DAFTAR HARGA OGB

PER OKTOBER 2016

Harga Rayon 2
No Nama Obat Kemasan
+ PPN - PPN
1 Acetosal 100 mg Dos 10x10's 20,407 18,552
2 Acetosal 500 mg Dos 10x10's 30,619 27,835
3 Acyclovir 200 mg/5x10 Dos 5x10's 28,009 25,463
4 Acyclovir 400 mg/5x10 Dos 5x10's 39,720 36,109
5 Acyclovir 5% Tube 5 Gram 3,303 3,003
6 Ambroxol tab 30 mg Dos 10x10's 21,298 19,362
7 Aminophylline inj Dos 30'amp 113,398 103,089
8 Amlodipine 10 mg Dos 3x10's 6,930 6,300
9 Amlodipine 5 mg * Dos 3x10's 5,775 5,250
10 Amoxicillin 1 gr inj Dos 10 vial 94,502 85,911
11 Amoxicillin 250 mg Dos 12x10's 32,458 29,507
12 Amoxicillin 500 mg kaplet Dos 10x10's 53,176 48,342
13 Amoxicillin SK 125 mg/5 ml Botol 60 ml 4,666 4,242
14 Amoxicillin SK 250 mg/5 ml Botol 60 ml 10,210 9,282
15 Ampicillin 1 gr serbuk inj Dos 10 vial 97,331 88,483
16 Ampicillin 500 mg kaplet Dos 10x10's 63,422 57,656
17 Ampicillin SK 125 mg/5 ml Botol 60 ml 6,468 5,880
18 Antalgin 250 mg/ml inj Dos 30'amp @2 ml 50,404 45,822
19 Antalgin Tab 500 mg Dos 10x10's 25,629 23,299
20 Aqua Pro inj Dos 10 vial 69,300 63,000
21 Asam Mefenamat 500 mg Dos 10x10's 22,176 20,160
22 Benz.Benzyl P 1.2 Jt IU Inj Dos 10 vial 140,438 127,671
23 Benz.Benzyl P 2.4 Jt IU Inj Dos 10 vial 190,313 173,012
24 Betametason krim 0.1% Tube 5 Gram 2,772 2,520
25 Calcium Lactate 500 mg Dos 10x10's 17,891 16,265
26 Captopril 12.5 mg Dos 10x10's 9,298 8,453
27 Captopril 25 mg Dos 10x10's 9,902 9,002
28 Cefixim Cap 100 mg Dos 5x10's 122,930 111,755
29 Cefixim Syr 30 ml Botol 30 ml 15,881 14,437
30 Cefotaxim 1 gr inj /2 vial Dos 2 vial 21,021 19,110
31 Cefpirome inj 1 gr/ vial Dos 1 vial 60,638 55,125
32 Ceftazidime 1 g serbuk / 2 vial Dos 2 vial 59,771 54,337
33 Ceftriaxon 1 gr inj /2 vial Dos 2 vial 22,313 20,285
34 Chlorampenicol 250 mg Dos 10x10's 60,242 54,765
35 Chlorpheniramine Maleat 4 mg Dos 10x10's 16,239 14,763
36 Chlorpromazine 100 mg Dos 10x10's 25,699 23,363
37 Chlorpromazine 25 mg Dos 10x10's 22,339 20,308
38 Chlorpromazine 25 mg/ml inj Dos 30'amp @1 ml 56,149 51,045
39 Chlorpromazine 5 mg/ml inj Dos 30'amp @2 ml 63,937 58,125
40 Cimetidine 200 mg Dos 10x10's 17,244 15,676
41 Ciprofloxacin 500 mg 5 bls x 10's 29,014 26,376
42 Ciprofloxacin infus 200 mg/100 ml * Flacon 100 ml 43,313 39,375
43 Clindamycin 150 mg kapsul 5 bls x 10's 34,595 31,450
44 Cotrimoksazole 480 mg Dos 10x10's 24,255 22,050
45 Cotrimoksazole Ped 120 mg 10 bls x 10's 11,157 10,143
46 Cotrimoxazole Susp/60 ml Botol 60 ml 5,684 5,167
47 Dexamethasone 0,5 mg Dos 10x10's 14,230 12,936
48 Dexamethasone 5 mg/ml inj Dos 100'amp @1 ml 230,633 209,666
49 Diazepam 2 mg tab 10 bls x 10's 21,000 19,091
DAFTAR HARGA OGB
PER OKTOBER 2016
Harga Rayon 2
No Nama Obat Kemasan
+ PPN - PPN
50 Diphenhydramine inj Dos 30'amp @1 ml 53,396 48,542
51 Ekstrak Beladon 10 mg Dos 10x10's 11,157 10,143
52 Epinephrine 0,1 % inj Dos 30'amp @1 ml 191,630 174,209
53 Folic Acid 1 mg Dos 10x10's 16,493 14,994
54 Gemfibrozil 300 mg Dos 10x10's 57,356 52,142
55 Glibenclamide 5 mg Dos 10x10's 10,580 9,618
56 Griseofulvin 125 mg Dos 10x10's 31,202 28,365
57 Hydrocortisone krim 2.5% Tube 5 Gram 5,463 4,966
58 Ibuprofen 200 mg Dos 10x10's 16,319 14,835
59 Ibuprofen 400 mg * Dos 10x10's 21,529 19,572
60 Ketoconazole 2 % Krim 10 gram Tube 10 gram 5,618 5,107
61 Ketoconazole 2 % Krim 15 gram Tube 15 gram 7,346 6,678
62 Ketorolac Inj 10 mg/12 ampul Dos 12'amp 29,453 26,775
63 Ketorolac Inj 30 mg/12 ampul Dos 12'amp 21,011 19,101
64 Lidocain 2% Inj Dos 100'amp @1 ml 115,038 104,580
65 Lyncomycin 500 mg Dos 5x10's 85,050 77,318
66 Metformin 500 mg /10x10 Dos 10x10's 22,869 20,790
67 Methisoprinol Syr 250 mg/5 ml Botol 60 ml 57,750 52,500
68 Methisoprinol Tab 500 mg Dos 5x10's 173,250 157,500
69 Methyl Prednisolon 4 mg Dos 10x10's 46,200 42,000
70 Methyl Prednisolon 500 mg Dos 1 vial 87,179 79,254
71 Methylprednisolone 125 Dos 1 vial 18,222 16,565
72 Metoclopramide tab 10 mg Dos 10x10's 14,490 13,173
73 Metronidazol 250 mg * Dos 10x10's 19,439 17,672
74 Na.Diklofenak 25 mg * Dos 5x10's 9,781 8,892
75 Na.Diklofenak 50 mg * Dos 5x10's 11,291 10,265
76 Na.Phenytoin 50 mg/ml inj Dos 10'amp @2 ml 113,167 102,879
77 Nystatin 100000 IU Tab. Vaginal Dos 10x10's 79,091 71,901
78 Nystatin 500000 IU Tab Salut Dos 10x10's 112,539 102,308
79 Omeprazole / btl 7 Botol 7's 8,468 7,698
80 Oralit Serbuk 200 ml/100 Dos 100'shacet 39,905 36,277
81 Paket OAT FDC Katagori Anak Paket 225,751 205,228
82 Paket OAT FDC Katagori I Paket 378,000 343,636
83 Paket OAT FDC Katagori II Paket 1,260,000 1,145,455
84 Paket OAT FDC Katagori Sisipan Paket 168,001 152,728
85 Pantoprazol inj Dos 1 vial 37,400 34,000
86 Paracetamol 120 mg /5 ml Botol 60 ml 4,885 4,441
87 Paracetamol 500 mg Dos 10x10's 17,787 16,170
88 Parasetamol Infus 1000 mg/100 ml Flacon 100 ml 35,018 31,835
89 Phenobarbital 50 mg/ml inj Dos 30'amp @2 ml 89,186 81,078
90 Phenoxymethyl Pen.250 mg Dos 10x10's 52,889 48,081
91 Phenoxymethyl Pen.500 mg Dos 10x10's 91,287 82,988
92 Phytomenadione 10 mg Dos 10x10's 105,053 95,503
93 Phytomenadione 10 mg/ml inj Dos 30'amp @1 ml 54,816 49,833
94 Phytomenadione inj 2 mg/2 ml Dos 30'amp @2 ml 139,797 127,088
95 Prednison 5 mg * Dos 10x10's 17,325 15,750
96 Primaquine 15 mg Dos 10x10's 33,810 30,736
97 Prokain Benzil Pen.3 Jt IU Dos 30'vial @3 Jt IU 390,143 354,675
98 Ranitidin 150 mg Dos 10x10's 22,523 20,475
DAFTAR HARGA OGB
PER OKTOBER 2016
Harga Rayon 2
No Nama Obat Kemasan
+ PPN - PPN
99 Ranitidin Injeksi 25 mg /2 ml Dos 25'amp 61,261 55,692
100 Salbutamol 2 mg Dos 10x10's 9,298 8,453
101 Salbutamol 4 mg Dos 10x10's 11,471 10,428
102 Streptomycin Sulfat 1 gr inj Dos 56 vial @1 gr 422,625 384,205
103 Tetracycline 250 mg kaps Dos 10x10's 26,773 24,339
104 Tetracycline 500 mg kaps Dos 10x10's 45,271 41,155
105 Thiamphenicol 500 mg kaps Dos 10x10's 96,716 87,924
106 Vit.B1 100 mg/ml inj Dos 30'amp @1 ml 35,909 32,645
107 Vitamin C 250 mg Dos 10x10's 26,877 24,434
108 Zink Tablet Dos 10x10's 67,620 61,473
109 Amikacin Sulfate 500 mg Inj Dos 1 vial @2 ml 31,185 28,350
110 Sodium Valproate Syr 250 mg Botol 120 ml 43,313 39,375
111 Metronidazol 500 mg/ 100 ml Flacon 100 ml 20,790 18,900
112 Citicolin 125 mg inj Dos 5'amp 59,400 54,000
113 Ambroxol Syr 15 mg/5 ml Botol 60 ml 5,500 5,000
Tablet Tambah Darah Tablet Salut Gula
114 ( Ferrous Fumarate setara Fe 60 mg Elemental Dos 3x10's 15,593 14,175
Iron + Folic Acid 0,4 mgc)
115 Cetirizine Hcl 10 mg Dos 5x10's 17,775 16,159
DAFTAR HARGA COMODITI BRANDED
PER OKTOBER 2016
Harga Perbox
No Nama Obat Komposisi Kemasan
- PPN + PPN
1 Anemolat Tab 1 mg Folic Acid 1 mg Dos 10x10's 18,550 20,405
2 Corsona Injeksi Dexamethasone 5 mg / 1 ml Dos 5'amp 16,000 17,600
3 Corsona Tablet Dexamethasone 0,5 mg Dos 10x10's 18,500 20,350
4 Diapros Tablet Zink 20 mg Dos 10x10's 80,000 88,000
5 Diafac Tablet Metformin 500 mg Dos 10x10's 84,767 93,244
6 Droxefa Cefadroxil 500 mg Dos 5x10's 85,000 93,500

Besi II Fumarat 300 mg + Mangan Sulfat 0,4

7 Hemafort mg + Tembaga Sulfat 0,4 mg + Vit C 100 mg + Dos 10x10's 75,900 83,490
Asam Folat 2 mg + Vit B 12 15 mcg

8 Lactor Inj Ketorolac Thromethamine 30 mg Dos 6'amp 16,500 18,150

9 Padonil Glibenklamide 5 mg Dos 10x10's 20,000 22,000
Amoxilllin Trihidratn 500 mg + Kalium
10 Palentin 625 mg Klavulanat 125 mg Dos 5x6's 289,800 318,780

Amoxilllin Trihidratn286.95 mg + Kalium

11 Palentin Dry Syrup Botol 60 ml 42,000 46,200
Klavulanat 74.44 mg
12 Panto - Gas Pantoprazol 40 mg Inj Dos 1 Vial 50,000 55,000
13 Pehamol Infus Paracetamol Infus 10mg/ml Flacon 100 ml 50,000 55,000
14 Pehamoxil 125 mg Amoxicilyn 125 mg Dos 12'sachet 14,586 16,045
15 Pehamoxil Forte Amoxicilyn 500 mg Dos 5x10's 34,500 37,950
16 Pehamoxil Injeksi 1 Gr Amoxicillin 1.000 mg Dos 1 vial 15,156 16,672
17 Pehastan 500 mg Asam Mefenamat 500 mg Dos 10x10's 30,000 33,000
18 Pehatifen Tablet Ketotifen fumarat 1 mg Dos 5x10's 45,000 49,500
19 Pehavask 10 Mg Amlodipine Besylate 10 mg Dos 3x10's 12,000 13,200
20 Pehavask 5 Mg * Amlodipine Besylate 5 mg Dos 3x10's 9,000 9,900

Fe2 Fumarat 20 mg + Kalsium Karbonat 100

mg + Vit A 4.000 IU + Vit C 50 mg + Vit D
400 IU + Vit E 10 mg + Vit B1 3 mg + Vit B6
2mg + Kalsium Pantotenant 5 mg + Asam
21 Pehavral Folat 1 mg + Vit B12 2 mg + Nikotinamida 20 Dos 10x10's 74,003 81,403
mg + Biotin 0,1 mg + Tembaga Sulfat 0,5 mg
+ Mangan Sulfat 0,5 mg + Magnesium Sulfat
1 mg + Seng Oksida 0,25 mg

22 Phadilon 4 mg Metilprednisolon 4 mg Dos 10x10's 70,000 77,000

23 Phadilon Inj 125 Metilprednisolon 125 mg Dos 1 vial 30,000 33,000
24 Phadilon Inj 500 Methylprednisolone Inj 500 mg Dos 1 vial 120,000 132,000
25 Phaminov inj Aminophyllin 24 mg/ml Dos 10'amp 55,000 60,500
26 Phapin Injeksi 1 Gr Ampicillin 1.000 mg Dos 1 vial 14,000 15,400
27 Phaproxin 500 mg Ciprofloxacin 500 mg Dos 5x10's 40,000 44,000
28 Phinev Injeksi Ephineprin 1 mg / ml Dos 10'amp 82,000 90,200
29 Saltam 2 Mg Salbutamol 2 mg Dos 10x10's 15,000 16,500
30 Saltam 4 Mg Salbutamol 4 mg Dos 10x10's 17,000 18,700
31 Spirolacton 100 mg Spironolakton 100 mg Dos 10x10's 356,414 392,055
DAFTAR HARGA COMODITI BRANDED
PER OKTOBER 2016
Harga Perbox
No Nama Obat Komposisi Kemasan
- PPN + PPN
32 Spirolacton 25 mg Spironolakton 25 mg Dos 10x10's 120,238 132,262
33 Taxef Cefotaxime 1 Gram Dos 1 vial 40,000 44,000
34 Trixon Ceftriaxone 1 Gram Dos 1 vial 55,000 60,500
35 Vapril 12,5 mg Captopril 12,5 mg Dos 10x10's 15,000 16,500
36 Vapril 25 mg Captopril 25 mg Dos 10x10's 17,500 19,250
37 Visoprine 500 mg Methisoprinol Tab 500 mg Box 1 x 8's 44,000 48,400
38 Visoprine Syr 250 mg Methisoprinol Syr 250 mg/5 ml Btl 60 ml 60,000 66,000
39 Vit K Infant Phytomenadione ( VIT K1 ) 2 mg / ml Dos 10'amp 60,000 66,000
DAFTAR HARGA COMODITI BRANDED
PER OKTOBER 2016
Harga Satuan
No Nama Obat Komposisi Kemasan
- PPN + PPN
1 Anemolat Tab 1 mg Folic Acid 1 mg Dos 10x10's 186 205
2 Corsona Injeksi Dexamethasone 5 mg / 1 ml Dos 5'amp 3,200 3,520
3 Corsona Tablet Dexamethasone 0,5 mg Dos 10x10's 185 204
4 Diapros Tablet Zink 20 mg Dos 10x10's 800 880
5 Diafac Tablet Metformin 500 mg Dos 10x10's 848 933
6 Droxefa Cefadroxil 500 mg Dos 5x10's 1,700 1,870

Besi II Fumarat 300 mg + Mangan Sulfat 0,4

7 Hemafort mg + Tembaga Sulfat 0,4 mg + Vit C 100 mg + Dos 10x10's 759 835
Asam Folat 2 mg + Vit B 12 15 mcg

8 Lactor Inj Ketorolac Thromethamine 30 mg Dos 6'amp 2,750 3,025

9 Padonil Glibenklamide 5 mg Dos 10x10's 200 220
Amoxilllin Trihidratn 500 mg + Kalium
10 Palentin 625 mg Klavulanat 125 mg Dos 5x6's 9,660 10,626

Amoxilllin Trihidratn286.95 mg + Kalium

11 Palentin Dry Syrup Botol 60 ml 42,000 46,200
Klavulanat 74.44 mg
12 Panto - Gas Pantoprazol 40 mg Inj Dos 1 Vial 50,000 55,000
13 Pehamol Infus Paracetamol Infus 10mg/ml Flacon 100 ml 50,000 55,000
14 Pehamoxil 125 mg Amoxicilyn 125 mg Dos 12'sachet 14,586 16,045
15 Pehamoxil Forte Amoxicilyn 500 mg Dos 5x10's 690 759
16 Pehamoxil Injeksi 1 Gr Amoxicillin 1.000 mg Dos 1 vial 15,156 16,672
17 Pehastan 500 mg Asam Mefenamat 500 mg Dos 10x10's 300 330
18 Pehatifen Tablet Ketotifen fumarat 1 mg Dos 5x10's 900 990
19 Pehavask 10 Mg Amlodipine Besylate 10 mg Dos 3x10's 400 440
20 Pehavask 5 Mg * Amlodipine Besylate 5 mg Dos 3x10's 300 330

Fe2 Fumarat 20 mg + Kalsium Karbonat 100

mg + Vit A 4.000 IU + Vit C 50 mg + Vit D
400 IU + Vit E 10 mg + Vit B1 3 mg + Vit B6
2mg + Kalsium Pantotenant 5 mg + Asam
21 Pehavral Folat 1 mg + Vit B12 2 mg + Nikotinamida 20 Dos 10x10's 740 814
mg + Biotin 0,1 mg + Tembaga Sulfat 0,5 mg
+ Mangan Sulfat 0,5 mg + Magnesium Sulfat
1 mg + Seng Oksida 0,25 mg

22 Phadilon 4 mg Metilprednisolon 4 mg Dos 10x10's 700 770

23 Phadilon Inj 125 Metilprednisolon 125 mg Dos 1 vial 30,000 33,000
24 Phadilon Inj 500 Methylprednisolone Inj 500 mg Dos 1 vial 120,000 132,000
25 Phaminov inj Aminophyllin 24 mg/ml Dos 10'amp 5,500 6,050
26 Phapin Injeksi 1 Gr Ampicillin 1.000 mg Dos 1 vial 14,000 15,400
27 Phaproxin 500 mg Ciprofloxacin 500 mg Dos 5x10's 800 880
28 Phinev Injeksi Ephineprin 1 mg / ml Dos 10'amp 8,200 9,020
29 Saltam 2 Mg Salbutamol 2 mg Dos 10x10's 150 165
30 Saltam 4 Mg Salbutamol 4 mg Dos 10x10's 170 187
31 Spirolacton 100 mg Spironolakton 100 mg Dos 10x10's 3,564 3,920
DAFTAR HARGA COMODITI BRANDED
PER OKTOBER 2016
Harga Satuan
No Nama Obat Komposisi Kemasan
- PPN + PPN
32 Spirolacton 25 mg Spironolakton 25 mg Dos 10x10's 1,202 1,322
33 Taxef Cefotaxime 1 Gram Dos 1 vial 40,000 44,000
34 Trixon Ceftriaxone 1 Gram Dos 1 vial 55,000 60,500
35 Vapril 12,5 mg Captopril 12,5 mg Dos 10x10's 150 165
36 Vapril 25 mg Captopril 25 mg Dos 10x10's 175 193
37 Visoprine 500 mg Methisoprinol Tab 500 mg Box 1 x 8's 5,500 6,050
38 Visoprine Syr 250 mg Methisoprinol Syr 250 mg/5 ml Btl 60 ml 60,000 66,000
39 Vit K Infant Phytomenadione ( VIT K1 ) 2 mg / ml Dos 10'amp 6,000 6,600