LAPORAN LIST DPC ( Detail )

Divisi : All Divisi Periode DPC : 01 November 2021 s.d 30 November 2021
NO DPC : 0 s.d Z
Divisi No DPC Tgl DPC Outlet Na Peruntuka No BC Tgl ApprovApprove MTgl ApprovKD BRG
DBM Purwokerto

Inhealth 21.10032.18
05/11/202Palang Biru Gomb Hamidjaja Setia
05/11/202IL059H
Intermed 21.00946.01
01/11/202Siti Aminah RSU Haryadin Syawal
01/11/202IL0075
IT0121
IT0122
Intermed 21.00947.01
01/11/202Gayam Apotek Haryadin Syawal
01/11/202IK0007
Intermed 21.00948.01
01/11/202PKU MUHAMMADI Haryadin Syawal
01/11/202IL0064
Intermed 21.00949.01
02/11/202Dadi Keluarga RS Haryadin Syawal
02/11/202IK0007
Intermed 21.00950.01
02/11/202Ananda Purwoker Haryadin Syawal
02/11/202IT0099
Intermed 21.00951.01
02/11/202Wonosobo RSU Haryadin Syawal
03/11/202IK0007
Intermed 21.00952.01
02/11/202Harapan Ibu RB Apotik Suharto 02/11/202IK0007
IT0099
Intermed 21.00953.01
02/11/202Lukulo Apotik IK0007
Intermed 21.00954.01
03/11/202Aisyiyah Purwore Haryadin Syawal
03/11/202IK0007
Intermed 21.00955.01
03/11/202Panti Waluyo RS Haryadin Syawal
03/11/202IK0007
Intermed 21.00956.01
03/11/202Pertamina Bina Medika PT Purwokerto Haryadin Syawal
03/11/202IK0007
Intermed 21.00957.01
03/11/202Emanuel RSU Haryadin Syawal
03/11/202IL0075
Intermed 21.00958.01
04/11/202Sinar Kasih RSU Haryadin Syawal
04/11/202IK0007
IL0064
IT0099
Intermed 21.00959.01
04/11/202Lukulo Apotik Haryadin Syawal
04/11/202IK0007
Intermed 21.00960.01
04/11/202Ummu Hani RSIA Haryadin Syawal
04/11/202II0023
Intermed 21.00961.01
05/11/202Vindy Farma Apot Haryadin Syawal
05/11/202IL0064
Intermed 21.00962.01
05/11/202Cilacap RSU Haryadin Syawal
05/11/202IL0064
Intermed 21.00963.01
08/11/202Bandingan Apotik Haryadin Syawal
08/11/202IS0050
Intermed 21.00964.01
08/11/202Kimia Farma Apot Haryadin Syawal
08/11/202IK0051
Intermed 21.00965.01
08/11/202Umat Amanah RS Haryadin Syawal
08/11/202IK0007
IL0075
Intermed 21.00966.01
08/11/202Siti Aminah RSU Haryadin Syawal
08/11/202IL0064
Intermed 21.00967.01
08/11/202Palang Biru Kuto Haryadin Syawal
08/11/202II0023
IK0007
Intermed 21.00968.01
08/11/202Prof Dr Margono Haryadin Syawal
08/11/202IT0121
Intermed 21.00969.01
08/11/202Purbalingga RSU Haryadin Syawal
08/11/202IL0069
Intermed 21.00970.01
08/11/202Mirit Apotek Haryadin Syawal
08/11/202IL0027
Intermed 21.00971.01
08/11/202Prima Farma Apot Haryadin Syawal
08/11/202IK0007
Intermed 21.00972.01
09/11/202Wonosobo RSI Suharto 09/11/202IL0075
Intermed 21.00973.01
09/11/202Pku Muhammadiy Suharto 09/11/202IL0064
Intermed 21.00974.01
09/11/202Kimia Farma Apo Suharto 09/11/202IT0099
Intermed 21.00975.01
09/11/202Puji Farma Apotik Suharto 09/11/202IT0099
Intermed 21.00976.01
09/11/202Prof Dr Margono Suharto 09/11/202IK0007
Intermed 21.00977.01
09/11/202Fatimah RSI Haryadin Syawal
10/11/202IK0007
Intermed 21.00978.01
10/11/202Nirmala Farma Ap Haryadin Syawal
10/11/202IL0075
Intermed 21.00979.01
10/11/202Palang Biru Gomb Haryadin Syawal
10/11/202IL0075
Intermed 21.00980.01
10/11/202Purbalingga RSU Haryadin Syawal
10/11/202IK0007
Intermed 21.00981.01
10/11/202Kinanthi Apotik Haryadin Syawal
10/11/202IL0027
Intermed 21.00982.01
10/11/202Budi Farma Apoti Haryadin Syawal
10/11/202IK0007
Intermed 21.00983.01
11/11/202Wiradadi Husada Haryadin Syawal
11/11/202II0023
Intermed 21.00984.01
12/11/202Vindy Farma Apot Suharto 12/11/202IL0027
Intermed 21.00985.01
12/11/202Hermina RS Suharto 12/11/202IK0007
Intermed 21.00986.01
13/11/202Purwogondo RS Suharto 15/11/202IK0066
Intermed 21.00987.01
15/11/202Nirmala RSU Suharto 15/11/202IK0007
Intermed 21.00988.01
15/11/202Aghisna Medika R Suharto 15/11/202IK0007
Intermed 21.00989.01
15/11/202Elizabeth RS Suharto 15/11/202II0023
Intermed 21.00990.01
15/11/202Panti Nugroho RB Suharto 15/11/202IK0066
Mixgen remindi
21.01026.18
01/11/202Siti Aminah RSU Hamidjaja Setia
01/11/202IS0005
Mixgen remindi
21.01027.18
01/11/202Palang Biru Gombong RS Hamidjaja Setia
01/11/202IA0003
IS0005
Mixgen remindi
21.01028.18
02/11/202Menmari Apotik Hamidjaja Setia
02/11/202IL0068
IS0005
Mixgen remindi
21.01029.18
02/11/202Wonosobo RSU Hamidjaja Setia
02/11/202IB0032
Mixgen remindi
21.01030.18
02/11/202Siaga Medika Purbalingga RS Hamidjaja Setia
02/11/202IB0032
IT0095
Mixgen remindi
21.01031.18
02/11/202PKU Muhammadiyah Gombong Hamidjaja Setia
02/11/202IS0005
Mixgen remindi
21.01032.18
02/11/202Emanuel RSU Hamidjaja Setia
03/11/202IL0036
Mixgen remindi
21.01033.18
03/11/202Panti Waluyo RS Hamidjaja Setia
03/11/202IB0032
Mixgen remindi
21.01034.18
03/11/202Pertamina Bina Hamidjaja Setia
03/11/202II0007
IT0033
Mixgen remindi
21.01035.18
04/11/202Ar Rauddah Apotik Hamidjaja Setia
04/11/202IT0033
IT0109
Mixgen remindi
21.01036.18
05/11/202Ambal Apotik Hamidjaja Setia
05/11/202IS0005
Mixgen remindi
21.01037.18
06/11/202Harapan Ibu RS Hamidjaja Setia
09/11/202IB0032
II027E
Mixgen remindi
21.01038.18
08/11/202Giliani Apotik Hamidjaja Setia
09/11/202IS0005
Mixgen remindi
21.01039.18
08/11/202Bumi Husada Apot Hamidjaja Setia
09/11/202IS0005
Mixgen remindi
21.01040.18
08/11/202Palang Biru Kuto Hamidjaja Setia
09/11/202IB0032
Mixgen remindi
21.01041.18
08/11/202K-24 (Kutoarjo) Apotik Hamidjaja Setia
09/11/202IA0003
Mixgen remindi
21.01042.18
08/11/202PKU Muhammadiy Hamidjaja Setia
09/11/202IB0032
IL0065
IT0109
Mixgen remindi
21.01043.18
08/11/202Purbalingga RSU Hamidjaja Setia
09/11/202IS0005
Mixgen remindi
21.01044.18
08/11/202Kebumen Rsu Hamidjaja Setia
09/11/202IS0005
Mixgen remindi
21.01045.18
09/11/202Wonosobo RSI Hamidjaja Setia
10/11/202IB0032
Mixgen remindi
21.01046.18
09/11/202Pku Muhammadiy Hamidjaja Setia
10/11/202IS0005
Mixgen remindi
21.01047.18
09/11/202Hidayat Apotik Hamidjaja Setia
10/11/202IS0005
Mixgen remindi
21.01048.18
09/11/202Karesidenan Apot Hamidjaja Setia
10/11/202IS0005
Mixgen remindi
21.01049.18
09/11/202Wiradadi Husada Hamidjaja Setia
10/11/202II0007
Mixgen remindi
21.01050.18
09/11/202Kebumen Rsu Hamidjaja Setia
10/11/202IT0033
Mixgen remindi
21.01051.18
09/11/202Mentari Farma Ap Hamidjaja Setia
10/11/202IS0005
Mixgen remindi
21.01052.18
09/11/202Sinar Sehat Apoti Hamidjaja Setia
10/11/202IT0069
Mixgen remindi
21.01053.18
10/11/202Nirmala Farma Apotik Hamidjaja Setia
10/11/202IT0033
Mixgen remindi
21.01054.18
10/11/202Pertamina Bina Hamidjaja Setia
10/11/202II0007
Mixgen remindi
21.01055.18
10/11/202Palang Biru Gombong RS Hamidjaja Setia
10/11/202IA0001
IB0032
IL0059
Mixgen remindi
21.01056.18
11/11/202Karya Sehat Apot Hamidjaja Setia
12/11/202IS0005
Mixgen remindi
21.01057.18
11/11/202Tanjung Sari Apo Hamidjaja Setia
12/11/202IS0005
Mixgen remindi
21.01058.18
12/11/202Wijaya Kusuma Ap Hamidjaja Setia
12/11/202IS0005
Mixgen remindi
21.01059.18
12/11/202Seruling Mas Apo Hamidjaja Setia
12/11/202IS0005
Mixgen remindi
21.01060.18
15/11/202Waluyo Apotik Hamidjaja Setia
15/11/202IS0005
Mixgen remindi
21.01061.18
15/11/202Ump Apotik Hamidjaja Setia
15/11/202IS0005
Mixgen remindi
21.01062.18
15/11/202Siaga Medika Purbalingga RS Hamidjaja Setia
15/11/202IB0032
IT0095
Mixgen remindi
21.01063.18
15/11/202Lukulo Apotik Hamidjaja Setia
15/11/202IB0032
IL0068
Promote 21.20280.18 01/11/202Patik Raja Apotik Hamidjaja Setia
01/11/202IL0068
Promote 21.20281.18 01/11/202Banjarnegara RSI Hamidjaja Setia
01/11/202IL0068
Promote 21.20282.18 02/11/202Utama Anugrah Klinik Hamidjaja Setia
02/11/202IT0109
Promote 21.20283.18 04/11/202Yayasan Dini Kusuma Hamidjaja Setia
04/11/202IT0109
Promote 21.20284.18 04/11/202Rumkit Tk III Wijayakusuma 040601 RSU Hamidjaja Setia
04/11/202IL0070
Promote 21.20285.18 04/11/202Klinik Utama Restu Ibu Hamidjaja Setia
04/11/202IT0109
Promote 21.20286.18 05/11/202Aisya Skin Klinik Hamidjaja Setia
05/11/202IL0068
Promote 21.20287.18 05/11/202Purwokerto RSI Hamidjaja Setia
05/11/202IT0109
Promote 21.20288.18 08/11/202Utama Anugrah Klinik Hamidjaja Setia
09/11/202IT0109
Promote 21.20289.18 09/11/202Klinik Utama Res Hamidjaja Setia
10/11/202IT0109
Promote 21.20290.18 09/11/202Kimia Farma Apo Hamidjaja Setia
10/11/202IL0028
Promote 21.20291.18 11/11/202Karya Sehat Apotik Hamidjaja Setia
12/11/202IT0109
Promote 21.20292.18 12/11/202Permata Medika R Hamidjaja Setia
12/11/202IL0065
Promote 21.20293.18 15/11/202K-24 (Jensud) Ap Hamidjaja Setia
15/11/202IL0068
Specialty Derm
21.00443.03
01/11/202Nina Farma Apotik Dr. Linda Priya
01/11/202IL0077
IS0044
IS0048
Specialty Derm
21.00444.03
01/11/202Bandingan Apotik Dr. Linda Priya
02/11/202BC0007
BC0009
IS0008
IS0016
Specialty Derm
21.00445.03
02/11/202Madukara Apotik Dr. Linda Priya
02/11/202IS0044
Specialty Derm
21.00446.03
03/11/202B-Sparkle Dermatology & Aesthetic Clinic Dr. Linda Priya
03/11/202IL0043
Specialty Derm
21.00447.03
04/11/202Karisa Apotik Dr. Linda Priya
04/11/202IS0008
Specialty Derm
21.00448.03
05/11/202Sahabat Farma Apotik Dr. Linda Priya
05/11/202IS0013
Specialty Derm
21.00449.03
05/11/202Care Apotik Dr. Linda Priya
06/11/202AV0001
 IL0077
Specialty Derm
21.00450.03
05/11/202Sahabat Farma Apotik Dr. Linda Priya
06/11/202IS0013
Specialty Derm
21.00451.03
06/11/202Kebumen Rsu Dr. Linda Priya
06/11/202IS0036
Specialty Derm
21.00452.03
06/11/202Purwogondo RS Dr. Linda Priya
06/11/202IS0044
Specialty Derm
21.00453.03
08/11/202Famili Putra Apotik Dr. Linda Priya
09/11/202IS0036
Specialty Derm
21.00454.03
09/11/202Menmari Apotik Dr. Linda Priya
09/11/202IS0044
IS0048
Specialty Derm
21.00455.03
10/11/202Annisa Farma Apotik Dr. Linda Priya
10/11/202IS0040
Specialty Derm
21.00456.03
10/11/202Purwogondo RS Dr. Linda Priya
10/11/202IS0036
Specialty Derm
21.00457.03
11/11/202Nina Farma Apotik Dr. Linda Priya
11/11/202IS0046
Specialty Derm
21.00458.03
11/11/202Karisa Apotik Dr. Linda Priya
11/11/202IS0008
Specialty Derm
21.00459.03
11/11/202Farmadisa Apotik Dr. Linda Priya
12/11/202IS0008
Specialty Derm
21.00460.03
12/11/202Tinggar Jaya Apotik Dr. Linda Priya
15/11/202IS0008
Specialty Derm
21.00461.03
12/11/202Sokaraja Apotik Dr. Linda Priya
15/11/202IL0043
Specialty Derm
21.00462.03
15/11/202PKU Muhammadiy Dr. Linda Priya
15/11/202IL0043
Specialty Derm
21.00463.03
15/11/202Bumi Husada Apotik Dr. Linda Priya
15/11/202IS0008

T O T A L ( Branch )

TOTAL
Nama BaraPrice Qty Jumlah Beban Ika Beban DistBonus Reason Pending

Metronidazol (12664 240 3039360 10 00 Mohon Acc DPC Berikut

Valproate So 27500 50 1375000 28 00 mohon acc dpc berikut:
Divalproex 150000 50 7500000 35 00
Divalproex 255000 50 12750000 35 00
Phenytoin Cap 55000 36 1980000 0 03 mohon acc dpc berikut
Laktulosa Syr 27500 24 660000 0 02 mohon acc dpc berikut
Phenytoin Cap 55000 50 2750000 30 00 Mohon Acc DPC Berikut
Ikalep 250 mg129375 30 3881250 34.8 00 harga sesuai dengan standarisasi
Phenytoin Cap 55000 100 5500000 30 00 Mohon Acc DPC Berikut
Phenytoin Cap 55000 120 6600000 35 20 mohon acc dpc berikut : untuk pregabalin memgga
Ikalep 250 mg129375 50 6468750 34.8 00
Phenytoin Cap 55000 150 8250000 20 00 Rekanan rsud kebumen. Mohon Acc DPC Berikut
Phenytoin Cap 55000 12 660000 15 00 Mohon Acc DPC Berikut
Phenytoin Cap 55000 12 660000 15 00 Mohon Acc DPC Berikut
Phenytoin Cap 55000 24 1320000 33 00 Mohon Acc DPC Berikut
Valproate So 27500 200 5500000 28 00 Mohon Acc DPC Berikut
Phenytoin Cap 55000 24 1320000 30 00 mohon acc
Laktulosa Syr 27500 12 330000 0 01
Ikalep 250 mg129375 2 258750 10 00
Phenytoin Cap 55000 50 2750000 10 00 mohon acc
Phenytoin Injek50914 3 152742 30 00 Mohon Acc DPC Berikut
Laktulosa Syr 27500 12 330000 0 01 mohon acc
Laktulosa Syr 27500 240 6600000 20 00 Mohon Acc DPC Berikut
Fisiopain Crea 45000 4 180000 10 00 untuk melayani klinik fisoterapi bpk handi. Mohon
Ikaphen 100 mg126000 3 378000 5 00 Mohon Acc DPC Berikut
Phenytoin Cap 55000 5 275000 5 00 Mohon Acc DPC Berikut
Valproate So 27500 12 330000 15 00
Laktulosa Syr 27500 48 1320000 20 00 Mohon Acc DPC Berikut
Phenytoin Injek50914 100 5091400 25 00 Mohon Acc DPC Berikut
Phenytoin Cap 55000 48 2640000 15 00
Divalproex 150000 300 45000000 31 20 CITO. Mohon Acc DPC Berikut
Ikalep Syrup 1 70000 50 3500000 30 00 Mohon Acc DPC Berikut
Lactulax Syr 6044000 7 308000 0 01 Mohon Acc DPC Berikut
Phenytoin Cap 55000 12 660000 0 01 Mohon Acc DPC Berikut
Valproate So 27500 24 660000 10 00 Mohon Acc DPC Berikut
Laktulosa Syr 27500 12 330000 0 01 Mohon Acc DPC Berikut
Ikalep 250 mg129375 2 258750 5 00 Mohon Acc DPC Berikut
Ikalep 250 mg129375 12 1552500 0 01 Mohon Acc DPC Berikut
Phenytoin Cap 55000 500 27500000 33 20 mohon acc
Phenytoin Cap 55000 24 1320000 25 00 mohon acc
Valproate So 27500 12 330000 0 01 mohon acc
Valproate So 27500 50 1375000 20 00 Mohon Acc DPC Berikut
Phenytoin Cap 55000 500 27500000 30 00 Mohon Acc DPC Berikut
Lactulax Syr 6044000 12 528000 0 01 Mohon Acc DPC Berikut
Phenytoin Cap 55000 12 660000 0 01 Mohon Acc DPC Berikut
Phenytoin Injek50914 100 5091400 25 00 Mohon Acc DPC Berikut
Lactulax Syr 6044000 7 308000 0 01 Mohon acc dpc berikut
Phenytoin Cap 55000 12 660000 0 01 Mohon acc dpc berikut
Pregabalin 75120000 10 1200000 28 00 mhn acc
Phenytoin Cap 55000 12 660000 0 01 Mohon acc dpc berikut
Phenytoin Cap 55000 12 660000 0 01 Mohon acc dpc berikut
Phenytoin Injek50914 30 1527420 25 00 mohon di approve dpc ersebut
Pregabalin 75120000 50 6000000 30 20 Mohon Acc DPC Berikut
Ikamicetin Sk 4 7150 24 171600 15 00 mhn acc
Aqua Pro Inje 25000 30 750000 20 00 mhn acc. produks sdh masuk standarisasi
Ikamicetin Sk 4 7150 48 343200 15 00
Octedine 42000 3 126000 0 01 Mohon Acc DPC Berikut
Ikamicetin Sk 4 7150 50 357500 25 00
OBH Cap T.D.R 5060 96 485760 25 00 Mohon Acc DPC Berikut
OBH Cap T.D.R 5060 64 323840 25 00 Mohon Acc DPC Berikut
Renoguard Tab 600000 6 3600000 50 00
Ikamicetin Sk 4 7150 96 686400 0 08 mhn acc
Ulsicral Suspen42000 120 5040000 40 00 mhn acc. sdh msk standarisasi 2021
OBH Cap T.D.R 5060 132 667920 25 00 mhn acc
Ikadryl Inj. V 7350 7 51450 25 00 Mohon Acc DPC Berikut
Astika 44000 91 4004000 27 00
Astika 44000 6 264000 10 00 mhn acc
BIOLECTRA 365 170000 2 340000 10 00
Ikamicetin Sk 4 7150 12 85800 0 01 mohon acc
OBH Cap T.D.R 5060 64 323840 25 00 mhn acc
Ivanes 1000 M100000 6 600000 10 00
Ikamicetin Sk 4 7150 12 85800 0 01 Mohon Acc DPC Berikut
Ikamicetin Sk 4 7150 12 85800 0 01 Mohon Acc DPC Berikut
OBH Cap T.D.R 5060 32 161920 15 00 Mohon Acc DPC Berikut
Aqua Pro Inje 25000 6 150000 15 00 Mohon Acc DPC Berikut
OBH Cap T.D.R 5060 128 647680 25 00 Mohon Acc DPC Berikut
Laktulosa Syr 42000 40 1680000 0 0 40
BIOLECTRA 365 170000 3 510000 15 00
Ikamicetin Sk 4 7150 50 357500 25 00 Mohon Acc DPC Berikut
Ikamicetin Sk 4 7150 48 343200 15 00 Mohon Acc DPC Berikut
OBH Cap T.D.R 5060 64 323840 15 00 Mohon Acc DPC Berikut
Ikamicetin Sk 4 7150 12 85800 0 01 Mohon Acc DPC Berikut
Ikamicetin Sk 4 7150 12 85800 0 01 mohon acc
Ikamicetin Sk 4 7150 12 85800 0 01 mohon acc
Ikadryl Inj. V 7350 90 661500 25 00 mohon acc
Astika 44000 120 5280000 50 20 mohon acc
Ikamicetin Sk 4 7150 12 85800 0 01 mohon acc
Az Vit @ 30 Tab
120000 5 600000 25 40 mohon acc
Astika 44000 12 528000 30 00 mohon acc
Ikadryl Inj. V 7350 70 514500 30 00 Sudah msk standarisasi pertamina pusat
Aqua Pro Inje 12000 200 2400000 25 00 mohon acc
OBH Cap T.D.R 5060 64 323840 15 00
Metronidazol 24000 480 11520000 50 20
Ikamicetin Sk 4 7150 12 85800 0 01 Mohon Acc DPC Berikut
Ikamicetin Sk 4 7150 12 85800 0 01 Mohon acc dpc berikut
Ikamicetin Sk 4 7150 12 85800 0 01 Mohon acc dpc berikut
Ikamicetin Sk 4 7150 12 85800 0 01 Mohon acc dpc berikut
Ikamicetin Sk 4 7150 50 357500 25 00 mhn acc
Ikamicetin Sk 4 7150 12 85800 0 01 mhn acc
OBH Cap T.D.R 5060 64 323840 25 00 mhn acc
Renoguard Tab 600000 10 6000000 50 00
OBH Cap T.D.R 5060 64 323840 25 00 mhn acc
Octedine 42000 6 252000 15 00
Octedine 42000 3 126000 0 01 mhn acc
Octedine 42000 20 840000 15 00 mhn acc
BIOLECTRA 365 170000 3 510000 15 00 Mohon Acc DPC Berikut
BIOLECTRA 365 170000 3 510000 10 00 mhn acc
Octedine 1 Ltr300000 10 3000000 15 00 mhn acc
BIOLECTRA 365 170000 2 340000 5 00 mhn acc
Octedine 42000 5 210000 15 00 Mohon Acc DPC Berikut
BIOLECTRA 365 170000 4 680000 10 00 Mohon Acc DPC Berikut
BIOLECTRA 365 170000 3 510000 15 00 Mohon Acc DPC Berikut
BIOLECTRA 365 170000 3 510000 5 00 mohon acc
Lactulax Syr 1262000 4 248000 5 00 mohon acc
BIOLECTRA 365 170000 4 680000 15 00 Mohon Acc DPC Berikut
Laktulosa Syr 42000 30 1260000 30 00 Mohon acc dpc berikut
Octedine 42000 3 126000 0 01 Mohon acc dpc berikut
Probio - N Ser 90000 24 2160000 15 00 Mohon di acc
MUPIROCIN C 30000 60 1800000 10 00
Mometasone 22500 60 1350000 10 00
Biolastin crea 33000 50 1650000 28 00 Mohon di acc
Biomoist Moi 67000 15 1005000 25 00
Gentasolon 5 G21000 24 504000 20 00
Ikagen Krim 1018150 24 435600 20 00
MUPIROCIN C 30000 36 1080000 10 00 Mohon Acc DPC Berikut
Zoloral Ss 80 M55000 5 275000 20 00 Mohon Acc DPC Berikut
Gentasolon 5 G21000 12 252000 10 00 Mohon Acc DPC Berikut
Zoloral Cream 22000 12 264000 10 00 mohon acc
A V Mls Wash O50000 24 1200000 35 00 mohon di acc
Probio - N Ser 90000 7 630000 20 00
Zoloral Cream 22000 12 264000 10 00 mohon di acc
QUINTRI 39600 12 475200 20 00 mohon di acc
MUPIROCIN C 30000 24 720000 10 00 mohon di acc
QUINTRI 39600 12 475200 15 00 Mohon Acc DPC Berikut
MUPIROCIN C 30000 12 360000 10 00 mohon acc
Mometasone 22500 12 270000 10 00
Clinika gel 10 g21000 12 252000 15 00 mohon acc
QUINTRI 39600 6 237600 10 00 Mohon Acc DPC Berikut
FUTKRIM 75000 10 750000 20 00 Mohon Acc DPC Berikut
Gentasolon 5 G21000 12 252000 10 00 Mohon Acc DPC Berikut
Gentasolon 5 G21000 12 252000 10 00 Mohon acc dpc berikut
Gentasolon 5 G21000 24 504000 10 00 Mohon acc dpc berikut
Zoloral Ss 80 M55000 12 660000 10 00 Mohon acc dpc berikut
Zoloral Ss 80 M55000 4 220000 25 00 Mohon acc dpc berikut
Gentasolon 5 G21000 12 252000 10 00 Mohon acc dpc berikut

2.99E+08 84621339 2062000 614900

2.99E+08 84621339 2062000 614900

 kut
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