no1.2.3.4.5.6.7.8.9.10.11.12.13.14.15.16.17.18.19.20.21.22.23.24.25.26.27.28.29.30.31.32.33.34.35.36.37.38.39.40.41.42.43.44.45.46.

47.48.49.50.51.52.53.54.55.56.57.58.59.60.61.62.63.64.65.66.67.68.69.70.71.72.73.74.75.76.77.78.79.80.81.82.83.84.85.86.87.88.89.90.91.92.93.94.

95.96.97.98.99.100.101.102.103.104.105.106.107.108.109.110.111.112.113.114.115.116.117.118.119.120.121.122.123.124.125.126.127.128.129.130.131.132.133.134.135.136.137.138.139.140.141.142.

143.144.145.146.147.148.149.150.151.152.153.154.155.156.157.158.159.160.161.162.163.164.165.166.167.168.169.170.171.172.173.174.175.176.177.178.179.180.181.182.183.184.185.186.187.188.189.190.

191.192.193.194.195.196.197.198.199.200.201.202.203.204.205.206.207.208.209.210.211.212.213.214.215.216.217.218.219.220.221.222.223.224.225.226.227.228.229.230.231.232.233.234.235.236.237.238.

239.240.241.242.243.244.245.246.247.248.249.250.251.252.253.254.255.256.257.258.259.260.261.262.263.264.265.266.267.268.269.270.271.272.273.274.275.276.277.278.279.280.281.282.283.284.285.286.

287.288.289.290.291.292.293.294.295.296.297.298.299.300.301.302.303.304.305.306.307.308.309.310.311.312.313.314.315.316.317.318.319.320.321.322.323.324.325.326.327.328.329.330.331.332.333.334.

335.336.337.338.339.340.341.342.343.344.345.346.347.348.349.350.351.352.353.354.355.356.357.358.359.360.361.362.363.364.365.366.367.368.369.370.371.372.373.374.375.376.377.378.379.380.381.382.

383.384.385.386.387.388.389.390.391.392.393.394.395.396.397.398.399.400.401.402.403.404.405.406.407.408.409.410.411.412.413.414.415.416.417.418.419.420.421.422.423.424.425.426.427.428.429.430.

431.432.433.434.435.436.437.438.439.440.441.442.443.444.445.446.447.448.449.450.451.452.453.454.455.456.457.458.459.460.461.462.463.464.465.466.467.468.469.470.471.472.473.474.475.476.477.478.

479.480.481.482.483.484.485.486.487.488.489.490.491.492.493.494.495.496.497.498.499.500.501.502.503.504.505.506.507.508.509.510.511.512.513.514.515.516.517.518.519.520.521.522.523.524.525.526.

527.528.529.530.531.532.533.534.535.536.537.538.539.540.541.542.543.544.545.546.547.548.549.550.551.552.553.554.555.556.557.558.559.560.561.562.563.564.565.566.567.568.569.570.571.572.573.574.

575.576.577.578.579.580.581.582.583.584.585.586.587.588.589.590.591.592.593.594.595.596.597.598.599.600.601.602.603.604.605.606.607.608.609.610.611.612.613.614.615.616.617.618.619.620.621.622.

623.624.625.626.627.628.629.630.631.632.633.634.635.636.637.638.639.640.641.642.643.644.645.646.647.648.649.650.651.652.653.654.655.656.657.658.659.660.661.662.663.664.665.666.667.668.669.670.

671.672.673.674.675.676.677.678.679.680.681.682.683.684.685.686.687.688.689.690.691.692.693.694.695.696.697.698.699.700.701.702.703.704.705.706.707.708.709.710.711.712.713.714.715.716.717.718.

719.720.721.722.723.724.725.726.727.728.729.730.731.732.733.734.735.736.737.738.739.740.741.742.743.744.745.746.747.748.749.750.751.752.753.754.755.756.757.758.759.760.761.762.763.764.765.766.

767.768.769.770.771.772.773.774.775.776.777.778.

Nama Obat Generik Nama Dagang

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg) n/aAdefovir Dipivoksil tablet/kaplet 10 mg HepseraAir untuk injeksi (Aqua pro Injeks) 20 ml n/aAir untuk Injeksi 25 ml Otsu SWI 25 mlAir untuk irigasi lar infus 1000 ml WIDA WI UNICAPAkarbose tablet/kaplet 100 mg n/aAkarbose tablet/kaplet 50 mg n/aAlbendazol suspensi 200 mg/5 ml n/aAlbendazol tablet/kapsul/kaplet 400 mg n/aAlbumin serum normal (human albumin) injeksi 20%, 100 ml ZenalbAlbumin serum normal (human albumin) injeksi 20%, 50 ml ZenalbAlbumin serum normal (human albumin) injeksi 25%, 100 ml Albuminar 25Albumin serum normal (human albumin) injeksi 25%, 20 ml PLASBUMIN 25% 20 MLAlbumin serum normal (human albumin) injeksi 25%, 50 ml PLASBUMIN 25% 50 MLAlbumin serum normal (human albumin) injeksi 5% 250 ml PLASBUMIN 5% 250 MLAlbumin serum normal (human albumin) injeksi 5% 50 ml PLASBUMIN 5% 50 MLAlopurinol tablet/kapsul/kaplet 100 mg n/aAlopurinol tablet/kapsul/kaplet 300 mg n/aAlprazolam tablet/kapsul/kaplet 0,25 mg n/aAlprazolam tablet/kapsul/kaplet 0,5 mg n/aAlprazolam tablet/kapsul/kaplet 1 mg n/aAlteplase injeksi 50 mg/vial ActilyseAmfoterisin B salep mata 1% FungicideAmikasin injeksi 250 mg/ml Glybotic 250 mg /mlAminofilin injeksi 24 mg/ml n/aAminofilin tablet scored 200 mg n/aAminofilin tablet/kapsul/kaplet 150 mg n/aAmiodaron injeksi 150 mg/3 ml CordaroneAmiodaron tablet/kaplet 200 mg Kendaron TabletAmitriptilin tablet salut 25 mg (HCl) n/aAmlodipin tablet 10 mg n/aAmlodipin tablet 5 mg n/aAmoksisilin kapsul/kaplet 250 mg n/aAmoksisilin kapsul/kaplet/tablet scored 500 mg n/aAmoksisilin sirup kering forte 250 mg/5 ml n/aAmoksisilin sirup kering 125 mg/ 5 ml n/aAmpisilin serbuk injeksi i.v. 1000 mg/vial n/aAnalog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cart Lantus Solostar 100IU/ml Analog insulin mix acting inj 100 UI/ml, Analog insulin mix acting inj 100 UI Novomix FlexpenAnalog Insulin Mix Insulin Inj 100 UI/ml Humalog Mix 25 KwikpenAnalog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cart Humalog Mix 25Analog Insulin Rapid Acting Inj 100 UI/ml Humalog KwikpenAnalog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill car Novorapid FlexpenAnalog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill car Novorapid VialAnalog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cart Apidra Solostar 100IU/ml Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartrHumalog

Anastrozol tablet/kapsul/kaplet 1 mg Arimidex 1 mgAntasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg n/aAntasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml n/aAnti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU n/aAntihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg lid n/aAntimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg n/aAntimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg n/aAntiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg Levopar TabletArtemether injeksi 80 mg/ml ArtemArtesunate injeksi i.v./i.m. 60 mg/ml ArtesunateAsam Asetilsalisilat (asetosal) tablet 100 mg n/aAsam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg Miniaspi 80Asam Askorbat (Vitamin C) tablet 250 mg n/aAsam Askorbat (Vitamin C) tablet 50 mg n/aAsam Folat tablet/kapsul/kaplet 0,4 mg StarfolatAsam Folat tablet/kapsul/kaplet 1 mg n/aAsam Ibandronat injeksi 6mg/6ml BondronatAsam Mefenamat kapsul/kaplet 250 mg n/aAsam Mefenamat kapsul/kaplet 500 mg n/aAsam pipemidat kapsul 400 mg Urotractin 400 mgAsam traneksamat injeksi 50 mg/ml n/aAsam zoledronat injeksi 4mg/5mL ZOMETAAsiklovir salep mata 3% Temiral Eye OintAsiklovir tablet/kapsul/kaplet 200 mg n/aAsiklovir tablet/kapsul/kaplet 400 mg n/aAsparaginase serbuk injeksi 10.000 UI/vial LeunaseAtapulgit tablet 600 mg PularexAtenolol tablet/kapsul/kaplet 100 mg BetablokAtenolol tablet/kapsul/kaplet 50 mg FarnorminAtrakurium injeksi 25 mg/2,5 ml TracriumAtropin injeksi i.v./i.m./s.k. 0,25 mg/ml n/aAtropin Sulfat tablet 0,5 mg n/aAtropin Sulfat tetes mata 0,5% Cendo Tropin 0,5%Atropin Sulfat tetes mata 1% Cendo Tropin 1%Azitromisin sir kering 200 mg/ 5 mL n/aAzitromisin tablet 500 mg n/aAzitromisin tablet 250 mg n/aBedak salisil serbuk 2% n/aBenzatin Benzil Penisilin 1,2 juta IU/ vial n/aBenzatin Benzil Penisilin 2,4 juta IU/vial n/aBeractant injeksi / suspensi 25 mg/mL SurvantaBeraprost sodium tablet 20 mcg DornerBetametason krim 0,1% (sebagai Valerat) n/aBetametason tetes mata 1 mg/ml Betam Ophtal EDBevasizumab injeksi 25 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI N AvastinBikalutamid tablet salut 150 mg Casodex 150 mgBikalutamid tablet salut 50 mg Casodex 50 mgBisakodil suppositoria 10 mg Stolax supp

Bisakodil suppositoria 5 mg Dulcolax Supp InfantBisoprolol tablet 2,5 mg Concor 2.5Bisoprolol tablet 5 mg n/aBleomisin serbuk injeksi 15 mg/ampul BLEOCINBromokriptin tablet 2,5 mg Cripsa tabBudesonid inhaler 200 mcg/puff, 100 dosis Pulmicort TurbuhalerBudesonid inhaler 200 mcg/puff, 200 dosis Obucort SwinghalerBudesonid respules / cairan inhaler 0,25mg/mL Pulmicort RespulesBudesonid-formoterol (fixed combination) inhaler 160/4,5 mcg Symbicort Turbuhaler 160/Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg Symbicort 80/4.5 mcgBupivakain injeksi 0,50% (HCl) + glukosa 8% n/aBupivakain injeksi 0,50% (P.V) BunascanDabigatran eteksilat kapsul 75 mg PradaxaDabigatran eteksilat kapsul 110 mg PradaxaDakarbazin serbuk injeksi 200 mg/vial DBL DacarbazineDaunorubisin serbuk injeksi 20 mg/vial DAUNOCINDeferasiroks tablet disp/ eff 250 mg Exjade 250 mg TabDeferasiroks tablet disp/ eff 500 mg Exjade 500 mg TabDeferipron larutan oral 100 mg/mL Ferriprox Oral SolutionDeferipron tablet 500 mg Ferriprox tabletDeferoksamin Mesilat serbuk injeksi 500 mg DesferalDeksametason injeksi i.v./i.m. 5 mg/ml n/aDeksametason tablet 0,5 mg n/aDesogestrel tablet 75 mcg CerazetteDesoksimetason krim 0,25% DEXIGENDesoksimetason krim 0,25% n/aDesoksimetason salep 0,25% DexocortDiazepam larutan rektal 5 mg/2,5 mL STESOLIDDiazepam injeksi i.v./i.m 5 mg/ml n/aDiazepam larutan rektal 10 mg/2,5 mL STESOLIDDiazepam tablet/kapsul/kaplet 2 mg n/aDietilkarbamazin tablet scored 100 mg n/aDifenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) n/aDigoksin injeksi 0,25 mg/ml Fargoxin injDigoksin tablet 0,25 mg n/aDiltiazem HCl tablet 30 mg n/aDiltiazem infus injeksi 50 mg Herbesser Powder InjectiDiltiazem injeksi 25 mg/5 mL Farmabes Injeksi 25 mgDiltiazem Kapsul SR 100 mg Herbesser CD 100Diltiazem Kapsul SR 200 mg Herbesser CD 200Dimenhidrinat tablet 50 mg n/aDinatrium edetat tetes mata 0,35% E.D.T.ADinatrium klodronat infus kons 60 mg/mL Bonefos Infus 60 mg / 5 mlDobutamin injeksi 50 mg/mL DOBURANDoksazosin mesilat tablet 1 mg Cardura 1mgDoksazosin mesilat tablet 2 mg Cardura 2mgDoksisiklin tablet/kapsul/kaplet 100 mg n/aDoksorubisin serbuk injeksi i.v. 10 mg/vial Doxorubicin Actavis 10 mg

Doksorubisin serbuk injeksi i.v. 50 mg/vial Doxorubicin Actavis 50 mgDomperidon suspensi/sirup 5 mg/5 ml n/aDomperidon tablet 10 mg n/aDomperidon tetes 5 mg/mL n/aDopamin injeksi 40 mg/ml UDOPADosetaksel injeksi 20 mg/0,5 ml n/aDTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate calcium Renalscan KaeFDutasterid kaps lunak 0,5 mg AvodartEfavirens tablet salut 600 mg n/aEfedrin Inj 50 mg/ml n/aEksemestan tablet 25 mg AromasinEnoksaparin sodium inj 20 mg/0,2 mL Lovenox 2000 ANTI-XAEnoksaparin sodium inj 40 mg/0,4 mL Lovenox 4000 ANTI-XAEnoksaparin sodium inj 60 mg/0,6 mL Lovenox 6000 ANTI-XAEpinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml n/aEpirubisin serb injeksi 50 mg/25ml (Produk Kosong s/d awal Agustus 2015) Epirubisin KalbeEpirubisin serb injeksi 10 mg/5 ml n/aErgokalsiferol (vitamin D3/D2) kapsul 50.000 UI D-Vit FTErgokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml D-Vit SyrupEritromisin kapsul/kaplet 250 mg n/aEritromisin kapsul/kaplet 500 mg n/aEritromisin sirup kering 200 mg/ 5 ml n/aEritropoetin-alfa inj 10000 UI/mL Hemapo 10.000 IUEritropoetin-alfa inj 2000 UI/mL Eprex 2000Eritropoetin-alfa inj 3000 UI/mL Hemapo 3000Eritropoetin-beta inj 2000 UI/0,3 mL RecormonEtambutol tablet 250 mg (HCl) n/aEtambutol tablet salut 500 mg (HCl) n/aEtanol 70% cairan n/aEtinilestradiol tablet 0,05 mg LynoralEtonogestrel implan 68 mcg ImplanonEtoposid injeksi 20 mg/ml PosydEugenol cairan n/aEverolimus tab 0,25 mg Certican 0,25 mg TabEverolimus tab 0,5 mg Certican 0,5 mg TabFaktor IX kompleks serbuk injeksi 1.000 UI/vial + pelarut 10 ml Nonafact 1000 IUFaktor IX kompleks serbuk injeksi 500 UI/vial + pelarut 5 ml Nonafact 500 IUFaktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi IX Cofact 500 IU/20 mlFaktor Koagulasi II 14-35 UI, Faktor Koagulasi VIII 7-20 UI, Faktor Koagulasi Cofact 250 IUFaktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi NovosevenFaktor VIII (konsentrat) serb inj 230 -340 UI HaemoctinFaktor VIII (konsentrat) serb inj 250 UI/vial + pelarut 5 Ml KOATE 250 UIFaktor VIII (konsentrat) serb inj 480 - 600 UI KOATE DVI 500 IUFaktor VIII (konsentrat) serb inj 500 UI/vial + pelarut 5 ml Aafact 500 IUFenitoin injeksi 50 mg/ml n/aFenitoin kapsul/kaplet 100 mg n/aFenitoin Na Inj 100 mg/2 ml n/aFenobarbital injeksi i.m./i.v. 50 mg/ml n/a

Fenobarbital tablet/kapsul/kaplet 100 mg n/aFenofibrat kaps 100 mg n/aFenofibrat kaps 300 mg n/aFenoksimetil penisilin (penisilin V) tab 125 mg FenocinFenoksimetil penisilin (penisilin V) tablet/kapsul/kaplet 500 mg n/aFenoksimetil penisilin (penisilin V) tablet/kapsul/kaplet 250 mg n/aFenoterol HBr ih 100 mcg/puff Berotec MDIFenoterol HBr inh solution 0,1% Berotec SolutionFentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml n/aFentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml n/aFentanil patch 12,5 mcg/jam Durogesic 12,5 MU MatrixFentanil patch 25 mcg/jam Durogesic 25 MU MatrixFentanil patch 50 mcg/jam Durogesic 50 MU MatrixFilgrastim inj 300 mcg/mL LeucogenFinasterid tab 5 mg ProstacomFitomenadion (Vit.K1) tablet salut gula 10 mg n/aFitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml n/aFludarabin inj 50 mg Fludara IV LYOFludarabin tab 10 mg Fludara OralFlufenazin injeksi i.m. 25 mg/ml Sikzonoate InjeksiFlukonazol injeksi 2 mg/ml n/aFlukonazol tablet/kaplet/kapsul 50 mg Diflucan 50mgFlukonazol tablet/kapsul 150 mg n/aFluoksetin tablet 10 mg Foransi 10Fluoksetin tablet 20 mg NOPRESFluorometolon tetes mata 0,1 % Ocuflam EDFluorourasil inj 250 mg/mL CuracilFluorourasil inj 500 mg/ 5 mL CuracilFlusinolon asetonid krim 0,025% SYNARCUSflusinolon asetonid salep 0,025% Dermasolon ointFlutikason furoat intranasal spray AvamysFlutikason propionat nebules 0,5 mg Flixotide NbulesFondaparinuks inj 2,5 mg/0,5 mL ArixtraFraksi protein plasma lar inf 5% PlasmanateFurosemid injeksi i.v./i.m. 10 mg/ml n/aFurosemid tablet 40 mg n/aGadobutrol macrocyclic 5 mg Gadovist 5 mgGadobutrol macrocyclic 7,5 mg Gadovist 7,5 mgGadoksetat disodium 0,25 mmol gadoxetate disodium/mL PrimovistGansiklovir serb inj 500 mg (50 mg/mL) CymeveneGaram Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium klorida 0,30 n/aGefitinib tab 250 mg Iressa 250 mgGemfibrozil kapsul/kaplet 300 mg n/aGemfibrozil tablet 600 mg n/aGemsitabin inj 1000 mg/vial Gemzar 1000 mgGemsitabin inj 200 mg/vial n/aGentamisin injeksi 40 mg/ ml n/aGentamisin salep mata 0,3% Genoint Salep Mata

Gentamisin tetes mata 0,3% n/aGlibenklamid tablet 5 mg n/aGliklazid tab 80 mg GlicabGliklazid tab 30 mg Diamicron MR 30Gliklazid tablet lepas lambat 60 Mg Diamicron MR 60Glikuidon tab 30 mg n/aGlimepiride tablet 1 mg n/aGlimepiride tablet 2 mg n/aGlimepiride tablet 3 mg n/aGlimepiride tablet 4 mg n/aGlipizid tablet/kaplet/kapsul 10 mg Glucotrol 10 mgGlipizid tablet/kaplet/kapsul 5 mg Glucotrol 5 mgGliseril trinitrat inj 50 mg/10 mL DBL Gliceryl Trinitrate 50 mGliseril trinitrat kaps SR 2,5 mg Nitrokaf RetardGliseril trinitrat kaps SR 5 mg Nitrokaf ForteGliseril trinitrat tab sublingual 0,5 mg NitralGliserin lar 50% Gliserin lar 50%Glukosa larutan infus 10 % steril n/aGlukosa larutan infus 5 % steril n/aGoserelin asetat inj 10,8 mg/vial Zoladex 10,8 mgGoserelin asetat inj 3,6 mg Zoladex 3,6 mgGriseofulvin tablet 125 mg n/aHaloperidol inj 50 mg/mL Haldol DecanoasHaloperidol injeksi i.m 5 mg/ml Lodomer InjeksiHaloperidol tablet 0,5 mg n/aHaloperidol tablet 5 mg n/aHaloperidol tablet 1,5 mg n/aHaloperidol tablet 2 mg Lodomer 2Haloperidol tts 2 mg/mL LODOMER DROPSHalotan Inhalasi HalothaneHeparin injeksi i.v./s.k. 5000 UI/ml InviclotHepatitis B imunoglobulin (human) Hyperhep Bhidroklorotiazid tab 25 mg n/aHidrokortison krim 1% n/aHidrokortison krim 2,5 % n/aHidroksi Urea tablet/kaplet/kapsul 500 mg HYDROXYUREA MEDACHiosin butilbromid injeksi 20 mg/ml n/aHomatropin tetes mata 2% Homatro 2%Human Insulin Intermediate Acting Inj 100 UI/ml Humulin N KwikpenHuman insulin intermediate acting inj 100 UI/ml, vial (Human Insulin (Interm Insulatard VialHuman insulin intermediate acting inj 100 UI/ml, vial (Insulin human Basal) Humulin N VialHuman insulin intermediate acting inj 100 UI/ml,penfill cartridge (Human Ins Insulatard PenfillHuman insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin hu Humulin N CartHuman insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin hu Sansulin NHuman insulin intermediate acting inj 100iu/ml, vial (Insulin Human Basal) Insuman Basal vial 5ml, 10Human insulin mix inj 100iu/ml, vial (Insulin Human Comb 25) Insuman Comb 25 vial 5ml,Human Insulin Mix Insulin Inj 100 UI/ml Humulin 30/70 KwikpenHuman insulin mix insulin inj 100 UI/ml, penfill cartridge (Human Insulin (Pr Mixtard Penfill

Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Insulin human ComHumulin 30/70 CartHuman insulin mix insulin inj 100 UI/ml, vial (Human Insulin (Premix: 30% So Mixtard VialHuman insulin mix insulin inj 100 UI/ml, vial (Insulin human Comb) Humulin 30/70 VialHuman Insulin Short Acting Inj 100 UI/ml Humulin R KwikpenHuman insulin short acting inj 100 UI/ml, penfill cartridge (Human Insulin (ShActrapid PenfillHuman insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Ra Sansulin RHuman insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Ra Humulin R CartHuman insulin short acting inj 100 UI/ml, vial (Human Insulin (Short Acting)) Actrapid VialHuman insulin short acting inj 100 UI/ml, vial (Insulin human Rapd) Humulin R VialHuman insulin short acting inj 100iu/ml, vial (Insulin Human Rapid) Insuman Rapid vial 5ml, 10Human tetanus imunoglobulinn injeksi i.m. 250 UI TetagamIbuprofen sirup 100 mg/5 ml n/aIbuprofen suspensi 200 mg/5 ml n/aIbuprofen tablet 200 mg n/aIbuprofen tablet 400 mg n/aIfosfamid serbuk injeksi 1000 mg/vial Holoxan injeksi 1000Imanitib Mesilat tablet salut selaput 100 mg (Skema Risk Sharing sesuai GlivecImidapril tab 10 mg Tanapress 10mgImidapril tab 5 mg Tanapress 5mgIopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml) IopamiroIopamidol 200-300 mg Iodium/mL (300mg @ vial 30ml) IopamiroIopamidol 200-300 mg Iodium/mL (300mg @ vial 50ml) IopamiroIopamidol 300-370 mg Iodium/mL (370mg @ vial 100ml) IopamiroIopamidol 300-370 mg Iodium/mL (370mg @ vial 30ml) IopamiroIopamidol 300-370 mg Iodium/mL (370mg @ vial 50ml) IopamiroIopromide 300-370 mg Iodium/mL (300 mg / 100 ml) Ultravist 300/100 mgIopromide 300-370 mg Iodium/mL (300 mg / 50 ml) Ultravist 300/50 mgIopromide 300-370 mg Iodium/mL (370 mg / 100 ml) Ultravist 370/100 mgIopromide 300-370 mg Iodium/mL (370 mg / 50 ml) Ultravist 370/50 mgIpratropium bromida inhalasi 20 mcg/semprot Atrovent HFAIpratropium bromida nebulizer 0,025% Atrovent solution for inhaIrbesartan tab 150 mg n/aIrbesartan tab 300 mg n/aIrinotekan inf 20 mg/ml n/aIsofluran inhalasi TerrellIsoniazid tablet/kapsul/kaplet 100 mg n/aIsoniazid tablet/kapsul/kaplet 300 mg n/aIsosorbid Dinitrat injeksi i.v 10 mg/10 ml Farsorbid injIsosorbid Dinitrat tablet sublingual 5 mg n/aIsosorbid dinitrat tablet/kaplet/kapsul 10 mg IsonatKalium aspartat tab 300 mg KaliparKalium Klorida tablet 600 mg KSRKalsium Folinat (Leukovorin Ca) inj 50 mg/ml DBL LeucovorinKalsium Glukonat injeksi i.v 10% (100 mg/ml) Kalsium glukonatKalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg n/aKalsium polistirena sulfonat ktg 5 g KALQUESTKanamisin inj 1000 mg/ vial n/aKandesartan tab 16 mg n/a

Kandesartan tab 8 mg n/aKapesitabin tab 500 mg XelodaKaptopril tablet 50 mg n/aKaptopril tablet scored 25 mg n/aKaptopril tablet scored12,5 mg n/aKarbamazepin sirup 100 mg/5 ml Tegretol Syrup 100mg/5mlKarbamazepin tablet 200 mg n/aKarbimazol tab 5 mg Neo-MercazoleKarbogliserin tetes telinga 10% Karbogliserin tetes telingaKarboplatin 150 mg / 15 ml DBL Carboplatin 150 mgKarboplatin 450 mg / 45 ml DBL Carboplatin 450 mgKarvediol tablet/kaplet/kapsul 6,25 mg V - BLOCKetamin injeksi i.v. 100 mg/ml KTMKetamin injeksi i.v. 50 mg/ml Ketamin HamelnKetokonazol krim 2% n/aKetokonazol krim 2% n/aKetokonazol krim 2% n/aKetokonazol scalp sol 2% Zoloral SSKetokonazol tablet 200 mg n/aKetoprofen supositoria 100 mg Protofen SuppKetorolac injeksi 30 mg/ml n/aKlaritromisin tab 500 mg ORIXALKlindamisin kapsul/kaplet 150 mg n/aKlindamisin kapsul/kaplet 300 mg n/aKlobazam tab 10 mg n/aKlonidin injeksi i.v 0,15 mg/ml (HCL) (150) Catapres InjeksiKlonidin tablet 0,15 mg n/aKlopidogrel tab 75 mg n/aKloramfenikol salep kulit 2% BufacetinKloramfenikol salep mata 1 % n/aKloramfenikol serb inj 1000 mg/mL Colsancetine InjeksiKloramfenikol suspensi 125 mg/ 5 ml n/aKlorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg n/aKlorpromazin injeksi i.m. 25 mg/ml (HCl) n/aKlorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) n/aKlorpromazin tablet salut 100 mg (HCl) n/aKlorpromazin tablet salut 25 mg (HCl) n/aKlozapin 100 mg n/aKlozapin 25 mg n/aKodein tablet 10 mg n/aKodein tablet 15 mg n/aKodein tablet 20 mg n/aKolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg OstriolKolkisin tablet/kaplet/kapsul 500 mcg RecolfarKoloid HES BM 130 000 lar inf 6% VoluvenKombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg Combivent UDVKombinasi injeksi depot : Medroksi progesteron asetat 25 mg Estradiol sipio n/aKombinasi suspensi : Parafin + gliserin + fenolftalein Laxadine Emulsi 60 ml

Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg n/aKombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida Cendo LyteersKombinasi: Artemether 20 mg; Lumefantrin 120 mg CoartemKombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg StalevoKombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg AluviaKombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg Seretide Inhaler 50 mcgKombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg Seretide Diskus 100 mcgKombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg Seretide Diskus 250 mcgKontrasepsi pil oral, kombinasi :* Levonorgestrel 150 mcg Etinilestradiol 30 n/aKotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimet n/aKotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mgn/aKuinin (Kina) tablet 200 mg n/aKuinin injeksi i.v. 25% (sebagai 2 HCl) n/aKuinin tablet 222 mg (H2SO4.7H2O) n/aLaktulosa sir 3,335 g/5 mL n/aLamivudin tablet/kaplet/kapsu 100 mg HeplavLamivudine tablet 150 mg n/aLansoprazol inj 30 mg/ml Prosogan Inj.Lanzoprazol kapsul/kaplet 30 mg n/aLapatinib tab 250 mg TykerbLarutan mengandung Asam Amino (Asam Amino 10%) KalbaminLarutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2 AmiparenLarutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 m Pan-amin GLarutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektAminofluidLarutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektAminofluidLarutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, L-OrnithineAminofusin HeparLarutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,2Aminosteril Infant 6%Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino esNephrosterilLarutan mengandung Asam Amino (Asam Amino 72.05 g, Total N 11.53 g, AAEKidminLarutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ AminolebanLarutan mengandung Asam Amino (Asam amino 8%) Aminosteril N-HepaLarutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L) Eas PfrimerLarutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine L Aspartate 10 gr/LComafusin HeparLarutan mengandung Asam Amino (Kombinasi Asam aminno 50 g/L, Sorbitol 50 g/L,Aminofusin L600Larutan mengandung Asam Amino (Kombinasi Asam amino 50 g/L, vitamin danAminofusin PaedLarutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr, Kabiven 1440 mlLarutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr,Kabiven 1920 mlLarutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150 gr +Combiflex Plus (790 kcal)Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 80 gr + Combiflex peri (480 kcal)Larutan mengandung Elektrolit (Kalium Klorida) Otsu - KCl 7,46%Larutan mengandung Elektrolit (Larutan Ringer Laktat) Wida RLLarutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat AseringLarutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr) KA EN 1BLarutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Potassium CTotilacLarutan mengandung Elektrolit (Tiap 1000 ml mengandung electrolit: Sodiu Ringerfundin 500 mLLarutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 g/ LTriofusin 1000Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ LTriofusin 500Larutan mengandung Karbohidrat (Maltose 100 gr) Martos

Larutan mengandung Karbohidrat + Elektrolit (25.00g maltose, 3.00 g sodium Potacol injLarutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, SorbTutofusin OPSLarutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 10Clinimix N9G20ELarutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 75Clinimix N9G15ELarutan mengandung Karbohidrat + Elektrolit (Fructose 60 g, glucose 33 g, XylTriofusin E1000Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g, KCl 1,Wida HSDLarutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium ChlorideWida D5-NSLarutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g) WIDA 2ALarutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g) WIDA D5-1/4NSLarutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g) WIDA D5-1/2NSLarutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi in FutrolitLarutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%) Wida RDLarutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, GlukosaKA ENMG 3Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na LacKA EN 3BLarutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 grKA EN 3ALarutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20% 100 ml) Lipofundin MCT/LCT 1% 10Larutan mengandung Lipid (Emulsi lemak 20%) IntralipidLarutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml) Lipofundin MCT/LCT 1% 25Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr + Asam AmNutriflex Lipid Special 1250Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 80 gr + Asam A Nutriflex Lipid Peri 1250Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90 gr + Asam AmiNutriflex Lipid Special 625Latanoprost tetes mata 0,01% Cendo GlaopenLatanoprost tts mata 0,005% btl@2,5ml Xalatan 0,005%Lenograstim inj 263 mcg/mL Granocyte 34 1vl HSA FreeLetrozol tablet/kaplet/kapsul 2,5 mg FEMARALeuprorelin asetat inj depot 1,88 mg Tapros 1.88mgLeuprorelin asetat inj depot 11,25 mg Tapros 3MLeuprorelin asetat inj depot 3,75 mg TAPROS 3.75 MGLevofloksasin inf 5 mg/mL n/aLevofloksasin tablet 500 mg n/aLevofloksasin tts mata 0,5% OptifloxLevotiroksin tablet/kaplet/kapsul 100 mcg Euthyrox 100Levotiroksin tablet/kaplet/kapsul 50 mcg Euthyrox 50Lidokain injeksi 2% (HCL) n/aLidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml n/aLidokain jeli 2% Xylocaine Jelly 2%Lidokain semprot 10% Xylocaine Spray 10 mg / doLisinopril tablet 10 mg n/aLisinopril tablet 5 mg n/aLitium karbonat tablet 200 mg Frimania 200Litium karbonat tablet 400 mg Frimania 400Loperamid tablet 2 mg n/aLoratadin tablet 10 mg n/aLorazepam tablet 0,5 mg MERLOPAM 0,5 mgLorazepam tablet 2 mg Merlopam 2Low molecule feri sucrose inj amp 100 mg/5 mL DIALIFERMagnesium sulfat injeksi 20% OTSU-MgSO4 20Magnesium sulfat injeksi 40% OTSU-MgSO4 40

Manitol n/aMaprotilin HCl tab 25 mg LudiosMaprotilin HCl tab 50 mg Sandepril 50MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/mL Bonescan KaeFMebendazol tablet 500 mg Vermox 500Medroksi Progesteron Asetat tablet/kaplet/kapsul 100 mg Provera 100mgMelfalan tablet 2 mg AlkeranMeropenem inj 1 g n/aMeropenem serb inj 500 mg/vial n/aMesna inj 100 mg/mL Uromitexan injeksi.Metadon sir 50mg/5ml n/aMetformin HCl tablet 500 mg n/aMetformin HCl tablet 850 mg n/aMetildopa tablet salut 250 mg DOPAMETMetilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg n/aMetilergometrin Maleat injeksi 0,200 mg-1 ml n/aMetilfenidat kapsul LA 20 mg Ritalin LAMetilfenidat tablet SR 10 mg RITALINMetilprednisolon inj 125 mg/2 mL n/aMetilprednisolon inj 500 mg/8 mL n/aMetilprednisolon tablet 16 mg n/aMetilprednisolon tablet 4 mg n/aMetilprednisolon tablet 8 mg n/aMetoklopramid drop botol 10 mL GAVISTAL dropsMetoklopramide sirup 5 mg/ 5 ml LEXAPRAM SIRUPMetoklopramide tablet 5 mg n/aMetotreksat serb inj 50 mg/2 mL Methotrexate KalbeMetotreksat serbuk injeksi i.v/i.m./i.t. 5 mg METHOTREXATE EBEWEMetotreksat tablet/kaplet/kapsul 2,5 mg METHOTREXATE EBEWE 2.Metronidazol infus 500 mg/100 ml n/aMetronidazol ovula 500 mg VagizolMetronidazol sirup 125 mg/5 Ml FarizolMetronidazol supositoria 500 mg FlagylMetronidazol tablet 250 mg n/aMetronidazol tablet 500 mg n/aMIBG (meta-iodobenzylguanidine) Endoneuroscan KaeF 1MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial Cardioscan KaeFMidazolam injeksi i.v. 1 mg/ml DormicumMidazolam injeksi i.v. 5 mg/ml DormicumMikafungin Na serb inj 50 mg MycamineMikofenolat Mofetil 500 mg CellceptMikonazol krim/salep 2 % (Nitrat) n/aModified fluid gelatine BM 30 000 lar inf 4% Gelofusine 4%Moksifloksasin tetes mata 0,5% VigamoxMometason furoat krim 0,1% n/aMorfin HCL inj 10 mg/ml n/aMorfin HCL tablet SR 10 mg MST Continus 10 mgMorfin HCL tablet SR 15 mg MST Continus 15 mg

Morfin HCL tablet SR 30 mg MST Continus 30 mgMorfin tablet 10 mg n/aN-asetil sistein inj. nebules 100 mg N-ace cairan inhalasiNacl 0,9% n/aNadroparin inj 9500 Axa/mL syringe 0,3 mL Fraxiparine 0.3 mlNadroparin inj 9500 Axa/mL, syringe 0,4 mL Fraxiparine 0.4 mlNadroparin inj 9500 Axa/mL, syringe 0,6 mL Fraxiparine 0.6 mlNalokson injeksi 0,4 mg/ml NokobaNatrium Bikarbonat injeksi i.v 8,4% MeylonNatrium Diklofenak tablet 50 mg n/aNatrium fosfat lar oral 45 mL Fleet PhosphosodaNatrium fusidat salep 20 mg/g Fucilex OintmentNeostigmin injeksi 0,5 mg/ml Neostigmin Hameln injNevirapin tablet 200 mg n/aNifedipin tab 20 mg, slow release; oros Adalat Oros 20 mgNifedipin tab 30 mg, oros Adalat Oros 30 mgNifedipin tablet/kapsul 10 mg n/aNikardipin inj 10 mg/vial n/aNilotinib kapsul 200 mg (Skema Risk Sharing sesuai Kepmenkes RI Nomor H TasignaNistatin tablet salut 500.000 IU/ g n/aNistatin vaginal tablet 100.000 IU/ g n/aNorepinefrin injeksi 1 mg/ml RaivasNoretisteron tablet 5 mg Primolut NObat Antituberkulosis FDC Kategori 1 n/aObat Antituberkulosis FDC Kategori 2 n/aObat Antituberkulosis FDC Kategori Anak n/aObat Antituberkulosis FDC Sisipan n/aObat Antituberkulosis Kategori 1 dewasa n/aObat Antituberkulosis Kategori anak n/aOctreotide Acetate0,05 - 6 mg/mL OctideOfloksasin tets telinga 3% Tarivid Otic SolutionOfloxacin tablet 200 mg n/aOfloxacin tablet 400 mg n/aOksaliplatin serbuk injeksi 100 mg / vial ELOXATINOksaliplatin serbuk injeksi 50 mg / vial ELOXATINOksimetazolin tetes hidung 0,025% Ilaidin DropsOksimetazolin tetes hidung 0,050% Iliadin SprayOksitosin injeksi 10 IU/ml Oxytocin "S"Oktreotid 10 mg Sandostatin LAROlanzapin inj 10 mg/vial Zyprexa IMOlanzapin kapl salut 5 mg Olandoz 5Olanzapin tab 10 mg Olandoz 10Olopatadin tts mata 0,1% PatanolOmeprazol injeksi 40 mg/ 10 ml n/aOmeprazol kapsul/kaplet 20 mg n/aondansetron inj 4 mg/ 2 mL n/aOndansetron tab 4 mg n/aOndansetron tablet 8 mg n/a

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Ten n/aPaket CAPD Pergantian Transfer Set per 6 bulan n/aPaket CAPD Rutin 120 ( 4x ganti cairan perhari dengan komposisi Larutan DialiLarutan Dialisa 1.5%: DianPaklitaksel inj 100 mg/vial SINDAXEL 100 MG/16,67 MPaklitaksel inj 300 mg/vial SINDAXEL 260mg/43.33 MPaklitaksel injeksi 30 mg/vial SINDAXEL 30 MG/5 MLParasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) n/aParasetamol sirup 120 mg / 5 ml n/aParasetamol tablet 500 mg n/aParasetamol tetes 60 mg/0,6 mL FASIDOLPegylated interferon alfa-2a inj 135 mcg/0,5 ml PegasysPegylated interferon alfa-2a inj 180 mcg/0,5 ml PegasysPegylated Interferon alfa-2b serb inj 100 mcg Pegintron Vial 100 McgPegylated Interferon alfa-2b serb inj 120 mcg Pegintron Pen 120 McgPegylated Interferon alfa-2b serb inj 50 mcg PegintronPegylated Interferon alfa-2b serb inj 80 mcg Pegintron Vial 80 McgPerak sulfadiazin krim 1% BURNAZIN 35 GRPerindoprilarginin tab 5 mg Bioprexum 5 mgPermetrin krim 5% Scabimite Cream 10Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl) n/aPioglitazon tab 15 mg DECULIN 15 MGPioglitazon tab 30 mg DECULIN 30 MGPirantel suspensi 125 mg/5 ml n/aPirantel tablet score (base) 125 mg n/aPirazinamid tablet 500 mg n/aPiridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) n/aPiridoksin (vitamin B6) inj 100 mg/mL n/aPolikresulen cairan AptilPovidon Iodida larutan 10% 1000 ml n/aPovidon Iodida larutan 10% 30 ml n/aPovidon Iodida larutan 10% 300 ml n/aPovidon Iodida larutan 10% 60 ml n/aPramipeksol tab ER 0,375 mg Sifrol ER 0,375mgPramipeksol tab ER 0,750 mg Sifrol ER 0,750mgPravastatin tablet 20 mg n/aPrimakuin tablet 15 mg n/aProbenesid tablet/kapsul/kaplet 500 mg ProbenidProkain Benzilpenisilin serbuk injeksi 3 juta IU/vial n/aPropanolol tablet 10 mg ( HCl ) n/aPropiltiourasil tablet/kapsul/kaplet 100 mg n/aPropofol injeksi i.v., bolus 1% Fresofol 1% MCT/LCTPropranolol tablet 40 mg (HCl) n/aQuetiapin tab 200 mg Seroquel XR 200 mgQuetiapin tab 300 mg Seroquel XR 300 mgQuetiapin tab 400 mg Seroquel XR 400 mgRamipril tablet 2,5 mg Cardace 2.5mg 6x10 s tablRamipril tablet 5 mg n/aRamipril tablet/kaplet/kapsul 10 mg n/a

Ranitidin injeksi 25 mg/ml n/aRanitidin tablet 150 mg n/aRetinol (Vitamin A) 100.000 IU n/aRetinol (Vitamin A) 200.000 IU kapsul lunak n/aRifampisin tablet/kapsul/kaplet 300 mg n/aRifampisin tablet/kapsul/kaplet 450 mg n/aRifampisin tablet/kapsul/kaplet 600 mg n/aRinger Laktat larutan infus n/aRisperidon tablet 1 mg n/aRisperidon tablet 2 mg n/aRisperidon tablet 3 mg n/aRituksimab injeksi 10 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI No MabtheraRivaroksaban tab 10 mg Xarelto 10 mgRivaroksaban tab 15 mg Xarelto 15 mgRivaroksaban tab 20 mg Xarelto 20 mgRokuronium injeksi i.v. 50 mg/5ml EsmeronRopinirol Tablet Salut 2 mg Requip PD 24 Hour 2 mgRopinirol Tablet Salut 4 mg Requip PD 24 Hour 4 mgRopinirol Tablet Salut 8 mg Requip PD 24 Hour 8 mgSalbutamol cairan ih 0,1% Ventolin NebulesSalbutamol inhalasi/aerosol 100 mcg/dosis Ventolin InhalerSalbutamol serb inh 200 mcg/kaps Ventolin RotacapsSalbutamol serb inh 200 mcg/kaps + rotahaler Ventolin RotahalerSalbutamol tablet 2 mg (sebagai Sulfat) n/aSalep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% n/aSefadroksil sirup kering 125 mg/5ml n/aSefadroksil kapsul/kaplet 250 mg n/aSefadroksil kapsul/kaplet 500 mg n/aSefadroksil sir kering 250 mg/5 mL n/aSefaleksin kapsul/kaplet 500 mg n/aSefazolin serbuk injeksi 1 g/vial n/aSefepim inj 1 g n/aSefiksim kapsul/kaplet 100 mg n/aSefiksim sirup kering 100 mg/ 5 ml n/aSefoperazon inj 1 g n/aSefotaksim injeksi 0,5 g n/aSefotaksim injeksi 1 g n/aSeftazidim injeksi 1 g n/aSeftriakson serbuk injeksi 1 g/vial n/aSefuroksim tablet/kapsul/kaplet 250 mg Zinnat 250 mgSefuroksim serbuk injeksi 750 mg/vial Sharox injSefuroksim tab 500 mg Zinnat 500Sertralin tab 50 mg FatralSetirizin sirup 5 mg/5 ml n/aSetirizin tablet 10 mg n/aSetuksimab infus 5 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor ErbituxSevofluran ih, btl SojournSianokobalamin (vitamin B12) injeksi 500 mcg n/a

Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg n/aSiklofosfamid serbuk injeksi i.v. 1000 mg Cyclovid 1000 mgSiklofosfamid serbuk injeksi i.v. 200 mg Cyclovid 200 mgSiklofosfamid serbuk injeksi i.v. 500 mg CYCLOVID 500Siklosporin kaps 100 mg Sandimmun Neoral 100mgSiklosporin kapsul lunak 25 mg Sandimmun Neoral 25mg KSilostazol tablet/kapsul/kaplet 100 mg CitazSimvastatin scored tablet 10 mg n/aSimvastatin tablet 20 mg n/aSiprofloksasin infus 2% n/aSiprofloksasin tablet 500 mg (sebagai HCl) n/aSisplatin serbuk injeksi 10 mg CisplatinSisplatin serbuk injeksi 50 mg CisplatinSitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml DBL CytarabunSpiramisin tablet 500 mg n/aSpironolakton tablet 100 mg n/aSpironolakton tablet 25 mg n/aStavudin tablet/kapsul/kaplet 30 mg n/aStreptokinase injeksi 1,5 juta UI/vial StreptaseStreptomisin serbuk injeksi i.v 1000 mg/ml n/aSufentanil injeksi iv, epidural 5 mcg/ml Sufentanyl Injeksi iv.EpiduSukralfat susp 500 mg/5 mL UlsafateSukralfat tab 500 mg ULSIDEXTakrolimus kaps 0.5 mg PrografTakrolimus kaps 1 mg PrografTamoksifen tablet 20 mg TAMOXIFEN EBEWETamsulosin tab 0,2 mg Harnal DTamsulosin tab 0,2 mg Harnal DTamsulosin tab SR 0,4 mg Harnal OCASTelbivudin tab 600 mg Sebivo 600 mg TabTelmisartan tab 40mg Micardis 40mgTelmisartan tab 80 mg Micardis 80mgTemozolamid kaps 100 mg TemodalTemozolamid kaps 20 mg TemodalTenofovir tab 300 mg n/aTeofilin tab SR 300 mg RethapylTeofilin tablet 150 mg BronsolvanTerazosin HCl tablet/kapsul/kaplet 1 mg HYTROZ 1MGTerazosin HCl tablet/kapsul/kaplet 2 mg HYTROZ 3MGTerbutalin cairan ih 2,5 mg/mL Bricasma RespulesTerbutalin tablet 2,5 mg Molasma TabletTerbutalin turbu (serbuk ih) 0,50 mg Bricasma Turbuhaler 0,5 mTestoteron soft capsul 40 mg Andriol TestocapsTetrakain HCl tetes mata 0,5% Pantocain 0.5%Tetrasiklin kapsul/kaplet 250 mg n/aTetrasiklin tablet/kapsul/kaplet 500 mg n/aTiamazol tab 10 mg Thyrozol 10Tiamazol tab 5 mg Thyrozol 5

Timolol tetes mata 0,25% Isotic Adretor 0,25%Timolol tetes mata 0,5% Isotic Adretor 0,5%Tiotropium 18 mcg refill Spiriva powder for inhalatTiotropium kaps 18 mcg + handihaller Spiriva 10s + HandihalerTramadol injeksi 50 mg/ml n/aTrastuzumab serbuk injeksi 440 mg/vial (Skema Risk Sharing sesuai Kepme HerceptinTravoprost tetes mata 0,004% TravatanTriamsinolon asetonid nasal spray 55 mcg/puff Nasacort AQTriamsinolon inj 10 mg/mL FlamicortTrifluoperazin tablet 5 mg n/aTropikamid tetes mata 1% Cendo Mydriatil 1%Urea krim 10% Soft U DermVaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukotBCG Vaccine (SII)Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukotBCG Vaccine SSIVaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukotBCG Vaccine (GS)Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA BCG Vaccine (SII)Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA BCG Vaccine SSIVaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA BCG Vaccine (GS)Vaksin BCG Kering (BF) (Harga pengadaan di Kementerian Kesehatan Pusat frn/aVaksin BCG Kering (BF) (Harga pengadaan di Provinsi franco ibukota Provins n/aVaksin Campak Kering (Harga pengadaan di Kementerian Kesehatan Pusat fran/aVaksin Campak Kering (Harga pengadaan di Provinsi franco ibukota Provinsi n/aVaksin DTP-HB-Hib (Harga pengadaan di Kementerian Kesehatan Pusat francoPentabioVaksin DTP-HB-Hib (Harga pengadaan di Provinsi franco ibukota Provinsi (N PentabioVaksin Hepatitis B Rekombinan (Harga pengadaan di Kementerian Kesehatan n/aVaksin Hepatitis B Rekombinan (Harga pengadaan di Provinsi franco ibukota n/aVaksin Jerap DT (Adsorbed DT Vaccine) (Harga pengadaan di Kementerian Kesn/aVaksin Jerap DT (Adsorbed DT Vaccine) (Harga pengadaan di Provinsi franco n/aVaksin Jerap Td (Adsorbed Td Vaccine) (Harga pengadaan di Kementerian Kesn/aVaksin Jerap Td (Adsorbed Td Vaccine) (Harga pengadaan di Provinsi franco n/aVaksin Meningitis Meningokokus MenveoVaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan) Imovax PolioVaksin Poliomyelitis Oral (Harga pengadaan di Kementerian Kesehatan Pusat n/aVaksin Poliomyelitis Oral (Harga pengadaan di Provinsi franco ibukota Provi n/aVaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster VerorabVaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster RABIPURVaksin TT (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota n/aVaksin TT (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA K n/aValasiklovir tablet/kapsul/kaplet 500 mg ValvirValgansiklovir tab 450 mg ValcyteValproat sirup 250 mg/5 ml IkalepValproat tab SR 250 mg Depakote ER 250 mgValproat tab SR 500 mg Depakote ER 500 mgValproat tablet salut 250 mg Depakote Tab 250 mgValsartan tab 80 mg Diovan 80mg TabValsartan tab 160 mg DIOVAN 160 MGVankomisin serbuk injeksi 500 mg/vial VancepVerapamil tab 240 mg Isoptin 240 mg

Verapamil tablet 80 mg (HCl) n/aVinblastin serbuk injeksi 10 mg VinblastineVinkristin serb inj i.v 2 mg/vial Vincristine KalbeVinkristin serbuk injeksi i.v. 1 mg Vincristine KalbeVinorelbin inj. 10 mg/ml Navelbine injeksi 10Vitamin B Kompleks tablet n/aZidofudin 100 mg n/aZidovudin 300 mg + Lamivudine 150 mg n/aZinc drop 10 mg/mL Zincpro DropsZinc sir 10 mg/mL ZinkidZinc sir 20 mg/5 Ml Zircum Kid SirupZinc tablet dispersible20 mg n/a

Nama Penyedia Kemasan

PT. Kimia Farma 1 blister@24 tablet 1,375.00 4/23/2013 10:24PT. SmithKline Beecham PhamacDus, 3 Blister @ 10 kapsul 27,500.00 3/18/2014 20:03PT. Ikapharmindo Vial 20 ml 2,030.00 1/5/2015 14:07PT Otsuka Indonesia Dus, 120 ampul PE @ 25ML 2,200.00 4/28/2015 11:26PT. Widatra Bhakti Btl @ 1000 ml 7,500.00 9/28/2014 21:46PT. Dexa Medica Dus, 10 strip @10tablet 990.00 12/5/2014 22:08PT. Dexa Medica Dus, 10 strip @10tablet 780.00 12/5/2014 22:08PT. Indofarma Dus, 10 dus @ 1 botol @ 10 ml 3,849.00 4/23/2013 10:24PT. Holi Pharma Dus, 5 strip @ 6 tablet 338.00 3/15/2014 16:05PT. Ikapharmindo Vial 100 ml 750,000.00 7/21/2014 21:09PT. Ikapharmindo Vial 50 ml 345,000.00 7/21/2014 21:09PT. Ferron Par Pharmaceuticals Dus, botol @ 100 ml 1,515,000. 1/5/2015 14:07PT. Dipa Pharmalab botol @ 20 ml 321,552.00 1/5/2015 14:07PT. Dipa Pharmalab botol @ 50 ml 732,727.00 1/5/2015 14:07PT. Dipa Pharmalab botol @ 250 ml 900,000.00 9/28/2014 21:46PT. Dipa Pharmalab botol @ 50 ml 283,000.00 9/28/2014 21:46PT. Pertiwi Agung Box, 10 strips @ 10 tablets 86.00 3/15/2014 16:05PT. Bernofarm Dus, 10 blister @ 10 tablet 199.50 3/15/2014 16:05PT. Dexa Medica Dus, 10 Strip @ 10 tablet 380.00 3/15/2014 16:05PT. Otto Pharmaceuticals 1 box 10 Strip X 10 tablet 176.00 3/15/2014 16:05PT. Kimia Farma Ktk 10x10 tablet 233.00 3/15/2014 16:05PT. Boehringer Ingelheim Dus, 1 vial@50mg + 1 vial pelaru 3,800,000. 6/27/2014 19:33PT. Cendo Industri Farmasi tube 3.5 gr 18,500.00 4/3/2014 21:30PT. Sanbe Farma Vial 2 ml 50,500.00 3/16/2014 18:23PT. Lucas Djaja dus 30 ampul @10 ml 3,822.00 4/23/2013 10:24PT. Marin Liza Farmasi Botol @ 100 tablet salut selaput 90.00 3/15/2014 16:05PT. Erela Btl @ 100 tablet 80.00 9/28/2014 21:46PT. Aventis Pharma Dus, 6 ampul @ 3 ml 12,480.00 3/16/2014 18:23PT. Darya Varia strip 1,200.00 3/16/2014 18:23PT. Indofarma Dus, 10 strip @ 10 tss 112.00 4/23/2013 10:24PT. Pertiwi Agung Box, 3 strips @ 10 tablets 330.00 3/15/2014 16:05PT. Pertiwi Agung Box, 3 strips @ 10 tablets 187.00 4/23/2013 10:24PT. Novapharin dus 10 X 10'S 211.00 3/15/2014 16:05PT. Bernofarm Dus, 10 strip @ 10 kaptab 272.00 3/15/2014 16:05PT. Holi Pharma Dus, Botol 60 ml 4,045.00 3/15/2014 16:05PT. Novapharin btl @ 60 ml 2,445.00 4/23/2013 10:24PT. Bernofarm Dus, 10 vial @ 1 g 5,100.00 3/15/2014 16:05PT. Aventis Pharma dus, 5 solostar pen @ 3ml 85,000.00 4/3/2014 21:30PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, Flexpen disposib106,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 102,990.00 4/27/2015 18:36PT. Bayer Indonesia Penfill cartridge 97,500.00 3/18/2014 20:03PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 82,495.00 4/27/2015 18:36PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, Flexpen disposib85,345.00 4/3/2014 21:30PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 200,000.00 4/3/2014 21:30PT. Aventis Pharma dus, 5 solostar pen @ 3ml 79,165.00 3/18/2014 20:03PT. Bayer Indonesia Penfill cartridge 79,167.00 3/18/2014 20:03

Harga Satuan Terkecil

(Rp)

Tanggal Berlaku Harga

PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 32,000.00 4/3/2014 21:30PT. Promedrahardjo Farmasi IndDus, 10 Strip@10 Tablet 75.00 3/15/2014 16:05PT. Rama Emerald Multi Sukses Boto 60 ml 2,100.00 3/15/2014 16:05PT. Indofarma Dus, 25 tube @ 5 g 2,516.00 3/15/2014 16:05PT. Kimia Farma DUS, 10 SUPP @ 2 GRAM 3,045.00 4/23/2015 15:45PT. Kimia Farma ktk 10 x 10 tablet 520.00 3/15/2014 16:05PT. Kimia Farma Btl 100 tablet 135.00 3/15/2014 16:05PT. Meprofarm Dus, 5 strip @ 10 tablet 1,500.00 3/16/2014 18:23PT. Kimia Farma Dus 6 amp @ 1ml 22,000.00 3/18/2014 20:03PT. Pharma Laboratories Dus, 1 Vial @ 60 mg + 1 Ampul P 38,999.00 4/27/2015 18:36PT. Phapros, Tbk Dus @ 10 X 10 's 116.00 3/15/2014 16:05PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 148.00 9/28/2014 21:46PT. Kimia Farma ktk 10x10 tablet 159.00 3/15/2014 16:05PT. Kimia Farma Dus 10 strip x 10 tab 95.00 3/18/2014 20:03PT. Dexa Medica Dus, 10 strip @10 tablet 84.00 7/21/2014 21:09PT. Marin Liza Farmasi Botol @ 100 tablet 48.00 3/15/2014 16:05PT. Boehringer Ingelheim Boks, 1 ampul 2,209,000. 4/3/2014 21:30PT. Afifarma dus, 10 blister @ 10 kapsul 158.00 4/23/2015 15:45PT. Bernofarm Dus, 10 blister @ 10 kaptab ss 112.00 4/23/2013 10:24PT. Sanbe Farma Strip 1,815.00 3/16/2014 18:23PT. Bernofarm Dus, 10 ampul @ 5 ml 2,950.00 3/15/2014 16:05PT. Novartis Indonesia Dus, 1 vial plastik @ 5ml 900,000.00 9/28/2014 21:46PT. Sanbe Farma Tube 3,5 gram 24,750.00 3/16/2014 18:23PT. Indofarma Dus, 10 blister @ 10 tablet 237.00 3/15/2014 16:05PT. Kimia Farma ktk 10x10 tablet 345.00 3/15/2014 16:05PT. Widatra Bhakti 10.000 UI/Vial 1,039,500. 4/3/2014 21:30PT. Zenith Pharmaceuticals Dus 5 strip @ 10 tablet 190.00 3/16/2014 18:23PT Kalbe Farma strip 700.00 1/5/2015 14:07PT. Pratapa Nirmala Box @ 10 strip 10 tab 352.00 4/23/2015 15:45PT. Glaxo Wellcome Indonesia Dus, 5 ampul @ 2.5 ml 20,000.00 3/16/2014 18:23PT. Ethica Industri Farmasi 100 AMPUL @ 1 ML 1,350.00 4/23/2015 15:45PT. Indofarma Dus, 10 strip @ 10 tablet 74.00 4/23/2013 10:24PT. Cendo Industri Farmasi Botol 5ml 13,500.00 12/5/2014 22:08PT. Cendo Industri Farmasi Botol 5ml 13,500.00 12/5/2014 22:08PT. Soho Industri Pharmasi botol @ 60 ml 34,400.00 3/15/2014 16:05PT. Kimia Farma ktk 2x10 tablet 4,500.00 3/15/2014 16:05PT. Soho Industri Pharmasi Strip 3,333.00 3/18/2014 20:03PT. Rama Emerald Multi Sukses Dus @ 50 gram 1,250.00 3/15/2014 16:05PT. Phapros, Tbk Ds 10 vial x 1,2 Jt IU 9,800.00 4/23/2013 10:24PT. Phapros, Tbk 10 vial @ 2.400.000 IU 13,400.00 4/23/2013 10:24PT. Abbott Indonesia Vial 3,200,000. 3/18/2014 20:03PT. Combiphar Box/ 3 blister @ 10 Tablet 3,600.00 3/16/2014 19:08PT. Kimia Farma Tube 5 gr 1,520.00 3/15/2014 16:05PT. Sanbe Farma botol @ 5 ml 25,106.00 9/28/2014 21:46PT. Boehringer Ingelheim Dus, 1 vial @ 4 ml 4,803,697. 9/28/2014 22:55PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 72,400.00 4/3/2014 21:30PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 45,000.00 4/3/2014 21:30PT. Sanbe Farma Supp 6,045.00 3/16/2014 18:23

PT. Boehringer Ingelheim 1 Box @ 6's 4,990.00 1/5/2015 14:07PT. Merck Tbk Dus 10 blister @ 10 tablet 746.00 7/21/2014 21:09PT. Pratapa Nirmala Box 3 X 10 tab 645.00 4/23/2013 10:24PT Kalbe Farma Vial 304,000.00 7/21/2014 21:09PT. Caprifarmindo Box 3 x 10'S 247,089.00 3/16/2014 19:08PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 100 dosis 93,000.00 4/3/2014 21:30PT Otsuka Indonesia Unit, 200 dosis 106,000.00 12/5/2014 22:08PT. AstraZeneca indonesia Dus, 4 pak @ 5 respules @ 2 ml 8,900.00 4/3/2014 21:30PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 120 dosis 117,600.00 3/16/2014 19:08PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 60 dosis 110,500.00 4/3/2014 21:30PT. Dexa Medica Dus, 5 ampul @ 4 ml 25,600.00 7/21/2014 21:08PT. Pratapa Nirmala ampul 30,800.00 7/21/2014 21:09PT. Boehringer Ingelheim Dus, 3 blister @ 10 kapsul 12,936.00 5/21/2014 20:01PT. Boehringer Ingelheim Dus, 3 blister @ 10 kapsul 12,936.00 5/21/2014 20:01PT. Tempo Scan Pacific vial @ 20 ml 305,000.00 9/5/2014 23:17PT. Novell Pharmaeutical Laboravial 275,000.00 7/21/2014 21:09PT. Novartis Indonesia Dus, 4 blister @ 7 tablet 76,000.00 3/16/2014 19:08PT. Novartis Indonesia Dus, 4 blister @ 7 tablet 150,000.00 3/16/2014 19:08PT. Sydna Farma Dus, Botol @ 500ml 2,600,000. 4/3/2014 21:30PT. Sydna Farma Dus, Botol @ 100 tablet 25,300.00 4/3/2014 21:30PT. Novartis Indonesia Dus, 10 vial @ 500mg 112,000.00 4/3/2014 21:30PT. Indofarma Dus, 100 ampul @ 1 ml 1,580.00 3/15/2014 16:05PT. Indofarma Dus, 10 blister @ 10 tablet 68.00 3/15/2014 16:05PT. Merck Sharp Dohme PharmaDus, 1 Blister @ 28 tablet 70,000.00 8/6/2014 18:35PT. Ifars Pharmaceutical Labora Dus, tube @ 5 g 5,700.00 9/28/2014 21:46PT. Dexa Medica Kotak, tube @ 15 gram 9,983.00 3/16/2014 19:30PT. Kimia Farma Dus Tube 10 gram 9,818.00 4/23/2015 15:45PT. Actavis Indonesia Dus, 5 alubag @ 1 tube @ 2,5ml 11,525.00 9/28/2014 21:46PT. Indofarma Dus, 30 ampul @ 2 ml 4,180.00 3/15/2014 16:05PT. Actavis Indonesia Dus, 5 alubag @ 1 tube @ 2,5ml 16,748.00 9/28/2014 21:46PT. Kimia Farma Botol Plastik @ 100 tablet 45.00 1/5/2015 14:07PT. Holi Pharma Dus, 10 blister @10 tablet 136.00 3/15/2014 16:05PT. Lucas Djaja ampul @ 1 ml 1,054.00 3/15/2014 16:05PT. Pratapa Nirmala Box @ 5 ampul 2 mL 22,000.00 9/28/2014 21:46PT. Yarindo Farmatama Box 10 X 10 Tab 97.00 4/23/2013 10:24PT. Indofarma Dus, 10 strip @ 10 tablet 134.00 4/23/2013 10:24PT. Tanabe Indonesia 10 vial @ 50mg 127,667.00 3/18/2014 20:03PT. Pratapa Nirmala Vial 5 mL 46,667.00 3/18/2014 20:03PT. Tanabe Indonesia 3 blister @ 10 kapsul 3,667.00 3/18/2014 20:03PT. Tanabe Indonesia 3 blister @ 10 kapsul 4,015.00 3/18/2014 20:03PT. Kimia Farma Btl 100 tablet 104.00 4/23/2013 10:24PT. Cendo Industri Farmasi botol 15 ml 37,500.00 4/3/2014 21:30PT. Bayer Indonesia ampul 124,955.00 9/28/2014 21:46PT. Dipa Pharmalab ampul @ 5 ml 26,700.00 7/21/2014 21:09PT. Pfizer Indonesia Dus, 5 blister @10's tab 3,480.00 3/16/2014 18:23PT. Pfizer Indonesia Dus, 5 blister @10's tab 5,480.00 3/16/2014 18:23PT. Yarindo Farmatama Box @ 10 strip 10 kapsul 270.00 1/5/2015 14:07PT. Actavis Indonesia Dus, 1 vial @ 10 mg 55,500.00 3/16/2014 18:23

PT. Actavis Indonesia Dus, 1 vial @ 50 mg 274,125.00 3/16/2014 18:23PT. Novapharin btl @ 60 ml 3,333.00 3/15/2014 16:05PT. Novapharin dus 10 X 10'S 167.00 4/23/2013 10:24PT. Bernofarm Dus, botol @ 10 ml 15,600.00 3/15/2014 16:05PT. Dipa Pharmalab ampul @ 5 ml 9,840.00 7/21/2014 21:09PT. Sanbe Farma Dus, 1 vial @0,5 ml+ 1 vial pelar 970,200.00 4/3/2014 21:30PT. Kimia Farma Dus @ 5 vial 455,000.00 8/6/2014 18:35PT. SmithKline Beecham PhamacDus, Botol Plastik @ 30 Tablet 7,100.00 3/18/2014 20:03PT. Kimia Farma Botol 30 tab 6,375.00 6/16/2014 19:59PT. Bernofarm Ampul @ 1 ml 12,990.00 7/21/2014 21:08PT. Pfizer Indonesia Dus, 2 blister @ 15 tablet 42,600.00 4/3/2014 21:30PT. Aventis Pharma dus, 2 prefilled syringe @ 0,2 ml 40,740.00 3/18/2014 20:03PT. Aventis Pharma dus, 2 prefilled syringe @ 0,4 ml 71,875.00 3/18/2014 20:03PT. Aventis Pharma dus, 2 prefilled syringe @ 0,6 ml 100,000.00 3/18/2014 20:03PT. Phapros, Tbk Dus @ 30 Ampul 8,100.00 3/15/2014 16:05PT Kalbe Farma Vial @ 25 ml 500,000.00 3/16/2014 18:23PT. Sanbe Farma Dus, 1 vial @5 ml 128,000.00 4/3/2014 21:30PT. Gracia Pharmindo Dus 3 strip @ 10 Flash tablet 650.00 3/16/2014 19:08PT. Gracia Pharmindo Dus, Botol Plastik @ 100 mL 8,000.00 4/3/2014 21:30PT. Kimia Farma ktk 10 x 10 kapsul 497.00 4/23/2013 10:24PT. Indofarma Dus, 10 blister @ 10 kss 930.00 4/23/2013 10:24PT. Phyto Kemo Agung Farma Botol @60 ml 7,700.00 3/15/2014 16:05PT Kalbe Farma vial/ampul (Prefilled Syringe) 275,000.00 9/28/2014 21:46PT. Soho Industri Pharmasi Dus, 6 prefilled syrenge @ 0.5 ml 133,875.00 9/28/2014 21:46PT Kalbe Farma Prefilled Syringe @ 1ml 128,000.00 5/21/2014 20:01PT. Boehringer Ingelheim Boks, 6 ampul 139,500.00 4/3/2014 21:30PT. Kimia Farma ktk 20 x 10 tablet 314.00 4/23/2013 10:24PT. Indofarma Dus, 10 strip @ 10 tss 451.00 4/23/2013 10:24PT. Novapharin btl @ 100 ml 2,500.00 3/15/2014 16:05PT. Merck Sharp Dohme PharmaDus, botol @ 100 tablet 1,360.00 8/6/2014 18:35PT. Merck Sharp Dohme PharmaDus, 1 blister @ 1 subdermal imp 128,779.00 3/24/2014 14:34PT. Combiphar Vial 100mg/5ml 100,000.00 3/16/2014 18:23PT. Kimia Farma Botol 10 ml 16,667.00 3/18/2014 20:03PT. Novartis Indonesia Dus, 6 blister @ 10 tablet 11,813.00 3/16/2014 19:08PT. Novartis Indonesia Dus, 6 blister @ 10 tablet 23,250.00 3/16/2014 19:08PT. Graha Farma Dus, 1 vial @ 1000 IU+ 1 vial pel 8,500,000. 4/27/2015 18:36PT. Graha Farma Dus, 1 vial @ 500 IU+ 1 vial pela 4,423,500. 4/27/2015 18:36PT. Graha Farma Dual, vial 500 IU 4,400,000. 12/11/2014 2:12PT. Graha Farma Dus, vial @ 250 IU+ 1 vial pelar 2,095,000. 4/23/2015 15:45PT. Ferron Par Pharmaceuticals KOTAK @ 1 VIAL SERBUK OBAT & 9,200,000. 4/3/2014 21:30PT. Kimia Farma vial 1,133,000. 9/28/2014 21:46PT. Dipa Pharmalab Vial/ampul 990,000.00 1/5/2015 14:07PT. Dipa Pharmalab vial 2,150,000. 9/28/2014 21:46PT. Graha Farma 500 IU 1,990,417. 10/9/2015 18:21PT. Mersifarma Tirmaku Mercu KOTAK @ 10 ampul 20,250.00 3/15/2014 16:05PT. Ikapharmindo Botol @ 100 133.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu KOTAK @ 10 ampul 20,250.00 7/21/2014 21:08PT. Phapros, Tbk Dus @ 30 Ampul 1,800.00 4/23/2013 10:24

PT. Indofarma Dus, 10 strip @ 10 tablet 220.00 4/23/2015 15:45PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 kapsul 1,075.00 3/18/2014 20:03PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 kapsul 1,375.00 3/18/2014 20:03PT. Actavis Indonesia Dus 45 x 12 tab 235.00 4/3/2014 21:30PT. Phapros, Tbk Ds 10 str x 10's 510.00 9/28/2014 21:46PT. Phapros, Tbk 10 X 10 290.00 1/5/2015 14:07PT. Boehringer Ingelheim Box, canister 10mL 72,900.00 8/6/2014 18:35PT. Boehringer Ingelheim Dus, Canister 200 dosis 117,500.00 4/3/2014 21:30PT. Kimia Farma Dus 5 ampul@ 10ml 128,000.00 3/18/2014 20:03PT. Kimia Farma Dus 5 ampul@ 2ml 33,914.00 3/18/2014 20:03PT. Kimia Farma Dus @ 5 patch 80,000.00 4/3/2014 21:30PT. Kimia Farma Dus@ 5 patch 153,000.00 3/18/2014 20:03PT. Kimia Farma Dus@ 5 patch 285,000.00 3/18/2014 20:03PT Kalbe Farma pfs @ 0,5 ml 375,000.00 3/16/2014 18:23PT. Combiphar Box, isi 3 Strip @ 10 tab 2,950.00 7/21/2014 21:09PT. Marin Liza Farmasi Botol @ 100 tablet salut gula 634.00 4/23/2013 10:24PT. Phapros, Tbk dus @ 30 ampul 3,417.00 8/6/2014 18:35PT. Aventis Pharma Dus, 5 vial @ 50 mg 1,248,319. 4/3/2014 21:30PT. Aventis Pharma Dus, 4 blister @ 5 tablet salut sel 275,000.00 4/3/2014 21:30PT. Mersifarma Tirmaku Mercu Dus, 5 ampul @ 1ml 55,000.00 3/16/2014 19:08PT. Novell Pharmaeutical LaboraBotol 38,000.00 3/15/2014 16:05PT. Pfizer Indonesia Blister 4,862.00 9/28/2014 21:46PT. Kimia Farma ktk 1 x 10 kapsul 22,000.00 3/15/2014 16:05PT. Gracia Pharmindo strip 419.00 3/16/2014 18:23PT. Dexa Medica DUS, 30 TABLET 410.00 3/16/2014 18:23PT. Sanbe Farma botol @ 5 ml 30,493.00 9/28/2014 21:46PT Kalbe Farma vial @ 1 ml 24,500.00 3/16/2014 18:23PT Kalbe Farma vial @ 10 ml 33,000.00 3/16/2014 18:23PT. Ifars Pharmaceutical Labora Dus, Tube 5 g 2,400.00 3/16/2014 18:23PT. Ikapharmindo Dus, tube @ 10 g 5,489.00 8/19/2015 18:52PT. Glaxo Wellcome Indonesia Dus, Botol 120 Dosis Spay 93,333.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 2 flow wrap@ 5 nebules @ 1 12,917.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 2 pfs 0.5 ml 241,667.00 3/18/2014 20:03PT. Dipa Pharmalab dus, vial @ 250 ml 972,000.00 8/6/2014 18:35PT. Indofarma Dus, 25 ampul @ 2 ml 1,829.00 4/23/2013 10:24PT. Indofarma Dus, 10 strip @ 10 tablet 85.00 4/23/2013 10:24PT. Bayer Indonesia Prefilled Syringe 275,000.00 8/6/2014 18:35PT. Bayer Indonesia Prefilled Syringe 412,500.00 8/6/2014 18:35PT. Bayer Indonesia Prefilled Syringe 2,570,000. 8/6/2014 18:35PT. Boehringer Ingelheim Boks, 1 ampul 399,500.00 4/3/2014 21:30PT. Rama Emerald Multi Sukses Kotak 100 Shachet 285.00 3/15/2014 16:05PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 295,000.00 4/3/2014 21:30PT. Indofarma Dus, 10 blister @ 12 kapsul 289.00 4/23/2013 10:24PT. Indofarma Dus, 10 blister @ 10 kaptab 679.00 4/23/2013 10:24PT. Bayer Indonesia vial 1,098,900. 3/16/2014 18:23PT. Sanbe Farma Dus, 1 vial @200 mg 330,000.00 4/3/2014 21:30PT. Indofarma Dus, 5 ampul @ 2 ml 3,399.00 4/23/2013 10:24PT. Erela Tube @ 3,5 gr 2,600.00 3/16/2014 18:23

PT. Indofarma Dus, botol plastik 5 ml 3,194.00 3/15/2014 16:05PT. Indofarma Dus, 10 blister @ 10 kaptab 56.00 3/15/2014 16:05PT. Tempo Scan Pacific Strip 235.00 3/16/2014 18:23PT. Pradja Pharin Dus, 6 strip @ 10 tablet lepas la 638.00 4/3/2014 21:30PT. Darya Varia Box, 30 Tablet 5,500.00 12/5/2014 22:08PT. Dexa Medica Dus, 10 Strip @ 10 tablet 950.00 3/15/2014 16:05PT. Kimia Farma ktk 5x10 tablet 265.00 4/23/2013 10:24PT. Kimia Farma ktk 5x10 tablet 436.00 4/23/2013 10:24PT. Kimia Farma ktk 5x10 tablet 404.00 4/23/2013 10:24PT. Kimia Farma ktk 5x10 tablet 430.00 4/23/2013 10:24PT. Pfizer Indonesia Dus, botol@TAB 10MG 30 3,207.00 1/5/2015 14:07PT. Pfizer Indonesia Dus, botol@TAB 10MG 31 3,000.00 1/5/2015 14:07PT. Tempo Scan Pacific 1 box isi 5 ampul 10 ml 119,900.00 4/28/2015 11:39PT. Kimia Farma Dus 10x10 1,493.00 4/3/2014 21:30PT. Kimia Farma Dus 10x10 2,171.00 4/3/2014 21:30PT. Actavis Indonesia Btl @ 30 tablet 1,500.00 3/18/2014 20:03PT. Lucas Djaja Glycerin 100 ml 5,333.00 3/18/2014 20:03PT. Widatra Bhakti botol @ 500 ml 5,700.00 4/23/2013 10:24PT. Widatra Bhakti botol @ 500 ml 5,200.00 4/23/2013 10:24PT. AstraZeneca indonesia Dus, 1 syringe @ 10.8 mg 2,300,000. 4/3/2014 21:30PT. AstraZeneca indonesia Dus, 1 syringe @ 3.6 mg 840,000.00 4/3/2014 21:30PT. Indofarma Dus, 10 blister @ 10 tablet 219.00 4/23/2013 10:24PT. Soho Industri Pharmasi Dus 5 Ampul@1mL 83,333.00 3/18/2014 20:03PT. Mersifarma Tirmaku Mercu KOTAK @ 12 ampul 6,250.00 9/28/2014 21:46PT. Indofarma Dus, 10 blister @ 10 tablet 59.00 4/23/2013 10:24PT. Indofarma Dus, 10 blister @ 10 tablet 96.00 4/23/2013 10:24PT. Indofarma Dus, 10 blister @ 10 tablet 69.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 126.00 3/16/2014 18:23PT. Mersifarma Tirmaku Mercu BOTOL @ 15 ML 16,500.00 10/24/2014 21:14PT. Dexa Medica Botol 641,500.00 3/18/2014 20:03PT. Pratapa Nirmala vial 42,900.00 7/21/2014 21:09PT. Dipa Pharmalab Dus, 1 syringe @ 0.5 mL 1,328,000. 5/22/2014 14:25PT. Kimia Farma dus, 10 strip @ 10 tablet 149.00 4/23/2015 15:45PT. Marin Liza Farmasi tube @ 5 ml 2,570.00 4/23/2013 10:24PT. Kimia Farma Tube 5 gr 2,798.00 4/23/2013 10:24PT. Dipa Pharmalab vial 5,400.00 9/28/2014 21:46PT. Otto Pharmaceuticals box 5ampul @1 ml 4,500.00 3/18/2014 20:03PT. Cendo Industri Farmasi Botol 5ml 18,000.00 12/5/2014 22:08PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00 4/27/2015 18:36PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00 4/3/2014 21:30PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00 4/3/2014 21:30PT. Sanbe Farma penfillcartridge @ 3ml 75,000.00 4/3/2014 21:30PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00 4/13/2015 15:52PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00 4/13/2015 15:52PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00 4/27/2015 18:36PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00 4/3/2014 21:30

PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00 4/3/2014 21:30PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00 4/27/2015 18:36PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00 4/3/2014 21:30PT. Sanbe Farma penfill cartridge @ 3ml 75,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00 4/3/2014 21:30PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00 4/13/2015 15:52PT. Dexa Medica Prefilled syringe 170,000.00 8/6/2014 18:35PT. Indofarma Dus, botol 60 ml 3,499.00 3/15/2014 16:05PT. Indofarma Dus, botol 60 ml 4,499.00 4/23/2013 10:24PT. Yarindo Farmatama botol @ 100 tablet 110.00 4/23/2013 10:24PT. Holi Pharma Dus, 10 strip @ 10 tablet 149.00 4/23/2013 10:24PT. Mugi Laboratories Dus, 1 vial @ 1 g 1,329,163. 4/3/2014 21:30PT. Novartis Indonesia Dus, 6 blister @ 10 tablet salut s 211,000.00 9/28/2014 22:55PT. Tanabe Indonesia 3 blister @ 10 tablet 3,908.00 3/18/2014 20:03PT. Tanabe Indonesia 3 blister @ 10 tablet 2,120.00 3/18/2014 20:03PT. Dipa Pharmalab Dus, botol @ 100 ml 350,000.00 4/3/2014 21:30PT. Dipa Pharmalab Dus, vial @ 30 ml 122,000.00 5/21/2014 10:06PT. Dipa Pharmalab Dus, vial @ 50 ml 166,000.00 4/3/2014 21:30PT. Dipa Pharmalab Dus, botol @ 100 ml 369,000.00 4/3/2014 21:30PT. Dipa Pharmalab Dus, vial @ 30 ml 147,000.00 5/21/2014 10:06PT. Dipa Pharmalab Dus, vial @ 50 ml 199,000.00 4/3/2014 21:30PT. Bayer Indonesia Botol 245,000.00 4/3/2014 21:30PT. Bayer Indonesia Botol 123,200.00 4/3/2014 21:30PT. Bayer Indonesia Botol 299,000.00 4/3/2014 21:30PT. Bayer Indonesia Botol 150,300.00 4/3/2014 21:30PT. Boehringer Ingelheim Box, canister 10mL 80,000.00 8/6/2014 18:35PT. Boehringer Ingelheim Box, bottle 20mL 90,000.00 12/5/2014 22:08PT. Indofarma Dus, 5 blister @ 10 kss 1,425.00 3/15/2014 16:05PT. Indofarma Dus, 5 blister @ 10 kss 2,470.00 3/15/2014 16:05PT. Sanbe Farma Dus, 1 vial @2 ml 510,000.00 4/3/2014 21:30PT. Pratapa Nirmala Botol 100 mL 270,000.00 9/28/2014 21:46PT. Phyto Kemo Agung Farma Botol 100 tablet 65.00 9/28/2014 21:46PT. Phyto Kemo Agung Farma Botol 100 tablet 158.00 9/28/2014 21:46PT. Pratapa Nirmala vial 33,000.00 7/21/2014 21:09PT. Indofarma Dus, 10 strip @ 10 tablet 88.00 4/23/2013 10:24PT. Kimia Farma Dus, 5 strip @ 10 tablet 189.00 1/5/2015 14:07PT. Tempo Scan Pacific Strip 694.00 3/16/2014 18:23PT. Merck Tbk Dus, 10 strip @ 10 tablet 1,580.00 4/3/2014 21:30PT. Tempo Scan Pacific Vial 50 mg/5 ml 82,000.00 7/21/2014 21:09PT. Ethica Industri Farmasi Ampul 7,800.00 4/3/2014 21:30PT. Afifarma Dus,10 Strip @ 10 tablet 70.00 9/28/2014 21:46PT. Novell Pharmaeutical Laborakantong 5 g 7,700.00 9/28/2014 21:46PT. Hexpharm Jaya Laboratoriesvial 5,000.00 3/15/2014 16:05PT. Dexa Medica Dus, 3 Blister @ 10 tablet 4,900.00 3/15/2014 16:05

PT. Dexa Medica Dus, 3 Blister @ 10 tablet 3,100.00 3/15/2014 16:05PT. Boehringer Ingelheim Boks, 120 tablet 27,500.00 4/3/2014 21:30PT. Indofarma Dus, 10 strip @ 10 tablet 140.00 4/23/2013 10:24PT. Errita Pharma Dus, 10 strip @10 tablet 80.00 3/15/2014 16:05PT. Indofarma Dus, 10 strip @ 10 tablet 62.00 3/15/2014 16:05PT. Novartis Indonesia Dus, botol @ 120 ml 44,770.00 3/16/2014 19:30PT. Indofarma Dus, 10 blister @ 10 tablet 245.00 4/23/2013 10:24PT. Nicholas Laboratories Indon Dus,botol 100 tablet 875.00 4/3/2014 21:30PT. Lucas Djaja Fenol 100 mg / 1 ml 2,042.00 3/18/2014 20:03PT. Tempo Scan Pacific vial @ 15 ml 190,000.00 9/5/2014 23:17PT. Tempo Scan Pacific vial @ 45 ml 408,000.00 9/5/2014 23:17PT Kalbe Farma strip 1,360.00 9/28/2014 21:46PT. Guardian Pharmatama Vial @ 10 ml 110,000.00 3/16/2014 18:23PT. Combiphar Box, isi 1 vial @ 10 ml 60,300.00 7/21/2014 21:09PT. Kimia Farma tube 10 gr 2,569.00 4/23/2013 10:24PT. Hexpharm Jaya Laboratoriestube 5 gr 2,850.00 4/23/2013 10:24PT. Novell Pharmaeutical LaboraBox isi 1 Tube @ 15 g 4,700.00 4/23/2013 10:24PT. Ikapharmindo Botol 80 ml 28,000.00 9/28/2014 21:46PT. Dexa Medica Dus, 5 Strip @ 10 tablet 300.00 4/23/2013 10:24PT. Kimia Farma dus 2 's @ 10 supp 2,722.00 7/21/2014 21:09PT. Phapros, Tbk Dus @ 12 Ampul 2,300.00 3/15/2014 16:05PT. Ifars Pharmaceutical Labora Dus, 3 Strip @ 10 Kaplet salut sel 3,200.00 3/16/2014 18:23PT. Indofarma Dus, 5 blister @ 10 kapsul 361.00 4/23/2013 10:24PT. Indofarma Dus, 5 blister @ 10 kapsul 553.00 4/23/2013 10:24PT. Dexa Medica Dus, 10 Strip @ 10 tablet 900.00 3/15/2014 16:05PT. Boehringer Ingelheim Box, 10 ampoules @ 1mL 30,600.00 8/6/2014 18:35PT. Kimia Farma Ktk 10X10 TAB 184.00 4/23/2013 10:24PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 tab 3,400.00 3/15/2014 16:05PT. Bufa Aneka Box isi 24 tube @ 15 gram 3,524.00 4/23/2015 15:45PT. Erela Tube @ 5 gram 1,600.00 4/23/2013 10:24PT. Sanbe Farma vial 7,260.00 1/5/2015 14:07PT. Bernofarm Botol @ 60 ml 3,680.00 4/23/2013 10:24PT. Rama Emerald Multi Sukses kotak,10strip@10 tablet 51.00 4/23/2015 15:45PT. Phapros, Tbk Dus @ 30 Ampul 1,100.00 4/23/2013 10:24PT. Phapros, Tbk Dus @ 30 Ampul 1,050.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu Kotak @ 10 x 10 tab 144.00 1/5/2015 14:07PT. Phapros, Tbk 10 X 10 68.00 1/5/2015 14:07PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 5,000.00 4/3/2014 21:30PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 1,550.00 4/3/2014 21:30PT. Kimia Farma ktk 10x10 tablet 500.00 4/23/2013 10:24PT. Kimia Farma ktk 10x10 tablet 850.00 4/23/2013 10:24PT. Kimia Farma ktk 10x10 tablet 1,100.00 4/23/2013 10:24PT. Pratapa Nirmala Btl @ 30 kapsul 2,500.00 9/28/2014 21:46PT. Pratapa Nirmala Box @ 3 strip 10 tab 3,950.00 4/23/2015 15:45PT. Fresenius Kabi Combiphar Botol Plastik @ 500 ml 33,000.00 7/21/2014 21:09PT. Boehringer Ingelheim 1 dus @ 20 vial 5,990.00 1/5/2015 14:07PT. Triyasa Nagamas Farma Vial 5,350.00 12/5/2014 22:08PT. Galenium Pharmasia LaboratBotol @ 60 ml 12,450.00 3/16/2014 19:08

PT. Kimia Farma 1 sase @30 tablet 50.00 3/15/2014 16:05PT. Cendo Industri Farmasi botol 15 ml 15,750.00 4/3/2014 21:30PT. Novartis Indonesia Dus, 4 blister @ 6 tablet 3,220.00 4/3/2014 21:30PT. Novartis Indonesia Dus, botol plastik @ 30 tablet sal 8,900.00 4/3/2014 21:30PT. Abbott Indonesia botol @ 120 tablet 6,100.00 8/6/2014 18:35PT. Glaxo Wellcome Indonesia Dus, Botol 120 Dosis 90,667.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60 dosis 100,833.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60 dosis 113,333.00 3/18/2014 20:03PT. Kimia Farma Dus, 100 blister @ 28 tablet 2,089.00 1/5/2015 14:07PT. Holi Pharma Dus, 10 strip @ 10 kaptab 149.00 3/15/2014 16:05PT. Lucas Djaja Botol @ 60 ml 2,145.00 3/15/2014 16:05PT. Kimia Farma ktk 60 tablet 670.00 4/23/2013 10:24PT. Kimia Farma ktk 100 amp @ 2 ml 6,200.00 4/23/2013 10:24PT. Kimia Farma ktk 10 x 10 tablet 540.00 4/23/2013 10:24PT. Ikapharmindo Botol 60 ml 14,500.00 4/28/2015 11:14PT. Kimia Farma Botol 30 tab 2,000.00 9/28/2014 21:46PT. Kimia Farma Botol 60 tablet 1,400.00 4/23/2013 10:24PT. Takeda Indonesia Serbuk vial 82,042.00 4/3/2014 21:30PT. Indofarma Dus, 2 strip @ 10 kapsul 473.00 4/23/2013 10:24PT. SmithKline Beecham PhamacDus, 7 Blister @ 10 tablet 67,200.00 3/18/2014 20:03PT. Finusolprima Farma Internasbotol 500 ml 56,300.00 4/3/2014 21:30PT Otsuka Indonesia Softbag 500 ML 56,300.00 3/18/2014 20:03PT Otsuka Indonesia Softbag 500 ML 37,500.00 3/18/2014 20:03PT Otsuka Indonesia Double Chamber Softbag 1000 M 115,500.00 5/28/2014 19:25PT Otsuka Indonesia Double Chamber Softbag 500 ML 61,600.00 5/28/2014 19:25PT Kalbe Farma botol 500 mL 75,350.00 4/3/2014 21:30PT. Fresenius Kabi Combiphar Botol Gelas 100 ml 36,667.00 4/14/2014 9:16PT. Fresenius Kabi Combiphar Botol Gelas 250 ml 50,820.00 4/14/2014 9:16PT Otsuka Indonesia Softbag 200 ML 46,000.00 4/12/2014 17:56PT Otsuka Indonesia Softbag 500 ML 65,000.00 4/12/2014 17:56PT. Fresenius Kabi Combiphar Botol Gelas 500 ml 78,720.00 3/18/2014 20:03PT. Finusolprima Farma Internasbotol 250 ml 51,260.00 4/3/2014 21:30PT. Finusolprima Farma Internasbotol 500 ml 64,900.00 4/3/2014 21:30PT Kalbe Farma botol 500 mL 42,000.00 4/3/2014 21:30PT Kalbe Farma botol 250 mL 46,000.00 4/3/2014 21:30PT. Fresenius Kabi Combiphar Bag (3 Chamber) 1440 ml 295,240.00 4/14/2014 9:16PT. Fresenius Kabi Combiphar Bag (3 Chamber) 1920 ml 343,842.00 4/14/2014 9:16PT. Phapros, Tbk Bag Double chamber (Dua compa322,000.00 4/3/2014 21:30PT. Phapros, Tbk Bag Double chamber (Dua compa218,700.00 4/3/2014 21:30PT Otsuka Indonesia Ampoel 25 ML 2,050.00 3/18/2014 20:03PT. Widatra Bhakti Botol 1000 ml 8,000.00 4/3/2014 21:30PT Otsuka Indonesia Plastic Bottle 500 ML 9,000.00 4/3/2014 21:30PT Otsuka Indonesia Plastic Bottle 500 ML 9,000.00 4/3/2014 21:30PT Kalbe Farma flexybag 250 mL 87,000.00 4/3/2014 21:30PT. Phapros, Tbk LDPE (Low Density Poly Ethilene), 12,650.00 4/3/2014 21:30PT Kalbe Farma botol 500 mL 50,500.00 4/3/2014 21:30PT Kalbe Farma Flexy bag 500 mL 42,350.00 4/3/2014 21:30PT Otsuka Indonesia Plastic Bottle 500 ML 29,167.00 3/18/2014 20:03

PT Otsuka Indonesia Plastic Bottle 500 ML 55,500.00 4/12/2014 17:56PT Kalbe Farma botol 500 mL 37,500.00 4/3/2014 21:30PT Kalbe Farma Botol Plastik 1000 mL 210,000.00 5/21/2014 20:01PT Kalbe Farma Botol Plastik 1000 mL 199,000.00 4/3/2014 21:30PT Kalbe Farma botol 500 mL 56,000.00 4/3/2014 21:30PT. Widatra Bhakti Botol 500 ml 9,500.00 4/3/2014 21:30PT. Widatra Bhakti Botol 500 ml 6,800.00 4/3/2014 21:30PT. Widatra Bhakti Botol 500 ml 6,917.00 3/18/2014 20:03PT. Widatra Bhakti Botol 500 ml 7,700.00 3/18/2014 20:03PT. Widatra Bhakti Botol 500 ml 7,700.00 3/18/2014 20:03PT. Sanbe Farma softbag 500ml 35,750.00 4/3/2014 21:30PT. Widatra Bhakti Botol 500 ml 6,930.00 4/3/2014 21:30PT Otsuka Indonesia Plastic Bottle 500 ML 9,167.00 3/18/2014 20:03PT Otsuka Indonesia Plastic Bottle 500 ML 10,000.00 4/3/2014 21:30PT Otsuka Indonesia Plastic Bottle 500 ML 10,000.00 4/3/2014 21:30PT. Phapros, Tbk 20%, Botol Kaca @100 ml, single 105,500.00 4/3/2014 21:30PT. Fresenius Kabi Combiphar Botol Gelas 100 ml 60,500.00 3/18/2014 20:03PT. Phapros, Tbk 20%, Botol Kaca @250 ml, single 210,000.00 4/3/2014 21:30PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)591,000.00 4/3/2014 21:30PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)511,000.00 4/3/2014 21:30PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)358,000.00 4/3/2014 21:30PT. Cendo Industri Farmasi strip 5 x 0.6 ml 72,000.00 4/3/2014 21:30PT. Pfizer Indonesia dus, Botol @ 2,5 ml 127,000.00 8/6/2014 18:35PT. Aventis Pharma Dus, 1 vial @ 263 mcg + 1 prefill 550,000.00 8/6/2014 18:35PT. Novartis Indonesia Dus, 3 blister @ 10 tablet 17,500.00 9/28/2014 21:46PT. Takeda Indonesia Vial 700,000.00 4/3/2014 21:30PT. Takeda Indonesia Vial 2,700,000. 4/3/2014 21:30PT. Takeda Indonesia Vial 500,000.00 9/28/2014 21:46PT. Infion Pharmaceutical Box, 1 Botol @ 100 ml 40,000.00 3/15/2014 16:05PT. Promedrahardjo Farmasi IndDus, 5 Strip@10 Tablet 528.00 4/23/2013 10:24PT. Erela Btl @ 5 ml 13,068.00 9/28/2014 21:46PT. Merck Tbk Dus 4 blister @ 25 tablet 850.00 9/28/2014 21:46PT. Merck Tbk Dus 4 blister @ 25 tablet 637.50 4/28/2015 11:14PT. Bernofarm Dus, 100 ampul @ 2 ml 839.00 3/15/2014 16:05PT. Indofarma Dus, 30 ampul @ 2 ml 1,363.00 4/23/2013 10:24PT. AstraZeneca indonesia Dus, 10 syringe @ 10 g 40,000.00 4/3/2014 21:30PT. AstraZeneca indonesia Dus,Botol @ 50 ml (500 dosis) 142,000.00 9/28/2014 21:46PT. Novell Pharmaeutical LaboraBox ,3 Strip @ 10 tablet 600.00 4/23/2013 10:24PT. Novell Pharmaeutical LaboraBox ,3 Strip @ 10 tablet 350.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,050.00 4/3/2014 21:30PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,850.00 4/3/2014 21:30PT. Ifars Pharmaceutical Labora Dus, 10 Strip @ 10 Tablet 89.00 4/23/2013 10:24PT. Promedrahardjo Farmasi IndDus, 5 Strip@10 Tablet 154.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 685.00 10/24/2014 21:14PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,341.00 3/16/2014 18:23PT. Novell Pharmaeutical Laboraampul 52,000.00 7/21/2014 21:09PT Otsuka Indonesia Dus, 120 ampul plastik @ 25 ml 2,800.00 4/28/2015 11:14PT Otsuka Indonesia Dus, 120 ampul plastik @ 25 ml 3,500.00 4/28/2015 11:14

PT. Finusolprima Farma Internasbotol 500 ml 62,000.00 6/16/2014 19:59PT. Soho Industri Pharmasi Strip 1,200.00 3/16/2014 18:23PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 3,276.00 3/16/2014 18:23PT. Kimia Farma Dus @ 5 vial 473,000.00 8/6/2014 18:35PT. Taisho Pharmaceutical Indo Dus,24 Catch @ 1 tablet 7,140.00 3/18/2014 20:03PT. Pfizer Indonesia Dus, 10 blister @10 tablet 6,125.00 12/5/2014 22:08PT. Glaxo Wellcome Indonesia Box, Tablet 2 mg/25's 12,210.00 4/3/2014 21:30PT. Bernofarm Dus, 1 vial @ 1 g 54,000.00 3/15/2014 16:05PT. Bernofarm Dus, 1 vial @ 0,5 g 44,960.00 7/21/2014 21:08PT. Mugi Laboratories Dus, 15 Ampul 74,998.00 4/3/2014 21:30PT. Kimia Farma Botol 1000 ml 254,100.00 3/18/2014 20:03PT. Bernofarm Dus, 10 blister @ 10 tablet 112.50 4/23/2013 10:24PT. Bernofarm Dus, 10 blister @ 10 kaptab 197.50 4/23/2013 10:24PT. Actavis Indonesia Dus, 10 Strip @ 10 tablet salut se 800.00 9/28/2014 21:46PT. Kimia Farma ktk 10 x 10 tablet salut 154.00 4/23/2013 10:24PT. Ethica Industri Farmasi ampul @ 1 ml 2,750.00 1/5/2015 14:07PT. Novartis Indonesia Dus, botol plastik @ 30 kapsul p 6,537.00 4/3/2014 21:30PT. Novartis Indonesia Dus, 2 blister @ 15 tablet 1,950.00 9/28/2014 21:46PT. Dexa Medica Dus, 1 Vial @125mg + 1 ampul pe19,500.00 7/21/2014 21:08PT. Bernofarm Dus, 1 vial @ 500 mg 89,990.00 7/21/2014 21:08PT. Mahakam Beta Farma Strip 635.00 4/23/2013 10:24PT. Natura Laboratoria Prima Dus, 10 Blister @ 10 Tablet 205.00 4/23/2013 10:24PT. Dexa Medica Dus, 10 Blister @ 10 tablet 300.00 4/23/2013 10:24PT. Meprofarm Dus, Botol 10 ml 5,280.00 9/28/2014 21:46PT. Molex Ayus BOTOL 60 ML 2,600.00 9/28/2014 21:46PT. Kimia Farma ktk 10 x 10 tablet 108.00 4/23/2013 10:24PT Kalbe Farma vial @ 2 ml 35,750.00 9/28/2014 21:46PT. Sandoz Indonesia Box 10 ampul @ 1 ml 21,120.00 9/28/2014 21:46PT. Sandoz Indonesia Box, bottle @ 50 tab 1,680.00 9/28/2014 21:46PT. Natura Laboratoria Prima Dus, 1 Botol @ 100 ml 9,950.00 4/23/2013 10:24PT. Kimia Farma dus 1 's @ 5 ovula 3,850.00 9/28/2014 21:46PT. Ifars Pharmaceutical Labora Dus, botol 60ml 4,100.00 4/23/2015 15:45PT. Aventis Pharma Dus, 2 blister @ 5 suppositoria 3,220.00 3/16/2014 18:23PT. Phyto Kemo Agung Farma 10 strip @ 10 tab 110.00 4/23/2013 10:24PT. Phyto Kemo Agung Farma 10 strip @ 10 tab 160.00 4/23/2013 10:24PT. Kimia Farma vial 1,925,000. 9/28/2014 21:46PT. Kimia Farma Dus @ 5 vial 1,237,500. 5/21/2014 20:01PT. Boehringer Ingelheim Boks 10 amp 6,119.00 3/16/2014 18:23PT. Boehringer Ingelheim Boks 5 amp 12,060.00 3/16/2014 18:23PT. Combiphar Dus,1 vial@50mg 260,000.00 4/3/2014 21:30PT. Boehringer Ingelheim Boks, 50 tablet 16,000.00 8/6/2014 18:35PT. Kimia Farma Tube 10 gram 3,000.00 4/23/2013 10:24PT. Phapros, Tbk Btl @ 500 ml 72,000.00 9/28/2014 21:46PT. Tempo Scan Pacific botol, tetes mata 3 ml 77,000.00 4/3/2014 21:30PT. Guardian Pharmatama tube 10 gram 17,820.00 3/15/2014 16:05PT. Kimia Farma Dus 10 amp @ 1 ml 8,400.00 3/18/2014 20:03PT. Mahakam Beta Farma Dus, 6 strip @ 10 tablet 15,620.00 4/3/2014 21:30PT. Mahakam Beta Farma Dus, 6 strip @ 10 tablet 22,990.00 4/3/2014 21:30

PT. Mahakam Beta Farma Dus, 6 Strip @ 10 Tablet 41,470.00 10/9/2015 18:21PT. Kimia Farma Botol 30 tablet 1,300.00 4/23/2013 10:24PT. Pratapa Nirmala Box @ 5 ampul 13,200.00 9/28/2014 21:46PT. Widatra Bhakti Botol 500 ml 4,700.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.3 ml 54,144.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.4 ml 66,640.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.6 ml 94,962.00 3/18/2014 20:03PT. Pratapa Nirmala Dus, 5 Ampul @ 2ml 61,600.00 3/16/2014 18:23PT Otsuka Indonesia Ampoel 25 ML 6,200.00 3/18/2014 20:03PT. Novell Pharmaeutical LaboraBox ,5 Blister @ 10 tablet 200.00 4/23/2013 10:24PT. Combiphar Botol, 45 ml 33,900.00 5/21/2014 20:01PT. Molex Ayus Tube 5 gr 6,490.00 3/16/2014 18:23PT. Pharma Health Care Box, isi 5 ampul @ 1 ml 9,500.00 7/21/2014 21:09PT. Kimia Farma btl 60 tablet 2,800.00 4/23/2013 10:24PT. Bayer Indonesia blister 2,999.00 3/16/2014 18:23PT. Bayer Indonesia blister 3,500.00 3/16/2014 18:23PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut se 100.00 3/15/2014 16:05PT. Pratapa Nirmala Box @ 1 vial 66,000.00 4/23/2015 15:45PT. Novartis Indonesia Dus, 2 blister @ 14 kapsul 380,875.00 9/28/2014 22:55PT. Phapros, Tbk Dus @ 10 X 10 's 640.00 4/23/2013 10:24PT. Phapros, Tbk Dus @ 10 X 10 's 480.00 4/23/2013 10:24PT. Dexa Medica ampul 52,000.00 7/21/2014 21:09PT. Bayer Indonesia blister 2,618.00 3/16/2014 18:23PT. Phapros, Tbk Paket 359,900.00 4/23/2013 10:24PT. Indofarma Paket 1,199,990. 4/23/2013 10:24PT. Phapros, Tbk Paket 214,900.00 4/23/2013 10:24PT. Indofarma Paket@84 tablet 160,000.00 4/23/2013 10:24PT. Indofarma Dus, 1 dus @ 60 blister @ 8 tablet288,199.00 4/23/2013 10:24PT. Indofarma Dus, 60 sachet tahap intensif @ (1171,195.00 4/23/2013 10:24PT. Pratapa Nirmala Box @ 5 ampul 80,000.00 9/28/2014 21:46PT Kalbe Farma Btl @ 5 ml 48,500.00 1/5/2015 14:07PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 400.00 4/23/2013 10:24PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 650.00 4/23/2013 10:24PT. Aventis Pharma Dus, 1 vial @ 20 ml 1,100,000. 9/5/2014 23:17PT. Aventis Pharma Dus, 1 vial @ 10 ml 550,000.00 9/5/2014 23:17PT. Merck Tbk botol @ 10 ml 27,550.00 3/16/2014 18:23PT. Merck Tbk botol 15 ml 29,000.00 4/23/2015 15:45PT. Ethica Industri Farmasi ampul @ 1 ml 2,200.00 9/28/2014 21:46PT. Novartis Indonesia Dus, vial @ 355m + 1 prefilled sy 2,950,000. 4/3/2014 21:30PT. Bayer Indonesia Vial 120,000.00 5/21/2014 20:01PT. Sandoz Indonesia 3 X 10 fcc 6,450.00 3/16/2014 18:23PT. Sandoz Indonesia 3 X 10 fcc 11,200.00 3/16/2014 18:23PT. Tempo Scan Pacific botol, tetes mata 5 ml 68,000.00 9/6/2014 1:27PT. Natura Laboratoria Prima Dus, 1 Vial @ 40 mg 36,000.00 3/15/2014 16:05PT. Novapharin dus 10 X 3'S 211.00 4/23/2013 10:24PT. Indofarma Dus, 5 Ampul @ 2ml 2,400.00 3/15/2014 16:05PT. Yarindo Farmatama Box 3 X 10 Tab 716.00 3/15/2014 16:05PT. Yarindo Farmatama Box 3 X 10 Tab 1,189.00 3/15/2014 16:05

PT Kalbe Farma Transfer Set: Set; Ultaclam: Kant 1,902,240. 3/15/2014 16:14PT Kalbe Farma Set 219,540.00 3/15/2014 16:14PT Kalbe Farma Larutan Dialisa 1.5 %: 2.000 ml; L 5,522,580. 3/16/2014 19:49PT. Actavis Indonesia Vial 6mg/ml (100mg/16.67ml) 984,000.00 9/5/2014 23:17PT. Actavis Indonesia Vial 6mg/ml (260mg/43.33ml) 3,000,000. 9/5/2014 23:17PT. Actavis Indonesia Vial 6mg/ml (30mg/5ml) 274,560.00 9/5/2014 23:17PT. Indofarma Dus, 15 botol 5,200.00 5/20/2014 18:46PT. Afifarma botol 60 ml 1,438.00 4/23/2013 10:24PT. Imfarmind Farmasi industri Dus, 10 strip @ 10 kaptab 89.00 4/23/2013 10:24PT. Ifars Pharmaceutical Labora Dus, botol @ 15 ml 6,450.00 7/21/2014 21:09PT. Boehringer Ingelheim Boks, 1 pfs 1,077,815. 3/16/2014 19:08PT. Boehringer Ingelheim Boks, 1 pfs 1,248,220. 3/16/2014 19:08PT. Merck Sharp Dohme PharmaDus, 1 vial 100 mcg + 1 ampul pel 973,500.00 4/3/2014 21:30PT. Merck Sharp Dohme PharmaDus, 1 prefilled syringe (serbuk i 1,135,000. 4/3/2014 21:30PT. Merck Sharp Dohme PharmaDus, 1 vial 50 mcg + 1 ampul pelar915,000.00 8/6/2014 18:35PT. Merck Sharp Dohme PharmaDus, 1 vial 80 mcg + 1 ampul pelar915,810.00 4/3/2014 21:30PT. Darya Varia tube @ 35 gram 23,000.00 7/21/2014 21:09PT. Pradja Pharin Dus, botol plastik @ 30 tablet sal 2,420.00 4/3/2014 21:30PT. Galenium Pharmasia LaboratTube @ 10 g 11,475.00 3/16/2014 19:08PT. Kimia Farma Ktk 10 ampx2ml 14,500.00 3/15/2014 16:05PT. Dexa Medica 30 TAB/BOX 3,120.00 3/16/2014 18:23PT. Dexa Medica 30 TAB/BOX 4,525.00 3/16/2014 18:23PT. Holi Pharma Botol 60 ml 8,360.00 3/15/2014 16:05PT. Holi Pharma Dus, 25 Blister @ 4 tablet 296.00 3/15/2014 16:05PT. Holi Pharma Dus 10 strip @ 10 tablet 206.00 4/23/2013 10:24PT. Kimia Farma dus, 10 strip @ 10 tablet 110.00 4/23/2015 15:45PT. Ikapharmindo Ampul 1 ml 1,000.00 1/5/2015 14:07PT. Pratapa Nirmala Dus, Botol @ 10ml 17,393.00 3/16/2014 18:23PT. Afifarma botol @ 1000 ml 37,109.00 3/15/2014 16:05PT. Afifarma botol @ 30 ml 2,163.00 3/15/2014 16:05PT. Afifarma botol @ 300 ml 14,203.00 3/15/2014 16:05PT. Kimia Farma btl 60 ml 5,998.00 1/5/2015 14:07PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 7,200.00 3/16/2014 19:08PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 11,268.00 3/16/2014 19:08PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 2,300.00 4/23/2013 10:24PT. Phapros, Tbk Dus,10 blister @10 tablet 205.00 4/23/2013 10:24PT. Dexa Medica Dus, 10 strip @ 10 tablet 1,650.00 1/5/2015 14:07PT. Bernofarm Vial @ 3 juta IU 7,190.00 3/15/2014 16:05PT. Dexa Medica Dus, 10 Strip @ 10 tablet 65.00 4/23/2013 10:24PT. Indofarma Botol @ 100 Tablet 319.00 9/28/2014 21:46PT. Fresenius Kabi Combiphar Ampul 15,642.00 7/21/2014 21:09PT. Holi Pharma Dus, 10 strip @ 10 tablet 106.00 3/15/2014 16:05PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 17,391.00 3/16/2014 19:08PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 19,500.00 3/16/2014 19:08PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 23,185.00 3/16/2014 19:08PT. Pharma Health Care Dus, 6 blister @ 10 tablet 995.00 7/21/2014 21:09PT. Dexa Medica Dus, 10 Strip @ 10 kaptab 580.00 4/23/2013 10:24PT. Novell Pharmaeutical LaboraDus, 10 strip @ 10 tablet 1,013.00 9/28/2014 21:46

PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml 1,140.00 8/22/2014 0:44PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut se 120.00 4/23/2013 10:24PT. Kimia Farma Botol 50 kapsul lunak 260.00 3/18/2014 20:03PT. Lucas Djaja Botol 50 Kapsul 459.00 7/10/2014 15:53PT. Indofarma Dus, 10 strip @ 10 kapsul 610.00 4/23/2015 15:45PT. Indofarma Dus, 10 strip @ 10 kapsul 790.00 4/23/2015 15:45PT. Indofarma Dus, 10 strip @10 kaptab 1,100.00 4/23/2015 15:45PT. Widatra Bhakti botol 500 ml 5,200.00 4/23/2013 10:24PT. Dexa Medica Dus, 5 Blister @ 10 tablet 1,400.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 1,008.00 4/23/2013 10:24PT. Dexa Medica Dus, 5 Blister @ 10 tablet 2,000.00 4/23/2013 10:24PT. Boehringer Ingelheim Dus, 1 vial @ 10 ml 3,164,805. 9/28/2014 22:55PT. Bayer Indonesia Blister 23,500.00 5/21/2014 20:01PT. Bayer Indonesia Blister 23,500.00 5/21/2014 20:01PT. Bayer Indonesia Blister 23,500.00 5/21/2014 20:01PT. Merck Sharp Dohme PharmaDus, 10 vial @ 5 ml 46,539.00 4/23/2015 15:45PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 5,248.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 6,275.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 7,383.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 4x5 Botol Plastik@2.5 ml 6,600.00 9/28/2014 21:46PT. Glaxo Wellcome Indonesia Dus, botol 200 dosis 63,750.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 10 Blister @ 10 Kapsul 431.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 1 Rotahaler 5,867.00 3/18/2014 20:03PT. Yarindo Farmatama strip @ 10 tablet 59.00 4/23/2013 10:24PT. Marin Liza Farmasi Pot @ 30 gram 2,000.00 3/15/2014 16:05PT. Holi Pharma Dus, Botol 60 ml 4,746.00 4/23/2013 10:24PT. Hexpharm Jaya Laboratoriesstrip 513.00 4/23/2013 10:24PT. Holi Pharma Dus, 10 strip @ 10 kapsul 509.00 4/23/2013 10:24PT. Holi Pharma Dus, Botol 60 ml 5,895.00 3/15/2014 16:05PT. Ifars Pharmaceutical Labora Dus, 5 Strip @ 10 Kapsul 1,000.00 4/23/2013 10:24PT. Dexa Medica Dus, 2 Vial @ 1 gram 16,500.00 3/15/2014 16:05PT. Yarindo Farmatama Box 2 Vial @ 1000mg 48,060.00 3/15/2014 16:05PT. Bernofarm Dus, 10 blister @ 10 kapsul 859.00 4/23/2013 10:24PT. Ifars Pharmaceutical Labora Dus, Botol 30 ml 8,800.00 4/23/2013 10:24PT. Yarindo Farmatama vial 38,500.00 7/21/2014 21:08PT. Hexpharm Jaya Laboratoriesvial 4,800.00 4/23/2013 10:24PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 2,950.00 4/23/2013 10:24PT. Dexa Medica Dus, 2 Vial @ 1 gram 16,000.00 4/23/2013 10:24PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 3,300.00 3/15/2014 16:05PT. Glaxo Wellcome Indonesia Dus, 1 Blister @ 10 Tablet salut s 4,752.00 9/28/2014 21:46PT. Pratapa Nirmala Box @ 2 vial 52,800.00 4/23/2015 15:45PT. Glaxo Wellcome Indonesia Dus, 1 Blister @ 10 Tablet salut s 7,200.00 3/16/2014 18:23PT. Pratapa Nirmala strip @ 10 tab 3,300.00 7/21/2014 21:09PT. Indofarma Botol @ 60 ml 7,999.00 3/15/2014 16:05PT. Pertiwi Agung Box, 10 strips @ 10 capsules 181.00 3/15/2014 16:05PT. Merck Tbk Dus, 1 vial @ 20 ml 3,650,000. 9/28/2014 22:55PT. Pratapa Nirmala tabung/botol 1,320,000. 7/21/2014 21:09PT. Lucas Djaja 100 ampul @ 1 ml 1,078.00 4/23/2013 10:24

PT. Afifarma Dus, 10 Strip @ 10 tablet 57.00 1/5/2015 14:07PT. Novell Pharmaeutical Laboravial 256,000.00 3/16/2014 18:23PT. Novell Pharmaeutical Laboravial 82,000.00 3/16/2014 18:23PT. Novell Pharmaeutical LaboraVial 120,000.00 9/28/2014 21:46PT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak 43,000.00 3/16/2014 19:08PT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak 12,000.00 3/16/2014 19:08PT. Dankos Farma strip 7,000.00 1/5/2015 14:07PT. Natura Laboratoria Prima Dus, 3 Strip @ 10 Kaplet salut sel 169.00 3/15/2014 16:05PT. Natura Laboratoria Prima Dus, 3 Strip @ 10 Kaplet salut sel 391.00 4/23/2013 10:24PT. Dexa Medica Vial 200 ml 13,000.00 4/23/2013 10:24PT. Bernofarm Dus, 10 blister @ 10 tab ss 255.00 4/23/2013 10:24PT Kalbe Farma vial 22,000.00 9/5/2014 23:17PT Kalbe Farma vial 93,000.00 9/5/2014 23:17PT. Tempo Scan Pacific dus, 1 vial @ 10 ml 575,000.00 8/6/2014 18:35PT. Indofarma Dus, 5 strip @ 10 tablet 1,499.00 4/23/2013 10:24PT. Dexa Medica Dus, 10 Strip @ 10 tablet 900.00 4/23/2013 10:24PT. Dexa Medica Dus, 10 Strip @ 10 tablet 315.00 4/23/2013 10:24PT. Kimia Farma Botol @ 60 tablet 930.00 1/5/2015 14:07PT. Dexa Medica Vial 3,290,000. 5/21/2014 20:01PT. Phapros, Tbk Dus @ 56 Vial 3,650.00 4/23/2013 10:24PT. Kimia Farma dus 5 amp @ dus 10 127,000.00 3/18/2014 20:03PT. Combiphar Botol, 100 ml 13,425.00 7/21/2014 21:09PT. Dexa Medica DUS, 10 STRIP @ 10 TAB 424.00 9/28/2014 21:46PT. Combiphar Pounch @ 5 blister @ 10 capsule 11,167.00 3/18/2014 20:03PT. Combiphar Dus, 1 pouch @5 blister@10 kaps21,500.00 4/3/2014 21:30PT. Sandoz Indonesia Botol @30tablet 2,654.00 6/24/2015 12:59PT. Combiphar Box @ 2 blister @ 14 tablet 5,800.00 3/18/2014 20:03PT. Combiphar Box/ 2 blister @ 14 tablet 5,800.00 3/16/2014 19:08PT. Combiphar Box/ 3 blister @ 10 Tablet 6,800.00 3/16/2014 19:08PT. Novartis Indonesia Dus, 2 blister @ 14 tablet 28,500.00 3/16/2014 19:08PT. Boehringer Ingelheim Dus, 2 alu-blister @10 tablet 3,900.00 6/27/2014 19:33PT. Boehringer Ingelheim Box, 2 blisters @10 tablets 6,500.00 8/6/2014 18:35PT. Merck Sharp Dohme PharmaDus, 5 sachet @ 1 kapsul 1,120,000. 8/6/2014 18:35PT. Merck Sharp Dohme PharmaDus, 5 sachet @ 1 kapsul 223,000.00 8/6/2014 18:35PT. Kimia Farma Botol 30 tab 8,100.00 6/16/2014 19:59PT. Kimia Farma Dus 10-s @ 10 Kaptab 1,050.00 3/16/2014 18:23PT Kalbe Farma strip 250.00 1/5/2015 14:07PT. Dexa Medica DUS, 10 BLISTER @ 10 TAB 1,669.00 9/28/2014 21:46PT. Dexa Medica DUS, 10 BLISTER @ 10 TAB 2,949.00 9/28/2014 21:46PT. AstraZeneca indonesia Dus, 2 pak @ 5 respules 6,250.00 4/3/2014 21:30PT. Molex Ayus Box 50's 99.00 3/16/2014 18:23PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 200 dosis 71,100.00 4/8/2014 18:23PT. Merck Sharp Dohme PharmaDus, 6 blister @ 10 kapsul lunak 6,200.00 8/6/2014 18:35PT. Cendo Industri Farmasi botol 5 ml 11,500.00 4/3/2014 21:30PT. Holi Pharma Dus, 10 strip @ 10 kapsul 148.00 4/23/2013 10:24PT. Afifarma DUS,10 STRIP @ 10 KAPSUL 300.00 9/28/2014 21:46PT. Merck Tbk Dus, 10 blister @ 10 tablet 1,135.00 4/3/2014 21:30PT. Merck Tbk Dus, 10 blister @ 10 tablet 563.00 3/18/2014 20:03

PT. Pratapa Nirmala Dus, Botol Plastik @ 5ml 9,128.00 3/16/2014 18:23PT. Pratapa Nirmala Dus, Botol Plastik @ 5ml 9,722.00 3/16/2014 18:23PT. Boehringer Ingelheim Box, 3 blisters @10 capsules 13,867.27 12/5/2014 22:08PT. Boehringer Ingelheim Dus, 1 blister @10 kapsul + handi 152,543.00 3/16/2014 19:08PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml 2,395.00 4/23/2013 10:24PT. Boehringer Ingelheim Dus, 1 vial @ 440 mg + 1 vial pel 19,608,034 9/28/2014 22:55PT. Tempo Scan Pacific botol, tetes mata 2,5 ml 115,000.00 4/3/2014 21:30PT. Aventis Pharma Dus, botol plastik 120 dosis 90,000.00 4/3/2014 21:30PT. Dexa Medica Dus,1 vial@ 5ml 65,500.00 4/23/2015 15:45PT. Darya Varia strip 405.00 4/23/2013 10:24PT. Cendo Industri Farmasi Botol 5ml 36,500.00 12/5/2014 22:08PT. Galenium Pharmasia Laborattube 6,400.00 3/16/2014 18:23PT. Bio Farma 20 ds / amp / vial 59,950.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 59,950.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 59,950.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 70,521.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 70,521.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 70,521.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 59,950.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 70,521.00 5/22/2015 14:48PT. Bio Farma 10 ds / vial 28,204.00 5/22/2015 14:48PT. Bio Farma 10 ds / vial 33,176.00 5/22/2015 14:48PT. Bio Farma 5 ds / vial 76,285.00 5/22/2015 14:48PT. Bio Farma 5 ds / vial 89,738.00 5/22/2015 14:48PT. Bio Farma 1 ds / pouch 20,900.00 5/22/2015 14:48PT. Bio Farma 1 ds / pouch 24,585.00 5/22/2015 14:48PT. Bio Farma 10 ds / vial 17,798.00 5/22/2015 14:48PT. Bio Farma 10 ds / vial 20,933.00 5/22/2015 14:48PT. Bio Farma 10 ds/ vial 16,500.00 5/22/2015 14:48PT. Bio Farma 10 ds/ vial 19,404.00 5/22/2015 14:48PT. Novartis Indonesia Dus, 1 dosis @ (1 vial serbuk injek307,400.00 5/22/2015 15:37PT. Aventis Pharma 1 vial of 10ml (10 d's) 285,000.00 4/3/2014 21:30PT. Bio Farma 10 ds/ vial 19,954.00 5/22/2015 14:48PT. Bio Farma 10 ds/ vial 23,474.00 5/22/2015 14:48PT. Bio Farma Dus, 1 vial@ 1dosis + 1 Syringe @78,000.00 1/5/2015 14:07PT. Novartis Indonesia Dus, 1 vial serbuk + 1 ampul @ 1 78,500.00 9/28/2014 21:46PT. Bio Farma 10 ds/ vial 14,498.00 5/22/2015 14:48PT. Bio Farma 10 ds/ vial 17,050.00 5/22/2015 14:48PT. Soho Industri Pharmasi 5 strip @ 10 kaptab 5,390.00 4/23/2015 15:45PT. Boehringer Ingelheim Boks, 60 tablet 170,000.00 8/6/2014 18:35PT. Ikapharmindo Botol 120 ml 40,000.00 7/21/2014 21:09PT. Abbott Indonesia Tablet 2,793.00 3/16/2014 19:08PT. Abbott Indonesia Tablet 5,450.00 3/16/2014 19:08PT. Abbott Indonesia Tablet salut 250 mg 1,680.00 9/28/2014 21:46PT. Novartis Indonesia DUS, 3 ALU-ALU STRIP @ 10 tablet3,900.00 3/16/2014 19:08PT. Novartis Indonesia DUS, 3 ALU-ALU STRIP @ 10 tablet6,500.00 4/3/2014 21:30PT. Pratapa Nirmala Box @ 2 vial 122,000.00 9/28/2014 21:46PT. Abbott Indonesia Tablet 6,200.00 3/16/2014 19:08

PT. Kimia Farma Ktk 10X10 TAB 234.00 4/23/2013 10:24PT. Combiphar Vial 10mg/10ml 210,000.00 3/16/2014 18:23PT Kalbe Farma vial @ 2 ml 78,000.00 9/5/2014 23:17PT Kalbe Farma vial @ 1 ml 46,000.00 9/5/2014 23:17PT. Mugi Laboratories Dus, 1 vial @ 1 ml 1,229,998. 5/21/2014 14:16PT. Kimia Farma Dus 10 strip x 10 tab 107.00 4/23/2013 10:24PT. Kimia Farma Botol 60 Kapsul 1,575.00 12/5/2014 22:08PT. Kimia Farma Botol 60 tablet 3,429.00 3/18/2014 20:03PT. Combiphar Drops 10 mg/ml, Botol @15 ml 12,840.00 3/16/2014 18:23PT. Indofarma Dus, botol @ 100 ml 14,980.00 4/23/2015 15:45PT. Meprofarm Dus, botol 60 ml 7,400.00 3/16/2014 18:23PT. Kimia Farma ktk 10 x 10 tablet 473.00 3/15/2014 16:05

noNama Obat Generik

1. ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg) n/a2. Adefovir Dipivoksil tablet/kaplet 10 mg Hepsera3. Air untuk injeksi (Aqua pro Injeks) 20 ml n/a4. Air untuk Injeksi 25 ml #N/A5. Air untuk irigasi lar infus 1000 ml WIDA WI UNIC6. Akarbose tablet/kaplet 100 mg n/a7. Akarbose tablet/kaplet 50 mg n/a8. Albendazol suspensi 200 mg/5 ml n/a9. Albendazol tablet/kapsul/kaplet 400 mg n/a10. Albumin serum normal (human albumin) injeksi 20%, 100 ml Zenalb11. Albumin serum normal (human albumin) injeksi 20%, 50 ml Zenalb12. Albumin serum normal (human albumin) injeksi 25%, 100 ml Albuminar 2513. Albumin serum normal (human albumin) injeksi 25%, 20 ml PLASBUMIN 2514. Albumin serum normal (human albumin) injeksi 25%, 50 ml PLASBUMIN 2515. Albumin serum normal (human albumin) injeksi 5% 250 ml PLASBUMIN 5%16. Albumin serum normal (human albumin) injeksi 5% 50 ml PLASBUMIN 5%17. Alopurinol tablet/kapsul/kaplet 100 mg n/a18. Alopurinol tablet/kapsul/kaplet 300 mg n/a19. Alprazolam tablet/kapsul/kaplet 0,25 mg n/a20. Alprazolam tablet/kapsul/kaplet 0,5 mg n/a21. Alprazolam tablet/kapsul/kaplet 1 mg n/a22. Alteplase injeksi 50 mg/vial Actilyse23. Amfoterisin B salep mata 1% Fungicide24. Amikasin injeksi 250 mg/ml Glybotic 250 m25. Aminofilin injeksi 24 mg/ml n/a26. Aminofilin tablet scored 200 mg n/a27. Aminofilin tablet/kapsul/kaplet 150 mg n/a28. Amiodaron injeksi 150 mg/3 ml Cordarone29. Amiodaron tablet/kaplet 200 mg Kendaron Table30. Amitriptilin tablet salut 25 mg (HCl) n/a31. Amlodipin tablet 10 mg n/a32. Amlodipin tablet 5 mg n/a33. Amoksisilin kapsul/kaplet 250 mg n/a34. Amoksisilin kapsul/kaplet/tablet scored 500 mg n/a36. Amoksisilin sirup kering 125 mg/ 5 ml n/a35. Amoksisilin sirup kering forte 250 mg/5 ml n/a37. Ampisilin serbuk injeksi i.v. 1000 mg/vial n/a38. Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cart Lantus Solosta39. Analog insulin mix acting inj 100 UI/ml, Analog insulin mix acting inj 100 UI Novomix Flexp40. Analog Insulin Mix Insulin Inj 100 UI/ml #N/A41. Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cart Humalog Mix 242. Analog Insulin Rapid Acting Inj 100 UI/ml #N/A43. Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill car Novorapid Flex44. Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill car Novorapid Flex45. Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cart Apidra Solosta46. Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartrHumalog

47. Anastrozol tablet/kapsul/kaplet 1 mg Arimidex 1 mg48. Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg n/a49. Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml n/a50. Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU n/a51. Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg lid #N/A52. Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg n/a53. Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg n/a54. Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg Levopar Tablet55. Artemether injeksi 80 mg/ml Artem56. Artesunate injeksi i.v./i.m. 60 mg/ml #N/A57. Asam Asetilsalisilat (asetosal) tablet 100 mg n/a58. Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg Miniaspi 8059. Asam Askorbat (Vitamin C) tablet 250 mg n/a60. Asam Askorbat (Vitamin C) tablet 50 mg n/a61. Asam Folat tablet/kapsul/kaplet 0,4 mg Starfolat62. Asam Folat tablet/kapsul/kaplet 1 mg n/a63. Asam Ibandronat injeksi 6mg/6ml Bondronat64. Asam Mefenamat kapsul/kaplet 250 mg #N/A65. Asam Mefenamat kapsul/kaplet 500 mg n/a66. Asam pipemidat kapsul 400 mg Urotractin 40067. Asam traneksamat injeksi 50 mg/ml n/a68. Asam zoledronat injeksi 4mg/5mL ZOMETA69. Asiklovir salep mata 3% Temiral Eye Oin70. Asiklovir tablet/kapsul/kaplet 200 mg n/a71. Asiklovir tablet/kapsul/kaplet 400 mg n/a72. Asparaginase serbuk injeksi 10.000 UI/vial Leunase73. Atapulgit tablet 600 mg Pularex74. Atenolol tablet/kapsul/kaplet 100 mg Betablok75. Atenolol tablet/kapsul/kaplet 50 mg #N/A76. Atrakurium injeksi 25 mg/2,5 ml Tracrium77. Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml #N/A78. Atropin Sulfat tablet 0,5 mg n/a79. Atropin Sulfat tetes mata 0,5% Cendo Tropin 080. Atropin Sulfat tetes mata 1% Cendo Tropin 81. Azitromisin sir kering 200 mg/ 5 mL n/a83. Azitromisin tablet 250 mg n/a82. Azitromisin tablet 500 mg n/a84. Bedak salisil serbuk 2% n/a85. Benzatin Benzil Penisilin 1,2 juta IU/ vial n/a86. Benzatin Benzil Penisilin 2,4 juta IU/vial n/a87. Beractant injeksi / suspensi 25 mg/mL Survanta88. Beraprost sodium tablet 20 mcg Dorner89. Betametason krim 0,1% (sebagai Valerat) n/a90. Betametason tetes mata 1 mg/ml Betam Ophtal 91. Bevasizumab injeksi 25 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI N Avastin92. Bikalutamid tablet salut 150 mg Casodex 150 m93. Bikalutamid tablet salut 50 mg Casodex 50 mg94. Bisakodil suppositoria 10 mg Stolax supp

95. Bisakodil suppositoria 5 mg Dulcolax Supp I96. Bisoprolol tablet 2,5 mg Concor 2.597. Bisoprolol tablet 5 mg n/a98. Bleomisin serbuk injeksi 15 mg/ampul BLEOCIN99. Bromokriptin tablet 2,5 mg Cripsa tab100. Budesonid inhaler 200 mcg/puff, 100 dosis Pulmicort Turb101. Budesonid inhaler 200 mcg/puff, 200 dosis Obucort Swingh102. Budesonid respules / cairan inhaler 0,25mg/mL Pulmicort Resp103. Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg Symbicort Turb104. Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg Symbicort 80/4105. Bupivakain injeksi 0,50% (HCl) + glukosa 8% n/a106. Bupivakain injeksi 0,50% (P.V) Bunascan108. Dabigatran eteksilat kapsul 110 mg Pradaxa107. Dabigatran eteksilat kapsul 75 mg Pradaxa109. Dakarbazin serbuk injeksi 200 mg/vial DBL Dacarbazin110. Daunorubisin serbuk injeksi 20 mg/vial DAUNOCIN111. Deferasiroks tablet disp/ eff 250 mg Exjade 250 mg 112. Deferasiroks tablet disp/ eff 500 mg Exjade 500 mg 113. Deferipron larutan oral 100 mg/mL Ferriprox Oral 114. Deferipron tablet 500 mg Ferriprox tablet115. Deferoksamin Mesilat serbuk injeksi 500 mg Desferal116. Deksametason injeksi i.v./i.m. 5 mg/ml n/a117. Deksametason tablet 0,5 mg n/a118. Desogestrel tablet 75 mcg Cerazette119. Desoksimetason krim 0,25% n/a120. Desoksimetason krim 0,25% n/a121. Desoksimetason salep 0,25% #N/A123. Diazepam injeksi i.v./i.m 5 mg/ml #N/A124. Diazepam larutan rektal 10 mg/2,5 mL STESOLID122. Diazepam larutan rektal 5 mg/2,5 mL STESOLID125. Diazepam tablet/kapsul/kaplet 2 mg n/a126. Dietilkarbamazin tablet scored 100 mg #N/A127. Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) n/a128. Digoksin injeksi 0,25 mg/ml Fargoxin inj129. Digoksin tablet 0,25 mg n/a130. Diltiazem HCl tablet 30 mg n/a131. Diltiazem infus injeksi 50 mg Herbesser Powd132. Diltiazem injeksi 25 mg/5 mL Farmabes Injek133. Diltiazem Kapsul SR 100 mg Herbesser CD 1134. Diltiazem Kapsul SR 200 mg Herbesser CD 2135. Dimenhidrinat tablet 50 mg n/a136. Dinatrium edetat tetes mata 0,35% E.D.T.A137. Dinatrium klodronat infus kons 60 mg/mL Bonefos Infus 6138. Dobutamin injeksi 50 mg/mL DOBURAN139. Doksazosin mesilat tablet 1 mg Cardura 1mg140. Doksazosin mesilat tablet 2 mg Cardura 2mg141. Doksisiklin tablet/kapsul/kaplet 100 mg n/a142. Doksorubisin serbuk injeksi i.v. 10 mg/vial Doxorubicin Ac

143. Doksorubisin serbuk injeksi i.v. 50 mg/vial Doxorubicin Ac144. Domperidon suspensi/sirup 5 mg/5 ml n/a145. Domperidon tablet 10 mg n/a146. Domperidon tetes 5 mg/mL n/a147. Dopamin injeksi 40 mg/ml UDOPA148. Dosetaksel injeksi 20 mg/0,5 ml n/a149. DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate calcium Renalscan KaeF150. Dutasterid kaps lunak 0,5 mg Avodart151. Efavirens tablet salut 600 mg n/a152. Efedrin Inj 50 mg/ml n/a153. Eksemestan tablet 25 mg Aromasin154. Enoksaparin sodium inj 20 mg/0,2 mL Lovenox 2000 155. Enoksaparin sodium inj 40 mg/0,4 mL Lovenox 4000 156. Enoksaparin sodium inj 60 mg/0,6 mL Lovenox 6000 157. Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml n/a159. Epirubisin serb injeksi 10 mg/5 ml n/a158. Epirubisin serb injeksi 50 mg/25ml (Produk Kosong s/d awal Agustus 2015) #N/A160. Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI D-Vit FT161. Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml D-Vit Syrup162. Eritromisin kapsul/kaplet 250 mg n/a163. Eritromisin kapsul/kaplet 500 mg n/a164. Eritromisin sirup kering 200 mg/ 5 ml n/a165. Eritropoetin-alfa inj 10000 UI/mL Hemapo 10.000166. Eritropoetin-alfa inj 2000 UI/mL Eprex 2000167. Eritropoetin-alfa inj 3000 UI/mL Hemapo 3000168. Eritropoetin-beta inj 2000 UI/0,3 mL Recormon169. Etambutol tablet 250 mg (HCl) n/a170. Etambutol tablet salut 500 mg (HCl) n/a171. Etanol 70% cairan n/a172. Etinilestradiol tablet 0,05 mg Lynoral173. Etonogestrel implan 68 mcg Implanon174. Etoposid injeksi 20 mg/ml Posyd175. Eugenol cairan n/a176. Everolimus tab 0,25 mg Certican 0,25 177. Everolimus tab 0,5 mg Certican 0,5 mg178. Faktor IX kompleks serbuk injeksi 1.000 UI/vial + pelarut 10 ml #N/A179. Faktor IX kompleks serbuk injeksi 500 UI/vial + pelarut 5 ml #N/A180. Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi IX Cofact 500 IU/181. Faktor Koagulasi II 14-35 UI, Faktor Koagulasi VIII 7-20 UI, Faktor Koagulasi #N/A182. Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi Novoseven183. Faktor VIII (konsentrat) serb inj 230 -340 UI Haemoctin184. Faktor VIII (konsentrat) serb inj 250 UI/vial + pelarut 5 Ml KOATE 250 UI185. Faktor VIII (konsentrat) serb inj 480 - 600 UI KOATE DVI 500 186. Faktor VIII (konsentrat) serb inj 500 UI/vial + pelarut 5 ml #N/A187. Fenitoin injeksi 50 mg/ml n/a188. Fenitoin kapsul/kaplet 100 mg n/a189. Fenitoin Na Inj 100 mg/2 ml n/a190. Fenobarbital injeksi i.m./i.v. 50 mg/ml n/a

191. Fenobarbital tablet/kapsul/kaplet 100 mg #N/A192. Fenofibrat kaps 100 mg n/a193. Fenofibrat kaps 300 mg n/a194. Fenoksimetil penisilin (penisilin V) tab 125 mg Fenocin196. Fenoksimetil penisilin (penisilin V) tablet/kapsul/kaplet 250 mg n/a195. Fenoksimetil penisilin (penisilin V) tablet/kapsul/kaplet 500 mg n/a197. Fenoterol HBr ih 100 mcg/puff Berotec MDI198. Fenoterol HBr inh solution 0,1% Berotec Solutio199. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml n/a200. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml n/a201. Fentanil patch 12,5 mcg/jam Durogesic 12,5202. Fentanil patch 25 mcg/jam Durogesic 25 M203. Fentanil patch 50 mcg/jam Durogesic 50 M204. Filgrastim inj 300 mcg/mL Leucogen205. Finasterid tab 5 mg Prostacom206. Fitomenadion (Vit.K1) tablet salut gula 10 mg n/a207. Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml n/a208. Fludarabin inj 50 mg Fludara IV LYO209. Fludarabin tab 10 mg Fludara Oral210. Flufenazin injeksi i.m. 25 mg/ml Sikzonoate Inje211. Flukonazol injeksi 2 mg/ml n/a212. Flukonazol tablet/kaplet/kapsul 50 mg Diflucan 50mg213. Flukonazol tablet/kapsul 150 mg n/a214. Fluoksetin tablet 10 mg Foransi 10215. Fluoksetin tablet 20 mg NOPRES216. Fluorometolon tetes mata 0,1 % Ocuflam ED217. Fluorourasil inj 250 mg/mL Curacil218. Fluorourasil inj 500 mg/ 5 mL Curacil219. Flusinolon asetonid krim 0,025% SYNARCUS220. flusinolon asetonid salep 0,025% #N/A221. Flutikason furoat intranasal spray Avamys222. Flutikason propionat nebules 0,5 mg Flixotide Nbule223. Fondaparinuks inj 2,5 mg/0,5 mL Arixtra224. Fraksi protein plasma lar inf 5% Plasmanate225. Furosemid injeksi i.v./i.m. 10 mg/ml n/a226. Furosemid tablet 40 mg n/a227. Gadobutrol macrocyclic 5 mg Gadovist 5 mg228. Gadobutrol macrocyclic 7,5 mg Gadovist 7,5 m229. Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL Primovist230. Gansiklovir serb inj 500 mg (50 mg/mL) Cymevene231. Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium klorida 0,30 n/a232. Gefitinib tab 250 mg Iressa 250 mg233. Gemfibrozil kapsul/kaplet 300 mg n/a234. Gemfibrozil tablet 600 mg n/a235. Gemsitabin inj 1000 mg/vial Gemzar 1000 m236. Gemsitabin inj 200 mg/vial n/a237. Gentamisin injeksi 40 mg/ ml n/a238. Gentamisin salep mata 0,3% Genoint Salep

239. Gentamisin tetes mata 0,3% n/a240. Glibenklamid tablet 5 mg n/a242. Gliklazid tab 30 mg Diamicron MR 241. Gliklazid tab 80 mg Glicab243. Gliklazid tablet lepas lambat 60 Mg Diamicron MR 244. Glikuidon tab 30 mg n/a245. Glimepiride tablet 1 mg n/a246. Glimepiride tablet 2 mg n/a247. Glimepiride tablet 3 mg n/a248. Glimepiride tablet 4 mg n/a249. Glipizid tablet/kaplet/kapsul 10 mg Glucotrol 10 m250. Glipizid tablet/kaplet/kapsul 5 mg Glucotrol 5 mg251. Gliseril trinitrat inj 50 mg/10 mL #N/A252. Gliseril trinitrat kaps SR 2,5 mg Nitrokaf Retard253. Gliseril trinitrat kaps SR 5 mg Nitrokaf Forte254. Gliseril trinitrat tab sublingual 0,5 mg Nitral255. Gliserin lar 50% Gliserin lar 50%256. Glukosa larutan infus 10 % steril n/a257. Glukosa larutan infus 5 % steril n/a258. Goserelin asetat inj 10,8 mg/vial Zoladex 10,8 m259. Goserelin asetat inj 3,6 mg Zoladex 3,6 mg260. Griseofulvin tablet 125 mg n/a261. Haloperidol inj 50 mg/mL Haldol Decanoa262. Haloperidol injeksi i.m 5 mg/ml Lodomer Injeks263. Haloperidol tablet 0,5 mg n/a265. Haloperidol tablet 1,5 mg n/a266. Haloperidol tablet 2 mg Lodomer 2264. Haloperidol tablet 5 mg n/a267. Haloperidol tts 2 mg/mL LODOMER DRO268. Halotan Inhalasi Halothane269. Heparin injeksi i.v./s.k. 5000 UI/ml Inviclot270. Hepatitis B imunoglobulin (human) Hyperhep B271. hidroklorotiazid tab 25 mg #N/A272. Hidrokortison krim 1% n/a273. Hidrokortison krim 2,5 % n/a274. Hidroksi Urea tablet/kaplet/kapsul 500 mg HYDROXYUREA275. Hiosin butilbromid injeksi 20 mg/ml n/a276. Homatropin tetes mata 2% Homatro 2%277. Human Insulin Intermediate Acting Inj 100 UI/ml #N/A278. Human insulin intermediate acting inj 100 UI/ml, vial (Human Insulin (Interm Insulatard Vial279. Human insulin intermediate acting inj 100 UI/ml, vial (Insulin human Basal) Humulin N Vial280. Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Human Ins Insulatard Penfi281. Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin hu Sansulin N282. Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin hu Sansulin N283. Human insulin intermediate acting inj 100iu/ml, vial (Insulin Human Basal) #N/A284. Human insulin mix inj 100iu/ml, vial (Insulin Human Comb 25) #N/A285. Human Insulin Mix Insulin Inj 100 UI/ml #N/A286. Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Human Insulin (Pr Mixtard Penfill

287. Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Insulin human ComHumulin 30/70 288. Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin (Premix: 30% So Mixtard Vial289. Human insulin mix insulin inj 100 UI/ml, vial (Insulin human Comb) Humulin 30/70 290. Human Insulin Short Acting Inj 100 UI/ml #N/A291. Human insulin short acting inj 100 UI/ml, penfill cartridge (Human Insulin (ShActrapid Penfill292. Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Ra Humulin R Cart293. Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Ra Humulin R Cart294. Human insulin short acting inj 100 UI/ml, vial (Human Insulin (Short Acting)) Actrapid Vial295. Human insulin short acting inj 100 UI/ml, vial (Insulin human Rapd) Humulin R Vial296. Human insulin short acting inj 100iu/ml, vial (Insulin Human Rapid) #N/A297. Human tetanus imunoglobulinn injeksi i.m. 250 UI Tetagam298. Ibuprofen sirup 100 mg/5 ml n/a299. Ibuprofen suspensi 200 mg/5 ml n/a300. Ibuprofen tablet 200 mg n/a301. Ibuprofen tablet 400 mg n/a302. Ifosfamid serbuk injeksi 1000 mg/vial Holoxan injeksi303. Imanitib Mesilat tablet salut selaput 100 mg (Skema Risk Sharing sesuai Glivec304. Imidapril tab 10 mg Tanapress 10m305. Imidapril tab 5 mg Tanapress 5mg306. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml) Iopamiro307. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 30ml) Iopamiro308. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 50ml) Iopamiro309. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 100ml) Iopamiro310. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 30ml) Iopamiro311. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 50ml) Iopamiro312. Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml) Ultravist 300/313. Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml) Ultravist 300/5314. Iopromide 300-370 mg Iodium/mL (370 mg / 100 ml) Ultravist 370/315. Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml) Ultravist 370/5316. Ipratropium bromida inhalasi 20 mcg/semprot Atrovent HFA317. Ipratropium bromida nebulizer 0,025% Atrovent soluti318. Irbesartan tab 150 mg n/a319. Irbesartan tab 300 mg n/a320. Irinotekan inf 20 mg/ml n/a321. Isofluran inhalasi Terrell322. Isoniazid tablet/kapsul/kaplet 100 mg n/a323. Isoniazid tablet/kapsul/kaplet 300 mg n/a324. Isosorbid Dinitrat injeksi i.v 10 mg/10 ml Farsorbid inj325. Isosorbid Dinitrat tablet sublingual 5 mg n/a326. Isosorbid dinitrat tablet/kaplet/kapsul 10 mg Isonat327. Kalium aspartat tab 300 mg Kalipar328. Kalium Klorida tablet 600 mg KSR329. Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml DBL Leucovorin330. Kalsium Glukonat injeksi i.v 10% (100 mg/ml) Kalsium glukon331. Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg n/a332. Kalsium polistirena sulfonat ktg 5 g KALQUEST333. Kanamisin inj 1000 mg/ vial n/a334. Kandesartan tab 16 mg n/a

335. Kandesartan tab 8 mg n/a336. Kapesitabin tab 500 mg Xeloda337. Kaptopril tablet 50 mg n/a338. Kaptopril tablet scored 25 mg n/a339. Kaptopril tablet scored12,5 mg n/a340. Karbamazepin sirup 100 mg/5 ml Tegretol Syrup341. Karbamazepin tablet 200 mg n/a342. Karbimazol tab 5 mg Neo-Mercazole343. Karbogliserin tetes telinga 10% Karbogliserin t344. Karboplatin 150 mg / 15 ml DBL Carboplati345. Karboplatin 450 mg / 45 ml DBL Carboplati346. Karvediol tablet/kaplet/kapsul 6,25 mg V - BLOC347. Ketamin injeksi i.v. 100 mg/ml KTM348. Ketamin injeksi i.v. 50 mg/ml Ketamin Hamel349. Ketokonazol krim 2% n/a350. Ketokonazol krim 2% n/a351. Ketokonazol krim 2% n/a352. Ketokonazol scalp sol 2% Zoloral SS353. Ketokonazol tablet 200 mg n/a354. Ketoprofen supositoria 100 mg Protofen Supp355. Ketorolac injeksi 30 mg/ml n/a356. Klaritromisin tab 500 mg ORIXAL357. Klindamisin kapsul/kaplet 150 mg n/a358. Klindamisin kapsul/kaplet 300 mg n/a359. Klobazam tab 10 mg n/a360. Klonidin injeksi i.v 0,15 mg/ml (HCL) (150) Catapres Injeks361. Klonidin tablet 0,15 mg n/a362. Klopidogrel tab 75 mg n/a363. Kloramfenikol salep kulit 2% #N/A364. Kloramfenikol salep mata 1 % n/a365. Kloramfenikol serb inj 1000 mg/mL Colsancetine In366. Kloramfenikol suspensi 125 mg/ 5 ml n/a367. Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg #N/A369. Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) n/a368. Klorpromazin injeksi i.m. 25 mg/ml (HCl) n/a370. Klorpromazin tablet salut 100 mg (HCl) n/a371. Klorpromazin tablet salut 25 mg (HCl) n/a372. Klozapin 100 mg n/a373. Klozapin 25 mg n/a374. Kodein tablet 10 mg n/a375. Kodein tablet 15 mg n/a376. Kodein tablet 20 mg n/a377. Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg Ostriol378. Kolkisin tablet/kaplet/kapsul 500 mcg #N/A379. Koloid HES BM 130 000 lar inf 6% Voluven380. Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg Combivent UD381. Kombinasi injeksi depot : Medroksi progesteron asetat 25 mg Estradiol sipio n/a382. Kombinasi suspensi : Parafin + gliserin + fenolftalein Laxadine Emuls

383. Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg n/a384. Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida Cendo Lyteers385. Kombinasi: Artemether 20 mg; Lumefantrin 120 mg Coartem386. Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg Stalevo387. Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg Aluvia388. Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg Seretide Inhale389. Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg Seretide Disku390. Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg Seretide Disku391. Kontrasepsi pil oral, kombinasi :* Levonorgestrel 150 mcg Etinilestradiol 30 n/a392. Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimet n/a393. Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mgn/a394. Kuinin (Kina) tablet 200 mg n/a395. Kuinin injeksi i.v. 25% (sebagai 2 HCl) n/a396. Kuinin tablet 222 mg (H2SO4.7H2O) n/a397. Laktulosa sir 3,335 g/5 mL #N/A398. Lamivudin tablet/kaplet/kapsu 100 mg Heplav399. Lamivudine tablet 150 mg n/a400. Lansoprazol inj 30 mg/ml Prosogan Inj.401. Lanzoprazol kapsul/kaplet 30 mg n/a402. Lapatinib tab 250 mg Tykerb403. Larutan mengandung Asam Amino (Asam Amino 10%) Kalbamin404. Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2 Amiparen405. Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 m Pan-amin G406. Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektAminofluid407. Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektAminofluid408. Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, L-OrnithineAminofusin He409. Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,2Aminosteril Inf410. Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino esNephrosteril411. Larutan mengandung Asam Amino (Asam Amino 72.05 g, Total N 11.53 g, AAEKidmin412. Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ Aminoleban413. Larutan mengandung Asam Amino (Asam amino 8%) Aminosteril N-414. Larutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L) Eas Pfrimer415. Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine L Aspartate 10 gr/LComafusin Hep416. Larutan mengandung Asam Amino (Kombinasi Asam aminno 50 g/L, Sorbitol 50 g/L, #N/A417. Larutan mengandung Asam Amino (Kombinasi Asam amino 50 g/L, vitamin danAminofusin Pa418. Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr, Kabiven 1440 m419. Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr,Kabiven 1920 m420. Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150 gr +Combiflex Plus 421. Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 80 gr + Combiflex peri 422. Larutan mengandung Elektrolit (Kalium Klorida) Otsu - KCl 7,46423. Larutan mengandung Elektrolit (Larutan Ringer Laktat) Wida RL424. Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat Asering425. Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr) KA EN 1B426. Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Potassium CTotilac427. Larutan mengandung Elektrolit (Tiap 1000 ml mengandung electrolit: Sodiu Ringerfundin 5428. Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 g/ LTriofusin 1000429. Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ LTriofusin 500430. Larutan mengandung Karbohidrat (Maltose 100 gr) Martos

431. Larutan mengandung Karbohidrat + Elektrolit (25.00g maltose, 3.00 g sodium Potacol inj432. Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, SorbTutofusin OPS433. Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 10Clinimix N9G20434. Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 75Clinimix N9G15435. Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g, glucose 33 g, XylTriofusin E1000436. Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g, KCl 1,Wida HSD437. Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium ChlorideWida D5-NS438. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g) WIDA 2A439. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g) WIDA D5-1/4N440. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g) WIDA D5-1/2N441. Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi in Futrolit442. Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%) Wida RD443. Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, GlukosaKA ENMG 3444. Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na LacKA EN 3B445. Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 grKA EN 3A446. Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20% 100 ml) Lipofundin MC447. Larutan mengandung Lipid (Emulsi lemak 20%) Intralipid448. Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml) Lipofundin MC449. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr + Asam AmNutriflex Lipid 450. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 80 gr + Asam A Nutriflex Lipid 451. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90 gr + Asam AmiNutriflex Lipid 452. Latanoprost tetes mata 0,01% Cendo Glaopen453. Latanoprost tts mata 0,005% btl@2,5ml Xalatan 0,005%454. Lenograstim inj 263 mcg/mL Granocyte 34 1455. Letrozol tablet/kaplet/kapsul 2,5 mg FEMARA456. Leuprorelin asetat inj depot 1,88 mg Tapros 1.88mg457. Leuprorelin asetat inj depot 11,25 mg Tapros 3M458. Leuprorelin asetat inj depot 3,75 mg TAPROS 3.75 459. Levofloksasin inf 5 mg/mL n/a459. Levofloksasin inf 5 mg/mL n/a460. Levofloksasin tablet 500 mg n/a461. Levofloksasin tts mata 0,5% Optiflox462. Levotiroksin tablet/kaplet/kapsul 100 mcg Euthyrox 100463. Levotiroksin tablet/kaplet/kapsul 50 mcg #N/A464. Lidokain injeksi 2% (HCL) n/a465. Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml n/a466. Lidokain jeli 2% Xylocaine Jelly467. Lidokain semprot 10% Xylocaine Spray468. Lisinopril tablet 10 mg n/a469. Lisinopril tablet 5 mg n/a470. Litium karbonat tablet 200 mg Frimania 200471. Litium karbonat tablet 400 mg Frimania 400472. Loperamid tablet 2 mg n/a473. Loratadin tablet 10 mg n/a474. Lorazepam tablet 0,5 mg MERLOPAM 0,5475. Lorazepam tablet 2 mg Merlopam 2476. Low molecule feri sucrose inj amp 100 mg/5 mL DIALIFER477. Magnesium sulfat injeksi 20% #N/A

478. Magnesium sulfat injeksi 40% #N/A479. Manitol n/a480. Maprotilin HCl tab 25 mg Ludios481. Maprotilin HCl tab 50 mg Sandepril 50482. MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/mL Bonescan KaeF483. Mebendazol tablet 500 mg Vermox 500484. Medroksi Progesteron Asetat tablet/kaplet/kapsul 100 mg Provera 100mg485. Melfalan tablet 2 mg Alkeran486. Meropenem inj 1 g n/a487. Meropenem serb inj 500 mg/vial n/a488. Mesna inj 100 mg/mL Uromitexan inje489. Metadon sir 50mg/5ml n/a490. Metformin HCl tablet 500 mg n/a491. Metformin HCl tablet 850 mg n/a492. Metildopa tablet salut 250 mg DOPAMET493. Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg n/a494. Metilergometrin Maleat injeksi 0,200 mg-1 ml n/a495. Metilfenidat kapsul LA 20 mg Ritalin LA496. Metilfenidat tablet SR 10 mg RITALIN497. Metilprednisolon inj 125 mg/2 mL n/a498. Metilprednisolon inj 500 mg/8 mL n/a499. Metilprednisolon tablet 16 mg n/a500. Metilprednisolon tablet 4 mg n/a501. Metilprednisolon tablet 8 mg n/a502. Metoklopramid drop botol 10 mL GAVISTAL drop503. Metoklopramide sirup 5 mg/ 5 ml LEXAPRAM SIR504. Metoklopramide tablet 5 mg n/a505. Metotreksat serb inj 50 mg/2 mL Methotrexate K506. Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg METHOTREXAT507. Metotreksat tablet/kaplet/kapsul 2,5 mg METHOTREXATE508. Metronidazol infus 500 mg/100 ml n/a509. Metronidazol ovula 500 mg Vagizol510. Metronidazol sirup 125 mg/5 Ml #N/A511. Metronidazol supositoria 500 mg Flagyl512. Metronidazol tablet 250 mg n/a513. Metronidazol tablet 500 mg n/a514. MIBG (meta-iodobenzylguanidine) Endoneuroscan515. MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial Cardioscan Kae516. Midazolam injeksi i.v. 1 mg/ml Dormicum517. Midazolam injeksi i.v. 5 mg/ml Dormicum518. Mikafungin Na serb inj 50 mg Mycamine519. Mikofenolat Mofetil 500 mg Cellcept520. Mikonazol krim/salep 2 % (Nitrat) n/a521. Modified fluid gelatine BM 30 000 lar inf 4% Gelofusine 4%522. Moksifloksasin tetes mata 0,5% Vigamox523. Mometason furoat krim 0,1% n/a524. Morfin HCL inj 10 mg/ml n/a525. Morfin HCL tablet SR 10 mg MST Continus

526. Morfin HCL tablet SR 15 mg MST Continus 527. Morfin HCL tablet SR 30 mg #N/A528. Morfin tablet 10 mg n/a530. Nacl 0,9% n/a531. Nadroparin inj 9500 Axa/mL syringe 0,3 mL Fraxiparine 0.3532. Nadroparin inj 9500 Axa/mL, syringe 0,4 mL Fraxiparine 0.4533. Nadroparin inj 9500 Axa/mL, syringe 0,6 mL Fraxiparine 0.6534. Nalokson injeksi 0,4 mg/ml Nokoba529. N-asetil sistein inj. nebules 100 mg N-ace cairan in535. Natrium Bikarbonat injeksi i.v 8,4% Meylon536. Natrium Diklofenak tablet 50 mg n/a537. Natrium fosfat lar oral 45 mL Fleet Phosphos538. Natrium fusidat salep 20 mg/g Fucilex Ointme539. Neostigmin injeksi 0,5 mg/ml Neostigmin Ham540. Nevirapin tablet 200 mg n/a541. Nifedipin tab 20 mg, slow release; oros Adalat Oros 20542. Nifedipin tab 30 mg, oros Adalat Oros 30543. Nifedipin tablet/kapsul 10 mg n/a544. Nikardipin inj 10 mg/vial #N/A545. Nilotinib kapsul 200 mg (Skema Risk Sharing sesuai Kepmenkes RI Nomor H Tasigna546. Nistatin tablet salut 500.000 IU/ g n/a547. Nistatin vaginal tablet 100.000 IU/ g n/a548. Norepinefrin injeksi 1 mg/ml Raivas549. Noretisteron tablet 5 mg Primolut N550. Obat Antituberkulosis FDC Kategori 1 n/a551. Obat Antituberkulosis FDC Kategori 2 n/a552. Obat Antituberkulosis FDC Kategori Anak n/a553. Obat Antituberkulosis FDC Sisipan n/a554. Obat Antituberkulosis Kategori 1 dewasa n/a555. Obat Antituberkulosis Kategori anak n/a556. Octreotide Acetate0,05 - 6 mg/mL Octide557. Ofloksasin tets telinga 3% Tarivid Otic Sol558. Ofloxacin tablet 200 mg n/a559. Ofloxacin tablet 400 mg n/a560. Oksaliplatin serbuk injeksi 100 mg / vial ELOXATIN561. Oksaliplatin serbuk injeksi 50 mg / vial ELOXATIN562. Oksimetazolin tetes hidung 0,025% Ilaidin Drops563. Oksimetazolin tetes hidung 0,050% #N/A564. Oksitosin injeksi 10 IU/ml Oxytocin "S"565. Oktreotid 10 mg Sandostatin LA566. Olanzapin inj 10 mg/vial Zyprexa IM567. Olanzapin kapl salut 5 mg Olandoz 5568. Olanzapin tab 10 mg Olandoz 10569. Olopatadin tts mata 0,1% Patanol

538 Omeprazol / Pantoprazol inj n/a538 Omeprazol / Pantoprazol inj n/a538 Omeprazol / Pantoprazol inj n/a538 Omeprazol #N/A

570. Omeprazol injeksi 40 mg/ 10 ml n/a571. Omeprazol kapsul/kaplet 20 mg n/a572. ondansetron inj 4 mg/ 2 mL n/a573. Ondansetron tab 4 mg n/a574. Ondansetron tablet 8 mg n/a575. Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Ten n/a576. Paket CAPD Pergantian Transfer Set per 6 bulan n/a577. Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan komposisi Larutan DialiLarutan Dialisa578. Paklitaksel inj 100 mg/vial SINDAXEL 100 579. Paklitaksel inj 300 mg/vial SINDAXEL 260m580. Paklitaksel injeksi 30 mg/vial SINDAXEL 30 M581. Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) n/a

552 Parasetamol infus Pyrex 582. Parasetamol sirup 120 mg / 5 ml n/a583. Parasetamol tablet 500 mg n/a584. Parasetamol tetes 60 mg/0,6 mL FASIDOL585. Pegylated interferon alfa-2a inj 135 mcg/0,5 ml Pegasys586. Pegylated interferon alfa-2a inj 180 mcg/0,5 ml Pegasys587. Pegylated Interferon alfa-2b serb inj 100 mcg Pegintron Vial588. Pegylated Interferon alfa-2b serb inj 120 mcg Pegintron Pen 589. Pegylated Interferon alfa-2b serb inj 50 mcg Pegintron590. Pegylated Interferon alfa-2b serb inj 80 mcg Pegintron Vial 591. Perak sulfadiazin krim 1% BURNAZIN 35 592. Perindoprilarginin tab 5 mg Bioprexum 5 m593. Permetrin krim 5% Scabimite Crea594. Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl) n/a595. Pioglitazon tab 15 mg DECULIN 15 M596. Pioglitazon tab 30 mg DECULIN 30 M597. Pirantel suspensi 125 mg/5 ml n/a598. Pirantel tablet score (base) 125 mg n/a599. Pirazinamid tablet 500 mg n/a601. Piridoksin (vitamin B6) inj 100 mg/mL n/a600. Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl) #N/A602. Polikresulen cairan Aptil603. Povidon Iodida larutan 10% 1000 ml n/a604. Povidon Iodida larutan 10% 30 ml n/a605. Povidon Iodida larutan 10% 300 ml n/a606. Povidon Iodida larutan 10% 60 ml n/a607. Pramipeksol tab ER 0,375 mg Sifrol ER 0,375608. Pramipeksol tab ER 0,750 mg Sifrol ER 0,750609. Pravastatin tablet 20 mg n/a610. Primakuin tablet 15 mg #N/A611. Probenesid tablet/kapsul/kaplet 500 mg Probenid612. Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial n/a613. Propanolol tablet 10 mg ( HCl ) n/a614. Propiltiourasil tablet/kapsul/kaplet 100 mg n/a615. Propofol injeksi i.v., bolus 1% Fresofol 1% MC616. Propranolol tablet 40 mg (HCl) n/a

617. Quetiapin tab 200 mg Seroquel XR 20618. Quetiapin tab 300 mg Seroquel XR 30619. Quetiapin tab 400 mg Seroquel XR 40620. Ramipril tablet 2,5 mg Cardace 2.5mg 621. Ramipril tablet 5 mg n/a622. Ramipril tablet/kaplet/kapsul 10 mg n/a623. Ranitidin injeksi 25 mg/ml n/a624. Ranitidin tablet 150 mg n/a625. Retinol (Vitamin A) 100.000 IU n/a626. Retinol (Vitamin A) 200.000 IU kapsul lunak n/a627. Rifampisin tablet/kapsul/kaplet 300 mg #N/A628. Rifampisin tablet/kapsul/kaplet 450 mg #N/A629. Rifampisin tablet/kapsul/kaplet 600 mg #N/A630. Ringer Laktat larutan infus n/a631. Risperidon tablet 1 mg n/a632. Risperidon tablet 2 mg n/a633. Risperidon tablet 3 mg n/a634. Rituksimab injeksi 10 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI No Mabthera635. Rivaroksaban tab 10 mg Xarelto 10 mg636. Rivaroksaban tab 15 mg Xarelto 15 mg637. Rivaroksaban tab 20 mg Xarelto 20 mg638. Rokuronium injeksi i.v. 50 mg/5ml #N/A639. Ropinirol Tablet Salut 2 mg Requip PD 24 H640. Ropinirol Tablet Salut 4 mg Requip PD 24 H641. Ropinirol Tablet Salut 8 mg Requip PD 24 H642. Salbutamol cairan ih 0,1% Ventolin Nebul643. Salbutamol inhalasi/aerosol 100 mcg/dosis Ventolin Inhale644. Salbutamol serb inh 200 mcg/kaps Ventolin Rotac645. Salbutamol serb inh 200 mcg/kaps + rotahaler Ventolin Rotaha646. Salbutamol tablet 2 mg (sebagai Sulfat) n/a647. Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% n/a649. Sefadroksil kapsul/kaplet 250 mg n/a650. Sefadroksil kapsul/kaplet 500 mg n/a651. Sefadroksil sir kering 250 mg/5 mL n/a648. Sefadroksil sirup kering 125 mg/5ml n/a652. Sefaleksin kapsul/kaplet 500 mg n/a653. Sefazolin serbuk injeksi 1 g/vial n/a654. Sefepim inj 1 g n/a655. Sefiksim kapsul/kaplet 100 mg n/a656. Sefiksim sirup kering 100 mg/ 5 ml n/a657. Sefoperazon inj 1 g n/a658. Sefotaksim injeksi 0,5 g n/a659. Sefotaksim injeksi 1 g n/a660. Seftazidim injeksi 1 g n/a661. Seftriakson serbuk injeksi 1 g/vial n/a663. Sefuroksim serbuk injeksi 750 mg/vial #N/A663. Sefuroksim serbuk injeksi 750 mg/vial #N/A664. Sefuroksim tab 500 mg Zinnat 500

662. Sefuroksim tablet/kapsul/kaplet 250 mg Zinnat 250 mg665. Sertralin tab 50 mg Fatral666. Setirizin sirup 5 mg/5 ml n/a667. Setirizin tablet 10 mg n/a668. Setuksimab infus 5 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor Erbitux669. Sevofluran ih, btl Sojourn670. Sianokobalamin (vitamin B12) injeksi 500 mcg n/a671. Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg n/a672. Siklofosfamid serbuk injeksi i.v. 1000 mg Cyclovid 1000 673. Siklofosfamid serbuk injeksi i.v. 200 mg Cyclovid 200 m674. Siklofosfamid serbuk injeksi i.v. 500 mg CYCLOVID 500675. Siklosporin kaps 100 mg Sandimmun Neo676. Siklosporin kapsul lunak 25 mg Sandimmun Neo677. Silostazol tablet/kapsul/kaplet 100 mg Citaz678. Simvastatin scored tablet 10 mg n/a679. Simvastatin tablet 20 mg n/a680. Siprofloksasin infus 2% n/a681. Siprofloksasin tablet 500 mg (sebagai HCl) n/a682. Sisplatin serbuk injeksi 10 mg Cisplatin683. Sisplatin serbuk injeksi 50 mg Cisplatin684. Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml DBL Cytarabun685. Spiramisin tablet 500 mg n/a686. Spironolakton tablet 100 mg n/a687. Spironolakton tablet 25 mg n/a688. Stavudin tablet/kapsul/kaplet 30 mg n/a689. Streptokinase injeksi 1,5 juta UI/vial Streptase690. Streptomisin serbuk injeksi i.v 1000 mg/ml n/a691. Sufentanil injeksi iv, epidural 5 mcg/ml Sufentanyl Injek692. Sukralfat susp 500 mg/5 mL Ulsafate693. Sukralfat tab 500 mg ULSIDEX694. Takrolimus kaps 0.5 mg Prograf695. Takrolimus kaps 1 mg Prograf696. Tamoksifen tablet 20 mg #N/A697. Tamsulosin tab 0,2 mg Harnal D698. Tamsulosin tab 0,2 mg Harnal D699. Tamsulosin tab SR 0,4 mg Harnal OCAS700. Telbivudin tab 600 mg Sebivo 600 mg 701. Telmisartan tab 40mg Micardis 40mg702. Telmisartan tab 80 mg Micardis 80mg703. Temozolamid kaps 100 mg Temodal704. Temozolamid kaps 20 mg Temodal705. Tenofovir tab 300 mg n/a706. Teofilin tab SR 300 mg Rethapyl707. Teofilin tablet 150 mg Bronsolvan708. Terazosin HCl tablet/kapsul/kaplet 1 mg HYTROZ 1MG709. Terazosin HCl tablet/kapsul/kaplet 2 mg HYTROZ 3MG710. Terbutalin cairan ih 2,5 mg/mL Bricasma Respu711. Terbutalin tablet 2,5 mg Molasma Table

712. Terbutalin turbu (serbuk ih) 0,50 mg Bricasma Turbu713. Testoteron soft capsul 40 mg Andriol Testoc714. Tetrakain HCl tetes mata 0,5% Pantocain 0.5%715. Tetrasiklin kapsul/kaplet 250 mg n/a716. Tetrasiklin tablet/kapsul/kaplet 500 mg n/a717. Tiamazol tab 10 mg Thyrozol 10718. Tiamazol tab 5 mg Thyrozol 5719. Timolol tetes mata 0,25% Isotic Adretor 720. Timolol tetes mata 0,5% Isotic Adretor 721. Tiotropium 18 mcg refill Spiriva powder 722. Tiotropium kaps 18 mcg + handihaller Spiriva 10s + H723. Tramadol injeksi 50 mg/ml n/a724. Trastuzumab serbuk injeksi 440 mg/vial (Skema Risk Sharing sesuai Kepme Herceptin725. Travoprost tetes mata 0,004% Travatan726. Triamsinolon asetonid nasal spray 55 mcg/puff Nasacort AQ727. Triamsinolon inj 10 mg/mL #N/A728. Trifluoperazin tablet 5 mg n/a729. Tropikamid tetes mata 1% Cendo Mydriati730. Urea krim 10% Soft U Derm731. Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukot #N/A732. Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukot #N/A733. Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukot #N/A734. Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA #N/A735. Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA #N/A736. Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA #N/A737. Vaksin BCG Kering (BF) (Harga pengadaan di Kementerian Kesehatan Pusat fr #N/A738. Vaksin BCG Kering (BF) (Harga pengadaan di Provinsi franco ibukota Provins #N/A739. Vaksin Campak Kering (Harga pengadaan di Kementerian Kesehatan Pusat fra #N/A740. Vaksin Campak Kering (Harga pengadaan di Provinsi franco ibukota Provinsi #N/A741. Vaksin DTP-HB-Hib (Harga pengadaan di Kementerian Kesehatan Pusat franco #N/A742. Vaksin DTP-HB-Hib (Harga pengadaan di Provinsi franco ibukota Provinsi (N #N/A743. Vaksin Hepatitis B Rekombinan (Harga pengadaan di Kementerian Kesehatan #N/A744. Vaksin Hepatitis B Rekombinan (Harga pengadaan di Provinsi franco ibukota #N/A745. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga pengadaan di Kementerian Kes #N/A746. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga pengadaan di Provinsi franco #N/A747. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga pengadaan di Kementerian Kes #N/A748. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga pengadaan di Provinsi franco #N/A749. Vaksin Meningitis Meningokokus #N/A750. Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan) Imovax Polio751. Vaksin Poliomyelitis Oral (Harga pengadaan di Kementerian Kesehatan Pusat #N/A752. Vaksin Poliomyelitis Oral (Harga pengadaan di Provinsi franco ibukota Provi #N/A753. Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster RABIPUR754. Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster RABIPUR755. Vaksin TT (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota #N/A756. Vaksin TT (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA K #N/A757. Valasiklovir tablet/kapsul/kaplet 500 mg #N/A758. Valgansiklovir tab 450 mg Valcyte759. Valproat sirup 250 mg/5 ml Ikalep

760. Valproat tab SR 250 mg Depakote ER 2761. Valproat tab SR 500 mg Depakote ER 5762. Valproat tablet salut 250 mg Depakote Tab 764. Valsartan tab 160 mg DIOVAN 160 M763. Valsartan tab 80 mg Diovan 80mg T765. Vankomisin serbuk injeksi 500 mg/vial Vancep766. Verapamil tab 240 mg Isoptin 240 mg767. Verapamil tablet 80 mg (HCl) n/a768. Vinblastin serbuk injeksi 10 mg Vinblastine769. Vinkristin serb inj i.v 2 mg/vial Vincristine Kal770. Vinkristin serbuk injeksi i.v. 1 mg Vincristine Kal771. Vinorelbin inj. 10 mg/ml Navelbine injek772. Vitamin B Kompleks tablet n/a773. Zidofudin 100 mg n/a774. Zidovudin 300 mg + Lamivudine 150 mg n/a775. Zinc drop 10 mg/mL Zincpro Drops776. Zinc sir 10 mg/mL #N/A777. Zinc sir 20 mg/5 Ml Zircum Kid Siru778. Zinc tablet dispersible20 mg n/a

Nama Dagang Nama Penyedia Kemasan

n/a PT. Kimia Farma 1 blister@24 tablet 1,375.00Hepsera PT. SmithKline Beecham PhamacDus, 3 Blister @ 10 kapsul 27,500.00n/a PT. Ikapharmindo Vial 20 ml 2,030.00Otsu SWI 25 ml PT Otsuka Indonesia Dus, 120 ampul PE @ 25ML 2,200.00WIDA WI UNICAP PT. Widatra Bhakti Btl @ 1000 ml 7,500.00n/a PT. Dexa Medica Dus, 10 strip @10tablet 990.00n/a PT. Dexa Medica Dus, 10 strip @10tablet 780.00n/a PT. Indofarma Dus, 10 dus @ 1 botol @ 10 ml 3,849.00n/a PT. Holi Pharma Dus, 5 strip @ 6 tablet 338.00Zenalb PT. Ikapharmindo Vial 100 ml 750,000.00Zenalb PT. Ikapharmindo Vial 50 ml 345,000.00Albuminar 25 PT. Ferron Par Pharmaceuticals Dus, botol @ 100 ml 1,515,000.PLASBUMIN 25% 20 ML PT. Dipa Pharmalab botol @ 20 ml 321,552.00PLASBUMIN 25% 50 ML PT. Dipa Pharmalab botol @ 50 ml 732,727.00PLASBUMIN 5% 250 ML PT. Dipa Pharmalab botol @ 250 ml 900,000.00PLASBUMIN 5% 50 ML PT. Dipa Pharmalab botol @ 50 ml 283,000.00n/a PT. Pertiwi Agung Box, 10 strips @ 10 tablets 86.00n/a PT. Bernofarm Dus, 10 blister @ 10 tablet 199.50n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 380.00n/a PT. Otto Pharmaceuticals 1 box 10 Strip X 10 tablet 176.00n/a PT. Kimia Farma Ktk 10x10 tablet 233.00Actilyse PT. Boehringer Ingelheim Dus, 1 vial@50mg + 1 vial pelaru 3,800,000.Fungicide PT. Cendo Industri Farmasi tube 3.5 gr 18,500.00Glybotic 250 mg /ml PT. Sanbe Farma Vial 2 ml 50,500.00n/a PT. Lucas Djaja dus 30 ampul @10 ml 3,822.00n/a PT. Marin Liza Farmasi Botol @ 100 tablet salut selaput 90.00n/a PT. Erela Btl @ 100 tablet 80.00Cordarone PT. Aventis Pharma Dus, 6 ampul @ 3 ml 12,480.00Kendaron Tablet PT. Darya Varia strip 1,200.00n/a PT. Indofarma Dus, 10 strip @ 10 tss 112.00n/a PT. Pertiwi Agung Box, 3 strips @ 10 tablets 330.00n/a PT. Pertiwi Agung Box, 3 strips @ 10 tablets 187.00n/a PT. Novapharin dus 10 X 10'S 211.00n/a PT. Bernofarm Dus, 10 strip @ 10 kaptab 272.00n/a PT. Novapharin btl @ 60 ml 2,445.00n/a PT. Holi Pharma Dus, Botol 60 ml 4,045.00n/a PT. Bernofarm Dus, 10 vial @ 1 g 5,100.00Lantus Solostar 100IU/ml PT. Aventis Pharma dus, 5 solostar pen @ 3ml 85,000.00Novomix Flexpen PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, Flexpen disposib106,000.00Humalog Mix 25 Kwikpen PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 102,990.00Humalog Mix 25 PT. Bayer Indonesia Penfill cartridge 97,500.00Humalog Kwikpen PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 82,495.00Novorapid Flexpen PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, Flexpen disposib85,345.00Novorapid Vial PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 200,000.00Apidra Solostar 100IU/ml PT. Aventis Pharma dus, 5 solostar pen @ 3ml 79,165.00Humalog PT. Bayer Indonesia Penfill cartridge 79,167.00

Harga Satuan Terkecil

(Rp)

Arimidex 1 mg PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 32,000.00n/a PT. Promedrahardjo Farmasi IndDus, 10 Strip@10 Tablet 75.00n/a PT. Rama Emerald Multi Sukses Boto 60 ml 2,100.00n/a PT. Indofarma Dus, 25 tube @ 5 g 2,516.00n/a PT. Kimia Farma DUS, 10 SUPP @ 2 GRAM 3,045.00n/a PT. Kimia Farma ktk 10 x 10 tablet 520.00n/a PT. Kimia Farma Btl 100 tablet 135.00Levopar Tablet PT. Meprofarm Dus, 5 strip @ 10 tablet 1,500.00Artem PT. Kimia Farma Dus 6 amp @ 1ml 22,000.00Artesunate PT. Pharma Laboratories Dus, 1 Vial @ 60 mg + 1 Ampul P 38,999.00n/a PT. Phapros, Tbk Dus @ 10 X 10 's 116.00Miniaspi 80 PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 148.00n/a PT. Kimia Farma ktk 10x10 tablet 159.00n/a PT. Kimia Farma Dus 10 strip x 10 tab 95.00Starfolat PT. Dexa Medica Dus, 10 strip @10 tablet 84.00n/a PT. Marin Liza Farmasi Botol @ 100 tablet 48.00Bondronat PT. Boehringer Ingelheim Boks, 1 ampul 2,209,000.n/a PT. Afifarma dus, 10 blister @ 10 kapsul 158.00n/a PT. Bernofarm Dus, 10 blister @ 10 kaptab ss 112.00Urotractin 400 mg PT. Sanbe Farma Strip 1,815.00n/a PT. Bernofarm Dus, 10 ampul @ 5 ml 2,950.00ZOMETA PT. Novartis Indonesia Dus, 1 vial plastik @ 5ml 900,000.00Temiral Eye Oint PT. Sanbe Farma Tube 3,5 gram 24,750.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 237.00n/a PT. Kimia Farma ktk 10x10 tablet 345.00Leunase PT. Widatra Bhakti 10.000 UI/Vial 1,039,500.Pularex PT. Zenith Pharmaceuticals Dus 5 strip @ 10 tablet 190.00Betablok PT Kalbe Farma strip 700.00Farnormin PT. Pratapa Nirmala Box @ 10 strip 10 tab 352.00Tracrium PT. Glaxo Wellcome Indonesia Dus, 5 ampul @ 2.5 ml 20,000.00n/a PT. Ethica Industri Farmasi 100 AMPUL @ 1 ML 1,350.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 74.00Cendo Tropin 0,5% PT. Cendo Industri Farmasi Botol 5ml 13,500.00Cendo Tropin 1% PT. Cendo Industri Farmasi Botol 5ml 13,500.00n/a PT. Soho Industri Pharmasi botol @ 60 ml 34,400.00n/a PT. Soho Industri Pharmasi Strip 3,333.00n/a PT. Kimia Farma ktk 2x10 tablet 4,500.00n/a PT. Rama Emerald Multi Sukses Dus @ 50 gram 1,250.00n/a PT. Phapros, Tbk Ds 10 vial x 1,2 Jt IU 9,800.00n/a PT. Phapros, Tbk 10 vial @ 2.400.000 IU 13,400.00Survanta PT. Abbott Indonesia Vial 3,200,000.Dorner PT. Combiphar Box/ 3 blister @ 10 Tablet 3,600.00n/a PT. Kimia Farma Tube 5 gr 1,520.00Betam Ophtal ED PT. Sanbe Farma botol @ 5 ml 25,106.00Avastin PT. Boehringer Ingelheim Dus, 1 vial @ 4 ml 4,803,697.Casodex 150 mg PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 72,400.00Casodex 50 mg PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 45,000.00Stolax supp PT. Sanbe Farma Supp 6,045.00

Dulcolax Supp Infant PT. Boehringer Ingelheim 1 Box @ 6's 4,990.00Concor 2.5 PT. Merck Tbk Dus 10 blister @ 10 tablet 746.00n/a PT. Pratapa Nirmala Box 3 X 10 tab 645.00BLEOCIN PT Kalbe Farma Vial 304,000.00Cripsa tab PT. Caprifarmindo Box 3 x 10'S 247,089.00Pulmicort Turbuhaler PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 100 dosis 93,000.00Obucort Swinghaler PT Otsuka Indonesia Unit, 200 dosis 106,000.00Pulmicort Respules PT. AstraZeneca indonesia Dus, 4 pak @ 5 respules @ 2 ml 8,900.00Symbicort Turbuhaler 160/PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 120 dosis 117,600.00Symbicort 80/4.5 mcg PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 60 dosis 110,500.00n/a PT. Dexa Medica Dus, 5 ampul @ 4 ml 25,600.00Bunascan PT. Pratapa Nirmala ampul 30,800.00Pradaxa PT. Boehringer Ingelheim Dus, 3 blister @ 10 kapsul 12,936.00Pradaxa PT. Boehringer Ingelheim Dus, 3 blister @ 10 kapsul 12,936.00DBL Dacarbazine PT. Tempo Scan Pacific vial @ 20 ml 305,000.00DAUNOCIN PT. Novell Pharmaeutical Laboravial 275,000.00Exjade 250 mg Tab PT. Novartis Indonesia Dus, 4 blister @ 7 tablet 76,000.00Exjade 500 mg Tab PT. Novartis Indonesia Dus, 4 blister @ 7 tablet 150,000.00Ferriprox Oral Solution PT. Sydna Farma Dus, Botol @ 500ml 2,600,000.Ferriprox tablet PT. Sydna Farma Dus, Botol @ 100 tablet 25,300.00Desferal PT. Novartis Indonesia Dus, 10 vial @ 500mg 112,000.00n/a PT. Indofarma Dus, 100 ampul @ 1 ml 1,580.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 68.00Cerazette PT. Merck Sharp Dohme PharmaDus, 1 Blister @ 28 tablet 70,000.00DEXIGEN PT. Ifars Pharmaceutical Labora Dus, tube @ 5 g 5,700.00n/a PT. Dexa Medica Kotak, tube @ 15 gram 9,983.00Dexocort PT. Kimia Farma Dus Tube 10 gram 9,818.00n/a PT. Indofarma Dus, 30 ampul @ 2 ml 4,180.00STESOLID PT. Actavis Indonesia Dus, 5 alubag @ 1 tube @ 2,5ml 16,748.00STESOLID PT. Actavis Indonesia Dus, 5 alubag @ 1 tube @ 2,5ml 11,525.00n/a PT. Kimia Farma Botol Plastik @ 100 tablet 45.00n/a PT. Holi Pharma Dus, 10 blister @10 tablet 136.00n/a PT. Lucas Djaja ampul @ 1 ml 1,054.00Fargoxin inj PT. Pratapa Nirmala Box @ 5 ampul 2 mL 22,000.00n/a PT. Yarindo Farmatama Box 10 X 10 Tab 97.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 134.00Herbesser Powder Injecti PT. Tanabe Indonesia 10 vial @ 50mg 127,667.00Farmabes Injeksi 25 mg PT. Pratapa Nirmala Vial 5 mL 46,667.00Herbesser CD 100 PT. Tanabe Indonesia 3 blister @ 10 kapsul 3,667.00Herbesser CD 200 PT. Tanabe Indonesia 3 blister @ 10 kapsul 4,015.00n/a PT. Kimia Farma Btl 100 tablet 104.00E.D.T.A PT. Cendo Industri Farmasi botol 15 ml 37,500.00Bonefos Infus 60 mg / 5 ml PT. Bayer Indonesia ampul 124,955.00DOBURAN PT. Dipa Pharmalab ampul @ 5 ml 26,700.00Cardura 1mg PT. Pfizer Indonesia Dus, 5 blister @10's tab 3,480.00Cardura 2mg PT. Pfizer Indonesia Dus, 5 blister @10's tab 5,480.00n/a PT. Yarindo Farmatama Box @ 10 strip 10 kapsul 270.00Doxorubicin Actavis 10 mg PT. Actavis Indonesia Dus, 1 vial @ 10 mg 55,500.00

Doxorubicin Actavis 50 mg PT. Actavis Indonesia Dus, 1 vial @ 50 mg 274,125.00n/a PT. Novapharin btl @ 60 ml 3,333.00n/a PT. Novapharin dus 10 X 10'S 167.00n/a PT. Bernofarm Dus, botol @ 10 ml 15,600.00UDOPA PT. Dipa Pharmalab ampul @ 5 ml 9,840.00n/a PT. Sanbe Farma Dus, 1 vial @0,5 ml+ 1 vial pelar 970,200.00Renalscan KaeF PT. Kimia Farma Dus @ 5 vial 455,000.00Avodart PT. SmithKline Beecham PhamacDus, Botol Plastik @ 30 Tablet 7,100.00n/a PT. Kimia Farma Botol 30 tab 6,375.00n/a PT. Bernofarm Ampul @ 1 ml 12,990.00Aromasin PT. Pfizer Indonesia Dus, 2 blister @ 15 tablet 42,600.00Lovenox 2000 ANTI-XA PT. Aventis Pharma dus, 2 prefilled syringe @ 0,2 ml 40,740.00Lovenox 4000 ANTI-XA PT. Aventis Pharma dus, 2 prefilled syringe @ 0,4 ml 71,875.00Lovenox 6000 ANTI-XA PT. Aventis Pharma dus, 2 prefilled syringe @ 0,6 ml 100,000.00n/a PT. Phapros, Tbk Dus @ 30 Ampul 8,100.00n/a PT. Sanbe Farma Dus, 1 vial @5 ml 128,000.00Epirubisin Kalbe PT Kalbe Farma Vial @ 25 ml 500,000.00D-Vit FT PT. Gracia Pharmindo Dus 3 strip @ 10 Flash tablet 650.00D-Vit Syrup PT. Gracia Pharmindo Dus, Botol Plastik @ 100 mL 8,000.00n/a PT. Kimia Farma ktk 10 x 10 kapsul 497.00n/a PT. Indofarma Dus, 10 blister @ 10 kss 930.00n/a PT. Phyto Kemo Agung Farma Botol @60 ml 7,700.00Hemapo 10.000 IU PT Kalbe Farma vial/ampul (Prefilled Syringe) 275,000.00Eprex 2000 PT. Soho Industri Pharmasi Dus, 6 prefilled syrenge @ 0.5 ml 133,875.00Hemapo 3000 PT Kalbe Farma Prefilled Syringe @ 1ml 128,000.00Recormon PT. Boehringer Ingelheim Boks, 6 ampul 139,500.00n/a PT. Kimia Farma ktk 20 x 10 tablet 314.00n/a PT. Indofarma Dus, 10 strip @ 10 tss 451.00n/a PT. Novapharin btl @ 100 ml 2,500.00Lynoral PT. Merck Sharp Dohme PharmaDus, botol @ 100 tablet 1,360.00Implanon PT. Merck Sharp Dohme PharmaDus, 1 blister @ 1 subdermal imp 128,779.00Posyd PT. Combiphar Vial 100mg/5ml 100,000.00n/a PT. Kimia Farma Botol 10 ml 16,667.00Certican 0,25 mg Tab PT. Novartis Indonesia Dus, 6 blister @ 10 tablet 11,813.00Certican 0,5 mg Tab PT. Novartis Indonesia Dus, 6 blister @ 10 tablet 23,250.00Nonafact 1000 IU PT. Graha Farma Dus, 1 vial @ 1000 IU+ 1 vial pel 8,500,000.Nonafact 500 IU PT. Graha Farma Dus, 1 vial @ 500 IU+ 1 vial pela 4,423,500.Cofact 500 IU/20 ml PT. Graha Farma Dual, vial 500 IU 4,400,000.Cofact 250 IU PT. Graha Farma Dus, vial @ 250 IU+ 1 vial pelar 2,095,000.Novoseven PT. Ferron Par Pharmaceuticals KOTAK @ 1 VIAL SERBUK OBAT & 9,200,000.Haemoctin PT. Kimia Farma vial 1,133,000.KOATE 250 UI PT. Dipa Pharmalab Vial/ampul 990,000.00KOATE DVI 500 IU PT. Dipa Pharmalab vial 2,150,000.Aafact 500 IU PT. Graha Farma 500 IU 1,990,417.n/a PT. Mersifarma Tirmaku Mercu KOTAK @ 10 ampul 20,250.00n/a PT. Ikapharmindo Botol @ 100 133.00n/a PT. Mersifarma Tirmaku Mercu KOTAK @ 10 ampul 20,250.00n/a PT. Phapros, Tbk Dus @ 30 Ampul 1,800.00

n/a PT. Indofarma Dus, 10 strip @ 10 tablet 220.00n/a PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 kapsul 1,075.00n/a PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 kapsul 1,375.00Fenocin PT. Actavis Indonesia Dus 45 x 12 tab 235.00n/a PT. Phapros, Tbk 10 X 10 290.00n/a PT. Phapros, Tbk Ds 10 str x 10's 510.00Berotec MDI PT. Boehringer Ingelheim Box, canister 10mL 72,900.00Berotec Solution PT. Boehringer Ingelheim Dus, Canister 200 dosis 117,500.00n/a PT. Kimia Farma Dus 5 ampul@ 10ml 128,000.00n/a PT. Kimia Farma Dus 5 ampul@ 2ml 33,914.00Durogesic 12,5 MU Matrix PT. Kimia Farma Dus @ 5 patch 80,000.00Durogesic 25 MU Matrix PT. Kimia Farma Dus@ 5 patch 153,000.00Durogesic 50 MU Matrix PT. Kimia Farma Dus@ 5 patch 285,000.00Leucogen PT Kalbe Farma pfs @ 0,5 ml 375,000.00Prostacom PT. Combiphar Box, isi 3 Strip @ 10 tab 2,950.00n/a PT. Marin Liza Farmasi Botol @ 100 tablet salut gula 634.00n/a PT. Phapros, Tbk dus @ 30 ampul 3,417.00Fludara IV LYO PT. Aventis Pharma Dus, 5 vial @ 50 mg 1,248,319.Fludara Oral PT. Aventis Pharma Dus, 4 blister @ 5 tablet salut sel 275,000.00Sikzonoate Injeksi PT. Mersifarma Tirmaku Mercu Dus, 5 ampul @ 1ml 55,000.00n/a PT. Novell Pharmaeutical LaboraBotol 38,000.00Diflucan 50mg PT. Pfizer Indonesia Blister 4,862.00n/a PT. Kimia Farma ktk 1 x 10 kapsul 22,000.00Foransi 10 PT. Gracia Pharmindo strip 419.00NOPRES PT. Dexa Medica DUS, 30 TABLET 410.00Ocuflam ED PT. Sanbe Farma botol @ 5 ml 30,493.00Curacil PT Kalbe Farma vial @ 1 ml 24,500.00Curacil PT Kalbe Farma vial @ 10 ml 33,000.00SYNARCUS PT. Ifars Pharmaceutical Labora Dus, Tube 5 g 2,400.00Dermasolon oint PT. Ikapharmindo Dus, tube @ 10 g 5,489.00Avamys PT. Glaxo Wellcome Indonesia Dus, Botol 120 Dosis Spay 93,333.00Flixotide Nbules PT. Glaxo Wellcome Indonesia Dus, 2 flow wrap@ 5 nebules @ 1 12,917.00Arixtra PT. Glaxo Wellcome Indonesia Dus, 2 pfs 0.5 ml 241,667.00Plasmanate PT. Dipa Pharmalab dus, vial @ 250 ml 972,000.00n/a PT. Indofarma Dus, 25 ampul @ 2 ml 1,829.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 85.00Gadovist 5 mg PT. Bayer Indonesia Prefilled Syringe 275,000.00Gadovist 7,5 mg PT. Bayer Indonesia Prefilled Syringe 412,500.00Primovist PT. Bayer Indonesia Prefilled Syringe 2,570,000.Cymevene PT. Boehringer Ingelheim Boks, 1 ampul 399,500.00n/a PT. Rama Emerald Multi Sukses Kotak 100 Shachet 285.00Iressa 250 mg PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 295,000.00n/a PT. Indofarma Dus, 10 blister @ 12 kapsul 289.00n/a PT. Indofarma Dus, 10 blister @ 10 kaptab 679.00Gemzar 1000 mg PT. Bayer Indonesia vial 1,098,900.n/a PT. Sanbe Farma Dus, 1 vial @200 mg 330,000.00n/a PT. Indofarma Dus, 5 ampul @ 2 ml 3,399.00Genoint Salep Mata PT. Erela Tube @ 3,5 gr 2,600.00

n/a PT. Indofarma Dus, botol plastik 5 ml 3,194.00n/a PT. Indofarma Dus, 10 blister @ 10 kaptab 56.00Diamicron MR 30 PT. Pradja Pharin Dus, 6 strip @ 10 tablet lepas la 638.00Glicab PT. Tempo Scan Pacific Strip 235.00Diamicron MR 60 PT. Darya Varia Box, 30 Tablet 5,500.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 950.00n/a PT. Kimia Farma ktk 5x10 tablet 265.00n/a PT. Kimia Farma ktk 5x10 tablet 436.00n/a PT. Kimia Farma ktk 5x10 tablet 404.00n/a PT. Kimia Farma ktk 5x10 tablet 430.00Glucotrol 10 mg PT. Pfizer Indonesia Dus, botol@TAB 10MG 30 3,207.00Glucotrol 5 mg PT. Pfizer Indonesia Dus, botol@TAB 10MG 31 3,000.00DBL Gliceryl Trinitrate 50 mPT. Tempo Scan Pacific 1 box isi 5 ampul 10 ml 119,900.00Nitrokaf Retard PT. Kimia Farma Dus 10x10 1,493.00Nitrokaf Forte PT. Kimia Farma Dus 10x10 2,171.00Nitral PT. Actavis Indonesia Btl @ 30 tablet 1,500.00Gliserin lar 50% PT. Lucas Djaja Glycerin 100 ml 5,333.00n/a PT. Widatra Bhakti botol @ 500 ml 5,700.00n/a PT. Widatra Bhakti botol @ 500 ml 5,200.00Zoladex 10,8 mg PT. AstraZeneca indonesia Dus, 1 syringe @ 10.8 mg 2,300,000.Zoladex 3,6 mg PT. AstraZeneca indonesia Dus, 1 syringe @ 3.6 mg 840,000.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 219.00Haldol Decanoas PT. Soho Industri Pharmasi Dus 5 Ampul@1mL 83,333.00Lodomer Injeksi PT. Mersifarma Tirmaku Mercu KOTAK @ 12 ampul 6,250.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 59.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 69.00Lodomer 2 PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 126.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 96.00LODOMER DROPS PT. Mersifarma Tirmaku Mercu BOTOL @ 15 ML 16,500.00Halothane PT. Dexa Medica Botol 641,500.00Inviclot PT. Pratapa Nirmala vial 42,900.00Hyperhep B PT. Dipa Pharmalab Dus, 1 syringe @ 0.5 mL 1,328,000.n/a PT. Kimia Farma dus, 10 strip @ 10 tablet 149.00n/a PT. Marin Liza Farmasi tube @ 5 ml 2,570.00n/a PT. Kimia Farma Tube 5 gr 2,798.00HYDROXYUREA MEDAC PT. Dipa Pharmalab vial 5,400.00n/a PT. Otto Pharmaceuticals box 5ampul @1 ml 4,500.00Homatro 2% PT. Cendo Industri Farmasi Botol 5ml 18,000.00Humulin N Kwikpen PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00Insulatard Vial PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00Humulin N Vial PT. Bayer Indonesia Dus, vial 10 ml 138,000.00Insulatard Penfill PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00Humulin N Cart PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00Sansulin N PT. Sanbe Farma penfillcartridge @ 3ml 75,000.00Insuman Basal vial 5ml, 10 PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00Insuman Comb 25 vial 5ml,PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00Humulin 30/70 Kwikpen PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00Mixtard Penfill PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00

Humulin 30/70 Cart PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00Mixtard Vial PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00Humulin 30/70 Vial PT. Bayer Indonesia Dus, vial 10 ml 138,000.00Humulin R Kwikpen PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00Actrapid Penfill PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00Sansulin R PT. Sanbe Farma penfill cartridge @ 3ml 75,000.00Humulin R Cart PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00Actrapid Vial PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00Humulin R Vial PT. Bayer Indonesia Dus, vial 10 ml 138,000.00Insuman Rapid vial 5ml, 10 PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00Tetagam PT. Dexa Medica Prefilled syringe 170,000.00n/a PT. Indofarma Dus, botol 60 ml 3,499.00n/a PT. Indofarma Dus, botol 60 ml 4,499.00n/a PT. Yarindo Farmatama botol @ 100 tablet 110.00n/a PT. Holi Pharma Dus, 10 strip @ 10 tablet 149.00Holoxan injeksi 1000 PT. Mugi Laboratories Dus, 1 vial @ 1 g 1,329,163.Glivec PT. Novartis Indonesia Dus, 6 blister @ 10 tablet salut s 211,000.00Tanapress 10mg PT. Tanabe Indonesia 3 blister @ 10 tablet 3,908.00Tanapress 5mg PT. Tanabe Indonesia 3 blister @ 10 tablet 2,120.00Iopamiro PT. Dipa Pharmalab Dus, botol @ 100 ml 350,000.00Iopamiro PT. Dipa Pharmalab Dus, vial @ 30 ml 122,000.00Iopamiro PT. Dipa Pharmalab Dus, vial @ 50 ml 166,000.00Iopamiro PT. Dipa Pharmalab Dus, botol @ 100 ml 369,000.00Iopamiro PT. Dipa Pharmalab Dus, vial @ 30 ml 147,000.00Iopamiro PT. Dipa Pharmalab Dus, vial @ 50 ml 199,000.00Ultravist 300/100 mg PT. Bayer Indonesia Botol 245,000.00Ultravist 300/50 mg PT. Bayer Indonesia Botol 123,200.00Ultravist 370/100 mg PT. Bayer Indonesia Botol 299,000.00Ultravist 370/50 mg PT. Bayer Indonesia Botol 150,300.00Atrovent HFA PT. Boehringer Ingelheim Box, canister 10mL 80,000.00Atrovent solution for inha PT. Boehringer Ingelheim Box, bottle 20mL 90,000.00n/a PT. Indofarma Dus, 5 blister @ 10 kss 1,425.00n/a PT. Indofarma Dus, 5 blister @ 10 kss 2,470.00n/a PT. Sanbe Farma Dus, 1 vial @2 ml 510,000.00Terrell PT. Pratapa Nirmala Botol 100 mL 270,000.00n/a PT. Phyto Kemo Agung Farma Botol 100 tablet 65.00n/a PT. Phyto Kemo Agung Farma Botol 100 tablet 158.00Farsorbid inj PT. Pratapa Nirmala vial 33,000.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 88.00Isonat PT. Kimia Farma Dus, 5 strip @ 10 tablet 189.00Kalipar PT. Tempo Scan Pacific Strip 694.00KSR PT. Merck Tbk Dus, 10 strip @ 10 tablet 1,580.00DBL Leucovorin PT. Tempo Scan Pacific Vial 50 mg/5 ml 82,000.00Kalsium glukonat PT. Ethica Industri Farmasi Ampul 7,800.00n/a PT. Afifarma Dus,10 Strip @ 10 tablet 70.00KALQUEST PT. Novell Pharmaeutical Laborakantong 5 g 7,700.00n/a PT. Hexpharm Jaya Laboratoriesvial 5,000.00n/a PT. Dexa Medica Dus, 3 Blister @ 10 tablet 4,900.00

n/a PT. Dexa Medica Dus, 3 Blister @ 10 tablet 3,100.00Xeloda PT. Boehringer Ingelheim Boks, 120 tablet 27,500.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 140.00n/a PT. Errita Pharma Dus, 10 strip @10 tablet 80.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 62.00Tegretol Syrup 100mg/5ml PT. Novartis Indonesia Dus, botol @ 120 ml 44,770.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 245.00Neo-Mercazole PT. Nicholas Laboratories Indon Dus,botol 100 tablet 875.00Karbogliserin tetes telinga PT. Lucas Djaja Fenol 100 mg / 1 ml 2,042.00DBL Carboplatin 150 mg PT. Tempo Scan Pacific vial @ 15 ml 190,000.00DBL Carboplatin 450 mg PT. Tempo Scan Pacific vial @ 45 ml 408,000.00V - BLOC PT Kalbe Farma strip 1,360.00KTM PT. Guardian Pharmatama Vial @ 10 ml 110,000.00Ketamin Hameln PT. Combiphar Box, isi 1 vial @ 10 ml 60,300.00n/a PT. Kimia Farma tube 10 gr 2,569.00n/a PT. Hexpharm Jaya Laboratoriestube 5 gr 2,850.00n/a PT. Novell Pharmaeutical LaboraBox isi 1 Tube @ 15 g 4,700.00Zoloral SS PT. Ikapharmindo Botol 80 ml 28,000.00n/a PT. Dexa Medica Dus, 5 Strip @ 10 tablet 300.00Protofen Supp PT. Kimia Farma dus 2 's @ 10 supp 2,722.00n/a PT. Phapros, Tbk Dus @ 12 Ampul 2,300.00ORIXAL PT. Ifars Pharmaceutical Labora Dus, 3 Strip @ 10 Kaplet salut sel 3,200.00n/a PT. Indofarma Dus, 5 blister @ 10 kapsul 361.00n/a PT. Indofarma Dus, 5 blister @ 10 kapsul 553.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 900.00Catapres Injeksi PT. Boehringer Ingelheim Box, 10 ampoules @ 1mL 30,600.00n/a PT. Kimia Farma Ktk 10X10 TAB 184.00n/a PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 tab 3,400.00Bufacetin PT. Bufa Aneka Box isi 24 tube @ 15 gram 3,524.00n/a PT. Erela Tube @ 5 gram 1,600.00Colsancetine Injeksi PT. Sanbe Farma vial 7,260.00n/a PT. Bernofarm Botol @ 60 ml 3,680.00n/a PT. Rama Emerald Multi Sukses kotak,10strip@10 tablet 51.00n/a PT. Phapros, Tbk Dus @ 30 Ampul 1,050.00n/a PT. Phapros, Tbk Dus @ 30 Ampul 1,100.00n/a PT. Mersifarma Tirmaku Mercu Kotak @ 10 x 10 tab 144.00n/a PT. Phapros, Tbk 10 X 10 68.00n/a PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 5,000.00n/a PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 1,550.00n/a PT. Kimia Farma ktk 10x10 tablet 500.00n/a PT. Kimia Farma ktk 10x10 tablet 850.00n/a PT. Kimia Farma ktk 10x10 tablet 1,100.00Ostriol PT. Pratapa Nirmala Btl @ 30 kapsul 2,500.00Recolfar PT. Pratapa Nirmala Box @ 3 strip 10 tab 3,950.00Voluven PT. Fresenius Kabi Combiphar Botol Plastik @ 500 ml 33,000.00Combivent UDV PT. Boehringer Ingelheim 1 dus @ 20 vial 5,990.00n/a PT. Triyasa Nagamas Farma Vial 5,350.00Laxadine Emulsi 60 ml PT. Galenium Pharmasia LaboratBotol @ 60 ml 12,450.00

n/a PT. Kimia Farma 1 sase @30 tablet 50.00Cendo Lyteers PT. Cendo Industri Farmasi botol 15 ml 15,750.00Coartem PT. Novartis Indonesia Dus, 4 blister @ 6 tablet 3,220.00Stalevo PT. Novartis Indonesia Dus, botol plastik @ 30 tablet sal 8,900.00Aluvia PT. Abbott Indonesia botol @ 120 tablet 6,100.00Seretide Inhaler 50 mcg PT. Glaxo Wellcome Indonesia Dus, Botol 120 Dosis 90,667.00Seretide Diskus 100 mcg PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60 dosis 100,833.00Seretide Diskus 250 mcg PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60 dosis 113,333.00n/a PT. Kimia Farma Dus, 100 blister @ 28 tablet 2,089.00n/a PT. Holi Pharma Dus, 10 strip @ 10 kaptab 149.00n/a PT. Lucas Djaja Botol @ 60 ml 2,145.00n/a PT. Kimia Farma ktk 60 tablet 670.00n/a PT. Kimia Farma ktk 100 amp @ 2 ml 6,200.00n/a PT. Kimia Farma ktk 10 x 10 tablet 540.00n/a PT. Ikapharmindo Botol 60 ml 14,500.00Heplav PT. Kimia Farma Botol 30 tab 2,000.00n/a PT. Kimia Farma Botol 60 tablet 1,400.00Prosogan Inj. PT. Takeda Indonesia Serbuk vial 82,042.00n/a PT. Indofarma Dus, 2 strip @ 10 kapsul 473.00Tykerb PT. SmithKline Beecham PhamacDus, 7 Blister @ 10 tablet 67,200.00Kalbamin PT. Finusolprima Farma Internasbotol 500 ml 56,300.00Amiparen PT Otsuka Indonesia Softbag 500 ML 56,300.00Pan-amin G PT Otsuka Indonesia Softbag 500 ML 37,500.00Aminofluid PT Otsuka Indonesia Double Chamber Softbag 1000 M 115,500.00Aminofluid PT Otsuka Indonesia Double Chamber Softbag 500 ML 61,600.00Aminofusin Hepar PT Kalbe Farma botol 500 mL 75,350.00Aminosteril Infant 6% PT. Fresenius Kabi Combiphar Botol Gelas 100 ml 36,667.00Nephrosteril PT. Fresenius Kabi Combiphar Botol Gelas 250 ml 50,820.00Kidmin PT Otsuka Indonesia Softbag 200 ML 46,000.00Aminoleban PT Otsuka Indonesia Softbag 500 ML 65,000.00Aminosteril N-Hepa PT. Fresenius Kabi Combiphar Botol Gelas 500 ml 78,720.00Eas Pfrimer PT. Finusolprima Farma Internasbotol 250 ml 51,260.00Comafusin Hepar PT. Finusolprima Farma Internasbotol 500 ml 64,900.00Aminofusin L600 PT Kalbe Farma botol 500 mL 42,000.00Aminofusin Paed PT Kalbe Farma botol 250 mL 46,000.00Kabiven 1440 ml PT. Fresenius Kabi Combiphar Bag (3 Chamber) 1440 ml 295,240.00Kabiven 1920 ml PT. Fresenius Kabi Combiphar Bag (3 Chamber) 1920 ml 343,842.00Combiflex Plus (790 kcal) PT. Phapros, Tbk Bag Double chamber (Dua compa322,000.00Combiflex peri (480 kcal) PT. Phapros, Tbk Bag Double chamber (Dua compa218,700.00Otsu - KCl 7,46% PT Otsuka Indonesia Ampoel 25 ML 2,050.00Wida RL PT. Widatra Bhakti Botol 1000 ml 8,000.00Asering PT Otsuka Indonesia Plastic Bottle 500 ML 9,000.00KA EN 1B PT Otsuka Indonesia Plastic Bottle 500 ML 9,000.00Totilac PT Kalbe Farma flexybag 250 mL 87,000.00Ringerfundin 500 mL PT. Phapros, Tbk LDPE (Low Density Poly Ethilene), 12,650.00Triofusin 1000 PT Kalbe Farma botol 500 mL 50,500.00Triofusin 500 PT Kalbe Farma Flexy bag 500 mL 42,350.00Martos PT Otsuka Indonesia Plastic Bottle 500 ML 29,167.00

Potacol inj PT Otsuka Indonesia Plastic Bottle 500 ML 55,500.00Tutofusin OPS PT Kalbe Farma botol 500 mL 37,500.00Clinimix N9G20E PT Kalbe Farma Botol Plastik 1000 mL 210,000.00Clinimix N9G15E PT Kalbe Farma Botol Plastik 1000 mL 199,000.00Triofusin E1000 PT Kalbe Farma botol 500 mL 56,000.00Wida HSD PT. Widatra Bhakti Botol 500 ml 9,500.00Wida D5-NS PT. Widatra Bhakti Botol 500 ml 6,800.00WIDA 2A PT. Widatra Bhakti Botol 500 ml 6,917.00WIDA D5-1/4NS PT. Widatra Bhakti Botol 500 ml 7,700.00WIDA D5-1/2NS PT. Widatra Bhakti Botol 500 ml 7,700.00Futrolit PT. Sanbe Farma softbag 500ml 35,750.00Wida RD PT. Widatra Bhakti Botol 500 ml 6,930.00KA ENMG 3 PT Otsuka Indonesia Plastic Bottle 500 ML 9,167.00KA EN 3B PT Otsuka Indonesia Plastic Bottle 500 ML 10,000.00KA EN 3A PT Otsuka Indonesia Plastic Bottle 500 ML 10,000.00Lipofundin MCT/LCT 1% 10PT. Phapros, Tbk 20%, Botol Kaca @100 ml, single 105,500.00Intralipid PT. Fresenius Kabi Combiphar Botol Gelas 100 ml 60,500.00Lipofundin MCT/LCT 1% 25PT. Phapros, Tbk 20%, Botol Kaca @250 ml, single 210,000.00Nutriflex Lipid Special 1250PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)591,000.00Nutriflex Lipid Peri 1250 PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)511,000.00Nutriflex Lipid Special 625 PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)358,000.00Cendo Glaopen PT. Cendo Industri Farmasi strip 5 x 0.6 ml 72,000.00Xalatan 0,005% PT. Pfizer Indonesia dus, Botol @ 2,5 ml 127,000.00Granocyte 34 1vl HSA Free PT. Aventis Pharma Dus, 1 vial @ 263 mcg + 1 prefill 550,000.00FEMARA PT. Novartis Indonesia Dus, 3 blister @ 10 tablet 17,500.00Tapros 1.88mg PT. Takeda Indonesia Vial 700,000.00Tapros 3M PT. Takeda Indonesia Vial 2,700,000.TAPROS 3.75 MG PT. Takeda Indonesia Vial 500,000.00n/a PT. Infion Pharmaceutical Box, 1 Botol @ 100 ml 40,000.00n/a PT. Novell Pharmaeutical LaboraBox, 1 Botol @ 100 ml 40,000.00n/a PT. Promedrahardjo Farmasi IndDus, 5 Strip@10 Tablet 528.00Optiflox PT. Erela Btl @ 5 ml 13,068.00Euthyrox 100 PT. Merck Tbk Dus 4 blister @ 25 tablet 850.00Euthyrox 50 PT. Merck Tbk Dus 4 blister @ 25 tablet 637.50n/a PT. Bernofarm Dus, 100 ampul @ 2 ml 839.00n/a PT. Indofarma Dus, 30 ampul @ 2 ml 1,363.00Xylocaine Jelly 2% PT. AstraZeneca indonesia Dus, 10 syringe @ 10 g 40,000.00Xylocaine Spray 10 mg / doPT. AstraZeneca indonesia Dus,Botol @ 50 ml (500 dosis) 142,000.00n/a PT. Novell Pharmaeutical LaboraBox ,3 Strip @ 10 tablet 600.00n/a PT. Novell Pharmaeutical LaboraBox ,3 Strip @ 10 tablet 350.00Frimania 200 PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,050.00Frimania 400 PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,850.00n/a PT. Ifars Pharmaceutical Labora Dus, 10 Strip @ 10 Tablet 89.00n/a PT. Promedrahardjo Farmasi IndDus, 5 Strip@10 Tablet 154.00MERLOPAM 0,5 mg PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 685.00Merlopam 2 PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,341.00DIALIFER PT. Novell Pharmaeutical Laboraampul 52,000.00OTSU-MgSO4 20 PT Otsuka Indonesia Dus, 120 ampul plastik @ 25 ml 2,800.00

OTSU-MgSO4 40 PT Otsuka Indonesia Dus, 120 ampul plastik @ 25 ml 3,500.00n/a PT. Finusolprima Farma Internasbotol 500 ml 62,000.00Ludios PT. Soho Industri Pharmasi Strip 1,200.00Sandepril 50 PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 3,276.00Bonescan KaeF PT. Kimia Farma Dus @ 5 vial 473,000.00Vermox 500 PT. Taisho Pharmaceutical Indo Dus,24 Catch @ 1 tablet 7,140.00Provera 100mg PT. Pfizer Indonesia Dus, 10 blister @10 tablet 6,125.00Alkeran PT. Glaxo Wellcome Indonesia Box, Tablet 2 mg/25's 12,210.00n/a PT. Bernofarm Dus, 1 vial @ 1 g 54,000.00n/a PT. Bernofarm Dus, 1 vial @ 0,5 g 44,960.00Uromitexan injeksi. PT. Mugi Laboratories Dus, 15 Ampul 74,998.00n/a PT. Kimia Farma Botol 1000 ml 254,100.00n/a PT. Bernofarm Dus, 10 blister @ 10 tablet 112.50n/a PT. Bernofarm Dus, 10 blister @ 10 kaptab 197.50DOPAMET PT. Actavis Indonesia Dus, 10 Strip @ 10 tablet salut se 800.00n/a PT. Kimia Farma ktk 10 x 10 tablet salut 154.00n/a PT. Ethica Industri Farmasi ampul @ 1 ml 2,750.00Ritalin LA PT. Novartis Indonesia Dus, botol plastik @ 30 kapsul p 6,537.00RITALIN PT. Novartis Indonesia Dus, 2 blister @ 15 tablet 1,950.00n/a PT. Dexa Medica Dus, 1 Vial @125mg + 1 ampul pe19,500.00n/a PT. Bernofarm Dus, 1 vial @ 500 mg 89,990.00n/a PT. Mahakam Beta Farma Strip 635.00n/a PT. Natura Laboratoria Prima Dus, 10 Blister @ 10 Tablet 205.00n/a PT. Dexa Medica Dus, 10 Blister @ 10 tablet 300.00GAVISTAL drops PT. Meprofarm Dus, Botol 10 ml 5,280.00LEXAPRAM SIRUP PT. Molex Ayus BOTOL 60 ML 2,600.00n/a PT. Kimia Farma ktk 10 x 10 tablet 108.00Methotrexate Kalbe PT Kalbe Farma vial @ 2 ml 35,750.00METHOTREXATE EBEWE PT. Sandoz Indonesia Box 10 ampul @ 1 ml 21,120.00METHOTREXATE EBEWE 2. PT. Sandoz Indonesia Box, bottle @ 50 tab 1,680.00n/a PT. Natura Laboratoria Prima Dus, 1 Botol @ 100 ml 9,950.00Vagizol PT. Kimia Farma dus 1 's @ 5 ovula 3,850.00Farizol PT. Ifars Pharmaceutical Labora Dus, botol 60ml 4,100.00Flagyl PT. Aventis Pharma Dus, 2 blister @ 5 suppositoria 3,220.00n/a PT. Phyto Kemo Agung Farma 10 strip @ 10 tab 110.00n/a PT. Phyto Kemo Agung Farma 10 strip @ 10 tab 160.00Endoneuroscan KaeF 1 PT. Kimia Farma vial 1,925,000.Cardioscan KaeF PT. Kimia Farma Dus @ 5 vial 1,237,500.Dormicum PT. Boehringer Ingelheim Boks 10 amp 6,119.00Dormicum PT. Boehringer Ingelheim Boks 5 amp 12,060.00Mycamine PT. Combiphar Dus,1 vial@50mg 260,000.00Cellcept PT. Boehringer Ingelheim Boks, 50 tablet 16,000.00n/a PT. Kimia Farma Tube 10 gram 3,000.00Gelofusine 4% PT. Phapros, Tbk Btl @ 500 ml 72,000.00Vigamox PT. Tempo Scan Pacific botol, tetes mata 3 ml 77,000.00n/a PT. Guardian Pharmatama tube 10 gram 17,820.00n/a PT. Kimia Farma Dus 10 amp @ 1 ml 8,400.00MST Continus 10 mg PT. Mahakam Beta Farma Dus, 6 strip @ 10 tablet 15,620.00

MST Continus 15 mg PT. Mahakam Beta Farma Dus, 6 strip @ 10 tablet 22,990.00MST Continus 30 mg PT. Mahakam Beta Farma Dus, 6 Strip @ 10 Tablet 41,470.00n/a PT. Kimia Farma Botol 30 tablet 1,300.00n/a PT. Widatra Bhakti Botol 500 ml 4,700.00Fraxiparine 0.3 ml PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.3 ml 54,144.00Fraxiparine 0.4 ml PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.4 ml 66,640.00Fraxiparine 0.6 ml PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.6 ml 94,962.00Nokoba PT. Pratapa Nirmala Dus, 5 Ampul @ 2ml 61,600.00N-ace cairan inhalasi PT. Pratapa Nirmala Box @ 5 ampul 13,200.00Meylon PT Otsuka Indonesia Ampoel 25 ML 6,200.00n/a PT. Novell Pharmaeutical LaboraBox ,5 Blister @ 10 tablet 200.00Fleet Phosphosoda PT. Combiphar Botol, 45 ml 33,900.00Fucilex Ointment PT. Molex Ayus Tube 5 gr 6,490.00Neostigmin Hameln inj PT. Pharma Health Care Box, isi 5 ampul @ 1 ml 9,500.00n/a PT. Kimia Farma btl 60 tablet 2,800.00Adalat Oros 20 mg PT. Bayer Indonesia blister 2,999.00Adalat Oros 30 mg PT. Bayer Indonesia blister 3,500.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut se 100.00n/a PT. Pratapa Nirmala Box @ 1 vial 66,000.00Tasigna PT. Novartis Indonesia Dus, 2 blister @ 14 kapsul 380,875.00n/a PT. Phapros, Tbk Dus @ 10 X 10 's 640.00n/a PT. Phapros, Tbk Dus @ 10 X 10 's 480.00Raivas PT. Dexa Medica ampul 52,000.00Primolut N PT. Bayer Indonesia blister 2,618.00n/a PT. Phapros, Tbk Paket 359,900.00n/a PT. Indofarma Paket 1,199,990.n/a PT. Phapros, Tbk Paket 214,900.00n/a PT. Indofarma Paket@84 tablet 160,000.00n/a PT. Indofarma Dus, 1 dus @ 60 blister @ 8 tablet288,199.00n/a PT. Indofarma Dus, 60 sachet tahap intensif @ (1171,195.00Octide PT. Pratapa Nirmala Box @ 5 ampul 80,000.00Tarivid Otic Solution PT Kalbe Farma Btl @ 5 ml 48,500.00n/a PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 400.00n/a PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 650.00ELOXATIN PT. Aventis Pharma Dus, 1 vial @ 20 ml 1,100,000.ELOXATIN PT. Aventis Pharma Dus, 1 vial @ 10 ml 550,000.00Ilaidin Drops PT. Merck Tbk botol @ 10 ml 27,550.00Iliadin Spray PT. Merck Tbk botol 15 ml 29,000.00Oxytocin "S" PT. Ethica Industri Farmasi ampul @ 1 ml 2,200.00Sandostatin LAR PT. Novartis Indonesia Dus, vial @ 355m + 1 prefilled sy 2,950,000.Zyprexa IM PT. Bayer Indonesia Vial 120,000.00Olandoz 5 PT. Sandoz Indonesia 3 X 10 fcc 6,450.00Olandoz 10 PT. Sandoz Indonesia 3 X 10 fcc 11,200.00Patanol PT. Tempo Scan Pacific botol, tetes mata 5 ml 68,000.00n/a PT. Novell Pharmaeutical LaboraDus, 1 Vial @ 40 mg 32,800.00n/a PT. Rajawali (35 %) Dus, 1 Vial @ 40 mg 28,600.00n/a PT. Quantum Dus, 1 Vial @ 40 mg 31,000.00Omevel inj Novel disc 50+25 Dus, 1 Vial @ 40 mg 33,000.00

n/a PT. Natura Laboratoria Prima Dus, 1 Vial @ 40 mg 36,000.00n/a PT. Novapharin dus 10 X 3'S 211.00n/a PT. Indofarma Dus, 5 Ampul @ 2ml 2,400.00n/a PT. Yarindo Farmatama Box 3 X 10 Tab 716.00n/a PT. Yarindo Farmatama Box 3 X 10 Tab 1,189.00n/a PT Kalbe Farma Transfer Set: Set; Ultaclam: Kant 1,902,240.n/a PT Kalbe Farma Set 219,540.00Larutan Dialisa 1.5%: Dian PT Kalbe Farma Larutan Dialisa 1.5 %: 2.000 ml; L 5,522,580.SINDAXEL 100 MG/16,67 MPT. Actavis Indonesia Vial 6mg/ml (100mg/16.67ml) 984,000.00SINDAXEL 260mg/43.33 M PT. Actavis Indonesia Vial 6mg/ml (260mg/43.33ml) 3,000,000.SINDAXEL 30 MG/5 ML PT. Actavis Indonesia Vial 6mg/ml (30mg/5ml) 274,560.00n/a PT. Indofarma Dus, 15 botol 5,200.00Pyrex 35+25 PT. Novell Pharmaeutical Laborabotol 30,225.00n/a PT. Afifarma botol 60 ml 1,438.00n/a PT. Imfarmind Farmasi industri Dus, 10 strip @ 10 kaptab 89.00FASIDOL PT. Ifars Pharmaceutical Labora Dus, botol @ 15 ml 6,450.00Pegasys PT. Boehringer Ingelheim Boks, 1 pfs 1,077,815.Pegasys PT. Boehringer Ingelheim Boks, 1 pfs 1,248,220.Pegintron Vial 100 Mcg PT. Merck Sharp Dohme PharmaDus, 1 vial 100 mcg + 1 ampul pel 973,500.00Pegintron Pen 120 Mcg PT. Merck Sharp Dohme PharmaDus, 1 prefilled syringe (serbuk i 1,135,000.Pegintron PT. Merck Sharp Dohme PharmaDus, 1 vial 50 mcg + 1 ampul pelar915,000.00Pegintron Vial 80 Mcg PT. Merck Sharp Dohme PharmaDus, 1 vial 80 mcg + 1 ampul pelar915,810.00BURNAZIN 35 GR PT. Darya Varia tube @ 35 gram 23,000.00Bioprexum 5 mg PT. Pradja Pharin Dus, botol plastik @ 30 tablet sal 2,420.00Scabimite Cream 10 PT. Galenium Pharmasia LaboratTube @ 10 g 11,475.00n/a PT. Kimia Farma Ktk 10 ampx2ml 14,500.00DECULIN 15 MG PT. Dexa Medica 30 TAB/BOX 3,120.00DECULIN 30 MG PT. Dexa Medica 30 TAB/BOX 4,525.00n/a PT. Holi Pharma Botol 60 ml 8,360.00n/a PT. Holi Pharma Dus, 25 Blister @ 4 tablet 296.00n/a PT. Holi Pharma Dus 10 strip @ 10 tablet 206.00n/a PT. Ikapharmindo Ampul 1 ml 1,000.00n/a PT. Kimia Farma dus, 10 strip @ 10 tablet 110.00Aptil PT. Pratapa Nirmala Dus, Botol @ 10ml 17,393.00n/a PT. Afifarma botol @ 1000 ml 37,109.00n/a PT. Afifarma botol @ 30 ml 2,163.00n/a PT. Afifarma botol @ 300 ml 14,203.00n/a PT. Kimia Farma btl 60 ml 5,998.00Sifrol ER 0,375mg PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 7,200.00Sifrol ER 0,750mg PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 11,268.00n/a PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 2,300.00n/a PT. Phapros, Tbk Dus,10 blister @10 tablet 205.00Probenid PT. Dexa Medica Dus, 10 strip @ 10 tablet 1,650.00n/a PT. Bernofarm Vial @ 3 juta IU 7,190.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 65.00n/a PT. Indofarma Botol @ 100 Tablet 319.00Fresofol 1% MCT/LCT PT. Fresenius Kabi Combiphar Ampul 15,642.00n/a PT. Holi Pharma Dus, 10 strip @ 10 tablet 106.00

Seroquel XR 200 mg PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 17,391.00Seroquel XR 300 mg PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 19,500.00Seroquel XR 400 mg PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 23,185.00Cardace 2.5mg 6x10 s tabl PT. Pharma Health Care Dus, 6 blister @ 10 tablet 995.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 kaptab 580.00n/a PT. Novell Pharmaeutical LaboraDus, 10 strip @ 10 tablet 1,013.00n/a PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml 1,140.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut se 120.00n/a PT. Kimia Farma Botol 50 kapsul lunak 260.00n/a PT. Lucas Djaja Botol 50 Kapsul 459.00n/a PT. Indofarma Dus, 10 strip @ 10 kapsul 610.00n/a PT. Indofarma Dus, 10 strip @ 10 kapsul 790.00n/a PT. Indofarma Dus, 10 strip @10 kaptab 1,100.00n/a PT. Widatra Bhakti botol 500 ml 5,200.00n/a PT. Dexa Medica Dus, 5 Blister @ 10 tablet 1,400.00n/a PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 1,008.00n/a PT. Dexa Medica Dus, 5 Blister @ 10 tablet 2,000.00Mabthera PT. Boehringer Ingelheim Dus, 1 vial @ 10 ml 3,164,805.Xarelto 10 mg PT. Bayer Indonesia Blister 23,500.00Xarelto 15 mg PT. Bayer Indonesia Blister 23,500.00Xarelto 20 mg PT. Bayer Indonesia Blister 23,500.00Esmeron PT. Merck Sharp Dohme PharmaDus, 10 vial @ 5 ml 46,539.00Requip PD 24 Hour 2 mg PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 5,248.00Requip PD 24 Hour 4 mg PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 6,275.00Requip PD 24 Hour 8 mg PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 7,383.00Ventolin Nebules PT. Glaxo Wellcome Indonesia Dus, 4x5 Botol Plastik@2.5 ml 6,600.00Ventolin Inhaler PT. Glaxo Wellcome Indonesia Dus, botol 200 dosis 63,750.00Ventolin Rotacaps PT. Glaxo Wellcome Indonesia Dus, 10 Blister @ 10 Kapsul 431.00Ventolin Rotahaler PT. Glaxo Wellcome Indonesia Dus, 1 Rotahaler 5,867.00n/a PT. Yarindo Farmatama strip @ 10 tablet 59.00n/a PT. Marin Liza Farmasi Pot @ 30 gram 2,000.00n/a PT. Hexpharm Jaya Laboratoriesstrip 513.00n/a PT. Holi Pharma Dus, 10 strip @ 10 kapsul 509.00n/a PT. Holi Pharma Dus, Botol 60 ml 5,895.00n/a PT. Holi Pharma Dus, Botol 60 ml 4,746.00n/a PT. Ifars Pharmaceutical Labora Dus, 5 Strip @ 10 Kapsul 1,000.00n/a PT. Dexa Medica Dus, 2 Vial @ 1 gram 16,500.00n/a PT. Yarindo Farmatama Box 2 Vial @ 1000mg 48,060.00n/a PT. Bernofarm Dus, 10 blister @ 10 kapsul 859.00n/a PT. Ifars Pharmaceutical Labora Dus, Botol 30 ml 8,800.00n/a PT. Yarindo Farmatama vial 38,500.00n/a PT. Hexpharm Jaya Laboratoriesvial 4,800.00n/a PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 2,950.00n/a PT. Dexa Medica Dus, 2 Vial @ 1 gram 16,000.00n/a PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 3,300.00Sharox inj PT. Pratapa Nirmala Box @ 2 vial 52,800.00Oxtercid inj PT. Interbat Box @ 2 vial 52,767.00Zinnat 500 PT. Glaxo Wellcome Indonesia Dus, 1 Blister @ 10 Tablet salut s 7,200.00

Zinnat 250 mg PT. Glaxo Wellcome Indonesia Dus, 1 Blister @ 10 Tablet salut s 4,752.00Fatral PT. Pratapa Nirmala strip @ 10 tab 3,300.00n/a PT. Indofarma Botol @ 60 ml 7,999.00n/a PT. Pertiwi Agung Box, 10 strips @ 10 capsules 181.00Erbitux PT. Merck Tbk Dus, 1 vial @ 20 ml 3,650,000.Sojourn PT. Pratapa Nirmala tabung/botol 1,320,000.n/a PT. Lucas Djaja 100 ampul @ 1 ml 1,078.00n/a PT. Afifarma Dus, 10 Strip @ 10 tablet 57.00Cyclovid 1000 mg PT. Novell Pharmaeutical Laboravial 256,000.00Cyclovid 200 mg PT. Novell Pharmaeutical Laboravial 82,000.00CYCLOVID 500 PT. Novell Pharmaeutical LaboraVial 120,000.00Sandimmun Neoral 100mg PT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak 43,000.00Sandimmun Neoral 25mg KPT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak 12,000.00Citaz PT. Dankos Farma strip 7,000.00n/a PT. Natura Laboratoria Prima Dus, 3 Strip @ 10 Kaplet salut sel 169.00n/a PT. Natura Laboratoria Prima Dus, 3 Strip @ 10 Kaplet salut sel 391.00n/a PT. Dexa Medica Vial 200 ml 13,000.00n/a PT. Bernofarm Dus, 10 blister @ 10 tab ss 255.00Cisplatin PT Kalbe Farma vial 22,000.00Cisplatin PT Kalbe Farma vial 93,000.00DBL Cytarabun PT. Tempo Scan Pacific dus, 1 vial @ 10 ml 575,000.00n/a PT. Indofarma Dus, 5 strip @ 10 tablet 1,499.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 900.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 315.00n/a PT. Kimia Farma Botol @ 60 tablet 930.00Streptase PT. Dexa Medica Vial 3,290,000.n/a PT. Phapros, Tbk Dus @ 56 Vial 3,650.00Sufentanyl Injeksi iv.Epidu PT. Kimia Farma dus 5 amp @ dus 10 127,000.00Ulsafate PT. Combiphar Botol, 100 ml 13,425.00ULSIDEX PT. Dexa Medica DUS, 10 STRIP @ 10 TAB 424.00Prograf PT. Combiphar Pounch @ 5 blister @ 10 capsule 11,167.00Prograf PT. Combiphar Dus, 1 pouch @5 blister@10 kaps21,500.00TAMOXIFEN EBEWE PT. Sandoz Indonesia Botol @30tablet 2,654.00Harnal D PT. Combiphar Box @ 2 blister @ 14 tablet 5,800.00Harnal D PT. Combiphar Box/ 2 blister @ 14 tablet 5,800.00Harnal OCAS PT. Combiphar Box/ 3 blister @ 10 Tablet 6,800.00Sebivo 600 mg Tab PT. Novartis Indonesia Dus, 2 blister @ 14 tablet 28,500.00Micardis 40mg PT. Boehringer Ingelheim Dus, 2 alu-blister @10 tablet 3,900.00Micardis 80mg PT. Boehringer Ingelheim Box, 2 blisters @10 tablets 6,500.00Temodal PT. Merck Sharp Dohme PharmaDus, 5 sachet @ 1 kapsul 1,120,000.Temodal PT. Merck Sharp Dohme PharmaDus, 5 sachet @ 1 kapsul 223,000.00n/a PT. Kimia Farma Botol 30 tab 8,100.00Rethapyl PT. Kimia Farma Dus 10-s @ 10 Kaptab 1,050.00Bronsolvan PT Kalbe Farma strip 250.00HYTROZ 1MG PT. Dexa Medica DUS, 10 BLISTER @ 10 TAB 1,669.00HYTROZ 3MG PT. Dexa Medica DUS, 10 BLISTER @ 10 TAB 2,949.00Bricasma Respules PT. AstraZeneca indonesia Dus, 2 pak @ 5 respules 6,250.00Molasma Tablet PT. Molex Ayus Box 50's 99.00

Bricasma Turbuhaler 0,5 mPT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 200 dosis 71,100.00Andriol Testocaps PT. Merck Sharp Dohme PharmaDus, 6 blister @ 10 kapsul lunak 6,200.00Pantocain 0.5% PT. Cendo Industri Farmasi botol 5 ml 11,500.00n/a PT. Holi Pharma Dus, 10 strip @ 10 kapsul 148.00n/a PT. Afifarma DUS,10 STRIP @ 10 KAPSUL 300.00Thyrozol 10 PT. Merck Tbk Dus, 10 blister @ 10 tablet 1,135.00Thyrozol 5 PT. Merck Tbk Dus, 10 blister @ 10 tablet 563.00Isotic Adretor 0,25% PT. Pratapa Nirmala Dus, Botol Plastik @ 5ml 9,128.00Isotic Adretor 0,5% PT. Pratapa Nirmala Dus, Botol Plastik @ 5ml 9,722.00Spiriva powder for inhalat PT. Boehringer Ingelheim Box, 3 blisters @10 capsules 13,867.27Spiriva 10s + Handihaler PT. Boehringer Ingelheim Dus, 1 blister @10 kapsul + handi 152,543.00n/a PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml 2,395.00Herceptin PT. Boehringer Ingelheim Dus, 1 vial @ 440 mg + 1 vial pel 19,608,034Travatan PT. Tempo Scan Pacific botol, tetes mata 2,5 ml 115,000.00Nasacort AQ PT. Aventis Pharma Dus, botol plastik 120 dosis 90,000.00Flamicort PT. Dexa Medica Dus,1 vial@ 5ml 65,500.00n/a PT. Darya Varia strip 405.00Cendo Mydriatil 1% PT. Cendo Industri Farmasi Botol 5ml 36,500.00Soft U Derm PT. Galenium Pharmasia Laborattube 6,400.00BCG Vaccine (SII) PT. Bio Farma 20 ds / amp / vial 59,950.00BCG Vaccine SSI PT. Bio Farma 20 ds / amp / vial 59,950.00BCG Vaccine (GS) PT. Bio Farma 20 ds / amp / vial 59,950.00BCG Vaccine (SII) PT. Bio Farma 20 ds / amp / vial 70,521.00BCG Vaccine SSI PT. Bio Farma 20 ds / amp / vial 70,521.00BCG Vaccine (GS) PT. Bio Farma 20 ds / amp / vial 70,521.00n/a PT. Bio Farma 20 ds / amp / vial 59,950.00n/a PT. Bio Farma 20 ds / amp / vial 70,521.00n/a PT. Bio Farma 10 ds / vial 28,204.00n/a PT. Bio Farma 10 ds / vial 33,176.00Pentabio PT. Bio Farma 5 ds / vial 76,285.00Pentabio PT. Bio Farma 5 ds / vial 89,738.00n/a PT. Bio Farma 1 ds / pouch 20,900.00n/a PT. Bio Farma 1 ds / pouch 24,585.00n/a PT. Bio Farma 10 ds / vial 17,798.00n/a PT. Bio Farma 10 ds / vial 20,933.00n/a PT. Bio Farma 10 ds/ vial 16,500.00n/a PT. Bio Farma 10 ds/ vial 19,404.00Menveo PT. Novartis Indonesia Dus, 1 dosis @ (1 vial serbuk injek307,400.00Imovax Polio PT. Aventis Pharma 1 vial of 10ml (10 d's) 285,000.00n/a PT. Bio Farma 10 ds/ vial 19,954.00n/a PT. Bio Farma 10 ds/ vial 23,474.00Verorab PT. Bio Farma Dus, 1 vial@ 1dosis + 1 Syringe @78,000.00RABIPUR PT. Novartis Indonesia Dus, 1 vial serbuk + 1 ampul @ 1 78,500.00n/a PT. Bio Farma 10 ds/ vial 14,498.00n/a PT. Bio Farma 10 ds/ vial 17,050.00Valvir PT. Soho Industri Pharmasi 5 strip @ 10 kaptab 5,390.00Valcyte PT. Boehringer Ingelheim Boks, 60 tablet 170,000.00Ikalep PT. Ikapharmindo Botol 120 ml 40,000.00

Depakote ER 250 mg PT. Abbott Indonesia Tablet 2,793.00Depakote ER 500 mg PT. Abbott Indonesia Tablet 5,450.00Depakote Tab 250 mg PT. Abbott Indonesia Tablet salut 250 mg 1,680.00DIOVAN 160 MG PT. Novartis Indonesia DUS, 3 ALU-ALU STRIP @ 10 tablet6,500.00Diovan 80mg Tab PT. Novartis Indonesia DUS, 3 ALU-ALU STRIP @ 10 tablet3,900.00Vancep PT. Pratapa Nirmala Box @ 2 vial 122,000.00Isoptin 240 mg PT. Abbott Indonesia Tablet 6,200.00n/a PT. Kimia Farma Ktk 10X10 TAB 234.00Vinblastine PT. Combiphar Vial 10mg/10ml 210,000.00Vincristine Kalbe PT Kalbe Farma vial @ 2 ml 78,000.00Vincristine Kalbe PT Kalbe Farma vial @ 1 ml 46,000.00Navelbine injeksi 10 PT. Mugi Laboratories Dus, 1 vial @ 1 ml 1,229,998.n/a PT. Kimia Farma Dus 10 strip x 10 tab 107.00n/a PT. Kimia Farma Botol 60 Kapsul 1,575.00n/a PT. Kimia Farma Botol 60 tablet 3,429.00Zincpro Drops PT. Combiphar Drops 10 mg/ml, Botol @15 ml 12,840.00Zinkid PT. Indofarma Dus, botol @ 100 ml 14,980.00Zircum Kid Sirup PT. Meprofarm Dus, botol 60 ml 7,400.00n/a PT. Kimia Farma ktk 10 x 10 tablet 473.00

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noNama Obat Generik

74. Atenolol tablet/kapsul/kaplet 100 mg98. Bleomisin serbuk injeksi 15 mg/ampul158. Epirubisin serb injeksi 50 mg/25ml (Produk Kosong s/d awal Agustus 2015)165. Eritropoetin-alfa inj 10000 UI/mL167. Eritropoetin-alfa inj 3000 UI/mL204. Filgrastim inj 300 mcg/mL217. Fluorourasil inj 250 mg/mL218. Fluorourasil inj 500 mg/ 5 mL346. Karvediol tablet/kaplet/kapsul 6,25 mg408. Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, L-Ornithine416. Larutan mengandung Asam Amino (Kombinasi Asam aminno 50 g/L, Sorbitol 50 g/L,417. Larutan mengandung Asam Amino (Kombinasi Asam amino 50 g/L, vitamin dan426. Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Potassium C428. Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 g/ L429. Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L432. Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, Sorb433. Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 10434. Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 75435. Larutan mengandung Karbohidrat + Elektrolit (Fructose 60 g, glucose 33 g, Xyl505. Metotreksat serb inj 50 mg/2 mL557. Ofloksasin tets telinga 3%575. Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Ten576. Paket CAPD Pergantian Transfer Set per 6 bulan577. Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan komposisi Larutan Diali682. Sisplatin serbuk injeksi 10 mg683. Sisplatin serbuk injeksi 50 mg707. Teofilin tablet 150 mg769. Vinkristin serb inj i.v 2 mg/vial770. Vinkristin serbuk injeksi i.v. 1 mg4. Air untuk Injeksi 25 ml101. Budesonid inhaler 200 mcg/puff, 200 dosis404. Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2405. Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 m406. Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elekt407. Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elekt411. Larutan mengandung Asam Amino (Asam Amino 72.05 g, Total N 11.53 g, AAE412. Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ 422. Larutan mengandung Elektrolit (Kalium Klorida)424. Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 425. Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)430. Larutan mengandung Karbohidrat (Maltose 100 gr)431. Larutan mengandung Karbohidrat + Elektrolit (25.00g maltose, 3.00 g sodium 443. Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Glukosa444. Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lac445. Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr477. Magnesium sulfat injeksi 20%

478. Magnesium sulfat injeksi 40%535. Natrium Bikarbonat injeksi i.v 8,4%87. Beractant injeksi / suspensi 25 mg/mL387. Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mg760. Valproat tab SR 250 mg761. Valproat tab SR 500 mg762. Valproat tablet salut 250 mg766. Verapamil tab 240 mg124. Diazepam larutan rektal 10 mg/2,5 mL122. Diazepam larutan rektal 5 mg/2,5 mL142. Doksorubisin serbuk injeksi i.v. 10 mg/vial143. Doksorubisin serbuk injeksi i.v. 50 mg/vial194. Fenoksimetil penisilin (penisilin V) tab 125 mg254. Gliseril trinitrat tab sublingual 0,5 mg492. Metildopa tablet salut 250 mg578. Paklitaksel inj 100 mg/vial579. Paklitaksel inj 300 mg/vial580. Paklitaksel injeksi 30 mg/vial64. Asam Mefenamat kapsul/kaplet 250 mg331. Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg582. Parasetamol sirup 120 mg / 5 ml603. Povidon Iodida larutan 10% 1000 ml604. Povidon Iodida larutan 10% 30 ml605. Povidon Iodida larutan 10% 300 ml671. Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg716. Tetrasiklin tablet/kapsul/kaplet 500 mg47. Anastrozol tablet/kapsul/kaplet 1 mg92. Bikalutamid tablet salut 150 mg93. Bikalutamid tablet salut 50 mg100. Budesonid inhaler 200 mcg/puff, 100 dosis102. Budesonid respules / cairan inhaler 0,25mg/mL103. Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg104. Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg232. Gefitinib tab 250 mg258. Goserelin asetat inj 10,8 mg/vial259. Goserelin asetat inj 3,6 mg466. Lidokain jeli 2%467. Lidokain semprot 10%617. Quetiapin tab 200 mg618. Quetiapin tab 300 mg619. Quetiapin tab 400 mg710. Terbutalin cairan ih 2,5 mg/mL712. Terbutalin turbu (serbuk ih) 0,50 mg28. Amiodaron injeksi 150 mg/3 ml38. Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cart45. Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cart154. Enoksaparin sodium inj 20 mg/0,2 mL155. Enoksaparin sodium inj 40 mg/0,4 mL

156. Enoksaparin sodium inj 60 mg/0,6 mL208. Fludarabin inj 50 mg209. Fludarabin tab 10 mg283. Human insulin intermediate acting inj 100iu/ml, vial (Insulin Human Basal)284. Human insulin mix inj 100iu/ml, vial (Insulin Human Comb 25)296. Human insulin short acting inj 100iu/ml, vial (Insulin Human Rapid)454. Lenograstim inj 263 mcg/mL511. Metronidazol supositoria 500 mg560. Oksaliplatin serbuk injeksi 100 mg / vial561. Oksaliplatin serbuk injeksi 50 mg / vial726. Triamsinolon asetonid nasal spray 55 mcg/puff750. Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)40. Analog Insulin Mix Insulin Inj 100 UI/ml41. Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cart42. Analog Insulin Rapid Acting Inj 100 UI/ml46. Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartr137. Dinatrium klodronat infus kons 60 mg/mL227. Gadobutrol macrocyclic 5 mg228. Gadobutrol macrocyclic 7,5 mg229. Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL235. Gemsitabin inj 1000 mg/vial277. Human Insulin Intermediate Acting Inj 100 UI/ml279. Human insulin intermediate acting inj 100 UI/ml, vial (Insulin human Basal)281. Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin hu285. Human Insulin Mix Insulin Inj 100 UI/ml287. Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Insulin human Com289. Human insulin mix insulin inj 100 UI/ml, vial (Insulin human Comb)290. Human Insulin Short Acting Inj 100 UI/ml293. Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Ra295. Human insulin short acting inj 100 UI/ml, vial (Insulin human Rapd)312. Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)313. Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)314. Iopromide 300-370 mg Iodium/mL (370 mg / 100 ml)315. Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)541. Nifedipin tab 20 mg, slow release; oros542. Nifedipin tab 30 mg, oros549. Noretisteron tablet 5 mg566. Olanzapin inj 10 mg/vial635. Rivaroksaban tab 10 mg636. Rivaroksaban tab 15 mg637. Rivaroksaban tab 20 mg18. Alopurinol tablet/kapsul/kaplet 300 mg34. Amoksisilin kapsul/kaplet/tablet scored 500 mg37. Ampisilin serbuk injeksi i.v. 1000 mg/vial65. Asam Mefenamat kapsul/kaplet 500 mg67. Asam traneksamat injeksi 50 mg/ml146. Domperidon tetes 5 mg/mL152. Efedrin Inj 50 mg/ml

366. Kloramfenikol suspensi 125 mg/ 5 ml464. Lidokain injeksi 2% (HCL)486. Meropenem inj 1 g487. Meropenem serb inj 500 mg/vial490. Metformin HCl tablet 500 mg491. Metformin HCl tablet 850 mg498. Metilprednisolon inj 500 mg/8 mL612. Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial655. Sefiksim kapsul/kaplet 100 mg681. Siprofloksasin tablet 500 mg (sebagai HCl)731. Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukot732. Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukot733. Vaksin BCG (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukot734. Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA735. Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA736. Vaksin BCG (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA737. Vaksin BCG Kering (BF) (Harga pengadaan di Kementerian Kesehatan Pusat fr738. Vaksin BCG Kering (BF) (Harga pengadaan di Provinsi franco ibukota Provins739. Vaksin Campak Kering (Harga pengadaan di Kementerian Kesehatan Pusat fra740. Vaksin Campak Kering (Harga pengadaan di Provinsi franco ibukota Provinsi741. Vaksin DTP-HB-Hib (Harga pengadaan di Kementerian Kesehatan Pusat franco742. Vaksin DTP-HB-Hib (Harga pengadaan di Provinsi franco ibukota Provinsi (N743. Vaksin Hepatitis B Rekombinan (Harga pengadaan di Kementerian Kesehatan 744. Vaksin Hepatitis B Rekombinan (Harga pengadaan di Provinsi franco ibukota745. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga pengadaan di Kementerian Kes746. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga pengadaan di Provinsi franco 747. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga pengadaan di Kementerian Kes748. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga pengadaan di Provinsi franco 751. Vaksin Poliomyelitis Oral (Harga pengadaan di Kementerian Kesehatan Pusat 752. Vaksin Poliomyelitis Oral (Harga pengadaan di Provinsi franco ibukota Provi753. Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster755. Vaksin TT (Harga pengadaan di Kementerian Kesehatan Pusat franco ibukota 756. Vaksin TT (Harga pengadaan di Provinsi franco ibukota Provinsi (Non DIPA K22. Alteplase injeksi 50 mg/vial63. Asam Ibandronat injeksi 6mg/6ml91. Bevasizumab injeksi 25 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI N95. Bisakodil suppositoria 5 mg108. Dabigatran eteksilat kapsul 110 mg107. Dabigatran eteksilat kapsul 75 mg168. Eritropoetin-beta inj 2000 UI/0,3 mL197. Fenoterol HBr ih 100 mcg/puff198. Fenoterol HBr inh solution 0,1%230. Gansiklovir serb inj 500 mg (50 mg/mL)316. Ipratropium bromida inhalasi 20 mcg/semprot317. Ipratropium bromida nebulizer 0,025%336. Kapesitabin tab 500 mg360. Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)380. Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg

516. Midazolam injeksi i.v. 1 mg/ml517. Midazolam injeksi i.v. 5 mg/ml519. Mikofenolat Mofetil 500 mg585. Pegylated interferon alfa-2a inj 135 mcg/0,5 ml586. Pegylated interferon alfa-2a inj 180 mcg/0,5 ml607. Pramipeksol tab ER 0,375 mg608. Pramipeksol tab ER 0,750 mg634. Rituksimab injeksi 10 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI No701. Telmisartan tab 40mg702. Telmisartan tab 80 mg721. Tiotropium 18 mcg refill722. Tiotropium kaps 18 mcg + handihaller724. Trastuzumab serbuk injeksi 440 mg/vial (Skema Risk Sharing sesuai Kepme758. Valgansiklovir tab 450 mg363. Kloramfenikol salep kulit 2%99. Bromokriptin tablet 2,5 mg23. Amfoterisin B salep mata 1%79. Atropin Sulfat tetes mata 0,5%80. Atropin Sulfat tetes mata 1%136. Dinatrium edetat tetes mata 0,35%276. Homatropin tetes mata 2%384. Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida 452. Latanoprost tetes mata 0,01%714. Tetrakain HCl tetes mata 0,5%729. Tropikamid tetes mata 1%88. Beraprost sodium tablet 20 mcg174. Etoposid injeksi 20 mg/ml205. Finasterid tab 5 mg348. Ketamin injeksi i.v. 50 mg/ml518. Mikafungin Na serb inj 50 mg537. Natrium fosfat lar oral 45 mL692. Sukralfat susp 500 mg/5 mL694. Takrolimus kaps 0.5 mg695. Takrolimus kaps 1 mg697. Tamsulosin tab 0,2 mg698. Tamsulosin tab 0,2 mg699. Tamsulosin tab SR 0,4 mg768. Vinblastin serbuk injeksi 10 mg775. Zinc drop 10 mg/mL677. Silostazol tablet/kapsul/kaplet 100 mg29. Amiodaron tablet/kaplet 200 mg243. Gliklazid tablet lepas lambat 60 Mg591. Perak sulfadiazin krim 1%728. Trifluoperazin tablet 5 mg6. Akarbose tablet/kaplet 100 mg7. Akarbose tablet/kaplet 50 mg19. Alprazolam tablet/kapsul/kaplet 0,25 mg61. Asam Folat tablet/kapsul/kaplet 0,4 mg

105. Bupivakain injeksi 0,50% (HCl) + glukosa 8%120. Desoksimetason krim 0,25%215. Fluoksetin tablet 20 mg244. Glikuidon tab 30 mg268. Halotan Inhalasi297. Human tetanus imunoglobulinn injeksi i.m. 250 UI334. Kandesartan tab 16 mg335. Kandesartan tab 8 mg353. Ketokonazol tablet 200 mg359. Klobazam tab 10 mg497. Metilprednisolon inj 125 mg/2 mL501. Metilprednisolon tablet 8 mg543. Nifedipin tablet/kapsul 10 mg548. Norepinefrin injeksi 1 mg/ml595. Pioglitazon tab 15 mg596. Pioglitazon tab 30 mg611. Probenesid tablet/kapsul/kaplet 500 mg613. Propanolol tablet 10 mg ( HCl )621. Ramipril tablet 5 mg624. Ranitidin tablet 150 mg631. Risperidon tablet 1 mg633. Risperidon tablet 3 mg653. Sefazolin serbuk injeksi 1 g/vial660. Seftazidim injeksi 1 g680. Siprofloksasin infus 2%686. Spironolakton tablet 100 mg687. Spironolakton tablet 25 mg689. Streptokinase injeksi 1,5 juta UI/vial693. Sukralfat tab 500 mg708. Terazosin HCl tablet/kapsul/kaplet 1 mg709. Terazosin HCl tablet/kapsul/kaplet 2 mg727. Triamsinolon inj 10 mg/mL13. Albumin serum normal (human albumin) injeksi 25%, 20 ml14. Albumin serum normal (human albumin) injeksi 25%, 50 ml15. Albumin serum normal (human albumin) injeksi 5% 250 ml16. Albumin serum normal (human albumin) injeksi 5% 50 ml138. Dobutamin injeksi 50 mg/mL147. Dopamin injeksi 40 mg/ml184. Faktor VIII (konsentrat) serb inj 250 UI/vial + pelarut 5 Ml185. Faktor VIII (konsentrat) serb inj 480 - 600 UI224. Fraksi protein plasma lar inf 5%270. Hepatitis B imunoglobulin (human)274. Hidroksi Urea tablet/kaplet/kapsul 500 mg306. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 100ml)307. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 30ml)308. Iopamidol 200-300 mg Iodium/mL (300mg @ vial 50ml)309. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 100ml)310. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 30ml)

311. Iopamidol 300-370 mg Iodium/mL (370mg @ vial 50ml)27. Aminofilin tablet/kapsul/kaplet 150 mg238. Gentamisin salep mata 0,3%364. Kloramfenikol salep mata 1 %461. Levofloksasin tts mata 0,5%338. Kaptopril tablet scored 25 mg77. Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml330. Kalsium Glukonat injeksi i.v 10% (100 mg/ml)494. Metilergometrin Maleat injeksi 0,200 mg-1 ml564. Oksitosin injeksi 10 IU/ml12. Albumin serum normal (human albumin) injeksi 25%, 100 ml39. Analog insulin mix acting inj 100 UI/ml, Analog insulin mix acting inj 100 UI43. Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill car44. Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill car182. Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi278. Human insulin intermediate acting inj 100 UI/ml, vial (Human Insulin (Interm280. Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Human Ins286. Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Human Insulin (Pr288. Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin (Premix: 30% So291. Human insulin short acting inj 100 UI/ml, penfill cartridge (Human Insulin (Sh294. Human insulin short acting inj 100 UI/ml, vial (Human Insulin (Short Acting))403. Larutan mengandung Asam Amino (Asam Amino 10%)414. Larutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L)415. Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine L Aspartate 10 gr/L479. Manitol379. Koloid HES BM 130 000 lar inf 6%409. Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,2410. Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino es413. Larutan mengandung Asam Amino (Asam amino 8%)418. Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr, 419. Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr,447. Larutan mengandung Lipid (Emulsi lemak 20%)615. Propofol injeksi i.v., bolus 1%382. Kombinasi suspensi : Parafin + gliserin + fenolftalein593. Permetrin krim 5%730. Urea krim 10%76. Atrakurium injeksi 25 mg/2,5 ml221. Flutikason furoat intranasal spray222. Flutikason propionat nebules 0,5 mg223. Fondaparinuks inj 2,5 mg/0,5 mL388. Kombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg389. Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg390. Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg485. Melfalan tablet 2 mg531. Nadroparin inj 9500 Axa/mL syringe 0,3 mL532. Nadroparin inj 9500 Axa/mL, syringe 0,4 mL533. Nadroparin inj 9500 Axa/mL, syringe 0,6 mL639. Ropinirol Tablet Salut 2 mg

640. Ropinirol Tablet Salut 4 mg641. Ropinirol Tablet Salut 8 mg642. Salbutamol cairan ih 0,1%643. Salbutamol inhalasi/aerosol 100 mcg/dosis644. Salbutamol serb inh 200 mcg/kaps645. Salbutamol serb inh 200 mcg/kaps + rotahaler664. Sefuroksim tab 500 mg662. Sefuroksim tablet/kapsul/kaplet 250 mg160. Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI161. Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml214. Fluoksetin tablet 10 mg178. Faktor IX kompleks serbuk injeksi 1.000 UI/vial + pelarut 10 ml179. Faktor IX kompleks serbuk injeksi 500 UI/vial + pelarut 5 ml180. Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi IX 181. Faktor Koagulasi II 14-35 UI, Faktor Koagulasi VIII 7-20 UI, Faktor Koagulasi 186. Faktor VIII (konsentrat) serb inj 500 UI/vial + pelarut 5 ml347. Ketamin injeksi i.v. 100 mg/ml523. Mometason furoat krim 0,1%192. Fenofibrat kaps 100 mg193. Fenofibrat kaps 300 mg333. Kanamisin inj 1000 mg/ vial350. Ketokonazol krim 2%362. Klopidogrel tab 75 mg649. Sefadroksil kapsul/kaplet 250 mg658. Sefotaksim injeksi 0,5 g9. Albendazol tablet/kapsul/kaplet 400 mg35. Amoksisilin sirup kering forte 250 mg/5 ml126. Dietilkarbamazin tablet scored 100 mg301. Ibuprofen tablet 400 mg392. Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimet597. Pirantel suspensi 125 mg/5 ml598. Pirantel tablet score (base) 125 mg599. Pirazinamid tablet 500 mg616. Propranolol tablet 40 mg (HCl)650. Sefadroksil kapsul/kaplet 500 mg651. Sefadroksil sir kering 250 mg/5 mL648. Sefadroksil sirup kering 125 mg/5ml715. Tetrasiklin kapsul/kaplet 250 mg119. Desoksimetason krim 0,25%219. Flusinolon asetonid krim 0,025%356. Klaritromisin tab 500 mg472. Loperamid tablet 2 mg510. Metronidazol sirup 125 mg/5 Ml584. Parasetamol tetes 60 mg/0,6 mL652. Sefaleksin kapsul/kaplet 500 mg656. Sefiksim sirup kering 100 mg/ 5 ml3. Air untuk injeksi (Aqua pro Injeks) 20 ml10. Albumin serum normal (human albumin) injeksi 20%, 100 ml

11. Albumin serum normal (human albumin) injeksi 20%, 50 ml188. Fenitoin kapsul/kaplet 100 mg220. flusinolon asetonid salep 0,025%352. Ketokonazol scalp sol 2%397. Laktulosa sir 3,335 g/5 mL601. Piridoksin (vitamin B6) inj 100 mg/mL759. Valproat sirup 250 mg/5 ml583. Parasetamol tablet 500 mg8. Albendazol suspensi 200 mg/5 ml30. Amitriptilin tablet salut 25 mg (HCl)50. Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU70. Asiklovir tablet/kapsul/kaplet 200 mg78. Atropin Sulfat tablet 0,5 mg116. Deksametason injeksi i.v./i.m. 5 mg/ml117. Deksametason tablet 0,5 mg123. Diazepam injeksi i.v./i.m 5 mg/ml130. Diltiazem HCl tablet 30 mg163. Eritromisin kapsul/kaplet 500 mg170. Etambutol tablet salut 500 mg (HCl)191. Fenobarbital tablet/kapsul/kaplet 100 mg225. Furosemid injeksi i.v./i.m. 10 mg/ml226. Furosemid tablet 40 mg233. Gemfibrozil kapsul/kaplet 300 mg234. Gemfibrozil tablet 600 mg237. Gentamisin injeksi 40 mg/ ml239. Gentamisin tetes mata 0,3%240. Glibenklamid tablet 5 mg260. Griseofulvin tablet 125 mg263. Haloperidol tablet 0,5 mg265. Haloperidol tablet 1,5 mg264. Haloperidol tablet 5 mg298. Ibuprofen sirup 100 mg/5 ml299. Ibuprofen suspensi 200 mg/5 ml318. Irbesartan tab 150 mg319. Irbesartan tab 300 mg325. Isosorbid Dinitrat tablet sublingual 5 mg337. Kaptopril tablet 50 mg339. Kaptopril tablet scored12,5 mg341. Karbamazepin tablet 200 mg357. Klindamisin kapsul/kaplet 150 mg358. Klindamisin kapsul/kaplet 300 mg401. Lanzoprazol kapsul/kaplet 30 mg465. Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml551. Obat Antituberkulosis FDC Kategori 2553. Obat Antituberkulosis FDC Sisipan554. Obat Antituberkulosis Kategori 1 dewasa555. Obat Antituberkulosis Kategori anak572. ondansetron inj 4 mg/ 2 mL

581. Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)614. Propiltiourasil tablet/kapsul/kaplet 100 mg627. Rifampisin tablet/kapsul/kaplet 300 mg628. Rifampisin tablet/kapsul/kaplet 450 mg629. Rifampisin tablet/kapsul/kaplet 600 mg666. Setirizin sirup 5 mg/5 ml685. Spiramisin tablet 500 mg776. Zinc sir 10 mg/mL459. Levofloksasin inf 5 mg/mL663. Sefuroksim serbuk injeksi 750 mg/vial1. ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)21. Alprazolam tablet/kapsul/kaplet 1 mg51. Antihemoroid, kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg lid52. Antimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg53. Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg55. Artemether injeksi 80 mg/ml59. Asam Askorbat (Vitamin C) tablet 250 mg60. Asam Askorbat (Vitamin C) tablet 50 mg71. Asiklovir tablet/kapsul/kaplet 400 mg82. Azitromisin tablet 500 mg89. Betametason krim 0,1% (sebagai Valerat)121. Desoksimetason salep 0,25%125. Diazepam tablet/kapsul/kaplet 2 mg135. Dimenhidrinat tablet 50 mg149. DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate calcium151. Efavirens tablet salut 600 mg162. Eritromisin kapsul/kaplet 250 mg169. Etambutol tablet 250 mg (HCl)175. Eugenol cairan183. Faktor VIII (konsentrat) serb inj 230 -340 UI199. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml200. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml201. Fentanil patch 12,5 mcg/jam202. Fentanil patch 25 mcg/jam203. Fentanil patch 50 mcg/jam213. Flukonazol tablet/kapsul 150 mg245. Glimepiride tablet 1 mg246. Glimepiride tablet 2 mg247. Glimepiride tablet 3 mg248. Glimepiride tablet 4 mg252. Gliseril trinitrat kaps SR 2,5 mg253. Gliseril trinitrat kaps SR 5 mg271. hidroklorotiazid tab 25 mg273. Hidrokortison krim 2,5 %326. Isosorbid dinitrat tablet/kaplet/kapsul 10 mg349. Ketokonazol krim 2%354. Ketoprofen supositoria 100 mg361. Klonidin tablet 0,15 mg

374. Kodein tablet 10 mg375. Kodein tablet 15 mg376. Kodein tablet 20 mg383. Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg391. Kontrasepsi pil oral, kombinasi :* Levonorgestrel 150 mcg Etinilestradiol 30 394. Kuinin (Kina) tablet 200 mg395. Kuinin injeksi i.v. 25% (sebagai 2 HCl)396. Kuinin tablet 222 mg (H2SO4.7H2O)398. Lamivudin tablet/kaplet/kapsu 100 mg399. Lamivudine tablet 150 mg482. MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/mL489. Metadon sir 50mg/5ml493. Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg504. Metoklopramide tablet 5 mg509. Metronidazol ovula 500 mg514. MIBG (meta-iodobenzylguanidine)515. MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial520. Mikonazol krim/salep 2 % (Nitrat)524. Morfin HCL inj 10 mg/ml528. Morfin tablet 10 mg540. Nevirapin tablet 200 mg594. Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl)600. Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mg (HCl)606. Povidon Iodida larutan 10% 60 ml625. Retinol (Vitamin A) 100.000 IU688. Stavudin tablet/kapsul/kaplet 30 mg691. Sufentanil injeksi iv, epidural 5 mcg/ml705. Tenofovir tab 300 mg706. Teofilin tab SR 300 mg767. Verapamil tablet 80 mg (HCl)772. Vitamin B Kompleks tablet773. Zidofudin 100 mg774. Zidovudin 300 mg + Lamivudine 150 mg778. Zinc tablet dispersible20 mg25. Aminofilin injeksi 24 mg/ml127. Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)255. Gliserin lar 50%343. Karbogliserin tetes telinga 10%393. Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg626. Retinol (Vitamin A) 200.000 IU kapsul lunak670. Sianokobalamin (vitamin B12) injeksi 500 mcg499. Metilprednisolon tablet 16 mg525. Morfin HCL tablet SR 10 mg526. Morfin HCL tablet SR 15 mg527. Morfin HCL tablet SR 30 mg26. Aminofilin tablet scored 200 mg62. Asam Folat tablet/kapsul/kaplet 1 mg206. Fitomenadion (Vit.K1) tablet salut gula 10 mg

272. Hidrokortison krim 1%647. Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4%54. Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg502. Metoklopramid drop botol 10 mL777. Zinc sir 20 mg/5 Ml118. Desogestrel tablet 75 mcg172. Etinilestradiol tablet 0,05 mg173. Etonogestrel implan 68 mcg587. Pegylated Interferon alfa-2b serb inj 100 mcg588. Pegylated Interferon alfa-2b serb inj 120 mcg589. Pegylated Interferon alfa-2b serb inj 50 mcg590. Pegylated Interferon alfa-2b serb inj 80 mcg638. Rokuronium injeksi i.v. 50 mg/5ml703. Temozolamid kaps 100 mg704. Temozolamid kaps 20 mg713. Testoteron soft capsul 40 mg96. Bisoprolol tablet 2,5 mg328. Kalium Klorida tablet 600 mg462. Levotiroksin tablet/kaplet/kapsul 100 mcg463. Levotiroksin tablet/kaplet/kapsul 50 mcg562. Oksimetazolin tetes hidung 0,025%563. Oksimetazolin tetes hidung 0,050%668. Setuksimab infus 5 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor717. Tiamazol tab 10 mg718. Tiamazol tab 5 mg58. Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg187. Fenitoin injeksi 50 mg/ml189. Fenitoin Na Inj 100 mg/2 ml210. Flufenazin injeksi i.m. 25 mg/ml262. Haloperidol injeksi i.m 5 mg/ml266. Haloperidol tablet 2 mg267. Haloperidol tts 2 mg/mL370. Klorpromazin tablet salut 100 mg (HCl)372. Klozapin 100 mg373. Klozapin 25 mg470. Litium karbonat tablet 200 mg471. Litium karbonat tablet 400 mg474. Lorazepam tablet 0,5 mg475. Lorazepam tablet 2 mg481. Maprotilin HCl tab 50 mg632. Risperidon tablet 2 mg503. Metoklopramide sirup 5 mg/ 5 ml538. Natrium fusidat salep 20 mg/g711. Terbutalin tablet 2,5 mg302. Ifosfamid serbuk injeksi 1000 mg/vial488. Mesna inj 100 mg/mL771. Vinorelbin inj. 10 mg/ml500. Metilprednisolon tablet 4 mg

508. Metronidazol infus 500 mg/100 ml570. Omeprazol injeksi 40 mg/ 10 ml623. Ranitidin injeksi 25 mg/ml659. Sefotaksim injeksi 1 g661. Seftriakson serbuk injeksi 1 g/vial678. Simvastatin scored tablet 10 mg679. Simvastatin tablet 20 mg723. Tramadol injeksi 50 mg/ml342. Karbimazol tab 5 mg33. Amoksisilin kapsul/kaplet 250 mg36. Amoksisilin sirup kering 125 mg/ 5 ml144. Domperidon suspensi/sirup 5 mg/5 ml145. Domperidon tablet 10 mg171. Etanol 70% cairan571. Omeprazol kapsul/kaplet 20 mg68. Asam zoledronat injeksi 4mg/5mL111. Deferasiroks tablet disp/ eff 250 mg112. Deferasiroks tablet disp/ eff 500 mg115. Deferoksamin Mesilat serbuk injeksi 500 mg176. Everolimus tab 0,25 mg177. Everolimus tab 0,5 mg303. Imanitib Mesilat tablet salut selaput 100 mg (Skema Risk Sharing sesuai 340. Karbamazepin sirup 100 mg/5 ml385. Kombinasi: Artemether 20 mg; Lumefantrin 120 mg386. Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg455. Letrozol tablet/kaplet/kapsul 2,5 mg495. Metilfenidat kapsul LA 20 mg496. Metilfenidat tablet SR 10 mg545. Nilotinib kapsul 200 mg (Skema Risk Sharing sesuai Kepmenkes RI Nomor H565. Oktreotid 10 mg675. Siklosporin kaps 100 mg676. Siklosporin kapsul lunak 25 mg700. Telbivudin tab 600 mg749. Vaksin Meningitis Meningokokus754. Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster764. Valsartan tab 160 mg763. Valsartan tab 80 mg110. Daunorubisin serbuk injeksi 20 mg/vial211. Flukonazol injeksi 2 mg/ml332. Kalsium polistirena sulfonat ktg 5 g351. Ketokonazol krim 2%468. Lisinopril tablet 10 mg469. Lisinopril tablet 5 mg476. Low molecule feri sucrose inj amp 100 mg/5 mL536. Natrium Diklofenak tablet 50 mg558. Ofloxacin tablet 200 mg559. Ofloxacin tablet 400 mg

538 Omeprazol / Pantoprazol inj

552 Parasetamol infus609. Pravastatin tablet 20 mg622. Ramipril tablet/kaplet/kapsul 10 mg672. Siklofosfamid serbuk injeksi i.v. 1000 mg673. Siklofosfamid serbuk injeksi i.v. 200 mg674. Siklofosfamid serbuk injeksi i.v. 500 mg459. Levofloksasin inf 5 mg/mL20. Alprazolam tablet/kapsul/kaplet 0,5 mg275. Hiosin butilbromid injeksi 20 mg/ml17. Alopurinol tablet/kapsul/kaplet 100 mg31. Amlodipin tablet 10 mg32. Amlodipin tablet 5 mg667. Setirizin tablet 10 mg139. Doksazosin mesilat tablet 1 mg140. Doksazosin mesilat tablet 2 mg153. Eksemestan tablet 25 mg212. Flukonazol tablet/kaplet/kapsul 50 mg249. Glipizid tablet/kaplet/kapsul 10 mg250. Glipizid tablet/kaplet/kapsul 5 mg453. Latanoprost tts mata 0,005% btl@2,5ml484. Medroksi Progesteron Asetat tablet/kaplet/kapsul 100 mg57. Asam Asetilsalisilat (asetosal) tablet 100 mg85. Benzatin Benzil Penisilin 1,2 juta IU/ vial86. Benzatin Benzil Penisilin 2,4 juta IU/vial157. Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml190. Fenobarbital injeksi i.m./i.v. 50 mg/ml196. Fenoksimetil penisilin (penisilin V) tablet/kapsul/kaplet 250 mg195. Fenoksimetil penisilin (penisilin V) tablet/kapsul/kaplet 500 mg207. Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml355. Ketorolac injeksi 30 mg/ml369. Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl)368. Klorpromazin injeksi i.m. 25 mg/ml (HCl)371. Klorpromazin tablet salut 25 mg (HCl)420. Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150 gr +421. Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 80 gr +427. Larutan mengandung Elektrolit (Tiap 1000 ml mengandung electrolit: Sodiu446. Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20% 100 ml)448. Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml)449. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr + Asam Am450. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 80 gr + Asam A451. Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90 gr + Asam Ami521. Modified fluid gelatine BM 30 000 lar inf 4%546. Nistatin tablet salut 500.000 IU/ g547. Nistatin vaginal tablet 100.000 IU/ g550. Obat Antituberkulosis FDC Kategori 1552. Obat Antituberkulosis FDC Kategori Anak610. Primakuin tablet 15 mg690. Streptomisin serbuk injeksi i.v 1000 mg/ml

539. Neostigmin injeksi 0,5 mg/ml620. Ramipril tablet 2,5 mg56. Artesunate injeksi i.v./i.m. 60 mg/ml164. Eritromisin sirup kering 200 mg/ 5 ml322. Isoniazid tablet/kapsul/kaplet 100 mg323. Isoniazid tablet/kapsul/kaplet 300 mg512. Metronidazol tablet 250 mg513. Metronidazol tablet 500 mg242. Gliklazid tab 30 mg592. Perindoprilarginin tab 5 mg75. Atenolol tablet/kapsul/kaplet 50 mg97. Bisoprolol tablet 5 mg106. Bupivakain injeksi 0,50% (P.V)128. Digoksin injeksi 0,25 mg/ml132. Diltiazem injeksi 25 mg/5 mL269. Heparin injeksi i.v./s.k. 5000 UI/ml321. Isofluran inhalasi324. Isosorbid Dinitrat injeksi i.v 10 mg/10 ml377. Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg378. Kolkisin tablet/kaplet/kapsul 500 mcg534. Nalokson injeksi 0,4 mg/ml529. N-asetil sistein inj. nebules 100 mg544. Nikardipin inj 10 mg/vial556. Octreotide Acetate0,05 - 6 mg/mL602. Polikresulen cairan663. Sefuroksim serbuk injeksi 750 mg/vial665. Sertralin tab 50 mg669. Sevofluran ih, btl719. Timolol tetes mata 0,25%720. Timolol tetes mata 0,5%765. Vankomisin serbuk injeksi 500 mg/vial48. Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg 460. Levofloksasin tablet 500 mg473. Loratadin tablet 10 mg

538 Omeprazol / Pantoprazol inj 538 Omeprazol / Pantoprazol inj

49. Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml84. Bedak salisil serbuk 2%231. Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium klorida 0,30 367. Klorfeniramina Maleat (CTM) tablet/kapsul/kaplet 4 mg24. Amikasin injeksi 250 mg/ml66. Asam pipemidat kapsul 400 mg69. Asiklovir salep mata 3%90. Betametason tetes mata 1 mg/ml94. Bisakodil suppositoria 10 mg148. Dosetaksel injeksi 20 mg/0,5 ml159. Epirubisin serb injeksi 10 mg/5 ml216. Fluorometolon tetes mata 0,1 %

236. Gemsitabin inj 200 mg/vial282. Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin hu292. Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Ra320. Irinotekan inf 20 mg/ml365. Kloramfenikol serb inj 1000 mg/mL441. Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi in506. Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg507. Metotreksat tablet/kaplet/kapsul 2,5 mg567. Olanzapin kapl salut 5 mg568. Olanzapin tab 10 mg696. Tamoksifen tablet 20 mg2. Adefovir Dipivoksil tablet/kaplet 10 mg150. Dutasterid kaps lunak 0,5 mg402. Lapatinib tab 250 mg81. Azitromisin sir kering 200 mg/ 5 mL83. Azitromisin tablet 250 mg166. Eritropoetin-alfa inj 2000 UI/mL261. Haloperidol inj 50 mg/mL480. Maprotilin HCl tab 25 mg757. Valasiklovir tablet/kapsul/kaplet 500 mg113. Deferipron larutan oral 100 mg/mL114. Deferipron tablet 500 mg483. Mebendazol tablet 500 mg400. Lansoprazol inj 30 mg/ml456. Leuprorelin asetat inj depot 1,88 mg457. Leuprorelin asetat inj depot 11,25 mg458. Leuprorelin asetat inj depot 3,75 mg131. Diltiazem infus injeksi 50 mg133. Diltiazem Kapsul SR 100 mg134. Diltiazem Kapsul SR 200 mg304. Imidapril tab 10 mg305. Imidapril tab 5 mg109. Dakarbazin serbuk injeksi 200 mg/vial241. Gliklazid tab 80 mg251. Gliseril trinitrat inj 50 mg/10 mL327. Kalium aspartat tab 300 mg329. Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml344. Karboplatin 150 mg / 15 ml345. Karboplatin 450 mg / 45 ml522. Moksifloksasin tetes mata 0,5%569. Olopatadin tts mata 0,1%684. Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml725. Travoprost tetes mata 0,004%381. Kombinasi injeksi depot : Medroksi progesteron asetat 25 mg Estradiol sipio5. Air untuk irigasi lar infus 1000 ml72. Asparaginase serbuk injeksi 10.000 UI/vial256. Glukosa larutan infus 10 % steril257. Glukosa larutan infus 5 % steril

423. Larutan mengandung Elektrolit (Larutan Ringer Laktat)436. Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g, KCl 1,437. Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium Chloride438. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g)439. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g)440. Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g)442. Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%)530. Nacl 0,9%630. Ringer Laktat larutan infus129. Digoksin tablet 0,25 mg141. Doksisiklin tablet/kapsul/kaplet 100 mg300. Ibuprofen tablet 200 mg573. Ondansetron tab 4 mg574. Ondansetron tablet 8 mg646. Salbutamol tablet 2 mg (sebagai Sulfat)654. Sefepim inj 1 g657. Sefoperazon inj 1 g73. Atapulgit tablet 600 mg

Nama Dagang Nama Penyedia Kemasan

Betablok PT Kalbe Farma strip 700.00BLEOCIN PT Kalbe Farma Vial 304,000.00Epirubisin Kalbe PT Kalbe Farma Vial @ 25 ml 500,000.00Hemapo 10.000 IU PT Kalbe Farma vial/ampul (Prefilled Syringe) 275,000.00Hemapo 3000 PT Kalbe Farma Prefilled Syringe @ 1ml 128,000.00Leucogen PT Kalbe Farma pfs @ 0,5 ml 375,000.00Curacil PT Kalbe Farma vial @ 1 ml 24,500.00Curacil PT Kalbe Farma vial @ 10 ml 33,000.00V - BLOC PT Kalbe Farma strip 1,360.00Aminofusin Hepar PT Kalbe Farma botol 500 mL 75,350.00Aminofusin L600 PT Kalbe Farma botol 500 mL 42,000.00Aminofusin Paed PT Kalbe Farma botol 250 mL 46,000.00Totilac PT Kalbe Farma flexybag 250 mL 87,000.00Triofusin 1000 PT Kalbe Farma botol 500 mL 50,500.00Triofusin 500 PT Kalbe Farma Flexy bag 500 mL 42,350.00Tutofusin OPS PT Kalbe Farma botol 500 mL 37,500.00Clinimix N9G20E PT Kalbe Farma Botol Plastik 1000 mL 210,000.00Clinimix N9G15E PT Kalbe Farma Botol Plastik 1000 mL 199,000.00Triofusin E1000 PT Kalbe Farma botol 500 mL 56,000.00Methotrexate Kalbe PT Kalbe Farma vial @ 2 ml 35,750.00Tarivid Otic Solution PT Kalbe Farma Btl @ 5 ml 48,500.00n/a PT Kalbe Farma Transfer Set: Set; Ultaclam: Kant 1,902,240.n/a PT Kalbe Farma Set 219,540.00Larutan Dialisa 1.5%: Dian PT Kalbe Farma Larutan Dialisa 1.5 %: 2.000 ml; L 5,522,580.Cisplatin PT Kalbe Farma vial 22,000.00Cisplatin PT Kalbe Farma vial 93,000.00Bronsolvan PT Kalbe Farma strip 250.00Vincristine Kalbe PT Kalbe Farma vial @ 2 ml 78,000.00Vincristine Kalbe PT Kalbe Farma vial @ 1 ml 46,000.00Otsu SWI 25 ml PT Otsuka Indonesia Dus, 120 ampul PE @ 25ML 2,200.00Obucort Swinghaler PT Otsuka Indonesia Unit, 200 dosis 106,000.00Amiparen PT Otsuka Indonesia Softbag 500 ML 56,300.00Pan-amin G PT Otsuka Indonesia Softbag 500 ML 37,500.00Aminofluid PT Otsuka Indonesia Double Chamber Softbag 1000 M 115,500.00Aminofluid PT Otsuka Indonesia Double Chamber Softbag 500 ML 61,600.00Kidmin PT Otsuka Indonesia Softbag 200 ML 46,000.00Aminoleban PT Otsuka Indonesia Softbag 500 ML 65,000.00Otsu - KCl 7,46% PT Otsuka Indonesia Ampoel 25 ML 2,050.00Asering PT Otsuka Indonesia Plastic Bottle 500 ML 9,000.00KA EN 1B PT Otsuka Indonesia Plastic Bottle 500 ML 9,000.00Martos PT Otsuka Indonesia Plastic Bottle 500 ML 29,167.00Potacol inj PT Otsuka Indonesia Plastic Bottle 500 ML 55,500.00KA ENMG 3 PT Otsuka Indonesia Plastic Bottle 500 ML 9,167.00KA EN 3B PT Otsuka Indonesia Plastic Bottle 500 ML 10,000.00KA EN 3A PT Otsuka Indonesia Plastic Bottle 500 ML 10,000.00OTSU-MgSO4 20 PT Otsuka Indonesia Dus, 120 ampul plastik @ 25 ml 2,800.00

Harga Satuan Terkecil

(Rp)

OTSU-MgSO4 40 PT Otsuka Indonesia Dus, 120 ampul plastik @ 25 ml 3,500.00Meylon PT Otsuka Indonesia Ampoel 25 ML 6,200.00Survanta PT. Abbott Indonesia Vial 3,200,000.Aluvia PT. Abbott Indonesia botol @ 120 tablet 6,100.00Depakote ER 250 mg PT. Abbott Indonesia Tablet 2,793.00Depakote ER 500 mg PT. Abbott Indonesia Tablet 5,450.00Depakote Tab 250 mg PT. Abbott Indonesia Tablet salut 250 mg 1,680.00Isoptin 240 mg PT. Abbott Indonesia Tablet 6,200.00STESOLID PT. Actavis Indonesia Dus, 5 alubag @ 1 tube @ 2,5ml 16,748.00STESOLID PT. Actavis Indonesia Dus, 5 alubag @ 1 tube @ 2,5ml 11,525.00Doxorubicin Actavis 10 mg PT. Actavis Indonesia Dus, 1 vial @ 10 mg 55,500.00Doxorubicin Actavis 50 mg PT. Actavis Indonesia Dus, 1 vial @ 50 mg 274,125.00Fenocin PT. Actavis Indonesia Dus 45 x 12 tab 235.00Nitral PT. Actavis Indonesia Btl @ 30 tablet 1,500.00DOPAMET PT. Actavis Indonesia Dus, 10 Strip @ 10 tablet salut se 800.00SINDAXEL 100 MG/16,67 MPT. Actavis Indonesia Vial 6mg/ml (100mg/16.67ml) 984,000.00SINDAXEL 260mg/43.33 M PT. Actavis Indonesia Vial 6mg/ml (260mg/43.33ml) 3,000,000.SINDAXEL 30 MG/5 ML PT. Actavis Indonesia Vial 6mg/ml (30mg/5ml) 274,560.00n/a PT. Afifarma dus, 10 blister @ 10 kapsul 158.00n/a PT. Afifarma Dus,10 Strip @ 10 tablet 70.00n/a PT. Afifarma botol 60 ml 1,438.00n/a PT. Afifarma botol @ 1000 ml 37,109.00n/a PT. Afifarma botol @ 30 ml 2,163.00n/a PT. Afifarma botol @ 300 ml 14,203.00n/a PT. Afifarma Dus, 10 Strip @ 10 tablet 57.00n/a PT. Afifarma DUS,10 STRIP @ 10 KAPSUL 300.00Arimidex 1 mg PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 32,000.00Casodex 150 mg PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 72,400.00Casodex 50 mg PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 45,000.00Pulmicort Turbuhaler PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 100 dosis 93,000.00Pulmicort Respules PT. AstraZeneca indonesia Dus, 4 pak @ 5 respules @ 2 ml 8,900.00Symbicort Turbuhaler 160/PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 120 dosis 117,600.00Symbicort 80/4.5 mcg PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 60 dosis 110,500.00Iressa 250 mg PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 295,000.00Zoladex 10,8 mg PT. AstraZeneca indonesia Dus, 1 syringe @ 10.8 mg 2,300,000.Zoladex 3,6 mg PT. AstraZeneca indonesia Dus, 1 syringe @ 3.6 mg 840,000.00Xylocaine Jelly 2% PT. AstraZeneca indonesia Dus, 10 syringe @ 10 g 40,000.00Xylocaine Spray 10 mg / doPT. AstraZeneca indonesia Dus,Botol @ 50 ml (500 dosis) 142,000.00Seroquel XR 200 mg PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 17,391.00Seroquel XR 300 mg PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 19,500.00Seroquel XR 400 mg PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 23,185.00Bricasma Respules PT. AstraZeneca indonesia Dus, 2 pak @ 5 respules 6,250.00Bricasma Turbuhaler 0,5 mPT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 200 dosis 71,100.00Cordarone PT. Aventis Pharma Dus, 6 ampul @ 3 ml 12,480.00Lantus Solostar 100IU/ml PT. Aventis Pharma dus, 5 solostar pen @ 3ml 85,000.00Apidra Solostar 100IU/ml PT. Aventis Pharma dus, 5 solostar pen @ 3ml 79,165.00Lovenox 2000 ANTI-XA PT. Aventis Pharma dus, 2 prefilled syringe @ 0,2 ml 40,740.00Lovenox 4000 ANTI-XA PT. Aventis Pharma dus, 2 prefilled syringe @ 0,4 ml 71,875.00

Lovenox 6000 ANTI-XA PT. Aventis Pharma dus, 2 prefilled syringe @ 0,6 ml 100,000.00Fludara IV LYO PT. Aventis Pharma Dus, 5 vial @ 50 mg 1,248,319.Fludara Oral PT. Aventis Pharma Dus, 4 blister @ 5 tablet salut sel 275,000.00Insuman Basal vial 5ml, 10 PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00Insuman Comb 25 vial 5ml,PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00Insuman Rapid vial 5ml, 10 PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00Granocyte 34 1vl HSA Free PT. Aventis Pharma Dus, 1 vial @ 263 mcg + 1 prefill 550,000.00Flagyl PT. Aventis Pharma Dus, 2 blister @ 5 suppositoria 3,220.00ELOXATIN PT. Aventis Pharma Dus, 1 vial @ 20 ml 1,100,000.ELOXATIN PT. Aventis Pharma Dus, 1 vial @ 10 ml 550,000.00Nasacort AQ PT. Aventis Pharma Dus, botol plastik 120 dosis 90,000.00Imovax Polio PT. Aventis Pharma 1 vial of 10ml (10 d's) 285,000.00Humalog Mix 25 Kwikpen PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 102,990.00Humalog Mix 25 PT. Bayer Indonesia Penfill cartridge 97,500.00Humalog Kwikpen PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 82,495.00Humalog PT. Bayer Indonesia Penfill cartridge 79,167.00Bonefos Infus 60 mg / 5 ml PT. Bayer Indonesia ampul 124,955.00Gadovist 5 mg PT. Bayer Indonesia Prefilled Syringe 275,000.00Gadovist 7,5 mg PT. Bayer Indonesia Prefilled Syringe 412,500.00Primovist PT. Bayer Indonesia Prefilled Syringe 2,570,000.Gemzar 1000 mg PT. Bayer Indonesia vial 1,098,900.Humulin N Kwikpen PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00Humulin N Vial PT. Bayer Indonesia Dus, vial 10 ml 138,000.00Humulin N Cart PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00Humulin 30/70 Kwikpen PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00Humulin 30/70 Cart PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00Humulin 30/70 Vial PT. Bayer Indonesia Dus, vial 10 ml 138,000.00Humulin R Kwikpen PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00Humulin R Cart PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00Humulin R Vial PT. Bayer Indonesia Dus, vial 10 ml 138,000.00Ultravist 300/100 mg PT. Bayer Indonesia Botol 245,000.00Ultravist 300/50 mg PT. Bayer Indonesia Botol 123,200.00Ultravist 370/100 mg PT. Bayer Indonesia Botol 299,000.00Ultravist 370/50 mg PT. Bayer Indonesia Botol 150,300.00Adalat Oros 20 mg PT. Bayer Indonesia blister 2,999.00Adalat Oros 30 mg PT. Bayer Indonesia blister 3,500.00Primolut N PT. Bayer Indonesia blister 2,618.00Zyprexa IM PT. Bayer Indonesia Vial 120,000.00Xarelto 10 mg PT. Bayer Indonesia Blister 23,500.00Xarelto 15 mg PT. Bayer Indonesia Blister 23,500.00Xarelto 20 mg PT. Bayer Indonesia Blister 23,500.00n/a PT. Bernofarm Dus, 10 blister @ 10 tablet 199.50n/a PT. Bernofarm Dus, 10 strip @ 10 kaptab 272.00n/a PT. Bernofarm Dus, 10 vial @ 1 g 5,100.00n/a PT. Bernofarm Dus, 10 blister @ 10 kaptab ss 112.00n/a PT. Bernofarm Dus, 10 ampul @ 5 ml 2,950.00n/a PT. Bernofarm Dus, botol @ 10 ml 15,600.00n/a PT. Bernofarm Ampul @ 1 ml 12,990.00

n/a PT. Bernofarm Botol @ 60 ml 3,680.00n/a PT. Bernofarm Dus, 100 ampul @ 2 ml 839.00n/a PT. Bernofarm Dus, 1 vial @ 1 g 54,000.00n/a PT. Bernofarm Dus, 1 vial @ 0,5 g 44,960.00n/a PT. Bernofarm Dus, 10 blister @ 10 tablet 112.50n/a PT. Bernofarm Dus, 10 blister @ 10 kaptab 197.50n/a PT. Bernofarm Dus, 1 vial @ 500 mg 89,990.00n/a PT. Bernofarm Vial @ 3 juta IU 7,190.00n/a PT. Bernofarm Dus, 10 blister @ 10 kapsul 859.00n/a PT. Bernofarm Dus, 10 blister @ 10 tab ss 255.00BCG Vaccine (SII) PT. Bio Farma 20 ds / amp / vial 59,950.00BCG Vaccine SSI PT. Bio Farma 20 ds / amp / vial 59,950.00BCG Vaccine (GS) PT. Bio Farma 20 ds / amp / vial 59,950.00BCG Vaccine (SII) PT. Bio Farma 20 ds / amp / vial 70,521.00BCG Vaccine SSI PT. Bio Farma 20 ds / amp / vial 70,521.00BCG Vaccine (GS) PT. Bio Farma 20 ds / amp / vial 70,521.00n/a PT. Bio Farma 20 ds / amp / vial 59,950.00n/a PT. Bio Farma 20 ds / amp / vial 70,521.00n/a PT. Bio Farma 10 ds / vial 28,204.00n/a PT. Bio Farma 10 ds / vial 33,176.00Pentabio PT. Bio Farma 5 ds / vial 76,285.00Pentabio PT. Bio Farma 5 ds / vial 89,738.00n/a PT. Bio Farma 1 ds / pouch 20,900.00n/a PT. Bio Farma 1 ds / pouch 24,585.00n/a PT. Bio Farma 10 ds / vial 17,798.00n/a PT. Bio Farma 10 ds / vial 20,933.00n/a PT. Bio Farma 10 ds/ vial 16,500.00n/a PT. Bio Farma 10 ds/ vial 19,404.00n/a PT. Bio Farma 10 ds/ vial 19,954.00n/a PT. Bio Farma 10 ds/ vial 23,474.00Verorab PT. Bio Farma Dus, 1 vial@ 1dosis + 1 Syringe @78,000.00n/a PT. Bio Farma 10 ds/ vial 14,498.00n/a PT. Bio Farma 10 ds/ vial 17,050.00Actilyse PT. Boehringer Ingelheim Dus, 1 vial@50mg + 1 vial pelaru 3,800,000.Bondronat PT. Boehringer Ingelheim Boks, 1 ampul 2,209,000.Avastin PT. Boehringer Ingelheim Dus, 1 vial @ 4 ml 4,803,697.Dulcolax Supp Infant PT. Boehringer Ingelheim 1 Box @ 6's 4,990.00Pradaxa PT. Boehringer Ingelheim Dus, 3 blister @ 10 kapsul 12,936.00Pradaxa PT. Boehringer Ingelheim Dus, 3 blister @ 10 kapsul 12,936.00Recormon PT. Boehringer Ingelheim Boks, 6 ampul 139,500.00Berotec MDI PT. Boehringer Ingelheim Box, canister 10mL 72,900.00Berotec Solution PT. Boehringer Ingelheim Dus, Canister 200 dosis 117,500.00Cymevene PT. Boehringer Ingelheim Boks, 1 ampul 399,500.00Atrovent HFA PT. Boehringer Ingelheim Box, canister 10mL 80,000.00Atrovent solution for inha PT. Boehringer Ingelheim Box, bottle 20mL 90,000.00Xeloda PT. Boehringer Ingelheim Boks, 120 tablet 27,500.00Catapres Injeksi PT. Boehringer Ingelheim Box, 10 ampoules @ 1mL 30,600.00Combivent UDV PT. Boehringer Ingelheim 1 dus @ 20 vial 5,990.00

Dormicum PT. Boehringer Ingelheim Boks 10 amp 6,119.00Dormicum PT. Boehringer Ingelheim Boks 5 amp 12,060.00Cellcept PT. Boehringer Ingelheim Boks, 50 tablet 16,000.00Pegasys PT. Boehringer Ingelheim Boks, 1 pfs 1,077,815.Pegasys PT. Boehringer Ingelheim Boks, 1 pfs 1,248,220.Sifrol ER 0,375mg PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 7,200.00Sifrol ER 0,750mg PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 11,268.00Mabthera PT. Boehringer Ingelheim Dus, 1 vial @ 10 ml 3,164,805.Micardis 40mg PT. Boehringer Ingelheim Dus, 2 alu-blister @10 tablet 3,900.00Micardis 80mg PT. Boehringer Ingelheim Box, 2 blisters @10 tablets 6,500.00Spiriva powder for inhalat PT. Boehringer Ingelheim Box, 3 blisters @10 capsules 13,867.27Spiriva 10s + Handihaler PT. Boehringer Ingelheim Dus, 1 blister @10 kapsul + handi 152,543.00Herceptin PT. Boehringer Ingelheim Dus, 1 vial @ 440 mg + 1 vial pel 19,608,034Valcyte PT. Boehringer Ingelheim Boks, 60 tablet 170,000.00Bufacetin PT. Bufa Aneka Box isi 24 tube @ 15 gram 3,524.00Cripsa tab PT. Caprifarmindo Box 3 x 10'S 247,089.00Fungicide PT. Cendo Industri Farmasi tube 3.5 gr 18,500.00Cendo Tropin 0,5% PT. Cendo Industri Farmasi Botol 5ml 13,500.00Cendo Tropin 1% PT. Cendo Industri Farmasi Botol 5ml 13,500.00E.D.T.A PT. Cendo Industri Farmasi botol 15 ml 37,500.00Homatro 2% PT. Cendo Industri Farmasi Botol 5ml 18,000.00Cendo Lyteers PT. Cendo Industri Farmasi botol 15 ml 15,750.00Cendo Glaopen PT. Cendo Industri Farmasi strip 5 x 0.6 ml 72,000.00Pantocain 0.5% PT. Cendo Industri Farmasi botol 5 ml 11,500.00Cendo Mydriatil 1% PT. Cendo Industri Farmasi Botol 5ml 36,500.00Dorner PT. Combiphar Box/ 3 blister @ 10 Tablet 3,600.00Posyd PT. Combiphar Vial 100mg/5ml 100,000.00Prostacom PT. Combiphar Box, isi 3 Strip @ 10 tab 2,950.00Ketamin Hameln PT. Combiphar Box, isi 1 vial @ 10 ml 60,300.00Mycamine PT. Combiphar Dus,1 vial@50mg 260,000.00Fleet Phosphosoda PT. Combiphar Botol, 45 ml 33,900.00Ulsafate PT. Combiphar Botol, 100 ml 13,425.00Prograf PT. Combiphar Pounch @ 5 blister @ 10 capsule 11,167.00Prograf PT. Combiphar Dus, 1 pouch @5 blister@10 kaps21,500.00Harnal D PT. Combiphar Box @ 2 blister @ 14 tablet 5,800.00Harnal D PT. Combiphar Box/ 2 blister @ 14 tablet 5,800.00Harnal OCAS PT. Combiphar Box/ 3 blister @ 10 Tablet 6,800.00Vinblastine PT. Combiphar Vial 10mg/10ml 210,000.00Zincpro Drops PT. Combiphar Drops 10 mg/ml, Botol @15 ml 12,840.00Citaz PT. Dankos Farma strip 7,000.00Kendaron Tablet PT. Darya Varia strip 1,200.00Diamicron MR 60 PT. Darya Varia Box, 30 Tablet 5,500.00BURNAZIN 35 GR PT. Darya Varia tube @ 35 gram 23,000.00n/a PT. Darya Varia strip 405.00n/a PT. Dexa Medica Dus, 10 strip @10tablet 990.00n/a PT. Dexa Medica Dus, 10 strip @10tablet 780.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 380.00Starfolat PT. Dexa Medica Dus, 10 strip @10 tablet 84.00

n/a PT. Dexa Medica Dus, 5 ampul @ 4 ml 25,600.00n/a PT. Dexa Medica Kotak, tube @ 15 gram 9,983.00NOPRES PT. Dexa Medica DUS, 30 TABLET 410.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 950.00Halothane PT. Dexa Medica Botol 641,500.00Tetagam PT. Dexa Medica Prefilled syringe 170,000.00n/a PT. Dexa Medica Dus, 3 Blister @ 10 tablet 4,900.00n/a PT. Dexa Medica Dus, 3 Blister @ 10 tablet 3,100.00n/a PT. Dexa Medica Dus, 5 Strip @ 10 tablet 300.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 900.00n/a PT. Dexa Medica Dus, 1 Vial @125mg + 1 ampul pe19,500.00n/a PT. Dexa Medica Dus, 10 Blister @ 10 tablet 300.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut se 100.00Raivas PT. Dexa Medica ampul 52,000.00DECULIN 15 MG PT. Dexa Medica 30 TAB/BOX 3,120.00DECULIN 30 MG PT. Dexa Medica 30 TAB/BOX 4,525.00Probenid PT. Dexa Medica Dus, 10 strip @ 10 tablet 1,650.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 65.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 kaptab 580.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut se 120.00n/a PT. Dexa Medica Dus, 5 Blister @ 10 tablet 1,400.00n/a PT. Dexa Medica Dus, 5 Blister @ 10 tablet 2,000.00n/a PT. Dexa Medica Dus, 2 Vial @ 1 gram 16,500.00n/a PT. Dexa Medica Dus, 2 Vial @ 1 gram 16,000.00n/a PT. Dexa Medica Vial 200 ml 13,000.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 900.00n/a PT. Dexa Medica Dus, 10 Strip @ 10 tablet 315.00Streptase PT. Dexa Medica Vial 3,290,000.ULSIDEX PT. Dexa Medica DUS, 10 STRIP @ 10 TAB 424.00HYTROZ 1MG PT. Dexa Medica DUS, 10 BLISTER @ 10 TAB 1,669.00HYTROZ 3MG PT. Dexa Medica DUS, 10 BLISTER @ 10 TAB 2,949.00Flamicort PT. Dexa Medica Dus,1 vial@ 5ml 65,500.00PLASBUMIN 25% 20 ML PT. Dipa Pharmalab botol @ 20 ml 321,552.00PLASBUMIN 25% 50 ML PT. Dipa Pharmalab botol @ 50 ml 732,727.00PLASBUMIN 5% 250 ML PT. Dipa Pharmalab botol @ 250 ml 900,000.00PLASBUMIN 5% 50 ML PT. Dipa Pharmalab botol @ 50 ml 283,000.00DOBURAN PT. Dipa Pharmalab ampul @ 5 ml 26,700.00UDOPA PT. Dipa Pharmalab ampul @ 5 ml 9,840.00KOATE 250 UI PT. Dipa Pharmalab Vial/ampul 990,000.00KOATE DVI 500 IU PT. Dipa Pharmalab vial 2,150,000.Plasmanate PT. Dipa Pharmalab dus, vial @ 250 ml 972,000.00Hyperhep B PT. Dipa Pharmalab Dus, 1 syringe @ 0.5 mL 1,328,000.HYDROXYUREA MEDAC PT. Dipa Pharmalab vial 5,400.00Iopamiro PT. Dipa Pharmalab Dus, botol @ 100 ml 350,000.00Iopamiro PT. Dipa Pharmalab Dus, vial @ 30 ml 122,000.00Iopamiro PT. Dipa Pharmalab Dus, vial @ 50 ml 166,000.00Iopamiro PT. Dipa Pharmalab Dus, botol @ 100 ml 369,000.00Iopamiro PT. Dipa Pharmalab Dus, vial @ 30 ml 147,000.00

Iopamiro PT. Dipa Pharmalab Dus, vial @ 50 ml 199,000.00n/a PT. Erela Btl @ 100 tablet 80.00Genoint Salep Mata PT. Erela Tube @ 3,5 gr 2,600.00n/a PT. Erela Tube @ 5 gram 1,600.00Optiflox PT. Erela Btl @ 5 ml 13,068.00n/a PT. Errita Pharma Dus, 10 strip @10 tablet 80.00n/a PT. Ethica Industri Farmasi 100 AMPUL @ 1 ML 1,350.00Kalsium glukonat PT. Ethica Industri Farmasi Ampul 7,800.00n/a PT. Ethica Industri Farmasi ampul @ 1 ml 2,750.00Oxytocin "S" PT. Ethica Industri Farmasi ampul @ 1 ml 2,200.00Albuminar 25 PT. Ferron Par Pharmaceuticals Dus, botol @ 100 ml 1,515,000.Novomix Flexpen PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, Flexpen disposib106,000.00Novorapid Flexpen PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, Flexpen disposib85,345.00Novorapid Vial PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 200,000.00Novoseven PT. Ferron Par Pharmaceuticals KOTAK @ 1 VIAL SERBUK OBAT & 9,200,000.Insulatard Vial PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00Insulatard Penfill PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00Mixtard Penfill PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00Mixtard Vial PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00Actrapid Penfill PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00Actrapid Vial PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00Kalbamin PT. Finusolprima Farma Internasbotol 500 ml 56,300.00Eas Pfrimer PT. Finusolprima Farma Internasbotol 250 ml 51,260.00Comafusin Hepar PT. Finusolprima Farma Internasbotol 500 ml 64,900.00n/a PT. Finusolprima Farma Internasbotol 500 ml 62,000.00Voluven PT. Fresenius Kabi Combiphar Botol Plastik @ 500 ml 33,000.00Aminosteril Infant 6% PT. Fresenius Kabi Combiphar Botol Gelas 100 ml 36,667.00Nephrosteril PT. Fresenius Kabi Combiphar Botol Gelas 250 ml 50,820.00Aminosteril N-Hepa PT. Fresenius Kabi Combiphar Botol Gelas 500 ml 78,720.00Kabiven 1440 ml PT. Fresenius Kabi Combiphar Bag (3 Chamber) 1440 ml 295,240.00Kabiven 1920 ml PT. Fresenius Kabi Combiphar Bag (3 Chamber) 1920 ml 343,842.00Intralipid PT. Fresenius Kabi Combiphar Botol Gelas 100 ml 60,500.00Fresofol 1% MCT/LCT PT. Fresenius Kabi Combiphar Ampul 15,642.00Laxadine Emulsi 60 ml PT. Galenium Pharmasia LaboratBotol @ 60 ml 12,450.00Scabimite Cream 10 PT. Galenium Pharmasia LaboratTube @ 10 g 11,475.00Soft U Derm PT. Galenium Pharmasia Laborattube 6,400.00Tracrium PT. Glaxo Wellcome Indonesia Dus, 5 ampul @ 2.5 ml 20,000.00Avamys PT. Glaxo Wellcome Indonesia Dus, Botol 120 Dosis Spay 93,333.00Flixotide Nbules PT. Glaxo Wellcome Indonesia Dus, 2 flow wrap@ 5 nebules @ 1 12,917.00Arixtra PT. Glaxo Wellcome Indonesia Dus, 2 pfs 0.5 ml 241,667.00Seretide Inhaler 50 mcg PT. Glaxo Wellcome Indonesia Dus, Botol 120 Dosis 90,667.00Seretide Diskus 100 mcg PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60 dosis 100,833.00Seretide Diskus 250 mcg PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60 dosis 113,333.00Alkeran PT. Glaxo Wellcome Indonesia Box, Tablet 2 mg/25's 12,210.00Fraxiparine 0.3 ml PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.3 ml 54,144.00Fraxiparine 0.4 ml PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.4 ml 66,640.00Fraxiparine 0.6 ml PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.6 ml 94,962.00Requip PD 24 Hour 2 mg PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 5,248.00

Requip PD 24 Hour 4 mg PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 6,275.00Requip PD 24 Hour 8 mg PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 7,383.00Ventolin Nebules PT. Glaxo Wellcome Indonesia Dus, 4x5 Botol Plastik@2.5 ml 6,600.00Ventolin Inhaler PT. Glaxo Wellcome Indonesia Dus, botol 200 dosis 63,750.00Ventolin Rotacaps PT. Glaxo Wellcome Indonesia Dus, 10 Blister @ 10 Kapsul 431.00Ventolin Rotahaler PT. Glaxo Wellcome Indonesia Dus, 1 Rotahaler 5,867.00Zinnat 500 PT. Glaxo Wellcome Indonesia Dus, 1 Blister @ 10 Tablet salut s 7,200.00Zinnat 250 mg PT. Glaxo Wellcome Indonesia Dus, 1 Blister @ 10 Tablet salut s 4,752.00D-Vit FT PT. Gracia Pharmindo Dus 3 strip @ 10 Flash tablet 650.00D-Vit Syrup PT. Gracia Pharmindo Dus, Botol Plastik @ 100 mL 8,000.00Foransi 10 PT. Gracia Pharmindo strip 419.00Nonafact 1000 IU PT. Graha Farma Dus, 1 vial @ 1000 IU+ 1 vial pel 8,500,000.Nonafact 500 IU PT. Graha Farma Dus, 1 vial @ 500 IU+ 1 vial pela 4,423,500.Cofact 500 IU/20 ml PT. Graha Farma Dual, vial 500 IU 4,400,000.Cofact 250 IU PT. Graha Farma Dus, vial @ 250 IU+ 1 vial pelar 2,095,000.Aafact 500 IU PT. Graha Farma 500 IU 1,990,417.KTM PT. Guardian Pharmatama Vial @ 10 ml 110,000.00n/a PT. Guardian Pharmatama tube 10 gram 17,820.00n/a PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 kapsul 1,075.00n/a PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 kapsul 1,375.00n/a PT. Hexpharm Jaya Laboratoriesvial 5,000.00n/a PT. Hexpharm Jaya Laboratoriestube 5 gr 2,850.00n/a PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 tab 3,400.00n/a PT. Hexpharm Jaya Laboratoriesstrip 513.00n/a PT. Hexpharm Jaya Laboratoriesvial 4,800.00n/a PT. Holi Pharma Dus, 5 strip @ 6 tablet 338.00n/a PT. Holi Pharma Dus, Botol 60 ml 4,045.00n/a PT. Holi Pharma Dus, 10 blister @10 tablet 136.00n/a PT. Holi Pharma Dus, 10 strip @ 10 tablet 149.00n/a PT. Holi Pharma Dus, 10 strip @ 10 kaptab 149.00n/a PT. Holi Pharma Botol 60 ml 8,360.00n/a PT. Holi Pharma Dus, 25 Blister @ 4 tablet 296.00n/a PT. Holi Pharma Dus 10 strip @ 10 tablet 206.00n/a PT. Holi Pharma Dus, 10 strip @ 10 tablet 106.00n/a PT. Holi Pharma Dus, 10 strip @ 10 kapsul 509.00n/a PT. Holi Pharma Dus, Botol 60 ml 5,895.00n/a PT. Holi Pharma Dus, Botol 60 ml 4,746.00n/a PT. Holi Pharma Dus, 10 strip @ 10 kapsul 148.00DEXIGEN PT. Ifars Pharmaceutical Labora Dus, tube @ 5 g 5,700.00SYNARCUS PT. Ifars Pharmaceutical Labora Dus, Tube 5 g 2,400.00ORIXAL PT. Ifars Pharmaceutical Labora Dus, 3 Strip @ 10 Kaplet salut sel 3,200.00n/a PT. Ifars Pharmaceutical Labora Dus, 10 Strip @ 10 Tablet 89.00Farizol PT. Ifars Pharmaceutical Labora Dus, botol 60ml 4,100.00FASIDOL PT. Ifars Pharmaceutical Labora Dus, botol @ 15 ml 6,450.00n/a PT. Ifars Pharmaceutical Labora Dus, 5 Strip @ 10 Kapsul 1,000.00n/a PT. Ifars Pharmaceutical Labora Dus, Botol 30 ml 8,800.00n/a PT. Ikapharmindo Vial 20 ml 2,030.00Zenalb PT. Ikapharmindo Vial 100 ml 750,000.00

Zenalb PT. Ikapharmindo Vial 50 ml 345,000.00n/a PT. Ikapharmindo Botol @ 100 133.00Dermasolon oint PT. Ikapharmindo Dus, tube @ 10 g 5,489.00Zoloral SS PT. Ikapharmindo Botol 80 ml 28,000.00n/a PT. Ikapharmindo Botol 60 ml 14,500.00n/a PT. Ikapharmindo Ampul 1 ml 1,000.00Ikalep PT. Ikapharmindo Botol 120 ml 40,000.00n/a PT. Imfarmind Farmasi industri Dus, 10 strip @ 10 kaptab 89.00n/a PT. Indofarma Dus, 10 dus @ 1 botol @ 10 ml 3,849.00n/a PT. Indofarma Dus, 10 strip @ 10 tss 112.00n/a PT. Indofarma Dus, 25 tube @ 5 g 2,516.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 237.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 74.00n/a PT. Indofarma Dus, 100 ampul @ 1 ml 1,580.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 68.00n/a PT. Indofarma Dus, 30 ampul @ 2 ml 4,180.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 134.00n/a PT. Indofarma Dus, 10 blister @ 10 kss 930.00n/a PT. Indofarma Dus, 10 strip @ 10 tss 451.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 220.00n/a PT. Indofarma Dus, 25 ampul @ 2 ml 1,829.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 85.00n/a PT. Indofarma Dus, 10 blister @ 12 kapsul 289.00n/a PT. Indofarma Dus, 10 blister @ 10 kaptab 679.00n/a PT. Indofarma Dus, 5 ampul @ 2 ml 3,399.00n/a PT. Indofarma Dus, botol plastik 5 ml 3,194.00n/a PT. Indofarma Dus, 10 blister @ 10 kaptab 56.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 219.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 59.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 69.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 96.00n/a PT. Indofarma Dus, botol 60 ml 3,499.00n/a PT. Indofarma Dus, botol 60 ml 4,499.00n/a PT. Indofarma Dus, 5 blister @ 10 kss 1,425.00n/a PT. Indofarma Dus, 5 blister @ 10 kss 2,470.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 88.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 140.00n/a PT. Indofarma Dus, 10 strip @ 10 tablet 62.00n/a PT. Indofarma Dus, 10 blister @ 10 tablet 245.00n/a PT. Indofarma Dus, 5 blister @ 10 kapsul 361.00n/a PT. Indofarma Dus, 5 blister @ 10 kapsul 553.00n/a PT. Indofarma Dus, 2 strip @ 10 kapsul 473.00n/a PT. Indofarma Dus, 30 ampul @ 2 ml 1,363.00n/a PT. Indofarma Paket 1,199,990.n/a PT. Indofarma Paket@84 tablet 160,000.00n/a PT. Indofarma Dus, 1 dus @ 60 blister @ 8 tablet288,199.00n/a PT. Indofarma Dus, 60 sachet tahap intensif @ (1171,195.00n/a PT. Indofarma Dus, 5 Ampul @ 2ml 2,400.00

n/a PT. Indofarma Dus, 15 botol 5,200.00n/a PT. Indofarma Botol @ 100 Tablet 319.00n/a PT. Indofarma Dus, 10 strip @ 10 kapsul 610.00n/a PT. Indofarma Dus, 10 strip @ 10 kapsul 790.00n/a PT. Indofarma Dus, 10 strip @10 kaptab 1,100.00n/a PT. Indofarma Botol @ 60 ml 7,999.00n/a PT. Indofarma Dus, 5 strip @ 10 tablet 1,499.00Zinkid PT. Indofarma Dus, botol @ 100 ml 14,980.00n/a PT. Infion Pharmaceutical Box, 1 Botol @ 100 ml 40,000.00Oxtercid inj PT. Interbat Box @ 2 vial 52,767.00n/a PT. Kimia Farma 1 blister@24 tablet 1,375.00n/a PT. Kimia Farma Ktk 10x10 tablet 233.00n/a PT. Kimia Farma DUS, 10 SUPP @ 2 GRAM 3,045.00n/a PT. Kimia Farma ktk 10 x 10 tablet 520.00n/a PT. Kimia Farma Btl 100 tablet 135.00Artem PT. Kimia Farma Dus 6 amp @ 1ml 22,000.00n/a PT. Kimia Farma ktk 10x10 tablet 159.00n/a PT. Kimia Farma Dus 10 strip x 10 tab 95.00n/a PT. Kimia Farma ktk 10x10 tablet 345.00n/a PT. Kimia Farma ktk 2x10 tablet 4,500.00n/a PT. Kimia Farma Tube 5 gr 1,520.00Dexocort PT. Kimia Farma Dus Tube 10 gram 9,818.00n/a PT. Kimia Farma Botol Plastik @ 100 tablet 45.00n/a PT. Kimia Farma Btl 100 tablet 104.00Renalscan KaeF PT. Kimia Farma Dus @ 5 vial 455,000.00n/a PT. Kimia Farma Botol 30 tab 6,375.00n/a PT. Kimia Farma ktk 10 x 10 kapsul 497.00n/a PT. Kimia Farma ktk 20 x 10 tablet 314.00n/a PT. Kimia Farma Botol 10 ml 16,667.00Haemoctin PT. Kimia Farma vial 1,133,000.n/a PT. Kimia Farma Dus 5 ampul@ 10ml 128,000.00n/a PT. Kimia Farma Dus 5 ampul@ 2ml 33,914.00Durogesic 12,5 MU Matrix PT. Kimia Farma Dus @ 5 patch 80,000.00Durogesic 25 MU Matrix PT. Kimia Farma Dus@ 5 patch 153,000.00Durogesic 50 MU Matrix PT. Kimia Farma Dus@ 5 patch 285,000.00n/a PT. Kimia Farma ktk 1 x 10 kapsul 22,000.00n/a PT. Kimia Farma ktk 5x10 tablet 265.00n/a PT. Kimia Farma ktk 5x10 tablet 436.00n/a PT. Kimia Farma ktk 5x10 tablet 404.00n/a PT. Kimia Farma ktk 5x10 tablet 430.00Nitrokaf Retard PT. Kimia Farma Dus 10x10 1,493.00Nitrokaf Forte PT. Kimia Farma Dus 10x10 2,171.00n/a PT. Kimia Farma dus, 10 strip @ 10 tablet 149.00n/a PT. Kimia Farma Tube 5 gr 2,798.00Isonat PT. Kimia Farma Dus, 5 strip @ 10 tablet 189.00n/a PT. Kimia Farma tube 10 gr 2,569.00Protofen Supp PT. Kimia Farma dus 2 's @ 10 supp 2,722.00n/a PT. Kimia Farma Ktk 10X10 TAB 184.00

n/a PT. Kimia Farma ktk 10x10 tablet 500.00n/a PT. Kimia Farma ktk 10x10 tablet 850.00n/a PT. Kimia Farma ktk 10x10 tablet 1,100.00n/a PT. Kimia Farma 1 sase @30 tablet 50.00n/a PT. Kimia Farma Dus, 100 blister @ 28 tablet 2,089.00n/a PT. Kimia Farma ktk 60 tablet 670.00n/a PT. Kimia Farma ktk 100 amp @ 2 ml 6,200.00n/a PT. Kimia Farma ktk 10 x 10 tablet 540.00Heplav PT. Kimia Farma Botol 30 tab 2,000.00n/a PT. Kimia Farma Botol 60 tablet 1,400.00Bonescan KaeF PT. Kimia Farma Dus @ 5 vial 473,000.00n/a PT. Kimia Farma Botol 1000 ml 254,100.00n/a PT. Kimia Farma ktk 10 x 10 tablet salut 154.00n/a PT. Kimia Farma ktk 10 x 10 tablet 108.00Vagizol PT. Kimia Farma dus 1 's @ 5 ovula 3,850.00Endoneuroscan KaeF 1 PT. Kimia Farma vial 1,925,000.Cardioscan KaeF PT. Kimia Farma Dus @ 5 vial 1,237,500.n/a PT. Kimia Farma Tube 10 gram 3,000.00n/a PT. Kimia Farma Dus 10 amp @ 1 ml 8,400.00n/a PT. Kimia Farma Botol 30 tablet 1,300.00n/a PT. Kimia Farma btl 60 tablet 2,800.00n/a PT. Kimia Farma Ktk 10 ampx2ml 14,500.00n/a PT. Kimia Farma dus, 10 strip @ 10 tablet 110.00n/a PT. Kimia Farma btl 60 ml 5,998.00n/a PT. Kimia Farma Botol 50 kapsul lunak 260.00n/a PT. Kimia Farma Botol @ 60 tablet 930.00Sufentanyl Injeksi iv.Epidu PT. Kimia Farma dus 5 amp @ dus 10 127,000.00n/a PT. Kimia Farma Botol 30 tab 8,100.00Rethapyl PT. Kimia Farma Dus 10-s @ 10 Kaptab 1,050.00n/a PT. Kimia Farma Ktk 10X10 TAB 234.00n/a PT. Kimia Farma Dus 10 strip x 10 tab 107.00n/a PT. Kimia Farma Botol 60 Kapsul 1,575.00n/a PT. Kimia Farma Botol 60 tablet 3,429.00n/a PT. Kimia Farma ktk 10 x 10 tablet 473.00n/a PT. Lucas Djaja dus 30 ampul @10 ml 3,822.00n/a PT. Lucas Djaja ampul @ 1 ml 1,054.00Gliserin lar 50% PT. Lucas Djaja Glycerin 100 ml 5,333.00Karbogliserin tetes telinga PT. Lucas Djaja Fenol 100 mg / 1 ml 2,042.00n/a PT. Lucas Djaja Botol @ 60 ml 2,145.00n/a PT. Lucas Djaja Botol 50 Kapsul 459.00n/a PT. Lucas Djaja 100 ampul @ 1 ml 1,078.00n/a PT. Mahakam Beta Farma Strip 635.00MST Continus 10 mg PT. Mahakam Beta Farma Dus, 6 strip @ 10 tablet 15,620.00MST Continus 15 mg PT. Mahakam Beta Farma Dus, 6 strip @ 10 tablet 22,990.00MST Continus 30 mg PT. Mahakam Beta Farma Dus, 6 Strip @ 10 Tablet 41,470.00n/a PT. Marin Liza Farmasi Botol @ 100 tablet salut selaput 90.00n/a PT. Marin Liza Farmasi Botol @ 100 tablet 48.00n/a PT. Marin Liza Farmasi Botol @ 100 tablet salut gula 634.00

n/a PT. Marin Liza Farmasi tube @ 5 ml 2,570.00n/a PT. Marin Liza Farmasi Pot @ 30 gram 2,000.00Levopar Tablet PT. Meprofarm Dus, 5 strip @ 10 tablet 1,500.00GAVISTAL drops PT. Meprofarm Dus, Botol 10 ml 5,280.00Zircum Kid Sirup PT. Meprofarm Dus, botol 60 ml 7,400.00Cerazette PT. Merck Sharp Dohme PharmaDus, 1 Blister @ 28 tablet 70,000.00Lynoral PT. Merck Sharp Dohme PharmaDus, botol @ 100 tablet 1,360.00Implanon PT. Merck Sharp Dohme PharmaDus, 1 blister @ 1 subdermal imp 128,779.00Pegintron Vial 100 Mcg PT. Merck Sharp Dohme PharmaDus, 1 vial 100 mcg + 1 ampul pel 973,500.00Pegintron Pen 120 Mcg PT. Merck Sharp Dohme PharmaDus, 1 prefilled syringe (serbuk i 1,135,000.Pegintron PT. Merck Sharp Dohme PharmaDus, 1 vial 50 mcg + 1 ampul pelar915,000.00Pegintron Vial 80 Mcg PT. Merck Sharp Dohme PharmaDus, 1 vial 80 mcg + 1 ampul pelar915,810.00Esmeron PT. Merck Sharp Dohme PharmaDus, 10 vial @ 5 ml 46,539.00Temodal PT. Merck Sharp Dohme PharmaDus, 5 sachet @ 1 kapsul 1,120,000.Temodal PT. Merck Sharp Dohme PharmaDus, 5 sachet @ 1 kapsul 223,000.00Andriol Testocaps PT. Merck Sharp Dohme PharmaDus, 6 blister @ 10 kapsul lunak 6,200.00Concor 2.5 PT. Merck Tbk Dus 10 blister @ 10 tablet 746.00KSR PT. Merck Tbk Dus, 10 strip @ 10 tablet 1,580.00Euthyrox 100 PT. Merck Tbk Dus 4 blister @ 25 tablet 850.00Euthyrox 50 PT. Merck Tbk Dus 4 blister @ 25 tablet 637.50Ilaidin Drops PT. Merck Tbk botol @ 10 ml 27,550.00Iliadin Spray PT. Merck Tbk botol 15 ml 29,000.00Erbitux PT. Merck Tbk Dus, 1 vial @ 20 ml 3,650,000.Thyrozol 10 PT. Merck Tbk Dus, 10 blister @ 10 tablet 1,135.00Thyrozol 5 PT. Merck Tbk Dus, 10 blister @ 10 tablet 563.00Miniaspi 80 PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 148.00n/a PT. Mersifarma Tirmaku Mercu KOTAK @ 10 ampul 20,250.00n/a PT. Mersifarma Tirmaku Mercu KOTAK @ 10 ampul 20,250.00Sikzonoate Injeksi PT. Mersifarma Tirmaku Mercu Dus, 5 ampul @ 1ml 55,000.00Lodomer Injeksi PT. Mersifarma Tirmaku Mercu KOTAK @ 12 ampul 6,250.00Lodomer 2 PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 126.00LODOMER DROPS PT. Mersifarma Tirmaku Mercu BOTOL @ 15 ML 16,500.00n/a PT. Mersifarma Tirmaku Mercu Kotak @ 10 x 10 tab 144.00n/a PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 5,000.00n/a PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 1,550.00Frimania 200 PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,050.00Frimania 400 PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,850.00MERLOPAM 0,5 mg PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 685.00Merlopam 2 PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,341.00Sandepril 50 PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 3,276.00n/a PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 1,008.00LEXAPRAM SIRUP PT. Molex Ayus BOTOL 60 ML 2,600.00Fucilex Ointment PT. Molex Ayus Tube 5 gr 6,490.00Molasma Tablet PT. Molex Ayus Box 50's 99.00Holoxan injeksi 1000 PT. Mugi Laboratories Dus, 1 vial @ 1 g 1,329,163.Uromitexan injeksi. PT. Mugi Laboratories Dus, 15 Ampul 74,998.00Navelbine injeksi 10 PT. Mugi Laboratories Dus, 1 vial @ 1 ml 1,229,998.n/a PT. Natura Laboratoria Prima Dus, 10 Blister @ 10 Tablet 205.00

n/a PT. Natura Laboratoria Prima Dus, 1 Botol @ 100 ml 9,950.00n/a PT. Natura Laboratoria Prima Dus, 1 Vial @ 40 mg 36,000.00n/a PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml 1,140.00n/a PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 2,950.00n/a PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 3,300.00n/a PT. Natura Laboratoria Prima Dus, 3 Strip @ 10 Kaplet salut sel 169.00n/a PT. Natura Laboratoria Prima Dus, 3 Strip @ 10 Kaplet salut sel 391.00n/a PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml 2,395.00Neo-Mercazole PT. Nicholas Laboratories Indon Dus,botol 100 tablet 875.00n/a PT. Novapharin dus 10 X 10'S 211.00n/a PT. Novapharin btl @ 60 ml 2,445.00n/a PT. Novapharin btl @ 60 ml 3,333.00n/a PT. Novapharin dus 10 X 10'S 167.00n/a PT. Novapharin btl @ 100 ml 2,500.00n/a PT. Novapharin dus 10 X 3'S 211.00ZOMETA PT. Novartis Indonesia Dus, 1 vial plastik @ 5ml 900,000.00Exjade 250 mg Tab PT. Novartis Indonesia Dus, 4 blister @ 7 tablet 76,000.00Exjade 500 mg Tab PT. Novartis Indonesia Dus, 4 blister @ 7 tablet 150,000.00Desferal PT. Novartis Indonesia Dus, 10 vial @ 500mg 112,000.00Certican 0,25 mg Tab PT. Novartis Indonesia Dus, 6 blister @ 10 tablet 11,813.00Certican 0,5 mg Tab PT. Novartis Indonesia Dus, 6 blister @ 10 tablet 23,250.00Glivec PT. Novartis Indonesia Dus, 6 blister @ 10 tablet salut s 211,000.00Tegretol Syrup 100mg/5ml PT. Novartis Indonesia Dus, botol @ 120 ml 44,770.00Coartem PT. Novartis Indonesia Dus, 4 blister @ 6 tablet 3,220.00Stalevo PT. Novartis Indonesia Dus, botol plastik @ 30 tablet sal 8,900.00FEMARA PT. Novartis Indonesia Dus, 3 blister @ 10 tablet 17,500.00Ritalin LA PT. Novartis Indonesia Dus, botol plastik @ 30 kapsul p 6,537.00RITALIN PT. Novartis Indonesia Dus, 2 blister @ 15 tablet 1,950.00Tasigna PT. Novartis Indonesia Dus, 2 blister @ 14 kapsul 380,875.00Sandostatin LAR PT. Novartis Indonesia Dus, vial @ 355m + 1 prefilled sy 2,950,000.Sandimmun Neoral 100mg PT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak 43,000.00Sandimmun Neoral 25mg KPT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak 12,000.00Sebivo 600 mg Tab PT. Novartis Indonesia Dus, 2 blister @ 14 tablet 28,500.00Menveo PT. Novartis Indonesia Dus, 1 dosis @ (1 vial serbuk injek307,400.00RABIPUR PT. Novartis Indonesia Dus, 1 vial serbuk + 1 ampul @ 1 78,500.00DIOVAN 160 MG PT. Novartis Indonesia DUS, 3 ALU-ALU STRIP @ 10 tablet6,500.00Diovan 80mg Tab PT. Novartis Indonesia DUS, 3 ALU-ALU STRIP @ 10 tablet3,900.00DAUNOCIN PT. Novell Pharmaeutical Laboravial 275,000.00n/a PT. Novell Pharmaeutical LaboraBotol 38,000.00KALQUEST PT. Novell Pharmaeutical Laborakantong 5 g 7,700.00n/a PT. Novell Pharmaeutical LaboraBox isi 1 Tube @ 15 g 4,700.00n/a PT. Novell Pharmaeutical LaboraBox ,3 Strip @ 10 tablet 600.00n/a PT. Novell Pharmaeutical LaboraBox ,3 Strip @ 10 tablet 350.00DIALIFER PT. Novell Pharmaeutical Laboraampul 52,000.00n/a PT. Novell Pharmaeutical LaboraBox ,5 Blister @ 10 tablet 200.00n/a PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 400.00n/a PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 650.00n/a PT. Novell Pharmaeutical LaboraDus, 1 Vial @ 40 mg 32,800.00

Pyrex PT. Novell Pharmaeutical Laborabotol 40,000.00n/a PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 2,300.00n/a PT. Novell Pharmaeutical LaboraDus, 10 strip @ 10 tablet 1,013.00Cyclovid 1000 mg PT. Novell Pharmaeutical Laboravial 256,000.00Cyclovid 200 mg PT. Novell Pharmaeutical Laboravial 82,000.00CYCLOVID 500 PT. Novell Pharmaeutical LaboraVial 120,000.00n/a PT. Novell Pharmaeutical LaboraBox, 1 Botol @ 100 ml 40,000.00n/a PT. Otto Pharmaceuticals 1 box 10 Strip X 10 tablet 176.00n/a PT. Otto Pharmaceuticals box 5ampul @1 ml 4,500.00n/a PT. Pertiwi Agung Box, 10 strips @ 10 tablets 86.00n/a PT. Pertiwi Agung Box, 3 strips @ 10 tablets 330.00n/a PT. Pertiwi Agung Box, 3 strips @ 10 tablets 187.00n/a PT. Pertiwi Agung Box, 10 strips @ 10 capsules 181.00Cardura 1mg PT. Pfizer Indonesia Dus, 5 blister @10's tab 3,480.00Cardura 2mg PT. Pfizer Indonesia Dus, 5 blister @10's tab 5,480.00Aromasin PT. Pfizer Indonesia Dus, 2 blister @ 15 tablet 42,600.00Diflucan 50mg PT. Pfizer Indonesia Blister 4,862.00Glucotrol 10 mg PT. Pfizer Indonesia Dus, botol@TAB 10MG 30 3,207.00Glucotrol 5 mg PT. Pfizer Indonesia Dus, botol@TAB 10MG 31 3,000.00Xalatan 0,005% PT. Pfizer Indonesia dus, Botol @ 2,5 ml 127,000.00Provera 100mg PT. Pfizer Indonesia Dus, 10 blister @10 tablet 6,125.00n/a PT. Phapros, Tbk Dus @ 10 X 10 's 116.00n/a PT. Phapros, Tbk Ds 10 vial x 1,2 Jt IU 9,800.00n/a PT. Phapros, Tbk 10 vial @ 2.400.000 IU 13,400.00n/a PT. Phapros, Tbk Dus @ 30 Ampul 8,100.00n/a PT. Phapros, Tbk Dus @ 30 Ampul 1,800.00n/a PT. Phapros, Tbk 10 X 10 290.00n/a PT. Phapros, Tbk Ds 10 str x 10's 510.00n/a PT. Phapros, Tbk dus @ 30 ampul 3,417.00n/a PT. Phapros, Tbk Dus @ 12 Ampul 2,300.00n/a PT. Phapros, Tbk Dus @ 30 Ampul 1,050.00n/a PT. Phapros, Tbk Dus @ 30 Ampul 1,100.00n/a PT. Phapros, Tbk 10 X 10 68.00Combiflex Plus (790 kcal) PT. Phapros, Tbk Bag Double chamber (Dua compa322,000.00Combiflex peri (480 kcal) PT. Phapros, Tbk Bag Double chamber (Dua compa218,700.00Ringerfundin 500 mL PT. Phapros, Tbk LDPE (Low Density Poly Ethilene), 12,650.00Lipofundin MCT/LCT 1% 10PT. Phapros, Tbk 20%, Botol Kaca @100 ml, single 105,500.00Lipofundin MCT/LCT 1% 25PT. Phapros, Tbk 20%, Botol Kaca @250 ml, single 210,000.00Nutriflex Lipid Special 1250PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)591,000.00Nutriflex Lipid Peri 1250 PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)511,000.00Nutriflex Lipid Special 625 PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)358,000.00Gelofusine 4% PT. Phapros, Tbk Btl @ 500 ml 72,000.00n/a PT. Phapros, Tbk Dus @ 10 X 10 's 640.00n/a PT. Phapros, Tbk Dus @ 10 X 10 's 480.00n/a PT. Phapros, Tbk Paket 359,900.00n/a PT. Phapros, Tbk Paket 214,900.00n/a PT. Phapros, Tbk Dus,10 blister @10 tablet 205.00n/a PT. Phapros, Tbk Dus @ 56 Vial 3,650.00

Neostigmin Hameln inj PT. Pharma Health Care Box, isi 5 ampul @ 1 ml 9,500.00Cardace 2.5mg 6x10 s tabl PT. Pharma Health Care Dus, 6 blister @ 10 tablet 995.00Artesunate PT. Pharma Laboratories Dus, 1 Vial @ 60 mg + 1 Ampul P 38,999.00n/a PT. Phyto Kemo Agung Farma Botol @60 ml 7,700.00n/a PT. Phyto Kemo Agung Farma Botol 100 tablet 65.00n/a PT. Phyto Kemo Agung Farma Botol 100 tablet 158.00n/a PT. Phyto Kemo Agung Farma 10 strip @ 10 tab 110.00n/a PT. Phyto Kemo Agung Farma 10 strip @ 10 tab 160.00Diamicron MR 30 PT. Pradja Pharin Dus, 6 strip @ 10 tablet lepas la 638.00Bioprexum 5 mg PT. Pradja Pharin Dus, botol plastik @ 30 tablet sal 2,420.00Farnormin PT. Pratapa Nirmala Box @ 10 strip 10 tab 352.00n/a PT. Pratapa Nirmala Box 3 X 10 tab 645.00Bunascan PT. Pratapa Nirmala ampul 30,800.00Fargoxin inj PT. Pratapa Nirmala Box @ 5 ampul 2 mL 22,000.00Farmabes Injeksi 25 mg PT. Pratapa Nirmala Vial 5 mL 46,667.00Inviclot PT. Pratapa Nirmala vial 42,900.00Terrell PT. Pratapa Nirmala Botol 100 mL 270,000.00Farsorbid inj PT. Pratapa Nirmala vial 33,000.00Ostriol PT. Pratapa Nirmala Btl @ 30 kapsul 2,500.00Recolfar PT. Pratapa Nirmala Box @ 3 strip 10 tab 3,950.00Nokoba PT. Pratapa Nirmala Dus, 5 Ampul @ 2ml 61,600.00N-ace cairan inhalasi PT. Pratapa Nirmala Box @ 5 ampul 13,200.00n/a PT. Pratapa Nirmala Box @ 1 vial 66,000.00Octide PT. Pratapa Nirmala Box @ 5 ampul 80,000.00Aptil PT. Pratapa Nirmala Dus, Botol @ 10ml 17,393.00Sharox inj PT. Pratapa Nirmala Box @ 2 vial 52,800.00Fatral PT. Pratapa Nirmala strip @ 10 tab 3,300.00Sojourn PT. Pratapa Nirmala tabung/botol 1,320,000.Isotic Adretor 0,25% PT. Pratapa Nirmala Dus, Botol Plastik @ 5ml 9,128.00Isotic Adretor 0,5% PT. Pratapa Nirmala Dus, Botol Plastik @ 5ml 9,722.00Vancep PT. Pratapa Nirmala Box @ 2 vial 122,000.00n/a PT. Promedrahardjo Farmasi IndDus, 10 Strip@10 Tablet 75.00n/a PT. Promedrahardjo Farmasi IndDus, 5 Strip@10 Tablet 528.00n/a PT. Promedrahardjo Farmasi IndDus, 5 Strip@10 Tablet 154.00n/a PT. Quantum Dus, 1 Vial @ 40 mg 31,000.00n/a PT. Rajawali (35 %) Dus, 1 Vial @ 40 mg 28,600.00n/a PT. Rama Emerald Multi Sukses Boto 60 ml 2,100.00n/a PT. Rama Emerald Multi Sukses Dus @ 50 gram 1,250.00n/a PT. Rama Emerald Multi Sukses Kotak 100 Shachet 285.00n/a PT. Rama Emerald Multi Sukses kotak,10strip@10 tablet 51.00Glybotic 250 mg /ml PT. Sanbe Farma Vial 2 ml 50,500.00Urotractin 400 mg PT. Sanbe Farma Strip 1,815.00Temiral Eye Oint PT. Sanbe Farma Tube 3,5 gram 24,750.00Betam Ophtal ED PT. Sanbe Farma botol @ 5 ml 25,106.00Stolax supp PT. Sanbe Farma Supp 6,045.00n/a PT. Sanbe Farma Dus, 1 vial @0,5 ml+ 1 vial pelar 970,200.00n/a PT. Sanbe Farma Dus, 1 vial @5 ml 128,000.00Ocuflam ED PT. Sanbe Farma botol @ 5 ml 30,493.00

n/a PT. Sanbe Farma Dus, 1 vial @200 mg 330,000.00Sansulin N PT. Sanbe Farma penfillcartridge @ 3ml 75,000.00Sansulin R PT. Sanbe Farma penfill cartridge @ 3ml 75,000.00n/a PT. Sanbe Farma Dus, 1 vial @2 ml 510,000.00Colsancetine Injeksi PT. Sanbe Farma vial 7,260.00Futrolit PT. Sanbe Farma softbag 500ml 35,750.00METHOTREXATE EBEWE PT. Sandoz Indonesia Box 10 ampul @ 1 ml 21,120.00METHOTREXATE EBEWE 2. PT. Sandoz Indonesia Box, bottle @ 50 tab 1,680.00Olandoz 5 PT. Sandoz Indonesia 3 X 10 fcc 6,450.00Olandoz 10 PT. Sandoz Indonesia 3 X 10 fcc 11,200.00TAMOXIFEN EBEWE PT. Sandoz Indonesia Botol @30tablet 2,654.00Hepsera PT. SmithKline Beecham PhamacDus, 3 Blister @ 10 kapsul 27,500.00Avodart PT. SmithKline Beecham PhamacDus, Botol Plastik @ 30 Tablet 7,100.00Tykerb PT. SmithKline Beecham PhamacDus, 7 Blister @ 10 tablet 67,200.00n/a PT. Soho Industri Pharmasi botol @ 60 ml 34,400.00n/a PT. Soho Industri Pharmasi Strip 3,333.00Eprex 2000 PT. Soho Industri Pharmasi Dus, 6 prefilled syrenge @ 0.5 ml 133,875.00Haldol Decanoas PT. Soho Industri Pharmasi Dus 5 Ampul@1mL 83,333.00Ludios PT. Soho Industri Pharmasi Strip 1,200.00Valvir PT. Soho Industri Pharmasi 5 strip @ 10 kaptab 5,390.00Ferriprox Oral Solution PT. Sydna Farma Dus, Botol @ 500ml 2,600,000.Ferriprox tablet PT. Sydna Farma Dus, Botol @ 100 tablet 25,300.00Vermox 500 PT. Taisho Pharmaceutical Indo Dus,24 Catch @ 1 tablet 7,140.00Prosogan Inj. PT. Takeda Indonesia Serbuk vial 82,042.00Tapros 1.88mg PT. Takeda Indonesia Vial 700,000.00Tapros 3M PT. Takeda Indonesia Vial 2,700,000.TAPROS 3.75 MG PT. Takeda Indonesia Vial 500,000.00Herbesser Powder Injecti PT. Tanabe Indonesia 10 vial @ 50mg 127,667.00Herbesser CD 100 PT. Tanabe Indonesia 3 blister @ 10 kapsul 3,667.00Herbesser CD 200 PT. Tanabe Indonesia 3 blister @ 10 kapsul 4,015.00Tanapress 10mg PT. Tanabe Indonesia 3 blister @ 10 tablet 3,908.00Tanapress 5mg PT. Tanabe Indonesia 3 blister @ 10 tablet 2,120.00DBL Dacarbazine PT. Tempo Scan Pacific vial @ 20 ml 305,000.00Glicab PT. Tempo Scan Pacific Strip 235.00DBL Gliceryl Trinitrate 50 mPT. Tempo Scan Pacific 1 box isi 5 ampul 10 ml 119,900.00Kalipar PT. Tempo Scan Pacific Strip 694.00DBL Leucovorin PT. Tempo Scan Pacific Vial 50 mg/5 ml 82,000.00DBL Carboplatin 150 mg PT. Tempo Scan Pacific vial @ 15 ml 190,000.00DBL Carboplatin 450 mg PT. Tempo Scan Pacific vial @ 45 ml 408,000.00Vigamox PT. Tempo Scan Pacific botol, tetes mata 3 ml 77,000.00Patanol PT. Tempo Scan Pacific botol, tetes mata 5 ml 68,000.00DBL Cytarabun PT. Tempo Scan Pacific dus, 1 vial @ 10 ml 575,000.00Travatan PT. Tempo Scan Pacific botol, tetes mata 2,5 ml 115,000.00n/a PT. Triyasa Nagamas Farma Vial 5,350.00WIDA WI UNICAP PT. Widatra Bhakti Btl @ 1000 ml 7,500.00Leunase PT. Widatra Bhakti 10.000 UI/Vial 1,039,500.n/a PT. Widatra Bhakti botol @ 500 ml 5,700.00n/a PT. Widatra Bhakti botol @ 500 ml 5,200.00

Wida RL PT. Widatra Bhakti Botol 1000 ml 8,000.00Wida HSD PT. Widatra Bhakti Botol 500 ml 9,500.00Wida D5-NS PT. Widatra Bhakti Botol 500 ml 6,800.00WIDA 2A PT. Widatra Bhakti Botol 500 ml 6,917.00WIDA D5-1/4NS PT. Widatra Bhakti Botol 500 ml 7,700.00WIDA D5-1/2NS PT. Widatra Bhakti Botol 500 ml 7,700.00Wida RD PT. Widatra Bhakti Botol 500 ml 6,930.00n/a PT. Widatra Bhakti Botol 500 ml 4,700.00n/a PT. Widatra Bhakti botol 500 ml 5,200.00n/a PT. Yarindo Farmatama Box 10 X 10 Tab 97.00n/a PT. Yarindo Farmatama Box @ 10 strip 10 kapsul 270.00n/a PT. Yarindo Farmatama botol @ 100 tablet 110.00n/a PT. Yarindo Farmatama Box 3 X 10 Tab 716.00n/a PT. Yarindo Farmatama Box 3 X 10 Tab 1,189.00n/a PT. Yarindo Farmatama strip @ 10 tablet 59.00n/a PT. Yarindo Farmatama Box 2 Vial @ 1000mg 48,060.00n/a PT. Yarindo Farmatama vial 38,500.00Pularex PT. Zenith Pharmaceuticals Dus 5 strip @ 10 tablet 190.00

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Tanggal Berlaku Harga

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### Download Download

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######

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1/5/2015 14:074/23/2013 10:243/15/2014 16:053/15/2014 16:054/23/2013 10:243/15/2014 16:057/21/2014 21:083/16/2014 18:23

noNama Obat Generik Nama Dagang

1. ACT (Artesunate tablet 50 mg + Amodiaquine anhn/a2. Adefovir Dipivoksil tablet/kaplet 10 mg Hepsera3. Air untuk injeksi (Aqua pro Injeks) 20 ml n/a4. Air untuk Injeksi 25 ml Otsu SWI 25 ml5. Air untuk irigasi lar infus 1000 ml WIDA WI UNICAP6. Akarbose tablet/kaplet 100 mg n/a7. Akarbose tablet/kaplet 50 mg n/a8. Albendazol suspensi 200 mg/5 ml n/a9. Albendazol tablet/kapsul/kaplet 400 mg n/a10. Albumin serum normal (human albumin) injeksi Zenalb11. Albumin serum normal (human albumin) injeksi Zenalb12. Albumin serum normal (human albumin) injeksi Albuminar 2513. Albumin serum normal (human albumin) injeksi PLASBUMIN 25% 20 ML14. Albumin serum normal (human albumin) injeksi PLASBUMIN 25% 50 ML15. Albumin serum normal (human albumin) injeksi PLASBUMIN 5% 250 ML16. Albumin serum normal (human albumin) injeksi PLASBUMIN 5% 50 ML17. Alopurinol tablet/kapsul/kaplet 100 mg n/a18. Alopurinol tablet/kapsul/kaplet 300 mg n/a19. Alprazolam tablet/kapsul/kaplet 0,25 mg n/a20. Alprazolam tablet/kapsul/kaplet 0,5 mg n/a21. Alprazolam tablet/kapsul/kaplet 1 mg n/a22. Alteplase injeksi 50 mg/vial Actilyse23. Amfoterisin B salep mata 1% Fungicide24. Amikasin injeksi 250 mg/ml Glybotic 250 mg /ml25. Aminofilin injeksi 24 mg/ml n/a26. Aminofilin tablet scored 200 mg n/a27. Aminofilin tablet/kapsul/kaplet 150 mg n/a28. Amiodaron injeksi 150 mg/3 ml Cordarone29. Amiodaron tablet/kaplet 200 mg Kendaron Tablet30. Amitriptilin tablet salut 25 mg (HCl) n/a31. Amlodipin tablet 10 mg n/a32. Amlodipin tablet 5 mg n/a33. Amoksisilin kapsul/kaplet 250 mg n/a34. Amoksisilin kapsul/kaplet/tablet scored 500 mg n/a36. Amoksisilin sirup kering 125 mg/ 5 ml n/a35. Amoksisilin sirup kering forte 250 mg/5 ml n/a37. Ampisilin serbuk injeksi i.v. 1000 mg/vial n/a38. Analog insulin long acting inj 100 UI/ml, vial/cart Lantus Solostar 100IU/ml 39. Analog insulin mix acting inj 100 UI/ml, Analog i Novomix Flexpen40. Analog Insulin Mix Insulin Inj 100 UI/ml Humalog Mix 25 Kwikpen41. Analog insulin mix insulininj 100 UI/ml, vial/cart Humalog Mix 2542. Analog Insulin Rapid Acting Inj 100 UI/ml Humalog Kwikpen43. Analog insulin rapid acting inj 100 UI/ml, vial/car Novorapid Flexpen44. Analog insulin rapid acting inj 100 UI/ml, vial/car Novorapid Vial45. Analog insulin rapid actinginj 100 UI/ml, vial/cartApidra Solostar 100IU/ml 46. Analog insulin rapid actinginj 100 UI/ml, vial/cartHumalog

47. Anastrozol tablet/kapsul/kaplet 1 mg Arimidex 1 mg48. Antasida DOEN I tablet kunyah, kombinasi : Al n/a49. Antasida DOEN II suspensi, kombinasi : Alumin n/a50. Anti Bakteri DOEN salep kombinasi: Basitrasin 50n/a51. Antihemoroid, kombinasi: bismut subgalat 150 mn/a52. Antimalaria DOEN kombinasi : Pirimetamin 25 m n/a53. Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 n/a54. Antiparkinson DOEN tablet kombinasi : Bensera Levopar Tablet55. Artemether injeksi 80 mg/ml Artem56. Artesunate injeksi i.v./i.m. 60 mg/ml Artesunate57. Asam Asetilsalisilat (asetosal) tablet 100 mg n/a58. Asam Asetilsalisilat (asetosal) tablet/kaplet/kap Miniaspi 8059. Asam Askorbat (Vitamin C) tablet 250 mg n/a60. Asam Askorbat (Vitamin C) tablet 50 mg n/a61. Asam Folat tablet/kapsul/kaplet 0,4 mg Starfolat62. Asam Folat tablet/kapsul/kaplet 1 mg n/a63. Asam Ibandronat injeksi 6mg/6ml Bondronat64. Asam Mefenamat kapsul/kaplet 250 mg n/a65. Asam Mefenamat kapsul/kaplet 500 mg n/a66. Asam pipemidat kapsul 400 mg Urotractin 400 mg67. Asam traneksamat injeksi 50 mg/ml n/a68. Asam zoledronat injeksi 4mg/5mL ZOMETA69. Asiklovir salep mata 3% Temiral Eye Oint70. Asiklovir tablet/kapsul/kaplet 200 mg n/a71. Asiklovir tablet/kapsul/kaplet 400 mg n/a72. Asparaginase serbuk injeksi 10.000 UI/vial Leunase73. Atapulgit tablet 600 mg Pularex74. Atenolol tablet/kapsul/kaplet 100 mg Betablok75. Atenolol tablet/kapsul/kaplet 50 mg Farnormin76. Atrakurium injeksi 25 mg/2,5 ml Tracrium77. Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml n/a78. Atropin Sulfat tablet 0,5 mg n/a79. Atropin Sulfat tetes mata 0,5% Cendo Tropin 0,5%80. Atropin Sulfat tetes mata 1% Cendo Tropin 1%81. Azitromisin sir kering 200 mg/ 5 mL n/a83. Azitromisin tablet 250 mg n/a82. Azitromisin tablet 500 mg n/a84. Bedak salisil serbuk 2% n/a85. Benzatin Benzil Penisilin 1,2 juta IU/ vial n/a86. Benzatin Benzil Penisilin 2,4 juta IU/vial n/a87. Beractant injeksi / suspensi 25 mg/mL Survanta88. Beraprost sodium tablet 20 mcg Dorner89. Betametason krim 0,1% (sebagai Valerat) n/a90. Betametason tetes mata 1 mg/ml Betam Ophtal ED91. Bevasizumab injeksi 25 mg/ml (Skema Risk Sha Avastin92. Bikalutamid tablet salut 150 mg Casodex 150 mg93. Bikalutamid tablet salut 50 mg Casodex 50 mg94. Bisakodil suppositoria 10 mg Stolax supp

95. Bisakodil suppositoria 5 mg Dulcolax Supp Infant96. Bisoprolol tablet 2,5 mg Concor 2.597. Bisoprolol tablet 5 mg n/a98. Bleomisin serbuk injeksi 15 mg/ampul BLEOCIN99. Bromokriptin tablet 2,5 mg Cripsa tab100. Budesonid inhaler 200 mcg/puff, 100 dosis Pulmicort Turbuhaler101. Budesonid inhaler 200 mcg/puff, 200 dosis Obucort Swinghaler102. Budesonid respules / cairan inhaler 0,25mg/mL Pulmicort Respules103. Budesonid-formoterol (fixed combination) inhal Symbicort Turbuhaler 160/104. Budesonid-formoterol (fixed combination) inhal Symbicort 80/4.5 mcg105. Bupivakain injeksi 0,50% (HCl) + glukosa 8% n/a106. Bupivakain injeksi 0,50% (P.V) Bunascan108. Dabigatran eteksilat kapsul 110 mg Pradaxa107. Dabigatran eteksilat kapsul 75 mg Pradaxa109. Dakarbazin serbuk injeksi 200 mg/vial DBL Dacarbazine110. Daunorubisin serbuk injeksi 20 mg/vial DAUNOCIN111. Deferasiroks tablet disp/ eff 250 mg Exjade 250 mg Tab112. Deferasiroks tablet disp/ eff 500 mg Exjade 500 mg Tab113. Deferipron larutan oral 100 mg/mL Ferriprox Oral Solution114. Deferipron tablet 500 mg Ferriprox tablet115. Deferoksamin Mesilat serbuk injeksi 500 mg Desferal116. Deksametason injeksi i.v./i.m. 5 mg/ml n/a117. Deksametason tablet 0,5 mg n/a118. Desogestrel tablet 75 mcg Cerazette119. Desoksimetason krim 0,25% DEXIGEN120. Desoksimetason krim 0,25% n/a121. Desoksimetason salep 0,25% Dexocort123. Diazepam injeksi i.v./i.m 5 mg/ml n/a124. Diazepam larutan rektal 10 mg/2,5 mL STESOLID122. Diazepam larutan rektal 5 mg/2,5 mL STESOLID125. Diazepam tablet/kapsul/kaplet 2 mg n/a126. Dietilkarbamazin tablet scored 100 mg n/a127. Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) n/a128. Digoksin injeksi 0,25 mg/ml Fargoxin inj129. Digoksin tablet 0,25 mg n/a130. Diltiazem HCl tablet 30 mg n/a131. Diltiazem infus injeksi 50 mg Herbesser Powder Injecti132. Diltiazem injeksi 25 mg/5 mL Farmabes Injeksi 25 mg133. Diltiazem Kapsul SR 100 mg Herbesser CD 100134. Diltiazem Kapsul SR 200 mg Herbesser CD 200135. Dimenhidrinat tablet 50 mg n/a136. Dinatrium edetat tetes mata 0,35% E.D.T.A137. Dinatrium klodronat infus kons 60 mg/mL Bonefos Infus 60 mg / 5 ml138. Dobutamin injeksi 50 mg/mL DOBURAN139. Doksazosin mesilat tablet 1 mg Cardura 1mg140. Doksazosin mesilat tablet 2 mg Cardura 2mg141. Doksisiklin tablet/kapsul/kaplet 100 mg n/a142. Doksorubisin serbuk injeksi i.v. 10 mg/vial Doxorubicin Actavis 10 mg

143. Doksorubisin serbuk injeksi i.v. 50 mg/vial Doxorubicin Actavis 50 mg144. Domperidon suspensi/sirup 5 mg/5 ml n/a145. Domperidon tablet 10 mg n/a146. Domperidon tetes 5 mg/mL n/a147. Dopamin injeksi 40 mg/ml UDOPA148. Dosetaksel injeksi 20 mg/0,5 ml n/a149. DTPA (diethylene triamine pentaacetic acid) 2,0 Renalscan KaeF150. Dutasterid kaps lunak 0,5 mg Avodart151. Efavirens tablet salut 600 mg n/a152. Efedrin Inj 50 mg/ml n/a153. Eksemestan tablet 25 mg Aromasin154. Enoksaparin sodium inj 20 mg/0,2 mL Lovenox 2000 ANTI-XA155. Enoksaparin sodium inj 40 mg/0,4 mL Lovenox 4000 ANTI-XA156. Enoksaparin sodium inj 60 mg/0,6 mL Lovenox 6000 ANTI-XA157. Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 mg/ml n/a159. Epirubisin serb injeksi 10 mg/5 ml n/a158. Epirubisin serb injeksi 50 mg/25ml (Produk Koso Epirubisin Kalbe160. Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI D-Vit FT161. Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UD-Vit Syrup162. Eritromisin kapsul/kaplet 250 mg n/a163. Eritromisin kapsul/kaplet 500 mg n/a164. Eritromisin sirup kering 200 mg/ 5 ml n/a165. Eritropoetin-alfa inj 10000 UI/mL Hemapo 10.000 IU166. Eritropoetin-alfa inj 2000 UI/mL Eprex 2000167. Eritropoetin-alfa inj 3000 UI/mL Hemapo 3000168. Eritropoetin-beta inj 2000 UI/0,3 mL Recormon169. Etambutol tablet 250 mg (HCl) n/a170. Etambutol tablet salut 500 mg (HCl) n/a171. Etanol 70% cairan n/a172. Etinilestradiol tablet 0,05 mg Lynoral173. Etonogestrel implan 68 mcg Implanon174. Etoposid injeksi 20 mg/ml Posyd175. Eugenol cairan n/a176. Everolimus tab 0,25 mg Certican 0,25 mg Tab177. Everolimus tab 0,5 mg Certican 0,5 mg Tab178. Faktor IX kompleks serbuk injeksi 1.000 UI/vial + Nonafact 1000 IU179. Faktor IX kompleks serbuk injeksi 500 UI/vial + p Nonafact 500 IU180. Faktor koagulasi II 14-35 UI, faktor koagulasi VII Cofact 500 IU/20 ml181. Faktor Koagulasi II 14-35 UI, Faktor Koagulasi VII Cofact 250 IU182. Faktor VIIa (rekombinan) serb inj 1 mg/vial + pelaNovoseven183. Faktor VIII (konsentrat) serb inj 230 -340 UI Haemoctin184. Faktor VIII (konsentrat) serb inj 250 UI/vial + pel KOATE 250 UI185. Faktor VIII (konsentrat) serb inj 480 - 600 UI KOATE DVI 500 IU186. Faktor VIII (konsentrat) serb inj 500 UI/vial + pel Aafact 500 IU187. Fenitoin injeksi 50 mg/ml n/a188. Fenitoin kapsul/kaplet 100 mg n/a189. Fenitoin Na Inj 100 mg/2 ml n/a190. Fenobarbital injeksi i.m./i.v. 50 mg/ml n/a

191. Fenobarbital tablet/kapsul/kaplet 100 mg n/a192. Fenofibrat kaps 100 mg n/a193. Fenofibrat kaps 300 mg n/a194. Fenoksimetil penisilin (penisilin V) tab 125 mg Fenocin196. Fenoksimetil penisilin (penisilin V) tablet/kapsu n/a195. Fenoksimetil penisilin (penisilin V) tablet/kapsu n/a197. Fenoterol HBr ih 100 mcg/puff Berotec MDI198. Fenoterol HBr inh solution 0,1% Berotec Solution199. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10 ml n/a200. Fentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml n/a201. Fentanil patch 12,5 mcg/jam Durogesic 12,5 MU Matrix202. Fentanil patch 25 mcg/jam Durogesic 25 MU Matrix203. Fentanil patch 50 mcg/jam Durogesic 50 MU Matrix204. Filgrastim inj 300 mcg/mL Leucogen205. Finasterid tab 5 mg Prostacom206. Fitomenadion (Vit.K1) tablet salut gula 10 mg n/a207. Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml n/a208. Fludarabin inj 50 mg Fludara IV LYO209. Fludarabin tab 10 mg Fludara Oral210. Flufenazin injeksi i.m. 25 mg/ml Sikzonoate Injeksi211. Flukonazol injeksi 2 mg/ml n/a212. Flukonazol tablet/kaplet/kapsul 50 mg Diflucan 50mg213. Flukonazol tablet/kapsul 150 mg n/a214. Fluoksetin tablet 10 mg Foransi 10215. Fluoksetin tablet 20 mg NOPRES216. Fluorometolon tetes mata 0,1 % Ocuflam ED217. Fluorourasil inj 250 mg/mL Curacil218. Fluorourasil inj 500 mg/ 5 mL Curacil219. Flusinolon asetonid krim 0,025% SYNARCUS220. flusinolon asetonid salep 0,025% Dermasolon oint221. Flutikason furoat intranasal spray Avamys222. Flutikason propionat nebules 0,5 mg Flixotide Nbules223. Fondaparinuks inj 2,5 mg/0,5 mL Arixtra224. Fraksi protein plasma lar inf 5% Plasmanate225. Furosemid injeksi i.v./i.m. 10 mg/ml n/a226. Furosemid tablet 40 mg n/a227. Gadobutrol macrocyclic 5 mg Gadovist 5 mg228. Gadobutrol macrocyclic 7,5 mg Gadovist 7,5 mg229. Gadoksetat disodium 0,25 mmol gadoxetate di Primovist230. Gansiklovir serb inj 500 mg (50 mg/mL) Cymevene231. Garam Oralit I serbuk, kombinasi : Natrium kloridn/a232. Gefitinib tab 250 mg Iressa 250 mg233. Gemfibrozil kapsul/kaplet 300 mg n/a234. Gemfibrozil tablet 600 mg n/a235. Gemsitabin inj 1000 mg/vial Gemzar 1000 mg236. Gemsitabin inj 200 mg/vial n/a237. Gentamisin injeksi 40 mg/ ml n/a238. Gentamisin salep mata 0,3% Genoint Salep Mata

239. Gentamisin tetes mata 0,3% n/a240. Glibenklamid tablet 5 mg n/a242. Gliklazid tab 30 mg Diamicron MR 30241. Gliklazid tab 80 mg Glicab243. Gliklazid tablet lepas lambat 60 Mg Diamicron MR 60244. Glikuidon tab 30 mg n/a245. Glimepiride tablet 1 mg n/a246. Glimepiride tablet 2 mg n/a247. Glimepiride tablet 3 mg n/a248. Glimepiride tablet 4 mg n/a249. Glipizid tablet/kaplet/kapsul 10 mg Glucotrol 10 mg250. Glipizid tablet/kaplet/kapsul 5 mg Glucotrol 5 mg251. Gliseril trinitrat inj 50 mg/10 mL DBL Gliceryl Trinitrate 50 m252. Gliseril trinitrat kaps SR 2,5 mg Nitrokaf Retard253. Gliseril trinitrat kaps SR 5 mg Nitrokaf Forte254. Gliseril trinitrat tab sublingual 0,5 mg Nitral255. Gliserin lar 50% Gliserin lar 50%256. Glukosa larutan infus 10 % steril n/a257. Glukosa larutan infus 5 % steril n/a258. Goserelin asetat inj 10,8 mg/vial Zoladex 10,8 mg259. Goserelin asetat inj 3,6 mg Zoladex 3,6 mg260. Griseofulvin tablet 125 mg n/a261. Haloperidol inj 50 mg/mL Haldol Decanoas262. Haloperidol injeksi i.m 5 mg/ml Lodomer Injeksi263. Haloperidol tablet 0,5 mg n/a265. Haloperidol tablet 1,5 mg n/a266. Haloperidol tablet 2 mg Lodomer 2264. Haloperidol tablet 5 mg n/a267. Haloperidol tts 2 mg/mL LODOMER DROPS268. Halotan Inhalasi Halothane269. Heparin injeksi i.v./s.k. 5000 UI/ml Inviclot270. Hepatitis B imunoglobulin (human) Hyperhep B271. hidroklorotiazid tab 25 mg n/a272. Hidrokortison krim 1% n/a273. Hidrokortison krim 2,5 % n/a274. Hidroksi Urea tablet/kaplet/kapsul 500 mg HYDROXYUREA MEDAC275. Hiosin butilbromid injeksi 20 mg/ml n/a276. Homatropin tetes mata 2% Homatro 2%277. Human Insulin Intermediate Acting Inj 100 UI/ml Humulin N Kwikpen278. Human insulin intermediate acting inj 100 UI/ml, Insulatard Vial279. Human insulin intermediate acting inj 100 UI/ml, Humulin N Vial280. Human insulin intermediate acting inj 100 UI/ml, Insulatard Penfill281. Human insulin intermediate acting inj 100 UI/ml,pHumulin N Cart282. Human insulin intermediate acting inj 100 UI/ml,pSansulin N283. Human insulin intermediate acting inj 100iu/ml, Insuman Basal vial 5ml, 10284. Human insulin mix inj 100iu/ml, vial (Insulin H Insuman Comb 25 vial 5ml,285. Human Insulin Mix Insulin Inj 100 UI/ml Humulin 30/70 Kwikpen286. Human insulin mix insulin inj 100 UI/ml, penfill Mixtard Penfill

287. Human insulin mix insulin inj 100 UI/ml, penfill Humulin 30/70 Cart288. Human insulin mix insulin inj 100 UI/ml, vial (Hu Mixtard Vial289. Human insulin mix insulin inj 100 UI/ml, vial (I Humulin 30/70 Vial290. Human Insulin Short Acting Inj 100 UI/ml Humulin R Kwikpen291. Human insulin short acting inj 100 UI/ml, penfill Actrapid Penfill292. Human insulin short acting inj 100 UI/ml, penfill Sansulin R293. Human insulin short acting inj 100 UI/ml, penfill Humulin R Cart294. Human insulin short acting inj 100 UI/ml, vial (H Actrapid Vial295. Human insulin short acting inj 100 UI/ml, vial (I Humulin R Vial296. Human insulin short acting inj 100iu/ml, vial (In Insuman Rapid vial 5ml, 10297. Human tetanus imunoglobulinn injeksi i.m. 250 UTetagam298. Ibuprofen sirup 100 mg/5 ml n/a299. Ibuprofen suspensi 200 mg/5 ml n/a300. Ibuprofen tablet 200 mg n/a301. Ibuprofen tablet 400 mg n/a302. Ifosfamid serbuk injeksi 1000 mg/vial Holoxan injeksi 1000303. Imanitib Mesilat tablet salut selaput 100 mg ( Glivec304. Imidapril tab 10 mg Tanapress 10mg305. Imidapril tab 5 mg Tanapress 5mg306. Iopamidol 200-300 mg Iodium/mL (300mg @ vialIopamiro307. Iopamidol 200-300 mg Iodium/mL (300mg @ vialIopamiro308. Iopamidol 200-300 mg Iodium/mL (300mg @ vialIopamiro309. Iopamidol 300-370 mg Iodium/mL (370mg @ vialIopamiro310. Iopamidol 300-370 mg Iodium/mL (370mg @ vialIopamiro311. Iopamidol 300-370 mg Iodium/mL (370mg @ vialIopamiro312. Iopromide 300-370 mg Iodium/mL (300 mg / 100Ultravist 300/100 mg313. Iopromide 300-370 mg Iodium/mL (300 mg / 50 Ultravist 300/50 mg314. Iopromide 300-370 mg Iodium/mL (370 mg / 100Ultravist 370/100 mg315. Iopromide 300-370 mg Iodium/mL (370 mg / 50 Ultravist 370/50 mg316. Ipratropium bromida inhalasi 20 mcg/semprot Atrovent HFA317. Ipratropium bromida nebulizer 0,025% Atrovent solution for inha318. Irbesartan tab 150 mg n/a319. Irbesartan tab 300 mg n/a320. Irinotekan inf 20 mg/ml n/a321. Isofluran inhalasi Terrell322. Isoniazid tablet/kapsul/kaplet 100 mg n/a323. Isoniazid tablet/kapsul/kaplet 300 mg n/a324. Isosorbid Dinitrat injeksi i.v 10 mg/10 ml Farsorbid inj325. Isosorbid Dinitrat tablet sublingual 5 mg n/a326. Isosorbid dinitrat tablet/kaplet/kapsul 10 mg Isonat327. Kalium aspartat tab 300 mg Kalipar328. Kalium Klorida tablet 600 mg KSR329. Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml DBL Leucovorin330. Kalsium Glukonat injeksi i.v 10% (100 mg/ml) Kalsium glukonat331. Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 m n/a332. Kalsium polistirena sulfonat ktg 5 g KALQUEST333. Kanamisin inj 1000 mg/ vial n/a334. Kandesartan tab 16 mg n/a

335. Kandesartan tab 8 mg n/a336. Kapesitabin tab 500 mg Xeloda337. Kaptopril tablet 50 mg n/a338. Kaptopril tablet scored 25 mg n/a339. Kaptopril tablet scored12,5 mg n/a340. Karbamazepin sirup 100 mg/5 ml Tegretol Syrup 100mg/5ml341. Karbamazepin tablet 200 mg n/a342. Karbimazol tab 5 mg Neo-Mercazole343. Karbogliserin tetes telinga 10% Karbogliserin tetes telinga344. Karboplatin 150 mg / 15 ml DBL Carboplatin 150 mg345. Karboplatin 450 mg / 45 ml DBL Carboplatin 450 mg346. Karvediol tablet/kaplet/kapsul 6,25 mg V - BLOC347. Ketamin injeksi i.v. 100 mg/ml KTM348. Ketamin injeksi i.v. 50 mg/ml Ketamin Hameln349. Ketokonazol krim 2% n/a350. Ketokonazol krim 2% n/a351. Ketokonazol krim 2% n/a352. Ketokonazol scalp sol 2% Zoloral SS353. Ketokonazol tablet 200 mg n/a354. Ketoprofen supositoria 100 mg Protofen Supp355. Ketorolac injeksi 30 mg/ml n/a356. Klaritromisin tab 500 mg ORIXAL357. Klindamisin kapsul/kaplet 150 mg n/a358. Klindamisin kapsul/kaplet 300 mg n/a359. Klobazam tab 10 mg n/a360. Klonidin injeksi i.v 0,15 mg/ml (HCL) (150) Catapres Injeksi361. Klonidin tablet 0,15 mg n/a362. Klopidogrel tab 75 mg n/a363. Kloramfenikol salep kulit 2% Bufacetin364. Kloramfenikol salep mata 1 % n/a365. Kloramfenikol serb inj 1000 mg/mL Colsancetine Injeksi366. Kloramfenikol suspensi 125 mg/ 5 ml n/a367. Klorfeniramina Maleat (CTM) tablet/kapsul/kapl n/a369. Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) n/a368. Klorpromazin injeksi i.m. 25 mg/ml (HCl) n/a370. Klorpromazin tablet salut 100 mg (HCl) n/a371. Klorpromazin tablet salut 25 mg (HCl) n/a372. Klozapin 100 mg n/a373. Klozapin 25 mg n/a374. Kodein tablet 10 mg n/a375. Kodein tablet 15 mg n/a376. Kodein tablet 20 mg n/a377. Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcgOstriol378. Kolkisin tablet/kaplet/kapsul 500 mcg Recolfar379. Koloid HES BM 130 000 lar inf 6% Voluven380. Kombinasi : Ipratropium bromida inhalasi 0,5 m Combivent UDV381. Kombinasi injeksi depot : Medroksi progesteron an/a382. Kombinasi suspensi : Parafin + gliserin + fenolftal Laxadine Emulsi 60 ml

383. Kombinasi tablet salut : Besi (II) sulfat 7H2O 20 n/a384. Kombinasi tetes mata 2,5 mg/mL: Natrium kloridCendo Lyteers385. Kombinasi: Artemether 20 mg; Lumefantrin 120 Coartem386. Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Stalevo387. Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) Aluvia388. Kombinasi: Salmeterol 25 mcg; Flutikason propi Seretide Inhaler 50 mcg389. Kombinasi: Salmeterol 50 mcg; Flutikason propi Seretide Diskus 100 mcg390. Kombinasi: Salmeterol 50 mcg; Flutikason propi Seretide Diskus 250 mcg391. Kontrasepsi pil oral, kombinasi :* Levonorgestrel n/a392. Kotrimoksazol DOEN I (dewasa) kombinasi : Sul n/a393. Kotrimoksazol Suspensi komb: Sulfametoksazol n/a394. Kuinin (Kina) tablet 200 mg n/a395. Kuinin injeksi i.v. 25% (sebagai 2 HCl) n/a396. Kuinin tablet 222 mg (H2SO4.7H2O) n/a397. Laktulosa sir 3,335 g/5 mL n/a398. Lamivudin tablet/kaplet/kapsu 100 mg Heplav399. Lamivudine tablet 150 mg n/a400. Lansoprazol inj 30 mg/ml Prosogan Inj.401. Lanzoprazol kapsul/kaplet 30 mg n/a402. Lapatinib tab 250 mg Tykerb403. Larutan mengandung Asam Amino (Asam Amino Kalbamin404. Larutan mengandung Asam Amino (Asam Amino 10Amiparen405. Larutan mengandung Asam Amino (Asam Amino 27 Pan-amin G406. Larutan mengandung Asam Amino (Asam Amino 30 Aminofluid407. Larutan mengandung Asam Amino (Asam Amino 30 Aminofluid408. Larutan mengandung Asam Amino (Asam Amino 5% dAminofusin Hepar409. Larutan mengandung Asam Amino (Asam Amino 6Aminosteril Infant 6%410. Larutan mengandung Asam Amino (Asam Amino 7%Nephrosteril411. Larutan mengandung Asam Amino (Asam Amino 72.Kidmin412. Larutan mengandung Asam Amino (Asam Amino 79.Aminoleban413. Larutan mengandung Asam Amino (Asam amino Aminosteril N-Hepa414. Larutan mengandung Asam Amino (Asam Amino esEas Pfrimer415. Larutan mengandung Asam Amino (BCAA 25 gr/L, L-OComafusin Hepar416. Larutan mengandung Asam Amino (Kombinasi Asam amiAminofusin L600417. Larutan mengandung Asam Amino (Kombinasi AsamAminofusin Paed418. Larutan mengandung Asam Amino (Kombinasi Asam AKabiven 1440 ml419. Larutan mengandung Asam Amino (Kombinasi Asam AKabiven 1920 ml420. Larutan mengandung Asam Amino (Kombinasi GlukoCombiflex Plus (790 kcal)421. Larutan mengandung Asam Amino (Kombinasi GlukCombiflex peri (480 kcal)422. Larutan mengandung Elektrolit (Kalium Klorida) Otsu - KCl 7,46%423. Larutan mengandung Elektrolit (Larutan Ringer L Wida RL424. Larutan mengandung Elektrolit (Na 130 mEq, Cl Asering425. Larutan mengandung Elektrolit (NaCl 1.125 gr, DeKA EN 1B426. Larutan mengandung Elektrolit (Sodium Lactate solTotilac427. Larutan mengandung Elektrolit (Tiap 1000 ml meRingerfundin 500 mL428. Larutan mengandung Karbohidrat (Fructose 120 g, gTriofusin 1000429. Larutan mengandung Karbohidrat (Fructose 60 g, gTriofusin 500430. Larutan mengandung Karbohidrat (Maltose 100 gMartos

431. Larutan mengandung Karbohidrat + Elektrolit (25.Potacol inj432. Larutan mengandung Karbohidrat + Elektrolit (AcetTutofusin OPS433. Larutan mengandung Karbohidrat + Elektrolit (AsaClinimix N9G20E434. Larutan mengandung Karbohidrat + Elektrolit (AsaClinimix N9G15E435. Larutan mengandung Karbohidrat + Elektrolit (FrucTriofusin E1000436. Larutan mengandung Karbohidrat + Elektrolit (GlukWida HSD437. Larutan mengandung Karbohidrat + Elektrolit (GluWida D5-NS438. Larutan mengandung Karbohidrat + Elektrolit (GluWIDA 2A439. Larutan mengandung Karbohidrat + Elektrolit (GluWIDA D5-1/4NS440. Larutan mengandung Karbohidrat + Elektrolit (GluWIDA D5-1/2NS441. Larutan mengandung Karbohidrat + Elektrolit (L Futrolit442. Larutan mengandung Karbohidrat + Elektrolit (L Wida RD443. Larutan mengandung Karbohidrat + Elektrolit (NaCKA ENMG 3444. Larutan mengandung Karbohidrat + Elektrolit (NaclKA EN 3B445. Larutan mengandung Karbohidrat + Elektrolit (NaclKA EN 3A446. Larutan mengandung Lipid ( Infus Lipid Emulsi Lipofundin MCT/LCT 1% 10447. Larutan mengandung Lipid (Emulsi lemak 20%) Intralipid448. Larutan mengandung Lipid (Infus Lipid Emulsi M Lipofundin MCT/LCT 1% 25449. Larutan mengandung Lipid (Kombinasi Glukosa dan Nutriflex Lipid Special 1250450. Larutan mengandung Lipid (Kombinasi Glukosa danNutriflex Lipid Peri 1250451. Larutan mengandung Lipid (Kombinasi Glukosa dan Nutriflex Lipid Special 625452. Latanoprost tetes mata 0,01% Cendo Glaopen453. Latanoprost tts mata 0,005% btl@2,5ml Xalatan 0,005%454. Lenograstim inj 263 mcg/mL Granocyte 34 1vl HSA Free455. Letrozol tablet/kaplet/kapsul 2,5 mg FEMARA456. Leuprorelin asetat inj depot 1,88 mg Tapros 1.88mg457. Leuprorelin asetat inj depot 11,25 mg Tapros 3M458. Leuprorelin asetat inj depot 3,75 mg TAPROS 3.75 MG459. Levofloksasin inf 5 mg/mL n/a459. Levofloksasin inf 5 mg/mL n/a460. Levofloksasin tablet 500 mg n/a461. Levofloksasin tts mata 0,5% Optiflox462. Levotiroksin tablet/kaplet/kapsul 100 mcg Euthyrox 100463. Levotiroksin tablet/kaplet/kapsul 50 mcg Euthyrox 50464. Lidokain injeksi 2% (HCL) n/a465. Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - n/a466. Lidokain jeli 2% Xylocaine Jelly 2%467. Lidokain semprot 10% Xylocaine Spray 10 mg / do468. Lisinopril tablet 10 mg n/a469. Lisinopril tablet 5 mg n/a470. Litium karbonat tablet 200 mg Frimania 200471. Litium karbonat tablet 400 mg Frimania 400472. Loperamid tablet 2 mg n/a473. Loratadin tablet 10 mg n/a474. Lorazepam tablet 0,5 mg MERLOPAM 0,5 mg475. Lorazepam tablet 2 mg Merlopam 2476. Low molecule feri sucrose inj amp 100 mg/5 mL DIALIFER477. Magnesium sulfat injeksi 20% OTSU-MgSO4 20

478. Magnesium sulfat injeksi 40% OTSU-MgSO4 40479. Manitol n/a480. Maprotilin HCl tab 25 mg Ludios481. Maprotilin HCl tab 50 mg Sandepril 50482. MDP (methylene diphosphonate) 1 mg methylenBonescan KaeF483. Mebendazol tablet 500 mg Vermox 500484. Medroksi Progesteron Asetat tablet/kaplet/kaps Provera 100mg485. Melfalan tablet 2 mg Alkeran486. Meropenem inj 1 g n/a487. Meropenem serb inj 500 mg/vial n/a488. Mesna inj 100 mg/mL Uromitexan injeksi.489. Metadon sir 50mg/5ml n/a490. Metformin HCl tablet 500 mg n/a491. Metformin HCl tablet 850 mg n/a492. Metildopa tablet salut 250 mg DOPAMET493. Metilergometrin Maleat (Metilergometrin) tabletn/a494. Metilergometrin Maleat injeksi 0,200 mg-1 ml n/a495. Metilfenidat kapsul LA 20 mg Ritalin LA496. Metilfenidat tablet SR 10 mg RITALIN497. Metilprednisolon inj 125 mg/2 mL n/a498. Metilprednisolon inj 500 mg/8 mL n/a499. Metilprednisolon tablet 16 mg n/a500. Metilprednisolon tablet 4 mg n/a501. Metilprednisolon tablet 8 mg n/a502. Metoklopramid drop botol 10 mL GAVISTAL drops503. Metoklopramide sirup 5 mg/ 5 ml LEXAPRAM SIRUP504. Metoklopramide tablet 5 mg n/a505. Metotreksat serb inj 50 mg/2 mL Methotrexate Kalbe506. Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg METHOTREXATE EBEWE507. Metotreksat tablet/kaplet/kapsul 2,5 mg METHOTREXATE EBEWE 2.508. Metronidazol infus 500 mg/100 ml n/a509. Metronidazol ovula 500 mg Vagizol510. Metronidazol sirup 125 mg/5 Ml Farizol511. Metronidazol supositoria 500 mg Flagyl512. Metronidazol tablet 250 mg n/a513. Metronidazol tablet 500 mg n/a514. MIBG (meta-iodobenzylguanidine) Endoneuroscan KaeF 1515. MIBI (metoxy iso butyl iso nitril) 5-mL reaction vi Cardioscan KaeF516. Midazolam injeksi i.v. 1 mg/ml Dormicum517. Midazolam injeksi i.v. 5 mg/ml Dormicum518. Mikafungin Na serb inj 50 mg Mycamine519. Mikofenolat Mofetil 500 mg Cellcept520. Mikonazol krim/salep 2 % (Nitrat) n/a521. Modified fluid gelatine BM 30 000 lar inf 4% Gelofusine 4%522. Moksifloksasin tetes mata 0,5% Vigamox523. Mometason furoat krim 0,1% n/a524. Morfin HCL inj 10 mg/ml n/a525. Morfin HCL tablet SR 10 mg MST Continus 10 mg

526. Morfin HCL tablet SR 15 mg MST Continus 15 mg527. Morfin HCL tablet SR 30 mg MST Continus 30 mg528. Morfin tablet 10 mg n/a530. Nacl 0,9% n/a531. Nadroparin inj 9500 Axa/mL syringe 0,3 mL Fraxiparine 0.3 ml532. Nadroparin inj 9500 Axa/mL, syringe 0,4 mL Fraxiparine 0.4 ml533. Nadroparin inj 9500 Axa/mL, syringe 0,6 mL Fraxiparine 0.6 ml534. Nalokson injeksi 0,4 mg/ml Nokoba529. N-asetil sistein inj. nebules 100 mg N-ace cairan inhalasi535. Natrium Bikarbonat injeksi i.v 8,4% Meylon536. Natrium Diklofenak tablet 50 mg n/a537. Natrium fosfat lar oral 45 mL Fleet Phosphosoda538. Natrium fusidat salep 20 mg/g Fucilex Ointment539. Neostigmin injeksi 0,5 mg/ml Neostigmin Hameln inj540. Nevirapin tablet 200 mg n/a541. Nifedipin tab 20 mg, slow release; oros Adalat Oros 20 mg542. Nifedipin tab 30 mg, oros Adalat Oros 30 mg543. Nifedipin tablet/kapsul 10 mg n/a544. Nikardipin inj 10 mg/vial n/a545. Nilotinib kapsul 200 mg (Skema Risk Sharing s Tasigna546. Nistatin tablet salut 500.000 IU/ g n/a547. Nistatin vaginal tablet 100.000 IU/ g n/a548. Norepinefrin injeksi 1 mg/ml Raivas549. Noretisteron tablet 5 mg Primolut N550. Obat Antituberkulosis FDC Kategori 1 n/a551. Obat Antituberkulosis FDC Kategori 2 n/a552. Obat Antituberkulosis FDC Kategori Anak n/a553. Obat Antituberkulosis FDC Sisipan n/a554. Obat Antituberkulosis Kategori 1 dewasa n/a555. Obat Antituberkulosis Kategori anak n/a556. Octreotide Acetate0,05 - 6 mg/mL Octide557. Ofloksasin tets telinga 3% Tarivid Otic Solution558. Ofloxacin tablet 200 mg n/a559. Ofloxacin tablet 400 mg n/a560. Oksaliplatin serbuk injeksi 100 mg / vial ELOXATIN561. Oksaliplatin serbuk injeksi 50 mg / vial ELOXATIN562. Oksimetazolin tetes hidung 0,025% Ilaidin Drops563. Oksimetazolin tetes hidung 0,050% Iliadin Spray564. Oksitosin injeksi 10 IU/ml Oxytocin "S"565. Oktreotid 10 mg Sandostatin LAR566. Olanzapin inj 10 mg/vial Zyprexa IM567. Olanzapin kapl salut 5 mg Olandoz 5568. Olanzapin tab 10 mg Olandoz 10569. Olopatadin tts mata 0,1% Patanol

538 Omeprazol / Pantoprazol inj n/a538 Omeprazol / Pantoprazol inj n/a538 Omeprazol / Pantoprazol inj n/a

570. Omeprazol injeksi 40 mg/ 10 ml n/a

571. Omeprazol kapsul/kaplet 20 mg n/a572. ondansetron inj 4 mg/ 2 mL n/a573. Ondansetron tab 4 mg n/a574. Ondansetron tablet 8 mg n/a575. Paket CAPD Awal (Komposisi: 1 unit Transfer Set,n/a576. Paket CAPD Pergantian Transfer Set per 6 bulan n/a577. Paket CAPD Rutin 120 ( 4x ganti cairan perhari deLarutan Dialisa 1.5%: Dian578. Paklitaksel inj 100 mg/vial SINDAXEL 100 MG/16,67 M579. Paklitaksel inj 300 mg/vial SINDAXEL 260mg/43.33 M580. Paklitaksel injeksi 30 mg/vial SINDAXEL 30 MG/5 ML581. Parasetamol drop 100 mg/ml btl @15ml (60mg/0n/a

552 Parasetamol infus Pyrex 582. Parasetamol sirup 120 mg / 5 ml n/a583. Parasetamol tablet 500 mg n/a584. Parasetamol tetes 60 mg/0,6 mL FASIDOL585. Pegylated interferon alfa-2a inj 135 mcg/0,5 ml Pegasys586. Pegylated interferon alfa-2a inj 180 mcg/0,5 ml Pegasys587. Pegylated Interferon alfa-2b serb inj 100 mcg Pegintron Vial 100 Mcg588. Pegylated Interferon alfa-2b serb inj 120 mcg Pegintron Pen 120 Mcg589. Pegylated Interferon alfa-2b serb inj 50 mcg Pegintron590. Pegylated Interferon alfa-2b serb inj 80 mcg Pegintron Vial 80 Mcg591. Perak sulfadiazin krim 1% BURNAZIN 35 GR592. Perindoprilarginin tab 5 mg Bioprexum 5 mg593. Permetrin krim 5% Scabimite Cream 10594. Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl) n/a595. Pioglitazon tab 15 mg DECULIN 15 MG596. Pioglitazon tab 30 mg DECULIN 30 MG597. Pirantel suspensi 125 mg/5 ml n/a598. Pirantel tablet score (base) 125 mg n/a599. Pirazinamid tablet 500 mg n/a601. Piridoksin (vitamin B6) inj 100 mg/mL n/a600. Piridoksin (Vitamin B6) tablet/kapsul/kaplet 10 mn/a602. Polikresulen cairan Aptil603. Povidon Iodida larutan 10% 1000 ml n/a604. Povidon Iodida larutan 10% 30 ml n/a605. Povidon Iodida larutan 10% 300 ml n/a606. Povidon Iodida larutan 10% 60 ml n/a607. Pramipeksol tab ER 0,375 mg Sifrol ER 0,375mg608. Pramipeksol tab ER 0,750 mg Sifrol ER 0,750mg609. Pravastatin tablet 20 mg n/a610. Primakuin tablet 15 mg n/a611. Probenesid tablet/kapsul/kaplet 500 mg Probenid612. Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vi n/a613. Propanolol tablet 10 mg ( HCl ) n/a614. Propiltiourasil tablet/kapsul/kaplet 100 mg n/a615. Propofol injeksi i.v., bolus 1% Fresofol 1% MCT/LCT616. Propranolol tablet 40 mg (HCl) n/a617. Quetiapin tab 200 mg Seroquel XR 200 mg

618. Quetiapin tab 300 mg Seroquel XR 300 mg619. Quetiapin tab 400 mg Seroquel XR 400 mg620. Ramipril tablet 2,5 mg Cardace 2.5mg 6x10 s tabl621. Ramipril tablet 5 mg n/a622. Ramipril tablet/kaplet/kapsul 10 mg n/a623. Ranitidin injeksi 25 mg/ml n/a624. Ranitidin tablet 150 mg n/a625. Retinol (Vitamin A) 100.000 IU n/a626. Retinol (Vitamin A) 200.000 IU kapsul lunak n/a627. Rifampisin tablet/kapsul/kaplet 300 mg n/a628. Rifampisin tablet/kapsul/kaplet 450 mg n/a629. Rifampisin tablet/kapsul/kaplet 600 mg n/a630. Ringer Laktat larutan infus n/a631. Risperidon tablet 1 mg n/a632. Risperidon tablet 2 mg n/a633. Risperidon tablet 3 mg n/a634. Rituksimab injeksi 10 mg/ml (Skema Risk Shari Mabthera635. Rivaroksaban tab 10 mg Xarelto 10 mg636. Rivaroksaban tab 15 mg Xarelto 15 mg637. Rivaroksaban tab 20 mg Xarelto 20 mg638. Rokuronium injeksi i.v. 50 mg/5ml Esmeron639. Ropinirol Tablet Salut 2 mg Requip PD 24 Hour 2 mg640. Ropinirol Tablet Salut 4 mg Requip PD 24 Hour 4 mg641. Ropinirol Tablet Salut 8 mg Requip PD 24 Hour 8 mg642. Salbutamol cairan ih 0,1% Ventolin Nebules643. Salbutamol inhalasi/aerosol 100 mcg/dosis Ventolin Inhaler644. Salbutamol serb inh 200 mcg/kaps Ventolin Rotacaps645. Salbutamol serb inh 200 mcg/kaps + rotahaler Ventolin Rotahaler646. Salbutamol tablet 2 mg (sebagai Sulfat) n/a647. Salep 2-4 , Kombinasi : Asam Salisilat 2% + Bele n/a649. Sefadroksil kapsul/kaplet 250 mg n/a650. Sefadroksil kapsul/kaplet 500 mg n/a651. Sefadroksil sir kering 250 mg/5 mL n/a648. Sefadroksil sirup kering 125 mg/5ml n/a652. Sefaleksin kapsul/kaplet 500 mg n/a653. Sefazolin serbuk injeksi 1 g/vial n/a654. Sefepim inj 1 g n/a655. Sefiksim kapsul/kaplet 100 mg n/a656. Sefiksim sirup kering 100 mg/ 5 ml n/a657. Sefoperazon inj 1 g n/a658. Sefotaksim injeksi 0,5 g n/a659. Sefotaksim injeksi 1 g n/a660. Seftazidim injeksi 1 g n/a661. Seftriakson serbuk injeksi 1 g/vial n/a663. Sefuroksim serbuk injeksi 750 mg/vial Sharox inj663. Sefuroksim serbuk injeksi 750 mg/vial Oxtercid inj664. Sefuroksim tab 500 mg Zinnat 500662. Sefuroksim tablet/kapsul/kaplet 250 mg Zinnat 250 mg

665. Sertralin tab 50 mg Fatral666. Setirizin sirup 5 mg/5 ml n/a667. Setirizin tablet 10 mg n/a668. Setuksimab infus 5 mg/ml (Skema Risk Sharing Erbitux669. Sevofluran ih, btl Sojourn670. Sianokobalamin (vitamin B12) injeksi 500 mcg n/a671. Sianokobalamin (vitamin B12) tablet/kapsul/kap n/a672. Siklofosfamid serbuk injeksi i.v. 1000 mg Cyclovid 1000 mg673. Siklofosfamid serbuk injeksi i.v. 200 mg Cyclovid 200 mg674. Siklofosfamid serbuk injeksi i.v. 500 mg CYCLOVID 500675. Siklosporin kaps 100 mg Sandimmun Neoral 100mg676. Siklosporin kapsul lunak 25 mg Sandimmun Neoral 25mg K677. Silostazol tablet/kapsul/kaplet 100 mg Citaz678. Simvastatin scored tablet 10 mg n/a679. Simvastatin tablet 20 mg n/a680. Siprofloksasin infus 2% n/a681. Siprofloksasin tablet 500 mg (sebagai HCl) n/a682. Sisplatin serbuk injeksi 10 mg Cisplatin683. Sisplatin serbuk injeksi 50 mg Cisplatin684. Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml DBL Cytarabun685. Spiramisin tablet 500 mg n/a686. Spironolakton tablet 100 mg n/a687. Spironolakton tablet 25 mg n/a688. Stavudin tablet/kapsul/kaplet 30 mg n/a689. Streptokinase injeksi 1,5 juta UI/vial Streptase690. Streptomisin serbuk injeksi i.v 1000 mg/ml n/a691. Sufentanil injeksi iv, epidural 5 mcg/ml Sufentanyl Injeksi iv.Epidu692. Sukralfat susp 500 mg/5 mL Ulsafate693. Sukralfat tab 500 mg ULSIDEX694. Takrolimus kaps 0.5 mg Prograf695. Takrolimus kaps 1 mg Prograf696. Tamoksifen tablet 20 mg TAMOXIFEN EBEWE697. Tamsulosin tab 0,2 mg Harnal D698. Tamsulosin tab 0,2 mg Harnal D699. Tamsulosin tab SR 0,4 mg Harnal OCAS700. Telbivudin tab 600 mg Sebivo 600 mg Tab701. Telmisartan tab 40mg Micardis 40mg702. Telmisartan tab 80 mg Micardis 80mg703. Temozolamid kaps 100 mg Temodal704. Temozolamid kaps 20 mg Temodal705. Tenofovir tab 300 mg n/a706. Teofilin tab SR 300 mg Rethapyl707. Teofilin tablet 150 mg Bronsolvan708. Terazosin HCl tablet/kapsul/kaplet 1 mg HYTROZ 1MG709. Terazosin HCl tablet/kapsul/kaplet 2 mg HYTROZ 3MG710. Terbutalin cairan ih 2,5 mg/mL Bricasma Respules711. Terbutalin tablet 2,5 mg Molasma Tablet712. Terbutalin turbu (serbuk ih) 0,50 mg Bricasma Turbuhaler 0,5 m

713. Testoteron soft capsul 40 mg Andriol Testocaps714. Tetrakain HCl tetes mata 0,5% Pantocain 0.5%715. Tetrasiklin kapsul/kaplet 250 mg n/a716. Tetrasiklin tablet/kapsul/kaplet 500 mg n/a717. Tiamazol tab 10 mg Thyrozol 10718. Tiamazol tab 5 mg Thyrozol 5719. Timolol tetes mata 0,25% Isotic Adretor 0,25%720. Timolol tetes mata 0,5% Isotic Adretor 0,5%721. Tiotropium 18 mcg refill Spiriva powder for inhalat722. Tiotropium kaps 18 mcg + handihaller Spiriva 10s + Handihaler723. Tramadol injeksi 50 mg/ml n/a724. Trastuzumab serbuk injeksi 440 mg/vial (Skema Herceptin725. Travoprost tetes mata 0,004% Travatan726. Triamsinolon asetonid nasal spray 55 mcg/puff Nasacort AQ727. Triamsinolon inj 10 mg/mL Flamicort728. Trifluoperazin tablet 5 mg n/a729. Tropikamid tetes mata 1% Cendo Mydriatil 1%730. Urea krim 10% Soft U Derm731. Vaksin BCG (Harga pengadaan di Kementerian KesBCG Vaccine (SII)732. Vaksin BCG (Harga pengadaan di Kementerian KesBCG Vaccine SSI733. Vaksin BCG (Harga pengadaan di Kementerian KesBCG Vaccine (GS)734. Vaksin BCG (Harga pengadaan di Provinsi franco BCG Vaccine (SII)735. Vaksin BCG (Harga pengadaan di Provinsi franco BCG Vaccine SSI736. Vaksin BCG (Harga pengadaan di Provinsi franco BCG Vaccine (GS)737. Vaksin BCG Kering (BF) (Harga pengadaan di Kemn/a738. Vaksin BCG Kering (BF) (Harga pengadaan di Provn/a739. Vaksin Campak Kering (Harga pengadaan di Kemenn/a740. Vaksin Campak Kering (Harga pengadaan di Provin/a741. Vaksin DTP-HB-Hib (Harga pengadaan di KementerPentabio742. Vaksin DTP-HB-Hib (Harga pengadaan di Provinsi Pentabio743. Vaksin Hepatitis B Rekombinan (Harga pengadaann/a744. Vaksin Hepatitis B Rekombinan (Harga pengadaan n/a745. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga p n/a746. Vaksin Jerap DT (Adsorbed DT Vaccine) (Harga pen/a747. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga p n/a748. Vaksin Jerap Td (Adsorbed Td Vaccine) (Harga pen/a749. Vaksin Meningitis Meningokokus Menveo750. Vaksin polio inj (Vaksin Poliomyelitis yang diinaktImovax Polio751. Vaksin Poliomyelitis Oral (Harga pengadaan di K n/a752. Vaksin Poliomyelitis Oral (Harga pengadaan di Pr n/a753. Vaksin rabies, untuk manusia serbuk injeksi s.k./i Verorab754. Vaksin rabies, untuk manusia serbuk injeksi s.k./i RABIPUR755. Vaksin TT (Harga pengadaan di Kementerian Kesen/a756. Vaksin TT (Harga pengadaan di Provinsi franco i n/a757. Valasiklovir tablet/kapsul/kaplet 500 mg Valvir758. Valgansiklovir tab 450 mg Valcyte759. Valproat sirup 250 mg/5 ml Ikalep760. Valproat tab SR 250 mg Depakote ER 250 mg

761. Valproat tab SR 500 mg Depakote ER 500 mg762. Valproat tablet salut 250 mg Depakote Tab 250 mg764. Valsartan tab 160 mg DIOVAN 160 MG763. Valsartan tab 80 mg Diovan 80mg Tab765. Vankomisin serbuk injeksi 500 mg/vial Vancep766. Verapamil tab 240 mg Isoptin 240 mg767. Verapamil tablet 80 mg (HCl) n/a768. Vinblastin serbuk injeksi 10 mg Vinblastine769. Vinkristin serb inj i.v 2 mg/vial Vincristine Kalbe770. Vinkristin serbuk injeksi i.v. 1 mg Vincristine Kalbe771. Vinorelbin inj. 10 mg/ml Navelbine injeksi 10772. Vitamin B Kompleks tablet n/a773. Zidofudin 100 mg n/a774. Zidovudin 300 mg + Lamivudine 150 mg n/a775. Zinc drop 10 mg/mL Zincpro Drops776. Zinc sir 10 mg/mL Zinkid777. Zinc sir 20 mg/5 Ml Zircum Kid Sirup778. Zinc tablet dispersible20 mg n/a

Nama Penyedia Kemasan

PT. Kimia Farma 1 blister@24 tablet 1,375.00 4/23/2013 10:24PT. SmithKline Beecham PhamacDus, 3 Blister @ 10 kapsul 27,500.00 3/18/2014 20:03PT. Ikapharmindo Vial 20 ml 2,030.00 1/5/2015 14:07PT Otsuka Indonesia Dus, 120 ampul PE @ 25ML 2,200.00 4/28/2015 11:26PT. Widatra Bhakti Btl @ 1000 ml 7,500.00 9/28/2014 21:46PT. Dexa Medica Dus, 10 strip @10tablet 990.00 12/5/2014 22:08PT. Dexa Medica Dus, 10 strip @10tablet 780.00 12/5/2014 22:08PT. Indofarma Dus, 10 dus @ 1 botol @ 10 ml 3,849.00 4/23/2013 10:24PT. Holi Pharma Dus, 5 strip @ 6 tablet 338.00 3/15/2014 16:05PT. Ikapharmindo Vial 100 ml 750,000.00 7/21/2014 21:09PT. Ikapharmindo Vial 50 ml 345,000.00 7/21/2014 21:09PT. Ferron Par Pharmaceuticals Dus, botol @ 100 ml 1,515,000. 1/5/2015 14:07PT. Dipa Pharmalab botol @ 20 ml 321,552.00 1/5/2015 14:07PT. Dipa Pharmalab botol @ 50 ml 732,727.00 1/5/2015 14:07PT. Dipa Pharmalab botol @ 250 ml 900,000.00 9/28/2014 21:46PT. Dipa Pharmalab botol @ 50 ml 283,000.00 9/28/2014 21:46PT. Pertiwi Agung Box, 10 strips @ 10 tablets 86.00 3/15/2014 16:05PT. Bernofarm Dus, 10 blister @ 10 tablet 199.50 3/15/2014 16:05PT. Dexa Medica Dus, 10 Strip @ 10 tablet 380.00 3/15/2014 16:05PT. Otto Pharmaceuticals 1 box 10 Strip X 10 tablet 176.00 3/15/2014 16:05PT. Kimia Farma Ktk 10x10 tablet 233.00 3/15/2014 16:05PT. Boehringer Ingelheim Dus, 1 vial@50mg + 1 vial pelaru 3,800,000. 6/27/2014 19:33PT. Cendo Industri Farmasi tube 3.5 gr 18,500.00 4/3/2014 21:30PT. Sanbe Farma Vial 2 ml 50,500.00 3/16/2014 18:23PT. Lucas Djaja dus 30 ampul @10 ml 3,822.00 4/23/2013 10:24PT. Marin Liza Farmasi Botol @ 100 tablet salut selaput 90.00 3/15/2014 16:05PT. Erela Btl @ 100 tablet 80.00 9/28/2014 21:46PT. Aventis Pharma Dus, 6 ampul @ 3 ml 12,480.00 3/16/2014 18:23PT. Darya Varia strip 1,200.00 3/16/2014 18:23PT. Indofarma Dus, 10 strip @ 10 tss 112.00 4/23/2013 10:24PT. Pertiwi Agung Box, 3 strips @ 10 tablets 330.00 3/15/2014 16:05PT. Pertiwi Agung Box, 3 strips @ 10 tablets 187.00 4/23/2013 10:24PT. Novapharin dus 10 X 10'S 211.00 3/15/2014 16:05PT. Bernofarm Dus, 10 strip @ 10 kaptab 272.00 3/15/2014 16:05PT. Novapharin btl @ 60 ml 2,445.00 4/23/2013 10:24PT. Holi Pharma Dus, Botol 60 ml 4,045.00 3/15/2014 16:05PT. Bernofarm Dus, 10 vial @ 1 g 5,100.00 3/15/2014 16:05PT. Aventis Pharma dus, 5 solostar pen @ 3ml 85,000.00 4/3/2014 21:30PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, Flexpen disposib106,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 102,990.00 4/27/2015 18:36PT. Bayer Indonesia Penfill cartridge 97,500.00 3/18/2014 20:03PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 82,495.00 4/27/2015 18:36PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, Flexpen disposib85,345.00 4/3/2014 21:30PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 200,000.00 4/3/2014 21:30PT. Aventis Pharma dus, 5 solostar pen @ 3ml 79,165.00 3/18/2014 20:03PT. Bayer Indonesia Penfill cartridge 79,167.00 3/18/2014 20:03

Harga Satuan Terkecil

(Rp)

Tanggal Berlaku Harga

PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 32,000.00 4/3/2014 21:30PT. Promedrahardjo Farmasi IndDus, 10 Strip@10 Tablet 75.00 3/15/2014 16:05PT. Rama Emerald Multi Sukses Boto 60 ml 2,100.00 3/15/2014 16:05PT. Indofarma Dus, 25 tube @ 5 g 2,516.00 3/15/2014 16:05PT. Kimia Farma DUS, 10 SUPP @ 2 GRAM 3,045.00 4/23/2015 15:45PT. Kimia Farma ktk 10 x 10 tablet 520.00 3/15/2014 16:05PT. Kimia Farma Btl 100 tablet 135.00 3/15/2014 16:05PT. Meprofarm Dus, 5 strip @ 10 tablet 1,500.00 3/16/2014 18:23PT. Kimia Farma Dus 6 amp @ 1ml 22,000.00 3/18/2014 20:03PT. Pharma Laboratories Dus, 1 Vial @ 60 mg + 1 Ampul P 38,999.00 4/27/2015 18:36PT. Phapros, Tbk Dus @ 10 X 10 's 116.00 3/15/2014 16:05PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 148.00 9/28/2014 21:46PT. Kimia Farma ktk 10x10 tablet 159.00 3/15/2014 16:05PT. Kimia Farma Dus 10 strip x 10 tab 95.00 3/18/2014 20:03PT. Dexa Medica Dus, 10 strip @10 tablet 84.00 7/21/2014 21:09PT. Marin Liza Farmasi Botol @ 100 tablet 48.00 3/15/2014 16:05PT. Boehringer Ingelheim Boks, 1 ampul 2,209,000. 4/3/2014 21:30PT. Afifarma dus, 10 blister @ 10 kapsul 158.00 4/23/2015 15:45PT. Bernofarm Dus, 10 blister @ 10 kaptab ss 112.00 4/23/2013 10:24PT. Sanbe Farma Strip 1,815.00 3/16/2014 18:23PT. Bernofarm Dus, 10 ampul @ 5 ml 2,950.00 3/15/2014 16:05PT. Novartis Indonesia Dus, 1 vial plastik @ 5ml 900,000.00 9/28/2014 21:46PT. Sanbe Farma Tube 3,5 gram 24,750.00 3/16/2014 18:23PT. Indofarma Dus, 10 blister @ 10 tablet 237.00 3/15/2014 16:05PT. Kimia Farma ktk 10x10 tablet 345.00 3/15/2014 16:05PT. Widatra Bhakti 10.000 UI/Vial 1,039,500. 4/3/2014 21:30PT. Zenith Pharmaceuticals Dus 5 strip @ 10 tablet 190.00 3/16/2014 18:23PT Kalbe Farma strip 700.00 1/5/2015 14:07PT. Pratapa Nirmala Box @ 10 strip 10 tab 352.00 4/23/2015 15:45PT. Glaxo Wellcome Indonesia Dus, 5 ampul @ 2.5 ml 20,000.00 3/16/2014 18:23PT. Ethica Industri Farmasi 100 AMPUL @ 1 ML 1,350.00 4/23/2015 15:45PT. Indofarma Dus, 10 strip @ 10 tablet 74.00 4/23/2013 10:24PT. Cendo Industri Farmasi Botol 5ml 13,500.00 12/5/2014 22:08PT. Cendo Industri Farmasi Botol 5ml 13,500.00 12/5/2014 22:08PT. Soho Industri Pharmasi botol @ 60 ml 34,400.00 3/15/2014 16:05PT. Soho Industri Pharmasi Strip 3,333.00 3/18/2014 20:03PT. Kimia Farma ktk 2x10 tablet 4,500.00 3/15/2014 16:05PT. Rama Emerald Multi Sukses Dus @ 50 gram 1,250.00 3/15/2014 16:05PT. Phapros, Tbk Ds 10 vial x 1,2 Jt IU 9,800.00 4/23/2013 10:24PT. Phapros, Tbk 10 vial @ 2.400.000 IU 13,400.00 4/23/2013 10:24PT. Abbott Indonesia Vial 3,200,000. 3/18/2014 20:03PT. Combiphar Box/ 3 blister @ 10 Tablet 3,600.00 3/16/2014 19:08PT. Kimia Farma Tube 5 gr 1,520.00 3/15/2014 16:05PT. Sanbe Farma botol @ 5 ml 25,106.00 9/28/2014 21:46PT. Boehringer Ingelheim Dus, 1 vial @ 4 ml 4,803,697. 9/28/2014 22:55PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 72,400.00 4/3/2014 21:30PT. AstraZeneca indonesia Dus, 2 blister @ 14 Tablet 45,000.00 4/3/2014 21:30PT. Sanbe Farma Supp 6,045.00 3/16/2014 18:23

PT. Boehringer Ingelheim 1 Box @ 6's 4,990.00 1/5/2015 14:07PT. Merck Tbk Dus 10 blister @ 10 tablet 746.00 7/21/2014 21:09PT. Pratapa Nirmala Box 3 X 10 tab 645.00 4/23/2013 10:24PT Kalbe Farma Vial 304,000.00 7/21/2014 21:09PT. Caprifarmindo Box 3 x 10'S 247,089.00 3/16/2014 19:08PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 100 dosis 93,000.00 4/3/2014 21:30PT Otsuka Indonesia Unit, 200 dosis 106,000.00 12/5/2014 22:08PT. AstraZeneca indonesia Dus, 4 pak @ 5 respules @ 2 ml 8,900.00 4/3/2014 21:30PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 120 dosis 117,600.00 3/16/2014 19:08PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 60 dosis 110,500.00 4/3/2014 21:30PT. Dexa Medica Dus, 5 ampul @ 4 ml 25,600.00 7/21/2014 21:08PT. Pratapa Nirmala ampul 30,800.00 7/21/2014 21:09PT. Boehringer Ingelheim Dus, 3 blister @ 10 kapsul 12,936.00 5/21/2014 20:01PT. Boehringer Ingelheim Dus, 3 blister @ 10 kapsul 12,936.00 5/21/2014 20:01PT. Tempo Scan Pacific vial @ 20 ml 305,000.00 9/5/2014 23:17PT. Novell Pharmaeutical Laboravial 275,000.00 7/21/2014 21:09PT. Novartis Indonesia Dus, 4 blister @ 7 tablet 76,000.00 3/16/2014 19:08PT. Novartis Indonesia Dus, 4 blister @ 7 tablet 150,000.00 3/16/2014 19:08PT. Sydna Farma Dus, Botol @ 500ml 2,600,000. 4/3/2014 21:30PT. Sydna Farma Dus, Botol @ 100 tablet 25,300.00 4/3/2014 21:30PT. Novartis Indonesia Dus, 10 vial @ 500mg 112,000.00 4/3/2014 21:30PT. Indofarma Dus, 100 ampul @ 1 ml 1,580.00 3/15/2014 16:05PT. Indofarma Dus, 10 blister @ 10 tablet 68.00 3/15/2014 16:05PT. Merck Sharp Dohme PharmaDus, 1 Blister @ 28 tablet 70,000.00 8/6/2014 18:35PT. Ifars Pharmaceutical Labora Dus, tube @ 5 g 5,700.00 9/28/2014 21:46PT. Dexa Medica Kotak, tube @ 15 gram 9,983.00 3/16/2014 19:30PT. Kimia Farma Dus Tube 10 gram 9,818.00 4/23/2015 15:45PT. Indofarma Dus, 30 ampul @ 2 ml 4,180.00 3/15/2014 16:05PT. Actavis Indonesia Dus, 5 alubag @ 1 tube @ 2,5ml 16,748.00 9/28/2014 21:46PT. Actavis Indonesia Dus, 5 alubag @ 1 tube @ 2,5ml 11,525.00 9/28/2014 21:46PT. Kimia Farma Botol Plastik @ 100 tablet 45.00 1/5/2015 14:07PT. Holi Pharma Dus, 10 blister @10 tablet 136.00 3/15/2014 16:05PT. Lucas Djaja ampul @ 1 ml 1,054.00 3/15/2014 16:05PT. Pratapa Nirmala Box @ 5 ampul 2 mL 22,000.00 9/28/2014 21:46PT. Yarindo Farmatama Box 10 X 10 Tab 97.00 4/23/2013 10:24PT. Indofarma Dus, 10 strip @ 10 tablet 134.00 4/23/2013 10:24PT. Tanabe Indonesia 10 vial @ 50mg 127,667.00 3/18/2014 20:03PT. Pratapa Nirmala Vial 5 mL 46,667.00 3/18/2014 20:03PT. Tanabe Indonesia 3 blister @ 10 kapsul 3,667.00 3/18/2014 20:03PT. Tanabe Indonesia 3 blister @ 10 kapsul 4,015.00 3/18/2014 20:03PT. Kimia Farma Btl 100 tablet 104.00 4/23/2013 10:24PT. Cendo Industri Farmasi botol 15 ml 37,500.00 4/3/2014 21:30PT. Bayer Indonesia ampul 124,955.00 9/28/2014 21:46PT. Dipa Pharmalab ampul @ 5 ml 26,700.00 7/21/2014 21:09PT. Pfizer Indonesia Dus, 5 blister @10's tab 3,480.00 3/16/2014 18:23PT. Pfizer Indonesia Dus, 5 blister @10's tab 5,480.00 3/16/2014 18:23PT. Yarindo Farmatama Box @ 10 strip 10 kapsul 270.00 1/5/2015 14:07PT. Actavis Indonesia Dus, 1 vial @ 10 mg 55,500.00 3/16/2014 18:23

PT. Actavis Indonesia Dus, 1 vial @ 50 mg 274,125.00 3/16/2014 18:23PT. Novapharin btl @ 60 ml 3,333.00 3/15/2014 16:05PT. Novapharin dus 10 X 10'S 167.00 4/23/2013 10:24PT. Bernofarm Dus, botol @ 10 ml 15,600.00 3/15/2014 16:05PT. Dipa Pharmalab ampul @ 5 ml 9,840.00 7/21/2014 21:09PT. Sanbe Farma Dus, 1 vial @0,5 ml+ 1 vial pelar 970,200.00 4/3/2014 21:30PT. Kimia Farma Dus @ 5 vial 455,000.00 8/6/2014 18:35PT. SmithKline Beecham PhamacDus, Botol Plastik @ 30 Tablet 7,100.00 3/18/2014 20:03PT. Kimia Farma Botol 30 tab 6,375.00 6/16/2014 19:59PT. Bernofarm Ampul @ 1 ml 12,990.00 7/21/2014 21:08PT. Pfizer Indonesia Dus, 2 blister @ 15 tablet 42,600.00 4/3/2014 21:30PT. Aventis Pharma dus, 2 prefilled syringe @ 0,2 ml 40,740.00 3/18/2014 20:03PT. Aventis Pharma dus, 2 prefilled syringe @ 0,4 ml 71,875.00 3/18/2014 20:03PT. Aventis Pharma dus, 2 prefilled syringe @ 0,6 ml 100,000.00 3/18/2014 20:03PT. Phapros, Tbk Dus @ 30 Ampul 8,100.00 3/15/2014 16:05PT. Sanbe Farma Dus, 1 vial @5 ml 128,000.00 4/3/2014 21:30PT Kalbe Farma Vial @ 25 ml 500,000.00 3/16/2014 18:23PT. Gracia Pharmindo Dus 3 strip @ 10 Flash tablet 650.00 3/16/2014 19:08PT. Gracia Pharmindo Dus, Botol Plastik @ 100 mL 8,000.00 4/3/2014 21:30PT. Kimia Farma ktk 10 x 10 kapsul 497.00 4/23/2013 10:24PT. Indofarma Dus, 10 blister @ 10 kss 930.00 4/23/2013 10:24PT. Phyto Kemo Agung Farma Botol @60 ml 7,700.00 3/15/2014 16:05PT Kalbe Farma vial/ampul (Prefilled Syringe) 275,000.00 9/28/2014 21:46PT. Soho Industri Pharmasi Dus, 6 prefilled syrenge @ 0.5 ml 133,875.00 9/28/2014 21:46PT Kalbe Farma Prefilled Syringe @ 1ml 128,000.00 5/21/2014 20:01PT. Boehringer Ingelheim Boks, 6 ampul 139,500.00 4/3/2014 21:30PT. Kimia Farma ktk 20 x 10 tablet 314.00 4/23/2013 10:24PT. Indofarma Dus, 10 strip @ 10 tss 451.00 4/23/2013 10:24PT. Novapharin btl @ 100 ml 2,500.00 3/15/2014 16:05PT. Merck Sharp Dohme PharmaDus, botol @ 100 tablet 1,360.00 8/6/2014 18:35PT. Merck Sharp Dohme PharmaDus, 1 blister @ 1 subdermal imp 128,779.00 3/24/2014 14:34PT. Combiphar Vial 100mg/5ml 100,000.00 3/16/2014 18:23PT. Kimia Farma Botol 10 ml 16,667.00 3/18/2014 20:03PT. Novartis Indonesia Dus, 6 blister @ 10 tablet 11,813.00 3/16/2014 19:08PT. Novartis Indonesia Dus, 6 blister @ 10 tablet 23,250.00 3/16/2014 19:08PT. Graha Farma Dus, 1 vial @ 1000 IU+ 1 vial pel 8,500,000. 4/27/2015 18:36PT. Graha Farma Dus, 1 vial @ 500 IU+ 1 vial pela 4,423,500. 4/27/2015 18:36PT. Graha Farma Dual, vial 500 IU 4,400,000. 12/11/2014 2:12PT. Graha Farma Dus, vial @ 250 IU+ 1 vial pelar 2,095,000. 4/23/2015 15:45PT. Ferron Par Pharmaceuticals KOTAK @ 1 VIAL SERBUK OBAT & 9,200,000. 4/3/2014 21:30PT. Kimia Farma vial 1,133,000. 9/28/2014 21:46PT. Dipa Pharmalab Vial/ampul 990,000.00 1/5/2015 14:07PT. Dipa Pharmalab vial 2,150,000. 9/28/2014 21:46PT. Graha Farma 500 IU 1,990,417. 10/9/2015 18:21PT. Mersifarma Tirmaku Mercu KOTAK @ 10 ampul 20,250.00 3/15/2014 16:05PT. Ikapharmindo Botol @ 100 133.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu KOTAK @ 10 ampul 20,250.00 7/21/2014 21:08PT. Phapros, Tbk Dus @ 30 Ampul 1,800.00 4/23/2013 10:24

PT. Indofarma Dus, 10 strip @ 10 tablet 220.00 4/23/2015 15:45PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 kapsul 1,075.00 3/18/2014 20:03PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 kapsul 1,375.00 3/18/2014 20:03PT. Actavis Indonesia Dus 45 x 12 tab 235.00 4/3/2014 21:30PT. Phapros, Tbk 10 X 10 290.00 1/5/2015 14:07PT. Phapros, Tbk Ds 10 str x 10's 510.00 9/28/2014 21:46PT. Boehringer Ingelheim Box, canister 10mL 72,900.00 8/6/2014 18:35PT. Boehringer Ingelheim Dus, Canister 200 dosis 117,500.00 4/3/2014 21:30PT. Kimia Farma Dus 5 ampul@ 10ml 128,000.00 3/18/2014 20:03PT. Kimia Farma Dus 5 ampul@ 2ml 33,914.00 3/18/2014 20:03PT. Kimia Farma Dus @ 5 patch 80,000.00 4/3/2014 21:30PT. Kimia Farma Dus@ 5 patch 153,000.00 3/18/2014 20:03PT. Kimia Farma Dus@ 5 patch 285,000.00 3/18/2014 20:03PT Kalbe Farma pfs @ 0,5 ml 375,000.00 3/16/2014 18:23PT. Combiphar Box, isi 3 Strip @ 10 tab 2,950.00 7/21/2014 21:09PT. Marin Liza Farmasi Botol @ 100 tablet salut gula 634.00 4/23/2013 10:24PT. Phapros, Tbk dus @ 30 ampul 3,417.00 8/6/2014 18:35PT. Aventis Pharma Dus, 5 vial @ 50 mg 1,248,319. 4/3/2014 21:30PT. Aventis Pharma Dus, 4 blister @ 5 tablet salut sel 275,000.00 4/3/2014 21:30PT. Mersifarma Tirmaku Mercu Dus, 5 ampul @ 1ml 55,000.00 3/16/2014 19:08PT. Novell Pharmaeutical LaboraBotol 38,000.00 3/15/2014 16:05PT. Pfizer Indonesia Blister 4,862.00 9/28/2014 21:46PT. Kimia Farma ktk 1 x 10 kapsul 22,000.00 3/15/2014 16:05PT. Gracia Pharmindo strip 419.00 3/16/2014 18:23PT. Dexa Medica DUS, 30 TABLET 410.00 3/16/2014 18:23PT. Sanbe Farma botol @ 5 ml 30,493.00 9/28/2014 21:46PT Kalbe Farma vial @ 1 ml 24,500.00 3/16/2014 18:23PT Kalbe Farma vial @ 10 ml 33,000.00 3/16/2014 18:23PT. Ifars Pharmaceutical Labora Dus, Tube 5 g 2,400.00 3/16/2014 18:23PT. Ikapharmindo Dus, tube @ 10 g 5,489.00 8/19/2015 18:52PT. Glaxo Wellcome Indonesia Dus, Botol 120 Dosis Spay 93,333.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 2 flow wrap@ 5 nebules @ 1 12,917.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 2 pfs 0.5 ml 241,667.00 3/18/2014 20:03PT. Dipa Pharmalab dus, vial @ 250 ml 972,000.00 8/6/2014 18:35PT. Indofarma Dus, 25 ampul @ 2 ml 1,829.00 4/23/2013 10:24PT. Indofarma Dus, 10 strip @ 10 tablet 85.00 4/23/2013 10:24PT. Bayer Indonesia Prefilled Syringe 275,000.00 8/6/2014 18:35PT. Bayer Indonesia Prefilled Syringe 412,500.00 8/6/2014 18:35PT. Bayer Indonesia Prefilled Syringe 2,570,000. 8/6/2014 18:35PT. Boehringer Ingelheim Boks, 1 ampul 399,500.00 4/3/2014 21:30PT. Rama Emerald Multi Sukses Kotak 100 Shachet 285.00 3/15/2014 16:05PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 295,000.00 4/3/2014 21:30PT. Indofarma Dus, 10 blister @ 12 kapsul 289.00 4/23/2013 10:24PT. Indofarma Dus, 10 blister @ 10 kaptab 679.00 4/23/2013 10:24PT. Bayer Indonesia vial 1,098,900. 3/16/2014 18:23PT. Sanbe Farma Dus, 1 vial @200 mg 330,000.00 4/3/2014 21:30PT. Indofarma Dus, 5 ampul @ 2 ml 3,399.00 4/23/2013 10:24PT. Erela Tube @ 3,5 gr 2,600.00 3/16/2014 18:23

PT. Indofarma Dus, botol plastik 5 ml 3,194.00 3/15/2014 16:05PT. Indofarma Dus, 10 blister @ 10 kaptab 56.00 3/15/2014 16:05PT. Pradja Pharin Dus, 6 strip @ 10 tablet lepas la 638.00 4/3/2014 21:30PT. Tempo Scan Pacific Strip 235.00 3/16/2014 18:23PT. Darya Varia Box, 30 Tablet 5,500.00 12/5/2014 22:08PT. Dexa Medica Dus, 10 Strip @ 10 tablet 950.00 3/15/2014 16:05PT. Kimia Farma ktk 5x10 tablet 265.00 4/23/2013 10:24PT. Kimia Farma ktk 5x10 tablet 436.00 4/23/2013 10:24PT. Kimia Farma ktk 5x10 tablet 404.00 4/23/2013 10:24PT. Kimia Farma ktk 5x10 tablet 430.00 4/23/2013 10:24PT. Pfizer Indonesia Dus, botol@TAB 10MG 30 3,207.00 1/5/2015 14:07PT. Pfizer Indonesia Dus, botol@TAB 10MG 31 3,000.00 1/5/2015 14:07PT. Tempo Scan Pacific 1 box isi 5 ampul 10 ml 119,900.00 4/28/2015 11:39PT. Kimia Farma Dus 10x10 1,493.00 4/3/2014 21:30PT. Kimia Farma Dus 10x10 2,171.00 4/3/2014 21:30PT. Actavis Indonesia Btl @ 30 tablet 1,500.00 3/18/2014 20:03PT. Lucas Djaja Glycerin 100 ml 5,333.00 3/18/2014 20:03PT. Widatra Bhakti botol @ 500 ml 5,700.00 4/23/2013 10:24PT. Widatra Bhakti botol @ 500 ml 5,200.00 4/23/2013 10:24PT. AstraZeneca indonesia Dus, 1 syringe @ 10.8 mg 2,300,000. 4/3/2014 21:30PT. AstraZeneca indonesia Dus, 1 syringe @ 3.6 mg 840,000.00 4/3/2014 21:30PT. Indofarma Dus, 10 blister @ 10 tablet 219.00 4/23/2013 10:24PT. Soho Industri Pharmasi Dus 5 Ampul@1mL 83,333.00 3/18/2014 20:03PT. Mersifarma Tirmaku Mercu KOTAK @ 12 ampul 6,250.00 9/28/2014 21:46PT. Indofarma Dus, 10 blister @ 10 tablet 59.00 4/23/2013 10:24PT. Indofarma Dus, 10 blister @ 10 tablet 69.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 126.00 3/16/2014 18:23PT. Indofarma Dus, 10 blister @ 10 tablet 96.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu BOTOL @ 15 ML 16,500.00 10/24/2014 21:14PT. Dexa Medica Botol 641,500.00 3/18/2014 20:03PT. Pratapa Nirmala vial 42,900.00 7/21/2014 21:09PT. Dipa Pharmalab Dus, 1 syringe @ 0.5 mL 1,328,000. 5/22/2014 14:25PT. Kimia Farma dus, 10 strip @ 10 tablet 149.00 4/23/2015 15:45PT. Marin Liza Farmasi tube @ 5 ml 2,570.00 4/23/2013 10:24PT. Kimia Farma Tube 5 gr 2,798.00 4/23/2013 10:24PT. Dipa Pharmalab vial 5,400.00 9/28/2014 21:46PT. Otto Pharmaceuticals box 5ampul @1 ml 4,500.00 3/18/2014 20:03PT. Cendo Industri Farmasi Botol 5ml 18,000.00 12/5/2014 22:08PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00 4/27/2015 18:36PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00 4/3/2014 21:30PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00 4/3/2014 21:30PT. Sanbe Farma penfillcartridge @ 3ml 75,000.00 4/3/2014 21:30PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00 4/13/2015 15:52PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00 4/13/2015 15:52PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00 4/27/2015 18:36PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00 4/3/2014 21:30

PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00 4/3/2014 21:30PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus, 5 Prefilled pen @ 3 ml 76,125.00 4/27/2015 18:36PT. Ferron Par Pharmaceuticals Injeksi 100 IU/ml, penfill disposibl76,125.00 4/3/2014 21:30PT. Sanbe Farma penfill cartridge @ 3ml 75,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus Isi 5 penfill/cartridge @ 3ml 76,125.00 4/3/2014 21:30PT. Ferron Par Pharmaceuticals Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Bayer Indonesia Dus, vial 10 ml 138,000.00 4/3/2014 21:30PT. Aventis Pharma Dus, 1 Vial @ 5 ml 72,000.00 4/13/2015 15:52PT. Dexa Medica Prefilled syringe 170,000.00 8/6/2014 18:35PT. Indofarma Dus, botol 60 ml 3,499.00 3/15/2014 16:05PT. Indofarma Dus, botol 60 ml 4,499.00 4/23/2013 10:24PT. Yarindo Farmatama botol @ 100 tablet 110.00 4/23/2013 10:24PT. Holi Pharma Dus, 10 strip @ 10 tablet 149.00 4/23/2013 10:24PT. Mugi Laboratories Dus, 1 vial @ 1 g 1,329,163. 4/3/2014 21:30PT. Novartis Indonesia Dus, 6 blister @ 10 tablet salut s 211,000.00 9/28/2014 22:55PT. Tanabe Indonesia 3 blister @ 10 tablet 3,908.00 3/18/2014 20:03PT. Tanabe Indonesia 3 blister @ 10 tablet 2,120.00 3/18/2014 20:03PT. Dipa Pharmalab Dus, botol @ 100 ml 350,000.00 4/3/2014 21:30PT. Dipa Pharmalab Dus, vial @ 30 ml 122,000.00 5/21/2014 10:06PT. Dipa Pharmalab Dus, vial @ 50 ml 166,000.00 4/3/2014 21:30PT. Dipa Pharmalab Dus, botol @ 100 ml 369,000.00 4/3/2014 21:30PT. Dipa Pharmalab Dus, vial @ 30 ml 147,000.00 5/21/2014 10:06PT. Dipa Pharmalab Dus, vial @ 50 ml 199,000.00 4/3/2014 21:30PT. Bayer Indonesia Botol 245,000.00 4/3/2014 21:30PT. Bayer Indonesia Botol 123,200.00 4/3/2014 21:30PT. Bayer Indonesia Botol 299,000.00 4/3/2014 21:30PT. Bayer Indonesia Botol 150,300.00 4/3/2014 21:30PT. Boehringer Ingelheim Box, canister 10mL 80,000.00 8/6/2014 18:35PT. Boehringer Ingelheim Box, bottle 20mL 90,000.00 12/5/2014 22:08PT. Indofarma Dus, 5 blister @ 10 kss 1,425.00 3/15/2014 16:05PT. Indofarma Dus, 5 blister @ 10 kss 2,470.00 3/15/2014 16:05PT. Sanbe Farma Dus, 1 vial @2 ml 510,000.00 4/3/2014 21:30PT. Pratapa Nirmala Botol 100 mL 270,000.00 9/28/2014 21:46PT. Phyto Kemo Agung Farma Botol 100 tablet 65.00 9/28/2014 21:46PT. Phyto Kemo Agung Farma Botol 100 tablet 158.00 9/28/2014 21:46PT. Pratapa Nirmala vial 33,000.00 7/21/2014 21:09PT. Indofarma Dus, 10 strip @ 10 tablet 88.00 4/23/2013 10:24PT. Kimia Farma Dus, 5 strip @ 10 tablet 189.00 1/5/2015 14:07PT. Tempo Scan Pacific Strip 694.00 3/16/2014 18:23PT. Merck Tbk Dus, 10 strip @ 10 tablet 1,580.00 4/3/2014 21:30PT. Tempo Scan Pacific Vial 50 mg/5 ml 82,000.00 7/21/2014 21:09PT. Ethica Industri Farmasi Ampul 7,800.00 4/3/2014 21:30PT. Afifarma Dus,10 Strip @ 10 tablet 70.00 9/28/2014 21:46PT. Novell Pharmaeutical Laborakantong 5 g 7,700.00 9/28/2014 21:46PT. Hexpharm Jaya Laboratoriesvial 5,000.00 3/15/2014 16:05PT. Dexa Medica Dus, 3 Blister @ 10 tablet 4,900.00 3/15/2014 16:05

PT. Dexa Medica Dus, 3 Blister @ 10 tablet 3,100.00 3/15/2014 16:05PT. Boehringer Ingelheim Boks, 120 tablet 27,500.00 4/3/2014 21:30PT. Indofarma Dus, 10 strip @ 10 tablet 140.00 4/23/2013 10:24PT. Errita Pharma Dus, 10 strip @10 tablet 80.00 3/15/2014 16:05PT. Indofarma Dus, 10 strip @ 10 tablet 62.00 3/15/2014 16:05PT. Novartis Indonesia Dus, botol @ 120 ml 44,770.00 3/16/2014 19:30PT. Indofarma Dus, 10 blister @ 10 tablet 245.00 4/23/2013 10:24PT. Nicholas Laboratories Indon Dus,botol 100 tablet 875.00 4/3/2014 21:30PT. Lucas Djaja Fenol 100 mg / 1 ml 2,042.00 3/18/2014 20:03PT. Tempo Scan Pacific vial @ 15 ml 190,000.00 9/5/2014 23:17PT. Tempo Scan Pacific vial @ 45 ml 408,000.00 9/5/2014 23:17PT Kalbe Farma strip 1,360.00 9/28/2014 21:46PT. Guardian Pharmatama Vial @ 10 ml 110,000.00 3/16/2014 18:23PT. Combiphar Box, isi 1 vial @ 10 ml 60,300.00 7/21/2014 21:09PT. Kimia Farma tube 10 gr 2,569.00 4/23/2013 10:24PT. Hexpharm Jaya Laboratoriestube 5 gr 2,850.00 4/23/2013 10:24PT. Novell Pharmaeutical LaboraBox isi 1 Tube @ 15 g 4,700.00 4/23/2013 10:24PT. Ikapharmindo Botol 80 ml 28,000.00 9/28/2014 21:46PT. Dexa Medica Dus, 5 Strip @ 10 tablet 300.00 4/23/2013 10:24PT. Kimia Farma dus 2 's @ 10 supp 2,722.00 7/21/2014 21:09PT. Phapros, Tbk Dus @ 12 Ampul 2,300.00 3/15/2014 16:05PT. Ifars Pharmaceutical Labora Dus, 3 Strip @ 10 Kaplet salut sel 3,200.00 3/16/2014 18:23PT. Indofarma Dus, 5 blister @ 10 kapsul 361.00 4/23/2013 10:24PT. Indofarma Dus, 5 blister @ 10 kapsul 553.00 4/23/2013 10:24PT. Dexa Medica Dus, 10 Strip @ 10 tablet 900.00 3/15/2014 16:05PT. Boehringer Ingelheim Box, 10 ampoules @ 1mL 30,600.00 8/6/2014 18:35PT. Kimia Farma Ktk 10X10 TAB 184.00 4/23/2013 10:24PT. Hexpharm Jaya LaboratoriesDus, 3 strip @ 10 tab 3,400.00 3/15/2014 16:05PT. Bufa Aneka Box isi 24 tube @ 15 gram 3,524.00 4/23/2015 15:45PT. Erela Tube @ 5 gram 1,600.00 4/23/2013 10:24PT. Sanbe Farma vial 7,260.00 1/5/2015 14:07PT. Bernofarm Botol @ 60 ml 3,680.00 4/23/2013 10:24PT. Rama Emerald Multi Sukses kotak,10strip@10 tablet 51.00 4/23/2015 15:45PT. Phapros, Tbk Dus @ 30 Ampul 1,050.00 4/23/2013 10:24PT. Phapros, Tbk Dus @ 30 Ampul 1,100.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu Kotak @ 10 x 10 tab 144.00 1/5/2015 14:07PT. Phapros, Tbk 10 X 10 68.00 1/5/2015 14:07PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 5,000.00 4/3/2014 21:30PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 1,550.00 4/3/2014 21:30PT. Kimia Farma ktk 10x10 tablet 500.00 4/23/2013 10:24PT. Kimia Farma ktk 10x10 tablet 850.00 4/23/2013 10:24PT. Kimia Farma ktk 10x10 tablet 1,100.00 4/23/2013 10:24PT. Pratapa Nirmala Btl @ 30 kapsul 2,500.00 9/28/2014 21:46PT. Pratapa Nirmala Box @ 3 strip 10 tab 3,950.00 4/23/2015 15:45PT. Fresenius Kabi Combiphar Botol Plastik @ 500 ml 33,000.00 7/21/2014 21:09PT. Boehringer Ingelheim 1 dus @ 20 vial 5,990.00 1/5/2015 14:07PT. Triyasa Nagamas Farma Vial 5,350.00 12/5/2014 22:08PT. Galenium Pharmasia LaboratBotol @ 60 ml 12,450.00 3/16/2014 19:08

PT. Kimia Farma 1 sase @30 tablet 50.00 3/15/2014 16:05PT. Cendo Industri Farmasi botol 15 ml 15,750.00 4/3/2014 21:30PT. Novartis Indonesia Dus, 4 blister @ 6 tablet 3,220.00 4/3/2014 21:30PT. Novartis Indonesia Dus, botol plastik @ 30 tablet sal 8,900.00 4/3/2014 21:30PT. Abbott Indonesia botol @ 120 tablet 6,100.00 8/6/2014 18:35PT. Glaxo Wellcome Indonesia Dus, Botol 120 Dosis 90,667.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60 dosis 100,833.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, foil strip @ 60 dosis 113,333.00 3/18/2014 20:03PT. Kimia Farma Dus, 100 blister @ 28 tablet 2,089.00 1/5/2015 14:07PT. Holi Pharma Dus, 10 strip @ 10 kaptab 149.00 3/15/2014 16:05PT. Lucas Djaja Botol @ 60 ml 2,145.00 3/15/2014 16:05PT. Kimia Farma ktk 60 tablet 670.00 4/23/2013 10:24PT. Kimia Farma ktk 100 amp @ 2 ml 6,200.00 4/23/2013 10:24PT. Kimia Farma ktk 10 x 10 tablet 540.00 4/23/2013 10:24PT. Ikapharmindo Botol 60 ml 14,500.00 4/28/2015 11:14PT. Kimia Farma Botol 30 tab 2,000.00 9/28/2014 21:46PT. Kimia Farma Botol 60 tablet 1,400.00 4/23/2013 10:24PT. Takeda Indonesia Serbuk vial 82,042.00 4/3/2014 21:30PT. Indofarma Dus, 2 strip @ 10 kapsul 473.00 4/23/2013 10:24PT. SmithKline Beecham PhamacDus, 7 Blister @ 10 tablet 67,200.00 3/18/2014 20:03PT. Finusolprima Farma Internasbotol 500 ml 56,300.00 4/3/2014 21:30PT Otsuka Indonesia Softbag 500 ML 56,300.00 3/18/2014 20:03PT Otsuka Indonesia Softbag 500 ML 37,500.00 3/18/2014 20:03PT Otsuka Indonesia Double Chamber Softbag 1000 M 115,500.00 5/28/2014 19:25PT Otsuka Indonesia Double Chamber Softbag 500 ML 61,600.00 5/28/2014 19:25PT Kalbe Farma botol 500 mL 75,350.00 4/3/2014 21:30PT. Fresenius Kabi Combiphar Botol Gelas 100 ml 36,667.00 4/14/2014 9:16PT. Fresenius Kabi Combiphar Botol Gelas 250 ml 50,820.00 4/14/2014 9:16PT Otsuka Indonesia Softbag 200 ML 46,000.00 4/12/2014 17:56PT Otsuka Indonesia Softbag 500 ML 65,000.00 4/12/2014 17:56PT. Fresenius Kabi Combiphar Botol Gelas 500 ml 78,720.00 3/18/2014 20:03PT. Finusolprima Farma Internasbotol 250 ml 51,260.00 4/3/2014 21:30PT. Finusolprima Farma Internasbotol 500 ml 64,900.00 4/3/2014 21:30PT Kalbe Farma botol 500 mL 42,000.00 4/3/2014 21:30PT Kalbe Farma botol 250 mL 46,000.00 4/3/2014 21:30PT. Fresenius Kabi Combiphar Bag (3 Chamber) 1440 ml 295,240.00 4/14/2014 9:16PT. Fresenius Kabi Combiphar Bag (3 Chamber) 1920 ml 343,842.00 4/14/2014 9:16PT. Phapros, Tbk Bag Double chamber (Dua compa322,000.00 4/3/2014 21:30PT. Phapros, Tbk Bag Double chamber (Dua compa218,700.00 4/3/2014 21:30PT Otsuka Indonesia Ampoel 25 ML 2,050.00 3/18/2014 20:03PT. Widatra Bhakti Botol 1000 ml 8,000.00 4/3/2014 21:30PT Otsuka Indonesia Plastic Bottle 500 ML 9,000.00 4/3/2014 21:30PT Otsuka Indonesia Plastic Bottle 500 ML 9,000.00 4/3/2014 21:30PT Kalbe Farma flexybag 250 mL 87,000.00 4/3/2014 21:30PT. Phapros, Tbk LDPE (Low Density Poly Ethilene), 12,650.00 4/3/2014 21:30PT Kalbe Farma botol 500 mL 50,500.00 4/3/2014 21:30PT Kalbe Farma Flexy bag 500 mL 42,350.00 4/3/2014 21:30PT Otsuka Indonesia Plastic Bottle 500 ML 29,167.00 3/18/2014 20:03

PT Otsuka Indonesia Plastic Bottle 500 ML 55,500.00 4/12/2014 17:56PT Kalbe Farma botol 500 mL 37,500.00 4/3/2014 21:30PT Kalbe Farma Botol Plastik 1000 mL 210,000.00 5/21/2014 20:01PT Kalbe Farma Botol Plastik 1000 mL 199,000.00 4/3/2014 21:30PT Kalbe Farma botol 500 mL 56,000.00 4/3/2014 21:30PT. Widatra Bhakti Botol 500 ml 9,500.00 4/3/2014 21:30PT. Widatra Bhakti Botol 500 ml 6,800.00 4/3/2014 21:30PT. Widatra Bhakti Botol 500 ml 6,917.00 3/18/2014 20:03PT. Widatra Bhakti Botol 500 ml 7,700.00 3/18/2014 20:03PT. Widatra Bhakti Botol 500 ml 7,700.00 3/18/2014 20:03PT. Sanbe Farma softbag 500ml 35,750.00 4/3/2014 21:30PT. Widatra Bhakti Botol 500 ml 6,930.00 4/3/2014 21:30PT Otsuka Indonesia Plastic Bottle 500 ML 9,167.00 3/18/2014 20:03PT Otsuka Indonesia Plastic Bottle 500 ML 10,000.00 4/3/2014 21:30PT Otsuka Indonesia Plastic Bottle 500 ML 10,000.00 4/3/2014 21:30PT. Phapros, Tbk 20%, Botol Kaca @100 ml, single 105,500.00 4/3/2014 21:30PT. Fresenius Kabi Combiphar Botol Gelas 100 ml 60,500.00 3/18/2014 20:03PT. Phapros, Tbk 20%, Botol Kaca @250 ml, single 210,000.00 4/3/2014 21:30PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)591,000.00 4/3/2014 21:30PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)511,000.00 4/3/2014 21:30PT. Phapros, Tbk Bag, 3 chamber ( 3 kompartemen)358,000.00 4/3/2014 21:30PT. Cendo Industri Farmasi strip 5 x 0.6 ml 72,000.00 4/3/2014 21:30PT. Pfizer Indonesia dus, Botol @ 2,5 ml 127,000.00 8/6/2014 18:35PT. Aventis Pharma Dus, 1 vial @ 263 mcg + 1 prefill 550,000.00 8/6/2014 18:35PT. Novartis Indonesia Dus, 3 blister @ 10 tablet 17,500.00 9/28/2014 21:46PT. Takeda Indonesia Vial 700,000.00 4/3/2014 21:30PT. Takeda Indonesia Vial 2,700,000. 4/3/2014 21:30PT. Takeda Indonesia Vial 500,000.00 9/28/2014 21:46PT. Infion Pharmaceutical Box, 1 Botol @ 100 ml 40,000.00 3/15/2014 16:05PT. Novell Pharmaeutical LaboraBox, 1 Botol @ 100 ml 40,000.00 3/15/2014 16:05PT. Promedrahardjo Farmasi IndDus, 5 Strip@10 Tablet 528.00 4/23/2013 10:24PT. Erela Btl @ 5 ml 13,068.00 9/28/2014 21:46PT. Merck Tbk Dus 4 blister @ 25 tablet 850.00 9/28/2014 21:46PT. Merck Tbk Dus 4 blister @ 25 tablet 637.50 4/28/2015 11:14PT. Bernofarm Dus, 100 ampul @ 2 ml 839.00 3/15/2014 16:05PT. Indofarma Dus, 30 ampul @ 2 ml 1,363.00 4/23/2013 10:24PT. AstraZeneca indonesia Dus, 10 syringe @ 10 g 40,000.00 4/3/2014 21:30PT. AstraZeneca indonesia Dus,Botol @ 50 ml (500 dosis) 142,000.00 9/28/2014 21:46PT. Novell Pharmaeutical LaboraBox ,3 Strip @ 10 tablet 600.00 4/23/2013 10:24PT. Novell Pharmaeutical LaboraBox ,3 Strip @ 10 tablet 350.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,050.00 4/3/2014 21:30PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,850.00 4/3/2014 21:30PT. Ifars Pharmaceutical Labora Dus, 10 Strip @ 10 Tablet 89.00 4/23/2013 10:24PT. Promedrahardjo Farmasi IndDus, 5 Strip@10 Tablet 154.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 685.00 10/24/2014 21:14PT. Mersifarma Tirmaku Mercu KOTAK @ 10 x 10 TAB 1,341.00 3/16/2014 18:23PT. Novell Pharmaeutical Laboraampul 52,000.00 7/21/2014 21:09PT Otsuka Indonesia Dus, 120 ampul plastik @ 25 ml 2,800.00 4/28/2015 11:14

PT Otsuka Indonesia Dus, 120 ampul plastik @ 25 ml 3,500.00 4/28/2015 11:14PT. Finusolprima Farma Internasbotol 500 ml 62,000.00 6/16/2014 19:59PT. Soho Industri Pharmasi Strip 1,200.00 3/16/2014 18:23PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 3,276.00 3/16/2014 18:23PT. Kimia Farma Dus @ 5 vial 473,000.00 8/6/2014 18:35PT. Taisho Pharmaceutical Indo Dus,24 Catch @ 1 tablet 7,140.00 3/18/2014 20:03PT. Pfizer Indonesia Dus, 10 blister @10 tablet 6,125.00 12/5/2014 22:08PT. Glaxo Wellcome Indonesia Box, Tablet 2 mg/25's 12,210.00 4/3/2014 21:30PT. Bernofarm Dus, 1 vial @ 1 g 54,000.00 3/15/2014 16:05PT. Bernofarm Dus, 1 vial @ 0,5 g 44,960.00 7/21/2014 21:08PT. Mugi Laboratories Dus, 15 Ampul 74,998.00 4/3/2014 21:30PT. Kimia Farma Botol 1000 ml 254,100.00 3/18/2014 20:03PT. Bernofarm Dus, 10 blister @ 10 tablet 112.50 4/23/2013 10:24PT. Bernofarm Dus, 10 blister @ 10 kaptab 197.50 4/23/2013 10:24PT. Actavis Indonesia Dus, 10 Strip @ 10 tablet salut se 800.00 9/28/2014 21:46PT. Kimia Farma ktk 10 x 10 tablet salut 154.00 4/23/2013 10:24PT. Ethica Industri Farmasi ampul @ 1 ml 2,750.00 1/5/2015 14:07PT. Novartis Indonesia Dus, botol plastik @ 30 kapsul p 6,537.00 4/3/2014 21:30PT. Novartis Indonesia Dus, 2 blister @ 15 tablet 1,950.00 9/28/2014 21:46PT. Dexa Medica Dus, 1 Vial @125mg + 1 ampul pe19,500.00 7/21/2014 21:08PT. Bernofarm Dus, 1 vial @ 500 mg 89,990.00 7/21/2014 21:08PT. Mahakam Beta Farma Strip 635.00 4/23/2013 10:24PT. Natura Laboratoria Prima Dus, 10 Blister @ 10 Tablet 205.00 4/23/2013 10:24PT. Dexa Medica Dus, 10 Blister @ 10 tablet 300.00 4/23/2013 10:24PT. Meprofarm Dus, Botol 10 ml 5,280.00 9/28/2014 21:46PT. Molex Ayus BOTOL 60 ML 2,600.00 9/28/2014 21:46PT. Kimia Farma ktk 10 x 10 tablet 108.00 4/23/2013 10:24PT Kalbe Farma vial @ 2 ml 35,750.00 9/28/2014 21:46PT. Sandoz Indonesia Box 10 ampul @ 1 ml 21,120.00 9/28/2014 21:46PT. Sandoz Indonesia Box, bottle @ 50 tab 1,680.00 9/28/2014 21:46PT. Natura Laboratoria Prima Dus, 1 Botol @ 100 ml 9,950.00 4/23/2013 10:24PT. Kimia Farma dus 1 's @ 5 ovula 3,850.00 9/28/2014 21:46PT. Ifars Pharmaceutical Labora Dus, botol 60ml 4,100.00 4/23/2015 15:45PT. Aventis Pharma Dus, 2 blister @ 5 suppositoria 3,220.00 3/16/2014 18:23PT. Phyto Kemo Agung Farma 10 strip @ 10 tab 110.00 4/23/2013 10:24PT. Phyto Kemo Agung Farma 10 strip @ 10 tab 160.00 4/23/2013 10:24PT. Kimia Farma vial 1,925,000. 9/28/2014 21:46PT. Kimia Farma Dus @ 5 vial 1,237,500. 5/21/2014 20:01PT. Boehringer Ingelheim Boks 10 amp 6,119.00 3/16/2014 18:23PT. Boehringer Ingelheim Boks 5 amp 12,060.00 3/16/2014 18:23PT. Combiphar Dus,1 vial@50mg 260,000.00 4/3/2014 21:30PT. Boehringer Ingelheim Boks, 50 tablet 16,000.00 8/6/2014 18:35PT. Kimia Farma Tube 10 gram 3,000.00 4/23/2013 10:24PT. Phapros, Tbk Btl @ 500 ml 72,000.00 9/28/2014 21:46PT. Tempo Scan Pacific botol, tetes mata 3 ml 77,000.00 4/3/2014 21:30PT. Guardian Pharmatama tube 10 gram 17,820.00 3/15/2014 16:05PT. Kimia Farma Dus 10 amp @ 1 ml 8,400.00 3/18/2014 20:03PT. Mahakam Beta Farma Dus, 6 strip @ 10 tablet 15,620.00 4/3/2014 21:30

PT. Mahakam Beta Farma Dus, 6 strip @ 10 tablet 22,990.00 4/3/2014 21:30PT. Mahakam Beta Farma Dus, 6 Strip @ 10 Tablet 41,470.00 10/9/2015 18:21PT. Kimia Farma Botol 30 tablet 1,300.00 4/23/2013 10:24PT. Widatra Bhakti Botol 500 ml 4,700.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.3 ml 54,144.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.4 ml 66,640.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 5 blister @ 2 pfs 0.6 ml 94,962.00 3/18/2014 20:03PT. Pratapa Nirmala Dus, 5 Ampul @ 2ml 61,600.00 3/16/2014 18:23PT. Pratapa Nirmala Box @ 5 ampul 13,200.00 9/28/2014 21:46PT Otsuka Indonesia Ampoel 25 ML 6,200.00 3/18/2014 20:03PT. Novell Pharmaeutical LaboraBox ,5 Blister @ 10 tablet 200.00 4/23/2013 10:24PT. Combiphar Botol, 45 ml 33,900.00 5/21/2014 20:01PT. Molex Ayus Tube 5 gr 6,490.00 3/16/2014 18:23PT. Pharma Health Care Box, isi 5 ampul @ 1 ml 9,500.00 7/21/2014 21:09PT. Kimia Farma btl 60 tablet 2,800.00 4/23/2013 10:24PT. Bayer Indonesia blister 2,999.00 3/16/2014 18:23PT. Bayer Indonesia blister 3,500.00 3/16/2014 18:23PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut se 100.00 3/15/2014 16:05PT. Pratapa Nirmala Box @ 1 vial 66,000.00 4/23/2015 15:45PT. Novartis Indonesia Dus, 2 blister @ 14 kapsul 380,875.00 9/28/2014 22:55PT. Phapros, Tbk Dus @ 10 X 10 's 640.00 4/23/2013 10:24PT. Phapros, Tbk Dus @ 10 X 10 's 480.00 4/23/2013 10:24PT. Dexa Medica ampul 52,000.00 7/21/2014 21:09PT. Bayer Indonesia blister 2,618.00 3/16/2014 18:23PT. Phapros, Tbk Paket 359,900.00 4/23/2013 10:24PT. Indofarma Paket 1,199,990. 4/23/2013 10:24PT. Phapros, Tbk Paket 214,900.00 4/23/2013 10:24PT. Indofarma Paket@84 tablet 160,000.00 4/23/2013 10:24PT. Indofarma Dus, 1 dus @ 60 blister @ 8 tablet288,199.00 4/23/2013 10:24PT. Indofarma Dus, 60 sachet tahap intensif @ (1171,195.00 4/23/2013 10:24PT. Pratapa Nirmala Box @ 5 ampul 80,000.00 9/28/2014 21:46PT Kalbe Farma Btl @ 5 ml 48,500.00 1/5/2015 14:07PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 400.00 4/23/2013 10:24PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 650.00 4/23/2013 10:24PT. Aventis Pharma Dus, 1 vial @ 20 ml 1,100,000. 9/5/2014 23:17PT. Aventis Pharma Dus, 1 vial @ 10 ml 550,000.00 9/5/2014 23:17PT. Merck Tbk botol @ 10 ml 27,550.00 3/16/2014 18:23PT. Merck Tbk botol 15 ml 29,000.00 4/23/2015 15:45PT. Ethica Industri Farmasi ampul @ 1 ml 2,200.00 9/28/2014 21:46PT. Novartis Indonesia Dus, vial @ 355m + 1 prefilled sy 2,950,000. 4/3/2014 21:30PT. Bayer Indonesia Vial 120,000.00 5/21/2014 20:01PT. Sandoz Indonesia 3 X 10 fcc 6,450.00 3/16/2014 18:23PT. Sandoz Indonesia 3 X 10 fcc 11,200.00 3/16/2014 18:23PT. Tempo Scan Pacific botol, tetes mata 5 ml 68,000.00 9/6/2014 1:27PT. Novell Pharmaeutical LaboraDus, 1 Vial @ 40 mg 32,800.00PT. Rajawali (35 %) Dus, 1 Vial @ 40 mg 28,600.00PT. Quantum Dus, 1 Vial @ 40 mg 31,000.00PT. Natura Laboratoria Prima Dus, 1 Vial @ 40 mg 36,000.00 3/15/2014 16:05

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PT. Novapharin dus 10 X 3'S 211.00 4/23/2013 10:24PT. Indofarma Dus, 5 Ampul @ 2ml 2,400.00 3/15/2014 16:05PT. Yarindo Farmatama Box 3 X 10 Tab 716.00 3/15/2014 16:05PT. Yarindo Farmatama Box 3 X 10 Tab 1,189.00 3/15/2014 16:05PT Kalbe Farma Transfer Set: Set; Ultaclam: Kant 1,902,240. 3/15/2014 16:14PT Kalbe Farma Set 219,540.00 3/15/2014 16:14PT Kalbe Farma Larutan Dialisa 1.5 %: 2.000 ml; L 5,522,580. 3/16/2014 19:49PT. Actavis Indonesia Vial 6mg/ml (100mg/16.67ml) 984,000.00 9/5/2014 23:17PT. Actavis Indonesia Vial 6mg/ml (260mg/43.33ml) 3,000,000. 9/5/2014 23:17PT. Actavis Indonesia Vial 6mg/ml (30mg/5ml) 274,560.00 9/5/2014 23:17PT. Indofarma Dus, 15 botol 5,200.00 5/20/2014 18:46PT. Novell Pharmaeutical Laborabotol 40,000.00PT. Afifarma botol 60 ml 1,438.00 4/23/2013 10:24PT. Imfarmind Farmasi industri Dus, 10 strip @ 10 kaptab 89.00 4/23/2013 10:24PT. Ifars Pharmaceutical Labora Dus, botol @ 15 ml 6,450.00 7/21/2014 21:09PT. Boehringer Ingelheim Boks, 1 pfs 1,077,815. 3/16/2014 19:08PT. Boehringer Ingelheim Boks, 1 pfs 1,248,220. 3/16/2014 19:08PT. Merck Sharp Dohme PharmaDus, 1 vial 100 mcg + 1 ampul pel 973,500.00 4/3/2014 21:30PT. Merck Sharp Dohme PharmaDus, 1 prefilled syringe (serbuk i 1,135,000. 4/3/2014 21:30PT. Merck Sharp Dohme PharmaDus, 1 vial 50 mcg + 1 ampul pelar915,000.00 8/6/2014 18:35PT. Merck Sharp Dohme PharmaDus, 1 vial 80 mcg + 1 ampul pelar915,810.00 4/3/2014 21:30PT. Darya Varia tube @ 35 gram 23,000.00 7/21/2014 21:09PT. Pradja Pharin Dus, botol plastik @ 30 tablet sal 2,420.00 4/3/2014 21:30PT. Galenium Pharmasia LaboratTube @ 10 g 11,475.00 3/16/2014 19:08PT. Kimia Farma Ktk 10 ampx2ml 14,500.00 3/15/2014 16:05PT. Dexa Medica 30 TAB/BOX 3,120.00 3/16/2014 18:23PT. Dexa Medica 30 TAB/BOX 4,525.00 3/16/2014 18:23PT. Holi Pharma Botol 60 ml 8,360.00 3/15/2014 16:05PT. Holi Pharma Dus, 25 Blister @ 4 tablet 296.00 3/15/2014 16:05PT. Holi Pharma Dus 10 strip @ 10 tablet 206.00 4/23/2013 10:24PT. Ikapharmindo Ampul 1 ml 1,000.00 1/5/2015 14:07PT. Kimia Farma dus, 10 strip @ 10 tablet 110.00 4/23/2015 15:45PT. Pratapa Nirmala Dus, Botol @ 10ml 17,393.00 3/16/2014 18:23PT. Afifarma botol @ 1000 ml 37,109.00 3/15/2014 16:05PT. Afifarma botol @ 30 ml 2,163.00 3/15/2014 16:05PT. Afifarma botol @ 300 ml 14,203.00 3/15/2014 16:05PT. Kimia Farma btl 60 ml 5,998.00 1/5/2015 14:07PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 7,200.00 3/16/2014 19:08PT. Boehringer Ingelheim Dus, 3 alu blister @ 10 tablet 11,268.00 3/16/2014 19:08PT. Novell Pharmaeutical LaboraBox ,5 Strip @ 10 tablet 2,300.00 4/23/2013 10:24PT. Phapros, Tbk Dus,10 blister @10 tablet 205.00 4/23/2013 10:24PT. Dexa Medica Dus, 10 strip @ 10 tablet 1,650.00 1/5/2015 14:07PT. Bernofarm Vial @ 3 juta IU 7,190.00 3/15/2014 16:05PT. Dexa Medica Dus, 10 Strip @ 10 tablet 65.00 4/23/2013 10:24PT. Indofarma Botol @ 100 Tablet 319.00 9/28/2014 21:46PT. Fresenius Kabi Combiphar Ampul 15,642.00 7/21/2014 21:09PT. Holi Pharma Dus, 10 strip @ 10 tablet 106.00 3/15/2014 16:05PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 17,391.00 3/16/2014 19:08

PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 19,500.00 3/16/2014 19:08PT. AstraZeneca indonesia Dus, 1 blister @ 10 tablet 23,185.00 3/16/2014 19:08PT. Pharma Health Care Dus, 6 blister @ 10 tablet 995.00 7/21/2014 21:09PT. Dexa Medica Dus, 10 Strip @ 10 kaptab 580.00 4/23/2013 10:24PT. Novell Pharmaeutical LaboraDus, 10 strip @ 10 tablet 1,013.00 9/28/2014 21:46PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml 1,140.00 8/22/2014 0:44PT. Dexa Medica Dus, 10 Strip @ 10 tablet salut se 120.00 4/23/2013 10:24PT. Kimia Farma Botol 50 kapsul lunak 260.00 3/18/2014 20:03PT. Lucas Djaja Botol 50 Kapsul 459.00 7/10/2014 15:53PT. Indofarma Dus, 10 strip @ 10 kapsul 610.00 4/23/2015 15:45PT. Indofarma Dus, 10 strip @ 10 kapsul 790.00 4/23/2015 15:45PT. Indofarma Dus, 10 strip @10 kaptab 1,100.00 4/23/2015 15:45PT. Widatra Bhakti botol 500 ml 5,200.00 4/23/2013 10:24PT. Dexa Medica Dus, 5 Blister @ 10 tablet 1,400.00 4/23/2013 10:24PT. Mersifarma Tirmaku Mercu KOTAK @ 5 x 10 TAB 1,008.00 4/23/2013 10:24PT. Dexa Medica Dus, 5 Blister @ 10 tablet 2,000.00 4/23/2013 10:24PT. Boehringer Ingelheim Dus, 1 vial @ 10 ml 3,164,805. 9/28/2014 22:55PT. Bayer Indonesia Blister 23,500.00 5/21/2014 20:01PT. Bayer Indonesia Blister 23,500.00 5/21/2014 20:01PT. Bayer Indonesia Blister 23,500.00 5/21/2014 20:01PT. Merck Sharp Dohme PharmaDus, 10 vial @ 5 ml 46,539.00 4/23/2015 15:45PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 5,248.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 6,275.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 7 blister @ 4 Tablet lepas L 7,383.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 4x5 Botol Plastik@2.5 ml 6,600.00 9/28/2014 21:46PT. Glaxo Wellcome Indonesia Dus, botol 200 dosis 63,750.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 10 Blister @ 10 Kapsul 431.00 3/18/2014 20:03PT. Glaxo Wellcome Indonesia Dus, 1 Rotahaler 5,867.00 3/18/2014 20:03PT. Yarindo Farmatama strip @ 10 tablet 59.00 4/23/2013 10:24PT. Marin Liza Farmasi Pot @ 30 gram 2,000.00 3/15/2014 16:05PT. Hexpharm Jaya Laboratoriesstrip 513.00 4/23/2013 10:24PT. Holi Pharma Dus, 10 strip @ 10 kapsul 509.00 4/23/2013 10:24PT. Holi Pharma Dus, Botol 60 ml 5,895.00 3/15/2014 16:05PT. Holi Pharma Dus, Botol 60 ml 4,746.00 4/23/2013 10:24PT. Ifars Pharmaceutical Labora Dus, 5 Strip @ 10 Kapsul 1,000.00 4/23/2013 10:24PT. Dexa Medica Dus, 2 Vial @ 1 gram 16,500.00 3/15/2014 16:05PT. Yarindo Farmatama Box 2 Vial @ 1000mg 48,060.00 3/15/2014 16:05PT. Bernofarm Dus, 10 blister @ 10 kapsul 859.00 4/23/2013 10:24PT. Ifars Pharmaceutical Labora Dus, Botol 30 ml 8,800.00 4/23/2013 10:24PT. Yarindo Farmatama vial 38,500.00 7/21/2014 21:08PT. Hexpharm Jaya Laboratoriesvial 4,800.00 4/23/2013 10:24PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 2,950.00 4/23/2013 10:24PT. Dexa Medica Dus, 2 Vial @ 1 gram 16,000.00 4/23/2013 10:24PT. Natura Laboratoria Prima Dus, 10 Vial @ 1 g 3,300.00 3/15/2014 16:05PT. Pratapa Nirmala Box @ 2 vial 52,800.00 4/23/2015 15:45PT. Interbat Box @ 2 vial 52,767.00 4/23/2015 15:45PT. Glaxo Wellcome Indonesia Dus, 1 Blister @ 10 Tablet salut s 7,200.00 3/16/2014 18:23PT. Glaxo Wellcome Indonesia Dus, 1 Blister @ 10 Tablet salut s 4,752.00 9/28/2014 21:46

PT. Pratapa Nirmala strip @ 10 tab 3,300.00 7/21/2014 21:09PT. Indofarma Botol @ 60 ml 7,999.00 3/15/2014 16:05PT. Pertiwi Agung Box, 10 strips @ 10 capsules 181.00 3/15/2014 16:05PT. Merck Tbk Dus, 1 vial @ 20 ml 3,650,000. 9/28/2014 22:55PT. Pratapa Nirmala tabung/botol 1,320,000. 7/21/2014 21:09PT. Lucas Djaja 100 ampul @ 1 ml 1,078.00 4/23/2013 10:24PT. Afifarma Dus, 10 Strip @ 10 tablet 57.00 1/5/2015 14:07PT. Novell Pharmaeutical Laboravial 256,000.00 3/16/2014 18:23PT. Novell Pharmaeutical Laboravial 82,000.00 3/16/2014 18:23PT. Novell Pharmaeutical LaboraVial 120,000.00 9/28/2014 21:46PT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak 43,000.00 3/16/2014 19:08PT. Novartis Indonesia Dus, 10 blister @ 5 kapsul lunak 12,000.00 3/16/2014 19:08PT. Dankos Farma strip 7,000.00 1/5/2015 14:07PT. Natura Laboratoria Prima Dus, 3 Strip @ 10 Kaplet salut sel 169.00 3/15/2014 16:05PT. Natura Laboratoria Prima Dus, 3 Strip @ 10 Kaplet salut sel 391.00 4/23/2013 10:24PT. Dexa Medica Vial 200 ml 13,000.00 4/23/2013 10:24PT. Bernofarm Dus, 10 blister @ 10 tab ss 255.00 4/23/2013 10:24PT Kalbe Farma vial 22,000.00 9/5/2014 23:17PT Kalbe Farma vial 93,000.00 9/5/2014 23:17PT. Tempo Scan Pacific dus, 1 vial @ 10 ml 575,000.00 8/6/2014 18:35PT. Indofarma Dus, 5 strip @ 10 tablet 1,499.00 4/23/2013 10:24PT. Dexa Medica Dus, 10 Strip @ 10 tablet 900.00 4/23/2013 10:24PT. Dexa Medica Dus, 10 Strip @ 10 tablet 315.00 4/23/2013 10:24PT. Kimia Farma Botol @ 60 tablet 930.00 1/5/2015 14:07PT. Dexa Medica Vial 3,290,000. 5/21/2014 20:01PT. Phapros, Tbk Dus @ 56 Vial 3,650.00 4/23/2013 10:24PT. Kimia Farma dus 5 amp @ dus 10 127,000.00 3/18/2014 20:03PT. Combiphar Botol, 100 ml 13,425.00 7/21/2014 21:09PT. Dexa Medica DUS, 10 STRIP @ 10 TAB 424.00 9/28/2014 21:46PT. Combiphar Pounch @ 5 blister @ 10 capsule 11,167.00 3/18/2014 20:03PT. Combiphar Dus, 1 pouch @5 blister@10 kaps21,500.00 4/3/2014 21:30PT. Sandoz Indonesia Botol @30tablet 2,654.00 6/24/2015 12:59PT. Combiphar Box @ 2 blister @ 14 tablet 5,800.00 3/18/2014 20:03PT. Combiphar Box/ 2 blister @ 14 tablet 5,800.00 3/16/2014 19:08PT. Combiphar Box/ 3 blister @ 10 Tablet 6,800.00 3/16/2014 19:08PT. Novartis Indonesia Dus, 2 blister @ 14 tablet 28,500.00 3/16/2014 19:08PT. Boehringer Ingelheim Dus, 2 alu-blister @10 tablet 3,900.00 6/27/2014 19:33PT. Boehringer Ingelheim Box, 2 blisters @10 tablets 6,500.00 8/6/2014 18:35PT. Merck Sharp Dohme PharmaDus, 5 sachet @ 1 kapsul 1,120,000. 8/6/2014 18:35PT. Merck Sharp Dohme PharmaDus, 5 sachet @ 1 kapsul 223,000.00 8/6/2014 18:35PT. Kimia Farma Botol 30 tab 8,100.00 6/16/2014 19:59PT. Kimia Farma Dus 10-s @ 10 Kaptab 1,050.00 3/16/2014 18:23PT Kalbe Farma strip 250.00 1/5/2015 14:07PT. Dexa Medica DUS, 10 BLISTER @ 10 TAB 1,669.00 9/28/2014 21:46PT. Dexa Medica DUS, 10 BLISTER @ 10 TAB 2,949.00 9/28/2014 21:46PT. AstraZeneca indonesia Dus, 2 pak @ 5 respules 6,250.00 4/3/2014 21:30PT. Molex Ayus Box 50's 99.00 3/16/2014 18:23PT. AstraZeneca indonesia Dus, 1 Turbuhaler @ 200 dosis 71,100.00 4/8/2014 18:23

PT. Merck Sharp Dohme PharmaDus, 6 blister @ 10 kapsul lunak 6,200.00 8/6/2014 18:35PT. Cendo Industri Farmasi botol 5 ml 11,500.00 4/3/2014 21:30PT. Holi Pharma Dus, 10 strip @ 10 kapsul 148.00 4/23/2013 10:24PT. Afifarma DUS,10 STRIP @ 10 KAPSUL 300.00 9/28/2014 21:46PT. Merck Tbk Dus, 10 blister @ 10 tablet 1,135.00 4/3/2014 21:30PT. Merck Tbk Dus, 10 blister @ 10 tablet 563.00 3/18/2014 20:03PT. Pratapa Nirmala Dus, Botol Plastik @ 5ml 9,128.00 3/16/2014 18:23PT. Pratapa Nirmala Dus, Botol Plastik @ 5ml 9,722.00 3/16/2014 18:23PT. Boehringer Ingelheim Box, 3 blisters @10 capsules 13,867.27 12/5/2014 22:08PT. Boehringer Ingelheim Dus, 1 blister @10 kapsul + handi 152,543.00 3/16/2014 19:08PT. Natura Laboratoria Prima Dus, 10 Ampul @ 2 ml 2,395.00 4/23/2013 10:24PT. Boehringer Ingelheim Dus, 1 vial @ 440 mg + 1 vial pel 19,608,034 9/28/2014 22:55PT. Tempo Scan Pacific botol, tetes mata 2,5 ml 115,000.00 4/3/2014 21:30PT. Aventis Pharma Dus, botol plastik 120 dosis 90,000.00 4/3/2014 21:30PT. Dexa Medica Dus,1 vial@ 5ml 65,500.00 4/23/2015 15:45PT. Darya Varia strip 405.00 4/23/2013 10:24PT. Cendo Industri Farmasi Botol 5ml 36,500.00 12/5/2014 22:08PT. Galenium Pharmasia Laborattube 6,400.00 3/16/2014 18:23PT. Bio Farma 20 ds / amp / vial 59,950.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 59,950.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 59,950.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 70,521.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 70,521.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 70,521.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 59,950.00 5/22/2015 14:48PT. Bio Farma 20 ds / amp / vial 70,521.00 5/22/2015 14:48PT. Bio Farma 10 ds / vial 28,204.00 5/22/2015 14:48PT. Bio Farma 10 ds / vial 33,176.00 5/22/2015 14:48PT. Bio Farma 5 ds / vial 76,285.00 5/22/2015 14:48PT. Bio Farma 5 ds / vial 89,738.00 5/22/2015 14:48PT. Bio Farma 1 ds / pouch 20,900.00 5/22/2015 14:48PT. Bio Farma 1 ds / pouch 24,585.00 5/22/2015 14:48PT. Bio Farma 10 ds / vial 17,798.00 5/22/2015 14:48PT. Bio Farma 10 ds / vial 20,933.00 5/22/2015 14:48PT. Bio Farma 10 ds/ vial 16,500.00 5/22/2015 14:48PT. Bio Farma 10 ds/ vial 19,404.00 5/22/2015 14:48PT. Novartis Indonesia Dus, 1 dosis @ (1 vial serbuk injek307,400.00 5/22/2015 15:37PT. Aventis Pharma 1 vial of 10ml (10 d's) 285,000.00 4/3/2014 21:30PT. Bio Farma 10 ds/ vial 19,954.00 5/22/2015 14:48PT. Bio Farma 10 ds/ vial 23,474.00 5/22/2015 14:48PT. Bio Farma Dus, 1 vial@ 1dosis + 1 Syringe @78,000.00 1/5/2015 14:07PT. Novartis Indonesia Dus, 1 vial serbuk + 1 ampul @ 1 78,500.00 9/28/2014 21:46PT. Bio Farma 10 ds/ vial 14,498.00 5/22/2015 14:48PT. Bio Farma 10 ds/ vial 17,050.00 5/22/2015 14:48PT. Soho Industri Pharmasi 5 strip @ 10 kaptab 5,390.00 4/23/2015 15:45PT. Boehringer Ingelheim Boks, 60 tablet 170,000.00 8/6/2014 18:35PT. Ikapharmindo Botol 120 ml 40,000.00 7/21/2014 21:09PT. Abbott Indonesia Tablet 2,793.00 3/16/2014 19:08

PT. Abbott Indonesia Tablet 5,450.00 3/16/2014 19:08PT. Abbott Indonesia Tablet salut 250 mg 1,680.00 9/28/2014 21:46PT. Novartis Indonesia DUS, 3 ALU-ALU STRIP @ 10 tablet6,500.00 4/3/2014 21:30PT. Novartis Indonesia DUS, 3 ALU-ALU STRIP @ 10 tablet3,900.00 3/16/2014 19:08PT. Pratapa Nirmala Box @ 2 vial 122,000.00 9/28/2014 21:46PT. Abbott Indonesia Tablet 6,200.00 3/16/2014 19:08PT. Kimia Farma Ktk 10X10 TAB 234.00 4/23/2013 10:24PT. Combiphar Vial 10mg/10ml 210,000.00 3/16/2014 18:23PT Kalbe Farma vial @ 2 ml 78,000.00 9/5/2014 23:17PT Kalbe Farma vial @ 1 ml 46,000.00 9/5/2014 23:17PT. Mugi Laboratories Dus, 1 vial @ 1 ml 1,229,998. 5/21/2014 14:16PT. Kimia Farma Dus 10 strip x 10 tab 107.00 4/23/2013 10:24PT. Kimia Farma Botol 60 Kapsul 1,575.00 12/5/2014 22:08PT. Kimia Farma Botol 60 tablet 3,429.00 3/18/2014 20:03PT. Combiphar Drops 10 mg/ml, Botol @15 ml 12,840.00 3/16/2014 18:23PT. Indofarma Dus, botol @ 100 ml 14,980.00 4/23/2015 15:45PT. Meprofarm Dus, botol 60 ml 7,400.00 3/16/2014 18:23PT. Kimia Farma ktk 10 x 10 tablet 473.00 3/15/2014 16:05

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65000 60 40 26000 35 65 42250 4225 3022565000 25 0 100 65000 6500 650050000 60 40 20000 35 65 32500 3250 2325060000 83 17 10200 58 42 25200 2520 12720

110000 75 25 27500 50 50 55000 5500 33000

HNA Disc yg diharapkan HNA +PPN132000 32 89760 98736100000 65 35000 38500 38,500132000 32 89760 98736132000 32 89760 98736132000 32 89760 98736132000 32 89760 98736132000 32 89760 98736