PT.

MERAPI UTAMA PHARMA

DAFTAR HARGA E-KATALOG BPJS
Prinsipal : PT. Otsuka Indonesia
Berlaku : 16 Maret 2023 s/d 31 Desember 2023
HARGA
No. Kode Nama Produk Kemasan
HNA HNA+PPN

OI - KAEN ASERING
a. BS - ASERING
1 OIAS5E Asering Btl. 500 cc 7,883 /btl 8,750 /btl
2 ASERSE Asering Softbag 500ml Bag. 500cc 9,194 /bag 10,205 /bag
3 ASR-5E Asering - 5 Btl. 500 cc 13,468 /btl 14,949 /btl
4 OIGRAE OGB Ringer Acetate Btl. 500 cc 7,658 /bag 8,500 /bag
b. BS - KN 500
5 K-N1BE KA-EN 1B Sol. Btl. 500 cc 10,802 /btl 11,990 /btl
6 K-N3AE KA-EN 3A Btl. 500 cc 11,505 /btl 12,771 /btl
7 KN3BAE KA-EN 3B / KK Btl. 500 cc 11,505 /btl 12,771 /btl
8 KN3BSE KA-EN 3 B Softbag 500ml Bag 11,505 /btl 12,771 /btl
9 K-N4AE KA-EN 4A Btl. 500 cc 12,405 /btl 13,770 /btl
10 K-N4BE KA-EN 4B Btl. 500 cc 12,405 /btl 13,770 /btl
11 K-MG3E KA-EN MG3 Sol. Btl. 500 cc 12,703 /btl 14,100 /btl
OI - BS 500 ml KK
12 OTDN5E Otsu - D10, 1/5 NS® Btl. 500 cc 11,937 /btl 13,250 /btl
13 KD5N3E Otsu - D5, 1/2 NS Rubb. Btl. 500 cc 9,261 /btl 10,280 /btl
14 KD5N4E Otsu - D5, 1/4 NS Rubb. Btl. 500 cc 9,261 /btl 10,280 /btl
15 OTDN1E Otsu - D5, NS ® Btl. 500 cc 8,928 /btl 9,910 /btl
16 OT-RDE Otsu - RD5® /Rubb. Btl. 500 cc 10,991 /btl 12,200 /btl
17 OTRLDE Otsu - RL D5® Btl. 500 cc 10,991 /btl 12,200 /btl
18 OT-RSE Otsu - RS® Btl. 500 cc 10,991 /btl 12,200 /btl
19 OTNS3E Otsu - Salin 3 Btl. 500 cc 32,523 /btl 36,101 /btl
OI-BS 500 ml OGB
20 OIGNSE OGB NS Btl. 500 cc 6,913 /btl 7,673 /btl
21 OIGRLE OGB RL Btl. 500 cc 7,656 /btl 8,498 /btl
22 OIGD1E OGB D10 Btl. 500 cc 7,523 /btl 8,351 /btl
21 OIGD5E OGB D5 Btl. 500 cc 6,924 /btl 7,686 /btl
23 OIGD2E OGB D10, 1/5 NS Btl. 500 cc 11,937 /btl 13,250 /btl
22 OIGD6E OGB D5, 1/2 NS Btl. 500 cc 9,261 /btl 10,280 /btl
23 OIGD7E OGB D5, 1/4 NS Btl. 500 cc 9,261 /btl 10,280 /btl
OI - BS 500 TM
24 OITRLE OGB RL TM Btl. 500 cc 7,656 /btl 8,498 /btl
25 OITNSE OGB NS TM Btl. 500 cc 6,913 /btl 7,673 /btl
OI-BS 250 ml OGB
26 OINS2E OTSU NS 250 ml Btl. 250 cc 7,215 /btl 8,009 /btl
OI-BS 100 ml
27 OINSPE OTSU-NS/100ML PIGGYBACK Btl. 100 cc 6,419 /btl 7,125 /btl
OI-BS 1000 ml
28 KONS1E Otsu NS 1 L/Rubb. Btl. 1000 cc 13,468 /btl 14,949 /btl
29 K-SW1E Sterile Water 1000cc/Rubb. Btl. 1000 cc 14,324 /btl 15,900 /btl
OI - ASAM AMINO
30 PANMSE Pan-Amin G Softbag Bag. 500 cc 43,626 /bag 48,425 /bag
31 AMIPSE Amiparen Inj. 500ml Softbag Bag 500 cc 87,072 /bag 96,650 /bag
32 AMILSE Aminoleban Inj. 500ml Softbag Bag 500 cc 67,095 /bag 74,475 /bag
33 BFLU5E Bfluid 500 ml Bag 500 cc 88,198 /bag 97,900 /bag
34 BFLU1E Bfluid 1000 ml Bag 1000 cc 162,252 /bag 180,100 /bag
35 OTSLPE Otsulip 20%, 250 ml Bag 250 cc 136,937 /bag 152,000 /bag
36 KIDMSE Kidmin 200ml Softbag Bag 200 cc 49,207 /bag 54,620 /bag
OI - SP
a. PLASMA EXPANDER
37 TSLMEE Otsu Tran 40 Btl. 500 cc 89,640 /btl 99,500 /btl
b. OI - SP KARBOHIDRAT
38 RL-MSE Potacol Btl. 500 cc 44,369 /btl 49,250 /btl
39 MRT10E Martos 10 Btl. 500 cc 31,036 /btl 34,450 /btl
c. OI - SP OTHERS OGB
40 OGM50E OGB Manitol 500 ml Btl. 500 cc 35,721 /btl 39,650 /btl * Baru
41 OGM25E OGB Manitol 250 ml Btl. 250 cc 27,023 /btl 29,996 /btl * Baru
 PIGGYBACK (100 ml) OGB
42 OGD5PE OGB Dextrose Monohydrate 100 ml Btl. 100 cc 7,297 /btl 8,100 /btl * Baru
43 OGNSPE OGB NS 100 ml Btl. 100 cc 6,419 /btl 7,125 /btl * Baru
OI - BS OTHERS (BS PLASTIC AMPUL 25 CC)
44 AMELAE Meylon 8,4 % Amp. 25 cc 6,802 /amp 7,550 /amp
OI - BS OTHERS (BS PLASTIC AMPUL 25 CC OGB)
45 OID40E OGB Dextrose 40 Amp. 25 cc 7,000 /amp 7,770 /amp
46 OIMG2E OGB MgSO4 20 Amp. 25 cc 4,480 /amp 4,973 /amp
47 OIMG4E OGB MgSO4 40 Amp. 25 cc 5,100 /amp 5,661 /amp
48 OIKCLE OGB Potassium Chloride Amp. 25 cc 3,414 /amp 3,790 /amp
49 OINS1E OGB Sodium Chloride 0.9% 10 ml Amp. 10 cc 3,288 /amp 3,650 /amp
50 OI2NSE OGB Sodium Chloride 0.9% 25 ml Amp. 25 cc 3,333 /amp 3,700 /amp
51 OIWI1E OGB Water for Injection 10 ml Ampul 10 ml 2,659 /amp 2,951 /amp
52 OIWI2E OGB Water for Injection 25 ml Ampul 25 ml 2,662 /amp 2,955 /amp
OI- NUTRISI
53 BLENDE Blendera-MF Sachet 256,025 /sach 284,188 /sach
54 NEOIME Neo - Mune 40 gr Box / 10's 280,250 /box 311,078 /box
55 OIEN4E PAN-ENTERAL 40GR Box / 10's 205,200 /box 227,772 /box
56 PROTCE Proten Rasa Coklat Sachet 10,260 /sach 11,389 /sach
57 PROTVE Proten Rasa Vanila Sachet 10,260 /sach 11,389 /sach
58 OIPGCE PROTEN GOLD RASA CHACOLATE Sachet 13,352 /sach 14,821 /sach
59 OIPGVE PROTEN GOLD RASA VANILLA Sachet 13,352 /sach 14,821 /sach
MEDICAL DEVICES
a. OI - INFUSION SET
60 BLTRSE OB-1 Blood Tranfusion Set Pieces 18,000 /pcs 19,980 /Pcs
61 IN-24E Infusion Set OI-24 Pieces 7,600 /pcs 8,436 /pcs
62 IN44AE Infusion Set OI 44 Pieces 8,375 /pcs 9,296 /pcs
63 INF64E Infusion Set OI-64C Pieces 8,400 /pcs 9,324 /pcs
64 IN34ME OI-34 Micro Drip Elasty Ball Pieces 8,705 /pcs 9,663 /pcs
65 OIYSAE Otsu Y - Set Adaptor Pieces 8,500 /pcs 9,435 /pcs
66 OIYSFE Otsu Y Set with Filter Pieces 8,500 /pcs 9,435 /Pcs
b. OI - ME OTSUCATH
67 OINTBE OI-Nutri Bag bag 5,300 /bag 5,883 /bag
68 URNBGE Urine Bag 2000ml bag 5,200 /bag 5,772 /bag

OI - ETHICAL
69 MEPISE Meptin Inhalation Solution 0.3 mL Box/28 Ampul 5,626 /amp 6,245 /amp
70 MEPINE Meptin Inhalation Solution 0.5 mL Box/28 Ampul 5,626 /amp 6,245 /amp
71 PLS10E Pletaal SR caps. 100 mg Box/30 Kapsul 5,277 /caps 5,857 /caps
72 DELTBE Deltyba Tablet (Box @ 60 tab) 36,126 /tab 40,100 /tab
73 ABOS6E ABILIFY ORAL SOLUTION 60ML Box (1 btl @ 60 ml) 162,162 /box 180,000 /box