Main Article Content
Abstract
The e-catalogue pricing system for medicines under Indonesia’s National Health Insurance (JKN) and the high dependence on imported raw materials create major external pressures on the financial performance of local pharmaceutical firms. This study analyses how e-catalogue price pressure and rupiah–US dollar fluctuations relate to cost structure, key financial ratios, and financial distress risk using the modified Altman Z-Score. A descriptive qualitative design was applied to two listed companies, PT Darya Varia Laboratoria Tbk (DVLA) and PT Kalbe Farma Tbk (KLBF) for 2019–2023, using secondary data from audited consolidated financial statements, annual reports, and sustainability reports. Financial ratios and Z-Scores were calculated in Excel and interpreted together with thematic document analysis of adaptive strategies. Results show margin compression, particularly in JKN-related lines, and higher cost exposure when the rupiah depreciated. Nevertheless, both firms remained in the safe zone throughout the period (DVLA Z-Score 6.26-7.45; KLBF 9.82-11.68), indicating strong financial resilience. KLBF’s gross profit margin declined from 45.3% (2019) to 38.8% (2023), while DVLA maintained a relatively stable gross profit margin from 51% (2019) to 54% (2023) but faced rising operating costs. Adaptive strategies, such as OTC diversification, supply-chain integration, foreign rate exchange risk management, and local raw-material initiatives, helped mitigate policy and currency shocks. The study highlights the importance of cost-structure efficiency, foreign-exchange risk controls, and domestic raw-material capability to sustain competitiveness under national pricing regulation and global volatility.
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Copyright (c) 2026 Ari Nugroho, Faizatun, Lies Putriana

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
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References
Kementerian Kesehatan Republik Indonesia, Peraturan Menteri Kesehatan No. 1799/ MENKES/PER/XII/2010 tentang Industri Farmasi, retrieved from https://farmalkes.kemkes.go.id/unduh/permenkes-1799-2010/
Yuditia, Aria, Yusup Hidayat, and Suparji Achmad. Pelaksanaan Jaminan Kesehatan Nasional Oleh BPJS Berdasarkan Undang-Undang No. 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional. Jurnal Magister Ilmu Hukum 6.1 (2021): 43-61.
Raharni, Raharni, Sudibyo Supardi, and Ida Diana Sari. Kemandirian dan Ketersediaan Obat Era Jaminan Kesehatan Nasional (JKN): Kebijakan, Harga, dan Produksi Obat. Media Penelitian dan Pengembangan Kesehatan 28.4 (2018): 219-228.
Anggriani Y, Ramadaniati HU, Sarnianto P, Pontoan J, Suryawati S. The Impact Of Pharmaceutical Policies On Medicine Procurement Pricing In Indonesia Under The Implementation Of Indonesia’s Social Health Insurance System. Value Health Reg Issues. 2020;21:1–8. doi:10.1016/j.vhri.2019.05.005
Lim, Harianto, and Rofikoh Rokhim. Factors Affecting Profitability Of Pharmaceutical Company: An Indonesian Evidence. Journal of Economic Studies 48.5 (2021): 981-995.
Kartika, A. N. (2023). Upaya Kemandirian Bahan Baku Obat Dalam Pengembangan Industri Farmasi Di Indonesia. Berkala Ilmiah Mahasiswa Farmasi Indonesia (BIMFI), 10(1), 21–32. https://doi.org/10.48177/bimfi.v10i1.105.
Achyar, N. N. I., Hartoyo, H., Palupiningrum, A. W., & Ilmi, S. W. (2024). Operational Risk Management pada PT Kimia Farma Sungwun Pharmacopia. Oikonomia: Jurnal Manajemen, 20(2), 179-194.
Satibi, S., et al. Pharmaceutical Supply Chain Management In Supporting Drugs Avaibility In The JKN Era In Indonesia. International Journal of Scientific & Technology Research 9.04 (2020).
Keuangan, Otoritas Jasa. Peraturan Otoritas Jasa Keuangan Nomor 29/POJK. 04/2016 tentang Laporan Tahunan Emiten atau Perusahaan Publik. Jakarta: Otoritas Jasa Keuangan Republik Indonesia (2016).
Anggreni, Rima., Analisis Perbandingan Financial Distress Dengan Menggunakan Model Altman, Springate, Zmijewski dan Grover, 2022.
Hikmah, Hikmah. Prediksi Kebangkrutan Dengan Altman Z-Score Dan Harga Saham Pada Perusahaan Manufaktur. Perisai: Islamic Banking and Finance Journal 2.2 (2018): 121-136.
Aulia, Mohammad Azhar, Vaya Juliana Dillak, and Ruri Octania Dinata. Analisis Financial Distress Menggunakan Metode Altman Z-Score (Studi Kasus Perusahaan Farmasi Periode 2017-2021 Yang Terdaftar Di Bursa Efek Indonesia). eProceedings of Management 10.4 (2023).
Wulandari, Fitria, Burhanudin, and Rochmi Widayanti. Analisis Prediksi Kebangkrutan Menggunakan Metode Altman (Z-Score) Pada Perusahaan Farmasi (Studi Kasus Pada Perusahaan yang Terdaftar di Bursa Efek Indonesia Tahun 2011-2015). Benefit: Jurnal Manajemen Dan Bisnis 2.1 (2017): 15-27.
Altman, Edward I. Financial Ratios, Discriminant Analysis And The Prediction Of Corporate Bankruptcy. The journal of finance 23.4 (1968): 589-609.
Altman, E. I., Iwanicz-Drozdowska, M., Laitinen, E. K., & Suvas, A. (2010). Financial Distress Prediction In An International Context: A Review And Empirical Analysis Of Altman’s Z-Score Model. Journal of International Financial Management & Accounting, 21(3), 249–270.
Ramadhani, A. S., & Lukviarman, N. (2009). Perbandingan Analisis Prediksi Kebangkrutan Menggunakan Model Altman Pertama, Altman Revisi, Dan Altman Modifikasi Dengan Ukuran Dan Umur Perusahaan Sebagai Variabel Penjelas (Studi Pada Perusahaan Manufaktur Yang Terdaftar Di Bursa Efek Indonesia). Jurnal Siasat Bisnis, 13(1).
Ross, S. A., Westerfield, R. W., & Jaffe, J, Corporate Finance. New York: McGraw-Hill Education, 2019.
Brigham, E. F., & Daves, P. R. (2021). Intermediate Financial Management (14th ed.). Cengage Learning.
Munawir, Analisis Laporan Keuangan, Yogyakarta: Liberty, 2000.
Kasmir, Analisis Laporan Keuangan. Jakarta: Raja Grafindo Persada, 2020.
Hery, Analisis Laporan Keuangan. Jakarta: Grasindo, 2018.
Sujarweni, V.W, Analisis Laporan Keuangan: Teori, Aplikasi, dan Hasil Penelitian. Yogyakarta: Pustaka Baru Press, 2017.
Creswell, J. W. (2009). Research Design Qualitative, Quantitative, and Mix Methods Approaches. In V. Knight (Ed.), Jurnal Fisika Unand. SAGE Publication, Inc. https://doi.org/10.25077/jfu.3.4.205-213.2014
Bogdan, R., & Biklen, S. K. (2006). Qualitative Research for Education: An Introduction to Theories and Methods, Fifth Edition (5th edition). Pearson.
Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77–101.
Yin RK. Case Study Research and App- lications: Design and Methods. 6th ed. Thousand Oaks, CA: SAGE; 2018.
Porter ME. Competitive Strategy: Techni-ques for Analyzing Industries and Competitors. New York: Free Press; 1980.
Weihrich H. The TOWS Matrix-A Tool for Situational Analysis. Long Range Planning. 1982;15(2):54–66.
Barney JB. Firm Resources and Sustained Competitive Advantage. Journal of Management. 1991;17(1):99–120.
Miles, R. E., & Snow, C. C. (1978). Organizational Strategy, Structure, and Process. McGraw-Hill.
Sheffi, Y. (2007). The Resilient Enterprise: Overcoming Vulnerability For Competitive Advantage. MIT Press.
Lengnick-Hall, C. A., Beck, T. E., & Lengnick-Hall, M. L. (2011). Developing A Capacity For Organizational Resilience Through Strategic Human Resource Management. Human Resource Management Review, 21(3), 243–255.
