| 1 Aff stitches | Rp 20,000 | Visit Local | | visit-local |
| 1 Stitches/1 wound suturing/1 hecting | Rp 50,000 | Visit Local | | visit-local |
| ABBOCATH 22 | Rp 108,000 | ALKES, Visit Local | | alkes|visit-local |
| ABBOCATH 24 | Rp 108,000 | ALKES, Visit Local | | alkes|visit-local |
| ACIFAR 400 MG TAB | Rp 6,718 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| ACITRAL SYR 120 ML | Rp 128,314 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| ACITRAL TAB ISI 10 | Rp 0 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| AED + pad | Rp 4,000,000 | Visit Local | | visit-local |
| ALCO PLUS DMP SYR | Rp 151,786 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| ALLORIS TAB | Rp 0 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| ALOFAR 100MG TAB | Rp 1,971 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| AMBEVEN TAB | Rp 4,828 | ADAPOTEK, Kapsul, Visit Local | | adapotek|kapsul|visit-local |
| ANADEX SYR | Rp 116,945 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| ANALSIK TAB | Rp 0 | SANBE, TAB, Visit Local | | sanbe|tab|visit-local |
| ANTI HCV (RAPID) | Rp 790,000 | Visit Local | | visit-local |
| ANTI HCV TOTAL KUANTITATIF | Rp 965,000 | Visit Local | | visit-local |
| ANTIGEN | Rp 95,000 | Visit Local | | visit-local |
| APD COVER ALL | Rp 445,500 | ALKES, Visit Local | | alkes|visit-local |
| APIALYS SYR | Rp 121,141 | LAPI, SYRUP, Visit Local | | lapi|syrup|visit-local |
| APTT | Rp 380,000 | Visit Local | | visit-local |
| ARMSLING | Rp 270,000 | ALKES, Visit Local | | alkes|visit-local |
| ASPILET 80 MG TAB | Rp 2,111 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| ASTHAROL TAB | Rp 4,450 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| ATROPIN INJ | Rp 29,700 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| AVIGAN TAB | Rp 38,672 | DEXA, TABLET, Visit Local | | dexa|tablet|visit-local |
| AZOMAX SYR | Rp 0 | DEXA, SYRUP, Visit Local | | dexa|syrup|visit-local |
| BACTIGRAS | Rp 121,500 | ALKES, Visit Local | | alkes|visit-local |
| BAQUINOR TAB | Rp 38,692 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| BECOM ZET TAB | Rp 7,984 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| BETA HCG | Rp 1,140,000 | Visit Local | | visit-local |
| BETADINE | Rp 13,500 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| biaya tambahan Escort /km >5km | Rp 100,000 | Visit Local | | visit-local |
| BIDAI SPALK | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| BILIRUBIN DIREK | Rp 140,000 | Visit Local | | visit-local |
| BILIRUBIN TOTAL | Rp 140,000 | Visit Local | | visit-local |
| BILIRUBIN TOTAL DIREK INDIREK | Rp 280,000 | Visit Local | | visit-local |
| Blood pressure check | | Visit Local | | visit-local |
| BORRAGINOL S SUPP | Rp 51,300 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| BT | Rp 105,000 | Visit Local | | visit-local |
| BUFECT FORTE SUSP | Rp 0 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| BUN | Rp 115,000 | Visit Local | | visit-local |
| BURNAZIN CREAM 53 GR | Rp 206,015 | ADAPOTEK, CREAM, Visit Local | | adapotek|cream|visit-local |
| CALADINE LOTION 60 ML | Rp 49,040 | ADAPOTEK, LOTION, Visit Local | | adapotek|lotion|visit-local |
| CALCIUM | Rp 230,000 | Visit Local | | visit-local |
| CANDIDA, TRICOMONAS, GRAM GO | Rp 580,000 | Visit Local | | visit-local |
| CEFAT 500 MG TAB | Rp 28,927 | Kapsul, SANBE, Visit Local | | kapsul|sanbe|visit-local |
| CEFAT DS | Rp 0 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| CEFSPAN 100 MG CAPS | Rp 44,861 | KALBE, Kapsul, Visit Local | | kalbe|kapsul|visit-local |
| CENDO EYEFRESH MINIDOSE | Rp 17,888 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| CENDO XITROL MINIDOSE | Rp 18,833 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| CERINI SYR | Rp 0 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| CERNEVIT 750 MG INJ | Rp 650,000 | INFUS, INJEKSI, KALBE, Visit Local | | infus|injeksi|kalbe|visit-local |
| CHLORIDA | Rp 280,000 | Visit Local | | visit-local |
| CHOLESTEROL | Rp 105,000 | Visit Local | | visit-local |
| Cholesterol Test + Doctor fee | Rp 60,000 | Visit Local | | visit-local |
| CLANEKSI 500 MG TAB | Rp 48,393 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| CLANEKSI DS | Rp 176,299 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| CLOPIDOGREL TAB | Rp 25,059 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| COLLAR NECK | Rp 1,093,500 | ALKES, Visit Local | | alkes|visit-local |
| CORTAMIN TAB | Rp 11,696 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| CORTAMINE SYR | Rp 167,296 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| CORTIDEX INJ | Rp 23,741 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| CREATININ | Rp 115,000 | Visit Local | | visit-local |
| CT | Rp 105,000 | Visit Local | | visit-local |
| D 40% OTSU | Rp 60,750 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| D 5% SANBE | Rp 76,413 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| D-DIMER | Rp 1,490,000 | Visit Local | | visit-local |
| DEMACOLIN TAB | Rp 1,971 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| DERMAFIX PLESTER INFUS | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| DIAGIT TAB | Rp 9,283 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| DIGENTA CREAM | Rp 245,025 | CREAM, INTERBAT, Visit Local | | cream|interbat|visit-local |
| DL 5 DIFF | Rp 230,000 | Visit Local | | visit-local |
| DOCTOR FEE 08.00 – 22.00 | Rp 200,000 | Visit Local | | visit-local |
| DOCTOR FEE 22.00 – 08.00 | Rp 250,000 | Visit Local | | visit-local |
| DRESSING + DOCTOR FEE Large Dressing | Rp 200,000 | Visit Local | | visit-local |
| DRESSING + DOCTOR FEE Medium Dressing | Rp 150,000 | Visit Local | | visit-local |
| DRESSING + DOCTOR FEE Small Dressing | Rp 100,000 | Visit Local | | visit-local |
| DULCOLAX 10TAB | Rp 5,324 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 1 ear/eye | Rp 150,000 | Visit Local | | visit-local |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 2 ear/eye | Rp 200,000 | Visit Local | | visit-local |
| EKG | Rp 150,000 | Visit Local | | visit-local |
| ELASTIC BANDAGE/TENSOCREPE 10 CM | Rp 540,000 | ALKES, Visit Local | | alkes|visit-local |
| ELASTIC BANDAGE/TENSOCREPE 7,5 CM | Rp 452,250 | ALKES, Visit Local | | alkes|visit-local |
| ELASTOMULL HAFT | Rp 371,250 | ALKES, Visit Local | | alkes|visit-local |
| EPEXOL FDS | Rp 107,965 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| EPINEPHRINE INJ | Rp 58,050 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| EPISAN SUSP 200 ML | Rp 229,236 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| EPRINOC TAB | Rp 13,041 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| Escort 2-5 km dgn perawat | Rp 500,000 | Visit Local | | visit-local |
| Escort 2-5 km dgn perawat + dokter | Rp 600,000 | Visit Local | | visit-local |
| Escort dekat <2km dgn perawat | Rp 300,000 | Visit Local | | visit-local |
| Escort rujukan | Rp 200,000 | Visit Local | | visit-local |
| Exploration/nail extraction/abscess incision/ tampon | Rp 150,000 | Visit Local | | visit-local |
| EZOL 20 MG TAB | Rp 33,264 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| EZOL 40 MG TAB | Rp 42,768 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| EZOMEB 40 MG INJ | Rp 384,912 | INFUS, INJEKSI, KALBE, Visit Local | | infus|injeksi|kalbe|visit-local |
| FARGETIK TAB | Rp 2,106 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| FARMOTEN TAB | Rp 2,465 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| FARSIFEN 400 MG TAB | Rp 2,970 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| FASIDOL PLUS TAB | Rp 0 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| FASORBID TAB | Rp 1,026 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| FECES LENGKAP | Rp 640,000 | Visit Local | | visit-local |
| FERITIN | Rp 525,000 | Visit Local | | visit-local |
| FLAMAR 50MG TAB | Rp 6,939 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| FLAMAR GEL | Rp 63,866 | GEL, SANBE, Visit Local | | gel|sanbe|visit-local |
| FLOXIGRA TAB | Rp 3,351 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| FOLLEY CATHETER | Rp 145,125 | ALKES, Visit Local | | alkes|visit-local |
| FORUMEN EAR DROPS | Rp 97,130 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| FOSFOR | Rp 245,000 | Visit Local | | visit-local |
| GD2PP | Rp 70,000 | Visit Local | | visit-local |
| GDP | Rp 70,000 | Visit Local | | visit-local |
| GDS | Rp 70,000 | Visit Local | | visit-local |
| GENOINT SALEP MATA | Rp 30,915 | ADAPOTEK, SALEP, Visit Local | | adapotek|salep|visit-local |
| GGT | Rp 195,000 | Visit Local | | visit-local |
| GITAS INJ 20 MG AMP | Rp 106,178 | INFUS, INJEKSI, INTERBAT, Visit Local | | infus|injeksi|interbat|visit-local |
| GITAS PLUS TAB | Rp 20,790 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| GLICOS 500 MG TAB | Rp 1,647 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| Gluco test | Rp 50,000 | Visit Local | | visit-local |
| GO | Rp 200,000 | Visit Local | | visit-local |
| GUANISTREP SYR | Rp 44,906 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| HBA1C | Rp 350,000 | Visit Local | | visit-local |
| HBS AG (RAPID) | Rp 270,000 | Visit Local | | visit-local |
| HBS AG KUANTITATIF | Rp 875,000 | Visit Local | | visit-local |
| HDL | Rp 135,000 | Visit Local | | visit-local |
| HISTIGO TAB | Rp 5,022 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| HYPAFIX | Rp 170,100 | ADAPOTEK, Visit Local | | adapotek|visit-local |
| IGG CLAMIDIA | Rp 1,575,000 | Visit Local | | visit-local |
| IGG HSV 1 | Rp 790,000 | Visit Local | | visit-local |
| IGG HSV 2 | Rp 700,000 | Visit Local | | visit-local |
| IGG IGM ANTI DENGUE | Rp 875,000 | Visit Local | | visit-local |
| IGM (TUBEX) | Rp 265,000 | Visit Local | | visit-local |
| IGM CLAMIDIA | Rp 1,575,000 | Visit Local | | visit-local |
| IGM HSV 1 | Rp 790,000 | Visit Local | | visit-local |
| IGM HSV 2 | Rp 700,000 | Visit Local | | visit-local |
| INERSON SALEP | Rp 221,290 | INTERBAT, SALEP, Visit Local | | interbat|salep|visit-local |
| INFUS NACL 0,9 % 250ML 500 ML SANBE | Rp 72,992 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| INFUS RL 500 ML SANBE | Rp 74,701 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| INFUS SET MAKRO TERUMO | Rp 101,250 | ALKES, Visit Local | | alkes|visit-local |
| INFUS SET MIKRO TERUMO | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| Injection fee | Rp 30,000 | Visit Local | | visit-local |
| INTERZINC SYR | Rp 136,434 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| INTERZOL CREAM | Rp 99,406 | CREAM, INTERBAT, Visit Local | | cream|interbat|visit-local |
| INTRIZIN TAB | Rp 22,236 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| IVFD insertion fee | Rp 50,000 | Visit Local | | visit-local |
| KALIUM | Rp 280,000 | Visit Local | | visit-local |
| KASA STERIL | Rp 60,750 | ALKES, Visit Local | | alkes|visit-local |
| Kateter urin insertion fee | Rp 100,000 | Visit Local | | visit-local |
| KENALOG CREAM 5 GR | Rp 186,786 | ADAPOTEK, CREAM, Visit Local | | adapotek|cream|visit-local |
| KN95 MASK | Rp 135,000 | ALKES, Visit Local | | alkes|visit-local |
| KULTUR DARAH MANUAL | Rp 770,000 | Visit Local | | visit-local |
| KULTUR FECES MANUAL | Rp 735,000 | Visit Local | | visit-local |
| KULTUR URINE MANUAL | Rp 930,000 | Visit Local | | visit-local |
| L-ACYS 200 MG CAPS | Rp 11,138 | Kapsul, LAPI, Visit Local | | kapsul|lapi|visit-local |
| LACOSIB 60 MG TAB | Rp 20,884 | LAPI, TABLET, Visit Local | | lapi|tablet|visit-local |
| LAPRAZ TAB | Rp 34,158 | Kapsul, SANBE, Visit Local | | kapsul|sanbe|visit-local |
| LDL | Rp 205,000 | Visit Local | | visit-local |
| LED | Rp 100,000 | Visit Local | | visit-local |
| LESPAIN CREAM | Rp 27,624 | ADAPOTEK, CREAM, Visit Local | | adapotek|cream|visit-local |
| LEVOCIN TAB | Rp 87,674 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| LIDOCAINE 2% INJ | Rp 6,750 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| LOKEV CAPS | Rp 4,617 | ADAPOTEK, Kapsul, Visit Local | | adapotek|kapsul|visit-local |
| LOSTACEF 500 MG CAPS | Rp 8,640 | ADAPOTEK, Kapsul, Visit Local | | adapotek|kapsul|visit-local |
| MAGNESIUM | Rp 265,000 | Visit Local | | visit-local |
| MALARIA TEST MIKROSKOPIK | Rp 280,000 | Visit Local | | visit-local |
| MEFINAL 500MG TAB | Rp 5,076 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| MEGATIC 50 MG TAB | Rp 2,422 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| MICROPORE SURGICAL TAPE 0,5 | Rp 94,500 | ALKES, Visit Local | | alkes|visit-local |
| MUCOHEXIN TAB | Rp 1,920 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| NAMA BARANG | | Pabrikan, Sediaan, Visit Local | | pabrikan|sediaan|visit-local |
| NARKOTEST AMPH, MORFIN, THC | Rp 765,000 | Visit Local | | visit-local |
| NATRIUM | Rp 280,000 | Visit Local | | visit-local |
| NEBACETIN POWDER 5 GR | Rp 76,032 | ADAPOTEK, POWDER, Visit Local | | adapotek|powder|visit-local |
| Nebulizer | Rp 150,000 | Visit Local | | visit-local |
| NEURALGIN RX TAB | Rp 2,851 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| NEUROBAT FORTE INJ | Rp 46,778 | INFUS, INJEKSI, INTERBAT, Visit Local | | infus|injeksi|interbat|visit-local |
| NEUROSANBE 5000 | Rp 9,715 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| NEUTROSKIN INJ (COLAGEN) | Rp 0 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| NISAGON CREAM 5 GR | Rp 39,960 | ADAPOTEK, CREAM, Visit Local | | adapotek|cream|visit-local |
| NS1 ANTIGEN | Rp 790,000 | Visit Local | | visit-local |
| Observation/1 hours | Rp 50,000 | Visit Local | | visit-local |
| ODANOSTIN 4 MG TAB | Rp 10,314 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| OMEPRAZOLE 40 MG INJEKSI VIAL | Rp 65,095 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| ONDANSETRON 8MG INJ AMP | Rp 26,730 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| OPSITE WATERPROOF BANDAGE | Rp 195,750 | ALKES, Visit Local | | alkes|visit-local |
| OTOPAIN EAR DROPS | Rp 208,828 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| OXYFLOW NASAL CANULE | Rp 168,750 | ALKES, Visit Local | | alkes|visit-local |
| OXYGEN MASK | Rp 202,500 | ALKES, Visit Local | | alkes|visit-local |
| Oxygenation/10 minutes + Doctor fee | Rp 100,000 | Visit Local | | visit-local |
| PAMOL ORAL DROP | Rp 154,302 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| PAMOL SUPP 250 MG | Rp 74,250 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| PAMOL SYR | Rp 0 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| PANTOCAINE EYE DROP 5 ML | Rp 89,100 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| PCR | Rp 350,000 | Visit Local | | visit-local |
| PHAROLIT | Rp 5,130 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| PISAU CUKUR | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| PISAU MESS | Rp 23,625 | ALKES, Visit Local | | alkes|visit-local |
| PLASMINEX TAB | Rp 10,303 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| POSTINOR 2 | Rp 37,125 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| PP TEST | Rp 220,000 | Visit Local | | visit-local |
| PROBIOKID | Rp 0 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| PROLENE BENANG | Rp 233,888 | ALKES, Visit Local | | alkes|visit-local |
| PROVE D3 1000IU | Rp 9,504 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| PROVE VIT INJ | Rp 342,144 | INFUS, INJEKSI, KALBE, Visit Local | | infus|injeksi|kalbe|visit-local |
| PSA | Rp 875,000 | Visit Local | | visit-local |
| PT | Rp 525,000 | Visit Local | | visit-local |
| PULMICORT NEBULES 0.5 ML AMP | Rp 0 | ADAPOTEK, NEBUL, Visit Local | | adapotek|nebul|visit-local |
| RANITIDINE HCL 25 MG INJ AMP | Rp 8,910 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| RATIVOL 30 MG INJ | Rp 121,681 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| RECODRYL 15 MG INJ VIAL | Rp 23,701 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| Rent whell chair (kursi roda)/day | Rp 100,000 | Visit Local | | visit-local |
| Resusitasi Jantung Paru/CPR /10 mnt | Rp 75,000 | Visit Local | | visit-local |
| RHINOS SR CAPS | Rp 0 | DEXA, Kapsul, Visit Local | | dexa|kapsul|visit-local |
| RHREMAFAR 4 MG TAB | Rp 4,374 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| SALTICIN CREAM | Rp 109,520 | CREAM, INTERBAT, Visit Local | | cream|interbat|visit-local |
| SANADRYL DMP 120ML | Rp 0 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| SANEXON 16 MG | Rp 26,382 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| SANEXON 8 MG | Rp 0 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| SANKORBIN INJ | Rp 112,679 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| SANMOL INF | Rp 203,244 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| SANMOL TAB | Rp 1,142 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| SCABIMITE CREAM 10 GR (PERMETHERINE) | Rp 100,238 | ADAPOTEK, CREAM, Visit Local | | adapotek|cream|visit-local |
| SELVIM 10 MG TAB | Rp 3,105 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| SEREMIG 10 MG TAB | Rp 6,885 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| SGOT | Rp 125,000 | Visit Local | | visit-local |
| SGPT | Rp 125,000 | Visit Local | | visit-local |
| SI | Rp 350,000 | Visit Local | | visit-local |
| SINCRONIK TAB | Rp 0 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| SOFRATULLE | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| Spalk | Rp 100,000 | Visit Local | | visit-local |
| SPUIT 1 CC ONE MED | Rp 5,805 | ALKES, Visit Local | | alkes|visit-local |
| SPUIT 10 CC ONE MED | Rp 8,573 | ALKES, Visit Local | | alkes|visit-local |
| SPUIT 3 CC ONE MED | Rp 5,468 | ALKES, Visit Local | | alkes|visit-local |
| SPUIT 5 CC ONE MED | Rp 5,805 | ALKES, Visit Local | | alkes|visit-local |
| STARMUNO KIDS SYR | Rp 0 | KALBE, SYRUP, Visit Local | | kalbe|syrup|visit-local |
| STARMUNO TAB | Rp 25,238 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| STERI STRIP | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| STESOLID 5 MG/2,5 ML SUPP | Rp 118,598 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| SYNBIO CAPS | Rp 14,456 | KALBE, Kapsul, Visit Local | | kalbe|kapsul|visit-local |
| TETAGAM INJ | Rp 464,063 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| TG | Rp 115,000 | Visit Local | | visit-local |
| THROMBOPHOB GEL | Rp 160,799 | ADAPOTEK, GEL, Visit Local | | adapotek|gel|visit-local |
| TIBC | Rp 350,000 | Visit Local | | visit-local |
| TOMIT TAB | Rp 0 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| TOPCORT CREAM | Rp 85,536 | CREAM, SANBE, Visit Local | | cream|sanbe|visit-local |
| TORASIC FC TAB 10 MG | Rp 17,464 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| TPHA | Rp 340,000 | Visit Local | | visit-local |
| TRADYL CAPS | Rp 0 | INTERBAT, Kapsul, Visit Local | | interbat|kapsul|visit-local |
| TRICHODAZOL TAB | Rp 6,313 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| TRIFED TAB | Rp 10,025 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| TROVENSIS TAB 8 MG | Rp 41,938 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| UL | Rp 115,000 | Visit Local | | visit-local |
| UNDERPAD | Rp 30,375 | ALKES, Visit Local | | alkes|visit-local |
| UREUM | Rp 115,000 | Visit Local | | visit-local |
| URIC ACID | Rp 115,000 | Visit Local | | visit-local |
| Uric Acid test + Doctor fee | Rp 80,000 | Visit Local | | visit-local |
| URIN BAG | Rp 54,000 | ALKES, Visit Local | | alkes|visit-local |
| URINTER CAPS | Rp 285,000 | INTERBAT, Kapsul, Visit Local | | interbat|kapsul|visit-local |
| VAGISTIN SUPP | Rp 53,984 | ADAPOTEK, SUPP, Visit Local | | adapotek|supp|visit-local |
| VDRL | Rp 230,000 | Visit Local | | visit-local |
| VENTOLIN NEBULES 2.5 MG AMP | Rp 39,552 | ADAPOTEK, NEBUL, Visit Local | | adapotek|nebul|visit-local |
| VERBAN | Rp 57,375 | ALKES, Visit Local | | alkes|visit-local |
| VERORAB INJ | Rp 800,000 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| VICRYL BENANG | Rp 506,250 | ALKES, Visit Local | | alkes|visit-local |
| VOMCERAN 8 MG INJ | Rp 0 | INFUS, INJEKSI, KALBE, Visit Local | | infus|injeksi|kalbe|visit-local |
| VOSEDON SUSP | Rp 110,627 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| WATERPROOF BANDAGE 15,5X8,5 | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| WATERPROOF BANDAGE 9,5X8,5 | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| WIDAL | Rp 310,000 | Visit Local | | visit-local |
| WING NEEDLE TERUMO | Rp 87,750 | ALKES, Visit Local | | alkes|visit-local |
| ZEVASK 10 MG TAB | Rp 4,590 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| ZEVASK 5 MG TAB | Rp 2,770 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| ZYCIN 500 MG TAB | Rp 131,285 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |