STANDAR SATUAN HARGA TAHUN ANGGARAN 2014 PEMERINTAH KOTA JAYAPURA

STANDAR SATUAN HARGA TAHUN ANGGARAN 2014 PEMERINTAH KOTA JAYAPURA 10.OBAT OBAT 1 Albendazol suspensi 200 mg/5 ml Dus, @ 10 Botol btl 5,282 2 Albendazol tablet 400 mg ktk 5 strip x 6 tablet tablet 531 3 Alopurinol tablet 100 mg ktk 10 x 10 tablet tablet 131 4 Alopurinol tablet 300 mg Kotak 30 tab 300 mg tablet 335 5 Alopurinol tablet 300 mg Ktk 10 x 10 tablet tablet 335 6 Alprazolam tablet 0,5 mg Kotak, 10 strip @ 10 tablet tablet 531 7 Ambroxol sirup 15 mg/ml btl 60 ml btl 3,303 8 Ambroxol tablet 30 mg ktk 10 X 10 tablet tablet 119 9 Aminofilin injeksi 24 mg/ml Kotak 30 ampul @ 10 ml ampul 4,176 10 Aminofilin tablet 150 mg botol 100 tablet tablet 128 11 Aminofilin tablet 200 mg Botol 100 tablet tablet 117 12 Amitriptilin tablet salut 25 mg (HCl) Dus, 10 Strip @ 10 Tablet tablet 149 13 Amlodipin tablet 10 mg Ktk 3 x 10 tablet tablet 584 14 Amlodipin tablet 5 mg Ktk 3 x 10 tablet tablet 319 15 Amoksisilin + As. Klavulanat 625 mg tablet Dus, 5 Strip @ 6 Tablet tablet 6,656 16 Amoksisilin kapsul/kaplet 250 mg Kotak 12 x 10 kapsul kapsul 279 17 Amoksisilin kapsul/kaplet 500 mg ktk 10 x 10 kaplet kaplet 280 18 Amoksisilin serbuk injeksi 1000 mg ktk 10 vial vial 10,251 19 Amoksisilin sirup kering 125 mg/ 5 ml Botol 60 ml btl 3,068 20 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial Kotak 10 vial 1000 mg vial 6,353

21 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial ktk 10 vial vial 6,353 22 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial Kotak 10 vial 500 mg vial 4,158 23 Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium Hidroksida 200 mg KTK 10 X 10 tablet 102 24 Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml Botol, 60 ml btl 2,514 25 26 27 28 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Dus, 25 tube @ 5 g tube 3,453 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Kotak 24 pot @ 30 gr pot 2,641 Salisilat 3% Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg ktk 10 x 10 tablet tablet 613 Sulfadoksin tablet 500 mg Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg Btl 100 tablet tablet 171 29 Aqua pro Injeksi steril, bebas pirogen Kotak 10 vial @ 20 ml vial 6,708 30 Artemether injeksi 80 mg/ml ktk 6 AMP ampul 30,723 31 Artesunate injeksi, vial 60 mg vial vial 34,738 32 Asam Asetilsalisilat tablet 100 mg (Asetosal) ktk 10 str x 10's tablet 139 33 Asam Asetilsalisilat tablet 500 mg (Asetosal) 10 str x 10's tablet 224 34 Asam Askorbat (Vitamin C) tablet 250 mg ktk. 10X10 TAB tablet 172 35 Asam Askorbat (Vitamin C) tablet 100 mg ktk 10X10 TAB tablet 70

36 Asam Folat tablet 1 mg Botol 100 tablet tablet 60 37 Asam Mefenamat kapsul/kaplet 250 mg Dus, 12 Blister @ 10 Kapsul kapsul 169 38 Asam Mefenamat kapsul/kaplet 500 mg KTK 10 X 10 tablet 142 39 Asiklovir krim 5% Dus, 25 tube @ 5 g tube 2,983 40 Asiklovir tablet 200 mg ktk 10x10 tablet tablet 304 41 Asiklovir tablet 400 mg ktk 10x10 tablet tablet 431 42 Atenolol tablet 100 mg 5x 10 tablet tablet 755 43 Atenolol tablet 50 mg 5x 10 tablet tablet 400 44 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) Dus, 30 ampul @ 1 ml ampul 1,705 45 Atropin Sulfat tablet 0,5 mg Kotak 10 x 10 tablet 94 46 Benzatin Benzil Penisilin 1,2 juta IU/ vial 10 vial x 1,2 Jt IU vial 12,384 47 Benzatin Benzil Penisilin 2,4 juta IU/vial ktk 10 vial x 2,4 Jt IU vial 16,888 48 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet 1 sase @30 tablet tablet 55 tambah darah kombinasi ) 49 Betahistin Mesilat tablet 6 mg strip / ktk 3 x 10 tablet tablet 1,281 50 Betametason krim 0,1 % (sebagai Valerat) Kotak 25 tube @ 5 g tablet 1,987 51 Bisoprolol tablet 5 mg blister / ktk 10 x 10 tablet tablet 3,211 52 Bromheksin tablet 8 mg kotak 10 x 10 tablet, Nama Dagang: Phytovon tablet 59 53 Cetirizin sirup 5 mg/5 ml Dus,, Botol 60 ml btl 14,338 54 Cetirizine tablet 10 mg Ktk 5 x 10 tablet tablet 249 55 Clobazam tablet 10 mg Kotak, 10 strip @ 10 tablet tablet 878 56 Clobetasol krim 0,05% kotak 25 tube 5 gr, Nama Dagang: Emetasol tube 5,082 57 Dapson tablet 100 mg botol 100 tablet tablet 51 58 Deksametason injeksi i.v. 5 mg/ml ktk 100 ampl x 1 ml ampul 2,594

59 Deksametason tablet 0,5 mg ktk 10 x 10 tablet tablet 89 60 Dekstran 70 - larutan infus 6% steril botol 500 ml (Merek: Dekstran) Unit 45,136 61 Dekstrometorfan sirup 10 mg/5 ml (HBr) BTL 60 ML btl 1,812 62 Dekstrometorfan tablet 15 mg (HBr) Dus, 10 Blister @ 10 Tablet tablet 128 63 Diazepam injeksi 5 mg/ml Dus, 30 ampul @ 2 ml ampul 3,249 64 Diazepam tablet 2 mg Botol 100 tablet tablet 35 65 Diazepam tablet 5 mg Ktk 10 x 10 tablet 82 66 Dietilkarbamazin Sitrat tablet 100 mg Dus, 10 Strip @ 10 Tablet tablet 133 67 Difenhidramin injeksi i.m. 10 mg/ml (HCl) Kotak 30 ampul @ 1 ml ampul 1,317 68 Digoksin tablet 0,25 mg 10 x 10 tab tablet 142 69 Diltiazem HCl tablet 30 mg Ktk 10X10 TAB tablet 156 70 Dimenhidrinat tablet 50 mg Btl 100 tablet tablet 121 71 Doksisiklin kapsul/kaplet 100 mg ktk 10 x 10 kapsul kapsul 291 72 Domperidon suspensi 5 mg/5 ml btl 60 ml btl 5,008 73 Domperidon tablet 10 mg Dus, 10 Blister @ 10 Tablet tablet 244 74 Ekstraks Belladona tablet 10 mg ktk 10 bls x 10's tablet 53 75 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ktk 30 amp x 1 ml ampul 2,079 76 Eritromisin kapsul/kaplet 250 mg Dus, 10 Blister @ 12 Kapsul kapsul 683 77 Eritromisin kapsul/kaplet 500 mg Dus, 10 Blister @ 10 Tablet tablet 1,275 78 Eritromisin sirup 200 mg/ 5 ml btl 60 ml btl 9,173 79 Etakridin larutan 0,1% Btl 300 ml btl 2,907 80 Etambutol tablet 250 mg (HCl) ktk 20 x 10 tablet tablet 388 81 Etambutol tablet salut 500 mg (HCl) Dus, 10 Strip @ 10 Tablet Salut Selaput tablet 596 82 Famotidine tablet 40 mg Dus, 5 Strip @ 10 Tablet tablet 243

83 Famotidine tablet 20 mg Dus, 5 Strip @ 10 Tablet tablet 156 84 Fenilbutason tablet 200 mg ktk 15 str x 10's tablet 134 85 Fenitoin kapsul/kaplet 100 mg BOTOL 100 KAPSUL kapsul 171 86 Fenitoin Natrium injeksi 50 mg/ml ktk 10 amp x 2 ml ampul 67,039 87 Fenitoin Natrium kapsul/kaplet 30 mg BOTOL 100 KAPSUL kapsul 127 88 Fenobarbital injeksi i.m./i.v. 50 mg/ml ktk 30 amp x 1 ml ampul 2,378 89 Fenobarbital tablet 30 mg Kotak 100 (10 strip @ 10 tablet) tablet 95 90 Fenobarbital tablet 100 mg Kotak 10 x 10 tablet 199 91 Fenoksimetil Penisilin tablet 250 mg 10 str x 10's tablet 377 92 Fenoksimetil Penisilin tablet 500 mg ktk 10 str x 10's tablet 644 93 Fenol Gliserol tetes telinga 10% Kotak 24 botol @ 5 ml ampul 1,397 94 Fitomenadion (Vit.K1) tablet salut gula 10 mg ktk 10 x 10 tablet tablet 699 95 Fitomenadion (Vitamin K1) injeksi 10 mg/ml ktk 30 amp x 1 ml ampul 2,170 96 Flukonazol tablet 150 mg ktk 1 x 10 kapsul kapsul 30,492 97 Furosemid injeksi i.v./i.m. 10 mg/ml Dus, 25 ampul @ 2 ml sachet 2,427 98 Furosemid tablet 40 mg ktk 20x10 tablet sachet 114 99 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 g Trinatrium sitrat dihidrat 0,58 g Glukosa Anhidrat 2,7 g Dus, 100 Sachet sachet 405 100 Gemfibrozil kapsul/kaplet 300 mg ktk 10 bls x 10's kaplet 386 101 Gemfibrozil tablet 600 mg Dus, 10 Blister @ 10 Tablet tablet 942 102 Gentamisin injeksi 40 mg/ ml Dus, 5 ampul @ 2 ml ampul 4,302 103 Gentamisin salep kulit 0.1% Dus, 25 tube @ 5 g tube 1,697 104 Gentamisin Sulfat tetes mata 0,3 % Kotak 10 botol @ 5 ml btl 4,024

105 Gentian Violet larutan 1 % btl 10 ml btl 1,236 106 Glibenklamida tablet 5 mg Dus, 10 Blister @ 10 Tablet tablet 74 107 Glimepiride tablet 1 mg Kotak 30 tab 1 mg tablet 543 108 Glimepiride tablet 2 mg Ktk 5 x 10 tablet tablet 666 109 Glimepiride tablet 3 mg Ktk 5 x 10 tablet tablet 909 110 Glimepiride tablet 4 mg Ktk 5 x 10 tablet tablet 1,212 111 Gliquidon tablet 30 mg Kotak, 10 strip @ 10 tablet tablet 745 112 Gliserin Botol, 100 ml btl 5,769 113 Glukosa larutan infus 10 % steril Botol 500 ml btl 7,937 114 Glukosa larutan infus 40 % steril ampul 25 ml (Merek: Otsu D40 %) ampul 2,264 115 Glukosa larutan infus 5 % steril Botol 500 ml btl 7,364 116 Griseofulvin tablet 125 mg Dus, 10 Blister @ 10 Tablet tablet 326 117 Haloperidol tablet 0,5 mg 10 X 10 tab tablet 80 118 Haloperidol tablet 5 mg 10 X 10 tab tablet 140 119 Haloperidol tablet 1,5 mg 10 X 10 tab tablet 95 120 Hidrokortison krim 1% tube @ 5 gr tube 3,065 121 Hidrokortison krim 2,5 % ktk 24 tube @ 5 g tube 3,048 122 Hyoscine -N-Butilbromide tablet 10 mg kotak 5 x 10 tablet, Nama Dagang: Hyorex tablet 468 123 Ibuprofen suspensi 100 mg/5 ml Botol 60 ml btl 4,802 124 Ibuprofen suspensi 200 mg/5 ml Botol 60 ml btl 6,175 125 Ibuprofen tablet 200 mg btl 100 tablet tablet 128 126 Ibuprofen tablet 400 mg ktk 10 X 10 tablet tablet 203 127 Iodiol kapsul lunak BTL 100 KAP kapsul 1,289 128 Isoniazid tablet 100 mg Ktk 10X10 TAB tablet 61

129 Isoniazid tablet 300 mg botol 100 tablet tablet 98 130 Isosorbid Dinitrat tablet sublingual 5 mg Dus, 10 Strip @ 10 Tablet tablet 127 131 Itrakonazol kapsul/kaplet 100 mg Kotak 30 kapsul/kaplet 100 mg kapsul 1,964 132 Kalium Diklofenak tablet 50 mg Ktk 5 x 10 tablet tablet 565 133 Kalsium Laktat (Kalk) tablet 500 mg ktk 10 str x 10's tablet 65 134 Kaptopril tablet 12,5 mg Ktk 10 x 10 tablet tablet 83 135 Kaptopril tablet 25 mg Dus, 10 Strip @ 10 Tablet tablet 122 136 Kaptopril tablet 50 mg Dus, 10 Strip @ 10 Tablet tablet 170 137 Karbamazepin tablet 200 mg Dus, 10 Blister @ 10 Tablet tablet 337 138 Ketokonazol krim 2% tube 15 gram tube 5,146 139 Ketokonazol tablet 200 mg Ktk 5 x 10 tablet tablet 355 140 Ketoprofen injeksi 100 mg ktk 5 ampul ampul 3,376 141 Ketoprofen tablet 100 mg Ktk 5 x 10 tablet tablet 807 142 Ketorolac injeksi 10 mg Dus, 5 ampul @ 1 ml ampul 2,546 143 Ketorolac injeksi 30 mg ktk 6 amp ampul 3,373 144 Klindamisin kapsul/kaplet 150 mg Dus, 5 Blister @ 10 Kapsul kapsul 530 145 Klindamisin kapsul/kaplet 300 mg Dus, 5 Blister @ 10 Kapsul kapsul 730 146 Klomifen tablet 50 mg Dus, 1 strip x 10 tablet, Nama Dagang: Ofertil tablet 2,195 147 Klonidin tablet 0,15 mg Ktk 10X10 TAB tablet 239 148 Kloramfenikol kapsul/kaplet 250 mg ktk 10 str x 10's kapsul 314 149 Kloramfenikol salep mata 1 % tube 5 g tube 1,842 150 Kloramfenikol suspensi 125 mg/ 5 ml btl 60 ml btl 5,209 151 Kloramfenikol tetes telinga 3 % btl 5 ml btl 2,216 152 Klorfeniramina Maleat (CTM) tablet 4 mg ktk 10 str x 10's tablet 29

153 Klorokuin tablet 250 mg ktk 10x10 tablet tablet 136 154 Klorpromazin tablet salut 100 mg (HCl) Ktk 10X10 TAB tablet 185 155 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 30 amp x 1 ml ampul 1,415 156 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 30 amp x 2 ml ampul 1,317 157 Klorpromazin tablet salut 25 mg (HCl) ktk 10 str x 10's tablet 62 158 Kodein tablet 10 mg ktk 10x10 tablet tablet 651 159 Kodein tablet 15 mg Ktk 10X10 TAB tablet 1,109 160 Kodein tablet 20 mg Ktk 10X10 TAB tablet 1,448 161 162 163 164 Kotrimoksazol DOEN I (dewasa) kombinasi : Dus, 10 Blister @ 10 Tablet tablet 187 Sulfametoksazol 400 mg, Trimetoprim 80 mg Kotrimoksazol DOEN I (dewasa) kombinasi : Strip 10 x 10 Tablet tablet 187 Sulfametoksazol 400 mg, Trimetoprim 80 mg Kotrimoksazol DOEN II (pediatrik) kombinasi : Dus, 10 Strip @ 10 Tablet tablet 99 Sulfametoksazol 100 mg Trimetoprim 20 mg Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Botol, 60 ml btl 2,785 Trimetoprim 40 mg / 5 ml 165 Kuinin Dihidroklorida injeksi 25% - 2 ml ktk 30 ampul @ 2 ml ampul 5,371 166 Lamivudine tablet 150 mg BTL 60 Tab tablet 1,756 167 Lanzoprazol kapsul/kaplet 30 mg Dus, 2 Strip @ 10 Kapsul kapsul 594 168 Levofloksasin tablet 500 mg Kotak 30 tab 500 mg tablet 809 169 Levofloksasin tablet 500 mg Dus, 3 Strip @ 10 Tablet tablet 809 170 Lidokain injeksi 2% ktk 100 amp @ 2 ml ampul 1,214 171 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml Dus, 30 ampul @ 2 ml ampul 1,871

172 Linkomisin kapsul/kaplet 500 mg Dus, 5 Blister @ 12 Kapsul kapsul 766 173 Lisinopril tablet 10 mg kotak 3 x 10 tablet tablet 774 174 Lisinopril tablet 5 mg dus 3 x 10 tablet, Nama Dagang: Inhitril tablet 450 175 Loperamid tablet 2 mg Dus, 10 strip @ 10 tablet tablet 125 176 Loratadin tablet 10 mg Ktk 5 x 10 tablet tablet 213 177 Magnesium Sulfat inj (IV) 20% - 25 ml vial 25 ml (Merek: Otsu MgSO4 20 %) vial 2,400 178 Magnesium Sulfat inj (IV) 40% - 25 ml vial 25 ml (Merek: Otsu MgSO4 40 %) vial 3,036 179 Mebendazol sirup 100 mg / 5 ml Botol 30 ml btl 4,898 180 Mebendazol tablet 100 mg Dus, 3 Blister @ 10 Tablet tablet 312 181 Meloksikam suppositoria Kotak, isi 10 suppositoria tablet 7,623 182 Meloksikam tablet 15 mg Dus, 5 Strip @ 10 Tablet tablet 402 183 Meloksikam tablet 7,5 mg Dus, 5 Strip @ 10 Tablet tablet 270 184 Menadion (Vitamin K3) injeksi 10 mg/ml ktk 100 amp @ 1 ml ampul 1,588 185 Metampiron injeksi 250 mg Kotak 30 ampul @ 2 ml ampul 1,891 186 Metampiron tablet 500 mg Kotak 10 x 10 tablet tablet 167 187 Metformin HCl tablet 500 mg Ktk 10 x 10 tablet tablet 140 188 Metformin HCl tablet 850 mg Kotak 100 tab 850 mg tablet 404 189 Metilprednisolon injeksi 500 mg Kotak 1 vial 8 ml vial 109,725 190 Metilprednisolon injeksi 500 mg ktk 1 vial @ 8 ml av 109,725 191 Metilprednisolon tablet 16 mg Ktk 3 x 10 tablet tablet 824 192 Metilprednisolon tablet 4 mg Ktk 10 x 10 tablet tablet 263 193 Metilprednisolon tablet 8 mg Kotak 100 tab 8 mg tablet 520 194 Metoklopramide injeksi 5 mg/ml dus 5 ampul 2 ml, Nama Dagang: Metolon ampul 1,363 195 Metoklopramide sirup 5 mg/ 5 ml botol 60 ml, Nama Dagang: Lexapram syr btl 3,269

196 Metoklopramide tablet 10 mg Ktk 10X10 TAB tablet 113 197 Metoklopramide tablet 5 mg Ktk 10 x 10 tab tablet 133 198 Metronidazol infus 500 mg/100 ml btl 100 ml btl 13,714 199 Metronidazol tablet 250 mg ktk 10 x 10 tablet tablet 161 200 Metronidazol tablet 500 mg Kotak 10 x 10 tablet tablet 221 201 Mikonazol krim/salep 2 % (Nitrat) ktk 24 tube @ 10 gram tube 4,158 Mineral Mix, kombinasi : Kalium klorida 1792 mg Trikalium Dus, 40 Sachet sachet 3,396 202 sitrat (1H2O) 648 mg Magnesium klorida (6H2O) 608 mg Seng asetat (2H2O) 66 mg Tembaga sulfat (5H2O) 11 mg 203 Momethason krim 0,1 % 25 tube 5 gram, Nama Dagang: Hyorex tube 5,198 204 Momethason krim 0,1 % tube 10 gram, Nama Dagang: Motaderm tube 28,760 205 Morfin injeksi 10 mg/ml Ktk 10 ampul @ 1ML ampul 14,552 206 Morfin tablet 10 mg btl 30 tablet tablet 1,671 207 Natrium Diklofenak tablet 50 mg ktk 5 x 10 tablet tablet 249 208 Natrium Diklofenak tablet 25 mg ktk 5 x 10 tablet tablet 188 209 Natrium Klorida larutan infus 0,9 % Botol 500 ml btl 6,791 210 Nevirapin tablet 200 mg btl 60 tablet tablet 3,622 211 Nifedipin tablet 10 mg ktk 10 x 10 tablet tablet 142 212 Nistatin tablet salut 500.000 IU/ g ktk 10 str x 10's tablet 887 213 Nistatin vaginal tablet 100.000 IU/ g ktk 10 str x 10's vaginal tablet 564 214 Obat Antituberkulosis FDC Kategori 1 paket paket 498,902 215 Obat Antituberkulosis FDC Kategori 2 Paket paket 1,663,085 216 Obat Antituberkulosis FDC Kategori Anak paket paket 297,932

217 Obat Antituberkulosis FDC Sisipan PAKET paket 221,643 218 Obat Antituberkulosis Kategori 1 dewasa Paket paket 399,330 219 Obat Antituberkulosis Kategori anak Paket paket 238,277 220 Obat Batuk Hitam ( O.B.H. ) cairan BTL 100 ML btl 1,654 221 Obat Batuk Hitam ( O.B.H. ) cairan btl 200 ml btl 3,858 222 Ofloxacin tablet 200 mg Dus, 5 Strip @ 10 Tablet tablet 654 223 Ofloxacin tablet 400 mg Dus, 5 Strip @ 10 Tablet tablet 907 224 Oksitetrasiklin HCl salep mata 1 % ktk 25 tube @ 3,5 g tube 2,033 225 Oksitetrasiklin salep kulit 3% ktk 25 tube @ 3,5 g tube 1,842 226 Oksitosin injeksi 10 IU/ml - 1 ml kotak 30 ampul 1 ml ampul 2,310 227 Omeprazol kapsul/kaplet 20 mg Ktk 3 x 10 kapsul kapsul 352 228 Oseltamivir kapsul/kaplet 75 mg Dus, 10 Blister @ 10 Kapsul kapsul 18,018 229 Papaverin injeksi 40 mg/ml KOTAK 100 AMPUL ampul 1,623 230 Papaverin tablet 40 mg ktk 10x10 tablet tablet 155 231 Parasetamol drops Btl 15 ml btl 7,244 232 Parasetamol sirup 120 mg / 5 ml BTL 60 ML btl 1,733 233 Parasetamol tablet 100 mg Botol 100 tablet tablet 43 234 Parasetamol tablet 500 mg ktk 10 x 10 tablet tablet 102 235 Perfenazin tablet 4 mg (HCl) BTL. 100 tab tablet 76 236 Petidin injeksi 50 mg/ml Ktk 10 AMP @ 2ML ampul 18,282 237 Piracetam injeksi 1 g/5 ml 1 box isi 10 ampul ampul 2,557 238 Piracetam injeksi 3 g/15 ml ktk 4 amp ampul 7,271 239 Piracetam tablet 1200 mg Ktk 3 x 10 tablet tablet 654 240 Piracetam tablet 400 mg Ktk 5 x 10 tablet tablet 258

241 Piracetam tablet 800 mg Ktk 5 x 10 tablet tablet 426 242 Pirantel sirup 125 mg/5 ml BOTOL 60 ML btl 11,557 243 Pirantel tablet score (base) 125 mg ktk 7x4 tablet tablet 348 244 Pirazinamid tablet 500 mg ktk 10 x 10 tablet tablet 263 245 Piroksikam kapsul/kaplet/tablet 10 mg KTK 10 X 10 kapsul 91 246 Piroksikam kapsul/kaplet/tablet 20 mg ktk 10 x 10 tablet kapsul 112 247 Povidon Iodida larutan 10% Btl 1000 ml btl 40,961 248 Povidon Iodida larutan 10% btl 60 ml btl 4,447 249 Povidon Iodida larutan 10% btl 300 ml btl 17,787 250 Povidon Iodida larutan 10% BTL. 30 ML btl 2,541 251 Pravastatin tablet 20 mg kotak 5 x 10 tablet tablet 3,350 252 Prednison tablet 5 mg ktk 10 str x 10's tablet 72 253 Primakuin tablet 15 mg ktk 10 str x 10's tablet 158 254 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial Kotak 30 vial 15 ml vial 8,559 255 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial ktk 30 vial x 3 Jt IU vial 8,559 256 Propanolol tablet 40 mg (HCl) Botol 100 Tablet tablet 150 257 Propanolol tablet 10 mg ( HCl ) ktk 10 strip x 10 tab tablet 105 258 Propiltiourasil tablet 100 mg Botol plastik @ 100 tablet tablet 374 259 Ramipril tablet 2,5 mg Kotak, 10 strip @ 10 tablet tablet 347 260 Ramipril tablet 5 mg Kotak, 10 strip @ 10 tablet tablet 612 261 Ranitidin injeksi 25 mg/2 ml 1 box isi 10 ampul ampul 1,537 262 Ranitidin tablet 150 mg Ktk 10 x 10 tablet tablet 158 263 Reserpin tablet 0,10 mg Kotak 10 x 10 tablet 112 264 Reserpin tablet 0,25 mg Ktk 10 x 10 tablet 143

265 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak kapsul 307 266 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak kapsul 498 267 Rifampisin kapsul/kaplet 300 mg Dus, 10 Strip @ 10 Kapsul kapsul 554 268 Rifampisin kapsul/kaplet 600 mg Dus, 10 Strip @ 10 Tablet tablet 1,087 269 Rifampisin tablet salut 450 mg Ktk 10 x 10 Kaplet kapsul 789 270 Ringer Laktat larutan infus Botol 500 ml btl 7,207 271 Risperidon tablet 1 mg 2 X 10 Tablet, Nama Dagang: Persidal tablet 1,617 272 Risperidon tablet 2 mg strip tablet 2,468 273 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet tablet 85 274 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet tablet 109 Salep 2-4, Kombinasi: Asam Salisilat 2% + Belerang endap POT @ 30 GR pot 2,495 275 4% 276 Salisil Bedak 2 % ktk 50 gram ktk 1,444 277 Salisil Bedak 2 % Kotak 50 gram ktk 1,444 278 Sefadroksil sirup kering 125 mg/5ml Btl 60 ml btl 6,970 279 Sefadroksil kapsul/kaplet 250 mg KTK 5x10 Kapsul kapsul 623 280 Sefadroksil kapsul/kaplet 500 mg ktk 10 x 10 kapsul kapsul 692 281 Sefaleksin kapsul/kaplet 250 mg kotak 10 x 10 tablet, Nama Dagang: Kemolexin kapsul 422 282 Sefaleksin kapsul/kaplet 500 mg Dus, 5 Strip @ 10 Kapsul kapsul 1,647 283 Sefiksim 400 mg + Azitromisin 1000 mg PAKET/AMPLOP paket 45,738 284 Sefiksim kapsul/kaplet 100 mg Ktk 5 x 10 kapsul kapsul 1,273 285 Sefiksim sirup kering 100 mg/ 5 ml btl 30 ml btl 14,063 286 Sefotaksim injeksi 0,5 g KTK 2 Vial vial 8,085 287 Sefotaksim injeksi 1 g ktk 2 vial vial 3,222

288 Seftazidim injeksi 1 g ktk 2 vial vial 16,639 289 Seftriakson injeksi 1 g ktk 2 vial vial 3,425 290 Sianokobalamin (vitamin B12) injeksi 500 mcg Dus, 100 ampul @ 1 ml ampul 1,344 291 Sianokobalamin (vitamin B12) tablet 50 mcg ktk 10x10 tablet tablet 17 292 Simetidin tablet 200 mg ktk 10 str x 10's tablet 148 293 Simetidin tablet 200 mg Strip 10 x 10 Tablet tablet 148 294 Simvastatin tablet 10 mg Ktk 3 x 10 tablet tablet 239 295 Simvastatin tablet 20 mg DS. 50 TAB tablet 632 296 Simvastatin tablet 5 mg kotak 3 x 10 tablet, Nama Dagang: Rendapid tablet 347 297 Siprofloksasin infus 2% btl 100 ml btl 19,685 298 Siprofloksasin tablet 500 mg (sebagai HCl) Ktk 10 x 10 tablet tablet 320 299 Siprofloksasin tablet 250 mg (sebagai HCl) Dus, 5 Blister @ 10 Tablet tablet 329 300 Spiramisin tablet 500 mg Dus, 5 Strip @ 10 Tablet tablet 1,922 301 Stavudin tablet 30 mg BTL 60 Tab tablet 1,169 302 Streptomisin serbuk injeksi i.v 1000 mg/ml Dus 56 vial @ 1 gram vial 5,105 303 Sulfasalazin tablet 500 mg Kotak 100 tab 500 mg tablet 578 304 Sulfasetamida Natrium tetes mata 15 % btl @ 5 ml btl 4,471 305 Tamoksifen tablet 20 mg box 30 tablet (merek: Tamofen) tablet 1,964 306 Tetrasiklin kapsul/kaplet 250 mg ktk 10x10 kapsul kapsul 178 307 Tetrasiklin kapsul/kaplet 500 mg KTK 10 X 10 kapsul 336 308 Tiamfenikol kapsul/kaplet 250 mg Dus,10 strip@10 kapsul kapsul 368 309 Tiamfenikol kapsul/kaplet 500 mg Dus, 10 Strip @ 10 Kapsul kapsul 554 310 Tiamin (Vitamin B1) 100 mg tablet ktk 10x10 tablet tablet 103 311 Tiamin (Vitamin B1) injeksi 100 mg/ml Kotak 30 ampul 1 ml ampul 1,040

312 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 30 amp x 1 ml ampul 1,040 313 Tramadol injeksi 50 mg/ml Kotak 5 ampul 1 ml ampul 8,085 314 Tramadol kapsul/kaplet/tablet 50 mg Dus, 5 Strip @ 10 Kapsul kapsul 261 315 Tramadol kapsul/kaplet/tablet 50 mg ktk 5 X10 kapsul kapsul 261 316 Trifluoperazin tablet 5 mg (Dus, 10 strip @ 10 tablet salut gula) tablet 505 317 Triheksifenidil tablet 2 mg Dus, 10 Blister @ 10 Tablet tablet 55 318 Verapamil tablet 80 mg (HCl) Ktk 10X10 TAB tablet 274 319 Zidovudin tablet 100 mg BTL 60 KAP kapsul 1,316 320 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg btl 60 tablet tablet 4,320 321 Zinc tablet 20 mg ktk 10 x 10 tablet tablet 647 -