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DAFTAR HARGA RETAIL HOSPITAL PRODUCT PT.

GRAHA FARMA
BRANDED NAME

NO KOMPOSISI SATUAN NAMA PRODUK KEMASAN KARTON NETTO NETTO + PPn

1 Acyclovir 400 mg Lovires 400 3 x 10 50 BOX 23,708 26,079


2 Acyclovir 5% Lovires Cream tube @5 gr 140 TUBE 5,762 6,338
3 Allopurinol 100 mg Linogra 10 x 10 50 BOX 23,081 25,389
4 Aluminium Hidroksida 300 mg Atmacid Tablet 10 x 10 50 BOX 27,023 29,726
Magnesium Hidroksida 300 mg
Dimeticon 50 mg
5 Aluminium Hidroksida 300 mg Atmacid Syr 60 ml 60 ml 72 BTL 6,156 6,772
Magnesium Hidroksida 300 mg
Dimeticon 50 mg
6 Aluminium Hidroksida 300 mg Atmacid Syr 120 ml 120 ml 36 BTL 8,374 9,211
Magnesium Hidroksida 300 mg
Dimeticon 50 mg
7 Amlodipine 10 mg Gravask 10 3 x 10 50 BOX 22,032 24,235
8 Amlodipine 5 mg Gravask 5 3 x 10 50 BOX 14,985 16,484
9 Amoxicillin 500 mg Moxigra 500 10 x 10 50 BOX 43,142 47,456
10 Ampicillin 500 mg Vigapen 500 10 x 10 50 BOX 45,977 50,575
11 Asam Asetil Salisilat (Asetosal) 100 mg Gramasal 10 x 10 50 BOX 21,109 23,220
12 Asam Mefenamat 500 mg Grafamic 10 x 10 50 BOX 35,934 39,527
13 ATP 20 mg Pro ATP 10 x 10 50 BOX 127,346 140,080
Vitamin B 1 disulfida 100 mg
Vitamin B6 200 mg
Vitamin B 12 0,2mg /200mcg
Vitamin E 30 mg
14 Bromhexine HCL 4 mg Bronkris Elixir 60 ml 72 BTL 5,417 5,958
15 Bromhexine HCL 8 mg Bronkris Tablet 10 x 10 50 BOX 13,918 15,310
16 8 mg Graxine 10 x 10 50 BOX 21,210 23,331
Glilseril Guaicolat 100 mg
17 Cefadroxil 500 mg Grafacef 500 10 x 10 50 BOX 98,550 108,405
18 Ciprofloxacin 500 mg Floxigra 500 100's 10 x 10 100 BOX 60,242 66,266
19 Clindamycin 300 mg Dacigra 3 x 10 43,042 47,346
20 Cloramphenicol 250 mg Grafacetin 10 x 10 50 BOX 55,261 60,787
21 Curcumin 95% 2 mg Curviplex Syrup 60 ml 72 BTL 5,836 6,420
Vitamin B1 3 mg
Vitamin B2 2 mg
Vitamin B6 5 mg
Vitamin B 12 5 mcg
Vitamin A 1500 IU
Vitamin D 3 400 IU
d-Panthenol 3 mg
Lysin-HCL 100 mg
Niacinamida 10 mg
Folic Acid 0,1 mg
22 Cyproheptadine HCl 4 mg Graperide 10 x 10 50 BOX 12,216 13,438
23 Dekstrometorfan HBr 15 mg Grantusif 10 x 10 100 BOX 39,718 43,689
Difenhidramin HCl 5 mg
Gliseril Guaiacolat 100 mg
24 Dekstrometrofan HBr 10 mg Ventusif Syr 60 ml 60 ml 72 BTL 4,643 5,107
Difenhidramin HCl 125 mg
Amonium Klorida 120 mg
Sodium Sitrat 50 mg
25 Dexamethasone 0.5 mg Grathazon 20 x 10 100 BOX 30,389 33,427
26 Dexamethasone 0.5 mg Grafachlor 10 x 10 200 BOX 17,551 19,306
Dex CTM 2 mg
27 Dex CTM 2 mg Histaklor 10 x 10 50 BOX 14,129 15,542
28 DHA 20 mg Gralysin syrup 60 ml 72 BTL 10,026 11,029
Vitamin C 50 mg
Vitamin A 1500 IU
Vitamin D3 400 IU
Vitamin B 1 1 mg
d-panthenol 3 mg
Vitamin B 2 0,8 mg
NO KOMPOSISI SATUAN NAMA PRODUK KEMASAN KARTON NETTO NETTO + PPn

Vitamin B 6 0,8 mg
Vitamin B 12 3 mcg
Niacinamida 10 mg
L-Lysine HCl 100 mg 100 mg
Asam Folat 0,1 mg 0,1 mg
29 Diclofenac Sodium 50 mg Gratheos 50 5 x 10 200 BOX 14,133 15,546
30 Difenhidramin HCl 125 mg Rosadryl Syr 60 ml 72 BTL 3,147 3,462
Amonium Klorida 125 mg
Na. Sitrat 50 mg
Menthol 1 mg
31 Diosmin 450 mg Osmigra 5x6 50 BOX 67,320 74,052
Hesperidin 50 mg
32 DL a tocopherol Acetate 100mg Evigra 10 x 10 40 BOX 48,184 53,002
(Vitamin E Asetat)
33 Domperidon 10 mg Grameta tab 5 x 10 50 BOX 10,918 12,010
34 Domperidon 5 mg Grameta syrup 30 ml 30 ml 50 BTL 3,764 4,140
35 Domperidon 5 mg Grameta Syrup 60 ml 60 ml 72 BTL 3,519 3,871
36 Ekstrak daun katuk 300 mg Sangatonik Asi 5x6 50 BOX 16,191 17,810
Ekstrak temulawak 12.5 mg
37 Ekstrak jahe 117 mg Sangatonik Emesis 5x6 50 BOX 15,795 17,375
Vitamin B6 HCl 37.5 mg
38 Ekstrak Phyllanthi Herba 250 mg Gramuno Doos 10 x 6 50 BOX 67,200 73,920
Ekstrak Curcuma Domestica 50mg
Ekstrak Curcuma Xanthorriza 30 mg
39 Eperison HCL 50 mg Gramyo 3 x 10 50 BOX 24,399 26,839
40 Ferrous Gluconate 150 mg Sangotonik 10 x 10 50 BOX 28,970 31,867
Manganese Sulfate 0.02 mg
Copper Sulfate 0.2 mg
Vitamin C 50 mg
Folic Acid 0.04 mg
Vitamin B 12 7.5 mg
Sorbitol 25 mg
41 Flunarizine 10 mg Funar 10 5 x 10 50 BOX 36,000 39,600
42 Flunarizine 5 mg Funar 5 5 x 10 50 BOX 29,700 32,670
43 Fusidic Acid 2% Fusigra Cream 5 gr tube @5 gr 140 TUBE 22,932 25,225
44 Furosemida 40 mg Gralixa 40 10 x 10 50 BOX 18,751 20,626
45 Gentamycin Sulfat 0,1% Gragenta krim 5 gr tube @5 gr 140 TUBE 4,854 5,339
46 Graptophyllum Folium 250 mg Nuwasir Blister 10 x 10 32 Box 75,995 83,595
Exstrak Curcuma Domestica 25 mg
Exstrak Centella Asiatica 100 mg
47 Hydrocortisone Acetate 2.5% Cortigra Cream 5 gr tube @5 gr 140 TUBE 5,361 5,897
48 Hydrocortisone Acetate 1.0% Cortigra N krim 5 gr tube @5 gr 140 TUBE 5,593 6,152
Neomycine 0,5%
49 Hyoscine -n-butylbromide 10 mg Hiopar 10 x 10 50 BOX 159,117 175,029
Paracetamol 500 mg
50 Ibuprofen 200 mg Tyrema 10 x 10 10 x 10 50 BOX 26,768 29,445
Paracetamol 325 mg
51 Ibuprofen 200 mg Tyrema 25 x 4 25 x 4 50 BOX 25,527 28,080
Paracetamol 325 mg
52 Kalium Diklofenat 50 mg Flamigra 5 x 10 50 BOX 11,770 12,947
53 Kalsium Laktat 500 mg Prokalk 10 x 10 50 BOX 20,125 22,138
54 Ketoconazolum 200 mg Tokasid 50's 5 x 10 50 BOX 36,639 40,303
55 Ketoconazole 2% Tokasid crem 10 gr tube @10 gr 140 TUBE 7,172 7,889
56 Lansoprazole 30 mg Lanzogra 5x4 50 BOX 16,320 17,952
57 Lesitin 300 mg Cholesvit 10 x 10 50 BOX 64,575 71,032
Vit B1 1.4 mg
Vit B2 1.6 mg
Vit B6 2 mg
Vit B12 3 mcg
Vit E 10 mg
Nikotinamida 18 mg
58 Loperamide HCl 2 mg Gradilex '100 10 x 10 50 BOX 15,516 17,068
59 Loratadine 10 mg Gradine 10 3 x 10 50 BOX 8,160 8,976
NO KOMPOSISI SATUAN NAMA PRODUK KEMASAN KARTON NETTO NETTO + PPn

60 Loratadine 5 mg Gradine 5 3 x 10 40 BOX 7,214 7,936


61 Metampiron 500 mg Infalgin 10 x 10 50 BOX 26,713 29,384
62 Metamizole Sodium 500 mg Biomega 10 x 10 50 BOX 67,493 74,243
Vitamin B1 50 mg
Vitamin B6 100 mg
Vitamin B12 100 mg
63 Mecobalamin 500 mcg Icobal 5 x 10 50 BOX 15,360 16,896
64 Meloxicam 15 mg Melogra 15 3 x 10 50 BOX 17,280 19,008
65 Meloxicam 7,5 mg Melogra 7,5 3 x 10 50 BOX 14,727 16,200
66 Metilprednisolon 4 4 mg Grasolon 4 5 x 10 50 BOX 22,950 25,245
67 Metilprednisolon 8 8 mg Grasolon 8 5 x 10 50 BOX 38,700 42,570
68 Metoclopramide HCl 10 mg Vosea Tablet 10 x 10 50 BOX 18,816 20,698
69 Metoclopramide HCl 5 mg Vosea Syrup 30 ml 50 BTL 4,485 4,933
70 Metronidazole 500 mg Grafazol 500 10 x 10 50 BOX 34,615 38,076
71 Mometason furoat 0,1% Metagra Cream 5 gr tube @5 gr 140 TUBE 11,150 12,265
72 Ofloxacin 400 mg Grafloxin 400 3 x 10 25 BOX 35,046 38,551
73 Omeprazol 20 mg Lanacer 2 x 10 50 BOX 12,348 13,583
74 Paracetamol 500 mg Grafadon Tablet 10 x 10 100 BOX 24,337 26,771
75 Paracetamol 650 mg Grafadon Forte 10 x 10 50 BOX 28,778 31,655
76 Paracetamol 160 mg Grafadon Syr 60 ml 72 BTL 6,403 7,044
77 Paracetamol 60 mg Grafadon Drops 15 ml 144 BTL 8,305 9,136
78 Paracetamol (Asetaminofen) 500 mg Alfidon 50 x 1 50 BOX 19,243 21,167
Coffein Anhidrat 50 mg
79 Paracetamol (Asetaminofen) 500 mg Alfidon 10x10 10x10 50 BOX 26,346 28,981
Coffein Anhidrat 50 mg
80 Paracetamol 120 mg Pinkid's cough syr 60 ml 60 ml 72 BTL 5,240 5,764
Gliseril Guaiacolat 50 mg
CTM 1 mg
81 Paracetamol (Asetaminofen) 500 mg Flucadex Tab 10 x 10 50 BOX 53,772 59,149
Gliseril Guaiacolat 50 mg
Fenilpropanolamin HCl 15 mg
Dekstrometorfan HBr 15 mg
CTM 1 mg
82 Paracetamol (Asetaminofen) 250 mg Flucadex Syr 60 ml 72 BTL 9,334 10,267
Gliseril Guaiacolat 50 mg
Fenilpropanolamin HCL 7,5 mg
Dekstrometorfan HBr 7,5 mg
CTM 0,5 mg
83 Paracetamol (Asetaminofen) 125 mg Zacoldine Syr 60 ml 60 ml 72 BTL 5,533 6,086
Fenilefrin HCl 5 mg
Klorfeniramn Maleat 1 mg
Kalium Sulfoguaiakolat 25 mg
84 Paracetamol (Asetaminofen) 500 mg Flunax Tablet 10 x 10 50 BOX 25,918 28,509
Fenilpropanolamin HCl 15 mg
CTM 1 mg
85 Paracetamol (Asetaminofen) 120 mg Flunax Syr 60 ml 72 BTL 5,067 5,574
Phenylpropanolamin HCL 3,5 mg
CTM 0,5 mg
86 Piracetam 400 mg Gracetam 400 mg 5 x 10 50 BOX 45,000 49,500
87 Piracetam 800 mg Gracetam 800 mg 5 x 10 50 BOX 75,000 82,500
88 Piroxicam 10 mg Grazeo 10 10 x 10 50 BOX 13,960 15,356
89 Piroxicam 20 mg Grazeo 20 10 x 10 50 BOX 19,804 21,784
90 Ranitidine HCl 150 mg Graseric 10 x 10 50 BOX 37,958 41,754
91 Salbutamol 2 mg Grafalin 2 10 x 10 50 BOX 9,778 10,756
92 Salbutamol 4 mg Grafalin 4 10 x 10 50 BOX 17,832 19,615
93 Simvastatin 10 10 mg Norpid 10 3 x 10 50 BOX 9,041 9,945
94 Simvastatin 20 20 mg Norpid 20 3 x 10 50 BOX 18,026 19,829
95 Sulfamethoxazole 400 mg Graprima Adult 10 x 10 50 BOX 27,225 29,948
Trimethoprim 80 mg
96 Sulfamethoxazole 800 mg Graprima Forte 10 x 10 50 BOX 48,057 52,863
Trimethoprim 160 mg
97 Sulfamethoxazole 200 mg Graprima Syr 60 ml 60 ml 72 BTL 5,817 6,399
Trimethoprim 40 mg
NO KOMPOSISI SATUAN NAMA PRODUK KEMASAN KARTON NETTO NETTO + PPn

98 Theophilin 130 mg Grafasma 25 x 4 50 BOX 23,225 25,548


Epedrine Hcl 10 mg
99 Thiamphenicol 500 mg Zicafen 500 10 x 10 50 BOX 91,474 100,621
100 Tramadol HCL 50 mg Centrasic Kapsul 3 x 10 50 BOX 16,200 17,820
101 Triprolidin HCL 2,5 mg Neo Protifed 10 x 10 50 BOX 64,669 71,136
Pseudoephedrine HCL 60 mg
102 Triprolidin HCL 1,25 mg Protifed Syr 60 ml 72 BTL 5,894 6,483
Pseudoefedrin 30 mg
103 Vitamin B1 100 mg Grahabion 10 x 10 50 BOX 62,247 68,471
Vitamin B6 200 mg
Vitamin B12 200 mcg
104 Zink Sulfate Monohydrate 10mg Grastop 60 ml 72 Flash 5,874 6,461
105 Diclofenac Sodium 50 mg Gratheos 50 10 x 10 52,872 58,159

GENERIC

NO KOMPOSISI SATUAN NAMA PRODUK KEMASAN KARTON NETTO NETTO + PPn

1 Amoxicillin 500 mg Amoxicillin 500 10 x 10 50 BOX 37,067 40,774


2 Ampicillin 500 mg Ampicillin 500 10 x 10 50 BOX 39,484 43,433
3 Asam Mefenamat 500 mg Asam Mefenamat 10 x 10 50 BOX 26,100 28,710
4 Ciprofloxacin 500 mg Ciprofloxacin 5 x 10 50 BOX 18,082 19,890
5 Clindamycin 300 mg Clindamycin 3 x 10 50 BOX 40,931 45,024
6 Dexamethasone 0.5 0,5 mg Dexamethasone 0.5 10 x 10 50 BOX 9,111 10,022
7 Lansoprazol 30 30 mg Lansoprazol 30 2 x 10 50 BOX 10,636 11,700
8 Metilprednisolon 4 4 mg Metilprednisolon 4 5 x 10 50 BOX 10,390 11,429
9 Metoclopramide HCl 10 mg Metoclopramid 10 x 10 50 BOX 9,653 10,618
10 Metronidazol 500 500 mg Metronidazol 500 10 x 10 50 BOX 20,725 22,798
11 Omeprazol 20 mg Omeprazol 3 x 10 25 BOX 8,935 9,829
12 Piroxicam-10 10 mg Piroxicam 10 10 x 10 50 BOX 9,530 10,483
13 Piroxicam-20 20 mg Piroxicam 20 10 x 10 50 BOX 12,315 13,547
14 Ranitidine 150 mg Ranitidine 10 x 10 50 BOX 18,545 20,400
15 Salbutamol-2 2 mg Salbutamol 2 10 x 10 50 BOX 8,469 9,316
16 Salbutamol-4 4 mg Salbutamol 4 10 x 10 50 BOX 11,684 12,852
17 Simvastatin 20 20 mg Simvastatin 20 3 x 10 50 BOX 10,427 11,470
18 Simvastatin 10 10 mg Simvastatin 10 3 x 10 50 BOX 6,545 7,200
19 Tramadol HCL 50 mg Tramadol 5 x 10 50 BOX 19,911 21,902
20 Zink Sulfate Monohydrate 10 mg Zinc Sulfate 60 ml 72 Flash 4,920 5,412

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