Nama Obat Jumla Umum Bpjs Nama Obat Jumla Umum Bpjs

h h
Betadine 10 cc 2900 2900 Petidine 1 17000 17000
Alkohol 50 cc 5000 5000 Epineprine 1 14000 14000
Savlon 10 cc 2500 2500 Pitogin 1 10000 10000
Pehidrol 10 cc 1000 1000 Oxytosin 1 5000 5000
WFI 1 6000 4000 Asam 1 12500 12500
Kassa 1 1500 1500 traneksamat
Big kassa 1 5500 5500 Epedrine 1 66000 33000
Handscone 1 15000 15000 Atropin sulfte 1 3000 3000
Handsaplast 1 1000 1000 Scolin 1 cc 5500 5500
Hipafix 1 cm 2000 2000 Miloz 1 29000 29000
Plester 1 cm 1000 1000 Marcain 1 5500 5500
Mess 1 5000 5000 Fladex supp 1 26000 26000
Benang 1 227000 227000 KTM 1 mg 2000 2000
atramat Terell 1 cc 8500 8500
Benang 1 14000 14000 Isoflurene 1 cc 8000 8000
cut gut 3.0 O2 180 ml 60000 60000
Benang 1 112500 112500 N2O 1L 161000 161000
vicril 0 Ondansetron 4 1 7000 7000
Benang 1 132000 132000 Ondansetron 8 1 11000 11000
vicril 1 Lidodex 5% 1 76000 76000
Benang 1 138000 138000
Lidocain 2% 1 3500 3500
vicril 2.0
Ranitidine 1 7500 7500
Benang 1 137000 137000
Antrain 1 14000 9000
vicril 3.0
Dexamethasone 1 4000 4000
Benang 1 113000 113000
promilene Bucain 1 76000 76000
Benang 1 125000 125000 Gastridin 1 27000 27000
prolene 0 Bledstop 1 10000 10000
Benang 1 119000 119000 Inflesco 1 tablet 14000 14000
prolene 2.0
Benang 1 120000 120000
Proster
Bricasma
1 tablet
1
15000
26000
15000
26000
DA
prolene 3.0 Fentanyl 1 60500 60500
Benang 1 126000 126000 Formalin 10 cc 2500 2500
prolene 4.0 Proanes 1 103500 103500
Benang 1 95000 95000 U-clem 1 3500 3500
prolene 5.0 U-pad 1 4000 4000
Masker
Topi OK
1
1
2000
1500
2000
1500
FT
Spinocan 1 42000 42000 Lomatuell 1 18000 18000
Spuit 10 1 7000 3000 Celemek OK 1 8500 8500
Spuit 5 1 5000 2000 Soft band 3 1 27000 27000
Spuit 3 1 4000 1500 Soft band 4 1 26000 26000
Spuit 1 1 4000 4000 Soft band 6 1 48500 48500
BTS
Infus set
1
1
32000
14500
32000
14500
Tenso crep 3
Tenso crep 4
1
1
69500
87500
69500
87500
AR
Cateter 12- 1 22000 22000 Tenso crep 6 1 110000 110000
24 Sceren 1 6500 6500
Urin bag 1 6000 6000

RL
Asering
D5
1
1
1
15000
21000
11000
11000
21000
11000
HA
D5 ¼ 1 22500 14000
D5 ½ 1 22500 14000
PZ 1 14000 10000 INSTALASI FARMASI
HAES 6% 1 208000 208000
RS. KAMAR MEDIKA RG