13.4.-OBAT-OBATAN

NO NAMA OBAT KEMASAN HARGA
1 2 3 4
1 ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200
2 blister
mg) @ 12 tablet 44.000
/ kotak
2 ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200

3 blister
mg) @ 8 tablet /44.000
kotak
3 Albendasol suspensi 200 mg/5 ml Ktk 10 btl @ 10 ml 6.000
4 Albendazol tablet/ tablet kunyah 400 mg ktk 5 x 6 tablet 16

5 Alopurinol tablet 100 mg ktk 10 x 10 tablet 16.000
6 Alopurinol tablet 300 mg ktk 10 x 10 tablet 33.000
7 Alprazolam tablet 0,25 mg ktk 10 x 10 tablet 64.000
8 Alprazolam tablet 0,5 mg ktk 10 x 10 tablet 77.000
9 Alprazolam tablet 1 mg ktk 10 x 10 tablet 118.000
10 Ambroxol sirup 15 mg/ml btl 60 ml 5

11 Ambroxol sirup 30 mg ktk 10 x 10 tablet 21.000
12 Amilorida tablet 5 mg ktk 10 x 10 tablet 12.000
13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 118.000

10 ml
14 Aminofilin tablet 150 botol 1000 tablet 57.000
15 Aminofilin tablet 200 botol 100 tablet 15.000
16 Amitriptilin tablet salut 25 mg (HCI) ktk 10 x 10 tablet salut

16.000
17 Amlodipin tablet 5 mg ktk 3 x 10 tablet 9.000
21 Amoksisilin +As.Klavulanat 625 mg tablet ktk 5 x 6 tablet 209

22 Amoksisilin kapsul 250 mg ktk 10 x 10 kapsul 38.000
23 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul 52.000

24 Amoksisilin Kaplet 500 mg ktk 10 x 10 kapsul 45.000
25 Amoksisilin serbuk injeksi 1000 mg ktk 10 vial 99.000
26 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 5

27 Ampisilin kaplet 250 mg ktk 10 x 10 kaplet 36.000
28 Ampisilin kaplet 500 mg ktk 10 x 10 kaplet 62.400
29 Ampisilin serbuk injeksi i.m/l.v 1000 mg/vial ktk 10 vial 105.6

30 Ampisilin serbuk injeksi i.m/l.v 500 mg/vial ktk 10 vial 40
1 2 3 4
31 Ampisilin sirup kering 125 mg/5 ml btl 60 ml 6.000
32 Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida

ktk 10200
x 10
mgtablet
Magnesium
kunyah
14.000
33 Antasida DOEN II suspensi,kombinasi: Aluminium Hidroksida btl 60 ml 4.800

200 mg /5 ml Magnesium Hidroksida200 mg/5 ml
34 Anti Bakteri DOEN salep kombinasi Basitrasin 500 ktk 25 tube @ 5 g 83.000
IU/g + Polimiksin 10000 IU/g
35 Antifungi DOEN Kombinasi Asam Benzoat 6% + Asam ktk 24 pot @ 30 g 55.000
Salisilat 3 %
36 Antihemoroid DOEN Kombinasi : Bismut subgalat ktk 10 supp 27

37 Antimalaria DOEN kombinasi : Pirimetamin25 mg ktk 10 x 10 tablet 64.000
Sulfadoksin500 mg
38 Antimigren : Ergotamin Tartrat 1 mg + Kofein 50 mg btl 1000 tablet 26
39 Antiparkinson DOEN tablet kombinasi : ktk 10 x 10 tablet 167
Karbidopa 25 mg
Levodopa250 mg
40 Aqua pro injeksi steril, bebas pirogen ktk 10 vial @ 20 ml 73.000
41 Arthemeter Injeksi 80 mg/ml ktk 6 ampul 175.000
42 Artesunate Injeksi vial 60 gr ktk 8 vial 263

43 Asam Asetilsalisilat tablet 100 mg (asetosal) ktk 10 x 10 tablet 13.000
44 Asam Asetilasalisillat tablet 500 mg (asetosal) ktk 10 x 10 tablet 21.000
45 Asam Askorbat (Vitamin C) tablet 250 mg btl 250 tablet 42

46 Asam Askorbat (Vitamin C) tablet 50 mg btl 1000 tablet 6.5
47 Asam Askorbat (Vitamin C) tablet 100 mg btl 1000 tablet 29
48 Asam Folat tablet 1 mg btl 100 tablet 6.500
49 Asam Folat tablet 5 mg btl 1000 tablet 62.000
50 Asam Mefenamat kapsul 250 mg ktk 10 x 10 kapsul 17.000
51 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet 26.800
52 Asetazolamid tablet 250 mg btl 100 tablet 24.000
53 Asiklovir krim 5% tube 5 gram 3.5

54 Asiklovir krim 5% ktk 25 tube @ 5 gram
99.000
55 Asiklovir tablet 200 mg ktk 3 x 10 tablet 20.000

1 2 3 4
61 Atenolol tablet 50 mg ktk 10 x 10 tablet 36.000
62 Atenolol tablet 100 mg ktk 5 x 10 tablet 34.000
63 Atropin injeksi i.m./i.v./s.k./ 0,25 mg/ml (Sulfat) ktk 30 amp @ 1 ml 50.000
64 Atropin Sulfat tablet 0,5 mg. btl 100 tablet 8.000
65 Atropin Sulfat tablet 0,5 mg. btl 500 tablet 47.000
66 Atropin Sulfat tetes mata 0,5 % ktk 24 btl @ 5 ml @ 89.000

5 ml@
67 Atropin tetes mata 0,5 % (Sulfat) btl 5 ml 4.000
68 Azatioprin tablet 50 mg ktk 10 x 10 tablet 28.000
69 Benzatin Benzil Penisilin 1,2 Juta IU/ vial ktk 10 vial @ 20 ml 108.000
70 Benzatin Benzil Penisilin 2,4 Juta IU/ vial ktk 10 vial @ 20 ml 150.000
71 Besi (ll) Sulfat 7 H2O tablet salut 300 mg btl 1000 tablet salut35.000
72 Besi II Sulfat 200 mg + asam folat 0,25 mg tablet (tablet tambah

1 darah
bungkus
kombinasi)
@ 30 tablet
3.000
73 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet 34.000
74 Betametason krim 0,1 % (sebagai valerat) tube 5 gram 2.4

75 Betametason krim 0,1 % (sebagai valerat) ktk 25 tube @ 5 g 62.000
76 Betametason tablet 0,5 mg ktk 10 x 10 tablet 10.000
77 Bisoprolol tablet 5 mg ktk 3 x 10 tablet 44.000
78 Bromheksin tablet 8 mg ktk 10 x 10 tablet 6.000
79 Cetirizine sirup 5 mg/5 ml btl 60 ml 12.6

80 Cetirizine tablet 10 mg ktk 3 x 10 tablet 12.000
81 Cetirizine tablet 10 mg ktk 5 x 10 tablet 19.000
82 Cisapride tablet 10 mg ktk 10 x 10 tablet 178.000
83 Cisapride tablet 5 mg ktk 10 x 10 tablet 103.000
84 Clobazam tablet 10 mg ktk 10 x 10 tablet 125.000
85 Clobetasol krim 0,05 % tube 10 gram 16.000
86 Dapson tablet 100 mg btl 1000 tablet 42.000
87 Deksametason injeksi I.v.5 mg/ml ktk 100 amp @ 1 ml263.000
88 Deksametason tablet 0,5 mg ktk 10 x 10 tablet 29.000

1 2 3 4
89 Dekstran 70 - larutan infus 6 % steril btl 500 ml 47.000
90 Dekstrometorfan sirup 10 mg/5 ml (HBr) btl 60 ml 4

91 Dekstrometorfan tablet 15 mg (HBr) ktk 10 x 10 tablet 15.000
92 Diazepam Injeksi 5 mg/ml ktk 30 amp @ 2 ml 94.000
93 Diazepam tablet 2 mg btl 100 tablet 5.000
94 Diazepam tablet 2 mg ktk 10 x 10 tablet 6.000

97 Diazepam tablet 5 mg ktk 10 x 10 tablet 9.000
98 Dietilkarbamezin sitrat tablet 100 mg ktk 10 x 10 tablet 13.000
99 Difenhidramin injeksi i.m 10 mg/ml/(HCI) ktk 30 amp @ 1 ml 36.000
100 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 19.000
101 Digoksin tablet 0,0625 mg btl 100 tablet 10.000
102 Dikloksasilin kapsul 125 mg ktk 100 kapsul 30.000
103 Dikloksasilin kapsul 250 mg ktk 25 x 4 kapsul 42.000
104 Dikloksasilin kapsul 500 mg ktk 25 x 4 kapsul 56.000
105 Diltiazem HCI tablet 30 mg ktk 10 x 10 tablet 20.000
106 Dimenhidrinat tablet 50 mg btl 100 tablet 18.000
107 Disopiramid kapsul 100 mg btl 100 kapsul 31.000
108 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul 36.000
109 Domperidon Suspensi 5 mg/5 ml btl 60 ml 15.200
110 Domperidon tablet 10 mg ktk 10 x 10 tablet 34.200
111 Efedrin tablet 25 mg (HCI) botol 250 tablet 17.000
112 Ekstraks Belladona tablet 10 mg botol 1000 tablet 78.000
113 Epinefrin (adrenalin) injeksi 0,1 % (sebagai HCL) ktk 30 amp @ 1 ml 49.000
114 Eritromisin kapsul 250 mg ktk 10 x 10 kapsul 67.000
115 Entromisin kapsul 250 mg ktk 12 x 10 kapsul 72.000
116 Entromisin kaplet 500 mg ktk 10 x 10 kaplet 111.500
117 Entromisin sirup 200 mg/5 mg btl 60 ml 11

1 2 3 4
118 Etakridin larutan 0,1 % btl 300 ml 3
119 Etambutol tablet 250 mg (HCI) ktk 10 x 10 tablet 53.000
120 Etambutol tablet 250 mg (HCI) ktk 20 x 10 tablet 92.000
121 Etambutol tablet salut 500 mg (HCI) ktk 10 x 10 tablet salut

76.000
122 Etoposid kapsul 100 mg btl 10 kapsul 92.000
123 Famotidine tabet 40 mg ktk 5 x 10 tablet 12.000
124 Famotidine tabet 20 mg ktk 5 x 10 tablet 8.000
125 Fenilbutason tablet 200 mg btl 1000 tablet 107.000
126 Fenitoin kapsul 100 mg btl 250 kapsul 27.000
127 Fenitoin Natrium Injeksi Injeksi 50 mg/ml ampul @ 2 ml 64

128 Fenitoin Natrium kapsul 30 mg btl 250 kapsul 24.000
129 Fenobarbital injeksi i.m/i.v 50 mg/ml ktk 30 amp @ 1 ml 62.000
130 Fenobarbital tablet 30 mg btl 100 tablet 30.300
131 Fenobarbital tabet 30 mg btl 250 tablet 19.000
132 Fenobarbital tablet 100 mg btl 250 tablet 48.000
133 Fenoksimetil Penisilin tablet 250 mg ktk 10 x 10 tablet 35.000
134 Fenoksimetil Penisilin tablet 500 mg ktk 10 x 10 tablet 61.000
135 Fenol Gliserol tetes telinga 10 % ktk 24 btl @ 5 ml 124.900
136 Fitomenadion (Vit.K1) tablet salut gula 10 mg btl 100 tablet 90

137 Menadion (Vit.K3) tablet salut gula 10 mg btl 500 tablet 43
138 Menadion (Vit K3) injeksi 10 mg/ml ktk 100 ampul @ 190.000
1 ml
139 Fitomenadion (Vit K) injeksi 10 mg/ml ktk 30 amp @ 1 ml 66.000
140 Flukonazol tablet 150 mg ktk 10 tablet 289.000
141 Fluoride tablet 0,5 mg btl 100 tablet 5.000
142 Fluoride tablet 1 mg btl 100 tablet 6.000

143 Furosemid injeksi l.v /l.m 10 mg/ml ktk 25 amp @ 2 ml 68.000
144 Furosemid tablet 40 mg ktk 20 x 10 tablet 27.000
145 Furosemid tablet 40 mg ktk 10 x 10 tablet 23.000
146 Furosemid tablet 40 mg btl 250 tablet 24.000
147 Gameksan lotion 1 % btl 30 ml 3

1 2 3 4
148 Garam oralit I serbuk, kombinasi : ktk 25 bungkus 14
Natrium 0,52 g
Kalium klorda 0, 30 g
Trinatrium sitrat dihidrat 0,58 g
Glukosa Anhidrat 2,7 g
149 Garam oralit I serbuk, kombinasi : ktk 100 bungkus 50
Natrium 0,52 g
Kalium klorda 0, 30 g
Trinatrium sitrat dihidrat 0,58 g
Glukosa Anhidrat 2,7 g
150 Gemfibrozil kapsul 300 mg ktk 12 x 10 kapsul 53.000
151 Gemfibrozil kapsul 300 mg ktk 10 x 10 kapsul 39.000
152 Gemfibrozil tablet 600 mg ktk 10 x 10 tablet 69.000
153 Gentamisin injeksi 80 mg/ml (sebagai sulfat) ktk 1 vial @ 2 ml 5.000
154 Gentamisin injeksi 40 mg/ml ktk 5 amp 25

155 Gentamisin salep kulit 0,1 % ktk 10 tube 5 gram 25.000
156 Gentamisin salep kulit 0,1 % ktk 25 tube 5 gram 61.000
157 Gentamisin salep kulit 0,1 % tube 5 gram 3

158 Gentamisin sulfat tetes mata 0,3 % btl 5 ml 5.000
159 Gentamisin sulfat tetes mata 0.3 % ktk 10 btl@ 5 ml 50.000
160 Gentian violet larutan 1 % btl 10 ml 1

161 Glibenklamida tablet 5 mg ktk 10 x 10 tablet 11.800
162 Glimepride tablet 1 mg ktk 5 x 10 tablet 29.500

166 Glimepiride tablet 3 mg ktk 5 x 10 tablet 79.200
170 Glipizid tablet 5 mg ktk 30 tablet 12.000
171 Gliquidon tablet 30 mg ktk 10 x 10 tablet 85.000
172 Gliseril guaiakolat tablet 100 mg btl 100 tablet 13.500
173 Gliserin btl 100 ml 7

174 Glukosa larutan infus 10 % steril btl 500 % 8.000

1 2 3 4
175 Glukosa larutan infus 40 % steril ktk 10 amp @ 25 ml20.000
176 Glukosa larutan infus 5 % steril btl 500 ml 7.000
177 Griseofulvin tablet 250 mg kotak 10 x 10 tablet59.000
178 Griseofulvin tablet 125 mg kotak 10 x 10 tablet39.600
179 Haloperidol tablet 0,5 mg kotak 10 x 10 tablet8.000
180 Haloperidol tablet 5 mg kotak 10 x 10 tablet17.000
181 Haloperidol tablet 1, 5 mg kotak 10 x 10 tablet11.000
182 Haloperidol tablet 2 mg kotak 10 x 10 tablet13.000
183 Hidroklorotiazida tablet 25 mg botol 1000 tablet 48.000
184 Hidrokortison krim 1 % tube 5 gram 4

185 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g 94.000
186 Hidrokortison krim 2,5 % tube 5 gram 4

187 Hioscine N Butilbromide tablet 10 mg kotak 10 x 10 tablet231.000
188 Ibuprofen suspensi 100 mg/5 ml btl 60 ml 5.000
189 Ibuprofen suspensi 200 mg/5 ml btl 60 ml 7.600
190 Ibuprofen tablet 200 mg btl 100 tablet 25.200
191 Ibuprofen tablet 400 mg kotak 10 x 10 tablet28.000
192 Indometasin kapsul 25 mg kotak 10 x 10 kapsul6.000
193 Lodiol kapsul lunak btl 100 kapsul 122.000
194 Isoniazid tablet 100 mg botol 1000 tablet 54.000
195 Isoniazid tablet 300 mg botol 1000 tablet 116.500
196 Isosorbit dinirat tablet sublingual 5 mg kotak 10 x 10 tablet13.000
197 Itrakonazol kapsu 100 mg ktk 10 x 10 kapsul 528.000
198 Kalium Dikufenak tablet 25 mg ktk 5 x 10 tablet 26.000
199 Kalium Dikufenak tablet 50 mg ktk 5 x 10 tablet 42.500
200 kalium klorida tablet 300 mg tube 10 tablet 4.000
201 kalsium folinat (Leukovorin Ca) tablet 15 mg btl 10 tablet 6

202 Kalsium karbonat tablet 500 mg btl 100 tablet 6.000
203 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet 69.000

1 2 3 4
204 Kaptopril tablet 12,5 mg kotak 10 x 10 tablet11.000
205 Kaptopril tablet 12,5 mg ktk 6 x 10 tablet 8.000
206 Kaptopril tablet 25 mg kotak 6 x 10 tablet 12.000
207 Kaptopril tablet 25 mg ktk 10 x 10 tablet 16.500
208 Kaptopril tablet 50 mg ktk 10 x 10 tablet 13.600
209 Karbamazepin tabet 200 mg ktk 10 x 10 tablet 33.000
210 Ketokonazol krim 2% tube 20 gram 4.500

211 Ketokonazol tablet 200 mg ktk 5 x 10 tablet 29.000
212 Ketoprofen 1njeksi 100 ml ktk 6 amp @ 1 ml 45.000
213 Ketoprofen tablet 100 mg kotak 50 tablet 81.000
214 Ketorolac Injeksi 10 mg ktk 6 amp @ 1 ml 59.000
219 Klindamisin kapsul 150 mg ktk 5 x 10 kapsul 30.200
223 Klofazimin kapsul 100 mg micronize btl 100 kapsul 273.000
224 Klomifen tablet 50 mg btl 10 tablet 22

225 Klonidin tablet 0,15 mg ktk 10 x 10 tablet 27.000
226 Kloramfenikol kapsul 250 mg ktk 10 x 10 kapsul 35.000
227 Kloramfenikol kapsul 250 mg ktk 12 x 10 kapsul 42.000
228 Kloramfenikol kapsul 250 mg btl 250 kapsul 177.900
229 Kloramfenikol salep mata 1% tube 3.5 g 7.3

230 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml 10.200
231 Kloramfenikol tetes mata 0,5% btl 5 ml 12.2

232 Kloramfenikol tetes telinga 3% btl 5 ml 7
233 Klorfeniramina Maleat (CTM) tablet 4 mg btl 100 tablet 6
234 Klorokuin tablet 150 mg btl 100 tablet 21.500

1 2 3 4
235 Klorokuin tablet 250 mg btl 1000 tablet 138.000
236 Klorpromazin injeksi i.m 25 mg/ml (HCL) ktk 30 amp @ 2 ml 33.000
237 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ktk 30 ampul 29

238 Klorpromazin tablet salut 100 mg (HCL) btl 250 tablet salut 40.000
239 Klorpromazin tablet salut 25 mg (HCL) btl 1000 tablet salut50.000
240 Kodein tablet 10 mg btl 250 tablet 140.000
243 Kodein tablet 30 mg btl 20 tablet 9

244 Kolkisin tablet 500 mcg ktk 10 x 10 tablet 36.000
245 Kotrimoksazol DOEN I (dewasa) kombinasi : ktk 10 x 10 tablet 31.2

sulfametoksazol 400 mg
Trimetoprim80 mg
246 Trimetoprim20 mg 10.000
247
248 Kuinidin tablet 100 mg btl 1000 tablet 0
249 Kuinidin tablet 200 mg ktk 10 x 10 tablet 6.000
250 Kuinin (Kina) tablet 200 mg ktk 60 tablet 0
251 Kuinin Dihidroklorida injeksi 25% - 2 ml ktk 30 ampul 206

252 Kuinin injeksi i.v.25% sebagai 2 HCL) ktk 100 amp @ 2 ml55.000
253 Kuinin tablet 222 mg (H2SO4.7H20) btl 1000 tablet 46.000
254 Lamivudine tablet 150 mg btl 60 tablet 166

255 Lanzoprazol kapsul 30 mg ktk 2 x 10 kapsul 24.000
256 Levamisol tablet 50 mg btl 25 tablet 524

257 Levamisol tablet 50 mg ktk 4 x 9 tablet 100.000
258 Levofloksasin tablet 500 mg ktk 5 x 10 tablet 36.000
259 Levofloksasin tablet 500 mg ktk 3 x 10 tablet 39.700
260 Lidokain injeksi 2% ktk 1000 amp @ 4.000

2 ml
261 Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000 - 2ml ktk 30 amp @ 2 ml 76.000
262 Linkomisin kapsul 250 mg ktk 5 x 12 kapsul 44.000
263 Linkomisin kapsul 250 mg ktk 10 x 10 tablet 133.000

1 2 3 4
266 Lisinopril tablet 10 mg ktk 3 x 10 tablet 37.000
269 Loperamid tablet 2 mg ktk 10 x 10 tablet 11.000
270 Loratadin tablet 10 mg ktk 5 x 10 tablet 17.900
271 Magnesium Sulfat inj (IV) 20% - 25 ml ktk 10 vial 14.000
272 Magnesium Sulfat inj (IV) 40% - 25 ml ktk 10 vial 13.000
273 Magnesium Sulfat serbuk 30 gram ktk 10 bks @ 30 gram

22.000
274 Mebendazol sirup 100 mg/5 ml btl 30 ml 21

275 Mebendazol tablet 100 mg ktk 5 x 6 tablet 26.000
276 Mebendazol tablet 500 mg ktk 10 x 10 tablet 14.000
277 Meloksikam suppositoria ktk 10 supp 5

278 Meloksikam tablet 15 mg ktk 5 x 10 tablet 71.800
279 Meloksikam tablet 15 mg ktk 2 x 10 tablet 31.000
280 Meloksikam tablet 7,5 mg ktk 5 x 10 tablet 41.800
281 Meloksikam tablet 7,5 mg ktk 2 x 10 tablet 79.000
282 Merkaptopurin tablet 50 mg btl 25 tablet 32

283 Metampiron injeksi 250 mg ktk 30 amp @ 2 ml 46.000
284 Metampiron tablet 500 mg ktk 10 x 10 tablet 25.600

285 Metformin HCL tablet 500 mg ktk 10 x 10 tablet 8.000
286 Metformin HCL tablet 850 mg ktk 10 x 10 tablet 48.000
287 Metildopa tablet 250 mg btl 100 tablet 20.000
288 Metilergometrin Maleat (Metilergometrin) tablet salut ktk 10 x 10 tablet 24

0,125 mg
289 Metilergometrin Maleat injeksi 0,200 mg-1 ml ktk 30 ampul 44
290 Metilprednisolon injeksi 500 mg ktk 10 vial 44.2
291 Metilprednisolon tablet 16 mg ktk 3 x 10 tablet 16.000

1 2 3 4
295 Metoklopiramide injeksi 5 mg/ml ktk 10 amp @ 2 ml 52.8
296 Metoklopiramide sirup 5 mg/ml btl 60 ml 3.900
297 Metokloperamide tablet 10 mg ktk 10 x 10 tablet 14.000
298 Metokloperamide tablet 5 mg ktk 10 x 10 tablet 14.000
299 Metronidazol infus 500 mg/100 ml btl 100 ml 3
300 Metronidazol tablet 250 mg ktk 10 x 10 tablet 15.000
301 Metronidazol tablet 500 mg ktk 10 x 10 tablet 26.400
302 Mikonazol krim/salep 2% (Nitrat) tube 10 gram 39.000
303 Mineral mix kombinasi : ktk 40 bungkus 19

kalium klorida 1792 mg
Trikalium Sitrat (1H2O) 648 mg
Magnesium Klorida (6H2O)608 mg
Seng Asetat (2H2O)66 mg
Tembaga Sulfat (5H2O) 11 mg
304 Momethason krim 0,1% tube 10 gram 29.000
305 Momethason krim 0,1% tube 5 gram 4

306 Morfin injeksi 10 mg/ml ktk 10 ampul @ 130.000
1 ml
307 Morfin tablet 10 mg btl 30 tablet 30

308 Natrium Bikarbonat tablet 500 mg btl 1000 tablet 19
309 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet 32.000
310 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet 48.000
311 Natrium Fluoresein tetes mata 2% ktk 24 btl @ 5 ml 19.000
312 Natrium Klorida larutan infus 0,9% btl 500 ml 15.000
313 Natrium Thiosulfat injeksi i.v.25% ktk 10 amp @ 10 ml11.000
314 Neomisin kapsul 500 mg ktk 10 x 10 kapsul 124.000
315 Nevirapin tablet 200 mg btl 60 tablet 7

316 Nifedipin tablet 10 mg ktk 10 x 10 tablet 19.500
317 Nistatin tablet salut 500.000 IU/g ktk 10 x 10 tablet salut

42.000
318 Nistatin vaginal tablet 100.000 IU/g ktk 10 x 10 tablet 206.000

vaginal
319 Nitrofurantoin tablet 100 mg btl 100 tablet 17.000
320 Obat Antituberkulosis Kategori 1 dewasa Paket / dos 79

321 Obat Antituberkulosis Kategori anak Paket / dos 49.000

1 2 3 4
322 Obat Batuk Hitam (O.B.H) cairan btl 100 ml 4.600
323 Obat Batuk Hitam (O.B.H) cairan btl 200 ml 378.000
324 Obat Antituberkulosis FDC kategori Anak Paket / dos 270.9

325 Obat Antituberkulosis FDC kategori I Paket / dos 454.000
326 Obat Antituberkulosis FDC kategori 2 Paket / dos 1.512.000
327 Obat Antituberkulosis FDC Sisipan Paket / dos 201.600
328 Ofloxacin tablet 200 mg ktk 5 x 10 tablet 472.000

329 Ofloxacin tablet 400 mg ktk 5 x 10 tablet 1.571.000
330 Oksitetrasiklin HCl salep mata 1% ktk 25 tube @ 87.000

3,5 g
331 Oksitetrasiklin HCI salep mata 1 % tube 3,5 gram 34.800
332 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10ml ktk 10 vial 132

333 Oksitetrasiklin salep kulit 3% tube 5 gram 2.2
334 Oksitetrasiklin salep kulit 3% ktk 25 tube @ 5 gram
3.000
335 Oksitosin injeksi 10 IU/ml - 1 ml ktk 30 ampul 41.000
336 Omeprazol kapsul 20 mg btl 7 kapsul 3

337 Omeprazol kapsul 20 mg ktk 3 x 10 kapsul 16.200
338 Oseltamivir 75 mg ktk 10 kapsul 71.000
339 Papaverin injeksi 40 mg/ml ktk 100 amp @ 1 ml237.600
340 Papaverin tablet 40 mg/ml btl 1000 tablet 25.000
341 Parasetamol drops btl 15 ml 171

342 Parasetamol sirup 120 mg/5 ml btl 60 ml 4
343 Parasetamol tablet 100 mg btl 100 tablet 131.000
344 Parasetamol tablet 500 mg ktk 10 x 10 tablet 20.000
345 Pentoksifilin injeksi 300 mg/15 ml ktk 10 vial 4.000
346 Pentoksifilin tablet 400 mg ktk 10 x 10 tablet 6.000
347 Perfenazin tablet 4 mg (HCl) btl 100 tablet 14.000
348 Perfenazin tablet 2 mg (HCI) ktk 15 x 10 tablet 218.000
349 Perfenazin tablet 8 mg (HCI ) ktk 15 x 10 tablet 178.000
350 Petidin injeksi 50 mg/ml ktk 10 ampul 8.000
351 Pilokarpin tetes mata 2% (HCl/Nitrat) btl 5 ml 9.000
352 Piracetam injeksi 1 g/5 ml ktk 10 amp 79

353 Piracetam injeksi 3 g/15 ml ktk 4 amp 86
1 2 3 4
354 Piracetam tablet 1200 mg ktk 5 x 10 tablet 7.000
358 Pirantel sirup 125 mg/5 ml btl 60 ml 170

359 Pirantel tab. Score (base) 125 mg ktk 25 x 4 tablet score
60.000
360 Pirantel tab. Score (base) 125 mg ktk 30 x 2 tablet score

106.000
361 Pirazinamid tablet 500 mg ktk 10 x 10 tablet 5.000
362 Piridoksin (Vitamin B6) tablet 10 mg (HCl) btl 1000 tablet 42

363 Piridoksin (Vitamin B6) tablet 25 mg (HCl) btl 1000 tablet 25
364 Piroksikam tablet 10 mg ktk 10 x 10 tablet 15.500
365 Piroksikam kapsul 10 mg ktk 12 x 10 kapsul 23.000
366 Piroksikam tablet 20 mg ktk 12 x 10 kaplet 40.000
367 Piroksikam tablet 20 mg ktk 10 x 10 tablet 18.000
368 Povidon lodida larutan 10% btl 1000 ml 14

372 Pravastatin tablet 10 mg ktk 3 x 10 tablet 20.000
375 Prazikuantel tablet 300 mg btl 1000 tablet 58.000
376 Prazikuantel tablet 600 mg btl 100 tablet 97.000
377 Prednison tablet 5 mg btl 1000 tablet 150.000
378 Primakuin tablet 15 mg btl 1000 tablet 1.066.000
379 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial 223

380 Prometazin tablet 25 mg ktk 100 tablet 82.000
381 Propanolol tablet 40 mg (HCl) btl 100 tablet 15.000

(dexa)
382 Propanolol tablet 10 mg (HCl) ktk 10 x 10 tablet (dexa)
10.000
383 Propilitiourasil tablet 100 mg btl 100 tablet 7.000
384 Propilitiourasil tablet 50 mg btl 1000 tablet 16.000
385 Ramipril tablet 2,5 mg ktk 10 x 10 tablet 11.000

1 2 3 4
386 Ramipril tablet 5 mg ktk 10 x 10 tablet 40.000
387 Ranitidin injeksi 25 mg/2 ml ktk 25 amp 33

388 Ranitidin tablet 150 mg ktk 3 x 10 tablet 39.000
389 Ranitidin tablet 150 mg ktk 10 x 10 tablet 26.000
390 Reserpin tablet 0,10 mg btl 250 tablet 85.000
391 Reserpin tablet 0,25 mg btl 1000 tablet 9.000
392 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak 29.000
393 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak 25.000
394 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet 116.000
395 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet 359.000
396 Rifampisin kapsul 300 mg ktk 10 x 10 kapsul 31.000
397 Rifampisin kapsul 300 mg ktk 12 x 10 kapsul 210.000
398 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut

236.500
399 Ringer Laktat larutan infus btl 500 ml 63

400 Risperidon tablet 1 mg ktk 2 x 10 tablet 73.000

405 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet 13.500
406 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet 75.000
407 Salep 2-4, Kombinasi : Asam Salisilat 2% + Belerang endap ktk 24 pot @ 30 g 187.000
4%
408 Salisil Bedak 2% ktk 50 gram 12.000
409 Sefadroksil sirup kering 125 mg/5ml btl 60 ml 13.000
410 Sefadroksil kapsul 250 mg ktk 3 x 10 kapsul 39.000

1 2 3 4
414 Sefaklor kapsul 250 mg ktk 3 x 10 kapsul 59.000
415 Sefaklor kapsul 500 mg ktk 3 x 10 kapsul 56.000
416 Sefaleksin kapsul 250 mg ktk 5 x 10 kapsul 111.000
417 Sefaleksin kapsul 500 mg ktk 5 x 10 kapsul 47.000
418 Sefazolin injeksi 1 g ktk 2 vial 86

419 Sefiksim kapsul 100 mg ktk 5 x 10 kapsul 86.000
422 Sefiksim sirup kering 100 mg/5 ml btl 30 ml 157.000
423 Sefiksim 400 mg +Azitromisin 1000 mg Paket 95

424 Sefotaksim injeksi 0,5 g ktk 2 vial 40
425 Sefotaksim injeksi 1 g ktk 2 vial 40
426 Sefotaksim injeksi 1 g Ktk 10 vial 528.000
(berno)
427 Sefotaksim serbuk injeksi 1 g/vial ktk 1 vial 12.000
428 Seftazidim injeksi 1 g ktk 2 vial 19
429 Seftriakson injeksi 1 g ktk 2 vial 26.500
(hexparm)
430 Seftriakson serbuk injeksi 1 g/vial ktk 1 vial 10.000
431 Sefuroksim serbuk injeksi 750 mg/vial ktk 2 vial @ 10 ml 89.000
432 Sianokobalamin (Vitamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml23.000
433 Sianokobalamin (Vitamin B12) tablet 50 mcg btl 1000 tablet 12

434 Siklofosfamid tablet 50 mg btl 50 tablet 28
435 Siklosporin kapsul lunak 25 mg btl 50 kapsul lunak 136.000
436 Simetidin tablet 200 mg ktk 10 x 10 tablet 18.000
437 Simvastatin tablet 5 mg ktk 3 x 10 tablet 111.000
442 Siproflaksasin tetes mata 0,3% btl 10 ml 34

443 Siproflaksasin infus 2% btl 100 ml 41
444 Siproflaksasin tablet 250 mg (sebagai HCl) ktk 3 x 10 tablet 68.000

1 2 3 4
449 Spiramisin tablet 250 mg ktk 5 x 10 tablet 33.000
450 Spiramisin tablet 500 mg ktk 5 x 10 tablet 18.000
451 Spironolakton tablet 100 mg ktk 10 x 10 tablet 38.000

452 Spironolakton tablet 25 mg ktk 10 x 10 tablet 52.000
453 Stavudin tablet 30 mg btl 60 tablet 101

454 Streptomisin serbuk injeksi i.v 1500 mg/ml ktk 30 vial @ 15 ml 139.000
455 Sulfadiazin tablet 500 mg btl 100 tablet 46.000
456 Sulfametoksazol tablet 400 mg ktk 10 x 10 tablet 67.000
457 Sulfasazalin tablet 500 mg btl 500 tablet 75.000
458 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml 16.000
459 Temoksifen tablet 20 mg btl 30 tablet 11

460 Teofilin tablet 150 mg ktk 10 x 10 tablet 249.000
461 Terbutalin tablet 2,5 mg ktk 5 x 10 tablet 109.000
462 Tetrakain HCl tetes mata 0,5% ktk 24 btl @ 5 ml 52.000
463 Tetrasiklin kapsul 250 mg btl 1000 kapsul 8.000
464 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 66.000
465 Tiamfenikol kapsul 250 mg ktk 10 x 10 kapsul 107.000
466 Tiamfenikol kapsul 500 mg ktk 10 x 10 kapsul 158.500
467 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp @ 1 ml 44.000
468 Tiamin (Vitamin B1) tablet 50 mg (HCl/Nitrat) btl 1000 tablet 140
469 Tiamin (Vitamin B1) tablet 100 mg btl 1000 tablet 81.000
470 Tiopental Natrium serbuk injeksi 1000 mg/amp ampul @ 10 ml 31

471 Tramadol injeksi 50 mg/ml ktk 5 ampul 50.000
472 Tramadol kapsul 50 mg ktk 5 x 10 kapsul 99.000
473 Tramadol tablet 50 mg ktk 5 x 10 tablet 80.000
474 Trifluoperazin tablet 1 mg ktk 10 x 10 tablet 42.000

1 2 3 4
475 Trifluoperazin tablet 5 mg ktk 10 x 10 tablet 22.000
476 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet 22.000
477 Trimetoprim tablet scored 200 mg btl 100 tablet 31.000

scored
478 Valproat tablet 150 mg btl 50 tablet 50

479 Valproat tablet 250 mg btl 50 tablet 6
480 Verapamil tablet 80 mg (HCl) ktk 10 x 10 tablet 13.000
481 Vitamin B kompleks tablet btl 1000 tablet 36.000
482 Zidovudin 300 mg + Lamivudin 150 mg btl 60 tablet 23

483 Zidovudin tablet 100 mg btl 60 tablet 47
484 Zink tablet 20 mg ktk 10 x 10 tablet 30.000
N0 NAMA OBAT KEMASAN HARGA

1 2 3 4
1 Efedin tablet 25 mg (HCI) btl 250 tablet 17
2 Hidroklortiazida tablet 25 mg btl 1000 tablet 48
3 Hyosine N butilbromide tablet 10 mg ktk 10 x 10 tablet 231
4 Metil ergometrin maleat (metilergometrin) tablet salut ktk 10 x 10 tablet 16.000
0,125 mg
salut
5 Metoklopramide injeksi 5 mg/ml ktk 10 ampul @ 2 ml 52.800
6 Metoklopramide sirup 5 mg/5ml btl 60 ml 4

7 Oksitosin injeksi 10 IU/ml 1 ml ktk 30 ampul 71
8 Antihemoroid DOEN kombinasi: Bismut subgalat 150 ktk 10 supp 27.000
mg-Heksaklorofen 2,5 mg
9 Tiamin (vitamin B1) tablet 50 mg (HCl/Nitrat) btl 1000 tablet 50
10 Vitamin B kompleks tablet btl 1000 tablet 30
PERBEKALAN KESEHATAN :
11 Alat suntik sekali pakai 1 ml (stera) 100 set/kotak 71.5
12 Alat suntik sekali pakai 2,5 ml (Stera) 100 set/kotak 71.5
13 Alat suntik sekali pakai 5 ml (onemed) 100 set/kotak 82.5
14 Catgut / benang bedah No. 3/0 dengan jarum bedah (on 24 x 75 cm/kotak 147.4
15 Infusion set dewasa (onemed) set / kantong 3.5
16 IV catheter No. 20 G (inflo) 50 buah / kotak 209
17 Kasa hidrofil steril uk.18 x 22 cm (isi 12 lembar) kotak 8.250
(onemed) 12 x 3 x 75 cm /
18 Silk (benang bedah sutera) No. 3/0 dengan jarum 121.000
kotak
bedah (onemed)
19 Catgut / benang bedah No. 2/0 dengan jarum bedah 24 x 75 cm/kotak 147.5
20 Kasa hidrofil uk 36 m x 80 cm (onemed) rol 183.3
OBAT GIGI :
21 Glass Inomer Cement ART set / botol 500
22 Etil Klorida spray vial/can/100 ml 132
23 Kalsium Hidroksida Pasta 2 tube / kotak 300
24 Semen Seng Fosfat serbuk dan cairan set @ 30 gram / 400.000
botol
25 Devitalisasi Pasta (non arsen) btl / ktk 600

26 ATS 1.500 amp 1 ml 115
27 ATS 20.000 vial 4 ml 756
28 ABU I vial 5 ml 17
1 2 3 4
NO NAMA OBAT MERK SATUAN HARGA
1 2 3 4 5
1 Anti Hemoroid Supp Supp 3.100
2 Bravoderm Oint 5 gr Tube 13.300
3 Borraginol N Takeda Tube 42.500
4 Borraginol S 15 gr Takeda Tube 65.800
5 Becombion Sirup 110 ml Merck Botol 30.300
6 Betadin 60 ml Mahakam Botol 30.100
7 Betadin SOL 30 ml Mahakam Botol 16.800
8 Betadin 15 ml Mahakam Botol 9.800
9 Cefadroxil 500 mg Pharmalab Caps 1.300
10 Cefixim Pharmalab Tab 3.300
11 Chlorampecort H 10 gram KF Tube 16.400
12 Cholestat 10 mg Dexa Tab 1.400
13 Clindamicyn Caps Indofarma Caps 8.200
14 Caviplex Erela Tab 50.600
15 Demacolin Tab Coronet Tab 400
16 Demacolin Sirup Coronet Botol 9.300
17 Dulcolac Tab oeh. Ingelhei Tab 1.500
18 Ergotamin Kafein Tab 26.000
19 Enervon-C Tab 1.300
20 Gentamycin SK 5 gram Indofarma Tube 3.100
21 Griseofulvin 125 mg Nova Tab 500
22 Hydrocortison SK 1% 5 gram Kalbe Tube 5.100
23 Inerson SK Tube 37.700
24 Kaflam 50 mg Kalbe Tab 30 132.000
25 Minyak Kayu Putih Spray Cap Gading Botol 18.100
26 Minyak Telon Spray 60 ml Cap Gading Botol 18.100
27 Neurosanbe 5000 Sanbe Tab 2.900
28 Pharmaton Formula oeh. Ingelhei Tab 4.000
29 Povidon Iodin 10% 1 Liter OneMed Botol 66.200
30 Ranitidin 150 mg Hexpharm Tab 400
31 Siberid Pyridam Tab 9.400
32 Triomin-E Tab 2.900
33 Voltaren 1% 20 Gram Tube 60.000
34 Voltadex 50 mg Dexa Tab 800
35 Zegase Kalbe Tab 2.900
36 Zenirex sirup 60 ml Zenit Botol 5.800
RGA
4
000
000
00
000
000
000
000
8.000
000
000
8.000
000
000
000
00
000
50
1.000
9
000
000
000
000
000
400
5.6
RGA
4
00
000
00
000
000
000
000
5.000
3
000
000
00
000
000
800
000
000
000
000
000
000
000
RGA
4
600
000
000
000
00
000
000
00
000
8.000
0.000
000
00
000
000
000
000
00
6
000
000
8.000
3.000
5.000
000
000
3.000
000
RGA
4
000
000
000
00
00
000
00
00
000
000
000
000
000
000
000
000
000
000
000
200
200
000
000
000
000
000
1.500
RGA
4
000
000
000
000
000
00
7.000
000
000
000
300
000
000
000
000
4.900
0.000
000
9.000
00
00
000
000
000
000
RGA
4
000
000
000
00
000
000
00
000
800
500
000
800
000
200
000
6.000
3.000
000
000
500
00
RGA
4
000
00
000
600
00
000
000
000
000
000
1.000
00
00
200
000
00
2.000
000
6.500
000
8.000
000
500
00
00
000
RGA
4
000
00
000
500
600
000
00
000
000
000
000
000
200
000
0.000
200
000
000
000
3.000
000
000
000
7.900
200
500
RGA
4
8.000
000
000
000
0.000
9.000
2.000
000
000
00
6
000
000
6
000
4
0.000
000
700
00
000
000
3.000
000
RGA
4
000
000
000
000
000
900
000
000
000
000
000
800
000
800
000
000
600
00
000
000
2
000
7.900
800
000
RGA
4
8
00
000
000
000
400
000
000
0.000
000
000
000
000
000
4.000
500
000
6.000
000
000
RGA
4
00
8.000
0.9
4.000
12.000
1.600
2.000
71.000
000
800
00
000
200
000
7.600
000
1.000
000
00
00
000
8.000
8.000
00
00
RGA
4
00
1.500
000
500
0
000
6.000
00
500
000
000
000
000
00
00
000
000
0.000
66.000
3
000
000
000
00
000
000
RGA
4
000
000
000
000
00
000
000
6.000
9.000
000
0.000
6.500
000
000
00
000
4.000
500
000
7.000
000
000
000
00
000
RGA
4
0.800
000
000
1.000
000
000
000
000
7.000
8.000
000
500
000
000
000
6.000
000
1.000
600
000
000
000
000
RGA
4
00
000
000
000
000
000
000
000
1
9.000
000
000
000
000
9.000
9.000
000
00
000
7.000
8.500
000
0
000
000
000
000
000
RGA
4
000
000
000
000
000
000
RGA
4

13.4.-OBAT-OBATAN

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13.4.-OBAT-OBATAN

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NO NAMA OBAT KEMASAN HARGA

2 ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200

3 Albendasol suspensi 200 mg/5 ml Ktk 10 btl @ 10 ml 6.000

4 Albendazol tablet/ tablet kunyah 400 mg ktk 5 x 6 tablet 16

6 Alopurinol tablet 300 mg ktk 10 x 10 tablet 33.000

7 Alprazolam tablet 0,25 mg ktk 10 x 10 tablet 64.000

8 Alprazolam tablet 0,5 mg ktk 10 x 10 tablet 77.000

9 Alprazolam tablet 1 mg ktk 10 x 10 tablet 118.000

10 Ambroxol sirup 15 mg/ml btl 60 ml 5

12 Amilorida tablet 5 mg ktk 10 x 10 tablet 12.000

13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 118.000

14 Aminofilin tablet 150 botol 1000 tablet 57.000

15 Aminofilin tablet 200 botol 100 tablet 15.000

16 Amitriptilin tablet salut 25 mg (HCI) ktk 10 x 10 tablet salut

17 Amlodipin tablet 5 mg ktk 3 x 10 tablet 9.000

18 Amlodipin tablet 5 mg ktk 5 x 10 tablet 63.000

19 Amlodipin tablet 10 mg ktk 3 x 10 tablet 8.750

20 Amlodipin tablet 10 mg ktk 5 x 10 tablet 111.000

21 Amoksisilin +As.Klavulanat 625 mg tablet ktk 5 x 6 tablet 209

23 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul 52.000

25 Amoksisilin serbuk injeksi 1000 mg ktk 10 vial 99.000

26 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 5

28 Ampisilin kaplet 500 mg ktk 10 x 10 kaplet 62.400

29 Ampisilin serbuk injeksi i.m/l.v 1000 mg/vial ktk 10 vial 105.6

32 Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida

33 Antasida DOEN II suspensi,kombinasi: Aluminium Hidroksida btl 60 ml 4.800

36 Antihemoroid DOEN Kombinasi : Bismut subgalat ktk 10 supp 27

41 Arthemeter Injeksi 80 mg/ml ktk 6 ampul 175.000

42 Artesunate Injeksi vial 60 gr ktk 8 vial 263

44 Asam Asetilasalisillat tablet 500 mg (asetosal) ktk 10 x 10 tablet 21.000

45 Asam Askorbat (Vitamin C) tablet 250 mg btl 250 tablet 42

49 Asam Folat tablet 5 mg btl 1000 tablet 62.000

50 Asam Mefenamat kapsul 250 mg ktk 10 x 10 kapsul 17.000

51 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet 26.800

52 Asetazolamid tablet 250 mg btl 100 tablet 24.000

53 Asiklovir krim 5% tube 5 gram 3.5

55 Asiklovir tablet 200 mg ktk 3 x 10 tablet 20.000

56 Asiklovir tablet 200 mg ktk 5 x 10 tablet 36.000

57 Asiklovir tablet 200 mg ktk 10 x 10 tablet 51.000

58 Asiklovir tablet 400 mg ktk 3 x 10 tablet 29.000

59 Asiklovir tablet 400 mg ktk 5 x 10 tablet 42.000

NO NAMA OBAT KEMASAN HARGA

61 Atenolol tablet 50 mg ktk 10 x 10 tablet 36.000

62 Atenolol tablet 100 mg ktk 5 x 10 tablet 34.000

63 Atropin injeksi i.m./i.v./s.k./ 0,25 mg/ml (Sulfat) ktk 30 amp @ 1 ml 50.000

64 Atropin Sulfat tablet 0,5 mg. btl 100 tablet 8.000

65 Atropin Sulfat tablet 0,5 mg. btl 500 tablet 47.000

66 Atropin Sulfat tetes mata 0,5 % ktk 24 btl @ 5 ml @ 89.000

67 Atropin tetes mata 0,5 % (Sulfat) btl 5 ml 4.000

68 Azatioprin tablet 50 mg ktk 10 x 10 tablet 28.000

72 Besi II Sulfat 200 mg + asam folat 0,25 mg tablet (tablet tambah

73 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet 34.000

74 Betametason krim 0,1 % (sebagai valerat) tube 5 gram 2.4

76 Betametason tablet 0,5 mg ktk 10 x 10 tablet 10.000

77 Bisoprolol tablet 5 mg ktk 3 x 10 tablet 44.000

78 Bromheksin tablet 8 mg ktk 10 x 10 tablet 6.000

79 Cetirizine sirup 5 mg/5 ml btl 60 ml 12.6

81 Cetirizine tablet 10 mg ktk 5 x 10 tablet 19.000

82 Cisapride tablet 10 mg ktk 10 x 10 tablet 178.000