SANBE FARMA FAHRENHEIT OTTO LANDSON INTERBAT

NO NAMA OBAT PBF HNA+PPN

NAMA OBAT HNA+PPN NAMA OBAT HNA+PPN NAMA OBAT HNA+PPN NAMA OBAT HNA+PPN NAMA OBAT
1 SANMAG SYR 20,625.00 FARMACROL SYR. 100 ML 40,700.00 MAGTRAL SYR 20,350.00 ACITRAL SYR
2 AKILEN EAR DROPS 51,746.75
3 ALCO PLUS DMP SYR 100 ML
4 ALCO PLUS SYR 100 ML
5 ANADEX SYR
6 ANALSIK TAB. 1,258.40 OPINEURON TAB 1,196.00
7 ASEDAS SYR. PYRIDAM 40,700.00
8 ATOFAR Tab 40 mg 10,450.00
9 BIFOTIK INJ 135,058.00 STABACTAM 149,000.00 BACTRAZ INJ. 156,310.00 FERZOBAT INJ
10 BECOM ZET 1,790.25
11 BENUTRION 250 ML 100,298.00
12 BIOSANBE 916.44
13 BIOTHICOL CAPS 250 MG 1,545.50
14 BIOTHICOL FORTE SYR 57,475.00
15 BIOTHICOL SYR 20,790.00
16 TERPACEF INJ 137,118.00 ELPICEF INJ 187,000.00 BIOXON INJ 203,500.00 STARXON INJ
17 BUNASCAN SPINAL 0.5% H 55,902.00
18 CALTRAX TAB. PYRIDAM 3,291.20 CALGAE CAPS. 5,170.00
19 CALOS TAB. 880.00
20 CANDEFION TAB. 8 MG INFION 5,500.00 CANDEFAR 8 MG 5,320.00
21 CARPIATON 25 MG 727.65
22 CEBEX CAPS. 1,435.50
23 SPORETIK 100 MG 20,185.00 CEPTIK 100 MG
24 STARCEF 200 MG DEXA MEDICA 16,200.00 SPORETIK 200 MG 29,150.00 FIXACEP TAB 200 MG 25,300.00 CEPTIK 200 MG
25 SPORETIK SYR 71,141.12 FIXACEP DS SYR 77,000.00 CEPTIK SYR.
26 CERINI CAPS 3,498.00 FALERGI TAB 3,300.00 CETIRGI TAB. 2,750.00 INTRIZIN TAB
27 CERINI DROPS. 53,707.50 INTRIZIN DROPS
28 CERINI SYR. 40,480.00 CETIRGI SYR. 39,600.00 INTRIZIN SYR
29 CHANNA 500 MG MYLAN 5,775.00
30 BRAXIDIN TAB 916.00 CLIAD TAB.
31 COLSANCETINE INJ 10,175.00
32 DEXTAMIN TAB/300 PC PHAPROS 1,815.00 DEXTAFEN CAPS. 1,650.00 CORTAMINE TAB.
33 CORTIDEX TAB. 297.00
34 COTEN TAB. 100 MG
35 CURCUMA 968.00
36 CURFOS SYR. 100 ML
37 ELKANA Syr 120 mg 17,901.40 CURMUNOS SYR 57,200.00
38 YAVIT-D TAB. YARINDO 2,403.50 DAILY D3 1000
39 DEXPROFEN INJ. 39,600.00 LANTIDEX INJ 38,720.00 TORDEX INJ
40 DOFACEF INJ. 34,101.34
41 DOGESIC 500 MG YARINDO 1,254.00 MEFINAL 500 MG 1,101.00
42 EPEXOL TAB. 30 MG 847.00 MUCERA TAB 880.00 INTERPEC TAB
43 EPSONAL TAB. PYRIDAM 3,245.00 EPRINOC TAB. 2,573.00 MYOBAT TAB.
44
45 ERDOBAT CAPS. INTERBAT 6,116.00 RECUSTEIN CAPS. 4,950.00
46 ESOMAX INJ. 148,500.00
47 TAXEGRAM 1 GR INJ 109,879.00 BIOCEF INJ 68,800.00
48 NEUROSANBE INJ 4,212.00 FARBION INJ 4,950.00
49 NEUROSANBE 5000 TAB 2,108.00 FARBION TAB 1,155.00
50 FARBIVENT 12,100.00
51 FARMACROL SYR. 200 ML 50,600.00
52 FARSIX 40 MG 990.00
53 FARSORBID INJ. 66,000.00
54 FENDEX TAB. 5,775.00
55 BIFOTIK INJ 135,058.00 STABACTAM INJ 149,000.00 BACTRAZ INJ 156,310.00 FERZOBAT INJ
56 FINPRO TAB
57 OSTEOR KRIM PYRIDAM 132,000.00 FLAMAR ZALF 20 GR 16,720.00
58 FLAMICORT 10 MG DEXA MEDICA 78,650.00
59 FLOXARIS INFUS 330,000.00
60 FOLAVIT TAB. 400 MG 825.00 FOLAC TAB. 770.00
61 FORMOM TAB. PYRIDAM 2,252.69 VITAMULTI DHA CAPS. 2,750.00
62 GERDILIUM DROPS 30,800.00
63 VOMETA SYR DEXA MEDICA 25,650.00 VOSEDON SYR 24,008.00 GERDILIUM SYR. 33,495.00
64 VOMETA TAB DEXA MEDICA 2,400.00 VOSEDON TAB 1,918.00 GERDILIUM TAB. 3,850.00
65 GRATIZIN TAB. 10 MG 5,813.50
66 GRATIZIN TAB. 5 MG 4,862.00
67 HEPA-Q CAPS. PYRIDAM 4,851.00
68 OSTEOR PLUS CAPS. PYRIDAM 7,700.00 VOSTEM TAB 3,383.00 HI BONE 300 3,300.00 VOSSECAL 3,813.00 OSSOVIT CAPS.
69 HI BONE 600 3,850.00
70 HUMAN ALBUMIN 20% 50 MLDEXA MEDICA 445,000.00

Page 1 of 12
 71 IMMUCEA SYR.
72 IMUDATOR TAB. PYRIDAM 7,480.00 FORMUNO 4,825.00 IMMUCEA TAB.
73 INDEXON INJ
74 INERSON SALEP 15 GR
75 INFUSAN D5 100 ML 12,762.75
76 INKURIN TAB.
77 EPISAN SYR 100 ML 40,343.00 INPEPSA SYR. 100 ML 52,800.00 LANPEPSA SYR 61,600.00 SUCRALBAT SUSPENSI
78 EPISAN SYR 200 ML 64,680.00 INPEPSA SYR. 200 ML 82,500.00
79 PROBIOKID POWDER 11,298.00 INTERLAC STICK PACK
80 PROBIOKID CAP 8,667.00 INTERLAC TAB.
81 INTERPEC SYR. 15 MG
82 INTERZINC SYR. 60 ML
83 PREDNICORT INJ. 125 MG 88,000.00 INTIDROL INJ.
84
85 ISORIC 300 TAB
86 ISOTIC ADRETOR Eye Drops 13,695.00
87 LACTAFAR 4,180.00
88 LANAKELOID E CREAM 10 133,100.00
89 LANOVIT CAPS. 2,200.00
90 OPILAX SYR. 60 ML 43,862.50 LANTULOS 60 ML 88,000.00
91 LESICHOL Kaps 600 MG 14,850.00
92 LIDODEX INJ BERNOFARM 60,500.00
93 LIPROQY 7,040.00
94 LODIA TAB. 1,045.00
95 EPEXOL DROPS 31,020.00 MUCERA DROPS 35,200.00
96 EPEXOL SYR 14,273.00 MUCERA SYR 30 MG / 60 ML 23,925.00 INTERPEC SYR. 30 MG
97 NEO GYNOXA OVULA KALBE FARMA 15,675.00 TRICHODAZOLE PLUS OVUL 10,271.00 TROGYSTATIN OVULA 15,400.00
98 NORPHAGEN INJ. 20 ML 79,200.00
99 NOSTROK 10 MG 20,790.00
100 NYSTIN DROPS. LAPI 41,250.00 NYMIKO SUS DROP 27,143.00
101 OPICEF CAPS. 500 MG 10,450.00
102 OPICEF FORTE SYR 60 ML 71,500.00
103 OPICORT TAB. 4 MG 2,420.00
104 MEROSAN INJ 1 GRAM 266,200.00 RONEM INJ 387,000.00 OPIMER INJ. 1 GR 440,000.00 MEROBAT INJEKSI 1 GRAM
105 OPIMOX 500 MG 2,970.00
106 OPIPROL TAB. 5 MG 3,666.67
107 CARDISAN 10 MG 8,481.00 OPIVASK 10 MG 10,175.00
108 TRADOSIC CAP 3,300.00 ORASIC CAPS. 3,190.00 TRADYL CAPS.
109 ORASIC INJ 16,500.00
110 BUFECT FT SYR 16,913.00 OSTARIN FORTE SYR. 22,000.00
111 BUFECT SYR 12,045.00 OSTARIN SYR. 20,900.00
112 OTOPAIN EAR DROPS
113 OTTOGENTA CREAM 13,200.00 SALTICIN CREAM
114 SAGESTAM INJ. 7,499.80 OTTOGENTA INJ. 11,000.00 SALTICIN INJ
115 SANMOL DROP 12,953.00 OTTOPAN DROPS. 19,800.00 PAMOL DROPS.
116 SANMOL SYR 11,495.00 OTTOPAN SYR 15,950.00 PAMOL SYR. 60 ML
117 PAMOL SUPP 125 MG
118 PAMOL SUPP 250 MG
119 SANMOL TAB 240.00 PAMOL TAB.
120 PANTOPUMP INJ.
121 PEINLOS 400 INJ. 55,000.00
122 PIROTOP 10 GR SDM 58,272.50 PIBAKSIN OINT 10 GR 42,900.00
123 PLASMINEX 500 TAB 2,761.00
124 PLASMINEX INJ. 12,375.00
125 POLIDEMISIN SALEP MATA 26,400.00
126 PUMPITOR CAP 11,162.00 PROTOP CAPS.
127 PROVITAL PLUS TBL 5,060.00
128 PUMPITOR INJ. 142,153.00
129 REBAL PLUS 1,980.00
130 RHINOFED SYR. 60 ML DEXA MEDICA 23,650.00 TREMENZA SYR 16,913.00 TRIFEDRIN SYR 19,800.00 TRIFED SYR. 60 ML
131 RHINOS NEO DROPS DEXA MEDICA 42,900.00 EDORISAN DROP 40,920.00 ALCO DROPS 15 ML
132 RHODIUM TAB. 7,150.00
133 RINCOBAL TAB 500 MG YARINDO 1,402.50 MEGABAL 1,370.00 LANABAL 2,200.00 INTERCO
134 RINDOVECT SYR. YARINDO 57,475.00 RECUSTEIN SYR 48,400.00
135 PRONALGES SUPP. DEXA MEDICA 13,090.00 ROFIDEN SUPP. 12,100.00
136 SANADRYL DMP SYR. 60 ML 11,220.00
137 SANFULIQ TAB. 5,093.00
138 SANGOBION DROP. MERCK 21,875.00
139 SANGOBION SYR MERCK 18,480.00 BIOSANBE KIDS SYR LANTUROL 3,000.00
140 SANTA E 3,300.00
141 SANMOL FORTE TAB. 341.00
142 SANORINE HIJAU 80 ML 13,090.00
143 SANOSKIN MELLADERM PLU
Page 2 of 12
144 SANOSKIN OXY
145 SANPICILLIN INJ 14,410.00
146 SIKSTOP 90 MG 7,700.00
147 SOTATIC INJ 4,664.00
148 SOTATIC TAB 297.00
149 TEQUINOL CAPS. 500 MG 13,200.00
150 TORAMINE INJ. 30 MG 35,200.00
151 TORAMINE TAB. 10 MG 4,950.00
152 TREMENZA TAB. 1,248.50 TRIFED TAB.
153 TRIDEX 27A 500 ML 18,491.00
154 TRIDEX PLAIN 500 ML 18,491.00
155 TRICHODAZOL INF 68,761.00 TROGYL INFUS 500 MG 74,800.00
156 TROGYL SYR 41,800.00
157 TROGYL TAB. 1,760.00
158 TROVENSIS INJ. 2 ML 34,485.00
159 TROVENSIS TAB. 8 MG 17,589.00
160 ULVICE INJ. 27,500.00
161 URESIX INJ. 8,305.00
162 VALEPTIK SYR. 82,500.00 VALKENE SYR. 120 ML 80,910.00
163 VALISANBE INJ. 14,025.00
164 VARDIPIN 80/5 17,820.00
165 VASOLA INJ. 200,750.00
166 VERTIGOSAN TAB. 2,794.00
167 VIOXY FM TAB. 4,207.50
168 TROVENSIS INJ 4 MG 26,049.00 VOMIGO INJ. 4 MG/2 ML 31,900.00 LAMETIC INJ 4 MG 27,280.00 INVOMIT INJ 4MG/ML
169 TROVENSIS TAB 4 MG 10,082.00 VOMIGO TAB. 4 MG 13,200.00 INVOMET TAB 4 MG
170 TROVENSIS INJ 8 MG 52,930.00 VOMIGO INJ 8 MG 49,500.00 LAMETIC INJ 8 MG 54,560.00 INVOMIT INJ 8 MG
171 TROVENSIS INJ 4 MG 14,207.00 VOMIGO TAB 8 MG 14,058.00 LAMETIC TAB 8 MG 17,566.00 INVOMIT TAB 8 MG
172 ESOMAX INJ 148,500.00 LANXIUM INJ 145,200.00

Page 3 of 12
RBAT
HNA+PPN
16,600.00

30,800.00
48,400.00
27,720.00

161,100.00

136,500.00

14,575.00
16,000.00
45,203.00
6,025.00
46,368.00
37,350.00

2,772.00

2,640.00

12,856.25

108,240.00

2,053.33
26,535.00

1,407.00
2,541.00

134,090.00
7,260.00

4,400.00

Page 4 of 12
 52,250.00
4,326.00
9,240.00
67,553.75

2,420.00
36,305.00

9,350.00
8,250.00
41,360.00
35,200.00
72,600.00

4,108.50

44,440.00

371,360.00

4,235.00

63,800.00
14,454.00
10,373.00
39,820.00
23,100.00
11,264.00
16,720.00
459.03
87,664.50

11,099.55

28,600.00
36,765.00

2,658.00

165,000.00
Page 5 of 12
310,420.00

2,376.00

23,375.00
9,904.00
48,620.00
23,205.00

Page 6 of 12
 SANBE FARMA FAHRENHEIT OTTO LANDSON INTERBAT
NO NAMA OBAT PBF HNA+PPN
NAMA OBAT HNA+PPN NAMA OBAT HNA+PPN NAMA OBAT HNA+PPN NAMA OBAT HNA+PPN NAMA OBAT
1 SANMAG SYR 20,625.00 FARMACROL SYR. 100 ML 40,700.00 MAGTRAL SYR 20,350.00 ACITRAL SYR
2 AKILEN EAR DROPS 51,746.75
3 ALCO PLUS DMP SYR 100 ML
4 ALCO PLUS SYR 100 ML
5 ANADEX SYR
6 ANALSIK TAB. 1,309.00 OPINEURON TAB 1,196.00
7 ASEDAS SYR. PYRIDAM 40,700.00
8 ATOFAR Tab 40 mg 10,450.00
9 BACTRAZ INJ. 156,310.00
10 BECOM ZET 1,790.25
11 BENUTRION 250 ML 100,298.00
12 BIOSANBE 916.44
13 BIOTHICOL CAPS 250 MG 1,545.50
14 BIOTHICOL FORTE SYR 57,475.00
15 BIOTHICOL SYR 20,790.00
16 TERPACEF INJ 150,829.00 ELPICEF INJ 187,000.00 BIOXON INJ 203,500.00 STARXON INJ
17 BUNASCAN SPINAL 0.5% H 55,902.00
18 CALTRAX TAB. PYRIDAM 3,291.20 CALGAE CAPS. 5,170.00
19 CALOS TAB. 880.00
20 CANDEFION TAB. 8 MG INFION 5,500.00 CANDEFAR 8 MG 5,320.00
21 CARPIATON 25 MG 727.65
22 CEBEX CAPS. 1,435.50
23 SPORETIK 100 MG 20,185.00 CEPTIK 100 MG
24 STARCEF 200 MG DEXA MEDICA 16,200.00 SPORETIK 200 MG 29,150.00 FIXACEP TAB 200 MG 25,300.00 CEPTIK 200 MG
25 SPORETIK SYR 71,141.12 FIXACEP DS SYR 77,000.00 CEPTIK SYR.
26 CERINI CAPS 3,498.00 FALERGI TAB 3,300.00 CETIRGI TAB. 2,750.00 INTRIZIN TAB
27 CERINI DROPS. 53,707.50 INTRIZIN DROPS
28 CERINI SYR. 40,480.00 CETIRGI SYR. 39,600.00 INTRIZIN SYR
29 CHANNA 500 MG MYLAN 5,775.00
30 BRAXIDIN TAB 916.00 CLIAD TAB.
31 COLSANCETINE INJ 10,175.00
32 DEXTAMIN TAB/300 PC PHAPROS 1,815.00 DEXTAFEN CAPS. 1,650.00 CORTAMINE TAB.
33 CORTIDEX TAB. 297.00
34 COTEN TAB. 100 MG
35 CURCUMA 968.00
36 CURFOS SYR. 100 ML
37 ELKANA Syr 120 mg 17,901.40 CURMUNOS SYR 57,200.00
38 YAVIT-D TAB. YARINDO 2,403.50 DAILY D3 1000
39 DEXPROFEN INJ. 39,600.00 LANTIDEX INJ 38,720.00 TORDEX INJ
40 DOFACEF INJ. 34,101.34
41 DOGESIC 500 MG YARINDO 1,254.00 MEFINAL 500 MG 1,101.00
42 EPEXOL TAB. 30 MG 847.00 MUCERA TAB 880.00 INTERPEC TAB
43 EPSONAL TAB. PYRIDAM 3,245.00 EPRINOC TAB. 1,540.14 MYOBAT TAB.
44
45 ERDOBAT CAPS. INTERBAT 6,116.00 RECUSTEIN CAPS. 4,950.00
46 ESOMAX INJ. 148,500.00
47 TAXEGRAM 1 GR INJ 109,879.00 BIOCEF INJ 68,800.00
48 NEUROSANBE INJ 4,212.00 FARBION INJ 4,950.00
49 NEUROSANBE 5000 TAB 2,108.00 FARBION TAB 1,155.00
50 FARBIVENT 12,100.00
51 FARMACROL SYR. 200 ML 50,600.00
52 FARSIX 40 MG 990.00
53 FARSORBID INJ. 66,000.00
54 FENDEX TAB. 5,775.00
55 BIFOTIK INJ 135,058.00 STABACTAM INJ 149,000.00 BACTRAZ INJ 156,310.00 FERZOBAT INJ
56 FINPRO TAB
57 OSTEOR KRIM PYRIDAM 132,000.00 FLAMAR ZALF 20 GR 16,720.00
58 FLAMICORT 10 MG DEXA MEDICA 78,650.00
59 FLOXARIS INFUS 330,000.00
60 FOLAVIT TAB. 400 MG 825.00 FOLAC TAB. 770.00
61 FORMOM TAB. PYRIDAM 2,252.69 VITAMULTI DHA CAPS. 2,750.00
62 GERDILIUM DROPS 30,800.00
63 VOMETA SYR DEXA MEDICA 25,650.00 VOSEDON SYR 24,008.00 GERDILIUM SYR. 33,495.00
64 VOMETA TAB DEXA MEDICA 2,400.00 VOSEDON TAB 1,918.00 GERDILIUM TAB. 3,850.00
65 GRATIZIN TAB. 10 MG 5,813.50
66 GRATIZIN TAB. 5 MG 4,862.00
67 HEPA-Q CAPS. PYRIDAM 4,851.00
68 OSTEOR PLUS CAPS. PYRIDAM 7,700.00 VOSTEM TAB 3,383.00 HI BONE 300 3,300.00 VOSSECAL 3,813.00 OSSOVIT CAPS.
69 HI BONE 600 3,850.00
70 HUMAN ALBUMIN 20% 50 MLDEXA MEDICA 445,000.00

Page 7 of 12
 71 IMMUCEA SYR.
72 IMUDATOR TAB. PYRIDAM 7,480.00 FORMUNO 4,825.00 IMMUCEA TAB.
73 INDEXON INJ
74 INERSON SALEP 15 GR
75 INFUSAN D5 100 ML 12,762.75
76 INKURIN TAB.
77 EPISAN SYR 100 ML 40,343.00 INPEPSA SYR. 100 ML 52,800.00 LANPEPSA SYR 61,600.00
78 EPISAN SYR 200 ML 64,680.00 INPEPSA SYR. 200 ML 82,500.00
79 PROBIOKID POWDER 11,298.00 INTERLAC STICK PACK
80 PROBIOKID CAP 8,667.00 INTERLAC TAB.
81 INTERPEC SYR. 15 MG
82 INTERZINC SYR. 60 ML
83 PREDNICORT INJ. 125 MG 88,000.00 INTIDROL INJ.
84 INVOMET TAB 4 MG
85 ISORIC 300 TAB
86 ISOTIC ADRETOR Eye Drops 13,695.00
87 LACTAFAR 4,180.00
88 LANAKELOID E CREAM 10 133,100.00
89 LANOVIT CAPS. 2,200.00
90 OPILAX SYR. 60 ML 43,862.50 LANTULOS 60 ML 88,000.00
91 LESICHOL Kaps 600 MG 14,850.00
92 LIDODEX INJ BERNOFARM 60,500.00
93 LIPROQY 7,040.00
94 LODIA TAB. 1,045.00
95 EPEXOL DROPS 31,020.00 MUCERA DROPS 35,200.00
96 EPEXOL SYR 14,273.00 MUCERA SYR 30 MG / 60 ML 23,925.00 INTERPEC SYR. 30 MG
97 NEO GYNOXA OVULA KALBE FARMA 15,675.00 TRICHODAZOLE PLUS OVUL 10,271.00 TROGYSTATIN OVULA 15,400.00
98 NORPHAGEN INJ. 20 ML 79,200.00
99 NOSTROK 10 MG 20,790.00
100 NYSTIN DROPS. LAPI 41,250.00 NYMIKO SUS DROP 27,143.00
101 OPICEF CAPS. 500 MG 10,450.00
102 OPICEF FORTE SYR 60 ML 71,500.00
103 OPICORT TAB. 4 MG 2,420.00
104 RONEM INJ 387,000.00 OPIMER INJ. 1 GR 440,000.00
105 OPIMOX 500 MG 2,970.00
106 OPIPROL TAB. 5 MG 3,666.67
107 CARDISAN 10 MG 8,481.00 OPIVASK 10 MG 10,175.00
108 TRADOSIC CAP 3,300.00 ORASIC CAPS. 3,190.00 TRADYL CAPS.
109 ORASIC INJ 16,500.00
110 BUFECT FT SYR 16,913.00 OSTARIN FORTE SYR. 22,000.00
111 BUFECT SYR 12,045.00 OSTARIN SYR. 20,900.00
112 OTOPAIN EAR DROPS
113 OTTOGENTA CREAM 13,200.00 SALTICIN CREAM
114 SAGESTAM INJ. 7,499.80 OTTOGENTA INJ. 11,000.00 SALTICIN INJ
115 SANMOL DROP 12,953.00 OTTOPAN DROPS. 19,800.00 PAMOL DROPS.
116 SANMOL SYR 11,495.00 OTTOPAN SYR 15,950.00 PAMOL SYR. 60 ML
117 PAMOL SUPP 125 MG
118 PAMOL SUPP 250 MG
119 SANMOL TAB 240.00 PAMOL TAB.
120 PANTOPUMP INJ.
121 PEINLOS 400 INJ. 55,000.00
122 PIROTOP 10 GR SDM 58,272.50 PIBAKSIN OINT 10 GR 42,900.00
123 PLASMINEX 500 TAB 2,761.00
124 PLASMINEX INJ. 12,375.00
125 POLIDEMISIN SALEP MATA 26,400.00
126 PUMPITOR CAP 11,162.00 PROTOP CAPS.
127 PROVITAL PLUS TBL 5,060.00
128 PUMPITOR INJ. 142,153.00
129 REBAL PLUS 1,980.00
130 RHINOFED SYR. 60 ML DEXA MEDICA 23,650.00 TREMENZA SYR 16,913.00 TRIFEDRIN SYR 19,800.00 TRIFED SYR. 60 ML
131 RHINOS NEO DROPS DEXA MEDICA 42,900.00 EDORISAN DROP 40,920.00 ALCO DROPS 15 ML
132 RHODIUM TAB. 7,150.00
133 RINCOBAL TAB 500 MG YARINDO 1,402.50 MEGABAL 1,370.00 LANABAL 2,200.00 INTERCO
134 RINDOVECT SYR. YARINDO 57,475.00 RECUSTEIN SYR 48,400.00
135 PRONALGES SUPP. DEXA MEDICA 13,090.00 ROFIDEN SUPP. 12,100.00
136 SANADRYL DMP SYR. 60 ML 11,220.00
137 SANFULIQ TAB. 5,093.00
138 SANGOBION DROP. MERCK 21,875.00
139 SANGOBION SYR MERCK 18,480.00 BIOSANBE KIDS SYR LANTUROL 3,000.00
140 SANTA E 3,300.00
141 SANMOL FORTE TAB. 341.00
142 SANORINE HIJAU 80 ML 13,090.00
143 SANOSKIN MELLADERM PLU
Page 8 of 12
144 SANOSKIN OXY
145 SANPICILLIN INJ 14,410.00
146 SIKSTOP 90 MG 7,700.00
147 SOTATIC INJ 4,664.00
148 SOTATIC TAB 297.00
149 TEQUINOL CAPS. 500 MG 13,200.00
150 TORAMINE INJ. 30 MG 35,200.00
151 TORAMINE TAB. 10 MG 4,950.00
152 TREMENZA TAB. 1,248.50 TRIFED TAB.
153 TRIDEX 27A 500 ML 18,491.00
154 TRIDEX PLAIN 500 ML 18,491.00
155 TRICHODAZOL INF 68,761.00 TROGYL INFUS 500 MG 74,800.00
156 TROGYL SYR 41,800.00
157 TROGYL TAB. 1,760.00
158 TROVENSIS INJ. 2 ML 34,485.00
159 TROVENSIS TAB. 8 MG 17,589.00
160 ULVICE INJ. 27,500.00
161 URESIX INJ. 8,305.00
162 VALEPTIK SYR. 82,500.00 VALKENE SYR. 120 ML 80,910.00
163 VALISANBE INJ. 14,025.00
164 VARDIPIN 80/5 17,820.00
165 VASOLA INJ. 200,750.00
166 VERTIGOSAN TAB. 2,794.00
167 VIOXY FM TAB. 4,207.50
168 TROVENSIS INJ 4 MG 26,049.00 VOMIGO INJ. 4 MG/2 ML 31,900.00 LAMETIC INJ 4 MG 27,280.00
169 TROVENSIS TAB 4 MG 10,082.00 VOMIGO TAB. 4 MG 13,200.00
170 TROVENSIS INJ 8 MG 52,930.00 VOMIGO INJ 8 MG 49,500.00 LAMETIC INJ 8 MG 54,560.00 INVOMIT INJ 8 MG
171 TROVENSIS INJ 4 MG 14,207.00 VOMIGO TAB 8 MG 14,058.00 LAMETIC TAB 8 MG 17,566.00 INVOMIT TAB 8 MG
172 ESOMAX INJ 148,500.00 LANXIUM INJ 145,200.00

Page 9 of 12
RBAT
HNA+PPN
29,700.00

30,800.00
48,400.00
27,720.00

148,203.00

22,000.00
27,500.00
88,000.00
6,025.00
77,000.00
55,000.00

2,772.00

2,640.00

12,856.25

108,240.00

2,053.33
26,535.00

1,407.00
5,445.00

161,000.00
7,260.00

4,400.00

Page 10 of 12
 52,250.00
8,624.00
9,240.00
67,553.75

2,420.00

9,350.00
8,250.00
41,360.00
35,200.00
72,600.00
15,950.00
4,108.50

44,440.00

4,235.00

63,800.00
14,454.00
10,373.00
39,820.00
23,100.00
11,264.00
16,720.00
459.03
87,664.50

11,099.55

28,600.00
68,200.00

2,658.00

165,000.00
Page 11 of 12
310,420.00

2,376.00

59,500.00
23,205.00

Page 12 of 12