Daftar Harga Eceran Tertinggi (HET) Obat Generik

Daftar Harga Eceran Tertinggi (HET) Obat Generik

Berikut kami sajikan Daftar Harga Eceran Tertinggi (HET) Obat Generik berdasarkan Keputusan Menteri Kesehatan Nomor 436 tahun 2013 tentang Harga Eceran Tertinggi Obat Generik di Indonesia:

NO NAMA OBAT KEMASAN HET + PPN (Rp)
1 ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg) 2 blister @ 12 tablet / kotak 44.550
2 ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg) 3 blister @ 8 tablet / kotak 44.550
3 Albendazol suspensi 200 mg/5 ml ktk 10 btl @ 10 ml 5.198
4 Albendazol tablet 400 mg ktk 5 x 6 tablet 16.470
5 Alopurinol tablet 100 mg ktk 10 x 10 tablet 17.820
6 Alopurinol tablet 300 mg ktk 3 x 10 tablet 9.923
7 Alprazolam tablet 0,25 mg ktk 10 x 10 tablet 65.340
8 Alprazolam tablet 0,5 mg ktk 10 x 10 tablet 78.975
9 Alprazolam tablet 1 mg ktk 10 x 10 tablet 121.500
10 Ambroxol sirup 15 mg/ml btl 60 ml 4.455
11 Ambroxol tablet 30 mg ktk 10 x 10 tablet 16.884
12 Amilorida tablet 5 mg (HCl) ktk 10 x 10 tablet 11.906
13 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 10 ml 121.500
14 Aminofilin tablet 150 mg btl 1000 tablet 58.757
15 Aminofilin tablet 150 mg ktk 10 x 10 tablet 12.800
16 Aminofilin tablet 150 mg botol 100 tablet 12.800
17 Aminofilin tablet 200 mg btl 100 tablet 15.296
18 Aminofilin tablet 200 mg btl 1000 tab 123.660
19 Amitriptilin tablet salut 25 mg (HCl) ktk 10 x 10 tablet salut 16.201
20 Amlodipin tablet 5 mg ktk 3 x 10 tablet 38.880
21 Amlodipin tablet 5 mg ktk 5 x 10 tablet 64.800
22 Amlodipin tablet 10 mg ktk 3 x 10 tablet 68.580
23 Amlodipin tablet 10 mg ktk 5 x 10 tablet 114.264
24 Amoksisilin + As. Klavulanat 625 mg tablet ktk 5 x 6 tablet 204.752
25 Amoksisilin kapsul 250 mg ktk 10 x 10 kapsul 38.799
26 Amoksisilin kapsul 250 mg ktk 12 x 10 kapsul 46.778
27 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet 49.950
28 Amoksisilin serbuk injeksi 1000 mg ktk 10 vial 101.250
29 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 4.995
30 Amoksisilin sirup 250 mg/ml btl 60 ml 6.561
31 Ampisilin kaplet 250 mg ktk 10 x 10 kaplet 36.315
32 Ampisilin kaplet 500 mg ktk 10 x 10 kaplet 51.435
33 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/ml ktk 10 vial 72.468
34 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial ktk 10 vial 40.500
35 Ampisilin sirup kering 125 mg/5ml btl 60 ml 5.940
36 Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg + Magnesium Hidroksida 200 mg ktk 10 x 10 tablet kunyah 21.870
37 Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml + Magnesium Hidroksida 200 mg/5 ml btl 60 ml 5.198
38 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin 10.000 IU/g ktk 25 tube @ 5 g 84.942
39 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% ktk 24 pot @ 30 g 55.688
40 Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg + Heksaklorofen 2,5 mg ktk 10 supp 27.000
41 Antimalaria DOEN kombinasi : Pirimetamin 25 mg + Sulfadoksin 500 mg ktk 10 x 10 tablet 65.138
42 Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg btl 100 tablet 16.646
43 Antiparkinson DOEN tablet kombinasi: Karbidopa 25 mg + Levodopa 250 mg ktk 10 x 10 tablet 171.464
44 Aqua pro Injeksi steril, bebas pirogen ktk 10 vial @ 20 ml 74.250
45 Artemether injeksi 80 mg/ml ktk 6 ampul 179.550
46 Artesunate injeksi, vial 60 mg ktk 8 vial 270.675
47 Asam Asetilsalisilat tablet 100 mg (Asetosal) ktk 10 x 10 tablet 12.960
48 Asam Asetilsalisilat tablet 500 mg (Asetosal) ktk 10 x 10 tablet 21.033
49 Asam Askorbat (Vitamin C) tablet 250 mg btl 250 tablet 43.200
50 Asam Askorbat (Vitamin C) tablet 250 mg ktk 10 x 10 tablet 18.200
51 Asam Askorbat (Vitamin C) tablet 100 mg btl 500 tablet 29.076
52 Asam Askorbat (Vitamin C) tablet 100 mg ktk 10 x 10 tablet 6.900
53 Asam Askorbat (Vitamin C) tablet 50 mg btl 1000 tablet 43.200
54 Asam Folat tablet 1 mg btl 100 tablet 9.180
55 Asam Folat tablet 5 mg btl 1000 tablet 63.450
56 Asam Mefenamat kapsul 250 mg ktk 10 x 10 kapsul 16.632
57 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet 23.760
58 Asetazolamid tablet 250 mg btl 100 tablet 23.979
59 Asiklovir krim 5 % tube 5 gram 4.253
60 Asiklovir krim 5 % ktk 25 tube @ 5 gram 101.250
61 Asiklovir tablet 200 mg ktk 3 x 10 tablet 19.643
62 Asiklovir tablet 200 mg ktk 5 x 10 tablet 36.011
63 Asiklovir tablet 200 mg ktk 10 x 10 tablet 52.404
64 Asiklovir tablet 400 mg ktk 3 x 10 tablet 29.464
65 Asiklovir tablet 400 mg ktk 5 x 10 tablet 42.559
66 Asiklovir tablet 400 mg ktk 10 x 10 tablet 77.130
67 Atenolol tablet 100 mg ktk 5 x 10 tablet 34.420
68 Atenolol tablet 50 mg ktk 10 x 10 tablet 36.422
69 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) ktk 30 amp @ 1 ml 51.233
70 Atropin Sulfat tablet 0,5 mg btl 100 tablet 8.100
71 Atropin Sulfat tablet 0,5 mg btl 500 tablet 47.520
72 Atropin Sulfat tetes mata 0,5 % ktk 24 btl @ 5 ml 90.742
73 Atropin Sulfat tetes mata 0,5 % btl 5 ml 4.084
74 Azatioprin tablet 50 mg ktk 10 x 10 tablet 28.280
75 Benzatin Benzil Penisilin 1,2 juta IU/ vial ktk 10 vial @ 20 ml 110.700
76 Benzatin Benzil Penisilin 2,4 juta IU/vial ktk 10 vial @ 20 ml 153.900
77 Besi (II) sulfat 7 H2O tablet salut 300 mg btl 1000 tablet salut 35.413
78 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah darah kombinasi) 1 sase @ 30 tab 2.700
79 Betahistin Mesilat tablet 6 mg ktk 3 x 10 tablet 37.422
80 Betametason krim 0,1 % (sebagai Valerat) tube 5 gram 2.735
81 Betametason krim 0.1 % (sebagai Valerat) ktk 25 tube @ 5 g 62.978
82 Betametason tablet 0,5 mg ktk 10 x 10 tablet 9.446
83 Bisoprolol tablet 5 mg ktk 3 x 10 tablet 94.028
84 Bromheksin tablet 8 mg ktk 10 x 10 tablet 5.200
85 Cetirizin sirup 5 mg/5 ml btl 60 ml 14.108
86 Cetirizine tablet 10 mg ktk 3 x 10 tablet 13.365
87 Cetirizine tablet 10 mg ktk 5 x 10 tablet 21.161
88 Cisapride tablet 10 mg ktk 10 x 10 tablet 183.398
89 Cisapride tablet 5 mg ktk 10 x 10 tablet 105.806
90 Clobazam tablet 10 mg ktk 10 x 10 tablet 128.250
91 Clobetasol krim 0,05 % tube 10 gram 15.800
92 Dapson tablet 100 mg btl 1000 tablet 42.525
93 Dapson tablet 100 mg ktk 10 x 10 tablet 5.940
94 Dapson tablet 100 mg botol 100 tablet 5.940
95 Deksametason injeksi i.v. 5 mg/ml ktk 100 amp @ 1 ml 270.270
96 Deksametason tablet 0,5 mg ktk 10 x 10 tablet 11.745
97 Deksametason tablet 0,5 mg btl 1000 tablet 75.735
98 Dekstran 70 – larutan infus 6 % steril btl 500 ml 47.960
99 Diazepam injeksi 5 mg/ml ktk 30 amp @ 2 ml 95.908
100 Diazepam tablet 2 mg btl 100 tablet 4.307
101 Diazepam tablet 2 mg ktk 10 x 10 tablet 5.400
102 Diazepam tablet 2 mg btl 1000 tablet 42.822
103 Diazepam tablet 5 mg btl 250 tablet 16.200
104 Diazepam tablet 5 mg btl 100 tablet 6.480
105 Diazepam tablet 5 mg ktk 10 x 10 tablet 8.910
106 Diazepam tablet 5 mg btl 1000 tablet 64.800
107 Dietilkarbamazin Sitrat tablet 100 mg ktk 10 x 10 tablet 13.163
108 Difenhidramin injeksi i.m. 10 mg/ml (HCl) ktk 30 amp @ 1 ml 38.880
109 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 19.305
110 Digoksin tablet 0,0625 mg btl 100 tab 9.778
111 Dikloksasilin kapsul 125 mg ktk 100 kapsul 30.757
112 Dikloksasilin kapsul 250 mg ktk 25 x 4 kapsul 42.603
113 Dikloksasilin kapsul 500 mg ktk 25 x 4 kapsul 56.828
114 Diltiazem HCl tablet 30 mg ktk 10 x 10 tablet 20.470
115 Dimenhidrinat tablet 50 mg btl 100 tablet 12.960
116 Disopiramid kapsul 100 mg btl 100 kapsul 31.905
117 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul 34.155
118 Domperidon suspensi 5 mg/5 ml btl 60 ml 17.078
119 Domperidon tablet 10 mg ktk 10 x 10 tablet 54.489
120 Efedrin tablet 25 mg (HCl) btl 250 tablet 17.300
121 Efedrin tablet 25 mg (HCl) btl 1000 tablet 68.850
122 Ekstraks Belladona tablet 10 mg ktk 10 x 10 tablet 5.130
123 Ekstraks Belladona tablet 10 mg btl 1000 tablet 42.768
124 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ktk 30 amp @ 1 ml 50.220
125 Eritromisin kapsul 250 mg ktk 10 x 10 kapsul 68.040
126 Eritromisin kapsul 250 mg ktk 12 x 10 kapsul 81.000
127 Eritromisin kaplet 500 mg ktk 10 x 10 kaplet 125.550
128 Eritromisin sirup 200 mg/5 ml btl 60 ml 10.935
129 Etakridin larutan 0,1% btl 300 ml 2.430
130 Etambutol tablet 250 mg (HCl) ktk 10 x 10 tablet 53.738
131 Etambutol tablet 250 mg (HCl) ktk 20 x 10 tablet 93.960
132 Etambutol tablet salut 500 mg (HCl) ktk 10 x 10 tablet salut 77.436
133 Etoposid kapsul 100 mg btl 10 kapsul 94.238
134 Famotidine tablet 40 mg ktk 5 x 10 tablet 11.948
135 Famotidine tablet 20 mg ktk 5 x 10 tablet 7.634
136 Fenilbutason tablet 200 mg ktk 15 x 10 tablet 19.643
137 Fenilbutason tablet 200 mg btl 1000 tablet 109.350
138 Fenitoin kapsul 100 mg btl 250 kapsul 26.843
139 Fenitoin kapsul 100 mg btl 100 kapsul 16.335
140 Fenitoin kapsul 100 mg ktk 10 x 10 kapsul 16.335
141 Fenitoin Natrium injeksi 50 mg/ml ampul @ 2 ml 65.297
142 Fenitoin Natrium kapsul 30 mg btl 250 kapsul 24.651
143 Fenitoin Natrium kapsul 30 mg btl 100 kapsul 12.555
144 Fenitoin Natrium kapsul 30 mg ktk 10 x 10 kapsul 12.555
145 Fenobarbital injeksi i.m./i.v. 50 mg/ml ktk 30 amp @ 1 ml 63.180
146 Fenobarbital tablet 30 mg ktk 10 x 10 tablet 8.762
147 Fenobarbital tablet 30 mg btl 100 tablet 8.762
148 Fenobarbital tablet 30 mg btl 250 tablet 18.765
149 Fenobarbital tablet 30 mg btl 1000 tablet 50.220
150 Fenobarbital tablet 100 mg btl 250 tablet 49.302
151 Fenobarbital tablet 100 mg ktk 10 x 10 tablet 19.440
152 Fenobarbital tablet 100 mg btl 1000 tablet 67.716
153 Fenoksimetil Penisilin tablet 250 mg ktk 10 x 10 tablet 35.370
154 Fenoksimetil Penisilin tablet 500 mg ktk 10 x 10 tablet 62.748
155 Fenol Gliserol tetes telinga 10% ktk 24 btl @ 5 ml 32.670
156 Fitomenadion (Vit.K1) tablet salut gula 10 mg btl 100 tablet 91.884
157 Menadion (Vit.K3) tablet salut gula 10 mg btl 500 tablet 44.105
158 Fitomenadion (Vitamin K1) injeksi 10 mg/ml ktk 30 amp @ 1 ml 70.470
159 Menadion (Vitamin K3) injeksi 10 mg/ml ktk 100 amp @ 1 ml 195.750
160 Flukonazol tablet 150 mg ktk 10 tablet 297.004
161 Fluoride tablet 0,5 mg btl 100 tablet 4.443
162 Fluoride tablet 1 mg btl 100 tablet 5.469
163 Furosemid injeksi i.v./i.m. 10 mg/ml ktk 25 amp @ 2 ml 69.528
164 Furosemid tablet 40 mg ktk 20 x 10 tablet 27.270
165 Furosemid tablet 40 mg ktk 10 x 10 tablet 13.781
166 Furosemid tablet 40 mg btl 250 tablet 24.570
167 Gameksan lotion 1 % btl 30 ml 2.970
168 Garam Oralit I serbuk, kombinasi :

Natrium 0,52 g

Kalium klorida 0,30 g

Trinatrium sitrat dihidrat 0,58 g

Glukosa Anhidrat 2,7 g

ktk 25 sachet 13.535
169 Garam Oralit I serbuk, kombinasi:

Natrium 0,52 g

Kalium klorida 0,30 g

Trinatrium sitrat dihidrat 0,58 g

Glukosa Anhidrat 2,7 g

ktk 100 sachet 51.300
170 Gemfibrozil kapsul 300 mg ktk 12 x 10 kapsul 47.115
171 Gemfibrozil kapsul 300 mg ktk 10 x 10 kapsul 39.450
172 Gemfibrozil tablet 600 mg ktk 10 x 10 tablet 70.200
173 Gentamisin injeksi 80 mg/ml ktk 1 vial @ 2 ml 5.105
174 Gentamisin injeksi 40 mg/ml ktk 5 amp 24.948
175 Gentamisin salep kulit 0.1 % ktk 10 tube 5 gram 24.800
176 Gentamisin salep kulit 0.1 % ktk 25 tube 5 gram 61.999
177 Gentamisin salep kulit 0.1% tube 5 gram 2.498
178 Gentamisin Sulfat tetes mata 0,3 % btl 5 ml 4.455
179 Gentamisin Sulfat tetes mata 0,3 % ktk 10 btl @ 5 ml 44.550
180 Gentian Violet larutan 1 % btl 10 ml 608
181 Glibenklamida tablet 5 mg ktk 10 x 10 tablet 9.720
182 Glimepiride tablet 1 mg ktk 5 x 10 tablet 51.305
183 Glimepiride tablet 1 mg ktk 3 x 10 tablet 30.831
184 Glimepiride tablet 2 mg ktk 5 x 10 tablet 96.746
185 Glimepiride tablet 2 mg ktk 3 x 10 tablet 58.058
186 Glimepiride tablet 3 mg ktk 5 x 10 tablet 131.927
187 Glimepiride tablet 3 mg ktk 3 x 10 tablet 79.144
188 Glimepiride tablet 4 mg ktk 5 x 10 tablet 175.904
189 Glimepiride tablet 4 mg ktk 3 x 10 tablet 105.544
190 Glipizid tablet 5 mg ktk 30 tablet 12.150
191 Gliquidon tablet 30 mg ktk 10 x 10 tablet 87.114
192 Gliseril guaiakolat tablet 100 mg btl 1000 tablet 37.665
193 Gliserin btl 100 ml 6.386
194 Glukosa larutan infus 10 % steril btl 500 ml 7.731
195 Glukosa larutan infus 40 % steril ktk 10 amp @ 25 ml 19.607
196 Glukosa larutan infus 5 % steril btl 500 ml 6.831
197 Griseofulvin tablet 250 mg ktk 10 x 10 tablet 60.750
198 Griseofulvin tablet 125 mg ktk 10 x 10 tablet 32.400
199 Haloperidol tablet 0,5 mg ktk 10 x 10 tablet 8.132
200 Haloperidol tablet 5 mg ktk 10 x 10 tablet 16.509
201 Haloperidol tablet 1,5 mg ktk 10 x 10 tablet 11.148
202 Haloperidol tablet 2 mg ktk 10 x 10 tablet 12.859
203 Hidroklorotiazida tablet 25 mg btl 1000 tablet 49.005
204 Hidrokortison krim 1% tube 5 g 3.105
205 Hidrokortison krim 2,5 % tube 5 g 4.050
206 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g 96.525
207 Hyoscine -N-Butilbromide tablet 10 mg ktk 10 x 10 tablet 40.500
208 Ibuprofen suspensi 100 mg/5 ml btl 60 ml 4.725
209 Ibuprofen suspensi 200 mg/5 ml btl 60 ml 6.075
210 Ibuprofen tablet 200 mg btl 100 tablet 15.593
211 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 27.680
212 Indometasin kapsul 25 mg ktk 10 x 10 kapsul 5.347
213 Iodiol kapsul lunak btl 100 kapsul 125.550
214 Isoniazid tablet 100 mg btl 1000 tablet 55.350
215 Isoniazid tablet 100 mg ktk 10 x 10 tablet 5.940
216 Isoniazid tablet 300 mg btl 1000 tablet 130.950
217 Isoniazid tablet 300 mg btl 100 tablet 14.475
218 Isoniazid tablet 300 mg ktk 10 x 10 tablet 14.475
219 Isosorbid Dinitrat tablet sublingual 5 mg ktk 10 x 10 tablet 13.142
220 Itrakonazol kapsul 100 mg ktk 3 x 10 kapsul 58.482
221 Kalium Diklofenak tablet 25 mg ktk 5 x 10 tablet 26.382
222 Kalium Diklofenak tablet 50 mg ktk 5 x 10 tablet 47.791
223 Kalium Klorida tablet 300 mg tube 10 tablet 3.887
224 Kalsium Folinat (Leukovorin Ca) tablet 15 mg btl 10 tablet 5.152
225 Kalsium Karbonat tablet 500 mg btl 100 tablet 5.835
226 Kalsium Laktat (Kalk) tablet 500 mg btl 1000 tablet 70.200
227 Kalsium Laktat (Kalk) tablet 500 mg ktk 10 x 10 tablet 6.750
228 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet 12.150
229 Kaptopril tablet 12,5 mg ktk 6 x 10 tablet 7.425
230 Kaptopril tablet 25 mg ktk 6 x 10 tablet 11.613
231 Kaptopril tablet 25 mg ktk 10 x 10 tablet 18.596
232 Kaptopril tablet 50 mg ktk 10 x 10 tablet 30.291
233 Karbamazepin tablet 200 mg ktk 10 x 10 tablet 33.271
234 Ketokonazol krim 2 % tube 15 gram 9.450
235 Ketokonazol tablet 200 mg ktk 5 x 10 tablet 27.675
236 Ketoprofen injeksi 100 mg ktk 6 amp @ 1 ml 45.765
237 Ketoprofen tablet 100 mg ktk 10 x 10 tablet 182.250
238 Ketorolac injeksi 10 mg ktk 6 amp @ 1 ml 60.750
239 Ketorolac injeksi 10 mg ktk 5 amp @ 1 ml 50.625
240 Ketorolac injeksi 10 mg ktk 12 amp @ 1 ml 121.500
241 Ketorolac injeksi 30 mg ktk 6 amp @ 1 ml 108.257
242 Ketorolac injeksi 30 mg ktk 12 amp @ 1 ml 216.513
243 Klindamisin kapsul 150 mg ktk 10 x 10 kapsul 68.850
244 Klindamisin kapsul 150 mg ktk 5 x 10 kapsul 34.425
245 Klindamisin kapsul 300 mg ktk 5 x 10 kapsul 50.811
246 Klindamisin kapsul 300 mg ktk 10 x 10 kapsul 101.621
247 Klofazimin kapsul 100 mg micronize btl 100 kapsul 280.665
248 Klomifen tablet 50 mg btl 10 tablet 22.634
249 Klonidin tablet 0,15 mg ktk 10 x 10 tablet 27.675
250 Kloramfenikol kapsul 250 mg ktk 12 X 10 kapsul 43.200
251 Kloramfenikol kapsul 250 mg ktk 10 X 10 kapsul 35.978
252 Kloramfenikol kapsul 250 mg btl 250 kapsul 77.963
253 Kloramfenikol kapsul 250 mg btl 1000 kapsul 303.750
254 Kloramfenikol salep mata 1 % tube 5 g 2.110
255 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml 6.075
256 Kloramfenikol tetes mata 0,5 % btl 5 ml 3.375
257 Kloramfenikol tetes telinga 3 % btl 5 ml 2.160
258 Klorfeniramina Maleat (CTM) tablet 4 mg btl 1000 tablet 32.400
259 Klorfeniramina Maleat (CTM) tablet 4 mg btl 100 tablet 3.088
260 Klorfeniramina Maleat (CTM) tablet 4 mg ktk 10 x 10 tablet 3.088
261 Klorokuin tablet 150 mg btl 1000 tablet 114.750
262 Klorokuin tablet 250 mg btl 1000 tablet 141.750
263 Klorokuin tablet 250 mg ktk 10 x 10 tablet 14.445
264 Klorpromazin injeksi i.m. 25 mg/ml (HCl) ktk 30 amp @ 2 ml 33.075
265 Klorpromazin injeksi i.m 5 mg/ml-2 ml (HCl) ktk 30 ampul 29.295
266 Klorpromazin tablet salut 25 mg (HCl) btl 1000 tablet salut 51.300
267 Klorpromazin tablet salut 25 mg (HCl) ktk 10 x 10 tablet 6.075
268 Klorpromazin tablet salut 100 mg (HCl) btl 250 tablet 41.175
269 Klorpromazin tablet salut 100 mg (HCl) ktk 10 x 10 tablet 17.955
270 Klorpromazin tablet salut 100 mg (HCl) btl 1000 tablet salut 164.700
271 Kodein tablet 10 mg btl 250 tablet 144.208
272 Kodein tablet 10 mg ktk 10 x 10 tablet 63.450
273 Kodein tablet 10 mg btl 1000 tablet 456.030
274 Kodein tablet 15 mg btl 250 tablet 245.693
275 Kodein tablet 15 mg ktk 10 x 10 tablet 108.000
276 Kodein tablet 20 mg btl 250 tablet 320.909
277 Kodein tablet 20 mg ktk 10 x 10 tablet 141.075
278 Kodein tablet 30 mg btl 20 tablet 8.910
279 Kolkisin tablet 500 mcg ktk 10 x 10 tablet 36.690
280 Kotrimoksazol DOEN I (dewasa) kombinasi: Sulfametoksazol 400 mg + Trimetoprim 80 mg ktk 10 x 10 tablet 22.275
281 Kotrimoksazol DOEN II (pediatrik) kombinasi: Sulfametoksazol 100 mg + Trimetoprim 20 mg ktk 10 x 10 tablet 10.247
282 Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg/5 ml btl 60 ml 5.346
283 Kuinidin tablet 100 mg btl 1000 tablet 211.923
284 Kuinidin tablet 200 mg ktk 10 x 10 tablet 56.430
285 Kuinidin tablet 200 mg btl 1000 tablet 610.295
286 Kuinin (Kina) tablet 200 mg ktk 60 tablet 47.250
287 Kuinin Dihidroklorida injeksi 25 % – 2 ml ktk 30 ampul 171.180
288 Kuinin injeksi i.v. 25 % (sebagai 2 HCl) ktk 100 amp @ 2 ml 485.352
289 Kuinin tablet 222 mg (H2SO4.7H2O) btl 1000 tablet 540.000
290 Lamivudine tablet 150 mg btl 60 tablet 102.600
291 Lanzoprazol kapsul 30 mg ktk 2 x 10 kapsul 36.486
292 Levamisol tablet 50 mg ktk 4 x 9 tablet 3.837
293 Levamisol tablet 50 mg btl 25 tablet 3.983
294 Levofloksasin tablet 500 mg ktk 5 x 10 tablet 77.873
295 Levofloksasin tablet 500 mg ktk 3 x 10 tablet 44.820
296 Lidokain injeksi 2 % ktk 100 amp @ 2 ml 136.350
297 Lidokain injeksi 2 % (HCl) + Epinefrin 1 : 80.000 – 2ml ktk 30 amp @ 2 ml 46.035
298 Linkomisin kapsul 250 mg ktk 10 x 10 kapsul 37.500
299 Linkomisin kapsul 250 mg ktk 5 x 12 kapsul 22.518
300 Linkomisin kapsul 500 mg ktk 5 x 10 kapsul 43.875
301 Linkomisin kapsul 500 mg ktk 5 x 12 kapsul 52.650
302 Lisinopril tablet 10 mg ktk 3 x 10 tablet 23.383
303 Lisinopril tablet 20 mg ktk 3 x 10 tablet 29.588
304 Lisinopril tablet 5 mg ktk 3 x 10 tablet 13.569
305 Loperamid tablet 2 mg ktk 10 x 10 tablet 12.359
306 Loratadin tablet 10 mg ktk 5 x 10 tablet 22.483
307 Magnesium Sulfat inj (IV) 20 % – 25 ml ktk 10 vial 20.787
308 Magnesium Sulfat inj (IV) 40 % – 25 ml ktk 10 vial 26.297
309 Magnesium Sulfat serbuk 30 gram ktk 10 sase @ 30 gr 13.859
310 Mebendazol sirup 100 mg / 5 ml btl 30 ml 4.590
311 Mebendazol tablet 100 mg ktk 5 x 6 tablet 8.775
312 Mebendazol tablet 500 mg ktk 10 x 10 tablet 31.725
313 Meloksikam suppositoria ktk 10 supp 89.100
314 Meloksikam tablet 15 mg ktk 5 x 10 tablet 80.933
315 Meloksikam tablet 15 mg ktk 2 x 10 tablet 32.373
316 Meloksikam tablet 7,5 mg ktk 5 x 10 tablet 46.703
317 Meloksikam tablet 7,5 mg ktk 2 x 10 tablet 18.681
318 Merkaptopurin tablet 50 mg btl 25 tablet 7.418
319 Metampiron injeksi 250 mg ktk 30 amp @ 2 ml 54.000
320 Metampiron tablet 500 mg ktk 10 x 10 tablet 20.115
321 Metampiron tablet 500 mg btl 1000 tablet 116.640
322 Metformin HCl tablet 500 mg ktk 10 x 10 tablet 24.503
323 Metformin HCl tablet 850 mg ktk 10 x 10 tablet 44.550
324 Metildopa tablet 250 mg btl 100 tablet 36.759
325 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg ktk 10 x 10 tablet 16.335
326 Metilergometrin Maleat injeksi 0,200 mg-1 ml ktk 30 ampul 60.345
327 Metilprednisolon injeksi 500 mg ktk 1 vial 112.084
328 Metilprednisolon tablet 16 mg ktk 3 x 10 tablet 47.385
329 Metilprednisolon tablet 16 mg ktk 10 x 10 tablet 139.725
330 Metilprednisolon tablet 4 mg ktk 10 x 10 tablet 59.474
331 Metilprednisolon tablet 8 mg ktk 10 x 10 tablet 78.975
332 Metoklopramide injeksi 5 mg/ml ktk 10 amp @ 2 ml 13.500
333 Metoklopramide sirup 5 mg/ 5 ml btl 60 ml 2.835
334 Metoklopramide tablet 10 mg ktk 10 x 10 tablet 14.850
335 Metoklopramide tablet 5 mg ktk 10 x 10 tablet 10.638
336 Metronidazol infus 500 mg/100 ml btl 100 ml 39.825
337 Metronidazol tablet 250 mg ktk 10 x 10 tablet 19.305
338 Metronidazol tablet 500 mg ktk 10 x 10 tablet 29.700
339 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr 4.050
340 Momethason krim 0,1 % tube 5 gram 19.046
341 Momethason krim 0,1 % tube 10 gram 30.071
342 Morfin injeksi 10 mg/ml ktk 10 ampul @ 1 ml 141.742
343 Morfin tablet 10 mg btl 30 tablet 48.842
344 Natrium Bikarbonat tablet 500 mg btl 1000 tablet 19.305
345 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet 14.693
346 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet 11.318
347 Natrium Fluoresein tetes mata 2 % ktk 24 btl @ 5 ml 127.192
348 Natrium Klorida larutan infus 0,9 % btl 500 ml 6.615
349 Natrium Thiosulfat injeksi i.v. 25 % ktk 10 amp @ 10 ml 40.500
350 Neomisin kapsul 500 mg ktk 10 x 10 kapsul 42.728
351 Nevirapin tablet 200 mg btl 60 tablet 211.613
352 Nifedipin tablet 10 mg ktk 10 x 10 tablet 17.415
353 Nistatin tablet salut 500.000 IU/ g ktk 10 x 10 tablet salut 81.000
354 Nistatin vaginal tablet 100.000 IU/ g ktk 10 x 10 tablet vaginal 49.950
355 Nitrofurantoin tablet 100 mg btl 100 tablet 8.343
356 Obat Antituberkulosis Kategori 1 dewasa Paket / dos 389.070
357 Obat Antituberkulosis Kategori anak Paket / dos 232.200
358 Obat Batuk Hitam ( O.B.H. ) cairan btl 100 ml 1.931
359 Obat Batuk Hitam ( O.B.H. ) cairan btl 200 ml 3.846
360 Obat Antituberkulosis FDC Anak paket 290.250
361 Obat Antituberkulosis FDC Kategori 1 paket 486.000
362 Obat Antituberkulosis FDC Kategori 2 paket 1.620.000
363 Obat Antituberkulosis FDC Sisipan paket 216.000
364 Ofloxacin tablet 200 mg ktk 5 x 10 tablet 39.832
365 Ofloxacin tablet 400 mg ktk 5 x 10 tablet 58.928
366 Oksitetrasiklin HCl salep mata 1 % tube 3,5 gram 2.835
367 Oksitetrasiklin HCl salep mata 1 % ktk 25 tube @ 3,5 g 64.800
368 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml ktk 10 vial 41.850
369 Oksitetrasiklin salep kulit 3% tube 5 gram 2.261
370 Oksitetrasiklin salep kulit 3 % ktk 25 tube @ 5 g 55.721
371 Oksitosin injeksi 10 IU/ml – 1 ml ktk 30 ampul 72.293
372 Omeprazol kapsul 20 mg btl 7 kapsul 7.271
373 Omeprazol kapsul 20 mg ktk 3 x 10 kapsul 16.538
374 Oseltamivir 75 mg ktk 10 175.500
375 Papaverin injeksi 40 mg/ml ktk 100 amp @ 1 ml 71.550
376 Papaverin tablet 40 mg btl 1000 tablet 134.325
377 Papaverin tablet 40 mg ktk 10 x 10 tablet 16.065
378 Parasetamol drops btl 15 ml 7.128
379 Parasetamol sirup 120 mg / 5 ml btl 60 ml 3.105
380 Parasetamol tablet 100 mg botol 100 tablet 5.657
381 Parasetamol tablet 500 mg ktk 10 x 10 tablet 14.175
382 Parasetamol tablet 500 mg btl 1000 tablet 67.500
383 Pentoksifilin injeksi 300 mg/15 ml ktk 10 vial 224.438
384 Pentoksifilin tablet 400 mg ktk 10 x 10 tablet 183.398
385 Perfenazin tablet 4 mg (HCl) btl 100 tablet 7.425
386 Perfenazin tablet 2 mg (HCl) ktk 15 x 10 tablet 9.180
387 Perfenazin tablet 8 mg (HCl) ktk 15 x 10 tablet 13.500
388 Petidin injeksi 50 mg/ml ktk 10 ampul 178.084
389 Pilokarpin tetes mata 2 % (HCl/ Nitrat) btl 5 ml 7.039
390 Piracetam injeksi 1 g/5 ml ktk 10 amp 74.250
391 Piracetam injeksi 3 g/15 ml ktk 4 amp 92.367
392 Piracetam tablet 1200 mg ktk 10 x 10 tablet 174.636
393 Piracetam tablet 1200 mg ktk 5 x 10 tablet 87.318
394 Piracetam tablet 400 mg ktk 10 x 10 tablet 60.885
395 Piracetam tablet 800 mg ktk 10 x 10 tablet 108.405
396 Pirantel sirup 125 mg/5 ml btl 60 ml 4.725
397 Pirantel tablet score (base) 125 mg ktk 5 x 6 tablet score 12.595
398 Pirantel tablet score (base) 125 mg ktk 7 x 4 tablet score 11.756
399 Pirantel tablet score (base) 125 mg ktk 25 x 4 tablet score 43.200
400 Pirantel tablet score (base) 125 mg ktk 30 x 2 tablet score 25.110
401 Pirazinamid tablet 500 mg ktk 10 x 10 tablet 31.590
402 Piridoksin (Vitamin B6) tablet 10 mg (HCl) btl 1000 tablet 23.490
403 Piridoksin (Vitamin B6) tablet 25 mg (HCl) btl 1000 tablet 40.500
404 Piroksikam tablet 10 mg ktk 10 x 10 tablet 11.340
405 Piroksikam kapsul 10 mg ktk 12 x10 kapsul 13.635
406 Piroksikam tablet 20 mg ktk 10 x 10 tablet 14.175
407 Piroksikam kapsul 20 mg ktk 12 x 10 kapsul 17.010
408 Povidon Iodida larutan 10% btl 30 ml 3.240
409 Povidon Iodida larutan 10% btl 60 ml 4.725
410 Povidon Iodida larutan 10% btl 300 ml 19.575
411 Povidon Iodida larutan 10% btl 1000 ml 56.700
412 Pravastatin tablet 10 mg ktk 3 x 10 tablet 59.400
413 Pravastatin tablet 20 mg ktk 3 x 10 tablet 99.198
414 Pravastatin tablet 20 mg ktk 5 x 10 tablet 165.132
415 Prazikuantel tablet 300 mg btl 1000 tablet 1.099.508
416 Prazikuantel tablet 600 mg btl 100 tablet 229.500
417 Prednison tablet 5 mg btl 1000 tablet 84.375
418 Prednison tablet 5 mg ktk 10 x 10 tablet 7.628
419 Primakuin tablet 15 mg btl 1000 tablet 147.150
420 Primakuin tablet 15 mg ktk 10 x 10 tablet 15.390
421 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial 243.675
422 Prometazin tablet 25 mg ktk 100 tablet 6.770
423 Propanolol tablet 40 mg (HCl) btl 100 tablet 16.335
424 Propanolol tablet 10 mg ( HCl ) ktk 10 x 10 tablet 10.395
425 Propiltiourasil tablet 100 mg btl 100 tablet 40.442
426 Propiltiourasil tablet 50 mg btl 1000 tablet 285.120
427 Propiltiourasil tablet 50 mg ktk 10 x 10 tablet 39.875
428 Ramipril tablet 2,5 mg ktk 10 x 10 tablet 40.500
429 Ramipril tablet 5 mg ktk 10 x 10 tablet 68.399
430 Ranitidin injeksi 25 mg/2 ml ktk 25 amp 86.738
431 Ranitidin tablet 150 mg ktk 3 x 10 tablet 8.910
432 Ranitidin tablet 150 mg ktk 10 x 10 tablet 29.700
433 Reserpin tablet 0,10 mg btl 250 tablet 25.380
434 Reserpin tablet 0,10 mg ktk 10 x 10 tablet 10.935
435 Reserpin tablet 0,25 mg btl 1000 tablet 118.800
436 Reserpin tablet 0,25 mg ktk 10 x 10 tablet 13.905
437 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak 19.305
438 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak 31.185
439 Retinol (Vitamin A) tablet 50.000 IU btl 1000 tablet 216.000
440 Rifampisin kaplet 600 mg ktk 10 x 10 kaplet 124.538
441 Rifampisin kapsul 300 mg ktk 10 x 10 kapsul 64.800
442 Rifampisin kapsul 300 mg ktk 12 x 10 kapsul 74.844
443 Rifampisin tablet salut 450 mg ktk 10 x 10 tablet salut 89.100
444 Ringer Laktat larutan infus btl 500 ml 7.020
445 Risperidon tablet 1 mg ktk 2 x 10 tablet 50.787
446 Risperidon tablet 1 mg ktk 5 x 10 tablet 126.968
447 Risperidon tablet 2 mg ktk 5 x 10 tablet 160.313
448 Risperidon tablet 3 mg ktk 2 x 10 tablet 76.950
449 Risperidon tablet 3 mg ktk 5 x 10 tablet 192.375
450 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet 11.344
451 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet 13.161
452 Salep 2-4 , Kombinasi: Asam Salisilat 2 % + Belerang endap 4 % ktk 24 pot @ 30 g 39.825
453 Salisil Bedak 2 % ktk 50 gram 1.931
454 Sefadroksil sirup kering 125 mg/5ml btl 60 ml 11.070
455 Sefadroksil kapsul 250 mg ktk 3 x 10 kapsul 18.025
456 Sefadroksil kapsul 250 mg ktk 10 x 10 kapsul 60.082
457 Sefadroksil kapsul 500 mg ktk 5 x 10 kapsul 56.700
458 Sefadroksil kapsul 500 mg ktk 10 x 10 kapsul 113.400
459 Sefaklor kapsul 250 mg ktk 3 x 10 kapsul 48.248
460 Sefaklor kapsul 500 mg ktk 3 x 10 kapsul 88.455
461 Sefaleksin kapsul 250 mg ktk 5 x 10 kapsul 43.855
462 Sefaleksin kapsul 500 mg ktk 5 x 10 kapsul 81.000
463 Sefazolin injeksi 1 g ktk 2 vial 55.755
464 Sefiksim kapsul 100 mg ktk 5 x 10 kapsul 161.636
465 Sefiksim kapsul 100 mg ktk 3 x 10 kapsul 96.981
466 Sefiksim kapsul 50 mg ktk 3 x 10 kapsul 40.500
467 Sefiksim sirup kering 100 mg/ 5 ml btl 30 ml 40.838
468 Sefiksim 400 mg + Azitromisin 1000 mg paket 44.550
469 Sefotaksim injeksi 0,5 g ktk 2 vial 11.717
470 Sefotaksim injeksi 1 g ktk 2 vial 18.711
471 Sefotaksim injeksi 1 g ktk 10 vial 93.555
472 Sefotaksim injeksi 1 g per vial ktk 1 vial 9.356
473 Seftazidim injeksi 1 g ktk 2 vial 91.417
474 Seftriakson injeksi 1 g ktk 2 vial 23.204
475 Seftriakson serbuk injeksi 1 g/ vial 1 vial 11.602
476 Sefuroksim serbuk injeksi 750 mg/vial ktk 2 vial @ 10 ml 28.779
477 Sianokobalamin (vitamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml 139.995
478 Sianokobalamin (vitamin B12) tablet 50 mcg btl 1000 tablet 17.687
479 Sianokobalamin (vitamin B12) tablet 50 mcg ktk 10 x 10 tablet 1.890
480 Siklofosfamid tablet 50 mg btl 50 tablet 113.918
481 Siklosporin kapsul lunak 25 mg btl 50 kapsul 165.360
482 Simetidin tablet 200 mg ktk 10 x 10 tablet 15.512
483 Simvastatin tablet 5 mg ktk 3 x 10 tablet 10.388
484 Simvastatin tablet 10 mg ktk 3 x 10 tablet 20.777
485 Simvastatin tablet 10 mg ktk 5 x 10 tablet 34.628
486 Simvastatin tablet 20 mg ktk 3 x 10 tablet 41.553
487 Simvastatin tablet 20 mg ktk 5 x 10 tablet 69.255
488 Siprofloksasin tetes mata 0,3 % btl 10 ml 5.227
489 Siprofloksasin infus 2% btl 100 ml 76.950
490 Siprofloksasin tablet 250 mg (sebagai HCl) ktk 3 x 10 tablet 10.125
491 Siprofloksasin tablet 250 mg (sebagai HCl) ktk 5 x 10 tablet 16.875
492 Siprofloksasin tablet 250 mg (sebagai HCl) ktk 10 x 10 tablet 33.750
493 Siprofloksasin tablet 500 mg (sebagai HCl) ktk 5 x 10 tablet 17.550
494 Siprofloksasin tablet 500 mg (sebagai HCl) ktk 10 x 10 tablet 38.340
495 Spiramisin tablet 250 mg ktk 5 x 10 tablet 52.785
496 Spiramisin tablet 500 mg ktk 5 x 10 tablet 104.018
497 Spironolakton tablet 100 mg ktk 10 x 10 tablet 142.420
498 Spironolakton tablet 25 mg ktk 10 x 10 tablet 46.760
499 Stavudin tablet 30 mg btl 60 tablet 68.310
500 Streptomisin serbuk injeksi i.v 1500 mg/ml ktk 30 vial @ 15 ml 76.950
501 Streptomisin serbuk injeksi i.v 1000 mg/ml ktk 56 vial @ 1 gram 275.940
502 Sulfadiazin tablet 500 mg btl 100 tablet 15.775
503 Sulfametoksazol tablet 400 mg ktk 10 x 10 tablet 10.743
504 Sulfasalazin tablet 500 mg btl 500 tablet 256.581
505 Sulfasalazin tablet 500 mg ktk 10 x 10 tablet 56.025
506 Sulfasetamida Natrium tetes mata 15 % ktk 24 btl @ 5 ml 111.626
507 Tamoksifen tablet 20 mg btl 30 tablet 52.838
508 Tamoksifen tablet 20 mg ktk 3 x 10 tablet 68.850
509 Teofilin tablet 150 mg ktk 10 x 10 tablet 7.339
510 Terbutalin tablet 2,5 mg ktk 5 x 10 tablet 6.573
511 Tetrakain HCl tetes mata 0,5 % ktk 24 btl @ 5 ml 110.044
512 Tetrasiklin kapsul 250 mg btl 1000 kapsul 225.113
513 Tetrasiklin kapsul 250 mg ktk 10 x 10 tablet 18.900
514 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 34.695
515 Tiamfenikol kapsul 250 mg ktk 10 x 10 kapsul 43.015
516 Tiamfenikol kapsul 500 mg ktk 10 x 10 kapsul 83.160
517 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp @ 1 ml 31.050
518 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) btl 1000 tablet 51.030
519 Tiamin (Vitamin B1) 100 mg tablet btl 1000 tablet 101.484
520 Tiamin (Vitamin B1) 100 mg tablet ktk 10 x 10 tablet 10.935
521 Tiopental Natrium serbuk injeksi 1000 mg/amp ampul @ 10 ml 81.782
522 Tramadol injeksi 50 mg/ml ktk 5 ampul 43.214
523 Tramadol kapsul 50 mg
ktk 5 x 10 kapsul 22.275
524 Tramadol tablet 50 mg ktk 5 x 10 tablet 21.735
525 Trifluoperazin tablet 1 mg ktk 10 x 10 tablet 31.691
526 Trifluoperazin tablet 5 mg ktk 10 x 10 tablet 51.300
527 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet 5.569
528 Trimetoprim tablet 200 mg btl 100 tablet 12.697
529 Valproat tablet 150 mg btl 50 tablet 15.922
530 Valproat tablet 250 mg btl 50 tablet 23.467
531 Verapamil tablet 80 mg (HCl) ktk 10 x 10 tablet 47.540
532 Vitamin B Kompleks tablet btl 1000 tablet 29.970
533 Zidovudin 300 mg + Lamivudine 150 mg btl 60 tablet 252.450
534 Zidovudin tablet 100 mg btl 60 tablet 76.849
535 Zinc tablet 20 mg ktk 10 x 10 tablet 64.125

Demikian, semoga bermanfaat bagi rekan-rekan sejawat sekalian 😉

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