HARGA OGB 2023

NO KODE SAP NAMA PRODUK KEMASAN

1 11002397 ACARBOSE 100 MG (DUS 100 TAB) DUS
2 11002396 ACARBOSE 50 MG (DUS 100 TAB) DUS
3 11000000 ACYCLOVIR 200 MG (DUS 100 TAB) DUS
4 11000002 ACYCLOVIR 400 MG (DUS 100 TAB) DUS
5 11000004 ACYCLOVIR CREAM 5%(DUS 25 TUBE @ 5 GRAM) TUB
6 11000146 ALLOPURINOL 100 MG (DUS 100 TAB) DUS
7 11001445 ALLOPURINOL 100 MG (DUS 100 TAB)-BJN DUS
8 11000008 ALPRAZOLAM 0,5 MG (DUS 100 TAB) DUS
9 11000009 ALPRAZOLAM 1 MG (DUS 100 TAB) DUS
10 11001446 AMBROXOL 30 MG (DUS 100 TAB)-BJN DUS
11 11000149 AMBROXOL SIRUP (BTL 60 ML) BT
12 11001447 AMBROXOL SYRUP (BTL 60 ML)-BJN BT
13 11000150 AMLODIPINE 5 MG (DUS 50 TAB) DUS
14 11001448 AMLODIPINE 5 MG (DUS 50 TAB)-BJN DUS
15 11000151 AMLODIPINE 10 MG (DUS 50 TAB) DUS
16 11001449 AMLODIPINE 10 MG (DUS 50 TAB)-BJN DUS
17 11000011 AMOXICILLIN 500 MG (DUS 100 TAB) DUS
18 11000012 AMPICILLIN 500 MG (DUS 100 TAB) DUS
19 11000152 ANTASIDA DOEN (DUS 100 TAB) DUS
20 11001451 ANTASIDA DOEN (DUS 100 TAB)-BJN DUS
21 11000013 ANTASIDA DOEN SUSPENSI (BTL 60 ML) BT
22 11001452 ANTASIDA DOEN SUSPENSI-BJN (BTL60ML)-BJN BT
23 11000291 ANTIHEMOROID (DUS 10 SUPP) DUS
24 11002293 ARIPIPRAZOLE 5 MG TABLET (DUS 20 TAB) DUS
25 11002393 ASAM TRANEKSAMAT 500 MG (DUS 100 TAB) DUS
26 11002238 ASETILSISTEIN 200 MG DUS
27 11001586 ATORVASTATIN TABLET 10 MG DUS
28 11001587 ATORVASTATIN TABLET 20 MG DUS
29 11001588 ATORVASTATIN TABLET 40 MG DUS
30 11000016 AZITHROMYCIN 500 MG (DUS 20 TAB) DUS
31 11000383 BETAMETASON 0,1% CR(DUS 25 TUBE@5 GRAM) TUB
32 11000385 BETASON CREAM (TUBE 5 GRAM) TUB
33 11000384 BETASON N CREAM (TUBE 5 GRAM) TUB
34 11002298 BISOPROLOL 2.5 MG TSS DUS
35 11002299 BISOPROLOL 5 MG TSS DUS
36 11000386 CALCIUM LACTAT 500 MG (DUS 100 TAB) DUS
37 11001459 CALCIUM LACTAT 500 MG (DUS 100 TAB)-BJN DUS
38 11000161 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB) DUS
39 11001460 CAPTOPRIL 12.5 MG TAB (DUS 100 TAB)-BJN DUS
40 11000424 CAPTOPRIL 25 MG (DUS 100 TAB) DUS
41 11001461 CAPTOPRIL 25 MG (DUS 100 TAB)-BJN DUS
42 11000022 CEFADROXIL 500 MG (DUS 50 KAPS) DUS
43 11000024 CEFIXIME 100 MG (DUS 30 KAPS) DUS
44 11000025 CETIRIZINE 10 MG (DUS 30 TAB) DUS
45 11001864 CETIRIZINE DIHYDROCHLORIDE SYR 5MG/ML BT
46 11000026 CHLORAMFECORT CREAM (TUBE 10 GRAM) TUB
47 11000027 CHLORAMFECORT H CREAM (TUBE 10 GRAM) TUB
48 11000295 CHLORAMFENICOL 1 % S. MATA (TUBE 5 GRAM) TUB
49 11000388 CHLORAMPHENICOL 250 MG (DUS 100 KAPS) DUS
50 11001463 CHLORAMPHENICOL 250 MG (DUS 100KAPS)-BJN DUS
51 11000164 CHLORAMPHENICOL SUSPENSI (BTL 60 ML) BT
52 11001464 CHLORAMPHENICOL SUSPENSI (BTL 60ML)-BJN BTL
53 11000169 CIMETIDINE 200 MG (DUS 100 TAB) DUS
54 11000029 CIPROFLOXACIN 500 MG (DUS 50 TAB) DUS
55 11002227 CITICOLINE 500 MG DUS
56 11000170 CLONIDINE 0.15 MG (DUS 100 TAB) DUS
57 11001469 CLONIDINE 0.15 MG (DUS 100 TAB)-BJN DUS
58 11000171 CLOPIDOGREL 75 MG (DUS 30 TAB) DUS
59 11001470 CLOPIDOGREL 75 MG (DUS 30 TAB) - BJN DUS
60 11000033 CODEINE 10 MG (DUS 100 TAB) DUS
61 11000035 CODEINE 15 MG TAB (DUS 100 TAB) DUS
62 11000037 CODEINE 20 MG TAB (DUS 100 TAB) DUS
63 11000173 COTRIMOXAZOLE ADULT (DUS 100 TAB) DUS
64 11000175 COTRIMOXAZOLE SUSPENSI (BTL 60 ML) BT
65 11001472 COTRIMOXAZOLE SUSPENSI (BTL 60 ML)-BJN BT
66 11002019 D-5 GLUKOSA LARUTAN INFUS 5% BT
67 11000182 DEXAMETHASONE 0.5 MG (DUS 100 TAB) DUS
68 11001474 DEXAMETHASONE 0.5 MG (DUS 100 TAB)-BJN DUS
69 11000187 DILTIAZEM 30 MG (DUS 100 TAB) DUS
70 11000188 DIMENHYDRINATE 50 MG (BTL 100 TAB) BT
71 11001478 DIMENHYDRINATE 50 MG (DUS 100 TAB)-BJN DUS
72 11002210 DOBUTAMIN INJ 250 MG/5 ML DUS
73 11000056 DOXYCYCLINE (DUS 100 KAPS) DUS
74 11002383 EPERISONE HCL 50 MG (DUS 100 TAB) DUS
75 11000192 ERGOTAMINE COFFEINE (BTL 100 TAB) BT
76 11000065 ERYTHROMYCIN 250 MG (DUS 100 KAPS) DUS
77 11000067 ERYTHROMYCIN SIRUP KERING (BTL 60 ML) BT
78 11000194 ETHAMBUTOL 500 MG (DUS 100 TAB) DUS
79 11000310 EUGENOL (BTL 10 ML) BT
80 11002085 FAVIPIRAVIR 200 MG (DUS 100 TAB) DUS
81 11002454 FENTANYL CITRATE 0,1MG/10ML (DUS 2 AMP) DUS
82 11002453 FENTANYL CITRATE 0,1MG/2ML (DUS 5 AMP) DUS
83 11000071 FLUCONAZOLE 150 MG (DUS 10 KAPS) DUS
84 11000200 FUROSEMIDE 40 MG (DUS 200 TAB) DUS
85 11002137 GABAPENTIN 100 MG DUS
86 11002060 GABAPENTIN 300 MG DUS
87 11000391 GENTAMYCIN 0,1 % (DUS 10 TUBE @ 5 GRAM) TUB
88 11000072 GLIBENCLAMIDE 5 MG (DUS 100 TAB) DUS
89 11000073 GLIMEPIRIDE 1 MG (DUS 50 TAB) DUS
90 11000074 GLIMEPIRIDE 2 MG (DUS 50 TAB) DUS
91 11000075 GLIMEPIRIDE 3 MG (DUS 50 TAB) DUS
92 11000076 GLIMEPIRIDE 4 MG (DUS 50 TAB) DUS
 93 11000202 GRISEOFULVIN 125 MG(DUS 100 TAB) DUS
94 11001497 GUAIFENESIN 100 MG (DUS 100 TAB)-BJN DUS
95 11001612 GUAIFENESIN 100 MG TAB DUS
96 11001499 HYDROCHLOROTHIAZIDE 25MG(DUS 100TAB)-BJN DUS
97 11000204 HYDROCLOROTIAZID 25 MG (DUS 100 TAB) DUS
98 11000394 HYDROCORTISONE 2,5%CR(DUS 24TUBE@ 5GRAM) TUB
99 11000302 IODINE POVIDONE LAR 10 % (BTL 1000 ML) BT
100 11000306 IODINE POVIDONE LAR 10 % (BTL 300 ML) BT
101 11000303 IODINE POVIDONE LAR 10 % (BTL 60 ML) BT
102 11000305 IODINE POVIDONE LAR 10% (BTL 30 ML) BT
103 11000208 ISONIAZID 100 MG (DUS 100 TAB) DUS
104 11000210 ISONIAZID 300 MG (DUS 100 TAB) DUS
105 11000395 KETOCONAZOLE 2 % CREAM (TUBE 10 GRAM) TUB
106 11002189 KIFAMED KASA HIDROPHILE 36 M X 80 CM RLL
107 11002191 KIFAMED KASA PEMBALUT 4Y X 10 CM RLL
108 11002192 KIFAMED KASA PEMBALUT 4Y X 15 CM RLL
109 11002190 KIFAMED KASA PEMBALUT 4Y X 5 CM RLL
110 11002188 KIFAMED KASA STERIL 16 CM X 16 CM DUS
111 11001759 KIFAMED STERIL HYPODERMIC SYRINGE 1ML PC
112 11001993 KIFAMED SURGICAL FACE MASK EARLOOP (5) BKS
113 11001989 KIFAMED SURGICAL FACE MASK EARLOOP (50) DUS
114 11001988 KIFAMED SURGICAL FACE MASK HIJAB (5) BKS
115 11001995 KIFAMED TONGKAT KAKI EMPAT BERODA PC
116 11001994 KIFAMED TONGKAT KAKI EMPAT CABANG PC
117 11001996 KIFAMED TONGKAT KAKI EMPAT WALKER PC
118 11001916 KIFAMED TONGKAT KAKI SATU KETIAK PET
119 11001913 KIFAMED TONGKAT KAKI SATU LIPAT PC
120 11001915 KIFAMED TONGKAT KAKI SATU SENTER PC
121 11001914 KIFAMED TONGKAT KAKI SATU STANDARD PC
122 11002008 KIMIA FARMA COVID-19 TEST DUS
123 11000216 KINA (DUS 24 STRIP) STR
124 11002048 LEVOFLOXACIN HEMIHYDRATE 500 MG DUS
125 11000220 MELOXICAM 15 MG (DUS 20 TAB) DUS
126 11000219 MELOXICAM 7,5 MG (DUS 20 TAB) DUS
127 11001734 MEROPENEM INJ 0,5 G DUS
128 11001733 MEROPENEM INJ 1 G DUS
129 11001386 METAMIZOLE SODIUM 500 MG TAB DUS 10X10 DUS
130 11001450 METAMIZOLE SODIUM 500MG (DUS100TAB)-BJN DUS
131 11000104 METHYLERGOMETRINE 0,125 MG (DUS 100 TAB) DUS
132 11000222 METOCLOPRAMID 10 MG (DUS 100 TAB) DUS
133 11000221 METOCLOPRAMID 5 MG (DUS 100 TAB) DUS
134 11001521 METOCLOPRAMIDE HCL 10 MG (DUS 100 TAB)-BJN DUS
135 11001522 METOCLOPRAMIDE HCL 5 MG (DUS 100TAB)-BJN DUS
136 11000223 METRONIDAZOLE 250 MG (DUS 100 TAB) DUS
137 11000225 METRONIDAZOLE 500 MG (DUS 100 TAB) DUS
138 11000296 MICONAZOLE 2 % CR(DUS 24 TUBE@10 GRAM) TUB
139 11000236 MIKRODIOL DUS
140 11002394 MORFINA 10 MG/ML DUS
141 11001043 MORFINA 10 MG/ML INJEKSI (IMPOR) DUS
142 11000106 MORPHINE 10 MG (BTL 30 TAB) BT
143 11002020 NACL 0,9% INFUS BT
144 11000107 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB) DUS
145 11001525 NATRIUM DIKLOFENAK 25 MG (DUS 50 TAB)-BJ DUS
146 11000108 NATRIUM DIKLOFENAK 50 MG (DUS 50 TAB) DUS
147 11001526 NATRIUM DIKLOFENAK 50 MG (DUS 50 TAB)-BJ DUS
148 11002432 NICARDIPINE HCL INJ 10 MG/10 ML DUS
149 11000227 NIFEDIPIN 10 MG (DUS 100 TAB) DUS
150 11000115 OMEPRAZOLE 20 MG (DUS 30 KAPS) DUS
151 11000229 ORALIT (DUS 100 SASE) DUS
152 11001536 ORALIT (DUS 100 SASE)-BJN DUS
153 11000297 OXYTETRACYCLIN 1% SM(DUS 25TUBE@3,5GRAM) TUB
154 11000298 OXYTETRACYCLIN 3% SK(DUS 25 TUBE@5 GRAM) TUB
155 11000397 PARACETAMOL 500 MG (DUS 100 TAB) DUS
156 11001538 PARACETAMOL 500 MG (DUS 100 TAB)-BJN DUS
157 11000232 PARACETAMOL SIRUP (BTL 60 ML) BT
158 11002221 PERMETHRIN KRIM 5% TUB
159 11000120 PETHIDIN HCL 50 MG/ML INJ (DUS 10 AMP) DUS
160 11001044 PETHIDIN HCL 50 MG/ML INJEKSI (IMPOR) DUS
161 11002395 PETHIDINA HCL 50 MG/ML DUS
162 11000233 PHENOBARBITAL 30 MG TAB (DUS 100 TAB) DUS
163 11000241 PIROXICAM 10 MG (DUS 100 TAB) DUS
164 11001542 PIROXICAM 10 MG (DUS 100 TAB)-BJN DUS
165 11000243 PIROXICAM 20 MG (DUS 100 TAB) DUS
166 11001543 PIROXICAM 20 MG (DUS 100 TAB) -BJN DUS
167 11001426 PREGABALIN CAPS 150 MG DUS
168 11001425 PREGABALIN CAPS 75 MG DUS
169 11000121 PROPRANOLOL HCL 40 MG (DUS 100 TAB) DUS
170 11000248 PYRANTEL 125 MG (DUS 100 TAB) DUS
171 11000251 PYRAZINAMIDE 500 MG (DUS 100 TAB) DUS
172 11000253 QUININE 222 MG TAB (DUS 60 TAB) DUS
173 11000122 QUININE HCL 250MG/ML INJ (DUS 100 AMP) DUS
174 11000256 RANITIDIN 150 MG (DUS 30 TAB) DUS
175 11000124 RIFAMPICIN 450 MG (DUS 100 TAB) DUS
176 11000125 RIFAMPICIN 600 MG (DUS 100 TAB) DUS
177 11002428 RINGER ACETATE INFUS 500 ML BT
178 11002018 RINGER LAKTAT INFUS BT
179 11002084 ROSUVASTATIN 10 MG DUS
180 11002083 ROSUVASTATIN 20 MG DUS
181 11000259 SALBUTAMOL 2 MG (DUS 100 TAB) DUS
182 11001555 SALBUTAMOL 2 MG (DUS 100 TAB)-BJN DUS
183 11000262 SALBUTAMOL 4 MG (DUS 100 TAB) DUS
184 11001556 SALBUTAMOL 4 MG (DUS 100 TAB)-BJN DUS
185 11000353 SALICYL BEDAK 2 % (I) 50 gr NEW (DUS) DUS
186 11000264 SIMVASTATIN 10 MG (DUS 50 TAB) DUS
187 11000266 SIMVASTATIN 20 MG (DUS 50 TAB) DUS
188 11000793 TABLET TAMBAH DARAH NEO (TSG)(DUS100TAB) DUS
189 11000128 TETRACYCLINE 250 MG (DUS 100 KAPS) DUS
190 11000130 TETRACYCLINE 500 MG (DUS 100 KAPS) DUS
191 11000136 TRINOLON 4 MG (DUS 50 TAB) DUS
192 11002086 VALSARTAN 160 MG DUS
193 11002134 VALSARTAN 80 MG DUS
194 11000274 VERAPAMIL 80 MG (DUS 100 TAB) DUS
195 11000487 VITAMIN B KOMPLEKS(SUPLEMEN)(DUS100TAB) DUS
196 11001571 VITAMIN B KOMPLEKS(SUPLEMEN)(DUS100TAB) BJN DUS
197 11000275 VITAMIN B1 100 MG TAB(SUPL)(DUS 100 TAB) DUS
198 11001572 VITAMIN B1 100MGTAB(SUPL)(DUS100TAB)-BJN DUS
199 11000488 VITAMIN B1 50 MG (SUPLEMEN)(DUS100TAB) DUS
200 11001573 VITAMIN B1 50MG TAB(SUPL)(DUS100TAB)-BJN DUS
201 11000279 VITAMIN B12 0.05 MG TAB(OLD)(DUS 100TAB) DUS
202 11001574 VITAMIN B12 50 MCG (SUPL)(DUS100TAB)-BJN DUS
203 11000485 VITAMIN B12 50 MCG (SUPLEMEN)(DUS100TAB) DUS
204 11001575 VITAMIN B6 10 MG (SPLMN)(DUS100TAB)-BJN DUS
205 11000486 VITAMIN B6 10 MG (SUPLEMEN)(DUS100TAB) DUS
206 11000283 VITAMIN C 100 MG TAB(SUPL)(DUS 100TAB) DUS
207 11001576 VITAMIN C 100MG TAB(SUPL)(DUS100TAB)-BJN DUS
208 11000489 VITAMIN C 250 MG (SUPLEMEN)(DUS100TAB) DUS
209 11001577 VITAMIN C 250 MG (SUPLEMEN)(DUS100TAB) -BJN DUS
210 11000288 VITAMIN C 50 MG TAB (SUPL)(DUS 100 TAB) DUS
211 11001578 VITAMIN C 50 MG TAB (SUPL)(DUS 100 TAB) - BJN DUS
212 11002246 ZINC SULFATE MONOHYDRATE 60 ML SIRUP BT
213 11000144 ZINK DISPERSIBEL (DUS 100 TAB) DUS
214 11002004 HYDROXYCHLOROQUINE 200 MG (DUS 100 TAB) DUS
215 11001952 KIFAMED EXAMINATION GLOVE POWDER FREE(L) DUS
216 11002016 KIFAMED EXAMINATION GLOVE POWDER FREE(M) DUS
217 11001951 KIFAMED EXAMINATION GLOVE POWDER FREE(S) DUS
218 11002378 KIFAMED EXAMINATION GLOVE POWDER FREE(XL DUS
219 11001950 KIFAMED EXAMINATION GLOVE POWDERED (L) DUS
220 11002015 KIFAMED EXAMINATION GLOVE POWDERED (M) DUS
221 11001949 KIFAMED EXAMINATION GLOVE POWDERED (S) DUS
222 11002377 KIFAMED EXAMINATION GLOVE POWDERED (XL) DUS
223 11002237 KIFAMED Kursi Roda Racing (KFM-03) UNT
224 11002235 KIFAMED Kursi Roda Type KFM-01 (Travelling Roda Keci UNT
225 11002236 KIFAMED Kursi Roda Type KFM-02 (Travelling Roda Bes UNT
226 11002233 KIFATEST ANTIGEN DUS
227 11000309 RETINOL (VIT A 100.000 UI)(BTL 50 KAPS) BTL
228 11000304 RETINOL (VIT A 200.000 UI) (BTL 50 KAPS) BTL
HARGA
125,000
75,000
55,567
93,593
3,764
22,683
22,683
35,000
55,000
21,528
4,509
5,500
13,500
13,500
15,000
15,000
46,667
37,479
39,000
39,000
8,913
8,913
33,000
200,000
180,000
95,000
30,000
41,250
70,000
60,793
2,217
7,950
14,850
55,000
75,000
25,000
25,000
15,926
15,926
22,000
22,000
65,905
35,000
11,000
7,000
 13,400
13,225
4,700
61,622
61,622
8,044
8,044
33,407
34,393
220,000
20,000
20,000
50,000
50,000
62,270
112,180
147,600
33,341
5,994
6,994
6,924
14,843
8,000
22,000
14,755
14,755
140,000
70,000
55,000
22,000
90,000
15,000
76,100
24,000
1,500,000
370,000
220,000
170,182
29,250
150,000
100,000
2,670
20,255
20,000
35,000
35,000
40,000
 30,590
22,000
22,000
16,500
16,500
3,458
100,000
32,500
11,000
7,500
24,000
30,000
4,000
177,273
2,273
3,182
1,182
10,000
95,455
6,818
40,909
10,000
290,909
95,455
259,091
145,455
77,273
170,455
81,818
1,636,364
20,720
40,000
14,500
8,000
415,000
550,000
26,500
26,500
35,000
20,000
12,000
20,000
12,000
26,000
35,000
3,750
6,500
309,545
309,545
39,709
7,009
30,000
30,000
35,000
35,000
180,000
22,000
26,000
83,187
67,500
5,628
1,881
35,000
35,000
5,500
18,000
177,100
177,100
177,100
20,000
15,968
15,968
22,458
22,458
270,000
195,000
26,904
62,918
46,000
40,200
230,000
12,905
196,974
215,916
9,396
7,658
42,923
80,000
18,000
18,000
20,000
20,000
5,000
14,000
 27,000
45,000
53,000
95,000
78,000
80,000
40,000
43,550
18,200
18,200
23,700
23,700
18,343
18,343
9,868
12,000
12,000
12,800
12,800
17,000
17,000
18,200
18,200
14,291
14,291
5,000
47,000
325,104
69,369
69,369
69,369
69,369
62,162
62,162
62,162
62,162
945,946
1,431,818
1,545,455
909,091
25,960
41,030