HARGA PERKIRAAN SENDIRI

TOTAL HARGA + PPN

NO SPESIFIKASI SATUAN VOLUME HARGA NAMA OBAT
10%
1 AMOXICILLIN DROP 100 MG/ML BTL 10 ML 600 26,565 15,939,000.00 17,532,900.00 AMOBIOTIC DROP

2 AMBROKSOL HCL 30 MG TAB TAB 15000 1,012 15,180,000.00 16,698,000.00 MUCOS TAB
3 AMBROKSOL SYR 15 mg BTL 60 ML 2550 28,700 73,185,816.00 80,503,500.00 MUCOS SYR
4 AMINOACETIC ACID, CYSTEINE AMP 50 126,184 6,309,187.50 6,940,106.25 SNMC INJ
HYDROCHLORIDA, GLYCYRRHIZA EXTR
5 ASAM (RS)-3-METIL-2 OKSOVALERAT TAB 1,500 31,625 47,437,500.00 52,181,250.00 KETOCID
67MG, ASAM 4-METIL-2 OKSOVALERAT
101MG, ASAM 2-OKSO-3-
FENILPROPIONAT 68MG, ASAM 3-METIL-2-
OKSOBUTIRAT 86MG, ASAM (RS)-2-
HIDROKSI-4-METILTIOBUTIRAT 59MG, L-
LISIN MONOASETAT 105MG, L-TREONIN
53MG, L-TRITOFAN 23MG, L-HISTIDIN
38MG, L-TIROSIN 30MG, KALSIUM 0,05G
6 ASAM MEFENAMAT 500 MG TAB TAB 40000 1,645 65,780,000.00 72,358,000.00 MEFINAL 500MG TAB
7 BUPIVACAIN HCL 5 MG/ML AMP 450 69,575 31,308,750.00 34,439,625.00 BUCAIN INJ
8 CEFADROKSIL 150 MG/ML BTL 15 ML 250 113,850 28,462,500.00 31,308,750.00 LAPICEF DROP
9 CEFADROXIL 500 MG TAB TAB 20000 1,898 37,960,000.00 41,756,000.00 CEFADROXIL 500 TAB

10 CTM, PSEUDOEPHEDRIN HCL BTL 60 ML 200 41,745 8,349,000.00 9,183,900.00 RHINOS JUNIOR
11 DEXTRAN 70 1 MG, HYPROMELLOSE 3 MG BTL 8 ML 100 29,917 2,991,725.00 3,290,870.00 SANBE TEARS ED

12 DOMPERIDON 5 MG BTL 10 ML 250 49,968 12,491,875.00 13,741,062.50 VOMETA DROP

13 DOMPERIDON 5 MG BTL 60 ML 250 88,550 22,137,500.00 24,351,250.00 VOMETA SYR
14 EXTR ECHINACEAE HERB 250 MG, EXTR TAB 1500 9,488 14,231,250.00 15,654,375.00 IMBOOST FORCE TAB
BUAH BLACK ELDEBERRY 400 MG, ZINC
PICOLINAT 10 MG
15 EXTR KERING BILBERRY 80 MG, RETINOL TAB 3000 7,653 22,959,750.00 25,255,725.00 OPTALVIT PLUS TAB
1,600 IU, BETA CAROTENE 5 MG, VIT E 50
MG, LUTEIN 250 MCG,ZEAXANTHIN 67
MCG, SELENIUM 15 MCG, ZN SULFATE 5
MG
16 EXTRACT SILYBUM MARIANUM 87,5 MG, TAB 6000 5,946 35,673,000.00 39,240,300.00 HEPA Q
EXTR CURCUMA XANTHORRIZHAE, EXTR
FRUCTUS SCHISANDRAE 7,5 MG
17 Folic acid 1 mg, Beta-carotene 10.000 IU, TAB 3000 4,807 14,421,000.00 15,863,100.00 FOLAMIL GENIO
vitamin B1 3 mg, vitamin B2 3.4 mg,
Nicotinamide 20 mg, vitamin B6 2 mg, Ca
pantothenate 7.5 mg, Ca carbonate 100
mg, vitamin B12 4 mcg, vitamin D3 400 iu,
vitamin K1 50 mcg, Biotin 30 mcg, Copper
gluconate 0.1 mg, Fe polymaltose
complex (IPC) 30 mg, DHA from Algae 40
mg, Arachidonic Acid 8 mg

18 FRADIOMICIN 2,5 MG+ GRAMICIDIN 1,0 TAB 7200 1,275 9,180,864.00 10,098,950.40 FG TROCHES TAB
MG
19 GATIFLOXACIN ED BTL 5 ML 86 227,700 19,582,200.00 21,540,420.00 GAFORIN ED
20 LORATADINE 5 MG, PSEUDOEFEDRIN HCL TAB 2500 6,325 15,812,500.00 17,393,750.00 RHINOS SR TABLET
60 MG
21 METAMPIRON 500 MG + DIAZEPAM 2 MG TAB 9000 1,834 16,508,250.00 18,159,075.00 ANALSIK TAB

22 METRONIDAZOL 500 MG, NYSTATIN supp 1600 22,612 36,179,000.00 39,797,120.00 PROVAGIN OVULA
100.000 IU
23 NATRIUM DIKLOFENAK 50 MG TAB TAB 5000 2,252 11,258,500.00 12,384,350.00 FLAMAR 50 MG
24 PARASETAMOL SUPP 80 MG SUPP 600 13,915 8,349,000.00 9,183,900.00 PIREXIN SUPP 80 MG
25 PARASETAMOL TAB 500 MG TAB 60000 354 21,252,000.00 23,364,000.00 SANMOL TAB
26 Per 5 mL : Amoxicillin 125 mg, asam BTL 60 ML 250 65,527 16,381,750.00 18,019,925.00 CLANEKSI DS SYR
klavulanat 31.25 mg
27 PER 5ML : AMOXICILIIN 250 MG, ASAM BTL 60 ML 250 86,906 21,726,375.00 23,899,012.50 CLANEKSI FDS
CLAVULANAT 62,5 MG
28 PROGESTERONE TERMIKRONISASI 200 MG TAB 1950 20,351 39,685,074.00 43,653,581.40 UTROGESTAN 200 MG

29 SALBUTAMOL 2,5 MG PER UNIT DOSE FLS 750 8,855 6,641,250.00 7,305,375.00 VELUTINE
30 VILDAGLIPTIN 50 MG TAB 1400 8,696.88 12,175,625.00 13,393,187.50 GALVUS 50 MG

TOTAL 758,514,495.20

BAGANSIAPIAPI, 28 OKTOBER 2019

Disusun Oleh Diketahui Oleh

PPTK PPK

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MARIA SUSANTI,S.FAR.,APT JEFRI BARUS, SKM
NIP 198203152010012021 NIP 197711061998031002