At the beginning of its establishment in 1997, Otsuka was an affiliated company of Otsuka Pharmaceutical Co., Ltd. Japan which started its journey in Indonesia under the name PT Kapal Indah Otsuka. This company was formed from the joint investment between Otsuka Pharmaceutical Japan and PT Kapal Api with Pocari Sweat as its first product. Then in 1999, PT Kapal Indah Otsuka changed its name to PT Amerta Indah Otsuka. As the company grew, in 2004 PT Amerta Indah Otsuka opened its first factory located in Sukabumi, West Java, following 6 years later the Pocari Sweat factory in Kejayan, Pasuruan, East Java was established. With its success in marketing its products, until now the products produced have been distributed throughout Indonesia. PT Amerta Indah Otsuka intensively distributes both directly through official branch offices and distributors spread throughout Indonesia and Southeast Asia.