LAPORAN OBAT DEPO REGULER INSTALASI FARMASI

BULAN MEI 2015

NAMA OBAT
AB Vask 5
Acarbose 50 mg
Aclam 125 mg Syr
Aclam 250 mg F Syr
Aclam 500 tab
Aclam Forte Dry Syrup
Acne feldin
Acran Inj
Acran Tablet
Actravid
Acyclovir 200 mg tab
Acyclovir 400 mg tab
Adalat 50
Adalat Oros 20 mg
Adalat Oros 30 mg (AAM)
Adona AC / Carbazocrom Na-sulfonat
ADONA AC INJEK 25 MG
Adrenalin 0,1 % 1 ml / Epinephrin
Aggravan tab
Aggravan Tablet
Akilen 200mg
Akilen Ear Drop
Albendazol 400 mg
Albothyl / Kondensasi Polikresulen 360 mg/g 10 ml
Albumin ( Human ) 20 gr/100 ml
Alco Drop
Alco syr
Aldisa SR Tablet
Aldomer tab 5mg
Alganax 0.25
Alganax 0.5
Alganax 1mg
Alinamin F Injeksi (UDC)
Alinamin F TAB
Alinamin-F Odorless Fursultiamine 25 mg 10 ml
Alista
Alkohol 100ml
Allopurinol 100 mg (BERNO)
Allopurinol 300mg
Alloris syr
Alloris tab
Alluric 100 mg
Alluric 300 mg
Almen 5 mg
Aloclair Plus
Alprazolam 0,5 mg
Amadiab 2 mg Tablet
Ambeven
Ambroxol 30 mg (berno)
Ambroxol Drops 15 mg/ml 15 ml
Ambroxol Suspensi (berno)
Amikasin Injeksi
Aminofluid
Aminofluid L 500 ml (CSM)
Aminofusin Infus
Aminofusin L 600
Aminophilin 200 MG
Aminophilin 24 MG/ML
Aminophylin 225 mg / Phyllocontin

STOK OPNAME
103
4
14
44

55
10
178

100

90
13
5
26
15

4
90

65
200
2
210
159
117
5

8
17
Ambeven
134
4

Aminovel Infus/ Infus 600 ( Amino acid 50 gr,Sorbitol 100 gr ) 500 ml

Amitriptilin 25 mg
Amlodipin 10 mg (bern)
Amlodipin 5 mg (berno)
Amlodipin 5 mg (phapros)
Amlodipin 5mg (bern)
Amoksisilin 500 mg (Berno)
Amoksisilin 1 gr Injeksi
Amoksisilin DRY 125 mg/5 ml 60 ml (BERNO)
Amoxan 125 mg Syr
Amoxan 250 mg F Syr
Amoxan 500 tab
Amoxan Drop
Amoxan Forte DS
Amoxsan Drop
Ampiride 2mg
Ampisilin 1 gr (NR)
Ampisilin 500 mg
Ampisilin suspensi kering 125 mg
Analsik
Ancefa dry syr (MPI)
Ancefa F Syr
Ancefa Syr
Ancefa tab 500 mg

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

125
403
867
161
3
4
159
16

10

5
10

Tablet
Tablet
fls
fls
Tablet
botol
Botol
Ampul
Tablet
vial
tab
tab
tab
tab
Tablet
tab
ampul
Ampul
tab
tab
tab
fls
Tablet
Fles
Botol
fls
fls
tab
tab
tab
tab
Tablet
ampul
tab
Ampul
tab
fls
Tablet
Tablet
fls
tab
tab
tab
tab
fls
Tablet
tab
Tablet
Tablet
Fles
Fles
VIAL
Botol
fls
colf
Botol
Tablet
Ampul
tablet

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

4,400.00
1,186
42,240.00
59,840.00
9,680.00
59,840
36,383.00
18,186.40
4,276.80
368,445
387.79
485.63
1,721
7,026

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

2,217.60
14,000
9,500.00
6,930
6,930
7,562.50
51,599
406.27
32,340.00
900,000
46,881.00
22,880.00
5,429
12,364
1,309.00
1,936.00
2,904
14,972.54
875.00
15,721
6,600.00
4,180.00
140.25
220.50
37,884.00
3,989.70
1,732.50
2,887.50
13,200
95,288.00
585
2,992.00
1,270.50
208.89

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

4,950.00
74,052
99,275
121,000.00
205,013
79,118
107.53
6,187.50

Botol

Rp

79,200

Tablet
tab
Tablet
Tablet
tab
Tablet
Vial
Botol
fls
fls
tab
fls
fls
fls
tab
Vial
Tablet
botol
tab
Botol
fls
fls
tab

Rp
Rp
Rp
Rp
Rp
Rp

144.01
812.80
366.30
222.57
806
310.80

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

4,620.00
20,003.00
28,527.00
2,915.55
20,003.00
27,829
19,513
3,539
6,113.25
448.00
3,400
1,258.95
37,647.50
71,500.00
41,800.00
7,744

(Rp)

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

###
132,000.00
-#
###
422,400.00
###
418,880.00
87,120.00
###
-#
###
145,532.00
###
272,796.00
650,073.60
###
-#
###
85,313.80
###
4,856.28
-#
-#
-#
###
221,760.00
-#
###
275,499.88
-#
-#
###
302,500.00
-#
###
6,094.00
###
97,020.00
-#
328,167.00
###
###
411,840.00
-#
-#
###
153,153.00
###
373,648.00
-#
###
179,670.48
###
83,125.00
-#
###
1,320,000.00
###
12,540.00
###
10,098.00
78,937.81
###
###
416,724.00
###
526,640.40
###
8,662.50
129,937.50
###
-#
###
762,304.00
-#
###
50,864.00
###
101,640.00
###
64,964.79
-#
###
39,600.00
-#
-#
###
847,000.00
-#
-#
###
14,516.55
###
117,562.50
-#

- Rp

#
###
23,761.65
###
126,796.61
###
###
81,236.83
-#
###
21,134.40
-#
###
27,720.00
###
140,021.00
###
###
323,626.05
###
480,072.00
-#
-#
-#
140,604.75
###
###
33,600.00
-#
###
173,735.10
###
###
715,000.00
###
-#

30
10
7
9
4
15
152
220
10
100
29
40
15
3
7
18
117
193
12
95
200
3
72
358
11
132
5
45
8
17
80
311
8
7
135
19
-

165
156
365
68
6
7
111
24
23
75
138
10
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

Halaman 1

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Anemolat
Anemolat 1 mg
Antalgin / Metampiron 500 mg
Antasida DOEN (KF)
Antasida DOEN Suspensi 60 ml (KF)
Anti Bisa Ular ( ABU )
Anti Hemoroid DOEN Kombinasi
Antrain Injek (CSM)
Apialys Drop
Apialys Drop (MPI)
Apialys Syr
Apialys Syrup 100 ml
Apidra Solostar Pen (APL)
Apisate
Aqua Bidest 20 ml (Berno)
Aqua Steril 1000 ml
AquaBidest (otsu rajawali)
Ardium Tab HD
Aricept
Arixtra 2,5 mg
Artodar
Artodar
Asabium
Asam Asetilsalisilat 100 mg
Asam Asetilsalisilat 80 mg
Asam Folat 200 mcg
Asam Mefenamat 500 mg (CSM)
Asam Traneksamat 250 mg/ml 5 ml (Berno)
Asam Traneksamat 500 mg
Asam Tranexamat 100 mg/ml (csm)
Asam Tranexamat 500 mg/5ml Injeksi
Ascavin 4mg tab
Asedas Sirup
Asering Sanbe
Askamex
Askina Catgitrol AG 10x10 cm
Askina Gel
Aspar k
Aspilet tab
Asthin Force
Astika 100 mg tab
Atarax 0,5mg
Ataroc 25 mg (Apt)
Ataroc 50
Atenolol 50 mg
Atopiclair cream
ATP Dankos / Kalbe
Atracurium Besylate 2,5 ml /NOTRIXUM 2,5
Atropin Sulfat 0,25 mg/ml 1 ml
Atrovastatin 20 mg (csm)
ATS 1500 UI. 1 ml
ATS 20.000 UI .4 ml
Attapulgite (Blister)
Avastin
Aviter
Aviter (Apt)
Aviter (csm)
Aviter (csm)
Azithromicyn 500 mg
Aztrin
Bactoderm Cream
Bactoderm Oint
Bamgetol
Baquinor forte tab
Baquinor infus
Barium sulfat
Batugin Elixir 120ml
Batugin Elixir 300ml
BCG
BD-Gard
Becefort
Becom C tab
Becom -Z
Becombion syr
Becombion tab
Bedak Salycil
Belaserc tab
Benoson n
Benozym
Benzolac 2,5% 5g
Benzolac CL
Benzolac CL Acne Gel 10 gr
Benzolac CL Acne Gel 10 gr
Benzolac CL Gel 10 gr
Beriplast Combiset
Berotec MDI
Betadin kumur 100ml (CSM)
Betadin Kumur 190 ml/ Povidone Iodine Kumur 190 ml

48

133
5
30
12
14
5
20
51
9
136
34
8

324
418

17
16

119
32
4
56

58

30
2

158
171

95
130

510

Tablet
Tablet
tab
Tablet
Botol
Vial
Supp
ampul
fls
fls
fls
fls
Fles
Tablet
amp
botol
vial
tablet
tab
Ampul
tab
tab
tab
Tablet
Tablet
Tablet
Tablet
Ampul
Tablet
ampul
ampul
tab
fls
botol
tab
pcs
Tube
tab
tab
tab
tab
tab
tablet
tab
Tablet
tube
ampul
Ampul
Ampul
Tablet
Ampul
Vial
tablet
vial
sachet
sachet
sachet
tab
Kapsul
tab
tube
Tube
tab
tab
fls
gram
fls
fls
ampul
tab
tab
tab
tab
fls
tab
pcs
tab
tube
tab
tube
tube
tube
tube
tube
Box
Botol
fls
BOTOL

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

163.24
163.24
80
161.90
3,850.00
410,190
3,300.00
7,568.00
30,250.00
26,400
22,000.00
22,000
161,124.20
14,264.00
5,000.16
13,090
3,190.00
8,126.72
21,477.23
378,551.50
8,290.33
9,753
1,694

Rp
Rp
Rp
Rp
Rp

130.94
4,620.00
836.00
5,197.50
3,795

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

28,160.00
19,854
346.50
112,200
65,450
2,360.36
367
7,150.00
491
1,144.00
2,150.00
1,650.00

Rp
Rp

130,977
40,425

Rp
Rp
Rp
Rp

1,800
4,400
127,409
624,360

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

5,173,503
11,440.00
16,863
11,440
11,440.00
7,700.00
27,500.00
59,400
65,835
1,584.00
12,181.95
202,698
685
19,200.50
24,905

Rp

8,221

Rp
Rp

1,158.30
1,584.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

5,199.70
6,240
16,500
1,760.00
22,000
32,340
26,400
30,608
26,400.00
2,695,000

Rp
Rp

8,300.60
14,553

200
110
3
30
63
16
17
5
20
102
72
20
6
335
57
453
67
9
20
69
32
122
85
65
125
47
2
304
82
5
160
130
4
510
1
5
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

###
32,648.00
###
-#
###
17,809.00
###
11,550.00
-#
###
99,000.00
###
476,784.00
###
484,000.00
-#
###
374,000.00
-#
###
805,621.00
###
285,280.00
510,016.32
###
-#
###
###
585,124.00
429,544.52
###
###
2,271,309.00
###
-#
-#
-#
-#
-#
###
43,866.24
###
263,340.00
###
378,708.00
###
348,232.50
-#
-#
###
253,440.00
-#
###
6,930.00
-#
-#
###
162,864.84
-#
###
228,800.00
-#
###
139,568.00
###
182,750.00
###
107,250.00
-#
-#
-#
-#
-#
-#
-#
-#
-#
-#
###
1,430,000.00
-#
-#
###
###
361,900.00
###
55,000.00
-#
-#
###
481,536.00
###
998,919.90
-#
-#
###
96,002.50
-#
-#
-#
-#
###
185,328.00
###
205,920.00
-#
-#
###
20,798.80
-#
-#
897,600.00
###
-#
-#
-#
-#
###
26,400.00
-#
-#
###
41,503.00
-#
Halaman 2

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Betadin Obat Kumur 100 ml
Betadin sol 5 ml
Betadin Solution 30 ml
Betadin Solution 60 ml
Betadin Vaginal
Betadine sol 15 ml
Betadine sol 30 ml
Betadine sol 60 ml
Betadine Solution 30 ml (KF)
Betahistin Mesilat 6 mg
Betametason 0,1% Krim 5 gr (KF)
Betarhin
Betarhin (M)
Betarhin syr
Betaserc 24mg tab
Betaserc 8mg
Betason cream
Betason N cr (KF)
Betason N cream 5 gr (CSM)
Bio ATP
Biobran
Biocef Inj
Biocream
Bioplacenton cr
Biosanbe
Biostrum syr
Biothicol 250 mg tab
Biothicol 500 mg tab
Biothicol syr F
Biothicol syr ml
Bioxon
Bioxon Injeksi (Apt)
Bisolvon Drop/ Bromheksin Hcl 2mg/ml drop
Bisolvon Elixir
Bisolvon Injection
Bisolvon Tablet
Bisoprolol 5 mg (CSM)
BISOVELL
Blesifen Tab
Blesifen Tab
Bonic Plus
Boraginol Supp N
Boraginol Gel N 15 gram
Boraginol Gel S 15 gram
Boraginol N oint 15 gr (UDC)
Boraginol N Supp (UDC)
Boraginol S Supp (UDC)
Boraginol Supp S
Bratamed Hand antiseptic
Bricasma Tab
Bromheksin 8 mg
Broncopront
Bronsolvan
Bufect syr
Bupivacain 0,5 %
Burnazin cream
Buscopan Tablet
C. Alegysal ed
C. Astenof ed 5 ml
C. Augentonic ED 15 ml (CSM)
C. Augentonic ED besar
C. Augentonic ED kecil 5ml / Tetes Mata Zink + Vit A + Phenileprine 5
ml
C. Berry tab
C. Berry Tablet (PV)
C. Carpine ed 2%
C. Catarlen ed 15ml / Tetes Mata Kalium Iodida 5 mg/15 ml
C. Catarlen ed 5ml / Tetes Mata Kalium Iodida 5 mg/5 ml
C. Catarlen md
C. Cenfresh 0,6 ml @ 5 MD (PV)
C. Cenfresh ED
C. Cenfresh MD
C. CONVER 2%
C. Cyclon 1% ED 5 ml (CSM)
C. Cyclon ed 1%
C. Eyefres ed
C. Eyefresh md
C. Fenicol 0,25 % ED
C. Fenicol 0,25% 5ml (PV)
C. Fenicol 0,5% ED 5 ml
C. Fenicol EO 3,5 gr
C. Fenicol EO 3,5 gr (CSM)
C. Floxa ED 5 ml
C. Floxa ED 5 ml (CSM)
C. Floxa md
C. Genta 0,3 % ED
C. Gentamycin EO
C. Gentamycine 0,3% 3,5 gr Oint

botol
fls
botol
botol
fls
fls
fls
fls
Botol
Tablet
tube
tab
tab
fls
tab
tab
tube
tube
tube
Tablet
tab
vial
tube
tube
tab
fls
tab
tab
fls
fls
vial
Vial
fls
fls
ampul
tab
Tablet
Tablet
tab
Tablet
tab
supp
tube
tube
Tube
SUPO
SUPO
supp
fls
tab
Tablet
fls
tab
fls
Ampul
tube
Tablet
fls
fls
fls
fls

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

8,301
2,802.80
13,367
23,932
42,900.00
7,731.90
14,322.00
23,932
13,367
924
2,128.00
3,520.00
3,344
3,344
8,951.25
3,495.80
6,930
9,867
10,626.00
2,062.00
8,800
132,000.00
20,906
13,860.00
907.50
35,200.00
1,672
3,168.00
49,500.00
18,256
187,000.00
219,450
53,790
21,890
40,425
1,478
975.10
4,950
12,491.35
10,706.85
5,005
8,872.70
49,000.00
65,981.00
46,666
8,450
9,683
10,167
23,750
2,830

Rp
Rp
Rp

51,626
347
12,642.00

Rp
Rp
Rp
Rp
Rp
Rp

46,585.00
2,888
88,000.00
23,100.00
29,150
28,421.25

fls

Rp

27,637.00

368

tab
tab
fls
fls
fls
strip
strip
strip
fls
FLES 15 ML
fls
fls
fls
strip
fls
fls
fls
tube
tube
fls
fls
strip
fls
tube
tube

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

3,465.00
3,378
20,900.00
33,687.00
24,888.00
22,000.00
24,667.50
25,300.00
38,362.00
14,300.00
19,525
19,525.00
30,968.44
25,437.00
24,063.00
23,461
33,688
24,062.00
24,063.00
33,577.00
33,578
29,425.00
31,213.00
39,012.19
40,013

6
4
2

29
13

85
265

24
108

8
80
1
34

155
35

10
1
1

200
6
7

21
4
4
1
18
15
6
12
20
6
10

4
12
13
7
10

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

-#
19,619.60
###
-#
-#
###
85,800.00
###
54,123.30
###
57,288.00
-#
-#
-#
###
70,224.00
###
45,760.00
-#
-#
868,271.25
###
###
926,387.00
-#
-#
265,650.00
###
###
263,936.00
-#
###
132,000.00
-#
###
27,720.00
###
72,600.00
###
35,200.00
-#
###
107,712.00
###
-#
###
2,618,000.00
-#
-#
-#
-#
-#
###
68,257.00
-#
###
687,024.25
###
-#
###
88,727.00
###
49,000.00
###
65,981.00
-#
-#
-#
-#
-#
-#
-#
-#
-#
###
75,852.00
-#
###
326,095.00
-#
###
440,000.00
###
207,900.00
-#
###
227,370.00

11 Rp

304,007.00
###
###
1,143,450.00
-#
###
438,900.00
###
202,122.00
###
149,328.00
###
44,000.00
###
###
253,000.00
###
115,086.00
###
128,700.00
-#
###
97,625.00
###
371,621.28
###
152,622.00
240,630.00
###
-#
-#
###
120,310.00
###
###
470,078.00
-#
###
88,275.00
###
280,917.00
390,121.88
###
-#

7
2
7
4
33
13
97
265
25
128
1
2
80
1
34
14
70
55
10
1
1
6
7
5
9
8

330
21
6
6
2
10
3
9
5
12
6
10
5
14
3
9
10
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

Halaman 3

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
C. Glaucon (PV)
C. Hervis eo
C. Hyalub ed
C. Hyalub md
C. Lentikular ed
C. Lentikuler md
C. LFX 5 ml (PV)
C. LFX ed
C. Lyteers 15 ml (Apt)
C. Lyteers 15 ml (csm)
C. Mycetine EO/ Salep Mata Kloramphenicol+Polymyxin B Sulfat
C. Mycos ED
C. Mycos eo
C. Mydriatyl ED 0,5% 5 ml
C. Nancort Md
C. Noncort MD
C. pantocain ed 2% (Tetrakain)
C. Polydex
C. Polydex ED 5 ml (CSM)
C. polydex md
C. Polygran ED
C. Polygran EO
C. Polynel ED
C. Polynel ED 5 ml (CSM)
C. Posop md
C. P-pred md / Tetes Mata Prednisolon acetat micronized 10 mg
C. Protagenta ED 5ml
C. Siloxan ed
C. Stratrol ED
C. Stratrol EO
C. timol 0,25% ed
C. Timol 0,5 % TM (Apt)
C. Timol 0,5% ed (csm)
C. timol 0,5% ed / Tetes Mata Timolol maleat 0,5 %
C. Timol 0,5% md
C. Tobro ed
C. Tobroson ED
C. Tonor 0,5 % 0,6 ml MD (CSM)
C. Tonor 0,5 % MD
C. TROPIN
C. Tropin 0,5%
C. Tropin 0,5% ED 5 ml (CSM)
C. Tropin 1% ed
C. Vasacon 15 ml (PV)
C. vasacon A ed Besar
C. vasacon ED 15 ML
C. vernacel ed
C. Vitrolenta 5 ml ED (PV)
C. Vitrolenta ED
C. Vitrolenta md
C. Xitrol ED (csm)
C. Xitrol EO /Salep Mata Dexametason + Neomisin 3,5 mg
C. Xitrol EO 3,5 gr (PV)
C.Augentonic ED 5 ml (CSM)
C.Fenicol 0,5% ED (csm)
C.Floxa 5 ML
C.LFX 0,6 ml @5 MD
C.Lyteers
C.Mycos EO
C.Mycos EO
C.Vasacon A ED
C.Xitrol ED
Ca Gluconas Injek
Ca. Gluconas Injeksi (PPG)
Cafergot
Caffein 250 gr
Cal-95 tab
Caladin Lotion
Calmin AF tab
Calos Tablet (CSM)
Calplex
Calsium Gluconas tab
Caltrax EFF tab
Candesartan Cilexetil 8 mg (csm)
Caprol inj
Captopril 12,5 mg (kf)
Captopril 25 mg (kf)
Carpiaton 25 mg tab
Carsive
Carsive Inj
Cataflam 25 mg
Cataflam 25 mg (csm)
Cataflam 50 mg
Catapres 150 mg tab
Catapres Inj / Clonidin 150 mcg 1 ml
CDR Sweet Eff
Cealb
Cedantron

5
5
5
11
11
15
14
14

6
6
4
4
6
8
9

9
5
10
8
6
5

5
7

8
9
3
7

10

156
4

tab
fls
fls
pcs
fls
strip
fls
fls
Flas
fls
tube
fls
tube
fls
Strip
strip
fls
fls
fls
strip
fls
tube
fls
fls
strip
strip
fls
fls
fls
tube
fls
fls
fls
fls
strip
fls
fls
Strip
Strip
fls
fls
FLES 5 ML
fls
fls
fls
fls
fls
fls
fls
strip
fls
tube
tube
fls
fls
fls
strip
fls
tube
tube
fls
fls
ampul
Ampul
tab
gram
tab
botol
tab
tab
tab
tab
tube
Tablet
vial
Tablet
Tablet
tab
Ampul
amp
tab
Tablet
tab
tab
amp
Tablet
colf
tab

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

4,076
40,425.00
58,575.00
62,700.00
31,625.00
36,575.00
74,271
76,175.00
24,750.00
25,000
14,025.00
21,862.00
28,875.00
31,763.00
46,475

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

13,338.00
34,856
39,325
29,150.00
34,788.00
30,250
29,563.00
29,562.00
57,750.00
42,075.00
46,200.00
58,025.00
20,075
20,075
33,550.40
69,000
51,211.88
52,525
28,325.00
22,825.00
50,875.00
26,813.00
26,812
12,066
12,375.00
13,750
13,750.00
17,428.13
24,613.00
17,875.00
17,462.00
36,025
36,025.00
31,487.00
29,975.00
39,462.00
39,463
27,637
33,688
76,175
75,900
26,565
28,875
28,875
27,074.00
47,355
15,750
15,000.01
8,600
504
2,816.00
10,346
1,100
836.00
3,300.00
7,563
21,120
4,950
115,500
90.00
137.75
1,265
182,325.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

2,369.88
2,743
5,235.78
39,006
39,006.00
28,529
900,625
25,410.00

2
10
10
5
5
13
6
17
14
5
6
7
10
4
5
10
9
9
9
10
8
5
6
7
8
6
4
1
8
257
377
6
178
10
5
5

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

-#
80,850.00
###
###
585,750.00
###
627,000.00
###
158,125.00
###
182,875.00
-#
###
990,275.00
###
148,500.00
-#
###
238,425.00
###
306,068.00
###
144,375.00
###
-#
-#
###
80,028.00
-#
-#
###
204,050.00
###
347,880.00
-#
###
118,252.00
###
###
288,750.00
###
420,750.00
###
###
522,225.00
-#
-#
###
301,953.60
-#
###
460,906.88
-#
###
283,250.00
###
###
407,000.00
###
134,065.00
-#
-#
###
-#
###
82,500.00
###
121,996.88
###
###
###
139,696.00
-#
216,150.00
###
###
###
###
157,848.00
-#
-#
-#
-#
-#
-#
-#
-#
###
27,074.00
-#
-#
###
120,000.10
-#
-#
###
-#
-#
###
###
-#
-#
-#
-#
###
23,130.51
###
51,931.75
-#
1,093,950.00
###
-#
###
421,838.64
-#
52,357.80
###
-#
###
195,030.00
-#
-#
###
127,050.00
Halaman 4

NAMA OBAT
Cedocard
Cefadroxil 500 mg (BERNO)
Cefadroxil DRY 125 mg/5ml 60 ml (BERNO)
Cefarox
Cefat 500 tab
Cefat Forte DS
Cefat syr
Cefiksime DRY 100 mg/5ml 30 ml
Cefila 100 mg
Cefila drop (apt 1)
Cefila drop (apt 2)
Cefila syr
Cefilla Drop
Cefixime tab 100 mg (berno)
Cefixime tab 200 mg (berno)
Cefoperazon 500mg + Sulbactam 500mg (BERNO)
Cefoperazone 1 gr (Tunggal)
Cefotaxime 1 gr (berno)
Cefotaxime inj (dexa)
Cefspan
Ceftazidime 1 gr (PHAPROS)
Ceftazidime Injeksi (Dexa)
Ceftizoxime Injeksi
Ceftriaxone (berno)
Ceftriaxone 1 gr (BERNO)
Ceftriaxone Quantum
Cefxon Inj
Celebrex 100 mg (apt)
Celebrex 100MG
Celebrex 200 mg
Celebrex 200 mg
Celebrex 200mg
Celestamine syr
Celestamine tab (csm)
Ceptik 100mg
Cerebrovit x-cell
Cerini tab
Ceropid inj
Cetadop Injek
CeTeMe 4mg tab
Ceteron 4 mg
Cetirizine 10 mg (LANDSON)
Cetirizine suspensi 5mg/5ml
Cetirizine10 mg (infa)
CHLORACEF 500
Chloramfecort
Chloramfecort H Cream 10 gr
Chloramfecort Cream 10 gr
Chloramfecort H / Salep Kulit Kloramfenikol + Prednisolon Cream
Chloramfecort H Cream 10 gr
Chloramfenicol 250 tab
Chlorbiotic inj
Chloroquin 250mg Tab
Chlorpromazine tab
Ciflon Tablet/ Citrus bioflavonoid 500 mg, Diosmin 450 mg,hesperidin
50 mg
Cilostazol 100 mg (berno)
Cimetidine 200 mg
Cinolon Salf
Cinolon-N
Ciprofloksasin 500 mg (berno)
Ciprofloxacin 200 mg 100 ml (NR)
Ciprofloxacin 500 mg
Citicolin 100 mg/ml
Citicolin 250 mg/ml
Citicolin 500 mg
Citicolin 500 mg/ml
Clabat 500 mg
Clabat Syr
Claneksi Dry Syr (Apt)
Claneksi syr
Claneksi syr F
Claneksi tab
Clindamicin 150 mg
Clindamicin 300 mg
Clinjos 150 mg Tablet
Clinjos 300 mg tablet
Clobazam 10 mg
Cloderm
Clofritis tab
Clopidogrel 75 mg
Cloracef tab
Clotic tab
Clovamox inj
Co Amoxiclav 625 mg (IGM)
Co-Amoxiclav 1 gram
Co-Amoxiclav 625 mg

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN
STOK OPNAME
220
212
4
5
212
7

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

###
250,066.67
143,518.48
###
###
45,458.49
###
80,440.00
###
986,436.00
###
197,874.00
###
383,580.00
###
-#
-#
-#
-#
###
749,760.00
###
118,998.61
499,730.00
###
###
643,500.00
-#
###
306,028.80
-#
-#
###
93,110.00
-#
-#
###
###
352,828.03
###
-#
-#
###
1,250,145.82
###
981,486.33
-#
###
###
-#
###
59,488.00
-#
###
134,763.75
###
-#
###
16,340.28
###
20,086.00
###
139,408.50
-#
-#
-#
-#
-#
-#

3 Rp

24,750.00
###
-#
###
44,352.79
-#
-#
-#

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

1,136.67
635.04
6,494.07
16,088.00
9,306.00
65,958.00
38,358.00
25,410.00
13,200
90,668
97,020
62,480
62,480.00
999.99
2,823.33
71,500.00
54,450
3,326.40

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

22,638
18,622.00
18,622
104,500
7,999.83
3,600.29
4,022.10
154,000
9,529
8,117.83
14,021.23
16,170
14,021.23
28,205.00
3,812
14,872.00
1,559
2,994.75
136,125.00

Rp
Rp
Rp

90.28
20,086.00
280.50

tab
Kapsul
Botol
tab
kaps
botol
fls
Botol
kaps
fls
fls
fls
fls
kaps
kaps
Vial
vial
Vial
vial
tab
Vial
Vial
VIAL
vial
Vial
Ampul
vial
Kapsul
tab
Kapsul
Kapsul
tab
Botol
tab
tab
Tablet
tab
vial
Ampul
tab
Ampul
Tablet
botol
Tablet
tab
tube
tube
tube

Rp
Rp
Rp
Rp
Rp

215
17,417
14,103
9,744
13,095

tube

Rp

8,250.00

tube
kaps
vial
tab
tab

Rp
Rp
Rp
Rp
Rp

10,493
168.00
9,900
682
144

191

tab

Rp

4,400.00

191 Rp

211

Tablet
tablet
tube
tube
Tablet
Botol
tab
Ampul
Ampul
Kapsul
Ampul
kapsul
botol
Botol
fls
fls
tab
Kapsul
Kapsul
kaps
kaps
Tablet
tube
tab
tablet
tab
tab
vial
tab
Vial
Kaplet

Rp

6,435.00

Rp
Rp
Rp
Rp
Rp

18,249
15,276.00
322.78
18,810.00
404

Rp
Rp

11,550
6,233.33

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

9,473.20
44,000.00
56,133
45,976.00
61,578.00
10,538.57
510.00
752.00
3,561.25
6,105.00
950
38,500
1,161.60
5,016.00
17,417
13,310.00

Rp

5,303

Rp

5,303.07

236
3
141
54
38
3
2
3
72
323
4
2
45
205
232
41
-

6
247
105

279
105

4
239

372
377

232

3
75

34
3
5
7
20
302
62
72

129
264
41

(Rp)

220
226
7
5
106
3
10
12
119
177
9
92
5
98
154
70
4
45
181
1
497
-

264
-

Rp
Rp
Rp
Rp
Rp

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

840,400.00
###
###
1,518,660.00
-#
-#
###
45,828.00
###
45,512.54
###
1,015,740.00
-#
-#
-#
###
-#
359,981.60
###
###
132,000.00
-#
###
91,952.00
###
184,734.00
###
758,776.80
###
164,731.29
###
3,008.00
###
7,122.50
###
274,725.00
-#
-#
###
238,128.00
1,163,712.00
###
-#
###
545,710.00
-#
-#
-#
###
Halaman 5

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Co-Amoxiclav Suspensi 125 mg/5 ml 60 ml
Cobazim
Cobazim 3000 mcg
Cobazim 3000 mcg
Cobazym 3000 mcg
Codein 10 mg
Codein 20 mg
Codipront syr
Codipront syr exp
Codripront caps
Cohistan Exp Syrup
Co-Irvell
Co-Irvell (csm)
Colergis
Colergis (csm)
Colistine tab
Colme 250
Colsancentin Syr
Colsancetine Injeksi (CSM)
Colsansetin inj

61

70
80
255
2
2
35

67
43
36

Botol
tab
Kapsul
tab
tab
tab
tab
fls
fls
tab
botol
tab
tab
tab
tab
tab
tab
fls
Vial
vial

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

1,988.80
4,510
3,608
5,060.00
507.59
1,128.60
51,150.00
55,550.00
8,525.00
21,945
13,200
11,880.00
1,980
2,310.00
5,390
624.80
9,084
8,905.10
9,416

Comafusin Hepar / Asam Amino 5%+Carbohydrate+Vitamin & Electrolit

Botol

Combantrin tab 125mg

Combicef inj
Combiflex Peri1000 Infus
Combivent
Combivent
Comega
Comtusi Forte tab
Comtusi syr 100 ml
Comtusi Syr 60ml
Comtusi Syr Strw
Concor 5 mg (apt)
Concor 5 mg tab
Copidrel 75mg
Cordaron Inj
Coredryl Syrup
Cormega
Corsabalm
Cortidex tab
Cotrimoksazol 480 mg (berno)
Cotrimoksazol Suspensi 60 ml
Cotrimoksazole Forte 960 mg
Cotrimoxazole syr (berno)
Counterpain cream
Counterpain Cream 30 gr
Co-Vitala
CPZ
Cravit ED
Cravox
CTM Tablet 4 mg
Curcuma
Curcuma 200 mg
Curcuma plus syr 60 ml
Curliv plus
Curliv tab
Curvit CL Emultion 175ml
Curvit syr
Cutimed gel 15 gr
Cyclo Progynova
Cygest 400 mg supp
Cytostol tab 200 mg
D 40% Otsu
D 40% Otsu (CSM)
D10 1/5 NS
DAFTAR OBAT BARU :
Daktarin Diapers
Daktarin Diapers (csm)
Daktarin Oral
Datan Forte tab
Decubal 40 gr
Deflamat CR 100
Deflamat CR 75
Degirol
Dekstrometorfan 15 mg
Dekstrometorfan Suspensi 10 mg/5 ml 60 ml (HBr)
Depakene suspensi (csm)
Depakote ER 250 mg (CSM)
Depakote ER 250mg tab
Depakote ER 500 mg (csm)

tab
vial
Bag
amp
ampul
Kapsul
tab
fls
fls
fls
tab
tab
tab
amp
Botol
Tablet
fls
tab
Tablet
Botol
tab
Botol
tube
Tube
tab
tab
fls
tab
Tablet
Tablet
Kaplet
fls
fls
tab
fls
fls
tube
tab
SUPO
tab
fls
fls
colf

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

1,694
175,450
292,050
11,781.00
12,370.05
8,617
1,807
44,770
33,915.00
35,701.00
11,293.59
8,212.05

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

29,140.47
5,775
8,848.13
9,900
217.80
192.50
4,620.00
396.00
6,600
19,800
30,910
6,453.60
26
113,300.00
26,400.00
25
924
726.00
9,702.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

1,980.00
44,000
22,000.00
62,266
5,654
23,100.00
10,285.00
3,960.00
3,960
13,200

Rp
Rp
Rp
Rp
Rp
Rp
Rp

20,790.00
56,385.00
60,434.00
1,012.00
36,300
6,875.00
6,064

Rp
Rp
Rp
Rp
Rp
Rp

73
3,438
164,120
8,720.53
6,287.05
12,343.10

30

7
10
450

532
350
8
590

3
22

540
17
105
15
63
3
52
10

302

Depakote tab 250 mg / Sodium Hydrogen Divalproate 250 mg (csm)

312

tab

Rp

8,720.53

Depo Progestin 1 ml Inj @ 20

Dermasolon cream
Desolex cream
Desolex -N Cream 10 gr
Desolex N Krim 10 gr (apt)
Desolex N Krim 10 gr (apt)

6
10

Box
tube
tube
tube
tube
Tube

Rp
Rp
Rp
Rp
Rp
Rp

152,460.00
16,170.00
18,755
25,850.00
35,805
29,857

100

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

- Rp

tube
tube
tube
tab
Tube
Tablet
Tablet
tab
Tablet
Botol
Botol
Tablet
tab
Tablet

2
296

71
70
152
2
2
35
74
81
36
23
-

1
6
3
79
30
343
690
10
25
30
3
27
467
9
105
7
3
52
10
6
3
423
15
362

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

172 Rp
6
10
-

Rp
Rp
Rp
Rp
Rp
Rp

-#
141,204.80
###
-#
-#
###
354,200.00
###
###
171,547.20
###
102,300.00
###
111,100.00
###
298,375.00
-#
-#
###
879,120.00
-#
187,110.00
###
-#
###
22,492.80
-#
204,817.30
###
-#
-

#
-#
-#
-#
###
11,781.00
###
-#
-#
-#
###
203,490.00
###
107,103.00
###
892,193.61
###
-#
###
-#
###
265,444.00
-#
74,705.40
###
###
132,825.00
###
46,200.00
###
9,900.00
-#
-#
-#
###
193,608.00
-#
###
339,900.00
###
712,800.00
-#
-#
###
339,042.00
###
87,318.00
-#
###
207,900.00
-#
###
154,000.00
-#
-#
69,300.00
###
###
534,820.00
###
39,600.00
-#
-#
-#
###
124,740.00
###
###
181,302.00
###
428,076.00
-#
###
-#
-#
-#
-#
-#
130,807.95
###
###
###
4,468,202.20
1,499,931.16
###
###
914,760.00
###
161,700.00
-#
###
-#
-#
Halaman 6

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Dex 5 % BB
Dex 5% 100cc Sanbe
Dexametason 0,5 mg
Dexametason 0,5 mg (BERNO)
Dexametason 5 mg/ml (CSM)
Dexketoprofen Injeksi
Dextamin
Dextrose 40 % 25 ml Otsu
Dextrose 5% 100ml Bbraun
Dextrose 5% 500 ml (OGB)
Dextrose 5%+Nacl 0,225% (1/4 NS)
Dextrose 5%+NaCl 0,45,5%
Dextrose 5%+NaCl 0,5% (1/2 NS)
Dextrose10% 500 ml (OGB)
Dhavit syr
Dhavit Syr (csm)
Diaform Tablet
Diane 35
Diazepam 2 mg / Valdimex 5 mg
Diazepam 5 mg/1ml
Diazole
Dicynone / Ethamysilate 250 mg 2 ml
Dicynone 500 mg
Digoksin 0,25 mg
Digoksin 0.5 mg
Diltiazem 30 mg
Diltiazem Injeksi 25 mg/5 ml
Dimenhidrinat 50 mg (KF)
Diphenhydramin 1 ml
Disflatyl
Doburan inj
Dobutamin HCL 250 mg
Dobutel
Doksisiklin 100 mg
Dolgesik 100mg Inj
Dolgesik 50mg caps
Domperidon 10 mg (berno)
Domperidon Drops 5 mg/ml 10 ml (berno)
Domperidon Suspensi 5 mg/5 ml 60 ml
Dopamet tab / Metildopa 250 mg
Dopamet tab / Metildopa 250 mg (csm)
Dopamin HCl 200 mg/5ml
Dozil
Dramamin tab
Dulcolax 10 mg Supp / Bisakodil 10 mg
Dulcolax 5 mg Supp / Bisakodil 5 mg
Dulcolax tab / Bisakodil 5 mg
Duphaston (csm)
Durogesic
Duvadilan Inj / Isokuprin HCL 10 mg 20 ml
Duvadilan tab / Isokuprin HCL 20 mg
Dycinone Tab / Etamsylate 500 mg (csm)
Echinatur Syr
Ecosol Nacl 0,9% 100 ml
Edotin DS
Edotin kaps
Edotin Sirup
Efhedrin
Efhedrin inj
Ekstrak Beladona 10 mg
Elizac
Elkana syr
Elkana tab
Elox Cream 10gr / Salep Kulit Mometason
Elox Cream 5 g
Elsazym sachet
Emibion
Endrolin
Enervon-c
Enkasari
Enzymflex / Kombinasi Enzim
Epexol
Epexol drop
Epexol syr
Epidosin Injeksi
Episan syr
Epo Tablet
Epsonal tab
Ergotamin
ERICAF
Eritromisin 250 mg
Eritromisin 500 mg
Erytromicin 250 mg
Esthero 0,625
Etason Inj
Ethambuthol 500 mg
Ethidan 300
Ethiflox tab 400

671

508

25
20

18
11
374
471
138

382

672
28

145

195

10
192
14
79

77
85
1
10
157

23
155
4
13

4
98

12
223

625

colf
colf
Tablet
Tablet
Ampul
ampul
Tablet
Flacon
Botol
Botol
Botol
botol
Botol
Botol
fls
Botol
tab
tab
Tablet
Ampul
Botol
Ampul
Tablet
Tablet
Ampul
Tablet
Ampul
tablet
Ampul
tab
amp
Ampul
vial
kapsul
amp
tab
Tablet
Fles
Botol
tab
Tablet
Ampul
tab
tab
Supo
Supo
tab
tab
pcs
amp
tab
tab
Botol
botol
fls
tab
Botol
Tablet
Ampul
tablet
Tablet
fls
tab
tube
tube
sach
tab
Vial
tab
fls
tab
tab
fls
fls
Ampul
fls
tab
tab
Tablet
TAB
kapsul
kapsul
Kapsul
tab
amp
Tablet
tab
tab

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

6,391
16,042
87
73.08
1,921.92
17,160.00
1,678.88
6,600.00
4,620.00
6,391.00
12,100.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

12,100
5,726.00
20,240.00
25,300
196.35
4,499
31.60
24,685
36,575.00
36,300
10,346
143.00

Rp

151

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

100.80
912
583.28
92,235
26,690.00
166,031
253.00
11,550
1,760
339.04

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

9,867.00
1,870.00
1,964
16,225
13,200.00
1,320.00
15,510
11,440.00
829
15,251.50
100,666
27,706
5,500.00
8,800.00
34,320.00
6,160.00
29,040.00
3,300.00
29,040.00

Rp

55,000.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

3,520.00
18,216.00
624.00
51,480.00
33,000.00
7,315
1,045
1,405,173
861
15,400
803.11
722.70
32,819.00
14,929.00
22,550
42,669.00
2,710
3,168.00

Rp

504

Rp
Rp
Rp
Rp
Rp
Rp

674
5,488
6,600.00
419.88
5,866
15,584

760
51
42
518
9
4
21
11
402
324
148
68
673
28
10
175
1
105
10
166
17
101
92
102
1
5
157
23
155
5
9
4
100
61
1
149
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

-#
-#
-#
###
55,539.66
###
98,017.92
###
720,720.00
###
869,659.84
###
###
###
57,519.00
###
48,400.00
-#
-#
###
120,246.00
222,640.00
###
-#
###
78,932.70
-#
10,238.40
###
-#
###
5,413,100.00
-#
-#
###
9,724.00
-#
-#
-#
###
67,838.40
-#
###
16,331.84
-#
266,900.00
###
-#
###
44,275.00
-#
-#
###
-#
###
9,867.00
###
196,350.00
-#
-#
###
132,000.00
###
219,120.00
-#
###
194,480.00
-#
###
1,540,401.50
-#
-#
###
506,000.00
###
897,600.00
34,320.00
###
###
###
145,200.00
###
518,100.00
###
-#
###
-#
###
80,960.00
###
###
96,720.00
###
257,400.00
###
297,000.00
-#
-#
-#
-#
-#
###
3,212.44
###
72,270.00
###
###
-#
###
-#
###
193,248.00
-#
-#
-#
-#
-#
-#
###
6,600.00
###
62,561.78
-#
-#
Halaman 7

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Ethigen inj
Ethopil 1gr
Ethrane Inhalasi 250 ml
Euphylin R. mite
Euthyrox 100 g
Euthyrox 100ug
Extrace
Extropect Syr
Eyevit tab
F.G Troches
Faktu Suppo
Famotidin 20 mg
Fargoxin inj
Farmabes inj
Farmadol inf
Farmadral 10mg
Farmoten 25
Farsorbid 5mg
FASORBID
Fastro 100 mg
Fastro 100 mg (csm)
Febogrel 75mg
Feldene gel 0,5% 15 gr
Fenilbutazon 200 mg
Fenobarbital 30 mg (KF)
Fenobarbital 50 mg/ml
Fenobarbital Sodium 200 mg/ml
Fentanyl 0,05 MG/ML
Ferosfat Effervescent
Ferris syr / Sodium Feredetate 15 mg Sirup 100 ml
Ferriz drop / Sodium Feredetate 15 mg Drop 15 ml
Ferro sulfat (KF)
FG Troches (mpi)
Fibramed
Filgastrim 300 mcg Injeksi/Leucogen
Fita joint Roll gel
Fitkom Grape
Fitkom gummy
Fitkom gummy fruit
Fitkom Orange
Fitkom strawbery
FLAGYL SUPP
Flamar 25mg tab
Flamar 50mg
Flamar emulgen cream 20 gr
Flamikor
Fleet Enema 133 ml
Floxacom
Floxica 400 mg
Fludane merah
Fluimucil Sirup
Fluimucyil tab
Fluimucyl 200 mg
Flukonazole 150 mg (KF)
Flunarizine 10 mg
Flunarizine 5 mg (berno)
Folac Tablet
FOLAMIL GENIO
Folavit 1000mg
Folavit 400mcg
Folaxin
Folic Acid / Asam Folat 1 mg
Forbetes Tablet
Formom
Formom (CSM)
Formyco cream
Formyco tab
Forumen Ear Drop
Fosmicin inj
Fridep
Fudan 50 mg
Fuladic Cream / Salep Kulit Fusidic Acid 5 gram Cream
Fuladic Cream 5 gr (csm)
Fuladic salep / Salep Kulit Natrium Fusidat Salep 20 mg 5 gr
Fungares cream
Fungares cream 5 gr (csm)
Fungasol cream
Furosemid 10 mg/ml (CSM)
Furosemid 40 mg
Furosemid 40 mg (KF)
Fuson Cream (CSM)
FUSYCOM CREAM 5 GR
FUTROLIT INF
Futrolit Infus
Galflux tab
Ganin (csm)
Garam inggris
Gastrul Tablet

140
113

73

1227

17
15
132

9
5
123
86
3

66
144
312

25
850
20
207
3
61
1
15
15
13

9
287
11
4

139
40
210
4

amp
amp
Botol
tab
Tablet
tab
amp
fls
tab
tab
supp
tablet
vial
amp
fls
tab
tab
tab
Ampul
kapsul
tab
tab
tube
Tablet
Tablet
Ampul
Ampul
Ampul
tube
fls
fls
Tablet
Tablet
tab
Vial
fls
Botol
box
fls
Botol
Botol
SUPO
tab
tab
tube
amp
Tube
tab
tab
tab
botol
tab
Kapsul
tablet
Tablet
Tablet
tab
TAB
tab
tab
Box
tab
Tablet
tab
Tablet
tube
tab
fls
vial
tab
tab
tube
tube
tube
tube
fls
tube
Ampul
Tablet
tab
Tube
TUBE
KOLF 500 ML
bag
tab
tab
gram
Tablet

Rp
Rp

11,550
13,794

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

2,191.61
1,694.00
1,836
5,812
19,250
3,410
941
8,250

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

32,725.00
108,900
55,000
118
633
156
56,100.00
11,000.00
11,000
12,100.00
67,389

Rp
Rp

37.10
1,200

Rp
Rp
Rp
Rp
Rp
Rp

44,000.00
29,700.00
29,150.00
34.43
892.60
9,075.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

73,810.00
10,973
14,700
18,500
10,972.50
10,972.50
12,281
722.70
1,564.20
14,306.00
79,475
104,181.00
27,830
11,734

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

46,200.00
4,766.67
5,005.00
20,350.31
825
1,650.00
770.00
3,410.00
1,525
693.00
24,255.00
109.00
831.60
1,724.25
1,452
15,276.00
4,306.50
22,897.00
97,900
7,260.00
6,600
34,320.00
37,538
34,320.00
11,880
12,994
17,600.00
2,160.92
104.50
101.98
38,665.00
44,000.00
47,456
37,926
2,816.00
7,235.80
29.40
8,882.50

60
115
5
73
4
1,731
4
11
5
78
30
9
5
186
116
3
6
110
81
144
322
25
25
1,117
20
87
3
80
2
15
7
13
9
89
622
11
5
144
60
210
4

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

-#
-#
-#
###
131,496.60
###
194,810.00
-#
-#
-#
-#
-#
-#
-#
###
163,625.00
-#
-#
-#
-#
-#
###
###
803,000.00
-#
###
48,400.00
-#
-#
###
64,220.10
-#
-#
-#
###
176,000.00
###
326,700.00
###
145,750.00
###
###
69,623.13
###
272,250.00
-#
###
-#
-#
-#
###
98,752.50
###
54,862.50
-#
###
134,422.20
###
181,447.20
42,918.00
###
-#
###
-#
-#
-#
###
277,200.00
###
550,550.00
###
###
1,648,374.73
-#
###
237,600.00
###
247,940.00
###
-#
###
17,325.00
###
606,375.00
121,751.88
###
###
16,632.00
###
150,009.75
-#
45,828.00
###
###
344,520.00
###
45,794.00
-#
###
108,900.00
-#
###
240,240.00
-#
###
446,160.00
-#
-#
###
158,400.00
###
192,321.88
64,999.00
###
###
###
425,315.00
###
220,000.00
-#
-#
###
405,504.00
###
434,148.00
###
6,174.00
###
35,530.00
Halaman 8

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Gelofusin inf / Gelatin Polysuccinate 500 ml
Gemfibrozil 300 mg
Genolon cream
Genta 0,3 % ED
Gentamicin 40 mg/2 ml (csm)
Gentamicyn 0,1% Oint 5 gr (KF)
GENTAMICYN 0,3% EYE OINT / Salep Mata Gentamisin 0,3%
Gentamycin 0,1% SK
Gentamycin 0,1% SK (IGM)
Gentian Violet Larutan 1 % 10 ml
Gerac Powder
Gerdilium Drop
Gerdilium Syr
Gerdilium tab
Gethidin
Gethidin Injek (csm)
Gethidin Injek (PV)
GG / Gliseril Guaiakolat 100 mg (GG)
Glaucon (Apt)
Glaucon / Asetazolamide 250 mg
Glibenclamide 5 mg
Glibenklamid 5 mg (KF)
Glidanil 5mg
Glidiab / Gliquidon 30 mg
Glikos
Glimepirid 1 mg (KF)
Glimepirid 2 mg (BERNO)
Glimepirid 3 mg
Glipizide 5 mg
Glucobay 50 mg (Bayer)
Glucobay 50 mg / Acarbose
Glucophage 500 mg (aam)
Glucosamine 250 mg
Glucosamine 250 mg (Dosni)
Glucosamine 500 mg (DOSNI)
Glucovance 1,5
Glucovance 2,5 tab
Gludepatic
Glukosa 5% 100 ml BB
Glurenorm 30 mg
Glutrop
Glybotic inj 250 mg
Glycerin 100 cc
Glycerin PH
Goflex
Goforan Inj
Goforan Injeksi 1 gr
GOM / Boraks Gliserin 10 ml
Gotopril 3 g inj
Gotropil 1200 mg
Gotropil 3 gr Injeksi (PV)
Granisetron Injeksi
Gravomit inj 1gr
Gravomit inj 3mg
Griseofulvin 125 mg
H2O2
H2O2
Habbatussauda Cap Kurma Ajwa @ 100
Haemostop
Haloperidol 0,5 mg
Halothane 250 ml
Hemafort
Hepa Q tab / Schiz fructus ext 75 mg, Silyb mar dri extr 100 mg
Hepamerz
Hepatitis B Rekombinan 1 ml
Heptasan
Herbesser inj
Herbesser Tablet
Hexadol Gargle 120 ml
Hexymer 2 mg
Hexymer 2 mg
HIALID 0,1% 5 ML
HIALID 0,1% 5 ML
Hidroclortiazide (H C T)
Histapan 50 mg
Histrin Drop
Histrin FT 10mg
Hitryn 1 mg
Hiviral
Homoclomin
Hufagrip BP
Hufagrip Flu
Hufagrip Pilek
Hufalysin
Humalog Cart 100 IU
Human insulin
Humulin R
Hyalgan Injeksi

17
173
4

30

30

257

330
154
1
200

123

130
417

308

5
255
1

12

87

40
5
30

156
170
638
13
634
3
24

146
2
1

colf
Kapsul
tube
Botol
Ampul
TUBE
tube
tube
tube
Fles
sach
fls
fls
tab
amp
ampul
ampul
tab
tablet
tab
tab
Tablet
tab
tab
tab
tablet
tablet
tablet
tablet
tab
Tablet
tab
tab
Tablet
Tablet
tab
tab
tab
Botol
Tablet
tab
amp
fls
ml
tab
vial
vial
Fles
amp
Tablet
ampul
Ampul
ampul
ampul
tablet
fls
ml
fls
ampul
Tablet
Botol
Tablet
tab
inj
vial
tab
amp
tab
Botol
Tablet
Tablet
fls
fls
Tablet
Tablet
botol
tab
Tablet
Tablet
tab
botol
botol
botol
botol
Ampul
vial
vial
Ampul

Rp
Rp
Rp
Rp
Rp

168,300.00
278.00
24,200.00
30,432
3,323.03

Rp
Rp
Rp

1,943.00
1,850.20
1,835

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

13,860.00
32,340.00
30,800
3,740.00
16,830.00
14,960
15,840.00
92.00
4,400
4,180.00
126.01
70
474.32
1,050
167

Rp

516.07

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

1,611
1,185.80
1,176.37
1,120.35
946
1,276.00
1,993
1,898
125.00
4,620
1,350.00
13,475.00
84,051.00
55,000
60
5,940
110,000.00
120,313
2,000
39,600.00
3,784.00
39,600.00
22,000
33,440.00
78,760.00
926.48
8,000
33.00
20,000
3,070
60

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

545.00
3,003.00
104,500
63,360
198.00
311,850
11,330.00
18,249
237.60
282
79,695.00
75,900
19.00
545
61,710
5,016.00
7,707.86

Rp
Rp
Rp
Rp
Rp
Rp

2,423.70
9,756.80
10,351.00
8,195.00
7,249.00
150,040

Rp
Rp

319,000
550,000.00

24
203
4
14
15
30
1
277
24
330
79
31
245
162
130
67
202
135
7
255
1
4
10
12
19
1
12
87
5
125
169
171
776
660
63
66
2
1
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

###
4,039,200.00
56,434.00
###
###
96,800.00
-#
###
46,522.42
-#
###
###
27,753.00
-#
-#
###
415,800.00
###
32,340.00
-#
###
1,035,980.00
403,920.00
###
-#
###
###
30,361.32
-#
###
330,220.00
###
3,906.16
-#
###
116,208.40
-#
-#
-#
###
83,603.34
-#
-#
-#
###
154,154.00
78,816.79
###
###
226,310.70
-#
###
172,260.00
-#
-#
###
875.00
-#
###
344,250.00
###
13,475.00
###
336,204.00
-#
-#
-#
###
1,100,000.00
-#
-#
###
###
45,408.00
###
752,400.00
-#
33,440.00
###
###
945,120.00
###
80,603.33
-#
###
-#
-#
-#
-#
2,725.00
###
###
375,375.00
-#
-#
33,462.00
###
-#
###
1,937,430.00
-#
###
184,377.60
-#
###
-#
###
12,540.00
-#
-#
###
316,008.00
###
-#
###
159,964.20
###
###
20,702.00
8,195.00
###
###
-#
-#
-#
###
Halaman 9

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Hyoscine-N-Butilbromide 20 mg/ml
Hyoscine-N-Butilbromide 10 mg
Hystolan 20 mg
Hytrin 2 mg
Ibesartan
Ibuprofen 200 mg (Phapros)
Ibuprofen 400 mg (PHAPROS)
Ibuprofen suspensi 100 mg/5 ml 60 ml
I-Flex
Ikaderm 5g salep kulit
Ikalep kap
Ikaneuron inj
Ikaphen inj
Ikaphen kap 100 mg
Imepenem 1 gr Injeksi
Imipenem Cilastin
Imodium (csm)
Imudator Syr
Imudator syr (AMS)
Imudator tab
Imunos syr
Imunos Syrup (CSM)
Imunos tab
INBION
Indanox 150 mg (MPI)
Indanox 150 tab
Indanox 300 tab
Inerson Ointment / Salep Kulit Dexosimetasone oint
Infanrix
Infanrix Hexa
Infus 1 B
Infus 3 A ( Glucose 13,5 gr,NaCl 1,17 gr,KCL 0,375 gr,Na Lactate 1,12
gr ) 500 ml
Infus 3 B ( Glucose 13,5 gr,NaCl 0,875 gr,KCL 0,75 gr,Na Lactate 1,12
gr ) 500 ml (csm)
Infus 4 A
Infus 4 B
Infus Aminofusin Hepar (As.amino rantai cabang,As.amino
aromatik,Nacl) 500 ml Aminofusin hepar
Infus Aminofusin pediatrik 250 ml
Infus Aminosteril (Amino Acid tinggi Taurine) 5 % 500 ml
Infus Asering 500 ml (csm)
Infus Comafusin Hepar
Infus Ka En Mg3 (Na 50 mEq,K 20 mEq,CI 50 mEq,lactat 20
mEq,glucosa 100 g)
Infus Triofusin (Fruktosa 60 g, Glukosa 33 g, Xylitol 30g) 500ml)
Triofusin
Infusan RING AS
INH 100 / Isoniazide 100 mg (KF)
INH 300 / Isoniazide 300 mg (KF)
Inlacta 500 DHA
Inmatrol ed
Innolife Assudah @ 50
Inpepsa syr
Insulin 100 IU/ml Penfill
Interdoxin 100
Interflox
Interlac Drop
Intervask 5 mg
Inviclot inj / Na heparin 5000 IU/ml
Invomit 4 mg
INVOMIT INJEK 4 MG
Iopamidol 300 mg/ 50 ml
Iopamidol 370 mg/ 50 ml
Ipratropium Bromide Salbutamol Nebulaizer 2,5 ml
Irbesartan 150 mg (csm)
Isoflurane 250 ml
Isosorbid Injeksi
Isosorbide 5 mg
Isprinol Syr (AMS)
Isprinol syr 60 ml
Isprinol tab
Itraconazole (Aptk)
Itrakonazol 100 mg (BERNO)
Ka en 3B
Kaen 3B (apt)
Kalcinol N cream / Salep Kulit Fluisnseton+Neomisin sulfat 10 gr
Kalipar tab / K.L Aspartate 300 mg
Kalitake
Kalitake Sacchet / Kalsium Polystyrene Sulphonate
Kalium Diklofenak 50 mg
Kalmicetin ointment
Kalnex
Kalnex inj
Kaloba syr
Kaloba Tab
Kalsium Glukonas 100 mg/ml (csm)
Kalsium Laktat 500 mg

210
236

100
11
174
8

120
39
13
9

Ampul
Tablet
Tablet
tab
Tablet
Tablet
Tablet
Botol
cap
tube
kaps
amp
amp
kaps
vial
ampul
tab
fls
Botol
tab
fls
botol
tab
TAB
kap
tab
tab
Tube
vial
vial
Botol

134
3

158
6
9

391

42
113
16
7
17

5
42

-#
-#
-#
-#
-#
###
1,207.80
###
15,131.87
-#
-#
###
-#
-#
-#
-#
-#
###
###
722,684.00
###
-#
###
38,192.00
###
46,200.00
-#
###
-#
-#
###
123,552.00
###
68,640.00
###
213,444.00
-#
-#
-#

4,736
13,137
4,400
120.78
184.54

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

2,750
29,150.00
4,125
5,445
87,450
1,320
180,000
293,030.00
7,226.84
44,000.00
43,120
5,456.00
46,200.00
60,500
4,840.00
994
3,168
3,168.00
5,280.00
23,716.00
254,100
415,800
16,610

Botol

Rp

14,206

- Rp

Botol

Rp

16,610

- Rp

Vial

Rp

215,408

Botol
Botol
Botol
Botol

Rp
Rp
Rp
Rp

97,020
147,757.67
17,380.00
220,605

Botol

Rp

16,271

Botol
443
615
108

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

Rp
Rp
Rp
Rp
Rp

Botol
Botol

10
82
100
7
1
39
13
9
-

Botol
tab
tab
kapsul
fls
fls
fls
Pen
tab
tab
botol
tab
vial
tab
ampul
Vial
Vial
Flacon
Tablet
Botol
Ampul
Tablet
Botol
fls
tab
tab
Kapsul
botol
Botol
tube
tab
sachet
sach
Tablet
tube
tab
amp
fls
tab
Ampul
Tablet

Rp
Rp
Rp
Rp
Rp
Rp
Rp

24,881
43.05
121.59
2,886.40
18,436
35,600
50,600

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

10,120.00
163,350.00
4,158
62,700
12,222.22
23,936.00
262,570.40
314,600.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

87.62
70,070.00
80,850
9,384.38
6,122
3,520.00
18,480.00
21,945
7,986.00
2,560
17,325.00
16,458.75
637
9,529.00
3,003
8,250
110,000.00
6,783.33
13,500
40

- Rp
- Rp

#
-#
-#

- Rp

15
-

Rp
Rp
Rp
Rp

#
-#
###
###
260,700.00
-#

- Rp

- Rp

810
273
155
192
4
132
51
4
9
226
42
90
18
7
17
4
5
42
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

#
-#
###
34,870.50
33,194.07
###
###
447,392.00
-#
-#
-#
-#
-#
###
1,943,040.00
###
653,400.00
-#
-#
###
1,613,333.33
###
1,220,736.00
1,050,281.60
###
###
2,831,400.00
-#
-#
-#
-#
###
19,802.12
###
-#
###
394,143.75
-#
###
316,800.00
###
332,640.00
-#
###
55,902.00
-#
###
294,525.00
###
-#
###
38,116.00
-#
-#
###
550,000.00
###
284,899.86
-#
-#
Halaman 10

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Kaltrofen Gel 30 gr
Kanamycin Injeksi
Kandistatin Drop
Kandistatin Drop (Apt)
Kandistatin Drop (MPI)
Karbamazepin 200 mg
KCL 7,46 % Otsu
Kenalog In Ora Base 5g
KENDARON
Keren inj
Keren Tab
Ketamine 1 gr 10 ml
Ketesse / Dexketoprofen Trometamol 25 mg 2 ml
Ketesse Injeksi (CSM)
Ketesse tab
Ketoconazole krim 2%
Ketokonazol 200 mg
Ketokenazole Cream 2% (csm)
Ketoprofen 100 mg
Ketoprofen 100 mg
Ketoprofen 100 mg/1ml
Ketorolac 10 mg
Ketorolac 10 mg (berno)
Ketorolac 30 mg 1 ml (BERNO)
Ketorolac 30mg/ml (Berno)
Ketosteril
Ketricin orabase
Ketricin tab
Ketrobat Injeksi
Kidmin
Kina Tablet
Kloderma cream 10gr
Kloderma oint 10 gr
Kloderma oint 5g
Klonidin 0,15 mg
Kloramfenikol 1 gr
Kloramfenikol 250 mg
Kloramfenikol Suspensi 125 mg/5ml
Klorfeson krim
Klorokuin 250 mg
Klorpromazin 25 mg HCL (CPZ)
Kolkatriol cap
KOMPOLAX SYR
KSR (apt 1)
KSR (apt)
KSR (Apt)
KSR 600 mg (csm)
kurkumex tablet
Kutoin 100 mg / Fenitoin Natrium 100 mg
Kutoin Injeksi / Fenitoin Natrium 50mg/ml
Lacoldin Tablet
Lacolidin
Lacolin 500 mg
Lacophen syr
Lactacyd Baby
Lacto b

9
10
10
5

14

135
6
115

62

192
2
7
5

10
155

5
534

Lactobacillus acidophilus,bifidobacterium longun Streptococus faecium

Lactulax syr
Lameson 16 mg
Lameson 4 mg tablet
Lameson 8mg
Lametic 4 mg Inj
Lametic 8 mg Inj
Lametic Tab
Lamivudin 100 mg
Lanabal 500mg
Lanabal inj
Lancolin 500 injeksi (CSM)
Lancolin Injeksi
Lancolin Tablet
Lanfix 200mg caps
Lanmer 1g Inj
Lantipain 30mg inj
Lanturol
Lantus Soloster Pen (APL)
Lanzoperazol 30 mg MPI
Lapibal 500 mg (MPI)
Lapibal 500 tab
Lapibal inj
Lapibal Injek (MPI)
Lapicef 500 tab
Lapicef F syr
Lapicef syr
Lapifed Exp Syr
Lapifed exp syr (mpi)
Lapifed Syr
Lapifed syr (mpi)

tube
vial
Botol
fls
fls
tablet
Flacon
tube
Ampul
ampul
tab
Vial
Ampul
ampul
tab
tube
Tablet
tube
Tablet
Suppo
Ampul
tablet
Ampul
Ampul
ampul
tab
tube
tab
ampul
fls
Tablet
tube
tube
tube
Tablet
Vial
tablet
botol
tube
tablet
Tablet
kapsul
BOTOL 60 ML
tab
tab
Tablet
Tablet
tablet
Kapsul
Ampul
Tablet
tab
Tablet
fls
fls
sach

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

57,750.00
8,965
38,115
38,500.00
33,000
246.20
6,600.00
49,060.00

Rp
Rp

36,080
3,773.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp

46,200
51,700.00
7,493.90
4,675.00
416.00
6,300.00
810.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

3,955.00
1,771.00
6,001.00
6,001.05
7,799.28
7,986
32,560
2,464.00
27,720.00
94,600.00

Rp
Rp
Rp

27,500.00
27,500.00
18,480

Rp

7,150.00

Rp

6,580.31

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

3,465.00
3,658
3,696
2,816.00
539.00
1,012.00
65,780.00
880
836

Rp
Rp
Rp

17,600
19,800.00
3,160

Rp
Rp
Rp
Rp
Rp
Rp
Rp

48,510
5,720.00
2,420.00
4,389
28,957.60
53,625.00
21,450.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

1,984.13
19,305.00
68,640.00
31,240.00
10,993.13
27,885.00
461,175.00
34,320.00
4,070.00
180,082
614.85
1,628.00
1,628.00
18,810.00
16,720
8,800
55,440.00
33,440.00
17,765.00
15,840
15,400
14,080.00

Bungkus
8
84
100

49
265

116
8

93
9
126
608

12
7
6

11

fls
tab
tab
tab
Ampul
Ampul
Tablet
tab
tab
amp
ampul
ampul
Tablet
caps
amp
amp
Tablet
Fles
Kapsul
Tablet
tab
amp
ampul
tab
fls
fls
fls
botol
fls
botol

5
10
4
8
54
43
205
6
115
51
181
137
16
2
3
5
1
10
125
5
152
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

- Rp
94
190
9
12
49
114
18
8
109
28
5
1
103
256
344
4
3
1
12

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

###
-#
-#
###
192,500.00
-#
###
2,462.00
###
26,400.00
###
392,480.00
-#
-#
###
203,742.00
-#
-#
###
2,223,100.00
###
###
###
85,280.00
###
37,800.00
93,150.00
###
-#
###
###
###
306,051.00
###
1,086,190.05
###
-#
-#
###
337,568.00
###
443,520.00
###
189,200.00
-#
82,500.00
###
###
137,500.00
-#
-#
-#
-#
-#
###
7,150.00
-#
-#
###
65,803.10
-#
###
433,125.00
-#
-#
###
###
2,695.00
###
###
9,998,560.00
-#
-#
-#
-#
###
-#
-

#
-#
###
537,680.00
459,800.00
###
-#
###
260,618.40
###
643,500.00
###
1,051,050.00
-#
###
226,190.82
###
347,490.00
###
549,120.00
###
###
1,198,251.53
###
780,780.00
###
2,305,875.00
34,320.00
###
###
419,210.00
-#
###
157,401.60
560,032.00
###
###
###
75,240.00
-#
-#
###
166,320.00
###
###
17,765.00
-#
-#
###
168,960.00
Halaman 11

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN
STOK OPNAME
360

Lapistan tab
Lapixim inj
Lasal Exp
11
Lasal Syr
15
Lasgan
121
Lasik Inj
Lasix tab
1
Laxadin 110 ml (Apt)
Laxadin Sirup (csm)
Laxadin syr 110ml
Laxoberon 7,5 mg/ml Drop
Laxoberon 7,5 mg/ml Drop CSM
1
L-Bio
102
L-Bio
LCD
Lecrav tab
41
Lesichol 300mg tablet / Lecitin ( Vit : B1,B2,B6,B12,E,Nikotinamid ) 300
148
mg
Letonal 100mg
109
Letonal 25 mg
223
Levazide tab
Levoben
Levoben (Mersi)
130
Levofloksasin 500 mg (BERNO)
Levofloksasin 500 mg 100 ml (CSM)
29
Levopront syr
4
Lexa
1
LFX MD 0,6 ml
Librax
Lidocain 2 %. 2 ml
Lidocain 10% Spray 50 ml / Xylocaine (CSM)
Lidocain gel
Lidocaine 2% Injeksi
Lincomicin 500 tab
141
Lipantil 100
Lipitor 20 mg
Liproqy
Lisinopril 10 mg
35
Litorcom cap
Liver Care tab
Livola Granul
LOCOID LIPO CREAM 10 GR
2
Locoid scalp lotion
Locoid SS
Lodia loperamide
25
Loperamid 2 mg
Lopid 900 tab
Loratadin 10 mg
264
Loratadine 10 mg (IGM)
Losartan K 50 mg
90
Losartan K 50 mg (csm)
Lotasbat Cream 10 gr
20
Lovenox 60 mg Injeksi
Lutenyl
Lybrozin
L-Zinc syr
2
L-Zink Sirup (MPI)
Madopar Dispersible
Maintate 2,5mg tab
Maltofer drop / Ferro Sulfat drop
3
Maltofer Fol
174
Maltofer syr
7
Maltofer Tablet biasa
95
Manise
Manitol Otsu
11
Martos Infus
Matolac 30 mg (PPG)
Matolac 30 mg inj
Matovit
75
matovit AX
Matovit syr
Mebendazol 500 mg
Mebhydrolin Napadisylate
Mebo Zalf 20gr / Salep Kulit Radix,Cortex,Rhizoma
Mebo Zalf 40gr
Mecobalamin 500 mg (csm)
427
Mecobalamin 500mcg Inj (NOVELL)
Mecox 7,5
Mederma 20gr
Medi Klin Gel
Mediamer B6
Mediflex cream 30gr
7
Mediklin Solution
2
Mediquin
1
Medixon 16mg
4
Medixon 4mg
91
Medixon 8mg
220
Medixon inj 125mg

tab
vial
fls
fls
tab
amp
tab
Botol
Botol
fls
Botol
botol
sach
sachet
gram
tab

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

792.00
121,000.00
27,280.00
17,600.00
10,560.00
13,705.80
4,219.05
52,553
33,967.64
41,250
61,952
69,069.00
4,400.00
5,775.00
2,063
26,400.00

tab

Rp

8,580.00

tab
tab
tab
Tablet
Tablet
tablet
Botol
fls
tab
strip
tab
Ampul
Botol
Tube
ampul
tab
tab
Tablet
tab
tablet
tab
tab
kapsul
tube
fls
Fls
tab
Tablet
tab
Tablet
tab
Tablet
Tablet
tube
vial
tab
Tablet
btl
botol
tab
tab
fles
tab
fls
tab
btl
Botol
colf
ampul
amp
tab
tab
fls
Tablet
Tablet
tube
tube
Tablet
amp
Tablet
tube
tube
tab
tube
fls
tube
tab
tab
tab
vial

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

4,125.00
1,430.00
3,960.00
3,960.00
3,960.00
664.00
44,000.00
58,080.00
32,175.00
75,900

Rp

1,090.79

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

52,212.06
838.97
649.35
5,958
16,845
6,050
605.00
8,664.00
6,013
26,950
49,004.80
119,928

Rp

851.40

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

17,350
333.08
308
4,620.00
4,851
28,512.00
190,938
13,860.00
990.00
24,640.00
24,640
5,204
5,375
54,450.00
2,722.50
66,550.00
2,541.00
16,800
72,270.00
64,110
29,260
32,340.00
3,696.00
7,507.50
34,650

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

82,159
132,000
770.00
7,920.00
4,180
151,250.00
22,869
2,710
80,850.00
38,500.00
26,378.00
4,986.67
2,024.00
2,948.00
61,600.00

(Rp)

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

###
285,120.00
121,000.00
###
###
109,120.00
###
264,000.00
###
2,069,760.00
###
191,881.20
###
911,314.80
-#
###
237,773.48
-#
-#
###
345,345.00
###
765,600.00
###
-#
###
1,584,000.00

154 Rp

1,321,320.00
###
###
449,625.00
###
275,990.00
###
###
894,960.00
###
###
45,151.77
###
1,364,000.00
###
232,320.00
32,175.00
###
-#
-#
###
3,272.38
-#
###
###
###
85,064.63
-#
-#
-#
###
21,175.00
###
-#
-#
###
98,009.60
-#
-#
###
21,285.00
-#
-#
###
105,253.28
-#
###
415,800.00
-#
###
570,240.00
-#
###
###
###
271,040.00
-#
-#
-#
###
435,600.00
329,422.50
###
###
465,850.00
###
241,395.00
-#
###
867,240.00
-#
-#
###
64,680.00
###
277,200.00
###
-#
-#
-#
-#
-#
###
231,770.00
###
427,680.00
-#
###
-#
-#
###
808,500.00
###
77,000.00
###
26,378.00
###
19,946.67
###
204,424.00
834,284.00
###
###
369,600.00

360
1
4
15
196
14
216
7
5
174
60

109
193
226
68
31
4
1
3
131
35
2
25
316
90
20
11
8
121
7
95
12
2
75
301
54
10
2
1
4
101
283
6

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

Halaman 12

NAMA OBAT
Mefinal 500
Meloksicam 7,5 mg (CSM)
Meloksikam 7,5 mg
Meloksikam 15 mg (Berno)
MEPIRILIDE 2 MG
Meptin 0,05
Meptin Sirup 60 ml
Meptin Swinghaler
Merflam 50mg tab
Merimac 450mg
Merislon tab
Meropenem 1 gr (BERNO)
Merophenem 0,5 Mg (QL)
Mersibion 5000 inj
Mersibion 5000 Tablet
Mersitropil 1200
Mersitropil 3 g Inj
Mersitropil 800 tab
Mersitropil Sirup 100 ml
Mertigo
Mestinon Tab
Metamizol Sodium 500 mg/ml / Antrain Injeksi
Metampiron 250 mg/ml / Antalgin Injeksi
Metformin 500 mg (apt)
Metformin 500 mg (Phapros)
Metherinal (CSM 2)
Metherinal (csm)
Methicol
Methyl prednisolone 4 mg (BERNO)
Methyl Prednisolone 8 mg
Methylprednisolon 8 mg Tablet (Berno)
Methylprednisolon Tab 16 mg
Metifer inj
Metifer kap
Metil Prednisolone 125mg/ml (CSM)
Metilergometrin Maleat 0,200 mg/ml 1 ml
Metoklorpamide Suspensi 5mg/ml
Metoklorpamide10 mg
Metronidazole 500 mg
Metronidazole 500 mg (berno)
Metronidazole 500 mg 100 ml (BERNO)
Metronidazole Ovula / Vagizol
Meylon 25 ml / Natrium Bicarbonat 8,4% 25 ml
Mezatrin tablet
Mgso4 20% Otsu
Mgso4 40% Otsu
Micardis 40 mg
Micardis 80 mg
Miconazole cream
Microginon
Microlax
Microlax (mpi)
Midazolam Hamelen 5mg/ml (csm)
Miniaspi 80 mg
Minosep Gargle
Minyak Telon 30 ml
Misoprostol 200 mcg
Mokbios 5000 mg
Molagit
Moloco + B12
Morfin 10 mg/ 1ml
Motaderm Krim 10 gr
Movix 15 mg
Movix 7,5 mg
MST Continus 10 mg
MST Continus 15 mg
Mucera Drop
Mucera Syr
Mucera tab
Mucogard Suspensi 100 ml
Mucohexin
Mucos Drop
Mucos Drop (csm)
Mucos Syr
Mucos syr (MPI)
Mucos tab
Mucos Tablet
Mucosta
Mucotein Syr
Mucotein Tab
Musin
Musin syr
Mustela
Myconazole / Salep Kulit Mikonazol 2% 10 gr Cream
Mycorin Cream 5 g
MYDRIATYL
Mylanta syr Liquid
Mylanta tab

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN
STOK OPNAME
121
143
93
60
1
22
400

56
53
30
1
119

435

119
240
76
31
27

46

10
10

5
13
2

692
5
4

5
124
46
56
60
7
220

5
10

179
635
2
40
12
20

tab
Tablet
Tablet
tablet
Tablet
tab
botol
Unit
tab
tab
tab
vial
VIAL
amp
Tablet
tab
amp
tab
Botol
tab
tab
Ampul
Ampul
tab
tab
tab
tab
tab
tab
tab
Tablet
Tablet
amp
kaps
Vial
Ampul
botol
Tablet
Tablet
Tablet
Botol
ovula
amp
tab
Ampul
Ampul
tab
tab
tube
strip
supp
tube
Ampul
Tablet
fls
Botol
Tablet
Tablet
tab
tab
Ampul
tube
tab
tab
Tablet
tab
fls
fls
tab
Botol
tab
fls
fls
fls
Botol
tab
Tablet
tab
fls
tab
tab
fls
tube
tube
Tube
FLES 5 ML
fls
tab

Rp
Rp
Rp
Rp

1,158.30
691.90
581.20
898.34

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

4,165.70
47,048
149,338.00
1,320.00
2,772.00
3,153
70,400.00
99,000
3,872.00
1,452.00
2,851.20
27,720.00
2,112.00
37,840.00
3,047.00
8,185.00
6,149.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

184.80
172.43
2,145
462.00
940.50
264.33
386.10
370.02
988.43
17,105
1,815
19,291.25
3,500.00

Rp
Rp
Rp

184.80
132
17,700

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

10,345.00
12,330.47
6,600.00
6,600.00
13,227.50
17,149.00
2,999.70
8,800
17,600.00
16,896

Rp
Rp
Rp

264.00
29,260
6,749.00

Rp

3,047.22

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

69,712.50
6,424.00
3,960.00
15,620.00
22,990.00
35,200.00
18,700.00
880.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

396.00
24,640
30,525.00
13,200.00
14,601.13
704.00
814.00
4,596.90
28,798.00
4,371.15
1,149.50
50,600.00
317,900
3,000
18,480.00

Rp
Rp

9,748.00
486

377
193
135
60
2
22
351
5
50
101
53
50
1
124
150
525
124
240
448
156
95
11
1
81
10
10
10
5
18
1
418
4
10
6
40
6
56
60
10
7
262
8
5
46
425
2
40
12
21
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

(Rp)
###
436,679.10
133,536.70
###
###
###
121,275.90
-#
###
249,942.00
-#
###
298,676.00
###
29,040.00
###
972,972.00
-#
###
352,000.00
-#
###
193,600.00
146,652.00
###
###
151,113.60
###
###
105,600.00
37,840.00
###
###
377,828.00
###
1,227,750.00
###
-#
###
97,020.00
###
-#
###
57,288.00
###
225,720.00
###
118,419.84
###
60,231.60
###
93,900.85
###
-#
-#
###
212,203.75
3,500.00
###
-#
-#
###
14,968.80
-#
-#
-#
###
103,450.00
###
66,000.00
###
###
66,000.00
###
###
85,745.00
53,994.60
###
-#
###
17,600.00
-#
-#
###
110,352.00
-#
###
26,996.00
-#
-#
-#
###
30,472.20
-#
418,275.00
###
###
256,960.00
###
23,760.00
###
874,720.00
1,379,400.00
###
###
352,000.00
###
130,900.00
###
230,560.00
-#
###
-#
###
244,200.00
###
66,000.00
###
###
###
37,444.00
###
1,953,682.50
57,596.00
###
###
174,846.00
###
13,794.00
###
1,062,600.00
-#
-#
###
-#
###
-#
Halaman 13

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Myomergin (csm)
Myori
NaCl 0,9 % 100 ml / Bbraun
NaCl 0,9 % 500 ml / OGB
NaCl 0,9% 1000 ml / Bbraun
NaCl 0,9% 500 ml Ecosol / Bbraun
NACL 100 ML otsu
NaCl 100 ml Sanbe
NaCl 500 ml sanbe
Nalgestan
Naloxone HCL 0,4 mg/ml 2 ml
NASACORT / Triamcinolon 55 mcg Spray
Nasonex spray
Natrium Bikarbonat 500mg (CSM)
Natrium Diclofenac 50 mg (berno)
Natrium Diclofenak 25 mg (PHAPROS)
Natrium Fosfomycin 1 gram
Natrium Fosfomycin 2 gram
Natrium Sulfonate Karbozokrom 25mg 5 ml
Nazovell Supp
Nebacetin cream
Nebacetin Powder 5 GR
Neo K inj / Vitamin K (Neo K) 2 mg/ml 1 ml
Neocortic Eye Drop
Neomercazol tab/ Carbimazole 5 mg
Neomisin 500 mg
Neostigmin
Nephrolit
Nerfeco inj
Nerfeco tab
Neuciti inj
Neulin Inj
Neulin Tab
Neuralgin RX
Neuralgin RX (csm)
Neuraxon 5000
Neuraxon 5000 (AMS)
Neurochol Kapsul
Neurodex
Neurodex Film Coat
Neurosanbe
Neurosanbe 5000
Neurosanbe inj
Neurosanbe Injek
Neurosanbe plus
New Diatab
new diatab
Nicolam
Nifedipine 10 mg (KF)
Nifudiar syr
Nifuroxazida Suspensi 250 mg/5 ml 60 ml
Nimotop inf
Nimotop tab
Nistatin Vagina 100.000 UI/gr
Nitrogliserin 10 ml/ Glyseryl Trinitrat Injeksi
Nitrokap Retard
Noncort ED
Nonemi tab
Nonflamin
Nopantin 300 mg/ Gabapentin 300 mg
Norephineprine 1mg/ml 4 ml / N-EPI
Noroid cream 80ml
Noroid lotion
Novalgin Inj
Novalgin Injek (apt 1)
Novalgin Injek (apt 2)
Novel Smoothing Cream
NOVERTY
Novorapid Flexpen
Novorapid Inj
Novosta
Nucef
Nucef syr kering (csm)
Nucral 100 ml (csm)
Nucral 100ml
Nucral 200ml
Nulacta
Nulacta Licaps
Nulacta plus
Nulagyl 500 mg/100 ml
Nutriflam
Nymiko drop
Nystin Drop / Nistatin drop (mpi)
O B H Suspensi 100 ml (csm)
Obat dr.Lydia
OBH anak
OBH Combi Sirup
OBH Combi Sirup

73

104

5
842
112
89

6
4

189

282

15
7
237
27
280
228
8

170
3

9
90

79

5
5
67
1
9

12
314
147

17

amp
tab
Flacon
Botol
Botol
Botol
colf
colf
colf
tab
Ampul
TUBE
fls
tablet
Tablet
Tablet
Vial
Vial
Ampul
Supo
tube
fls
amp
fls
tab
Kapsul
ampul
caps
amp
tab
amp
amp
tab
Tablet
Tablet
tab
tab
kapsul
Tablet
tab
tab
tab
amp
ampul
tab
tab
Tablet
tab
Tablet
fls
Botol
Botol
tab
Tablet
Ampul
Tablet
fls
tab
tab
Tablet
Ampul
fls
fls
amp
ampul
ampul
tube
Tablet
pen
amp
tab
fls
Botol
Botol
fls
fls
tab
Kapsul
kaps
Botol
tab
fls
fls
Botol

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

4,950
2,300
6,160.00
4,901
9,625.00
6,391.00
9,510
14,000
7,975
1,010

Rp

204,574.00

Rp
Rp
Rp

18.11
182.85
135.83

Rp
Rp
Rp
Rp
Rp

21,367.00
21,368.00
13,552.00
27,500
1,281.50

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

21,340.00
2,135.47
41,800
63,800.00
11,550.00
485.10
485
1,760.00
1,672
10,450.00
434.50
240.02
955.35
2,069.10
4,415.40
4,307
836
474.32
508.20

Rp
Rp

129.00
34,086.25

Rp
Rp

273,504.00
7,438

Rp
Rp
Rp
Rp
Rp
Rp

63,250.00
2,298.45
45,313
880
4,082.22
7,700

Rp
Rp
Rp
Rp
Rp
Rp

103,950.00
112,000
10,432.18
12,128
11,550
237,160.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

168,087
350,900
8,800.00
78,100
62,480.00
57,475.00
41,800
64,488
2,948.00
2,948
4,301.00
58,080
9,368.33
23,118
28,160.00
10,395.00

fls
botol
botol

Rp
Rp
Rp

8,536
7,700.00
9,817.50

133
116
6
910
117
128
6
4
18
189
182
68
64
7
117
27
265
48
53
19
40
180
4
1
9
100
39
16
5
67
2
9
12
14
77
18
29

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

-#
-#
###
819,280.00
-#
###
###
741,356.00
-#
-#
-#
-#
-#
###
1,227,444.00
-#
###
16,480.10
21,393.67
###
###
17,385.98
-#
-#
-#
-#
###
128,202.00
###
85,472.00
###
243,936.00
-#
###
242,203.50
-#
-#
-#
###
###
388,655.54
-#
4,338,400.00
###
###
739,200.00
###
3,395.70
-#
205,920.00
###
-#
###
282,150.00
###
###
63,605.30
###
45,856.80
###
109,662.30
###
83,892.60
-#
-#
###
18,972.80
###
-#
23,219.46
###
###
136,345.00
-#
###
273,504.00
-#
-#
###
569,250.00
###
229,845.00
-#
-#
###
159,206.45
-#
-#
###
-#
###
166,914.88
-#
-#
###
1,185,800.00
-#
-#
-#
###
589,600.00
-#
###
124,960.00
###
517,275.00
-#
-#
###
35,376.00
-#
60,214.00
###
-#
###
721,361.41
-#
###
###
187,110.00
-#
-#
###
###
284,707.50
Halaman 14

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Obh Ika
Obimin AF
Obucort Swinghaler
Ofloxacin 200 mg
Ofloxacin 400 mg
Omeprazole (apt)
Omeprazole 20 mg (NULAB)
Omeprazole inj (BERNO)
Omevomid syr
Omnipaque 10 x 100 ml
Omnipaque 10 x 50 ml
OMZ Injeksi
Omz Kapsul
Ondancentron 4 mg
Ondancentron 4mg/2 ml (bern)
Ondancentron 8 mg (BERNO)
Ondancentron 8 mg (CSM)
Ondansentron 4 mg Injek
Opigran 1 gr Inj (csm)
Opigran inj 1 g
Opigran inj 3 g
Opimox 500
Opimox Syr 125ml
Opineuron / Metampiron 500 mg+Diazepam 2 mg
Optimax Syr
Optimax Syrup
Optimax tab
Optimax Tablet (csm)
Oralit
ORALIT JERUK
Orciprenalin Sulfat / Allupent
Oscal tab 0,5mg
Otolin Ear Drop
Otopain Ear Drop
OTOPRAF 10 ML
Otsu salin 3% / NaCl 3% 500 ml
Ottopan drop
Ottopan Syr
Ottozol inj
Oxoferin
Oxoferin 30 ml
Oxytetracyclin 1%
Oxytocin Inj
Oxytocin Injeksi (CSM)
Ozen 10 mg
Ozen Drop
Ozen Drop
Ozid
OZID INJEKSI
P.P.D Mantuk
Pamol F

547

199

318

216
20
56
6
86
64

55
29

7
13

1
32

Pan Amin 500 / Infus G ( Amino acid 29,2 gr,Sorbitol 50 gr ) 500 ml

Pancreon
Pankrean Granul
PANTOCAIN
Pantoprazol 40 mg (Novell)
Pantoprazol 40 mg Tablet
Pantoprazole Injeksi (Phapros)
Pantopump inj
Pantoz inj
Papaverin 40 mg
Paracetamol 160 mg
Paracetamol 250mg Supp
Paracetamol 500 mg Tablet @ 1000
Paracetamol 500 mg Tablet @100
Paracetamol Infus (BERNO)
Parasetamol 125 mg/2,5 ml / dumin
Parasetamol 250 mg/4 ml / dumin
Parasetamol 60 ml (BERNO)
Parasetamol Drops 60 mg/0,6ml 15 ml
Parasol Cream 20 gr
Paratusin
Patral
Pedialyte
Pehacain ( Lidocain 2 % + Epineprine )
Pehamoxil inj
Pelarut BCG
PENGAJUAN B ARU
Pentoksifilin 100mg/5ml
Pentoksifilin 400 mg
Pepzole 40 mg
Pethidin 100 mg
Phaminov
Pharmaton Formula
Phenitoin cap
Phenitoin inj (TIARA)
Phenol Glycerol 10 %

30
4
65

764

5
5
2
32

35

fls
tab
vial
tablet
Tablet
kap
Kapsul
vial
fls
fls
fls
AMPUL
kapsul
Kapsul
Ampul
ampul
tablet
ampul
ampul
amp
amp
tab
fls
tab
fls
Botol
tab
tab
sach
sach
Tablet
tablet
fls
fls
BOTOL
colf
fls
fls
vial
fls
fls
tube
amp
ampul
tab
fls
Botol
kaps
VIAL
ml
tab

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

2,400
1,050
146,264
574.77
900.00
286
326.67
32,201.40
5,808
393,800
206,800
104,720.00
10,266.67
1,540
3,850.00
3,850.00
2,750.00
2,538
52,800.00
48,400
99,000
2,750.00
20,900.00
1,100.00
63,800.00
63,800.00
6,453.33
6,453
352.00
352

Rp

11,819.50

Rp

28,820.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

12,650.00
19,800.00
12,100.00
137,500.00
75,075
71,500
2,099.90
2,475.00
2,888
5,005
69,300.00
66,000
8,863
63,223
596,904
635.25

colf

Rp

29,217

Sachet
kapsul
FLES 5 ML
Vial
tab
Vial
vial
vial
tablet
supp
Tube
tab
Tablet
Botol
Tube
Tube
Botol
Fles
tube
tab
tab
botol
Ampul
vial
ampul

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

13,282.50
13,283
12,500.00
11,000
11,000.00
34,375.00
92,400.00
106,480.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

115.50
94.50
34,650
11,660.00
16,456.00
2,297.00
5,275
33,715.00
700
7,106.00
24,697
6,226.11
14,170.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp

16,302.00
13,191
4,100
3,696
635
56,004.00
2,657.00

Ampul
Tablet
Tablet
Ampul
Ampul
Tablet
kaps
amp
fls

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

-#
-#
-#
###
###
90,000.00
-#
###
43,446.67
###
483,021.00
-#
-#
-#
###
628,320.00
###
369,600.00
-#
84,700.00
###
###
###
192,500.00
-#
###
-#
-#
###
283,250.00
###
209,000.00
###
99,000.00
###
510,400.00
###
###
619,520.00
-#
###
27,104.00
-#
-#
945,560.00
###
-#
###
345,840.00
-#
25,300.00
###
###
237,600.00
###
###
1,650,000.00
-#
-#
###
2,099.90
###
96,525.00
-#
-#
###
69,300.00
-#
-#
-#
-#
###
3,811.50

- Rp

#
###
398,475.00
-#
###
50,000.00
-#
###
825,000.00
###
2,234,375.00
###
831,600.00
745,360.00
###
-#
-#
-#
###
###
22,397.21
-#
###
82,280.00#
###
2,297.00
-#
###
67,430.00
-#
227,392.00
###
-#
###
6,226.11
###
-#
-#
-#
-#
###
81,510.00
-#
-#
-#
-#
2,016,144.00
###
###
58,454.00

100
133
15
6
36
22
70
103
10
90
8
96
77
80
12
2
12
12
1
39
1
6

30
4
75
65
9
7
237
5
1
2
32
1
5
36
22

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

Halaman 15

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Phental Injek
Phytomenadione 10 mg / Vit K (Phapros)
Pipet Polio
Piracetam 1 gr (novell)
Piracetam 1200 (berno)
Piracetam 3gr inj (novell)
Piracetam 400 mg
Piracetam 800 mg
Piracetam Infus
Pirazinamide 500 mg
Pirofel gel
Piroksikam 10 mg (KF)
Piroksikam 20 mg (KF)
Pisucon drop
pitogin inj
PK
Plantacid F syr
Plantacid syr
Plantasid F tablet
Plasminex inj
Plasminex tab
Pletaal 50 mg
Polio
Polycrol 400 Syrup
Polycrol Syr
Polycrol tab
Polysilane 100 ml
Polysilane CAP
Polysilane Capsul (apt)
Polysilane Kapsul
Polysilane Syr
Polysilane TAB
Pot Cream 30gr
Pravastatin
Praxion
Praxion 120 mg (MPI)
Praxion 250 mg (MPI)
Praxion drop
Praxion F syr 250 mg
Preabor Tab
Prednison Tablet 5 mg
Prednox 16
Prednox 4 mg
Premaston (csm)
Prenamia Tablet
Prenan Susu
Primet 25mg
Primolut N / Norethisterone 5 Mg (JKN)
Primperan inj / Metoclorpamide injeksi
Primperan tab
Probiokids (apt)
Probiokids (Lactobacillus acidophilus,bifidobacterium longun, bifido
bacterium)
Procain Benzatin Penicilin 3.000 UI
Profecom
Profen syr
Profertil
Progesic syr
Progesic syr
Progynova tab
Proliva
Promavit
Prome Expectorant
Prome syr
Promuba syr / Metronidazole Sirup
Pronalges supp
Proneuron
Prontosan Sol Round 350ML
Prontosan Wound Gel
Propanolol 10 mg
Propanolol 10 mg (CSM)
Propanolol 40 mg (HCl)
Propepsa syr 100 ml
Propepsa syr 200ml
Propofol Lipuro 1 % MCT / LCT
Propylthiourasil (PTU) 100 mg (csm)
Propyretic 160 mg supp
Propyretic 240mg supp
Propyretic 80 mg / Parasetamol 80 mg
Prorenal
Prorenal (AMS)
Proris Suspensi
Proris Supp / Ibuprofen 125 mg
Proris syr
Protexin Cap
Protexin Child
Protexin Infant
Prothyra 10mg

23

55
323
2
138
186

16
248
115

16
85

24

23
5
8

225
124

76
3
300
83
21

6
124
7
147
194

12
74
6
8

30

ampul
ampul
buah
Ampul
tablet
amp
Capsul
Capsul
fls
Tablet
tube
Tablet
Kapsul
fls
inj
fls
fls
fls
tab
amp
tab
tab
ampul
Botol
fls
tab
fls
kaps
kap
Kapsul
fls
tab
pcs
Tablet
fls
Botol
Botol
fls
botol
tab
Tablet
tab
tab
tab
Tablet
kaleng
Tablet
tab
tab
amp
sachet

Rp
Rp

9,075
1,566.02

Rp
Rp
Rp
Rp
Rp

4,950.00
931.39
15,468.75
325
1,320.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

245.45
15,246.00
101.87
105.00
49,500
6,875.00
3,575.00
28,875.00
7,508.00
843.15
10,870.20
2,361.15
7,296.19

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

55,000
19,058.00
400
17,952.00
673.75
809
603.17
17,903
809
3,465

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

21,450.00
18,983.25
23,364.00
19,800.00
26,400
2,890.80
112.50
5,544.00
2,288.00
4,235.00
996
68,545
9,528.75
4,554.00
1,210
9,900.18
15,015

sachet

Rp

11,162.30

vial
supp
fls
tab
fls
Botol
tab
tab
kaps
botol
fls
fls
supp
tab
fls
tube
Tablet
Tablet
Tablet
botol
botol
Ampul
Tablet
supp
supp
supp
tab
tab
Botol
supp
fls
kaps
sachet
sach
tab

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

10,164.00
14,175
11,550
22,000
19,635
3,889
7,700
1,496
14,108
12,179.00
35,612.50
11,550
1,045.00
163,625.00
162,800.00
73.15
77.00
114.95
47,548
73,150

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

314.23
7,058.33
8,369.17
6,655.00
5,940.00
5,280
16,830.00
5,170.00
21,945.00
4,265.00
4,620
15,327
4,396.33

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

-#
73,602.71
###
-#
###
14,850.00
###
21,422.02
###
-#
###
72,600.00
-#
###
106,770.75
###
30,492.00
###
14,771.15
###
19,529.07
-#
###
###
###
###
120,128.00
209,101.20
###
###
304,365.60
###
391,950.90
###
-#
-#
###
-#
###
107,712.00
###
33,687.50
-#
###
-#
-#
-#
-#
###
227,799.00
###
###
280,368.00
###
99,000.00
-#
###
###
82,350.43
###
###
530,816.00
###
525,140.00
-#
-#
###
838,530.00
###
13,662.00
-#
###
2,970,055.00
-#

- Rp

###
-#
###
325,248.00
-#
-#
-#
-#
-#
-#
-#
-#
###
###
71,225.00
-#
###
135,850.00
###
163,625.00
###
1,302,400.00
###
###
11,319.00
###
22,300.30
-#
-#
-#
###
87,670.17
###
84,700.00
100,430.00
###
###
159,720.00
###
558,360.00
-#
###
100,980.00
###
41,360.00
###
###
127,950.00
-#
-#
###
131,889.90

47
3
23
55
435
2
145
186
16
248
28
166
6
50
12
12
5
732
232
124
88
3
300
-

32
2
130
1
8
147
194
279
12
12
24
94
6
8
30
30

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

Halaman 16

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Protika
Protofen supp
Protofen Tab
Provelyn 75 mg
Provelyn 75 mg
Provital
Provital Plus
Proza
Proza Syrup
Pulmicort 0,25 / Budesonida Nebulizer 0,25 mg 2 ml / Anak
Pulmicort 0,5 / Budesonida Nebulizer 0,5 mg 2 ml / Dewasa
Pumpisel
Pumpitor Inj
Pumpitor Injeksi (csm)
Pumpitor tab
Pyrantel Pamoat 125 mg
Pyrex inf
Pyricef Syr
Pyricef tab
Pyricef Tablet
Pyridoxine 10 mg (KF)
Pytogin inj
Pyxime syr
Q-ten 100 mg (Apt)
Q-ten 100mg
Q-ten 30 MG
Racef inj
Ranicho syr
Ranicho Syrup
Ranitidin 150 mg (BERNO)
Ranitidin 150 mg (berno)
Ranitidin 25 mg/ ml Phapros
Rativol inj
Recolfar
Recolin
Recostein
Recustein tab
Recustein Tablet (csm)
Refaquin cream
Regumen Tablet
Removecol 20mg
Renabetic
Renabrazin 600
Renadinac 25 mg
Renadinac 50 mg
Renalyte / Cairan Elektrolite
Renosteril / Asam Amino esensial 600 mg
Resibron 3 G INJ
Retivit plus
Revolan 3gr inj
RG CHOLINE
Rhinofed
Rhinofed syr
Rhinos Neo Drop
Rhinos SR
Rifampicin 300 mg (KF)
Rifampicin 450 mg (BERNO)
Rifampicin 600 mg
Rifampicin 600 mg (berno)
Rihest syr
Riklona 2mg tablet
Rimactazid Paed
Rimstar 4FDC
Ringer Lactat Bbraun
Ringer Lactat OGB
Ringerfundin
Risperidon 2 mg
Rivanol 100ml
Rivanol 100ml
Rivanol 300 ml
RL Sanbe
Robumin
Rocuronium Bromida 10 mg/ml 5 ml
Roksicap
Rycef 1 gr Injeksi
Ryvel drop
Ryvel syr
Sagestam Cream 10 gr
Sagestam Ear Drop
Salbutamol 2 mg (PHAPROS)
Salbutamol 2 mg (phapros)
Salbutamol 4 mg (KF)
Salep 2-4
Salep Kulit Asiklovir 5% 5gr Cream

kaps
supp
tab
tab
Tablet
tab
tab
tab
Botol
amp
amp
vial
vial
vial
tab
Tablet
fls
fls
tab
Tablet
Tablet
amp
fls
tablet
tab
tab
vial
fls
Botol
Tablet
Tablet
Ampul
vial
tab
tab
tab
tab
tab
tube
tab
tab
tab
kaps
Tablet
Tablet
fls
tab
amp
tab
ampul
TAB
tab
fls
fls
Tablet
Tablet
Kaplet
Kaplet
Kaplet
fls
tab
tab
tab
colf
colf
botol
tablet
fls
Botol
fls
Soft Bag
fls
Ampul
tab
vial
fls
fls
tube
fls
tab
Tablet
Tablet
pot
Tube

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

12,100
8,307
2,055
10,230.00
10,230
2,587.20
4,419.80
7,700.00
59,290
16,187.82
16,664.95
50,000.00
127,938.00
131,135
11,840.40

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

55,000
35,200.00
7,920.00
7,480.00
148.01
6,875.00
65,120
8,910
9,900.00
5,775.00
154,000.00
45,100.00
62,370
158.40
150.48
1,542.20
31,205
3,740.00
9,680.00
4,008
4,400.00
4,400
56,870
2,994.77
11,550.00
176.00
3,286

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

14,300.00
6,600.00
41,250
6,238.65
45,842.05
16,516.50
1,778.70
24,833
43,313.00
5,197.50
720
660.00
1,072.50

Rp
Rp

20,471.00
4,048.00

Rp
Rp
Rp
Rp

9,048
6,930.00
5,200
13,365.00

Rp
Rp

1,760
3,465

Rp
Rp

6,628
1,540,000

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

8,153
110,880.00
57,750
41,580.00
10,667.00
22,550
75.63
64
97
2,950.00
3,150.40

Salep Kulit Betametason Valerate 0,1 % +Neomisin Sulfat 0,5 % 15 gr

Tube

Rp

6,499.90

Salep Kulit Clobetasol Propionate 0,05% Cream 5gr

Salep Kulit Clobetasol Propionate 0,05% Gel 5gr

Tube
Tube

190
17
20
69
50

113

228

8
85
128

196

134

207
90

6
560
65

55
5
23
1

7
160

241
15

100

1
21
1105
490
9
8

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

-#
-#
-#
###
-#
###
491,568.00
###
75,136.60
###
346,500.00
-#
###
1,375,964.70
###
333,298.90
###
150,000.00
###
1,151,442.00
-#
355,212.00
###
-#
-#
###
105,600.00
###
###
2,378,640.00
###
###
-#
-#
###
841,500.00
###
675,675.00
###
1,386,000.00
###
180,400.00
-#
###
46,728.00
###
285,307.00
###
-#
###
###
1,635,920.00
-#
###
-#
-#
###
694,785.87
###
693,000.00
###
3,520.00
-#
-#
-#
###
300,300.00
###
3,696,000.00
-#
405,512.25
###
###
###
###
177,870.00
-#
###
259,878.00
###
171,517.50
-#
###
660.00
###
-#
###
143,297.00
###
364,320.00
-#
-#
###
1,843,380.00
-#
187,110.00
###
-#
-#
-#
-#
-#
-#
-#
-#
###
-#
###
###
170,672.00
-#
###
25,107.87
-#
-#
29,500.00
###
###
15,752.00

- Rp

###
-#
-#

190
17
45
85
20
3
9
30
3
318
85
117
9
4
295
185
169
232
60
20
21
560
65
100
6
33
1
7
90
266
14
16
332
10
5

- Rp
- Rp

Halaman 17

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Salep Kulit Clobetasol Propionate 0,05% Ointment 5gr
Salep Kulit Desoximetasone/ DEXOCORT 0,25% 10 GR (csm)
Salep Kulit Hidrokortison 2,5 % Cream (KF)
Salep Kulit Hidrokortison 1 % 5 gr Cream
Salep Kulit Ketokenazol 2 % 10 gr (csm)
Salep Kulit Kloramfenikol
Salep Kulit Oksitetrasiklin 3% (KF)
Salep Kulit Silver Sulphadiazine cream
Salep Kulit Sodium Fusidat 2% cream
Salep Mata Kloramfenikol 1 % . 5 gr (csm)
Salep Mata Kloramfenikol 1%
Salep Mata Oksitetrasiklin HCL 1%
Sanadryl DMP Syr 60 ml
Sanadryl Exp 60 ml
Sanadryl syr
Sangobion Kap
Sanmag syr
Sanmol drop
Sanmol Effervescent 500mg
Sanmol inf
Sanmol syr
Sanmol tab
Sanoskin oxy
Sanoskin oxy CSM
Sanpicilin inj
Sanpicilin syr
Sanpicillin
Sanprima
Sanprima F
Sanprima Syr
sansulin Pen
Sansulin R
Santagesik inj
Santibi 500
Santibi Plus
Sari Kurma Al-Madinah 365 gr
Sari Kurma Karomah 250 gr
Sari Kurmaku 330 gr
Scabimit 10 gr / Salep Kulit Permethrine krim (csm)
Scabimit 30 gr / Salep Kulit Permethrine krim
Scabimite cr 30 gr
Scopamin
Scopamin Inj
Scopamin Plus
Sebamed Baby
Sebamed Liq face
Seloxy Cap
Serenace inj
Serenace tab
Seretide Diskus 250mcg
Sevoflurane 250 ml
Sibital 200mg inj
Sibro 20 gr
Siclidon tab
Silex Syrup 100 ml
Silum 5 mg
Simarc 2 mg
SIMATRAL INJ
Simvastatin 10mg
Simvastatin 20mg (KF)
Sinflorix Pfs
Sinocort cream
Sipentin 300 mg
Siramid 500 mg
Siramid 500mg
sirplus anggur
sirplus jeruk
sirplus jeruk
sirplus melon
sirplus melon
Sirplus Sir Anggur
Sirplus Sir Jeruk
Sirplus Sir Melon
Sirplus Sir Stroberi
sirplus stroberry
sirplus stroberry
Sirplus syr
Sirplus syr strowberi
Sistenol
Smecta
SNMC (dexa)
SNMC/ Glycyrrhizin,glycine,L-cysteine Hydrochlorida/ Stronger NeoMinophagen C/ 20 ml
Sofratule (apt)
Softaman Bbraun
Sohobion 5000 Injeksi
Sohobion Tablet
Spasmomen

11

1
1

11
54
11
485
1

187
16
5

8
7
249
118

30

Tube
Tube
Tube
Tube
Tube
Tube
tube
Tube
Tube
Tube
tube
tube
botol
botol
fls
Kapsul
fls
fls
tab
fls
fls
tab
tube
Tube
vial
fls
kaps
tab
tab
fls
syringe
Ampul
amp
tab
tab
fls
fls
fls
tube
tube
tube
Tablet
amp
Tablet
tube
fls
tab
amp
tab

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

-#
400,400.00
###
###
44,642.81
-#
-#
-#
-#
-#
-#
-#
-#
-#
###
10,500.00
-#
8,296.00
###
###
-#
###
258,457.00
###
###
959,526.00
###
151,020.00
###
161,122.50
###
-#
###
321,399.70
-#
-#
###
152,218.00
###
27,007.20
###
21,666.00
-#
###
-#
-#
-#
-#
-#
-#
###
38,115.00
###
145,530.00
-#
###
120,697.50
###
414,700.00
###
52,360.00
-#
-#
###
148,500.00
-#
-#
-#
-#
###
253,440.00
254,100.00
###
-#
-#
###
1,653,344.00
###
105,105.00
-#
###
119,424.85
###
8,002.74
-#
###
###
191,505.60
###
200,376.00
###
-#
-#
-#
###
-#
###
42,735.00
###
53,418.75
###
174,240.00
###
29,040.00
-#
-#
-#
-#
33,957.00
###
###
284,533.33
-#

94,628.00

47 Rp

21,945
28,160.00

2
30

4,447,516.00
###
-#
###
56,320.00
-#
-#
###
214,830.00

Rp
Rp

28,600.00
2,976.19

Rp

5,950

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

10,500.00
9,500
8,296.00
1,155.00
41,580
13,603.00
24,833.00
53,307.00
10,068.00
247.50
189,200.00
189,200
13,973.90

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

1,540
814.00
1,687.95
21,666.00
273,030
109,063.40
7,905
864
567
16,000
20,800
17,600
38,115.00
72,765.00
66,990
1,270.50
14,300.00
1,870.00
105,000
105,000
4,950.00
27,720
520

Rp
Rp
Rp
Rp
Rp
Rp

7,920.00
84,700.00
3,678
33,880
2,464.00
1,051.05

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

307.80
1,000.34
456,225
34,210.00
4,910.40
1,012.00
1,012.00
12,705
15,015
9,680
10,683.75
12,705.00
10,683.75
10,683.75
9,680.00
9,680.00
9,680
12,705
11,550
12,705
1,617.00
2,933.33
86,031

Ampul

Rp

pcs
fls
Ampul
Tablet
Tablet

Rp
Rp

Rp

7,161.00

4
22
7

671
140
1403
8

232
90

9
12
19

21
97
35
2

30

Botol
amp
tube
tab
botol
tab
Tablet
Ampul
tab
tab
vial
tube
Tablet
Tablet
tab
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Botol
fls
Botol
tab
sach
ampul

14
15
1
1
19
18
15
651
23
187
16
1
1
2
95
29
28
30
32
3
671
100
388
8
39
198
4
5
18
3
21
97
-

Rp
Rp
Rp
Rp
Rp

Halaman 18

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Spiramicine 500 mg
Spironolacton 100 mg
Spironolacton 25 mg
Sporacid cap
Sporetic tab
Stalevo
Stamotens 10mg
Stamotens 5mg
Starcef 200mg
Starxon Inj
Stesolid 10mg Supp / Diazepam 10 mg/2,5 ml
Stesolid 5mg Supp / Diazepam 5 mg/2,5 ml
Stesolid inj
Stolax supp
Streptomisin 1000 mg /ml
Strocain
Stugeron
Sukralfate 100 ml
Sukralfate 500 mg
Sulcolon tab
Sulfasalazin 500 mg (BERNO)
Supralysin 60 ml
Supralysin Syr 100 ml
Susu Al 110
Susu junior
Susu Nutren Fibre
Susu Optimum
Takelin 1000 inj
Takelin 1000 mg
Takelin 250 Inj / Citicolin 250 mg/ml
Takelin 500 Inj / Citicolin 500 mg/ml
Takelin 500mg Tab
Talion
Tamcocin
Tanakan Tablet
Tantum verde
Tantum verde oral rinse 60 ml
Tarivid Ear Drop
Tarivid Eye Drop
Taxegram
Trogyl Tablet
TB Vit 6 Syrup
TB. Vit 6 Tablet
Tebokan Spesial
Tebokan Tablet
Temiral
Tempra drop
Tempra f syr
Tempra syr
Tempra syr 30ml
Tensilo inj
Tensivask
Teofilin 150 mg
Teofilin Sirup
Teosal / Teofilin + Salbutamol
Teosal tablet (csm)
Tequinol
Terbutalin 2,5 mg
Terbutalin Injeksi / Relivan
Terfacef inj
Terfacef inj (CSM)
Tetagam P.
Tetes Mata Antazolina PO4 5 ml
Tetes Mata Asam Borat 15 mg
Tetes Mata Asam Borat 5 mg
Tetes Mata Atropin Sulfat 0,5
Tetes Mata Ciprofloxacin 0,3%
Tetes Mata Fenileprina 10%
Tetes Mata Fenilraksa aset 0,002 mg, asam borat 12 mg, nafazolina
HCL 1 mg
Tetes Mata Fluorescein 5 ml

130
218
80
84
60
50
22
6

130
171

50
20

161

91
65
45
10
29

74
70

7
16
8

41

117
5

Tablet
tablet
tab
kapsul
kaps
tab
tab
tab
caps
Ampul
supp
supp
amp
supp
Vial
tab
tab
botol
tablet
tab
Tablet
fls
fls
kaleng
pcs
pcs
pcs
ampul
Tablet
amp
amp
tab
tab
tab
tab
fls
fls
fls
fls
vial
tab
Botol
tab
tab
tab

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

1,223.25
1,139.30
374.07
17,250.77
17,250.77
20,778
9,116.27
5,362.50
28,600.00
155,597.00
37,422.00
24,948
11,440
5,940
7,315.00
1,594.00
3,410.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

7,700.00
2,200.00
18,315
24,420
85,145.00
75,700
84,363
79,682
65,000
13,390.67
20,064
34,320.00
7,626.67
2,777.77
3,850
5,856.40
22,000
23,100.00
80,850.00
80,850
124,790.00
1,375
18,810
715.00
11,715.00
5,841

fls
fls
fls
fls
ampul
tab
tablet
Botol
tab
tab
tab
tablet
Ampul
vial
Vial
vial
Fles
Fles
Fles
Fles
Fles
Fles

Rp
Rp
Rp

37,070.00
34,100
32,230.00

Rp
Rp

176,000
5,720.00

Rp
Rp
Rp
Rp

209.00
219.45
11,000.00
107

Rp
Rp
Rp

179,958.00
181,775
178,200.00

130
225
80
86
20
36
6
102
130
36
70
30
2
161
92
97
65
45
11
37
4
74
90
2
5
41
147
5
1
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

###
148,109.00
###
###
84,165.75
###
1,380,061.33
###
1,483,565.93
-#
###
182,325.40
###
###
1,029,600.00
###
###
224,532.00
-#
-#
-#
746,130.00
###
###
207,220.00
###
122,760.00
-#
-#
###
539,000.00
###
66,000.00
-#
-#
###
170,290.00
-#
-#
-#
-#
###
2,155,897.33
-#
###
3,157,440.00
739,786.67
###
###
180,554.83
-#
###
263,538.00
-#
###
254,100.00
###
2,991,450.00
-#
###
499,160.00
-#
-#
###
52,910.00
###
1,054,350.00
-#
-#
###
74,140.00
-#
161,150.00
###
-#
-#
###
234,520.00
-#
-#
###
30,723.00
###
###
55,000.00
-#
-#
###
179,958.00
-#
###
-#
-#
-#
-#
-#
-#

Fles

- Rp

Fles

- Rp

#
-#

Tetes Mata Framisetin Sulfat+Gramicidine+Deksametason 10 mg/0.6

fles

- Rp

Tetes
Tetes
Tetes
Tetes
Tetes
Tetes
Tetes
Tetes
Tetes
Tetes
Tetes
Tetes
Tetes
Tetes
Tetes

Fles
fles
Fles
Fles
Fles
Fles
fles
Fles
Fles
Fles
Fles
Fles
Fles
botol
fles

Mata Gentamicin 1 % 5 ml
Mata Gentamisin 0.3 % 5 ml
Mata Kloramfenikol 0,25 % 5 ml
Mata Kloramfenikol 3 % 5 ml
Mata Kromolin Natrium 2% ED
Mata Moksifloksasin 0,5 % 3 ml
Mata Oksitetrasiklin
Mata Pilocarpin 2 %
Mata Pilocarpin 4 %
mata Sulfacetamide 15%
Mata Tetracain 0.5 % 5 ml
Mata Tetracain 2 % 5 ml
Mata Tropikamida 1 %
Telinga Kloramfenikol 3%
Telinga Kloramfenikol 3%/ Colme Ear Drop

Rp

16,720

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

#
-#
-#
-#
-#
-#
-#
-#
-#
-#
-#
-#
-#
-#
-#
-#
Halaman 19

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Tetes Telinga Polymyxin B Sulfate+Neomycin+Fludrocortisone
acetate+Lidocaine
Tetrasiklin 250 mg
TGF tab
Thecort cream
THEOBRON TABLET
Theragran-M
Thiopentone Sodium 0,5 g
Thrombo aspilet
Thrombophob Gel / Salep Kulit Sodium Heparin gel 20 g
Thrombophop Gel (Apt)
Thrombophop Gel (Apt)
Tiamfenikol 500 mg (CSM)
Tiamfenikol Suspensi 100 mg/4ml 60 ml
Tiaryt 150 mg/3 ml
Tiaryt 200 mg
Tiaryt Tablet (CSM)
Tibitol 500 mg
Tibitol 500mg
Tiriz Drop
Tiriz Tablet
Tirmaclo 50 mg
Tolak Angin Cair Anak
Tolak Angin Cair Dewasa
Tomotan
Topazol inj
Topazol Injeksi (MPI)
Topcort Cr
Topisel Lotion
Topsy / Salep Kulit Lidocain Prilocain 5 gr
Toramine 30mg inj
Tracetate 200 ml
Trachon Kapsul
Trajenta tab
Tramadol 100 mg / 2 ml
Tramadol 50 mg
Tramadol 50 mg (CSM)
Tramadol Injeksi
Tramal 100mg/ml inj
Tramal supp
Transpulmin syr 60ml
Tremenza syr
Tremenza tablet
Triamcinolon 4 mg / Triamcort
Triamcort 100 mg
Triaminic Batuk
Triaminic batuk & pilek
Triaminic Ekspectoran
Triaminic pilek
Triaminicolone Acetonide 10 mg/ml / Flamicort
Triaminicolone Acetonide 40 mg/ml 5 ml (Flamicort)
Triatimol 0,5 TM
Triaxitrol TM
Trichodazol inf
Tricodazole
Trihexylphenidine (THP)
Trilac Tablet
Tripanzym tab
Tripenem Inj
Trogyl Infus
Trogyl Tablet
Trolit
trolit sachet
Trombo Aspilet
Trovas 20 MG
Twynsta 40mg
Twynsta 80mg
Tyran
Tyran inj
Udopa inj 40 mg/ml
Ulceranin Inj
Ulceranin tab
Ulsafate Syr 100 ml
Ulsafate Syr 200 ml
Ulsafate tablet
Ulsicral 100 ml
Ulsicral 500 mg
Ultracet / Kombinasi Tramadol + Paracetamol
Unalium tab 10 mg
Unalium tab 5 mg
Urdafalk
Urinter
Urispas tab / Flavoksat HCL 200 mg
Urotractin tab / Asam Pipemidic 400 mg
Vagistin Ovula
Vaksin Campak
Vaksin Hepatitis B
Vaksin Hepatitis B 1,0 ml (adult)

Fles
80
2
95
78
55

81
17

11

36
5
1
64
30

198

5
138
58
200

9
5
5

217
23

9
25

58

3
42
8

80
581
168
82
3
80
100
13

kapsul
tab
tube
TAB
Tablet
Vial
tab
tube
Tube
Tube
Kapsul
Botol
Ampul
Tablet
Tablet
Tablet
tab
fls
tab
Tablet
sachet
sachet
tab
vial
vial
tube
fls
tube
amp
Botol
kapsul
tab
Ampul
Ampul
Kapsul
ampul
amp
supp
fls
fls
tab
Tablet
tab
fls
fls
fls
fls
VIAL
Vial
Flas
Flas
colf
tab
Tablet
tab
tab
amp
fls
Tablet
Tablet
Sachet
Tablet
Tablet
tab
tab
tab
ampul
amp
amp
tab
fls
fls
tab
Botol
Tablet
tab
tab
tab
tab
Kapsul
tab
tab
Ovula
vial
Vial
ampul

- Rp
Rp
Rp
Rp
Rp
Rp

220.00
5,820.83
43,312.50
990.00
3,950.00

Rp
Rp
Rp
Rp
Rp

739.20
54,574.00
69,300
65,835
554

Rp
Rp
Rp
Rp
Rp
Rp
Rp

23,375
3,762.00
4,180
844.80
844.80
52,250
2,640.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

2,310
2,310
2,024
120,175
101,200
20,598.00
20,790
42,900.00
28,600
303,875.00
19,800.00
11,660.00
5,200
3,025.00
1,155.00
3,722.95
36,498
13,915
52,807.20
16,661.00
990.00
796.95
2,480.50

Rp
Rp
Rp
Rp
Rp

29,810.00
32,687.00
29,810.00
93,500.00
86,900.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

76,057
1,420.65
41
3,176.27
1,000
473,000
71,500
1,650.00
10,588
15,015.00
739
16,550
11,802
13,472
3,696.00
15,840.00
25,685.00
16,500
4,042.50
45,980.00
3,850
1,799.88

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

7,828.88
5,544.00
4,301.00
10,426.17
2,706.00
4,620.00
2,821.50
12,856.30
95,700.00
62,617.50
77,220.00

90
2
95
78
155
91
223
11
36
5
1
64
30
14
366
10
90
124
200
5
5
199
29
9
25
58
18
6
3
17
8
100
606
168
131
3
90
110
8
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

#
###
19,800.00
###
###
86,625.00
94,050.00
###
###
308,100.00
-#
###
114,576.00
###
-#
-#
-#
-#
-#
###
342,342.00
-#
###
188,390.40
###
-#
###
29,040.00
-#
-#
-#
-#
-#
-#
###
741,528.00
-#
###
214,500.00
-#
###
303,875.00
###
1,267,200.00
###
349,800.00
-#
###
42,350.00
###
422,730.00
###
-#
-#
###
###
166,610.00
###
89,100.00
98,821.80
###
###
496,100.00
-#
###
###
###
###
467,500.00
###
434,500.00
-#
-#
-#
###
282,709.35
-#
92,111.73
###
-#
-#
-#
14,850.00
###
-#
###
375,375.00
-#
-#
-#
-#
###
214,368.00
###
285,120.00
###
154,110.00
-#
###
12,127.50
###
781,660.00
-#
###
14,399.07
-#
-#
782,888.33
###
###
3,359,664.00
###
722,568.00
###
1,365,827.83
###
8,118.00
###
415,800.00
###
310,365.00
###
102,850.40
###
###
###
Halaman 20

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Valdimex inj
Valeptik / Sodium Hydrogen Divalproate 288 mg/ Sirup
Valisanbe inj
Valisanbe tab
Valsartan NI 160 mg / Diovan FCT
Valsartan NI 80 mg / Diovan FCT
Vectrin / Erdostein 300 mg Kapsul
Velcox 7,5 mg
Venofer inj
VENTOLIN INHALER
Ventolin Nebu (Apt)
Ventolin Nebu (csm)
Ventolin Nebu / Salbutamol Nebulaizer 0,5 mg 2 ml (CSM)
vermin
Vernacel MD
Versilon 6 mg
Versilon 8 mg tab
Vestein
Viadoxin cap
Vibranat
VICCILLIN
Vicee Lemon
Vicee Orange
Vidon drop
Vidon Syr
Vidon tab
Viopor M
Viostin DS
Vip Albumin (csm)
Vit B6 (apt)
Vit K Injek
Vitacid 0,025
Vitacid 0,05% cr 20g
Vitacid 0,1% cr 20g
Vitacur syr
Vitacur syr (MPI)
Vitamin A (Retinol) tablet 100,000 IU
Vitamin B 1 (Tiamin) 50 mg
Vitamin B 12 (Sianokobalamin) 500 mcg
Vitamin B Komplek
Vitamin B Komplek 5000 UI
Vitamin B12 (Sianokobalamin)
Vitamin B12 (Sianokobalamin)
Vitamin C (Asam Askorbat) 100 mg/ml 2 ml
Vitamin C (Asam Askorbat) 50 mg
Vitamin K (Fitomenadion) 10 Mg
Vitamin K (Fitomenadion) 10 mg/ml 1 ml
Vitamn B 6 (Piridoksin) (csm)
Vitazym
Vitazym
Vitazym (apt)
Volinol tab
Voltadex 25
Voltadex 25
Voltadex 50
Voltadex Gel
Voltaren Gel 20g
Vometa
Vometa drop
Vometa syr
Vometa Tablet (CSM)
Vometron 4mg tab
Vometron Inj 4 g
Vometron syr
Vomizole
Voxin tab
Widahes Infus / Infus HES steril
Xevolac inj 30 mg
Xevolac tab
Xylocain 2 % 2 ml
Xylocain gel
Yasmin
Zegafit
Zepe inj
Zinc Pro Syr
Zinc Pro tab
Zincpro drop
Zink 20 mg
Zinkid 20 mg
Zinkid syr 10 mg 100 ML
Zirkum Kids syr
Zitadim inj
Zitanid 2mg
Zollocid 20mg caps
Zollocid Inj
Zyloric tab
DAFTAR OBAT BARU :

19
6

288
1011
59

58

311
75
201
184

4
100
135

800
35
220

1693

1609
154

272
59
93

112
5

5
3

51

10
6
200

amp
Botol
amp
tab
Tablet
Tablet
tab
Tablet
amp
FLS
nebu
nebu
amp
Botol
strip
Tablet
tab
tab
kapsul
Tablet
vial
Tablet
tab
fls
botol
tab
tab
Kaplet
Kapsul
tab
ampul
tube
tube
tube
fls
Botol
kapsul
tablet
ampul
Tablet
Ampul
Tablet
Tablet
Ampul
Tablet
tab
amp
Tablet
tab
tab
tab
tab
tab
Tablet
tab
tube
tab
tab
fls
fls
Tablet
tab
amp
fls
vial
tab
colf
amp
amp
Ampul
tube
tab
tab
vial
fls
tab
fls
Tablet
tab
Botol
fles
amp
tab
caps
Ampul
tab

Rp
Rp
Rp
Rp
Rp
Rp
Rp

8,800.00
77,000.00
14,368
179.03
6,500.02
3,999.99
4,446.75

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

145,200
92,400.00
11,000
9,240
8,800.00
36,960
17,462
1,372.80
1,144
4,331.25
4,048.00
9,680.00
10,560
534
534
26,400.00
26,400
2,464.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

5,655.10
6,352.50
27
1,479
18,975.00
27,830
39,325
26,400.00
30,250
526
23.20

Rp

28.52

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

21.51
404.25
5,771.70
19.04
65.34
1,566
22.41
693.00
508
578
10,120.00
302.50
235
519.76
22,523.00
48,070
3,960.00
43,313.00
41,250.00
4,158
13,063
24,035
78,375
110,000
22,880.00
165,000.00
33,000
4,840
7,499
59,671
8,349
2,656.50
269,500
23,100
1,173
24,750
498
2,933

Rp
Rp
Rp
Rp
Rp
Rp

26,400.00
198,000
5,445.00
11,797.57
134,063.00
3,300

37
8
144
6
92
3
108
81
50
1
256
5
100
165
7
1
800
80
220
14
1,750
616
110
63
49
118
1
127
6
3
10
3
53
11
6
95
7
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

###
325,600.00
616,000.00
###
-#
###
###
936,003.08
###
23,999.96
###
409,101.00
-#
-#
###
277,200.00
-#
-#
###
950,400.00
-#
-#
###
111,196.80
-#
###
216,562.50
4,048.00
###
###
2,478,080.00
-#
-#
-#
###
132,000.00
-#
###
246,400.00
-#
###
933,091.50
###
-#
-#
132,825.00
###
-#
-#
###
26,400.00
-#
-#
###
18,560.00
-#
###
2,281.92
-#
###
4,731.32
###
###
80,803.80
33,314.75
###
###
-#
###
13,805.79
76,230.00
###
-#
-#
###
637,560.00
14,822.50
###
-#
###
61,331.68
###
22,523.00
-#
###
502,920.00
###
259,878.00
###
123,750.00
-#
-#
-#
-#
-#
228,800.00
###
###
495,000.00
-#
-#
-#
-#
-#
###
140,794.50
-#
-#
-#
-#
-#
-#
-#
###
290,400.00
-#
32,670.00
###
###
1,120,769.29
###
938,441.00
-#
-#
-#
Halaman 21

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Interpril 5 mg
Vaksin Cervarik
Ambroxol (CSM)
Paracetamol (CSM)
Rhinofed (CSM)
Co. Amoxiclav 625 mg
3TC (CSM)
Osfit
Opopentin 300 mg
C. Tonor MD 0,25
Sinacort Oral Paste
Bronsolvan Syrup
Eprex Protecs 2000 iu
Clopidogrel tablet 75 mg (apt)
Interxanthin
Nebacetin Ointmetn 5 gram
Concor 5 mg
Valdimex Tab
Nessiol 300 mg
Levemir Flexpen
Seretide Inhaler
Isotic 0,5 % ED
Cepraz Inj
Renax tab
Lenal Ace
Opixitrol ED
Ketocid
Medixon 125 mg Inj
OBH Molex
Merimac 600 mg
Dexketoprofen 25 mg
Molacort 0.5 mg
Nyndia Drop
Kurkumex Syrup
Lasal 2 mg
Biosat-1,5 (ATS 1500)
Opimox DS 60 ml
Infus D5 100 ml
Opizolam 0,5 mg
Sofix
Ceptik Syrup
Tremenza tablet

18

tab
vial
Tablet
Tablet
Tablet
TAblet
Tablet
Tablet
Tablet
Strip
Tube
Botol
syringe
Tablet
Tablet
Tube
Tablet
Tablet
Tablet
Pen
Botol
Botol
Vial
Tablet
Tablet
Botol
Tablet
Vial
Botol
Tablet
Tablet
Tablet
Botol
Botol
Kapsul
Ampul
Botol
Botol
Tablet
Tablet
Botol
Tablet

187

5
4
240

128

1
4
85
100
30

181

8
7

Nasaflam Inj

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

2,178.00
699,600
129.36
106.48
2,310.00
5,303
16,317.00
1,444
8,800.00
24,475

Rp
Rp
Rp
Rp
Rp
Rp
Rp

12,705
294,525.00
6,641.25
4,840.00
19,635
7,821.00
847.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

111,996.00
121,801.00
9,720.71
54,395.00
3,080.00
907.21
15,015.00
3,751.00
61,600.00
4,125.00
2,783.20

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

19,250.00
8,085.00
836
126,500
20,900
17,787.00
2,200
20,020
62,867
2,194.50

48
214
2
256
1
4
18
85
100
12
50
95
5
20
6
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

###
104,544.00
-#
###
###
###
-#
###
-#
###
1,883,200.00
-#
-#
-#
###
589,050.00
###
###
-#
###
###
216,832.00
-#
###
###
121,801.00
###
38,882.84
###
979,110.00
###
261,800.00
###
90,721.00
###
180,180.00
###
187,550.00
###
###
###
264,404.00
-#
-#
###
96,250.00
###
161,700.00
-#
-#
-#
###
106,722.00
-#
-#
-#
###
-

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

#
#
###
-#
###
###
-#
###
-#
###
###
###
###
###
###
###
###
###
-#
-#
###
###
###
###
###
###
###
-#
-#

Ampul

198
18
21
18
5
333

Sulfa Ferosus
Ximex Optixitrol ED
Otsu D10 1/5 NS
Cyclofem Injeksi
Ozen Syrup
Sirplus Tablet Rasa Stroberi

Tablet
Botol
Kolf
Vial

9,909.90

Botol

57,750.00

Tablet

132.00

Cripsa

Tablet

Hyperil 5 mg

Tablet

8,250.00

Viagra 50 mg

Tablet

111,184.75

30

Vesicare 5 mg
Vigamox 3 ml ed

Tablet

18,643.63

fls

134,310.00

Zolofit 50 mg

Tablet

20,078.93

Cialis 20 mg

Tablet

139,150.00

Urogetik 100 mg

Kapsul

4,965.35

Flixotide Nebu
Vesicare 10 mg

LANTAI 2
Aclam Forte Dry Syrup
Acne feldin
Acran Inj
Alganax 0.25
Alloris tab
Aloclair Plus
Amoxan 250 mg F Syr
Apialys Drop
Apialys Drop (MPI)
Apialys Syr
Ardium Tab HD
Asedas Sirup
Aspar k
Aviter
Bactoderm Cream
BD-Gard
Betadine sol 15 ml
Betaserc 24mg tab
Betaserc 8mg
Biobran
Biocef Inj
C. Berry tab
Cataflam 25 mg
Cataflam 50 mg
Cefat 500 tab
Cefilla Drop
Celestamine syr

30

botol
Botol
Ampul
tab
tab
fls
fls
fls
fls
fls
tablet
fls
tab
tab
tube
tab
fls
tab
tab
tab
vial
tab
tab
tab
kaps
fls
Botol

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

59,840.00
34,650.00
18,186.40
1,309.00
3,890.70
95,288.00
28,526.00
30,250.00
26,400.00
22,000.00
7,739.72
28,160.00
2,360.36
11,440.00
59,400.00
8,220.67
7,731.90
8,525.00
3,495.80
8,800.00
132,000.00
3,465.00
2,369.88
5,235.78
9,306.00
62,480.00
28,205.00

Halaman 22

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Ceteron 4 mg
Clotic tab
Codipront syr
Colsancetine Injeksi (CSM)
Colsansetin inj
Combicef inj
Comtusi Syr 60ml
Comtusi Syr Strw
Cormega
Daktarin Diapers (csm)
Desolex -N Cream 10 gr
Dextamin
Dramamin tab
Edotin Sirup
Elizac
Epidosin Injeksi
Etason Inj
Fastro 100 mg
Ferosfat Effervescent
Fitkom Orange
Fluimucil Sirup
Fungares cream
Gerdilium tab
Gethidin
Gethidin Injek (PV)
Glutrop
Goforan Inj
Gotropil 3 gr Injeksi (PV)
Gravomit inj 1gr
Gravomit inj 3mg
Hepa Q tab / Schiz fructus ext 75 mg, Silyb mar dri extr 100 mg
Heptasan
Homoclomin
Hufalysin
Imudator Syr
Imudator tab
Imunos syr
Imunos Syrup (CSM)
INVOMIT INJEK 4 MG
Isprinol tab
Keren Tab
Ketesse / Dexketoprofen Trometamol 25 mg 2 ml
Ketesse Injeksi (CSM)
Ketricin tab
Ketrobat Injeksi
Kloderma oint 5g
Lameson 16 mg
Lametic 4 mg Inj
Lametic 8 mg Inj
Lanabal inj
Lancolin 500 injeksi (CSM)
Lancolin Injeksi
Lancolin Tablet
Lanmer 1g Inj
Lantipain 30mg inj
Lanturol
Lapibal 500 mg (MPI)
Lapibal inj
Lapixim inj
Lasal Exp
Lasal Syr
Lasik Inj
Lasix tab
Lecrav tab
Letonal 25 mg
Lipitor 20 mg
Liver Care tab
Lotasbat Cream 10 gr
Maltofer drop / Ferro Sulfat drop
Maltofer Fol
Maltofer Tablet biasa
Matolac 30 mg inj
Matovit
Medixon inj 125mg
Mersitropil 3 g Inj
Mertigo
Methicol
Moloco + B12
Mucera Drop
Mucera Syr
Mucohexin
Mucos Drop (csm)
Mucos syr (MPI)
Mucos tab
Nerfeco inj
Nerfeco tab
Neulin Inj
Neulin Tab

Ampul
tab
fls
Vial
vial
vial
fls
fls
Tablet
tube
tube
Tablet
tab
Botol
Tablet
Ampul
amp
kapsul
tube
tab
botol
tube
tab
amp
ampul
tab
vial
ampul
ampul
ampul
tab
tab
tab
botol
fls
tab
fls
botol
ampul
tab
tab
Ampul
ampul
tab
ampul
tube
tab
ampul
ampul
amp
ampul
ampul
Tablet
amp
amp
Tablet
Tablet
amp
vial
fls
fls
amp
tab
tab
tab
Tablet
tab
tube
fles
tab
tab
amp
tab
vial
amp
tab
tab
tab
fls
fls
tab
fls
Botol
tab
amp
tab
amp
tab

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

20,086.00
13,310.00
51,150.00
8,905.10
9,416.00
175,450.00
33,915.00
33,915.00
8,616.66
56,385.00
25,850.00
1,678.88
1,320.00
29,040.00
3,520.00
22,550.00
6,050.00
11,000.00
44,000.00
10,972.50
46,200.00
11,880.00
3,135.00
16,830.00
15,840.00
13,475.00
110,000.00
39,600.00
33,440.00
78,760.00
3,003.00
198.00
2,423.70
7,249.00
44,000.00
5,456.00
46,200.00
60,500.00
23,936.00
9,384.38
3,773.00
46,200.00
46,962.40
2,464.00
27,720.00
18,480.00
5,720.00
28,957.60
53,625.00
19,305.00
68,640.00
31,240.00
10,993.13
461,175.00
34,320.00
4,070.00
1,628.00
18,810.00
121,000.00
27,280.00
19,332.50
13,115.53
4,037.37
26,400.00
1,320.00
16,845.10
6,013.33
28,512.00
54,450.00
3,025.00
2,823.33
32,340.00
3,300.00
61,600.00
27,720.00
3,047.00
940.50
3,047.22
34,650.00
17,600.00
396.00
30,525.00
14,601.13
814.00
21,340.00
2,135.47
63,800.00
11,550.00

- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
2 Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp
- Rp

###
###
###
###
###
###
###
###
###
###
51,700.00
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
-#
###
###
###
###
###
-#
###
###
###
###
-#
###
###
###
###
-#
###
###
###
###
-#
###
###
-#
###
-#
-#
###
###
###
###
###
###
###
###
###
###
###
###
-#
-#
###
-#
###
###
-#
-#
###
###
###
###
###
###
###
-#
###
###
###
###
###
Halaman 23

NAMA OBAT

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

SATUAN

(Rp)

STOK OPNAME
Neuralgin RX
Neuraxon 5000
Neurochol Kapsul
Neurosanbe
Neurosanbe inj
New Diatab
Nifudiar syr
Nucral 100 ml (csm)
OMZ Injeksi
Omz Kapsul
Opigran 1 gr Inj (csm)
Opigran inj 1 g
Opimox Syr 125ml
Optimax tab
Ottopan Syr
Ottozol inj
Pamol F
Pancreon
Pantoprazol 40 mg Tablet
Pantopump inj
Pepzole 40 mg
Piracetam 3gr inj (novell)
Plantacid syr
Plasminex inj
Plasminex tab
Pletaal 50 mg
Praxion 120 mg (MPI)
Praxion 250 mg (MPI)
Preabor Tab
Progesic syr
Prome syr
Prorenal
Protexin Cap
Provital
Provital Plus
Pumpitor Inj
Pumpitor Injeksi (csm)
Racef inj
Recolfar
Recustein tab
Renabetic
Resibron 3 G INJ
Ryvel syr
Sanmol drop
Sanmol syr
Sanmol tab
Sanpicilin inj
Sanprima Syr
Sistenol
Smecta
Softaman Bbraun
Sporetic tab
Starxon Inj
Stugeron
Tanakan Tablet
Tantum verde
Taxegram
Tempra drop
Tempra syr
Terfacef inj
Thrombo aspilet
Tiriz Tablet
Transpulmin syr 60ml
Triaminic Ekspectoran
Triaminic pilek
Trolit
Twynsta 80mg
Tyran
Ulceranin Inj
Ultracet / Kombinasi Tramadol + Paracetamol
Unalium tab 10 mg
Unalium tab 5 mg
Vitacur syr
Volinol tab
Vometa
Zirkum Kids syr
Zollocid Inj

Tablet
tab
kapsul
tab
amp
tab
fls
Botol
AMPUL
kapsul
ampul
amp
fls
tab
fls
vial
tab
Sachet
tab
vial
Tablet
amp
fls
amp
tab
tab
Botol
Botol
tab
fls
fls
tab
kaps
tab
tab
vial
vial
vial
tab
tab
tab
amp
fls
fls
fls
tab
vial
fls
tab
sach
fls
kaps
tab
tab
fls
vial
fls
fls
vial
tab
tab
fls
fls
fls
Tablet
tab
tab
amp
tab
tab
tab
fls
tab
tab
fles

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

485.10
1,760.00
10,450.00
955.35
4,415.40
474.32
34,086.25
44,413.00
104,720.00
10,651.67
48,400.00
48,400.00
20,350.00
6,453.33
12,100.00
132,000.00
635.25
13,282.50
11,000.00
92,400.00
16,302.00
15,468.75
7,508.00
10,870.20
2,361.15
7,296.19
18,983.25
23,364.00
2,890.80
18,232.50
11,880.00
6,600.00
4,265.00
2,587.20
4,419.80
127,938.00
127,938.00
154,000.00
3,740.00
4,400.00
176.00
41,250.00
41,580.00
13,603.00
10,068.00
247.50
13,973.90
21,666.00
12,705.00
1,617.00
21,945.00
21,670.00
142,313.00
3,410.00
5,856.40
22,000.00
124,790.00
37,070.00
30,690.00
179,958.00
739.20
2,640.00
52,807.20
32,687.00
29,810.00
10,587.50
13,472.25
3,696.00
16,500.00
7,828.88
5,544.00
4,048.00
26,400.00
10,120.00
3,960.00
26,400.00
134,063.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

-#
###
###
###
###
-#
-#
###
###
###
###
###
-#
###
-#
###
###
###
###
###
###
-#
-#
-#
###
###
###
###
-#
###
###
###
###
###
###
###
###
###
###
###
###
###
-#
###
###
###
###
###
###
###
###
###
###
###
###
###
###
-#
###
###
###
###
###
###
###
-#
###
###
###
###
###
###
###
-#
-#
###
###
#
312,121,539.50
###

Rp
Rp

312,121,539.50
312,121,539.50

TOTAL

Ka. Instalasi Farmasi

RSUD Ciawi Kab. Bogor

Novitasari Nasution, Apt.

Halaman 24

NAMA OBAT

SATUAN

STOK AWAL
HARGA SATUAN
REGULER REGULER(SO APRIL)

(Rp)

STOK OPNAME
No PTT. 2000226

Mengetahui,
Ka. Sie. Penunjang Medik

dr. Raras Daruherawati

NIP. 197103022003122003

Halaman 25

LAPORAN ALKES DEPO REGULER INSTALASI FARMASI RSUD CIAWI

BULAN MEI 2015
STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Air Raksa
Alat Cukur rambut pisau ganda + Silet
Alat operasi hemoroid
Alginat 500 gr
Alkohol 70 %
Alkohol 96%
Amalgama Bubuk
Amalgama Cair
Aqua Destilata @20 Liter
Aqua DM @ 20 liter
Aqua pro injeksi Otsu
Aquades Steril 1 Liter
Arm Sling L
Arm Sling L (SJS)
Arm Sling M
Arm Sling S
Arsen / Rapide
Asam Salisilat Kristal
Askina Foam 10X10 cm
Askina Gel
Askina Soft Clear 7,5 cm x 5 cm
Askina Sorb 10 x 10 cm
Bantalan dressing steril untuk luka bersih Uk.10 cm x 10 cm / Cutisorb
Barium Sulfat untuk Colon rasa Strawberry @100 GR
Bisturi No.10
Bisturi No.11
Bisturi No.15
Bisturi No.20
Bisturi No.23
Blood Set Bbraun
BLU Tracheostomy 10 Kit
BLU Tracheostomy 7 Kit
BLU Tracheostomy 8 Kit
BLU Tracheostomy 8.5 Kit
Bon Wax bulat
Bonding Agent
Bone Wax kotak
Botol kaca 100ml
Botol kaca H2O2
Botol Plastik 500 ml
Bracet Tube Gigi
Breast pump mumy
Buccal Tube Gigi
Button ( Bondable ) Gigi
Cairan Hypochlorite 10 %
Cairan Medis/ Aniosyme @ 5 Liter
Cairan Medis/ Dermanions 5 Liter
Cairan Medis/ Handrub 500 ml 3M
Cairan Medis/ Handrub 500 ml Aniosgel
Cairan Medis/ Handrub 500 ml Bbraun
Cairan Medis/ Stranios 5 Liter
Cairan Steril untuk Akar Gigi
Cairan Steril untuk Akar Gigi + Antiinflamasi
Catgut Chromic no 0,Facia/Otot/ Uterus ( taper point)
Catgut Chromic no 1,Facia/Otot/ Uterus ( taper point) CG 915
Catgut Chromic no 2,Facia/Otot/ Uterus ( taper point) CG 866
Catgut Chromic no 2-0,Facia/Otot/ Uterus ( taper point)
Catgut Chromic no. 0
Catgut Chromic no. 1
Catgut Chromic no. 2
Catgut Chromic no. 2/0
Catgut Chromic No. 2-0 Tapper 26 mm
Catgut Chromic no. 3
Catgut Chromic no. 3/0
Catgut Chromic no. 3/0 ( Cutting ) @ 36 SG 636
Catgut Chromic no. 3/0, usus ( taper point ) @ 36 CG 122
Catgut Chromic No. 3-0 / SURGIGUT CHROMIC 3-0 SG 636
Catgut Chromic no. 4/0
Catgut Chromic no. 4/0 Cutting @ 36 SG 635
Catgut Chromic No. 4-0 Cutting / SURGIGUT CHROMIC 4-0 SG 635 Cutting
Catgut Plain no. 0
Catgut Plain no. 2/0
Catgut Plain no. 2/0 Otot ( Taper Point ) @ 12
Catgut Plain no. 2/0 subcutis ( Reverse Cutting ) @ 24
Catgut Plain no. 3
Catgut Plain no. 3/0
Catgut Plain no. 3/0 usus ( Taper Point ) @ 12
Catgut Plain no. 3/0 subcutis ( Reverse Cutting ) SG 822
Catgut Plain no. 4/0 subcutis (Reverse Cutting) @12 SG 821
Central Venous Catheter Centro Jugularis @ 50 / Cavavix
Cervical Collar Hard M Children

1
1
6
8
1100
11
7

Buah
Buah
pcs
Buah
Liter
liter
Botol
Botol
Gallon
galon
Vial
Botol
Buah
pcs
Buah
Buah
Botol
Kg
Pcs
Tube
pcs
pcs
Lembar
Gram
Buah
Buah
Buah
Buah
Buah
Buah
buah
Buah
buah
buah
Box
Buah
Buah
pcs
btl
pcs
Set
pcs
Set
Set
Liter
liter
Galon
Botol
Botol
botol
Galon
Buah
Buah
Sacset
Sacset
Sacset
Sacset
Rol
Rol
Rol
Rol
pcs
Rol
Rol
Sacset
Sacset
Buah
Rol
Sachet
Buah
Rol
Rol
Sacset
Sacset
Rol
Rol
Sacset
Sacset
Sacset
Buah
Buah

Rp
Rp

7,150
6,270,000

Rp

4,180.00

Rp
Rp
Rp
Rp

30,800
30,800
30,800
30,800

Rp
Rp
Rp
Rp
Rp
Rp

19,800.00
57,750
7,040.00
18,480.00
9,702
716.50

Rp
Rp

2,552.55
2,552.55

Rp

18,876.00

Rp
Rp
Rp

1,650
1,200
10,410

Rp

11,000

Rp
Rp

148,500.00
79,200

Rp
Rp
Rp

65,450
60,308
60,308

Rp
Rp
Rp

66,385
54,230
60,610

Rp
Rp

83,215.00
83,215

Rp
Rp

72,463
83,215.00

##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
1
##
##
1
##
6
##
###
300
##
##
2
##
##
##
#
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
5
##
##
##
##
##
##
##
##
##
##
4
##
##
Halaman 26

STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Cervical Collar Hard uk. L
Cervical Collar Hard uk. M
Cervical Collar Hard uk. S
Cervical Collar Soft M Children
Cervical Collar Soft uk. L
Cervical Collar Soft uk. M
Cervical Collar Soft uk. S
Chalenger TI-P ML-LIGAT CLIPS 12
Chemo Mini Spike
Chest Electroda Bayi
Chest Electrode Dewasa
Chest Thoracotomy Set (CTT)
CHKM 10 ml / Klorfenol Kamfer Menthol
Clor ethyl spray
Closed Coil Spring Steinless Steel Gigi
Coaxial Wire ( 015 NiTi)
Colostomy
Cotton Bud @ 100
Cotton Roll
Couter Handifece Reuse
Couter Handifece Single Use
Cover -T
CPAP kit Cannula
Cutgut Chromic 4-0 Tapper
Cuticell Clasic 10 x 10
Cutimed Sorbact Swab 7 x 9 cm (csm)
Cutimed Sorbact Swab 7 x 9 cm Pedriatic
CVP (Central Verous Presser) / Certofix
Daryant Tulle
Dermalon 5-0
Dermalon 6-0
Disp Dent Needle 0,30 x 13 mm ( Jarum Citojek )
Easy Foam 10*10*2
Easy Foam 10*10*5
ECG Electrode Lessa
Elastis Thread gigi
Elastis Verban 12 cm x 5m / Lohman
Elastis Verban 10 cm / Tensocrefe 10 cm (GBU)
Elastis Verban 15 cm / Tensocrefe 15 cm
Elastis Verban 7,5 cm / Tensocrefe 7,5 cm
Elastis Verband 10 cm (4) / Tensocrepe 10 cm
Elastis Verband 15 cm (6) / Tensocrepe 15 cm
Elastis Verband 7,5 cm (3) / Tensocrepe 7,5 cm
Elastis Verband 7,5 cm (3) / Tensocrepe 7,5 cm
Elastomull uk 10cm x 4 m
Elastomull uk 8cm x 4 m
Endocervical Sampling Brush @100
Endoloop PDS II o (3,5 Metric) 18"
Ethilon 10-0
ETT HVT 6,0
ETT HVT 6,5
ETT HVT 7,0
ETT HVT 7,5
ETT no. 2,0 + Cuffed
ETT no. 2,5 + Cuffed
ETT no. 3,0 + Cuffed
ETT no. 3,5 + Cuffed
ETT no. 4,0 + Cuffed
ETT no. 4,5 + Cuffed
ETT no. 5,0 + Cuffed
ETT no. 5,5 + Cuffed
ETT no. 6,0 + Cuffed
ETT no. 6,5 + Cuffed
ETT no. 7,0 + Cuffed
ETT no. 7,5 + Cuffed
ETT no. 8,0 + Cuffed
ETT Spiral No. 3,5
ETT Spiral No. 4,0
ETT Spiral No. 4,5
ETT Spiral No. 4,5
ETT Spiral No. 5,0
ETT Spiral No. 5,5
ETT Spiral No. 6,0
ETT Spiral No. 6,5
ETT Spiral No. 7
ETT Spiral No. 7,5
ETT Spiral No. 8,0 / ETT CUFF SPIRAL FL NO. 8-0
Eugenol
Female Catheter Aximed no. 16
Fibre Kleer 4X
Fixomull / Transparan Film dressing tahan air Uk. 10 cm x 10 m
Fletcher Cair
Fletcher Serbuk
Foley Catheter No. 10

63

5
18

8
4
6

Buah
Buah
Buah
Buah
Buah
Buah
Buah
pak
Buah
Buah
Buah
Buah
Botol
Botol
rol
rol
pcs
Pak
Pak
Buah
Buah
pcs
box
Sachet
Buah
Buah
pcs
Set
pcs
Sachet
Sachet
Buah
pcs
pcs
pcs
rol
Buah
Pcs
Roll
Roll
pcs
pcs
pcs
Roll
Roll
Roll
Box
Buah
pcs
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
buah
buah
buah
Buah
Buah
buah
buah
Buah
Buah
Buah
Buah
Botol
pcs
Set
Rol
Botol
Botol
Buah

Rp

156,816

Rp
Rp
Rp

57,200
57,200
57,200

Rp
Rp

11,000
6,600.00

Rp

38,500.00

Rp

495,000

Rp
Rp
Rp
Rp

59,840.00
8,277.50
49,659.50
49,659.50

Rp
Rp
Rp

73,150
73,150
4,400

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

51,205.00
67,650.00
87,077
55,078
59,670.25
81,423.20
41,250.00
49,570
39,328.30
32,773

Rp

215,050

Rp

121,000

Rp

220,000

Rp

11,220

Rp

40,040

##
##
##
##
##
##
##
##
##
##
##
6
##
##
##
##
##
##
2
##
##
##
##
##
##
##
##
5
#
##
20
##
##
##
##
##
##
##
##
##
##
##
7
##
1
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
Halaman 27

STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Foley Catheter No. 10 / Chroma 2 way 10
Foley Catheter No. 12
Foley Catheter No. 14
Foley Catheter No. 14 / Chroma Folley Catheter 2 way 14
Foley Catheter No. 16
Foley Catheter No. 16 AAM
Foley Catheter No. 18
Foley Catheter No. 18 AAM
Foley Catheter No. 20
Foley Catheter No. 22
Foley Catheter No. 24
Foley Catheter No. 24 3way
Foley Catheter No. 6
Foley Catheter No. 6 / Chroma Folley Catheter 2 way 6
Foley Catheter No. 8
Foley Catheter Triway No. 18
Foley Catheter Triway No. 20
Foley Catheter Triway No. 22
Formalin cair 37%
Formalin Tablet @100
Framycetine Sulfat BP 1 % / Lohmatule
Garam Inggris
Gips Stone Gigi
Gipsona 10 cm
Gipsona 15 cm
Gipsona 4 " 3,5m X 10 cm
Glass Ionemer Cement ART / Tambalan Fuji I
Glass Ionemer Cement ART / Tambalan Fuji II
Glass Ionomer Cement/ Tambalan Fuji IX
Gliserin
Goldline Pencil Cauter
Guttapercha 15-40
Guttapercha 20
Guttapercha 45 - 80
H2O2 50 % 1000 ml
H2O2 3% @ 25 ml
Hair Spry
Hidro Gel / Cutimed Gel 15 gr
Hidrogel transparan @ 15 gr / Cutimed Gel
Hypafix 5 cm X 5 m BSN
Indikator Tape 25 mm x 200 m
Infus set Anak / Pediatric
Infus set Dewasa / Intrafix Adult
Infus Set Pediatric
Infus set Primeline
Infuset + Tabung / Micro drip + tabung JMS
Infuset Dewasa / Terumo
Intra Oral Elastis 2,5 OZ
Intra Oral Elastis 4,5 OZ
Introcan Safety G 18
Introcan Safety G 20
Introcan Safety G 22
Introcan Safety G 24
Intubation Stylet 1
Intubation Stylet 2
Intubation Stylet 3
Iodoform Pasta
IUD cut limas ( Cover T )
IV Cath no. 14
IV Cath no. 16
IV Cath no. 18
IV Cath no. 20
IV Cath no. 22
IV Cath no. 24
IV Cath no. 26
IV. Catheter + Port No. 20 / Bbraun
IV. Catheter + Port No. 22 / Bbraun
IV. Catheter + Port No. 24 / Bbraun
IV. Catheter + Port No.18 / Bbraun
IV. Catheter No. 14 / Abbot
IV. Catheter No. 16 / Abbot
IV. Catheter No. 18 / Abbot
IV. Catheter no. 18 /Otsu
IV. Catheter No. 20 / Abbot
IV. Catheter no. 20 /Otsu
IV. Catheter No. 22 / Abbot
IV. Catheter No. 24 / Abbot
IV. Catheter no. 24 /Otsu
IV. Catheter No. 26 / Abbot
Jarum Insulin 3 ml
Jelly EKG dan USG 5 liter
Kaca Mata Fotography
Kaca Mata Pelindung
Kain penutup jenazah

15
16

21

5
3

13

49
90
29
75
33
38

pcs
Buah
Buah
pcs
Buah
pcs
Buah
pcs
Buah
Buah
buah
buah
Buah
pcs
Buah
Buah
Buah
Buah
Liter
Kaleng
pcs
Kg
Kg
Rol
Rol
Rol
Set
Set
Set
liter
Buah
Box
Box
Box
liter
botol
Botol
Tube
Tube
Roll
rol
pcs
pcs
Buah
buah
pcs
pcs
Bungkus
Bungkus
Buah
Buah
Buah
Buah
buah
buah
buah
Buah
pcs
Buah
Buah
Buah
Buah
Buah
Buah
Buah
buah
buah
buah
buah
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Box
Gallon
pcs
Buah
set

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

40,040
13,090
11,384
13,090
13,090.00
14,034
13,090.00
11,383
13,090
16,500
13,090
13,090
66,000
53,900
40,040.00

Rp
Rp

14,300.00
11

Rp
Rp
Rp

29,750
29,750
34,320

Rp

27,360

Rp
Rp

31,350
33

Rp
Rp
Rp

69,184.50
63,649.00
50,142.50

Rp
Rp
Rp
Rp
Rp
Rp

22,000
20,267.50
20,020
11,688
59,400.00
11,187

Rp
Rp
Rp
Rp

27,500
27,500
27,500
14,608

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

19,250
19,250
19,250.00
20,134
19,250.00
20,134
19,250.00
19,250.00
20,134
27,500.00

##
##
##
##
10#
##
17#
##
##
##
##
##
##
##
##
5
##
##
##
##
##
##
23
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
7
##
5
##
##
17#
##
##
##
7
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
94#
##
6#
##
79#
66#
##
44#
##
##
##
##
##
Halaman 28

STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Kalsium Hidroxida
Kamper Spirtus
Kantong steril 90 mm x 257 mm
Kantong Sterilisasi 11 4/5 x 15 inc (300x380)
Kantong Sterilisasi 3 1/2 x 10 1/8 inc
Kantong Sterilisasi 5 1/3 x 11 1/7 inc @ 200 (180x335)
Kantong Sterilisasi 7 x 13 inc (135 x 335)
Kapas 1 Kg
Kapas Lemak 1 Kg
Kaporit / Chlorine Tab. 90%
Kapsul Kosong No. 0 @ 1000
Kapsul Kosong No. 00 @ 1000
Kapsul Kosong No. 1 @ 1000
Kapsul Kosong No. 2 @ 1000
Kapsul Kosong No. 3 @ 1000
Kassa 4 x 10 cm
Kassa 40 x 80 cm
Kassa Gulung X Ray Plus Uk. 40 Y x 80 cm
Kassa Steril 16 x 20 cm / Kassa DRC
Kassa Steril 16 x 20 / Kassa Binda
Kendil
Kertas EKG 30 x 50 @ 50
Kertas EKG 63 x 30 @ 10
Kertas USG 110 HA / HD @ 5 HA=10 , HD=10
Kertas USG 110 HG @ 5
Kobayashi gigi
Kondom Catheter L
Kondom Catheter M
Kondom Catheter S
Kondom Uk. All Size @ 12
Kreolin
Laminaria Uk. ( M , L )
Lanolin Anhydrous @ 1 kg
Laryngeal Mask Airway No. 1
Laryngeal Mask Airway No. 1,5 ( Cobra )
Laryngeal Mask Airway No. 1.5
Laryngeal Mask Airway No. 2
Laryngeal Mask Airway No. 2 ( Cobra )
Laryngeal Mask Airway No. 2,5 ( Cobra )
Laryngeal Mask Airway No. 2.5
Laryngeal Mask Airway No. 3
Laryngeal Mask Airway No. 3 ( Cobra )
Laryngeal Mask Airway No. 4
Laryngeal Mask Airway No. 4 ( Cobra )
Lembaran Penahan tutup Luka non woven Uk. 5 cm X 5 m / HYPAFIX 5X5
Leukomed
Leukomed T Plus / Transparan Film dressing + bantalan tahan air Uk. 10 cm x 25 cm
Leukosan Strip
Lidocain Gel / Xylocain Gel
Ligature Wire 009
Ligature Wire 010
Lisol wangi
Lohman /Elastis Verban 10cm x 5m
Lohman /Elastis Verban 8cm x 5m
Lower ( 012 NiTi )
Lower ( 014 NiTi )
Lower ( 016 Steinless )
Lower ( 016 x 022 NiTi ) Rahang Bawah
Lower ( 018 Steinless )
Lower (016x022 Steinless) Rahang Bawah
Lower (017x025 Steinless) Rahang Bawah
Lyostypt 5 x 8 cm /Absorben Gelatin Haemostatik effect
Manset Dewasa ( Bed Side Monitor )
Masker 3 ply (Tie On & Ear Loop)
Masker fie on
Masker earloop
Masker Nebulaizer ( Disp Masker Compresor ) Adult (GEA)
Masker Nebulaizer ( Disp Masker Compresor ) Pediatric 1886
Masker non ply kain
Masker Oksigen 8130
Masker Oksigen Adult
Masker Oksigen Adult / Sungkup Dewasa
Masker Oksigen Non Reabrething Pediatric
Masker Oksigen Non Reabriting Adult 1059
Masker Oksigen Pediatric
Masker Oksigen Reabrething Pediatric
Masker Oksigen Reabriting Adult
Mata Bur uk. 28 mm/ Surgery Burs
Mayo/Guedel Airway no. 10
Mayo/Guedel Airway no. 9
Mayo/Guedel Airway no.00
Mayo/Guedel Airway no.1
Mayo/Guedel Airway no.2
Mayo/Guedel Airway no.3

10
5

Box
liter
Buah
Box
Box
Box
Box
Gulung
Gulung
Kg
Buah
Buah
Buah
Buah
Buah
rol
rol
Gulung
kotak
pcs
pcs
Buah
Buah
Buah
Buah
box
Buah
Buah
Buah
Box
liter
Buah
Kg
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
pcs
pcs
Lembar
Buah
Tube
set
set
liter
Roll
Roll
box
box
box
box
box
box
box
Buah
Buah
Buah
pcs
pcs
Buah
Buah
Buah
Buah
Buah
pcs
Buah
Buah
Buah
Buah
Buah
Buah
buah
Buah
Buah
Buah
Buah
Buah

Rp

94,050.00

Rp
Rp
Rp

32
67
30.00

Rp

26
7,700.00

Rp

3,500.00
7,561.12
16,500.00

3,575.00

110,000.00
285,000.00

56,870.00
11,000.00
7,623.00
56,829.00

Rp
Rp
Rp
Rp

Rp

770.00
476.63
840.00
32,395.00
32,395.00
55,000.00
27,236.00
48,180.00
47,960.00
36,080.00
20,740.00
48,400.00

106,590.00

Rp

22,880.00
93,819.00

##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
4
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
4
##
5
##
##
##
3
##
##
##
##
##
##
##
##
##
##
##
##
##
2
Halaman 29

STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Mayo/Guedel Airway no.4
Mayo/Guedel Airway no.5 / 100 MM
Mayo/Guedel Airway no.6 / 110 MM
Mayo/Guedel Airway no.7
Meliseptol
Mesh 15 cm x 15 cm
Mesh Hernia (Apt)
Micromist Nebulezer Dewasa
Micropipet 25 UL
Micropipet 5 UL
Micropipet 50 UL
Minyak kayu putih 15 ml
Minyak Kayu Putih 30ml
Minyak Kayu Putih 60ml
Molar Band
Monofilament Synthetic Absorbable No. 2-0 / Biosyn 2-0 sm 823
Monofilament Synthetic Absorbable No. 3-0 ( Cutting ) / Biosyn 3-0 sm 822 /
Monofilament Synthetic Absorbable No. 4-0 / Biosyn 3-0 sm 822
Monopolar Electrode Tip Spatula
Mucus Extractor
Mumifying Pasta
Nald Kulit No. 1
Nald Kulit No. 10
Nald Kulit No. 11
Nald Kulit No. 12
Nald Kulit No. 13
Nald Kulit No. 14
Nald Kulit No. 15
Nald Kulit No. 16
Nald Kulit No. 2
Nald Kulit No. 3
Nald Kulit No. 4
Nald Kulit No. 5
Nald Kulit No. 6
Nald Kulit No. 7
Nald Kulit No. 8
Nald Kulit No. 9
Nald Otot No. 10
Nald Otot No. 11
Nald Otot No. 12
Nald Otot No. 13
Nald Otot No. 14
Nald Otot No. 15
Nald Otot No. 16
Nald Otot No. 3
Nald Otot No. 4
Nald Otot No. 5
Nald Otot No. 6
Nald Otot No. 7
Nald Otot No. 8
Nald Otot No. 9
Nald Usus No. 0
Nald Usus No. 00
Nald Usus No. 1
Nald Usus No. 2
Nald Usus No. 3
Nald Usus No. 4
Nald Usus No. 5
Nald Uterus No. 0
Nald Uterus No. 00
Nald Uterus No. 1
Nald Uterus No. 2
Nald Uterus No. 28
Nald Uterus No. 3
Nald Uterus No. 5
Nald Uterus No. 6
Nald Uterus No. 7
Nasal Cannul Oksigen Adult
Nasal Cannul Oksigen Adult (megah)
Nasal Cannul Oksigen Neonatal
Nasal Cannul Oksigen Pediatric
Nasal Canul Therapy Infant
Nasal Canul Therapy Neonatal
Nasal Canul Therapy Premature
Nasal Prong 00
Nasal Prong 1
Nasal Prong no 0
Nasal prong no 2
Nasopharyngeal Airway no.6,0
Nasopharyngeal Airway no.6,5
Nasopharyngeal Airway no.7,0
Nasopharyngeal Airway no.7,5
Nasopharyngeal Airway no.8,0
Nasopharyngeal Airway no.8,5

1
1

6
2
10

Buah
Buah
Buah
Buah
botol
Buah
Pcs
buah
pcs
pcs
pcs
fls
fls
Botol
Pice
pcs
pcs
pcs
set
Buah
set
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
pcs
Buah
Buah
Buah
Buah
Buah
pcs
pcs
Buah
pcs
Buah
Buah
Buah
Buah
Buah
Buah

Rp

102,080.00
22,880.00
22,880.00
106,590.00

1,239,994.14
22,176.00

5,390.00
7,440.00
14,207.00
112,750.00
106,700.00
100,650.00
28,600.00

Rp
Rp
Rp

28,737.50
13,860.00
16,500.00
28,737.50

##
##
1
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
5
##
##
2
##
##
##
##
##
##
##
##
##
##
##
##
##
##
Halaman 30

STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Needle 3 cc (Jarum)/ 23 G
Nelaton Catheter No. 10
Nelaton Catheter No. 12
Nelaton Catheter No. 14
Nelaton Catheter No. 16
Nelaton Catheter No. 18
Nelaton Catheter No. 8
Netral Pad Reuse
Netral Pad Single Use @ 10
Neutral Plate Cable T 229
Neutral Plate Cable T 300
NGT 10 (SJS)
NGT No. 10
NGT No. 12
NGT NO. 12 (SJS)
NGT No. 14
NGT No. 16
NGT No. 16 GBU
NGT No. 18
NGT No. 20
NGT No. 22
NGT No. 24
NGT No. 3,5
NGT No. 5
NGT No. 6
NGT No. 8
Niti Close ( Coil Spiring )
Niti Open ( Coil Spiring )
North Tracheal Tube 6
North Tracheal Tube 6.5
North Tracheal Tube 7
North Tracheal Tube 8
Nove t-380 new
Nylon 10-0
Opp site 25 cm x 10 cm
Opsite
Optilen mesh 7,5x15cm
Ortocast 3" dark
Ortocast 3" dark
Ortocast 4" light
Ortocast 5" orange
Ortosplin 3"x35"
Ortosplint 4"x30"
Ortosplint 5"x45"
Paket mata lengkap
Paket mata standar
Pampers XL sensi
Pampers Baby sensi
Pampers Baby Sweety S
Pampers Bayi / Mamypoko S
Pampers Bayi M Cuddle Love
Pampers Bayi Mamypoko NB
Pampers Dewasa / Lifekins L
Pampers Dewasa / Lifeskins L
Pampers Dewasa / Lifeskins M
Pampers Dewasa / Lifeskins M
Pampers Dewasa / Lifeskins XL
Pampers Dewasa / Lifeskins XL
Pampers L
Pampers L sensi
Pampers M
Pampers M sensi
Pampers Mamypoko Size M @9
Pampers XL
Papan Spalk Uk. 100 cm x 10 cm
Papan Spalk Uk. 100 cm x 12 cm
Papan Spalk Uk. 15 cm x 14 cm
Papan Spalk Uk. 20 cm x 7 cm
Papan Spalk Uk. 50 cm x 10 cm
Papan Spalk Uk. 50 cm x 8 cm
Papan Spalk Uk. 70 cm x 10 cm
Papan Spalk Uk. 90 cm x 10 cm
Papan Spalk Uk.120 cm x 12 cm
Papan Spalk Uk.120 cm x 125 cm
Papan Spalk Uk.125 cm x 10 cm
Papan Spalk Uk.125 cm x 15 cm
Papan Spalk Uk.150 cm x 12 cm
Paper Point Absorbent
Parafin Cair
Pelarut Biru / Spirtus Bakar
Pembalut maternity
Pen Needle 32GX4mm ASIA
Pen Needle 32GX4mm ASIA (GBU)
Peneng Bayi Warna Biru @ 100

3
12
3

3
3
5

Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Box
Buah
Buah
pcs
Buah
Buah
pcs
Buah
Buah
pcs
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Bungkus
rol
buah
buah
buah
buah
pcs
pcs
Buah
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
paket
paket
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Box
Liter
Liter
pcs
pcs
pcs
Buah

Rp

Rp
Rp
Rp
Rp
Rp
Rp

Rp
Rp
Rp
Rp

440.00

16,016.00
22,440.00
19,800.00
12,100.00
15,125.00
15,125.00
19,800.00
12,100.00
19,800.00

10,098.00
18,150.00
16,016.00
14,260.40

255,236.00
Rp

Rp

Rp

Rp

38,500.00
38,500.00
554,070.00
99,275.00
109,725.00
109,725.00
132,825.00
282,150.00
334,400.00
491,150.00
1,650,000.00
816,750.00
8,250.00
1,604.17
1,980.00
1,981.50
1,152.00
2,805.00
5,042.10
4,840.00
4,033.68
3,593.67
6,453.33
6,588.40
8,319.00
7,562.50
6,655.00
6,050.00
1,960.22

16,500.00
2,323.48
2,733.50

##
2
##
##
##
##
##
##
##
##
##
##
##
##
5
13#
##
##
3
13#
##
##
3
##
##
##
##
3
##
3
##
6
10#
##
##
##
##
##
##
##
##
##
4
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
7
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
95#
##
Halaman 31

STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Peneng Bayi Warna Pink @ 100
Peneng Dewasa Blue
Peneng Dewasa green
Peneng Dewasa Pink
Penjepit Tali Pusat Warna Biru @ 50 Umbilical Clamb
Penutup Kepala / Head Cup
PGA 8/0 US IOL
Pin Hijau/ Alert Colored Snaps NOLATEX
Pin Kuning/Alert Colored Snaps FALL RISK
Pin Merah/ Alert Colored Snaps ALLERGY
Pin Pink/ Alert Colored Snaps LIMBALERT
Pin Ungu/Alert Colored Snaps DNR
Pipets
Pispot laki-laki
Pispot perempuan
PK Cristal / K-MN O4 ( RRC )
Plastik Besar Kuning
Plester Coklat / Leukoplast
Plester Coklat 1,25cm x 4,5cm
Plester Coklat 5,0 cm x 4,5 m
Plester Coklat 7.5 cm x 4.5 m
Podophyli Tingtur 25 % Tingtur @ 100 ml
Polyglactine No. 0 Tapper
Polyglactine No. 1 / Polysorb 1-0 (Taper)
Polyglactine No. 2-0 ( Reverse Cutting )
Polyglactine No. 2-0 ( Taper Point )
Polyglactine No. 2-0 / Polysorb 2-0 (Taper)
Polyglactine No. 3-0 ( Reverse Cutting ) SL 822
Polyglactine No. 3-0 ( Taper Point )
Polyglactine No. 3-0 / Polysorb 3-0 (Taper)
Polyglactine No. 4-0 ( Reverse Cutting )
Polyglactine No. 4-0 ( Taper Point ) UL 203
Polyglactine No. 4-0 / Polysorb 4-0 (Taper)
Polyglactine No. 5-0 ( Cutting )
Polyglactine No. 5-0 (Tapper)
Polyglactine No. 6-0 ( Cutting )
Polyglactine No. 6-0 / Polysorb 6-0 (Taper)
Polyglactine No.1 ( Otot/Taper )
Polyglycolic Acid No. 8-0 @ 12
Polypropylene No. 4-0 Cutting / SURGIPRO 4-0 SP 683 CUTTING
Polypropylene No. 7-0 / Surgipro 7-0
Polypropylene no.0 ( Kulit/Cutting )
Polypropylene no.0 Tapper
Polypropylene no.2-0 ( Kulit/Cutting )
Polypropylene no.2-0 ( Otot/Taper )
Polypropylene no.3-0 ( Kulit/Cutting )
Polypropylene no.3-0 ( Otot/Taper )
Polypropylene no.4-0 ( Kulit/Cutting ) SP 683
Polypropylene no.4-0 ( Otot/Taper )
Polypropylene no.5-0 ( Cutting )
Polypropylene no.5-0 ( Otot/Taper )
Polypropylene no.6-0 ( Cutting )
Polypropylene no.6-0 ( Otot/Taper )
Polypropylene no.7-0 ( Otot/Taper )
Pot Cream 15cc
Pot Cream 20 gr
Pot Cream 30cc
Pot Plastik Salep Uk. 10 gr
Pot Plastik Salep Uk. 20 gr
Pot Plastik Salep Uk. 30 gr
Pot Plastik Salep Uk. 50 gr
Povidon Iodine @ 1 Liter
Povidon Iodine 15 ml
Premicron / Polyester Green
Prof. South Tracheal Tube 6
Prof. South Tracheal Tube 6.5
Prof. South Tracheal Tube 7
Prof. South Tracheal Tube 7.5
Prof. South Tracheal Tube 8
Prof. South Tracheal Tube 8.5
Prontosan Sol Ampul Wes 6x40 ml
Prontosan Wound Gel 30 ml
Prontosan Wound Gel 30 ml (DNR)
Prontosan Wound Gel X 250 gram
Pumps Accessories Perfusor Tubing, white 150 cm / Perfusor tubing
Putrex / Endometason untuk Pengisian
Ring Presarium No. 7,5
Rivanol 100 ml
Safety Box
Sarung Tangan gloves (MAS)
Sarung Tangan Non Steril no.6,5 / S MAS
Sarung Tangan Non Steril no.6,5 / S PF Ansell
Sarung Tangan Non Steril no.7,5 / M MAS
Sarung Tangan Non Steril no.7,5 / M PF Ansell

15

Buah
pcs
Buah
pcs
Buah
Box
pcs
Buah
pcs
pcs
Buah
pcs
pcs
pcs
pcs
fles
Kg
pcs
Roll
Roll
rol
botol
Sachet
pcs
Sacset
Sacset
pcs
Sacset
Sacset
pcs
Sacset
Sacset
pcs
Sacset
Sachet
Sacset
pcs
Sacset
Box
Buah
pcs
Buah
Buah
Sachet
Sachet
Sachet
Sachet
Sachet
Sachet
Sachet
Sachet
Sachet
Sachet
Sachet
pcs
pcs
pcs
Buah
Buah
Buah
Buah
botol
Botol
sachet
buah
buah
buah
buah
buah
buah
TUbe
fls
Fles
Tube
pcs
botol
Buah
botol
Buah
pcs
Pasang
pasang
Pasang
pasang

750.00
10,000.00
10,000.00

Rp

6,172.70
7,975.00
41,250.00

96,800.00

76,450.00
100,045.00
100,045.00
92,565.00
92,565.00

104,000.00

88,825.00
158,015.00

85,552.50
Rp

82,447.20
82,447.00

2,750.00
3,300.00
3,300.00

500.00

Rp

44,000.00
172,975.00
162,800.00

Rp

40,205.00
64,064.00

7,865.00

858.00

##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
1
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
2
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
4
##
##
##
##
##
##
##
##
##
Halaman 32

STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Sarung Tangan Non Steril no.8 / L PF Ansell
Sarung Tangan Non Steril no.8,5 / L MAS
Sarung Tangan Non Steril Uk SS
Sarung Tangan orthopedi No. 7,5
Sarung Tangan orthopedi No. 8
Sarung Tangan panjang / Gynaecological Surgical Gloves UK. M
Sarung Tangan Steril no.6 PF Gamex
Sarung Tangan Steril no.6,5 PF Gamex
Sarung Tangan Steril No.7 PF Gamex
Sarung Tangan Steril no.7,5 PF Gamex
Sarung Tangan Steril no.8 PF Gamex
Sarung Tangan Steril PF No. 7,5 MAS
Saturasi / SPO2 ( Oximetri ) + Sensor
Selang Nebulaizer
Semen Seng Fospat
Sensitive
Silet
Silk No. 0 Cutting @ 36
Silk No. 1
Silk No. 2
Silk No. 2-0 Cutting / SOFSILK 2-0 CUTTING SS 2-0 685
Silk No. 2-0 Kulit ( reverse cutting )
Silk No. 2-0 usus/subcutis/ligasi ( Taper point ) GS-453
Silk No. 3-0 Cutting / SOFSILK 3-0 CUTTING SS 684
Silk No. 3-0 Kulit ( reverse cutting )
Silk No. 3-0 Tapper
Silk No. 4/0
Silk No. 4-0 Cutting / SOFSILK 4-0 CUTTING SS 683
Silk No. 4-0 Cutting / SOFSILK 4-0 CUTTING VS 871
Silk No. 4-0 Cutting SS-683
Silk No. 4-0 Tapper VS 871
Silk No. 5/0
Silk No. 5-0 3/8 C x 19 mm 45 cm C-13 Kulit / Mata @ 36
Silk No. 6-0 3/8 C x 16 mm 45 cm C-12 Kulit / Mata @ 36
Soda Lime
Sofban 10 Cm
Sofban 15 Cm
Sofban 6 "
Sofband 4"
Softratulle
South Tracheal Tube 3
South Tracheal Tube 3.5
South Tracheal Tube 4
South Tracheal Tube 4.5
South Tracheal Tube 5
Spinal niedle no. 27 G / Spinocain
Spuit 1 cc insulin ORANGE
Spuit 3 cc terumo(GBU)
Spuit 1 cc SJS
Spuit 1 cc terumo
Spuit 10 cc GBU
Spuit 10 cc SJS
Spuit 2,5 cc
Spuit 20 cc
Spuit 3 cc
Spuit 5 cc
Spuit 5 cc terumo
Spuit 50 cc biasa Terumo
Spuit 50 cc cateter tip SJS
Spuit 50cc (omnifix) Luer lock
Spuit 50cc Cathetertip (omnifix)
Spuit Injector
Spuit Insulin @ 100
Spute Bal
Stylets Soft Tip 10 FR. 5 / Mandrin
Stylets Soft Tip 14 FR. 5 / Mandrin
Stylets Soft Tip 6 FR. 5 / Mandrin
Suction Catheter Adult no.12
Suction Catheter No. 10
Suction Catheter No. 14
Suction Catheter No. 14 (SJS)
Suction Catheter No. 16
Suction Catheter No. 18
Suction Catheter No. 6
Suction Catheter Pediatric /Infant no.8
Suction Catheter Remedi no. 12
sungkup dewasa (MASKER 8110)
Suprasorb A + AG
Suprasorb C
Suprasorb F Roll
Suprasorb G AGS
Suprasorb X
Surefit Cable
Surefit Non Cable

50

13

365
91
29
600
369
18
13
6

1
8

pasang
Pasang
Box
pasang
pasang
pasang
pasang
pasang
pasang
pasang
pasang
psg
Buah
Buah
set
pcs
Buah
Sachet
Roll
Roll
Buah
Sacset
Sacset
Buah
Sacset
Sachet
Roll
Buah
Buah
pcs
pcs
Roll
Sachet
Sachet
Gallon
Buah
Buah
Buah
pcs
pcs
buah
buah
buah
buah
buah
Buah
pcs
pcs
Buah
pcs
pcs
Buah
Buah
Buah
Buah
Buah
pcs
pcs
Buah
pcs
pcs
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
pcs
Buah
Buah
pcs
Buah
pcs
PCS
pcs
pcs
pcs
pcs
pcs
Buah
Buah

18,067.50

14,492.50
Rp

8,800.00

19,000.00

Rp
Rp

49,555.00
49,555.00
48,620.00
46,750.00
46,750.00

46,750.00
52,250.00
46,750.00
46,750.00

59,400.00

Rp

Rp

19,465.00
29,316.10
29,316.00
18,983.00
20,956.50

Rp

25,410.00
2,662.00
3,190.00
2,200.00
2,200.00
5,115.00
2,557.50
1,914.00
7,975.00
1,595.00
1,925.00
1,925.00
16,409.25
22,275.00
14,300.00
16,445.00

Rp

2,662.00

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

5,005.00
5,005.00
5,125.12
5,005.00
Rp

5,125.10
5,125.12
9,900.00
48,400.00
194,370.00
209,000.00
98,550.00
99,275.00
213,525.00

##
##
##
##
##
##
##
##
##
##
##
35#
##
##
##
##
##
##
##
##
##
4
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
1
##
##
##
6
##
##
##
##
##
##
##
##
##
###
480
##
###
184
##
32#
###
411
##
###
559
20#
14#
##
##
6
##
##
##
##
##
##
##
##
##
##
##
##
##
5
##
##
##
##
##
##
##
##
##
##
Halaman 33

STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Surgical Hypoalergenic 2,5 cm x 9,2 m
Surgical Hypoalergenik Tape 1,25 cm x 5 / Micropore
Surgicel Gauze 5x7 5 cm/ W1913T
Surgipro 2-0 Cutting
Surgipro 3-0 Cutting SP 665
Surgipro 5.0
Surgipro 6-0
Surgipro Mess SPM 66 W
Tabung CSD / Redax
Tabung EDTA / Vacutainer EDTA K3 2ML @100 / Vacupro
Tabung EDTA / Vacutainer SST GC ACTVTR 3ML @100 / Vacupro
Tabung Injector
Talk Salicyl
Talkum
Tambalan sementara (Untuk Gigi)
Tambalan Sinar/ Ligh Curing
Tegaderm 1623
Temporary Filing / Coltosal
Tensoplas STK Anak
Tensoplas STK Dewasa
Thermometer Digital
Thorocic Trocar no. 24
Thorocic Trocar no. 28
Thorocic Trocar no. 32
Threeway StopCock Tube 10 cm/ Discofix 3-way Bbraun
Threeway StopCock Tube 25 cm
Tissue Basah
Tracheal Tube With Cuff Size 2,5
Tracheostomy Canule
Tranfusi Set Otsuka
Tranfusi Set Terumo
Triplex ( 0175 )
Triway Infus
Triway Infus / Discofix
Trocar Sleeve 12/100MM SMOOTH
Trocar Sleeve 12/100MM w/Trian
Tule Gauze Uk. 10 cm X 10 cm / Cuticell
Umbilical Chateter No. 5
Umbilical Chateter No. 6
Underpad Prevail
Underpad sensi
Upper ( 012 NiTi )
Upper ( 014 NiTi )
Upper ( 016 Steinless )
Upper ( 016 x 022 NiTi ) Rahang Atas
Upper ( 018 Steinless )
Upper (016x022 Steinless) Rahang Atas
Urinal Bag COSMOMED
Urine Bag Megah
Urine Bag multi
Vaselin Alba 1 kg
Vaselin Flava @1kg
Vicryl 3-0 W9120
Vicryl 5 - 0/W 953 /12
Vlimaktive AG
Wash benzen
Wash Gloves Tissue
Wash Gloves Tissue / Docare W glove
Wing Needle No. 21
Wing Needle No. 23
Wing Needle No. 25
Wing Needle No. 27
Wooden Ayre Spatulas @100
Wundres B 10x10 CM
Wundres B 10x20 CM
Wundres F 5x20x0,2cm
Wundres N 10x10 CM
Wundres N 10x20 CM
Zeide No. 0
Zeide No. 1
Zeide No. 2
Zeide No. 2/0
Zeide No. 3
Zeide No. 3/0
DAFTAR ALKES BARU :
5,0 / 4,5 LCP Broad 10 Hole
4,5 Cortical Self Tapping Screw 26 mmm
4,5 Cortical Self Tapping Screw 36 mmm
4,5 Cortical Self Tapping Screw 38 mmm
5,0 Locking Screw 36 mm
5,0 Locking Screw 38 mm
Askina Calgitrol
Masker Nebulezer Anak 8906 Salter

1
2

74

3
1

56

40

23

25

Roll
pcs
buah
pcs
pcs
pcs
pcs
pcs
pcs
box
box
Buah
Pak
Kg
Dus
Set
pcs
botol
fls
pcs
pcs
Pcs
Pcs
Pcs
Buah
Buah
Pak
pcs
Buah
pcs
pcs
box
Buah
pcs
set
set
Lembar
Buah
Buah
pcs
pcs
box
box
box
box
box
box
Buah
pcs
pcs
Kg
pot
pcs
Sachet
pcs
liter
Pcs
pcs
Buah
Buah
Buah
Buah
Box
pcs
pcs
pcs
pcs
pcs
Rol
rol
rol
rol
Rol
rol

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs

Rp

Rp
Rp

11,550.00
83,215.00
90,227.60
88,825.00
90,227.50
738,650.00

Rp

1,837.00

Rp

6,600.00

Rp

70,722.00
96,849.00
24,524.50
161,568.00
161,568.00
23,375.00
14,850.00
36,432.00

Rp

28,600.00
29,826.50

Rp

23,100.00
21,505.00

9,350.00

7,260.00
3,932.50

Rp
Rp

3,905.44
9,625.00
5,000.00
84,000.00
79,800.00
90,750.00
156,750.00
17,050.00
22,627.00
10,208.00
10,208.00
11,528.00
61,320.00
109,500.00
766,500.00
350,400.00
629,625.00

Rp

Rp
Rp

4,620,000.00
132,000.00
132,000.00
132,000.00
561,000.00
561,000.00
140,250.00
44,000.00

##
##
1
##
##
##
##
##
##
##
79#
##
##
##
##
##
##
##
5
##
##
1
##
##
##
##
##
##
##
##
##
##
##
15#
##
##
40#
##
##
##
##
##
##
##
##
##
##
##
##
##
##
30#
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
3
##
Halaman 34

STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Alcohol Swab
Spuit 3 cc Terumo (SJS)
Sacrolumbar Support Uk S
Sacrolumbar Support Uk M
Abdominal Binder UK S
Abdominal Binder UK S
Molinea Plus L-60 x 90
Guedel Airway, Size 2/90
Cystofix F10 12 cm
4,5 Cortical Self Tapping Screw
4,5 Cortical Self Tapping Screw
4,5 Cortical Self Tapping Screw
4,5 Cortical Self Tapping Screw
5,0 Locking Screw 24 mm
5,0 Locking Screw 26 mm
5,0 Locking Screw 28 mm
5,0 Locking Screw 30 mm
5,0 Locking Screw 32 mm
5,0 Locking Screw 36 mm
5,0 Locking Screw 44 mm
5,0 Locking Screw 46 mm
Narrow Locking Plate 10 Hole
Narrow Locking Plate 12 Hole
5,0/4,5 LCP FEMORAL 7 H R
5,0 Locking Screw 40 mm
5,0 Locking Screw 60 mm
5,0 Locking Screw 70 mm
5,0 Locking Screw 75 mm
4,5 Cortical Self Tapping Screw
1,5 Mini-I Plate 4 Hole
1,5 Cortical Self Tapping Screw

150

26
32
36
24

mm
mm
mm
mm

30 mm
10 mm

SOFSILK 6-0 SS 681 CUTTING

Rp

pcs
Pcs
Pcs
Pcs
pcs
Pcs
Pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

Sachet

Extention Tube

pcs

Tourniquet

pcs

Nova-T

pcs

Cooper-T

pcs

Cellacast 5''

385.00
1,595.00
182,182.00
182,182.00
133,133.00
133,133.00
5,250.00
22,880.00
523,710.00
132,000.00
132,000.00
132,000.00
132,000.00
561,000.00
561,000.00
561,000.00
561,000.00
561,000.00
561,000.00
561,000.00
561,000.00
4,620,000.00
4,620,000.00
5,808,000.00
561,000.00
561,000.00
561,000.00
561,000.00
132,000.00
660,000.00
99,000.00
64,982.50

77#
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
-

pcs

Bongross 10 cc

pcs

LAIN-LAIN
ACPI K / Keresek Kecil
ACPI T / Keresek Tanggung
Isolatif
Kertas Perkamen Puyer
Kertas Tempel
Plastik 1 kg (15x30)
Plastik 1/2 kg (12x25)
Plastik 1/4 kg (10x20)
Plastik 2 kg (20x35)
Plastik Obat klip + bantalan etiket Uk.15 cm x 10 cm @ 100
Plastik Obat Klip + Bantalan etiket uk 7x10 cm @ 100
Plastik Obat Klip + Bantalan etiket uk 8 cm @ 100
Plastik Klip uk.15 x 25 cm @100
Plastik Obat Klip + Bantalan etiket uk 8x13 cm @ 100
Plastik 5 kg
Plastik Klip 25 x 35 cm
Plastik Klip 35 x 30 cm
Plastik Klip Uk 13 x 8,7 / Injek

Pak
Pak
Roll
pcs
lembar
pak
pak
pak
Pak
pak
pak
pak
Pak
Pak
Pak
buah
buah
Pak

GIGI :
BEDAH MULUT
1,2MMx3MM AT-DRV TM SCREW
1,2MMx4MM AT-DRV TM SCRW
1,2MMx6MM SCREW
1,6 MM x 5 MM AT-DRV Screw
1,6MMx10MM SCRW
1,6MMx12MM SCRW
1,6MMx4MM AT-DRV SCRW
1,6MMx8MM AT-DRV scrw
10 HL STR PLT 1,2 MM
10 HL STR PLT 1,6MM
10 Hole STR Plate 1,6 MM
13MM LEFT L PLT 1,2MM
16MM RIGHT L PLT
2,0 MM X 10 MM SCRW - 2022010
2,0 MM X 12 MM Screw - 2022012
2,0 MM X 14 MM SCRW - 2022014
2,0 MM X 8 MM AT-DRVScrew
2,4 MM x 10 MM Screw
2,4 MM x 8 MM Screw
ACHBAR SPLINT W-HOOKS - 2070121

pcs
pcs
pcs
Buah
pcs
pcs
pcs
pcs
pcs
pcs
Buah
pcs
pcs
Buah
Buah
Buah
Buah
Buah
Buah
ROLL

3,971,000.00

9.00

361,548.00
361,548.00
500,940.00
435,600.00
435,600.00
361,548.00
361,548.00
2,079,990.00
1,132,560.00
1,829,520.00
1,829,520.00

##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
Halaman 35

STOK AWAL
Nama Alkes

Satuan

HARGA REGULER
REGULER

STOK OPNAME
Filtek Z 250
Filtek Z 250
Ketak Molar
Mata Bur uk. 28 mm/ Surgery Burs
Mini 16 Hole STR Plate 1,0 MM - 2101036
Mini 4 Hole STR Plate 1,0 MM
Power Chain
Power Chain
Reconstruction Plate Left 5 x 16 Hole

Buah
Buah
Buah
Buah
Buah
Buah
ROLL
Buah
Buah

MATA :
Carbachol/Optichol
Clear Cornea Knife 2,75 MM Oasis
Crescent Knife Oasis
Eye Drape
HPMC 2 ml/Occugel
Nylon Suture 10-0 US IOL
Sodium Hyaluronate/Occulon HV 1,60
Stab Knife 15 Degeee Oasis
Trypan Blue/Optiblu
US IOL 628 UV :
2.0
4.0
5.0
14.0
15.0
16.0
16.5
17.0
17.5
18.0
18.5
20.5
21.0
21.5
22.0
22.5
19.0
19.5
20.0
23.0
2.5

Vial
Buah
Buah
Buah
Buah
Buah
Box
Buah
Vial
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah
Buah

1
1

1
1
1

AKUPUNKTUR :
Jarum Akupuntur Uk. 1/4 (7 mm) @100
Jarum Akupuntur Uk. 1/2 (13 mm) @100
Jarum Akupuntur Uk. 1 ( 25 mm) @100
Jarum Akupuntur Uk. 1,5 (40 mm) @100
Pres Needle
Stagen Amdominal Uk. S
Stagen Amdominal Uk. M
Stagen Saero Uk. M

pcs
pcs
pcs
pcs
box
Pcs
Pcs
Pcs

TOTAL

Rp

357,500.00

Rp

357,500.00

Rp

357,500.00
357,500.00
357,500.00
357,500.00
357,500.00
357,500.00
357,500.00
357,500.00
357,500.00
357,500.00
357,500.00

Rp
Rp

Rp
Rp

357.50
357.50
357.50
357.50
49,500.00

##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
1
##
##
1
##
##
##
##
##
##
##
##
1
##
##
1
##
1
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
##
2,953
###

Ka. Instalasi Farmasi

RSUD Ciawi Kab. Bogor

Novitasari Nasution, Apt.

No PTT. 2000226

Halaman 36