Bentuk

Nama Obat Sediaan Satuan HNA HNA+PPN11%

CTM 4MG TAB BOX Rp7,832 Rp8,694
CETIRIZINE TAB BOX Rp8,667 Rp9,620
LORATADINE TAB BOX Rp15,862 Rp17,607
AMLODIPINE 10MG TAB BOX Rp11,429 Rp12,686
AMLODIPINE 5MG TAB BOX Rp8,571 Rp9,514
BISOPROLOL 5MG TAB BOX Rp33,833 Rp37,555
CAPTOPRIL 25MG TAB BOX Rp10,175 Rp11,294
SIMVASTATIN TAB BOX Rp18,388
10MG
Rp20,411
SIMVASTATIN TAB BOX Rp 31,979
20MG
Rp35,497
GLIMEPIRIDE 2MG TAB BOX Rp 27,028 Rp30,001
ALLOPURINOL 100MG TAB BOX Rp 21,165 Rp23,493
AMOXICILLIN TAB BOX Rp 62,861 Rp69,776
CEFIXIME 100MG TAB BOX Rp 100,137 Rp111,152
CEFIXIME 200MG TAB BOX Rp 57,857 Rp64,221
METRONIDAZOLE 500MG TAB BOX Rp 24,156 Rp26,813
COTRIMOXAZOLE TAB BOX Rp 24,933 Rp27,676
SALBUTAMOL 2MG TAB BOX Rp 16,168 Rp17,946
DEXAMETHASONE TAB BOX Rp 8,667 Rp9,620
METHYLPREDNISOLONE TAB BOX Rp 19,321
4MG
Rp21,446
PARACETAMOL TAB BOX Rp 15,609 Rp17,326
(Paracetamol 500 mg dan
Caffeine 65 mg ) TAB BOX Rp 104,000 Rp115,440
GUAIFENESIN TAB BOX Rp 9,496 Rp10,541
ASETILSISTEIN TAB BOX Rp 46,154 Rp51,231
OMEPRAZOLE TAB BOX Rp 27,487 Rp30,511
LANZOPRAZOL
ANTASIDA SYRUP BOTOL – TAB BOX Rp 16,729 Rp18,569
BOTOL BOTOL BOTOL Rp 3,214 Rp3,568
ANTASIDA TAB BOX Rp 10,667 Rp11,840
DOMPERIDON
HYOSCINE BUTILBROMIDE TAB BOX Rp 15,729 Rp17,459
(SCOPMA)
KAOLIN PECTIN (NEO TAB BOX Rp 102,901 Rp114,220
DIAFORM) TAB BOX Rp 120,120 133333.2
LOPERAMIDE TAB BOX Rp 11,135 Rp12,360
BISACODYL TAB BOX Rp 13,600 Rp15,096
ZINC TABLET BOX Rp 25,714 Rp28,543
ASAM MEFENAMAT –TAB TAB BOX Rp 19,200 Rp21,312
IBUPROFEN 400MG –TAB
NATRIUM DICLOFENAC TAB BOX Rp 26,668 Rp29,601
25MG –TAB
NATRIUM DICLOFENAC TAB BOX Rp 14,400 Rp15,984
50MG –TAB TAB BOX Rp 21,333 Rp23,680
BETAMETHASON CREAM – TUBE TUBE TUBE Rp 2,333 Rp2,590
GENTAMICIN CREAM – TUBE TUBE TUBE Rp 3,000 Rp3,330
GENTAMICIN SALEP MATA TUBE TUBE Rp 8,119 Rp9,012
KETOKONAZOLE CREAM – TUBE TUBE TUBE Rp 4,252 Rp4,720
KETOKONAZOLE TAB BOX Rp 27,027 Rp30,000
ACYCLOVIR CREAM @ 5 GR Tube TUBE Rp 3,856
5gr
Rp4,280
Reco tetes telinga 10 ml BOTOL BOTOL Rp 8,727
chloramphenicol 1 % botol
–BOTOL
Rp9,687
PHENOL GLYCEROL 5ML BOTOL BOTOL 5 Rp 5,019
–BOTOL 5 ml ml
Rp5,571
LIDOCAIN HCL MONOHYDRATE 2% ampul ampul Rp 1,660
INJ –
Rp1,843
SUPERHOID @ 6 SUPP supp supp Rp 6,006
(antihemoroid) –supp
Rp6,667
Rl infus pcs pcs Rp 10,208 Rp11,331
Nacl 0,9% pcs pcs Rp 9,217 Rp10,231
NIFEDIPINE TAB BOX Rp 25,624 Rp28,443
RIVANOL 200ML 200 ml Botol Botol Rp 9,000 Rp9,990
VITAMIN C TAB BOX Rp 10,773 Rp11,958
Ascardia aspilet tab box Rp 117,300 Rp130,203
FUROSEMIDE TAB BOX Rp30,000
Spironolacton 25 TAB BOX Rp32,000
Atorvastatin 20mg TAB BOX Rp 72,000.00
METFORMIN 500MG TAB BOX Rp 37,000.00
GLIMEPIRIDE 4MG TAB BOX Rp 33,000.00
GLIBENCLAMIDE TAB BOX Rp 17,000.00
CIPROFLOXACIN TAB BOX Rp 45,000.00
SANMOL TAB BOX Rp 48,000.00
Dextral TAB BOX Rp 100,000.00
Ambroxol 30mg TAB BOX Rp 12,500.00
Clopidogrel 75mg DX TAB BOX Rp 35,000.00
Vit B Comp Nova TAB BOX Rp 12,000.00
Caviplex TAB BOX Rp 60,000.00
BETASON N 5GR –TUBE TUBE tube Rp 13,000.00
Nestacort cr TUBE tube Rp 6,750.00
BIOPLACENTON 15G –TUBE TUBE tube Rp 24,000.00
Cendo lyteers eye drop 15cc TUBE tube Rp 23,000
Cendo Cenfresh eye drop 5cc – BOTOL BOTOL Rp 35,750
BOTOL
Vastigo TAB BOX – Rp 110,000
Minyak Kayu Putih Cap Lang 15ml botol botol Rp 5,500

Minyak Kayu Putih Cap Lang 30ml botol botol Rp 10,000

Minyak Kayu Putih Cap Lang 60ml botol botol Rp 20,000

RANITIDINE TAB BOX Rp 17,000

ACIFAR KAP (acyclovir) 200 TAB/30 BOX Rp 52,500
BECOM C TAB BOX Rp 165,000 Rp 183,150
Becom ZET TAB BOX Rp 220,000 Rp 244,200
CATAFLAM 50 MG –TAB TAB BOX Rp 307,078 Rp 340,857
Ponstan TAB BOX Rp 268,883 Rp 298,460
DULCOLAX
DUMIN REKTALSUP 125 MG – Supps Supps Rp 130,814 Rp 145,204
supp
DUMIN REKTAL 250 MG – Supps Supps Rp 98,600 Rp 109,446
supp
FLAGYSTATIN OVULES – Supps Supps Rp 134,000 Rp 148,740
supp
BISOLVON SOL 50 ML – supp supp Rp 184,980 Rp 205,328
botol btl btl Rp 84,708 Rp 94,026
SALBULIN pcs pcs Rp 80,000 Rp 88,800
Minyak Tawon CC botol botol Rp 19,097 Rp 21,198
Tremenza TAB BOX Rp 177,600 Rp 197,136
Colchicine 0.5 mg TAB BOX Rp 180,000 Rp 199,800
CEFADROXIL TAB BOX Rp 95,000 Rp 105,450
FG troches isi 120 TAB
1 Blister @ BOX
6tablet/ Rp 176,703 Rp 196,140
SP
SP TROCHES
TROCHES MEIJI
MEIJI RASA
RASA MINT box
Blister BOX Rp 9,943 Rp 11,037
STRAWBERRY –Blister 12/box BOX Rp 24,092 Rp 26,742
SENSITIF
Minosep Pregnancy
Obat Kumur test
60 Pcs pcs Rp 21,000 Rp 23,310
ml 0.1 % hijau
PROFENID (pronalges) botol botol Rp 27,000 Rp 29,970
SUPP (SANOFI) Supps Supps Rp 181,259 Rp 201,198
SILADEX ANTITUSSIVE 60ML BOTOL BOTOL Rp 12,200 Rp 13,542
MERAH SEDANG –
BOTOL

SILADEX BATUK BERDAHAK BOTOL BOTOL Rp 12,200 Rp 13,542

ME 60ML HIJAU SEDANG
SILADEX BATUK PILEK 60ML BOTOL BOTOL Rp 12,200 Rp 13,542
BIRU SEDANG
GENTA 0,3% 5 ML BOTOL KECIL BOTOL BOTOL Rp 28,375 Rp 31,496
(CENDO) –BOTOL
PANTOCAIN 0,5% 5 ML BOTOL BOTOL Rp 12,374 Rp 13,735
BOTOL KECIL (CENDO) – BOTOL
Rp -
VENTOLIN INHALER pcs pcs Rp 139,117 Rp 154,420
(GLAXO)
Isosorbide dinitrate 5mg TAB strip Rp 16,650 Rp 18,482
BETADINE SOL 30 ML Botol Botol Rp 23,400 Rp 25,974
BETADINE SOL 5 ML Botol Botol Rp 5,530 Rp 6,138
Tolak Angin Dewasa Cair PACK PACK Rp 40,520 Rp 44,977
SALONPAS SUPER KOYO@100LBR PACK PACK Rp 55,990 Rp 62,149
HIJAU
(HISAMITSU)

SELSUN YELLOW DI 100ML botol botol Rp 39,600 Rp 43,956

(ROHTO)
TAB
DOPAMET /100 BOX Rp 216,000 Rp 239,760
CO AMOXYCLAV TAB BOX/30 Rp 120,000 Rp 133,200
RHINOFED TABLET(Box/50) TAB BOX Rp 115,500 Rp 128,205
RHINOS SR @50 BOX
stesolid diazepam –TAB
rectal 5 TAB BOX Rp 335,000 Rp 371,850
mg Supps Supps Rp 89,300 Rp 99,123
Lacto B Sachet BOX Rp 315,000
Ketorolax inj ampul ampul Rp 35,000
Ranitidine Inj Mersi ampul ampul Rp 35,000
ONDANSENTRON 4MG INJ
AMP ampul ampul Rp 30,000
IBUPROFEN SUPPS –supp supp supp Rp 80,000
Dexamethasone Inj Mepro ampul ampul Rp 30,000
D40% pcs pcs Rp 15,000
Captopril 50 mg Hydrochloride+Epinephrine
Orabloc (Articaine Strip Strip Rp 18,000
) –injeksi inj inj Rp 400,000
Ethylchloride Spray 100 ml btl Btl Rp 380,000
Jumlah Pesan Total harga Disc
1 Rp8,694
3 Rp28,861
1 Rp17,607
2 Rp25,372
2 Rp19,028
1 Rp37,555
1 Rp11,294
2
Rp40,821
2
Rp70,993
1 Rp30,001
2 Rp46,986
3 Rp209,327
1 Rp111,152
1 Rp64,221
1 Rp26,813
1 Rp27,676
1 Rp17,946
3 Rp28,861
2
Rp42,893
5 Rp86,630
2 Rp230,880
1 Rp10,541
3 Rp153,693
3 Rp91,532
3 Rp55,708
7 Rp24,973
4 Rp47,361
2 Rp34,918
1 Rp114,220
1 133333.2
2 Rp24,720
1 Rp15,096
1 Rp28,543
3 Rp63,936
2 Rp59,203
1 Rp15,984
2 Rp47,359
10 Rp25,896
10 Rp33,300
5 Rp45,060
11 Rp51,917
1 Rp30,000
10
Rp42,802

5
Rp48,435
5
Rp27,855
5
Rp9,213
3
Rp20,000
3 Rp33,993
3 Rp30,693
1 Rp28,443
4 Rp39,960
2 Rp23,916
1 Rp130,203
1 Rp30,000
1 Rp32,000
1 Rp 72,000
2 Rp 74,000
1 Rp 33,000
2 Rp 34,000
2 Rp 90,000
2 Rp 96,000
1 Rp 100,000
3 Rp 37,500
1 Rp 35,000
3 Rp 36,000
1 Rp 60,000
10 Rp 130,000
5 Rp 33,750
5 Rp 120,000
5 Rp 115,000
5 Rp 178,750

2 Rp 220,000
5 Rp 27,500

5 Rp 50,000

5 Rp 100,000

3 Rp 51,000
2 Rp 105,000
2 Rp 366,300
1 Rp 244,200
1 Rp 340,857
 1 Rp 283,537 5%
1 Rp 142,299 2%
3 Rp 318,488 3%
3 Rp 432,833 3%
3 Rp 603,664 2%
3 Rp 276,436 2%
3 Rp 266,400
1 Rp 20,562 3%
2 Rp 394,272
1 Rp 199,800
1 Rp 105,450
1 Rp 196,140
5 Rp 55,184
5 Rp 133,711
5 Rp 116,550
10 Rp 299,700
3 Rp 603,594
2

Rp 27,084
4 2%
Rp 53,085
4
Rp 54,168
5 12%
Rp 138,582
1 12%
Rp 12,087
Rp -
3
Rp 463,260
1 Rp 18,482
5 Rp 123,377 5%
5 Rp 30,690
1 Rp 42,728 5%
1 2%

Rp 60,906
3 10%
Rp 118,681
1 Rp 239,760
1 Rp 133,200
2 Rp 256,410
2 Rp 743,700
2 Rp 198,246
1 Rp 315,000
2 Rp 70,000
2 Rp 70,000
2 Rp 60,000
3 Rp 240,000
3 Rp 90,000
3 Rp 45,000
1 Rp 18,000
2 Rp 800,000
1 Rp 380,000
 Bentuk
Nama Obat Sediaan Satuan HET
CTM 4MG TAB BOX Rp1,390

CETIRIZINE TAB BOX Rp4,232

LORATADINE TAB BOX Rp4,900
AMLODIPINE 10MG TAB BOX Rp6,480
AMLODIPINE 5MG TAB BOX Rp5,180
BISOPROLOL 5MG TAB BOX
CAPTOPRIL 25MG TAB BOX Rp2,417
SIMVASTATIN 10MG TAB BOX Rp7,764
SIMVASTATIN 20MG TAB BOX Rp15,530
GLIMEPIRIDE 4MG TAB BOX Rp32,900
ALLOPURINOL 100MG TAB BOX
Rp4,290
AMOXICILLIN TAB BOX Rp10,406
CEFIXIME 100MG TAB BOX Rp30,300
CEFIXIME 200MG TAB BOX Rp62,437
METRONIDAZOLE 500MG TAB BOX
Rp5,800
COTRIMOXAZOLE TAB BOX Rp4,125
SALBUTAMOL 2MG TAB BOX Rp1,919
DEXAMETHASONE TAB BOX Rp995
METHYLPREDNISOLONE TAB BOX
4MG
PARACETAMOL TAB BOX Rp2,338
(Paracetamol 500 mg dan
Caffeine 65 mg ) TAB BOX Rp13,850
GUAIFENESIN TAB BOX Rp2,700
ASETILSISTEIN TAB BOX
OMEPRAZOLE TAB BOX Rp4,547
LANZOPRAZOL TAB BOX Rp17,455
ANTASIDA SYRUP
BOTOL BOTOL BOTOL Rp5,032
ANTASIDA TAB BOX
DOMPERIDON
HYOSCINE BUTILBROMIDE TAB BOX Rp7,084
(SCOPMA)
KAOLIN PECTIN (NEO TAB BOX Rp30,600
DIAFORM) TAB BOX
LOPERAMIDE TAB BOX Rp2,059
BISACODYL TAB BOX Rp5,167
ZINC TABLET BOX Rp11,264
ASAM MEFENAMAT –TAB TAB BOX Rp3,575
IBUPROFEN 400MG –TAB
NATRIUM DICLOFENAC TAB BOX
25MG –TAB
NATRIUM DICLOFENAC TAB BOX Rp3,191
50MG –TAB TAB BOX Rp2,800
BETAMETHASON CREAM – TUBE TUBE TUBE Rp9,712
GENTAMICIN CREAM – TUBE TUBE TUBE Rp4,162
GENTAMICIN SALEP MATA TUBE TUBE Rp9,400
KETOKONAZOLE CREAM – TUBE TUBE TUBE Rp7,062
KETOKONAZOLE TAB BOX Rp12,800
ACYCLOVIR CREAM @ 5 GR Tube TUBE
5gr
Reco tetes telinga 10 ml chloramphenicol 1 % botol BOTOL BOTOL
–BOTOL
Rp11,265
PHENOL GLYCEROL 5ML BOTOL BOTOL 5
–BOTOL 5 ml ml
Rp7,150
LIDOCAIN HCL MONOHYDRATE 2% INJ – ampul ampul Rp2,081
SUPERHOID @ 6 SUPP supp supp
(antihemoroid) –supp
Rp6,909
Rl infus pcs pcs Rp23,233
Nacl 0,9% pcs pcs Rp9,822
NIFEDIPINE TAB BOX Rp1,875
RIVANOL 200ML 200 ml Botol Botol Rp10,350
VITAMIN C TAB BOX
Ascardia aspilet tab box
FUROSEMIDE TAB BOX Rp3,700
Spironolacton 25 TAB BOX Rp4,400
Atorvastatin 20mg TAB BOX Rp55,500
METFORMIN 500MG TAB BOX Rp4,600
GLIMEPIRIDE 2MG TAB BOX Rp18,000
GLIBENCLAMIDE TAB BOX Rp2,100
CIPROFLOXACIN TAB BOX Rp8,334
SANMOL TAB BOX Rp2,387
Dextral TAB BOX Rp11,366
Ambroxol 30mg TAB BOX Rp3,127
Clopidogrel 75mg DX TAB BOX Rp75,000
Vit B Comp Nova TAB BOX Rp2,409
Caviplex TAB BOX Rp6,900
BETASON N 5GR –TUBE TUBE tube Rp22,950
Nestacort cr TUBE tube Rp20,900
BIOPLACENTON 15G –TUBE TUBE tube Rp36,941
Cendo lyteers eye drop 15cc TUBE tube
Cendo Cenfresh eye drop 5cc –BOTOL BOTOL BOTOL Rp49,875
Vastigo TAB BOX – Rp16,700
Minyak Kayu Putih Cap Lang 15ml botol botol Rp6,500
Minyak Kayu Putih Cap Lang 30ml botol botol Rp11,500
Minyak Kayu Putih Cap Lang 60ml botol botol Rp23,000
RANITIDINE TAB BOX Rp3,833
ACIFAR KAP (acyclovir) 200 TAB/30 BOX Rp16,600
BECOM C TAB BOX Rp23,443
Becom ZET TAB BOX Rp31,258
CATAFLAM 50 MG –TAB TAB BOX Rp83,055
Ponstan TAB BOX Rp32,190
DULCOLAX SUP 125 MG –
DUMIN REKTAL Supps Supps Rp159,759
supp
DUMIN REKTAL 250 MG – Supps Supps Rp28,018
supp Supps Supps Rp38,077
FLAGYSTATIN OVULES –
supp
BISOLVON SOL 50 ML – supp supp Rp262,820
botol btl btl Rp115,170
SALBULIN pcs pcs Rp113,664
Minyak Tawon CC botol botol Rp22,000
Tremenza TAB box Rp22,733
Colchicine 0.5 mg TAB BOX Rp177,600
CEFADROXIL TAB BOX
FG troches isi 120 TAB
1 BOX
Blister @ 6tablet/ Rp239,360
SP
SP TROCHES
TROCHES MEIJI
MEIJI RASA
RASA MINT box
Blister BOX Rp19,000
STRAWBERRY –Blister 12/box BOX Rp19,000
SENSITIF
Minosep Pregnancy
Obat Kumur test
60 Pcs pcs Rp24,150
ml 0.1 % hijau
PROFENID (pronalges) botol botol Rp31,000
SUPP (SANOFI) Supps Supps
SILADEX ANTITUSSIVE 60ML MERAH SEDANG – BOTOL BOTOL
BOTOL
Rp18,800
SILADEX BATUK BERDAHAK BOTOL BOTOL
ME 60ML HIJAU SEDANG
Rp18,800
SILADEX BATUK PILEK 60ML BOTOL BOTOL
BIRU SEDANG
Rp18,800
GENTA 0,3% 5 ML BOTOL KECIL (CENDO) –BOTOL BOTOL BOTOL Rp40,625
PANTOCAIN 0,5% 5 ML BOTOL BOTOL
BOTOL KECIL (CENDO) – BOTOL
Rp29,500

VENTOLIN INHALER pcs pcs

(GLAXO)
Isosorbide dinitrate 5mg TAB strip
BETADINE SOL 30 ML Botol Botol Rp29,870

Tolak Angin Dewasa Cair PACK PACK Rp4,310

SALONPAS SUPER KOYO@100LBR HIJAU PACK PACK
(HISAMITSU)
Rp1,000
SELSUN YELLOW DI 100ML (ROHTO) botol botol Rp50,549
TAB
DOPAMET /100 BOX
CO AMOXYCLAV TAB BOX/30
RHINOFED TABLET(Box/50) TAB BOX
RHINOS SR @50 BOX
stesolid diazepam –TAB
rectal 5 TAB BOX
mg Supps Supps
Lacto B Sachet BOX
Ketorolax inj ampul ampul
Ranitidine
ONDANSENTRONInj Mersi
4MG INJ ampul ampul
AMP ampul ampul
IBUPROFEN SUPPS –supp supp supp
Dexamethasone Inj Mepro ampul ampul
D40% pcs pcs
Captopril 50 mg Hydrochloride+Epinephrine
Orabloc (Articaine Strip Strip
) –injeksi inj inj
Ethylchloride Spray 100 ml btl Btl
HJA per butir Harga Obat Dari PBF Harga rata-rata per strip Suggest
Rp139 783,2/strip 2.400/strip

Rp423 6000-6500/strip
Rp490
Rp648
Rp518

Rp242
Rp776
Rp1,553
Rp329

Rp429
Rp1,041
Rp3,030
Rp6,244

Rp580
Rp413
Rp192
Rp100

Rp234
Rp1,385
Rp270

Rp455
Rp1,746

Rp5,032

Rp708
Rp3,060

Rp206
Rp517
Rp1,126
Rp358

Rp319
Rp280
Rp9,712
Rp4,162
Rp9,400
Rp7,062
 Rp1,280

Rp11,265

Rp7,150
Rp2,081

Rp6,909
Rp23,233
Rp9,822
Rp188
Rp10,350

Rp370
Rp440
Rp5,550 18.500-32.000
Rp460
Rp1,800
Rp210
Rp833
Rp597
Rp1,137
Rp313
Rp12,500
Rp241
Rp690
Rp22,950
Rp20,900
Rp36,941

Rp49,875
Rp1,670
Rp6,500
Rp11,500
Rp23,000
Rp383
Rp1,660
Rp2,344
Rp3,126 29,000
Rp8,306
Rp3,219
Rp31,952
Rp28,018
Rp38,077
 Rp26,282
Rp115,170
Rp113,664
Rp22,000
Rp2,273
Rp3,552

Rp1,994
Rp19,000
Rp19,000
Rp24,150
Rp31,000

Rp18,800

Rp18,800

Rp18,800
Rp40,625

Rp29,500

Rp29,870

Rp4,310

Rp1,000
Rp50,549
% label pembatasan
Biru
Maksimal 10 tablet
Pengulangan dari resep
Merah