DAFTAR 

HARGA   -   PT. MEPROFARM Lampiran Protap No. D2.09.007-R1

NO. PRODUCTS COMPOSITIONS PACKAGING HNA/BOX HET/BOX

(-PPN) (+PPN)

1 AB Intimus Vaginal Tablet Lactobacillus plantarum I1001 108 cfu Box, 1 blister @ 7 vaginal tablets + 200,000
Roxithromycin 150 mg Applicator
Box, 5 strips @ 10 tablets
2 Anbiolid FC Tablet 245,000 336,875
3 Ancefa 125 Dry Suspension Per 5 ml: Cefadroxil 125 mg Box, Bottle 60 mL 41,000 56,375
4 Ancefa 250 Dry Suspension Per 5 ml: Cefadroxil 250 mg Box, Bottle 60 mL 70,000 96,250
5 Ancefa FC Tablet Cefadroxil 500 mg Box, 5 strips @ 6 tablets 292,500 402,188
6 Ancla FC Tablet Amoxicillin 500 mg, Clavulanic Acid 125 mg Box, 5 strips @ 6 tablets 345,000 474,375
7 Ancla Forte Dry Suspension Per 5 ml: Amoxicillin 250 mg, Clavulanic Acid 62.5 mg Box, Bottle 60 mL 68,000 93,500
8 Andonex 100 Syrup Per 5 ml: Diphenhydramine HCl 7.5 mg, Phenylephrine HCl 5 mg, Dextromethorphan HBr 10 mg, Glyceryl Guaiacolate 100 mg Box, Bottle 100 mL 22,500 30,938

9 Andonex 60 Syrup Per 5 ml: Diphenhydramine HCl 7.5 mg, Phenylephrine HCl 5 mg, Dextromethorphan HBr 10 mg, Glyceryl Guaiacolate 100 mg Box, Bottle 60 mL 17,000 23,375
10 Arcapec Dry Suspension Per 5 ml: Attapulgite 600 mg, Pectin 50 mg Box, Bottle 60 mL 18,500 25,438
11 Arcapec Tablet Attapulgite 600 mg, Pectin 50 mg Box, 10 blisters @ 10 tablets 110,000 151,250
12 Arinia 10 mg Tablet Aripiprazole 10 mg Box, 1 strips @ 10 tablets 270,000 371,250
13 Arinia 15 mg Tablet Aripiprazole 15 mg Box, 1 strips @ 10 tablets 300,000 412,500
14 Arinia 5 mg Tablet Aripiprazole 5 mg Box, 1 strips @ 10 tablets 150,000 206,250
15 Arsinal FC Tablet Metamizole 300 mg, Vit B1 100 mg, Vit B6 50 mg, Vit B12 100 mcg, Vit E 30 mg Box, 10 strips @ 10 tablets 110,000 151,250
16 Arsitam 500 Tablet Ethambutol HCl 500 mg Box, 10 strips @ 10 tablets 110,000 151,250
17 Asterol Syrup Procaterol hydrohloride hemilhydrate 0.025 mg Botol @ 60 ML 40,000 55,000
18 Azomep FC Tablet Azithromycin 500 mg Box, 1 Strips @ 6 film coated caplets 132,000 181,500
19 Biocombin 5000 Liquid Injection Per 3 ml: Vit B1 100 mg, Vit B6 100 mg, Vit B12 5000 mcg Box, 10 ampoules @ 3 mL 50,000 68,750
20 Biocombin FC Tablet Vit B1 100 mg, Vit B6 200 mg, Vit B12 200 mcg Box, 10 strips @ 10 tablets 145,000 199,375
21 Biofos 120 Syrup Per 5 ml: Echinacea Extract 250 mg, Curcuminoid 2 mg,FOS 300 mg, Taurine 100 mg, Phillantus niruri 25 mg Box, Bottle @ 120 mL 67,500 92,813
22 Biofos 60 Syrup Per 5 ml: Echinacea Extract 250 mg, Curcuminoid 2 mg, FOS 300 mg, Taurine 100 mg, Phillantus niruri 25 mg Box, Bottle @ 60 mL 57,500 79,063
23 Biotopix Eye Bags and Dark Circle Niacinamide,Acetyl Tetrapeptide-5,Silanetriol, Oak Bark Box, tube @ 15 g 175,000 240,625
Extract 343,750
24 Biotopix Specific Lifting Cream Locus Bean Gum, Milk Protein (active peptide) Box, tube @ 15 g 250,000
25 Boncerin Capsule Diacerein 50 mg Box, 3 blisters @10 capsules 195,000 268,110
26 Calix Suspension Per 5 ml: Ca Pidolate 300 mg, Curcuminoid 2 mg, FOS 300 mg, Vit A 2,000 IU, Vit D 3 100 IU, Vit B1 3 mg, Vit B2 2 mg, Vit B6 5 Box, Bottle @ 100 mL 42,000 57,750
mg, Vit B12 5 mcg

27 Calorloss FC Caplet Alpha Cyclodextrin 1000 mg Box, 5 strips @ 6 Film Coated Caplets 105,000 144,375
28 Calostrum Syrup Per 5 ml: Colostrum Bovine 300 mg, DHA 200 mg, Vit A 2,000 IU, Vit B 1 0.6 mg, Vit B2 0.15 mg, Vit B6 0.6 mg,Vit B12 1.5 mcg, Vit Box, Bottle @ 100 mL 47,000 64,625
D3 200 IU, Nicotinamide 5 mg, CLO 10 mg,Dexpanthenol 2.5 mg, Zn Picolinate 5 mg, Lysine HCl 200 mg, Ca Gluconate 300 mg,
Ca Hypophosphite 20 mg

29 Canergy FC Tablet L-Carnitine fumarate 500 mg, ALA 100 mg, CoQ10 30 mg, Vit B1 3 mg, Vit B2 3 mg, Vit B6 2 mg,Vit B12 3 mcg, Vit C 50 mg Box, Bottle 15 tablets 103,500 142,313

30 Celodim Powder Injection Ceftazidime 1.0 g Box, 1 vial 195,000 268,125

31 Cereton Capsule Ginkgo biloba Extract 60 mg, DMAE 100 mg, Pine Bark Extract 60 mg,Niacinamide 20 mg Box, 5 strips @ 6 capsules 144,000 198,000
32 Clinjos 150 Capsule Clindamycin 150 mg Box, 5 strips @ 6 capsules 105,000 144,375
33 Clinjos 300 Capsule Clindamycin 300 mg Box, 5 strips @ 6 capsules 202,500 278,438
34 Clovertil Tablet Clomiphene citrate 50 mg Box, 3 strips @ 10 tablets 390,000 536,250
35 Colatrix Serbuk Lychee Fish Collagen 5000 mg, Oryza Ceramide 30 mg, L-glutathione 50 mg Box, 10 sachet @ 5,5 g 175,000 240,625
36 Colatrix Serbuk Peach Fish Collagen 5000 mg, Oryza Ceramide 30 mg, L-glutathione 50 mg Box, 10 sachet @ 5,5 g 175,000 240,625
37 Combes FC Tablet Chitosan 250 mg, Garcinia cambogia Extr. 250 mg, L- Carnitine 50 mg, Chromium picolinate 50 mcg, Coenzyme Q 10 10 mg, Vit C Box, 5 strips @ 6 tablets 102,000 140,250
25 mg

38 Criax Powder Injection Ceftriaxone 1 gram Box, 2 vials 380,000 522,500

39 Deolit Capsule Ursodeoxycholic acid 250 mg Box, 3 strips @ 10 capsules 255,000 350,625
40 Deptral Caplet Sertraline 50 mg Box, 3 strips @ 10 caplets 330,000 453,750
41 Donexan DX 120 Syrup Per 5 ml: Diphenhydramine 5 mg, Dextromethorphan HBr 7.5 mg, Phenylephrine 5 mg, Ammonium Chloride 62.5 mg,Sodium Box, Bottle 120 mL 18,000 24,750
42 Donexan DX 60 Syrup citrate 25Diphenhydramine
Per 5 ml: mg 5 mg, Dextromethorphan HBr 7.5 mg, Phenylephrine 5 mg, Ammonium Chloride Box, Bottle 60 mL 11,000 15,125
62.5 mg,Sodium citrate 25 mg
43 Dosivec Capsule Erdostein 300 mg Box, 2 strips @ 10 capsules 80,000 110,000
44 Dosivec Dry Suspension Per 5 mL: Erdosteine 175 mg Box, Bottle 60 mL 35,000 48,125
45 Dtrivit Dispersible Tablet Vitamin D3 (Cholecalciferol) 400IU Box, 3 strips @ 10 tablets 60,000 82,500
46 Eflin Syrup Per 5 ml: Pseudoefedrin 30 mg, Triprolidin 1.25 mg Box, Bottle 60 mL 18,000 24,750
47 Eflin Tablet Pseudoefedrin 60 mg, Triprolidin 2.5 mg Box, 10 strips @ 10 tablets 125,000 171,875
48 Efotax 0.5 g Powder Injection Cefotaxime 0.5 g Box, 2 vials 130,000 178,750
49 Efotax 1 g Powder Injection Cefotaxime 1.0 g Box, 2 vials 270,000 371,250

50 Exocid Powder Injection Esomeprazole 40 mg Box, 1 vial + NaCl 0.9% 5 mL 145,000 199,375
51 Fenolip 100 Capsule Fenofibrate 100 mg Box, 3 strips @ 10 capsules 120,000 165,000
52 Fenolip 300 Capsule Fenofibrate 300 mg Box, 3 strips @ 10 capsules 300,000 412,500
53 Fenolip Supra 160 FC Caplet Fenofibrate Micronized 160 mg Box, 3 strips @ 10 Film Coated Caplets 270,000 371,250
54 Folaplus Caplet Folic acid 400 mcg, Vit B 6 mg, Vit B 25 mcg
6 12 Box, 10 strips @ 10 caplets 85,000 116,875
55 Fucobac 100 Capsule Fucoidan 100 mg Box, 3 blister @ 10 capsule 315,000 433,125
56 Fucobac 50 Capsule Fucoidan 50 mg Box, 5 strips @ 6 capsule 225,000 309,375
57 Furamin Injection Fursultiamine HCl 2.5 mg/1 mL, Dextrose Monohydrate Box, 5 ampoules @ 10 mL 55,000 75,625
58 Gastrinal HD Chew. Tablet Hydrotalcite 200 mg, Mg. Hydroxide 150 mg,Simethicone 50 mg Box, 10 blisters @ 10 tablets 65,000 89,375
59 Gastrinal HD Suspension Per 5 ml: Hydrotalcite 200 mg, Magnesium hydroxide 150 mg, Simethicone 50 mg Box, Bottle 120 mL 25,000 34,375
60 Gavistal 10 FC Tablet Metoclopramide HCl 10 mg Box, 10 strips @ 10 tablets 45,000 61,875
61 Gavistal Drops Per 1 ml: Metoclopramide HCl 2 mg Box, Bottle 10 mL 11,000 15,125
62 Gavistal Liquid Injection Per 1 ml: Metoclopramide HCl 5 mg Box, 5 ampoules @ 2 mL 36,250 49,844
63 Glancer FC Tablet Rebamipide 100 mg Box, 10 strips @ 10 tablets 260,000 357,500
64 Hical Chew. Tablet Ca 500 mg, Vit D3 200 IU, Mg 150 mg, Zn 15 mg, F 1 mg Box, 10 strips @ 2 tablets 30,000 41,250
65 Inoderm Cream Fluocinolone Acetonide 0.025 % Box, tube 10 g 15,500 21,313
66 Intunal Caplet Paracetamol 300 mg, Phenylpropanolamine HCl 12.5 mg,Dexchlorpheniramine Maleate 1 mg, Glyceryl Guaiacolate 50 Box, 25 catch covers @ 4 caplets 55,000 75,625
mg,Dextromethorphan HBr 10 mg
67 Intunal Forte Tablet Paracetamol 500 mg, Phenylpropanolamine HCl 15 mg,Dexchlorpheniramine Maleate 2 mg, Glyceryl Guaiacolate 50 Box, 25 catch covers @ 4 tablets 72,000 99,000
mg,Dextromethorphan HBr 15 mg
68 Intunal Forte Tablet Paracetamol 500 mg, Phenylpropanolamine HCl 15 mg,Dexchlorpheniramine Maleate 2 mg, Glyceryl Guaiacolate 50 Box,10 strip@10 tablet 72,000 99,000
mg,Dextromethorphan HBr 15 mg
69 Intunal Syrup Per 5 ml: Paracetamol 125 mg, Phenylpropanolamine HCl 3.5 mg,Dexchlorpheniramine Maleate 0.5 mg, Box, Bottle 60 mL 11,500 15,813
Glyceryl Guaiacolate 50 mg,Dextromethorphan HBr 7.5 mg
70 Isofem FC Tablet Isoflavone 50 mg, Vit C 100 mg, Natural Vitamin E 10 mg, Vit D 400 IU, Calcium (as. Citrate ) 200 mg, Zinc 15 mg Box, 5 strips @ 6 tablets 105,000 144,375

71 Ketosic Liquid injection Per 1 ml: Ketorolac Tromethamine 30 mg Box, 5 ampoules @ 1 mL 160,000 220,000
72 Levopar Tablet Levodopa 100 mg, Benserazide 25 mg Box, 10 strips @ 10 tablets 400,000 550,000
73 Lipofood Capsule Essential Phospholipid 300 mg, Vit B1 1.4 mg, Vit B2 1.6 mg,Vit B6 2.2 mg, Vit B12 3 mcg, Vit E 10 IU, Nicotinamide 30 mg Box, 10 strips @ 10 capsule 475,000 653,125
74 Logafox Powder Injection Cefoperazone 1 gram Box, 1 vial 150,000 206,250
75 Loremid FC Tablet Loperamide HCl 2 mg Box, 10 strips @ 10 tablets 110,000 151,250
 76 Lusanoc Cream Ketoconazole 2 % Box, tube 10 g 16,000 22,000
77 Lusanoc Tablet Ketoconazole 200 mg Box, 5 strips @ 10 tablets 220,000 302,500
78 Lycoq Capsule Lycopene 5 mg, CoQ10 30 mg, Grape Seed Extract 10 mg,Green Tea Extract 150 mg, Natural Vitamin E 100 IU Box, 5 strips @ 6 capsules 145,500 200,063
79 Maltiron Active FC Caplet Vitamin A 5,000 IU, Vit B1 HCI 10 mg, Vit B2 10 mg, Vit B6 HCI 10 mg, Vit B12 30 mcg, Vit C 90 mg, Vit D3 400 IU, Vit E 30 IU, Box, 5 strips @ 6 film coated caplets 90,000 123,750
Folic Acid 400 mcg, Biotin 45 mcg, Calcium 100 mg, D-Calcium
80 Maltiron Plus FC Tablet Vitamin A 5,000 IU, Vit D3 400 IU, Vit E 20 mg, Vit B1 2 mg, Vit B2 2 mg, Vit B6 2 mg, Vit B12 3 mcg, Nicotinamide 20 mg, Vit C Box, 10 strips @ 10 tablets 150,000 206,250
125 mg, Ca Carbonate 250 mg, Fe Fumarate 90 mg, Folic Acid 1 mg, Na Fluoride 3 mg, K Iodide 0.175 mg, Zn Sulfate 15 mg,
81 Maltiron Syrup Per 5 ml:25
Sorbitol FeNaEDTA
mg 103.5 mg, Vit B1 1 mg, Vit B2 1 mg, Vit B6 1.5 mg, Nicotinamide 15 mg, Biotin 0.3mg Box, Bottle 100 mL 35,000 48,125
82 Maxpro 100 FC Capsule Cefixime anhydrate 100 mg Box, 3 strips @ 10 capsules 570,000 783,750
83 Maxpro Dry Suspension Per 5 ml: Cefixime 100 mg Box, Bottle 30 mL 77,500 106,563
84 Mefix 500 Tablet Mefenamic Acid 500 mg Box, 10 strips @ 10 tablets 120,000 165,000
85 Melidox FC Tablet Chlordiazepoxide 5 mg, Clidinium Bromide 2.5 mg Box, 20 strips @ 10 tablets 220,000 302,500
86 Mensipox FC Tablet Ciprofloxacin 500 mg Box, 5 strips @ 6 tablets 375,000 515,625
87 Mepro Surgical Tape 0,5 inch (1,25 cm x 9,14 m) Box, @ 12 roll 135,000
88 Mepro Surgical Tape 1 inch (2,5 cm x 9,14 m) Box, @ 12 roll 243,000
89 Mepro Urine Bag Dus isi 100 pcs 450,000
90 Meprobal 500 Capsule Mecobalamin 500 mg Box, 10 strips @ 10 capsules 195,000 268,125
91 Meproce 1000 Injection Ascorbic Acid 200 mg/ml Box, @ 5 ampoules @ 5 mL 125,000 171,875
92 Meproce 500 Capsule Vitamin C 500 Mg Box, 10 strips @ 10 capsules 140,000 192,500
93 MEPRO-K Liquid Injection Phytomenadione 2,0 mg Box, 5 ampoules @ 1 mL 40,000 55,000
94 Meprolar Cream Desonide 0.5 mg Box, 1 tube @ 10 gram 30,000 41,250
95 Meprolar-N Cream Desonide 0,5 mg, Neomycin sulfate 5 mg Box, 1 tube @ 10 gram 35,000 48,125
96 Meprolut Tablet Norethisterone 5,0 mg Box, 5 strip @ 6 tablet 96,000 132,000
97 Mepromaag Chew. Tablet Al. Hydroxide Gel 300 mg, Mg. Hydroxide 300 mg, Simethicone 50 mg Box, 10 blisters @ 10 tablets 45,000 61,875
98 Meproson Tablet 6-alpha-metilprednisolon 4 mg Box, 10 strips @ 10 tablets 275,000 378,125
99 Meprothion 250 Tablet L-Glutathione reduced 250 mg Box, 3 strip @ 10 tablets 195,000 330,000
100 Meprothion 500 Tablet L-Glutathione reduced 500 mg Box, 3 strips @ 10 tablets 345,000 618,750
101 Meprotrin Suspension Per 5 ml : Trimethoprim 40 mg, Sulfamethoxazole 200 mg Box, Bottle 60 mL 17,500 24,063
102 Meprovent Inhalation Liquid Per 2,5 mL : Ipratropium bromide 0,5 mg, Salbutamol 2,5 mg Box, @ 10 ampoules @ 2,5 mL 80,000 110,000
103 Mevachol 10 Tablet Pravastatin 10 mg Box, 3 strips @ 10 tablets 270,000 371,250
104 Meviton FC Tablet Vit B1 50 mg, Vit B2 25 mg, Vit B6 10 mg, Vit B12 5 mg, Vit C 500 mg, Nicotinamide 50 mg, Ca Pantothenate 20 mg Box, 10 strips @ 10 tablets 150,000 206,250

105 Mixaria Oral Powder Vit A 400 mcg, Vit D 5 mcg, Vit E 5 mg, Vit C 60 mg, Vit B1 Box, 50 sachets @ 1 g 50,000 68,750
0.5 mg, Vit B2 0.5 mg, Vit B3 6 mg, Vit B6 0.5 mg, Vit B12
106 Mucifat Suspension Per 5 ml :Folic
0.9 mcg, Sucralfate 500mcg,
acid 150 mg Fe 10 mg, Zn 4.1 mg, Cu Box, Bottle 100 mL 45,000 61,875
107 Mucifat Suspension 0.345mg,
Per ml :Se 17 mcg, 500
Sucralfate Iodine
mg90 mcg, Vit K 30 mcg Box, Bottle 200 mL 68,000 93,500
108 Mucos Drops Per 1 ml: Ambroxol 15 mg Box, Bottle 20 mL 34,500 47,438
109 Mucos Tablet Ambroxol 30 mg Box, 10 strips @ 10 tablets 80,000 110,000
110 Mucos-15 Syrup Per 5 ml: Ambroxol 15 mg Box, Bottle 60 mL 16,500 22,688
111 Myores Tablet Tizanidine 2 mg Box, 10 strips @ 10 tablets 450,000 618,750
112 Myotonic FC Tablet Methylergometrine maleate 0.125 mg Box, 10 strips @ 10 tablets 265,000 364,375
113 Myotonic Liquid Injection Per 1 ml: Methylergometrine maleate 0.2 mg Box, 10 ampoules @ 1 ml 75,000 103,125
114 Neo Provigor FC Tablet Epimedii Extract 125 mg, Damiana Extract 150 mg, Muira puama Extract 125 mg, Siberian Ginseng Extract 100 mg, L-Arginine Box, 5 strips @ 6 tablets 150,000 206,250
250 mg, Zinc 15 mg
115 Nifudiar Suspension Per 5 ml: Nifuroxazide 250 mg Box, Bottle 60 mL 37,000 50,875
116 Nikolam 500 Capsule Thiamphenicol 500 mg Box, 10 strips @ 10 capsules 325,000 446,875
117 Nikolam Dry Suspension Per 5 ml: Thiamphenicol 125 mg Box, Bottle 60 mL 22,000 30,250
118 Norages Drops Per 1 ml: Metamizole 250 mg Box, Bottle 20 mL 39,000 53,625
119 Norages Liquid Injection (10 ampoules) Per 1 ml: Metamizole 500 mg Box, 10 ampoules @ 2mL 83,500 114,813
120 Norages Liquid Injection (5 ampoules) Per 1 ml: Metamizole 500 mg Box, 5 ampoules @ 2 mL 41,750 57,406
121 Norages Syrup Per 5 ml: Metamizole 250 mg Box, Bottle 60 mL 32,000 44,000
122 Nostren Cream Methyl Salicylate 102 mg, Menthol 54.4 mg, Eugenol 13.6 mg,Capsaicin 0.5 mg Box, tube @ 15 g 11,000 15,125
123 O P M Capsule Omeprazole 20 mg Box, 5 strips @ 6 capsules 352,500 484,688
124 Ostenil Plus Prefilled Syringe Injection Per 2 ml: Hyaluronic Acid 40 mg, Mannitol 10 mg Box, 1 Prefilled syringe 2 ml 1,750,000 2,406,250
125 Ostenil Prefilled Syringe Injection Per 2 ml: Hyaluronic Acid 20 mg Box, 1 Prefilled syringe 2 ml 500,000 687,500
126 Oxoril Syrup (Caramel) Per 5 ml: Oxomemazine 1.65 mg, Glycerylguaiacolate 33.3 mg Box, Bottle 60 mL 28,000 38,500
127 Oxoril Syrup (Strawberry) Per 5 ml: Oxomemazine 1.65 mg, Glycerylguaiacolate 33.3 mg Box, Bottle 60 mL 28,000 38,500
128 Periflux Suspension Per 5 ml: Domperidone 5 mg Box, Bottle 60 mL 37,500 51,563
129 PolyMem 10 cm X 10 cm Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer Box @ 15 Pads 1,125,000 1,546,875
130 PolyMem 17 cm X 19 cm Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer Box @ 15 Pads 2,235,000 3,073,125
131 PolyMem Cloth Island 10 cm X 13 cm Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer, Cloth Adhesive Box @ 15 Pads 1,470,000 2,021,250

132 PolyMem Film Island 10 cm X 32 cm Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer, Film Adhesive Box @ 12 Pads 1,560,000 2,145,000
133 PolyMem Film Island 8.9 cm X 11.4 cm Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer, Film Box @ 15 Pads 1,500,000 2,062,500
134 PolyMem Finger #1 Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer Box @ 6 Pads 510,000 701,250
135 PolyMem Finger #2 Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer Box @ 6 Pads 525,000 721,875
136 PolyMem Max 11 cm X 11 cm Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer Box @ 10 Pads 1,480,000 2,035,000
137 PolyMem Sacral Dressing 18.4 cm X 20.0 cm Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer Box @ 10 Pads 2,510,000 3,451,250
138 PolyMem Silver 10.8 cm X 10.8 cm Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer, Silver Box @ 15 Pads 2,827,500 3,887,813
139 PolyMem WIC Silver Cavity Filler 8 cm x 8 cm Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer, Silver Box @ 10 Pads 2,000,000 2,750,000
140 PolyMem WIC Silver Rope Membrane Hydrophilic Polyurethane, Surfactant, Glycerin, Superabsorbent Starch Co-Polymer, Silver Box @ 6 Pads 1,200,000 1,650,000
141 Procalma Licaps Fish Oil 18/12: EPA/DHA 400 mg, Vit E 4 mg, Folic acid 400 mcg, Vit B 6 6 mg, Vit B12 25 mcg Box, 3 blister @ 10 licaps 114,000 156,750
142 Proceles Syrup per 5 ml: Betamethasone 0.25 mg, Dexchlorpheniramine maleate 2 mg Box, Bottle 60 mL 35,000 48,125
143 Proceles Tablet Betamethasone 0.25 mg, Dexchlorpheniramine maleate 2 mg Box, 5 strips @ 10 tablets 75,000 103,125
144 Procepim Powder Injection Cefepime 1 gram Box, 1 vial 255,000 350,625
145 Procetam 1200 FC Tablet Piracetam 1200 mg Box, 5 strips @ 6 tablets 132,000 181,500
146 Procetam Liquid Injection Per 1 ml: Piracetam 200 mg Box, 5 ampoules @ 15 mL 237,500 326,563
147 Proclozam Tablet Clobazam 10 mg Box, 10 strips @ 10 tablets 175,000 240,625

148 Procolic FC Tablet Metamizole 250 mg, Hyoscine N-butylbromide 10 mg Box, 10 strips @ 10 tablets 225,000 309,375
149 Prodermal Cream Tioconazole 1 % Box, tube 10 g 40,000 55,000
150 Prodexon Caplet Dexamethasone 0.5 mg Box, 10 strips @ 10 caplets 35,000 48,125
151 Progeston Tablet Allylestrenol 5 mg Box, 3 strips @ 10 tablets 105,000 144,375
152 Prohistin Tablet Loratadine 10 mg Box, 5 strips @ 10 tablets 217,500 299,063
153 Proimbus FC Tablet Echinacea Extract 170 mg, Reishi Mushroom Extract 150 mg,Calcium Pantothenate 15 mg Box, 5 strips @ 6 tablets 156,000 214,500
154 Prolevox 500 FC Tablet Levofloxacin 500 mg Box, 1 strips @ 10 tablets 310,000 426,250
155 Prolevox Infusion Per 100 ml: Levofloxacin 500 mg Box, 1 vial @ 100 mL 240,000 330,000
156 Promuba Infusion Per 100 ml: Metronidazole 500 mg Box, vial 100 mL 67,500 92,813
157 Promuba Suspension Per 5 ml: Metronidazole 125 mg Box, Bottle 60 mL 39,000 53,625
158 Proneuron Tablet Metamizole 500 mg, Diazepam 2 mg Box, 20 strips @ 10 tablets 240,000 330,000
159 Pronovir Syrup Per 5 ml: Methisoprinol 250 mg Box, Bottle 60 mL 70,000 96,250
160 Pronovir Tablet Methisoprinol 500 mg Box, 5 strips @ 4 tablets 160,000 220,000
161 Protocin Injection Oxytocin synthetic 10 IU/mL Box, 10 ampoules @ 1 ml 72,000 99,000
162 Provagin Ovula Metronidazole 500 mg, Nystatin 100,000 IU Box, 2 rotoplast @ 5 ovules 130,000 178,750
163 Provomer FC Tablet Pyrathiazine theoclate 40 mg, Vit B6 37.5 mg Box, 10 strips @ 10 tablet 240,000 330,000
164 Proxidan 400 Licaps Natural Vitamin E 400 mg Box, 3 blisters @ 10 licaps 112,500 154,688
165 Purgatix Oral Solution Per 5 mL : Sodium phosphate monobasic monohydrate 2,4 g, Dibasic sodium phosphate heptahydrate 0,9 g. Box, Botol @ 45 mL 45,000 61,875

166 Purgatix Enema Per 118 mL : Sodium phosphate monobasic monohydrate 19 g, Dibasic sodium phosphate Box, Botol @ 133 mL 68,000 93,500
167 Pyrexin 160 Suppository Paracetamol 160 mg Box, 2 rotoplast @ 5 suppositories 80,000 110,000
168 Pyrexin 80 Suppository Paracetamol 80 mg Box, 2 rotoplast @ 5 suppositories 80,000 110,000
169 Pyrexin Extra Tramadol HCl 37,5 mg, Paracetamol 325 mg Box, 3 strip @ 10 film coated caplets 135,000 185,400
170 Pyrexin Infusion Paracetamol 10 mg/mL (1000 mg/100 mL) Box, Bottle @ 100 mL 57,500 79,063
171 Pyrexin Syrup Per 5 ml: Paracetamol 120 mg Box, Bottle 60 mL 10,000 13,750
172 Pyrexin Tablet Paracetamol 500 mg Box, 20 blisters @10 tablets 60,000 82,500
173 Reliv FC Tablet ALA 100 mg, Curcuminoid 6 mg, Vit B1 5 mg, Vit B2 3 mg,Vitamin B6 10 mg, Vit B12 5 mcg, Phyllantus niruri 150 mg Box, 5 strips @ 6 tablets 135,000 185,625

174 Retop Capsule Billberry Extract 80 mg, Vit E 40 mg, Lutein 5 mg, Zeaxanthin 1 mg, Vit A 1600 IU, Se 15 mcg, Zn 5 mg, Vit B2 2 mg, Vit C 250 Box, 3 blister @ 10 capsule 165,000 226,875
mg
175 Rinocet Drops per 1 ml: Cetirizine 2HCl 10 mg Box, Bottle 20 mL 52,500 72,188
176 Rinocet Syrup per 5 ml: Cetirizine 2HCl 5 mg Box, Bottle 60 mL 52,500 72,188
177 Romicef Powder Injection Cefpirome 1 gram Box, 1 vial 270,000 371,250
178 Rotaver Tablet Betahistine mesylate 6 mg Box, 10 strips @ 10 tablets 245,000 336,875
179 Sefanem 1 g Powder Injection Meropenem 1.0 g Box, 1 vial 430,000 591,250
180 Sirplus Anggur Syrup Natural Sugar (Grape) Bottle 100 mL 13,000 17,875
181 Sirplus Jeruk Syrup Natural Sugar (Orange) Bottle 100 mL 13,000 17,875
182 Sirplus Melon Syrup Natural Sugar (Melon) Bottle 100 mL 13,000 17,875
183 Sirplus Serbuk Original Sucralose (Original) Bottle 20 g/200 tab 37,500 51,563
184 Sirplus Serbuk Stroberi Sucralose (Strawberry) Bottle 20 g/200 tab 40,000 55,000
185 Sirplus Stroberi Syrup Natural Sugar (Strawberry) Bottle 100 mL 13,000 17,875
186 Sizoril 100 Tablet Clozapine 100 mg Box, 3 strips @ 10 tablets 480,000 660,000
187 Sizoril 25 Tablet Clozapine 25 mg Box, 5 strips @ 10 tablets 225,000 309,375
188 S-Meprotetra 250 mg Capsule Tetracycline HCl 250 mg Box, 50 blisters @ 10 capsules Box, Bottle 60 mL 175,000 240,625

189 Sodermix Cream Extra SOD (Superoxide Dismutase) Box, tube 15 g 85,000 116,875
190 Solvinex Caplet Bromhexine HCl 8 mg Box, 10 strips @ 10 caplets 40,000 55,000
191 Solvinex Larutan Per 1 mL : Bromhexine HCl 2 mg Box,Bottle 30 mL 33,000 45,370
192 Solvinex Liquid Injection Per 1 ml: Bromhexine HCl 2 mg Box, 10 ampoules @ 2 mL 400,000 550,000
193 Solvinex Syrup Per 5 ml: Bromhexine HCl 4 mg Box, Bottle 100 mL 16,000 22,000
194 Spasmolit FC Tablet Hyoscine N-butylbromide 10 mg Box, 10 strips @ 10 tablets 225,000 309,375
195 Suprachlor Suspension Per 5 ml: Chloramphenicol 125 mg Box, Bottle 60 mL 15,000 20,625
196 Suprafenid Suppository Ketoprofen 100 mg Box, 2 strips @5 suppositories 120,000 165,000
197 Supralysin 100 Syrup Per 5 ml: Vit B1 1.5 mg, Vit B2 2 mg, Vit B6 1 mg, Vit B12 5 mcg, Nicotinamide 20 mg, D-Panthenol 3 mg, Vit A 5000 IU, Vit D Box, Bottle @ 100 mL 25,000 34,375
400 IU, Vit C 60 mg, Lysine HCl 200 mg
198 Supralysin 60 Syrup Per 5 ml: Vit B1 1.5 mg, Vit B2 2 mg, Vit B6 1 mg, Vit B12 5 mcg, Nicotinamide 20 mg, D-Panthenol 3 mg, Vit A 5000 IU, Vit D Box, Bottle @ 60 mL 22,000 30,250
400 IU, Vit C 60 mg, Lysine HCl 200 mg
199 Supralysin Drops Per 1 ml: Vit B1 1.5 mg, Vit B2 2 mg, Vit B6 1 mg, Vit B12 5 mcg, Nicotinamide 20 mg, D-Panthenol 3 mg, Vit A 5000 IU, Vit D 400 Box, Bottle @ 15 mL 27,500 37,813
IU, Vit C 25 mg, Lysine HCl 50 mg

200 Supramox 125 Dry Suspension Per 5 ml: Amoxicillin 125 mg Box, Bottle 60 mL 20,000 27,500
201 Supramox 250 Dry Suspension Per 5 ml: Amoxicillin 250 mg Box, Bottle 60 mL 30,000 41,250
202 Supramox 500 Capsule Amoxicillin 500 mg Box, 10 strips @ 10 capsules 240,000 330,000
203 Supramox Drops Per 1 ml: Amoxicillin 100 mg Box, Bottle 20 mL 21,000 28,875
204 Sydnaginon Tablet Levonorgestrel 0,15 mg; Ethinylestradiol 0,03 mg Box, isi 25 blister @ 28 tablets 150,000 206,250
205 Tabas Syrup Terbutaline Sulphate 1.5 mg / 5 ml Box, Bottle 100 mL 22,000 30,250
206 Tabas Tablet Terbutaline Sulphate 2.5 mg Bottle 100 tablets 140,000 192,500
207 TB Rif Syrup Per 5 ml: Rifampicin 100 mg Box, Bottle @ 120 mL 95,000 130,625
208 TB Vit 6 120 Syrup Per 5 ml: Isoniazid 100 mg, Vit B6 10 mg Box, Bottle 120 mL 30,000 41,250
209 TB Vit 6 225 Syrup Per 5 ml: Isoniazid 100 mg, Vit B6 10 mg Box, Bottle 225 mL 42,000 57,750
210 TB Vit 6 Tablet Isoniazid 400 mg, Vit B6 24 mg Box, 10 strips @ 10 tablets 75,000 103,125
211 TB Zet Tablet Pyrazinamid 500 mg Box, 10 strips @ 10 tablets 125,000 171,875
212 Tonotan Tablet Isoxsuprine HCl 20 mg Box, 5 strips @ 10 tablets 175,000 240,625
213 Tricker 150 FC Tablet Ranitidine 150 mg Box, 5 strips @ 10 tablets 225,000 309,375
214 Tricker Liquid Injection Per 2 ml: Ranitidine 50 mg Box, 5 ampoules @ 2 mL 93,750 128,906
215 Tuderm - N Cream Betamethasone Valerate 0.1 %, Neomycin Sulfate 0.5% Box, tube 5 g 11,000 15,125
216 Tudiab Tablet Metformin HCl 500 mg Box, 10 strips @ 10 tablets 120,000 165,000
217 Tugesal FC Tablet Tramadol HCl 50 mg Box, 5 strips @ 6 tablets 105,000 144,375
218 Umkalin Syrup Per 5 ml: Pelargonium sidoides 18 mg Box, Bottle @ 60 mL 42,500 58,438
219 Umkalin Tablet Pelargonium sidoides 27 mg Box, 5 strips @ 6 tablets 90,000 123,750
220 Veridin FC Tablet Micronized Diosmin / Hesperidine (90/10) 500 mg Box , 5 strips @ 6 tablets 202,500 278,438
221 Vosteon FC Tablet Glucosamine HCl 250 mg, Chondroitin Sulphate 200 mg, Ipriflavone 65 mg,Ca Citrate 165 mg Box, 5 strips @ 6 tablets 126,000 173,250
222 Xantia Licaps Natural Astaxanthin 4 mg Box, 3 blister @ 10 licaps 225,000 309,375
223 X-Cam 15 Tablet Meloxicam 15 mg Box, 3 strips @ 10 tablets 247,500 340,313
224 X-Cam 7.5 Tablet Meloxicam 7,5 mg Box, 3 strips @ 10 tablets 157,500 216,563
225 Zircum Kid Dispersible Tablet Zinc 20 mg Box, 10 strip @ 10 tablets 150,000 206,200
226 Zircum Kid Syrup Per 5 ml: Zinc 20 mg Box, Bottle 60 mL 30,000 41,250
227 Zotam Powder Injection Cefoperazone 500 mg, Sulbactam 500 mg Box, 1 vial 160,000 220,000
 BERLAKU MULAI 1 JANUARI 2021

Harga sewaktu-waktu dapat berubah tanpa pemberitahuan terlebih dahulu

GENERIK

NO. PRODUCTS COMPOSITIONS PACKAGING HNA/BOX HET/BOX

(-PPN) (+PPN)
1 Amoxicillin Trihydrate Drops Amoxicillin anhydrate 100 mg/mL Bottle @ 20 mL + pipet 20,000 27,500
2 Cefadroxil Monohydrate Capsule 500 Mg Cefadroxil monohydrate setara cefadroxil 500 mg Box, 10 strip @ 10 kapsul 73,000 100,000
3 Cefadroxil Monohydrate Dry Syrup 125 mg/5 mL Cefadroxil monohydrate setara cefadroxil 125 mg/5 mL Bottle @ 60 mL 6,750 9,281
4 Cefadroxil Monohydrate Dry Syrup 250 mg/5 mL Cefadroxil monohydrate setara cefadroxil 250 mg/5 mL Bottle @ 60 mL 9,500 13,062
5 Cefepime HCl Powder Injection 1 g Cefepime 1 gram Box, 10 vial @ 1 gram 264,000 363,000
6 Cefoperazone Sodium Serbuk Injeksi Cefoperazone Sodium setara dengan Cefoperazone 1 g/vial Dus, 10 vial @ 1 173,300 238,200
7 Cefotaxime Sodium Powder Injection 0,5 g Cefotaxime sodium ~ Cefotaxime 0,5 g Box, 10 vial @ 0,5 g 70,000 96,200
8 Cefotaxime Sodium Powder Injection 1 g Cefotaxime sodium ~ Cefotaxime 1 g Box , 10 vial @ 1 g 57,000 78,300
9 Cefpirome Sulfate Powder Injection 1 g Cefpirome sulfate setara dengan Cefpirome 1 g/vial Box, 10 vial @ 1 g 582,600 801,000
10 Ceftazidime Powder Injection 1 g Ceftazidime 1 gram Box, 10 vial @ 1 gram 117,000 160,000
11 Ceftriaxone Sodium Powder Injection 1 g Ceftriaxone sodium setara dengan Ceftriaxone 1 g/vial Box, 10 vial @ 1 g 75,000 103,120
12 Chloramphenicol Palmitate Suspension Per 5 mL : Chloramphenicol palmitate ~ Bottle @ 60 mL 5,550 7,630
13 Clindamycin Hydrochloride Capsule Clindamycin hydrochloride ~ Clindamycin 300 mg Box, 10 strip @ 10 kapsul 100,000 137,500
14 Clomifene Citrate Tablet Clomifene citrate 50 mg Box, 10 strip @ 10 tablet 146,000 200,000
15 Co-Amoxiclav Film Coated Tablet Amoxicillin 500 mg, Clavulanic Acid 125 mg Box, 5 strips @ 6 tablets 85,000 116,700
16 Dexamethasone Sodium Phospate Injection Per 1 mL: Dexamethasone sodium phospate ~ Box, 10 ampoules @ 1 mL 30,320 41,690
17 Diazepam Injection Per 1 mL: Diazepam 5 mg Box, 10 ampoules @ 2 mL 79,650 109,480
18 Diclofenac Potassium Tablet Salut Selaput Diclofenac Potassium 50 mg Box, 10 strips @ 10 tablets 60,000 82,500
19 Diphenhydramine Injection Per 1 mL : Diphenhydramine HCI 10 mg Box, 100 Ampoules @ 1 mL 300,000 412,500
20 Esomeprazole Sodium Powder Injection Esomeprazole sodium setara Esomeprazole 40 mg Box, 2 vials 116,364 160,000
21 Ketorolac Trometamol Injection Per 1 mL : Ketorolac trometamol 30 mg Box, 10 ampoules @ 1 mL 12,400 17,000
22 Lidocaine Hydrochloride Monohydrate Injection Per mL : Lidocaine HCI Monohydrate 21,33 mg setara Lidocaine HCI 20.0 mg Box, 100 ampoules @ 2 mL 144,000 198,000
23 Meropenem Powder Injection 0.5 g Meropenem 0,5 gram Box, 10 vial @ 0,5 g 582,540 800,990
24 Meropenem Powder Injection 1 g Meropenem 1 gram Box, 10 vial @ 1 g 784,921 1,079,270
25 Metamizole Sodium Monohydrate Injection Per 1 mL : Metamizole Sodium Monohydrate 500 mg Box, 100 ampoules @ 2 mL 800,000 1,100,000
26 Methylergometrine Maleate Injection Per mL : Methylergometrine Maleate 0,2 mg Box, 100 ampoules @ 1 mL 336,000 462,000
27 Metoclopramide Hydrochloride Injection Metoclopramide Hydrochloride - Metoclopramide 5.0 mg Box, 100 ampoules @ 2 mL 450,000 618,000
28 Metronidazole Benzoate Per 5 mL: Metronidazole benzoate ~ Metronidazole 125 mg Bottle @ 60mL 6,000 8,250
29 Paracetamol Syrup 60 mL Paracetamol 120 mg Bottle @ 60 mL 3,500 4,810
30 Phenytoin Sodium Injection Per 1 mL : Phenytoin sodium 50 mg Box, 5 ampoules @ 2 mL 60,900 83,740
31 Phytomenadione Injection Per 1 mL : Phytomenadione 2 mg Box, 100 ampoules @ 1 mL 360,000 495,000
32 Procaterol Hydrochloride Hemlhydrate Sirup Per 5 mL : Procaterol hydrochloride hemlhydrate 0.025 mg Bottle @ 60 mL 20,000 27,500
33 Ranitidine HCl Injection Per 1 mL : Ranitidine HCl ~ Ranitidine 25 mg Box, 10 ampoules @ 2 mL 13,700 18,800
34 Sertraline Hydrochloride Caplet Sertaline hydrochloride ~ Sertraline 50 mg Box, 10 strip @ 10 caplets 390,000 536,200
35 Sodium Valproate Syrup Sodium valproate ~ Valproic acid 250 mg/5 mL Box, 1 bottle @ 120 mL 66,350 91,230
36 Sucralfate suspension Per 5 mL : Sucralfate 500 mg Bottle 100 mL 20,000 27,500
37 Sucralfate suspension Per 5 ml : Sucralfate 500 mg Bottle 200 mL 40,000 55,000
38 Ursodeoxycholic Acid Capsule Ursodeoxycholic acid 250 mg Box, 10 strip @ 10 kapsul 253,000 347,000
39 Zinc Sulfate Monohydrate Dispersible Tablet Zinc sulfate monohydrate ~ Zinc 20 mg Box, 10 strips @10 tablets 55,000 75,600
40 Zinc Sulfate Monohydrate Syrup Per 5 mL: Zinc sulfate monohydrate ~ Zinc 20 mg Bottle @ 60 mL 8,000 11,000
41 Zinc Sulfate Monohydrate Drops Per mL: Zinc sulfate monohydrate ~ Zinc 10.0 mg Bottle @ 15 mL 7,130 9,800

SKEMA DISKON CAMPAIGN PRODUCTS JUMLAH % MEPRO

< 25 DUS 20.00%
25 - < 100 22.50%
1 BIOCOMBIN INJEKSI 100 - < 250 DUS 25.00%
250 - 500 DUS 30.00%
>500 DUS 35.00%
< 100 BOTOL 25.00%
100 - < 250 BOTOL 27.50%
2 MUCOS DROP 250 - 500 BOTOL 32.50%
500 - 1000 BOTOL 35.00%
> 1000 BOTOL 40.00%
< 100 BOTOL 25.00%
100 - < 250 BOTOL 27.50%
3 MUCOS SIRUP 250 - 500 BOTOL 32.50%
500 - 1000 BOTOL 35.00%
> 1000 BOTOL 40.00%
< 25 DUS 25.00%
25 - < 100 35.00%
4 NORAGES INJEKSI 100 - < 250 DUS 37.50%
250 - 500 DUS 40.00%
>500 DUS 47.50%
< 50 BOTOL 25.00%
50-100 BOTOL 30.00%
5 ZIRCUM KID SIRUP > 150 - 250 BOTOL 32.50%
> 250 - 500 BOTOL 37.50%
> 500 BOTOL 40.00%