NO NAMA OBAT SATUAN

1 ABDELYN DROP BTL

2 ADONA INJ 5MG/5ML AMPUL
3 ACTRAPID INJ (INTERMEDIET) FLEXPEN
4 ALBENDAZOL TABLET
5 ALBENDAZOL SYRUP BTL
6 ALBOTHYL BTL
7 ALINAMIN F INJ AMPUL
8 ALINAMIN F TABLET TABLET
9 ALLOPURINOL 100MG TABLET
10 ALLOPURINOL 300MG TABLET
11 ALPRAZOLAM 0,5MG TABLET
12 AMBROXOL SYRUP 15MG/ML BTL
13 AMBROXOL TAB 30MG TABLET
14 AMIKASIN SULFAT INJ 250MG/ML VIAL
15 AMINOFILLIN 200MG TABLET
16 AMINOFILLIN INJ AMPUL
17 AMINOFUSIN PAED FLASH
18 AMINOFUSIN L 600 FLASH
19 AMIODARON/KENDARON TABLET
20 AMIODARON HCL INJ AMPUL
21 AMITRIPTILIN 25MG TABLET
22 AMLODIPIN 10 MG TABLET
23 AMLODIPIN 5 MG TABLET
24 AMOXICILLIN + ASAM CLAVULANAT 625M TABLET
25 AMOXICILLIN 500MG KAPLET
26 AMOXICILLIN SYRUP KERING BOTOL
27 AMPICILLIN SYRUP KERING BOTOL
28 AMPICILLIN 500MG TABLET
29 AMPICILLIN INJ I.M/I.V VIAL
30 ANTASIDA DOEN TABLET
31 ANTASIDA DOEN SUSPENSI BTL
32 ANTI HAEMOROID DOEN SUPPO
33 ANTRAIN INJ AMPUL
NO NAMA OBAT SATUAN

34 APYALIS DROP BTL

35 APYALIS SYRUP BTL
36 AQUA PRO INJ FLASH
37 ASAM ASKORBAT/VIT C INJ AMPUL
38 ALCO ORAL DROP BTL
39 ASAM ASKORBAT 50MG TABLET
40 ASAM FOLAT TABLET
41 ASAM MEFENAMAT 500MG KAPLET
42 ASAM TRANEXAMAT INJ 250MG/ML AMPUL
43 ASAM TRANEXAMAT 500MG TABLET
44 ACICLOVIR 200MG TABLET
45 ACYCLOVIR CREAM 5% TUBE
46 ASPAR - K TABLET
47 ASPILET 80MG TABLET
48 ATTAPULGIT 600MG TABLET
49 ATRACURIUM INJ AMPUL
50 ATROPIN INJ 0,25MG/ML AMPUL
51 AZITROMISIN 500MG TABLET
52 ASETILSISTEIN TABLET
53 ALKOHOL 70% BTL
54 ACARBOSE 100MG TABLET
55 APTHYL/ALBOTHYL BTL
56 ANELAT TABLET
57 ANTI TETANUS SERUM AMPUL

B
NO NAMA OBAT SATUAN

1 BEDAK SALICYL POT

2 BATUGIN ELIXIR 300ML BTL
3 BATUGIN ELIXIR 120ML BTL
4 BEROTEC INHALER BTL
5 BESI (II) SULFAT 300MG TABLET
6 BETAGIN GARGLE 100ML BTL
7 BETADIN GARGLE 190ML BTL
8 BETAHISTIN MESILAT TABLET
9 BETAMETASON CREAM TUBE
10 BISOPROLOL 50MG TABLET
11 BISOLVON SOL NEBU BTL
12 BIOPLACENTON GELLY TUBE
13 BRICASMA INJ 0,5MG/ML AMPUL
14 BUPIVACAIN SPINAL INJ AMPUL
15 BURNAZIN CREAM TUBE
16 BAMGETOL 200MG/ CARBAMAZEPIN TABLET
17 BRONEX (BROMHEXIN ) TABLET
18 BRONKRIS SYRUP BTL
19 BRICOX SYRUP BTL
20 BROADCED INJ VIAL
21 BROMIFAR TABLET

1 CAPTOPRIL 12,5MG TABLET

2 CAPTOPRIL 25 MG TABLET
3 CAPTOPRIL 50MG TABLET
4 CALCII GLUKONAS INJ AMPUL
5 CATAPRES (CLONIDIN ) INJ AMPUL
NO NAMA OBAT SATUAN

6 CAVIPLEX TABLET TABLET

7 CAVIPLEX SYRUP BTOL
8 CEFOPERASONE SULBAKTAM INJ VIAL
9 CEFIXIME SYRUP KAPSUL
10 CEFIXIME SYRUP BTL
11 CETIRIZIN 10MG TABLET
12 CHLORAMFECORT CREAM TUBE
13 CLORPROMAZIN INJ AMPUL
14 CLORPROMAZIN 100MG TABLET
15 CHLORAMPHENICOL KAPSUL
16 CHLORAMPHENIL SALP MATA TUBE
17 CHLORAMPHENICOL SUSPENSI BTL
18 CHLORAMPHENICOL TETES MATA BTL
19 CHLORAMPHENICOL TETS TELINGA BTL
20 CHLORAMPHENICOL INJ VIAL
21 CITICOLIN INJ 100MG/2ML AMPUL
22 CITICOLIN TABLET
23 CIPROFLOXACIN INFUS FLASH
24 CIPROFLOXACIN 500MG TABLET
25 CIMETIDIN 200MG TABLET
26 CLOBAZAM TABLET
27 CLOROQUIN 150MG TABLET
28 CLOPIDOGREL TABLET
29 CODITAM TABLET
30 COLME EYE DROP BTL
31 COROVIT SYRUP BTL
32 COROVIT TABLET TABLET
33 CORTAMIN (BETAMETASON +DEXA+CTM) TABLET
34 COTROMOXSAZOL 480MG TABLET
35 COTROMOXSAZOL SUSPENSI BTL
36 CEFTAZIDIM IG VIAL
37 CRIPSA 2,5MG (BROMOKRIPTIN ) TABLET
38 CURCUMA TABLET TABLET
39 CURCUMA SYRUP BTL
40 CTM TABLET
41 CODEIN 20MG TABLET
42 CORTYLO 80MG TABLET
NO NAMA OBAT SATUAN

43 CLOGIN /CLOPIDOGREL TABLET

44 CARBAMAZEPIN 200MG TABLET
45 CETIRIZIN SYRUP BTL
46 CEDOCARD INJ AMPUL
47 CERNEVIT INJ VIAL
48 CYGEST (PROGESTERON ) 200MG TABLET OVUL
49 CETADOP /DOPAMIN AMPUL
50 CO-AMOXICLAV TAB 625MG TABLET
51 COMBIVENT NEBU AMPUL

1 DASABION TABLET
2 DEPAKOTE (NATRIUM VALPROAT) 500MG TABLET
3 DESOXIMETASONE CREAM /DEXOCORT TUBE
4 DEXAMETASON 0,5MG TABLET
5 DEXAMETASON INJ I.V 5MG/ML AMPUL
6 DEXTAMIN TABLET
7 DEXTROSA 10% +0,18% NS INFUS FLASH
8 DEXTROSA 5 % 1/4 NS FLASH
9 DEXTROSA 5 % 1/2 NS FLASH
10 DEXTRAN 70% INFUS FLASH
11 DIAPET TABLET
12 DIAZEPAM 5MG/ML/STEZOLID SUPPO
13 DIAZEPAM INJ 5MG/ML AMPUL
14 DIAZEPAM 2MG TABLET
15 DIAGIT TABLET
16 DIPHENHIDRAMIN INJ AMPUL
17 DIETYLCARBAMAZEPIN 100MG KAPSUL
18 DILTIAZEM 30MG TABLET
NO NAMA OBAT SATUAN

19 DILTIAZEM INJ AMPUL

20 DIMENHIDRINAT 50MG TABLET
21 DIGOXIN 0,25MG TABLET
22 DOBUTAMIN HCL INJ 250MG/ML AMPUL
23 DOXICICLIN 100MG KAPSUL
24 DOMPERIDON SUSP 5MG/5ML BTL
25 DOMPERIDON TAB 10MG TABLET
26 DOPAMIN GUILINE INJ 200MG/ML AMPUL
27 DOPAMET TABLET
28 DULCOLAX TABLET
29 DULCOLACTOL SUSP BTL
30 DULCOLAX 10MG DEWASA SUPPO
31 DULCOLAX 5MG ANAK SUPPO
32 DUODERM EXTRATHIN LEMBAR
33 DUODERM HIDROGELL TUBE
34 DUPHASTON TABLET
35 DUVADILAN TABLET
36 DUVADILAN INJ AMPUL
37 DIFLAM TABLET

1 EFEDRIN INJ 50MG/2ML AMPUL

2 EFEDRIN 25MG (HCL) TABLET
3 EPIDOSIN INJ AMPUL
4 EFEDRIN (ADRENALIN INJ 0,1%) AMPUL
5 ERGOTAMIN CAFFEIN TABLET
6 ERITROMISIN 250MG KAPSUL
7 ERITROMISIN 500MG KAPSUL
NO NAMA OBAT SATUAN

8 ERITROMYSIN SYRUP KERING BTL

9 ERLAMYCETIN EAR DROP BTL
10 ETAMBUTOL 500MG TABLET
11 ETINIL ESTRADIOL (LYNORAL ) TABLET
12 ENYSTIN DROP (NYSTATIN) BTL
14 ENYSTIN SYRUP BTL
13 ESPERISONE TABLET

1 FARGOXIN (DIGOXIN ) INJ AMPUL

2 FARMABES (DILTIAZEM INJ ) VIAL
3 FASORBID (ISOSORBID DINITRAT ) INJ VIAL
4 FARGIZOL (METRONIDAZOL SYRUP) BTL
5 FENITOIN (KUTOIN INJ ) 50MG/ML AMPUL
6 FENITOIN 100MG/KUTOIN KAPSUL
7 FENOBARBITAL INJ AMPUL
8 FENOBARBITAL 30MG TABLET
9 FENTANYL INJ AMPUL
10 FERO KID SYRUP 10ML BTL
11 FITOMEDION (VIT K ) INJ AMPUL
12 FITOMEDION (VIT K ) TABLET TABLET
13 FORUMEN TT BTL
14 FUROSEMID INJ I.V/I.M 10M/ML AMPUL
15 FUROSEMID 40MG TABLET
16 FLUCONAZOLE TABLET
17 FETIK SUPPO
18 FERTIN /CLOMIPHENE CITRAT 50MG TABLET
19 FARBIVENT INJ N AMPUL
20 FENOFED /FEXOFED TABLET
21 FORNEURO KAPSUL
NO NAMA OBAT SATUAN

22 FENOFIBRAT 300MG TABLET

23 FARIZOL SYRUP BTL

1 GARAM ORALIT SACCHET

2 GEMFIBROZIL 300MG KAPSUL
3 GENTAMISIN 40MG/ML AMPUL
4 GENTAMISIN SK 0,1% TUBE
5 GENTAMISIN TM 0,3% BTL
6 GENOINT SM TUBE
7 GENTIAN VIOLET BTL
8 GITAS TABLET
9 GITAS INJ AMPUL
10 GLIBENKLAMID 5MG TABLET
11 GLIMEPIRID 1MG TABLET
12 GLIMEPIRID 2MG TABLET
13 GLISERIL GUAIKOLAT /GG 100MG TABLET
14 GLISEROL BTL
15 GLUKOSA LARUTAN INFUS 5% STERIL FLASH
16 GLUKOSA LARUTAN INFUS 10% STERIL FLASH
17 GLUKOSA LARUTAN INFUS 40% STERIL FLASH
18 GLUKOSAMIN 250MG TABLET
19 GRISEOFULSIN 125MG TABLET
20 GLIBOTIC (AMIKASIN INJ) VIAL
21 GASTRIDIN INJ AMPUL
22 GENOINT TM BTL
23 GABAPENTIN TABLET
24 GLIKUIDON TABLET
25 GABRYL KAPRUL
NO NAMA OBAT SATUAN

1 HALOPERIDOL 0,5MG TABLET

2 HALOPERIDOL 5MG TABLET
3 HARNAL TABLET
4 HEPASIL TABLET
5 HIDROCORTIAZID/HCT 25MG TABLET
6 HIDROCORTISON CREAM 2,5% TUBE
7 HUMAN ALBUMIN 20% BTL 100
8 HALOTAN INHALASI MILI
9 HEPATIN TABLET
10 HUMAN ALBUMIN 20% BTL 50ML
11 HISTIGO TABLET

IBUPROFEN SUSPENSI 200 MG/5ML BTL

IBUPROFEN 200 MG TABLET
IBUPROFEN 400 MG TABLET
ICHTIOL SALEP POT
INBION KAPSUL
INCELIN (CITICOLIN) INJ. AMPUL
INCELIN (CITICOLIN) TABLET 500 MG TABLET
INERSON CREAM TUBE
INTERHISTIN(MEBRYDOLIN) TABLET TABLET
INTERHISTIN(MEBRYDOLIN) SIRUP 60ML BTL
INTERLAC DROP BTL
NO NAMA OBAT SATUAN

INTERPEC SYRUP BTL

INTERCO(MECOBALAMIN) KAPSUL
INTERZINK (ZINK) SYRUP BTL
INTRIZIN DROP BTL
INTRIZIN SYRUP 60 ML BTL
INVICLOT (HEPARIN SODIUM) INJEKSI VIAL
ISONIASID 300 MG TABLET
ISOSORBID DINITRAT INJEKSI AMPUL
ISOSORBID DINITRAT SUBLINGUAL 5MG TABLET
ISOFLURAN LARUTAN ML

1 KALIUM CHLORIDA 7,46% (KCL) BTL

2 KALIUM DIKLOFENAK 50MG TABLET
3 KALIUM KLORIDA (KSR) 600MG TABLET
4 KALIUM PERMANGANAT SERBUK POT
5 KALIUM LAKTAT 500MG TABLET
6 KANAMISIN INJ VIAL
7 KARBAMAZEPIN 200MG TABLET
8 KENALOG IN ORAL BASE TUBE
9 KETAMIN INJ 10MG/ML VIAL
10 KETOCONAZOL CREAM 2% TUBE
11 KETOCONAZOL 200MG TABLET
12 KETOPROFEN INJ 100MG AMPUL
13 KETOPROFEN SUPPO
14 KETOPROFEN 100MG TABLET
NO NAMA OBAT SATUAN

15 KETOROLAC INJ 10MG AMPUL

16 KETOROLAC INJ 30MG AMPUL
17 KLINDAMISIN 150MG KAPSUL
18 KLINDAMISIN 300MG KAPSUL
19 KLONIDIN N0,15MG TABLET
20 KINA INJ AMPUL
21 KINA 222MG TABLET
22 KALMECO /MECOBALAMIN TABLET

L
1 LACBON TABLET
2 LAKTULOSA SYRUP BTL
3 LASGAN (LANSOPRAZOLE ) 30MG TABLET
4 LANTUS ( INSULIN GLARGINE ) UNIT
5 LANZOPRAZOLE 30MG KAPSUL
6 LAMESON /METHYLPRED INJ VIAL
7 LEVOFLOXACIN 500MG TABLET
8 LEVOSOL (NOR EPHINEFRIN ) INJ AMPUL
9 LIDOCAIN COMPOSITUM AMPUL
10 LIDOCAIN INJ 2% AMPUL
11 LIKURMIN SYRUP BTL
12 LOPERAMID TABLET
13 LIPOVUNDIN INFUS BTL
14 LORATADIN 10MG TABLET
15 LICALVIT SYR BTL
16 LOSARTAN /ANGIONTEN TABLET
NO NAMA OBAT SATUAN

17 LEVOFLOXACIN INFUS BTL

18 LEVEMIR /INSULIN PEN
19 LIPROLAC SACCHET

1 MAGNESIUM (MGS04) INJ 20% VIAL

2 MAGNESIUM (MGS04) INJ 40% VIAL
3 MANITOL 20% INFUS FLASH
4 MENADION ( VIT K ) INJ AMPUL
5 MECOBALAMIN ( REBAL PLUS ) TABLET
6 MEDIAMER B6 TABLET
7 MELOXICAM 15MG TABLET
8 MELOXICAM 7,5MG TABLET
9 MELOXIN TABLET
10 METFORMIN HCL 500MG TABLET
11 METHYLERGOMETRIN MALEAT INJ AMPUL
12 METHYLERGOMETRIN MALEAT 0,125MG TABLET
13 METHYLPREDNISLON 16MG TABLET
14 METHYLPREDNISOLON 4MG TABLET
15 METHYLPREDNISOLON M8G TABLET
16 METOCLOPRAMID 10MG TABLET
17 METOLON INJ AMPUL
18 METRONIDAZOL INFUS 500MG/100ML BTL
19 METRONIDAZOL OVULA /FAGIZOL TABLET OVUL
NO NAMA OBAT SATUAN

20 METRONIDAZOL 250MG TABLET

21 METRONIDAZOL 500MG TABLET
22 METILDOPA INJ AMPUL
23 MEYLON INJ (NATBIC) AMPUL
24 MIDAZOLAM INJ 5MG/ML AMPUL
25 MICONAZOLE CREAM 2% TUBE
26 MISOPROSTOL 200MCG/GASTRUL TABLET
27 MORFIN INJ 10MG/ML AMPUL
28 MUCOHEXIN (BROMHEXIN ) 8MG TABLET
29 MICORAL CREAM TUBE
30 MYCOSTATIN ORAL DROP BTL
31 METHYLPREDNISOLON INJ VIAL
32 MEROBAT INJ VIAL
33 MARCAIN INJ AMPUL
34 MULSANOL SYRUP BTL
35 MULSANOL DROPS BTL

1 NARPLEX (PARASETAMOL DROP) BTL

2 NATRIUM BICARBONAT 500MG TABLET
3 NATRIUM CHLORIDA 0,3% INFUS FLASH
4 NATRIUM CHLORIDA 0,9% INFUS FLASH
5 NATRIUM CHLORIDA 0,9% INFUS 100ML FLASH
5 NATRIUM DIKLOFENAK 25MG TABLET
6 NATRIUM DIKLOFENAK 50MG TABLET
7 NATUR -E TABLET
8 NEBACETIN CREAM TUBE
9 NEO -K INJ 2MG/ML AMPUL
10 NEUROBION INJ AMPUL
NO NAMA OBAT SATUAN

11 NEUROBAT INJ AMPUL

12 NEUROBION TABLET
13 NEURODEX TABLET
14 NEW DIA TABS TABLET
15 NICARDIPIN INJ AMPUL
16 NIFEDIPIN 10MG TABLET
17 NYSTATIN 500.000 UI TABLET OVULA
18 NYSTATIN 100.000 UI TABLET OVULA
19 NOCOBA INJ AMPUL
20 NOR EPHINEFRIN INJ AMPUL
21 NYMIKO SUSP DROP BTL
22 NASAFED 62,5MG TABLET
23 NEUROBAT TABLET
24 NOVORAPID /INSULIN PEN

O
1 OBH BTL
2 OFLOXACIN 400MG KAPSUL
3 OXYTETRASIKLIN SK 3% TUBE
4 OXYTETRASIKLIN SM 1% TUBE
5 OXYTOCIN INJ 10UI/ML-1ML AMPUL
6 OMEPRAZOL INJ AMPUL
7 OMEPRAZOL 20MG KAPSUL
8 ONDANSETRON INJ 4MG/2ML AMPUL
9 ONDANSETRON 4MG TABLET
10 OTTOPAIN TT BTL
11 ONDANSENTRON 8MG TABLET
12 OSCOM TABLET
NO NAMA OBAT SATUAN

P
1 PARACO DROP 15ML BTL
2 PARASETAMOL INFUS BTL
3 PARASETAMOL SYRUP 125MG/5ML BTL
4 PARASETAMOL TAB 125MG SUPPO
5 PARASETAMOL 500MG TABLET
6 PETIDIN INJ 50MG/ML AMPUL
7 PIRACETAM INJ 1GRAM/5ML AMPUL
8 PIRACETAM INJ 3GRAM/15ML AMPUL
9 PIRACETAM 1200MG TABLET
10 PIRACETAM 800MG TABLET
11 PYRANTEL BAE 125MG TABLET
12 PYRAZINAMID 500MG TABLET
13 PYRABRAIN (PIRACETAM inj ) AMPUL
14 PIRIDOXIN ( VIT B6) 10MG TABLET
15 PIROXICAM 10MG KAPSUL
16 PIROXICAM 20MG KAPSUL
17 PREDNISON 5MG TABLET
18 PREMASTON (PREGTENOL) TABLET
19 PRESTENOL TABLET
20 PRIMAQUIN 15MG TABLET
21 PRIMOLUT -N TABLET
22 PROFERTIL 50MG/CLOMIFEN CITRATE TABLET
23 PROPANOLOL 10MG HCL TABLET
24 PROPANOLOL 40MG HCL TABLET
25 PROPYLTIURASIL 100MG TABLET
26 PRO-K INJ /VIT. K AMPUL
27 PROSTIGMIN INJ 0,5MG/ML AMPUL
28 PROTHYRA TABLET
29 PROTOFEN SUPPO
30 PROMEDEX TABLET
NO NAMA OBAT SATUAN

31 PULAREX (ACTIVE ATTAPULGITE ) TABLET

32 PAMOL SUPPO
33 PROTOP KAPSUL
34 PAMOL ORAL DROP BTL
35 PARASETAMOL DROP BTL
36 PULAREX TAB TABLET
37 PROPEPSA SYRUP BTL
38 PANTOPRAZOLE INJ VIAL
39 PREGABALIN 150MG KAPSUL

1 RANITIDIN INJ 25MG/2ML AMPUL

2 RANITIDIN 150MG TABLET
3 RD 5% LARUTAN INFUS STERIL FLASH
4 RETINOL (VIT A 100.000 UI) KAPSUL
5 RETINOL (VIT A 200.000 UI) KAPSUL
6 RENAX KAPSUL
7 RIFAMPISIN 450MG KAPSUL
8 RINGER LAKTAT LAR INFUS STERIL FLASH
9 RYCEF/CEFOTAXIM INJ VIAL
10 RECOLFAR TABLET
11 RAMIPRIL 5MG TABLET
12 RECOLFAR INJ AMPUL
13 RETAPHYL TABLET
14 RECADRYL INJ (DYPHEN INJ ) VIAL
15 RECOFOL /PROPOFOL AMPUL
16 ROCURONIUM INJ AMPUL
NO NAMA OBAT SATUAN

S
1 SALTICIN CREAM (GENTAMISIN ) TUBE
2 SALBUTAMOL 2MG TABLET
3 SALBUTAMOL 4MG TABLET
4 SALP 2-4 POT
5 SANOSKIN OXY CREAM TUBE
6 SANBE PLEX DROP BTL
7 SCABICID CREAM TUBE
8 SEFADROXYL 500MG KAPSUL
9 SEFADROXYL SYRUP KERING 125MG/5ML BTL
10 SEFOTAXIM INJ 1G VIAL
11 SEFRIAXONE INJ 1G VIAL
12 SERUM ANTI BISA ULAR VIAL
13 SERUM ANTI TETANUS 1500UI/SABU AMPUL
14 SIANOCOBALAMIN ( VIT B12 50MCG) TABLET
15 SIMVASTATIN 10MG TABLET
16 SIMVASTATIN 20MG TABLET
17 SPASMINAL TABLET
18 SPIRONOLAKTON 25MG TABLET
19 SUKRALFAT SYRUP BTL
20 SULDOX 525MG TABLET
21 SERETIDE DISCUSS AMPUL
22 SALTICIN INJ /GENTAMISIN INJ AMPUL
23 SYNBIO TABLET
NO NAMA OBAT SATUAN

T
1 TROVILON SYRUP BTL
2 TEMIRAL (ACYCLOVIR SM ) TUBE
3 THIAMPHENICOL 500MG KAPSUL
4 TIAMIN (VIT B1) INJ 100MG/ML AMPUL
5 TIAMIN (VIT B1) TAB 100MG TABLET
6 TYRAX TABLET
7 TRAMADOL INJ 50MG/ML AMPUL
8 TRAMADOL 50MG TABLET
9 TRIFED TABLET
10 TRIFED SYRUP BTL
11 TRIHEXYLPHENIDIL TAB 2MG TABLET
12 THYAMISIN KAPSUL
13 TENSILO INJ AMPUL
14 TYARIT TABLET
15 TROMBO GEL (HEPARIN SODIUM) TUBE

U
1 ULSIKUR INJ 200MG/ML AMPUL
2 URDAHEX 250MG TABLET
3 URINTER /UROCTRACIN KAPSUL
4 URSODEOXICLOSIDACID 250MG KAPSUL
NO NAMA OBAT SATUAN

V
1 VASCON INJ AMPUL
2 VESTEIN SYRUP BTL
3 VENTOLIN NEBU 2,5MG VIAL
4 VIT B COMP TAB
5 VOLUVEN /WIDAHES INFUS FLASH
6 VALISANBE INJ AMPUL
7 VALISANBE 2MG TABLET
8 VALSARTAN 80MG TABLET
9 VALSARTAN 160MG TABLET
10 VIP ALBUMIN 500MG KAPSUL

W
1 WIDA 2A ( D5 2,5% + NACL 0,45%) FLASH
2 WATER FOR IRIGATION 1000ML FLAH
3 WARFARIN SODIUM /SIMARC 2MG TABLET

Z
1 ZINC 20MG TABLET
2 ZINC DROP BTL
NO NAMA OBAT SATUAN
NO NAMA OBAT SATUAN
NO NAMA OBAT SATUAN
 HARGA
I II III

Rp 35,000
Rp 24,500
Rp 526,500
Rp 500
Rp 6,000
Rp 55,000
Rp 19,000
Rp 1,400
Rp 200
Rp 350
Rp 1,100
Rp 5,000
Rp 300

Rp 150
Rp 6,000
Rp 59,000
Rp 64,000
Rp 1,750
Rp 10,000
Rp 200
Rp 400
Rp 300
Rp 15,000
Rp 450
Rp 3,500
Rp 6,000
Rp 500
Rp 10,000
Rp 100
Rp 3,500
Rp 5,700
Rp 11,500
 HARGA
I II III

Rp 45,500
Rp 35,000
Rp 3,000
Rp 11,500
Rp 74,000
Rp 50
Rp 220
Rp 200
Rp 7,000
Rp 4,000
Rp 700
Rp 4,000
Rp 950
Rp 700
Rp 300
Rp 19,500
Rp 1,500
Rp 12,500
Rp 1,500
Rp 41,000
Rp 2,700
Rp 34,500
Rp 400
Rp 525,000
 HARGA
I II III

Rp 2,000
Rp 61,000
Rp 22,000
Rp 100,000
Rp 100
Rp 12,000
Rp 21,000
Rp 3,000
Rp 2,500
Rp 3,000
Rp 84,000
Rp 22,000
Rp 24,500
Rp 60,000
Rp 53,000
Rp 2,250
Rp 300
Rp 7,500
Rp 25,000
Rp 244,000
Rp 250

Rp 100
Rp 150
Rp 200
Rp 8,000
Rp 40,800
 HARGA
I II III

Rp 700
Rp 8,500
Rp 100,000
Rp 3,000
Rp 35,000
Rp 400
Rp 22,000

Rp 250
Rp 50
Rp 2,500
Rp 6,000

Rp 3,000
Rp 15,000
Rp 27,300
Rp 15,000
Rp 32,500
Rp 700
Rp 200
Rp 1,250
Rp 200
Rp 11,300
Rp 4,000
Rp 24,400
Rp 24,000
Rp 750
Rp 2,500
Rp 250
Rp 3,100
Rp 46,200
Rp 8,500
Rp 1,500
Rp 20,000
Rp 50
Rp 1,500
Rp 700
 HARGA
I II III

Rp 12,000
Rp 2,500
Rp 12,000
Rp 143,750
Rp 204,000
Rp 20,000
Rp 8,700
Rp 6,000
Rp 7,200

Rp 1,200
Rp 6,500
Rp 32,500
Rp 100
Rp 2,500
Rp 2,700
Rp 16,000
Rp 12,000
Rp 12,000
Rp 48,000
Rp 450
Rp 29,700
Rp 3,500
Rp 50
Rp 1,500
Rp 1,500

Rp 200
 HARGA
I II III

Rp 200
Rp 150
Rp 19,000
Rp 350
Rp 15,000
Rp 400
Rp 130,000
Rp 2,500
Rp 500

Rp 7,300
Rp 7,300
Rp 107,000
Rp 219,000
Rp 500
Rp 7,000
Rp 36,000
Rp 3,500

Rp 21,000
Rp 100
Rp 59,000
Rp 12,000
Rp 200
Rp 700
Rp 1,000
 HARGA
I II III

Rp 11,500
Rp 12,200
Rp 800
Rp 2,000
Rp 38,750
Rp 40,000
Rp 2,000

Rp 50,000
Rp 70,000
Rp 82,500
Rp 7,000
Rp 93,500
Rp 1,500
Rp 2,700
Rp 100
Rp 45,500
Rp 38,000
Rp 3,000
Rp 1,500
Rp 26,000
Rp 3,000
Rp 250
Rp 25,000
Rp 30,000
Rp 19,000
Rp 12,000
Rp 4,900
Rp 6,500
 HARGA
I II III

Rp 5,000
Rp 10,000

Rp 1,000
Rp 500
Rp 4,900
Rp 3,000
Rp 5,000
Rp 4,300
Rp 2,700
Rp 3,500
Rp 28,200
Rp 300
Rp 900
Rp 1,100
Rp 100
Rp 8,000
Rp 8,000
Rp 9,000
Rp 2,000
Rp 6,000
Rp 300
Rp 64,000
Rp 23,125
Rp 12,600
Rp 7,500
Rp 1,500
Rp 5,200
 HARGA
I II III

Rp 150
Rp 200
Rp 17,000
Rp 6,000
Rp 450
Rp 4,500
Rp 975,000
Rp 4,000
Rp 6,500
Rp 465,000
Rp 1,400

Rp 7,000
Rp 150
Rp 200
Rp 8,500
Rp 2,000
Rp 77,000
Rp 12,500
Rp 39,000

Rp 31,000
Rp 250,000
 HARGA
I II III

Rp 25,000
Rp 2,400
Rp 37,500
Rp 69,200
Rp 92,500
Rp 83,000
Rp 250

Rp 150
Rp 2,500

Rp 17,500
Rp 600
Rp 4,750
Rp 6,000
Rp 100
Rp 6,125
Rp 400
Rp 75,000
Rp 410,700
Rp 3,400
Rp 500
Rp 8,000
Rp 12,000
Rp 1,700
 HARGA
I II III

Rp 3,500
Rp 600
Rp 2,000
Rp 300
Rp 9,500
Rp 800
Rp 2,500

Rp 2,000
Rp 17,000
Rp 16,500
Rp 355
Rp 2,000
Rp 128,000
Rp 2,000
Rp 245,000
Rp 2,000
Rp 1,500
Rp 38,000
Rp 150
Rp 132
Rp 250
Rp 34,000
Rp 6,000
 HARGA
I II III

Rp 50,000
Rp 100,000
Rp 7,500

Rp 4,000
Rp 4,500
Rp 50,000
Rp 2,000
Rp 3,500
Rp 2,500
Rp 1,700
Rp 1,000
Rp 9,900
Rp 350
Rp 2,000
Rp 250
Rp 1,300
Rp 300
Rp 300
Rp 200
Rp 9,000
Rp 10,000
Rp 5,000
 HARGA
I II III

Rp 200
Rp 300

Rp 10,000
Rp 13,000
Rp 4,500
Rp 13,800
Rp 15,000
Rp 500
Rp 24,000
Rp 55,000
Rp 35,000
Rp 150,000
Rp 90,000
Rp 11,000
Rp 15,700

Rp 11,000
Rp 50
Rp 19,000
Rp 8,000
Rp 14,000
Rp 300
Rp 400
Rp 1,300
Rp 21,000
Rp 17,000
Rp 7,000
 HARGA
I II III

Rp 7,000
Rp 3,500
Rp 1,500
Rp 600
Rp 195,000
Rp 200
Rp 900
Rp 500
Rp 92,000
Rp 140,000
Rp 38,000
Rp 2,300
Rp 2,500
Rp 100,000

Rp 5,000
Rp 600
Rp 2,500
Rp 3,000
Rp 3,500
Rp 100,000
Rp 600
Rp 8,000
Rp 700
Rp 43,750
Rp 6,500
Rp 8,300
 HARGA
I II III

Rp 30,000
Rp 25,000
Rp 3,000
Rp 3,600
Rp 150
Rp 15,000
Rp 8,500
Rp 26,000
Rp 2,000
Rp 1,200
Rp 500
Rp 300
Rp 18,600
Rp 50
Rp 150
Rp 200
Rp 200
Rp 6,000
Rp 4,300
Rp 200
Rp 6,000
Rp 22,500
Rp 200
Rp 250
Rp 600
Rp 16,300
Rp 25,675
Rp 7,000
Rp 12,000
Rp 725
 HARGA
I II III

Rp 300
Rp 12,000
Rp 16,000
Rp 42,000
Rp 8,000
Rp 500
Rp 68,800
Rp 180,000
Rp 13,500

Rp 2,500
Rp 300
Rp 14,000
Rp 400
Rp 700
Rp 5,625
Rp 800
Rp 8,500
Rp 208,750
Rp 6,000
Rp 900
Rp 113,000
Rp 2,500
Rp 8,000
Rp 112,500
Rp 125,000
 HARGA
I II III

Rp 16,500
Rp 100
Rp 200
Rp 5,000
Rp 322,500
Rp 20,000
Rp 15,000
Rp 1,000
Rp 16,500
Rp 6,742
Rp 20,000
Rp 538,000
Rp 143,800
Rp 100
Rp 700
Rp 300
Rp 1,200
Rp 1,500
Rp 65,000
Rp 700
Rp 155,000
Rp 155,000
Rp 4,800
 HARGA
I II III

Rp 15,700
Rp 31,000
Rp 950
Rp 1,000
Rp 100
Rp 2,500
Rp 8,000
Rp 500
Rp 2,700
Rp 27,000
Rp 50
Rp 4,300
Rp 220,000
Rp 1,700
Rp 40,000

Rp 11,000
Rp 15,000
Rp 2,500
Rp 6,000
 HARGA
I II III

Rp 125,000
Rp 43,800
Rp 12,000
Rp 200
Rp 275,000
Rp 17,000
Rp 200
Rp 5,000
Rp 8,200
Rp 7,000

Rp 10,500
Rp 11,000
Rp 1,900

Rp 750
Rp 20,000
 HARGA
I II III
 HARGA
I II III
 HARGA
I II III
NO NAMA BMHP SATUAN

1 Aqua Cell pcs

2 Aethyl Clorida Spray ml
3 Alkohol 70% 1000ml btl
4 Aquadset steril 1000ml btl
5
6
7
8
9
10

1 Bandage Elastis 10cmx4,5m pcs

2 Bandage Elastis 15cmx4,5m pcs
3 Bandage ElastIs 7,5cmx4,5m pcs
 4 Benang Bedah Safill No.0 pcs
5 Benang Bedah Safill No.1 pcs
6 Benang Bedah Safill No.2/0 pcs
7 Benang Bedah Safill No.3/0 pcs
8 Benang Bedah Safill No.4/0 pcs
9 Benang Bedah Cat Gut Cromic No.1 meter
10 Benang Bedah Cat Gut Cromic No.2 meter
11 Benang Bedah Cat Gut Cromic No.2/0 meter
12 Benang Bedah Cat Gut Cromic No.3/0 meter
13 Benang Bedah Cat Gut Plain No. 0 meter
14 Benang Bedah Cat Gut Plain No. 1 meter
15 Benang Bedah Cat Gut Plain No. 2/0 meter
16 Benang Bedah Cat Gut Plain No. 3/0 meter
17 Benang Bedah Dafilon No.1 pcs
18 Benang Bedah Dafilon No.2/0 pcs
19 Benang Bedah Dafilon No.3/0 pcs
20 Benang Bedah Dafilon No. 4/0 pcs
21 Benang Bedah Dafilon No. 5/0 pcs
22 Benang Bedah Monosin No. 1/0 pcs
23 Benang Bedah Monosin No. 2/0 pcs
24 Benang Bedah Monosin No. 3/0 pcs
25 Benang Bedah SilK 1/0 HR26 pcs
26 Benang Bedah SilK 2/0 HR27 pcs
27 Benang Bedah SilK 3/0 HR28 pcs
28 Benang Bedah SilK 4/0 HR29 pcs
29 Benang Nylon No.3/0 pcs
30 Blood Transfusi Set pcs
31 Blood Bag 350ml (double ) pcs
32 Blood Bag 350ml (single ) pcs
33
34
35
 C

1 Colostomy Bag pcs

2 Cangkang Kapsul No.0 cangkang
3 Cangkang Kapsul No.1 cangkang
4 Cangkang Kapsul No.2 cangkang
5 Cangkang Kapsul No.3 cangkang
6 Canulla Trachestomy Anak pcs
7 Canulla Trachestomy dewasa pcs
8 Cerobong Angin/Rectal Tube pcs
9 CVC Set set
10
11
12
13
14
15
16
17
18
19
20

1 Duoderm extrachin pcs

 2 Duoderm gell tube
3
4
5
6
7
8
9

1 Elektro Surgical Pencil pcs

2 Elektroda EKG Dewasa pcs
3 Epidural set pcs
4 Endotracheal tube No.2 ( with cuff ) pcs
5 Endotracheal tube No. 2,5 ( with cuff ) pcs
6 Endotracheal tube No.3 ( with cuff ) pcs
7 Endotracheal tube No.3,5 ( with cuff ) pcs
8 Endotracheal tube No.4 ( with cuff ) pcs
9 Endotracheal tube No. 4,5 ( with cuff ) pcs
10 Endotracheal tube No. 5 ( with cuff ) pcs
11 Endotracheal tube No. 5,5 ( with cuff ) pcs
12 Endotracheal tube No. 7 ( with cuff ) pcs
14 Endotracheal tube No. 7,5 ( with cuff ) pcs
13 Extention Tube/ PERFUSOR pcs
 F

1 Feeding tube No.3 pcs

2 Feeding tube No.3,5 pcs
3 Feeding tube No.5 pcs
4 Feeding tube No.8 pcs
5 Feeding tube No. 10 pcs
6 Feeding tube No. 12 pcs
7 Feeding tube No. 14 pcs
8 Feeding tube No. 16 pcs
9 Feeding tube No. 18 pcs
10 Feeding tube No. 20 pcs
11 Film Gigi Hand soon pcs
12 Folley Catheter No.6 FR pcs
13 Folley Catheter No.8 FR pcs
14 Folley Catheter No.10 FR pcs
15 Folley Catheter No. 12 FR pcs
16 Folley Catheter No. 14 FR pcs
17 Folley Catheter No. 16 FR pcs
18 Folley Catheter No.18 FR pcs
19 Folley Catheter No. 20FR pcs
20 Folley Catheter Tree Way No. 20 FR pcs
21 Folley Catheter Tree Way No. 22 FR pcs
22 Folley Catheter Tree Way No. 24 FR pcs
23 Formalin cair liter
 G

1 Gloves pasang
2 Gypsone No. 10 x 2,7 roll
3 Gypsone No. 15 x 270/ Medi Gyps roll
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
 H

1 Hand Scoon Obgyn psg

2 Hand Scoon Steril No. 6, 5 psg
3 Hand Scoon Steril No. 7 psg
4 Hand Scoon Steril No. 7,5 psg
5 Hand Scoon Steril No. 8 psg
6 Hernia Mesh 6x10cm pcs
7 Hydrogen Peroxida cc
8 Hibiscrub cc
9 Hypavix 5x5cm roll
10
11

I
1 I.V. Catheter No.16G pcs
2 I.V. Catheter No.18G pcs
3 I.V. Catheter No.20G pcs
4 I.V. Catheter No.22G pcs
5 I.V. Catheter No.24G pcs
6 I.V. Catheter No.26G pcs
7 Infus Set Makro pcs
 8 Infus Set Mikro pcs
9 Iodium Povidon 10% 1000ml cc
10
11

J
1 Jarum Disposible No. 18G (needle) pcs
2 Jarum Disposible No. 24G (needle) pcs
3 Jarum Insulin / NOVO TWIST pcs
4 Jarum Kulit No.6 pcs
5 Jarum Kulit No.7 pcs
6 Jarum Kulit No.8 pcs
7 Jarum Kulit No.9 pcs
8 Jarum Kulit No.10 pcs
9 Jarum Kulit No.11 pcs
10 Jarum Kulit No.12 pcs
11 Jarum Kulit No.13 pcs
12 Jarum Kulit No.14 pcs
13 Jarum Otot No. 6 pcs
14 Jarum Otot No. 7 pcs
15 Jarum Otot No. 8 pcs
16 Jarum Otot No. 9 pcs
17 Jarum Otot No. 10 pcs
18 Jarum Otot No. 11 pcs
19 Jarum Otot No. 12 pcs
20 Jarum Otot No. 13 pcs
21 Jarum Otot No. 14 pcs
22 Jelly USG cc
 K

1 Kapas Pembalut 1000g roll

2 Kasa Dos Steril 16x16 box
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
 L
1 Laryngeal Mask Airway ( semua ukuran ) pcs
2 Laminaria L pcs
3 Laminaria S pcs
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
 M

1 Masker biasa pcs

2 Masker Anaestesi No.1 pcs
3 Masker Anaestesi No.3 pcs
4 Masker Anaestesi No.4 pcs
5 Masker Oxygen NRBM Anak pcs
6 Masker Oxygen NRBM Dewasa pcs
7 Masker Curogated Anaestesi kecil pcs
8 Masker Curogated Anaestesi sedang pcs
9 Masker Curogated Anaestesi besar pcs
10 Mucus Extractor 25ml/ Slem Seher pcs
11 Mayo Cup No.0 (Gudel) pcs
12 Mayo Cup No. 00 (Gudel) pcs
13 Mayo Cup No.000 (Gudel) pcs
14 Mayo Cup No.1 (Gudel) pcs
15 Mayo Cup No.2 (Gudel) pcs
16 Mayo Cup No.4 (Gudel) pcs
17 Mayo Cup No.5 (Gudel) pcs
18 Mayo Cup No.6 (Gudel) pcs
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

1
2
3
4
5
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

O
1 Oxygen psi
2
3
4
5
6
7
8
9
10
11
12
 P
1 Pisau Operasi No.10 pcs
2 Pisau Operasi No.11 pcs
3 Pisau Operasi No.12 pcs
4 Pisau Operasi No.15 pcs
5 Plester B 1,25X4,5m roll
6 Plester B 5x4,5m roll
7 Plester B 7,5X4,5m roll
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39

1 Rectal tube pcs

2 Ring Pessarium No.6 pcs
3 Ring Pessarium No.7 pcs
4 Ring Pessarium No. 7,5 pcs
5
6
7
8
 9
10
11
12
13
14
15
16

S
1 Slang Oxygen Anak pcs
2 Slang Oxygen Bayi pcs
3 Slang Oxygen Dewasa pcs
4 Soft Band 10cm x 2,7m pcs
5 Soft Band 15cm pcs
6 Soft Band 7,5cm pcs
7 Sofratulle pcs
8 Spuit 60ml /Feeding Syringe pcs
9 Spuit/Disposible Syringe 1ml pcs
10 Spuit/Disposible Syringe 3ml pcs
11 Spuit/Disposible Syringe 5ml pcs
12 Spuit/Disposible Syringe 10ml pcs
13 Spuit/Disposible Syringe 20ml pcs
14 Spuit/Disposible Syringe 50ml pcs
15 Spinocain No.25 pcs
16 Spinocain No.27 pcs
17 Spongestan pcs
18 Sucction Catheter No.6 pcs
19 Sucction Catheter No.8 pcs
20 Sucction Catheter No.10 pcs
21 Sucction Catheter No.12 pcs
22 Sucction Catheter No.14 pcs
23 Sucction Catheter No.16 pcs
24 Sucction Catheter No.16 pcs

T
1 Transfer Set CAPD pcs
2 Torasicc Catheter ( Catheter WSD No.22) pcs
3 Torasicc Catheter ( Catheter WSD No.23) pcs
4 Torasicc Catheter ( Catheter WSD No.24) pcs
5 Torasicc Catheter ( Catheter WSD No.28) pcs
6 Torasicc Catheter ( Catheter WSD No.30) pcs
7 Torasicc Catheter ( Catheter WSD No.32) pcs
8 Tree Way stop cock pcs
9
10
11
12
13
14
15
 U
1 Urin Bag Dewasa pcs
2 Under Pad pcs
3
4

V
1 Vasofix /Fenflon No.20 pcs
2 Vasofix /Fenflon No.24 pcs
3
4
5
6
7
8
9
10
 W
1 Wing Needle No.21 pcs
2 Wing Needle No.23 pcs
3 Wing Needle No.25 pcs
4 Wing Needle No.27 pcs

Z
1
2
 HARGA
I II III

Rp 275,000
Rp 2,000
Rp 41,000

Rp 80,000
Rp 105,000
Rp 70,000
Rp 120,000
Rp 185,000
Rp 172,000
Rp 131,000
Rp 180,000
Rp 165,000
Rp 175,000
Rp 17,000
Rp 1,500
Rp 9,550
Rp 9,550
Rp 9,550
Rp 9,550
Rp 117,000
Rp 150,000
Rp 125,000
Rp 120,000
Rp 145,000
Rp 215,000
Rp 220,000
Rp 210,000
Rp 951,000
Rp 774,000
Rp 707,000
Rp 752,000
Rp 58,000
Rp 33,000
Rp 87,000
Rp 56,000
Rp 9,000
Rp 500
Rp 500
Rp 500
Rp 500
Rp 188,000
Rp 188,000
Rp 482,000
Rp 1,238,000

Rp 107,000
Rp 219,000

Rp 205,000
Rp 4,000
Rp 454,000
Rp 95,000
Rp 95,000
Rp 95,000
Rp 95,000
Rp 95,000
Rp 95,000
Rp 95,000
Rp 95,000
Rp 95,000
Rp 95,000
Rp 41,000
Rp 23,000
Rp 23,000
Rp 25,000
Rp 48,000
Rp 26,000
Rp 23,000
Rp 23,000
Rp 23,000
Rp 26,000
Rp 23,000
Rp 22,000
Rp 50,000
Rp 56,000
Rp 56,000
Rp 56,000
Rp 21,000
Rp 19,000
Rp 20,000
Rp 20,000
Rp 56,000
Rp 56,000
Rp 56,000
Rp 125,000
Rp 6,000
Rp 58,500
Rp 77,000
Rp 27,000

Rp 8,000
Rp 8,000
Rp 8,000
Rp 447,000
Rp 50
Rp 400
Rp 17,000

Rp 13,000
Rp 13,000
Rp 13,000
Rp 13,000
Rp 13,000
Rp 58,000
Rp 14,000
Rp 28,000
Rp 60

Rp 2,400
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 3,500
Rp 100
Rp 68,000
Rp 9,500
Rp 380,000
Rp 1,400
Rp 124,000
Rp 124,000
Rp 124,000
Rp 122,000
Rp 68,000
Rp 124,000
Rp 124,000
Rp 124,000
Rp 49,000
Rp 132,000
Rp 132,000
Rp 132,000
Rp 132,000
Rp 132,000
Rp 148,000
Rp 148,000
Rp 148,000
Rp 263
Rp 2,000
Rp 2,000
Rp 2,000
Rp 2,000
Rp 38,000
Rp 44,000
Rp 68,000
Rp 102,000
Rp 102,000
Rp 102,000
Rp 13,000
Rp 13,000
Rp 13,000
Rp 30,000
Rp 44,000
Rp 24,000
Rp 27,000
Rp 30,000
Rp 1,700
Rp 1,500
Rp 1,700
Rp 2,000
Rp 5,500
Rp 10,000
Rp 49,000
Rp 50,000
Rp 5,000
Rp 9,500
Rp 10,000
Rp 9,500
Rp 9,500
Rp 9,500
Rp 9,500
Rp 9,500

Rp 243,000
Rp 212,000
Rp 212,000
Rp 212,000
Rp 212,000
Rp 212,000
Rp 212,000
Rp 78,000
Rp 9,000
Rp 8,500

Rp 44,000
Rp 44,000
Rp 4,500
Rp 4,500
Rp 4,500
Rp 4,500