Laporan Mutasi Persediaan Obat TH 2018 Rsud CLP

RSUD CILACAP
Jl.Gatot Subroto 28
CILACAP
LAPORAN MUTASI OBAT ALKES DAN BAHP RSUD CILACAP TAHUN 2018
SALDO AWAL PENAMBAHAN PENGELUARAN SALDO AKHIR

01 Januari 2018 01-01-2018 sd 31-12-2018 01-01-2018 sd 31-12-2018 31 Desember 2018
No. NAMA BARANG SAT QTY NILAI QTY NILAI QTY NILAI QTY Harga NILAI
1 2 3 4 5 6 7 8 9 10 11 11
1 A.B.U BIO SAVE 5 ML VIAL AMP 88 39,168,778 175 76,363,000 186 81,932,058 77 436,360 33,599,720
2 A.T.S. 1500 IU AMP 73 9,326,019 - - 44 5,991,019 29 115,000 3,335,000
3 ACARBOSE 100 MG TAB TAB 8,142 20,331,144 40,000 28,337,200 22,939 30,823,866 25,203 708 17,844,478
4 ACARBOSE 50MG TAB TAB 17,097 9,105,349 75,000 39,014,250 86,188 45,046,919 5,909 520 3,072,680
5 ACDAT CR 5 GR (AS.FUSIDAT) TUB 434 2,387,373 - - 434 2,387,373 - - -
6 ACETOSAL 100 MG TABLET TAB - - 21,000 3,711,240 20,942 3,700,974 58 177 10,266
7 ACETYLSISTEINE 200 MG CAP CAP 3,154 1,351,968 33,700 14,445,570 32,316 13,852,316 4,538 429 1,945,223
8 ACID CITRIC CRISTAL GAJAH 5 PCS 1,080 1,588,680 2,000 3,000,000 2,800 4,169,130 280 1,498 419,550
9 ACID SALICYLICUM CRYSTAL GR 75 50,025 - - - - 75 667 50,025
10 ACLAM FORTE SYRUP 60 ML FLS - - 1 87,120 1 87,120 - - -
11 ACYCLOVIR 200MG TABL TAB 3,301 1,277,289 - - 795 304,961 2,506 388 972,328
12 ACYCLOVIR 400MG TABL TAB 1,136 419,445 3,000 1,556,610 3,798 1,800,633 338 519 175,422
13 ACYCLOVIR CREAM 5 GR TUB 48 131,898 - - 48 131,898 - - -
14 ADEPS LANAE 1GR GR - - 3,000 900,000 620 186,000 2,380 300 714,000
15 ADONA (AC-17) TAB TAB - - 40 97,592 40 97,592 - - -
16 ADONA FORTE TAB TAB - - 20 71,368 20 71,368 - - -
17 AFOLAT TABLET TAB - - 6,100 786,107 6,046 779,141 54 129 6,966
18 AKILEN EAR DROP FLS - - 146 8,424,200 72 4,154,400 74 57,700 4,269,800
19 ALAS KAKI OM 100S PSG - - 50 76,000 21 31,920 29 1,520 44,080
20 ALAT BANTU DENGAR EXCLUSIVE PCS 12 7,200,000 70 36,545,455 62 33,303,895 20 522,078 10,441,560
21 ALAT BANTU DNGR SAMORA NO C PCS - - 10 4,546,000 10 4,546,000 - - -
22 ALBAPURE 20 % 100ML FLS - - 60 48,000,000 60 48,000,000 - - -
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23 ALBENDAZOL TAB 400MG TAB 350 145,208 - - 195 82,278 155 406 62,930
24 ALBOTHYL SOL 5 ML FLS - - 2 53,240 2 53,240 - - -
25 ALCO DROP 15ML FLS 4 254,727 160 10,680,000 128 8,531,727 36 66,750 2,403,000
26 ALDOMER TAB 5 MG TAB 173 3,003,453 - - 165 2,881,349 8 15,263 122,104
27 ALEGYSAL 5 CC TM FLS 4 334,400 - - 4 334,400 - - -
28 ALINAMIN F 50MG TAB TAB 301 268,245 160 161,216 432 400,229 29 1,008 29,232
29 ALKOHOL 70 % 1 LTR. FLS 365 8,430,138 660 13,690,905 890 19,320,603 135 20,744 2,800,440
30 ALKOHOL 96 % 1 LTR. FLS - - 2 100,000 - - 2 50,000 100,000
31 ALKOHOL SWAB AXIMED PCS 44,324 6,249,684 267,300 48,615,030 274,408 48,091,402 37,216 182 6,773,312
32 ALKOHOL SWAB E CARE / E CAT PCS - - 10,000 1,789,000 9,997 1,788,463 3 179 537
33 ALKOHOL SWAB REMEDI PCS - - 63 7,056 - - 63 112 7,056
34 ALLOPURINOL 300 MG TAB TAB - - 5,130 854,026 4,969 827,300 161 166 26,726
35 ALOCLAIR GEL FLS - - 1 121,476 1 121,476 - - -
36 ALOPURINOL 100 MG TABL TAB 3,347 630,910 62,300 6,635,342 59,187 6,575,032 6,460 107 691,220
37 ALPRAZOLAM TAB TAB 594 226,166 20,000 5,648,940 16,656 4,764,590 3,938 282 1,110,516
38 AMADIAB 1 MG TAB TAB 116 255,200 - - - 23,200 116 2,000 232,000
39 AMADIAB 2 MG TAB TAB 3 13,017 - - 3 13,017 - - -
40 AMADIAB 3 MG TAB TAB 250 1,294,750 - - 105 569,750 145 5,000 725,000
41 AMADIAB 4 MG TAB TAB 493 3,171,962 - - 161 1,146,762 332 6,100 2,025,200
42 AMBROXOL 15 MG SIRUP 60 ML BTL 491 1,884,674 550 2,227,400 841 3,302,074 200 4,050 810,000
43 AMBROXOL 30 MG TABLET TAB 378 70,520 20,000 3,159,800 18,933 3,002,010 1,445 158 228,310
44 AMBROXOL 30MG SYRUP BTL - - 32 121,312 - - 32 3,791 121,312
45 AMIKACIN 250MG VIA - - 16 964,119 16 964,119 - - -
46 AMIKACIN 500 MG INJ VIA - - 200 5,589,031 108 3,018,091 92 27,945 2,570,940
47 AMINOFLUID L 500 ML FLS 28 1,663,083 560 34,717,027 585 36,194,125 3 61,995 185,985
48 AMINOFUSIN HEPAR 500 ML FLS 59 4,750,803 393 26,849,600 265 18,824,563 187 68,320 12,775,840
49 AMINOFUSIN L 600 ASKES FLS - - 1 41,818 - - 1 41,818 41,818
50 AMINOFUSIN PAED 250 ML FLS - - 1 76,000 - - 1 76,000 76,000
51 AMINOLEBAN 500 ML INFUS FLS 27 1,745,172 150 10,333,932 99 6,705,450 78 68,893 5,373,654
52 AMINOPHYLIN 2,4 % INJEKSI AMP 358 1,103,088 3,600 9,962,118 1,706 4,833,416 2,252 2,767 6,231,790
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53 AMINOPHYLLIN 200 MG TAB TAB 10,296 1,540,987 31,000 2,579,950 15,313 1,964,348 25,983 83 2,156,589
54 AMIODARON INJEKSI AMP 157 1,686,453 125 1,186,375 29 471,605 253 9,491 2,401,223
55 AMIPAREN INFUS FLS 125 9,804,000 - - 18 1,411,776 107 78,432 8,392,224
56 AMITRIPTYLINE 25 MG TAB TAB 4,947 764,431 23,000 3,554,056 27,644 4,271,666 303 155 46,821
57 AMLODIPINE 10 MG TAB TAB 6,964 1,573,516 154,530 109,441,854 141,735 97,025,998 19,759 708 13,989,372
58 AMLODIPINE 5 MG TAB TAB 7,918 1,055,944 49,500 4,438,260 47,496 4,601,224 9,922 90 892,980
59 AMOXICILLIN 1GR INJEKSI AMP - - 323 2,642,786 - - 323 8,182 2,642,786
60 AMOXICILLIN 125 MG/5 ML SIR FLS 86 421,314 130 554,000 133 621,568 83 4,262 353,746
61 AMOXICILLIN 500 MG TABLET TAB 1,246 517,658 18,000 7,478,208 17,578 7,302,886 1,668 415 692,981
62 AMOXSAN CAPS 500MG CAP 312 1,036,464 200 620,000 507 1,640,964 5 3,100 15,500
63 AMOXSAN INJEKSI 1GR VIA 35 937,005 10 207,100 45 1,144,105 - - -
64 AMOXSAN PED DROP 8ML FLS 24 504,260 - - 16 338,580 8 20,710 165,680
65 AMOXSAN SYRUP 125MG/5ML 60 FLS 5 103,550 6 124,260 5 103,550 6 20,710 124,260
66 AMPICILLIN 1 GR INJEKSI VIA 127 1,043,287 1 2,817,099 84 3,506,230 44 8,049 354,156
67 AMPICILLIN 500 MG KAP CAP 1,026 526,338 - - 1,026 526,338 - 605 -
68 ANALSIK TABL TAB 789 952,836 5 10,595,000 654 11,350,016 140 1,413 197,820
69 ANALTRAM TAB TAB 705 5,309,722 8 50,872,500 419 53,819,344 294 8,037 2,362,878
70 ANBACIM 1 GRAM INJEKSI VIA - - 75 4,509,075 4 240,484 71 60,121 4,268,591
71 ANES ET NKK NO 22 RUSH PCS - - 1 650,000 - - 1 650,000 650,000
72 ANES ET NKK NO.20 RUSH PCS - - 1 650,000 - - 1 650,000 650,000
73 ANES LMA SUPREME SU 2,5 PCS - - 5 2,625,000 - - 5 525,000 2,625,000
74 ANES LMA SUPREME SU SIZE 1 PCS 9 3,910,680 1 - 10 3,910,680 - - -
75 ANES LMA SUPREME SU SIZE 2 PCS - - 2 652,680 2 652,680 - 326,340 -
76 ANES LMA SUPREME SU SIZE 3 PCS - - 1 385,347 - - 1 385,347 385,347
77 ANES LMA SUPREME SU SIZE 4 PCS - - 6 2,120,310 - - 6 353,385 2,120,310
78 ANES LMA UNIQUE SIZE 2 PCS 3 752,388 2 375,786 - 188,709 5 187,893 939,465
79 ANES LMA UNIQUE SIZE 2.5 PCS 5 1,379,380 12 3,310,512 16 4,414,016 1 275,876 275,876
80 ANES LMA UNIQUE SIZE 3 PCS 1 250,796 125 27,324,375 118 25,826,411 8 218,595 1,748,760
81 ANES LMA UNIQUE SIZE 4 PCS 5 1,253,980 6 1,127,358 6 1,441,873 5 187,893 939,465
82 ANES NKK 7 PORTEX PCS - - 1 435,000 - - 1 435,000 435,000
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83 ANES NORTH NASAL TRACHEAL T PCS 6 288,000 - - 5 - 1 288,000 288,000
84 ANGINTRIZ MR TABLET TAB - - 11,700 35,100,000 10,655 31,965,000 1,045 3,000 3,135,000
85 ANIOS 85 GEL 1 LITER HAND R FLS 5 454,545 1,940 176,363,460 1,840 167,272,560 105 90,909 9,545,445
86 ANIOS 85 GEL 500 ML HAND RU FLS - - 757 56,430,565 757 56,430,565 - - -
87 ANIOSYME DDI 1ML (UTK ALAT/ ML 50,000 22,600,000 480,000 215,520,000 475,000 213,425,000 55,000 449 24,695,000
88 ANIOSYME SPESIAL DJP SF 1 M ML 10,000 4,600,000 210,000 96,600,000 155,000 71,300,000 65,000 460 29,900,000
89 ANTALGIN 500 MG TAB TAB 2,620 448,937 2,300 394,920 4,746 813,929 174 172 29,928
90 ANTASIDA DOEN SYRUP 60ML FLS 341 1,196,208 750 1,360,223 982 2,358,705 109 1,814 197,726
91 ANTASIDA DOEN TAB. STREP TAB 6,777 1,172,689 16,000 2,768,634 7,352 1,272,187 15,425 173 2,669,136
92 ANTASIDA DOEN TAB. STREP TAB 6,777 1,172,624 16,000 3,063,150 7,352 1,289,599 15,425 191 2,946,175
93 ANTI HEMMOROID SUPP PCS 82 234,274 660 1,937,940 478 1,397,110 264 2,936 775,104
94 ANTRAIN INJEKSI AMP - - 131 1,322,600 63 636,072 68 10,096 686,528
95 APIALYS DROP 10 ML FLS 30 990,000 90 3,262,500 99 3,491,250 21 36,250 761,250
96 APIALYS SYRUP 100ML FLS 6 165,000 - - 2 55,000 4 27,500 110,000
97 APRON PCS - - 2,200 7,326,200 2,122 7,066,460 78 3,330 259,740
98 APRON ONE MED PCS - - 2,510 5,954,600 960 2,278,000 1,550 2,372 3,676,600
99 APTIL 10 ML FLS - - 10 175,000 10 175,000 - - -
100 AQUA DM 1 LT BRATACO FLS - - 200 660,000 200 660,000 - - -
101 AQUA PRO INJ 25 ML - OTSUKA FLS 5,760 14,450,112 23,040 59,904,000 24,840 64,058,112 3,960 2,600 10,296,000
102 AQUADEST 1 LITER IRIGASI SA PCS - - 120 1,607,338 118 1,580,550 2 13,394 26,788
103 AQUADEST 1LT IRIGASI OTSUKA FLS 18 356,400 - - 18 356,400 - - -
104 AQUADEST 1LT IRIGASI WIDATR FLS 424 7,627,582 450 4,295,250 725 10,500,627 149 9,545 1,422,205
105 AQUADEST BAHP 1LT FLS 240 625,200 7,100 19,817,632 5,795 16,130,737 1,545 2,791 4,312,095
106 ARCALION 200 DRAG TAB 120 734,821 - - 120 734,821 - - -
107 ARDIUM TAB TAB 264 1,891,169 - - 264 1,891,169 - - -
108 ARIXTRA 2.5MG INJEKSI VIA 89 19,890,612 1,100 248,949,964 955 215,882,164 234 226,318 52,958,412
109 ARM SLING APM PCS - - 1 22,727 - - 1 22,727 22,727
110 ARM SLING ONE MED ALL SIZE PCS 138 2,001,555 188 2,707,200 230 3,326,355 96 14,400 1,382,400
111 ASAM MEFENAMAT TABLET 500 TAB 6,195 1,430,645 98,000 22,631,675 102,087 23,575,509 2,108 231 486,812
112 ASAM TRANEKSAMAT 250MG INJE AMP 1,530 6,043,745 1,000 2,455,910 1,572 6,146,807 958 2,456 2,352,848
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113 ASAM TRANEKSAMAT 500MG INJE AMP 2,471 23,130,413 11,000 35,913,620 11,008 51,002,338 2,463 3,265 8,041,695
114 ASAM TRANEKSAMAT TABLET 500 TAB 1,747 2,385,266 7,300 13,140,000 8,643 14,798,066 404 1,800 727,200
115 ASAM VALPROAT SYRUP FLS 159 4,003,908 2,156 57,684,782 1,919 51,093,710 396 26,755 10,594,980
116 ASERING INFUS FLS 6 50,641 100 876,909 48 418,948 58 8,769 508,602
117 ASERING SOFTBAG 500 ML FLS - - 100 876,909 100 876,909 - - -
118 ASMA SOHO TAB - - 820 437,528 235 125,138 585 534 312,390
119 ASPILETS 80 MG CHEWABLE TAB - - 18,100 9,659,780 2,819 1,499,726 15,281 534 8,160,054
120 ASPIRATOR PCS 3 247,500 4 300,000 3 247,500 4 75,000 300,000
121 ASSUCRYL 0 TAPER HRG-38 STR - - 144 8,222,400 124 7,080,400 20 57,100 1,142,000
122 ASSUCRYL 1 CUTTING TS-40 PCS 21 1,323,042 204 12,544,368 151 9,317,002 74 61,492 4,550,408
123 ASSUCRYL 1 TAPER HRG-40 PCS 2 126,674 264 16,233,888 218 13,408,946 48 61,492 2,951,616
124 ASSUCRYL 2 CATING TS-50 PCS 77 4,876,949 - - 7 443,359 70 63,337 4,433,590
125 ASSUCRYL 2 TAPER HRG-50 PCS 69 5,076,399 - - 21 2,036,223 48 63,337 3,040,176
126 ASSUCRYL 2/0 CUTTING TS-27 PCS 45 2,432,295 216 11,384,784 228 12,077,748 33 52,707 1,739,331
127 ASSUCRYL 2/0 TAPER HR -27 STR - - 108 5,692,464 12 632,496 96 52,708 5,059,968
128 ASSUCRYL 2/0 TAPER HRG-30 PCS 164 10,387,268 - - 131 8,297,147 33 63,337 2,090,121
129 ASSUCRYL 3/0 CUTTING TS-27 PCS 29 1,731,793 - - 13 863,185 16 54,288 868,608
130 ASSUCRYL 3/0 TAPER HR-27 PCS 30 1,628,640 - - 30 1,628,640 - - -
131 ASSUCRYL 4/0 CUTTING TS-19 PCS - - 2 108,576 2 108,576 - 54,288 -
132 ASSUCRYL 4/0 TAPER PCS 23 1,248,624 - - 11 597,168 12 54,288 651,456
133 ASSUCRYL 8/0 CUTTING 2X TSP PCS 23 4,821,513 - - 4 838,524 19 209,631 3,982,989
134 ASTHENOF E.D 5 ML FLS - - 306 6,643,370 209 4,537,500 97 21,710 2,105,870
135 ASTHENOF E.D MINIDOSE STR 196 4,020,495 115 2,407,500 311 6,427,995 - - -
136 ASTHIN FORCE TAB - - 12 83,340 12 83,340 - 6,945 -
137 ASTHIN FORCE SYR 60 ML FLS 5 202,025 - - 5 202,025 - - -
138 ATAROC 25 TAB TAB - - 125 125 125 125 - 1 -
139 ATORVASTATIN 10 MG TAB TAB - - 21,990 21,990,000 21,982 21,982,000 8 1,000 8,000
140 ATORVASTATIN 20 MG TABLET TAB 773 1,062,875 44,820 32,393,629 45,399 33,316,242 194 723 140,262
141 ATROPIN 0,25 MG/ML AMP. 1 M AMP 973 1,603,922 1,500 2,175,000 1,468 2,321,672 1,005 1,450 1,457,250
142 AUGENTONIC E.D MINI DOSE STR 139 3,010,309 - - 77 1,669,559 62 21,625 1,340,750
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143 AUTOCLAP TAPE 3/4~ ROL 4 774,400 - - 4 774,400 - - -
144 AVAMYS SPRAY FLS 28 2,647,972 133 14,163,555 105 10,847,919 56 106,493 5,963,608
145 AVESCO 40 MG TABLET TAB - - 15,000 153,000,000 4,693 47,868,600 10,307 10,200 105,131,400
146 AVODART 0.5 MG CAP TAB - - 4,510 19,332,360 1,372 5,879,754 3,138 4,287 13,452,606
147 AZITHROMYCIN 500MG TAB TAB - - 6,400 10,484,640 4,461 7,308,558 1,939 1,638 3,176,082
148 AZITHROMYCIN SYR 60 ML 200M FLS 33 252,883 10 650,000 24 212,594 19 36,331 690,289
149 BABY OIL CUSSONS 100 ML FLS 9 116,100 - - 9 116,100 - - -
150 BACTESYN 375MG TAB TAB 229 3,893,000 - - 78 1,326,000 151 17,000 2,567,000
151 BACTESYN 750 MG INJ VIA 18 770,691 882 34,869,086 774 30,658,493 126 39,534 4,981,284
152 BACTIGRAS 10 X 10 CM PCS - - 1,550 15,190,000 909 8,908,200 641 9,800 6,281,800
153 BACTROBAN 2% OINT 10GR TUB - - 18 1,107,000 18 1,107,000 - - -
154 BAMGETOL TABL. 200MG TAB 1,581 2,475,767 100 217,800 1,587 2,488,835 94 2,178 204,732
155 BANADOZ 100 MG TAB (CEFPODO TAB 55 203,500 - - 55 203,500 - - -
156 BANTIF CHILD SIR. 60 ML FLS 32 316,338 20 194,000 12 122,338 40 9,700 388,000
157 BARIUM SULFAT PER 1 GR FLS - - 35,500 31,931,725 30,500 27,436,725 5,000 899 4,495,000
158 BAYCLEAN 0,5 L FLS 48 472,800 - - 44 433,400 4 9,850 39,400
159 BECEFORT DRAGEE TAB 709 1,097,532 - - 243 441,870 466 1,407 655,662
160 BENUTRION VE INF FLS 28 2,819,600 52 5,410,988 79 8,126,531 1 104,057 104,057
161 BEROTEC 0,1 % SOL FLS - - 1 75,624 1 75,624 - 75,624 -
162 BEROTEC 100 MCG MDI FLS - - 1,376 144,121,243 1,240 129,876,739 136 104,739 14,244,504
163 BESTALIN TAB TAB 288 982,080 - - 210 740,280 78 3,100 241,800
164 BETADIN SKIN CLEANSER 60ML FLS 10 193,118 10 192,500 2 39,118 18 19,250 346,500
165 BETADIN SOL 60 ML FLS - - 220 4,777,740 167 3,626,739 53 21,717 1,151,001
166 BETADINE GARGLE 100ML FLS - - 105 1,096,100 93 970,832 12 10,439 125,268
167 BETADINE GARGLE 175 ML FLS 1 16,000 - - 1 16,000 - - -
168 BETADINE GARGLE 190ML FLS 16 257,600 - - 16 257,600 - - -
169 BETADINE OINT 10 GRAM TUB 16 224,848 1 17,484 17 242,332 - - -
170 BETADINE SC ANTISEPTIK 100 FLS - - 2 65,220 2 65,220 - - -
171 BETADINE SOL 1 CC ML 40,000 5,960,320 433,000 58,768,930 441,000 60,377,250 32,000 136 4,352,000
172 BETAHISTIN TAB 6MG TAB 6,614 1,627,309 23,250 4,756,758 24,530 5,290,597 5,334 205 1,093,470
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173 BETAMETASON CREAM 5GR TUB 652 986,809 2,520 3,102,579 2,809 3,642,535 363 1,231 446,853
174 BETASON N CREAM TUB 71 789,875 100 1,225,000 110 1,267,625 61 12,250 747,250
175 BIO ATP TAB TAB 159 355,842 - - 159 355,842 - - -
176 BIO CURLIV KAP CAP 160 1,064,078 4,080 26,520,000 4,055 26,381,578 185 6,500 1,202,500
177 BIOCREAM 20 GRAM TUB 20 449,263 60 1,347,789 68 1,527,495 12 22,463 269,558
178 BIONEMI TAB TAB 463 696,894 - - 455 684,894 8 1,500 12,000
179 BIOPLACENTON 15 GR TUB - - 18 270,135 18 270,135 - - -
180 BIOSANBE CAPS CAP 13 12,441 - - 13 12,441 - - -
181 BIOTES (ALBUMIN 20%) 100 ML FLS - - 130 103,454,540 130 103,454,540 - - -
182 BIOTES (ALBUMIN 20%) 50ML FLS 16 5,952,000 240 92,851,200 236 91,065,600 20 386,880 7,737,600
183 BIOTHICOL 500 MG CAP CAP 100 363,000 - - 14 79,200 86 3,300 283,800
184 BIOTHICOL DRY SYR FLS - - 1 24,079 1 24,079 - - -
185 BIOTHICOL FORTE SYR FLS 4 224,224 - - 4 224,224 - - -
186 BISAKODIL TAB 5 MG TAB 510 139,230 8,890 1,088,363 6,766 906,245 2,634 122 321,348
187 BISOLVON AMP AMP - - 18 1,444,496 17 1,364,246 1 80,250 80,250
188 BISOLVON EXTRA SYR 60 ML FLS - - 15 510,000 1 34,000 14 34,000 476,000
189 BISOLVON SOL [DROP] FLS 34 1,826,247 51 3,687,876 76 4,863,324 9 72,311 650,799
190 BISOPROLOL 5 TAB TAB 3,115 3,074,505 116,000 28,958,550 99,659 27,169,055 19,456 250 4,864,000
191 BORAGINOL N OINT 15 GRAM TUB 2 112,926 - - - - 2 56,463 112,926
192 BORAGINOL S OINT TUB 2 152,076 - - - - 2 76,038 152,076
193 BORAX GLYCERIN ( GOM ) 8 ML FLS 23 58,857 10 30,250 33 89,107 - - -
194 BORRAGINOL N-OINT TUB 3 172,218 10 564,650 10 567,473 3 56,465 169,395
195 BORRAGINOL-S TUB 3 228,120 10 760,400 11 836,440 2 76,040 152,080
196 BOTOL PLASTIK 50 & 60 M PCS - - 200 100,000 200 100,000 - - -
197 BOTOL PLASTIK 500 ML PCS - - 8 24,000 8 24,000 - 3,000 -
198 BOTOL PLASTIK TETES 10ML PCS 28 29,260 - - 14 14,630 14 1,045 14,630
199 BRAINACT 250MG INJEKSI AMP 3 141,087 - - - 12,087 3 43,000 129,000
200 BRAINACT 500MG INJEKSI AMP - - 20 1,332,000 16 1,065,600 4 66,600 266,400
201 BRAINACT ODIS TABLET TAB 94 1,235,442 - - 94 1,235,442 - - -
202 BRAINACT ORAL TABL 500MG TAB - - 90 1,080,000 68 816,000 22 12,000 264,000
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203 BRAXIDIN TAB TAB 1,279 1,118,613 4,700 4,845,080 5,837 5,817,291 142 1,031 146,402
204 BREATH CIRCUIT ANESTESI HUD PCS - - 18 1,742,400 - - 18 96,800 1,742,400
205 BREATHING CIRCUIT ALTERA 11 PCS 11 979,000 95 8,027,500 89 7,570,000 17 84,500 1,436,500
206 BREATHING CIRCUIT ALTERA 14 PCS - - 8 647,272 - - 8 80,909 647,272
207 BREATHING CIRCUIT VENSTAR PCS - - 50 5,320,000 32 3,404,800 18 106,400 1,915,200
208 BREATHY TTS HIDUNG FLS 18 336,906 63 2,231,950 59 1,789,440 22 35,428 779,416
209 BUFECT SYR 60 ML FLS 59 801,271 - - 57 774,371 2 13,450 26,900
210 BUNASCAN SPINAL INJ AMP 126 7,015,680 450 27,000,000 576 34,015,680 - - -
211 BURNAZIN CREAM 35 GRAM TUB 33 2,042,106 1 61,650 33 2,042,106 1 61,650 61,650
212 BUSCOPAN INJEKSI AMP - - 130 4,046,900 74 2,303,620 56 31,130 1,743,280
213 BUSCOPAN PLUS TAB TAB 28 100,731 800 3,033,700 627 2,372,239 201 3,792 762,192
214 BUSCOPAN TAB TAB 1 2,702 300 843,000 - 16,146 301 2,756 829,556
215 CA GLUCONAS 10 % INJ. 10 ML AMP 112 1,150,223 446 4,653,262 336 3,487,359 222 10,433 2,316,126
216 CACO3 500MG CAPSUL CAP 1,015 101,500 - - 1,015 101,500 - - -
217 CALCIUM CARBONAT POWDER 1 G PCS - - 300 2,400 300 2,400 - 8 -
218 CALCIUM LACTATE TAB 13,569 1,050,919 15,000 2,323,500 25,056 2,829,904 3,513 155 544,515
219 CALCUSOL CAPS CAP - - 1,900 2,647,488 1,889 2,632,165 11 1,393 15,323
220 CALNIC SUSP FLS 5 230,083 65 3,575,000 31 1,660,083 39 55,000 2,145,000
221 CALOREX SYRUP FLS - - 48 600,000 20 250,000 28 12,500 350,000
222 CALOS TAB TAB 1 789 33,660 26,941,710 30,773 24,632,099 2,888 800 2,310,400
223 CALPOROSIS D 500 TAB TAB 251 98,141 60,300 23,572,500 60,551 23,670,641 - 391 -
224 CANDESARTAN TABLET 16MG TAB 8 43,288 900 734,724 908 778,012 - - -
225 CANDESARTAN TABLET 8MG TAB - - 1,500 707,715 1,492 703,939 8 472 3,776
226 CAPSUL KOSONG 2 PCS 5,571 213,802 32,000 1,228,088 33,949 1,302,886 3,622 38 139,004
227 CAPSUL KOSONG 3 PCS 10,436 394,228 66,000 2,493,202 72,089 2,723,219 4,347 38 164,211
228 CAPSUL KOSONG NO 00 PCS 8,130 588,553 20,000 1,447,856 23,593 1,707,963 4,537 72 328,446
229 CAPSUL KOSONG O PCS 2,347 105,615 10,000 450,000 4,833 217,485 7,514 45 338,130
230 CAPTOPRIL 12,5MG TABL TAB 1,166 67,080 - - 991 56,930 175 58 10,150
231 CAPTOPRIL 25MG TAB TAB 11,852 1,363,415 5,000 575,184 12,975 1,492,601 3,877 115 445,997
232 CARBAMAZEPINE 200 TAB TAB 1,579 327,437 5,000 1,045,450 6,574 1,371,842 5 209 1,045
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233 CARBAZOCHROME INJ AMP 25 298,000 300 3,576,000 324 3,862,080 1 11,920 11,920
234 CARPINE 1% ED 5 ML FLS - - 315 4,882,500 267 4,138,500 48 15,500 744,000
235 CARPINE 2% ED 5 ML FLS 28 585,200 120 2,280,000 60 1,193,200 88 19,000 1,672,000
236 CARTILO 80 ( AS ASETIL SALI TAB - - 900 554,400 900 554,400 - - -
237 CATAFLAM 25 MG TAB TAB - - 10 33,275 10 33,275 - - -
238 CATAFLAM 50 MG TAB 304 1,549,488 - - 304 1,549,488 - - -
239 CATAPRES 0.15 AMP INJEKSI AMP 81 2,492,488 - - 29 951,416 52 29,636 1,541,072
240 CATARLENT E.D 15 ML FLS 80 2,450,000 300 9,187,500 278 8,513,750 102 30,625 3,123,750
241 CATHEJELL WITH LIDOCAIN TUB 10 436,800 - - 10 436,800 - - -
242 CEDOCARD INJEKSI AMP - - 15 1,170,069 14 1,092,064 1 78,005 78,005
243 CEDOCARD TAB 10MG TAB 463 781,081 - - 282 503,427 181 1,534 277,654
244 CEDOCARD TAB 5MG TAB 875 994,875 - - 521 628,839 354 1,034 366,036
245 CEFADROXIL SYRUP BTL 56 382,292 400 2,516,332 373 2,376,471 83 6,291 522,153
246 CEFAT CAPS 500MG CAP - - 46 443,900 - - 46 9,650 443,900
247 CEFAT FORTE SYRUP 60 ML FLS 5 56,425 - - 5 56,425 - 26,000 -
248 CEFAZOLIN INJEKSI 1GR VIA 219 3,350,669 3,090 35,065,062 2,661 31,062,227 648 11,348 7,353,504
249 CEFIXIM 200MG CAPLET CAP 1,103 2,316,013 25,500 122,751,000 20,401 95,210,585 6,202 4,814 29,856,428
250 CEFIXIM SYR 100 MG/5ML FLS 28 425,961 250 6,947,300 245 6,456,224 33 27,789 917,037
251 CEFIXIME 50 MG CAP - - 62,000 60,202,405 57,824 56,147,509 4,176 971 4,054,896
252 CEFOMAX 1 GR INJEKSI VIA - - 1,513 205,420,000 1,463 198,631,500 50 135,770 6,788,500
253 CEFOPERAZON 1 G INJ VIA 85 5,532,225 750 60,000,000 727 56,892,225 108 80,000 8,640,000
254 CEFOTAXIME 1 GR INJEKSI VIA 409 2,273,725 6,550 51,014,780 5,022 38,201,212 1,937 7,789 15,087,293
255 CEFSPAN 100 MG CAP CAP 98 2,132,872 - - 98 2,132,872 - - -
256 CEFSPAN DRY SYRUP FLS 4 403,060 3 276,000 5 495,060 2 92,000 184,000
257 CEFTAZIDINE 1 GR INJEKSI VIA 196 2,380,108 2,208 20,420,527 2,196 20,877,051 208 9,248 1,923,584
258 CEFTIZOXIME 1 GR INJEKSI VIA 104 10,575,327 1,570 156,000,000 1,640 163,196,985 34 99,363 3,378,342
259 CEFTRIAXONE IGR INJEKSI VIA - - 25,680 398,567,095 23,970 372,026,185 1,710 15,521 26,540,910
260 CEFTRIMET 1 GR INJEKSI VIA 10 280,640 - - 10 280,640 - 171,000 -
261 CEFXON 1 GR INJ VIA 100 20,002,362 440 90,200,000 475 96,877,362 65 205,000 13,325,000
262 CELEBREX 100 MG CAP - - 64 751,940 64 751,940 - - -
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263 CELLCEPT 500 MG TAB TAB 100 1,687,500 - - 100 1,687,500 - - -
264 CENDO GLAOPEN STRIP TM STR 75 6,768,750 - - 75 6,768,750 - - -
265 CENDRID E.D. 5 ML FLS 15 274,438 - - 7 153,438 8 15,125 121,000
266 CENFRESH E.D 5ML FLS 22 843,986 30 1,046,250 24 913,736 28 34,875 976,500
267 CENFRESH E.D.STREP STR 8 184,000 85 1,979,150 68 1,581,050 25 23,284 582,100
268 CERNEVIT 1 INJEKSI VIA - - 50 8,150,000 49 7,987,000 1 163,000 163,000
269 CERTOFIX DUO V 1215 PCS - - 3 1,909,092 2 1,272,728 1 636,364 636,364
270 CERTOFIX DUO V 1220 PCS 1 921,212 3 2,590,908 4 3,512,120 - - -
271 CERVICAL COLLAR KAKU VERTEB PCS 1 423,444 10 4,138,750 9 3,734,444 2 413,875 827,750
272 CERVICAL COLLAR MEDIUM BSN PCS - - 16 1,918,862 14 1,679,004 2 119,929 239,858
273 CERVICAL COLLAR SOFT BSN PCS 4 485,569 87 10,901,250 54 6,750,645 37 125,302 4,636,174
274 CERVICAL COLLAR SOFT MAKIDA PCS 2 220,000 5 500,000 7 720,000 - - -
275 CETADOP (DOPAMIN) INJ AMP - - 750 4,200,000 56 313,600 694 5,600 3,886,400
276 CETIRIZIN DROP 12ML FLS - - 110 2,750,000 62 1,550,000 48 25,000 1,200,000
277 CETIRIZINE SYR 5 MG/ 5ML 60 FLS 75 694,977 90 854,150 120 1,122,032 45 9,491 427,095
278 CETIRIZINE TAB 10MG TAB 2,814 575,519 24,000 5,519,085 24,033 5,454,974 2,781 230 639,630
279 CHANNA CAPS CAP 667 3,404,922 21,850 132,106,895 21,868 131,587,963 649 6,046 3,923,854
280 CHLORAETHYL 100 ML FLS - - 20 5,122,727 10 2,561,367 10 256,136 2,561,360
281 CHLORAMFENICOL 250 MG CAP CAP 3,000 3,900,000 - - 1,767 2,724,951 1,233 953 1,175,049
282 CHLORAMPHENICOL 0.250 CAP CAP - - 104 47,528 - - 104 457 47,528
283 CHLORAMPHENICOL SALEP MATA TUB 72 121,914 152 1,244,880 224 1,366,794 - 1,710 -
284 CHLOROQUIN 150 MG TAB. TAB - - 67 5,918 67 5,918 - - -
285 CHLORPROMAZINE 100 MG TAB TAB 5,633 870,632 29,000 4,482,219 17,132 2,647,910 17,501 155 2,704,942
286 CHLORPROMAZINE 25 MG TAB SA TAB 803 118,844 - - 802 118,709 1 135 135
287 CHROMIC 0 TAPER HRG 38 STR 185 8,027,409 1,032 43,877,544 1,090 46,505,294 127 42,517 5,399,659
288 CHROMIC 1 ROLL PER 1 M (75 MTR 150 1,500,150 - - 150 1,500,150 - - -
289 CHROMIC 1 TAPER HRG 38 STR - - 152 6,462,584 142 6,037,414 10 42,517 425,170
290 CHROMIC 1 TAPER HRG-40 STR 168 7,346,181 528 22,448,976 665 28,477,130 31 42,517 1,318,027
291 CHROMIC 2 TAPER HRG-50 STR - - 1,356 58,116,875 1,204 51,602,307 152 42,859 6,514,568
292 CHROMIC 2 150 CM 48MM TRITO STR - - 67 3,107,728 67 3,107,728 - 46,384 -
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293 CHROMIC 2/0 135 CM 36MM TRI STR - - 540 37,806,869 271 18,973,372 269 70,013 18,833,497
294 CHROMIC 2/0 CATTING TS-24 STR 276 9,581,892 1,008 34,312,942 1,064 36,405,814 220 34,041 7,489,020
295 CHROMIC 2/0 TAPER DEMEGUT STR 3 89,715 - - 3 89,715 - - -
296 CHROMIC 2/0 TAPER HRG-38 STR 131 5,712,700 1,548 66,372,903 1,500 64,410,620 179 42,877 7,674,983
297 CHROMIC 3/0 CUTTING TS-24 STR 25 958,000 36 1,217,556 41 1,499,136 20 33,821 676,420
298 CHROMIC 3/0 ROLL 100 (1 M) MTR 100 845,300 - - 100 845,300 - - -
299 CHROMIC 3/0 TAPER HR-27 STR 66 2,299,176 - - 28 975,408 38 34,836 1,323,768
300 CHROMIC 4/0 CUTTING TS-19 STR 27 1,452,843 - - 27 1,452,843 - - -
301 CHROMIC 4/0 ROLL 1 M (100 M MTR 100 866,200 - - 100 866,200 - - -
302 CHROMIC 4/0 TAPER HR-17 STR 4 193,044 - - 4 193,044 - - -
303 CILOSTAZOL 100 MG TAB TAB 2,680 24,500,855 8,500 80,750,000 7,202 67,459,855 3,978 9,500 37,791,000
304 CIMETIDINE 200 TAB TAB 3,692 613,906 1,000 145,950 223 107,382 4,469 146 652,474
305 CINAM INJ VIA 1 123,524 1,380 184,776,682 1,333 178,473,198 48 133,896 6,427,008
306 CINOLON N CREAM 10 GRAM TUB - - 7 113,400 - - 7 16,200 113,400
307 CIPROFLOXACIN INFUS 100ML FLS - - 2,948 26,424,374 1,959 17,559,967 989 8,963 8,864,407
308 CIPROFLOXACIN TABLET 500MG TAB 6,584 2,623,000 13,000 9,100,000 16,357 9,464,100 3,227 700 2,258,900
309 CITAZ 100MG TAB TAB 363 2,541,000 - - 85 771,808 278 6,364 1,769,192
310 CITICHOLIN INJEKSI 1000 MG/ AMP - - 1 40,000 - - 1 40,000 40,000
311 CITICHOLIN INJEKSI 250MG AMP 3,486 68,457,580 - - 2,513 61,160,080 973 7,500 7,297,500
312 CITICHOLIN INJEKSI 500MG AMP 5,109 71,832,029 6,500 77,500,000 11,605 149,284,337 4 11,923 47,692
313 CITICHOLIN TABLET 500MG TAB 27 188,848 11,940 76,941,990 11,266 72,613,594 701 6,444 4,517,244
314 CLANEKSI FORTE SYR FLS - - 6 426,082 6 426,082 - - -
315 CLANEKSI INJEKSI VIA 339 30,184,309 2,004 187,765,231 2,328 216,544,115 15 93,695 1,405,425
316 CLANEKSI SYR 60 ML FLS - - 138 7,046,734 119 6,076,537 19 51,063 970,197
317 CLARIHIS 10 MG TAB TAB 4 17,212 - - 4 17,212 - - -
318 CLARITHROMYCIN 500MG TABLET TAB 380 1,110,789 12 157,736 362 874,175 30 13,145 394,350
319 CLINDAMYCIN 150MG CAPS CAP - - 2,000 1,300,000 433 281,450 1,567 650 1,018,550
320 CLINDAMYCIN 300 CAPS CAP 1,638 2,789,514 3,500 4,126,500 3,588 5,088,564 1,550 1,179 1,827,450
321 CLINIMIX 1 LTR ( UMUM ) FLS 10 2,046,984 361 76,393,551 324 68,494,583 47 211,616 9,945,952
322 CLINOLEIC 20% INFUS 250ML FLS 17 2,613,750 40 6,150,000 56 8,610,000 1 153,750 153,750
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323 CLOBAZAM 10 MG TAB 838 742,166 10,000 6,718,100 9,333 6,448,906 1,505 672 1,011,360
324 CLOMIFENE SITRAT 50 MG TAB TAB - - 150 231,750 - - 150 1,545 231,750
325 CLONAZEPAM TAB 2 MG TAB 100 431,800 - - 27 116,586 73 4,318 315,214
326 CLONEX 500 MG TAB CAP 1,348 3,522,324 - - 1,342 3,508,074 6 2,375 14,250
327 CLONEX INJ.500 MG AMP 2 22,990 - - 2 22,990 - - -
328 CLONIDINE 0,15 MG TAB TAB 10,558 1,689,597 87,000 14,933,700 75,039 12,750,029 22,519 172 3,873,268
329 CLOPIDOGREL 75 MG TAB TAB - - 115,350 167,147,772 110,917 160,724,355 4,433 1,449 6,423,417
330 CLOZAPINE 100 MG TAB TAB 910 4,191,779 22,550 68,180,450 23,004 70,993,285 456 3,024 1,378,944
331 CLOZAPINE 25 MG TAB TAB 1,562 2,253,451 16,000 17,754,190 16,708 19,059,701 854 1,110 947,940
332 CO-AMOXYCLAV 500MG TAB TAB 411 2,071,588 3,360 17,225,480 2,875 14,703,276 896 5,127 4,593,792
333 CODEIN 20 MG TABLET TAB 2,288 2,776,328 5,000 5,904,550 6,490 7,739,030 798 1,180 941,848
334 COLCITINE 0.5 GR TABLET TAB - - 150 313,500 148 309,320 2 2,090 4,180
335 COLISTINE 1,50 MIU TAB. TAB 118 726,880 - - 32 245,280 86 5,600 481,600
336 COLLACURE 50 X 50 X 5 PCS - - 140 39,443,040 112 31,554,432 28 281,736 7,888,608
337 COLOSTOMY BAG 15 X 25CM POE PCS - - 1,200 9,000,000 702 5,265,000 498 7,500 3,735,000
338 COLSANCETIN INJEKSI 1GR VIA 90 653,400 11 168,948 100 806,989 1 15,359 15,359
339 COMAFUSIN HEPAR INFUS FLS 49 3,690,223 137 9,261,200 82 5,921,023 104 67,600 7,030,400
340 COMBANTRIN 250MG TAB 1 3,990 - - - - 1 3,990 3,990
341 COMBIVENT UDV NEBULIZER AMP 5,210 26,085,689 8,220 62,379,121 11,085 70,668,605 2,345 7,589 17,796,205
342 COMTUSI SYR.60 SEMUA RASA FLS - - 8 340,844 - - 8 42,606 340,844
343 COMTUSI SYRUP 100 ML FLS 10 543,790 - - 10 543,790 - - -
344 CONCOR 10 MG TABLET TAB - - 9,000 24,138,000 8,000 21,456,000 1,000 2,682 2,682,000
345 CONCOR 2.5 MG TAB TAB 883 518,745 63,000 34,197,240 32,018 17,413,290 31,865 543 17,302,695
346 CONVER E.D 2 % FLS 53 757,900 8 104,000 - 68,900 61 13,000 793,000
347 CONVERS E.D. MINI DOSE STR 8 105,056 - - 8 105,056 - - -
348 CORSANEURON TABLET TAB 3,254 1,952,400 75,000 50,400,000 67,380 45,045,072 10,874 672 7,307,328
349 CORTIDEX 0,5 MG TAB TAB - - 208 52,000 208 52,000 - 250 -
350 COTRIMOXAZOL 480 MG TAB TAB - - 2,707 370,859 2,707 370,859 - 137 -
351 COTRIMOXAZOL SIRUP 60ML FLS 45 229,474 24 118,680 23 120,684 46 4,945 227,470
352 COTRIMOXAZOLE FORTE 960 MG TAB 2,973 1,278,331 6,000 3,090,920 6,814 3,257,366 2,159 515 1,111,885
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353 COTTON BUD SELECTION BOX BOX - - 9 90,000 9 90,000 - - -
354 COTTON BUDS 1 SACHET STR 68 56,780 120 91,080 78 64,370 110 759 83,490
355 CPAP BC 190 NASAL TUB SIZE PCS - - 43 23,229,000 39 21,068,164 4 540,209 2,160,836
356 CPAP BC 5040 NASAL PRONG PCS - - 9 2,030,400 - - 9 225,600 2,030,400
357 CPAP BC161 INF DEL SYS COMP PCS 2 4,051,080 8 13,392,000 10 17,443,080 - - -
358 CPAP BC191 NASAL TUBING M PCS - - 5 2,610,000 5 2,610,000 - - -
359 CPAP BC3020 NASAL PRONG PCS 31 8,552,280 - - 4 1,780,680 27 250,800 6,771,600
360 CPAP BC303 INF BONNET 22-25 PCS - - 1 789,900 1 789,900 - 789,900 -
361 CPAP BC306 INF BONNET 25-29 PCS - - 8 5,011,200 8 5,011,200 - - -
362 CPAP BC309 INF BONNET 29-36 PCS - - 30 20,236,800 7 4,721,920 23 674,560 15,514,880
363 CPAP BC3520 NASAL PRONG PCS 28 7,724,640 - - 7 2,457,840 21 250,800 5,266,800
364 CPAP BC800 NASAL MASK S PCS 11 6,147,438 10 3,396,000 9 5,468,238 12 339,600 4,075,200
365 CPAP BC802 NASAL MASK L PCS - - 10 3,396,000 3 1,018,800 7 339,600 2,377,200
366 CPAP GAS SUPLAI 1.8MM PCS - - 7 1,176,000 1 168,000 6 168,000 1,008,000
367 CPAP INFANT BONNET M POLOS PCS - - 1 789,900 1 789,900 - 789,900 -
368 CPAP INFANT BONNET S POLOS PCS - - 1 789,900 1 789,900 - 789,900 -
369 CPAP INFANT DELIV COMPLETE SET 16 30,533,760 - - 16 30,533,760 - - -
370 CPAP INFANT T-PIECE RESUSIT PCS - - 1 1,650,000 1 1,650,000 - 1,650,000 -
371 CPAP MEDIKA BONNET M PCS 2 948,640 - - 2 948,640 - - -
372 CPAP MEDIKA MASK S PCS 7 1,956,570 - - - 177,870 7 254,100 1,778,700
373 CPAP PRONG KIT (10FR) M GGM PCS - - 1 411,000 1 411,000 - 411,000 -
374 CPAP PRONG KIT (5&7.5) S GG PCS - - 31 12,741,000 - - 31 411,000 12,741,000
375 CPAP PRONG KIT(12.5) L GGM PCS - - 12 4,932,000 - - 12 411,000 4,932,000
376 CPG 75MG TAB TAB 90 1,373,064 4 - 9 160,454 85 14,266 1,212,610
377 CRAVIT 500 MG TABL TAB 137 5,575,900 7 - 33 1,468,900 111 37,000 4,107,000
378 CRAVOX 500 TABL TAB 132 4,297,920 4 1,050,000 94 3,877,920 42 35,000 1,470,000
379 CRAVOX INFUS FLS 8 1,760,000 2 - 10 1,760,000 - - -
380 CRIPSA TAB (BROMOKRIPTIN) TAB 307 4,682,269 630 9,180,347 589 8,791,560 348 14,572 5,071,056
381 CROME INJEKSI AMP 21 399,000 - - 16 304,000 5 19,000 95,000
382 CSSD AUTOCLAVE TAPE GREEN ROL - - 82 5,581,970 82 5,581,970 - - -
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383 CSSD DICK TEST PACK AXIMED ROL - - 20 1,098,000 20 1,098,000 - - -
384 CSSD INDIC. CLASS 4 AXIMED ROL - - 1 274,300 1 274,300 - - -
385 CSSD INDICATOR AC DOUBLE ST BOX - - 3 1,320,000 3 1,320,000 - - -
386 CSSD INDIKATOR BIOLOGI BOX - - 3 3,570,000 3 3,570,000 - - -
387 CSSD LABEL RECORD GREEN GKE BOX - - 1 5,103,000 1 5,103,000 - - -
388 CSSD STERILIZATION 15CMX200 ROL - - 3 1,980,000 3 1,980,000 - - -
389 CSSD STERILIZATION 15X5X100 ROL - - 3 1,314,135 3 1,314,135 - - -
390 CSSD STERILIZATION 20 X 5,5 ROL - - 18 16,672,880 18 16,672,880 - - -
391 CSSD STERILIZATION 20MM X 1 ROL - - 10 9,576,000 10 9,576,000 - - -
392 CSSD STERILIZATION 25 X 5,5 ROL - - 1 1,022,000 1 1,022,000 - - -
393 CSSD STERILIZATION 250MMX10 ROL - - 3 3,066,000 3 3,066,000 - - -
394 CTG/ECG PPER PHILIPS 150X10 PCS - - 40 4,240,000 40 4,240,000 - - -
395 CTM 4MG TABLET TAB 6,805 459,825 - - 1,867 126,156 4,938 68 333,669
396 CURCUMA TAB BLISTER TAB - - 1,000 865,000 992 858,080 8 865 6,920
397 CURCUMA TAB LOS TAB 31,814 13,205,596 57,500 24,041,000 80,438 33,536,428 8,876 418 3,710,168
398 CURLIV PLUS SYR 120ML FLS 19 793,778 1 48,400 20 842,178 - - -
399 CURVIT CL SYR. 175 ML FLS - - 17 810,030 13 619,434 4 47,649 190,596
400 CURVIT SYR 60 ML FLS 1 24,200 - - 1 24,200 - - -
401 CVC DUO LUMEN 5FRX13CM ANK PCS 1 1,265,000 4 5,060,000 1 1,265,000 4 1,265,000 5,060,000
402 CVC MONO LUMEN ARROW PCS 4 1,161,600 - - 4 1,161,600 - - -
403 CVC MULT LUMEN 7FRX20CM AB PCS - - 69 32,292,000 54 25,272,000 15 468,000 7,020,000
404 CVC TWO LUMEN 7FRX20CM ARRO PCS 2 1,562,489 - - 2 1,562,489 - - -
405 CYCLOPROGYNOVA 21 TAB/STRIP STR - - 2 341,284 2 341,284 - - -
406 CYGEST PESSARIES 400 MG TAB 89 2,138,877 300 7,260,000 114 2,743,877 275 24,200 6,655,000
407 CYMEVENE INJ VIA 9 3,802,730 - - - 161,825 9 404,545 3,640,905
408 CYSTOFIX F10 12 CM PCS - - 7 3,029,089 - - 7 432,727 3,029,089
409 CYSTOFIX F10 8 CM PCS - - 4 1,636,364 - - 4 409,091 1,636,364
410 DAKTARIN DIAPER OINT***FCH TUB - - 2 93,636 - - 2 46,818 93,636
411 DAKTARIN ORAL GEL 10 G TUB 14 896,434 - - 14 896,434 - - -
412 DARYANT-TULLE 1% PCS 919 9,319,790 508 4,334,998 1,386 13,304,935 41 8,533 349,853
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413 DASABION TABLET TAB 13 11,232 - - - 1,027 13 785 10,205
414 DATAN FORTE KAPL. TAB 174 245,340 5 6,415 - 22,098 179 1,283 229,657
415 DECULIN 30 MG TAB TAB 6 27,150 - - 6 27,150 - - -
416 DEHAF SACHET PCS 13 119,171 - - 9 85,835 4 8,334 33,336
417 DEMESORB 1 TAPER PCS 6 325,356 - - 6 325,356 - - -
418 DEPAKOTE TAB 250 MG TAB 4,932 7,846,812 - - 4,931 7,845,221 1 1,591 1,591
419 DERMAFIX 10 X 15 CM PCS - - 30 226,800 - - 30 7,560 226,800
420 DERMAFIX S 6 X 7 CM IV FILM PCS - - 200 373,272 200 373,272 - - -
421 DERMAFIX T PAD 10 X 25CM TAB - - 8 100,144 - - 8 12,518 100,144
422 DERMANIOS SCRUB 1 ML ML - - 775,000 101,469,750 730,000 95,574,750 45,000 131 5,895,000
423 DERMANIOS SCRUB 500 ML FLS - - 60 5,673,000 60 5,673,000 - - -
424 DESOXIMETASONE 0.25 CR TUB 22 203,397 650 6,009,451 475 4,391,522 197 9,245 1,821,326
425 DEXAMETASONE 0,5 MG TB TAB 7,915 944,734 5,000 700,000 10,924 1,365,994 1,991 140 278,740
426 DEXAMETASONE INJ 5MG/1ML AMP 1,898 3,679,026 8,050 15,049,688 9,746 18,350,974 202 1,870 377,740
427 DEXKETOPROFEN 25 MG TAB TAB - - 30,450 76,350,000 30,225 75,785,925 225 2,507 564,075
428 DEXKETOPROFEN INJ AMP - - 3,675 86,677,273 3,583 84,507,361 92 23,586 2,169,912
429 DEXOCORT 0.25% CR BPJS TUB - - 1 6,591 - - 1 6,591 6,591
430 DEXTAMIN SYR 60 ML FLS - - 17 478,319 12 337,639 5 28,136 140,680
431 DEXTROSE 10% INF 500ML - WI FLS 121 839,828 - - 121 839,828 - - -
432 DEXTROSE 10% INF 500ML - WI FLS - - 1,900 12,954,207 1,320 8,999,767 580 6,818 3,954,440
433 DEXTROSE 40 % 25 ML FLS 449 3,443,377 2,880 26,208,000 2,882 25,583,677 447 9,100 4,067,700
434 DEXTROSE 5% INF 100 ML OTSU FLS 15 179,549 120 1,656,000 15 179,549 120 13,800 1,656,000
435 DEXTROSE 5% INF 100 ML SANB FLS 170 2,754,000 60 583,200 165 2,705,400 65 9,720 631,800
436 DEXTROSE 5% INF 500ML OTSUK FLS - - 200 1,254,600 200 1,254,600 - - -
437 DEXTROSE 5% INF 500ML SANBE FLS 30 431,850 24 345,480 52 748,540 2 14,395 28,790
438 DEXTROSE 5% INF 500ML WIDAT FLS 567 3,621,043 1,200 7,527,600 1,329 8,401,069 438 6,273 2,747,574
439 DEXTROSE 5% NS 1/2 SANBE FLS - - 123 1,647,954 3 40,194 120 13,398 1,607,760
440 DEXTROSE 5% NS 1/4 SANBE FLS 6 81,397 150 1,818,000 127 1,547,917 29 12,120 351,480
441 DEXTROSE 5%+1/2 NS WIDATRA FLS 519 4,349,199 - - 125 982,469 394 8,545 3,366,730
442 DEXTROSE 5%+1/4 NS OTSUKA FLS - - 3 21,000 - - 3 7,000 21,000
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443 DEXTROSE 5%+1/4 NS WIDATRA FLS 730 6,221,403 600 5,304,000 1,292 11,189,483 38 8,840 335,920
444 DIAFORM TAB. TAB 7 415,331 - - 3 414,891 4 110 440
445 DIALIFER 100 MG INJEKSI AMP 43 1,654,701 68 2,040,204 43 1,654,701 68 30,003 2,040,204
446 DIAMICRON MR TAB 30 MG TAB 862 549,956 15 102,911 877 652,867 - - -
447 DIAMICRON MR TAB 60 MG TAB - - 75 495,821 75 495,821 - - -
448 DIAZEPAM 2 MG TAB TAB 2,672 165,210 18,500 1,458,070 17,131 1,304,041 4,041 79 319,239
449 DIAZEPAM 5 MG TAB TAB 38 8,044 6,000 1,270,107 5,942 1,257,829 96 212 20,322
450 DIAZEPAM 5MG/ML 2 ML INJEKS TAB - - 8 12,616 - - 8 1,577 12,616
451 DIAZEPAM 5MG/ML 2 ML INJEKS - - 300 473,160 300 473,160 - - -
452 DIAZEPAM AMP 10MG/2 ML AMP - - 1,640 4,105,540 1,491 3,732,593 149 2,503 372,947
453 DIGENTA CR 10 GR TUB 30 2,003,825 60 4,560,000 87 6,335,825 3 76,000 228,000
454 DIGOXIN 0,25 MG SANDOZ TAB - - 3,000 236,320 3,000 236,320 - - -
455 DIGOXIN TAB GEN TAB 5,443 672,809 30,150 2,860,510 28,573 2,866,419 7,020 95 666,900
456 DILTIAZEM 30 MG TAB TAB 1,998 281,718 10,000 1,378,500 5,354 743,346 6,644 138 916,872
457 DIMENHYDRINAT 50 MG TAB TAB 2,759 322,803 - - 443 21,723 2,316 130 301,080
458 DIOVAN 160 MG TAB TAB 23 149,500 - - 23 149,500 - - -
459 DIPHENHYDRAMINE 10 MG/ML AM AMP - - 3,900 4,169,451 2,469 2,639,712 1,431 1,069 1,529,739
460 DISP.NEEDLE BD UK.23G/2 - - 4,099 1,533,026 - - 4,099 374 1,533,026
461 DISP.NEEDLE " TERUMO " UK.2 PCS 8,892 10,414,221 18,600 22,503,000 11,432 13,484,621 16,060 1,210 19,432,600
462 DISP.NEEDLE 18 TERUMO PCS 537 791,151 9,200 13,188,000 1,711 2,477,893 8,026 1,433 11,501,258
463 DISP.NEEDLE 22 TERUMO PCS 500 150,000 - - 11 3,300 489 300 146,700
464 DISP.NEEDLE TERUMO 26 PCS 644 966,000 4,000 6,000,000 474 711,000 4,170 1,500 6,255,000
465 DISP.SYRINGE 1 CC AXIMED PCS 4 3,023 - - 4 3,023 - - -
466 DISP.SYRINGE 1 CC INSULIN PCS 50 95,000 - - 50 95,000 - - -
467 DISP.SYRINGE 1 CC NIPRO PCS - - 2,000 1,800,000 1,521 1,368,900 479 900 431,100
468 DISP.SYRINGE 1 CC TUBERCULI PCS 881 5,449,082 7,000 32,470,000 2,798 14,339,045 5,083 4,639 23,580,037
469 DISP.SYRINGE 10 CC - AXIMED PCS 1 1,200 500 591,850 501 593,050 - 1,184 -
470 DISP.SYRINGE 10 CC - NIPRO PCS 368 437,092 43,700 51,866,000 39,064 46,363,344 5,004 1,187 5,939,748
471 DISP.SYRINGE 10 CC - TERUMO PCS 2,334 4,177,860 - - 2,334 4,177,860 - - -
472 DISP.SYRINGE 10 CC KIMSMED PCS - - 200 215,200 200 215,200 - - -
Page 16 of 73
473 DISP.SYRINGE 10CC - TP PCS - - 3,600 3,049,200 3,600 3,049,200 - - -
474 DISP.SYRINGE 10CC - ZONTIC PCS 1 1,180 - - 1 1,180 - - -
475 DISP.SYRINGE 20 CC - TERUMO PCS 1,008 10,405,816 - - 975 10,158,316 33 7,500 247,500
476 DISP.SYRINGE 20 CC NIPRO PCS 458 1,069,329 3,500 8,085,000 2,878 6,659,529 1,080 2,310 2,494,800
477 DISP.SYRINGE 3 CC - TERUMO PCS 14,300 36,228,192 4,000 18,400,000 17,946 52,999,792 354 4,600 1,628,400
478 DISP.SYRINGE 3 CC - TP (TOP PCS 10,483 6,237,071 46,000 27,278,000 56,483 33,515,071 - - -
479 DISP.SYRINGE 3 CC NIPRO PCS 2 1,584 84,000 65,380,200 69,469 54,074,986 14,533 778 11,306,798
480 DISP.SYRINGE 5 CC - NIPRO PCS 1,330 1,184,631 63,000 56,190,000 60,688 54,125,967 3,642 892 3,248,664
481 DISP.SYRINGE 5 CC - STERA PCS - - 20 13,640 - - 20 682 13,640
482 DISP.SYRINGE 5 CC - TERUMO PCS 1,294 6,379,808 9,701 27,521,737 1,294 6,379,808 9,701 2,837 27,521,737
483 DISP.SYRINGE 50 CC BIRU-PIN PCS 133 2,670,075 3,360 70,736,000 2,673 56,143,435 820 21,052 17,262,640
484 DISP.SYRINGE 50 CC HIJAU-TE PCS 645 19,332,333 1,400 49,360,000 1,058 33,893,674 987 35,257 34,798,659
485 DISP.SYRINGE 50 CCC KIMSMED PCS - - 1,000 4,097,000 - - 1,000 4,097 4,097,000
486 DISP.SYRINGE 50CC BIRU CIRI PCS - - 30 216,900 - - 30 7,230 216,900
487 DOBUTAMIN 250MG INJ AMP 68 1,564,646 2,118 22,373,217 1,718 18,994,379 468 10,563 4,943,484
488 DOBUTAMIN HAMELN 250 MG INJ AMP - - 20 1,654,708 20 1,654,708 - - -
489 DOGMATIL 50 MG CAPS CAP 539 1,778,700 - - 138 575,700 401 3,000 1,203,000
490 DOMPERIDON SYR 60ML FLS 131 1,857,537 295 4,071,000 131 1,857,537 295 13,800 4,071,000
491 DOMPERIDON TAB TAB 6,185 2,211,014 30,150 13,275,795 36,109 15,387,369 226 440 99,440
492 DONEPEZIL TAB TAB 302 1,390,755 11,250 18,900,000 2,130 4,461,795 9,422 1,680 15,828,960
493 DOPAMET 250 MG TABLET TAB 1,432 2,598,693 5,900 10,629,000 4,887 8,821,803 2,445 1,802 4,405,890
494 DOXYCYCLINE 100 MG CAP CAP 1,118 366,000 2,000 1,000,300 1,139 376,800 1,979 500 989,500
495 DULCOLAX 5 MG TAB TAB 191 202,177 - - 187 198,033 4 1,036 4,144
496 DULCOLAX SUPP 10 MG ADULT PCS 274 1,532,962 456 8,187,652 730 9,720,614 - - -
497 DULCOLAX SUPP PAED PCS 95 494,693 300 4,436,280 161 1,470,581 234 14,788 3,460,392
498 E CARE FILM (TEGADERM) PCS 186 417,384 3,000 6,120,000 3,186 6,537,384 - 2,040 -
499 E CARE HANDSCRUB 1 ML ML 70,000 8,260,000 240,000 28,339,600 300,000 35,419,600 10,000 118 1,180,000
500 EAS PRIMMER 500ML FLS - - 4,200 172,027,267 4,165 170,593,702 35 40,959 1,433,565
501 ECG ALPHA DENS 63X100X300 P PCS 19 1,087,560 30 2,268,000 12 558,360 37 75,600 2,797,200
502 ECG PAPER 50 X 30 FUKUDA ROL 61 1,830,000 - - 13 390,000 48 30,000 1,440,000
Page 17 of 73
503 ECG PAPER 63X30 FUKUDA PCS - - 175 14,885,000 163 13,864,316 12 85,057 1,020,684
504 ECG PAPER ALPHA 63 X 3 X 17 PCS 54 2,565,000 - - 54 2,565,000 - - -
505 ECG PAPER MAC 400 PCS - - 50 5,880,000 27 3,175,200 23 117,600 2,704,800
506 EFEDRIN HCL INJEKSI 50MG/ML AMP 286 4,370,606 750 13,587,000 465 7,613,370 571 18,116 10,344,236
507 EFRISEL 10% E.D MINI DOSE STR - - 7 107,625 - - 7 15,375 107,625
508 EFRISEL E.D5ML FLS - - 3 70,295 3 70,295 - - -
509 EKG PAPER CONTRAS ( KOTAK ) PCS - - 140 51,030,000 140 51,030,000 - - -
510 ELASTOMULL HALF 8 X 4 PCS 71 2,624,416 - - 54 2,011,532 17 36,052 612,884
511 ELECTOFIX SYNCERA 10X10 1CM CM - - 15,000 2,925,000 15,000 2,925,000 - - -
512 ELECTRODE ONE DOT ANAK PCS - - 300 390,000 62 80,600 238 1,300 309,400
513 ELECTRODE ONE DOT DEWASA PCS - - 3,000 3,600,000 2,585 3,102,000 415 1,200 498,000
514 ELECTROSURG PENCIL+BANTAL PCS - - 150 11,775,000 34 2,669,000 116 78,500 9,106,000
515 ELECTROSURGICAL HARUM PEN PCS - - 100 1,618,200 100 1,618,200 - - -
516 ELECTROSURGICAL PENCIL ALPH PCS - - 424 30,130,000 424 30,130,000 - - -
517 ELIGARD INJEKSI 7.5 MG VIA - - 2 1,790,550 2 1,790,550 - - -
518 ELKANA SYRUP 60 ML FLS 57 1,131,450 234 4,768,100 263 5,329,022 28 20,376 570,528
519 ELKANA TAB. TAB 770 554,400 500 369,000 558 397,944 712 738 525,456
520 ELKANA-CL SYRUP 120 ML FLS - - 1 54,813 1 54,813 - - -
521 ELOSKIN KRIM 10 GR TUB 14 858,834 49 3,104,290 63 3,963,124 - - -
522 ELOX CR 10 GRAM TUB - - 5 414,425 5 414,425 - - -
523 EMIBION CAPS CAP 133 172,900 30 47,190 163 220,090 - - -
524 ENZYPLEX STRIP TAB 1,802 1,553,180 2,100 1,900,500 3,902 3,453,680 - - -
525 EPERISON TABLET 50MG TAB 1,992 2,772,269 19,000 26,442,328 18,116 25,212,064 2,876 1,392 4,002,533
526 EPEXOL DROP FLS 14 491,043 25 871,250 32 1,118,343 7 34,850 243,950
527 EPEXOL SYRUP FLS 12 196,307 1 19,723 11 176,584 2 19,723 39,446
528 EPEXOL TABLET 30MG TAB 53 41,393 - - 52 40,683 1 710 710
529 EPINEFRIN 0.1% INJ AMP 374 1,814,274 1,800 4,854,276 805 2,976,357 1,369 2,697 3,692,193
530 EPODION INJ 2000IU AMP - - 1,410 97,836,000 1,393 96,656,421 17 69,387 1,179,579
531 EPODION INJ 3000IU AMP - - 750 65,400,000 431 37,583,200 319 87,200 27,816,800
532 EQUISPON 80X50X10 MM PCS 1 63,093 30 2,196,150 31 2,259,243 - - -
Page 18 of 73
533 ERAZOL LOTION FLS - - 25 1,310,702 21 1,100,990 4 52,428 209,712
534 ERGOTAMIN COFFEIN 1 MG TAB TAB 428 72,572 1,100 179,710 1,497 247,229 31 163 5,053
535 ERLAMYCETIN TTS MATA FLS 2 30,035 10 66,790 4 43,393 8 6,679 53,432
536 ERLAMYCETIN TTS TELINGA FLS - - 28 166,140 13 77,130 15 5,934 89,010
537 ERLAMYCETIN ZALF MATA TUB - - 28 266,482 25 237,931 3 9,517 28,551
538 ERYTHROMYCIN 250 MG CAP CAP 591 396,384 3,000 2,207,400 2,871 2,073,864 720 736 529,920
539 ERYTHROMYCIN 500 MG CAPLET TAB 2,447 2,205,555 1,000 682,000 2,366 2,150,367 1,081 682 737,188
540 ERYTHROMYCIN SYR 200MG/5ML FLS - - 104 1,078,536 96 995,568 8 10,371 82,968
541 ESOMEPRAZOLE 40 MG INJEKSI VIA - - 2 60,708 - - 2 30,354 60,708
542 ET PORTEX SMITHS NO.2 NON PCS 5 296,790 - - 1 21,390 4 68,850 275,400
543 ET PORTEX SMITHS NO.8,5 EK PCS 7 343,000 - - 7 343,000 - - -
544 ET NO 2 RUSCH EKOR PCS 2 124,740 5 283,500 2 124,740 5 56,700 283,500
545 ET NO 2,5 RUSCH EKOR PCS - - 3 253,032 - - 3 84,344 253,032
546 ET NO 2,5 RUSCH NON EKOR PCS 25 1,100,000 - - 25 1,100,000 - - -
547 ET NO 3 RUSCH EKOR PCS - - 3 180,000 - - 3 60,000 180,000
548 ET NO 3 RUSCH NON EKOR PCS 2 80,000 - - 2 80,000 - - -
549 ET NO 3,5 RUSCH EKOR PCS 2 132,000 - - 2 132,000 - 132,000 -
550 ET NO 3.5 AXIMED PCS 4 88,000 - - 4 88,000 - - -
551 ET NO 3.5 RUSCH NON EKOR PCS 1 40,000 - - - - 1 40,000 40,000
552 ET NO 4 RUSCH NON EKOR PCS 2 110,000 - - 1 60,000 1 50,000 50,000
553 ET NO 5 RUSCH EKOR PCS 4 242,544 - - 4 242,544 - - -
554 ET NO 5,5 RUSCH EKOR PCS 2 77,816 - - 2 77,816 - 38,900 -
555 ET NO 6 RUSCH EKOR PCS 3 200,100 - - 2 139,464 1 60,636 60,636
556 ET NO 6,5 AXIMED EKOR PCS 4 96,800 - - 4 96,800 - - -
557 ET NO 6,5 RUSCH EKOR PCS 24 1,455,264 10 667,000 23 1,388,564 11 66,700 733,700
558 ET NO 7 AXIMED EKOR PCS 11 266,200 - - 11 266,200 - - -
559 ET NO 7 RUSCH EKOR PCS 12 856,185 10 667,000 19 1,323,085 3 66,700 200,100
560 ET NO 7 WORK EKOR PCS 9 184,095 - - 9 184,095 - - -
561 ET NO 7.5 AXIMED EKOR PCS 2 48,400 - - - 4,400 2 22,000 44,000
562 ET NO 8 AXIMED EKOR PCS 1 24,200 3 66,000 1 24,200 3 22,000 66,000
Page 19 of 73
563 ET PORTEX SMITHS NO. 2.5 EK PCS 25 2,349,983 - - 2 766,433 23 68,850 1,583,550
564 ET PORTEX SMITHS NO. 2.5 NO PCS - - 18 1,068,444 - - 18 59,358 1,068,444
565 ET PORTEX SMITHS NO. 3 EKOR PCS - - 8 612,000 - - 8 76,500 612,000
566 ET PORTEX SMITHS NO. 3 NO E PCS 29 1,816,358 5 296,790 4 332,408 30 59,358 1,780,740
567 ET PORTEX SMITHS NO. 3.5 NO PCS 34 2,123,889 - - 6 461,865 28 59,358 1,662,024
568 ET PORTEX SMITHS NO. 4 NO E PCS 18 1,187,622 21 1,259,601 18 1,187,622 21 59,981 1,259,601
569 ET PORTEX SMITHS NO. 4,5 NO PCS - - 22 1,318,482 - - 22 59,931 1,318,482
570 ET PORTEX SMITHS NO. 4.5 EK PCS 16 958,896 - - 12 719,172 4 59,931 239,724
571 ET PORTEX SMITHS NO. 5 EKOR PCS - - 17 599,930 - - 17 35,290 599,930
573 ET PORTEX SMITHS NO. 6 EKOR PCS 18 651,755 20 704,600 10 369,915 28 35,230 986,440
574 ET PORTEX SMITHS NO. 6,5 EK PCS 38 1,480,065 50 1,873,500 38 1,480,065 50 37,470 1,873,500
575 ET PORTEX SMITHS NO. 7 EKOR PCS 50 1,921,037 112 4,564,785 76 2,980,720 86 40,757 3,505,102
576 ET PORTEX SMITHS NO. 7.5 EK PCS 102 3,840,139 182 6,819,540 211 7,924,369 73 37,470 2,735,310
577 ET PORTEX SMITHS NO. 8 EKOR PCS 10 504,000 10 374,700 11 541,470 9 37,470 337,230
579 ETAPHYLLIN 250 MG TABL TAB 5 50,275 - - - 4,340 5 9,187 45,935
580 ETASON INJ 1 ML AMP 665 2,413,950 - - 665 2,413,950 - - -
581 ETHAMBUTOL 500 MG TAB TAB 4,430 2,865,811 40,000 21,754,350 36,226 20,157,185 8,204 544 4,462,976
582 EUTHYROX 100 TAB - - 1,615 1,644,511 1,242 1,264,797 373 1,018 379,714
583 EVOTHYL 300MG CAP 61 550,220 - - 19 205,820 42 8,200 344,400
584 EXAFLAM 25 MG TAB 5X10~S TAB 540 801,900 - - 519 773,550 21 1,350 28,350
585 EXAFLAM 50 MG TAB 5X10~S TAB 2 5,566 - - 2 5,566 - - -
586 EXTENSION TUBE - JMS PCS 95 2,709,970 1,950 70,262,100 1,954 69,693,158 91 36,032 3,278,912
587 EXTENTION TUBE 75 CM TERUMO PCS - - 300 2,368,296 272 2,147,256 28 7,894 221,040
588 FAMOTIDIN 20 MG TAB TAB - - 550 57,200 - - 550 104 57,200
589 FAMOTIDIN 40 MG TAB TAB 1,010 212,009 - - 560 121,559 450 201 90,450
590 FARGOXIN INJEKSI AMP 64 1,423,030 159 3,933,374 181 4,317,408 42 24,738 1,038,996
591 FARGOXIN TABL. 0,25MG TAB 104 11,440 - - 103 11,340 1 100 100
592 FARMABES 25 MG INJEKSI AMP - - 70 4,774,000 67 4,569,400 3 68,200 204,600
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593 FARMACROL FORTE SUSP FLS 30 1,125,857 - - 3 126,857 27 37,000 999,000
594 FARPRESIN INJ AMP 70 5,035,903 30 2,400,000 93 6,875,903 7 80,000 560,000
595 FARSIX INJEKSI AMP 7 21,391 9 24,048 7 21,391 9 2,672 24,048
596 FARSORBID 5MG TAB TAB 500 56,000 1 - 432 48,962 69 102 7,038
597 FARSORBID INJEKSI AMP 102 3,875,891 9 43,160,455 42 43,143,435 69 56,419 3,892,911
598 FARTISON INJEKSI (HIDROKORT VIA 175 15,750,000 1 40,500,000 141 53,100,000 35 90,000 3,150,000
599 FARTOLIN EXP SYRUP 100ML FLS 76 2,677,733 9 1,750,000 35 2,677,733 50 35,000 1,750,000
600 FASTOR 10 MG TAB TAB - - 1 1,650,000 - 1,639,000 1 11,000 11,000
601 FASTOR 20 MG TABLET TAB 3 31,350 9 1,872,726 12 1,904,076 - 12,485 -
602 FENICOL 0,5% E.D. 5 ML FLS 23 739,600 1 1,225,000 24 1,964,600 - 30,625 -
603 FENICOL ZALF MATA TUB 4 87,500 9 - 13 87,500 - - -
604 FENOFIBRATE 100 MG CAPS CAP - - 1 608,724 1 608,724 - 1,015 -
605 FENOFIBRATE 200MG TAB TAB 298 1,192,000 9 156,090 295 1,285,654 12 5,203 62,436
606 FENOFIBRATE 300 MG TABLET TAB 670 957,832 1 2,586,966 196 2,959,598 475 1,232 585,200
607 FENTANIL 0,05MG/ML INJEKSI AMP 282 10,338,456 9 41,599,800 3 41,046,672 288 37,818 10,891,584
608 FEROGLOBIN DROP FLS - - 1 387,200 1 387,200 - - -
609 FERRIZ DROP 15 ML FLS - - 9 181,500 9 181,500 - - -
610 FERROMEX TABLET TAB 6,333 4,128,989 1 13,000,000 3,935 15,569,639 2,399 650 1,559,350
611 FETAVITA CAP CAP 104 796,328 9 - 113 796,328 - - -
612 FETIK SUPPO 100 MG PCS 70 875,000 1 - 71 875,000 - - -
613 FG TROGES CAP 457 432,733 9 - 429 397,287 37 958 35,446
614 FIBRION AMP AMP 14 53,319,700 1 177,090,909 15 230,410,609 - 3,767,892 -
615 FIMAHES 200 FLEXY BAG FLS 3 315,315 9 - 12 315,315 - - -
616 FINPRO TAB TAB 296 2,960,000 1 10,000 222 2,220,000 75 10,000 750,000
617 FIXOMULL 10CM X 5CM (1 CM) CM - - 9 25,872,000 9 25,872,000 - 196 -
618 FIXOMULL 5 X 5 CM (1 CM) CM 24,000 1,632,000 1 1,200,000 24,001 2,832,000 - - -
619 FLIXOTID NEBUL AMP 1,543 16,948,590 9 59,716,120 1,552 76,664,710 - 13,572 -
620 FLOXA E.D MINIDOSE STR 84 2,254,517 1 4,425,909 85 6,680,426 - 27,662 -
621 FLUCONAZOLE INF FLS 10 671,769 9 6,294,290 15 6,847,855 4 29,551 118,204
622 FLUCONAZOLE TABLET TAB 10 189,760 1 3,200,043 11 3,389,803 - 20,000 -
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623 FLUIMUCIL 100MG/06 INJEKSI AMP 5 65,995 9 - 13 53,996 1 11,999 11,999
624 FLUMETHOLON 0.1 % ED 5 ML FLS 2 170,714 1 - 1 19,514 2 75,600 151,200
625 FLUNARIZINE 5MG TABL TAB 6,650 7,431,841 34,040 42,560,500 40,394 49,622,341 296 1,250 370,000
626 FLUTIAS 125 INHALER FLS - - 9 6,601,000 9 6,601,000 - 94,300 -
627 FOBET INJ 1 GR FLS - - 1 120,000 1 120,000 - 120,000 -
628 FOLAVIT TAB TAB 382 322,790 - - 356 302,770 26 770 20,020
629 FOLIC ACID 1 MG TAB TAB 4,910 702,130 98,900 10,408,650 93,955 10,077,230 9,855 105 1,033,550
630 FOLLEY CATHETER 10 CHROMA PCS 104 4,469,538 50 1,431,000 62 3,267,498 92 28,620 2,633,040
631 FOLLEY CATHETER 10 SERENITY PCS 12 132,000 - - 11 122,000 1 10,000 10,000
632 FOLLEY CATHETER 10 WRP PCS 2 59,180 - - 2 59,180 - - -
633 FOLLEY CATHETER 12 CHROMA PCS - - 158 1,927,126 50 609,850 108 12,197 1,317,276
634 FOLLEY CATHETER 12 WRP PCS 110 1,210,000 - - 20 139,000 90 11,900 1,071,000
635 FOLLEY CATHETER 14 - WRP PCS 283 2,920,269 600 6,150,000 636 6,538,519 247 10,250 2,531,750
636 FOLLEY CATHETER 14 CHROMA PCS 66 805,002 300 3,018,880 200 2,153,424 166 10,063 1,670,458
637 FOLLEY CATHETER 14 RUSCH PCS 77 1,097,250 10 175,000 57 747,250 30 17,500 525,000
638 FOLLEY CATHETER 16 CHROMA PCS 545 6,624,475 2,150 24,660,450 2,363 27,476,885 332 11,470 3,808,040
639 FOLLEY CATHETER 16 ESKAMED PCS - - 2,650 29,127,190 1,948 21,411,508 702 10,991 7,715,682
640 FOLLEY CATHETER 18 WRP PCS - - 10 140,910 6 84,546 4 14,091 56,364
641 FOLLEY CATHETER 18 RUSCH PCS - - 151 2,642,500 100 1,750,000 51 17,500 892,500
642 FOLLEY CATHETER 20 CHROMA PCS 126 1,541,286 50 609,850 151 1,846,211 25 12,197 304,925
643 FOLLEY CATHETER 20 ESKAMED PCS - - 190 2,159,160 57 647,748 133 11,364 1,511,412
644 FOLLEY CATHETER 20 RUSH PCS - - 12 210,000 - - 12 17,500 210,000
645 FOLLEY CATHETER 22 CHROMA PCS - - 30 348,880 - 10 30 11,629 348,870
646 FOLLEY CATHETER 22 RUSCH PCS - - 63 1,102,500 - - 63 17,500 1,102,500
647 FOLLEY CATHETER 22 WELL LEA PCS 13 143,000 - - 13 143,000 - - -
648 FOLLEY CATHETER 24 RUSCH PCS - - 125 2,187,500 85 1,487,500 40 17,500 700,000
649 FOLLEY CATHETER 3 WAY 24 ES PCS - - 80 3,200,000 2 80,000 78 40,000 3,120,000
650 FOLLEY CATHETER 3 WAY NO 20 PCS 70 3,965,500 20 1,232,000 77 4,396,700 13 61,600 800,800
651 FOLLEY CATHETER 3 WAY NO 24 PCS - - 20 1,232,000 20 1,232,000 - - -
652 FOLLEY CATHETER 3 WAY NO 24 PCS - - 30 1,848,000 29 1,786,400 1 61,600 61,600
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653 FOLLEY CATHETER 3 WAY NO.18 PCS 20 1,232,000 20 1,232,000 2 123,200 38 61,600 2,340,800
654 FOLLEY CATHETER 3 WAY NO.22 PCS - - 3 136,500 - - 3 45,500 136,500
655 FOLLEY CATHETER 8 CHROMA PCS 42 1,799,833 1 2,558,400 43 4,358,233 - 42,640 -
656 FOLLEY CATHETER 8 RUSCH PCS 9 522,000 52 - 59 406,000 2 58,000 116,000
657 FOLLEY CATHETER 8 SERENITY PCS 7 140,000 12 - 19 140,000 - - -
658 FORMALIN 37 % 1 LITER FLS 1 33,000 19 - 19 3,000 1 30,000 30,000
659 FORMALIN 37 % 10 LT FLS - - 9 4,090,909 5 2,272,729 4 454,545 1,818,180
660 FORNEURO TABLET PCS - - 100 483,400 48 232,032 52 4,834 251,368
661 FORTANEST 15MG INJEKSI PCS 370 2,891,550 1,140 9,234,000 1,015 8,116,050 495 8,100 4,009,500
662 FORTANEST 5MG INJEKSI PCS 1 4,670 1,050 4,903,500 766 3,577,220 285 4,670 1,330,950
663 FORTIBI CAPSUL CAP 150 495,000 1,230 4,181,172 930 3,146,622 450 3,399 1,529,550
664 FORUMEN TTS TELINGA FLS 45 1,075,266 50 1,195,500 58 1,386,096 37 23,910 884,670
665 FOSEN ENEMA PCS 143 12,264,538 564 45,954,131 706 58,137,190 1 81,479 81,479
666 FREGO 10MG TAB TAB 752 6,120,528 - - 712 5,824,528 40 7,400 296,000
667 FRESOFOL 1% INJEKSI AMP - - 470 4,596,600 396 3,872,880 74 9,780 723,720
668 FRIDEP 50 MG TABLET TAB 293 638,441 2,700 5,292,000 2,202 4,380,081 791 1,960 1,550,360
669 FRIMANIA 200 MG TAB TAB 1,069 990,022 14,000 12,560,430 10,315 9,286,114 4,754 897 4,264,338
670 FRIMANIA 400 MG TAB TAB 875 1,409,258 14,000 22,133,170 9,665 15,305,418 5,210 1,581 8,237,010
671 FUCILEX KRIM 5 GRAM BPJS TUB 165 1,648,040 200 1,997,624 352 3,515,818 13 9,988 129,846
672 FUCILEX OINTMENT(AS.FUSIDAT TUB 7 56,366 - - 7 56,366 - - -
673 FUCOIDAN 100 MG CAPS CAP 523 5,583,553 90 945,000 540 5,762,053 73 10,500 766,500
674 FUCOIDAN SYRUP 120ML FLS - - 107 9,285,246 72 6,248,016 35 86,778 3,037,230
675 FURAMIN INJEKSI AMP 60 570,000 430 4,310,000 436 4,338,758 54 10,023 541,242
676 FUROSEMID 40 MG TAB TAB 18,606 2,123,124 267500 30,762,500 208,106 23,915,624 78000 115 8,970,000
677 FUROSEMIDE INJEKSI AMP 7,679 12,486,745 20,069 25,051,512 26,496 35,975,905 1,252 1,248 1,562,352
678 FUSON CREAM 5GR TUB 10 404,520 40 1,684,000 49 2,046,420 1 42,100 42,100
679 FUTROLIT INFUS FLS 669 24,217,399 14,640 504,506,311 14,822 511,941,203 487 34,461 16,782,507
680 GABAPENTIN 300 MG CAP CAP - - 9,650 34,688,807 8,940 32,137,579 710 3,593 2,551,228
681 GABAXA ( L-ALANYL L GLUTAM FLS - - 10 2,000,000 - - 10 200,000 2,000,000
682 GASTRUL TAB TAB 1 10,439 - - 1 10,439 - - -
Page 23 of 73
683 GELAFUSAL INFUS 500 ML FLS 129 8,873,542 1,070 141,060,014 962 118,689,435 237 131,832 31,244,121
684 GELANG BAYI BIRU/PINK NIPRO PCS 1,278 2,367,533 4,500 10,890,000 3,184 6,980,053 2,594 2,420 6,277,480
685 GEMFIBROZIL 300MG CAPS CAP 2,697 946,215 1,200 414,000 2,289 805,455 1,608 345 554,760
686 GENTA 0,3% EYE DROP 5 ML CE FLS 133 3,778,096 100 2,837,500 146 4,146,971 87 28,375 2,468,625
687 GENTAMYCIN 0.3 % E.D GENER FLS 17 61,778 - - 7 25,438 10 3,634 36,340
688 GENTAMYCIN 80 MG INJEKSI AMP 502 1,505,674 3,060 9,780,540 2,031 6,393,138 1,531 3,196 4,893,076
689 GENTAMYCIN ZALF TUB 862 1,614,526 - - 589 1,159,162 273 1,668 455,364
690 GENTAMYCIN ZALF MATA CENDO TUB 26 934,740 150 5,456,250 123 4,463,115 53 36,375 1,927,875
691 GENTIAN VIOLET 5ML PCS - - 3 10,164 2 6,776 1 3,388 3,388
692 GI BUR 837 016 PCS - - 10 525,000 10 525,000 - - -
693 GI BUR 841/837L 014 PCS - - 10 525,000 10 525,000 - - -
694 GI BUR 859 016 PCS - - 10 525,000 10 525,000 - - -
695 GI BUR-645XF PCS - - 15 652,500 15 652,500 - - -
696 GI BUR-666 XF.025 PCS - - 15 1,053,409 15 1,053,409 - - -
697 GI CONTRA ANGLE/ HANDPIECE PCS - - 1 2,790,000 1 2,790,000 - - -
698 GI CONTRA ANGLE/HANDPIECE 4 PCS - - 1 2,790,000 1 2,790,000 - - -
699 GI CURASPON STERIL PCS - - 3 1,755,000 3 1,755,000 - - -
700 GI DENTINE CONDITIONER PCS - - 2 363,000 2 363,000 - - -
701 GI DYCAL PASTE/HYDAL PCS - - 2 477,000 2 477,000 - - -
702 GI ENDOMETHASONE PCS - - 1 859,091 1 859,091 - - -
703 GI FUJI 9 PCS - - 3 3,514,500 3 3,514,500 - - -
704 GI GINGIVAL MOUTH WASH PCS - - 1 185,386 1 185,386 - - -
705 GI KNABEL TANG PCS - - 1 1,811,250 1 1,811,250 - - -
706 GI PERIOKIN SPRAY PCS - - 1 347,727 1 347,727 - - -
707 GI RASPATORIUM PCS - - 1 627,000 1 627,000 - - -
708 GI SCANDONEST 2% PCS - - 5 6,477,273 5 6,477,273 - - -
709 GIFLOX MD STR - - 1 97,102 1 97,102 - - -
710 GLAOPEN MINIDOSE STR - - 320 29,372,273 255 23,406,053 65 91,788 5,966,220
711 GLAUCON 250 MG TAB TAB 307 896,910 - - 304 886,002 3 3,636 10,908
712 GLAUPLUS E.D 5ML FLS - - 15 1,452,645 3 290,529 12 96,843 1,162,116
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713 GLAUSETA TAB TAB - - 3,500 14,980,000 2,491 10,661,480 1,009 4,280 4,318,520
714 GLIBENCLAMIDE 5 MG TAB TAB 2,438 392,518 - - 2,341 378,356 97 146 14,162
715 GLIKUIDON 30MG TABL TAB 1,910 1,826,915 4,000 3,908,270 2,931 2,824,702 2,979 977 2,910,483
716 GLIMEPIRIDE 1MG TAB TAB 588 149,646 2,500 395,450 650 159,892 2,438 158 385,204
717 GLIMEPIRIDE 3 MG TAB TAB - - 2,500 556,800 106 22,938 2,394 223 533,862
718 GLIMEPIRIDE 3 MG TAB TAB - - 26,000 5,184,655 24,808 4,947,447 1,192 199 237,208
719 GLIMEPIRIDE 4 MG TAB TAB 2,031 2,950,657 5,000 4,613,650 4,118 4,875,608 2,913 923 2,688,699
720 GLUCOSAMIN MPL 500 MG TAB TAB 3,731 6,051,682 10,080 16,912,184 10,889 18,060,750 2,922 1,678 4,903,116
721 GLUCOVANCE TABLET TAB 70 245,070 - - 70 245,070 - - -
722 GLUTROP KAPLET TAB 1 7,450 48 828,420 46 784,093 3 17,259 51,777
723 GLYCERIL GUANICOLAT 100MG T TAB 8,026 899,106 23,000 3,274,050 11,522 1,403,588 19,504 142 2,769,568
724 GOVAZOL TAB TAB 5 378,125 - - 2 171,875 3 68,750 206,250
725 GRISEOFULVIN 125 MG TAB TAB 7,506 2,013,259 200 113,740 6,912 1,675,213 794 569 451,786
726 GUDEL 80MM HIJAU ONEMED AIR PCS 16 182,896 - - 16 182,896 - - -
727 GUDEL ALL SIZE ONEMED PCS - - 125 1,429,090 32 365,821 93 11,433 1,063,269
728 GUDEL ALL SIZE PORTEX PCS - - 20 540,000 3 81,000 17 27,000 459,000
729 GUDEL KARET RUSH NEW PCS 1 116,000 - - 1 116,000 - - -
730 GUDEL PLASTIK 40-100 SHINE PCS 82 2,324,400 - - 19 686,400 63 26,000 1,638,000
731 GUDEL PLASTIK 50-90MM ROMSO PCS - - 20 520,000 1 26,000 19 26,000 494,000
732 GYPSONA 3" (3.5 X 7.5) PCS 16 461,217 74 1,971,600 32 887,523 58 26,643 1,545,294
733 GYPSONA 4" (3.5 X 10 ) PCS 229 8,648,350 192 6,922,368 260 9,766,024 161 36,054 5,804,694
734 GYPSONA 6" PCS 190 9,411,840 180 8,510,040 283 13,808,694 87 47,278 4,113,186
735 H.SCUN NITRIL EXAM ONEMED PSG - - 20,750 21,360,000 15,650 16,112,100 5,100 1,029 5,247,900
736 H.SCUN NO STERIL ALL MERK/S BH - - 389,500 324,926,625 382,100 318,755,025 7,400 834 6,171,600
737 H.SCUN NO STERIL TEBAS LIMA PSG - - 5,000 22,500,000 2,000 9,000,000 3,000 4,500 13,500,000
738 H.SCUN NON.S TEBAL MAS ALLS PSG - - 20 143,500 2 14,350 18 7,175 129,150
739 H.SCUN OBSGYN STERIL ONE ME PSG - - 2,180 38,582,500 2,127 37,644,506 53 17,698 937,994
740 H.SCUN OBSGYN STERIL REMEDI PSG - - 300 4,745,400 291 4,603,038 9 15,818 142,362
741 H.SCUN ORTHOPHED STR MAXITE BH - - 3,400 49,186,685 2,921 42,256,992 479 14,467 6,929,693
742 H.SCUN STERIL AXIMED ALL SI PSG - - 25,150 174,183,550 19,879 137,676,604 5,271 6,926 36,506,946
Page 25 of 73
743 H.SCUN STERIL MEDICDENT 6.5 SET - - 300 1,396,800 83 386,448 217 4,656 1,010,352
744 H.SCUN STERIL MEDICDENT 7 SET - - 200 931,600 100 465,800 100 4,658 465,800
745 H2O2 50% 1 LT FLS 42 865,221 170 3,713,637 209 4,518,784 3 20,025 60,074
746 H2O2 50% 800ML BRATACO FLS - - 125 5,409,091 125 5,409,091 - - -
747 HALDOL DECANOAS 50MG/ML INJ AMP - - 155 14,274,090 104 9,577,449 51 92,091 4,696,641
748 HALOPERIDOL 0,5 MG TAB TAB 984 72,363 - - 983 72,279 1 84 84
749 HALOPERIDOL 5 MG TAB TAB 4,700 466,197 22,000 2,182,199 21,081 2,091,043 5,619 99 557,354
750 HARNAL 0,2 MG TAB TAB - - 1,680 11,150,160 1,629 10,811,673 51 6,637 338,487
751 HARNAL OCAS TAB TAB - - 11,700 51,045,237 9,162 39,971,957 2,538 4,363 11,073,280
752 HCT 25 MG TAB TAB 8,499 1,140,991 - - 3,184 423,466 5,315 135 717,525
753 HD BIBAG (BIKARBONAT SERBUK PCS - - 768 61,363,200 768 61,363,200 - - -
754 HD BIBAG SOD.BICARBONAT PCS - - 9,100 674,020,000 9,100 674,020,000 - - -
755 HD BLOOD LINE PCS - - 10,340 926,793,000 10,340 926,793,000 - - -
756 HD BLOOD LINE DORA PCS - - 888 75,213,600 888 75,213,600 - - -
757 HD BLOODLINE TUB SYSTEM PCS - - 600 53,280,000 600 53,280,000 - - -
758 HD CATH 2 LUMEN ARROW 12FR PCS - - 2 1,350,000 - - 2 675,000 1,350,000
759 HD DIALYSER LF H F7 PCS - - 1,165 208,575,000 1,165 208,575,000 - - -
760 HD DIALYSER LF H F8 PCS - - 1,155 206,800,000 1,155 206,800,000 - - -
761 HD FISTULA NEEDLE - FRESSEN PCS - - 19,030 197,659,000 19,030 197,659,000 - - -
762 HD PART A PCS - - 10,652 894,924,800 10,652 894,924,800 - - -
763 HD RENALIN 1 ML ML - - 20,000 8,400,000 20,000 8,400,000 - - -
764 HD RENALIN 10 L PCS 1 2,100,000 10 42,000,000 11 44,100,000 - - -
765 HD SATOLIN PCS - - 1 2,500,000 1 2,500,000 - - -
766 HECOBAC KAPL 500MG TAB - - 48 1,205,729 48 1,205,729 - - -
767 HEMAPO INJ VIA 30 3,880,430 2,250 207,929,545 2,221 206,357,608 59 92,413 5,452,367
768 HEMOTESE COMPRESS 7 X 5 PCS - - 20 2,200,000 10 1,100,000 10 110,000 1,100,000
769 HEPAMAX CAP CAP 187 1,607,991 125 1,127,910 242 2,104,291 70 9,023 631,610
770 HEPTASAN 4MG TAB TAB 6 1,596 500 133,000 - - 506 266 134,596
771 HERBESSER 30 MG TAB TAB 7 17,360 - - 7 17,360 - - -
772 HERBESSER CD 100 CAP CAP - - 11,500 46,627,230 9,391 38,075,235 2,109 4,055 8,551,995
Page 26 of 73
773 HERBESSER CD 200 CAP CAP - - 3,010 13,044,236 2,483 10,760,218 527 4,334 2,284,018
774 HERBESSER INJEKSI AMP 13 1,781,322 340 47,723,634 59 8,237,946 294 140,364 41,267,010
775 HERVIS ZALF MATA TUB 2 78,128 40 1,470,000 8 298,628 34 36,750 1,249,500
776 HEXYMER 2 MG TAB 9,898 3,522,461 45,500 16,192,362 55,310 19,683,506 88 356 31,317
777 HI-BONE *300 CAPLET TAB - - 1,740 6,090,000 1,584 5,544,000 156 3,500 546,000
778 HOMATRO 2% E.D 5 ML FLS 10 390,500 - - 9 355,000 1 35,500 35,500
779 HP PRO CAP CAP - - 21 110,531 21 110,531 - - -
780 HUFALYSIN SYR 60 ML FLS 133 1,037,932 258 1,816,740 359 2,629,328 32 7,042 225,344
781 HUMALOG KWIKPEN PCS - - 50 3,954,550 45 3,559,095 5 79,091 395,455
782 HUMALOG KWIKPEN PCS 15,113 28,336,875 5,020 8,762,920 18,368 34,018,105 1,765 1,746 3,081,690
783 HUMALOG KWIKPEN 3 ML VIA - - 200 15,818,200 159 12,575,469 41 79,091 3,242,731
784 HUMALOG MIX 25 KWIKPEN 3ML VIA 32 3,215,339 1,450 146,012,000 1,433 144,293,137 49 100,698 4,934,202
785 HUMALOG MIX 50 KWIKPEN 3 ML VIA - - 20 2,016,000 - - 20 100,800 2,016,000
786 HUMAN ALBUMIN BEHRING 20% 5 FLS - - 45 17,761,309 45 17,761,309 - - -
787 HYDROCORTISONE 1% CR 5 GRAM TUB 82 289,407 - - 53 189,212 29 3,455 100,195
788 HYDROCORTISONE 2,5% CR 5 GR TUB 475 1,227,220 480 1,080,000 304 842,470 651 2,250 1,464,750
789 HYDROMAL INF FLS - - 1,305 54,760,028 1,197 50,228,132 108 41,962 4,531,896
790 HYOCINE N-B INJEKSI 20MG/ML AMP 50 400,000 100 800,000 150 1,200,000 - 8,000 -
791 HYPAFIX 5 CM X 5 M ( 1 CM CM 8,500 1,249,500 308,000 32,802,000 314,500 33,837,500 2,000 107 214,000
792 HYPAFIX 10 X 5 (1CM) CM 51,501 10,660,707 601,002 121,957,956 646,353 131,370,213 6,150 203 1,248,450
793 HYPERHEP INJEKSI VIA 18 28,353,819 70 143,303,182 59 112,288,549 29 2,047,188 59,368,452
794 HYPOBHAC 100 INJ/150MG VIA 4 524,392 10 1,310,980 14 1,835,372 - - -
795 HYPOBHACC 200 - - 4 890,304 4 890,304 - - -
796 HYTROZ 1MG TABL TAB 100 54,900 - - - - 100 549 54,900
797 IBUPROFEN 200MG TABLET TAB 4,792 455,240 - - 1,896 26,632 2,896 148 428,608
798 IBUPROFEN 400MG TABLET TAB 973 192,615 3,000 643,500 1,506 305,710 2,467 215 530,405
799 IBUPROFEN SYRUP 100 MG 60ML FLS 1 2,250 60 228,840 48 181,508 13 3,814 49,582
800 IBUPROFEN SYRUP 200MG 60ML FLS 31 139,314 100 572,200 122 660,016 9 5,722 51,498
801 ICU CLAVE KONEKTOR C-4348 PCS 90 3,330,000 100 5,350,000 119 4,881,500 71 53,500 3,798,500
802 ICU ERGOSTAR PCS - - 100 3,420,000 100 3,420,000 - - -
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803 ICU FILTER HME TWINSTAR BIR PCS - - 50 2,280,000 50 2,280,000 - - -
804 ICU FILTER SAFE STAR MERAH PCS - - 50 3,810,600 50 3,810,600 - - -
805 ICU H-V 2 PORT PCS - - 33 1,442,100 33 1,442,100 - - -
806 ICU H-V FILTER COMPACT STRA PCS 42 1,835,400 75 3,277,500 84 3,670,800 33 43,700 1,442,100
807 ICU ISO GARD HEPA LIGHT PCS - - 100 11,670,000 82 9,569,400 18 116,700 2,100,600
808 ICU STYLET INTUBATION 3 PCS - - 1 135,000 - - 1 135,000 135,000
809 ICU SUCTION CLOSED VENTILAT PCS - - 6 1,310,520 6 1,310,520 - - -
810 ICU VENTILATOR TUB SET LONG PCS 5 789,000 74 11,677,200 49 7,732,200 30 157,800 4,734,000
811 IKADERM CREAM 10 GR TUB 10 332,579 - - 10 332,579 - - -
812 IKADERM OINT 10 GR TUB - - 20 620,000 6 186,000 14 31,000 434,000
813 IKADRYL INJEKSI 10ML VIA 79 608,300 - - 79 608,300 - - -
814 IKALEP TABLET TAB 9 34,871 500 1,617,000 488 1,583,957 21 3,234 67,914
815 IKAMICETIN ZALF KULIT 15 GR TUB 31 210,771 90 650,000 74 521,337 47 7,222 339,434
816 IKANEURON 5000 AMP 3 ML AMP 1,806 8,645,159 3,900 19,305,000 5,706 27,950,159 - - -
817 IMBOOST FORCE SYRUP 60ML FLS 8 442,000 80 4,560,000 85 4,831,000 3 57,000 171,000
818 IMBOOST FORCE TAB TAB 71 416,093 480 3,136,046 537 3,460,677 14 6,533 91,462
819 IMUNOS PLUS SYR FLS 15 1,206,482 50 4,000,000 55 4,406,482 10 80,000 800,000
820 IMUNOS SYRUP 60 ML FLS 15 862,500 50 2,950,000 32 1,865,500 33 59,000 1,947,000
821 IMUNOS TAB TAB 159 1,028,296 660 4,620,000 681 4,682,296 138 7,000 966,000
822 INDUXIN INJEKSI AMP 34 272,000 - - 32 256,000 2 8,000 16,000
823 INERSON OINT 15 GRAM TUB 34 1,758,865 20 1,300,000 12 328,865 42 65,000 2,730,000
824 INFIBIOTIC INJ 1 GR VIA - - 350 59,500,000 292 49,640,000 58 170,000 9,860,000
825 INFUS SET AXIMED Y TYPE PCS 1 6,900 525 3,622,500 501 3,456,900 25 6,900 172,500
826 INFUS SET COSMOMED ADULT PCS 1,389 5,184,304 8,200 30,581,905 9,589 35,766,209 - - -
827 INFUS SET INTRAFIX MICRODRO PCS - - 200 3,212,800 76 1,220,864 124 16,064 1,991,936
828 INFUS SET JMS Y 500 PCS 2 30,622 - - 2 30,622 - - -
829 INFUS SET NIPRO TYPE Y PCS - - 2,500 16,850,000 1,634 11,013,160 866 6,740 5,836,840
830 INFUS SET OTSUKA MICRO/PEDI PCS 695 10,981,653 1,240 8,954,182 1,378 15,913,738 557 7,221 4,022,097
831 INFUS SET OTSUKA-Y ADAPTR B PCS - - 1,000 7,200,000 964 6,940,800 36 7,200 259,200
832 INFUS SET PKD-1 OTSUKA PCS 95 603,250 400 4,200,000 260 2,335,750 235 10,500 2,467,500
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833 INFUS SET TP ( TOP POIN) TY PCS - - 4,700 24,783,100 4,100 21,619,300 600 5,273 3,163,800
834 INJEKSI VIA 157 16,577,756 712 69,298,050 851 84,123,884 18 97,329 1,751,922
835 INMATROL ED 5 ML FLS 223 6,244,000 400 13,700,000 525 16,587,500 98 34,250 3,356,500
836 INPEPSA SYR 100 ML FLS 40 1,930,404 319 16,642,600 357 18,468,662 2 52,171 104,342
837 INTERHISTIN TAB TAB 153 110,160 - - 95 71,880 58 660 38,280
838 INTERLAC DROP FLS - - 5 1,162,500 4 930,000 1 232,500 232,500
839 INTRASITE GEL 15 G TUB 1 112,279 108 9,671,700 82 7,366,048 27 89,553 2,417,931
840 INTUNAL KAPLET TAB 1 600 - - 1 600 - - -
841 INVICLOT INJ 5 ML VIA 918 39,373,057 5,885 236,173,594 3,285 134,365,793 3,518 40,131 141,180,858
842 IODINE POVIDON 10 % 1L KF FLS 5 290,610 30 1,635,450 26 1,462,682 9 51,486 463,378
843 IODINE POVIDON 10 % 30 ML FLS 38 171,863 538 1,955,092 576 2,126,955 - 3,634 -
844 IOPAMIRO-300 30ML FLS 3 390,600 - - 2 260,400 1 130,200 130,200
845 IRBESARTAN 150MG TAB 588 262,495 45,500 24,863,300 42,358 23,089,215 3,730 546 2,036,580
846 IRBESARTAN 300MG TAB TAB 203 201,457 84,000 64,811,650 72,482 55,964,495 11,721 772 9,048,612
847 IRVASK 300 MG TAB TAB 39 504,582 - - 39 504,582 - - -
848 ISOFLURAN 250 ML ( 1 ML ) ML 5,000 10,916,250 - - 1,250 3,007,500 3,750 2,109 7,908,750
849 ISONIAZID 100MG TAB TAB 7,296 474,240 - - 296 19,240 7,000 65 455,000
850 ISONIAZID 300MG TAB TAB 2,577 430,359 15,000 2,505,000 13,835 2,310,445 3,742 167 624,914
851 ISOSORBID DINITRAT 1 MG/ML AMP - - 350 6,650,000 349 6,631,000 1 19,000 19,000
852 ISOSORBIDE DINT 5 MG TAB TAB 12,241 1,042,688 111,200 10,627,250 117,888 11,136,850 5,553 96 533,088
853 ISOTIC ADRETOR 0,5% TETES M FLS 104 1,602,952 1,640 41,072,751 1,434 34,912,063 310 25,044 7,763,640
854 ITRACONAZOLE 100 TAB TAB - - 100 440,000 28 123,200 72 4,400 316,800
855 IV CATH 14 ABBOTH PCS - - 800 11,636,000 155 2,254,475 645 14,545 9,381,525
856 IV CATH 16 TERUMO SURFLO PCS 200 1,636,400 - - 83 679,106 117 8,182 957,294
857 IV CATH 20 CATHY PCS 1,326 12,973,412 2,650 22,942,564 3,964 35,812,080 12 8,658 103,896
858 IV CATH 20 NIPRO SAFELET PCS - - 300 1,914,000 300 1,914,000 - - -
859 IV CATH 20 SURFLO PORT TERU PCS - - 500 6,625,480 500 6,625,480 - - -
860 IV CATH 24 CATHY PCS - - 500 4,134,000 282 2,331,576 218 8,268 1,802,424
861 IV CATH 26 ABBOCATH PCS 300 6,399,000 - - 224 5,086,252 76 17,273 1,312,748
862 IV CATH ABBOCATH 14 PCS 1,062 16,992,000 - - 77 2,665,175 985 14,545 14,326,825
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863 IV CATH ABBOCATH 16 PCS 648 9,951,906 600 8,727,000 655 10,053,721 593 14,545 8,625,185
864 IV CATH ABBOCATH 18 PCS 2,227 32,867,246 2,850 41,453,250 2,587 38,103,446 2,490 14,545 36,217,050
866 IV CATH ABBOCATH 22 PCS 166 2,532,713 3,200 46,544,000 1,693 24,742,928 1,673 14,545 24,333,785
868 IV CATH ABBOCATH 26 PCS 462 8,089,384 850 15,045,250 1,135 20,001,734 177 17,700 3,132,900
869 JARUM HECTING ( ALL ZISE ) PCS 12 126,330 120 1,260,000 25 262,830 107 10,500 1,123,500
870 JELLY AQUA SONIC PARKER 5LT FLS 1 565,000 50 28,580,900 11 6,281,180 40 571,618 22,864,720
871 JELLY USG COSMOMED 250ML FLS - - 75 1,875,000 13 325,000 62 25,000 1,550,000
872 KA EN 3B INF FLS - - 500 4,862,000 264 2,567,136 236 9,724 2,294,864
873 KA EN 4A INF 500ML FLS 97 1,611,170 - - 97 1,611,170 - - -
874 KA EN MG3 INFUS 500ML FLS 8 113,848 - - 2 28,462 6 14,231 85,386
875 KABIROC INJ AMP - - 200 16,000,000 195 15,600,000 5 80,000 400,000
876 KABIROC INJ 5O MG AMP 14 1,120,000 - - 14 1,120,000 - - -
877 KACAMATA OPERASI FACE SHIE PCS - - 4 2,400,000 4 2,400,000 - - -
878 KACAMATA GOGGLE PROTECTIVE PCS - - 6 157,500 2 52,500 4 26,250 105,000
879 KALBAMIN INF 500ML FLS 2 144,000 - - 1 72,000 1 72,000 72,000
880 KALFOXIM 1 GR INJEKSI VIA 59 8,926,228 - - 57 8,646,228 2 140,000 280,000
881 KALIPAR TABLET TAB 5,710 3,665,934 2,500 1,670,450 7,913 5,137,988 297 668 198,396
882 KALITAKE SACHET BPJS BKS - - 200 908,908 69 313,513 131 4,545 595,395
883 KALIUM DIKLOFENAK 25 TAB TAB - - 1,500 532,950 1,359 482,895 141 355 50,055
884 KALIUM DIKLOFENAK 50 MG TAB TAB 16 9,744 12,420 8,051,011 7,343 4,760,491 5,093 648 3,300,264
885 KALMECO 500MCG CAPS CAP 4 8,184 - - 4 8,184 - - -
886 KALNEX 500MG TAB TAB 182 566,384 - - 178 554,384 4 3,000 12,000
887 KALTROFEN SUPP BH 15 195,000 - - 15 195,000 - - -
888 KALXETIN 20MG CAP CAP 46 310,158 - - 43 291,456 3 6,234 18,702
889 KAPAS ABSORBENT 250 GRAM PCS 132 1,599,972 250 3,763,650 320 4,430,212 62 15,055 933,410
890 KAPSUL SESAK 1 PKT - - 500 104,545 367 76,736 133 209 27,809
891 KAPSUL SESAK 1 CAP - - 84,440 17,660,070 80,796 16,898,354 3,644 209 761,716
892 KAPSUL SESAK 2 CAP - - 46,880 22,316,189 42,136 20,058,045 4,744 476 2,258,144
Page 30 of 73
893 KARBOL GLYCERIN 20 ML FLS 12 2,196 15 44,195 18 19,877 9 2,946 26,514
894 KASA DARM K4 DRC 30X30 CM PCS 50 337,500 800 7,440,000 350 3,127,500 500 9,300 4,650,000
895 KASA DEPPER DRC 20 X 20 CM PCS 100 60,000 600 366,000 380 230,800 320 610 195,200
896 KASA GULUNG 40 X 16 - HUSN PCS 3 67,500 - - 2 45,000 1 22,500 22,500
897 KASA GULUNG 40 X 16 MEDIKA PCS 219 4,096,986 250 4,591,000 469 8,687,986 - - -
898 KASA GULUNG 40 X 16 PRESS ROL - - 3,540 76,061,815 3,140 67,467,415 400 21,486 8,594,400
899 KASA LIPAT GAUZE SWAB ( 5X1 PCS 28,080 35,219,051 131,512 181,102,000 134,852 182,254,071 24,740 1,377 34,066,980
900 KASA STERIL 16 X 16 ADINDA KTK - - 1,500 8,250,000 1,496 8,228,000 4 5,500 22,000
901 KASA STERIL HUSNA HUSADA/BU PCS - - 25 165,000 18 118,800 7 6,600 46,200
902 KASA STERIL ONEMED 16X16 PCS 153 1,125,162 2,010 14,531,772 1,839 13,314,414 324 7,230 2,342,520
903 KASA TAMPON DRC 3 CM X 3 M PCS 225 2,160,000 200 2,000,000 225 2,160,000 200 10,000 2,000,000
904 KASA TAMPON DRC 4CM X 340CM PCS 175 1,890,000 200 2,260,000 300 3,302,500 75 11,300 847,500
905 KASA TAMPON DRC ROL 1 X 150 PCS - - 100 235,000 100 235,000 - - -
906 KAT BIO BLUE PCS - - 40 3,700,000 40 3,700,000 - - -
907 KAT CATACHOL ( CARBACHOL ) PCS 3 209,864 95 6,678,686 82 5,763,718 16 70,302 1,124,832
908 KAT CAUTER AARON BOVIE (OPT PCS 3 990,000 - - 3 990,000 - - -
909 KAT DEVINE CARBACHOL PCS - - 40 3,700,000 40 3,700,000 - - -
910 KAT LENSA EPOCH PCS - - 250 118,750,000 213 101,175,000 37 475,000 17,575,000
911 KAT LENSA OPTIMA PCS - - 10 1,600,000 7 1,120,000 3 160,000 480,000
912 KAT MEDEBLUE PCS 3 202,500 75 3,978,686 61 3,279,353 17 53,049 901,833
913 KAT PISAU CRESSENT JE PCS 40 5,880,000 - - 16 2,352,000 24 147,000 3,528,000
914 KAT PISAU KERATOME PCS 46 6,762,000 200 29,400,000 159 23,373,000 87 147,000 12,789,000
915 KAT SURVISC ( SOD.HYALURONA PCS 1 437,500 160 68,440,000 137 58,611,500 24 427,750 10,266,000
916 KCL 7,46% INJ 25ML FLS 82 230,994 485 2,176,910 484 2,035,400 83 4,488 372,504
917 KENACORT 0.1% CREAM 10 GR TUB - - 1 89,540 1 89,540 - - -
918 KENALOG ORAL BASE 5GR TUB 5 234,500 - - 5 234,500 - - -
919 KENDARON TAB 200MG TAB 600 593,400 300 280,089 57 86,127 843 934 787,362
920 KEREN INJEKSI 25 MG/ML AMP 10 425,810 - - 10 425,810 - - -
921 KEREN TABLET TAB 260 1,512,831 70 491,260 315 1,898,821 15 7,018 105,270
922 KERTAS AUDIOMETRI AMP - - 100 13,150,000 34 4,471,000 66 131,500 8,679,000
Page 31 of 73
923 KERTAS PUYER PERKAMEN (BA LBR 3,475 3,475 - - 3,475 3,475 - 35 -
924 KERTAS SPIROMETRI PCS - - 24 3,156,000 24 3,156,000 - - -
925 KETAMIN HAMELN 500MG / 10ML VIA 24 1,362,219 - - 13 739,223 11 56,636 622,996
926 KETOCONAZOL 200MG TAB TAB - - 2,000 745,440 1,255 467,555 745 373 277,885
927 KETOCONAZOL CREAM 10G TUB 41 105,329 124 484,130 110 374,739 55 3,904 214,720
928 KETOPROFEN TAB 50 MG TAB 2,135 1,503,040 - - 2,135 1,503,040 - - -
929 KETOROLAC 10MG TAB TAB 558 1,367,904 3,500 9,190,000 2,741 7,099,462 1,317 2,626 3,458,442
930 KETOROLAC INJEKSI 10MG AMP 153 961,864 170 670,000 290 1,501,811 33 3,941 130,053
931 KETOROLAK INJEKSI 30MG AMP 2,627 9,485,572 28,196 98,333,936 25,403 88,914,548 5,420 3,488 18,904,960
932 KETRICIN ORABASE GEL 5GR TUB - - 28 1,331,750 24 1,141,498 4 47,563 190,252
933 KINA TABLET TAB 576 710,208 - - 76 93,708 500 1,233 616,500
934 KONDOM CATH PCS 39 210,210 20 1,200,000 19 102,410 40 32,695 1,307,800
935 KORSET LUMBAL ACTIMOVE BLAC PCS - - 1 985,000 1 985,000 - - -
936 KORSET LUMBAL ACTIMOVE GREY PCS - - 1 772,000 - - 1 772,000 772,000
937 KORSET LUMBAL DOBL RR "M" PCS - - 1 277,200 1 277,200 - - -
938 KORSET LUMBAL DOBL RR "S" PCS - - 10 2,636,400 6 1,581,840 4 263,640 1,054,560
939 KORSET LUMBAL ELASTIS PCS 27 4,556,250 111 18,954,950 91 15,485,245 47 170,765 8,025,955
940 KORSET LUMBAL OPPO L 2068 PCS - - 2 800,000 1 400,000 1 400,000 400,000
941 KORSET LUMBAL OPPO WNT 2065 PCS - - 2 1,350,000 1 675,000 1 675,000 675,000
942 KRUK KETIAK GEA PCS 46 4,689,286 100 10,823,257 120 12,698,485 26 108,233 2,814,058
943 KSR 600 MG TABLET TAB 3,906 6,188,862 - - 3,862 6,120,882 44 1,545 67,980
944 KTM INJ INJEKSI 1000 MG / 1 VIA 10 1,846,890 110 16,192,500 88 13,328,830 32 147,205 4,710,560
945 KUNCI EMERGENSI PCS - - 300 2,250,000 280 2,100,000 20 7,500 150,000
946 KURKUMEX SYR FLS 20 225,740 500 5,643,500 460 5,192,020 60 11,287 677,220
947 KURKUMEX TABLET TAB 100 69,300 - - 99 68,670 1 630 630
948 KUTOIN 100MG CAPSUL CAP 8 6,072 100 139,150 98 131,302 10 1,392 13,920
949 KY JELLY 100 GR PCS - - 246 16,691,100 188 12,755,800 58 67,850 3,935,300
950 KY JELY 50 GR TUB - - 59 2,153,500 57 2,080,500 2 36,500 73,000
951 L ALANYL L GLUTAMIN INF FLS - - 10 2,000,000 9 1,800,000 1 200,000 200,000
952 LAB 3 ML INDIVIDUALLY PACKE PCS - - 1 1,272,727 1 1,272,727 - - -
Page 32 of 73
953 LAB 5 IN 1 PANEL DOA CASETT BOX - - 5 13,543,750 5 13,543,750 - - -
954 LAB ACID CUVETTE CLEANER IL PCS - - 2 2,482,000 2 2,482,000 - - -
955 LAB AIM DRUGTEST URI BOX - - 5 8,250,000 5 8,250,000 - - -
956 LAB AIM HAV TRIPLELINE IGG/ BOX - - 1 3,000,000 1 3,000,000 - - -
957 LAB AIM IPHA TEST 100 BOX - - 4 5,280,000 4 5,280,000 - - -
958 LAB AIM URI TEST 3/100 PCS - - 2 396,000 2 396,000 - - -
959 LAB ALBUMIN IL TEST PCS - - 35 60,900,000 35 60,900,000 - - -
960 LAB ALKALINE CUVETTE CLEAN FLS - - 1 1,820,000 1 1,820,000 - - -
961 LAB ALKALINE DETERGENT IL T BOX - - 3 4,509,000 3 4,509,000 - - -
962 LAB ALKALINE PHOSPATE IL TE PCS - - 5 15,200,000 5 15,200,000 - - -
963 LAB ALT / GPT LIQUID IL TES PCS - - 16 119,787,300 16 119,787,300 - - -
964 LAB AMIKACIN AK30 BOX - - 2 1,100,500 2 1,100,500 - - -
965 LAB AMOXICILLIN AML25 BOX - - 1 550,500 1 550,500 - - -
966 LAB AMOXICILLIN/CLAVU BOX - - 1 550,500 1 550,500 - - -
967 LAB AMPICILLIN/SULBACTAM BOX - - 1 550,500 1 550,500 - - -
968 LAB AMYLASE IL TEST PCS - - 4 31,912,000 4 31,912,000 - - -
969 LAB ANTI HCV TEST PCS - - 563 54,071,459 563 54,071,459 - - -
970 LAB ANTI LEPTOSPIRA BOX - - 6 7,500,000 6 7,500,000 - - -
971 LAB ANTI LEPTOSPIRA IGM CST BOX - - 2 3,956,000 2 3,956,000 - - -
972 LAB API 20 E BOX - - 1 5,235,571 1 5,235,571 - - -
973 LAB API 20 STREP/25 STRP+ME BOX - - 1 5,675,000 1 5,675,000 - - -
974 LAB API NACL 0.85% MED 3 ML PCS - - 2 12,658,800 2 12,658,800 - - -
975 LAB API REAGENT KIT PCS - - 1 941,500 1 941,500 - - -
976 LAB API STAPH PCS - - 3 15,980,200 3 15,980,200 - - -
977 LAB API STAPH 25 STRP+ MEDI BOX - - 1 4,161,000 1 4,161,000 - - -
978 LAB ASO LATEX KIT INCL 100T SET - - 1 554,400 1 554,400 - - -
979 LAB AST/GOT LIQUID IL TEST PCS - - 15 150,430,500 15 150,430,500 - - -
980 LAB ASTO 50~S PLASMATEC PCS - - 1 990,000 1 990,000 - - -
981 LAB AUTION STICK 10 EA ARKR PCS - - 66 36,000,030 66 36,000,030 - - -
982 LAB BACTALERT FA PLUS FLS - - 3 27,000,000 3 27,000,000 - - -
Page 33 of 73
983 LAB BACTALERT PF PLUS 25 PCS - - 250 18,075,000 250 18,075,000 - - -
984 LAB BATH ADDICTIVE PCS - - 6 33,600,000 6 33,600,000 - - -
985 LAB BD VAC EDTA 2 ML BOX - - 38 7,152,930 38 7,152,930 - - -
986 LAB BIOMERILEU MINERAL OIL PCS - - 1 376,500 1 376,500 - - -
987 LAB BLOOD GROUPING PLATE @2 BOX - - 1 300,000 1 300,000 - - -
988 LAB BLOOD LANCET PCS - - 10 320,000 10 320,000 - - -
989 LAB BLOOD LANCET PCS - - 283 9,056,000 283 9,056,000 - - -
990 LAB BLUE TIP BIASA 500~ PCS - - 38 4,773,636 38 4,773,636 - - -
991 LAB BLUE TIP GREINER 250 BOX - - 34 8,500,000 34 8,500,000 - - -
992 LAB BLUE TIP LIGHT TIP EX F BOX - - 5 435,000 5 435,000 - - -
993 LAB BM LACTATE BOX - - 19 15,732,000 19 15,732,000 - - -
994 LAB CALCIUM IL TEST PCS - - 2 6,776,000 2 6,776,000 - - -
995 LAB CAT GRAM 3 X 500 ML ST SET - - 2 3,266,750 2 3,266,750 - - -
996 LAB CAT WRIGHT SOLUTION PCS - - 1 996,000 1 996,000 - - -
997 LAB CD 32 HEMOGLOBIN BOX - - 2 7,139,000 2 7,139,000 - - -
998 LAB CD 4000 DIL SHEATH 20 L BOX - - 2 7,139,000 2 7,139,000 - - -
999 LAB CD DILUENT AMP - - 8 28,556,000 8 28,556,000 - - -
1000 LAB CD ENZYMATIC CLEANER BOX - - 3 4,435,200 3 4,435,200 - - -
1001 LAB CD HEMOGLOBIN 32 AMP - - 3 10,708,500 3 10,708,500 - - -
1002 LAB CD PLS TRILVL QC 26 SET - - 1 962,500 1 962,500 - - -
1003 LAB CD RUBY/32 WBC LYSE AMP - - 8 57,085,600 8 57,085,600 - - -
1004 LAB CEFOTAXIM CTX30 BOX - - 3 1,650,000 3 1,650,000 - - -
1005 LAB CEFOXITIN BOX - - 1 550,000 1 550,000 - - -
1006 LAB CEFTAZIDIME CAZ30 BOX - - 1 550,500 1 550,500 - - -
1007 LAB CEFTRIAXONE CRO30 BOX - - 1 550,000 1 550,000 - - -
1008 LAB CEFUROXIME CXM30 BOX - - 1 550,500 1 550,500 - - -
1009 LAB CELINDER TEST TUBE 12 X BOX - - 1 1,818,182 1 1,818,182 - - -
1010 LAB CELLCLEAN AUTO 4 MLX 20 PCS - - 4 6,000,000 4 6,000,000 - - -
1011 LAB CELLPACK DCL 20L FLS - - 58 102,544,000 58 102,544,000 - - -
1012 LAB CELLPACK DFL 1.5L (DFL- FLS - - 4 4,160,000 4 4,160,000 - - -
Page 34 of 73
1013 LAB CHLORAMPHENICOL C30 BOX - - 2 1,100,500 2 1,100,500 - - -
1014 LAB CHOLESTEROL IL TEST PCS - - 8 142,376,000 8 142,376,000 - - -
1015 LAB CHOLESTEST CONTROL LVL PCS - - 20 7,623,000 20 7,623,000 - - -
1016 LAB CHOLESTEST HDL R1 PCS - - 1 6,926,400 1 6,926,400 - - -
1017 LAB CHOLESTEST LDL R1 AMP - - 10 82,051,200 10 82,051,200 - - -
1018 LAB CHOLESTEST LDL R2 PCS - - 11 29,409,860 11 29,409,860 - - -
1019 LAB CHOLESTEST N CALIBRATOR BOX - - 5 8,896,799 5 8,896,799 - - -
1020 LAB CHOLESTEST N-HDL R1 BOX - - 8 55,034,750 8 55,034,750 - - -
1021 LAB CHOLESTEST N-HDL R2 BOX - - 10 60,739,200 10 60,739,200 - - -
1022 LAB CIPROFLOXACIN CIP5 BOX - - 1 550,500 1 550,500 - - -
1023 LAB CK PREST 2 PCS - - 9 26,784,000 9 26,784,000 - - -
1024 LAB CK-MB IL TEST PCS - - 2 19,244,000 2 19,244,000 - - -
1025 LAB CLEANING SOL 125 ML BOX - - 3 1,527,000 3 1,527,000 - - -
1026 LAB CLED MEDIUM PCS - - 1 4,368,000 1 4,368,000 - - -
1027 LAB CLINDAMYCIN DA2 BOX - - 1 550,000 1 550,000 - - -
1028 LAB CLOT ACTIVATOR 3 ML BOX - - 48 13,440,000 48 13,440,000 - - -
1029 LAB COVER GLASS 22X22 BOX - - 2 1,600,000 2 1,600,000 - - -
1030 LAB CREATININE ENZYMATIC IL PCS - - 15 154,800,000 15 154,800,000 - - -
1031 LAB CREATININE IL TEST BOX - - 3 27,561,000 3 27,561,000 - - -
1032 LAB CULTURE SWAB PLUS AMIES BOX - - 4 4,531,200 4 4,531,200 - - -
1033 LAB CUP SAMPLE PCS - - 55 35,750,000 55 35,750,000 - - -
1034 LAB CUP SAMPLE 1.5 ML NESCO PAK - - 9 3,000,000 9 3,000,000 - - -
1035 LAB CUVETTE CLEANING IL 300 BOX - - 1 2,394,000 1 2,394,000 - - -
1036 LAB CUVVETE CLEANING I LAB BOX - - 1 2,394,000 1 2,394,000 - - -
1037 LAB CUVVETE STAGO BOX - - 5 16,500,000 5 16,500,000 - - -
1038 LAB DAILY CLEANING PCS - - 10 22,107,435 10 22,107,435 - - -
1039 LAB DECKGLASS 22X22 PCS - - 4 3,960,000 4 3,960,000 - - -
1040 LAB DENGUE IGD & IGM FOKUS BOX - - 5 16,250,000 5 16,250,000 - - -
1041 LAB DENGUE IGG & IGM RAPIGE BOX - - 5 14,775,000 5 14,775,000 - - -
1042 LAB DENGUE NS 1 RAPIGEN 25~ BOX - - 11 40,450,000 11 40,450,000 - - -
Page 35 of 73
1043 LAB DENGUE NS 1 STANDARD Q BOX - - 6 12,750,000 6 12,750,000 - - -
1044 LAB DHF PCS - - 5 15,312,273 5 15,312,273 - - -
1045 LAB DHF Q-ACCES PCS - - 3 5,400,000 3 5,400,000 - - -
1046 LAB DIRECT BILIRUBIN IL TES PCS - - 6 19,536,000 6 19,536,000 - - -
1047 LAB DRUG 5P AIM PCS - - 10 22,000,000 10 22,000,000 - - -
1048 LAB DRUG SP Q-ACESS BOX - - 13 28,600,000 13 28,600,000 - - -
1049 LAB EASY TOUCH STRIP CHOLES BOX - - 10 2,000,000 10 2,000,000 - - -
1050 LAB ELECSYS AFP PCS - - 1 4,052,250 1 4,052,250 - - -
1051 LAB ELECSYS AFP CALSET BOX - - 1 1,230,750 1 1,230,750 - - -
1052 LAB ELECSYS ANTI HCV II BOX - - 2 12,684,000 2 12,684,000 - - -
1053 LAB ELECSYS ASSAY CUP 2010 BOX - - 4 6,239,000 4 6,239,000 - - -
1054 LAB ELECSYS ASSAY TIP 2010 BOX - - 1 1,508,000 1 1,508,000 - - -
1055 LAB ELECSYS CA 125 II PCS - - 1 8,361,000 1 8,361,000 - - -
1056 LAB ELECSYS CA 125 II CALSE BOX - - 1 1,230,750 1 1,230,750 - - -
1057 LAB ELECSYS CA 15-3 PCS - - 1 7,377,750 1 7,377,750 - - -
1058 LAB ELECSYS CA 15-3II CALSE BOX - - 1 1,230,750 1 1,230,750 - - -
1059 LAB ELECSYS CA 19-9 PCS - - 1 8,016,750 1 8,016,750 - - -
1060 LAB ELECSYS CA19-9 CALSET BOX - - 1 1,230,750 1 1,230,750 - - -
1061 LAB ELECSYS CEA PCS - - 1 4,888,125 1 4,888,125 - - -
1062 LAB ELECSYS CEA CALSET BOX - - 1 1,230,750 1 1,230,750 - - -
1063 LAB ELECSYS CLEAN ASSAY TIP BOX - - 1 1,508,000 1 1,508,000 - - -
1064 LAB ELECSYS CLEAN LINER 201 BOX - - 1 570,000 1 570,000 - - -
1065 LAB ELECSYS CMV IGG BOX - - 2 9,501,750 2 9,501,750 - - -
1066 LAB ELECSYS CMV IGM BOX - - 2 12,393,000 2 12,393,000 - - -
1067 LAB ELECSYS DILUENT UNIVERS BOX - - 3 3,282,000 3 3,282,000 - - -
1068 LAB ELECSYS FERITRIN BOX - - 2 7,515,000 2 7,515,000 - - -
1069 LAB ELECSYS FERITRIN CALSET BOX - - 1 1,230,750 1 1,230,750 - - -
1070 LAB ELECSYS FT 4 II BOX - - 3 21,026,250 3 21,026,250 - - -
1071 LAB ELECSYS FT 4 II CALSET BOX - - 2 2,461,500 2 2,461,500 - - -
1072 LAB ELECSYS HBSAG II BOX - - 2 4,778,000 2 4,778,000 - - -
Page 36 of 73
1073 LAB ELECSYS PSA BOX - - 2 10,766,000 2 10,766,000 - - -
1074 LAB ELECSYS PSA CALSET II BOX - - 2 2,461,500 2 2,461,500 - - -
1075 LAB ELECSYS PSA CALSET II BOX - - 2 2,461,500 2 2,461,500 - - -
1076 LAB ELECSYS RUBELLA IGG PCS - - 2 9,337,500 2 9,337,500 - - -
1077 LAB ELECSYS RUBELLA IGM BOX - - 2 13,218,750 2 13,218,750 - - -
1078 LAB ELECSYS SYS WASH BOX - - 3 1,350,000 3 1,350,000 - - -
1079 LAB ELECSYS T3 BOX - - 2 10,302,750 2 10,302,750 - - -
1080 LAB ELECSYS T3 CALSET BOX - - 1 1,230,750 1 1,230,750 - - -
1081 LAB ELECSYS T4 BOX - - 2 10,302,750 2 10,302,750 - - -
1082 LAB ELECSYS T4 CALSET BOX - - 1 1,230,750 1 1,230,750 - - -
1083 LAB ELECSYS TOTO IGG BOX - - 2 8,471,250 2 8,471,250 - - -
1084 LAB ELECSYS TOTO IGM BOX - - 3 14,252,625 3 14,252,625 - - -
1085 LAB ELECSYS TSH BOX - - 5 23,295,250 5 23,295,250 - - -
1086 LAB ELECSYS TSH CALSET BOX - - 4 4,786,250 4 4,786,250 - - -
1087 LAB ELECSYS WASH SOLUTION BOX - - 1 450,000 1 450,000 - - -
1088 LAB ELECYS CLEAN CELL BOX - - 15 12,870,000 15 12,870,000 - - -
1089 LAB ELECYS PRO CELL BOX - - 16 13,728,000 16 13,728,000 - - -
1090 LAB ERYTHROMYCIN E15 BOX - - 1 550,500 1 550,500 - - -
1091 LAB ESBASCH 500 ML IR PCS - - 2 1,000,000 2 1,000,000 - - -
1092 LAB ESCERICHIA COLI ATCC BOX - - 1 1,500,000 1 1,500,000 - - -
1093 LAB FLUOROCELL RET 12ML PCS - - 5 13,000,000 5 13,000,000 - - -
1094 LAB FLUOROCELL WDF 42 ML (W PCS - - 7 49,469,000 7 49,469,000 - - -
1095 LAB FLUOROCELL WNR 82ML PCS - - 9 32,706,000 9 32,706,000 - - -
1096 LAB GCU MACHINE ET BOX - - 2 800,000 2 800,000 - - -
1097 LAB GELAS UKUR PYREX 1000ML PCS - - 1 450,000 1 450,000 - - -
1098 LAB GENTAMYCIN CN10 BOX - - 1 550,500 1 550,500 - - -
1099 LAB GIEMSA 500 ML EMERCK PCS - - 1 1,430,000 1 1,430,000 - - -
1100 LAB GLUCOCARD SIGMA TEST PCS - - 315 113,400,000 315 113,400,000 - - -
1101 LAB GLUCOSE IL TEST BOX - - 1 6,450,000 1 6,450,000 - - -
1102 LAB GLUCOSE OXIDASE IL TEST BOX - - 18 75,035,000 18 75,035,000 - - -
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1103 LAB GOLONGAN DARAH ANTI A PCS - - 26 4,961,000 26 4,961,000 - - -
1104 LAB GOLONGAN DARAH A TULIP VIA - - 4 568,000 4 568,000 - - -
1105 LAB GOLONGAN DARAH AB TULIP VIA - - 10 1,420,000 10 1,420,000 - - -
1106 LAB GOLONGAN DARAH ANTI A E PCS - - 48 9,504,000 48 9,504,000 - - -
1107 LAB GOLONGAN DARAH ANTI AB VIA - - 10 1,834,000 10 1,834,000 - - -
1108 LAB GOLONGAN DARAH ANTI B PCS - - 26 4,961,000 26 4,961,000 - - -
1109 LAB GOLONGAN DARAH ANTI B E PCS - - 48 9,504,000 48 9,504,000 - - -
1110 LAB GOLONGAN DARAH ANTI D PCS - - 42 8,770,000 42 8,770,000 - - -
1111 LAB GOLONGAN DARAH ANTI D E PCS - - 49 10,290,000 49 10,290,000 - - -
1112 LAB GOLONGAN DARAH B TULIP VIA - - 4 568,000 4 568,000 - - -
1113 LAB GOLONGAN DARAH D TULIP VIA - - 4 900,000 4 900,000 - - -
1114 LAB HAV TRIPLELINE IGG IGM BOX - - 5 15,000,000 5 15,000,000 - - -
1115 LAB HBA1C PCS - - 8 19,500,000 8 19,500,000 - - -
1116 LAB HBA1C NICOCARD PCS - - 69 160,094,000 69 160,094,000 - - -
1117 LAB HBSAG BIOCARE 50" PCS - - 5 3,250,000 5 3,250,000 - - -
1118 LAB HBSAG CASSETLE 25~S FOK BOX - - 5 3,000,000 5 3,000,000 - - -
1119 LAB HBSAG STRIP ABON BOX - - 6 3,240,000 6 3,240,000 - - -
1120 LAB HBSAG STRIP ANSWER BOX - - 12 6,350,000 12 6,350,000 - - -
1121 LAB HBSAG STRIP Q ACCES BOX - - 28 15,400,000 28 15,400,000 - - -
1122 LAB HBSAG STRIP SMART 25~ BOX - - 167 72,475,000 167 72,475,000 - - -
1123 LAB HBSAG TEST PCS - - 1,267 42,832,202 1,267 42,832,202 - - -
1124 LAB HCG STRIP O RIGHT 50~S BOX - - 5 425,000 5 425,000 - - -
1125 LAB HCG STRIP RIGHT SIGN BOX - - 24 2,090,000 24 2,090,000 - - -
1126 LAB HCG TES STRIP Q ACCES BOX - - 6 1,200,000 6 1,200,000 - - -
1127 LAB HCV SD 100~S BOX - - 18 63,360,000 18 63,360,000 - - -
1128 LAB HIV CARD INTGEC 40~S PCS - - 5 8,250,000 5 8,250,000 - - -
1129 LAB HIV ONCOPROBE 50~S BOX - - 5 14,057,273 5 14,057,273 - - -
1130 LAB HIV SD BOX - - 50 237,673,962 50 237,673,962 - - -
1131 LAB HIV TEST PCS - - 615 37,913,520 615 37,913,520 - - -
1132 LAB ID COLOR CATALASE BOX - - 1 2,844,000 1 2,844,000 - - -
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1133 LAB ID DILUENT BOX - - 9 27,518,400 9 27,518,400 - - -
1134 LAB ID LISCOMB 24 X 12 BOX - - 216 301,392,000 216 301,392,000 - - -
1135 LAB IMIPENEM IPM 10 BOX - - 1 550,500 1 550,500 - - -
1136 LAB IRON IL TEST BOX - - 2 16,549,310 2 16,549,310 - - -
1137 LAB ISE CLEANING SOL BOX - - 1 1,412,000 1 1,412,000 - - -
1138 LAB ISETROL ELECTROLITE CTR BOX - - 1 1,216,000 1 1,216,000 - - -
1139 LAB KERTAS SARING WHATMAN PCS - - 1 250,000 1 250,000 - - -
1140 LAB LABEL UK 55 X 30 MM PCS - - 80 14,400,000 80 14,400,000 - - -
1141 LAB LANCET PCS - - 20 500,000 20 500,000 - - -
1142 LAB LDH-P IL TEST PCS - - 3 10,170,000 3 10,170,000 - - -
1143 LAB LEVOFLOXACIN BOX - - 1 550,000 1 550,000 - 550,000 -
1144 LAB LIPASE IL TEST BOX - - 6 81,000,000 6 81,000,000 - - -
1145 LAB LYPOCHECK ASSAYED CHEMI PCS - - 2 700,000 2 700,000 - - -
1146 LAB LYSERCELL WDF 210 A BOX - - 4 14,400,000 4 14,400,000 - - -
1147 LAB LYSERCELL WDF 4L PCS - - 2 6,400,000 2 6,400,000 - - -
1148 LAB LYSERCELL WNR 210 A BOX - - 9 22,185,000 9 22,185,000 - - -
1149 LAB LYSERCELL WNR 4L PCS - - 2 4,334,000 2 4,334,000 - - -
1150 LAB MAGNESIUM PCS - - 8 58,540,800 8 58,540,800 - - -
1151 LAB MDS EX TEST STRIP INDIV BOX - - 27 5,098,383 27 5,098,383 - - -
1152 LAB MEMBRAN PO2 PCS - - 2 7,150,000 2 7,150,000 - - -
1153 LAB MEROPENEM MEM10 BOX - - 1 550,500 1 550,500 - - -
1154 LAB METHANOL 500 ML IR FLS - - 5 1,932,000 5 1,932,000 - - -
1155 LAB MICROPIPETTE 10-100 UL PCS - - 1 2,178,000 1 2,178,000 - - -
1156 LAB MICROPIPETTE 5-50 UL AC PCS - - 1 2,178,000 1 2,178,000 - - -
1157 LAB MICROPIPPETTE 100-1000 PCS - - 1 2,178,000 1 2,178,000 - - -
1158 LAB MICROPLATE TPHA PCS - - 20 1,200,000 20 1,200,000 - - -
1159 LAB MUELLER HINTON AGAR PCS - - 2 4,956,000 2 4,956,000 - - -
1160 LAB MULTI DRUG 5 PR FOKUS 2 PCS - - 23 62,301,250 23 62,301,250 - - -
1161 LAB MULTI DRUG AIM 5 PR AIM PCS - - 31 68,200,000 31 68,200,000 - - -
1162 LAB MULTI-LINE 6 DRUG S BOX - - 4 7,000,000 4 7,000,000 - - -
Page 39 of 73
1163 LAB NA EDTA 2 ML BOX - - 10 2,440,000 10 2,440,000 - - -
1164 LAB NEISSER ABC 100ML FLS - - 1 2,575,000 1 2,575,000 - - -
1165 LAB NEOPLASTINE CL+2 PCS - - 13 19,344,000 13 19,344,000 - - -
1166 LAB NETILMICIN NET30 BOX - - 2 1,100,500 2 1,100,500 - - -
1167 LAB NS1 PCS - - 2 6,400,000 2 6,400,000 - - -
1168 LAB NS1 RAPIGEN BOX - - 2 7,700,000 2 7,700,000 - - -
1169 LAB OBJECK GLASS ( 72 PCS ) BOX - - 120 3,440,000 120 3,440,000 - - -
1170 LAB OTVERIO STRIP 50APC BOX - - 475 250,800,000 475 250,800,000 - - -
1171 LAB OXACILLIN OX5 BOX - - 1 550,500 1 550,500 - - -
1172 LAB OXIDASE REAGENT BOX - - 2 15,323,000 2 15,323,000 - - -
1173 LAB PETRI MEDIA AGAR MERAH PCS - - 160 5,600,000 160 5,600,000 - - -
1174 LAB PETRIDISH BOX - - 420 7,200,000 420 7,200,000 - - -
1175 LAB PETRIDISH PLASTIK 9X1.5 BOX - - 502 3,679,545 502 3,679,545 - - -
1176 LAB PIMA BEAD STANDART BOX - - 2 1,500,000 2 1,500,000 - - -
1177 LAB PIMA CD4 100X BOX - - 2 36,000,000 2 36,000,000 - - -
1178 LAB PLS TRILVIL QC BOX - - 1 962,500 1 962,500 - - -
1179 LAB POT URIN TUTUP MERAH LA BH - - 300 750,000 300 750,000 - - -
1180 LAB PRECI CONTROL CMV BOX - - 1 1,230,750 1 1,230,750 - - -
1181 LAB PRECI CONTROL CMV IGG BOX - - 2 2,461,500 2 2,461,500 - - -
1182 LAB PRECI CONTROL HBSAG II BOX - - 1 1,774,000 1 1,774,000 - - -
1183 LAB PRECI CONTROL RUBELLA BOX - - 3 9,925,875 3 9,925,875 - - -
1184 LAB PRECI CONTROL TOXO IGM BOX - - 1 2,275,875 1 2,275,875 - - -
1185 LAB PRECI CONTROL UNIV GEN BOX - - 2 2,720,000 2 2,720,000 - - -
1186 LAB PROBE RINSE I LAB 300 BOX - - 27 46,467,000 27 46,467,000 - - -
1187 LAB RA LATEX TEST BOX - - 1 1,500,000 1 1,500,000 - - -
1188 LAB RAMP CK MB ASSAY BOX - - 30 129,659,091 30 129,659,091 - - -
1189 LAB RAMP TROPONIN ASSAY BOX - - 8 33,409,091 8 33,409,091 - - -
1190 LAB REAGEN RF (50 TEST) SET - - 1 1,200,000 1 1,200,000 - - -
1191 LAB REAGENT PHOX OXYMETRY MPCS - - 1 9,000,000 1 9,000,000 - - -
1192 LAB REFERIL E CALIBRATOR VIA - - 1 924,000 1 924,000 - - -
Page 40 of 73
1193 LAB REFERR IL G IL TEST PCS - - 3 16,890,000 3 16,890,000 - - -
1194 LAB RIBBON UK 70MM X 300 MM ROL - - 10 1,520,000 10 1,520,000 - - -
1195 LAB SALMONELLA AIM RAPID BOX - - 10 20,005,805 10 20,005,805
1196 LAB SALMONELLA IGG IGM 25 F PCS - - 3 5,573,700 3 5,573,700 - - -
1197 LAB SALMONELLA IGM RAPID 20 BOX - - 41 66,635,000 41 66,635,000 - - -
1198 LAB SALMONELLA IGM RAPID TE BOX - - 21 37,737,000 21 37,737,000 - - -
1199 LAB SENSOR CARD 091 BOX - - 76 141,116,800 76 141,116,800 - - -
1200 LAB SENSOR PANEL 5 PCS - - 325 21,937,500 325 21,937,500 - - -
1201 LAB SERA CHEM@ CONTROL LEVE BOX - - 5 29,250,000 5 29,250,000 - - -
1202 LAB SNAPPACK PCS - - 13 36,796,500 13 36,796,500 - - -
1203 LAB SODIUM ELECTROLITE COND BOX - - 1 347,000 1 347,000 - - -
1204 LAB SOLUTION PACK BOX - - 8 88,000,000 8 88,000,000 - - -
1205 LAB SOLUTION PACK 800 ML BOX - - 14 302,000,000 14 302,000,000 - - -
1206 LAB SS AGAR BOX - - 1 2,964,500 1 2,964,500 - - -
1207 LAB SS GEL III+CLOTACTIVATO BOX - - 24 6,917,640 24 6,917,640 - - -
1208 LAB STA CACL2 0.025 M BOX - - 1 250,000 1 250,000 - - -
1209 LAB STAPHYLOCOCCUS AUREUS A BOX - - 1 1,500,000 1 1,500,000 - - -
1210 LAB STEEL BALLS @2000 BOX - - 2 9,154,000 2 9,154,000 - - -
1211 LAB STERIL COTTON SWAB MITR PCS - - 1 150,000 1 150,000 - - -
1212 LAB STERIL SWAB STIK BOX - - 2 500,000 2 500,000 - - -
1213 LAB STERILE COTTON SWAB BOX - - 2 872,728 2 872,728 - - -
1214 LAB STEROFOAM TALI PCS - - 125 8,750,000 125 8,750,000 - - -
1215 LAB STROMATOLYSER WH 500ML BOX - - 2 2,130,000 2 2,130,000 - - -
1216 LAB SULFAMETHOXAZOLE BOX - - 1 550,000 1 550,000 - - -
1217 LAB SULFOLYSER 1.5 L BOX - - 11 22,000,000 11 22,000,000 - - -
1218 LAB TABUNG NA.CITRAT 2,7ML BOX - - 5 1,400,000 5 1,400,000 - - -
1219 LAB TABUNG CLOT ACTIVATOR+ PCS - - 118 30,584,115 118 30,584,115 - - -
1220 LAB TABUNG K2 EDTA 2 ML BD PCS - - 165 40,260,000 165 40,260,000 - - -
1221 LAB TABUNG K3 EDTA 2ML PLAS PCS - - 72 14,117,640 72 14,117,640 - - -
1222 LAB TABUNG K3 EDTA 3ML - BD BOX - - 20 4,000,000 20 4,000,000 - - -
Page 41 of 73
1223 LAB TABUNG REAKSI KACA 12X7 PCS - - 5 1,500,000 5 1,500,000 - - -
1224 LAB TABUNG SST 3 ML BOX - - 30 8,597,640 30 8,597,640 - - -
1225 LAB TABUNG SST 4 ML BOX - - 75 21,024,705 75 21,024,705 - - -
1226 LAB TB DEVICE RIGHT SIGN 25 BOX - - 1 950,000 1 950,000 - - -
1227 LAB TEST TUBE 13 X 75 PLAST PCS - - 18,000 15,300,000 18,000 15,300,000 - - -
1228 LAB TETRACYCLIN TE 30 BOX - - 1 550,000 1 550,000 - - -
1229 LAB THERMAL PAPER 110MM PCS - - 5 400,000 5 400,000 - - -
1230 LAB THERMAROLL UK 57 MM BOX - - 15 1,200,000 15 1,200,000 - - -
1231 LAB TIBC IL TEST SET - - 1 8,420,000 1 8,420,000 - - -
1232 LAB TOTAL BILIRUBIN IL TEST BOX - - 6 27,262,000 6 27,262,000 - - -
1233 LAB TOTAL PROTEIN IL TEST BOX - - 9 30,690,000 9 30,690,000 - - -
1234 LAB TOURNIQUET PCS - - 20 2,250,000 20 2,250,000 - - -
1235 LAB TRIGLYCERIDES IL TEST PCS - - 8 50,478,000 8 50,478,000 - - -
1236 LAB TROPONIN BOX - - 6 23,700,000 6 23,700,000 - - -
1237 LAB TROPONIN IQ RAPID TEST BOX - - 28 106,400,000 28 106,400,000 - - -
1238 LAB TUBE EDTA PLH 13X75 BOX - - 20 4,880,000 20 4,880,000 - - -
1239 LAB TUBEX TF BOX - - 53 186,013,800 53 186,013,800 - - -
1240 LAB URIC ACID LIQUID IL TES BOX - - 7 56,308,350 7 56,308,350 - - -
1241 LAB URINE CONTAINER 60 ML PCS - - 2,300 10,412,248 2,300 10,412,248 - - -
1242 LAB URINE CONTAINER NS 60 M PCS - - 800 2,800,000 800 2,800,000 - - -
1243 LAB VACCOUNTAINER CITRAT 2. BOX - - 22 4,141,148 22 4,141,148 - - -
1244 LAB VACUNTAINER CLOT BOX - - 12 2,258,820 12 2,258,820 - - -
1245 LAB VDRL 5ML PLASMATEC PCS - - 2 585,000 2 585,000 - - -
1246 LAB XN CHECK L2 3.0 ML BOX - - 10 8,000,000 10 8,000,000 - - -
1247 LAB XN CHECK L3 3.0 ML BOX - - 10 8,000,000 10 8,000,000 - - -
1248 LAB YELLOW TIP BIASA 1000~ BOX - - 27 3,373,636 27 3,373,636 - - -
1249 LAB YELLOW TIP CARTEL BOX - - 21 5,250,000 21 5,250,000 - - -
1250 LAB YELLOW TIPS GREINER 500 BOX - - 3 750,000 3 750,000 - - -
1251 LAB ZEHL NEELSEN 100 ML FLS - - 3 855,600 3 855,600 - - -
1252 LAB ZEHL NELSEN 500ML BOX - - 1 1,253,500 1 1,253,500 - - -
Page 42 of 73
1253 LACBON TABLET TAB 139 198,770 - - - 18,070 139 1,300 180,700
1254 LACOLDIN SYR 60 ML FLS - - 15 255,000 14 238,000 1 17,000 17,000
1255 LACOLDIN TAB TAB 2 2,691 7,800 11,300,000 5,673 8,217,770 2,129 1,449 3,084,921
1256 LACOPHEN 125MG SYR 60ML FLS - - 16 480,250 14 420,218 2 30,016 60,032
1257 LACTACYD BABY LOTION 60 ML FLS 8 160,561 1 25,289 2 8,827 7 25,289 177,023
1258 LACTAMOR TABLET TAB - - 45 116,127 25 64,507 20 2,581 51,620
1259 LAGESIL SUSP 170 ML FLS 7 272,200 15 630,000 5 188,200 17 42,000 714,000
1260 LAGESIL TAB TAB - - 500 350,000 50 35,000 450 700 315,000
1261 LAKTAFIT TAB TAB 238 616,156 50 163,350 270 720,700 18 3,267 58,806
1262 LAKTULOSA SYRUP 60ML FLS 251 6,918,115 2,573 65,827,687 2,472 63,740,234 352 25,584 9,005,568
1263 LAMESON 125MG INJEKSI VIA 51 4,712,400 - - 51 4,712,400 - - -
1264 LAMESON 16MG TAB TAB 486 3,646,944 - - 149 1,287,944 337 7,000 2,359,000
1265 LAMESON 4MG TAB TAB 132 402,975 3,100 9,752,500 3,052 9,589,195 180 3,146 566,280
1266 LAMESON 8MG TAB TAB 185 870,717 - - 135 650,717 50 4,400 220,000
1267 LAMINARIA L PCS 54 4,398,545 - - 11 958,545 43 80,000 3,440,000
1268 LAMINARIA M PCS 83 6,671,923 75 6,000,000 100 8,031,923 58 80,000 4,640,000
1269 LAMINARIA S PCS 32 2,661,647 35 2,800,000 41 3,381,647 26 80,000 2,080,000
1270 LANOLIN GR 300 303,300 1,000 1,011,000 1,300 1,314,300 - 1,011 -
1271 LANSOPRAZOLE 30 MG CAP 4,100 2,601,860 106,920 67,851,444 101,508 64,416,988 9,512 635 6,036,316
1272 LANTUS SOLOSTAR INJEKSI VIA 92 7,318,199 200 15,263,620 292 22,581,819 - - -
1273 LAPIBAL 500 INJEKSI AMP 21 440,611 - - 21 440,611 - - -
1274 LAPIBAL 500 MCG CAPS CAP 30 58,784 500 1,050,000 308 642,584 222 2,100 466,200
1275 LAPIBION TAB TAB 88 24,992 500 650,000 402 433,192 186 1,300 241,800
1276 LAPICEF 125MG SYRUP 60ML FLS - - 10 460,000 - - 10 46,000 460,000
1277 LAPICEF 500 CAPS CAP 211 1,975,264 1,100 11,450,000 1,069 10,906,286 242 10,409 2,518,978
1278 LAPIFED DM SYR FLS 78 1,943,982 24 660,000 47 1,091,482 55 27,500 1,512,500
1279 LAPIFED EXP SYR FLS 50 1,062,593 224 4,927,000 253 5,527,677 21 21,996 461,916
1280 LAPIFED SYR 60ML FLS 98 1,937,931 242 4,940,000 230 4,632,501 110 20,413 2,245,430
1281 LAPIFLOX 500 MG TAB TAB 66 833,841 270 3,510,000 98 1,249,841 238 13,000 3,094,000
1282 LAPIMOX 125MG SYR FLS 16 327,125 29 618,000 27 561,545 18 21,310 383,580
Page 43 of 73
1283 LAPIMOX 500 MG CAPL CAP 313 761,732 800 2,020,000 1,055 2,635,282 58 2,525 146,450
1284 LAPISIV SIRUP 100 ML FLS 3 51,771 15 249,375 8 134,896 10 16,625 166,250
1285 LAPISTAN 500MG TAB TAB 943 1,130,808 4,100 4,920,000 3,696 4,434,408 1,347 1,200 1,616,400
1286 LAPIXIM 1 GR INJ VIA 124 17,586,116 1,523 224,308,200 1,629 239,243,276 18 147,280 2,651,040
1287 LAPRAZ CAP CAP 244 2,912,140 - - 241 2,879,590 3 10,850 32,550
1288 LAPROSIN SYR FLS 1 71,500 - - 1 71,500 - - -
1289 LARCE 1000 MG INJEKSI AMP - - 25 500,000 25 500,000 - - -
1290 LASAL EXPECTORAN SYR 100ML FLS 51 1,761,099 1,400 50,100,000 1,424 50,894,877 27 35,786 966,222
1291 LASAL SYRUP 100ML FLS 55 1,266,770 202 4,975,660 232 5,626,630 25 24,632 615,800
1292 LASGAN 30MG CAPS CAP 145 1,731,481 220 3,040,000 315 4,080,581 50 13,818 690,900
1293 LASIX 40MG TAB TAB 630 2,864,610 - - 210 1,128,330 420 4,134 1,736,280
1294 LASIX INJEKSI AMP 4 60,030 - - 4 60,030 - - -
1295 LASMALIN TAB (TERBUTALIN) TAB 94 107,442 200 230,000 119 136,192 175 1,150 201,250
1296 LATROPIL SYRUP 100 ML FLS - - 12 521,640 6 260,820 6 43,470 260,820
1297 LAXOBERON DROP FLS 14 1,081,900 10 786,550 7 531,315 17 78,655 1,337,135
1298 L-BIO GRANUL BKS 1,140 6,939,169 3,900 25,005,270 4,891 30,989,051 149 6,412 955,388
1299 LEUKOMED IV FILM 6 X 8 PCS - - 7,050 15,980,799 5,452 12,358,133 1,598 2,267 3,622,666
1300 LEUKOMED STERIL 5 X 7.2 SPA PCS 1,086 3,307,847 1,600 4,386,976 1,532 4,530,555 1,154 2,742 3,164,268
1301 LEUKOPLAST 7.5 X 4.5 (1625- PCS 43 1,414,239 370 11,951,695 375 12,138,458 38 32,302 1,227,476
1302 LEVAZIDE TAB TAB 10 35,573 - - 10 35,573 - - -
1303 LEVEMIR INSULIN INJEKSI VIA 107 8,313,166 1,700 129,740,708 1,803 137,748,602 4 76,318 305,272
1304 LEVICA INJ 50 MG AMP - - 120 6,000,000 68 3,400,000 52 50,000 2,600,000
1305 LEVOBEN TABLET TAB 3,000 5,371,110 7,500 8,749,965 10,324 13,915,683 176 1,167 205,392
1306 LEVOFLOKSACIN 500MG TAB TAB - - 5,500 6,243,810 3,288 3,733,190 2,212 1,135 2,510,620
1307 LEVOFLOXACIN INFUS 100ML FLS - - 455 10,626,773 428 9,996,161 27 23,356 630,612
1308 LEVOPAR TABLET TAB 4,342 4,611,465 6,600 6,179,976 10,569 10,442,313 373 936 349,128
1309 LEXAPRAM SYR (METOKLOPRAMIDFLS 44 114,356 - - 4 19,836 40 2,363 94,520
1310 LEXZEPAM 3MG TAB 5 19,800 - - - 1,800 5 3,600 18,000
1311 LFX E.D MINIDOSE STR 66 4,583,792 240 16,560,000 245 16,934,792 61 69,000 4,209,000
1312 LIDOCAIN COMP 2% ( EPINEFRI AMP - - 900 942,543 - 243 900 1,047 942,300
Page 44 of 73
1313 LIDOCAIN HCL INJ 2% AMP 1,888 2,204,070 7,000 8,311,090 6,854 8,100,802 2,034 1,187 2,414,358
1314 LIDOCAIN HCL INJ 5% AMP 40 34,400 - - 40 34,400 - - -
1315 LIDODEX 5% INJ 100 MG AMP - - 1,575 86,625,000 1,152 63,360,000 423 55,000 23,265,000
1316 LIPOMED 20% 250 ML FLS - - 48 7,388,786 44 6,773,054 4 153,933 615,732
1317 LIVAMIN INF (AMINO HEPAR) FLS 10 1,956,933 - - 10 1,956,933 - - -
1318 LODIA 2MG TAB TAB 330 245,711 660 638,970 605 512,001 385 968 372,680
1319 LODOMER DROP FLS 5 84,060 - - 5 84,060 - - -
1320 LODOMER INJ 5 MG AMP 82 512,500 - - 81 506,818 1 5,682 5,682
1321 LORATADINE TAB TAB 2,547 728,289 2,050 229,226 2,210 690,171 2,387 112 267,344
1322 LORAZEPAM 2 MG TAB TAB - - 5,000 3,681,900 3,035 2,235,660 1,965 736 1,446,240
1323 L-ORNITHINE-L-ASPARTATE AMP - - 2 185,500 2 185,500 - - -
1324 LOSARTAN 50 MG TABLET TAB 127 586,740 - - 127 586,740 - - -
1325 LOTIO KUMERFELDI 100 ML FLS 18 148,500 - - - 13,500 18 7,500 135,000
1326 LUPRED 5 TABLET ( PREDNISOL TAB 540 1,123,016 - - 450 943,016 90 2,000 180,000
1327 L-ZINC SYR FLS 15 451,616 270 8,129,081 252 7,587,142 33 30,108 993,554
1328 L-ZINC SYR FLS 15 451,616 270 8,580,000 244 7,728,718 41 31,778 1,302,898
1329 MADOPAR TAB TAB - - 6,000 21,546,000 - - 6,000 3,591 21,546,000
1330 MAGNESIUM SULFAT 40 % - OTS VIA 818 2,715,277 - - 381 1,265,311 437 3,318 1,449,966
1331 MALTOFER DROP FLS - - 3 199,650 3 199,650 - - -
1332 MALTOFER FOL TAB TAB 83 251,075 - - 34 116,325 49 2,750 134,750
1333 MANITOL 20% 250 ML FLS - - 790 25,665,710 706 22,936,718 84 32,488 2,728,992
1334 MANITOL 20% 500 OTSUKA FLS - - 40 1,436,360 29 1,041,361 11 35,909 394,999
1335 MANITOL SANBE (M20) FLS 113 4,567,251 932 38,668,115 818 33,817,363 227 41,489 9,418,003
1336 MARTOS 10 500 INF FLS - - 100 2,827,300 80 2,261,840 20 28,273 565,460
1337 MAS 6 X 7 IV FILM PCS - - 1,000 4,500,000 1,000 4,500,000 - - -
1338 MASKER KERUDUNG ALL MERK PCS 1,208 483,961 98,000 43,242,000 82,618 36,409,771 16,590 441 7,316,190
1339 MASKER N95 3M PCS 19 506,350 1,100 23,925,000 685 14,991,850 434 21,750 9,439,500
1340 MASKER NEBUL ANAK - COSMO PCS 308 4,033,876 500 6,550,000 545 7,138,576 263 13,100 3,445,300
1341 MASKER NEBUL ANAK - SALTER PCS 3 152,460 - - 3 152,460 - - -
1342 MASKER NEBUL DEWASA - COSMO PCS - - 1,600 20,956,368 1,536 20,118,096 64 13,098 838,272
Page 45 of 73
1343 MASKER NEBULIZER ANAK GEA PCS - - 30 525,000 2 35,000 28 17,500 490,000
1344 MASKER NEBULIZER DEWASA GEA PCS - - 375 6,562,500 5 87,500 370 17,500 6,475,000
1345 MASKER NEBULIZER DEWASA REM PCS - - 50 875,000 6 105,000 44 17,500 770,000
1346 MASKER NEBULIZER DEWASA WORPCS - - 450 6,377,850 50 708,650 400 14,173 5,669,200
1347 MASKER TALI / KARET PCS 3,665 1,668,161 171,350 76,232,500 172,195 76,645,761 2,820 445 1,254,900
1348 MATOFLAM TAB TAB 2 13,086 - - - 308 2 6,389 12,778
1349 MATOVIT TABLET TAB 65 228,800 - - 65 228,800 - - -
1350 MEBO ( SIBRO ) OINTMENT 20 TUB 39 2,994,257 67 5,272,190 70 5,433,643 36 78,689 2,832,804
1351 MECOBALAMIN 500 MG TAB 1,992 2,772,266 11,000 16,641,000 10,116 15,061,878 2,876 1,513 4,351,388
1352 MECOBALAMIN 500 MG INJEKSI AMP 203 1,497,578 1,840 15,425,600 1,438 11,851,463 605 8,383 5,071,715
1353 MECOBALAMIN 500MG CAPS CAP 3,647 2,454,467 75,210 53,616,761 74,369 52,871,284 4,488 713 3,199,944
1354 MECOLA KAPLET TAB 90 297,000 - - 90 297,000 - - -
1355 MEGAZING TAB TAB 257 555,120 - - 159 359,610 98 1,995 195,510
1356 MELOXICAM 15MG TAB 978 951,848 48,040 27,680,338 40,010 23,443,578 9,008 576 5,188,608
1357 MELOXICAM 7.5 MG TAB TAB 6,743 4,648,287 38,400 21,663,600 44,491 25,944,159 652 564 367,728
1358 MENTHOLUM CRYSTAL GR 500 395,000 1,000 790,000 750 592,500 750 790 592,500
1359 MEPTIN SWINGHALER FLS - - 30 2,290,890 2 152,726 28 76,363 2,138,164
1360 MERCOTIN DROP 20 ML FLS 33 2,249,963 10 791,170 33 2,249,963 10 79,117 791,170
1361 MERIMAC 450 TAB (RIFAMPISIN TAB 15 28,350 - - 12 22,680 3 1,890 5,670
1362 MERLOPAM 0.5 TAB TAB 1,615 1,290,385 - - 1,457 1,191,951 158 623 98,434
1363 MERLOPAM 2 MG TAB TAB 1,018 1,290,203 - - 991 1,257,290 27 1,219 32,913
1364 MEROPENEM 0,5 GR INJEKSI VIA 126 3,467,846 330 26,725,496 324 19,503,190 132 80,986 10,690,152
1365 MEROPENEM 1 GR INJEKSI VIA 432 47,819,156 1,358 177,511,428 1,162 143,241,564 628 130,715 82,089,020
1366 MERSIBION 5000 INJEKSI AMP - - 1,500 4,250,000 924 2,618,192 576 2,833 1,631,808
1367 MERSIBION TABLET TAB - - 6,000 3,150,000 30 15,750 5,970 525 3,134,250
1368 MERSITROPIL SYRUP FLS 24 1,028,876 402 17,286,000 400 17,196,876 26 43,000 1,118,000
1369 MERTIGO 6MG TABL TAB 1,031 2,824,321 2,050 6,593,600 2,795 8,498,145 286 3,216 919,776
1370 MESS HERNIA MM 15 TRITON PCS 114 11,473,416 168 16,908,130 234 23,550,634 48 100,644 4,830,912
1371 MESS HERNIA ULTRAPRO ETICHO PCS 20 3,730,868 - - 4 774,068 16 184,800 2,956,800
1372 MESTINON TABLET TAB 72 544,925 2,845 20,364,163 2,203 15,798,276 714 7,158 5,110,812
Page 46 of 73
1373 METFORMIN 500MG TAB 7,002 717,075 255,100 22,200,800 256,510 22,431,371 5,592 87 486,504
1374 METFORMIN 850 MG TAB TAB 210 69,300 - - 210 69,300 - - -
1375 METHISOPRINOL 500 MG TAB TAB 3,894 11,721,758 - - 1,856 5,607,758 2,038 3,000 6,114,000
1376 METHISOPRINOL SYRUP FLS 47 2,375,806 247 12,350,000 282 14,125,806 12 50,000 600,000
1377 METHYL ERGOMETRINE 0,125MG TAB 4,577 1,099,487 - - 1,054 232,829 3,523 246 866,658
1378 METHYL ERGOMETRINE INJEKSI AMP 1,298 3,353,188 1,700 4,573,000 1,868 4,886,488 1,130 2,690 3,039,700
1379 METHYL PREDNISOLON 8 MG TAB TAB 1,674 824,160 9,000 5,743,080 9,566 5,860,336 1,108 638 706,904
1380 METHYL PREDNISOLONE 125MG I AMP 825 10,170,691 4,994 73,869,227 4,805 69,040,830 1,014 14,792 14,999,088
1381 METHYLPREDNISOLON 4 MG TAB 4,009 1,283,241 75,000 18,746,200 56,924 14,508,191 22,085 250 5,521,250
1382 METOCHLOPRAMIDE INJ AMP - - 1,500 6,000,000 1,476 5,904,000 24 4,000 96,000
1383 METOCHLOPRAMIDE TAB TAB 936 123,346 2,000 245,000 1,020 132,678 1,916 123 235,668
1384 METRONIDAZOLE 500MG TAB TAB - - 11,200 2,768,420 10,856 2,683,452 344 247 84,968
1385 METRONIDAZOLE INFUS 100ML FLS 641 9,526,593 9,850 177,533,967 9,266 164,981,160 1,225 18,024 22,079,400
1386 MEYLON 7% AMP 25 ML FLS - - 212 1,258,209 169 1,003,004 43 5,935 255,205
1387 MICARDIS 80MG TAB TAB 220 1,282,129 6,400 42,696,472 3,460 22,898,241 3,160 6,671 21,080,360
1388 MICONAZOLE 2 % CREAM 10GR TUB 514 1,562,034 1,940 5,895,614 1,432 4,351,814 1,022 3,039 3,105,834
1389 MICROGYNON KB STRP STR 283 3,152,869 18 254,736 300 3,393,453 1 14,152 14,152
1390 MICROLAX 5 ML/RECTAL TUB 35 629,675 40 750,000 44 798,425 31 18,750 581,250
1391 MICROPORE DISPENSER 1" PCS 31 515,737 1,320 25,012,945 1,316 24,865,467 35 18,949 663,215
1392 MIDAZOLAM HEMLN 5 MG /1ML AMP 2 24,242 20 242,420 4 48,484 18 12,121 218,178
1393 MILOZ 5MG/ML INJEKSI AMP 29 133,980 - - 29 133,980 - - -
1394 MINIASPI TAB TAB 4,413 984,584 131,600 23,390,400 134,947 24,185,236 1,066 178 189,748
1395 MINYAK TELON FITOCARE 100 M FLS - - 168 3,423,672 124 2,526,996 44 20,379 896,676
1396 MINYAK TELON FITOCARE 50 ML FLS - - 175 2,156,775 175 2,156,775 - - -
1397 MINYAK TELON MY BABY 150 ML FLS 36 952,128 127 3,383,113 163 4,335,241 - - -
1398 MISOPROSTOL TAB 200 MCG TAB 562 3,134,274 2,100 10,500,000 2,454 12,594,274 208 5,000 1,040,000
1399 MOMETASON FUROATE 10 GR CRE TUB 80 1,334,220 385 3,441,572 465 4,775,792 - - -
1400 MONELL DROPS 10 ML FLS 22 930,717 - - 6 264,317 16 41,650 666,400
1401 MONOSLOW ASSUCRYL 0 TAPER H STR 41 2,856,511 72 4,490,712 80 5,288,980 33 62,371 2,058,243
1402 MONOSLOW ASSUCRYL 1 CATING STR 67 4,532,014 - - 37 2,687,224 30 61,493 1,844,790
Page 47 of 73
1403 MONOSLOW ASSUCRYL 1 TAPER H STR 41 3,032,294 48 3,025,416 61 4,292,870 28 63,030 1,764,840
1404 MONOSLOW ASSUCRYL 2/0 CATIN STR - - 180 11,100,312 83 5,118,516 97 61,668 5,981,796
1405 MONOSLOW ASSUCRYL 2/0 TAPER STR 80 5,573,680 - - 11 766,381 69 69,671 4,807,299
1406 MONOSLOW ASSUCRYL 3/0 CUTTI STR 85 6,003,389 216 14,610,672 261 17,908,381 40 67,642 2,705,680
1407 MONOSLOW ASSUCRYL 3/0 TAPER STR 8 557,368 24 1,623,408 32 2,180,776 - - -
1408 MONOSLOW ASSUCRYL 4/0 CATIN STR 49 3,466,399 48 3,246,816 52 3,669,325 45 67,642 3,043,890
1409 MONOSLOW ASSUCRYL 4/0 TAPER STR 18 1,379,484 12 811,704 30 2,191,188 - - -
1410 MONOSLOW ASSUCRYL 5/0 CATIN STR 26 2,139,228 - - 26 2,139,228 - - -
1411 MONOSLOW ASSUCRYL 5/0 TAPER STR 32 3,787,808 - - 9 1,312,824 23 107,608 2,474,984
1412 MORPHINE HCL 10 MG AMP 1ML AMP - - 260 5,907,210 165 3,748,810 95 22,720 2,158,400
1413 MOUTHFISH PCS - - 100 3,100,000 100 3,100,000 - - -
1414 MOXIFLOXACIN INFUS 400MG/25 FLS - - 149 25,630,000 136 23,393,831 13 172,013 2,236,169
1415 MST ( MORPHIN SULFAT )TAB 1 TAB 175 2,549,425 1,260 17,892,000 1,162 16,564,825 273 14,200 3,876,600
1416 MST (MORPHIN SULFAT) TAB 15 TAB - - 50 1,055,600 20 422,240 30 21,112 633,360
1417 MUCERA DROP FLS 4 137,030 160 5,825,455 152 5,525,577 12 36,409 436,908
1418 MUCERA SYRUP 60 ML FLS 20 380,000 - - 1 37,050 19 18,050 342,950
1419 MUCOHEXIN 8 MG TABL TAB 10 4,680 20 11,484 13 6,406 17 574 9,758
1420 MY JELLY 62 GR ONEMED TUB - - 216 5,802,544 174 4,674,256 42 26,864 1,128,288
1421 MYCAMINE INJ VIA - - 10 3,004,550 10 3,004,550 - - -
1422 MYCETIN EYE OINT TUB - - 21 267,750 21 267,750 - 12,750 -
1423 MYCONYS DROP FLS 32 1,024,000 142 4,970,000 163 5,609,000 11 35,000 385,000
1424 MYCOS E.D 5 ML FLS 28 567,228 30 596,250 7 149,853 51 19,875 1,013,625
1425 MYCOS EYE OINT 4GR TUB 36 945,000 10 262,500 4 105,000 42 26,250 1,102,500
1426 MYDRIATYL 1% E.D 5 ML FLS - - 372 14,229,000 118 4,513,500 254 38,250 9,715,500
1427 MYONEP 50MG TAB TAB - - 200 880,000 - - 200 4,400 880,000
1428 NA PHENITOIN INJ VIA 34 464,300 1,350 11,392,560 1,041 8,962,283 343 8,439 2,894,577
1429 NA.BIKARBONAT 500MG TAB TAB - - 25 2,825 2 226 23 113 2,599
1430 NACL 0,9 % 500 ML - SANBE FLS 45 410,760 - - 45 410,760 - - -
1431 NACL 0,9% 100 ML ECOSOL FLS 5 36,000 - - 5 36,000 - - -
1432 NACL 0,9% 1000ML - SANBE FLS 2,921 52,814,104 16,583 307,763,486 18,428 340,608,106 1,076 18,559 19,969,484
Page 48 of 73
1433 NACL 0,9% 1000ML - WIDATRA FLS 100 1,800,000 12,300 233,492,322 10,122 192,049,048 2,278 18,983 43,243,274
1434 NACL 0,9% 100ML - OTSUKA FLS 1 11,000 2,000 22,742,400 1,988 22,605,577 13 11,371 147,823
1435 NACL 0,9% 100ML - SANBE FLS 1,729 23,206,742 13,527 207,421,059 14,966 226,180,941 290 15,334 4,446,860
1436 NACL 0,9% 500ML - WIDATRA FLS - - 18,000 104,886,540 16,246 94,665,982 1,754 5,827 10,220,558
1437 NACL 0,9% 500ML - OTSUKA FLS - - 3,000 17,481,540 2,699 15,727,613 301 5,827 1,753,927
1438 NACL 3% 500ML OTSU SALIN FLS - - 605 15,651,845 379 9,804,999 226 25,871 5,846,846
1439 NATACEN MINIDOSE STR 10 640,580 - - 10 640,580 - - -
1440 NATRIUM DIKLOFENAK 25MG TAB TAB 2,136 278,791 11,000 3,661,900 12,501 3,729,236 635 333 211,455
1441 NATRIUM DIKLOFENAK 50MG T TAB 2,070 390,080 35,000 6,595,550 33,519 6,316,464 3,551 188 669,166
1442 NEBACETIN POWDER 5GR FLS - - 7 164,110 7 164,110 - - -
1443 NEO GYNOXA OVULA PCS 34 481,823 350 4,830,000 216 2,993,423 168 13,800 2,318,400
1444 NEO KAOLANA SYRUP PCS - - 147 1,812,019 75 924,475 72 12,327 887,544
1445 NEO KAOMINAL SUSP 60 ML FLS - - 2 17,424 2 17,424 - - -
1446 NEOSTIGMINE INJ 150MCG/ML AMP 24 204,788 125 826,250 66 482,408 83 6,610 548,630
1447 NEPHROLIT CAP CAP 23 11,667 1,896 1,325,557 1,919 1,337,224 - - -
1448 NEPHROSTERIL 250 ML TAB - - 1,943 83,898,740 1,843 79,580,740 100 43,180 4,318,000
1449 NEUROAID CAPSUL CAP 44 790,380 1,246 24,010,162 1,290 24,800,542 - - -
1450 NEUROAID II MLC 901 TAB - - 1,440 52,864,349 1,339 49,156,538 101 36,711 3,707,811
1451 NEURODEX DRAG TAB 1,417 706,771 6,100 3,366,550 7,517 4,073,321 - - -
1452 NEUROSANBE 5000 TAB TAB - - 600 1,417,638 360 850,518 240 2,363 567,120
1453 NEUROSANBE PLUS TAB TAB - - 100 109,091 1 1,082 99 1,091 108,009
1454 NEUROTAM 1 GR INJEKSI AMP 21 336,000 - - 19 304,000 2 16,000 32,000
1455 NEUROTAM 3 GR INJEKSI AMP 71 4,229,896 - - 46 2,854,896 25 55,000 1,375,000
1456 NEUROTAM 400MG CAPS CAP 5 10,780 - - - 980 5 1,960 9,800
1457 NEUROTAM SYRUP 100 ML FLS - - 3 210,540 3 210,540 - - -
1458 NEW DIATAB TAB TAB 2,054 1,088,045 6,100 3,192,300 7,847 4,119,784 307 523 160,561
1459 NICARDEX INJ 10 ML AMP 15 2,190,291 - - 14 2,054,291 1 136,000 136,000
1460 NICARDIPINE INJ AMP 84 4,639,834 1,690 39,801,860 1,506 38,130,026 268 23,551 6,311,668
1461 NIFEDIPIN 10MG TAB TAB 2,277 247,624 8,000 924,500 7,683 871,220 2,594 116 300,904
1462 NIFURAL SYRUP FLS - - 1 66,066 1 66,066 - - -
Page 49 of 73
1463 NIMOTOP 30 MG CAP - - 600 1,963,620 312 1,020,996 288 3,273 942,624
1464 NIPE DROPS FLS - - 2 139,392 2 139,392 - - -
1465 NISTATIN SUSP FLS - - 6 93,942 4 62,628 2 15,657 31,314
1466 NITRAL TABLET BPJS TAB 40 57,320 - - 35 50,185 5 1,427 7,135
1467 NITROGEN ML 81,175 18,183,200 786,000 180,780,000 866,714 198,857,170 461 230 106,030
1468 NITROKAF RETARD TAB TAB 9,544 13,094,368 130,300 184,983,443 124,655 176,509,431 15,189 1,420 21,568,380
1469 NOBOR 5 MG TABLET TAB - - 2,250 8,235,000 1,776 6,500,160 474 3,660 1,734,840
1470 NOKOBA INJ AMP - - 22 1,452,000 5 330,000 17 66,000 1,122,000
1471 NONCORT TTS MT STR 100 4,347,800 610 26,156,591 554 23,815,111 156 42,880 6,689,280
1472 NONEMI TABLET TAB 969 1,255,591 14,500 21,350,000 13,319 19,440,791 2,150 1,472 3,164,800
1473 NONFLAMIN CAP CAP 674 2,882,698 - - 674 2,882,698 - - -
1474 NOOCEPHAL SYR 100ML FLS - - 3 217,800 3 217,800 - - -
1475 NOPRES 20 MG TAB (FLUOXETIN TAB 240 91,061 - - 138 53,015 102 373 38,046
1476 NORELUT 5MG TAB TAB 159 572,061 - - 67 204,061 92 4,000 368,000
1477 NOREPINEPHRIN BITARTRAT INJ AMP - - 450 23,349,000 228 11,830,086 222 51,887 11,518,914
1478 NORESTIL TAB 460 1,695,841 2,340 9,360,000 2,327 9,163,841 473 4,000 1,892,000
1479 NORFION INJ 4 MG/4 ML AMP 147 11,760,000 200 15,000,000 347 26,760,000 - 75,000 -
1480 NORIT TAB. TAB 28 9,072 - - 11 8,783 17 17 289
1481 NOSIRAX CAPS CAP 846 3,438,381 200 800,000 697 2,842,381 349 4,000 1,396,000
1482 NOTISIL TABLET 2 MG TAB - - 15,000 10,006,850 7,567 5,049,039 7,433 667 4,957,811
1483 NOTRIXUM 2.5 MG AMP (ATRACU AMP 219 2,649,900 - - 152 1,982,915 67 9,955 666,985
1484 NOVA T [SPIRAL / AKDR] PCS - - 1 302,815 1 302,815 - - -
1485 NOVO RAPID FLEXPEN VIA - - 5,200 411,272,990 4,759 376,393,859 441 79,091 34,879,131
1486 NOVOMIX FLEXPEN VIA 56 5,621,335 5,465 552,569,398 5,162 521,891,884 359 101,111 36,298,849
1487 NRM ANAK - REMEDI PCS 40 587,186 200 2,854,400 84 1,215,154 156 14,272 2,226,432
1488 NRM ANAK COSMOMED PCS - - 200 4,000,000 81 1,620,000 119 20,000 2,380,000
1489 NRM DEWASA - REMEDI PCS 24 396,764 950 13,558,400 625 8,974,236 349 14,272 4,980,928
1490 NRM DEWASA COSMOMED PCS - - 500 10,000,000 486 9,720,000 14 20,000 280,000
1491 NTG INJEKSI 10 MG INJ AMP 232 13,727,739 1,280 81,540,910 1,507 94,950,129 5 63,704 318,520
1492 NUFAPREG TAB TAB 595 2,238,390 - - 355 1,417,590 240 3,420 820,800
Page 50 of 73
1493 NULACTA CAP CAP - - 9 43,560 9 43,560 - - -
1494 NUTRIFLAM CAP CAP - - 68 928,660 65 887,689 3 13,657 40,971
1495 NUTRIFLAM CAP CAP 3,154 1,351,962 34,270 17,976,350 32,886 16,945,862 4,538 525 2,382,450
1496 NYLON 10/0 2XTSP6 STR 18 2,687,310 - - 6 895,770 12 149,295 1,791,540
1497 NYSTATIN DROP 12 ML FLS - - 75 920,475 40 490,920 35 12,273 429,555
1498 OBH IKA 100ML FLS - - 5,020 25,453,115 4,353 22,071,425 667 5,070 3,381,690
1499 OBH ITRASAL 100ML FLS 149 899,960 60 526,700 209 1,426,660 - 8,778 -
1500 OCTALBIN 20% 100ML FLS - - 435 336,136,245 404 312,181,708 31 772,727 23,954,537
1501 OCTALBIN 25% 100ML FLS 10 13,669,418 5 6,768,180 15 20,437,598 - - -
1502 OCTIDE INJ AMP - - 35 1,861,363 34 1,808,181 1 53,182 53,182
1503 OCUSON TAB TAB 100 128,400 - - 100 128,400 - - -
1504 OFLOXACIN 200MG TAB TAB 1,050 420,000 1,000 535,920 1,745 792,440 305 536 163,480
1505 OFLOXACIN 400 MG TAB TAB 279 166,680 500 396,420 315 195,148 464 793 367,952
1506 OMEPRAZOLE CAP CAP 2,663 818,047 32,100 9,087,360 27,975 7,984,403 6,788 283 1,921,004
1507 OMEPRAZOLE INJEKSI 40MG VIA 307 5,477,494 7,650 70,372,144 7,420 70,909,775 537 9,199 4,939,863
1508 ONDANSETRON INJEKSI 4 MG/2M AMP 1,009 5,270,784 14,500 77,500,000 14,809 79,029,284 700 5,345 3,741,500
1509 ONDANSETRON TAB 4 MG TAB 496 240,064 1,740 609,000 1,528 601,264 708 350 247,800
1510 ONDANSETRON TAB 8 MG TAB 115 77,129 1,380 440,236 429 177,311 1,066 319 340,054
1511 ONE SCRUB 2% 100 ML FLS - - 30 600,000 5 100,000 25 20,000 500,000
1512 ONE SCRUB 4% 100 ML FLS - - 65 1,300,000 12 240,000 53 20,000 1,060,000
1513 ONE SCRUB 4% 500 ML+DISP FLS - - 7 397,727 - 1 7 56,818 397,726
1514 ONZAPIN TAB 10 MG (OLANZAPI TAB 42 529,634 - - - 262,556 42 6,359 267,078
1515 OPICEF 500 MG CAP CAP 165 1,541,810 - - 165 1,541,810 - - -
1516 OPSITE POST-OP 10 X 25CM PCS 300 11,218,422 620 19,840,000 805 27,378,422 115 32,000 3,680,000
1517 OPSITE POST-OP 5 X 6,5 PCS 189 1,934,220 - - 88 1,106,020 101 8,200 828,200
1518 OPSITE POST-OP 8,5 X 15,5 PCS 109 2,824,311 120 2,640,000 142 3,550,311 87 22,000 1,914,000
1519 OPSITE POST-OP 8,5 X 9,5 PCS 468 9,254,868 - - 88 2,528,868 380 17,700 6,726,000
1520 OPTALVIT PLUS TABLET TAB 55 332,750 - - 55 332,750 - - -
1521 OPTIMAX PLUS SYR FLS 3 192,081 30 2,100,000 29 2,012,081 4 70,000 280,000
1522 OPTIMAX TAB TAB 69 403,753 900 5,550,096 948 5,824,342 21 6,167 129,507
Page 51 of 73
1523 ORALIT 200 ML KF BKS - - 100 87,000 55 47,850 45 870 39,150
1524 ORALIT 200 ML PHAPROS BKS 478 130,972 500 172,735 661 194,342 317 345 109,365
1525 OSTEOCAL TAB TAB - - 8,424 7,295,992 5,533 4,792,386 2,891 866 2,503,606
1526 OSTEOFLAM CAP CAP - - 30 186,945 16 99,697 14 6,232 87,248
1527 OSTEONATE TABLET TAB - - 1,840 60,386,363 1,807 59,303,336 33 32,819 1,083,027
1528 OSTOVEL TAB TAB 30 58,410 1,200 2,475,396 484 994,808 746 2,063 1,538,998
1529 OTOPAIN EAR DROP 8 ML FLS - - 267 15,825,100 211 12,505,980 56 59,270 3,319,120
1530 OTSUTRAN-40 INFUS 500ML OTS FLS 20 1,869,000 - - 4 109,400 16 109,975 1,759,600
OXIGEN LIQUID 1 LITER BTL 1,799,755 20,697,183 101,705,400 1,118,437,532 74,298,657 817,863,236 29,206,498 11 321,271,479
1532 OXIGEN 1 TBG/ 6000 L FLS - - 3,173 153,573,200 3,173 153,573,200 - - -
1533 OXIGEN KECIL 1000L FLS - - 435 13,158,750 435 13,158,750 - - -
1534 OXTERCID INJ 750 MG VIA 23 1,037,134 - - 23 1,037,134 - - -
1535 OXYLA INJ (OXYTOSIN INJ) AMP 30 338,100 - - 30 338,100 - - -
1536 OXYTETRACYCLINE 3 % S.K. - - 2 4,422 - - 2 2,211 4,422
1537 OXYTOCIN INJEKSI 1 ML AMP 225 391,133 9,700 10,573,000 8,770 9,705,183 1,155 1,090 1,258,950
1538 P ACH-000 PCS - - 1 455,500 1 455,500 - - -
1539 P AMP NARROW STEM ALL SIZE PCS - - 1 5,285,200 1 5,285,200 - 5,285,200 -
1540 P BCP-010 BROAD PLATE DCP 1 PCS - - 6 5,109,600 6 5,109,600 - - -
1541 P BCP-012 PCS - - 1 961,600 1 961,600 - - -
1542 P BIPOLAR CEMENT LESS MEDIT SET - - 1 28,547,500 1 28,547,500 - - -
1543 P BIPOLAR CEMENTED LEFT SET - - 3 68,121,818 3 68,121,818 - - -
1544 P BIPOLAR CEMENTED LEFT MED SET - - 4 108,999,545 4 108,999,545 - - -
1545 P BIPOLAR CEMENTED RIGHT PCS - - 1 20,727,273 1 20,727,273 - - -
1546 P BIPOLAR LONG STEM RIGHT SET - - 1 32,727,273 1 32,727,273 - - -
1547 P BROAD PLATE DCP 10 HOLE PCS - - 1 851,600 1 851,600 - - -
1548 P BROAD PLATE DCP 12 HOLE PCS - - 1 874,300 1 874,300 - 874,300 -
1549 P BROAD PLATE DCP 13 HOLE PCS - - 1 1,023,200 1 1,023,200 - 1,023,200 -
1550 P BROAD PLATE DCP 16 HOLE PCS - - 1 1,223,700 1 1,223,700 - 1,223,700 -
Page 52 of 73
1553 P C35 S20 PCS - - 3 536,100 3 536,100 - - -
1554 P C35.112 PCS - - 3 585,000 3 585,000 - - -
1555 P C35-114 PCS - - 23 4,445,000 23 4,445,000 - - -
1556 P C35-116 CORTICAL BONE SCR - - 52 10,140,000 52 10,140,000 - - -
1557 P C35-118 CORTICAL BONE SCR - - 115 22,425,000 45 8,775,000 70 195,000 13,650,000
1558 P C35-122 PCS - - 2 390,000 2 390,000 - - -
1559 P C35-126 PCS - - 13 2,535,000 13 2,535,000 - - -
1560 P C40-F18 PCS - - 10 1,966,000 10 1,966,000 - - -
1561 P C40-F20 PCS - - 18 3,538,800 18 3,538,800 - - -
1562 P C40-F40 PCS - - 1 196,600 1 196,600 - - -
1563 P C40-S16 CANCELLOUS D 4 L PCS - - 1 196,600 1 196,600 - - -
1564 P C45-114 PCS - - 6 1,170,000 6 1,170,000 - - -
1565 P C45-124 PCS - - 1 195,000 1 195,000 - - -
1566 P C45-126 - - 9 1,755,000 9 1,755,000 - - -
1567 P C45-128 - - 14 2,730,000 14 2,730,000 - - -
1568 P C45-130 PCS - - 13 2,535,000 13 2,535,000 - - -
1569 P C45-132 - - 42 8,190,000 42 8,190,000 - - -
1570 P C45-134 PCS - - 11 2,145,000 11 2,145,000 - - -
1571 P C45-136 PCS - - 22 4,290,000 22 4,290,000 - - -
1572 P C45-140 PCS - - 5 975,000 5 975,000 - - -
1573 P C45-150 PCS - - 2 390,000 2 390,000 - - -
1574 P CANCELLOUS 4.0 FT L 30 PCS - - 1 196,600 1 196,600 - - -
1575 P CANCELLOUS D 3.5 L 18 PCS - - 3 536,100 3 536,100 - - -
1576 P CANCELLOUS D 4.0 FT L 20 PCS - - 43 8,453,800 16 3,145,600 27 196,600 5,308,200
1577 P CANCELLOUS D 4.0 FT L 40 PCS - - 1 196,600 1 196,600 - - -
1578 P CANCELLOUS D 4.0 L 18 PCS - - 32 5,933,745 7 1,297,995 25 185,430 4,635,750
1579 P CANCELLOUS D 4.0 L 50 PCS - - 33 5,951,618 33 5,951,618 - - -
1580 P CANCELLOUS D 6.5 T16 L30 PCS - - 1 220,800 1 220,800 - - -
1581 P CANCELLOUS FT D 6.5 L35 PCS - - 4 883,200 4 883,200 - - -
1582 P CANCELLOUS FT D 6.5 L40 PCS - - 5 1,104,000 5 1,104,000 - - -
Page 53 of 73
1584 P CANCELLOUS FT D 6.5 L60 AMP - - 5 1,104,000 5 1,104,000 - - -
1585 P CANCELLOUS FT D 6.5 L70 PCS - - 7 1,545,600 7 1,545,600 - 220,800 -
1587 P CEMFIX ( BONE CEMENT ) PCS - - 6 7,609,092 6 7,609,092 - 1,268,182 -
1588 P CLAVI HOOK ZP 3 H L/R PCS - - 3 4,200,000 3 4,200,000 - - -
1589 P CLAVI S PLATE 8 H L/R PCS - - 3 3,944,700 3 3,944,700 - - -
1590 P CLAVI S PLATE 9 H L/R PCS - - 3 3,944,700 3 3,944,700 - - -
1591 P CORTEX SCREW D2.4 L18 PCS - - 1 348,784 1 348,784 - - -
1592 P CORTEX SCREW D3.5 L38 PCS - - 1 268,295 1 268,295 - - -
1593 P CORTICAL DIA 4.5MM L 30MM PCS - - 1 214,500 1 214,500 - 214,500 -
1597 P CSF-040 - - 2 441,600 2 441,600 - - -
1598 P CSF-080 - - 1 220,800 1 220,800 - - -
1599 P CSF-70 PCS - - 5 1,104,000 5 1,104,000 - - -
1600 P CSP081 CLAVICULA S PLATE PCS - - 1 1,314,900 1 1,314,900 - - -
1601 P CSP082 CLAVICULA S PLATE PCS - - 1 1,314,900 1 1,314,900 - - -
1602 P CSP-091 - - 2 2,629,800 2 2,629,800 - - -
1603 P DISTAL TIBIAL PLATE 6 H PCS - - 1 1,949,400 1 1,949,400 - - -
1604 P DISTAL TIBIAL PLATE 8 H PCS - - 1 1,949,400 1 1,949,400 - - -
1605 P DRILL BIT SS 2.7 X 130 PCS - - 4 2,613,545 4 2,613,545 - - -
1606 P DRILL BIT SS 3.2 X 130 PCS - - 3 2,004,545 3 2,004,545 - - -
1607 P INF.0000 - - 3 23,700,000 3 23,700,000 - - -
1608 P INTER NAIL SS FEMORA ALLS PCS - - 1 7,900,000 1 7,900,000 - - -
1609 P INTERLOCKING NAIL SS TIBI PCS - - 5 39,500,000 5 39,500,000 - - -
1610 P KNF-000 K NAILL SS FOR FE PCS - - 14 9,520,000 14 9,520,000 - - -
1611 P LAT TIB BUTTERS PLT 7 H L PCS - - 7 12,051,900 7 12,051,900 - 1,721,700 -
1612 P LAT TIBIAL BUTTRESS L4H PCS - - 1 1,721,700 1 1,721,700 - - -
Page 54 of 73
1613 P LOCKING SCREW D3.5 L26 PCS - - 1 321,954 1 321,954 - - -
1618 P MULTY CONDYLAR PLATE 7 H PCS - - 1 1,552,000 1 1,552,000 - - -
1619 P NARROW PLATE DCP 10 HOLE PCS - - 6 3,982,200 6 3,982,200 - - -
1620 P NARROW PLATE DCP 12 HOLE PCS - - 1 757,733 1 757,733 - - -
1623 P NARROW PLATE DCP 7 HOLE PCS - - 1 527,800 1 527,800 - - -
1624 P NARROW PLATE DCP 8 HOLE PCS - - 3 1,709,400 3 1,709,400 - 569,800 -
1625 P ONE THIRD TURBULAR PLATE PCS - - 1 272,000 1 272,000 - - -
1628 P ORMED CORTEX SELF 3.5 L16 PCS - - 30 5,318,182 30 5,318,182 - - -
1631 P ORTHO X SET 2.0 D12 PCS - - 2 180,000 2 180,000 - - -
1632 P ORTHO X SET 2.0 D16 PCS - - 2 180,000 2 180,000 - - -
1633 P ORTHO X SET 2.0 D18 PCS - - 2 180,000 2 180,000 - - -
1634 P ORT-X SET MINI T PLATE 4H PCS - - 1 234,287 1 234,287 - - -
1635 P PHILOS PROXIM HUM D3.5 3H PCS - - 1 8,121,137 1 8,121,137 - - -
1636 P RECONSTRUCTION PLT D3,5 1 PCS - - 5 3,080,000 5 3,080,000 - - -
1637 P RECONSTRUCTION PLT D3,5 6 PCS - - 1 616,000 1 616,000 - - -
1638 P RECONSTRUCTION PLT D3,5 7 PCS - - 1 616,000 1 616,000 - - -
1639 P REVISI POST THR SET - - 1 7,245,455 1 7,245,455 - - -
1640 P SAW BLADE FOR OSCILATING PCS - - 1 681,818 1 681,818 - - -
1641 P SCHANZ SCREW ALL SIZE PCS - - 6 2,395,800 6 2,395,800 - - -
1642 P SMALL BONE PLATE 5 HOLES PCS - - 1 541,800 1 541,800 - - -
Page 55 of 73
1643 P SMALL BONE PLATE 6 H PCS - - 3 1,477,636 3 1,477,636 - - -
1644 P SMALL BONE PLATE 7H PCS - - 5 2,462,727 5 2,462,727 - - -
1645 P SMALL T PLATE 6 HOLES PCS - - 2 2,117,600 2 2,117,600 - - -
1646 P SMALL T-PLATE 3 HOLE PCS - - 4 4,235,200 3 3,176,400 1 1,058,800 1,058,800
1647 P SMALL T-PLATE 4 HOLE PCS - - 3 3,176,400 3 3,176,400 - 1,058,800 -
1648 P SMALL T-PLATE 5 HOLE PCS - - 7 7,411,600 7 7,411,600 - - -
1649 P SMALL T-PLATE 8 HOLE PCS - - 10 10,588,000 10 10,588,000 - - -
1650 P SNR-006 PCS - - 4 1,904,000 4 1,904,000 - - -
1651 P STP 004 PCS - - 2 2,116,000 2 2,116,000 - - -
1652 P STP-003 PCS - - 6 5,994,600 6 5,994,600 - - -
1653 P STP-006 SMALL T-PLATE 6 H PCS - - 2 2,117,600 2 2,117,600 - - -
1654 P STP-007 SMALL T-PLATE 7 H PCS - - 2 2,117,600 2 2,117,600 - - -
1655 P SWR.010 PCS - - 1 220,600 1 220,600 - - -
1656 P SWR-014 SUTURE WIRE SS PE PCS - - 3 661,800 3 661,800 - - -
1657 P SWR-015 PCS - - 1 180,000 1 180,000 - - -
1658 P SWR-016 PCS - - 1 220,600 1 220,600 - - -
1659 P T PLATE STANDARD 5 HOLE PCS - - 5 4,969,500 5 4,969,500 - - -
1660 P THR CEMENT LESS MEDITECH SET - - 1 41,850,000 1 41,850,000 - - -
1661 P THR HYBRIDE PCS - - 2 42,890,545 2 42,890,545 - - -
1662 P THR HYBRIDE LEFT PCS - - 3 70,287,272 3 70,287,272 - - -
1663 P THR HYBRIDE RIGHT SET - - 2 49,227,260 2 49,227,260 - - -
1664 P THR SET CEMENT LESS PCS - - 9 231,409,090 9 231,409,090 - - -
1665 P THR SET CEMENTED PCS - - 1 27,090,909 1 27,090,909 - - -
1666 P TKR SET - - 11 232,375,000 11 232,375,000 - - -
1667 P TKR LOSPA PS LEFT/RIGHT SET - - 9 224,106,903 9 224,106,903 - - -
1668 P TKR PS RIGHT SET - - 1 34,480,000 1 34,480,000 - - -
1669 P VA LCP TWO COLUM SET - - 1 5,561,019 1 5,561,019 - - -
1670 P VA LOCKING SCREW D2.4 L16 PCS - - 2 804,884 2 804,884 - - -
1671 P VA LOCKING SCREW D2.4 L18 PCS - - 3 1,207,325 3 1,207,325 - - -
1672 P VA LOCKING SCREW D2.4 L20 PCS - - 2 804,884 2 804,884 - - -
Page 56 of 73
1673 P WAS-300 BONE SCREW WASHER - - 1 91,800 1 91,800 - - -
1674 P WIRE SS KIRSCHNER L 30CM - - 68 11,922,000 68 11,922,000 - - -
1675 P WIRE SS SUTURE ALL SIZE ( - - 3 661,800 3 661,800 - - -
1676 PAJUNK EPILONG 18GX90MM PCS 15 5,550,000 - - 13 4,921,000 2 314,500 629,000
1677 PAJUNK SPROTTE 27GX90MM PCS 15 1,275,000 500 42,500,000 436 37,060,000 79 85,000 6,715,000
1678 PAJUNK UNIPLEX NANO 21GX100 PCS 7 1,155,000 30 4,950,000 8 1,320,000 29 165,000 4,785,000
1679 PAJUNK UNIPLEX NANO 22GX50M PCS - - 75 11,250,000 45 6,750,000 30 150,000 4,500,000
1680 PAKET HD SET 999 34,965,000 7,950 278,250,000 8,764 306,740,000 185 35,000 6,475,000
1681 PAKET HD EKONOMIS SAK - - 1,600 48,000,000 1,600 48,000,000 - - -
1682 PANTOCAIN 0,5 % E.D 5ML FLS 11 135,091 10 121,250 13 159,341 8 12,125 97,000
1683 PANTOCAIN 2 % E.D 5ML FLS 15 203,336 10 132,500 8 110,586 17 13,250 225,250
1684 PANTOPRAZOL INJ 40 MG VIA 268 12,677,507 13,872 876,998,001 13,905 874,818,573 235 63,221 14,856,935
1685 PAPAVERIN TAB TAB - - 50 12,584 50 12,584 - - -
1686 PAPER TAPE 2,5 CM X 9,41 M PCS - - 100 741,000 100 741,000 - - -
1687 PARACETAMOL 500MG TAB STR TAB 42,853 3,685,674 54,200 9,726,276 96,043 13,231,160 1,010 179 180,790
1688 PARACETAMOL DROP 15 ML FLS 15 93,510 190 1,148,465 125 758,375 80 6,045 483,600
1689 PARACETAMOL INFUS 100ML FLS 403 16,352,205 6,296 253,085,400 6,201 249,419,001 498 40,198 20,018,604
1690 PARACETAMOL SYR 120MG/5ML 6 FLS - - 1,050 3,362,200 827 2,648,154 223 3,202 714,046
1691 PARAFILM M 4 IN X 125 MTR 25 445,800 152 2,710,464 118 2,104,176 59 17,832 1,052,088
1692 PEDIMIN DROPS FLS 27 721,413 - - 14 381,788 13 26,125 339,625
1693 PEHACAIN AMP 2 ML AMP 688 1,876,885 1,860 5,235,645 2,465 6,878,885 83 2,815 233,645
1694 PEHADOXIN F TAB STRIP TAB 493 295,795 6,000 3,600,000 3,260 1,955,995 3,233 600 1,939,800
1695 PEPZOL INJEKSI VIA 118 16,950,143 1,198 167,720,000 1,314 184,390,143 2 140,000 280,000
1696 PERIFAS TAB 200 286,000 - - 200 286,000 - - -
1697 PESSARIUM RING 7.5 MM PCS - - 2 180,000 - - 2 90,000 180,000
1698 PESSARIUM RING 70MM PCS - - 2 180,000 1 90,000 1 90,000 90,000
1699 PETHIDINE HCL INJ 100MG/2ML AMP - - 200 2,398,400 64 767,488 136 11,992 1,630,912
1700 PHENITOIN 100 MG CAP TAB - - 37,200 56,209,110 34,959 52,822,959 2,241 1,511 3,386,151
1701 PHENITOIN 80 MG CAP CAP 4,382 2,492,087 62,675 34,645,263 59,555 32,988,744 7,502 553 4,148,606
1702 PHENOBARBITAL 30 MG TAB TAB 10,249 1,244,759 25,000 3,036,295 18,673 2,267,869 16,576 121 2,013,185
Page 57 of 73
1703 PHENOXYMETIL PENICILIN TAB TAB - - 1,500 1,149,250 730 559,430 770 766 589,820
1704 PHYTOMENADION INJEKSI AMP 1,584 5,291,447 4,060 22,763,177 4,960 24,219,436 684 5,607 3,835,188
1705 PHYTOMENADION TAB 10 MG TAB - - 3,060 1,984,966 1,020 661,006 2,040 649 1,323,960
1706 PIOGLITAZONE 30 MG TAB TAB 2,256 11,280,000 6,000 24,750,000 6,703 29,623,875 1,553 4,125 6,406,125
1707 PIPET PCS 87 48,372 - - 3 5,952 84 505 42,420
1708 PIRACETAM 1 GR INJ AMP 1,897 11,068,084 7,945 52,800,000 8,224 53,114,856 1,618 6,646 10,753,228
1709 PIRACETAM 1200 MG TAB TAB 1,200 1,396,800 - - 1,200 1,396,800 - - -
1710 PIRACETAM 3 GR INJ AMP 281 5,156,136 2,000 37,626,000 1,870 35,049,993 411 18,813 7,732,143
1711 PIRACETAM 400 MG CAP CAP 2,547 1,218,128 1,000 492,000 2,417 1,154,168 1,130 492 555,960
1712 PIRACETAM 800 MG TAB CAP 4,100 2,601,860 106,920 46,233,095 101,508 44,725,771 9,512 432 4,109,184
1713 PIRALEN INJEKSI AMP 1 6,650 - - 1 6,650 - - -
1714 PIRAZINAMID 500 MG TAB - - 204 41,208 - - 204 202 41,208
1715 PIROKSIKAM 10 MG TAB TAB 2,394 232,218 - - 1,305 136,386 1,089 88 95,832
1716 PIROKSIKAM 20 MG TAB TAB - - 3,500 332,500 46 4,370 3,454 95 328,130
1717 PIROTOP OINT 10 GR TUB - - 3 211,629 3 211,629 - - -
1718 PISAU BEDAH/MESS AESCULAP PCS 2,022 6,079,163 5,629 16,933,905 5,331 16,034,508 2,320 3,008 6,978,560
1719 PISAU CUKUR PCS - - 20 140,000 2 14,000 18 7,000 126,000
1720 PISAU CUKUR CLIPPER BLADE PCS 46 3,956,000 - - 33 3,173,400 13 60,200 782,600
1721 PK CRYSTAL 5 GR POT 3 12,970 10 48,300 2 8,140 11 4,830 53,130
1722 PLAIN 0 TAPER HRG-38 STR 132 5,819,273 108 4,591,836 134 5,904,307 106 42,517 4,506,802
1723 PLAIN 1 ROLL 1 M/75 MTR 450 4,371,750 - - 450 4,371,750 - - -
1724 PLAIN 1 TAPER HRG-40 STR 79 3,805,588 - - 1 389,734 78 43,793 3,415,854
1725 PLAIN 2 ROLL PER 1 M (50 M) MTR 200 2,516,400 - - 200 2,516,400 - - -
1726 PLAIN 2/0 - ROLL 1 MT ( 100 MTR 200 1,744,400 - - 200 1,744,400 - - -
1727 PLAIN 2/0 CUTTING TS-24 STR 46 1,555,766 - - - - 46 33,821 1,555,766
1728 PLAIN 2/0 HR 27 TAPER STR 113 4,119,499 168 6,099,336 113 4,119,427 168 36,306 6,099,408
1729 PLAIN 2/0 TAPER HRG-38 STR 17 707,271 672 28,571,424 488 20,732,778 201 42,517 8,545,917
1730 PLAIN 3/0 TAPER HR-27 STR - - 384 12,987,264 288 9,740,448 96 33,821 3,246,816
1731 PLAIN 3/0 CUTTING TS-24 STR 73 2,797,360 - - 32 1,369,084 41 34,836 1,428,276
1732 PLAIN 4/0 CUTTING TS-19 STR 18 627,048 144 4,870,224 105 3,569,475 57 33,821 1,927,797
Page 58 of 73
1733 PLAIN 4/0 TAPER HR-17 STR 45 1,701,837 - - 31 1,228,343 14 33,821 473,494
1734 PLATOGRIX TAB 75 MG TAB 66 224,400 - - 66 224,400 - - -
1735 PLETAAL 100 MG TAB TAB - - 1,250 6,441,250 38 195,814 1,212 5,153 6,245,436
1736 POLYMED 3 WAY STOP COCK 186 3,757,758 - - 186 3,757,758 - - -
1737 POLYPROPILENE 0 CATING STR 27 1,252,017 24 1,054,152 35 1,603,401 16 43,923 702,768
1738 POLYPROPILENE 1 TAPER HRG-3 STR 97 4,639,039 - - 97 4,639,039 - 45,240 -
1739 POLYPROPILENE 2/0 CATING TS STR - - 372 16,339,356 270 11,859,210 102 43,923 4,480,146
1740 POLYPROPILENE 2/0 TAPER HR- STR 127 6,320,028 - - 30 1,931,748 97 45,240 4,388,280
1741 POLYPROPILENE 3/0 CUTING TS STR 75 3,421,650 1,320 58,265,856 1,257 55,596,048 138 44,141 6,091,458
1742 POLYPROPILENE 3/0 TAPER HR- STR 42 1,900,080 - - 42 1,900,080 - 45,240 -
1743 POLYPROPILENE 4/0 CATING TS STR 48 2,151,408 168 7,379,064 176 7,773,552 40 43,923 1,756,920
1744 POLYPROPILENE 4/0 TAPER HR- STR 55 2,737,020 - - 12 791,700 43 45,240 1,945,320
1745 POLYPROPILENE 5/0 TAPER HR- STR 28 1,453,396 - - 5 412,876 23 45,240 1,040,520
1746 POLYPROPILENE 6/0 2XTRM STR 22 4,337,124 - - 4 1,111,164 18 179,220 3,225,960
1747 POLYPROPILENE 6/0 TS CATING STR - - 12 670,824 2 111,804 10 55,902 559,020
1748 POLYPROPILENE 7/0 TAPER 2XT STR 24 4,301,280 24 4,555,637 36 6,579,101 12 189,818 2,277,816
1749 POLYPROPILENE5/0 CUTTING TS STR 24 1,364,640 108 6,037,416 84 4,718,760 48 55,902 2,683,296
1750 PONDEX SUSP 60 ML FLS - - 1 12,402 1 12,402 - - -
1751 PONSAMIC 500 MG TAB TAB 11 12,705 - - - 1,155 11 1,050 11,550
1752 POT PLASTIK 10 GR TYPE T- PCS 448 264,121 - - 322 189,837 126 590 74,284
1753 POT PLASTIK 100GR TYPE H/DH PCS - - 1,300 2,600,000 1,300 2,600,000 - - -
1754 POT PLASTIK 15 GR TYPE T- PCS 256 180,314 400 281,740 452 318,366 204 704 143,687
1755 POT PLASTIK 20 GR TYPE K /T PCS 199 170,941 200 181,818 349 307,309 50 909 45,450
1756 POT PLASTIK 5 GR TYPE T-2 PCS 519 258,036 - - 356 176,996 163 497 81,040
1757 POT PLASTIK 50GR/TYPE Y/U PCS 761 1,116,315 7600 11,696,400 8,061 12,351,015 300 1539 461,700
1758 POT URINE STERIL KUNING PCS - - 1,830 12,015,000 1,830 12,015,000 - - -
1759 PPC 3 JUTA VIA - - 35 462,600 35 462,600 - - -
1760 PRAVASTATIN 20MG TAB TAB - - 1,200 2,422,400 1,165 2,351,735 35 2,019 70,665
1761 PREGABALAIN 75 MG CAP TAB 2,070 390,071 35,300 13,046,510 33,819 12,122,711 3,551 370 1,313,870
1762 PREGABALIN 75 MG TABLET TAB 2,425 15,111,824 600 4,254,546 3,025 19,366,370 - - -
Page 59 of 73
1763 PRESTRENOL TAB TAB 8 33,880 - - 8 33,880 - - -
1764 PRIMET 25 MG TABLET TAB - - 400 631,500 104 164,116 296 1,579 467,384
1765 PRIMOLUT N 5 TAB TAB 40 104,720 - - 30 80,920 10 2,380 23,800
1766 PRIMPERAN 10 MG TAB 149 180,290 - - 149 180,290 - - -
1767 PRO TB 3 KID TABLET TAB 140 634,745 - - 136 617,745 4 4,250 17,000
1768 PRO TB 4 TSS/1 1 STRIP (28T TAB 142 735,560 - - 12 94,270 130 4,933 641,290
1769 PROBENID TAB 500MG TAB - - 300 496,800 18 29,808 282 1,656 466,992
1770 PROFERTIL 50 MG TAB TAB - - 50 788,800 50 788,800 - - -
1771 PROFILAS 1 MG TAB TAB 211 697,897 350 1,256,819 246 823,551 315 3,591 1,131,165
1772 PROFILAS SYR FLS 9 515,286 40 2,429,091 15 879,659 34 60,727 2,064,718
1773 PROHIPER TAB 10 MG TAB 352 569,543 - - 206 86,429 146 3,309 483,114
1774 PROINFARK INJEKSI 10 ML AMP 1 16,031 - - 1 16,031 - 28,665 -
1775 PROLACTA DHA FRO BABY CAP CAP - - 50 300,080 50 300,080 - - -
1776 PROMUBA SYR 60 ML FLS - - 61 2,182,875 35 1,252,465 26 35,785 930,410
1777 PRONTOSAN WOUND GEL BT 30 M FLS 4 740,000 4 1,105,830 8 1,845,830 - - -
1778 PRONTOSAN WOUND GEL X 50 GR FLS 2 520,000 - - 2 520,000 - - -
1779 PROPRANOLOL 10 MG TAB TAB - - 42,100 2,263,920 27,328 1,466,232 14,772 54 797,688
1780 PROPRANOLOL 40 MG TAB TAB 187 22,627 7,000 1,094,310 1,277 194,977 5,910 156 921,960
1781 PRORENAL TABLET TAB 1,473 8,883,000 9,625 57,781,500 10,598 63,663,000 500 6,003 3,001,500
1782 PROSPAN SYRUP FLS 101 6,580,158 342 23,046,686 440 29,424,680 3 67,388 202,164
1783 PROSPAN SYRUP FLS 234 5,087,279 1,452 33,108,206 1,272 28,755,457 414 22,802 9,440,028
1784 protagenta eye drop STR - - 1,900 68,162,500 1,578 56,610,750 322 35,875 11,551,750
1785 PROTOFEN SUPP BH - - 1,000 3,628,460 911 3,305,568 89 3,628 322,892
1786 PROVAGIN OVULA 1 11,111 - - 1 11,111 - - -
1787 PROVELYN 75 MG TABLET TAB 42 424,799 - - 42 424,799 - - -
1788 PTU 100 MG TAB TAB 558 222,871 52,000 20,580,800 32,111 12,706,659 20,447 396 8,097,012
1789 PULMICORT 0.25MG/ML NEBULIZ AMP - - 1,000 8,841,000 448 3,960,768 552 8,841 4,880,232
1790 PUMPISEL INJEKSI AMP 3 453,090 - - 3 453,090 - - -
1791 PYRANTEL 145 MG TAB - - 112 31,619 77 21,749 35 282 9,870
1792 PYRAVIT SYR 110 ML FLS 12 403,296 - - 12 403,296 - - -
Page 60 of 73
1793 PYRAZINAMID 500 MG TAB TAB 10,324 3,006,968 31,900 8,134,500 28,898 7,743,338 13,326 255 3,398,130
1794 PYREXIN SUPP 160 MG ( > 2 T PCS 178 1,263,800 130 940,000 230 1,639,782 78 7,231 564,018
1795 PYREXIN SUPP 80 MG ( < 2 TH PCS 109 764,575 250 1,800,000 288 2,053,375 71 7,200 511,200
1796 Q TEN 100 MG TAB 33 249,810 - - - - 33 7,570 249,810
1797 Q-CEF 500 MG TAB TAB 17 160,282 20 227,480 30 308,144 7 11,374 79,618
1798 Q-TEN 30 CAP CAP 1,027 5,407,586 1,140 5,985,000 1,996 10,494,836 171 5,250 897,750
1799 RAD DEVELOPER AUTO - FUJI PSG - - 8 6,744,000 5 4,215,000 3 843,000 2,529,000
1800 RAD FILM DENTAL AGFA 3 X 4 BOX - - 3 5,000,000 3 5,000,000 - - -
1801 RAD FILM KODAK 35X43 BOX - - 11 75,240,000 11 75,240,000 - - -
1802 RAD FILM TRIMAX TXB 20X25CM BOX 1 4,254,250 16 68,068,000 17 72,322,250 - - -
1803 RAD FILM TRIMAX TXB 35 X 45 BOX - - 36 225,282,909 36 225,282,909 - - -
1804 RAD FILM TRIMAX TXE 20X25CM BOX - - 10 44,450,000 4 17,780,000 6 4,445,000 26,670,000
1805 RAD FILM TRIMAX TXE 35X45CM BOX - - 11 94,194,000 4 34,252,363 7 8,563,091 59,941,637
1806 RAD FIXER AUTO - FUJI BOX 6 5,058,000 7 5,901,000 8 6,744,000 5 843,000 4,215,000
1807 RAD FUJI FILM 24 X 30 BOX 13 17,760,600 10 13,662,000 18 24,591,600 5 1,366,200 6,831,000
1808 RAD FUJI FILM 30 X 40 BOX - - 8 17,388,000 6 13,041,000 2 2,173,500 4,347,000
1809 RAD FUJI FILM 35 X 35 BOX - - 24 56,635,200 18 42,476,400 6 2,359,800 14,158,800
1810 RAIVAS INJEKSI AMP 1 62,513 - - 1 62,513 - 47,273 -
1811 RAMIPRIL 2.5 MG TABLET TAB - - 16,000 4,290,880 10,282 2,758,456 5,718 268 1,532,424
1812 RAMIPRIL 5 MG TAB TAB - - 16,220 9,864,000 12,894 7,841,792 3,326 608 2,022,208
1813 RAMIPRIL 5 MG TAB TAB 6,061 2,068,498 38,870 8,866,133 39,130 9,612,003 5,801 228 1,322,628
1814 RANITIDINE 150MG TABLET TAB 11,029 3,742,471 45,000 7,049,900 47,744 9,491,626 8,285 157 1,300,745
1815 RANITIDINE INJEKSI 25MG/ML AMP 4,495 23,025,817 63,600 150,598,400 36,473 98,743,321 31,622 2,368 74,880,896
1816 REBAMAX TAB TAB - - 7,560 23,318,400 6,743 20,798,772 817 3,084 2,519,628
1817 RECO TETES TELINGA 10 ML FLS - - 2 17,168 1 8,584 1 8,584 8,584
1818 RECOFOL 10MG/ML 20 ML AMP 3 262,111 - - 1 100,111 2 81,000 162,000
1819 RECOLFAR TAB TAB 69 265,305 45 247,115 110 490,456 4 5,491 21,964
1820 RECORMON INJ 2000 IU AMP 5 663,746 - - 5 663,746 - - -
1821 RECTAL TUBE NO.26 - PASCHO PCS 7 107,800 - - 2 37,800 5 14,000 70,000
1822 RECTAL TUBE RUSCH NO 10 PCS 15 2,590,500 - - 3 706,500 12 157,000 1,884,000
Page 61 of 73
1823 RECTAL TUBE RUSCH NO 12 PCS 2 345,400 - - 2 345,400 - 157,000 -
1824 RECTAL TUBE RUSCH NO 7 PCS 8 1,381,600 - - - 125,600 8 157,000 1,256,000
1825 RECTAL TUBE RUSCH NO 9 PCS 2 314,000 - - 2 314,000 - - -
1826 RENASISTIN DROP FLS 10 550,000 - - 10 550,000 - - -
1827 RENAX CAP CAP - - 4,530 33,239,990 4,375 32,102,600 155 7,338 1,137,390
1828 RESSAL ACNE LOT FLS 2 59,298 - - - 1,698 2 28,800 57,600
1829 RETAPHYL SR TAB TAB 4,794 4,604,829 13,000 13,272,100 13,098 13,082,313 4,696 1,021 4,794,616
1830 RHELAFEN SYR 60 ML FLS 33 544,500 - - 29 481,800 4 15,675 62,700
1831 RHINATIOL P SYR FLS 3 119,616 - - 3 119,616 - - -
1832 RIFAMPICIN 300 MG CAPSUL CAP 11,241 7,308,224 5,000 3,945,450 14,233 9,669,362 2,008 789 1,584,312
1833 RIFAMPICIN 450 MG CAPLET TAB 3,024 5,157,613 7,000 5,523,630 727 3,345,910 9,297 789 7,335,333
1834 RIFAMPICIN 600 MG CAPLET TAB 1,547 1,846,638 15,000 15,109,050 6,413 6,750,750 10,134 1,007 10,204,938
1835 RIMACTAZID 450/300 TABLET TAB 280 2,383,920 - - 238 2,058,840 42 7,740 325,080
1836 RING AS 500 ML SINGLE - SAN FLS 145 1,532,930 6,939 61,853,194 5,655 50,648,018 1,429 8,914 12,738,106
1837 RISPERIDONE 2MG TAB - - 44,500 11,041,400 26,385 6,548,880 18,115 248 4,492,520
1838 RISPERIDONE 3 MG TAB TAB - - 10,000 3,809,000 588 223,028 9,412 381 3,585,972
1839 RISTONAT TAB TAB - - 1,620 52,644,629 1,596 51,864,701 24 32,497 779,928
1840 RIVANOL 1 O/OO 300 ML FLS 1 5,990 - - - 2,807 1 3,183 3,183
1841 RIVANOL 1/1000 200 ML FLS 1 10,800 - - - - 1 10,800 10,800
1842 RL INFUS 500ML - OTSUKA FLS - - 27,000 175,500,000 25,335 164,677,500 1,665 6,500 10,822,500
1843 RL INFUS 500ML - SANBE 1 SL FLS 9 85,860 6,384 41,495,342 5,149 33,495,202 1,244 6,500 8,086,000
1844 RL INFUS 500ML - WIDATRA FLS 1,938 12,731,575 58,000 375,345,452 54,995 356,090,874 4,943 6,471 31,986,153
1845 ROCULAX INJ 5OOMG/5ML AMP 1 112,000 - - 1 112,000 - - -
1846 ROCURONIUM BR 50 MG/5ML INJ AMP - - 396 28,992,740 194 14,203,512 202 73,214 14,789,228
1847 ROVADIN SYRUP 100 ML FLS 34 1,645,396 84 3,883,320 93 4,372,966 25 46,230 1,155,750
1848 ROXEMID INJ AMP 1 7,920 - - 1 7,920 - - -
1849 SACCHARINE 10 MG TAB TAB 36,448 1,457,920 - - 5,448 341,920 31,000 36 1,116,000
1850 SACCHARUM LACTIS 1 GRAM GR - - 300 21,000 16 1,120 284 70 19,880
1851 SAGESTAM 80 INJEKSI AMP 7 64,009 - - 6 54,989 1 9,020 9,020
1852 SAGESTAM CREAM 10 GR TUB 33 378,855 20 234,000 37 425,655 16 11,700 187,200
Page 62 of 73
1853 SALBUTAMOL 2 MG TAB TAB - - 15,000 1,020,000 3,131 212,908 11,869 68 807,092
1854 SALBUTAMOL 4 MG TAB TAB - - 8,000 592,100 6,321 467,854 1,679 74 124,246
1855 SALBUTAMOL SYR 100 ML FLS - - 150 606,273 89 359,711 61 4,042 246,562
1856 SALICYL 2 % BEDAK 60 GR FLS 27 140,400 120 712,726 131 758,102 16 5,939 95,024
1857 SAN-B-PLEX DROP 15 ML FLS - - 24 407,376 4 67,896 20 16,974 339,480
1858 SANDEPRIL 50 MG TAB TAB 259 592,667 6,500 14,170,000 6,718 14,673,287 41 2,180 89,380
1859 SANDOSTATIN INJ 0.1 MG AMP 13 744,549 70 4,289,736 40 2,399,159 43 61,282 2,635,126
1860 SANGOBION DROP 15 ML FLS 55 1,592,339 300 8,685,488 305 8,830,246 50 28,952 1,447,581
1861 SANGOBION KIDS SYRUP 100ML FLS 84 1,850,100 300 6,820,400 334 7,533,750 50 22,735 1,136,750
1862 SANKORBIN INJEKSI AMP - - 100 2,556,000 57 1,456,920 43 25,560 1,099,080
1863 SANMOL 500MG TAB TAB - - 1,000 270,000 984 265,680 16 270 4,320
1864 SANMOL DROPS 15 ML FLS 34 511,802 130 1,892,000 102 1,501,454 62 14,554 902,348
1865 SANMOL SYRUP 125MG/5ML 60 FLS - - 68 746,400 62 680,544 6 10,976 65,856
1866 SANSULIN LOG G AMP - - 275 41,136,573 269 40,239,045 6 149,588 897,528
1867 SANSULIN PEN PCS - - 60 57 51 48 9 1 9
1868 SANTA E TAB TAB - - 520 442,960 325 276,820 195 852 166,140
1869 SCABIMIDE 15 GR TUB - - 225 9,292,654 222 9,168,751 3 41,301 123,903
1870 SCABIMITE 10 GRAM TUB 189 2,088,450 - - 189 2,088,450 - - -
1871 SCOPAMIN INJEKSI AMP - - 50 715,000 20 286,000 30 14,300 429,000
1872 SCOPAMIN TABLET TAB 30 53,228 3,000 6,777,360 1,357 3,051,281 1,673 2,259 3,779,307
1873 SEDACUM 5MG/5ML INJEKSI AMP 2 42,846 - - 2 42,846 - - -
1874 SELFOLIC TAB 1 MG TAB - - 100 47,400 100 47,400 - - -
1875 SENDOK OBAT PCS 882 163,620 5,000 1,000,000 5,418 1,070,820 464 200 92,800
1876 SERETIDE DISKUS 100 PCS - - 187 17,648,873 63 5,945,877 124 94,379 11,702,996
1877 SERETIDE DISKUS 250 MCG FLS 166 17,245,991 2,314 245,879,814 2,050 217,435,295 430 106,257 45,690,510
1878 SERTRALINE 50 MG TAB TAB 3,000 5,365,290 - - 2,515 4,414,690 485 1,960 950,600
1879 SESDEN TAB TAB 100 199,500 - - 100 199,500 - - -
1880 SEVODEX 1 ML ML 3,500 19,253,990 - - 3,500 19,253,990 - - -
1881 SEVOFLURANE BAXTER FLS - - 1,000 4,036,360 1,000 4,036,360 - - -
1882 SIBITAL 100 MG/ML 2 ML INJE TAB - - 1 15,523 1 15,523 - - -
Page 63 of 73
1883 SIBITAL INJEKSI AMP 51 468,292 651 5,865,523 170 1,540,495 532 9,010 4,793,320
1884 SIFROL 0,125 TAB TAB 7 59,976 60 539,814 67 599,790 - - -
1885 SIFROL 0.375 MG TAB TAB 427 3,160,060 9,085 120,151,690 8,108 104,743,850 1,404 13,225 18,567,900
1886 SIKZONOATE INJ 25 MG AMP 67 3,519,025 400 24,964,562 453 27,609,833 14 62,411 873,754
1887 SILDENAFIL CITRATE 100 MG TAB 7 306,250 100 2,975,000 56 1,764,000 51 29,750 1,517,250
1888 SILK 0 CATING TS-20 STR - - 48 1,530,624 16 510,208 32 31,888 1,020,416
1889 SILK 0 ROLL 1M / 100 M MTR 300 1,289,700 - - 300 1,289,700 - - -
1890 SILK 0 TAPER HRG-38 STR 46 2,014,432 48 1,855,296 80 3,328,600 14 38,652 541,128
1891 SILK 1 CATING TS-30 STR 87 3,466,473 60 1,913,280 94 3,689,689 53 31,888 1,690,064
1892 SILK 1 TAPER HRG-38 STR 72 3,001,491 144 5,565,888 102 4,161,051 114 38,652 4,406,328
1893 SILK 2/0 CUTTING TS-27 STR 222 7,293,395 648 20,663,424 711 22,886,627 159 31,888 5,070,192
1894 SILK 2/0 TAPER HR-27 STR - - 504 16,280,274 440 14,212,946 64 32,302 2,067,328
1895 SILK 3/0 CUTTING TS-27 STR 227 7,498,180 108 3,443,904 283 9,283,908 52 31,888 1,658,176
1896 SILK 3/0 ROLL PER 1 MT ( 10 MTR 100 361,300 - - 100 361,300 - - -
1897 SILK 3/0 TAPER HR-27 STR 271 8,900,995 36 1,147,968 257 8,454,563 50 31,888 1,594,400
1898 SILK 4/0 TS 19 PCS - - 48 1,530,624 26 829,088 22 31,888 701,536
1899 SILOXAN E.D 5 ML FLS 30 1,649,687 - - - 67,187 30 52,750 1,582,500
1900 SIMARC 2 TAB TAB 1,238 1,121,257 22,817 31,450,738 23,927 32,395,611 128 1,378 176,384
1901 SIMVASTATIN 10 MG TAB TAB 1,867 788,154 46,480 14,394,800 35,629 11,240,374 12,718 310 3,942,580
1902 SIMVASTATIN 20 MG TAB TAB - - 22,100 16,985,660 15,161 11,649,569 6,939 769 5,336,091
1903 SISTENOL CAPLET TAB 5 7,000 - - 5 7,000 - - -
1904 SLANG NASAL OXYGEN ANAK PCS - - 250 1,500,000 142 852,000 108 6,000 648,000
1905 SLANG NASAL OXYGEN DEWASA PCS 1,944 11,630,894 6,500 38,273,500 7,894 46,665,994 550 5,888 3,238,400
1906 SLANG NASAL OXYGEN INFANT/B PCS 41 225,500 100 500,000 36 200,500 105 5,000 525,000
1907 SLANG NASAL OXYGEN NEONATE PCS 453 4,708,029 100 600,000 465 4,780,029 88 6,000 528,000
1908 SNMC INJEKSI AMP 134 12,637,990 210 20,947,500 337 32,887,240 7 99,750 698,250
1909 SODALIME INTERSOREB PLUS FLS 4 3,600,000 - - 2 1,800,000 2 900,000 1,800,000
1910 SOFFBAN MERAH 3" PCS 33 670,991 36 741,600 14 279,591 55 20,600 1,133,000
1911 SOFFBAN MERAH 4" PCS 30 832,665 216 5,583,000 193 5,045,774 53 25,847 1,369,891
1912 SOFFBAN MERAH 6" PCS 22 873,511 252 9,084,600 212 7,723,011 62 36,050 2,235,100
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1913 SOJOURN INJEKSI 1ML - - 16,500 59,694,345 12,750 46,126,845 3,750 3,618 13,567,500
1914 SOTATIC INJ AMP 786 2,190,511 600 2,544,000 1,129 3,644,831 257 4,240 1,089,680
1915 SPATEL TONGUE PLASTIK PCS 32 262,112 - - 32 262,112 - - -
1916 SPATULA KAYU THT PCS 187 14,960,000 100 50,000 198 14,965,500 89 500 44,500
1917 SPINOCAN 25 BRAUN PCS 1,174 34,381,283 1,924 55,972,064 2,337 68,214,335 761 29,092 22,139,012
1918 SPINOCAN 27 BRAUN PCS 138 2,635,800 - - 31 1,079,485 107 14,545 1,556,315
1919 SPIRAMYCIN 500 MG TAB TAB - - 150 286,448 40 76,348 110 1,910 210,100
1920 SPIRIVA 18 MCG REFFIL CAP CAP 9,775 131,650,580 31,590 433,186,725 34,640 472,617,380 6,725 13,713 92,219,925
1921 SPIRIVA HANDY HALER (ALAT) PCS 59 8,694,553 160 23,835,454 169 25,081,407 50 148,972 7,448,600
1922 SPIRONOLAKTONE 25MG TAB - - 162,700 30,407,019 162,553 30,379,530 147 187 27,489
1923 STARDEC WASH GLOVE 4P SET - - 640 6,284,800 82 805,240 558 9,820 5,479,560
1924 STELOSI 50 MG TAB TAB 1 516 13,000 4,200,000 8,672 2,802,249 4,329 323 1,398,267
1925 STERALD 30 5 LITER FLS - - 8 2,880,000 8 2,880,000 - - -
1926 STERANIOS 2% ANIOS 1 ML ML 10,000 1,300,000 180,000 23,400,000 135,000 17,550,000 55,000 130 7,150,000
1927 STESOLID RECTAL 5 MG TUB - - 112 2,718,870 78 1,893,486 34 24,276 825,384
1928 STESOLID RECTAL 10 MG TUB 42 1,251,880 50 1,782,000 56 1,750,840 36 35,640 1,283,040
1929 STILESCO CAPLET TAB - - 1,680 53,760,000 1,369 43,808,000 311 32,000 9,952,000
1930 STOLAX 10MG SUPP PCS - - 2,760 16,060,598 1,851 10,771,127 909 5,819 5,289,471
1931 STOMACH TUBE 14 MAS PCS - - 45 155,880 13 45,032 32 3,464 110,848
1932 STOMACH TUBE NO 12 PCS 102 1,521,293 100 1,397,400 83 1,255,787 119 13,974 1,662,906
1933 STOMACH TUBE NO 14 PCS 143 2,296,580 - - 129 2,092,180 14 14,600 204,400
1936 STOMACH TUBE NO 5 (100CM) PCS - - 488 18,788,000 262 10,087,000 226 38,500 8,701,000
1937 STOMACH TUBE NO 5 JMS PCS 8 120,160 - - 8 120,160 - - -
1938 STOMACH TUBE NO 8 (100CM) PCS - - 200 7,700,000 100 3,850,000 100 38,500 3,850,000
1939 STOMACH TUBE NO 8 MAS PCS - - 68 170,816 37 92,944 31 2,512 77,872
1940 STREPTOMISIN 1G INJEKSI VIA - - 56 365,908 56 365,908 - - -
1941 SUCRALFATE SUSP 100 ML FLS 153 1,244,655 4,158 34,507,948 3,898 32,325,116 413 8,299 3,427,487
1942 SUCTION CATHETER 12 REMEDI PCS - - 200 595,023 115 342,148 85 2,975 252,875
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1943 SUCTION CATHETER 14 REMEDI PCS - - 350 1,018,150 322 936,698 28 2,909 81,452
1944 SUCTION CATHETER 6 REMEDI PCS - - 50 145,450 23 66,907 27 2,909 78,543
1945 SUCTION CATHETER NO 10 REME PCS - - 200 581,800 46 133,814 154 2,909 447,986
1946 SUCTION CATHETER NO.10 MAS PCS 50 164,710 120 393,600 170 558,310 - - -
1947 SUCTION CATHETER NO.12 MAS PCS 69 227,503 150 492,000 152 499,743 67 3,280 219,760
1948 SUCTION CATHETER NO.14 MAS PCS 33 109,213 500 1,563,200 520 1,631,775 13 3,126 40,638
1949 SUCTION CATHETER NO.6 MAS PCS 15 50,335 100 328,000 3 10,975 112 3,280 367,360
1950 SUCTION CATHETER NO.8 AXIME PCS - - 160 1,072,000 160 1,072,000 - - -
1951 SUCTION CATHETER NO.8 MAS PCS 145 471,663 950 3,039,400 901 2,890,457 194 3,199 620,606
1952 SUCTION CONECTING AXIMED PCS 50 900,000 270 6,260,000 250 5,537,050 70 23,185 1,622,950
1953 SUCTION CONECTING E CARE PCS 160 3,054,560 - - 160 3,054,560 - - -
1954 SUCTION CONECTING MAS E CAT PCS 360 5,486,040 1,540 23,787,750 1,565 24,099,045 335 15,447 5,174,745
1955 SUCTION CONECTING TUBE CHOI PCS 485 10,670,000 - - 436 9,690,000 49 20,000 980,000
1956 SULFADIAZIN SILVER 35 GR TUB - - 25 470,450 - - 25 18,818 470,450
1957 SULFAZALAZINE TAB 500MG TAB 1,966 3,990,941 2,000 4,000,000 1,941 3,940,941 2,025 2,000 4,050,000
1958 SUPRAFENID SUPP BPJS PCS - - 800 1,730,996 532 1,151,044 268 2,164 579,952
1959 SURFA SAFE 750 ML FLS 24 10,588,533 729 318,427,200 695 303,681,333 58 436,800 25,334,400
1960 SURFANIOS 1 ML ML - - 760,000 212,800,000 665,000 186,200,000 95,000 280 26,600,000
1961 SURVANTA SUSP 25 MG INTRATE FLS - - 2 6,363,130 2 6,363,130 - 3,181,565 -
1962 SUVESCO 10 MG TAB TAB - - 27 204,188 27 204,188 - - -
1963 SYMBICORT 160 DOSIS 120" FLS - - 150 19,074,600 126 16,022,664 24 127,164 3,051,936
1964 SYMBICORT TURB 160 PCS 66 7,799,541 420 48,048,000 318 36,628,341 168 114,400 19,219,200
1965 SYMBICORT TURB 80 PCS 61 6,763,884 420 48,048,000 339 38,567,084 142 114,400 16,244,800
1966 SYRINGE ABG PRESET 3 (1,6) PCS 235 4,690,983 800 15,840,000 882 17,501,583 153 19,800 3,029,400
1967 T BOND POLYESTER 1,75 36MM STR - - 60 3,413,127 46 2,616,737 14 56,885 796,390
1968 T CHROMIC RB 1/2 36MM PCS - - 120 8,401,526 120 8,401,526 - - -
1969 T LENE POLYV 3/0 24MM STR - - 24 1,438,800 23 1,378,850 1 59,950 59,950
1970 TALK 1 KG GR 3 17,103 - - 3 17,103 - - -
1971 TAMOFEN 10 MG TAB TAB - - 400 1,066,400 60 159,960 340 2,666 906,440
1972 TANAPRES 10 MG TAB TAB 33 128,964 2,000 8,609,080 33 128,044 2,000 4,305 8,610,000
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1973 TANAPRES 5 MG TAB TAB 162 342,792 400 920,000 222 480,792 340 2,300 782,000
1974 TANTUM VERDE O.R 120 ML FLS 1 35,702 - - 1 35,702 - - -
1975 TARIVID OTIC 5ML TETES TELI FLS - - 328 11,276,970 324 11,139,446 4 34,381 137,524
1976 TAXEGRAM INJEKSI 1GR VIA - - 27 3,576,150 24 3,178,800 3 132,450 397,350
1977 TB OAT ANAK FLS - - 500 5,750,000 440 5,060,000 60 11,500 690,000
1978 TB OAT ANAK FLS - - 313 9,143,540 263 7,682,890 50 29,213 1,460,650
1979 TEGADERM (9 X 25CM)+PAD PCS - - 100 2,027,435 - 35 100 20,274 2,027,400
1980 TEGADERM 5 X 7 CM PAD 3528 PCS 50 245,400 - - 3 14,724 47 4,908 230,676
1981 TELMISARTAN 40 MG TAB TAB - - 19,410 77,640,000 18,696 74,784,000 714 4,000 2,856,000
1982 TELMISARTAN 80 MG TAB TAB - - 16,500 99,000,000 14,725 88,350,000 1,775 6,000 10,650,000
1983 TENSOBON TAB TAB 1,005 3,147,660 - - 1,005 3,147,660 - - -
1984 TENSOCREPE 3" PCS 44 2,504,518 162 8,764,500 95 5,263,696 111 54,102 6,005,322
1985 TENSOCREPE 4" PCS 256 16,916,680 300 19,294,548 370 24,248,638 186 64,315 11,962,590
1986 TENSOCREPE 6" PCS 126 10,955,259 600 51,606,276 549 47,337,765 177 86,010 15,223,770
1987 TEQUINOL 500MG TAB TAB 180 2,257,200 - - - 205,200 180 11,400 2,052,000
1988 TETAGAM 250 IU PFS VIA - - 650 104,472,672 538 86,471,248 112 160,727 18,001,424
1989 TETRACYCLIN 500MG CAP CAP - - 200 56,400 24 6,768 176 282 49,632
1990 THEOPHYLLIN SERBUK GR 25 14,700 100 54,073 18 10,915 107 541 57,859
1991 THERAGRAN M TAB TAB - - 12 59,796 12 59,796 - - -
1992 THIAMFENICOL 500 MG CAP CAP - - 3,000 3,600,000 845 1,014,000 2,155 1,200 2,586,000
1993 THIAMFENICOL SYR 125 MG/5 M FLS - - 142 2,840,000 86 1,720,000 56 20,000 1,120,000
1994 THORACIC TROC.CATH 20 ROMSO PCS - - 10 3,450,000 - - 10 345,000 3,450,000
1995 THORACIC TROC.CATH 24 ROMSO PCS - - 20 6,900,000 4 1,380,000 16 345,000 5,520,000
1996 THREE WAY STOPCOCK EKOR POL PCS - - 50 1,000,000 12 240,000 38 20,000 760,000
1997 THREE WAY STOPCOCK NONEK PO PCS - - 200 2,703,000 59 797,385 141 13,515 1,905,615
1998 THREE WAY STOPCOK ESKAMED E PCS - - 150 1,704,545 150 1,704,545 - - -
1999 THREEWAY STOPCOCK EKOR - JM PCS 112 2,776,427 1,075 38,710,800 812 27,983,487 375 36,010 13,503,740
2000 THREEWAY STOPCOCK NON EKOR PCS - - 223 8,040,042 223 8,040,042 - - -
2001 THROMBOPHOB GEL TUB 1 49,919 40 2,135,925 39 2,079,048 2 53,398 106,796
2002 THROMBOPHOB OINT TUB - - 9 407,578 9 407,578 - - -
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2003 THT OTOLOGICAL VENTILATION PCS - - 1 250,000 1 250,000 - - -
2004 THYROZOL 10 MG TAB TAB 1,254 1,446,301 3,000 3,340,890 2,164 2,458,931 2,090 1,114 2,328,260
2005 THYROZOL 5 MG TAB TAB 644 357,420 2,000 1,145,440 1,579 892,615 1,065 573 610,245
2006 TIARYT INJEKSI AMP 247 4,082,226 - - 246 4,070,226 1 12,000 12,000
2007 TIARYT TAB TAB 353 978,587 10 47,674 272 592,464 91 4,767 433,797
2008 TIMOL 0,5% E.D 5ML FLS - - 107 5,187,321 107 5,187,321 - - -
2009 TIRIZ DROP FLS 15 826,500 - - 4 220,400 11 55,100 606,100
2010 TIRIZ TAB TAB 88 319,440 - - 39 157,740 49 3,300 161,700
2011 TOBROSON E.D MINI DOSE STR 109 3,166,457 2,730 79,960,911 2,568 75,189,778 271 29,290 7,937,590
2012 TOFEDEX INJEKSI AMP 141 5,710,500 550 22,950,000 599 24,821,616 92 41,727 3,838,884
2013 TOFEDEX TABLET TAB 96 535,543 2,280 13,530,000 2,328 13,780,711 48 5,934 284,832
2014 TONICARD TAB TAB 111 1,680,318 - - 111 1,680,318 - - -
2015 TONOR E.D MINIDOSE STR 10 268,130 13 425,250 13 366,260 10 32,712 327,120
2016 TONOR EYE DROP FLS - - 495 14,411,250 408 11,878,332 87 29,114 2,532,918
2017 TOPCORT CREAM 10 GR TUB - - 43 915,900 20 426,000 23 21,300 489,900
2018 TOPI OPERASI HIJAU ONEMED PCS - - 700 212,478 700 212,478 - - -
2019 TOPI OPERASI MOB HIJAU PCS - - 1,000 367,270 354 130,188 646 367 237,082
2020 TOPSY CREAM TUB 15 619,095 12 521,640 16 662,565 11 43,470 478,170
2021 TOTILAC INFUS 250ML FLS 58 4,770,421 - - 26 2,152,245 32 81,818 2,618,176
2022 TRACETATE 200ML SUSP FLS - - 1 441,650 1 441,650 - - -
2023 TRACETATE TABLET TAB - - 230 4,648,200 226 4,567,360 4 20,210 80,840
2024 TRACHEAL TUBE 6,5 PORTEX PCS 15 5,400,000 - - 15 5,400,000 - - -
2025 TRACHEOSTOMI TUBE 7.5 PORTE PCS - - 9 3,927,357 9 3,927,357 - - -
2026 TRACHEOSTOMY TUBE PCS 1 272,250 - - 1 272,250 - - -
2027 TRACHEOSTOMY TUBE 7,5 ROMSO PCS - - 20 5,965,000 8 2,386,000 12 298,250 3,579,000
2028 TRAMADOL 50 MG CAP CAP - - 5,000 2,571,500 3,369 1,733,166 1,631 514 838,334
2029 TRAMADOL INJEKSI 50MG/ML AMP 212 466,767 2,100 5,519,560 2,202 5,697,247 110 2,628 289,080
2030 TRANSFUSI SET JMS PCS - - 1,000 12,900,000 197 2,541,300 803 12,900 10,358,700
2031 TRANSFUSI SET OTSUKA OB-1 PCS 41 1,066,000 300 5,140,000 304 5,572,079 37 17,133 633,921
2032 TRANSFUSI SET TERUMO PCS - - 6,160 123,046,980 6,111 122,068,205 49 19,975 978,775
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2033 TRANSFUSI SET TERUMO PUMP PCS 29 1,125,722 - - 29 1,125,722 - - -
2034 TRANSOFIX NRC PCS 97 676,819 700 2,163,700 361 1,492,843 436 3,091 1,347,676
2035 TRANSPULMIN BB 10GR TUB - - 10 352,170 2 70,434 8 35,217 281,736
2036 TRANSPULMIN BB 20GR TUB 1 53,200 - - 1 53,200 - - -
2037 TREMENZA SYR 60 ML FLS 79 1,300,207 - - 55 877,807 24 17,600 422,400
2038 TREMENZA TAB TAB 1,111 1,313,957 - - 1,111 1,313,957 - - -
2039 TRIAMCINOLON TAB TAB 1,042 739,820 1,000 724,500 767 539,945 1,275 725 924,375
2040 TRIFLUOPERAZINE 5 MG TAB 4,283 1,066,467 5,000 1,222,750 9,208 2,270,842 75 245 18,375
2041 TRIHEXYPHENIDYL 2 MG TAB TAB 3,067 239,226 50,000 3,863,500 50,848 3,931,863 2,219 77 170,863
2042 TRILAC INJ 10 MG/ML 5 ML VIA 70 3,245,970 751 24,032,810 454 15,534,413 367 32,001 11,744,367
2043 TRILAC INJ 40 MG/ML VIA - - 21 1,908,900 12 1,090,800 9 90,900 818,100
2044 TRIOFUSIN INF FLS 53 2,273,015 60 2,666,182 103 4,494,837 10 44,436 444,360
2045 TRIZEDON MR TAB 900 3,020,913 30 118,569 901 3,024,874 29 3,952 114,608
2046 TROLIT ZAK BKS 318 3,076,039 - - 296 2,863,387 22 9,666 212,652
2047 TROPINE 0,5% E.D 5 ML FLS 125 1,420,185 80 900,000 168 1,903,935 37 11,250 416,250
2048 TROPINE 1 % E.D 5 ML FLS 140 2,910,999 - - 54 1,835,999 86 12,500 1,075,000
2049 TUTOFUSIN O.PS INFUS FLEXY FLS 70 2,509,078 1,420 48,057,835 1,349 45,794,909 141 33,844 4,772,004
2050 UDOPA INJEKSI ( DOPAMIN ) AMP 2 22,400 20 224,000 3 33,600 19 11,200 212,800
2051 ULCORI E.D MINI DOSE STR 46 936,271 557 10,931,125 430 8,472,271 173 19,625 3,395,125
2052 ULSICRAL TAB TAB 102 51,000 - - 98 49,000 4 500 2,000
2053 ULSIDEX 500 MG TAB TAB 89 30,359 25,250 7,072,737 17,425 4,887,176 7,914 280 2,215,920
2054 ULTRASOUND GEL PCS - - 50 550,000 50 550,000 - - -
2055 ULTRAVIST 300 INJ FLS 100 12,890,245 550 72,249,997 649 85,008,878 1 131,364 131,364
2056 UMARONE 10 MG INJ VIA 158 27,709,945 261 45,769,346 348 61,028,660 71 175,361 12,450,631
2057 UMBILICAL CATHETER 3,5 FR 4 PCS - - 25 901,600 4 144,256 21 36,064 757,344
2058 UMBILICAL CATHETER 4 FR 40 PCS - - 20 721,280 5 180,320 15 36,064 540,960
2059 UMBILICAL CATHETER 5 FR 40C PCS 59 1,963,829 - - - 126,569 59 31,140 1,837,260
2060 UMBILICAL CORD CLAMPS PUTIH 315 630,000 700 1,120,000 1,015 1,750,000 - - -
2061 UMBILICAL STERIL CORD ONEME PCS 486 762,534 900 1,575,070 733 1,194,854 653 1,750 1,142,750
2062 UNALIUM 10 MG TAB TAB 641 4,662,955 - - 568 4,181,155 73 6,600 481,800
Page 69 of 73
2063 UNDERPAD (U PAD) HIJAU TOP LBR 1,443 5,322,823 21,640 82,811,725 19,382 73,970,821 3,701 3,827 14,163,727
2064 UNDERPAD COSMOMED LBR 125 481,250 - - 125 481,250 - - -
2065 URDAFALK 250 MG CAP CAP - - 30 344,058 30 344,058 - - -
2066 URINE BAG PCS 3,753 18,086,833 3,400 17,000,000 5,271 25,676,833 1,882 5,000 9,410,000
2067 URINTER 400MG CAP CAP - - 11,000 24,981,040 9,432 21,420,112 1,568 2,271 3,560,928
2068 URISPAS TAB TAB 1,329 6,534,361 1,800 9,149,796 2,243 11,180,619 886 5,083 4,503,538
2069 URO COBRA GUIDEWIRE PCS - - 4 5,000,000 3 3,750,000 1 1,250,000 1,250,000
2070 URO CUTTING LOOP HAWK PCS - - 23 17,250,000 15 11,250,000 8 750,000 6,000,000
2071 URO DJ STENT 4.7FR SINGLE L PCS 4 1,291,680 52 16,351,494 53 16,699,818 3 314,452 943,356
2072 URO DJ STENT 6 FR BIOTEQ PCS - - 3 1,301,468 3 1,301,468 - - -
2073 URO GUIDE WIRE 4 FR PCS - - 15 4,238,370 15 4,238,370 - - -
2074 URO GUIDEWIRE 4.5 150CM PCS - - 20 5,651,160 3 847,674 17 282,558 4,803,486
2075 URO SATINSKY PCS 7 22,522,500 - - 5 17,374,500 2 2,574,000 5,148,000
2076 URO URETERAL CATH 3 FR PCS 5 1,189,385 - - 3 808,781 2 190,302 380,604
2077 URO URETHER CATH F4 OPN/CLO PCS - - 3 1,230,000 1 410,000 2 410,000 820,000
2078 URSODEOXYCHOLIC ACID 250 MG TAB 707 2,602,354 5,580 10,850,533 6,202 13,287,562 85 1,945 165,325
2079 USG PAPER UPP 110 HG PCS 31 7,750,000 80 20,021,818 111 27,771,818 - - -
2080 UTROGESTAN 100 MG CAP CAP - - 950 10,137,885 164 1,750,479 786 10,671 8,387,406
2081 UTROGESTAN 200 MG CAP CAP - - 35 702,975 18 361,530 17 20,085 341,445
2082 VAGISTIN VAG SUPP 1 8,980 10 166,375 11 175,355 - - -
2083 VAGIZOL 500MG OVULA PCS 21 80,850 - - 21 80,850 - - -
2084 VAKSIN HEPATITIS B GENERIK VIA 42 3,326,400 - - 19 1,504,800 23 79,200 1,821,600
2085 VALAMIN 500ML INFUS 500ML FLS 19 826,172 - - 19 826,172 - - -
2086 VALCYTE 450 MG TAB TAB 60 13,067,940 - - 60 13,067,940 - - -
2087 VALESCO 160 MG TAB TAB 13,875 128,838,810 2,880 37,440,000 16,741 166,096,810 14 13,000 182,000
2088 VALESCO 80MG TAB TAB - - 1,920 15,360,000 1,920 15,360,000 - - -
2089 VALISANBE 2 MG TAB TAB 6 1,812 100 25,410 100 25,698 6 254 1,524
2090 VALISANBE 5 MG/ML 2 ML INJE AMP - - 200 3,260,000 144 2,347,200 56 16,300 912,800
2091 VALISANBE INJEKSI 10MG AMP 251 3,843,061 - - 251 3,843,061 - - -
2092 VALSARTAN 160MG TAB - - 1,000 960,000 832 798,720 168 960 161,280
Page 70 of 73
2093 VALSARTAN 40MG PCS - - 10,000 363,600 4,081 150,516 5,919 36 213,084
2094 VALSARTAN TAB 160 MG GENERI TAB 1,252 5,516,612 52,500 98,003,655 52,616 101,399,355 1,136 1,867 2,120,912
2095 VALSARTAN TAB 80 MG GENERIK TAB 20 51,601 165,810 99,513,722 165,806 99,550,923 24 600 14,400
2096 VASACON E.D 15 ML FLS 50 816,886 - - 50 816,886 - - -
2097 VASACON E.D MINI DOSE STR 7 104,251 40 555,000 43 603,751 4 13,875 55,500
2098 VASCON INJEKSI ( NOREPINEPH AMP 25 2,250,000 110 10,380,610 133 12,441,872 2 94,369 188,738
2099 VASELIN PUTIH 1 GRAM GR 2,500 162,350 11,000 721,800 10,130 661,730 3,370 66 222,420
2100 VASODRIN INJ AMP - - 120 4,800,000 120 4,800,000 - - -
2101 V-BLOC 6,25 MG TABLET TAB 840 1,238,772 3,270 4,822,364 3,590 5,294,277 520 1,475 766,859
2102 V-BLOC 6,25 MG TABLET TAB 840 1,238,765 3,330 4,786,111 3,650 5,277,636 520 1,437 747,240
2103 VECTRIN 300 MG CAP CAP - - 1,530 6,374,656 1,105 4,604,106 425 4,166 1,770,550
2104 VECTRINE SYRUP 60 ML FLS - - 82 2,967,120 44 1,592,128 38 36,184 1,374,992
2105 VENARON 300 MG CAP CAP 2 5,400 - - - - 2 2,700 5,400
2106 VENTOLIN INHALER FLS 147 5,981,136 - - 125 5,181,128 22 36,364 800,008
2107 VENTOLIN NEBULISER AMP 2,647 10,901,008 5,000 18,181,050 6,392 24,518,878 1,255 3,636 4,563,180
2108 VERAPAMIL 80 MG TAB TAB 2,642 929,984 1,600 466,895 3,182 1,087,359 1,060 292 309,520
2109 VERBAN 10 CM PCS 2,040 2,705,040 8,345 11,330,535 8,082 10,908,101 2,303 1,358 3,127,474
2110 VERMOX 500 MG TAB TAB - - 120 1,946,760 52 843,596 68 16,223 1,103,164
2111 VERNACEL TTS MATA STR 60 1,202,280 - - 42 914,280 18 16,000 288,000
2112 VESICARE 10 MG TAB TAB 170 3,005,940 840 15,665,297 724 13,337,623 286 18,649 5,333,614
2113 VESICARE 5 MG TAB TAB 60 1,017,000 1,200 20,238,300 517 8,724,605 743 16,865 12,530,695
2114 VESITAB TAB TAB 3 8,250 - - 3 8,250 - - -
2115 VESTEIN 300 MG CAP CAP - - 20 96,800 16 77,440 4 4,840 19,360
2116 VESTEIN SYRUP 60 ML FLS 22 785,400 2 84,700 24 870,100 - - -
2117 VIOQUIN 500 MG KAPLET TAB 177 2,275,824 - - 37 525,824 140 12,500 1,750,000
2118 VISION E.D. 15 ML FLS 10 200,760 - - - - 10 20,076 200,760
2119 VIT.A 6000 SI DRAGE TAB 300 106,800 - - 44 23,856 256 324 82,944
2120 VIT.B COMP TAB TAB 7 735 20,000 2,100,000 15,559 1,633,695 4,448 105 467,040
2121 VIT.B1 TAB TAB 7,836 1,065,696 - - 4,533 656,124 3,303 124 409,572
2122 VIT.B12 50 MCG TAB TAB - - 10,000 418,150 9,350 390,850 650 42 27,300
Page 71 of 73
2123 VIT.B6 10MG TAB STRIP/LOZ TAB 7,341 807,583 95,000 11,077,500 93,662 10,869,640 8,679 117 1,015,443
2124 VIT.C 50 MG TAB TAB 8,363 801,677 11,000 1,143,440 15,370 1,529,845 3,993 104 415,272
2125 VIT.C INJEKSI AMP 100 583,000 15 270,916 115 853,916 - - -
2126 VITROLENTA 5 ML FLS - - 300 9,825,000 171 5,600,250 129 32,750 4,224,750
2127 VITROLENTA E.D MINI DOSE STR 36 1,083,887 200 6,847,728 233 7,828,898 3 34,239 102,717
2128 VITROLENTA EYE DROP TAB 7 735 20,000 1,845,400 15,559 1,436,919 4,448 92 409,216
2129 VOLTADEX EMULGEL 20 GRAM TUB - - 5 102,500 5 102,500 - - -
2130 VOLTAREN GEL 10 GR TUB - - 2 90,922 1 45,461 1 45,461 45,461
2131 VOLTAREN GEL 20 GR TUB 2 119,492 - - 2 119,492 - - -
2132 VOLUVEN INFUS PCS 29 588,410 530 10,494,000 404 8,013,410 155 19,800 3,069,000
2133 VOMITAS FDT 10 MG TAB TAB 381 1,430,354 - - 381 1,430,354 - - -
2134 VOPICAIN 5 MG INJ AMP - - 359 24,627,273 349 23,941,273 10 68,600 686,000
2135 VOSEDON SUSP 60ML FLS - - 10 270,000 4 108,000 6 27,000 162,000
2136 WASHLAP DOCARE PER SHEET PCS - - 852 8,601,900 852 8,601,900 - - -
2137 WASHLAP GLOVES DOCARE PCS 390 3,834,726 9,432 90,211,300 9,714 93,013,114 108 9,564 1,032,912
2138 WASHLAP MAS SAK - - 200 1,400,000 200 1,400,000 - - -
2139 WASHLAP NEOCARE PCS - - 1,100 10,400,000 860 8,130,800 240 9,455 2,269,200
2140 WASHLAP ONE CLEAN ONEMED PCS 266 2,434,432 265 2,409,069 459 4,188,949 72 9,091 654,552
2141 WIDA KDN-1 FLS 10 90,900 40 363,600 32 290,880 18 9,090 163,620
2142 WIDA KDN-2 FLS 20 216,000 - - 20 216,000 - - -
2143 WINGED NEEDLE 23G - TERUMO PCS - - 150 769,350 45 230,805 105 5,129 538,545
2144 WINGED NEEDLE NO.19 JMS PCS - - 40 399,960 4 39,996 36 9,999 359,964
2145 WINGED NEEDLE NO.19 TERUMO PCS - - 50 750,000 19 285,000 31 15,000 465,000
2146 WINGED NEEDLE NO.21 TERUMO PCS - - 100 512,960 41 210,290 59 5,130 302,670
2147 WINGED NEEDLE NO.25 TERUMO PCS - - 860 5,604,530 858 5,591,496 2 6,517 13,034
2148 WUNDRES B 10 X 10 PCS 2 124,444 - - 2 124,444 - - -
2149 XANDA DS SYR 120 ML FLS 22 1,265,902 - - 21 1,208,902 1 57,000 57,000
2150 XEPAZYM TABLET TAB 1,147 2,856,431 34,680 86,852,500 35,246 88,254,107 581 2,504 1,454,824
2151 XIETY 10 MG TAB TAB 2,133 7,968,355 13,900 55,000,000 13,496 52,929,446 2,537 3,957 10,038,909
2152 XITROL E.D. 5 ML FLS 13 354,489 50 1,362,500 43 1,171,989 20 27,250 545,000
Page 72 of 73
2153 XITROL ZALF MATA 3.5 GR TUB 26 985,827 53 1,923,975 27 1,022,150 52 36,301 1,887,652
2154 XYLOCAINE SPRAY FLS 2 507,366 5 1,396,850 4 1,066,106 3 279,370 838,110
2155 YOSENOB 300MG TAB TAB 2 15,676 - - 2 15,676 - - -
2156 ZAC TABLET TAB 193 113,853 13,500 8,892,735 10,620 6,981,481 3,073 659 2,025,107
2157 ZALF 2-4 TUB 15 30,000 1 4,400 8 16,800 8 2,200 17,600
2158 ZINC OXYD GR 1,000 75,000,000 - - 999 74,925,000 1 75,000 75,000
2159 ZINC SULFAT SYR 60 ML FLS - - 60 162,109 44 118,877 16 2,702 43,232
2160 ZINC TAB TAB - - 3,100 1,481,330 341 162,528 2,759 478 1,318,802
2161 ZINKID SYRUP 100 ML FLS 30 408,540 - - 22 208,540 8 25,000 200,000
2162 ZINNAT 500 MG TAB (CEFUROXIM TAB 20 119,980 - - - 10,880 20 5,455 109,100
2163 ZYTANID TAB TAB - - 10 66,550 10 66,550 - - -
JUMLAH 3,806,858,910 38,964,444,853 37,854,594,116 4,916,709,647
Cilacap, 31 Desember 2018
DIREKTUR RSUD CILACAP Kepala Instalasi Farmasi Kepala Bagian Keuangan

RSUD Cilacap RSUD CILACAP
dr. PRAMESTI GRIANA DEWI, M.Kes, M.si Dra. ENDANG SRI SURYANI, Apt ICIH SUWARSIH, S.Sos, M.Si
NIP. 19641128 199103 2 003 NIP. 19660826 200701 2 007 NIP. 19640414 198607 2 001
Page 73 of 73

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Cilacap, 31 Desember 2018

DIREKTUR RSUD CILACAP Kepala Instalasi Farmasi Kepala Bagian Keuangan

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