Daftar Ekatalog Obat

per 15 September 2017

No. Kode Nama Obat Harga Penyedia
1 51000000-OBB-000434790 GENERIK Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg 37.00 PT.Imfarmind Farmasi Industri
2 51000000-OBB-000435247 GENERIK Deksametason tablet/kapsul/kaplet 0,5 mg 43.00 PT. PROMEDRAHARDJO FARMASI INDUSTRI
3 51000000-OBB-000435293 GENERIK Parasetamol tablet/kapsul/kaplet 500 mg 51.00 PT. Mersifarma Tirmaku Mercusana
4 51000000-OBB-000435058 GENERIK Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg 52.00 PT. MARIN LIZA FARMASI
5 51000000-OBB-000434770 GENERIK Propranolol tablet/kapsul/kaplet 10 mg 57.00 PT. Holi Pharma
6 51000000-OBB-000435286 GENERIK Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg 57.00 PT. Mersifarma Tirmaku Mercusana
7 51000000-OBB-000434747 GENERIK Haloperidol tablet/kapsul/kaplet 0,5 mg 58.00 PT. Holi Pharma
8 51000000-OBB-000435268 59.00 Hidroksida
GENERIK Antasida DOEN I tablet kunyah, kombinasi: Aluminium Hidroksida 200 mg + Magnesium PT. Mersifarma
200 mg Tirmaku Mercusana
9 51000000-OBB-000435275 PROFOLAT Asam Folat tablet/kapsul/kaplet 0,4 mg 60.00 PT. PROMEDRAHARDJO FARMASI INDUSTRI
10 51000000-OBB-000434711 GENERIK Kaptopril tablet/kaplet scored 12,5 mg 62.00 PT.Phapros Tbk
11 51000000-OBB-000434752 GENERIK Haloperidol tablet/kapsul/kaplet 1,5 mg 63.00 PT. Holi Pharma
12 51000000-OBB-000435036 GENERIK Asam folat tablet/kapsul/kaplet 1 mg 70.00 PT. MARIN LIZA FARMASI
13 51000000-OBB-000435285 GENERIK Haloperidol tablet/kapsul/kaplet 5 mg 74.00 PT. Mersifarma Tirmaku Mercusana
14 51000000-OBB-000434734 GENERIK Salbutamol tablet/kapsul/kaplet 2 mg (sebagai Sulfat) 78.00 PT.Phapros Tbk
15 51000000-OBB-000434755 GENERIK Isoniazid tablet/kapsul/kaplet 100 mg 78.00 PT. Holi Pharma
16 51000000-OBB-000434768 GENERIK Propranolol tab 40 mg 78.00 PT. Holi Pharma
17 51000000-OBB-000434783 GENERIK Triheksifenidil tablet/kapsul/kaplet 2 mg 80.00 PT. Holi Pharma
18 51000000-OBB-000435176 GENERIK Salbutamol tablet/kapsul/kaplet 4 mg (sebagai Sulfat) 80.00 PT. Kimia Farma (Persero) Tbk
19 51000000-OBB-000434754 GENERIK Loperamid tablet/kapsul/kaplet 2 mg 80.00 PT. IFARS PHARMACEUTICAL LABORATORIES
20 51000000-OBB-000434663 GENERIK Furosemid tablet/kapsul/kaplet 40 mg 81.00 PT. Sampharindo Perdana
21 51000000-OBB-000434713 GENERIK Kaptopril tablet/kaplet scored 25 mg 81.00 PT.Phapros Tbk
22 51000000-OBB-000434766 GENERIK Prednison tablet/kapsul/kaplet 5 mg 82.00 PT. Holi Pharma
23 51000000-OBB-000435116 GENERIK Tiamin (Vitamin B1) tablet/kapsul/kaplet 50 mg (HCl/ Nitrat) 84.00 PT NOVAPHARIN
24 51000000-OBB-000435194 GENERIK Metoklopramide tablet/kapsul/kaplet 10 mg 87.00 PT. Kimia Farma (Persero) Tbk
25 51000000-OBB-000435240 GENERIK Amlodipin tablet/kapsul/kaplet 5 mg 88.00 PT PERTIWI AGUNG
26 51000000-OBB-000434993 GENERIK Aminofilin tablet/kapsul/kaplet 200 mg 92.00 PT. MARIN LIZA FARMASI
27 51000000-OBB-000435260 GENERIK Metronidazol tablet/kapsul/kaplet 250 mg 92.00 PT.Phyto Kemo Agung Farma
28 51000000-OBB-000435105 GENERIK Isosorbid Dinitrat tablet/kaplet sublingual 5 mg 93.00 PT Yarindo Farmatama
29 51000000-OBB-000435299 MINIASPI 80 Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg 94.00 PT. Mersifarma Tirmaku Mercusana
30 51000000-OBB-000435302 LODOMER Haloperidol tablet/kapsul/kaplet 2 mg 94.00 PT. Mersifarma Tirmaku Mercusana
31 51000000-OBB-000435119 GENERIK Domperidon tablet/kapsul/kaplet 10 mg 95.00 P.T. Dexa Medica
32 51000000-OBB-000434736 GENERIK Setirizin tablet/kapsul/kaplet 10 mg 96.00 PT.Phapros Tbk
33 51000000-OBB-000434772 NEOSMA Terbutalin tablet/kapsul/kaplet 2,5 mg 96.00 PT. IFARS PHARMACEUTICAL LABORATORIES
34 51000000-OBB-000435278 GENERIK Metformin HCl tablet/kapsul/kaplet 500 mg 98.00 PT Tempo Scan Pacific, Tbk
35 51000000-OBB-000434842 GENERIK Ranitidin tablet/kapsul/kaplet 150 mg 100.00 PT. Hexpharm Jaya Laboratories
36 51000000-OBB-000435276 GENERIK Asam Mefenamat tablet/kapsul/kaplet 500 mg 102.00 PT. Mersifarma Tirmaku Mercusana
No. Kode Nama Obat Harga Penyedia
37 51000000-OBB-000435048 GENERIK Ibuprofen tablet/kapsul/kaplet 200 mg 105.00 PT NOVAPHARIN
38 51000000-OBB-000435283 GENERIK Diazepam tablet/kapsul/kaplet 5 mg 105.00 PT. Mersifarma Tirmaku Mercusana
39 51000000-OBB-000435235 GENERIK Amlodipin tablet/kapsul/kaplet 10 mg 106.00 PT. PHARMA LABORATORIES
40 51000000-OBB-000435089 GENERIK Digoksin tablet/kapsul/kaplet 0,25 mg 107.00 PT Yarindo Farmatama
41 51000000-OBB-000435072 GENERIK Dimenhidrinat tablet/kapsul/kaplet 50 mg 107.00 PT. Kimia Farma (Persero) Tbk
42 51000000-OBB-000434746 GENERIK Alopurinol tablet/kapsul/kaplet 100 mg 108.00 PT. IFARS PHARMACEUTICAL LABORATORIES
43 51000000-OBB-000435984 GENERIK Asam askorbat (vitamin C) tab 50 mg 109.00 PT. Kimia Farma (Persero) Tbk
44 51000000-OBB-000435100 GENERIK Nifedipin tablet/kapsul/kaplet 10 mg 110.00 P.T. Dexa Medica
45 51000000-OBB-000435239 GENERIK Alprazolam tablet/kapsul/kaplet 0,5 mg 110.00 PT. Mersifarma Tirmaku Mercusana
46 51000000-OBB-000435261 GENERIK Ibuprofen tablet/kapsul/kaplet 400 mg 112.00 PT.Phyto Kemo Agung Farma
47 51000000-OBB-000435295 GENERIK Simvastatin tablet/kaplet/salut 10 mg 113.00 PT. Mersifarma Tirmaku Mercusana
48 51000000-OBB-000435013 GENERIK Asam askorbat (vitamin C) tablet/kapsul/kaplet 250 mg 114.00 PT. Kimia Farma (Persero) Tbk
49 51000000-OBB-000435274 GENERIK Metronidazol tablet/kapsul/kaplet 500 mg 114.00 PT.Phyto Kemo Agung Farma
50 51000000-OBB-000436015 GENERIK Vitamin B Kompleks tablet 121.00 PT. Kimia Farma (Persero) Tbk
51 51000000-OBB-000434728 GENERIK Natrium diklofenak tablet/kapsul/kaplet 50 mg 122.00 PT.Phapros Tbk
52 51000000-OBB-000435199 GENERIK Metoklopramide tablet/kapsul/kaplet 5 mg 123.00 PT. Kimia Farma (Persero) Tbk
53 51000000-OBB-000434833 GENERIK Kaptopril tablet/kapsul/kaplet 50 mg 124.00 PT. Hexpharm Jaya Laboratories
54 51000000-OBB-000435965 GENERIK Piridoksin (Vitamin B6) tab/kap/kapl 10 mg (HCl) 124.00 PT. Kimia Farma (Persero) Tbk
55 51000000-OBB-000434839 GENERIK Loratadin tablet/kapsul/kaplet 10 mg 125.00 PT. Hexpharm Jaya Laboratories
56 51000000-OBB-000435291 GENERIK Kotrimoksazol (dewasa) kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mg131.00 PT. Mersifarma Tirmaku Mercusana
57 51000000-OBB-000435063 GENERIK Diltiazem HCl tablet/kapsul/kaplet 30 mg 135.00 PT. Kimia Farma (Persero) Tbk
58 51000000-OBB-000434727 GENERIK Natrium diklofenak tablet/kapsul/kaplet 25 mg 140.00 PT.Phapros Tbk
59 51000000-OBB-000435026 GENERIK Asam asetilsalisilat (asetosal) tablet/kapsul/kaplet 100 mg 140.00 PT. MARIN LIZA FARMASI
60 51000000-OBB-000434611 PULAREX Attapulgit tab 630 mg 142.00 PT Pabrik Pharmasi Zenith
61 51000000-OBB-000436037 DECATONA Fenitoin Na 30 mg 142.00 PT HARSEN LABORATORIES
62 51000000-OBB-000435075 GENERIK Omeprazol tablet/kapsul/kaplet 20 mg 144.00 PT NOVAPHARIN
63 51000000-OBB-000435258 GENERIK Alprazolam tablet/kapsul/kaplet 1 mg 146.00 PT. Mersifarma Tirmaku Mercusana
64 51000000-OBB-000435290 GENERIK Klorpromazin tablet/kaplet salut 100 mg (HCl) 148.00 PT. Mersifarma Tirmaku Mercusana
65 51000000-OBB-000435282 GENERIK Betahistin tablet/kapsul/kaplet 6 mg 151.00 PT. Mersifarma Tirmaku Mercusana
66 51000000-OBB-000435828 GENERIK Fenitoin kapsul 100 mg 152.00 PT Ikapharmindo Putramas
67 51000000-OBB-000434996 NEW ANTIDES Atapulgit tablet/kapsul/kaplet 600 mg 152.00 PT. TROPICA MAS PHARMACEUTICALS
68 51000000-OBB-000435946 GENERIK Hidroklorotiazid tab 25 mg 156.00 PT. Kimia Farma (Persero) Tbk
69 51000000-OBB-000435253 GENERIK Metilprednisolon tablet/kapsul/kaplet 4 mg 160.00 PT. MOLEX AYUS
70 51000000-OBB-000435053 GENERIK Dietilkarbamazin tablet scored 100 mg 164.00 PT. Kimia Farma (Persero) Tbk
71 51000000-OBB-000435094 GENERIK Fenobarbital tablet/kapsul/kaplet 30 mg 165.00 PT. Kimia Farma (Persero) Tbk
72 51000000-OBB-000435220 GENERIK kombinasi: ergotamin 1 mg + kafein 50 mg 167.00 PT. Kimia Farma (Persero) Tbk
73 51000000-OBB-000435254 GENERIK Metformin HCl tablet/kapsul/kaplet 850 mg 169.00 PT Tempo Scan Pacific, Tbk
74 51000000-OBB-000435195 GENERIK Isoniazid tablet/kapsul/kaplet 300 mg 170.00 PT. Kimia Farma (Persero) Tbk
No. Kode Nama Obat Harga Penyedia
75 51000000-OBB-000435205 GENERIK Klonidin tablet/kapsul/kaplet 0,15 mg 170.00 PT. Kimia Farma (Persero) Tbk
76 51000000-OBB-000434780 GENERIK Tetrasiklin tablet/kapsul/kaplet 250 mg 174.00 PT. Holi Pharma
77 51000000-OBB-000435018 GENERIK Amoksisilin tablet/kapsul/kaplet 250 mg 185.00 PT NOVAPHARIN
78 51000000-OBB-000435257 GENERIK Amoksisilin kapsul/kaplet/tablet scored 500 mg 191.00 PT. PHARMA LABORATORIES
79 51000000-OBB-000435071 FARSORBID 10 Isosorbid dinitrat tablet/kapsul/kaplet 10 mg 198.00 PT Pratapa Nirmala
80 51000000-OBB-000434824 GENERIK Glimepiride tablet/kapsul/kaplet 1 mg 199.00 PT. Hexpharm Jaya Laboratories
81 51000000-OBB-000434811 GENERIK Alopurinol tablet/kapsul/kaplet 300 mg 210.00 PT. Hexpharm Jaya Laboratories
82 51000000-OBB-000434749 NEO DIAGON Attapulgit tab 650 mg 210.00 PT HARSEN LABORATORIES
83 51000000-OBB-000434840 GORED Gliklazid tablet/kapsul/kaplet 80 mg 214.00 PT.Bernofarm
84 51000000-OBB-000435300 ELIZAC 20 Fluoksetin tablet/kaplsul/kaplet 20 mg 225.00 PT. Mersifarma Tirmaku Mercusana
85 51000000-OBB-000435287 GENERIK Karbamazepin tablet/kapsul/kaplet 200 mg 230.00 PT. Mersifarma Tirmaku Mercusana
86 51000000-OBB-000434803 GENERIK Glimepiride tablet/kapsul/kaplet 2 mg 231.00 PT. GUARDIAN PHARMATAMA
87 51000000-OBB-000436134 GENERIK Primakuin tablet 15 mg 235.00 PT.Phapros Tbk
88 51000000-OBB-000434762 GENERIK Pirazinamid tablet/kapsul/kaplet 500 mg 236.00 PT. Holi Pharma
89 51000000-OBB-000435277 GENERIK Simvastatin tablet/kaplet/salut 20 mg 239.00 PT. Natura Laboratoria Prima
90 51000000-OBB-000435107 GENERIK Spironolakton tablet/kapsul/kaplet 25 mg 244.00 P.T. Dexa Medica
91 51000000-OBB-000434658 GENERIK Asiklovir tablet/kapsul/kaplet 200 mg 245.00 PT.Phapros Tbk
92 51000000-OBB-000435187 GENERIK Griseofulvin (micronized) tablet/kapsul/kaplet 125 mg 245.00 PT. Kimia Farma (Persero) Tbk
93 51000000-OBB-000435095 GENERIK Siprofloksasin tab scored 500 mg 247.00 PT NOVAPHARIN
94 51000000-OBB-000434651 265.00
GENERIK Garam Oralit I serbuk, kombinasi: Natrium klorida 0,52 g + kalium klorida 0,30 g + TrinatriumPT.
sitrat dihidrat
RAMA 0,58 g + MULTI
EMERALD Glukosa Anhidrat 2,70 g
SUKSES
95 51000000-OBB-000434817 GENERIK Bisoprolol tablet/kapsul/kaplet 5 mg 270.00 PT. Hexpharm Jaya Laboratories
96 51000000-OBB-000435262 GENERIK Doksisiklin tablet/kapsul/kaplet 100 mg 273.00 PT. PYRIDAM FARMA, Tbk.
97 51000000-OBB-000435097 GENERIK Lisinopril tablet/kapsul/kaplet 5 mg 278.00 P.T. Dexa Medica
98 51000000-OBB-000434632 FENOCIN Fenoksimetil penisilin (penisilin V) tablet/kapsul/kaplet 125 mg 280.00 PT ACTAVIS INDONESIA
99 51000000-OBB-000434809 GENERIK Glimepiride tablet/kapsul/kaplet 3 mg 286.00 PT. GUARDIAN PHARMATAMA
100 51000000-OBB-000434759 GENERIK Pirantel pamoat tablet/kapsul/kaplet 125 mg 288.00 PT. Holi Pharma
101 51000000-OBB-000435060 GENERIK Ketokonazol tablet/kapsul/kaplet 200 mg 288.00 PT NOVAPHARIN
102 51000000-OBB-000434794 GENERIK Sulfadiazin tablet 500 mg 289.00 PT.Imfarmind Farmasi Industri
103 51000000-OBB-000435297 GENERIK Trifluoperazin tablet/kaplet/salut 5 mg 294.00 PT. Mersifarma Tirmaku Mercusana
104 51000000-OBB-000436016 GENERIK Ramipril tablet 2,5 mg 295.00 P.T. Dexa Medica
105 51000000-OBB-000435073 GENERIK Glimepiride tablet/kapsul/kaplet 4 mg 295.00 PT. Indofarma (Persero) Tbk
106 51000000-OBB-000435171 ULSIDEX TABLET 500 MG Sukralfat tablet/kapsul/kaplet 500 mg 296.00 P.T. Dexa Medica
107 51000000-OBB-000435907 GENERIK Retinol (vitamin A) 100.000 298.00 PT. Kimia Farma (Persero) Tbk
108 51000000-OBB-000434791 BRONSOLVAN Teofilin tablet/kapsul/kaplet 150 mg 299.00 PT KALBE FARMA Tbk
109 51000000-OBB-000435066 GENERIK Verapamil tablet/kapsul/kaplet 80 mg (HCl) 303.00 PT. Kimia Farma (Persero) Tbk
110 51000000-OBB-000434822 GENERIK Metilprednisolon tablet/kapsul/kaplet 8 mg 305.00 PT.Bernofarm
111 51000000-OBB-000434615 GENERIK Bisakodil tablet/kapsul/kaplet 5 mg 306.00 PT. ETERCON PHARMA
112 51000000-OBB-000434825 GENERIK Risperidon tablet/kapsul/kaplet 1 mg 308.00 PT. GUARDIAN PHARMATAMA
No. Kode Nama Obat Harga Penyedia
113 51000000-OBB-000434750 BETABLOK Atenolol tablet/kapsul/kaplet 50 mg 310.00 PT KALBE FARMA Tbk
114 51000000-OBB-000435092 GENERIK Lisinopril tablet/kapsul/kaplet 10 mg 319.00 P.T. Dexa Medica
115 51000000-OBB-000435106 GENERIK Tetrasiklin tablet/kapsul/kaplet 500 mg 319.00 PT NOVAPHARIN
116 51000000-OBB-000434799 GENERIK Kotrimoksazol forte kombinasi: sulfametoksazol 800 mg + trimetoprim 160 mg 323.00 PT.Bernofarm
117 51000000-OBB-000435099 GENERIK Lansoprazol tablet/kapsul/kaplet 30 mg 331.00 PT. Indofarma (Persero) Tbk
118 51000000-OBB-000435922 GENERIK Alprazolam tablet/kapsul/kaplet 0,25 mg 336.00 P.T. Dexa Medica
119 51000000-OBB-000435158 GENERIK Risperidon tablet/kapsul/kaplet 2 mg 347.00 P.T. Dexa Medica
120 51000000-OBB-000435153 GENERIK Ramipril tablet/kapsul/kaplet 5 mg 348.00 P.T. Dexa Medica
121 51000000-OBB-000435085 GENERIK Etambutol tablet/kapsul/kaplet 250 mg (HCl) 359.00 PT. Kimia Farma (Persero) Tbk
122 51000000-OBB-000435883 GENERIK Fenoksimetil penisilin (penisilin V) tab 250 mg 368.00 PT.Phapros Tbk
123 51000000-OBB-000434721 370.00
GENERIK kombinasi: ferro fumarat 60 mg + as. Folat 0,4 mg tablet salut gula (tablet tambah darah) PT.Phapros Tbk
124 51000000-OBB-000434679 GENERIK Asiklovir tablet/kapsul/kaplet 400 mg 380.00 PT.Phapros Tbk
125 51000000-OBB-000435306 MERLOPAM Lorazepam tablet/kapsul/kaplet 0,5 mg 405.00 PT. Mersifarma Tirmaku Mercusana
126 51000000-OBB-000434741 GENERIK Albendazol tablet/kapsul/kaplet 400 mg 411.00 PT. Holi Pharma
127 51000000-OBB-000435304 CALPOROSIS D 500 Kalsium Karbonat tablet/kapsul/kaplet 500 mg 430.00 PT. Mersifarma Tirmaku Mercusana
128 51000000-OBB-000434672 GENERIK Ondansetron tablet/kapsul/kaplet 8 mg 449.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
129 51000000-OBB-000436274 VENTOLIN ROTACAPS Salbutamol serb ih 200 mcg/kapsul 450.00 PT Glaxo Wellcome Indonesia
130 51000000-OBB-000435279 GENERIK Sefadroksil tablet/kapsul/kaplet 500 mg 451.00 PT. PHARMA LABORATORIES
131 51000000-OBB-000435189 GENERIK Ofloksasin tablet/kapsul/kaplet 200 mg 463.00 PT. Indofarma (Persero) Tbk
132 51000000-OBB-000435196 GENERIK Ondansetron tablet/kapsul/kaplet 4 mg 478.00 PT. Indofarma (Persero) Tbk
133 51000000-OBB-000435086 GENERIK Irbesartan tablet/kapsul/kaplet 150 mg 483.00 PT. Indofarma (Persero) Tbk
134 51000000-OBB-000435204 GENERIK Levofloksasin tablet/kapsul/kaplet 500 mg 494.00 PT. Kimia Farma (Persero) Tbk
135 51000000-OBB-000434758 GENERIK Etambutol tablet/kaplet salut 500 mg (HCl) 505.00 PT.Bernofarm
136 51000000-OBB-000435180 GENERIK Retinol (vitamin A) kaps lunak 200.000 UI 531.00 PT. Kimia Farma (Persero) Tbk
137 51000000-OBB-000434828 GENERIK Risperidon tablet/kapsul/kaplet 3 mg 539.00 PT. GUARDIAN PHARMATAMA
138 51000000-OBB-000435057 GENERIK Zinc tablet dispersible 20 mg 539.00 PT. Kimia Farma (Persero) Tbk
139 51000000-OBB-000434730 GENERIK Nistatin vaginal tablet 100.000 IU/ g 572.00 PT.Phapros Tbk
140 51000000-OBB-000435214 GENERIK Kodein tablet/kapsul/kaplet 10 mg 577.00 PT. Kimia Farma (Persero) Tbk
141 51000000-OBB-000435020 GENERIK Akarbose tablet 50 mg 579.00 P.T. Dexa Medica
142 51000000-OBB-000435011 GENERIK Eritromisin tablet/kapsul/kaplet 250 mg 587.00 PT. LUCAS DJAJA
143 51000000-OBB-000435288 GENERIK Klindamisin tablet/kapsul/kaplet 300 mg 589.00 PT. Mersifarma Tirmaku Mercusana
144 51000000-OBB-000434995 GENERIK Antimalaria DOEN kombinasi: Pirimetamin 25 mg + Sulfadoksin 500 mg 593.00 PT. Kimia Farma (Persero) Tbk
145 51000000-OBB-000435173 HYTROZ TABLET 1 MG Terazosin HCl tablet/kapsul/kaplet 1 mg 604.00 P.T. Dexa Medica
146 51000000-OBB-000435879 THYROZOL 5 Tiamazol tab 5 mg 610.00 PT. Merck Tbk
147 51000000-OBB-000434757 GENERIK Metilprednisolon tablet/kapsul/kaplet 16 mg 612.00 PT. IFARS PHARMACEUTICAL LABORATORIES
148 51000000-OBB-000435925 GENERIK Fenoksimetil penisilin (penisilin V) tab 500 mg 635.00 PT.Phapros Tbk
149 51000000-OBB-000434761 CONCOR 2.5 Bisoprolol tablet/kapsul/kaplet 2,5 mg 635.00 PT. Merck Tbk
150 51000000-OBB-000435192 GENERIK Ofloksasin tablet/kapsul/kaplet 400 mg 636.00 PT. Indofarma (Persero) Tbk
No. Kode Nama Obat Harga Penyedia
151 51000000-OBB-000434767 GENERIK Sefaleksin tablet/kapsul/kaplet 500 mg 669.00 PT. IFARS PHARMACEUTICAL LABORATORIES
152 51000000-OBB-000435232 KALIPAR Kalium aspartat tablet/kapsul/kaplet 300 mg 677.00 PT Tempo Scan Pacific, Tbk
153 51000000-OBB-000434739 BETABLOK Atenolol tablet/kapsul/kaplet 100 mg 680.00 PT KALBE FARMA Tbk
154 51000000-OBB-000435972 GENERIK Kuinin tab salut selaput 200 mg (222 mg sebagai garam) 704.00 PT. Kimia Farma (Persero) Tbk
155 51000000-OBB-000436001 EUTHYROX 50 Levotiroksin tablet/kaplet/kapsul 50 mcg 719.00 PT. Merck Tbk
156 51000000-OBB-000434700 GENERIK Fitomenadion (Vit.K1) tablet/kaplet salut gula 10 mg 721.00 PT.Phapros Tbk
157 51000000-OBB-000434664 GENERIK Kandesartan tablet/kapsul/kaplet 8 mg 726.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
158 51000000-OBB-000435098 GENERIK Spironolakton tablet/kapsul/kaplet 100 mg 745.00 P.T. Dexa Medica
159 51000000-OBB-000434844 GENERIK Sefiksim tablet/kapsul/kaplet 100 mg 750.00 PT. Hexpharm Jaya Laboratories
160 51000000-OBB-000434621 GENERIK Eritromisin tablet/kapsul/kaplet 500 mg 751.00 PT. RAMA EMERALD MULTI SUKSES
161 51000000-OBB-000435198 GENERIK Rifampisin tablet/kapsul/kaplet 300 mg 786.00 PT. Indofarma (Persero) Tbk
162 51000000-OBB-000435093 GENERIK Irbesartan tablet/kapsul/kaplet 300 mg 793.00 PT. Indofarma (Persero) Tbk
163 51000000-OBB-000434675 GENERIK Ramipril tablet/kapsul/kaplet 10 mg 799.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
164 51000000-OBB-000435001 GENERIK Akarbose tablet 100 mg 800.00 P.T. Dexa Medica
165 51000000-OBB-000434729 GENERIK Nistatin tablet/kaplet salut 500.000 IU/ g 803.00 PT.Phapros Tbk
166 51000000-OBB-000435061 GENERIK Gemfibrozil tablet/kapsul/kaplet 600 mg 809.00 PT. Indofarma (Persero) Tbk
167 51000000-OBB-000436106 GENERIK Lorazepam tablet/kapsul/kaplet 2 mg 818.00 PT. Mersifarma Tirmaku Mercusana
168 51000000-OBB-000435236 ATIVAN 1 MG Lorazepam tablet/kapsul/kaplet 1 mg 850.00 PT SUNTHI SEPURI
169 51000000-OBB-000435200 GENERIK Rifampisin tablet/kapsul/kaplet 450 mg 911.00 PT. Indofarma (Persero) Tbk
170 51000000-OBB-000435177 HYTROZ TABLET 2 MG Terazosin HCl tablet/kapsul/kaplet 2 mg 949.00 P.T. Dexa Medica
171 51000000-OBB-000435948 FRIMANIA 200MG Litium karbonat tablet 200 mg 949.00 PT. Mersifarma Tirmaku Mercusana
172 51000000-OBB-000435908 SIMARC Warfarin tablet 2 mg 950.00 PT Pratapa Nirmala
173 51000000-OBB-000434627 DOPAMET Metildopa tablet/kaplet/salut 250 mg 957.00 PT ACTAVIS INDONESIA
174 51000000-OBB-000435941 GENERIK Warfarin tablet/kapsul/kaplet 1 mg 979.00 PT Eisai Indonesia
175 51000000-OBB-000435216 GENERIK Kodein tablet/kapsul/kaplet 15 mg 997.00 PT. Kimia Farma (Persero) Tbk
176 51000000-OBB-000435292 GENERIK Parasetamol sirup 120 mg / 5 ml 1,013.00 PT. Mersifarma Tirmaku Mercusana
177 51000000-OBB-000435083 GENERIK Klobazam tablet/kapsul/kaplet 10 mg 1,017.00 P.T. Dexa Medica
178 51000000-OBB-000434795 EUTHYROX 100 Levotiroksin tablet/kapsul/kaplet 100 mcg 1,031.00 PT. Merck Tbk
179 51000000-OBB-000434597 GENERIK Bedak salisil serbuk 2% 1,040.00 PT. RAMA EMERALD MULTI SUKSES
180 51000000-OBB-000435033 RETAPHYL SR Teofilin tab SR 300 mg 1,050.00 PT. Kimia Farma (Persero) Tbk
181 51000000-OBB-000436332 GENERIK Fenofibrat kaps 100 mg 1,073.00 PT. Hexpharm Jaya Laboratories
182 51000000-OBB-000434782 KENDARON TABLET Amiodaron tablet 200 mg 1,088.00 PT Darya Varia
183 51000000-OBB-000435070 GENERIK Glikuidon tablet/kapsul/kaplet 30 mg 1,099.00 P.T. Dexa Medica
184 51000000-OBB-000434618 CHLORAMEX Kloramfenikol tablet/kapsul/kaplet 500 mg 1,100.00 PT ACTAVIS INDONESIA
185 51000000-OBB-000434998 GENERIK Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) 1,115.00 PT. LUCAS DJAJA
186 51181600-OBB-000440924 NEO MERCAZOLE Karbimazole Tablet 5 Mg 1,120.00 PT Nicholas Laboratories Indonesia
187 51000000-OBB-000434619 GENERIK Atorvastatin tablet/kapsul/kaplet 20 mg 1,155.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
188 51000000-OBB-000434660 GENERIK Kandesartan tablet/kapsul/kaplet 16 mg 1,155.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
No. Kode Nama Obat Harga Penyedia
189 51000000-OBB-000435041 GENERIK Sianokobalamin (vitamin B12) injeksi 500 mcg 1,157.00 PT. LUCAS DJAJA
190 51000000-OBB-000435203 GENERIK Rifampisin tablet/kapsul/kaplet 600 mg 1,163.00 PT. Indofarma (Persero) Tbk
191 51000000-OBB-000435023 GENERIK Lidokain injeksi 2% (HCL) 1,169.00 PT. LUCAS DJAJA
192 51000000-OBB-000434835 GENERIK Ketorolak inj 30 mg/ml 1,180.00 PT. Hexpharm Jaya Laboratories
193 51000000-OBB-000435875 THYROZOL 10 Tiamazol tab 10 mg 1,195.00 PT. Merck Tbk
194 51000000-OBB-000435080 LEVOPAR Antiparkinson DOEN tablet kombinasi: Benserazid 25 mg + Levodopa 100 mg 1,200.00 PT. MEPROFARM
195 51000000-OBB-000434668 GENERIK Klomifen sitrat tablet/kapsul/kaplet 50 mg 1,210.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
196 51000000-OBB-000434800 GENERIK Gabapentin tablet/kapsul/kaplet 300 mg 1,254.00 PT. GUARDIAN PHARMATAMA
197 51000000-OBB-000435003 GENERIK Ondansetron inj 2 mg/ml (4 mg/ 2 mL) 1,254.00 PT. SOHO Industri Pharmasi
198 51000000-OBB-000434720 GENERIK Klorpromazin injeksi i.m. 25 mg/ml (HCl) 1,291.00 PT.Phapros Tbk
199 51000000-OBB-000436337 GENERIK Fenofibrat kaps 300 mg 1,303.00 PT. Hexpharm Jaya Laboratories
200 51000000-OBB-000435219 GENERIK Kodein tablet/kapsul/kaplet 20 mg 1,312.00 PT. Kimia Farma (Persero) Tbk
201 51000000-OBB-000435040 URINTER Asam Pipemidat tablet/kapsul/kaplet 400 mg 1,348.00 PT. Interbat
202 51000000-OBB-000435044 GENERIK Betametason krim 0,1% (sebagai Valerat) 1,349.00 PT. Kimia Farma (Persero) Tbk
203 51000000-OBB-000435210 GENERIK kombinasi: Levonogestrel 150 mcg + etinilestradiol 30 mcg 1,350.00 PT. Kimia Farma (Persero) Tbk
204 51000000-OBB-000434612 ALPENTIN Gabapentin tablet/kapsul/kaplet 100 mg 1,396.00 PT ACTAVIS INDONESIA
205 51000000-OBB-000435846 NITRAL Gliseril trinitrat tab sublingual 0,5 mg 1,418.00 PT ACTAVIS INDONESIA
206 51000000-OBB-000434719 GENERIK Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 1,456.00 PT.Phapros Tbk
207 51000000-OBB-000436126 GENERIK Morfin tablet 10 mg 1,470.00 PT. Kimia Farma (Persero) Tbk
208 51000000-OBB-000435269 GENERIK Ranitidin injeksi 25 mg/ml 1,531.00 PT. Natura Laboratoria Prima
209 51000000-OBB-000435019 GENERIK Atropin inj 0,25 mg/ml (i.m./i.v./s.k) 1,540.00 PT Ethica Industri Farmasi
210 51000000-OBB-000436059 GENERIK Klozapin 25 mg 1,550.00 PT. Mersifarma Tirmaku Mercusana
211 51000000-OBB-000436163 NITROKAF RETARD Gliseril trinitrat kaps lepas lambat 2,5 mg 1,575.00 PT. Kimia Farma (Persero) Tbk
212 51000000-OBB-000436497 GENERIK Lamivudine tablet 150 mg 1,575.00 PT. Kimia Farma (Persero) Tbk
213 51000000-OBB-000434777 V-BLOC Karvedilol tablet/kapsul/kaplet 6,25 mg 1,600.00 PT KALBE FARMA Tbk
214 51000000-OBB-000435308 PROHIPER 10 Metilfenidat tablet lepas lambat 10 mg 1,600.00 PT. Mersifarma Tirmaku Mercusana
215 51000000-OBB-000434751 GENERIK Deksametason injeksi i.v./i.m. 5 mg/ml 1,647.00 PT.Bernofarm
216 51000000-OBB-000435123 GENERIK Klopidogrel tablet/kapsul/kaplet 75 mg 1,650.00 P.T. Dexa Medica
217 51000000-OBB-000436005 FRIMANIA 400MG Litium karbonat tablet 400 mg 1,672.00 PT. Mersifarma Tirmaku Mercusana
218 51000000-OBB-000434599 RECANSA 10 Rosuvastatin tablet/kapsul/kaplet 10 mg 1,700.00 PT Aventis Pharma
219 51000000-OBB-000435986 KSR Kalium Klorida tablet lepas lambat 600 mg 1,700.00 PT. Merck Tbk
220 51000000-OBB-000435953 MYCOSTOP TAB. 250 Griseofulvin tablet/kapsul/kaplet 250 mg 1,705.00 PT. Galenium Pharmasia Laboratories
221 51000000-OBB-000435296 GENERIK Tramadol injeksi 50 mg/ml 1,720.00 PT. Mersifarma Tirmaku Mercusana
222 51000000-OBB-000434699 GENERIK Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,740.00 PT.Phapros Tbk
223 51000000-OBB-000435052 GENERIK Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml (0,1%) 1,749.00 PT Ethica Industri Farmasi
224 51000000-OBB-000435996 DEPAKOTE Valproat tab salut 250 mg 1,750.00 PT. Abbott Indonesia
225 51000000-OBB-000436146 GENERIK Zidofudin kapsul 100 mg 1,785.00 PT. Kimia Farma (Persero) Tbk
226 51000000-OBB-000436323 TAMOFEN Tamoksifen 10 mg 1,790.00 PT KALBE FARMA Tbk
No. Kode Nama Obat Harga Penyedia
227 51000000-OBB-000434682 OSTOVEL Kalsitriol (vitamin D3) kapsul lunak 0,25 mcg 1,793.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
228 51000000-OBB-000435898 CONCOR 1.25 Bisoprolol tab 1,25 mg 1,808.00 PT. Merck Tbk
229 51000000-OBB-000435211 GENERIK Kloramfenikol salep mata 1 % 1,810.00 PT. Kimia Farma (Persero) Tbk
230 51000000-OBB-000435168 PROBENID TABLET 500 MG Probenesid tablet/kapsul/kaplet 500 mg 1,849.00 P.T. Dexa Medica
231 51000000-OBB-000435038 GENERIK Azitromisin tablet/kapsul/kaplet 500 mg 1,888.00 PT. Kimia Farma (Persero) Tbk
232 51000000-OBB-000435832 GENERIK Oksitosin inj 10 UI/ml 1,900.00 PT Ethica Industri Farmasi
233 51000000-OBB-000435000 FINPRO 5 MG Finasterid tablet/kapsul/kaplet 5 mg 1,920.00 PT. Interbat
234 51000000-OBB-000435264 GENERIK Amoksisilin sirup kering 125 mg/ 5 ml 1,920.00 PT. Mersifarma Tirmaku Mercusana
235 51000000-OBB-000434831 GENERIK Sertralin tablet/kapsul/kaplet 50 mg 1,960.00 PT. GUARDIAN PHARMATAMA
236 51000000-OBB-000435273 1,962.00 Hidroksida
GENERIK Antasida DOEN II suspensi, kombinasi: Aluminium Hidroksida 200 mg/5 ml + Magnesium PT. Mersifarma
200 mg/5
Tirmaku
ml Mercusana
237 51000000-OBB-000434785 NORESTIL Noretisteron tablet/kapsul/kaplet 5 mg 1,980.00 PT. GUARDIAN PHARMATAMA
238 51000000-OBB-000434792 GENERIK Donepezil tablet/kapsul/kaplet 5 mg 1,980.00 PT. GUARDIAN PHARMATAMA
239 51000000-OBB-000434674 GENERIK Pravastatin tablet/kapsul/kaplet 20 mg 1,980.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
240 51000000-OBB-000435028 GENERIK Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000 - 2 mL 2,037.00 PT. LUCAS DJAJA
241 51000000-OBB-000435111 GENERIK Asam traneksamat injeksi 50 mg/ml 2,045.00 P.T. Dexa Medica
242 51000000-OBB-000436006 GENERIK Lamivudin tab 100 mg 2,100.00 PT. Kimia Farma (Persero) Tbk
243 51000000-OBB-000435305 2,160.00
DHP - FRIMAL Kombinasi (DHP): dihidroartemisin 40 mg + Piperakuin 320 mg tab sal selaput PT. Mersifarma Tirmaku Mercusana
244 51000000-OBB-000434814 GENERIK Asam traneksamat injeksi 100 mg/ml 2,200.00 PT. Hexpharm Jaya Laboratories
245 51000000-OBB-000434756 2,364.00 40
GENERIK Kotrimoksazol (anak) kombinasi tiap 5 ml suspensi: sulfametoksazol 200 mg + trimetoprim PT.
mgHoli Pharma
246 51000000-OBB-000434771 SYNARCUS Flusinolon asetonid krim 0,025% 2,374.00 PT. IFARS PHARMACEUTICAL LABORATORIES
247 51000000-OBB-000435251 PROTHYRA Medroksi Progesteron asetat tablet/kapsul/kaplet 10 mg 2,400.00 PT SUNTHI SEPURI
248 51000000-OBB-000436170 NITROKAF FORTE Gliseril trinitrat kaps lepas lambat SR 5 mg 2,426.00 PT. Kimia Farma (Persero) Tbk
249 51000000-OBB-000436171 TANAPRESS 5 Imidapril tab 5 mg 2,442.00 PT. Tanabe Indonesia
250 51000000-OBB-000435115 GENERIK Asam ursodeoksikolat tablet/kapsul/kaplet 250 mg 2,445.00 P.T. Dexa Medica
251 51000000-OBB-000435307 SANDEPRIL 50 Maprotilin HCl tablet/kapsul/kaplet 50 mg 2,450.00 PT. Mersifarma Tirmaku Mercusana
252 51000000-OBB-000435831 GENERIK Karbogliserin tetes telinga 10% 2,500.00 PT. LUCAS DJAJA
253 51000000-OBB-000435087 GENERIK Sefiksim tablet/kapsul/kaplet 200 mg 2,529.00 P.T. Dexa Medica
254 51000000-OBB-000434665 GENERIK Ibuprofen susp 100 mg/5 ml 2,550.00 PT. RAMA EMERALD MULTI SUKSES
255 51000000-OBB-000435197 GENERIK Ketokonazol krim 2% 2,596.00 PT. Kimia Farma (Persero) Tbk
256 51000000-OBB-000436087 BIOPREXUM 5 MG Perindoprilarginin tab 5 mg 2,640.00 PT Darya Varia
257 51000000-OBB-000434999 FETIK SUPP Ketoprofen supositoria 100 mg 2,640.00 PT. Interbat
258 51000000-OBB-000435190 GENERIK Hidrokortison krim 2,5% 2,640.00 PT. Kimia Farma (Persero) Tbk
259 51000000-OBB-000435054 GENERIK Salep 2-4, kombinasi: asam salisilat 2% + belerang endap 4% 2,654.00 PT. MARIN LIZA FARMASI
260 51000000-OBB-000435829 GENERIK Klaritromisin 500 mg 2,670.00 PT. ETERCON PHARMA
261 51000000-OBB-000434992 L-CISIN Kolkisin tablet/kapsul/kaplet 500 mcg 2,750.00 PT LAPI LABORATORIES
262 51000000-OBB-000435230 LEXAPRAM SIRUP Metoklopramide sirup 5 mg/ 5 ml 2,750.00 PT. MOLEX AYUS
263 51000000-OBB-000436224 OTSU - WI Air untuk injeksi 25ml 2,750.00 PT. Otsuka Indonesia
264 51000000-OBB-000435896 LAMICTAL Lamotrigin tab dispersible 25 mg 2,756.00 PT Glaxo Wellcome Indonesia
No. Kode Nama Obat Harga Penyedia
265 51000000-OBB-000435101 BLOREC Karvedilol tablet/kapsul/kaplet 25 mg 2,800.00 PT Pratapa Nirmala
266 51000000-OBB-000436048 DEPAKOTE Valproat tab SR 250 mg 2,840.00 PT. Abbott Indonesia
267 51000000-OBB-000436103 TOPAMAX Topiramat tablet 25 mg 2,840.00 PT. SOHO Industri Pharmasi
268 51000000-OBB-000435977 CONCOR 10 Bisoprolol tab 10 mg 2,848.00 PT. Merck Tbk
269 51000000-OBB-000435904 DIAMICRON MR 60 Gliklazid tab lepas lambat 60 mg 2,992.00 PT Darya Varia
270 51000000-OBB-000435065 GENERIK Metilergometrin inj 0,2 mg/ml 2,992.00 PT Ethica Industri Farmasi
271 51000000-OBB-000435998 LAMICTAL Lamotrigin tab 50 mg 2,996.00 PT Glaxo Wellcome Indonesia
272 51000000-OBB-000434608 GENERIK Aminofilin inj 24 mg/ml 2,998.00 PT.Phapros Tbk
273 51000000-OBB-000435863 GENERIK Metamizol Inj 500 mg/ml 3,000.00 PT.Bernofarm
274 51000000-OBB-000435008 3,071.00
GENERIK Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin 10.000 IU/g PT. Indofarma (Persero) Tbk
275 51000000-OBB-000435995 GENERIK Nevirapin tablet/kapsul/kaplet 200 mg 3,087.00 PT. Kimia Farma (Persero) Tbk
276 51000000-OBB-000436353 OTSU KCL 7,46% Kalium Klorida 7,46% 25 ml 3,099.00 PT. Otsuka Indonesia
277 51000000-OBB-000434703 GENERIK Domperidon suspensi/sirup 5 mg/5 ml 3,105.00 PT.ERLIMPEX
278 51000000-OBB-000434647 BUFACETINE Kloramfenikol salep kulit 2% 3,107.00 PT Bufa Aneka
279 51000000-OBB-000434604 GENOINT SALEP MATA Gentamisin salep mata 0,3% 3,110.00 PT.ERELA
280 51000000-OBB-000435046 GENERIK Hidrokortison krim 1% 3,184.00 PT. MARIN LIZA FARMASI
281 51000000-OBB-000434696 GENERIK Setirizin sirup 5 mg/5 ml 3,200.00 PT.ERELA
282 51000000-OBB-000436009 OTSU - MGSO4 20 Magnesium sulfat injeksi 20% 3,200.00 PT. Otsuka Indonesia
283 51000000-OBB-000434603 ADALAT OROS 20 Nifedipin tab 20 mg, slow release; oros 3,285.00 PT Bayer Indonesia
284 51000000-OBB-000434808 SKIZON Betametason krim 0,5 mg/g 3,388.00 PT. Hexpharm Jaya Laboratories
285 51000000-OBB-000436028 CARDURA 1MG Doksazosin mesilat tablet 1 mg 3,395.00 PT. Pfizer Indonesia
286 51000000-OBB-000434789 DECACETIN TETES MATA 0.5% Kloramfenikol tetes mata 0,5 % 3,500.00 PT HARSEN LABORATORIES
287 51000000-OBB-000434649 NIMOTOP Nimodipine tablet/kapsul/kaplet 30 mg 3,520.00 PT Bayer Indonesia
288 51000000-OBB-000435067 GENERIK Gentamisin injeksi 40 mg/ ml 3,556.00 PT. Indofarma (Persero) Tbk
289 51000000-OBB-000434838 GENERIK Metoklopramide inj 5 mg/mL 3,565.00 PT.Bernofarm
290 51000000-OBB-000434744 GENERIK Amoksisilin sirup kering forte 250 mg/5 ml 3,642.00 PT. Holi Pharma
291 51000000-OBB-000434616 ADALAT OROS 30 Nifedipin tab 30 mg, SR, oros 3,645.00 PT Bayer Indonesia
292 51000000-OBB-000436149 OTSU - MGSO4 40 Magnesium sulfat injeksi 40% 3,650.00 PT. Otsuka Indonesia
293 51000000-OBB-000435975 GENERIK Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml 3,728.00 PT.Phapros Tbk
294 51000000-OBB-000435950 GENERIK Metronidazol sirup 125 mg/5 ml 3,800.00 PT. MEPROFARM
295 51000000-OBB-000436154 GENERIK Zidovudin 300 mg + Lamivudine 150 mg 3,885.00 PT. Kimia Farma (Persero) Tbk
296 51000000-OBB-000434683 HYDROXYUREA MEDAC Hidroksi Urea tablet/kapsul/kaplet 500 mg 3,927.00 PT. DIPA PHARMALAB INTERSAINS
297 51000000-OBB-000435229 REBETOL Ribavirin tab 200 mg 3,992.00 PT Merck Sharp Dohme Pharma Tbk
298 51000000-OBB-000435301 LODOMER Haloperidol injeksi i.m 5 mg/ml 4,000.00 PT. Mersifarma Tirmaku Mercusana
299 51000000-OBB-000435961 GENERIK Albendazol sup 200mg/5 ml 4,041.00 PT. Indofarma (Persero) Tbk
300 51000000-OBB-000435265 GENERIK Sefadroksil sirup kering 125 mg/5ml 4,100.00 PT. PHARMA LABORATORIES
301 51000000-OBB-000435959 GENERIK Fitomenadion (vitamin K1) inj 10 mg/ml (i.m) 4,167.00 PT.Phapros Tbk
302 51000000-OBB-000434687 MILOZ 5 Midazolam injeksi i.v. 1 mg/ml 4,257.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
No. Kode Nama Obat Harga Penyedia
303 51000000-OBB-000436049 HERBESSER CD 100 Diltiazem Kapsul SR 100 mg 4,290.00 PT. Tanabe Indonesia
304 51000000-OBB-000436192 VAGIZOL Metronidazol ovula 500 mg 4,305.00 PT. Kimia Farma (Persero) Tbk
305 51000000-OBB-000434685 GENERIK Gentamisin tetes mata 0,3% 4,380.00 PT.ERELA
306 51000000-OBB-000436155 DORNER Beraprost sodium tablet 20 mcg 4,400.00 PT. COMBINED IMPERIAL PHARMACEUTICALS
307 51000000-OBB-000436127 SIFROL 0,125MG Pramipeksol tablet 0,125 mg 4,481.00 PT Boehringer Ingelheim Indonesia
308 51000000-OBB-000436054 GENERIK Salbutamol sirup 4,489.00 PT. Indofarma (Persero) Tbk
309 51000000-OBB-000434640 ONZAPIN 5 MG Olanzapin tablet/kaplet/salut 5 mg 4,498.00 PT ACTAVIS INDONESIA
310 51000000-OBB-000435021 GENERIK Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 4,540.00 PT. MARIN LIZA FARMASI
311 51000000-OBB-000436160 TANAPRESS 10 Imidapril tab 10 mg 4,554.00 PT. Tanabe Indonesia
312 51000000-OBB-000436061 HERBESSER CD 200 Diltiazem Kapsul SR 200 mg 4,650.00 PT. Tanabe Indonesia
313 51000000-OBB-000436077 GENERIK Klonazepam tablet/kapsul 2 mg 4,750.00 PT. Mersifarma Tirmaku Mercusana
314 51000000-OBB-000435056 GENERIK Zinc sir 20 mg/5 ml 4,789.00 PT. MEPROFARM
315 51101573-OBB-000435059 ZINNAT Sefuroksim tablet/kapsul/kaplet 250 mg 4,800.00 PT Glaxo Wellcome Indonesia
316 51101573-OBB-000435068 ZINNAT Sefuroksim tablet/kaplet/salut selaput 500 mg 4,800.00 PT Glaxo Wellcome Indonesia
317 51000000-OBB-000435069 GENERIK Kloramfenikol suspensi 125 mg/ 5 ml 4,841.00 PT NOVAPHARIN
318 51000000-OBB-000434823 HARNAL OCAS Tamsulosin tab SR 0,4 mg 4,900.00 PT. COMBINED IMPERIAL PHARMACEUTICALS
319 51000000-OBB-000435029 KEPPRA Levetirasetam tab 250 mg 4,907.00 PT Glaxo Wellcome Indonesia
320 51000000-OBB-000434698 GENERIK Fenitoin injeksi 50 mg/ml (100 mg/2 ml) 4,956.00 PT.Phapros Tbk
321 51000000-OBB-000434694 KALITAKE Kalsium polistirena sulfonat ktg 5 g 4,999.00 PT. DIPA PHARMALAB INTERSAINS
322 51000000-OBB-000436043 GENERIK Klozapin 100 mg 5,000.00 PT. Mersifarma Tirmaku Mercusana
323 51000000-OBB-000435233 MEPRAMIDE Metoklopramide drop 2 mg/mL 5,040.00 PT. PYRIDAM FARMA, Tbk.
324 51000000-OBB-000434669 LEVITAM levetirasetam tab 500 mg 5,060.00 PT. ETERCON PHARMA
325 51000000-OBB-000435081 GENERIK Ibuprofen susp 200 mg/5 ml 5,191.00 PT. Indofarma (Persero) Tbk
326 51000000-OBB-000435884 DERMASOLON Flusinolon Asetonid salep 0,025% 5,200.00 PT Ikapharmindo Putramas
327 51000000-OBB-000436052 CARDURA 2MG Doksazosin mesilat tablet 2 mg 5,363.00 PT. Pfizer Indonesia
328 51000000-OBB-000435271 GENERIK Sefadroksil sir kering 250 mg/5 ml 5,403.00 PT. PHARMA LABORATORIES
329 51000000-OBB-000434845 GENERIK Sefotaksim serb inj 1.000 mg 5,500.00 PT. Hexpharm Jaya Laboratories
330 51000000-OBB-000435245 GENERIK Medroksi progesteron asetat injeksi 150 mg/3ml (50 mg/mL) 5,680.00 PT Tunggal Idaman Abdi
331 51000000-OBB-000434606 COMBIVENT UDV Kombinasi: Ipratropium bromida inhalasi 0,5 mg + Salbutamol 2,5 mg 5,700.00 PT Boehringer Ingelheim Indonesia
332 51000000-OBB-000436088 DEPAKOTE Valproat tab SR 500 mg 5,700.00 PT. Abbott Indonesia
333 51000000-OBB-000436140 TOPAMAX Topiramat tablet 50 mg 5,700.00 PT. SOHO Industri Pharmasi
334 51000000-OBB-000436238 REQUIP PD 24 HOUR Ropinirol tab lepas lambat 2 mg 5,750.00 PT Glaxo Wellcome Indonesia
335 51000000-OBB-000434620 DULCOLAX SUPP ADULT Bisakodil suppositoria 10 mg 5,800.00 PT Boehringer Ingelheim Indonesia
336 51000000-OBB-000434628 DULCOLAX SUPP INFANT Bisakodil suppositoria 5 mg 5,800.00 PT Boehringer Ingelheim Indonesia
337 51000000-OBB-000434769 ACDAT Natrium fusidat krim 20 mg/g 5,898.00 PT. IFARS PHARMACEUTICAL LABORATORIES
338 51000000-OBB-000435954 GENERIK Kombinasi injeksi depot: Medroksi progesteron asetat 25 mg + Estradiol sipionat5,985.00
5 mg PT TRIYASA NAGAMAS FARMA
339 51000000-OBB-000435016 LEBREST Letrozole tab 2,5 mg 5,989.00 PT Ferron Par Pharmaceuticals
340 51000000-OBB-000436113 MEPTIN INHALATION SOLUTION 0,3 ML Prokaterol cairan inh 30 mcg 6,000.00 PT. Otsuka Indonesia
No. Kode Nama Obat Harga Penyedia
341 51000000-OBB-000436120 MEPTIN INHALATION SOLUTION 0,5 ML Prokaterol cairan inh 50 mcg 6,000.00 PT. Otsuka Indonesia
342 51000000-OBB-000435244 PROVERA 100MG Medroksi Progesteron Asetat tablet/kapsul/kaplet 100 mg 6,100.00 PT. Pfizer Indonesia
343 51000000-OBB-000435281 GENERIK Sefiksim sirup kering 100 mg/ 5 ml 6,150.00 PT. PHARMA LABORATORIES
344 51000000-OBB-000434778 GENERIK Sefotaksim serb inj 500 mg 6,193.00 PT. Holi Pharma
345 51000000-OBB-000436229 ANDRIOL TESTOCAPS Testosteron kapsul lunak 40 mg 6,200.00 PT Merck Sharp Dohme Pharma Tbk
346 51000000-OBB-000436196 MEYLON 84 Natrium Bikarbonat inj i.v 8,4% 6,200.00 PT. Otsuka Indonesia
347 51000000-OBB-000435242 GENERIK Eritromisin sirup kering 200 mg/ 5 ml 6,303.00 PT.Phyto Kemo Agung Farma
348 51000000-OBB-000436338 GENERIK Nacl 0,9% 6,410.00 PT Widatra Bhakti
349 51000000-OBB-000435079 CETADOP Dopamin injeksi 40 mg/ml 6,468.00 PT Ethica Industri Farmasi
350 51000000-OBB-000436292 VENTOLIN ROTAHALER Ventolin Rotahaler (Alat Hirup Salbutamol 200 mcg/kapsul) 6,550.00 PT Glaxo Wellcome Indonesia
351 51000000-OBB-000435899 ALUVIA Kombinasi: Lopinavir 200 mg + Ritonavir (LPV/r) 50 mg 6,600.00 PT. Abbott Indonesia
352 51000000-OBB-000435014 INTERZINC SYR Zinc sirup 10 mg/mL 6,600.00 PT. Interbat
353 51000000-OBB-000436165 ISOPTIN Verapamil tablet lepas lambat 240 mg 6,680.00 PT. Abbott Indonesia
354 51000000-OBB-000436027 GENERIK Efavirens tablet salut 600 mg 6,694.00 PT. Kimia Farma (Persero) Tbk
355 51000000-OBB-000434821 SOFT U DERM HYDRO Urea krim 10% 6,809.00 PT. Galenium Pharmasia Laboratories
356 51000000-OBB-000436284 BRICASMA RESPULES Terbutalin cairan ih 2,5 mg/ml 6,850.00 PT AstraZeneca Indonesia
357 51000000-OBB-000436250 REQUIP PD 24 HOUR Ropinirol tab lepas lambat 4 mg 6,850.00 PT Glaxo Wellcome Indonesia
358 51000000-OBB-000436344 GENERIK Glukosa larutan infus 5 % 6,900.00 PT Widatra Bhakti
359 51000000-OBB-000434635 ONZAPIN 10 MG Olanzapin tablet/kaplet/salut 10 mg 6,995.00 PT ACTAVIS INDONESIA
360 51000000-OBB-000434836 GENERIK Valasiklovir tablet/kapsul/kaplet 500 mg 6,998.00 PT.Bernofarm
361 51000000-OBB-000436141 HARNAL D Tamsulosin tab 0,2 mg 7,100.00 PT. COMBINED IMPERIAL PHARMACEUTICALS
362 51000000-OBB-000436333 GENERIK Ringer Laktat 7,150.00 PT Widatra Bhakti
363 51000000-OBB-000434997 DEXOCORT Desoksimetason salep 0,25% 7,250.00 PT. Kimia Farma (Persero) Tbk
364 51000000-OBB-000436137 CORALAN TAB 5 MG Ivabradin tab 5 mg 7,260.00 PT Darya Varia
365 51000000-OBB-000435881 DIFLUCAN 50MG Flukonazol kaps 50 mg 7,360.00 PT. Pfizer Indonesia
366 51000000-OBB-000436122 MESTINON TABLET Piridostigmin 7,447.00 PT Menarini Indria Laboratories
367 51000000-OBB-000436031 IMURAN Azatioprin tablet 50 mg 7,489.00 PT Glaxo Wellcome Indonesia
368 51000000-OBB-000436308 BRILINTA Tikagrelor tablet 90 mg 7,500.00 PT AstraZeneca Indonesia
369 51000000-OBB-000436348 GENERIK Glukosa larutan infus 10% 7,500.00 PT Widatra Bhakti
370 51000000-OBB-000434807 LAXADINE EMULSI 30 ML Kombinasi: parafin + gliserin + fenolftalein Susp 7,700.00 PT. Galenium Pharmasia Laboratories
371 51000000-OBB-000436320 AVODART Dutasterid 0,5 mg 7,750.00 PT SmithKline Beecham Pharmaceuticals
372 51000000-OBB-000434990 BRACER Anastrozol tablet salut selaput 1 mg 7,878.00 PT Ferron Par Pharmaceuticals
373 51000000-OBB-000436144 SIFROL ER 0,375MG Pramipeksol tab lepas lambat 0,375 mg 8,000.00 PT Boehringer Ingelheim Indonesia
374 51000000-OBB-000436264 REQUIP PD 24 HOUR Ropinirol tab lepas lambat 8 mg 8,000.00 PT Glaxo Wellcome Indonesia
375 51000000-OBB-000436347 MYFORTIC Mikofenolat sodium tab sal 180 mg 8,000.00 PT Novartis Indonesia
376 51000000-OBB-000436209 WIDA D5NS Larutan mengandung Karbohidrat + Elektrolit (D5NS) 8,025.00 PT Widatra Bhakti
377 51000000-OBB-000435939 WIDA 2A Larutan mengandung Karbohidrat + Elektrolit (2A) 8,100.00 PT Widatra Bhakti
378 51000000-OBB-000436135 GENERIK Tenofovir tab 300 mg 8,505.00 PT. Kimia Farma (Persero) Tbk
No. Kode Nama Obat Harga Penyedia
379 51000000-OBB-000434804 GENERIK Metronidazol infus 5 mg/ ml 8,525.00 PT. FINUSOLPRIMA FARMA INTERNASIONAL
380 51000000-OBB-000436153 WIDA RD Larutan mengandung Karbohidrat + Elektrolit (RD) 8,550.00 PT Widatra Bhakti
381 51000000-OBB-000434786 FORTANEST Midazolam injeksi i.v. 5 mg/ml 8,580.00 PT KALBE FARMA Tbk
382 51000000-OBB-000436277 GENERIK Amiodaron inj 150 mg/ 3 mL 8,649.00 PT Darya Varia
383 51000000-OBB-000435030 GENERIK Sukralfat susp 500 mg/5 mL, 100 ml 8,789.00 PT. MEPROFARM
384 51000000-OBB-000435951 VERMOX Mebendazol tablet 500 mg 8,800.00 PT. TAISHO PHARMACEUTICAL INDONESIA Tbk.
385 51000000-OBB-000436288 STALEVO Kombinasi: Levodopa 100 mg + Karbidopa 25 mg + Entekapon 200 mg 8,800.00 PT Novartis Indonesia
386 51000000-OBB-000434797 DARYANT TULLE Framisetin sulfat tulle 1% 8,990.00 PT Darya Varia
387 51000000-OBB-000436055 TOPAMAX Topiramat tablet 100 mg 9,195.00 PT. SOHO Industri Pharmasi
388 51000000-OBB-000436325 KA-EN 1B INJECTION Larutan mengandung Elektrolit (KA-EN 1B injection) 9,273.00 PT. Otsuka Indonesia
389 51000000-OBB-000436357 ASERING Asetat Ringer (Plabot) 9,275.00 PT. Otsuka Indonesia
390 51000000-OBB-000436358 ASERING Asetat Ringer (Softbag) 9,275.00 PT. Otsuka Indonesia
391 51000000-OBB-000436101 WIDA D5-1/4NS Larutan mengandung Karbohidrat + Elektrolit (D5-1/4NS) 9,350.00 PT Widatra Bhakti
392 51000000-OBB-000436244 WIDA D5-1/2NS Larutan mengandung Karbohidrat + Elektrolit (D5-1/2NS) 9,400.00 PT Widatra Bhakti
393 51000000-OBB-000436251 9,600.00
KA-EN MG3 INJECTION Larutan mengandung Karbohidrat + Elektrolit (KA-EN MG3 Injection) PT. Otsuka Indonesia
394 51000000-OBB-000435970 MELAVITA CREAM 0.1 Asam Retinoat krim 0,1 % 9,750.00 PT. Galenium Pharmasia Laboratories
395 51000000-OBB-000435032 GENERIK Efedrin Inj 50 mg/ml 9,878.00 PT Ethica Industri Farmasi
396 51000000-OBB-000435976 GENERIK Pirantel pamoat susp 125 mg/5 ml 9,885.00 PT. Holi Pharma
397 51000000-OBB-000435830 GENERIK Kalsium Glukonat inj i.v 10 % 9,955.00 PT Ethica Industri Farmasi
398 51000000-OBB-000434847 GENERIK Siprofloksasin inf 2 mg/ml (2%) 10,230.00 PT. Hexpharm Jaya Laboratories
399 51000000-OBB-000436335 KA-EN 3A INJECTION Larutan mengandung Elektrolit (KA-EN 3A injection) 10,285.00 PT. Otsuka Indonesia
400 51000000-OBB-000436346 KA-EN 3B INJECTION Larutan mengandung Elektrolit (KA-EN 3B injection) 10,285.00 PT. Otsuka Indonesia
401 51000000-OBB-000436359 KA-EN 3B Larutan mengandung Elektrolit (KA-EN 3B) (Softbag) 10,285.00 PT. Otsuka Indonesia
402 51000000-OBB-000435143 ISOTIC ADRETOR 0,25% Timolol tetes mata 0,25% 10,535.00 PT Pratapa Nirmala
403 51000000-OBB-000435864 GENERIK Desoksimetason krim 0,25% 10,800.00 P.T. Dexa Medica
404 51000000-OBB-000436184 WIDA HSD Larutan mengandung Karbohidrat + Elektrolit (HSD) 10,850.00 PT Widatra Bhakti
405 51000000-OBB-000436057 RINGERFUNDIN Larutan mengandung Elektrolit (Tiap 1L mengandung: NaCl 145 mmo 11,000.00 PT.Phapros Tbk
406 51000000-OBB-000436263 WIDA KN1 Larutan mengandung Elektrolit (KCl 0,15% + NaCl 0,9%) 11,011.00 PT Widatra Bhakti
407 51000000-OBB-000436286 WIDA KN2 Larutan mengandung elektrolit (KCl 0,3% + NaCl 0,9%) 11,011.00 PT Widatra Bhakti
408 51000000-OBB-000434738 SPICA SPINAL Bupivakain inj 0,50% (P.V) 11,110.00 PT.Phapros Tbk
409 51000000-OBB-000434677 NOTRIXUM Atrakurium injeksi 25 mg/2,5 ml (10mg/mL) 11,169.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
410 51000000-OBB-000435833 GENERIK Benzatin Penisilin 1,2 UI/ml 11,235.00 PT.Phapros Tbk
411 51000000-OBB-000434725 FRESOFOL 1% MCT/LCT Propofol injeksi i.v., bolus 1% 11,330.00 PT. Fresenius Kabi Combiphar
412 51000000-OBB-000435980 INFUSAN D5 (250 ML) Larutan mengandung Karbohidrat (Glukosa 12,5 g/250 ml) 11,400.00 PT SANBE FARMA
413 51000000-OBB-000436295 11,435.00
WIDA KDN1 Larutan mengandung Karbohidrat + Elektrolit (D2,5 %+ KCl 0,15 %+ NaCl 0,45 %) 500 ml PT Widatra Bhakti
414 51000000-OBB-000436327 11,435.00
WIDA KDN2 Larutan mengandung Karbohidrat + Elektrolit (D2,5 %+ KCl 0,3 %+ NaCl 0,45 %) 500 ml PT Widatra Bhakti
415 51000000-OBB-000436032 INFUSAN D5 (100 ML) Larutan mengandung Karbohidrat (Glukosa 5g/100 ml) 11,450.00 PT SANBE FARMA
416 51000000-OBB-000434667 BRICASMA 0,5 MG/ML Terbutalin injeksi s.k./i.v. 0,5 mg/ml 11,500.00 PT AstraZeneca Indonesia
No. Kode Nama Obat Harga Penyedia
417 51000000-OBB-000436301 ALKERAN Melphalan 2 mg 11,616.00 PT Glaxo Wellcome Indonesia
418 51000000-OBB-000436136 ONBREZ BREEZHALER Indakaterol serbuk ih 150 mcg 11,750.00 PT Novartis Indonesia
419 51000000-OBB-000436162 ONBREZ BREEZHALER Indakaterol serbuk ih 300 mcg 11,750.00 PT Novartis Indonesia
420 51000000-OBB-000436206 SANDIMMUN NEORAL Siklosporin kapsul lunak 25 mg 11,800.00 PT Novartis Indonesia
421 51000000-OBB-000435963 CERTICAN Everolimus tab 0,25 mg 11,813.00 PT Novartis Indonesia
422 51000000-OBB-000435146 ISOTIC ADRETOR 0,5% Timolol tetes mata 0,5% 11,855.00 PT Pratapa Nirmala
423 51000000-OBB-000434724 GENERIK Metilprednisolon inj 125 mg/mL 12,090.00 PT.Phapros Tbk
424 51000000-OBB-000435938 SCABIMITE CREAM 10 Permetrin Krim 5% 12,155.00 PT. Galenium Pharmasia Laboratories
425 51000000-OBB-000435025 NERILON KRIM Diflukortolon valerat salep berlemak 0,1% 12,250.00 PT. Interbat
426 51000000-OBB-000435928 ARICEPT EVESS 10 MG Donepezil tablet effervescent 10 mg 12,485.00 PT Eisai Indonesia
427 51000000-OBB-000435234 FLUIMUCIL N-asetil sistein inj. nebules 100 mg 12,495.00 PT Tunggal Idaman Abdi
428 51000000-OBB-000434609 STESOLID 5 MG Diazepam enema 5 mg/2,5 mL 12,696.00 PT ACTAVIS INDONESIA
429 51000000-OBB-000435906 VISANNE Dienogest tab 2 mg 12,700.00 PT Bayer Indonesia
430 51000000-OBB-000436169 SIFROL ER 0,750MG Pramipeksol tab lepas lambat 0,750 mg 12,700.00 PT Boehringer Ingelheim Indonesia
431 51000000-OBB-000436039 PROGRAF 0,5 MG Takrolimus kaps 0.5 mg 12,850.00 PT. COMBINED IMPERIAL PHARMACEUTICALS
432 51000000-OBB-000436178 PROGRAF XL Takrolimus kaps lepas lambat 0,5 mg 12,850.00 PT. COMBINED IMPERIAL PHARMACEUTICALS
433 51000000-OBB-000435165 GENERIK Seftazidim serb inj 1.000 mg 12,961.00 P.T. Dexa Medica
434 51000000-OBB-000435152 GENERIK Omeprazol injeksi 40 mg/ 10 ml 12,998.00 P.T. Dexa Medica
435 51000000-OBB-000434657 GENERIK Mometason furoat krim 0,1% 13,260.00 PT. ETERCON PHARMA
436 51000000-OBB-000435263 GENERIK Parasetamol drips (infus) 1000 mg/100 mL 13,440.00 PT. Natura Laboratoria Prima
437 51000000-OBB-000436240 SEROQUEL XR Quetiapin tab SR 200 mg 13,750.00 PT AstraZeneca Indonesia
438 51000000-OBB-000436073 PRADAXA 110MG Dabigatran eteksilat kapsul 110 mg 14,250.00 PT Boehringer Ingelheim Indonesia
439 51000000-OBB-000436097 PRADAXA 75MG Dabigatran eteksilat kapsul 75 mg 14,250.00 PT Boehringer Ingelheim Indonesia
440 51000000-OBB-000436148 FLIXOTIDE Flutikason propionat (micronized) 0,5 mg/dosis (Flutikason propionat nebules 14,500.00
0,5 mg) PT Glaxo Wellcome Indonesia
441 51000000-OBB-000434622 GENERIK Dobutamin injeksi 50 mg/mL 14,586.00 PT. ETERCON PHARMA
442 51000000-OBB-000436199 SPIRIVA Tiotropium 18 mcg refill 14,750.00 PT Boehringer Ingelheim Indonesia
443 51000000-OBB-000436255 SEROQUEL XR Quetiapin tab SR 300 mg 14,950.00 PT AstraZeneca Indonesia
444 51000000-OBB-000435005 BICASTRA Bikalutamid tablet salut 50 mg 14,989.00 PT Ferron Par Pharmaceuticals
445 51000000-OBB-000435835 GENERIK Benzatin Penisilin 2,4 UI/ml 15,225.00 PT.Phapros Tbk
446 51000000-OBB-000435923 MST CONTINUS 10 MG Morfin HCL tablet lepas lambat 10 mg 15,620.00 PT. Mahakam Beta Farma
447 51000000-OBB-000436349 MYFORTIC Mikofenolat sodium tab sal 360 mg 16,000.00 PT Novartis Indonesia
448 51000000-OBB-000436150 PLAVIX Klopidogrel tab salut selaput 300 mg 16,393.00 PT Aventis Pharma
449 51000000-OBB-000436249 GENERIK Vaksin Jerap difteri tetanus (Td) cairan inj i.m 4/15 If per ml 16,500.00 PT. Bio Farma
450 51000000-OBB-000436220 CELLCEPT Mikofenolat mofetil tab 500 mg 17,500.00 PT Boehringer Ingelheim Indonesia
451 51000000-OBB-000436260 GENERIK Vaksin Jerap difteri tetanus (DT) cairan inj i.m 40/15 If per ml 17,798.00 PT. Bio Farma
452 51000000-OBB-000436267 SEROQUEL XR Quetiapin tab SR 400 mg 17,900.00 PT AstraZeneca Indonesia
453 51000000-OBB-000435078 GENERIK Sefazolin serbuk injeksi 1 g 17,928.00 P.T. Dexa Medica
454 51000000-OBB-000435303 LODOMER Haloperidol tts 2 mg/mL 18,100.00 PT. Mersifarma Tirmaku Mercusana
No. Kode Nama Obat Harga Penyedia
455 51000000-OBB-000434598 STESOLID 10 MG Diazepam enema 10 mg/2,5 mL 18,456.00 PT ACTAVIS INDONESIA
456 51000000-OBB-000434653 OPTIFLOX Levofloksasin tts mata 0,5% 18,775.00 PT.ERELA
457 51000000-OBB-000436100 GENERIK Flukonazol tab/kaps 150 mg 18,900.00 PT. Kimia Farma (Persero) Tbk
458 51000000-OBB-000436321 SANDIMMUN NEORAL Siklosporin Kaps lunak 50 mg 20,075.00 PT Novartis Indonesia
459 51000000-OBB-000436297 GENERIK Perak sulfadiazin krim 1% 20,700.00 PT Darya Varia
460 51000000-OBB-000435934 ABILIFY DISCMELT 10 MG Aripiprazol tab discmelt 10 mg 22,148.00 PT. Otsuka Indonesia
461 51000000-OBB-000434723 VOLUVEN Koloid HES BM 130 000 lar inf 6% 22,319.00 PT. Fresenius Kabi Combiphar
462 51000000-OBB-000436259 CISTEEN Sisplatin serb inj 10 mg 22,725.00 PT. Kimia Farma (Persero) Tbk
463 51000000-OBB-000434832 GENERIK Sefoperazon serb inj 1.000 mg 22,900.00 PT.Bernofarm
464 51000000-OBB-000435110 GENERIK Valproat sirup 250 mg/5 ml 22,987.00 P.T. Dexa Medica
465 51000000-OBB-000436064 MST CONTINUS 15 MG Morfin HCL tablet lepas lambat 15 mg 22,990.00 PT. Mahakam Beta Farma
466 51000000-OBB-000436065 CERTICAN Everolimus tab 0,5 mg 23,000.00 PT Novartis Indonesia
467 51000000-OBB-000436121 GENERIK Vaksin Hepatitis B Rekombinan 23,320.00 PT. Bio Farma
468 51000000-OBB-000436173 ARAVA Leflunomid tab sal selaput 20 mg 23,322.00 PT Aventis Pharma
469 51000000-OBB-000435988 XARELTO Rivaroksaban tab 10 mg 23,500.00 PT Bayer Indonesia
470 51000000-OBB-000435991 XARELTO Rivaroksaban tab 15 mg 23,500.00 PT Bayer Indonesia
471 51000000-OBB-000435997 XARELTO Rivaroksaban tab 20 mg 23,500.00 PT Bayer Indonesia
472 51000000-OBB-000435144 GENERIK Levofloksasin inf 5 mg/mL 23,518.00 P.T. Dexa Medica
473 51000000-OBB-000436125 23,749.00
VITALIPID N-INFANT Larutan mengandung Lipid (Vitamin larut lemak: A, D, E, K) untuk bayi & anak PT. Fresenius Kabi Combiphar
474 51000000-OBB-000434748 MAXIFLON Moksifloksasin tab 400 mg 23,980.00 PT. GUARDIAN PHARMATAMA
475 51000000-OBB-000436232 GENERIK fluorourasil inj 50 mg/ml (5 ml) 24,200.00 PT. DANKOS FARMA
476 51000000-OBB-000436319 GENERIK Sisplatin serb inj 10 mg 25,250.00 PT. DANKOS FARMA
477 51000000-OBB-000436083 PROGRAF 1 MG Takrolimus kaps 1 mg 25,800.00 PT. COMBINED IMPERIAL PHARMACEUTICALS
478 51000000-OBB-000436193 PROGRAF XL Takrolimus kaps lepas lambat 1 mg 25,800.00 PT. COMBINED IMPERIAL PHARMACEUTICALS
479 51000000-OBB-000434994 FARGOXIN Digoksin injeksi 0,25 mg/ml 26,290.00 PT Pratapa Nirmala
480 51000000-OBB-000435022 INTERZOL SS 2% Ketokonazol scalp sol 2% 26,400.00 PT. Interbat
481 51000000-OBB-000434819 MYCORINE POWDER Mikonazol serbuk 2% 26,950.00 PT. Galenium Pharmasia Laboratories
482 51000000-OBB-000434613 GENERIK kombinasi: (Sefoperazon 500 mg + Sulbaktam 500 mg) serb inj 1000 mg 27,000.00 PT.INFION
483 51000000-OBB-000435149 GENERIK Meropenem serb inj 500 mg 27,388.00 P.T. Dexa Medica
484 51000000-OBB-000434798 COMTRO Klaritromisin sir kering 125 mg/5 ml 27,951.00 PT. COMBINED IMPERIAL PHARMACEUTICALS
485 51000000-OBB-000436219 GENERIK Vaksin Campak inj s.k + pelarut 28,232.00 PT. Bio Farma
486 51000000-OBB-000436225 SEBIVO Telbivudin tab 600 mg 28,300.00 PT Novartis Indonesia
487 51000000-OBB-000434656 GENERIK Flukonazol injeksi 2 mg/ml 28,300.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
488 51000000-OBB-000435103 GENERIK Nikardipin inj 10 mg 29,588.00 P.T. Dexa Medica
489 51000000-OBB-000435981 GENERIK Amikasin injeksi 250 mg/ml 29,700.00 P.T. Dexa Medica
490 51000000-OBB-000436315 HEPSERA Adefovir Dipivoksil tablet/kaplet 10 mg 29,800.00 PT SmithKline Beecham Pharmaceuticals
491 51000000-OBB-000436108 29,975.00
VITALIPID N-ADULT Larutan mengandung Lipid (Vitamin larut lemak: A, D, E, K) untuk dewasa PT. Fresenius Kabi Combiphar
492 51000000-OBB-000436203 GENERIK Kombinasi: Sefiksim 400 mg + Azythromycin 1000 mg 30,030.00 PT. Kimia Farma (Persero) Tbk
No. Kode Nama Obat Harga Penyedia
493 51000000-OBB-000435064 GENERIK Azitromisin sir kering 200 mg/ 5 mL 30,558.00 P.T. Dexa Medica
494 51000000-OBB-000436294 XELODA Kapesitabin tab 500 mg 31,000.00 PT Boehringer Ingelheim Indonesia
495 51000000-OBB-000436281 MARTOS - 10 Larutan mengandung Karbohidrat 31,100.00 PT. Otsuka Indonesia
496 51000000-OBB-000435091 FARSORBID Isosorbid Dinitrat injeksi i.v 10 mg/10 ml 31,890.00 PT Pratapa Nirmala
497 51000000-OBB-000436020 CATAPRES 150MCG Klonidin injeksi i.v 0,15 mg/ml (HCL) (150 mcg/ml) 32,600.00 PT Boehringer Ingelheim Indonesia
498 51000000-OBB-000434810 ILIADIN Oksimetazolin tetes hidung 0,025% 32,900.00 PT. Merck Tbk
499 51000000-OBB-000435031 OXTERCID INJEKSI Sefuroksim serbuk injeksi 750 mg 32,973.00 PT. Interbat
500 51000000-OBB-000435944 FERRIPROX Deferipron tablet salut 500 mg 33,000.00 PT Sydna Farma
501 51000000-OBB-000434686 DIALIFER Low molecule feri sucrose inj amp 100 mg/5 mL 33,660.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
502 51000000-OBB-000434624 CASODEX 150MG Bikalutamid tablet salut 150 mg 33,988.00 PT AstraZeneca Indonesia
503 51000000-OBB-000434818 ILIADIN Oksimetazolin tetes hidung 0,050% 34,650.00 PT. Merck Tbk
504 51000000-OBB-000435006 GENERIK Esomeprazol serbuk Inj. 40 mg 34,675.00 PT. MEPROFARM
505 51000000-OBB-000436217 GENERIK fluorourasil inj 50 mg/ml (10 ml) 36,050.00 PT. DANKOS FARMA
506 51000000-OBB-000436115 CURACIL fluorourasil inj 50 mg/ml (10 ml) 36,050.00 PT KALBE FARMA Tbk
507 51000000-OBB-000434788 TARIVID Ofloksasin tets telinga 3% 36,900.00 PT KALBE FARMA Tbk
508 51000000-OBB-000434642 GENERIK Sefepim serb inj 1000 mg 37,000.00 PT.INFION
509 51000000-OBB-000436186 JURNISTA Hidromorfon HCL tablet oros 8 mg 37,500.00 PT. Kimia Farma (Persero) Tbk
510 51000000-OBB-000436276 GENERIK metotreksat inj 25 mg/ml 38,500.00 PT. DANKOS FARMA
511 51000000-OBB-000436304 GENERIK metotreksat inj 25 mg/ml 38,500.00 PT SANBE FARMA
512 51000000-OBB-000436279 39,326.00
TUTOFUSIN OPS Larutan mengandung Karbohidrat + Elektrolit (Larutan Nutrisi Kombinasi Infus Na, K,PT
Ca,KALBE
Mg, Cl,FARMA
Asetat,Tbk
Sorbitol)
513 51000000-OBB-000434812 GENERIK Meropenem serb inj 1000 mg 39,990.00 PT.Bernofarm
514 51000000-OBB-000436230 XYLOCAINE Lidokain jeli 2% 40,000.00 PT AstraZeneca Indonesia
515 51000000-OBB-000435231 VICCILLIN SX Kombinasi: Ampisilin 1000 mg + Sulbaktam 500 mg serb inj 1500 mg 40,000.00 PT. Meiji Indonesia
516 51000000-OBB-000436041 GENERIK Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml 40,000.00 PT. Kimia Farma (Persero) Tbk
517 51000000-OBB-000435892 ARTESUNATE Artesunate injeksi i.v./i.m. 60 mg/ml 40,950.00 PT. PHARMA LABORATORIES
518 51000000-OBB-000434697 DIPSAMOL Salbutamol aerosol/inhalasi 100mcg/dosis 41,250.00 PT. DIPA PHARMALAB INTERSAINS
519 51000000-OBB-000435945 AROMASIN Eksemestan tablet 25 mg 42,129.00 PT. Pfizer Indonesia
520 51000000-OBB-000436183 SANDIMMUN NEORAL Siklosporin kaps 100 mg 42,500.00 PT Novartis Indonesia
521 51000000-OBB-000435859 AMINOSTERIL INFANT 6% Larutan mengandung Asam Amino (Asam Amino 6%) 43,450.00 PT. Fresenius Kabi Combiphar
522 51000000-OBB-000436147 DBL VINCRISTINE SULFATE vinkristin inj 1 mg/ml (i.v.) 43,650.00 PT Tempo Scan Pacific, Tbk
523 51000000-OBB-000435017 INVICLOT Heparin injeksi i.v./s.k. 5000 UI/ml 43,995.00 PT Pratapa Nirmala
524 51000000-OBB-000436013 GENERIK Manitol lar infus 20% 44,000.00 PT. FINUSOLPRIMA FARMA INTERNASIONAL
525 51000000-OBB-000436210 NAPRODOX 10 doksorubisin serb inj 10 mg (i.v.) 44,550.00 PT. Kimia Farma (Persero) Tbk
526 51000000-OBB-000434691 TRILAC Triamsinolon inj 10 mg/mL 44,880.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
527 51000000-OBB-000434781 BACTESYN Kombinasi: Ampisilin 500 mg + Sulbaktam 250 mg serb inj 750 mg 45,408.00 PT KALBE FARMA Tbk
528 51000000-OBB-000436051 NEPHROSTERIL Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam45,870.00Amino esensial:
PT. Asam
Fresenius
Amino
Kabi
nonCombiphar
esensial = 60 : 40)
529 51000000-OBB-000436330 PAN AMIN - G Larutan mengandung Asam Amino (pan amin-g) 45,950.00 PT. Otsuka Indonesia
530 51000000-OBB-000436306 TRIOFUSIN 500 Larutan mengandung Karbohidrat 12% 47,000.00 PT KALBE FARMA Tbk
No. Kode Nama Obat Harga Penyedia
531 51000000-OBB-000436004 LOVENOX Enoksaparin sodium inj 20 mg/0,2 ml 48,000.00 PT Aventis Pharma
532 51000000-OBB-000435895 KEMODOXIN doksorubisin serb inj 10 mg (i.v.) 48,400.00 PT. OTTO Pharmaceutical Industries
533 51000000-OBB-000436328 GENERIK vinkristin inj 1 mg/ml (i.v.) 48,500.00 PT SANBE FARMA
534 51000000-OBB-000436329 VINCRISTINE KALBE vinkristin inj 1 mg/ml (i.v.) 48,500.00 PT KALBE FARMA Tbk
535 51000000-OBB-000436351 KIDMIN Larutan mengandung Asam Amino (KIDMIN) 49,220.00 PT. Otsuka Indonesia
536 51000000-OBB-000436124 GENERIK doksorubisin serb inj 10 mg (i.v.) 49,500.00 PT. DANKOS FARMA
537 51000000-OBB-000436063 HYDROMAL Larutan mengandung Karbohidrat + Elektrolit 49,500.00 PT SANBE FARMA
538 51000000-OBB-000436111 GENERIK doksorubisin serb inj 10 mg (i.v.) 49,500.00 PT SANBE FARMA
539 51000000-OBB-000435850 DOXOTIL doksorubisin serb inj 10 mg (i.v.) 49,500.00 PT. DIPA PHARMALAB INTERSAINS
540 51000000-OBB-000436176 JURNISTA Hidromorfon HCL tablet oros 16 mg 50,000.00 PT. Kimia Farma (Persero) Tbk
541 51000000-OBB-000436090 GENERIK Vaksin Hepatitis B Rekombinan dewasa 50,050.00 PT. Bio Farma
542 51000000-OBB-000434796 IVANES Ketamin injeksi i.v. 100 mg/ml 51,750.00 PT Ikapharmindo Putramas
543 51000000-OBB-000436202 AMINOFUSIN PAED Larutan mengandung Asam Amino (Kombinasi Asam Amino 50 gr/L,52,000.00vitamin dan elektronik)
PT KALBE FARMA Tbk
544 51000000-OBB-000435889 EAS PFRIMMER Larutan mengandung Asam Amino (Asam Amino Esensial 7%+Xylitol 1053,000.00
g/L+ Histidine)
PT. FINUSOLPRIMA FARMA INTERNASIONAL
545 51000000-OBB-000434666 GENERIK Sefpirom serb inj 1000 mg 53,550.00 PT. ETERCON PHARMA
546 51000000-OBB-000435841 FARMABES Diltiazem injeksi 25 mg/5 ml (inj 5mg/ml) 55,000.00 PT Pratapa Nirmala
547 51000000-OBB-000435004 SERETIDE 50 Kombinasi: Salmeterol 25 mcg + Flutikason propionat 50 mcg 55,000.00 PT Glaxo Wellcome Indonesia
548 51000000-OBB-000436303 BRICASMA Terbutalin serbuk ih 0,50 mg 56,012.00 PT AstraZeneca Indonesia
549 51000000-OBB-000436190 AMINOFUSIN L 600 Larutan mengandung Asam Amino (kombinasi AA 50 g/L, sorbitol 56,200.00 PT KALBE FARMA Tbk
550 51000000-OBB-000436029 SIKZONOATE INJEKSI Flufenazin injeksi i.m 25 mg/ml 57,500.00 PT. Mersifarma Tirmaku Mercusana
551 51000000-OBB-000436309 TRIOFUSIN E 1000 Larutan mengandung Karbohidrat 24% + Elektrolit 57,750.00 PT KALBE FARMA Tbk
552 51000000-OBB-000436094 GENERIK Kalsium Folinat inj 10 mg/ml 59,664.00 PT. DANKOS FARMA
553 51000000-OBB-000436159 GENERIK Vaksin BCG (GS) 59,950.00 PT. Bio Farma
554 51000000-OBB-000436177 BCG VACCINE Vaksin BCG (SII) 59,950.00 PT. Bio Farma
555 51000000-OBB-000436188 GENERIK Vaksin BCG kering (BF) 59,950.00 PT. Bio Farma
556 51000000-OBB-000436205 BCG VACCINE SSI Vaksin BCG inj. Ik 0,75 mg/ml + pelarut 59,950.00 PT. Bio Farma
557 51000000-OBB-000436343 TYKERB Lapatinib 250 mg 60,500.00 PT Novartis Indonesia
558 51000000-OBB-000436096 61,490.00
SOLUVIT N Larutan mengandung Lipid (Vitamin larut air: B komplek dan Vitamin C) kombinasi dengan PT.
vitamin
Fresenius
larut lemak
Kabi untuk
Combiphar
bayi, anak dan dewasa
559 51000000-OBB-000434629 SANDOSTATIN Octreotide acetate 0,05 - 6 mg/mL 63,000.00 PT Novartis Indonesia
560 51000000-OBB-000436356 AMINOFLUID Larutan mengandung Asam Amino (Aminofluid 500 ml) 64,990.00 PT. Otsuka Indonesia
561 51000000-OBB-000435882 CYCLOVID 200 siklofosfamid serb inj 200 mg (i.v.) 66,330.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
562 51000000-OBB-000434816 GENERIK Metilprednisolon inj 500 mg/vial 68,221.00 PT.Bernofarm
563 51000000-OBB-000436354 AMINOLEBAN INJ Larutan mengandung Asam Amino (Aminoleban, 500 mL) 71,100.00 PT. Otsuka Indonesia
564 51000000-OBB-000435876 AMINOSTERIL N-HEPA 8% Larutan mengandung Asam Amino (Asam Amino 8%) 71,500.00 PT. Fresenius Kabi Combiphar
565 51000000-OBB-000436068 71,500.00
SMOFLIPID 20% Larutan mengandung Lipid (Lipomed 20%, Lipofudin 20%, Clinololeic, Smoflipi), kemasan
PT. Fresenius
100 ml Kabi Combiphar
566 51000000-OBB-000436099 LIPOFUNDIN MCT / LCT 20 % Larutan mengandung Lipid (infus lipid emulsi MCT/LCT 20% 71,500.00
100 ml) PT.Phapros Tbk
567 51000000-OBB-000435909 NAROPIN Ropivakain Inj 7,5 mg/ml 71,865.00 PT AstraZeneca Indonesia
568 51000000-OBB-000435971 INTRALIPID 20% Larutan mengandung Lipid (Infus Emulsi Lipid 20%) 71,995.00 PT. Fresenius Kabi Combiphar
No. Kode Nama Obat Harga Penyedia
569 51000000-OBB-000436204 PATANOL Olopatadin tts mata 0,1% 72,500.00 PT Tempo Scan Pacific, Tbk
570 51000000-OBB-000436221 INSULATARD HM PENFILL Human insulin intermediate catridge/penvil 75,000.00 PT. Beta Pharmacon
571 51000000-OBB-000436228 MIXTARD 30 HM PENFILL Human insulin mix catridge/penvil 75,000.00 PT. Beta Pharmacon
572 51000000-OBB-000436342 SANSULIN M30 Human insulin mix catridge/penvil 75,000.00 PT SANBE FARMA
573 51000000-OBB-000436212 CERAZETTE Desogestrel tablet 75 mcg 75,000.00 PT Merck Sharp Dohme Pharma Tbk
574 51000000-OBB-000435112 NOKOBA Nalokson injeksi 0,4 mg/ml 75,020.00 PT Pratapa Nirmala
575 51000000-OBB-000436207 ACTRAPID HM PENFILL Human insulin Short penvil/catridge 100 UI 76,000.00 PT. Beta Pharmacon
576 51000000-OBB-000436234 GENERIK Vaksin DTP-HB-Hib 76,285.00 PT. Bio Farma
577 51000000-OBB-000435874 FARPRESIN Vasopresin injeksi i.m/s.k. 20 UI/ml 77,000.00 PT Pratapa Nirmala
578 51000000-OBB-000435911 EPODION 2000 IU Eritropoetin alfa 2000 IU/ml 77,000.00 Daewoong Infion
579 51000000-OBB-000436283 HUMULIN R KWIKPEN Human insulin Short penvil/catridge 100 UI 79,800.00 PT Bayer Indonesia
580 51000000-OBB-000436340 SANSULIN R Human insulin Short penvil/catridge 100 UI 79,800.00 PT SANBE FARMA
581 51000000-OBB-000435937 BEROTEC MDI Fenoterol HBr ih 100 mcg/puff 80,000.00 PT Boehringer Ingelheim Indonesia
582 51000000-OBB-000436243 EXJADE Deferasiroks tablet disp/ eff 250 mg 80,000.00 PT Novartis Indonesia
583 51000000-OBB-000436241 TRAVATAN Travoprost tetes mata 0,004% (botol 1,5 ml) 80,000.00 PT Tempo Scan Pacific, Tbk
584 51000000-OBB-000436093 UROMITEXAN Mesna inj 100 mg/ml 80,443.00 PT Menarini Indria Laboratories
585 51000000-OBB-000436216 VIGAMOX Moksifloksasin tts mata 0,5% 81,000.00 PT Tempo Scan Pacific, Tbk
586 51000000-OBB-000435966 COMAFUSIN HEPAR Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA81,750.00
50%, L-Ornithine
PT. FINUSOLPRIMA
L Aspartate 10 gr/L,
FARMASorbito
INTERNASIONAL
50 gr/L, Xylitol 50 gr/L)
587 51000000-OBB-000436302 ATROVENT Ipratropium bromida inhalasi 20 mcg/semprot 83,500.00 PT Boehringer Ingelheim Indonesia
588 51000000-OBB-000436133 MEPTIN SWINGHALER Prokaterol serb inh 10 mcg 84,000.00 PT. Otsuka Indonesia
589 51000000-OBB-000436336 GENERIK vinkristin inj 2 mg/ml (i.v.) 84,250.00 PT SANBE FARMA
590 51000000-OBB-000436331 VINCRISTINE KALBE vinkristin inj 2 mg/ml (i.v.) 84,250.00 PT KALBE FARMA Tbk
591 51000000-OBB-000436034 LOVENOX Enoksaparin sodium inj 40 mg/0,4 ml 85,000.00 PT Aventis Pharma
592 51000000-OBB-000436282 LANTUS Analog long insulin 100 IU pen/flexpen (Solostar Pen) 85,000.00 PT Aventis Pharma
593 51000000-OBB-000435929 LEVEMIR FLEXPEN Analog long insulin 100 IU pen/flexpen 85,000.00 PT. Beta Pharmacon
594 51000000-OBB-000435838 EPIROL epirubisin inj 10mg/5ml 85,000.00 FUTAMED PHARMACEUTICALS
595 51000000-OBB-000436008 EZELIN Analog long insulin 100 IU pen/flexpen 85,000.00 PT KALBE FARMA Tbk
596 51000000-OBB-000436157 ENDOXAN SER INJ 200 MG siklofosfamid serb inj 200 mg (i.v.) 85,000.00 PT Menarini Indria Laboratories
597 51000000-OBB-000436352 AMIPAREN INJ Larutan mengandung Asam Amino (aminparen injeksi) 86,275.00 PT. Otsuka Indonesia
598 51000000-OBB-000436300 APIDRA Rapid insulin pen/flexpen/catridge 87,000.00 PT Aventis Pharma
599 51000000-OBB-000435985 HUMALOG KWIKPEN Rapid insulin pen/flexpen/catridge 87,000.00 PT Bayer Indonesia
600 51000000-OBB-000436112 NOVORAPID FLEXPEN Rapid insulin pen/flexpen/catridge 87,000.00 PT. Beta Pharmacon
601 51000000-OBB-000435920 PROSOGAN INJ 30MG Lansoprazol inj 30 mg/ml 88,500.00 PT.Takeda Indonesia
602 51000000-OBB-000436179 88,500.00
AMINOFUSIN HEPAR Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, L-Ornithine
PT KALBE
L Aspartate
FARMA8,03
Tbkg/L, Sorbitol 50 g/L, Xylitol 50 g/L)
603 51000000-OBB-000435854 CIAZIL epirubisin inj 10mg/5ml 89,000.00 PT. DIPA PHARMALAB INTERSAINS
604 51000000-OBB-000435956 EPISINDAN epirubisin inj 10mg/5ml 89,100.00 PT ACTAVIS INDONESIA
605 51000000-OBB-000435839 EPOTREX 2000 Eritropoetin-alfa inj 2000 UI/ml 89,100.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
606 51000000-OBB-000436235 4-EPEEDO-10 epirubisin inj 10mg/5ml 89,100.00 PT. Kimia Farma (Persero) Tbk
No. Kode Nama Obat Harga Penyedia
607 51000000-OBB-000436268 90,000.00
TOTILAC Larutan mengandung Elektrolit (sodium lactate sol (50%) 113 gr/L, potassium chloride 0,3 gr/L,
PTCalcium
KALBE chloride
FARMA 0,2
Tbkgr/L, elektrolit)
608 51000000-OBB-000436316 GENERIK siklofosfamid serb inj 200 mg (i.v.) 93,844.00 PT. DANKOS FARMA
609 51000000-OBB-000435844 ETOPUL etoposid inj 20 mg/ml 94,028.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
610 51000000-OBB-000436312 TRIOFUSIN 1600 Larutan mengandung Karbohidrat 40% 95,250.00 PT KALBE FARMA Tbk
611 51000000-OBB-000436022 HALDOL DECANOAS Haloperidol inj 50 mg/ml 97,500.00 PT. SOHO Industri Pharmasi
612 51000000-OBB-000436060 DUROGESIC 12 MCG/H Fentanil patch 12,5 mcg/jam 97,725.00 PT. Kimia Farma (Persero) Tbk
613 51000000-OBB-000435936 KEMOPIRIN epirubisin inj 10mg/5ml 97,900.00 PT. OTTO Pharmaceutical Industries
614 51000000-OBB-000434638 BONEFOS INFUS 60 MG/ML Dinatrium klodronat infus kons 60 mg/mL 98,500.00 PT Bayer Indonesia
615 51000000-OBB-000436172 GENERIK epirubisin inj 10mg/5ml 99,000.00 PT. DANKOS FARMA
616 51000000-OBB-000436214 GENERIK epirubisin inj 10mg/5ml 99,000.00 PT SANBE FARMA
617 51000000-OBB-000435894 EPREX 2000 Eritropoetin-alfa inj 2000 UI/ml 99,000.00 PT. SOHO Industri Pharmasi
618 51000000-OBB-000436261 CISTEEN Sisplatin serb inj 50 mg 99,000.00 PT. Kimia Farma (Persero) Tbk
619 51000000-OBB-000436114 AVAMYS Flutikason furoat 27,5 mcg/spray (Flutikason furoat intranasal spray) 103,000.00 PT Glaxo Wellcome Indonesia
620 51000000-OBB-000436142 OBUCORT SWINGHALER Budesonid inhaler 200 mcg/puff, 200 dosis 105,000.00 PT. Otsuka Indonesia
621 51000000-OBB-000436174 SERETIDE DISKUS Kombinasi: Salmeterol 50 mcg + Flutikason 100 mcg + ih 100mcg/puff 105,871.00 PT Glaxo Wellcome Indonesia
622 51000000-OBB-000436102 NASACORT Triamsinolon Asetonid Nasal Spray 55 mcg/puff 106,750.00 PT Aventis Pharma
623 51000000-OBB-000436069 EPODION 3000 IU Eritropoetin alfa 3000 IU/ml 108,900.00 Daewoong Infion
624 51000000-OBB-000435974 HUMALOG MIX 25 KWIKPEN Mix Insulin flexpen/catridge (Mix 25) 110,000.00 PT Bayer Indonesia
625 51000000-OBB-000436038 HUMALOG MIX 50 KWIKPEN Mix Insulin flexpen/catridge (Mix 50) 110,000.00 PT Bayer Indonesia
626 51000000-OBB-000436324 GENERIK Sisplatin serb inj 50 mg 110,000.00 PT. DANKOS FARMA
627 51000000-OBB-000436167 NOVOMIX 30 FLEXPEN Mix Insulin flexpen/catridge 110,000.00 PT. Beta Pharmacon
628 51000000-OBB-000435887 CYCLOVID 500 siklofosfamid serb inj 500 mg (i.v.) 111,351.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
629 51000000-OBB-000436256 RECORMON PFS, 2,000 IU INJ. Eritropoetin-beta inj 2000 UI/0,3 ml 115,650.00 PT Boehringer Ingelheim Indonesia
630 51000000-OBB-000436067 LOVENOX Enoksaparin sodium inj 60 mg/0,6 ml 117,500.00 PT Aventis Pharma
631 51000000-OBB-000436299 DESFERAL Deferoksamin Mesilat serbuk injeksi 500 mg 117,500.00 PT Novartis Indonesia
632 51000000-OBB-000436355 AMINOFLUID Larutan mengandung Asam Amino (Aminofluid 1000 ml) 118,250.00 PT. Otsuka Indonesia
633 51000000-OBB-000436223 SERETIDE DISKUS Kombinasi: Salmeterol 50 mcg + Flutikason 250 + ih 250 mcg/puff 119,000.00 PT Glaxo Wellcome Indonesia
634 51000000-OBB-000435990 XALATAN Latanoprost tts mata 0,005% botol @2,5 ml 120,696.00 PT. Pfizer Indonesia
635 51000000-OBB-000436143 SYMBICORT Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg 121,000.00 PT AstraZeneca Indonesia
636 51000000-OBB-000436156 SYMBICORT Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg, 60 dosis 121,000.00 PT AstraZeneca Indonesia
637 51000000-OBB-000435148 VANCEP Vankomisin serbuk injeksi 500 mg 121,995.00 PT Pratapa Nirmala
638 51000000-OBB-000435903 NIFLEC Polietilen Glikol 123,200.00 PT. Meiji Indonesia
639 51000000-OBB-000436195 SERETIDE DISKUS Kombinasi: Salmeterol 50 mcg + Flutikason 500 + ih 500 mcg/puff 123,948.00 PT Glaxo Wellcome Indonesia
640 51000000-OBB-000436002 BEROTEC SOLUTION Fenoterol HBr inh solution 0,1% 125,750.00 PT Boehringer Ingelheim Indonesia
641 51000000-OBB-000436011 BIOSAT 1,5 Serum antitetanus (A.T.S) cairan inj 1500 IU/amp (i.m) 126,500.00 PT. Bio Farma
642 51000000-OBB-000436252 AZOPT Brinzolamid tetes mata 1% 127,000.00 PT Tempo Scan Pacific, Tbk
643 51000000-OBB-000435870 DBL GLYCERYL TRINITRATE CONCENTRATE Gliseril Trinitrat inj 50mg/10ml (5 mg/ml)127,500.00 PT Tempo Scan Pacific, Tbk
644 51000000-OBB-000435992 DBL CARBOPLATIN karboplatin inj 150 mg/15ml 129,000.00 PT Tempo Scan Pacific, Tbk
No. Kode Nama Obat Harga Penyedia
645 51000000-OBB-000435982 ZYPREXA IM Olanzapin inj 10 mg/vial 130,000.00 PT Bayer Indonesia
646 51000000-OBB-000436079 ANZATAX paklitaksel inj 6 mg/ml (inj 30 mg/ml) 130,500.00 PT Tempo Scan Pacific, Tbk
647 51000000-OBB-000436175 SYMBICORT Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg, 120 dosis 134,500.00 PT AstraZeneca Indonesia
648 51000000-OBB-000436092 HEMAPO Eritropoetin-alfa inj 3000 UI/ml 139,950.00 PT KALBE FARMA Tbk
649 51000000-OBB-000435947 ULTRAVIST 300 Iopromid 300 -370 mg Iodium/ml (300 mg / 50 ml) 141,530.00 PT Bayer Indonesia
650 51000000-OBB-000435940 HUMULIN R Human insulin Short vial 10 ml 143,500.00 PT Bayer Indonesia
651 51000000-OBB-000436182 ACTRAPID HM Human insulin Short vial 10 ml 143,500.00 PT. Beta Pharmacon
652 51000000-OBB-000436095 FORMENING Vaksin Meningitis Meningococcoal Polysacharide Group A.C.Y.W135 144,000.00 PT. Mersifarma Tirmaku Mercusana
653 51000000-OBB-000436104 CITABOL gemsitabin serb inj 200 mg 145,000.00 FUTAMED PHARMACEUTICALS
654 51000000-OBB-000435897 HERBESSER INJEKSI 50 MG Diltiazem injeksi 50 mg 148,500.00 PT. Tanabe Indonesia
655 51000000-OBB-000446461 MEASLES AND RUBELLA VACCINE Vaksin Measles Rubella (MR) 149,820.00 PT. Bio Farma
656 51000000-OBB-000435858 GENERIK Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml 151,000.00 PT. Kimia Farma (Persero) Tbk
657 51000000-OBB-000436042 SHAN IPV Vaksin polio IPV inj 0,5 ml 5 dosis 153,736.00 PT. Bio Farma
658 51000000-OBB-000436270 EXJADE Deferasiroks tablet disp/ eff 500 mg 155,000.00 PT Novartis Indonesia
659 51000000-OBB-000435999 ACTOPLATIN karboplatin inj 150 mg/15ml 157,500.00 PT ACTAVIS INDONESIA
660 51000000-OBB-000435866 GEMEDAC gemsitabin serb inj 200 mg 157,500.00 PT. DIPA PHARMALAB INTERSAINS
661 51000000-OBB-000436242 ABINGEM 200 gemsitabin serb inj 200 mg 157,500.00 PT. Kimia Farma (Persero) Tbk
662 51000000-OBB-000436200 SUFENTA Sufentanil injeksi 5 mcg/ml 160,000.00 PT. Kimia Farma (Persero) Tbk
663 51000000-OBB-000436181 SPIRIVA Tiotropium kaps 18 mcg + handihaller 162,000.00 PT Boehringer Ingelheim Indonesia
664 51000000-OBB-000436139 PAXOMED paklitaksel inj 6 mg/ml (inj 30 mg/ml) 165,000.00 FUTAMED PHARMACEUTICALS
665 51000000-OBB-000435847 169,125.00
LIPOMED 20% MCT/LCT Larutan mengandung Lipid (Lipomed 20%, Lipofudin 20%, Clinololeic, Smoflipi),
PT kemasan
SANBE FARMA
250 ml
666 51000000-OBB-000436116 LIPOFUNDIN MCT / LCT 20 % Larutan mengandung Lipid (infus lipid emulsi MCT/LCT 20%169,125.00
250 ml) PT.Phapros Tbk
667 51000000-OBB-000436317 169,125.00
CLINOLEIC 20% Larutan mengandung Lipid (Lipomed 20%, Lipofudin 20%, Clinololeic, Smoflipi), kemasan 250 mlFARMA Tbk
PT KALBE
668 51000000-OBB-000436285 VALCYTE Valgansiklovir tab 450 mg 169,500.00 PT Boehringer Ingelheim Indonesia
669 51000000-OBB-000435954 GEMTAN gemsitabin serb inj 200 mg 169,500.00 PT. OTTO Pharmaceutical Industries
670 51000000-OBB-000436056 TETAGAM Human tetanus imunoglobulin inj 250 IU (i.m.) 170,000.00 P.T. Dexa Medica
671 51000000-OBB-000436091 XYLOCAINE Lidokain spray 10% 170,400.00 PT AstraZeneca Indonesia
672 51000000-OBB-000435967 ULTRAVIST 370 Iopromid 300 -370 mg Iodium/ml (370 mg / 50 ml) 170,500.00 PT Bayer Indonesia
673 51000000-OBB-000436066 KEMOBOTIN karboplatin inj 150 mg/15ml 173,900.00 PT. OTTO Pharmaceutical Industries
674 51000000-OBB-000434681 ICUNES Deksmedetomidin Inj 100 mcg/ml 173,910.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
675 51000000-OBB-000435878 FONKOGEM gemsitabin serb inj 200 mg 174,500.00 PT FONKO INTERNATIONAL PHARMACEUTICALS
676 51000000-OBB-000434733 GENERIK Obat Anti Tuberculosis FDC Kategori Sisipan 174,700.00 PT.Phapros Tbk
677 51000000-OBB-000436024 KEMOCARB karboplatin inj 150 mg/15ml 174,900.00 PT. Fresenius Kabi Combiphar
678 51000000-OBB-000436257 GENERIK karboplatin inj 150 mg/15ml 175,000.00 PT. DANKOS FARMA
679 51000000-OBB-000436247 GENERIK gemsitabin serb inj 200 mg 175,000.00 PT SANBE FARMA
680 51000000-OBB-000436161 GEMCIKAL gemsitabin serb inj 200 mg 175,000.00 PT KALBE FARMA Tbk
681 51000000-OBB-000435849 GEMFIX 200 gemsitabin serb inj 200 mg 175,000.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
682 51000000-OBB-000435930 DBL GEMCITABINE gemsitabin serb inj 200 mg 175,000.00 PT Tempo Scan Pacific, Tbk
No. Kode Nama Obat Harga Penyedia
683 51000000-OBB-000436085 SINDAXEL 30 MG/5 ML paklitaksel inj 6 mg/ml (inj 30 mg/ml) 180,000.00 PT ACTAVIS INDONESIA
684 51000000-OBB-000436253 NAPRO-TAX paklitaksel inj 6 mg/ml (inj 30 mg/ml) 180,000.00 PT. Kimia Farma (Persero) Tbk
685 51000000-OBB-000436076 DUROGESIC 25 MCG/H Fentanil patch 25 mcg/jam 188,000.00 PT. Kimia Farma (Persero) Tbk
686 51000000-OBB-000436110 FONKOPAC paklitaksel inj 6 mg/ml (inj 30 mg/ml) 199,500.00 PT FONKO INTERNATIONAL PHARMACEUTICALS
687 51000000-OBB-000436291 GENERIK paklitaksel inj 6 mg/ml (inj 30 mg/ml) 200,000.00 PT. DANKOS FARMA
688 51000000-OBB-000436314 GENERIK paklitaksel inj 6 mg/ml (inj 30 mg/ml) 200,000.00 PT SANBE FARMA
689 51000000-OBB-000435900 PACLIMEDAC paklitaksel inj 6 mg/ml (inj 30 mg/ml) 200,000.00 PT. DIPA PHARMALAB INTERSAINS
690 51000000-OBB-000435856 PACLON 30 paklitaksel inj 6 mg/ml (inj 30 mg/ml) 200,000.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
691 51000000-OBB-000436326 GLIVEC Imatinib tab 100 mg 211,000.00 PT Novartis Indonesia
692 51000000-OBB-000436341 TASIGNA Nilotinib kapsul 150 mg 211,000.00 PT Novartis Indonesia
693 51000000-OBB-000435891 CYCLOVID 1.000 siklofosfamid serb inj 1.000 mg (i.v.) 211,019.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
694 51000000-OBB-000436269 MENIVAX ACYW Vaksin Meningitis Meningococcoal Polysacharide Group A.C.Y.W135 214,500.00 PT. Bio Farma
695 51000000-OBB-000434763 LEUCOGEN Filgrastim inj 300 mcg/mL 215,000.00 PT KALBE FARMA Tbk
696 51000000-OBB-000435842 DAUNOCIN 20 MG Daunorubisin serb inj 20 mg/vial 220,770.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
697 51000000-OBB-000436035 COMBIFLEX PERI Larutan mengandung Asam Amino (kombinasi glukosa & elektrolit 80 225,000.00
gram + Asam PT.Phapros
Amino 40 gr)Tbk
698 51000000-OBB-000436235 CLINIMIX N9G15E Larutan mengandung Asam Amino Kombinasi (kombinasi glukosa 75 225,000.00
g dan elektrolitPT
+ KALBE FARMA
Asam Amino 28 Tbk
g)
699 51000000-OBB-000436185 TEMODAL Temozolamid kaps 20 mg 225,000.00 PT Merck Sharp Dohme Pharma Tbk
700 51000000-OBB-000435861 SINDROXOCIN doksorubisin serb inj 50 mg (i.v.) 227,700.00 PT ACTAVIS INDONESIA
701 51000000-OBB-000436222 NAPRODOX 50 doksorubisin serb inj 50 mg (i.v.) 227,700.00 PT. Kimia Farma (Persero) Tbk
702 51000000-OBB-000435952 DIPEPTIVEN Larutan mengandung Asam Amino (Glutamine 20gr) 229,900.00 PT. Fresenius Kabi Combiphar
703 51000000-OBB-000436211 CLINIMIX N9G20E Larutan mengandung Asam Amino Kombinasi (kombinasi glukosa 100 230,000.00
g dan elektrolit
PT +KALBE
Asam Amino
FARMA28Tbkg)
704 51000000-OBB-000436311 GENERIK siklofosfamid serb inj 1.000 mg (i.v.) 234,465.00 PT. DANKOS FARMA
705 51000000-OBB-000436180 ENDOXAN SER INJ 1000 MG siklofosfamid serb inj 1.000 mg (i.v.) 234,465.00 PT Menarini Indria Laboratories
706 51000000-OBB-000435172 GENERIK Obat Anti Tuberculosis FDC Kategori Anak 234,765.00 PT. Indofarma (Persero) Tbk
707 51000000-OBB-000435979 AVELOX Moksifloksasin infus 400mg/250ml (inf 1,6 mg/ml) 240,000.00 PT Bayer Indonesia
708 51000000-OBB-000435890 DBL DACARBAZINE dakarbazin serb inj 200 mg 247,500.00 PT Tempo Scan Pacific, Tbk
709 51000000-OBB-000436050 DBL OXALIPLATIN oksaliplatin serb inj 50 mg 250,000.00 PT Tempo Scan Pacific, Tbk
710 51000000-OBB-000435918 KEMODOXIN doksorubisin serb inj 50 mg (i.v.) 251,700.00 PT. OTTO Pharmaceutical Industries
711 51000000-OBB-000436152 GENERIK doksorubisin serb inj 50 mg (i.v.) 253,000.00 PT. DANKOS FARMA
712 51000000-OBB-000436151 GENERIK doksorubisin serb inj 50 mg (i.v.) 253,000.00 PT SANBE FARMA
713 51000000-OBB-000450029 ARIXTRA Fondaparinuks sodium 2,5 mg/0,5 ml 253,750.00 PT. Tanabe Indonesia
714 51000000-OBB-000435848 DACARBAZINE MEDAC dakarbazin serb inj 200 mg 275,000.00 PT. DIPA PHARMALAB INTERSAINS
715 51000000-OBB-000435942 ULTRAVIST 300 Iopromid 300 -370 mg Iodium/ml (300 mg / 100 ml) 280,000.00 PT Bayer Indonesia
716 51000000-OBB-000435964 PLASBUMIN 5 Albumin 5% 50 ml 283,000.00 PT. DIPA PHARMALAB INTERSAINS
717 51000000-OBB-000436258 OMNISCAN gadodiamid inj 287 mg/ml 287,000.00 PT Tunggal Idaman Abdi
718 51000000-OBB-000436119 GENERIK Metadon sir 50mg/5ml 288,750.00 PT. Kimia Farma (Persero) Tbk
719 51000000-OBB-000435916 GADOVIST Gadobutrol macrocyclic 5 mg 292,000.00 PT Bayer Indonesia
720 51000000-OBB-000436191 STAMARIL Vaksin Yellow Fever 296,000.00 PT Aventis Pharma
No. Kode Nama Obat Harga Penyedia
721 51000000-OBB-000436023 DBL CARBOPLATIN karboplatin inj 450 mg/45ml 297,000.00 PT Tempo Scan Pacific, Tbk
722 51000000-OBB-000435993 KABIVEN PERIPHERAL Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr,308,000.00
Glukosa: 97gr,
PT. Fresenius
Lipid: 51grKabi
dan Combiphar
Elektrolit (Kalori = 1000 kkal, Akses peripheral))
723 51000000-OBB-000435901 MYCAMINE Mikafungin serb inj 50 mg 320,000.00 PT. COMBINED IMPERIAL PHARMACEUTICALS
724 51000000-OBB-000435034 TERRELL 100 Isofluran inhalasi botol 100 ml 323,000.00 PT Pratapa Nirmala
725 51000000-OBB-000436129 FLUDARA Fludarabin tab 10 mg 330,000.00 PT Aventis Pharma
726 51000000-OBB-000435957 ULTRAVIST 370 Iopromid 300 -370 mg Iodium/ml (370 mg / 100 ml) 340,000.00 PT Bayer Indonesia
727 51000000-OBB-000436045 340,000.00
NUTRIFLEX LIPID SPECIAL Larutan mengandung Asam Amino (kombinasi glukosa & elektrolit 90 gram
PT.Phapros
+ Asam Amino
Tbk 35.9 gr dan Lipid 25 gr dgn akses sentral)
728 51000000-OBB-000436021 BLEOCIN Bleomisin Serb inj 15 mg/ml 345,000.00 PT KALBE FARMA Tbk
729 51000000-OBB-000436082 DUROGESIC 50 MCG/H Fentanil patch 50 mcg/jam 350,000.00 PT. Kimia Farma (Persero) Tbk
730 51000000-OBB-000435912 DAXOTEL Dosetaksel inj 20 mg/ 0.5 ml 352,000.00 PT. Fresenius Kabi Combiphar
731 51000000-OBB-000436012 358,600.00
KABIVEN PERIPHERAL Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr, Lipid: 68gr
PT. Fresenius danCombiphar
Kabi Elektrolit (Kalori = 1400 kkal, Akses peripheral))
732 51000000-OBB-000436030 PLAXAT oksaliplatin serb inj 50 mg 360,000.00 PT ACTAVIS INDONESIA
733 51000000-OBB-000435880 OXALIPLATIN MEDAC oksaliplatin serb inj 50 mg 360,000.00 PT. DIPA PHARMALAB INTERSAINS
734 51000000-OBB-000436026 PLASBUMIN 25 Albumin 25% 20 ml 373,000.00 PT. DIPA PHARMALAB INTERSAINS
735 51000000-OBB-000435877 DOCETAXEL ACTAVIS Dosetaksel inj 20 mg/ 0.5 ml 379,125.00 PT ACTAVIS INDONESIA
736 51000000-OBB-000436226 TACEEDO 20 Dosetaksel inj 20 mg/ 0.5 ml 379,125.00 PT. Kimia Farma (Persero) Tbk
737 51000000-OBB-000436086 CAMPTO 40MG/2ML Irinotekan inj 20 mg/ml 380,843.00 PT. Pfizer Indonesia
738 51000000-OBB-000436339 TASIGNA Nilotinib kapsul 200 mg 380,875.00 PT Novartis Indonesia
739 51000000-OBB-000435188 GENERIK Obat Anti Tuberculosis FDC Kategori I 393,100.00 PT. Kimia Farma (Persero) Tbk
740 51000000-OBB-000436081 BELLOXA oksaliplatin serb inj 50 mg 394,500.00 PT. OTTO Pharmaceutical Industries
741 51000000-OBB-000436233 ELOXATIN Oksaliplatin serb inj 50 mg 400,000.00 PT Aventis Pharma
742 51000000-OBB-000436310 GENERIK oksaliplatin serb inj 50 mg 400,000.00 PT SANBE FARMA
743 51000000-OBB-000436318 REXTA oksaliplatin serb inj 50 mg 400,000.00 PT KALBE FARMA Tbk
744 51000000-OBB-000435853 OXITEL oksaliplatin serb inj 50 mg 400,000.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
745 51000000-OBB-000436014 ACTOPLATIN karboplatin inj 450 mg/45ml 404,100.00 PT ACTAVIS INDONESIA
746 51000000-OBB-000436074 KEMOBOTIN karboplatin inj 450 mg/45ml 406,400.00 PT. OTTO Pharmaceutical Industries
747 51000000-OBB-000435978 PLASBUMIN 20 Albumin 20% 50 ml 409,200.00 PT. DIPA PHARMALAB INTERSAINS
748 51000000-OBB-000436290 HUMAN ALBUMIN 20% BIOTEST Albumin 20% 50 ml 409,200.00 PT. Kimia Farma (Persero) Tbk
749 51000000-OBB-000436040 KEMOCARB karboplatin inj 450 mg/45ml 414,040.00 PT. Fresenius Kabi Combiphar
750 51000000-OBB-000436164 PAXOMED paklitaksel inj 6 mg/ml (inj 100 mg/ml) 415,000.00 FUTAMED PHARMACEUTICALS
751 51000000-OBB-000436071 EPIROL epirubisin serb 50 mg/25ml 420,000.00 FUTAMED PHARMACEUTICALS
752 51000000-OBB-000436166 GENERIK Dosetaksel inj 20 mg/ 0.5 ml 421,250.00 PT SANBE FARMA
753 51000000-OBB-000436036 BREXEL Dosetaksel inj 20 mg/ 0.5 ml 421,250.00 PT KALBE FARMA Tbk
754 51000000-OBB-000436289 GENERIK Irinotekan inj 20 mg/ml 423,159.00 PT SANBE FARMA
755 51000000-OBB-000435969 EPISINDAN epirubisin serb 50 mg/25ml 427,500.00 PT ACTAVIS INDONESIA
756 51000000-OBB-000435857 CIAZIL epirubisin serb 50 mg/25ml 427,500.00 PT. DIPA PHARMALAB INTERSAINS
757 51000000-OBB-000436239 4-EPEEDO-50 epirubisin serb 50 mg/25ml 427,500.00 PT. Kimia Farma (Persero) Tbk
758 51000000-OBB-000436265 GENERIK karboplatin inj 450 mg/45ml 427,875.00 PT. DANKOS FARMA
No. Kode Nama Obat Harga Penyedia
759 51000000-OBB-000435919 GADOVIST Gadobutrol macrocyclic 7,5 mg 440,000.00 PT Bayer Indonesia
760 51000000-OBB-000436227 CYMEVENE Gansiklovir serb inj 500 mg 445,000.00 PT Boehringer Ingelheim Indonesia
761 51000000-OBB-000435865 PACLON 100 paklitaksel inj 6 mg/ml (inj 100 mg/ml) 450,000.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
762 51000000-OBB-000435914 BIOSAVE Serum anti bisa ular (A.B.U) I cairan inj (i.m./i.v) 462,000.00 PT. Bio Farma
763 51000000-OBB-000436018 470,000.00
NUTRIFLEX LIPID PERI Larutan mengandung Asam Amino (kombinasi glukosa & elektrolit 80 gram + Asam
PT.Phapros
AminoTbk
40 gr + lipid MCT/LCT 50 gr)
764 51000000-OBB-000435943 KEMOPIRIN epirubisin serb 50 mg/25ml 473,700.00 PT. OTTO Pharmaceutical Industries
765 51000000-OBB-000436189 GENERIK epirubisin serb 50 mg/25ml 475,000.00 PT. DANKOS FARMA
766 51000000-OBB-000436236 GENERIK epirubisin serb 50 mg/25ml 475,000.00 PT SANBE FARMA
767 51000000-OBB-000436107 SINDAXEL 100 MG/16,67 ML paklitaksel inj 6 mg/ml (inj 100 mg/ml) 495,000.00 PT ACTAVIS INDONESIA
768 51000000-OBB-000435860 FONKOPAC paklitaksel inj 6 mg/ml (inj 100 mg/ml) 499,500.00 PT FONKO INTERNATIONAL PHARMACEUTICALS
769 51000000-OBB-000436298 GENERIK paklitaksel inj 6 mg/ml (inj 100 mg/ml) 500,000.00 PT. DANKOS FARMA
770 51000000-OBB-000436322 GENERIK paklitaksel inj 6 mg/ml (inj 100 mg/ml) 500,000.00 PT SANBE FARMA
771 51000000-OBB-000435913 PACLIMEDAC paklitaksel inj 6 mg/ml (inj 100 mg/ml) 500,000.00 PT. DIPA PHARMALAB INTERSAINS
772 51000000-OBB-000436062 DBL OXALIPLATIN oksaliplatin serb inj 100 mg 500,000.00 PT Tempo Scan Pacific, Tbk
773 51000000-OBB-000436109 535,500.00 PT. Kimia Farma (Persero) Tbk
BONESCAN KAEF MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/ml
774 51000000-OBB-000436262 TARCEVA 100 Erlotinib tablet salut selaput 100 mg 555,000.00 PT Boehringer Ingelheim Indonesia
775 51000000-OBB-000436025 IRESSA Gefitinib tab 250 mg 560,000.00 PT AstraZeneca Indonesia
776 51000000-OBB-000436047 GIOTRIF 40MG Afatinib tab salselaput 40 mg 560,000.00 PT Boehringer Ingelheim Indonesia
777 51000000-OBB-000436273 TARCEVA 150 Erlotinib tablet salut selaput 150 mg 560,000.00 PT Boehringer Ingelheim Indonesia
778 51000000-OBB-000436003 560,000.00
NUTRIFLEX LIPID SPECIAL Larutan mengandung Asam Amino (kombinasi glukosa & elektrolit 180 gram + Asam Amino
PT.Phapros Tbk 71.8 gr + lipid 50 gr dgn akses sentral)
779 51000000-OBB-000434784 ENDROLIN Leuprorelin asetat inj depot 3,75 mg 569,800.00 PT KALBE FARMA Tbk
780 51000000-OBB-000435871 RENALSCAN KAEF DTPA 2,06-2,5 mg pantetate calsium trisodium 570,000.00 PT. Kimia Farma (Persero) Tbk
781 51000000-OBB-000435837 DBL CYTARABINE INJECTION Sitarabin inj 100 mg/vial 573,500.00 PT Tempo Scan Pacific, Tbk
782 51000000-OBB-000436117 VINORELSIN vinorelbin inj 10 mg/ml 617,175.00 PT ACTAVIS INDONESIA
783 51000000-OBB-000435050 TERRELL 250 Isofluran inhalasi botol 250 ml 649,000.00 PT Pratapa Nirmala
784 51000000-OBB-000436046 GENERIK vinorelbin inj 10 mg/ml 685,000.00 PT Ferron Par Pharmaceuticals
785 51000000-OBB-000436197 NAVELBINE INJ 10 MG vinorelbin inj 10 mg/ml 685,750.00 PT Menarini Indria Laboratories
786 51000000-OBB-000436123 CITABOL gemsitabin serb inj 1000 mg 695,000.00 FUTAMED PHARMACEUTICALS
787 51000000-OBB-000435988 ACTATECAN Irinotekan inf 20 mg/ml 715,500.00 PT ACTAVIS INDONESIA
788 51000000-OBB-000436128 CAMPTO 100MG/5ML Irinotekan inf 20 mg/ml 715,500.00 PT. Pfizer Indonesia
789 51000000-OBB-000436072 PLAXAT oksaliplatin serb inj 100 mg 720,000.00 PT ACTAVIS INDONESIA
790 51000000-OBB-000435873 GEMEDAC gemsitabin serb inj 1000 mg 720,000.00 PT. DIPA PHARMALAB INTERSAINS
791 51000000-OBB-000435886 OXALIPLATIN MEDAC oksaliplatin serb inj 100 mg 720,000.00 PT. DIPA PHARMALAB INTERSAINS
792 51000000-OBB-000436248 ABINGEM 1000 gemsitabin serb inj 1000 mg 720,000.00 PT. Kimia Farma (Persero) Tbk
793 51000000-OBB-000436070 TAPROS 1,88MG Leuprorelin asetat inj depot 1,88 mg 750,000.00 PT.Takeda Indonesia
794 51000000-OBB-000436007 PLASBUMIN 25 Albumin 25% 50 ml 750,000.00 PT. DIPA PHARMALAB INTERSAINS
795 51000000-OBB-000435917 OCTALBIN 25% Albumin 25% 50 ml 750,000.00 PT KALBE FARMA Tbk
796 51000000-OBB-000435852 ALBUNORM 25% Albumin 25% 50 ml 750,000.00 PT HARSEN LABORATORIES
No. Kode Nama Obat Harga Penyedia
797 51000000-OBB-000435905 GRANOCYTE Lenogastrim inj 263 mcg/mI 760,000.00 PT Aventis Pharma
798 51000000-OBB-000436334 GLIVEC Imatinib tab 400 mg 786,500.00 PT Novartis Indonesia
799 51000000-OBB-000436053 GEMTAN gemsitabin serb inj 1000 mg 794,500.00 PT. OTTO Pharmaceutical Industries
800 51000000-OBB-000436098 BELLOXA oksaliplatin serb inj 100 mg 794,500.00 PT. OTTO Pharmaceutical Industries
801 51000000-OBB-000436296 GENERIK Irinotekan inf 20 mg/ml 795,000.00 PT SANBE FARMA
802 51000000-OBB-000435872 FONKOGEM gemsitabin serb inj 1000 mg 799,500.00 PT FONKO INTERNATIONAL PHARMACEUTICALS
803 51000000-OBB-000436246 ELOXATIN Oksaliplatin serb inj 100 mg 800,000.00 PT Aventis Pharma
804 51000000-OBB-000436131 GEMCIKAL gemsitabin serb inj 1000 mg 800,000.00 PT KALBE FARMA Tbk
805 51000000-OBB-000435851 GEMFIX 1.000 gemsitabin serb inj 1000 mg 800,000.00 PT. NOVELL PHARMACEUTICAL LABORATORIES
806 51000000-OBB-000435958 DBL GEMCITABINE gemsitabin serb inj 1000 mg 800,000.00 PT Tempo Scan Pacific, Tbk
807 51000000-OBB-000435983 PLASBUMIN 20 Albumin 20% 100 ml 850,000.00 PT. DIPA PHARMALAB INTERSAINS
808 51000000-OBB-000436105 ALBAPURE 20 Albumin 20% 100 ml 850,000.00 P.T. Dexa Medica
809 51000000-OBB-000436293 HUMAN ALBUMIN 20% BIOTEST Albumin 20% 100 ml 850,000.00 PT. Kimia Farma (Persero) Tbk
810 51000000-OBB-000436215 ZOLADEX Goserelin asetat inj 3,6 mg 882,000.00 PT AstraZeneca Indonesia
811 51000000-OBB-000435840 PLASMANATE Fraksi Protein Plasma lar inf 5% 900,000.00 PT. DIPA PHARMALAB INTERSAINS
812 51000000-OBB-000435968 PLASBUMIN 5 Albumin 5% 250 ml 900,000.00 PT. DIPA PHARMALAB INTERSAINS
813 51000000-OBB-000435960 OCTALBIN 5% Albumin 5% 250 ml 900,000.00 PT KALBE FARMA Tbk
814 51000000-OBB-000435932 KOATE DVI Faktor VIII Konsentrat 250 IU/vial 925,000.00 PT. DIPA PHARMALAB INTERSAINS
815 51000000-OBB-000435926 OCTANATE 250 IU Faktor VIII Konsentrat 250 IU/vial 925,000.00 PT HARSEN LABORATORIES
816 51000000-OBB-000436263 HAEMOCTIN 250 Faktor VIII Konsentrat 230-340 IU/vial 925,000.00 PT. Kimia Farma (Persero) Tbk
817 51000000-OBB-000436266 HAEMOCTIN 250 Faktor VIII Konsentrat 250 IU/vial 925,000.00 PT. Kimia Farma (Persero) Tbk
818 51000000-OBB-000435933 DAXOTEL dosetaksel inj 80 mg/2 ml 990,000.00 PT. Fresenius Kabi Combiphar
819 51000000-OBB-000436271 PEG INTRON Pegylated interferon alfa-2b inj serb inj 50 mcg 1,030,000.00 PT Merck Sharp Dohme Pharma Tbk
820 51000000-OBB-000436237 PEGASYS Pegylated interferon alfa-2a inj 135 mcg/0,5 ml 1,050,000.00 PT Boehringer Ingelheim Indonesia
821 51000000-OBB-000436084 PEG INTRON Pegylated interferon alfa-2b inj serb inj 80 mcg 1,150,000.00 PT Merck Sharp Dohme Pharma Tbk
822 51000000-OBB-000436198 TEMODAL Temozolamid kaps 100 mg 1,150,000.00 PT Merck Sharp Dohme Pharma Tbk
823 51000000-OBB-000435120 SOJOURN Sevofluran ih 1,165,560.00 PT Pratapa Nirmala
824 51000000-OBB-000436350 LEUNASE Asparaginase serb inj 10.000 IU 1,175,000.00 PT Widatra Bhakti
825 51000000-OBB-000435910 DOCETAXEL ACTAVIS Dosetaksel inj 80 mg/2 ml 1,192,500.00 PT ACTAVIS INDONESIA
826 51000000-OBB-000436231 TACEEDO 80 dosetaksel inj 80 mg/2 ml 1,192,500.00 PT. Kimia Farma (Persero) Tbk
827 51000000-OBB-000436245 PEGASYS Pegylated interferon alfa-2a inj 180 mcg/0,5 ml 1,200,000.00 PT Boehringer Ingelheim Indonesia
828 51000000-OBB-000436278 PEG INTRON Pegylated interferon alfa-2b inj serb inj 100 mcg 1,200,000.00 PT Merck Sharp Dohme Pharma Tbk
829 51000000-OBB-000435843 HYPERHEP B S/D Hepatitis B imunoglobullin 1,300,000.00 PT. DIPA PHARMALAB INTERSAINS
830 51000000-OBB-000435181 GENERIK Obat Anti Tuberculosis FDC Kategori II 1,310,384.00 PT. Indofarma (Persero) Tbk
831 51000000-OBB-000436200 GENERIK dosetaksel inj 80 mg/2 ml 1,325,000.00 PT SANBE FARMA
832 51000000-OBB-000436078 BREXEL dosetaksel inj 80 mg/2 ml 1,325,000.00 PT KALBE FARMA Tbk
833 51000000-OBB-000436287 PEG INTRON PEN Pegylated interferon alfa-2b inj serb inj 120 mcg 1,400,000.00 PT Merck Sharp Dohme Pharma Tbk
834 51000000-OBB-000436058 HOLOXAN INJ 1000 MG Ifosfamid serb inj 1000 mg/vial 1,413,500.00 PT Menarini Indria Laboratories
No. Kode Nama Obat Harga Penyedia
835 51000000-OBB-000436033 FONKOPAC paklitaksel inj 6 mg/ml (inj 300 mg/ml) 1,499,500.00 PT FONKO INTERNATIONAL PHARMACEUTICALS
836 51000000-OBB-000436213 FLUDARA Fludarabin serb inj 50 mg 1,500,000.00 PT Aventis Pharma
837 51000000-OBB-000435921 PACLIMEDAC paklitaksel inj 6 mg/ml (inj 300 mg/ml) 1,500,000.00 PT. DIPA PHARMALAB INTERSAINS
838 51000000-OBB-000436017 PLASBUMIN 25 Albumin 25% 100 ml 1,500,000.00 PT. DIPA PHARMALAB INTERSAINS
839 51000000-OBB-000436089 ALBUMINAR 25 Albumin 25% 100 ml 1,500,000.00 PT Ferron Par Pharmaceuticals
840 51000000-OBB-000435862 OCTALBIN 25% Albumin 25% 100 ml 1,500,000.00 PT KALBE FARMA Tbk
841 51000000-OBB-000436345 ZOMETA Asam Zoledronat inf 4mg/100 ml 1,500,000.00 PT Novartis Indonesia
842 51000000-OBB-000435888 ALBUNORM 25% Albumin 25% 100 ml 1,500,000.00 PT HARSEN LABORATORIES
843 51000000-OBB-000435902 FERRIPROX Deferipron larutan oral 100 mg/ml 1,680,000.00 PT Sydna Farma
844 51000000-OBB-000434644 NEBIDO Testosteron inj 250 mg/mL 1,696,845.00 PT Bayer Indonesia
845 51000000-OBB-000435935 KOATE DVI Faktor VIII Konsentrat 500 IU/vial 1,850,000.00 PT. DIPA PHARMALAB INTERSAINS
846 51000000-OBB-000435994 OCTANATE 500 IU Faktor VIII Konsentrat 500 IU/vial 1,850,000.00 PT HARSEN LABORATORIES
847 51000000-OBB-000436272 HAEMOCTIN 500 Faktor VIII Konsentrat 480 -600 IU/vial 1,850,000.00 PT. Kimia Farma (Persero) Tbk
848 51000000-OBB-000436275 HAEMOCTIN 500 Faktor VIII Konsentrat 500 IU/vial 1,850,000.00 PT. Kimia Farma (Persero) Tbk
849 51000000-OBB-000436010 INTRATECT Imunoglobulin intravena inj 50 mg/ml 1,950,000.00 PT. Kimia Farma (Persero) Tbk
850 51000000-OBB-000435962 HOLOXAN INJ 2000 MG Ifosfamid serb inj 2000 mg/vial 2,011,038.00 PT Menarini Indria Laboratories
851 51000000-OBB-000436208 BONDRONAT Asam Ibandronat inj 6mg/6ml 2,150,000.00 PT Boehringer Ingelheim Indonesia
852 51000000-OBB-000436201 ZOLADEX LA Goserelin asetat inj 10,8 mg/vial 2,467,000.00 PT AstraZeneca Indonesia
853 51000000-OBB-000435927 PRIMOVIST Gadoksetat disodium 0,25 mmol gadoxetate disodium/ml 2,720,000.00 PT Bayer Indonesia
854 51000000-OBB-000436044 TAPROS 11,25MG Leuprorelin asetat inj depot 11,25 mg 2,916,000.00 PT.Takeda Indonesia
855 51000000-OBB-000436194 SURVANTA Surfaktan susp 25 mg/ml (intratekal) 3,450,000.00 PT. Abbott Indonesia
856 51000000-OBB-000435885 ERBITUX Setuximab infus 5 mg/ml 3,550,000.00 PT. Merck Tbk
857 51000000-OBB-000435942 KOATE DVI Faktor VIII Konsentrat 1000 IU/vial 3,550,000.00 PT. DIPA PHARMALAB INTERSAINS
858 51000000-OBB-000435924 OCTANATE 1000 IU Faktor VIII Konsentrat 1000 IU/vial 3,600,000.00 PT HARSEN LABORATORIES
859 51000000-OBB-000436280 HAEMOCTIN 1000 Faktor VIII Konsentrat 1000 IU/vial 3,600,000.00 PT. Kimia Farma (Persero) Tbk
860 51000000-OBB-000435868 ACTILYSE Alteplase serb inj 50mg/vial 4,125,000.00 PT Boehringer Ingelheim Indonesia
861 51000000-OBB-000436080 OCTANINE F Faktor IX kompleks 500 IU/vial 4,620,000.00 PT HARSEN LABORATORIES
862 51000000-OBB-000436305 SANDOSTATIN LAR Oktreotid LAR serb inj 20 mg 7,451,885.00 PT Novartis Indonesia
863 51000000-OBB-000436313 SANDOSTATIN LAR Oktreotid LAR serb inj 30 mg 9,687,450.00 PT Novartis Indonesia
864 51000000-OBB-000436118 NOVOSEVEN RT Faktor VIIA Rekombinan 1mg/vial 9,749,993.00 PT Ferron Par Pharmaceuticals
865 51000000-OBB-000436132 ALIMTA Pemetrekset ser binj 500 mg 10,582,000.00 PT Bayer Indonesia