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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

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