| 1 Aff stitches | Rp 80,000 | ONCALL DOMESTIC | | oncall-domestic |
| 1 Stitches/1 wound suturing/1 hecting | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| ABBOCATH 22 | Rp 108,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ABBOCATH 24 | Rp 108,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ACIFAR 400 MG TAB | Rp 35,076 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| ACITRAL SYR 120 ML | Rp 208,306 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| ACITRAL TAB ISI 10 | Rp 0 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| AED + pad | Rp 5,000,000 | ONCALL DOMESTIC | | oncall-domestic |
| ALCO PLUS DMP SYR | Rp 241,837 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| ALLORIS TAB | Rp 0 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| ALOFAR 100MG TAB | Rp 27,957 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| AMBEVEN TAB | Rp 32,241 | ADAPOTEK, Kapsul, ONCALL DOMESTIC | | adapotek|kapsul|oncall-domestic |
| ANADEX SYR | Rp 200,418 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| ANALSIK TAB | Rp 0 | ONCALL DOMESTIC, SANBE, TAB | | oncall-domestic|sanbe|tab |
| ANTI HCV (RAPID) | Rp 900,000 | ONCALL DOMESTIC | | oncall-domestic |
| ANTI HCV TOTAL KUANTITATIF | Rp 1,100,000 | ONCALL DOMESTIC | | oncall-domestic |
| ANTIGEN | Rp 95,000 | ONCALL DOMESTIC | | oncall-domestic |
| APD COVER ALL | Rp 445,500 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| APIALYS SYR | Rp 206,711 | LAPI, ONCALL DOMESTIC, SYRUP | | lapi|oncall-domestic|syrup |
| APTT | Rp 430,000 | ONCALL DOMESTIC | | oncall-domestic |
| ARMSLING | Rp 270,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ASPILET 80 MG TAB | Rp 28,167 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| ASTHAROL TAB | | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| ATROPIN INJ | Rp 69,550 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| AVIGAN TAB | Rp 56,407 | DEXA, ONCALL DOMESTIC, TABLET | | dexa|oncall-domestic|tablet |
| AZOMAX SYR | Rp 0 | DEXA, ONCALL DOMESTIC, SYRUP | | dexa|oncall-domestic|syrup |
| BACTIGRAS | Rp 121,500 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| BAQUINOR TAB | Rp 61,589 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| BECOM ZET TAB | Rp 36,976 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| BETA HCG | Rp 1,300,000 | ONCALL DOMESTIC | | oncall-domestic |
| BETADINE | Rp 45,250 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| biaya tambahan Escort /km >5km | Rp 125,000 | ONCALL DOMESTIC | | oncall-domestic |
| BIDAI SPALK | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| BILIRUBIN DIREK | Rp 160,000 | ONCALL DOMESTIC | | oncall-domestic |
| BILIRUBIN TOTAL | Rp 160,000 | ONCALL DOMESTIC | | oncall-domestic |
| BILIRUBIN TOTAL DIREK INDIREK | Rp 320,000 | ONCALL DOMESTIC | | oncall-domestic |
| Blood pressure check | | ONCALL DOMESTIC | | oncall-domestic |
| BORRAGINOL S SUPP | Rp 101,950 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| BT | Rp 125,000 | ONCALL DOMESTIC | | oncall-domestic |
| BUFECT FORTE SUSP | Rp 0 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| BUN | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| BURNAZIN CREAM 53 GR | Rp 319,307 | ADAPOTEK, CREAM, ONCALL DOMESTIC | | adapotek|cream|oncall-domestic |
| CALADINE LOTION 60 ML | Rp 98,560 | ADAPOTEK, LOTION, ONCALL DOMESTIC | | adapotek|lotion|oncall-domestic |
| CALCIUM | Rp 260,000 | ONCALL DOMESTIC | | oncall-domestic |
| CANDIDA, TRICOMONAS, GRAM GO | Rp 660,000 | ONCALL DOMESTIC | | oncall-domestic |
| CEFAT 500 MG TAB | Rp 48,570 | Kapsul, ONCALL DOMESTIC, SANBE | | kapsul|oncall-domestic|sanbe |
| CEFAT DS | Rp 0 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| CEFSPAN 100 MG CAPS | Rp 63,833 | KALBE, Kapsul, ONCALL DOMESTIC | | kalbe|kapsul|oncall-domestic |
| CENDO EYEFRESH MINIDOSE | Rp 51,831 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| CENDO XITROL MINIDOSE | Rp 53,249 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| CERINI SYR | Rp 0 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| CERNEVIT 750 MG INJ | Rp 750,000 | INFUS, INJEKSI, KALBE, ONCALL DOMESTIC | | infus|injeksi|kalbe|oncall-domestic |
| CHLORIDA | Rp 320,000 | ONCALL DOMESTIC | | oncall-domestic |
| CHOLESTEROL | Rp 120,000 | ONCALL DOMESTIC | | oncall-domestic |
| Cholesterol Test + Doctor fee | Rp 110,000 | ONCALL DOMESTIC | | oncall-domestic |
| CLANEKSI 500 MG TAB | Rp 74,525 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| CLANEKSI DS | Rp 276,856 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| CLOPIDOGREL TAB | Rp 43,413 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| COLLAR NECK | Rp 1,093,500 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| CORTAMIN TAB | Rp 42,545 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| CORTAMINE SYR | Rp 263,994 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| CORTIDEX INJ | Rp 60,612 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| CREATININ | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| CT | Rp 125,000 | ONCALL DOMESTIC | | oncall-domestic |
| D 40% OTSU | Rp 116,125 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| D 5% SANBE | Rp 139,619 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| D-DIMER | Rp 1,700,000 | ONCALL DOMESTIC | | oncall-domestic |
| DEMACOLIN TAB | Rp 27,957 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| DERMAFIX PLESTER INFUS | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| DIAGIT TAB | Rp 38,924 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| DIGENTA CREAM | Rp 336,700 | CREAM, INTERBAT, ONCALL DOMESTIC | | cream|interbat|oncall-domestic |
| DL 5 DIFF | Rp 270,000 | ONCALL DOMESTIC | | oncall-domestic |
| DOCTOR FEE 08.00 – 22.00 | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| DOCTOR FEE 22.00 – 08.00 | Rp 450,000 | ONCALL DOMESTIC | | oncall-domestic |
| DRESSING + DOCTOR FEE Large Dressing | Rp 350,000 | ONCALL DOMESTIC | | oncall-domestic |
| DRESSING + DOCTOR FEE Medium Dressing | Rp 275,000 | ONCALL DOMESTIC | | oncall-domestic |
| DRESSING + DOCTOR FEE Small Dressing | Rp 175,000 | ONCALL DOMESTIC | | oncall-domestic |
| DULCOLAX 10TAB | Rp 32,987 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 1 ear/eye | Rp 250,000 | ONCALL DOMESTIC | | oncall-domestic |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 2 ear/eye | Rp 350,000 | ONCALL DOMESTIC | | oncall-domestic |
| EKG | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| ELASTIC BANDAGE/TENSOCREPE 10 CM | Rp 540,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ELASTIC BANDAGE/TENSOCREPE 7,5 CM | Rp 452,250 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ELASTOMULL HAFT | Rp 371,250 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| EPEXOL FDS | Rp 186,947 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| EPINEPHRINE INJ | Rp 112,075 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| EPISAN SUSP 200 ML | Rp 315,648 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| EPRINOC TAB | Rp 44,562 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| Escort 2-5 km dgn perawat | Rp 750,000 | ONCALL DOMESTIC | | oncall-domestic |
| Escort 2-5 km dgn perawat + dokter | Rp 850,000 | ONCALL DOMESTIC | | oncall-domestic |
| Escort dekat <2km dgn perawat | Rp 500,000 | ONCALL DOMESTIC | | oncall-domestic |
| Escort rujukan | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| Exploration/nail extraction/abscess incision/ tampon | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| EZOL 20 MG TAB | Rp 72,520 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| EZOL 40 MG TAB | Rp 67,024 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| EZOMEB 40 MG INJ | Rp 523,216 | INFUS, INJEKSI, KALBE, ONCALL DOMESTIC | | infus|injeksi|kalbe|oncall-domestic |
| FARGETIK TAB | Rp 28,159 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| FARMOTEN TAB | Rp 28,698 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| FARSIFEN 400 MG TAB | Rp 29,455 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| FASIDOL PLUS TAB | Rp 0 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| FASORBID TAB | Rp 26,539 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| FECES LENGKAP | Rp 730,000 | ONCALL DOMESTIC | | oncall-domestic |
| FERITIN | Rp 600,000 | ONCALL DOMESTIC | | oncall-domestic |
| FLAMAR 50MG TAB | Rp 35,409 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| FLAMAR GEL | Rp 120,799 | GEL, ONCALL DOMESTIC, SANBE | | gel|oncall-domestic|sanbe |
| FLOXIGRA TAB | Rp 30,026 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| FOLLEY CATHETER | Rp 145,125 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| FORUMEN EAR DROPS | Rp 170,695 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| FOSFOR | Rp 280,000 | ONCALL DOMESTIC | | oncall-domestic |
| GD2PP | Rp 90,000 | ONCALL DOMESTIC | | oncall-domestic |
| GDP | Rp 90,000 | ONCALL DOMESTIC | | oncall-domestic |
| GDS | Rp 90,000 | ONCALL DOMESTIC | | oncall-domestic |
| GENOINT SALEP MATA | Rp 71,373 | ADAPOTEK, ONCALL DOMESTIC, SALEP | | adapotek|oncall-domestic|salep |
| GGT | Rp 220,000 | ONCALL DOMESTIC | | oncall-domestic |
| GITAS INJ 20 MG AMP | Rp 184,266 | INFUS, INJEKSI, INTERBAT, ONCALL DOMESTIC | | infus|injeksi|interbat|oncall-domestic |
| GITAS PLUS TAB | Rp 54,700 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| GLICOS 500 MG TAB | Rp 27,471 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| Gluco test | Rp 100,000 | ONCALL DOMESTIC | | oncall-domestic |
| GO | Rp 250,000 | ONCALL DOMESTIC | | oncall-domestic |
| GUANISTREP SYR | Rp 92,360 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| HBA1C | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| HBS AG (RAPID) | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| HBS AG KUANTITATIF | Rp 1,000,000 | ONCALL DOMESTIC | | oncall-domestic |
| HDL | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| HISTIGO TAB | Rp 32,533 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| HYPAFIX | Rp 170,100 | ADAPOTEK, ONCALL DOMESTIC | | adapotek|oncall-domestic |
| IGG CLAMIDIA | Rp 1,800,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGG HSV 1 | Rp 900,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGG HSV 2 | Rp 800,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGG IGM ANTI DENGUE | Rp 1,000,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGM (TUBEX) | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGM CLAMIDIA | Rp 1,800,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGM HSV 1 | Rp 900,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGM HSV 2 | Rp 800,000 | ONCALL DOMESTIC | | oncall-domestic |
| INERSON SALEP | Rp 305,053 | INTERBAT, ONCALL DOMESTIC, SALEP | | interbat|oncall-domestic|salep |
| INFUS NACL 0,9 % 250ML 500 ML SANBE | Rp 134,488 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| INFUS RL 500 ML SANBE | Rp 137,051 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| INFUS SET MAKRO TERUMO | Rp 101,250 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| INFUS SET MIKRO TERUMO | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| Injection fee | Rp 100,000 | ONCALL DOMESTIC | | oncall-domestic |
| INTERZINC SYR | Rp 219,906 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| INTERZOL CREAM | Rp 174,109 | CREAM, INTERBAT, ONCALL DOMESTIC | | cream|interbat|oncall-domestic |
| INTRIZIN TAB | Rp 56,766 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| IVFD insertion fee | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| KALIUM | Rp 320,000 | ONCALL DOMESTIC | | oncall-domestic |
| KASA STERIL | Rp 60,750 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| Kateter urin insertion fee | Rp 250,000 | ONCALL DOMESTIC | | oncall-domestic |
| KENALOG CREAM 5 GR | Rp 291,838 | ADAPOTEK, CREAM, ONCALL DOMESTIC | | adapotek|cream|oncall-domestic |
| KN95 MASK | Rp 135,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| KULTUR DARAH MANUAL | Rp 880,000 | ONCALL DOMESTIC | | oncall-domestic |
| KULTUR FECES MANUAL | Rp 840,000 | ONCALL DOMESTIC | | oncall-domestic |
| KULTUR URINE MANUAL | Rp 1,060,000 | ONCALL DOMESTIC | | oncall-domestic |
| L-ACYS 200 MG CAPS | Rp 41,706 | Kapsul, LAPI, ONCALL DOMESTIC | | kapsul|lapi|oncall-domestic |
| LACOSIB 60 MG TAB | Rp 37,845 | LAPI, ONCALL DOMESTIC, TABLET | | lapi|oncall-domestic|tablet |
| LAPRAZ TAB | Rp 55,544 | Kapsul, ONCALL DOMESTIC, SANBE | | kapsul|oncall-domestic|sanbe |
| LDL | Rp 230,000 | ONCALL DOMESTIC | | oncall-domestic |
| LED | Rp 120,000 | ONCALL DOMESTIC | | oncall-domestic |
| LESPAIN CREAM | Rp 66,436 | ADAPOTEK, CREAM, ONCALL DOMESTIC | | adapotek|cream|oncall-domestic |
| LEVOCIN TAB | Rp 115,209 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| LIDOCAINE 2% INJ | Rp 35,125 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| LOKEV CAPS | Rp 31,926 | ADAPOTEK, Kapsul, ONCALL DOMESTIC | | adapotek|kapsul|oncall-domestic |
| LOSTACEF 500 MG CAPS | Rp 37,960 | ADAPOTEK, Kapsul, ONCALL DOMESTIC | | adapotek|kapsul|oncall-domestic |
| MAGNESIUM | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| MALARIA TEST MIKROSKOPIK | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| MEFINAL 500MG TAB | Rp 32,614 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| MEGATIC 50 MG TAB | Rp 28,633 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| MICROPORE SURGICAL TAPE 0,5 | Rp 94,500 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| MUCOHEXIN TAB | Rp 27,880 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| NAMA BARANG | | ONCALL DOMESTIC, Pabrikan, Sediaan | | oncall-domestic|pabrikan|sediaan |
| NARKOTEST AMPH, MORFIN, THC | Rp 870,000 | ONCALL DOMESTIC | | oncall-domestic |
| NATRIUM | Rp 320,000 | ONCALL DOMESTIC | | oncall-domestic |
| NEBACETIN POWDER 5 GR | Rp 139,048 | ADAPOTEK, ONCALL DOMESTIC, POWDER | | adapotek|oncall-domestic|powder |
| Nebulizer | Rp 500,000 | ONCALL DOMESTIC | | oncall-domestic |
| NEURALGIN RX TAB | Rp 29,277 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| NEUROBAT FORTE INJ | Rp 95,166 | INFUS, INJEKSI, INTERBAT, ONCALL DOMESTIC | | infus|injeksi|interbat|oncall-domestic |
| NEUROSANBE 5000 | Rp 39,572 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| NEUTROSKIN INJ (COLAGEN) | Rp 0 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| NISAGON CREAM 5 GR | Rp 84,940 | ADAPOTEK, CREAM, ONCALL DOMESTIC | | adapotek|cream|oncall-domestic |
| NS1 ANTIGEN | Rp 900,000 | ONCALL DOMESTIC | | oncall-domestic |
| Observation/1 hours | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| ODANOSTIN 4 MG TAB | Rp 40,471 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| OMEPRAZOLE 40 MG INJEKSI VIAL | Rp 0 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| ONDANSETRON 8MG INJ AMP | Rp 65,095 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| OPSITE WATERPROOF BANDAGE | Rp 195,750 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| OTOPAIN EAR DROPS | Rp 288,438 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| OXYFLOW NASAL CANULE | Rp 168,750 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| OXYGEN MASK | Rp 202,500 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| Oxygenation/10 minutes + Doctor fee | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| PAMOL ORAL DROP | Rp 245,431 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| PAMOL SUPP 250 MG | Rp 136,375 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| PAMOL SYR | Rp 0 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| PANTOCAINE EYE DROP 5 ML | Rp 158,650 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| PCR | Rp 350,000 | ONCALL DOMESTIC | | oncall-domestic |
| PHAROLIT | Rp 32,695 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| PISAU CUKUR | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| PISAU MESS | | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| PLASMINEX TAB | Rp 40,455 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| POSTINOR 2 | Rp 80,688 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| PP TEST | Rp 250,000 | ONCALL DOMESTIC | | oncall-domestic |
| PROBIOKID | Rp 0 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| PROLENE BENANG | Rp 321,850 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| PROVE D3 1000IU | Rp 39,256 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| PROVE VIT INJ | Rp 466,192 | INFUS, INJEKSI, KALBE, ONCALL DOMESTIC | | infus|injeksi|kalbe|oncall-domestic |
| PSA | Rp 1,000,000 | ONCALL DOMESTIC | | oncall-domestic |
| PT | Rp 600,000 | ONCALL DOMESTIC | | oncall-domestic |
| PULMICORT NEBULES 0.5 ML AMP | Rp 0 | ADAPOTEK, NEBUL, ONCALL DOMESTIC | | adapotek|nebul|oncall-domestic |
| RANITIDINE HCL 25 MG INJ AMP | Rp 38,365 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| RATIVOL 30 MG INJ | Rp 198,829 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| RECODRYL 15 MG INJ VIAL | Rp 60,551 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| Rent whell chair (kursi roda)/day | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| Resusitasi Jantung Paru/CPR /10 mnt | Rp 125,000 | ONCALL DOMESTIC | | oncall-domestic |
| RHINOS SR CAPS | Rp 0 | DEXA, Kapsul, ONCALL DOMESTIC | | dexa|kapsul|oncall-domestic |
| RHREMAFAR 4 MG TAB | Rp 31,561 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| SALTICIN CREAM | Rp 189,280 | CREAM, INTERBAT, ONCALL DOMESTIC | | cream|interbat|oncall-domestic |
| SANADRYL DMP 120ML | Rp 0 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| SANEXON 16 MG | Rp 62,689 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| SANEXON 8 MG | Rp 0 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| SANKORBIN INJ | Rp 194,019 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| SANMOL INF | Rp 315,348 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| SANMOL TAB | Rp 26,713 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| SCABIMITE CREAM 10 GR (PERMETHERINE) | Rp 175,356 | ADAPOTEK, CREAM, ONCALL DOMESTIC | | adapotek|cream|oncall-domestic |
| SELVIM 10 MG TAB | Rp 29,658 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| SEREMIG 10 MG TAB | Rp 35,328 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| SGOT | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| SGPT | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| SI | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| SINCRONIK TAB | Rp 0 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| SOFRATULLE | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| Spalk | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| SPUIT 1 CC ONE MED | Rp 5,805 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| SPUIT 10 CC ONE MED | Rp 8,573 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| SPUIT 3 CC ONE MED | Rp 5,468 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| SPUIT 5 CC ONE MED | Rp 5,805 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| STARMUNO KIDS SYR | Rp 0 | KALBE, ONCALL DOMESTIC, SYRUP | | kalbe|oncall-domestic|syrup |
| STARMUNO TAB | Rp 43,650 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| STERI STRIP | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| STESOLID 5 MG/2,5 ML SUPP | Rp 194,425 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| SYNBIO CAPS | Rp 45,652 | KALBE, Kapsul, ONCALL DOMESTIC | | kalbe|kapsul|oncall-domestic |
| TETAGAM INJ | Rp 566,875 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| TG | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| THROMBOPHOB GEL | Rp 254,713 | ADAPOTEK, GEL, ONCALL DOMESTIC | | adapotek|gel|oncall-domestic |
| TIBC | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| TOMIT TAB | Rp 0 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| TOPCORT CREAM | Rp 153,304 | CREAM, ONCALL DOMESTIC, SANBE | | cream|oncall-domestic|sanbe |
| TORASIC FC TAB 10 MG | Rp 49,948 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| TPHA | Rp 380,000 | ONCALL DOMESTIC | | oncall-domestic |
| TRADYL CAPS | Rp 0 | INTERBAT, Kapsul, ONCALL DOMESTIC | | interbat|kapsul|oncall-domestic |
| TRICHODAZOL TAB | Rp 34,469 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| TRIFED TAB | Rp 40,038 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| TROVENSIS TAB 8 MG | Rp 60,325 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| UL | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| UNDERPAD | Rp 30,375 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| UREUM | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| URIC ACID | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| Uric Acid test + Doctor fee | Rp 120,000 | ONCALL DOMESTIC | | oncall-domestic |
| URIN BAG | Rp 54,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| URINTER CAPS | Rp 250,000 | INTERBAT, Kapsul, ONCALL DOMESTIC | | interbat|kapsul|oncall-domestic |
| VAGISTIN SUPP | Rp 105,976 | ADAPOTEK, ONCALL DOMESTIC, SUPP | | adapotek|oncall-domestic|supp |
| VENTOLIN NEBULES 2.5 MG AMP | Rp 84,328 | ADAPOTEK, NEBUL, ONCALL DOMESTIC | | adapotek|nebul|oncall-domestic |
| VERBAN | Rp 57,375 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| VERORAB INJ | Rp 950,000 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| VICRYL BENANG | Rp 506,250 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| VOMCERAN 8 MG INJ | Rp 0 | INFUS, INJEKSI, KALBE, ONCALL DOMESTIC | | infus|injeksi|kalbe|oncall-domestic |
| VOSEDON SUSP | Rp 190,941 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| VRDL | Rp 260,000 | ONCALL DOMESTIC | | oncall-domestic |
| WATERPROOF BANDAGE 15,5X8,5 | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| WATERPROOF BANDAGE 9,5X8,5 | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| WIDAL | Rp 350,000 | ONCALL DOMESTIC | | oncall-domestic |
| WING NEEDLE TERUMO | | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ZEVASK 10 MG TAB | Rp 31,885 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| ZEVASK 5 MG TAB | Rp 29,155 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| ZYCIN 500 MG TAB | Rp 185,046 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |