This document appears to be a list of medical supplies and their total costs from November 20-30, 2021. It includes 174 items ranging from catheters and syringes to medications like antibiotics, painkillers, and diabetes medications. The total costs range from Rp500 to Rp353,500. The highest individual costs are for 3cc and 10cc disposable syringes from the brand Nipro.
This document appears to be a list of medical supplies and their total costs from November 20-30, 2021. It includes 174 items ranging from catheters and syringes to medications like antibiotics, painkillers, and diabetes medications. The total costs range from Rp500 to Rp353,500. The highest individual costs are for 3cc and 10cc disposable syringes from the brand Nipro.
This document appears to be a list of medical supplies and their total costs from November 20-30, 2021. It includes 174 items ranging from catheters and syringes to medications like antibiotics, painkillers, and diabetes medications. The total costs range from Rp500 to Rp353,500. The highest individual costs are for 3cc and 10cc disposable syringes from the brand Nipro.
SIFt - SI Farmasi terintegrasi/ TUSLAH 20-30 NOVEMBER 2021
No Nama Barang Total Tuslah
1 STARXON INJ Rp 1,000 2 ABOCATH 18 COSMO Rp 500 3 ABOCATH 18 TERUMO WP Rp 41,000 4 ABOCATH 20 TERUMO WP Rp 81,000 5 ABOCATH 22 TERUMO WP Rp 17,000 6 ABOCATH 24 TERUMO WP Rp 15,500 7 ABOCATH 26 TERUMO WP Rp 9,000 8 ACETYLCYSTEINE CAPS MBF Rp 108,000 9 ACITRAL SIRUP Rp 1,000 10 ACITRAL TAB Rp 500 11 ACTRAPID INJ Rp 500 12 ACYCLOVIR 5G CRM Rp 1,000 13 AESCULAP NO 15 Rp 500 14 AGGRAVAN 50MG Rp 25,500 15 ALCO DROP Rp 1,000 16 ALLOPURINOL 100MG HJ Rp 1,000 17 ALPRAZOLAM 0,5 MG Rp 1,000 18 AMBROXOL SY Rp 7,000 19 AMBROXOL TAB NOVEL Rp 5,500 20 AMLOCOR 5MG Rp 2,500 21 AMLODIPIN 10MG HJ Rp 18,000 22 AMLODIPIN 5MG HJ Rp 21,500 23 AMOXAN PAED DROP Rp 500 24 ANADEX TAB Rp 8,500 25 ANALSIK Rp 13,500 26 ANALTRAM Rp 500 27 ANGINTRIZ MR Rp 3,000 28 ANTASIDA DOEN TAB KF Rp 1,000 29 APIALYS DROP Rp 500 30 APIALYS SYR Rp 1,000 31 APRON ISI 10 IHS Rp 2,000 32 APRON ONEMED IHS ISI 50 Rp 25,500 33 AQUA PRO INJEKSI 1000 ML Rp 1,000 34 ARMSLING Rp 500 35 ASAM MEFENAMAT DEXA Rp 3,500 36 ASAM MEFENAMAT HJ Rp 54,500 37 ASAM TRANEXAMAT INJ BERNO 250ML Rp 4,000 38 ASAM TRANEXAMAT INJ BERNO 500ML Rp 10,000 39 ASAM TRANEXAMAT INJ NOVELL Rp 3,500 40 ASAM VALPROIC SYR 250MG/5ML NOVELL Rp 1,000 41 ATORVASTATIN 20 MG NOVEL Rp 1,000 42 ATROPIN INJ Rp 1,500 43 AZITHROMYCIN DS Rp 3,000 44 AZITHROMYCIN TAB DEXA Rp 58,000 45 BD-MICRO FINE Rp 12,500 46 BETAHISTIN NOVEL Rp 3,500 47 BETAHISTINE 6MG TAB DEXA Rp 13,500 48 BICNAT ISI100 Rp 5,500 49 BIONEMI TAB Rp 1,000 50 BISOPROLOL 2,5MG TAB HJ Rp 2,000 51 BISOVELL 2,5MG@100 Rp 500 52 BLOOD SET TERUMO Rp 6,500 53 BLUE MONOLON 2-0 Rp 1,500 54 BLUE MONOLON 3/0 Rp 1,000 55 BNS-BREATHY NASAL SPREY Rp 500 56 BRAIDED SILK 0 TRITON Rp 1,000 57 BRAIDED SILK 2-0 Rp 2,000 58 BRAIDED SILK 3-0 TRITON Rp 500 59 BRAXIDIN TAB Rp 2,500 60 BUNASCAN SPINAL O,5% INJ Rp 3,000 61 BURNAZIN 35G CR Rp 500 62 CAL 95 TAB Rp 2,000 63 CALCII GLUCONAS Rp 2,500 64 CALCIUM LACTATE TAB 500MG Rp 500 65 CALOS TAB Rp 6,000 66 CANDERIN 8MG CAPS Rp 1,500 67 CANDESARTAN 16MG TAB Rp 1,000 68 CANDESARTAN 8MG TAB DEXA Rp 2,500 69 CAPTOPRIL 12,5 MG DEXA Rp 8,500 70 CAPTOPRIL 25MG DEXA Rp 4,000 71 CARNIT INJEKSI Rp 1,500 72 CARVILOL 25MG TAB Rp 500 73 CARVILOL 6,25MG TAB Rp 9,500 74 CATAPRES AMPUL Rp 2,000 75 CEFADROXIL 500 MG CAP Rp 55,500 76 CEFADROXIL DS 125MG BERNO Rp 500 77 CEFAROX DS Rp 500 78 CEFIXIM 200MG DEXA Rp 4,500 79 CEFIXIME 100MG DEXA Rp 15,500 80 CEFIXIME 100MG HJ Rp 500 81 CEFIXIME 200MG HJ Rp 1,500 82 CEFIXIME SYR HJ Rp 11,000 83 CEFOTAXIME 2-VIAL PHAPROS Rp 17,500 84 CEFOTAXIME INJ HJ Rp 10,000 85 CEFOTAXIME ISI 10 VIAL DEXA Rp 22,000 86 CEFTRIAXONE 2-VIAL HJ Rp 82,000 87 CEFTRIAXONE INJ DEXA ISI 10 Rp 103,500 88 CENDO FLOXA DROP Rp 500 89 CERINI SYRUP Rp 500 90 CERNEVIT INJ Rp 1,500 91 CETIRIZINE DROPS Rp 2,000 92 CETIRIZINE TAB NOVEL Rp 12,500 93 CHROMIC 1 APEX Rp 500 94 CHROMIC 2-0 APEX Rp 500 95 CIPROFLOXACIN NOVEL TAB HJ Rp 500 96 CITICOLINE 500MG INJ HJ Rp 23,000 97 CITICOLINE 500MG TAB HJ Rp 5,500 98 CLIAD TAB Rp 1,000 99 CLINDAMYCIN 300MG Rp 500 100 CLIXID TAB Rp 6,000 101 CLOPIDOGREL TAB DEXA Rp 17,000 102 CLOTIX TAB Rp 3,500 103 CODEIN 20 MG Rp 3,000 104 COLOSTOMY BAG Rp 1,000 105 CORSEL TAB Rp 16,500 106 CORTIDEX INJ Rp 11,000 107 COTRIMOXAZOLE TAB Rp 500 108 COXIRON TAB Rp 1,000 109 CURCUMA TAB Rp 2,000 110 CUTIMED SORBACT 7X9CM Rp 500 111 DARYAZINC SIRUP Rp 2,500 112 DEXAMETHASON INJEKSI ISI 100 Rp 500 113 DEXKETOPROFEN 25MG TAB Rp 2,000 114 DEXKETOPROFEN INJ 25MG Rp 4,000 115 DIABETASOL VANILA Rp 500 116 DIAGIT Rp 9,500 117 DIPHENHYDRAMINE HCL INJ Rp 1,500 118 DISPO 10CC NIPRO Rp 260,000 119 DISPO 1CC NIPRO Rp 59,500 120 DISPO 1CC TERUMO Rp 500 121 DISPO 20CC COSMO Rp 4,000 122 DISPO 3CC AXIMED Rp 1,000 123 DISPO 3CC NIPRO Rp 353,500 124 DISPO 50CC NIPRO Rp 6,000 125 DISPO 50CC TERUMO Rp 9,000 126 DISPO 5CC AXIMED Rp 4,000 127 DISPO 5CC NIPRO Rp 194,500 128 DIVITI 2.5MG INJ Rp 7,500 129 DOBUTAMIN INJ GENERIK Rp 2,000 130 DOMPERIDON SYR HJ Rp 1,000 131 DOMPERIDON TAB DEXA Rp 2,000 132 DOPAMET 250 MG TAB Rp 2,000 133 E.T.T 5 RUSH Rp 500 134 E.T.T 7.5 RUSH Rp 1,000 135 EASY PUMP 100-50 Rp 500 136 ELECTRODE DEWASA Rp 8,500 137 ENTRAMIX VANILA Rp 3,500 138 ENZYPLEX TAB Rp 4,500 139 EPERISONE HCL TAB NOVELL Rp 1,000 140 EPERISONE HCL TAB NULAB Rp 1,000 141 EPINEPRINE INJ Rp 3,000 142 ERDOBAT SYR Rp 2,000 143 ESOFER INJ Rp 4,500 144 ETANYL INJEKSI Rp 25,500 145 ETORICOXIB 60 MG TAB Rp 1,500 146 ETORICOXIB 90 MG TAB Rp 3,500 147 EXCEL TULLE 10X10 Rp 500 148 EXTENTION TUBE Rp 5,000 149 EXTROPECT SIRUP Rp 1,500 150 FARBIVENT NEBU Rp 20,500 151 FARGOXIN INJ Rp 12,500 152 FARGOXIN TAB Rp 5,500 153 FARMALAT TABLET @100 Rp 500 154 FARMASAL TAB Rp 500 155 FARSIX INJEKSI Rp 35,500 156 FENOFLEX TAB Rp 1,500 157 FLAMAR 20G CREAM Rp 1,500 158 FLIXOTIDE NEBU Rp 6,500 159 FLUNARIZINE 5MG ISI 40 Rp 4,000 160 FOLAC TAB Rp 14,500 161 FOLLEY CATHETER 14 RUSH Rp 1,000 162 FOLLEY CATHETER 16 NORTA Rp 500 163 FOLLEY CATHETER 16 RUSH Rp 25,500 164 FOLLEY CATHETER 18 RUSH Rp 1,000 165 FOLLEY CATHETER 20 COSMO Rp 500 166 FONYLIN TAB 60MG Rp 1,000 167 FORBETES 500 Rp 500 168 FUROSEMID INJ ISI 25 AMPUL DEXA Rp 24,000 169 FUROSEMIDE TAB FAHRENHEIT Rp 15,500 170 GABAPENTIN NOVEL Rp 5,000 171 GELAFUSAL INF Rp 2,500 172 GITAS PLUS Rp 500 173 GLAUSETA TAB Rp 1,000 174 GLIMEPIRIDE 2MG DEXA Rp 2,000 175 GLIMEPIRIDE 2MG HJ Rp 4,000 176 GLINOV 75MG TAB Rp 500 177 GLUCOSAMIN 250MG TAB Rp 3,000 178 GLUTROP TABLET Rp 30,500 179 GOLDSURE VANILLA 400 Rp 2,000 180 HANSAPLAST ROL KECIL Rp 13,500 181 HANSCOON T-GLOVE 6,5 Rp 17,500 182 HANSCOON T-GLOVE 7,0 Rp 6,000 183 HANSCOON T-GLOVE 7,5 Rp 4,500 184 HANSCOON T-GLOVE 8,0 Rp 500 185 HERNIA MESH 6X11CM Rp 1,500 186 HYDROCLOROTIAZID 25 MG TAB Rp 2,500 187 HYSTOLAN TAB Rp 3,000 188 IBUPROFEN 400MG TAB PROMED Rp 4,000 189 ID BAND DEWASA PINK Rp 6,500 190 IMOCARD SR TABLET Rp 6,500 191 IMUNOS TAB Rp 500 192 IMUNPED DROP Rp 500 193 IMUNPED SYR Rp 1,500 194 INDEXON INJ Rp 20,000 195 INDEXON TABLET Rp 1,500 196 INDOP INJ Rp 500 197 INF 2A WIDATRA Rp 1,000 198 INF D10% WIDATRA Rp 8,000 199 INF D5 WIDATRA Rp 8,000 200 INF NS WIDATRA Rp 85,000 201 INF RL WIDATRA Rp 1,000 202 INFUS NS SANBE Rp 1,500 203 INFUS RL SANBE BPJS Rp 309,000 204 INFUS SANBE HEAS Rp 1,000 205 INFUS SET MACRO AXIMED-Y Rp 500 206 INFUS SET MACRO TERUMO TK Rp 123,500 207 INFUS SET MICRO TERUMO TK Rp 10,500 208 INFUS SET POLYFLOW Rp 6,500 209 INFUS TRIDEX 27B Rp 7,000 210 INTERHISTIN TAB Rp 4,000 211 INVICLOT INJ Rp 1,000 212 IREMAX TAB Rp 8,000 213 IRVELL 150 MG Rp 5,500 214 ISIVAS TAB Rp 500 215 ISONIAZID 100MG TAB Rp 500 216 ISONIAZID 300MG TAB Rp 1,000 217 ISOSORBIDE DINITRATE 5MG TAB Rp 1,000 218 KALQUEST SACHET Rp 5,500 219 KALTROFEN SUPPO Rp 3,000 220 KASA HIDROFIL 10 CM Rp 9,500 221 KASA HIDROFIL 5 CM Rp 500 222 KASA STERIL Rp 28,000 223 KASA TAMPON GOLD Rp 10,000 224 KEREN INJEKSI Rp 2,500 225 KEREN TABLET Rp 500 226 KETOROLAC 10MG TAB NVL Rp 500 227 KETOROLAC INJ HJ ISI 6 Rp 79,000 228 KETROBAT INJ Rp 1,000 229 KLODERMA 5GR CR Rp 1,000 230 KSR Rp 5,000 231 L-BIO CAPS Rp 3,500 232 L-BIO SACHET Rp 5,500 233 LACTULOSE SYRUP Rp 1,500 234 LAFLANAC 25 Rp 1,000 235 LAMINARIA L Rp 2,500 236 LAMINARIA M Rp 2,500 237 LANSOPRAZOLE CAPS HJ ISI 50 Rp 19,500 238 LAPIFED SYR Rp 1,000 239 LAPIFED TABLET Rp 500 240 LAPISIF-T TAB Rp 13,500 241 LAPISIV SYR Rp 3,500 242 LASAL NEBU Rp 5,500 243 LASAL SYRUP Rp 3,000 244 LASGAN TAB Rp 26,000 245 LEUKOCRAPE 4,5MX10CM Rp 500 246 LEUKOCREPE 4,5MX7.5CM Rp 500 247 LEVICA INJEKSI Rp 10,000 248 LEVOFLOXACIN INFUS HJ Rp 3,500 249 LEVOFLOXACIN TAB NOVEL Rp 3,500 250 LIDOCAIN 2% INJ Rp 10,000 251 LORATADIN TAB Rp 500 252 LOSARTAN TAB HJ Rp 500 253 LOTASBAT 10G OINT Rp 500 254 LYCOXY KAPLET Rp 4,000 255 MAGTRAL F SYR Rp 1,000 256 MAGTRAL SIRUP Rp 8,000 257 MAGTRAL SIRUP OTTO Rp 5,500 258 MASKER ONE MED Rp 9,000 259 MAYO KUNING Rp 1,500 260 MECLAM INJ Rp 8,000 261 MECOBALAMIN 500 NOVEL TAB Rp 5,000 262 MECOBALAMIN INJ Rp 32,000 263 MECONEURO INJEKSI Rp 15,000 264 MEPROCE KAPSUL Rp 1,000 265 MEROPENEM INJ HJ Rp 4,000 266 METFORMIN 500MG TAB DEXA Rp 9,500 267 METFORMIN 500MG TAB HJ @200 Rp 7,000 268 METHYLERGOMETRIN INJ Rp 500 269 METHYLPRED 16 MG MBF Rp 2,500 270 METHYLPRED 4 MG NOVELL Rp 3,000 271 METHYLPRED 8 MG DEXA Rp 6,000 272 METHYLPRED INJ125 DEXA Rp 8,000 273 METRONIDAZOL INF HJ Rp 10,500 274 METRONIDAZOL TAB Rp 5,000 275 METVELL 0.125MG TAB Rp 6,000 276 METVELL INJEKSI Rp 17,500 277 MICROGEST 200MG Rp 500 278 MINIASPI TAB Rp 17,500 279 MIOZIDINE TAB Rp 2,000 280 MONECTO 20 TAB Rp 16,500 281 MORETIC DROPS Rp 4,000 282 MOZUKU SYR 60ML Rp 26,000 283 MUCERA DROP Rp 500 284 MYCO-Z 10G CR Rp 500 285 N-ACE KAPSUL Rp 6,000 286 NASAL O2 BAYI AXIMED Rp 6,500 287 NASAL O2 DWS AXIMED Rp 48,500 288 NASAL O2 PAED AXIMED Rp 6,000 289 NATRIUM DIKLOFENAK NOVELL Rp 500 290 NEO K INJ Rp 9,500 291 NEUCITI 500MG TAB Rp 500 292 NEULIN PS TAB Rp 500 293 NEUROBAT FORTE INJ Rp 2,000 294 NEUROSANBE INJ Rp 4,500 295 NEVODIO TAB 5 MG Rp 15,000 296 NGT 12 TERUMO Rp 500 297 NGT 14 TERUMO Rp 500 298 NGT 16 TERUMO Rp 8,000 299 NGT 18 TERUMO Rp 500 300 NGT 5 TERUMO Rp 1,000 301 NGT 8 TERUMO Rp 3,000 302 NIDAVEN INJ @10 Rp 1,000 303 NIFEDIPINE Rp 7,000 304 NISTROL 20 @20 Rp 8,000 305 NITROKAF RETARD TAB Rp 500 306 NONEMI TAB Rp 30,000 307 NOPROSTOL TAB Rp 10,000 308 NOSPIRINAL MG TAB @50 Rp 10,000 309 NOTISIL 2MG Rp 8,500 310 NOTRIXUM INJ Rp 3,000 311 NOVA T 380 Rp 1,000 312 NOVIGREL @30 Rp 6,500 313 NOVORAPID BPJS Rp 13,000 314 NUCRAL 100 ML SYR Rp 7,000 315 NUDEP 50 Rp 1,000 316 NURSE CUP ONE MED Rp 8,000 317 NUTRIFLAM NEO CAPS Rp 500 318 OBH SYR Rp 500 319 OCTENIC BODY WASH GLOVE Rp 1,000 320 OMEPRAZOLE CAPS HJ ISI 200 Rp 4,500 321 OMEPRAZOLE CAPS NOVEL Rp 9,000 322 OMEPRAZOLE INJ DEXA ISI 10 VIAL Rp 52,000 323 OMZ CAPS Rp 3,500 324 ONDANSETRON 4 MG NOVEL TAB Rp 2,000 325 ONDANSETRON 8 MG NOVEL TAB Rp 1,000 326 ONDANSETRON INJ 4MG @5 HJ Rp 71,500 327 ONDANSETRON INJ NOVEL Rp 4,000 328 OPICEF 500 MG CAP Rp 500 329 ORINOX 60MG TAB Rp 1,000 330 ORVAST 40 Rp 2,000 331 OTSU D40% Rp 6,000 332 OTSU D5% 100 ML OTSUKA Rp 1,500 333 OTSU KA-EN 3B Rp 35,000 334 OTSU KCL Rp 2,000 335 OTSU MANITOL Rp 1,500 336 OTSU MGSO4 20% Rp 1,500 337 OTSU NS 100ML PIGGYPACK Rp 32,500 338 OTSU SALIN 3 Rp 3,000 339 OTSU WATER INJ 25ML Rp 135,000 340 OTTOPAN SYRUP Rp 13,000 341 OXYLA INJ Rp 22,000 342 OZID CAPS Rp 2,500 343 PAMOL TAB Rp 1,000 344 PAN-ENTRAL SACH Rp 1,000 345 PANTOPRAZOLE 40MG INJEKSI HJ Rp 44,000 346 PANVELL TAB Rp 3,000 347 PARACETAMOL INF HJ Rp 12,500 348 PARACETAMOL INF QL Rp 17,000 349 PARACETAMOL TABLET Rp 88,500 350 PEDIASURE COMPLETE VANILLA 400 G Rp 500 351 PEDIZINC SYR Rp 500 352 PEHACAIN INJ Rp 500 353 PEINLOS INJEKSI Rp 22,500 354 PERIFIX 400 EPIDURAL Rp 500 355 PHAROLIT SACHET Rp 5,000 356 PHENOBARBITAL 30MG TAB Rp 1,000 357 PHENYTOIN CAP Rp 11,500 358 PHENYTOIN INJ NOVELL Rp 4,500 359 PHYTOMETADIONE INJ Rp 500 360 PIRACETAM 800MG QL Rp 2,000 361 PIRACETAM INJ 1GR NOV Rp 500 362 PIRALEN INJECTION Rp 9,000 363 PLASMINEX TAB Rp 3,000 364 POLIDEMICIN EYE DROP Rp 14,000 365 PRAZOTEC INJ Rp 7,500 366 PREDNISON TAB Rp 2,500 367 PREGABALIN 75MG BMF Rp 3,500 368 PREGABALIN 75MG HJ Rp 4,500 369 PROANES 1% INJ Rp 11,500 370 PROMAVIT CAPSUL Rp 1,000 371 PROPANOLOL 10 MG NOVEL Rp 500 372 PRORENAL TAB Rp 8,500 373 PROSTAM SR NOVEL Rp 500 374 PROVE-C1000MG INJ Rp 1,500 375 PSIDII FOLIUM EXTC CAP Rp 500 376 PULMICORT NEBULES Rp 15,000 377 PV KAPSUL Rp 1,500 378 PV PUYER Rp 7,000 379 PV SALEP Rp 500 380 Q-TEN 100 CAP Rp 6,000 381 RAIVAS INJ 4ML Rp 1,500 382 RAMIPRIL 2.5MG Rp 4,500 383 RAMIPRIL 5MG NOVEL Rp 500 384 RANITIDIN 150MG TAB Rp 17,000 385 RANITIDINE INJ HJ ISI 10 Rp 65,500 386 RANITIDINE INJ NOVEL ISI 10 Rp 55,000 387 RATINAL INJEKSI Rp 1,000 388 REBAMIPIDE TABLET Rp 500 389 RESPITOR NEBULE Rp 21,500 390 RHELAFEN SYRUP Rp 1,000 391 RHINOS JUNIOR SYR Rp 1,500 392 RHINOS NEO Rp 1,500 393 RHINOS SR CAP Rp 2,500 394 RIFAMPICIN 450 MG Rp 1,000 395 RISPERIDON 2MG DEXA Rp 500 396 ROSWIN 20MG TAB Rp 13,500 397 ROSWIN 40MG TAB Rp 1,500 398 ROXEMID INJ @5 Rp 1,000 399 SAGESTAM 10G CR Rp 1,000 400 SAGESTAM INJ Rp 9,500 401 SALBUTAMOL 2MG TAB Rp 500 402 SALBUTAMOL 4 MG Rp 500 403 SANBE TEARS 8ML Rp 500 404 SANMOL FORTE SYR Rp 5,000 405 SANMOL FORTE TAB Rp 3,500 406 SANMOL FORTE TABLET Rp 3,500 407 SANOSKIN MELLADERM PLUS Rp 1,000 408 SANPICILIN IGR Rp 3,000 409 SANPRIMA FORTE TAB Rp 1,500 410 SANSULIN LOG-G Rp 4,000 411 SENSI POPOK DEWASA L Rp 1,000 412 SENSI POPOK DEWASA XL Rp 2,000 413 SENSIPAD ALAS POPOK Rp 500 414 SERTALINE TAB Rp 2,000 415 SIMVASTATIN 10 HJ Rp 2,500 416 SIMVASTATIN 20MG HJ Rp 500 417 SIMVASTATIN 20MG TAB QL Rp 1,000 418 SPALK 50 X 8CM Rp 500 419 SPINOCAIN NO 25 Rp 9,500 420 SPINOCAIN NO.27 Rp 8,000 421 SPIRONOLACTONE 100MG TAB Rp 3,000 422 SPIRONOLACTONE 25 MG Rp 13,500 423 SPORETIK 100MG CAPS Rp 500 424 STARDEC NEBUL ADULT Rp 12,500 425 STARDEC NEBUL PAED Rp 4,000 426 STARXON INJ Rp 3,500 427 STESOLID RECT 5 MG Rp 1,500 428 SUCRALFAT SYR Rp 20,000 429 SUCTION BAYI NO 8 Rp 11,000 430 SUCTION CATH 16 Rp 4,000 431 SUNGKUP O2 ANAK NRB (BALON) Rp 500 432 SUNGKUP O2 ANAK NRB (TANPA BALON) Rp 500 433 SUNGKUP O2 NRB DEWASA (BALON) Rp 14,000 434 SUNGKUP O2 RBT DEWASA (TANPA BALON) Rp 1,000 435 SURGION 3/0 Rp 10,500 436 SYMBICORT TURB 160'DOSE Rp 3,000 437 T-CHROM NO.1 Rp 10,000 438 T-CHROMIC 0 Rp 3,500 439 T-CHROMIC 2 Rp 7,500 440 T-CHROMIC 2-0 Rp 9,000 441 T-CHROMIC NO 3-0 Rp 5,500 442 T-HEMOVINE Rp 500 443 T-NYLON 2-0 Rp 4,000 444 T-NYLON 3/0 Rp 4,000 445 T-NYLON 4/0 Rp 500 446 T-NYLON 5/0 Rp 1,500 447 T-VIO 1 Rp 11,500 448 T-VIO 2-0 Rp 3,000 449 T-WAY POLYMED Rp 4,500 450 TANTUM VERDE ORAL 60ML Rp 1,000 451 TEGADERM 3M Rp 151,500 452 TELSAT TAB 80MG Rp 4,500 453 TEOSAL TAB Rp 13,500 454 TERFACEF Rp 500 455 TETAGAM P INJ Rp 1,000 456 TIARYT INJEKSI Rp 500 457 TOPAZOL INJ Rp 3,000 458 TORAMINE TAB Rp 1,000 459 TRACETAT TAB Rp 2,500 460 TRADOSIK CAPS Rp 1,000 461 TRAMADOL INJ Rp 9,500 462 TRIXIM CAP 200MG Rp 3,000 463 TROCHAR 24 Rp 500 464 TROFLAM TAB Rp 1,000 465 TROGYSTATIN OVULA Rp 500 466 TROLIP 300 Rp 1,000 467 TYARIT INJEKSI Rp 500 468 TYARIT TABLET Rp 1,500 469 UMBILIKAL KLEM ONE MED Rp 9,500 470 URIN BAG AXIMED Rp 33,000 471 URINAL WANITA Rp 1,000 472 VAKSIN FOVEPTA Rp 500 473 VAKSIN INFANRIX Rp 500 474 VAKSIN PPD 2 UT (MANTOUX) Rp 500 475 VAKSIN VAXIGRIP TETRA Rp 500 476 VALISANBE 2MG Rp 4,500 477 VALISANBE 5 MG Rp 5,500 478 VALISANBE INJ Rp 7,000 479 VASODRIN INJ Rp 16,500 480 VENAX INJ Rp 9,000 481 VIP ALBUMIN CAPS Rp 6,000 482 VIT K3 INJ 10 MG Rp 1,500 483 VIT K4 TAB (PHYTOMENADION) Rp 500 484 VITAMAM 1 Rp 500 485 VOMIGO 4MG INJEKSI Rp 16,000 486 VOMIGO 8MG TAB Rp 1,500 487 ZEMINDO SYR Rp 2,000 TOTAL Rp 5,169,500