File Gathering Rs Pelni Per Sheet (Nasir)

FORMULARIUM + HASIL GATHERING RS PELNI
Komposisi Sediaan Nama Obat

1 SISTEM GASTROINTESTINAL & HEPATOBILIER
1.1 Antasida, anti refluks, dan anti Ulserasi
Esomeprazole inj 40 mg/vial E-SOME INJEKSI 40 MG
ESOZID INJ
ESOFERR INJEKSI 40MG(BOX/1V
ESOLA INJ 40 MG/VIAL
NEXIUM INJEKSI 40 MG
Esomeprazole inj 40 mg/vial
Lansoprazole 30 mg caps Laproton
LANCID KAPSUL 30 MG
LANPRACID 30 MG CAPSULE
Lapraz
LASGAN KAPSUL 30 MG
INHIPRAZ 30 MG
PRAZOTEC 30 MG
LAZ
LOPREZOL
LANSOMED KAPSUL 30 MG
COMPRAZ TAB 30 MG
ZOLESCO KAPSUL 30 MG
Prosogan
Lansoprazol 30 mg kaps
LANSOPRAZOL KAPS 30 MG
Lansoprazole 30 mg
LANSOPRAZOLE KAPSUL 30 MG
LANSOPRAZOLE KAPS 30 MG
LANSOPRAZOLE KAPSUL
30 MG
Misoprostol Tab 200 mcg Gastrul *
Misoprostol Tab 200 mcg Chromalux
Omeprazole inj 40 mg/10 ml OZID I.V (G)
OMZ INJ 40 MG/10ML
Pumpitor Inj
OMEVELL 40 MG INJ
NORSEC INJEKSI 40 MG/10 ML
GASTROFER
RINDOPUMP 40 MG / 10 ML
INHIPUMP 40MG/10ML DRY INJE
Kaps 20 mg OMEYUS KAPSUL 20 MG
OMZ CAP 20 MG
INHIPUMP
PROTOP KAPSUL 20 MG
OMEVELL KAPSUL 20 MG
NORSEC KAPSUL 20 MG
PROTOP KAPSUL 20 MG
Pumpitor kaps
O P M CAPSULE
inj 40 mg/10 ml Omeprazole 40 mg inj
Omeprazol inj 40 mg/10 ml
Omeprazol inj 40 mg/10 ml
Omeprazole IV
OMEPRAZOLE INJEKSI 40MG / M
OMEPRAZOL INJ
OMEPRAZOLE 40 MG INJ
OMEPRAZOLE 40 MG INJ
OMEPRAZOLE INJEKSI 40
MG/10 ML
OMEPRAZOLE INJEKSI
40 MG
Kaps 20 mg OMEPRAZOL KAPS 20 MG
OMEPRAZOLE KAPSUL 20 MG
OMEPRAZOLE 20 MG/30 KAPSU
OMEPRAZOLE KAPS 20 MG
OMEPRAZOLE 20 MG
Omeprazol kaps 20 mg
OMEPRAZOLE 20 mg Kapsul
Ranitidine Inj 25 mg/Ml RANTIN iNJEKSI 25 MG/ML
GETIDIN INJEKSI 25 MG/ML
ULCERANIN INJEKSI 25 MG / ML
RANIVEL INJEKSI 25MG/ML
Acran inj
TRICKER LIQ. INJ.
ZANTAC INJ 5 AMP / BOX
RATINAL INJEKSI 50 MG/ 2 ML
Tab 150 mg ACIBLOCK TABLET 150 MG
ULCERANIN TABLET 150 MG
RANTIN TABLET 150 MG
GASTRIDIN TABLET 150 MG
RENATAC 150 MG
Acran tab
RANIVEL 150 MG TABLET
TRICKER 150 FC TABLET
RATINAL TABLET 150 MG
Syr 75 mg/5 ml RANIVEL syr
Inj 25 mg/Ml Ranitidin inj 25 mg/ml
Ranitidin 50 mg/2 ml inj
RANITIDIN Inj 25mg/ml
RANITIDINE INJ.25MG/ML INJEKS
Ranitidin inj 25 mg/ml
RANITIDIN INJEKSI 50MG/5ML
RANITIDINE INJEKSI 25 MG/ML
RANITIDIN 50MG/2ML INJ

Tab 150 mg RANITIDINE 150 MG
Ranitidin tab 150 mg
Ranitidin 150 mg tab
RANITIDIN TABLET
RANITIDIN 150 MG FC TABLET
RANITIDIN TAB 150 MG
Rebapimide Tab 100 mg Mucosta
Sysmuco
Sucralfate Susp 500 mg/100 ml MOLAFATE SUSPENSI 500 MG/5
Episan 100
MUCOGART
DOPEPSA SUSPENSI SUKRALFA
MUSIN SUSPENSION 500 MG/ 5
ULSAFATE SUSPENSI SYRUP 10
PEPTOVELL SUSP 500MG/5ML 1
Ulsicral suspensi 100ml
ULCERA 100
NECIBLOK SUSPENSI 500 mg/5 m
NUCRAL SUSPENSI 500 MG/5 ML
PROPEPSA 100
Inpepsa 100 ml
Susp 500 mg/200 ml PROPEPSA 100
NUCRAL SUSPENSI 500 MG/5 ML
INPEPSA 200 ML
ULSAFATE SUSPENSI SYRUP 20
PROPEPSA 200
Episan 200 ml
Susp 500 mg/100 ml SUCRALFATE SUSPENSI SYRUP
Sucralfate 500mg / 5ml
SUCRALFATE SUSPENSI SYRUP
SUCRALFATE SUSPENSI
SUCRALFATE SUSP 500 MG/5 ML
Teprenone kaps 50 mg Purubex*
Polymigel Tab 400 mg Strocain*
Antasida, kombinasi :
aluminium hidroksida
STROMAG TABLET
200 mg + magnesium
hidroksida 200 mg
Antasida, kombinasi :
aluminium hidroksida
STROMAG TABLET
200 mg + magnesium
hidroksida 200 mg
ANTASIDA DOEN TABLET 200
MG + 200 MG
Mg (OH)2, Simetikon,
Al (OH)3 Magasida
Dimetilpolisiloksan Polysilane
DIMETICON,AL(OH)3,
SORBITOL Disflatyl
1.2 Regulator GIT, Anti Flatulen, Anti inflammasi
Domperidone susp 5 mg/5 ml LEXADON SUSPENSI 5 MG/5 ML
Vosedon susp
DOMETA SUSPENSI 60 ML
Domedon Syrup
MONELL SUSPENSY 5MG/5ML
DOM SUSPENSI 5 MG/ ML
VIDON SUSPENSION 5 MG/5 ML
VOMETA SYRUP
VOMISTOP SUSPENSI 5 MG/5 M
motilium Sy 1ml 60 Ml
VOMITAS SYRUP
COSTIL SYR
Tab 10 Mg LEXADON TABLET 10 MG
Vosedon tab
Domedon Tablet
VOMITAS FDT 10 MG
GALDOM TAB 10 MG
DOM TABLET 10 MG
EMEQUA 10 MG
MONELL TABLET FT
TILIDON TABLET 10 MG
VIDON 10 MG
GALFLUX TABLET SALUT SELAP
VOMETA FT
COSTIL TABLET
VOMISTOP FLASH TABLET 10 M
MOTILIUM TAB
Drop 5 mg/ml VOMETA DROP
MONELL DROP 5MG/ML
VOMISTOP DROP 5 MG/ 5 ML
susp 5 mg/5 ml DOMPERIDON SUSP 5 MG/5 ML
Domperidon susp 5 mg/5 ml
DOMPERIDONE 5MG /5ML SYRU
Domperidon 5 mg/5 ml syr
Tab 10 Mg DOMPERIDON TAB 10 MG
Domperidon tab 10 mg
DOMPERIDON TAB 10 MG
DOMPERIDONE 10 MG /50 TAB B
DOMPERIDONE TAB 10 MG
DOMPERIDONE TABLET
10 MG
DOMPERIDONE 10 MG
Domperidon 10 mg tab
Drop 5 mg/ml Domperidon 5 mg/ml drops
Otilonium Bromide Tab 40 mg Spasmomen*
MEsalazin tab sal 250 mg SALOFALK 250MG (G)
tab sal 500 mg SALOFALK 500 MG
1.3 Anti Spasmodik
Hyoscine-N- Tab 10 mg,Inj 20 mg/ml Buscopan, buscopan plus*
butylbromide
Chlordiazepoxide 5 mg, Tab Braxidin*
clidinium Br 2.5 mg
Mebeverine Tab 135 mg Duspatalin*

1.4 Anti Diare
Diosmectite Sachet powd for oral Smecta*
susp 3 g
Zinc Sulfate drops 10 mg/ml ZINCPRO DROPS
ZINCPRO DROPS
sir 10 mg/ml ZINCPRO DROPS
BINOMIC SYRUP 10MG/5 ML
L ZINC SYRUP 10 MG/5 ML
Zinkid Syr 10 mg/5 ml
Daryazinc Drop
ZINCPRO DROPS
sir 20 mg/5 ml ZINCPRO SYRUP 60 ML
ZANIC SIRUP 20 MG / 100 ML
Daryazinc
OREZINC 20mg/5ml
RZ-20 SYRUP
INTERZINC SYRUP 20 MG/ 5 ML
ZINCPRO SYRUP 60 ML
tab disp 20 mg DIAZINK
BINOMIC DISPERSIBLE 20 MG T
Zinc 30 Caps
Zinc sulphate monohydrate ~
sir 20 mg/5 ml
Zinc 20 mg /5ml
tab disp 20 mg ZINC TAB DISP 20 MG
Zink Dispersibel Tablet
ZINC tab disp 20 mg
Atapulgit Tab 600 mg ARCAPEC TABLET
New Diatab
DIAGIT TABLET 600 MG
tablet 750 mg MOLAGIT TABLET 750 MG
Loperamid tab 2 mg LEXADIUM TABLET 2 MG
NORMUDAL TAB 2 MG
DIADIUM TABLET 2 MG
OPOX TABLET SALUT SELAPUT
NORMOTIL 2 MG
IModium
Lodia
Per sachet Viable cell Sachet Lacto b*
counts 1 x 109 CFU/g
(Lactobacillus
acidophilus,
1.5 Laksatif, Pencahar
Natrium fosfat btl, 133
FLEET ENEMA BOTOL 133 ML
Natrium fosfat ml
Natrium fosfat lar oral
PHOSPHOSODA LARUTAN ORAL
45 ml
Natrium fosfat lar oral
PHOSPHOSODA LARUTAN ORAL
45 ml
Laktulosa sir 3,335 g/5
LACTULAX SYRUP 60 ML
Laktulosa ml
LAXADILAC
ml
GRAPHALAC SIRUP 3,3335 G/ 5
ml
PRALAX 3.335 g / ML
ml
CONSTULOZ SYRUP 10g/15ML
ml
Dulcolactol 10mg/15ml Syr 60ml
ml
DUPHALAC SIRUP 3.335 GR/ 5 M
ml
Kombinasi: parafin +
Emuls 60 ml LAXADINE Emulsi 60 ml
gliserin + fenolftalein
Sorbic acid + sorbitol + Microlax
Bisakodil sup 10 mg Dulcolax 10mg Sup 50's
sup 5 mg Dulcolax 5mg Sup 6's
tab sal 5 mg LAXACOD 5MG
tab sal 5 mg Dulcolax 5mg ECT 200's
BISACODYL TAB 5 MG
Per Sachet Macrogol Oral Liquid 137.16 g Niflec*
4000 118 g, Na sulfate
11.37 g, Na hydrogen
carbonate 3.37 g,
NaCl 2.93 g, KCl 1.485
g
1.6 Digestan
Lactobacillus Kaps Lacidofil
rhamnosus,L.
acidophilus
Lactoferin, Colostrum, Kaps BD Gard*
Echinacea, Vit C
, Zinc picolinat
Probiotik (lactobacillus Sachet L. Bio*
sp, Bifido sp
Probiotik dan Prebiotik Sachet Probiokid*
Amilase,protase,desoxy Tab Enzyplex*
cholic acid
Amylase, Protease, Tab Vitazym
Lipase
1.7 Kolagogum, Kolelitolitik, Hepato Protektor,
Asam Ursodeoksikolat Kaps 250 mg URDAHEX 250 MG
URDEX
URLICON 250 MG
URSOCHOL 300 mg Tablet
URSOLIC KAPSUL 250 MG
URDAFALK
ESTAZOR 250 MG
ERING RS PELNI
Prinsipal Harga PPN + HNA
PHAPROS Rp27,434.06
PT DARYA VARIA LABORATORIA Rp111,375.00
PT FERRON Rp118,800.00
LAPI Rp132,000.00
PT ASTRAZENECA INDONESIA Rp194,850.70
Phapros Rp26,774.66
MEPROFARM Rp44,800.14
OTTO Rp52,800.00
PT. Tempo Scan Pacific Rp2,044.05
KALBE FARMA Rp7,562.50
PT.PHAROS Rp7,650.50
SANBE FARMA Rp7,950.80
LAPI Rp8,580.00
PT. BERNOFARM Rp8,580.00
FAHRENHEIT Rp9,693.75
DEXA MEDICA Rp10,048.50
KIMIA FARMA Rp10,181.34
PT FUTAMED PHARMACEUTICALS Rp10,406.00
COMBIPHAR Rp11,440.00
PT DIPA PHARMALAB INTERSAINS Rp14,025.00
Tanabe -
BERNOFARM Rp72.97
PT. INDOFARMA TBK Rp303.00
PT Nufarindo Rp330.00
PT. HEXPHARM JAYA Rp475.00
NOVELL PHARMACEUTICAL LABOR Rp540.54
NULAB
Rp540.54
Fahrenheit -
Pharos -
PT NOVELL PHARM Rp64,625.00
PT. GUARDIAN PHARMATAMA Rp74,800.00
PT MOLEX AYUS Rp347.88
PT INTERBAT Rp7,425.00
PT. MEPROFARM Rp9,047.50
BERNOFARM Rp149.60
NATURA Rp2,103.75
PT DEXA MEDICA Rp9,898.00
MAHAKAM BETA FARMA Rp20,988.00
PERTIWI AGUNG Rp22,000.00
NOVELL PHARMACEUTICAL LABOR Rp24,750.00
PT. HEXPHARM JAYA Rp30,000.00
OTTO
Rp33,000.00
NULAB
Rp37,400.00
NOVAPHARIN Rp130.00
PT FUTAMED PHARMACEUTICALS Rp203.50
FAHRENHEIT Rp285.82
PT DEXA MEDICA Rp424.25
KIMIA FARMA Rp551.25
ABBOTT Rp12,210.00
PT. GLAXO WELLCOME INDONESIA Rp19,363.22
PT GRACIA PHARMINDO Rp22,000.00
ABBOTT Rp2,310.00
PT NOVELL PHARM -
NATURA Rp433.39
BERNOFARM Rp1,480.00
Phapros Rp1,486.61
PT. ETHICA Rp2,184.53
OTTO
Rp2,281.21
BERNOFARM Rp165.00
PERTIWI AGUNG Rp198.00
PROMEDHARDJO Rp203.28
PT Otsuka
FAHRENHEIT
PT MOLEX AYUS Rp8,648.75
PT YARINDO FARMATAMA Rp22,000.00
ABBOTT Rp27,500.00
Ikapharmindo Rp34,650.00
PT. MAHAKAM BETA FARMA Rp41,250.00
Kalbe / Dankos Rp49,500.00
FAHRENHEIT
PT Sanbe
TEMPO SCAN PASIFIC Rp13,200.00
Eisai
Eisai
PT. GUARDIAN PHARMATAMA

Rp594.00
PT. GUARDIAN PHARMATAMA
Rp594.00
PT MOLEX AYUS
Rp126.00
KIMIA FARMA
Pharos
Pharos

PT.IKAPHARMINDO Rp21,175.00
LAPI Rp28,875.00
Jannssen Rp63,635.22
PYRIDAM Rp33,962.50
PT. Galenium Pharmasia Rp2,153.25
LAPI Rp2,286.90
NATURA Rp2,692.80
PYRIDAM Rp3,657.50
Jannssen Rp5,449.22
NOVAPHARIN Rp2,700.00
NATURA Rp3,850.00
NOVAPHARIN Rp85.00
NATURA Rp144.34
NULAB
Rp221.99
PT MEDIKON PRIMA LABORATORIE Rp239.75
PT Infion Rp242.00
BERNOFARM Rp242.17
FAHRENHEIT Rp254.10
DEXA MEDICA
PT DARYA VARIA LABORATORIA
Boehringer
PT Sanbe
PT ABBOTH
Combiphar
LAPI Rp26,400.00
Indofarma
PT NICHOLAS LABORATORIES IND Rp19,360.00
PYRIDAM Rp26,125.00
DERMA XP Rp5,333.34
TEMPO SCAN PASIFIC

Rp2,972.20
Phapros Rp515.20
PT. MEPROFARM Rp770.00
Darya Varia
COMBIPHAR Rp677.60
LAPI Rp825.00
PT. GUARDIAN PHARMATAMA Rp871.20
PT NOVELL PHARM Rp968.00
Johnson n jihnson
PT Sanbe
Novell PHARMACEUTICAL
LABORATORIES
COMBIPHAR
Rp35,750.00
COMBIPHAR
Rp36,300.00
COMBIPHAR
Rp72,600.00
PT.IKAPHARMINDO
Rp38,720.00
PT. Galenium Pharmasia

Rp39,600.00
PT GRACIA PHARMINDO
Rp46,750.00
FAHRENHEIT
Rp51,150.00
PT NOVELL PHARM
Rp53,900.00
PT. Aventis Pharma

Rp55,638.00
ABBOTT
Rp74,844.00
PT. Galenium Pharmasia

Rp34,650.00
Pharos
PT. Aventis Pharma Rp14,430.24
Meiji
Dexa Medica
Mahakam beta
Lapi
Sanbe Farma
Darva Varia
Kalbe farma
KALBE / DANKOS Rp4,766.67

PT. NOVELL PHARMACEUTICAL LA Rp5,958.33
PT ZAMBON INDONESIA Rp6,868.40
Asam ursodeoksikolat kaps 250
mg
ASAM URSODEOKSIKOLAT KAPS
L-ornitihine L-aspartate Sachet;infus Hepamerz *
Asam amino, infus, 500 ml Aminofusin Hepar

phenylalanine,
trytophan, methionine
Asam aminio, electrolite, infus, 500 ml Comafusin Hepar
Curcuma longa Rhizoma Kap ex Sanfuliq
Pepepce 95, vit B, vit E, Soft Kaps 175 mg
Pepepce 95, vit B, vit E, Soft Kaps 175 mg Lesichol
Soft Kaps 300 Lesichol

Soft Kaps 600 Lesichol
Fructus Schizandrae Kaps. Hp Pro
Kaps. Hp Pro Plus
1.8 Preparat Anorectal
Micronized Purified Tab 500 mg Ardium HD*
Flavonoid Fraction
cinchocaine Rectal oint Faktu*
hydrochloride +
policresulen
cinchocaine Supp Faktu
hydrochloride +
policresulen
Fluocortolone pivalate, Rectal oint ultraproct
fluocortolone caproate,
cinchocaine HCl,
clemizole undecylate
Fluocortolone pivalate, Supp ultraproct
fluocortolone caproate,
cinchocaine HCl,
clemizole undecylate
1.9 Anti Emetik
Ondansentron Tab 4 mg Trovensis*
Ondansentron Tab 8 mg Trovensis*
Ondansentron inj 2 mg/ml Trovensis*
Ondansentron Tab 4 mg Ondansentron*
Ondansentron inj 2 mg/ml Ondansentron

Tab 8 mg
Metoclopramide Tab 10 mg Primperan*

amp 10 mg/2 ml Inj Primperan*
Metoclopramide Inj 5 mg/ml, 2 ml Sotatic*
Metoclopramide Tab 10 mg Metoclopramide
Metoclopramide
Tab 5 mg Metoclopramide
Inj 5 mg/ml 2 ml Metoclopramide inj
Vit B6, Pyranthiazine Tab Mediamer*
theoclate
1.1 Obat Gastrointestinal lain
Sorbitol, Docusat Cairan YAL*
Sodium
2 SISTEM KARDIOVASKULAR & HEMATOPOETIK
2.1 Obat Jantung
Amiodarone Inj 150 mg/3 ml Cordarone*
Amiodarone Tab 200 mg Kendaron*
Amiodarone Tab 200 mg amiodaron
Inj 150 mg/3 ml amiodaron
Digoxin Inj 0.5 mg/ 2 ml fargoxin
Tab 0,25 mg
Tab 0,25 mg Digoxin
Dobutamine Inj 250 mg/5 ml Doburan*
Dobutamine Inj 250 mg/5 ml Dobutamin inj 50 mg/ml
DOBUTAMINE 250MG/5ML INJ
DOBUTAMIN HCL 250MG
Dopamine Injeksi 40 mg/ml Udopa*
Dopamine Injeksi 40 mg/ml Cetadop
Epinefrin Inj Adrenalin*
EPINEPHRINE inj 0,1%
EPHINEPHRINE INJEKSI 1MG/ML
2.2 Obat Anti Angina
Glyceril trinitrat Tab 2,5 mg Nitrokaf retard
Tab 5 mg Nitrokaf retard forte*
Tab 0,5 mg Nitral
Isosorbid mononitrat Tab 20 mg Cardismo
Tab 20 mg Imdur*
Isosorbid di nitrat Tab 5mg Cedocard*
Tab 10mg Cedocard*
Inj 10 ml Cedocard*
Isosorbid di nitrat Tab 5 Farsorbid*
Tab 10 mg Farsorbid*
Inj 10 ml Farsorbid*
Isosorbid di nitrat Tab 10 mg ISOSORBID DINITRAT TAB 10 MG
Tab 5 mg Isosorbid dinitrat tab 5 mg
ISOSORBID DINITRAT TAB 5 MG
Ivabradine Tab 5 mg Coralan*
Tab 7,5 mg Coralan*
Trimetazidine Tab 35 mg Trizedon MR*
Tab 35 mg Miozidine*
Nitrogliserin Inj 10mg/ml NTG
2.3 ACE Inhibitor
Imidapril Tab 5 mg Tanapress*
Tab 5 mg Tanapress*
Tab 10 mg Tanapress*
Tab 10 mg Tanapress*
Perindopril + Tab Coveram
Amlodipine
Ramipril Tab 2,5 mg Triatec *
Tab 5 mg Triatec *
Tab 10 mg Triatec *
Ramipril Tab 5 mg RAMIPRIL TAB 10 MG
Tab 2.5 mg Ramipril tab 2,5 mg
Tab 5 mg Ramipril tab 5 mg
RAMIPRIL TAB 5 MG
Captopril Tab 12.5 mg CAPTOPRIL Tab 12.5 mg
Kaptopril tab 12,5 mg
KAPTOPRIL TAB 12,5 MG
CAPTOPRIL Tab 25 mg
CAPTOPRIL TAB 25MG
Tab 25 mg CAPTOPRIL 25 MG/10X10 TAB
Kaptopril tab 25 mg
KAPTOPRIL TAB 25 MG
CAPTOPRIL 25 MG
Tab 50 mg CAPTOPRIL 50 MG TABLET
KAPTOPRIL TAB 50 MG
Kaptopril tab 50 mg
Lisinopril Tab 5 mg Interpril*
Tab 10 mg Interpril*
Lisinopril Tab 5 mg Lisinopril
Tab 10 mg Lisinopril
2.4 Penyekat Beta
Bisoprolol Hemifumarat Tab 2.5 mg Concor*
Tab 1.25 mg
Bisoprolol Hemifumarat Tab 5 mg Bisoprolol tab 5 mg
Bisoprolol tab 5 mg
BISOPROLOL 5 MG TABLET
BISOPROLOL 5 MG
Carvedilol Tab 6,25 mg ; V - bloc*
Carvedilol 25 mg V - bloc*
Propanolol Tab 10 mg, Propranolol tab 10 mg
Tab 40 mg Propranolol tab 40 mg
2.5 Antagonis Kalsium
Amlodipine Besylate Tab 5 mg Tensivask*
Tab 10 mg
Tab 5 mg Norvask*
Tab 10 mg
Tab 5 mg Theravask
Tab 10 mg
Tab 10 mg Amlodipin besilate ~ Amlodipine 10 mg
AMLODIPIN Tab 10 mg
AMLODIPINE 10 MG/30 TAB
AMLODIPINE 10MG
AMLODIPINE 5/80 MG TABLET
Amlodipin tab 10 mg
AMLODIPIN TABLET 10MG
AMLODIPINE 10 MG
AMLODIPIN TAB 10 MG
AMLODIPINE TAB
10 MG
Amlodipin 10 mg tab
AMLODIPIN TABLET 10 MG
AMLODIPIN TAB 10 MG
AMLODIPINE 10 MG
Tab 5 mg Amlodipin tab 10 mg
Amlodipin besilate ~ Amlodipine 5 mg
AMLODIPINE TAB 5 MG
AMLODIPIN Tab 5 mg
AMLODIPINE 5 MG/30 TAB
AMLODIPINE 5MG
Amlodipin tab 5 mg
Amlodipin 5 mg tab
AMLODIPIN TAB 5 MG
AMLODIPINE TABLET
5 MG
AMLODIPINE 5 MG
AMLODIPIN TAB 5 MG
AMLODIPINE 5 MG
Amlodipin tab 5 mg
AMLODIPINE 10/120 MG TABLET
Diltiazem Tab CD 100 Herbesser*
Tab CD 100
Tab CD 200
Tab CD 200
inj
inj
Tab 30 mg Diltiazem
Nicardipine Inj 10 MG/ 10 ML Tensilo*
Inj 10 MG/ 10 ML Dipitenz
Inj 10 MG/ 10 ML Nicardipine
Nikardipin inj 10 mg/vial
Nikardipin inj 10 mg
NICARDIPINE INJ
Nicardipine HCL 1 mg/ml inj
Nifedipine Tab 20 mg Adalat Oros*
Tab 30 mg
Nifedipine Tab 10 mg Nifedipine*
Verapamil 80 mg Isoptin*
240 mg Isoptin sr
240 mg ispotin sr
2.6 Antagonis Angiotensin II
Candesartan Cilexetil Tab 8 mg Blopress *
Tab 16 mg Blopress
Tab 16 mg Kandesartan tab 16 mg
Kandesartan tab 16 mg
CANDESARTAN TAB 16 MG
Candesartan 16 mg tab
tab 8 mg Kandesartan tab 8 mg
CANDESARTAN TAB 8 MG
Candesartan 8 mg tab
Candesartan+Hct Tab 16/12.5 mg Blopress Plus*
Irbesartan Tab 150 mg Iretensa*
Tab 300 mg Iretensa*
Tab 150 mg Aprovel*
Tab 300 mg Aprovel*
Tab 150 IRBESARTAN TAB 150 MG
IRBESARTAN 150 MG 3X10 TAB
IRBESARTAN TAB 150MG
IRBESARTAN TAB 150 MG
Tab 300 mg IRBESARTAN 300 MG 3X10 TAB
IRBESARTAN TAB 300MG
Losartan Tab 50 mg Acetensa*
Tab 50 mg santesar
Losartan Tab 50 mg Losartan*
Telmisartan Tab 40mg Micardis*
tab 80 mg Micardis*
tab 40 mg Telmisartan tab 40 mg
tab 80 mg Telmisartan tab 80 mg
Valsartan Tab 40 mg Diovan*
Tab 80 mg Diovan*
Tab 160 mg Diovan*
Tab 160 mg Valsartan tab 160 mg
VALSARTAN TAB 160 MG
tab 80 mg Valsartan tab 80 mg
VALSARTAN TAB 80 MG
Valsartan+Amlodipine Tab 5/80 mg Exforge*
Tab 5/160 mg Exforge*
Valsartan + Hct Tab 160/2,5 Co-diovan*
Tab 160/5 Co-diovan*
Tab 80/12,5 Co-diovan*
2.7 Antihipertensi golongan Lain
Clonidine Tab 0,15 mg Catapres *
Tab 0,15 mg CLONIDINE 0.15 MG.
KLONIDIN TAB 0,15 MG
Metildopa Tab 250 mg Dopamet
Perindoprilarginin Tab 5 mg Bioprexum*
2.8 Diuretik
Furosemide Tab 40 mg Lasix*
Inj 20 mg/ml Lasix*
Tab 40 mg Farsix*
Inj 20 mg/ml Farsix*
Tab 40 mg Furosemide *
Tab 40 mg Furosemide *
Inj 20 mg/ml Furosemide *
Inj 20 mg/ml Furosemide *
Mannitol Inj Mannitol
Spironolactone Tab 25 mg Spirolactone
Tab 100 mg Spirolactone
Spironolactone Tab 25 mg Spironolakton tab 100 mg
SPIRONOLACTONE TAB 100 MG
Tab 100 mg Spironolakton tab 25 mg
SPIRONOLACTONE TAB 25 MG
PT DEXA MEDICA
Rp2,139.00
Roche
Sanbe Farma Rp8,101.00

NULAB Rp924.00
PT INDOFARMA TBK Rp231.00
NATURA Rp495.00
PT ETHICA Rp1,936.00
PT HEXPHARM JAYA Rp2,900.00
NULAB Rp5,775.00
NULAB Rp1,518.00
Soho Industri Pharmasi Rp1,100.00
Phapros Rp124.00
SANOFI Rp36,259.00

FAHRENHEIT Rp114.00
PT.DIPA Pharmalabs Rp267,020.00
Novell PHARMACEUTICAL LABORAT Rp24,486.00
Phapros Rp4,563.00

NOVELL PHARMACEUTICAL LABORATORIES Rp248.00
FAHRENHEIT Rp91.00
SERVIER INDONESIA Rp8,089.00
PT.TANABE INDONESIA Rp2,530.00

SANOFI Rp7,834.00
SANOFI Rp12,370.00
SANOFI Rp17,181.00
Phapros Rp75.27
Phapros Rp80.16
PT. MERCK TBK Rp5,347.00
PT. MERCK TBK Rp3,089.00

FAHRENHEIT
Rp208.95
KALBE FARMA Rp825.00

PFIZER Rp6,431.69
PFIZER Rp11,526.42
TEMPO SCAN PASIFIC
Rp93.00
Phapros Rp154.00
OTTO Rp499.99
NULAB
Rp508.00
BERNOFARM Rp609.60
MAHAKAM BETA FARMA Rp613.00
PT MEDIKON PRIMA LABORATORIES Rp677.34
FAHRENHEIT Rp931.34
TEMPO SCAN PASIFIC
Rp70.00
Phapros Rp114.58
BERNOFARM Rp288.00
NULAB
Rp288.00
OTTO Rp336.44
PT MEDIKON PRIMA LABORATORIES Rp384.00
FAHRENHEIT Rp528.00
Rp128,700.00
ABBOTT Rp11,866.14
ABBOTT Rp13,277.88
ABBOTT Rp6,940.01

PT Infion Rp2,062.50
NOVELL PHARMACEUTICAL LABORATORIES Rp2,502.50
SANOFI Rp11,742.21
SANOFI Rp15,847.96
OTTO Rp1,309.00
IKAPHARMINDO Rp1,440.45
OTTO Rp2,618.00
PT. Boehringer Ingelheim Indonesia Rp15,274.19

Soho Industri Pharmasi Rp915.00


SANOFI Rp4,627.02
SANOFI Rp16,168.24
FAHRENHEIT Rp98.01
KIMIA FARMA Rp99.99
PT. INDOFARMA TBK Rp2,058.01
Phapros Rp925.83
Phapros Rp2,744.39
OTTO Rp1,110.87
OTTO Rp364.73
Hydroclorotiazid Tab 25 mg HYDROCHLOROTHIAZIDE 25 MG
2.9 Anti diuretik
2.1 Vasodilator Perifer & Aktivator serebral
Ekstrak Ginko Biloba Tab 40 mg Tebokan
Ginkgo biloba, Ginseng

Extr,Glutamic Acid,Vit
B1, Vit B6, Vit B12,Folic
Acid, Dibasic Ca
Phosphat, Nicotinamide Kaps Proseval
Isoxsuprine 10 mg/2 ml Tab 20 mg Duvadilan
Inj 10 mg/ml
Nicergolin Tab 30 mg Serolin
Tab 10 mg, Serolin
2.11 Vasokontriktor
Norephinephrine Inj 4 mg/4 ml Vascon
Norephinephrine Inj 1 mg/ml
Norephinephrine Inj 1 mg/ml
Norephinephrine Inj 1 mg/ml VASCON 1 MG / ML
2.12 Obat Dislipidemia
Atorvastatin Tab 10 mg Atofar
LIPITOR TAB 10MG 30
Tab 20 mg Atofar
LIPITOR TAB 20MG 30
Tab 40 mg Atofar
Atorvastatin tab 10 mg Tab 10 mg Atorvastatin tab 10 mg
Tab 10 mg Atorvastatin tab 10 mg
Atorvastatin tab 20 mg Tab 20 mg Atorvastatin tab 20 mg
Ezetimibe. Tab 10 mg Ezetrol
Fenofibrate Kaps 100mg FENOFIBRATE 100 MG KAP
Kaps 100mg Liphantyl
Fenofibrate Tab 300 mg FENOFIBRATE 300 MG KAP
Fenofibrate Tab 300 mg, / 145 mg Liphantyl Penta
Fenofibrate Liphanty supra
Rosuvastatin Tab 5 mg
ROSUVASTATIN TABLET
Tab 10 mg 10 MG
Tab 20 mg ROSUVASTATIN TAB
Tab 40 mg ROSUVASTATIN TAB
Rosuvastatin Tab 5 mg CRESTOR TAB 5 MG
Tab 10 mg CRESTOR TAB 10 MG
Rosuvastatin Tab 10mg Recansa
Tab 20 mg RECANSA 20 Mg
Simvastatin Tab 10 mg Simvastatin tab sal 10 mg
SIMVASTATIN 10 MG TAB SS
Valemia
RENDAPID 10 MG
Simvastatin Tab 20 mg Simvastatin 20mg
Simvastatin 20mg
Simvastatin 20mg
Simvastatin 20mg
Simvastatin 20mg
Simvastatin 20mg
RENDAPID 20 MG
2.13 Hemostatik
Asam traneksamat 250 mg tab

Asam Traneksamat tab 250 mg
Transamin 250
500 mg tab Asam traneksamat 500 mg tab

Asam Traneksamat
Transamin 500
Asam traneksamat inj 100
Asam Traneksamat inj 100 mg/ml mg/ml
ASAM TRANEKSAMAT 500MG/5ML INJ
Asam traneksamat 500 mg inj
Transamin Inj 100 mg/ml
Asam traneksamat inj 50 mg/ml

Asam Traneksamat inj 50 mg/ml
ASAM TRANEKSAMAT 250MG/5M
Asam traneksamat 250 mg inj
ASAM TRANEKSAMAT INJEKSI 2

Transamin Inj 50mg/ml
Carbazochrome
Sodium Sulfonate Tab 10 mg Crome 10 mg tab
Adona ac 17
Carbazochrome
Sodium Sulfonate Inj 50 mg/10 mL Crome inj 50 mg
Inj 50 mg/10 mL Adona AC-17 Inj
Carbazochrome
Sodium Sulfonate 25 mg/ 5 ml Adona AC-17 Inj
Protrombin complex
concentrate Vial 500 IU/20 ml Cofact Inj
Phytonadione ampul NEO-K INJ 2 MG/ML
ampul PHYTOMENADION Inj 2 mg/ml
Phytonadione tablet PHYTOMENADION Tab 10 mg

Somatostatin acetate Inj 3000 mcg Somatostatin Lyamark
Octreotide Inj Sandostatin
Inj Sandostatin LAR
Ethamsylate Tab 500 mg Dicynone Tab
Inj 250 mg/2ml Dicynone Inj
Faktor VIII (konsentrat)

Koate 250 IU
serb inj 230 -340 UI
Inj
Faktor VIII (konsentrat)

serb inj 500 UI/vial + Inj HAEMOCTIN 500
pelarut 5 ml
2.14 Antikoagulan, Anti Platelet, Fibrinolitik

Asam asetilsalisilat
MINIASPI 80
Asam Asetil Salisilat (asetosal) tab 80 mg
ASPILETS CHEWABLE
Ascardia 80 mg
APTOR TABLET 100 MG
Asam Asetil Salisilat (asetosal) tab 100 mg
Asam Asetil Salisilat (asetosal) tab 160 mg Ascardia 160 mg
Silostazol tab tab 100 mg Cilostazol 100 mg tab
tab 100 mg PLETAAL TABLET 100 MG
Silostazol tab tab 50 mg PLETAAL TABLET 50 MG
Klopidogrel Tab 75 mg CLOPIDOGREL Tab 75 mg
Tab 75 mg Klopidogrel tab 75 mg
Tab 75 mg CLOPIDOGREL 75 MG KAPLET
Tab 75 mg KLOPIDOGREL 75
Tab 75 mg Clopidogrel 75 mg
Tab 75 mg Clopidogrel tab 75mg
Tab 75 mg CLOPIDOGREL TAB 75 MG
Tab 75 mg CLOPIDOGREL TABLET 75 MG
Tab 75 mg CLOPIDOGREL 75 MG
Tab 75 mg KLOPIDOGREL TAB 75 MG
Tab 75 mg PLAVIX 75 Mg
Tab 75 mg PLADOGREL 30 MG / ML
Klopidogrel Tab 300 Mg Plavix 300 mg
Dabigatran Etexilate Tab 110 mg Pradaxa capsule 110mg
Tab 75 mg Pradaxa capsule 75mg
Enoxaparin Inj 20mg/ 0,2 ml Lovenox Inj 20mg/ 0,2 ml
Inj 40mg/ 0,4 ml lovenox Inj 40mg/ 0,4 ml
Inj 60mg/ 0,6 ml Lovenox Inj 60mg/ 0,6 ml
Heparin, Na Inj 25000UI/5 ML INVICLOT 5000 IU / ML
Inj 25000UI/5 ML Heparinol
Rivaroxeban Tab 10 Xarelto
Tab 15 Xarelto
Tab 20 Xarelto
Streptokinase Inj 1500000 UI FIBRION
Warfarin tab 2 mg SIMARC-2
anagrelide Tab Agrylin
Fondaparinuks inj 2,5 mg/0,5 ml ARIXTRA INJ 2.5MG/0.5ML
Beraprost sodium tab 20 mcg DORNER
2.15 Preparat Flebitis, & Varises
Hidrosmin Kaps Venosmil
Gel Venosmil
Polidocanol Inj 1 %, Venodenol
Inj 3 %, Venodenol
Heparin Gel 20000 ui Thrombophob
2.16 Obat Haemorheologi
Pentoxyfilline Inj 300 mg/15 ml Tarontal
2.17 Obat Hematopoetik
Eritropoetin-alfa inj 2.000 UI/ml EPODION
inj 2.000 UI/ml EPOTREX
inj 2.000 UI/ml Eprex
Eritropoetin-alfa Inj 4.000 UI/ml EPODION
Inj 4.000 UI/ml EPOTREX
Recombinant human
Eritropoetin-alfa inj
Erythropoietin (epoetin EPODION INJ 3.000 UI/ml
3.000 UI/ml
alfa)
Eritropoetin-alfa inj
HEMAPO INJ 3000 IU 1ML
3.000 UI/ml
Epoetin β 2000 IU Recormon
5000IU Recormon
Filgrastim Inj 30MU/ml Leukogen
Filgrastim inj 300 mcg/ml LEUKOKINE
inj 300 mcg/ml Leucogen 300mcg/ml
2.18 Obat Kardiovaskular Golongan lain
inj 0,25 mg/ml
Atropin ATROPIN SULFAS INJEKSI 0.25
(i.m./i.v./s.k)
Heptaminol Tab 150 mg Hept-A-Myl*
3 SISTEM PERNAFASAN
intratracheal susp 25
Survanta 25 mg/ml (8ml/vial)
Beractant mg/mL
3.1 Stimulan saluran pernafasan
3.2 Preparat anti asma Dan PPOK
PULMICORT RESPULES 0.25 M

Budesonide Respules 0,25 mg/ml ;
PULMICORT RESPULES 0.5
Respules 0,5 mg/ml MG
turbohaler Pulmicort*
swinghaler Pulmicort*
Kaps 3 mg Budenofalk*
SYMBICORT TURBUHALER
ih 160/4,5 mcg
Budesonide dan Formate 160/4.5 MCG 60 DOSIS
ih 80/4,5 mcg
80/4.5 MCG 60 DOSIS
ih 160/4,5 mcg
160/4.5 MCG 120 DOSIS
Ipatrobium, salbutamol s unit dose Vial 2,5 mg Combivent*
unit dose Vial 2,5 mg FARBIVENT NEBUL 2.5 ML
Ipratropium bromida ih
Atrovent metered aerosol 20mcg
Ipatropium Br 20mcg/puff

FAHRENHEIT Rp. 74,250
FAHRENHEIT Rp. 8,250

PFIZER Rp.16,660
Rp. 8,250
PFIZER

YARINDO Rp2,053.33
YARINDO Rp3,080.00
NULAB Rp1,485.00
PT ASTRAZENECA INDONESIA Rp.17,860
SANOFI Rp.10,915
SANOFI
NATURA Rp45.03
BERNOFARM Rp172.37
FAHRENHEIT Rp256.48
NATURA Rp96.69
KIMIA FARMA Rp. 205
TEMPO SCAN PASIFIC Rp205.00
BERNOFARM Rp344.74
PT Infion Rp550.00
AT 500MG/5ML INJ Rp4,504.50

COMBIPHAR #VALUE!
Phapros Rp3,772.30
Phapros Rp900.46
PT.DIPA Pharmalabs
KIMIA FARMA Rp.1,899,999
MERSIFARMA Rp278.85
PT DARYA VARIA LABORATORIA #VALUE!
PT NICHOLAS LABORATORIES IND Rp.157
PT OTSUKA INDONESIA Rp. 5,668
Phapros Rp357.46
SANOFI Rp.24,480
FAHRENHEIT Rp.9,900
PT. Boehringer Ingelheim Indonesia Rp.20,346
PT. Boehringer Ingelheim Indonesia Rp. 19,959
SANOFI
SANOFI
SANOFI
FAHRENHEIT Rp.46,200
DEXA MEDICA Rp.3,762,000

FAHRENHEIT Rp.961
PT.TANABE INDONESIA Rp.248,920

ASTELLAS Rp.7,068
DAEWONG INFION Rp77,002.20

PT. NOVELL PHARMACEUTICAL LA Rp.77,072
DAEWONG INFION Rp99,003.30
KALBE FARMA Rp.99,000
PT. NOVELL PHARMACEUTICAL LA Rp. 561,000


PT. Abbott Indonesia Rp.3,499,722
FAHRENHEIT Rp.7,013
PT. Boehringer Ingelheim Indonesia Rp.201,396

Ipratropium bromida ih
Ventolin tab 2 mg
20mcg/puff
Ventolin syr expect 100 ml
Ventolin nebules
Ventolin inhaler
Theofilin Kapl 300 mg Retaphylin SR
Tab,mite Euphyllin*
Tab 150 mg Bronsolvan
Terbutaline sulfate Respules 0.5 mg, Bricasma*
Terbutaline sulfate Turboha- ler Bricasma*
Terbutaline sulfate inj Bricasma*
Terbutaline sulfate Tab Bricasma*
Tiotropium Br Kaps 18 mcg/inhalation Spiriva*
Procaterol Tab Meptin*

Procaterol syr Meptin*
Procaterol swinghaler Meptin*
Procaterol amp Meptin*
Fenoterol HBr Inh, solution Berotec*
Flutikason propionat nebules 0,5 mg Flixotide*
Salmeterol ; Flutikason Diskus 250,500, inh 50 Seretide*

propionat mcg
Indacaterol Breezehaler Onbrez

3.3 Obat Batuk dan pilek
Ambroxol Hcl Sirup 15 mg/5ml; Mucopect*
Ambroxol Hcl Tab 30 mg Mucopect*
Ambroxol Hcl drop 7.5 g/ml, Mucopect*
Ambroxol Hcl paed elixir Mucopect*
Ambroxol Hcl retard Kaps Mucopect*
Carbocistein Syr Rhinathiol Adult Romethazine*
Erdostein Kaps 300 mg Edotin

Kaps 300 mg , dry syr Vectrine*
Guaifenisin,Oxomemazi Syr Toplexyl

ne
Levodropropizine Syr Levopront*
N acetylsistein Infus Hidonac*

N-asetil sistein inj. N- Ace
nebules 100 mg
Kaps, Fluimucil*
sachet, Fluimucil*
Tab Eff Fluimucil*
Dry Syrp Fluimucil*
INJ Fluimucil*
Pseudoephedrin, Kaps Rhinos SR*

loratadine
kaps Aldisa SR*
Pseudoephedrin, Drop Alco*
BromPheniramin
Pseudoephedrin, sirup, drop Rhinos neo
loratadine
Promethazine HCl 5 sirup Prome *
mg, ipecac extr
0.1 mL, K
guaiacolsulfonate 44
mg, Na citrate 197 mg,
menthol 1 mg
Terfenadine, Tab, susp Tremenza*
Pseudoefedrin
Tab,syr Alerfed*
Codeine , Kaps,syr Codipront *
phenyltoloxamine 1
Codeine , Kaps,syr Codipront cum exp*
phenyltoloxamine ,
guaifenesin
Codein. Tab 10 mg, 20 mg, 15 Codein*

mg
Bronhexim Tab, neb, syr, inj Bisolvon*
Mucohexin*
Per 5 ml : Syr 60 ml. Donexan Dx
Difenhidramin / diphen-
hydramine HCl 5 mg,
Dekstrometorfan
Syr 60 ml. Donexan Dx
/ dextromethorphan
HBr 7,5 mg, Fenilefrin /
phenylephrine HCl 5
mg, Ammonium
chloride 62,5 mg, Na
citric 25 mg.
PARACETAMOL,PHEN Tab Paratusin*

YLPROPANOL-
AMINE, CTM
3.4 Dekongestan nasal dan preparat nasal lainnya
Triamcinolone Asetat Nasal spray Nasacort*
flouticasone nasal spray Avamys
Oxymetazolin Spray,drop Iliadin*
3.5 Obat sistem pernafasan golongan lainnya

4 SISTEM SARAF PUSAT
4.1 Ansiolitik
Alprazolam Tab 0,25 mg Zypraz*
Tab 0.5 mg Zypraz*
Tab 1 mg Zypraz*
Tab 0,25 mg Alprazolam
Tab 0.5 mg Alprazolam
Tab 1 mg Alprazolam
Tab 1 mg Alprazolam
Tab 1 mg Alprazolam
Tab 1 mg Alprazolam
Tab 1 mg Alprazolam
Midazolam Inj 5 mg/ 5 ml; Inj 15 Miloz*
mg/ 3 ml
Diazepam Tab 2 mg Valisanbe*
Tab 5 mg
Inj
Tab 2 mg Stesolid
Tab 5 mg
Inj 10 mg
Supp 5 mg
Supp 10 mg
Tab 2 mg Diazepam
Clobazam Tab 10 mg Clobazam
Tab 10 mg Frisium*
Lorazepam Tab 0,5mg Ativan
tab 1 mg Ativan
Tab 0,5mg Merlopam
Tab 0,5mg Merlopam
tab 2 mg lorazepam
4.2 Hipnotik dan Sedative
Zolpidem Tab 10 mg Zolmia*
Estazolam Tab 1 mg;2 mg Esilgan*
Dexmedetomidine Hcl Inj 100 mcg/ml; Precedex*

200mcg/ml
4.3 Antidepresan
Sertralin Tab 50 mg Fatral*
Maprotilin Tab 10 mg, 25 mg Ludiomil*
Tab 10 mg, 25 mg Ludios
Tab 50 mg Sandepril
Fluoxetin Kaps 20 mg Elizac
Fluoxetin Kaps 20 mg Nopres
kaps 10 mg Kalxetin
kasp 20 mg Kalxetin
Duloxetine Kaps 60 mg Cymbalta*
Amitriptilin Tab 25 mg AMITRIPTILIN TAB SAL 25 MG
Amitriptilin tab 25 mg
Escitalopram Tab 10 mg, Tab 20 mg Cipralex
Tab 10 mg, Tab 20 mg Depram
4.4 Antipsikotik
Aripiprazole Tab 10 mg Abilify dismelt*
Tab 15 mg Abilify dismelt*
Tab 5 mg;10 mg, inj 8,9 Abilify *
mg
Olanzapine Tab 5 mg;10 mg Olandoz
Tab 5 mg;10 mg Onzapin
Tab 10 mg Olanzapin tab sal 10 mg
Tab 5 mg Olanzapin tab sal 5 mg
Inj Zyprexa IM
Quetiapine Tab XR 200 mg Seroquel*
Tab 200 mg Seroquel*
Quetiapine Tab 300 mg Seroquel*
Tab Quetvell
Risperidone Inj 37,5 mg/Inj 50 mg Risperidal Consta*

PT ASTRAZENECA INDONESIA
PT OTSUKA INDONESIA Rp7,995.00

PT OTSUKA INDONESIA
PT OTSUKA INDONESIA
PT. GLAXO WELLCOME INDONESIA

FAHRENHEIT
Rp32,725.00
PT ZAMBON INDONESIA
PT ZAMBON INDONESIA
PT DARYA VARIA LABORATORIA
Rp903.00
SANOFI
KALBE FARMA Rp715.00

MERSIFARMA Rp88.00
OTTO Rp379.00
MERSIFARMA Rp486.00
MERSIFARMA Rp120.00
OTTO Rp589.00
MERSIFARMA Rp778.00
PT NOVELL Rp12,100.00
PT NOVELL Rp27,225.00
SANBE FARMA Rp150.00
KIMIA FARMA Rp99.00

MERSIFARMA Rp679.25
MERSIFARMA Rp2,145.00
MERSIFARMA Rp810.00
DEXA MEDICA Rp721.00


FAHRENHEIT Rp177.65



novell Rp11,748.00
Tab 2 mg Risperidon tab sal 2 mg
RISPERIDONE TABLET 2 MG
Trifluoperazine Tab 1 mg, 5 mg Stelazine
Haloperidol Inj 50 mg/ml Haldol decanoas
Tab 0.5 mg Haloperidol*
Tab 2 mg Lodomer*
Tab 5 mg
Drops
inj 5 mg/ml
Tab 100 mg CPZ
Flufenazine Inj 25 mg inj Sikzonoate
4.5 Antikonvulsan
Asam Valproat syr 250 mg/5ml,120 ml Ikalep
syr 250 mg/5ml,120 ml Depakene
syr 250 mg/5ml,120 ml SODIUM VALPROATE Syr 250mg/
syr 250 mg/5ml,120 ml VALPROAT ACID SYR 250 MG/5
VALPROATE SYR 250 MG/5 ML

syr 250 mg/5ml,120 ml
Tab 250 mg Depakote
Depakote ER 250 mg
Tab 500 mg Depakote ER 500 mg
Carbamazepine Tab 200 mg Tegretol
Tab CR 200 mg Tegretol
Syrup 100 mg/5ml, 120mTegretol
Tablet BAMGETOL 200mg
Tablet BAMGETOL 200mg
Tablet Carbamazepine
Gabapentin Kaps 100 mg Gabexal
Kaps 300 mg Gabexal
Kaps 100 mg Alpentin
Kaps 300 mg Alpentin
Phenytoin Sodium Inj 250 mg/5 ml Dilantin
KUTOIN INJ 250MG/5MKutoin
KUTOIN INJ 250MG/5MKutoin
KUTOIN 100 mg Kutoin
KUTOIN 100 mg Kutoin
Kaps 100 mg Phenytoin Sodium
Fenitoin Na inj 50
mg/ml Phenytoin Sodium
PHENYTOIN INJ. Phenytoin Sodium
NA. PHENITOIN Inj 50mPhenytoin Sodium
PHENYTOIN 100MG/2ML Phenytoin Sodium
PHENYTOIN 100MG/2ML Phenytoin Sodium
PHENYTOIN INJEKSI 2 Phenytoin Sodium
Pregabelin Kaps 75 mg Lyrica
Kaps 150 mg Lyrica
Kaps 75 mg Provelyn
Kaps 150 mg Provelyn
Clonazepam Tab 2 mg Riklona
Tab 2 mg clonazepam
Phenobarbital Tab 30 mg Phenobarbital
inj 50 mg Phenobarbital
Inj 200 MG/2 ML Sibital
Levetiracetam Tab 250 mg Keppra
Tab 500 mg Keppra
4.6 Obat SSP golongan lain & obat ADHD
Methylphenidate Tab Ritalin
4.7 Obat Penyakit Neurogeneratif
Donepezil Hydrocloride Tab 5 mg Aricep
tab evess 10 mg Aricep
4.8 Obat anti Parkinson
Levadopa, carbidopa, e Tab 100 mg Stalevo
Levodopa dan Benseraz Tab Levazide
Tab Madopar
Benserazid 25 mg Levo Tab Levopar
Pramipaxole Tab 0,125 mg Sifrol
Tab 0,375mg Sifrol
Tab 0,75 mg Sifrol
Tab 0,125 Pramivex
Tab 0,25 mg Pramivex
Trihexyphenidil Kapslet 2 mg Arkine
Kapslet 2 mg Hexymer
Kap 2 mg Trihexyphenidil
Ropirinol Tab 2mg Requip PD 24 Hour*
Tab 4 mg Requip PD 24 Hour*
Tab 8 mg Requip PD 24 Hour*
4.9 Obat anti Vertigo
Betahistine Mesylate Tab 6 mg Merislon
Tab 12 mg Merislon
Tab 6 mg Mertigo
Tab 12 mg Mertigo
Tab 6 mg Betahistine mesylate
Tab 6 mg Betahistine mesylate
Tab12 mg Betahistine mesylate
Tab 24 mg Betaserc
Tab 8 mg Betaserc
Cinnarizine Tab 25 mg Stugeron
4.10 Analgesik Opiat
Codein + Paracetamol Tab Coditam
Fentanyl Dihydrogenum CInj 2 cc, 10 cc Fentanyl
Fentanyl Transdermal S Patch 12,5 mg Durogesic
Patch 25 mg Durogesic
Patch 50 mg Durogesic
Sufentanil injeksi iv,
Sufentanil injeksi iv epidural 5 mcg/ml Sufentanil injeksi iv, epidural 5 mcg/ml
JURNISTA Tablet
pelepasan lambat 16
Hydromorphone HCl mg Jurnista
JURNISTA Tablet
pelepasan lambat 8 mg
Jurnista
JURNISTA Tablet
pelepasan lambat 8 mg
Jurnista
Morphine Sulfat MST CONTINUS 10 MGMST
MST CONTINUS 15 MGMST
MST CONTINUS 30 MGMST
Pethidine Inj 50 mg/ml Clopedin
Tramadol Inj 50 mg/ml Tramal
Inj 100 mg/2 ml Tramal
Kaps ; Supp ; Tab Retar Tramal
Supp Tramal
Tab Retard Tramal
Tramadol inj 50 mg/ml Tramadol
TRAMADOL INJEKSI 5 Tramadol
Tramadol 50 mg/ml inj

Tramadol
Tab 50 mg Tramadol
Oxycodone Tablet Oxycodone
4.11 Analgesik non Opiat dan Antipiretik
Asam mefenamat Tab 500 mg Mefinal
Tab 500 mg Ponstan
Syr 50 mh/5 ml Pondex
Syr 60 ml Pondex
Tab 500 mg Asam mefenamat
Paracetamol. Inf 1 gr/100 ml Farmadol
Paracetamol. Tab Dumin
Supp Dumin
Paracetamol. Syr 120 mg/5 ml Parasetamol
Syr 120 mg/5 ml Parasetamol
Syr 120 mg/5 ml Parasetamol
Tab 500 mg Parasetamol
Tab 500 mg Parasetamol
Inf 1 gr/100 ml Parasetamol
Drop Parasetamol
Paracetamol. Syrup Panadol
Paracetamol+asetilsistei Tab Sistenol
Parasetamol Tramadol Tab Ultracet
Parasetamol, Vit B1, B6, Tab Doloneurobion
4.12 Obat anti inflamasi non steroid
Celecoxib Kaps 100 mg Celebrex
Kaps;200 MG Celebrex
Dexketoprofen Tab 25 mg Fendex
Inj 50 mg/2 ml Fendex
Tab 25 mg Ketesse
Inj 50 mg/2 ml Ketesse
Etoricoxib Tab 60 mg Arcoxia
Tab 90 mg Arcoxia
Tab 120 mg Arcoxia
Kalium Diklofenak Sachet 50 MG Cataflam Fast
Tab 25 mg Cataflam
Tab 50 mg Cataflam
Tab 25 mg Kalium Diclofenac
Tab 25 mg Kalium Diclofenac
Tab 50mg Kalium Diclofenac
Ketoprofen Suppository 100 mg Profenid E100
Tab 100 mg Profenid E100*
Ketoprofen Tab 50 mg Pronalges
Tab 100 mg Pronalges
Tab 200mg Pronalges
supp Pronalges
Ketoprofen Tab 50 mg Ketoprofen
Tab100 mg Ketoprofen
Tab 200 mg,supp Ketoprofen
supp Ketoprofen
Ketoprofen Suppository 100 mg Fetik
Ketorolac Inj 30mg/ml Lactor
Inj 30mg/ml Ketorolac
Meloxicam Tab 15 mg Ostelox
Meloxicam Tab 7.5 mg Meloxicam
Tab 15 mg Meloxicam
Metemizole Na Tab 500 mg Novalgin
syr 50 mg/60 ml Novalgin
drop 500mg/ml Novalgin
inj10 ml Novalgin
Na diklofenac Tab 25 mg Voltaren
Tab 50mg Voltaren
100 mg supp; gel Voltaren
gel Voltaren
Piroxicam Tab Flash 20 mg Feldene
NULAB Rp1,187.51
PT INDOFARMAS TBK Rp91.00

MERSIFARMA Rp871.00
PT.IKAPHARMINDO Rp53,900.00
ABBOTT Rp103,422.00
Phapros Rp24,750.00
OTTO Rp41,800.00
ABBOTT Rp9,064.00
ABBOTT Rp8,698.14
ABBOTT Rp14,113.44
MERSIFARMA Rp230.00
ACTAVIS INDONESIA PT Rp2,327.00

ACTAVIS INDONESIA PT Rp3,667.00
MERSIFARMA Rp759.00
MERSIFARMA Rp880.00
IKAPHARMINDO Rp453.75
MEPROFARM Rp9,378.60
Phapros Rp10,238.91
PT MERSIFARMA Rp6,593.40
Phapros Rp1,857.04
PT. EISAI INDONESIA Rp22,177.00

PYRIDAM Rp4,964.00
PYRIDAM Rp653.00


ABBOTT Rp7,050.01
PT Kimia Farma Tbk / PT J&J Indones Rp41,800.00
epidural 5 mcg/ml
PT Kimia Farma Tbk / PT J&J Indones

Rp2,750.00

Rp2,062.50

Rp2,062.50
BERNOFARM
Rp4,950.00

PFIZER Rp2,137.62
BERNOFARM Rp178.20
PROMEDHARDJO Rp3,685.00
BERNOFARM Rp115.50
NATURA Rp13,862.86
Phapros Rp130.41
Phapros Rp150.54
BERNOFARM Rp169.79
SANOFI Rp13,390.64
PHAPROS Rp2,117.50
NATURA Rp623.56
Phapros Rp1,045.03
SANOFI Rp12,019.00
Gel. Pirofel
Parecoxib Inj 40 mg Dynastat
Tinoridine Kaps 50 mg Nonflamin
Sulfasalazine Kaplet 500 mg Sulcolon
Kaplet 500 mg Sulfasalazine
Ibuprofen Tab 200 Ibuprofen
Tab 200 Ibuprofen
Tab 400 mg Ibuprofen
Tab 400 mg Ibuprofen
SIR 100 MG/ 5 ML Ibuprofen
sir 100 mg/5 ml Ibuprofen
SIR 200 MG/ 5 ML Ibuprofen
SIR 200 mg/5 ml Ibuprofen
Kaplet 200 mg Proris
Syr 100 mg/5ml Proris syr
Syr 200 mg/5 ml Proris forte syr
Supp Proris Supp
Methampirone, Tablet Neuralgin RX
Thiamin, Pyridoxine,
Cyanocobalamin
Methampyrone 500 mg, Tablet Analsik
diazepam 2 mg
4.13 Obat untuk nyeri Neuropatik
Lenogratim Injeksi Granocyte
4.14 Preparat anti migraine
Flunarizine Tab 5 mg Unalium
Flunarizine Tab 5 mg Flunarizine
Flunarizine Tab 10 mg Unalium
Flunarizine Tab 10 mg Flunarizine
Ergotamin tartate + Tablet Ericaf
caffeine
4.15 Nootropik, Neurotonik,&/Neurotropik
Citicoline Inj 500 mg Brainact
Citicoline Inj 250 mg Brainact
Citicoline Inj 500 mg Citicoline
Citicoline Inj 250 mg Citicoline
Citicoline Tab 500 mg Citicoline
Mecobalamin Kaps 250 mcg Methycobal
Mecobalamin Kaps 500 mcg Methycobal
Mecobalamin Inj 500 mcg Methycobal
Mecobalamin Kaps 500 mcg Megabal
Mecobalamin Kaps 500 mcg Mecobalamin
Mecobalamin Inj 500 mcg Mecobalamin
Nimodipine Tablet Nimotop
Nimodipine Infus Nimotop
Nimodipine Infus 40 mg Nimodipine
Nimodipine Infus 10 mg/50 ml Nimodipine
Piractam Inj 200 mg/ml Mersitropil
Piractam Inj 15 ml Mersitropil
Piractam Syrup Mersitropil
Piractam Tab 400 mg Piracetam
Piractam Tab 800 mg Piracetam
Piractam Infus Piracetam
5 SISTEM MUSKULOSKELETAL
5.1 Diseases Modifying Anti Rheumatic Drugs
Azathioprine Tablet Imuran
5.2 Obat Hiperuricemia & Gout
Allopurinol Tab 100 mg Allopurinol
Allopurinol Tab 100 mg Zyloric
Allopurinol Tab 300 mg Zyloric
Kolkisin Tab 0,5 mg Recolfar
Probenesid Tablet Probenid
5.3 Relaksan Otot
Epirison Tab 50 mg Epsonal
Epirison Tab 50 mg Myonal
Epirison Tab 50 mg Eperisone
Epirison Tab 50 mg Rizonax
Rocuronium Bromida Inj 50 mg Noveron
Rocuronium Bromida Inj 50 mg Esmeron
Tizanidine Hcl Tab 2 mg Zitanid
Tizanidine Hcl Tab 2 mg Sirdalud
Atracurium besilate Inj 25 mg/2,5 ml Tracrium
Atracurium besilate Inj 25 mg/2,5 ml Notrixum
Vecuronium bromide Inj Norcuron
Baclofen Tab 10 mg Lioresal
5.4 Enzim Antiinflamasi
5.5 Obat Gangguan Neuromuskular
Neostigmine Inj 0,5 mg/1 ml Neostrignin
Metilsulfate
Neostigmine Inj 0,5 mg/1 ml Hamelin
Metilsulfate
Pydostigmin Tab 60 mg Mestinon
Na Hyaluronate Inj 25 mg.2,5 ml Osflex
5.6 Obat lain yang bekerja pada sistem Muskuloskeletal
Glucosamine Tab 500 mg Glucosamine
Hyaluronic Acid Sodium Prefilled syringe Suplasyn
Salt
Glucosamine Sulfate Cream 10% 30 gr Mediflek
6 Hormon
6.1 Androgen dan Preparat Sintetik
Testosterone Soft Kaps 40 mg Andriol
undecanoate
6.2 Estrogen & Progesteron serta Preparat sintetik
Progesteron kaps 100 mh Utrogestan
Medroxyprogesteron Tablet Provera
Dydrogesteron Tablet Duphataon
Bromocryptin Tab 2,5 mg Cripsa
Noretisteron Tab 5 mg Primolut N
6.3 Kombinasi Hormon kelamin
6.4 Hormon Kortikosteroid
Dexamethasone Inj 4 mg/ml Kalmethason
Dexamethasone Inj 5 mg/ml Kalmethason
Dexamethasone 5 mg Kalmethason
Dexamethasone Injeksi Indexon
Dexamethasone Tablet Indexon
Methylprednisolon Injeksi Depo Medrol
asetat
Methylprednisolon Vial 125 mg Medixon
Methylprednisolon Vial 500 mg Medixon
Methylprednisolon Tab 4 mg Medixon
Methylprednisolon Vial 125 mg Sanexon
Methylprednisolon Vial 500 mg Sanexon
Methylprednisolon Tab 4 mg Sanexon
Methylprednisolon Inj 125 mg Methylprednisolon
Methylprednisolon Tab 4 mg Methylprednisolon
Triamcinolone Oralbase Ketricin
Triamcinolone Oralbase Kenalog
Triamcinolone Tab 4 mg Kenacort
Triamcinolone Tab 4 mg Triamcort
Triamcinolone Inj 40 mg/ml Trilac
Triamcinolone Inj 10 mg/ml Trilac
Prednison Tab 5 mg Prednison
6.5 Hormon tropik dan preparat sintetisnya
Clomifene Tab 50 mg Profertil
Clomifene Tab 50 mg Clomifene
6.6 Preparat Anabolik
6.7 Obat ang memperngaruhi regulasi hormonal
Allylestrenol Tab 5 mg Premeston
7 KONTRASEPSI
7.1 Kontrasepsi Oral
Cyproteron Tablet Diane 35
asetat,Etinylestradiol
Desogetrel Tab 75 mg Cerazette
7.2 Kontrasepsi Suntik
Stradiol cypionate + Inj 0,5 mg/1 ml Cyclofen
medroxyproges- terone
acetate
7.3 Kontrasepsi lain
8 ANTIINFEKSI
8.1 Aminoglikosida
Amikasin Inj 500 mg/2 ml Mikasin
Amikasin Inj 500 mg/2 ml Glybotic
Amikasin Inj 250 mg.ml Amikasin
Gentamycin Inj 80 mg Gentamycin

NOVAPHARIN Rp99.75
FAHRENHEIT Rp120.78
FAHRENHEIT Rp212.36
PT. PHAROS Rp678.00
PT. PHAROS Rp20,195.00
PT. PHAROS Rp23,188.00
PT. PHAROS
SANOFI


BERNOFARM Rp137.50
FAHRENHEIT Rp148.01
BERNOFARM Rp302.50
PT. GLAXO WELLCOME INDONESIA Rp. 2187
PT. GLAXO WELLCOME INDONESIA Rp. 4826
FAHRENHEIT Rp. 3960
DEXA MEDICA Rp. 1780
PT NOVELL Rp. 51700
PT NOVELL Rp. 45375
COMBIPHAR Rp. 7271
PT TRANSFARMA Rp. 7513

PT INTERBAT Rp. 8448
PT INTERBAT Rp. 493
PT FERRON Rp. 45375

Rp. 79200
PT FERRON Rp. 2239
PT FERRON Rp. 3428

SANBE FARMA Rp. 60704
SANBE FARMA Rp. 77007
Rp1,465.75
Rp. 3664
NATURA Rp3,524.55
Phapros Rp12,147.80
OTTO Rp26,180.00
NATURA Rp71.28
NULAB Rp264.33
PT Infion Rp297.00
BERNOFARM Rp370.06
OTTO Rp384.99
PT MEDIKON PRIMA LABORATORIE Rp407.51

PT NOVELL Rp. 81070

BERNOFARM Rp. 128

Kanamycin Inj 1 g Kanamycin
Streptomycin Inj 1 g Streptomycin
8.2 Sefalosporin
Cefadroxil Kaps 500mg Cefat
Cefadroxil sirup 125mg/5ml Cefat
Cefadroxil sirup 250mg/5ml Cefat
Cefadroxil Kaps 500mg cefadroxil
Cefadroxil sirup 125mg/5ml cefadroxil
cefixime sirup 200 mg cefspan
cefixime tab 200 mg cefspan
cefixime sirup 100 mg/5 ml sporetik
cefixime tab 100 mg sporetik
Cefixime Syr 100mg/5 ml Cefixime*
Cefixime Kaps 100 Cefixime*
Cefixime kaps200 mg Cefixime*
Cefepime Inj Cefepime
Cefoperazone Inj 1 g Bifotik*
Cefoperazone Inj 1 g Cefoperazone*
Cefoperazone Inj 1 g Cefoperazone*
Cefoferazone Vial Sulperazon
sulbactam
Cefoferazone Inj 1 g Cefobactam*
sulbactam
Cefoferazone Inj 1 g Cefoperazone Sulbactam*
sulbactam
Cefotaxime Inj 1 g Taxegram*
Cefotaxime Inj 1 g Cefotaxime*
Cefpirome Vial Cefpirom
Ceftazidime Inj 1 g Zidifec*
Ceftazidime Inj 1 g Ceftazidime
Ceftriaxone Inj 1 g Terpacef*
Ceftriaxone Inj 1 g Ceftriaxone
Cefuroxime Tab 500 mg Sharox*
8.3 Penisilin
Amoxicillin Kaps 250 mg Amoxan*
Amoxicillin kaps 500 mg Amoxan*
Amoxicillin sirup 125 mg/ 5 ml Amoxan*
Amoxicillin sirup 250mg/5 ml Amoxan*
Amoxicillin Kaps 250 mg Amoxillin
Amoxicillin Kaps 500 mg Amoxillin
Amoxicillin Sirup 125 mg/ 5 ml Amoxillin
Amoxicillin sirup 250mg/5 ml Amoxillin
Amoxicillin Kaps 250 mg Amoxicillin*
Amoxicillin Kaps 250 mg Amoxicillin*
Amoxicillin Kaps 500 mg; Amoxicillin*
Amoxicillin Sirup 125 mg/ 5 ml Amoxicillin*
Amoxicillin sirup 250mg/5 ml Amoxicillin*
Amoxicillin dan asam Syr Claneksi*
clavulanat
Amoxicillin dan asam kaplet Claneksi*
clavulanat
Amoxicillin dan asam Syr Co amoxiclav*
clavulanat
Amoxicillin dan asam kaplet Co amoxiclav*
clavulanat
Ampicillin sulbactam Inj 1 gr Cinam*
Piperacilin Vial/ 4,5 g Tazocin
Piperacilin Vial/ 4,5 g Pybactam*
Sulbericilin Vial 1g Kedacillin
Sulbericilin vial 2 g Kedacillin
SULTAMICILLIN Inj 375,1000 mg Bactesyn*
Procain Penisilin G Inj 3 JUTA IU INJ. Procain Penisilin G
8.4 Beta Laktam
Imipenem Inj 1 g Imipex*
Imipenem Inj 1 g Imipenem*
Imipenem dan Inj 1 g Pelastin*
Cilastatin
Meropenem Vial 500 mg Meronem
Meropenem vial 1 g Meronem
Meropenem Inj 1 g Meropenem*
8.5 Kloramfenikol
Chloramphevnicol syr Colsancetine*
Chloramphevnicol kaps Colsancetine*
Chloramphevnicol inj Colsancetine*
8.6 Makrolid
Azithromicin Tab 250mg zithromax*
Azithromicin tab 500 mg zithromax*
Azithromicin vial zithromax*
Azithromicin Tab 250mg Zistic*
Azithromicin tab 500 mg Zistic*
Azithromicin vial Zistic*
Azithromicin Tab 500 mg Azithromycin
Erythromycin Chewable 200mg Tab Erysanbe*
Erythromycin tab 250 mg Erysanbe*
Erythromycin tab 500 mg Erysanbe*
Erythromycin sirup Erysanbe*
Erythromycin Kaps 250mg Erythromycin
Erythromycin kaps 500 mg Erythromycin
Clarithromicin Kap 500 mg Abbotic Xl*
Clarithromicin Tab 500 mg Clarithromicin
8.7 Kuinolon
Ciprofloxacin Tab 500 mg CiproXin*
Ciprofloxacin inf 400 mg CiproXin*
Ciprofloxacin Tab 500 mg Baquinor*
Ciprofloxacin Tab 500 mg Ciprofloxacin*
Ciprofloxacin inf 400 mg Ciprofloxacin*
Levofloxacin Tab 500 mg Farlev*
Levofloxacin tab 750 mg Farlev*
Levofloxacin infus 500 ml Farlev*
Levofloxacin infus 750 ml Farlev*
Levofloxacin Tab 500 mg Levocin*
Levofloxacin softbag 500 ml Levocin*
Levofloxacin Vial Levofloxacin*
Levofloxacin tab Levofloxacin*
Moxifloxacin Tab 400mg Avelox*
Moxifloxacin infus 400mg Avelox*
Moxifloxacin Infus Moxifloxacin HCl
Ofloxacin ear drop Tarivid otic solution*
Ofloxacin Tetes mata 5 ml Tarivid*
Ofloxacin tab 200 mg Ofloxacin
8.8 Tetrasiklin
Tigecycline Vial/50 mg Tygacil*
Tetrasiklin Cap 500 mg Tetrasiklin
Tetrasiklin cap 500 mg Tetrasiklin
8.9 Sulfonamid
8.1 Kombinasi Antibakterial
8.11 Antibiotik Golongan Lain
Lincomycin HCL KAPS 500 mg Lincocin*
Lincomycin HCL Kaps 500 mg Nolipo*
Lincomycin HCL Kaps 500 mg Lincomycin*
Linezolid Tab 600mg Zyvox*
Linezolid vial Zyvox*
Metronidazol Flexible, Bag, Infus Flagyl*
Metronidazol Suppositoria 0,5 g Flagyl*
Metronidazol Suppositoria 1g Flagyl*
Metronidazol Tab Forte 500 mg Flagyl*
Metronidazol Softbag 100 ml Trichodazol*
Metronidazol Tab 500 mg Trichodazol*
Metronidazol Tab 500 mg metronidazol*
Metronidazol Tab 500 mg metronidazol*
Metronidazol infus metronidazol*
Clindamycin KAPS 150 Prolic*
Clindamycin kaps 300 Prolic*
Clindamycin KAPS 150 Clindamycin
Clindamycin kaps 300 Clindamycin
Fosfomycin Sodium Vial 1gr Fosmicin*
Fosfomycin Sodium vial 2 g Fosmicin*
Fosfomycin Sodium Inj 500 Mg Vancep*
Co trimoxazol Tab Sanprima*
Co trimoxazol Tab Cotrimoxsazole
Co trimoxazol Tab Cotrimoxsazole
8.12 Obat Anti Tuberkulosis
Ethambutol Tab 500 mg Ethambutol (generik)
Isoniazide Tab 100mg INH (generik)
Isoniazide tab 300 mg INH (generik)
Rifampicin Kaplet 300 mg Rifampicin
Rifampisin+isoniazide+ Rifastar
pyrazinamide+
ethambutol
Pyrazinamide Tab 500 mg Pyrazinamide
8.13 Anti Lepra
8.14 Anti Jamur
Itraconazole Kaps 100 mg Sporacid*
Jamur, steroid, cream Baycuten-N
antibiotik
Fluconazole Kaps 150mg Diflucan*
Fluconazole kaps 50 mg Diflucan*
Fluconazole inj Diflucan*
Fluconazole Kaps 150mg Fluconazole
Fluconazole Inf 200 MG/100 ML Fluconazole
Nystatin Drop Kandistatin*
Nystatin Drop Mycostatin*
Nystatin Drop Nystatin
Nystatin tab Nystatin
Nystatin vaginal tab 1000 Nystatin
IU/gram
Ketokonazol Tab 200 mg Ketokonazol*
Ketokonazol cream Ketokonazol*
Ketokonazol SKapsel sol 2 Zoloral SS
Micafungin Inj 50 mg Mycamine*
8.15 Antivirus
Acyclovir Tab 200 mg Acyclovir (generik)*
Phapros Rp6,468.75

SANBE FARMA
NATURA Rp278.78
BERNOFARM Rp580.80
PT Infion Rp792.00
BERNOFARM Rp862.06
PT MEDIKON PRIMA LABORATORIE Rp1,197.30
NULAB Rp1,317.02
NATURA Rp902.14
NATURA Rp8,937.50
YARINDO Rp38,496.15
PFIZER Rp176,353.76
SANBE FARMA
Rp68,203.38

NATURA Rp1,461.24
Phapros Rp5,005.00
Phapros Rp37,537.50
NATURA Rp51,480.00
Phapros Rp25,616.25
NATURA Rp1,429.56
Phapros Rp7,437.43

NOVAPHARIN Rp184.00
BERNOFARM Rp275.91
NATURA Rp109.13
BERNOFARM Rp300.05
NATURA Rp1,522.82
NOVAPHARIN Rp3,400.00
PFIZER Rp348,617.12
PFIZER Rp619,072.94
NATURA Rp6,953.37
NULAB Rp83,600.00
PFIZER Rp28,097.22
PFIZER Rp56,194.44
PFIZER Rp204,108.63

OTTO Rp6,666.66
ABBOTT Rp42,678.90

NOVAPHARIN Rp265.00
BERNOFARM Rp577.50
FAHRENHEIT
FAHRENHEIT
NATURA Rp5,605.23
BERNOFARM Rp664.00
NULAB Rp692.21

SANOFI Rp81,969.77
SANOFI
SANOFI
SANOFI Rp6,641.33
BERNOFARM Rp198.00
NATURA Rp1,719.75
Phapros Rp593.07
BERNOFARM Rp192.50
Phapros Rp207.90
BERNOFARM Rp516.24
PFIZER Rp101,043.21
PFIZER Rp32,078.92
PFIZER Rp401,575.96
NATURA Rp6,969.60
LAPI Rp28,875.00
NOVAPHARIN Rp270.00
Phapros Rp5,247.00
NULAB Rp6,300.36
Ikapharmindo Rp8,250.00
ASTELLAS Rp684,354.83
FAHRENHEIT Rp236.01
Phapros Rp400.13
Phapros Rp378.29
FAHRENHEIT Rp504.40
Acyclovir Tab Zovirax*
Acyclovir inj Zovirax*
Methisoprinol Tab 500 mg Isoprinosine
Methisoprinol syr 250 mg/5 ml Isoprinosine
Valaciclovir Tab 500mg Valvir
Valaciclovir Tab 500mg Valtrex
Valaciclovir Tab 500mg Valaciclovir
Valaciclovir
Entecavir Tab 0.5 mg Baraclude
Entecavir Tab 1 mg Baraclude
Tenofovir Tab 300 mg Ricovir
Telbivudine Tab 600 mg Sebivo*
Pegylated interferon serb inj 80 mcg Peg intron*
alfa-2a
Pegylated interferon Peg intron*
alfa-2a serb inj 100 mcg
Pegylated interferon serb inj 80 mcg Pegasys*
alfa-2a
Pegylated interferon Pegasys*
alfa-2a serb inj 100 mcg
Ribavirin Tab Copegus*
Lamivudine Tab 100 mg 3TC, 3TC-HBV
Lamivudine Tab 150 mg 3TC, 3TC-HBV
Lamivudine Tab 100 mg Lamivudine
Lamivudine Tab 150 mg Lamivudine
Lamivudine Tab 100 mg. Heplav*
8.16 Antelmintik
Lopinavir 200 mg; Tab Aluvia
Ritonavir (LPV/r) 50 mg
Mebendazol Tab 500 mg Vermox

Albendazol Tab Albendazole
8.17 Antimalaria
Artemether 20 mg; Tab Coartem*
Lumefantrin 120 mg
Artemether injeksi 80 mg/ml Artem
8.18 Antiamuba
8.19 Antiprotozoa lain
Pirimetamin Tab Primet
9 ONKOLOGI
9.1 Kemoterapi Sitostatik
Doxetaxel trihidrat Inj 20 Taxotere*
Doxetaxel trihidrat Inj 80 Taxotere*
Doxetaxel trihidrat inj 20 Docetaxel*
Asparaginase serbuk injeksi 10.000 Leunase
UI/vial
Fludarabine Tab 10 mg Fludara, Fludara IV LYO
Fludarabine inj 50 mg Fludara, Fludara IV LYO
Hydroxyurea Tab 500 mg Hydroxyurea Medac*
Oxaliplatin Inj 100 mg Oxaliplatin (generik)
Oxaliplatin Oxaliplatin (generik)
Oxaliplatin Inj 50 mg Oxaliplatin (generik)
Oxaliplatin Inj 100 mg Eloxatin
Oxaliplatin Inj 50 mg Eloxatin
Paclitaxel vial 30 mg inj Paxus*
Paclitaxel vial 100 mg inj Paxus*
Paclitaxel vial 30 mg inj Sinndaxel
Doxorubicin inj 50 mg Doxorubicin
Doxorubicin inj 50 mg Doxorubin

Doxorubicin inj 10 mg Doxorubicin
Methotrexat Tab 2,5 mg Methotrexat Ebewe

Methotrexat inj 50 mg / 5 ml Methotrexat Ebewe
Capecitabine Tab Xeloda*
Cisplatin Inj Cisplatin (generik)
Gemcitabine Inj 200 mg, Gemzar*
Gemcitabine Inj 1 g Gemzar*
Etoposide injeksi 20 mg/ml Posyd
Mephalan Tab 2 mg Alkeran
Etoposide Inj 100 mg/5 ml Etoposide*
Carboplatin inj 450 mg / 45 ml Carboplatin DBL
Carboplatin inj 150 mg / 15 ml Carboplatin DBL
Carboplatin inj 450 mg / 45 ml Carboplatin*
Carboplatin inj 150 mg / 15 ml Carboplatin*
Irinotecan HCl 100 mg/ 5ml Campto*
trihydrate
40 mg/2 ml Campto*
Vincristine Inj Vincristine(generik)
Vincristine inj Vincristin kalbe*
Epirubicin Inj 150 mg/25 ml Epirubicin
Epirubicin
Ifosfamide Vial 1 g Holoxan
Cyclophospamide Inj 200 mg Endoxan
Cyclophospamide inj 1 gr Endoxan
Cyclophospamide Inj 200 mg Cyclovid
Cyclophospamide inj 1 gr Cyclovid
Cyclophospamide Inj 200 mg Cyclopospamide
Cyclophospamide inj 1 gr Cyclopospamide
imatinib Tab Glivec*
5fu inj 250 mg curacil*
5fu inj 500mg curacil*
Cytarabin Inj 1gr/10ml Cytarabin DBL
Dacarbazine injeksi 200 mg/vial Dacarbazine DBL
Daunorubicin serbuk injeksi 20 Daunocin
mg/vial
Temozolamid Kapsul 20 mg Temodal
Temozolamid Kapsul 100 mg Temodal
Mitomycin Inj Mitomycin C
Vinblastin Serbuk injeksi 10 mg Vinblastin
Vinorelbin Vinorelbin inj 10 mg / Navelbin
ml
Pemetrexed Inj 500 mg Alimta
9.2 Kemoterapi Hormonal
Megestrol Asetate Suspensi 800MG/200 Tracetate*
ML
Leuproreline vial 11.25 Tapros*
Leuproreline vial 3.75 Endrolin
gosereline Inj 10,8 mg/vial, Zoladex*
gosereline Inj 3,6 mg/ml Zoladex*
Letrozole Tab Femara*
Tamoksifen Tab Tamofen
Bicalutamide Tab 50 mg, Casodex*
Bicalutamide Tab 150 mg Casodex*
Anastrozole Tab 1 mg Arimidex
Bleomycin Inj 15 mg Bleocin*
Exemestane Tab 25 mg Aromasin
9.3 Kemoterapi Imunologikal
9.4 Terapi untuk Target Kanker
Sorafenid Tab Nexavar*
Bevacizumab Vial 25 mg/ml 4 ml Avastin*
Gefitinib Tab 250 mg Iressa*
Lapatinid Tab Tykerb*
Nilotinib Kaps 200 mg Tasigna
Bortezomib Inf 3,5 Mg Velcade*
Trastuzumab infusion 440 mg Herceptin*
Setuksimab infus 5 mg/ml Erbitux
Rituksimab injeksi 10 mg/m Mabthera*
9.5 Perawatan Suportif
ONKO Ramestron Tab Nasea*
9 LOGI
9.6 Antidotum & Agen Detoxifying
Leucovorin Ca Inj 50 mg/5 ml Leucovorin DBL
Leucovorin Ca Inj 50 mg/5 ml Leucovorin Kalbe*
Deferiprone Tab 500 mg Ferriprox*
Deferiprone larutan oral 100 mg/mL Ferriprox*
Desferrioxamine powd for inj 500 mg Desferal*

methanesulfonate
Deferasirox Tab 250 mg Exjade*
Deferasirox Tab 500 mg Exjade*
Nalokson Inj 0,4 mg/ml Nokoba*
Mesna inj 100 mg/mL Uromitexan*
10 SISTEM KEMIH DAN KELAMIN
10.1 Preparat untuk Masalah Vagina
Metronidazol, Nystatin Ovula Flagystatin*
Lactic acid, lactoserum Sol 60 ml Lactacyd Feminine*
Dequalinium Chloride Ovula Fluomizin

10.2 Antiseptik Saluran Kemih
Flavoxate Hcl 400mg Tab Urispas*
Pipemidic Acid Tab 400 mg Urotractin*
Pipemidic Acid Tab 400 mg Urinter
Pipemidic Acid Tab 400 mg Urixin
10.3 Obat yang Bekerja pada Uterus
Phenazopyridine Tab Urogetix*
Oksitoksin Inj Syntocinon*
Oksitoksin Inj Oksitoksin
Methylergometrin Tab 0,125 mg Metvel
Methylergometrin Inj 0,2 mg Inj Metvel
Methylergometrin Tab 0,125 mg Methylergometrin
Methylergometrin Inj 0,2 mg Inj Methylergometrin
Methylergometrin Tab 0,125 mg Bledstop*
Methylergometrin Inj 0,2 mg Inj Bledstop*


SANOFI Rp2,456,725.59
SANOFI Rp7,576,778.88
SANOFI Rp0.00
SANOFI Rp0.00
PT. CKD - Otto Pharma Rp495,000.00
SANOFI Rp5,876,145.00
SANOFI Rp2,946,982.50


ELI LILLY Rp679,250.00

ELI LILLY Rp3,218,600.00
PFIZER Rp4,013,296.65
PFIZER Rp1,731,103.11
PT TRANSFARMA Rp1,470,040.00
PT TRANSFARMA Rp63,690.00
DANKOS FARMA Rp63,690.00
DANKOS FARMA Rp197,890.00
PT. NOVELL PHARMACEUTICAL LA Rp219,450.00
PT. MSD Rp0.00

PT. MSD Rp0.00
ELI LILLY Rp14,264,250.00
PT. TAKEDA INDONESIA Rp3,032,790.40

PT ASTRAZENECA INDONESIA Rp4,310,768.45
PT ASTRAZENECA INDONESIA Rp1,597,986.32

PFIZER Rp63,194.14
Apo Pharma/Sydna Rp32,999.97
Apo Pharma/Sydna Rp5,575.79
SANOFI Rp15,855.44

ABBOTT Rp10,494.09


10.4 Obat untuk Disfungsi Ereksi
Sildenafil Tab 50 mg Viagra
Sildenafil
10.5 Obat untuk Saluran Kemih Golongan Lain
Solifenacin succinate Vesicare
Distigmin bromide Ubretide
Dutasteride Avodart
Finasteride Tab 5 mg Finpro
Tamsulosin Hcl Tab 0,2mg Harnal D
Tab 0,4 mg Harnal Ocas
Terazocin Hcl Tab 1 mg Hytrin
Tab 2 mg Hytrin
Proviverine HCl 15mg Tab salut gula Mictonorm
Asam keto analog kaplet/630mg Ketosteril
Ketoleucine kaplet Aminoral *
Aminefron
Kalium sitrat Tab 600 mg Kalium sitrat*
Natrium bikarbonat Tab Natrium bikarbonat*
Colchicin Tab 0.5 mg Recolfar*
11 SISTEM ENDOKRIN DAN METABOLIK
11.1 Preparat Insulin
Insulin aspart 30 , Flexpen 300 Unit Novomix*
protaminated insulin
aspart 70
InsulinAspart Flexpen 300 Unit; Vial Novorapid*
1000 UNIT/10 ML
Insulin Glugisine Inj ( Pen ) 100 iu/ml Apidra*
Insulin Glargine Inj ( Pen ) 100 iu/ml Lantus*
insulin lispro catridge 100 iu/ml Humalog CTR*
Humulin N Isophane catridge 100 iu/ml; Vial Humulin N CTR 100 IU/3ML;
Human insulin 100ui/ 10ml VIAL
( Recombinant DNA
Origin)
10ML
Humulin R Reguler catridge 100 iu/ml; Vial Humulin R CTR 100 IU/3ML;
Soluble Human insulin ( 100ui/ 10ml VIAL
Recombinant DNA
Origin)
10 ML
Humulin R Reguler catridge 100 iu/ml Humulin R.
Soluble Human insulin (
Recombinant DNA
Origin)
Regular Human Insulin catridge 100 iu/ml, Sansulin N, Sansulin R*
catridge 300ui/
insulin detemir Flexpen 300 unit Levemir*
Human insulin short Inj 100 UI/ml, Actrapid
acting inj 100 UI/ ml,
vial (Human Insulin
(Short Acting))
25 insulin 75 insulin catridge 100 iu/ml Humalog mix 25*
lispro protamine
suspension
30 human insulin catridge 100ui/ml; Vial Humulin 30/70 CTR 100 IU/30
injection 70 100ui/10ml ml
humaninsulin isophane
11.2 Obat Antidiabetes

Acarbose Tab 50 mg Acarbose
Tab 50 mg Acarbose
Tab 100 MG Acarbose
Tab 100 MG Acarbose
Gliclazide Tab 30 mg Diamicron MR*
Tab 60mg Diamicron MR*
Tab 80 MG Glicab*
Tab 80 MG Gored
Glimepiride Tab 1 mg Amaryl *
Tab 2mg Amaryl *
Tab 3mg Amaryl *
Tab 4mg Amaryl *
Tab 2 mg Metrix*
Tab 3 mg Metrix*
Tab 4 mg Metrix*
Glimepiride Tab 1 mg Glimepiride*
Tab 1 mg Glimepiride*
Glimepiride + metformin Tab 1 mg Amaryl M*
Tab 2 mg Amaryl M*
Gliquidone Tab 30mg Glurenorm*
Tab 30mg Gliquidone
Lignaliptin Tab 5mg Trajenta*
Metformin Tab 500 mg, Glucophage
Tab 500 mg XR Glucophage XR
Metformin Tab 500 mg Metformin*
Tab 500 mg Metformin*
Metformin + Tab 250/1,25 Glucovance*
glibenclamide
Tab 500/2.5 Glucovance*
Tab 500/7 Glucovance*
Tab Pionix-M
pioglitazone Tab 30 mg Actos*
Tab 15 mg Deculin*
Tab 30 mg Deculin*
Tab 15 mg Pionix*
Tab 30 mg Pionix*
Tab 15 mg pioglitazone
Saxagliptin Tab 5mg Onglyza
Saxagliptin + metformin Tab Kombiglyze XR*
Sitagliptin. Tab 50mg Januvia*

Tab 100mg Januvia*
Vidagliptin Tab Galvus.*
Vidagliptin + metformin Tab 50 MG/500 Galvusmet
Glibenclamid Tab Glibenclamide

Tab Glibenclamide
Glipizide Tab 5 mg Glucotrol Xl*
Tab 10 mg Glucotrol Xl*
11.3 Hormon Tiroid
Levothyroxin na Tab 100 Thyrax*
Propylthiourasil Tab PTU*
Levotiroksin Tab Euthyrox*
tablet/kaplet/kapsul 100
mcg
11.4 Obat anti Tiroid
Thiamazole Tab 5 mg Thyrozol*
Tab 10 mg Thyrozol*
Carbimazole Tab 5 mg Neo-mercazole*
Tab 10 mg Neo-mercazole*
11.5 Obat anti Obesitas
11.6 Obat Metabolisme Tulang
Calcitriol Kaps 0,25 mcg Kolkatriol*
Kaps 0.5 mcg Kolkatriol*
Kaps 0,25 Ostriol
Risedronat Tab 35 mg Actonel*
Tab 35 mg Risedronat
Tab 35 mg Ristonat*
Strontium ranelate ganules 2 g Protos*
ibandronic acid Tab, inj Bonviva*
Asam Ibandronat injeksi 6mg/6ml Bondronat*
Alendronate Na Tab 10 mg Alovell
Disodium clodronate Kaps 400 mg, Bonefos*
Tab 800 mg Bonefos*
inj 60 mg/ml Bonefos*
MDP (methylene Inj. Bonescan KaeF
diphosphonate) 1 mg
methylene
diphosphonic acid/mL
11.7 Obat Metabolisme Golongan Lain
Zoledronic Acid vial 4mg/5ml Zolenic*
0,8mg/ml
vial 4mg/5ml Zometa*
12 VITAMIN & MINERAL
12.1 Vitamin A, D, E
Vitamin E Tab Santa E*
12.2 Vitamin B Kompleks /dgn Vitamin C
Cyanokobalamin, Tab Neurosanbe plus*
metamizole Na,
pyridoxin, thiamin
Cyanokobalamin, Tab, inj Neurosanbe. *
pyridoxin, thiamin
Tab Neurodex*
Mecobalamin,B1 Tab Rebal plus*
100,B2 200 MG
Pyridoxine HCl 25 mg, Tab Cardiomin
cyanocobalamin 25
mcg, folic acid 500
mcg, d-Î± tocopherol
400 iu
VIT B1 100MG, Tab, inj Neurobion 5000
B6100MG,B-
125000MCG
/vit E 200 IU, Folic acid
400 mcg
PT. NOVO NORDISK INDONESIA Rp159,682.90
PT. NOVO NORDISK INDONESIA

Rp333,355.00
SANOFI
SANOFI
SANBE FARMA ( VISION )

Rp71,783.25
ELI LILLY Rp159,682.65

SERVIER INDONESIA
SERVIER INDONESIA Rp5,769.23
SANOFI Rp2,993.21
SANOFI Rp5,304.66
SANOFI Rp6,666.15
SANOFI Rp7,601.52
NULAB Rp342.04
BERNOFARM Rp456.76
NATURA Rp229.08
BERNOFARM Rp290.40
NULAB Rp501.65
PT Infion Rp858.00
NULAB Rp977.24
NULAB Rp1,302.99

PT MERCK TBK Rp1,107.33

BERNOFARM Rp121.00
Phapros Rp174.24
PT. TAKEDA INDONESIA Rp6,661.88

YARINDO Rp2,145.00
OTTO Rp2,475.00
YARINDO Rp3,575.00

PFIZER Rp5,156.62
PFIZER Rp5,156.62
Sydna Farma Rp1,992.47


PT NICHOLAS LABORATORIES IND Rp1,120.02
PHAPROS Rp5,922.28
PHAPROS Rp9,900.00
PHAPROS Rp35,545.95
PT.BAYER INDONESIA Rp219,564.95

amin B1 100 mg, Tab Neurovit E*
Vitamin B6 200 mg,
Vitamin B12 200 mcg,
Vitamin E 50 mg
Sulbutiamin Tab Arcalion
Folic acid Tab 400 mcg Folavit*
Tab 1000 mcg Folavit*
Tab 5 mg Asam folat
Tab 400 mcg Starfolat
Vit B6. Tab Vit B6
Per tab Vit B1 50 mg, Syr, Kaps Enervon C*
vit B2 25 mg, vit B6 10
mg, vit B12 5 mcg, vit C
500 mg, niacinamide 50
mg, Ca pantothenate
20 mg.
12.3 Vitamin C
Ascorbic acid Inj 200mg Extrace*
Inj 500mg Extrace*
12.4 Kalsium/dengan Vitamin
Bonistein(Genistein), kaplet Hibone
Calsium Fosfat, Vit K1,
vit D3
Calsium Carbonat, Ca kaplet salut Hibone 600
fosfat tribasa,
Genistein(Bonistein), vit
K1, D3
Calcium Carbonat Tab chewable Osteocal
Soft Kapsule Epocaldi*
Calcium Carbonat Kaps Calcium Carbonat*
Calsium Hydrgen Tab Cavit D3
phospat dihydrat, vit D3
Multivitamin Kaplet Cal 95*

Cal. Vit B6. Vit D, Vit C Tab Eff CDR Fortos*
Per tab Ca 300 mg*, Tab Osteocare*

Mg 150 mg*, Zn 5 mg*,
vit D3 2.5 mcg. Per 5
mL syr Ca 150 mg*, Mg
75 mg*, Zn 3 mg*, vit
D3 1.9 mcg. *Elemental
12.5 Vitamin &/ atau Mineral

ALA, Calcium Kaplet Seloxy AA
Ascorbate, Zinc Pico-
linate, Selenium, Beta
carotene
B Karoten, Vit C, vIT e, Kaplet Seloxy
Zinc Sulfate, Selenium
Betacaroten 5mg, vit C Retivit Plus Retivit Plus

100mg, vit E 60mg,Zn
10mg, CU 1,5mg, SE
55mcg, Lutein Ester
30mg, Lycopen 2mg,
Zeaxantin 0,67mg
Cod Liv Sirup Elkana Cl*

oil,curcuma,Lysin,Colin,
AH , DHA
Vit. D, Vit C, vit A Ca Tab Elkana*
Lactat
Syrup
Echinacea500mg, Zn Tab Imunos
Pikolinat10mg,
Selenium15mcg, Na
ascorbat50mg
Syrup
Vit E 30 IU, vit C 750 kaplet Zegavit*
mg, vit B1 15 mg, vit B2
mg, vit B6 25 mg, vit
B12 12 mcg, folic acid
0.4 mg, Ca 20 mg,

pantothenic acid 20 mg,
Zn 20 mg
Multivitamin Kaplet Pharmaton Formula,Vit*
Vit A 3,500 IU, vit D3 Vial Cernevit*
200 IU, vit E 11.2
IU, vit C 125 mg, vit B1
3.51 mg, vit B2
4.14 mg, vit B3 46 mg,
vit B5 17.25 mg, vit B6
4.53 mg, vit B12 6 mcg,
folic acid 414 mcg,
biotin 69 mcg, panto-
thenic acid 17.25 mg,
nicotinamide 46 mcg,
glycine 250 mg,
glycocholic acid 140
mg, soybean lecithin
112.5 mg
Vit B6 HCl 200mg, vit kaplet BIO ATP*
B12 200mcg, Vit E
30mg, ATP 20mg, Vit
B1 Disulfide 100mg
Vaccinium Myrnilus Tab Vitanorm*
Fructus extrac 80 mg,
Calendula officinalis
flos extrac 36,10mg,
Hellenium Autumnale
Flos Extrac
Vit B1 50 mg, vit B2 25 Tab Becom C*
mg, vit B6 10 mg, vit
B12 5 mcg, vit C 500
mg, nicotinamide 100
mg, pantothenic acid
18.4 mg
B Karoten, Vit C, vIT e, Kaplet Seloxy , AA

Zinc Sulfate, Selenium
Folic acid 400 mcg, vit Soft Kaps Elovess*

B1 50 mg, vit B6 100
mg, vit B12 200 mcg,
cod liver oil 100 mg
Betacaroten 5mg, vit C kaplet Retivit Plus
100mg, vit E 60mg,Zn
10mg, CU 1,5mg, SE
55mcg, Lutein Ester
30mg, Lycopen 2mg,
Zeaxantin 0,67mg
Vit A 10,000 iu, vit B1 Tab Theragran M

10 mg, vit B2 10 mg, vit
B6 5 mg, vit B12 5 mcg,
vit C 200 mg, vit D 400
iu, Ca pantothenate 20
mg, K iodide 150 mcg,
Fe 12 mg,
Mg 65 mg, manganese
1 mg, copper 2 mg, Zn
1.5 mg
12.6 Vitamin dan mineral Geriatri

12.7 Vitamin dan mineral Pediatrik
12.8 Vitamin dan mineral untuk masa hamil & Nifas
AHA, DHA , KAPS Folamil Genio*
MULTIVITAMIN
Folamil*
Iron (III) Hydroxide Tab kunyah Maltofer*
Polymatosa Complex
(IPC)
Tab Maltofer Fol*
Fe Gluconate, Kaps Inbion*
manganese sulfate, vit
C,etc
Iron sucrose ampul 100 mg Venofer*

DEXA MEDICA Rp154.00
PT NICHOLAS LABORATORIES IND Rp559.03

COMBIPHAR Rp 2874
COMBIPHAR Rp 193.325
Tab Iberet Folic*
Fe sulfate 525 mg, vit C

mg, Ca pantothenate
10 mg, vit B1 6 mg, vit
B2 6 mg, vit B6 5 mg,
vit B12 25 mcg, folic
acid 800 mcg
Fe fumarate 90 mg, Tab Emineton
cupric sulfate
0.35 mg, cobalt sulfate
0.15 mg, manganese
sulfate 0.05 mg, vit B6
3 mg, vit B12 5 mcg, vit
C 60 mg, vit E 5 mg,
folic acid 400 mcg, Ca
phosphate dibasic 60
mg
vit D 200 IU, vit E 30 Tab Obipluz

IU, vit B1 2 mg, vit B2 2
mg, vit B6 3 mg, vit B12
3 mcg, folic acid 1,000
mcg, Ca pantothenate
8 mg, biotin 35 mcg,
nicotinamide 20 mg, vit
C 100 mg, elemental
Fe (as Fe sulfate) 30
mg, iodine 150 mcg, Ca
carbonate 100 mg, Zn
sulfate 15 mg, Mg
sulfate 5 mg,
manganese sulfate 1
mg, cupric sulfate 1,000
mcg, natural fish oil 500
mg, omega-3 fish oil
(DHA 105 mg + EPA 20
mg) 135 mg
Placenta Extr + Vit B12 Tab moloco B12
Per cap Fe gluconate Tab Sangobion*

250 mg (equiv
elemental Fe 30 mg),
manganese sulfate 0.2
mg, copper sulfate 0.2
mg, vit C 50 mg, folic
acid 1 mg, vit B12 7.5
mcg, sorbitol 25 mg
13 NUTRISI
13.1 Produk Nutrisi Bayi
13.2 Produk Nutrisi/ Enteral
13.3 Produk Nutrisi Parenteral
Larutan mengandung botol gelas 250ml/ 7 Nephrosteril
Asam Amino (Asam asam amino
Amino 7 , Komposisi:
Asam Amino esensial:
Asam Amino non
esensial = 60 : 40)
Larutan mengandung softbag Nutriflex lipid peri 1250

Lipid (Kombinasi
Glukosa dan elektrolit
80 gr + Asam Amino 40
gr + Lipid MCT/LCT 50
gr)
Larutan mengandung softbag Nutriflex lipid peri 625

Lipid (Kombinasi
Glukosa dan elektrolit
80 gr + Asam Amino 40
gr + Lipid MCT/LCT 50
gr)
as amino 35.9 g, softbag Nutriflex lipid special

dextrose 90g, lipid 25 g
Vitamin larut lemak Ampul Vitalipid N for Adult, Vitalpid N

(A,D,E,K): for infant 1 Ampul = 10 mL
Per 10 mL Vitalipid N
Thiamine mononitrate Vial Soluvit
(setara dengan vit B1
2.5 mg) 3.1 mg,
riboflavin sodium
phosphate (setara
dengan vit B2 3.6 mg)
4.9 mg, nicotinamide 40
mg, pyridoxine HCl
(setara dengan vit B6 4
mg) 4.9 mg, Na
pantothenate (setara
dengan pantothenic
Lipid 20% parenteral, Botol SMOFLipid
setiap 100 mL
mengandung : soy
bean oil 6, medium
chain trigliceride 6 g,
olive oil 5 g, Fish oil 3
g
Asam amino, glucosa, bag plastic Kabiven

lipid & electrolit 1440ml(1000 kkal) dan
1920ml (1400kkal)
Asam amino 5 , Infus 250 ml Aminofusin paed*

elektrolit dan vitamin
Asam amino botol kaca 500ml Aminofusin L-600*
Larutan mengandung flexy bag 1000ml Clinimix N9G15E*
Karbohidrat
+ Elektrolit (Asam
amino 28 gr/L, Glukosa
75 gr/L, elektrolit)
Asam amino 9% botol kaca 200ml Renxamin*

Larutan mengandung Infus 500 ml Triofusin 500; L
Karbohidrat + Elektrolit 1000; 1000*
(Fructose , glucose,
Lipid (refined olive oil & flexy bag 100ml Clinoleic
refined soya bean oil) flexy bag 250ml
Larutan mengandung softbag Asering*
Elektrolit (Na 130 mEq,
Cl 109 mEq, Ca 3 mEq,
Asetat 28 mEq)
soybean oil (parenteral botol 100ml, 200ml Lipofundin

lipid MCT/LCT)
Larutan mengandung softbag Kidmin
Asam Amino (Asam
Amino 72.05 g, Total N
11.53 g, AAE/AANE
ratio 2.6, Na+ 2 mEq,
Asetat 46 mEq)
Larutan mengandung Plabot 500 mL Ringer Fundin

Elektrolit (Tiap 1000 ml
mengandung electrolit:
Sodi- um 145 mmol/l,
Potassium 4.0 mmol/l,
Calcium 2.5 mmol/l,

Magnesium 1.0 mmol/l,
Chloride 118 mmol/l,
Acetate 24 mmol/l,
Malate 5.0 mmol/l)
Larutan mengandung softbag, oral 50 mg Aminoleban

Asam Amino (Asam
Amino 79.9 g, Total N
12.2 g, Na+ 14 mEq, Cl
94 mEq)
Larutan mengandung softbag 500,1000 ml Aminofluid*
Asam Amino (Asam Infus 500 ml Aminovell
Amino 30 g, Glukosa
Larutan mengandung softbag Combiflex Plus
Asam Amino
(Kombinasi Glukosa
dan elektrolit 150 gr +
Asam Amino 48 gr dgn
akses sentral)
Iopamidol 200-300 mg Iodium/mL Iopamiro*
(300mg @ vial 100ml),
200-300 mg Iodium/mL
(300mg @ vial 30ml),
200-
300 mg Iodium/mL
(300mg @ vial 50ml),
300-370 mg Iodium/mL
Iodium/mL (370mg @
vial 30ml)300-370 mg
Iodium/ mL (370mg @
vial 50ml)
13.4 Elektrolit
Larutan mengandung softbag KA-EN 1B*
Elektrolit (NaCl
1.125 gr, Dekstrosa
18.75 gr)
Larutan mengandung softbag KA-EN 3 B*
Karbohidrat + Elektrolit
(Nacl 1.75 gr, KCl 1.5
gr, Na Lactat 2.24 gr,
Dekstrosa 27 gr)
Larutan mengandung softbag KA-EN MG3

Karbohidrat
+ Elektrolit (NaCl 1.75
g, KCL 1.5g, Glukosa
100 gr)
NaCl 0,9 % Plabot 500 ml Nacl 0,9 %*
NaCl 0,9 % Plabot 500 ml Ecosol Nacl 0,9 %*
PT B BRAUN MEDICAL INDONESIA Rp470,000.00
Bbraun Rp325,001.00
PT FRESENIUS KABI Rp319,990.00

Rp156,090.00
KALBE FARMA
Rp154,000.00
PT. OTSUKA INDONESIA Rp9,646.00
PT B BRAUN MEDICAL INDONESIA Rp134,750.00
PT. OTSUKA IND Rp50,697.00

Rp254,320.00
PT.DIPA Pharmalabs
Rp516,588.00
Rp568,714.00
NaCl 0.9% Plabot 100 cc Ecosol Nacl
NaCl 0.9% Plabot 100 cc NaCl 100 cc Piggybag
NaCl 0.9% Plabot 1000 cc Ecosol Nacl
NaCl 0.9% Inj 25cc NaCl 25 cc
NaCl 3% Plabot 500 cc NaCl 3%
NaCl 0.9% Softbag 3L NaCl 0.9%
Larutan mengandung Elekt Plabot 500 cc Ecosol Ringer Lactat
Larutan mengandung Elekt Plabot 500 cc Wida Ringer Laktat
MALTOSE 10 Plabot Martos
Kalium P aspartate Tablet Aspar-K Tablet
Kalium P aspartate Tablet Kalipar
K-L Aspartate , L AspartaTablet Renapar
Kalium Chlorida Tablet 600 mg KSR
glucose 5 % Kolf 500 ml WIDA D5
glucose 5 % Kolf 500 ml Ecosol G5 500 cc
glucose 5 % Kolf 500 ml OTSU D5
glucose 5 % Softbag 500 cc INFUSAN D5 INFUS 500 mL SP
glucose 10% Kolf 500 ml OTSU D10
glucose 10% Kolf 500 ml Ecosol G10 500cc
glucose 10% Softbag 500 cc Infusan D10 500 cc
Larutan mengandung
(Larutan Ringer &
Glukosa 5%) Softbag 500 cc Infusan RD 500
Larutan mengandung
(Larutan Ringer &
Glukosa 5%) Plabot 500 cc OTSU RD5
Glucose 40% Inj 25cc Dext 40%
Larutan mengandung
Elektrolit (Kalium OTSU KCL 7.46
Klorida) Inj 25cc
Magnesium sulfat inj
OTSU MgSO4 20%
20% Inj 25cc
MgSO4 40 % Inj 25cc OTSU MgSO4 40%
Na Bicarbonat Inj 8,4 Meylon
Calcium Gluconas Ampul 20cc Calcium Gluconate
Larutan mengandung Karb
Kolf 500 ml Dext Insaline
Softbag 500 cc INFUSAN D5 + NS INFUS 500 mL
Kolf 500 ml OTSU D5-NS
Larutan mengandung
(Glukosa: 25,0 g; NaCl:
4,5 g) Kolf 500 ml Wida 2A
Larutan mengandung
INFUSAN D2,5 + 1/2 NS INFUS 5
4,5 g) Softbag 500 cc
Larutan mengandung
OTSU D2.5, 1/2NS
4,5 g) Kolf 500 ml
Larutan mengandung
INFUSAN D5 + 1/4 NS INFUS 500
(Glukosa: 55.0 g; NaCl:
2.25 g) Softbag 500 cc
Larutan mengandung
OTSU D5, 1/4NS
(Glukosa: 55.0 g; NaCl:
2.25 g) Kolf 500 ml
13.5 Perangsang Nafsu Makan
13.6 Suplemen & Terapi Penunjang
1-cainitine, coenzym, qteKapsul Tonicard
Fenugreek seed extr (Tr Kapsul lunak 30 mg Ubi Q
Fenugreek seed extr (Tr Kapsul lunak 100 mg Ubi Q
Co Enzym Q10, L CarnitinKapsul lunak Bioquinon
Echinacea Purpurea, ZincKaplet Imboost Force
fucoidan 50mg Kapsul Fucotrap
Gly Echinacea Purpurea,Injeksi
Z Minophagen
Lutein, lycopene,vit e, ZnKaplet Optimax
Lutein, lycopene,vit e, ZnSyrup Optimax
667mg calcium acetate uTablet Lenalace
Natural Astaxanthin 4 m Kapsul Lunak Biosthin
ubidecarenone 30mg lev Kaplet Corsel
Per cap Fenugreek seed Tablet Milmor NF
Ubidecaerarone Tab 30 mg Q-ten
Ubidecaerarone Tab 100 mg Q-ten
Psidium guajava Syrup Psidii
Vitamin A, vitamin C, vit Syrup Apialys
Vitamin A, vitamin C, vit Drop Apialys
Ekstrak Ophiocephalus stKapsul Vipalbumin
Ekstrak Ophiocephalus stSachet Vipalbumin Plus
Protein 70%, Kadar Alb Kapsul Pujimin
Ekstrak ikan gabus Chia Kapsul Albuforce
radix salvia
miltiorrhizae, fructus
BRM
lycium barbarum, radix
codonopsis pilosula
Kapsul
Polysaccharide peptide Ganoderma lucidum extr PSP
Tiap 5 mL: Minyak hati Syrup Curvit
Ekstrak Echinacea purpurea 300 mg, Vit A 2000 uiStimox
Bbraun
Otsuka
Bbraun
PT OTSUKA indonesia
PT OTSUKA indonesia
Bbraun Rp7,095.00
PT WIDATRA BAKTI Rp13,167.00
PT.TANABE INDONESIA Rp235.00

PT. Tempo Scan Pacific Rp630.00
Bbraun Rp770.00
PT OTSUKA indonesia Rp7,150.00
Bbraun Rp8,250.00

PT. ROYAL MEDICA Rp5,940.00

PT. ROYAL MEDICA Rp59,400.00
14 MATA
14,1 Antiinfeksi & Antiseptik Mata
Levofloxacin eye drop Lfx
Levofloxacin eye drop Levocin
Levofloxacin eye drop Optiflox
Neomisin, polymiksin B eye drop Polydex

Tobramycin eye drop Azopt
Gentamisin eye oint Mycetine
Gentamisin minidose genta
Gentamisin eye oint Gentamycine
Acyclovir zovirax
Acyclovir Temiral
Chloramfenicol eye oint cendofenicol
Chloramfenicol minidose 0.5 % cendofenicol
Chloramfenicol minidose 1% cendofenicol
Tiap ml larutan tetes
mata mengandung :
Ofloxacin 3 mg, dapar Eyedrop Floxa
fosfat pada pH 6,0-7,0
dan Natrium Klorida
Moksifloksasin Tetes mata 0,5 Vigamox
14.2 Antiseptik Mata dengan Kortikosteroid
Tobramycin 0,3%,
minidose Tobroson
dexamethasone 0.10%
Dexamethasone/Deksa
metason 0,1 %,
Neomisin sulfat 3,5 Tetes mata Xitrol
mg/mL, Polimiksin B
sulfat 6000 iu/mL.
Dexamethasone/Deksa
metason 0,1 %,
Neomisin sulfat 3,5 salep mata Xitrol
mg/mL, Polimiksin B
sulfat 6000 iu/mL.
Fluorometholone,
Tetes mata. Polynel
Neomycin
14.3 Kortikosteroid Mata
14.4 Obat Midriatikum
Fenilefrin Hcl Tetes mata Effrisel
Tropikamid Tetes mata 0.5 % Mydriatil
Tropikamid Tetes mata 1 % Mydriatil
Atropine Tetes mata 0.5 % Tropin
Atropine Tetes mata 1 % Tropin
Homatropine Tetes mata 2% Homatro 2 %
14.5 Obat Miotikum
Betaxolol Tetes mata Betoptima
14.6 Preparat Antiglaukoma
Latanoprost 0,005 %
Eye drop Xalatan
(Prostaglandin analog)
Latanoprost Eye drop 0,01 Cendo Glaopen
Lataroprost 0,05mg/ml,
Eye drop Glaoplus
Timolol 5mg/ml
Timolol Eye drop 0.25 % Timol

Timolol Eye drop 0.5 % Timol
Travoprost tetes mata 0,004% Travatan
14.7 Obat Dekongestan, Anestesi, Anti Inflamasi Mata
Femiroblast potassium
Tetes Mata 5 ml Alegysal
0,7 %
Sodium Hyaluronate cendo hyalub
Sodium Hyaluronate,
Tetes mata Siloxan
Nacl
Natrium Diklofenac Tetes mata. Noncort
Olopatadin Tetes mata 0,1 Patanol
14.8 Pelumas Mata
Carboxymethyl
tetes mata 5 ml Lyters
cellulose sodium 5 mg
Setiap ml
mengandung : Car-
tetes mata 5 ml Cenfresh
boxymethyl Cellulose
Sodium 5 mg
14.9 Preparat Mata Golongan Lain
Sodium choliride
640mg, Potassium
choliride 75mg, Calsium
Chloride dihydrate Softbag 500 ml Miriwash
48mg, Magnesium,
Sodium acetat, sodium
citrate
Polivynil Pirolidon
minidose/strip Protagenta
20mg/ml
Pirenoxine Na strip/ Mini Dose Lentikular
Naphazolin tetes mata Vasacon A
Per 15 ml : CaCl2
anhidrat 0,075 gram,
Kalium Iodida 0,075
gram, Natrium Tiosulfat Eyedrop Catarlent
0,0075 gram,
Fenilmerkuri nitrat 0,3
mg.
Potassium Iodide 5 mg,

Tetes mata Vitrolenta
Sodium Iodide 10 mg
Tetracain HCl Tetes mata 0,5 % Pantocain
Dinatrium Edetat Tetes mata 0,35% E.D.T.A
15 TELINGA MULUT & TENGGOROKAN
15.1 Antiinfeksi Antiseptik Telinga
15.2 Antiseptik Telinga dengan Kortikosteroid
15.3 Kortikosteroid Telinga
Polymixin B, Neomisin,
Drop Otopain
etc
15.4 Kortikosteroid Telinga golongan Lain
15.5 Preparat Mulut dan Tenggorokan
Benzydamine gargle Tantum verde
Benzydamine Tab lozenges Tantum verde
Aqua, maltodextrin,
propylene glycol,
polyvinylpyrrolidone
(PVP), aloe vera extr, K
sorbate, Na benzoate,
hydroxyethylcellulose,
PEG 40, hydro- gargle Aloclair
genated castor oil,
disodium edetate,
benzalkonium Cl,
saccharin Na, Na
hyaluronate,
glycyrrhetic acid
Aqua, maltodextrin,
propylene glycol,
polyvinylpyrrolidone
(PVP), aloe vera extr, K
sorbate, Na benzoate,
hydroxyethylcellulose,
PEG 40, hydro- gel Aloclair
genated castor oil,
disodium edetate,
benzalkonium Cl,
saccharin Na, Na
hyaluronate,
glycyrrhetic acid
Chlorhexidine
gargle Minosep
gluconate
Fradiomycine sulfate ,
Tab Fg Troches
Gramicidine-S
16 KULIT
16.1 Antibiotik Topikal
Gentamycin Cream 0,1 % Sagestam
Gentamycin salep kulit, gentamycin (generik)
Gentamycin salep mata gentamycin (generik)
Gentamycin inj gentamycin (generik)
Gentamycin cream Garamycin
Gentamycin oint Garamycin
Gentamycin;
Cream Digenta
Betametasone
Neomisin, bacitracin cream Nebacetin
powder Nebacetin
Mupirosin cream Bactoderm
Mupirosin salep Bactoderm
Fusidic Acid Cream 5 g Fuson
Fusidic Acid Cream 5 g Fusycom
Neomisin, Placenta Jelly 15 Gram Bioplacenton
FLUPREDNIDENE +
GENTAMYCIN Tube 10 Gram Gentacortin
SULFATE
Silver sulfadiazine krim 1% Burnazin
Natrium fusidat salep 20 mg/g Fucilex
16.2 Antijamur & Antiparasit Topikal
Miconazole Cream Miconazole (generik)
Miconazole Cream Mycospor
Miconazole Powder Mycorine
16.3 Antivirus Topikal
Acyclovir cream Acyclovir
Acyclovir cream Zoter
16.4 Anti Infeksi Topikal dengan Kortikosteroid
16.5 Kortikosteroid Topikal
Clobetasol cream, 10 g Lotasbat
Clobetasol cream, 10 g Kloderma
Mometasone Furoate Cream , 10 g Dermovel
Mometasone Furoate tube Mometasone
Mometasone Furoate tube Mometasone

CREAM 5,10
Mometasone Furoate Elocon
gr/oint/lotion
Diflucortolone Cream Nerilon
PT. CENDO Rp72,105.00

PT.SANBE FARMA ( VISION ) Rp55,412.00



PT. CENDO -

PT. CENDO
Rp24,035.00


PT FERRON PAR PHARMACEUTICA Rp42,900.00

NULAB Rp7,975.00
NOVELL PHARMACEUTICAL
LABORATORIES Rp16,900.00
PT TRANSFARMA
Rp90,981.00
Flusinolon asetonid Tube 10 g Cinolon
Flusinolon asetonid Tube 10 g Cinolon
Flusinolon asetonid,
Neomycin Tube 10 g Cinolon-N
Hidrokortison 2,5% Hidrokortison Asetat
Hidrokortison 2,5% Hidrokortison
16.6 Preparat Akne
16.7 Antihistamin/Antipruritus Topikal
16.8 Preparat Psoriasis, Seboroik & Iktiosis
16.9 Keratolitik
16.1 Emolien & pelindung Kulit
16.11 Antiseptik & Desinfektan Kulit
Polihexanide 0,1% Betai Cail,Gel Prontosan
policresulen Sol,vagina supp, Albothyl
policresulen Sol, Aptil
Povidone Iodine Oint, sabun cain, gargle Betadine
Povidone Iodine Larutan BETADINE SOLUTION 60 ML
Tetra chlorodeca- Sol Oxoferin*
oxygen anion complex
16.12 Kasa steril yang mengandung obat
Framycetin sulfate Kasa steril yang Sofratulle
mengandung obat
Framycetin sulfate Kasa steril yang Daryantulle
mengandung obat
16.13 Obat Kulit lain
Radix scutellariae tube 10g, 40 g Mebo
0,87gr, phellodendri
cortex 0,87gr, rhizoma
coptidis 0,87gr
Hypoallergenic Cream 20 gr Biocream*
ambiphilic cream base
Permetrin 5% Cream 10 gr Scabimite*
Permetrin 5% Cream 30 gr Scabimite*
17 ANASTESI LOKAL DAN UMUM
Bupivacain HCl Spinal Heavy Marcain
Bupivacain HCl Inj 0,5% PDF 20 ml Marcain
Bupivacain HCl Inj 0,5 % Bunascan
Bupivacain + dextrose Inj Regivell*
monohydrat
Isoflurane Inj 250 ml Aerane*
Isoflurane Inj 250 ml Terrel
Isoflurane Inj 250 ml Isoflurane
Lidocaine HCl ,inj,spray Xylocaine
Lidocaine HCl jelly 2 Xylocaine
Lidocaine HCl Inj Lidocain (generik)*
Lidocaine HCl Inj Lidocain HCL 2% inj
Lidocaine HCl Inj Lidokain inj 2% (infiltr/p.v.)
Lidocaine HCl Inj LIDOCAIN Inj 2%
Lidocaine HCl Inj Lidocain HCL 5% inj
Propofol Inj 20 cc Propofol Lipuro*
Propofol Inj 20 cc Diprivan*
Propofol amp Fresofol inj MCT
Propofol Inj 20 cc Recofol N
Ketamin Inj 100 mg/ml KTM*
Ketamin Inj. IV 50 Ketamine hemelin
Ketamin Inj. IV 50 Ivanest
Sevofluran Inj Sojourn*
Sevofluran Inj Sevodex
18 ALERGI & SISTEM IMUN
18.1 Antihistamin & Antialergi
Cetirizine Hcl Tab 10mg Falergi *
Cetirizine Hcl Tab 10 mg Histrine*
Cetirizine Hcl Tab FT Histrine*
Cetirizine Hcl Syr 5 mg/5 ml Histrine*
Cetirizine Hcl Drop Histrine*
Cetirizine Hcl Tab 10 mg Inciphar*
Cetirizine Hcl Drop Cetirizin
Cetirizine Hcl Syr SETIRIZIN SIR 5 MG/ 5 ML
Cetirizine Hcl Syr CETIRIZINE SIRUP 5MG/ML
Cetirizine Hcl Tab 10 mg CETIRIZINE TABLET 10 MG
Cetirizine Hcl Tab 10 mg CETIRIZINE 10MG 5X10 TAB
Cetirizine Hcl Tab 10 mg CETIRIZINE TAB 10 MG
Cetirizine Hcl Tab 10 mg CETIRIZINE TABLET 10 MG
Cetirizine Hcl Tab 10 mg Setirizin tab 10 mg
Cetirizine Hcl Tab 10 mg CETIRIZINE tab 10 mg
Cetirizine Hcl Tab 10 mg CETIRIZINE TAB 10 MG
Levocetirizine Tab 10 mg Xyzal*
Desloratadine syrup 0.5mg/ml; Tab aerius *
Homoclomin Tab Homoclomin *
Loratadine Tab inclarin*
Loratadine Tab LORATADIN TAB
Loratadine Tab LORATADINE TABLET 10 MG
Loratadine Tab LORATADINE TAB 10 MG
Loratadine Tab LORATADINE TAB 10MG
Loratadine Tab LORATADINE TABLET 10 MG
Loratadine Tab Loratadin tab 10 mg
Loratadine Tab Loratadin 10 mg tab
Loratadine Tab Alloris*
Pheniramine maleat Tab 25 mg Avil*
BETAMETHASONE, Tab Celestamine*
DEXCHLORPHE-
NIRAMINE
18.2 Vaksin, Anti serum, & Imunologi
Human tetanus Inj 250IU/ml ( 1 box 1 Tetagam p*
imunoglobulin prefilled syiringe)
Serap tetanus / toxoid Inj 5 ml Purified Tetanus Toxoid*
inj 1500IU/ ml Anti Tetanus Serum*
Hepatitis B surface Inj Engerix B*
antigen 20 mi-
crogram/ml
Hepatitis B inj 220 IU/mL Hyperhep B
imunoglobulin (human)
By Hep
18.3 Imunosupresan
Mycophenolate mofetil Tab500 mg Cellcept*
MYCOPHENOLIC Tab 180 mg,360 mg Myfortic*
ACID
Siklosporin Kapsul 25,100 mg Sandimmun neoral*
Takrolimus kaps 1 mg Prograf*
19 ANTIDOTUM & ZAT DETOKSIFIKASI UNTUK TERAPI
KETERGANTUNGAN
Ca Polystirene Sachet Kalitake*
Sulfonate
20 LARUTAN INTRAVENA & LARUTAN STERIL LAINNYA
Larutan mengandung Cairan Infus 500 ml tutofusin ops
(Acetate, Na, K, Cl, Ca,
Mg, Sorbitol 50 gr/L)
Gelatin polysuccinate flexi bag 500ml/40g gelafusal

40gr ( gelatin ) gelatin
HES Cairan Infus, 6% Fimahes
Larutan mengandung Cairan Infus Totilac
Elektrolit (Sodium
Lactate sol (50 ) 113
gr/L, Potassium
Chloride 0.3 gr/L,
Calcium Chloride 0.2
gr/L, elektrolit)
Human albumin Vial 50ml, 100ml albuman 20

20%/100ml, 20%/50ml
Human albumin Vial 20%/100 ml Plasbumin
20gr/100ml, 25gr/100ml
Vial 25%/100 ml Plasbumin

Vial 5%.250 ml Plasbumin
Vial 5%.250 ml Plasbumin
Human albumin 200gr/l CAIRAN 100 ML BIOTEST
Human albumin 250 cairan 100 ml albuminar

gram/L
Human albumin 250 cairan 50 ml albuminar
gram/L
Succynilated gellatin botol gelofusin
( modified fluid gelatin
(MFG4 )
Air untuk irigasi lar infus Infus 1000 ml Wida WI Unicap*
1000 ml
Air untuk irigasi lar infus Infus 1000 ml Aqua Steril Otsuka*
1000 ml
Air untuk irigasi lar infus Inf 25 ml Aqua bidest*
25 ml
26 LAIN - LAIN ( Miscellaneous)
02, Olive Oil Tube Sanoskin Oxy* Histoacryl*
Karbogliserin Havox
Karbogliserin Sol 10 %

Phapros Rp4,162.40
PT. MUNDIPHARMA HEALTHCARE I Rp.23.890

PT. MUNDIPHARMA HEALTHCARE I Rp. 8.368
PT. MUNDIPHARMA HEALTHCARE I Rp. 15.428
PT. Sanofi Rp. 24.719
PT. Darya Varia Laboratoria Rp. 16.038
PT. Galenium Pharmasia Rp. 69.795
PT ASTRAZENECA INDONESIA Rp. 75.174

FAHRENHEIT Rp. 56.100
Rp. 46.200
PT NOVELL
KIMIA FARMA Rp. 1.320.000

FAHRENHEIT Rp. 1.346.400
Dexa Medica Rp. 1.361.250
PT ASTRAZENECA INDONESIA Rp.61.707
BERNOFARM Rp. 1,056

NATURA Rp. 634
Phapros Rp. 987
BERNOFARM Rp. 19.800
PT B BRAUN MEDICAL INDONESIA Rp.60.720
PT. ETHICA Rp.67.320
Dexa Medica Rp. 78.375
PT. GUARDIAN PHARMATAMA Rp. 130.130
FAHRENHEIT Rp. 2.288.000

FAHRENHEIT Rp. 2.640
PT. Ferron Rp, 5.016

PT. Ferron Rp. 37.840

NULAB Rp235.13
Phapros Rp270.86
FAHRENHEIT Rp297.00
PT. Interbat Rp. 6.256

NULAB Rp249.81
BERNOFARM Rp300.00
Sanbe Farma Rp0.00
PT. Dipa Pharmalabs

Rp. 1.533.127
Astellas Rp. 31.003
PT. Dipa Pharmalabs

Rp. 4.998
Kalbe Farma Rp. 39.325
Dexa Medica Rp.144.568
PT. Dipa Pharmalabs Rp. 879.833

PT. Dipa Pharmalabs Rp. 1. 509.994
PT. Dipa Pharmalabs RP. 945.959
Kalbe Farma Rp. 890.038
KIMIA FARMA Rp. 593.625
Rp. 88.300
PT B BRAUN MEDICAL INDONESIA

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FORMULARIUM + HASIL GATHERING RS PELNI

Komposisi Sediaan Nama Obat

RANITIDINE INJEKSI 25 MG/ML

RANITIDIN 50MG/2ML INJ

Mebeverine Tab 135 mg Duspatalin*

Prinsipal Harga PPN + HNA

PT. GUARDIAN PHARMATAMA

PT MOLEX AYUS Rp4,500.00

TEMPO SCAN PASIFIC

PT. Galenium Pharmasia

PT. Aventis Pharma

PT. Galenium Pharmasia

KALBE / DANKOS Rp4,766.67

Asam amino, infus, 500 ml Aminofusin Hepar

Soft Kaps 300 Lesichol

Ondansentron inj 2 mg/ml Ondansentron

Metoclopramide Tab 10 mg Primperan*

Amlodipin besilate ~ Amlodipine 5 mg

KALBE FARMA Rp88,499.40

Sanbe Farma Rp8,101.00

PT DARYA VARIA LABORATORIA Rp8,649.00

KIMIA FARMA Rp2,294.00

PT.TANABE INDONESIA Rp2,530.00

PT. MERCK TBK Rp3,089.00

DEXA MEDICA Rp4,004.00

PT DEXA MEDICA Rp898.00

PT. Boehringer Ingelheim Indonesia Rp15,274.19

Soho Industri Pharmasi Rp915.00

PT. Boehringer Ingelheim Indonesia Rp5,485.00

Ginkgo biloba, Ginseng

Asam traneksamat 250 mg tab

500 mg tab Asam traneksamat 500 mg tab

Asam traneksamat 500 mg inj

Transamin Inj 100 mg/ml

Asam traneksamat inj 50 mg/ml

Asam traneksamat 250 mg inj

ASAM TRANEKSAMAT INJEKSI 2

Phytonadione tablet PHYTOMENADION Tab 10 mg

Faktor VIII (konsentrat)

Faktor VIII (konsentrat)

2.14 Antikoagulan, Anti Platelet, Fibrinolitik

PULMICORT RESPULES 0.25 M

PT. ETHICA Rp44,000.00

FAHRENHEIT Rp. 8,250

PT DEXA MEDICA Rp1,666.67

PT. HEXPHARM JAYA Rp1,416.67

PT. HEXPHARM JAYA Rp1,833.33

PT DEXA MEDICA Rp1,945.00

AT 500MG/5ML INJ Rp4,504.50

PT DEXA MEDICA Rp1,748.00

NOVELL PHARMACEUTICAL LABOR Rp3,440.80

MAHAKAM BETA FARMA Rp3,960.00

KIMIA FARMA Rp.1,899,999

PT DARYA VARIA LABORATORIA #VALUE!

PT NICHOLAS LABORATORIES IND Rp.157

DEXA MEDICA Rp.3,762,000

PT.TANABE INDONESIA Rp.248,920

DAEWONG INFION Rp77,002.20

DAEWONG INFION Rp99,003.30