| 1 Aff stitches | Rp 20,000 | Visit Local | | visit-local |
| 1 Aff stitches | Rp 30,000 | Visit Domestic | | visit-domestic |
| 1 Aff stitches | Rp 50,000 | Visit Asing | | visit-asing |
| 1 Aff stitches | Rp 50,000 | ONCALL LOCAL | | oncall-local |
| 1 Aff stitches | Rp 80,000 | ONCALL DOMESTIC | | oncall-domestic |
| 1 Aff stitches | Rp 100,000 | ONCALL ASING | | oncall-asing |
| 1 Stitches/1 wound suturing/1 hecting | Rp 50,000 | Visit Local | | visit-local |
| 1 Stitches/1 wound suturing/1 hecting | Rp 75,000 | Visit Domestic | | visit-domestic |
| 1 Stitches/1 wound suturing/1 hecting | Rp 125,000 | Visit Asing | | visit-asing |
| 1 Stitches/1 wound suturing/1 hecting | Rp 100,000 | ONCALL LOCAL | | oncall-local |
| 1 Stitches/1 wound suturing/1 hecting | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| 1 Stitches/1 wound suturing/1 hecting | Rp 175,000 | ONCALL ASING | | oncall-asing |
| ABBOCATH 22 | Rp 108,000 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| ABBOCATH 22 | Rp 108,000 | ALKES, Visit Asing | | alkes|visit-asing |
| ABBOCATH 22 | Rp 108,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ABBOCATH 22 | Rp 108,000 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| ABBOCATH 22 | Rp 108,000 | ALKES, Visit Local | | alkes|visit-local |
| ABBOCATH 22 | Rp 108,000 | ALKES, Visit Domestic | | alkes|visit-domestic |
| ABBOCATH 24 | Rp 108,000 | ALKES, Visit Local | | alkes|visit-local |
| ABBOCATH 24 | Rp 108,000 | ALKES, Visit Domestic | | alkes|visit-domestic |
| ABBOCATH 24 | Rp 108,000 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| ABBOCATH 24 | Rp 108,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ABBOCATH 24 | Rp 108,000 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| ABBOCATH 24 | Rp 108,000 | ALKES, Visit Asing | | alkes|visit-asing |
| ACIFAR 400 MG TAB | Rp 10,076 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| ACIFAR 400 MG TAB | Rp 6,718 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| ACIFAR 400 MG TAB | Rp 35,076 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| ACIFAR 400 MG TAB | Rp 16,794 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| ACIFAR 400 MG TAB | Rp 31,718 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| ACIFAR 400 MG TAB | Rp 41,794 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| ACITRAL SYR 120 ML | Rp 244,968 | INTERBAT, ONCALL ASING, SYRUP | | interbat|oncall-asing|syrup |
| ACITRAL SYR 120 ML | Rp 183,306 | INTERBAT, SYRUP, Visit Domestic | | interbat|syrup|visit-domestic |
| ACITRAL SYR 120 ML | Rp 219,968 | INTERBAT, SYRUP, Visit Asing | | interbat|syrup|visit-asing |
| ACITRAL SYR 120 ML | Rp 153,314 | INTERBAT, ONCALL LOCAL, SYRUP | | interbat|oncall-local|syrup |
| ACITRAL SYR 120 ML | Rp 128,314 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| 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 |
| ACITRAL TAB ISI 10 | Rp 0 | INTERBAT, ONCALL ASING, TABLET | | interbat|oncall-asing|tablet |
| ACITRAL TAB ISI 10 | Rp 0 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| ACITRAL TAB ISI 10 | Rp 0 | INTERBAT, TABLET, Visit Domestic | | interbat|tablet|visit-domestic |
| ACITRAL TAB ISI 10 | Rp 0 | INTERBAT, TABLET, Visit Asing | | interbat|tablet|visit-asing |
| ACITRAL TAB ISI 10 | Rp 0 | INTERBAT, ONCALL LOCAL, TABLET | | interbat|oncall-local|tablet |
| AED + pad | Rp 4,000,000 | Visit Local | | visit-local |
| AED + pad | Rp 5,000,000 | Visit Domestic | | visit-domestic |
| AED + pad | Rp 6,000,000 | Visit Asing | | visit-asing |
| AED + pad | Rp 4,000,000 | ONCALL LOCAL | | oncall-local |
| AED + pad | Rp 5,000,000 | ONCALL DOMESTIC | | oncall-domestic |
| AED + pad | Rp 6,000,000 | ONCALL ASING | | oncall-asing |
| ALCO PLUS DMP SYR | Rp 260,204 | INTERBAT, SYRUP, Visit Asing | | interbat|syrup|visit-asing |
| ALCO PLUS DMP SYR | Rp 176,786 | INTERBAT, ONCALL LOCAL, SYRUP | | interbat|oncall-local|syrup |
| ALCO PLUS DMP SYR | Rp 241,837 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| ALCO PLUS DMP SYR | Rp 216,837 | INTERBAT, SYRUP, Visit Domestic | | interbat|syrup|visit-domestic |
| ALCO PLUS DMP SYR | Rp 285,204 | INTERBAT, ONCALL ASING, SYRUP | | interbat|oncall-asing|syrup |
| 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 |
| ALLORIS TAB | Rp 0 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| ALLORIS TAB | Rp 0 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| ALLORIS TAB | Rp 0 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| ALLORIS TAB | Rp 0 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| ALLORIS TAB | Rp 0 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| ALOFAR 100MG TAB | Rp 2,957 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| ALOFAR 100MG TAB | Rp 1,971 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| ALOFAR 100MG TAB | Rp 27,957 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| ALOFAR 100MG TAB | Rp 4,928 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| ALOFAR 100MG TAB | Rp 26,971 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| ALOFAR 100MG TAB | Rp 29,928 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| AMBEVEN TAB | Rp 7,241 | ADAPOTEK, Kapsul, Visit Domestic | | adapotek|kapsul|visit-domestic |
| AMBEVEN TAB | Rp 12,069 | ADAPOTEK, Kapsul, Visit Asing | | adapotek|kapsul|visit-asing |
| AMBEVEN TAB | Rp 29,828 | ADAPOTEK, Kapsul, ONCALL LOCAL | | adapotek|kapsul|oncall-local |
| AMBEVEN TAB | Rp 4,828 | ADAPOTEK, Kapsul, Visit Local | | adapotek|kapsul|visit-local |
| AMBEVEN TAB | Rp 32,241 | ADAPOTEK, Kapsul, ONCALL DOMESTIC | | adapotek|kapsul|oncall-domestic |
| AMBEVEN TAB | Rp 37,069 | ADAPOTEK, Kapsul, ONCALL ASING | | adapotek|kapsul|oncall-asing |
| ANADEX SYR | Rp 200,418 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| ANADEX SYR | Rp 317,363 | INTERBAT, ONCALL ASING, SYRUP | | interbat|oncall-asing|syrup |
| ANADEX SYR | Rp 116,945 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| ANADEX SYR | Rp 175,418 | INTERBAT, SYRUP, Visit Domestic | | interbat|syrup|visit-domestic |
| ANADEX SYR | Rp 292,363 | INTERBAT, SYRUP, Visit Asing | | interbat|syrup|visit-asing |
| ANADEX SYR | Rp 141,945 | INTERBAT, ONCALL LOCAL, SYRUP | | interbat|oncall-local|syrup |
| ANALSIK TAB | Rp 0 | ONCALL LOCAL, SANBE, TAB | | oncall-local|sanbe|tab |
| ANALSIK TAB | Rp 0 | ONCALL DOMESTIC, SANBE, TAB | | oncall-domestic|sanbe|tab |
| ANALSIK TAB | Rp 0 | ONCALL ASING, SANBE, TAB | | oncall-asing|sanbe|tab |
| ANALSIK TAB | Rp 0 | SANBE, TAB, Visit Asing | | sanbe|tab|visit-asing |
| ANALSIK TAB | Rp 0 | SANBE, TAB, Visit Local | | sanbe|tab|visit-local |
| ANALSIK TAB | Rp 0 | SANBE, TAB, Visit Domestic | | sanbe|tab|visit-domestic |
| ANTI HCV (RAPID) | Rp 900,000 | ONCALL ASING | | oncall-asing |
| ANTI HCV (RAPID) | Rp 790,000 | Visit Domestic | | visit-domestic |
| ANTI HCV (RAPID) | Rp 790,000 | Visit Asing | | visit-asing |
| ANTI HCV (RAPID) | Rp 900,000 | ONCALL LOCAL | | oncall-local |
| ANTI HCV (RAPID) | Rp 900,000 | ONCALL DOMESTIC | | oncall-domestic |
| ANTI HCV (RAPID) | Rp 790,000 | Visit Local | | visit-local |
| ANTI HCV TOTAL KUANTITATIF | Rp 965,000 | Visit Local | | visit-local |
| ANTI HCV TOTAL KUANTITATIF | Rp 965,000 | Visit Domestic | | visit-domestic |
| ANTI HCV TOTAL KUANTITATIF | Rp 965,000 | Visit Asing | | visit-asing |
| ANTI HCV TOTAL KUANTITATIF | Rp 1,100,000 | ONCALL LOCAL | | oncall-local |
| ANTI HCV TOTAL KUANTITATIF | Rp 1,100,000 | ONCALL DOMESTIC | | oncall-domestic |
| ANTI HCV TOTAL KUANTITATIF | Rp 1,100,000 | ONCALL ASING | | oncall-asing |
| ANTIGEN | Rp 95,000 | ONCALL ASING | | oncall-asing |
| ANTIGEN | Rp 95,000 | Visit Domestic | | visit-domestic |
| ANTIGEN | Rp 95,000 | Visit Asing | | visit-asing |
| ANTIGEN | Rp 95,000 | ONCALL LOCAL | | oncall-local |
| ANTIGEN | Rp 95,000 | ONCALL DOMESTIC | | oncall-domestic |
| ANTIGEN | Rp 95,000 | Visit Local | | visit-local |
| APD COVER ALL | Rp 445,500 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| APD COVER ALL | Rp 445,500 | ALKES, Visit Local | | alkes|visit-local |
| APD COVER ALL | Rp 445,500 | ALKES, Visit Domestic | | alkes|visit-domestic |
| APD COVER ALL | Rp 445,500 | ALKES, Visit Asing | | alkes|visit-asing |
| APD COVER ALL | Rp 445,500 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| APD COVER ALL | Rp 445,500 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| APIALYS SYR | Rp 206,711 | LAPI, ONCALL DOMESTIC, SYRUP | | lapi|oncall-domestic|syrup |
| APIALYS SYR | Rp 302,852 | LAPI, SYRUP, Visit Asing | | lapi|syrup|visit-asing |
| APIALYS SYR | Rp 146,141 | LAPI, ONCALL LOCAL, SYRUP | | lapi|oncall-local|syrup |
| APIALYS SYR | Rp 181,711 | LAPI, SYRUP, Visit Domestic | | lapi|syrup|visit-domestic |
| APIALYS SYR | Rp 327,852 | LAPI, ONCALL ASING, SYRUP | | lapi|oncall-asing|syrup |
| APIALYS SYR | Rp 121,141 | LAPI, SYRUP, Visit Local | | lapi|syrup|visit-local |
| APTT | Rp 430,000 | ONCALL ASING | | oncall-asing |
| APTT | Rp 380,000 | Visit Asing | | visit-asing |
| APTT | Rp 430,000 | ONCALL LOCAL | | oncall-local |
| APTT | Rp 430,000 | ONCALL DOMESTIC | | oncall-domestic |
| APTT | Rp 380,000 | Visit Local | | visit-local |
| APTT | Rp 380,000 | Visit Domestic | | visit-domestic |
| ARMSLING | Rp 270,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ARMSLING | Rp 270,000 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| ARMSLING | Rp 270,000 | ALKES, Visit Local | | alkes|visit-local |
| ARMSLING | Rp 270,000 | ALKES, Visit Domestic | | alkes|visit-domestic |
| ARMSLING | Rp 270,000 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| ARMSLING | Rp 270,000 | ALKES, Visit Asing | | alkes|visit-asing |
| ASPILET 80 MG TAB | Rp 3,167 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| ASPILET 80 MG TAB | Rp 28,167 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| ASPILET 80 MG TAB | Rp 5,279 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| ASPILET 80 MG TAB | Rp 27,111 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| ASPILET 80 MG TAB | Rp 30,279 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| 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 |
| ASTHAROL TAB | Rp 6,674 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| ASTHAROL TAB | | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| ASTHAROL TAB | | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| ASTHAROL TAB | Rp 11,124 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| ASTHAROL TAB | | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| ATROPIN INJ | Rp 54,700 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| ATROPIN INJ | Rp 29,700 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| ATROPIN INJ | Rp 69,550 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| ATROPIN INJ | Rp 44,550 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| ATROPIN INJ | Rp 74,250 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| ATROPIN INJ | Rp 99,250 | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| AVIGAN TAB | Rp 64,141 | DEXA, ONCALL ASING, TABLET | | dexa|oncall-asing|tablet |
| AVIGAN TAB | Rp 54,141 | DEXA, TABLET, Visit Asing | | dexa|tablet|visit-asing |
| AVIGAN TAB | Rp 48,672 | DEXA, ONCALL LOCAL, TABLET | | dexa|oncall-local|tablet |
| AVIGAN TAB | Rp 46,407 | DEXA, TABLET, Visit Domestic | | dexa|tablet|visit-domestic |
| AVIGAN TAB | Rp 38,672 | DEXA, TABLET, Visit Local | | dexa|tablet|visit-local |
| 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 |
| AZOMAX SYR | Rp 0 | DEXA, ONCALL ASING, SYRUP | | dexa|oncall-asing|syrup |
| AZOMAX SYR | Rp 0 | DEXA, SYRUP, Visit Local | | dexa|syrup|visit-local |
| AZOMAX SYR | Rp 0 | DEXA, SYRUP, Visit Asing | | dexa|syrup|visit-asing |
| AZOMAX SYR | Rp 0 | DEXA, ONCALL LOCAL, SYRUP | | dexa|oncall-local|syrup |
| AZOMAX SYR | Rp 0 | DEXA, SYRUP, Visit Domestic | | dexa|syrup|visit-domestic |
| BACTIGRAS | Rp 121,500 | ALKES, Visit Asing | | alkes|visit-asing |
| BACTIGRAS | Rp 121,500 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| BACTIGRAS | Rp 121,500 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| BACTIGRAS | Rp 121,500 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| BACTIGRAS | Rp 121,500 | ALKES, Visit Local | | alkes|visit-local |
| BACTIGRAS | Rp 121,500 | ALKES, Visit Domestic | | alkes|visit-domestic |
| BAQUINOR TAB | Rp 38,692 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| BAQUINOR TAB | Rp 51,589 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| BAQUINOR TAB | Rp 51,589 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| BAQUINOR TAB | Rp 48,692 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| BAQUINOR TAB | Rp 61,589 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| 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 |
| BECOM ZET TAB | Rp 7,984 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| BECOM ZET TAB | Rp 44,960 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| BECOM ZET TAB | Rp 11,976 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| BECOM ZET TAB | Rp 19,960 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| BECOM ZET TAB | Rp 32,984 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| BETA HCG | Rp 1,140,000 | Visit Domestic | | visit-domestic |
| BETA HCG | Rp 1,140,000 | Visit Asing | | visit-asing |
| BETA HCG | Rp 1,300,000 | ONCALL LOCAL | | oncall-local |
| BETA HCG | Rp 1,300,000 | ONCALL DOMESTIC | | oncall-domestic |
| BETA HCG | Rp 1,140,000 | Visit Local | | visit-local |
| BETA HCG | Rp 1,300,000 | ONCALL ASING | | oncall-asing |
| BETADINE | Rp 13,500 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| BETADINE | Rp 45,250 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| BETADINE | Rp 33,750 | ADAPOTEK, SYRUP, Visit Asing | | adapotek|syrup|visit-asing |
| BETADINE | Rp 38,500 | ADAPOTEK, ONCALL LOCAL, SYRUP | | adapotek|oncall-local|syrup |
| BETADINE | Rp 20,250 | ADAPOTEK, SYRUP, Visit Domestic | | adapotek|syrup|visit-domestic |
| BETADINE | Rp 58,750 | ADAPOTEK, ONCALL ASING, SYRUP | | adapotek|oncall-asing|syrup |
| biaya tambahan Escort /km >5km | Rp 100,000 | Visit Local | | visit-local |
| biaya tambahan Escort /km >5km | Rp 125,000 | Visit Domestic | | visit-domestic |
| biaya tambahan Escort /km >5km | Rp 150,000 | Visit Asing | | visit-asing |
| biaya tambahan Escort /km >5km | Rp 100,000 | ONCALL LOCAL | | oncall-local |
| biaya tambahan Escort /km >5km | Rp 125,000 | ONCALL DOMESTIC | | oncall-domestic |
| biaya tambahan Escort /km >5km | Rp 150,000 | ONCALL ASING | | oncall-asing |
| BIDAI SPALK | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| BIDAI SPALK | Rp 0 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| BIDAI SPALK | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| BIDAI SPALK | Rp 0 | ALKES, Visit Domestic | | alkes|visit-domestic |
| BIDAI SPALK | Rp 0 | ALKES, Visit Asing | | alkes|visit-asing |
| BIDAI SPALK | Rp 0 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| BILIRUBIN DIREK | Rp 140,000 | Visit Domestic | | visit-domestic |
| BILIRUBIN DIREK | Rp 140,000 | Visit Asing | | visit-asing |
| BILIRUBIN DIREK | Rp 160,000 | ONCALL LOCAL | | oncall-local |
| BILIRUBIN DIREK | Rp 160,000 | ONCALL DOMESTIC | | oncall-domestic |
| BILIRUBIN DIREK | Rp 140,000 | Visit Local | | visit-local |
| BILIRUBIN DIREK | Rp 160,000 | ONCALL ASING | | oncall-asing |
| BILIRUBIN TOTAL | Rp 160,000 | ONCALL ASING | | oncall-asing |
| BILIRUBIN TOTAL | Rp 140,000 | Visit Domestic | | visit-domestic |
| BILIRUBIN TOTAL | Rp 140,000 | Visit Asing | | visit-asing |
| BILIRUBIN TOTAL | Rp 160,000 | ONCALL LOCAL | | oncall-local |
| BILIRUBIN TOTAL | Rp 160,000 | ONCALL DOMESTIC | | oncall-domestic |
| BILIRUBIN TOTAL | Rp 140,000 | Visit Local | | visit-local |
| BILIRUBIN TOTAL DIREK INDIREK | Rp 280,000 | Visit Local | | visit-local |
| BILIRUBIN TOTAL DIREK INDIREK | Rp 320,000 | ONCALL ASING | | oncall-asing |
| BILIRUBIN TOTAL DIREK INDIREK | Rp 280,000 | Visit Domestic | | visit-domestic |
| BILIRUBIN TOTAL DIREK INDIREK | Rp 280,000 | Visit Asing | | visit-asing |
| BILIRUBIN TOTAL DIREK INDIREK | Rp 320,000 | ONCALL LOCAL | | oncall-local |
| BILIRUBIN TOTAL DIREK INDIREK | Rp 320,000 | ONCALL DOMESTIC | | oncall-domestic |
| Blood pressure check | | Visit Local | | visit-local |
| Blood pressure check | | Visit Domestic | | visit-domestic |
| Blood pressure check | | Visit Asing | | visit-asing |
| Blood pressure check | | ONCALL LOCAL | | oncall-local |
| Blood pressure check | | ONCALL DOMESTIC | | oncall-domestic |
| Blood pressure check | | ONCALL ASING | | oncall-asing |
| BORRAGINOL S SUPP | Rp 101,950 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| BORRAGINOL S SUPP | Rp 128,250 | ADAPOTEK, SYRUP, Visit Asing | | adapotek|syrup|visit-asing |
| BORRAGINOL S SUPP | Rp 76,300 | ADAPOTEK, ONCALL LOCAL, SYRUP | | adapotek|oncall-local|syrup |
| BORRAGINOL S SUPP | Rp 51,300 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| BORRAGINOL S SUPP | Rp 153,250 | ADAPOTEK, ONCALL ASING, SYRUP | | adapotek|oncall-asing|syrup |
| BORRAGINOL S SUPP | Rp 76,950 | ADAPOTEK, SYRUP, Visit Domestic | | adapotek|syrup|visit-domestic |
| BT | Rp 105,000 | Visit Asing | | visit-asing |
| BT | Rp 125,000 | ONCALL LOCAL | | oncall-local |
| BT | Rp 125,000 | ONCALL DOMESTIC | | oncall-domestic |
| BT | Rp 105,000 | Visit Local | | visit-local |
| BT | Rp 105,000 | Visit Domestic | | visit-domestic |
| BT | Rp 125,000 | ONCALL ASING | | oncall-asing |
| BUFECT FORTE SUSP | Rp 0 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| BUFECT FORTE SUSP | Rp 0 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| BUFECT FORTE SUSP | Rp 0 | SANBE, SYRUP, Visit Domestic | | sanbe|syrup|visit-domestic |
| BUFECT FORTE SUSP | Rp 0 | SANBE, SYRUP, Visit Asing | | sanbe|syrup|visit-asing |
| BUFECT FORTE SUSP | Rp 0 | ONCALL LOCAL, SANBE, SYRUP | | oncall-local|sanbe|syrup |
| BUFECT FORTE SUSP | Rp 0 | ONCALL ASING, SANBE, SYRUP | | oncall-asing|sanbe|syrup |
| BUN | Rp 115,000 | Visit Domestic | | visit-domestic |
| BUN | Rp 115,000 | Visit Asing | | visit-asing |
| BUN | Rp 130,000 | ONCALL LOCAL | | oncall-local |
| BUN | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| BUN | Rp 130,000 | ONCALL ASING | | oncall-asing |
| BUN | Rp 115,000 | Visit Local | | visit-local |
| BURNAZIN CREAM 53 GR | Rp 319,307 | ADAPOTEK, CREAM, ONCALL DOMESTIC | | adapotek|cream|oncall-domestic |
| BURNAZIN CREAM 53 GR | Rp 378,168 | ADAPOTEK, CREAM, ONCALL ASING | | adapotek|cream|oncall-asing |
| BURNAZIN CREAM 53 GR | Rp 206,015 | ADAPOTEK, CREAM, Visit Local | | adapotek|cream|visit-local |
| BURNAZIN CREAM 53 GR | Rp 231,015 | ADAPOTEK, CREAM, ONCALL LOCAL | | adapotek|cream|oncall-local |
| BURNAZIN CREAM 53 GR | Rp 294,307 | ADAPOTEK, CREAM, Visit Domestic | | adapotek|cream|visit-domestic |
| BURNAZIN CREAM 53 GR | Rp 353,168 | ADAPOTEK, CREAM, Visit Asing | | adapotek|cream|visit-asing |
| CALADINE LOTION 60 ML | Rp 73,560 | ADAPOTEK, LOTION, Visit Domestic | | adapotek|lotion|visit-domestic |
| CALADINE LOTION 60 ML | Rp 147,600 | ADAPOTEK, LOTION, ONCALL ASING | | adapotek|lotion|oncall-asing |
| CALADINE LOTION 60 ML | Rp 122,600 | ADAPOTEK, LOTION, Visit Asing | | adapotek|lotion|visit-asing |
| CALADINE LOTION 60 ML | Rp 74,040 | ADAPOTEK, LOTION, ONCALL LOCAL | | adapotek|lotion|oncall-local |
| CALADINE LOTION 60 ML | Rp 98,560 | ADAPOTEK, LOTION, ONCALL DOMESTIC | | adapotek|lotion|oncall-domestic |
| CALADINE LOTION 60 ML | Rp 49,040 | ADAPOTEK, LOTION, Visit Local | | adapotek|lotion|visit-local |
| CALCIUM | Rp 260,000 | ONCALL ASING | | oncall-asing |
| CALCIUM | Rp 230,000 | Visit Domestic | | visit-domestic |
| CALCIUM | Rp 230,000 | Visit Asing | | visit-asing |
| CALCIUM | Rp 260,000 | ONCALL LOCAL | | oncall-local |
| CALCIUM | Rp 260,000 | ONCALL DOMESTIC | | oncall-domestic |
| CALCIUM | Rp 230,000 | Visit Local | | visit-local |
| CANDIDA, TRICOMONAS, GRAM GO | Rp 580,000 | Visit Local | | visit-local |
| CANDIDA, TRICOMONAS, GRAM GO | Rp 580,000 | Visit Domestic | | visit-domestic |
| CANDIDA, TRICOMONAS, GRAM GO | Rp 580,000 | Visit Asing | | visit-asing |
| CANDIDA, TRICOMONAS, GRAM GO | Rp 660,000 | ONCALL LOCAL | | oncall-local |
| CANDIDA, TRICOMONAS, GRAM GO | Rp 660,000 | ONCALL DOMESTIC | | oncall-domestic |
| CANDIDA, TRICOMONAS, GRAM GO | Rp 660,000 | ONCALL ASING | | oncall-asing |
| CEFAT 500 MG TAB | Rp 28,927 | Kapsul, SANBE, Visit Local | | kapsul|sanbe|visit-local |
| CEFAT 500 MG TAB | Rp 38,570 | Kapsul, SANBE, Visit Domestic | | kapsul|sanbe|visit-domestic |
| CEFAT 500 MG TAB | Rp 38,570 | Kapsul, SANBE, Visit Asing | | kapsul|sanbe|visit-asing |
| CEFAT 500 MG TAB | Rp 48,570 | Kapsul, ONCALL DOMESTIC, SANBE | | kapsul|oncall-domestic|sanbe |
| CEFAT 500 MG TAB | Rp 48,570 | Kapsul, ONCALL ASING, SANBE | | kapsul|oncall-asing|sanbe |
| CEFAT 500 MG TAB | Rp 38,927 | Kapsul, ONCALL LOCAL, SANBE | | kapsul|oncall-local|sanbe |
| CEFAT DS | Rp 0 | SANBE, SYRUP, Visit Asing | | sanbe|syrup|visit-asing |
| CEFAT DS | Rp 0 | ONCALL LOCAL, SANBE, SYRUP | | oncall-local|sanbe|syrup |
| CEFAT DS | Rp 0 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| CEFAT DS | Rp 0 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| CEFAT DS | Rp 0 | ONCALL ASING, SANBE, SYRUP | | oncall-asing|sanbe|syrup |
| CEFAT DS | Rp 0 | SANBE, SYRUP, Visit Domestic | | sanbe|syrup|visit-domestic |
| CEFSPAN 100 MG CAPS | Rp 53,833 | KALBE, Kapsul, Visit Domestic | | kalbe|kapsul|visit-domestic |
| CEFSPAN 100 MG CAPS | Rp 62,805 | KALBE, Kapsul, Visit Asing | | kalbe|kapsul|visit-asing |
| CEFSPAN 100 MG CAPS | Rp 54,861 | KALBE, Kapsul, ONCALL LOCAL | | kalbe|kapsul|oncall-local |
| CEFSPAN 100 MG CAPS | Rp 44,861 | KALBE, Kapsul, Visit Local | | kalbe|kapsul|visit-local |
| CEFSPAN 100 MG CAPS | Rp 63,833 | KALBE, Kapsul, ONCALL DOMESTIC | | kalbe|kapsul|oncall-domestic |
| CEFSPAN 100 MG CAPS | Rp 72,805 | KALBE, Kapsul, ONCALL ASING | | kalbe|kapsul|oncall-asing |
| CENDO EYEFRESH MINIDOSE | Rp 51,831 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| CENDO EYEFRESH MINIDOSE | Rp 26,831 | ADAPOTEK, SYRUP, Visit Domestic | | adapotek|syrup|visit-domestic |
| CENDO EYEFRESH MINIDOSE | Rp 17,888 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| CENDO EYEFRESH MINIDOSE | Rp 69,719 | ADAPOTEK, ONCALL ASING, SYRUP | | adapotek|oncall-asing|syrup |
| CENDO EYEFRESH MINIDOSE | Rp 44,719 | ADAPOTEK, SYRUP, Visit Asing | | adapotek|syrup|visit-asing |
| CENDO EYEFRESH MINIDOSE | Rp 42,888 | ADAPOTEK, ONCALL LOCAL, SYRUP | | adapotek|oncall-local|syrup |
| CENDO XITROL MINIDOSE | Rp 47,081 | ADAPOTEK, SYRUP, Visit Asing | | adapotek|syrup|visit-asing |
| CENDO XITROL MINIDOSE | Rp 43,833 | ADAPOTEK, ONCALL LOCAL, SYRUP | | adapotek|oncall-local|syrup |
| CENDO XITROL MINIDOSE | Rp 53,249 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| CENDO XITROL MINIDOSE | Rp 72,081 | ADAPOTEK, ONCALL ASING, SYRUP | | adapotek|oncall-asing|syrup |
| CENDO XITROL MINIDOSE | Rp 28,249 | ADAPOTEK, SYRUP, Visit Domestic | | adapotek|syrup|visit-domestic |
| 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 |
| CERINI SYR | Rp 0 | SANBE, SYRUP, Visit Asing | | sanbe|syrup|visit-asing |
| CERINI SYR | Rp 0 | ONCALL LOCAL, SANBE, SYRUP | | oncall-local|sanbe|syrup |
| CERINI SYR | Rp 0 | SANBE, SYRUP, Visit Domestic | | sanbe|syrup|visit-domestic |
| CERINI SYR | Rp 0 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| CERINI SYR | Rp 0 | ONCALL ASING, SANBE, SYRUP | | oncall-asing|sanbe|syrup |
| CERNEVIT 750 MG INJ | Rp 850,000 | INFUS, INJEKSI, KALBE, ONCALL ASING | | infus|injeksi|kalbe|oncall-asing |
| CERNEVIT 750 MG INJ | Rp 650,000 | INFUS, INJEKSI, KALBE, Visit Local | | infus|injeksi|kalbe|visit-local |
| CERNEVIT 750 MG INJ | Rp 750,000 | INFUS, INJEKSI, KALBE, ONCALL DOMESTIC | | infus|injeksi|kalbe|oncall-domestic |
| CERNEVIT 750 MG INJ | Rp 650,000 | INFUS, INJEKSI, KALBE, ONCALL LOCAL | | infus|injeksi|kalbe|oncall-local |
| CERNEVIT 750 MG INJ | Rp 750,000 | INFUS, INJEKSI, KALBE, Visit Domestic | | infus|injeksi|kalbe|visit-domestic |
| CERNEVIT 750 MG INJ | Rp 850,000 | INFUS, INJEKSI, KALBE, Visit Asing | | infus|injeksi|kalbe|visit-asing |
| CHLORIDA | Rp 280,000 | Visit Domestic | | visit-domestic |
| CHLORIDA | Rp 280,000 | Visit Asing | | visit-asing |
| CHLORIDA | Rp 320,000 | ONCALL LOCAL | | oncall-local |
| CHLORIDA | Rp 320,000 | ONCALL DOMESTIC | | oncall-domestic |
| CHLORIDA | Rp 280,000 | Visit Local | | visit-local |
| CHLORIDA | Rp 320,000 | ONCALL ASING | | oncall-asing |
| CHOLESTEROL | Rp 120,000 | ONCALL ASING | | oncall-asing |
| CHOLESTEROL | Rp 105,000 | Visit Domestic | | visit-domestic |
| CHOLESTEROL | Rp 105,000 | Visit Asing | | visit-asing |
| CHOLESTEROL | Rp 120,000 | ONCALL LOCAL | | oncall-local |
| CHOLESTEROL | Rp 120,000 | ONCALL DOMESTIC | | oncall-domestic |
| CHOLESTEROL | Rp 105,000 | Visit Local | | visit-local |
| Cholesterol Test + Doctor fee | Rp 60,000 | Visit Local | | visit-local |
| Cholesterol Test + Doctor fee | Rp 80,000 | Visit Domestic | | visit-domestic |
| Cholesterol Test + Doctor fee | Rp 125,000 | Visit Asing | | visit-asing |
| Cholesterol Test + Doctor fee | Rp 90,000 | ONCALL LOCAL | | oncall-local |
| Cholesterol Test + Doctor fee | Rp 110,000 | ONCALL DOMESTIC | | oncall-domestic |
| Cholesterol Test + Doctor fee | Rp 135,000 | ONCALL ASING | | oncall-asing |
| CLANEKSI 500 MG TAB | Rp 48,393 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| CLANEKSI 500 MG TAB | Rp 74,525 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| CLANEKSI 500 MG TAB | Rp 64,525 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| CLANEKSI 500 MG TAB | Rp 64,525 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| CLANEKSI 500 MG TAB | Rp 58,393 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| 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 |
| CLANEKSI DS | Rp 327,227 | ONCALL ASING, SANBE, SYRUP | | oncall-asing|sanbe|syrup |
| CLANEKSI DS | Rp 176,299 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| CLANEKSI DS | Rp 302,227 | SANBE, SYRUP, Visit Asing | | sanbe|syrup|visit-asing |
| CLANEKSI DS | Rp 201,299 | ONCALL LOCAL, SANBE, SYRUP | | oncall-local|sanbe|syrup |
| CLANEKSI DS | Rp 251,856 | SANBE, SYRUP, Visit Domestic | | sanbe|syrup|visit-domestic |
| CLOPIDOGREL TAB | Rp 33,413 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| CLOPIDOGREL TAB | Rp 43,413 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| CLOPIDOGREL TAB | Rp 43,413 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| CLOPIDOGREL TAB | Rp 33,413 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| CLOPIDOGREL TAB | Rp 35,059 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| 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 |
| COLLAR NECK | Rp 1,093,500 | ALKES, Visit Domestic | | alkes|visit-domestic |
| COLLAR NECK | Rp 1,093,500 | ALKES, Visit Asing | | alkes|visit-asing |
| COLLAR NECK | Rp 1,093,500 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| COLLAR NECK | Rp 1,093,500 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| COLLAR NECK | Rp 1,093,500 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| CORTAMIN TAB | Rp 42,545 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| CORTAMIN TAB | Rp 11,696 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| CORTAMIN TAB | Rp 54,241 | INTERBAT, ONCALL ASING, TABLET | | interbat|oncall-asing|tablet |
| CORTAMIN TAB | Rp 29,241 | INTERBAT, TABLET, Visit Asing | | interbat|tablet|visit-asing |
| CORTAMIN TAB | Rp 36,696 | INTERBAT, ONCALL LOCAL, TABLET | | interbat|oncall-local|tablet |
| CORTAMIN TAB | Rp 17,545 | INTERBAT, TABLET, Visit Domestic | | interbat|tablet|visit-domestic |
| CORTAMINE SYR | Rp 238,994 | INTERBAT, SYRUP, Visit Domestic | | interbat|syrup|visit-domestic |
| CORTAMINE SYR | Rp 167,296 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| CORTAMINE SYR | Rp 263,994 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| CORTAMINE SYR | Rp 286,793 | INTERBAT, SYRUP, Visit Asing | | interbat|syrup|visit-asing |
| CORTAMINE SYR | Rp 192,296 | INTERBAT, ONCALL LOCAL, SYRUP | | interbat|oncall-local|syrup |
| CORTAMINE SYR | Rp 311,793 | INTERBAT, ONCALL ASING, SYRUP | | interbat|oncall-asing|syrup |
| CORTIDEX INJ | Rp 84,353 | INFUS, INJEKSI, ONCALL ASING, SANBE | | infus|injeksi|oncall-asing|sanbe |
| CORTIDEX INJ | Rp 23,741 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| CORTIDEX INJ | Rp 35,612 | INFUS, INJEKSI, SANBE, Visit Domestic | | infus|injeksi|sanbe|visit-domestic |
| CORTIDEX INJ | Rp 59,353 | INFUS, INJEKSI, SANBE, Visit Asing | | infus|injeksi|sanbe|visit-asing |
| CORTIDEX INJ | Rp 48,741 | INFUS, INJEKSI, ONCALL LOCAL, SANBE | | infus|injeksi|oncall-local|sanbe |
| CORTIDEX INJ | Rp 60,612 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| CREATININ | Rp 130,000 | ONCALL ASING | | oncall-asing |
| CREATININ | Rp 115,000 | Visit Local | | visit-local |
| CREATININ | Rp 115,000 | Visit Domestic | | visit-domestic |
| CREATININ | Rp 115,000 | Visit Asing | | visit-asing |
| CREATININ | Rp 130,000 | ONCALL LOCAL | | oncall-local |
| CREATININ | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| CT | Rp 105,000 | Visit Asing | | visit-asing |
| CT | Rp 125,000 | ONCALL LOCAL | | oncall-local |
| CT | Rp 125,000 | ONCALL DOMESTIC | | oncall-domestic |
| CT | Rp 125,000 | ONCALL ASING | | oncall-asing |
| CT | Rp 105,000 | Visit Local | | visit-local |
| CT | Rp 105,000 | Visit Domestic | | visit-domestic |
| D 40% OTSU | Rp 116,125 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| D 40% OTSU | Rp 176,875 | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| D 40% OTSU | Rp 60,750 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| D 40% OTSU | Rp 85,750 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| D 40% OTSU | Rp 91,125 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| D 40% OTSU | Rp 151,875 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| D 5% SANBE | Rp 114,619 | INFUS, INJEKSI, SANBE, Visit Domestic | | infus|injeksi|sanbe|visit-domestic |
| D 5% SANBE | Rp 191,032 | INFUS, INJEKSI, SANBE, Visit Asing | | infus|injeksi|sanbe|visit-asing |
| D 5% SANBE | Rp 139,619 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| D 5% SANBE | Rp 101,413 | INFUS, INJEKSI, ONCALL LOCAL, SANBE | | infus|injeksi|oncall-local|sanbe |
| D 5% SANBE | Rp 216,032 | INFUS, INJEKSI, ONCALL ASING, SANBE | | infus|injeksi|oncall-asing|sanbe |
| D 5% SANBE | Rp 76,413 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| D-DIMER | Rp 1,700,000 | ONCALL ASING | | oncall-asing |
| D-DIMER | Rp 1,490,000 | Visit Domestic | | visit-domestic |
| D-DIMER | Rp 1,490,000 | Visit Asing | | visit-asing |
| D-DIMER | Rp 1,700,000 | ONCALL LOCAL | | oncall-local |
| D-DIMER | Rp 1,700,000 | ONCALL DOMESTIC | | oncall-domestic |
| D-DIMER | Rp 1,490,000 | Visit Local | | visit-local |
| DEMACOLIN TAB | Rp 2,957 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| DEMACOLIN TAB | Rp 1,971 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| DEMACOLIN TAB | Rp 29,928 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| DEMACOLIN TAB | Rp 27,957 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| DEMACOLIN TAB | Rp 4,928 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| DEMACOLIN TAB | Rp 26,971 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| DERMAFIX PLESTER INFUS | Rp 0 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| DERMAFIX PLESTER INFUS | Rp 0 | ALKES, Visit Asing | | alkes|visit-asing |
| DERMAFIX PLESTER INFUS | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| DERMAFIX PLESTER INFUS | Rp 0 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| DERMAFIX PLESTER INFUS | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| DERMAFIX PLESTER INFUS | Rp 0 | ALKES, Visit Domestic | | alkes|visit-domestic |
| DIAGIT TAB | Rp 9,283 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| DIAGIT TAB | Rp 23,207 | INTERBAT, TABLET, Visit Asing | | interbat|tablet|visit-asing |
| DIAGIT TAB | Rp 34,283 | INTERBAT, ONCALL LOCAL, TABLET | | interbat|oncall-local|tablet |
| DIAGIT TAB | Rp 38,924 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| DIAGIT TAB | Rp 13,924 | INTERBAT, TABLET, Visit Domestic | | interbat|tablet|visit-domestic |
| DIAGIT TAB | Rp 48,207 | INTERBAT, ONCALL ASING, TABLET | | interbat|oncall-asing|tablet |
| DIGENTA CREAM | Rp 336,700 | CREAM, INTERBAT, ONCALL ASING | | cream|interbat|oncall-asing |
| DIGENTA CREAM | Rp 245,025 | CREAM, INTERBAT, Visit Local | | cream|interbat|visit-local |
| DIGENTA CREAM | Rp 326,700 | CREAM, INTERBAT, Visit Domestic | | cream|interbat|visit-domestic |
| DIGENTA CREAM | Rp 326,700 | CREAM, INTERBAT, Visit Asing | | cream|interbat|visit-asing |
| DIGENTA CREAM | Rp 255,025 | CREAM, INTERBAT, ONCALL LOCAL | | cream|interbat|oncall-local |
| DIGENTA CREAM | Rp 336,700 | CREAM, INTERBAT, ONCALL DOMESTIC | | cream|interbat|oncall-domestic |
| DL 5 DIFF | Rp 230,000 | Visit Asing | | visit-asing |
| DL 5 DIFF | Rp 270,000 | ONCALL LOCAL | | oncall-local |
| DL 5 DIFF | Rp 270,000 | ONCALL DOMESTIC | | oncall-domestic |
| DL 5 DIFF | Rp 270,000 | ONCALL ASING | | oncall-asing |
| DL 5 DIFF | Rp 230,000 | Visit Local | | visit-local |
| DL 5 DIFF | Rp 230,000 | Visit Domestic | | visit-domestic |
| DOCTOR FEE 08.00 – 22.00 | Rp 200,000 | Visit Local | | visit-local |
| DOCTOR FEE 08.00 – 22.00 | Rp 300,000 | Visit Domestic | | visit-domestic |
| DOCTOR FEE 08.00 – 22.00 | Rp 600,000 | Visit Asing | | visit-asing |
| DOCTOR FEE 08.00 – 22.00 | Rp 250,000 | ONCALL LOCAL | | oncall-local |
| DOCTOR FEE 08.00 – 22.00 | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| DOCTOR FEE 08.00 – 22.00 | Rp 700,000 | ONCALL ASING | | oncall-asing |
| DOCTOR FEE 22.00 – 08.00 | Rp 250,000 | Visit Local | | visit-local |
| DOCTOR FEE 22.00 – 08.00 | Rp 400,000 | Visit Domestic | | visit-domestic |
| DOCTOR FEE 22.00 – 08.00 | Rp 700,000 | Visit Asing | | visit-asing |
| DOCTOR FEE 22.00 – 08.00 | Rp 300,000 | ONCALL LOCAL | | oncall-local |
| DOCTOR FEE 22.00 – 08.00 | Rp 450,000 | ONCALL DOMESTIC | | oncall-domestic |
| DOCTOR FEE 22.00 – 08.00 | Rp 750,000 | ONCALL ASING | | oncall-asing |
| DRESSING + DOCTOR FEE Large Dressing | Rp 200,000 | Visit Local | | visit-local |
| DRESSING + DOCTOR FEE Large Dressing | Rp 300,000 | Visit Domestic | | visit-domestic |
| DRESSING + DOCTOR FEE Large Dressing | Rp 500,000 | Visit Asing | | visit-asing |
| DRESSING + DOCTOR FEE Large Dressing | Rp 225,000 | ONCALL LOCAL | | oncall-local |
| DRESSING + DOCTOR FEE Large Dressing | Rp 350,000 | ONCALL DOMESTIC | | oncall-domestic |
| DRESSING + DOCTOR FEE Large Dressing | Rp 600,000 | ONCALL ASING | | oncall-asing |
| DRESSING + DOCTOR FEE Medium Dressing | Rp 150,000 | Visit Local | | visit-local |
| DRESSING + DOCTOR FEE Medium Dressing | Rp 250,000 | Visit Domestic | | visit-domestic |
| DRESSING + DOCTOR FEE Medium Dressing | Rp 350,000 | Visit Asing | | visit-asing |
| DRESSING + DOCTOR FEE Medium Dressing | Rp 175,000 | ONCALL LOCAL | | oncall-local |
| DRESSING + DOCTOR FEE Medium Dressing | Rp 275,000 | ONCALL DOMESTIC | | oncall-domestic |
| DRESSING + DOCTOR FEE Medium Dressing | Rp 450,000 | ONCALL ASING | | oncall-asing |
| DRESSING + DOCTOR FEE Small Dressing | Rp 100,000 | Visit Local | | visit-local |
| DRESSING + DOCTOR FEE Small Dressing | Rp 150,000 | Visit Domestic | | visit-domestic |
| DRESSING + DOCTOR FEE Small Dressing | Rp 200,000 | Visit Asing | | visit-asing |
| DRESSING + DOCTOR FEE Small Dressing | Rp 125,000 | ONCALL LOCAL | | oncall-local |
| DRESSING + DOCTOR FEE Small Dressing | Rp 175,000 | ONCALL DOMESTIC | | oncall-domestic |
| DRESSING + DOCTOR FEE Small Dressing | Rp 250,000 | ONCALL ASING | | oncall-asing |
| DULCOLAX 10TAB | Rp 38,311 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| DULCOLAX 10TAB | Rp 32,987 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| DULCOLAX 10TAB | Rp 13,311 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| DULCOLAX 10TAB | Rp 30,324 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| DULCOLAX 10TAB | Rp 5,324 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| DULCOLAX 10TAB | Rp 7,987 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 1 ear/eye | Rp 150,000 | Visit Local | | visit-local |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 1 ear/eye | Rp 200,000 | Visit Domestic | | visit-domestic |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 1 ear/eye | Rp 250,000 | Visit Asing | | visit-asing |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 1 ear/eye | Rp 175,000 | ONCALL LOCAL | | oncall-local |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 1 ear/eye | Rp 250,000 | ONCALL DOMESTIC | | oncall-domestic |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 1 ear/eye | Rp 350,000 | ONCALL ASING | | oncall-asing |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 2 ear/eye | Rp 200,000 | Visit Local | | visit-local |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 2 ear/eye | Rp 300,000 | Visit Domestic | | visit-domestic |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 2 ear/eye | Rp 500,000 | Visit Asing | | visit-asing |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 2 ear/eye | Rp 250,000 | ONCALL LOCAL | | oncall-local |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 2 ear/eye | Rp 350,000 | ONCALL DOMESTIC | | oncall-domestic |
| EAR SPOOLING/EYE IRIGATION + DOCTOR FEE 2 ear/eye | Rp 600,000 | ONCALL ASING | | oncall-asing |
| EKG | Rp 150,000 | Visit Local | | visit-local |
| EKG | Rp 200,000 | Visit Domestic | | visit-domestic |
| EKG | Rp 250,000 | Visit Asing | | visit-asing |
| EKG | Rp 300,000 | ONCALL LOCAL | | oncall-local |
| EKG | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| EKG | Rp 550,000 | ONCALL ASING | | oncall-asing |
| ELASTIC BANDAGE/TENSOCREPE 10 CM | Rp 540,000 | ALKES, Visit Domestic | | alkes|visit-domestic |
| ELASTIC BANDAGE/TENSOCREPE 10 CM | Rp 540,000 | ALKES, Visit Asing | | alkes|visit-asing |
| ELASTIC BANDAGE/TENSOCREPE 10 CM | Rp 540,000 | ALKES, Visit Local | | alkes|visit-local |
| ELASTIC BANDAGE/TENSOCREPE 10 CM | Rp 540,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ELASTIC BANDAGE/TENSOCREPE 10 CM | Rp 540,000 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| ELASTIC BANDAGE/TENSOCREPE 10 CM | Rp 540,000 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| ELASTIC BANDAGE/TENSOCREPE 7,5 CM | Rp 452,250 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| ELASTIC BANDAGE/TENSOCREPE 7,5 CM | Rp 452,250 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ELASTIC BANDAGE/TENSOCREPE 7,5 CM | Rp 452,250 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| ELASTIC BANDAGE/TENSOCREPE 7,5 CM | Rp 452,250 | ALKES, Visit Domestic | | alkes|visit-domestic |
| ELASTIC BANDAGE/TENSOCREPE 7,5 CM | Rp 452,250 | ALKES, Visit Asing | | alkes|visit-asing |
| 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 |
| ELASTOMULL HAFT | Rp 371,250 | ALKES, Visit Domestic | | alkes|visit-domestic |
| ELASTOMULL HAFT | Rp 371,250 | ALKES, Visit Asing | | alkes|visit-asing |
| ELASTOMULL HAFT | Rp 371,250 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| ELASTOMULL HAFT | Rp 371,250 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| ELASTOMULL HAFT | Rp 371,250 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| EPEXOL FDS | Rp 186,947 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| EPEXOL FDS | Rp 294,912 | ONCALL ASING, SANBE, SYRUP | | oncall-asing|sanbe|syrup |
| EPEXOL FDS | Rp 269,912 | SANBE, SYRUP, Visit Asing | | sanbe|syrup|visit-asing |
| EPEXOL FDS | Rp 132,965 | ONCALL LOCAL, SANBE, SYRUP | | oncall-local|sanbe|syrup |
| EPEXOL FDS | Rp 107,965 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| EPEXOL FDS | Rp 161,947 | SANBE, SYRUP, Visit Domestic | | sanbe|syrup|visit-domestic |
| EPINEPHRINE INJ | Rp 87,075 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| EPINEPHRINE INJ | Rp 145,125 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| EPINEPHRINE INJ | Rp 112,075 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| EPINEPHRINE INJ | Rp 58,050 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| EPINEPHRINE INJ | Rp 170,125 | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| EPINEPHRINE INJ | Rp 83,050 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| EPISAN SUSP 200 ML | Rp 305,648 | SANBE, SYRUP, Visit Asing | | sanbe|syrup|visit-asing |
| EPISAN SUSP 200 ML | Rp 239,236 | ONCALL LOCAL, SANBE, SYRUP | | oncall-local|sanbe|syrup |
| EPISAN SUSP 200 ML | Rp 305,648 | SANBE, SYRUP, Visit Domestic | | sanbe|syrup|visit-domestic |
| EPISAN SUSP 200 ML | Rp 315,648 | ONCALL ASING, SANBE, SYRUP | | oncall-asing|sanbe|syrup |
| EPISAN SUSP 200 ML | Rp 315,648 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| 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 |
| EPRINOC TAB | Rp 32,603 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| EPRINOC TAB | Rp 38,041 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| EPRINOC TAB | Rp 44,562 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| EPRINOC TAB | Rp 19,562 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| EPRINOC TAB | Rp 57,603 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| Escort 2-5 km dgn perawat | Rp 500,000 | Visit Local | | visit-local |
| Escort 2-5 km dgn perawat | Rp 750,000 | Visit Domestic | | visit-domestic |
| Escort 2-5 km dgn perawat | Rp 1,000,000 | Visit Asing | | visit-asing |
| Escort 2-5 km dgn perawat | Rp 500,000 | ONCALL LOCAL | | oncall-local |
| Escort 2-5 km dgn perawat | Rp 750,000 | ONCALL DOMESTIC | | oncall-domestic |
| Escort 2-5 km dgn perawat | Rp 1,000,000 | ONCALL ASING | | oncall-asing |
| Escort 2-5 km dgn perawat + dokter | Rp 600,000 | Visit Local | | visit-local |
| Escort 2-5 km dgn perawat + dokter | Rp 850,000 | Visit Domestic | | visit-domestic |
| Escort 2-5 km dgn perawat + dokter | Rp 1,200,000 | Visit Asing | | visit-asing |
| Escort 2-5 km dgn perawat + dokter | Rp 600,000 | ONCALL LOCAL | | oncall-local |
| Escort 2-5 km dgn perawat + dokter | Rp 850,000 | ONCALL DOMESTIC | | oncall-domestic |
| Escort 2-5 km dgn perawat + dokter | Rp 1,200,000 | ONCALL ASING | | oncall-asing |
| Escort dekat <2km dgn perawat | Rp 300,000 | Visit Local | | visit-local |
| Escort dekat <2km dgn perawat | Rp 500,000 | Visit Domestic | | visit-domestic |
| Escort dekat <2km dgn perawat | Rp 700,000 | Visit Asing | | visit-asing |
| Escort dekat <2km dgn perawat | Rp 300,000 | ONCALL LOCAL | | oncall-local |
| Escort dekat <2km dgn perawat | Rp 500,000 | ONCALL DOMESTIC | | oncall-domestic |
| Escort dekat <2km dgn perawat | Rp 700,000 | ONCALL ASING | | oncall-asing |
| Escort rujukan | Rp 200,000 | Visit Local | | visit-local |
| Escort rujukan | Rp 400,000 | Visit Domestic | | visit-domestic |
| Escort rujukan | Rp 600,000 | Visit Asing | | visit-asing |
| Escort rujukan | Rp 200,000 | ONCALL LOCAL | | oncall-local |
| Escort rujukan | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| Escort rujukan | Rp 600,000 | ONCALL ASING | | oncall-asing |
| Exploration/nail extraction/abscess incision/ tampon | Rp 150,000 | Visit Local | | visit-local |
| Exploration/nail extraction/abscess incision/ tampon | Rp 250,000 | Visit Domestic | | visit-domestic |
| Exploration/nail extraction/abscess incision/ tampon | Rp 350,000 | Visit Asing | | visit-asing |
| Exploration/nail extraction/abscess incision/ tampon | Rp 200,000 | ONCALL LOCAL | | oncall-local |
| Exploration/nail extraction/abscess incision/ tampon | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| Exploration/nail extraction/abscess incision/ tampon | Rp 400,000 | ONCALL ASING | | oncall-asing |
| EZOL 20 MG TAB | Rp 82,024 | KALBE, ONCALL ASING, TABLET | | kalbe|oncall-asing|tablet |
| EZOL 20 MG TAB | Rp 33,264 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| EZOL 20 MG TAB | Rp 47,520 | KALBE, TABLET, Visit Domestic | | kalbe|tablet|visit-domestic |
| EZOL 20 MG TAB | Rp 57,024 | KALBE, TABLET, Visit Asing | | kalbe|tablet|visit-asing |
| EZOL 20 MG TAB | Rp 58,264 | KALBE, ONCALL LOCAL, TABLET | | kalbe|oncall-local|tablet |
| 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 |
| EZOL 40 MG TAB | Rp 67,024 | KALBE, ONCALL ASING, TABLET | | kalbe|oncall-asing|tablet |
| EZOL 40 MG TAB | Rp 57,024 | KALBE, TABLET, Visit Asing | | kalbe|tablet|visit-asing |
| EZOL 40 MG TAB | Rp 52,768 | KALBE, ONCALL LOCAL, TABLET | | kalbe|oncall-local|tablet |
| EZOL 40 MG TAB | Rp 42,768 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| EZOL 40 MG TAB | Rp 57,024 | KALBE, TABLET, Visit Domestic | | kalbe|tablet|visit-domestic |
| EZOMEB 40 MG INJ | Rp 513,216 | INFUS, INJEKSI, KALBE, Visit Domestic | | infus|injeksi|kalbe|visit-domestic |
| EZOMEB 40 MG INJ | Rp 513,216 | INFUS, INJEKSI, KALBE, Visit Asing | | infus|injeksi|kalbe|visit-asing |
| EZOMEB 40 MG INJ | Rp 523,216 | INFUS, INJEKSI, KALBE, ONCALL DOMESTIC | | infus|injeksi|kalbe|oncall-domestic |
| EZOMEB 40 MG INJ | Rp 384,912 | INFUS, INJEKSI, KALBE, Visit Local | | infus|injeksi|kalbe|visit-local |
| EZOMEB 40 MG INJ | Rp 523,216 | INFUS, INJEKSI, KALBE, ONCALL ASING | | infus|injeksi|kalbe|oncall-asing |
| EZOMEB 40 MG INJ | Rp 394,912 | INFUS, INJEKSI, KALBE, ONCALL LOCAL | | infus|injeksi|kalbe|oncall-local |
| FARGETIK TAB | Rp 5,265 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| FARGETIK TAB | Rp 27,106 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| FARGETIK TAB | Rp 3,159 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| FARGETIK TAB | Rp 30,265 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| FARGETIK TAB | Rp 28,159 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| 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 |
| FARMOTEN TAB | Rp 6,163 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| FARMOTEN TAB | Rp 27,465 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| FARMOTEN TAB | Rp 28,698 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| FARMOTEN TAB | Rp 3,698 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| FARMOTEN TAB | Rp 31,163 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| FARSIFEN 400 MG TAB | Rp 32,425 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| FARSIFEN 400 MG TAB | Rp 2,970 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| FARSIFEN 400 MG TAB | Rp 4,455 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| FARSIFEN 400 MG TAB | Rp 7,425 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| FARSIFEN 400 MG TAB | Rp 27,970 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|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 |
| FASIDOL PLUS TAB | Rp 0 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| FASIDOL PLUS TAB | Rp 0 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| FASIDOL PLUS TAB | Rp 0 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| FASIDOL PLUS TAB | Rp 0 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| FASIDOL PLUS TAB | Rp 0 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| FASORBID TAB | Rp 1,539 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| FASORBID TAB | Rp 26,539 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| FASORBID TAB | Rp 1,026 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| FASORBID TAB | Rp 27,565 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| FASORBID TAB | Rp 2,565 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| FASORBID TAB | Rp 26,026 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| FECES LENGKAP | Rp 640,000 | Visit Domestic | | visit-domestic |
| FECES LENGKAP | Rp 640,000 | Visit Asing | | visit-asing |
| FECES LENGKAP | Rp 730,000 | ONCALL LOCAL | | oncall-local |
| FECES LENGKAP | Rp 730,000 | ONCALL DOMESTIC | | oncall-domestic |
| FECES LENGKAP | Rp 640,000 | Visit Local | | visit-local |
| FECES LENGKAP | Rp 730,000 | ONCALL ASING | | oncall-asing |
| FERITIN | Rp 600,000 | ONCALL ASING | | oncall-asing |
| FERITIN | Rp 525,000 | Visit Domestic | | visit-domestic |
| FERITIN | Rp 525,000 | Visit Asing | | visit-asing |
| FERITIN | Rp 600,000 | ONCALL LOCAL | | oncall-local |
| FERITIN | Rp 600,000 | ONCALL DOMESTIC | | oncall-domestic |
| FERITIN | Rp 525,000 | Visit Local | | visit-local |
| FLAMAR 50MG TAB | Rp 6,939 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| FLAMAR 50MG TAB | Rp 10,409 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| FLAMAR 50MG TAB | Rp 17,348 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| FLAMAR 50MG TAB | Rp 31,939 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| FLAMAR 50MG TAB | Rp 35,409 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| FLAMAR 50MG TAB | Rp 42,348 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| FLAMAR GEL | Rp 184,665 | GEL, ONCALL ASING, SANBE | | gel|oncall-asing|sanbe |
| FLAMAR GEL | Rp 95,799 | GEL, SANBE, Visit Domestic | | gel|sanbe|visit-domestic |
| FLAMAR GEL | Rp 159,665 | GEL, SANBE, Visit Asing | | gel|sanbe|visit-asing |
| FLAMAR GEL | Rp 63,866 | GEL, SANBE, Visit Local | | gel|sanbe|visit-local |
| FLAMAR GEL | Rp 120,799 | GEL, ONCALL DOMESTIC, SANBE | | gel|oncall-domestic|sanbe |
| FLAMAR GEL | Rp 88,866 | GEL, ONCALL LOCAL, SANBE | | gel|oncall-local|sanbe |
| FLOXIGRA TAB | Rp 8,377 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| FLOXIGRA TAB | Rp 28,351 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| FLOXIGRA TAB | Rp 5,026 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| FLOXIGRA TAB | Rp 33,377 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| FLOXIGRA TAB | Rp 30,026 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| FLOXIGRA TAB | Rp 3,351 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| FOLLEY CATHETER | Rp 145,125 | ALKES, Visit Local | | alkes|visit-local |
| FOLLEY CATHETER | Rp 145,125 | ALKES, Visit Domestic | | alkes|visit-domestic |
| FOLLEY CATHETER | Rp 145,125 | ALKES, Visit Asing | | alkes|visit-asing |
| FOLLEY CATHETER | Rp 145,125 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| FOLLEY CATHETER | Rp 145,125 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| FOLLEY CATHETER | Rp 145,125 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| FORUMEN EAR DROPS | Rp 170,695 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| FORUMEN EAR DROPS | Rp 145,695 | SANBE, SYRUP, Visit Domestic | | sanbe|syrup|visit-domestic |
| FORUMEN EAR DROPS | Rp 97,130 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| FORUMEN EAR DROPS | Rp 242,825 | SANBE, SYRUP, Visit Asing | | sanbe|syrup|visit-asing |
| FORUMEN EAR DROPS | Rp 122,130 | ONCALL LOCAL, SANBE, SYRUP | | oncall-local|sanbe|syrup |
| FORUMEN EAR DROPS | Rp 267,825 | ONCALL ASING, SANBE, SYRUP | | oncall-asing|sanbe|syrup |
| FOSFOR | Rp 245,000 | Visit Local | | visit-local |
| FOSFOR | Rp 245,000 | Visit Domestic | | visit-domestic |
| FOSFOR | Rp 245,000 | Visit Asing | | visit-asing |
| FOSFOR | Rp 280,000 | ONCALL LOCAL | | oncall-local |
| FOSFOR | Rp 280,000 | ONCALL DOMESTIC | | oncall-domestic |
| FOSFOR | Rp 280,000 | ONCALL ASING | | oncall-asing |
| GD2PP | Rp 90,000 | ONCALL ASING | | oncall-asing |
| GD2PP | Rp 70,000 | Visit Domestic | | visit-domestic |
| GD2PP | Rp 70,000 | Visit Asing | | visit-asing |
| GD2PP | Rp 90,000 | ONCALL LOCAL | | oncall-local |
| GD2PP | Rp 90,000 | ONCALL DOMESTIC | | oncall-domestic |
| GD2PP | Rp 70,000 | Visit Local | | visit-local |
| GDP | Rp 70,000 | Visit Local | | visit-local |
| GDP | Rp 70,000 | Visit Domestic | | visit-domestic |
| GDP | Rp 70,000 | Visit Asing | | visit-asing |
| GDP | Rp 90,000 | ONCALL LOCAL | | oncall-local |
| GDP | Rp 90,000 | ONCALL DOMESTIC | | oncall-domestic |
| GDP | Rp 90,000 | ONCALL ASING | | oncall-asing |
| GDS | Rp 90,000 | ONCALL ASING | | oncall-asing |
| GDS | Rp 70,000 | Visit Domestic | | visit-domestic |
| GDS | Rp 70,000 | Visit Asing | | visit-asing |
| GDS | Rp 90,000 | ONCALL LOCAL | | oncall-local |
| GDS | Rp 90,000 | ONCALL DOMESTIC | | oncall-domestic |
| GDS | Rp 70,000 | Visit Local | | visit-local |
| GENOINT SALEP MATA | Rp 102,288 | ADAPOTEK, ONCALL ASING, SALEP | | adapotek|oncall-asing|salep |
| GENOINT SALEP MATA | Rp 46,373 | ADAPOTEK, SALEP, Visit Domestic | | adapotek|salep|visit-domestic |
| GENOINT SALEP MATA | Rp 71,373 | ADAPOTEK, ONCALL DOMESTIC, SALEP | | adapotek|oncall-domestic|salep |
| GENOINT SALEP MATA | Rp 77,288 | ADAPOTEK, SALEP, Visit Asing | | adapotek|salep|visit-asing |
| GENOINT SALEP MATA | Rp 55,915 | ADAPOTEK, ONCALL LOCAL, SALEP | | adapotek|oncall-local|salep |
| GENOINT SALEP MATA | Rp 30,915 | ADAPOTEK, SALEP, Visit Local | | adapotek|salep|visit-local |
| GGT | Rp 220,000 | ONCALL ASING | | oncall-asing |
| GGT | Rp 195,000 | Visit Local | | visit-local |
| GGT | Rp 195,000 | Visit Domestic | | visit-domestic |
| GGT | Rp 195,000 | Visit Asing | | visit-asing |
| GGT | Rp 220,000 | ONCALL LOCAL | | oncall-local |
| GGT | Rp 220,000 | ONCALL DOMESTIC | | oncall-domestic |
| GITAS INJ 20 MG AMP | Rp 106,178 | INFUS, INJEKSI, INTERBAT, Visit Local | | infus|injeksi|interbat|visit-local |
| GITAS INJ 20 MG AMP | Rp 159,266 | INFUS, INJEKSI, INTERBAT, Visit Domestic | | infus|injeksi|interbat|visit-domestic |
| GITAS INJ 20 MG AMP | Rp 265,444 | INFUS, INJEKSI, INTERBAT, Visit Asing | | infus|injeksi|interbat|visit-asing |
| GITAS INJ 20 MG AMP | Rp 290,444 | INFUS, INJEKSI, INTERBAT, ONCALL ASING | | infus|injeksi|interbat|oncall-asing |
| GITAS INJ 20 MG AMP | Rp 131,178 | INFUS, INJEKSI, INTERBAT, ONCALL LOCAL | | infus|injeksi|interbat|oncall-local |
| 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 |
| GITAS PLUS TAB | Rp 29,700 | INTERBAT, TABLET, Visit Domestic | | interbat|tablet|visit-domestic |
| GITAS PLUS TAB | Rp 20,790 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| GITAS PLUS TAB | Rp 35,640 | INTERBAT, TABLET, Visit Asing | | interbat|tablet|visit-asing |
| GITAS PLUS TAB | Rp 45,790 | INTERBAT, ONCALL LOCAL, TABLET | | interbat|oncall-local|tablet |
| GITAS PLUS TAB | Rp 60,640 | INTERBAT, ONCALL ASING, TABLET | | interbat|oncall-asing|tablet |
| GLICOS 500 MG TAB | Rp 29,118 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| GLICOS 500 MG TAB | Rp 2,471 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| GLICOS 500 MG TAB | Rp 27,471 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| GLICOS 500 MG TAB | Rp 4,118 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| GLICOS 500 MG TAB | Rp 26,647 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| GLICOS 500 MG TAB | Rp 1,647 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| Gluco test | Rp 50,000 | Visit Local | | visit-local |
| Gluco test | Rp 70,000 | Visit Domestic | | visit-domestic |
| Gluco test | Rp 100,000 | Visit Asing | | visit-asing |
| Gluco test | Rp 80,000 | ONCALL LOCAL | | oncall-local |
| Gluco test | Rp 100,000 | ONCALL DOMESTIC | | oncall-domestic |
| Gluco test | Rp 125,000 | ONCALL ASING | | oncall-asing |
| GO | Rp 200,000 | Visit Local | | visit-local |
| GO | Rp 200,000 | Visit Domestic | | visit-domestic |
| GO | Rp 200,000 | Visit Asing | | visit-asing |
| GO | Rp 250,000 | ONCALL LOCAL | | oncall-local |
| GO | Rp 250,000 | ONCALL DOMESTIC | | oncall-domestic |
| GO | Rp 250,000 | ONCALL ASING | | oncall-asing |
| GUANISTREP SYR | Rp 44,906 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| GUANISTREP SYR | Rp 67,360 | ADAPOTEK, SYRUP, Visit Domestic | | adapotek|syrup|visit-domestic |
| GUANISTREP SYR | Rp 137,266 | ADAPOTEK, ONCALL ASING, SYRUP | | adapotek|oncall-asing|syrup |
| GUANISTREP SYR | Rp 112,266 | ADAPOTEK, SYRUP, Visit Asing | | adapotek|syrup|visit-asing |
| GUANISTREP SYR | Rp 69,906 | ADAPOTEK, ONCALL LOCAL, SYRUP | | adapotek|oncall-local|syrup |
| GUANISTREP SYR | Rp 92,360 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| HBA1C | Rp 350,000 | Visit Local | | visit-local |
| HBA1C | Rp 400,000 | ONCALL ASING | | oncall-asing |
| HBA1C | Rp 350,000 | Visit Domestic | | visit-domestic |
| HBA1C | Rp 350,000 | Visit Asing | | visit-asing |
| HBA1C | Rp 400,000 | ONCALL LOCAL | | oncall-local |
| HBA1C | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| HBS AG (RAPID) | Rp 270,000 | Visit Domestic | | visit-domestic |
| HBS AG (RAPID) | Rp 270,000 | Visit Asing | | visit-asing |
| HBS AG (RAPID) | Rp 300,000 | ONCALL LOCAL | | oncall-local |
| HBS AG (RAPID) | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| HBS AG (RAPID) | Rp 270,000 | Visit Local | | visit-local |
| HBS AG (RAPID) | Rp 300,000 | ONCALL ASING | | oncall-asing |
| HBS AG KUANTITATIF | Rp 1,000,000 | ONCALL ASING | | oncall-asing |
| HBS AG KUANTITATIF | Rp 875,000 | Visit Domestic | | visit-domestic |
| HBS AG KUANTITATIF | Rp 875,000 | Visit Asing | | visit-asing |
| HBS AG KUANTITATIF | Rp 1,000,000 | ONCALL LOCAL | | oncall-local |
| HBS AG KUANTITATIF | Rp 1,000,000 | ONCALL DOMESTIC | | oncall-domestic |
| HBS AG KUANTITATIF | Rp 875,000 | Visit Local | | visit-local |
| HDL | Rp 135,000 | Visit Local | | visit-local |
| HDL | Rp 150,000 | ONCALL ASING | | oncall-asing |
| HDL | Rp 135,000 | Visit Domestic | | visit-domestic |
| HDL | Rp 135,000 | Visit Asing | | visit-asing |
| HDL | Rp 150,000 | ONCALL LOCAL | | oncall-local |
| HDL | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| HISTIGO TAB | Rp 7,533 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| HISTIGO TAB | Rp 32,533 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| HISTIGO TAB | Rp 5,022 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| HISTIGO TAB | Rp 12,555 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| HISTIGO TAB | Rp 30,022 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| HISTIGO TAB | Rp 37,555 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| HYPAFIX | Rp 170,100 | ADAPOTEK, Visit Domestic | | adapotek|visit-domestic |
| HYPAFIX | Rp 170,100 | ADAPOTEK, Visit Asing | | adapotek|visit-asing |
| HYPAFIX | Rp 170,100 | ADAPOTEK, ONCALL LOCAL | | adapotek|oncall-local |
| HYPAFIX | Rp 170,100 | ADAPOTEK, ONCALL DOMESTIC | | adapotek|oncall-domestic |
| HYPAFIX | Rp 170,100 | ADAPOTEK, ONCALL ASING | | adapotek|oncall-asing |
| HYPAFIX | Rp 170,100 | ADAPOTEK, Visit Local | | adapotek|visit-local |
| IGG CLAMIDIA | Rp 1,800,000 | ONCALL ASING | | oncall-asing |
| IGG CLAMIDIA | Rp 1,575,000 | Visit Local | | visit-local |
| IGG CLAMIDIA | Rp 1,575,000 | Visit Domestic | | visit-domestic |
| IGG CLAMIDIA | Rp 1,575,000 | Visit Asing | | visit-asing |
| IGG CLAMIDIA | Rp 1,800,000 | ONCALL LOCAL | | oncall-local |
| IGG CLAMIDIA | Rp 1,800,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGG HSV 1 | Rp 790,000 | Visit Domestic | | visit-domestic |
| IGG HSV 1 | Rp 790,000 | Visit Asing | | visit-asing |
| IGG HSV 1 | Rp 900,000 | ONCALL LOCAL | | oncall-local |
| IGG HSV 1 | Rp 900,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGG HSV 1 | Rp 790,000 | Visit Local | | visit-local |
| IGG HSV 1 | Rp 900,000 | ONCALL ASING | | oncall-asing |
| IGG HSV 2 | Rp 800,000 | ONCALL ASING | | oncall-asing |
| IGG HSV 2 | Rp 700,000 | Visit Local | | visit-local |
| IGG HSV 2 | Rp 700,000 | Visit Domestic | | visit-domestic |
| IGG HSV 2 | Rp 700,000 | Visit Asing | | visit-asing |
| IGG HSV 2 | Rp 800,000 | ONCALL LOCAL | | oncall-local |
| IGG HSV 2 | Rp 800,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGG IGM ANTI DENGUE | Rp 875,000 | Visit Domestic | | visit-domestic |
| IGG IGM ANTI DENGUE | Rp 875,000 | Visit Asing | | visit-asing |
| IGG IGM ANTI DENGUE | Rp 1,000,000 | ONCALL LOCAL | | oncall-local |
| IGG IGM ANTI DENGUE | Rp 1,000,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGG IGM ANTI DENGUE | Rp 875,000 | Visit Local | | visit-local |
| IGG IGM ANTI DENGUE | Rp 1,000,000 | ONCALL ASING | | oncall-asing |
| IGM (TUBEX) | Rp 300,000 | ONCALL ASING | | oncall-asing |
| IGM (TUBEX) | Rp 265,000 | Visit Local | | visit-local |
| IGM (TUBEX) | Rp 265,000 | Visit Domestic | | visit-domestic |
| IGM (TUBEX) | Rp 265,000 | Visit Asing | | visit-asing |
| IGM (TUBEX) | Rp 300,000 | ONCALL LOCAL | | oncall-local |
| IGM (TUBEX) | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGM CLAMIDIA | Rp 1,575,000 | Visit Domestic | | visit-domestic |
| IGM CLAMIDIA | Rp 1,575,000 | Visit Asing | | visit-asing |
| IGM CLAMIDIA | Rp 1,800,000 | ONCALL LOCAL | | oncall-local |
| IGM CLAMIDIA | Rp 1,800,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGM CLAMIDIA | Rp 1,575,000 | Visit Local | | visit-local |
| IGM CLAMIDIA | Rp 1,800,000 | ONCALL ASING | | oncall-asing |
| IGM HSV 1 | Rp 900,000 | ONCALL ASING | | oncall-asing |
| IGM HSV 1 | Rp 790,000 | Visit Local | | visit-local |
| IGM HSV 1 | Rp 790,000 | Visit Domestic | | visit-domestic |
| IGM HSV 1 | Rp 790,000 | Visit Asing | | visit-asing |
| IGM HSV 1 | Rp 900,000 | ONCALL LOCAL | | oncall-local |
| IGM HSV 1 | Rp 900,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGM HSV 2 | Rp 700,000 | Visit Domestic | | visit-domestic |
| IGM HSV 2 | Rp 700,000 | Visit Asing | | visit-asing |
| IGM HSV 2 | Rp 800,000 | ONCALL LOCAL | | oncall-local |
| IGM HSV 2 | Rp 800,000 | ONCALL DOMESTIC | | oncall-domestic |
| IGM HSV 2 | Rp 700,000 | Visit Local | | visit-local |
| IGM HSV 2 | Rp 800,000 | ONCALL ASING | | oncall-asing |
| INERSON SALEP | Rp 221,290 | INTERBAT, SALEP, Visit Local | | interbat|salep|visit-local |
| INERSON SALEP | Rp 305,053 | INTERBAT, ONCALL ASING, SALEP | | interbat|oncall-asing|salep |
| INERSON SALEP | Rp 305,053 | INTERBAT, ONCALL DOMESTIC, SALEP | | interbat|oncall-domestic|salep |
| INERSON SALEP | Rp 295,053 | INTERBAT, SALEP, Visit Domestic | | interbat|salep|visit-domestic |
| INERSON SALEP | Rp 295,053 | INTERBAT, SALEP, Visit Asing | | interbat|salep|visit-asing |
| INERSON SALEP | Rp 231,290 | INTERBAT, ONCALL LOCAL, SALEP | | interbat|oncall-local|salep |
| INFUS NACL 0,9 % 250ML 500 ML SANBE | Rp 97,992 | INFUS, INJEKSI, ONCALL LOCAL, SANBE | | infus|injeksi|oncall-local|sanbe |
| INFUS NACL 0,9 % 250ML 500 ML SANBE | Rp 72,992 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| INFUS NACL 0,9 % 250ML 500 ML SANBE | Rp 109,488 | INFUS, INJEKSI, SANBE, Visit Domestic | | infus|injeksi|sanbe|visit-domestic |
| INFUS NACL 0,9 % 250ML 500 ML SANBE | Rp 182,480 | INFUS, INJEKSI, SANBE, Visit Asing | | infus|injeksi|sanbe|visit-asing |
| INFUS NACL 0,9 % 250ML 500 ML SANBE | Rp 207,480 | INFUS, INJEKSI, ONCALL ASING, SANBE | | infus|injeksi|oncall-asing|sanbe |
| 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 RL 500 ML SANBE | Rp 99,701 | INFUS, INJEKSI, ONCALL LOCAL, SANBE | | infus|injeksi|oncall-local|sanbe |
| INFUS RL 500 ML SANBE | Rp 211,752 | INFUS, INJEKSI, ONCALL ASING, SANBE | | infus|injeksi|oncall-asing|sanbe |
| INFUS RL 500 ML SANBE | Rp 74,701 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| INFUS RL 500 ML SANBE | Rp 112,051 | INFUS, INJEKSI, SANBE, Visit Domestic | | infus|injeksi|sanbe|visit-domestic |
| INFUS RL 500 ML SANBE | Rp 186,752 | INFUS, INJEKSI, SANBE, Visit Asing | | infus|injeksi|sanbe|visit-asing |
| INFUS SET MAKRO TERUMO | Rp 101,250 | ALKES, Visit Domestic | | alkes|visit-domestic |
| INFUS SET MAKRO TERUMO | Rp 101,250 | ALKES, Visit Asing | | alkes|visit-asing |
| INFUS SET MAKRO TERUMO | Rp 101,250 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| INFUS SET MAKRO TERUMO | Rp 101,250 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| INFUS SET MAKRO TERUMO | Rp 101,250 | ALKES, Visit Local | | alkes|visit-local |
| INFUS SET MAKRO TERUMO | Rp 101,250 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| INFUS SET MIKRO TERUMO | Rp 0 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| INFUS SET MIKRO TERUMO | Rp 0 | ALKES, Visit Domestic | | alkes|visit-domestic |
| INFUS SET MIKRO TERUMO | Rp 0 | ALKES, Visit Asing | | alkes|visit-asing |
| INFUS SET MIKRO TERUMO | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| INFUS SET MIKRO TERUMO | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| INFUS SET MIKRO TERUMO | Rp 0 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| Injection fee | Rp 30,000 | Visit Local | | visit-local |
| Injection fee | Rp 75,000 | Visit Domestic | | visit-domestic |
| Injection fee | Rp 100,000 | Visit Asing | | visit-asing |
| Injection fee | Rp 50,000 | ONCALL LOCAL | | oncall-local |
| Injection fee | Rp 100,000 | ONCALL DOMESTIC | | oncall-domestic |
| Injection fee | Rp 150,000 | ONCALL ASING | | oncall-asing |
| INTERZINC SYR | Rp 219,906 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| INTERZINC SYR | Rp 233,888 | INTERBAT, SYRUP, Visit Asing | | interbat|syrup|visit-asing |
| INTERZINC SYR | Rp 161,434 | INTERBAT, ONCALL LOCAL, SYRUP | | interbat|oncall-local|syrup |
| INTERZINC SYR | Rp 136,434 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| INTERZINC SYR | Rp 194,906 | INTERBAT, SYRUP, Visit Domestic | | interbat|syrup|visit-domestic |
| INTERZINC SYR | Rp 258,888 | INTERBAT, ONCALL ASING, SYRUP | | interbat|oncall-asing|syrup |
| INTERZOL CREAM | Rp 273,515 | CREAM, INTERBAT, ONCALL ASING | | cream|interbat|oncall-asing |
| INTERZOL CREAM | Rp 174,109 | CREAM, INTERBAT, ONCALL DOMESTIC | | cream|interbat|oncall-domestic |
| INTERZOL CREAM | Rp 149,109 | CREAM, INTERBAT, Visit Domestic | | cream|interbat|visit-domestic |
| INTERZOL CREAM | Rp 248,515 | CREAM, INTERBAT, Visit Asing | | cream|interbat|visit-asing |
| INTERZOL CREAM | Rp 124,406 | CREAM, INTERBAT, ONCALL LOCAL | | cream|interbat|oncall-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 |
| INTRIZIN TAB | Rp 63,119 | INTERBAT, ONCALL ASING, TABLET | | interbat|oncall-asing|tablet |
| INTRIZIN TAB | Rp 38,119 | INTERBAT, TABLET, Visit Asing | | interbat|tablet|visit-asing |
| INTRIZIN TAB | Rp 47,236 | INTERBAT, ONCALL LOCAL, TABLET | | interbat|oncall-local|tablet |
| INTRIZIN TAB | Rp 56,766 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| INTRIZIN TAB | Rp 31,766 | INTERBAT, TABLET, Visit Domestic | | interbat|tablet|visit-domestic |
| IVFD insertion fee | Rp 50,000 | Visit Local | | visit-local |
| IVFD insertion fee | Rp 100,000 | Visit Domestic | | visit-domestic |
| IVFD insertion fee | Rp 200,000 | Visit Asing | | visit-asing |
| IVFD insertion fee | Rp 75,000 | ONCALL LOCAL | | oncall-local |
| IVFD insertion fee | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| IVFD insertion fee | Rp 250,000 | ONCALL ASING | | oncall-asing |
| KALIUM | Rp 280,000 | Visit Local | | visit-local |
| KALIUM | Rp 320,000 | ONCALL ASING | | oncall-asing |
| KALIUM | Rp 280,000 | Visit Domestic | | visit-domestic |
| KALIUM | Rp 280,000 | Visit Asing | | visit-asing |
| KALIUM | Rp 320,000 | ONCALL LOCAL | | oncall-local |
| KALIUM | Rp 320,000 | ONCALL DOMESTIC | | oncall-domestic |
| KASA STERIL | Rp 60,750 | ALKES, Visit Local | | alkes|visit-local |
| KASA STERIL | Rp 60,750 | ALKES, Visit Domestic | | alkes|visit-domestic |
| KASA STERIL | Rp 60,750 | ALKES, Visit Asing | | alkes|visit-asing |
| KASA STERIL | Rp 60,750 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| KASA STERIL | Rp 60,750 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| KASA STERIL | Rp 60,750 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| Kateter urin insertion fee | Rp 100,000 | Visit Local | | visit-local |
| Kateter urin insertion fee | Rp 150,000 | Visit Domestic | | visit-domestic |
| Kateter urin insertion fee | Rp 200,000 | Visit Asing | | visit-asing |
| Kateter urin insertion fee | Rp 200,000 | ONCALL LOCAL | | oncall-local |
| Kateter urin insertion fee | Rp 250,000 | ONCALL DOMESTIC | | oncall-domestic |
| Kateter urin insertion fee | Rp 300,000 | ONCALL ASING | | oncall-asing |
| KENALOG CREAM 5 GR | Rp 211,786 | ADAPOTEK, CREAM, ONCALL LOCAL | | adapotek|cream|oncall-local |
| KENALOG CREAM 5 GR | Rp 186,786 | ADAPOTEK, CREAM, Visit Local | | adapotek|cream|visit-local |
| KENALOG CREAM 5 GR | Rp 291,838 | ADAPOTEK, CREAM, ONCALL DOMESTIC | | adapotek|cream|oncall-domestic |
| KENALOG CREAM 5 GR | Rp 345,205 | ADAPOTEK, CREAM, ONCALL ASING | | adapotek|cream|oncall-asing |
| KENALOG CREAM 5 GR | Rp 266,838 | ADAPOTEK, CREAM, Visit Domestic | | adapotek|cream|visit-domestic |
| KENALOG CREAM 5 GR | Rp 320,205 | ADAPOTEK, CREAM, Visit Asing | | adapotek|cream|visit-asing |
| KN95 MASK | Rp 135,000 | ALKES, Visit Domestic | | alkes|visit-domestic |
| KN95 MASK | Rp 135,000 | ALKES, Visit Asing | | alkes|visit-asing |
| KN95 MASK | Rp 135,000 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| KN95 MASK | Rp 135,000 | ALKES, Visit Local | | alkes|visit-local |
| KN95 MASK | Rp 135,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| KN95 MASK | Rp 135,000 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| KULTUR DARAH MANUAL | Rp 770,000 | Visit Domestic | | visit-domestic |
| KULTUR DARAH MANUAL | Rp 770,000 | Visit Asing | | visit-asing |
| KULTUR DARAH MANUAL | Rp 880,000 | ONCALL LOCAL | | oncall-local |
| KULTUR DARAH MANUAL | Rp 880,000 | ONCALL DOMESTIC | | oncall-domestic |
| KULTUR DARAH MANUAL | Rp 770,000 | Visit Local | | visit-local |
| KULTUR DARAH MANUAL | Rp 880,000 | ONCALL ASING | | oncall-asing |
| KULTUR FECES MANUAL | Rp 840,000 | ONCALL ASING | | oncall-asing |
| KULTUR FECES MANUAL | Rp 735,000 | Visit Domestic | | visit-domestic |
| KULTUR FECES MANUAL | Rp 735,000 | Visit Asing | | visit-asing |
| KULTUR FECES MANUAL | Rp 840,000 | ONCALL LOCAL | | oncall-local |
| KULTUR FECES MANUAL | Rp 840,000 | ONCALL DOMESTIC | | oncall-domestic |
| KULTUR FECES MANUAL | Rp 735,000 | Visit Local | | visit-local |
| KULTUR URINE MANUAL | Rp 930,000 | Visit Local | | visit-local |
| KULTUR URINE MANUAL | Rp 1,060,000 | ONCALL ASING | | oncall-asing |
| KULTUR URINE MANUAL | Rp 930,000 | Visit Domestic | | visit-domestic |
| KULTUR URINE MANUAL | Rp 930,000 | Visit Asing | | visit-asing |
| KULTUR URINE MANUAL | Rp 1,060,000 | ONCALL LOCAL | | oncall-local |
| KULTUR URINE MANUAL | Rp 1,060,000 | ONCALL DOMESTIC | | oncall-domestic |
| L-ACYS 200 MG CAPS | Rp 16,706 | Kapsul, LAPI, Visit Domestic | | kapsul|lapi|visit-domestic |
| L-ACYS 200 MG CAPS | Rp 27,844 | Kapsul, LAPI, Visit Asing | | kapsul|lapi|visit-asing |
| L-ACYS 200 MG CAPS | Rp 41,706 | Kapsul, LAPI, ONCALL DOMESTIC | | kapsul|lapi|oncall-domestic |
| L-ACYS 200 MG CAPS | Rp 52,844 | Kapsul, LAPI, ONCALL ASING | | kapsul|lapi|oncall-asing |
| L-ACYS 200 MG CAPS | Rp 11,138 | Kapsul, LAPI, Visit Local | | kapsul|lapi|visit-local |
| L-ACYS 200 MG CAPS | Rp 36,138 | Kapsul, LAPI, ONCALL LOCAL | | kapsul|lapi|oncall-local |
| LACOSIB 60 MG TAB | Rp 27,845 | LAPI, TABLET, Visit Asing | | lapi|tablet|visit-asing |
| LACOSIB 60 MG TAB | Rp 30,884 | LAPI, ONCALL LOCAL, TABLET | | lapi|oncall-local|tablet |
| LACOSIB 60 MG TAB | Rp 27,845 | LAPI, TABLET, Visit Domestic | | lapi|tablet|visit-domestic |
| LACOSIB 60 MG TAB | Rp 20,884 | LAPI, TABLET, Visit Local | | lapi|tablet|visit-local |
| LACOSIB 60 MG TAB | Rp 37,845 | LAPI, ONCALL ASING, TABLET | | lapi|oncall-asing|tablet |
| 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 |
| LAPRAZ TAB | Rp 55,544 | Kapsul, ONCALL ASING, SANBE | | kapsul|oncall-asing|sanbe |
| LAPRAZ TAB | Rp 44,158 | Kapsul, ONCALL LOCAL, SANBE | | kapsul|oncall-local|sanbe |
| LAPRAZ TAB | Rp 45,544 | Kapsul, SANBE, Visit Domestic | | kapsul|sanbe|visit-domestic |
| LAPRAZ TAB | Rp 45,544 | Kapsul, SANBE, Visit Asing | | kapsul|sanbe|visit-asing |
| LAPRAZ TAB | Rp 34,158 | Kapsul, SANBE, Visit Local | | kapsul|sanbe|visit-local |
| LDL | Rp 230,000 | ONCALL ASING | | oncall-asing |
| LDL | Rp 205,000 | Visit Local | | visit-local |
| LDL | Rp 205,000 | Visit Domestic | | visit-domestic |
| LDL | Rp 205,000 | Visit Asing | | visit-asing |
| LDL | Rp 230,000 | ONCALL LOCAL | | oncall-local |
| LDL | Rp 230,000 | ONCALL DOMESTIC | | oncall-domestic |
| LED | Rp 100,000 | Visit Asing | | visit-asing |
| LED | Rp 120,000 | ONCALL LOCAL | | oncall-local |
| LED | Rp 120,000 | ONCALL DOMESTIC | | oncall-domestic |
| LED | Rp 100,000 | Visit Local | | visit-local |
| LED | Rp 100,000 | Visit Domestic | | visit-domestic |
| LED | Rp 120,000 | ONCALL ASING | | oncall-asing |
| LESPAIN CREAM | Rp 27,624 | ADAPOTEK, CREAM, Visit Local | | adapotek|cream|visit-local |
| LESPAIN CREAM | Rp 66,436 | ADAPOTEK, CREAM, ONCALL DOMESTIC | | adapotek|cream|oncall-domestic |
| LESPAIN CREAM | Rp 41,436 | ADAPOTEK, CREAM, Visit Domestic | | adapotek|cream|visit-domestic |
| LESPAIN CREAM | Rp 69,059 | ADAPOTEK, CREAM, Visit Asing | | adapotek|cream|visit-asing |
| LESPAIN CREAM | Rp 94,059 | ADAPOTEK, CREAM, ONCALL ASING | | adapotek|cream|oncall-asing |
| LESPAIN CREAM | Rp 52,624 | ADAPOTEK, CREAM, ONCALL LOCAL | | adapotek|cream|oncall-local |
| LEVOCIN TAB | Rp 122,744 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| LEVOCIN TAB | Rp 97,674 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| LEVOCIN TAB | Rp 87,674 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| LEVOCIN TAB | Rp 132,744 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| LEVOCIN TAB | Rp 115,209 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| LEVOCIN TAB | Rp 105,209 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| LIDOCAINE 2% INJ | Rp 10,125 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| LIDOCAINE 2% INJ | Rp 16,875 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| LIDOCAINE 2% INJ | Rp 31,750 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| LIDOCAINE 2% INJ | Rp 35,125 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| LIDOCAINE 2% INJ | Rp 6,750 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| LIDOCAINE 2% INJ | Rp 41,875 | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| LOKEV CAPS | Rp 6,926 | ADAPOTEK, Kapsul, Visit Domestic | | adapotek|kapsul|visit-domestic |
| LOKEV CAPS | Rp 11,543 | ADAPOTEK, Kapsul, Visit Asing | | adapotek|kapsul|visit-asing |
| LOKEV CAPS | Rp 4,617 | ADAPOTEK, Kapsul, Visit Local | | adapotek|kapsul|visit-local |
| LOKEV CAPS | Rp 29,617 | ADAPOTEK, Kapsul, ONCALL LOCAL | | adapotek|kapsul|oncall-local |
| LOKEV CAPS | Rp 31,926 | ADAPOTEK, Kapsul, ONCALL DOMESTIC | | adapotek|kapsul|oncall-domestic |
| LOKEV CAPS | Rp 36,543 | ADAPOTEK, Kapsul, ONCALL ASING | | adapotek|kapsul|oncall-asing |
| LOSTACEF 500 MG CAPS | Rp 37,960 | ADAPOTEK, Kapsul, ONCALL DOMESTIC | | adapotek|kapsul|oncall-domestic |
| LOSTACEF 500 MG CAPS | Rp 46,600 | ADAPOTEK, Kapsul, ONCALL ASING | | adapotek|kapsul|oncall-asing |
| LOSTACEF 500 MG CAPS | Rp 33,640 | ADAPOTEK, Kapsul, ONCALL LOCAL | | adapotek|kapsul|oncall-local |
| LOSTACEF 500 MG CAPS | Rp 12,960 | ADAPOTEK, Kapsul, Visit Domestic | | adapotek|kapsul|visit-domestic |
| LOSTACEF 500 MG CAPS | Rp 21,600 | ADAPOTEK, Kapsul, Visit Asing | | adapotek|kapsul|visit-asing |
| LOSTACEF 500 MG CAPS | Rp 8,640 | ADAPOTEK, Kapsul, Visit Local | | adapotek|kapsul|visit-local |
| MAGNESIUM | Rp 300,000 | ONCALL ASING | | oncall-asing |
| MAGNESIUM | Rp 265,000 | Visit Local | | visit-local |
| MAGNESIUM | Rp 265,000 | Visit Domestic | | visit-domestic |
| MAGNESIUM | Rp 265,000 | Visit Asing | | visit-asing |
| MAGNESIUM | Rp 300,000 | ONCALL LOCAL | | oncall-local |
| MAGNESIUM | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| MALARIA TEST MIKROSKOPIK | Rp 280,000 | Visit Domestic | | visit-domestic |
| MALARIA TEST MIKROSKOPIK | Rp 280,000 | Visit Asing | | visit-asing |
| MALARIA TEST MIKROSKOPIK | Rp 300,000 | ONCALL LOCAL | | oncall-local |
| MALARIA TEST MIKROSKOPIK | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| MALARIA TEST MIKROSKOPIK | Rp 280,000 | Visit Local | | visit-local |
| MALARIA TEST MIKROSKOPIK | Rp 300,000 | ONCALL ASING | | oncall-asing |
| MEFINAL 500MG TAB | Rp 5,076 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| MEFINAL 500MG TAB | Rp 37,690 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| MEFINAL 500MG TAB | Rp 7,614 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| MEFINAL 500MG TAB | Rp 32,614 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| MEFINAL 500MG TAB | Rp 12,690 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| MEFINAL 500MG TAB | Rp 30,076 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| MEGATIC 50 MG TAB | Rp 6,055 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| MEGATIC 50 MG TAB | Rp 27,422 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| MEGATIC 50 MG TAB | Rp 2,422 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| MEGATIC 50 MG TAB | Rp 28,633 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| MEGATIC 50 MG TAB | Rp 31,055 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| MEGATIC 50 MG TAB | Rp 3,633 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| MICROPORE SURGICAL TAPE 0,5 | Rp 94,500 | ALKES, Visit Domestic | | alkes|visit-domestic |
| MICROPORE SURGICAL TAPE 0,5 | Rp 94,500 | ALKES, Visit Asing | | alkes|visit-asing |
| MICROPORE SURGICAL TAPE 0,5 | Rp 94,500 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| MICROPORE SURGICAL TAPE 0,5 | Rp 94,500 | ALKES, Visit Local | | alkes|visit-local |
| MICROPORE SURGICAL TAPE 0,5 | Rp 94,500 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| MICROPORE SURGICAL TAPE 0,5 | Rp 94,500 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| MUCOHEXIN TAB | Rp 27,880 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| MUCOHEXIN TAB | Rp 2,880 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| MUCOHEXIN TAB | Rp 1,920 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| MUCOHEXIN TAB | Rp 29,799 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| MUCOHEXIN TAB | Rp 4,799 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| MUCOHEXIN TAB | Rp 26,920 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| NAMA BARANG | | ONCALL LOCAL, Pabrikan, Sediaan | | oncall-local|pabrikan|sediaan |
| NAMA BARANG | | ONCALL DOMESTIC, Pabrikan, Sediaan | | oncall-domestic|pabrikan|sediaan |
| NAMA BARANG | | ONCALL ASING, Pabrikan, Sediaan | | oncall-asing|pabrikan|sediaan |
| NAMA BARANG | | Pabrikan, Sediaan, Visit Asing | | pabrikan|sediaan|visit-asing |
| NAMA BARANG | | Pabrikan, Sediaan, Visit Local | | pabrikan|sediaan|visit-local |
| NAMA BARANG | | Pabrikan, Sediaan, Visit Domestic | | pabrikan|sediaan|visit-domestic |
| NARKOTEST AMPH, MORFIN, THC | Rp 870,000 | ONCALL ASING | | oncall-asing |
| NARKOTEST AMPH, MORFIN, THC | Rp 765,000 | Visit Local | | visit-local |
| NARKOTEST AMPH, MORFIN, THC | Rp 765,000 | Visit Domestic | | visit-domestic |
| NARKOTEST AMPH, MORFIN, THC | Rp 765,000 | Visit Asing | | visit-asing |
| NARKOTEST AMPH, MORFIN, THC | Rp 870,000 | ONCALL LOCAL | | oncall-local |
| NARKOTEST AMPH, MORFIN, THC | Rp 870,000 | ONCALL DOMESTIC | | oncall-domestic |
| NATRIUM | Rp 280,000 | Visit Domestic | | visit-domestic |
| NATRIUM | Rp 280,000 | Visit Asing | | visit-asing |
| NATRIUM | Rp 320,000 | ONCALL LOCAL | | oncall-local |
| NATRIUM | Rp 320,000 | ONCALL DOMESTIC | | oncall-domestic |
| NATRIUM | Rp 280,000 | Visit Local | | visit-local |
| NATRIUM | Rp 320,000 | ONCALL ASING | | oncall-asing |
| NEBACETIN POWDER 5 GR | Rp 76,032 | ADAPOTEK, POWDER, Visit Local | | adapotek|powder|visit-local |
| NEBACETIN POWDER 5 GR | Rp 190,080 | ADAPOTEK, POWDER, Visit Asing | | adapotek|powder|visit-asing |
| NEBACETIN POWDER 5 GR | Rp 101,032 | ADAPOTEK, ONCALL LOCAL, POWDER | | adapotek|oncall-local|powder |
| NEBACETIN POWDER 5 GR | Rp 114,048 | ADAPOTEK, POWDER, Visit Domestic | | adapotek|powder|visit-domestic |
| NEBACETIN POWDER 5 GR | Rp 215,080 | ADAPOTEK, ONCALL ASING, POWDER | | adapotek|oncall-asing|powder |
| NEBACETIN POWDER 5 GR | Rp 139,048 | ADAPOTEK, ONCALL DOMESTIC, POWDER | | adapotek|oncall-domestic|powder |
| Nebulizer | Rp 150,000 | Visit Local | | visit-local |
| Nebulizer | Rp 250,000 | Visit Domestic | | visit-domestic |
| Nebulizer | Rp 350,000 | Visit Asing | | visit-asing |
| Nebulizer | Rp 300,000 | ONCALL LOCAL | | oncall-local |
| Nebulizer | Rp 500,000 | ONCALL DOMESTIC | | oncall-domestic |
| Nebulizer | Rp 600,000 | ONCALL ASING | | oncall-asing |
| NEURALGIN RX TAB | Rp 27,851 | KALBE, ONCALL LOCAL, TABLET | | kalbe|oncall-local|tablet |
| NEURALGIN RX TAB | Rp 29,277 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| NEURALGIN RX TAB | Rp 2,851 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| NEURALGIN RX TAB | Rp 32,128 | KALBE, ONCALL ASING, TABLET | | kalbe|oncall-asing|tablet |
| NEURALGIN RX TAB | Rp 7,128 | KALBE, TABLET, Visit Asing | | kalbe|tablet|visit-asing |
| NEURALGIN RX TAB | Rp 4,277 | KALBE, TABLET, Visit Domestic | | kalbe|tablet|visit-domestic |
| NEUROBAT FORTE INJ | Rp 70,166 | INFUS, INJEKSI, INTERBAT, Visit Domestic | | infus|injeksi|interbat|visit-domestic |
| NEUROBAT FORTE INJ | Rp 116,944 | INFUS, INJEKSI, INTERBAT, Visit Asing | | infus|injeksi|interbat|visit-asing |
| NEUROBAT FORTE INJ | Rp 95,166 | INFUS, INJEKSI, INTERBAT, ONCALL DOMESTIC | | infus|injeksi|interbat|oncall-domestic |
| NEUROBAT FORTE INJ | Rp 71,778 | INFUS, INJEKSI, INTERBAT, ONCALL LOCAL | | infus|injeksi|interbat|oncall-local |
| NEUROBAT FORTE INJ | Rp 46,778 | INFUS, INJEKSI, INTERBAT, Visit Local | | infus|injeksi|interbat|visit-local |
| NEUROBAT FORTE INJ | Rp 141,944 | INFUS, INJEKSI, INTERBAT, ONCALL ASING | | infus|injeksi|interbat|oncall-asing |
| NEUROSANBE 5000 | Rp 49,287 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| NEUROSANBE 5000 | Rp 14,572 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| NEUROSANBE 5000 | Rp 9,715 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| NEUROSANBE 5000 | Rp 34,715 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| NEUROSANBE 5000 | Rp 39,572 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| NEUROSANBE 5000 | Rp 24,287 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| NEUTROSKIN INJ (COLAGEN) | Rp 0 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| NEUTROSKIN INJ (COLAGEN) | Rp 0 | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| NEUTROSKIN INJ (COLAGEN) | Rp 0 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| NEUTROSKIN INJ (COLAGEN) | Rp 0 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| NEUTROSKIN INJ (COLAGEN) | Rp 0 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| 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 |
| NISAGON CREAM 5 GR | Rp 64,960 | ADAPOTEK, CREAM, ONCALL LOCAL | | adapotek|cream|oncall-local |
| NISAGON CREAM 5 GR | Rp 59,940 | ADAPOTEK, CREAM, Visit Domestic | | adapotek|cream|visit-domestic |
| NISAGON CREAM 5 GR | Rp 99,900 | ADAPOTEK, CREAM, Visit Asing | | adapotek|cream|visit-asing |
| NISAGON CREAM 5 GR | Rp 124,900 | ADAPOTEK, CREAM, ONCALL ASING | | adapotek|cream|oncall-asing |
| NISAGON CREAM 5 GR | Rp 84,940 | ADAPOTEK, CREAM, ONCALL DOMESTIC | | adapotek|cream|oncall-domestic |
| NS1 ANTIGEN | Rp 900,000 | ONCALL ASING | | oncall-asing |
| NS1 ANTIGEN | Rp 790,000 | Visit Local | | visit-local |
| NS1 ANTIGEN | Rp 790,000 | Visit Domestic | | visit-domestic |
| NS1 ANTIGEN | Rp 790,000 | Visit Asing | | visit-asing |
| NS1 ANTIGEN | Rp 900,000 | ONCALL LOCAL | | oncall-local |
| NS1 ANTIGEN | Rp 900,000 | ONCALL DOMESTIC | | oncall-domestic |
| Observation/1 hours | Rp 50,000 | Visit Local | | visit-local |
| Observation/1 hours | Rp 100,000 | Visit Domestic | | visit-domestic |
| Observation/1 hours | Rp 200,000 | Visit Asing | | visit-asing |
| Observation/1 hours | Rp 75,000 | ONCALL LOCAL | | oncall-local |
| Observation/1 hours | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| Observation/1 hours | Rp 250,000 | ONCALL ASING | | oncall-asing |
| ODANOSTIN 4 MG TAB | Rp 35,314 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| ODANOSTIN 4 MG TAB | Rp 40,471 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| ODANOSTIN 4 MG TAB | Rp 10,314 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| ODANOSTIN 4 MG TAB | Rp 50,785 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| ODANOSTIN 4 MG TAB | Rp 25,785 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| ODANOSTIN 4 MG TAB | Rp 15,471 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| OMEPRAZOLE 40 MG INJEKSI VIAL | Rp 0 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| OMEPRAZOLE 40 MG INJEKSI VIAL | Rp 0 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| OMEPRAZOLE 40 MG INJEKSI VIAL | Rp 0 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| OMEPRAZOLE 40 MG INJEKSI VIAL | Rp 0 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| OMEPRAZOLE 40 MG INJEKSI VIAL | Rp 65,095 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| OMEPRAZOLE 40 MG INJEKSI VIAL | Rp 0 | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| ONDANSETRON 8MG INJ AMP | | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| ONDANSETRON 8MG INJ AMP | Rp 40,095 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| ONDANSETRON 8MG INJ AMP | Rp 66,825 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| ONDANSETRON 8MG INJ AMP | Rp 26,730 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| ONDANSETRON 8MG INJ AMP | Rp 65,095 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| ONDANSETRON 8MG INJ AMP | Rp 51,730 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| OPSITE WATERPROOF BANDAGE | Rp 195,750 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| OPSITE WATERPROOF BANDAGE | Rp 195,750 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| OPSITE WATERPROOF BANDAGE | Rp 195,750 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| OPSITE WATERPROOF BANDAGE | Rp 195,750 | ALKES, Visit Domestic | | alkes|visit-domestic |
| OPSITE WATERPROOF BANDAGE | Rp 195,750 | ALKES, Visit Asing | | alkes|visit-asing |
| 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 |
| OTOPAIN EAR DROPS | Rp 288,438 | INTERBAT, ONCALL ASING, SYRUP | | interbat|oncall-asing|syrup |
| OTOPAIN EAR DROPS | Rp 278,438 | INTERBAT, SYRUP, Visit Domestic | | interbat|syrup|visit-domestic |
| OTOPAIN EAR DROPS | Rp 278,438 | INTERBAT, SYRUP, Visit Asing | | interbat|syrup|visit-asing |
| OTOPAIN EAR DROPS | Rp 218,828 | INTERBAT, ONCALL LOCAL, SYRUP | | interbat|oncall-local|syrup |
| 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 |
| OXYFLOW NASAL CANULE | Rp 168,750 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| OXYFLOW NASAL CANULE | Rp 168,750 | ALKES, Visit Local | | alkes|visit-local |
| OXYFLOW NASAL CANULE | Rp 168,750 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| OXYFLOW NASAL CANULE | Rp 168,750 | ALKES, Visit Domestic | | alkes|visit-domestic |
| OXYFLOW NASAL CANULE | Rp 168,750 | ALKES, Visit Asing | | alkes|visit-asing |
| OXYGEN MASK | Rp 202,500 | ALKES, Visit Domestic | | alkes|visit-domestic |
| OXYGEN MASK | Rp 202,500 | ALKES, Visit Asing | | alkes|visit-asing |
| OXYGEN MASK | Rp 202,500 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| OXYGEN MASK | Rp 202,500 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| OXYGEN MASK | Rp 202,500 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| OXYGEN MASK | Rp 202,500 | ALKES, Visit Local | | alkes|visit-local |
| Oxygenation/10 minutes + Doctor fee | Rp 100,000 | Visit Local | | visit-local |
| Oxygenation/10 minutes + Doctor fee | Rp 150,000 | Visit Domestic | | visit-domestic |
| Oxygenation/10 minutes + Doctor fee | Rp 200,000 | Visit Asing | | visit-asing |
| Oxygenation/10 minutes + Doctor fee | Rp 200,000 | ONCALL LOCAL | | oncall-local |
| Oxygenation/10 minutes + Doctor fee | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| Oxygenation/10 minutes + Doctor fee | Rp 400,000 | ONCALL ASING | | oncall-asing |
| PAMOL ORAL DROP | Rp 154,302 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| PAMOL ORAL DROP | Rp 220,431 | INTERBAT, SYRUP, Visit Domestic | | interbat|syrup|visit-domestic |
| PAMOL ORAL DROP | Rp 264,518 | INTERBAT, SYRUP, Visit Asing | | interbat|syrup|visit-asing |
| PAMOL ORAL DROP | Rp 179,302 | INTERBAT, ONCALL LOCAL, SYRUP | | interbat|oncall-local|syrup |
| PAMOL ORAL DROP | Rp 289,518 | INTERBAT, ONCALL ASING, SYRUP | | interbat|oncall-asing|syrup |
| 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 SUPP 250 MG | Rp 74,250 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| PAMOL SUPP 250 MG | Rp 210,625 | INTERBAT, ONCALL ASING, SYRUP | | interbat|oncall-asing|syrup |
| PAMOL SUPP 250 MG | Rp 111,375 | INTERBAT, SYRUP, Visit Domestic | | interbat|syrup|visit-domestic |
| PAMOL SUPP 250 MG | Rp 185,625 | INTERBAT, SYRUP, Visit Asing | | interbat|syrup|visit-asing |
| PAMOL SUPP 250 MG | Rp 99,250 | INTERBAT, ONCALL LOCAL, SYRUP | | interbat|oncall-local|syrup |
| PAMOL SYR | Rp 0 | INTERBAT, SYRUP, Visit Asing | | interbat|syrup|visit-asing |
| PAMOL SYR | Rp 0 | INTERBAT, ONCALL LOCAL, SYRUP | | interbat|oncall-local|syrup |
| PAMOL SYR | Rp 0 | INTERBAT, ONCALL DOMESTIC, SYRUP | | interbat|oncall-domestic|syrup |
| PAMOL SYR | Rp 0 | INTERBAT, SYRUP, Visit Domestic | | interbat|syrup|visit-domestic |
| PAMOL SYR | Rp 0 | INTERBAT, SYRUP, Visit Local | | interbat|syrup|visit-local |
| PAMOL SYR | Rp 0 | INTERBAT, ONCALL ASING, SYRUP | | interbat|oncall-asing|syrup |
| PANTOCAINE EYE DROP 5 ML | Rp 247,750 | ADAPOTEK, ONCALL ASING, SYRUP | | adapotek|oncall-asing|syrup |
| PANTOCAINE EYE DROP 5 ML | Rp 222,750 | ADAPOTEK, SYRUP, Visit Asing | | adapotek|syrup|visit-asing |
| PANTOCAINE EYE DROP 5 ML | Rp 114,100 | ADAPOTEK, ONCALL LOCAL, SYRUP | | adapotek|oncall-local|syrup |
| PANTOCAINE EYE DROP 5 ML | Rp 89,100 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| PANTOCAINE EYE DROP 5 ML | Rp 158,650 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| PANTOCAINE EYE DROP 5 ML | Rp 133,650 | ADAPOTEK, SYRUP, Visit Domestic | | adapotek|syrup|visit-domestic |
| PCR | Rp 350,000 | Visit Domestic | | visit-domestic |
| PCR | Rp 350,000 | Visit Asing | | visit-asing |
| PCR | Rp 350,000 | ONCALL LOCAL | | oncall-local |
| PCR | Rp 350,000 | ONCALL DOMESTIC | | oncall-domestic |
| PCR | Rp 350,000 | Visit Local | | visit-local |
| PCR | Rp 350,000 | ONCALL ASING | | oncall-asing |
| PHAROLIT | Rp 5,130 | ADAPOTEK, SYRUP, Visit Local | | adapotek|syrup|visit-local |
| PHAROLIT | Rp 37,825 | ADAPOTEK, ONCALL ASING, SYRUP | | adapotek|oncall-asing|syrup |
| PHAROLIT | Rp 7,695 | ADAPOTEK, SYRUP, Visit Domestic | | adapotek|syrup|visit-domestic |
| PHAROLIT | Rp 12,825 | ADAPOTEK, SYRUP, Visit Asing | | adapotek|syrup|visit-asing |
| PHAROLIT | Rp 30,130 | ADAPOTEK, ONCALL LOCAL, SYRUP | | adapotek|oncall-local|syrup |
| PHAROLIT | Rp 32,695 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| PISAU CUKUR | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| PISAU CUKUR | Rp 0 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| PISAU CUKUR | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| PISAU CUKUR | Rp 0 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| PISAU CUKUR | Rp 0 | ALKES, Visit Domestic | | alkes|visit-domestic |
| PISAU CUKUR | Rp 0 | ALKES, Visit Asing | | alkes|visit-asing |
| PISAU MESS | Rp 23,625 | ALKES, Visit Domestic | | alkes|visit-domestic |
| PISAU MESS | Rp 23,625 | ALKES, Visit Asing | | alkes|visit-asing |
| PISAU MESS | | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| PISAU MESS | Rp 23,625 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| PISAU MESS | Rp 23,625 | ALKES, ONCALL LOCAL | | alkes|oncall-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 |
| PLASMINEX TAB | Rp 15,455 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| PLASMINEX TAB | Rp 50,758 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| PLASMINEX TAB | Rp 25,758 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| PLASMINEX TAB | Rp 35,303 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| PLASMINEX TAB | Rp 40,455 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| POSTINOR 2 | Rp 62,125 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| POSTINOR 2 | Rp 80,688 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| POSTINOR 2 | Rp 55,688 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| POSTINOR 2 | Rp 37,125 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| POSTINOR 2 | Rp 92,813 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| POSTINOR 2 | Rp 117,813 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| PP TEST | Rp 220,000 | Visit Domestic | | visit-domestic |
| PP TEST | Rp 220,000 | Visit Asing | | visit-asing |
| PP TEST | Rp 250,000 | ONCALL LOCAL | | oncall-local |
| PP TEST | Rp 250,000 | ONCALL DOMESTIC | | oncall-domestic |
| PP TEST | Rp 220,000 | Visit Local | | visit-local |
| PP TEST | Rp 250,000 | ONCALL ASING | | oncall-asing |
| PROBIOKID | Rp 0 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| PROBIOKID | Rp 0 | ONCALL ASING, SANBE, SYRUP | | oncall-asing|sanbe|syrup |
| PROBIOKID | Rp 0 | SANBE, SYRUP, Visit Domestic | | sanbe|syrup|visit-domestic |
| PROBIOKID | Rp 0 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| PROBIOKID | Rp 0 | SANBE, SYRUP, Visit Asing | | sanbe|syrup|visit-asing |
| PROBIOKID | Rp 0 | ONCALL LOCAL, SANBE, SYRUP | | oncall-local|sanbe|syrup |
| PROLENE BENANG | Rp 243,888 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| PROLENE BENANG | Rp 311,850 | ALKES, Visit Domestic | | alkes|visit-domestic |
| PROLENE BENANG | Rp 311,850 | ALKES, Visit Asing | | alkes|visit-asing |
| PROLENE BENANG | Rp 233,888 | ALKES, Visit Local | | alkes|visit-local |
| PROLENE BENANG | Rp 321,850 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| PROLENE BENANG | Rp 321,850 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| PROVE D3 1000IU | Rp 34,504 | KALBE, ONCALL LOCAL, TABLET | | kalbe|oncall-local|tablet |
| PROVE D3 1000IU | Rp 39,256 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| PROVE D3 1000IU | Rp 14,256 | KALBE, TABLET, Visit Domestic | | kalbe|tablet|visit-domestic |
| PROVE D3 1000IU | Rp 23,760 | KALBE, TABLET, Visit Asing | | kalbe|tablet|visit-asing |
| PROVE D3 1000IU | Rp 48,760 | KALBE, ONCALL ASING, TABLET | | kalbe|oncall-asing|tablet |
| 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 |
| PROVE VIT INJ | Rp 352,144 | INFUS, INJEKSI, KALBE, ONCALL LOCAL | | infus|injeksi|kalbe|oncall-local |
| PROVE VIT INJ | Rp 466,192 | INFUS, INJEKSI, KALBE, ONCALL DOMESTIC | | infus|injeksi|kalbe|oncall-domestic |
| PROVE VIT INJ | Rp 456,192 | INFUS, INJEKSI, KALBE, Visit Domestic | | infus|injeksi|kalbe|visit-domestic |
| PROVE VIT INJ | Rp 456,192 | INFUS, INJEKSI, KALBE, Visit Asing | | infus|injeksi|kalbe|visit-asing |
| PROVE VIT INJ | Rp 466,192 | INFUS, INJEKSI, KALBE, ONCALL ASING | | infus|injeksi|kalbe|oncall-asing |
| PSA | Rp 1,000,000 | ONCALL ASING | | oncall-asing |
| PSA | Rp 875,000 | Visit Local | | visit-local |
| PSA | Rp 875,000 | Visit Domestic | | visit-domestic |
| PSA | Rp 875,000 | Visit Asing | | visit-asing |
| PSA | Rp 1,000,000 | ONCALL LOCAL | | oncall-local |
| PSA | Rp 1,000,000 | ONCALL DOMESTIC | | oncall-domestic |
| PT | Rp 525,000 | Visit Asing | | visit-asing |
| PT | Rp 600,000 | ONCALL LOCAL | | oncall-local |
| PT | Rp 600,000 | ONCALL DOMESTIC | | oncall-domestic |
| PT | Rp 525,000 | Visit Local | | visit-local |
| PT | Rp 525,000 | Visit Domestic | | visit-domestic |
| PT | Rp 600,000 | ONCALL ASING | | oncall-asing |
| PULMICORT NEBULES 0.5 ML AMP | Rp 0 | ADAPOTEK, NEBUL, Visit Local | | adapotek|nebul|visit-local |
| PULMICORT NEBULES 0.5 ML AMP | Rp 0 | ADAPOTEK, NEBUL, ONCALL ASING | | adapotek|nebul|oncall-asing |
| PULMICORT NEBULES 0.5 ML AMP | Rp 0 | ADAPOTEK, NEBUL, ONCALL DOMESTIC | | adapotek|nebul|oncall-domestic |
| PULMICORT NEBULES 0.5 ML AMP | Rp 0 | ADAPOTEK, NEBUL, Visit Asing | | adapotek|nebul|visit-asing |
| PULMICORT NEBULES 0.5 ML AMP | Rp 0 | ADAPOTEK, NEBUL, ONCALL LOCAL | | adapotek|nebul|oncall-local |
| PULMICORT NEBULES 0.5 ML AMP | Rp 0 | ADAPOTEK, NEBUL, Visit Domestic | | adapotek|nebul|visit-domestic |
| RANITIDINE HCL 25 MG INJ AMP | Rp 13,365 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| RANITIDINE HCL 25 MG INJ AMP | Rp 22,275 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| RANITIDINE HCL 25 MG INJ AMP | Rp 38,365 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| RANITIDINE HCL 25 MG INJ AMP | Rp 8,910 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| RANITIDINE HCL 25 MG INJ AMP | Rp 47,275 | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| RANITIDINE HCL 25 MG INJ AMP | Rp 33,910 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| RATIVOL 30 MG INJ | Rp 146,681 | INFUS, INJEKSI, ONCALL LOCAL, SANBE | | infus|injeksi|oncall-local|sanbe |
| RATIVOL 30 MG INJ | Rp 121,681 | INFUS, INJEKSI, SANBE, Visit Local | | infus|injeksi|sanbe|visit-local |
| RATIVOL 30 MG INJ | Rp 173,829 | INFUS, INJEKSI, SANBE, Visit Domestic | | infus|injeksi|sanbe|visit-domestic |
| RATIVOL 30 MG INJ | Rp 208,595 | INFUS, INJEKSI, SANBE, Visit Asing | | infus|injeksi|sanbe|visit-asing |
| RATIVOL 30 MG INJ | Rp 198,829 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| RATIVOL 30 MG INJ | Rp 233,595 | INFUS, INJEKSI, ONCALL ASING, SANBE | | infus|injeksi|oncall-asing|sanbe |
| RECODRYL 15 MG INJ VIAL | Rp 84,252 | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| RECODRYL 15 MG INJ VIAL | Rp 35,551 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| RECODRYL 15 MG INJ VIAL | Rp 59,252 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| RECODRYL 15 MG INJ VIAL | Rp 48,701 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| RECODRYL 15 MG INJ VIAL | Rp 23,701 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| 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 100,000 | Visit Local | | visit-local |
| Rent whell chair (kursi roda)/day | Rp 200,000 | Visit Domestic | | visit-domestic |
| Rent whell chair (kursi roda)/day | Rp 250,000 | Visit Asing | | visit-asing |
| Rent whell chair (kursi roda)/day | Rp 200,000 | ONCALL LOCAL | | oncall-local |
| Rent whell chair (kursi roda)/day | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| Rent whell chair (kursi roda)/day | Rp 500,000 | ONCALL ASING | | oncall-asing |
| Resusitasi Jantung Paru/CPR /10 mnt | Rp 75,000 | Visit Local | | visit-local |
| Resusitasi Jantung Paru/CPR /10 mnt | Rp 100,000 | Visit Domestic | | visit-domestic |
| Resusitasi Jantung Paru/CPR /10 mnt | Rp 125,000 | Visit Asing | | visit-asing |
| Resusitasi Jantung Paru/CPR /10 mnt | Rp 100,000 | ONCALL LOCAL | | oncall-local |
| Resusitasi Jantung Paru/CPR /10 mnt | Rp 125,000 | ONCALL DOMESTIC | | oncall-domestic |
| Resusitasi Jantung Paru/CPR /10 mnt | Rp 150,000 | ONCALL ASING | | oncall-asing |
| RHINOS SR CAPS | Rp 0 | DEXA, Kapsul, ONCALL LOCAL | | dexa|kapsul|oncall-local |
| RHINOS SR CAPS | Rp 0 | DEXA, Kapsul, Visit Domestic | | dexa|kapsul|visit-domestic |
| RHINOS SR CAPS | Rp 0 | DEXA, Kapsul, Visit Asing | | dexa|kapsul|visit-asing |
| RHINOS SR CAPS | Rp 0 | DEXA, Kapsul, ONCALL DOMESTIC | | dexa|kapsul|oncall-domestic |
| RHINOS SR CAPS | Rp 0 | DEXA, Kapsul, ONCALL ASING | | dexa|kapsul|oncall-asing |
| 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 |
| RHREMAFAR 4 MG TAB | Rp 10,935 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| RHREMAFAR 4 MG TAB | Rp 35,935 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| RHREMAFAR 4 MG TAB | Rp 29,374 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| RHREMAFAR 4 MG TAB | Rp 31,561 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| RHREMAFAR 4 MG TAB | Rp 6,561 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| SALTICIN CREAM | Rp 164,280 | CREAM, INTERBAT, Visit Domestic | | cream|interbat|visit-domestic |
| SALTICIN CREAM | Rp 273,800 | CREAM, INTERBAT, Visit Asing | | cream|interbat|visit-asing |
| SALTICIN CREAM | Rp 134,520 | CREAM, INTERBAT, ONCALL LOCAL | | cream|interbat|oncall-local |
| SALTICIN CREAM | Rp 109,520 | CREAM, INTERBAT, Visit Local | | cream|interbat|visit-local |
| SALTICIN CREAM | Rp 189,280 | CREAM, INTERBAT, ONCALL DOMESTIC | | cream|interbat|oncall-domestic |
| SALTICIN CREAM | Rp 298,800 | CREAM, INTERBAT, ONCALL ASING | | cream|interbat|oncall-asing |
| SANADRYL DMP 120ML | Rp 0 | ONCALL ASING, SANBE, SYRUP | | oncall-asing|sanbe|syrup |
| SANADRYL DMP 120ML | Rp 0 | SANBE, SYRUP, Visit Asing | | sanbe|syrup|visit-asing |
| SANADRYL DMP 120ML | Rp 0 | ONCALL LOCAL, SANBE, SYRUP | | oncall-local|sanbe|syrup |
| SANADRYL DMP 120ML | Rp 0 | SANBE, SYRUP, Visit Domestic | | sanbe|syrup|visit-domestic |
| SANADRYL DMP 120ML | Rp 0 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| 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 16 MG | Rp 45,226 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| SANEXON 16 MG | Rp 70,226 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| SANEXON 16 MG | Rp 51,382 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| SANEXON 16 MG | Rp 62,689 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| SANEXON 16 MG | Rp 37,689 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| SANEXON 8 MG | Rp 0 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| SANEXON 8 MG | Rp 0 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| SANEXON 8 MG | Rp 0 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| SANEXON 8 MG | Rp 0 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| SANEXON 8 MG | Rp 0 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| SANEXON 8 MG | Rp 0 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| SANKORBIN INJ | Rp 306,698 | INFUS, INJEKSI, ONCALL ASING, SANBE | | infus|injeksi|oncall-asing|sanbe |
| SANKORBIN INJ | Rp 137,679 | INFUS, INJEKSI, ONCALL LOCAL, SANBE | | infus|injeksi|oncall-local|sanbe |
| SANKORBIN INJ | Rp 169,019 | INFUS, INJEKSI, SANBE, Visit Domestic | | infus|injeksi|sanbe|visit-domestic |
| SANKORBIN INJ | Rp 281,698 | INFUS, INJEKSI, SANBE, Visit Asing | | infus|injeksi|sanbe|visit-asing |
| SANKORBIN INJ | Rp 194,019 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| 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 INF | Rp 228,244 | INFUS, INJEKSI, ONCALL LOCAL, SANBE | | infus|injeksi|oncall-local|sanbe |
| SANMOL INF | Rp 373,417 | INFUS, INJEKSI, ONCALL ASING, SANBE | | infus|injeksi|oncall-asing|sanbe |
| SANMOL INF | Rp 315,348 | INFUS, INJEKSI, ONCALL DOMESTIC, SANBE | | infus|injeksi|oncall-domestic|sanbe |
| SANMOL INF | Rp 290,348 | INFUS, INJEKSI, SANBE, Visit Domestic | | infus|injeksi|sanbe|visit-domestic |
| SANMOL INF | Rp 348,417 | INFUS, INJEKSI, SANBE, Visit Asing | | infus|injeksi|sanbe|visit-asing |
| SANMOL TAB | Rp 1,713 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| SANMOL TAB | Rp 2,855 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| SANMOL TAB | Rp 1,142 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| SANMOL TAB | Rp 26,142 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| SANMOL TAB | Rp 26,713 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| SANMOL TAB | Rp 27,855 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| SCABIMITE CREAM 10 GR (PERMETHERINE) | Rp 275,594 | ADAPOTEK, CREAM, ONCALL ASING | | adapotek|cream|oncall-asing |
| SCABIMITE CREAM 10 GR (PERMETHERINE) | Rp 125,238 | ADAPOTEK, CREAM, ONCALL LOCAL | | adapotek|cream|oncall-local |
| SCABIMITE CREAM 10 GR (PERMETHERINE) | Rp 150,356 | ADAPOTEK, CREAM, Visit Domestic | | adapotek|cream|visit-domestic |
| SCABIMITE CREAM 10 GR (PERMETHERINE) | Rp 250,594 | ADAPOTEK, CREAM, Visit Asing | | adapotek|cream|visit-asing |
| SCABIMITE CREAM 10 GR (PERMETHERINE) | Rp 175,356 | ADAPOTEK, CREAM, ONCALL DOMESTIC | | adapotek|cream|oncall-domestic |
| 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 |
| SELVIM 10 MG TAB | Rp 7,763 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| SELVIM 10 MG TAB | Rp 32,763 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| SELVIM 10 MG TAB | Rp 28,105 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| SELVIM 10 MG TAB | Rp 29,658 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| SELVIM 10 MG TAB | Rp 4,658 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| SEREMIG 10 MG TAB | Rp 10,328 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| SEREMIG 10 MG TAB | Rp 17,213 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| SEREMIG 10 MG TAB | Rp 6,885 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| SEREMIG 10 MG TAB | Rp 31,885 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| SEREMIG 10 MG TAB | Rp 35,328 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| SEREMIG 10 MG TAB | Rp 42,213 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| SGOT | Rp 125,000 | Visit Local | | visit-local |
| SGOT | Rp 150,000 | ONCALL ASING | | oncall-asing |
| SGOT | Rp 125,000 | Visit Domestic | | visit-domestic |
| SGOT | Rp 125,000 | Visit Asing | | visit-asing |
| SGOT | Rp 150,000 | ONCALL LOCAL | | oncall-local |
| SGOT | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| SGPT | Rp 125,000 | Visit Domestic | | visit-domestic |
| SGPT | Rp 125,000 | Visit Asing | | visit-asing |
| SGPT | Rp 150,000 | ONCALL LOCAL | | oncall-local |
| SGPT | Rp 150,000 | ONCALL DOMESTIC | | oncall-domestic |
| SGPT | Rp 150,000 | ONCALL ASING | | oncall-asing |
| SGPT | Rp 125,000 | Visit Local | | visit-local |
| SI | Rp 350,000 | Visit Local | | visit-local |
| SI | Rp 400,000 | ONCALL ASING | | oncall-asing |
| SI | Rp 350,000 | Visit Domestic | | visit-domestic |
| SI | Rp 350,000 | Visit Asing | | visit-asing |
| SI | Rp 400,000 | ONCALL LOCAL | | oncall-local |
| SI | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| SINCRONIK TAB | Rp 0 | KALBE, ONCALL ASING, TABLET | | kalbe|oncall-asing|tablet |
| SINCRONIK TAB | Rp 0 | KALBE, TABLET, Visit Domestic | | kalbe|tablet|visit-domestic |
| SINCRONIK TAB | Rp 0 | KALBE, TABLET, Visit Asing | | kalbe|tablet|visit-asing |
| SINCRONIK TAB | Rp 0 | KALBE, TABLET, Visit Local | | kalbe|tablet|visit-local |
| SINCRONIK TAB | Rp 0 | KALBE, ONCALL LOCAL, TABLET | | kalbe|oncall-local|tablet |
| SINCRONIK TAB | Rp 0 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| SOFRATULLE | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| SOFRATULLE | Rp 0 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| SOFRATULLE | Rp 0 | ALKES, Visit Domestic | | alkes|visit-domestic |
| SOFRATULLE | Rp 0 | ALKES, Visit Asing | | alkes|visit-asing |
| SOFRATULLE | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| SOFRATULLE | Rp 0 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| Spalk | Rp 100,000 | Visit Local | | visit-local |
| Spalk | Rp 150,000 | Visit Domestic | | visit-domestic |
| Spalk | Rp 300,000 | Visit Asing | | visit-asing |
| Spalk | Rp 150,000 | ONCALL LOCAL | | oncall-local |
| Spalk | Rp 300,000 | ONCALL DOMESTIC | | oncall-domestic |
| Spalk | Rp 500,000 | ONCALL ASING | | oncall-asing |
| SPUIT 1 CC ONE MED | Rp 5,805 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| SPUIT 1 CC ONE MED | Rp 5,805 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| SPUIT 1 CC ONE MED | Rp 5,805 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| SPUIT 1 CC ONE MED | Rp 5,805 | ALKES, Visit Domestic | | alkes|visit-domestic |
| SPUIT 1 CC ONE MED | Rp 5,805 | ALKES, Visit Asing | | alkes|visit-asing |
| 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 10 CC ONE MED | Rp 8,573 | ALKES, Visit Domestic | | alkes|visit-domestic |
| SPUIT 10 CC ONE MED | Rp 8,573 | ALKES, Visit Asing | | alkes|visit-asing |
| SPUIT 10 CC ONE MED | Rp 8,573 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| SPUIT 10 CC ONE MED | Rp 8,573 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| SPUIT 10 CC ONE MED | Rp 8,573 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| SPUIT 3 CC ONE MED | Rp 5,468 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| SPUIT 3 CC ONE MED | Rp 5,468 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| SPUIT 3 CC ONE MED | Rp 5,468 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| SPUIT 3 CC ONE MED | Rp 5,468 | ALKES, Visit Local | | alkes|visit-local |
| SPUIT 3 CC ONE MED | Rp 5,468 | ALKES, Visit Domestic | | alkes|visit-domestic |
| SPUIT 3 CC ONE MED | Rp 5,468 | ALKES, Visit Asing | | alkes|visit-asing |
| SPUIT 5 CC ONE MED | Rp 5,805 | ALKES, Visit Domestic | | alkes|visit-domestic |
| SPUIT 5 CC ONE MED | Rp 5,805 | ALKES, Visit Asing | | alkes|visit-asing |
| SPUIT 5 CC ONE MED | Rp 5,805 | ALKES, Visit Local | | alkes|visit-local |
| SPUIT 5 CC ONE MED | Rp 5,805 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| SPUIT 5 CC ONE MED | Rp 5,805 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| SPUIT 5 CC ONE MED | Rp 5,805 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| STARMUNO KIDS SYR | Rp 0 | KALBE, ONCALL DOMESTIC, SYRUP | | kalbe|oncall-domestic|syrup |
| STARMUNO KIDS SYR | Rp 0 | KALBE, ONCALL ASING, SYRUP | | kalbe|oncall-asing|syrup |
| STARMUNO KIDS SYR | Rp 0 | KALBE, SYRUP, Visit Asing | | kalbe|syrup|visit-asing |
| STARMUNO KIDS SYR | Rp 0 | KALBE, ONCALL LOCAL, SYRUP | | kalbe|oncall-local|syrup |
| STARMUNO KIDS SYR | Rp 0 | KALBE, SYRUP, Visit Domestic | | kalbe|syrup|visit-domestic |
| 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 |
| STARMUNO TAB | Rp 35,238 | KALBE, ONCALL LOCAL, TABLET | | kalbe|oncall-local|tablet |
| STARMUNO TAB | Rp 43,650 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| STARMUNO TAB | Rp 33,650 | KALBE, TABLET, Visit Domestic | | kalbe|tablet|visit-domestic |
| STARMUNO TAB | Rp 43,650 | KALBE, ONCALL ASING, TABLET | | kalbe|oncall-asing|tablet |
| STARMUNO TAB | Rp 33,650 | KALBE, TABLET, Visit Asing | | kalbe|tablet|visit-asing |
| STERI STRIP | Rp 0 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| STERI STRIP | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| STERI STRIP | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| STERI STRIP | Rp 0 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| STERI STRIP | Rp 0 | ALKES, Visit Domestic | | alkes|visit-domestic |
| STERI STRIP | Rp 0 | ALKES, Visit Asing | | alkes|visit-asing |
| STESOLID 5 MG/2,5 ML SUPP | Rp 169,425 | ADAPOTEK, SYRUP, Visit Domestic | | adapotek|syrup|visit-domestic |
| STESOLID 5 MG/2,5 ML SUPP | Rp 203,310 | ADAPOTEK, SYRUP, Visit Asing | | adapotek|syrup|visit-asing |
| STESOLID 5 MG/2,5 ML SUPP | Rp 143,598 | ADAPOTEK, ONCALL LOCAL, SYRUP | | adapotek|oncall-local|syrup |
| STESOLID 5 MG/2,5 ML SUPP | Rp 194,425 | ADAPOTEK, ONCALL DOMESTIC, SYRUP | | adapotek|oncall-domestic|syrup |
| STESOLID 5 MG/2,5 ML SUPP | Rp 228,310 | ADAPOTEK, ONCALL ASING, SYRUP | | adapotek|oncall-asing|syrup |
| 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 |
| SYNBIO CAPS | Rp 20,652 | KALBE, Kapsul, Visit Domestic | | kalbe|kapsul|visit-domestic |
| SYNBIO CAPS | Rp 24,782 | KALBE, Kapsul, Visit Asing | | kalbe|kapsul|visit-asing |
| SYNBIO CAPS | Rp 39,456 | KALBE, Kapsul, ONCALL LOCAL | | kalbe|kapsul|oncall-local |
| SYNBIO CAPS | Rp 45,652 | KALBE, Kapsul, ONCALL DOMESTIC | | kalbe|kapsul|oncall-domestic |
| SYNBIO CAPS | Rp 49,782 | KALBE, Kapsul, ONCALL ASING | | kalbe|kapsul|oncall-asing |
| TETAGAM INJ | Rp 566,875 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| TETAGAM INJ | Rp 464,063 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| TETAGAM INJ | Rp 474,063 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| TETAGAM INJ | Rp 659,688 | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| TETAGAM INJ | Rp 556,875 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| TETAGAM INJ | Rp 649,688 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| TG | Rp 115,000 | Visit Domestic | | visit-domestic |
| TG | Rp 115,000 | Visit Asing | | visit-asing |
| TG | Rp 130,000 | ONCALL LOCAL | | oncall-local |
| TG | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| TG | Rp 115,000 | Visit Local | | visit-local |
| TG | Rp 130,000 | ONCALL ASING | | oncall-asing |
| THROMBOPHOB GEL | Rp 160,799 | ADAPOTEK, GEL, Visit Local | | adapotek|gel|visit-local |
| THROMBOPHOB GEL | Rp 254,713 | ADAPOTEK, GEL, ONCALL DOMESTIC | | adapotek|gel|oncall-domestic |
| THROMBOPHOB GEL | Rp 229,713 | ADAPOTEK, GEL, Visit Domestic | | adapotek|gel|visit-domestic |
| THROMBOPHOB GEL | Rp 275,655 | ADAPOTEK, GEL, Visit Asing | | adapotek|gel|visit-asing |
| THROMBOPHOB GEL | Rp 300,655 | ADAPOTEK, GEL, ONCALL ASING | | adapotek|gel|oncall-asing |
| THROMBOPHOB GEL | Rp 185,799 | ADAPOTEK, GEL, ONCALL LOCAL | | adapotek|gel|oncall-local |
| TIBC | Rp 350,000 | Visit Domestic | | visit-domestic |
| TIBC | Rp 350,000 | Visit Asing | | visit-asing |
| TIBC | Rp 400,000 | ONCALL LOCAL | | oncall-local |
| TIBC | Rp 400,000 | ONCALL DOMESTIC | | oncall-domestic |
| TIBC | Rp 400,000 | ONCALL ASING | | oncall-asing |
| TIBC | Rp 350,000 | Visit Local | | visit-local |
| TOMIT TAB | Rp 0 | INTERBAT, ONCALL LOCAL, TABLET | | interbat|oncall-local|tablet |
| TOMIT TAB | Rp 0 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| TOMIT TAB | Rp 0 | INTERBAT, TABLET, Visit Asing | | interbat|tablet|visit-asing |
| TOMIT TAB | Rp 0 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| TOMIT TAB | Rp 0 | INTERBAT, ONCALL ASING, TABLET | | interbat|oncall-asing|tablet |
| TOMIT TAB | Rp 0 | INTERBAT, TABLET, Visit Domestic | | interbat|tablet|visit-domestic |
| TOPCORT CREAM | Rp 128,304 | CREAM, SANBE, Visit Domestic | | cream|sanbe|visit-domestic |
| TOPCORT CREAM | Rp 213,840 | CREAM, SANBE, Visit Asing | | cream|sanbe|visit-asing |
| TOPCORT CREAM | Rp 153,304 | CREAM, ONCALL DOMESTIC, SANBE | | cream|oncall-domestic|sanbe |
| TOPCORT CREAM | Rp 238,840 | CREAM, ONCALL ASING, SANBE | | cream|oncall-asing|sanbe |
| TOPCORT CREAM | Rp 110,536 | CREAM, ONCALL LOCAL, SANBE | | cream|oncall-local|sanbe |
| 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 |
| TORASIC FC TAB 10 MG | Rp 24,948 | KALBE, TABLET, Visit Domestic | | kalbe|tablet|visit-domestic |
| TORASIC FC TAB 10 MG | Rp 29,938 | KALBE, TABLET, Visit Asing | | kalbe|tablet|visit-asing |
| TORASIC FC TAB 10 MG | Rp 42,464 | KALBE, ONCALL LOCAL, TABLET | | kalbe|oncall-local|tablet |
| TORASIC FC TAB 10 MG | Rp 49,948 | KALBE, ONCALL DOMESTIC, TABLET | | kalbe|oncall-domestic|tablet |
| TORASIC FC TAB 10 MG | Rp 54,938 | KALBE, ONCALL ASING, TABLET | | kalbe|oncall-asing|tablet |
| TPHA | Rp 380,000 | ONCALL ASING | | oncall-asing |
| TPHA | Rp 340,000 | Visit Domestic | | visit-domestic |
| TPHA | Rp 340,000 | Visit Asing | | visit-asing |
| TPHA | Rp 380,000 | ONCALL LOCAL | | oncall-local |
| TPHA | Rp 380,000 | ONCALL DOMESTIC | | oncall-domestic |
| TPHA | Rp 340,000 | Visit Local | | visit-local |
| TRADYL CAPS | Rp 0 | INTERBAT, Kapsul, Visit Local | | interbat|kapsul|visit-local |
| TRADYL CAPS | Rp 0 | INTERBAT, Kapsul, ONCALL DOMESTIC | | interbat|kapsul|oncall-domestic |
| TRADYL CAPS | Rp 0 | INTERBAT, Kapsul, ONCALL ASING | | interbat|kapsul|oncall-asing |
| TRADYL CAPS | Rp 0 | INTERBAT, Kapsul, Visit Domestic | | interbat|kapsul|visit-domestic |
| TRADYL CAPS | Rp 0 | INTERBAT, Kapsul, Visit Asing | | interbat|kapsul|visit-asing |
| TRADYL CAPS | Rp 0 | INTERBAT, Kapsul, ONCALL LOCAL | | interbat|kapsul|oncall-local |
| TRICHODAZOL TAB | Rp 15,782 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| TRICHODAZOL TAB | Rp 40,782 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| TRICHODAZOL TAB | Rp 9,469 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| TRICHODAZOL TAB | Rp 6,313 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| TRICHODAZOL TAB | Rp 31,313 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| TRICHODAZOL TAB | Rp 34,469 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| TRIFED TAB | Rp 35,025 | INTERBAT, ONCALL LOCAL, TABLET | | interbat|oncall-local|tablet |
| TRIFED TAB | Rp 40,038 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| TRIFED TAB | Rp 25,063 | INTERBAT, TABLET, Visit Asing | | interbat|tablet|visit-asing |
| TRIFED TAB | Rp 10,025 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |
| TRIFED TAB | Rp 50,063 | INTERBAT, ONCALL ASING, TABLET | | interbat|oncall-asing|tablet |
| TRIFED TAB | Rp 15,038 | INTERBAT, TABLET, Visit Domestic | | interbat|tablet|visit-domestic |
| TROVENSIS TAB 8 MG | Rp 50,325 | SANBE, TABLET, Visit Domestic | | sanbe|tablet|visit-domestic |
| TROVENSIS TAB 8 MG | Rp 51,938 | ONCALL LOCAL, SANBE, TABLET | | oncall-local|sanbe|tablet |
| TROVENSIS TAB 8 MG | Rp 60,325 | ONCALL DOMESTIC, SANBE, TABLET | | oncall-domestic|sanbe|tablet |
| TROVENSIS TAB 8 MG | Rp 68,713 | ONCALL ASING, SANBE, TABLET | | oncall-asing|sanbe|tablet |
| TROVENSIS TAB 8 MG | Rp 58,713 | SANBE, TABLET, Visit Asing | | sanbe|tablet|visit-asing |
| TROVENSIS TAB 8 MG | Rp 41,938 | SANBE, TABLET, Visit Local | | sanbe|tablet|visit-local |
| UL | Rp 130,000 | ONCALL ASING | | oncall-asing |
| UL | Rp 115,000 | Visit Local | | visit-local |
| UL | Rp 115,000 | Visit Domestic | | visit-domestic |
| UL | Rp 115,000 | Visit Asing | | visit-asing |
| UL | Rp 130,000 | ONCALL LOCAL | | oncall-local |
| UL | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| UNDERPAD | Rp 30,375 | ALKES, Visit Domestic | | alkes|visit-domestic |
| UNDERPAD | Rp 30,375 | ALKES, Visit Asing | | alkes|visit-asing |
| UNDERPAD | Rp 30,375 | ALKES, Visit Local | | alkes|visit-local |
| UNDERPAD | Rp 30,375 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| UNDERPAD | Rp 30,375 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| UNDERPAD | Rp 30,375 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| UREUM | Rp 115,000 | Visit Local | | visit-local |
| UREUM | Rp 115,000 | Visit Domestic | | visit-domestic |
| UREUM | Rp 115,000 | Visit Asing | | visit-asing |
| UREUM | Rp 130,000 | ONCALL LOCAL | | oncall-local |
| UREUM | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| UREUM | Rp 130,000 | ONCALL ASING | | oncall-asing |
| URIC ACID | Rp 130,000 | ONCALL ASING | | oncall-asing |
| URIC ACID | Rp 115,000 | Visit Local | | visit-local |
| URIC ACID | Rp 115,000 | Visit Domestic | | visit-domestic |
| URIC ACID | Rp 115,000 | Visit Asing | | visit-asing |
| URIC ACID | Rp 130,000 | ONCALL LOCAL | | oncall-local |
| URIC ACID | Rp 130,000 | ONCALL DOMESTIC | | oncall-domestic |
| Uric Acid test + Doctor fee | Rp 80,000 | Visit Local | | visit-local |
| Uric Acid test + Doctor fee | Rp 100,000 | Visit Domestic | | visit-domestic |
| Uric Acid test + Doctor fee | Rp 150,000 | Visit Asing | | visit-asing |
| Uric Acid test + Doctor fee | Rp 100,000 | ONCALL LOCAL | | oncall-local |
| Uric Acid test + Doctor fee | Rp 120,000 | ONCALL DOMESTIC | | oncall-domestic |
| Uric Acid test + Doctor fee | Rp 175,000 | ONCALL ASING | | oncall-asing |
| URIN BAG | Rp 54,000 | ALKES, Visit Local | | alkes|visit-local |
| URIN BAG | Rp 54,000 | ALKES, Visit Domestic | | alkes|visit-domestic |
| URIN BAG | Rp 54,000 | ALKES, Visit Asing | | alkes|visit-asing |
| URIN BAG | Rp 54,000 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| URIN BAG | Rp 54,000 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| URIN BAG | Rp 54,000 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| URINTER CAPS | Rp 250,000 | INTERBAT, Kapsul, ONCALL LOCAL | | interbat|kapsul|oncall-local |
| URINTER CAPS | Rp 0 | INTERBAT, Kapsul, Visit Domestic | | interbat|kapsul|visit-domestic |
| URINTER CAPS | Rp 250,000 | INTERBAT, Kapsul, Visit Asing | | interbat|kapsul|visit-asing |
| URINTER CAPS | Rp 285,000 | INTERBAT, Kapsul, Visit Local | | interbat|kapsul|visit-local |
| URINTER CAPS | Rp 250,000 | INTERBAT, Kapsul, ONCALL DOMESTIC | | interbat|kapsul|oncall-domestic |
| URINTER CAPS | Rp 285,000 | INTERBAT, Kapsul, ONCALL ASING | | interbat|kapsul|oncall-asing |
| VAGISTIN SUPP | Rp 105,976 | ADAPOTEK, ONCALL DOMESTIC, SUPP | | adapotek|oncall-domestic|supp |
| VAGISTIN SUPP | Rp 80,976 | ADAPOTEK, SUPP, Visit Domestic | | adapotek|supp|visit-domestic |
| VAGISTIN SUPP | Rp 134,960 | ADAPOTEK, SUPP, Visit Asing | | adapotek|supp|visit-asing |
| VAGISTIN SUPP | Rp 78,984 | ADAPOTEK, ONCALL LOCAL, SUPP | | adapotek|oncall-local|supp |
| VAGISTIN SUPP | Rp 53,984 | ADAPOTEK, SUPP, Visit Local | | adapotek|supp|visit-local |
| VAGISTIN SUPP | Rp 159,960 | ADAPOTEK, ONCALL ASING, SUPP | | adapotek|oncall-asing|supp |
| VDRL | Rp 230,000 | Visit Local | | visit-local |
| VENTOLIN NEBULES 2.5 MG AMP | Rp 123,881 | ADAPOTEK, NEBUL, ONCALL ASING | | adapotek|nebul|oncall-asing |
| VENTOLIN NEBULES 2.5 MG AMP | Rp 59,328 | ADAPOTEK, NEBUL, Visit Domestic | | adapotek|nebul|visit-domestic |
| VENTOLIN NEBULES 2.5 MG AMP | Rp 84,328 | ADAPOTEK, NEBUL, ONCALL DOMESTIC | | adapotek|nebul|oncall-domestic |
| VENTOLIN NEBULES 2.5 MG AMP | Rp 39,552 | ADAPOTEK, NEBUL, Visit Local | | adapotek|nebul|visit-local |
| VENTOLIN NEBULES 2.5 MG AMP | Rp 98,881 | ADAPOTEK, NEBUL, Visit Asing | | adapotek|nebul|visit-asing |
| VENTOLIN NEBULES 2.5 MG AMP | Rp 64,552 | ADAPOTEK, NEBUL, ONCALL LOCAL | | adapotek|nebul|oncall-local |
| VERBAN | Rp 57,375 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| VERBAN | Rp 57,375 | ALKES, Visit Domestic | | alkes|visit-domestic |
| VERBAN | Rp 57,375 | ALKES, Visit Asing | | alkes|visit-asing |
| VERBAN | Rp 57,375 | ALKES, Visit Local | | alkes|visit-local |
| VERBAN | Rp 57,375 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| VERBAN | Rp 57,375 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| VERORAB INJ | Rp 950,000 | ADAPOTEK, INFUS, INJEKSI, ONCALL DOMESTIC | | adapotek|infus|injeksi|oncall-domestic |
| VERORAB INJ | Rp 1,100,000 | ADAPOTEK, INFUS, INJEKSI, Visit Asing | | adapotek|infus|injeksi|visit-asing |
| VERORAB INJ | Rp 800,000 | ADAPOTEK, INFUS, INJEKSI, ONCALL LOCAL | | adapotek|infus|injeksi|oncall-local |
| VERORAB INJ | Rp 1,100,000 | ADAPOTEK, INFUS, INJEKSI, ONCALL ASING | | adapotek|infus|injeksi|oncall-asing |
| VERORAB INJ | Rp 800,000 | ADAPOTEK, INFUS, INJEKSI, Visit Local | | adapotek|infus|injeksi|visit-local |
| VERORAB INJ | Rp 950,000 | ADAPOTEK, INFUS, INJEKSI, Visit Domestic | | adapotek|infus|injeksi|visit-domestic |
| VICRYL BENANG | Rp 506,250 | ALKES, Visit Domestic | | alkes|visit-domestic |
| VICRYL BENANG | Rp 506,250 | ALKES, Visit Asing | | alkes|visit-asing |
| VICRYL BENANG | Rp 506,250 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| VICRYL BENANG | Rp 506,250 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| VICRYL BENANG | Rp 506,250 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| 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 |
| VOMCERAN 8 MG INJ | Rp 0 | INFUS, INJEKSI, KALBE, Visit Asing | | infus|injeksi|kalbe|visit-asing |
| VOMCERAN 8 MG INJ | Rp 0 | INFUS, INJEKSI, KALBE, ONCALL LOCAL | | infus|injeksi|kalbe|oncall-local |
| VOMCERAN 8 MG INJ | Rp 0 | INFUS, INJEKSI, KALBE, Visit Domestic | | infus|injeksi|kalbe|visit-domestic |
| VOMCERAN 8 MG INJ | Rp 0 | INFUS, INJEKSI, KALBE, ONCALL DOMESTIC | | infus|injeksi|kalbe|oncall-domestic |
| VOMCERAN 8 MG INJ | Rp 0 | INFUS, INJEKSI, KALBE, ONCALL ASING | | infus|injeksi|kalbe|oncall-asing |
| VOSEDON SUSP | Rp 301,568 | ONCALL ASING, SANBE, SYRUP | | oncall-asing|sanbe|syrup |
| VOSEDON SUSP | Rp 276,568 | SANBE, SYRUP, Visit Asing | | sanbe|syrup|visit-asing |
| VOSEDON SUSP | Rp 135,627 | ONCALL LOCAL, SANBE, SYRUP | | oncall-local|sanbe|syrup |
| VOSEDON SUSP | Rp 110,627 | SANBE, SYRUP, Visit Local | | sanbe|syrup|visit-local |
| VOSEDON SUSP | Rp 190,941 | ONCALL DOMESTIC, SANBE, SYRUP | | oncall-domestic|sanbe|syrup |
| VOSEDON SUSP | Rp 165,941 | SANBE, SYRUP, Visit Domestic | | sanbe|syrup|visit-domestic |
| VRDL | Rp 230,000 | Visit Domestic | | visit-domestic |
| VRDL | Rp 230,000 | Visit Asing | | visit-asing |
| VRDL | Rp 260,000 | ONCALL LOCAL | | oncall-local |
| VRDL | Rp 260,000 | ONCALL DOMESTIC | | oncall-domestic |
| VRDL | Rp 260,000 | ONCALL ASING | | oncall-asing |
| WATERPROOF BANDAGE 15,5X8,5 | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| WATERPROOF BANDAGE 15,5X8,5 | Rp 0 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| WATERPROOF BANDAGE 15,5X8,5 | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| WATERPROOF BANDAGE 15,5X8,5 | Rp 0 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| WATERPROOF BANDAGE 15,5X8,5 | Rp 0 | ALKES, Visit Domestic | | alkes|visit-domestic |
| WATERPROOF BANDAGE 15,5X8,5 | Rp 0 | ALKES, Visit Asing | | alkes|visit-asing |
| WATERPROOF BANDAGE 9,5X8,5 | Rp 0 | ALKES, Visit Domestic | | alkes|visit-domestic |
| WATERPROOF BANDAGE 9,5X8,5 | Rp 0 | ALKES, Visit Asing | | alkes|visit-asing |
| WATERPROOF BANDAGE 9,5X8,5 | Rp 0 | ALKES, Visit Local | | alkes|visit-local |
| WATERPROOF BANDAGE 9,5X8,5 | Rp 0 | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| WATERPROOF BANDAGE 9,5X8,5 | Rp 0 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| WATERPROOF BANDAGE 9,5X8,5 | Rp 0 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| WIDAL | Rp 310,000 | Visit Local | | visit-local |
| WIDAL | Rp 350,000 | ONCALL ASING | | oncall-asing |
| WIDAL | Rp 310,000 | Visit Domestic | | visit-domestic |
| WIDAL | Rp 310,000 | Visit Asing | | visit-asing |
| WIDAL | Rp 350,000 | ONCALL LOCAL | | oncall-local |
| WIDAL | Rp 350,000 | ONCALL DOMESTIC | | oncall-domestic |
| WING NEEDLE TERUMO | | ALKES, ONCALL DOMESTIC | | alkes|oncall-domestic |
| WING NEEDLE TERUMO | Rp 87,750 | ALKES, ONCALL ASING | | alkes|oncall-asing |
| WING NEEDLE TERUMO | Rp 87,750 | ALKES, ONCALL LOCAL | | alkes|oncall-local |
| WING NEEDLE TERUMO | Rp 87,750 | ALKES, Visit Domestic | | alkes|visit-domestic |
| WING NEEDLE TERUMO | Rp 87,750 | ALKES, Visit Asing | | alkes|visit-asing |
| 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 10 MG TAB | Rp 11,475 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| ZEVASK 10 MG TAB | Rp 29,590 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| ZEVASK 10 MG TAB | Rp 31,885 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| ZEVASK 10 MG TAB | Rp 36,475 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| ZEVASK 10 MG TAB | Rp 6,885 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| ZEVASK 5 MG TAB | Rp 4,155 | ADAPOTEK, TABLET, Visit Domestic | | adapotek|tablet|visit-domestic |
| ZEVASK 5 MG TAB | Rp 27,770 | ADAPOTEK, ONCALL LOCAL, TABLET | | adapotek|oncall-local|tablet |
| ZEVASK 5 MG TAB | Rp 29,155 | ADAPOTEK, ONCALL DOMESTIC, TABLET | | adapotek|oncall-domestic|tablet |
| ZEVASK 5 MG TAB | Rp 2,770 | ADAPOTEK, TABLET, Visit Local | | adapotek|tablet|visit-local |
| ZEVASK 5 MG TAB | Rp 6,926 | ADAPOTEK, TABLET, Visit Asing | | adapotek|tablet|visit-asing |
| ZEVASK 5 MG TAB | Rp 31,926 | ADAPOTEK, ONCALL ASING, TABLET | | adapotek|oncall-asing|tablet |
| ZYCIN 500 MG TAB | Rp 185,046 | INTERBAT, ONCALL ASING, TABLET | | interbat|oncall-asing|tablet |
| ZYCIN 500 MG TAB | Rp 141,285 | INTERBAT, ONCALL LOCAL, TABLET | | interbat|oncall-local|tablet |
| ZYCIN 500 MG TAB | Rp 185,046 | INTERBAT, ONCALL DOMESTIC, TABLET | | interbat|oncall-domestic|tablet |
| ZYCIN 500 MG TAB | Rp 175,046 | INTERBAT, TABLET, Visit Domestic | | interbat|tablet|visit-domestic |
| ZYCIN 500 MG TAB | Rp 175,046 | INTERBAT, TABLET, Visit Asing | | interbat|tablet|visit-asing |
| ZYCIN 500 MG TAB | Rp 131,285 | INTERBAT, TABLET, Visit Local | | interbat|tablet|visit-local |