Sheet1

SALDO AWAL
HARGA
PABRIK STN
SATUAN JML NILAI

ANTIBIOTIK GENERIK
AMOXICILLIN DS 60ML HJ BOTOL 5,500.00
AMOXYCILLIN CAPS 500 MG HJ PC 388.49 84 32,633.16
CEFIXIME 100 MG CAP DEXA (G) PC 1,105.00
CEFIXIME 200MG NOVELL PC 4,436.66
CEFIXIME DRY SYR PHAPR BOTOL 19,800.00
CIPROFLOXACIN TAB 500MG PHAPOS PC 464.22
CLINDAMYCIN 300MG NOVELL PC 1,503.00 24 36,072.00
COTRIMOXAZOL 480MG TAB PHAPR PC 208.00
COTRIMOXAZOL SYR BRNO BOTOL 4,400.00
CLORAMFENIKOL PHAPOS PC 420.00
ERITROMISIN TAB 250 MG HJ PC 889.00
ERITROMISIN TAB 500 MG HJ PC 1,324.00
KETOKONAZOL CREAM HJ PC 6,600.00 27 178,200.00
KETOKONAZOL TAB HJ PC 420.00
THIAMFENICOL TAB DEXA PC 727.00

JUMLAH ANTIBIOTIK GENERIK 246,905.16

NON ANTIBIOTIK GENERIK

ACYCLOVIR TAB 400 MG PHAPOS PC 516.00 6 3,096.00
ALLOPURINOL 100 MG HJ PC 143.00 163 23,309.00
ALLOPURINOL 300 MG HJ PC 272.00 3 816.00
AMBROXOL TAB PHAPOS PC 218.00
AMBROXOL SYR KF BOTOL 5,060.00 18 91,080.00
AMLODIPIN 10MG PHAPOS PC 795.00 335 266,325.00
AMLODIPIN 5MG HJ pc 405.00
ANTASIDA DOEN TAB KF PC 232.00 638 148,016.00
ANTASIDA DOEN SYR KF BOTOL 6,565.00 32 210,080.00
ANTI HEMOROID SUPP KF SUPP 3,300.00
ASAM MEFENAMAT TAB 500 MG PHPROS PC 176.00 500 88,000.00
ATORVASTATIN 10 MG HJ PC 2,612.50
ATORVASTATIN 20MG HJ PC 4,180.00
BETAHISTIN TAB NOVELL PC 1,071.00 44 47,124.00
BISOPROLOL 5MG DM PC 2,071.12 100 207,111.66
C T M TAB 4 MG PHAPR PC 129.91
CAPTOPRIL 25 MG PHPROS PC 135.00 53 7,155.00
CETRIZINE DEXA PC 317.38
CETRIZINE SYR NOVELL BOTOL 10,913.00
DEXAMETHASON TAB 0.50 MG KF PC 180.00
DIMENHYDRINATE TAB KIMIA FARMA PC 143.00
DIGOKSIN TAB KF PC 227.00
DOMPERIDONE HJ PC 200.20 3 600.60
DOMPERIDONE SYR HJ BOTOL 8,222.50
GLIMEPIRID 1 MG HJ PC 411.00 246 101,106.00
GLIMEPIRID 2 MG KF PC 748.00 264 197,472.00
ISOSORBIDE DINITRATE 5 MG INF PC 264.00 188 49,632.00

Page 1
 Sheet1
KALIUM DIKLOFENAK 50 MG HJ PC 644.00
LIDOCAIN INJ PHAPOS AMP 1,150.38
LORATADIN TAB NOVELL PC 250.00 15 3,750.00
METFORMIN TAB 500 MG PHPROS PC 227.00
METHYLPREDNISOLON TAB 4 MG HJ PC 360.00 67 24,120.00
METRONIDAZOLE TAB 500 MG KIMIA FARMA PC 305.00 54 16,470.00
NATRIUM DICLOFENAK TAB 50MG NOVELL PC 323.95
OMEPRAZOL CAP HJ PC 375.00
ORALIT 200 CC PHPROS SACH 495.00 85 42,075.00
PARACETAMOL SYR 60 ML BRNO BOTOL 5,022.00 22 110,484.00
PARACETAMOL TAB 500 MG PC 200.00 354 70,800.00
PREDNISON TAB NOVELL PC 140.00
RANITIDIN TAB PHPROS PC 204.00
RANITIDIN INJ HJ AMP 835.00
SIMVASTATIN 10MG NOVELL PC 267.00 404 107,868.00
SIMVASTATIN 20MG NOVELL PC 1,027.00
VITAMIN C KF PC 125.84 295 37,122.80
VITAMIN B1 KF PC 149.00
VITAMIN B12 KF PC 73.00 201 14,673.00
ZINK DISPERSIBLE TAB PHAPOS PC 676.20

JUMLAH NON ANTIBIOTIK GENERIK 1,868,286.06

ANTIBIOTIK PATEN
AMOXAN CAP SANBE PC 3,410.00 320 1,091,200.00
AMOXAN DS SANBE BOTOL 18,158.25 26 472,114.50
BAQUINOR PC 40
DIONICOL IFAR PC 891.00 90 80,190.00
CEFAT 500 MG SANBE PC 10,884.50 284 3,091,198.00
CEFAT DS SANBE BOTOL 46,000.00 20 920,000.00
ERYRA CAPS IFAR PC 888.00
ERYRA DS IFAR PC 10,455.00
ERYRA SYR IFAR BOTOL 6
ERYSANBE TAB SANBE PC 200
FLOXIFAR TAB IFAR PC 668.00 198 132,264.00
HELIXIME CAPS IFAR PC 1,044.00 205 214,020.00
HELIXIME SYR IFAR BOTOL 14
HUFAFLOX PC 407.00 500 203,500.00
LOSTACEF IFAR PC 420.00 30 12,600.00
LOSTACEF 125DS IFAR BOTOL 8,452.00 6 50,712.00
MILORIN IFARS PC 1,445.00 44 63,580.00
THIAMICYIN SANBE BOTOL 3,182.00
YUSIMOX DS IFAR BOTOL 4,114.00 34 139,876.00
YUSIMOX CAP 500MG IFAR PC 374.00 8 2,992.00

JUMLAH ANTIBIOTIK PATEN 6,474,246.50

NON ANTIBIOTIK PATEN

ALOFAR 300MG IFAR PC 510.00
ACIFAR CREAM IFAR TUBE 4,652.00 2 9,304.00
ACRAN TAB 60
ANABION SYR IFAR BOTOL 5,500.00 12 66,000.00

Page 2
 Sheet1
ANABION PLUS SYR IFAR BOTOL 5,700.00 10 57,000.00
ANELAT TAB IFAR PC 80.00 290 23,200.00
APIALYS 20
ASPILET TAB UAP PC 650.00 44 28,600.00
ATMACID SYR IFAR BOTOL 5,400.00 4 21,600.00
BECOM-C SANBE PC 1,430.00 400 572,000.00
BIFERCE PC 190
BUFECT FORTE SYR SANBE BOTOL 15,200.00 3 45,600.00
BROCON TAB IFAR PC 280.06
CARBIDU 0,5 MG IFAR PC 120.00 991 118,920.00
CARBIDU 0,75 MG PC 138.60 862 119,473.20
CARDIO ASPIRIN IFAR PC 451.00 10 4,510.00
CARDISAN 5 MG SANBE PC 6,226.00 210 1,307,460.00
CARDISAN 10 mg SANBE PC 11,022.00 305 3,361,710.00
CAZETIN DROP IFAR TUBE 18,000.00 3 54,000.00
CERINI TAB SANBE PC 3,679.50 30 110,385.00
CERINI SYR SANBE BOTOL 29
COMTUSI SYR SANBE BOTOL 51,000.00
CENDO XITROL CENDO BOTOL 29,975.00
CETEME CIUBROS PC 106.88 268 28,643.84
CHLORETHYL WR BOTOL 126,500.00
COPARCETIN TAB IFAR PC 313.00 118 36,934.00
CORTIDEX SANBE PC 286.00
COLME EAR DROP INTERBAT BOTOL 29,040.00
CYCLOFEM VIAL 9,009.00
DEHISTA IFAR PC 150.00 378 56,700.00
DEXANTA DEXA PC 200.00 333 66,600.00
DANEURON IFAR PC 510.00 801 408,510.00
DEXTACO TAB GRATIA PC 180.00 324 58,320.00
DEXTACO SYR IFAR PC 5,720.00 8 45,760.00
DEXTEEM IFAR PC 220.00
DOBRIZOL IFAR PC 652.00 150 97,800.00
DIASTON IFAR PC 120.00
EFLAGEN 50 MG SANBE PC 2,255.00 60 135,300.00
EPEXOL SYR SANBE BOTOL 18,500.00 44 814,000.00
EPEXOL TAB SANBE PC 908.00 703 638,324.00
EPRINOC TAB SANBE PC 3,679.50 270 993,465.00
ELTASON IFAR PC 331.00 46 15,226.00
ERLAMYCETIN EYE OINTMENT ERELA TUBE 8,500.00
ESTALEX TAB IFAR PC 741.00 154 114,114.00
FASIDOL 500 IFAR PC 154.00
FARGETIX TAB IFAR PC 270.00 80 21,600.00
FARSIFEN 200 IFAR PC 207.00 500 103,500.00
FARSIFEN 400 IFAR PC 340.00
FARSIFEN PLUS PC 120
FARSIRETIX IFAR PC 187.00 219 40,953.00
FASTOR TAB PC 30
FLAMAR 50 MG SANBE PC 1,958.00 100 195,800.00
FLASICOX IFAR PC 704.00 4 2,816.00
FLUCADEX IFAR PC 460.02 42 19,320.84
FASIDOL TAB IFAR PC 185.00
FASIDOL DROP IFAR BOTOL 7,500.00
GENOIN TM ERELA BOTOL 6,364.00

Page 3
 Sheet1
GENALTEN IFAR TUBE 4,200.00 6 25,200.00
GLIKOS IFAR PC 176.00 160 28,160.00
GRAZEO 10 MG GRATIA PC 130.00
GRAZEO 20 MG GRATIA PC 175.00 228 39,900.00
GRATEOS 50 MG GRATIA PC 255.00 188 47,940.00
GRAFALIN 2 MG GRATIA PC 117.00 279 32,643.00
GRAFALIN 4 MG GRATIA PC 205.00 89 18,245.00
GRANTUSIF GRATIA PC 350.02 202 70,704.04
GUANISTREP SYR IFAR BOTOL 4,350.00
GLUCOPHAGE XR MERC PC 1,703.58 50 85,179.00
HYPOFIL CAPS SANBE PC 2,376.00 300 712,800.00
HISTIGO IFAR PC 290.00 189 54,810.00
HUFABION HUFA PC 207.00 35 7,245.00
HUFADINE HUFA PC 362.00 490 177,380.00
HUFADON HUFA PC 350.00
HUFADON SYR HUFA BOTOL 5,500.00 11 60,500.00
HUFAFURAL SYR HUFA BOTOL 11,500.00
HUFAXOL SYR HUFA BOTOL 4,361.00
HUFAXOL TAB HUFA PC 387.00
HUFAGESIX HUFA PC 154.00
HUFAGESIX SYR HUFA BOTOL 4,361.00
HI-BONE OTTO PC 2,791.25
HICO GEL IFAR TUBE 14,300.00
IMBOOST FORCE SOHO PC 6,453.33
IMBOOST TAB SOHO PC 3,308.80
IMBOOST SYR SOHO BOTOL 33,220.00
IMUNOS TAB LAPI PC 7,315.00
IMUNOS TAB LAPI PC 7,315.00
IMUNOS SYR LAPI BOTOL 62,700.00
KALNEX 500 MG TAB KALBE FARMA PC 3,300.00
KADITIC IFAR PC 256.00
LAMESON 4 MG PC 290
LASAL 4 MG PC 200
LAXANA IFAR PC 270.00 53 14,310.00
LAZOL IFAR PC 805.00 50 40,250.00
LERZIN IFAR PC 700.00 202 141,400.00
LERZIN SYR IFAR BOTOL 6,600.00 15 99,000.00
LIBROZYM IFAR PC 783.00 68 53,244.00
LICOKALK IFAR PC 235.00 79 18,565.00
LOCORIZ IFAR PC 4,623.00
LOKEV PC 60
MANTIMO IFAR PC 205.00 70 14,350.00
MIONALGIN IFAR PC 235.00
MOLAGIT TAB IFAR PC 455.00 36 16,380.00
MOLEXFLU IFAR PC 622.00
MUCOHEXIN TAB IFAR PC 523.00 172 89,956.00
MUCOHEXIN SYR BOTOL 3
MEGABAL PC 190
MEFINAL TAB SANBE PC 1,430.00 350 500,500.00
NEW DIATAB PC 16
NEURODEX TAB DEXA PC 605.00
NUTRALIT IFAR PC 984.00
NORVASK 10 MG FAI PC 17,068.00 15 256,020.00

Page 4
 Sheet1
NISAGON CREAM IFAR TUBE 5,654.00 1 5,654.00
NESTACORT IFAR TUBE 5,637.00 7 39,459.00
OBH COMBI COMBI BOTOL 9,900.00
OBH RAMA RAMA BOTOL 4,668.00 91 424,788.00
OBP ITRASAL BOTOL 20
ORSADERM IFAR TUBE 4,284.00 20 85,680.00
PANADOL ANAK SANBE BOTOL 33,352.00
PANADOL DROP SANBE BOTOL 36,275.00
PARATENZA BOTOL 30
PASABA SYR IFAR BOTOL 4,623.00 27 124,821.00
PROBIOTIKID PWD SANBE PCS 13,695.00 14 191,730.00
PUMPITOR CAPS SANBE PC 14,520.00 120 1,742,400.00
PURICEMIA SANBE PC 3,025.00 220 665,500.00
RATRIM SYR IFAR BOTOL 4,103.00 15 61,545.00
RECO TETES MATA BOTOL 7,400.00
RECO TETES TELINGGA BOTOL 7,400.00
ROVERTON TAB IFAR PC 255.00 266 67,830.00
RHEMAFAR IFAR PC 412.50
SALICYL TALK KIMIA FARMA PCS 6,292.00
SANMOL SYR SANBE BOTOL 12,540.00 29 363,660.00
SANMOL TAB SANBE PC 331.00 713 236,003.00
SANVITA BOTOL 20
SELVIM 10 MG IFAR PC 349.00 288 100,512.00
SELVIM 20 MG IFAR PC 484.00 199 96,316.00
SCOPMA IFAR PC 1,057.00 190 200,830.00
SEREMIC IFAR PC 1,086.00 150 162,900.00
TENSICAP 25 MG SANBE PC 1,535.00 20 30,700.00
TENSINOP 5 MG SANBE PC 2,970.00 60 178,200.00
TEOSAL IFAR PC 359.00
TRICLOFEM VIAL 7,742.00
VERTIGOSAN SANBE PC 2,794.00 295 824,230.00
VALEMIA 10 MG SANBE PC 9,845.00 270 2,658,150.00
VOSEDON TAB SANBE PC 2,491.50 390 971,685.00
VOSEDON SYR SANBE BOTOL 19
VOSEA GRAHA FARMA PC 138
ZEVASK 10MG IFAR PC 620.00 58 35,960.00
ZEVASK 5MG IFAR PC 450.00 4 1,800.00
ZANIC SYR MEPRO BOTOL 29,200.00

JLH. NON ANTIBIOTIK PATEN 21,668,482.92

JUMLAH OBAT-OBATAN 30,257,920.64

Page 5
 Sheet1

PENERIMAAN KOREKSI AFKIR RETUR

POLI UMUM
JML NILAI JML NILAI JML NILAI JLH NILAI
JLH

Page 6
 Sheet1

300 1,023,000.00

200 2,176,900.00
15 690,000.00

300 112,200.00

4,002,100.00

Page 7
 Sheet1

500 715,000.00

500 140,030.00

200 1,245,200.00
300 3,306,600.00

40 147,180.00

400 60,000.00

500 255,000.00
500 90,000.00
15 85,800.00

150 338,250.00
15 277,500.00
800 726,400.00
300 1,103,850.00

1000 154,000.00
500 135,000.00

300 102,000.00

300 587,400.00
150 105,600.00
300 138,006.00
600 111,000.00

Page 8
 Sheet1

500 87,500.00
250 63,750.00

300 105,006.00

200 475,200.00

90 63,000.00

200 286,000.00

Page 9
 Sheet1

10 46,230.00
20 273,900.00
40 580,800.00
500 1,512,500.00

600 198,600.00

250 121,000.00

60 178,200.00

150 419,100.00
60 590,700.00
400 996,600.00

150 67,500.00

23,893,602.00
27,895,702.00

Page 10
 Sheet1

PENGELUARAN SALDO AKHIR

MUM (510) LAB (520) FARMASI (522)
NILAI JLH NILAI JLH NILAI JLH NILAI JML NILAI

120 46,618.80

46 21,354.12

20 4,160.00
5 22,000.00

94,132.92

80 41,280.00

20 5,440.00

3 15,180.00
10 7,950.00

20 4,640.00

40 42,840.00

20 2,700.00

20 8,220.00
30 22,440.00

Page 11
 Sheet1

80 18,160.00

80 30,000.00

120 24,480.00

80 10,067.20

233,397.20

100 341,000.00
8 145,266.00

1 46,000.00

10 10,440.00
2

20 8,400.00
2 16,904.00

1 4,114.00

572,124.00

30 15,300.00

Page 12
 Sheet1

10 800.00

110 157,300.00

120 33,607.20
100 12,000.00

30 186,780.00
20 220,440.00

10 36,795.00

10 1,068.80

80 12,000.00

130 66,300.00
24 4,320.00
6 34,320.00

20 13,040.00

5 92,500.00
90 81,720.00

3 25,500.00

90 24,300.00

70 23,800.00

20 39,160.00
60 42,240.00
100 46,002.00
90 16,650.00

Page 13
 Sheet1

20 3,520.00

115 20,125.00
90 22,950.00
22 2,574.00
14 2,870.00
70 24,501.40

16 27,257.28

76 22,040.00
25 5,175.00
20 7,240.00
120 42,000.00
3 16,500.00
1 11,500.00

6 26,166.00

30 7,680.00

66 46,200.00
6 39,600.00
10 7,830.00
15 3,525.00

20 9,100.00

30 42,900.00

Page 14
 Sheet1
2 11,308.00
5 28,185.00

24 112,032.00

6 25,704.00

3 13,869.00

10 145,200.00
140 423,500.00

150 38,250.00
60 24,750.00
4 25,168.00

100 33,100.00

130 62,920.00
14 14,798.00
17 18,462.00

5 38,710.00
30 83,820.00
20 196,900.00
20 49,830.00

30 13,500.00

2,937,202.68
3,836,856.80

Page 15
 Sheet1

STOCK FISIK SELISIH KETERANGA

N
JML NILAI JML NILAI

Page 16
Sheet1

Page 17
Sheet1

Page 18
Sheet1

Page 19
Sheet1

Page 20
 AGUSTUS

JUMLAH
HARGA
NO NAMA OBAT PABRIK SATUAN AWAL PENERIMAAN
ANTIBIOTIK GENERIK
1 AMOXYCILLIN CAPS 500 MG HJ PC 388.49 159
2 CIPROFLOXACIN TAB 500MG PHAPOS PC 464.22 27
3 CLINDAMYCIN 300MG NOVELL PC 1,503.00 24
4 CLORAMFENIKOL PHAPOS PC 420.00 90
5 KETOKONAZOL CREAM HJ TUBE 6,600.00 27
6 KETOKONAZOL TAB HJ PC 420.00
7 METRONIDAZOLE TAB 500 MG KIMIA FARMA PC 305.00 104
8 THIAMFENICOL TAB DEXA PC 727.00 40

NON ANTIBIOTIK GENERIK

1 ACYCLOVIR TAB 400 MG PHAPOS PC 516.00 10
2 ALLOPURINOL 100 MG HJ PC 143.00 183
3 ALLOPURINOL 300 MG HJ PC 272.00 13
4 AMBROXOL SYR KF BOTOL 5,060.00 8
5 AMLODIPIN 10MG PHAPOS PC 795.00 204 200
6 AMLODIPIN 5MG HJ pc 405.00 4-
7 ANTASIDA DOEN TAB KF PC 232.00 638 -
8 ANTASIDA DOEN SYR KF BOTOL 6,565.00 3
9 ASAM MEFENAMAT TAB 500 MG PHPROS PC 176.00 146 500
10 BETAHISTIN TAB NOVELL PC 1,071.00 60
11 BISOPROLOL 5MG DM PC 2,071.12 100
12 CAPTOPRIL 25 MG PHPROS PC 135.00 93
13 DIGOKSIN TAB KF PC 227.00 ED
14 DOMPERIDONE HJ PC 200.20 7
15 GLIMEPIRID 1 MG HJ PC 411.00 246 -
16 GLIMEPIRID 2 MG KF PC 748.00 264 -
17 ISOSORBIDE DINITRATE 5 MG INF PC 264.00 188
18 LORATADIN TAB NOVELL PC 250.00 15
19 METHYLPREDNISOLON TAB 4 MG HJ PC 360.00 75
20 ORALIT 200 CC PHPROS SACH 495.00 85
21 PARACETAMOL SYR 60 ML BRNO BOTOL 5,022.00 8 30
22 PARACETAMOL TAB 500 MG PC 200.00 12
23 PREDNISON TAB NOVELL PC 140.00 - 300
24 SIMVASTATIN 10MG NOVELL PC 267.00 456 -
25 VITAMIN C KF PC 125.84 125
26 VITAMIN B12 KF PC 73.00 101

ANTIBIOTIK PATEN
1 AMOXAN CAP SANBE PC 3,410.00 380
2 AMOXAN DS SANBE BOTOL 18,158.25 5
3 BAQUINOR SANBE PC 20
4 DIONICOL IFAR PC 891.00 90
5 CEFAT 500 MG SANBE PC 10,884.50 324
6 CEFAT DS SANBE BOTOL 46,000.00 5
7 ERYRA DS IFAR PC 10,455.00 100
8 ERYRA SYR IFAR BOTOL 6
9 ERYSANBE TAB SANBE PC 200

Page 21
 AGUSTUS
10 FLOXIFAR TAB IFAR PC 668.00 198
11 HELIXIME CAPS IFAR PC 1,044.00 85 90
12 HELIXIME SYR IFAR BOTOL 6
13 HUFAFLOX PC 407.00 500
14 LOSTACEF IFAR PC 420.00 120
15 LOSTACEF 125DS IFAR BOTOL 8,452.00 4
16 MILORIN IFARS PC 1,445.00 44
17 RATRIM BOTOL
18 THIAMICYIN SANBE PC 10
19 YUSIMOX DS IFAR BOTOL 4,114.00 4 30
20 YUSIMOX CAP 500MG IFAR PC 374.00 8

NON ANTIBIOTIK PATEN

1 ACIFAR CREAM IFAR TUBE 4,652.00 5
2 ACRAN TAB SANBE PC 60
3 ANABION SYR IFAR BOTOL 5,500.00 5
4 ANABION PLUS SYR IFAR BOTOL 5,700.00 5
5 ANELAT TAB IFAR PC 80.00 290 -
6 APIALYS 5
7 ASPILET TAB UAP PC 650.00 60
8 ATMACID SYR IFAR BOTOL 5,400.00 4
9 BECOM-C SANBE PC 1,430.00 490
10 BIFERCE PC 50
11 BUFECT FORTE SYR SANBE BOTOL 15,200.00 3
12 CARBIDU 0,5 MG IFAR PC 120.00 66 1000
13 CARBIDU 0,75 MG PC 138.60 904
14 CARDIO ASPIRIN IFAR PC 451.00 10
15 CARDISAN 5 MG SANBE PC 6,226.00 220
16 CARDISAN 10 mg SANBE PC 11,022.00 340
17 CAZETIN DROP IFAR TUBE 18,000.00
18 CERINI TAB SANBE PC 3,679.50 30
19 CERINI SYR SANBE BOTOL 5
20 CETEME CIUBROS PC 106.88 268
21 COPARCETIN TAB IFAR PC 313.00 259
22 DEHISTA IFAR PC 150.00 378
23 DEXANTA DEXA PC 200.00 333 -
24 DANEURON IFAR PC 510.00 468 500
25 DEXTACO TAB GRATIA PC 180.00 423
26 DEXTACO SYR IFAR PC 5,720.00 4
27 DOBRIZOL IFAR PC 652.00 210
28 EFLAGEN 50 MG SANBE PC 2,255.00 60
29 EPEXOL SYR SANBE BOTOL 18,500.00 5
30 EPEXOL TAB SANBE PC 908.00 733
31 EPRINOC TAB SANBE PC 3,679.50 270
32 ELTASON IFAR PC 331.00 91
33 ESTALEX TAB IFAR PC 741.00 54 100
34 FARGETIX TAB IFAR PC 270.00
35 FARSIFEN 200 IFAR PC 207.00 - 500
36 FARSIFEN 400 IFAR PC 340.00 14
37 FARSIFEN PLUS IFAR PC 200
38 FARSIRETIX IFAR PC 187.00 19 200
39 FASTOR TAB LAPI PC 30
40 FLAMAR 50 MG SANBE PC 1,958.00 140

Page 22
 AGUSTUS
41 FLASICOX IFAR PC 704.00 40
42 FLUCADEX IFAR PC 460.02 102
43 GENALTEN IFAR TUBE 4,200.00 10 20
44 GLIKOS IFAR PC 176.00 170
45 GRAZEO 20 MG GRATIA PC 175.00 199
46 GRATEOS 50 MG GRATIA PC 255.00 130
47 GRAFALIN 2 MG GRATIA PC 117.00 281
48 GRAFALIN 4 MG GRATIA PC 205.00 98
49 GRANTUSIF GRATIA PC 350.02 124
50 GLUCOPHAGE XR MERC PC 1,703.58 50
51 HYPOFIL CAPS SANBE PC 2,376.00 300
52 HISTIGO IFAR PC 290.00 241 -
53 HUFABION HUFA PC 207.00 95
54 HUFADINE HUFA PC 362.00 54 500
55 HUFADON SYR HUFA BOTOL 5,500.00 16 -
56 LAMESON 4 MG LAPI PC 300
57 LASAL 4 MG LAPI PC 200
58 LAXANA IFAR PC 270.00 53
59 LERZIN IFAR PC 700.00 75 250
60 LERZIN SYR IFAR BOTOL 6,600.00
61 LIBROZYM IFAR PC 783.00 68
62 LICOKALK IFAR PC 235.00 139 -
63 LOCORIZ IFAR PC 4,623.00 9
64 LOKEV PC 90
65 MANTIMO IFAR PC 205.00 80
66 MOLAGIT TAB IFAR PC 455.00 54
67 MUCOHEXIN TAB SANBE PC 523.00 172
68 MUCOHEXIN SYR SANBE BOTOL 5
69 MEGABAL SANBE PC 200 -
70 MEFINAL TAB SANBE PC 1,430.00 360
71 NEW DIATAB MEDIFARMA PC 36
72 NEUROSANBE SANBE PC 100
73 NORVASK 10 MG FAI PC 17,068.00 15
74 NISAGON CREAM IFAR TUBE 5,654.00 2
75 NESTACORT IFAR TUBE 5,637.00 10
76 OBH RAMA RAMA BOTOL 4,668.00 2
77 OBP ITRASAL BOTOL 7
78 ORSADERM IFAR TUBE 4,284.00 21
79 PARATENZA BOTOL - 30
80 PASABA SYR IFAR BOTOL 4,623.00 5 30
81 PROBIOTIKID PWD SANBE PCS 13,695.00 20
82 PUMPITOR CAPS SANBE PC 14,520.00 120
83 PURICEMIA SANBE PC 3,025.00 305
84 ROVERTON TAB IFAR PC 255.00 296
85 SANMOL SYR SANBE BOTOL 12,540.00 5
86 SANMOL TAB SANBE PC 331.00 782
87 SANVITA BOTOL 5
88 SELVIM 10 MG IFAR PC 349.00 38 250
89 SELVIM 20 MG IFAR PC 484.00 59 250
90 SCOPMA IFAR PC 1,057.00 202
91 SEREMIC IFAR PC 1,086.00 150
92 TENSICAP 25 MG SANBE PC 1,535.00 20
93 TENSINOP 5 MG SANBE PC 2,970.00 60

Page 23
 AGUSTUS
94 TEOSAL IFAR PC 359.00 100
95 VERTIGOSAN SANBE PC 2,794.00 295 -
96 VALEMIA 10 MG SANBE PC 9,845.00 360 -
97 VOSEDON TAB SANBE PC 2,491.50 390 -
98 VOSEDON SYR SANBE BOTOL 5
99 VOSEA GRAHA FARMA PC 84
100 ZEVASK 10MG IFAR PC 620.00 58

Page 24
 AGUSTUS

MLAH NILAI
PENGELUARAN AKHIR AWAL PEMASUKAN PENGELUARAN AKHIR

84
-
24
90
27
26
54
40 40
-

6
163
3
18
69 335
4 -
- 638
32
146 500
44
100
53
-
5 3
- 246
- 264
188
15
67
85
22
354
300
52 404
295
201

60 320
26
40
90
40 284
20
-
6
200

Page 25
 AGUSTUS
198

14
500
90 30
6
44
15
10
34
8

2
60
12
10
- 290
20
44
4
90 400
190
3
75 991
42 862
10
10 210
35 305
3
30
29
268
141 118
- 378
- 333
167 801
99 324
8
150
60
44
30 703
270
76 15
- 154
80
500
-
80 120
- 219
30
100

Page 26
 AGUSTUS
40 -
60 42
6
160
228
188
279
89
202
50
300
189
60 35
64 490
11
10 290
200
53
123 202
15
68
60 79
9 -
60
70
36
172
3
10 190
10 350
20 16
70
15
11
7
91
20
20
30
27
6 14
120
85 220
30 266
29
70 712
20
- 288
110 199
12 190
- 150
20
60

Page 27
 AGUSTUS
100
- 295
270
- 390
19
138
58

Page 28
 SEPTEM

JUMLAH
HARGA
NO NAMA OBAT PABRIK SATUAN AWAL PENERIMAAN
ANTIBIOTIK GENERIK
1 AMOXYCILLIN CAPS 500 MG HJ PC 388.49 84
2 CIPROFLOXACIN TAB 500MG PHAPOS PC 464.22 -
3 CLINDAMYCIN 300MG NOVELL PC 1,503.00 24
4 CLORAMFENIKOL PHAPOS PC 420.00 90
5 KETOKONAZOL CREAM HJ TUBE 6,600.00 27
6 KETOKONAZOL TAB HJ PC 420.00 26
7 METRONIDAZOLE TAB 500 MG KIMIA FARMA PC 305.00 54
8 THIAMFENICOL TAB DEXA PC 727.00 40
-
NON ANTIBIOTIK GENERIK
1 ACYCLOVIR TAB 400 MG PHAPOS PC 516.00 6
2 ALLOPURINOL 100 MG HJ PC 143.00 163
3 ALLOPURINOL 300 MG HJ PC 272.00 3
4 AMBROXOL SYR KF BOTOL 5,060.00 18
5 AMLODIPIN 10MG PHAPOS PC 795.00 335
6 AMLODIPIN 5MG HJ pc 405.00 - 300
7 ANTASIDA DOEN TAB KF PC 232.00 638
8 ANTASIDA DOEN SYR KF BOTOL 6,565.00 32
9 ASAM MEFENAMAT TAB 500 MG PHPROS PC 176.00 500
10 BETAHISTIN TAB NOVELL PC 1,071.00 44
11 BISOPROLOL 5MG DM PC 2,071.12 100
12 CAPTOPRIL 25 MG PHPROS PC 135.00 53
13 DIGOKSIN TAB KF PC 227.00 -
14 DOMPERIDONE HJ PC 200.20 3
15 GLIMEPIRID 1 MG HJ PC 411.00 246
16 GLIMEPIRID 2 MG KF PC 748.00 264
17 ISOSORBIDE DINITRATE 5 MG INF PC 264.00 188
18 LORATADIN TAB NOVELL PC 250.00 15
19 METHYLPREDNISOLON TAB 4 MG HJ PC 360.00 67
20 ORALIT 200 CC PHPROS SACH 495.00 85
21 PARACETAMOL SYR 60 ML BRNO BOTOL 5,022.00 22
22 PARACETAMOL TAB 500 MG PC 200.00 354
23 PREDNISON TAB NOVELL PC 140.00 300
24 SIMVASTATIN 10MG NOVELL PC 267.00 404
25 VITAMIN C KF PC 125.84 295
26 VITAMIN B12 KF PC 73.00 201

ANTIBIOTIK PATEN
1 AMOXAN CAP SANBE PC 3,410.00 320
2 AMOXAN DS SANBE BOTOL 18,158.25 26
3 BAQUINOR SANBE PC 40
4 DIONICOL IFAR PC 891.00 90
5 CEFAT 500 MG SANBE PC 10,884.50 284
6 CEFAT DS SANBE BOTOL 46,000.00 20
7 ERYRA DS IFAR PC 10,455.00 -
8 ERYRA SYR IFAR BOTOL 6
9 ERYSANBE TAB SANBE PC 200

Page 29
 SEPTEM
10 FLOXIFAR TAB IFAR PC 668.00 198
11 HELIXIME CAPS IFAR PC 1,044.00
12 HELIXIME SYR IFAR BOTOL 14
13 HUFAFLOX PC 407.00 500
14 LOSTACEF IFAR PC 420.00 30
15 LOSTACEF 125DS IFAR BOTOL 8,452.00 6
16 MILORIN IFARS PC 1,445.00 44
17 RATRIM BOTOL 15
18 THIAMICYIN SANBE PC 10
19 YUSIMOX DS IFAR BOTOL 4,114.00 34
20 YUSIMOX CAP 500MG IFAR PC 374.00 8

NON ANTIBIOTIK PATEN

1 ACIFAR CREAM IFAR TUBE 4,652.00 2
2 ACRAN TAB SANBE PC 60
3 ANABION SYR IFAR BOTOL 5,500.00 12
4 ANABION PLUS SYR IFAR BOTOL 5,700.00 10
5 ANELAT TAB IFAR PC 80.00 290
6 APIALYS 20
7 ASPILET TAB UAP PC 650.00 44
8 ATMACID SYR IFAR BOTOL 5,400.00 4
9 BECOM-C SANBE PC 1,430.00 400
10 BIFERCE PC 190
11 BUFECT FORTE SYR SANBE BOTOL 15,200.00 3
12 CARBIDU 0,5 MG IFAR PC 120.00 991
13 CARBIDU 0,75 MG PC 138.60 862
14 CARDIO ASPIRIN IFAR PC 451.00 10
15 CARDISAN 5 MG SANBE PC 6,226.00 210
16 CARDISAN 10 mg SANBE PC 11,022.00 305
17 CAZETIN DROP IFAR TUBE 18,000.00 3
18 CERINI TAB SANBE PC 3,679.50 30
19 CERINI SYR SANBE BOTOL 29
20 CETEME CIUBROS PC 106.88 268
21 COPARCETIN TAB IFAR PC 313.00 118 300
22 DEHISTA IFAR PC 150.00 378
23 DEXANTA DEXA PC 200.00 333
24 DANEURON IFAR PC 510.00 801
25 DEXTACO TAB GRATIA PC 180.00 324
26 DEXTACO SYR IFAR PC 5,720.00 8
27 DOBRIZOL IFAR PC 652.00 150
28 EFLAGEN 50 MG SANBE PC 2,255.00 60
29 EPEXOL SYR SANBE BOTOL 18,500.00 44
30 EPEXOL TAB SANBE PC 908.00 703
31 EPRINOC TAB SANBE PC 3,679.50 270
32 ELTASON IFAR PC 331.00 15
33 ESTALEX TAB IFAR PC 741.00 154
34 FARGETIX TAB IFAR PC 270.00 80
35 FARSIFEN 200 IFAR PC 207.00 500
36 FARSIFEN 400 IFAR PC 340.00 -
37 FARSIFEN PLUS IFAR PC 120 300
38 FARSIRETIX IFAR PC 187.00 219
39 FASTOR TAB LAPI PC 30
40 FLAMAR 50 MG SANBE PC 1,958.00 100

Page 30
 SEPTEM
41 FLASICOX IFAR PC 704.00 - 100
42 FLUCADEX IFAR PC 460.02 42 300
43 GENALTEN IFAR TUBE 4,200.00 6
44 GLIKOS IFAR PC 176.00 160
45 GRAZEO 20 MG GRATIA PC 175.00 228
46 GRATEOS 50 MG GRATIA PC 255.00 188
47 GRAFALIN 2 MG GRATIA PC 117.00 279
48 GRAFALIN 4 MG GRATIA PC 205.00 89
49 GRANTUSIF GRATIA PC 350.02 202
50 GLUCOPHAGE XR MERC PC 1,703.58 50
51 HYPOFIL CAPS SANBE PC 2,376.00 300
52 HISTIGO IFAR PC 290.00 189
53 HUFABION HUFA PC 207.00 35 300
54 HUFADINE HUFA PC 362.00 490
55 HUFADON SYR HUFA BOTOL 5,500.00 11
56 LAMESON 4 MG LAPI PC 290
57 LASAL 4 MG LAPI PC 200
58 LAXANA IFAR PC 270.00 53
59 LERZIN IFAR PC 700.00 202
60 LERZIN SYR IFAR BOTOL 6,600.00 15
61 LIBROZYM IFAR PC 783.00 68
62 LICOKALK IFAR PC 235.00 79
63 LOCORIZ IFAR PC 4,623.00 -
64 LOKEV PC 60
65 MANTIMO IFAR PC 205.00 70
66 MOLAGIT TAB IFAR PC 455.00 36
67 MUCOHEXIN TAB SANBE PC 523.00 172
68 MUCOHEXIN SYR SANBE BOTOL 3
69 MEGABAL SANBE PC 190
70 MEFINAL TAB SANBE PC 1,430.00 350
71 NEW DIATAB MEDIFARMA PC 16
72 NEUROSANBE SANBE PC 70
73 NORVASK 10 MG FAI PC 17,068.00 15
74 NISAGON CREAM IFAR TUBE 5,654.00 11
75 NESTACORT IFAR TUBE 5,637.00 7
76 OBH RAMA RAMA BOTOL 4,668.00 91
77 OBP ITRASAL BOTOL 20
78 ORSADERM IFAR TUBE 4,284.00 20
79 PARATENZA BOTOL 30
80 PASABA SYR IFAR BOTOL 4,623.00 27
81 PROBIOTIKID PWD SANBE PCS 13,695.00 14
82 PUMPITOR CAPS SANBE PC 14,520.00 120
83 PURICEMIA SANBE PC 3,025.00 220
84 ROVERTON TAB IFAR PC 255.00 266
85 SANMOL SYR SANBE BOTOL 12,540.00 29
86 SANMOL TAB SANBE PC 331.00 712
87 SANVITA BOTOL 20
88 SELVIM 10 MG IFAR PC 349.00 288
89 SELVIM 20 MG IFAR PC 484.00 199
90 SCOPMA IFAR PC 1,057.00 190
91 SEREMIC IFAR PC 1,086.00 150
92 TENSICAP 25 MG SANBE PC 1,535.00 20
93 TENSINOP 5 MG SANBE PC 2,970.00 60

Page 31
 SEPTEM
94 TEOSAL IFAR PC 359.00 100
95 VERTIGOSAN SANBE PC 2,794.00 295
96 VALEMIA 10 MG SANBE PC 9,845.00 270
97 VOSEDON TAB SANBE PC 2,491.50 390
98 VOSEDON SYR SANBE BOTOL 19
99 VOSEA GRAHA FARMA PC 138
100 ZEVASK 10MG IFAR PC 620.00 58

Page 32
 SEPTEM

MLAH NILAI
PENGELUARAN AKHIR AWAL PEMASUKAN PENGELUARAN AKHIR

100
200
638 ED

400

50
100

200
100

200

200

100

Page 33
 SEPTEM

60

400

30

200

200

800
600

100
200

200

200
500
200

100

600
100
-
100

400

200
100

Page 34
 SEPTEM
50
200

200

200
400

200
100

50

200

100
200

10
100
100
100

500

200
50
100
- 100

Page 35
 SEPTEM

200

200

Page 36