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E Cataloq 2015 versi

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FORMAT No Nama Obat Generik Kemasan 1 1 blister@24 tablet 2 Adefovir Dipivoksil tablet/kaplet 10 mg 3 Air untuk irigasi lar infus 1000 ml Btl @ 1000 ml 4 Akarbose tablet/kaplet 100 mg 5 Akarbose tablet/kaplet 50 mg 6 Albendazol suspensi 200 mg/5 ml 7 Albendazol tablet/kapsul/kaplet 400 mg 8 Vial 100 ml 9 Vial 50 ml 10 Dus, botol @ 100 ml 11 botol @ 20 ml 12 botol @ 50 ml 13 botol @ 250 ml 14 botol @ 50 ml 15 Alopurinol tablet/kapsul/kaplet 100 mg 16 Alopurinol tablet/kapsul/kaplet 300 mg 17 Alprazolam tablet/kapsul/kaplet 0,25 mg 18 Alprazolam tablet/kapsul/kaplet 0,5 mg 19 Alprazolam tablet/kapsul/kaplet 1 mg Ktk 10x10 tablet 20 Alteplase injeksi 50 mg/vial 21 Amfoterisin B salep mata 1% tube 3.5 gr 22 Amikasin injeksi 250 mg/ml Vial 2 ml 23 Aminofilin injeksi 24 mg/ml dus 30 ampul @10 ml ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg) Dus, 3 Blister @ 10 kapsul Dus, 10 strip @10tablet Dus, 10 strip @10tablet Dus, 10 dus @ 1 botol @ 10 ml Dus, 5 strip @ 6 tablet Albumin serum normal (human albumin) injeksi 20%, 100 ml Albumin serum normal (human albumin) injeksi 20%, 50 ml Albumin serum normal (human albumin) injeksi 25%, 100 ml Albumin serum normal (human albumin) injeksi 25%, 20 ml Albumin serum normal (human albumin) injeksi 25%, 50 ml Albumin serum normal (human albumin) injeksi 5% 250 ml Albumin serum normal (human albumin) injeksi 5% 50 ml Box, 10 strips @ 10 tablets Dus, 10 blister @ 10 tablet Dus, 10 Strip @ 10 tablet 1 box 10 Strip X 10 tablet Dus, 1 vial@50mg + 1 vial pelarut @ 50ml
Transcript

FORMAT e-catalog FORNAS 2015

No Nama Obat Generik Kemasan

1 1 blister@24 tablet

2 Adefovir Dipivoksil tablet/kaplet 10 mg

3 Air untuk irigasi lar infus 1000 ml Btl @ 1000 ml4 Akarbose tablet/kaplet 100 mg

5 Akarbose tablet/kaplet 50 mg

6 Albendazol suspensi 200 mg/5 ml

7 Albendazol tablet/kapsul/kaplet 400 mg

8 Vial 100 ml

9 Vial 50 ml

10 Dus, botol @ 100 ml

11 botol @ 20 ml

12 botol @ 50 ml

13 botol @ 250 ml

14 botol @ 50 ml

15 Alopurinol tablet/kapsul/kaplet 100 mg

16 Alopurinol tablet/kapsul/kaplet 300 mg

17 Alprazolam tablet/kapsul/kaplet 0,25 mg

18 Alprazolam tablet/kapsul/kaplet 0,5 mg19 Alprazolam tablet/kapsul/kaplet 1 mg Ktk 10x10 tablet

20 Alteplase injeksi 50 mg/vial

21 Amfoterisin B salep mata 1% tube 3.5 gr

22 Amikasin injeksi 250 mg/ml Vial 2 ml

23 Aminofilin injeksi 24 mg/ml dus 30 ampul @10 ml

ACT (Artesunate tablet 50 mg + Amodiaquine anhydrida tablet 200 mg)

Dus, 3 Blister @ 10 kapsul

Dus, 10 strip @10tabletDus, 10 strip @10tabletDus, 10 dus @ 1 botol @ 10 mlDus, 5 strip @ 6 tablet

Albumin serum normal (human albumin) injeksi 20%, 100 mlAlbumin serum normal (human albumin) injeksi 20%, 50 mlAlbumin serum normal (human albumin) injeksi 25%, 100 mlAlbumin serum normal (human albumin) injeksi 25%, 20 mlAlbumin serum normal (human albumin) injeksi 25%, 50 mlAlbumin serum normal (human albumin) injeksi 5% 250 mlAlbumin serum normal (human albumin) injeksi 5% 50 ml

Box, 10 strips @ 10 tabletsDus, 10 blister @ 10 tabletDus, 10 Strip @ 10 tablet1 box 10 Strip X 10 tablet

Dus, 1 vial@50mg + 1 vial pelarut @ 50ml

24 Aminofilin tablet scored 200 mg Botol @100 Tablet25 Aminofilin tablet/kapsul/kaplet 150 mg Btl @ 100 tablet26 Amiodaron injeksi 150 mg/3 ml Dus, 6 ampul @ 3 ml27 Amiodaron tablet/kaplet 200 mg strip28 Amitriptilin tablet salut 25 mg (HCl)

29 Amlodipin tablet 10 mg

30 Amlodipin tablet 5 mg31 Amoksisilin kapsul/kaplet 250 mg dus 10 X 10'S

32 KOTAK @ 10 x 10 TAB33 Amoksisilin sirup kering forte 250 mg/5 ml Dus, Botol 60 ml34 Amoksisilin sirup kering 125 mg/ 5 ml btl @ 60 ml35 Ampisilin serbuk injeksi i.v. 1000 mg/vial Dus, 10 vial @ 1 g

36

37

38 Penfill cartridge

39

40 Dus, vial 10 ml

41

42 Penfill cartridge

43 Anastrozol tablet/kapsul/kaplet 1 mg

44

45 btl 60 ml

46 Dus, 25 tube @ 5 g

47 ktk 10 x 10 tablet

Dus, 10 strip @ 10 tssBox, 3 strips @ 10 tabletsBox, 3 strips @ 10 tablets

Amoksisilin kapsul/kaplet/tablet scored 500 mg

Analog insulin long acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glargine 100 IU/ml)

dus, 5 solostar pen @ 3ml

Analog insulin mix acting inj 100 UI/ml, Analog insulin mix acting inj 100 UI/ml (Premix 30% Insulin Aspart + 70% Protaminated Insulin Aspart (Analogue))

Injeksi 100 IU/ml, Flexpen disposible 3 ml (1 box isi 5 flexpen disposible)

Analog insulin mix insulininj 100 UI/ml, vial/cartridge disposible/penfill cartridge (25% insulin lispro, 75% insulin lispro protamine suspension, (rDNA))Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue))

Injeksi 100 IU/ml, Flexpen disposible 3 ml (1 box isi 5 flexpen disposible)

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin Aspart (Analogue))Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin glulisine 100 IU/ml)

dus, 5 solostar pen @ 3ml

Analog insulin rapid actinginj 100 UI/ml, vial/cartridge disposible/penfill cartridge (Insulin lispro (rDNA origin))

Dus, 2 blister @ 14 Tablet

Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg Magnesium Hidroksida 200 mg

Dus, 10 Strip @ 10 Tablet

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5 ml Magnesium Hidroksida 200 mg/5 mlAnti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksin 10.000 IU/gAntimalaria DOEN kombinasi : Pirimetamin 25 mg Sulfadoksin 500 mg

48 Btl 100 tablet49

50 Artemether injeksi 80 mg/ml Dus 6 amp @ 1ml51 Asam Asetilsalisilat (asetosal) tablet 100 mg Dus @ 10 X 10 's52 KOTAK @ 10 x 10 TAB53 Asam Askorbat (Vitamin C) tablet 250 mg ktk 10x10 tablet54 Asam Askorbat (Vitamin C) tablet 50 mg

55 Asam Folat tablet/kapsul/kaplet 0,4 mg56 Asam Folat tablet/kapsul/kaplet 1 mg Botol @ 100 tablet

57 Asam Ibandronat injeksi 6mg/6ml Boks, 1 ampul

58 Asam Mefenamat kapsul/kaplet 500 mg

59 Asam pipemidat kapsul 400 mg Strip

60 Asam traneksamat injeksi 50 mg/ml

61 Asam zoledronat injeksi 4mg/5mL62 Asiklovir salep mata 3% Tube 3,5 gram

63 Asiklovir tablet/kapsul/kaplet 200 mg

64 Asiklovir tablet/kapsul/kaplet 400 mg65 Asparaginase serbuk injeksi 10.000 UI/vial 10.000 UI/Vial66 Atapulgit tablet 600 mg

67 Atenolol tablet/kapsul/kaplet 100 mg strip68 Atrakurium injeksi 25 mg/2,5 ml

69 Atropin injeksi i.v./i.m./s.k. 0,25 mg/ml ampul @ 1 ml

70 Atropin Sulfat tablet 0,5 mg

71 Atropin Sulfat tetes mata 0,5% Botol 5ml

72 Atropin Sulfat tetes mata 1% Botol 5ml

73 Azitromisin sir kering 200 mg/ 5 mL botol @ 60 ml

74 Azitromisin tablet 500 mg ktk 2x10 tablet75 Azitromisin tablet 250 mg Strip

76 Bedak salisil serbuk 2% Dus @ 50 gram77 Benzatin Benzil Penisilin 1,2 juta IU/ vial

78 Benzatin Benzil Penisilin 2,4 juta IU/vial

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mgAntiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg

Dus, 5 strip @ 10 tablet

Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg

Dus 10 strip x 10 tabDus, 10 strip @10 tablet

Dus, 10 blister @ 10 kaptab ss

Dus, 10 ampul @ 5 mlDus, 1 vial plastik @ 5ml

Dus, 10 blister @ 10 tabletDus, 5 strip @ 10 tablet

Dus 5 strip @ 10 tablet

Dus, 5 ampul @ 2.5 ml

Dus, 10 strip @ 10 tablet

Ds 10 vial x 1,2 Jt IU10 vial @ 2.400.000 IU

79 Beractant injeksi / suspensi 25 mg/mL Vial80 Beraprost sodium tablet 20 mcg

81 Betametason krim 0,1% (sebagai Valerat) Tube 5 gr82 Betametason tetes mata 1 mg/ml botol @ 5 ml

83 Dus, 1 vial @ 4 ml

84 Bikalutamid tablet salut 150 mg

85 Bikalutamid tablet salut 50 mg

86 Bisakodil suppositoria 10 mg Supp87 Bisakodil suppositoria 5 mg 1 Box @ 6's

88 Bisoprolol tablet 2,5 mg89 Bisoprolol tablet 5 mg Box 3 X 10 tab90 Bleomisin serbuk injeksi 15 mg/ampul Vial91 Bromokriptin tablet 2,5 mg Box 3 x 10'S

92 Budesonid inhaler 200 mcg/puff, 100 dosis

93 Budesonid inhaler 200 mcg/puff, 200 dosis Unit, 200 dosis

94 Budesonid respules / cairan inhaler 0,25mg/mL

95

9697 Bupivakain injeksi 0,50% (HCl) + glukosa 8% Dus, 5 ampul @ 4 ml98 Bupivakain injeksi 0,50% (P.V) ampul99 Dabigatran eteksilat kapsul 75 mg

100 Dabigatran eteksilat kapsul 110 mg101 Dakarbazin serbuk injeksi 200 mg/vial vial @ 20 ml

102 Daunorubisin serbuk injeksi 20 mg/vial vial

103 Deferasiroks tablet disp/ eff 250 mg

104 Deferasiroks tablet disp/ eff 500 mg

105 Deferipron larutan oral 100 mg/mL Dus, Botol @ 500ml

106 Deferipron tablet 500 mg

107 Deferoksamin Mesilat serbuk injeksi 500 mg

Box/ 3 blister @ 10 Tablet

Bevasizumab injeksi 25 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)

Dus, 2 blister @ 14 TabletDus, 2 blister @ 14 Tablet

Dus 10 blister @ 10 tablet

Dus, 1 Turbuhaler @ 100 dosis

Dus, 4 pak @ 5 respules @ 2 ml

Budesonid-formoterol (fixed combination) inhaler 160/4,5 mcg

Dus, 1 Turbuhaler @ 120 dosis

Budesonid-formoterol (fixed combination) inhaler 80/4,5 mcg

Dus, 1 Turbuhaler @ 60 dosis

Dus, 3 blister @ 10 kapsulDus, 3 blister @ 10 kapsul

Dus, 4 blister @ 7 tabletDus, 4 blister @ 7 tablet

Dus, Botol @ 100 tabletDus, 10 vial @ 500mg

108 Deksametason injeksi i.v./i.m. 5 mg/ml

109 Deksametason tablet 0,5 mg

110 Desogestrel tablet 75 mcg

111 Desoksimetason krim 0,25%

112 Desoksimetason krim 0,25% Dus, tube @ 5 g

113 Diazepam larutan rektal 5 mg/2,5 mL

114 Diazepam larutan rektal 10 mg/2,5 mL115 Diazepam tablet 2 mg Btl 100116 ampul @ 1 ml117 Digoksin injeksi 0,25 mg/ml Box @ 5 ampul 2 mL

118 Digoksin tablet 0,25 mg Box 10 X 10 Tab

119 Diltiazem HCl tablet 30 mg

120 Diltiazem infus injeksi 50 mg 10 vial @ 50mg

121 Diltiazem injeksi 25 mg/5 mL Vial 5 mL

122 Diltiazem Kapsul SR 100 mg

123 Diltiazem Kapsul SR 200 mg

124 Dimenhidrinat tablet 50 mg Btl 100 tablet125 Dinatrium edetat tetes mata 0,35% botol 15 ml

126 Dinatrium klodronat infus kons 60 mg/mL ampul127 Dobutamin injeksi 50 mg/mL ampul @ 5 ml

128 Doksazosin mesilat tablet 1 mg

129 Doksazosin mesilat tablet 2 mg

130 Doksisiklin tablet/kapsul/kaplet 100 mg

131 Doksorubisin serbuk injeksi i.v. 10 mg/vial Dus, 1 vial @ 10 mg

132 Doksorubisin serbuk injeksi i.v. 50 mg/vial Vial 50mg/25ml133 Domperidon suspensi/sirup 5 mg/5 ml btl @ 60 ml134 Domperidon tablet 10 mg dus 10 X 10'S135 Domperidon tetes 5 mg/mL Dus, botol @ 10 ml136 Dopamin injeksi 40 mg/ml Dus 5 amp @ 10 ml

Dus, 100 ampul @ 1 mlDus, 10 Strip@10 TabletDus, 1 Blister @ 28 tabletKotak, tube @ 15 gram

Dus, 5 alubag @ 1 tube @ 2,5mlDus, 5 alubag @ 1 tube @ 2,5ml

Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl)

Dus, 10 strip @ 10 tablet

3 blister @ 10 kapsul3 blister @ 10 kapsul

Dus, 5 blister @10's tabDus, 5 blister @10's tabBox @ 10 strip 10 kapsul

137 Dosetaksel injeksi 20 mg/0,5 ml

138 Dus @ 5 vial

139 Dutasterid kaps lunak 0,5 mg

140 Efavirens tablet salut 600 mg Botol 30 tab141 Efedrin Inj 50 mg/ml Ampul @ 1 ml142 Eksemestan tablet 25 mg

143 Enoksaparin sodium inj 20 mg/0,2 mL

144 Enoksaparin sodium inj 40 mg/0,4 mL

145 Enoksaparin sodium inj 60 mg/0,6 mL

146 Dus @ 30 Ampul147 Epirubisin serb injeksi 50 mg/25ml Vial @ 25 ml148 Epirubisin serb injeksi 10 mg/5 ml Dus, 1 vial @5 ml149

150151 Eritromisin kapsul/kaplet 250 mg ktk 10 x 10 kapsul

152 Eritromisin kapsul/kaplet 500 mg

153 Eritromisin sirup kering 200 mg/ 5 ml Botol @60 ml

154 Eritropoetin-alfa inj 10000 UI/mL

155 Eritropoetin-alfa inj 2000 UI/mL

156 Eritropoetin-alfa inj 3000 UI/mL

157 Eritropoetin-beta inj 2000 UI/0,3 mL Boks, 6 ampul158 Etambutol tablet 250 mg (HCl) ktk 20 x 10 tablet

159 Etambutol tablet salut 500 mg (HCl)160 Etanol 70% cairan btl @ 100 ml161 Etinilestradiol tablet 0,05 mg

162 Etonogestrel implan 68 mcg

163 Etoposid injeksi 20 mg/ml Vial 100mg/5ml164 Eugenol cairan Botol 10 ml165 Everolimus tab 0,25 mg

Dus, 1 vial @0,5 ml+ 1 vial pelarut @1,5 ml

DTPA (diethylene triamine pentaacetic acid) 2,06-2,5 mg pentetate calcium trisodium/mL

Dus, Botol Plastik @ 30 Tablet

Dus, 2 blister @ 15 tabletdus, 2 prefilled syringe @ 0,2 mldus, 2 prefilled syringe @ 0,4 mldus, 2 prefilled syringe @ 0,6 mlEpinefrin (Adrenalin) injeksi i.v/s.k./i.m 1

mg/ml

Ergokalsiferol (vitamin D3/D2) kapsul 50.000 UI

Dus 3 strip @ 10 Flash tablet

Ergokalsiferol (vitamin D3/D2) suspensi 10.000 UI/ml

Dus, Botol Plastik @ 100 mL

Dus, 10 blister @ 10 kss

vial/ampul (Prefilled Syringe)Dus, 6 prefilled syrenge @ 0.5 mlPrefilled Syringe @ 1ml

Dus, 10 strip @ 10 tss

Dus, botol @ 100 tabletDus, 1 blister @ 1 subdermal implant

Dus, 6 blister @ 10 tablet

166 Everolimus tab 0,5 mg

167 Dual, vial 500 IU

168

169 Faktor VIII (konsentrat) serb inj 230 -340 UI vial170 vial

171 vial

172 Fenitoin injeksi 50 mg/ml KOTAK @ 10 ampul173 Fenitoin kapsul/kaplet 100 mg Botol @ 100174 Fenitoin Na Inj 100 mg/2 ml KOTAK @ 10 ampul

175 Fenobarbital injeksi i.m./i.v. 50 mg/ml Dus @ 30 Ampul176 Fenofibrat kaps 100 mg

177 Fenofibrat kaps 300 mg178 Dus @ 10 X 10 's179 Dus 45 x 12 tab180 Dus @ 10 X 10 's

181 Fenoterol HBr ih 100 mcg/puff Box, canister 10mL

182 Fenoterol HBr inh solution 0,1%183 Dus 5 ampul@ 10ml184 Dus 5 ampul@ 2ml185 Fentanil patch 12,5 mcg/jam Dus @ 5 patch

186 Fentanil patch 25 mcg/jam Dus@ 5 patch

187 Fentanil patch 50 mcg/jam Dus@ 5 patch188 Filgrastim inj 300 mcg/mL pfs @ 0,5 ml

189 Finasterid tab 5 mg

190 Fitomenadion (Vit.K1) tablet salut gula 10 mg191 dus @ 30 ampul192 Fludarabin inj 50 mg Dus, 5 vial @ 50 mg193 Fludarabin tab 10 mg

194 Flufenazin injeksi i.m. 25 mg/ml Dus, 5 ampul @ 1ml

Dus, 6 blister @ 10 tablet

Faktor koagulasi II 14-35 UI, faktor koagulasi VII 7-20 UI, faktor koagulasi IX 25 UI, faktor koagulasi X 14-35 UIFaktor VIIa (rekombinan) serb inj 1 mg/vial + pelarut untuk injeksi

KOTAK @ 1 VIAL SERBUK OBAT & INFUSION KIT

Faktor VIII (konsentrat) serb inj 250 UI/vial + pelarut 5 mLFaktor VIII (konsentrat) serb inj 480 - 600 UI

Dus, 3 strip @ 10 kapsulDus, 3 strip @ 10 kapsulFenoksimetil penisilin (penisilin V) tablet

250 mgFenoksimetil penisilin (penisilin V) tab 125 mgFenoksimetil penisilin (penisilin V)tablet 500 mg

Dus, Canister 200 dosisFentanil injeksi i.m/i.v 0,05 mg/ml, ampul 10

mlFentanil injeksi i.m/i.v 0,05 mg/ml, ampul 2 ml

Box, isi 3 Strip @ 10 tabBotol @ 100 tablet salut gulaFitomenadion (Vitamin K1) injeksi i.m. 2

mg/mlDus, 4 blister @ 5 tablet salut selaput

195 Flukonazol injeksi 2 mg/ml Botol

196 Flukonazol tablet/kaplet/kapsul 50 mg Blister197 Flukonazol tablet/kapsul 150 mg ktk 1 x 10 kapsul198 Fluoksetin tablet 10 mg strip199 Fluoksetin tablet 20 mg DUS, 30 TABLET200 Fluorometolon tetes mata 0,1 % botol @ 5 ml201 Fluorourasil inj 250 mg/mL vial @ 1 ml202 Fluorourasil inj 500 mg/ 5 mL vial @ 10 ml

203 Flusinolon asetonid krim 0,025% Dus, Tube 5 g

204 Flutikason furoat intranasal spray

205 Flutikason propionat nebules 0,5 mg

206 Fondaparinuks inj 2,5 mg/0,5 mL Dus, 2 pfs 0.5 ml207 Fraksi protein plasma lar inf 5% dus, vial @ 250 ml

208 Furosemid injeksi i.v./i.m. 10 mg/ml

209 Furosemid tablet 40 mg210 Gadobutrol macrocyclic 5 mg Prefilled Syringe211 Gadobutrol macrocyclic 7,5 mg Prefilled Syringe212 Prefilled Syringe

213 Gansiklovir serb inj 500 mg (50 mg/mL) Boks, 1 ampul

214 Dus @ 100 Sachet

215 Gefitinib tab 250 mg

216 Gemfibrozil kapsul/kaplet 300 mg

217 Gemfibrozil tablet 600 mg

218 Gemsitabin inj 1000 mg/vial vial219 Gemsitabin inj 200 mg/vial Dus, 1 vial @200 mg220 Gentamisin injeksi 40 mg/ ml Dus, 5 ampul @ 2 ml

221 Gentamisin salep mata 0,3% Tube @ 3,5 gr

222 Gentamisin tetes mata 0,3%

223 Glibenklamid tablet 5 mg224 Gliklazid tab 80 mg Strip

Dus, Botol 120 Dosis SpayDus, 2 flow wrap@ 5 nebules @ 1 dosis (2ml)

Dus, 25 ampul @ 2 mlDus, 10 strip @ 10 tablet

Gadoksetat disodium 0,25 mmol gadoxetate disodium/mL

Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium klorida 0,30 g Trinatrium sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g Dus, 1 blister @ 10

tabletDus, 10 blister @ 12 kapsulDus, 10 blister @ 10 kaptab

Dus, botol plastik 5 mlDus, 10 blister @ 10 kaptab

225 Gliklazid tab 30 mg

226 Gliklazid tablet lepas lambat 60 Mg Box, 30 Tablet

227 Glikuidon tab 30 mg228 Glimepiride tablet 1 mg ktk 5x10 tablet229 Glimepiride tablet 2 mg ktk 5x10 tablet230 Glimepiride tablet 3 mg ktk 5x10 tablet231 Glimepiride tablet 4 mg ktk 5x10 tablet

232 Glipizid tablet/kaplet/kapsul 10 mg

233 Glipizid tablet/kaplet/kapsul 5 mg234 Gliseril trinitrat kaps SR 2,5 mg Dus 10x10235 Gliseril trinitrat kaps SR 5 mg Dus 10x10236 Gliseril trinitrat tab sublingual 0,5 mg Btl @ 30 tablet237 Gliserin lar 50% Glycerin 100 ml238 Glukosa larutan infus 10 % steril botol @ 500 ml239 Glukosa larutan infus 5 % steril botol @ 500 ml240 Goserelin asetat inj 10,8 mg/vial

241 Goserelin asetat inj 3,6 mg

242 Griseofulvin tablet 125 mg

243 Haloperidol inj 50 mg/mL Dus 5 Ampul@1mL

244 Haloperidol injeksi i.m 5 mg/ml KOTAK @ 12 ampul

245 Haloperidol tablet 0,5 mg

246 Haloperidol tablet 5 mg

247 Haloperidol tablet 1,5 mg

248 Haloperidol tablet 2 mg KOTAK @ 10 x 10 TAB

249 Haloperidol tts 2 mg/mL BOTOL @ 15 ML250 Halotan Inhalasi Botol251 Heparin injeksi i.v./s.k. 5000 UI/ml vial252 Hepatitis B imunoglobulin (human)

253 Hidrokortison krim 1% tube @ 5 ml254 Hidrokortison krim 2,5 % Tube 5 gr255 Hidroksi Urea tablet/kaplet/kapsul 500 mg vial

256 Hiosin butilbromid injeksi 20 mg/ml box 5ampul @1 ml

Dus, 6 strip @ 10 tablet lepas lambat

Dus, 10 Strip @ 10 tablet

Dus, botol@TAB 10MG 30Dus, botol@TAB 10MG 31

Dus, 1 syringe @ 10.8 mgDus, 1 syringe @ 3.6 mgDus, 10 blister @ 10 tablet

Dus, 10 blister @ 10 tabletDus, 10 blister @ 10 tabletDus, 10 blister @ 10 tablet

Dus, 1 syringe @ 0.5 mL

257 Homatropin tetes mata 2% Botol 5ml

258 Dus, vial 10 ml

259 Dus, vial 10 ml

260 Dus, 1 Vial @ 5 ml

261

262

263

264

265

266 Dus, vial 10 ml

267 Dus, vial 10 ml

268

269

270

271 Dus, vial 10 ml

272 Dus, vial 10 ml

273 Dus, 1 Vial @ 5 ml

274 Prefilled syringe275 Ibuprofen sirup 100 mg/5 ml Dus, botol 60 ml276 Ibuprofen suspensi 200 mg/5 ml Dus, botol 60 ml277 Ibuprofen tablet 200 mg botol @ 100 tablet

278 Ibuprofen tablet 400 mg

279 Ifosfamid serbuk injeksi 1000 mg/vial Dus, 1 vial @ 1 g

Human insulin intermediate acting inj 100 UI/ml, vial (Human Insulin (Intermediate-Acting))Human insulin intermediate acting inj 100 UI/ml, vial (Insulin human Basal)Human insulin intermediate acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridgeHuman insulin intermediate acting inj 100 UI/ml,penfill cartridge (Human Insulin (Intermediate-Acting))

Injeksi 100 IU/ml, penfill disposible 3 ml (1 box isi 5 penfill disposible)

Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin human Basal)

penfillcartridge @ 3ml

Human insulin intermediate acting inj 100 UI/ml,penfill cartridge (Insulin human Basal)

Dus Isi 5 penfill/cartridge @ 3ml

Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin))

Injeksi 100 IU/ml, penfill disposible 3 ml (1 box isi 5 penfill disposible)

Human insulin mix insulin inj 100 UI/ml, penfill cartridge (Insulin human Comb)

Dus Isi 5 penfill/cartridge @ 3ml

Human insulin mix insulin inj 100 UI/ml, vial (Human Insulin (Premix: 30% Soluble + 70 % NPH Insulin))Human insulin mix insulin inj 100 UI/ml, vial (Insulin human Comb)Human insulin short acting inj 100 UI/ml, penfill cartridge (Human Insulin (Short Acting))

Injeksi 100 IU/ml, penfill disposible 3 ml (1 box isi 5 penfill disposible)

Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Rapd)

Dus Isi 5 penfill/cartridge @ 3ml

Human insulin short acting inj 100 UI/ml, penfill cartridge (Insulin human Rapd)

penfill cartridge @ 3ml

Human insulin short acting inj 100 UI/ml, vial (Human Insulin (Short Acting))Human insulin short acting inj 100 UI/ml, vial (Insulin human Rapd)Human insulin short acting inj 100 UI/ml, vial/cartridge disposible/penfill cartridgeHuman tetanus imunoglobulinn injeksi i.m. 250 UI

Dus, 10 strip @ 10 tablet

280

281 Imidapril tab 10 mg282 Imidapril tab 5 mg

283 Dus, botol @ 100 ml

284 Dus, vial @ 30 ml

285 Dus, vial @ 50 ml

286 Dus, botol @ 100 ml

287 Dus, vial @ 30 ml

288 Dus, vial @ 50 ml

289 Botol

290 Botol

291 Botol

292 Botol

293 Ipratropium bromida inhalasi 20 mcg/semprot Box, canister 10mL

294 Ipratropium bromida nebulizer 0,025% Box, bottle 20mL

295 Irbesartan tab 150 mg

296 Irbesartan tab 300 mg297 Irinotekan inf 20 mg/ml Dus, 1 vial @2 ml298 Isofluran inhalasi Botol 100 mL

299 Isoniazid tablet/kapsul/kaplet 100 mg Botol 100 tablet

300 Isoniazid tablet/kapsul/kaplet 300 mg Botol 100 tablet301 Isosorbid Dinitrat injeksi i.v 10 mg/10 ml vial302 Isosorbid Dinitrat tablet sublingual 5 mg

303 Isosorbid dinitrat tablet/kaplet/kapsul 10 mg

304 Kalium aspartat tab 300 mg Strip305 Kalium Klorida tablet 600 mg306 Kalsium Folinat (Leukovorin Ca) inj 50 mg/ml Vial 50 mg/5 ml

307 Kalsium Glukonat injeksi i.v 10% (100 mg/ml) Ampul

Imanitib Mesilat tablet salut selaput 100 mg (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)

Dus, 6 blister @ 10 tablet salut selaput3 blister @ 10 tablet3 blister @ 10 tabletIopamidol 200-300 mg Iodium/mL (300mg @ vial

100ml)Iopamidol 200-300 mg Iodium/mL (300mg @ vial 30ml)Iopamidol 200-300 mg Iodium/mL (300mg @ vial 50ml)Iopamidol 300-370 mg Iodium/mL (370mg @ vial 100ml)Iopamidol 300-370 mg Iodium/mL (370mg @ vial 30ml)Iopamidol 300-370 mg Iodium/mL (370mg @ vial 50ml)Iopromide 300-370 mg Iodium/mL (300 mg / 100 ml)Iopromide 300-370 mg Iodium/mL (300 mg / 50 ml)Iopromide 300-370 mg Iodium/mL (370 mg / 100 ml)Iopromide 300-370 mg Iodium/mL (370 mg / 50 ml)

Dus, 5 blister @ 10 kssDus, 5 blister @ 10 kss

Dus, 10 strip @ 10 tabletDus, 5 strip @ 10 tablet

Dus, 10 strip @ 10 tablet

308

309 Kalsium polistirena sulfonat ktg 5 g kantong 5 g

310 Kanamisin inj 1000 mg/ vial vial

311 Kandesartan tab 16 mg

312 Kandesartan tab 8 mg

313 Kapesitabin tab 500 mg Boks, 120 tablet

314 Kaptopril tablet 50 mg

315 Kaptopril tablet scored 25 mg

316 Kaptopril tablet scored12,5 mg

317 Karbamazepin sirup 100 mg/5 ml Dus, botol @ 120 ml

318 Karbamazepin tablet 200 mg

319 Karbimazol tab 5 mg

320 Karbogliserin tetes telinga 10% Fenol 100 mg / 1 ml

321 Karboplatin 150 mg / 15 ml vial @ 15 ml

322 Karboplatin 450 mg / 45 ml vial @ 45 ml323 Karvediol tablet/kaplet/kapsul 6,25 mg strip

324 Ketamin injeksi i.v. 100 mg/ml Vial @ 10 ml

325 Ketamin injeksi i.v. 50 mg/ml

326 Ketokonazol krim 2% tube 5 gr

327 Ketokonazol krim 2%

328 Ketokonazol krim 2% tube 10 gr329 Ketokonazol scalp sol 2% Botol 80 ml330 Ketokonazol tablet 200 mg

331 Ketoprofen supositoria 100 mg dus 2 's @ 10 supp332 Ketorolac injeksi 30 mg/ml Dus @ 12 Ampul

333 Klaritromisin tab 500 mg

Kalsium Laktat (Kalk) tablet/kapsul/kaplet 500 mg

Dus,10 Strip @ 10 tablet

Dus, 3 Blister @ 10 tabletDus, 3 Blister @ 10 tablet

Dus, 10 strip @ 10 tabletDus, 10 strip @10 tabletDus, 10 strip @ 10 tablet

Dus, 10 blister @ 10 tabletDus,botol 100 tablet

Box, isi 1 vial @ 10 ml

Box isi 1 Tube @ 15 g

Dus, 5 Strip @ 10 tablet

Dus, 3 Strip @ 10 Kaplet salut selaput

334 Klindamisin kapsul/kaplet 150 mg

335 Klindamisin kapsul/kaplet 300 mg

336 Klobazam tab 10 mg

337 Klonidin injeksi i.v 0,15 mg/ml (HCL) (150)338 Klonidin tablet 0,15 mg Ktk 10X10 TAB

339 Klopidogrel tab 75 mg340 Kloramfenikol salep mata 1 % Tube 5 gr341 Kloramfenikol serb inj 1000 mg/mL vial

342 Kloramfenikol suspensi 125 mg/ 5 ml Botol @ 60 ml343 Klorpromazin tablet salut 100 mg (HCl) ktk 10x10 tablet344 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Dus @ 30 Ampul345 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) Dus @ 30 Ampul346 Klorpromazin tablet salut 25 mg (HCl) 10 X 10347 Klozapin 100 mg KOTAK @ 5 x 10 TAB

348 Klozapin 25 mg KOTAK @ 5 x 10 TAB349 Kodein tablet 10 mg ktk 10x10 tablet350 Kodein tablet 15 mg ktk 10x10 tablet351 Kodein tablet 20 mg ktk 10x10 tablet352 Btl @ 30 kapsul

353 Koloid HES BM 130 000 lar inf 6%

354 1 dus @ 20 vial

355 Vial

356 Botol @ 60 ml

357

358 botol 15 ml

359

360

361 botol @ 120 tablet

362

363

Dus, 5 blister @ 10 kapsulDus, 5 blister @ 10 kapsulDus, 10 Strip @ 10 tabletBox, 10 ampoules @ 1mL

Dus, 3 strip @ 10 tab

Kolekalsiferol (vitamin D3) kapsul lunak 0,25 mcg Botol Plastik @ 500

mlKombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mgKombinasi injeksi depot : Medroksi progesteron asetat 25 mg Estradiol sipionat 5 mgKombinasi suspensi : Parafin + gliserin + fenolftaleinKombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam folat 0,25 mg

Dus, 100 Sachet @ 30 Tablet

Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg; Kalium klorida 1,32 mgKombinasi: Artemether 20 mg; Lumefantrin 120 mg

Dus, 4 blister @ 6 tablet

Kombinasi: Levodopa 100 mg; Karbidopa 25 mg; Entekapon 200 mg

Dus, botol plastik @ 30 tablet salut selaput

Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mgKombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg

Dus, Botol 120 Dosis

Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg

Dus, foil strip @ 60 dosis

364

365

366

367 Dus, botol @ 60 ml368 Kuinin (Kina) tablet 200 mg ktk 60 tablet369 Kuinin injeksi i.v. 25% (sebagai 2 HCl) ktk 100 amp @ 2 ml370 Kuinin tablet 222 mg (H2SO4.7H2O) ktk 10 x 10 tablet371 Lamivudin tablet/kaplet/kapsu 100 mg Botol 30 tab372 Lamivudine tablet 150 mg Botol 60 tablet373 Lansoprazol inj 30 mg/ml Serbuk vial374 Lanzoprazol kapsul/kaplet 30 mg

375 Lapatinib tab 250 mg

376 botol 500 ml

377 Softbag 500 ML

378 Softbag 500 ML

379

380

361 botol @ 120 tablet

362

363

364

365

366

367 Dus, botol @ 60 ml368 Kuinin (Kina) tablet 200 mg ktk 60 tablet369 Kuinin injeksi i.v. 25% (sebagai 2 HCl) ktk 100 amp @ 2 ml370 Kuinin tablet 222 mg (H2SO4.7H2O) ktk 10 x 10 tablet371 Lamivudin tablet/kaplet/kapsu 100 mg Botol 30 tab372 Lamivudine tablet 150 mg Botol 60 tablet373 Lansoprazol inj 30 mg/ml Serbuk vial374 Lanzoprazol kapsul/kaplet 30 mg

Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg

Dus, foil strip @ 60 dosis

Kontrasepsi pil oral, kombinasi :* Levonorgestrel 150 mcg Etinilestradiol 30 mcg

Dus, 100 blister @ 28 tablet

Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimetoprim 80 mg

Dus, 10 Strip@10 Tablet

Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml

Dus, 2 strip @ 10 kapsulDus, 7 Blister @ 10 tablet

Larutan mengandung Asam Amino (Asam Amino 10%)Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 mEq)Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) 1000 ml

Double Chamber Softbag 1000 ML

Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) 500 ml

Double Chamber Softbag 500 ML

Kombinasi: Lopinavir 200 mg; Ritonavir (LPV/r) 50 mgKombinasi: Salmeterol 25 mcg; Flutikason propionat 50 mcg

Dus, Botol 120 Dosis

Kombinasi: Salmeterol 50 mcg; Flutikason propionat 100 mcg

Dus, foil strip @ 60 dosis

Kombinasi: Salmeterol 50 mcg; Flutikason propionat 250 mcg

Dus, foil strip @ 60 dosis

Kontrasepsi pil oral, kombinasi :* Levonorgestrel 150 mcg Etinilestradiol 30 mcg

Dus, 100 blister @ 28 tablet

Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg Trimetoprim 80 mg

Dus, 10 Strip@10 Tablet

Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5 ml

Dus, 2 strip @ 10 kapsul

375 Lapatinib tab 250 mg

376 botol 500 ml

377 Softbag 500 ML

378 Softbag 500 ML

379

380

381 botol 500 mL

382 Botol Gelas 100 ml

383 Botol Gelas 250 ml

384 Softbag 200 ML

385 Softbag 500 ML

386 Larutan mengandung Asam Amino (Asam amino 8%) Botol Gelas 500 ml

387 botol 250 ml

388 botol 500 ml

389 botol 500 mL

390 botol 250 mL

391

392

393

394

Dus, 7 Blister @ 10 tablet

Larutan mengandung Asam Amino (Asam Amino 10%)Larutan mengandung Asam Amino (Asam Amino 100 g, Total N 15,7 g, Na+ 2 mEq, Asetat 120 mEq)Larutan mengandung Asam Amino (Asam Amino 27 g, Sorbitol 50 g, Cl- 52 mEq)Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) 1000 ml

Double Chamber Softbag 1000 ML

Larutan mengandung Asam Amino (Asam Amino 30 g, Glukosa 7,3 % dan elektrolit) 500 ml

Double Chamber Softbag 500 ML

Larutan mengandung Asam Amino (Asam Amino 5% dengan BCAA 45%, L-Ornithine L Aspartate 8.03 gr/L, Sorbitol 50 gr/L, Xylitol 50 gr/L)Larutan mengandung Asam Amino (Asam Amino 6%, mengandung Taurine 0,24 gr/l)Larutan mengandung Asam Amino (Asam Amino 7%, Komposisi: Asam Amino esensial: Asam Amino non esensial = 60 : 40)Larutan mengandung Asam Amino (Asam Amino 72.05 g, Total N 11.53 g, AAE/AANE ratio 2.6, Na+ 2 mEq, Asetat 46 mEq)Larutan mengandung Asam Amino (Asam Amino 79.9 g, Total N 12.2 g, Na+ 14 mEq, Cl 94 mEq)

Larutan mengandung Asam Amino (Asam Amino esensial 7%+Xylitol 10 g/L)Larutan mengandung Asam Amino (BCAA 25 gr/L, L-Ornithine L Aspartate 10 gr/L, Xylitol 50 gr/L, Malic Acid 7 gr/L, Piridoxin 0.12 gr/L)Larutan mengandung Asam Amino (Kombinasi Asam aminno 50 g/L, Sorbitol 50 g/L, Xylitol 50 g/L, Asam Askorbat (Vit C) 0.4 g/L, Inositol 0.5 g/L, Nikotinamida (Niasinamida) 0.06 g/L, Piridoksin HCl (Vit B6) 0.04 g/L, Riboflavin Natrium Fosfat 2.5 mg/L, elektrolit)Larutan mengandung Asam Amino (Kombinasi Asam amino 50 g/L, vitamin dan elektrolit)Larutan mengandung Asam Amino (Kombinasi Asam Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit (Kalori = 1000 kkal, Akses peripheral))

Bag (3 Chamber) 1440 ml

Larutan mengandung Asam Amino (Kombinasi Asam Amino: 45gr, Glukosa: 130gr, Lipid: 68gr dan Elektrolit (Kalori = 1400 kkal, Akses peripheral))

Bag (3 Chamber) 1920 ml

Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 150 gr + Asam Amino 48 gr dgn akses sentral)

Bag Double chamber (Dua compartement), 1000 mL

Larutan mengandung Asam Amino (Kombinasi Glukosa dan elektrolit 80 gr + Asam Amino 40 gr )

Bag Double chamber (Dua compartement), 1000 mL

395 Ampoel 25 ML396 Botol 1000 ml

397

398

399 flexybag 250 mL

400

401 botol 500 mL

402 Flexy bag 500 mL

403

404

405 botol 500 mL

406

407

408 botol 500 mL

409 Botol 500 ml

410 Botol 500 ml

411 Botol 500 ml

412 Botol 500 ml

413 Botol 500 ml

414 softbag 500ml

415 Botol 500 ml

416

Larutan mengandung Elektrolit (Kalium Klorida)Larutan mengandung Elektrolit (Larutan Ringer Laktat)Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq)

Plastic Bottle 500 ML

Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)

Plastic Bottle 500 ML

Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L, elektrolit)Larutan mengandung Elektrolit (Tiap 1000 ml mengandung electrolit: Sodium 145 mmol/l, Potassium 4.0 mmol/l, Calcium 2.5 mmol/l, Magnesium 1.0 mmol/l, Chloride 118 mmol/l, Acetate 24 mmol/l, Malate 5.0 mmol/l)

LDPE (Low Density Poly Ethilene), botol plastik

Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 g/ L + elektrolit)Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)Larutan mengandung Karbohidrat (Maltose 100 gr)

Plastic Bottle 500 ML

Larutan mengandung Karbohidrat + Elektrolit (25.00g maltose, 3.00 g sodium chloride, 0.15 g potassium chloride, 0.10 g calcium chloride dihydrate dan 1.55 g sodium lactate)

Plastic Bottle 500 ML

Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, Sorbitol 50 gr/L)Larutan mengandung Karbohidrat + Elektrolit (Asam amino 28 gr/L, Glukosa 100 gr/L, elektrolit)

Botol Plastik 1000 mLLarutan mengandung Karbohidrat + Elektrolit

(Asam amino 28 gr/L, Glukosa 75 gr/L, elektrolit)

Botol Plastik 1000 mLLarutan mengandung Karbohidrat + Elektrolit

(Fructose 60 g, glucose 33 g, Xylitol 30 g/ L)Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g, KCl 1,3 g, Natrium Laktat 3,1 g, air untuk injeksi ad 1000 ml)Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium Chloride 9 g, air untuk injeksi ad 1000 ml)Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g)Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 g)Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 g)Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi infus per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ, Asetat 38mEQ, Sorbitol 50g)Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa 5%)Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Glukosa 100 gr)

Plastic Bottle 500 ML

417

418

419

420 Larutan mengandung Lipid (Emulsi lemak 20%) Botol Gelas 100 ml

421

422

423

424

425 Latanoprost tetes mata 0,01% strip 5 x 0.6 ml426 Latanoprost tts mata 0,005% btl@2,5ml dus, Botol @ 2,5 ml

427 Lenograstim inj 263 mcg/mL

428 Letrozol tablet/kaplet/kapsul 2,5 mg429 Leuprorelin asetat inj depot 1,88 mg Vial430 Leuprorelin asetat inj depot 11,25 mg Vial431 Leuprorelin asetat inj depot 3,75 mg Vial432 Levofloksasin inf 5 mg/mL

433 Levofloksasin tablet 500 mg

434 Levofloksasin tts mata 0,5% Btl @ 5 ml435 Levotiroksin tablet/kaplet/kapsul 100 mcg

436 Lidokain injeksi 2% (HCL)

437

438 Lidokain jeli 2%

439 Lidokain semprot 10%

Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr)

Plastic Bottle 500 ML

Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat 2.24 gr, KCL 0.75 gr Dekstrosa 27 gr)

Plastic Bottle 500 ML

Larutan mengandung Lipid ( Infus Lipid Emulsi MCT/LCT 20% 100 ml)

20%, Botol Kaca @100 ml, single bottle

Larutan mengandung Lipid (Infus Lipid Emulsi MCT/LCT 20% 250 ml)

20%, Botol Kaca @250 ml, single bottle

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 180 gr + Asam Amino 71.8 gr + Lipid 50 gr dgn akses sentral)

Bag, 3 chamber ( 3 kompartemen), 1250 ml

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 80 gr + Asam Amino 40 gr + Lipid MCT/LCT 50 gr)

Bag, 3 chamber ( 3 kompartemen), 1250 ml

Larutan mengandung Lipid (Kombinasi Glukosa dan elektrolit 90 gr + Asam Amino 35.9 gr + Lipid 25 gr dgn akses sentral)

Bag, 3 chamber ( 3 kompartemen), 625 ml

Dus, 1 vial @ 263 mcg + 1 prefilled syringe pelarut @ 1 mlDus, 3 blister @ 10 tablet

Box, 1 Botol @ 100 mlDus, 5 Strip@10 Tablet

Dus 4 blister @ 25 tabletDus, 100 ampul @ 2 ml

Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml

Dus, 30 ampul @ 2 mlDus, 10 syringe @ 10 gDus,Botol @ 50 ml (500 dosis)

440 Lisinopril tablet 10 mg

441 Lisinopril tablet 5 mg

442 Litium karbonat tablet 200 mg KOTAK @ 10 x 10 TAB

443 Litium karbonat tablet 400 mg KOTAK @ 10 x 10 TAB

444 Loperamid tablet 2 mg

445 Loratadin tablet 10 mg

446 Lorazepam tablet 0,5 mg KOTAK @ 10 x 10 TAB

447 Lorazepam tablet 2 mg KOTAK @ 10 x 10 TAB

448 Low molecule feri sucrose inj amp 100 mg/5 mL ampul

449 Manitol botol 500 ml

450 Maprotilin HCl tab 25 mg Strip

451 Maprotilin HCl tab 50 mg KOTAK @ 5 x 10 TAB

452 Dus @ 5 vial

453 Mebendazol tablet 500 mg

454

455 Melfalan tablet 2 mg456 Meropenem inj 1 g Dus, 1 vial @ 1 g457 Meropenem serb inj 500 mg/vial Dus, 1 vial @ 0,5 g458 Mesna inj 100 mg/mL Dus, 15 Ampul

459 Metadon sir 50mg/5ml Botol 1000 ml460 Metformin HCl tablet 500 mg

461 Metformin HCl tablet 850 mg

462 Metildopa tablet salut 250 mg

463

464 Metilergometrin Maleat injeksi 0,200 mg-1 ml ampul @ 1 ml

Box ,3 Strip @ 10 tablet

Box ,3 Strip @ 10 tablet

Dus, 10 Strip @ 10 TabletDus, 5 Strip@10 Tablet

MDP (methylene diphosphonate) 1 mg methylene diphosphonic acid/mL

Dus,24 Catch @ 1 tablet

Medroksi Progesteron Asetat tablet/kaplet/kapsul 100 mg

Dus, 10 blister @10 tabletBox, Tablet 2 mg/25's

Dus, 10 blister @ 10 tabletDus, 10 blister @ 10 kaptabDus, 10 Strip @ 10 tablet salut selaputMetilergometrin Maleat (Metilergometrin)

tablet salut 0,125 mgktk 10 x 10 tablet salut

465 Metilfenidat kapsul LA 20 mg

466 Metilfenidat tablet SR 10 mg467 Metilprednisolon inj 125 mg/2 mL468 Metilprednisolon inj 500 mg/8 mL

469 Metilprednisolon tablet 16 mg Strip

470 Metilprednisolon tablet 4 mg

471 Metilprednisolon tablet 8 mg

472 Metoklopramid drop botol 10 mL Dus, Botol 10 ml473 Metoklopramide sirup 5 mg/ 5 ml BOTOL 60 ML474 Metoklopramide tablet 10 mg Dus @ 10 X 10 's475 Metoklopramide tablet 5 mg ktk 10 x 10 tablet

476 Metotreksat serb inj 50 mg/2 mL vial @ 2 ml

477 Metotreksat serbuk injeksi i.v/i.m./i.t. 5 mg Box 10 ampul @ 1 ml

478 Metotreksat tablet/kaplet/kapsul 2,5 mg

479 Metronidazol infus 500 mg/100 ml

480 Metronidazol ovula 500 mg dus 1 's @ 5 ovula481 Metronidazol supositoria 500 mg

482 Metronidazol tablet 250 mg 10 strip @ 10 tab

483 Metronidazol tablet 500 mg 10 strip @ 10 tab

484 MIBG (meta-iodobenzylguanidine) vial

485 Dus @ 5 vial

486 Midazolam injeksi i.v. 1 mg/ml Boks 10 amp

487 Midazolam injeksi i.v. 5 mg/ml Boks 5 amp

488 Mikafungin Na serb inj 50 mg Dus,1 vial@50mg489 Mikofenolat Mofetil 500 mg Boks, 50 tablet490 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram491 10 mg /Vial492 Modified fluid gelatine BM 30 000 lar inf 4% Btl @ 500 ml

493 Moksifloksasin tetes mata 0,5%

494 Mometason furoat krim 0,1% tube 10 gram

495 Morfin HCL inj 10 mg/ml Dus 10 amp @ 1 ml

Dus, botol plastik @ 30 kapsul pelepasan lambatDus, 2 blister @ 15 tabletDus, 1 vial @ 125 mgDus, 1 vial @ 500 mg

Dus, 10 Blister @ 10 TabletDus, 10 Blister @ 10 tablet

Box, bottle @ 50 tabDus, 1 Botol @ 100 ml

Dus, 2 blister @ 5 suppositoria

MIBI (metoxy iso butyl iso nitril) 5-mL reaction vial

Mitomisin C (crystallin) serbuk inj 10 mg/vial

botol, tetes mata 3 ml

496 Morfin HCL tablet SR 10 mg

497 Morfin HCL tablet SR 15 mg

498 Morfin tablet 10 mg Botol 30 tablet499 N-asetil sistein inj. nebules 100 mg Box @ 5 ampul500 Nacl 0,9% Botol 500 ml

501 Nadroparin inj 9500 Axa/mL syringe 0,3 mL

502 Nadroparin inj 9500 Axa/mL, syringe 0,4 mL

503 Nadroparin inj 9500 Axa/mL, syringe 0,6 mL

504 Nalokson injeksi 0,4 mg/ml Dus, 5 Ampul @ 2ml505 Natrium Bikarbonat injeksi i.v 8,4% Ampoel 25 ML506 Natrium Diklofenak tablet 50 mg Dus @ 5 X 10 's507 Natrium Diklofenak tablet 25 mg Dus @ 5 X 10 's508 Natrium fosfat lar oral 45 mL Botol, 45 ml

509 Natrium fusidat salep 20 mg/g Tube 5 gr510 Neostigmin injeksi 0,5 mg/ml511 Nevirapin tablet 200 mg btl 60 tablet

512 Nifedipin tab 20 mg, slow release; oros blister

513 Nifedipin tab 30 mg, oros blister

514 Nifedipin tablet/kapsul 10 mg

515

516 Nistatin tablet salut 500.000 IU/ g Dus @ 10 X 10 's517 Nistatin vaginal tablet 100.000 IU/ g Dus @ 10 X 10 's518 Norepinefrin injeksi 1 mg/ml ampul519 Noretisteron tablet 5 mg blister520 Obat Antituberkulosis FDC Kategori 1 Paket521 Obat Antituberkulosis FDC Kategori 2 Paket522 Obat Antituberkulosis FDC Kategori Anak Paket523 Obat Antituberkulosis FDC Sisipan Paket@84 tablet

524 Obat Antituberkulosis Kategori 1 dewasa

Dus, 6 strip @ 10 tabletDus, 6 strip @ 10 tablet

Dus, 5 blister @ 2 pfs 0.3 mlDus, 5 blister @ 2 pfs 0.4 mlDus, 5 blister @ 2 pfs 0.6 ml

Box, isi 5 ampul @ 1 ml

Dus, 10 Strip @ 10 tablet salut selaputNilotinib kapsul 200 mg (Skema Risk Sharing

sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)

Dus, 2 blister @ 14 kapsul

Dus, 1 dus @ 60 blister @ 8 tablet tahap intensif kategori 1 + 1 Dus @ 54 blister @ 3 tablet tahap lanjutan kategori 1

525 Obat Antituberkulosis Kategori anak

526 Octreotide Acetate0,05 - 6 mg/mL Box @ 5 ampul

527 Ofloksasin tets telinga 3% Btl @ 5 ml

528 Ofloxacin tablet 200 mg

529 Ofloxacin tablet 400 mg

530 Oksaliplatin serbuk injeksi 100 mg / vial Dus, 1 vial @ 20 ml531 Oksaliplatin serbuk injeksi 50 mg / vial Dus, 1 vial @ 10 ml532 Oksimetazolin tetes hidung 0,025% botol @ 10 ml533 Oksitosin injeksi 10 IU/ml ampul @ 1 ml

534 Oktreotid 10 mg

535 Olanzapin inj 10 mg/vial Vial536 Olanzapin kapl salut 5 mg 3 X 10 fcc537 Olanzapin tab 10 mg 3 X 10 fcc538 Olopatadin tts mata 0,1%

539 Omeprazol injeksi 40 mg/ 10 ml Dus, 1 Vial @ 40 mg540 Omeprazol kapsul/kaplet 20 mg dus 10 X 3'S541 ondansetron inj 4 mg/ 2 mL Dus, 5 Ampul @ 2ml

542 Ondansetron tab 4 mg Box 3 X 10 Tab

543 Ondansetron tablet 8 mg Box 3 X 10 Tab

544

545 Set

Dus, 60 sachet tahap intensif @ (1 tablet Isoniazid, 2 kapsul Rifampicin, 2 tablet Pyrazinamide) + 120 sachet tahap lanjutan @ (1 tablet Isoniazid, 2 kapsul Rifampicin)

Box ,5 Strip @ 10 tablet

Box ,5 Strip @ 10 tablet

Dus, vial @ 355m + 1 prefilled syringe pelarut @ 2,5 ml + 2 jarum suntik

botol, tetes mata 5 ml

Paket CAPD Awal (Komposisi: 1 unit Transfer Set, 2 unit Ultaclam, 1 unit Tenckoff Catheter, Titanium Adaptor)

Transfer Set: Set; Ultaclam: Kantong Plastik; Tenckoff Catheter: Box; Titanium Adaptor: Kantong PlastikPaket CAPD Pergantian Transfer Set per 6

bulan

546

547 Paklitaksel inj 100 mg/vial

548 Paklitaksel inj 300 mg/vial

549 Paklitaksel injeksi 30 mg/vial

550 Dus, 15 botol

551 Parasetamol sirup 120 mg / 5 ml botol 60 ml552 Parasetamol tablet 500 mg553 Parasetamol tetes 60 mg/0,6 mL botol @ 15 ml

554 Boks, 1 pfs

555 Boks, 1 pfs

556 Pegylated Interferon alfa-2b serb inj 100 mcg

557 Pegylated Interferon alfa-2b serb inj 120 mcg

558 Pegylated Interferon alfa-2b serb inj 50 mcg

559 Pegylated Interferon alfa-2b serb inj 80 mcg

560 Perak sulfadiazin krim 1% tube @ 35 gram

561 Perindoprilarginin tab 5 mg

Paket CAPD Rutin 120 ( 4x ganti cairan perhari dengan komposisi Larutan Dialisa 1.5 %, Larutan Dialisa 2.5 %, Larutan Dialisa 4.25 %, Minicap)

Larutan Dialisa 1.5 %: 2.000 ml; Larutan Dialisa 2.5 %: 2.000 ml; Larutan Dialisa 4.25 %: 2.000 ml; Minicap: Kantong Plastik

Vial 6mg/ml (100mg/16.67ml)Vial 6mg/ml (260mg/43.33ml)Vial 6mg/ml (30mg/5ml)

Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml)

Dus, 10 Strip@10 Kaplet Salut Selaput

Pegylated interferon alfa-2a inj 135 mcg/0,5 mlPegylated interferon alfa-2a inj 180 mcg/0,5 ml

Dus, 1 vial 100 mcg + 1 ampul pelarut 0,7 ml + 1 syringe + 2 jarumDus, 1 prefilled syringe (serbuk injeksi 120mcg + pelarut 0.5 ml) + 1 jarumDus, 1 vial 50 mcg + 1 ampul pelarut 0,7 ml + 1 syringe + 2 jarumDus, 1 vial 80 mcg + 1 ampul pelarut 0,7 ml + 1 syringe + 2 jarum

Dus, botol plastik @ 30 tablet salut selaput

562 Permetrin krim 5% Tube @ 10 g

563 Ktk 10 ampx2ml

564 Pioglitazon tab 15 mg565 Pioglitazon tab 30 mg 30 TAB/BOX566 Pirantel suspensi 125 mg/5 ml Botol 60 ml567 Pirantel tablet score (base) 125 mg

568 Pirazinamid tablet 500 mg

569 Piridoksin (vitamin B6) inj 100 mg/mL Ampul 1 ml570 Polikresulen cairan Dus, Botol @ 10ml571 Povidon Iodida larutan 10% 1000 ml botol @ 1000 ml572 Povidon Iodida larutan 10% 30 ml botol @ 30 ml573 Povidon Iodida larutan 10% 300 ml botol @ 300 ml574 Povidon Iodida larutan 10% 60 ml btl 60 ml

575 Pramipeksol tab ER 0,375 mg

576 Pramipeksol tab ER 0,750 mg

577 Pravastatin tablet 20 mg

578 Prednison tablet/kapsul/kaplet 5 mg

579 Probenesid tablet/kapsul/kaplet 500 mg

580 Vial @ 3 juta IU

581 Propanolol tablet 10 mg ( HCl )

582 Propiltiourasil tablet/kapsul/kaplet 100 mg Botol @ 100 Tablet583 Propofol injeksi i.v., bolus 1% Ampul

584 Propranolol tablet 40 mg (HCl)

585 Quetiapin tab 200 mg

586 Quetiapin tab 300 mg

587 Quetiapin tab 400 mg

588 Ramipril tablet 2,5 mg

589 Ramipril tablet 5 mg

590 Ramipril tablet/kaplet/kapsul 10 mg

Petidin injeksi i.m/s.k/i.v lambat 50 mg/ml (HCl) dus 2 blister@ 7

Tablet

Dus, 25 Blister @ 4 tabletDus 10 strip @ 10 tablet

Dus, 3 alu blister @ 10 tabletDus, 3 alu blister @ 10 tabletBox ,5 Strip @ 10 tabletDus, 10 strip @ 10 tabletDus, 10 strip @ 10 tablet

Prokain Benzilpenisilin serbuk injeksi 3 juta IU/vial

Dus, 10 Strip @ 10 tablet

Dus, 10 strip @ 10 tabletDus, 1 blister @ 10 tabletDus, 1 blister @ 10 tabletDus, 1 blister @ 10 tabletDus, 6 blister @ 10 tabletDus, 10 Strip @ 10 kaptabDus, 10 strip @ 10 tablet

591 Ranitidin injeksi 25 mg/ml

592 Ranitidin tablet 150 mg

593 Retinol (Vitamin A) 100.000 IU594 Retinol (Vitamin A) 200.000 IU kapsul lunak Botol 50 Kapsul

595 Rifampisin tablet/kapsul/kaplet 600 mg

596 Rifampisin tablet salut 450 mg597 Ringer Laktat larutan infus botol 500 ml598 Risperidon tablet 1 mg

599 Risperidon tablet 2 mg KOTAK @ 5 x 10 TAB

600 Risperidon tablet 3 mg

601 Dus, 1 vial @ 10 ml

602 Rivaroksaban tab 10 mg Blister603 Rivaroksaban tab 15 mg Blister604 Rivaroksaban tab 20 mg Blister605 Ropinirol Tablet Salut 2 mg

606 Ropinirol Tablet Salut 4 mg

607 Ropinirol Tablet Salut 8 mg

608 Salbutamol cairan ih 0,1%

609 Salbutamol inhalasi/aerosol 100 mcg/dosis

610 Salbutamol serb inh 200 mcg/kaps

611 Salbutamol serb inh 200 mcg/kaps + rotahaler Dus, 1 Rotahaler

612 Salbutamol tablet 2 mg (sebagai Sulfat) strip @ 10 tablet613 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet

614 Pot @ 30 gram615 Sefadroksil sirup kering 125 mg/5ml Dus, Botol 60 ml

616 Sefadroksil kapsul/kaplet 250 mg strip

617 Sefadroksil kapsul/kaplet 500 mg

618 Sefadroksil sir kering 250 mg/5 mL Dus, Botol 60 ml

619 Sefaleksin kapsul/kaplet 500 mg

Dus, 10 Ampul @ 2 mlDus, 10 Strip @ 10 tablet salut selaputBotol 50 kapsul lunak

Dus, 10 Strip @ 10 KapletDus, 10 Strip @ 10 Kapsul

Dus, 5 Blister @ 10 tablet

Dus, 5 Blister @ 10 tablet

Rituksimab injeksi 10 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)

Dus, 7 blister @ 4 Tablet lepas LambatDus, 7 blister @ 4 Tablet lepas LambatDus, 7 blister @ 4 Tablet lepas LambatDus, 4x5 Botol [email protected] mlDus, botol 200 dosisDus, 10 Blister @ 10 Kapsul

Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4%

Dus, 10 strip @ 10 kapsul

Dus, 5 Strip @ 10 Kapsul

620 Sefazolin serbuk injeksi 1 g/vial621 Sefepim inj 1 g Box 2 Vial @ 1000mg

622 Sefiksim kapsul/kaplet 100 mg

623 Sefiksim sirup kering 100 mg/ 5 ml Dus, Botol 30 ml

624 Sefoperazon inj 1 g Dus, 2 vial @ 1 g625 Sefotaksim injeksi 0,5 g vial

626 Sefotaksim injeksi 1 g Dus, 10 Vial @ 1 g

627 Sefpodoksim proksetil tab 100 mg

628 Seftazidim injeksi 1 g Dus, 2 vial @ 1 g

629 Seftriakson serbuk injeksi 1 g/vial Dus, 10 Vial @ 1 g

630 Sefuroksim tablet/kapsul/kaplet 250 mg

631 Sefuroksim tab 500 mg

632 Sertralin tab 50 mg strip @ 10 tab633 Setirizin sirup 5 mg/5 ml Botol @ 60 ml634 Setirizin tablet 10 mg

635 Dus, 1 vial @ 20 ml

636 Sevofluran ih, btl tabung/botol637 Sianokobalamin (vitamin B12) injeksi 500 mcg 100 ampul @ 1 ml638

639 Siklofosfamid serbuk injeksi i.v. 1000 mg vial

640 Siklofosfamid serbuk injeksi i.v. 200 mg vial

641 Siklofosfamid serbuk injeksi i.v. 500 mg Vial

642 Siklosporin kaps 100 mg

643 Siklosporin kapsul lunak 25 mg644 Silostazol tablet/kapsul/kaplet 100 mg strip645 Simvastatin scored tablet 10 mg

Dus, 2 Vial @ 1 gram

Dus, 10 blister @ 10 kapsul

Dus, 3 blister @ 10 tablet

Dus, 1 Blister @ 10 Tablet salut selaputDus, 1 Blister @ 10 Tablet salut selaput

Box, 10 strips @ 10 capsules

Setuksimab infus 5 mg/ml (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)

Sianokobalamin (vitamin B12) tablet/kapsul/kaplet 50 mcg

Dus, 10 Strip @ 10 tablet

Dus, 10 blister @ 5 kapsul lunakDus, 10 blister @ 5 kapsul lunakDus, 3 Strip @ 10 Kaplet salut selaput

646 Simvastatin tablet 20 mg

647 Siprofloksasin infus 2%

648 Siprofloksasin tablet 500 mg (sebagai HCl)649 Sisplatin serbuk injeksi 10 mg vial650 Sisplatin serbuk injeksi 50 mg vial651 dus, 1 vial @ 10 ml

652 Spiramisin tablet 500 mg

653 Spironolakton tablet 100 mg

654 Spironolakton tablet 25 mg

655 Stavudin tablet/kapsul/kaplet 30 mg Botol @ 60 tablet656 Streptokinase injeksi 1,5 juta UI/vial Vial657 Streptomisin serbuk injeksi i.v 1000 mg/ml Dus @ 56 Vial

658 Sufentanil injeksi iv, epidural 5 mcg/ml dus 5 amp @ dus 10

659 Sukralfat susp 500 mg/5 mL Botol, 100 ml660 Sukralfat tab 500 mg

661 Takrolimus kaps 0.5 mg

662 Takrolimus kaps 1 mg

663 Tamsulosin tab 0,2 mg

664 Tamsulosin tab 0,2 mg

665 Tamsulosin tab SR 0,4 mg

666 Telbivudin tab 600 mg

667 Telmisartan tab 40mg

668 Telmisartan tab 80 mg

669 Temozolamid kaps 100 mg

670 Temozolamid kaps 20 mg

671 Tenofovir tab 300 mg Botol 30 tab672 Teofilin tab SR 300 mg

673 Teofilin tablet 150 mg strip674 Terazosin HCl tablet/kapsul/kaplet 1 mg

Dus, 3 Strip @ 10 Kaplet salut selaputDus, 1 Botol @ 100 mLDus, 10 blister @ 10 tab ss

Sitarabin serbuk injeksi i.m./i.v./s.k. 1gr/10ml Dus, 5 strip @ 10

tabletDus, 10 Strip @ 10 tabletDus, 10 Strip @ 10 tablet

DUS, 10 STRIP @ 10 TABPounch @ 5 blister @ 10 capsuleDus, 1 pouch @5 blister@10 kapsBox @ 2 blister @ 14 tabletBox/ 2 blister @ 14 tabletBox/ 3 blister @ 10 TabletDus, 2 blister @ 14 tabletDus, 2 alu-blister @10 tabletBox, 2 blisters @10 tabletsDus, 5 sachet @ 1 kapsulDus, 5 sachet @ 1 kapsul

Dus 10-s @ 10 Kaptab

DUS, 10 BLISTER @ 10 TAB

675 Terazosin HCl tablet/kapsul/kaplet 2 mg

676 Terbutalin cairan ih 2,5 mg/mL

677 Terbutalin tablet 2,5 mg Box 50's

678 Terbutalin turbu (serbuk ih) 0,50 mg

679 Testoteron soft capsul 40 mg

680 Tetrakain HCl tetes mata 0,5% botol 5 ml

681 Tetrasiklin kapsul/kaplet 250 mg

682 Tetrasiklin tablet/kapsul/kaplet 500 mg

683 Tiamazol tab 10 mg

684 Tiamazol tab 5 mg

685 Timolol tetes mata 0,25%

686 Timolol tetes mata 0,5%

687 Tiotropium 18 mcg refill

688 Tiotropium kaps 18 mcg + handihaller

689 Tramadol injeksi 50 mg/ml

690

691 Travoprost tetes mata 0,004%

692 Triamsinolon asetonid nasal spray 55 mcg/puff

693 Trifluoperazin tablet 5 mg strip694 Tropikamid tetes mata 1% Botol 5ml

695 Urea krim 10% tube

696

697

698

DUS, 10 BLISTER @ 10 TABDus, 2 pak @ 5 respules

Dus, 1 Turbuhaler @ 200 dosisDus, 6 blister @ 10 kapsul lunak

Dus, 10 strip @ 10 kapsulDUS,10 STRIP @ 10 KAPSULDus, 10 blister @ 10 tabletDus, 10 blister @ 10 tabletDus, Botol Plastik @ 5mlDus, Botol Plastik @ 5mlBox, 3 blisters @10 capsulesDus, 1 blister @10 kapsul + handihalerDus, 10 Ampul @ 2 ml

Trastuzumab serbuk injeksi 440 mg/vial (Skema Risk Sharing sesuai Kepmenkes RI Nomor HK.02.02/Menkes/223/2014)

Dus, 1 vial @ 440 mg + 1 vial pelarut @ 20 mlbotol, tetes mata 2,5 mlDus, botol plastik 120 dosis

Vaksin polio inj (Vaksin Poliomyelitis yang diinaktifkan)

1 vial of 10ml (10 d's)

Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster

Dus, 1 vial serbuk + 1 ampul @ 1 ml pelarut + 1 syringe & jarum suntik

Vaksin rabies, untuk manusia serbuk injeksi s.k./i.k. + booster

Dus, 1 vial@ 1dosis + 1 Syringe @ 0,5 ml NaCl 4%

699 Valgansiklovir tab 450 mg Boks, 60 tablet

700 Valproat sirup 250 mg/5 ml Botol 120 ml701 Valproat tab SR 250 mg Tablet

702 Valproat tab SR 500 mg Tablet

703 Valproat tablet salut 250 mg Tablet salut 250 mg

704 Valsartan tab 80 mg

705 Valsartan tab 160 mg

706 Vankomisin serbuk injeksi 500 mg/vial Box @ 2 vial707 Verapamil tab 240 mg Tablet708 Verapamil tablet 80 mg (HCl) Ktk 10X10 TAB709 Vinblastin serbuk injeksi 10 mg Vial 10mg/10ml710 Vinkristin serb inj i.v 2 mg/vial vial @ 2 ml711 Vinkristin serbuk injeksi i.v. 1 mg vial @ 1 ml712 Vinorelbin inj. 10 mg/ml Dus, 1 vial @ 1 ml

713 Vitamin B Kompleks tablet714 Zidofudin 100 mg Botol 60 Kapsul715 Zidovudin 300 mg + Lamivudine 150 mg Botol 60 tablet

716 Zinc drop 10 mg/mL717 Zinc sir 20 mg/5 Ml Dus, botol 60 ml

718 Zinc tablet dispersible20 mg

DUS, 3 ALU-ALU STRIP @ 10 tablet salut selaput.DUS, 3 ALU-ALU STRIP @ 10 tablet salut selaput.

Dus 10 strip x 10 tab

Drops 10 mg/ml, Botol @15 ml

Dus, 10 strip @ 10 tablet dispersible

FORMAT e-catalog FORNAS 2015

Kebutuhan Jumlah Nama Penyedia

1,375 -

27,500 -

7,500 - 990 -

780 -

3,849 -

338 -

750,000 -

345,000 -

1,515,000 -

321,552 -

732,727 -

900,000 -

283,000 -

86 -

200 -

380 -

176 - 233 -

3,800,000 -

18,500 -

50,500 -

3,822 -

Harga Satuan Terkecil (Rp)

PT. Kimia Farma

PT. SmithKline Beecham Phamaceuticals

PT. Widatra BhaktiPT. Dexa Medica

PT. Dexa Medica

PT. Indofarma

PT. Holi Pharma

PT. Ikapharmindo

PT. Ikapharmindo

PT. Ferron Par Pharmaceuticals

PT. Dipa Pharmalab

PT. Dipa Pharmalab

PT. Dipa Pharmalab

PT. Dipa Pharmalab

PT. Pertiwi Agung

PT. Bernofarm

PT. Dexa Medica

PT. Otto PharmaceuticalsPT. Kimia Farma

PT. Boehringer Ingelheim

PT. Cendo Industri Farmasi

PT. Sanbe Farma

PT. Lucas Djaja

80 - 80 - 12,480 - 1,200 - 112 -

330 -

187 - 211 -

261 - 4,045 - 2,445 - 5,100 -

85,000 -

106,000 -

97,500 -

85,345 -

200,000 -

79,165 -

79,167 -

32,000 -

72 -

2,140 -

2,516 -

518 -

PT. ErelaPT. ErelaPT. Aventis PharmaPT. Darya VariaPT. Indofarma

PT. Pertiwi Agung

PT. Pertiwi AgungPT. NovapharinPT. Mersifarma Tirmaku Mercusana

PT. Holi PharmaPT. NovapharinPT. Bernofarm

PT. Aventis Pharma

PT. Ferron Par Pharmaceuticals

PT. Bayer Indonesia

PT. Ferron Par Pharmaceuticals

PT. Ferron Par Pharmaceuticals

PT. Aventis Pharma

PT. Bayer Indonesia

PT. AstraZeneca indonesia

PT. Erela

PT. Lucas Djaja

PT. Indofarma

PT. Kimia Farma

135 - 1,500 -

22,000 - 116 - 148 - 159 - 95 -

84 - 48 -

2,209,000 -

112 -

1,815 -

2,950 -

900,000 - 24,750 -

237 -

336 - 1,039,500 - 190 -

700 - 20,000 -

1,300 -

74 -

13,500 -

13,500 -

34,400 -

4,500 - 3,333 -

1,250 - 9,800 -

13,400 -

PT. Kimia FarmaPT. Meprofarm

PT. Kimia FarmaPT. Phapros, TbkPT. Mersifarma Tirmaku Mercusana

PT. Kimia FarmaPT. Kimia Farma

PT. Dexa MedicaPT. Marin Liza FarmasiPT. Boehringer Ingelheim

PT. Bernofarm

PT. Sanbe Farma

PT. Bernofarm

PT. Novartis IndonesiaPT. Sanbe FarmaPT. Indofarma

PT. Sampharindo Perdana

PT. Widatra BhaktiPT. Zenith Pharmaceuticals

PT Kalbe FarmaPT. Glaxo Wellcome Indonesia

PT. Ethica Industri Farmasi

PT. Indofarma

PT. Cendo Industri Farmasi

PT. Cendo Industri Farmasi

PT. Soho Industri Pharmasi

PT. Kimia FarmaPT. Soho Industri Pharmasi

PT. Rama Emerald Multi SuksesPT. Phapros, TbkPT. Phapros, Tbk

3,200,000 - 3,600 -

1,520 - 25,106 -

4,803,697 -

72,400 -

45,000 -

6,045 - 4,990 -

746 - 645 - 304,000 - 247,089 -

93,000 -

106,000 -

8,900 -

117,600 -

110,500 - 25,600 - 30,800 - 12,936 -

12,936 - 305,000 -

275,000 -

76,000 -

150,000 -

2,600,000 -

25,300 -

112,000 -

PT. Abbott IndonesiaPT. Combiphar

PT. Kimia FarmaPT. Sanbe Farma

PT. Boehringer Ingelheim

PT. AstraZeneca indonesia

PT. AstraZeneca indonesia

PT. Sanbe FarmaPT. Boehringer Ingelheim

PT. Merck TbkPT. Pratapa NirmalaPT Kalbe FarmaPT. CaprifarmindoPT. AstraZeneca indonesia

PT Otsuka Indonesia

PT. AstraZeneca indonesia

PT. AstraZeneca indonesia

PT. AstraZeneca indonesia

PT. Dexa MedicaPT. Pratapa NirmalaPT. Boehringer Ingelheim

PT. Boehringer Ingelheim

PT. Tempo Scan Pacific

PT. Novell Pharmaeutical Laboratories

PT. Novartis Indonesia

PT. Novartis Indonesia

PT. Sydna Farma

PT. Sydna Farma

PT. Novartis Indonesia

1,580 -

62 -

70,000 -

9,983 -

5,700 -

11,525 -

16,748 - 45 - 1,054 - 22,000 -

97 -

134 -

127,667 -

46,667 -

3,667 -

4,015 -

104 - 37,500 -

124,955 - 26,700 -

3,480 -

5,480 -

270 -

56,250 -

279,000 - 3,333 - 167 - 15,600 - 9,800 -

PT. Indofarma

PT. Promedrahardjo Farmasi Industri

PT. Merck Sharp Dohme Pharma Tbk

PT. Dexa Medica

PT. Ifars Pharmaceutical Laboratories

PT. Actavis Indonesia

PT. Actavis IndonesiaPT. Kimia FarmaPT. Lucas DjajaPT. Pratapa NirmalaPT. Yarindo Farmatama

PT. Indofarma

PT. Tanabe Indonesia

PT. Pratapa Nirmala

PT. Tanabe Indonesia

PT. Tanabe Indonesia

PT. Kimia FarmaPT. Cendo Industri Farmasi

PT. Bayer IndonesiaPT. Dipa Pharmalab

PT. Pfizer Indonesia

PT. Pfizer Indonesia

PT. Yarindo Farmatama

PT. Actavis Indonesia

PT. CombipharPT. NovapharinPT. NovapharinPT. BernofarmPT. Kimia Farma

970,200 -

455,000 -

7,100 -

6,375 - 12,990 - 42,600 -

40,740 -

71,875 -

100,000 -

8,100 - 550,000 - 128,000 - 650 -

8,000 - 497 -

930 -

7,700 -

275,000 -

133,875 -

128,000 -

139,500 - 314 -

451 - 2,500 - 1,360 -

128,779 -

100,000 - 16,667 - 11,813 -

PT. Sanbe Farma

PT. Kimia Farma

PT. SmithKline Beecham Phamaceuticals

PT. Kimia FarmaPT. BernofarmPT. Pfizer Indonesia

PT. Aventis Pharma

PT. Aventis Pharma

PT. Aventis Pharma

PT. Phapros, TbkPT Kalbe FarmaPT. Sanbe FarmaPT. Gracia Pharmindo

PT. Gracia PharmindoPT. Kimia FarmaPT. Indofarma

PT. Phyto Kemo Agung Farma

PT Kalbe Farma

PT. Soho Industri Pharmasi

PT Kalbe Farma

PT. Boehringer IngelheimPT. Kimia FarmaPT. Indofarma

PT. NovapharinPT. Merck Sharp Dohme Pharma Tbk

PT. Merck Sharp Dohme Pharma Tbk

PT. CombipharPT. Kimia FarmaPT. Novartis Indonesia

23,250 -

4,400,000 -

9,200,000 -

1,133,000 - 990,000 -

2,150,000 -

20,250 - 133 - 20,250 -

1,800 - 1,075 -

1,375 - 290 - 235 - 510 -

72,900 -

117,500 - 128,000 - 33,914 - 80,000 -

153,000 -

285,000 - 380,000 -

2,950 -

634 - 3,417 - 1,248,319 - 275,000 -

55,000 -

PT. Novartis Indonesia

PT. Graha Farma

PT. Ferron Par Pharmaceuticals

PT. Kimia FarmaPT. Kimia Farma

PT. Dipa Pharmalab

PT. Mersifarma Tirmaku Mercusana

PT. IkapharmindoPT. Mersifarma Tirmaku Mercusana

PT. Phapros, TbkPT. Hexpharm Jaya Laboratories

PT. Hexpharm Jaya LaboratoriesPT. Phapros, TbkPT. Actavis IndonesiaPT. Phapros, TbkPT. Boehringer Ingelheim

PT. Boehringer Ingelheim

PT. Kimia FarmaPT. Kimia FarmaPT. Kimia Farma

PT. Kimia Farma

PT. Kimia FarmaPT. Sandoz IndonesiaPT. Combiphar

PT. Marin Liza Farmasi

PT. Phapros, TbkPT. Aventis PharmaPT. Aventis Pharma

PT. Mersifarma Tirmaku Mercusana

38,000 -

4,862 - 22,000 - 419 - 432 - 30,493 - 24,500 - 34,500 -

2,400 -

93,333 -

12,917 -

241,667 - 972,000 -

1,829 -

75 - 275,000 - 412,500 - 2,570,000 -

399,500 -

288 -

295,000 -

289 -

679 -

1,098,900 - 330,000 - 3,399 -

2,600 -

3,194 -

56 - 243 -

PT. Novell Pharmaeutical Laboratories

PT. Pfizer IndonesiaPT. Kimia FarmaPT. Gracia PharmindoPT. Dexa MedicaPT. Sanbe FarmaPT Kalbe FarmaPT Kalbe Farma

PT. Ifars Pharmaceutical Laboratories

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Dipa PharmalabPT. Indofarma

PT. Sampharindo Perdana

PT. Bayer IndonesiaPT. Bayer IndonesiaPT. Bayer Indonesia

PT. Boehringer Ingelheim

PT. Phapros, Tbk

PT. AstraZeneca indonesia

PT. Indofarma

PT. Indofarma

PT. Bayer IndonesiaPT. Sanbe FarmaPT. IndofarmaPT. Erela

PT. Indofarma

PT. Indofarma

PT. Tempo Scan Pacific

638 -

5,500 -

950 - 265 - 436 - 404 - 430 -

3,207 -

3,000 - 1,493 - 2,171 - 1,500 - 5,333 - 5,700 - 5,200 - 2,300,000 -

840,000 -

219 -

83,333 -

6,250 -

59 -

96 -

69 -

126 -

16,500 - 641,500 - 42,900 - 1,328,000 -

2,570 - 2,798 - 5,400 -

4,500 -

PT. Pradja Pharin

PT. Darya Varia

PT. Dexa Medica

PT. Kimia FarmaPT. Kimia FarmaPT. Kimia FarmaPT. Kimia FarmaPT. Pfizer Indonesia

PT. Pfizer Indonesia

PT. Kimia FarmaPT. Kimia FarmaPT. Actavis IndonesiaPT. Lucas DjajaPT. Widatra BhaktiPT. Widatra BhaktiPT. AstraZeneca indonesia

PT. AstraZeneca indonesia

PT. Indofarma

PT. Soho Industri Pharmasi

PT. Mersifarma Tirmaku Mercusana

PT. Indofarma

PT. Indofarma

PT. Indofarma

PT. Mersifarma Tirmaku Mercusana

PT. Mersifarma Tirmaku Mercusana

PT. Dexa MedicaPT. Pratapa NirmalaPT. Dipa Pharmalab

PT. Marin Liza FarmasiPT. Kimia FarmaPT. Dipa Pharmalab

PT. Otto Pharmaceuticals

18,000 -

138,000 -

138,000 -

72,000 -

76,125 -

75,000 -

76,125 -

76,125 -

76,125 -

138,000 -

138,000 -

76,125 -

76,125 -

75,000 -

138,000 -

138,000 -

72,000 -

170,000 - 3,499 - 4,499 - 110 -

149 -

1,329,163 -

PT. Cendo Industri Farmasi

PT. Ferron Par Pharmaceuticals

PT. Bayer Indonesia

PT. Aventis Pharma

PT. Ferron Par Pharmaceuticals

PT. Sanbe Farma

PT. Bayer Indonesia

PT. Ferron Par Pharmaceuticals

PT. Bayer Indonesia

PT. Ferron Par Pharmaceuticals

PT. Bayer Indonesia

PT. Ferron Par Pharmaceuticals

PT. Bayer Indonesia

PT. Sanbe Farma

PT. Ferron Par Pharmaceuticals

PT. Bayer Indonesia

PT. Aventis Pharma

PT. Dexa MedicaPT. IndofarmaPT. IndofarmaPT. Yarindo Farmatama

PT. Holi Pharma

PT. Mugi Laboratories

211,000 -

3,908 - 2,120 -

350,000 -

122,000 -

166,000 -

369,000 -

147,000 -

199,000 -

245,000 -

123,200 -

299,000 -

150,300 -

80,000 -

90,000 -

1,425 -

2,470 - 510,000 - 270,000 -

65 -

158 - 33,000 - 88 -

189 -

695 - 1,580 - 82,000 -

7,800 -

PT. Novartis Indonesia

PT. Tanabe IndonesiaPT. Tanabe IndonesiaPT. Dipa Pharmalab

PT. Dipa Pharmalab

PT. Dipa Pharmalab

PT. Dipa Pharmalab

PT. Dipa Pharmalab

PT. Dipa Pharmalab

PT. Bayer Indonesia

PT. Bayer Indonesia

PT. Bayer Indonesia

PT. Bayer Indonesia

PT. Boehringer Ingelheim

PT. Boehringer Ingelheim

PT. Indofarma

PT. Indofarma

PT. Sanbe FarmaPT. Pratapa Nirmala

PT. Phyto Kemo Agung Farma

PT. Phyto Kemo Agung Farma

PT. Pratapa NirmalaPT. Indofarma

PT. Kimia Farma

PT. Tempo Scan PacificPT. Merck Tbk

PT. Tempo Scan PacificPT. Ethica Industri Farmasi

70 -

7,700 -

4,900 -

4,900 -

3,100 -

27,500 -

140 -

84 -

62 -

44,770 -

245 -

875 -

2,042 -

172,000 -

408,000 - 1,360 -

110,000 -

60,300 -

2,850 -

4,700 -

2,569 - 28,000 - 300 -

2,722 - 2,300 -

3,200 -

PT. Afifarma

PT. Novell Pharmaeutical Laboratories

PT. Hexpharm Jaya Laboratories

PT. Dexa Medica

PT. Dexa Medica

PT. Boehringer Ingelheim

PT. Indofarma

PT. Errita Pharma

PT. Indofarma

PT. Novartis Indonesia

PT. Indofarma

PT. Nicholas Laboratories Indonesia

PT. Lucas Djaja

PT. Tempo Scan Pacific

PT. Tempo Scan Pacific

PT Kalbe FarmaPT. Guardian Pharmatama

PT. Combiphar

PT. Hexpharm Jaya Laboratories

PT. Novell Pharmaeutical Laboratories

PT. Kimia FarmaPT. IkapharmindoPT. Dexa Medica

PT. Kimia FarmaPT. Phapros, Tbk

PT. Ifars Pharmaceutical Laboratories

361 -

553 -

900 -

30,600 - 184 -

3,400 - 1,600 - 7,260 -

3,680 - 149 - 1,100 - 1,050 - 68 - 5,000 -

1,550 - 500 - 850 - 1,100 - 2,500 -

33,000 -

5,990 -

5,350 -

12,450 -

42 -

15,750 -

3,220 -

8,900 -

6,100 -

90,667 -

100,833 -

PT. Indofarma

PT. Indofarma

PT. Dexa Medica

PT. Boehringer IngelheimPT. Kimia FarmaPT. Hexpharm Jaya Laboratories

PT. Kimia FarmaPT. Sanbe Farma

PT. BernofarmPT. Kimia FarmaPT. Phapros, TbkPT. Phapros, TbkPT. Phapros, TbkPT. Mersifarma Tirmaku Mercusana

PT. Mersifarma Tirmaku MercusanaPT. Kimia FarmaPT. Kimia FarmaPT. Kimia FarmaPT. Pratapa NirmalaPT. Fresenius Kabi Combiphar

PT. Boehringer Ingelheim

PT. Triyasa Nagamas Farma

PT. Galenium Pharmasia Laboratories

PT. Erela

PT. Cendo Industri Farmasi

PT. Novartis Indonesia

PT. Novartis Indonesia

PT. Abbott Indonesia

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

113,333 -

2,089 -

138 -

2,145 - 670 - 6,200 - 540 - 2,000 - 1,400 - 82,042 - 473 -

67,200 -

56,300 -

56,300 -

37,500 -

115,500 -

61,600 -

6,100 -

90,667 -

100,833 -

113,333 -

2,089 -

138 -

2,145 - 670 - 6,200 - 540 - 2,000 - 1,400 - 82,042 - 473 -

PT. Glaxo Wellcome Indonesia

PT. Kimia Farma

PT. Promedrahardjo Farmasi Industri

PT. Holi PharmaPT. Kimia FarmaPT. Kimia FarmaPT. Kimia FarmaPT. Kimia FarmaPT. Kimia FarmaPT. Takeda IndonesiaPT. Indofarma

PT. SmithKline Beecham Phamaceuticals

PT. Finusolprima Farma Internasional

PT Otsuka Indonesia

PT Otsuka Indonesia

PT Otsuka Indonesia

PT Otsuka Indonesia

PT. Abbott Indonesia

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Kimia Farma

PT. Promedrahardjo Farmasi Industri

PT. Holi PharmaPT. Kimia FarmaPT. Kimia FarmaPT. Kimia FarmaPT. Kimia FarmaPT. Kimia FarmaPT. Takeda IndonesiaPT. Indofarma

67,200 -

56,300 -

56,300 -

37,500 -

115,500 -

61,600 -

75,350 -

36,667 -

50,820 -

46,000 -

65,000 -

78,720 -

51,260 -

64,900 -

42,000 -

46,000 -

295,240 -

343,842 -

322,000 -

218,700 -

PT. SmithKline Beecham Phamaceuticals

PT. Finusolprima Farma Internasional

PT Otsuka Indonesia

PT Otsuka Indonesia

PT Otsuka Indonesia

PT Otsuka Indonesia

PT Kalbe Farma

PT. Fresenius Kabi Combiphar

PT. Fresenius Kabi Combiphar

PT Otsuka Indonesia

PT Otsuka Indonesia

PT. Fresenius Kabi Combiphar

PT. Finusolprima Farma Internasional

PT. Finusolprima Farma Internasional

PT Kalbe Farma

PT Kalbe Farma

PT. Fresenius Kabi Combiphar

PT. Fresenius Kabi Combiphar

PT. Phapros, Tbk

PT. Phapros, Tbk

2,050 - 8,000 -

9,000 -

9,000 -

87,000 -

12,650 -

50,500 -

42,350 -

29,167 -

55,500 -

37,500 -

210,000 -

199,000 -

56,000 -

9,500 -

6,800 -

6,917 -

7,700 -

7,700 -

35,750 -

6,930 -

9,167 -

PT Otsuka IndonesiaPT. Widatra Bhakti

PT Otsuka Indonesia

PT Otsuka Indonesia

PT Kalbe Farma

PT. Phapros, Tbk

PT Kalbe Farma

PT Kalbe Farma

PT Otsuka Indonesia

PT Otsuka Indonesia

PT Kalbe Farma

PT Kalbe Farma

PT Kalbe Farma

PT Kalbe Farma

PT. Widatra Bhakti

PT. Widatra Bhakti

PT. Widatra Bhakti

PT. Widatra Bhakti

PT. Widatra Bhakti

PT. Sanbe Farma

PT. Widatra Bhakti

PT Otsuka Indonesia

10,000 -

10,000 -

105,500 -

60,500 -

210,000 -

591,000 -

511,000 -

358,000 -

72,000 - 127,000 -

550,000 -

17,500 - 700,000 - 2,700,000 - 500,000 - 40,000 -

528 -

13,068 - 850 -

839 -

1,363 -

40,000 -

142,000 -

PT Otsuka Indonesia

PT Otsuka Indonesia

PT. Phapros, Tbk

PT. Fresenius Kabi Combiphar

PT. Phapros, Tbk

PT. Phapros, Tbk

PT. Phapros, Tbk

PT. Phapros, Tbk

PT. Cendo Industri FarmasiPT. Pfizer Indonesia

PT. Aventis Pharma

PT. Novartis Indonesia

PT. Takeda IndonesiaPT. Takeda IndonesiaPT. Takeda IndonesiaPT. Infion Pharmaceutical

PT. Promedrahardjo Farmasi Industri

PT. ErelaPT. Merck Tbk

PT. Bernofarm

PT. Indofarma

PT. AstraZeneca indonesia

PT. AstraZeneca indonesia

600 -

350 -

1,050 -

1,850 -

89 -

154 -

685 -

1,341 -

52,000 -

62,000 -

1,200 -

3,276 -

473,000 -

7,140 -

6,125 -

12,210 - 54,000 - 44,960 - 74,998 -

254,100 - 113 -

198 -

800 -

154 -

2,750 -

PT. Novell Pharmaeutical Laboratories

PT. Novell Pharmaeutical Laboratories

PT. Mersifarma Tirmaku Mercusana

PT. Mersifarma Tirmaku Mercusana

PT. Ifars Pharmaceutical Laboratories

PT. Promedrahardjo Farmasi Industri

PT. Mersifarma Tirmaku Mercusana

PT. Mersifarma Tirmaku Mercusana

PT. Novell Pharmaeutical Laboratories

PT. Finusolprima Farma Internasional

PT. Soho Industri Pharmasi

PT. Mersifarma Tirmaku Mercusana

PT. Kimia Farma

PT. Taisho Pharmaceutical Indonesia Tbk

PT. Pfizer Indonesia

PT. Glaxo Wellcome Indonesia

PT. BernofarmPT. BernofarmPT. Mugi Laboratories

PT. Kimia FarmaPT. Bernofarm

PT. Bernofarm

PT. Actavis Indonesia

PT. Kimia Farma

PT. Ethica Industri Farmasi

6,537 -

1,950 - 21,490 - 89,990 -

635 -

205 -

300 -

5,280 - 2,600 - 91 - 108 -

30,000 -

21,120 -

1,680 -

9,950 -

3,850 - 3,220 -

110 -

160 -

1,925,000 -

1,237,500 -

6,119 -

12,060 -

260,000 - 16,000 - 3,000 - 697,000 - 72,000 -

77,000 -

17,820 -

8,400 -

PT. Novartis Indonesia

PT. Novartis IndonesiaPT. BernofarmPT. BernofarmPT. Mahakam Beta Farma

PT. Natura Laboratoria Prima

PT. Dexa Medica

PT. MeprofarmPT. Molex AyusPT. Phapros, TbkPT. Kimia Farma

PT Kalbe Farma

PT. Sandoz Indonesia

PT. Sandoz Indonesia

PT. Natura Laboratoria Prima

PT. Kimia FarmaPT. Aventis Pharma

PT. Phyto Kemo Agung Farma

PT. Phyto Kemo Agung Farma

PT. Kimia Farma

PT. Kimia Farma

PT. Boehringer Ingelheim

PT. Boehringer Ingelheim

PT. CombipharPT. Boehringer IngelheimPT. Kimia FarmaPT. Widatra BhaktiPT. Phapros, TbkPT. Tempo Scan Pacific

PT. Guardian Pharmatama

PT. Kimia Farma

15,620 -

22,990 -

1,300 - 13,200 - 4,700 -

54,144 -

66,640 -

94,962 -

61,600 - 6,200 - 176 - 133 - 33,900 -

6,490 - 9,500 - 2,800 -

2,999 -

3,500 -

110 -

380,875 -

640 - 480 - 52,000 - 2,618 - 359,990 - 1,199,990 - 214,990 - 160,000 -

288,199 -

PT. Mahakam Beta Farma

PT. Mahakam Beta Farma

PT. Kimia FarmaPT. Pratapa NirmalaPT. Widatra Bhakti

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Pratapa NirmalaPT Otsuka IndonesiaPT. Phapros, TbkPT. Phapros, TbkPT. Combiphar

PT. Molex AyusPT. Pharma Health CarePT. Kimia FarmaPT. Bayer Indonesia

PT. Bayer Indonesia

PT. Dexa Medica

PT. Novartis Indonesia

PT. Phapros, TbkPT. Phapros, TbkPT. Dexa MedicaPT. Bayer IndonesiaPT. IndofarmaPT. IndofarmaPT. IndofarmaPT. Indofarma

PT. Indofarma

171,195 -

80,000 -

48,500 -

400 -

650 -

1,100,000 - 550,000 - 27,550 - 2,200 -

2,950,000 -

120,000 - 6,450 - 11,200 - 68,000 -

36,000 - 211 - 2,400 -

716 -

1,189 -

1,902,240 -

219,540 -

PT. Indofarma

PT. Pratapa Nirmala

PT Kalbe Farma

PT. Novell Pharmaeutical Laboratories

PT. Novell Pharmaeutical Laboratories

PT. Aventis PharmaPT. Aventis PharmaPT. Merck TbkPT. Ethica Industri Farmasi

PT. Novartis Indonesia

PT. Bayer IndonesiaPT. Sandoz IndonesiaPT. Sandoz IndonesiaPT. Tempo Scan Pacific

PT. Natura Laboratoria Prima

PT. NovapharinPT. IndofarmaPT. Yarindo Farmatama

PT. Yarindo Farmatama

PT Kalbe Farma

PT Kalbe Farma

5,522,580 -

984,000 -

3,000,000 -

308,500 -

5,200 -

1,438 - 79 - 6,730 -

1,077,815 -

1,248,220 -

973,500 -

1,135,000 -

915,000 -

915,810 -

23,000 -

2,420 -

PT Kalbe Farma

PT. Actavis Indonesia

PT. Actavis Indonesia

PT. Actavis Indonesia

PT. Indofarma

PT. AfifarmaPT. Promedrahardjo Farmasi IndustriPT. Darya VariaPT. Boehringer Ingelheim

PT. Boehringer Ingelheim

PT. Merck Sharp Dohme Pharma Tbk

PT. Merck Sharp Dohme Pharma Tbk

PT. Merck Sharp Dohme Pharma Tbk

PT. Merck Sharp Dohme Pharma Tbk

PT. Darya Varia

PT. Pradja Pharin

11,475 -

14,500 -

3,400 - 5,220 - 8,360 - 296 -

206 -

1,000 - 17,393 - 37,109 - 2,163 - 14,203 - 5,998 -

7,200 -

11,268 -

2,300 -

114 -

1,650 -

7,190 -

65 -

319 - 16,236 -

106 -

17,391 -

19,500 -

23,185 -

995 -

580 -

1,013 -

PT. Galenium Pharmasia Laboratories

PT. Kimia FarmaPT. Takeda Indonesia

PT. Dexa MedicaPT. Holi PharmaPT. Holi Pharma

PT. Holi Pharma

PT. IkapharmindoPT. Pratapa NirmalaPT. AfifarmaPT. AfifarmaPT. AfifarmaPT. Kimia FarmaPT. Boehringer Ingelheim

PT. Boehringer Ingelheim

PT. Novell Pharmaeutical Laboratories

PT. Holi Pharma

PT. Dexa Medica

PT. Bernofarm

PT. Dexa Medica

PT. IndofarmaPT. Fresenius Kabi Combiphar

PT. Holi Pharma

PT. AstraZeneca indonesia

PT. AstraZeneca indonesia

PT. AstraZeneca indonesia

PT. Pharma Health Care

PT. Dexa Medica

PT. Novell Pharmaeutical Laboratories

1,140 -

120 -

260 - 459 -

1,099 -

789 - 5,200 - 1,500 -

1,008 -

2,000 -

3,164,805 -

23,500 - 23,500 - 23,500 - 5,248 -

6,275 -

7,383 -

6,600 -

63,750 -

431 -

5,867 -

59 - 89 -

2,000 - 4,746 -

513 -

509 -

5,895 -

1,000 -

PT. Natura Laboratoria Prima

PT. Dexa Medica

PT. Kimia Farma

PT. Lucas DjajaPT. Indofarma

PT. Indofarma

PT. Widatra BhaktiPT. Dexa Medica

PT. Mersifarma Tirmaku Mercusana

PT. Dexa Medica

PT. Boehringer Ingelheim

PT. Bayer IndonesiaPT. Bayer IndonesiaPT. Bayer IndonesiaPT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Yarindo Farmatama

PT. Kimia FarmaPT. Marin Liza FarmasiPT. Holi PharmaPT. Hexpharm Jaya Laboratories

PT. Holi Pharma

PT. Holi Pharma

PT. Ifars Pharmaceutical Laboratories

16,500 - 48,060 -

859 -

8,800 -

12,775 - 4,800 -

2,950 -

3,700 -

17,060 -

3,300 -

4,752 -

7,200 -

3,300 - 7,999 - 181 -

3,650,000 -

1,320,000 - 1,078 - 57 -

256,000 -

82,000 -

120,000 -

43,000 -

12,000 - 7,000 - 169 -

PT. Dexa MedicaPT. Yarindo Farmatama

PT. Bernofarm

PT. Ifars Pharmaceutical Laboratories

PT. Holi PharmaPT. Hexpharm Jaya Laboratories

PT. Natura Laboratoria Prima

PT. Sandoz Indonesia

PT. Hexpharm Jaya Laboratories

PT. Natura Laboratoria Prima

PT. Glaxo Wellcome Indonesia

PT. Glaxo Wellcome Indonesia

PT. Pratapa NirmalaPT. IndofarmaPT. Pertiwi Agung

PT. Merck Tbk

PT. Pratapa NirmalaPT. Lucas DjajaPT. Afifarma

PT. Novell Pharmaeutical Laboratories

PT. Novell Pharmaeutical Laboratories

PT. Novell Pharmaeutical Laboratories

PT. Novartis Indonesia

PT. Novartis Indonesia

PT. Dankos FarmaPT. Natura Laboratoria Prima

391 -

16,500 -

255 - 22,000 - 93,000 - 575,000 -

1,499 -

900 -

315 -

930 - 3,290,000 - 3,650 -

127,000 -

13,425 - 424 -

11,167 -

21,500 -

5,800 -

5,800 -

6,800 -

28,500 -

3,900 -

6,500 -

1,120,000 -

223,000 -

8,100 - 1,050 -

250 - 1,839 -

PT. Natura Laboratoria Prima

PT. Natura Laboratoria Prima

PT. Bernofarm

PT Kalbe FarmaPT Kalbe FarmaPT. Tempo Scan PacificPT. Indofarma

PT. Dexa Medica

PT. Dexa Medica

PT. Kimia FarmaPT. Dexa MedicaPT. Phapros, Tbk

PT. Kimia Farma

PT. CombipharPT. Dexa Medica

PT. Combiphar

PT. Combiphar

PT. Combiphar

PT. Combiphar

PT. Combiphar

PT. Novartis Indonesia

PT. Boehringer Ingelheim

PT. Boehringer Ingelheim

PT. Merck Sharp Dohme Pharma Tbk

PT. Merck Sharp Dohme Pharma Tbk

PT. Kimia FarmaPT. Kimia Farma

PT Kalbe FarmaPT. Dexa Medica

2,949 -

6,250 -

99 -

71,100 -

6,200 -

11,500 -

148 -

300 -

1,135 -

563 -

9,128 -

9,722 -

13,867 -

152,543 -

2,395 -

19,608,034 -

115,000 -

90,000 -

405 - 36,500 -

6,400 -

285,000 -

78,500 -

78,000 -

PT. Dexa Medica

PT. AstraZeneca indonesia

PT. Molex Ayus

PT. AstraZeneca indonesia

PT. Merck Sharp Dohme Pharma Tbk

PT. Cendo Industri Farmasi

PT. Holi Pharma

PT. Afifarma

PT. Merck Tbk

PT. Merck Tbk

PT. Pratapa Nirmala

PT. Pratapa Nirmala

PT. Boehringer Ingelheim

PT. Boehringer Ingelheim

PT. Natura Laboratoria Prima

PT. Boehringer Ingelheim

PT. Tempo Scan Pacific

PT. Aventis Pharma

PT. Darya VariaPT. Cendo Industri Farmasi

PT. Galenium Pharmasia Laboratories

PT. Aventis Pharma

PT. Novartis Indonesia

PT. Bio Farma

170,000 -

40,000 - 2,793 -

5,450 -

1,680 -

3,900 -

6,500 -

122,000 - 6,200 - 234 - 210,000 - 78,000 - 46,000 - 1,229,998 -

107 - 1,575 - 3,429 -

12,840 - 7,400 -

474 -

PT. Boehringer Ingelheim

PT. IkapharmindoPT. Abbott Indonesia

PT. Abbott Indonesia

PT. Abbott Indonesia

PT. Novartis Indonesia

PT. Novartis Indonesia

PT. Pratapa NirmalaPT. Abbott IndonesiaPT. Kimia FarmaPT. CombipharPT Kalbe FarmaPT Kalbe FarmaPT. Mugi Laboratories

PT. Kimia FarmaPT. Kimia FarmaPT. Kimia FarmaPT. CombipharPT. MeprofarmPT. Indofarma

FORMAT e-catalog FORNAS 2015

Nama Dagang

n/a

Hepsera

WIDA WI UNICAPn/a

n/a

n/a

n/a

Zenalb

Zenalb

Albuminar 25

n/a

n/a

n/a

n/an/a

Actilyse

Fungicide

n/a

PLASBUMIN 25% 20 MLPLASBUMIN 25% 50 MLPLASBUMIN 5% 250 MLPLASBUMIN 5% 50 ML

Glybotic 250 mg /ml

n/an/aCordaroneKendaron Tabletn/a

n/a

n/an/a

n/an/an/an/a

Novomix Flexpen

Humalog Mix 25

Novorapid Vial

Humalog

Arimidex 1 mg

n/a

n/a

n/a

n/a

Lantus Solostar 100IU/ml 5pens x3ml

Novorapid Flexpen

Apidra Solostar 100IU/ml 5pens x3ml

n/aLevopar Tablet

Artemn/aMiniaspi 80n/an/a

Starfolatn/a

Bondronat

n/a

n/a

ZOMETA

n/a

n/aLeunasePularex

BetablokTracrium

n/a

n/a

Cendo Tropin 1%

n/a

n/an/a

n/an/a

n/a

Urotractin 400 mg

Temiral Eye Oint

Cendo Tropin 0,5%

SurvantaDorner 20 µg

n/aBetam Ophtal ED

Avastin

Casodex 150 mg

Casodex 50 mg

Stolax supp

Concor 2.5n/aBLEOCINCripsa tab

n/aBunascanPradaxa

PradaxaDBL Dacarbazine

DAUNOCIN

Desferal

Dulcolax Supp Infant

Pulmicort TurbuhalerObucort SwinghalerPulmicort RespulesSymbicort Turbuhaler 160/4.5 mcgSymbicort 80/4.5 mcg

Exjade 250 mg TabExjade 500 mg TabFerriprox Oral SolutionFerriprox tablet

n/a

n/a

Cerazette

n/a

DEXIGEN

STESOLID

STESOLIDn/an/aFargoxin inj

n/a

n/a

n/aE.D.T.A

DOBURAN

Cardura 1mg

Cardura 2mg

n/a

Doxorubinn/an/an/aDopamin

Herbesser Powder Injection 50mgFarmabes Injeksi 25 mgHerbesser CD 100Herbesser CD 200

Bonefos Infus 60 mg / 5 ml

Doxorubicin Actavis 10 mg

n/a

Renalscan KaeF

Avodart

n/an/aAromasin

n/a

n/aD-Vit FT

D-Vit Syrupn/a

n/a

n/a

Eprex 2000

Hemapo 3000

Recormonn/a

n/an/aLynoral

Implanon

Posydn/a

Lovenox 2000 ANTI-XALovenox 4000 ANTI-XALovenox 6000 ANTI-XA

Epirubisin Kalbe

Hemapo 10.000 IU

Certican 0,25 mg Tab

Novoseven

HaemoctinHaemoctin

n/an/an/a

n/an/a

n/an/aFenocinn/a

Berotec MDI

n/an/a

Zarzio

Prostacom

n/an/aFludara IV LYOFludara Oral

Certican 0,5 mg TabCofact 500 IU/20 ml

KOATE DVI 500 IU

Berotec Solution

Durogesic 12,5 MU MatrixDurogesic 25 MU MatrixDurogesic 50 MU Matrix

Sikzonoate Injeksi

n/a

Diflucan 50mgn/aForansi 10NOPRESOcuflam EDCuracilCuracil

SYNARCUS

Avamys

ArixtraPlasmanate

n/a

n/aGadovist 5 mgGadovist 7,5 mgPrimovist

Cymevene

n/a

Iressa 250 mg

n/a

n/a

Gemzar 1000 mgn/an/a

n/a

n/aGlicab

Flixotide Nbules

Genoint Salep Mata

Diamicron MR 30

Diamicron MR 60

n/an/an/an/an/a

Glucotrol 10 mg

Glucotrol 5 mgNitrokaf RetardNitrokaf ForteNitral

n/an/aZoladex 10,8 mg

Zoladex 3,6 mg

n/a

Haldol Decanoas

Lodomer Injeksi

n/a

n/a

n/a

Lodomer 2

LODOMER DROPSHalothaneInviclotHyperhep B

n/an/a

n/a

Gliserin lar 50%

HYDROXYUREA MEDAC

Homatro 2%

Insulatard Vial

Humulin N Vial

n/a

Sansulin N

Humulin N Cart

Mixtard Penfill

Mixtard Vial

Humulin R Cart

Sansulin R

Actrapid Vial

Humulin R Vial

n/a

Tetagamn/an/an/a

n/a

Insulatard Penfill

Humulin 30/70 Cart

Humulin 30/70 Vial

Actrapid Penfill

Holoxan injeksi 1000

Glivec

Tanapress 10mgTanapress 5mg

Iopamiro

Iopamiro

Iopamiro

Iopamiro

Iopamiro

Iopamiro

Atrovent HFA

n/a

n/an/aTerrell

n/a

n/aFarsorbid injn/a

Isonat

KaliparKSRDBL Leucovorin

Ultravist 300/100 mgUltravist 300/50 mgUltravist 370/100 mgUltravist 370/50 mg

Atrovent solution for inhalation 0.025%

Kalsium glukonat

n/a

KALQUEST

n/a

n/a

n/a

Xeloda

n/a

n/a

n/a

n/a

Neo-Mercazole

V - BLOC

KTM

Ketamin Hameln

n/a

n/a

n/aZoloral SSn/a

Protofen Suppn/a

ORIXAL

Tegretol Syrup 100mg/5ml, 120ml

Karbogliserin tetes telinga 10%DBL Carboplatin 150 mgDBL Carboplatin 450 mg

n/a

n/a

n/a

n/a

n/an/a

n/an/an/an/an/an/a

n/an/an/an/aOstriol

Voluven

Combivent UDV

n/a

n/a

Cendo Lyteers

Coartem

Stalevo

Aluvia

Catapres Injeksi

Colsancetine Injeksi

Laxadine Emulsi 60 ml

Seretide Inhaler 50 mcgSeretide Diskus 100 mcg

n/a

n/a

n/an/an/an/aHeplavn/aProsogan Inj.n/a

Tykerb

Kalbamin

Amiparen

Pan-amin G

Aminofluid

Aminofluid

Aluvia

n/a

n/a

n/an/an/an/aHeplavn/aProsogan Inj.n/a

Seretide Diskus 250 mcg

Seretide Inhaler 50 mcgSeretide Diskus 100 mcgSeretide Diskus 250 mcg

Tykerb

Kalbamin

Amiparen

Pan-amin G

Aminofluid

Aminofluid

Nephrosteril

Kidmin

Aminoleban

Eas Pfrimer

Comafusin Hepar

Aminofusin L600

Aminofusin Paed

Kabiven 1440 ml

Kabiven 1920 ml

Aminofusin HeparAminosteril Infant 6%

Aminosteril N-Hepa

Combiflex Plus (790 kcal)

Combiflex peri (480 kcal)

Wida RL

Asering

KA EN 1B

Totilac

Triofusin 1000

Triofusin 500

Martos

Potacol inj

Tutofusin OPS

Clinimix N9G20E

Clinimix N9G15E

Triofusin E1000

Wida HSD

Wida D5-NS

WIDA 2A

WIDA D5-1/4NS

WIDA D5-1/2NS

Futrolit

Wida RD

KA ENMG 3

Otsu - KCl 7,46%

Ringerfundin 500 mL

KA EN 3B

KA EN 3A

Intralipid

Cendo GlaopenXalatan 0,005%

FEMARATapros 1.88mgTapros 3MTAPROS 3.75 MGn/a

n/a

OptifloxEuthyrox 100

n/a

n/a

Lipofundin MCT/LCT 1% 100

Lipofundin MCT/LCT 1% 250

Nutriflex Lipid Special 1250

Nutriflex Lipid Peri 1250

Nutriflex Lipid Special 625

Granocyte 34 1vl HSA Free

Xylocaine Jelly 2%Xylocaine Spray 10 mg / dosis

n/a

n/a

Frimania 200

Frimania 400

n/a

n/a

MERLOPAM 0,5 mg

Merlopam 2

DIALIFER

n/a

Ludios

Sandepril 50

Bonescan KaeF

Vermox 500

Provera 100mg

Alkerann/an/a

n/an/a

n/a

DOPAMET

n/a

n/a

Uromitexan injeksi.

Ritalin LA

RITALINn/an/a

n/a

n/a

n/a

GAVISTAL dropsLEXAPRAM SIRUPn/an/a

n/a

VagizolFlagyl

n/a

n/a

Cardioscan KaeF

Dormicum

Dormicum

MycamineCellceptn/aMitomycin CGelofusine 4%

Vigamox

n/a

n/a

Methotrexate KalbeMETHOTREXATE EBEWEMETHOTREXATE EBEWE 2.5 MG

Endoneuroscan KaeF 1

n/a

n/a

NokobaMeylonn/an/a

n/a

n/a

Tasigna

n/an/aRaivasPrimolut Nn/an/an/an/a

n/a

MST Continus 10 mgMST Continus 15 mg

N-ace cairan inhalasi

Fraxiparine 0.3 mlFraxiparine 0.4 mlFraxiparine 0.6 ml

Fleet PhosphosodaFucilex OintmentNeostigmin Hameln inj

Adalat Oros 20 mgAdalat Oros 30 mg

n/a

Octide

n/a

n/a

ELOXATINELOXATINIlaidin DropsOxytocin "S"

Sandostatin LAR

Zyprexa IMOlandoz 5Olandoz 10Patanol

n/an/an/a

n/a

n/a

n/a

n/a

Tarivid Otic Solution

n/a

n/an/aNAPREX DROPS

Pegasys

Pegasys

Pegintron

BURNAZIN 35 GR

Bioprexum 5 mg

Larutan Dialisa 1.5%: Dianeal Low Calcium with 1,5% Dextrose; Larutan Dialisa 2.5%: Dianeal Low Calcium with 2,5% Dextrose; Larutan Dialisa 4.25%: Dianeal Low Calcium with 4.25% DextroseSINDAXEL 100 MG/16,67 MLSINDAXEL 260mg/43.33 MLSINDAXEL 30 MG/5 ML

Pegintron Vial 100 Mcg

Pegintron Pen 120 Mcg

Pegintron Vial 80 Mcg

n/a

ActosDECULIN 30 MGn/an/a

n/a

n/aAptiln/an/an/an/a

n/a

n/a

Probenid

n/a

n/a

n/a

n/a

n/a

n/a

Scabimite Cream 10

Sifrol ER 0,375mgSifrol ER 0,750mg

Fresofol 1% MCT/LCT

Seroquel XR 200 mgSeroquel XR 300 mgSeroquel XR 400 mgCardace 2.5mg 6x10 s tablet

n/a

n/a

n/an/a

n/a

n/an/an/a

n/a

n/a

Mabthera

Xarelto 10 mgXarelto 15 mgXarelto 20 mg

n/an/a

n/an/a

n/a

n/a

n/a

n/a

Requip PD 24 Hour 2 mgRequip PD 24 Hour 4 mgRequip PD 24 Hour 8 mgVentolin NebulesVentolin InhalerVentolin RotacapsVentolin Rotahaler

n/an/a

n/a

n/a

n/an/a

n/a

Banadoz 100

n/a

n/a

Zinnat 250 mg

Zinnat 500

Fatraln/an/a

Erbitux

Sojournn/an/a

Cyclovid 200 mg

CYCLOVID 500

Citazn/a

Cyclovid 1000 mg

Sandimmun Neoral 100mg KapSandimmun Neoral 25mg Kap

n/a

n/a

n/aCisplatinCisplatinDBL Cytarabun

n/a

n/a

n/a

n/aStreptasen/a

UlsafateULSIDEX

Prograf

Prograf

Harnal D

Micardis 40mg

Micardis 80mg

Temodal

Temodal

n/aRethapyl

BronsolvanHYTROZ 1MG

Sufentanyl Injeksi iv.Epidural 5 mcg / ml

Harnal ® D 0.2 mg Disp. TabletHarnal ® OCAS 0.4 mg TabletSebivo 600 mg Tab

HYTROZ 3MG

Molasma Tablet

Pantocain 0.5%

n/a

n/a

Thyrozol 10

Thyrozol 5

n/a

Herceptin

Travatan

Nasacort AQ

n/a

Soft U Derm

Imovax Polio

RABIPUR

Verorab

Bricasma Respules

Bricasma Turbuhaler 0,5 mgAndriol Testocaps

Isotic Adretor 0,25%Isotic Adretor 0,5%Spiriva powder for inhalation 18mcg 30sSpiriva 10s + Handihaler

Cendo Mydriatil 1%

Valcyte

Ikalep

Diovan 80mg Tab

DIOVAN 160 MG

VancepIsoptin 240 mgn/aVinblastine

n/an/an/a

Zincpro Drops

n/a

Depakote ER 250 mgDepakote ER 500 mgDepakote Tab 250 mg

Vincristine KalbeVincristine KalbeNavelbine injeksi 10

Zircum Kid Sirup


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