DAFTAR HARGA OPTIMA CARE

TAHUN 2022

KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/ HNA LINI
AGST '22 BOX @UNIT
TAGNA ANGIOTEN 50 MG 3X10 TAB Losartan Hcl ANGIOTEN 400,000 30 13,333 BETA
IANTA ANTITEN-A 40 MG Enoxaparin sodium 40 mg ANTITEN 385,000 2 192,500 BETA
IANTB ANTITEN-A 60 MG Enoxaparin sodium 60 mg ANTITEN 525,000 2 262,500 BETA
ANTITEN-A 100 MG Enoxaparin sodium 60 mg ANTITEN 675,000 2 337,500 BETA
TBTSK BACTESYN 375 MG 30 TAB Sulbactam BACTESYN 680,000 30 22,667 DELTA
VBTSA BACTESYN INJ.0,75 GR Sulbactam BACTESYN 35,000 1 35,000 DELTA
VBTSB BACTESYN INJ.1,5 GR Sulbactam BACTESYN 100,000 1 100,000 DELTA
TBTOA BETA ONE 2,5 MG 50 TAB Bisoprolol BETA ONE 150,000 50 3,000 BETA
TBTOB BETA ONE 5 MG 30 TAB Bisoprolol BETA ONE 159,000 30 5,300 BETA
TBATB BRAINACT 1 GR/BOX 3 STRIP @ 10 TAB Citicoline BRAINACT 690,000 30 23,000 BETA
GBATA BRAINACT 1000 MG SACHET Citicoline BRAINACT 150,000 5 30,000 BETA
IBATD BRAINACT 1GR/BOX 5 AMP @ 8 ML Citicoline BRAINACT 625,000 5 125,000 BETA
IBATB BRAINACT 250 MG/BOX 2 ML/5AMP Citicoline BRAINACT 240,000 5 48,000 BETA
IBATC BRAINACT INJ 500 ML/BOX 5 AMP @4ML Citicoline BRAINACT 390,000 5 78,000 BETA
TBATC BRAINACT O-DIS,CITICOLINE 500MG TAB. Citicoline BRAINACT 450,000 30 15,000 BETA
TBATA BRAINACT 500 MG/BOX 30 TAB Citicoline BRAINACT 425,000 30 14,167 BETA
VBRHA BROADCED HOSPITAL PACK Ceftriaxone Disodium BROADCED 275,000 1 275,000 DELTA
VBROK BROADCED INJ 1GR Ceftriaxone Disodium BROADCED 260,000 1 260,000 DELTA
TCRQB CAR-Q 100 , 3 STRIP @ 10 KAPSUL L. Carnitine dan Co-Enzim Q10 CAR-Q 360,000 30 12,000 BETA
ICFZE CEFAZOL 1 GR AQUA PI Cefazoline CEFAZOL 150,000 1 150,000 DELTA
KCEFB CEFSPAN 100 MG 30 KAPSUL Cefixime CEFSPAN 735,000 30 24,500 DELTA
TCEFE CEFSPAN 200 MG 10 TAB Cefixime CEFSPAN 390,000 10 39,000 DELTA
DCEFA CEFSPAN DRY SYRUP 30 ML Cefixime CEFSPAN (DS) 110,000 1 110,000 ALPHA
VCNEB CERNEVIT 750MG @ 10 VIAL VIT A,D,E,B1,B2,B6,B12,fotacid, panthotenic ac, biotin, CERNEVIT 2,500,000 10 250,000 GAMMA
nicotinamid
TCTNA CETINAL , 10 MG @ 30 TABLET Cetirizine HCL CETINAL 175,000 30 5,833 ALPHA
LCTNA CETINAL SYRUP 60 ML Cetirizine HCL CETINAL 70,000 1 70,000 ALPHA
TCLTA CHOLESTAT 10 MG/BOX 3X10 CAP Simvastatin CHOLESTAT 200,000 30 6,667 BETA
TCLTE CHOLESTAT 20 MG/BOX 3X10 CAP Simvastatin CHOLESTAT 275,000 30 9,167 BETA
TCTZB CITAZ 100 MG/BOX 5X10 TAB Cilostazol CITAZ 600,000 50 12,000 BETA
TCOXK CLAVAMOX 500MG 30TAB Amoxicillin Trihidrate, K Clavulanate CLAVAMOX 400,000 30 13,333 DELTA
DCOXA CLAVAMOX DS 60 ML Amoxicillin Trihidrate, K Clavulanate CLAVAMOX 80,000 1 80,000 ALPHA
ICVFA COVIFOR Remdisivir COVIFOR 425,000 1 425,000 DELTA
TCPGB CPG BLISTER 3 STRIP@10 TABLET Clopidogrel CPG 550,000 30 18,333 BETA
TCPGG CPG 75 MG 30 TABLET Clopidogrel CPG 550,000 30 18,333 BETA
TCRVE CRAVIT 250 MG 10 TABLET Levofloxacine CRAVIT 280,000 10 28,000 DELTA
TCRVK CRAVIT 500 MG 10 TABLET Levofloxacine CRAVIT 450,000 10 45,000 DELTA
TCRVN CRAVIT 750 MG KAPLET Levofloxacine CRAVIT 530,000 10 53,000 DELTA
VCRVD CRAVIT 750 MG FLEXY BAG Levofloxacine CRAVIT 410,000 1 410,000 DELTA
VCRVE CRAVIT IV 500 FLEXYBAG Levofloxacine CRAVIT 340,000 1 340,000 DELTA
TDIPA DIVALPI @ BOTOL 100 TAB Divalproex Sodium Ekuivalen, Valproic Acid 250 mg DIVALPI 580,000 100 5,800 GAMMA
TDVKB DIVASK 10 MG Amlodipine besylate DIVASK 375,000 30 12,500 BETA
TDVKA DIVASK 5 MG Amlodipine besylate DIVASK 230,000 30 7,667 BETA
TDPNA DROSPINYL Drospirenone 3mg, Ethinylestradiol 0.003mg DROSPINYL 140,000 21 6,667 ALPHA
TENTA EMINETON 10 @ 10 TAB./BOX Multivitamnin EMINETON 178,000 100 1,780 ALPHA
TENTB EMINETON TABLET Multivitamnin EMINETON 178,000 100 1,780 ALPHA
VEDNA ENDROLIN PACK 3,75 MG VIAL/1 Leuprolide Acetat ENDROLIN 1,225,000 1 1,225,000 ALPHA
LENSA ENYSTIN (BTL 12 ML) DROPS + PIPET 1 ML Nystatin 100.000 IU ENYSTIN 38,000 1 38,000 ALPHA
VEZLA EZELIN INSULIN GLARGINE 100 IU/ML Injeksi Insulin glargine EZELIN 130,000 1 130,000 BETA
VEZLB EZELIN Injeksi Insulin glargine EZELIN 130,000 1 130,000 BETA
TEZOA EZOL 20 Esomeprazole EZOL 330,000 28 11,786 GAMMA
TEZOB EZOL 40 Esomeprazole EZOL 490,000 28 17,500 GAMMA
VEZMA EZOMEB 40MG/VIAL Esomeprazole EZOMEB 160,000 1 160,000 GAMMA
TFVLA FAVILOW Favipiravir FAVILOW 1,500,000 100 15,000 DELTA
TFAKA FAVIKAL 200 mg 10@10TAB Favipiravir FAVIKAL 1,700,000 100 17,000 DELTA
TFVMA FAVIMOL 200 MG 40 TABLET Favipiravir FAVIMOL 520,000 40 13,000 DELTA
KFCLB FLUCORAL 150 MG 10 KAPS Fluconazole FLUCORAL 750,000 10 75,000 ALPHA
IFLTB FLUTIAS 125 @ 1 INHALER Salmeterol 25 mcg & Fluticasone FLUTIAS 155,000 1 155,000 DELTA
KFLVA FLUVIR 75 MG KAPSUL Oseltamivir FLUVIR 180,000 10 18,000 DELTA
TFDSA FORDESIA BOX 3 STRIP @ 10 TAB Donepezil Hydrochloride FORDESIA 690,000 30 23,000 BETA
KFNRA FORNEURO BOX 30 TAB Vit b1 100mg,vit b6 50mg,vit b12 100mcg, natural Vit E FORNEURO 178,500 30 5,950 GAMMA
200 iu, folic acid 400
TFRSA FORRES 5X10TAB Eperisone HCL FORRES 275,000 50 5,500 BETA
VFITA FORIXTRA 2 X 0.5 ML Fondaparinux Sodium FORIXTRA 540,000 2 270,000 BETA
LFOTA FOROTIC 3 MG/5 ML Ofloxacin 3ml FOROTIC 90,000 1 90,000 DELTA
TFGOB FREGO 10 MG/BOX 5X10 TAB Flunarizine FREGO 410,000 50 8,200 BETA
TFGOA FREGO 5 MG/BOX 5X10 TAB Flunarizine FREGO 350,000 50 7,000 BETA
KFCHB FUCOHELIX 100 MG Fucohidan FUCOHELIX 241,500 20 12,075 GAMMA
LFCHA FUCOHELIX SIRUP , 15 ML Fucohidan FUCOHELIX 90,000 1 90,000 GAMMA
KGSDA GLISODIN 30 KAPSUL / BTL Superoxid desmutase melon ext w/ gliadin GLISODIN 225,000 30 7,500 GAMMA
VGLCA GLOBUCEL Vial @ 50ML Imunoglobulin GLOBUCEL 515,000 1 515,000 DELTA
KHPXB HEPAMAX 30 KAP/BOX Silimarin, Ecinasea, Vit E HEPAMAX 300,000 30 10,000 GAMMA
IHXLA HEXILON INJ 125 MG/2 ML Metil Prednisolon HEXILON 115,000 1 115,000 GAMMA
THXLC HEXILON 16 MG/BOX 3 X 10 TAB. Metil Prednisolon HEXILON 250,000 30 8,333 GAMMA
THXLA HEXILON 4 MG 5 X 10 TAB. Metil Prednisolon HEXILON 175,000 50 3,500 GAMMA
THXLB HEXILON 8 MG 3 X 10 TAB. Metil Prednisolon HEXILON 150,000 30 5,000 GAMMA
AIDXB INDUXIN 10 IU AMPUL 1 ML/10 AMP Oxytocin INDUXIN 110,000 10 11,000 ALPHA
TIVTA INVITEC, 3 STRIP @ 10 TABLET Misoprostol INVITEC 360,000 30 12,000 ALPHA
TIVKA IRVASK 150 MG,3 STRIP@10 KAPLET. Irbesartan IRVASK 320,000 30 10,667 BETA
TIVKB IRVASK 300 MG, 3 STRIP @ 10 KAPLET. Irbesartan IRVASK 440,000 30 14,667 BETA
VKFXP KALFOXIM 1000 MG VIAL Cefotaxim KALFOXIM 170,000 1 170,000 DELTA
VKFXK KALFOXIM 500 MG VIAL Cefotaxim KALFOXIM 90,000 1 90,000 DELTA
KKMCK KALMECO 500 MG/BOX 10X10 TAB Mecobalamine KALMECO 315,000 100 3,150 BETA
AKMCA KALMECO 500 MG/BOX 5 AMP Mecobalamine KALMECO 140,000 5 28,000 BETA
IKMCB KALMECO INJEKSI 500 MCG/ML Mecobalamine KALMECO 160,000 5 32,000 BETA
KKNXE KALNEX 250 MG 100 CAPS Tranexamid acid KALNEX 204,750 100 2,048 DELTA
TKNXK KALNEX 500 MG 100 TAB Tranexamid acid KALNEX 351,750 100 3,518 DELTA
 KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/ HNA LINI
AGST '22 BOX @UNIT
AKNXB KALNEX INJ 500 MG 10 AMP Asam Tranexamat KALNEX 157,500 10 15,750 DELTA
AKNXA KALNEX INJ 250 MG 10 AMP Asam Tranexamat KALNEX 120,750 10 12,075 DELTA
TKQNA KALQUINE Hydroxychloroquine KALQUINE 300,000 30 10,000 DELTA
TKTFB KALTROFEN 100MG/BOX 3X10 TAB Ketoprofen KALTROFEN 145,000 30 4,833 DELTA
CKTFA KALTROFEN 100MG/BOX 2X5 SUPP 10 MG Ketoprofen KALTROFEN 165,000 10 16,500 DELTA
KKXTB KALXETIN 10 MG/BOX 3 STRIP@10 KAPSUL Fluoxetine KALXETIN 130,000 30 4,333 GAMMA
KKXTA KALXETIN 20 MG/BOX 3 STRIP@10 CAPS Fluoxetine KALXETIN 210,000 30 7,000 GAMMA
TKOZA KOMBIGLYZE - XR Saxagliptin, Metformin HCL KOMBIGLYZE 450,000 28 16,071 BETA
TLTMA LACTAMOR , 6 BLISTER @ 10 KAPLET Cyanocobalamin, Fenugreek Seed, Sauropus Androgyrus LACTAMOR 140,000 60 2,333 ALPHA
KLCDA LANCID 30 MG/BOX 2@10 CAP Lansoprazole LANCID 340,000 20 17,000 GAMMA
VLZXA LANZOX 100 U Botulinum Toxin Type A LANZOX 2,880,000 1 2,880,000 BETA
VLZXB LANZOX 50 U Botulinum Toxin Type A LANZOX 1,780,000 1 1,780,000 BETA
LLKMA LIKURMIN 100 ML Curcuminoid, Lisin, Vit B1, Vit B2, Vit B6,Vit B12, LIKURMIN 48,000 1 48,000 ALPHA
Niasinamida, asam pantotenant

LLKMB LIKURMIN 100 ML Curcuminoid, Lisin, Vit B1, Vit B2, Vit B6,Vit B12, LIKURMIN 48,000 1 48,000 ALPHA
Niasinamida, asam pantotenant
GLRCA LIPROLAC Vanilla POWDER 30 SACHET Synbiotic LIPROLAC 235,000 30 7,833 ALPHA
LLRCA LIPROLAC BABY Synbiotic LIPROLAC 235,000 1 235,000 ALPHA
TLINA LIXIANA 15 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 BETA
TLINB LIXIANA 30 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 BETA
TLINC LIXIANA 60 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 BETA
Paracetamol/Ibuprofen Sodium Dihydrate 1000/300mg
VMASA MAXIGESIC IV 10VIAL @100ML MAXIGESIC 1,000,000 10 100,000 DELTA
MEDCA MEDICLORE Poloxamer, Chitosan MEDICLORE 1,350,000 1 1,350,000 ALPHA
IMRFC MEROFEN 1000 MG IV INJ/1S Meropenem MEROFEN 610,000 1 610,000 DELTA
IMRFA MEROFEN 500 MG IV INJ/1S Meropenem MEROFEN 310,000 1 310,000 DELTA
TMTXA METRIX 1 MG/BOX 2X15 TAB Glimepiride METRIX 90,000 30 3,000 BETA
TMTXB METRIX 2 MG/BOX 2X15 TAB Glimepiride METRIX 160,000 30 5,333 BETA
TMTXC METRIX 3 MG/BOX 2X15 TAB Glimepiride METRIX 190,000 30 6,333 BETA
TMTXD METRIX 4 MG/BOX 2X15 TAB Glimepiride METRIX 225,000 30 7,500 BETA
IMIKA MIKASIN INJ 250 MG Amikasin Sulfat MIKASIN 110,000 1 110,000 DELTA
IMIKB MIKASIN INJ 500 MG Amikasin Sulfat MIKASIN 185,000 1 185,000 DELTA
KMVFA MOVFOR 200 MG 4 BLISTER 10 KAPSUL Molnufiravir MOVFOR 640,000 40 16,000 GAMMA
LNCBB NECIBLOK SUSPENSI 100 ML Sukralfat NECIBLOK 65,000 1 65,000 GAMMA
LNCBA NECIBLOK SUSPENSI 200 ML Sukralfat NECIBLOK 100,000 1 100,000 GAMMA
CNGAA NEO GYNOXA 1 BOX, 2 BLISTER @ 5 OVULA Metronidazole 500 mg, Nystatin 100.000iu NEO GYNOXA 160,000 10 16,000 ALPHA
KNPTA NEPATIC 5X10 KAPSUL Gabapentin(diabelic neuro) NEPATIC 510,000 50 10,200 BETA
TNRTB NEUROTAM TAB 1200 MG/BOX 5@10 TAB Piracetam NEUROTAM 280,000 50 5,600 BETA
INRTC NEUROTAM VIAL 12 GR/BOX 60 ML Piracetam NEUROTAM 210,000 1 210,000 BETA
INRTB NEUROTAM VIAL 3 GR/BOX 4 AMP Piracetam NEUROTAM 235,000 4 58,750 BETA
TNVRK NEVOX XR 500 MG 3 X 10 TAB Metformin HCL NEVOX 75,000 30 2,500 BETA
TNVRM NEVOX XR 500 MG 100 TAB Metformin HCL NEVOX 199,000 100 1,990 BETA
TNXMB NEXIUM 20 MG 3 BLISTER @10 TAB Esomeprazole NEXIUM 603,486 30 20,116 GAMMA
TNXMC NEXIUM 40 MG 2 BLISTER @7 TAB Esomeprazole NEXIUM 330,963 14 23,640 GAMMA
VNXMA NEXIUM 40 MG INJ 1 VIAL Esomeprazole NEXIUM 222,018 1 222,018 GAMMA
IOTBD OCTALBIN 20% 100 ML Human Albumin OCTALBIN 1,500,000 1 1,500,000 DELTA
IOTBF OCTALBIN 25% 100 ML Human Albumin OCTALBIN 1,950,000 1 1,950,000 DELTA
IOTBE OCTALBIN 25% 50 ML Human Albumin OCTALBIN 980,000 1 980,000 DELTA
VOTBA OCTALBIN 5%/ 250 ML VIAL Human Albumin OCTALBIN 1,250,000 1 1,250,000 DELTA
TONZB ONGLYZA 2.5 MG Saxagliptin ONGLYZA 280,000 28 10,000 BETA
TONZA ONGLYZA 5 MG Saxagliptin ONGLYZA 425,000 28 15,179 BETA
KOFDA OSFIT DHA 3 BLISTER X 10 KAPSUL Kalsium 200 mg, Vit. D 3 100 SI, Tuna Fish Oil 200 mg, OSFIT DHA 135,000 30 4,500 ALPHA
DHA 54 mg, EPA 14 mg

KOSNA OSFIT PLATINUM 30 KAPS Kalsium 200 mg, Vit. D 3 100 SI, Tuna Fish Oil 200 mg, OSFIT PLATINUM 140,000 30 4,667 ALPHA
DHA 54 mg, EPA 14 mg
GPDLA PEDILAX 17 GR 10 SACHET macrogol3350 PEDILAC 200,000 10 20,000 ALPHA
TPNXA PIONIX 15 MG, 3 STRIP @ 10 TABLET Piogitazone PIONIX 215,000 30 7,167 BETA
TPNXB PIONIX 30 MG, 3 STRIP @ 10TABLET Piogitazone PIONIX 330,000 30 11,000 BETA
TPIMA PIONIX M 500 Piogitazone PIONIX 250,000 30 8,333 BETA
TPIMB PIONIX M 850 Piogitazone PIONIX 260,000 30 8,667 BETA
LPTFA PLANTACID FORTE 100 CC Antasida PLANTACID 27,000 1 27,000 GAMMA
TPTFA PLANTACID 100 FORTE Antasida PLANTACID 83,000 1 83,000 GAMMA
APPGA POSPARGIN 2 MG/ML 10 AMP Metil Ergometrin Maleate POSPARGIN 60,000 10 6,000 ALPHA
VPRZA PRANZA 40 MG/VIAL Pantoprazole PRANZA 180,000 1 180,000 GAMMA
TPMTA PREMASTON 5 MG TAB/3X10 Allistrenol PREMASTON 130,000 30 4,333 ALPHA
TPFTA PROFERTIL 50 MG TAB/1X10 Clomifene Citrate PROFERTIL 180,000 10 18,000 ALPHA
TPFLA PROFILAS 1 MG/BOX 5X10 TAB Ketotifen Hidrogen Fumarate PROFILAS 190,000 50 3,800 ALPHA
TPFLB PROFILAS TABLET 10X10 Ketotifen Hidrogen Fumarate PROFILAS 400,000 100 4,000 ALPHA
LPFLA PROFILAS SYR 1 MG/5 ML BTL 60 ML Ketotifen Hidrogen Fumarate PROFILAS 85,000 1 85,000 ALPHA
TPODA PROVE D3 1000 IU Vitamin D3 1000 IU PROVE D 75,000 30 2,500 GAMMA
TPODC PROVE D3 - 1000 IU 100 TAB Vitamin D3 1000 IU PROVE D 190,000 100 1,900 GAMMA
TPODB PROVE D3 - 5000 IU Vitamin D3 5000 IU PROVE D 110,000 30 3,667 GAMMA
LPODA PROVE D3 - DROPS Vitamin D3 400 IU PROVE D - DROP 200,000 1 200,000 GAMMA
IPVCA PROVE-C 1OOO MG INJEKSI Vitamin C 1000 Mg PROVE C 150,000 5 30,000 DELTA
KPOEA PROVE E - 400 IU 60 KAP Vitamin E 400 IU PROVE E 130,000 60 2,167 GAMMA

TPOZA PROVE Z 10x10 KAPLET Vitamin E 30 IU 135, Vitamin C 500mg, Vitamin B1 15mg, PROVE Z 160,000 100 1,600 GAMMA
Vitamin B6 25mg, Vitamin B12 40mcg, Zinc 20mg

Retinol 3.500 IU, Cholecalciferol 220 IU, Alpha-

tocopherol 11,2 IU, Ascorbic acid 125 mg, Thiamine 3,51
VPRIA PROVE VIT 757 MG 4 VIAL mg, Riboflavine 4,14 mg, Pyridoxine 4,53 mg, PROVE VIT 660,000 4 165,000 GAMMA
Cyanocobalamine 6 mcg, Folic acid 414 mcg, Pantothenic
acid 17,25 mg, Biotin 69 mcg, Nicotinamide 46 mg

KPVLB PROVELYN 150 MG, 1 BLISTER @14 KAPSUL Pregabalin PROVELYN 265,000 14 18,929 BETA
KPVLA PROVELYN 75 MG , 1 BLISTER @ 14 KAPSUL Pregabalin PROVELYN 175,000 14 12,500 BETA
KPVLC PROVELYN 50 MG Pregabalin PROVELYN 110,000 14 7,857 BETA
TRANA RANTIN 150 MG 10X10 TABLET Ranitidine Hcl RANTIN 490,000 100 4,900 GAMMA
ARANA RANTIN INJ 50 MG 5 AMP Ranitidine Hcl RANTIN 120,000 5 24,000 GAMMA
KREBB REMABREX 100 MG(OPTIMA) Celecoxib 100 mg REMABREX 175,000 30 5,833 BETA
 KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/ HNA LINI
AGST '22 BOX @UNIT
KREBA REMABREX 200 MG(OPITMA) Celecoxib 200 mg REMABREX 240,000 30 8,000 BETA
VRITA RIBACTER 500 MG Doripenem Monohydrate RIBACTER 450,000 1 450,000 DELTA
TRLSC RILLUS Lactobacillus reuteri 108 CFU RILLUS 235,000 30 7,833 GAMMA
TSLFA SERLOF/BOX 3 STRIP @ 10 TAB Setraline HCL SERLOF 450,000 30 15,000 GAMMA
TSLNA SEROLIN 10 MG Nicergoline SEROLIN 680,000 105 6,476 BETA
TSLNB SEROLIN 30 MG/BOX DRAGEE 30 MGX42S Nicergoline SEROLIN 540,000 42 12,857 BETA
TSCNA SINCRONIK KAPLET Paracetamol, Tramadol SINCRONIK 290,000 30 9,667 BETA
TSPOB SPIROLA 100 MG 5X10 TAB Spironolactone SPIROLA 260,000 50 5,200 GAMMA
TSPOA SPIROLA 25 MG, BOX 5X10 TAB Spironolactone SPIROLA 100,000 50 2,000 GAMMA
KSTRK STAFORIN 500 MG 30 KAPSUL Cefadroxil STAFORIN 350,000 30 11,667 DELTA
DSTRB STAFORIN DS 125MG/5ML Cefadroxil STAFORIN 60,000 1 60,000 ALPHA
DSTRA STAFORIN DS 250/5 ML 60 ML Cefadroxil STAFORIN 85,000 1 85,000 ALPHA
TSTMA Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 275,000
STARMUNO KAPLET 1X30 TAB Zinc Picolinate 5 mg 30 9,167 ALPHA
LSTMB Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 80,000 1
STARMUNO KIDS SYRUP Zinc Picolinate 5 mg 80,000 ALPHA
LSTMC Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 80,000 1
STARMUNO KIDS SYRUP Zinc Picolinate 5 mg 80,000 ALPHA
KHHHH SUPERBA KRILL OIL 3 X 10KAP (OPTIMA) Superbacin SUPERBA 187,500 30 6,250 GAMMA
KSBOB SYNBIO BLISTER Lactobacillus acidophilus, Bifidobacterium longum+FOS SYNBIO 150,000 30 5,000 GAMMA
VTOVB TAMOLIV 500 MG FLEXYBAG (OPTIMA) Paracetamol TAMOLIV 42,000 1 42,000 DELTA
VTOVC TAMOLIV 1000 MG FLEXYBAG (OPTIMA) Paracetamol TAMOLIV 63,000 1 63,000 DELTA
TTIVE TARIVID 200 MG 30 TABLET Ofloxacin TARIVID 290,000 30 9,667 DELTA
TTIVK TARIVID 400 MG 30 TABLET Ofloxacin TARIVID 480,000 30 16,000 DELTA
VTIVC TARIVID OTIC Ofloxacin TARIVID 85,000 1 85,000 DELTA
VTAZA TAZAM PIPERACILLIN/TAZOBACTAM VIAL 4,5Piperacillin / Tazobactam vial TAZAM 315,000 1 315,000 DELTA
VTHDB THIDIM 1 GR Ceftazidim THIDIM 255,000 1 255,000 DELTA
TTKVA TKV 3STRIP@10TABLET Entecavir TKV 825,000 30 27,500 GAMMA
TTRSA TORASIC TABLET 10 MG/2X10 Ketorolac TORASIC 125,000 20 6,250 DELTA
ITRSB TORASIC INJ 30 MG 6 AMPUL Ketorolac TORASIC 235,000 6 39,167 DELTA
TTBRA TRANSBRONCHO 30MG 100 TAB Ambroxol TRANSBRONCHO 75,000 100 750 ALPHA
LTBRB TRANSBRONCHO SYR 15/5 100 Ambroxol TRANSBRONCHO 20,000 1 20,000 ALPHA
GTRTA TROLIT SACHET Red Yeast Rice, Exstrak Psidii Folium, NaCl, KCL, Sod. TROLIT 75,000 6 12,500 ALPHA
Sitrat, Dextrose, Zinc Gluconate, Multivitamin
TTRVD TRUVAZ 10 MG TABLET Atorvastatin TRUVAZ 485,000 30 16,167 BETA
TTRVE TRUVAZ 20 MG TABLET Atorvastatin TRUVAZ 525,000 30 17,500 BETA
TTRVF TRUVAZ 40 MG 3X10 TAB Atorvastatin TRUVAZ 570,000 30 19,000 BETA
KUDHA URDAHEX 250MG/3X10 CAP Asam Ursodioxicolat URDAHEX 335,000 30 11,167 GAMMA
TVBCA VBLOC 25 MG 3 X 10 TAB Carvedilol V-BLOC 213,000 30 7,100 BETA
TVBCC VBLOC 6,25 MG 3X10 TABLET Carvedilol V-BLOC 90,000 30 3,000 BETA
TVBCK V-BLOC 6.25 MG 30 TABLET Carvedilol V-BLOC 90,000 30 3,000 BETA
KVNMB VENOSMIL CAPS 200 MG Hidrosmin VENOSMIL 220,000 20 11,000 GAMMA
CVNMA VENOSMIL GEL 1 TUB Hidrosmin VENOSMIL 190,000 1 190,000 GAMMA
KVTIA VESTEIN 300MG 2 strip @ 10 kapsul Erdostein VESTEIN 110,000 20 5,500 ALPHA
DVTIA VESTEIN DS 60 ML Erdostein VESTEIN 52,000 1 52,000 ALPHA
DVTIB VESTEIN DRY SYRUP 60 ML Erdostein VESTEIN 48,000 1 48,000 ALPHA
IVPMA VIPIME, VIAL 1 G + AQUA PI 10 ML Cefipime VIPIME 330,000 1 330,000 DELTA
IVDNA VITADION Phytomenadione / vit K1 2 mg VITADION 70,000 5 14,000 ALPHA
TVCRB VOMCERAN 4 MG 1X10 TAB/BOX Ondansetron VOMCERAN 190,000 10 19,000 GAMMA
AVCRC VOMCERAN 4 MG / 2 ML 5 AMPUL Ondansetron VOMCERAN 180,000 5 36,000 GAMMA
TVCRA VOMCERAN 8 MG 10 TABLET Ondansetron VOMCERAN 250,000 10 25,000 GAMMA
AVCRA VOMCERAN 8 MG/4 ML 5 AMP. Ondansetron VOMCERAN 335,000 5 67,000 GAMMA
LVCRA VOMCERAN SIRUP 4MG/5ML Ondansetron VOMCERAN SYR 75,000 1 75,000 ALPHA
TVMTB VOMITAS FDT/5X10 TAB Domperidone VOMITAS 215,000 50 4,300 GAMMA
LVMTA VOMITAS SYRUP 60 ML Domperidone VOMITAS 50,000 1 50,000 ALPHA
Vit E 30 IU, Vit. C 750mg, B1 15mg, B2 15mg, B6 25 mg,
TZEGE ZEGAVIT 60 KAPLET B2 15 mcg, B6 25 mg, B12 12 mg mg, Niacinimade 100 ZEGAVIT 235,000 60 3,917 GAMMA
mg, Folic Acid 0.4 mg, Calcium 20 mg, Panyothenic acid
20 mg, Zinc 20 mg
TZTXA ZITHRAX 500 MG @ 6 KAPLET Azitromicyn ZITHRAX 190,000 6 31,667 DELTA
TZPZB ZYPRAZ 0.5 MG/BOX 5 STRIP@10KAP Alprazolam ZYPRAZ 150,000 50 3,000 GAMMA
TZPZC ZYPRAZ 1 MG/BOX 5 STRIP@10KAP Alprazolam ZYPRAZ 250,000 50 5,000 GAMMA
TZPZA ZYPRAZ 0.25 MG 5 X 10'S Alprazolam ZYPRAZ 71,500 50 1,430 GAMMA
DAFTAR HARGA OPTIMA CARE
TAHUN 2023

KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/BOX HNA LINI
JAN '23 @UNIT
TAGNA ANGIOTEN 50 MG 3X10 TAB Losartan Hcl ANGIOTEN 420,000 30 14,000 MIDFIELDER
IANTA ANTITEN-A 40 MG Enoxaparin sodium 40 mg ANTITEN 385,000 2 192,500 MIDFIELDER
IANTB ANTITEN-A 60 MG Enoxaparin sodium 60 mg ANTITEN 525,000 2 262,500 MIDFIELDER
ANTITEN-A 100 MG Enoxaparin sodium 60 mg ANTITEN 675,000 2 337,500 MIDFIELDER
TBTSK BACTESYN 375 MG 30 TAB Sulbactam BACTESYN 748,000 30 24,933 STRIKER
VBTSA BACTESYN INJ.0,75 GR Sulbactam BACTESYN 55,000 1 55,000 STRIKER
VBTSB BACTESYN INJ.1,5 GR Sulbactam BACTESYN 135,000 1 135,000 STRIKER
TBTOA BETA ONE 2,5 MG 50 TAB Bisoprolol BETA ONE 157,500 50 3,150 MIDFIELDER
TBTOB BETA ONE 5 MG 30 TAB Bisoprolol BETA ONE 159,000 30 5,300 MIDFIELDER
TBATB BRAINACT 1 GR/BOX 3 STRIP @ 10 TAB Citicoline BRAINACT 720,000 30 24,000 MIDFIELDER
GBATA BRAINACT 1000 MG SACHET Citicoline BRAINACT 165,000 5 33,000 MIDFIELDER
IBATD BRAINACT 1GR/BOX 5 AMP @ 8 ML Citicoline BRAINACT 675,000 5 135,000 MIDFIELDER
IBATB BRAINACT 250 MG/BOX 2 ML/5AMP Citicoline BRAINACT 265,000 5 53,000 MIDFIELDER
IBATC BRAINACT INJ 500 ML/BOX 5 AMP @4ML Citicoline BRAINACT 425,000 5 85,000 MIDFIELDER
TBATC BRAINACT O-DIS,CITICOLINE 500MG TAB. Citicoline BRAINACT 475,000 30 15,833 MIDFIELDER
TBATA BRAINACT 500 MG/BOX 30 TAB Citicoline BRAINACT 450,000 30 15,000 MIDFIELDER
VBRHA BROADCED HOSPITAL PACK Ceftriaxone Disodium BROADCED 275,000 1 275,000 STRIKER
VBROK BROADCED INJ 1GR Ceftriaxone Disodium BROADCED 305,000 1 305,000 STRIKER
TCRQB CAR-Q 100 , 3 STRIP @ 10 KAPSUL L. Carnitine dan Co-Enzim Q10 CAR-Q 375,000 30 12,500 MIDFIELDER
ICFZE CEFAZOL 1 GR AQUA PI Cefazoline CEFAZOL 165,000 1 165,000 STRIKER
KCEFB CEFSPAN 100 MG 30 KAPSUL Cefixime CEFSPAN 785,000 30 26,167 STRIKER
TCEFE CEFSPAN 200 MG 10 TAB Cefixime CEFSPAN 430,000 10 43,000 STRIKER
DCEFA CEFSPAN DRY SYRUP 30 ML Cefixime CEFSPAN (DS) 125,000 1 125,000 WINGER
VIT A,D,E,B1,B2,B6,B12,fotacid, panthotenic ac, biotin, WINGER
VCNEB CERNEVIT 750MG @ 10 VIAL CERNEVIT 2,600,000 10 260,000
nicotinamid
TCTNA CETINAL , 10 MG @ 30 TABLET Cetirizine HCL CETINAL 192,500 30 6,417 WINGER
LCTNA CETINAL SYRUP 60 ML Cetirizine HCL CETINAL 77,000 1 77,000 WINGER
TCLTA CHOLESTAT 10 MG/BOX 3X10 CAP Simvastatin CHOLESTAT 210,000 30 7,000 MIDFIELDER
TCLTE CHOLESTAT 20 MG/BOX 3X10 CAP Simvastatin CHOLESTAT 290,000 30 9,667 MIDFIELDER
TCTZB CITAZ 100 MG/BOX 5X10 TAB Cilostazol CITAZ 660,000 50 13,200 MIDFIELDER
TCOXK CLAVAMOX 500MG 30TAB Amoxicillin Trihidrate, K Clavulanate CLAVAMOX 440,000 30 14,667 STRIKER
DCOXA CLAVAMOX DS 60 ML Amoxicillin Trihidrate, K Clavulanate CLAVAMOX 80,000 1 80,000 WINGER
ICVFA COVIFOR Remdisivir COVIFOR 425,000 1 425,000 STRIKER
TCPGB CPG BLISTER 3 STRIP@10 TABLET Clopidogrel CPG 550,000 30 18,333 MIDFIELDER
TCPGG CPG 75 MG 30 TABLET Clopidogrel CPG 580,000 30 19,333 MIDFIELDER
TCRVE CRAVIT 250 MG 10 TABLET Levofloxacine CRAVIT 310,000 10 31,000 STRIKER
TCRVK CRAVIT 500 MG 10 TABLET Levofloxacine CRAVIT 500,000 10 50,000 STRIKER
TCRVN CRAVIT 750 MG KAPLET Levofloxacine CRAVIT 580,000 10 58,000 STRIKER
VCRVD CRAVIT 750 MG FLEXY BAG Levofloxacine CRAVIT 450,000 1 450,000 STRIKER
VCRVE CRAVIT IV 500 FLEXYBAG Levofloxacine CRAVIT 375,000 1 375,000 STRIKER
TDIPA DIVALPI @ BOTOL 100 TAB Divalproex Sodium Ekuivalen, Valproic Acid 250 mg DIVALPI 638,000 100 6,380 MIDFIELDER
TDVKB DIVASK 10 MG Amlodipine besylate DIVASK 395,000 30 13,167 MIDFIELDER
TDVKA DIVASK 5 MG Amlodipine besylate DIVASK 250,000 30 8,333 MIDFIELDER
TDPNA DROSPINYL Drospirenone 3mg, Ethinylestradiol 0.003mg DROSPINYL 140,000 21 6,667 WINGER
TENTA EMINETON 10 @ 10 TAB./BOX Multivitamnin EMINETON 178,000 100 1,780 WINGER
TENTB EMINETON TABLET Multivitamnin EMINETON 187,000 100 1,870 WINGER
VEDNA ENDROLIN PACK 3,75 MG VIAL/1 Leuprolide Acetat ENDROLIN 1,408,750 1 1,408,750 WINGER
LENSA ENYSTIN (BTL 12 ML) DROPS + PIPET 1 ML Nystatin 100.000 IU ENYSTIN 42,000 1 42,000 WINGER
VEZLA EZELIN INSULIN GLARGINE 100 IU/ML Injeksi Insulin glargine EZELIN 130,000 1 130,000 MIDFIELDER
VEZLB EZELIN Injeksi Insulin glargine EZELIN 165,000 1 165,000 MIDFIELDER
TFVLA FAVILOW Favipiravir FAVILOW 1,500,000 100 15,000 STRIKER
TFAKA FAVIKAL 200 mg 10@10TAB Favipiravir FAVIKAL 1,700,000 100 17,000 STRIKER
TFVMA FAVIMOL 200 MG 40 TABLET Favipiravir FAVIMOL 520,000 40 13,000 STRIKER
KFCLB FLUCORAL 150 MG 10 KAPS Fluconazole FLUCORAL 787,500 10 78,750 WINGER
IFLTB FLUTIAS 125 @ 1 INHALER Salmeterol 25 mcg & Fluticasone FLUTIAS 165,000 1 165,000 STRIKER
KFLVA FLUVIR 75 MG KAPSUL Oseltamivir FLUVIR 180,000 10 18,000 STRIKER
TFDSA FORDESIA BOX 3 STRIP @ 10 TAB Donepezil Hydrochloride FORDESIA 725,000 30 24,167 MIDFIELDER
Vit b1 100mg,vit b6 50mg,vit b12 100mcg, natural Vit E MIDFIELDER
KFNRA FORNEURO BOX 30 TAB FORNEURO 200,000 30 6,667
200 iu, folic acid 400
TFRSA FORRES 5X10TAB Eperisone HCL FORRES 310,000 50 6,200 MIDFIELDER
VFITA FORIXTRA 2 X 0.5 ML Fondaparinux Sodium FORIXTRA 575,000 2 287,500 MIDFIELDER
LFOTA FOROTIC 3 MG/5 ML Ofloxacin 3ml FOROTIC 95,000 1 95,000 STRIKER
TFGOB FREGO 10 MG/BOX 5X10 TAB Flunarizine FREGO 435,000 50 8,700 MIDFIELDER
TFGOA FREGO 5 MG/BOX 5X10 TAB Flunarizine FREGO 380,000 50 7,600 MIDFIELDER
KFCHB FUCOHELIX 100 MG Fucohidan FUCOHELIX 260,000 20 13,000 STRIKER
LFCHA FUCOHELIX SIRUP , 15 ML Fucohidan FUCOHELIX 94,500 1 94,500 STRIKER
KGSDA GLISODIN 30 KAPSUL / BTL Superoxid desmutase melon ext w/ gliadin GLISODIN 240,000 30 8,000 WINGER
VGLCA GLOBUCEL Vial @ 50ML Imunoglobulin GLOBUCEL 515,000 1 515,000 STRIKER
KHPXB HEPAMAX 30 KAP/BOX Silimarin, Ecinasea, Vit E HEPAMAX 315,000 30 10,500 STRIKER
IHXLA HEXILON INJ 125 MG/2 ML Metil Prednisolon HEXILON 121,000 1 121,000 STRIKER
THXLC HEXILON 16 MG/BOX 3 X 10 TAB. Metil Prednisolon HEXILON 270,000 30 9,000 STRIKER
THXLA HEXILON 4 MG 5 X 10 TAB. Metil Prednisolon HEXILON 189,000 50 3,780 STRIKER
THXLB HEXILON 8 MG 3 X 10 TAB. Metil Prednisolon HEXILON 162,000 30 5,400 STRIKER
AIDXB INDUXIN 10 IU AMPUL 1 ML/10 AMP Oxytocin INDUXIN 121,000 10 12,100 WINGER
TIVTA INVITEC, 3 STRIP @ 10 TABLET Misoprostol INVITEC 396,000 30 13,200 WINGER
TIVKA IRVASK 150 MG,3 STRIP@10 KAPLET. Irbesartan IRVASK 360,000 30 12,000 MIDFIELDER
TIVKB IRVASK 300 MG, 3 STRIP @ 10 KAPLET. Irbesartan IRVASK 480,000 30 16,000 MIDFIELDER
VKFXP KALFOXIM 1000 MG VIAL Cefotaxim KALFOXIM 187,000 1 187,000 STRIKER
VKFXK KALFOXIM 500 MG VIAL Cefotaxim KALFOXIM 100,000 1 100,000 STRIKER
KKMCK KALMECO 500 MG/BOX 10X10 TAB Mecobalamine KALMECO 335,000 100 3,350 MIDFIELDER
AKMCA KALMECO 500 MG/BOX 5 AMP Mecobalamine KALMECO 140,000 5 28,000 MIDFIELDER
IKMCB KALMECO INJEKSI 500 MCG/ML Mecobalamine KALMECO 176,000 5 35,200 MIDFIELDER
KKNXE KALNEX 250 MG 100 CAPS Tranexamid acid KALNEX 230,000 100 2,300 STRIKER
TKNXK KALNEX 500 MG 100 TAB Tranexamid acid KALNEX 390,000 100 3,900 STRIKER
AKNXB KALNEX INJ 500 MG 10 AMP Asam Tranexamat KALNEX 175,000 10 17,500 STRIKER
AKNXA KALNEX INJ 250 MG 10 AMP Asam Tranexamat KALNEX 133,000 10 13,300 STRIKER
TKQNA KALQUINE Hydroxychloroquine KALQUINE 330,000 30 11,000 STRIKER
 KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/BOX HNA LINI
JAN '23 @UNIT
TKTFB KALTROFEN 100MG/BOX 3X10 TAB Ketoprofen KALTROFEN 159,500 30 5,317 STRIKER
CKTFA KALTROFEN 100MG/BOX 2X5 SUPP 10 MG Ketoprofen KALTROFEN 181,500 10 18,150 STRIKER
KKXTB KALXETIN 10 MG/BOX 3 STRIP@10 KAPSUL Fluoxetine KALXETIN 140,000 30 4,667 MIDFIELDER
KKXTA KALXETIN 20 MG/BOX 3 STRIP@10 CAPS Fluoxetine KALXETIN 225,000 30 7,500 MIDFIELDER
TKOZA KOMBIGLYZE - XR Saxagliptin, Metformin HCL KOMBIGLYZE 450,000 28 16,071 MIDFIELDER
WINGER
TLTMA LACTAMOR , 6 BLISTER @ 10 KAPLET Cyanocobalamin, Fenugreek Seed, Sauropus Androgyrus LACTAMOR 147,000 60 2,450
KLCDA LANCID 30 MG/BOX 2@10 CAP Lansoprazole LANCID 374,000 20 18,700 STRIKER
VLZXA LANZOX 100 U Botulinum Toxin Type A LANZOX 2,880,000 1 2,880,000 MIDFIELDER
VLZXB LANZOX 50 U Botulinum Toxin Type A LANZOX 1,780,000 1 1,780,000 MIDFIELDER
Curcuminoid, Lisin, Vit B1, Vit B2, Vit B6,Vit B12, WINGER
LLKMA LIKURMIN 100 ML LIKURMIN 48,000 1 48,000
Niasinamida, asam pantotenant
Curcuminoid, Lisin, Vit B1, Vit B2, Vit B6,Vit B12, WINGER
LLKMB LIKURMIN 100 ML LIKURMIN 51,000 1 51,000
Niasinamida, asam pantotenant
GLRCA LIPROLAC Vanilla POWDER 30 SACHET Synbiotic LIPROLAC 246,750 30 8,225 WINGER
LLRCA LIPROLAC BABY Synbiotic LIPROLAC 245,000 1 245,000 WINGER
TLINA LIXIANA 15 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 MIDFIELDER
TLINB LIXIANA 30 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 MIDFIELDER
TLINC LIXIANA 60 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 MIDFIELDER
Paracetamol/Ibuprofen Sodium Dihydrate 1000/300mg STRIKER
VMASA MAXIGESIC IV 10VIAL @100ML MAXIGESIC 1,000,000 10 100,000
MEDCA MEDICLORE Poloxamer, Chitosan MEDICLORE 1,485,000 1 1,485,000 WINGER
IMRFC MEROFEN 1000 MG IV INJ/1S Meropenem MEROFEN 630,000 1 630,000 STRIKER
IMRFA MEROFEN 500 MG IV INJ/1S Meropenem MEROFEN 341,000 1 341,000 STRIKER
TMTXA METRIX 1 MG/BOX 2X15 TAB Glimepiride METRIX 94,500 30 3,150 MIDFIELDER
TMTXB METRIX 2 MG/BOX 2X15 TAB Glimepiride METRIX 168,000 30 5,600 MIDFIELDER
TMTXC METRIX 3 MG/BOX 2X15 TAB Glimepiride METRIX 200,000 30 6,667 MIDFIELDER
TMTXD METRIX 4 MG/BOX 2X15 TAB Glimepiride METRIX 240,000 30 8,000 MIDFIELDER
IMIKA MIKASIN INJ 250 MG Amikasin Sulfat MIKASIN 115,500 1 115,500 STRIKER
IMIKB MIKASIN INJ 500 MG Amikasin Sulfat MIKASIN 195,000 1 195,000 STRIKER
KMVFA MOVFOR 200 MG 4 BLISTER 10 KAPSUL Molnufiravir MOVFOR 640,000 40 16,000 STRIKER
LNCBB NECIBLOK SUSPENSI 100 ML Sukralfat NECIBLOK 71,500 1 71,500 STRIKER
LNCBA NECIBLOK SUSPENSI 200 ML Sukralfat NECIBLOK 110,000 1 110,000 STRIKER
CNGAA NEO GYNOXA 1 BOX, 2 BLISTER @ 5 OVULA Metronidazole 500 mg, Nystatin 100.000iu NEO GYNOXA 176,000 10 17,600 WINGER
KNPTA NEPATIC 5X10 KAPSUL Gabapentin(diabelic neuro) NEPATIC 561,000 50 11,220 MIDFIELDER
TNRTB NEUROTAM TAB 1200 MG/BOX 5@10 TAB Piracetam NEUROTAM 295,000 50 5,900 MIDFIELDER
INRTC NEUROTAM VIAL 12 GR/BOX 60 ML Piracetam NEUROTAM 210,000 1 210,000 MIDFIELDER
INRTB NEUROTAM VIAL 3 GR/BOX 4 AMP Piracetam NEUROTAM 258,500 4 64,625 MIDFIELDER
TNVRK NEVOX XR 500 MG 3 X 10 TAB Metformin HCL NEVOX 90,000 30 3,000 MIDFIELDER
TNVRM NEVOX XR 500 MG 100 TAB Metformin HCL NEVOX 210,000 100 2,100 MIDFIELDER
TNXMB NEXIUM 20 MG 3 BLISTER @10 TAB Esomeprazole NEXIUM 603,486 30 20,116 STRIKER
TNXMC NEXIUM 40 MG 2 BLISTER @7 TAB Esomeprazole NEXIUM 330,963 14 23,640 STRIKER
VNXMA NEXIUM 40 MG INJ 1 VIAL Esomeprazole NEXIUM 222,018 1 222,018 STRIKER
IOTBD OCTALBIN 20% 100 ML Human Albumin OCTALBIN 1,650,000 1 1,650,000 STRIKER
IOTBF OCTALBIN 25% 100 ML Human Albumin OCTALBIN 2,145,000 1 2,145,000 STRIKER
IOTBE OCTALBIN 25% 50 ML Human Albumin OCTALBIN 1,100,000 1 1,100,000 STRIKER
VOTBA OCTALBIN 5%/ 250 ML VIAL Human Albumin OCTALBIN 1,500,000 1 1,500,000 STRIKER
TONZB ONGLYZA 2.5 MG Saxagliptin ONGLYZA 280,000 28 10,000 MIDFIELDER
TONZA ONGLYZA 5 MG Saxagliptin ONGLYZA 425,000 28 15,179 MIDFIELDER
Kalsium 200 mg, Vit. D 3 100 SI, Tuna Fish Oil 200 mg, WINGER
KOSNA OSFIT PLATINUM 30 KAPS OSFIT PLATINUM 165,000 30 5,500
DHA 54 mg, EPA 14 mg
GPDLA PEDILAX 17 GR 10 SACHET macrogol3350 PEDILAX 220,000 10 22,000 WINGER
TPNXA PIONIX 15 MG, 3 STRIP @ 10 TABLET Piogitazone PIONIX 240,000 30 8,000 MIDFIELDER
TPNXB PIONIX 30 MG, 3 STRIP @ 10TABLET Piogitazone PIONIX 360,000 30 12,000 MIDFIELDER
TPIMA PIONIX M 500 Piogitazone PIONIX 275,000 30 9,167 MIDFIELDER
TPIMB PIONIX M 850 Piogitazone PIONIX 260,000 30 8,667 MIDFIELDER
LPTFA PLANTACID FORTE 100 CC Antasida PLANTACID 27,000 1 27,000 STRIKER
TPTFA PLANTACID 100 FORTE Antasida PLANTACID 83,000 1 83,000 STRIKER
APPGA POSPARGIN 2 MG/ML 10 AMP Metil Ergometrin Maleate POSPARGIN 60,000 10 6,000 WINGER
VPRZA PRANZA 40 MG/VIAL Pantoprazole PRANZA 210,000 1 210,000 STRIKER
TPMTA PREMASTON 5 MG TAB/3X10 Allistrenol PREMASTON 136,500 30 4,550 WINGER
TPFTA PROFERTIL 50 MG TAB/1X10 Clomifene Citrate PROFERTIL 189,000 10 18,900 WINGER
TPFLA PROFILAS 1 MG/BOX 5X10 TAB Ketotifen Hidrogen Fumarate PROFILAS 190,000 50 3,800 WINGER
TPFLB PROFILAS TABLET 10X10 Ketotifen Hidrogen Fumarate PROFILAS 420,000 100 4,200 WINGER
LPFLA PROFILAS SYR 1 MG/5 ML BTL 60 ML Ketotifen Hidrogen Fumarate PROFILAS 93,000 1 93,000 WINGER
TPODA PROVE D3 1000 IU Vitamin D3 1000 IU PROVE D 80,000 30 2,667 WINGER
TPODC PROVE D3 - 1000 IU 100 TAB Vitamin D3 1000 IU PROVE D 195,000 100 1,950 WINGER
TPODB PROVE D3 - 5000 IU Vitamin D3 5000 IU PROVE D 121,000 30 4,033 WINGER
LPODA PROVE D3 - DROPS Vitamin D3 400 IU PROVE D 210,000 1 210,000 WINGER
IPVCA PROVE-C 1OOO MG INJEKSI Vitamin C 1000 Mg PROVE C 150,000 5 30,000 WINGER
KPOEA PROVE E - 400 IU 60 KAP Vitamin E 400 IU PROVE E 136,500 60 2,275 WINGER
WINGER
TPOZA PROVE Z 10x10 KAPLET Vitamin E 30 IU 135, Vitamin C 500mg, Vitamin B1 15mg, PROVE Z 168,000 100 1,680
Vitamin B6 25mg, Vitamin B12 40mcg, Zinc 20mg

WINGER
Retinol 3.500 IU, Cholecalciferol 220 IU, Alpha-
tocopherol 11,2 IU, Ascorbic acid 125 mg, Thiamine 3,51
VPRIA PROVE VIT 757 MG 4 VIAL mg, Riboflavine 4,14 mg, Pyridoxine 4,53 mg, PROVE VIT 660,000 4 165,000
Cyanocobalamine 6 mcg, Folic acid 414 mcg, Pantothenic
acid 17,25 mg, Biotin 69 mcg, Nicotinamide 46 mg

KPVLB PROVELYN 150 MG, 1 BLISTER @14 KAPSUL Pregabalin PROVELYN 280,000 14 20,000 MIDFIELDER
KPVLA PROVELYN 75 MG , 1 BLISTER @ 14 KAPSUL Pregabalin PROVELYN 185,000 14 13,214 MIDFIELDER
KPVLC PROVELYN 50 MG Pregabalin PROVELYN 115,000 14 8,214 MIDFIELDER
TRANA RANTIN 150 MG 10X10 TABLET Ranitidine Hcl RANTIN 550,000 100 5,500 STRIKER
ARANA RANTIN INJ 50 MG 5 AMP Ranitidine Hcl RANTIN 132,000 5 26,400 STRIKER
KREBB REMABREX 100 MG(OPTIMA) Celecoxib 100 mg REMABREX 175,000 30 5,833 MIDFIELDER
KREBA REMABREX 200 MG(OPITMA) Celecoxib 200 mg REMABREX 240,000 30 8,000 MIDFIELDER
TRLSC RILLUS Lactobacillus reuteri 108 CFU RILLUS 245,000 30 8,167 WINGER
TSLFA SERLOF/BOX 3 STRIP @ 10 TAB Setraline HCL SERLOF 495,000 30 16,500 MIDFIELDER
TSLNA SEROLIN 10 MG Nicergoline SEROLIN 680,000 105 6,476 MIDFIELDER
TSLNB SEROLIN 30 MG/BOX DRAGEE 30 MGX42S Nicergoline SEROLIN 540,000 42 12,857 MIDFIELDER
 KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/BOX HNA LINI
JAN '23 @UNIT
TSCNA SINCRONIK KAPLET Paracetamol, Tramadol SINCRONIK 320,000 30 10,667 MIDFIELDER
TSPOB SPIROLA 100 MG 5X10 TAB Spironolactone SPIROLA 286,000 50 5,720 MIDFIELDER
TSPOA SPIROLA 25 MG, BOX 5X10 TAB Spironolactone SPIROLA 110,000 50 2,200 MIDFIELDER
KSTRK STAFORIN 500 MG 30 KAPSUL Cefadroxil STAFORIN 367,500 30 12,250 STRIKER
DSTRB STAFORIN DS 125MG/5ML Cefadroxil STAFORIN 60,000 1 60,000 WINGER
DSTRA STAFORIN DS 250/5 ML 60 ML Cefadroxil STAFORIN 85,000 1 85,000 WINGER
TSTMA Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 288,750 WINGER
STARMUNO KAPLET 1X30 TAB Zinc Picolinate 5 mg 30 9,625
LSTMB Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 80,000 1 WINGER
STARMUNO KIDS SYRUP Zinc Picolinate 5 mg 80,000
LSTMC Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 90,000 1 WINGER
STARMUNO KIDS SYRUP Zinc Picolinate 5 mg 90,000
KHHHH SUPERBA KRILL OIL 3 X 10KAP (OPTIMA) Superbacin SUPERBA 187,500 30 6,250 STRIKER
WINGER
KSBOB SYNBIO BLISTER Lactobacillus acidophilus, Bifidobacterium longum+FOS SYNBIO 157,500 30 5,250
TTIVE TARIVID 200 MG 30 TABLET Ofloxacin TARIVID 320,000 30 10,667 STRIKER
TTIVK TARIVID 400 MG 30 TABLET Ofloxacin TARIVID 528,000 30 17,600 STRIKER
VTIVC TARIVID OTIC Ofloxacin TARIVID 85,000 1 85,000 STRIKER
VTAZA TAZAM PIPERACILLIN/TAZOBACTAM VIAL 4,5Piperacillin / Tazobactam vial TAZAM 345,000 1 345,000 STRIKER
VTHDB THIDIM 1 GR Ceftazidim THIDIM 270,000 1 270,000 STRIKER
TTKVA TKV 3STRIP@10TABLET Entecavir TKV 891,000 30 29,700 STRIKER
TTRSA TORASIC TABLET 10 MG/2X10 Ketorolac TORASIC 137,500 20 6,875 STRIKER
ITRSB TORASIC INJ 30 MG 6 AMPUL Ketorolac TORASIC 250,000 6 41,667 STRIKER
Red Yeast Rice, Exstrak Psidii Folium, NaCl, KCL, Sod. WINGER
GTRTA TROLIT SACHET TROLIT 82,500 6 13,750
Sitrat, Dextrose, Zinc Gluconate, Multivitamin
TTRVD TRUVAZ 10 MG TABLET Atorvastatin TRUVAZ 525,000 30 17,500 MIDFIELDER
TTRVE TRUVAZ 20 MG TABLET Atorvastatin TRUVAZ 560,000 30 18,667 MIDFIELDER
TTRVF TRUVAZ 40 MG 3X10 TAB Atorvastatin TRUVAZ 610,000 30 20,333 MIDFIELDER
KUDHA URDAHEX 250MG/3X10 CAP Asam Ursodioxicolat URDAHEX 368,500 30 12,283 STRIKER
TVBCA VBLOC 25 MG 3 X 10 TAB Carvedilol V-BLOC 235,000 30 7,833 MIDFIELDER
TVBCC VBLOC 6,25 MG 3X10 TABLET Carvedilol V-BLOC 90,000 30 3,000 MIDFIELDER
TVBCK V-BLOC 6.25 MG 30 TABLET Carvedilol V-BLOC 100,000 30 3,333 MIDFIELDER
KVNMB VENOSMIL CAPS 200 MG Hidrosmin VENOSMIL 242,000 20 12,100 STRIKER
CVNMA VENOSMIL GEL 1 TUB Hidrosmin VENOSMIL 199,500 1 199,500 STRIKER
KVTIA VESTEIN 300MG 2 strip @ 10 kapsul Erdostein VESTEIN 121,000 20 6,050 WINGER
DVTIA VESTEIN DS 60 ML Erdostein VESTEIN 52,000 1 52,000 WINGER
DVTIB VESTEIN DRY SYRUP 60 ML Erdostein VESTEIN 60,000 1 60,000 WINGER
IVPMA VIPIME, VIAL 1 G + AQUA PI 10 ML Cefipime VIPIME 350,000 1 350,000 STRIKER
IVDNA VITADION Phytomenadione / vit K1 2 mg VITADION 73,500 5 14,700 WINGER
TVCRB VOMCERAN 4 MG 1X10 TAB/BOX Ondansetron VOMCERAN 199,500 10 19,950 STRIKER
AVCRC VOMCERAN 4 MG / 2 ML 5 AMPUL Ondansetron VOMCERAN 198,000 5 39,600 STRIKER
TVCRA VOMCERAN 8 MG 10 TABLET Ondansetron VOMCERAN 262,500 10 26,250 STRIKER
AVCRA VOMCERAN 8 MG/4 ML 5 AMP. Ondansetron VOMCERAN 368,500 5 73,700 STRIKER
TVMTB VOMITAS FDT/5X10 TAB Domperidone VOMITAS 232,200 50 4,644 STRIKER
LVMTA VOMITAS SYRUP 60 ML Domperidone VOMITAS 55,000 1 55,000 WINGER
Vit E 30 IU, Vit. C 750mg, B1 15mg, B2 15mg, B6 25 mg, WINGER
TZEGA ZEGAVIT 50 KAPLET B2 15 mcg, B6 25 mg, B12 12 mg mg, Niacinimade 100 ZEGAVIT
mg, Folic Acid 0.4 mg, Calcium 20 mg, Panyothenic acid
20 mg, Zinc 20 mg

Vit E 30 IU, Vit. C 750mg, B1 15mg, B2 15mg, B6 25 mg, WINGER

TZEGE ZEGAVIT 60 KAPLET B2 15 mcg, B6 25 mg, B12 12 mg mg, Niacinimade 100 ZEGAVIT 240,000 60 4,000
mg, Folic Acid 0.4 mg, Calcium 20 mg, Panyothenic acid
20 mg, Zinc 20 mg
TZTXA ZITHRAX 500 MG @ 6 KAPLET Azitromicyn ZITHRAX 205,000 6 34,167 STRIKER
TZPZB ZYPRAZ 0.5 MG/BOX 5 STRIP@10KAP Alprazolam ZYPRAZ 165,000 50 3,300 MIDFIELDER
TZPZC ZYPRAZ 1 MG/BOX 5 STRIP@10KAP Alprazolam ZYPRAZ 275,000 50 5,500 MIDFIELDER
TZPZA ZYPRAZ 0.25 MG 5 X 10'S Alprazolam ZYPRAZ 71,500 50 1,430 MIDFIELDER
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DAFTAR HARGA OPTIMA CARE
TAHUN 2022

KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/ HNA LINI
AGST '22 BOX @UNIT
TAGNA ANGIOTEN 50 MG 3X10 TAB Losartan Hcl ANGIOTEN 400,000 30 13,333 BETA
IANTA ANTITEN-A 40 MG Enoxaparin sodium 40 mg ANTITEN 385,000 2 192,500 BETA
IANTB ANTITEN-A 60 MG Enoxaparin sodium 60 mg ANTITEN 525,000 2 262,500 BETA
ANTITEN-A 100 MG Enoxaparin sodium 60 mg ANTITEN 675,000 2 337,500 BETA
TBTSK BACTESYN 375 MG 30 TAB Sulbactam BACTESYN 680,000 30 22,667 DELTA
VBTSA BACTESYN INJ.0,75 GR Sulbactam BACTESYN 35,000 1 35,000 DELTA
VBTSB BACTESYN INJ.1,5 GR Sulbactam BACTESYN 100,000 1 100,000 DELTA
TBTOA BETA ONE 2,5 MG 50 TAB Bisoprolol BETA ONE 150,000 50 3,000 BETA
TBTOB BETA ONE 5 MG 30 TAB Bisoprolol BETA ONE 159,000 30 5,300 BETA
TBATB BRAINACT 1 GR/BOX 3 STRIP @ 10 TAB Citicoline BRAINACT 690,000 30 23,000 BETA
GBATA BRAINACT 1000 MG SACHET Citicoline BRAINACT 150,000 5 30,000 BETA
IBATD BRAINACT 1GR/BOX 5 AMP @ 8 ML Citicoline BRAINACT 625,000 5 125,000 BETA
IBATB BRAINACT 250 MG/BOX 2 ML/5AMP Citicoline BRAINACT 240,000 5 48,000 BETA
IBATC BRAINACT INJ 500 ML/BOX 5 AMP @4ML Citicoline BRAINACT 390,000 5 78,000 BETA
TBATC BRAINACT O-DIS,CITICOLINE 500MG TAB. Citicoline BRAINACT 450,000 30 15,000 BETA
TBATA BRAINACT 500 MG/BOX 30 TAB Citicoline BRAINACT 425,000 30 14,167 BETA
VBRHA BROADCED HOSPITAL PACK Ceftriaxone Disodium BROADCED 275,000 1 275,000 DELTA
VBROK BROADCED INJ 1GR Ceftriaxone Disodium BROADCED 260,000 1 260,000 DELTA
TCRQB CAR-Q 100 , 3 STRIP @ 10 KAPSUL L. Carnitine dan Co-Enzim Q10 CAR-Q 360,000 30 12,000 BETA
ICFZE CEFAZOL 1 GR AQUA PI Cefazoline CEFAZOL 150,000 1 150,000 DELTA
KCEFB CEFSPAN 100 MG 30 KAPSUL Cefixime CEFSPAN 735,000 30 24,500 DELTA
TCEFE CEFSPAN 200 MG 10 TAB Cefixime CEFSPAN 390,000 10 39,000 DELTA
DCEFA CEFSPAN DRY SYRUP 30 ML Cefixime CEFSPAN (DS) 110,000 1 110,000 ALPHA
VCNEB CERNEVIT 750MG @ 10 VIAL VIT A,D,E,B1,B2,B6,B12,fotacid, panthotenic ac, biotin, CERNEVIT 2,500,000 10 250,000 GAMMA
nicotinamid
TCTNA CETINAL , 10 MG @ 30 TABLET Cetirizine HCL CETINAL 175,000 30 5,833 ALPHA
LCTNA CETINAL SYRUP 60 ML Cetirizine HCL CETINAL 70,000 1 70,000 ALPHA
TCLTA CHOLESTAT 10 MG/BOX 3X10 CAP Simvastatin CHOLESTAT 200,000 30 6,667 BETA
TCLTE CHOLESTAT 20 MG/BOX 3X10 CAP Simvastatin CHOLESTAT 275,000 30 9,167 BETA
TCTZB CITAZ 100 MG/BOX 5X10 TAB Cilostazol CITAZ 600,000 50 12,000 BETA
TCOXK CLAVAMOX 500MG 30TAB Amoxicillin Trihidrate, K Clavulanate CLAVAMOX 400,000 30 13,333 DELTA
DCOXA CLAVAMOX DS 60 ML Amoxicillin Trihidrate, K Clavulanate CLAVAMOX 80,000 1 80,000 ALPHA
ICVFA COVIFOR Remdisivir COVIFOR 425,000 1 425,000 DELTA
TCPGB CPG BLISTER 3 STRIP@10 TABLET Clopidogrel CPG 550,000 30 18,333 BETA
TCPGG CPG 75 MG 30 TABLET Clopidogrel CPG 550,000 30 18,333 BETA
TCRVE CRAVIT 250 MG 10 TABLET Levofloxacine CRAVIT 280,000 10 28,000 DELTA
TCRVK CRAVIT 500 MG 10 TABLET Levofloxacine CRAVIT 450,000 10 45,000 DELTA
TCRVN CRAVIT 750 MG KAPLET Levofloxacine CRAVIT 530,000 10 53,000 DELTA
VCRVD CRAVIT 750 MG FLEXY BAG Levofloxacine CRAVIT 410,000 1 410,000 DELTA
VCRVE CRAVIT IV 500 FLEXYBAG Levofloxacine CRAVIT 340,000 1 340,000 DELTA
TDIPA DIVALPI @ BOTOL 100 TAB Divalproex Sodium Ekuivalen, Valproic Acid 250 mg DIVALPI 580,000 100 5,800 GAMMA
TDVKB DIVASK 10 MG Amlodipine besylate DIVASK 375,000 30 12,500 BETA
TDVKA DIVASK 5 MG Amlodipine besylate DIVASK 230,000 30 7,667 BETA
TDPNA DROSPINYL Drospirenone 3mg, Ethinylestradiol 0.003mg DROSPINYL 140,000 21 6,667 ALPHA
TENTA EMINETON 10 @ 10 TAB./BOX Multivitamnin EMINETON 178,000 100 1,780 ALPHA
TENTB EMINETON TABLET Multivitamnin EMINETON 178,000 100 1,780 ALPHA
VEDNA ENDROLIN PACK 3,75 MG VIAL/1 Leuprolide Acetat ENDROLIN 1,225,000 1 1,225,000 ALPHA
LENSA ENYSTIN (BTL 12 ML) DROPS + PIPET 1 ML Nystatin 100.000 IU ENYSTIN 38,000 1 38,000 ALPHA
VEZLA EZELIN INSULIN GLARGINE 100 IU/ML Injeksi Insulin glargine EZELIN 130,000 1 130,000 BETA
VEZLB EZELIN Injeksi Insulin glargine EZELIN 130,000 1 130,000 BETA
TEZOA EZOL 20 Esomeprazole EZOL 330,000 28 11,786 GAMMA
TEZOB EZOL 40 Esomeprazole EZOL 490,000 28 17,500 GAMMA
VEZMA EZOMEB 40MG/VIAL Esomeprazole EZOMEB 160,000 1 160,000 GAMMA
TFVLA FAVILOW Favipiravir FAVILOW 1,500,000 100 15,000 DELTA
TFAKA FAVIKAL 200 mg 10@10TAB Favipiravir FAVIKAL 1,700,000 100 17,000 DELTA
TFVMA FAVIMOL 200 MG 40 TABLET Favipiravir FAVIMOL 520,000 40 13,000 DELTA
KFCLB FLUCORAL 150 MG 10 KAPS Fluconazole FLUCORAL 750,000 10 75,000 ALPHA
IFLTB FLUTIAS 125 @ 1 INHALER Salmeterol 25 mcg & Fluticasone FLUTIAS 155,000 1 155,000 DELTA
KFLVA FLUVIR 75 MG KAPSUL Oseltamivir FLUVIR 180,000 10 18,000 DELTA
TFDSA FORDESIA BOX 3 STRIP @ 10 TAB Donepezil Hydrochloride FORDESIA 690,000 30 23,000 BETA
KFNRA FORNEURO BOX 30 TAB Vit b1 100mg,vit b6 50mg,vit b12 100mcg, natural Vit E FORNEURO 178,500 30 5,950 GAMMA
200 iu, folic acid 400
TFRSA FORRES 5X10TAB Eperisone HCL FORRES 275,000 50 5,500 BETA
VFITA FORIXTRA 2 X 0.5 ML Fondaparinux Sodium FORIXTRA 540,000 2 270,000 BETA
LFOTA FOROTIC 3 MG/5 ML Ofloxacin 3ml FOROTIC 90,000 1 90,000 DELTA
TFGOB FREGO 10 MG/BOX 5X10 TAB Flunarizine FREGO 410,000 50 8,200 BETA
TFGOA FREGO 5 MG/BOX 5X10 TAB Flunarizine FREGO 350,000 50 7,000 BETA
KFCHB FUCOHELIX 100 MG Fucohidan FUCOHELIX 241,500 20 12,075 GAMMA
LFCHA FUCOHELIX SIRUP , 15 ML Fucohidan FUCOHELIX 90,000 1 90,000 GAMMA
KGSDA GLISODIN 30 KAPSUL / BTL Superoxid desmutase melon ext w/ gliadin GLISODIN 225,000 30 7,500 GAMMA
VGLCA GLOBUCEL Vial @ 50ML Imunoglobulin GLOBUCEL 515,000 1 515,000 DELTA
KHPXB HEPAMAX 30 KAP/BOX Silimarin, Ecinasea, Vit E HEPAMAX 300,000 30 10,000 GAMMA
IHXLA HEXILON INJ 125 MG/2 ML Metil Prednisolon HEXILON 115,000 1 115,000 GAMMA
THXLC HEXILON 16 MG/BOX 3 X 10 TAB. Metil Prednisolon HEXILON 250,000 30 8,333 GAMMA
THXLA HEXILON 4 MG 5 X 10 TAB. Metil Prednisolon HEXILON 175,000 50 3,500 GAMMA
THXLB HEXILON 8 MG 3 X 10 TAB. Metil Prednisolon HEXILON 150,000 30 5,000 GAMMA
AIDXB INDUXIN 10 IU AMPUL 1 ML/10 AMP Oxytocin INDUXIN 110,000 10 11,000 ALPHA
TIVTA INVITEC, 3 STRIP @ 10 TABLET Misoprostol INVITEC 360,000 30 12,000 ALPHA
TIVKA IRVASK 150 MG,3 STRIP@10 KAPLET. Irbesartan IRVASK 320,000 30 10,667 BETA
TIVKB IRVASK 300 MG, 3 STRIP @ 10 KAPLET. Irbesartan IRVASK 440,000 30 14,667 BETA
VKFXP KALFOXIM 1000 MG VIAL Cefotaxim KALFOXIM 170,000 1 170,000 DELTA
VKFXK KALFOXIM 500 MG VIAL Cefotaxim KALFOXIM 90,000 1 90,000 DELTA
KKMCK KALMECO 500 MG/BOX 10X10 TAB Mecobalamine KALMECO 315,000 100 3,150 BETA
AKMCA KALMECO 500 MG/BOX 5 AMP Mecobalamine KALMECO 140,000 5 28,000 BETA
IKMCB KALMECO INJEKSI 500 MCG/ML Mecobalamine KALMECO 160,000 5 32,000 BETA
KKNXE KALNEX 250 MG 100 CAPS Tranexamid acid KALNEX 204,750 100 2,048 DELTA
TKNXK KALNEX 500 MG 100 TAB Tranexamid acid KALNEX 351,750 100 3,518 DELTA
 KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/ HNA LINI
AGST '22 BOX @UNIT
AKNXB KALNEX INJ 500 MG 10 AMP Asam Tranexamat KALNEX 157,500 10 15,750 DELTA
AKNXA KALNEX INJ 250 MG 10 AMP Asam Tranexamat KALNEX 120,750 10 12,075 DELTA
TKQNA KALQUINE Hydroxychloroquine KALQUINE 300,000 30 10,000 DELTA
TKTFB KALTROFEN 100MG/BOX 3X10 TAB Ketoprofen KALTROFEN 145,000 30 4,833 DELTA
CKTFA KALTROFEN 100MG/BOX 2X5 SUPP 10 MG Ketoprofen KALTROFEN 165,000 10 16,500 DELTA
KKXTB KALXETIN 10 MG/BOX 3 STRIP@10 KAPSUL Fluoxetine KALXETIN 130,000 30 4,333 GAMMA
KKXTA KALXETIN 20 MG/BOX 3 STRIP@10 CAPS Fluoxetine KALXETIN 210,000 30 7,000 GAMMA
TKOZA KOMBIGLYZE - XR Saxagliptin, Metformin HCL KOMBIGLYZE 450,000 28 16,071 BETA
TLTMA LACTAMOR , 6 BLISTER @ 10 KAPLET Cyanocobalamin, Fenugreek Seed, Sauropus Androgyrus LACTAMOR 140,000 60 2,333 ALPHA
KLCDA LANCID 30 MG/BOX 2@10 CAP Lansoprazole LANCID 340,000 20 17,000 GAMMA
VLZXA LANZOX 100 U Botulinum Toxin Type A LANZOX 2,880,000 1 2,880,000 BETA
VLZXB LANZOX 50 U Botulinum Toxin Type A LANZOX 1,780,000 1 1,780,000 BETA
LLKMA LIKURMIN 100 ML Curcuminoid, Lisin, Vit B1, Vit B2, Vit B6,Vit B12, LIKURMIN 48,000 1 48,000 ALPHA
Niasinamida, asam pantotenant

LLKMB LIKURMIN 100 ML Curcuminoid, Lisin, Vit B1, Vit B2, Vit B6,Vit B12, LIKURMIN 48,000 1 48,000 ALPHA
Niasinamida, asam pantotenant
GLRCA LIPROLAC Vanilla POWDER 30 SACHET Synbiotic LIPROLAC 235,000 30 7,833 ALPHA
LLRCA LIPROLAC BABY Synbiotic LIPROLAC 235,000 1 235,000 ALPHA
TLINA LIXIANA 15 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 BETA
TLINB LIXIANA 30 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 BETA
TLINC LIXIANA 60 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 BETA
Paracetamol/Ibuprofen Sodium Dihydrate 1000/300mg
VMASA MAXIGESIC IV 10VIAL @100ML MAXIGESIC 1,000,000 10 100,000 DELTA
MEDCA MEDICLORE Poloxamer, Chitosan MEDICLORE 1,350,000 1 1,350,000 ALPHA
IMRFC MEROFEN 1000 MG IV INJ/1S Meropenem MEROFEN 610,000 1 610,000 DELTA
IMRFA MEROFEN 500 MG IV INJ/1S Meropenem MEROFEN 310,000 1 310,000 DELTA
TMTXA METRIX 1 MG/BOX 2X15 TAB Glimepiride METRIX 90,000 30 3,000 BETA
TMTXB METRIX 2 MG/BOX 2X15 TAB Glimepiride METRIX 160,000 30 5,333 BETA
TMTXC METRIX 3 MG/BOX 2X15 TAB Glimepiride METRIX 190,000 30 6,333 BETA
TMTXD METRIX 4 MG/BOX 2X15 TAB Glimepiride METRIX 225,000 30 7,500 BETA
IMIKA MIKASIN INJ 250 MG Amikasin Sulfat MIKASIN 110,000 1 110,000 DELTA
IMIKB MIKASIN INJ 500 MG Amikasin Sulfat MIKASIN 185,000 1 185,000 DELTA
KMVFA MOVFOR 200 MG 4 BLISTER 10 KAPSUL Molnufiravir MOVFOR 640,000 40 16,000 GAMMA
LNCBB NECIBLOK SUSPENSI 100 ML Sukralfat NECIBLOK 65,000 1 65,000 GAMMA
LNCBA NECIBLOK SUSPENSI 200 ML Sukralfat NECIBLOK 100,000 1 100,000 GAMMA
CNGAA NEO GYNOXA 1 BOX, 2 BLISTER @ 5 OVULA Metronidazole 500 mg, Nystatin 100.000iu NEO GYNOXA 160,000 10 16,000 ALPHA
KNPTA NEPATIC 5X10 KAPSUL Gabapentin(diabelic neuro) NEPATIC 510,000 50 10,200 BETA
TNRTB NEUROTAM TAB 1200 MG/BOX 5@10 TAB Piracetam NEUROTAM 280,000 50 5,600 BETA
INRTC NEUROTAM VIAL 12 GR/BOX 60 ML Piracetam NEUROTAM 210,000 1 210,000 BETA
INRTB NEUROTAM VIAL 3 GR/BOX 4 AMP Piracetam NEUROTAM 235,000 4 58,750 BETA
TNVRK NEVOX XR 500 MG 3 X 10 TAB Metformin HCL NEVOX 75,000 30 2,500 BETA
TNVRM NEVOX XR 500 MG 100 TAB Metformin HCL NEVOX 199,000 100 1,990 BETA
TNXMB NEXIUM 20 MG 3 BLISTER @10 TAB Esomeprazole NEXIUM 603,486 30 20,116 GAMMA
TNXMC NEXIUM 40 MG 2 BLISTER @7 TAB Esomeprazole NEXIUM 330,963 14 23,640 GAMMA
VNXMA NEXIUM 40 MG INJ 1 VIAL Esomeprazole NEXIUM 222,018 1 222,018 GAMMA
IOTBD OCTALBIN 20% 100 ML Human Albumin OCTALBIN 1,500,000 1 1,500,000 DELTA
IOTBF OCTALBIN 25% 100 ML Human Albumin OCTALBIN 1,950,000 1 1,950,000 DELTA
IOTBE OCTALBIN 25% 50 ML Human Albumin OCTALBIN 980,000 1 980,000 DELTA
VOTBA OCTALBIN 5%/ 250 ML VIAL Human Albumin OCTALBIN 1,250,000 1 1,250,000 DELTA
TONZB ONGLYZA 2.5 MG Saxagliptin ONGLYZA 280,000 28 10,000 BETA
TONZA ONGLYZA 5 MG Saxagliptin ONGLYZA 425,000 28 15,179 BETA
KOFDA OSFIT DHA 3 BLISTER X 10 KAPSUL Kalsium 200 mg, Vit. D 3 100 SI, Tuna Fish Oil 200 mg, OSFIT DHA 135,000 30 4,500 ALPHA
DHA 54 mg, EPA 14 mg

KOSNA OSFIT PLATINUM 30 KAPS Kalsium 200 mg, Vit. D 3 100 SI, Tuna Fish Oil 200 mg, OSFIT PLATINUM 140,000 30 4,667 ALPHA
DHA 54 mg, EPA 14 mg
GPDLA PEDILAX 17 GR 10 SACHET macrogol3350 PEDILAC 200,000 10 20,000 ALPHA
TPNXA PIONIX 15 MG, 3 STRIP @ 10 TABLET Piogitazone PIONIX 215,000 30 7,167 BETA
TPNXB PIONIX 30 MG, 3 STRIP @ 10TABLET Piogitazone PIONIX 330,000 30 11,000 BETA
TPIMA PIONIX M 500 Piogitazone PIONIX 250,000 30 8,333 BETA
TPIMB PIONIX M 850 Piogitazone PIONIX 260,000 30 8,667 BETA
LPTFA PLANTACID FORTE 100 CC Antasida PLANTACID 27,000 1 27,000 GAMMA
TPTFA PLANTACID 100 FORTE Antasida PLANTACID 83,000 1 83,000 GAMMA
APPGA POSPARGIN 2 MG/ML 10 AMP Metil Ergometrin Maleate POSPARGIN 60,000 10 6,000 ALPHA
VPRZA PRANZA 40 MG/VIAL Pantoprazole PRANZA 180,000 1 180,000 GAMMA
TPMTA PREMASTON 5 MG TAB/3X10 Allistrenol PREMASTON 130,000 30 4,333 ALPHA
TPFTA PROFERTIL 50 MG TAB/1X10 Clomifene Citrate PROFERTIL 180,000 10 18,000 ALPHA
TPFLA PROFILAS 1 MG/BOX 5X10 TAB Ketotifen Hidrogen Fumarate PROFILAS 190,000 50 3,800 ALPHA
TPFLB PROFILAS TABLET 10X10 Ketotifen Hidrogen Fumarate PROFILAS 400,000 100 4,000 ALPHA
LPFLA PROFILAS SYR 1 MG/5 ML BTL 60 ML Ketotifen Hidrogen Fumarate PROFILAS 85,000 1 85,000 ALPHA
TPODA PROVE D3 1000 IU Vitamin D3 1000 IU PROVE D 75,000 30 2,500 GAMMA
TPODC PROVE D3 - 1000 IU 100 TAB Vitamin D3 1000 IU PROVE D 190,000 100 1,900 GAMMA
TPODB PROVE D3 - 5000 IU Vitamin D3 5000 IU PROVE D 110,000 30 3,667 GAMMA
LPODA PROVE D3 - DROPS Vitamin D3 400 IU PROVE D - DROP 200,000 1 200,000 GAMMA
IPVCA PROVE-C 1OOO MG INJEKSI Vitamin C 1000 Mg PROVE C 150,000 5 30,000 DELTA
KPOEA PROVE E - 400 IU 60 KAP Vitamin E 400 IU PROVE E 130,000 60 2,167 GAMMA

TPOZA PROVE Z 10x10 KAPLET Vitamin E 30 IU 135, Vitamin C 500mg, Vitamin B1 15mg, PROVE Z 160,000 100 1,600 GAMMA
Vitamin B6 25mg, Vitamin B12 40mcg, Zinc 20mg

Retinol 3.500 IU, Cholecalciferol 220 IU, Alpha-

tocopherol 11,2 IU, Ascorbic acid 125 mg, Thiamine 3,51
VPRIA PROVE VIT 757 MG 4 VIAL mg, Riboflavine 4,14 mg, Pyridoxine 4,53 mg, PROVE VIT 660,000 4 165,000 GAMMA
Cyanocobalamine 6 mcg, Folic acid 414 mcg, Pantothenic
acid 17,25 mg, Biotin 69 mcg, Nicotinamide 46 mg

KPVLB PROVELYN 150 MG, 1 BLISTER @14 KAPSUL Pregabalin PROVELYN 265,000 14 18,929 BETA
KPVLA PROVELYN 75 MG , 1 BLISTER @ 14 KAPSUL Pregabalin PROVELYN 175,000 14 12,500 BETA
KPVLC PROVELYN 50 MG Pregabalin PROVELYN 110,000 14 7,857 BETA
TRANA RANTIN 150 MG 10X10 TABLET Ranitidine Hcl RANTIN 490,000 100 4,900 GAMMA
ARANA RANTIN INJ 50 MG 5 AMP Ranitidine Hcl RANTIN 120,000 5 24,000 GAMMA
KREBB REMABREX 100 MG(OPTIMA) Celecoxib 100 mg REMABREX 175,000 30 5,833 BETA
 KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/ HNA LINI
AGST '22 BOX @UNIT
KREBA REMABREX 200 MG(OPITMA) Celecoxib 200 mg REMABREX 240,000 30 8,000 BETA
VRITA RIBACTER 500 MG Doripenem Monohydrate RIBACTER 450,000 1 450,000 DELTA
TRLSC RILLUS Lactobacillus reuteri 108 CFU RILLUS 235,000 30 7,833 GAMMA
TSLFA SERLOF/BOX 3 STRIP @ 10 TAB Setraline HCL SERLOF 450,000 30 15,000 GAMMA
TSLNA SEROLIN 10 MG Nicergoline SEROLIN 680,000 105 6,476 BETA
TSLNB SEROLIN 30 MG/BOX DRAGEE 30 MGX42S Nicergoline SEROLIN 540,000 42 12,857 BETA
TSCNA SINCRONIK KAPLET Paracetamol, Tramadol SINCRONIK 290,000 30 9,667 BETA
TSPOB SPIROLA 100 MG 5X10 TAB Spironolactone SPIROLA 260,000 50 5,200 GAMMA
TSPOA SPIROLA 25 MG, BOX 5X10 TAB Spironolactone SPIROLA 100,000 50 2,000 GAMMA
KSTRK STAFORIN 500 MG 30 KAPSUL Cefadroxil STAFORIN 350,000 30 11,667 DELTA
DSTRB STAFORIN DS 125MG/5ML Cefadroxil STAFORIN 60,000 1 60,000 ALPHA
DSTRA STAFORIN DS 250/5 ML 60 ML Cefadroxil STAFORIN 85,000 1 85,000 ALPHA
TSTMA Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 275,000
STARMUNO KAPLET 1X30 TAB Zinc Picolinate 5 mg 30 9,167 ALPHA
LSTMB Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 80,000 1
STARMUNO KIDS SYRUP Zinc Picolinate 5 mg 80,000 ALPHA
LSTMC Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 80,000 1
STARMUNO KIDS SYRUP Zinc Picolinate 5 mg 80,000 ALPHA
KHHHH SUPERBA KRILL OIL 3 X 10KAP (OPTIMA) Superbacin SUPERBA 187,500 30 6,250 GAMMA
KSBOB SYNBIO BLISTER Lactobacillus acidophilus, Bifidobacterium longum+FOS SYNBIO 150,000 30 5,000 GAMMA
VTOVB TAMOLIV 500 MG FLEXYBAG (OPTIMA) Paracetamol TAMOLIV 42,000 1 42,000 DELTA
VTOVC TAMOLIV 1000 MG FLEXYBAG (OPTIMA) Paracetamol TAMOLIV 63,000 1 63,000 DELTA
TTIVE TARIVID 200 MG 30 TABLET Ofloxacin TARIVID 290,000 30 9,667 DELTA
TTIVK TARIVID 400 MG 30 TABLET Ofloxacin TARIVID 480,000 30 16,000 DELTA
VTIVC TARIVID OTIC Ofloxacin TARIVID 85,000 1 85,000 DELTA
VTAZA TAZAM PIPERACILLIN/TAZOBACTAM VIAL 4,5Piperacillin / Tazobactam vial TAZAM 315,000 1 315,000 DELTA
VTHDB THIDIM 1 GR Ceftazidim THIDIM 255,000 1 255,000 DELTA
TTKVA TKV 3STRIP@10TABLET Entecavir TKV 825,000 30 27,500 GAMMA
TTRSA TORASIC TABLET 10 MG/2X10 Ketorolac TORASIC 125,000 20 6,250 DELTA
ITRSB TORASIC INJ 30 MG 6 AMPUL Ketorolac TORASIC 235,000 6 39,167 DELTA
TTBRA TRANSBRONCHO 30MG 100 TAB Ambroxol TRANSBRONCHO 75,000 100 750 ALPHA
LTBRB TRANSBRONCHO SYR 15/5 100 Ambroxol TRANSBRONCHO 20,000 1 20,000 ALPHA
GTRTA TROLIT SACHET Red Yeast Rice, Exstrak Psidii Folium, NaCl, KCL, Sod. TROLIT 75,000 6 12,500 ALPHA
Sitrat, Dextrose, Zinc Gluconate, Multivitamin
TTRVD TRUVAZ 10 MG TABLET Atorvastatin TRUVAZ 485,000 30 16,167 BETA
TTRVE TRUVAZ 20 MG TABLET Atorvastatin TRUVAZ 525,000 30 17,500 BETA
TTRVF TRUVAZ 40 MG 3X10 TAB Atorvastatin TRUVAZ 570,000 30 19,000 BETA
KUDHA URDAHEX 250MG/3X10 CAP Asam Ursodioxicolat URDAHEX 335,000 30 11,167 GAMMA
TVBCA VBLOC 25 MG 3 X 10 TAB Carvedilol V-BLOC 213,000 30 7,100 BETA
TVBCC VBLOC 6,25 MG 3X10 TABLET Carvedilol V-BLOC 90,000 30 3,000 BETA
TVBCK V-BLOC 6.25 MG 30 TABLET Carvedilol V-BLOC 90,000 30 3,000 BETA
KVNMB VENOSMIL CAPS 200 MG Hidrosmin VENOSMIL 220,000 20 11,000 GAMMA
CVNMA VENOSMIL GEL 1 TUB Hidrosmin VENOSMIL 190,000 1 190,000 GAMMA
KVTIA VESTEIN 300MG 2 strip @ 10 kapsul Erdostein VESTEIN 110,000 20 5,500 ALPHA
DVTIA VESTEIN DS 60 ML Erdostein VESTEIN 52,000 1 52,000 ALPHA
DVTIB VESTEIN DRY SYRUP 60 ML Erdostein VESTEIN 48,000 1 48,000 ALPHA
IVPMA VIPIME, VIAL 1 G + AQUA PI 10 ML Cefipime VIPIME 330,000 1 330,000 DELTA
IVDNA VITADION Phytomenadione / vit K1 2 mg VITADION 70,000 5 14,000 ALPHA
TVCRB VOMCERAN 4 MG 1X10 TAB/BOX Ondansetron VOMCERAN 190,000 10 19,000 GAMMA
AVCRC VOMCERAN 4 MG / 2 ML 5 AMPUL Ondansetron VOMCERAN 180,000 5 36,000 GAMMA
TVCRA VOMCERAN 8 MG 10 TABLET Ondansetron VOMCERAN 250,000 10 25,000 GAMMA
AVCRA VOMCERAN 8 MG/4 ML 5 AMP. Ondansetron VOMCERAN 335,000 5 67,000 GAMMA
LVCRA VOMCERAN SIRUP 4MG/5ML Ondansetron VOMCERAN SYR 75,000 1 75,000 ALPHA
TVMTB VOMITAS FDT/5X10 TAB Domperidone VOMITAS 215,000 50 4,300 GAMMA
LVMTA VOMITAS SYRUP 60 ML Domperidone VOMITAS 50,000 1 50,000 ALPHA
Vit E 30 IU, Vit. C 750mg, B1 15mg, B2 15mg, B6 25 mg,
TZEGE ZEGAVIT 60 KAPLET B2 15 mcg, B6 25 mg, B12 12 mg mg, Niacinimade 100 ZEGAVIT 235,000 60 3,917 GAMMA
mg, Folic Acid 0.4 mg, Calcium 20 mg, Panyothenic acid
20 mg, Zinc 20 mg
TZTXA ZITHRAX 500 MG @ 6 KAPLET Azitromicyn ZITHRAX 190,000 6 31,667 DELTA
TZPZB ZYPRAZ 0.5 MG/BOX 5 STRIP@10KAP Alprazolam ZYPRAZ 150,000 50 3,000 GAMMA
TZPZC ZYPRAZ 1 MG/BOX 5 STRIP@10KAP Alprazolam ZYPRAZ 250,000 50 5,000 GAMMA
TZPZA ZYPRAZ 0.25 MG 5 X 10'S Alprazolam ZYPRAZ 71,500 50 1,430 GAMMA
DAFTAR HARGA OPTIMA CARE
TAHUN 2022

KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/ HNA LINI
AGST '22 BOX @UNIT
TAGNA ANGIOTEN 50 MG 3X10 TAB Losartan Hcl ANGIOTEN 400,000 30 13,333 BETA ###
IANTA ANTITEN-A 40 MG Enoxaparin sodium 40 mg ANTITEN 385,000 2 192,500 BETA ###
IANTB ANTITEN-A 60 MG Enoxaparin sodium 60 mg ANTITEN 525,000 2 262,500 BETA ###
ANTITEN-A 100 MG Enoxaparin sodium 60 mg ANTITEN 675,000 2 337,500 BETA ###
TBTSK BACTESYN 375 MG 30 TAB Sulbactam BACTESYN 680,000 30 22,667 DELTA ###
VBTSA BACTESYN INJ.0,75 GR Sulbactam BACTESYN 35,000 1 35,000 DELTA ###
VBTSB BACTESYN INJ.1,5 GR Sulbactam BACTESYN 100,000 1 100,000 DELTA ###
TBTOA BETA ONE 2,5 MG 50 TAB Bisoprolol BETA ONE 150,000 50 3,000 BETA ###
TBTOB BETA ONE 5 MG 30 TAB Bisoprolol BETA ONE 159,000 30 5,300 BETA ###
TBATB BRAINACT 1 GR/BOX 3 STRIP @ 10 TAB Citicoline BRAINACT 690,000 30 23,000 BETA ###
GBATA BRAINACT 1000 MG SACHET Citicoline BRAINACT 150,000 5 30,000 BETA ###
IBATD BRAINACT 1GR/BOX 5 AMP @ 8 ML Citicoline BRAINACT 625,000 5 125,000 BETA ###
IBATB BRAINACT 250 MG/BOX 2 ML/5AMP Citicoline BRAINACT 240,000 5 48,000 BETA ###
IBATC BRAINACT INJ 500 ML/BOX 5 AMP @4ML Citicoline BRAINACT 390,000 5 78,000 BETA ###
TBATC BRAINACT O-DIS,CITICOLINE 500MG TAB. Citicoline BRAINACT 450,000 30 15,000 BETA ###
TBATA BRAINACT 500 MG/BOX 30 TAB Citicoline BRAINACT 425,000 30 14,167 BETA ###
VBRHA BROADCED HOSPITAL PACK Ceftriaxone Disodium BROADCED 275,000 1 275,000 DELTA ###
VBROK BROADCED INJ 1GR Ceftriaxone Disodium BROADCED 260,000 1 260,000 DELTA ###
TCRQB CAR-Q 100 , 3 STRIP @ 10 KAPSUL L. Carnitine dan Co-Enzim Q10 CAR-Q 360,000 30 12,000 BETA ###
ICFZE CEFAZOL 1 GR AQUA PI Cefazoline CEFAZOL 150,000 1 150,000 DELTA ###
KCEFB CEFSPAN 100 MG 30 KAPSUL Cefixime CEFSPAN 735,000 30 24,500 DELTA ###
TCEFE CEFSPAN 200 MG 10 TAB Cefixime CEFSPAN 390,000 10 39,000 DELTA ###
DCEFA CEFSPAN DRY SYRUP 30 ML Cefixime CEFSPAN (DS) 110,000 1 110,000 ALPHA ###
VIT A,D,E,B1,B2,B6,B12,fotacid, panthotenic ac, biotin, ###
VCNEB CERNEVIT 750MG @ 10 VIAL CERNEVIT 2,500,000 10 250,000 GAMMA
nicotinamid
TCTNA CETINAL , 10 MG @ 30 TABLET Cetirizine HCL CETINAL 175,000 30 5,833 ALPHA ###
LCTNA CETINAL SYRUP 60 ML Cetirizine HCL CETINAL 70,000 1 70,000 ALPHA ###
TCLTA CHOLESTAT 10 MG/BOX 3X10 CAP Simvastatin CHOLESTAT 200,000 30 6,667 BETA ###
TCLTE CHOLESTAT 20 MG/BOX 3X10 CAP Simvastatin CHOLESTAT 275,000 30 9,167 BETA ###
TCTZB CITAZ 100 MG/BOX 5X10 TAB Cilostazol CITAZ 600,000 50 12,000 BETA ###
TCOXK CLAVAMOX 500MG 30TAB Amoxicillin Trihidrate, K Clavulanate CLAVAMOX 400,000 30 13,333 DELTA ###
DCOXA CLAVAMOX DS 60 ML Amoxicillin Trihidrate, K Clavulanate CLAVAMOX 80,000 1 80,000 ALPHA ###
ICVFA COVIFOR Remdisivir COVIFOR 425,000 1 425,000 DELTA ###
TCPGB CPG BLISTER 3 STRIP@10 TABLET Clopidogrel CPG 550,000 30 18,333 BETA ###
TCPGG CPG 75 MG 30 TABLET Clopidogrel CPG 550,000 30 18,333 BETA ###
TCRVE CRAVIT 250 MG 10 TABLET Levofloxacine CRAVIT 280,000 10 28,000 DELTA ###
TCRVK CRAVIT 500 MG 10 TABLET Levofloxacine CRAVIT 450,000 10 45,000 DELTA ###
TCRVN CRAVIT 750 MG KAPLET Levofloxacine CRAVIT 530,000 10 53,000 DELTA ###
VCRVD CRAVIT 750 MG FLEXY BAG Levofloxacine CRAVIT 410,000 1 410,000 DELTA ###
VCRVE CRAVIT IV 500 FLEXYBAG Levofloxacine CRAVIT 340,000 1 340,000 DELTA ###
TDIPA DIVALPI @ BOTOL 100 TAB Divalproex Sodium Ekuivalen, Valproic Acid 250 mg DIVALPI 580,000 100 5,800 GAMMA ###
TDVKB DIVASK 10 MG Amlodipine besylate DIVASK 375,000 30 12,500 BETA ###
TDVKA DIVASK 5 MG Amlodipine besylate DIVASK 230,000 30 7,667 BETA ###
TDPNA DROSPINYL Drospirenone 3mg, Ethinylestradiol 0.003mg DROSPINYL 140,000 21 6,667 ALPHA ###
TENTA EMINETON 10 @ 10 TAB./BOX Multivitamnin EMINETON 178,000 100 1,780 ALPHA ###
TENTB EMINETON TABLET Multivitamnin EMINETON 178,000 100 1,780 ALPHA ###
VEDNA ENDROLIN PACK 3,75 MG VIAL/1 Leuprolide Acetat ENDROLIN 1,225,000 1 1,225,000 ALPHA ###
LENSA ENYSTIN (BTL 12 ML) DROPS + PIPET 1 ML Nystatin 100.000 IU ENYSTIN 38,000 1 38,000 ALPHA ###
VEZLA EZELIN INSULIN GLARGINE 100 IU/ML Injeksi Insulin glargine EZELIN 130,000 1 130,000 BETA ###
VEZLB EZELIN Injeksi Insulin glargine EZELIN 130,000 1 130,000 BETA ###
TEZOA EZOL 20 Esomeprazole EZOL 330,000 28 11,786 GAMMA ###
TEZOB EZOL 40 Esomeprazole EZOL 490,000 28 17,500 GAMMA ###
VEZMA EZOMEB 40MG/VIAL Esomeprazole EZOMEB 160,000 1 160,000 GAMMA ###
TFVLA FAVILOW Favipiravir FAVILOW 1,500,000 100 15,000 DELTA ###
TFAKA FAVIKAL 200 mg 10@10TAB Favipiravir FAVIKAL 1,700,000 100 17,000 DELTA ###
TFVMA FAVIMOL 200 MG 40 TABLET Favipiravir FAVIMOL 520,000 40 13,000 DELTA ###
KFCLB FLUCORAL 150 MG 10 KAPS Fluconazole FLUCORAL 750,000 10 75,000 ALPHA ###
IFLTB FLUTIAS 125 @ 1 INHALER Salmeterol 25 mcg & Fluticasone FLUTIAS 155,000 1 155,000 DELTA ###
KFLVA FLUVIR 75 MG KAPSUL Oseltamivir FLUVIR 180,000 10 18,000 DELTA ###
TFDSA FORDESIA BOX 3 STRIP @ 10 TAB Donepezil Hydrochloride FORDESIA 690,000 30 23,000 BETA ###
Vit b1 100mg,vit b6 50mg,vit b12 100mcg, natural Vit E ###
KFNRA FORNEURO BOX 30 TAB FORNEURO 178,500 30 5,950 GAMMA
200 iu, folic acid 400
TFRSA FORRES 5X10TAB Eperisone HCL FORRES 275,000 50 5,500 BETA ###
VFITA FORIXTRA 2 X 0.5 ML Fondaparinux Sodium FORIXTRA 540,000 2 270,000 BETA ###
LFOTA FOROTIC 3 MG/5 ML Ofloxacin 3ml FOROTIC 90,000 1 90,000 DELTA ###
TFGOB FREGO 10 MG/BOX 5X10 TAB Flunarizine FREGO 410,000 50 8,200 BETA ###
TFGOA FREGO 5 MG/BOX 5X10 TAB Flunarizine FREGO 350,000 50 7,000 BETA ###
KFCHB FUCOHELIX 100 MG Fucohidan FUCOHELIX 241,500 20 12,075 GAMMA ###
LFCHA FUCOHELIX SIRUP , 15 ML Fucohidan FUCOHELIX 90,000 1 90,000 GAMMA ###
KGSDA GLISODIN 30 KAPSUL / BTL Superoxid desmutase melon ext w/ gliadin GLISODIN 225,000 30 7,500 GAMMA ###
VGLCA GLOBUCEL Vial @ 50ML Imunoglobulin GLOBUCEL 515,000 1 515,000 DELTA ###
KHPXB HEPAMAX 30 KAP/BOX Silimarin, Ecinasea, Vit E HEPAMAX 300,000 30 10,000 GAMMA ###
IHXLA HEXILON INJ 125 MG/2 ML Metil Prednisolon HEXILON 115,000 1 115,000 GAMMA ###
THXLC HEXILON 16 MG/BOX 3 X 10 TAB. Metil Prednisolon HEXILON 250,000 30 8,333 GAMMA ###
THXLA HEXILON 4 MG 5 X 10 TAB. Metil Prednisolon HEXILON 175,000 50 3,500 GAMMA ###
THXLB HEXILON 8 MG 3 X 10 TAB. Metil Prednisolon HEXILON 150,000 30 5,000 GAMMA ###
AIDXB INDUXIN 10 IU AMPUL 1 ML/10 AMP Oxytocin INDUXIN 110,000 10 11,000 ALPHA ###
TIVTA INVITEC, 3 STRIP @ 10 TABLET Misoprostol INVITEC 360,000 30 12,000 ALPHA ###
TIVKA IRVASK 150 MG,3 STRIP@10 KAPLET. Irbesartan IRVASK 320,000 30 10,667 BETA ###
TIVKB IRVASK 300 MG, 3 STRIP @ 10 KAPLET. Irbesartan IRVASK 440,000 30 14,667 BETA ###
VKFXP KALFOXIM 1000 MG VIAL Cefotaxim KALFOXIM 170,000 1 170,000 DELTA ###
VKFXK KALFOXIM 500 MG VIAL Cefotaxim KALFOXIM 90,000 1 90,000 DELTA ###
KKMCK KALMECO 500 MG/BOX 10X10 TAB Mecobalamine KALMECO 315,000 100 3,150 BETA ###
AKMCA KALMECO 500 MG/BOX 5 AMP Mecobalamine KALMECO 140,000 5 28,000 BETA ###
IKMCB KALMECO INJEKSI 500 MCG/ML Mecobalamine KALMECO 160,000 5 32,000 BETA ###
KKNXE KALNEX 250 MG 100 CAPS Tranexamid acid KALNEX 204,750 100 2,048 DELTA ###
TKNXK KALNEX 500 MG 100 TAB Tranexamid acid KALNEX 351,750 100 3,518 DELTA ###
 KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/ HNA LINI
AGST '22 BOX @UNIT
AKNXB KALNEX INJ 500 MG 10 AMP Asam Tranexamat KALNEX 157,500 10 15,750 DELTA ###
AKNXA KALNEX INJ 250 MG 10 AMP Asam Tranexamat KALNEX 120,750 10 12,075 DELTA ###
TKQNA KALQUINE Hydroxychloroquine KALQUINE 300,000 30 10,000 DELTA ###
TKTFB KALTROFEN 100MG/BOX 3X10 TAB Ketoprofen KALTROFEN 145,000 30 4,833 DELTA ###
CKTFA KALTROFEN 100MG/BOX 2X5 SUPP 10 MG Ketoprofen KALTROFEN 165,000 10 16,500 DELTA ###
KKXTB KALXETIN 10 MG/BOX 3 STRIP@10 KAPSUL Fluoxetine KALXETIN 130,000 30 4,333 GAMMA ###
KKXTA KALXETIN 20 MG/BOX 3 STRIP@10 CAPS Fluoxetine KALXETIN 210,000 30 7,000 GAMMA ###
TKOZA KOMBIGLYZE - XR Saxagliptin, Metformin HCL KOMBIGLYZE 450,000 28 16,071 BETA ###
###
TLTMA LACTAMOR , 6 BLISTER @ 10 KAPLET Cyanocobalamin, Fenugreek Seed, Sauropus Androgyrus LACTAMOR 140,000 60 2,333 ALPHA
KLCDA LANCID 30 MG/BOX 2@10 CAP Lansoprazole LANCID 340,000 20 17,000 GAMMA ###
VLZXA LANZOX 100 U Botulinum Toxin Type A LANZOX 2,880,000 1 2,880,000 BETA ###
VLZXB LANZOX 50 U Botulinum Toxin Type A LANZOX 1,780,000 1 1,780,000 BETA ###
Curcuminoid, Lisin, Vit B1, Vit B2, Vit B6,Vit B12, ###
LLKMA LIKURMIN 100 ML LIKURMIN 48,000 1 48,000 ALPHA
Niasinamida, asam pantotenant
Curcuminoid, Lisin, Vit B1, Vit B2, Vit B6,Vit B12, ###
LLKMB LIKURMIN 100 ML LIKURMIN 48,000 1 48,000 ALPHA
Niasinamida, asam pantotenant
GLRCA LIPROLAC Vanilla POWDER 30 SACHET Synbiotic LIPROLAC 235,000 30 7,833 ALPHA ###
LLRCA LIPROLAC BABY Synbiotic LIPROLAC 235,000 1 235,000 ALPHA ###
TLINA LIXIANA 15 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 BETA ###
TLINB LIXIANA 30 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 BETA ###
TLINC LIXIANA 60 MG 2BLI@14TAB Edoxaban tosylate LIXIANA 700,000 28 25,000 BETA ###
MEDCA MEDICLORE Poloxamer, Chitosan MEDICLORE 1,350,000 1 1,350,000 ALPHA ###
IMRFC MEROFEN 1000 MG IV INJ/1S Meropenem MEROFEN 610,000 1 610,000 DELTA ###
IMRFA MEROFEN 500 MG IV INJ/1S Meropenem MEROFEN 310,000 1 310,000 DELTA ###
TMTXA METRIX 1 MG/BOX 2X15 TAB Glinepiride METRIX 90,000 30 3,000 BETA ###
TMTXB METRIX 2 MG/BOX 2X15 TAB Glinepiride METRIX 160,000 30 5,333 BETA ###
TMTXC METRIX 3 MG/BOX 2X15 TAB Glinepiride METRIX 190,000 30 6,333 BETA ###
TMTXD METRIX 4 MG/BOX 2X15 TAB Glinepiride METRIX 225,000 30 7,500 BETA ###
IMIKA MIKASIN INJ 250 MG Amikasin Sulfat MIKASIN 110,000 1 110,000 DELTA ###
IMIKB MIKASIN INJ 500 MG Amikasin Sulfat MIKASIN 185,000 1 185,000 DELTA ###
KMVFA MOVFOR 200 MG 4 BLISTER 10 KAPSUL Molnufiravir MOVFOR 640,000 40 16,000 GAMMA ###
LNCBB NECIBLOK SUSPENSI 100 ML Sukralfat NECIBLOK 65,000 1 65,000 GAMMA ###
LNCBA NECIBLOK SUSPENSI 200 ML Sukralfat NECIBLOK 100,000 1 100,000 GAMMA ###
CNGAA NEO GYNOXA 1 BOX, 2 BLISTER @ 5 OVULA Metronidazole 500 mg, Nystatin 100.000iu NEO GYNOXA 160,000 10 16,000 ALPHA ###
KNPTA NEPATIC 5X10 KAPSUL Gabapentin(diabelic neuro) NEPATIC 510,000 50 10,200 BETA ###
TNRTB NEUROTAM TAB 1200 MG/BOX 5@10 TAB Piracetam NEUROTAM 280,000 50 5,600 BETA ###
INRTC NEUROTAM VIAL 12 GR/BOX 60 ML Piracetam NEUROTAM 210,000 1 210,000 BETA ###
INRTB NEUROTAM VIAL 3 GR/BOX 4 AMP Piracetam NEUROTAM 235,000 4 58,750 BETA ###
TNVRK NEVOX XR 500 MG 3 X 10 TAB Metformin HCL NEVOX 75,000 30 2,500 BETA ###
TNXMB NEXIUM 20 MG 3 BLISTER @10 TAB Esomeprazole NEXIUM 603,486 30 20,116 GAMMA
TNXMC NEXIUM 40 MG 2 BLISTER @7 TAB Esomeprazole NEXIUM 330,963 14 23,640 GAMMA
VNXMA NEXIUM 40 MG INJ 1 VIAL Esomeprazole NEXIUM 222,018 1 222,018 GAMMA
IOTBD OCTALBIN 20% 100 ML Human Albumin OCTALBIN 1,500,000 1 1,500,000 DELTA ###
IOTBF OCTALBIN 25% 100 ML Human Albumin OCTALBIN 1,950,000 1 1,950,000 DELTA ###
IOTBE OCTALBIN 25% 50 ML Human Albumin OCTALBIN 980,000 1 980,000 DELTA ###
VOTBA OCTALBIN 5%/ 250 ML VIAL Human Albumin OCTALBIN 1,250,000 1 1,250,000 DELTA ###
TONZB ONGLYZA 2.5 MG Saxagliptin ONGLYZA 280,000 28 10,000 BETA ###
TONZA ONGLYZA 5 MG Saxagliptin ONGLYZA 425,000 28 15,179 BETA ###
Kalsium 200 mg, Vit. D 3 100 SI, Tuna Fish Oil 200 mg, ###
KOFDA OSFIT DHA 3 BLISTER X 10 KAPSUL OSFIT DHA 135,000 30 4,500 ALPHA
DHA 54 mg, EPA 14 mg
Kalsium 200 mg, Vit. D 3 100 SI, Tuna Fish Oil 200 mg, ###
KOSNA OSFIT PLATINUM 30 KAPS OSFIT PLATINUM 140,000 30 4,667 ALPHA
DHA 54 mg, EPA 14 mg
GPDLA PEDILAX 17 GR 10 SACHET macrogol3350 PEDILAC 200,000 10 20,000 ALPHA ###
TPNXA PIONIX 15 MG, 3 STRIP @ 10 TABLET Piogitazone PIONIX 215,000 30 7,167 BETA ###
TPNXB PIONIX 30 MG, 3 STRIP @ 10TABLET Piogitazone PIONIX 330,000 30 11,000 BETA ###
TPIMA PIONIX M 500 Piogitazone PIONIX 250,000 30 8,333 BETA ###
TPIMB PIONIX M 850 Piogitazone PIONIX 260,000 30 8,667 BETA ###
LPTFA PLANTACID FORTE 100 CC Antasida PLANTACID 27,000 1 27,000 GAMMA ###
TPTFA PLANTACID 100 FORTE Antasida PLANTACID 83,000 1 83,000 GAMMA ###
APPGA POSPARGIN 2 MG/ML 10 AMP Metil Ergometrin Maleate POSPARGIN 60,000 10 6,000 ALPHA ###
VPRZA PRANZA 40 MG/VIAL Pantoprazole PRANZA 180,000 1 180,000 GAMMA ###
TPMTA PREMASTON 5 MG TAB/3X10 Allistrenol PREMASTON 130,000 30 4,333 ALPHA ###
TPFTA PROFERTIL 50 MG TAB/1X10 Clomifene Citrate PROFERTIL 180,000 10 18,000 ALPHA ###
TPFLA PROFILAS 1 MG/BOX 5X10 TAB Ketotifen Hidrogen Fumarate PROFILAS 190,000 50 3,800 ALPHA ###
TPFLB PROFILAS TABLET 10X10 Ketotifen Hidrogen Fumarate PROFILAS 400,000 100 4,000 ALPHA ###
LPFLA PROFILAS SYR 1 MG/5 ML BTL 60 ML Ketotifen Hidrogen Fumarate PROFILAS 85,000 1 85,000 ALPHA ###
TPODA PROVE D3 1000 IU Vitamin D3 1000 IU PROVE D 75,000 30 2,500 GAMMA ###
TPODC PROVE D3 - 1000 IU 100 TAB Vitamin D3 1000 IU PROVE D 190,000 100 1,900 GAMMA ###
TPODB PROVE D3 - 5000 IU Vitamin D3 5000 IU PROVE D 110,000 30 3,667 GAMMA ###
LPODA PROVE D3 - DROPS Vitamin D3 400 IU PROVE D 200,000 1 200,000 GAMMA ###
IPVCA PROVE-C 1OOO MG INJEKSI Vitamin C 1000 Mg PROVE C 150,000 5 30,000 DELTA ###
KPOEA PROVE E - 400 IU 60 KAP Vitamin E 400 IU PROVE E 130,000 60 2,167 GAMMA ###
###
TPOZA PROVE Z 10x10 KAPLET Vitamin E 30 IU 135, Vitamin C 500mg, Vitamin B1 15mg, PROVE Z 160,000 100 1,600 GAMMA
Vitamin B6 25mg, Vitamin B12 40mcg, Zinc 20mg

###
Retinol 3.500 IU, Cholecalciferol 220 IU, Alpha-
tocopherol 11,2 IU, Ascorbic acid 125 mg, Thiamine 3,51
VPRIA PROVE VIT 757 MG 4 VIAL mg, Riboflavine 4,14 mg, Pyridoxine 4,53 mg, PROVE VIT 660,000 4 165,000 GAMMA
Cyanocobalamine 6 mcg, Folic acid 414 mcg, Pantothenic
acid 17,25 mg, Biotin 69 mcg, Nicotinamide 46 mg

KPVLB PROVELYN 150 MG, 1 BLISTER @14 KAPSUL Pregabalin PROVELYN 265,000 14 18,929 BETA ###
KPVLA PROVELYN 75 MG , 1 BLISTER @ 14 KAPSUL Pregabalin PROVELYN 175,000 14 12,500 BETA ###
KPVLC PROVELYN 50 MG Pregabalin PROVELYN 110,000 14 7,857 BETA ###
TRANA RANTIN 150 MG 10X10 TABLET Ranitidine Hcl RANTIN 490,000 100 4,900 GAMMA ###
ARANA RANTIN INJ 50 MG 5 AMP Ranitidine Hcl RANTIN 120,000 5 24,000 GAMMA ###
KREBB REMABREX 100 MG(OPTIMA) Celecoxib 100 mg REMABREX 175,000 30 5,833 BETA ###
KREBA REMABREX 200 MG(OPITMA) Celecoxib 200 mg REMABREX 240,000 30 8,000 BETA ###
VRITA RIBACTER 500 MG Doripenem Monohydrate RIBACTER 450,000 1 450,000 DELTA ###
TRLSC RILLUS Lactobacillus reuteri 108 CFU RILLUS 235,000 30 7,833 GAMMA ###
 KODE NAMA PRODUK KF KOMPOSISI GROUP PROD. HNA PER ISI/ HNA LINI
AGST '22 BOX @UNIT
TSLFA SERLOF/BOX 3 STRIP @ 10 TAB Setraline HCL SERLOF 450,000 30 15,000 GAMMA ###
TSLNA SEROLIN 10 MG Nicergoline SEROLIN 680,000 105 6,476 BETA ###
TSLNB SEROLIN 30 MG/BOX DRAGEE 30 MGX42S Nicergoline SEROLIN 540,000 42 12,857 BETA ###
TSCNA SINCRONIK KAPLET Paracetamol, Tramadol SINCRONIK 290,000 30 9,667 BETA ###
TSPOB SPIROLA 100 MG 5X10 TAB Spironolactone SPIROLA 260,000 50 5,200 GAMMA ###
TSPOA SPIROLA 25 MG, BOX 5X10 TAB Spironolactone SPIROLA 100,000 50 2,000 GAMMA ###
KSTRK STAFORIN 500 MG 30 KAPSUL Cefadroxil STAFORIN 350,000 30 11,667 DELTA ###
DSTRB STAFORIN DS 125MG/5ML Cefadroxil STAFORIN 60,000 1 60,000 ALPHA ###
DSTRA STAFORIN DS 250/5 ML 60 ML Cefadroxil STAFORIN 85,000 1 85,000 ALPHA ###
TSTMA Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 275,000 ###
STARMUNO KAPLET 1X30 TAB Zinc Picolinate 5 mg 30 9,167 ALPHA
LSTMB Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 80,000 1 ###
STARMUNO KIDS SYRUP Zinc Picolinate 5 mg 80,000 ALPHA
LSTMC Polinacea 200mg, Black Elderberry 400mg, Vit C 100 mg, STARMUNO 80,000 1 ###
STARMUNO KIDS SYRUP Zinc Picolinate 5 mg 80,000 ALPHA
KHHHH SUPERBA KRILL OIL 3 X 10KAP (OPTIMA) Superbacin SUPERBA 187,500 30 6,250 GAMMA ###
###
KSBOB SYNBIO BLISTER Lactobacillus acidophilus, Bifidobacterium longum+FOS SYNBIO 150,000 30 5,000 GAMMA
VTOVB TAMOLIV 500 MG FLEXYBAG (OPTIMA) Paracetamol TAMOLIV 42,000 1 42,000 DELTA ###
VTOVC TAMOLIV 1000 MG FLEXYBAG (OPTIMA) Paracetamol TAMOLIV 63,000 1 63,000 DELTA ###
TTIVE TARIVID 200 MG 30 TABLET Ofloxacin TARIVID 290,000 30 9,667 DELTA ###
TTIVK TARIVID 400 MG 30 TABLET Ofloxacin TARIVID 480,000 30 16,000 DELTA ###
VTIVC TARIVID OTIC Ofloxacin TARIVID 85,000 1 85,000 DELTA ###
VTAZA TAZAM PIPERACILLIN/TAZOBACTAM VIAL 4,5Piperacillin / Tazobactam vial TAZAM 315,000 1 315,000 DELTA ###
VTHDB THIDIM 1 GR Ceftazidim THIDIM 255,000 1 255,000 DELTA ###
TTKVA TKV 3STRIP@10TABLET Entecavir TKV 825,000 30 27,500 GAMMA ###
TTRSA TORASIC TABLET 10 MG/2X10 Ketorolac TORASIC 125,000 20 6,250 DELTA ###
ITRSB TORASIC INJ 30 MG 6 AMPUL Ketorolac TORASIC 235,000 6 39,167 DELTA ###
TTBRA TRANSBRONCHO 30MG 100 TAB Ambroxol TRANSBRONCHO 75,000 100 750 ALPHA ###
LTBRB TRANSBRONCHO SYR 15/5 100 Ambroxol TRANSBRONCHO 20,000 1 20,000 ALPHA ###
Red Yeast Rice, Exstrak Psidii Folium, NaCl, KCL, Sod. ###
GTRTA TROLIT SACHET TROLIT 75,000 6 12,500 ALPHA
Sitrat, Dextrose, Zinc Gluconate, Multivitamin
TTRVD TRUVAZ 10 MG TABLET Atorvastatin TRUVAZ 485,000 30 16,167 BETA ###
TTRVE TRUVAZ 20 MG TABLET Atorvastatin TRUVAZ 525,000 30 17,500 BETA ###
TTRVF TRUVAZ 40 MG 3X10 TAB Atorvastatin TRUVAZ 570,000 30 19,000 BETA ###
KUDHA URDAHEX 250MG/3X10 CAP Asam Ursodioxicolat URDAHEX 335,000 30 11,167 GAMMA ###
TVBCA VBLOC 25 MG 3 X 10 TAB Carvedilol V-BLOC 213,000 30 7,100 BETA ###
TVBCC VBLOC 6,25 MG 3X10 TABLET Carvedilol V-BLOC 90,000 30 3,000 BETA ###
TVBCK V-BLOC 6.25 MG 30 TABLET Carvedilol V-BLOC 90,000 30 3,000 BETA
KVNMB VENOSMIL CAPS 200 MG Hidrosmin VENOSMIL 220,000 20 11,000 GAMMA ###
CVNMA VENOSMIL GEL 1 TUB Hidrosmin VENOSMIL 190,000 1 190,000 GAMMA ###
KVTIA VESTEIN 300MG 2 strip @ 10 kapsul Erdostein VESTEIN 110,000 20 5,500 ALPHA ###
DVTIA VESTEIN DS 60 ML Erdostein VESTEIN 52,000 1 52,000 ALPHA ###
DVTIB VESTEIN DRY SYRUP 60 ML Erdostein VESTEIN 48,000 1 48,000 ALPHA ###
IVPMA VIPIME, VIAL 1 G + AQUA PI 10 ML Cefipime VIPIME 330,000 1 330,000 DELTA ###
IVDNA VITADION Phytomenadione / vit K1 2 mg VITADION 70,000 5 14,000 ALPHA ###
TVCRB VOMCERAN 4 MG 1X10 TAB/BOX Ondansetron VOMCERAN 190,000 10 19,000 GAMMA ###
AVCRC VOMCERAN 4 MG / 2 ML 5 AMPUL Ondansetron VOMCERAN 180,000 5 36,000 GAMMA ###
TVCRA VOMCERAN 8 MG 10 TABLET Ondansetron VOMCERAN 250,000 10 25,000 GAMMA ###
AVCRA VOMCERAN 8 MG/4 ML 5 AMP. Ondansetron VOMCERAN 335,000 5 67,000 GAMMA ###
LVCRA VOMCERAN SIRUP 4MG/5ML Ondansetron VOMCERAN SYR 75,000 1 75,000 ALPHA ###
TVMTB VOMITAS FDT/5X10 TAB Domperidone VOMITAS 215,000 50 4,300 GAMMA ###
LVMTA VOMITAS SYRUP 60 ML Domperidone VOMITAS 50,000 1 50,000 ALPHA ###
Vit E 30 IU, Vit. C 750mg, B1 15mg, B2 15mg, B6 25 mg, ###
TZEGA ZEGAVIT 50 KAPLET B2 15 mcg, B6 25 mg, B12 12 mg mg, Niacinimade 100 ZEGAVIT 225,000 50 4,500 GAMMA
mg, Folic Acid 0.4 mg, Calcium 20 mg, Panyothenic acid
20 mg, Zinc 20 mg
TZTXA ZITHRAX 500 MG @ 6 KAPLET Azitromicyn ZITHRAX 190,000 6 31,667 DELTA ###
TZPZB ZYPRAZ 0.5 MG/BOX 5 STRIP@10KAP Alprazolam ZYPRAZ 150,000 50 3,000 GAMMA ###
TZPZC ZYPRAZ 1 MG/BOX 5 STRIP@10KAP Alprazolam ZYPRAZ 250,000 50 5,000 GAMMA ###
TZPZA ZYPRAZ 0.25 MG 5 X 10'S Alprazolam ZYPRAZ 71,500 50 1,430 GAMMA ###