DAFTAR HARGA PT.

BERNOFARM
2 Januari 2014

MARKETING 2
ORAL
NAMA PRODUK KEMASAN PER
KET NO
BOX

1 Allylestrenol 5 mg tab Box 30 tab

2 Allylestrenol 5 mg tab Box 100 tab
3 Ambroxol 30 mg tab Box 100 tab
4 Ambroxol 15 mg Elixir Botol 60 ml
5 Ambroxol 15 mg Elixir Box 10 @ botol 60 ml
6 Ambroxol 30 mg Elixir Botol 60 ml
7 Ambroxol 30 mg Elixir Box 10 @ botol 60 ml
8 Antalgin 500 mg kapt Box 100 kapt
9 Antalgin 500 mg kapt Botol 1000 kapt
10 Asam Mefenamat Suspensi 50 mg/5 ml Botol 60 ml
11 Asam Mefenamat Suspensi 50 mg/5 ml Box 10 @ botol 60 ml
12 Cefixime 50 mg kaps Box 100 kaps
13 Cefixime 200 mg kaps Box 30 kaps
14 Chloramphenicol base 3% TT Botol 10 ml
15 Chloramphenicol base 3% TT Box 10 @ botol 10 ml
16 Cimetidine 200 mg tab Box 100 tab
17 Citicoline 500 mg tab Box 30 tab
NON FORMULARIUM NON E-CATALOG

18 Citicoline 1000 mg tab Box 30 tab

19 Dextrometorphan 15 mg tab Box 100 tab
20 Dextrometorphan 15 mg tab Botol 1000 tab
21 Dextrometorphan Hbr 10 mg/5 ml Syr Botol 60 ml
22 Dextrometorphan Hbr 10 mg/5 ml Syr Box 10 @ botol 60 ml
23 Flunarizine 5 mg tab Box 30 tab
24 Flunarizine 5 mg tab Box 100 tab
25 Flunarizine 10 mg tab Box 30 tab
26 Flunarizine 10 mg tab Box 100 tab
27 Itraconazole 100 mg kaps Box 30 kaps
 NON FORMULARIUM NON E-CAT
28 Itraconazole 100 mg kaps Box 100 kaps
29 Ketoprofen 50 mg tab Box 100 tab
30 Ketorolac 10 mg tab Box 30 tab
31 Meloxicam 7,5 mg tab Box 30 tab
32 Meloxicam 7,5 mg tab Box 100 tab
33 Meloxicam 15 mg tab Box 30 tab
34 Meloxicam 15 mg tab Box 100 tab
35 Nystatin Drop Box 10 @ 12 ml
36 Papaverin 40 mg tablet Botol @ 1000 tab
37 Phrathiazine 40 mg, Pyridoxine 37,5 mg Box 100 tab
38 Piracetam 400 mg kaps Box 100 kaps
39 Piracetam 800 mg kapt Box 100 kapt
40 Piracetam 1200 mg kapt Box 100 kapt
41 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml
42 Thiamphenicol 125 mg/5 ml Syr Box 10 @ botol 60 ml
43 Thiamphenicol 500 mg kaps Box 100 kaps
44 Tramadol 50 mg kaps Box 30 kaps
45 Tramadol 50 mg kaps Box 100 kaps
Formularium 46 Acetosal Cardio 100 mg Box 100 tab
Non E-Catalog 47 Ketoprofen 100 mg tab Box 100 tab
48 Acyclovir tab 400 mg Box 100 tab
49 Allopurinol 100 mg tab Box 100 tab
50 Allopurinol 300 mg tab Box 30 tab
51 Allopurinol 300 mg tab Box 100 tab
52 Amlodipin 5 mg tab Box 100 tab
53 Amlodipin 10 mg tab Box 100 tab
54 Amoxicillin 250 mg kapt Box 100 kapt
55 Amoxicillin 500 mg kapt Box 100 kapt
56 Amoxicillin 125 mg Dry Syr Botol 60 ml
57 Amoxicillin 125 mg Dry Syr Box 10 @ botol 60 ml
58 Asam Mefenamat 500 mg kapt Box 100 kapt
59 Asam Traneksamat 500 mg tab Box 100 tab
60 Azithromycin 200mg/5 ml Dry Syr Box 1 botol @ 15 ml
61 Cefadroxil 500 mg kaps Box 100 kaps
62 Cefadroxil 125 mg Dry Syr Botol 60 ml
63 Cefadroxil 125 mg Dry Syr Box 10 @ botol 60 ml
64 Cefixime 100 mg kaps Box 30 kaps
65 Cefixime 100 mg/5 ml Dry Syr Botol 30 ml
66 Chloramphenicol 250 mg kaps Box 100 kaps
67 Chloramphenicol 125 mg/5 ml Syr Botol 60 ml
68 Chloramphenicol 125 mg/5 ml Syr Box 10 @ botol 60 ml
69 Cilostazol 100 mg tab Box 30 tab
70 Ciprofloxacin 500 mg tab Box 100 tab
 71 Clindamycin 300 mg tab Box 30 tab
72 Cotrimoxazole 480 mg tab Box 100 tab
73 Cotrimoxazole 240 mg/5 ml Syr Botol 60 ml
74 Cotrimoxazole 240 mg/5 ml Syr Box 10 @ botol 60 ml
75 Cotrimoxazole Forte 960 mg kapt Box 100 kapt
76 Dexamethasone 0,5 mg kapt Box 100 kapt
77 Domperidon 10 mg tab Box 30 tab
78 Domperidon 10 mg tab Box 100 tab
79 Domperidon syrup 5 mg/5 ml Botol 60 ml
80 Domperidon syrup 5 mg/5 ml Box 10 @ botol 60 ml
FORMULARIUM E-CATALOG

81 Domperidon 5 mg/ml drops Botol 10 ml

82 Domperidon 5 mg/ml drops Box 10 @ botol 10 ml
83 Ethambutol 500 mg tab Box 100 tab
84 Glimepiride 1 mg tab Box 30 tab
85 Glimepiride 1 mg tab Box 100 tab
86 Glimepiride 2 mg tab Box 30 tab
87 Glimepiride 2 mg tab Box 100 tab
88 Glimepiride 3 mg tab Box 30 tab
89 Glimepiride 3 mg tab Box 100 tab
90 Glimepiride 4 mg tab Box 30 tab
91 Glimepiride 4 mg tab Box 100 tab
92 Hydrocortison 2,5% Cream Tube 5 gr
93 Hydrocortison 2,5% Cream Box 25 tube
94 Lansoprazole 30 mg kaps Box 30 kaps
95 Lansoprazole 30 mg kaps Box 100 kaps
96 Levofloxacin 500 mg kapt Box 100 kapt
97 Loratadine tab 10 mg Box 100 tab
98 Metformin 500 mg tab Box 100 tab
99 Metformin 850 mg tab Box 100 tab
100 Methylprednisolon 4 mg tab Box 100 tab
101 Methylprednisolon 8 mg tab Box 100 tab
102 Metronidazole 500 mg tab Box 100 tab
103 Natrium Diclofenac 50 mg tab Box 100 tab
104 Ondancetron 4 mg tab Box 30 tab
105 Ondancetron 8 mg tab Box 30 tab
106 Paracetamol 500 mg kapt Box 100 kapt
107 Paracetamol 500 mg kapt Botol 1000 kapt
108 Paracetamol 120 mg/5 ml Syr Botol 60 ml
109 Paracetamol 120 mg/5 ml Syr Box 10 @ botol 60 ml
110 Prednison 5 mg tab Box 100 tab
111 Prednison 5 mg tab Botol 1000 tab
112 Ranitidin 150 mg kapt Box 100 kapt
113 Rifampicin 300 mg kaplet Box 100 kaplet
 114 Rifampicin 450 mg kapt Box 100 kapt
115 Rifampicin 600 mg kapt Box 100 kapt
116 Simvastatin 20 mg kaptab salut selaput Box 100 kaptab
117 Simvastatin 10 mg kapt Box 30 kapt
118 Simvastatin 10 mg kapt Box 100 kapt
119 Sulfazalazine 500 mg tab Box 100 tab
120 Tetracyclin 250 mg kaps Box 100 kaps
121 Valacylovir 500 mg tab Box 30 tab

INJEKSI
NAMA PRODUK KEMASAN PER
KET NO
BOX

1 Amoxicillin 1 gr Inj. Box 10 vial

2 Ampicillin 500 mg Inj. Box 10 vial
3 Antalgin 250 mg Inj (500 mg/2 ml) Box 100 amp @2 ml
4 Antalgin 500 mg Inj (1000 mg/2 ml) Box 100 amp @2 ml
5 Aqua Pro 10 ml Inj. Box 100 amp @10 ml
6 Aqua Pro 50 ml Inj. Box 1 vial @50 ml
7 Aqua Pro 50 ml Inj. Box 10 vial @50 ml
NON FORMULARIUM NON E-CATALOG

8 Azithromycin 500 mg Serbuk Infus Box 1 vial

9 Cefoperazone + Sulbactam 1 gr Inj. Box 1 vial
10 Cefpirome 1 gr Inj. Box 1 vial
11 Citicoline 250 mg/2 ml Inj. Box 10 amp@2 ml
12 Imipenem - Cilastatin 1 gr Box 1 vial
13 Ketoprofen 100 mg/2 ml Inj. Box 5 amp @2 ml
14 Ketoprofen 100 mg/2 ml Inj. Box 10 amp @2 ml
15 Ketorolac 10 mg/ml Inj. Box 10 amp @1 ml
16 Ondansetron 8 mg/4 ml Inj. Box 10 amp @5 ml
17 Pantoprazole 40 mg Inj. Box 1 vial
18 Papaverin 1 ml Inj Box 10 amp @1 ml
19 Piracetam 1 gr Inj. Box 5 amp @5 ml
20 Piracetam 1 gr Inj. Box 10 amp @5 ml
21 Piracetam 3 gr Inj. Box 10 amp @15 ml
22 Piracetam 12 gr/60 ml Infus Box 1 infus
23 Tramadol 100 mg/2 ml Inj. Box 10 amp
24 Tramadol 100 mg/2 ml Inj. Box 100 amp
25 Vit B12 (Cyanocobalamin) 1000 mcg/ml Inj. Box 100 amp @1 ml
26 Vit B1 (Thiamin) 100 mg/ml Inj Box 100 amp @1 ml
27 Ampicillin 1 gr Inj. Box 10 vial
FORMULARIU

CATALOG
M NON E-

28 Efedrin HCl 50 mg/ml Inj. Box 10 amp @1 ml

FORMULARIU

CATALOG
M NON E-
29 Lidocain HCI 5% Inj. Box 10 amp @2 ml
30 Thiopental Sodium Inj 0,5 g Box 10 vial
31 Vit B6 (Pyridoxin) 50 mg/ml Inj Box 100 amp @1 ml
32 Asam Traneksamat 250 mg Inj. Box 10 amp @5 ml
33 Asam Traneksamat 500 mg Inj. Box 10 amp @5 ml
34 Aqua Pro 20 ml Inj. Box 10 vial
35 Bupivacain 0,5% Inj. Box 5 amp
36 Bupivacain 0,5% Inj. Box 10 amp
37 Cefepime 1 gr Inj. Box 1 vial
38 Cefeperazone 1 gr Inj. Box 1 vial
39 Cefotaxime 1 gr Inj. Box 10 vial
40 Ceftriaxone 1 gr Inj. Box 10 vial
41 Ciprofloxacin 200mg/100 ml Infus Box 1 vial
42 Dexamethasone Injeksi 5mg/ ml Inj. Box 100 amp @1 ml
43 Fluconazole 200 mg/vial 100 ml Infus Box 1 vial
FORMULARIUM E-CATALOG

44 Ketorolac 30 mg/ml Inj. Box 10 amp @1 ml

45 Levofloxacin 500 mg/ 100 ml Infus Box 1 vial
46 Lidocain HCI 2% Inj. Box 100 amp @2 ml
47 Methylprednisolon 125 mg Inj. Box 1 vial
48 Methylprednisolon 500 mg Inj. Box 1 vial
49 Metrodinazole 500 mg/vial 100 ml Infus Box 1 vial
50 Meropenem 1 gr Inj. Box 1 vial
51 Meropenem 500 mg Inj. Box 1 vial
52 Omeprazole 40 mg Inj. Box 1 vial
53 Ondansetron 4 mg/2 ml Inj. Box 10 amp @2 ml
54 Oxytetra 50 mg Inj. Box 10 vial
55 Paracetamol 1 gr/100 ml Infus Box 1 vial
56 Procain Benzyl Penicillin Inj. 3.000.000 IU Box 10 vial
57 Procain Benzyl Penicillin Inj. 3.000.000 IU Box 30 vial
58 Ranitidin 25 mg/2 ml Inj. Box 10 amp @2 ml
59 Ranitidin 25 mg/2 ml Inj. Box 100 amp @2 ml
60 Recoronium 50 mg/5 ml Inj. Box 1 vial
61 Tramadol 50 mg/ml Inj. Box 5 amp @1 ml
62 Tramadol 50 mg/ml Inj. Box 100 amp @1 ml
63 Vit B12 (Cyanocobalamin) 500 mcg/ml Inj. Box 100 amp@1 ml
 OFARM

NG 2
HNA +
HNA HET
PPN

68,182 75,000 93,750

227,273 250,000 312,500
30,000 33,000 41,250
6,000 6,600 8,250
60,000 66,000 82,500
9,000 9,900 12,375
90,000 99,000 123,750
16,254 17,880 22,350
100,000 110,000 137,500
7,500 8,250 10,313
75,000 82,500 103,125
109,091 120,000 150,000
110,000 121,000 151,250
5,500 6,050 7,563
55,000 60,500 75,625
12,535 13,789 17,236
200,000 220,000 275,000
360,000 396,000 495,000
22,727 25,000 31,250
181,819 200,000 250,000
5,000 5,500 6,875
50,000 55,000 68,750
60,000 66,000 82,500
200,000 220,000 275,000
95,455 105,001 131,251
318,182 350,000 437,500
120,000 132,000 165,000
400,000 440,000 550,000
80,000 88,000 110,000
69,000 75,900 94,875
22,644 24,908 31,136
75,480 83,028 103,785
39,240 43,164 53,955
130,800 143,880 179,850
220,000 242,000 302,500
150,000 165,000 206,250
120,000 132,000 165,000
49,200 54,120 67,650
87,600 96,360 120,450
141,120 155,232 194,040
9,000 9,900 12,375
90,000 99,000 123,750
67,200 73,920 92,400
22,500 24,750 30,938
75,000 82,500 103,125
35,000 38,500 48,125
80,000 88,000 110,000
79,091 87,000 108,750
14,400 15,840 19,800
8,018 8,820 11,025
26,727 29,400 36,750
104,727 115,200 144,000
184,727 203,200 254,000
31,353 34,488 43,110
40,364 44,400 55,501
6,000 6,600 8,250
60,000 66,000 82,500
19,200 21,120 26,400
95,000 104,500 130,625
50,000 55,000 68,750
91,636 100,800 126,000
8,945 9,840 12,299
89,450 98,400 123,000
78,369 86,206 107,758
33,000 36,300 45,375
32,000 35,200 44,000
5,500 6,050 7,563
55,000 60,500 75,625
100,000 110,000 137,500
30,982 34,080 42,600
 24,635 27,099 33,873
18,000 19,800 24,750
6,000 6,600 8,250
60,000 66,000 82,500
36,000 39,600 49,500
9,491 10,440 13,050
13,209 14,530 18,162
44,031 48,434 60,543
13,800 15,180 18,975
138,000 151,800 189,750
18,000 19,800 24,750
180,000 198,000 247,500
62,575 68,832 86,040
24,915 27,407 34,258
83,048 91,353 114,191
46,915 51,607 64,508
156,385 172,024 215,029
63,955 70,350 87,938
213,182 234,500 293,125
85,288 93,817 117,271
284,294 312,723 390,904
6,000 6,600 8,250
150,000 165,000 206,250
44,225 48,648 60,809
147,418 162,160 202,700
120,727 132,800 166,000
36,364 40,000 50,001
19,800 21,780 27,225
36,000 39,600 49,500
48,060 52,866 66,083
63,818 70,200 87,750
24,000 26,400 33,000
23,747 26,122 32,653
90,000 99,000 123,750
150,000 165,000 206,250
15,000 16,500 20,625
114,550 126,005 157,506
5,000 5,500 6,875
50,000 55,000 68,750
18,000 19,800 24,750
136,364 150,000 187,500
24,000 26,400 33,000
75,000 82,500 103,125
100,000 110,000 137,500
130,000 143,000 178,750
111,928 123,121 153,901
16,789 18,468 23,085
55,963 61,559 76,949
200,000 220,000 275,000
25,000 27,500 34,375
300,000 330,000 412,500

HNA +
HNA HET
PPN

81,818 90,000 112,500

50,000 55,000 68,750
175,000 192,500 240,625
300,000 330,000 412,500
300,000 330,000 412,500
15,000 16,500 20,625
150,000 165,000 206,250
105,000 115,500 144,375
100,000 110,000 137,500
130,000 143,000 178,750
150,000 165,000 206,250
181,818 200,000 250,000
30,818 33,900 42,375
61,636 67,800 84,750
81,818 90,000 112,500
72,728 80,000 100,000
80,000 88,000 110,000
100,000 110,000 137,500
30,000 33,000 41,250
60,000 66,000 82,500
186,600 205,260 256,575
70,000 77,000 96,250
69,840 76,824 96,030
698,400 768,240 960,300
175,000 192,500 240,625
120,000 132,000 165,000
80,000 88,000 110,000
250,000 275,000 343,750
200,000 220,000 275,000
545,455 600,001 750,001
120,000 132,000 165,000
60,000 66,000 82,500
100,000 110,000 137,500
60,000 66,000 82,500
100,000 110,000 137,500
200,000 220,000 275,000
130,000 143,000 178,750
50,000 55,000 68,750
75,600 83,160 103,950
93,755 103,131 128,913
62,182 68,400 85,500
218,400 240,240 300,300
110,000 121,000 151,250
145,800 160,380 200,475
80,000 88,000 110,000
110,181 121,200 151,500
40,000 44,000 55,000
90,573 99,630 124,538
32,182 35,400 44,250
200,000 220,000 275,000
120,000 132,000 165,000
80,000 88,000 110,000
50,000 55,000 68,750
70,000 77,000 96,250
45,000 49,500 61,875
89,000 97,900 122,375
267,000 293,700 367,125
28,036 30,840 38,550
280,400 308,440 385,550
65,000 71,500 89,375
25,000 27,500 34,375
500,000 550,000 687,500
175,000 192,500 240,625
 DAFTAR HARGA BERNOFARM OGB
2 Januari 2014

MARKETING 4 PROMO
NAMA PRODUK
KET NO KOMPOSISI KEMASAN PER BOX HNA HNA + PPN HET

Promo Oral
1 Benoson 0,5 mg tab Betamethason 0,5 mg Box 100 tab 100,000 110,000 137,500
2 Benoxicam 20 mg tab Piroksikam 20 mg Box 100 tab 80,000 88,000 110,000
3 Biogastron tab Al(OH)3 400 mg, Mg. trisilikat 400 mg, DimethylpolisiloxanBox 100 tab 50,000 55,000 68,750
4 Broxal tab 30 mg Ambroxol HCl 30 mg Box 100 tab 70,000 77,000 96,250
5 Broxal Elixir 15 syrup Ambroxol HCl 15 mg/ 5 ml Botol 60 ml 16,000 17,600 22,000
6 Dilakris kaps Theophyllin 120 mg, Ephedrin HCl 12,5 mg Dus 100 kaps 40,000 44,000 55,000
NON FORMULARIUM NON E-CATALOG

7 Dilakris syrup Theophyllin 120 mg, Ephedrin HCl 12, 5mg/ 15 ml Botol 60 ml 11,000 12,100 15,125
8 Dilatamol syrup 1 mg Salbutamol sulfat 1 mg Botol 60 ml 10,000 11,000 13,750
9 Exovon 8 mg tab Bromhexin HCl 8 mg Box 100 tab 50,000 55,000 68,750
10 Exovon syrup Bromhexin HCl 4 mg/ 5 ml Botol 60 ml 12,000 13,200 16,500
11 Garabiotic krim 5 gr Gentamycin sulfat 1 mg Tube 5 gr 5,000 5,500 6,875
12 Garabiotic krim 15 gr Gentamycin sulfat 1 mg Tube 15 gr 10,000 11,000 13,750
13 Incitin 50 mg tab Mebhydrolin 50 mg Box 100 tab 50,000 55,000 68,750
14 Phenobiotic 500 mg kaps Thiamphenicol 500 mg Box 100 kaps 160,000 176,000 220,000
15 Phenobiotic 60 ml syrup Thiamphenicol 125mg/ 5ml syr Botol 60 ml 12,000 13,200 16,500
16 Polaris 2 mg tab Dexchlorpheniramin maleat 2 mg Box 100 tab 70,000 77,000 96,250
17 Proson krim 15 gr Betamethason dipropionate 0,5 mg Tube 15 gr 25,000 27,500 34,375
18 Rematof 100 mg tab Ketoprofen 100 mg Box 50 tab 120,000 132,000 165,000
19 Rovital dragee Vitamin A 5000 IU, Vitamin D2 400 IU, Vitamin B1 3 mg, Box 100 dragee 40,000 44,000 55,000
20 Sidiadryl syrup Vitamin B2 3 mg, Vitamin
Diphenhydramine HCl 12,5B6 2 mg,
mg, Vitamin klorida
Ammonium B12 6 mcg,
125 Fls 100 ml 10,000 11,000 13,750
Vitamin
mg, C 75 50
Na sitrat mg,mg,
Nicotinamide
Menthol 20 mg, Ca pantothenat 10
1 mg
21 Silabat Kaptab Glyceril guaiacolate 100 mg, Paracetamol 500 mg, CTM 2 Box 100 kaptab 40,000 44,000 55,000
mg, Vitamin H 0,02 mg, Fe 45 mg, Ca 100 mg, Cu 1 mg,
22 Tri Act tab mg, Pseudoephedrin
Al hidroksida HCl 30trisilikat
mg
Mn 1 mg, Mg 300 mg,
6 mg, ZnMg
1,5 mg, Boron 3000,1
mg,mg,
Dimethylpolysi
Iodine 0,15 Box 100 tab 37,000 40,700 50,875
23 Unthecol dragee Hyosine N-buthyl Bromide 10 mg, Dipyrone 250 mg
mg Box 100 dragee 130,000 143,000 178,750
24 Virpes Krim 0.05 g Acyclovir 0,05 g Tube 5 gram 10,000 11,000 13,750
25 Antidia 2 mg tab Loperamide 2 mg Box 100 tab 35,000 38,500 48,125
26 Beneuron tab selaput Vitamin B1 100 mg, vitamin B6 200 mg, vitamin B12 200 m Box 100 tab salut 70,000 77,000 96,250
27 Dilatamol 2 mg tab Salbutamol sulfat 2 mg Dus 100 tab 60,000 66,000 82,500
28 Erybiotic 500 mg kaptab Erythromycin stearate 500 mg Dus 100 kaptab 150,000 165,000 206,250
29 Erybiotic syrup Erythromycin ethyl succinate 200 mg Botol 60 ml 17,000 18,700 23,375
FORMULARIUM E-CATALOG

30 Fenaren 50 mg tab Diklofenak natrium 50 mg Box 100 tab 100,000 110,000 137,500
31 Fludis 150 mg kaps Fluconazole 150 mg Box 1 kapsul 80,000 88,000 110,000
32 Gored 80 mg tab Gliclazide 80 mg Box 100 tab 150,000 165,000 206,250
33 Metolon 10 mg tab Metochlopramide HCl 10 mg Box 100 tab 70,000 77,000 96,250
34 Metolon 60 ml syrup Metochlopramide HCl 5 mg/ 5ml Fls 60 ml 10,000 11,000 13,750
35 Metolon 10 ml drops Metochlopramide HCl 2 mg/ml Fls 10 ml 12,000 13,200 16,500
36 Nevradin 20 mg kaps Vitamin B1 mononitrat 100 mg, Vitamin B6 200 mg, Vitami Box 100 kaps 110,000 121,000 151,250
37 Omberzol 20 mg kaps Omeprazole 20 mg Dus 100 kaps 100,000 110,000 137,500
38 Prodiabet 5 mg tab Glibenclamide 5 mg Box 100 tab 75,000 82,500 103,125
39 Sultrimix 480 mg tab Cotrimoxazol 480 mg Box 100 tab 50,000 55,000 68,750
40 Sultrimmix 60 ml syrup Cotrimoxazol 240 mg/ 5 ml Botol 60 ml 8,000 8,800 11,000
41 Sultrimmix DS 960 mg kaptab Cotrimoxazol forte 960 mg Box 100 kapt 70,000 77,000 96,250
42 Virpes 200 mg kaptab Acyclovir 200 mg Dus 100 kaptab 150,000 165,000 206,250
43 Virpes 400 mg kaptab Acyclovir 400 mg Dus 100 kaptab 250,000 275,000 343,750

Delta Injeksi
NON FORMULARIUM 1 Benodon Inj Metampiron 250 mg, Amidopirin 50 mg, Lidocaine HCl 15 mBox 10 vial 120,000 132,000 165,000
NON E-CATALOG 2 Fenaren Inj Natrium diklofenak 25 mg/ml Box 10 ampul 160,000 176,000 220,000
FOR NON E-CATALOG 3 Penbiotic 1 Gr Inj Ampisilin 1 G Box 10 vial 90,000 99,000 123,750
FORMULARIUM E-CATALOG

4 Amobiotic 1 Gr Inj Amoxicillin Sodium 1 G Box 10 vial 170,000 187,000 233,750

5 Centracef 1 Gr Inj Ceftazidime 1 G Box 1 vial 150,000 165,000 206,250
6 Chlorbiotic 1 Gr Inj Chloramphenicol Na suksinat 1 G Box 10 vial 120,000 132,000 165,000
7 Kanabiotic 1 Gr Inj Kanamycin sulfat 1 G Box 10 vial 100,000 110,000 137,500
FORMULARIUM E-CATALOG

8 Metolon Inj Metochlopramide HCl 5 mg/ml Box 5 ampul 45,000 49,500 61,875
9 Metolon Inj Metochlopramide HCl 5 mg/ml Box 10 ampul 90,000 99,000 123,750
10 Omberzol 40 mg injeksi Omeprazole sodium 40 mg Box 1 vial + 1 ampul @ 10 ml 100,000 110,000 137,500
11 Oxybiotic Inj Oxytetracycline 50 mg/ml pelarut
Box 10 vial 80,000 88,000 110,000
12 Sidiadryl Inj Diphenhydramine 10 mg/ml Box 10 vial 100,000 110,000 137,500
 DAFTAR OBAT YANG MASUK FORMULARIUM OBAT INHEATH (FOI)
EDISI VI PERIODE 1 JANUARI 2014 S/D 31 DESEMBER 2014

MARKETING 2
HNA + PPN
INHEALTH
NO NAMA PRODUK KEMASAN
(SATUAN
TERKECIL)
Box 30 tab
1 Allylestrenol tab. 5 mg 1,900
Box 100 tab
2 Ambroxol tab 30 mg Box 100 tab 110
Amoxicillin sir. kering Botol 60 ml
3 2,800
125mg/5ml, btl @ 60ml Box 10 @ 60 ml
4 Amoxicilin serb inj. 1 g, vial Box 10 vial 8,000
5 Ampicilin serb. inj. 1 g, vial Box 10 vial 3,800
Box 100 kapt.
6 Antalgin kapt. 500mg 125
Pot 1000 kapt.
7 Asam Mefenamat Kapt 500 mg Box 100 kapt. 115
Box 5 ampul
8 Bupivacain Inj 5 mg/ml, amp @ 19,800
Box 10 ampul
9 Cefadroxil kaps. 500mg Box 100 kaps. 570
Cefadroxil sir. kering Botol 60 ml
10 6,400
125mg/5ml, Box 10 @ 60 ml
Chloramphenicol Botol 60 ml
11 4,000
susp.125mg/5ml , btl @ 60ml Box 10 @ 60 ml
12 Cilostazol tab. 100mg Box 30 tab. 3,300
13 Ciprofloxacin tab. 500mg Box 100 tab. 265
14 Ketorolac tab. 10mg Box 30 tab. 2,000
15 Ketorolac inj. 10mg/ml Box 10 ampul 4,200
16 Levofloxacin tab. 500mg Box 100 kapt. 600
17 Lidocain HCl 2% Injeksi Box 100 ampul 1,000
18 Methylprednisolon tab. 8 mg Box 100 tab. 500
Methylprednisolon inj.125
19 Box 1 vial 26,000
mg/2ml
20 Metronidazole tab. 500mg Box 100 tab 170
21 Ondansetron inj. 8mg/4ml Box 10 ampul 4,800
Box 100 kapt.
22 Paracetamol tab 500mg 90
Pot 1000 kapt.
Paracetamol sir. 120mg/5ml, Botol 60 ml
23 2,200
btl @ 60ml Box 10 @ 60 ml
Paracetamol Infus
24 Box 1 vial 47,000
1000mg/100mL
25 Rifampisin tab. 450 mg Box 100 kapt. 640
26 Rifampisin tab. 600 mg Box 100 kapt. 830
27 Sulfasalazin tab. 500mg Box 100 tab. 525
28 Tetracyclin kaps. 250mg Box 100 kaps. 200
NHEATH (FOI) DAFTAR OBAT YANG MASU
BER 2014 EDISI VI PERIODE 1 JAN

MARKETING 4
HNA + PPN
INHEALTH NO NAMA PRODUK
(BOX)

57,000 1 Broxal tab 30 mg

190,000 2 Chlorbiotic serb. inj. 1 g
11,000 3 Metolon sir 5 mg/5ml
2,800 4 Sultrimmix tab
28,000 5 Sultrimmix DS
80,000
38,000
12,500
125,000
11,500
99,000
198,000
57,000
6,400
64,000
4,000
40,000
99,000
26,500
60,000
42,000
60,000
100,000
50,000
26,000
17,000
48,000
9,000
90,000
2,200
22,000
47,000
64,000
83,000
52,500
20,000
DAFTAR OBAT YANG MASUK FORMULARIUM OBAT INHEATH (FOI)
EDISI VI PERIODE 1 JANUARI 2014 S/D 31 DESEMBER 2014

KANDUNGAN KEMASAN

Ambroxol HCl Box 100 tab

Kloramfenikol Box 10 vial
Metoklopramid Botol 60 ml
Kotrimoksazol (Dewasa) Komb : Sulfametoksazol 400 mg, Trimetoprim 80 mg Box 100 tab
Kotrimoksazol Forte : Sulfametoksazol 800 mg, Trimetoprim 160 mg Box 100 tab
HNA + PPN HNA +
INHEALTH PPN
(SATUAN INHEALTH
TERKECIL) (BOX)
200 20,000
8,000 80,000
5,000 5,000
200 20,000
350 35,000
 Addendum DPHO Askes All Produk yang mengalami perpanjangan 1 Jan
Produk Marketing 2

NO KELAS TERAPI NAMA OBAT

1 6.2.1 Amoksisilin Anhidrat 125 mg/5 ml syr

2 6.2.1 Amoksisilin Anhidrat 500 mg kapt
3 1.1 Asam mefenamat 50 mg/5 ml syr
4 10.2 Asam traneksamat 500 mg tab
5 6.2.8 Cefadroxyl 125 mg/ 5 ml syr
6 6.2.8 Cefadroxyl 500 mg kap
7 6.2.8 Cefotaxim 1000 mg inj
8 6.2.8 Ceftriaxone 1000 mg inj
9 14.5 Cilostazol 100 mg tab
10 6.2.7 Ciprofloxacin 2 mg/ml infus
11 6.2.5 Clindamicyn 300 mg kap
12 23.2 Domperidon 5 mg/ 5 ml syr
13 6.3.2 Ethambutol HCl 500 mg tab
14 6.4 Fluconazole 200 mg/ 100 ml inj
15 13.1.1 Glimepiride 1 mg tab
16 13.1.1 Glimepiride 3 mg tab
17 13.1.1 Glimepiride 4 mg tab
18 1.1 Ketorolac Tromethamine 10 mg tab
19 1.1 Ketorolac Tromethamine 10 mg/ml inj
20 1.1 Ketorolac Tromethamine 30 mg/ml inj
21 6.2.3 Kloramfenikol 125 mg/5 ml syr
22 6.2.7 Levofloxacin 500 mg tab
23 6.2.7 Levofloxacin 500 mg/ 100 ml infus
24 1.2 Meloxicam 7,5 mg tab
25 6.2.1 Meropenem 1000 mg inj
26 6.2.1 Meropenem 500 mg inj
27 1.1 Metampiron (Antalgin)
28 13.1.2 Metformin 500 mg tab
29 13.1.2 Metformin 850 mg tab
30 13.5 Metil prednisolon 125 mg/ 2 ml inj
31 13.5 Metil prednisolon 8 mg tab
32 6.5.1 Metronidazole 500 mg tab
33 23.2 Ondansetron 8 mg kapt
34 1.1 Parasetamol 120 mg/5 ml syr
35 1.1 Parasetamol 500 mg tab
36 6.3.2 Rifampicin 450 mg tab
37 6.3.2 Rifampicin 600 mg tab
38 16 Simvastatin 10 mg tab
39 6.2.2 Tetrasiklin HCl 250 mg kap
40 1.1 Tramadol 50 mg kap
 Addendum Program Rujuk Balik DPHO Askes produk Diabetes dan Hipe
yang mengalami perpanjangan 1 Januari 2014 - 31 Maret 2014

NO NAMA OBAT KEMASAN

1 Glimepiride 1 mg tab Kotak 3 x 10 tab

2 Glimepiride 3 mg tab Kotak 3 x 10 tab
3 Glimepiride 4 mg tab Kotak 3 x 10 tab
4 Metformin 500 mg tab Kotak 10 x 10 tab
5 Metformin 850 mg tab Kotak 10 x 10 tab
6 Simvastatin 10 mg tab Kotak 3 x 10 tab
oduk yang mengalami perpanjangan 1 Januari 2014 - 31 Januari 2014

KEMASAN HNA + PPN / satuan HNA ASKES / Box HNA + PPN Box

Botol 60 ml 2,745 2,495 2,745

Kotak 10 x 10 kapt 290 26,364 29,000
Botol 60 ml 6,200 5,636 6,200
Kotak 10 x 10 tab 770 70,000 77,000
Botol 60 ml 6,500 5,909 6,500
Kotak 10 x 10 kap 580 52,727 58,000
Kotak 10 vial 4,500 40,909 45,000
Kotak 10 vial 4,500 40,909 45,000
Kotak 3 x 10 tab 3,200 87,272 96,000
Kotak 1 vial 24,000 21,818 24,000
Kotak 3 x 10 kap 590 16,091 17,700
Botol 60 ml 9,000 8,181 9,000
Kotak 10 x 10 tab 440 40,000 44,000
Kotak 1 vial 80,000 72,727 80,000
Kotak 3 x 10 tab 450 12,272 13,500
Kotak 3 x 10 tab 1,190 32,454 35,700
Kotak 3 x 10 tab 1,500 40,909 45,000
Kotak 3 x 10 tab 2,000 54,550 60,000
Kotak 10 amp 4,250 38,636 42,500
Kotak 10 amp 5,500 50,000 55,000
Botol 60 ml 3,300 3,000 3,300
Kotak 3 x 10 tab 600 16,364 18,000
Kotak 1 vial 65,000 59,090 65,000
Kotak 3 x 10 tab 440 12,000 13,200
Kotak 1 vial 120,000 109,091 120,000
Kotak 1 vial 110,000 100,000 110,000
Kotak 10 x 10 tab 120 10,910 12,000
Kotak 10 x 10 tab 125 11,364 12,500
Kotak 10 x 10 tab 245 22,272 24,500
Kotak 1 vial 26,000 23,636 26,000
Kotak 10 x 10 tab 450 40,909 45,000
Kotak 10 x 10 tab 165 15,000 16,500
Kotak 3 x 10 tab 1,600 43,636 48,000
Botol 60 ml 1,860 1,691 1,860
Kotak 10 x 10 tab 90 8,182 9,000
Kotak 10 x 10 tab 600 54,545 60,000
Kotak 10 x 10 tab 780 70,909 78,000
Kotak 3 x 10 tab 225 6,136 6,750
Kotak 10 x 10 kap 170 15,455 17,000
Kotak 3 x 10 kap 250 6,818 7,500
alik DPHO Askes produk Diabetes dan Hipertensi
panjangan 1 Januari 2014 - 31 Maret 2014

HNA + PPN / satuan HNA ASKES / box HNA + PPN Box

450 12,272 13,500

1,190 32,454 35,700
1,500 40,909 45,000
125 11,364 12,500
245 22,272 24,500
225 6,136 6,750
DAFTAR KEMASAN PRODUK JADI PT. BERNOFARM

No. Nama produk Kemasan/unit Quantum unit Dimensi karton Berat/karton

per karton (PxLxT) mm kg
MARKETING II
Divisi PROMO OMICRON
1 Benoson cream 5 gram tube 5 gram 500 tube 260x425x190 4.95
2 Benoson cream 15 gram tube 15 gram 200 tube 260x300x195 5.30
3 Benoson N cream 5 gram tube 5 gram 500 tube 260x425x190 5.00
4 Benoson N cream 15 gram tube 15 gram 200 tube 260x300x195 5.40
5 Proson cream 1 5 g tube 15 gram 200 tube 260X300X195 5.45

Divisi PROMO BETA 1 GENERIK

1 As. Mefenamat 500 mg kaptab box 100 Kaptab 45 box 260X260X305 4.55
2 Asam Mefenamat 50 mg/5 ml suspensi Box 60 ml 50 botol 240x240x225 8
3 Bupivacaine spinal 5 mg/ml inj box 5 amp 100 box 260x260x305 5.84
4 Cefixime 100 mg kapsul box 30 kapsul 135 box 260x425x190 3.52
5 Cefixime 100mg/5 ml syrup kering fls 30 ml 50 fls 240x240x225 5.45
6 Cefixime 200 mg Kaplet Box 30 kaplet 135 box 260x260x305 4
7 Cefpirome 1 g injeksi Box 1 Vial 56 box 295x252x191 2.45
8 Chlorampenicol 125mg/5 ml suspensi fls 60 ml 50 botol 240x240x225 7.75
9 Chlorampenicol 250 mg kapsul Box 100 kapsul 45 box 260X260X305 3.45
10 Cimetidine 200 mg tablet Box 100 Tablet 50 box 348x335x325 3.8
11 Ciprofloxacin 200mg/100ml Infus Box 1 Botol 50 botol 267x267x253 11.8
12 Ciprofloxacin 500 mg tablet box 100 Tablet 75 box 260X260X305 3.60
13 Dextromethorphan 15 mg kaplet @ 100 Box 100 kaplet 50 box 350x336x226 3.1
14 Dextromethorphan 15 mg kaplet @ 1000 Tin 1000 kaplet 50 box 350x360x250 8.8
15 Dextromethorphan syrup fls 60 ml 50 botol 240x240x225 4.7
16 Domperidone 10 mg tablet ss Box 30 Tablet 140 box 235x235x235 2.6
17 Domperidone 5 mg/ 5 ml suspensi fls 60 ml 50 botol 240x240x225 8.2
18 Ethambutol 500 mg TSS Box 100 Tablet 100 box 471x380x337 11.9
19 Flunarizin 5 mg tablet box 30 tab 140 box 240x240x225 7.80
20 Itraconazole 100 mg kapsul box 30 caps 110 box 471x380x337 6.15
21 Ketoprofen 100 mg tablet Sal. Enterik Box 100 Tablet 75 box 348x335x325 6.6
22 Ketoprofen 100 mg/2 ml injeksi box 5 ampul 120 box 260x300x195 4.25
23 Lidocain 2 % injeksi box 100 ampul 20 box 260x260x305 9.50
24 Lidocain 5 % injeksi Box 10 ampul 144 box 348x335x225 9.35
25 Meropenem 0,5 g injeksi Box 1 Vial 56 box 260x300x195 2.36
26 Meropenem 1 g injeksi Box 1 Vial 75 box 245x245x255 5.19
27 Ondansetron 4 mg/2 ml injeksi Box 5 Ampul 120 box 260x300x195 4.15
28 Ondansetron 8 mg tablet Box 30 kaplet 140 box 240x240x225 2.45
29 Ondansetron 8 mg/4 ml injeksi Box 5 Ampul 100 box 245x245x255 6.85
30 Pantoprazole 40 mg injeksi Box 1 Vial 48 box 235x235x235 1.63
31 Paracetamol 500 mg kaplet @ 100 Box 100 kaplet 52 box 350x360x250 5.55
32 Paracetamol kaplet Tin 1000 Kaplet 24 tin 420x330x340 17.05
33 Paracetamol syrup fls 60 ml 50 botol 240x240x225 4.7
34 Prednison tablet @ 1000 Tin 1000 Tablet 50 box 348x335x325 8.45
35 Simvastatin 10 mg Kaptab box 30 Kaptab 110 box 348x335x225 3.15
 Ondansetron 4 mg/2 ml injeksi @ 10 Box 10 ampul 144 box 348x335x325 8.93
Ondansetron 8 mg/4 ml injeksi @ 10 Box 10 ampul 57 Box 450x252x180 6.09

Divisi PROMO BETA 2 GENERIK

1 Allopurinol 100 mg tablet Box 100 Tablet 75 box 348x335x325 6.20
2 Allopurinol 300 mg tablet Box 100 Tablet 75 box 348x335x325 6.65
3 Amlodipin 10 mg tab box 30 tab 135 box 260x260x305 4.10
4 Amlodipin 5 mg tab box 30 tab 140 box 240x240x225 2.70
5 Amoxicillin 500 mg kaplet box 100 kaplet 50 box 471x380x337 6.85
6 Amoxicillin syrup fls 60 ml 50 fls 250x250x260 6.45
7 Aqua pro injection 10 ml @ 100 Box 100 Ampul 8 box 369x369x188 14.78
8 Aqua Pro Injeksi 50 ml Box 1 Vial 75 box 245x245x255 8.94
9 Cefoperazone Sulbactam 1 g injeksi Box 1 Vial 56 box 260x300x195 2.40
10 Ceftriaxone 1 g injeksi box 1 vial 400 box 260x425x190 5.85
11 Ceftriaxone 1 g injeksi @ 10 vial Box 10 Vial 50 box 260x260x305 7.99
12 Cilostazol 100 mg tablet box 100 tab 48 box 260x300x195 2.45
13 Cilostazol 100 mg tablet (3x10) Box 30 Tablet 140 box 240x240x225 2.6
14 Cotrimoksazole 240 mg/5 ml suspensi Fls 60 ml 50 botol 240x240x225 7.95
15 Cotrimoksazole Forte kablet Box 100 kaplet 50 box 390x480x360 9.85
16 Cotrimoksazole tablet Box 100 Tablet 100 box 471x380x337 12.2
17 Cyanocobalamin (Vitamin B12) 1000mcg/ml Inj Box 100 ampul 12 box 280x280x260 4.92
18 Glimepiride 1 mg tablet box 30 Tablet 160 box 260x425x190 3.95
19 Glimepiride 2 mg tablet box 30 Tablet 160 box 260x425x190 3.90
20 Glimepiride 3 mg tablet box 30 Tablet 160 box 260x425x190 3.95
21 Glimepiride 4 mg tablet box 30 Tablet 160 box 260x425x190 3.90
22 Levofloxacin 500 mg kaplet box 30 kaplet 130 box 245x245x255 4.60
23 Levofloxacin 500 mg/ 100 ml infus Box 1 botol 32 Botol 250x250x270 7.87
24 Methylprednisolon 125 inj Box 1 Vial 84 box 240x240x225 2.48
25 Methylprednisolon 500 mg inj Box 1 Vial 48 box 240x240x225 2.42
26 Methylprednisolone 4 mg tablet Box 100 Tablet 40 box 240x240x225 1.85
27 Methylprednisolone 8 mg tablet Box 100 Tablet 40 box 240x240x225 1.9
28 Oxytetracyclin 500 inj @ 10 vial Box 10 Vial 50 box 260X260X305 13.03
26 Piracetam 1 g/5 ml injeksi box 5 Ampul 100 box 265x265x320 6.57
27 Piracetam 12 g/60 ml infus Botol 60 ml 50 botol 267x267x253 6.60
28 Piracetam 1200 mg kaptab Box 100 Kaptab 50 box 471x380x337 11.10
29 Piracetam 3 g/15 ml injeksi box 4 Ampul 34 box 260x300x200 4.70
30 Piracetam 400 mg kpasul Box 100 kapsul 45 box 260x260x305 4.3
31 Piracetam 800 mg kaptab box 100 Kaptab 50 box 471x380x337 8.50
32 Pyridoxine HCL (Vitamin B6) 50 mg/ml Inj Box 100 ampul 12 box 300x295x265 4.95
33 Ranitidin 150 mg kaplet box 100 tablet 50 box 348x335x325 3.80
34 Ranitidin 25 mg/ml inj box 10 amp 144 box 348x335x325 8.95
35 Sulfasalazine 500 mg kaptab Box 100 kaptab 40 box 260x245x200 4.5
36 Tetracyclin 250 mg kapsul Box 100 kapsul 35 box 350x336x226 3.6
37 Thiamin (Vitamin B1) 100 mg/ml Inj Box 100 ampul 12 box 280x280x260 4.95
38 Tramadol 100 mg/2 ml injeksi Box 10 Ampul 144 box 348x335x325 9.00
39 Tramadol 50 mg kapsul box 30 kapsul 135 box 260x425x190 3.50
Levofloxacin 500 mg kaplet @ 100 Box 100 kaplet 75 box 352x339x228 8.6
Divisi PROMO BETA 3 GENERIK
1 Allylestrenol 5 mg tablet box 30 tab 110 box 352x339x228 3.00
2 Ambroxol 15 mg elixir Fls 60 ml 50 fls 240x240x225 7.3
3 Ambroxol 30 mg elixir Fls 60 ml 50 fls 240x240x225 7.3
4 Ambroxol 30 mg tablet Box 100 Tablet 50 box 350x336x226 3.45
5 Ampicillin 1 g injeksi Box 10 Vial 50 box 260x260x305 8.10
6 Antalgin 1000 mg/2 ml inj Box 100 ampul 20 box 260X260X305 10.92
7 Antalgin 500 mg Kaplet @ 100 Box 100 kaplet 52 box 350x360x250 5.6
8 Antalgin kaplet Tin 1000 Kaplet 24 tin 420x330x340 17.6
9 As. Traneksamat 250 mg/5 ml inj box 10 amp 60 box 348x335x326 7.15
10 As. Traneksamat 500 mg tablet box 100 tab 160 box 471x380x337 16.25
11 As. Traneksamat 500 mg/5 ml inj box 10 amp 60 box 348x335x327 7.25
12 Cefadroxil 125 mg/5 ml sirup kering Botol 60 ml 50 fls 245x245x255 6.68
13 Cefadroxil 500 mg kapsul box 100 kapsul 50 box 471x380x337 6.90
14 Cefepime 1 g inj Box 1 Vial 100 vial 348x335x325 4.05
15 Cefotaxime 1 g injeksi box 2 vial 240 box 348x335x325 11.80
16 Cefotaxime 1 g injeksi @ 10 vial Box 10 Vial 50 box 260x260x305 7.88
17 Citicoline 1000 mg kaplet Box 30 Kaplet 110 box 471x380x337 8.15
18 Citicoline 125 mg/ml injeksi box 10 ampul 144 box 348x335x325 9,25
19 Citicoline 500 mg tablet Box 30 Tablet 110 box 240x240x225 4
20 Clindamycin 300 mg kapsul Box 30 Kapsul 110 box 471x380x337 6.5
21 Dexamethasone 0.5 mg tablet Box 100 Tablet 40 box 240x240x225 1.9
22 Dexamethasone 5 mg/ml inj @ 100 Box 100 ampul 24 box 260x260x305 8.61
23 Fluconazole 200 mg/ 100 ml infus Box 1 botol 32 Botol 245x245x255 7.72
24 Ketorolac 10 mg tab Box 30 Tablet 140 box 240x240x225 2.8
25 Ketorolac 10 mg/ml injeksi box 10 Ampul 144 box 348x335x225 7.15
26 Ketorolac 30 mg/ml injeksi box 10 amp 144 box 348x335x325 6.85
27 Lanzoprazole 30 mg kapsul box 30 kapsul 38 box 260x425x190 1.90
28 Meloxicam 15 mg tablet box 30 tab 140 box 240x240x225 2.65
29 Meloxicam 7,5 mg tablet box 30 tab 140 box 240x240x225 2.75
30 Metformin 500 mg tablet Box 100 Tablet 69 box 348x335x325 7.7
31 Metformin 850 mg kablet Box 100 kaplet 84 box 471x380x337 12.8
32 Metronidazole 500 mg tablet Box 100 Tablet 100 box 471x380x337 12.05
33 Metronidazole 500 mg/100 ml infus Box 1 botol 50 botol 267x267x253 7.77
34 Rifampicin 450 mg kaplet box 100 kaplet 50 box 471x380x337 7.10
35 Rifampicin 600 mg kaplet Box 100 kaplet 50 box 471x380x337 8.40
36 Omeprazole 40 mg injeksi Box 1 Vial 48 box 230x230x223 2.41

Divisi DELTA BRANDED

1 Amobiotic 1 g injeksi @ 10 vial Box 10 Vial 50 box 260x260x305 8.35
2 Amocomb 500 mg kaptab box 30 kaptab 35 box 260x425x190 1.65
3 Amocomb Forte syrup fls 60 ml 50 fls 245x245x255 5.20
4 Amocomb syrup fls 60 ml 50 fls 245x245x255 5.15
5 Ansi 20 mg kaps Box 50 kapsul 38 box 260x425x190 2.20
6 Antidia tablet box 100 tab 50 box 348x335x325 2.80
7 Benodon injeksi @ 10 vial Box 10 Vial 70 box 333x333x330 25.56
 8 Benoson 0.5mg tablet box 100 tab 50 box 348x335x225 3.20
9 Benouron dragee Box 100 kaplet 50 box 471x380x337 8.3
10 Benoxicam 20 mg tablet box 100 tablet 50 box 348x335x325 3.10
11 Biogastron tablet box 100 tab 60 box 471x380x337 8.50
12 Broxal 15 mg eliksir fls 60 ml 50 fls 240x240x226 8.10
13 Broxal 30 mg eliksir fls 60 ml 50 fls 240x240x226 8.10
14 Broxal tablet box 100 tab 50 box 348x335x225 3.20
15 Centracef 1 g inj Box 1 Vial 75 box 240x240x225 3.25
16 Chlorbiotic 1 g injeksi @ 10 vial Box 10 Vial 50 box 260x260x305 7.86
17 Faberdin 20 mg tablet box 100 kaptab 50 box 348x335x325 4.75
18 Faberdin Forte 40 mg box 100 kaptab 50 box 348x335x325 4.70
19 Fenaren 50 mg tablet box 100 tablet 42 box 348x335x325 3.20
20 Fenaren injeksi box 5 ampul 135 box 260x300x195 5.40
21 Fludis 150 mg kapsul fls 1 caps 216 fls 295x252x191 4.75
22 Fontula 1 mg tablet box 100 tablet 50 box 348x335x325 3.20
23 Fontula Forte 4,5 mg tablet box 100 tablet 50 box 348x335x325 4.25
24 Garabiotic cream 15 g tube 15 gram 200 tube 295x252x191 5.10
25 Garabiotic cream 5 g tube 5 gram 500 tube 435x223x170 5.30
26 Gored 80 mg tablet box 100 tablet 50 box 348x335x325 2.75
27 Incitin tablet box 100 tab 50 box 348x335x325 2.90
28 Kanabiotic 1 g injeksi @ 10 vial Box 10 Vial 50 box 260x260x310 12.25
29 Levovid 250 mg kaplet box 10 kaplet 75 box 295x252x191 1.60
30 Metolon drops fls 10 ml 243 fls 242x242x230 8.85
31 Metolon injeksi box 5 ampul 120 box 260x300x195 4.20
32 Metolon syrup fls 60 ml 50 fls 225x225x213 9.00
33 Metolon tablet box 100 tablet 50 box 348x335x325 3.25
34 Nevradin kapsul box 100 kapsul 50 box 471x380x337 6.70
35 Omberzol 20 mg kapsul fls 7 caps 144 fls 435x223x170 3.30
36 Oxybiotic 500 mg injeksi @ 10 vial Box 10 Vial 50 box 260x260x305 17.00
37 Penbiotic 1 g injeksi @ 10 vial Box 10 Vial 50 box 260x260x305 12.20
38 Phenobiotic 500 mg kapsul box 100 kapsul 50 box 471x380x337 7.00
39 Phenobiotic syrup fls 60 ml 50 fls 242x242x230 7.15
40 Polarist tablet box 100 tab 50 box 348x335x325 2.85
41 Prodiabet tablet box 100 tablet 50 box 348x335x325 2.85
42 Prohyst kaplet box 100 tab 60 box 471x380x337 8.00
43 Rematof 100 mg kaplet box 50 kaplet 70 box 348x335x325 3.65
44 Rematof injeksi box 5 ampul 120 box 260x300x195 4.20
45 Rifabiotic 450 mg box 100 kaptab 50 box 471x380x337 6.20
46 Rifabiotic 600 mg box 100 kaptab 50 box 471x380x337 7.50
47 Rovital dragee box 100 drg 60 box 471x380x337 9.90
48 Sidiadryl inj @ 10 vial Box 10 Vial 70 box 330x330x330 24.5
49 Sidiadryl syrup fls 100 ml 50 fls 242x242x230 12.75
50 Sultrimmix DS kaptab box 100 kaptab 50 box 471x380x337 9.10
51 Sultrimmix syrup fls 60 ml 50 fls 238x238x225 8.30
52 Sultrimmix tablet box 100 tab 50 box 348x335x325 5.70
53 Twintic 500 mg kaptab box 30 kaptab 135 box 260x425x190 5.25
54 Unthecol dragee box 100 dragee 50 box 348x335x325 5.65
55 Vicetan Z kaptab 3 x 10 Box 30 kaptab 120 box 471x380x337 7.85
 56 Benostan 500 mg kaptab box 100 kaptab 50 box 471x380x337 6.70
57 Viceten kaptab box 30 kaptab 54 box 348x335x325 3.15

NON DIVISI
1 Virpes cream tube 5 gram 500 tube 435x223x170 5.10

BETA GENERIK NEW PRODUCT

1 Natrium Diklofenak 50 mg tablet sal. Ent Box 100 Tablet 40 box 230x230x223 2.25
2 Omberzol inj Box 1 Vial 48 box 240x240x225 2.45
3 Imipenem Cilastatin 1g Inj Box 1 botol 50 botol 290x290x253 6.94
4 Paracetamol 1g/100ml Infus Box 1 botol 50 botol 290x290x253 11.95
5 Piracetam 3 g/15 ml injeksi @ 10 Box 10 ampul 21 box 260x425x190 6.74
6 Levofloxacin 500 mg kaplet @ 100 Box 100 kaplet 75 box 352x339x228 8.6
7 Amlodipin 10 mg tablet @ 100 Box 100 Tablet 36 box 245x245x255 3.1
8 Bupivacaine spinal 5 mg/ml inj @ 10 Box 10 ampul 60 box 352x339x228 6.88
9 Lidocain 2 % injeksi Box 100 ampul 12 box 290x290x253 6.56
10 Amlodipin 5 mg tab @ 100 Box 100 Tablet 40 box 240x240x225 2
11 Hydrocortisone cream 5g Box 25 tube 24 box 260x300x195 5.4
12 Tramadol 50 mg kapsul @ 100 Box 100 kapsul 45 box 260x260x305 3.6
13 Glimepiride 1 mg tablet @ 100 Box 100 Tablet 60 box 243x243x251 3.5
14 Glimepiride 3 mg tablet @ 100 Box 100 Tablet 60 box 245x245x255 3.4
15 Aqua Pro Injeksi 20 ml @ 10 Box 10 Vial 50 box 333x333x330 22.2
16 Thiampenicol 125 mg/5 ml syrup kering Box 60 ml 50 botol 243x243x251 6.5
17 Thiampenicol 500 mg kapsul Box 100 Kapsul 50 box 480x385x340 7.8
18 Allopurinol 300 mg tab @ 30 Box 30 Tablet 130 box 242x242x230 2.75
19 Amoxicillin 250 mg kapsul Box 100 Kapsul 35 box 352x339x228 3.64
20 Ampicillin 500 mg injeksi @ 10 Box 10 Vial 50 box 260X260X305 7.39
21 Acyclovir 400 mg kaptab Box 100 Kaplet 45 box 260X260X305 4.8
22 Glimepiride 2 mg tablet @ 100 Box 100 Tablet 60 box 243x243x251 3.4
23 Glimepiride 4 mg tablet @ 100 Box 100 Tablet 60 box 243x243x251 3.4
24 Procaine Benzyl Penicillin 3jt IU Inj Box 30 Vial 20 box 333x333x320 14.28
25 Hydrocortisone cream 5 g @ 24 Box 24 tube 24 box 260x300x195 5.25
26 Piracetam 1 g/5 ml injeksi @ 10 Box 10 Vial 57 Box 260x425x190 6.89
27 Simvastatin 10 mg Kaptab @ 100 Box 100 Kaptab 50 box 352x339x228 3.15
28 Tramadol 50 mg/ml Injeksi @ 5 Box 5 Vial 120 box 260x300x195 3.46
29 Ceftriaxone 1 g injeksi @ 2 vial Box 2 Vial 255 box 260x425x190 8.75
30 Thiamin (Vitamin B1) 100 mg/ml Inj @ 30 Box 30 Ampul 48 box 260x300x195 5.23
31 Antagin 500 mg/2 ml Injeksi @ 30 Box 30 Ampul 48 box 260x300x195 7.49
32 Ranitidin 50 mg/2 ml injeksi @ 100 Box 100 Ampul 12 box 290x290x253 6.54
Suhu penyimpanan Keterangan
0
C

25-30
25-30
25-30
25-30
25 - 30

25-30
25 – 30
25-30 New Packing
25-30
25 – 30
< 25
< 25 GKL1102343644A1
< 25 GKL9302319033A1
25 – 30 1 box @ 10 blister @ 10 kaps
25-30 GKL9302317510A1
25-30 New Packing
25-30
25 – 30 GTL9502320817A1 Pb : 160x65x45
25 – 30
25-30 GTL9102314537A2
25 – 30
25 – 30 Pb : 108x44x44
25 - 30
25-30
25-30
25 – 30 GKL0402336115B1 Pb :110x65x45
< 25
25-30
25 – 30 GKL1102345343A1 Pb : 80x75x28
25-30 New Packing
25-30
25-30
25-30
25-30 New Packing
< 25 GKL1102344244A1
25 – 30 GDL7802318310A1
25 – 30
25-30 GBL9102315637A1
25 – 30 D.2019318
25-30
25 – 30 GKL0702339743A1 Pb : 80x75x26
25 – 30 GKL0702339743A1 Pb : 102x82x38

25-30
25-30
25-30
25-30
25-30
25-30
25-30 GKL1002342343A2
25 – 30
25-30 New Packing
< 25 Discontinue
< 25
25-30 Discontinue
25-30 GKL0502337810A1
25 – 30
25 – 30
25 - 30
25 – 30 D.6015082
25-30
25-30
25-30
25-30
25-30
25 – 30
25 - 30
25 – 30
25-30
25-30
25-30 GKL9402319943A1
25-30
25-30
25-30
25-30
25 – 30 GKL0602338701A1 Pb : 86x82x62
25-30
25 – 30 D. 7811181
< 25
< 25
25 – 30
25 – 30 D.7811986 Pb : 210x65x45
25 – 30 D6015085
25-30
25-30
25 – 30
 25-30
25 – 30 GKL1102343934A1
25 – 30 GKL0502337810B1
25 – 30 GKL1102343810A1 Pb : 160x65x45
25-30
25 – 30 GKL8302302543B1
25 – 30
25 – 30
25-30
25-30
25-30
25 - 30
25-30
25 - 30
< 25 Discontinue
< 25
25-30 POM SD. 111541291 Pb : 75x30x235
25-30
25-30 POM SD. 111541301 Pb : 45x20x108
25 – 30 GKL1002343101B1
25 – 30 GKL0302334010A1 Pb : 98x55x45
25 – 30 D7811525
25 – 30
< 25
25-30
25-30
< 25
25-30
25-30
25-30
25-30
25-30
25 – 30
25-30
25-30
25 – 30 GKL1202345844A1 Pb : 63x30x107

< 25
< 25 non aktif
< 25 non aktif
< 25 non aktif
25 - 30
25-30
25-30
25 - 30
25 – 30
25-30
25-30
25 - 30
25 - 30
25 - 30
< 25
< 25
25 - 30 non aktif
25 - 30 non aktif
25 - 30
25 - 30
25-30 1 shrink = 6 fls, non aktif
25 - 30
25 - 30
25-30
25-30 non aktif
25-30
25-30
25-30
25 - 30
25-30
25-30
25-30
25-30
25 - 30
25-30 1 shrink = 4 fls. non aktif
25-30
25-30
25-30
25-30
25-30
25-30
25-30 non aktif
< 25
< 25
25-30
25-30
25-30
25 – 30
25-30
25-30
25-30
25-30
25-30
25 - 30
25 - 30
25 - 30
25 - 30

25-30

Tgl launching
25 – 30 GKL0302332815A1 Pb : 95x55x45
< 25 DKL1202345744A1 Pb : 63x30x107 pdt
25 – 30 GKL1202346644
25 – 30 GKL1202346149
25 – 30
25 – 30
25 – 30
25 – 30 Pb : 104x38x82 mm)
25 – 30 Pb : t=8.5, d=14
25 – 30
25 – 30 GKL9402320129A1 PB : 75X75X80 mm
25 – 30
25 – 30
25 – 30
25 – 30 GKL1002342343A1 PB : 150x60x63 mm
25 – 30 GKL1202345638A1
25 – 30 GKL1202345501A1
25 – 30 GKL0602319210B1 PB : 110X45X20
25 – 30 Pb : 210x65x45
25 – 30 Pb : 120x49x52
25 – 30 Pb : 87x82x60
25 – 30
25 – 30
25 – 30
25 – 30
25 – 30 Pb : 102x82x38
25 – 30 Pb : 160x65x45
25 – 30
< 25
25 – 30
25 – 30
< 25