SO Injeksi

Kode Item NAMA KART NAMA SIMRS NAMA DIKEMASAN PRODUK JUMLAH FISIJUMLAH SIM
No
523 PLA4202
PLASBUMIN 20% 100ML
ALBUMIN INFUS 20% 100 ML (PLASBUMIN) 128 128
522 PLA4201 ALBUMIN INFUS 20% 50 ML (PLASBUMIN) 125 125
30 AMK4202 AMIKASIN SULFAT INJEKSI 500 MG/2 ML (PHAPROS) DAU 2,650
19 AMIDAU4201 AMINOFILIN INJEKSI 240 MG/10 ML (LUCAS) DAU 783
20 AMIKIN1103 AMIODARON INJEKSI 150 MG/3 ML (DARYA VARIYA) 93
33 AMP4202 AMPISILIN INJEKSI 1000 MG (BERNO) 650
68 BACT8101 AMPISILIN SULBAKTAM INJEKSI 750 MG (BACTESYN) 50
462 NOVEC4201 ANALOG INSULIN RAPID ACTING FLEXPEN 300 UI (NOVORAPID) 415 365
361 LEVKIN4201 ANALOG INSULIN LONG ACTING FLEXPEN 300 UI (LEVEMIR) 375 375
563 SAN4203 ANALOG INSULIN LONG ACTING FLEXPEN 300 UI (SANSULIN LOG-G) 310 310
463 NOVEC4202 ANALOG INSULIN MIX FLEXPEN 300 UI (NOVOMIX) 290 290
38 AQU4201 AQUA PRO INJEKSI 25 ML (OTSUKA) 12,192
37 AQU1003 AQUA STERIL 1 LITER (WDT) 460
53 ASAKIN4204 ASAM TRANEKSAMAT INJEKSI 250 MG/5 ML (DEXA) 12,950
61 ATRDAU4203 ATROPIN SULFAT INJEKSI 0,25 MG/ML (ETHICA) DAU 1,900
77 BUPKIN4204 BUPIVAKAIN SPINAL INJEKSI (NOVEL) DAU 3355 3,435
142 CLARG4201 CO AMOKSIKLAV INJEKSI 1000 MG (CLANEKSI) 12 12
148 COMRG4201 COMBIVENT 2,5 ML UDV NEB.(REG)BX.20 180
150 COMRG4203 COMBIVENT 2,5ML UDV NEB DAU 15,000
181 DEX4204 DEKSAMETASON INJEKSI 5 MG/ML (BERNO) 9,295
190 DEXKIN4202 DEKSAMETASON INJEKSI 5 MG/ML (MEPRO) DAU 17,100

193 DIAKIN1106 DIAZEPAM INJEKSI 5 MG/ML (MEPRO) DAU 206
198 DIP4201 DIFENHIDRAMIN INJEKSI (PHAPROS) 514
245 FARRG4202 DIGOKSIN INJEKSI 0,25 MG /2 ML (FARGOXIN) 180
126 CETKIN4201 DOPAMIN INJEKSI 40 MG/ML (CETADOP) 485
127 CETKIN4202 DOPAMIN INJEKSI 40 MG/ML (CETADOP) DAU 5,000
225 EPH4201 EFEDRIN INJEKSI 50 MG/ML (MBF) 240
230 EPIKIN4205 EPINEFRIN INJEKSI 1 MG//10 ML (PHAPROS) 2,797
236 EPOKIN4205 ERITROPOIETIN INJEKSI 2000 UI (EPODION) DAU 3540 3,540

235 EPOKIN4204 ERITROPOIETIN INJEKSI 3000 UI (EPODION) DAU 4050 4,050
504 PHE4201 FENOBARBITAL INJEKSI 50 MG/ML (PHAPROS) 1,371
249 FEN4202 FENTANIL INJEKSI 0.5 MG/ML DAU 3,475

353 LEUCO8101 FILGASTRIM INJEKSI 300 UCG/ML (LEUCOGEN) 30 30
510 PHIKIN4202 FITOMENADION INJEKSI 2 MG/ML (PHAPROS) 5
46 ARI4201 FONDAPARINUKS NATRIUM INJEKSI 2,5 MG/0,5 ML (ARIXTRA) 330 330
274 FURKIN4205 FUROSEMID INJEKSI 10 MG/ML (DEXA) 15,150

629 URERG4201 FUROSEMID INJEKSI 10 MG/ML (URESIX) 200
561 SAGRG4201 GENTAMISIN INJEKSI 40 MG/ML (SAGESTAM) 90
466 NTG8101 GLISERIL TRINITRAT INJEKSI 10 MG/10 ML (NTG) 250
305 INVKIN4203 HEPARIN INJEKSI 500 IU/ML (INVICLOT) 5 ML DAU 4,900
303 INVKIN4201 HEPARIN INJEKSI 5000 IU/ML (INVICLOT) 5 ML 1,380
244 FARKIN4203 HIDROKORTISON INJEKSI 100 MG (FARTISON) 4

297 HYCO8101 HIOSINA BUTILBROMIDA INJEKSI 20 MG/ML 200
283 GIT8101 HIOSINA BUTILBROMIDA INJEKSI 20 MG/ML (GITAS) 100
5 ACKIN4201 HUMAN INSULIN FAST ACTING INJEKSI 100 UI/ML 10 ML (ACTRAPID HM) 9 9
306 IOME001 IOMEPROL 400/50 (IOMERON) 280 280
6 AERKIN4201 ISOFLURAN INHALASI 250 ML (AERRANE) 7,500
604 TER4201 ISOFLURAN INHALASI 250 ML (TERREL) 51,250
310 ISOS002 ISOSORBID DINITRAT INJEKSI INJ 1 MG/ML (PRATAPA) 34
92 CALDAU4204 KALSIUM GLUKONAT INJEKSI 100 MG/ML (ETHICA) DAU 408
324 KCLKIN4201 KCL INJEKSI 7,46% 704
327 KET4203 KETAMIN INJEKSI 1000 MG/10 ML (IVANES) DAU 230
349 KTM4201 KETAMIN INJEKSI 1000 MG/10 ML (KTM 100 MG/ML) 6
326 KET4202 KETAMIN INJEKSI 50 MG/ML 696
332 KETKIN4204 KETOPROFEN INJEKSI 50 MG/ML (BERNO) 30
337 KETKIN4209 KETOROLAK INJEKSI 10 MG (BERNO) 3,700
335 KETKIN4207 KETOROLAK INJEKSI 30 MG (BERNO) 800
328 KETDAU4218 KETOROLAK INJEKSI 30 MG (ETHICA) DAU 32,500
80 CAI4101 LARUTAN 1-4 INFUS 500 ML (WIDARTA) 2,560

81 CAI4102 LARUTAN 2A 500 ML (WIDATRA) 2,240
21 AMIKIN4101 LARUTAN AMINOFUSIN HEPAR INFUS 225
24 AMIKIN4105 LARUTAN AMINOFUSIN PAED INFUS 180
69 BFL8101 LARUTAN BFLUID INFUS 500 ML 220
173 DEX4104 LARUTAN DEKSTROSA 10 % 500ML (WIDATRA) 780

179 DEX4202 LARUTAN DEKSTROSA 40 % (OTS) 1,800
171 DEX4102 LARUTAN DEKSTROSA 5% 100ML (OTSU) 800
187 DEX4210 LARUTAN DEKSTROSA 5% 500 ML (SATORIA) 2,000
315 KAE4104 LARUTAN KA EN 3B 200
314 KAE4103 LARUTAN KA EN MG3 500
430 NAC4103 LARUTAN NACL 0,9% INFUS 1000 ML (WIDATRA) 1,585
443 NAC4214 LARUTAN NACL 0,9% INFUS 500 ML (SATORIA) 1,300
427 NAC4101 LARUTAN NACL 0,9% INFUS 500 ML (WIDATRA) 5,000
429 NAC4102 LARUTAN NACL 3% INFUS (SALLIN) 80
54 ASE4101 LARUTAN RINGER ASETAT INFUS 500 ML (ASERING) INFUS 4,184
552 RIN4108 LARUTAN RINGER LAKTAT INFUS 500 ML (SATORIA) 3,040
358 LEVKIN4102 LEVOFLOKSASIN INFUS 500 MG/100 ML (NOVEL) DAU 5,034
368 LID4205 LIDOKAIN COMPOSITUM INJEKSI (PHAPROS)@30 560
364 LID4201 LIDOKAIN INJEKSI 2% (BERNO) 1,930
371 MAG4201 MAGNESIUM SULFAT INJEKSI 20% 162
372 MAG4202 MAGNESIUM SULFAT INJEKSI 40% 300

377 MANKIN4102 MANITOL INFUS 20% 250ML (OTSUKA) 340
239 ETHRG4201 MEKOBALAMIN INJEKSI 500 MCG/1 ML (ETHIGOBAL) 60
380 MECKIN4201 MEKOBALAMIN INJKSI 500 MCG/ML (NOVEL) 630

394 MERR4206 MEROPENEM INJEKSI 1000 MG (MEPRO) 2,260
391 MERKIN4207 MEROPENEM INJEKSI 1000 MG (QUANTUM) 220
420 METKIN4212 METILPREDNISOLON INJEKSI 125 MG/VIAL (PHAPROS) DAU 8,068
401 METC4201 METOKLOPRAMID INJEKSI 10 MG/2 ML (BERNO) 1,000
408 METKIN4103 METRONIDAZOL INFUS 500 MG/100 ML (DEXA) 4,152
264 FORKIN4201 MIDAZOLAM INJEKSI 5 MG/5 ML (FORTANEST) 400

423 MOR4201 MORFIN INJEKSI 10 MG/ML 30
421 MEY4201 NATRIUM BIKARBONAT INJEKSI 8,4% (MEYLON 8,4%) 360
163 CYS4201 NATRIUM HYALURONATE INJEKSI 40MG/50 ML (CYSTISTAT) 5
447 NEORG4201 NEOSTIGMIN INJEKSI 0,5 MG/ML (NEOSTIGMINE-HAMELN) 455
451 NEURG4206 NEUROSANBE INJEKSI 3 ML 250
453 NICKIN4202 NIKARDIPIN INJ 10 MG (DEXA) 4,850
457 NORKIN4202 NOREPINEFRIN INJEKSI 1 MG/ML (ETHICA) 2,470
471 OKSKIN4202 OKSITOSIN INJEKSI 10 IU/ML (ETHICA) 7000 7,000
300 IND4201 OKSITOSIN INJEKSI 10 IU/ML (INDUXIN) 2600 2,600
492 ONDKIN4213 ONDANSETRON INJEKSI 4 MG/2 ML (DEXA) 16,025
483 ONDKIN4202 ONDANSETRON INJEKSI 8 MG/4 ML (BERNO) 640

496 PARDA4103 PARASETAMOL INFUS 10 MG/ML (MERSI) DAU 20
497 PARKIN9114 PARASETAMOL INFUS 10 MG/ML (QUANTUM) 500
503 PETKIN4201 PETIDIN INJEKSI 50 MG/ML 50
512 PIRKIN4201 PIRASETAM INJEKSI 1000 MG/5 ML (BERNO) 450
515 PIRKIN4204 PIRASETAM INJEKSI 3000 MG/15 ML (BERNO) 2,570
529 PPD4201 PPD 2 UT 1,5 ML INJEKSI 10
268 FRE4202 PROPOFOL INJEKSI 1% (FRESOFOL) 229 180
269 FRE4203 PROPOFOL INJEKSI 1% (FRESOFOL) DAU 900 900
537 RANKIN4202 RANITIDIN INJ 25 MG/ML (BERNO) 2,200

541 RANKIN4206 RANITIDIN INJ 25 MG/ML (SOHO) 2,000
558 ROC4201 ROKURONIUM INJEKSI 10 MG/ML (ETERCON) 252 252
574 SERKIN4201 SABU INJEKSI 10 10
639 VENKIN4201 SALBUTAMOL INHALER 100 MCG/DOSIS 200 DOSIS (VENTOLIN) 400
101 CEFA4201 SEFAZOLIN INJEKSI 1000 MG (DEXA) 146
122 CEFKIN4221 SEFOPERAZON INJEKSI 1000 MG (MEPRO) 150
106 CEFKIN4204 SEFOPERAZON SULBAKTAM INJEKSI 1000 MG (BERNO) 183
102 CEFDAU4215 SEFOTAKSIM INJEKSI 1000 MG (RAMA) DAU 22,950
110 CEFKIN4209 SEFTAZIDIM INJEKSI 1000 MG (DEXA) 1,512

113 CEFKIN4212 SEFTRIAKSON INJEKSI 1000 MG (PHAPROS) 5,296
128 CEUR4201 SEFUROKSIM INJEKSI 750 MG (DARYA VARIA) 40
582 SEV4202 SEVOFLURAN BAXTER INJ.250 ML 10,000
592 SOJ4201 SEVOFLURAN CAIRAN 250 ML (SOJOURN) 30,000
593 SOJ4202 SEVOFLURAN CAIRAN 250 ML (SOJOURN) DAU 25,750
587 SIPKIN4201 SIPROFLOKSASIN INFUS (DEXA) 1,498
140 CITKIN4204 SITIKOLIN INJEKSI 250 MG/2 ML (QUANTUM) 2,610
590 SMOF4101 SMOFKABIVEN INFUS 493ML 4
251 FIBRN4201 STREPTOKINASE INJEKSI 1.500.000 IU (FIBRION) 5 5
599 STRKIN4202 STREPTOMISIN INJEKSI 1000 MG (PHAPROS) 1,904
446 NAIRG4201 TERBUTALIN INJEKSI 0,5 MG/ML (NAIRET) 100
616 TRAKIN4206 TRAMADOL INJEKSI 100 MG/2 ML (MAHAKAM) 480
627 TUTO8101 TUTOFUSIN INFUS 55
632 VAK4202 VAKSIN TD @ 5ML 22
631 VAK4201 VAKSIN TT 1ML 10 10
635 VANC1103 VANKOMISIN INJEKSI 104 104
649 VOL8101 VOLUVEN INFUS 6% 500ML 480
1 803960 LARUTAN MALTOSE INFUS 10 % (MARTOSE) 0
2 840484 BUPIVAKAIN HCL INJEKSI 0,5 % 4 ML (MARCAIN SPINAL) 0
3 840759 BUPIVAKAIN HCL INJEKSI 0,5 % 4 ML (DECAIN SPINAL) 0
4 840849 BUPIVAKAIN HCL INJEKSI 0,5 % 20 ML (MARCAIN EPIDURAL) 0
7 ALBDAU4201 ALBUMIN INFUS 20% 100 ML DAU 0
8 ALBDAU4202 ALBUMIN INFUS 20% 50 ML DAU 0
9 ALBKIN4201 ALBUMIN INFUS 20% 50 ML 0
10 ALBKIN4202 ALBUMIN INFUS 20 % 100 ML 0
11 ALBKIN4203 ALBUMIN INFUS 20 % 100 ML (ALBAPURE) 0
12 ALBKIN4204 ALBUMIN INFUS 25% 100 ML (ALBUMINAR) 0
13 AMFKIN4201 AMINOFILIN INJEKSI 240 MG/10 ML 0

14 AMI2403 AMINOFILIN INJEKSI 240 MG/10 ML (PHAPROS) 0
15 AMI4201 AMINOFILIN INJEKSI 240 MG/10 ML (ETHICA) 0
16 AMI4202 AMINOFILIN INJEKSI 240 MG/10 ML (LUCAS) 0

17 AMI4203 LARUTAN AMINOSTERIL INFANT 6% 100 ML 0
18 AMI4204 AMINOFILIN INJEKSI 240 MG/10 ML (APT. KF) 0
22 AMIKIN4102 LARUTAN AMINOVEL 600 INFUS 0
23 AMIKIN4103 LARUTAN AMINOFUSIN L 600 INFUS 0
25 AMIRG4101 LARUTAN AMINOFUSIN PAED INFUS 0
26 AMIRG4102 LARUTAN AMINOLEBAN INFUS 0
27 AMIRG4103 LARUTAN AMINOVEL 600 INFUS 0
28 AMIRG4104 LARUTAN AMINOFLUID - L INFUS 0

29 AMK4201 AMIKASIN SULFAT INJEKSI 500 MG/2 ML 0
31 AMORG4201 AMOKSISILIN INJEKSI 1000 MG (AMOXSAN) 0
32 AMP4201 AMPISILIN INJEKSI 1000 MG (PHAROS) 0
34 AMPKIN4201 AMPISILIN INJEKSI 1000 MG (PHAROS) 0
35 ANBRG4201 SEFUROKSIM INJEKSI 1000 MG (ANBACIM) 0
36 ANTKIN4201 ANTALGIDON INJEKSI 10 ML 0
39 AQU4202 AQUA PRO INJEKSI 20 ML (LUCAS) 0
40 AQU4203 AQUA PRO INJEKSI 50 ML (IKA) 0
41 AQU4204 AQUA PRO INJESI 25 ML (SAPTA SARI) 0
42 AQU4205 AQUA PRO INJEKSI 20 ML (IKA) 0
43 AQU43 AQUA 1000 ML (LAB) 0
44 AQUA001 AQUABIDES CAN 20 LITER 0
45 AQUKIN4201 AQUA PRO INJEKSI 25 ML (OTSUKA) 0
47 ARI4202 FONDAPARINUKS NATRIUM INJEKSI 7,5 MG/0,6 ML (ARIXTRA) 0
48 ARI4203 FONDAPARINUKS NATRIUM INJEKSI (ARIXTRA) (APT. AKMAL) 0
49 ARI4204 FONDAPARINUKS NATRIUM INJEKSI 2,5 MG/0,5 ML (ARIXTRA) (APT. KF) 0
50 ARIEC4201 FONDAPARINUKS NATRIUM INJEKSI 2,5 MG/0,5 ML (ARIXTRA) 0
51 ASAKIN4202 ASAM TRANEKSAMAT INJEKSI 250 MG/5 ML (NOVELL) 0
52 ASAKIN4203 ASAM TRANEKSAMAT INJEKSI 250 MG/5 ML (MAHAKAM) 0

55 ASEDAU4101 LARUTAN RINGER ASETAT INFUS (ASERING) DAU 0
56 ASTKIN4201 ASAM TRANEKSAMAT INJEKSI 250 MG/5 ML (BERNO) 0
57 ASTKIN4204 ASAM TRANEKSAMAT INJEKSI 250 MG/5 ML (APT. AKMAL) 0
58 ASTKIN4205 ASAM TRANEKSAMAT INJEKSI 250 MG/5 ML (APT. KF) 0
59 ASTKIN4206 ASAM TRANEKSAMAT INJEKSI 500 MG/5 ML (BERNO) 0
60 ATR4201 ATROPIN SULFAT INJEKSI 0,25 MG/ML (ETHICA) 0
62 ATRKIN4201 ATROPIN SULFAT INJEKSI 0.25 MG/ML 0
63 ATRKIN4202 ATROPIN SULFAT INJEKSI 0,25 MG/ML (APT. KF) 0
64 ATS4 ATS INJEKSI 1500 UI 0
65 ATS4201 ATS INJEKSI 1500 UI 0
66 ATS4202 ATS INJEKSI 20.000 UI 0
67 ATS4203 ATS INJEKSI 1500 UI (APT. KF) 0
70 BIORG4201 SEFOTAKSIM INJEKSI 1000 MG (BIOCEF) 0
71 BLED8101 METILERGOMETRIN INJEKSI 200 MCG/ML (BLEDSTOP) 0
72 BRIKIN4201 TERBUTALIN INJEKSI 0,5 MG/ML (BRICASMA) 0
73 BUC4201 BUPIVAKAIN HCL INJEKSI 0,5 % (BUCAIN SPINAL) 0
74 BUPKIN4201 BUPIVAKAIN SPINAL INJEKSI 0
75 BUPKIN4202 BUPIVAKAIN HCL INJEKSI 0,5 % 100 MG/20 ML (BUVANEST EPIDURAL) 0
76 BUPKIN4203 BUPIVAKAIN SPINAL INJEKSI (QUANOCAIN) 0

78 BUSRG4201 HIOSIN-N-BUTILBROMIDA INJEKSI 20 MG/ML (BUSCOPAN) 0
79 BUVKIN4202 BUPIVAKAIN HCL INJEKSI 0,5 % 20 MG/4 ML (BUVANEST SPINAL) 0
82 CAI4103 LARUTAN 2A INFUS 500 ML RUBER (OTSUKA) 0
83 CAI4105 LARUTAN M20 INFUS 500 ML 0
84 CAI4203 LARUTAN 1-4 INFUS 500 ML (OTSU) 0
85 CAIDAU4102 LARUTAN RINGER LAKTAT INFUS (SANBE) DAU 0
86 CAIKIN4101 LARUTAN M20 INFUS 500 ML 0
87 CAIRG4101 LARUTAN RINGER LAKTAT INFUS (SANBE) 0
88 CAIRG4102 LARUTAN DEKSTROSA INFUS 5 % (SANBE) 0

89 CAIRG4103 LARUTAN NACL 0,9 % INFUS (SANBE) 0
90 CAIRG4104 LARUTAN 1-4 INFUS (SANBE) 0
91 CAIRG4105 LARUTAN 2-A INFUS 500 ML (SANBE) 0
93 CALEC4201 KALSIUM GLUKONAT INJEKSI 100 MG/ML (ETHICA) 0
CALKIN4201 KALSIUM GLUKONAT INJEKSI 100 MG/ML 0

94
95 CALRG4201 KALSIUM GLUKONAT INJEKSI 100 MG/ML 0
96 CALRG4202 KALSIUM GLUKONAT INJEKSI 100 MG/ML (APT. AKMAL) 0
97 CALRG4203 KALSIUM GLUKONAT INJEKSI 100 MG/ML (APT. KF) 0
98 CATDAU4201 KLONIDIN INJEKSI 150 MCG/ML (CATAPRES) DAU 0
99 CATKIN4201 KLONIDIN INJEKSI 150 MCG/ML (CATAPRES) 0
100 CEF4201 SEFTAZIDIM INJEKSI 1000 MG (NOVEL) 0
103 CEFKIN4201 SEFTRIAKSON INJEKSI 1000 MG (QUANTUM) 0
104 CEFKIN4202 SEFOTAKSIM INJEKSI 1000 MG (BERNO) 0
105 CEFKIN4203 SEFOTAKSIM INJEKSI 1000 MG (INF) 0
107 CEFKIN4205 SEFTRIAKSON INJEKSI 1000 MG (BERNO) 0
108 CEFKIN4206 SEFOTAKSIM INJEKSI 1000 MG (PHAPROS) 0
109 CEFKIN4208 SEFOTAKSIM INJEKSI 1000 MG (DEXA) 0
111 CEFKIN4210 SEFOPERAZON INJEKSI 1000 MG (YARINDO) 0
112 CEFKIN4211 SEFTAZIDIM INJEKSI 1000 MG (PHAPROS) 0
114 CEFKIN4213 SEFOPERAZON SULBAKTAM INJEKSI 1000 MG (MK) 0
115 CEFKIN4214 SEFOTAKSIM INJEKSI 1000 MG (QUANTUM) 0

116 CEFKIN4215 SEFOPERAZON SULBAKTAM INJEKSI 1000 MG (NOVELL) 0
117 CEFKIN4216 SEFTRIAKSON INJEKSI 1000 MG (DEXA) 0
118 CEFKIN4217 SEFOTAKSIM INJEKSI 1000 MG (RAMA) 0

119 CEFKIN4218 SEFOTAKSIM INJEKSI 1000 MG (PHAPROS) DAU 0
120 CEFKIN4219 SEFOPERAZON INJEKSI 1000 MG (BERNO) 0
121 CEFKIN4220 SEFOPERAZON INJEKSI 1000 MG (MBF) 0
123 CEFT001 SEFTRIAKSON INJEKSI 1000 MG (APT. AKMAL) 0
124 CEKIN4201 SEFTAZIDIM INJEKSI 1000 MG (HEXPARM) 0

125 CERRG4201 CERNEVIT INJEKSI 0
129 CIPDAU4101 SIPROFLOKSASIN INFUS 200 MG/100 ML (DEXA) DAU 0
130 CIPKIN4102 SIPROFLOKSASIN INFUS 200 MG/100 ML (NOVELL) 0
131 CIPKIN4103 SIPROFLOKSASIN INFUS 200 MG/100 ML (HJ) 0
132 CIPKIN4104 SIPROFLOKSASIN INFUS 200 MG/100 ML (BERNO) 0
133 CIPKIN4105 SIPROFLOKSASIN INFUS 200 MG/100 ML (PHAPROS) 0
134 CIPKIN4106 SIPROFLOKSASIN INFUS 200 MG/100 ML (QUANTUM) 0
135 CIPKIN4107 SIPROFLOKSASIN INFUS 200 MG/100 ML (APT. AKMAL) 0
136 CITKIN1101 SITIKOLIN INJEKSI 250 MG/2 ML (BERNO) 0
137 CITKIN4201 SITIKOLIN INJEKSI 250 MG/2 ML (HJ) 0
138 CITKIN4202 SITIKOLIN INJEKSI 250 MG/2 ML (DEXA) 0
139 CITKIN4203 SITIKOLIN INJEKSI 250 MG/2 ML (NOVELL) 0
141 CITKIN4206 SITIKOLIN INJEKSI 250 MG/2 ML (APT. AKMAL) 0
143 CLI4101 CLINOLEIC 20 % 100 ML 0
144 CLI4102 CLINOLEIC 20% 250ML 0

145 CLI4202 CLINIMIX 1 L 0
146 COLRG4201 KLORAMFENKOL INJEKSI 1000 MG (COLSANCETINE) 0
147 COMKIN4101 LARUTAN COMAFUSIN HEPAR INFUS 0
149 COMRG4202 COMBIVENT NEB 2.5 ML (AKMAL) 0
151 COMRG4204 COMBIVENT NEB 2,5 ML (APT. ELZA) 0

152 CORKIN4202 CORDARON INJ. 0
153 CURKIN4201 FUOROURASIL INJEKSI 500 MG/10 ML (CURACIL) 0
154 CURKIN4202 FLUOROURASIL INJEKSI 250 MG (CURACIL) 0
155 CURRG4201 FLUOROURASIL INJEKSI 500 MG/ 10 ML (CURACIL) 0
156 CURRG4202 FLUOROURASIL INJEKSI 250 MG (CURACIL) 0
157 CYCEC4201 SIKLOFOSFAMID INJEKSI 1000 MG 0
158 CYCKIN4201 SIKLOFOSFAMID INJEKSI 1000 MG 0
159 CYCKIN4203 SIKLOFOSFAMID INJEKSI 1000 MG (CYCLOVID) 0

160 CYCRG4201 SIKLOFOSFAMID INJEKSI 1000 MG 0
161 CYCRG4202 SIKLOFOSFAMID INJEKSI 500 MG (CYCLOVID) 0

162 CYCRG4203 SIKLOFOSFAMID INJEKSI 1000 MG (CYCLOVID) 0
164 DEKKIN4201 DEKSAMETASON INJEKSI 5 MG/ML (PHAROS) 0
165 DEKRG4201 BUPIVAKAIN SPINAL INJEKSI (DEKAIN) 0
166 DESEC4201 DEFEROKSAMIN INJEKSI 500 MG (DESFERAL) 0
167 DESKIN4201 DEFEROKSAMIN INJEKSI 500 MG (DESPERAL) 0
168 DESRG4201 DEFEROKSAMIN INJEKSI 500 MG (DESFERAL) 0
169 DEX4101 LARUTAN DEKSTROSA INFUS 5% 500 ML (OTSU) 0

170 DEX4101KIN LARUTAN DEKSTROSA 10% (KIN) 0
172 DEX4103 LARUTAN DEKSTROSA 5 % 500ML (WIDATRA) 0
174 DEX4105 LARUTAN DEKSTROSA 10% 500ML (OTSU) 0
175 DEX4106 LARUTAN DEKSTROSA 5% 500ML (B BRAUN) 0
176 DEX4107 LARUTAN DEKSTROSA 10% 500 ML (B.BRAUN) 0
177 DEX4108 LARUTAN DEKSTROSA 5% 100 ML (SANBE) 0
178 DEX4201 DEKSAMETASON INJEKSI 5 MG/ML (INF) 0
180 DEX4203 DEKSAMETASON INJEKSI 5 MG/ML (LUCAS) 0
182 DEX4205 LARUTAN DEKSTROSA 40% (DROPING) 0

183 DEX4206 DEKSAMETASON INJEKSI 5 MG/ML (APT. KF) 0
184 DEX4207 DEKSAMETASON INJEKSI 5 MG/ML (MEPRO) 0
185 DEX4208 LARUTAN DEKSTROSA 5% 100 ML (B.BRAUN) 0
186 DEX4209 LARUTAN DEKSTROSA 5% 500 ML (SATORIA) DAU 0
188 DEXDAU4209 LARUTAN DEKSTROSA 5% 500 ML WIDATRA (DAU) 0
189 DEXKIN4201 LARUTAN DEKSTROSA 40 %(KIN) 0
191 DIAEC4201 LOW MOLEKUL FERI SUKROSA INJEKSI (DIALIFER) 0
192 DIAKIN1104 DIAZEPAM INJEKSI 5 MG/ML (MEPRO) 0
194 DIAKIN4202 LOW MOLEKUL FERI SUKROSA (DIALIFER) 0
195 DIB4201 DIBEKASIN INJEKSI 100 MG 0
196 DIBRG4201 DIBEKASIN INJEKSI 50 MG 0
197 DICKIN4201 ETAMSILAT INJEKSI 250 MG (DICYNONONE) 0
199 DIP4202 DIFENHIDRAMIN INJEKSI (LUCAS) 0
200 DIP4203 DIFENIDRAMIN INJEKSI 10 MG (KIMIA FARMA) 0

201 DIP4204 DIFENHIDRAMIN INJEKSI 150 MG/15 ML (BERNO) 0
202 DOBKIN4201 DOBUTAMIN INJEKSI 50 MG/ML (DOBUJECT) 0
203 DOBKIN4202 DOBUTAMIN INJEKSI 50 MG/ML (DOBUTEL) 0
204 DOBKIN4203 DOBUTAMIN INJEKSI 50 MG/ML (DOBURAN) 0
205 DOBKIN4204 DOBUTAMIN INJEKSI 50 MG/ML (COMBI) 0

206 DOBKIN4205 DOBUTAMIN INJEKSI 50 MG/ML (NOVEL) 0
207 DOBKIN4206 DOBUTAMIN INJEKSI 50 MG/ML (KIMIA FARMA) 0
208 DOBKIN4207 DOBUTAMIN INJEKSI 50 MG/ML (DEXA) 0
209 DOBKIN4208 DOBUTAMIN INJEKSI 50 MG/ML (DOBUTAMIN HAMELN) (APT. KIMIA FARMA) 0
210 DOBKIN4209 DOBUTAMIN INJEKSI 50MG/ML (DEXA) DAU 0
211 DOBKIN4210 DOBUTAMIN INJEKSI 50 MG/ML (ETHICA) 0
212 DOXEC4201 DOKSORUBISIN INJEKSI 50 MG 0
213 DOXEC4202 DOKSORUBISIN INJEKSI 10 MG 0
214 DOXKIN4201 DOKSORUBISIN INJEKSI 50MG KALBE 0
215 DOXKIN4202 DOKSORUBISIN INJEKSI 10MG (KALBE) 0
216 DOXKIN4203 DOKSORUBISIN INJEKSI 10 MG (SANBE) 0
217 DOXKIN4204 DOKSORUBISIN INJEKSI 10 MG (ACTAVIS) 0
218 DOXKIN4205 DOKSORUBISIN INJEKSI 50 MG (ACTAVIS) 0
219 DOXRG4201 DOKSORUBISIN INJEKSI 10MG (KALBE) 0

220 DOXRG4202 DOKSORUBISIN INJEKSI 50 MG (KALBE) 0
221 EFI4201 EPINEFRIN INJEKSI 1 MG/10 ML 0
222 ENDKIN4201 SIKLOFOSFAMID INJEKSI 200 MG (ENDOXAN) 0
226 EPH4202 EFEDRIN INJEKSI 50 MG/ML (ETHICA) 0
227 EPIKIN4201 EPINEFRIN INJEKSI 1 MG/10 ML (ETHICA) 0
228 EPIKIN4202 EPIRUBISIN INJEKSI 50 MG/25 ML 0
229 EPIKIN4204 EPIRUBISIN INJEKSI 10 MG 0
231 EPIKIN4206 EPINEFRIN INJEKSI 1 MG/10 ML (KIMIA FARMA) 0
232 EPOKIN4201 ERITROPOLETIN INEJKSI 2000 UI (EPOTREX-NP) 0

233 EPOKIN4202 ERITROPOIETIN INJEKSI 3000 UI (EPODION) 0
234 EPOKIN4203 ERITROPOIETIN INJEKSI 2000 UI (EPODION) 0
237 EPRKIN1101 ERITROPOIETIN ALPA INJEKSI 2000 UI (EPREX PROTECS) 0
238 ETAKIN4201 METAMIZOL INJEKSI 500 MG/ML (ETAMIDON) 0
240 FAR8111 VASOPRESIN INJEKSI 20 UI/ML (FARPRESIN) 0
241 FARAKL4201 FUROSEMID INJEKSI 10 MG/ML (FARSIX) (AP.AKMAL) 0
242 FARKIN4201 FUROSEMID INJEKSI 10 MG/ML (FARSIX) 0
243 FARKIN4202 FARBIVEN NEBU 0
246 FARRG4203 DIGOKSIN INJEKSI 0,25 MG/2 ML (FARGOXIN) (APT. KF) 0
247 FARS4201 ISOSORBID DINITRAT 1 MG/10 ML (FARSORBID) 0
248 FEN4201 FENTANIL INJEKSI 0.5 MG/ML 0
250 FENKIN4201 FENOBARBITAL INJEKSI 50 MG/ML (INF) 0
252 FIM4201 LARUTAN DEKSTROSA INFUS 5% (FIMA D5) 0
253 FIM4202 LARUTAN NACL 0,9% INFUS (FIMA NS) 0
254 FIM4203 LARUTAN RINGER LAKTAT (FIMA RL) 0
255 FIMKIN4201 LARUTAN FIMAHES 200 INFUS 0
256 FITKIN4201 FITOMENADION INJEKSI 10 MG (PHAPROS) 0
257 FITKIN4203 FITOMENADION INJEKSI 2 MG/ML (PHAPROS) 0
258 FLARG4201 TRIAMSINOLON INJEKSI 50 MG/5 ML (FLAMICORT) 0
259 FLARG4202 TRIAMSINOLON INJEKSI 40 MG/ML (FLAMICORT) 0

260 FLARG4203 TRIAMSINOLON INJEKSI 50 MG/5 ML (FLAMICORT) (APT. KF) 0
261 FLUKIN4102 FLUKONAZOL INFUS (BERNO) 0
262 FLURG4101 FLUKONAZOL INFUS (NOVEL) 0
263 FOR4201 FORANE 250 ML 0

265 FORKIN4202 MIDAZOLAM 15 MG/3 ML (FORTANES) 0
266 FOSRG4201 FOSFOMISIN INJEKSI 2000 MG (FOSMYCIN) 0
267 FOSRG4202 FOSFOMISIN INJEKSI 1000 MG (FOSMYCIN) 0
270 FUR4201 FUROSEMID INJEKSI 10 MG/ML (INF) 0
271 FURKIN4201 FUROSEMID INJEKSI 10 MG/ML(KIN) 0
272 FURKIN4203 FUROSEMID INJEKSI 10 MG/ML (KF) 0
273 FURKIN4204 FUROSEMID INJEKSI 10 MG/ML (APT. AKMAL) 0

275 FUTKIN4101 LARUTAN FUTROLIT INFUS 0
276 FUTRG401 LARUTAN FUTROLIT INFUS 0
277 GAMKIN4201 PLASMA PROTEIN INJEKSI (GAMARAAS) 0
278 GAR4201 GENTAMISIN INJEKSI 40 MG/ML (GARABIOTIC) 0
279 GEL4101 LARUTAN GELAFUSAL INFUS 500 ML 0
280 GEN4201 GENTAMISIN INJEKSI 40 MG/ML 0
281 GENKIN4201 GENTAMISIN INJEKSI 40 MG/ML(INF) 0
282 GENKIN4202 GENTAMISIN INJEKSI 40 MG/ML (KIMIA FARMA) 0
284 GLYRG4201 AMIKASIN INJEKSI 250 MG/2 ML (GLYBOTIC) 0
285 GLYRG4202 AMIKASIN INJEKSI 500 MG/2 ML (GLYBOTIC) 0

286 GOFKIN4201 SEFOTAKSIM INEJKSI 1000 MG (GOFORAN) 0
287 GOTKIN4201 PIRASETAM INJEKSI 1000 MG/5 ML (GOTROPIL) 0
288 GOTKIN4202 PIRASETAM INJEKSI 3000 MG/15 ML (GOTROPIL) 0
289 GOTRG4201 PIRASETAM INJEKSI 3000 MG/15 ML (GOTROPIL) 0
290 GOVKIN4101 FLUKONAZOL INFUS (GOVAZOL) 0
291 HALD1101 HALOPERIDOL INJEKSI 50 MG/ML (HALDOL DECANOAS) 0
292 HEM4201 ERITROPOIETIN ALPA INJEKSI 3000 UI (HEMAPO) 0

293 HEM4202 ERITROPOEITIN ALPA INJEKSI 2000 UI (HEMAPO) 0
294 HID8101 N-ASETIL SISTEIN INJEKSI 5000 MG/25 ML (HIDONAC) 0
295 HIDKIN8208 HIDROKORTISON INJEKSI 100 MG (FARTISON) 0
296 HUM4201 HUMULIN R INJEKSI 100 UI/10 ML 0
298 IKAKIN4201 DIFENHIDRAMIN INJEKSI (IKADRYL) 0
299 IKAKIN4202 IKANEURON INJEKSI 5000 0
301 INDRG4201 OKSITOSIN INJEKSI 10 IU/ML (INDUXIN) 0
302 INV4201 HEPARIN INJEKSI 5000 IU/ML (INVICLOT) APT. AKMAL 0
304 INVKIN4202 HEPARIN INJEKSI 5000 IU/ML (INVICLOT) 1 ML 0
307 IOPKIN4201 IOPAMIDOL 300/50 ML (IOPAMIRO 300/50ML) 0
308 IOPKIN4202 IOPAMIDOL 300/30 ML (IOPAMIRO 300/30ML) 0
309 IOPKIN4203 IOPAMIDOL 370/50 ML (IOPAMIRO 370/50 ML) 0
311 KAB4101 KABIVEN PERIPHERAL 1440 ML 0

312 KAE4101 LARUTAN KA EN 3A 0
313 KAE4102 LARUTAN KA EN 1B (MU) 0
316 KAE4105 LARUTAN KA EN 3B (RNI) 0
317 KAE8106 LARUTAN KA EN 1B (RNI) 0
318 KAKIN4201 ASAM TRANEKSAMAT INJEKSI 250 MG/5 ML (KALNEX 250) 0
319 KALKIN4201 DEKSAMETASON INJEKSI 4 MG/ML (KALMETASON) 0
320 KALRG4201 ASAM TRANEKSAMAT INJEKSI 500 MG/5 ML (KALNEX 500) 0
321 KALRG4202 ASAM TRANEKSAMAT INJEKSI 250 MG/5 ML (KALNEX 250) 0

322 KALRG4203 KETOPROFEN INJEKSI 50 MG/ML (KALTROFEN 100 MG/2 ML) 0
323 KAN4201 KANAMISIN INJEKSI 1000 MG 0
325 KCLKIN4202 KCL INJEKSI 7,46% (APT KF) 0
329 KETKIN4201 KETOROLAK INJEKSI 10 MG (HJ) 0
330 KETKIN4202 KETOROLAK INJEKSI 30 MG (HJ) 0
331 KETKIN4203 KETOPROFEN INJEKSI 50 MG/ML (HEXPARM) 0
333 KETKIN4205 KETOROLAK INJEKSI 10 MG (NOVEL) 0
334 KETKIN4206 KETOROLAK INJEKSI 30 MG (NOVEL) 0
336 KETKIN4208 KETOROLAK INJEKSI 10 MG (PHAROS) 0
338 KETKIN4210 KETOROLAK INJEKSI 30 MG (PHAROS) 0
339 KETKIN4211 KETOROLAK INJEKSI 10 MG (INF) 0
340 KETKIN4212 KETOROLAK INJEKSI 10 MG (DEXA) 0
341 KETKIN4213 KETOROLAK INJEKSI 30 MG INJ (DEXA) 0
342 KETKIN4214 KETOROLAK INJEKSI 10 MG (QUANTUM) 0
343 KETKIN4215 KETOROLAK INJEKSI 30 MG (KF) 0
344 KETKIN4216 KETOROLAK INJEKSI 30 MG (ETHICA) 0
345 KETKIN4217 KETOROLAK INJEKSI 30 MG (QUANTUM) 0
346 KETKIN4290 KETOPROFEN INJEKSI 50 MG/ML (NOVEL) 0
347 KIDRG4101 KIDMIN INFUS 0
348 KLOKIN4201 KLORAMPENIKOL INJEKSI 1000 MG 0
350 LAN4201 ANALOG INSULIN LONG ACTING FLEXPEN 300 UI (LANTUS SOLOSTAR) 0
351 LANEC4201 ANALOG INSULIN LONG ACTING FLEXPEN 300 UI (LANTUS SOLOSTAR) 0
352 LANKIN1106 LANSOPRAZOLE INJEKSI 30 MG (PRATAPA) 0
354 LEURG4201 LEUCOVORIN INJEKSI 0
355 LEVDAU4101 LEVOFLOKSASIN INFUS 500 MG/100 ML (NOVELL) 0
356 LEVDAU4201 ANALOG INSULIN LONG ACTING FLEXPEN 300 UI (LEVEMIR) DAU 0
357 LEVKIN4101 LEVOFLOKSASIN INFUS 500 MG/100 ML (BERNO) 0
359 LEVKIN4103 LEVOFLOKSASIN INFUS 500 MG/100 ML (DEXA) 0
360 LEVKIN4104 LEVOFLOKSASIN INFUS 500 MG/100 ML (IPHA) 0
362 LEVRG4101 LEVOFLOKSASIN INFUS 500 MG/100 ML (LEVOCIN) 0
363 LEVRG4201 ANALOG INSULIN LONG ACTING FLEXPEN 300 UI (LEVEMIR) 0
365 LID4202 LIDOKAIN INJEKSI 2% (PHAPROS) 0
366 LID4203 LIDOKAIN INJEKSI 2% (LUCAS) 0
367 LID4204 LIDOKAIN INJEKSI (QUANTUM) 0
369 LIDKIN4201 LIDOKAIN INJEKSI 2% 0
370 LODRG4201 HALOPERIDOL INJEKSI 5 MG/ML (LODOMER) 0

373 MAGKIN4201 MAGNESIUM SULFAT INJEKSI 20 % 0
374 MAGKIN4202 MAGNESIUM SULFAT INJEKSI 40 % 0
375 MAN4101 MANITOL INFUS 20 % 500 ML (OTSUKA) 0
376 MANKIN4101 MANITOL INFUS 20% 500 ML (KALBE) 0
378 MANRG4101 MANITOL INFUS 20% (OTSUKA) 0
379 MARRG4101 LARUTAN MALTOSE INFUS 10 % (MARTOSE) 0
381 MEKIN4201 METILERGOMETRIN INJEKSI 0,2 MG/ML (DEXA) 0
382 MERDAU4201 MEROPENEM INJEKSI 500 MG (DEXA) DAU 0
383 MERDAU4202 MEROPENEM INJEKSI 1000 MG (MEPRO) DAU 0
384 MEREC4201 MEROPENEM INJEKSI 500 MG (BERNO) 0
385 MERKIN4201 MEROPENEM INJEKSI 500 MG (BERNO) 0
386 MERKIN4202 MEROPENEM INJEKSI 500 MG (MEROSAN 0,5 G) 0
387 MERKIN4203 MEROPENEM INJEKSI 1000 MG (MEROSAN 1 G) 0

388 MERKIN4204 MEROPENEM INJEKSI 1000 MG (MEROTIK) 0
389 MERKIN4205 MEROPENEM INJEKSI 500 MG (MEROTIK) 0
390 MERKIN4206 MEROPENEM INJEKSI 500 MG (QUANTUM) 0
392 MERKIN4208 MEROPENEM INJEKSI 500 MG (DEXA) 0
393 MERKIN4209 MEROPENEM INJEKSI 1000 MG (MBF) 0
395 MERRG4201 MEROPENEM INJEKSI 500 MG (MEROSAN 0,5 G) 0
396 MERRG4202 MEROPENEM INJEKSI 1000 MG (MEROSAN 1 G) 0
397 MERRG4203 MEROPENEM INJEKSI 500 MG 0
398 MERRG4204 MEROPENEM INJEKSI 1000 MG (BERNO) 0
399 MERRG4205 MEROPENEM INJEKSI 1000 MG (HJ) 0
400 METC1120 METOKLOPRAMID INJEKSI 10 MG/2 ML (IPHA) 0
402 METDAU4102 METRONIDAZOL INFUS 500 MG/100 ML (DEXA) DAU 0
403 METDRP4101 METRONIDAZOL INFUS 500 MG/100 ML (DROPING) 0
404 METEC4101 METRONIDAZOL INFUS 500 MG/100 ML (QUANTUM) 0
405 METK1101 METOKLOPRAMID INJEKSI 10 MG/2 ML (IPHA) 0
406 METKIN4101 METRONIDAZOL INFUS 500 MG/100 ML (BERNO) 0
407 METKIN4102 METRONIDAZOL INFUS 500 MG/100 ML (FRESENIUS) 0
409 METKIN4104 METRONIDAZOL INFUS 500 MG/100 ML (QUANTUM) 0
410 METKIN4105 METRONIDAZOL INFUS 500 MG/100 ML (HJ) 0
411 METKIN4201 METILPREDNISOLON INJEKSI 125 MG/VIAL (PHAPROS) 0
412 METKIN4202 METOKLOPRAMID INJEKSI 10 MG/2 ML (METOLON) 0
413 METKIN4203 METOTREKSAT INJEKSI 50 MG/2 ML 0
414 METKIN4204 METILPREDNISOLON INJEKSI 125 MG/VIAL (BERNO) 0
415 METKIN4205 METOTREKSAT INJEKSI 50 MG/5 ML (METHOTREXATE EBEWE) 0
416 METKIN4206 METILPREDNISOLON INJEKSI 125 MG/VIAL (QUANTUM) 0
417 METKIN4207 METILERGOMETRIN INJEKSI 0,2 MG/ML (METVELL) 0
418 METKIN4208 METILPREDNISOLON INJEKSI 125 MG/VIAL (DEXA) 0
419 METKIN4209 METILERGOMETRIN INJEKSI 0,2 MG/ML (ETHICA) 0

422 MILKIN4201 MIDAZOLAM INJEKSI 5 MG/ML (MILOZ) 0
424 MYL4201 NATRIUM BIKARBONAT INJEKSI 8,4% (MEYLON 8,4%) 0
425 MYL4202 NATRIUM BIKARBONAT INJEKSI 8,4% (MEYLON 8,4%) (APT AKMAL) 0
426 MYO4201 METILERGOMETRIN INJEKSI 0,2 MG/ML (MYOMERGIN) (APT. AKMAL) 0
428 NAC4101KIN LARUTAN NACL 0,9% INFUS 0
431 NAC4104 LARUTAN NACL 0,9% INFUS 100 ML (OTSUKA) 0
433 NAC4106 LARUTAN NACL 0,9% INFUS 500 ML (TIPUTRA) 0
435 NAC4108 LARUTAN NACL 0,9% INFUS 1000 ML (ECUSOL B.BRAUN) 0
NAC4109 LARUTAN NACL 0,9% INFUS 500 ML (ECUSOL B.BRAUN) 0

436
NAC4110 LARUTAN NACL 0,9 % INFUS 100 ML (SANBE) 0

437
438 NAC4111 LARUTAN NACL 0,9% INFUS 500 ML (MJB) 0
439 NAC4112 LARUTAN NACL 0,9% INFUS 100 ML (SATORIA) 0
440 NAC42110 LARUTAN NACL 0,9% INFUS 100 ML (B.BRAUN) 0
441 NAC42111 LARUTAN NACL 0,9% INFUS 500 ML KARET (OTSUKA ) 0
442 NAC4213 LARUTAN NACL 0,9% INFUS 500 ML (SATORIA) DAU 0
444 NACDAU LARUTAN NACL 0,9% INFUS 500 ML (WIDATRA) DAU 0
445 NAIKIN4201 TERBUTALIN INJEKSI 0,5 MG/ML (NAIRET) 0
448 NEORG4202 NEOSTIGMIN INJEKSI 0,5 MG/ML (NEOSTIGMINE-HAMELN) 0
449 NEURG4204 NEUROSANBE INJEKSI 3 ML 0
450 NEURG4205 FILGASTRIM INJEKSI 300 UCG/ML (NEUKINE) 0
452 NICKIN4201 NIKARDIPIN INJ 10 MG (FAHRENHEIT) 0
454 NICKIN4203 NIKARDIPIN INJ 10 MG (QUANTUM) 0
455 NICKIN4204 NIKARDIPIN INJ 10 MG (DARYA VARIYA) 0
456 NORKIN4201 NOREPINEFRIN INJEKSI 1 MG/ML (BERNO) 0
458 NORKIN4203 NOREPINEFRIN INJEKSI 1 MG/ML (NOVEL) 0

459 NOT4201 ATRAKURIUM INJEKSI 10 MG/ML (NOTRIXUM) 0
460 NOVDAU4201 ANALOG INSULIN MIX FLEXPEN 300 UI (NOVOMIX) DAU 0

461 NOVDAU4202 ANALOG INSULIN RAPID ACTING FLEXPEN 300 UI (NOVORAPID) DAU 0
464 NOVKIN4201 ANALOG INSULIN RAPID ACTING FLEXPEN 300 UI (NOVORAPID) 0
465 NOVKIN4202 ANALOG INSULIN MIX FLEXPEN 300 UI (NOVOMIX) 0
467 OCTKIN4201 ALBUMIN INFUS 20% 100 ML (OCTALBIN) 0

470 OKSKIN4201 OKSITOSIN INJEKSI 10 IU/ML (NOVEL) 0
472 OME1111 OMEPRAZOL INJEKSI 40 MG/10 ML (MAHAKAM) 0
473OMEDAU4208 OMEPRAZOL INJEKSI 40 MG/10 ML (DEXA) DAU 0
474 OMEKIN4201 OMEPRAZOL INJEKSI 40 MG/10 ML (DEXA) 0
475 OMEKIN4202 OMEPRAZOL INJEKSI 40 MG/10 ML (OTTO) 0
476 OMEKIN4203 OMEPRAZOL INJEKSI 40 MG/10 ML (BERNO) 0
477 OMEKIN4205 OMEVELL 40 MG INJ.(BPJS) 0
478 OMEKIN4206 OMEPRAZOL INJEKSI 40 MG/10 ML (NOVEL) 0
479 OMEKIN4207 OMEPRAZOL INJEKSI 40 MG/10 ML (QUANTUM) 0
480 OMNKIN4201 IOHEKSOL INJEKSI 240-350 MG IODIUM/ML (OMNIPAQUE 350 MG/50 ML) 0
481 OMNKIN4202 IOHEKSOL INJEKSI 240-350 MG IODIUM/ML (OMNIPAQUE 300 MG/50 ML) 0
482 ONDKIN4201 ONDANSETRON INJEKSI 4 MG/2 ML (INF) 0
484 ONDKIN4203 ONDANSETRON INJEKSI 8 MG/4 ML (NOVELL) 0
485 ONDKIN4204 ONDANSETRON INJEKSI 4 MG/2 ML (BERNO) 0
486 ONDKIN4205 ONDANSETRON INJEKSI 4 MG/2 ML (NOVELL) 0
487 ONDKIN4206 ONDANSETRON INJEKSI 8 MG/4 ML (INF) 0
488 ONDKIN4209 ONDANSETRON INJEKSI 8 MG/4 ML (DEXA) 0
489 ONDKIN4210 ONDANSETRON INJEKSI 4 MG/2 ML (SOHO) 0
490 ONDKIN4211 ONDANSETRON INJEKSI 8 MG/4 ML (QUANTUM) 0
491 ONDKIN4212 ONDANSETRON INJEKSI 4 MG/2 ML (QUANTUM) 0
493 OSK4203 OKSITOSIN INJEKSI 10 IU/ML (APT. AKMAL) 0

494 PAR4101 PARASETAMOL INFUS 10 MG/ML (BERNO) 0
495 PAR4102 PARASETAMOL INFUS 10 MG/ML (MERSI) 0
498 PEH4201 PEHACAIN INJEKSI 0
499 PEH4202 PEHACAIN INJEKSI (APT KF) 0
500 PERRG4201 NIKARDIPIN INJEKSI 1 MG/ML, AMPUL 2 ML (PERDIPINE INJ 2 MG) 0
501 PERRG4202 NIKARDIPIN INJEKSI 1 MG/ML, AMPUL 10 ML (PERDIPINE INJ 10 MG) 0
502 PETEC4201 PETIDIN INJEKSI 50 MG/ML 0
505 PHEKIN4202 FENITOIN INJEKSI 50 MG/ML (NOVEL) 0
506 PHEKIN4203 FENITOIN INJEKSI 50 MG/ML (IKA) 0
507 PHEKIN4204 FENITOIN INJEKSI 50 MG/ML (MEPRO) 0
508 PHEN4205 FENITOIN INJEKSI 50 MG/ML (PHAPROS) 0
509 PHERG4201 FENOBARBITAL INJEKSI 100 MG/ML (PHENTAL) 0

511 PIRKIN4101 PIRASETAM INFUS 1200 MG/60 ML (BERNO) 0
513 PIRKIN4202 PIRASETAM INJEKSI 3000 MG/15 ML (HJ) 0
514 PIRKIN4203 PIRASETAM INJEKSI 1000 MG/5 ML (HJ) 0
516 PIRKIN4205 PIRASETAM INJEKSI 3000 MG/15 ML (DEXA) 0
517 PIRKIN4206 PIRASETAM INJEKSI 3000 MG/15 ML (NOVELL) 0
518 PIRKIN4207 PIRASETAM INJEKSI 1000 MG/5 ML (NOVELL) 0
519 PIRKIN4208 PIRASETAM INJEKSI 1000 MG/5 ML (DEXA) 0
520 PIRKIN4209 PIRASETAM INJEKSI 1000 MG/5 ML (QUANTUM) 0
521 PIRKIN4210 PIRASETAM INJEKSI 3000 MG/15 ML (QUANTUM) 0
524 PLA4203 ALBUMIN INFUS 25% 100 ML (PLASBUMIN) 0
525 PLA4204 ALBUMIN INFUS 20% 50 ML (PLASBUMIN) DAU 0
526 PLA4205 ALBUMIN INFUS 20% 100 ML (PLASBUMIN) DAU 0
527 POS4201 METILERGOMETRIN INJEKSI 0,2 MG/ML (POSPARGIN) 0
528 POS4202 METILERGOMETRIN INJEKSI 0,2 MG/ML (POSPARGIN) (APT. AKMAL) 0
530 PPKIN4201 PROKAIN BENZILPENISILIN INJEKSI 3 JUTA IU (PP 3 JUTA) 0
531 PRKIN4201 DOPAMIN INJEKSI 40 MG/ML (PROINFARK) 0
532 PROKIN4202 PROKAIN PENISILIN INJEKSI (PROC.PENICILLIN) 0
533 PRORG4201 PROPOFOL INJEKSI 1% (PROANES) 0

534 PSO8101 LANSOPRAZOLE INJEKSI 30 MG (PROSOGAN) 0
535 RAI4201 NOREPINEFRIN INJEKSI 1 MG/ML (RAIVAS) 0
536 RANKIN4201 RANITIDIN INJ 25 MG/ML (HJ) 0
538 RANKIN4203 RANITIDIN INJ 25 MG/ML (NOVEL) 0
539 RANKIN4204 RANITIDIN INJ 25 MG/ML (PHAPROS) 0
540 RANKIN4205 RANITIDIN INJ 25 MG/ML (QUANTUM) 0
542 REC4201 BUPIVAKAIN HCL INJEKSI 0,5 % 4 ML (RECAIN SPINAL) 0
543 REG4201 BUPIVAKAIN HCL INJEKSI 0,5 % 4 ML (REGIVEL) 0
544 RENKIN4101 RENOSAN INFUS 0
545 RIN4101 LARUTAN RINGER LAKTAT INFUS 500 ML (WIDATRA) 0
546 RIN4102 LARUTAN RINGER LAKTAT 500 ML (OTSUKA) 0
547 RIN4103 LARUTAN RINGER LAKTAT 500 ML (B.BRAUN) 0
548 RIN4104 LARUTAN RINGER LAKTAT 500 ML (EUROMED) 0
549 RIN4105 LARUTAN RINGER LAKTAT 500 ML (MJB) 0
550 RIN4106 LARUTAN RINGER LAKTAT INFUS 500 ML (DROPING) 0
551 RIN4107 LARUTAN RINGER LAKTAT INFUS 500 ML (SATORIA) DAU 0

553 RINDAU4107 LARUTAN RINGER LAKTAT 500 ML (WIDATRA) DAU 0
554 RINKIN4101 LARUTAN RINGER ASETAT INFUS (RING AS) 0
555 RINKIN4103 LARUTAN RINGER ASETAT INFUS (RING AS) DAU 0
556 RINRG4101 LARUTAN RINGER ASETAT 500 ML 0
557 RINRG4102 LARUTAN RINGER ASETAT INFUS (RING AS) 0
559 ROCKIN4201 ROKURONIUM INJEKSI 10 MG/ML (ROCULAC) 0
560 SAGKIN4201 GENTAMISIN 40 MG/ML (SAGESTAM) 0
562 SALT5202 GENTAMISIN INJEKSI 40 MG/ML (SALTICIN) 0
564 SANKIN4101 SANBE HEST 200 INFUS 0
565 SANKIN4202 SANEXON INJ (JAMKES) 0
566 SANKIN4203 ANALOG INSULIN MIX 300 UI (SANSULIN M30) 0
567 SANRG4103 SANBE HES 200 INFUS 0
568 SANRG4201 METILPREDNISOLON INJEKSI 125 MG (SANEXON) 0
569 SCOKIN4201 HIOSIN BUTILBROMIDA INJEKSI 20MG/ML (SCOPAMIN) 0
570 SCORG4201 HIOSIN BUTIL BROMIDA INJEKSI 20 MG/ML (SCOPAMIN) 0

571 SEF4201KIN CEFOTAKSIM INJEKSI 500 MG 0
572 SEFKIN4201 SEFOTAKSIM INJEKSI 1000 MG (HJ) 0
573 SEPKIN4201 SEFTRIAKSON INJEKSI 1000 MG (HJ) 0
575 SERKIN4203 ADS INJEKSI 20.000 UI 0
576 SERKIN4204 ATS INJEKSI 1500 UI 0
577 SERKIN4205 ATS INJEKSI 20.000 UI 0
578 SERKIN4206 ADS INJEKSI 10.000 UI (DROPING) 0
579 SERKIN4207 ADS INJEKSI 10.000 UI (BIO FARMA) 0
580 SERRG4201 ATS INJEKSI 20.000 UI 0
581 SEV4201 SEVOFLURAN 250 ML (PAM) 0
583 SEVOR4201 SEVOFLURAN 250 ML (SEVORANE) 0
584 SIB4201 FENOBARBITAL INJEKSI 50 MG/ML (SIBITAL) 0
585 SIKKIN4201 FLUFENAZIN INJEKSI 25 MG/ML (SIKZONOATE) 0
586 SINKIN4201 PAKLITAKSEL INJEKSI 30 MG/5ML (SINDAXEL) 0
588 SM24201 MAGNESIUM SULFAT NEJKSI 20% 0
589 SM44201 MAGNESIUM SULFAT INJEKSI 40% 0
591 SMOF4102 SMOFLIPID INFUS 20% 100ML 0
594 SOJEC4201 SEVOFLURAN CAIRAN 250 ML (SOJOURN) 0
595 SOTJMK4201 METOKLOPRAMID INJEKSI 10 MG/2 ML (SOTATIC) 0
596 STEKIN4201 STESOLID INJ(JAMKES)BX.5 0
597 STERG4201 DIAZEPAM INJEKSI 5 MG/ML (STESOLID) 0
598 STRKIN4201 STREPTOMISIN INJEKSI 1000 MG (MEIJI) 0
600 TAPKIN4201 LEUPRORELIN INJEKSI 11,25 MG 3 M (TAPROS) 0
601 TAXKIN4201 SEFOTAKSIM INJEKSI 1000 MG (TAXEF) 0
602 TAXKIN4202 SEFOTAKSIM INJEKSI 1000 MG (TAXEGRAM) 0
603 TAXRG4202 SEFOTAKSIM INJEKSI 500 MG (TAXEGRAM) 0
605 TERKIN4201 OKSITETRASIKLIN INJEKSI 50 MG (TERAMYCIN) 0
606 TERKIN4202 SEFTRIAKSON INJEKSI 1000 MG (TERFACEF) 0
607 TERREG4105 LARUTAN TERASTARCH INFUS 500 ML (KALBE) 0

608 TETKIN4201 IMUNOGLOBULIN HUMAN TETANUS INJEKSI 250 IU (TETAGAM) 0
609 THI4201 TIOPENTAL SODIUM INJEKSI 500 MG 0
610 TIAKIN4201 AMIODARON INJEKSI 150 MG/3 ML (TIARYT) 0
611 TRAKIN4201 TRAMADOL INJEKSI 100 MG/2 ML (HJ) 0
612 TRAKIN4202 TRAMADOL INJEKSI 100 MG/2 ML (BERNO) 0
613 TRAKIN4203 TRAMADOL INJEKSI 100 MG/2 ML (INF) 0
614 TRAKIN4204 TRAMADOL INJEKSI 100 MG/2 ML (NOVELL) 0
615 TRAKIN4205 TRAMADOL INJEKSI 100 MG/2 ML (SANBE) 0
617 TRAKIN4207 TRAMADOL INJEKSI 100 MG/2 ML (MERSI) 0
618 TRAKIN4208 TRAMADOL INJEKSI 100 MG/2 ML (BERNO) 0
619 TRARG4202 TRAMADOL INJEKSI 100 MG/2 ML (TRADOSIX) 0
620 TRIKIN4201 METRONIDAZOL INFUS 500 MG/100 ML (TRICODAZOL) 0
621 TRIKIN4202 LARUTAN TRIDEX PLAIN INFUS 0
622 TRIKIN4203 LARUTAN TRIDEX 27B INFUS 0
623 TRIL4201 TRIAMSINOLON INJEKSI 50 MG/5 ML (TRILAC) 0
624 TRIRG4101 METRONIDAZOL INFUS 500 MG/100 ML (TRICODAZOL) 0
625 TRIRG4102 LARUTAN TRIDEX 100 INFUS 0
626 TRIRG4103 LARUTAN TRIDEX 27A INFUS 0
628 UDOKIN4201 DOPAMIN 40 MG/ML (UDOPA) 0
630 URERG4202 FUROSEMID INJEKSI 10 MG/ML (URESIX) APT. AKMAL 0
633 VALKIN4201 DIAZEPAM INJEKSI 5 MG/ML (VALDIMEX) 0
634 VALRG4201 DIAZEPAM INJEKSI 5 MG/ML (VALISANBE) 0
636 VAS4201 NOREPINEFRIN INJEKSI 4 ML (VASCON) 0
637 VAS4202 NOERPINEFRIN INJEKSI 4 ML (VASCON) APT. KF 0
638 VASKIN4201 EFEDRIN INJEKSI 50 MG/ML (VASODRIN) 0
640 VENKIN8302 SALBUTAMOL NEBU 2,5 MG/2,5 ML (VENTOLIN) (APT. AKMAL) 0
641 VICKIN4201 AMPISILIN INJEKSI 1000 MG (VICCILLIN) 0

642 VINRG4201 VINKRISTIN INJEKSI 1 MG 0
643 VINRG4202 VINKRISTIN INJEKSI 2 MG 0
644 VINRG4203 VINKRISTIN DBL INJEKSI 2 MG 0
645 VINRG4204 VINCRISTIN DBL INJEKSI 1 MG 0
646 VIT4202 FITOMENADION INJEKSI 10 MG KF 0
647 VITC8101 VITAMIN C (ASAM ASKORBAT) INJEKSI (ETHICA) 0
648 VITC8102 VITAMIN C (ASAM ASKORBAT) INJEKSI 200MG/ML (IPHA) 0

650 WIDKIN4101 WIDAHEST INFUS 0
651 WIDKIN4201 AMOKSISILIN INJEKSI 1000 MG (WIDECILLIN) 0
652 WIDKIN4202 AMOKSISILIN INJEKSI 500 MG (WIDECILLIN) 0
653 ZIDKIN001 SEFTAZIDIM INJEKSI 1000 MG (ZIDIFEC) 0
654 ZIDRG4201 SEFTAZIDIM INJEKSI (ZIDIFEC) 0

PENYESUAIAN KETERANGAN
0
0
-2650
-783
-93
-650
-50
50
0
0
0
-12192
-460
-12950
-1900
-80 SUDAH DI ADJUST

0
-180
-15000
-9295
-17100
-206
-514
-180
-485
-5000
-240
-2797
0
0
-1371
-3475
0
-5
0
-15150
-200
-90
-250
-4900
-1380
-4
-200
-100
0
0
-7500
-51250
-34
-408
-704
-230
-6
-696
-30
-3700
-800
-32500
-2560
-2240
-225
-180
-220
-780
-1800
-800
-2000
-200
-500
-1585
-1300
-5000
-80
-4184
-3040
-5034
-560
-1930
-162
-300
-340
-60
-630
-2260
-220
-8068
-1000
-4152
-400
-30
-360
-5
-455
-250
-4850
-2470
0
0
-16025
-640
-20
-500
-50
-450
-2570
-10
49 SUDAH DI ADJUST
0
-2200
-2000
0
0
-400
-146
-150
-183
-22950
-1512
-5296
-40
-10000
-30000
-25750
-1498
-2610
-4
0
-1904
-100
-480
-55
-22
0
0
-480
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
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0
0
0
0
0
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0
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0
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0
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0
0
0
0
0
0
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0
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0
0
0
0
0
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0
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0
0
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0

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Kode Item NAMA KART NAMA SIMRS NAMA DIKEMASAN PRODUK JUMLAH FISIJUMLAH SIM

522 PLA4201 ALBUMIN INFUS 20% 50 ML (PLASBUMIN) 125 125

30 AMK4202 AMIKASIN SULFAT INJEKSI 500 MG/2 ML (PHAPROS) DAU 2,650

19 AMIDAU4201 AMINOFILIN INJEKSI 240 MG/10 ML (LUCAS) DAU 783

20 AMIKIN1103 AMIODARON INJEKSI 150 MG/3 ML (DARYA VARIYA) 93

33 AMP4202 AMPISILIN INJEKSI 1000 MG (BERNO) 650

68 BACT8101 AMPISILIN SULBAKTAM INJEKSI 750 MG (BACTESYN) 50

38 AQU4201 AQUA PRO INJEKSI 25 ML (OTSUKA) 12,192

37 AQU1003 AQUA STERIL 1 LITER (WDT) 460

53 ASAKIN4204 ASAM TRANEKSAMAT INJEKSI 250 MG/5 ML (DEXA) 12,950

61 ATRDAU4203 ATROPIN SULFAT INJEKSI 0,25 MG/ML (ETHICA) DAU 1,900

77 BUPKIN4204 BUPIVAKAIN SPINAL INJEKSI (NOVEL) DAU 3355 3,435

142 CLARG4201 CO AMOKSIKLAV INJEKSI 1000 MG (CLANEKSI) 12 12

148 COMRG4201 COMBIVENT 2,5 ML UDV NEB.(REG)BX.20 180

150 COMRG4203 COMBIVENT 2,5ML UDV NEB DAU 15,000

181 DEX4204 DEKSAMETASON INJEKSI 5 MG/ML (BERNO) 9,295

190 DEXKIN4202 DEKSAMETASON INJEKSI 5 MG/ML (MEPRO) DAU 17,100

236 EPOKIN4205 ERITROPOIETIN INJEKSI 2000 UI (EPODION) DAU 3540 3,540

504 PHE4201 FENOBARBITAL INJEKSI 50 MG/ML (PHAPROS) 1,371

249 FEN4202 FENTANIL INJEKSI 0.5 MG/ML DAU 3,475

510 PHIKIN4202 FITOMENADION INJEKSI 2 MG/ML (PHAPROS) 5

46 ARI4201 FONDAPARINUKS NATRIUM INJEKSI 2,5 MG/0,5 ML (ARIXTRA) 330 330

274 FURKIN4205 FUROSEMID INJEKSI 10 MG/ML (DEXA) 15,150

303 INVKIN4201 HEPARIN INJEKSI 5000 IU/ML (INVICLOT) 5 ML 1,380

244 FARKIN4203 HIDROKORTISON INJEKSI 100 MG (FARTISON) 4

306 IOME001 IOMEPROL 400/50 (IOMERON) 280 280

6 AERKIN4201 ISOFLURAN INHALASI 250 ML (AERRANE) 7,500

604 TER4201 ISOFLURAN INHALASI 250 ML (TERREL) 51,250

310 ISOS002 ISOSORBID DINITRAT INJEKSI INJ 1 MG/ML (PRATAPA) 34

92 CALDAU4204 KALSIUM GLUKONAT INJEKSI 100 MG/ML (ETHICA) DAU 408

324 KCLKIN4201 KCL INJEKSI 7,46% 704

327 KET4203 KETAMIN INJEKSI 1000 MG/10 ML (IVANES) DAU 230

349 KTM4201 KETAMIN INJEKSI 1000 MG/10 ML (KTM 100 MG/ML) 6

326 KET4202 KETAMIN INJEKSI 50 MG/ML 696

332 KETKIN4204 KETOPROFEN INJEKSI 50 MG/ML (BERNO) 30

337 KETKIN4209 KETOROLAK INJEKSI 10 MG (BERNO) 3,700

335 KETKIN4207 KETOROLAK INJEKSI 30 MG (BERNO) 800

328 KETDAU4218 KETOROLAK INJEKSI 30 MG (ETHICA) DAU 32,500

80 CAI4101 LARUTAN 1-4 INFUS 500 ML (WIDARTA) 2,560

21 AMIKIN4101 LARUTAN AMINOFUSIN HEPAR INFUS 225

24 AMIKIN4105 LARUTAN AMINOFUSIN PAED INFUS 180

69 BFL8101 LARUTAN BFLUID INFUS 500 ML 220

173 DEX4104 LARUTAN DEKSTROSA 10 % 500ML (WIDATRA) 780

315 KAE4104 LARUTAN KA EN 3B 200

314 KAE4103 LARUTAN KA EN MG3 500

430 NAC4103 LARUTAN NACL 0,9% INFUS 1000 ML (WIDATRA) 1,585

443 NAC4214 LARUTAN NACL 0,9% INFUS 500 ML (SATORIA) 1,300

427 NAC4101 LARUTAN NACL 0,9% INFUS 500 ML (WIDATRA) 5,000

429 NAC4102 LARUTAN NACL 3% INFUS (SALLIN) 80

54 ASE4101 LARUTAN RINGER ASETAT INFUS 500 ML (ASERING) INFUS 4,184

552 RIN4108 LARUTAN RINGER LAKTAT INFUS 500 ML (SATORIA) 3,040

358 LEVKIN4102 LEVOFLOKSASIN INFUS 500 MG/100 ML (NOVEL) DAU 5,034

368 LID4205 LIDOKAIN COMPOSITUM INJEKSI (PHAPROS)@30 560

364 LID4201 LIDOKAIN INJEKSI 2% (BERNO) 1,930

371 MAG4201 MAGNESIUM SULFAT INJEKSI 20% 162

372 MAG4202 MAGNESIUM SULFAT INJEKSI 40% 300

239 ETHRG4201 MEKOBALAMIN INJEKSI 500 MCG/1 ML (ETHIGOBAL) 60

380 MECKIN4201 MEKOBALAMIN INJKSI 500 MCG/ML (NOVEL) 630

391 MERKIN4207 MEROPENEM INJEKSI 1000 MG (QUANTUM) 220

420 METKIN4212 METILPREDNISOLON INJEKSI 125 MG/VIAL (PHAPROS) DAU 8,068

401 METC4201 METOKLOPRAMID INJEKSI 10 MG/2 ML (BERNO) 1,000

408 METKIN4103 METRONIDAZOL INFUS 500 MG/100 ML (DEXA) 4,152

264 FORKIN4201 MIDAZOLAM INJEKSI 5 MG/5 ML (FORTANEST) 400

163 CYS4201 NATRIUM HYALURONATE INJEKSI 40MG/50 ML (CYSTISTAT) 5