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Understanding IDAK and CDAKB: The Two Pillars of Medical Device Distribution in Indonesia

Understanding IDAK and CDAKB: The Two Pillars of Medical Device Distribution in Indonesia

Dr. Hussein H. Mashhour, MD
July 9, 2026

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Anyone planning to distribute medical devices in Indonesia will quickly run into two acronyms: IDAK and CDAKB. They are often mentioned together, but they are not the same thing. One is a business license, the other is a quality management standard. Understanding the difference, and how they work together is the first step before diving into the technical details of each one.

IDAK and CDAKB Explained Medical Device Distribution Rules in Indonesia

What Is IDAK?

IDAK stands for Izin Distribusi Alat Kesehatan, or Medical Device Distribution License. It is the official permit a business entity must hold before it is legally allowed to procure, store, distribute, or supply medical devices in Indonesia, whether at wholesale or retail scale.

IDAK is issued through Indonesia’s risk-based licensing system, OSS-RBA (Online Single Submission – Risk-Based Approach), under business classification code KBLI 46691, which covers large scale trade in pharmaceutical, laboratory, and medical devices. The license itself is approved with technical clearance from the Ministry of Health (Kemenkes), through the Directorate General of Pharmaceutical and Medical Devices (Ditjen Farmalkes).

IDAK is actually a newer term for what used to be called IPAK (Izin Penyalur Alat Kesehatan), regulated under Minister of Health Regulation (Permenkes) No. 1191/Menkes/Per/VIII/2010 on Medical Device Distribution. When Indonesia moved to the integrated OSS-RBA licensing framework, this was folded into Permenkes No. 14 of 2021 on Standards for Business Activities and Products in Risk-Based Business Licensing in the Health Sector, which now serves as the primary legal basis for issuing IDAK today.

To obtain IDAK, a company generally needs to show:

  • A legally established business entity (PT or cooperative) with a valid deed of establishment reflecting activity in the medical device sector.
  • A Business Identification Number (NIB) under KBLI 46691.
  • Physical premises (office and warehouse)that meet distribution standards (virtual offices are not accepted for this purpose). Importantly, the license is tied to this specific registered address, so relocating the office or warehouse later means the company must update or reprocess its IDAK accordingly, rather than simply carrying the existing license over to the new location.
  • A Penanggung Jawab Teknis (PJT), or Responsible Technical Person, with a relevant educational background such as pharmacy, electromedical engineering, medical laboratory technology, or public health, registered in the Ministry of Health’s information system.
  • Compliance with CDAKB, the good distribution practice standard discussed below.

Without IDAK, a company cannot legally import, store, or distribute medical devices in Indonesia, doing so is treated as unauthorized distribution and can trigger administrative sanctions or legal consequences under Indonesia’s Health Law.

What Is CDAKB?

CDAKB stands for Cara Distribusi Alat Kesehatan yang Baik, or Good Distribution Practice for Medical Devices. Where IDAK is the license to operate, CDAKB is the operational and quality standard that a distributor must actually follow once it is operating.

The legal foundation for CDAKB is Minister of Health Regulation (Permenkes) No. 4 of 2014 on Good Distribution Practice for Medical Devices. According to the Ministry of Health’s own published module on this regulation, Article 2 Paragraph 1 of Permenkes No. 4/2014 states that every medical device distributor, and every branch of a distributor, must implement CDAKB when carrying out distribution activities. The Ministry notes that CDAKB is modeled on the international standard for Good Distribution Practice (GDP), adapted to Indonesia’s regulatory context.

CDAKB sets out requirements covering, among others:

  • Quality management systems, documented, structured, and consistently applied.
  • Personnel management, including competency and training records for staff handling medical devices.
  • Facilities and infrastructure, proper storage conditions to prevent damage or contamination.
  • Procurement, storage, and transportation, ensuring the integrity of devices throughout the supply chain.
  • Traceability, the ability to track a product’s movement, which supports authenticity and helps prevent counterfeit or substandard devices from reaching end users.
  • Control over outsourced activities, where third parties are involved in parts of the distribution process.

CDAKB applies across the main categories of regulated medical devices: radiation based electromedical devices, non-radiation electromedical devices, sterile non-electromedical devices, non-sterile non-electromedical devices, and in-vitro diagnostic devices.

How IDAK and CDAKB Work Together

It helps to think of it this way: IDAK is the permission to be a distributor; CDAKB is the proof that the distributor knows how to do it properly. In practice, a company applying for IDAK is expected to demonstrate that it meets CDAKB requirements as part of the licensing process, since Kemenkes ties the operational standard to the license itself. A company cannot simply hold a legal permit while ignoring how it actually stores or transports devices, the two are meant to function as a single system of accountability, from paperwork down to the warehouse floor.

This linkage also reflects the broader intent behind Indonesia’s medical device regulations: making sure that every device reaching a hospital, clinic, or patient has passed through a chain of custody that is licensed, monitored, and quality-controlled from the point of import or manufacture to the point of use.

Why This Matters for Businesses Entering the Indonesian Market

For foreign manufacturers and local distributors alike, IDAK and CDAKB are not optional formalities, they are prerequisites for legally operating in Indonesia’s medical device sector, and they are closely tied to obtaining a product’s marketing authorization (Izin Edar) as well. Companies that overlook either requirement risk delays, rejected applications, or regulatory action once operations are underway.

Because both frameworks involve detailed technical, administrative, and human resource requirements, businesses often work with experienced regulatory consultants to navigate the application process through OSS-RBA and ensure their operations align with CDAKB from day one.

Need Help Securing IDAK and CDAKB Compliance?

Navigating IDAK licensing and CDAKB certification can be time-consuming without the right local expertise, from preparing the correct SOPs to appointing a qualified Penanggung Jawab Teknis and passing Kemenkes assessment. Product Registration Indonesia helps foreign manufacturers and local distributors manage the entire process, from OSS-RBA licensing to CDAKB readiness and medical device marketing authorization (Izin Edar), so your products can enter and stay in the Indonesian market without regulatory setbacks.

Sources

  • Directorate General of Pharmaceutical and Medical Devices, Ministry of Health of the Republic of Indonesia (Ditjen Farmalkes Kemenkes RI), Module on Good Distribution Practice of Medical Device, farmalkes.kemkes.go.id
  • Minister of Health Regulation (Permenkes) No. 4 of 2014 on Good Distribution Practice for Medical Devices (Cara Distribusi Alat Kesehatan yang Baik)
  • Minister of Health Regulation (Permenkes) No. 1191/Menkes/Per/VIII/2010 on Medical Device Distribution
  • Minister of Health Regulation (Permenkes) No. 14 of 2021 on Standards for Business Activities and Products in Risk-Based Business Licensing in the Health Sector
Picture of Dr. Hussein H. Mashhour, MD
Dr. Hussein H. Mashhour, MD
Dr. Hussein has led complex product registrations with Indonesia’s MoH, BPOM, and CDAKB for IVDs, digital health, and medical devices. With expertise in market access and compliance, he helps global firms scale across Southeast Asia.
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Frequently Asked Questions (FAQ)

What is the difference between IDAK and CDAKB?

IDAK is the legal license that allows a company to operate as a medical device distributor in Indonesia, issued through OSS-RBA with technical approval from Kemenkes. CDAKB is the good distribution practice standard that the same company must follow in its day-to-day operations, covering quality management, storage, transportation, and traceability.

Is IDAK required to obtain CDAKB certification?

Yes. A company must first be legally established as a licensed distributor through IDAK before it can be assessed for CDAKB compliance, since CDAKB certification applies to an already-licensed entity’s operations rather than being obtained independently. In other words, IDAK is the legal foundation a business needs in place before CDAKB can be pursued and verified.

What was IDAK called before, and why did the name change?

IDAK was previously known as IPAK (Izin Penyalur Alat Kesehatan) under Permenkes No. 1191/Menkes/Per/VIII/2010. The terminology and licensing mechanism were updated after Indonesia adopted the OSS-RBA risk-based licensing system, with Permenkes No. 14 of 2021 now serving as the main legal basis.

Which types of medical devices fall under CDAKB requirements?

CDAKB applies to radiation-based electromedical devices, non-radiation electromedical devices, sterile non-electromedical devices, non-sterile non-electromedical devices, and in-vitro diagnostic devices.

What happens if a company distributes medical devices without IDAK or without following CDAKB?

Distributing medical devices without a valid IDAK, or failing to follow CDAKB standards, is treated as non-compliant under Indonesia’s Health Law and related Ministry of Health regulations, and can result in administrative sanctions or further legal action.

What is the point of holding IDAK without CDAKB, why doesn't the government just merge the two into one requirement?

In practice, a company cannot really hold IDAK on paper while ignoring CDAKB, since Kemenkes ties CDAKB compliance to the licensing process itself. The reason the two are kept as separate instruments rather than merged into one is that they serve different regulatory functions: IDAK is a business license issued once through OSS-RBA to confirm a company’s legal right to operate as a distributor, while CDAKB is a living operational standard that must be continuously implemented, audited, and re-evaluated over time as the business runs. Keeping them separate allows the government to monitor and enforce quality practices on an ongoing basis, through inspections and periodic assessment without having to reissue or revoke the underlying business license every time an operational finding needs to be corrected. This mirrors how many countries separate a “permit to operate” from a “certified operating standard” in regulated industries.

Where does the bottleneck usually happen in getting CDAKB compliance?

Most delays are not about the license application itself but about closing the gap between a company’s actual warehouse and quality practices and what CDAKB requires on paper. Common bottlenecks include: preparing complete and internally consistent SOPs (procurement, storage, complaint handling, product recall, traceability); ensuring the Penanggung Jawab Teknis (PJT) genuinely understands and can defend the system during assessment, not just hold the title; physical facility adjustments such as proper storage segregation, temperature control, and racking; and the internal audit or self-assessment stage, which often takes longer than expected because gaps only become visible once documentation is checked against real day-to-day practice.

Is CDAKB the same as a QMS under ISO 13485?

They share the same underlying philosophy, both are quality management frameworks built around Good Distribution Practice principles for medical devices, covering procurement, storage, traceability, and complaint handling. However, CDAKB is Indonesia’s own regulatory standard under Permenkes No. 4 of 2014, assessed directly by Kemenkes, while ISO 13485 is an international certification issued by an accredited third-party body. Holding ISO 13485 certification does not automatically satisfy CDAKB, the company’s existing QMS documentation typically needs to be mapped and adapted to match Kemenkes’ specific local requirements and assessment criteria.

Should a company aim for the minimum requirement, or prepare beyond what CDAKB asks for?

Undershooting is a common and costly mistake. Because CDAKB assessments involve judgment calls by Kemenkes assessors and requirements can be interpreted or applied differently case by case, companies are better served by building systems that are overqualified relative to the minimum, anticipating documentation, SOPs, and facility standards beyond the bare checklist rather than matching it exactly. A distributor that only meets the floor of what is written in the regulation risks being asked for additional evidence or revisions during assessment, which extends the process; a distributor that anticipates likely follow-up questions and edge cases tends to move through licensing and audits more smoothly.

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