DAFTAR HARGA OBAT TABLET JKK 2018

BENTUK HARGA +
NO NAMA OBAT 20%
SEDIAAN PPN
1 ACARBOSE TAB TABLET 1,100 1,650
2 ACETOSAL 100 MG TAB TABLET 500 600
3 ACETRAM TAB TABLET 10,500 15,750
4 ACETRAN FC TAB TABLET 9,500 11,400
5 ACTAPIN TAB TABLET 17,000 20,400
6 ACTOS 15 MG TAB TABLET 10,500 12,600
7 ACYCLOVIR 200 MG TAB TABLET 1,000 1,200
8 ACYCLOVIR 400 MG TAB TABLET 1,000 1,200
9 ALARVASTATIN TAB TABLET 9,000 10,800
10 ALBENDAZOLE TAB TABLET 700 840
11 ALDACTON 25 MG TAB TABLET 2,300 2,760
12 ALDISA TAB TABLET 6,500 9,750
13 ALINAMIN F TAB TABLET 1,500 1,800
14 ALLOGAN TAB TABLET 1,000 1,200
15 ALLOPURINOL 100 MG TAB TABLET 500 600
16 ALLOPURINOL 300 MG TAB TABLET 500 600
17 ALOVEL TAB TABLET 13,500 16,200
18 ALPRAZOLAM 0.5 MG TAB TABLET 800 960
19 ALPRAZOLAM 1 MG TAB TABLET 1,200 1,800
20 AMARYL 1 TAB TABLET 5,000 6,000
21 AMARYL 2 TAB TABLET 8,000 9,600
22 AMARYL 3 TAB TABLET 7,300 8,760
23 AMARYL 4 TAB TABLET 8,000 9,600
24 AMARYL M 2 MG TAB TABLET 8,500 10,200
25 AMBROXOL 30 MG TAB TABLET 300 360
26 AMINOPHYLIN TAB TABLET 500 600
27 AMITRIPHYLIN 25 MG TAB TABLET 500 600
28 AMLODIPIN 10 MG TAB TABLET 500 600
29 AMLODIPIN 5 MG TAB TABLET 500 600
30 AMOXICILIN 500 MG CAP TABLET 500 600
31 AMOXSAN 500 MG CAP TABLET 4,400 5,280
32 ANASTAN TAB TABLET 500 600
33 ANFIX 200 MG TAB TABLET 32,000 38,400
34 ANFIX 100 MG TAB TABLET 23,000 27,600
35 ANTALGIN TAB TABLET 150 180
36 ANTASIDA TAB TABLET 200 240
37 ANTIPRESTIN 10 MG TAB TABLET 3,800 4,560
38 ANTIPRESTIN 20 MG TAB TABLET 6,000 7,200
39 ANTRAIN TABLET 12,100 14,520
40 APTOR 100 MG TAB TABLET 1,000 1,200
41 ARCOXIA 120 MG TAB TABLET 22,800 27,360
42 ARCOXIA 60 MG TAB TABLET 14,000 16,800
43 ARCOXIA 90 MG TAB TABLET 20,000 24,000
44 ARDIUM 500 TAB TABLET 10,000 12,000
45 ARDIUM TAB TABLET 11,000 13,200
46 ARTEFIT TAB TABLET 16,500 19,800
47 ARTEPID TAB TABLET 17,000 20,400
48 ASAM FOLAT TAB TABLET 300 360
49 ASAM MEFENAMAT 500 MG TAB TABLET 500 600
50 ASAM TRANEKSAMAT TAB TABLET 1,950 2,340
51 ASPAR K TAB TABLET 4,500 5,400
52 ASPILET TAB TABLET 700 840
53 ATORVASTATIN 20 MG TAB TABLET 4,000 4,800
54 ATRAIN TAB TABLET 30,500 36,600
55 AUGMENTIN TAB TABLET 12,000 14,400
56 AVOCEL TAB TABLET 7,000 8,400
57 AVODART 0,5MG CAP TABLET 10,000 12,000
58 AXOVIL 5 MG TAB TABLET 7,000 8,400
59 AZITROMYCIN 500 MG TAB TABLET 2,500 3,000
60 AZTRIN TAB TABLET 20,000 24,000
61 BAMGETOL (CARBAMAZEPIM) 200MG TAB TABLET 2,500 3,000
62 BECOM C TAB TABLET 1,700 2,040
63 BERNOFLOX TAB TABLET 14,500 17,400
64 BETAHISTIN 6 MG TAB TABLET 500 600
65 BETARHIN TAB TABLET 4,500 5,400
66 BICNAT TAB TABLET 500 600
67 BICROLID TAB TABLET 13,000 15,600
68 BIO ATP TAB TABLET 3,500 4,200
69 BIO STRATH TABLET 10,500 12,600
70 BIO STROTIL TAB TABLET 10,500 12,600
71 BISOLVON TAB TABLET 2,000 2,400
72 BISOPROLOL 5 MG TAB TABLET 1,500 1,800
73 BRACIDIN TAB TABLET 2,500 3,000
74 BRAINOLIN TAB TABLET 12,500 15,000
75 BRALIN 500 MG TAB TABLET 12,000 14,400
76 BUSCOPAN PLUS TAB TABLET 4,500 5,400
77 BUSCOPAN TAB TABLET 4,000 4,800
78 CALCIUM LACTAS TAB TABLET 300 360
79 CALOS TAB TABLET 1,100 1,320
80 CALSIRO TAB TABLET 4,000 4,800
81 CAMABION/HUFABION CAP TABLET 500 600
82 CANDESARTAN 16 MG TAB TABLET 3,700 4,440
83 CAPTOPRIL 12,5 MG TAB TABLET 300 360
84 CAPTOPRIL 25 MG TAB TABLET 300 360
85 CARDIO ASPIRIN TAB TABLET 2,000 2,400
 86 CARDISMO TAB TABLET 3,600 4,320
87 CATAFLAM 50 MG TAB TABLET 7,000 8,400
88 CAVIT D3 TAB TABLET 2,300 2,760
89 CDR TAB TABLET 3,000 3,600
90 CEBIVO TAB TABLET 62,500 75,000
91 CEDOCARD 10 MGTAB TABLET 2,000 2,400
92 CEDOCARD 5 MG TAB TABLET 1,500 1,800
93 CEFADROKSIL 500 MG CAP TABLET 500 600
94 CEFAT 500 MG TAB TABLET 12,000 14,400
95 CEFILA 100 MG TAB TABLET 25,000 30,000
96 CEFIXIME 100 MG CAP TABLET 1,400 1,680
97 CELEBREX 200 MG TAB TABLET 19,000 22,800
98 CETIRIZINE 10 MG TAB TABLET 500 600
99 CHANNA 500 MG CAPS TABLET 8,000 9,600
100 CHONDRO PA TAB TABLET 7,000 8,400
101 CILOSTAZOL 100 MG TAB TABLET 12,250 14,700
102 CILOSTAZOL 50 MG TAB TABLET 5,000 6,000
103 CIMETIDINE TAB TABLET 500 600
104 CIPROFLOXACIN 500 MG TAB TABLET 800 960
105 CITICOLIN 500 MG TAB TABLET 2,500 3,000
106 CITION 500 MG TAB TABLET 8,600 10,320
107 CLARITROMICYN 500 MG TAB TABLET 33,500 40,200
108 CLARITROMYCIN 250 MG TAB TABLET 13,500 16,200
109 CLICOZAM TAB TABLET 5,200 6,240
110 CLINDAMEC 300 MG TAB TABLET 7,500 9,000
111 CLINDAMYCIN 150 MG TAB TABLET 1,000 1,200
112 CLINDAMYCIN 300 MG TAB TABLET 1,700 2,040
113 CLOBAZAM TAB TABLET 1,500 1,800
114 CLONIDIN 0,15 MGTAB TABLET 400 480
115 CLOPIDOGREL 75 MG TAB TABLET 3,100 3,720
116 CLOZAPIM 25 MG TAB TABLET 4,000 4,800
117 CLOZARIL 25 MG TABLET 11,000 13,200
118 CO AMOXICLAV 625 MG TAB TABLET 5,700 6,840
119 COLINAR TAB TABLET 15,000 18,000
120 CONCOR 2.5 MG TAB TABLET 800 960
121 CONCOR 5 MG TAB TABLET 1,000 1,200
122 CONCOR TAB TABLET 1,000 1,200
123 CORDARON TAB TABLET 8,200 9,840
124 CORTIDEX TABLET 500 600
125 COTRIMOXAZOLE 480 MG TAB TABLET 500 600
126 CRAVOX TAB TABLET 47,000 56,400
127 CTM TAB TABLET 300 360
128 CURCUMA TAB TABLET 1,000 1,200
129 CYCOZAM 25 MG TAB TABLET 5,200 6,240
130 DECUBAL 20 GR CREAM TABLET 26,500 31,800
131 DEHAF TABLET 15,600 18,720
132 DEPAKOTE 250 MG TAB TABLET 4,000 4,800
133 DEPAKOTE ER 500 MG TAB TABLET 7,500 9,000
134 DEXAFLOX 400 MG TAB TABLET 36,000 43,200
135 DEXAMETHASON TAB TABLET 300 360
136 DEXKETOPROFEN TAB TABLET 7,600 9,120
137 DEXTAMIN TAB TABLET 2,500 3,000
138 DIAFORM TAB TABLET 500 600
139 DIAMICRON 80 MG TAB TABLET 4,800 5,760
140 DIAMICRON MR 60 MG TAB TABLET 4,000 4,800
141 DIATAB TAB TABLET 1,000 1,200
142 DICLOVIT TAB TABLET 4,000 4,800
143 DIGOXIN 0,25 MG TAB TABLET 500 600
144 DILTIAZEM 20 MG TAB TABLET 500 600
145 DOMPERIDONE 10 MG TAB TABLET 500 600
146 DOPAMET TAB TABLET 2,500 3,000
147 DORNER TAB TABLET 10,000 12,000
148 DUAZAT TAB TABLET 20,000 24,000
149 DULCOLAX 5 MG TAB TABLET 1,600 1,920
150 ELOCON 10 GR TABLET 135,200 162,240
151 ELOVESS TABLET 4,000 4,800
152 ENATIN TAB TABLET 6,500 7,800
153 ENCEPHABOL TAB TABLET 5,000 6,000
154 ENERVON-C TAB TABLET 2,000 2,400
155 EPIVEN 300 MG CAP TABLET 12,500 15,000
156 ERYSANBE 250 MG TAB TABLET 1,900 2,280
157 ERYTHROMYCIN 250 MG TABLET 1,000 1,200
158 ETHAMBUTOL 500 MG TAB TABLET 800 960
159 EUPHYLIN TAB TABLET 4,100 4,920
160 EUTHYROX 100 MCG TAB TABLET 2,500 3,000
161 EXJADE TAB 500 MG TABLET 220,000 264,000
162 FARMOTEN TAB TABLET 1,000 1,200
163 FARNORMIN TAB TABLET 1,000 1,200
164 FENOFIBRATE 300 CAP TABLET 2,600 3,120
165 FIXOTIDE TAB TABLET 23,000 27,600
166 FLAGYL FORTE TAB TABLET 6,500 7,800
167 FLUCONAZOLE 150 MG TAB TABLET 2,500 3,000
168 FLUIMUCIL TAB TABLET 5,000 6,000
169 FLUNARIZIN 10 MG TAB TABLET 4,100 4,920
170 FLUNARIZIN 5 MG TAB TABLET 3,100 3,720
171 FORGESIC TAB TABLET 3,500 4,200
172 FORTIBI TAB TABLET 4,000 4,800
173 FUROSEMIDE 40 MG TAB TABLET 300 360
174 GALFLUX TAB TABLET 4,000 4,800
175 GALTROPIL 800 MG TAB TABLET 3,500 4,200
176 GARAM INGGRIS TABLET 5,000 6,000
177 GASTROLAN TAB TABLET 14,000 16,800
178 GEEBIO TROPICAL TAB TABLET 5,000 6,000
179 GENSIA 10 MG TAB TABLET 13,000 15,600
180 GENSIA 5 MG TAB TABLET 6,000 7,200
181 GERUMEN TAB TABLET 18,000 21,600
182 GG 100 MG TAB TABLET 300 360
183 GINGKANA TAB TABLET 7,500 9,000
184 GINSANA TAB TABLET 6,000 7,200
185 GLAUCON TAB TABLET 5,100 6,120
186 GLAUPEN TAB TABLET 13,500 16,200
187 GLIBENCLAMIDE TAB TABLET 500 600
188 GLIDABET TAB TABLET 700 840
189 GLIMEFION 2 MG TAB TABLET 5,000 6,000
190 GLIMIPIRIDE 1 MG TAB TABLET 700 840
191 GLIMIPIRIDE 2 MG TAB TABLET 1,300 1,560
192 GLIMIPIRIDE 3 MG TAB TABLET 1,900 2,280
193 GLIMIPIRIDE 4 MG TAB TABLET 2,300 2,760
194 GLIQUIDON 30 MG TAB TABLET 1,500 1,800
195 GLUCOBEY TAB TABLET 2,400 2,880
196 GLUCOPHAGE 850 MG TAB TABLET 2,500 3,000
197 GLUCOPHAGE XR 500 MG TAB TABLET 3,000 3,600
198 GLUCOSAMINE 250 MG TAB TABLET 1,000 1,200
199 GLUCOSAMINE 500 MG TAB TABLET 1,800 2,160
200 GLUCOTROL XL TAB TABLET 7,700 9,240
201 GLUCOVANCE TABLET TABLET 3,351 4,021
202 GRAVASK 5 MG TAB TABLET 6,000 7,200
203 GRISEOFULVIN 125 MG TAB TABLET 500 600
204 HALOPERIDOL 5 MG TAB TABLET 500 600
205 HARNAL OCAS TAB TABLET 8,400 10,080
206 HCT TABLET 1,000 1,200
207 HCT TAB TABLET 1,000 1,200
208 HEMOBION CAPSUL TABLET 2,000 2,400
209 HEPATIN TAB TABLET 6,000 7,200
210 HEXIMER 2MG TAB (TRIHEXYPHENIDRYL/THP) TABLET 3,000 3,600
211 HUFAGRIP TAB TABLET 500 600
212 HUFANOXIL TAB TABLET 1,000 1,200
213 HUFATICOL TAB TABLET 1,000 1,200
214 HUFAVICE TAB TABLET 1,500 1,800
215 HYDROXYUREA MEDAC 500 MG TAB TABLET 8,500 10,200
216 HYTRIN TABLET TABLET 12,200 14,640
217 IBERET FOLIC 500 ML TAB TABLET 4,600 5,520
218 IBUPROFEN 400 MG TAB TABLET 500 600
219 IBUPROPEN 200 MG TAB TABLET 500 600
220 IMBOST TAB TABLET 6,700 8,040
221 IMODIUM TAB TABLET 10,000 12,000
222 IMUNOS KAPLET TABLET 10,000 12,000
223 IMUNOS PLUS KAPLET TABLET 13,000 15,600
224 INH 100 MG TAB TABLET 200 240
225 INH 300MG TAB TABLET 500 600
226 INH 400 MG TAB TABLET 1,000 1,200
227 INHIPRAZ 30 ML TAB TABLET 16,000 19,200
228 INTERHISTIN TAB TABLET 1,000 1,200
229 IRBESARTAN 150 MG TAB TABLET 2,600 3,120
230 IRBESARTAN 300 MG TAB TABLET 3,500 4,200
231 ISDN 5 MG TAB TABLET 500 600
232 KALIUM DIKLOPENAK 50 MG TABLET 1,000 1,200
233 KALMETASON TAB TABLET 500 600
234 KALXETIN 10 MG TAB TABLET 5,000 6,000
235 KALXETIN 20 MG TAB TABLET 8,000 9,600
236 KALXETIN TAB TABLET 9,650 11,580
237 KETESSE TAB TABLET 7,000 8,400
238 KETOKONAZOLE 200 MG TAB TABLET 1,000 1,200
239 KETOPROFEN 100 MG TAB TABLET 1,800 2,160
240 KETOPROFEN 50 MG TAB TABLET 1,000 1,200
241 KETOROLAC 10MG TAB TABLET 4,200 5,040
242 KETOSTERIL TAB TABLET 10,000 12,000
243 KOLKATRIOL CALCITRIOL TAB TABLET 8,500 10,200
244 KOLKATRIOL F CALCITRIOL TAB TABLET 10,000 12,000
245 KSR TAB TABLET 2,300 2,760
246 LACOPHEN TAB TABLET 5,000 6,000
247 LACTO B TAB TABLET 5,000 6,000
248 LACTOPAIN 30 MG TAB TABLET 38,000 45,600
249 LACTRIN TAB TABLET 5,500 6,600
250 LAGESIL TAB TABLET 1,500 1,800
251 LAMESON TAB TABLET 5,000 6,000
252 LANSOPRAZOLE 30 MG TAB TABLET 1,200 1,440
253 LANVEL 30 MG TAB TABLET 16,500 19,800
254 LAPIBAL TAB TABLET 1,100 1,320
255 LAPIFED TAB TABLET 2,800 3,360
256 LAPIFLOX 500 MG TAB TABLET 19,000 22,800
257 LAPIMOX TAB TABLET 3,800 4,560
258 LAPISIV T TAB TABLET 1,500 1,800
259 LASGAN TAB TABLET 20,000 24,000
260 LASIX TAB TABLET 4,800 5,760
261 LASMALIN 2,5 MG TAB TABLET 1,500 1,800
262 L-BIO SACHET / GEBIO TABLET 10,000 12,000
263 LESICHOL 300 MG TAB TABLET 12,600 15,120
264 LESIPAR TAB TABLET 4,800 5,760
265 LEVOBAN TAB TABLET 4,700 5,640
266 LEVOFLOXACIN 500 MG TAB TABLET 1,200 1,440
267 LEVOPAR / LEVOBEN TAB TABLET 2,800 3,360
268 LEVOVID TAB TABLET 33,500 40,200
269 LIBRAX TAB TABLET 2,500 3,000
270 LIFLOX 400 TAB TABLET 25,000 30,000
271 LINCOLIN TAB TABLET 12,500 15,000
272 LINCOMYCIN TAB TABLET 6,200 7,440
273 LIPITOR 20 MG TAB TABLET 25,100 30,120
274 LIPITOR TAB TABLET 19,000 22,800
275 LISINOPRIL 10 MG TAB TABLET 850 1,020
276 LISINOPRIL 5 MG TAB TABLET 500 600
277 LIVERCARE TAB TABLET 8,600 10,320
278 LODIA TAB TABLET 500 600
279 LORATADIN TAB TABLET 500 600
280 LOSARTAN 50 MG TAB TABLET 4,300 5,160
281 LOVENOX 0,6 TAB TABLET 49,500 59,400
282 LUFTEN 25 MG TABLET 6,000 7,200
283 LUFTEN TAB TABLET 6,500 7,800
284 LYCOVIT TAB TABLET 3,000 3,600
285 LYNORAL TAB TABLET 4,500 5,400
286 LYSAGOR TAB TABLET 1,200 1,440
287 MADECASSOL TAB TABLET 9,000 10,800
288 MADOPAR TAB TABLET 15,500 18,600
289 MAGTRAL TAB TABLET 3,000 3,600
290 MECOBALAMIN 500 MCG CAP TABLET 1,000 1,200
291 MECOPRAS TAB TABLET 12,500 15,000
292 MEDIAMER B6 TAB TABLET 3,800 4,560
293 MEFINAL TAB TABLET 1,800 2,160
294 MEGAZING TAB TABLET 3,000 3,600
295 MELOXICAM 15 MG TAB TABLET 1,000 1,200
296 MELOXICAM 7,5 MG TAB TABLET 500 600
297 MERISLON 12 MG TAB TABLET 8,000 9,600
298 MERISLON 6 MG TAB TABLET 5,000 6,000
299 MERISTIN TAB TABLET 3,000 3,600
300 MERTIGO 6 MG TAB TABLET 4,100 4,920
301 METANEURON TAB TABLET 2,000 2,400
302 METERGIN TAB TABLET 8,000 9,600
303 METFORMIN 500 MG TAB TABLET 500 600
304 METHOTREXATE TAB TABLET 31,000 37,200
305 METHYCOBAL TAB TABLET 4,500 5,400
306 METHYLCOBALAMIN TAB TABLET 500 600
307 METHYLPREDNISOLON 16 MG TAB TABLET 2,700 3,240
308 METHYLPREDNISOLON 4 MG TAB TABLET 500 600
309 METIFER TAB TABLET 5,000 6,000
310 METILERGOMETRIN TAB TABLET 3,200 3,840
311 METIOSON TAB TABLET 1,200 1,440
312 METOCLOPRAMIDE TAB TABLET 500 600
313 METRONIDAZOLE 500 MG TAB TABLET 500 600
314 MICARDIS 40 MG TAB TABLET 4,000 4,800
315 MICARDIS 80 MG TAB TABLET 7,000 8,400
316 MIKRODIOL TAB TABLET 9,000 10,800
317 MOLOCO TAB TABLET 4,000 4,800
318 MOVICOX TAB TABLET 17,000 20,400
319 MUCOSTA TAB TABLET 6,000 7,200
320 MUFACOBAL TAB TABLET 3,500 4,200
321 MYONAL TAB TABLET 6,000 7,200
322 MYONEP TAB TABLET 4,000 4,800
323 NALETAL TAB TABLET 15,000 18,000
324 NARFOK 8 MG TAB TABLET 30,500 36,600
325 NARFOZ 4 MG TAB TABLET 11,500 13,800
326 NATRIUM DIKLOFENAC 50 MGTAB TABLET 500 600
327 NATTO TAB TABLET 11,000 13,200
328 NEO MERCAZOLE TAB TABLET 1,000 1,200
329 NERIPROS 2 MG TAB TABLET 9,000 10,800
330 NEROFA/HUFANEURON TAB TABLET 600 720
331 NERVA PLUS TAB TABLET 2,500 3,000
332 NEUCITI TAB TABLET 12,000 14,400
333 NEURALGIN TAB TABLET 700 840
334 NEUROBION 5000 MCG TAB TABLET 3,200 3,840
335 NEUROBION TAB TABLET 2,000 2,400
336 NEUROFENAC TAB TABLET 5,000 6,000
337 NEUROGEN TABLET TABLET 2,953 3,544
338 NEUROTAM 1200 MG TABLET TABLET 8,564 10,277
339 NEUROTAM 400 MG TABLET TABLET 3,467 4,160
340 NEUROTAM 800 MG TABLET TABLET 5,611 6,733
341 NEW DIATAB TAB TABLET 1,000 1,200
342 NEXIUM TAB TABLET 22,000 26,400
343 NICOLA TAB TABLET 73,000 87,600
344 NIMOTOP TAB TABLET 10,000 12,000
345 NIMOTOP TAB TABLET 9,900 11,880
346 NIPEDIPIN TAB TABLET 500 600
347 NIXAVEN TAB TABLET 16,500 19,800
348 NONFLAMIN TAB TABLET 5,600 6,720
349 NOOTROPIL 1200 TAB TABLET 7,000 8,400
350 NOOTROPIL 800 TAB TABLET 6,600 7,920
351 NOPROSTOL TAB TABLET 14,000 16,800
352 NORVASK 10 MG TAB TABLET 18,000 21,600
353 NORVASK 5 MG TAB TABLET 9,000 10,800
354 NUDEP 50 TAB TABLET 17,000 20,400
355 OFLOXACIN 200 TAB TABLET 1,500 1,800
356 OFLOXACIN 400 TAB TABLET 1,500 1,800
357 OMEPRAZOLE 20 MG TAB TABLET 600 720
358 OMEPRAZOLE 30 MG TAB TABLET 500 600
359 OMESOLVON TAB TABLET 500 600
360 ONDANSENTRON 8 MG TAB TABLET 500 600
361 ORALIT TABLET 800 960
362 ORALIT SACHET TABLET 1,000 1,200
363 OSCAL 0,25 CAP TABLET 13,000 15,600
364 OSFIT TAB TABLET 1,700 2,040
365 OSMYCIN TABLET TABLET 6,645 7,974
366 OSSOPAN 800MG TABLET TABLET 4,430 5,316
367 OSTEOCAL TAB TABLET 1,100 1,320
368 OSTEOKOM TABLET TABLET 1,477 1,772
369 OSTEOVEL TAB TABLET 7,500 9,000
370 OSTOBON TAB TABLET 5,000 6,000
371 PANKREOFLAT TAB TABLET 4,000 4,800
372 PANTOPRAZOLE 20 MG TAB TABLET 10,000 12,000
373 PANTOPRAZOLE 40 MG TAB TABLET 11,000 13,200
374 PAPAVERIN TAB TABLET 500 600
375 PARACETAMOL TAB TABLET 500 600
376 PARIET TAB TABLET 24,000 28,800
377 PATRAL TAB TABLET 9,000 10,800
378 PENARON TAB TABLET 4,000 4,800
379 PHYTOMENADION TAB TABLET 1,000 1,200
380 PIOGLITAZONE 30 MG TAB TABLET 5,900 7,080
381 PIRACETAM 1200 MG CAP TABLET 1,300 1,560
382 PIRACETAM 400 MG KAPL TABLET 1,000 1,200
383 PIRACETAM 800 MG KAPL TABLET 1,500 1,800
384 PIRANTEL PAMOAT 250 MG TAB TABLET 1,000 1,200
385 PIROXICAM 10 MG TAB TABLET 500 600
386 PIROXICAM 20 MG TAB TABLET 500 600
387 PLAVIX 300 MG TAB TABLET 33,700 40,440
388 PLAVIX TAB TABLET 63,000 75,600
389 PLETAL 50 MG TABLET 11,000 13,200
390 PLEXION TAB TABLET 4,500 5,400
391 PONDEX TAB TABLET 1,500 1,800
392 PONSTAN TAB TABLET 2,500 3,000
393 PRAZOTEK TAB TABLET 15,000 18,000
394 PREDNISON TAB TABLET 200 240
395 PREGABALIN 75 MG TAB TABLET 9,300 11,160
396 PREMASTON TAB TABLET 6,000 7,200
397 PRENATAN DF TAB TABLET 3,600 4,320
398 PRIMPRAN TAB TABLET 1,500 1,800
399 PROFIM 100 MG TAB TABLET 20,000 24,000
400 PROMAVIT 60 SOFTCAPSUL TABLET 2,700 3,240
401 PROPANOLOL 10 MG TAB TABLET 500 600
402 PROPRANOLOL 10 MG TAB TABLET 500 600
403 PROVELYN 75 TAB TABLET 14,500 17,400
404 PULNA FORTE TAB TABLET 3,000 3,600
405 PURUBEX TABLET 5,585 6,702
406 PYRAZINAMIDE 500 MG TAB TABLET 400 480
407 QIDROX TABLET TABLET 12,994 15,593
408 RAMIPRIL 5 MG TAB TABLET 600 720
409 RANITIDIN 150 MG TAB TABLET 600 720
410 RECHOL 10 MG TAB TABLET 8,500 10,200
411 RECHOL 20 MG TAB TABLET 10,000 12,000
412 RECOLFAR TAB TABLET 6,300 7,560
413 RECUESTEIN TAB TABLET 5,500 6,600
414 REGUMAN TAB TABLET 4,500 5,400
415 RETAPHYL SR TAB TABLET 1,550 1,860
416 RICROLID 250 MG TAB TABLET 14,000 16,800
417 RIFAMPISIN 300 TAB TABLET 1,000 1,200
418 RIFAMPISIN 450 TAB TABLET 1,700 2,040
419 RIFAMPISIN 600 TAB TABLET 2,700 3,240
420 RIMSTAR 4FDC TAB TABLET 8,000 9,600
421 RINDOFLOX TAB TABLET 15,300 18,360
422 RINVOX TAB TABLET 30,000 36,000
423 RISPERIDON 1 MG TAB TABLET 3,000 3,600
424 RISPERIDON 2 MG TAB TABLET 3,200 3,840
425 RISTONAT TAB TABLET 104,000 124,800
426 SALBUTAMOL 2 MG TAB TABLET 300 360
427 SALBUTAMOL 4 MG TAB TABLET 500 600
428 SALOFALK 250 MG TAB TABLET 12,000 14,400
429 SANDIMUN 100 MG TAB TABLET 56,000 67,200
430 SANDIMUN 25 MG TAB TABLET 15,500 18,600
431 SANGOBION TAB TABLET 1,500 1,800
432 SANMOL TAB TABLET 700 840
433 SANPRIMA F TAB TABLET 3,250 3,900
434 SANPRIMA FORTE TAB TABLET 2,500 3,000
435 SEFRION TAB TABLET 0 0
436 SELKOM C TAB TABLET 2,100 2,520
437 SERBIVO TAB TABLET 62,500 75,000
438 SETRION TAB TABLET 17,000 20,400
439 SIBELIUM 10 MG TAB TABLET 18,000 21,600
440 SIBELLIUM 5 MG TAB TABLET 8,500 10,200
441 SIFROL 0,375 MG TAB TABLET 19,500 23,400
442 SIMARC 2 MG TAB TABLET 2,000 2,400
443 SIMFASTATIN 10 MG TAB TABLET 1,500 1,800
444 SIMVASTATIN 20 MG TAB TABLET 2,300 2,760
445 SINRAL 10 MG TAB TABLET 6,500 7,800
446 SINRAL 5 MG TAB TABLET 4,900 5,880
447 SISTENOL TAB TABLET 2,000 2,400
448 SIZORIL 25 MG TABLET 6,000 7,200
449 SPIRONOLAKTON 100 MG TAB TABLET 3,000 3,600
450 SPIRONOLAKTON 25 MG TAB TABLET 500 600
451 STARMUNO TAB TABLET 10,000 12,000
452 SULCOLON TAB TABLET 10,000 12,000
453 SULFAS FERROSUS TAB TABLET 300 360
454 SULFASAZINE 500 MG TAB TABLET 7,000 8,400
455 TENSIVAS 5 TAB TABLET 8,269 9,923
456 TEOSAL TABLET 500 600
457 TEXORATE TABLET 7,800 9,360
458 THIAMFENICOL TAB TABLET 1,300 1,560
459 THYRAX TAB TABLET 3,500 4,200
460 THYROZOL 10 MG TAB TABLET 2,300 2,760
461 THYROZOL 5 MG TAB TABLET 1,000 1,200
462 TIARYT TAB TABLET 5,000 6,000
463 TOCEF TAB TABLET 11,500 13,800
464 TOPEDEX TAB TABLET 7,600 9,120
465 TOREX TAB TABLET 20,500 24,600
466 TRAMADOL 50 MG CAP TABLET 500 600
467 TRAMAL TAB TABLET 8,500 10,200
468 TRAMILEN TAB TABLET 10,000 12,000
469 TRANSAMIN 250 TAB TABLET 1,500 1,800
470 TRANSAMIN 500 TAB TABLET 3,500 4,200
471 TREMENZA TAB TABLET 1,500 1,800
472 TRIATEC TAB TABLET 11,500 13,800
473 TRICOL TABLET TABLET 18,162 21,794
474 TRIHEXYPHENIDRYL/THP (ARKIN) TAB TABLET 900 1,080
475 TRIOSTE TABLET TABLET 9,823 11,788
476 TRIVEPSA TAB TABLET 11,500 13,800
477 TROFLAM 50 TAB TABLET 4,000 4,800
478 TROXANTIN TAB TABLET 12,000 14,400
479 UBESCO TAB TABLET 11,500 13,800
480 ULSICRAL TAB TABLET 500 600
481 ULTRACET TAB TABLET 8,500 10,200
482 UNALIUM 10 TAB TABLET 7,000 8,400
483 URIEF TAB TABLET 8,000 9,600
484 URINTER 100 MG TAB TABLET 5,500 6,600
485 URISPAS 200 MG TAB TABLET 7,300 8,760
486 UROTRACTIN KAP TABLET 4,700 5,640
487 URSODEOXYCHOLIC ACID 250 MG TAB (URDAFALK) TABLET 6,500 7,800
488 VALESC0 80 MG TAB TABLET 2,400 2,880
489 VALSATRAN 160 MGTAB TABLET 3,500 4,200
490 VENARON TAB TABLET 4,300 5,160
491 VENTOLIN TAB TABLET 3,000 3,600
492 VIDABION TAB TABLET 8,000 9,600
493 VIPALBUMIN TAB TABLET 8,000 9,600
494 VITABEX TAB TABLET 1,500 1,800
495 VITALAMIN TAB TABLET 3,000 3,600
496 VITAMIN B KOMPLEKS TAB TABLET 500 600
497 VITAMIN B12 TAB TABLET 500 600
498 VITAMIN B6 TAB (PYRIDOXINE) TABLET 500 600
499 VITAMIN C TAB TABLET 300 360
500 VOLTAREN TABLET TABLET 38,392 46,070
501 VOMETA TAB TABLET 5,000 6,000
502 VOMETRON 4 MG TAB TABLET 18,000 21,600
503 VOMISTOP TABLET TABLET 5,585 6,702
504 WIDOXIL TAB TABLET 12,000 14,400
505 XARELTO 20 MG TABLET 30,500 36,600
506 ZALDIAR TAB TABLET 12,000 14,400
507 ZEUFAR 500 MG TAB TABLET 14,500 17,400
508 ZEVIT C TABLET TABLET 19,003 22,804
509 ZIGAT 400 MG TAB TABLET 41,500 49,800
510 ZINC TAB TABLET 2,500 3,000
511 ZINCARE TAB TABLET 2,000 2,400
512 ZINKID TAB TABLET 5,100 6,120
513 ZISTIC TAB TABLET 35,000 42,000
514 ZYLMIC 300 MG TABLET 6,500 7,800
515 ZYLORIC 300 TAB TABLET 2,600 3,120
8
 DAFTAR HARGA ALAT KESEHATAN JKK 2018

BENTUK HARGA +
NO NAMA OBAT
SEDIAAN PPN
1 15 DEGREE KNIFE ALKES 105,000
2 ABOCATH 14 ALKES 4,500
3 ABOCATH 16 ALKES 4,500
4 ABOCATH 18 ALKES 10,500
5 ABOCATH 20 ALKES 10,500
6 ABOCATH 22 ALKES 10,500
7 ABOCATH 24 ALKES 10,500
8 ABOCATH 26 ALKES 20,300
9 ACCU SAFE -T-PRO UNO 20 ALKES 212,500
10 ACCUTREND CHOLESTEROL 25 STR ALKES 40,000
11 ADHESIVE WOUNDDRESSING 10X25 ALKES 37,000
12 ALKOHOL SWAB ALKES 500
13 ALKOHOL SWEB FIX 5CM X 10 CM ROLL ALKES 500
14 ALP ALKES 4,219,000
15 AMBUBAG BAYI MPM ALKES 200,000
16 APPASAMY AA 4255 VANNAS CAPSULUTOMY SCISSORS (CUR) ALKES 1,365,000
17 APPASAMY AA 4275 VANNAS CAPSULUTOMY SCISSORS ANG 11 MM ALKES 1,755,000
18 APRON PLASTIK ALKES 5,500
19 APRON PUTIH ALKES 5,500
20 AQRILIC LIQUID ALKES 572,000
21 AQRILIC POWDER ALKES 572,000
22 AQUASEL BRON 17X15 ALKES 368,500
23 ARM SLING L ALKES 39,000
24 ARM SLING M ALKES 39,000
25 ARM SLING S ALKES 39,000
26 ARTERI KLEM LURUS 14 CM ALKES 26,000
27 ASSUCRYL 1 USP METRIC 4 100 CM ALKES 100,000
28 ASSUCRYL 3/0 USP METRIC 2 75 CM ALKES 90,000
29 ASSUCRYL NO 2/0 CUTTING ALKES 90,000
30 ASSUCRYL NO 2/0 TAPPER ALKES 90,000
31 ASSUCRYL NO. 2 ALKES 115,000
32 ASSUCRYL NO. 3/0 CUTTING ALKES 90,000
33 ASSUCRYL NO. 3/0 TAPPER ALKES 90,000
34 ASSUCRYL NO. 4/0 CUTTING ALKES 95,000
35 ASSUCRYL NO. 4/0 TAPPER ALKES 90,000
36 ASSUCRYL NO. 5/0 CUTTING ALKES 90,000
37 ASSUCRYL NO. 5/0 TUPPER ALKES 90,100
38 BAJU+CELANA OK L ALKES 179,000
39 BAJU+CELANA OK M ALKES 179,000
40 BAJU+CELANA OK XL ALKES 179,000
41 BAK INSTRUMEN 509+TUTUP ALKES 58,500
42 BALON TENSI RIESTER ALKES 148,000
43 BATERY NI-MH ALKES 1,378,000
44 BENANG CHROMIK 2 ALKES 32,000
45 BENANG CHROMIK 2/0 ALKES 20,000
46 BENANG CHROMIK NO. 1 ALKES 22,000
47 BENANG CHROMIK NO. 2 ALKES 32,000
48 BENANG PLAN 1 ALKES 25,000
49 BENANG CATGUT CHROM 2/0 100M ALKES 19,700
50 BENANG CATGUT CHROM 3/0 100M ALKES 23,000
51 BENANG CATGUT CHROMIC 3 50M ALKES 35,000
52 BENANG CATGUT PLAIN 0 75M ALKES 21,000
53 BENANG CATGUT PLAIN 1 75M ALKES 30,000
54 BENANG CATGUT PLAIN 2 50 M ALKES 23,500
55 BENANG CATGUT PLAIN 2/0+JARUM SACHET ALKES 85,600
56 BENANG CATGUT PLAIN 3 50M ALKES 35,000
57 BENANG CATGUT PLAIN 3/0 100M ALKES 20,000
58 BENANG CHROMIK 3/0 ALKES 17,000
59 BENANG CHROMIK NO. 3 ALKES 35,000
60 BENANG ETHICON PDS II NO.1 CTX ALKES 160,000
61 BENANG MONOSLOW 2/0 CUTTING ALKES 80,000
62 BENANG MONOSLOW 2/0 TAPPER ALKES 79,000
63 BENANG MONOSLOW 3/0 CUTTING ALKES 79,000
64 BENANG MONOSLOW 3/0 TAPPER ALKES 80,000
65 BENANG MONOSLOW 4/0 CUTTING ALKES 79,000
66 BENANG MONOSLOW 4/0 TAPPER ALKES 80,000
67 BENANG MONOSOF 2/0 75CM CUTTING ALKES 79,000
68 BENANG MONOSOF 3/0 CUTTING 90CM ALKES 61,000
69 BENANG MONOSOF 4/0 CUTTING 90CM ALKES 75,000
70 BENANG MONOSOF 5/0 ALKES 75,000
71 BENANG MONOSOF 6/0 ALKES 84,000
72 BENANG PLAN 2 ALKES 49,000
73 BENANG PLAN 2/0 ALKES 24,500
74 BENANG POLYSORB NO. 0 CL 904 ALKES 125,000
75 BENANG POLYSORB NO. 1 CL 915 ALKES 140,000
76 BENANG POLYSORB NO. 2 CL 906 ALKES 150,000
77 BENANG POLYSORB NO. 2/0 CUTTING ALKES 160,000
78 BENANG POLYSORB NO. 2/0 TAPPER ALKES 125,000
79 BENANG POLYSORB NO. 3/0 CUTTING ALKES 125,000
80 BENANG POLYSORB NO. 3/0 TAPPER ALKES 125,000
81 BENANG POLYSORB NO. 4/0 CUTTING ALKES 125,000
82 BENANG POLYSORB NO. 4/0 TAPPER ALKES 125,000
83 BENANG POLYSORB NO. 5/0 CUTTING ALKES 160,000
84 BENANG POLYSORB NO. 5/0 TAPPER ALKES 171,000
85 BENANG PREMILENE 7/0 2XDRC10 ALKES 235,500
86 BENANG SACHET CHROM 1 ALKES 106,600
 87 BENANG SACHET CHROM 2 ALKES 102,000
88 BENANG SACHET CHROMIC 2/0 ALKES 7,800
89 BENANG SACHET PLAIN 1 ALKES 30,000
90 BENANG SACHET PLAIN 2 ALKES 102,000
91 BENANG SACHET PLAIN 3/0 ALKES 8,000
92 BENANG SACHET SILKAM 1 ALKES 98,500
93 BENANG SILK 2/0 ALKES 624,000
94 BENANG SILK 2/0 TAPER ALKES 109,109
95 BENANG SILK 3 ALKES 515,000
96 BENANG SILK 3/0 + JARUM SACHET ALKES 8,000
97 BENANG SILK 4/0 VIGILENZ ALKES 40,300
98 BENANG SILK BLACK 1 75M ALKES 8,500
99 BENANG SILK BLACK 2 50M ALKES 8,500
100 BENANG SILK BLACK 2/0 100M ALKES 8,500
101 BENANG SILK BLACK 3 50M ALKES 8,500
102 BENANG SILK BLACK 4/0 ALKES 40,300
103 BENANG SILK BLACK NO. 3/0 100M ALKES 8,500
104 BENANG SILK USP NO.1 ALKES 624,000
105 BENANG SOFSILK NO. 1 ALKES 62,000
106 BENANG SOFSILK NO. 2/0 75 CM CUTTING ALKES 84,000
107 BENANG SOFSILK NO. 2/0 75 CM TAPPER ALKES 72,000
108 BENANG SOFSILK NO. 3 ALKES 66,000
109 BENANG SOFSILK NO. 3/0 CUTTING 75CM ALKES 72,000
110 BENANG SOFSILK NO. 3/0 TAPPER 75CM ALKES 71,000
111 BENANG SOFSILK NO. 4/0 TUPPER ALKES 68,000
112 BENANG SURGILACTRIN NO 6/0 TUPPER ALKES 125,000
113 BENANG SURGIPRO 3/0 TAPER ALKES 200,000
114 BENANG SURGIPRO 4/0 TAPER ALKES 168,000
115 BENANG SURGIPRO 7/0 ALKES 224,000
116 BENANG T.VIO BP 2/0 ALKES 125,000
117 BENANG T.VIO V 122 ALKES 140,000
118 BENANG T-BOND POLYESTER 1 ALKES 122,600
119 BENANG T-VIO 8-0 ALKES 160,200
120 BENANG VICRIL NO. 0 ALKES 125,000
121 BENANG VICRIL NO. 3/0 ALKES 125,000
122 BENANG VICRIL NO. 4/0 ALKES 125,000
123 BENANG VICRIL NO.1 1METER ALKES 89,500
124 BENANG VICRYL NO. 1 ALKES 140,000
125 BENANG WEGO PGA TAPER ALKES 66,000
126 BENANG ZYDE 1 ALKES 13,000
127 BENANG ZYDE 1/0 ALKES 13,000
128 BENANG ZYDE 2/0 ALKES 10,000
129 BENANG ZYDE 3 ALKES 22,000
130 BENANG ZYDE 3/0 ALKES 9,000
131 BIPOLAR ALKES 27,170,000
132 BLOOD BAG 350ML TERUMO ALKES 52,000
133 BLUE TIP ALKES 130,000
134 BOHLAM LARINGNOSCOPE RIESTER DEWASA ALKES 222,727
135 BONE WAX 2,5 GR ALKES 110,500
136 BOTOL 10 ML TUTUP PINK ALKES 1,300
137 BOTOL 100 ML TUTUP MERAH ALKES 1,000
138 BOTOL 200 CC ALKES 5,000
139 BOTOL 300 CC ALKES 4,000
140 BOTOL DODOT ALKES 18,000
141 BRUSH ANTISEPTIC SURGICAL ALKES 19,500
142 CAMELUX ALKES 15,000
143 CANGKANG CAPSUL KOSONG 3 ALKES 200
144 CANGKANG CAPSUL NO.0 ALKES 200
145 CANGKANG KAPSUL NO 0,0 ALKES 200
146 CANISTER ALKES 815,500
147 CATGUT PLAIN 3/0 + JARUM SACHET ALKES 7,800
148 CATHETER 10 ALKES 15,000
149 CATHETER 12 ALKES 80,000
150 CATHETER 14 ALKES 20,000
151 CATHETER 14 BARDIA ALKES 20,000
152 CATHETER 16 ALKES 20,000
153 CATHETER 18 ALKES 20,000
154 CATHETER 20 ALKES 20,000
155 CATHETER 20 CAB 3 ALKES 87,500
156 CATHETER 22 ALKES 20,000
157 CATHETER 22 CBG 3 ALKES 86,000
158 CATHETER 24 ALKES 18,000
159 CATHETER 24 CBG 3 ALKES 90,000
160 CATHETER 6 ALKES 30,000
161 CATHETER 8 ALKES 10,000
162 CATHETER 8 GEA ALKES 10,000
163 CATHETER SILICONE 16 ALKES 130,000
164 CATHETER SILICONE 18 ALKES 130,000
165 CATHETER WITH TROCARD ALKES 227,000
166 CERVICAL COLAR HEAD ALKES 231,500
167 CHAMBER BRITTE ALKES 145,500
168 CHOLESTEROL ALKES 1,377,000
169 CLAVE CONNETOR/TREEWAY ICU ALKES 62,500
170 COLLACURE ALKES 395,000
171 COLLAR 4090 OPO9 (L) SOFT ALKES 292,500
172 COLLAR 4090 OPPO (M) SOFT ALKES 292,500
173 COLLAR SP-223 (L) TULANG ALKES 227,500
174 COLLAR SP-223 (M) TULANG ALKES 227,500
175 COLOSTOMY BAG 3 CM ALKES 10,000
176 CONDOM CATHETER L ALKES 6,500
177 CONDOM CATHETER M ALKES 20,000
178 CRP+STD ALKES 6,955,000
179 CRUTCH/TONGKAT ALKES 250,000
180 CURAPOR 10X15 CM ALKES 13,000
181 CUTTING LOOP STORS 24 CH ALKES 1,179,750
182 CVC NO. 3 ALKES 850,000
183 CVC NO. 4 ALKES 1,416,500
184 CVC NO. 5 ALKES 1,121,000
185 CVC NO.7 ALKES 768,000
186 CVP 12 ALKES 994,500
187 DANSAC ALKES 40,000
188 DANSAC REF 321-15 ALKES 39,000
189 DBL LUMEN SET ALKES 1,041,000
190 DEBLUDEMEN 3 ALKES 850,000
191 DEBLUDEMEN 4 ALKES 1,393,500
192 DEBLUDEMEN 5 ALKES 1,393,500
193 DEBLUDEMEN 7,5 ALKES 71,800
194 DEBLULUMEN NO.10 ALKES 1,394,000
195 DEFRIBILATOR PRIMEDIC DEFI N ALKES 3,500,000
196 DELTA 10.24 CM ALKES 86,450
197 DELTA 12.5 ALKES 219,433
198 DELTA 7 INC ALKES 169,885
199 DELTA DRY 10CMX2,4 M ALKES 191,119
200 DELTA DRY 3 INC ALKES 75,000
201 DELTA DRY 4 INC ALKES 97,000
202 DELTA DRY 5 CMX2,4 CM ALKES 74,500
203 DELTA DRY 7,5 CMX2,4M ALKES 78,083
204 DELTA LITE 3 INC ALKES 191,000
205 DELTA LITE 4 INC ALKES 214,000
206 DELTA LITE 5 INC ALKES 246,000
207 DENTAL SYRINGE PAKISTAN ALKES 110,000
208 DIACLEANER 1 LT ALKES 583,000
209 DIADIFTON ARGOS/PENTA 20 L ALKES 5,183,000
210 DIAFIX EO 5 DIFF.P60 1 LT ALKES 2,993,000
211 DIALYSE-ARGOS/PENTA 0,4 LT ALKES 6,755,000
212 DIALYSE-BASO II 1 LT ALKES 2,993,000
213 DIHL 26X36 CM ALKES 4,816,000
214 DIHL 35X43 CM ALKES 4,072,000
215 DIHT 25.7X36.4 CM ALKES 2,659,000
216 DOCTOR CAP SELLA ALKES 975,000
217 DOEK STERIL ALKES 5,000
218 DOUBLE J STEND 5 FR CLOSE END WITHOUT GUIDE WIRE ALKES 260,000
219 DOUBLE 'J' STENT 6 FR ALKES 390,000
220 DOUBLE LUMEN 12 ALKES 1,082,500
221 DRIL 1,1X50 9MM ALKES 1,491,100
222 DRIL BIT 2.7 ATHIQA ALKES 500,500
223 DRIL BOR 1.8X50 MM STOP ALKES 1,804,400
224 DRILL BIT ARKARIM ALKES 1,498,700
225 DRILL BOR 1,1MMX7MM ALKES 1,499,000
226 ECG PAPER HM 8090/280 ALKES 130,000
227 ELASTIS VERBAN 3" ALKES 74,750
228 ELASTIS VERBAN 4" ALKES 90,340
229 ELASTIS VERBAN 6" ALKES 118,868
230 ELASTOMUL HAFT 10 CM ALKES 56,000
231 ELASTOMUL HAFT 8 CM ALKES 47,000
232 ELECTRODA ALKES 2,000
233 ENEMA SET ALKES 23,500
234 EQUCEL 5 X 7.5 CM ALKES 307,000
235 EQUIWAX 2,5 GR ALKES 129,500
236 ERYCLONE ANTI A ALKES 161,000
237 ERYCLONE ANTI B ALKES 161,000
238 ETHILON 10/0 U7003 30 CM ALKES 39,000
239 ETT 2.0 CAFF ALKES 90,000
240 ETT 2.0 NON CAFF ALKES 75,000
241 ETT 2.5 CAFF ALKES 55,000
242 ETT 2.5 NON CAFF ALKES 46,500
243 ETT 3.0 CAFF ALKES 54,000
244 ETT 3.0 NON CAFF ALKES 75,000
245 ETT 3.5 CAFF ALKES 54,000
246 ETT 3.5 NON CAFF ALKES 75,000
247 ETT 4.0 ALKES 45,000
248 ETT 4.5 ALKES 45,000
249 ETT 5.0 ALKES 45,000
250 ETT 5.5 ALKES 45,000
251 ETT 6.0 ALKES 45,000
252 ETT 6.5 ALKES 31,500
253 ETT 7.0 ALKES 45,000
254 ETT 7.5 ALKES 45,000
255 ETT 8.0 ALKES 54,000
256 ETT 8.5 ALKES 105,000
257 ETT KING 5.0 ALKES 451,100
258 ETT KING 5.5 ALKES 451,100
259 ETT KING 6.0 ALKES 240,000
260 ETT KING 6.5 ALKES 240,000
261 ETT KING 7.5 ALKES 240,000
262 ETT LOW PRESSURE CUFF NO 45 OK ALKES 54,000
263 ETT LOW PRESSURE CUFF NO 50 OK ALKES 54,000
264 ETT LOW PRESSURE CUFF NO 55 OK ALKES 54,000
265 ETT LOW PRESSURE CUFF NO 55 OK ALKES 54,000
266 ETT LOW PRESSURE CUFF NO 60 OK ALKES 54,000
267 ETT WITH LOW PRES CAFF ALKES 54,500
268 ETT WITH LOW PRESSURE CUFF NO. 20 ALKES 90,700
269 ETT WITH LOW PRESSURE CUFF NO. 65 ALKES 54,000
270 ETT WITH LOW PRESSURE CUFF NO. 7 ALKES 54,000
271 ETT WITH LOW PRESSURE CUFF NO. 75 ALKES 54,000
272 ETT WIYH LOW PRESSURE CUFF NO. 70 ALKES 54,000
273 ETTLOW PRESSURE CUFF NO. 65 ALKES 54,000
274 EUGENOL 15ML DENPRO ALKES 68,000
275 EXTA FUJI IX GP 1-1# EXTRA A3 ALKES 102,000
276 EXTENTION 150 CM 1,5 M TUBE ALKES 43,000
277 FILAPRO MESH 6X11 MERIL ALKES 580,000
278 FINGER COT ALKES 65,000
279 FORMALIN / PAKET ALKES 350,000
280 FROG SPLINT L ALKES 65,000
281 FROG SPLINT M ALKES 65,000
282 GAS N 20 BGA ISI TAB 30 KG ALKES 5,148,000
283 GELANG ANAK BIRU ALKES 1,500
284 GELANG ANAK PINK ALKES 1,500
285 GELANG TANGAN BLUE ALKES 5,000
286 GELANG TANGAN PINK ALKES 5,000
287 GLOVE PREMIUM PD POWDERED 6,5 ALKES 9,200
288 GRANUFOAM ALKES 1,373,000
289 GROUNDING PLATE CABLE SPLIT GC-04 ALKES 102,000
290 GUEDEL AIRWAY 00 50 MM ALKES 19,500
291 GUEDEL AIRWAY 1 70 MM PUTIH ALKES 19,500
292 GUEDEL AIRWAY 2 80 MM HIJAU ALKES 19,500
293 GUEDEL AIRWAY 3 90 MM KUNING ALKES 19,500
294 GUEDEL AIRWAY 4 100 MM MERAH ALKES 19,500
295 GUEDEL AIRWAY 5 110 MM ORANGE ALKES 19,500
296 GUEDEL AIRWAY UK 5 110 MM ALKES 19,500
297 GUIDEWIRE 0.035 150CM ALKES 195,000
298 GUIDEWIRE 3MM J-TIP 100CM 0.035 ALKES 650,000
299 GUNTING MAYO BENGKOK 19 CM MARTIN ALKES 1,625,000
300 GUNTING TATA BENGKOK 14CM ALKES 26,000
301 GUNTING TATA LURUS 14 CM ALKES 26,000
302 GYPSONA 3 INCH ALKES 33,700
303 GYPSONA 4 INCH ALKES 47,200
304 GYPSONA 6 INCH ALKES 62,000
305 HALOGEN LAMP A-25 ALKES 1,190,000
306 HANDSCOON 6 MPM/SURGICAL ALKES 5,000
307 HANDSCOON 6,5 GAMEX ALKES 15,000
308 HANDSCOON 6,5 MPM/SURGICAL ALKES 5,000
309 HANDSCOON 7 GAMMEX ALKES 15,000
310 HANDSCOON 7,5 GAMEX ALKES 15,000
311 HANDSCOON 7.5 MPM/SURGICAL ALKES 5,000
312 HANDSCOON 8 GAMMEX ALKES 15,000
313 HANDSCOON 8 MRM SURGICAL ALKES 4,000
314 HANDSCOON DISPOSSIBLE ALKES 5,000
315 HANDSCOON L ALKES 910
316 HANDSCOON M ALKES 910
317 HANDSCOON S ALKES 910
318 HANDSCOON SAVE GLOVE POWDER FREE 7 ALKES 10,400
319 HANSAPLAST ALKES 31,500
320 HANSCOON NON STERIL ALKES 50,000
321 HBSAG CASSETTLE ALKES 953,000
322 HEMASTER CLEAN 1 LT ALKES 1,690,000
323 HEMASTER DILUENT 20 L ALKES 3,690,000
324 HEMASTER LYSE 1 ALKES 5,265,000
325 HIPAFIX 1/2 ALKES 5,000
326 HYDROSORB GEL 15 G ALKES 26,000
327 HYPAPIX NO 5 ALKES 76,200
328 HYPAPIX OK ALKES 5,000
329 ID-DUFUENT 2500ML BIORAD ALKES 3,675,000
330 ID-LISS COOMBS CARD / BIORAD ALKES 183,800
331 IMPLAN ACRYLIC ALKES 1,072,500
332 INDIKATOR TAPE STEAM 3/4 ALKES 173,000
333 INFUSET MAKRO ALKES 12,000
334 INFUSET MAKRO TERUMO ALKES 12,500
335 INFUSET MIKRO ALKES 15,000
336 INFUSET TRANFUSI ALKES 36,000
337 INFUSET TRANSFUSI CAB 2 ALKES 40,000
338 IOL ACRYFOLD 601 P.20.50 ALKES 442,000
339 IOL ACRYFOLD 601 P.22 ALKES 442,000
340 JELLY OK ALKES 5,000
341 KAPAS GULUNG BESAR ALKES 32,000
342 KASA GULUNG ALKES 1,500
343 KASA GULUNG (B) ALKES 2,000
344 KASA GULUNG (K) ALKES 1,500
345 KASA GULUNG (OK) ALKES 10,000
346 KASA HIDROFIL ALKES 5,000
347 KERTAS CTG BISTOS ALKES 260,000
348 KERTAS EKG BESAR 63MMX30MX17MM ALKES 78,500
349 KERTAS EKG KECIL ALKES 78,500
350 KERTAS EKG SEDANG 58MMX25MX16MM ALKES 78,500
351 KING 7.0 ALKES 240,000
352 KTK LAMINARIA TENT ALKES 140,000
353 KY-JELLY ALKES 35,000
354 LAMINARIA MADGYN USA M ALKES 104,000
355 LAMINARIA MEDYAN USA L ALKES 104,000
356 LANCET (NALD KGD) ALKES 500
357 LEUKOPLAST ALKES 50,700
358 LMA SUPREME SINGLE USE SIZE 1 ALKES 753,000
359 LMA SUPREME SINGLE USE SIZE 1 ALKES 753,000
360 LMA SUPREME SINGLE USE SIZE 2 ALKES 753,000
361 LMA SUPREME SINGLE USE SIZE 3 ALKES 753,000
362 LMA SUPREME SIZE 4 ALKES 753,000
363 LUMATUL ALKES 18,000
364 MALLEOLAR SCREW 4,5 DIA 20 MM ALKES 199,700
365 MALLEORAL SCREW 4,5 DIA 25 MM ALKES 199,700
366 MALLEORAL SCREW 4,5 DIA 30 MM ALKES 199,700
367 MALLEORAL SCREW 4,5 DIA 35 MM ALKES 199,700
368 MALLEORAL SCREW 4,5 DIA 40 MM ALKES 199,700
369 MALLEORAL SCREW 4,5 DIA 45 MM ALKES 199,700
370 MALLEORAL SCREW 4,5 DIA 50 MM ALKES 199,700
371 MALLEORAL SCREW 4,5 DIA 55 MM ALKES 199,700
372 MALLEORAL SCREW 4,5 DIA 60 MM ALKES 199,700
373 MALLEORAL SCREW 4,5 DIA 65 MM ALKES 199,700
374 MALLEORAL SCREW 4,5 DIA 70 MM ALKES 199,700
375 MANSET ABN DEWASA 1 SELANG ALKES 162,500
376 MANSET ANAK RIESTER ALKES 137,000
377 MANSET DEWASA ABU-ABU RLESTER ALKES 162,500
378 MANSET DEWASA BIASA ALKES 45,500
379 MASKER ALKES 2,000
380 MASKER OKSIGEN BAYI ALKES 20,000
381 MASKER OXIGEN ANAK ALKES 20,000
382 MASKER OXIGEN DEWASA ALKES 20,000
383 MASKER REBREATHING ALKES 49,000
384 MASKER THE ONE (LOGISTIK) ALKES 1,900
385 MAXITUX DUPLEX 7 ALKES 15,000
386 METHANOL 1 LITER ALKES 28,600
387 MICROPORE 3 M ALKES 15,000
388 N2O 1/6 LITER ALKES 858,000
389 N2O 1/6 TABUNG ALKES 661,500
390 N2O 1/8 TABUNG ALKES 496,000
391 NALD BD ALKES 3,600
392 NALD HECTING E000 UNIMED OK ALKES 11,400
393 NALD HECTING GR 16 ALKES 2,000
394 NALD HECTING GR NO 5 ALKES 11,400
395 NALD HECTING GR NO. 10 ALKES 11,400
396 NALD HECTING GR NO. 10 ALKES 11,400
397 NALD HECTING GR NO. 11 ALKES 11,400
398 NALD HECTING GR NO. 12 ALKES 11,400
399 NALD HECTING GR NO. 13 ALKES 13,500
400 NALD HECTING GR NO. 6 ALKES 11,400
401 NALD HECTING GR NO. 7 ALKES 11,400
402 NALD HECTING GR NO. 8 ALKES 11,400
403 NALD HECTING GR NO. 9 ALKES 11,400
404 NALD HECTING GT NO 15 ALKES 17,500
405 NALD HECTING GT NO. 10 ALKES 13,600
406 NALD HECTING GT NO. 12 ALKES 11,400
407 NALD HECTING GT NO. 13 ALKES 11,400
408 NALD HECTING GT NO. 14 ALKES 11,400
409 NALD HECTING GT NO. 5 ALKES 16,250
410 NALD HECTING GT NO. 7 ALKES 13,600
411 NALD HECTING GT NO. 8 ALKES 13,600
412 NALD HECTING GT NO. 9 ALKES 13,600
413 NALD HECTING GT NO.16 ALKES 11,400
414 NALD HECTING PB 2 UNIMED ALKES 11,500
415 NALD HECTING PB NO. 5 ALKES 11,400
416 NALD NO 18 ALKES 500
417 NALD NO 23 ALKES 1,000
418 NALD NO 25 ALKES 1,500
419 NALD NO 26 ALKES 9,100
420 NALD NO 27 ALKES 1,000
421 NASAL OKSIGEN CANULLA ALKES 16,200
422 NASAL OXIGEN BAYI ALKES 13,500
423 NATURAL D/P 10 OPAQUE 70 MM ALKES 76,000
424 NATURAL STOMAHESIVE WAFER 70 MM ALKES 160,000
425 NEEDLE HOLDER MAYO HEGAR MARTIN 20 CM ALKES 195,000
426 NGT 10 ALKES 26,000
427 NGT 12 ALKES 31,500
428 NGT 14 ALKES 30,000
429 NGT 16 ALKES 10,000
430 NGT 18 ALKES 30,000
431 NGT 20 ALKES 20,000
432 NGT 3 ALKES 26,000
433 NGT 3,5 ALKES 35,000
434 NGT 5 ALKES 26,000
435 NGT 8 ALKES 26,000
436 NURSE CAP (TOPI) ALKES 5,000
437 NYLON 5/0 CUTTING 16 MM ALKES 32,890
438 OMNIFIX ELASTIC 5 CMX 10 M ALKES 157,200
439 OPHTHALMIT DRAPE ALKES 45,500
440 OPSITE ALKES 45,000
441 PAMPERS L ALKES 45,000
442 PAMPERS M ALKES 45,000
443 PAMPERS XL ALKES 55,000
444 PD DRIP ALKES 11,750
445 PENCIL COUTER ALKES 229,700
446 PERIFIX ALKES 403,000
447 PINSET ANATOMY 14 CM ALKES 13,000
448 PINSET CHIRUGIS 14 CM ALKES 13,000
449 PIPET HEMATOCYT ALKES 114,000
450 PIPET TRANSFER ALKES 1,000
451 PISAU OPERASI 10 ALKES 5,000
452 PISAU OPERASI 11 ALKES 5,000
453 PISAU OPERASI 15 ALKES 5,000
454 PISAU OPERASI 20 ALKES 5,000
455 PISAU OPERASI 22 ALKES 5,000
456 PISAU OPERASI 23 ALKES 5,000
457 PISAU OPERASI N0 24 ALKES 5,000
458 POLYHESIVE II ELEC E 7507/ELECTRODE ALKES 156,000
459 POMPA ASI ALKES 20,000
460 POT URINE 100 ML ALKES 2,000
461 PRO IV ALKES 6,000
462 PRO YV TRANSFARAN ALKES 5,500
463 PROBE DURASENSOR ADULT ALKES 2,925,000
464 PROBE EMS 1.0 MM ALKES 3,850,000
465 PROCIDE DISINFECTANT FOR MEDICAL ALKES 3,575,000
466 PROHAMIL ALKES 130,000
467 PTFE GULDEWIRE 0.038 ALKES 259,000
468 REAGENT ANTI A ALKES 195,000
469 REAGENT ANTI B ALKES 195,000
470 RECTAL TUBE NO. 24 ALKES 15,000
471 RECTAL TUBE NO. 26 ALKES 15,000
472 RECTAL TUBE NO. 28 ALKES 15,000
473 RECTAL TUBE NO. 32 ALKES 15,000
474 RED SEAL EMERGRNCY TROLLEY ALKES 1,300,000
475 REM POLYHESIVE ADULT (E-7507) ALKES 174,500
476 REM POLYHESIVE NEO NATAL ALKES 501,000
477 RESUSITATOR PVC MPM CHILD ALKES 293,000
478 RHOFINAL ANTI D ALKES 270,500
479 RIGHT SIGN DENGUE IGG&IGM ALKES 813,280
480 RIGHT SIGN FOB DEVICE ALKES 470,500
481 ROCHE CARDIAC D-DIMER 10 TEST ALKES 1,397,500
482 RUBBER ALKES 910,000
483 SAFEGLOVE SURGICAL PF NO 7 ALKES 10,400
484 SARUNG TANGAN OBGYM ALKES 32,500
485 SCHANZ SCREW 100 X 3,5 ALKES 429,000
486 SCHANZ SCREW 120 X 4 ALKES 429,000
487 SCHANZ SCREW 130 X 4 ALKES 429,000
488 SCHANZ SCREW 150 X 5 ALKES 429,000
489 SCHANZ SCREW 180 X 5 ALKES 429,000
490 SCHANZ SCREW 200 X 4,5 ALKES 429,000
491 SCREW 1.5 MM ALKES 557,700
492 SCREW 1.5X4MM REG STRAIGHT ALKES 597,740
493 SCREW 1.65X5MM REG STRAIGHT ALKES 597,740
494 SCREW 2.0 MM MANDIBULA ALKES 500,500
495 SCREW 2.0 MM X 11 MM ALKES 556,400
496 SCREW 2.4 MM ALKES 600,600
497 SCREW SISTEM 1.5 MAKSILA ALKES 500,500
498 SCREW SISTEM 2.4 10 MM ALKES 660,700
499 SCREW SISTEM 2.4 12 MM ALKES 697,840
500 SCREW TITANIUM 1,5 ALKES 357,500
501 SCREW TITANIUM 2.0/1.0 MM ALKES 564,000
502 SCREW TITANUM 1.5X5MM ALKES 500,500
503 SCREW TITANUM 2,0 PANJANG 7,0 MM ALKES 650,000
504 SCREW TITANUM 2.0 ALKES 500,500
505 SCREW TITANUM SISTEM 1.5 PJG 5 MM ALKES 530,400
506 SD BIOLINE DENGUE LGG/LGM ALKES 70,000
507 SELANG MASKER NEBULZR ALKES 40,000
508 SELANG O2 ANAK ALKES 7,000
509 SELANG O2 BAYI ALKES 13,000
510 SELANG O2 DEWASA ALKES 7,000
511 SELANG O2 SUNGKUP ANAK ALKES 31,500
512 SELANG O2 SUNGKUP BALON ANAK ALKES 31,500
513 SELANG O2 SUNGKUP BALON DEWASA ALKES 31,500
514 SELANG O2 SUNGKUP DEWASA ALKES 31,500
515 SELANG O2 SUNGKUP NEBULEZER ANAK ALKES 31,500
516 SELANG O2 SUNGKUP NEBULEZER DEWASA ALKES 31,500
517 SELANG SUCTION SILICON ALKES 1,625,000
518 SELANG SUNGKUP ALKES 40,000
519 SELANG SUNGKUP BAYI ALKES 32,500
520 SEMI TUBULAR L4 ALKES 727,400
521 SEMI TUBULAR L5 ALKES 766,700
522 SEMI TUBULAR L6 ALKES 806,000
523 SEMI TUBULAR L7 ALKES 846,700
524 SEMI TUBULAR L8 ALKES 887,400
525 SILICONE BIRTHVAC CUP SIZE 60 MM ALKES 992,000
526 SINGLE STEM TURP BALL ELECTRODA OLYMPUZ MONOPOLAR ALKES 1,377,000
527 SNAR WIRE ALKES 78,600
528 SNAR WIRE ALKES 78,600
529 SOFBAN 3 ALKES 30,000
530 SOFBAN 4 ALKES 37,500
531 SOFBAN 6 ALKES 52,300
532 SORBALGON 10X10 CM ALKES 158,812
533 SPINOCAIN NO 25 ALKES 42,000
534 SPINOCAIN NO 26 ALKES 42,000
535 SPINOCAIN NO 27 ALKES 50,000
536 SPUIT 0,05 ML ALKES 5,000
537 SPUIT 1 CC ONE MED ALKES 2,500
538 SPUIT 1 CC TRUMO ALKES 3,500
539 SPUIT 10 CC ONE MED ALKES 2,500
540 SPUIT 10 CC TRUMO ALKES 4,000
541 SPUIT 20 CC ONE MED ALKES 8,500
542 SPUIT 20 CC TERUMO ALKES 8,500
543 SPUIT 3 CC ONE MED ALKES 2,000
544 SPUIT 3 CC TRUMO ALKES 2,500
545 SPUIT 5 CC ONE MED ALKES 2,000
546 SPUIT 5 CC TERUMO ALKES 7,000
547 SPUIT 50 CC ONE MED ALKES 8,000
548 SPUIT 50 TERUMO ALKES 30,000
549 SPUIT 60 CC ONE MED ALKES 15,600
550 STA THROMBIN 2 ALKES 5,847,400
551 STABE MICRO 15 SHARPOINT 721501 ALKES 188,500
552 STARDEC BLUE TIP ALKES 200
553 STARDEC SAMPLE CUP 1,5ML ALKES 300
554 STEIMENT PIN 200 X 5 ALKES 399,400
555 STEIMENT PIN 5 X 180 MM ALKES 399,400
556 STERI GAS CARTRIDGES ALKES 3,703,700
557 STIK KGD ALKES 15,000
558 STIMOPLEX A300G22X2, 50MM ALKES 252,000
559 SUCTION 10 ALKES 7,000
560 SUCTION 12 ALKES 7,000
561 SUCTION 14 ALKES 7,000
562 SUCTION 16 ALKES 7,000
563 SUCTION 6 ALKES 7,000
564 SUCTION 8 ALKES 7,000
565 SUPRASORB A+AG ALKES 262,000
566 SUPRASORB C ALKES 458,500
567 SUPRASORB P ALKES 98,000
568 SUPRATUL ALKES 15,000
569 SURFIT OSTOMY APPLIANCE BELT ALKES 348,800
570 SURFIT TAIL CLOSURE ALKES 76,000
571 SURGICAL GOWN ONE MED DISPOSIBBLE UK XL ALKES 39,000
572 SURGICEL ALKES 241,500
573 SYR ABG PRESET 3 ALKES 15,000
574 SYRINGE PUMP AGILLIA ALKES 14,300,000
575 TAMPON THT ALKES 5,000
576 TEMPERATUR ALKES 13,000
577 TENSOPLAST ANAK ALKES 92,000
578 TENSOPLAST DEWASA ALKES 130,000
579 TERMOMETER ALKES 12,500
580 THERMAL PAPER 5.7 MM X 30 MLAB ALKES 28,500
581 THERMOHYGRO WITH KABEL MERK BNQ ALKES 260,000
582 THERMOMETER RUANGAN MANUAL GEA ALKES 21,500
583 THORACIC CATHETER WITH TROCARD ALKES 44,000
584 THROHANTER L11 ALKES 3,014,700
585 THROHANTER L5 ALKES 3,014,700
586 THROHANTER L7 ALKES 3,014,700
587 THROHANTER L9 ALKES 3,014,700
588 TIMBANGAN DIGITAL CAMRY 100 GR ALKES 293,000
589 TIMBANGAN OBAT DIGITAL+ACRYLIC ALKES 3,000,000
590 TLC L3 KANAN ALKES 2,346,115
591 TLC L3 KIRI ALKES 2,346,115
592 TLC L5 KANAN ALKES 2,346,115
593 TLC L5 KIRI ALKES 2,346,115
594 TLC L7 KANAN ALKES 2,346,115
595 TLC L7 KIRI ALKES 2,346,115
596 TLC L9 KANAN ALKES 2,346,115
597 TLC L9 KIRI ALKES 2,346,115
598 TOPI ALKES 5,000
599 TRACHEOSTOMY NO. 7,5 TUBE (PORTEX) ALKES 875,000
600 TREEWAY ALKES 5,000
601 TREEWAY BUNTUT ALKES 12,000
602 TREEWAY ICU ALKES 63,500
603 TROCARD NO. 16 ALKES 320,000
604 TROCARD NO. 20 ALKES 280,000
605 TROCARD NO. 24 ALKES 280,000
606 TROCARD NO. 28 ALKES 280,000
607 TROCARD NO. 32 ALKES 280,000
608 TRUWAX 2,5 GR ALKES 110,500
609 TURSO MALE URETER TEACHING MODEL GL-8405-3 ALKES 900,000
610 T-VIO EPISIOTOMY 2-0,90,TC,1/2,35/36 ALKES 78,500
611 UNDER PAD ALKES 10,000
612 URETERAL CATHETER FR 05/70CM OPEN TIP ALKES 407,000
613 URINE BAG ALKES 8,500
614 VAC TUBE JELLY ALKES 260,000
615 VACCUM SILICONE CUP 70 MM ALKES 975,000
616 VACU GEL DAN CLOT ACTV 4 ML ALKES 26,000
617 VACUM TUBE K3 EDTA PLASTIK ALKES 162,500
618 VERIFY URINE STRIP 10 PARAMETER ALKES 357,500
619 VICRYL 2/0 90 CM (T.VIO) ALKES 135,109
620 VIDAS D DIMER EXCLUSION ALKES 16,207,137
621 VIDAS TSH 60 TESTS ALKES 3,531,000
622 VIDAS ULTRA ALKES 3,217,000
623 WASHER 3,5 ALKES 151,000
624 WASHER 4,5 ALKES 199,700
625 WEGO NYLON 2/0 CUTTING 19 MM ALKES 33,000
626 WEGO NYLON 3/0 CUTTING 24 MM ALKES 33,000
627 WEGO NYLON 4/0 CUTTING ALKES 33,000
628 WING NALD ALKES 3,000
629 WOUNDDRAIN 400ML NO. 12 AXIMED ALKES 257,500
630 YELLOW TIP 1000'S ALKES 156,000
631 COUTER PEN BOVIE ARON ALKES 455,000
632 CRESCENT AA 562026 ALKES 99,000
633 CRESCENT KNIFE SHARPOINT 74-1010 ALKES 227,500
634 DOOP MATA LOKAL ALKES 19,500
635 EYE DRAPE 40X60 CM ALKES 39,000
636 IOL NASPRO 207 P. 18 ALKES 520,000
637 IOL NASPRO 207 P. 21.50 ALKES 520,000
638 IOL NASPRO 207 P. 19 ALKES 520,000
639 IOL NASPRO 207 P. 19.50 ALKES 520,000
640 IOL NASPRO 207 P. 20.50 ALKES 520,000
641 IOL APPALENS 101 (PMMA) P. 15 ALKES 91,000
642 IOL APPALENS 101 (PMMA) P. 17.50 ALKES 91,000
643 IOL APPALENS 101 (PMMA) P. 18 ALKES 91,000
644 IOL APPALENS 101 (PMMA) P. 19.50 ALKES 91,000
645 IOL APPALENS 101 (PMMA) P. 20 ALKES 91,000
646 IOL APPALENS 101 (PMMA) P. 20.50 ALKES 91,000
647 IOL APPALENS 101 (PMMA) P. 21 ALKES 91,000
648 IOL APPALENS 101 (PMMA) P. 22 ALKES 91,000
649 IOL NASPRO 207 P. 15 ALKES 520,000
650 IOL NASPRO 207 P. 17.50 ALKES 520,000
651 IOL NASPRO 207 P. 18 ALKES 520,000
652 IOL NASPRO 207 P. 22 ALKES 520,000
653 IOL NASPRO 207 P. 20 ALKES 520,000
654 IOL NASPRO 207 P. 21 ALKES 520,000
655 IOL APPALENS 101 P. 19 ALKES 91,000
656 IOL APPALENS 302 P. 18 ALKES 52,000
657 IOL NASPRO 207 P.14.0 ALKES 520,000
658 IOL NASPRO 207 P. 22.5 ALKES 520,000
659 IOL NASPRO 207 P. 23.0 ALKES 520,000
660 IOL APPALENS 101 P 14.0 ALKES 91,000
661 IOL APPALENS 101 P. 22.5 ALKES 91,000
662 IOL APPALENS 101 P.23.0 ALKES 91,000
663 IOL APPALENS 302 ANTERIOR P. 19.5 ALKES 91,000
664 IOL APPALENS 107 POSTERIOR P.21.0 ALKES 91,000
665 IOL APPALENS 302 INTERIOR 20.0 ALKES 91,000
666 IOL APPALENS 302 ANTERIOR P.20.5 ALKES 91,000
667 IOL NASPRO 207 P.24.5 ALKES 617,500
668 IOL APPALENS NASPRO 207 P.24.5 ALKES 52,000
669 IOL NASPRO 207 P.23.50 ALKES 520,000
670 IOL NASPRO 207 18.5 ALKES 520,000
671 IOL NASPRO 207 P. 17 ALKES 52,000
672 IOL NASPRO 207 P. 25 ALKES 617,500
673 IOL ACRYFOLD 601 P.11 ALKES 429,000
674 IOL ACRYFOLD 601 P.18.50 ALKES 442,000
675 IOL ACRYFOLD 601 P.19.50 ALKES 442,000
676 IOL ARCYFOLD 601 P.21 ALKES 442,000
677 IOL ACRYFOLD 601 P.21 ALKES 442,000
678 IOL ACRYFOLD 601 P.21.50 ALKES 442,000
679 IOL ACRYFOLD 601 P.24 ALKES 442,000
680 IOL APPALENS 302 P.16 ALKES 98,000
681 IOL ACRYFOLD 601 P.22.50 ALKES 442,000
682 IOL NASPRO 207 P. 08 ALKES 617,500
683 IOL NASPRO 207 P. 24 ALKES 520,000
684 IOL ACRYFOLD 601 P.20.50 ALKES 442,000
685 IOL ACRYFOLD 601 P.22 ALKES 442,000
686 KERATOME, SHARPOINT 72-2735 ALKES 234,000
687 MIO CHOI ALKES 52,000
688 NAGAHARA NUCLEUS CHOPPER PRECISEMEMED 1798-00 ALKES 4,550,000
689 OPHTHALMIT DRAPE ALKES 45,500
690 SHARPOINT 72-2735 SLIT KNIVES, 2.75MM ALKES 234,000
691 SHARPOINT 72-1501 STAB KNIVE 15 ALKES 188,500
692 SLIT KNIFE AA 562030 ALKES 312,000
693 STABE KNIFE SHARPOINT 72-1501 ALKES 188,500
694 STABE MICRO 15 SHARPOINT 721501 ALKES 188,500
695 STERILE EYE DRAPE 90X90 CM ALKES 45,000
696 TRYPAN BLUE ALKES 52,000
20%
126,000
5,400
5,400
12,600
12,600
12,600
12,600
24,360
255,000
48,000
44,400
600
600
5,062,800
240,000
1,638,000
2,106,000
6,600
6,600
686,400
686,400
442,200
46,800
46,800
46,800
31,200
120,000
108,000
108,000
108,000
138,000
108,000
108,000
114,000
108,000
108,000
108,120
214,800
214,800
214,800
70,200
 177,600
1,653,600
38,400
24,000
26,400
38,400
30,000
23,640
27,600
42,000
25,200
36,000
28,200
102,720
42,000
24,000
20,400
42,000
192,000
96,000
94,800
94,800
96,000
94,800
96,000
94,800
73,200
90,000
90,000
100,800
58,800
29,400
150,000
168,000
180,000
192,000
150,000
150,000
150,000
150,000
150,000
192,000
205,200
282,600
127,920
 122,400
9,360
36,000
122,400
9,600
118,200
748,800
130,931
618,000
9,600
48,360
10,200
10,200
10,200
10,200
48,360
10,200
748,800
74,400
100,800
86,400
79,200
86,400
85,200
81,600
150,000
240,000
201,600
268,800
150,000
168,000
147,120
192,240
150,000
150,000
150,000
107,400
168,000
79,200
15,600
15,600
12,000
26,400
10,800
32,604,000
 62,400
156,000
267,272
132,600
1,560
1,200
6,000
4,800
21,600
23,400
18,000
240
240
240
978,600
9,360
18,000
96,000
24,000
24,000
24,000
24,000
24,000
105,000
24,000
103,200
21,600
108,000
36,000
12,000
12,000
156,000
156,000
272,400
277,800
174,600
1,652,400
75,000
474,000
351,000
351,000
273,000
273,000
12,000
7,800
 24,000
8,346,000
300,000
15,600
1,415,700
1,020,000
1,699,800
1,345,200
921,600
1,193,400
48,000
46,800
1,249,200
1,020,000
1,672,200
1,672,200
86,160
1,672,800
4,200,000
103,740
263,320
203,862
229,343
90,000
116,400
89,400
93,700
229,200
256,800
295,200
132,000
699,600
6,219,600
3,591,600
8,106,000
3,591,600
5,779,200
4,886,400
3,190,800
1,170,000
6,000
312,000
468,000
1,299,000
1,789,320
 600,600
2,165,280
1,798,440
1,798,800
156,000
89,700
108,408
142,642
67,200
56,400
2,400
28,200
368,400
155,400
193,200
193,200
46,800
108,000
90,000
66,000
55,800
64,800
90,000
64,800
90,000
54,000
54,000
54,000
54,000
54,000
37,800
54,000
54,000
64,800
126,000
541,320
541,320
288,000
288,000
288,000
64,800
64,800
64,800
64,800
64,800
 65,400
108,840
64,800
64,800
64,800
64,800
64,800
81,600
122,400
51,600
696,000
78,000
420,000
78,000
78,000
6,177,600
1,800
1,800
6,000
6,000
11,040
1,647,600
122,400
23,400
23,400
23,400
23,400
23,400
23,400
23,400
234,000
780,000
1,950,000
31,200
31,200
40,440
56,640
74,400
1,428,000
6,000
18,000
6,000
18,000
18,000
6,000
 18,000
4,800
6,000
1,092
1,092
1,092
12,480
37,800
60,000
1,143,600
2,028,000
4,428,000
6,318,000
6,000
31,200
91,440
6,000
4,410,000
220,560
1,287,000
207,600
14,400
15,000
18,000
43,200
48,000
530,400
530,400
6,000
38,400
1,800
2,400
1,800
12,000
6,000
312,000
94,200
94,200
94,200
288,000
168,000
42,000
124,800
124,800
600
 60,840
903,600
903,600
903,600
903,600
903,600
21,600
239,640
239,640
239,640
239,640
239,640
239,640
239,640
239,640
239,640
239,640
239,640
195,000
164,400
195,000
54,600
2,400
24,000
24,000
24,000
58,800
2,280
18,000
34,320
18,000
1,029,600
793,800
595,200
4,320
13,680
2,400
13,680
13,680
13,680
13,680
13,680
16,200
13,680
13,680
 13,680
13,680
21,000
16,320
13,680
13,680
13,680
19,500
16,320
16,320
16,320
13,680
13,800
13,680
600
1,200
1,800
10,920
1,200
19,440
16,200
91,200
192,000
234,000
31,200
37,800
36,000
12,000
36,000
24,000
31,200
42,000
31,200
31,200
6,000
39,468
188,640
54,600
54,000
54,000
54,000
66,000
14,100
275,640
483,600
 15,600
15,600
136,800
1,200
6,000
6,000
6,000
6,000
6,000
6,000
6,000
187,200
24,000
2,400
7,200
6,600
3,510,000
4,620,000
4,290,000
156,000
310,800
234,000
234,000
18,000
18,000
18,000
18,000
1,560,000
209,400
601,200
351,600
324,600
975,936
564,600
1,677,000
1,092,000
12,480
39,000
514,800
514,800
514,800
514,800
514,800
514,800
669,240
 717,288
717,288
600,600
667,680
720,720
600,600
792,840
837,408
429,000
676,800
600,600
780,000
600,600
636,480
84,000
48,000
8,400
15,600
8,400
37,800
37,800
37,800
37,800
37,800
37,800
1,950,000
48,000
39,000
872,880
920,040
967,200
1,016,040
1,064,880
1,190,400
1,652,400
94,320
94,320
36,000
45,000
62,760
190,574
50,400
50,400
60,000
6,000
 3,000
4,200
3,000
4,800
10,200
10,200
2,400
3,000
2,400
8,400
9,600
36,000
18,720
7,016,880
226,200
240
360
479,280
479,280
4,444,440
18,000
302,400
8,400
8,400
8,400
8,400
8,400
8,400
314,400
550,200
117,600
18,000
418,560
91,200
46,800
289,800
18,000
17,160,000
6,000
15,600
110,400
156,000
15,000
34,200
312,000
 25,800
52,800
3,617,640
3,617,640
3,617,640
3,617,640
351,600
3,600,000
2,815,338
2,815,338
2,815,338
2,815,338
2,815,338
2,815,338
2,815,338
2,815,338
6,000
1,050,000
6,000
14,400
76,200
384,000
336,000
336,000
336,000
336,000
132,600
1,080,000
94,200
12,000
488,400
10,200
312,000
1,170,000
31,200
195,000
429,000
162,131
19,448,564
4,237,200
3,860,400
181,200
239,640
39,600
39,600
 39,600
3,600
309,000
187,200
546,000
118,800
273,000
23,400
46,800
624,000
624,000
624,000
624,000
624,000
109,200
109,200
109,200
109,200
109,200
109,200
109,200
109,200
624,000
624,000
624,000
624,000
624,000
624,000
109,200
62,400
624,000
624,000
624,000
109,200
109,200
109,200
109,200
109,200
109,200
109,200
741,000
62,400
624,000
624,000
62,400
 741,000
514,800
530,400
530,400
530,400
530,400
530,400
530,400
117,600
530,400
741,000
624,000
530,400
530,400
280,800
62,400
5,460,000
54,600
280,800
226,200
374,400
226,200
226,200
54,000
62,400
 DAFTAR HARGA OBAT SYRUP JKK 2018

BENTUK HARGA +
NO NAMA OBAT 20%
SEDIAAN PPN
1 ACTIFED SYR SYRUP 25,000 30,000
2 ALOCLAIR PLUS ORAL SYRUP 127,400 152,880
3 AMBROXOL 15 MG/5ML SYR SYRUP 5,000 6,000
6 AMOBIOTIC DROP SYRUP 25,600 30,720
7 AMOBIOTIK SYR SYRUP 26,000 31,200
5 AMOXAN DRY SYR SYRUP 28,200 33,840
4 AMOXAN PEDIATRIK DROPS SYRUP 30,500 36,600
8 AMOXICILLIN DRY 125 MG/5ML SYR SYRUP 7,150 8,580
9 ANFIX SYR SYRUP 98,000 117,600
10 ANTASIDA SYR SYRUP 6,500 7,800
12 APIALYS DROP 10 ML SYRUP 47,500 57,000
11 APIALYS SYR SYRUP 40,000 48,000
13 AZTRIN 15 ML SYR SYRUP 117,500 141,000
14 BABYCOUGH SYR SYRUP 6,500 7,800
15 BATUGIN ELIXAR BT 120ML SYR SYRUP 24,000 28,800
16 BATUGIN ELIXIR BT 300ML SYR SYRUP 46,500 55,800
17 BECOMBION SYR SYRUP 22,000 26,400
18 BEROTEC 100 MCG SPRAY SYRUP 104,000 124,800
19 BETADINE KUMUR SYRUP 13,000 15,600
20 BIOLINCOM SYR SYRUP 37,500 45,000
21 BISOLVON (ELIXIR) SYR SYRUP 25,000 30,000
22 BRAINAFIT SYR SYRUP 51,000 61,200
23 CAMIDRYL SYR SYRUP 6,500 7,800
24 CANDISTATIN DROP SYRUP 35,000 42,000
26 CEFABIOTIC SYR SYRUP 53,000 63,600
28 CEFADROXIL DRY 125 MG/60 ML SYR SYRUP 10,000 12,000
27 CEFAT SYR SYRUP 57,000 68,400
25 CEFIXIME 100 MG/5 ML SYR SYRUP 18,500 22,200
34 CETERIZINE SYR SYRUP 11,500 13,800
29 CETIRIZIN 5MG/5ML SYR SYRUP 11,500 13,800
30 CETIRIZINE DROP SYRUP 32,500 39,000
31 CLANEKSI SIRUP SYRUP 67,500 81,000
32 CODIPRONT SYR SYRUP 66,500 79,800
33 COTRIMOXAZOLE SYR SYRUP 6,500 7,800
36 CURCUMA PLUS SYR SYRUP 15,600 18,720
37 CURCUMA SYR SYRUP 17,000 20,400
35 CURVIT SYR SYRUP 72,000 86,400
38 DECADRYL SYR SYRUP 10,000 12,000
40 DEPAKEN 120 ML SYR REGULAR SYRUP 198,000 237,600
39 DEPAKENE 120 ML SYR SYRUP 55,500 66,600
42 DEXTAMEN SYR SYRUP 42,000 50,400
41 DEXTROMETHORPHAN SYR SYRUP 6,500 7,800
43 DIONICOL (THIAMFENICOL) SYR SYRUP 10,000 12,000
44 DOMPERIDONE DROP SYRUP 30,800 36,960
65 DONPERIDON SYR SYRUP 6,500 7,800
45 DULCOLAX SIRUP SYRUP 79,000 94,800
46 DUROCART SYR SYRUP 35,000 42,000
47 DUROCOT SYR SYRUP 40,000 48,000
48 DUROL SYR SYRUP 24,200 29,040
49 ENCEPHABOL LIQUID 100 ML SYR SYRUP 73,000 87,600
50 ERYTHROMYCIN SYR SYRUP 11,000 13,200
51 ETADRYL SYR SYRUP 6,500 7,800
53 FARTOLIN SPRAY SYRUP 22,000 26,400
52 FARTOLINE SYR SYRUP 47,200 56,640
54 FLAGYL SYR SYRUP 47,000 56,400
55 FLUIMUCIL SACHET SYRUP 5,000 6,000
56 FLUIMUCIL SYR SYRUP 78,000 93,600
68 HUFABETHAMIN SYR SYRUP 10,000 12,000
66 HUFACID SYR SYRUP 6,500 7,800
64 HUFADRYL SYR SYRUP 6,500 7,800
61 HUFAGESIC DROP SYRUP 14,500 17,400
62 HUFAGESIC SYR SYRUP 6,500 7,800
63 HUFAGRIP SYR SYRUP 17,500 21,000
60 HUFALYSIN SYR SYRUP 12,000 14,400
67 HUFAMAG SYR SYRUP 8,500 10,200
59 HUFANOXIL SYR SYRUP 7,000 8,400
58 HUFAVIT /LIVITAN SYR SYRUP 6,500 7,800
57 HUFAXOL SYR SYRUP 6,500 7,800
69 IBUPROFEN SYR SYRUP 6,500 7,800
70 IKADRYL SYR SYRUP 11,000 13,200
71 IMUNOS PLUS SYR SYRUP 126,000 151,200
72 INPEPSA SYR SYRUP 67,000 80,400
73 INTERHISTIN SYR SYRUP 43,600 52,320
74 ISODINE SYRUP 21,000 25,200
75 KENALOY SYR SYRUP 61,500 73,800
78 LACOPHEN DRY SYR SYRUP 36,000 43,200
76 LACTULAX 60 ML SYR SYRUP 62,000 74,400
77 LAGESIL SUSPENSI 170 ML SYR SYRUP 52,500 63,000
81 LAPICEF 125 SYR SYRUP 57,500 69,000
80 LAPICEF 250 SYR SYRUP 72,000 86,400
86 LAPIFED DM SYR SYRUP 33,300 39,960
82 LAPIFED EXPECTORANT SYR SYRUP 30,800 36,960
83 LAPIMOX 125 SYR SYRUP 22,000 26,400
84 LAPIMOX 250 SYR SYRUP 35,000 42,000
85 LAPISIV SYR SYRUP 20,000 24,000
79 LAPIVED SYR SYRUP 25,000 30,000
 88 LASAL EXPECTORAN SYR SYRUP 48,000 57,600
87 LASAL SYR SYRUP 47,200 56,640
89 LATROPIL SYR SYRUP 61,000 73,200
90 LAXADINE SYR SYRUP 30,000 36,000
91 L-ZINC SYR SYRUP 41,000 49,200
93 MAGASIDA SYR SYRUP 35,000 42,000
92 MAGTRAL SYR SYRUP 30,000 36,000
94 MALTIRON SYR SYRUP 25,000 30,000
102 MEPTIN SYR SYRUP 70,000 84,000
95 METRONIDAZOL SYR SYRUP 8,000 9,600
96 MINOSEP GARGEL 60ML SYRUP 45,500 54,600
100 MUCOPECT PEDIATRIK SYR SYRUP 65,000 78,000
97 MUCOPEX SYR SYRUP 54,000 64,800
99 MUCOS DROP SYRUP 49,000 58,800
98 MUCOS SYR SYRUP 20,000 24,000
101 NECADRIL DMP SYR SYRUP 15,000 18,000
103 NEVOSTERIL SYR SYRUP 112,000 134,400
105 NOVALGIN SYR SYRUP 61,500 73,800
106 NYNDIA DROP SYRUP 28,500 34,200
104 NYSTATIN DROP SYRUP 30,000 36,000
107 OBH SYR SYRUP 6,000 7,200
108 OFLOXASIN SYR SYRUP 73,000 87,600
110 OMECOUGH SYR SYRUP 6,500 7,800
109 OMEROXOL SYR SYRUP 6,500 7,800
111 OMESOLVON SYR SYRUP 20,000 24,000
112 OZEN SYR SYRUP 125,000 150,000
113 PARACETAMOL 15 ML DROP SYRUP 12,500 15,000
114 PARACETAMOL SYR SYRUP 6,500 7,800
115 PEDIALYTE SYR SYRUP 34,000 40,800
116 PEPTOVEL SYR SYRUP 91,000 109,200
118 PONDEX SYR SYRUP 12,000 14,400
119 PROFIN SYR SYRUP 83,000 99,600
120 PROPEPSA SYR SYRUP 67,000 80,400
121 PRORIS SYR SYRUP 30,000 36,000
117 PSIDII SYR SYRUP 40,000 48,000
122 PSIDII SYR SYRUP 33,000 39,600
123 QYDROX SYR SYRUP 84,000 100,800
124 RHINOS JUNIOR SYR SYRUP 41,000 49,200
125 RIMACTAN SYR SYRUP 61,000 73,200
126 RIVANOL SYR SYRUP 5,000 6,000
127 SALBUTAMOL SYR SYRUP 7,000 8,400
135 SANADRYL DMP SYR SYRUP 14,000 16,800
134 SANADRYL EXPECTORANT SYR SYRUP 12,600 15,120
133 SANAFLU SYR SYRUP 11,000 13,200
137 SANGOBION BABY 15 ML SYRUP 37,500 45,000
128 SANGOBION DROP SYRUP 37,500 45,000
136 SANGOBION KIDS SYR SYRUP 28,500 34,200
129 SANGOBION SYR SYRUP 32,000 38,400
132 SANMAG SYR SYRUP 28,000 33,600
131 SANMOL DROP SYRUP 21,000 25,200
130 SANMOL SYR SYRUP 15,000 18,000
138 SCOTTS EMULSION SYRUP 32,000 38,400
139 SERETIDE DISKUS 250 SYRUP 152,000 182,400
140 SILEX SYR SYRUP 55,000 66,000
141 STIMUNOS SYR SYRUP 28,500 34,200
142 TANTUM VERDE SYRUP 32,500 39,000
143 TASYLAND SYR SYRUP 97,500 117,000
144 TAXILAN SYR SYRUP 103,500 124,200
145 TERMOREX SYR SYRUP 19,500 23,400
146 TIALYSIN SYR SYRUP 6,500 7,800
147 TIRIZ DROP SYRUP 80,000 96,000
148 TOCEF 100 ML SYR SYRUP 105,500 126,600
149 TOCEF 30 ML SYR SYRUP 105,500 126,600
150 TRIVEXAN SYR SYRUP 12,000 14,400
151 TROPIGESIC SYR SYRUP 6,500 7,800
152 ULSAFATE SUSPENSI SYR SYRUP 100,000 120,000
153 ULSICRAL 100 MG SYR SYRUP 42,000 50,400
154 VALEPTIK SYR SYRUP 102,000 122,400
155 VENTOLIN EKSPEKTORAN SYR SYRUP 58,000 69,600
156 VENTOLIN INHELER SYRUP 87,500 105,000
157 VERONIL SYR SYRUP 102,000 122,400
158 VITAPLEX DROP SYRUP 51,000 61,200
159 VITAPLEX SYR SYRUP 51,000 61,200
160 VITASUS SYR SYRUP 12,000 14,400
163 VOMETA DROP SYRUP 52,000 62,400
162 VOMETA SYR SYRUP 46,000 55,200
161 VOMETRON SYR SYRUP 94,000 112,800
164 WIDOXIL SYR SYRUP 50,000 60,000
165 ZAMEL SYR SYRUP 48,000 57,600
166 ZINKID 10 MG/5ML SYR SYRUP 40,000 48,000
 DAFTAR HARGA OBAT SEDIAAN CAIRAN JKK 2018

BENTUK HARGA +
NO NAMA OBAT 20%
SEDIAAN PPN
1 ALKOHOL CAIRAN 5,000 6,000
2 ALKOHOL 1 LITER CAIRAN 25,000 30,000
3 ALKOHOL JERIGEN CAIRAN 127,400 152,880
4 AMINOFUSIN HEPAR INF INFUS 25,600 30,720
5 AQUA STERIL CAIRAN 28,200 33,840
6 AQUABIDEST 25 CC CAIRAN 26,000 31,200
7 AQUASTERIL 1000 ML CAIRAN 30,500 36,600
8 ASERING INF INFUS 7,150 8,580
9 AVELOX INF 250 ML CAIRAN 98,000 117,600
10 AVELOX INFUS 250 ML CAIRAN 6,500 7,800
11 B. SOL CAIRAN 6,500 7,800
12 BETADIN SOL CAIRAN 47,500 57,000
13 BETADINE CLEANSER CAIRAN 24,000 28,800
14 BOTOL 20 CC CAIRAN 117,500 141,000
15 BOTOL SEGEL @ 1 LITER CAIRAN 40,000 48,000
16 CAIRAN 2 A CAIRAN 6,500 7,800
17 DEXTRAN 70% INF INFUS 46,500 55,800
18 DEXTRO ¼ NS INF INFUS 22,000 26,400
19 DEXTRO ½ NS INF INFUS 25,000 30,000
20 DEXTRO 40% INF INFUS 104,000 124,800
21 DEXTROSE 10% INF INFUS 37,500 45,000
22 DEXTROSE 5% INF INFUS 13,000 15,600
23 DEXTROSE 5% PEGGYBAG CAIRAN 51,000 61,200
24 EVOFION INF INFUS 6,500 7,800
25 FARMADOL INF INFUS 35,000 42,000
26 FORMALIN CAIRAN 53,000 63,600
27 GLYCERIN CAIRAN 10,000 12,000
28 H202 3% CAIRAN 18,500 22,200
29 H2O2 50% CAIRAN 57,000 68,400
30 HESTAR INF INFUS 32,500 39,000
31 ISOFLURINE CAIRAN 67,500 81,000
32 KAEN 1B INF INFUS 15,600 18,720
33 KAEN 3A INF INFUS 6,500 7,800
34 KAEN 3B INF INFUS 66,500 79,800
35 KAEN 4B INF INFUS 72,000 86,400
36 KAEN MG 3 INF INFUS 17,000 20,400
37 KCL 7,46 % AMP CAIRAN 10,000 12,000
38 KIDMIN 200 ML/ NEPHROSTERIL 250 ML CAIRAN 198,000 237,600
39 KN MG 3 CAIRAN 6,500 7,800
40 MANITOL INF INFUS 10,000 12,000
41 MARTOS INF INFUS 30,800 36,960
42 METRONIDAZOLE 100 CC INF INFUS 6,500 7,800
43 MEYLON 8,4 % AMP CAIRAN 79,000 94,800
44 MGSO4 20% CAIRAN 40,000 48,000
45 MGSO4 40% CAIRAN 35,000 42,000
46 MOSARDAL INF INFUS 24,200 29,040
47 NACL 0,9% 1000 ML INF INFUS 73,000 87,600
48 NACL 0,9% 500 ML INF INFUS 6,500 7,800
49 NACL 0,9% PIGGYBAG INF INFUS 22,000 26,400
50 NACL 3% INF INFUS 11,000 13,200
51 OFLOXACIN 100 ML INF INFUS 47,200 56,640
52 OTSU RS CAIRAN 5,000 6,000
53 OTSURAN 40 CAIRAN 47,000 56,400
54 PAN AMIN G 500ML INF INFUS 78,000 93,600
55 PARAMOL INF 100 ML CAIRAN 10,000 12,000
56 PD SCRUB 5L CAIRAN 6,500 7,800
57 PIRETA 100 ML INFUS INFUS 6,500 7,800
58 RINGER LACTAT 1000 ML INF INFUS 14,500 17,400
59 RINGER LACTAT 500 MG INF INFUS 6,500 7,800
60 RINGER SOLUTION INF INFUS 17,500 21,000
61 RODEHOL WASHING CAIRAN 12,000 14,400
62 SANIFRES CAIRAN 8,500 10,200
63 SEVOFLURAN 250 ML CAIRAN 7,000 8,400
64 USG JELLY 5 LITER CAIRAN 6,500 7,800
65 WASH CARE CAIRAN 6,500 7,800
66 WIDA KDN-1 CAIRAN 11,000 13,200
67 WIDA KDN-2 CAIRAN 126,000 151,200
68 WIDA KN-1 CAIRAN 55,500 66,600
69 WIDA KN-2 CAIRAN 42,000 50,400
70 ACETYLCISTEINE INFUS CAIRAN 256,200 307,440
71 ABBOTIC 30 ML CAIRAN 159,900 191,880
72 ISOFLURAN 250 ML CAIRAN 8,500 10,200
73 ALKOHOL PER CC CAIRAN 100 120
74 SEVODEX 250 ML CAIRAN 12,000 14,400
75 SEVOFLURANE INJ CAIRAN 12,000 14,400
76 PARAFFIN LIQ (PIONER 2701P) CAIRAN 200 240
77 SANIFRES CAIRAN 175 210
78 IVANES 1000 MG/10 MG CAIRAN 28,600 34,320
79 ADIDRYL/DIPHENHYDRAMINE 150MG/15 ML CAIRAN 5,500 6,600
80 AMINOFLUID 500 ML FLS CAIRAN 130,000 156,000
81 KALBAMIN INF CAIRAN 91,000 109,200
82 CLINIMIX 1 LTR INF CAIRAN 578,500 694,200
83 FLEET ENEMA CAIRAN 150,000 180,000
84 TRIAMINIC EXP CAIRAN 64,000 76,800
 DAFTAR HARGA OBAT SALEP JKK 2018

BENTUK HARGA +
NO NAMA OBAT 20%
SEDIAAN PPN
1 ACYCLOVIR 5 % CREAM KRIM 5,000 6,000
2 ALOCLAIR PLUS GEL SALEP 118,500 142,200
3 AQUA AD SALEP 112,500 135,000
4 AVAMYS NASAL DROP SALEP 195,000 234,000
5 BETADINE 10 GR ZALF SALEP 20,800 24,960
6 BETADINE 20 GR ZALF SALEP 28,000 33,600
7 BETAMETASON 0.1% CREAM KRIM 2,500 3,000
8 BIOCREAM KRIM 35,000 42,000
9 BIOPLACENTON YELLY 15 GR SALEP 17,500 21,000
10 BISMECON ZALF SALEP 13,000 15,600
11 BORAX SALEP 5,000 6,000
12 BURNAZIN (POT) ZALF SALEP 656,500 787,800
13 BURNAZIN CREAM KRIM 84,500 101,400
14 BURNAZIN PLUS SALEP 143,000 214,500
15 CARMED 10 % 40 GR CREAM KRIM 34,000 40,800
16 CARMED 20 % 40 GR CREAM KRIM 45,000 54,000
17 CENDO FENICOL ZALF MATA SALEP 32,000 38,400
18 CENDO GENTA 0,3% SALEP MATA SALEP 52,500 63,000
19 CLODERMA 15 GR, ACID SALICYL 1% SALEP 112,500 135,000
20 CLODERMA CR 20 GR, CARMED 20 %40 GR, ACID SALICYL 7% SALEP 143,000 171,600
21 CLODERMA CR 20 GR, CARMED 20% 20 GR, ACID SALICYL 6% SALEP 152,000 182,400
22 COUNTERPAIN 5 MG ZALF SALEP 14,000 16,800
23 DAKTARIN 5 GR CREAM KRIM 32,500 39,000
24 DAKTARIN DIAPER ZALF SALEP 78,000 93,600
25 DAKTARIN ORAL GEL ZALF SALEP 68,500 82,200
26 DUODERM GEL ZALF SALEP 130,000 156,000
27 ESPERSON 5 GR SALEP 65,000 78,000
28 FELDENE GEL SALEP 95,000 114,000
29 GARAMISIN ZALF SALEP 31,000 37,200
30 GENTAMICIN 0,1 % 5 G SALEP KULIT SALEP 5,000 6,000
31 GENTAMICIN 0,3 % SALEP MATA TUBE SALEP 12,500 15,000
32 GENTAMICIN SALEP KULIT 5 GR CREAM KRIM 15,000 18,000
33 GENTAMISIN SALEP KULIT 15 GRAM SALEP 7,200 8,640
34 GENTIAN VIOLET SALEP 5,000 6,000
35 GENTIAN VIOLET SALEP 5,000 6,000
36 GLICERIN 5 SALEP 112,500 135,000
37 HAEMOCAIN 15 GR CREAM KRIM 89,000 106,800
38 HERCUM ZALF SALEP 47,000 56,400
39 HERVIS EYE OINTMENT 3,5 GR SALEP 47,000 56,400
40 HYDROCORTISON 1% 5GR CREAM KRIM 8,000 9,600
41 HYDROCORTISON 2,5% 5GR CREAM KRIM 5,000 6,000
42 IALUSET SALEP 168,500 252,750
43 ICHTIYOL ZALF KRIM 3,000 3,600
44 INERSON CREAM KRIM 38,000 45,600
45 ISODIN 15 MG ZALF SALEP 25,000 30,000
46 ISODIN 20 MG ZALF SALEP 24,000 28,800
47 KALMICETIN ZALF SALEP 12,000 14,400
48 KALTROFEN ZALP SALEP 78,000 93,600
49 KENALOG ZALF SALEP 72,800 87,360
50 KETOKONAZOLE CREAM 2% 10 GR KRIM 6,000 7,200
51 KETOKONAZOLE CREAM 2% 15 GR KRIM 9,200 11,040
52 KLODERMA 10 GR CREAM KRIM 35,500 42,600
53 KLODERMA 5 GR CREAM KRIM 28,500 34,200
54 KLODERMA OINMENT 5 GRAM SALEP 27,000 32,400
55 LIPOSIN ZALF SALEP 52,000 62,400
56 MADECASOL SALEP SALEP 17,500 21,000
57 MADERMA CREAM KRIM 158,000 189,600
58 MEBO ZALF SALEP 110,000 132,000
59 MEDIFLEX CREAM 30 GR KRIM 107,500 129,000
60 MEDIFLEX CREAM 75 GR KRIM 252,000 302,400
61 MICONAZOLE 10 GRAM ZALF SALEP 5,000 6,000
62 MICONAZOLE 2% CREAM KRIM 4,600 5,520
63 MIKOZET ZALF SALEP 89,000 106,800
64 MYCO-Z CREAM KRIM 101,500 121,800
65 NEBACETIN SALEP KULIT SALEP 28,600 34,320
66 NOVEL SMUTING ZALF SALEP 285,000 342,000
67 OXYTETRACYCLINE 3 % CREAM KRIM 6,000 7,200
68 OZYD ZINCI 6 SALEP 112,500 135,000
69 PROTAGENTA SALEP MATA SALEP 56,500 67,800
70 SALISIL TALK SALEP 5,600 6,720
71 SCABIMITE ZALF SALEP 47,000 56,400
72 SIBRO ZALF SALEP 112,500 135,000
73 SMOOTHING ZALF SALEP 247,000 296,400
74 STOMAHESIVE PASTA CONVATEQ SALEP 474,500 569,400
75 TALC LENET 20 SALEP 112,500 135,000
76 TALKUM SALEP 100 120
77 THROMBOPHOB GEL / BRUIZ JELLY 67,000 80,400
78 THROMBOPHOB OINMENT SALEP 55,000 66,000
79 TROMBOPHOB ZALF SALEP 46,000 55,200
80 VOLTADEX GEL 1%X20 GR KRIM 29,000 34,800
81 VOLTAREN 20 GR CREAM KRIM 92,500 111,000
 DAFTAR HARGA OBAT NARKOTIKA / PSIKOTROPIKA JKK 2018

BENTUK HARGA +
NO NAMA OBAT 20%
SEDIAAN PPN
1 APRAZOLAM 0,5 MG TAB INJEKSI 786,000 943,200
2 ATIVAN LORAZEPAM 1 MG TAB TABLET 815,000 978,000
3 ATIVAN LORAZEPAM 2 MG TAB TABLET 547,700 657,240
4 BRAXIDIN TAB TABLET 1,722,500 2,067,000
5 CODEIN 10 MG TAB TABLET 556,500 667,800
6 CODEIN 20 MG TAB TABLET 227,500 273,000
7 CODITAM TAB TABLET 33,000 39,600
8 DIAZEPAM 2 MG TAB TABLET 110,000 132,000
9 DORMIKUM INJ INJEKSI 47,000 56,400
10 ESTAZOLAM 1 MG TAB TABLET 304,804 365,765
11 FENTANYL INJ 10 ML/CC INJEKSI 64,500 77,400
12 HALOPERIDOL 1,5 MG TAB TABLET 109,200 131,040
13 HALOPERIDOL 2 MG TAB TABLET 122,000 146,400
14 LODOMER 5 MG INJ INJEKSI 900,000 1,080,000
15 MEPROSETIL-100/CHLOPROMAZINE TAB TABLET 357,500 429,000
16 MERLOPAM LORAZEPAM 0.5 MG TAB TABLET 422,500 507,000
17 MORPHIN INJ INJEKSI 382,000 458,400
18 MST 10 MG TAB TABLET 4,629,000 5,554,800
19 MST 15 MG TAB TABLET 1,284,000 1,540,800
20 MST 30 MG TAB TABLET 329,000 394,800
21 PETHIDIN HCL 50 MG INJ INJEKSI 385,000 462,000
22 PHENOBARBITAL 30 MG TAB TABLET 1,040,000 1,248,000
23 PROMACTIL 100 MG TAB TABLET 382,600 459,120
24 PRONAGELS INJ INJEKSI 520,000 624,000
25 SERENACE INJ INJEKSI 165,900 199,080
26 STESOLID 10 MG/2.5ML SUPP SUPP 727,500 873,000
27 STESOLID 2 MG SYR SYRUP 133,900 160,680
28 STESOLID 5 MG/2.5ML SUPP SUPP 4,745,000 5,694,000
 DAFTAR HARGA OBAT SUPPOSITORIA JKK 2018

BENTUK HARGA +
NO NAMA OBAT 20%
SEDIAAN PPN
1 ANTI HEMOROID SUPP SUPP 6,000 7,200
2 CYGEST 400 MG SUPP SUPP 29,000 34,800
3 DULCOLAX 10 MG SUPP SUPP 8,000 9,600
4 DULCOLAX 5 MG SUPP SUPP 8,000 9,600
5 FAKTU SUPP SUPP 11,000 13,200
6 FETIX SUPP SUPP 14,500 17,400
7 FLAGIL 0,5 GR SUPP SUPP 14,000 16,800
8 FLAGIL 1 GR SUPP SUPP 25,000 30,000
9 LAXAREC GEL SUPP 22,000 26,400
10 MICROLAX SUPP SUPP 28,000 33,600
11 MIKROLAX SUPP SUPP 25,000 30,000
12 PAMOL 125 SUPP SUPP 15,000 18,000
13 PAMOL 250 SUPP SUPP 17,500 21,000
14 PRONALGES SUPPO 100 MG SUPP 15,000 18,000
15 PROVENID SUPP SUPP 16,000 19,200
16 SUPERHOID SUPP SUPP 7,000 8,400
17 SUPRASORB A SUPP 85,000 102,000
18 SUPRASORB G SUPP 122,000 146,400
19 TRAMAL SUPP SUPP 19,000 22,800
20 ULTRAPROCT N SUPP SUPP 20,000 24,000
21 VAGISTATIN SUPP SUPP 20,000 24,000
 DAFTAR HARGA OBAT TETES MATA JKK 2018

BENTUK HARGA +
NO NAMA OBAT 20%
SEDIAAN PPN
1 CENDO ASTHENOF 0,6 ML STRIP TETES MATA 30,000 36,000
2 CENDO AUGENTONIK TETES MATA 23,500 28,200
3 CENDO CARPINE TETES MATA 25,000 30,000
4 CENDO CARPINE 2% STRIP TETES MATA 23,000 27,600
5 CENDO CATARLENT STRIP 0,6 ML TETES MATA 28,500 34,200
6 CENDO CATARLENT TUBE TETES MATA 44,000 52,800
7 CENDO CENDRID TETES MATA 26,000 31,200
8 CENDO CENDRID DROP 5ML TETES MATA 22,000 26,400
9 CENDO EYE FRES TETES MATA 25,000 30,000
10 CENDO FENICOL 0,15% TETES MATA 25,500 30,600
11 CENDO FENICOL 0,5% STRIP TETES MATA 26,000 31,200
12 CENDO FENICOL 1% TUBE TETES MATA 39,500 47,400
13 CENDO FENICOL 3,5 TETES MATA 30,000 36,000
14 CENDO FLOXA 0,5% STRIP TETES MATA 40,000 48,000
15 CENDO FLX TETES MATA 93,500 112,200
16 CENDO GENTA 0,3 STRIP TETES MATA 26,000 31,200
17 CENDO GLAOPEN STRIP TETES MATA 118,000 141,600
18 CENDO HFX 0,6 TETES MATA 92,000 110,400
19 CENDO HYALUB TETES MATA 87,500 105,000
20 CENDO LFX 0,6 ML STRIP TETES MATA 95,000 114,000
21 CENDO LISINOPRIL 10 MG TETES MATA 25,500 30,600
22 CENDO LISINOPRIL 5 MG TETES MATA 15,500 18,600
23 CENDO LUBRIEN TETES MATA 27,000 32,400
24 CENDO LYTERS STRIP TETES MATA 39,000 46,800
25 CENDO LYTERS STRIP TETES MATA 28,000 33,600
26 CENDO MEDRIATIL TETES MATA 9,000 10,800
27 CENDO METHASONE TETES MATA 20,000 24,000
28 CENDO MYDRIATIL 1% TUBE TETES MATA 55,000 66,000
29 CENDO MYDRIATYL 0.5% STRIP TETES MATA 40,000 48,000
30 CENDO MYDRIATYL 1% STRIP TETES MATA 40,000 48,000
31 CENDO NATACEN 50 MG STRIP TETES MATA 65,000 78,000
32 CENDO NONCORT 0.6 ML STRIP TETES MATA 40,000 48,000
33 CENDO PANTOCAIN 0,5% TUBE TETES MATA 30,000 36,000
34 CENDO PANTOCAIN 2% STRIP TETES MATA 40,000 48,000
35 CENDO POLYDEX TETES MATA 28,500 34,200
36 CENDO REPHITEL STRIP TETES MATA 49,500 59,400
37 CENDO RETHIPIL TUBE TETES MATA 59,000 70,800
38 CENDO SILOXAN STRIP TETES MATA 45,500 54,600
39 CENDO TIMOL 0.5 % STRIP TETES MATA 37,500 45,000
40 CENDO TOBRO TETES MATA 27,000 32,400
41 CENDO TOBROSAN 5X0,6 ML TETES MATA 31,000 37,200
42 CENDO TONAR TETES MATA 35,200 42,240
43 CENDO TRIAL XITROL ASKES TETES MATA 39,000 46,800
44 CENDO TRIATMOL ASKES TETES MATA 35,000 42,000
45 CENDO TROPINE STRIP TETES MATA 23,000 27,600
46 CENDO VITROLENTA STRIP TETES MATA 42,000 50,400
47 CENDO VITROLENTA TUBE TETES MATA 50,450 60,540
48 CENDO XITROL 0,6 ML TETES MATA 40,000 48,000
49 CENDO XITROL DROP TETES MATA 33,000 39,600
50 CENDO XITROLL TUBE TETES MATA 51,500 61,800
51 ERLAMYCETIN/ RECO MATA TETES MATA 8,500 10,200
52 GENOINT GENTAMICIN TETES MATA TETES MATA 11,700 14,040

DAFTAR HARGA OBAT TETES TELINGA JKK 2018

BENTUK HARGA +
NO NAMA OBAT 20%
SEDIAAN PPN
1 AKILEN TETES TELINGA PCS 84,500 101,400
2 TARIVID OTIC SOLUTION PCS 110,200 132,240
3 TARIVID TETES TELINGA PCS 108,000 129,600
4 H2O2 TTS TELINGA FLS 5,000 6,000

DAFTAR HARGA OBAT TETES HIDUNG JKK 2018

BENTUK HARGA +
NO NAMA OBAT 20%
SEDIAAN PPN
1 ILLIADIN/TETES HIDUNG FLS 26,000 31,200
2 ILLIADIN SPRAY PCS 28,000 33,600
3 ILIADIN SPRAY DEWASA PCS 47,500 57,000
K 2018
KK 2018

KK 2018
 DAFTAR HARGA OBAT INJEKSI JKK 2018

BENTUK HARGA +
NO NAMA OBAT 20%
SEDIAAN PPN
1 ACRAN INJ INJEKSI 45,800 54,960
2 ACTABONE 300 MG INJ INJEKSI 163,000 195,600
3 ADONA AC / CARBAZOCROME INJ 10 ML INJEKSI 30,000 36,000
4 ALBUMIN 25% 100 ML FLS INJEKSI 2,210,000 2,652,000
5 AMINOPHYLIN 24 MG INJ INJEKSI 8,500 10,200
6 AMINOVEL INF INJEKSI 99,500 119,400
7 AMIODARONE IV INJEKSI INJEKSI 20,000 24,000
8 AMOKSAN INJ INJEKSI 25,000 30,000
9 ANASJEC INJ INJEKSI 162,000 194,400
10 ANDALAN INJ INJEKSI 12,000 14,400
11 ANITID INJ INJEKSI 21,500 25,800
12 ANTI BISA ULAR INJ INJEKSI 561,500 673,800
13 APIDRA INJ INJEKSI 175,000 210,000
14 ARIXTRA INJ INJEKSI 476,800 572,160
15 ASAM TRANEKSAMAT 100 MG INJ INJEKSI 10,400 12,480
16 ATROPIN 0,25 MG INJ INJEKSI 5,000 6,000
17 ATS 20000 U INJEKSI 650,000 780,000
18 ATS INJ INJEKSI 214,500 257,400
19 AVELOX INJ INJEKSI 534,505 641,406
20 AZITROMISIN INJ INJEKSI 87,000 104,400
21 BATRIX INJ INJEKSI 260,000 312,000
22 BENOCETAM INJEK INJEKSI 203,033 243,640
23 BETRIX 1 GR INJ INJEKSI 260,000 312,000
24 BIOCEF INJ INJEKSI 255,000 306,000
25 BIOCOMBION 5000 INJ INJEKSI 10,500 12,600
26 BIOSAT 1.5 INJ INJEKSI 160,500 192,600
27 BISOLVON INJ INJEKSI 53,000 63,600
28 BONEVEL AMP INJEKSI 1,261,300 1,513,560
29 BRAINACT 250 MG INJ INJEKSI 48,300 57,960
30 BRAINACT 500 MG INJ INJEKSI 80,500 96,600
31 BRALIN 250 MG INJ INJEKSI 36,000 43,200
32 BRALIN 500 MG INJ INJEKSI 92,000 110,400
33 BROADCED INJ INJEKSI 262,000 314,400
34 BUCAIN INJ INJEKSI 76,500 91,800
35 BUNASCAN SPINAL 0,5% HEAVY / BUNASCAN INJEKSI 62,000 74,400
36 BUPIVACAINE SPINAL HEAVY INJ INJEKSI 50,000 60,000
37 BUPIVAKAIN INJ INJEKSI 36,000 43,200
38 BUSCOPAN 20 MG INJ INJEKSI 42,000 50,400
39 BUSKOPAN INJ INJEKSI 26,000 31,200
40 CALSIUM GLUCONAS 100 MG/ML INJEKSI 23,400 28,080
41 CARBAZOCHROME INJ INJEKSI 15,000 18,000
42 CEBACTAM INJ INJEKSI 139,500 167,400
43 CEDACUM INJ INJEKSI 55,500 66,600
44 CEDOCARD 10 MG INJ INJEKSI 47,000 56,400
45 CEFAZOL INJ INJEKSI 124,500 149,400
46 CEFAZOLIN INJ 1 G INJEKSI 56,500 67,800
47 CEFEPIME 1GR INJ INJEKSI 45,500 54,600
48 CEFOTAXIME 1 GR INJ INJEKSI 10,500 12,600
49 CEFTAZIDIME 1 GR INJ INJEKSI 16,000 19,200
50 CEFTRIAXONE 1 GR INJ INJEKSI 14,500 17,400
51 CEFXON 1 GR INJ INJEKSI 300,300 360,360
52 CEPOFION INJ INJEKSI 175,000 210,000
53 CEPTIZOXIN INJ INJEKSI 145,500 174,600
54 CERNEVIT INJ INJEKSI 235,000 282,000
55 CEVIZOX INJ INJEKSI 292,500 351,000
56 CEVOVEL INJ INJEKSI 141,500 169,800
57 CHLORAMPHENICOL INJ INJEKSI 15,000 18,000
58 CIOTION INJ INJEKSI 42,000 50,400
59 CITICOLIN 125 MG INJ INJEKSI 23,400 28,080
60 CITICOLIN 500 MG INJ INJEKSI 29,500 35,400
61 CITION INJ INJEKSI 42,000 50,400
62 CLINOLEIC 20% 250 ML INF INJEKSI 220,000 264,000
63 COLINAR 250 MG INJ INJEKSI 78,500 94,200
64 COLINAR 500 INJ INJEKSI 88,000 105,600
65 COLSANCETINE INJ INJEKSI 13,418 16,102
66 COMBIVENT NEBUL INJ INJEKSI 21,000 25,200
67 CORDARON INJ INJEKSI 16,500 19,800
68 CORDIATONE INJ INJEKSI 152,000 182,400
69 CORTISONE INJ INJEKSI 22,000 26,400
70 CRAVOX 500 MG INF INJEKSI 328,000 393,600
71 CYCLOVEM INJ INJEKSI 11,000 13,200
72 CYTARABINE 1 GR INJEKSI 760,500 912,600
73 DARYACEF INJ INJEKSI 180,500 216,600
74 DECAIN 4ML INJEKSI INJEKSI 89,000 106,800
75 DEPOPROGESTAN INJ (KB 3 BULAN) INJEKSI 10,000 12,000
76 DEXAMETASON 5 MG/ML INJ INJEKSI 5,200 6,240
77 DEXKETOPROFEN 50 MG/2ML INJ INJEKSI 30,000 36,000
78 DIBEKACIN 100 MG INJ INJEKSI 150,000 180,000
79 DICINON E INJ INJEKSI 22,000 26,400
80 DIPITENZ INJ (NICARDIPINE) INJEKSI 158,200 189,840
81 DITRANEX INJ INJEKSI 15,000 18,000
82 DOBUJEC INJ INJEKSI 50,000 60,000
83 DOBUTAMIN 50 MG/5ML INJ INJEKSI 39,500 47,400
84 DOBUTEL INJ INJEKSI 53,000 63,600
85 DOPAMIN / CETADOP INJ INJEKSI 54,000 64,800
 86 DORMICUM INJ INJEKSI 180,300 216,360
87 DURADRYL INJ INJEKSI 5,000 6,000
88 E ZOX INJ INJEKSI 283,000 339,600
89 ECOTRIXON INJ INJEKSI 225,500 270,600
90 ECRON 10 MG INJ INJEKSI 212,000 254,400
91 EDEMIN INJEKSI INJEKSI 6,000 7,200
92 ENGERIX B 10 MCG 0.5 ML INJEKSI 79,500 95,400
93 EPHEDRIN 1 ML INJ INJEKSI 30,500 36,600
94 EPHINEPRINE 50MG INJ INJEKSI 5,000 6,000
95 EPIDOSIN INJ INJEKSI 28,000 33,600
96 EPINEPHRIN 1 MG INJ INJEKSI 2,500 3,000
97 ETAMIDON INJ INJEKSI 5,000 6,000
98 ETHIPERAN INJ INJEKSI 7,000 8,400
99 ETIGAN INJ INJEKSI 8,000 9,600
100 ETOVION INJ INJEKSI 44,000 52,800
101 FALMICOT 10 MG INJ INJEKSI 140,000 168,000
102 FARBIVENT INJ INJEKSI 13,000 15,600
103 FARGOXIN 0,25 MG/ML INJ INJEKSI 50,000 60,000
104 FARMADOL INF INJEKSI 79,500 95,400
105 FARTOLIN INJ INJEKSI 50,500 60,600
106 FENTANYL INJ 2 ML INJEKSI 54,000 64,800
107 FIONDAZOLE INF INJEKSI 87,500 105,000
108 FIONTIC INJ INJEKSI 303,000 363,600
109 FIOPRAZ 40 MG INJ INJEKSI 102,000 122,400
110 FLAMICOT 40 MG INJ INJEKSI 125,000 150,000
111 FLUXUM 0,4 MG INJ INJEKSI 167,000 200,400
112 FOBET INJ INJEKSI 151,000 181,200
113 FONICEF INJ INJEKSI 243,500 292,200
114 FORGESIC INJ INJEKSI 19,500 23,400
115 FORTAGYL INJ INJEKSI 90,100 108,120
116 FOSMICIN 1 GR INJ INJEKSI 117,000 140,400
117 FOSMICIN 2 GR INJ INJEKSI 225,000 270,000
118 FRESOFOL / PROPOFOL 1% MCT/LCT AMP INJEKSI 7,500 9,000
119 FURAMIN 10 ML INJ INJEKSI 11,900 14,280
120 FUROSEMID 10MG/ML INJ INJEKSI 5,000 6,000
121 GASTER INJ INJEKSI 30,000 36,000
122 GASTRIDIN INJ INJEKSI 20,700 24,840
123 GEMCIKAL 1000 MG INJEKSI 910,000 1,092,000
124 GENTAMICYN 40 MG/ML INJ INJEKSI 8,000 9,600
125 GENTAMYCIN 80 MG INJ INJEKSI 5,200 6,240
126 GESTIN INJ INJEKSI 10,000 12,000
127 GETIDIN IJEK INJEKSI 25,166 30,199
128 GLUCONAS INJ INJEKSI 18,000 21,600
129 GOVOTIL INJEK INJEKSI 24,011 28,813
130 HALOPERIDOL INJ INJEKSI 162,000 194,400
131 HEMAPO 3000 IU INJ INJEKSI 129,000 154,800
132 HIPAMIRZ INJ INJEKSI 172,500 207,000
133 HUMULIN R INJ INJEKSI 200,000 240,000
134 HYOSCINE N-BUYLBROMIDE INJ INJEKSI 12,000 14,400
135 INDOP (DOPAMIN) 40 MG INJ INJEKSI 22,500 27,000
136 INODEX INJ INJEKSI 44,000 52,800
137 INTRADOL INJEK INJEKSI 13,482 16,178
138 INTRIX INJ INJEKSI 233,000 279,600
139 INVICLOC INJ INJEKSI 14,500 17,400
140 INVICLOT 5 ML / HEPARIN INJ INJEKSI 14,500 17,400
141 ISOKET INJ INJEKSI 85,000 102,000
142 IVELIP 20% 100 ML INJ INJEKSI 256,500 307,800
143 KALMOXILLIN INJ INJEKSI 32,000 38,400
144 KALNEX TABLET INJEKSI 15,504 18,605
145 KANAMICYN INJ INJEKSI 12,000 14,400
146 KETESE INJ INJEKSI 55,000 66,000
147 KETOROLAC 30 MG INJ INJEKSI 5,000 6,000
148 KLIRAN INJ INJEKSI 41,000 49,200
149 KLIRAN INJ 4MG/2ML INJEKSI 38,000 45,600
150 KONILIVE PLUS INJ INJEKSI 106,000 127,200
151 KTM INJ INJEKSI 24,500 29,400
152 LACOPEN INJ INJEKSI 643,500 772,200
153 LACTOPAIN INJ INJEKSI 44,000 52,800
154 LAMESON INJ INJEKSI 116,500 139,800
155 LANCEF (CEFOTAXIME) INJ INJEKSI 156,000 187,200
156 LAPIBAL INJ INJEKSI 23,000 27,600
157 LAPIXIME 1 GR INJ INJEKSI 214,500 257,400
158 LASIX INJ INJEKSI 18,000 21,600
159 LEVORES INF INJEKSI 245,250 294,300
160 LEVOVID INJ INJEKSI 261,000 313,200
161 LEXA INJ INJEKSI 429,500 515,400
162 LIDOCAIN INJ INJEKSI 3,000 3,600
163 LODOMER INJ INJEKSI 20,000 24,000
164 LOVENOX 0,4 MG INJ INJEKSI 110,500 132,600
165 LOVENOX 0,6 MG INJ INJEKSI 292,500 351,000
166 LQ 500 INJ INJEKSI 262,000 314,400
167 MACEF INJ INJEKSI 277,000 332,400
168 MARCAIN 0.50 % HVY 5MG/ML INJEKSI 36,000 43,200
169 MARCAIN 0.50% PDF 20 ML INJEKSI 93,000 111,600
170 MECOBALAMIN 500 INJ INJEKSI 9,800 11,760
171 MEDIXON 125 MG INJ INJEKSI 91,000 109,200
172 MEROPENEM 0.5 GR INJ INJEKSI 157,500 189,000
173 MEROPENEM 1 GR INJ INJEKSI 59,000 70,800
174 MEROPEX INJ INJEKSI 465,500 558,600
175 METHYLCOBALAMIN AMP INJEKSI 38,400 46,080
176 METHYLERGOMETRIN INJ INJEKSI 6,000 7,200
177 METOCLOPRAMID/METOLON INJ INJEKSI 9,000 10,800
178 METROFER INJ INJEKSI 529,000 634,800
179 MICODRIOL INJ INJEKSI 9,500 11,400
180 MIKASIN 500 MG INJ INJEKSI 218,000 261,600
181 MILOZ 15 MG INJ INJEKSI 64,500 77,400
182 MOSARDAL INF INJEKSI 327,500 393,000
183 MYOMERGIN INJ INJEKSI 15,000 18,000
184 NARFOZ 4 MG INJ INJEKSI 35,000 42,000
185 NARFOZ 8 MG INJ INJEKSI 49,000 58,800
186 NASEA INJ INJEKSI 304,600 365,520
187 NAVORAVIT INJ INJEKSI 300,000 360,000
188 NEO-K INJ INJEKSI 16,000 19,200
189 NEOSTIGMINE-HAMELN 0,5MG/ML INJEKSI 11,800 14,160
190 NEUCITI INJ INJEKSI 42,500 51,000
191 NEUROBION 5000 INJ INJEKSI 13,000 15,600
192 NEUROBION BIASA INJ INJEKSI 6,000 7,200
193 NEUROTROPIC INJ INJEKSI 11,000 13,200
194 NICARDIPINE 1 MG INJ INJEKSI 55,000 66,000
195 NILOZ INJ INJEKSI 64,200 77,040
196 NOKOBA INJEKSI INJEKSI 100,000 120,000
197 NOOTROPIL 3 GR INJ INJEKSI 81,500 97,800
198 NOPOMIKS INJ INJEKSI 321,500 385,800
199 NORAGES 2 ML INJ INJEKSI 7,500 9,000
200 NOREPINEPRIN 4 MG INJ INJEKSI 69,000 82,800
201 NORFION (NOREPINEPRIN) INJEK INJEKSI 80,100 96,120
202 NOTRIXUM INJ INJEKSI 96,500 115,800
203 NOVALGIN INJ INJEKSI 7,100 8,520
204 NTG 10 MG AMP INJEKSI 65,000 78,000
205 ODR 4 MG INJ INJEKSI 39,500 47,400
206 ONDANSENTRON 4 MG INJ INJEKSI 5,000 6,000
207 ONDANSENTRON 8 MG INJ INJEKSI 6,500 7,800
208 ORTO CAST 3 INJ INJEKSI 138,500 166,200
209 ORTO CAST 4 INJ INJEKSI 153,000 183,600
210 OSFLEX INJ INJEKSI 598,800 718,560
211 OSTENIL INJ INJEKSI 614,600 737,520
212 OXYTOCIN INJ INJEKSI 6,000 7,200
213 OZID INJ INJEKSI 95,500 114,600
214 PANSO INJ INJEKSI 157,500 189,000
215 PANTERA INJ INJEKSI 189,000 226,800
216 PANTOPRAZOL 40 MG INJ INJEKSI 36,000 43,200
217 PANTOTIS INJ INJEKSI 153,000 183,600
218 PANTOZOL INJ INJEKSI 191,000 229,200
219 PAPAVERIN FLAXON INJ INJEKSI 12,000 14,400
220 PAPAVERIN INJ INJEKSI 7,000 8,400
221 PEHACAIN 2ML INJ INJEKSI 3,700 4,440
222 PENEMAG 1 GR INJ INJEKSI 157,500 189,000
223 PEPZOL INJ INJEKSI 157,500 189,000
224 PERDIPINE INJ INJEKSI 175,500 210,600
225 PHENYTOIN 50 MG INJ INJEKSI 27,000 32,400
226 PIRACETAM 1 GR INJ INJEKSI 6,000 7,200
227 PIRACETAM 3 GR INJ INJEKSI 35,000 42,000
228 PRESOFOL 1% MCT/LCT INJEKSI 15,000 18,000
229 PRIMPRAN INJ INJEKSI 14,000 16,800
230 PROCAIN PENICILIN INJ INJEKSI 8,000 9,600
231 PROPOFOL INJ INJEKSI 113,500 136,200
232 PROSPARGIN INJ INJEKSI 8,000 9,600
233 PROSTIGMIN REGULER INJ INJEKSI 22,500 27,000
234 RAIVAS/NOREPINEPRIN INJ INJEKSI 83,000 99,600
235 RANITIDIN 25 MG/ML INJ INJEKSI 2,500 3,000
236 RECOFOL N AMP INJEKSI 109,000 130,800
237 RELOX INJ INJEKSI 161,000 193,200
238 RENOVER INJ INJEKSI 116,500 139,800
239 RINOFER INJ INJEKSI 114,500 137,400
240 RIXONE INJ INJEKSI 196,000 235,200
241 ROCER INJ INJEKSI 143,500 172,200
242 ROCOLAX INJ INJEKSI 135,000 162,000
243 ROCULAX INJ 5 ML INJEKSI 196,000 235,200
244 ROCURONIUM BROMIDE INJ INJEKSI 93,600 112,320
245 ROLAC INJ INJEKSI 20,000 24,000
246 SCANDONEST 2% SPECIAL 1,8 ML INJEKSI 7,800 9,360
247 SEDACUM 15 MG/3ML INJ INJEKSI 55,500 66,600
248 SEPTOCAINE1:100000 1,7 ML INJEKSI 8,500 10,200
249 SINDAXEL 260 MG INJEKSI 4,100,000 4,920,000
250 SOCEF INJ INJEKSI 240,500 288,600
251 SOPRIN INJ INJEKSI 364,000 436,800
252 SOTATIC INJ INJEKSI 10,000 12,000
253 SPINOCAIN INJEKSI INJEKSI 40,000 48,000
254 STABACTAM INJ INJEKSI 240,000 288,000
255 STESOLID 10MG/2ML INJ INJEKSI 17,000 20,400
256 STILAMIN INJ INJEKSI 1,467,000 1,760,400
257 SULBACEF INJ INJEKSI 260,000 312,000
258 SULFAFEROZONI INJ INJEKSI 66,000 79,200
259 SULPEFION INJ 1 GR INJEKSI 151,000 181,200
260 SYNTOCINON INJ INJEKSI 16,000 19,200
261 TAXEGRAM 1 GR INJ INJEKSI 175,000 210,000
262 TERDICEF INJ INJEKSI 153,000 183,600
263 TEREL INJ INJEKSI 2,153,000 2,583,600
264 TERFACEF INJ INJEKSI 230,000 276,000
265 TETRA HESS INJ INJEKSI 217,000 260,400
266 THIOPHENTAL SODIUM INJ INJEKSI 97,500 117,000
267 TIARYT INJ INJEKSI 18,000 21,600
268 TOCEF INJ INJEKSI 156,000 187,200
269 TOFEDEX INJ INJEKSI 57,000 68,400
270 TOPAZOL 40 MG INJ INJEKSI 210,500 252,600
271 TOPEDEX INJ INJEKSI 57,000 68,400
272 TRAMADOL 100 MG/2ML INJ INJEKSI 8,000 9,600
273 TRAMUS 1% 5ML AMP INJEKSI 86,000 103,200
274 TRANSAMIN 500 MG INJ INJEKSI 11,500 13,800
275 TRILAC INJ INJEKSI 135,000 162,000
276 TRIVAN INJ INJEKSI 115,500 138,600
277 TROLAC INJ INJEKSI 35,000 42,000
278 ULSIKUR INJ INJEKSI 12,000 14,400
279 UTOLGIN 1 ML INJ INJEKSI 2,500 3,000
280 VASKON INJ INJEKSI 123,650 148,380
281 VERORAB INJ INJEKSI 228,000 273,600
282 VICCILIN INJ INJEKSI 15,000 18,000
283 VITAMIN 12 INJ INJEKSI 5,000 6,000
284 VITAMIN B12 INJ INJEKSI 5,000 6,000
285 VITAMIN C INJ INJEKSI 8,500 10,200
286 VITAMIN K INJ INJEKSI 7,000 8,400
287 VOMETRON 4 MG INJ INJEKSI 33,500 40,200
288 VOMETRON 8 MG INJ INJEKSI 50,000 60,000
289 XILOMIDON INJ INJEKSI 5,000 6,000
290 YAVORAN INJ INJEKSI 128,700 154,440
291 ZEOFAR 500 ML INJ INJEKSI 95,500 114,600
292 ZIBAC INJ INJEKSI 60,000 72,000
293 ZOLBACID INJ INJEKSI 160,500 192,600
294 ZOMETA LIVI 4NG INJEKSI 1,190,000 1,428,000