PBF.PT.

BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 1 of 57 9:28:17AM 04/08/2020 1

ACON

KODE NAMA BARANG HARGA HARGA ++

ACN-096 ALP-AMP AUTOANALIZER 7,940,000 8,734,000
ACN-065 ALT/GPT AUTO 6,365,000 7,001,500
ACN-089 ANTI HCV (50) 1,750,000 1,925,000
ACN-088 ANTI HIV (40) 1,400,000 1,540,000
ACN-109 AQUACEL 4''X4'' 1,432,727 1,576,000
ACN-064 AST/GOT AUTO 6,365,000 7,001,500
ACN-100 BETAFOG-15 EC-1L 143,185 157,504
ACN-013 BLOOD TRANSFUSION SET 6,667 7,334
ACN-098 BOULE CON-DIFF TRI L 4,5 ML 5,200,000 5,720,000
ACN-106 CANNACARE WIPE REMOVER 531,818 585,000
ACN-062 CEVITRON WHITE 86,125 94,738
ACN-005 CHKM 86,125 94,738
ACN-070 CHOLESTEROL AUTO 13,135,000 14,448,500
ACN-072 CHOLESTEROL HDL DIRECT AUTO 9,996,000 10,995,600
ACN-078 CHOLESTEROL LDL DIRECT AUTO 15,066,000 16,572,600
ACN-094 CONCEN TRATED SYSTEM LIQUID 3,875,000 4,262,500
ACN-068 CREATININE AUTO 10,752,500 11,827,750
ACN-080 CUP SAMPEL 1,100 1,210
ACN-107 DUADERM HYD ACT GEL 30 333,000 366,300
ACN-084 ECG JELLY PARKER 111,111 122,222
ACN-102 FLETCHER POWDER 40,000 44,000
ACN-047 FUJI IX ART BESAR 752,634 827,897
ACN-069 GLUCOSE AUTO 6,315,000 6,946,500
ACN-063 H2O2 3% 100 ML 18,182 20,000
ACN-090 HBSAG (50) 700,000 770,000
ACN-095 HYPERRAB 10 ML 7,500,000 8,250,000
ACN-111 INTRASITE GEL 15G 105,409 115,950
ACN-101 JENTIKA 10 GR 1,867 2,054
ACN-108 KALTOSTAT 7.5 X 12 1,116,364 1,228,000
ACN-045 LEUKOPLAS 1621 27,090 29,799
ACN-091 MALARIA (25) 1,600,000 1,760,000
ACN-112 MIND HAND MOISTURIZER 100 ML 36,364 40,000
ACN-073 MULTIPLE CALIBRATOR 6,452,500 7,097,750
ACN-092 NARCOBA AMP (50) 1,300,000 1,430,000
ACN-079 NARCOBA MOR 1,300,000 1,430,000
ACN-093 NARCOBA THC (50) 1,300,000 1,430,000
ACN-103 NATURE FLEXI WATER 1252 1,336,364 1,470,000
ACN-110 OPSITE FLEXIFIX 5X10 M 354,546 390,001
ACN-026 OXYCAN GREEN 35,625 39,188
ACN-077 PEDIATRIK SAMPLE 3,673,200 4,040,520
ACN-085 POT URINE 50 CC 2,000 2,200
ACN-074 REACTION ROTOR 474,500 521,950
ACN-024 SERUM ANTI BISA ULAR 582,300 640,530
ACN-025 SERUM ANTI TETANUS 150,000 165,000
ACN-097 SMART CARD 13,000 14,300
ACN-105 STEMADRES OPAQUE 1,384,091 1,522,500
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 2 of 57 9:28:17AM 04/08/2020 1

ACON

KODE NAMA BARANG HARGA HARGA ++

ACN-086 STIK URIEN COLOR 10P 1,200,000 1,320,000
ACN-104 SURFIX NATURA DRAINABLE POUCH 10'' 637,273 701,000
ACN-075 SWELAB ALFA DILUENT 7,250,000 7,975,000
ACN-076 SWELAB ALFA LYSE 7,250,000 7,975,000
ACN-081 TABUNG REAKSI 1,100 1,210
ACN-083 TOURNIKET 50,000 55,000
ACN-071 TRYGLISERIDES AUTO 14,030,000 15,433,000
ACN-035 UMBILICAL CORD NYLON 1,285 1,414
ACN-066 UREA/BUN UV AUTO 8,395,000 9,234,500
ACN-067 URIC ACID AUTOANALIZER 12,546,500 13,801,150
ACN-082 VACUNTAINER NON EDTA/REDPLAIN 350,000 385,000
ACN-099 VAKSIN ANTI RABIES 193,454 212,799
ACN-029 VAKSIN FAVIRAB 836,413 920,054
ACN-087 VDLR/SYPILIS (50) 1,000,000 1,100,000

ADI JAYA

KODE NAMA BARANG HARGA HARGA ++

ADJ-002 KASA 16X16 DHARMA USADHA 3,177 3,495
ADJ-001 KASA HYDROPIL 40X80 111,941 123,135
ADJ-004 VERBAN 10 CM 2,544 2,798
ADJ-003 VERBAN 5 CM 1,355 1,491

ADITAMA

KODE NAMA BARANG HARGA HARGA ++

ADT-009 ADITUSIN TAB 100,S 17,667 19,434
ADT-014 ALLOPURINOL 100 ADI 14,000 15,400
ADT-016 ALLOPURINOL 300 ADI 25,000 27,500
ADT-008 ANTALGIN CAP ADI 16,970 18,667
ADT-011 CIMETIDINE 200 ADI 16,923 18,615
ADT-013 FUROSEMID 40 ADI 11,800 12,980
ADT-015 IBUPROFEN 200 ADI 15,245 16,770
ADT-010 IBUPROFEN 400 ADITAMA 19,850 21,835
ADT-003 PARACETAMOL 500 ADI 15,586 17,145
ADT-001 TETRACYCLINE HCL 250 43,400 47,740

PT AFI

KODE NAMA BARANG HARGA HARGA ++

AFI-014 2-4 SALEP 15 GR AFI 5,000 5,500
AFI-010 ALKOHOL 70 % 300 ML AFI 36,364 40,000
AFI-016 ALKOHOL 70% 100 ML AFI 10,000 11,000
AFI-015 ALKOHOL 70% 1L AFI 81,818 90,000
AFI-012 AMBROXOL SYR 60 ML AFI 2,692 2,961
AFI-011 ANTASIDA SIRUP AFI 3,036 3,340
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 3 of 57 9:28:17AM 04/08/2020 1

PT AFI

KODE NAMA BARANG HARGA HARGA ++

AFI-007 ASAM MEFENAMAT AFI 13,921 15,313
AFI-013 GENTIAN VIOLET 10 ML AFI 1,910 2,101
AFI-009 PARACETAMOL SYR AFI 2,388 2,627
AFI-006 VIT B COMPLEK AFI 14,243 15,667

ARMOXINDO PHARMA

KODE NAMA BARANG HARGA HARGA ++

AMP-006 ARMOLEV 500MG 99,000 108,900
AMP-009 CHLORAMIDINA SALEP KULIT 13,500 14,850
AMP-002 CONRANIN 150 MG 57,000 62,700
AMP-008 CYSTELIS TAB 56,000 61,600
AMP-004 ELITHRIS TAB 55,000 60,500
AMP-007 FEVRIN TABLET 100S 48,500 53,350
AMP-001 PONCOFEN 500 MG 115,000 126,500
AMP-003 PONCONEURON TAB 103,000 113,300
AMP-005 ZEVIBEX KAP 225,000 247,500

ARIASA NAGAMAS F

KODE NAMA BARANG HARGA HARGA ++

ANF-001 PLANOTAB TAB 110,000 121,000

AKIAT PHARMACETICAL

KODE NAMA BARANG HARGA HARGA ++

API-001 PAGODA SALEP 10 GR 4,700 5,170

ALPHARMA

KODE NAMA BARANG HARGA HARGA ++

APM-005 APOLAR CR 10 GR 32,495 35,745
APM-004 APOLAR N CR 10 GR 36,827 40,510
APM-008 DUMIN RECTAL 125 MG 77,550 85,305
APM-007 DUMIN RECTAL 250 MG 108,350 119,185
APM-002 DUMIN SIRUP 22,580 24,838
APM-001 DUMIN TAB 500 MG 4,645 5,110
APM-003 DUROL TONIC 225 ML 21,429 23,572
APM-012 STESOLID INJ 2ML/5 AMP 57,200 62,920
APM-010 STESOLID RECTAL 5GR 118,800 130,680
APM-016 STESOLID TAB 2MG 100'S 88,000 96,800
APM-011 STESOLID TAB 5MG 100'S 154,000 169,400

ARTOIS PARMAETICAL

KODE NAMA BARANG HARGA HARGA ++

PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 4 of 57 9:28:17AM 04/08/2020 1

ARTOIS PARMAETICAL

KODE NAMA BARANG HARGA HARGA ++

ART-003 BALPIRIK HIJAU 7,198 7,918
ART-005 BALPIRIK KUNING 7,198 7,918
ART-002 BALPIRIK MERAH 7,605 8,366
ART-004 BETOMINPLEX BTL 18,864 20,750
ART-001 BETOMINPLEX ZAK 15,910 17,501
ART-006 MULTIVIRAL 20,750 22,825

AVENTIS

KODE NAMA BARANG HARGA HARGA ++

AVT-011 ESPERSON CR 15 GR 131,393 144,532
AVT-004 ESPERSON CR 5GR 53,098 58,408
AVT-003 FLAGYSTATIN SUPPO 160,156 176,172
AVT-002 INERSON CR 15 GR 72,250 79,475
AVT-013 LACTACYD BABY LIQ SOAP 60ML 23,000 25,300
AVT-012 LACTACYD WOMAN 60 ML 22,890 25,179
AVT-001 NOVALGIN INJ 2 ML 49,790 54,769
AVT-005 NOVALGIN TAB 14,232 15,655
AVT-008 TRIAMINIC BATUK&PILEK MERAH 57,106 62,817
AVT-010 TRIAMINIC EXPECTORAN LEMON 57,106 62,817
AVT-009 TRIAMINIC PILEK JERUK 57,106 62,817

BODE

KODE NAMA BARANG HARGA HARGA ++

BDE-008 BODREX EXTRA 41,755 45,931
BDE-019 BODREX FLU & BATUK PE SIRUP BIRU 8,372 9,209
BDE-022 BODREX HERBAL 15 ML @ 5 SACHET 7,955 8,751
BDE-029 BODREX HERBAL SAKIT KEPALA 3,182 3,500
BDE-007 BODREX MIGRA 43,711 48,082
BDE-014 BODREX PE BERDAHAK HIJAU 36,435 40,079
BDE-006 BODREX PE TAK BERDAHAK BIRU 1,500 1,650
BDE-003 BODREX TAB 6,765 7,442
BDE-011 BODREXIN F & B BERDAHAK PE 56ML 8,500 9,350
BDE-026 BODREXIN F&B TDK BERDAHAK PE SYRUP 56ML 8,839 9,723
BDE-027 BODREXIN HERBAL BATUK ANAK 5'S 5,000 5,500
BDE-013 BODREXIN SY DEMAM 60 8,805 9,686
BDE-002 BODREXIN TAB 3,235 3,559
BDE-020 CONTREXYN MASUK ANGIN SACHET 7,5ML 1,000 1,100
BDE-004 HEMAVITON ACTION 5,254 5,779
BDE-001 HEMAVITON STAMINA PLUS 5,260 5,786
BDE-012 JARUM BD 23G 36,378 40,016
BDE-016 N REUMACIL CR HIJAU NECK & SHOULDER 12,445 13,690
BDE-015 N REUMACIL CR MERAH 11,315 12,447
BDE-023 N REUMACYL CR HANGAT ORANGE 11,100 12,210
BDE-005 NEO HORMOVITON KAPSUL 62,900 69,190
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 5 of 57 9:28:17AM 04/08/2020 1

BODE

KODE NAMA BARANG HARGA HARGA ++

BDE-009 NEO RHEUMACYL 6,934 7,627
BDE-025 NEO RHEUMACYL KOYO HANGAT 40,910 45,001
BDE-021 NEO RHEUMACYL MUSCLE&JOINT HOT CR BTL 110ML 15,455 17,001
BDE-010 NEO RHEUMACYL NEURO 7,850 8,635
BDE-024 NEO RHEUMACYL ORALINU 8,091 8,900
BDE-028 WYBERT HERBAL BATUK PLUS SYRUP/60 ML 9,600 10,560

B-D SYRINGE

KODE NAMA BARANG HARGA HARGA ++

BDS-001 SPOID BD 3 CC 966 1,063

BUFA

KODE NAMA BARANG HARGA HARGA ++

BFA-016 BRAVODERM CR 8,385 9,224
BFA-014 BRAVODERM N CR 16,500 18,150
BFA-009 BUFACARYL TAB 20,228 22,251
BFA-019 BUFACETIN CREAM 5,730 6,303
BFA-007 BUFACETIN SYR 6,907 7,598
BFA-010 BUFACETINE CAP 250 84,659 93,125
BFA-013 BUFACOM IOB CR 18,500 20,350
BFA-002 BUFACORT N CR 6,227 6,850
BFA-003 BUFACYN 500 MG 42,245 46,470
BFA-005 BUFAGAN SYR 60 ML 4,842 5,326
BFA-006 BUFAKRIS SYR 60 ML 5,875 6,463
BFA-012 BUFANTASID SIRUP 8,777 9,655
BFA-015 BUFATETRA SK 7,221 7,943
BFA-008 BUFIRON CAP 29,380 32,318
BFA-001 EKACETOL SYR 4,465 4,912
BFA-004 NEO ASTA SIRUP 5,090 5,599
BFA-011 NEW ASTAR CR 9,151 10,066
BFA-017 SALFAMEN CR 11,980 13,178

BIO FARMA

KODE NAMA BARANG HARGA HARGA ++

BIO-002 BIOSAT 1,5 (ATS 1500 UI) 165,000 181,500

BIO-001 BIOSAVE ABU I 1,363,640 1,500,004

BORINGER

KODE NAMA BARANG HARGA HARGA ++

BIR-012 BISOLVON BATUK & FLU 60ML 34,000 37,400

BIR-002 BISOLVON ELEX 60 ML 31,314 34,445
BIR-010 BISOLVON EXTRA SYR 60 ML 37,118 40,830
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 6 of 57 9:28:17AM 04/08/2020 1

BORINGER

KODE NAMA BARANG HARGA HARGA ++

BIR-011 BISOLVON KIDS STRW 34,272 37,699
BIR-009 BISOLVON TAB 100,S 190,095 209,105
BIR-015 BISOLVON TAB 40'S 51,200 56,320
BIR-006 BUSCOPAN 20 MG/ML INJ AMP 342,773 377,050
BIR-001 BUSCOPAN PLUS 424,148 466,563
BIR-004 BUSCOPAN TAB 312,329 343,562
BIR-014 COMBIVENT UDV 362,220 398,442
BIR-005 DULCOLAX 10 MG SUPP AD 50'S 765,300 841,830
BIR-019 DULCOLAX 10 MG SUPP AD 5'S 103,150 113,465
BIR-007 DULCOLAX 5 MG SUP INFANT 88,725 97,598
BIR-008 DULCOLAX TAB 200,S 280,115 308,127
BIR-003 DULCOLAX TAB 80,S 137,280 151,008
BIR-017 MUCOPECT DEWASA SYR 60 61,688 67,857
BIR-016 MUCOPECT DROP 61,550 67,705
BIR-018 MUCOPECT SYR ANAK 60 ML 51,765 56,942

BALATIF

KODE NAMA BARANG HARGA HARGA ++

BLT-002 ARKAVIT TABLET 23,636 26,000
BLT-006 ARKAVIT-C KAPLET 67,800 74,580
BLT-008 ASAM MEFENAMAT BALATIF 24,431 26,874
BLT-004 BETAMOL TABLET 11,765 12,942
BLT-003 CALFERA TABLET 40,000 44,000
BLT-007 IBUPROFEN 400 BALATIF 27,840 30,624
BLT-001 KEJIBLING TAB BALATIF 38,980 42,878
BLT-005 TIFESTAN FORTE 28,975 31,873

BIMA ABADI

KODE NAMA BARANG HARGA HARGA ++

BMA-002 BIMACYL TAB 28,155 30,971
BMA-001 BIMAFLOX 500 50,255 55,281

BESTMED

KODE NAMA BARANG HARGA HARGA ++

BMD-001 MASKER BESTMED ABU-ABU 14,546 16,001

BMD-003 MASKER BESTMED BIRU 14,546 16,001
BMD-005 MASKER BESTMED HIJAU 14,546 16,001
BMD-004 MASKER BESTMED ISI 5 2,841 3,125
BMD-002 MASKER BESTMED PINK 14,546 16,001

BERLICO MULYA FARMA

KODE NAMA BARANG HARGA HARGA ++

PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 7 of 57 9:28:17AM 04/08/2020 1

BERLICO MULYA FARMA

KODE NAMA BARANG HARGA HARGA ++

BMF-019 ANABION SIRUP 4,541 4,995
BMF-018 ANACETIN SIRUP 7,532 8,285
BMF-020 BERLIZON TAB 17,565 19,322
BMF-015 BERLOSID SYRUP KACA 8,135 8,949
BMF-003 BERLOSID TAB 23,010 25,311
BMF-008 BERLOSON N CR 5,775 6,353
BMF-021 FOLAXIN TAB 22,687 24,956
BMF-001 LICOBION 65,200 71,720
BMF-006 LICODEXON 200'S TAB 22,022 24,224
BMF-023 LICODIPIN 5MG 11,000 12,100
BMF-002 LICOKALK TAB 19,590 21,549
BMF-011 LICOPEL 20 MG 19,875 21,863
BMF-005 LICOPRIMA TAB 24,312 26,743
BMF-012 LICOPROX 53,725 59,098
BMF-013 LICOSTAN 29,557 32,513
BMF-022 METAMIZOLE SODIUM BCO 15,182 16,700
BMF-007 SUPRABION TAB 25,773 28,350

BRISTOL MYERS SQUIB

KODE NAMA BARANG HARGA HARGA ++

BMS-001 KENALOG IN 5 GR 52,000 57,200

BEIERSDOF

KODE NAMA BARANG HARGA HARGA ++

BRD-002 HANSAPLAST KOYO HANGAT 45,850 50,435
BRD-003 HANSAPLAST KOYO PANAS 45,850 50,435
BRD-005 HANSAPLAST PLESTER JUMBO 12,145 13,360
BRD-004 HANSAPLAST ROLL1.25X 5 M 71,808 78,989
BRD-001 HANSAPLAST ROLL1.25X1 M 53,020 58,322

BERNOFARM

KODE NAMA BARANG HARGA HARGA ++

BRN-065 AMOBIOTIC 500 MG 54,531 59,984
BRN-068 AS. TRANEKSAMAT 500MG TABLET 180,000 198,000
BRN-067 AS. TRANEKSAMAT 500MG/5ML INJ 31,250 34,375
BRN-064 ASAM MEFENAMAT 500 MG BERNO 27,000 29,700
BRN-032 ASAM TRANEKSAMAT 500 180,000 198,000
BRN-029 BENEURON 36,110 39,721
BRN-063 BENODEX 0,5 MG TAB 15,910 17,501
BRN-062 BENODEX INJEKSI 5 MG @5 AMP 22,159 24,375
BRN-042 BENODON INJ 8,767 9,644
BRN-005 BENOSON 15 BESAR HIJAU 29,091 32,000
BRN-003 BENOSON 5 KECIL HIJAU 13,636 15,000
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 8 of 57 9:28:17AM 04/08/2020 1

BERNOFARM

KODE NAMA BARANG HARGA HARGA ++

BRN-004 BENOSON N 15 BSR KUNING 33,636 37,000
BRN-001 BENOSON-N 5 KECIL KUNING 16,818 18,500
BRN-008 BIOLYSIN 60 ML 11,000 12,100
BRN-011 BIOLYSIN DAGREE TAB 100 35,000 38,500
BRN-020 BIOLYSIN KID BLACKCURANT 11,500 12,650
BRN-019 BIOLYSIN KID ORANGE 11,500 12,650
BRN-018 BIOLYSIN KID STRW 11,500 12,650
BRN-009 BIOLYSIN SMART 60 KECIL 11,500 12,650
BRN-007 BIOLYSIN SMART SYR 100 ML 16,000 17,600
BRN-002 BIOLYSIN SY 100 ML 15,000 16,500
BRN-066 BROXAL TABLET 21,026 23,129
BRN-055 CEFIXIME BERNO ISI 100 CAP 261,230 287,353
BRN-061 CEFIXIME BERNO ISI 30 CAP 78,369 86,206
BRN-026 DEXAMETASON 5ML INJ 2,184 2,402
BRN-060 DEXAMETHASON INJ 1 ML BERNO 218,400 240,240
BRN-045 FENAREN 50 TAB 100,000 110,000
BRN-059 LEVOFLOXACIN BERNO 500 MG 120,727 132,800
BRN-014 LIDOCAIN 2% BERNO 1,500 1,650
BRN-053 ONDAN 4 INJ BERNO 50,000 55,000
BRN-027 PHENOBIOTIK 500 TAB 76,705 84,376
BRN-025 RANITIDIN 150 BERNO 30,000 33,000
BRN-058 RANITIDIN INJ BERNO 2,804 3,084
BRN-049 SIDIADRYL INJ 3,900 4,290
BRN-050 VITALONG C ISI 100 126,316 138,948
BRN-051 VITALONG C ISI 30 34,738 38,212

BSN MEDICAL

KODE NAMA BARANG HARGA HARGA ++

BSN-009 CALSIDOR 241,150 265,265
BSN-003 HYPAFIX 10 CMX 5CM 101,456 111,602

BINTANG TUJU

KODE NAMA BARANG HARGA HARGA ++

BTJ-008 KOMIX HERBAL LEMON 4'S 7,577 8,335
BTJ-009 KOMIX HERBAL ORIGINAL 6'S 6,545 7,200
BTJ-006 KOMIX JAHE 32,728 36,001
BTJ-004 KOMIX JERUK NIPIS 32,728 36,001
BTJ-007 KOMIX OBH 32,728 36,001
BTJ-005 KOMIX PEPPERMINT 32,728 36,001

BIOTECHNOLOGY CO. LTD

KODE NAMA BARANG HARGA HARGA ++

BTL-001 AMOR TEST 8,500 9,350
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 9 of 57 9:28:17AM 04/08/2020 1

BIOTECHNOLOGY CO. LTD

KODE NAMA BARANG HARGA HARGA ++

BTL-002 INCINTA TEST 2,500 2,750

BETA PHARMA

KODE NAMA BARANG HARGA HARGA ++

BTP-001 CEFADROXIL 500 BETA PHARMA 61,363 67,499

BAYER

KODE NAMA BARANG HARGA HARGA ++

BYR-011 ASPIRIN TAB 0,5 67,714 74,485
BYR-007 BAYCUTEN N CR 5 GR 30,975 34,073
BYR-012 BEPANTHEN 20 GR 52,133 57,346
BYR-014 BINOTAL 1000MG TAB 317,793 349,572
BYR-015 BINOTAL 500 MG 155,098 170,608
BYR-008 CANESTEN 3 GR 14,675 16,143
BYR-006 CANESTEN CR 10GR 31,315 34,447
BYR-005 CANESTEN CR 5GR 18,722 20,594
BYR-017 DIANE "35" 116,765 128,442
BYR-004 INCIDAL OD 155,151 170,666
BYR-003 MYLANTA SYR 150 BESAR 33,030 36,333
BYR-009 MYLANTA SYR 50 ML KECIL 11,350 12,485
BYR-001 MYLANTA TAB 58,300 64,130
BYR-016 TONIKUM BAYER 100ML 11,670 12,837
BYR-002 TONIKUM BAYER 330 ML 23,106 25,417
BYR-010 UPIXON SIRUP 10 ML 11,000 12,100

CIUBROS FARMA

KODE NAMA BARANG HARGA HARGA ++

CBF-001 CITOCETIN SYR 5,881 6,469
CBF-003 GENTIAN VIOLET 1% 2,715 2,987
CBF-004 GG KLG CITO 34,090 37,499
CBF-002 GOM - BORAX GLICERIN 3,073 3,380

COMBHIPAR

KODE NAMA BARANG HARGA HARGA ++

CMB-005 OBH C BERDAHAK 100 MENTOL 10,300 11,330

CMB-014 OBH C BERDAHAK JAHE 100 10,300 11,330
CMB-004 OBH COMBI 60 DWS MENTOL 10,000 11,000
CMB-008 OBH COMBI APEL 11,275 12,403
CMB-009 OBH COMBI DWS MADU 60 9,950 10,945
CMB-012 OBH COMBI JAHE 100 ML 13,781 15,159
CMB-013 OBH COMBI JAHE 60 ML 9,950 10,945
CMB-007 OBH COMBI MADU ANAK 11,275 12,403
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 10 of 57 9:28:17AM 04/08/2020 1

COMBHIPAR

KODE NAMA BARANG HARGA HARGA ++

CMB-015 OBH COMBI MADU DWS 100 ML 13,781 15,159
CMB-001 OBH COMBI MENTOL 100 13,781 15,159
CMB-003 OBH COMBI ORANGE 11,275 12,403
CMB-002 OBH COMBI STRAWBERRY 11,275 12,403
CMB-006 PEDITOX 50ML 7,000 7,700

CONMED

KODE NAMA BARANG HARGA HARGA ++

CMD-005 BETOPIC CR 10 GR 25,000 27,500
CMD-001 FLUDANE FORTE HIJAU 98,000 107,800
CMD-003 FLUDANE PLUS MERAH 95,500 105,050
CMD-002 FLUDANE TAB 100 ORANGE 78,000 85,800
CMD-006 GARAPON CR 17,000 18,700
CMD-004 HYSCOPAN TAB 265,000 291,500
CMD-007 OPRAM TAB 47,000 51,700

CENDO

KODE NAMA BARANG HARGA HARGA ++

CND-008 C. ASTHENOF E.D 5 ML 21,000 23,100
CND-005 C. AUGENTONIC 5 CC 25,125 27,638
CND-006 C. CATARLENT 15 ML 30,625 33,688
CND-002 C. CATARLENT ED 5 CC 22,625 24,888
CND-009 C. DEXATON E.D 5CC 18,150 19,965
CND-017 C. GENTAMICIN TM 1% 5ML 23,250 25,575
CND-001 C. GENTAMYCIN 0,3% 5 ML TETES MATA 28,375 31,213
CND-010 C. GENTAMYCIN 0.3% 3.5 GR SALEP MATA 36,375 40,013
CND-004 C. POLYDEX 5 CC 35,750 39,325
CND-013 C. POLYGRAN 5 ML 31,625 34,788
CND-003 C. XYTROL ED 5 CC 27,250 29,975
CND-018 C. XYTROL MINI-DOSE 24,376 26,814
CND-007 C.LYTERS E.D 15 CC 22,500 24,750
CND-016 CENDO GENTAMYCIN SM 0.3% 36,375 40,013

CORSA INDUSTRI

KODE NAMA BARANG HARGA HARGA ++

CRS-002 BAMGETOL 200 MG 180,000 198,000
CRS-001 NEO DIAFORM 500 115,000 126,500

CORONET

KODE NAMA BARANG HARGA HARGA ++

CRT-010 ALUMY SIRUP 10,688 11,757
CRT-009 ALUMY TAB 16,765 18,442
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 11 of 57 9:28:17AM 04/08/2020 1

CORONET

KODE NAMA BARANG HARGA HARGA ++

CRT-007 COROSORB 81,000 89,100
CRT-001 DEMACOLIN SYRUP 13,775 15,153
CRT-011 DEMACOLIN TABLET 41,012 45,113
CRT-003 DUPLOPYRIN TAB 96,842 106,526
CRT-002 HALMESIN SYR 100 ML 26,000 28,600
CRT-005 HALPYLIN SYR 11,562 12,718
CRT-004 HEROCIN 150 GR BESAR 15,240 16,764
CRT-012 HEROCIN 75 GR 8,550 9,405
CRT-018 HEROCYN 85 GR 10,825 11,908
CRT-016 HEROCYN BABY 100 GR 7,235 7,959
CRT-019 HEROCYN BABY 200 GR 12,375 13,613
CRT-013 PARACO DROP 25,000 27,500
CRT-014 PARACO SIRUP 17,000 18,700

DANKOS

KODE NAMA BARANG HARGA HARGA ++

DKS-001 FATIGON SPIRIT 39,300 43,230

DKS-003 FATIGON TAB PUTIH 51,457 56,603
DKS-004 MIXADIN 100 TAB 53,433 58,776
DKS-002 MIXAGRIP FLU 50,615 55,677
DKS-007 MIXAGRIP FLU & BATUK 54,401 59,841
DKS-006 TOPCILLIN 500 44,290 48,719

DKT INDONESIA

KODE NAMA BARANG HARGA HARGA ++

DKT-002 ANDALAN INJ 1 BLN 154,545 170,000

DKT-006 ANDALAN LAKTASI 10,800 11,880
DKT-003 ANDALAN OC TAB 11,040 12,144
DKT-011 K SUTRA COKLAT RM ISI 12 16,200 17,820
DKT-010 K SUTRA COKLAT RM ISI 3 4,250 4,675
DKT-005 K SUTRA HITAM ISI 12 23,475 25,823
DKT-004 K SUTRA HITAM ISI 3,S 6,625 7,288
DKT-001 K SUTRA MERAH ISI 3 4,555 5,011
DKT-009 K. SUTRA MERAH ISI 24 26,345 28,980
DKT-007 K.SUTRA MERAH ISI 12 16,085 17,694
DKT-008 PIL KB ANDALAN FE 10,800 11,880
DKT-012 SUTRA GERIGI 12'S 23,475 25,823
DKT-013 SUTRA GERIGI 3'S 6,625 7,288

DELTOMED

KODE NAMA BARANG HARGA HARGA ++

DLT-020 ANTANGIN GINGER MINT SYRUP 12'S 25,091 27,600
DLT-015 ANTANGIN JRG CAIR ISI 12 26,073 28,680
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 12 of 57 9:28:17AM 04/08/2020 1

DELTOMED

KODE NAMA BARANG HARGA HARGA ++

DLT-003 ANTANGIN TABLET 43,455 47,801
DLT-006 FRESH CARE CITRUS 11,560 12,716
DLT-004 FRESH CARE GREENTEA 11,560 12,716
DLT-005 FRESH CARE LAVENDER 11,560 12,716
DLT-019 FRESH CARE MINYAK KAYU PUTIH 11,000 12,100
DLT-012 FRESH CARE SANDALWOOD 11,560 12,716
DLT-007 FRESH CARE SPLAS FRUITY 11,560 12,716
DLT-013 FRESH CARE SPORT 11,560 12,716
DLT-008 FRESH CARE STRONG HOT 11,560 12,716
DLT-014 OB HERBAL 100 14,910 16,401
DLT-017 OB HERBAL JUNIOR 60ML 9,951 10,946
DLT-009 OB HERBAL SYR 60 ML 10,266 11,293
DLT-018 PIL KITA 2D 75,111 82,622
DLT-001 PIL TUNTAS 9,065 9,972
DLT-010 PILKITA 150,000 165,000

DARYA VARIA

KODE NAMA BARANG HARGA HARGA ++

DRV-018 ALLERIN EXP 60 SYR 10,238 11,262
DRV-027 ALLERIN SYR 120 ML 18,769 20,646
DRV-019 BURNAZIN CR 56,175 61,793
DRV-020 DARYANTULLE STERIL 10'S 18,720 20,592
DRV-036 NATUR E ADVANCED 16 32,729 36,002
DRV-037 NATUR E ADVANCED 32 62,185 68,404
DRV-025 NATUR E ADVANCED SC 80'S 196,824 216,506
DRV-003 NATUR E ISI 16 100 IU HIJAU 15,134 16,647
DRV-033 NATUR E ISI 16 300IU ORANGE 29,430 32,373
DRV-009 NATUR E ISI 32 100 IU HIJAU 26,569 29,226
DRV-041 NATUR E ISI 32 300 IU ORANGE 56,496 62,146
DRV-029 NATUR E N. CALMING 100 ML BIRU 12,220 13,442
DRV-030 NATUR E N. CALMING 245 ML BIRU 24,517 26,969
DRV-034 NATUR E N. MOISTURIZING 100 ML HIJAU 10,424 11,466
DRV-038 NATUR E N. MOISTURIZING 245 ML HIJAU 20,913 23,004
DRV-031 NATUR E N. RELAXING 100 ML UNGU 12,220 13,442
DRV-032 NATUR E N. RELAXING 245 ML UNGU 24,517 26,969
DRV-035 NATUR E N. REVITALIZING 100 ML PINK 12,220 13,442
DRV-026 NATUR E NOURISHING 100IU 80'S 99,109 109,020
DRV-024 NATUR E NOURISHING 300IU 80'S 140,300 154,330
DRV-002 PHARMATON FORMULA 200,682 220,750
DRV-028 PHARMATON VIT 189,873 208,860
DRV-039 SILEX SYRUP 100 CC 55,650 61,215
DRV-022 SOFRATULLE 10X10 CM 236,547 260,202
DRV-004 STOP COLD 36,037 39,641
DRV-023 SUPERTIN CAP 30'S 32,000 35,200
DRV-021 VENTOLIN INHALER CFC 109,250 120,175
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 13 of 57 9:28:17AM 04/08/2020 1

DARYA VARIA

KODE NAMA BARANG HARGA HARGA ++

DRV-015 VENTOLIN NEBULESZ 9,437 10,381
DRV-013 VICKS F 44 100 DWS 16,552 18,207
DRV-006 VICKS F 44 27 ML ANAK 6,633 7,296
DRV-005 VICKS F 44 27 ML DWS 6,378 7,016
DRV-001 VICKS F 44 54 ML ANAK 12,250 13,475
DRV-012 VICKS F 44 54ML DWS 11,660 12,826
DRV-040 VICKS F 44 SACHET 5 ML ISI 24 18,542 20,396
DRV-014 VICKS INHALER 12,403 13,643
DRV-007 VICKS VAPORUB 10 GR 6,201 6,821
DRV-008 VICKS VAPORUB 50 MG 25,135 27,649
DRV-017 VICKS VAPORUP 25 GR 14,645 16,110

DUREX INDONESIA

KODE NAMA BARANG HARGA HARGA ++

DRX-005 DUREX CLOSE FIT 3'S 13,538 14,892
DRX-002 DUREX EXTRA SAFE 3'S 17,711 19,482
DRX-004 DUREX FETHERLITE 3'S 16,101 17,711
DRX-008 DUREX INVISIBLE 2,S 23,320 25,652
DRX-003 DUREX PLEASUREMAX 3'S 20,254 22,279
DRX-007 DUREX RIBBED 3'S 16,101 17,711
DRX-006 DUREX STRAWBERRY 3'S 22,280 24,508
DRX-001 DUREX TOGETHER 3'S 13,538 14,892

DUNIA SEHAT

KODE NAMA BARANG HARGA HARGA ++

DSH-001 KEJIBLING PLUS GINSENG 30,432 33,475

DAMI SARIWANA

KODE NAMA BARANG HARGA HARGA ++

DSW-004 KLIR-Y 60 KAPSUL 136,364 150,000
DSW-005 KLIR-Y STRIP 30 KAPSUL 72,727 80,000
DSW-001 MENSES 18 CAPS 20,000 22,000
DSW-003 MENSES CAIR 15 ML 5'S 2,500 2,750
DSW-002 NEGATAL 18 CAPS 20,000 22,000
DSW-007 PROSTALON STRIP 30 KAPSUL 72,727 80,000
DSW-006 THYPONISIX 60 KAPSUL 136,364 150,000
DSW-008 TOP UP 60'S CAP 72,727 80,000

DEXA MEDIKA

KODE NAMA BARANG HARGA HARGA ++

DXM-023 ACYCLOVIR 400 DEXA 28,659 31,525
DXM-024 BETAHISTIN 6MG DEXA 83,916 92,308
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 14 of 57 9:28:17AM 04/08/2020 1

DEXA MEDIKA

KODE NAMA BARANG HARGA HARGA ++

DXM-025 CAPTOPRIL 12.5 MG DEXA 8,664 9,530
DXM-026 CEFADROXIL 500 DEXA 76,364 84,000
DXM-010 DEXANTA TAB 20,686 22,755
DXM-012 DEXYCOL 500 MG 89,489 98,438
DXM-027 DOXYCYCLINE 100 DEXA 39,780 43,758
DXM-034 HERBAKOF SYRUP 100 ML 17,300 19,030
DXM-033 HERBAKOF SYRUP 60 ML 11,000 12,100
DXM-001 IRGAPAN 200 MG 65,341 71,875
DXM-016 KETOCONAZOL DEXA 18,637 20,501
DXM-004 NEURODEX DRAG 107,955 118,751
DXM-009 NIFEDIPIN 10 DEXA 18,750 20,625
DXM-017 PIROCAM 20 MG 12,159 13,375
DXM-002 PRIMADEX TAB 27,540 30,294
DXM-003 PRIMADEX TAB FORTE 49,431 54,374
DXM-007 PROPANOLOL 10 MG 11,405 12,546
DXM-008 PROPANOLOL 40 MG 14,546 16,001
DXM-022 RANITIDINE 150 DEXA 13,939 15,333
DXM-032 STIMUNO FORTE CAP 22,500 24,750
DXM-029 STIMUNO SYR 60 ML ANGGUR 21,500 23,650
DXM-030 STIMUNO SYR 60 ML ORIGINAL 21,500 23,650
DXM-031 STIMUNO SYRUP ORANGE BERRY 60ML 21,500 23,650
DXM-011 TEOSAL 19,000 20,900
DXM-028 VASTIGO TAB 82,740 91,014
DXM-018 VOLTADEX 50 MG 22,500 24,750
DXM-035 VOLTADEX GEL 1% X 20G 20,500 22,550

EAGLE INDOFARMA

KODE NAMA BARANG HARGA HARGA ++

EIF-007 BALSEM GELIGA 10 GR 4,034 4,437
EIF-006 BALSEM GELIGA 20GR 7,250 7,975
EIF-005 BALSEM GELIGA 40 GR 14,167 15,584
EIF-008 BALSEM LANG 10 GR 4,034 4,437
EIF-017 BALSEM LANG 20 GR 7,250 7,975
EIF-018 BALSEM LANG 40 GR 14,167 15,584
EIF-050 GELIGA KRIM 30 G 8,617 9,479
EIF-051 GELIGA KRIM 60 G 13,334 14,667
EIF-046 GELIGA STICK 10GR 4,000 4,400
EIF-002 GPU BESAR ELANG 60 13,000 14,300
EIF-003 GPU KECIL ELANG 30 7,500 8,250
EIF-048 GPU KRIM 10GR 17,400 19,140
EIF-041 GPU KRIM 150GR 14,584 16,042
EIF-028 GPU KRIM 250GR 22,584 24,842
EIF-042 GPU KRIM 60GR 7,534 8,287
EIF-049 IFREE 17,500 19,250
EIF-013 M. K.PUTIH ELANG 30 9,000 9,900
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 15 of 57 9:28:17AM 04/08/2020 1

EAGLE INDOFARMA

KODE NAMA BARANG HARGA HARGA ++

EIF-015 M. TELON ELANG 30 ML 8,167 8,984
EIF-001 M. TELON ELANG 60 ML 14,334 15,767
EIF-043 M.K. PUTIH ELANG 210ML 56,750 62,425
EIF-014 M.K.PUTIH ELANG 120 33,417 36,759
EIF-012 M.K.PUTIH ELANG 60 ML 17,334 19,067
EIF-047 MINYAK 9 MUTIARA 100 ML 71,970 79,167
EIF-040 MINYAK 9 MUTIARA 30 ML 28,074 30,881
EIF-022 MINYAK 9 MUTIARA 50 ML 45,455 50,001
EIF-021 MINYAK ANGIN LANG 12 ML 16,000 17,600
EIF-019 MINYAK ANGIN LANG 3 ML 5,084 5,592
EIF-020 MINYAK ANGIN LANG 6 ML 8,750 9,625
EIF-036 MINYAK GANDAPURA 30ML 6,334 6,967
EIF-035 MINYAK GANDAPURA 60ML 10,750 11,825
EIF-023 NORIT TUBE 13,167 14,484
EIF-011 ROLL ON V-FRESH 8 ML 8,076 8,884
EIF-044 TELON LANG 100ML 23,084 25,392
EIF-039 TELON LANG 15ML 4,550 5,005
EIF-027 TELON LANG PLUS 15ML 4,634 5,097
EIF-038 TELON LANG PLUS 30ML 8,333 9,166
EIF-037 TELON LANG PLUS 60ML 14,667 16,134
EIF-031 V-FRESH BARLEY MINT 8,076 8,884
EIF-034 V-FRESH GREEN TEA 8,076 8,884
EIF-032 V-FRESH HOT 8 ML 8,450 9,295
EIF-030 V-FRESH LAVENDER 8,076 8,884
EIF-045 V-FRESH ORIGINAL 8,450 9,295

ERELA

KODE NAMA BARANG HARGA HARGA ++

ERL-016 ALLETROL TM 14,360 15,796
ERL-019 ANTASIDA DOEN ERELA 10,387 11,426
ERL-030 ANTASIDA SYR ERELA 3,704 4,074
ERL-008 BORAX GLICERIN 5,600 6,160
ERL-028 CAVICUR EMULSION 60 ML 7,700 8,470
ERL-003 CAVIPLEX CAPLET 70,000 77,000
ERL-037 CAVIPLEX CDEZ KAP 90,000 99,000
ERL-001 CAVIPLEX DROP 4,000 4,400
ERL-009 CAVIPLEX SYR 60 ML 8,482 9,330
ERL-023 ENBATIC SALEP KULIT 8,494 9,343
ERL-022 ENBATIC SERBUK 2,961 3,257
ERL-018 ERLA PLUS TETES MATA 16,940 18,634
ERL-010 ERLA TETES MATA BIASA 10,300 11,330
ERL-007 ERLAMECETIN SALEP MATA 8,600 9,460
ERL-002 ERLAMECETIN T TELINGA 7,800 8,580
ERL-013 ERLAMOL TAB 21,512 23,663
ERL-024 ERLAMOXY CAP 36,364 40,000
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 16 of 57 9:28:17AM 04/08/2020 1

ERELA

KODE NAMA BARANG HARGA HARGA ++

ERL-035 ERLANEOHYDROCORT CR 5G 7,220 7,942
ERL-036 GASELA 150 MG KAP 24,071 26,478
ERL-017 GENOINT SALEP MATA 7,811 8,592
ERL-015 GENOINT SK 4,950 5,445
ERL-014 GENOINT TM 9,150 10,065
ERL-021 IAFED SIRUP 5,500 6,050
ERL-026 KAOTIN SIRUP 5,400 5,940
ERL-032 OBH 100 ML ERELA 2,264 2,490
ERL-006 PARACETIN SYR 6,770 7,447
ERL-034 REPASS 400 MG 35,900 39,490
ERL-004 SUPRAVIT 60 BOTOL 27,500 30,250
ERL-020 SUPRAVIT STRIP 100 38,500 42,350

ERLIMPEX

KODE NAMA BARANG HARGA HARGA ++

ERP-003 DEXTEEM PLUS 30,215 33,237
ERP-002 DEXTEEM TAB 13,970 15,367
ERP-001 ERPHAMAZOL CREAM 5,385 5,924

ERITA

KODE NAMA BARANG HARGA HARGA ++

ERT-018 AMLODIPIN 5 MG ERITA 3,334 3,667
ERT-012 AMOXICILLIN TAB ERITA 31,429 34,572
ERT-006 AMPICILLIN ERITA 35,226 38,749
ERT-014 ANTASIDA DOEN ERRITA 8,978 9,876
ERT-005 ASAM MEFENAMAT ERITA 28,410 31,251
ERT-013 CAPTOPRIL 25 ERITA 9,902 10,892
ERT-001 ETABION 20,530 22,583
ERT-009 ETAFLUSIN CAP 32,382 35,620
ERT-003 ETAFLUSIN SYR 7,610 8,371
ERT-002 ETAMOX 500 TABLET 37,670 41,437
ERT-016 M. PREDNISOLON 4 ERITA 25,650 28,215
ERT-017 M. PREDNISOLON 8 MG ERITA 45,520 50,072
ERT-015 OMEPRAZOLE 20 MG ERITA 11,900 13,090

ESAI

KODE NAMA BARANG HARGA HARGA ++

ESI-002 MERISLON 100 KECIL 483,357 531,693

ETICA

KODE NAMA BARANG HARGA HARGA ++

ETC-001 OXYTOCIN 10 IU 2,500 2,750
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 17 of 57 9:28:17AM 04/08/2020 1

FAHRENHEIT

KODE NAMA BARANG HARGA HARGA ++

FAH-013 CALLUSOL 10 ML 25,000 27,500

FAH-005 FARGOXIN TAB 27,565 30,322
FAH-008 FARMABES TAB 46,600 51,260
FAH-004 FARMALAT TAB 10 MG 33,130 36,443
FAH-002 FARMOTEN TAB 12.5 34,952 38,447
FAH-001 FARMOTEN TAB 25 27,600 30,360
FAH-007 GLUDEPATIC 500 30,630 33,693
FAH-003 RENABETIC 14,790 16,269
FAH-006 RENADINAC 50 MG 32,156 35,372
FAH-009 RENALYTE 15,090 16,599
FAH-012 Y-RINS 23,000 25,300
FAH-014 Y-RINS 2X12ML 13,600 14,960

FIRS MIDIFARMA

KODE NAMA BARANG HARGA HARGA ++

FMF-010 ALLOPURINOL 100 FIRSTMIDI 22,728 25,001
FMF-011 ALLOPURINOL 300 MIDIFARMA 46,591 51,250
FMF-009 BETAMETASON CR MIDIFARMA 2,785 3,064
FMF-007 GLIBENCLAMID 5 MIDIFARMA 12,500 13,750
FMF-008 HYDROCORTISON 2.5 MIDIFARMA 4,041 4,445
FMF-002 IBUPROFEN 400 MIDIFARMA 27,841 30,625
FMF-004 METRONIDAZOL MIDIFARMA 25,000 27,500
FMF-006 PARACETAMOL MIDIFARMA 17,533 19,286
FMF-001 ZECANEURON 59,660 65,626

FUTAMED PHARMACEUTICAL

KODE NAMA BARANG HARGA HARGA ++

FMP-002 AMLODIPINE TAB 5MG FUTAMED 12,500 13,750
FMP-004 CETIRIZINE TAB 10MG FUTAMED 10,230 11,253
FMP-005 DOMPERIDONE TAB 10MG FUTAMED 20,000 22,000
FMP-001 OMEPRAZOLE FUTAMED 20MG 100'S 30,000 33,000
FMP-003 ONDANSETRON TAB 4MG FUTAMED 12'S 12,500 13,750
FMP-006 ONDANSETRON TAB 8MG FUTAMED 100'S 112,500 123,750

GUARDIAN PHARMATAMA

KODE NAMA BARANG HARGA HARGA ++

GDP-018 BETAHISTIN 6 MG NULAB 21,000 23,100
GDP-015 CEFIXIME 100 NULAB 108,845 119,730
GDP-013 CETIRIZINE 10 NULAB 28,500 31,350
GDP-006 LANSOPRAZOLE NULAB 24,570 27,027
GDP-014 LEVOFLOXACIN NULAB 104,880 115,368
GDP-005 LORATADINE 10MG NULAB 15,140 16,654
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 18 of 57 9:28:17AM 04/08/2020 1

GUARDIAN PHARMATAMA

KODE NAMA BARANG HARGA HARGA ++

GDP-007 M. PREDNISOLON 4 NULAB 40,050 44,055
GDP-002 M. PREDNISOLON 8 NULAB 53,182 58,500
GDP-008 MELOXICAM 15 NULAB 54,500 59,950
GDP-004 MELOXICAM 7,5MG NULAB 35,381 38,919
GDP-001 OMEPRAZOLE 20 MG NULAB 11,137 12,251
GDP-016 ONDAN 4 INJEKSI NULAB 35,000 38,500
GDP-017 ONDAN 8 INJEKSI NULAB 84,000 92,400
GDP-012 ONDANSETRON 4 NULAB 70,000 77,000
GDP-003 ONDANSETRON 8 NULAB 115,000 126,500

GLOBALL

KODE NAMA BARANG HARGA HARGA ++

GLB-005 COREDRYL SYR 6,800 7,480
GLB-003 MYTADERM CR 6,000 6,600
GLB-008 NADIFEN 50 TAB 28,000 30,800
GLB-010 NEUROTROPIC INJ 8,000 8,800
GLB-001 RECO TM 7,500 8,250
GLB-006 RECO TT 7,500 8,250
GLB-011 RECODRIL INJ 6,000 6,600
GLB-007 RECOVIT SYR 7,200 7,920
GLB-012 VIT B 12 VIAL GLOBAL 7,500 8,250
GLB-015 VIT B COMPLEX INJ 6,400 7,040
GLB-014 VIT B1 INJ GLOBAL 5,200 5,720
GLB-002 ZOLAGEL CR 5,000 5,500

GALENIUM PHARMASIA

KODE NAMA BARANG HARGA HARGA ++

GLP-001 CALADIN LOTION 95 BESAR 17,500 19,250
GLP-006 CALADINE BABY POWDER 100 GR 9,000 9,900
GLP-002 CALADINE LOTION 60 ML 12,400 13,640
GLP-009 LAXADINE 30 ML 22,000 24,200
GLP-008 LAXADINE EMULSI 110 ML 50,000 55,000
GLP-007 LAXADINE EMULSI 60 ML 37,500 41,250
GLP-004 SABUN OILUM COLL MOIST 9,200 10,120
GLP-005 SCABIMITE CR 10 GR 42,500 46,750
GLP-003 SCABIMITE CR 30 GR 69,500 76,450

GRAHA FARMA

KODE NAMA BARANG HARGA HARGA ++

GRH-028 ATMACID SYR 6,710 7,381

GRH-027 ATMACID TABLET 27,532 30,285
GRH-032 BIOMEGA 62,066 68,273
GRH-034 BRONKRIS TABLET 11,674 12,841
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
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Page 19 of 57 9:28:17AM 04/08/2020 1

GRAHA FARMA

KODE NAMA BARANG HARGA HARGA ++

GRH-049 DEXAMETHASONE 0,5 GRAHA 12,655 13,921
GRH-035 FLOXIGRA ISI 100 46,131 50,744
GRH-026 FLUCADEX SYR 9,630 10,593
GRH-012 FLUCADEX TABLET 57,147 62,862
GRH-025 FLUNAK 20,513 22,564
GRH-047 FLUNAK SIRUP 3,950 4,345
GRH-033 GRADILEX TAB 14,637 16,101
GRH-014 GRAFACHLOR 17,440 19,184
GRH-038 GRAFADON FORTE 28,480 31,328
GRH-002 GRAFADON SIRUP 6,970 7,667
GRH-007 GRAFADON TABLET 26,200 28,820
GRH-043 GRAFALIN 2 MG 10,191 11,210
GRH-011 GRAFALIN 4 MG 18,040 19,844
GRH-016 GRAFASMA 26,120 28,732
GRH-013 GRAFAZOL 500 MG 31,160 34,276
GRH-017 GRAHABION 61,270 67,397
GRH-024 GRALIXA 40 16,610 18,271
GRH-039 GRAMETA TAB 10,975 12,073
GRH-010 GRANTUSIF 37,672 41,439
GRH-008 GRAPAMIC TAB 34,870 38,357
GRH-005 GRAPRIMA FORTE 50,447 55,492
GRH-019 GRAPRIMA SYR 5,120 5,632
GRH-004 GRAPRIMA TABLET 25,637 28,201
GRH-015 GRASEO 10 MG 13,150 14,465
GRH-018 GRASEO 20 ISI 100 20,250 22,275
GRH-040 GRASERIC TAB 29,375 32,313
GRH-009 GRATHASONE 500 29,182 32,100
GRH-023 GRATHEOS 50 27,045 29,750
GRH-037 GRAXINE 19,804 21,784
GRH-020 HISTAKLOR 13,085 14,394
GRH-006 HUFAMAG PLUS 29,886 32,875
GRH-001 INFALGIN 29,082 31,990
GRH-021 MOXIGRA 500 39,833 43,816
GRH-050 PINKID SRP 4,365 4,802
GRH-044 PIROXICAM 10 GRAHA 11,650 12,815
GRH-048 PIROXICAM 20 GRAHA 15,050 16,555
GRH-041 SALBUTAMOL 2 GRAHA 10,920 12,012
GRH-042 SALBUTAMOL 4 GRAHA 15,060 16,566
GRH-046 SIMVASTATIN 10 GRAHA 8,440 9,284
GRH-045 SIMVASTATIN 20 GRAHA 12,785 14,064
GRH-036 TOKASID 30,844 33,928
GRH-003 VOSEA 18,750 20,625
GRH-022 VOSEA SIRUP 4,890 5,379

HUFA
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 20 of 57 9:28:17AM 04/08/2020 1

HUFA

KODE NAMA BARANG HARGA HARGA ++

GTH-003 HUFADEXON 0.5 KLG 47,000 51,700
GTH-004 HUFADON KAPLET 18,210 20,031
GTH-001 HUFAGRIP FLU 60 KUNING 15,835 17,419
GTH-005 HUFAVICEE 93,140 102,454

GLAXO WELLCOME INDON

KODE NAMA BARANG HARGA HARGA ++

GWI-001 ACTIFED 60 ML KUNING 44,749 49,224
GWI-002 ACTIFED COUGH MERAH 44,750 49,225
GWI-003 ACTIFED PLUS EXP HIJAU 44,750 49,225
GWI-006 PANADOL COLD & FLU (PREKURSOR) 103,173 113,490
GWI-004 SCOTT,S EMULS.200 ML JERUK 31,296 34,426
GWI-005 SCOTT,S EMULS.400 ML JERUK 50,382 55,420
GWI-008 SCOTTS EMULS ORIGINAL 200 31,296 34,426
GWI-007 SCOTTS EMULS ORIGINAL 400 49,789 54,768

HUFA

KODE NAMA BARANG HARGA HARGA ++

HFA-008 ANASTAN 500 MG 36,297 39,927
HFA-016 BABY COUGH PASABA SYR 4,000 4,400
HFA-018 DEXYL 60ML 4,505 4,956
HFA-038 H-BOOSTER 15,050 16,555
HFA-026 HUFABETAMIN SIRUP 6,027 6,630
HFA-005 HUFABION TAB 29,590 32,549
HFA-032 HUFACID SIRUP 5,250 5,775
HFA-040 HUFADEXTAMIN TAB 16,788 18,467
HFA-029 HUFADIAR SIRUP 3,531 3,884
HFA-036 HUFADINE TAB 28,559 31,415
HFA-033 HUFADON SIRUP 4,545 5,000
HFA-012 HUFADRYL SYR 4,100 4,510
HFA-035 HUFAFLOX TAB 46,691 51,360
HFA-007 HUFAGESIC SYR 5,246 5,771
HFA-006 HUFAGESIC TAB 22,740 25,014
HFA-013 HUFAGRIP BP HIJAU 15,265 16,792
HFA-001 HUFAGRIP FORTE TAB 33,457 36,803
HFA-020 HUFAGRIP PILEK SYR 12,893 14,182
HFA-015 HUFAGRIP TMP SYR 13,465 14,812
HFA-011 HUFALLERZINE SYR 60 ML 4,747 5,222
HFA-023 HUFALYSIN NEW PINK 8,810 9,691
HFA-017 HUFAMAG PLUS SYR 5,757 6,333
HFA-031 HUFAMYCETIN SIRUP 6,471 7,118
HFA-004 HUFANEURON 56,750 62,425
HFA-003 HUFANOXIL 500 TABLET 38,736 42,610
HFA-009 HUFANOXIL SIRUP 4,483 4,931
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 21 of 57 9:28:17AM 04/08/2020 1

HUFA

KODE NAMA BARANG HARGA HARGA ++

HFA-034 HUFATIDINE TAB 40 MG 8,790 9,669
HFA-019 HUFAVIT KALK SYR 60 4,870 5,357
HFA-025 HUFAXICAM 15 12,595 13,855
HFA-021 HUFAXICAM 7.5 10,816 11,898
HFA-039 HUFAXOL 24,732 27,205
HFA-024 HUFAXOL SIRUP 4,800 5,280
HFA-002 HUFRALGIN 53,095 58,405
HFA-037 PASABA COUGH & FLU 4,750 5,225
HFA-014 TIALYSIN KALK SYR 60 ML 4,675 5,143
HFA-027 VANQUIN PLUS 3,978 4,376

HOLI PHARMA

KODE NAMA BARANG HARGA HARGA ++

HLI-004 AMPICILIN 500 HOLI 33,639 37,003
HLI-006 ASAM MEFENAMAT HOLI 14,205 15,626
HLI-003 CEFADROXIL 500 HOLI 61,370 67,507
HLI-007 CEFADROXIL SYR HOLI 125 6,079 6,687
HLI-009 CIMETIDINE 200 HOLI 15,340 16,874
HLI-005 HOLIMOX FORTE SIRUP 5,000 5,500
HLI-012 MEZAC 50 23,200 25,520
HLI-010 PARACETAMOL 5OO HOLI 14,286 15,715
HLI-011 PREDNISON 5 HOLI 100'S 9,380 10,318

HISAMITSU PHARMA

KODE NAMA BARANG HARGA HARGA ++

HMU-002 BYE BYE FEVER ANAK 41,295 45,425

HMU-001 BYE BYE FEVER BAYI 58,011 63,812
HMU-005 SALONPAS GEL 15GR 10,700 11,770
HMU-006 SALONPAS GEL 30GR 16,540 18,194
HMU-003 SALONPAS HOT MERAH 100 48,800 53,680
HMU-007 SALONPAS JET SPRAY 118ML 58,400 64,240
HMU-004 SALONPAS SUPER HIJAU 100 48,800 53,680

HENSON FARMA

KODE NAMA BARANG HARGA HARGA ++

HNS-005 DERMATIX ULTRA 15GR 228,000 250,800
HNS-006 DERMATIX ULTRA 5 GR 100,000 110,000
HNS-007 DERMATIX ULTRA 9 GR 152,500 167,750
HNS-004 NEO ULTRASILIN 8,261 9,087
HNS-001 ULTRAFLU 25 STRIP 65,510 72,061

HANSAPLAST
PBF.PT.BUANA SARASWATI
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HANSAPLAST

KODE NAMA BARANG HARGA HARGA ++

HPS-003 HANSAPLAS PLESTER 2637 22,728 25,001

PT HERMED

KODE NAMA BARANG HARGA HARGA ++

HRM-001 MORIFIT 53,000 58,300

HARSEN

KODE NAMA BARANG HARGA HARGA ++

HRS-011 ANDALAN INJ 3 BLN 153,182 168,500
HRS-015 DECADRIL 120 SIRUP 15,000 16,500
HRS-006 DECADRYL 60 ML 12,000 13,200
HRS-002 DECATRIM SYR 14,000 15,400
HRS-007 DEPO PROGESTIN 176,000 193,600
HRS-018 DEXA KLG 100'S HRS 16,000 17,600
HRS-010 DEXAMETASON 0,75 HARSEN 38,500 42,350
HRS-016 DEXAMETASON INJ 10 ML 24,000 26,400
HRS-004 DEXAMETHASON 0,5 HARSEN 34,000 37,400
HRS-017 DEXAMETHASON INJ 1 ML HARSEN 6,000 6,600
HRS-005 KANAMYCIN INJ 1 GR 16,500 18,150
HRS-003 METROLET 500 MG 55,500 61,050
HRS-008 NEUROBORAN INJ 11,500 12,650
HRS-009 NEUROPYRON V 88,000 96,800
HRS-014 PROXONA 39,000 42,900

HEXPHARM JAYA

KODE NAMA BARANG HARGA HARGA ++

HXP-037 ACYCLOVIR 400 HEXPHARM 28,659 31,525
HXP-019 AMOXICILIN HEXPARM 33,636 37,000
HXP-028 ASAM MEFENAMAT HEXPARM 29,735 32,709
HXP-002 BINTAMOX 500 MG 49,076 53,984
HXP-005 BINTAMOX SIRUP 6,500 7,150
HXP-033 CAPTOPRIL 25 MG HXP 13,915 15,307
HXP-030 CEFIXIME 100MG HEXPARM 65,000 71,500
HXP-004 DANASONE 21,272 23,399
HXP-001 DAPYRIN 200 MG 41,932 46,125
HXP-015 DAPYRIN SIRUP 5,082 5,590
HXP-038 HEXCAM 15 25,000 27,500
HXP-036 KALMECO INJ 500NCG/ML 125,438 137,982
HXP-008 KETOCONAZOL 2% CR 5GR 3,659 4,025
HXP-025 KETOCONAZOL CR 10GR HEXAFARM 4,993 5,492
HXP-009 KETOCONAZOL HEXPARM 44,262 48,688
HXP-023 LIBROZYM PLUS 57,220 62,942
HXP-022 LIBROZYM TAB 54,547 60,002
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 23 of 57 9:28:17AM 04/08/2020 1

HEXPHARM JAYA

KODE NAMA BARANG HARGA HARGA ++

HXP-016 M PREDNISOLON 4 HEXPARM 40,050 44,055
HXP-027 MELOXICAM 15 HEXPARM 35,000 38,500
HXP-024 MELOXICAM 7.5 HEXPARM 19,000 20,900
HXP-013 METFORMIN 500 HEXPARM 20,000 22,000
HXP-011 OMEPRAZOLE 20 HXPARM 11,136 12,250
HXP-014 RANITIDIN 150 HEXPARM 20,130 22,143
HXP-032 RANITIDIN INJEKSI HEXPARM 23,364 25,700
HXP-029 SIMVASTATIN 20 HEXPHARM 34,300 37,730
HXP-003 SPASMINAL TAB 61,153 67,268

INDOFARMA

KODE NAMA BARANG HARGA HARGA ++

IFA-049 ACYCLOVIR 200 TAB IF 59,500 65,450
IFA-007 ACYCLOVIR 5 CR IF 3,295 3,625
IFA-006 AMBROXOL 30 MG IFA 30,630 33,693
IFA-044 AMLODIPIN 10 MG IFA 3,723 4,095
IFA-045 AMLODIPIN 5 MG IFA 3,777 4,155
IFA-024 BIORALIT 200ML 900 990
IFA-010 CAPTOPRIL 12,5 MG IF 100'S 13,722 15,094
IFA-035 CAPTOPRIL 25 IF 20,540 22,594
IFA-048 CAPTOPRIL 50 MG IF 28,824 31,706
IFA-018 CLINDAMYCIN 300 MG 50'S 74,487 81,936
IFA-031 COTRIMOXAZOL IF 480 TAB 33,345 36,680
IFA-041 DOMPERIDON TAB IF 32,075 35,283
IFA-037 DOXYCYCLIN 100 IF 48,185 53,004
IFA-047 ERYTHROMYCIN 200MG/5ML SIR IF 10,208 11,229
IFA-012 FUROSEMID 40 MG IF 24,590 27,049
IFA-013 GENTAMYCIN 0,1% SK IF 2,086 2,295
IFA-034 GLIBENCLAMIDE 5 IF 16,922 18,614
IFA-036 GRISEUFULVIN 125 IF 37,804 41,584
IFA-028 HYDROCORTISON 2.5% IF 5,253 5,778
IFA-003 ISOSORBID DINITRATE 5 MG 100'S 16,880 18,568
IFA-050 MELOXICAM 7,5 MG IF 19,636 21,600
IFA-051 OBH INDO PLUS SYR 100 ML 9,750 10,725
IFA-020 OFLOXACIN 400 39,642 43,606
IFA-046 ORALIT 200ML INDOFARMA 42,087 46,296
IFA-014 OXYTETRACYCLIN 3% SK IFA 1,875 2,063
IFA-042 PHENOBARBITAL 30 MG TAB 14,500 15,950
IFA-015 PIROXICAM 10MG IF 30,000 33,000
IFA-038 PIROXICAM 20 KAP IF 39,707 43,678
IFA-011 PROPHYLTHLOURACIL 53,300 58,630
IFA-039 SPOID 3 CC KODIS 27,778 30,556

IMFARMIND FARMASI IN
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 24 of 57 9:28:17AM 04/08/2020 1

IMFARMIND FARMASI IN

KODE NAMA BARANG HARGA HARGA ++

IFI-003 ALLOPURINOL 100 IMFARMINDO 11,365 12,502
IFI-004 AMBROXOL 30 MG IMFARMINDO 9,775 10,753
IFI-005 ASAM MEFENAMAT 500 MG IFI 31,820 35,002

IFAR

KODE NAMA BARANG HARGA HARGA ++

IFR-129 ACIFAR 200 42,675 46,943

IFR-070 ACIFAR 400 TABLET 27,225 29,948
IFR-055 ACIFAR CR 5,175 5,693
IFR-020 AKITA TAB 20,775 22,853
IFR-038 ALOFAR 100 24,713 27,184
IFR-106 ALOFAR 300 55,088 60,597
IFR-119 AMOXICILLIN 500 IFARS 34,102 37,512
IFR-140 ANELAT 13,950 15,345
IFR-072 ANTALGIN INFARMIND 14,774 16,251
IFR-082 ARMACORT CR 5,675 6,243
IFR-028 BROCHIFAR 33,300 36,630
IFR-030 BROMIFAR 10,875 11,963
IFR-021 BRONCHOSAL 14,175 15,593
IFR-041 CALCIFAR 14,930 16,423
IFR-110 CAZETIN DROP 17,364 19,100
IFR-064 CEFADROXIL 500 IFAR 41,560 45,716
IFR-109 CEFADROXIL SIRUP IFAR 7,062 7,768
IFR-094 CLONADERM CR 6,600 7,260
IFR-117 COSPASMIC SIRUP 2,775 3,053
IFR-002 DERMIFAR CR 3,188 3,507
IFR-085 DEXIGEN CR 7,725 8,498
IFR-031 DIONICOL 80,550 88,605
IFR-058 DIONICOL SYR 6,075 6,683
IFR-130 DOBRIZOL 36,337 39,971
IFR-089 DOHIXAT 36,038 39,642
IFR-126 ELOMOX CR 7,125 7,838
IFR-112 ELSIRON 34,012 37,413
IFR-042 ELTAZON 14,700 16,170
IFR-097 ESTALEX 36,365 40,002
IFR-017 FARGETIX 27,863 30,649
IFR-006 FARIDEXON 0,5 7,875 8,663
IFR-036 FARIZOL 500 26,063 28,669
IFR-080 FARIZOL SIRUP 4,825 5,308
IFR-027 FARNIREX 18,750 20,625
IFR-116 FARSIFEN 200 20,887 22,976
IFR-011 FARSIFEN 400 37,715 41,487
IFR-134 FARSIFEN FORTE SUSP 5,888 6,477
IFR-133 FARSIFEN PLUS 27,487 30,236
IFR-071 FARSIFEN SIRUP 4,250 4,675
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 25 of 57 9:28:17AM 04/08/2020 1

IFAR

KODE NAMA BARANG HARGA HARGA ++

IFR-007 FARSIRETIC 15,826 17,409
IFR-050 FARSYCOL CR 3,600 3,960
IFR-111 FASIDOL DROP 8,738 9,612
IFR-092 FASIDOL FORTE TAB 23,288 25,617
IFR-060 FASIDOL SIRUP 4,088 4,497
IFR-114 FASIDOL SIRUP FORTE 4,612 5,073
IFR-009 FASIDOL TABLET 18,862 20,748
IFR-078 FASIPRIM SIRUP 4,250 4,675
IFR-043 FAXIDEN 10 MG 11,925 13,118
IFR-026 FAXIDEN 20 19,238 21,162
IFR-077 FAXIDEN GEL 6,375 7,013
IFR-086 FLASICOX 33,240 36,564
IFR-019 FLOXIFAR 500 47,785 52,564
IFR-052 FLUTOP C SYR 5,663 6,229
IFR-045 FONDAZEN 23,812 26,193
IFR-012 FUNDIFAR 39,188 43,107
IFR-034 GABITEN 26,476 29,124
IFR-053 GENALTEN CR 5 GR 3,188 3,507
IFR-033 GINIFAR 20,213 22,234
IFR-074 GLICOS 500 18,562 20,418
IFR-065 HELIXIM 32,475 35,723
IFR-090 HELIXIM DRY SIRUP 11,185 12,304
IFR-018 HISTIGO 24,225 26,648
IFR-059 IFARSIL PLUS SYR 4,725 5,198
IFR-051 IFARSIL TAB 29,245 32,170
IFR-004 INTERISTIN TAB 83,000 91,300
IFR-025 KADITIC 12,864 14,150
IFR-136 KANINA SUSP 3,488 3,837
IFR-100 KOMPOLAX SIRUP 7,200 7,920
IFR-128 LANSOPRAZOLE IFARS 22,012 24,213
IFR-029 LATIBET 5 17,175 18,893
IFR-124 LAXANA TAB 22,310 24,541
IFR-107 LAZOL 24,682 27,150
IFR-135 LERZIN DROPS 9,938 10,932
IFR-088 LERZIN SIRUP 4,688 5,157
IFR-083 LERZIN TAB 19,350 21,285
IFR-095 LESPAIN CR 5,363 5,899
IFR-049 LOKEV KAP 20,287 22,316
IFR-068 LOSTACEF 500 TABLET 37,500 41,250
IFR-067 LOSTACEF SIRUP 125 7,238 7,962
IFR-091 LOSTACEF SYR 250 FORTE 10,455 11,501
IFR-103 MEGATIC 50 TAB 13,276 14,604
IFR-102 MEGATIC GEL 8,138 8,952
IFR-099 MEZINEX SIRUP 3,403 3,743
IFR-123 MILORIN TAB 63,700 70,070
IFR-013 MIONALGIN 42,412 46,653
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

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IFAR

KODE NAMA BARANG HARGA HARGA ++

IFR-096 NEOSMA 17,305 19,036
IFR-093 NEOSMA SIRUP 4,275 4,703
IFR-118 NESTACORT CR 5,050 5,555
IFR-143 NEXITRA 500 69,715 76,687
IFR-001 NISAGON CR 4,875 5,363
IFR-022 NORVOM 14,475 15,923
IFR-069 NORVOM SIRUP 4,050 4,455
IFR-122 NUTRALIX TAB 42,788 47,067
IFR-131 ODANOSTIN 4 MG 33,940 37,334
IFR-142 OMEPRAZOLE 20 IFARS 9,113 10,024
IFR-101 ORSADERM CR 3,075 3,383
IFR-087 OXICOBAL 41,062 45,168
IFR-014 POLOFAR PLUS 17,925 19,718
IFR-048 POLOFAR TAB 8,100 8,910
IFR-008 PRATIFAR 20 13,090 14,399
IFR-039 PRATIFAR 40 MG 20,137 22,151
IFR-061 PRODERMIS CREAM 4,500 4,950
IFR-047 QUANTIDEX KAP 51,140 56,254
IFR-115 QUANTIDEX SIRUP 4,540 4,994
IFR-141 REXAVIN 125 34,875 38,363
IFR-139 REXAVIN 500 107,365 118,102
IFR-084 RHEMAFAR 39,825 43,808
IFR-054 ROVERTON SYR 3,663 4,029
IFR-056 ROVERTON TAB 14,290 15,719
IFR-075 SCOPMA 89,663 98,629
IFR-035 SCOPMA PLUS 106,680 117,348
IFR-108 SELVIM 10 MG 15,338 16,872
IFR-132 SELVIM 20 MG 20,850 22,935
IFR-113 SEREMIG 29,306 32,237
IFR-015 SOLINFEC CREAM 5,813 6,394
IFR-040 SOLINFEC TAB 36,562 40,218
IFR-005 STANZA 500 ML 26,790 29,469
IFR-076 SYNALTEN CR 4,650 5,115
IFR-105 SYNARCUS CR 3,075 3,383
IFR-137 TERNIX PLUS SYR 5,175 5,693
IFR-138 TERNIX SYR 4,688 5,157
IFR-037 TIDIFAR 200 23,660 26,026
IFR-023 TRANSIFAR 17,180 18,898
IFR-044 TRIANTA 18,620 20,482
IFR-081 TRIANTA SIRUP 4,163 4,579
IFR-098 VESPERUM SIRUP 4,313 4,744
IFR-024 VESPERUM TAB 19,602 21,562
IFR-046 WINATIN 25,312 27,843
IFR-063 YUSIMOX FORTE SYR 5,700 6,270
IFR-003 YUSIMOX SIRUP 3,938 4,332
IFR-057 ZANTIFAR 11,775 12,953
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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NPWP : 01.989.975.6.903.000

Page 27 of 57 9:28:17AM 04/08/2020 1

IFAR

KODE NAMA BARANG HARGA HARGA ++

IFR-125 ZEVASK 10 MG 28,980 31,878
IFR-066 ZEVASK 5 MG 10,000 11,000
IFR-104 ZIDALEV 50,325 55,358
IFR-127 ZIDALEV ISI 5X10 50,325 55,358

PT. ISMUT FITOMEDIKA

KODE NAMA BARANG HARGA HARGA ++

IFT-003 CHERAL 300,000 330,000
IFT-004 FIBROLIVIT 300,000 330,000
IFT-002 GLULIPED 200,000 220,000
IFT-001 IFALMIN 275,000 302,500
IFT-007 IFALMIN 30 CAPS 165,000 181,500
IFT-006 SPONDYLOSS 350,000 385,000
IFT-005 STROVIT 350,000 385,000

IKA PHARMINDO

KODE NAMA BARANG HARGA HARGA ++

IKA-003 ANTALGIDON INJEKSI 13,118 14,430
IKA-001 IKADRYL SIRUP 60 12,750 14,025

PT INFION

KODE NAMA BARANG HARGA HARGA ++

INF-003 CEFADROXIL 500 INFION 58,522 64,374
INF-002 CEFIXIME 200 MG INFION 27,375 30,113
INF-004 M PREDNISOLONE 4 MG INFION 30,300 33,330
INF-001 SIMVASTATIN 20MG INFION 18,750 20,625

IKONG PHARMACEUTICAL

KODE NAMA BARANG HARGA HARGA ++

IPI-002 VIT B COMPLEX IPI 4,218 4,640

IPI-003 VIT B1 IPI 45'S 3,867 4,254
IPI-001 VIT C 50'S IPI 4,218 4,640

INTERNATIONAL QUALIT

KODE NAMA BARANG HARGA HARGA ++

IQK-013 FIESTA BUBBLE GUM 3'S 9,460 10,406
IQK-018 FIESTA DELAY 3'S 9,700 10,670
IQK-015 FIESTA EXTREME 3'S 10,455 11,501
IQK-014 FIESTA STRAW ISI 12 32,105 35,316
IQK-017 K FIESTA GRAPE 3'S 9,460 10,406
IQK-016 K FIESTA MAX DOTTED 3'S 9,700 10,670
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
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Page 28 of 57 9:28:17AM 04/08/2020 1

INTERNATIONAL QUALIT

KODE NAMA BARANG HARGA HARGA ++

IQK-006 K FIESTA ULTRA SAFE 9,700 10,670
IQK-009 K FIESTA ULTRA THIN 3,S 9,700 10,670
IQK-011 K. FIESTA ALL NIGHT 6,910 7,601
IQK-010 K. FIESTA CLASSIC 6,009 6,610
IQK-012 K. FIESTA PARTY PARK 25,250 27,775
IQK-001 KONDOM FIESTA BAGGY 6,009 6,610
IQK-002 KONDOM FIESTA BANANA 9,460 10,406
IQK-008 KONDOM FIESTA DOTTED 3,S 9,700 10,670
IQK-005 KONDOM FIESTA DURIAN 9,460 10,406
IQK-004 KONDOM FIESTA MINT 6,763 7,439
IQK-003 KONDOM FIESTA STRW ISI 3 9,460 10,406

INSAN INDOFARMA

KODE NAMA BARANG HARGA HARGA ++

ISF-001 BEDAK SALYCIL LOWO 3,958 4,354
ISF-003 M. K. PUTIH LOWO 14,955 16,451
ISF-002 M. TELON LOWO 40 ML 9,458 10,404
ISF-004 MINYAK ADAS 40ML 14,921 16,413

INDO SARI MAKMUR

KODE NAMA BARANG HARGA HARGA ++

ISM-001 KOYO CABE 7,771 8,548

INTERBAT

KODE NAMA BARANG HARGA HARGA ++

ITB-006 ACITRAL LIQ 120ML 37,500 41,250
ITB-004 ACITRAL TAB 100'S 115,500 127,050
ITB-011 ALCO DROP ORAL 15 ML 77,500 85,250
ITB-010 ALOCLAIR PLUS GEL 8 ML 77,000 84,700
ITB-012 INTERLAC SACHET 300,000 330,000
ITB-007 INTERZINC 20 MG 10 TAB 37,500 41,250
ITB-008 INTERZINC SIRUP 60 ML 37,500 41,250
ITB-013 PAMOL 125 MG SUP ISI 12 153,600 168,960
ITB-009 PAMOL 250 MG SUP ISI 12 205,200 225,720
ITB-005 PAMOL SIRUP 60 ML 27,265 29,992
ITB-003 PAMOL TAB 68,500 75,350
ITB-002 THYAMICIN 1000 MG 395,000 434,500
ITB-001 THYAMICIN 500 MG 440,000 484,000

ITRASAL

KODE NAMA BARANG HARGA HARGA ++

ITL-020 ANATON CAP 31,536 34,690
PBF.PT.BUANA SARASWATI
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ITRASAL

KODE NAMA BARANG HARGA HARGA ++

ITL-007 ANATON SYR 60 ML 5,881 6,469
ITL-028 ASAM MEFENAMAT 500 ITRASAL 23,863 26,249
ITL-013 FERVITAL 23,070 25,377
ITL-006 GUANISTREP SYR 5,058 5,564
ITL-015 ITRABAT SYR 9,810 10,791
ITL-017 ITRAMOL CAPLET 12,751 14,026
ITL-012 ITRAMOL SIRUP 4,326 4,759
ITL-014 OBH SYR ITRASAL 4,162 4,578
ITL-001 OBP SYR 3,836 4,220
ITL-016 PARACETAMOL SYR ITRASAL 2,899 3,189
ITL-002 PARAFLU SYR 5,199 5,719
ITL-010 PARAFLU TABLET 27,405 30,146
ITL-027 PECTORIN 120 ML 10,356 11,392
ITL-021 SALFENAL CAP FORTE 23,231 25,554
ITL-024 SALFENAL SIRUP 60 5,569 6,126
ITL-025 SALTIAM CAP 500MG 59,353 65,288
ITL-026 SALTRIM SIRUP FORTE 5,925 6,518
ITL-009 SALTRIM SYR 5,625 6,188
ITL-008 WIBRON SYR 4,434 4,877
ITL-018 WICOLD SYR 8,806 9,687
ITL-003 WINAPEN SYR 60 ML 4,493 4,942
ITL-005 WIROS 23,900 26,290
ITL-011 WITRANAL 26,315 28,947

J&J

KODE NAMA BARANG HARGA HARGA ++

JNJ-004 KASA INDOLAB 16x16 2,562 2,818

JNJ-005 KERTAS PUYER TEBAL 8,300 9,130
JNJ-003 KLIP BESAR 9,775 10,753
JNJ-002 KLIP KECIL 5,285 5,814
JNJ-001 KLIP TANGGUNG 6,913 7,604

JANSEND

KODE NAMA BARANG HARGA HARGA ++

JSD-008 BENADRYL ORIGINAL50 ML MERAH 17,820 19,602
JSD-007 BENADRYL WCS 50ML BERDAHAK BIRU 17,820 19,602
JSD-002 DAKTARIN CR 10GR BESAR 31,400 34,540
JSD-001 DAKTARIN CR 5GR KECIL 19,900 21,890
JSD-006 IMODIUM TAB 729,560 802,516
JSD-003 NIZORAL 2% CR 5GR 37,780 41,558

KEMBANG BULAN FARMA

KODE NAMA BARANG HARGA HARGA ++

PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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KEMBANG BULAN FARMA

KODE NAMA BARANG HARGA HARGA ++

KBF-001 KAPSIDA KEMBANG BULAN 11,945 13,140

KIMIA FARMA

KODE NAMA BARANG HARGA HARGA ++

KFA-078 ACYCLOVIR 200 KF 59,638 65,602
KFA-089 ACYCLOVIR 400 KF 91,681 100,849
KFA-048 ACYCLOVIR 5% CR KF 3,948 4,343
KFA-085 AMLODIPINE 10 MG KF 6,003 6,603
KFA-082 AMLODIPINE 5 MG KF 6,400 7,040
KFA-091 ANTIFECT POVIDONE IODINE 30 ML 12,076 13,284
KFA-092 ANTIFECT POVIDONE IODINE 60 ML 23,001 25,301
KFA-001 ANTIHEMOROID SUPP 35,625 39,188
KFA-050 ASIFIT KAPS 30 59,022 64,924
KFA-057 B SALYCIL 60 KIMIA 6,167 6,784
KFA-051 BATUGIN ELEX 120 KECIL 22,534 24,787
KFA-003 BATUGIN ELEX 300 ML BESAR 39,921 43,913
KFA-060 BETAMETASON CR KF 2,413 2,654
KFA-034 BETASON 5 GR CR 7,950 8,745
KFA-005 BETASON-N CR 5 GR 12,250 13,475
KFA-008 CALCIUM LACTATE 500 MG 10,100 11,110
KFA-081 CAPTOPRIL 12.5 MG KF 16,590 18,249
KFA-023 CAPTOPRIL 25 MG KF 20,581 22,639
KFA-087 CEFIXIME 100 MG KF 30'S 27,375 30,113
KFA-014 CHLORAMFECORT 10 CR 13,400 14,740
KFA-013 CHLORAMFECORT H 10CR 11,500 12,650
KFA-019 DILTIAZEM 30 MG KF 23,285 25,614
KFA-018 DIMENHYDRINATE 50 MG 17,360 19,096
KFA-056 DOXYCYCLINE 100 KF 63,950 70,345
KFA-030 ENKASARI 17,150 18,865
KFA-099 ENKASARI HERBAL 120 ML 17,049 18,754
KFA-006 ERYTROMICIN SYR 60 KF 8,183 9,001
KFA-093 FITUNO KAPLET 30'S 119,216 131,138
KFA-009 FUROSEMIDE 40 MG KFA 25,312 27,843
KFA-058 GENTAMYCIN 0.1% SK KF 3,319 3,651
KFA-077 GG TAB KF 100'S 11,552 12,707
KFA-095 GLIMEPIRIDE 1 MG 18,000 19,800
KFA-096 GLIMEPIRIDE 2 MG 30,000 33,000
KFA-097 GLIMEPIRIDE 3 MG 35,000 38,500
KFA-098 GLIMEPIRIDE 4 MG 40,000 44,000
KFA-059 GLUCOSA 10% 8,085 8,894
KFA-042 GLUCOSA 5 % 7,438 8,182
KFA-079 GLYCERIL GUAIACOLAT 100MG 25,121 27,633
KFA-067 GRISEUFULVIN 125 KF 46,999 51,699
KFA-039 HCT 25 MG 10X10 TAB 20,000 22,000
KFA-011 HYDROCORTISON 2,5 KF 3,650 4,015
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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KIMIA FARMA

KODE NAMA BARANG HARGA HARGA ++

KFA-043 INFUS RL WIDATRA 7,707 8,478
KFA-046 IODINE P. LAR 10% 30ML 4,680 5,148
KFA-037 IODINE PAVIDON 1 LTR 53,455 58,801
KFA-080 KETOCONAZOLE 2% CR 10G KIMIA F 5,100 5,610
KFA-090 KINA TAB 355,200 390,720
KFA-036 LACBON 100 MG TAB 144,500 158,950
KFA-086 LEVOFLOXACIN 500 MG KF 50'S 34,611 38,072
KFA-083 MELOXICAM 15 MG KF 18,125 19,938
KFA-084 MELOXICAM 7,5 MG KF 8,000 8,800
KFA-012 MICONAZOLE 2 % CR 4,688 5,157
KFA-016 MIKRODIOL 30 LIMAS 130,000 143,000
KFA-015 ORALIT 200 ML KIMIA 900 990
KFA-035 OXYTETRACYCLINE 1% SM 5,294 5,823
KFA-027 OXYTETRACYCLINE 3% SK KF 2,741 3,015
KFA-025 PIROXICAM 10 MG KF 16,220 17,842
KFA-026 PIROXICAM 20 TAB KF 16,720 18,392
KFA-064 PYRANTEL 125 10,070 11,077
KFA-028 SALBUTAMOL 2 MG KF 12,872 14,159
KFA-021 SALBUTAMOL 4 MG KF 13,493 14,842
KFA-088 SENSITIF CAWAN STRIP 23,000 25,300
KFA-073 SENSITIF TES HAMIL 19,000 20,900
KFA-054 SIMVASTATIN 10 MG KIMIA 16,630 18,293
KFA-065 SIMVASTATIN 20 KF 28,690 31,559
KFA-047 SULFA FERROSUS DRAG 69,789 76,768
KFA-024 TETRACYCLINE 500 KF 122,200 134,420
KFA-075 VIT. K INJEKSI 1,765 1,942
KFA-094 VITAMIN C 250 MG 22,181 24,399
KFA-100 VITAMIN C 50 MG 17,870 19,657
KFA-070 ZINK DISP TAB 43,182 47,500

KALBE FARMA

KODE NAMA BARANG HARGA HARGA ++

KLF-002 BIOPLACENTON JELLY 20,000 22,000
KLF-029 CEREBROFORT 100 STRAW 16,395 18,035
KLF-022 CEREBROFORT G 100 ORANGE 16,395 18,035
KLF-025 CEREBROFORT GOLD 200 28,761 31,637
KLF-024 COUNTERPAIN 5 GR 7,700 8,470
KLF-030 COUNTERPAIN COOL 15GR 21,600 23,760
KLF-031 COUNTERPAIN COOL 30GR 35,000 38,500
KLF-036 COUNTERPAIN COOL 5 GR 7,700 8,470
KLF-010 COUNTERPAIN CR 15 GR 20,600 22,660
KLF-007 COUNTERPAIN CR 30 GR 32,900 36,190
KLF-032 COUNTERPAIN CREAM 60 GR 56,700 62,370
KLF-033 COUNTERPAIN PATCH HOT 5S 100,200 110,220
KLF-034 COUNTERPAIN PATCH S 75,348 82,883
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
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KALBE FARMA

KODE NAMA BARANG HARGA HARGA ++

KLF-027 HYDROCORTISON 1% KALBE 4,706 5,177
KLF-028 HYDROCORTISON 2.5 % KALBE 5,884 6,472
KLF-026 KALCINOL N 10 GR 10,900 11,990
KLF-023 KALCINOL N 5 GR 9,500 10,450
KLF-001 KALMECETIN SK 15 GR 12,706 13,977
KLF-013 KALPANAK CAIR 2,941 3,235
KLF-014 KALPANAK CREAM 11,640 12,804
KLF-008 MYCORAL 200 TABLET 195,000 214,500
KLF-006 MYCORAL CR 5 GR 12,000 13,200
KLF-015 NEO ENTROSTOP 12,427 13,670
KLF-005 NEURALGIN CAP 78,413 86,254
KLF-035 PROCOLD FLU & BATUK BIRU 78,715 86,587
KLF-012 PROCOLD FLU UNGU 75,600 83,160
KLF-011 PROMAG 19,445 21,390
KLF-004 PRONICY 26,500 29,150
KLF-019 WOOD ATT MERAH BESAR 26,186 28,805
KLF-018 WOOD ATT MERAH KECIL 16,095 17,705
KLF-016 WOODS EXP 60ML BIRU 16,095 17,705
KLF-017 WOODS EXP SYR 100ML 26,186 28,805

PT KINO INDONESIA

KODE NAMA BARANG HARGA HARGA ++

KNO-001 KAKI TIGA BALSAM YELLOW 20 GR 6,273 6,900
KNO-002 KAKI TIGA BALSAM YELLOW 36 GR 10,637 11,701
KNO-003 KONICARE GEL PEMBERSIH TANGAN 60 ML 8,510 9,361

KONIMEX

KODE NAMA BARANG HARGA HARGA ++

KNX-021 ANAKONIDIN OBH SYR 60ML 10,220 11,242
KNX-013 ANAKONIDIN SYR 60 9,380 10,318
KNX-025 EVER E 250 SOFT 30 CAPS 56,230 61,853
KNX-016 FEMINAX 2,290 2,519
KNX-015 FUNGIDERM 10 GR 20,870 22,957
KNX-005 FUNGIDERM CR 5GR 11,670 12,837
KNX-003 INZA TAB 25"S 1,640 1,804
KNX-017 KONIDIN 87,000 95,700
KNX-024 KONVERMEX SUSPENSI 125 MG 11,290 12,419
KNX-014 M TELON KONICARE 30 10,150 11,165
KNX-006 M.K.PUTIH 60 KONICARE 17,170 18,887
KNX-007 M.TELON 60 KONICARE 17,170 18,887
KNX-020 MKP 30 KONICARE 10,150 11,165
KNX-002 NEO NAPACIN ISI 50 97,500 107,250
KNX-004 PARAMEX FLU HIJAU 42,000 46,200
KNX-022 PARAMEX NYERI OTOT 36,750 40,425
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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KONIMEX

KODE NAMA BARANG HARGA HARGA ++

KNX-001 PARAMEX TAB BIRU 89,500 98,450
KNX-026 PROTECAL C 200 57,500 63,250
KNX-008 SILADEX 60 ATT MERAH 10,200 11,220
KNX-009 SILADEX 60 C & C BIRU 10,200 11,220
KNX-010 SILADEX 60 M & E HIJAU 10,200 11,220
KNX-023 SILADEX DMP 60 ML KUNING 10,200 11,220
KNX-018 TERMOREX 30 ML 7,810 8,591
KNX-011 TERMOREX 60 ML 12,166 13,383
KNX-019 TERMOREX PLUS 30 ML 8,250 9,075
KNX-012 TERMOREX PLUS 60ML 12,150 13,365

LUCAS

KODE NAMA BARANG HARGA HARGA ++

LCS-001 ANTASIDA DOEN SIRUP LUCAS 2,267 2,494

LIQUID PHARMALAB

KODE NAMA BARANG HARGA HARGA ++

LIQ-005 ALKOHOL 70% 1 L MEDIKA 39,364 43,300
LIQ-002 ALKOHOL 70% 100 ML MEDIKA 9,091 10,000
LIQ-003 ALKOHOL 70% 300 ML MEDIKA 11,087 12,196
LIQ-008 ALKOHOL 95% 100 ML MEDIKA 8,821 9,703
LIQ-010 ALKOHOL 95% 1L MEDIKA 55,805 61,386
LIQ-009 ALKOHOL 95% 300 ML MEDIKA 19,621 21,583
LIQ-013 KASA KOTAK CUPLIK 16X16 3,978 4,376
LIQ-007 KOTAK P3K 20,455 22,501
LIQ-006 MASKER MEDIKA BIRU 15,920 17,512
LIQ-012 MASKER MEDIKA HIJAU 15,920 17,512
LIQ-011 POVIDONE 1L MEDIKA 53,677 59,045
LIQ-004 RIVANOL 100 ML MEDIKA 2,697 2,967
LIQ-001 RIVANOL 300 ML MEDIKA 4,942 5,436

LANSEN

KODE NAMA BARANG HARGA HARGA ++

LNS-003 ALLOPURINOL 100 LANDSONE 12,500 13,750
LNS-005 CETIRIZINE KAPSUL LANDSON 22,430 24,673
LNS-002 LANADEXON CAP 100 S 16,476 18,124
LNS-001 LANAMOL 500 MG 24,431 26,874
LNS-006 LORATADINE 10 MG LANDSON 50'S 15,140 16,654
LNS-007 ONDANSETRON TAB 4MG LANSEN 16,368 18,005
LNS-008 ONDANSETRON TAB 8MG LANSEN 18,191 20,010
LNS-004 WIACID TAB BOX 10X10 462,000 508,200

LLOYD
PBF.PT.BUANA SARASWATI
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LLOYD

KODE NAMA BARANG HARGA HARGA ++

LOY-002 CIPROFLOXACIN 500 LLOYD 42,613 46,874
LOY-001 PARACETAMOL 500 LLOYD 17,283 19,011

MAHAKAM BETA FARMA

KODE NAMA BARANG HARGA HARGA ++

MBF-015 ASAM TRANEKSAMAT INJ 48,000 52,800
MBF-001 BETADIN KUMUR 100 KCL 14,350 15,785
MBF-006 BETADIN KUMUR 190 BESAR 25,800 28,380
MBF-002 BETADIN VAGINAL 100 TA 44,680 49,148
MBF-011 BETADINE FEMININ 23,500 25,850
MBF-013 BETADINE OINT 10GR 17,490 19,239
MBF-010 BETADINE SALEP 5 GR 9,980 10,978
MBF-003 BETADINE SOL 15 ML 10,650 11,715
MBF-005 BETADINE SOL 30 ML 18,700 20,570
MBF-004 BETADINE SOL 5 ML 4,150 4,565
MBF-007 BETADINE SOL 60 ML 29,500 32,450
MBF-008 BETADINE VAGINA 100 PA 52,105 57,316
MBF-014 METILPREDNISOLON 4 MAHAKAM 25,400 27,940
MBF-016 ONDANSETRON INJ 4MG MAHAKAM 10AMP 29,000 31,900

MECOSIN

KODE NAMA BARANG HARGA HARGA ++

MCS-019 LASERIN MADU 110 ML 13,206 14,527
MCS-018 LASERIN MADU 60 ML 7,545 8,300
MCS-002 LASERIN SYR 110 BESAR 15,272 16,799
MCS-020 LASERIN SYR 30 ML 4'S 17,100 18,810
MCS-001 LASERIN SYR 60 ML KECIL 8,463 9,309

MECCAYA

KODE NAMA BARANG HARGA HARGA ++

MCY-002 KRIM 88 ANTI JAMUR 5G 9,000 9,900

MCY-001 SALEP 88 8,487 9,336

MEDICON FARMA

KODE NAMA BARANG HARGA HARGA ++

MDC-001 AMBEVEN 100 KAPS 133,700 147,070

MEDI FARMA

KODE NAMA BARANG HARGA HARGA ++

MDF-014 ASMASOLON 44,568 49,025
MDF-007 ASPILET CHEWABLE 55,500 61,050
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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MEDI FARMA

KODE NAMA BARANG HARGA HARGA ++

MDF-016 BIOGESIC SIRUP 60ML 23,760 26,136
MDF-012 BIOGESIC TAB 39,600 43,560
MDF-019 COHISTAN SYR EXP 60 17,900 19,690
MDF-027 DECOLGEN PE 39,739 43,713
MDF-015 DECOLGEN SIRUP 8,973 9,870
MDF-004 DECOLGEN TAB 39,573 43,530
MDF-011 DECOLSIN CAP 53,000 58,300
MDF-013 DECOLSIN SYR 60 ML 14,850 16,335
MDF-023 DEGIROL LOZ 100 TAB 96,050 105,655
MDF-024 DEGIROL LOZ 20 TAB 19,373 21,310
MDF-021 EMTURNAS CAP 100'S 15,920 17,512
MDF-022 EMTURNAS FORTE CAP 18,181 19,999
MDF-025 ENERVON C ACTIVE BTL 32,750 36,025
MDF-026 ENERVON C ACTIVE STRIP 114,300 125,730
MDF-029 ENERVON C EFFERVESCENT TAB 25,792 28,371
MDF-028 ENERVON C PLUS SYRUP 120 ML 16,427 18,070
MDF-009 ENERVON C TAB 99,850 109,835
MDF-008 ENERVON C TAB BTL 29,410 32,351
MDF-010 NEOZEP FORTE 48,100 52,910
MDF-002 NEW DIATAB 50,650 55,715
MDF-006 SUMAGESIC TAB 47,200 51,920

MEDIKA

KODE NAMA BARANG HARGA HARGA ++

MDK-001 KASA KOTAK MEDIKA 16X16 5,469 6,016
MDK-002 MEDIKA ANTISEPTIC HANDRUB 500 ML 61,939 68,133

MEGA ESA FARMA

KODE NAMA BARANG HARGA HARGA ++

MEF-001 ALLERON 21,250 23,375

MULIA FARMA

KODE NAMA BARANG HARGA HARGA ++

MFA-001 AMLODIPINE 10 MULIA FARMA 6,934 7,627
MFA-002 METHYLPREDNISOLONE 4 MULIA FARMA 22,187 24,406
MFA-004 ONDANSETRON 4 MULIA FARMA 26,667 29,334
MFA-003 RANITIDINE MULIA FARMA 13,590 14,949

EMJEBE FARMA

KODE NAMA BARANG HARGA HARGA ++

MJB-002 INFUS NACL EMJEBE 9,000 9,900
MJB-001 INFUS RL EMJEBE 11,875 13,063
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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MEIIJI

KODE NAMA BARANG HARGA HARGA ++

MJI-001 FG TROCES 139,773 153,750

MJI-002 FG TROCHES ISI 300 11,648 12,813

MOLEX AYUS

KODE NAMA BARANG HARGA HARGA ++

MLA-026 ALPARA CAPLET 102,000 112,200
MLA-014 ALPARA SYR 11,200 12,320
MLA-039 ALPHAMOL CAPLET 43,500 47,850
MLA-013 ALPHAMOL SIRUP 7,300 8,030
MLA-016 BEVALEX CR 10,300 11,330
MLA-067 CIPROLEX KAPSUL 100,000 110,000
MLA-071 DEXAMETHASONE MOLEX 0.5 MG 7,000 7,700
MLA-025 DEXTRAL CAPLET 76,000 83,600
MLA-052 DEXTRAL FORTE 72,500 79,750
MLA-040 DEXTRAL SYR 100 ML 9,900 10,890
MLA-011 DEXTRAL SYR 60 ML 8,700 9,570
MLA-042 DICLOFLAM TAB 50 MG 22,000 24,200
MLA-054 GENTALEX CR 5 GR 3,250 3,575
MLA-036 INFANTRIM FORTE CAP 49,500 54,450
MLA-003 INFANTRIM SYR 50 ML 6,500 7,150
MLA-035 INFANTRIM TAB 31,000 34,100
MLA-060 KLORFESON CR 10GR 8,000 8,800
MLA-004 LEXACROL FORTE SYR 100ML 13,500 14,850
MLA-020 LEXACROL TAB 71,300 78,430
MLA-069 LEXAMET TABLET 21,000 23,100
MLA-038 LEXAPRAM SYR 60 ML 6,600 7,260
MLA-028 LEXAPRAM TAB 36,500 40,150
MLA-050 LEXAVON 8 MG TABLET 11,000 12,100
MLA-066 LEXICAM 20 KAPSUL 19,600 21,560
MLA-065 LEXIGO TAB 13,350 14,685
MLA-063 M PREDNISOLON MOLEX 21,820 24,002
MLA-022 MOLACORT 0,5 MG 14,465 15,912
MLA-017 MOLACORT 0,75 MG 34,945 38,440
MLA-001 MOLADERM CR 6,800 7,480
MLA-021 MOLAGIT TAB 65,600 72,160
MLA-059 MOLAKRIM 30 GR 12,700 13,970
MLA-056 MOLANEURON TABLET 20,000 22,000
MLA-019 MOLAPECT SYR 15 ML 9,800 10,780
MLA-006 MOLAPECT TAB 60,500 66,550
MLA-032 MOLASIC 500 40,000 44,000
MLA-048 MOLASOL TAB 31,000 34,100
MLA-070 MOLAVIR KRIM 7,800 8,580
MLA-015 MOLEXDINE SOL 15 ML 3,600 3,960
MLA-024 MOLEXDRYL SYR 5,500 6,050
MLA-029 MOLEXFLU CAP 59,000 64,900
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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MOLEX AYUS

KODE NAMA BARANG HARGA HARGA ++

MLA-037 MOLEXFLU SYR 6,100 6,710
MLA-023 NEO KAOMINAL SYR 7,200 7,920
MLA-068 OMEYUS TAB 10,000 11,000
MLA-027 PRITACORT 80,500 88,550
MLA-005 PRITAGESIC CAP 51,800 56,980
MLA-057 PRITAMOX SIRUP 125 7,700 8,470
MLA-058 PRITAMOX TAB 500 110,000 121,000
MLA-041 PRITANOL TAB 100 MG 13,000 14,300
MLA-061 RIVANOL 100 MOLEX 3,410 3,751
MLA-043 THIAMFILEX 500 MG 77,000 84,700
MLA-053 THIAMFILEX SYR 125 6,500 7,150
MLA-018 VICAL SYR 60 ML 7,400 8,140

MULYAFARMA

KODE NAMA BARANG HARGA HARGA ++

MLF-001 BABY PACDIN SYR 3,900 4,290

MARIN LIZA PHARMACY

KODE NAMA BARANG HARGA HARGA ++

MLP-002 ESTER C BOTOL 30'S 37,850 41,635
MLP-001 ESTER C STRIP 5,250 5,775

MEPROFARM

KODE NAMA BARANG HARGA HARGA ++

MPF-001 MUCOS DROP 34,500 37,950
MPF-002 MUCOS SYR 60 ML 16,500 18,150

MERCI FARMA

KODE NAMA BARANG HARGA HARGA ++

MRF-014 ALLOPURINOL 300 MERSI 12,726 13,999

MRF-004 AMOXICILLIN 500 MERSI 31,429 34,572
MRF-013 AMOXICILLIN SIRUP MERCI 2,530 2,783
MRF-010 AMPICILLIN 500 MERSI 36,932 40,625
MRF-012 ASAM MEFENAMAT MERCI 14,046 15,451
MRF-007 CEPEZET 100 MG TAB 45,000 49,500
MRF-006 CLORILEX 25 MG 200,000 220,000
MRF-002 HEXYMER 2 MG 270,000 297,000
MRF-009 LODOMER 5MG TAB 170,500 187,550
MRF-005 MERSIBION INJEKSI 5000 44,000 48,400
MRF-008 SIKZONOATE INJEKSI 25MG 330,000 363,000
MRF-011 SIMVASTATIN 10 MG MERSI 6,000 6,600
MRF-003 STELOSI 5 MG 50,000 55,000
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 38 of 57 9:28:17AM 04/08/2020 1

MERK

KODE NAMA BARANG HARGA HARGA ++

MRK-010 GARDASIL INJ 0.5 ML 1'S 675,000 742,500

MRK-005 NEUROBION 1ML INJ 5000 5,064 5,570
MRK-003 NEUROBION F 5000 PINK 30,496 33,546
MRK-008 NEUROBION PUTIH 250 STRP 16,080 17,688
MRK-004 SANGOBION CAP 250 304,182 334,600

MARION

KODE NAMA BARANG HARGA HARGA ++

MRN-005 ANORAL CAP 8'S 34,773 38,250
MRN-007 ANORAL KAPSUL 30'S 104,319 114,751
MRN-003 ANORAL-ANLIQ CAP 30'S 157,500 173,250
MRN-009 DERAZ TAB ISI 30 135,228 148,751
MRN-002 KOBELLON CAP 20'S 155,000 170,500
MRN-004 REMACT CAP 217,908 239,699
MRN-008 REMACT CAP 30'S 159,091 175,000
MRN-006 SINOIL CAP 44,819 49,301
MRN-010 SUGGY TAB ISI 30 131,364 144,500
MRN-011 TISU SIRIH ARUM INTIMA TES 27,273 30,000

MUTIFA

KODE NAMA BARANG HARGA HARGA ++

MTF-012 AMLODIPIN 10 MUTIFA 6,934 7,627
MTF-011 AMLODIPIN 5 MUTIFA 4,853 5,338
MTF-008 OMEGDIAR DRY SYR 4,030 4,433
MTF-006 OMEGTAMINE 49,400 54,340
MTF-003 OMENEURON 57,200 62,920
MTF-004 OMEPROXYL 500 39,000 42,900
MTF-009 OMEROXOL SYR 3,770 4,147
MTF-013 OMEROXOL TAB 16,640 18,304
MTF-005 OMESTAN 500 MG 32,500 35,750
MTF-015 PIROXICAM 20 CAP MUTIFA 16,250 17,875
MTF-014 SIMVASTATIN 10MG MUTIFA 6,250 6,875
MTF-007 YUSIMOX 500 TABLET 40,200 44,220

META RATNA

KODE NAMA BARANG HARGA HARGA ++

MTR-002 METAMOL SYR 2,784 3,062
MTR-003 METAMOL TABLET 10,593 11,652
MTR-001 TRIMETA SYR 3,524 3,876

NORDMARK
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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Page 39 of 57 9:28:17AM 04/08/2020 1

NORDMARK

KODE NAMA BARANG HARGA HARGA ++

NDM-003 THROMBOGEL 10 GR 34,500 37,950
NDM-001 THROMBOPHOB JELL 20 GR 49,500 54,450
NDM-002 THROMBOPHOP OINT HIJAU 39,500 43,450

NUFARINDO

KODE NAMA BARANG HARGA HARGA ++

NFR-005 2-4 ZALF NUFARINDO 4,236 4,660

NFR-014 AMLODIPIN 10 NUFARINDO 7,274 8,001
NFR-016 AMLODIPIN 5 NUFARINDO 5,845 6,430
NFR-004 BRONCHITIN SYR 6,456 7,102
NFR-020 CETZIN SRP 60 ML 4,015 4,417
NFR-001 COLPIN SYR 60 ML 7,650 8,415
NFR-002 GASTRUCID SYR 60 ML 6,457 7,103
NFR-003 GASTRUCID TABLET 31,190 34,309
NFR-006 ICHTIOL ZALF 5,063 5,569
NFR-019 LANSOPRAZOLE CAPS 20,S NUFA 18,750 20,625
NFR-009 NUFACORT CR 5,606 6,167
NFR-018 SELTIFORT KID ORANGE 5,290 5,819
NFR-017 SELTIFORT KID STRAWBERY 5,290 5,819
NFR-007 STAVIT TAB 63,033 69,336
NFR-010 THYMCAL SIRUP 7,060 7,766

NELLCO

KODE NAMA BARANG HARGA HARGA ++

NLC-003 B. SALYCIL 60 BIRU 4,735 5,209
NLC-006 B. SALYCIL MENTOL 60 GENESIS 4,107 4,518
NLC-002 B. SALYCIL MENTOL 60 PINK 4,735 5,209
NLC-005 B. SALYCIL MENTOL COOL FRESS 4,106 4,517
NLC-007 NELLCO SPECIAL OBH PE 100 21,584 23,742
NLC-004 OBH NELLCO 100 ML 30,705 33,776
NLC-001 OBH NELLCO 55 ML 22,144 24,358

NATURA LABORATORIA PRIMA

KODE NAMA BARANG HARGA HARGA ++

NLP-001 MEQUALON 4 MG TAB 240,000 264,000

NOVA

KODE NAMA BARANG HARGA HARGA ++

NVA-027 ALLOPURINOL 100 NOVA 20,075 22,083
NVA-033 AMBROXOL 30 NOVA 9,852 10,837
NVA-026 AMBROXOL SYR NOVA 2,966 3,263
NVA-014 AMOXICILLIN NOVA 34,855 38,341
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 40 of 57 9:28:17AM 04/08/2020 1

NOVA

KODE NAMA BARANG HARGA HARGA ++

NVA-029 AMOXICILLIN SIRUP NOVA 2,955 3,251
NVA-017 AMPICILIN 500 NOVA 39,204 43,124
NVA-028 ANTALGIN TAB NOVA 16,300 17,930
NVA-001 ASAM MEFENAMAT NOVA 25,853 28,438
NVA-037 CEFADROXIL 500 NOVA 60,275 66,303
NVA-036 CEFFORD FORTE 313,495 344,845
NVA-002 CIMETIDINE TAB NOVA 15,910 17,501
NVA-003 CIPROFLOXACIN NOVA 37,092 40,801
NVA-040 COMVIT C 92,729 102,002
NVA-030 COTRIMOKSAZOL SYR NOVA 3,044 3,348
NVA-034 COTRIMOXAZOL TAB NOVA 20,871 22,958
NVA-012 GG KLG NOVA 36,920 40,612
NVA-035 GUAIFENESIN 100 MG NOVA 8,880 9,768
NVA-032 IBUPROFEN 400 NOVA 30,000 33,000
NVA-041 KETOCONAZOLE 200 NOVA 20,865 22,952
NVA-039 METAMIZOL SODIUM NOVA 18,860 20,746
NVA-006 NOVABION 27,586 30,345
NVA-013 NOVABIOTIK 500 56,800 62,480
NVA-018 NOVACHLOR SIRUP 6,495 7,145
NVA-011 NOVADIAR SIRUP 4,091 4,500
NVA-005 NOVAFLOX 500 39,410 43,351
NVA-007 NOVAGESIC SYR 3,835 4,219
NVA-004 NOVAGESIC TAB 16,250 17,875
NVA-016 NOVAMOX 500 37,670 41,437
NVA-024 NOVAMOX SIRUP 3,845 4,230
NVA-008 NOVAPYRON TAB 40,280 44,308
NVA-015 NOVASTAN 500 28,980 31,878
NVA-019 NOVATRIM SIRUP 4,150 4,565
NVA-031 NOVATRIM TABLET 19,545 21,500
NVA-009 NOVATUSIN SIRUP 5,115 5,627
NVA-025 NOVAXICAM 20 MG 18,835 20,719
NVA-038 OMEPRAZOLE NOVA 11,365 12,502
NVA-023 PARACETAMOL SYR NOVA 2,765 3,042
NVA-020 VASTAREL TABLET 28,397 31,237

NOVEL

KODE NAMA BARANG HARGA HARGA ++

NVL-002 ACYCLOVIR 400 NOVEL 28,659 31,525
NVL-018 COOLING 5 CHERRY MERAH 29,000 31,900
NVL-019 COOLING 5 PLUS ORANGE 30,000 33,000
NVL-017 COOLING 5 SPRAY BIRU 29,000 31,900
NVL-007 LORATADIN 10 NOVEL 15,140 16,654
NVL-008 M PREDNISOLON 16 NOVEL 94,091 103,500
NVL-015 MELOXICAM 15 NOVEL 54,500 59,950
NVL-016 MELOXICAM 7.5 NOVEL 31,450 34,595
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 41 of 57 9:28:17AM 04/08/2020 1

NOVANTIS

KODE NAMA BARANG HARGA HARGA ++

NVS-006 CATAFLAM 50 MG TAB 283,768 312,145
NVS-002 VOLTAREN EMUL 10 GR 41,959 46,155
NVS-004 VOLTAREN EMUL 5 GR 25,269 27,796
NVS-005 VOLTAREN EMUL 50 GR 155,859 171,445
NVS-003 VOLTAREN EMULGEN 20 GR 1% 70,009 77,010
NVS-007 VOLTAREN TABLET 50 MG 312,230 343,453

OSADHA GRAHA SEJAHTE

KODE NAMA BARANG HARGA HARGA ++

OGS-002 MASKER NEOMASK HIJAU 36,364 40,000
OGS-014 MASKER ALTAMED HIJAU 31,820 35,002
OGS-004 MASKER NEOMASK ABU 22,497 24,747
OGS-003 MASKER NEOMASK BIRU 22,497 24,747

ONE MED

KODE NAMA BARANG HARGA HARGA ++

ONM-027 ALKOHOL SWAB 10,794 11,873

ONM-138 ANTIS ANTISEPTIK 40,909 45,000
ONM-116 ASEPTIC GEL 500 ML + DISPENSER 34,344 37,778
ONM-108 BLUETIP 200,000 220,000
ONM-131 CALCIDOR 389,475 428,423
ONM-030 CE WATTER RITTER 194,445 213,890
ONM-015 DEVITALISASI PASTA - DEVITEC 401,920 442,112
ONM-105 ELASTIS BANDAGE 7,4X4,5M 124,000 136,400
ONM-017 ETIL KLORIDA SPRAY 290,000 319,000
ONM-129 EUGENOL 73,685 81,054
ONM-063 EXTRACE 200 60,000 66,000
ONM-114 FIXOR DEVELOPER FUJI 959,600 1,055,560
ONM-130 GLASSIONOMER ULTRA 15GR 622,105 684,316
ONM-103 HAND SANITIZER 19,000 20,900
ONM-104 HANSAPLAST 52,000 57,200
ONM-123 INFLO IV CATH 22G 4,445 4,890
ONM-101 INFLO IV.CATH 18GX1,3 4,040 4,444
ONM-102 INFLO IV.CATH 20GX1,1 4,445 4,890
ONM-034 INFUSION SET DEWASA OM 4,445 4,890
ONM-098 IODOFORM 239,250 263,175
ONM-107 IUD ANDALAN TCU 380A 29,350 32,285
ONM-106 IUD ANDALAN TCU 380A SAFE LOAD 24,450 26,895
ONM-003 JARUM 23 ONE MED 15,062 16,568
ONM-019 KALCIUM HIDROKSIDA - HYDCAL 257,900 283,690
ONM-091 KAPAS PEMBALUT 100 OM 6,320 6,952
ONM-112 KERTAS ECG 63X30 ENDO 66,667 73,334
ONM-125 KERTAS ECG 80X90X280 116,161 127,777
ONM-069 KERTAS USG-UPP 110HG 277,778 305,556
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 42 of 57 9:28:17AM 04/08/2020 1

ONE MED

KODE NAMA BARANG HARGA HARGA ++

ONM-075 MASKER N 95 ONE MED 45,455 50,001
ONM-136 MASKER N 95 TALI BIRU 45,455 50,001
ONM-100 MASKER ONEMED HIJAU 27,273 30,000
ONM-135 MASKER U-MASK ABU 31,820 35,002
ONM-117 MAXIFLOW (MASKER+SELANG) DEWASA 31,718 34,890
ONM-080 MEDICREPE 4 24,445 26,890
ONM-128 MULTI DRUG ONE STEP 1,875,000 2,062,500
ONM-088 MULTIFIX P+L 153,111 168,422
ONM-133 MUMIFAYING PASTA 294,738 324,212
ONM-020 MUMMIFIYING PASTA - CRESOPATE 722,224 794,446
ONM-137 OBAT GIGI KAKAK TUA 9,700 10,670
ONM-118 OXYFLOW (SELANG) DEWASA OM 8,081 8,889
ONM-134 PLESTER ROLL KAIN 1.25CM X 5M 12,000 13,200
ONM-120 PULSE OXYMETRI EUTECH 785,860 864,446
ONM-007 SAFEGLOVE EXAM L 44,444 48,888
ONM-006 SAFEGLOVE EXAM S 40,110 44,121
ONM-097 SDI RIVA 10 GR 421,070 463,177
ONM-099 SDI RIVA 15 GR 526,321 578,953
ONM-126 SIGNASEL PARKER 80,808 88,889
ONM-094 SOFTPAD OM 60X90 35,360 38,896
ONM-092 SPOID 10CC OM 74,650 82,115
ONM-090 SPOID 1CC ONEMED 66,000 72,600
ONM-002 SPOID 3CC ONE MED 59,661 65,627
ONM-110 SPOID 5CC TERUMO 282,333 310,566
ONM-040 SPONGOSTAN-CURASPON 10' 363,637 400,001
ONM-093 ST GAMEX 6 9,597 10,557
ONM-127 ST MAXTER GLOVES 7.5 4,546 5,001
ONM-119 STET STANDART DWS OM 30,303 33,333
ONM-111 TAB VACUM EDTA 3ML BD 375,000 412,500
ONM-121 TENSI ANEROID DWS GEA 111,112 122,223
ONM-001 TES HAMIL ONE MED 1,024 1,126
ONM-115 THERMO ONE ALPHA 3 23,232 25,555
ONM-122 TIMBANGAN BADAN OM 91,667 100,834
ONM-062 TISU MAGIC HITAM 9,000 9,900
ONM-087 TISU MAGIC MERAH 9,000 9,900
ONM-089 TKF (CHRESOLFORMALIN) 86,125 94,738
ONM-109 ULTRAFIX 10CM X 5M 24,242 26,666
ONM-095 USG GEL 250 ML OM 15,200 16,720
ONM-124 VERBAN 15 CM 116,165 127,782
ONM-036 WATER RITER 126,265 138,892
ONM-070 X-RAY FILM 35X35 1,288,000 1,416,800
ONM-096 YELLOWTIP 350,000 385,000
ONM-132 ZINGPOSPAT CEMENT 315,790 347,369

ORIENTAL
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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Page 43 of 57 9:28:17AM 04/08/2020 1

ORIENTAL

KODE NAMA BARANG HARGA HARGA ++

ORT-003 M ANGIN KAPAK 14 ML 19,010 20,911
ORT-001 M SAMHONG BESAR 50 22,015 24,217
ORT-002 M SAMHONG KECIL 12 9,314 10,245
ORT-004 M. ANGIN KAPAK 10 ML 13,336 14,670

OTSUKA

KODE NAMA BARANG HARGA HARGA ++

OTK-001 INFUS RL OTSUKA 11,932 13,125

OTTO

KODE NAMA BARANG HARGA HARGA ++

OTO-001 MAGTRAL MINT 29,550 32,505
OTO-002 MAGTRAL STRW 28,410 31,251
OTO-005 OPISTAN 46,590 51,249
OTO-009 OTORYL 25 MG 16,080 17,688
OTO-008 OTTOPAIN TT 8 ML 72,500 79,750
OTO-006 OTTOPAN 25,000 27,500
OTO-004 OTTOPRIM FORTE 60,000 66,000
OTO-003 OTTOPRIM TAB 23,230 25,553

OTSU

KODE NAMA BARANG HARGA HARGA ++

OTS-001 OTSU WATER INJ 25 ML 5,556 6,112

PYRIDAM FARMA

KODE NAMA BARANG HARGA HARGA ++

PDM-005 ASAM MEFENAMAT 500 MG PYRIDAM 23,295 25,625
PDM-001 FLUTAMOL CAPLET 32,615 35,877
PDM-002 FLUTAMOL SYR 60 ML 6,935 7,629
PDM-003 VIBRAMOX 500 56,375 62,013
PDM-004 VIBRAMOX DRY SIRUP 5,285 5,814

PFIZER

KODE NAMA BARANG HARGA HARGA ++

PFZ-015 COMBANTRIN 125 TABLET 328,750 361,625

PFZ-003 COMBANTRIN ORANGE 10ML 14,900 16,390
PFZ-001 COMBANTRIN T 250 MG 328,750 361,625
PFZ-013 LISTERIN CITRUS 250ML 16,700 18,370
PFZ-014 LISTERIN CITRUS 80ML 6,800 7,480
PFZ-010 LISTERIN COOL MINT 100ML 6,800 7,480
PFZ-009 LISTERIN COOL MINT 250 17,550 19,305
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 44 of 57 9:28:17AM 04/08/2020 1

PFIZER

KODE NAMA BARANG HARGA HARGA ++

PFZ-018 LISTERIN GREEN TEA 100 ML 7,600 8,360
PFZ-024 LISTERIN GREEN TEA 250 ML 19,550 21,505
PFZ-011 LISTERIN ORIGINAL 250 17,550 19,305
PFZ-012 LISTERIN ORIGINAL 80 6,800 7,480
PFZ-019 LISTERIN ZERO 100 ML 6,800 7,480
PFZ-020 LISTERIN ZERO 250 ML 17,550 19,305
PFZ-021 LISTERIN ZERO 500 ML 28,700 31,570
PFZ-022 LISTERINE GUM CARE 100 ML 9,500 10,450
PFZ-023 LISTERINE GUM CARE 250 ML 19,550 21,505
PFZ-025 LISTERINE SIWAK 100 ML 6,800 7,480
PFZ-026 LISTERINE SIWAK 250 ML 19,550 21,505
PFZ-002 PONSTAN 500 MG 246,089 270,698
PFZ-008 TERRA CORTIL OPH OINT(SM) 17,596 19,356
PFZ-017 VISINE EXTRA 6 ML 12,370 13,607
PFZ-004 VISINE EYE BIASA 6 ML 12,370 13,607
PFZ-016 VISINE TEARS 6 ML 12,370 13,607

PHAPROS

KODE NAMA BARANG HARGA HARGA ++

PHR-030 ACYCLOVIR 400 PHAPROS 42,990 47,289
PHR-024 AMLODIPIN 10 PHAPROS 5,454 5,999
PHR-025 AMLODIPIN 5 PHAPROS 3,334 3,667
PHR-006 ANTIMO ANAK JERUK 1,155 1,271
PHR-012 ANTIMO ANAK STRW 1,155 1,271
PHR-007 ANTIMO DEWASA 10,S 4,065 4,472
PHR-028 CAPTOPRIL 12,5 MG PHAPROS 8,050 8,855
PHR-015 CAPTOPRIL 25 PHAPROS 8,807 9,688
PHR-027 CORSONA INJEKSI 1ML 5 AMP 16,000 17,600
PHR-005 DEXTAMIN SYR 27,458 30,204
PHR-018 DEXTAMIN TAB 100'S 165,000 181,500
PHR-004 DEXTAMIN TAB 300 486,610 535,271
PHR-026 IBUPROFEN 400 PHAPROS 25,570 28,127
PHR-008 LIVRON B PLEX 25,500 28,050
PHR-029 NATRIUM DICLOFENAC 50 PHAPROS 7,000 7,700
PHR-002 NB TOP OINT 5 GR 15,641 17,205
PHR-003 PEHACAIN INJ 2 CC 2,831 3,114
PHR-009 RANITIDIN 150 PHAPROS 20,000 22,000
PHR-016 VIOSTIN 30'S 160,000 176,000
PHR-017 VIOSTIN DS 10X5'S 270,000 297,000

PHAROS

KODE NAMA BARANG HARGA HARGA ++

PHS-006 ALBOTIL 5 ML KECIL 22,000 24,200
PHS-001 ALBOTYL CONC 10 ML 35,000 38,500
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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PHAROS

KODE NAMA BARANG HARGA HARGA ++

PHS-013 COLIDAN 50 MG 90,000 99,000
PHS-004 MICROLAX JEL 5ML 18,750 20,625
PHS-016 NEBACETIN OINT 19,000 20,900
PHS-017 NEBACETIN POWDER 20,000 22,000
PHS-019 NOURISH SKIN ISI 15 TAB 109,000 119,900
PHS-020 NOURISH SKIN ISI 30 TAB 178,000 195,800
PHS-018 OMEPROS 30S 115,000 126,500
PHS-014 PHAROLIT SITRAS 76,000 83,600
PHS-011 POLYSILANE SYRUP 100 ML 20,000 22,000
PHS-002 POLYSILANE TAB 38,000 41,800
PHS-009 PRAXION FORTE SYR 27,000 29,700
PHS-010 PRAXION SIRUP 23,000 25,300
PHS-012 PRORIS 200MG FC CAPLET 77,000 84,700
PHS-003 PRORIS BIASA 60ML 23,000 25,300
PHS-005 PRORIS FORTE 50 ML 27,000 29,700
PHS-015 REXCOF PLUS SYRUP 60 ML 20,000 22,000

PIM

KODE NAMA BARANG HARGA HARGA ++

PIM-006 ALKOHOL 70% 100 PIM 3,588 3,947
PIM-005 ALKOHOL 70% 300 PIM 10,875 11,963
PIM-004 ALKOHOL 70% LITER PIM 31,750 34,925
PIM-007 CTM KLG PIM 100 TAB 4,775 5,253
PIM-002 CTM TAB PIM 19,000 20,900
PIM-016 PARACETAMOL TAB PIM 14,935 16,429
PIM-008 PIMACOLIN SYR 60 APLE 8,700 9,570
PIM-009 PIMACOLIN SYR 60 BABY 5,803 6,383
PIM-013 PIMTRACOL CHERRY SYR 10,934 12,027
PIM-010 PIMTRACOL SYR 60 BIRU 10,934 12,027
PIM-014 RIVANOL 100 PIM 5,193 5,712
PIM-012 RIVANOL 300 PIM 10,686 11,755

PHYTO KEMO AGUNG

KODE NAMA BARANG HARGA HARGA ++

PKA-001 IBUPROFEN 400 PHYTO 14,773 16,250

PT PHARMA

KODE NAMA BARANG HARGA HARGA ++

PMA-004 AMOXICILIN 500 PHARMA 34,102 37,512
PMA-002 AMPICILIN 500 PHARMA 36,364 40,000

PROMED
PBF.PT.BUANA SARASWATI
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Page 46 of 57 9:28:17AM 04/08/2020 1

PROMED

KODE NAMA BARANG HARGA HARGA ++

PMD-007 AMBROXOL TAB PROMED 11,000 12,100
PMD-009 IBUPROFEN 400 PROMED 48,000 52,800
PMD-010 LEVOFLOXACIN 500 PROMED 52,440 57,684
PMD-004 PARACETAMOL PROMED 13,353 14,688
PMD-008 SIMVASTATIN 10MG PROMED 6,250 6,875

PUSPA PHARMA

KODE NAMA BARANG HARGA HARGA ++

PPM-001 DIRECTTEST CAWAN 17,500 19,250

PRAFA

KODE NAMA BARANG HARGA HARGA ++

PRF-001 CORTISON INJ PRAFA 22,100 24,310
PRF-003 PARATUSIN SIRUP 27,400 30,140
PRF-004 PARATUSIN TAB 221,865 244,052
PRF-002 SUPER TETRA CAP 120,S 131,400 144,540

PRADJA PARIA

KODE NAMA BARANG HARGA HARGA ++

PRP-001 VICEE GRAPE TAB 57,173 62,890
PRP-003 VICEE LEMON 57,173 62,890
PRP-002 VICEE ORANGE 57,173 62,890
PRP-004 VICEE STRAWBERRY 57,173 62,890

QUANTUM LABS

KODE NAMA BARANG HARGA HARGA ++

QNT-003 AMOXICILLIN TAB QUANTUM 34,182 37,600
QNT-002 CEFADROXIL 500 MG QUANTUM 63,037 69,341
QNT-005 LIDOCAIN 2% QUANTUM LABS 120,000 132,000
QNT-001 METHYLPREDNISOLON 4 QUANTUM 24,030 26,433
QNT-004 QUAFAXIL SIRUP 250 MG 66,000 72,600

RAMA

KODE NAMA BARANG HARGA HARGA ++

RAM-035 ALKOHOL 70% 100 ML RAMA 3,760 4,136

RAM-033 AMBROXOL SYR 60 ML RAMA 3,012 3,313
RAM-028 AMLODIPINE 10 RAMA 15,682 17,250
RAM-027 AMLODIPINE RAMA 5MG 13,069 14,376
RAM-031 ASAM MEFENAMAT RAMA 31,250 34,375
RAM-002 CALORTUSIN CAP ISI 100 35,230 38,753
RAM-016 CALORTUSIN SIRUP 5,063 5,569
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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Page 47 of 57 9:28:17AM 04/08/2020 1

RAMA

KODE NAMA BARANG HARGA HARGA ++

RAM-029 CEDROX 500 CAPS 75,000 82,500
RAM-013 DOLORSTAN TAB 21,380 23,518
RAM-011 ERYRA SIRUP 11,250 12,375
RAM-012 ERYRA TABLET 95,000 104,500
RAM-030 IBUPROFEN 400 RAMA 27,272 29,999
RAM-034 METHYLPREDNISOLONE 4 MG RAMA 17,780 19,558
RAM-026 ORALIT RAMA 29,406 32,347
RAM-001 RAMABION ISI 100 23,987 26,386
RAM-017 RAMADRIL EXPECT SYR 4,084 4,492
RAM-006 RAMADRYL ATUSIN 60 ML 4,125 4,538
RAM-005 RAMAHIST TAB 10,316 11,348
RAM-024 RAMOLIT 25'S 11,607 12,768
RAM-023 RAMOXYL 500 MG TAB 34,091 37,500
RAM-036 RAMVIT-C 30'S 28,410 31,251
RAM-003 RANACID FORTE TAB 18,975 20,873
RAM-025 REMCO SRP 3,600 3,960
RAM-032 SIMVASTATIN 10 TAB RAMA 13,365 14,702
RAM-018 TERA-F 41,213 45,334

ROCHE

KODE NAMA BARANG HARGA HARGA ++

RCH-001 CDR EFF ISI 10 35,150 38,665
RCH-007 CDR EFF ISI 15 44,500 48,950
RCH-003 CDR FORTOS 34,115 37,527
RCH-005 REDOXON BLACKCURENT 29,900 32,890
RCH-002 REDOXON EFF ISI 10 32,650 35,915
RCH-006 REDOXON EFF ISI 15 32,650 35,915
RCH-004 REDOXON FORTIMUN 37,125 40,838

RIESTER

KODE NAMA BARANG HARGA HARGA ++

RST-003 STETOSCOPE DWSA 333,350 366,685
RST-002 TENSI CLOCK GEA 83,350 91,685
RST-001 TENSI HG NOVA RIESTER 1,513,131 1,664,444

ROHTO

KODE NAMA BARANG HARGA HARGA ++

RTH-001 ROHTO 7 ML 9,990 10,989
RTH-002 ROHTO COOL 13,320 14,652
RTH-004 ROHTO EYE FLUSH 27,000 29,700

SANBE FARMA
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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Page 48 of 57 9:28:17AM 04/08/2020 1

SANBE FARMA

KODE NAMA BARANG HARGA HARGA ++

SBF-004 AMOXAN 500 KAPS 310,000 341,000
SBF-011 AMOXAN DRY SIRUP 60 ML 22,500 24,750
SBF-010 AMOXAN PEAD DROP 22,400 24,640
SBF-009 BECOM C 165,790 182,369
SBF-017 CERINI SYR 60 ML 35,900 39,490
SBF-018 CORTIDEX TABLET 26,000 28,600
SBF-014 ELKANA SIRUP 19,350 21,285
SBF-013 ELKANA TAB 65,000 71,500
SBF-012 MEFINAL 500 MG 126,500 139,150
SBF-019 SANADRYL 120 CC SYR 14,300 15,730
SBF-020 SANADRYL 60 CC SYR 9,900 10,890
SBF-022 SANADRYL DMP 120 ML 18,600 20,460
SBF-023 SANADRYL DMP 60 ML 12,000 13,200
SBF-024 SANKORBIN INJEKSI 145,667 160,234
SBF-021 SANMAG SUSPENSI 25,000 27,500
SBF-003 SANMOL DROP 16,027 17,630
SBF-016 SANMOL FORTE TAB 33,000 36,300
SBF-001 SANMOL SYR 11,945 13,140
SBF-002 SANMOL TABLET 29,000 31,900

SCAN

KODE NAMA BARANG HARGA HARGA ++

SCN-001 SCANDEXON TAB 100 15,125 16,638
SCN-002 SCANDEXON TABLET 500 63,061 69,367

SURYA DERMATO MEDICA

KODE NAMA BARANG HARGA HARGA ++

SDM-002 MELANOX CRM 15GR 30,000 33,000
SDM-001 VITAQUIN CREAM 15 GR 61,600 67,760

SIDO MUNCUL

KODE NAMA BARANG HARGA HARGA ++

SDO-004 TOLAK ANGIN ANAK ISI 12 1,819 2,001
SDO-005 TOLAK ANGIN CAIR BEBAS GULA 2,682 2,950
SDO-002 TOLAK ANGIN CAIR ISI 12 2,569 2,826
SDO-003 TOLAK ANGIN FLU ISI 12 BIRU 2,569 2,826
SDO-006 VIT C LEMON SIDOMUNCUL 7,830 8,613

PT SARI ENESIS INDAH

KODE NAMA BARANG HARGA HARGA ++

SEI-003 ADEM SARI DUS 5'S 9,845 10,830
SEI-002 VEGETA HERBAL DUS 6'S 12,515 13,767
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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Page 49 of 57 9:28:17AM 04/08/2020 1

PT SARI ENESIS INDAH

KODE NAMA BARANG HARGA HARGA ++

SEI-001 VEGETA/SCRUBBER 6" S 9,987 10,986

SELES

KODE NAMA BARANG HARGA HARGA ++

SEL-016 ALLOPURINOL 100 SELES 25,954 28,549
SEL-017 ALLOPURINOL 300 SELES 58,608 64,469
SEL-015 AMBROXOL TAB SELES 10,814 11,895
SEL-018 AMLODIPINE 10 SELES 5,766 6,343
SEL-021 AMLODIPINE 5 SELES 30'S TAB 5,766 6,343
SEL-012 ANTASIDA KLG SELES 50,830 55,913
SEL-024 CIMETIDINE 200 MG SELES 26,640 29,304
SEL-009 GG KLG SELES 36,623 40,285
SEL-023 METRONIDAZOL 500 SELES 18,673 20,540
SEL-007 PIROXICAM 20 SELES 14,675 16,143
SEL-014 PREDNISON KLG SELES 93,590 102,949
SEL-019 SELEDRYL TAB 39,000 42,900
SEL-010 SELES C 25 MG 17,650 19,415
SEL-011 SELES C 50 MG 25,680 28,248
SEL-002 SELESBION 40,913 45,004
SEL-020 SELESCARDIO 10 MG 6,406 7,047
SEL-008 SELESCARDIO 5 MG 5,295 5,825
SEL-022 TETRACYCLINE 500 MG SELES 50,616 55,678

PT SANO GRATIA FARMA

KODE NAMA BARANG HARGA HARGA ++

SGF-001 PI KANG SHUANG KRIM 5GR 10,000 11,000

SOHO

KODE NAMA BARANG HARGA HARGA ++

SHO-003 ASTHMA SOHO TAB 48,600 53,460
SHO-048 CEFADROXIL KAP SOHO 63,037 69,341
SHO-023 CURCUMA 200 MG KLG 250,000 275,000
SHO-021 CURCUMA GROW ORANGE 21,000 23,100
SHO-032 CURCUMA GROW STRW 21,000 23,100
SHO-005 CURCUMA PLUS SYR 60 ML 9,500 10,450
SHO-001 CURCUMA SHARPY ORANGE 11,250 12,375
SHO-036 CURCUMA SHARPY STRW 11,250 12,375
SHO-067 CURVIT CL EMULSION 175 ML 51,667 56,834
SHO-060 CURVIT SIRUP 120 BTL 31,800 34,980
SHO-059 CURVIT SIRUP 60 ML 22,660 24,926
SHO-079 DIAPET 12X10'S KAPSUL 45,000 49,500
SHO-024 DIAPET CAP 100 43,200 47,520
SHO-029 DIAPET NR 56,800 62,480
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
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Page 50 of 57 9:28:17AM 04/08/2020 1

SOHO

KODE NAMA BARANG HARGA HARGA ++

SHO-078 DIAPET SIRUP 60 ML 9,300 10,230
SHO-072 FITKOM ANGGUR 21 TAB 10,850 11,935
SHO-062 FITKOM CALCIUM KUNING 14,800 16,280
SHO-011 FITKOM GRAPE 12,500 13,750
SHO-051 FITKOM GUMMY BIRU 12,000 13,200
SHO-056 FITKOM GUMMY FRUIT%VEGGI IJO 12,000 13,200
SHO-074 FITKOM JERUK 21 TAB 10,850 11,935
SHO-009 FITKOM ORANGE 12,500 13,750
SHO-010 FITKOM STRAWBERRY 12,500 13,750
SHO-073 FITKOM STRAWBERRY 21 TAB 10,850 11,935
SHO-066 IMBOOST FORCE SYR 60 ML 57,000 62,700
SHO-065 IMBOOST FORCE TAB 30'S 176,000 193,600
SHO-058 IMBOOST SIRUP 120 ML 49,700 54,670
SHO-057 IMBOOST SIRUP 60 ML 31,200 34,320
SHO-061 IMBOOST TAB 50"S 155,000 170,500
SHO-077 IMBOOST TABLET 5X4"S (ENV) 69,300 76,230
SHO-039 LANSOPRAZOLE 30 SOHO 10,227 11,250
SHO-033 LAXING 67,800 74,580
SHO-030 M PREDNISOLON 4 SOHO 24,030 26,433
SHO-075 ONDANSETRON INJ 4MG SOHO 22,000 24,200
SHO-076 ONDANSETRON INJ 8MG SOHO 40,000 44,000
SHO-071 OSTE FORTE 30 CAP 189,600 208,560
SHO-004 PRIMPERAN 10 MG TAB 125,000 137,500
SHO-006 PRIMPERAN INJ 6 AMP 10,334 11,367
SHO-008 PRIMPERAN SYR 50ML 21,000 23,100
SHO-038 SOHOBION 5000 INJ 50,000 55,000

SHAMPHARINDO

KODE NAMA BARANG HARGA HARGA ++

SHP-043 ALLOPURINOL 100 TRIMAN 19,667 21,634
SHP-030 ALLOPURINOL SAMPARINDO 20,835 22,919
SHP-053 AMBROXOL TAB TRIMAN 10,800 11,880
SHP-050 ANTASIDA DOEN SHAMPARINDO 10,084 11,092
SHP-025 ANTASIDA DOEN SIRUP SAMPARINDO 4,085 4,494
SHP-033 ANTASIDA DOEN TAB (TRIMAN) 10,230 11,253
SHP-045 AXAPROFEN KAPLET 61,579 67,737
SHP-042 BIONICOM-C 109,688 120,657
SHP-023 BROADAMOX 500 KAPLET 43,182 47,500
SHP-024 BROADAMOX SIRUP 4,431 4,874
SHP-004 CARBIDU 0,5 MG 24,860 27,346
SHP-012 CARBIDU 0,75 MG 31,612 34,773
SHP-041 CARDIPIN 5 MG 25,782 28,360
SHP-006 CARGESIK 500 MG 43,560 47,916
SHP-038 CARMESON TAB 90,940 100,034
SHP-013 CARSIDA SIRUP 6,825 7,508
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
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Page 51 of 57 9:28:17AM 04/08/2020 1

SHAMPHARINDO

KODE NAMA BARANG HARGA HARGA ++

SHP-008 CARSIDA TABLET 25,561 28,117
SHP-003 COPARCETIN CAPLET 36,650 40,315
SHP-017 COPARCETIN KID COUGH 5,746 6,321
SHP-007 COPARCETIN SYR 60 DWS 6,050 6,655
SHP-031 COPARCETIN SYR ORANGE 6,050 6,655
SHP-054 GG TRIMAN BOX 8,864 9,750
SHP-020 GUAMIN SYR 60ML 4,992 5,491
SHP-037 KOFIREN 4 MG TAB 13,524 14,876
SHP-026 MANTINO 50 TABLET 22,690 24,959
SHP-052 METHYLPREDNISOLONE 4 MG TRIMAN 20,000 22,000
SHP-051 METHYLPREDNISOLONE 8 MG TRIMAN 35,759 39,335
SHP-022 MEXON KAP 20,692 22,761
SHP-021 MILSEN SYR 60 ML 5,445 5,990
SHP-047 MIRACLOVEN 50 MG 46,185 50,804
SHP-040 MIRAFLOX 500MG 135,000 148,500
SHP-001 MIRANEURO CAP 92,370 101,607
SHP-039 MIRAPECT TAB 90,000 99,000
SHP-005 MIRASIC 500 TABLET 22,846 25,131
SHP-044 MIRASIC PLUS 26,317 28,949
SHP-010 MIRASIC SIRUP 4,454 4,899
SHP-018 MIRASIC TAB FORTE 28,434 31,277
SHP-014 MIRATRIM CAPLET 32,070 35,277
SHP-015 MIRATRIM FORTE 56,265 61,892
SHP-009 MIRATRIM SIRUP 6,050 6,655
SHP-019 MIRAVON SYR 60ML 4,991 5,490
SHP-016 MIRAVON TAB 10,805 11,886
SHP-011 PRIMODIAR 2 MG 19,480 21,428
SHP-002 SIOBION CAP 32,160 35,376
SHP-036 SUPERHOID 27,841 30,625
SHP-032 TRAMADOL SHAMPARINDO 20,125 22,138
SHP-049 VITABIOL SYRUP 6,675 7,343

PT SURABAYA INDAH PRMAI

KODE NAMA BARANG HARGA HARGA ++

SIP-002 3 POINT OIL M.T.P 30 ML 14,837 16,321
SIP-001 SAFE CARE AROMATHERAPY 10ML 12,982 14,280

SAKAFARMA

KODE NAMA BARANG HARGA HARGA ++

SKF-006 SAKATONIK ABC GRAPE 10,335 11,369
SKF-003 SAKATONIK ABC ORANGE 10,335 11,369
SKF-002 SAKATONIK ABC STRW 10,335 11,369
SKF-007 SAKATONIK LIVER 100 ML 7,671 8,438
SKF-004 SAKATONIK LIVER 310 ML 18,256 20,082
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 52 of 57 9:28:17AM 04/08/2020 1

SKRINEER

KODE NAMA BARANG HARGA HARGA ++

SKR-001 MASKER SKRINER ABU 50'S 31,820 35,002
SKR-003 MASKER SKRINER ABU-ABU ISI 5 3,637 4,001
SKR-004 SKRINER ABU ISI 10 4,433 4,876
SKR-002 SKRINER GIRLY 5'S 4,546 5,001

SEJAHTERA LESTARI FA

KODE NAMA BARANG HARGA HARGA ++

SLF-002 GUAIFENESIN 100 SELES 9,657 10,623
SLF-001 SELKOM C KAP 49,503 54,453

SOLAS

KODE NAMA BARANG HARGA HARGA ++

SLS-017 CETROL KAP 27,500 30,250
SLS-008 COLIDIUM CAP 19,700 21,670
SLS-010 GIGADRYL SYR 5,400 5,940
SLS-001 KAMOLAS CAPLET 20,500 22,550
SLS-005 KAMOLAS SYR 5,000 5,500
SLS-015 LODECON FORTE 50,200 55,220
SLS-016 LODECON KAP 28,600 31,460
SLS-004 MOXALLAS CAP 20,466 22,513
SLS-007 MOXALLAS SYR 60 ML 5,100 5,610
SLS-006 ORPHEN CAP 17,198 18,918
SLS-022 RANITIDINE SOLAS 17,302 19,032
SLS-014 SOLAFLUS SYR 7,080 7,788
SLS-003 SOLASIC CAP 21,500 23,650
SLS-021 SOLDEXTAM TAB 39,800 43,780
SLS-011 SOLPENOX CAP 40,300 44,330
SLS-009 SOLVITA PLUS SYR 5,200 5,720
SLS-012 SOLVITA SYR 60 ML 4,900 5,390
SLS-019 TRUVIT SYR 9,900 10,890
SLS-013 XICALOM 21,500 23,650

SAMCO FARMA

KODE NAMA BARANG HARGA HARGA ++

SMF-002 BETAMIN TAB BOTOL 32,400 35,640

SMF-001 BETAMIN TAB ZAK 23,300 25,630
SMF-006 OBAT GOSOK BUNGA MERAH 15,000 16,500
SMF-003 SAMMOXIN FORTE KAP 35,860 39,446
SMF-004 SAMQUINOR 44,045 48,450
SMF-005 VIT B COMPLEX + B 12 100'S 17,400 19,140

SUPRAPERBINDO
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 53 of 57 9:28:17AM 04/08/2020 1

SUPRAPERBINDO

KODE NAMA BARANG HARGA HARGA ++

SPD-001 OSKADON 70,695 77,765
SPD-002 OSKADRYL EXTRA TABLET 4'S 1,150 1,265

SHAMPINDO KIMIA

KODE NAMA BARANG HARGA HARGA ++

SPK-001 BETABION 13,369 14,706

SCHERING

KODE NAMA BARANG HARGA HARGA ++

SRG-003 GARAMYCIN KRIM 30,459 33,505
SRG-002 MICROGYNON 13,821 15,203
SRG-001 PRIMULUT N 5 MG 156,913 172,604

SARI SEKAT

KODE NAMA BARANG HARGA HARGA ++

SRS-003 MERIT PLUS 18,182 20,000

SHETERLING

KODE NAMA BARANG HARGA HARGA ++

STL-009 INSTO DRY EYES 7.5 BIRU 10,850 11,935
STL-001 INSTO EYE DROP 7,5 ML HIJAU 10,600 11,660
STL-005 INSTO EYE DROPS 15ML 16,100 17,710
STL-004 PANADOL BIRU 77,590 85,349
STL-007 PANADOL DROP 40,320 44,352
STL-003 PANADOL EXTRA 85,528 94,081
STL-002 PANADOL FLU & BATUK (NON PREKUSOR) 103,173 113,490
STL-006 PANADOL SIRUP 30ML 21,392 23,531
STL-008 PANADOL SIRUP 60 ML 38,793 42,672

TUNGGAL IDAMAN

KODE NAMA BARANG HARGA HARGA ++

TGI-001 POSTINOR 2 TABLET 20,000 22,000

TAKEDA

KODE NAMA BARANG HARGA HARGA ++

TKD-002 VITACIMIN BLUEBERRY @100 67,667 74,434
TKD-004 VITACIMIN FRUIT PUNCH 67,667 74,434
TKD-003 VITACIMIN ORANGE @100 67,667 74,434
TKD-001 VITACIMIN SWEETLEST @100 67,667 74,434
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 54 of 57 9:28:17AM 04/08/2020 1

PT TEMPO

KODE NAMA BARANG HARGA HARGA ++

TMP-004 AMLODIPIN 10 MG TEMPO 30X10 97,364 107,100
TMP-001 AMLODIPIN 10MG TEMPO 9,546 10,501
TMP-002 AMLODIPIN 5MG TEMPO 6,819 7,501
TMP-008 MY BABY TELON PLUS 145 ML 28,181 30,999
TMP-007 MY BABY TELON PLUS 57 ML 13,263 14,589
TMP-006 MY BABY TELON PLUS 85 ML 17,809 19,590
TMP-014 MY BABY TELON PLUS LONG PROTECT 90 ML 19,426 21,369
TMP-013 OSKADON SP 39,546 43,501
TMP-003 PARACETAMOL 500 RAMA 13,189 14,508
TMP-011 VIDORAN GUMMY FRUGIE HIJAU 13,637 15,001
TMP-012 VIDORAN GUMMY MILK & CALCIUM PUTIH 13,637 15,001
TMP-009 VIDORAN GUMMY MULTIVITAMIN BIRU 12,819 14,101
TMP-010 VIDORAN GUMMY VITAMIN C KUNING 11,137 12,251
TMP-005 VIDORAN GUMMY XMART NUTRI/20 G 4,091 4,500

TRIFA

KODE NAMA BARANG HARGA HARGA ++

TRF-001 CTM KLG TRIFA 4,491 4,940
TRF-003 GG KLG TRIFA 48,000 52,800
TRF-004 GUAIFENESIN TAB TRIFA 10,178 11,196
TRF-005 LACTAS CALCICUS 500MG TRIFA 22,138 24,352

TIRTAHUSADA

KODE NAMA BARANG HARGA HARGA ++

TRH-004 KAPAS 100 GR 7,700 8,470
TRH-003 KAPAS 1000 1 KG 63,900 70,290
TRH-002 KAPAS 250 GR 16,070 17,677
TRH-001 KAPAS 500 GR 34,753 38,228

TERUMO

KODE NAMA BARANG HARGA HARGA ++

TRM-001 ABOCATH SURFLO 20 G 26,118 28,730
TRM-002 ABOCATH SURFLO 22 G 26,118 28,730
TRM-016 ABOCATH SURFLO 24 G 24,420 26,862
TRM-006 MASKER UNIMED HIJAU 17,617 19,379
TRM-011 NESCO ASURAT 25 142,222 156,444
TRM-012 NESCO CHOLES 25 186,667 205,334
TRM-010 NESCO GLUKOSA 120,000 132,000
TRM-009 SPOID 3 CC TERUMO 237,500 261,250

TROPICA

KODE NAMA BARANG HARGA HARGA ++

PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
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Page 55 of 57 9:28:17AM 04/08/2020 1

TROPICA

KODE NAMA BARANG HARGA HARGA ++

TRP-002 TROPIGESIC SYR 3,410 3,751

TAISHO PHARMACEUTICAL

KODE NAMA BARANG HARGA HARGA ++

TSP-004 DRAMAMINE TAB 50 MG 100S 153,000 168,300
TSP-001 TEMPRA DROP 15ML 39,900 43,890
TSP-005 TEMPRA FORTE 60 ML ORANGE 36,800 40,480
TSP-002 TEMPRA SYR 30ML 17,400 19,140
TSP-003 TEMPRA SYR 60ML 33,400 36,740

TAWON JAYA

KODE NAMA BARANG HARGA HARGA ++

TWJ-004 MINYAK TAWON CC 15,883 17,471
TWJ-002 MINYAK TAWON DD 21,530 23,683
TWJ-001 MINYAK TAWON EE 33,040 36,344
TWJ-003 MINYAK TAWON FF 49,325 54,258

UNIMED BIOSYSTEM

KODE NAMA BARANG HARGA HARGA ++

UBS-001 AKURAT 8,500 9,350

UNIVERSAL

KODE NAMA BARANG HARGA HARGA ++

UNI-001 BABY COUGH UNI SYR 4,289 4,718

USFI SURABAYA

KODE NAMA BARANG HARGA HARGA ++

USF-003 M.K PUTIH GAJAH 120 33,231 36,554
USF-005 M.K PUTIH GAJAH 30 ML 9,715 10,687
USF-004 M.K PUTIH GAJAH 60 ML 17,256 18,982
USF-006 SALYSIL SPIRITUS BTL PLASTIK 3,313 3,644
USF-002 SALYSIL SPIRITUS USFI 6,328 6,961
USF-001 SIROP INDRA 3,707 4,078

ULTRA SAKTI

KODE NAMA BARANG HARGA HARGA ++

UTS-012 FITBES FORCE KAPLET 60'S 163,200 179,520
UTS-013 FITBES FORCE SIRUP 60 ML 32,500 35,750
UTS-004 HOT IN BTL AROMATHERAPY 60ML HIJAU 10,500 11,550
UTS-011 HOT IN CR BTL 120ML PUTIH 17,000 18,700
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 56 of 57 9:28:17AM 04/08/2020 1

ULTRA SAKTI

KODE NAMA BARANG HARGA HARGA ++

UTS-005 HOT IN CR BTL 60ML PUTIH 10,500 11,550
UTS-010 HOT IN CR TUBE PUTIH 120GR 20,535 22,589
UTS-001 HOT IN CR TUBE PUTIH 60GR 12,340 13,574
UTS-006 HOT IN STRONG BOTOL 120 ML 17,000 18,700
UTS-008 HOT IN STRONG TUBE 120 G 20,535 22,589
UTS-007 HOT IN STRONG TUBE 60 G 11,390 12,529
UTS-009 HOT IN TUBE AROMATHERAPY 120G 18,955 20,851
UTS-002 HOT IN TUBE AROMATHERAPY 60ML 13,000 14,300
UTS-003 WELMOVE STRIP 16,500 18,150

VIATRIS

KODE NAMA BARANG HARGA HARGA ++

VTS-002 TRANSPULMIN BABY 10GR 43,000 47,300
VTS-001 TRANSPULMIN BABY 20GR 59,000 64,900
VTS-003 TRANSPULMIN DWSA 10GR 35,700 39,270

WIDATRA

KODE NAMA BARANG HARGA HARGA ++

WDT-001 INFUS NACL WIDATRA 6,909 7,600
WDT-002 WIDA WI UNI 1 L 21,000 23,100

WYETH

KODE NAMA BARANG HARGA HARGA ++

WYT-001 TRINORDIOL 28 LIMAS 18,000 19,800

YUPHARIN

KODE NAMA BARANG HARGA HARGA ++

YPR-002 CALADINE PWDR 100 GR 12,700 13,970
YPR-001 CALADINE PWDR 60 GR 9,000 9,900

YARINDO

KODE NAMA BARANG HARGA HARGA ++

YRD-026 ACYCLOVIR 200 YARINDO 35,289 38,818
YRD-024 ACYCLOVIR 400 YARINDO 48,000 52,800
YRD-005 CETIRIZIN 3"S YARINDO 9,000 9,900
YRD-010 DIGOXIN 0.25 YARINDO 13,000 14,300
YRD-018 DOGESIC TAB 88,000 96,800
YRD-019 DOMESONE TAB 88,000 96,800
YRD-023 FLURIN DMP TABLET 88,000 96,800
YRD-016 MOLAZOL 500 MG 31,000 34,100
YRD-001 ONDAN 4 INJEKSI YARINDO 35,000 38,500
PBF.PT.BUANA SARASWATI
Jl.W.R.Supratman No.72 Denpasar BALI
Telp. : (0361) 221 847,255 930 PRICE LIST ETHICAL
No.Ijin : FP.01.04/IV/0584/2018
NPWP : 01.989.975.6.903.000

Page 57 of 57 9:28:17AM 04/08/2020 1

YARINDO

KODE NAMA BARANG HARGA HARGA ++

YRD-009 ONDANSENTRON 8 YARINDO 69,000 75,900
YRD-008 ONDANSETRON 4 TAB YARINDO 42,000 46,200
YRD-015 ORAMIN-G CAP 120,000 132,000
YRD-013 PIROXICAM 10 YARINDO 13,567 14,924
YRD-002 PIROXICAM 20 YARINDO 20,250 22,275
YRD-025 SALBUTAMOL 2 MG YARINDO 9,000 9,900
YRD-006 SALBUTAMOL 4 MG YARINDO 11,688 12,857
YRD-022 TOMAAG TAB 70,000 77,000

ZENITH

KODE NAMA BARANG HARGA HARGA ++

ZNT-025 AKTORALIN SYR 9,115 10,027

ZNT-006 ALVITA TAB 36,932 40,625
ZNT-013 ANTALGIN KLG ZENITH 100'S 19,252 21,177
ZNT-005 BRONEX TAB 14,206 15,627
ZNT-024 BUFANTACID TAB 25,000 27,500
ZNT-019 COLDREXIN BK ORANGE 6,144 6,758
ZNT-032 CTM KLG ZENITH ISI 100 10,230 11,253
ZNT-027 DEXICORTA TAB 16,648 18,313
ZNT-035 DEXIKOF 38,070 41,877
ZNT-012 FENAMIN 500 36,931 40,624
ZNT-023 FLUMIN CAPLET 33,185 36,504
ZNT-026 FLUMIN SYR 7,338 8,072
ZNT-010 HUSTAREX SYR 7,103 7,813
ZNT-017 PREDNISON KLG ZENIT 21,307 23,438
ZNT-034 PREDNISON TAB 10X10 17,620 19,382
ZNT-015 PRIMAVON KAPLET 31,819 35,001
ZNT-002 PRIMAVON SIRUP 5,780 6,358
ZNT-018 PRONTO TAB 30,115 33,127
ZNT-016 SUPRABIOTIK 79,091 87,000
ZNT-021 TRIOCID SIRUP 5,897 6,487
ZNT-020 TRIOCID TABLET 23,295 25,625
ZNT-003 ZEMOXYL 500 TABLET 60,455 66,501
ZNT-008 ZEMOXYL SIRUP 4,650 5,115
ZNT-001 ZENDALAT TAB 35,795 39,375
ZNT-033 ZENICHLOR KLG ISI 100 79,688 87,657
ZNT-011 ZENICLOR SYR 10,525 11,578
ZNT-009 ZENIREX SYR 5,796 6,376
ZNT-029 ZENZODERM 4,963 5,459
ZNT-007 ZETAMOL KLG 90,913 100,004
ZNT-031 ZETAMOL KLG ISI 100 19,888 21,877
ZNT-004 ZETAMOL SYR 4,570 5,027