 437,500 Rp Rp 18,000 Rp Rp 15,000 Rp Rp 38,500 Rp Rp 27,000 Rp Rp 70,000 Rp Rp 52,250 Rp Rp 11,500 Rp
1,083 10,000 470 8,000 140 400 3,900 4,250 9,250 8,750 360 300 770 270 14,000 2,613 115
### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
RANITIDINE INJ RANITIDINE TAB RENALYTE RL WIDATRA SUCRALFAT SYR TIACINON INJ
30 ### 5 20 15 10
Rp 60,000 Rp Rp 120,000 Rp Rp 76,000 Rp Rp 170,000 Rp Rp 228,750 Rp Rp 46,000 Rp
2,000 400 15,200 8,500 15,250 4,600
### ### ### ### ### ###
MEPRO HEXPHARM HEXPHARM HEXPHARM HEXPHARM HEXPHARM INDOFARMA SAMPHARINDO INDOFARMA NICHOLAS HEXPHARM DEXA HEXPHARM YARINDO DEXA YARINDO EFERCON ERELA MEDIFARMA IFARS IFARS GRAHA ERELA HEXPHARM SOLAS MOLEX HEXPHARM HEXPHARM NOVELL NOVELL NOVELL NOVELL IFARS
ACYCLOVIR CR ALOPURINOL 100MG AMLODIPIN 10MG AMLODIPIN 5HX ASTHERIN CAP ERMETHASONE 0.5MG FARIZOLSYR FLUTAMOL CAP GENALTEN KRIM GENTAMICIN INJ GRAFALIN 4MG GRAFAZOL 500 GRANTUSIF HELIXIME CAP
5 Rp ### 30 30 ### ### 5 ### 10 5 ### ### ###
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
60 Rp
15,000 Rp
3,000 ###
14,000 13,000 6,000 22,000 7,500 22,500 26,000 27,500 21,250 16,000 26,500 30,000
140 433 200 220 75 4,500 260 2,750 4,250 160 265 300
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
65,000 Rp
### ### ### ### ### ### ### ### ### ### ### ###
1,083 ###
HEXPHARM NOVELL MEPRO INDOFARMA NOVELL OTTO BERNOFARM ERELA NOVELL WIDATRA WIDATRA IFARS ERELA ERLIMPEX IFARS NOVELL GLOBAL MULTI NOVA HEXPHARM HEXPHARM KIMIA FARMA
HELIXIME SYR HISTIGO TAB HUFAGESIC DROP IBUPROFEN 400 INADOXINE FORTE INFATRIM SYR KETOKONAZOL KRIM
LIAXON INJ LITAXIME INJ
10 50 7 ### ### 3
Rp 100,000 Rp Rp 23,500 Rp Rp 56,000 Rp Rp 14,000 Rp Rp 40,000 Rp Rp 11,700 Rp
5 Rp
10,000 470 8,000 140 400 3,900
### ### ### ### ### ###
21,250 Rp
4,250 ###
30 Rp 277,500 Rp 20 Rp 437,500 Rp
9,250 ### 21,875 ###
LORATADINE INF MELOXICAM 15MG MELOXICAM7.5MG METHYLPREDNISOLONE NEO K INJ NUTRADON SYR ORPHEN RANITIDINE INJ RANITIDINE TAB RENALYTE RL WIDATRA
50 50 50 ### 5 20 ### 30 ### 5 20
Rp 18,000 Rp Rp 15,000 Rp Rp 38,500 Rp Rp 27,000 Rp Rp 70,000 Rp Rp 52,250 Rp Rp 11,500 Rp Rp 60,000 Rp Rp 120,000 Rp Rp 76,000 Rp Rp 170,000 Rp
360 300 770 270 14,000 2,613 115 2,000 400 15,200 8,500
### ### ### ### ### ### ### ### ### ### ###
ACYCLOVIR CR ALOPURINOL 100MG
5 Rp ### Rp
15,000 Rp 14,000 Rp
3,000 ### 140 ###
AMLODIPIN 10MG ASTHERIN CAP ERMETHASONE 0.5MG FARIZOLSYR FLUTAMOL CAP
30 ### ### 5 ###
13,000 22,000 7,500 22,500 26,000
433 220 75 4,500 260
NOVELL IFARS IFARS GRAHA NOVELL GRAHA BOEHRINGER GRAHA GRAHA PYRIDAM ITRASAL HUFA ETHICA HEXPHARM ERLA
GENALTEN KRIM GENTAMICIN INJ GRAFALIN 4MG GRAFAZOL 500 GRANTUSIF HELIXIME CAP
Rp Rp Rp Rp Rp
10 Rp 5 Rp ### ### ### 60
Rp Rp Rp Rp
Rp Rp Rp Rp Rp
### ### ### ### ###
27,500 Rp 21,250 Rp
2,750 ### 4,250 ###
16,000 26,500 30,000 65,000
160 265 300 1,083
Rp Rp Rp Rp
### ### ### ###
NOVELL HEXPHARM HEXPHARM HEXPHARM INDOFARMA INDOFARMA HEXPHARM KIMIA FARMA ZENITH KIMIA FARMA
HELIXIME SYR HISTIGO TAB HUFAGESIC DROP IBUPROFEN 400 INADOXINE FORTE INFATRIM SYR KETOKONAZOL KRIM
10 50 7 ### ### 3 5
Rp 100,000 Rp Rp 23,500 Rp Rp 56,000 Rp Rp 14,000 Rp Rp 40,000 Rp Rp 11,700 Rp Rp 21,250 Rp
10,000 470 8,000 140 400 3,900 4,250
### ### ### ### ### ### ###
LIAXON INJ LITAXIME INJ LORATADINE INF MELOXICAM 15MG
30 20 50 50
Rp 277,500 Rp Rp 437,500 Rp Rp 18,000 Rp Rp 15,000 Rp
9,250 21,875 360 300
### ### ### ###
MELOXICAM7.5MG
50 Rp
38,500 Rp
770 ###
27,000 Rp 70,000 Rp
270 ### 14,000 ###
INDOFARMA ETERCON BERNOFARM
METHYLPREDNISOLONE NEO K INJ
### Rp 5 Rp
INDOFARMA IFARS ERLIMPEX IFARS KALBE HEXPHARM IFARS
NUTRADON SYR ORPHEN RANITIDINE INJ RANITIDINE TAB RENALYTE RL WIDATRA SUCRALFAT SYR
20 ### 30 ### 5 20 15
ETHICA COMBIPHAR RAMA
TIACINON INJ
ERELA ERELA ERELA ERELA KIMIA FARMA KIMIA FARMA KIMIA FARMA PHAPROS PHAPROS PHAPROS ETHICA ETHICA ETHICA
ACYCLOVIR CR ALOPURINOL 100MG AMLODIPIN 10MG AMLODIPIN 5HX ASTHERIN CAP ERMETHASONE 0.5MG FARIZOLSYR FLUTAMOL CAP GENALTEN KRIM GRAFALIN 4MG GRAFAZOL 500 GRANTUSIF HELIXIME CAP HELIXIME SYR HISTIGO TAB HUFAGESIC DROP
Rp 52,250 Rp Rp 11,500 Rp Rp 60,000 Rp Rp 120,000 Rp Rp 76,000 Rp Rp 170,000 Rp Rp 228,750 Rp
10 Rp
5 ### 30 30 ### ### 5 ### 10 ### ### ### 60 10 50 7
46,000 Rp
Rp 15,000 Rp Rp 14,000 Rp Rp 13,000 Rp Rp 6,000 Rp Rp 22,000 Rp Rp 7,500 Rp Rp 22,500 Rp Rp 26,000 Rp Rp 27,500 Rp Rp 16,000 Rp Rp 26,500 Rp Rp 30,000 Rp Rp 65,000 Rp Rp 100,000 Rp Rp 23,500 Rp Rp 56,000 Rp
2,613 115 2,000 400 15,200 8,500 15,250
### ### ### ### ### ### ###
4,600 ###
3,000 140 433 200 220 75 4,500 260 2,750 160 265 300 1,083 10,000 470 8,000
### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
PIRAMAL NOVELL NOVELL FAHRENHEIT
IBUPROFEN 400 INADOXINE FORTE INFATRIM SYR KETOKONAZOL KRIM LIAXON INJ LITAXIME INJ LORATADINE INF MELOXICAM 15MG MELOXICAM7.5MG METHYLPREDNISOLONE NEO K INJ NUTRADON SYR ORPHEN
### ### 3 5 30 20 50 50 50 ### 5 20 ###
Rp 14,000 Rp Rp 40,000 Rp Rp 11,700 Rp Rp 21,250 Rp Rp 277,500 Rp Rp 437,500 Rp Rp 18,000 Rp Rp 15,000 Rp Rp 38,500 Rp Rp 27,000 Rp Rp 70,000 Rp Rp 52,250 Rp Rp 11,500 Rp
140 400 3,900 4,250 9,250 21,875 360 300 770 270 14,000 2,613 115
### ### ### ### ### ### ### ### ### ### ### ### ###
RANITIDINE INJ RANITIDINE TAB RENALYTE RL WIDATRA SUCRALFAT SYR TIACINON INJ
30 ### 5 20 15 10
Rp 60,000 Rp Rp 120,000 Rp Rp 76,000 Rp Rp 170,000 Rp Rp 228,750 Rp Rp 46,000 Rp
2,000 400 15,200 8,500 15,250 4,600
### ### ### ### ### ###
QTY 57 48 29 5 4 47 41 5 12 5 49 48 61 60 6 40
24 1
542
Rp Rp
4,290 200
Rp Rp Rp Rp Rp Rp Rp Rp
620 286 315 107 6,435 372 3,933 6,078
CAVICUR TAB CEFADROXIL HX 500 CEFIXIME 100 CEFIXIME SYR DEXAMETHASONE INJ ERPHAFLAM GEL HUFAGESIC SYR LISFEN 500MG MELOXICAM 7.5MG METFORMIN HX MYOMERGIN INJ NEW DIATABS OMEPRAZOL HX ONDANSETRON 4MG TAB PARACETAMOL TAB SPASMAL TAB
100
Rp 40,000 ### 300 Rp 171,000 ### 300 Rp 210,000 ### 10 Rp 130,000 ### 50 Rp 95,000 ### 6 Rp 51,000 ### 6 Rp 24,000 ### 100 Rp 15,000 ### 100 Rp 30,000 ### 100 Rp 13,000 ### 10 Rp 42,500 ### 100 Rp 57,000 ### 30 Rp 8,500 ### 12 Rp 45,000 ### 500 Rp 45,000 ### 100 Rp 89,000 ###
DIONICOL 500 MEZAC 50 ORSADERM PEHACAIN INJ
440 627 770 14,300 2,090 9,350 4,400 165 330 143 4,675 627 312 4,125 99 979
Rp Rp Rp Rp
67,500 27,000 2,800 64,500
### ### ### ###
Rp Rp Rp Rp
743 297 3,080 3,548
FASORBID 5MG GLIMEPIRIDE 2MG GRAMETA TAB KAOTIN SYR
100 Rp 50 Rp 50 Rp 3 Rp
12,500 28,000 9,500 12,000
### ### ### ###
Rp Rp Rp Rp
138 616 209 4,400
KOMPOLAX SYR LANSOPRAZOLE MELOXICAM 7.5MG
5
Rp 20 Rp 50 Rp
30,000 ### Rp 11,500 ### Rp 30,000 ### Rp
6,600 633 660
ONE MED TESPECK ROVERTON TAB SALBUTAMOL 2MG SALBUTAMOL 4MG SIMVASTATIN 10MG
15 Rp 200 Rp 100 Rp 100 Rp 30 Rp
50,000 28,000 9,000 11,500 9,500
3,667 154 99 127 348
646 Rp 350 Rp
840 455
ACIFAR 400 MG AFOLAT400 MG
100 100 1 20
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
229 379
AMLODIPIN 5 MG AMOXICILIN 500 MG
Rp Rp
396 Rp 282 Rp
515 367
Rp
429
ANTASIDA
Rp
195 Rp
254
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
1,549 14,300 672 11,440 200 572 5,577 6,078 13,228 12,513 515 429 1,101 386 20,020 3,736 164
APTOR 100 MG BISOPROLOL 5 MG CALCIVAR CAVICAR CAPTOPRIL 25 MG CEFADROXIL 500 MG CEFIXIME 100 MG CETIRIZINE 10 MG CIPROFLOXACIN 500 MG CLOPIDOGREL 75 MG COLIDIUM 2 MG COTRIMOXAZOLE CTM DIATABS DIGOXIN 0,25 MG DILTIAZEM 30 MG DIONICOL 500 MG
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
Rp Rp Rp Rp Rp Rp
2,860 572 21,736 12,155 21,808 6,578
Rp
4,290
ERMETHASON 0,5 MG ETAFLOX 500 MG FE-BIO 650 MG FLOXIGRAN FUROSEMID 40 MG GITRI 450 MG GLIBENDAMID 5 MG GLIMEPIRIDE 4 MG
Rp Rp Rp Rp Rp Rp Rp Rp
100 408 480 5,000 462 222 132 470
Rp Rp Rp Rp Rp Rp Rp Rp
130 530 624 6,500 601 289 172 611
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
200 620 286 315 107 6,435 372 3,933 6,078 229 379 429
GLIBENCLAM 5 MG GRAFAZOLE 500 MG GRAMETA GRANTUSIF HELIXIME 100 MG IBUPROFEN 400 MG KETOKONAZOLE 200 ,G LANSOPRAZOLE 30 MG LAXANA 5 MG LEXIGO LISFEN 500 MG LORATADINE 10 MG
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
162 265 236 372 271 249 222 260 291 359 186 288
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
211 345 307 484 352 324 289 338 378 467 242 374
Rp
1,549
MELOXICAM 15 MG
Rp
504 Rp
655
Rp Rp Rp
210 660 2,000 4,800 120 1,071 450 108 300 2,832 180 182 39
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp 480 Rp 190 Rp 822 Rp
273 858 2,600 6,240 156 1,392 585 140 390 3,682 234 237 51 624 247 1,069
Rp 14,300 Rp 672 Rp 11,440 Rp 200 Rp 572 Rp 5,577
METFORMIN 500 MG METHYLPREDNISOLONE 4 MG METRONIDAZOLE 500 MG NATRIUM DICLOPENAC 50 MG NEXITRA500 MG OMEPRAZOLE 20 MG PARACETAMOL 500 MG
Rp Rp Rp Rp Rp Rp Rp
142 336 367 389 295 115 132
Rp Rp Rp Rp Rp Rp Rp
185 437 477 506 384 150 172
Rp
RANITIDIN 150 MG
Rp
150 Rp
195
ROVERTON 30 MG SPASMINAL 500 MG VASTAREL 100 MG VIT K 100 VIT B6
Rp Rp Rp Rp Rp
168 534 353 198 190
218 694 459 257 247
6,078
Rp 13,228 Rp 31,281 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
515 429 1,101 386 20,020 3,736 164 2,860 572 21,736 12,155
Rp Rp
4,290 200
Rp Rp Rp Rp Rp
620 315 107 6,435 372
Rp Rp
3,933 6,078
Rp Rp Rp Rp
229 379 429 1,549
Rp Rp Rp Rp Rp
Rp Rp Rp Rp Rp Rp Rp
14,300 672 11,440 200 572 5,577 6,078
Rp 13,228 Rp 31,281 Rp 515 Rp 429 Rp
1,101
Rp 386 Rp 20,020 Rp Rp Rp Rp Rp Rp Rp
3,736 164 2,860 572 21,736 12,155 21,808
Rp
6,578
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
4,290 200 620 286 315 107 6,435 372 3,933 229 379 429 1,549 14,300 672 11,440
ACYCLOVIR ALLETROL DAKTAZOLE DULCOLAC SUPP GENALTEN CREAM GENTAMICIN salp GENOINT SM HYDROCORTISON KETOKONAZOLE NEOCENTA
Rp 3,720 Rp Rp 9,240 Rp Rp 4,500 Rp Rp 22,000 Rp Rp 2,964 Rp Rp 2,200 Rp Rp 6,720 Rp Rp 6,480 Rp Rp 5,220 Rp Rp 12,100 Rp
4,836 12,012 5,850 28,600 3,853 2,860 8,736 8,424 6,786 15,730
ALLETROL GENOINT RECOVIT DROP
Rp 13,020 Rp Rp 8,760 Rp Rp 8,500 Rp
16,926 11,388 11,050
Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp
200 572 5,577 6,078 13,228 31,281 515 429 1,101 386 20,020 3,736 164
Rp Rp Rp Rp Rp Rp
2,860 572 21,736 12,155 21,808 6,578
ONDANSETRON 4MG VALSARTAN 80MG KETOROLAC INJ RANITIDIN INJ ONDANSETRON INJ PARACETAMOL INF OMEPRAZOLE INJ
16 30 18 10 6 6 1
Rp Rp Rp Rp Rp Rp Rp
16,800 120,000 122,727 31,500 35,000 255,000 50,000
Rp Rp Rp Rp Rp Rp Rp
1,050 4,000 6,818 3,150 5,833 42,500 50,000
Rp Rp Rp Rp Rp Rp Rp
1,155 4,400 7,500 3,465 6,417 46,750 55,000
Rp Rp Rp Rp Rp Rp Rp
1,502 5,720 9,750 4,505 8,342 60,775 71,500
VALPROIC ACID 10 METRONIDAZOL INF 10 ONDANSETRON 8MG 48 METRONIDAZOLE INF 12 TRAMADOL INJ 100 MECOBALAMIN INJ 10 ASAM TRANEXAMAT INJ 20 VIT K
Rp Rp Rp Rp Rp Rp Rp
420,000 362,000 336,000 434,400 291,000 80,000 46,000
Rp Rp Rp Rp Rp Rp Rp
42,000 36,200 7,000 36,200 2,910 8,000 2,300 5000
Rp Rp Rp Rp Rp Rp Rp Rp Rp
46,200 39,820 7,700 39,820 3,201 8,800 2,530 5,500 -
Rp Rp Rp Rp Rp Rp Rp Rp Rp
60,060 51,766 10,010 51,766 4,161 11,440 3,289 7,150 -
1,135 55,660 1,111 6,270 315 1,980 8,800
Rp Rp Rp Rp Rp Rp Rp Rp Rp
1,475 72,358 1,444 8,151 410 2,574 11,440
35,200 Rp 64,900 Rp 11,880 Rp
45,760 84,370 15,444
RIFAMPICIN 450MG
ACYCLOVIR TAB 100 Rp ERDOSOTEIN 30MG 30 Rp NS WIDATRA 60 Rp
28,659 Rp 54,000 Rp 349,620 Rp
1,032 Rp Rp 50,600 Rp 1,010 Rp 5700 Rp Rp 287 Rp 1,800 Rp 8,000 Rp
METHYL PREDNISOLON 5 Rp PANTOPRAZOLE INJ 4 Rp AZITHROMYCIN 500 20 Rp
160,000 Rp 236,000 Rp 216,000 Rp
32,000 Rp 59,000 Rp 10,800 Rp
CEFTAZIDIME 1GR INJ LEVOFLOXACIN INF
124,500 Rp 240,000 Rp
41,500 80,000 120000 1450
CLOPEDIN INJ CODEIN 20MG
100 Rp
103,155 Rp
25 Rp 1,265,000 Rp 300 Rp 303,000 Rp
3 Rp 3 Rp
Rp 45,650 Rp 59,345 Rp 88,000 Rp 114,400 Rp 132,000 Rp 171,600 Rp 1,595 Rp 2,074
