Bodag New

NO.
SATU STOK PENERIMAAN

KODE NAMA - O BAT AN AWAL PKD BUFF.KAB
1 2 3 4
1 Acyclovir SK 5 % tube 22 50 -
2 Acyclovir tab. 200 mg tab - - -
3 Acyclovir tab. 400 mg tab 120 - -
4 Adona Ac 17 injeksi 5 ml amp. - - -
5 Alat Suntik Sekali Pakai 1 ml set - - -
7 Alat suntik sekali pakai 20 ml set - - -
10 Albendazol tablet 400 mg tab. 400 - -
11 Alinamin F inj. amp. - - -
12 Alinamin F tab. tab. - - -
13 Alkohol swab - - -
14 Alopurinol tablet 100 mg tab 680 - -
15 Alopurinol tablet 300 mg tab. - - -
16 Ambroxol sirup 15mg/60ml botol 113 - -
17 Ambroxol tablet tab 570 - -
18 Aminofilina Injeksi 24mg/ml-10ml amp 23 - -
19 Aminofilina tablet 200 mg tab. 1,260 - -
20 Amitriptilin HCl.Tablet Salut 25 mg tab. 270 200 -
21 Amlodipin tab. 10 mg tab - - -
22 Amlodipin tab. 5 mg kaplet - - -
23 Amoksisilin + As. Klavulanat 625 mg cap. - - -
24 Amoksisilin kaplet 500 mg kaplet 1,220 2,000 -
25 Amoksisilin kapsul 250 mg kapsul - - -
26 Amoksisilin sir forte 250 mg/5 ml botol 0 - -
27 Amoksisilin Sirup Kering 125 mg/5ml botol 136 - -
28 Ampisillin inj. 1 gr amp. - 500 -
29 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp - - -
30 Antalgin (Metampiron) Tablet 500 mg tab 496 - -
31 Antasida DOEN susp, Kombinasi : botol - - -
32 Antasida DOEN Tablet, Kombinasi : tab 1,635 2,000 -
33 Anti Bakteri DOEN Salep Kombinasi : tube - - -
34 Anti Hemoroid DOEN Kombinasi supp 20 - -
35 Antimigren DOEN kombinasi: Tablet tab. 255 - -
36 Antrain inj. amp. - - -
37 Aqua pro Injeksi, bebas pirogen vial 191 - -
38 Aquadest Steril btl. - - -
39 Artemeter inj. ampul - - -
40 Artesunat inj. vial - - -
41 Articulating paper kertas warna penanda oklusi 0 - -
42 Asam asetilsalisilat (asetosal) tab 80 mg tab 0 - -
43 Asam Askorbat tablet 100 mg tab. - - -
44 Asam Askorbat tablet 50 mg tab. 1,016 2,000 -
45 Asam Benzoat 6%+Asam Salisilat 3% pot. - - -
46 Asam Folat tab. 1 mg tab. 2,180 - -
47 Asam Mefenamat tablet 500 mg kaplet 3,010 - -
48 Asam Traneksamat inj. 50mg/ml amp 10 - -
49 Asetosal tablet 100 mg tab. - - -
50 Asetosal tablet 500 mg tablet - - -
51 Aspar K tablet tablet - - -
52 Atapulgit tablet 600 mg tab 130 500 -
53 Atarax tab tab - - -
54 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp 11 - -
55 Atropin Sulfat tablet 0,5 mg tab - - -
56 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah - - -
57 Bebat Fracture buah - - -
58 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial vial - - -
60 Betahistin Mesilat tab 6 mg tab 390 - -
61 Betametason krim 0,1 % tube 11 25 -
62 Biolysin syr. btl - - -
63 Bioneuron tab. tab - - -
64 Bioplacenton jell tube - - -
65 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp 6 - -
66 Bisakodil supp. 5 mg (Dulcolax supp) anak supp 21 - -
67 Bisoprolol tab. 5 mg tab 60 - -
68 Bloodset set - - -
69 Bromheksin tab. 8 mg ( Hexon tab.) tab - - -
70 Buscotika inj.( Spasi inj .) amp - - -
71 Calsium Gluconas injeksi amp 10 - -
72 Canula Oksigin anak biji - - -
73 Canula Oksigin dewasa biji - - -
74 Captopril 12,5 mg tab. tab 250 - -
75 Captopril tab. 25 mg tab 1,260 500 -
76 Cartridge GeneXpert - - -
77 Catgut / Benang Bedah No.2/0-3/0 buah - - -
78 Cefadroksil caps 500mg kapsul - - -
79 Cefadroksil syr kering 125 mg botol - - -
80 Cefotaxim inj. vial - - -
81 Ceftriakson inj. vial - - -
82 Cetirizin sirup 5mg / 5 ml btl - - -
83 Cimetidine tab. tab. - - -
84 Clobazam tab. 10 mg tab 330 - -
85 Clozapin tab. 25 mg tab 200 - -
86 Cyprofloxasin 500 mg tab. 737 200 -
87 Deksametason injeksi 5mg/ml-1ml amp 463 - -
88 Deksametason tablet 0,5 mg tab 2,280 - -
89 Dekstran 70-larutan infus 6% steril btl - - -
90 Demacolin syr. btl - - -
91 Demacolin tab. tab 2,850 2,000 -
92 Dexanta tablet tab - - -
93 Diazepam Injeksi 5 mg/ml-2ml amp 2 - -
94 Diazepam rectal tube supp 5 - -
95 Diazepam tablet 2 mg tab. - - -
96 Diazepam tablet 5 mg tab - 200 -
97 Dietilkarbamazin Sitrat tablet 100 mg tab. - - -
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp 352 - -
99 Digoxin tablet 0,25 mg tab 398 - -
100 Diltiazem hcl tab 30 mg tab 0 - -
101 Dimenhidrinat tab . 50 mg tab - - -
102 Disp.Scalpel buah - - -
103 Doksazosin tab 1 mg tab 0 - -
104 Doksisiklin tab. 100 mg tab 694 - -
105 Domperidom susp. 5 mg / ml btl 11 - -
106 Domperidom tab. tab. 770 - -
107 Efavirenz (EFV) 200 mg tab - - -
108 Efavirenz (EFV) 600 mg tab - - -
109 Efedrin HCl tablet 25 mg tab. - - -
110 Ekstrak Belladon tablet 10 mg tab - - -
111 Enervon C tab. tab - - -
112 Epinefrina HCl/Bitatrat Injeksi amp - - -
113 Eritromisin kaps 250 mg kapsul 0 200 -
114 Erytromisin kaps.500 mg kapsul 170 - -
115 Erytromisin sirup. btl 57 - -
116 Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml - - -
117 Etanol 70 % btl./ 1 ltr - - -
118 Etanol 70% 100 ml btl. 30 - -
119 Etil Klorida Semprot btl 12 - -
120 Eugenol cairan btl - - -
121 Fenitoin Natrium Injeksi 50 mg/ml amp - - -
122 Fenitoin Natrium Kapsul 100 mg kapsul - - -
124 Fenobarbital Injeksi 50 mg/ml-2ml amp 24 - -
125 Fenobarbital tablet 100 mg tab - - -
126 Fenobarbital tablet 30 mg tab 100 - -
127 Fenoksimetil Penisilina tablet 250 mg tab - - -
128 Fenoksimetil Penisilina tablet 500 mg tab. - - -
129 Fenol Gliserol tetes telinga 10 % btl - - -
130 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab 440 - -
131 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp - - -
132 Fluoksetin kap. 10 mg tab - - -
133 Fluoksetin kap. 20 mg - - -
134 Fluor tablet 0,5 mg tab - - -
135 Folley Catheter No.12 pcs - - -
142 Furosemid tablet 40 mg tab 110 500 -
143 Furosemida inj. Iv/im 10 mg/ml amp 79 - -
144 Garam Oralit 200 ml air sacc 558 - -
145 Gentamisin inj. 80 mg / ml amp - - -
146 Gentamycin Salep Kulit tube 28 - -
147 Gentian Violet Larutan 1 % btl 50 - -
148 Glibenclamid tablet 5 mg tab 590 - -
149 Glimepirid tab 2 mg tab 300 - -
150 Gliserilguaiacolat tablet 100 mg tab 2,650 - -
151 Glukosa Larutan Infus 10 % Steril btl. - - -
152 Glukosa Larutan Infus 40 % Steril btl - - -
153 Glukosa Larutan Infus 5 % Steril btl 178 400 -
154 Griseofulvin tablet 125 mg, micronized tab - - -
155 H2O2 ( Hydrogen Peroxide ) 3% btl / 100 ml - 5 -
156 H2O2 ( Hydrogen Peroxide ) 3% btl / 800 ml - - -
157 Haloperidol Decanoas 50 mg/ml inj. amp 7 - -
158 Haloperidol inj.5 mg/ml amp 8 - -
159 Haloperidol tablet 0,5 mg tab - - -
161 Haloperidol tablet 5 mg tab 220 500 -
162 Handsaplas jumbo buah - - -
163 Handscoen obgyn psg - - -
164 Hansdcoen buah - - -
165 Hansdcoen steril psg - - -
166 Hidroklorotiazid ( HCT ) tablet 25 mg tab. 80 - -
167 Hidrokortison Krim 2,5 % tube 39 50 -
168 Human tetanus imunoglobulin inj 500 UI (i.m.) amp 0 - -
169 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl 48 50 -
170 Ibuprifen susp. 200 mg / 5 ml btl - - -
171 Ibuprofen tablet 200 mg tab 1,879 - -
172 Ibuprofen tablet 400 mg tab - - -
173 Imipramide tab. 25 mg tab. - - -
174 Infusion Set Anak pcs - - -
175 Infusion Set Dewasa pcs - - -
176 INH tab 100 mg tab 0 - -
177 Iodida Test test 0 - -
178 Iodiol Kapsul kaps lunak - - -
179 Isorbid Dinitrat tablet Sublingual 5 mg tab 280 - -
180 IV. Cateter No.18 G pcs 100 - -
181 IV. Cateter No.20 G pcs - - -
182 IV. Cateter No.22 G pcs 150 - -
184 IV. Cateter No.26 G pcs - 30 -
185 Kalamin Lotio btl 65 - -
186 Kalium Permenganat serbuk btl - - -
187 Kalsium Laktat (Kalk) tablet 500 mg tab 1,400 2,000 -
188 Kaltrofen tab tab 140 - -
189 Kaolin Pektin syr botol 36 - -
190 Kapas Pembalut/Adsorben 250 gram rol. - - -
191 Karbamazepin tablet 200 mg tab 194 - -
192 Kasa Kompres 40/40 steril rol. - - -
193 Kasa Pembalut 2m X 80 cm rol. - - -
194 Kasa Pembalut Hidrofil 4 m X 15 cm rol. - - -
195 Kasa Pembalut Hidrofil 4 m X 3 cm rol. 87 100 -
196 Kasa steril 16x16 ktk - - -
197 Kayu Penyangga Fracture buah - - -
198 Ketokonazol tab 200 mg tab - - -
199 Ketoprofen inj amp - - -
200 Ketoprofen supp supp 10 - -
201 Ketoprofen tab. 100 mg tab 100 - -
202 Klofazimin Kapsul 100 mg micronize kaps - - -
203 Kloramfenikol injeksi vial - - -
204 Kloramfenikol Kapsul 250 mg kaps 480 300 -
205 Kloramfenikol Salep mata 1% tube - - -
206 Kloramfenikol syr. btl 14 - -
207 Kloramfenikol tetes mata ( Reco ) botol - - -
208 Kloramfenikol Tetes telinga 3% btl 8 - -
209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. 2,110 - -
210 Klorokuin tablet 150 mg tab. - - -
211 Klorpromazin HCl.Injeksi 25mg/ml-1ml amp - - -
212 Klorpromazin HCl.Injeksi 5mg/ml-2ml amp - - -
213 Klorpromazin Tablet salut 100 mg tab. 556 1,500 -
214 Klorpromazin Tablet salut 25 mg tab - - -
215 Klorpropamid tablet 100 mg tab. - - -
216 Kodein Fosfat tablet 10 mg tab 60 - -
217 Kombinasi (Pirimetamin 25 mg + Sulfadoksin 500

mg) tab - - -
218 Kombinasi : Ipratropium bromida inhalasi 0,5 mg

Salbutamol 2,5 mg( Combivent UDV) tube 31 60 -
219 Kombinasi: kaolin 550 mg + pektin 20 mg tab 0 - -
220 Kombipak Kategori 1 paket - - -
221 Kotrimoksazol 120 mg tablet tab - - -
222 Kotrimoksazol 480 mg tablet tab 1,350 - -
223 Kotrimoksazol Suspensi btl 34 - -
224 Kuinin ( Kina ) tablet 200 mg tab - - -
225 Kuinin Dihidroklorida Injeksi 25 % - 2ml amp - - -
226 Ky jelly tube - - -
227 Laborat Blood Lancet ktk - - -
228 Laborat Cover Glass ktk - - -
229 Laborat Dempul / malam putih biji - - -
230 Laborat Gluco stik ktk - - -
231 Laborat Golongan darah test. biji - - -
232 Laborat Kolesterol stik ktk - - -
233 Laborat Minyak Emersi lar. 50 ml botol - - -
234 Laborat Obyek Glass ktk - - -
235 Laborat Obyek Glass Frosted ktk - - -
236 Laborat Pipet Eritrosit buah - - -
237 Laborat Pipet LED buah - - -
238 Laborat Pipet Leukosit buah - - -
239 Laborat Plano test ktk - - -
240 Laborat Pot dahak buah - - -
241 Laborat Pot urine ( sedang ) buah - - -
242 Laborat Rak Pengecatan buah - - -
243 Laborat Rak Tabung Khan buah - - -
244 Laborat Rak tabung reaksi buah - - -
245 Laborat Rapid Test siphilis ktk - - -
246 Laborat Reagen HIV strip ktk - - -
247 Laborat Tabung Centrifuge buah - - -
248 Laborat Tabung Kapiler HCT buah - - -
249 Laborat Tabung Reaksi buah - - -
250 Laborat Tissu Lensa ktk - - -
251 Laborat Uric Acid stik ktk - - -
252 Laborat Urine stick 10 P ktk - - -
253 Laborat Urine strip ktk - - -
254 Laborat Widal test. set. - - -
255 Lamivudine 150 mg / hiviral tab - - -
256 Larutan Asam Klorida 0,1 N btl. - - -
257 Larutan Asam Sulfosalisilat 20 % btl. - - -
258 Larutan Bendict btl. - - -
259 Larutan EDTA btl. - - -
260 Larutan Eosin 2 % btl - - -
261 Larutan Giemsa Stain btl - - -
Larutan mengandung Karbohidrat + Elektrolit
262 (Glukosa: 25,0 g; NaCl: 4,5 g)
btl 0 - -
Larutan mengandung Karbohidrat + Elektrolit (Nacl
263 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27
gr) (KA EN 3B) btl 0 - -
264 Larutan Metanol btl - - -
265 Larutan NaCl 0,9 % btl - - -
266 Larutan Rees Eker btl - - -
267 Larutan Turk btl - - -
268 Larutan Zn. set. - - -
269 Lidokain gel 2% tube 0 - -
270 Lidokain komp.Injeksi Kombinasi: amp 28 60 -
271 Lidokain spray oral 10% btl 0 - -
272 Linestrenol tab 0,5 mg tab 0 - -
273 Lisol, mengandung Kresol tersabun 50 % btl - - -
274 Livron B Plex tab. tab - - -
275 Loperamida tab. tab 480 1,000 -
276 Loratadin tab.10 mg tab. 770 1,000 -
277 Lorazepam ( Merlopam ) tab. 2 mg tab 30 - -
278 Lugol 0 - -
279 Masker buah - 400 -
280 MDT-MB Adult kusta tab. - - -
281 MDT-MB Child kusta tab 1 - -
282 MDT-PB Adult kusta tab - - -
283 MDT-PB Child kusta tab. - - -
284 Mebendazol tablet 100 mg tab - - -
285 Mess buah - - -
286 Metformin HCl.tab. 500 mg tab 160 - -
287 Methylprednisolon tab. 4 mg tab 1,970 1,000 -
288 Metilergometrin Maleat (Metilergometrin) tab 350 - -
289 Metilergometrin Maleat Inj 0,200 mg-1ml amp - - -
290 Metoklopramida inj.( Metolon inj ) amp - - -
291 Metoklopramida tab. 10 mg tab - 500 -
292 Metronidazol infus btl./ 500ml - - -
293 Metronidazol sir 125 mg/5 Ml btl 0 - -
294 Metronidazol tablet 500 mg tab. 460 - -
295 MgSO4 20% 25 ml amp - - -
296 MgSO4 40% 25 ml amp - - -
297 Mikonazol salp kulit 2 % tube 70 - -
298 Mineral Mix sacc 1,080 - -
299 Natrium klorida Larutan Infus 0,9 % Steril btl 163 - -
300 Natriun Diklofenak tab. 50mg tab. 2,410 - -
301 Needle 23 G buah - - -
302 Neurobion 5000 inj. psg amp. - - -
303 Neurodex tablet tab - - -
304 Nevirapine (NVP) 200 mg tab - - -
305 Nicholin inj. amp - - -
306 Nifedipin tab 10 mg tab 580 1,000 -
307 Nistatin susp 100.000 UI/ml btl 0 - -
308 Nistatin Tablet salut 500.000 IU tab salut - - -
309 Nistatin Tablet Vaginal 100.000 IU/g supp 16 - -
310 Obat anti malaria tab - - -
311 Obat Antituberkulosis Anak paket - - -
312 Obat Antituberkulosis Kategori 2 paket - - -
314 Obat Antituberkulosis Kategori I( FDC) paket - - -
315 Obat Antituberkulosis Sisipan paket - - -
316 Obat batuk Hitam ( OBH ) btl. 164 200 -
317 Obat Gigi Air Raksa Dental Use tube - - -
318 Obat Gigi Bonding 5 ml btl. - 1 -
319 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl. - - -
320 Obat Gigi Composit Anterior btl. - - -
321 Obat Gigi Composit Pasterior btl. - - -
322 Obat Gigi Devitalisasi Pasta set. - - -
323 Obat Gigi Etching 2 gr. btl. - - -
324 Obat Gigi Forinokresol ( Pengganti TKF ) btl - - -
325 Obat Gigi Glass Ionomer Cemen (GC IX) btl/set. - - -
326 Obat Gigi Kalsium Hidroksida Pasta tube - 1 -
327 Obat Gigi Mummifying Pasta btl - - -
328 Obat Gigi Semen Seng Fosfat serbuk dan cairan btl - - -
329 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl - - -
330 Obat Gigi Temporary Restoratif btl - - -
331 Obat Gigi Temporary Stopping Fletcher (Fletcher) btl - - -
332 Oksimetazolin tts hidung 0,050% tube 0 - -
333 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial - - -
334 Oksitetrasiklin HCl. Salep 1 % tube 55 - -
335 Oksitetrasiklin HCl. Salep 3 % tube - - -
336 Oksitosin Injeksi 10 IU/ml-1ml amp 32 - -
337 Olopatadin tts mata 0,1% tube 0 - -
338 Omeprazol inj 40 mg/10 ml amp 0 - -
339 Omeprazol kaps. 20 mg kaps 1,090 - -
340 Oseltamivir tab tab - - -
341 Oxygen spray portable can - - -
342 Papaverin inj. 40 mg / ml - 1 ml amp - - -
343 Papaverin tab. 40 mg tab - - -
344 Parasetamol drop 100mg/ml btl 10 - -
345 Parasetamol Sirup 120 mg / 5ml btl 284 - -
346 Parasetamol tablet 100 mg tab - - -
347 Parasetamol tablet 500 mg tab. 1,689 6,000 -
348 Pehacain inj. amp. - - -
349 Penyangga tangan buah - - -
350 Perak Sulfadiazin ( Burnazim salp ) tube - - -
351 Permetrin krim 5 % ( Scabimite krim ) tube 87 - -
352 Pil KB Laktasi tab - - -
353 Piracetam inj. 3 gr / 15 ml amp 16 - -
354 Piracetam tab. 800 mg tab 210 500 -
355 Piralen injeksi amp - - -
356 Pirantel tablet 125 mg tab - - -
357 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. 2,250 - -
358 Piroxicam tab. 20 mg tab 1,070 - -
359 Plester 7,5 x 4,5 ( Isoplast ) rol - - -
360 Polikresulen (Kondensasi Metakresol btl - - -
361 Povidon Iodida 10 % 300 ml btl - - -
362 Povidon Iodida 10 % 60 ml btl - 40 -
363 Prednison tablet 5 mg tab 2,750 - -
364 Primakuin tablet 15 mg tab - - -
365 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial - - -
366 Propanolol HCl tablet 40 mg tab 450 - -
367 Propiltiourasil tablet 100 mg tab - - -
368 Ranitidin inj. 25 mg / 2 ml amp 460 - -
369 Ranitidin tab. 150 mg tab 2,380 - -
370 RDT Leptospira ktk - - -
371 RDT Parascreen ( u/ malaria ) ktk - - -
372 Reagen CD4 (Control) ktk - - -
373 Reagen CD4 (Mebile) ktk - - -
374 Reagen HIV Fokus - - -
375 Reagen HIV Rigsin - - -
376 Reagen HIV SD buah - - -
377 Reagen HIV TPHA - - -
378 Reagen RDT DBD NSI buah - - -
379 Reagen RDT DBD NSI IgG/Igm buah - - -
380 Reagent HIV Aids 1 buah - - -
381 Reagent HIV Aids 2 buah 50 - -
383 Retinol (Vitamin A) kapsul 100.000 IU kaps.lunak - - -
385 Ringer Lactat Larutan infus steril btl 839 - -
386 Risperidone tab 2 mg tab 580 1,000 -
387 Rohto btl - - -
388 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube 16 - -
389 Salbutamol tablet 2 mg tab 800 600 -
390 Salep 2-4 , Kombinasi tube - - -
391 Salisil Bedak 2 % dos 186 - -
392 Serum anti Bisa ular Polivalen Injeksi vial 7 - -
393 Serum Anti Difteri ( ADS ) vial - - -
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp 1 - -
395 Sianokobalamina (vit.B12) Injeksi amp - - -
396 Sikzonoate ( Fluphenazine) inj. amp - - -
397 Silk (Benang Bedah Sutera ) No. 3/0 buah - - -
398 Sinvastatin tab tab 190 - -
399 Sinvastatin tab 20 mg - 800 -
400 Sofratul lmbr - - -
401 Soloshot 0,05 ml pcs - - -
403 Spironolakton tab 25 mg tab 0 200 -
404 Sulfadimidin tablet 500 mg tab - - -
405 Tablet Hyoscin Butylbromida ( Scopma ) tab - - -
406 Tablet Hyoscin Butylbromida ( Spashi tab ) tab - - -
407 Tablet tambah Darah kombinasi : Besi II tablet 2,830 - -
408 Telmisartan tab 80 mg tab 300 - -
409 Teofilin tab 150 mg tab 670 - -
410 Terbutalin tab.2,5 mg (Molasma tablet) tablet - - -
411 Tetrakain HCl tetes mata btl - - -
412 Tetrasiklin HCl. Kapsul 250 mg kaps 720 - -
413 Tetrasiklin HCl. Kapsul 500 mg kaps - - -
414 Thiamfenikol kapsul 500 mg kaplet - - -
415 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab 450 - -
416 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg tab. - - -
417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp - - -
418 Tiopental Natrium serbuk inj. 1000 mg/amp amp - - -
419 Tramadol inj. amp - - -
420 Tramadol tab. 50 mg tab - - -
421 Trifluoperazine 5mg tab 420 1,000 -
422 Triheksifenidil Hidroklorida tablet 2 mg tab 480 1,000 -
423 U pad pcs - - -
424 Ulsikur injeksi amp - - -
425 Ultrafix 5cmx5m rol 23 10 -
426 Urine Bag pcs - - -
427 Valproat sir 250 mg/5 ml btl 0 - -
428 Vicillin injeksi vial - - -
429 Vitamin B Komplex tablet tab 2,470 - -
430 Wing Nedle pcs - - -
Xillomidon injeksi vial - - -
Y-Rins btl - - -
Zidofudine (ZDV) 100 mg tab - - -
Zidofudine (ZDV) 300 mg+ Lamivudine (3TC)
150 mg tab - - -
Zidofudine 60 mg+ Lamivudine 30
mg+Nevirapine 50 mg tab - - -
Zinc sir 10 mg/ml btl 26 - -
Zinc tablet tab 90 - -
PERSE PEMA- SISA
PROGRAM JUMLAH DIAAN KAIAN STOK
5 6 8
- 50 72 34 38 -
- - - - -
- - 120 40 80 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 400 400 -
- - - - -
- - - - -
- - - - -
- - 680 680 - -
- - - - -
- - 113 68 45 -
- - 570 570 - -
- - 23 23 -
- - 1,260 250 1,010 -
- 200 470 470 -
- - - - -
- - - - -
- - - - -
- 2,000 3,220 1,980 1,240 -
- - - - -
- - - - -
- - 136 24 112 -
- 500 500 500 -
- - - - -
- - 496 49 447 -
- - - - -
- 2,000 3,635 3,270 365 -
- - - - -
- - 20 20 -
- - 255 255 - -
- - - - -
- - 191 78 113 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 2,000 3,016 670 2,346 -
- - - - -
- - 2,180 400 1,780 -
- - 3,010 1,210 1,800 -
- - 10 10 -
- - - - -
- - - - -
- - - - -
- 500 630 570 60 -
- - - - -
- - 11 11 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 390 270 120 -
- 25 36 12 24 -
- - - - -
- - - - -
- - - - -
- - 6 6 -
- - 21 21 -
- - 60 30 30 -
- - - - -
- - - - -
- - - - -
- - 10 10 - -
- - - - -
- - - - -
- - 250 250 - -
- 500 1,760 1,230 530 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 330 330 -
- - 200 200 -
- 200 937 230 707 -
- - 463 170 293 -
- - 2,280 1,289 991 -
- - - - -
- - - - -
- 2,000 4,850 1,920 2,930 -
- - - - -
- - 2 2 -
- - 5 2 3 -
- - - - -
- 200 200 20 180 -
- - - - -
- - 352 120 232 -
- - 398 120 278 -
- - - - -
- - - - -
- - - - -
- - - - -
- - 694 694 -
- - 11 11 -
- - 770 120 650 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200 200 200 200
- - 170 120 50 (200)
- - 57 57 -
- - - - -
- - - - -
- - 30 4 26 -
- - 12 12 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 24 2 22 -
- - - - -
- - 100 100 -
- - - - -
- - - - -
- - - - -
- - 440 380 60 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500 610 210 400 -
- - 79 12 67 -
- - 558 150 408 -
- - - - -
- - 28 28 - -
- - 50 25 25 -
- - 590 210 380 -
- - 300 300 -
- - 2,650 1,620 1,030 -
- - - - -
- - - - -
- 400 578 55 523 -
- - - - -
- 5 5 2 3 -
- - - - -
- - 7 7 - -
- - 8 2 6 -
- - - - -
- - - - -
- 500 720 270 450 -
- - - - -
- - - - -
- - - - -
- - - - -
- - 80 80 - -
- 50 89 48 41 -
- - - - -
- 50 98 10 88 -
- - - - -
- - 1,879 720 1,159 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 280 90 190 -
- - 100 100 -
- - - - -
- - 150 150 -
- - - - -
- 30 30 30 -
- - 65 25 40 -
- - - - -
- 2,000 3,400 1,760 1,640 -
- - 140 140 - -
- - 36 36 -
- - - - -
- - 194 10 184 -
- - - - -
- - - - -
- - - - -
- 100 187 187 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 10 10 - -
- - 100 100 - -
- - - - -
- - - - -
- 300 780 260 520 -
- - - - -
- - 14 14 14
- - - - -
- - 8 8 -
- - 2,110 940 1,170 -
- - - - -
- - - - -
- - - - -
- 1,500 2,056 780 1,276 -
- - - - -
- - - - -
- - 60 60 - -
- - - - -
- 60 91 12 79 -
- - - - -
- - - - -
- - - - -
- - 1,350 520 830 -
- - 34 34 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 60 88 22 66 -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,000 1,480 530 950 -
- 1,000 1,770 970 800 -
- - 30 30 -
- - - - -
- 400 400 400 - -
3 3 3 - 3 3
- - 1 1 - -
- - - - - -
- - - - -
- - - - -
- - - - -
- - 160 160 - -
- 1,000 2,970 680 2,290 -
- - 350 350 -
- - - - -
- - - - -
- 500 500 120 380 -
- - - - -
- - - - -
- - 460 460 -
- - - - -
- - - - -
- - 70 12 58 -
- - 1,080 1,080 - -
- - 163 70 93 -
- - 2,410 780 1,630 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,000 1,580 940 640 -
- - - - -
- - - - -
- - 16 2 14 -
- - - - -
- - - - -
- - - - -
- - - - -
10 10 10 10 - -
- - - - -
- 200 364 210 154 -
- - - - -
- 1 1 1 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1 1 1 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 55 23 32 -
- - - - -
- - 32 2 30 -
- - - - -
- - - - -
- - 1,090 140 950 -
- - - - -
- - - - -
- - - - -
- - - - -
- - 10 10 - -
- - 284 97 187 -
- - - - -
- 6,000 7,689 5,980 1,709 -
- - - - -
- - - - -
- - - - -
- - 87 15 72 -
- - - - -
- - 16 4 12 -
- 500 710 50 660 -
- - - - -
- - - - -
- - 2,250 420 1,830 -
- - 1,070 880 190 190
- - - - -
- - - - -
- - - - -
- 40 40 3 37 -
- - 2,750 210 2,540 -
- - - - -
- - - - -
- - 450 30 420 -
- - - - -
- - 460 120 340 -
- - 2,380 580 1,800 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
100 100 100 100 100
- - - - -
- - - - -
- - - - -
- - - - -
- - 50 50 - -
- - - - -
400 400 400 400 - -
2,200 2,200 2,200 2,200 - -
- - 839 350 489 215
- 1,000 1,580 230 1,350 900
- - - - -
- - 16 6 10 -
- 600 1,400 410 990 -
- - - - -
- - 186 186 - -
- - 7 7 - -
- - - - -
- - 1 1 -
- - - - -
- - - - -
- - - - -
- - 190 190 - (800)
- 800 800 800 800
- - - - -
- - - - -
- - - - -
- 200 200 200 -
- - - - -
- - - - -
- - - - -
6,000 6,000 8,830 3,780 5,050 -
- - 300 300 -
- - 670 230 440 -
- - - - -
- - - - -
- - 720 310 410 -
- - - - -
- - - - -
- - 450 450 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,000 1,420 290 1,130 -
- 1,000 1,480 450 1,030 -
- - - - -
- - - - -
- 10 33 9 24 -
- - - - -
- - - - -
- - - - -
- - 2,470 890 1,580 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 26 12 14 -
- - 90 30 60 -
NO. SATU STOK PENERIMAAN
KODE NAMA - OBAT AN AWAL INPRES
1 2 3 4
1 Acyclovir SK 5 % tube 38 -
2 Acyclovir tab. 200 mg tab - -
3 Acyclovir tab. 400 mg tab 80 -
4 Adona Ac 17 injeksi 5 ml amp. - -
5 Alat Suntik Sekali Pakai 1 ml set - -
6 Alat Suntik Sekali Pakai 10 ml set - 100
7 Alat suntik sekali pakai 20 ml set - 100
10 Albendazol tablet 400 mg tab. 400 -
11 Alinamin F inj. amp. - -
12 Alinamin F tab. tab. - -
13 Alkohol swab - -
14 Alopurinol tablet 100 mg tab - 2,000
15 Alopurinol tablet 300 mg tab. - -
16 Ambroxol sirup 15mg/60ml botol 45 180
17 Ambroxol tablet tab - -
18 Aminofilina Injeksi 24mg/ml-10ml amp 23 -
19 Aminofilina tablet 200 mg tab. 1,010 -
20 Amitriptilin HCl.Tablet Salut 25 mg tab. 470 -
21 Amlodipin tab. 10 mg tab - -
22 Amlodipin tab. 5 mg kaplet - 1,000
23 Amoksisilin + As. Klavulanat 625 mg cap. - -
24 Amoksisilin kaplet 500 mg kaplet 1,240 3,000
25 Amoksisilin kapsul 250 mg kapsul - -
26 Amoksisilin sir forte 250 mg/5 ml botol - 200
27 Amoksisilin Sirup Kering 125 mg/5ml botol 112 200
28 Ampisillin inj. 1 gr amp. 500 -
29 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp - -
30 Antalgin (Metampiron) Tablet 500 mg tab 447 -
31 Antasida DOEN susp, Kombinasi : botol - -
32 Antasida DOEN Tablet, Kombinasi : tab 365 3,000
33 Anti Bakteri DOEN Salep Kombinasi : tube - -
34 Anti Hemoroid DOEN Kombinasi supp 20 -
35 Antimigren DOEN kombinasi: Tablet tab. - -
36 Antrain inj. amp. - -
37 Aqua pro Injeksi, bebas pirogen vial 113 120
38 Aquadest Steril btl. - -
39 Artemeter inj. ampul - -
40 Artesunat inj. vial - -
41 Articulating paper kertas warna penanda oklusi - -
42 Asam asetilsalisilat (asetosal) tab 80 mg tab - -
43 Asam Askorbat tablet 100 mg tab. - -
44 Asam Askorbat tablet 50 mg tab. 2,346 -
45 Asam Benzoat 6%+Asam Salisilat 3% pot. - -
46 Asam Folat tab. 1 mg tab. 1,780 2,000
47 Asam Mefenamat tablet 500 mg kaplet 1,800 -
48 Asam Traneksamat inj. 50mg/ml amp 10 -
49 Asetosal tablet 100 mg tab. - -
50 Asetosal tablet 500 mg tablet - -
51 Aspar K tablet tablet - -
52 Atapulgit tablet 600 mg tab 60 1,000
53 Atarax tab tab - -
54 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp 11 -
55 Atropin Sulfat tablet 0,5 mg tab - -
56 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah - -
57 Bebat Fracture buah - -
58 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial vial - -
60 Betahistin Mesilat tab 6 mg tab 120 100
61 Betametason krim 0,1 % tube 24 50
62 Biolysin syr. btl - -
63 Bioneuron tab. tab - -
64 Bioplacenton jell tube - -
65 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp 6 -
66 Bisakodil supp. 5 mg (Dulcolax supp) anak supp 21 -
67 Bisoprolol tab. 5 mg tab 30 -
68 Bloodset set - -
69 Bromheksin tab. 8 mg ( Hexon tab.) tab - -
70 Buscotika inj.( Spasi inj .) amp - -
71 Calsium Gluconas injeksi amp - -
72 Canula Oksigin anak biji - -
73 Canula Oksigin dewasa biji - -
74 Captopril 12,5 mg tab. tab - -
75 Captopril tab. 25 mg tab 530 -
76 Cartridge GeneXpert - -
77 Catgut / Benang Bedah No.2/0-3/0 buah - -
78 Cefadroksil caps 500mg kapsul - -
79 Cefadroksil syr kering 125 mg botol - -
80 Cefotaxim inj. vial - -
81 Ceftriakson inj. vial - -
82 Cetirizin sirup 5mg / 5 ml btl - -
83 Cimetidine tab. tab. - -
84 Clobazam tab. 10 mg tab 330 -
85 Clozapin tab. 25 mg tab 200 -
86 Cyprofloxasin 500 mg tab. 707 -
87 Deksametason injeksi 5mg/ml-1ml amp 293 -
88 Deksametason tablet 0,5 mg tab 991 -
89 Dekstran 70-larutan infus 6% steril btl - -
90 Demacolin syr. btl - -
91 Demacolin tab. tab 2,930 2,000
92 Dexanta tablet tab - -
93 Diazepam Injeksi 5 mg/ml-2ml amp 2 -
94 Diazepam rectal tube supp 3 -
95 Diazepam tablet 2 mg tab. - -
96 Diazepam tablet 5 mg tab 180 -
97 Dietilkarbamazin Sitrat tablet 100 mg tab. - -
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp 232 150
99 Digoxin tablet 0,25 mg tab 278 -
100 Diltiazem hcl tab 30 mg tab - -
101 Dimenhidrinat tab . 50 mg tab - -
102 Disp.Scalpel buah - -
103 Doksazosin tab 1 mg tab - -
104 Doksisiklin tab. 100 mg tab 694 -
105 Domperidom susp. 5 mg / ml btl 11 -
106 Domperidom tab. tab. 650 -
107 Efavirenz (EFV) 200 mg tab - -
109 Efedrin HCl tablet 25 mg tab. - -
110 Ekstrak Belladon tablet 10 mg tab - -
111 Enervon C tab. tab - -
112 Epinefrina HCl/Bitatrat Injeksi amp - -
113 Eritromisin kaps 250 mg kapsul 200 -
114 Erytromisin kaps.500 mg kapsul 50 -
115 Erytromisin sirup. btl 57 35
116 Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml - -
117 Etanol 70 % btl./ 1 ltr - -
118 Etanol 70% 100 ml btl. 26 -
119 Etil Klorida Semprot btl - 5
120 Eugenol cairan btl - -
121 Fenitoin Natrium Injeksi 50 mg/ml amp - -
122 Fenitoin Natrium Kapsul 100 mg kapsul - -
124 Fenobarbital Injeksi 50 mg/ml-2ml amp 22 -
125 Fenobarbital tablet 100 mg tab - -
126 Fenobarbital tablet 30 mg tab 100 200
127 Fenoksimetil Penisilina tablet 250 mg tab - -
128 Fenoksimetil Penisilina tablet 500 mg tab. - -
129 Fenol Gliserol tetes telinga 10 % btl - -
130 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab 60 300
131 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp - -
132 Fluoksetin kap. 10 mg tab - -
133 Fluoksetin kap. 20 mg - -
134 Fluor tablet 0,5 mg tab - -
135 Folley Catheter No.12 pcs - -
142 Furosemid tablet 40 mg tab 400 -
143 Furosemida inj. Iv/im 10 mg/ml amp 67 -
144 Garam Oralit 200 ml air sacc 408 -
145 Gentamisin inj. 80 mg / ml amp - -
146 Gentamycin Salep Kulit tube - -
147 Gentian Violet Larutan 1 % btl 25 -
148 Glibenclamid tablet 5 mg tab 380 1,000
149 Glimepirid tab 2 mg tab 300 -
150 Gliserilguaiacolat tablet 100 mg tab 1,030 2,000
151 Glukosa Larutan Infus 10 % Steril btl. - -
152 Glukosa Larutan Infus 40 % Steril btl - -
153 Glukosa Larutan Infus 5 % Steril btl 523 -
154 Griseofulvin tablet 125 mg, micronized tab - -
155 H2O2 ( Hydrogen Peroxide ) 3% btl / 100 ml 3 20
156 H2O2 ( Hydrogen Peroxide ) 3% btl / 800 ml - -
157 Haloperidol Decanoas 50 mg/ml inj. amp - -
158 Haloperidol inj.5 mg/ml amp 6 -
159 Haloperidol tablet 0,5 mg tab - -
161 Haloperidol tablet 5 mg tab 450 -
162 Handsaplas jumbo buah - -
163 Handscoen obgyn psg - -
164 Hansdcoen buah - -
165 Hansdcoen steril psg - -
166 Hidroklorotiazid ( HCT ) tablet 25 mg tab. - -
167 Hidrokortison Krim 2,5 % tube 41 50
168 Human tetanus imunoglobulin inj 500 UI (i.m.) amp - -
169 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl 88 -
170 Ibuprifen susp. 200 mg / 5 ml btl - -
171 Ibuprofen tablet 200 mg tab 1,159 2,000
172 Ibuprofen tablet 400 mg tab - -
173 Imipramide tab. 25 mg tab. - -
174 Infusion Set Anak pcs - -
175 Infusion Set Dewasa pcs - -
176 INH tab 100 mg tab - -
177 Iodida Test test - -
178 Iodiol Kapsul kaps lunak - -
179 Isorbid Dinitrat tablet Sublingual 5 mg tab 190 200
180 IV. Cateter No.18 G pcs 100 -
181 IV. Cateter No.20 G pcs - -
185 Kalamin Lotio btl 40 -
186 Kalium Permenganat serbuk btl - -
187 Kalsium Laktat (Kalk) tablet 500 mg tab 1,640 3,000
188 Kaltrofen tab tab - -
189 Kaolin Pektin syr botol 36 -
190 Kapas Pembalut/Adsorben 250 gram rol. - -
191 Karbamazepin tablet 200 mg tab 184 200
192 Kasa Kompres 40/40 steril rol. - -
193 Kasa Pembalut 2m X 80 cm rol. - -
194 Kasa Pembalut Hidrofil 4 m X 15 cm rol. - -
195 Kasa Pembalut Hidrofil 4 m X 3 cm rol. - 100
196 Kasa steril 16x16 ktk - -
197 Kayu Penyangga Fracture buah - -
198 Ketokonazol tab 200 mg tab - -
199 Ketoprofen inj amp - -
200 Ketoprofen supp supp - 50
201 Ketoprofen tab. 100 mg tab - 200
202 Klofazimin Kapsul 100 mg micronize kaps - -
203 Kloramfenikol injeksi vial - -
204 Kloramfenikol Kapsul 250 mg kaps 520 1,000
205 Kloramfenikol Salep mata 1% tube - -
206 Kloramfenikol syr. btl 14 -
207 Kloramfenikol tetes mata ( Reco ) botol - -
208 Kloramfenikol Tetes telinga 3% btl 8 -
209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. 1,170 2,000
210 Klorokuin tablet 150 mg tab. - -
211 Klorpromazin HCl.Injeksi 25mg/ml-1ml amp - -
213 Klorpromazin Tablet salut 100 mg tab. 1,276 -
214 Klorpromazin Tablet salut 25 mg tab - -
215 Klorpropamid tablet 100 mg tab. - -
216 Kodein Fosfat tablet 10 mg tab - -
Kombinasi (Pirimetamin 25 mg + Sulfadoksin 500
217 mg) tab - -
Kombinasi : Ipratropium bromida inhalasi 0,5 mg
218 Salbutamol 2,5 mg( Combivent UDV) tube 79 100
219 Kombinasi: kaolin 550 mg + pektin 20 mg tab - -
220 Kombipak Kategori 1 paket - -
221 Kotrimoksazol 120 mg tablet tab - -
222 Kotrimoksazol 480 mg tablet tab 830 1,000
223 Kotrimoksazol Suspensi btl 34 -
224 Kuinin ( Kina ) tablet 200 mg tab - -
225 Kuinin Dihidroklorida Injeksi 25 % - 2ml amp - -
226 Ky jelly tube - -
227 Laborat Blood Lancet ktk - -
228 Laborat Cover Glass ktk - -
229 Laborat Dempul / malam putih biji - -
230 Laborat Gluco stik ktk - -
231 Laborat Golongan darah test. biji - -
232 Laborat Kolesterol stik ktk - -
233 Laborat Minyak Emersi lar. 50 ml botol - -
234 Laborat Obyek Glass ktk - -
235 Laborat Obyek Glass Frosted ktk - -
236 Laborat Pipet Eritrosit buah - -
237 Laborat Pipet LED buah - -
238 Laborat Pipet Leukosit buah - -
239 Laborat Plano test ktk - -
240 Laborat Pot dahak buah - -
241 Laborat Pot urine ( sedang ) buah - -
242 Laborat Rak Pengecatan buah - -
243 Laborat Rak Tabung Khan buah - -
244 Laborat Rak tabung reaksi buah - -
245 Laborat Rapid Test siphilis ktk - -
246 Laborat Reagen HIV strip ktk - -
247 Laborat Tabung Centrifuge buah - -
248 Laborat Tabung Kapiler HCT buah - -
249 Laborat Tabung Reaksi buah - -
250 Laborat Tissu Lensa ktk - -
251 Laborat Uric Acid stik ktk - -
252 Laborat Urine stick 10 P ktk - -
253 Laborat Urine strip ktk - -
254 Laborat Widal test. set. - -
255 Lamivudine 150 mg / hiviral tab - -
256 Larutan Asam Klorida 0,1 N btl. - -
257 Larutan Asam Sulfosalisilat 20 % btl. - -
258 Larutan Bendict btl. - -
259 Larutan EDTA btl. - -
260 Larutan Eosin 2 % btl - -
261 Larutan Giemsa Stain btl - -
262 Larutan mengandung Karbohidrat + Elektrolit btl - -
(Glukosa: 25,0 g; NaCl: 4,5 g) - -
263 Larutan mengandung Karbohidrat + Elektrolit (Nacl btl
1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 - -
264 Larutan Metanol btl
gr) (KA EN 3B)
265 Larutan NaCl 0,9 % btl - -
266 Larutan Rees Eker btl - -
267 Larutan Turk btl - -
268 Larutan Zn. set. - -
269 Lidokain gel 2% tube - -
270 Lidokain komp.Injeksi Kombinasi: amp 66 20
271 Lidokain spray oral 10% btl - -
272 Linestrenol tab 0,5 mg tab - -
273 Lisol, mengandung Kresol tersabun 50 % btl - -
274 Livron B Plex tab. tab - -
275 Loperamida tab. tab 950 -
276 Loratadin tab.10 mg tab. 800 2,000
277 Lorazepam ( Merlopam ) tab. 2 mg tab 30 -
278 Lugol - -
279 Masker buah - -
280 MDT-MB Adult kusta tab. 3 -
281 MDT-MB Child kusta tab - -
282 MDT-PB Adult kusta tab - -
283 MDT-PB Child kusta tab. - -
284 Mebendazol tablet 100 mg tab - -
285 Mess buah - -
286 Metformin HCl.tab. 500 mg tab - -
287 Methylprednisolon tab. 4 mg tab 2,290 1,000
288 Metilergometrin Maleat (Metilergometrin) tab 350 -
289 Metilergometrin Maleat Inj 0,200 mg-1ml amp - 1
290 Metoklopramida inj.( Metolon inj ) amp - -
291 Metoklopramida tab. 10 mg tab 380 500
292 Metronidazol infus btl./ 500ml - -
293 Metronidazol sir 125 mg/5 Ml btl - -
294 Metronidazol tablet 500 mg tab. 460 -
295 MgSO4 20% 25 ml amp - -
296 MgSO4 40% 25 ml amp - -
297 Mikonazol salp kulit 2 % tube 58 -
298 Mineral Mix sacc - -
299 Natrium klorida Larutan Infus 0,9 % Steril btl 93 300
300 Natriun Diklofenak tab. 50mg tab. 1,630 2,000
301 Needle 23 G buah - -
302 Neurobion 5000 inj. psg amp. - -
303 Neurodex tablet tab - -
304 Nevirapine (NVP) 200 mg tab - -
305 Nicholin inj. amp - -
306 Nifedipin tab 10 mg tab 640 800
307 Nistatin susp 100.000 UI/ml btl - -
308 Nistatin Tablet salut 500.000 IU tab salut - -
309 Nistatin Tablet Vaginal 100.000 IU/g supp 14 -
310 Obat anti malaria tab - -
311 Obat Antituberkulosis Anak paket - -
312 Obat Antituberkulosis Kategori 2 paket - -
314 Obat Antituberkulosis Kategori I( FDC) paket - -
315 Obat Antituberkulosis Sisipan paket - -
316 Obat batuk Hitam ( OBH ) btl. 154 -
317 Obat Gigi Air Raksa Dental Use tube - -
318 Obat Gigi Bonding 5 ml btl. - -
319 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl. - -
320 Obat Gigi Composit Anterior btl. - -
321 Obat Gigi Composit Pasterior btl. - -
322 Obat Gigi Devitalisasi Pasta set. - -
323 Obat Gigi Etching 2 gr. btl. - -
324 Obat Gigi Forinokresol ( Pengganti TKF ) btl - -
325 Obat Gigi Glass Ionomer Cemen (GC IX) btl/set. - -
326 Obat Gigi Kalsium Hidroksida Pasta tube 1 -
327 Obat Gigi Mummifying Pasta btl - -
328 Obat Gigi Semen Seng Fosfat serbuk dan cairan btl - -
329 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl - -
330 Obat Gigi Temporary Restoratif btl - -
331 Obat Gigi Temporary Stopping Fletcher (Fletcher) btl - -
332 Oksimetazolin tts hidung 0,050% tube - -
333 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial - -
334 Oksitetrasiklin HCl. Salep 1 % tube 32 50
335 Oksitetrasiklin HCl. Salep 3 % tube - -
336 Oksitosin Injeksi 10 IU/ml-1ml amp 30 -
337 Olopatadin tts mata 0,1% tube - -
338 Omeprazol inj 40 mg/10 ml amp - -
339 Omeprazol kaps. 20 mg kaps 950 -
340 Oseltamivir tab tab - -
341 Oxygen spray portable can - -
342 Papaverin inj. 40 mg / ml - 1 ml amp - -
343 Papaverin tab. 40 mg tab - -
344 Parasetamol drop 100mg/ml btl - 5
345 Parasetamol Sirup 120 mg / 5ml btl 187 -
346 Parasetamol tablet 100 mg tab - -
347 Parasetamol tablet 500 mg tab. 1,709 5,000
348 Pehacain inj. amp. - -
349 Penyangga tangan buah - -
350 Perak Sulfadiazin ( Burnazim salp ) tube - 50
351 Permetrin krim 5 % ( Scabimite krim ) tube 72 -
352 Pil KB Laktasi tab - -
353 Piracetam inj. 3 gr / 15 ml amp 12 20
354 Piracetam tab. 800 mg tab 660 -
355 Piralen injeksi amp - -
356 Pirantel tablet 125 mg tab - -
357 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. 1,830 1,000
358 Piroxicam tab. 20 mg tab 190 1,000
359 Plester 7,5 x 4,5 ( Isoplast ) rol - -
360 Polikresulen (Kondensasi Metakresol btl - -
361 Povidon Iodida 10 % 300 ml btl - -
362 Povidon Iodida 10 % 60 ml btl 37 -
363 Prednison tablet 5 mg tab 2,540 -
364 Primakuin tablet 15 mg tab - -
365 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial - -
366 Propanolol HCl tablet 40 mg tab 420 -
367 Propiltiourasil tablet 100 mg tab - -
368 Ranitidin inj. 25 mg / 2 ml amp 340 -
369 Ranitidin tab. 150 mg tab 1,800 -
370 RDT Leptospira ktk - -
371 RDT Parascreen ( u/ malaria ) ktk - -
372 Reagen CD4 (Control) ktk - -
373 Reagen CD4 (Mebile) ktk - -
374 Reagen HIV Fokus - -
375 Reagen HIV Rigsin - -
376 Reagen HIV SD buah 100 -
377 Reagen HIV TPHA - -
378 Reagen RDT DBD NSI buah - -
379 Reagen RDT DBD NSI IgG/Igm buah - -
380 Reagent HIV Aids 1 buah - -
383 Retinol (Vitamin A) kapsul 100.000 IU kaps.lunak - -
385 Ringer Lactat Larutan infus steril btl 489 400
386 Risperidone tab 2 mg tab 1,350 -
387 Rohto btl - -
388 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube 10 -
389 Salbutamol tablet 2 mg tab 990 500
390 Salep 2-4 , Kombinasi tube - -
391 Salisil Bedak 2 % dos - -
392 Serum anti Bisa ular Polivalen Injeksi vial - -
393 Serum Anti Difteri ( ADS ) vial - -
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp 1 -
395 Sianokobalamina (vit.B12) Injeksi amp - 200
396 Sikzonoate ( Fluphenazine) inj. amp - -
397 Silk (Benang Bedah Sutera ) No. 3/0 buah - -
398 Sinvastatin tab tab -
399 Sinvastatin tab 20 mg 800 500
400 Sofratul lmbr - -
401 Soloshot 0,05 ml pcs - -
403 Spironolakton tab 25 mg tab 200 -
404 Sulfadimidin tablet 500 mg tab - -
405 Tablet Hyoscin Butylbromida ( Scopma ) tab - -
406 Tablet Hyoscin Butylbromida ( Spashi tab ) tab - -
407 Tablet tambah Darah kombinasi : Besi II tablet 5,050 -
408 Telmisartan tab 80 mg tab 300 -
409 Teofilin tab 150 mg tab 440 500
410 Terbutalin tab.2,5 mg (Molasma tablet) tablet - -
411 Tetrakain HCl tetes mata btl - -
412 Tetrasiklin HCl. Kapsul 250 mg kaps 410 -
413 Tetrasiklin HCl. Kapsul 500 mg kaps - 600
414 Thiamfenikol kapsul 500 mg kaplet - -
415 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab 450 -
416 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg tab. - -
417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp - 200
418 Tiopental Natrium serbuk inj. 1000 mg/amp amp - -
419 Tramadol inj. amp - -
420 Tramadol tab. 50 mg tab - -
421 Trifluoperazine 5mg tab 1,130 -
422 Triheksifenidil Hidroklorida tablet 2 mg tab 1,030 500
423 U pad pcs - -
424 Ulsikur injeksi amp - -
425 Ultrafix 5cmx5m rol 24 -
426 Urine Bag pcs - -
427 Valproat sir 250 mg/5 ml btl - -
428 Vicillin injeksi vial - -
429 Vitamin B Komplex tablet tab 1,580 1,000
430 Wing Nedle pcs - -
431 Xillomidon injeksi vial - -
432 Y-Rins btl - -
433 Zidofudine (ZDV) 100 mg tab - -
434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC)

150 mg tab - -
435 Zidofudine 60 mg+ Lamivudine 30

mg+Nevirapine 50 mg tab - -
436 Zinc sir 10 mg/ml btl 14 -
437 Zinc tablet tab 60 -
PENERIMAAN PERSE Pengeluaran SISA
ASK APBD JUMLAH DIAAN Pemakaian Exp.date STOK
5 6 8
- - 38 - 38 38 -
- - - - - -
- - 80 80 80 -
- - - - - -
- - - - - -
- 100 100 100 100 -
- 100 100 100 100 -
- - - - - -
- - - - - -
- - 400 400 400 -
- - - - - -
- - - - - -
- - - - - -
- 2,000 2,000 2,000 2,000 -
- - - - - -
- 180 225 45 180 180 -
- - - - - -
- - 23 23 - - -
- - 1,010 1,010 1,010 -
- - 470 470 470 -
- - - - - -
- 1,000 1,000 400 600 600 -
- - - - - -
- 3,000 4,240 2,570 1,670 1,670 -
- - - - - -
- 200 200 200 200 -
- 200 312 12 300 100 200
- - 500 500 500 -
- - - - - -
- - 447 447 - - -
- - - - - -
- 3,000 3,365 1,980 1,385 1,385 -
- - - - - -
- - 20 20 20 -
- - - - - -
- - - - - -
- 120 233 45 188 188 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 2,346 2,346 2,346 -
- - - - - -
- 2,000 3,780 1,670 2,110 2,110 -
- - 1,800 1,420 380 380 -
- - 10 10 10 -
- - - - - -
- - - - - -
- - - - - -
- 1,000 1,060 1,060 1,060 -
- - - - - -
- - 11 11 11 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 100 220 220 220 -
- 50 74 14 60 60 -
- - - - - -
- - - - - -
- - - - - -
- - 6 6 6 -
- - 21 6 15 15 -
- - 30 30 30 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 530 240 290 290 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 330 330 330 -
- - 200 200 200 -
- - 707 707 707 -
- - 293 62 231 231 -
- - 991 991 991 -
- - - - - -
- - - - - -
- 2,000 4,930 2,190 2,740 2,740 -
- - - - - -
- - 2 2 2 -
- - 3 3 3 -
- - - - - -
- - 180 180 180 -
- - - - - -
- 150 382 245 137 137 -
- - 278 278 278 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 694 470 224 224 -
- - 11 11 - - -
- - 650 650 650 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 200 200 200 -
- - 50 50 - - -
- 35 92 92 92 -
- - - - - -
- - - - - -
- - 26 26 - - -
- 5 5 5 5 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 22 2 20 20 -
- - - - - -
- 200 300 300 300 -
- - - - - -
- - - - - -
- - - - - -
- 300 360 360 360 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 400 400 400 -
- - 67 21 46 46 -
1,000 1,000 1,408 210 1,198 1,198 -
- - - - - -
- - - - - -
- - 25 3 22 22 -
- 1,000 1,380 590 790 790 -
- - 300 300 300 -
- 2,000 3,030 1,190 1,840 1,840 -
- - - - - -
- - - - - -
- - 523 68 455 455 -
- - - - - -
- 20 23 3 20 20 -
- - - - - -
- - - - - -
- - 6 2 4 4 -
- - - - - -
- - - - - -
- - 450 450 450 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 50 91 39 52 52 -
- - - - - -
- - 88 12 76 76 -
- - - - - -
- 2,000 3,159 1,820 1,339 1,339 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 200 390 390 390 -
- - 100 100 100 -
- - - - - -
- - 150 150 150 -
- - - - - -
- - 30 30 30 -
- - 40 3 37 37 -
- - - - - -
- 3,000 4,640 145 4,495 4,495 -
- - - - - -
- - 36 36 36 -
- - - - - -
- 200 384 384 384 -
- - - - - -
- - - - - -
- - - - - -
- 100 100 100 - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 50 50 2 48 48 -
- 200 200 200 200 -
- - - - - -
- - - - - -
- 1,000 1,520 380 1,140 1,140 -
- - - - - -
- - 14 14 14 -
- - - - - -
- - 8 8 - 2 (2)
- 2,000 3,170 1,920 1,250 1,250 -
- - - - - -
- - - - - -
- - - - - -
- - 1,276 380 896 896 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 100 179 12 167 167 -
- - - - - -
- - - - - -
- - - - - -
- 1,000 1,830 750 1,080 1,080 -
- - 34 12 22 22 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
1 1 1 1 - - -
- - - - - -
- 20 86 43 43 43 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 950 60 890 890 -
- 2,000 2,800 2,800 1,000 1,800
- - 30 20 10 10 -
- - - - - -
- - - - - -
- - 3 3 3 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 1,000 3,290 2,360 930 930 -
- - 350 350 350 -
- 1 1 1 1 -
- - - - - -
- 500 880 880 880 -
- - - - - -
- - - - - -
- - 460 140 320 320 -
- - - - - -
- - - - - -
- - 58 12 46 46 -
- - - - - -
- 300 393 7 386 386 -
- 2,000 3,630 2,490 1,140 1,140 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 800 1,440 570 870 870 -
- - - - - -
- - - - - -
- - 14 2 12 12 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 154 112 42 42 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 1 1 1 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 50 82 42 40 40 -
- - - - - -
- - 30 30 30 -
- - - - - -
- - - - - -
- - 950 215 735 735 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 5 5 2 3 3 -
- - 187 25 162 162 -
- - - - - -
- 5,000 6,709 3,890 2,819 2,819 -
- - - - - -
- - - - - -
- 50 50 50 50 -
- - 72 15 57 57 -
- - - - - -
- 20 32 3 29 29 -
- - 660 130 530 530 -
- - - - - -
- - - - - -
- 1,000 2,830 320 2,510 2,510 -
- 1,000 1,190 720 470 470 -
- - - - - -
- - - - - -
- - - - - -
- - 37 37 37 -
- - 2,540 2,540 2,540 -
- - - - - -
- - - - - -
- - 420 420 420 -
- - - - - -
- - 340 58 282 282 -
- - 1,800 1,800 1,800 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 100 100 - 100
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 400 889 490 399 399 -
- - 1,350 1,350 450 900
- - - - - -
- - 10 10 10 -
- 500 1,490 130 1,360 1,360 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 1 1 1 -
- 200 200 200 200 -
- - - - - -
- - - - - -
- - - - - -
- 500 1,300 870 430 430 -
- - - - - -
- - - - - -
- - - - - -
- - 200 200 200 -
- - - - - -
- - - - - -
- - - - - -
- - 5,050 1670 3,380 3,380 -
- - 300 300 300 -
- 500 940 940 940 -
- - - - - -
- - - - - -
- - 410 410 410 -
- 600 600 600 500 100
- - - - - -
- - 450 450 450 -
- - - - - -
- 200 200 200 200 -
- - - - - -
- - - - - -
- - - - - -
- - 1,130 320 810 810 -
- 500 1,530 630 900 900 -
- - - - - -
- - - - - -
- - 24 8 16 16 -
- - - - - -
- - - - - -
- - - - - -
- 1,000 2,580 860 1,720 1,720 -
- - - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 14 14 - -
- - 60 60 60
-
1 2 3 4
6 Alat Suntik Sekali Pakai 10 ml set 100 -
7 Alat suntik sekali pakai 20 ml set 100 -
13 Alkohol swab - -
14 Alopurinol tablet 100 mg tab 2,000 -
16 Ambroxol sirup 15mg/60ml botol 180 -
18 Aminofilina Injeksi 24mg/ml-10ml amp - 60
22 Amlodipin tab. 5 mg kaplet 600 -
26 Amoksisilin sir forte 250 mg/5 ml botol 200 50
30 Antalgin (Metampiron) Tablet 500 mg tab - -
32 Antasida DOEN Tablet, Kombinasi : tab 1,385 -
37 Aqua pro Injeksi, bebas pirogen vial 188 -
46 Asam Folat tab. 1 mg tab. 2,110 -
47 Asam Mefenamat tablet 500 mg kaplet 380 6,000
52 Atapulgit tablet 600 mg tab 1,060 -
60 Betahistin Mesilat tab 6 mg tab 220 -
61 Betametason krim 0,1 % tube 60 -
68 Bloodset set - -
75 Captopril tab. 25 mg tab 290 1,000
88 Deksametason tablet 0,5 mg tab 991 -
91 Demacolin tab. tab 2,740 1,000
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp 137 -
105 Domperidom susp. 5 mg / ml btl - 20
114 Erytromisin kaps.500 mg kapsul - -
115 Erytromisin sirup. btl 92 -
117 Etanol 70 % btl./ 1 ltr - -
118 Etanol 70% 100 ml btl. - -
119 Etil Klorida Semprot btl 5 -
126 Fenobarbital tablet 30 mg tab 300 200
133 Fluoksetin kap. 20 mg - 500
144 Garam Oralit 200 ml air sacc 1,198 -
148 Glibenclamid tablet 5 mg tab 790 -
150 Gliserilguaiacolat tablet 100 mg tab 1,840 -
158 Haloperidol inj.5 mg/ml amp 4 -
161 Haloperidol tablet 5 mg tab 450 -
167 Hidrokortison Krim 2,5 % tube 52 -
171 Ibuprofen tablet 200 mg tab 1,339 -
179 Isorbid Dinitrat tablet Sublingual 5 mg tab 390 -
187 Kalsium Laktat (Kalk) tablet 500 mg tab 4,495 1,000
191 Karbamazepin tablet 200 mg tab 384 100
200 Ketoprofen supp supp 48 -
201 Ketoprofen tab. 100 mg tab 200 -
204 Kloramfenikol Kapsul 250 mg kaps 1,140 -
208 Kloramfenikol Tetes telinga 3% btl - -
209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. 1,250 -
213 Klorpromazin Tablet salut 100 mg tab. 896 -
217 mg) tab - -
218 Salbutamol 2,5 mg( Combivent UDV) tube 167 15
222 Kotrimoksazol 480 mg tablet tab 1,080 -
(Glukosa: 25,0 g; NaCl: 4,5 g) - -
gr) (KA EN 3B)
270 Lidokain komp.Injeksi Kombinasi: amp 43 -
276 Loratadin tab.10 mg tab. 2,800 -
278 Lugol - -
279 Masker buah - -
281 MDT-MB Child kusta tab - -
285 Mess buah - -
287 Methylprednisolon tab. 4 mg tab 930 -
289 Metilergometrin Maleat Inj 0,200 mg-1ml amp 1 -
291 Metoklopramida tab. 10 mg tab 880 -
295 MgSO4 20% 25 ml amp - -
296 MgSO4 40% 25 ml amp - -
299 Natrium klorida Larutan Infus 0,9 % Steril btl 386 -
300 Natriun Diklofenak tab. 50mg tab. 1,140 -
306 Nifedipin tab 10 mg tab 870 -
311 Obat Antituberkulosis Anak paket - -
316 Obat batuk Hitam ( OBH ) btl. 42 200
326 Obat Gigi Kalsium Hidroksida Pasta tube 1 -
334 Oksitetrasiklin HCl. Salep 1 % tube 40 -
344 Parasetamol drop 100mg/ml btl 3 -
347 Parasetamol tablet 500 mg tab. 2,819 -
350 Perak Sulfadiazin ( Burnazim salp ) tube 50 10
353 Piracetam inj. 3 gr / 15 ml amp 29 -
357 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. 2,510 -
358 Piroxicam tab. 20 mg tab 470 -
387 Rohto btl - -
388 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube 10 -
389 Salbutamol tablet 2 mg tab 1,360 -
392 Serum anti Bisa ular Polivalen Injeksi vial - 10
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp 1 -
395 Sianokobalamina (vit.B12) Injeksi amp 200 -
396 Sikzonoate ( Fluphenazine) inj. amp - 5
398 Sinvastatin tab tab - -
399 Sinvastatin tab 20 mg 430 -
409 Teofilin tab 150 mg tab 940 -
417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp 200 -
421 Trifluoperazine 5mg tab 810 -
422 Triheksifenidil Hidroklorida tablet 2 mg tab 900 200
423 U pad pcs - -
429 Vitamin B Komplex tablet tab 1,720 -
432 Y-Rins btl - -

150 mg tab - -

436 Zinc sir 10 mg/ml btl - 20
5 6 8
- - - 38 - 38 -
- - - - - - -
- - - 80 - 80 -
- - - - - - -
- - - - - - -
- - - 100 - 100 -
- - - 100 - 100 -
- - - - - - -
- - - - - - -
3,841 - 3,841 4,241 - 4,241 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 2,000 210 1,790 -
- - - - - - -
- - - 180 12 168 -
- - - - - - -
- - 60 60 - 60 -
- - - 1,010 - 1,010 -
- - - 470 - 470 -
- - - - - - -
- - - 600 310 290 -
- - - - - - -
- - 2,000 3,670 1,320 2,350 -
- - - - - - -
- - 50 250 - 250 -
- - 300 600 12 588 200
- - - 500 - 500 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 1,385 1,120 265 -
- - - - - - -
- - - 20 2 18 -
- - - - - - -
- - - - - - -
- - - 188 89 99 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 2,346 360 1,986 -
- - - - - - -
- - - 2,110 560 1,550 -
- - 6,000 6,380 1,190 5,190 -
- - - 10 - 10 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 1,060 470 590 -
- - - - - - -
- - - 11 - 11 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 220 110 110 -
- - - 60 2 58 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 6 - 6 -
- - - 15 - 15 -
- - - 30 - 30 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - 1,000 1,290 560 730 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 330 - 330 -
- - - 200 - 200 -
- - - 707 230 477 -
- - - 231 21 210 -
- - - 991 120 871 -
- - - - - - -
- - - - - - -
- - 1,000 3,740 1,250 2,490 -
- - - - - - -
- - - 2 - 2 -
- - - 3 - 3 -
- - - - - - -
- - - 180 - 180 -
- - - - - - -
- - - 137 137 - -
- - - 278 60 218 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 224 - 224 -
- - 20 20 - 20 -
- - - 650 60 590 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 200 - 200 -
- - - - - - -
- - - 92 - 92 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 5 2 3 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 20 - 20 -
- - - - - - -
- - 200 500 - 500 -
- - - - - - -
- - - - - - -
- - - - - - -
- - 300 660 - 660 -
- - - - - - -
- - - - - - (500)
- - 500 500 - 500 500
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 400 80 320 -
- - - 46 - 46 -
1,000 - 1,000 2,198 560 1,638 -
- - - - - - -
- - - - - - -
- - - 22 - 22 -
- - - 790 320 470 -
- - - 300 - 300 -
- - - 1,840 870 970 -
- - - - - - -
- - - - - - -
- - - 455 213 242 -
- - - - - - -
- - 20 40 2 38 -
- - - - - - -
- - - - - - -
- - - 4 4 - -
- - - - - - -
- - - - - - -
- - - 450 210 240 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 52 12 40 -
- - - - - - -
- - - 76 23 53 -
- - - - - - -
- - - 1,339 560 779 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 390 210 180 -
- - - 100 - 100 -
- - - - - - -
- - - 150 - 150 -
- - - - - - -
- - - 30 - 30 -
- - - 37 - 37 -
- - - - - - -
- - 1,000 5,495 890 4,605 -
- - - - - - -
- - - 36 5 31 -
- - - - - - -
- - 100 484 - 484 -
- - - - - - -
- - - - - - -
- - - - - - -
- - 100 100 100 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 48 4 44 -
- - - 200 - 200 -
- - - - - - -
- - - - - - -
- - - 1,140 780 360 -
- - - - - - -
- - - 14 3 11 -
- - - - - - -
- - - - - - (2)
- - - 1,250 350 900 -
- - - - - - -
- - - - - - -
- - - - - - -
100 - 100 996 996 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - 15 182 13 169 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 1,080 - 1,080 -
- - - 22 - 22 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
1 - 1 1 1 - -
- - - - - - -
- - - 43 12 31 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 890 120 770 -
- - - 2,800 230 2,570 1,800
- - - 10 - 10 -
- - - - - - -
- - - - - - -
- 6 6 9 - 9 6
- 3 3 3 - 3 3
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 930 490 440 -
- - - 350 - 350 -
- - - 1 - 1 -
- - - - - - -
- - - 880 70 810 -
- - - - - - -
- - - - - - -
- - - 320 - 320 -
- - - - - - -
- - - - - - -
- - - 46 2 44 -
- - - - - - -
- - - 386 35 351 -
- - - 1,140 670 470 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 870 630 240 -
- - - - - - -
- - - - - - -
- - - 12 1 11 -
- - - - - - -
- 1 1 1 - 1 1
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - 200 242 65 177 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 1 1 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 40 13 27 -
- - - - - - -
- - - 30 18 12 -
- - - - - - -
- - - - - - -
- - - 735 620 115 (40)
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 3 3 - -
- - - 162 32 130 -
- - - - - - -
- - - 2,819 1,239 1,580 -
- - - - - - -
- - - - - - -
- - 10 60 - 60 -
- - - 57 11 46 -
- - - - - - -
- - - 29 5 24 -
- - - 530 80 450 -
- - - - - - -
- - - - - - -
- - - 2,510 890 1,620 -
- - - 470 470 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 37 2 35 -
- - - 2,540 240 2,300 -
- - - - - - -
- - - - - - -
- - - 420 - 420 -
- - - - - - -
- - - 282 240 42 -
- - - 1,800 930 870 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 100 - 100 100
- - - - - - -
- 10 10 10 - 10 10
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - 700 1,099 520 579 -
- - - 1,350 80 1,270 900
- - - - - - -
- - - 10 10 - -
- - - 1,360 670 690 -
- - - - - - -
- - - - - - -
- - 10 10 1 9 -
- - - - - - -
- - - 1 1 - -
- - - 200 - 200 -
- - 5 5 - 5 (10)
- - - - - - -
- - - - - - -
- - - 430 260 170 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 200 - 200 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 3,380 1,280 2,100 -
- - - 300 30 270 -
- - - 940 360 580 -
- - - - - - -
- - - - - - -
- - - 410 - 410 -
- - - 600 - 600 100
- - - - - - -
- - - 450 - 450 -
- - - - - - -
- - - 200 21 179 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 810 340 470 -
- - 200 1,100 920 180 -
- - - - - - -
- - - - - - -
- - - 16 11 5 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 1,720 930 790 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - 20 20 6 14 -
- - - 60 60 - -
1 2 3 4
10 Albendazol tablet 400 mg tab. 4,241 -
13 Alkohol swab - -
26 Amoksisilin sir forte 250 mg/5 ml botol 250 -
32 Antasida DOEN Tablet, Kombinasi : tab 265 3,000
47 Asam Mefenamat tablet 500 mg kaplet 5,190 5,000
52 Atapulgit tablet 600 mg tab 590 -
68 Bloodset set - -
87 Deksametason injeksi 5mg/ml-1ml amp 210 200
88 Deksametason tablet 0,5 mg tab 871 2,000
91 Demacolin tab. tab 2,490 -
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp - -
117 Etanol 70 % btl./ 1 ltr - -
118 Etanol 70% 100 ml btl. - -
119 Etil Klorida Semprot btl 3 3
126 Fenobarbital tablet 30 mg tab 500 -
133 Fluoksetin kap. 20 mg 500 -
148 Glibenclamid tablet 5 mg tab 470 1,000
150 Gliserilguaiacolat tablet 100 mg tab 970 2,000
153 Glukosa Larutan Infus 5 % Steril btl 242 400
158 Haloperidol inj.5 mg/ml amp - -
161 Haloperidol tablet 5 mg tab 240 1,000
171 Ibuprofen tablet 200 mg tab 779 -
187 Kalsium Laktat (Kalk) tablet 500 mg tab 4,605 -
191 Karbamazepin tablet 200 mg tab 484 -
204 Kloramfenikol Kapsul 250 mg kaps 360 2,000
208 Kloramfenikol Tetes telinga 3% btl - 2
209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. 900 2,000
213 Klorpromazin Tablet salut 100 mg tab. - -
217 mg) tab - -
218 Salbutamol 2,5 mg( Combivent UDV) tube 169 -
(Glukosa: 25,0 g; NaCl: 4,5 g) - -
gr) (KA EN 3B)
278 Lugol - -
279 Masker buah - -
281 MDT-MB Child kusta tab 3 -
285 Mess buah - -
287 Methylprednisolon tab. 4 mg tab 440 1,000
295 MgSO4 20% 25 ml amp - -
296 MgSO4 40% 25 ml amp - -
300 Natriun Diklofenak tab. 50mg tab. 470 1,500
311 Obat Antituberkulosis Anak paket 1 -
326 Obat Gigi Kalsium Hidroksida Pasta tube - -
339 Omeprazol kaps. 20 mg kaps 115 300
344 Parasetamol drop 100mg/ml btl - -
350 Perak Sulfadiazin ( Burnazim salp ) tube 60 -
358 Piroxicam tab. 20 mg tab - 400
369 Ranitidin tab. 150 mg tab 870 -
378 Reagen RDT DBD NSI buah 10 -
387 Rohto btl - -
388 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube - -
389 Salbutamol tablet 2 mg tab 690 600
392 Serum anti Bisa ular Polivalen Injeksi vial 9 -
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp - -
396 Sikzonoate ( Fluphenazine) inj. amp 5 -
417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp 179 -
421 Trifluoperazine 5mg tab 470 200
422 Triheksifenidil Hidroklorida tablet 2 mg tab 180 -
423 U pad pcs - -
425 Ultrafix 5cmx5m rol 5 30
429 Vitamin B Komplex tablet tab 790 -
432 Y-Rins btl - -

150 mg tab - -

437 Zinc tablet tab - -
5 6 8
- - 38 - 38 -
- - - - - -
- - 80 - 80 -
- - - - - -
- - - - - -
- - 100 - 100 -
- - 100 - 100 -
- - - - - -
- - - - - -
- - 4,241 - 4,241 -
- - - - - -
- - - - - -
- - - - - -
- - 1,790 90 1,700 -
- - - - - -
- - 168 - 168 -
- - - - - -
- - 60 - 60 -
- - 1,010 10 1,000 -
- - 470 - 470 -
- - - - - -
- - 290 - 290 -
- - - - - -
- 1,000 3,350 950 2,400 -
- - - - - -
- - 250 - 250 200
- 100 688 125 563 -
- - 500 - 500 -
- - - - - -
- - - - - -
- - - - - -
- 3,000 3,265 860 2,405 -
- - - - - -
- - 18 - 18 -
- - - - - -
- - - - - -
- 200 299 65 234 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 1,986 1,286 700 -
- - - - - -
- - 1,550 50 1,500 -
- 5,000 10,190 2,590 7,600 -
- - 10 10 - -
- - - - - -
- - - - - -
- - - - - -
- - 590 - 590 -
- - - - - -
- - 11 - 11 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 110 - 110 -
- - 58 41 17 -
- - - - - -
- - - - - -
- - - - - -
- - 6 - 6 -
- - 15 - 15 -
- - 30 - 30 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 730 430 300 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 330 - 330 -
- - 200 - 200 -
- - 477 - 477 -
- 200 410 - 410 -
- 2,000 2,871 - 2,871 -
- - - - - -
- - - - - -
- - 2,490 290 2,200 -
- - - - - -
- - 2 - 2 -
- - 3 - 3 -
- - - - - -
- - 180 - 180 -
- - - - - -
- - - - - -
- - 218 118 100 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 224 24 200 -
- - 20 - 20 -
- - 590 - 590 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 200 - 200 -
- - - - - -
- - 92 - 92 -
- - - - - -
- - - - - -
- - - - - -
- 3 6 3 3 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 20 - 20 -
- - - - - -
- - 500 - 500 -
- - - - - -
- - - - - -
- - - - - -
- 100 760 60 700 -
- - - - - -
- - - - - (500)
- - 500 - 500 500
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 320 - 320 -
- - 46 - 46 -
1,000 1,000 2,638 38 2,600 -
- - - - - -
- - - - - -
- - 22 - 22 -
- 1,000 1,470 70 1,400 -
- - 300 - 300 -
- 2,000 2,970 - 2,970 -
- - - - - -
- - - - - -
- 400 642 - 642 -
- - - - - -
- 5 43 - 43 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 1,000 1,240 - 1,240 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 40 16 24 -
- - - - - -
- - 53 - 53 -
- - - - - -
- - 779 - 779 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 180 180 - -
- - 100 100 - -
- - - - - -
- - 150 150 - -
- - - - - -
- - 30 - 30 -
- - 37 - 37 -
- - - - - -
- - 4,605 905 3,700 -
- - - - - -
- - 31 - 31 -
- - - - - -
- - 484 - 484 -
- - - - - -
- - - - - -
- - - - - -
- 100 100 100 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 44 - 44 -
- - 200 - 200 -
- - - - - -
- - - - - -
- 2,000 2,360 360 2,000 -
- - - - - -
- - 11 - 11 -
- - - - - -
- 2 2 - 2 -
- 2,000 2,900 - 2,900 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 169 - 169 -
- - - - - -
- - - - - -
- - - - - -
- - 1,080 - 1,080 -
- - 22 - 22 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 31 1 30 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 770 - 770 -
- - 2,570 270 2,300 -
- - 10 - 10 -
- - - - - -
- - - - - -
- - 9 3 6 6
- - 3 - 3 3
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 1,000 1,440 240 1,200 -
- - 350 150 200 -
- - 1 - 1 -
- - - - - -
- - 810 - 810 -
- - - - - -
- - - - - -
- - 320 20 300 -
- - - - - -
- - - - - -
- - 44 - 44 -
- - - - - -
- - 351 - 351 -
- 1,500 1,970 - 1,970 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 240 140 100 -
- - - - - -
- - - - - -
- - 11 - 11 -
- - - - - -
- - 1 - 1 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 177 - 177 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 27 7 20 -
- - - - - -
- - 12 - 12 -
- - - - - -
- - - - - -
- 300 415 - 415 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 130 41 89 -
- - - - - -
- 4,000 5,580 - 5,580 -
- - - - - -
- - - - - -
- - 60 - 60 -
- - 46 4 42 -
- - - - - -
- - 24 20 4 -
- - 450 50 400 -
- - - - - -
- - - - - -
- - 1,620 220 1,400 -
- 400 400 100 300 -
- - - - - -
- - - - - -
- - - - - -
- - 35 - 35 -
- - 2,300 - 2,300 -
- - - - - -
- - - - - -
- - 420 - 420 -
- - - - - -
- - 42 42 - -
- - 870 - 870 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 100 - 100 -
- - - - - -
- - 10 - 10 10
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 500 1,079 937 142 -
- - 1,270 320 950 -
- - - - - -
- - - - - -
- 600 1,290 - 1,290 -
- - - - - -
- - - - - -
- - 9 - 9 -
- - - - - -
- - - - - -
- - 200 100 100 -
- - 5 - 5 -
- - - - - -
- - - - - -
- - 170 150 20 -
- - - - - -
- - - - - -
- - - - - -
- - 200 - 200 -
- - - - - -
- - - - - -
- - - - - -
- - 2,100 - 2,100 -
- - 270 10 260 -
- - 580 - 580 -
- - - - - -
- - - - - -
- - 410 10 400 -
- - 600 - 600 -
- - - - - -
- - 450 - 450 -
- - - - - -
- - 179 - 179 -
- - - - - -
- - - - - -
- - - - - -
- 200 670 - 670 -
- - 180 - 180 -
- - - - - -
- - - - - -
- 30 35 - 35 -
- - - - - -
- - - - - -
- - - - - -
- - 790 590 200 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 14 - 14 -
300 300 300 - 300 -
1 2 3 4
13 Alkohol swab - -
27 Amoksisilin Sirup Kering 125 mg/5ml botol 563 -
32 Antasida DOEN Tablet, Kombinasi : tab 2,405 1,000
44 Asam Askorbat tablet 50 mg tab. 700 1,000
48 Asam Traneksamat inj. 50mg/ml amp - -
61 Betametason krim 0,1 % tube 17 48
68 Bloodset set - -
74 Captopril 12,5 mg tab. tab - 1,000
75 Captopril tab. 25 mg tab 300 500
82 Cetirizin sirup 5mg / 5 ml btl - 50
88 Deksametason tablet 0,5 mg tab 2,871 -
91 Demacolin tab. tab 2,200 400
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp - 300
101 Dimenhidrinat tab . 50 mg tab - 1,000
112 Epinefrina HCl/Bitatrat Injeksi amp - 50
117 Etanol 70 % btl./ 1 ltr - -
118 Etanol 70% 100 ml btl. - -
119 Etil Klorida Semprot btl 3 6
130 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab 700 -
143 Furosemida inj. Iv/im 10 mg/ml amp 46 30
148 Glibenclamid tablet 5 mg tab 1,400 -
155 H2O2 ( Hydrogen Peroxide ) 3% btl / 100 ml 43 -
161 Haloperidol tablet 5 mg tab 1,240 -
167 Hidrokortison Krim 2,5 % tube 24 50
179 Isorbid Dinitrat tablet Sublingual 5 mg tab - -
199 Ketoprofen inj amp - 30
217 mg) tab - -
(Glukosa: 25,0 g; NaCl: 4,5 g) - -
gr) (KA EN 3B)
278 Lugol - -
279 Masker buah - -
285 Mess buah - -
287 Methylprednisolon tab. 4 mg tab 1,200 -
289 Metilergometrin Maleat Inj 0,200 mg-1ml amp 1 60
295 MgSO4 20% 25 ml amp - -
296 MgSO4 40% 25 ml amp - -
299 Natrium klorida Larutan Infus 0,9 % Steril btl 351 300
334 Oksitetrasiklin HCl. Salep 1 % tube 20 50
338 Omeprazol inj 40 mg/10 ml amp - 50
347 Parasetamol tablet 500 mg tab. 5,580 -
353 Piracetam inj. 3 gr / 15 ml amp 4 30
358 Piroxicam tab. 20 mg tab 300 100
368 Ranitidin inj. 25 mg / 2 ml amp - 100
386 Risperidone tab 2 mg tab 950 -
387 Rohto btl - -
389 Salbutamol tablet 2 mg tab 1,290 -
417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp 179 30
419 Tramadol inj. amp - 30
423 U pad pcs - -
429 Vitamin B Komplex tablet tab 200 -
432 Y-Rins btl - -

150 mg tab - -

438 Reagent SD HBsAg test - -
439 Cetirizin HCl tab 10 mg - -
440 Polifix 5cm x 1 m - -
441 Halloperidol drops 2 mg / ml - -
442 Glimepirid tab 1 mg tab - -
443 Reagen Hbig - -
444
5 6 8
- - 38 24 14 -
- - - - - -
- - 80 - 80 -
- - - - - -
- - - - - -
- - 100 - 100 -
- - 100 - 100 -
- - - - - -
- - - - - -
- - 4,241 - 4,241 -
- - - - - -
- - - - - -
- - - - - -
- - 1,700 340 1,360 -
- - - - - -
- - 168 - 168 -
- - - - - -
- - 60 - 60 -
- - 1,000 - 1,000 -
- - 470 - 470 -
- - - - - -
- - 290 - 290 -
- - - - - -
- 1,000 3,400 1,000 2,400 -
- - - - - -
- - 250 12 238 -
- - 563 - 563 -
- - 500 100 400 -
- - - - - -
- - - - - -
- - - - - -
- 1,000 3,405 1,800 1,605 -
- - - - - -
- - 18 - 18 -
- - - - - -
- - - - - -
- - 234 54 180 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 1,000 1,700 - 1,700 -
- - - - - -
- - 1,500 100 1,400 -
- 5,000 12,600 1,680 10,920 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 590 - 590 -
- - - - - -
- - 11 - 11 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 110 110 - -
- 48 65 - 65 -
- - - - - -
- - - - - -
- - - - - -
- - 6 2 4 -
- - 15 - 15 -
- - 30 - 30 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 1,000 1,000 300 700 -
- 500 800 200 600 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 50 50 - 50 -
- - - - - -
- - 330 - 330 -
- - 200 - 200 -
- - 477 - 477 -
- - 410 - 410 -
- - 2,871 421 2,450 -
- - - - - -
- - - - - -
- 400 2,600 100 2,500 -
- - - - - -
- - 2 - 2 -
- - 3 - 3 -
- - - - - -
- - 180 - 180 -
- - - - - -
- 300 300 52 248 -
- - 100 - 100 -
- - - - - -
- 1,000 1,000 - 1,000 -
- - - - - -
- - - - - -
- - 200 100 100 -
- - 20 - 20 -
- - 590 - 590 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 50 50 - 50 -
- - 200 - 200 -
- - - - - -
- - 92 - 92 -
- - - - - -
- - - - - -
- - - - - -
- 6 9 - 9 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 20 - 20 -
- - - - - -
- - 500 - 500 -
- - - - - -
- - - - - -
- - - - - -
- - 700 - 700 -
- - - - - -
- - - - - -
- - 500 - 500 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 320 - 320 -
- 30 76 - 76 -
- - 2,600 150 2,450 -
- - - - - -
- - - - - -
- - 22 22 - -
- - 1,400 100 1,300 -
- - 300 - 300 -
- - 2,970 1,670 1,300 -
- - - - - -
- - - - - -
- - 642 - 642 -
- - - - - -
- - 43 - 43 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 1,240 - 1,240 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 50 74 27 47 -
- - - - - -
- - 53 - 53 -
- - - - - -
- - 779 - 779 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 30 - 30 -
- - 37 - 37 -
- - - - - -
- - 3,700 1,600 2,100 -
- - - - - -
- - 31 - 31 -
- - - - - -
- - 484 - 484 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 30 30 - 30 -
- - 44 4 40 -
- - 200 - 200 -
- - - - - -
- - - - - -
- - 2,000 400 1,600 -
- - - - - -
- - 11 - 11 -
- - - - - -
- - 2 - 2 -
- - 2,900 - 2,900 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 169 - 169 -
- - - - - -
- - - - - -
- - - - - -
- - 1,080 - 1,080 -
- - 22 - 22 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 30 30 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 770 - 770 -
- - 2,300 700 1,600 -
- - 10 - 10 -
- - - - - -
- - - - - -
4 4 10 - 10 -
- - 3 - 3 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 1,200 600 600 -
- - 200 100 100 -
- 60 61 - 61 -
- - - - - -
- - 810 - 810 -
- - - - - -
- - - - - -
- - 300 - 300 -
- - - - - -
- - - - - -
- - 44 44 - -
- - - - - -
- 300 651 60 591 -
- - 1,970 200 1,770 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 100 100 - -
- - - - - -
- - - - - -
- - 11 - 11 -
- - - - - -
- - 1 - 1 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 177 - 177 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 50 70 - 70 -
- - - - - -
- - 12 - 12 -
- - - - - -
- 50 50 10 40 -
- - 415 120 295 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 89 21 68 -
- - - - - -
- - 5,580 5,580 - -
- - - - - -
- - - - - -
- - 60 - 60 -
- - 42 - 42 -
- - - - - -
- 30 34 12 22 -
- - 400 - 400 -
- - - - - -
- - - - - -
- - 1,400 - 1,400 -
- 100 400 - 400 -
- - - - - -
- - - - - -
- - - - - -
- - 35 1 34 -
- - 2,300 300 2,000 -
- - - - - -
- - - - - -
- - 420 - 420 -
- - - - - -
- 100 100 - 100 -
- - 870 300 570 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 100 - 100 -
60 60 60 - 60 -
- - 10 - 10 -
- - - - - -
- - - - - -
- - - - -
- - - - - -
- - - - - -
- - - - - -
- 500 642 342 300 -
- - 950 230 720 -
- - - - - -
- - - - - -
- - 1,290 370 920 -
- - - - - -
- - - - - -
- - 9 - 9 -
- - - - - -
- - - - - -
- - 100 - 100 -
- - 5 - 5 -
- - - - - -
- - - - - -
- - 20 20 - -
- - - - - -
- - - - - -
- - - - - -
- - 200 - 200 -
- - - - - -
- - - - - -
- - - - - -
- - 2,100 2,100 - -
- - 260 - 260 -
- - 580 - 580 -
- - - - - -
- - - - - -
- - 400 - 400 -
- - 600 - 600 -
- - - - - -
- - 450 480 (30) (30)
- - - - - -
- 30 209 - 209 30
- - - - - -
- 30 30 - 30 -
- - - - - -
- - 670 450 220 (230)
- - 180 180 - -
- - - - - -
- - - - - -
- - 35 17 18 -
- - - - - -
- - - - - -
- - - - - -
- - 200 200 - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 14 6 8 -
- - 300 100 200 -
- 160 160 160 - 160 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
1 2 3 4
13 Alkohol swab - -
24 Amoksisilin kaplet 500 mg kaplet 2,400 -
27 Amoksisilin Sirup Kering 125 mg/5ml botol 563 -
32 Antasida DOEN Tablet, Kombinasi : tab 1,605 -
60 Betahistin Mesilat tab 6 mg tab - 1,000
65 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp 4 20
68 Bloodset set - -
74 Captopril 12,5 mg tab. tab 700 -
82 Cetirizin sirup 5mg / 5 ml btl 50 -
101 Dimenhidrinat tab . 50 mg tab 1,000 -
112 Epinefrina HCl/Bitatrat Injeksi amp 50 -
117 Etanol 70 % btl./ 1 ltr - -
118 Etanol 70% 100 ml btl. - -
147 Gentian Violet Larutan 1 % btl - 48
150 Gliserilguaiacolat tablet 100 mg tab 1,300 700
154 Griseofulvin tablet 125 mg, micronized tab - 500
164 Hansdcoen buah - 100
179 Isorbid Dinitrat tablet Sublingual 5 mg tab - 200
198 Ketokonazol tab 200 mg tab - 500
199 Ketoprofen inj amp 30 30
217 mg) tab - -
(Glukosa: 25,0 g; NaCl: 4,5 g) - -
gr) (KA EN 3B)
270 Lidokain komp.Injeksi Kombinasi: amp - -
278 Lugol - -
279 Masker buah - -
285 Mess buah - -
287 Methylprednisolon tab. 4 mg tab 600 2,000
295 MgSO4 20% 25 ml amp - -
296 MgSO4 40% 25 ml amp - -
297 Mikonazol salp kulit 2 % tube - 72
306 Nifedipin tab 10 mg tab - -
338 Omeprazol inj 40 mg/10 ml amp 40 -
347 Parasetamol tablet 500 mg tab. - 5,000
359 Plester 7,5 x 4,5 ( Isoplast ) rol - 30
377 Reagen HIV TPHA 60 -
386 Risperidone tab 2 mg tab 720 500
387 Rohto btl - -
389 Salbutamol tablet 2 mg tab 920 -
399 Sinvastatin tab 20 mg - 500
407 Tablet tambah Darah kombinasi : Besi II tablet - -
415 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab (30) -
419 Tramadol inj. amp 30 30
421 Trifluoperazine 5mg tab 220 500
422 Triheksifenidil Hidroklorida tablet 2 mg tab - -
423 U pad pcs - -
425 Ultrafix 5cmx5m rol 18 20
429 Vitamin B Komplex tablet tab - -
432 Y-Rins btl - -

150 mg tab - -

438 Reagent SD HBsAg test 160 -
443 Reagen Hbig - -
444
5 6 8
- 14 12 2 -
- - - - -
- 80 80 - -
- - - - -
- - - - -
- 100 100 - -
- 100 100 - -
- - - - -
- - - - -
- 4,241 3,560 681 -
- - - - -
- - - - -
- - - - -
- 1,360 250 1,110 -
- - - - -
- 168 19 149 -
- - - - -
- 60 3 57 -
- 1,000 - 1,000 -
- 470 - 470 -
- - - - -
- 290 290 - -
- - - - -
- 2,400 1,200 1,200 -
- - - - -
- 238 12 226 -
- 563 563 - -
- 400 280 120 -
- - - - -
- - - - -
120 120 120 70 50 -
2,000 2,000 3,605 1,420 2,185 -
- - - - -
- 18 5 13 -
- - - - -
- - - - -
- 180 120 60 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,700 210 1,490 -
- - - - -
- 1,400 570 830 -
3,000 13,920 2,780 11,140 -
- - - - -
- - - - -
- - - - -
- - - - -
- 590 210 380 -
- - - - -
- 11 - 11 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1,000 1,000 - 1,000 -
- 65 - 65 -
- - - - -
- - - - -
- - - - -
20 24 4 20 -
- 15 6 9 -
- 30 30 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 700 700 - -
- 600 120 480 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 5 45 -
- - - - -
- 330 - 330 -
- 200 20 180 -
- 477 100 377 -
- 410 220 190 -
- 2,450 200 2,250 -
- - - - -
- - - - -
- 2,500 890 1,610 -
- - - - -
- 2 - 2 -
- 3 1 2 -
- - - - -
- 180 - 180 -
- - - - -
- 248 20 228 -
- 100 - 100 -
- - - - -
- 1,000 30 970 -
- - - - -
- - - - -
- 100 - 100 -
- 20 - 20 -
- 590 - 590 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 50 - 50 -
- 200 - 200 -
- - - - -
- 92 - 92 -
- - - - -
- - - - -
- - - - -
- 9 3 6 -
- - - - -
- - - - -
- - - - -
- - - - -
- 20 - 20 -
- - - - -
- 500 - 500 -
- - - - -
- - - - -
- - - - -
- 700 90 610 -
- - - - -
- - - - -
- 500 - 500 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 320 - 320 -
- 76 - 76 -
- 2,450 321 2,129 -
- - - - -
- - - - -
48 48 - 48 -
- 1,300 120 1,180 -
- 300 - 300 -
700 2,000 - 2,000 -
- - - - -
- - - - -
- 642 - 642 -
500 500 - 500 -
- 43 - 43 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1,240 - 1,240 -
- - - - -
- - - - -
100 100 100 - -
- - - - -
- - - - -
- 47 - 47 -
- - - - -
- 53 3 50 -
- - - - -
- 779 200 579 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
200 200 - 200 -
- - - - -
- - - - -
- - - - -
- - - - -
- 30 30 - -
- 37 6 31 -
- - - - -
- 2,100 1,650 450 -
- - - - -
- 31 9 22 -
10 10 10 - 10 10
- 484 - 484 -
- - - - -
- - - - -
200 200 80 120 -
- - - - -
- - - - -
- - - - -
500 500 120 380 -
30 60 - 60 -
- 40 - 40 -
- 200 70 130 -
- - - - -
- - - - -
- 1,600 370 1,230 -
- - - - -
- 11 - 11 -
- - - - -
- 2 2 - -
- 2,900 650 2,250 -
- - - - -
- - - - -
- - - - -
1,000 1,000 1,000 580 420 -
- - - - -
- - - - -
- - - - -
- - - - -
- 169 169 - -
- - - - -
- - - - -
- - - - -
- 1,080 - 1,080 -
- 22 - 22 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
90 90 90 29 61 -
- - - - -
- - - - -
- - - - -
- - - - -
- 770 210 560 -
- 1,600 - 1,600 -
- 10 10 - -
- - - - -
- - - - -
- 10 4 6 -
3 3 6 2 4 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
2,000 2,600 280 2,320 -
- 100 - 100 -
- 61 - 61 -
- - - - -
- 810 - 810 -
- - - - -
- - - - -
- 300 - 300 -
- - - - -
- - - - -
72 72 19 53 -
- - - - -
- 591 - 591 -
- 1,770 780 990 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 11 - 11 -
- - - - -
- 1 - 1 -
- - - - -
- - - - -
- - - - -
- - - - -
- 177 24 153 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 70 - 70 -
- - - - -
- 12 - 12 -
- - - - -
- 40 40 - -
- 295 295 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 68 20 48 -
- - - - -
4,000 9,000 9,000 2,520 6,480 -
- - - - -
- - - - -
- 60 - 60 -
- 42 12 30 -
- - - - -
- 22 4 18 -
- 400 - 400 -
- - - - -
- - - - -
2,000 3,400 - 3,400 -
- 400 230 170 -
30 30 4 26 -
- - - - -
- - - - -
- 34 12 22 -
- 2,000 1,720 280 -
- - - - -
- - - - -
- 420 - 420 -
- - - - -
- 100 100 - -
1,000 1,000 1,570 210 1,360 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 100 100 - -
- 60 60 - -
- 10 10 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500 800 250 550 -
500 1,220 600 620 -
- - - - -
- - - - -
- 920 - 920 -
- - - - -
- - - - -
- 9 - 9 -
- - - - -
- - - - -
- 100 - 100 -
- 5 5 - -
- - - - -
- - - - -
500 500 260 240 -
- - - - -
- - - - -
- - - - -
- 200 - 200 -
- - - - -
- - - - -
- - - - -
3,000 3,000 3,000 - 3,000 -
- 260 40 220 -
- 580 - 580 -
- - - - -
- - - - -
- 400 - 400 -
- 600 - 600 -
- - - - -
- (30) - (30) (30)
- - - - -
30 239 - 239 30
- - - - -
30 60 - 60 -
- - - - -
500 720 210 510 (230)
1,000 1,000 1,000 320 680 -
- - - - -
- - - - -
20 38 6 32 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 8 8 - -
- 200 - 200 -
- 160 160 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - -
1 2 3 4
1 Acyclovir SK 5 % tube 2 100
3 Acyclovir tab. 400 mg tab - 300
7 Alat suntik sekali pakai 20 ml set - -
13 Alkohol swab - -
22 Amlodipin tab. 5 mg kaplet - -
27 Amoksisilin Sirup Kering 125 mg/5ml botol - -
28 Ampisillin inj. 1 gr amp. 120 500
31 Antasida DOEN susp, Kombinasi : botol 50 -
32 Antasida DOEN Tablet, Kombinasi : tab 2,185 2,000
44 Asam Askorbat tablet 50 mg tab. 1,490 2,000
46 Asam Folat tab. 1 mg tab. 830 1,000
60 Betahistin Mesilat tab 6 mg tab 1,000 -
65 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp 20 10
67 Bisoprolol tab. 5 mg tab - -
68 Bloodset set - -
71 Calsium Gluconas injeksi amp - 5
82 Cetirizin sirup 5mg / 5 ml btl 45 -
87 Deksametason injeksi 5mg/ml-1ml amp 190 100
93 Diazepam Injeksi 5 mg/ml-2ml amp 2 20
101 Dimenhidrinat tab . 50 mg tab 970 -
112 Epinefrina HCl/Bitatrat Injeksi amp 50 -
117 Etanol 70 % btl./ 1 ltr - -
118 Etanol 70% 100 ml btl. - -
143 Furosemida inj. Iv/im 10 mg/ml amp 76 30
154 Griseofulvin tablet 125 mg, micronized tab 500 -
164 Hansdcoen buah - 300
171 Ibuprofen tablet 200 mg tab 579 1,000
183 IV. Cateter No.24 G pcs - 100
187 Kalsium Laktat (Kalk) tablet 500 mg tab 450 -
190 Kapas Pembalut/Adsorben 250 gram rol. 10 15
194 Kasa Pembalut Hidrofil 4 m X 15 cm rol. 120 200
198 Ketokonazol tab 200 mg tab 380 -
199 Ketoprofen inj amp 60 30
208 Kloramfenikol Tetes telinga 3% btl - -
213 Klorpromazin Tablet salut 100 mg tab. 420 1,500
216 Kodein Fosfat tablet 10 mg tab - 100
217 mg) tab - -
218 Salbutamol 2,5 mg( Combivent UDV) tube - -
226 Ky jelly tube - 10
(Glukosa: 25,0 g; NaCl: 4,5 g) - -
gr) (KA EN 3B)
277 Lorazepam ( Merlopam ) tab. 2 mg tab - -
278 Lugol - -
279 Masker buah - -
285 Mess buah - -
287 Methylprednisolon tab. 4 mg tab 2,320 -
290 Metoklopramida inj.( Metolon inj ) amp - 30
295 MgSO4 20% 25 ml amp - 10
296 MgSO4 40% 25 ml amp - -
300 Natriun Diklofenak tab. 50mg tab. 990 500
306 Nifedipin tab 10 mg tab - -
338 Omeprazol inj 40 mg/10 ml amp - 100
339 Omeprazol kaps. 20 mg kaps - -
359 Plester 7,5 x 4,5 ( Isoplast ) rol 26 -
363 Prednison tablet 5 mg tab 280 2,000
365 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial - 5
368 Ranitidin inj. 25 mg / 2 ml amp - 500
376 Reagen HIV SD buah - -
383 Retinol (Vitamin A) kapsul 100.000 IU kaps.lunak - 200
384 Retinol (Vitamin A) kapsul 200.000 IU kaps.lunak - 1,800
385 Ringer Lactat Larutan infus steril btl 550 1,000
386 Risperidone tab 2 mg tab 620 -
387 Rohto btl - -
389 Salbutamol tablet 2 mg tab 920 -
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp - 5
396 Sikzonoate ( Fluphenazine) inj. amp - 5
399 Sinvastatin tab 20 mg 240 500
403 Spironolakton tab 25 mg tab 200 100
415 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab (30) -
416 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg tab. - 1,000
419 Tramadol inj. amp 60 -
423 U pad pcs - -
429 Vitamin B Komplex tablet tab - -
432 Y-Rins btl - -

150 mg tab - -

436 Zinc sir 10 mg/ml btl - -
438 Reagent SD HBsAg test - -
443 Reagen Hbig - -
444
5 6 8
- 100 102 102 29 73
- - - - - -
- 300 300 300 200 100
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 500 500 500 - 500
- 500 500 500 - 500
- - 681 681 - 681
- - - - - -
- - - - - -
- - - - 670 (670)
- - 1,110 1,110 - 1,110
- - - - 64 (64)
- - 149 149 1,690 (1,541)
- - - - 44 (44)
- - 57 57 260 (203)
- - 1,000 1,000 140 860
- - 470 470 270 200
- - - - 250 (250)
- - - - - -
- - - - 800 (800)
- 2,000 3,200 3,200 581 2,619
- - - - - -
- - 226 226 42 184
- - - - 660 (660)
- 500 620 620 - 620
- - - - 1,890 (1,890)
- - - - - -
- - 50 50 1,740 (1,690)
- 2,000 4,185 4,185 - 4,185
- - - - - -
- - 13 13 155 (142)
- - - - - -
- - - - - -
- 200 260 260 - 260
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - 1,276 (1,276)
- 2,000 3,490 3,490 - 3,490
- - - - 390 (390)
- 1,000 1,830 1,830 850 980
- 3,000 14,140 14,140 10 14,130
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 380 380 - 380
- - - - - -
- - 11 11 - 11
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - 430 (430)
- - 1,000 1,000 29 971
- - 65 65 - 65
- - - - - -
- - - - - -
- - - - - -
- 10 30 30 9 21
- - 9 9 - 9
- - - - - -
- - - - - -
- - - - 17 (17)
- - - - - -
- 5 5 5 - 5
- - - - - -
- - - - 340 (340)
- - - - 290 (290)
- - 480 480 - 480
- - - - 810 (810)
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 45 45 - 45
- - - - - -
- - 330 330 1,930 (1,600)
- - 180 180 198 (18)
- - 377 377 1,270 (893)
- 100 290 290 - 290
- - 2,250 2,250 103 2,147
- - - - - -
- - - - - -
- - 1,610 1,610 12 1,598
- - - - 13 (13)
- 20 22 22 64 (42)
- - 2 2 - 2
- - - - - -
- - 180 180 - 180
- - - - - -
- - 228 228 - 228
- - 100 100 330 (230)
- - - - - -
- - 970 970 - 970
- - - - - -
- - - - 19 (19)
- - 100 100 178 (78)
- - 20 20 - 20
- - 590 590 - 590
- - - - - -
- - - - - -
- - - - - -
- - - - 28 (28)
- - - - - -
- - 50 50 - 50
- - 200 200 - 200
- - - - - -
- - 92 92 - 92
- - - - 83 (83)
- - - - 1 (1)
- - - - - -
- - 6 6 - 6
- - - - - -
- - - - - -
- - - - 4 (4)
- - - - - -
- - 20 20 - 20
- - - - - -
- - 500 500 - 500
- - - - 17 (17)
- - - - 190 (190)
- - - - 41 (41)
- - 610 610 - 610
- - - - - -
- - - - - -
- - 500 500 - 500
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - 471 (471)
- - - - 55 (55)
- - - - 953 (953)
- - 320 320 - 320
- 30 106 106 16 90
- - 2,129 2,129 8 2,121
- - - - 690 (690)
- - - - - -
- - 48 48 3,520 (3,472)
- - 1,180 1,180 - 1,180
- - 300 300 - 300
- - 2,000 2,000 455 1,545
- - - - - -
- - - - - -
- - 642 642 - 642
- - 500 500 - 500
- - 43 43 - 43
- - - - 210 (210)
- - - - - -
- - - - 170 (170)
- - - - - -
- - - - - -
- - 1,240 1,240 500 740
- - - - - -
- - - - - -
- 300 300 300 29 271
- - - - - -
- - - - 21 (21)
- - 47 47 - 47
- - - - - -
- - 50 50 360 (310)
- - - - - -
- 1,000 1,579 1,579 - 1,579
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 200 200 - 200
- - - - - -
- - - - - -
- - - - 15 (15)
- 100 100 100 - 100
- - - - 1,040 (1,040)
- - 31 31 180 (149)
- - - - 27 (27)
- - 450 450 18 432
- - - - - -
- - 22 22 - 22
- 15 25 25 - 25
- - 484 484 - 484
- - - - 70 (70)
- - - - - -
- 200 320 320 - 320
- - - - 120 (120)
- - - - - -
- - - - - -
- - 380 380 - 380
- 30 90 90 - 90
- - 40 40 - 40
- - 130 130 90 40
- - - - 26 (26)
- - - - 37 (37)
- - 1,230 1,230 - 1,230
- - - - 16 (16)
- - 11 11 1,510 (1,499)
- - - - - -
- - - - - -
- - 2,250 2,250 - 2,250
- - - - 636 (636)
- - - - - -
- - - - - -
- 1,500 1,920 1,920 100 1,820
- - - - - -
- - - - - -
- 100 100 100 - 100
- - - - - -
- - - - - -
- - - - 670 (670)
- - - - 26 (26)
- - - - - -
- - 1,080 1,080 - 1,080
- - 22 22 - 22
- - - - - -
- - - - - -
- 10 10 10 - 10
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - 86 (86)
- - - - - -
- - - - - -
- - 61 61 - 61
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 560 560 - 560
- - 1,600 1,600 340 1,260
- - - - - -
- - - - - -
- - - - - -
- - 6 6 - 6
- - 4 4 - 4
- - - - - -
- - - - 240 (240)
- - - - 550 (550)
- - - - 420 (420)
- - - - 14 (14)
- - 2,320 2,320 18 2,302
- - 100 100 370 (270)
- - 61 61 - 61
- 30 30 30 - 30
- - 810 810 1,110 (300)
- - - - - -
- - - - - -
- - 300 300 22 278
- 10 10 10 - 10
- - - - - -
- - 53 53 - 53
- - - - - -
- - 591 591 132 459
- 500 1,490 1,490 - 1,490
- - - - - -
- - - - - -
- - - - 480 (480)
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 11 11 - 11
- - - - - -
- - 1 1 - 1
- - - - - -
- - - - 237 (237)
- - - - - -
- - - - - -
- - 153 153 - 153
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - 3 (3)
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - 39 (39)
- - - - - -
- - - - 29 (29)
- - 70 70 - 70
- - - - - -
- - 12 12 850 (838)
- - - - - -
- 100 100 100 - 100
- - - - - -
- - - - - -
- - - - 7 (7)
- - - - 15 (15)
- - - - - -
- - - - 680 (680)
- - 48 48 - 48
- - - - - -
- 3,000 9,480 9,480 - 9,480
- - - - 9 (9)
- - - - - -
- - 60 60 37 23
- - 30 30 170 (140)
- - - - - -
- - 18 18 - 18
- - 400 400 510 (110)
- - - - 300 (300)
- - - - 8 (8)
- 2,000 5,400 5,400 - 5,400
- - 170 170 5 165
- - 26 26 - 26
- - - - 1,150 (1,150)
- - - - 300 (300)
- - 22 22 - 22
- 2,000 2,280 2,280 - 2,280
- - - - - -
- 5 5 5 97 (92)
- - 420 420 1,350 (930)
- - - - - -
- 500 500 500 - 500
- - 1,360 1,360 - 1,360
- - - - - -
- - - - 100 (100)
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 100 100 100 100 - 100
- - - - - -
- - - - - -
- - - - 723 (723)
- - - - 840 (840)
- - - - - -
- - - - 25 (25)
- 200 200 200 360 (160)
- 1,800 1,800 1,800 9 1,791
- 1,000 1,550 1,550 27 1,523
- - 620 620 - 620
- - - - - -
- - - - - -
- - 920 920 - 920
- - - - - -
- - - - - -
- - 9 9 - 9
- - - - - -
- 5 5 5 - 5
- - 100 100 - 100
- 5 5 5 - 5
- - - - - -
- - - - - -
- 500 740 740 - 740
- - - - 9,280 (9,280)
- - - - - -
- - - - - -
- 100 300 300 440 (140)
- - - - - -
- - - - - -
- - - - 290 (290)
- - 3,000 3,000 - 3,000
- - 220 220 580 (360)
- - 580 580 - 580
- - - - - -
- - - - - -
- - 400 400 - 400
- - 600 600 - 600
- - - - 650 (650)
- - (30) (30) 570 (600)
- 1,000 1,000 1,000 - 1,000
- 30 269 269 - 269
- - - - 16 (16)
- - 60 60 - 60
- - - - - -
- - 510 510 - 510
- - 680 680 850 (170)
- - - - - -
- - - - - -
- - 32 32 - 32
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - 210 (210)
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 200 200
150 150 150 150
- - -
- - - -
- - - -
- - - -
- - - -
1 2 3 4
1 Acyclovir SK 5 % tube 102
2 Acyclovir tab. 200 mg tab -
3 Acyclovir tab. 400 mg tab 300
4 Adona Ac 17 injeksi 5 ml amp. -
5 Alat Suntik Sekali Pakai 1 ml set -
6 Alat Suntik Sekali Pakai 10 ml set -
7 Alat suntik sekali pakai 20 ml set -
8 Alat Suntik Sekali Pakai 3 ml set 500
9 Alat Suntik Sekali Pakai 5 ml set 500
10 Albendazol tablet 400 mg tab. 681
11 Alinamin F inj. amp. -
12 Alinamin F tab. tab. -
13 Alkohol swab -
14 Alopurinol tablet 100 mg tab 1,110
15 Alopurinol tablet 300 mg tab. -
16 Ambroxol sirup 15mg/60ml botol 149
17 Ambroxol tablet tab -
18 Aminofilina Injeksi 24mg/ml-10ml amp 57
19 Aminofilina tablet 200 mg tab. 1,000
20 Amitriptilin HCl.Tablet Salut 25 mg tab. 470
21 Amlodipin tab. 10 mg tab -
22 Amlodipin tab. 5 mg kaplet -
23 Amoksisilin + As. Klavulanat 625 mg cap. -
24 Amoksisilin kaplet 500 mg kaplet 3,200
25 Amoksisilin kapsul 250 mg kapsul -
26 Amoksisilin sir forte 250 mg/5 ml botol 226
27 Amoksisilin Sirup Kering 125 mg/5ml botol -
28 Ampisillin inj. 1 gr amp. 620
29 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp -
30 Antalgin (Metampiron) Tablet 500 mg tab -
31 Antasida DOEN susp, Kombinasi : botol 50
32 Antasida DOEN Tablet, Kombinasi : tab 4,185
33 Anti Bakteri DOEN Salep Kombinasi : tube -
34 Anti Hemoroid DOEN Kombinasi supp 13
35 Antimigren DOEN kombinasi: Tablet tab. -
36 Antrain inj. amp. -
37 Aqua pro Injeksi, bebas pirogen vial 260
38 Aquadest Steril btl. -
39 Artemeter inj. ampul -
40 Artesunat inj. vial -
41 Articulating paper kertas warna penanda oklusi -
42 Asam asetilsalisilat (asetosal) tab 80 mg tab -
43 Asam Askorbat tablet 100 mg tab. -
44 Asam Askorbat tablet 50 mg tab. 3,490
45 Asam Benzoat 6%+Asam Salisilat 3% pot. -
46 Asam Folat tab. 1 mg tab. 1,830
47 Asam Mefenamat tablet 500 mg kaplet 14,140
48 Asam Traneksamat inj. 50mg/ml amp -
49 Asetosal tablet 100 mg tab. -
50 Asetosal tablet 500 mg tablet -
51 Aspar K tablet tablet -
52 Atapulgit tablet 600 mg tab 380
53 Atarax tab tab -
54 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp 11
55 Atropin Sulfat tablet 0,5 mg tab -
56 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah -
57 Bebat Fracture buah -
58 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial vial -
59 Benzatin Benzil Penisilin Ij. 2,4 juta IU/vial vial -
60 Betahistin Mesilat tab 6 mg tab 1,000
61 Betametason krim 0,1 % tube 65
62 Biolysin syr. btl -
63 Bioneuron tab. tab -
64 Bioplacenton jell tube -
65 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp 30
66 Bisakodil supp. 5 mg (Dulcolax supp) anak supp 9
67 Bisoprolol tab. 5 mg tab -
68 Bloodset set -
69 Bromheksin tab. 8 mg ( Hexon tab.) tab -
70 Buscotika inj.( Spasi inj .) amp -
71 Calsium Gluconas injeksi amp 5
72 Canula Oksigin anak biji -
73 Canula Oksigin dewasa biji -
74 Captopril 12,5 mg tab. tab -
75 Captopril tab. 25 mg tab 480
76 Cartridge GeneXpert -
77 Catgut / Benang Bedah No.2/0-3/0 buah -
78 Cefadroksil caps 500mg kapsul -
79 Cefadroksil syr kering 125 mg botol -
80 Cefotaxim inj. vial -
81 Ceftriakson inj. vial -
82 Cetirizin sirup 5mg / 5 ml btl 45
83 Cimetidine tab. tab. -
84 Clobazam tab. 10 mg tab 330
85 Clozapin tab. 25 mg tab 180
86 Cyprofloxasin 500 mg tab. 377
87 Deksametason injeksi 5mg/ml-1ml amp 290
88 Deksametason tablet 0,5 mg tab 2,250
89 Dekstran 70-larutan infus 6% steril btl -
90 Demacolin syr. btl -
91 Demacolin tab. tab 1,610
92 Dexanta tablet tab -
93 Diazepam Injeksi 5 mg/ml-2ml amp 22
94 Diazepam rectal tube supp 2
95 Diazepam tablet 2 mg tab. -
96 Diazepam tablet 5 mg tab 180
97 Dietilkarbamazin Sitrat tablet 100 mg tab. -
98 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp 228
99 Digoxin tablet 0,25 mg tab 100
100 Diltiazem hcl tab 30 mg tab -
101 Dimenhidrinat tab . 50 mg tab 970
102 Disp.Scalpel buah -
103 Doksazosin tab 1 mg tab -
104 Doksisiklin tab. 100 mg tab 100
105 Domperidom susp. 5 mg / ml btl 20
106 Domperidom tab. tab. 590
107 Efavirenz (EFV) 200 mg tab -
108 Efavirenz (EFV) 600 mg tab -
109 Efedrin HCl tablet 25 mg tab. -
110 Ekstrak Belladon tablet 10 mg tab -
111 Enervon C tab. tab -
112 Epinefrina HCl/Bitatrat Injeksi amp 50
113 Eritromisin kaps 250 mg kapsul 200
114 Erytromisin kaps.500 mg kapsul -
115 Erytromisin sirup. btl 92
116 Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml -
117 Etanol 70 % btl./ 1 ltr -
118 Etanol 70% 100 ml btl. -
119 Etil Klorida Semprot btl 6
120 Eugenol cairan btl -
121 Fenitoin Natrium Injeksi 50 mg/ml amp -
122 Fenitoin Natrium Kapsul 100 mg kapsul -
123 Fenitoin Natrium Kapsul 30 mg kapsul -
124 Fenobarbital Injeksi 50 mg/ml-2ml amp 20
125 Fenobarbital tablet 100 mg tab -
126 Fenobarbital tablet 30 mg tab 500
127 Fenoksimetil Penisilina tablet 250 mg tab -
128 Fenoksimetil Penisilina tablet 500 mg tab. -
129 Fenol Gliserol tetes telinga 10 % btl -
130 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab 610
131 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp -
132 Fluoksetin kap. 10 mg tab -
133 Fluoksetin kap. 20 mg 500
134 Fluor tablet 0,5 mg tab -
135 Folley Catheter No.12 pcs -
142 Furosemid tablet 40 mg tab 320
143 Furosemida inj. Iv/im 10 mg/ml amp 106
144 Garam Oralit 200 ml air sacc 2,129
145 Gentamisin inj. 80 mg / ml amp -
146 Gentamycin Salep Kulit tube -
147 Gentian Violet Larutan 1 % btl 48
148 Glibenclamid tablet 5 mg tab 1,180
149 Glimepirid tab 2 mg tab 300
150 Gliserilguaiacolat tablet 100 mg tab 2,000
151 Glukosa Larutan Infus 10 % Steril btl. -
152 Glukosa Larutan Infus 40 % Steril btl -
153 Glukosa Larutan Infus 5 % Steril btl 642
154 Griseofulvin tablet 125 mg, micronized tab 500
155 H2O2 ( Hydrogen Peroxide ) 3% btl / 100 ml 43
156 H2O2 ( Hydrogen Peroxide ) 3% btl / 800 ml -
157 Haloperidol Decanoas 50 mg/ml inj. amp -
158 Haloperidol inj.5 mg/ml amp -
159 Haloperidol tablet 0,5 mg tab -
160 Haloperidol tablet 1,5 mg tab -
161 Haloperidol tablet 5 mg tab 1,240
162 Handsaplas jumbo buah -
163 Handscoen obgyn psg -
164 Hansdcoen buah 300
165 Hansdcoen steril psg -
166 Hidroklorotiazid ( HCT ) tablet 25 mg tab. -
167 Hidrokortison Krim 2,5 % tube 47
168 Human tetanus imunoglobulin inj 500 UI (i.m.) amp -
169 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl 50
170 Ibuprifen susp. 200 mg / 5 ml btl -
171 Ibuprofen tablet 200 mg tab 1,579
172 Ibuprofen tablet 400 mg tab -
173 Imipramide tab. 25 mg tab. -
174 Infusion Set Anak pcs -
175 Infusion Set Dewasa pcs -
176 INH tab 100 mg tab -
177 Iodida Test test -
178 Iodiol Kapsul kaps lunak -
179 Isorbid Dinitrat tablet Sublingual 5 mg tab 200
180 IV. Cateter No.18 G pcs -
183 IV. Cateter No.24 G pcs 100
185 Kalamin Lotio btl 31
186 Kalium Permenganat serbuk btl -
187 Kalsium Laktat (Kalk) tablet 500 mg tab 450
188 Kaltrofen tab tab -
189 Kaolin Pektin syr botol 22
190 Kapas Pembalut/Adsorben 250 gram rol. 25
191 Karbamazepin tablet 200 mg tab 484
192 Kasa Kompres 40/40 steril rol. -
193 Kasa Pembalut 2m X 80 cm rol. -
194 Kasa Pembalut Hidrofil 4 m X 15 cm rol. 320
195 Kasa Pembalut Hidrofil 4 m X 3 cm rol. -
196 Kasa steril 16x16 ktk -
197 Kayu Penyangga Fracture buah -
198 Ketokonazol tab 200 mg tab 380
199 Ketoprofen inj amp 90
200 Ketoprofen supp supp 40
201 Ketoprofen tab. 100 mg tab 130
202 Klofazimin Kapsul 100 mg micronize kaps -
203 Kloramfenikol injeksi vial -
204 Kloramfenikol Kapsul 250 mg kaps 1,230
205 Kloramfenikol Salep mata 1% tube -
206 Kloramfenikol syr. btl 11
207 Kloramfenikol tetes mata ( Reco ) botol -
208 Kloramfenikol Tetes telinga 3% btl -
209 Klorfeniramin Maleat (CTM) tablet 4 mg tab. 2,250
210 Klorokuin tablet 150 mg tab. -
211 Klorpromazin HCl.Injeksi 25mg/ml-1ml amp -
212 Klorpromazin HCl.Injeksi 5mg/ml-2ml amp -
213 Klorpromazin Tablet salut 100 mg tab. 1,920
214 Klorpromazin Tablet salut 25 mg tab -
215 Klorpropamid tablet 100 mg tab. -
216 Kodein Fosfat tablet 10 mg tab 100
217 mg) tab -
218 Salbutamol 2,5 mg( Combivent UDV) tube -
219 Kombinasi: kaolin 550 mg + pektin 20 mg tab -
220 Kombipak Kategori 1 paket -
221 Kotrimoksazol 120 mg tablet tab -
222 Kotrimoksazol 480 mg tablet tab 1,080
223 Kotrimoksazol Suspensi btl 22
224 Kuinin ( Kina ) tablet 200 mg tab -
225 Kuinin Dihidroklorida Injeksi 25 % - 2ml amp -
226 Ky jelly tube 10
227 Laborat Blood Lancet ktk -
228 Laborat Cover Glass ktk -
229 Laborat Dempul / malam putih biji -
230 Laborat Gluco stik ktk -
231 Laborat Golongan darah test. biji -
232 Laborat Kolesterol stik ktk -
233 Laborat Minyak Emersi lar. 50 ml botol -
234 Laborat Obyek Glass ktk -
235 Laborat Obyek Glass Frosted ktk -
236 Laborat Pipet Eritrosit buah -
237 Laborat Pipet LED buah -
238 Laborat Pipet Leukosit buah -
239 Laborat Plano test ktk -
240 Laborat Pot dahak buah -
241 Laborat Pot urine ( sedang ) buah -
242 Laborat Rak Pengecatan buah -
243 Laborat Rak Tabung Khan buah -
244 Laborat Rak tabung reaksi buah -
245 Laborat Rapid Test siphilis ktk -
246 Laborat Reagen HIV strip ktk -
247 Laborat Tabung Centrifuge buah -
248 Laborat Tabung Kapiler HCT buah -
249 Laborat Tabung Reaksi buah -
250 Laborat Tissu Lensa ktk -
251 Laborat Uric Acid stik ktk -
252 Laborat Urine stick 10 P ktk -
253 Laborat Urine strip ktk -
254 Laborat Widal test. set. -
255 Lamivudine 150 mg / hiviral tab -
256 Larutan Asam Klorida 0,1 N btl. -
257 Larutan Asam Sulfosalisilat 20 % btl. -
258 Larutan Bendict btl. -
259 Larutan EDTA btl. -
260 Larutan Eosin 2 % btl -
261 Larutan Giemsa Stain btl -
262 Larutan mengandung Karbohidrat + Elektrolit btl -
(Glukosa: 25,0 g; NaCl: 4,5 g) -
1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 -
gr) (KA EN 3B)
265 Larutan NaCl 0,9 % btl -
266 Larutan Rees Eker btl -
267 Larutan Turk btl -
268 Larutan Zn. set. -
269 Lidokain gel 2% tube -
270 Lidokain komp.Injeksi Kombinasi: amp 61
271 Lidokain spray oral 10% btl -
272 Linestrenol tab 0,5 mg tab -
273 Lisol, mengandung Kresol tersabun 50 % btl -
274 Livron B Plex tab. tab -
275 Loperamida tab. tab 560
276 Loratadin tab.10 mg tab. 1,600
277 Lorazepam ( Merlopam ) tab. 2 mg tab -
278 Lugol -
279 Masker buah -
280 MDT-MB Adult kusta tab. 6
281 MDT-MB Child kusta tab 4
282 MDT-PB Adult kusta tab -
283 MDT-PB Child kusta tab. -
284 Mebendazol tablet 100 mg tab -
285 Mess buah -
286 Metformin HCl.tab. 500 mg tab -
287 Methylprednisolon tab. 4 mg tab 2,320
288 Metilergometrin Maleat (Metilergometrin) tab 100
289 Metilergometrin Maleat Inj 0,200 mg-1ml amp 61
290 Metoklopramida inj.( Metolon inj ) amp 30
291 Metoklopramida tab. 10 mg tab 810
292 Metronidazol infus btl./ 500ml -
293 Metronidazol sir 125 mg/5 Ml btl -
294 Metronidazol tablet 500 mg tab. 300
295 MgSO4 20% 25 ml amp 10
296 MgSO4 40% 25 ml amp -
297 Mikonazol salp kulit 2 % tube 53
298 Mineral Mix sacc -
299 Natrium klorida Larutan Infus 0,9 % Steril btl 591
300 Natriun Diklofenak tab. 50mg tab. 1,490
301 Needle 23 G buah -
302 Neurobion 5000 inj. psg amp. -
303 Neurodex tablet tab -
304 Nevirapine (NVP) 200 mg tab -
305 Nicholin inj. amp -
306 Nifedipin tab 10 mg tab -
307 Nistatin susp 100.000 UI/ml btl -
308 Nistatin Tablet salut 500.000 IU tab salut -
309 Nistatin Tablet Vaginal 100.000 IU/g supp 11
310 Obat anti malaria tab -
311 Obat Antituberkulosis Anak paket 1
312 Obat Antituberkulosis Kategori 2 paket -
313 Obat Antituberkulosis Kategori 3 paket -
314 Obat Antituberkulosis Kategori I( FDC) paket -
315 Obat Antituberkulosis Sisipan paket -
316 Obat batuk Hitam ( OBH ) btl. 153
317 Obat Gigi Air Raksa Dental Use tube -
318 Obat Gigi Bonding 5 ml btl. -
319 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl. -
320 Obat Gigi Composit Anterior btl. -
321 Obat Gigi Composit Pasterior btl. -
322 Obat Gigi Devitalisasi Pasta set. -
323 Obat Gigi Etching 2 gr. btl. -
324 Obat Gigi Forinokresol ( Pengganti TKF ) btl -
325 Obat Gigi Glass Ionomer Cemen (GC IX) btl/set. -
326 Obat Gigi Kalsium Hidroksida Pasta tube -
327 Obat Gigi Mummifying Pasta btl -
328 Obat Gigi Semen Seng Fosfat serbuk dan cairan btl -
329 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl -
330 Obat Gigi Temporary Restoratif btl -
331 Obat Gigi Temporary Stopping Fletcher (Fletcher) btl -
332 Oksimetazolin tts hidung 0,050% tube -
333 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial -
334 Oksitetrasiklin HCl. Salep 1 % tube 70
335 Oksitetrasiklin HCl. Salep 3 % tube -
336 Oksitosin Injeksi 10 IU/ml-1ml amp 12
337 Olopatadin tts mata 0,1% tube -
338 Omeprazol inj 40 mg/10 ml amp 100
339 Omeprazol kaps. 20 mg kaps -
340 Oseltamivir tab tab -
341 Oxygen spray portable can -
342 Papaverin inj. 40 mg / ml - 1 ml amp -
343 Papaverin tab. 40 mg tab -
344 Parasetamol drop 100mg/ml btl -
345 Parasetamol Sirup 120 mg / 5ml btl 48
346 Parasetamol tablet 100 mg tab -
347 Parasetamol tablet 500 mg tab. 9,480
348 Pehacain inj. amp. -
349 Penyangga tangan buah -
350 Perak Sulfadiazin ( Burnazim salp ) tube 60
351 Permetrin krim 5 % ( Scabimite krim ) tube 30
352 Pil KB Laktasi tab -
353 Piracetam inj. 3 gr / 15 ml amp 18
354 Piracetam tab. 800 mg tab 400
355 Piralen injeksi amp -
356 Pirantel tablet 125 mg tab -
357 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. 5,400
358 Piroxicam tab. 20 mg tab 170
359 Plester 7,5 x 4,5 ( Isoplast ) rol 26
360 Polikresulen (Kondensasi Metakresol btl -
361 Povidon Iodida 10 % 300 ml btl -
362 Povidon Iodida 10 % 60 ml btl 22
363 Prednison tablet 5 mg tab 2,280
364 Primakuin tablet 15 mg tab -
365 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial 5
366 Propanolol HCl tablet 40 mg tab 420
367 Propiltiourasil tablet 100 mg tab -
368 Ranitidin inj. 25 mg / 2 ml amp 500
369 Ranitidin tab. 150 mg tab 1,360
370 RDT Leptospira ktk -
371 RDT Parascreen ( u/ malaria ) ktk -
372 Reagen CD4 (Control) ktk -
373 Reagen CD4 (Mebile) ktk -
374 Reagen HIV Fokus -
375 Reagen HIV Rigsin -
376 Reagen HIV SD buah 100
377 Reagen HIV TPHA -
378 Reagen RDT DBD NSI buah -
379 Reagen RDT DBD NSI IgG/Igm buah -
380 Reagent HIV Aids 1 buah -
383 Retinol (Vitamin A) kapsul 100.000 IU kaps.lunak 200
384 Retinol (Vitamin A) kapsul 200.000 IU kaps.lunak 1,800
385 Ringer Lactat Larutan infus steril btl 1,550
386 Risperidone tab 2 mg tab 620
387 Rohto btl -
388 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube -
389 Salbutamol tablet 2 mg tab 920
390 Salep 2-4 , Kombinasi tube -
391 Salisil Bedak 2 % dos -
392 Serum anti Bisa ular Polivalen Injeksi vial 9
393 Serum Anti Difteri ( ADS ) vial -
394 Serum Anti Tentanus Injeksi 1.500IU/ampul amp 5
395 Sianokobalamina (vit.B12) Injeksi amp 100
396 Sikzonoate ( Fluphenazine) inj. amp 5
397 Silk (Benang Bedah Sutera ) No. 3/0 buah -
398 Sinvastatin tab tab -
399 Sinvastatin tab 20 mg 740
400 Sofratul lmbr -
401 Soloshot 0,05 ml pcs -
402 Soloshot 0,5 ml pcs -
403 Spironolakton tab 25 mg tab 300
404 Sulfadimidin tablet 500 mg tab -
405 Tablet Hyoscin Butylbromida ( Scopma ) tab -
406 Tablet Hyoscin Butylbromida ( Spashi tab ) tab -
407 Tablet tambah Darah kombinasi : Besi II tablet 3,000
408 Telmisartan tab 80 mg tab 220
409 Teofilin tab 150 mg tab 580
410 Terbutalin tab.2,5 mg (Molasma tablet) tablet -
411 Tetrakain HCl tetes mata btl -
412 Tetrasiklin HCl. Kapsul 250 mg kaps 400
413 Tetrasiklin HCl. Kapsul 500 mg kaps 600
414 Thiamfenikol kapsul 500 mg kaplet -
415 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab (30)
416 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg tab. 1,000
417 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp 269
418 Tiopental Natrium serbuk inj. 1000 mg/amp amp -
419 Tramadol inj. amp 60
420 Tramadol tab. 50 mg tab -
421 Trifluoperazine 5mg tab 510
422 Triheksifenidil Hidroklorida tablet 2 mg tab 680
423 U pad pcs -
424 Ulsikur injeksi amp -
425 Ultrafix 5cmx5m rol 32
426 Urine Bag pcs -
427 Valproat sir 250 mg/5 ml btl -
428 Vicillin injeksi vial -
429 Vitamin B Komplex tablet tab -
430 Wing Nedle pcs -
431 Xillomidon injeksi vial -
432 Y-Rins btl -
433 Zidofudine (ZDV) 100 mg tab -

150 mg tab -

mg+Nevirapine 50 mg tab -
436 Zinc sir 10 mg/ml btl -
437 Zinc tablet tab 200
438 Reagent SD HBsAg test 150
439 Cetirizin HCl tab 10 mg -
440 Polifix 5cm x 1 m -
441 Halloperidol drops 2 mg / ml -
442 Glimepirid tab 1 mg tab -
443 Reagen Hbig -
444
5 6 8
- 102 102 29 73
- - - - -
- 300 300 200 100
- - - - -
- - - - -
- - - - -
- - - - -
- 500 500 - 500
- 500 500 - 500
- 681 681 - 681
- - - - -
- - - - -
- - - 670 (670)
- 1,110 1,110 - 1,110
- - - 64 (64)
- 149 149 1,690 (1,541)
- - - 44 (44)
- 57 57 260 (203)
- 1,000 1,000 140 860
- 470 470 270 200
- - - 250 (250)
- - - - -
- - - 800 (800)
- 3,200 3,200 581 2,619
- - - - -
- 226 226 42 184
- - - 660 (660)
- 620 620 - 620
- - - 1,890 (1,890)
- - - - -
- 50 50 1,740 (1,690)
- 4,185 4,185 - 4,185
- - - - -
- 13 13 155 (142)
- - - - -
- - - - -
- 260 260 - 260
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 1,276 (1,276)
- 3,490 3,490 - 3,490
- - - 390 (390)
- 1,830 1,830 850 980
- 14,140 14,140 10 14,130
- - - - -
- - - - -
- - - - -
- - - - -
- 380 380 - 380
- - - - -
- 11 11 - 11
- - - - -
- - - - -
- - - - -
- - - - -
- - - 430 (430)
- 1,000 1,000 29 971
- 65 65 - 65
- - - - -
- - - - -
- - - - -
- 30 30 9 21
- 9 9 - 9
- - - - -
- - - - -
- - - 17 (17)
- - - - -
- 5 5 - 5
- - - - -
- - - 340 (340)
- - - 290 (290)
- 480 480 - 480
- - - 810 (810)
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 45 45 - 45
- - - - -
- 330 330 1,930 (1,600)
- 180 180 198 (18)
- 377 377 1,270 (893)
- 290 290 - 290
- 2,250 2,250 103 2,147
- - - - -
- - - - -
- 1,610 1,610 12 1,598
- - - 13 (13)
- 22 22 64 (42)
- 2 2 - 2
- - - - -
- 180 180 - 180
- - - - -
- 228 228 - 228
- 100 100 330 (230)
- - - - -
- 970 970 - 970
- - - - -
- - - 19 (19)
- 100 100 178 (78)
- 20 20 - 20
- 590 590 - 590
- - - - -
- - - - -
- - - - -
- - - 28 (28)
- - - - -
- 50 50 - 50
- 200 200 - 200
- - - - -
- 92 92 - 92
- - - 83 (83)
- - - 1 (1)
- - - - -
- 6 6 - 6
- - - - -
- - - - -
- - - 4 (4)
- - - - -
- 20 20 - 20
- - - - -
- 500 500 - 500
- - - 17 (17)
- - - 190 (190)
- - - 41 (41)
- 610 610 - 610
- - - - -
- - - - -
- 500 500 - 500
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 471 (471)
- - - 55 (55)
- - - 953 (953)
- 320 320 - 320
- 106 106 16 90
- 2,129 2,129 8 2,121
- - - 690 (690)
- - - - -
- 48 48 3,520 (3,472)
- 1,180 1,180 - 1,180
- 300 300 - 300
- 2,000 2,000 455 1,545
- - - - -
- - - - -
- 642 642 - 642
- 500 500 - 500
- 43 43 - 43
- - - 210 (210)
- - - - -
- - - 170 (170)
- - - - -
- - - - -
- 1,240 1,240 500 740
- - - - -
- - - - -
- 300 300 29 271
- - - - -
- - - 21 (21)
- 47 47 - 47
- - - - -
- 50 50 360 (310)
- - - - -
- 1,579 1,579 - 1,579
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 200 200 - 200
- - - - -
- - - - -
- - - 15 (15)
- 100 100 - 100
- - - 1,040 (1,040)
- 31 31 180 (149)
- - - 27 (27)
- 450 450 18 432
- - - - -
- 22 22 - 22
- 25 25 - 25
- 484 484 - 484
- - - 70 (70)
- - - - -
- 320 320 - 320
- - - 120 (120)
- - - - -
- - - - -
- 380 380 - 380
- 90 90 - 90
- 40 40 - 40
- 130 130 90 40
- - - 26 (26)
- - - 37 (37)
- 1,230 1,230 - 1,230
- - - 16 (16)
- 11 11 1,510 (1,499)
- - - - -
- - - - -
- 2,250 2,250 - 2,250
- - - 636 (636)
- - - - -
- - - - -
- 1,920 1,920 100 1,820
- - - - -
- - - - -
- 100 100 - 100
- - - - -
- - - - -
- - - 670 (670)
- - - 26 (26)
- - - - -
- 1,080 1,080 - 1,080
- 22 22 - 22
- - - - -
- - - - -
- 10 10 - 10
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 86 (86)
- - - - -
- - - - -
- 61 61 - 61
- - - - -
- - - - -
- - - - -
- - - - -
- 560 560 - 560
- 1,600 1,600 340 1,260
- - - - -
- - - - -
- - - - -
- 6 6 - 6
- 4 4 - 4
- - - - -
- - - 240 (240)
- - - 550 (550)
- - - 420 (420)
- - - 14 (14)
- 2,320 2,320 18 2,302
- 100 100 370 (270)
- 61 61 - 61
- 30 30 - 30
- 810 810 1,110 (300)
- - - - -
- - - - -
- 300 300 22 278
- 10 10 - 10
- - - - -
- 53 53 - 53
- - - - -
- 591 591 132 459
- 1,490 1,490 - 1,490
- - - - -
- - - - -
- - - 480 (480)
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 11 11 - 11
- - - - -
- 1 1 - 1
- - - - -
- - - 237 (237)
- - - - -
- - - - -
- 153 153 - 153
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 3 (3)
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 39 (39)
- - - - -
- - - 29 (29)
- 70 70 - 70
- - - - -
- 12 12 850 (838)
- - - - -
- 100 100 - 100
- - - - -
- - - - -
- - - 7 (7)
- - - 15 (15)
- - - - -
- - - 680 (680)
- 48 48 - 48
- - - - -
- 9,480 9,480 - 9,480
- - - 9 (9)
- - - - -
- 60 60 37 23
- 30 30 170 (140)
- - - - -
- 18 18 - 18
- 400 400 510 (110)
- - - 300 (300)
- - - 8 (8)
- 5,400 5,400 - 5,400
- 170 170 5 165
- 26 26 - 26
- - - 1,150 (1,150)
- - - 300 (300)
- 22 22 - 22
- 2,280 2,280 - 2,280
- - - - -
- 5 5 97 (92)
- 420 420 1,350 (930)
- - - - -
- 500 500 - 500
- 1,360 1,360 - 1,360
- - - - -
- - - 100 (100)
- - - - -
- - - - -
- - - - -
- - - - -
- 100 100 - 100
- - - - -
- - - - -
- - - 723 (723)
- - - 840 (840)
- - - - -
- - - 25 (25)
- 200 200 360 (160)
- 1,800 1,800 9 1,791
- 1,550 1,550 27 1,523
- 620 620 - 620
- - - - -
- - - - -
- 920 920 - 920
- - - - -
- - - - -
- 9 9 - 9
- - - - -
- 5 5 - 5
- 100 100 - 100
- 5 5 - 5
- - - - -
- - - - -
- 740 740 - 740
- - - 9,280 (9,280)
- - - - -
- - - - -
- 300 300 440 (140)
- - - - -
- - - - -
- - - 290 (290)
- 3,000 3,000 - 3,000
- 220 220 580 (360)
- 580 580 - 580
- - - - -
- - - - -
- 400 400 - 400
- 600 600 - 600
- - - 650 (650)
- (30) (30) 570 (600)
- 1,000 1,000 - 1,000
- 269 269 - 269
- - - 16 (16)
- 60 60 - 60
- - - - -
- 510 510 - 510
- 680 680 850 (170)
- - - - -
- - - - -
- 32 32 - 32
- - - - -
- - - - -
- - - - -
- - - - -
- - - 210 (210)
- - -
- - -
- - -
- - -
- - -
- - -
- 200 200
- 150 150
- - -
- - -
- - -
- - -
- - -
NO. Stok Awal Penerimaan
SATUAN
KODE NAMA - O BAT PKD JPKMM
(1) (2) (3) (4) (5) (6)
1 Acyclovir SK 5 % tube #REF! - -
2 Acyclovir tab. 200 mg tab #REF! - -
3 Acyclovir tab. 400 mg tab #REF! - -
4 Adona Ac 17 injeksi 5 ml amp. #REF! - -
5 Alat Suntik Sekali Pakai 1 ml set #REF! - -
7 Alat suntik sekali pakai 20 ml set #REF! - -
10 Albendazol tablet 400 mg tab. #REF! - -
11 Alinamin F inj. amp. #REF! - -
12 Alinamin F tab. tab. #REF! - -
13 Alopurinol tablet 100 mg tab #REF! 1,000 -
14 Alopurinol tablet 300 mg tab. #REF! - -
15 Ambroxol sirup 15mg/60ml botol #REF! - -
16 Ambroxol tablet tab #REF! 100 -
17 Aminofilina Injeksi 24mg/ml-10ml amp #REF! - -
18 Aminofilina tablet 200 mg tab. #REF! - -
19 Amitriptilin HCl.Tablet Salut 25 mg tab. #REF! 200 -
20 Amlodipin tab. 10 mg tab #REF! - -
21 Amlodipin tab. 5 mg kaplet #REF! - -
22 Amoksisilin + As. Klavulanat 625 mg cap. #REF! - -
23 Amoksisilin kaplet 500 mg kaplet #REF! 3,000 -
24 Amoksisilin kapsul 250 mg kapsul #REF! - -
25 Amoksisilin sir forte 250 mg/5 ml botol #REF! - -
26 Amoksisilin Sirup Kering 125 mg/5ml botol #REF! - -
27 Ampisillin inj. 1 gr amp. #REF! - -
28 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp #REF! - -
29 Antalgin (Metampiron) Tablet 500 mg tab #REF! 600 -
30 Antasida DOEN susp, Kombinasi : botol #REF! - -
31 Antasida DOEN Tablet, Kombinasi : tab #REF! 3,000 -
32 Anti Bakteri DOEN Salep Kombinasi : tube #REF! - -
33 Anti Hemoroid DOEN Kombinasi supp #REF! 10 -
34 Antimigren DOEN kombinasi: Tablet tab. #REF! - -
35 Antrain inj. amp. #REF! - -
36 Aqua pro Injeksi, bebas pirogen vial #REF! - -
37 Aquadest Steril btl. #REF! - -
38 Artemeter inj. ampul #REF! - -
39 Artesunat inj. vial #REF! - -
40 Articulating paper kertas warna penanda oklusi #REF! - -
41 Asam asetilsalisilat (asetosal) tab 80 mg tab #REF! - -
42 Asam Askorbat tablet 100 mg tab. #REF! - -
43 Asam Askorbat tablet 50 mg tab. #REF! 2,000 -
44 Asam Benzoat 6%+Asam Salisilat 3% pot. #REF! - -
45 Asam Folat tab. 1 mg tab. #REF! 2,000 -
46 Asam Mefenamat tablet 500 mg kaplet #REF! 2,000 -
47 Asam Traneksamat inj. 50mg/ml amp #REF! - -
48 Asetosal tablet 100 mg tab. #REF! - -
49 Asetosal tablet 500 mg tablet #REF! - -
50 Aspar K tablet tablet #REF! - -
51 Atapulgit tablet 750 mg tab #REF! - -
52 Atarax tab tab #REF! - -
53 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp #REF! - -
54 Atropin Sulfat tablet 0,5 mg tab #REF! - -
55 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah #REF! - -
56 Bebat Fracture buah #REF! - -
57 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial vial #REF! - -
58 Benzatin Benzil Penisilin Ij. 2,4 juta IU/vial vial #REF! - -
59 Betahistin Mesilat tab 6 mg tab #REF! - -
60 Betametason krim 0,1 % tube #REF! - -
61 Biolysin syr. btl #REF! - -
62 Bioneuron tab. tab #REF! - -
63 Bioplacenton jell tube #REF! - -
64 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp #REF! - -
65 Bisakodil supp. 5 mg (Dulcolax supp) anak supp #REF! - -
66 Bisoprolol tab. 5 mg tab #REF! - -
67 Bloodset set #REF! - -
68 Bromheksin tab. 8 mg ( Hexon tab.) tab #REF! - -
69 Buscotika inj.( Spasi inj .) amp #REF! - -
70 Calsium Gluconas injeksi amp #REF! - -
71 Canula Oksigin anak biji #REF! - -
72 Canula Oksigin dewasa biji #REF! - -
73 Captopril 12,5 mg tab. tab #REF! - -
74 Captopril tab. 25 mg tab #REF! - -
75 Catgut / Benang Bedah No.2/0-3/0 buah #REF! - -
76 Cefadroksil caps 500mg kapsul #REF! - -
77 Cefadroksil syr kering 125 mg botol #REF! - -
78 Cefotaxim inj. vial #REF! - -
79 Ceftriakson inj. vial #REF! - -
80 Cetirizin sirup 5mg / 5 ml btl #REF! - -
81 Cimetidine tab. tab. #REF! - -
82 Clobazam tab. 10 mg tab #REF! - -
83 Clozapin tab. 25 mg tab #REF! - -
84 Cyprofloxasin 500 mg tab. #REF! 1,000 -
85 Deksametason injeksi 5mg/ml-1ml amp #REF! - -
86 Deksametason tablet 0,5 mg tab #REF! 2,000 -
87 Dekstran 70-larutan infus 6% steril btl #REF! - -
88 Demacolin syr. btl #REF! - -
89 Demacolin tab. tab #REF! - -
90 Dexanta tablet tab #REF! - -
91 Diazepam Injeksi 5 mg/ml-2ml amp #REF! - -
92 Diazepam rectal tube supp #REF! - -
93 Diazepam tablet 2 mg tab. #REF! - -
94 Diazepam tablet 5 mg tab #REF! - -
95 Dietilkarbamazin Sitrat tablet 100 mg tab. #REF! - -
96 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp #REF! - -
97 Digoxin tablet 0,25 mg tab #REF! - -
98 Diltiazem hcl tab 30 mg tab #REF! - -
99 Dimenhidrinat tab . 50 mg tab #REF! - -
100 Disp.Scalpel buah #REF! - -
101 Doksazosin tab 1 mg tab #REF! - -
102 Doksisiklin tab. 100 mg tab #REF! - -
103 Domperidom susp. 5 mg / ml btl #REF! - -
104 Domperidom tab. tab. #REF! - -
105 Efavirenz (EFV) 200 mg tab #REF! - -
106 Efavirenz (EFV) 600 mg tab #REF! - -
107 Efedrin HCl tablet 25 mg tab. #REF! - -
108 Ekstrak Belladon tablet 10 mg tab #REF! - -
109 Enervon C tab. tab #REF! - -
110 Epinefrina HCl/Bitatrat Injeksi amp #REF! - -
111 Eritromisin kaps 250 mg kapsul #REF! - -
112 Erytromisin kaps.500 mg kapsul #REF! - -
113 Erytromisin sirup. btl #REF! - -
114 Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml #REF! - -
115 Etanol 70 % btl./ 1 ltr #REF! - -
116 Etanol 70% 100 ml btl. #REF! - -
117 Etil Klorida Semprot btl #REF! - -
118 Eugenol cairan btl #REF! - -
119 Fenitoin Natrium Injeksi 50 mg/ml amp #REF! - -
120 Fenitoin Natrium Kapsul 100 mg kapsul #REF! - -
121 Fenitoin Natrium Kapsul 30 mg kapsul #REF! - -
122 Fenobarbital Injeksi 50 mg/ml-2ml amp #REF! - -
123 Fenobarbital tablet 100 mg tab #REF! - -
124 Fenobarbital tablet 30 mg tab #REF! - -
125 Fenoksimetil Penisilina tablet 250 mg tab. #REF! - -
126 Fenoksimetil Penisilina tablet 500 mg btl #REF! - -
127 Fenol Gliserol tetes telinga 10 % tab #REF! - -
128 Fitomenadion (Vit.K1) Tablet salut gula 10mg amp #REF! - -
129 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml tab #REF! - -
130 Fluoksetin kap. 10 mg tab #REF! - -
131 Fluor tablet 0,5 mg pcs #REF! - -
132 Folley Catheter No.12 pcs #REF! - -
138 Folley Catheter No.24 tab #REF! - -
139 Furosemid tablet 40 mg amp #REF! - -
140 Furosemida inj. Iv/im 10 mg/ml sacc #REF! - -
141 Garam Oralit 200 ml air amp #REF! - -
142 Gentamisin inj. 80 mg / ml tube #REF! - -
143 Gentamycin Salep Kulit btl #REF! - -
144 Gentian Violet Larutan 1 % tab #REF! 48 -
145 Glibenclamid tablet 5 mg tab #REF! - -
146 Glimepirid tab 2 mg tab #REF! - -
147 Gliserilguaiacolat tablet 100 mg btl. #REF! - -
148 Glukosa Larutan Infus 10 % Steril btl #REF! - -
149 Glukosa Larutan Infus 40 % Steril btl #REF! - -
150 Glukosa Larutan Infus 5 % Steril tab #REF! - -
151 Griseofulvin tablet 125 mg, micronized #REF! - -
152 H2O2 ( Hydrogen Peroxide ) 3% btl / 100 ml #REF! - -
153 H2O2 ( Hydrogen Peroxide ) 3% btl / 800 ml #REF! - -
154 Haloperidol Decanoas 50 mg/ml inj. amp #REF! 10 -
155 Haloperidol inj.5 mg/ml tab #REF! 10 -
156 Haloperidol tablet 0,5 mg tab #REF! - -
157 Haloperidol tablet 1,5 mg tab #REF! - -
158 Haloperidol tablet 5 mg buah #REF! - -
159 Handsaplas jumbo psg #REF! 48 -
160 Handscoen obgyn buah #REF! - -
161 Hansdcoen psg #REF! - -
162 Hansdcoen steril tab. #REF! - -
163 Hidroklorotiazid ( HCT ) tablet 25 mg tube #REF! - -
164 Hidrokortison Krim 2,5 % amp #REF! 48 -
165 Human tetanus imunoglobulin inj 500 UI (i.m.) btl #REF! - -
166 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl #REF! - -
167 Ibuprifen susp. 200 mg / 5 ml tab #REF! - -
168 Ibuprofen tablet 200 mg tab #REF! - -
169 Ibuprofen tablet 400 mg tab. #REF! - -
170 Imipramide tab. 25 mg pcs #REF! - -
171 Infusion Set Anak pcs #REF! - -
172 Infusion Set Dewasa tab #REF! - -
173 INH tab 100 mg test #REF! - -
174 Iodida Test kaps lunak #REF! - -
175 Iodiol Kapsul tab #REF! - -
176 Isorbid Dinitrat tablet Sublingual 5 mg pcs #REF! - -
177 IV. Cateter No.18 G pcs #REF! - -
181 IV. Cateter No.26 G btl #REF! - -
182 Kalamin Lotio btl #REF! - -
183 Kalium Permenganat serbuk tab #REF! - -
184 Kalsium Laktat (Kalk) tablet 500 mg tab #REF! 2,000 -
185 Kaltrofen tab botol #REF! - -
186 Kaolin Pektin syr rol. #REF! - -
187 Kapas Pembalut/Adsorben 250 gram tab #REF! - -
188 Karbamazepin tablet 200 mg rol. #REF! - -
189 Kasa Kompres 40/40 steril rol. #REF! - -
190 Kasa Pembalut 2m X 80 cm rol. #REF! - -
191 Kasa Pembalut Hidrofil 4 m X 15 cm rol. #REF! - -
192 Kasa Pembalut Hidrofil 4 m X 3 cm ktk #REF! - -
193 Kasa steril 16x16 buah #REF! - -
194 Kayu Penyangga Fracture tab #REF! - -
195 Ketokonazol tab 200 mg amp #REF! - -
196 Ketoprofen inj supp #REF! - -
197 Ketoprofen supp tab #REF! - -
198 Ketoprofen tab. 100 mg kaps #REF! - -
199 Klofazimin Kapsul 100 mg micronize vial #REF! - -
200 Kloramfenikol injeksi kaps #REF! - -
201 Kloramfenikol Kapsul 250 mg tube #REF! - -
202 Kloramfenikol Salep mata 1% btl #REF! - -
203 Kloramfenikol syr. botol #REF! - -
204 Kloramfenikol tetes mata ( Reco ) btl #REF! - -
205 Kloramfenikol Tetes telinga 3% tab. #REF! - -
206 Klorfeniramin Maleat (CTM) tablet 4 mg tab. #REF! - -
207 Klorokuin tablet 150 mg amp #REF! - -
208 Klorpromazin HCl.Injeksi 25mg/ml-1ml amp #REF! - -
209 Klorpromazin HCl.Injeksi 5mg/ml-2ml tab. #REF! - -
210 Klorpromazin Tablet salut 100 mg tab #REF! - -
211 Klorpromazin Tablet salut 25 mg tab. #REF! - -
212 Klorpropamid tablet 100 mg tab #REF! - -
213 Kodein Fosfat tablet 10 mg tab #REF! - -
214 Kombinasi (Pirimetamin 25 mg + Sulfadoksin 500 tube #REF! - -
215 Kombinasi : Ipratropium bromida inhalasi 0,5 mg tab #REF! - -
216 Kombinasi: kaolin 550 mg + pektin 20 mg paket #REF! - -
217 Kombipak Kategori 1 tab #REF! - -
218 Kotrimoksazol 120 mg tablet tab #REF! - -
219 Kotrimoksazol 480 mg tablet btl #REF! 300 -
220 Kotrimoksazol Suspensi tab #REF! - -
221 Kuinin ( Kina ) tablet 200 mg amp #REF! - -
222 Kuinin Dihidroklorida Injeksi 25 % - 2ml tube #REF! - -
223 Ky jelly ktk #REF! - -
224 Laborat Blood Lancet ktk #REF! - -
225 Laborat Cover Glass biji #REF! - -
226 Laborat Dempul / malam putih ktk #REF! - -
227 Laborat Gluco stik biji #REF! - -
228 Laborat Golongan darah test. ktk #REF! - -
229 Laborat Kolesterol stik botol #REF! - -
230 Laborat Minyak Emersi lar. 50 ml ktk #REF! - -
231 Laborat Obyek Glass ktk #REF! - -
232 Laborat Obyek Glass Frosted buah #REF! - -
233 Laborat Pipet Eritrosit buah #REF! - -
234 Laborat Pipet LED buah #REF! - -
235 Laborat Pipet Leukosit ktk #REF! - -
236 Laborat Plano test buah #REF! - -
237 Laborat Pot dahak buah #REF! - -
238 Laborat Pot urine ( sedang ) buah #REF! - -
239 Laborat Rak Pengecatan buah #REF! - -
240 Laborat Rak Tabung Khan buah #REF! - -
241 Laborat Rak tabung reaksi ktk #REF! - -
242 Laborat Rapid Test siphilis ktk #REF! - -
243 Laborat Reagen HIV strip buah #REF! - -
244 Laborat Tabung Centrifuge buah #REF! - -
245 Laborat Tabung Kapiler HCT buah #REF! - -
246 Laborat Tabung Reaksi ktk #REF! - -
247 Laborat Tissu Lensa ktk #REF! - -
248 Laborat Uric Acid stik ktk #REF! - -
249 Laborat Urine stick 10 P ktk #REF! - -
250 Laborat Urine strip set. #REF! - -
251 Laborat Widal test. tab #REF! - -
252 Lamivudine 150 mg / hiviral btl. #REF! - -
253 Larutan Asam Klorida 0,1 N btl. #REF! - -
254 Larutan Asam Sulfosalisilat 20 % btl. #REF! - -
255 Larutan Bendict btl. #REF! - -
256 Larutan EDTA btl #REF! - -
257 Larutan Eosin 2 % btl #REF! - -
258 Larutan Giemsa Stain btl #REF! - -
259 Larutan mengandung Karbohidrat + Elektrolit (Gluk btl #REF! - -
260 Larutan mengandung Karbohidrat + Elektrolit (Nacl btl #REF! - -
261 Larutan Metanol btl #REF! - -
262 Larutan NaCl 0,9 % btl #REF! - -
263 Larutan Rees Eker btl #REF! - -
264 Larutan Turk set. #REF! - -
265 Larutan Zn. tube #REF! - -
266 Lidokain gel 2% amp #REF! - -
267 Lidokain komp.Injeksi Kombinasi: btl #REF! 180 -
268 Lidokain spray oral 10% tab #REF! - -
269 Linestrenol tab 0,5 mg btl #REF! - -
270 Lisol, mengandung Kresol tersabun 50 % tab #REF! - -
271 Livron B Plex tab. tab #REF! - -
272 Loperamida tab. tab. #REF! - -
273 Loratadin tab.10 mg tab #REF! - -
274 Lorazepam ( Merlopam ) tab. 2 mg #REF! - -
275 Lugol buah #REF! - -
276 Masker tab. #REF! 300 -
277 MDT-MB Adult kusta tab #REF! - -
278 MDT-MB Child kusta tab #REF! - -
279 MDT-PB Adult kusta tab. #REF! - -
280 MDT-PB Child kusta tab #REF! - -
281 Mebendazol tablet 100 mg buah #REF! - -
282 Mess tab #REF! - -
283 Metformin HCl.tab. 500 mg tab #REF! 1,000 -
284 Methylprednisolon tab. 4 mg tab #REF! - -
285 Metilergometrin Maleat (Metilergometrin) amp #REF! 100 -
286 Metilergometrin Maleat Inj 0,200 mg-1ml amp #REF! - -
287 Metoklopramida inj.( Metolon inj ) tab #REF! - -
288 Metoklopramida tab. 10 mg btl./ 500ml #REF! - -
289 Metronidazol infus btl #REF! - -
290 Metronidazol sir 125 mg/5 Ml tab. #REF! - -
291 Metronidazol tablet 500 mg amp #REF! - -
292 MgSO4 20% 25 ml amp #REF! - -
293 MgSO4 40% 25 ml tube #REF! - -
294 Mikonazol salp kulit 2 % sacc #REF! - -
295 Mineral Mix btl #REF! - -
296 Natrium klorida Larutan Infus 0,9 % Steril tab. #REF! - -
297 Natriun Diklofenak tab. 50mg buah #REF! 2,000 -
298 Needle 23 G psg amp. #REF! - -
299 Neurobion 5000 inj. tab #REF! - -
300 Neurodex tablet tab #REF! - -
301 Nevirapine (NVP) 200 mg amp #REF! - -
302 Nicholin inj. tab #REF! - -
303 Nifedipin tab 10 mg btl #REF! 500 -
304 Nistatin susp 100.000 UI/ml tab salut #REF! - -
305 Nistatin Tablet salut 500.000 IU supp #REF! - -
306 Nistatin Tablet Vaginal 100.000 IU/g tab #REF! - -
307 Obat anti malaria paket #REF! - -
308 Obat Antituberkulosis Anak paket #REF! - -
309 Obat Antituberkulosis Kategori 2 paket #REF! - -
310 Obat Antituberkulosis Kategori 3 paket #REF! - -
311 Obat Antituberkulosis Kategori I( FDC) paket #REF! - -
312 Obat Antituberkulosis Sisipan btl. #REF! - -
313 Obat batuk Hitam ( OBH ) tube #REF! - -
314 Obat Gigi Air Raksa Dental Use btl. #REF! - -
315 Obat Gigi Bonding 5 ml btl. #REF! - 1
316 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl. #REF! 1 -
317 Obat Gigi Composit Anterior btl. #REF! - -
318 Obat Gigi Composit Pasterior set. #REF! 1 -
319 Obat Gigi Devitalisasi Pasta btl. #REF! 1 -
320 Obat Gigi Etching 2 gr. btl #REF! - -
321 Obat Gigi Forinokresol ( Pengganti TKF ) btl/set. #REF! - -
322 Obat Gigi Glass Ionomer Cemen (GC IX) tube #REF! - -
323 Obat Gigi Kalsium Hidroksida Pasta btl #REF! 1 -
324 Obat Gigi Mummifying Pasta btl #REF! - -
325 Obat Gigi Semen Seng Fosfat serbuk dan cairan btl #REF! - -
326 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl #REF! - -
327 Obat Gigi Temporary Restoratif btl #REF! - -
328 Obat Gigi Temporary Stopping Fletcher (Fletcher) tube #REF! - -
329 Oksimetazolin tts hidung 0,050% vial #REF! - -
330 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml tube #REF! - -
331 Oksitetrasiklin HCl. Salep 1 % tube #REF! - -
332 Oksitetrasiklin HCl. Salep 3 % amp #REF! - -
333 Oksitosin Injeksi 10 IU/ml-1ml tube #REF! - -
334 Olopatadin tts mata 0,1% amp #REF! - -
335 Omeprazol inj 40 mg/10 ml kaps #REF! - -
336 Omeprazol kaps. 20 mg tab #REF! 2,000 -
337 Oseltamivir tab can #REF! - -
338 Oxygen spray portable amp #REF! - -
339 Papaverin inj. 40 mg / ml - 1 ml tab #REF! - -
340 Papaverin tab. 40 mg btl #REF! - -
341 Parasetamol drop 100mg/ml btl #REF! 20 -
342 Parasetamol Sirup 120 mg / 5ml tab #REF! - -
343 Parasetamol tablet 100 mg tab. #REF! - -
344 Parasetamol tablet 500 mg amp. #REF! 5,000 -
345 Pehacain inj. buah #REF! - -
346 Penyangga tangan tube #REF! - -
347 Perak Sulfadiazin ( Burnazim salp ) tube #REF! - -
348 Permetrin krim 5 % ( Scabimite krim ) tab #REF! - -
349 Pil KB Laktasi amp #REF! - -
350 Piracetam inj. 3 gr / 15 ml tab #REF! - -
351 Piracetam tab. 800 mg amp #REF! 500 -
352 Piralen injeksi tab #REF! - -
353 Pirantel tablet 125 mg tab. #REF! - -
354 Piridoksin HCl. (Vit.B6) tablet 10 mg tab #REF! 1,000 -
355 Piroxicam tab. 20 mg rol #REF! - -
356 Plester 5 yard x 2 inch btl #REF! - -
357 Polikresulen (Kondensasi Metakresol btl #REF! - -
358 Povidon Iodida 10 % 300 ml btl #REF! - -
359 Povidon Iodida 10 % 60 ml tab #REF! - -
360 Prednison tablet 5 mg tab #REF! - -
361 Primakuin tablet 15 mg vial #REF! - -
362 Prokain Benzil Penisillin injeksi 3 juta IU/vial tab #REF! - -
363 Propanolol HCl tablet 40 mg tab #REF! - -
364 Propiltiourasil tablet 100 mg amp #REF! - -
365 Ranitidin inj. 25 mg / 2 ml tab #REF! 200 -
366 Ranitidin tab. 150 mg ktk #REF! - -
367 RDT Leptospira ktk #REF! - -
368 RDT Parascreen ( u/ malaria ) ktk #REF! - -
369 Reagen CD4 (Control) ktk #REF! - -
370 Reagen CD4 (Mebile) buah #REF! - -
371 Reagen HIV SD buah #REF! - -
372 Reagen RDT DBD NSI buah #REF! - -
373 Reagen RDT DBD NSI IgG/Igm buah #REF! - -
374 Reagent HIV Aids 1 buah #REF! - -
375 Reagent HIV Aids 2 buah #REF! - -
376 Reagent HIV Aids 3 kaps.lunak #REF! - -
377 Retinol (Vitamin A) kapsul 100.000 IU kaps.lunak #REF! - -
378 Retinol (Vitamin A) kapsul 200.000 IU btl #REF! - -
379 Ringer Lactat Larutan infus steril tab #REF! - -
380 Risperidone tab 2 mg btl #REF! - -
381 Rohto tube #REF! - -
382 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tab #REF! - -
383 Salbutamol tablet 2 mg tube #REF! - -
384 Salep 2-4 , Kombinasi dos #REF! - -
385 Salisil Bedak 2 % vial #REF! - -
386 Serum anti Bisa ular Polivalen Injeksi vial #REF! - -
387 Serum Anti Difteri ( ADS ) amp #REF! - -
388 Serum Anti Tentanus Injeksi 1.500IU/ampul amp #REF! 5 -
389 Sianokobalamina (vit.B12) Injeksi amp #REF! - -
390 Sikzonoate ( Fluphenazine) inj. buah #REF! 10 -
391 Silk (Benang Bedah Sutera ) No. 3/0 tab #REF! - -
392 Sinvastatin tab lmbr #REF! - -
393 Sofratul pcs #REF! - -
394 Soloshot 0,05 ml pcs #REF! - -
395 Soloshot 0,5 ml tab #REF! - -
396 Spironolakton tab 25 mg tab #REF! - -
397 Sulfadimidin tablet 500 mg tab #REF! - -
398 Tablet Hyoscin Butylbromida ( Scopma ) tab #REF! - -
399 Tablet Hyoscin Butylbromida ( Spashi tab ) tablet #REF! - -
400 Tablet tambah Darah kombinasi : Besi II tab #REF! - -
401 Telmisartan tab 80 mg tab #REF! - -
402 Teofilin tab 150 mg tablet #REF! - -
403 Terbutalin tab.2,5 mg (Molasma tablet) btl #REF! - -
404 Tetrakain HCl tetes mata kaps #REF! - -
405 Tetrasiklin HCl. Kapsul 250 mg kaps #REF! - -
406 Tetrasiklin HCl. Kapsul 500 mg kaplet #REF! - -
407 Thiamfenikol kapsul 500 mg tab #REF! - -
408 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab. #REF! - -
409 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg amp #REF! - -
410 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp #REF! - -
411 Tiopental Natrium serbuk inj. 1000 mg/amp amp #REF! - -
412 Tramadol inj. tab #REF! - -
413 Tramadol tab. 50 mg tab #REF! - -
414 Trifluoperazine 5mg tab #REF! 1,000 -
415 Triheksifenidil Hidroklorida tablet 2 mg pcs #REF! 1,000 -
416 U pad amp #REF! - -
417 Ulsikur injeksi rol #REF! - -
418 Ultrafix 5cmx5m pcs #REF! 20 -
419 Urine Bag btl #REF! - -
420 Valproat sir 250 mg/5 ml vial #REF! - -
421 Vicillin injeksi tab #REF! - -
422 Vitamin B Komplex tablet pcs #REF! - -
423 Wing Nedle vial #REF! - -
424 Xillomidon injeksi btl #REF! - -
425 Y-Rins tab #REF! - -
426 Zidofudine (ZDV) 100 mg tab #REF! - -
427 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC) 150 tab #REF! - -
428 Zidofudine 60 mg+ Lamivudine 30 mg+Nevirapine btl #REF! - -
429 Zinc sir 10 mg/ml tab #REF! - -
430 Zinc tablet tab #REF! - -
431 Sinvastatin tab 20 mg - -
432 Alkohol swab - -
Penerimaan Persediaan pengeluaran Sisa akhir
LAIN 2 jumlah
(7) (8) (9)
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 360 #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! 290 #REF!
1,000 1,000 #REF! #REF! 6,280 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- 1,000 #REF! 670 #REF! 820 #REF!
- - #REF! 370 #REF! 230 #REF!
- - #REF! #REF! - #REF!
- 100 #REF! 2,390 #REF! - #REF!
- - #REF! 6 #REF! 51 #REF!
- - #REF! #REF! 1,070 #REF!
- 200 #REF! 50 #REF! 290 #REF!
- - #REF! 790 #REF! - #REF!
- - #REF! 1,400 #REF! - #REF!
- - #REF! #REF! - #REF!
- 3,000 #REF! 2,140 #REF! 3,100 #REF!
- - #REF! #REF! - #REF!
- - #REF! 46 #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 210 #REF! 370 #REF!
- - #REF! #REF! - #REF!
- 600 #REF! 210 #REF! 3,356 #REF!
- - #REF! #REF! - #REF!
- 3,000 #REF! 6,920 #REF! 3,415 #REF!
- - #REF! #REF! - #REF!
- 10 #REF! 7 #REF! 8 #REF!
- - #REF! #REF! 255 #REF!
- - #REF! #REF! - #REF!
- - #REF! 290 #REF! 125 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- 2,000 #REF! 1,210 #REF! 1,776 #REF!
- - #REF! 6 #REF! - #REF!
- 2,000 #REF! 200 #REF! 1,800 #REF!
- 2,000 #REF! 3,980 #REF! 1,820 #REF!
- - #REF! #REF! 10 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 560 #REF! 440 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! 13 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 564 #REF! - #REF!
- - #REF! #REF! 47 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
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- - #REF! #REF! 8 #REF!
- - #REF! #REF! 22 #REF!
- - #REF! #REF! 100 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
10 10 #REF! #REF! 10 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! 730 #REF!
- - #REF! 410 #REF! 1,120 #REF!
- - #REF! #REF! - #REF!
- - #REF! 1,210 #REF! 880 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 10 #REF! 330 #REF!
- - #REF! #REF! 200 #REF!
- 1,000 #REF! 1,640 #REF! 1,657 #REF!
- - #REF! 260 #REF! 173 #REF!
- 2,000 #REF! 2,890 #REF! 1,510 #REF!
- - #REF! #REF! - #REF!
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SATUAN
(1) (2) (3) (4) (5) (6)
1 Acyclovir SK 5 % tube #REF! -
2 Acyclovir tab. 200 mg tab #REF! -
3 Acyclovir tab. 400 mg tab #REF! 500
4 Adona Ac 17 injeksi 5 ml amp. #REF! -
5 Alat Suntik Sekali Pakai 1 ml set #REF! -
7 Alat suntik sekali pakai 20 ml set #REF! -
8 Alat Suntik Sekali Pakai 3 ml vial #REF! -
9 Alat Suntik Sekali Pakai 5 ml #REF! -
10 Albendazol tablet 400 mg tab. #REF! -
11 Alinamin F inj. amp. #REF! -
12 Alinamin F tab. tab. #REF! -
13 Alopurinol tablet 100 mg tab #REF! -
14 Alopurinol tablet 300 mg tab. #REF! -
15 Ambroxol sirup 15mg/60ml tab. #REF! -
16 Ambroxol tablet amp #REF! -
17 Aminofilina Injeksi 24mg/ml-10ml tab. #REF! -
18 Aminofilina tablet 200 mg tab. #REF! -
19 Amitriptilin HCl.Tablet Salut 25 mg #REF! -
20 Amlodipin tab. 10 mg #REF! 300
21 Amlodipin tab. 5 mg #REF! -
22 Amoksisilin + As. Klavulanat 625 mg cap. #REF! -
23 Amoksisilin kaplet 500 mg cpl. #REF! -
24 Amoksisilin kapsul 250 mg btl. #REF! -
25 Amoksisilin sir forte 250 mg/5 ml vial #REF! -
26 Amoksisilin Sirup Kering 125 mg/5ml amp. #REF! 72
27 Ampisillin inj. 1 gr tab. #REF! -
28 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml botol #REF! -
29 Antalgin (Metampiron) Tablet 500 mg tab. #REF! -
30 Antasida DOEN susp, Kombinasi : pot. #REF! -
31 Antasida DOEN Tablet, Kombinasi : supp. #REF! -
32 Anti Bakteri DOEN Salep Kombinasi : tab. #REF! -
33 Anti Hemoroid DOEN Kombinasi tab. #REF! -
34 Antimigren DOEN kombinasi: Tablet amp. #REF! -
35 Antrain inj. btl. #REF! -
36 Aqua pro Injeksi, bebas pirogen btl. #REF! -
37 Aquadest Steril ampul #REF! -
38 Artemeter inj. amp #REF! -
39 Artesunat inj. tab. #REF! -
40 Articulating paper kertas warna penanda oklusi tab. #REF! -
41 Asam asetilsalisilat (asetosal) tab 80 mg pot. #REF! -
42 Asam Askorbat tablet 100 mg tab. #REF! -
44 Asam Benzoat 6%+Asam Salisilat 3% tab. #REF! -
45 Asam Folat tab. 1 mg tab. #REF! -
46 Asam Mefenamat tablet 500 mg tablet #REF! -
47 Asam Traneksamat inj. 50mg/ml #REF! -
48 Asetosal tablet 100 mg amp. #REF! -
49 Asetosal tablet 500 mg tab. #REF! -
50 Aspar K tablet buah #REF! -
51 Atapulgit tablet 750 mg buah #REF! 1,000
52 Atarax tab vial #REF! -
53 Atropin Sulfat Injeksi 0,25 mg/ml-1ml vial #REF! -
54 Atropin Sulfat tablet 0,5 mg #REF! -
55 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) tub #REF! -
56 Bebat Fracture tab. #REF! -
57 Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial tab. #REF! -
58 Benzatin Benzil Penisilin Ij. 2,4 juta IU/vial tube #REF! -
59 Betahistin Mesilat tab 6 mg tab. #REF! 1,000
60 Betametason krim 0,1 % buah #REF! -
61 Biolysin syr. #REF! -
62 Bioneuron tab. amp. #REF! -
63 Bioplacenton jell amp. #REF! -
64 Bisakodil supp. 10mg (Dulcolax supp) dewasa buah #REF! -
65 Bisakodil supp. 5 mg (Dulcolax supp) anak buah #REF! -
66 Bisoprolol tab. 5 mg tab #REF! -
67 Bloodset tab #REF! -
68 Bromheksin tab. 8 mg ( Hexon tab.) rol #REF! -
69 Buscotika inj.( Spasi inj .) caps. #REF! -
70 Calsium Gluconas injeksi botol 60 ml #REF! -
71 Canula Oksigin anak vial #REF! -
72 Canula Oksigin dewasa vial #REF! -
73 Captopril 12,5 mg tab. #REF! -
74 Captopril tab. 25 mg tab #REF! -
75 Catgut / Benang Bedah No.2/0-3/0 #REF! -
76 Cefadroksil caps 500mg #REF! -
77 Cefadroksil syr kering 125 mg tab. #REF! -
78 Cefotaxim inj. tab #REF! -
79 Ceftriakson inj. amp. #REF! -
80 Cetirizin sirup 5mg / 5 ml tab. #REF! -
81 Cimetidine tab. btl. #REF! -
82 Clobazam tab. 10 mg btl. #REF! -
83 Clozapin tab. 25 mg tab. #REF! -
84 Cyprofloxasin 500 mg tablet #REF! -
85 Deksametason injeksi 5mg/ml-1ml amp. #REF! 300
86 Deksametason tablet 0,5 mg tube #REF! 2,000
87 Dekstran 70-larutan infus 6% steril tab. #REF! -
88 Demacolin syr. tab. #REF! -
89 Demacolin tab. tab. #REF! -
90 Dexanta tablet amp. #REF! -
91 Diazepam Injeksi 5 mg/ml-2ml tab. #REF! -
92 Diazepam rectal tube tab #REF! -
93 Diazepam tablet 2 mg tab #REF! -
94 Diazepam tablet 5 mg vial #REF! -
95 Dietilkarbamazin Sitrat tablet 100 mg tab. #REF! -
96 Difenhidramin HCl. Injeksi 10mg/ml-1ml supp. #REF! 400
97 Digoxin tablet 0,25 mg supp. #REF! 100
98 Diltiazem hcl tab 30 mg tab. #REF! -
99 Dimenhidrinat tab . 50 mg tab. #REF! -
100 Disp.Scalpel btl. #REF! -
101 Doksazosin tab 1 mg amp. #REF! -
102 Doksisiklin tab. 100 mg #REF! -
103 Domperidom susp. 5 mg / ml btl. #REF! -
104 Domperidom tab. ltr. #REF! -
105 Efavirenz (EFV) 200 mg #REF! -
106 Efavirenz (EFV) 600 mg btl. #REF! -
107 Efedrin HCl tablet 25 mg btl. #REF! -
108 Ekstrak Belladon tablet 10 mg amp. #REF! -
109 Enervon C tab. cap. #REF! -
110 Epinefrina HCl/Bitatrat Injeksi cap. #REF! -
111 Eritromisin kaps 250 mg amp. #REF! -
112 Erytromisin kaps.500 mg tab. #REF! -
113 Erytromisin sirup. tab. #REF! -
114 Etakridin ( Rivanol ) larutan 0,1 % tab. #REF! -
115 Etanol 70 % tab. #REF! -
116 Etanol 70% 100 ml btl. #REF! -
117 Etil Klorida Semprot tab. #REF! -
118 Eugenol cairan amp. #REF! -
119 Fenitoin Natrium Injeksi 50 mg/ml #REF! -
120 Fenitoin Natrium Kapsul 100 mg tab. #REF! -
121 Fenitoin Natrium Kapsul 30 mg pcs #REF! -
122 Fenobarbital Injeksi 50 mg/ml-2ml pcs #REF! -
123 Fenobarbital tablet 100 mg pcs #REF! -
125 Fenoksimetil Penisilina tablet 250 mg pcs #REF! -
127 Fenol Gliserol tetes telinga 10 % pcs #REF! -
128 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab. #REF! 500
129 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml #REF! -
130 Fluoksetin kap. 10 mg sack. #REF! -
131 Fluor tablet 0,5 mg tab. #REF! -
132 Folley Catheter No.12 tube #REF! -
133 Folley Catheter No.14 btl. #REF! -
134 Folley Catheter No.16 tab. #REF! -
139 Furosemid tablet 40 mg tab. #REF! -
140 Furosemida inj. Iv/im 10 mg/ml tab. #REF! -
141 Garam Oralit 200 ml air #REF! -
142 Gentamisin inj. 80 mg / ml tab. #REF! -
143 Gentamycin Salep Kulit tab. #REF! -
144 Gentian Violet Larutan 1 % tab #REF! 48
145 Glibenclamid tablet 5 mg #REF! -
146 Glimepirid tab 2 mg #REF! -
147 Gliserilguaiacolat tablet 100 mg buah #REF! -
148 Glukosa Larutan Infus 10 % Steril psg #REF! -
149 Glukosa Larutan Infus 40 % Steril tab. #REF! -
150 Glukosa Larutan Infus 5 % Steril tub. #REF! -
151 Griseofulvin tablet 125 mg, micronized botol #REF! -
152 H2O2 ( Hydrogen Peroxide ) 3% tab. #REF! -
154 Haloperidol Decanoas 50 mg/ml inj. #REF! -
155 Haloperidol inj.5 mg/ml set. #REF! -
156 Haloperidol tablet 0,5 mg set. #REF! -
157 Haloperidol tablet 1,5 mg cap. #REF! -
158 Haloperidol tablet 5 mg tab. #REF! -
159 Handsaplas jumbo pcs #REF! -
160 Handscoen obgyn pcs #REF! -
161 Hansdcoen pcs #REF! -
162 Hansdcoen steril pcs #REF! -
163 Hidroklorotiazid ( HCT ) tablet 25 mg #REF! -
164 Hidrokortison Krim 2,5 % btl. #REF! -
165 Human tetanus imunoglobulin inj 500 UI (i.m.) ampul #REF! -
166 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) tab. #REF! -
167 Ibuprifen susp. 200 mg / 5 ml supp #REF! -
168 Ibuprofen tablet 200 mg pak. #REF! -
169 Ibuprofen tablet 400 mg tab. #REF! -
170 Imipramide tab. 25 mg rol. #REF! -
171 Infusion Set Anak rol. #REF! -
172 Infusion Set Dewasa rol. #REF! -
173 INH tab 100 mg rol. #REF! -
174 Iodida Test ktk #REF! -
175 Iodiol Kapsul buah #REF! -
176 Isorbid Dinitrat tablet Sublingual 5 mg tab. #REF! -
177 IV. Cateter No.18 G amp. #REF! -
178 IV. Cateter No.20 G #REF! -
179 IV. Cateter No.22 G cap. #REF! -
180 IV. Cateter No.24 G vial #REF! -
182 Kalamin Lotio tub. #REF! -
183 Kalium Permenganat serbuk botol #REF! -
184 Kalsium Laktat (Kalk) tablet 500 mg #REF! 2,000
185 Kaltrofen tab btl. #REF! -
186 Kaolin Pektin syr tab. #REF! -
187 Kapas Pembalut/Adsorben 250 gram tab. #REF! -
188 Karbamazepin tablet 200 mg amp. #REF! -
189 Kasa Kompres 40/40 steril amp. #REF! -
190 Kasa Pembalut 2m X 80 cm tab. #REF! -
191 Kasa Pembalut Hidrofil 4 m X 15 cm tab. #REF! -
193 Kasa steril 16x16 tab. #REF! -
194 Kayu Penyangga Fracture tab #REF! -
195 Ketokonazol tab 200 mg tab. #REF! -
196 Ketoprofen inj tab. #REF! -
197 Ketoprofen supp btl. #REF! -
198 Ketoprofen tab. 100 mg tab. #REF! 100
199 Klofazimin Kapsul 100 mg micronize amp. #REF! -
200 Kloramfenikol injeksi tube #REF! -
201 Kloramfenikol Kapsul 250 mg buah #REF! -
202 Kloramfenikol Salep mata 1% buah #REF! -
203 Kloramfenikol syr. vial #REF! -
204 Kloramfenikol tetes mata ( Reco ) btl. #REF! -
205 Kloramfenikol Tetes telinga 3% set. #REF! -
206 Klorfeniramin Maleat (CTM) tablet 4 mg tab. #REF! 2,000
207 Klorokuin tablet 150 mg tab. #REF! -
208 Klorpromazin HCl.Injeksi 25mg/ml-1ml buah #REF! -
209 Klorpromazin HCl.Injeksi 5mg/ml-2ml #REF! -
210 Klorpromazin Tablet salut 100 mg biji #REF! 2,000
211 Klorpromazin Tablet salut 25 mg biji #REF! -
212 Klorpropamid tablet 100 mg biji #REF! -
213 Kodein Fosfat tablet 10 mg set. #REF! -
214 Kombinasi (Pirimetamin 25 mg + Sulfadoksin 500 bj #REF! -
215 Kombinasi : Ipratropium bromida inhalasi 0,5 mg biji #REF! -
216 Kombinasi: kaolin 550 mg + pektin 20 mg tab. #REF! -
217 Kombipak Kategori 1 tab. #REF! -
218 Kotrimoksazol 120 mg tablet tab. #REF! -
220 Kotrimoksazol Suspensi tab. #REF! -
221 Kuinin ( Kina ) tablet 200 mg biji #REF! -
222 Kuinin Dihidroklorida Injeksi 25 % - 2ml buah #REF! -
223 Ky jelly biji #REF! -
224 Laborat Blood Lancet pak #REF! -
225 Laborat Cover Glass btl. #REF! -
226 Laborat Dempul / malam putih tab. #REF! -
227 Laborat Gluco stik vial #REF! -
228 Laborat Golongan darah test. set. #REF! -
229 Laborat Kolesterol stik btl. #REF! -
230 Laborat Minyak Emersi lar. 50 ml btl. #REF! -
231 Laborat Obyek Glass btl. #REF! -
232 Laborat Obyek Glass Frosted btl. #REF! -
233 Laborat Pipet Eritrosit btl. #REF! -
234 Laborat Pipet LED btl. #REF! -
235 Laborat Pipet Leukosit btl. #REF! -
236 Laborat Plano test btl. #REF! -
237 Laborat Pot dahak btl. #REF! -
238 Laborat Pot urine ( sedang ) btl. #REF! -
239 Laborat Rak Pengecatan btl. #REF! -
240 Laborat Rak Tabung Khan #REF! -
241 Laborat Rak tabung reaksi amp. #REF! -
242 Laborat Rapid Test siphilis ltr. #REF! -
243 Laborat Reagen HIV strip tab. #REF! -
244 Laborat Tabung Centrifuge tab. #REF! -
245 Laborat Tabung Kapiler HCT tab #REF! -
246 Laborat Tabung Reaksi buah #REF! -
247 Laborat Tissu Lensa Blister #REF! -
248 Laborat Uric Acid stik Blister #REF! -
249 Laborat Urine stick 10 P Blister #REF! -
250 Laborat Urine strip #REF! -
251 Laborat Widal test. tab. #REF! -
252 Lamivudine 150 mg / hiviral #REF! -
253 Larutan Asam Klorida 0,1 N tab. #REF! -
254 Larutan Asam Sulfosalisilat 20 % tab. #REF! -
255 Larutan Bendict tab #REF! -
256 Larutan EDTA amp. #REF! -
257 Larutan Eosin 2 % tab. #REF! -
258 Larutan Giemsa Stain amp #REF! -
259 Larutan mengandung Karbohidrat + Elektrolit (Gluk tab. #REF! -
260 Larutan mengandung Karbohidrat + Elektrolit (Nacl pak #REF! -
261 Larutan Metanol vial #REF! -
262 Larutan NaCl 0,9 % tab. #REF! -
263 Larutan Rees Eker tube #REF! -
264 Larutan Turk vial #REF! -
265 Larutan Zn. tablet #REF! 2
266 Lidokain gel 2% btl. #REF! -
267 Lidokain komp.Injeksi Kombinasi: tab. #REF! 180
268 Lidokain spray oral 10% buah #REF! -
269 Linestrenol tab 0,5 mg amp. #REF! -
270 Lisol, mengandung Kresol tersabun 50 % tab. #REF! -
271 Livron B Plex tab. amp #REF! -
272 Loperamida tab. tab. #REF! -
273 Loratadin tab.10 mg tab. #REF! 1,000
274 Lorazepam ( Merlopam ) tab. 2 mg tab. #REF! -
275 Lugol tab #REF! -
276 Masker paket #REF! 500
277 MDT-MB Adult kusta paket #REF! -
278 MDT-MB Child kusta paket #REF! -
279 MDT-PB Adult kusta paket #REF! -
280 MDT-PB Child kusta paket #REF! -
281 Mebendazol tablet 100 mg btl. #REF! -
282 Mess btl. #REF! -
283 Metformin HCl.tab. 500 mg ktk #REF! -
284 Methylprednisolon tab. 4 mg btl. #REF! 2,000
285 Metilergometrin Maleat (Metilergometrin) ktk #REF! -
286 Metilergometrin Maleat Inj 0,200 mg-1ml #REF! -
287 Metoklopramida inj.( Metolon inj ) btl. #REF! -
288 Metoklopramida tab. 10 mg tube #REF! -
289 Metronidazol infus btl. #REF! -
290 Metronidazol sir 125 mg/5 Ml btl. #REF! -
291 Metronidazol tablet 500 mg btl. #REF! -
292 MgSO4 20% 25 ml btl. #REF! -
293 MgSO4 40% 25 ml set. #REF! -
294 Mikonazol salp kulit 2 % btl. #REF! 100
295 Mineral Mix buah #REF! -
296 Natrium klorida Larutan Infus 0,9 % Steril set. #REF! -
297 Natriun Diklofenak tab. 50mg tab. #REF! 2,000
298 Needle 23 G vial #REF! -
299 Neurobion 5000 inj. tub. #REF! -
300 Neurodex tablet tub. #REF! -
301 Nevirapine (NVP) 200 mg amp. #REF! -
302 Nicholin inj. tab. #REF! -
303 Nifedipin tab 10 mg tab #REF! -
304 Nistatin susp 100.000 UI/ml can #REF! -
305 Nistatin Tablet salut 500.000 IU amp. #REF! -
306 Nistatin Tablet Vaginal 100.000 IU/g #REF! -
307 Obat anti malaria tab. #REF! -
308 Obat Antituberkulosis Anak btl. #REF! -
309 Obat Antituberkulosis Kategori 2 tab. #REF! -
311 Obat Antituberkulosis Kategori I( FDC) #REF! -
312 Obat Antituberkulosis Sisipan buah #REF! -
313 Obat batuk Hitam ( OBH ) amp #REF! 96
314 Obat Gigi Air Raksa Dental Use tab. #REF! -
315 Obat Gigi Bonding 5 ml amp. #REF! -
316 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) tab. #REF! -
317 Obat Gigi Composit Anterior tab. #REF! -
318 Obat Gigi Composit Pasterior tab #REF! -
319 Obat Gigi Devitalisasi Pasta rol. #REF! -
320 Obat Gigi Etching 2 gr. btl. #REF! -
321 Obat Gigi Forinokresol ( Pengganti TKF ) btl. #REF! -
322 Obat Gigi Glass Ionomer Cemen (GC IX) tab. #REF! -
323 Obat Gigi Kalsium Hidroksida Pasta tab. #REF! -
324 Obat Gigi Mummifying Pasta tab. #REF! -
325 Obat Gigi Semen Seng Fosfat serbuk dan cairan vial. #REF! -
326 Obat Gigi Silver Amalgam serbuk 65 - 75 % tab. #REF! -
327 Obat Gigi Temporary Restoratif tab. #REF! -
328 Obat Gigi Temporary Stopping Fletcher (Fletcher) amp #REF! -
329 Oksimetazolin tts hidung 0,050% #REF! -
330 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml #REF! -
331 Oksitetrasiklin HCl. Salep 1 % #REF! 100
332 Oksitetrasiklin HCl. Salep 3 % #REF! -
333 Oksitosin Injeksi 10 IU/ml-1ml #REF! -
334 Olopatadin tts mata 0,1% #REF! -
335 Omeprazol inj 40 mg/10 ml cap. #REF! -
336 Omeprazol kaps. 20 mg cap. #REF! 2,000
337 Oseltamivir tab btl. #REF! -
338 Oxygen spray portable #REF! -
339 Papaverin inj. 40 mg / ml - 1 ml tab. #REF! -
340 Papaverin tab. 40 mg pot. #REF! -
341 Parasetamol drop 100mg/ml dos. #REF! -
342 Parasetamol Sirup 120 mg / 5ml btl. #REF! 150
343 Parasetamol tablet 100 mg vial #REF! -
344 Parasetamol tablet 500 mg amp. #REF! 3,000
345 Pehacain inj. amp. #REF! -
346 Penyangga tangan amp. #REF! -
347 Perak Sulfadiazin ( Burnazim salp ) rol. #REF! -
348 Permetrin krim 5 % ( Scabimite krim ) tab #REF! 100
349 Pil KB Laktasi tab. #REF! -
350 Piracetam inj. 3 gr / 15 ml pcs #REF! -
351 Piracetam tab. 800 mg tab. #REF! -
352 Piralen injeksi tab. #REF! -
353 Pirantel tablet 125 mg tab. #REF! -
354 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. #REF! 1,000
355 Piroxicam tab. 20 mg tab. #REF! -
356 Plester 5 yard x 2 inch btl. #REF! -
357 Polikresulen (Kondensasi Metakresol cap. #REF! -
358 Povidon Iodida 10 % 300 ml cap. #REF! -
359 Povidon Iodida 10 % 60 ml #REF! -
360 Prednison tablet 5 mg tab. #REF! -
361 Primakuin tablet 15 mg amp. #REF! -
362 Prokain Benzil Penisillin injeksi 3 juta IU/vial amp. #REF! -
363 Propanolol HCl tablet 40 mg tab. #REF! -
364 Propiltiourasil tablet 100 mg amp #REF! -
365 Ranitidin inj. 25 mg / 2 ml #REF! 200
366 Ranitidin tab. 150 mg tab. #REF! 2,000
367 RDT Leptospira #REF! -
368 RDT Parascreen ( u/ malaria ) amp. #REF! -
369 Reagen CD4 (Control) buah #REF! -
370 Reagen CD4 (Mebile) vial #REF! -
371 Reagen HIV SD tab. #REF! -
372 Reagen RDT DBD NSI buah #REF! -
373 Reagen RDT DBD NSI IgG/Igm vial #REF! -
374 Reagent HIV Aids 1 tab. #REF! -
375 Reagent HIV Aids 2 buah #REF! -
376 Reagent HIV Aids 3 rol. #REF! -
377 Retinol (Vitamin A) kapsul 100.000 IU #REF! -
379 Ringer Lactat Larutan infus steril #REF! -
380 Risperidone tab 2 mg #REF! -
381 Rohto #REF! -
382 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) #REF! -
383 Salbutamol tablet 2 mg #REF! -
384 Salep 2-4 , Kombinasi #REF! -
385 Salisil Bedak 2 % #REF! -
386 Serum anti Bisa ular Polivalen Injeksi #REF! -
387 Serum Anti Difteri ( ADS ) #REF! -
388 Serum Anti Tentanus Injeksi 1.500IU/ampul #REF! -
389 Sianokobalamina (vit.B12) Injeksi #REF! -
390 Sikzonoate ( Fluphenazine) inj. #REF! -
391 Silk (Benang Bedah Sutera ) No. 3/0 #REF! -
392 Sinvastatin tab #REF! -
393 Sofratul #REF! -
394 Soloshot 0,05 ml #REF! -
396 Spironolakton tab 25 mg #REF! -
397 Sulfadimidin tablet 500 mg #REF! -
398 Tablet Hyoscin Butylbromida ( Scopma ) #REF! -
399 Tablet Hyoscin Butylbromida ( Spashi tab ) #REF! -
400 Tablet tambah Darah kombinasi : Besi II #REF! -
401 Telmisartan tab 80 mg #REF! -
402 Teofilin tab 150 mg #REF! 1,000
403 Terbutalin tab.2,5 mg (Molasma tablet) #REF! -
404 Tetrakain HCl tetes mata #REF! -
405 Tetrasiklin HCl. Kapsul 250 mg #REF! -
407 Thiamfenikol kapsul 500 mg #REF! -
408 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg #REF! -
410 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml #REF! -
411 Tiopental Natrium serbuk inj. 1000 mg/amp #REF! -
412 Tramadol inj. #REF! -
413 Tramadol tab. 50 mg #REF! -
414 Trifluoperazine 5mg #REF! -
415 Triheksifenidil Hidroklorida tablet 2 mg #REF! 1,000
416 U pad #REF! -
417 Ulsikur injeksi #REF! -
418 Ultrafix 5cmx5m #REF! 20
419 Urine Bag #REF! -
420 Valproat sir 250 mg/5 ml #REF! -
421 Vicillin injeksi #REF! -
422 Vitamin B Komplex tablet #REF! -
423 Wing Nedle #REF! -
424 Xillomidon injeksi #REF! -
425 Y-Rins #REF! -
426 Zidofudine (ZDV) 100 mg #REF! -
427 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC) 150 mg #REF! -
428 Zidofudine 60 mg+ Lamivudine 30 mg+Nevirapine 50 mg #REF! -
429 Zinc sir 10 mg/ml #REF! -
430 Zinc tablet #REF! -
LAIN 2 jumlah
(7) (8) (9)
- - #REF! - - -
- - #REF! #REF! #REF! #REF!
- 500 #REF! 240 #REF! #REF! #REF!
- - #REF! 5,670 #REF! #REF! #REF!
- - #REF! 580 #REF! #REF! #REF!
- - #REF! - #REF! #REF! #REF!
- - #REF! 23 #REF! #REF! #REF!
- - #REF! 640 #REF! #REF! #REF!
- 300 #REF! 170 #REF! #REF! #REF!
- - #REF! 1,560 #REF! #REF! #REF!
- 72 #REF! 13 #REF! #REF! #REF!
- - #REF! 370 #REF! #REF! #REF!
- - #REF! 1,890 #REF! #REF! #REF!
- - #REF! 2,680 #REF! #REF! #REF!
- - #REF! 108 #REF! #REF! #REF!
- - #REF! 890 #REF! #REF! #REF!
- - #REF! 920 #REF! #REF! #REF!
- - #REF! 1,620 #REF! #REF! #REF!
- 1,000 #REF! 970 #REF! #REF! #REF!
- 1,000 #REF! 1,000 #REF! #REF! #REF!
- - #REF! 730 #REF! #REF! #REF!
- - #REF! 980 #REF! #REF! #REF!
- - #REF! 880 #REF! #REF! #REF!
- - #REF! #REF! exp #REF! #REF!
- - #REF! 970 #REF! #REF! #REF!
- 300 #REF! 290 #REF! #REF! #REF!
- 2,000 #REF! 1,780 #REF! #REF! #REF!
- 400 #REF! 240 #REF! #REF! #REF!
- 100 #REF! #REF! #REF! #REF!
- - #REF! 310 #REF! #REF! #REF!
- - #REF! 238 #REF! #REF! #REF!
- - #REF! 210 #REF! #REF! #REF!
- - #REF! 530 #REF! #REF! #REF!
- 48 #REF! 13 #REF! #REF! #REF!
- - #REF! 1,940 #REF! #REF! #REF!
- - #REF! 270 #REF! #REF! #REF!
- - #REF! 979 #REF! #REF! #REF!
- - #REF! 160 #REF! #REF! #REF!
- - #REF! 150 #REF! #REF! #REF!
- 2,000 #REF! 2,810 #REF! #REF! #REF!
- 2,000 #REF! 1,390 #REF! #REF! #REF!
- 2,000 #REF! 980 #REF! #REF! #REF!
- - #REF! 610 #REF! #REF! #REF!
- 180 #REF! 190 #REF! #REF! #REF!
- - #REF! 280 #REF! #REF! #REF!
- 1,000 #REF! 1,310 #REF! #REF! #REF!
- 500 #REF! 500 #REF! #REF! #REF!
- - #REF! 760 #REF! #REF! #REF!
- 2,000 #REF! 1,980 #REF! #REF! #REF!
- - #REF! 100 #REF! #REF! #REF!
- - #REF! 240 #REF! #REF! #REF!
- 100 #REF! 38 #REF! #REF! #REF!
1,080 1,080 #REF! #REF! #REF! #REF!
- - #REF! 141 #REF! #REF! #REF!
- 2,000 #REF! 1,350 #REF! #REF! #REF!
- - #REF! 560 #REF! #REF! #REF!
- - #REF! - #REF! #REF! #REF!
- 96 #REF! 121 #REF! #REF! #REF!
- 100 #REF! 12 #REF! #REF! #REF!
- 2,000 #REF! 1,310 #REF! #REF! #REF!
- 150 #REF! 121 #REF! #REF! #REF!
- 3,000 #REF! 4,780 #REF! #REF! #REF!
- 100 #REF! 2 #REF! #REF! #REF!
- 1,000 #REF! 690 #REF! #REF! #REF!
- - #REF! 1,790 #REF! #REF! #REF!
- 200 #REF! 340 #REF! #REF! #REF!
- 2,000 #REF! 1,950 #REF! #REF! #REF!
- - #REF! 1,782 #REF! #REF! #REF!
- - #REF! 360 #REF! #REF! #REF!
- - #REF! 860 #REF! #REF! #REF!
- - #REF! 210 #REF! #REF! #REF!
- - #REF! #REF! 10 #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! 2,870 #REF!
- - #REF! #REF!
- 1,000 #REF! 570 #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! 960 #REF!
- 1,000 #REF! 970 #REF!
- - #REF! #REF!
- - #REF! #REF!
- 20 #REF! 20 #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! 1,380 #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! #REF!
- - #REF! 480 #REF!
- - - -
- - - -
- - - -
SATUAN
(1) (2) (3) (4) (5) (6)
1 Acyclovir SK 5 % tube - 50
13 Alopurinol tablet 100 mg tab #REF! 1,000
15 Ambroxol sirup 15mg/60ml tab. #REF! 100
16 Ambroxol tablet amp #REF! 1,300
18 Aminofilina tablet 200 mg tab. #REF! 1,500
23 Amoksisilin kaplet 500 mg cpl. #REF! 2,000
26 Amoksisilin Sirup Kering 125 mg/5ml amp. #REF! -
27 Ampisillin inj. 1 gr tab. #REF! 50
31 Antasida DOEN Tablet, Kombinasi : supp. #REF! 3,000
33 Anti Hemoroid DOEN Kombinasi tab. #REF! 20
36 Aqua pro Injeksi, bebas pirogen btl. #REF! 240
43 Asam Askorbat tablet 50 mg tab. #REF! 2,000
45 Asam Folat tab. 1 mg tab. #REF! 3,000
46 Asam Mefenamat tablet 500 mg tablet #REF! 5,000
51 Atapulgit tablet 750 mg buah #REF! 600
53 Atropin Sulfat Injeksi 0,25 mg/ml-1ml vial #REF! 5
59 Betahistin Mesilat tab 6 mg tab. #REF! 600
73 Captopril 12,5 mg tab. #REF! 500
74 Captopril tab. 25 mg tab #REF! 2,000
84 Cyprofloxasin 500 mg tablet #REF! 1,500
85 Deksametason injeksi 5mg/ml-1ml amp. #REF! 500
86 Deksametason tablet 0,5 mg tube #REF! 2,000
89 Demacolin tab. tab. #REF! 2,000
92 Diazepam rectal tube tab #REF! 7
96 Difenhidramin HCl. Injeksi 10mg/ml-1ml supp. #REF! 300
97 Digoxin tablet 0,25 mg supp. #REF! -
104 Domperidom tab. ltr. #REF! 1,000
122 Fenobarbital Injeksi 50 mg/ml-2ml pcs #REF! 30
128 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab. #REF! -
144 Gentian Violet Larutan 1 % tab #REF! -
145 Glibenclamid tablet 5 mg #REF! 1,000
147 Gliserilguaiacolat tablet 100 mg buah #REF! 3,000
158 Haloperidol tablet 5 mg tab. #REF! 500
159 Handsaplas jumbo pcs #REF! 100
166 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) tab. #REF! -
168 Ibuprofen tablet 200 mg pak. #REF! 2,000
176 Isorbid Dinitrat tablet Sublingual 5 mg tab. #REF! 300
178 IV. Cateter No.20 G #REF! 20
184 Kalsium Laktat (Kalk) tablet 500 mg #REF! 2,000
192 Kasa Pembalut Hidrofil 4 m X 3 cm tab. #REF! 100
198 Ketoprofen tab. 100 mg tab. #REF! -
201 Kloramfenikol Kapsul 250 mg buah #REF! -
206 Klorfeniramin Maleat (CTM) tablet 4 mg tab. #REF! -
219 Kotrimoksazol 480 mg tablet tab. #REF! 2,000
265 Larutan Zn. tablet #REF! -
267 Lidokain komp.Injeksi Kombinasi: tab. #REF! -
272 Loperamida tab. tab. #REF! 500
273 Loratadin tab.10 mg tab. #REF! 1,000
276 Masker paket #REF! 300
283 Metformin HCl.tab. 500 mg ktk #REF! 200
284 Methylprednisolon tab. 4 mg btl. #REF! 2,000
288 Metoklopramida tab. 10 mg tube #REF! 500
292 MgSO4 20% 25 ml btl. #REF! -
293 MgSO4 40% 25 ml set. #REF! -
294 Mikonazol salp kulit 2 % btl. #REF! -
297 Natriun Diklofenak tab. 50mg tab. #REF! 1,500
303 Nifedipin tab 10 mg tab #REF! 1,000
306 Nistatin Tablet Vaginal 100.000 IU/g #REF! 20
313 Obat batuk Hitam ( OBH ) amp #REF! 200
336 Omeprazol kaps. 20 mg cap. #REF! -
344 Parasetamol tablet 500 mg amp. #REF! 6,000
348 Permetrin krim 5 % ( Scabimite krim ) tab #REF! -
350 Piracetam inj. 3 gr / 15 ml pcs #REF! -
354 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. #REF! 2,000
355 Piroxicam tab. 20 mg tab. #REF! 1,000
359 Povidon Iodida 10 % 60 ml #REF! -
360 Prednison tablet 5 mg tab. #REF! 3,000
365 Ranitidin inj. 25 mg / 2 ml #REF! 500
366 Ranitidin tab. 150 mg tab. #REF! 1,500
379 Ringer Lactat Larutan infus steril #REF! 1,000
380 Risperidone tab 2 mg #REF! 1,000
381 Rohto #REF! -
383 Salbutamol tablet 2 mg #REF! 1,500
402 Teofilin tab 150 mg #REF! 1,000
403 Terbutalin tab.2,5 mg (Molasma tablet) #REF! 100
414 Trifluoperazine 5mg #REF! 600
415 Triheksifenidil Hidroklorida tablet 2 mg #REF! -
416 U pad #REF! -
422 Vitamin B Komplex tablet #REF! 2,000
425 Y-Rins #REF! -
429 Zinc sir 10 mg/ml #REF! 30
LAIN 2 jumlah
(7) (8) (9)
- 50 50 7 43 43 -
- - #REF! #REF! - #REF!
- - #REF! - #REF! 260 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 290 #REF! - #REF!
- - #REF! - #REF! 610 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- 1,000 #REF! 320 #REF! 920 #REF!
- - #REF! 230 #REF! - #REF!
- 100 #REF! 15 #REF! 85 #REF!
- 1,300 #REF! 320 #REF! 980 #REF!
- - #REF! 2 #REF! 26 #REF!
- 1,500 #REF! 420 #REF! 1,510 #REF!
- - #REF! - #REF! 290 #REF!
- - #REF! 130 #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- 2,000 #REF! 1,530 #REF! 2,010 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 12 #REF! 47 #REF!
- 50 #REF! 50 #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 690 #REF! 776 #REF!
- - #REF! #REF! - #REF!
- 3,000 #REF! 890 #REF! 2,845 #REF!
- - #REF! #REF! - #REF!
- 20 #REF! - #REF! 20 #REF!
- - #REF! - #REF! 255 #REF!
- - #REF! #REF! - #REF!
- 240 #REF! 45 #REF! 212 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
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- 150 #REF! 12 #REF! 57 #REF!
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- 6,000 #REF! 3,140 #REF! 4,249 #REF!
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- 2,000 #REF! 360 #REF! 2,610 #REF!
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- 3,000 #REF! - #REF! 3,000 #REF!
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50 50 #REF! #REF! - #REF!
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- 1,000 #REF! 490 #REF! 1,184 #REF!
- 1,000 #REF! 430 #REF! 900 #REF!
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- - #REF! 12 #REF! 28 #REF!
- 1,500 #REF! 410 #REF! 1,320 #REF!
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- - #REF! 6 #REF! 192 #REF!
- - #REF! 2 #REF! 10 #REF!
- - #REF! #REF! - #REF!
- - #REF! 1 #REF! 2 #REF!
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- - #REF! 150 #REF! 270 #REF!
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- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! 0 #REF!
3,000 3,000 #REF! 1,360 #REF! 8650 #REF!
- - #REF! - #REF! 300 #REF!
- 1,000 #REF! 340 #REF! 1090 #REF!
- 100 #REF! 100 #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! - #REF! 720 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! - #REF! 450 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- 600 #REF! 280 #REF! 690 #REF!
- - #REF! 510 #REF! 940 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- 30 #REF! 24 #REF! 23 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- 2,000 #REF! 670 #REF! 2740 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
- - #REF! #REF! 0 #REF!
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- 30 #REF! 2 #REF! 28 #REF!
100 100 #REF! 160 #REF! 250 #REF!
- - - - -
- - - - -
- - - - -
SATUAN
(1) (2) (3) (4) (5) (6)
13 Alopurinol tablet 100 mg tab #REF! -
15 Ambroxol sirup 15mg/60ml tab. #REF! 50
16 Ambroxol tablet amp #REF! -
18 Aminofilina tablet 200 mg tab. #REF! -
23 Amoksisilin kaplet 500 mg cpl. #REF! -
26 Amoksisilin Sirup Kering 125 mg/5ml amp. #REF! 120
27 Ampisillin inj. 1 gr tab. #REF! -
31 Antasida DOEN Tablet, Kombinasi : supp. #REF! -
33 Anti Hemoroid DOEN Kombinasi tab. #REF! -
36 Aqua pro Injeksi, bebas pirogen btl. #REF! -
45 Asam Folat tab. 1 mg tab. #REF! -
46 Asam Mefenamat tablet 500 mg tablet #REF! -
51 Atapulgit tablet 750 mg buah #REF! -
53 Atropin Sulfat Injeksi 0,25 mg/ml-1ml vial #REF! -
59 Betahistin Mesilat tab 6 mg tab. #REF! -
73 Captopril 12,5 mg tab. #REF! -
74 Captopril tab. 25 mg tab #REF! -
84 Cyprofloxasin 500 mg tablet #REF! -
85 Deksametason injeksi 5mg/ml-1ml amp. #REF! -
86 Deksametason tablet 0,5 mg tube #REF! -
89 Demacolin tab. tab. #REF! 2,000
92 Diazepam rectal tube tab #REF! -
96 Difenhidramin HCl. Injeksi 10mg/ml-1ml supp. #REF! -
97 Digoxin tablet 0,25 mg supp. #REF! -
104 Domperidom tab. ltr. #REF! -
122 Fenobarbital Injeksi 50 mg/ml-2ml pcs #REF! -
128 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab. #REF! -
144 Gentian Violet Larutan 1 % tab #REF! -
145 Glibenclamid tablet 5 mg #REF! -
147 Gliserilguaiacolat tablet 100 mg buah #REF! -
158 Haloperidol tablet 5 mg tab. #REF! -
159 Handsaplas jumbo pcs #REF! -
166 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) tab. #REF! 60
168 Ibuprofen tablet 200 mg pak. #REF! -
176 Isorbid Dinitrat tablet Sublingual 5 mg tab. #REF! -
178 IV. Cateter No.20 G #REF! 120
184 Kalsium Laktat (Kalk) tablet 500 mg #REF! -
198 Ketoprofen tab. 100 mg tab. #REF! -
201 Kloramfenikol Kapsul 250 mg buah #REF! 500
206 Klorfeniramin Maleat (CTM) tablet 4 mg tab. #REF! 2,000
265 Larutan Zn. tablet #REF! -
267 Lidokain komp.Injeksi Kombinasi: tab. #REF! -
272 Loperamida tab. tab. #REF! -
273 Loratadin tab.10 mg tab. #REF! -
276 Masker paket #REF! -
283 Metformin HCl.tab. 500 mg ktk #REF! -
284 Methylprednisolon tab. 4 mg btl. #REF! -
288 Metoklopramida tab. 10 mg tube #REF! -
292 MgSO4 20% 25 ml btl. #REF! -
293 MgSO4 40% 25 ml set. #REF! -
294 Mikonazol salp kulit 2 % btl. #REF! 50
297 Natriun Diklofenak tab. 50mg tab. #REF! -
303 Nifedipin tab 10 mg tab #REF! -
306 Nistatin Tablet Vaginal 100.000 IU/g #REF! -
313 Obat batuk Hitam ( OBH ) amp #REF! -
336 Omeprazol kaps. 20 mg cap. #REF! -
344 Parasetamol tablet 500 mg amp. #REF! -
348 Permetrin krim 5 % ( Scabimite krim ) tab #REF! -
350 Piracetam inj. 3 gr / 15 ml pcs #REF! 20
354 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. #REF! -
355 Piroxicam tab. 20 mg tab. #REF! 1,000
359 Povidon Iodida 10 % 60 ml #REF! 10
360 Prednison tablet 5 mg tab. #REF! -
365 Ranitidin inj. 25 mg / 2 ml #REF! -
366 Ranitidin tab. 150 mg tab. #REF! -
379 Ringer Lactat Larutan infus steril #REF! -
380 Risperidone tab 2 mg #REF! -
381 Rohto #REF! -
383 Salbutamol tablet 2 mg #REF! -
402 Teofilin tab 150 mg #REF! -
403 Terbutalin tab.2,5 mg (Molasma tablet) #REF! -
414 Trifluoperazine 5mg #REF! -
415 Triheksifenidil Hidroklorida tablet 2 mg #REF! -
416 U pad #REF! -
422 Vitamin B Komplex tablet #REF! -
425 Y-Rins #REF! -
429 Zinc sir 10 mg/ml #REF! -
LAIN 2 jumlah
(7) (8) (9)
- - 43 21 22 22 -
- - #REF! #REF! - #REF!
- - #REF! 140 #REF! 120 #REF!
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- - #REF! #REF! - #REF!
- - #REF! 210 #REF! 400 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 240 #REF! 680 #REF!
- - #REF! #REF! - #REF!
- 50 #REF! 22 #REF! 113 #REF!
- - #REF! 410 #REF! 570 #REF!
- - #REF! 3 #REF! 23 #REF!
- - #REF! 250 #REF! 1,260 #REF!
- - #REF! 20 #REF! 270 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 790 #REF! 1,220 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- 120 #REF! 31 #REF! 136 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 280 #REF! 496 #REF!
- - #REF! #REF! - #REF!
- - #REF! 1,210 #REF! 1,635 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! 20 #REF!
- - #REF! #REF! 255 #REF!
- - #REF! #REF! - #REF!
- - #REF! 21 #REF! 191 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 980 #REF! 1,016 #REF!
- - #REF! #REF! - #REF!
- - #REF! 420 #REF! 2,180 #REF!
- - #REF! 830 #REF! 3,010 #REF!
- - #REF! #REF! 10 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! - #REF!
- - #REF! 320 #REF! 130 #REF!
- - #REF! #REF! - #REF!
- - #REF! #REF! 11 #REF!
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- - #REF! #REF! 390 #REF!
- - #REF! 12 #REF! 11 #REF!
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- - #REF! #REF! 6 #REF!
- - #REF! #REF! 21 #REF!
- - #REF! 20 #REF! 60 #REF!
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NO. SATU Januari
KODE NAMA - O BAT AN Penerimaa PemakaianSisa
1 Acyclovir SK 5 % tube 50 34 38
2 Acyclovir tab. 200 mg tab - - -
3 Acyclovir tab. 400 mg tab - 40 80
4 Adona Ac 17 injeksi 5 ml amp. - - -
7 Alat suntik sekali pakai 20 ml set - - -
10 Albendazol tablet 400 mg tab. - - 400
11 Alinamin F inj. amp. - - -
12 Alinamin F tab. tab. - - -
13 Alopurinol tablet 100 mg tab - - -
14 Alopurinol tablet 300 mg tab. - 680 -
15 Ambroxol sirup 15mg/60ml botol - - -
16 Ambroxol tablet tab - 68 45
17 Aminofilina Injeksi 24mg/ml-10ml amp - 570 -
18 Aminofilina tablet 200 mg tab. - - 23
19 Amitriptilin HCl.Tablet Salut 25 mg tab. - 250 1,010
20 Amlodipin tab. 10 mg tab 200 - 470
21 Amlodipin tab. 5 mg kaplet - - -
22 Amoksisilin + As. Klavulanat 625 mg cap. - - -
23 Amoksisilin kaplet 500 mg kaplet - - -
24 Amoksisilin kapsul 250 mg kapsul 2,000 1,980 1,240
25 Amoksisilin sir forte 250 mg/5 ml botol - - -
26 Amoksisilin Sirup Kering 125 mg/5ml botol - - -
27 Ampisillin inj. 1 gr amp. - 24 112
28 Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp 500 - 500
29 Antalgin (Metampiron) Tablet 500 mg tab - - -
30 Antasida DOEN susp, Kombinasi : botol - 49 447
31 Antasida DOEN Tablet, Kombinasi : tab - - -
32 Anti Bakteri DOEN Salep Kombinasi : tube 2,000 3,270 365
33 Anti Hemoroid DOEN Kombinasi supp - - -
34 Antimigren DOEN kombinasi: Tablet tab. - - 20
35 Antrain inj. amp. - 255 -
36 Aqua pro Injeksi, bebas pirogen vial - - -
37 Aquadest Steril btl. - 78 113
38 Artemeter inj. ampul - - -
39 Artesunat inj. vial - - -
40 Articulating paper kertas warna penanda oklusi - - -
41 Asam asetilsalisilat (asetosal) tab 80 mg tab - - -
44 Asam Benzoat 6%+Asam Salisilat 3% pot. 2,000 670 2,346
45 Asam Folat tab. 1 mg tab. - - -
46 Asam Mefenamat tablet 500 mg kaplet - 400 1,780
47 Asam Traneksamat inj. 50mg/ml amp - 1,210 1,800
48 Asetosal tablet 100 mg tab. - - 10
49 Asetosal tablet 500 mg tablet - - -
50 Aspar K tablet tablet - - -
51 Atapulgit tablet 600 mg tab - - -
52 Atarax tab tab 500 570 60
53 Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp - - -
54 Atropin Sulfat tablet 0,5 mg tab - - 11
55 Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah - - -
56 Bebat Fracture buah - - -
59 Betahistin Mesilat tab 6 mg tab - - -
60 Betametason krim 0,1 % tube - 270 120
61 Biolysin syr. btl 25 12 24
62 Bioneuron tab. tab - - -
63 Bioplacenton jell tube - - -
64 Bisakodil supp. 10mg (Dulcolax supp) dewasa supp - - -
65 Bisakodil supp. 5 mg (Dulcolax supp) anak supp - - 6
66 Bisoprolol tab. 5 mg tab - - 21
67 Bloodset set - 30 30
68 Bromheksin tab. 8 mg ( Hexon tab.) tab - - -
69 Buscotika inj.( Spasi inj .) amp - - -
70 Calsium Gluconas injeksi amp - - -
71 Canula Oksigin anak biji - 10 -
72 Canula Oksigin dewasa biji - - -
73 Captopril 12,5 mg tab. tab - - -
74 Captopril tab. 25 mg tab - 250 -
75 Catgut / Benang Bedah No.2/0-3/0 buah 500 1,230 530
76 Cefadroksil caps 500mg kapsul - - -
77 Cefadroksil syr kering 125 mg botol - - -
78 Cefotaxim inj. vial - - -
79 Ceftriakson inj. vial - - -
80 Cetirizin sirup 5mg / 5 ml btl - - -
81 Cimetidine tab. tab. - - -
82 Clobazam tab. 10 mg tab - - -
83 Clozapin tab. 25 mg tab - - -
84 Cyprofloxasin 500 mg tab. - - 330
85 Deksametason injeksi 5mg/ml-1ml amp - - 200
86 Deksametason tablet 0,5 mg tab 200 230 707
87 Dekstran 70-larutan infus 6% steril btl - 170 293
88 Demacolin syr. btl - 1,289 991
89 Demacolin tab. tab - - -
90 Dexanta tablet tab - - -
91 Diazepam Injeksi 5 mg/ml-2ml amp 2,000 1,920 2,930
92 Diazepam rectal tube supp - - -
93 Diazepam tablet 2 mg tab. - - 2
94 Diazepam tablet 5 mg tab - 2 3
95 Dietilkarbamazin Sitrat tablet 100 mg tab. - - -
96 Difenhidramin HCl. Injeksi 10mg/ml-1ml amp 200 20 180
97 Digoxin tablet 0,25 mg tab - - -
98 Diltiazem hcl tab 30 mg tab - 120 232
99 Dimenhidrinat tab . 50 mg tab - 120 278
100 Disp.Scalpel buah - - -
101 Doksazosin tab 1 mg tab - - -
102 Doksisiklin tab. 100 mg tab - - -
103 Domperidom susp. 5 mg / ml btl - - -
104 Domperidom tab. tab. - - 694
105 Efavirenz (EFV) 200 mg tab - - 11
106 Efavirenz (EFV) 600 mg tab - 120 650
107 Efedrin HCl tablet 25 mg tab. - - -
108 Ekstrak Belladon tablet 10 mg tab - - -
109 Enervon C tab. tab - - -
110 Epinefrina HCl/Bitatrat Injeksi amp - - -
111 Eritromisin kaps 250 mg kapsul - - -
112 Erytromisin kaps.500 mg kapsul - - -
113 Erytromisin sirup. btl 200 - 200
114 Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml - 120 50
115 Etanol 70 % btl./ 1 ltr - - 57
116 Etanol 70% 100 ml btl. - - -
117 Etil Klorida Semprot btl - - -
118 Eugenol cairan btl - 4 26
119 Fenitoin Natrium Injeksi 50 mg/ml amp - 12 -
122 Fenobarbital Injeksi 50 mg/ml-2ml amp - - -
123 Fenobarbital tablet 100 mg tab - - -
124 Fenobarbital tablet 30 mg tab - 2 22
125 Fenoksimetil Penisilina tablet 250 mg tab - - -
126 Fenoksimetil Penisilina tablet 500 mg tab. - - 100
127 Fenol Gliserol tetes telinga 10 % btl - - -
128 Fitomenadion (Vit.K1) Tablet salut gula 10mg tab - - -
129 Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp - - -
130 Fluoksetin kap. 10 mg tab - 380 60
131 Fluor tablet 0,5 mg tab - - -
139 Furosemid tablet 40 mg tab - - -
140 Furosemida inj. Iv/im 10 mg/ml amp - - -
141 Garam Oralit 200 ml air sacc - - -
142 Gentamisin inj. 80 mg / ml amp 500 210 400
143 Gentamycin Salep Kulit tube - 12 67
144 Gentian Violet Larutan 1 % btl - 150 408
145 Glibenclamid tablet 5 mg tab - - -
146 Glimepirid tab 2 mg tab - 28 -
147 Gliserilguaiacolat tablet 100 mg tab - 25 25
148 Glukosa Larutan Infus 10 % Steril btl. - 210 380
149 Glukosa Larutan Infus 40 % Steril btl - - 300
150 Glukosa Larutan Infus 5 % Steril btl - 1,620 1,030
151 Griseofulvin tablet 125 mg, micronized tab - - -
152 H2O2 ( Hydrogen Peroxide ) 3% btl / 100 ml - - -
153 H2O2 ( Hydrogen Peroxide ) 3% btl / 800 ml 400 55 523
154 Haloperidol Decanoas 50 mg/ml inj. amp - - -
155 Haloperidol inj.5 mg/ml amp 5 2 3
157 Haloperidol tablet 1,5 mg tab - 7 -
158 Haloperidol tablet 5 mg tab - 2 6
159 Handsaplas jumbo buah - - -
160 Handscoen obgyn psg - - -
161 Hansdcoen buah 500 270 450
162 Hansdcoen steril psg - - -
163 Hidroklorotiazid ( HCT ) tablet 25 mg tab. - - -
164 Hidrokortison Krim 2,5 % tube - - -
165 Human tetanus imunoglobulin inj 500 UI (i.m.) amp - - -
166 Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl - 80 -
167 Ibuprifen susp. 200 mg / 5 ml btl 50 48 41
168 Ibuprofen tablet 200 mg tab - - -
169 Ibuprofen tablet 400 mg tab 50 10 88
170 Imipramide tab. 25 mg tab. - - -
171 Infusion Set Anak pcs - 720 1,159
172 Infusion Set Dewasa pcs - - -
173 INH tab 100 mg tab - - -
174 Iodida Test test - - -
175 Iodiol Kapsul kaps lunak - - -
176 Isorbid Dinitrat tablet Sublingual 5 mg tab - - -
179 IV. Cateter No.22 G pcs - 90 190
180 IV. Cateter No.24 G pcs - - 100
182 Kalamin Lotio btl - - 150
183 Kalium Permenganat serbuk btl - - -
184 Kalsium Laktat (Kalk) tablet 500 mg tab 30 - 30
185 Kaltrofen tab tab - 25 40
186 Kaolin Pektin syr botol - - -
187 Kapas Pembalut/Adsorben 250 gram rol. 2,000 1,760 1,640
188 Karbamazepin tablet 200 mg tab - 140 -
189 Kasa Kompres 40/40 steril rol. - - 36
190 Kasa Pembalut 2m X 80 cm rol. - - -
191 Kasa Pembalut Hidrofil 4 m X 15 cm rol. - 10 184
192 Kasa Pembalut Hidrofil 4 m X 3 cm rol. - - -
193 Kasa steril 16x16 ktk - - -
194 Kayu Penyangga Fracture buah - - -
195 Ketokonazol tab 200 mg tab 100 187 -
196 Ketoprofen inj amp - - -
197 Ketoprofen supp supp - - -
198 Ketoprofen tab. 100 mg tab - - -
199 Klofazimin Kapsul 100 mg micronize kaps - - -
200 Kloramfenikol injeksi vial - 10 -
201 Kloramfenikol Kapsul 250 mg kaps - 100 -
202 Kloramfenikol Salep mata 1% tube - - -
203 Kloramfenikol syr. btl - - -
204 Kloramfenikol tetes mata ( Reco ) botol 300 260 520
205 Kloramfenikol Tetes telinga 3% btl - - -
206 Klorfeniramin Maleat (CTM) tablet 4 mg tab. - - 14
207 Klorokuin tablet 150 mg tab. - - -
208 Klorpromazin HCl.Injeksi 25mg/ml-1ml amp - - 8
209 Klorpromazin HCl.Injeksi 5mg/ml-2ml amp - 940 1,170
210 Klorpromazin Tablet salut 100 mg tab. - - -
211 Klorpromazin Tablet salut 25 mg tab - - -
212 Klorpropamid tablet 100 mg tab. - - -
213 Kodein Fosfat tablet 10 mg tab 1,500 780 1,276
214 Kombinasi (Pirimetamin 25 mg + Sulfadoksin 500
mg) tab - - -
215 Kombinasi : Ipratropium bromida inhalasi 0,5 mg

Salbutamol 2,5 mg( Combivent UDV) tube - - -
216 Kombinasi: kaolin 550 mg + pektin 20 mg tab - 60 -
217 Kombipak Kategori 1 paket - - -
218 Kotrimoksazol 120 mg tablet tab 60 12 79
219 Kotrimoksazol 480 mg tablet tab - - -
220 Kotrimoksazol Suspensi btl - - -
221 Kuinin ( Kina ) tablet 200 mg tab - - -
222 Kuinin Dihidroklorida Injeksi 25 % - 2ml amp - 520 830
223 Ky jelly tube - - 34
224 Laborat Blood Lancet ktk - - -
225 Laborat Cover Glass ktk - - -
226 Laborat Dempul / malam putih biji - - -
227 Laborat Gluco stik ktk - - -
228 Laborat Golongan darah test. biji - - -
229 Laborat Kolesterol stik ktk - - -
230 Laborat Minyak Emersi lar. 50 ml botol - - -
231 Laborat Obyek Glass ktk - - -
232 Laborat Obyek Glass Frosted ktk - - -
233 Laborat Pipet Eritrosit buah - - -
234 Laborat Pipet LED buah - - -
235 Laborat Pipet Leukosit buah - - -
236 Laborat Plano test ktk - - -
237 Laborat Pot dahak buah - - -
238 Laborat Pot urine ( sedang ) buah - - -
239 Laborat Rak Pengecatan buah - - -
240 Laborat Rak Tabung Khan buah - - -
241 Laborat Rak tabung reaksi buah - - -
242 Laborat Rapid Test siphilis ktk - - -
243 Laborat Reagen HIV strip ktk - - -
244 Laborat Tabung Centrifuge buah - - -
245 Laborat Tabung Kapiler HCT buah - - -
246 Laborat Tabung Reaksi buah - - -
247 Laborat Tissu Lensa ktk - - -
248 Laborat Uric Acid stik ktk - - -
249 Laborat Urine stick 10 P ktk - - -
250 Laborat Urine strip ktk - - -
251 Laborat Widal test. set. - - -
252 Lamivudine 150 mg / hiviral tab - - -
253 Larutan Asam Klorida 0,1 N btl. - - -
254 Larutan Asam Sulfosalisilat 20 % btl. - - -
255 Larutan Bendict btl. - - -
256 Larutan EDTA btl. - - -
257 Larutan Eosin 2 % btl - - -
258 Larutan Giemsa Stain btl - - -
259
(Glukosa: 25,0 g; NaCl: 4,5 g) btl - - -
Larutan mengandung Karbohidrat + Elektrolit (Nacl
260 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27
gr) (KA EN 3B) btl - - -
261 Larutan Metanol btl - - -
262 Larutan NaCl 0,9 % btl - - -
263 Larutan Rees Eker btl - - -
264 Larutan Turk btl - - -
265 Larutan Zn. set. - - -
266 Lidokain gel 2% tube - - -
267 Lidokain komp.Injeksi Kombinasi: amp - - -
268 Lidokain spray oral 10% btl - - -
269 Linestrenol tab 0,5 mg tab - - -
270 Lisol, mengandung Kresol tersabun 50 % btl 60 22 66
271 Livron B Plex tab. tab - - -
272 Loperamida tab. tab - - -
273 Loratadin tab.10 mg tab. - - -
274 Lorazepam ( Merlopam ) tab. 2 mg tab - - -
275 Lugol 1,000 530 950
276 Masker buah 1,000 970 800
277 MDT-MB Adult kusta tab. - - 30
278 MDT-MB Child kusta tab - - -
279 MDT-PB Adult kusta tab 400 400 -
280 MDT-PB Child kusta tab. 3 - 3
281 Mebendazol tablet 100 mg tab - 1 -
282 Mess buah - - -
283 Metformin HCl.tab. 500 mg tab - - -
284 Methylprednisolon tab. 4 mg tab - - -
285 Metilergometrin Maleat (Metilergometrin) tab - - -
286 Metilergometrin Maleat Inj 0,200 mg-1ml amp - 160 -
287 Metoklopramida inj.( Metolon inj ) amp 1,000 680 2,290
288 Metoklopramida tab. 10 mg tab - - 350
289 Metronidazol infus btl./ 500ml - - -
290 Metronidazol sir 125 mg/5 Ml btl - - -
291 Metronidazol tablet 500 mg tab. 500 120 380
292 MgSO4 20% 25 ml amp - - -
293 MgSO4 40% 25 ml amp - - -
294 Mikonazol salp kulit 2 % tube - - 460
295 Mineral Mix sacc - - -
296 Natrium klorida Larutan Infus 0,9 % Steril btl - - -
297 Natriun Diklofenak tab. 50mg tab. - 12 58
298 Needle 23 G buah - 1,080 -
299 Neurobion 5000 inj. psg amp. - 70 93
300 Neurodex tablet tab - 780 1,630
301 Nevirapine (NVP) 200 mg tab - - -
302 Nicholin inj. amp - - -
303 Nifedipin tab 10 mg tab - - -
304 Nistatin susp 100.000 UI/ml btl - - -
305 Nistatin Tablet salut 500.000 IU tab salut - - -
306 Nistatin Tablet Vaginal 100.000 IU/g supp 1,000 940 640
307 Obat anti malaria tab - - -
308 Obat Antituberkulosis Anak paket - - -
309 Obat Antituberkulosis Kategori 2 paket - 2 14
311 Obat Antituberkulosis Kategori I( FDC) paket - - -
312 Obat Antituberkulosis Sisipan paket - - -
313 Obat batuk Hitam ( OBH ) btl. - - -
314 Obat Gigi Air Raksa Dental Use tube 10 10 -
315 Obat Gigi Bonding 5 ml btl. - - -
316 Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl. 200 210 154
317 Obat Gigi Composit Anterior btl. - - -
318 Obat Gigi Composit Pasterior btl. 1 1 -
319 Obat Gigi Devitalisasi Pasta set. - - -
320 Obat Gigi Etching 2 gr. btl. - - -
321 Obat Gigi Forinokresol ( Pengganti TKF ) btl - - -
322 Obat Gigi Glass Ionomer Cemen (GC IX) btl/set. - - -
323 Obat Gigi Kalsium Hidroksida Pasta tube - - -
324 Obat Gigi Mummifying Pasta btl - - -
325 Obat Gigi Semen Seng Fosfat serbuk dan cairan btl - - -
326 Obat Gigi Silver Amalgam serbuk 65 - 75 % btl 1 - 1
327 Obat Gigi Temporary Restoratif btl - - -
328 Obat Gigi Temporary Stopping Fletcher (Fletcher) btl - - -
329 Oksimetazolin tts hidung 0,050% tube - - -
330 Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial - - -
333 Oksitosin Injeksi 10 IU/ml-1ml amp - - -
334 Olopatadin tts mata 0,1% tube - 23 32
335 Omeprazol inj 40 mg/10 ml amp - - -
336 Omeprazol kaps. 20 mg kaps - 2 30
337 Oseltamivir tab tab - - -
338 Oxygen spray portable can - - -
339 Papaverin inj. 40 mg / ml - 1 ml amp - 140 950
340 Papaverin tab. 40 mg tab - - -
341 Parasetamol drop 100mg/ml btl - - -
342 Parasetamol Sirup 120 mg / 5ml btl - - -
343 Parasetamol tablet 100 mg tab - - -
344 Parasetamol tablet 500 mg tab. - 10 -
345 Pehacain inj. amp. - 97 187
346 Penyangga tangan buah - - -
347 Perak Sulfadiazin ( Burnazim salp ) tube 6,000 5,980 1,709
348 Permetrin krim 5 % ( Scabimite krim ) tube - - -
349 Pil KB Laktasi tab - - -
350 Piracetam inj. 3 gr / 15 ml amp - - -
351 Piracetam tab. 800 mg tab - 15 72
352 Piralen injeksi amp - - -
353 Pirantel tablet 125 mg tab - 4 12
354 Piridoksin HCl. (Vit.B6) tablet 10 mg tab. 500 50 660
355 Piroxicam tab. 20 mg tab - - -
356 Plester 7,5 x 4,5 ( Isoplast ) rol - - -
357 Polikresulen (Kondensasi Metakresol btl - 420 1,830
358 Povidon Iodida 10 % 300 ml btl - 880 190
359 Povidon Iodida 10 % 60 ml btl - - -
360 Prednison tablet 5 mg tab - - -
361 Primakuin tablet 15 mg tab - - -
362 Prokain Benzil Penisillin injeksi 3 juta IU/vial vial 40 3 37
363 Propanolol HCl tablet 40 mg tab - 210 2,540
364 Propiltiourasil tablet 100 mg tab - - -
365 Ranitidin inj. 25 mg / 2 ml amp - - -
366 Ranitidin tab. 150 mg tab - 30 420
367 RDT Leptospira ktk - - -
368 RDT Parascreen ( u/ malaria ) ktk - 120 340
369 Reagen CD4 (Control) ktk - 580 1,800
370 Reagen CD4 (Mebile) ktk - - -
371 Reagen HIV SD buah - - -
372 Reagen RDT DBD NSI buah - - -
373 Reagen RDT DBD NSI IgG/Igm buah - - -
376 Reagent HIV Aids 3 buah 100 - 100
379 Ringer Lactat Larutan infus steril btl - - -
380 Risperidone tab 2 mg tab - - -
381 Rohto btl - 50 -
382 Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube - - -
383 Salbutamol tablet 2 mg tab 400 400 -
384 Salep 2-4 , Kombinasi tube 2,200 2,200 -
385 Salisil Bedak 2 % dos - 350 489
386 Serum anti Bisa ular Polivalen Injeksi vial 1,000 230 1,350
387 Serum Anti Difteri ( ADS ) vial - - -
388 Serum Anti Tentanus Injeksi 1.500IU/ampul amp - 6 10
389 Sianokobalamina (vit.B12) Injeksi amp 600 410 990
390 Sikzonoate ( Fluphenazine) inj. amp - - -
391 Silk (Benang Bedah Sutera ) No. 3/0 buah - 186 -
392 Sinvastatin tab tab - 7 -
393 Sofratul lmbr - - -
394 Soloshot 0,05 ml pcs - - 1
396 Spironolakton tab 25 mg tab - - -
397 Sulfadimidin tablet 500 mg tab - - -
398 Tablet Hyoscin Butylbromida ( Scopma ) tab - 190 -
399 Tablet Hyoscin Butylbromida ( Spashi tab ) tab 800 - 800
400 Tablet tambah Darah kombinasi : Besi II tablet - - -
401 Telmisartan tab 80 mg tab - - -
402 Teofilin tab 150 mg tab - - -
403 Terbutalin tab.2,5 mg (Molasma tablet) tablet 200 - 200
404 Tetrakain HCl tetes mata btl - - -
407 Thiamfenikol kapsul 500 mg kaplet 6,000 3,780 5,050
408 Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab - - 300
409 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg tab. - 230 440
410 Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp - - -
411 Tiopental Natrium serbuk inj. 1000 mg/amp amp - - -
412 Tramadol inj. amp - 310 410
413 Tramadol tab. 50 mg tab - - -
414 Trifluoperazine 5mg tab - - -
415 Triheksifenidil Hidroklorida tablet 2 mg tab - - 450
416 U pad pcs - - -
417 Ulsikur injeksi amp - - -
418 Ultrafix 5cmx5m rol - - -
419 Urine Bag pcs - - -
420 Valproat sir 250 mg/5 ml btl - - -
421 Vicillin injeksi vial 1,000 290 1,130
422 Vitamin B Komplex tablet tab 1,000 450 1,030
423 Wing Nedle pcs - - -
424 Xillomidon injeksi vial - - -
425 Y-Rins btl 10 9 24
426 Zidofudine (ZDV) 100 mg tab - - -
427
150 mg tab - - -
428
mg+Nevirapine 50 mg tab - - -
429 Zinc sir 10 mg/ml btl - 890 1,580
430 Zinc tablet tab - - -
431 Sinvastatin tab 20 mg - - -
432 Alkohol swab - - -
433 Cartridge GeneXpert - - -
434 Fluoksetin kap. 20 mg - - -
435 Reagen HIV Rigsin - - -
436 Reagen HIV Fokus - 12 14
437 Reagen HIV TPHA - 30 60
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Mei Juni juli
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Penerimaa PemakaianSisa Penerimaa PemakaianSisa KODE
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SATU SISA PENERIMAAN JUMLAH
NAMA - O BAT AN AWAL DLM 1 TAHUN PERSEDIAAN
2 3 4 5
Acyclovir SK 5 % tube 22 #REF! #REF!
Acyclovir tab. 200 mg tab - #REF! #REF!
Acyclovir tab. 400 mg tab 120 #REF! #REF!
Adona Ac 17 injeksi 5 ml amp. - #REF! #REF!
Alat Suntik Sekali Pakai 1 ml set - #REF! #REF!
Alat suntik sekali pakai 20 ml set - #REF! #REF!
Albendazol tablet 400 mg tab. 400 #REF! #REF!
Alinamin F inj. amp. - #REF! #REF!
Alinamin F tab. tab. - #REF! #REF!
Alopurinol tablet 100 mg tab - #REF! #REF!
Alopurinol tablet 300 mg tab. 680 #REF! #REF!
Ambroxol sirup 15mg/60ml botol - #REF! #REF!
Ambroxol tablet tab 113 #REF! #REF!
Aminofilina Injeksi 24mg/ml-10ml amp 570 #REF! #REF!
Aminofilina tablet 200 mg tab. 23 #REF! #REF!
Amitriptilin HCl.Tablet Salut 25 mg tab. 1,260 #REF! #REF!
Amlodipin tab. 10 mg tab 270 #REF! #REF!
Amlodipin tab. 5 mg kaplet - #REF! #REF!
Amoksisilin + As. Klavulanat 625 mg cap. - #REF! #REF!
Amoksisilin kaplet 500 mg kaplet - #REF! #REF!
Amoksisilin kapsul 250 mg kapsul 1,220 #REF! #REF!
Amoksisilin sir forte 250 mg/5 ml botol - #REF! #REF!
Amoksisilin Sirup Kering 125 mg/5ml botol - #REF! #REF!
Ampisillin inj. 1 gr amp. 136 #REF! #REF!
Antalgin (Metampiron) Injeksi 250 mg/ml-2ml amp - #REF! #REF!
Antalgin (Metampiron) Tablet 500 mg tab - #REF! #REF!
Antasida DOEN susp, Kombinasi : botol 496 #REF! #REF!
Antasida DOEN Tablet, Kombinasi : tab - #REF! #REF!
Anti Bakteri DOEN Salep Kombinasi : tube 1,635 #REF! #REF!
Anti Hemoroid DOEN Kombinasi supp - #REF! #REF!
Antimigren DOEN kombinasi: Tablet tab. 20 #REF! #REF!
Antrain inj. amp. 255 #REF! #REF!
Aqua pro Injeksi, bebas pirogen vial - #REF! #REF!
Aquadest Steril btl. 191 #REF! #REF!
Artemeter inj. ampul - #REF! #REF!
Artesunat inj. vial - #REF! #REF!
Articulating paper kertas warna penanda oklusi - #REF! #REF!
Asam asetilsalisilat (asetosal) tab 80 mg tab - #REF! #REF!
Asam Askorbat tablet 100 mg tab. - #REF! #REF!
Asam Askorbat tablet 50 mg tab. - #REF! #REF!
Asam Benzoat 6%+Asam Salisilat 3% pot. 1,016 #REF! #REF!
Asam Folat tab. 1 mg tab. - #REF! #REF!
Asam Mefenamat tablet 500 mg kaplet 2,180 #REF! #REF!
Asam Traneksamat inj. 50mg/ml amp 3,010 #REF! #REF!
Asetosal tablet 100 mg tab. 10 #REF! #REF!
Asetosal tablet 500 mg tablet - #REF! #REF!
Aspar K tablet tablet - #REF! #REF!
Atapulgit tablet 600 mg tab - #REF! #REF!
Atarax tab tab 130 #REF! #REF!
Atropin Sulfat Injeksi 0,25 mg/ml-1ml amp - #REF! #REF!
Atropin Sulfat tablet 0,5 mg tab 11 #REF! #REF!
Bandage Perawat luka luas ( 15 cm x 4,5 cm ) buah - #REF! #REF!
Bebat Fracture buah - #REF! #REF!
Benzatin Benzil Penisilin Ij. 1,2 juta IU/vial vial - #REF! #REF!
Benzatin Benzil Penisilin Ij. 2,4 juta IU/vial vial - #REF! #REF!
Betahistin Mesilat tab 6 mg tab - #REF! #REF!
Betametason krim 0,1 % tube 390 #REF! #REF!
Biolysin syr. btl 11 #REF! #REF!
Bioneuron tab. tab - #REF! #REF!
Bioplacenton jell tube - #REF! #REF!
Bisakodil supp. 10mg (Dulcolax supp) dewasa supp - #REF! #REF!
Bisakodil supp. 5 mg (Dulcolax supp) anak supp 6 #REF! #REF!
Bisoprolol tab. 5 mg tab 21 #REF! #REF!
Bloodset set 60 #REF! #REF!
Bromheksin tab. 8 mg ( Hexon tab.) tab - #REF! #REF!
Buscotika inj.( Spasi inj .) amp - #REF! #REF!
Calsium Gluconas injeksi amp - #REF! #REF!
Canula Oksigin anak biji 10 #REF! #REF!
Canula Oksigin dewasa biji - #REF! #REF!
Captopril 12,5 mg tab. tab - #REF! #REF!
Captopril tab. 25 mg tab 250 #REF! #REF!
Catgut / Benang Bedah No.2/0-3/0 buah 1,260 #REF! #REF!
Cefadroksil caps 500mg kapsul - #REF! #REF!
Cefadroksil syr kering 125 mg botol - #REF! #REF!
Cefotaxim inj. vial - #REF! #REF!
Ceftriakson inj. vial - #REF! #REF!
Cetirizin sirup 5mg / 5 ml btl - #REF! #REF!
Cimetidine tab. tab. - #REF! #REF!
Clobazam tab. 10 mg tab - #REF! #REF!
Clozapin tab. 25 mg tab - #REF! #REF!
Cyprofloxasin 500 mg tab. 330 #REF! #REF!
Deksametason injeksi 5mg/ml-1ml amp 200 #REF! #REF!
Deksametason tablet 0,5 mg tab 737 #REF! #REF!
Dekstran 70-larutan infus 6% steril btl 463 #REF! #REF!
Demacolin syr. btl 2,280 #REF! #REF!
Demacolin tab. tab - #REF! #REF!
Dexanta tablet tab - #REF! #REF!
Diazepam Injeksi 5 mg/ml-2ml amp 2,850 #REF! #REF!
Diazepam rectal tube supp - #REF! #REF!
Diazepam tablet 2 mg tab. 2 #REF! #REF!
Diazepam tablet 5 mg tab 5 #REF! #REF!
Dietilkarbamazin Sitrat tablet 100 mg tab. - #REF! #REF!
Difenhidramin HCl. Injeksi 10mg/ml-1ml amp - #REF! #REF!
Digoxin tablet 0,25 mg tab - #REF! #REF!
Diltiazem hcl tab 30 mg tab 352 #REF! #REF!
Dimenhidrinat tab . 50 mg tab 398 #REF! #REF!
Disp.Scalpel buah - #REF! #REF!
Doksazosin tab 1 mg tab - #REF! #REF!
Doksisiklin tab. 100 mg tab - #REF! #REF!
Domperidom susp. 5 mg / ml btl - #REF! #REF!
Domperidom tab. tab. 694 #REF! #REF!
Efavirenz (EFV) 200 mg tab 11 #REF! #REF!
Efavirenz (EFV) 600 mg tab 770 #REF! #REF!
Efedrin HCl tablet 25 mg tab. - #REF! #REF!
Ekstrak Belladon tablet 10 mg tab - #REF! #REF!
Enervon C tab. tab - #REF! #REF!
Epinefrina HCl/Bitatrat Injeksi amp - #REF! #REF!
Eritromisin kaps 250 mg kapsul - #REF! #REF!
Erytromisin kaps.500 mg kapsul - #REF! #REF!
Erytromisin sirup. btl - #REF! #REF!
Etakridin ( Rivanol ) larutan 0,1 % btl/100 ml 170 #REF! #REF!
Etanol 70 % btl./ 1 ltr 57 #REF! #REF!
Etanol 70% 100 ml btl. - #REF! #REF!
Etil Klorida Semprot btl - #REF! #REF!
Eugenol cairan btl 30 #REF! #REF!
Fenitoin Natrium Injeksi 50 mg/ml amp 12 #REF! #REF!
Fenitoin Natrium Kapsul 100 mg kapsul - #REF! #REF!
Fenitoin Natrium Kapsul 30 mg kapsul - #REF! #REF!
Fenobarbital Injeksi 50 mg/ml-2ml amp - #REF! #REF!
Fenobarbital tablet 100 mg tab - #REF! #REF!
Fenobarbital tablet 30 mg tab 24 #REF! #REF!
Fenoksimetil Penisilina tablet 250 mg tab - #REF! #REF!
Fenoksimetil Penisilina tablet 500 mg tab. 100 #REF! #REF!
Fenol Gliserol tetes telinga 10 % btl - #REF! #REF!
Fitomenadion (Vit.K1) Tablet salut gula 10mg tab - #REF! #REF!
Fitomenadion (Vit.K1)Injeksi 10mg/ml-1ml amp - #REF! #REF!
Fluoksetin kap. 10 mg tab 440 #REF! #REF!
Fluor tablet 0,5 mg tab - #REF! #REF!
Folley Catheter No.12 pcs - #REF! #REF!
Furosemid tablet 40 mg tab - #REF! #REF!
Furosemida inj. Iv/im 10 mg/ml amp - #REF! #REF!
Garam Oralit 200 ml air sacc - #REF! #REF!
Gentamisin inj. 80 mg / ml amp 110 #REF! #REF!
Gentamycin Salep Kulit tube 79 #REF! #REF!
Gentian Violet Larutan 1 % btl 558 #REF! #REF!
Glibenclamid tablet 5 mg tab - #REF! #REF!
Glimepirid tab 2 mg tab 28 #REF! #REF!
Gliserilguaiacolat tablet 100 mg tab 50 #REF! #REF!
Glukosa Larutan Infus 10 % Steril btl. 590 #REF! #REF!
Glukosa Larutan Infus 40 % Steril btl 300 #REF! #REF!
Glukosa Larutan Infus 5 % Steril btl 2,650 #REF! #REF!
Griseofulvin tablet 125 mg, micronized tab - #REF! #REF!
H2O2 ( Hydrogen Peroxide ) 3% btl / 100 ml - #REF! #REF!
H2O2 ( Hydrogen Peroxide ) 3% btl / 800 ml 178 #REF! #REF!
Haloperidol Decanoas 50 mg/ml inj. amp - #REF! #REF!
Haloperidol inj.5 mg/ml amp - #REF! #REF!
Haloperidol tablet 0,5 mg tab - #REF! #REF!
Haloperidol tablet 1,5 mg tab 7 #REF! #REF!
Haloperidol tablet 5 mg tab 8 #REF! #REF!
Handsaplas jumbo buah - #REF! #REF!
Handscoen obgyn psg - #REF! #REF!
Hansdcoen buah 220 #REF! #REF!
Hansdcoen steril psg - #REF! #REF!
Hidroklorotiazid ( HCT ) tablet 25 mg tab. - #REF! #REF!
Hidrokortison Krim 2,5 % tube - #REF! #REF!
Human tetanus imunoglobulin inj 500 UI (i.m.) amp - #REF! #REF!
Ibuprifen susp. 100 mg / 5 ml ( novaxipen ) btl 80 #REF! #REF!
Ibuprifen susp. 200 mg / 5 ml btl 39 #REF! #REF!
Ibuprofen tablet 200 mg tab - #REF! #REF!
Ibuprofen tablet 400 mg tab 48 #REF! #REF!
Imipramide tab. 25 mg tab. - #REF! #REF!
Infusion Set Anak pcs 1,879 #REF! #REF!
Infusion Set Dewasa pcs - #REF! #REF!
INH tab 100 mg tab - #REF! #REF!
Iodida Test test - #REF! #REF!
Iodiol Kapsul kaps lunak - #REF! #REF!
Isorbid Dinitrat tablet Sublingual 5 mg tab - #REF! #REF!
IV. Cateter No.18 G pcs - #REF! #REF!
IV. Cateter No.22 G pcs 280 #REF! #REF!
IV. Cateter No.24 G pcs 100 #REF! #REF!
Kalamin Lotio btl 150 #REF! #REF!
Kalium Permenganat serbuk btl - #REF! #REF!
Kalsium Laktat (Kalk) tablet 500 mg tab - #REF! #REF!
Kaltrofen tab tab 65 #REF! #REF!
Kaolin Pektin syr botol - #REF! #REF!
Kapas Pembalut/Adsorben 250 gram rol. 1,400 #REF! #REF!
Karbamazepin tablet 200 mg tab 140 #REF! #REF!
Kasa Kompres 40/40 steril rol. 36 #REF! #REF!
Kasa Pembalut 2m X 80 cm rol. - #REF! #REF!
Kasa Pembalut Hidrofil 4 m X 15 cm rol. 194 #REF! #REF!
Kasa Pembalut Hidrofil 4 m X 3 cm rol. - #REF! #REF!
Kasa steril 16x16 ktk - #REF! #REF!
Kayu Penyangga Fracture buah - #REF! #REF!
Ketokonazol tab 200 mg tab 87 #REF! #REF!
Ketoprofen inj amp - #REF! #REF!
Ketoprofen supp supp - #REF! #REF!
Ketoprofen tab. 100 mg tab - #REF! #REF!
Klofazimin Kapsul 100 mg micronize kaps - #REF! #REF!
Kloramfenikol injeksi vial 10 #REF! #REF!
Kloramfenikol Kapsul 250 mg kaps 100 #REF! #REF!
Kloramfenikol Salep mata 1% tube - #REF! #REF!
Kloramfenikol syr. btl - #REF! #REF!
Kloramfenikol tetes mata ( Reco ) botol 480 #REF! #REF!
Kloramfenikol Tetes telinga 3% btl - #REF! #REF!
Klorfeniramin Maleat (CTM) tablet 4 mg tab. 14 #REF! #REF!
Klorokuin tablet 150 mg tab. - #REF! #REF!
Klorpromazin HCl.Injeksi 25mg/ml-1ml amp 8 #REF! #REF!
Klorpromazin HCl.Injeksi 5mg/ml-2ml amp 2,110 #REF! #REF!
Klorpromazin Tablet salut 100 mg tab. - #REF! #REF!
Klorpromazin Tablet salut 25 mg tab - #REF! #REF!
Klorpropamid tablet 100 mg tab. - #REF! #REF!
Kodein Fosfat tablet 10 mg tab 556 #REF! #REF!
mg) tab - #REF! #REF!
Salbutamol 2,5 mg( Combivent UDV) tube - #REF! #REF!
Kombinasi: kaolin 550 mg + pektin 20 mg tab 60 #REF! #REF!
Kombipak Kategori 1 paket - #REF! #REF!
Kotrimoksazol 120 mg tablet tab 31 #REF! #REF!
Kotrimoksazol 480 mg tablet tab - #REF! #REF!
Kotrimoksazol Suspensi btl - #REF! #REF!
Kuinin ( Kina ) tablet 200 mg tab - #REF! #REF!
Kuinin Dihidroklorida Injeksi 25 % - 2ml amp 1,350 #REF! #REF!
Ky jelly tube 34 #REF! #REF!
Laborat Blood Lancet ktk - #REF! #REF!
Laborat Cover Glass ktk - #REF! #REF!
Laborat Dempul / malam putih biji - #REF! #REF!
Laborat Gluco stik ktk - #REF! #REF!
Laborat Golongan darah test. biji - #REF! #REF!
Laborat Kolesterol stik ktk - #REF! #REF!
Laborat Minyak Emersi lar. 50 ml botol - #REF! #REF!
Laborat Obyek Glass ktk - #REF! #REF!
Laborat Obyek Glass Frosted ktk - #REF! #REF!
Laborat Pipet Eritrosit buah - #REF! #REF!
Laborat Pipet LED buah - #REF! #REF!
Laborat Pipet Leukosit buah - #REF! #REF!
Laborat Plano test ktk - #REF! #REF!
Laborat Pot dahak buah - #REF! #REF!
Laborat Pot urine ( sedang ) buah - #REF! #REF!
Laborat Rak Pengecatan buah - #REF! #REF!
Laborat Rak Tabung Khan buah - #REF! #REF!
Laborat Rak tabung reaksi buah - #REF! #REF!
Laborat Rapid Test siphilis ktk - #REF! #REF!
Laborat Reagen HIV strip ktk - #REF! #REF!
Laborat Tabung Centrifuge buah - #REF! #REF!
Laborat Tabung Kapiler HCT buah - #REF! #REF!
Laborat Tabung Reaksi buah - #REF! #REF!
Laborat Tissu Lensa ktk - #REF! #REF!
Laborat Uric Acid stik ktk - #REF! #REF!
Laborat Urine stick 10 P ktk - #REF! #REF!
Laborat Urine strip ktk - #REF! #REF!
Laborat Widal test. set. - #REF! #REF!
Lamivudine 150 mg / hiviral tab - #REF! #REF!
Larutan Asam Klorida 0,1 N btl. - #REF! #REF!
Larutan Asam Sulfosalisilat 20 % btl. - #REF! #REF!
Larutan Bendict btl. - #REF! #REF!
Larutan EDTA btl. - #REF! #REF!
Larutan Eosin 2 % btl - #REF! #REF!
Larutan Giemsa Stain btl - #REF! #REF!
(Glukosa: 25,0 g; NaCl: 4,5 g) btl - #REF! #REF!
(Nacl 1.75 gr, KCl 1.5 gr, Na Lactat 2.24 gr,
Dekstrosa 27 gr) (KA EN 3B) btl - #REF! #REF!
Larutan Metanol btl - #REF! #REF!
Larutan NaCl 0,9 % btl - #REF! #REF!
Larutan Rees Eker btl - #REF! #REF!
Larutan Turk btl - #REF! #REF!
Larutan Zn. set. - #REF! #REF!
Lidokain gel 2% tube - #REF! #REF!
Lidokain komp.Injeksi Kombinasi: amp - #REF! #REF!
Lidokain spray oral 10% btl - #REF! #REF!
Linestrenol tab 0,5 mg tab - #REF! #REF!
Lisol, mengandung Kresol tersabun 50 % btl 28 #REF! #REF!
Livron B Plex tab. tab - #REF! #REF!
Loperamida tab. tab - #REF! #REF!
Loratadin tab.10 mg tab. - #REF! #REF!
Lorazepam ( Merlopam ) tab. 2 mg tab - #REF! #REF!
Lugol 480 #REF! #REF!
Masker buah 770 #REF! #REF!
MDT-MB Adult kusta tab. 30 #REF! #REF!
MDT-MB Child kusta tab - #REF! #REF!
MDT-PB Adult kusta tab - #REF! #REF!
MDT-PB Child kusta tab. - #REF! #REF!
Mebendazol tablet 100 mg tab 1 #REF! #REF!
Mess buah - #REF! #REF!
Metformin HCl.tab. 500 mg tab - #REF! #REF!
Methylprednisolon tab. 4 mg tab - #REF! #REF!
Metilergometrin Maleat (Metilergometrin) tab - #REF! #REF!
Metilergometrin Maleat Inj 0,200 mg-1ml amp 160 #REF! #REF!
Metoklopramida inj.( Metolon inj ) amp 1,970 #REF! #REF!
Metoklopramida tab. 10 mg tab 350 #REF! #REF!
Metronidazol infus btl./ 500ml - #REF! #REF!
Metronidazol sir 125 mg/5 Ml btl - #REF! #REF!
Metronidazol tablet 500 mg tab. - #REF! #REF!
MgSO4 20% 25 ml amp - #REF! #REF!
MgSO4 40% 25 ml amp - #REF! #REF!
Mikonazol salp kulit 2 % tube 460 #REF! #REF!
Mineral Mix sacc - #REF! #REF!
Natrium klorida Larutan Infus 0,9 % Steril btl - #REF! #REF!
Natriun Diklofenak tab. 50mg tab. 70 #REF! #REF!
Needle 23 G buah 1,080 #REF! #REF!
Neurobion 5000 inj. psg amp. 163 #REF! #REF!
Neurodex tablet tab 2,410 #REF! #REF!
Nevirapine (NVP) 200 mg tab - #REF! #REF!
Nicholin inj. amp - #REF! #REF!
Nifedipin tab 10 mg tab - #REF! #REF!
Nistatin susp 100.000 UI/ml btl - #REF! #REF!
Nistatin Tablet salut 500.000 IU tab salut - #REF! #REF!
Nistatin Tablet Vaginal 100.000 IU/g supp 580 #REF! #REF!
Obat anti malaria tab - #REF! #REF!
Obat Antituberkulosis Anak paket - #REF! #REF!
Obat Antituberkulosis Kategori 2 paket 16 #REF! #REF!
Obat Antituberkulosis Kategori 3 paket - #REF! #REF!
Obat Antituberkulosis Kategori I( FDC) paket - #REF! #REF!
Obat Antituberkulosis Sisipan paket - #REF! #REF!
Obat batuk Hitam ( OBH ) btl. - #REF! #REF!
Obat Gigi Air Raksa Dental Use tube - #REF! #REF!
Obat Gigi Bonding 5 ml btl. - #REF! #REF!
Obat Gigi Chlorofenol Kamfer Menthol ( CHKM ) btl. 164 #REF! #REF!
Obat Gigi Composit Anterior btl. - #REF! #REF!
Obat Gigi Composit Pasterior btl. - #REF! #REF!
Obat Gigi Devitalisasi Pasta set. - #REF! #REF!
Obat Gigi Etching 2 gr. btl. - #REF! #REF!
Obat Gigi Forinokresol ( Pengganti TKF ) btl - #REF! #REF!
Obat Gigi Glass Ionomer Cemen (GC IX) btl/set. - #REF! #REF!
Obat Gigi Kalsium Hidroksida Pasta tube - #REF! #REF!
Obat Gigi Mummifying Pasta btl - #REF! #REF!
Obat Gigi Semen Seng Fosfat serbuk dan cairan btl - #REF! #REF!
Obat Gigi Silver Amalgam serbuk 65 - 75 % btl - #REF! #REF!
Obat Gigi Temporary Restoratif btl - #REF! #REF!
Obat Gigi Temporary Stopping Fletcher (Fletcher) btl - #REF! #REF!
Oksimetazolin tts hidung 0,050% tube - #REF! #REF!
Oksitetrasiklin HCL. Injk.im.50mg/ml-10ml vial - #REF! #REF!
Oksitetrasiklin HCl. Salep 1 % tube - #REF! #REF!
Oksitetrasiklin HCl. Salep 3 % tube - #REF! #REF!
Oksitosin Injeksi 10 IU/ml-1ml amp - #REF! #REF!
Olopatadin tts mata 0,1% tube 55 #REF! #REF!
Omeprazol inj 40 mg/10 ml amp - #REF! #REF!
Omeprazol kaps. 20 mg kaps 32 #REF! #REF!
Oseltamivir tab tab - #REF! #REF!
Oxygen spray portable can - #REF! #REF!
Papaverin inj. 40 mg / ml - 1 ml amp 1,090 #REF! #REF!
Papaverin tab. 40 mg tab - #REF! #REF!
Parasetamol drop 100mg/ml btl - #REF! #REF!
Parasetamol Sirup 120 mg / 5ml btl - #REF! #REF!
Parasetamol tablet 100 mg tab - #REF! #REF!
Parasetamol tablet 500 mg tab. 10 #REF! #REF!
Pehacain inj. amp. 284 #REF! #REF!
Penyangga tangan buah - #REF! #REF!
Perak Sulfadiazin ( Burnazim salp ) tube 1,689 #REF! #REF!
Permetrin krim 5 % ( Scabimite krim ) tube - #REF! #REF!
Pil KB Laktasi tab - #REF! #REF!
Piracetam inj. 3 gr / 15 ml amp - #REF! #REF!
Piracetam tab. 800 mg tab 87 #REF! #REF!
Piralen injeksi amp - #REF! #REF!
Pirantel tablet 125 mg tab 16 #REF! #REF!
Piridoksin HCl. (Vit.B6) tablet 10 mg tab. 210 #REF! #REF!
Piroxicam tab. 20 mg tab - #REF! #REF!
Plester 7,5 x 4,5 ( Isoplast ) rol - #REF! #REF!
Polikresulen (Kondensasi Metakresol btl 2,250 #REF! #REF!
Povidon Iodida 10 % 300 ml btl 1,070 #REF! #REF!
Povidon Iodida 10 % 60 ml btl - #REF! #REF!
Prednison tablet 5 mg tab - #REF! #REF!
Primakuin tablet 15 mg tab - #REF! #REF!
Prokain Benzil Penisillin injeksi 3 juta IU/vial vial - #REF! #REF!
Propanolol HCl tablet 40 mg tab 2,750 #REF! #REF!
Propiltiourasil tablet 100 mg tab - #REF! #REF!
Ranitidin inj. 25 mg / 2 ml amp - #REF! #REF!
Ranitidin tab. 150 mg tab 450 #REF! #REF!
RDT Leptospira ktk - #REF! #REF!
RDT Parascreen ( u/ malaria ) ktk 460 #REF! #REF!
Reagen CD4 (Control) ktk 2,380 #REF! #REF!
Reagen CD4 (Mebile) ktk - #REF! #REF!
Reagen HIV SD buah - #REF! #REF!
Reagen RDT DBD NSI buah - #REF! #REF!
Reagen RDT DBD NSI IgG/Igm buah - #REF! #REF!
Reagent HIV Aids 1 buah - #REF! #REF!
Retinol (Vitamin A) kapsul 100.000 IU kaps.lunak - #REF! #REF!
Retinol (Vitamin A) kapsul 200.000 IU kaps.lunak - #REF! #REF!
Ringer Lactat Larutan infus steril btl - #REF! #REF!
Risperidone tab 2 mg tab - #REF! #REF!
Rohto btl 50 #REF! #REF!
Salbutamol cairan ih 0,1% ( Ventolin Nebules ) tube - #REF! #REF!
Salbutamol tablet 2 mg tab - #REF! #REF!
Salep 2-4 , Kombinasi tube - #REF! #REF!
Salisil Bedak 2 % dos 839 #REF! #REF!
Serum anti Bisa ular Polivalen Injeksi vial 580 #REF! #REF!
Serum Anti Difteri ( ADS ) vial - #REF! #REF!
Serum Anti Tentanus Injeksi 1.500IU/ampul amp 16 #REF! #REF!
Sianokobalamina (vit.B12) Injeksi amp 800 #REF! #REF!
Sikzonoate ( Fluphenazine) inj. amp - #REF! #REF!
Silk (Benang Bedah Sutera ) No. 3/0 buah 186 #REF! #REF!
Sinvastatin tab tab 7 #REF! #REF!
Sofratul lmbr - #REF! #REF!
Soloshot 0,05 ml pcs 1 #REF! #REF!
Soloshot 0,5 ml pcs - #REF! #REF!
Spironolakton tab 25 mg tab - #REF! #REF!
Sulfadimidin tablet 500 mg tab - #REF! #REF!
Tablet Hyoscin Butylbromida ( Scopma ) tab 190 #REF! #REF!
Tablet Hyoscin Butylbromida ( Spashi tab ) tab - #REF! #REF!
Tablet tambah Darah kombinasi : Besi II tablet - #REF! #REF!
Telmisartan tab 80 mg tab - #REF! #REF!
Teofilin tab 150 mg tab - #REF! #REF!
Terbutalin tab.2,5 mg (Molasma tablet) tablet - #REF! #REF!
Tetrakain HCl tetes mata btl - #REF! #REF!
Tetrasiklin HCl. Kapsul 250 mg kaps - #REF! #REF!
Tetrasiklin HCl. Kapsul 500 mg kaps - #REF! #REF!
Thiamfenikol kapsul 500 mg kaplet 2,830 #REF! #REF!
Tiamin HCl/Mononitrat (Vit.B1) tablet 100 mg tab 300 #REF! #REF!
Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg tab. 670 #REF! #REF!
Tiamin HCl. (Vit.B1) Injeksi 100 mg/ml-1ml amp - #REF! #REF!
Tiopental Natrium serbuk inj. 1000 mg/amp amp - #REF! #REF!
Tramadol inj. amp 720 #REF! #REF!
Tramadol tab. 50 mg tab - #REF! #REF!
Trifluoperazine 5mg tab - #REF! #REF!
Triheksifenidil Hidroklorida tablet 2 mg tab 450 #REF! #REF!
U pad pcs - #REF! #REF!
Ulsikur injeksi amp - #REF! #REF!
Ultrafix 5cmx5m rol - #REF! #REF!
Urine Bag pcs - #REF! #REF!
Valproat sir 250 mg/5 ml btl - #REF! #REF!
Vicillin injeksi vial 420 #REF! #REF!
Vitamin B Komplex tablet tab 480 #REF! #REF!
Wing Nedle pcs - #REF! #REF!
Xillomidon injeksi vial - #REF! #REF!
Y-Rins btl 23 #REF! #REF!
Zidofudine (ZDV) 100 mg tab - #REF! #REF!
150 mg tab - #REF! #REF!
mg+Nevirapine 50 mg tab - #REF! #REF!
Zinc sir 10 mg/ml btl 2,470 #REF! #REF!
Zinc tablet tab - #REF! #REF!
Sinvastatin tab 20 mg - #REF! #REF!
Alkohol swab - #REF! #REF!
Cartridge GeneXpert - #REF! #REF!
Fluoksetin kap. 20 mg - #REF! #REF!
Reagen HIV Rigsin - #REF! #REF!
Reagen HIV Fokus 26 #REF! #REF!
Reagen HIV TPHA 90 #REF! #REF!
PENGELUARAN SISA Harga AWAL TERIMA Keluar
DLM 1 TAHUN AKHIR Satuan ( Rp. )
6 7
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Sisa
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SATU STOK PENERIMAAN

217 Kombinasi (Pirimetamin 25 mg + Sulfadoksin 500

218 Kombinasi : Ipratropium bromida inhalasi 0,5 mg

434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC)

435 Zidofudine 60 mg+ Lamivudine 30

434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC)

435 Zidofudine 60 mg+ Lamivudine 30

434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC)

435 Zidofudine 60 mg+ Lamivudine 30

434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC)

435 Zidofudine 60 mg+ Lamivudine 30

434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC)

435 Zidofudine 60 mg+ Lamivudine 30

434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC)

435 Zidofudine 60 mg+ Lamivudine 30

434 Zidofudine (ZDV) 300 mg+ Lamivudine (3TC)

435 Zidofudine 60 mg+ Lamivudine 30

215 Kombinasi : Ipratropium bromida inhalasi 0,5 mg

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