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DAFTAR HARGA 2013

PT. ACTAVIS INDONESIA


NO.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51

PRODUK

KOMPOSISI

Cefixime
ABIXIM 100MG DS
Cefixime
ABIXIM 200MG CAPS
Cefixime
ACRIOS 50mg
Acarbose 50mg
ACRIOS 100mg
Acarbose 100mg
ACTACEF 1GR INJ
Cefepime 1 gr
ACTALIPID 10 MG
Atorvastatin
ACTALIPID 20 MG
Atorvastatin
ACTALIPID 40 MG
Atorvastatin
ACTAPIN 10MG T30
Amlodipine Besylate
ACTAPIN 5MG T30
Amlodipine Besylate
ACTARYL 2MG
Glimepiride
ACTAZOLAM 0.5 MG
Alprazolam 0,5 mg
ACTAZOLAM 1 MG
Alprazolam 1 mg
ALPENTIN 100MG C50
Gabapentin 100mg
ALPENTIN 300MG C50
Gabapentin 300mg
ASCOPLEX
Vit B Comp.+ Asam Folat + Vit C
CHLORAMEX CAPS. 500 MG/100'S
Chloramphenicol 500 mg
CHLORAMEX INJ. 1G/10 VLS
Chloramphenicol Na Succinate 1 g
CHLORAMEX SYRUP/60 ML
Chloramphenicol Palmitat 125mg/ml
COLISTINE 0.25MIU T100
Polimixin E Sulfat
COLISTINE 1.5MIU T50
Polimixin E Sulfat
CYGEST 200MG PESSARY
Progesteron
CYGEST 400MG PESSARY
Progesteron
DANOCLAV 500MG T30
Amoxicilin+Asam Klavulanat
DECUBAL CREAM 20G
Lanolin
DECUBAL CREAM 40G
Lanolin
DEFLAMAT 100MG CR
Natrium Diklofenak
DEFLAMAT 75MG CR
Natrium Diklofenak
DEPREZAC 20MG C30
Fluoxetine
DOMINAL 10MG FM
Domperidone
DOMINAL 5MG/ML DROP
Domperidone
DOMINAL SYRUP 60ML/BTL
Domperidone
DOPAMET TABS.250 MG/100'S
Metildopa
DUMIN 125MG RT
Paracetamol
DUMIN 250MG RT
Paracetamol
DUMOCALCIN PEPP PLUS 30'
Kalsium + Vitamin D-3
DUMOCALCIN PLUS COCO, BTL 30'S Kalsium + Vitamin D-3
DUMOLID 5MG T100
Nitrazepam 10 mg
DUMOXIN TAB. 100 MG/50'S
Doxisiklin
DUMOZOL INFUS 500 MG/100 ML
Metronidazol
EMPOSIL 100 MG@4 TABLET
Sildenafil sitrat
EMPOSIL 50 MG@4 TABLET
Sildenafil sitrat
FIONAT
Asam Folat 0.4 mg
FORMELL 500 MG, TABLET 30'S
Metformin
FORMELL 850 MG, TABLET- 30
Metformin
GOLMUN PLUS
Echinacea, black elderberry, zinc pico
GOLMUN KIDS
Echinacea, black elderberry, zinc pico
IMPUGAN INJ. 2 ML/5 AMP
Furosemide
LEVOTHYROXINE TAB 100 MCG/28'S Natrium Tiroksin
LONGATIN 25MG C100
Noskapin
ABIXIM 100MG CAPS

HNA

HNA+PPN ISI

SATUAN

DISTRIBUTOR

NO.

PRODUK

396,000

30

13,200

MBS

52 LONGATIN 50MG C100

53,000

58,300

58,300

MBS

53

180,000

198,000

10

19,800

MBS

54

57,500

63,250

50

1,265

MBS

55

95,000

104,500

50

2,090

MBS

56

240,000

264,000

264,000

MBS

57

240,000

264,000

30

8,800

MBS

58

240,000

264,000

30

8,800

MBS

59

240,000

264,000

30

8,800

MBS

60

195,000

214,500

30

7,150

MBS

61

105,000

115,500

30

3,850

MBS

62

81,000

89,100

30

2,970

MBS

63

45,000

49,500

30

1,650

MBS

64

65,000

71,500

30

2,383

MBS

65

170,000

187,000

50

3,740

MBS

66

315,000

346,500

50

6,930

MBS + AAM

67

100,000

110,000 100

1,100

MBS

68

110,000

121,000 100

1,210

MBS + AAM

69

90,000

99,000

10

9,900

MBS + AAM

70

11,000

12,100

12,100

MBS + AAM

71

105,000

115,500 100

1,155

MBS + AAM

72

255,000

280,500

50

5,610

MBS + AAM

73

165,000

181,500

15

12,100

MBS

74

300,000

330,000

15

22,000

MBS

75

240,000

264,000

30

8,800

MBS + AAM

76

16,000

17,600

17,600

MBS + AAM

77

30,000

33,000

33,000

MBS + AAM

78

125,000

137,500

20

6,875

MBS + AAM

79

105,000

115,500

20

5,775

MBS + AAM

115,000

126,500

30

4,217

MBS

70,000

77,000

30

2,567

MBS

25,000

27,500

27,500

MBS

25,000

27,500

27,500

MBS

176,000 100

1,760

MBS + AAM

160,000
48,000

52,800

10,560

MBS + AAM

68,000

74,800

14,960

MBS + AAM

33,000

36,300

30

1,210

MBS + AAM

33,000

36,300

30

1,210

MBS + AAM

280,000

308,000 100

3,080

MBS + AAM

205,000

225,500

50

4,510

MBS + AAM

60,000

66,000

66,000

MBS + AAM

290,000

319,000

79,750

MBS

230,000

253,000

63,250

MBS

55,000

60,500 100

605

MBS

25,000

27,500

30

917

MBS + AAM

32,000

35,200

30

1,173

MBS + AAM

129,000

141,900

30

4,730

MBS

38,000

41,800

41,800

MBS

37,000

40,700

8,140

MBS + AAM

30,800

28

1,100

MBS + AAM

220,000 100

2,200

MBS + AAM

28,000
200,000

KOMPOSISI

Noskapin
LORINID MITE TABS./50'S
Amiloride 2,5 mg + Hct 25 mg
NODIRIL 1 MG 30'S
Risperidone
NODIRIL 2 MG 30'S
Risperidone
ONZAPIN 5MG
Olanzapin 5mg
ONZAPIN 10MG
Olanzapin 10mg
OSTEOFREE
Glucosamin Chondroitin
PLACTA 75MG T3X10
Clopidogrel
PENEMAC 1 GR
Meropenem
PRAZOPANT INJ
Pantoprazol
RACLONID INJ. 2ML/5 AMP.
Metoklopramid
RHEMACOX 15MG T
Meloxicam 15mg
ROLAC 30MG INJ
Ketorolac Trometamin
STESOLID 10MG RT
Diazepam
STESOLID 2MG T100
Diazepam
STESOLID 5MG RT
Diazepam
STESOLID 5MG T100
Diazepam
STESOLID INJ
Diazepam
STESOLID SYR 60ML
Diazepam
TENSIPHAR 10 MG TABLET 30'S
Lisinopril
TENSIPHAR 5 MG TABLET 30'S
Lisinopril
TEVOX 500MG INF 100ML
Levofloxacin
TEVOX 500MG T10
Levofloxacin
TICLOPHAR 250 MG TABLET 20'S Ticlopidine
VIVACE 10MG T
Ramipril
VIVACE 2.5MG T
Ramipril
VIVACE 5MG T
Ramipril
ZIREA SIRUP
Zinc

360,000

HNA
310,000

HNA+PPN ISI
341,000 100

SATUAN
3,410

80,000

88,000

50

1,760

110,000

121,000

30

4,033

170,000

187,000

30

6,233

364,000

400,400

28

14,300

532,000

585,200

28

20,900

132,000

145,200

30

4,840

297,000

326,700

30

10,890

350,000

385,000

385,000

105,000

115,500

115,500

41,000

45,100

9,020

100,000

110,000

20

5,500

130,000

143,000

28,600

162,000

178,200

35,640

80,000

88,000 100

108,000

118,800

140,000

154,000 100

52,000

57,200

31,000
90,000

880
23,760
1,540

11,440

34,100

34,100

99,000

30

3,300

62,000

68,200

30

2,273

160,000

176,000

176,000
8,800

80,000

88,000

10

100,000

110,000

20

5,500

300,000

330,000

30

11,000

126,000

138,600

30

4,620

195,000

214,500

30

7,150

18,000

19,800

19,800

DISTRIBUTOR
MBS + AAM
MBS + AAM
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS + AAM
MBS + AAM
AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS
MBS
AAM
AAM
MBS
MBS
MBS
MBS
MBS

DAFTAR HARGA PER JULI 2011


NO.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58

CODE
23851
23871
23861
22221
22631
22641
22501
22491
22492
22881
22891
22861
22871
22241
22251
22371
22071
20471
20951
20131
20141
20151
22231
22081
21213
20901
20902
21111
21101
22051
22321
22151
23601
23441
21191
21291
21601
21591
20381
20421
22291
23151
23141
21512
21522
20511
21831
20561
20571
20591
22331
22341
22941

PRODUK
ABIXIM 100MG CAPS
ABIXIM 100MG DS
ABIXIM 200MG CAPS
ACTACEF 1GR INJ
ACTALIPID 10 MG
ACTALIPID 20 MG
ACTALIPID 40 MG
ACTAPIN 10MG T30
ACTAPIN 5MG T30
ACTAPIN 5MG T30 ASKES
ACTARYL 3 MG
ACTARYL 4 MG
ACTARYL TABLET 1MG
ACTARYL TABLET 2MG
ACTAZOLAM 0.5 MG
ACTAZOLAM 1 MG
ALPENTIN 100MG C50
ALPENTIN 300MG C50
ASCOPLEX
CHLORAMEX CAPS. 500 MG/100'S
CHLORAMEX INJ. 1G/10 VLS
CHLORAMEX SYRUP/60 ML
COLISTINE 0.25MIU T100
COLISTINE 1.5MIU T50
CYGEST 200MG PESSARY
CYGEST 400MG PESSARY
DANOCLAV 500MG T30
DECUBAL CREAM 20G
DECUBAL CREAM 40G
DEFLAMAT 100MG CR
DEFLAMAT 75MG CR
DEPREZAC 20MG C30
DOMINAL 10MG FM
DOMINAL 5MG/ML DROP
DOMINAL SYRUP 60ML/BTL
DOPAMET TABS.250 MG/100'S
DUMIN 125MG RT
DUMIN 250MG RT
DUMOCALCIN PEPP PLUS 30'
DUMOCALCIN PLUS COCO, BTL 30'S
DUMOLID 5MG T100
DUMOXIN TAB. 100 MG/50'S
DUMOZOL INFUS 500 MG/100 ML
EMPOSIL 100 MG@4 TABLET
EMPOSIL 50 MG@4 TABLET
FIONAT
FORMELL 500 MG, TABLET 30'S
FORMELL 850 MG, TABLET- 30
GOLMUN PLUS
IMPUGAN INJ. 2 ML/5 AMP
LEVOTHYROXINE TAB 100 MCG/28'S
LONGATIN 25MG C100
LONGATIN 50MG C100
LORINID MITE TABS./50'S
NODIRIL 1 MG 30'S
NODIRIL 2 MG 30'S
OSTEOFREE
PLACTA 75MG T3X10

KOMPOSISI

cefixime
cefixime
cefixime
Cefepime 1 grm
ATORVASTATIN
ATORVASTATIN
ATORVASTATIN
Amlodipine Besylate
Amlodipine Besylate
Amlodipine Besylate
GLIMEPIRIDE
GLIMEPIRIDE
GLIMEPIRIDE
GLIMEPIRIDE
Alprazolam 0,5 mg
Alprazolam 1 mg
Gabapentin 100mg
Gabapentin 300mg
Vit B Comp.+ Asam Folat + Vit C
Chloramphenicol 500 mg
Chloramphenicol Na Succinate 1 g
Chloramphenicol Palmitat 125mg/ml
Polimixin E Sulfat
Polimixin E Sulfat
Progesteron
Progesteron
Amoxicilin+Asam Klavulanat
Lanolin
Lanolin
Natrium Diklofenak
Natrium Diklofenak
Fluoxetine
Domperidone
Domperidone
Domperidone
Metildopa
Paracetamol
Paracetamol
Kalsium + Vitamin D-3
Kalsium + Vitamin D-3
Nitrazepam 10 mg
Doxisiklin
Metronidazol
sildenafil sitrat
sildenafil sitrat
Asam Folat 0.4 mg
Metformin
Metformin
ECHINACEA
Furosemide
Natrium Tiroksin
Noskapin
Noskapin
Amiloride 2,5 mg + Hct 25 mg
Risperidone
Risperidone
Glucosamin Chondroitin
Clopidogrel

HNA
HNA+PPN
360,000
396,000
53,000
58,300
180,000
198,000
240,000
264,000
240,000
264,000
240,000
264,000
240,000
264,000
195,000
214,500
105,000
115,500
105,000
115,500
111,000
122,100
141,000
155,100
45,000
49,500
81,000
89,100
45,000
49,500
65,000
71,500
170,000
187,000
315,000
346,500
100,000
110,000
110,000
121,000
90,000
99,000
11,000
12,100
105,000
115,500
255,000
280,500
165,000
181,500
300,000
330,000
240,000
264,000
16,000
17,600
30,000
33,000
125,000
137,500
105,000
115,500
115,000
126,500
70,000
77,000
25,000
27,500
25,000
27,500
160,000
176,000
48,000
52,800
68,000
74,800
33,000
36,300
33,000
36,300
280000
308,000
205,000
225,500
60,000
66,000
290000
319,000
230000
253,000
55,000
60,500
25000
27,500
32000
35,200
129,000
141,900
37000
40,700
28,000
30,800
200,000
220,000
310,000
341,000
80000
88,000
110,000
121,000
170,000
187,000
132,000
145,200
297,000
326,700

59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75

20881
22141
22031
23391
20681
23381
20691
20711
20701
21911
21901
22001
22011
21921
22621
22601
22611

RACLONID INJ. 2ML/5 AMP.


RHEMACOX 15MG T
ROLAC 30MG INJ
STESOLID 10MG RT
STESOLID 2MG T100
STESOLID 5MG RT
STESOLID 5MG T100
STESOLID INJ
STESOLID SYR 60ML
TENSIPHAR 10 MG TABLET 30'S
TENSIPHAR 5 MG TABLET 30'S
TEVOX 500MG INF 100ML
TEVOX 500MG T10
TICLOPHAR 250 MG TABLET 20'S
VIVACE 10MG T
VIVACE 2.5MG T
VIVACE 5MG T

Metoklopramid
Meloxicam 15mg
Ketorolac Trometamin
Diazapam
Diazapam
Diazapam
Diazapam
Diazapam
Diazapam
Lisinopril
Lisinopril
Levofloxacin
Levofloxacin
Ticlopidine
RAMIPRIL
RAMIPRIL
RAMIPRIL

41,000
100,000
130,000
162,000
80,000
108,000
140,000
52,000
31,000
90,000
62,000
160,000
80,000
100,000
300,000
126,000
195,000

45,100
110,000
143,000
178,200
88,000
118,800
154,000
57,200
34,100
99,000
68,200
176,000
88,000
110,000
330,000
138,600
214,500

DISTRIBUTOR
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS
MBS + AAM
MBS
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS
MBS
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS
MBS
MBS
MBS
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS
MBS
MBS
MBS + AAM
MBS + AAM
MBS
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS
MBS
MBS
MBS

MBS + AAM
MBS + AAM
AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS + AAM
MBS
MBS
AAM
AAM
MBS
MBS
MBS
MBS

DAFTAR HARGA PER JULI 2011


TEAM
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A

CODE
23871
20141
20151
22231
22081
20901
20902
22321
22151
23601
23441
21191
21291
21601
21591
20421
23151
23141
21831
20561
20571
23391
20681
23381
20691
20711
20701

PRODUK
ABIXIM 100MG DS
COLISTINE 0.25MIU T100
COLISTINE 1.5MIU T50
CYGEST 200MG PESSARY
CYGEST 400MG PESSARY
DECUBAL CREAM 20G
DECUBAL CREAM 40G
DOMINAL 10MG FM
DOMINAL 5MG/ML DROP
DOMINAL SYRUP 60ML/BTL
DOPAMET TABS.250 MG/100'S
DUMIN 125MG RT
DUMIN 250MG RT
DUMOCALCIN PEPP PLUS 30'
DUMOCALCIN PLUS COCO, BTL 30'S
DUMOXIN TAB. 100 MG/50'S
EMPOSIL 100 MG@4 TABLET
EMPOSIL 50 MG@4 TABLET
LEVOTHYROXINE TAB 100 MCG/28'S
LONGATIN 25MG C100
LONGATIN 50MG C100
STESOLID 10MG RT
STESOLID 2MG T100
STESOLID 5MG RT
STESOLID 5MG T100
STESOLID INJ
STESOLID SYR 60ML

KOMPOSISI
cefixime
Polimixin E Sulfat
Polimixin E Sulfat
Progesteron
Progesteron
Lanolin
Lanolin
Domperidone
Domperidone
Domperidone
Metildopa
Paracetamol
Paracetamol
Kalsium + Vitamin D-3
Kalsium + Vitamin D-3
Doxisiklin
sildenafil sitrat
sildenafil sitrat
Natrium Tiroksin
Noskapin
Noskapin
Diazapam
Diazapam
Diazapam
Diazapam
Diazapam
Diazapam

HNA
53,000
105,000
255,000
165,000
300,000
16,000
30,000
70,000
25,000
25,000
160,000
48,000
68,000
33,000
33,000
205,000
290,000
230,000
28,000
200,000
310,000
162,000
80,000
108,000
140,000
52,000
31,000

HNA+PPN
58,300
115,500
280,500
181,500
330,000
17,600
33,000
77,000
27,500
27,500
176,000
52,800
74,800
36,300
36,300
225,500
319,000
253,000
30,800
220,000
341,000
178,200
88,000
118,800
154,000
57,200
34,100

B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B

23851
23861
22221
22241
22251
22371
22071
20471
20951
20131
21213
21111
21101
22051
20381
22291
22331
22341
20881
22141
22031
22001
22011

ABIXIM 100MG CAPS


ABIXIM 200MG CAPS
ACTACEF 1GR INJ
ACTAZOLAM 0.5 MG
ACTAZOLAM 1 MG
ALPENTIN 100MG C50
ALPENTIN 300MG C50
CHLORAMEX CAPS. 500 MG/100'S
CHLORAMEX INJ. 1G/10 VLS
CHLORAMEX SYRUP/60 ML
DANOCLAV 500MG T30
DEFLAMAT 100MG CR
DEFLAMAT 75MG CR
DEPREZAC 20MG C30
DUMOLID 5MG T100
DUMOZOL INFUS 500 MG/100 ML
NODIRIL 1 MG 30'S
NODIRIL 2 MG 30'S
RACLONID INJ. 2ML/5 AMP.
RHEMACOX 15MG T
ROLAC 30MG INJ
TEVOX 500MG INF 100ML
TEVOX 500MG T10

cefixime
cefixime
Cefepime 1 grm
Alprazolam 0,5 mg
Alprazolam 1 mg
Gabapentin 100mg
Gabapentin 300mg
Chloramphenicol 500 mg
Chloramphenicol Na Succinate 1 g
Chloramphenicol Palmitat 125mg/ml
Amoxicilin+Asam Klavulanat
Natrium Diklofenak
Natrium Diklofenak
Fluoxetine
Nitrazepam 10 mg
Metronidazol
Risperidone
Risperidone
Metoklopramid
Meloxicam 15mg
Ketorolac Trometamin
Levofloxacin
Levofloxacin

360,000
180,000
240,000
45,000
65,000
170,000
315,000
110,000
90,000
11,000
240,000
125,000
105,000
115,000
280,000
60,000
110,000
170,000
41,000
100,000
130,000
160,000
80,000

396,000
198,000
264,000
49,500
71,500
187,000
346,500
121,000
99,000
12,100
264,000
137,500
115,500
126,500
308,000
66,000
121,000
187,000
45,100
110,000
143,000
176,000
88,000

D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D

22631
22641
22501
22491
22492
22881
22891
22861
22871
21512
21522
20511
20591
22941
21911
21901
21921
22621
22601
22611

ACTALIPID 10 MG
ACTALIPID 20 MG
ACTAPIN 10MG T30
ACTAPIN 5MG T30
ACTAPIN 5MG T30 ASKES
ACTARYL 3 MG
ACTARYL 4 MG
ACTARYL TABLET 1MG
ACTARYL TABLET 2MG
FORMELL 500 MG, TABLET 30'S
FORMELL 850 MG, TABLET- 30
IMPUGAN INJ. 2 ML/5 AMP
LORINID MITE TABS./50'S
PLACTA 75MG T3X10
TENSIPHAR 10 MG TABLET 30'S
TENSIPHAR 5 MG TABLET 30'S
TICLOPHAR 250 MG TABLET 20'S
VIVACE 10MG T
VIVACE 2.5MG T
VIVACE 5MG T

ATORVASTATIN
ATORVASTATIN
Amlodipine Besylate
Amlodipine Besylate
Amlodipine Besylate
GLIMEPIRIDE
GLIMEPIRIDE
GLIMEPIRIDE
GLIMEPIRIDE
Metformin
Metformin
Furosemide
Amiloride 2,5 mg + Hct 25 mg
Clopidogrel
Lisinopril
Lisinopril
Ticlopidine
RAMIPRIL
RAMIPRIL
RAMIPRIL

240,000
240,000
195,000
105,000
105,000
111,000
141,000
45,000
81,000
25,000
32,000
37,000
80,000
297,000
90,000
62,000
100,000
300,000
126,000
195,000

264,000
264,000
214,500
115,500
115,500
122,100
155,100
49,500
89,100
27,500
35,200
40,700
88,000
326,700
99,000
68,200
110,000
330,000
138,600
214,500

DAFTAR HARGA PER JULI 2011


TEAM CODE
D
22631
D
22641
D
D
22501
D
22491
D
22881
D
22891
D
22861
D
22871
D
21512
D
21522
D
20511
D
20591
D
22941
D
21911
D
21901
D
21921
D
22621
D
22601
D
22611

PRODUK
ACTALIPID 10 MG/ 30's
ACTALIPID 20 MG/ 30's
ACTALIPID 40 MG/ 30's
ACTAPIN 10MG T30
ACTAPIN 5MG T30
ACTARYL 3 MG/ 30's
ACTARYL 4 MG/ 30's
ACTARYL TABLET 1MG/ 30's
ACTARYL TABLET 2MG/ 30'
FORMELL 500 MG, TABLET 30'S
FORMELL 850 MG, TABLET- 30's
IMPUGAN INJ. 2 ML/5 AMP
LORINID MITE TABS./50'S
PLACTA 75MG T3X10
TENSIPHAR 10 MG TABLET 30'S
TENSIPHAR 5 MG TABLET 30'S
TICLOPHAR 250 MG TABLET 20'S
VIVACE 10MG T/ 30's
VIVACE 2.5MG T/ 30's
VIVACE 5MG T/ 30's

KOMPOSISI
ATORVASTATIN
ATORVASTATIN
ATORVASTATIN
Amlodipine Besylate
Amlodipine Besylate
GLIMEPIRIDE
GLIMEPIRIDE
GLIMEPIRIDE
GLIMEPIRIDE
Metformin
Metformin
Furosemide
Amiloride 2,5 mg + Hct 25 mg
Clopidogrel
Lisinopril
Lisinopril
Ticlopidine
RAMIPRIL
RAMIPRIL
RAMIPRIL

HNA

HNA+PPN
240,000
240,000
240,000
195,000
105,000
111,000
141,000
45,000
81,000
25,000
32,000
37,000
80,000
297,000
90,000
62,000
100,000
300,000
126,000
195,000

264,000
264,000
264,000
214,500
115,500
122,100
155,100
49,500
89,100
27,500
35,200
40,700
88,000
326,700
99,000
68,200
110,000
330,000
138,600
214,500

HNA/TAB
8,000
8,000
8,000
6,500
3,500
3,700
4,700
1,500
2,700
833
1,067
7,400
1,600
9,900
3,000
2,067
5,000
10,000
4,200
6,500

DAFTAR HARGA 2011


NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
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

PRODUK
ABIXIM 100MG CAPS
ABIXIM 100MG DS
ABIXIM 200MG CAPS
ACTACEF 1GR INJ
ACTALIPID 10 MG
ACTALIPID 20 MG
ACTAPIN 10MG T30
ACTAPIN 5MG T30
ACTAPIN 5MG T30 ASKES
ACTARYL 3 MG
ACTARYL 4 MG
ACTARYL TABLET 1MG
ACTARYL TABLET 2MG
ACTAZOLAM 0.5 MG
ACTAZOLAM 1 MG
CHLORAMEX CAPS. 500 MG/100'S
CHLORAMEX INJ. 1G/10 VLS
CHLORAMEX SYRUP/60 ML
DANOCLAV 500MG T30
DECUBAL CREAM 20G
DECUBAL CREAM 40G
DEPREZAC 20MG C30
DOMINAL 10MG FM
DOMINAL 5MG/ML DROP
DOMINAL SYRUP 60ML/BTL
DOPAMET TABS.250 MG/100'S
DUMIN 125MG RT
DUMIN 250MG RT
DUMOCALCIN PEPP PLUS 30'
DUMOCALCIN PLUS COCO, BTL 30'S
DUMOLID 5MG T100
DUMOXIN TAB. 100 MG/50'S
DUMOZOL INFUS 500 MG/100 ML
EMPOSIL 100 MG@4 TABLET
EMPOSIL 50 MG@4 TABLET
FORMELL 500 MG, TABLET 30'S
FORMELL 850 MG, TABLET- 30
IMPUGAN INJ. 2 ML/5 AMP
LEVOTHYROXINE TAB 100 MCG/28'S
LORINID MITE TABS./50'S
NODIRIL 1 MG 30'S
NODIRIL 2 MG 30'S
PLACTA 75MG T3X10
RACLONID INJ. 2ML/5 AMP.
RHEMACOX 15MG T
ROLAC 30MG INJ
STESOLID 10MG RT
STESOLID 2MG T100
STESOLID 5MG RT
STESOLID 5MG T100
STESOLID INJ
STESOLID SYR 60ML
TENSIPHAR 10 MG TABLET 30'S
TENSIPHAR 5 MG TABLET 30'S
TEVOX 500MG INF 100ML
TEVOX 500MG T10
TICLOPHAR 250 MG TABLET 20'S
VIVACE 10MG T
VIVACE 2.5MG T
VIVACE 5MG T

KOMPOSISI

cefixime
cefixime
cefixime
Cefepime 1 grm
ATORVASTATIN
ATORVASTATIN
Amlodipine Besylate
Amlodipine Besylate
Amlodipine Besylate
GLIMEPIRIDE
GLIMEPIRIDE
GLIMEPIRIDE
GLIMEPIRIDE
Alprazolam 0,5 mg
Alprazolam 1 mg
Chloramphenicol 500 mg
Chloramphenicol Na Succinate 1 g
Chloramphenicol Palmitat 125mg/ml
Amoxicilin+Asam Klavulanat
Lanolin
Lanolin
Fluoxetine
Domperidone
Domperidone
Domperidone
Metildopa
Paracetamol
Paracetamol
Kalsium + Vitamin D-3
Kalsium + Vitamin D-3
Nitrazepam 10 mg
Doxisiklin
Metronidazol
sildenafil sitrat
sildenafil sitrat
Metformin
Metformin
Furosemide
Natrium Tiroksin
Amiloride 2,5 mg + Hct 25 mg
Risperidone
Risperidone
Clopidogrel
Metoklopramid
Meloxicam 15mg
Ketorolac Trometamin
Diazapam
Diazapam
Diazapam
Diazapam
Diazapam
Diazapam
Lisinopril
Lisinopril
Levofloxacin
Levofloxacin
Ticlopidine
RAMIPRIL
RAMIPRIL
RAMIPRIL

HNA
360,000
53,000
180,000
240,000
240,000
240,000
195,000
105,000
105,000
111,000
141,000
45,000
81,000
45,000
65,000
110,000
90,000
11,000
240,000
16,000
30,000
115,000
70,000
25,000
25,000
160,000
48,000
68,000
33,000
33,000
280000
205,000
60,000
290000
230000
25000
32000
37000
28,000
80000
110,000
170,000
297,000
41,000
100,000
130,000
162,000
80,000
108,000
140,000
52,000
31,000
90,000
62,000
160,000
80,000
100,000
300,000
126,000
195,000

HNA+PPN
396000
58300
198000
264000
264000
264000
214500
115500
115500
122100
155100
49500
89100
49500
71500
121000
99000
12100
264000
17600
33000
126500
77000
27500
27500
176000
52800
74800
36300
36300
308000
225500
66000
319000
253000
27500
35200
40700
30800
88000
121000
187000
326700
45100
110000
143000
178200
88000
118800
154000
57200
34100
99000
68200
176000
88000
110000
330000
138600
214500

NO.
1
2
3
4
5
6
7
8
9
10
11

PRODUK
ABIXIM 100MG CAPS
ABIXIM 100MG DS
ABIXIM 200MG CAPS
ACTACEF 1GR INJ
ASCOPLEX
DOMINAL SYRUP 60ML/BTL
DUMOCALCIN PEPP PLUS 30'
DUMOCALCIN PLUS COCO, BTL 30'S
DUMOZOL INFUS 500 MG/100 ML
FIONAT
GOLMUN PLUS

KOMPOSISI

cefixime
cefixime
cefixime
Cefepime 1 grm
Vit B Comp.+ Asam Folat + Vit C
Domperidone
Kalsium + Vitamin D-3
Kalsium + Vitamin D-3
Metronidazol
Asam Folat 0.4 mg
ECHINACEA

HNA
HNA+PPN
360,000
396,000
53,000
58,300
180,000
198,000
240,000
264,000
100,000
110,000
25,000
27,500
33,000
36,300
33,000
36,300
60,000
66,000
55,000
60,500
129,000
141,900

DISTRIBUTOR
MBS
MBS
MBS
MBS
MBS
MBS
MBS + AAM
MBS + AAM
MBS + AAM
MBS
MBS

DAFTAR HARGA TEAM INJEKSI


NO PRODUK
1 ACTACEF 1GR INJ
2 CHLORAMEX INJ. 1G/10 VLS
3 DUMOZOL INFUS 500 MG/100 ML
4 RACLONID INJ. 2ML/5 AMP.
5 ROLAC 30MG INJ
6 TEVOX 500MG INF 100ML

KOMPOSISI
Cefepime 1 grm
Chloramphenicol Na Succinate 1 g
Metronidazol
Metoklopramid
Ketorolac Trometamin
Levofloxacin

HNA
HNA+PPN
240,000
264,000
90,000
99,000
60,000
66,000
41,000
45,100
130,000
143,000
160,000
176,000

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