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:

NONAMA OBATKEMASANHET + PPN (Rp)
1ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)2 blister @ 12 tablet / kotak44.550
2ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)3 blister @ 8 tablet / kotak44.550
3Albendazol suspensi 200 mg/5 mlktk 10 btl @ 10 ml5.198
4Albendazol tablet 400 mgktk 5 x 6 tablet16.470
5Alopurinol tablet 100 mgktk 10 x 10 tablet17.820
6Alopurinol tablet 300 mgktk 3 x 10 tablet9.923
7Alprazolam tablet 0,25 mgktk 10 x 10 tablet65.340
8Alprazolam tablet 0,5 mgktk 10 x 10 tablet78.975
9Alprazolam tablet 1 mgktk 10 x 10 tablet121.500
10Ambroxol sirup 15 mg/mlbtl 60 ml4.455
11Ambroxol tablet 30 mgktk 10 x 10 tablet16.884
12Amilorida tablet 5 mg (HCl)ktk 10 x 10 tablet11.906
13Aminofilin injeksi 24 mg/mlktk 30 ampul @ 10 ml121.500
14Aminofilin tablet 150 mgbtl 1000 tablet58.757
15Aminofilin tablet 150 mgktk 10 x 10 tablet12.800
16Aminofilin tablet 150 mgbotol 100 tablet12.800
17Aminofilin tablet 200 mgbtl 100 tablet15.296
18Aminofilin tablet 200 mgbtl 1000 tab123.660
19Amitriptilin tablet salut 25 mg (HCl)ktk 10 x 10 tablet salut16.201
20Amlodipin tablet 5 mgktk 3 x 10 tablet38.880
21Amlodipin tablet 5 mgktk 5 x 10 tablet64.800
22Amlodipin tablet 10 mgktk 3 x 10 tablet68.580
23Amlodipin tablet 10 mgktk 5 x 10 tablet114.264
24Amoksisilin + As. Klavulanat 625 mg tabletktk 5 x 6 tablet204.752
25Amoksisilin kapsul 250 mgktk 10 x 10 kapsul38.799
26Amoksisilin kapsul 250 mgktk 12 x 10 kapsul46.778
27Amoksisilin kaplet 500 mgktk 10 x 10 kaplet49.950
28Amoksisilin serbuk injeksi 1000 mgktk 10 vial101.250
29Amoksisilin sirup kering 125 mg/ 5 mlbtl 60 ml4.995
30Amoksisilin sirup 250 mg/mlbtl 60 ml6.561
31Ampisilin kaplet 250 mgktk 10 x 10 kaplet36.315
32Ampisilin kaplet 500 mgktk 10 x 10 kaplet51.435
33Ampisilin serbuk injeksi i.m./i.v. 1000 mg/mlktk 10 vial72.468
34Ampisilin serbuk injeksi i.m./i.v. 500 mg/vialktk 10 vial40.500
35Ampisilin sirup kering 125 mg/5mlbtl 60 ml5.940
36Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg + Magnesium Hidroksida 200 mgktk 10 x 10 tablet kunyah21.870
37Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml + Magnesium Hidroksida 200 mg/5 mlbtl 60 ml5.198
38Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin 10.000 IU/gktk 25 tube @ 5 g84.942
39Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3%ktk 24 pot @ 30 g55.688
40Antihemoroid DOEN kombinasi: Bismut subgalat 150 mg + Heksaklorofen 2,5 mgktk 10 supp27.000
41Antimalaria DOEN kombinasi : Pirimetamin 25 mg + Sulfadoksin 500 mgktk 10 x 10 tablet65.138
42Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mgbtl 100 tablet16.646
43Antiparkinson DOEN tablet kombinasi: Karbidopa 25 mg + Levodopa 250 mgktk 10 x 10 tablet171.464
44Aqua pro Injeksi steril, bebas pirogenktk 10 vial @ 20 ml74.250
45Artemether injeksi 80 mg/mlktk 6 ampul179.550
46Artesunate injeksi, vial 60 mgktk 8 vial270.675
47Asam Asetilsalisilat tablet 100 mg (Asetosal)ktk 10 x 10 tablet12.960
48Asam Asetilsalisilat tablet 500 mg (Asetosal)ktk 10 x 10 tablet21.033
49Asam Askorbat (Vitamin C) tablet 250 mgbtl 250 tablet43.200
50Asam Askorbat (Vitamin C) tablet 250 mgktk 10 x 10 tablet18.200
51Asam Askorbat (Vitamin C) tablet 100 mgbtl 500 tablet29.076
52Asam Askorbat (Vitamin C) tablet 100 mgktk 10 x 10 tablet6.900
53Asam Askorbat (Vitamin C) tablet 50 mgbtl 1000 tablet43.200
54Asam Folat tablet 1 mgbtl 100 tablet9.180
55Asam Folat tablet 5 mgbtl 1000 tablet63.450
56Asam Mefenamat kapsul 250 mgktk 10 x 10 kapsul16.632
57Asam Mefenamat kaplet 500 mgktk 10 x 10 kaplet23.760
58Asetazolamid tablet 250 mgbtl 100 tablet23.979
59Asiklovir krim 5 %tube 5 gram4.253
60Asiklovir krim 5 %ktk 25 tube @ 5 gram101.250
61Asiklovir tablet 200 mgktk 3 x 10 tablet19.643
62Asiklovir tablet 200 mgktk 5 x 10 tablet36.011
63Asiklovir tablet 200 mgktk 10 x 10 tablet52.404
64Asiklovir tablet 400 mgktk 3 x 10 tablet29.464
65Asiklovir tablet 400 mgktk 5 x 10 tablet42.559
66Asiklovir tablet 400 mgktk 10 x 10 tablet77.130
67Atenolol tablet 100 mgktk 5 x 10 tablet34.420
68Atenolol tablet 50 mgktk 10 x 10 tablet36.422
69Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat)ktk 30 amp @ 1 ml51.233
70Atropin Sulfat tablet 0,5 mgbtl 100 tablet8.100
71Atropin Sulfat tablet 0,5 mgbtl 500 tablet47.520
72Atropin Sulfat tetes mata 0,5 %ktk 24 btl @ 5 ml90.742
73Atropin Sulfat tetes mata 0,5 %btl 5 ml4.084
74Azatioprin tablet 50 mgktk 10 x 10 tablet28.280
75Benzatin Benzil Penisilin 1,2 juta IU/ vialktk 10 vial @ 20 ml110.700
76Benzatin Benzil Penisilin 2,4 juta IU/vialktk 10 vial @ 20 ml153.900
77Besi (II) sulfat 7 H2O tablet salut 300 mgbtl 1000 tablet salut35.413
78Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah darah kombinasi)1 sase @ 30 tab2.700
79Betahistin Mesilat tablet 6 mgktk 3 x 10 tablet37.422
80Betametason krim 0,1 % (sebagai Valerat)tube 5 gram2.735
81Betametason krim 0.1 % (sebagai Valerat)ktk 25 tube @ 5 g62.978
82Betametason tablet 0,5 mgktk 10 x 10 tablet9.446
83Bisoprolol tablet 5 mgktk 3 x 10 tablet94.028
84Bromheksin tablet 8 mgktk 10 x 10 tablet5.200
85Cetirizin sirup 5 mg/5 mlbtl 60 ml14.108
86Cetirizine tablet 10 mgktk 3 x 10 tablet13.365
87Cetirizine tablet 10 mgktk 5 x 10 tablet21.161
88Cisapride tablet 10 mgktk 10 x 10 tablet183.398
89Cisapride tablet 5 mgktk 10 x 10 tablet105.806
90Clobazam tablet 10 mgktk 10 x 10 tablet128.250
91Clobetasol krim 0,05 %tube 10 gram15.800
92Dapson tablet 100 mgbtl 1000 tablet42.525
93Dapson tablet 100 mgktk 10 x 10 tablet5.940
94Dapson tablet 100 mgbotol 100 tablet5.940
95Deksametason injeksi i.v. 5 mg/mlktk 100 amp @ 1 ml270.270
96Deksametason tablet 0,5 mgktk 10 x 10 tablet11.745
97Deksametason tablet 0,5 mgbtl 1000 tablet75.735
98Dekstran 70 – larutan infus 6 % sterilbtl 500 ml47.960
99Diazepam injeksi 5 mg/mlktk 30 amp @ 2 ml95.908
100Diazepam tablet 2 mgbtl 100 tablet4.307
101Diazepam tablet 2 mgktk 10 x 10 tablet5.400
102Diazepam tablet 2 mgbtl 1000 tablet42.822
103Diazepam tablet 5 mgbtl 250 tablet16.200
104Diazepam tablet 5 mgbtl 100 tablet6.480
105Diazepam tablet 5 mgktk 10 x 10 tablet8.910
106Diazepam tablet 5 mgbtl 1000 tablet64.800
107Dietilkarbamazin Sitrat tablet 100 mgktk 10 x 10 tablet13.163
108Difenhidramin injeksi i.m. 10 mg/ml (HCl)ktk 30 amp @ 1 ml38.880
109Digoksin tablet 0,25 mgktk 10 x 10 tablet19.305
110Digoksin tablet 0,0625 mgbtl 100 tab9.778
111Dikloksasilin kapsul 125 mgktk 100 kapsul30.757
112Dikloksasilin kapsul 250 mgktk 25 x 4 kapsul42.603
113Dikloksasilin kapsul 500 mgktk 25 x 4 kapsul56.828
114Diltiazem HCl tablet 30 mgktk 10 x 10 tablet20.470
115Dimenhidrinat tablet 50 mgbtl 100 tablet12.960
116Disopiramid kapsul 100 mgbtl 100 kapsul31.905
117Doksisiklin kapsul 100 mgktk 10 x 10 kapsul34.155
118Domperidon suspensi 5 mg/5 mlbtl 60 ml17.078
119Domperidon tablet 10 mgktk 10 x 10 tablet54.489
120Efedrin tablet 25 mg (HCl)btl 250 tablet17.300
121Efedrin tablet 25 mg (HCl)btl 1000 tablet68.850
122Ekstraks Belladona tablet 10 mgktk 10 x 10 tablet5.130
123Ekstraks Belladona tablet 10 mgbtl 1000 tablet42.768
124Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl)ktk 30 amp @ 1 ml50.220
125Eritromisin kapsul 250 mgktk 10 x 10 kapsul68.040
126Eritromisin kapsul 250 mgktk 12 x 10 kapsul81.000
127Eritromisin kaplet 500 mgktk 10 x 10 kaplet125.550
128Eritromisin sirup 200 mg/5 mlbtl 60 ml10.935
129Etakridin larutan 0,1%btl 300 ml2.430
130Etambutol tablet 250 mg (HCl)ktk 10 x 10 tablet53.738
131Etambutol tablet 250 mg (HCl)ktk 20 x 10 tablet93.960
132Etambutol tablet salut 500 mg (HCl)ktk 10 x 10 tablet salut77.436
133Etoposid kapsul 100 mgbtl 10 kapsul94.238
134Famotidine tablet 40 mgktk 5 x 10 tablet11.948
135Famotidine tablet 20 mgktk 5 x 10 tablet7.634
136Fenilbutason tablet 200 mgktk 15 x 10 tablet19.643
137Fenilbutason tablet 200 mgbtl 1000 tablet109.350
138Fenitoin kapsul 100 mgbtl 250 kapsul26.843
139Fenitoin kapsul 100 mgbtl 100 kapsul16.335
140Fenitoin kapsul 100 mgktk 10 x 10 kapsul16.335
141Fenitoin Natrium injeksi 50 mg/mlampul @ 2 ml65.297
142Fenitoin Natrium kapsul 30 mgbtl 250 kapsul24.651
143Fenitoin Natrium kapsul 30 mgbtl 100 kapsul12.555
144Fenitoin Natrium kapsul 30 mgktk 10 x 10 kapsul12.555
145Fenobarbital injeksi i.m./i.v. 50 mg/mlktk 30 amp @ 1 ml63.180
146Fenobarbital tablet 30 mgktk 10 x 10 tablet8.762
147Fenobarbital tablet 30 mgbtl 100 tablet8.762
148Fenobarbital tablet 30 mgbtl 250 tablet18.765
149Fenobarbital tablet 30 mgbtl 1000 tablet50.220
150Fenobarbital tablet 100 mgbtl 250 tablet49.302
151Fenobarbital tablet 100 mgktk 10 x 10 tablet19.440
152Fenobarbital tablet 100 mgbtl 1000 tablet67.716
153Fenoksimetil Penisilin tablet 250 mgktk 10 x 10 tablet35.370
154Fenoksimetil Penisilin tablet 500 mgktk 10 x 10 tablet62.748
155Fenol Gliserol tetes telinga 10%ktk 24 btl @ 5 ml32.670
156Fitomenadion (Vit.K1) tablet salut gula 10 mgbtl 100 tablet91.884
157Menadion (Vit.K3) tablet salut gula 10 mgbtl 500 tablet44.105
158Fitomenadion (Vitamin K1) injeksi 10 mg/mlktk 30 amp @ 1 ml70.470
159Menadion (Vitamin K3) injeksi 10 mg/mlktk 100 amp @ 1 ml195.750
160Flukonazol tablet 150 mgktk 10 tablet297.004
161Fluoride tablet 0,5 mgbtl 100 tablet4.443
162Fluoride tablet 1 mgbtl 100 tablet5.469
163Furosemid injeksi i.v./i.m. 10 mg/mlktk 25 amp @ 2 ml69.528
164Furosemid tablet 40 mgktk 20 x 10 tablet27.270
165Furosemid tablet 40 mgktk 10 x 10 tablet13.781
166Furosemid tablet 40 mgbtl 250 tablet24.570
167Gameksan lotion 1 %btl 30 ml2.970
168Garam 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 sachet13.535
169Garam 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 sachet51.300
170Gemfibrozil kapsul 300 mgktk 12 x 10 kapsul47.115
171Gemfibrozil kapsul 300 mgktk 10 x 10 kapsul39.450
172Gemfibrozil tablet 600 mgktk 10 x 10 tablet70.200
173Gentamisin injeksi 80 mg/mlktk 1 vial @ 2 ml5.105
174Gentamisin injeksi 40 mg/mlktk 5 amp24.948
175Gentamisin salep kulit 0.1 %ktk 10 tube 5 gram24.800
176Gentamisin salep kulit 0.1 %ktk 25 tube 5 gram61.999
177Gentamisin salep kulit 0.1%tube 5 gram2.498
178Gentamisin Sulfat tetes mata 0,3 %btl 5 ml4.455
179Gentamisin Sulfat tetes mata 0,3 %ktk 10 btl @ 5 ml44.550
180Gentian Violet larutan 1 %btl 10 ml608
181Glibenklamida tablet 5 mgktk 10 x 10 tablet9.720
182Glimepiride tablet 1 mgktk 5 x 10 tablet51.305
183Glimepiride tablet 1 mgktk 3 x 10 tablet30.831
184Glimepiride tablet 2 mgktk 5 x 10 tablet96.746
185Glimepiride tablet 2 mgktk 3 x 10 tablet58.058
186Glimepiride tablet 3 mgktk 5 x 10 tablet131.927
187Glimepiride tablet 3 mgktk 3 x 10 tablet79.144
188Glimepiride tablet 4 mgktk 5 x 10 tablet175.904
189Glimepiride tablet 4 mgktk 3 x 10 tablet105.544
190Glipizid tablet 5 mgktk 30 tablet12.150
191Gliquidon tablet 30 mgktk 10 x 10 tablet87.114
192Gliseril guaiakolat tablet 100 mgbtl 1000 tablet37.665
193Gliserinbtl 100 ml6.386
194Glukosa larutan infus 10 % sterilbtl 500 ml7.731
195Glukosa larutan infus 40 % sterilktk 10 amp @ 25 ml19.607
196Glukosa larutan infus 5 % sterilbtl 500 ml6.831
197Griseofulvin tablet 250 mgktk 10 x 10 tablet60.750
198Griseofulvin tablet 125 mgktk 10 x 10 tablet32.400
199Haloperidol tablet 0,5 mgktk 10 x 10 tablet8.132
200Haloperidol tablet 5 mgktk 10 x 10 tablet16.509
201Haloperidol tablet 1,5 mgktk 10 x 10 tablet11.148
202Haloperidol tablet 2 mgktk 10 x 10 tablet12.859
203Hidroklorotiazida tablet 25 mgbtl 1000 tablet49.005
204Hidrokortison krim 1%tube 5 g3.105
205Hidrokortison krim 2,5 %tube 5 g4.050
206Hidrokortison krim 2,5 %ktk 24 tube @ 5 g96.525
207Hyoscine -N-Butilbromide tablet 10 mgktk 10 x 10 tablet40.500
208Ibuprofen suspensi 100 mg/5 mlbtl 60 ml4.725
209Ibuprofen suspensi 200 mg/5 mlbtl 60 ml6.075
210Ibuprofen tablet 200 mgbtl 100 tablet15.593
211Ibuprofen tablet 400 mgktk 10 x 10 tablet27.680
212Indometasin kapsul 25 mgktk 10 x 10 kapsul5.347
213Iodiol kapsul lunakbtl 100 kapsul125.550
214Isoniazid tablet 100 mgbtl 1000 tablet55.350
215Isoniazid tablet 100 mgktk 10 x 10 tablet5.940
216Isoniazid tablet 300 mgbtl 1000 tablet130.950
217Isoniazid tablet 300 mgbtl 100 tablet14.475
218Isoniazid tablet 300 mgktk 10 x 10 tablet14.475
219Isosorbid Dinitrat tablet sublingual 5 mgktk 10 x 10 tablet13.142
220Itrakonazol kapsul 100 mgktk 3 x 10 kapsul58.482
221Kalium Diklofenak tablet 25 mgktk 5 x 10 tablet26.382
222Kalium Diklofenak tablet 50 mgktk 5 x 10 tablet47.791
223Kalium Klorida tablet 300 mgtube 10 tablet3.887
224Kalsium Folinat (Leukovorin Ca) tablet 15 mgbtl 10 tablet5.152
225Kalsium Karbonat tablet 500 mgbtl 100 tablet5.835
226Kalsium Laktat (Kalk) tablet 500 mgbtl 1000 tablet70.200
227Kalsium Laktat (Kalk) tablet 500 mgktk 10 x 10 tablet6.750
228Kaptopril tablet 12,5 mgktk 10 x 10 tablet12.150
229Kaptopril tablet 12,5 mgktk 6 x 10 tablet7.425
230Kaptopril tablet 25 mgktk 6 x 10 tablet11.613
231Kaptopril tablet 25 mgktk 10 x 10 tablet18.596
232Kaptopril tablet 50 mgktk 10 x 10 tablet30.291
233Karbamazepin tablet 200 mgktk 10 x 10 tablet33.271
234Ketokonazol krim 2 %tube 15 gram9.450
235Ketokonazol tablet 200 mgktk 5 x 10 tablet27.675
236Ketoprofen injeksi 100 mgktk 6 amp @ 1 ml45.765
237Ketoprofen tablet 100 mgktk 10 x 10 tablet182.250
238Ketorolac injeksi 10 mgktk 6 amp @ 1 ml60.750
239Ketorolac injeksi 10 mgktk 5 amp @ 1 ml50.625
240Ketorolac injeksi 10 mgktk 12 amp @ 1 ml121.500
241Ketorolac injeksi 30 mgktk 6 amp @ 1 ml108.257
242Ketorolac injeksi 30 mgktk 12 amp @ 1 ml216.513
243Klindamisin kapsul 150 mgktk 10 x 10 kapsul68.850
244Klindamisin kapsul 150 mgktk 5 x 10 kapsul34.425
245Klindamisin kapsul 300 mgktk 5 x 10 kapsul50.811
246Klindamisin kapsul 300 mgktk 10 x 10 kapsul101.621
247Klofazimin kapsul 100 mg micronizebtl 100 kapsul280.665
248Klomifen tablet 50 mgbtl 10 tablet22.634
249Klonidin tablet 0,15 mgktk 10 x 10 tablet27.675
250Kloramfenikol kapsul 250 mgktk 12 X 10 kapsul43.200
251Kloramfenikol kapsul 250 mgktk 10 X 10 kapsul35.978
252Kloramfenikol kapsul 250 mgbtl 250 kapsul77.963
253Kloramfenikol kapsul 250 mgbtl 1000 kapsul303.750
254Kloramfenikol salep mata 1 %tube 5 g2.110
255Kloramfenikol suspensi 125 mg/ 5 mlbtl 60 ml6.075
256Kloramfenikol tetes mata 0,5 %btl 5 ml3.375
257Kloramfenikol tetes telinga 3 %btl 5 ml2.160
258Klorfeniramina Maleat (CTM) tablet 4 mgbtl 1000 tablet32.400
259Klorfeniramina Maleat (CTM) tablet 4 mgbtl 100 tablet3.088
260Klorfeniramina Maleat (CTM) tablet 4 mgktk 10 x 10 tablet3.088
261Klorokuin tablet 150 mgbtl 1000 tablet114.750
262Klorokuin tablet 250 mgbtl 1000 tablet141.750
263Klorokuin tablet 250 mgktk 10 x 10 tablet14.445
264Klorpromazin injeksi i.m. 25 mg/ml (HCl)ktk 30 amp @ 2 ml33.075
265Klorpromazin injeksi i.m 5 mg/ml-2 ml (HCl)ktk 30 ampul29.295
266Klorpromazin tablet salut 25 mg (HCl)btl 1000 tablet salut51.300
267Klorpromazin tablet salut 25 mg (HCl)ktk 10 x 10 tablet6.075
268Klorpromazin tablet salut 100 mg (HCl)btl 250 tablet41.175
269Klorpromazin tablet salut 100 mg (HCl)ktk 10 x 10 tablet17.955
270Klorpromazin tablet salut 100 mg (HCl)btl 1000 tablet salut164.700
271Kodein tablet 10 mgbtl 250 tablet144.208
272Kodein tablet 10 mgktk 10 x 10 tablet63.450
273Kodein tablet 10 mgbtl 1000 tablet456.030
274Kodein tablet 15 mgbtl 250 tablet245.693
275Kodein tablet 15 mgktk 10 x 10 tablet108.000
276Kodein tablet 20 mgbtl 250 tablet320.909
277Kodein tablet 20 mgktk 10 x 10 tablet141.075
278Kodein tablet 30 mgbtl 20 tablet8.910
279Kolkisin tablet 500 mcgktk 10 x 10 tablet36.690
280Kotrimoksazol DOEN I (dewasa) kombinasi: Sulfametoksazol 400 mg + Trimetoprim 80 mgktk 10 x 10 tablet22.275
281Kotrimoksazol DOEN II (pediatrik) kombinasi: Sulfametoksazol 100 mg + Trimetoprim 20 mgktk 10 x 10 tablet10.247
282Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg/5 mlbtl 60 ml5.346
283Kuinidin tablet 100 mgbtl 1000 tablet211.923
284Kuinidin tablet 200 mgktk 10 x 10 tablet56.430
285Kuinidin tablet 200 mgbtl 1000 tablet610.295
286Kuinin (Kina) tablet 200 mgktk 60 tablet47.250
287Kuinin Dihidroklorida injeksi 25 % – 2 mlktk 30 ampul171.180
288Kuinin injeksi i.v. 25 % (sebagai 2 HCl)ktk 100 amp @ 2 ml485.352
289Kuinin tablet 222 mg (H2SO4.7H2O)btl 1000 tablet540.000
290Lamivudine tablet 150 mgbtl 60 tablet102.600
291Lanzoprazol kapsul 30 mgktk 2 x 10 kapsul36.486
292Levamisol tablet 50 mgktk 4 x 9 tablet3.837
293Levamisol tablet 50 mgbtl 25 tablet3.983
294Levofloksasin tablet 500 mgktk 5 x 10 tablet77.873
295Levofloksasin tablet 500 mgktk 3 x 10 tablet44.820
296Lidokain injeksi 2 %ktk 100 amp @ 2 ml136.350
297Lidokain injeksi 2 % (HCl) + Epinefrin 1 : 80.000 – 2mlktk 30 amp @ 2 ml46.035
298Linkomisin kapsul 250 mgktk 10 x 10 kapsul37.500
299Linkomisin kapsul 250 mgktk 5 x 12 kapsul22.518
300Linkomisin kapsul 500 mgktk 5 x 10 kapsul43.875
301Linkomisin kapsul 500 mgktk 5 x 12 kapsul52.650
302Lisinopril tablet 10 mgktk 3 x 10 tablet23.383
303Lisinopril tablet 20 mgktk 3 x 10 tablet29.588
304Lisinopril tablet 5 mgktk 3 x 10 tablet13.569
305Loperamid tablet 2 mgktk 10 x 10 tablet12.359
306Loratadin tablet 10 mgktk 5 x 10 tablet22.483
307Magnesium Sulfat inj (IV) 20 % – 25 mlktk 10 vial20.787
308Magnesium Sulfat inj (IV) 40 % – 25 mlktk 10 vial26.297
309Magnesium Sulfat serbuk 30 gramktk 10 sase @ 30 gr13.859
310Mebendazol sirup 100 mg / 5 mlbtl 30 ml4.590
311Mebendazol tablet 100 mgktk 5 x 6 tablet8.775
312Mebendazol tablet 500 mgktk 10 x 10 tablet31.725
313Meloksikam suppositoriaktk 10 supp89.100
314Meloksikam tablet 15 mgktk 5 x 10 tablet80.933
315Meloksikam tablet 15 mgktk 2 x 10 tablet32.373
316Meloksikam tablet 7,5 mgktk 5 x 10 tablet46.703
317Meloksikam tablet 7,5 mgktk 2 x 10 tablet18.681
318Merkaptopurin tablet 50 mgbtl 25 tablet7.418
319Metampiron injeksi 250 mgktk 30 amp @ 2 ml54.000
320Metampiron tablet 500 mgktk 10 x 10 tablet20.115
321Metampiron tablet 500 mgbtl 1000 tablet116.640
322Metformin HCl tablet 500 mgktk 10 x 10 tablet24.503
323Metformin HCl tablet 850 mgktk 10 x 10 tablet44.550
324Metildopa tablet 250 mgbtl 100 tablet36.759
325Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mgktk 10 x 10 tablet16.335
326Metilergometrin Maleat injeksi 0,200 mg-1 mlktk 30 ampul60.345
327Metilprednisolon injeksi 500 mgktk 1 vial112.084
328Metilprednisolon tablet 16 mgktk 3 x 10 tablet47.385
329Metilprednisolon tablet 16 mgktk 10 x 10 tablet139.725
330Metilprednisolon tablet 4 mgktk 10 x 10 tablet59.474
331Metilprednisolon tablet 8 mgktk 10 x 10 tablet78.975
332Metoklopramide injeksi 5 mg/mlktk 10 amp @ 2 ml13.500
333Metoklopramide sirup 5 mg/ 5 mlbtl 60 ml2.835
334Metoklopramide tablet 10 mgktk 10 x 10 tablet14.850
335Metoklopramide tablet 5 mgktk 10 x 10 tablet10.638
336Metronidazol infus 500 mg/100 mlbtl 100 ml39.825
337Metronidazol tablet 250 mgktk 10 x 10 tablet19.305
338Metronidazol tablet 500 mgktk 10 x 10 tablet29.700
339Mikonazol krim/salep 2 % (Nitrat)tube 10 gr4.050
340Momethason krim 0,1 %tube 5 gram19.046
341Momethason krim 0,1 %tube 10 gram30.071
342Morfin injeksi 10 mg/mlktk 10 ampul @ 1 ml141.742
343Morfin tablet 10 mgbtl 30 tablet48.842
344Natrium Bikarbonat tablet 500 mgbtl 1000 tablet19.305
345Natrium Diklofenak tablet 50 mgktk 5 x 10 tablet14.693
346Natrium Diklofenak tablet 25 mgktk 5 x 10 tablet11.318
347Natrium Fluoresein tetes mata 2 %ktk 24 btl @ 5 ml127.192
348Natrium Klorida larutan infus 0,9 %btl 500 ml6.615
349Natrium Thiosulfat injeksi i.v. 25 %ktk 10 amp @ 10 ml40.500
350Neomisin kapsul 500 mgktk 10 x 10 kapsul42.728
351Nevirapin tablet 200 mgbtl 60 tablet211.613
352Nifedipin tablet 10 mgktk 10 x 10 tablet17.415
353Nistatin tablet salut 500.000 IU/ gktk 10 x 10 tablet salut81.000
354Nistatin vaginal tablet 100.000 IU/ gktk 10 x 10 tablet vaginal49.950
355Nitrofurantoin tablet 100 mgbtl 100 tablet8.343
356Obat Antituberkulosis Kategori 1 dewasaPaket / dos389.070
357Obat Antituberkulosis Kategori anakPaket / dos232.200
358Obat Batuk Hitam ( O.B.H. ) cairanbtl 100 ml1.931
359Obat Batuk Hitam ( O.B.H. ) cairanbtl 200 ml3.846
360Obat Antituberkulosis FDC Anakpaket290.250
361Obat Antituberkulosis FDC Kategori 1paket486.000
362Obat Antituberkulosis FDC Kategori 2paket1.620.000
363Obat Antituberkulosis FDC Sisipanpaket216.000
364Ofloxacin tablet 200 mgktk 5 x 10 tablet39.832
365Ofloxacin tablet 400 mgktk 5 x 10 tablet58.928
366Oksitetrasiklin HCl salep mata 1 %tube 3,5 gram2.835
367Oksitetrasiklin HCl salep mata 1 %ktk 25 tube @ 3,5 g64.800
368Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 mlktk 10 vial41.850
369Oksitetrasiklin salep kulit 3%tube 5 gram2.261
370Oksitetrasiklin salep kulit 3 %ktk 25 tube @ 5 g55.721
371Oksitosin injeksi 10 IU/ml – 1 mlktk 30 ampul72.293
372Omeprazol kapsul 20 mgbtl 7 kapsul7.271
373Omeprazol kapsul 20 mgktk 3 x 10 kapsul16.538
374Oseltamivir 75 mgktk 10175.500
375Papaverin injeksi 40 mg/mlktk 100 amp @ 1 ml71.550
376Papaverin tablet 40 mgbtl 1000 tablet134.325
377Papaverin tablet 40 mgktk 10 x 10 tablet16.065
378Parasetamol dropsbtl 15 ml7.128
379Parasetamol sirup 120 mg / 5 mlbtl 60 ml3.105
380Parasetamol tablet 100 mgbotol 100 tablet5.657
381Parasetamol tablet 500 mgktk 10 x 10 tablet14.175
382Parasetamol tablet 500 mgbtl 1000 tablet67.500
383Pentoksifilin injeksi 300 mg/15 mlktk 10 vial224.438
384Pentoksifilin tablet 400 mgktk 10 x 10 tablet183.398
385Perfenazin tablet 4 mg (HCl)btl 100 tablet7.425
386Perfenazin tablet 2 mg (HCl)ktk 15 x 10 tablet9.180
387Perfenazin tablet 8 mg (HCl)ktk 15 x 10 tablet13.500
388Petidin injeksi 50 mg/mlktk 10 ampul178.084
389Pilokarpin tetes mata 2 % (HCl/ Nitrat)btl 5 ml7.039
390Piracetam injeksi 1 g/5 mlktk 10 amp74.250
391Piracetam injeksi 3 g/15 mlktk 4 amp92.367
392Piracetam tablet 1200 mgktk 10 x 10 tablet174.636
393Piracetam tablet 1200 mgktk 5 x 10 tablet87.318
394Piracetam tablet 400 mgktk 10 x 10 tablet60.885
395Piracetam tablet 800 mgktk 10 x 10 tablet108.405
396Pirantel sirup 125 mg/5 mlbtl 60 ml4.725
397Pirantel tablet score (base) 125 mgktk 5 x 6 tablet score12.595
398Pirantel tablet score (base) 125 mgktk 7 x 4 tablet score11.756
399Pirantel tablet score (base) 125 mgktk 25 x 4 tablet score43.200
400Pirantel tablet score (base) 125 mgktk 30 x 2 tablet score25.110
401Pirazinamid tablet 500 mgktk 10 x 10 tablet31.590
402Piridoksin (Vitamin B6) tablet 10 mg (HCl)btl 1000 tablet23.490
403Piridoksin (Vitamin B6) tablet 25 mg (HCl)btl 1000 tablet40.500
404Piroksikam tablet 10 mgktk 10 x 10 tablet11.340
405Piroksikam kapsul 10 mgktk 12 x10 kapsul13.635
406Piroksikam tablet 20 mgktk 10 x 10 tablet14.175
407Piroksikam kapsul 20 mgktk 12 x 10 kapsul17.010
408Povidon Iodida larutan 10%btl 30 ml3.240
409Povidon Iodida larutan 10%btl 60 ml4.725
410Povidon Iodida larutan 10%btl 300 ml19.575
411Povidon Iodida larutan 10%btl 1000 ml56.700
412Pravastatin tablet 10 mgktk 3 x 10 tablet59.400
413Pravastatin tablet 20 mgktk 3 x 10 tablet99.198
414Pravastatin tablet 20 mgktk 5 x 10 tablet165.132
415Prazikuantel tablet 300 mgbtl 1000 tablet1.099.508
416Prazikuantel tablet 600 mgbtl 100 tablet229.500
417Prednison tablet 5 mgbtl 1000 tablet84.375
418Prednison tablet 5 mgktk 10 x 10 tablet7.628
419Primakuin tablet 15 mgbtl 1000 tablet147.150
420Primakuin tablet 15 mgktk 10 x 10 tablet15.390
421Prokain Benzil Penisilin G. injeksi 3 jt IU/vialktk 30 vial243.675
422Prometazin tablet 25 mgktk 100 tablet6.770
423Propanolol tablet 40 mg (HCl)btl 100 tablet16.335
424Propanolol tablet 10 mg ( HCl )ktk 10 x 10 tablet10.395
425Propiltiourasil tablet 100 mgbtl 100 tablet40.442
426Propiltiourasil tablet 50 mgbtl 1000 tablet285.120
427Propiltiourasil tablet 50 mgktk 10 x 10 tablet39.875
428Ramipril tablet 2,5 mgktk 10 x 10 tablet40.500
429Ramipril tablet 5 mgktk 10 x 10 tablet68.399
430Ranitidin injeksi 25 mg/2 mlktk 25 amp86.738
431Ranitidin tablet 150 mgktk 3 x 10 tablet8.910
432Ranitidin tablet 150 mgktk 10 x 10 tablet29.700
433Reserpin tablet 0,10 mgbtl 250 tablet25.380
434Reserpin tablet 0,10 mgktk 10 x 10 tablet10.935
435Reserpin tablet 0,25 mgbtl 1000 tablet118.800
436Reserpin tablet 0,25 mgktk 10 x 10 tablet13.905
437Retinol (Vitamin A) 100.000 IU kapsul lunakbtl 50 kapsul lunak19.305
438Retinol (Vitamin A) 200.000 IU kapsul lunakbtl 50 kapsul lunak31.185
439Retinol (Vitamin A) tablet 50.000 IUbtl 1000 tablet216.000
440Rifampisin kaplet 600 mgktk 10 x 10 kaplet124.538
441Rifampisin kapsul 300 mgktk 10 x 10 kapsul64.800
442Rifampisin kapsul 300 mgktk 12 x 10 kapsul74.844
443Rifampisin tablet salut 450 mgktk 10 x 10 tablet salut89.100
444Ringer Laktat larutan infusbtl 500 ml7.020
445Risperidon tablet 1 mgktk 2 x 10 tablet50.787
446Risperidon tablet 1 mgktk 5 x 10 tablet126.968
447Risperidon tablet 2 mgktk 5 x 10 tablet160.313
448Risperidon tablet 3 mgktk 2 x 10 tablet76.950
449Risperidon tablet 3 mgktk 5 x 10 tablet192.375
450Salbutamol tablet 2 mg (sebagai Sulfat)ktk 10 x 10 tablet11.344
451Salbutamol tablet 4 mg (sebagai Sulfat)ktk 10 x 10 tablet13.161
452Salep 2-4 , Kombinasi: Asam Salisilat 2 % + Belerang endap 4 %ktk 24 pot @ 30 g39.825
453Salisil Bedak 2 %ktk 50 gram1.931
454Sefadroksil sirup kering 125 mg/5mlbtl 60 ml11.070
455Sefadroksil kapsul 250 mgktk 3 x 10 kapsul18.025
456Sefadroksil kapsul 250 mgktk 10 x 10 kapsul60.082
457Sefadroksil kapsul 500 mgktk 5 x 10 kapsul56.700
458Sefadroksil kapsul 500 mgktk 10 x 10 kapsul113.400
459Sefaklor kapsul 250 mgktk 3 x 10 kapsul48.248
460Sefaklor kapsul 500 mgktk 3 x 10 kapsul88.455
461Sefaleksin kapsul 250 mgktk 5 x 10 kapsul43.855
462Sefaleksin kapsul 500 mgktk 5 x 10 kapsul81.000
463Sefazolin injeksi 1 gktk 2 vial55.755
464Sefiksim kapsul 100 mgktk 5 x 10 kapsul161.636
465Sefiksim kapsul 100 mgktk 3 x 10 kapsul96.981
466Sefiksim kapsul 50 mgktk 3 x 10 kapsul40.500
467Sefiksim sirup kering 100 mg/ 5 mlbtl 30 ml40.838
468Sefiksim 400 mg + Azitromisin 1000 mgpaket44.550
469Sefotaksim injeksi 0,5 gktk 2 vial11.717
470Sefotaksim injeksi 1 gktk 2 vial18.711
471Sefotaksim injeksi 1 gktk 10 vial93.555
472Sefotaksim injeksi 1 g per vialktk 1 vial9.356
473Seftazidim injeksi 1 gktk 2 vial91.417
474Seftriakson injeksi 1 gktk 2 vial23.204
475Seftriakson serbuk injeksi 1 g/ vial1 vial11.602
476Sefuroksim serbuk injeksi 750 mg/vialktk 2 vial @ 10 ml28.779
477Sianokobalamin (vitamin B12) injeksi 500 mcgktk 100 amp @ 1 ml139.995
478Sianokobalamin (vitamin B12) tablet 50 mcgbtl 1000 tablet17.687
479Sianokobalamin (vitamin B12) tablet 50 mcgktk 10 x 10 tablet1.890
480Siklofosfamid tablet 50 mgbtl 50 tablet113.918
481Siklosporin kapsul lunak 25 mgbtl 50 kapsul165.360
482Simetidin tablet 200 mgktk 10 x 10 tablet15.512
483Simvastatin tablet 5 mgktk 3 x 10 tablet10.388
484Simvastatin tablet 10 mgktk 3 x 10 tablet20.777
485Simvastatin tablet 10 mgktk 5 x 10 tablet34.628
486Simvastatin tablet 20 mgktk 3 x 10 tablet41.553
487Simvastatin tablet 20 mgktk 5 x 10 tablet69.255
488Siprofloksasin tetes mata 0,3 %btl 10 ml5.227
489Siprofloksasin infus 2%btl 100 ml76.950
490Siprofloksasin tablet 250 mg (sebagai HCl)ktk 3 x 10 tablet10.125
491Siprofloksasin tablet 250 mg (sebagai HCl)ktk 5 x 10 tablet16.875
492Siprofloksasin tablet 250 mg (sebagai HCl)ktk 10 x 10 tablet33.750
493Siprofloksasin tablet 500 mg (sebagai HCl)ktk 5 x 10 tablet17.550
494Siprofloksasin tablet 500 mg (sebagai HCl)ktk 10 x 10 tablet38.340
495Spiramisin tablet 250 mgktk 5 x 10 tablet52.785
496Spiramisin tablet 500 mgktk 5 x 10 tablet104.018
497Spironolakton tablet 100 mgktk 10 x 10 tablet142.420
498Spironolakton tablet 25 mgktk 10 x 10 tablet46.760
499Stavudin tablet 30 mgbtl 60 tablet68.310
500Streptomisin serbuk injeksi i.v 1500 mg/mlktk 30 vial @ 15 ml76.950
501Streptomisin serbuk injeksi i.v 1000 mg/mlktk 56 vial @ 1 gram275.940
502Sulfadiazin tablet 500 mgbtl 100 tablet15.775
503Sulfametoksazol tablet 400 mgktk 10 x 10 tablet10.743
504Sulfasalazin tablet 500 mgbtl 500 tablet256.581
505Sulfasalazin tablet 500 mgktk 10 x 10 tablet56.025
506Sulfasetamida Natrium tetes mata 15 %ktk 24 btl @ 5 ml111.626
507Tamoksifen tablet 20 mgbtl 30 tablet52.838
508Tamoksifen tablet 20 mgktk 3 x 10 tablet68.850
509Teofilin tablet 150 mgktk 10 x 10 tablet7.339
510Terbutalin tablet 2,5 mgktk 5 x 10 tablet6.573
511Tetrakain HCl tetes mata 0,5 %ktk 24 btl @ 5 ml110.044
512Tetrasiklin kapsul 250 mgbtl 1000 kapsul225.113
513Tetrasiklin kapsul 250 mgktk 10 x 10 tablet18.900
514Tetrasiklin kapsul 500 mgktk 10 x 10 kapsul34.695
515Tiamfenikol kapsul 250 mgktk 10 x 10 kapsul43.015
516Tiamfenikol kapsul 500 mgktk 10 x 10 kapsul83.160
517Tiamin (Vitamin B1) injeksi 100 mg/mlktk 30 amp @ 1 ml31.050
518Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)btl 1000 tablet51.030
519Tiamin (Vitamin B1) 100 mg tabletbtl 1000 tablet101.484
520Tiamin (Vitamin B1) 100 mg tabletktk 10 x 10 tablet10.935
521Tiopental Natrium serbuk injeksi 1000 mg/ampampul @ 10 ml81.782
522Tramadol injeksi 50 mg/mlktk 5 ampul43.214
523Tramadol kapsul 50 mg
ktk 5 x 10 kapsul22.275
524Tramadol tablet 50 mgktk 5 x 10 tablet21.735
525Trifluoperazin tablet 1 mgktk 10 x 10 tablet31.691
526Trifluoperazin tablet 5 mgktk 10 x 10 tablet51.300
527Triheksifenidil tablet 2 mgktk 10 x 10 tablet5.569
528Trimetoprim tablet 200 mgbtl 100 tablet12.697
529Valproat tablet 150 mgbtl 50 tablet15.922
530Valproat tablet 250 mgbtl 50 tablet23.467
531Verapamil tablet 80 mg (HCl)ktk 10 x 10 tablet47.540
532Vitamin B Kompleks tabletbtl 1000 tablet29.970
533Zidovudin 300 mg + Lamivudine 150 mgbtl 60 tablet252.450
534Zidovudin tablet 100 mgbtl 60 tablet76.849
535Zinc tablet 20 mgktk 10 x 10 tablet64.125

Demikian, semoga bermanfaat bagi rekan-rekan sejawat sekalian 😉

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