Lampiran 2. Biaya Model Terapi Antidiabetes selama 3-4 bulan
No Model Terapi Antidiabetik
Harga satuan Jumlah (Unit)
Total Harga
1. Metformin 156,00 519 80.964,00
2 Metformin-Glurenorm 156,00 - 1.620,00 644 - 420 780.864,00 3 Metformin-Glucodex 156,00 - 372,00 480 - 240 164.160,00 4 Metformin-Diaversa 156,00 - 660,00 810 - 420 403.560,00 5 Diaversa-Eclid 660,00 - 1.170,00 362 - 561 895.290,00
6 Novomix 121.900,00 123 14.993.700,00
7 Novomix-Metformin 121.900,00 - 156,00
56 - 510 6.905.960,00
8 Novomix-Lantus 121.900,00 - 97.750,00
Lampiran 5. Contoh Perhitungan Efektivitas rata-rata KGD
Antidiabetes Metformin
No Nomor RM Penurunan Kadar Gula Darah (mg/dL)
1 00.00.00.20 15,5
2 00.00.00.20 10,8
3 00.01.18.72 11
Efektivitas Rata-rata = 15,5 - 10,8 - 11 3
Lampiran 7. Contoh Perhitungan ICER (Incremental cost-effectiveness ratio)
Antidiabetes Diaversa-Eclid (Obat A)
Antidiabetes Metformin (Obat B)