N Jumlah Harga Satuan

Nama Obat Kumulatif

O Obat (Rp)
1 Amoxicillin OGB
34.560 183,3 6.334.848
(kapsul)
2 Amoxil (Vial) 768 9678,2 7.432.857,6
3Mahmudah
Asmacare (tablet
( 11194761910364 )
38.400 660 25.334.000
2mg)
4Noor Latifah ( 11194761910373
Asmacare (tablet 4 )
38.400 880 33.792.000
Retno mg)
Ermadiningtyas ( 11194761910380 )
5 Aspilets (tablet 80
mg)
Sinta Rahmawati ( 1194761910386 9.000
) 195,83 1.762.470
6 Atrovent (botol
960 76560 73.497.600
larutan inhalasi)
7Kelas 2A
Aztrin (kapsul) 34.560 9716,67 335.808.115,2
8 Becotide (rotacap) 76.800 825 63.360.000
9 Berotec (botol
96 78650 7.550.400
larutan inhalasi) Kumulatif Urutan % Kumulatif Gol
10 Betablok (tablet 100
4.320 2035 8.791.200
mg)
11 Bricasma (botol
1.440 30600 44.064.000
sirup)
12 Capoten (tablet 12,5
4.980 1868,3 9.304.134
mg)
13 Capoten (tablet 25
3.300 2996,67 9.889.011
mg)
14 Cardioaspirin (tablet) 3.000 720 2.160.000
15 Cerif (kapsul) 154.500 1328,25 205.214.625
16 Depakene (botol
40 44000 1.760.000
sirup)
17 Depakote (tablet 250
5.000 2560 12.800.000
mg)
18 Dexamethasone
231.000 24,3 5.613.300
generic (tablet)
19 Diazepam (ampul) 700 793,25 555.275
20 Digoxin OGB (tablet
7.900 78 616.200
0,0625 mg)
21 Digoxin OGB (0,25
4.000 89 356.000
mg)
22 Digoxin sandos
19.800 511,5 10.127.700
(tablet)
23 Dilantin (kapsul 100
2.000 2640,15 5.280.300
mg)
24 Dopamine Hcl
3.000 9500 28.500.000
(ampul)
25 Dopamin Hcl (vial) 3.000 22000 66.000.000
26 Eritromisin OGB
69.120 383,33 26.495.770
(kapsul)
27 Erphatrocin (kapsul) 13.824 1375 19.008.000
28 Erphatrocin (tablet) 13.824 1237,5 17.107.200
29 Ethambutol OGB
741.600 195 144.612.000
(tablet)
30 Extracaine (ampul) 6.000 1350 8.100.000
31 Fargoxin (tablet 0,25
19.800 200 3.960.000
mg)
32 Farnormin (tablet 50
6.000 850 5.100.000
mg)
 Nama Obat
Lantus (vial) 1.377.320.000 1 24 % A
Rifam (botol sirup) 1.038.240.000 2 43% A
Aztrin (kapsul) 335.808.115 3 49% A
Rifampisin OGB (kapsul) 290.501.200 4 54% A
Neotibi (tablet) 231.132.000 5 58% A
Zithrax (kapsul) 216.000.000 6 62% A
Cerif (kapsul) 205.214.625 7 65% A
Pirazinamid OGB (tablet) 199.490.400 8 69% A
Pharozinamida (tablet) 194.793.600 9 72% A
Ethambutol OGB (tablet) 144.612.000 10 75% B
Medinhod (botol sirup) 117.523.000 11 77% B
Tibitol (tablet) 86.520.000 12 78% B
Atrovent (botol larutan 73.497.600 80% B
13
inhalasi)
Symbicort (turbuhaler) 71.664.000 14 81% B
Tibigon (tablet) 68.886.400 15 82% B
Dopamin Hcl (vial) 66.000.000 16 83% B
Becotide (rotacap) 63.360.000 17 84% B
Inderal (tablet 10 mg) 63.146.050 18 86% B
Topcillin (sirup kering) 62.208.000 19 87% B
INH OGB (tablet) 52.633.000 20 88% B
Phenytoin (ampul) 49.500.000 21 88% B
Inoxin (tablet) 47.586.000 22 89% B
Bricasma (botol sirup) 44.064.000 23 90% B
Pulmicort (turbuhaler) 37.382.400 24 91% B
Lasix (ampul) 36.198.800 25 91% B
Asmacare (tablet 4 mg) 33.792.000 26 92% B
Herbesser (tablet SR 90 29.912.400 93% B
27
mg)
Dopamine Hcl (ampul) 28.500.000 28 93% B
Eritromisin OGB (kapsul) 26.495.770 29 93% B
Inderal (tablet 40 mg) 26.471.500 30 94% B
Asmacare (tablet 2mg) 25.344.000 31 94% B
Nitrocin (ampul) 23.985.000 32 95% C
Topcillin (kapsul) 19.200.000 33 95% C
Erphatrocin (kapsul) 19.008.000 34 95% C
Glumin (tablet 600 mg) 18.216.000 35 96% C
Glumin (tablet 850 mg) 17.820.000 36 96% C
Erphatrocin (tablet) 17.107.200 37 96% C
Depakote (tablet 250 mg) 12.800.000 38 97% C
Lasix (tablet) 11.400.000 39 97% C
Digoxin sandos (tablet) 10.127.700 40 97% C
Capoten (tablet 25 mg) 9.889.011 41 97% C
Capoten (tablet 12,5 mg) 9.304.134 42 97% C
 Monecto (tablet 20 mg) 9.000.000 43 98% C
Betablok (tablet 100 mg) 8.791.200 44 98% C
Extracaine (ampul) 8.100.000 45 98% C
Berotec (botol larutan 7.550.400 98% C
46
inhalasi)
Amoxil (Vial) 7.432.858 47 98% C
Metformin Hcl OGB 6.623.100 98% C
48
(tablet 500 mg)
Amoxicillin OGB (kapsul) 6.334.848 49 98% C
Dexamethasone generic 5.613.300 98% C
50
(tablet)
Dilantin (kapsul 100 mg) 5.280.300 51 99% C
Farsorbid (tablet 10 mg) 5.160.000 52 99% C
Farnormin (tablet 50 mg) 5.100.000 53 99% C
Salbutamol OGB (tablet 2 4.953.600 99% C
54
mg)
Metformin Hcl OGB 4.870.800 99% C
55
(tablet 850 mg)
Phenytoin (kapsul 100 mg) 4.800.000 56 99% C
Scantensin (tablet 25 mg) 4.666.761 57 99% C
Salbutamol OGB (tablet 4 4.550.400 99% C
58
mg)
Farsorbid (tablet 5 mg) 4.500.000 59 99% C
Terasma (tablet) 4.435.200 60 99% C
Scantensin (tablet 12,5 4.357.500 99% C
61
mg)
Fargoxin (tablet 0,25 mg) 3.960.000 62 99% C
Teril (tablet 200 mg) 3.465.000 63 99% C
Topcillin (kaplet) 3.264.000 64 100% C
Furosix (tablet) 2.860.000 65 100% C
Kutoin (kapsul 100 mg) 2.850.000 66 100% C
Cardioaspirin (tablet) 2.160.000 67 100% C
Kaptopril OGB (tablet 25 2.095.533 100% C
68
mg)
Kaptopril OGB (tablet 1.860.000 100% C
69
12,5 mg)
Tegretol (tablet CR 200 1.790.250 100% C
70
mg)
Aspilets (tablet 80 mg) 1.762.470 71 100% C
Depakene (botol sirup) 1.760.000 72 100% C
Karbamazepin (tablet 200 1.716.000 100% C
73
mg)
Tegretol (tablet kunyah 1.132.125 100% C
74
100 mg)
Furosemide OGB (ampul) 1.032.000 75 100% C
 Glibenclamide OGB 930.600 100% C
76
(tablet 5 mg)
Furosemide OGB (tablet) 672.000 77 100% C
Digoxin OGB (tablet 616.200 100% C
78
0,0625 mg)
Diazepam (ampul) 555.275 79 100% C
Furosix (ampul) 508.200 80 100% C
Digoxin OGB (0,25 mg) 356.000 81 100% C
Renabetic (tablet 5 mg) 269.500 82 100% C
Folic acid (tablet 5 mg) 220.150 83 100% C
Fenobarbital (ampul) 201.000 84 100% C
Folic acid (tablet 1 mg) 128.000 85 100% C
Libronil (kaplet 5 mg) 123.200 86 100% C
HCT OGB (tablet) 51.000 87 100% C
Tegretol (botol suspense) 2.185 88 100% C

Gol A < 75%

Gol B > 75 % - 95 %
Gol C > 95 % - 100 %