1

Nama Obat Generik

15 Alopurinol tablet/kapsul/kaplet 100 mg

17 Alprazolam tablet/kapsul/kaplet 0,25 mg
18 Alprazolam tablet/kapsul/kaplet 0,5 mg
23 Aminofilin injeksi 24 mg/ml
24 Aminofilin tablet scored 200 mg
28 Amitriptilin tablet salut 25 mg (HCl)
29 Amlodipin tablet 10 mg
30 Amlodipin tablet 5 mg
32 Amoksisilin kapsul/kaplet/tablet scored 500 mg
34 Amoksisilin sirup kering 125 mg/ 5 ml
35 Ampisilin serbuk injeksi i.v. 1000 mg/vial
36 Analog insulin long acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin glargine 100 IU/ml)
37 Analog insulin mix acting inj 100 UI/ml, Analog insulin mix
acting inj 100 UI/ml (Premix 30% Insulin Aspart + 70%
Protaminated Insulin Aspart (Analogue))

38 Analog insulin mix insulininj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (25% insulin lispro, 75% insulin
lispro protamine suspension, (rDNA))
39 Analog insulin rapid acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin Aspart (Analogue))

40 Analog insulin rapid acting inj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin Aspart (Analogue))

41 Analog insulin rapid actinginj 100 UI/ml, vial/cartridge

disposible/penfill cartridge (Insulin glulisine 100 IU/ml)
42 Analog insulin rapid actinginj 100 UI/ml, vial/cartridge
disposible/penfill cartridge (Insulin lispro (rDNA origin))
44 Antasida DOEN I tablet kunyah, kombinasi : Aluminium
Hidroksida 200 mg Magnesium Hidroksida 200 mg
45 Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida
200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml
46 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g
Polimiksin 10.000 IU/g
47 Antimalaria DOEN kombinasi : Pirimetamin 25 mg
Sulfadoksin 500 mg
49 Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg
Levodopa 100 mg
52 Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg
54 Asam Askorbat (Vitamin C) tablet 50 mg
56 Asam Folat tablet/kapsul/kaplet 1 mg
58 Asam Mefenamat kapsul/kaplet 500 mg
60 Asam traneksamat injeksi 50 mg/ml
62 Asiklovir salep mata 3%
64 Asiklovir tablet/kapsul/kaplet 400 mg
66 Atapulgit tablet 600 mg
67 Atenolol tablet/kapsul/kaplet 100 mg
75 Bedak salisil serbuk 2%
80
85
86
87

Betametason krim 0,1% (sebagai Valerat)

Bisakodil suppositoria 10 mg
Bisakodil suppositoria 5 mg
Bisoprolol tablet 2,5 mg

88 Bisoprolol tablet 5 mg
92 Budesonid inhaler 200 mcg/puff, 200 dosis
93 Budesonid respules / cairan inhaler 0,25mg/mL

94 Budesonid-formoterol (fixed combination) inhaler 160/4,5

mcg
103 Deferasiroks tablet disp/ eff 500 mg
104 Deferipron larutan oral 100 mg/mL
105 Deferipron tablet 500 mg
106 Deferoksamin Mesilat serbuk injeksi 500 mg
107 Deksametason injeksi i.v./i.m. 5 mg/ml
108 Deksametason tablet 0,5 mg

109 Desogestrel tablet 75 mcg

113 Diazepam larutan rektal 10 mg/2,5 mL

114 Diazepam tablet 2 mg

115 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)
117 Digoksin tablet 0,25 mg
118 Diltiazem HCl tablet 30 mg
120
123
126
127

Diltiazem injeksi 25 mg/5 mL

Dimenhidrinat tablet 50 mg
Dobutamin injeksi 50 mg/mL
Doksazosin mesilat tablet 1 mg

129 Doksisiklin tablet/kapsul/kaplet 100 mg

132
133
135
139
145

Domperidon suspensi/sirup 5 mg/5 ml

Domperidon tablet 10 mg
Dopamin injeksi 40 mg/ml
Efavirens tablet salut 600 mg
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml

151 Eritromisin kapsul/kaplet 500 mg

152 Eritromisin sirup kering 200 mg/ 5 ml
156 Eritropoetin-beta inj 2000 UI/0,3 mL
159 Etanol 70% cairan
160 Etinilestradiol tablet 0,05 mg

163 Eugenol cairan

172 Fenitoin kapsul/kaplet 100 mg
174 Fenobarbital injeksi i.m./i.v. 50 mg/ml
176 Fenofibrat kaps 300 mg
208 Furosemid tablet 40 mg
209 Gadobutrol macrocyclic 5 mg
210 Gadobutrol macrocyclic 7,5 mg
211 Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL
212 Gansiklovir serb inj 500 mg (50 mg/mL)
213 Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g
kalium klorida 0,30 g Trinatrium sitrat dihidrat 0,58 g Glukosa
Anhidrat 2,70 g
214 Gefitinib tab 250 mg
215 Gemfibrozil kapsul/kaplet 300 mg
216 Gemfibrozil tablet 600 mg
217 Gemsitabin inj 1000 mg/vial
218 Gemsitabin inj 200 mg/vial
219 Gentamisin injeksi 40 mg/ ml
220 Gentamisin salep mata 0,3%
221 Gentamisin tetes mata 0,3%
222 Glibenklamid tablet 5 mg
223 Gliklazid tab 80 mg
224 Gliklazid tab 30 mg

225 Gliklazid tablet lepas lambat 60 Mg

226 Glikuidon tab 30 mg
227
228
229
230

Glimepiride
Glimepiride
Glimepiride
Glimepiride

tablet
tablet
tablet
tablet

1
2
3
4

mg
mg
mg
mg

231 Glipizid tablet/kaplet/kapsul 10 mg

232 Glipizid tablet/kaplet/kapsul 5 mg

233
234
235
236
237
238
239

Gliseril trinitrat kaps SR 2,5 mg

Gliseril trinitrat kaps SR 5 mg
Gliseril trinitrat tab sublingual 0,5 mg
Gliserin lar 50%
Glukosa larutan infus 10 % steril
Glukosa larutan infus 5 % steril
Goserelin asetat inj 10,8 mg/vial

240 Goserelin asetat inj 3,6 mg

241 Griseofulvin tablet 125 mg
242 Haloperidol inj 50 mg/mL
243 Haloperidol injeksi i.m 5 mg/ml
244 Haloperidol tablet 0,5 mg
245 Haloperidol tablet 5 mg
246 Haloperidol tablet 1,5 mg
247 Haloperidol tablet 2 mg
248 Haloperidol tts 2 mg/mL
249 Halotan Inhalasi
250 Heparin injeksi i.v./s.k. 5000 UI/ml
251 Hepatitis B imunoglobulin (human)
252
253
254
255

Hidrokortison krim 1%
Hidrokortison krim 2,5 %
Hidroksi Urea tablet/kaplet/kapsul 500 mg
Hiosin butilbromid injeksi 20 mg/ml

256 Homatropin tetes mata 2%

257 Human insulin intermediate acting inj 100 UI/ml, vial (Human
Insulin (Intermediate-Acting))
258 Human insulin intermediate acting inj 100 UI/ml, vial (Insulin
human Basal)
259 Human insulin intermediate acting inj 100 UI/ml,
vial/cartridge disposible/penfill cartridge

260 Human insulin intermediate acting inj 100 UI/ml,penfill

cartridge (Human Insulin (Intermediate-Acting))

261 Human insulin intermediate acting inj 100 UI/ml,penfill

cartridge (Insulin human Basal)
262 Human insulin intermediate acting inj 100 UI/ml,penfill
cartridge (Insulin human Basal)
263 Human insulin mix insulin inj 100 UI/ml, penfill cartridge
(Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin))

264 Human insulin mix insulin inj 100 UI/ml, penfill cartridge
(Insulin human Comb)
265 Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin
(Premix: 30% Soluble + 70 % NPH Insulin))
266 Human insulin mix insulin inj 100 UI/ml, vial (Insulin human
Comb)
267 Human insulin short acting inj 100 UI/ml, penfill cartridge
(Human Insulin (Short Acting))

268 Human insulin short acting inj 100 UI/ml, penfill cartridge
(Insulin human Rapd)
269 Human insulin short acting inj 100 UI/ml, penfill cartridge
(Insulin human Rapd)
270 Human insulin short acting inj 100 UI/ml, vial (Human Insulin
(Short Acting))
271 Human insulin short acting inj 100 UI/ml, vial (Insulin human
Rapd)
272 Human insulin short acting inj 100 UI/ml, vial/cartridge
disposible/penfill cartridge
273 Human tetanus imunoglobulinn injeksi i.m. 250 UI
274 Ibuprofen sirup 100 mg/5 ml
275 Ibuprofen suspensi 200 mg/5 ml

276 Ibuprofen tablet 200 mg

277 Ibuprofen tablet 400 mg
278 Ifosfamid serbuk injeksi 1000 mg/vial
279 Imanitib Mesilat tablet salut selaput 100 mg (Skema Risk
Sharing sesuai Kepmenkes RI Nomor
HK.02.02/Menkes/223/2014)
280 Imidapril tab 10 mg
281 Imidapril tab 5 mg
282 Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml)
283 Iopamidol 200-300 mg Iodium/mL (300mg @ vial 30ml)
284 Iopamidol 200-300 mg Iodium/mL (300mg @ vial 50ml)
285 Iopamidol 300-370 mg Iodium/mL (370mg @ vial 100ml)
286 Iopamidol 300-370 mg Iodium/mL (370mg @ vial 30ml)
287 Iopamidol 300-370 mg Iodium/mL (370mg @ vial 50ml)
288
289
290
291
292

Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)

Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)
Iopromide 300-370 mg Iodium/mL (370 mg / 100 ml)
Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)
Ipratropium bromida inhalasi 20 mcg/semprot

293 Ipratropium bromida nebulizer 0,025%

294 Irbesartan tab 150 mg
295 Irbesartan tab 300 mg
296 Irinotekan inf 20 mg/ml
297 Isofluran inhalasi
298 Isoniazid tablet/kapsul/kaplet 100 mg
299 Isoniazid tablet/kapsul/kaplet 300 mg
300 Isosorbid Dinitrat injeksi i.v 10 mg/10 ml
301 Isosorbid Dinitrat tablet sublingual 5 mg
302 Isosorbid dinitrat tablet/kaplet/kapsul 10 mg

303 Kalium aspartat tab 300 mg

304 Kalium Klorida tablet 600 mg
305 Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml
306 Kalsium Glukonat injeksi i.v 10% (100 mg/ml)
307 Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg
308 Kalsium polistirena sulfonat ktg 5 g
309 Kanamisin inj 1000 mg/ vial
310 Kandesartan tab 16 mg
311 Kandesartan tab 8 mg
312 Kapesitabin tab 500 mg
313 Kaptopril tablet 50 mg
314 Kaptopril tablet scored 25 mg
315 Kaptopril tablet scored12,5 mg
316 Karbamazepin sirup 100 mg/5 ml
317 Karbamazepin tablet 200 mg
318 Karbimazol tab 5 mg
319 Karbogliserin tetes telinga 10%
320 Karboplatin 150 mg / 15 ml
321 Karboplatin 450 mg / 45 ml
322 Karvediol tablet/kaplet/kapsul 6,25 mg
323 Ketamin injeksi i.v. 100 mg/ml
324 Ketamin injeksi i.v. 50 mg/ml
325 Ketokonazol krim 2%
326 Ketokonazol krim 2%
327 Ketokonazol krim 2%
328 Ketokonazol scalp sol 2%
329 Ketokonazol tablet 200 mg

330 Ketoprofen supositoria 100 mg

331 Ketorolac injeksi 30 mg/ml
332 Klaritromisin tab 500 mg

333 Klindamisin kapsul/kaplet 150 mg

334 Klindamisin kapsul/kaplet 300 mg
335 Klobazam tab 10 mg
336 Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)

337 Klonidin tablet 0,15 mg

338 Klopidogrel tab 75 mg
339 Kloramfenikol kapsul/kaplet 250 mg
340
341
342
343

Kloramfenikol salep mata 1 %

Kloramfenikol serb inj 1000 mg/mL
Kloramfenikol suspensi 125 mg/ 5 ml
Klorpromazin injeksi i.m. 25 mg/ml (HCl)

344 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)

345 Klorpromazin tablet salut 100 mg (HCl)
346 Klorpromazin tablet salut 25 mg (HCl)
347 Klozapin 100 mg
348 Klozapin 25 mg
349 Kodein tablet 10 mg
350 Kodein tablet 15 mg
351 Kodein tablet 20 mg
352 Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg
353 Koloid HES BM 130 000 lar inf 6%
354 Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol
2,5 mg
355 Kombinasi injeksi depot : Medroksi progesteron asetat 25 mg
Estradiol sipionat 5 mg

356 Kombinasi suspensi : Parafin + gliserin + fenolftalein

357 Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam
folat 0,25 mg
358 Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam
folat 0,25 mg
359 Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg;
Kalium klorida 1,32 mg
360 Kombinasi: Artemether 20 mg; Lumefantrin 120 mg

Nama Dagang

Nama Penyedia

Kemasan

n/a

PT. Pertiwi Agung

Box, 10 strips @
10 tablets

n/a

PT. Dexa Medica

Dus, 10 Strip @
10 tablet

n/a

PT. Kimia Farma

Ktk 10x10 tablet

n/a

PT. Lucas Djaja

dus 30 ampul
@10 ml

n/a

PT. Erela

Botol @100
Tablet

n/a

PT. Indofarma

Dus, 10 strip @
10 tss

n/a

PT. Pertiwi Agung

Box, 3 strips @
10 tablets

n/a

PT. Pertiwi Agung

Box, 3 strips @
10 tablets

n/a

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10
TAB

n/a
n/a

PT. Novapharin
PT. Bernofarm

btl @ 60 ml
Dus, 10 vial @ 1
g

Lantus Solostar 100IU/ml 5pens

x3ml

PT. Aventis Pharma

dus, 5 solostar
pen @ 3ml

Novomix Flexpen

PT. Ferron Par PharmaceuticalsInjeksi 100 IU/ml,

Flexpen
disposible 3 ml (1
box isi 5 flexpen
disposible)

Humalog Mix 25

PT. Bayer Indonesia

Novorapid Flexpen

PT. Ferron Par PharmaceuticalsInjeksi 100 IU/ml,

Flexpen
disposible 3 ml (1
box isi 5 flexpen
disposible)

Novorapid Vial

PT. Ferron Par Pharmaceuticals Dus, vial 10 ml

Penfill cartridge

Apidra Solostar 100IU/ml 5pens

x3ml

PT. Aventis Pharma

dus, 5 solostar
pen @ 3ml

Humalog

PT. Bayer Indonesia

Penfill cartridge

n/a

PT. Erela

Dus, 10 Strip @
10 Tablet

n/a

PT. Erela

Botol @ 60 ml

n/a

PT. Indofarma

Dus, 25 tube @ 5
g

n/a

PT. Kimia Farma

ktk 10 x 10 tablet

Levopar Tablet

PT. Meprofarm

Dus, 5 strip @ 10
tablet

Miniaspi 80

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10
TAB

n/a

PT. Kimia Farma

Dus 10 strip x 10
tab

n/a

PT. Marin Liza Farmasi

Botol @ 100
tablet

n/a

PT. Bernofarm

Dus, 10 blister @
10 kaptab ss

n/a

PT. Bernofarm

Dus, 10 ampul @
5 ml

Temiral Eye Oint

n/a

PT. Sanbe Farma

PT. Sampharindo Perdana

Tube 3,5 gram

Dus, 5 strip @ 10
tablet

Pularex

PT. Zenith Pharmaceuticals

Dus 5 strip @ 10
tablet

Betablok
n/a

PT Kalbe Farma
strip
PT. Rama Emerald Multi SuksesDus @ 50 gram

n/a
Stolax supp
Dulcolax Supp Infant
Concor 2.5

PT.
PT.
PT.
PT.

n/a
Obucort Swinghaler
Pulmicort Respules

PT. Pratapa Nirmala

PT Otsuka Indonesia
PT. AstraZeneca indonesia

Kimia Farma
Sanbe Farma
Boehringer Ingelheim
Merck Tbk

Tube 5 gr
Supp
1 Box @ 6's
Dus 10 blister @
10 tablet
Box 3 X 10 tab
Unit, 200 dosis
Dus, 4 pak @ 5
respules @ 2 ml

Symbicort Turbuhaler 160/4.5 mcg

PT. AstraZeneca indonesia

Dus, 1 Turbuhaler
@ 120 dosis

Exjade 500 mg Tab

PT. Novartis Indonesia

Dus, 4 blister @ 7
tablet

Ferriprox Oral Solution

PT. Sydna Farma

Dus, Botol @
500ml

Ferriprox tablet

PT. Sydna Farma

Dus, Botol @ 100

tablet

Desferal

PT. Novartis Indonesia

Dus, 10 vial @
500mg

n/a

PT. Indofarma

Dus, 100 ampul

@ 1 ml

n/a

PT. Promedrahardjo Farmasi Industri

Dus, 10 Strip@10
Tablet

Cerazette

PT. Merck Sharp Dohme Pharma

Dus,
Tbk1 Blister @
28 tablet

STESOLID

PT. Actavis Indonesia

Dus, 5 alubag @
1 tube @ 2,5ml

n/a
n/a

PT. Kimia Farma

PT. Phapros, Tbk

Btl 100
Dus @ 30 Ampul

n/a
n/a

PT. Yarindo Farmatama

PT. Indofarma

Box 10 X 10 Tab
Dus, 10 strip @
10 tablet

Farmabes Injeksi 25 mg
n/a
DOBURAN
Cardura 1mg

PT.
PT.
PT.
PT.

Vial 5 mL
Btl 100 tablet
ampul @ 5 ml
Dus, 5 blister
@10's tab

n/a

PT. Yarindo Farmatama

Box @ 10 strip 10
kapsul

n/a
n/a
UDOPA
n/a
n/a

PT.
PT.
PT.
PT.
PT.

btl @ 60 ml
dus 10 X 10'S
ampul @ 5 ml
Botol 30 tab
Dus @ 30 Ampul

n/a

PT. Indofarma

n/a

PT. Phyto Kemo Agung Farma Botol @60 ml

Recormon
n/a
Lynoral

PT. Boehringer Ingelheim

Boks, 6 ampul
PT. Novapharin
btl @ 100 ml
PT. Merck Sharp Dohme Pharma
Dus,
Tbkbotol @ 100
tablet

Pratapa Nirmala
Kimia Farma
Dipa Pharmalab
Pfizer Indonesia

Novapharin
Novapharin
Dipa Pharmalab
Kimia Farma
Phapros, Tbk

Dus, 10 blister @
10 kss

n/a
n/a
n/a

PT. Kimia Farma

PT. Ikapharmindo
PT. Phapros, Tbk

n/a

PT. Hexpharm Jaya Laboratories

Dus, 3 strip @ 10
kapsul

n/a

PT. Indofarma

Dus, 10 strip @
10 tablet

Gadovist 5 mg

PT. Bayer Indonesia

Prefilled Syringe

Gadovist 7,5 mg

PT. Bayer Indonesia

Prefilled Syringe

Primovist

PT. Bayer Indonesia

Prefilled Syringe

Cymevene
n/a

PT. Boehringer Ingelheim

PT. Phapros, Tbk

Boks, 1 ampul
Dus @ 100
Sachet

Iressa 250 mg

PT. AstraZeneca indonesia

Dus, 1 blister @
10 tablet

n/a

PT. Indofarma

Dus, 10 blister @
12 kapsul

n/a

PT. Indofarma

Dus, 10 blister @
10 kaptab

Gemzar 1000 mg
n/a

PT. Bayer Indonesia

PT. Sanbe Farma

vial
Dus, 1 vial @200
mg

n/a

PT. Indofarma

Dus, 5 ampul @ 2
ml

Genoint Salep Mata

n/a

PT. Erela
PT. Indofarma

Tube @ 3,5 gr
Dus, botol plastik
5 ml

n/a

PT. Indofarma

Dus, 10 blister @
10 kaptab

GLUCODEX

PT. Dexa Medica

DUS, 100 TABLET

Diamicron MR 30

PT. Pradja Pharin

Dus, 6 strip @ 10
tablet lepas
lambat

Diamicron MR 60
n/a

PT. Darya Varia

PT. Dexa Medica

Box, 30 Tablet
Dus, 10 Strip @
10 tablet

n/a
n/a
n/a
n/a

PT.
PT.
PT.
PT.

ktk
ktk
ktk
ktk

Kimia
Kimia
Kimia
Kimia

Farma
Farma
Farma
Farma

Botol 10 ml
Botol @ 100
Dus @ 30 Ampul

5x10
5x10
5x10
5x10

tablet
tablet
tablet
tablet

Glucotrol 10 mg

PT. Pfizer Indonesia

Dus, botol@TAB
10MG 30

Glucotrol 5 mg

PT. Pfizer Indonesia

Dus, botol@TAB
10MG 31

Nitrokaf Retard
Nitrokaf Forte
Nitral
Gliserin lar 50%
n/a
n/a
Zoladex 10,8 mg

PT.
PT.
PT.
PT.
PT.
PT.
PT.

Kimia Farma
Kimia Farma
Actavis Indonesia
Lucas Djaja
Widatra Bhakti
Widatra Bhakti
AstraZeneca indonesia

Dus 10x10
Dus 10x10
Btl @ 30 tablet
Glycerin 100 ml
botol @ 500 ml
botol @ 500 ml
Dus, 1 syringe @
10.8 mg

Zoladex 3,6 mg

PT. AstraZeneca indonesia

Dus, 1 syringe @
3.6 mg

n/a
Haldol Decanoas

PT. Phapros, Tbk

PT. Soho Industri Pharmasi

Dus @ 10 X 10 's
Dus 5
Ampul@1mL

Lodomer Injeksi

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 12
ampul

n/a

PT. Indofarma

Dus, 10 blister @
10 tablet

n/a

PT. Indofarma

Dus, 10 blister @
10 tablet

n/a

PT. Indofarma

Dus, 10 blister @
10 tablet

Lodomer 2

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 10 x 10
TAB

LODOMER DROPS

PT. Mersifarma Tirmaku Mercusana

BOTOL @ 15 ML

Halothane
Inviclot
Hyperhep B

PT. Dexa Medica

PT. Pratapa Nirmala
PT. Dipa Pharmalab

Botol
vial
Dus, 1 syringe @
0.5 mL

n/a
n/a
HYDROXYUREA MEDAC
n/a

PT.
PT.
PT.
PT.

tube @ 5 ml
Tube 5 gr
vial
box 5ampul @1
ml

Homatro 2%

PT. Cendo Industri Farmasi

Insulatard Vial

PT. Ferron Par Pharmaceuticals Dus, vial 10 ml

Humulin N Vial

PT. Bayer Indonesia

Dus, vial 10 ml

n/a

PT. Aventis Pharma

Dus, 1 Vial @ 5
ml

Marin Liza Farmasi

Kimia Farma
Dipa Pharmalab
Otto Pharmaceuticals

Botol 5ml

Insulatard Penfill

PT. Ferron Par PharmaceuticalsInjeksi 100 IU/ml,

penfill disposible
3 ml (1 box isi 5
penfill disposible)

Humulin N Cart

PT. Bayer Indonesia

Dus Isi 5
penfill/cartridge
@ 3ml

Sansulin N

PT. Sanbe Farma

penfillcartridge @
3ml

Mixtard Penfill

PT. Ferron Par PharmaceuticalsInjeksi 100 IU/ml,

penfill disposible
3 ml (1 box isi 5
penfill disposible)

Humulin 30/70 Cart

PT. Bayer Indonesia

Mixtard Vial

PT. Ferron Par Pharmaceuticals Dus, vial 10 ml

Humulin 30/70 Vial

PT. Bayer Indonesia

Actrapid Penfill

PT. Ferron Par PharmaceuticalsInjeksi 100 IU/ml,

penfill disposible
3 ml (1 box isi 5
penfill disposible)

Sansulin R

PT. Sanbe Farma

penfill cartridge
@ 3ml

Humulin R Cart

PT. Bayer Indonesia

Dus Isi 5
penfill/cartridge
@ 3ml

Actrapid Vial

PT. Ferron Par Pharmaceuticals Dus, vial 10 ml

Humulin R Vial

PT. Bayer Indonesia

Dus, vial 10 ml

n/a

PT. Aventis Pharma

Dus, 1 Vial @ 5
ml

Tetagam

PT. Dexa Medica

Prefilled syringe

n/a

PT. Indofarma

Dus, botol 60 ml

n/a

PT. Indofarma

Dus, botol 60 ml

Dus Isi 5
penfill/cartridge
@ 3ml

Dus, vial 10 ml

n/a

PT. Yarindo Farmatama

botol @ 100
tablet

n/a
Holoxan injeksi 1000

PT. Novapharin
PT. Mugi Laboratories

dus 10 X 10'S
Dus, 1 vial @ 1 g

Glivec

PT. Novartis Indonesia

Dus, 6 blister @
10 tablet salut
selaput

Tanapress 10mg

PT. Tanabe Indonesia

3 blister @ 10
tablet

Tanapress 5mg

PT. Tanabe Indonesia

3 blister @ 10
tablet

Iopamiro

PT. Dipa Pharmalab

Dus, botol @ 100

ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 30 ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 50 ml

Iopamiro

PT. Dipa Pharmalab

Dus, botol @ 100

ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 30 ml

Iopamiro

PT. Dipa Pharmalab

Dus, vial @ 50 ml

Ultravist 300/100 mg
Ultravist 300/50 mg
Ultravist 370/100 mg
Ultravist 370/50 mg
Atrovent HFA

PT.
PT.
PT.
PT.
PT.

Botol
Botol
Botol
Botol
Box, canister
10mL

Atrovent solution for inhalation

0.025%

PT. Boehringer Ingelheim

Box, bottle 20mL

n/a

PT. Indofarma

Dus, 5 blister @
10 kss

n/a

PT. Indofarma

Dus, 5 blister @
10 kss

n/a

PT. Sanbe Farma

Dus, 1 vial @2 ml

Terrell
n/a

PT. Pratapa Nirmala

Botol 100 mL
PT. Phyto Kemo Agung Farma Botol 100 tablet

n/a

PT. Phyto Kemo Agung Farma Botol 100 tablet

Farsorbid inj
n/a

PT. Pratapa Nirmala

PT. Indofarma

vial
Dus, 10 strip @
10 tablet

Isonat

PT. Kimia Farma

Dus, 5 strip @ 10
tablet

Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Bayer Indonesia
Boehringer Ingelheim

Kalipar
KSR

PT. Tempo Scan Pacific

PT. Merck Tbk

Strip
Dus, 10 strip @
10 tablet

DBL Leucovorin
Kalsium glukonat

PT. Tempo Scan Pacific

PT. Ethica Industri Farmasi

Vial 50 mg/5 ml
Ampul

n/a

PT. Afifarma

Dus,10 Strip @
10 tablet

KALQUEST

PT. Novell Pharmaeutical Laboratories

kantong 5 g

n/a

PT. Hexpharm Jaya Laboratories

vial

n/a

PT. Dexa Medica

Dus, 3 Blister @
10 tablet

n/a

PT. Dexa Medica

Dus, 3 Blister @
10 tablet

Xeloda

PT. Boehringer Ingelheim

Boks, 120 tablet

n/a

PT. Indofarma

Dus, 10 strip @
10 tablet

n/a

PT. Errita Pharma

Dus, 10 strip @10

tablet

n/a

PT. Indofarma

Dus, 10 strip @
10 tablet

Tegretol Syrup 100mg/5ml, 120ml

PT. Novartis Indonesia

Dus, botol @ 120

ml

n/a

PT. Indofarma

Dus, 10 blister @
10 tablet

Neo-Mercazole

PT. Nicholas Laboratories Indonesia

Dus,botol 100
tablet

Karbogliserin tetes telinga 10%

PT. Lucas Djaja

Fenol 100 mg / 1
ml

DBL Carboplatin 150 mg

PT. Tempo Scan Pacific

vial @ 15 ml

DBL Carboplatin 450 mg

V - BLOC
KTM

PT. Tempo Scan Pacific

PT Kalbe Farma
PT. Guardian Pharmatama

vial @ 45 ml
strip
Vial @ 10 ml

Ketamin Hameln

PT. Combiphar

Box, isi 1 vial @

10 ml

n/a

PT. Novell Pharmaeutical Laboratories

Box isi 1 Tube @
15 g

n/a

PT. Hexpharm Jaya Laboratories

tube 5 gr

n/a
Zoloral SS
n/a

PT. Kimia Farma

PT. Ikapharmindo
PT. Dexa Medica

tube 10 gr
Botol 80 ml
Dus, 5 Strip @ 10
tablet

Protofen Supp

PT. Kimia Farma

dus 2 's @ 10
supp

n/a

PT. Phapros, Tbk

Dus @ 12 Ampul

ORIXAL

PT. Ifars Pharmaceutical Laboratories

Dus, 3 Strip @ 10
Kaplet salut
selaput

n/a

PT. Indofarma

Dus, 5 blister @
10 kapsul

n/a

PT. Indofarma

Dus, 5 blister @
10 kapsul

n/a

PT. Dexa Medica

Dus, 10 Strip @
10 tablet

Catapres Injeksi

PT. Boehringer Ingelheim

Box, 10 ampoules
@ 1mL

n/a
n/a

PT. Kimia Farma

Ktk 10X10 TAB
PT. Hexpharm Jaya Laboratories
Dus, 3 strip @ 10
tab

n/a

PT. Kimia Farma

ktk 10x10 tablet

n/a
Colsancetine Injeksi
n/a
n/a

PT.
PT.
PT.
PT.

Kimia Farma
Sanbe Farma
Bernofarm
Phapros, Tbk

Tube 5 gr
vial
Botol @ 60 ml
Dus @ 30 Ampul

n/a

PT. Phapros, Tbk

Dus @ 30 Ampul

n/a

PT. Mersifarma Tirmaku Mercusana

Kotak @ 10 x 10
tab

n/a
n/a

10 X 10
PT. Phapros, Tbk
PT. Mersifarma Tirmaku Mercusana
KOTAK @ 5 x 10
TAB

n/a

PT. Mersifarma Tirmaku Mercusana

KOTAK @ 5 x 10
TAB

n/a

PT. Kimia Farma

ktk 10x10 tablet

n/a

PT. Kimia Farma

ktk 10x10 tablet

n/a

PT. Kimia Farma

ktk 10x10 tablet

Ostriol
Voluven

PT. Pratapa Nirmala

Btl @ 30 kapsul
PT. Fresenius Kabi Combiphar Botol Plastik @
500 ml

Combivent UDV

PT. Boehringer Ingelheim

1 dus @ 20 vial

n/a

PT. Triyasa Nagamas Farma

Vial

Laxadine Emulsi 60 ml

PT. Galenium Pharmasia Laboratories

Botol @ 60 ml

n/a

PT. Kimia Farma

1 sase @30 tablet

n/a

PT. Erela

Dus, 100 Sachet

@ 30 Tablet

Cendo Lyteers

PT. Cendo Industri Farmasi

botol 15 ml

Coartem

PT. Novartis Indonesia

Dus, 4 blister @ 6
tablet

Harga Satuan
Terkecil (Rp)

Tanggal Berlaku
Harga

86

3/15/2014

380

3/15/2014

214

3/15/2014

3,822.00 Download

4/23/13

80 Download

3/15/14

112 Download

4/23/13

330 Download

3/15/14

187 Download

4/23/13

261 Download

3/15/14

2,445.00 Download
5,100.00 Download

4/23/13
3/15/14

85,000.00 Download

4/3/14

106,000.00 Download

4/3/14

97,500.00 Download

3/18/14

85,345.00 Download

4/3/14

200,000.00 Download

4/3/14

79,165.00 Download

3/18/14

79,167.00 Download

3/18/14

72 Download

3/15/14

2,160.00 Download

3/15/14

2,516.00 Download

3/15/14

520 Download

3/15/14

1,500.00 Download

3/16/14

148 Download

9/28/14

95 Download

3/18/14

48 Download

3/15/14

112 Download

4/23/13

2,950.00 Download

3/15/14

24,750.00 Download
336 Download

3/16/14
3/15/14

190 Download

3/16/14

700 Download
1,250.00 Download

1/5/15
3/15/14

1,520.00
6,045.00
4,990.00
746

Download
Download
Download
Download

3/15/14
3/16/14
1/5/15
7/21/14

645 Download
106,000.00 Download
8,900.00 Download

4/23/13
12/5/14
4/3/14

117,600.00 Download

3/16/14

150,000.00 Download

3/16/14

2,600,000.00 Download

4/3/14

25,300.00 Download

4/3/14

112,000.00 Download

4/3/14

1,580.00 Download

3/15/14

62 Download

3/15/14

70,000.00 Download

8/6/14

16,748.00 Download

9/28/14

45 Download
1,050.00 Download

4/23/13
3/15/14

97 Download
134 Download

4/23/13
4/23/13

46,667.00
104
26,700.00
3,480.00

Download
Download
Download
Download

270 Download
3,333.00
167
9,840.00
6,375.00
8,100.00

3/18/14
4/23/13
7/21/14
3/16/14
1/5/15

Download
Download
Download
Download
Download

3/15/14
4/23/13
7/21/14
6/16/14
3/15/14

930 Download

4/23/13

7,700.00 Download

3/15/14

139,500.00 Download
2,500.00 Download
1,360.00 Download

4/3/14
3/15/14
8/6/14

16,667.00 Download
133 Download
1,800.00 Download

3/18/14
4/23/13
4/23/13

1,375.00 Download

3/18/14

85 Download

4/23/13

275,000.00 Download

8/6/14

412,500.00 Download

8/6/14

2,570,000.00 Download

8/6/14

399,500.00 Download
288 Download

4/3/14
3/15/14

295,000.00 Download

4/3/14

289 Download

4/23/13

679 Download

4/23/13

1,098,900.00 Download
330,000.00 Download

3/16/14
4/3/14

3,399.00 Download

4/23/13

2,600.00 Download
3,194.00 Download

3/16/14
3/15/14

56 Download

3/15/14

236 Download

3/16/14

638 Download

4/3/14

5,500.00 Download
950 Download
265
436
404
430

Download
Download
Download
Download

12/5/14
3/15/14
4/23/13
4/23/13
4/23/13
4/23/13

3,207.00 Download

1/5/15

3,000.00 Download

1/5/15

1,493.00
2,171.00
1,500.00
5,333.00
5,700.00
5,200.00
2,300,000.00

Download
Download
Download
Download
Download
Download
Download

840,000.00 Download

4/3/14
4/3/14
3/18/14
3/18/14
4/23/13
4/23/13
4/3/14
4/3/14

209 Download
83,333.00 Download

4/23/13
3/18/14

6,250.00 Download

9/28/14

59 Download

4/23/13

96 Download

4/23/13

69 Download

4/23/13

126 Download

3/16/14

16,500.00 Download
641,500.00 Download
42,900.00 Download
1,328,000.00 Download
2,570.00
2,798.00
5,400.00
4,500.00

10/24/14
3/18/14
7/21/14
5/22/14

Download
Download
Download
Download

4/23/13
4/23/13
9/28/14
3/18/14

18,000.00 Download

12/5/14

138,000.00 Download

4/3/14

138,000.00 Download

4/3/14

72,000.00 Download

4/3/14

76,125.00 Download

4/3/14

76,125.00 Download

4/3/14

75,000.00 Download

4/3/14

76,125.00 Download

4/3/14

76,125.00 Download

4/3/14

138,000.00 Download

4/3/14

138,000.00 Download

4/3/14

76,125.00 Download

4/3/14

75,000.00 Download

4/3/14

76,125.00 Download

4/3/14

138,000.00 Download

4/3/14

138,000.00 Download

4/3/14

72,000.00 Download

4/3/14

170,000.00 Download

8/6/14

3,499.00 Download

3/15/14

4,499.00 Download

4/23/13

110 Download

4/23/13

150 Download
1,329,163.00 Download

4/23/13
4/3/14

211,000.00 Download

9/28/14

3,908.00 Download

3/18/14

2,120.00 Download

3/18/14

350,000.00 Download

4/3/14

122,000.00 Download

5/21/14

166,000.00 Download

4/3/14

369,000.00 Download

4/3/14

147,000.00 Download

5/21/14

199,000.00 Download

4/3/14

245,000.00
123,200.00
299,000.00
150,300.00
80,000.00

4/3/14
4/3/14
4/3/14
4/3/14
8/6/14

Download
Download
Download
Download
Download

90,000.00 Download

12/5/14

1,425.00 Download

3/15/14

2,470.00 Download

3/15/14

510,000.00 Download

4/3/14

270,000.00 Download
65 Download

9/28/14
9/28/14

158 Download

9/28/14

33,000.00 Download
88 Download

7/21/14
4/23/13

189 Download

1/5/15

700 Download
1,580.00 Download

3/16/14
4/3/14

82,000.00 Download
7,800.00 Download

7/21/14
4/3/14

70 Download

9/28/14

7,700.00 Download

9/28/14

5,000.00 Download

3/15/14

4,900.00 Download

3/15/14

3,100.00 Download

3/15/14

27,500.00 Download

4/3/14

140 Download

4/23/13

84 Download

3/15/14

62 Download

3/15/14

44,770.00 Download

3/16/14

245 Download

4/23/13

875 Download

4/3/14

2,042.00 Download

3/18/14

190,000.00 Download

9/5/14

408,000.00 Download
1,360.00 Download
110,000.00 Download

9/5/14
9/28/14
3/16/14

60,300.00 Download

7/21/14

4,700.00 Download

4/23/13

2,850.00 Download

4/23/13

2,569.00 Download
28,000.00 Download
300 Download

4/23/13
9/28/14
4/23/13

2,722.00 Download

7/21/14

2,300.00 Download

3/15/14

3,200.00 Download

3/16/14

361 Download

4/23/13

553 Download

4/23/13

900 Download

3/15/14

30,600.00 Download

8/6/14

184 Download
3,400.00 Download

4/23/13
3/15/14

249 Download

4/23/13

1,600.00
7,260.00
3,680.00
1,100.00

Download
Download
Download
Download

4/23/13
1/5/15
4/23/13
4/23/13

1,050.00 Download

4/23/13

144 Download

1/5/15

68 Download
5,000.00 Download

1/5/15
4/3/14

1,550.00 Download

4/3/14

500 Download

4/23/13

850 Download

4/23/13

1,100.00 Download

4/23/13

2,500.00 Download
33,000.00 Download

9/28/14
7/21/14

5,990.00 Download

1/5/15

5,350.00 Download

12/5/14

12,450.00 Download

3/16/14

50 Download

3/15/14

42 Download

3/15/14

15,750.00 Download

4/3/14

3,220.00 Download

4/3/14

No

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34

Nama Obat Generik

Alopurinol tablet/kapsul/kaplet 100 mg

Amlodipin tablet 10 mg
Amlodipin tablet 5 mg
Amoksisilin kapsul/kaplet/tablet scored 500 mg
Ampisilin serbuk injeksi i.v. 1000 mg/vial
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml Magnesium
Hidroksida 200 mg/5 ml
Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg
Asam Mefenamat kapsul/kaplet 500 mg
Asam traneksamat injeksi 50 mg/ml
Asiklovir tablet/kapsul/kaplet 400 mg
Atapulgit tablet 600 mg
Bedak salisil serbuk 2%
Betametason krim 0,1% (sebagai Valerat)
Diazepam larutan rektal 10 mg/2,5 mL
Diazepam tablet 2 mg
Dimenhidrinat tablet 50 mg
Doksisiklin tablet/kapsul/kaplet 100 mg
Domperidon suspensi/sirup 5 mg/5 ml
Domperidon tablet 10 mg
Eritromisin kapsul/kaplet 500 mg
Eritromisin sirup kering 200 mg/ 5 ml
Furosemid tablet 40 mg
Gentamisin injeksi 40 mg/ ml
Gentamisin salep mata 0,3%
Gentamisin tetes mata 0,3%
Glibenklamid tablet 5 mg
Glimepiride tablet 2 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalium aspartat tab 300 mg
Kaptopril tablet scored 25 mg
Ketokonazol krim 2%
Klindamisin kapsul/kaplet 150 mg
Klindamisin kapsul/kaplet 300 mg
Kloramfenikol salep mata 1 %

Nama Dagang

Nama Penyedia

n/a
n/a
n/a

PT. Pertiwi Agung

PT. Pertiwi Agung
PT. Pertiwi Agung

n/a

PT. Mersifarma Tirmaku Mercusana

n/a

PT. Bernofarm

n/a

PT. Erela

Miniaspi 80

PT. Mersifarma Tirmaku Mercusana

n/a
n/a
n/a
Pularex

PT. Bernofarm
PT. Bernofarm
PT. Sampharindo Perdana
PT. Zenith Pharmaceuticals

n/a

PT. Rama Emerald Multi Sukses

n/a
STESOLID
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a

PT. Kimia Farma

PT. Actavis Indonesia
PT. Kimia Farma
PT. Kimia Farma
PT. Yarindo Farmatama
PT. Novapharin
PT. Novapharin
PT. Indofarma
PT. Phyto Kemo Agung Farma
PT. Indofarma
PT. Indofarma

Genoint Salep Mata PT. Erela

n/a
n/a
n/a
n/a
Kalipar
n/a
n/a
n/a
n/a
n/a

PT. Indofarma
PT. Indofarma
PT. Kimia Farma
PT. Indofarma
PT. Tempo Scan Pacific
PT. Errita Pharma
PT. Kimia Farma
PT. Indofarma
PT. Indofarma
PT. Kimia Farma

Kemasan

Harga Satuan Jumlah/

Terkecil (Rp)
kemasan

Box, 10 strips @ 10 tablets

Box, 3 strips @ 10 tablets
Box, 3 strips @ 10 tablets

86
330
187

KOTAK @ 10 x 10 TAB

261

Dus, 10 vial @ 1 g

5,100.00

Botol @ 60 ml

2,160.00

KOTAK @ 10 x 10 TAB

148

Dus, 10 blister @ 10 kaptab ss

Dus, 10 ampul @ 5 ml
Dus, 5 strip @ 10 tablet
Dus 5 strip @ 10 tablet

112
2,950.00
336
190

Dus @ 50 gram

1,250.00

Tube 5 gr
Dus, 5 alubag @ 1 tube @ 2,5ml
Btl 100
Btl 100 tablet
Box @ 10 strip 10 kapsul
btl @ 60 ml
dus 10 X 10'S
Dus, 10 blister @ 10 kss
Botol @60 ml
Dus, 10 strip @ 10 tablet
Dus, 5 ampul @ 2 ml

1,520.00
16,748.00
45
104
270
3,333.00
167
930
7,700.00
85
3,399.00

Tube @ 3,5 gr

2,600.00

Dus, botol plastik 5 ml

Dus, 10 blister @ 10 kaptab
ktk 5x10 tablet
Dus, 10 strip @ 10 tablet
Strip
Dus, 10 strip @10 tablet
tube 10 gr
Dus, 5 blister @ 10 kapsul
Dus, 5 blister @ 10 kapsul
Tube 5 gr

3,194.00
56
436
88
700
84
2,569.00
361
553
1,600.00

240
1680
1680
3500
3000
1600
300
3500
10
100
300
500
192
12
15
28
15
4000
350
15
48
1000
10
72
24
3000
1500
650
12
2000
72
100
200
192