Metil Prednisolon 8 mg Box 15

Ambroxol tablet 30 mg Box 15

Acyclovir salep kulit Tube 25
Oxytetrasiklin salep kulit Tube 30
Aqua Injeksi Botol 70
Sarung Tangan non steril/M Box 10
Sarung Tangan non steril/L Box 15
Tensocrope Buah 10

Bahan Obat-Obatan ( KAPITASI JKN)

STOMACH TUBE NO 18 - JMS PCS 10

FEEDINGTUBE NO.10- JMS PCS 5

SUCTION CATETER + INGER NO.08 PCS 3

STETHOSCOPE SPIRIT ANAK/BAYI PCS 2

FEEDINGTUBE NO.08- JMS PCS 12

SUCTION CATH + FINGER NO.12 - ONE

MED PCS 3
OXYFLOW ANAK (SELANG OKSIGEN0-
BESMED PCS 3

STETHOSCOPE DEWASA -RIESTER

4001.009 PCS 2

THERMOMETER BADAN/KLINIK- GEA PCS 3

THERMO ONE ALPHA 1 NEW PCS 3

FORTRES WIDAL TYPE H BTL 7

SUCTION CATH + FINGER NO.10 PCS 3

STOMACH TUBE 16 - ONE MED PCS 12

GRADILEX (LOPERAMID)TAB-BOX 100

TAB BOX 10

AMBROXOL @100 TAB BOX 20

OMEPRAZOLE 20 MG - 3 STRIP X 10 CAP BOX 50

PIRACETAM INJ 1 G - BOX @ 10 AMP BOX 20

METHYL PREDNISON 4 MG - (10 STRIP X

10 TAB) BOX 10

ASM. TRANEKSAMAT INJ 500 MG AMP 100

PHYTOMENADIN INJ 10 MG/ 1 ML- BOX

@ 30 AMP 95

METHYL PREDNISON 8 MG - (10 STRIP X

10 TAB) BOX 10

ONDANSETRON 4 MG INJ - BOX X 10

AMP AMP 47

PIRACETAM 400 MG- BOX 10X10 BOX 10

PARACETAMOL INFUS BERNO- BTL 100

ML BTL 6
GENTALEX RIM 5 G ( GENTAMYCIN) TUB 100

PARACETAMOL 500 MG IMFARMIND (IFI)

KRT/100 BOX KRT 1

HISTIGO (BETAHISTIN) TAB-BOX/50 BOX 5

FORTRESS WIDAL (S.TRYPHI O) 5 ML BTL 6

FORTRESS WIDAL (S.PARATYPHI AO) 5

ML BTL 6

FORTRESS WIDAL (S.PARATYPHI BO) 5

ML BTL 5

URIT REAGEN 11 G- BTL/100 TUB 12

AMBROXOL SYR NOVAPHARIN-1 KRTN

@50@100 TAB BTL 200

SPIRITUS 1 LTR BTL 12

PARACETAMOL SYR-KRT 120 BTL BTL 360

RANITIDIN INJ-BOX /100AMP (BERNO) BOX 4

SOFERO 10X10 CAP BOX 5

PRO K INJ-BOX/10 AMP (GLOBAL

MUKSTI) BOX 4

SPIRITUS 1 LTR BTL 12

PARACETAMOL SYR-KRT 120 BTL BTL 360

RANITIDIN INJ-BOX /100AMP (BERNO) BOX 4

SOFERO 10X10 CAP BOX 5

oxitocin Injeksi box 2

Ranitidin Injeksi box 2
Ketarolak Injeksi Ampul 10
Asam Traneksamat Injeksi Ampul 20
Jelly USG botol 10
Oxytetra salep kulit Tube 50
Acyclovir salep kulit Tube 40
Gentamicin salep kulit Tube 40
Ambroxol tablet box 30
Piracetam Injeksi Ampul 10
Piracetam 400mg box 20
Handschoen non Steril /M box 5
Metil Prednisolon 4mg box 28
Ondancentron Injeksi Ampul 50
Handschoen non Steril /S box 10
Papaverin box 10
Methyl Ergometrin box 10
Paracetamol Kaleng 5
Aqua Pro Injeksi vial 20

ONDANSETRON 4 MG INJ- BOX/10 AMP AMP 100

SOTATIC ( METOCLOPRAMID) INJ- BOX @ AMP 500
CHLORAMPENICOL 250 MG (IGM)- BOX @1 BOX 28
AMBROXOL @ 100 TAB PCS 5000
AMBROXOL SYR NOVAPHARIN - KRTN @ 50 BTL 200
PARACETAMOL INFUS BERNO - BTL 100 ML BTL 20
IBU PROFEN SYR (ORAPROFEN) BTL 300
ERLAMYCETIN (CHLORAMPH) TTS TELING BTL 48
AMPICILLIN INJ 1 G @ 10 VISAL VL 80
OMEPRAZOLE 20 MG - 3 STRIP X 10 CAR PCS 5000
ASAM TRANEKSAMAT 500 (10X10) TAB PCS 1500
EPINEPHRINE INJ @ 30 AMP AMP 50
ISOSORBIDE DINITRATE PCS 1000

Oxytocin injeksi box 2

Ranitidin Injeksi box 1
Papaverin Tablet box 5
Methyl Ergometrin box 5
Kalak Kaleng 1

HCG Test box 6

Omeprazole tab. box 3
ambroxol tab. box 4
gentian Violet box 3
Novagesic kaleng 5
Alopurinol box 4
Piroxicam 10 mg box 5
Asam Traneksamat ampul 20
B12 Injeksi box 3
B1 Tablet kaleng 3
Amlodipin 5mg box 4
Metoc injeksi box 6
Simvastatin 10mg box 7
Antalgin tab. kaleng 5
Oxytertra 3% Tube 30
Dulcolax suppa Pcs 10
Chlorethyl Botol 4
Antalgin Inj. ampul 60
Lidocain Inj. ampul 197
GG Tablet kaleng 3
Dispo 3cc box 5

Phenobarbital box 3
Paracetamol kaleng 6
Amox Syrp dos 1
Ondonsentron Inj box 5
Ambroxol Tab. box 10
Kalak kaleng 2
Omeprazole box 20

NOVAKAL 500 BOX 50

AMOXOCILLYN SYR PHYTO - KRTN @120
BTL BTL 200
AMBROXOL @ 100 TAB BOX 20

OMEPRAZOLE 20 MG - 3 STRIP X 10 CAP BOX 100

DIGOXIN - BOX @ 100 TAB BOX 5
PARACETAMOL SYR NOVA - KRTN @ 50
BTL BTL 200
PIROXICAM 10 MG - BOX/100 CAP BOX 20
ONDANCENTRON 4 MG INJ - BOX/10
AMP AMP 100

PYRIDOXIN (VIT B6 10 MG)- BTL 250 TAB KLG 40

KETEROLAC INJ 30 MG - 10 AMP BOX 2

GENTALEX KRIM 5 G GENTAMICICYN) TUB 48

ERLAMYCETIN (CHORAMPH) TTS
TELINGA BTL 50
CTM PIM-PAK 24 STRIP BOX 50
PARACETAMOL 500 MG IMFARMIND (IPI)
KRT/100 BOX KRT 1
ERLAMYCETIN (CHORAMPH) TTS MATA BTL 50
OMEDOM TAB BOX 20

ANTALGN TAB NOVAPHARIN - BOX/100 BOX 100

NOVACHLOR KAPSUL (CHLORAMPH)-
BOX/100 BOX 25

RANITIDIN INJ BOX/100 AMP (BERNO) BOX 2

VIT TAB 10 MG BTL 100 - ERELA BTL 5
MUCUSEXTRAXTOR PCS 10
ONEMED -UROCARE FOLLEY CATHETHER
Z-WAY NO.18 BOX 2
MASKER 3 PLAY PLUS EARLOOP -
ONEMED (BOX @50) BOX 100
SAFEGLOVE EXAM (M) BOX 10
SAFEGLOVE EXAM (L) BOX 10
KATEROLAC INJ 30 MG -@10 AMP AMP 50
PARACETAMOL 500 MG IMFARMIND (IFI)
KRT/100 BOX KRT 1
CTM PIM-PAK 12 BTL @100 TAB PAK 7

Ketarolac Injeksi ampul 30

Asam Traneksamat Ampul 30
Aqua pro injeksi Vial 31
Jelly USG Botol 6

Bahan Obat-Obatan ( KAPITASI JKN)

URINE STICK 10 PARAMETER, VERIFY BOX 10

HBsAG STRIP 50 TEST, ANSWER BOX 6

RANITIDIN INJ BOX/100 AMP (BERNO) BOX 10

ONDANSENTRON 4 MG INJ-BOX/ 10
AMP BOX 20
AMPICILLIN 500 MG (NOVA) - KRTN
@100BOX BOX 10

ANTALGIN TAB NOVAPHARIN - BOX/100 BOX 25

ONEMED SURCICAL MASKER - 3 PLAY
EARLOOP (BOXX@50) BOX 25
MUCUSEXTRACTOR PCS 10
Oxytetra salep kulit Tube 30
Acyclovir salep kulit Tube 30
Gentamicin salep kulit Tube 48
Ambroxol Tablet box 8
Piracetam Injeksi ampul 15
Piracetam 400mg box 6
Captopril 25 mg box 3
Handschoen non steril /M box 5
Metil Prednison 4 mg box 10
Ondoncentron injeksi 4 mg ampul 80
Handschoen non steril /S box 2
Rp 70,000 Rp 1,050,000
Rp 20,000 Rp 300,000
Rp 5,800 Rp 145,000
Rp 6,000 Rp 180,000
Rp 10,000 Rp 700,000
Rp 65,000 Rp 650,000
Rp 65,000 Rp 975,000
Rp 100,000 Rp 1,000,000

Rp 5,000,000

Rp 220,000
Rp 22,000

Rp 100,000
Rp 20,000

Rp 30,000
Rp 10,000

Rp 550,000

Rp 275,000

Rp 240,000
Rp 20,000

Rp 30,000

Rp 10,000
 Rp 30,000

Rp 10,000

Rp 1,000,000

Rp 500,000

Rp 40,500

Rp 13,500

Rp 105,000
Rp 35,000

Rp 945,000
Rp 135,000

Rp 30,000
Rp 10,000

Rp 150,000
Rp 12,500

Rp 165,000

Rp 16,500

Rp 320,000
Rp 16,000

Rp 750,000

Rp 15,000
 Rp 1,300,000

Rp 65,000

Rp 500,000

Rp 50,000

Rp 700,000

Rp 7,000

Rp 617,500

Rp 6,500

Rp 675,000

Rp 67,500

Rp 282,000

Rp 6,000

Rp 600,000
Rp 60,000

Rp 390,000

Rp 65,000
 Rp 400,000

Rp 4,000

Rp 1,100,000

Rp 1,100,000

Rp 190,000
Rp 38,000

Rp 810,000
Rp 135,000

Rp 810,000

Rp 135,000

Rp 675,000

Rp 135,000

Rp 1,740,000
Rp 145,000

Rp 900,000

Rp 4,500

Rp 360,000
Rp 30,000
 Rp 900,000
Rp 2,500

Rp 1,200,000

Rp 300,000

Rp 210,000
Rp 42,000

Rp 520,000

Rp 130,000

Rp 360,000
Rp 30,000

Rp 900,000
Rp 2,500

Rp 1,200,000

Rp 300,000

Rp 210,000
Rp 42,000

Rp 450,000 Rp 900,000
Rp 450,000 Rp 900,000
Rp 15,000 Rp 150,000
Rp 25,000 Rp 500,000
Rp 100,000 Rp 1,000,000
Rp 4,000 Rp 200,000
Rp 5,000 Rp 200,000
Rp 5,000 Rp 200,000
Rp 10,000 Rp 300,000
Rp 25,000 Rp 250,000
Rp 20,000 Rp 400,000
Rp 60,000 Rp 300,000
Rp 50,000 Rp 1,400,000
Rp 10,000 Rp 500,000
Rp 65,000 Rp 650,000
Rp 50,000 Rp 500,000
Rp 50,000 Rp 500,000
Rp 110,000 Rp 550,000
Rp 10,000 Rp 200,000

Rp 6,600 Rp 660,000
Rp 6,000 Rp 3,000,000
Rp 79,200 Rp 2,217,600
Rp 160 Rp 800,000
Rp 4,500 Rp 900,000
Rp 65,000 Rp 1,300,000
Rp 7,000 Rp 2,100,000
Rp 7,000 Rp 336,000
Rp 12,000 Rp 960,000
Rp 500 Rp 2,500,000
Rp 1,700 Rp 2,550,000
Rp 12,000 Rp 600,000
Rp 500 Rp 500,000

Rp 500,000 Rp 1,000,000
Rp 500,000 Rp 500,000
Rp 40,000 Rp 200,000
Rp 40,000 Rp 200,000
Rp 100,000 Rp 100,000

Rp 200,000 1,200,000
Rp 30,000 90,000
Rp 30,000 120,000
Rp 144,000 432,000
Rp 90,000 450,000
Rp 25,000 100,000
Rp 18,000 90,000
Rp 10,000 200,000
Rp 100,000 300,000
Rp 65,000 195,000
Rp 80,000 320,000
Rp 35,000 210,000
Rp 35,000 245,000
Rp 75,000 375,000
Rp 5,000 150,000
Rp 20,000 200,000
Rp 200,000 800,000
Rp 5,000 300,000
Rp 3,000 591,000
Rp 44,000 132,000
Rp 100,000 500,000

Rp 40,000 Rp 120,000
Rp 95,000 Rp 570,000
Rp 455,000 Rp 455,000
Rp 95,000 Rp 475,000
Rp 30,000 Rp 300,000
Rp 100,000 Rp 200,000
Rp 24,000 Rp 480,000

Rp 20,000 Rp 1,000,000
Rp 900,000
Rp 4,500
Rp 15,000 Rp 300,000
Rp 1,500,000
Rp 15,000
Rp 15,000 Rp 75,000
Rp 600,000
Rp 3,000
Rp 18,000 Rp 360,000
Rp 600,000
Rp 6,000

Rp 480,000
Rp 12,000
Rp 120,000 Rp 240,000
Rp 192,000
Rp 4,000

Rp 325,000
Rp 6,500
Rp 16,000 Rp 800,000
Rp 1,100,000
Rp 1,100,000
 Rp 500,000
Rp 10,000
Rp 26,500 Rp 530,000
Rp 1,750,000
Rp 17,500

Rp 1,375,000
Rp 55,000

Rp 550,000
Rp 275,000
Rp 85,000 Rp 425,000
Rp 8,800 Rp 88,000
Rp 200,000
Rp 100,000

Rp 2,750,000
Rp 27,500
Rp 44,525 Rp 445,250
Rp 44,525 Rp 445,250
Rp 12,000 Rp 600,000
Rp 1,100,000
Rp 1,100,000
Rp 42,500 Rp 297,500

Rp 20,000 Rp 600,000
Rp 23,000 Rp 690,000
Rp 10,000 Rp 310,000
Rp 100,000 Rp 600,000
Rp 2,200,000

Rp 264,000 Rp 2,640,000
Rp 435,600 Rp 2,613,600
Rp 2,750,000
Rp 275,000

Rp 1,160,000
Rp 58,000

Rp 375,000
Rp 37,500

Rp 437,500
Rp 17,500

Rp 750,000
Rp 30,000
Rp 15,000 Rp 150,000
Rp 3,000 Rp 90,000
Rp 5,000 Rp 150,000
Rp 4,000 Rp 192,000
Rp 18,000 Rp 144,000
Rp 6,000 Rp 90,000
Rp 18,000 Rp 108,000
Rp 15,000 Rp 45,000
Rp 60,000 Rp 300,000
Rp 40,100 Rp 401,000
Rp 7,000 Rp 560,000
Rp 60,000 Rp 120,000