SURAT PESANAN OBAT

PO.001/YM/APT/00/III/2023
Kepada Yth,

PT Delica Prima Utama

Kota Depok

Dengan hormat,

Melalui surat PO ini, mohon dikirimkan obat-obatan di bawah ini :

NO NAMA OBAT JUMLAH PERMINTAAN HARGA/BOX

1 ACYCLOR CREAM 50 MG 2 BOX 103.600
2 AFOLAT 400 MCG TABLET 5 BOX 14.350
5 BROXOLIC TABLET 5 BOX 19.950
6 CALORTUSIN KAPLET 5 BOX 40.600
7 CALORTUSIN PE KAPLET 5 BOX 46.200
10 CEBECOM KAPLET SALUT SELAPUT 5 BOX 65.450
11 CEBECOM + ZED 5 BOX 73.700
14 CEDROX 500 MG KAPSUL 5 BOX 102.830
15 CETIZINE TSS 5 BOX 23.116
18 CLINOMA 300 MG 5 BOX 141.722
19 DEXCLOSAN TABLET 5 BOX 16.410
20 DIAPECTA TABLET 5 BOX 33.721
21 DOLORSTAN FORTE 5 BOX 38.461
23 DOMPERO TABLET 10 MG 5 BOX 25.252
25 ERYRA FORTE 500 MG KAPLET 5 BOX 109.013
26 EVIROL - F KAPSUL 5 BOX 40.279
28 FITOSCAL KAPLET 5 BOX 26.923
29 FITOSCAL FORTE KAPLET 5 BOX 104.895
30 FUROTASON CREAM 5 BOX 149.494
31 GASTICID TSS 150 MG 5 BOX 36.130
32 HYOREX TSS 5 BOX 110.664
33 KORASON CREAM 5 BOX 146.076
34 KORASON N CREAM 5 BOX 181.818
35 LACTE-OS TABLET 5 BOX 26.060
36 LORAHISTIN TABLET 5 BOX 20.202
37 METYSOLON 4 MG TABLET 5 BOX 25.050
38 METYSOLON 8 MG TABLET 5 BOX 37.093
41 PRIX 25 MG TABLET 5 BOX 23.310
42 PRO-CETA KAPLET 5 BOX 11.741
44 RAGYL FORTE TABLET 5 BOX 26.923
45 RAMA EMERALD BEDAK SALICYL 50 GR 5 BOTOL 2.929
46 RAMABION KAPSUL 5 BOX 27.458
47 RAMADEXON TIN 0.5 MG KAPLET 5 BOX 15.174
48 RAMADRINATE TABLET 50 MG 5 BOX 25.454
51 RAMAFLU KAPLET 5 BOX 32.198
52 RAMAGESIC 500 MG KAPLET 5 BOX 18.000
53 RAMAGESIC TIN 500 MG 5 BOX 21.849
55 RAMAGESIC 650 MG FORTE KAPLET 5 BOX 24.149
57 RAMAHIST TABLET 5 BOX 12.991
58 RAMALGIN TIN 500 MG KAPLET 5 BOX 89.901
59 RAMANEURON DRAGEE TSS 5 BOX 126.184
60 RAMOLIT 5 BOX 23.776
61 RAMOXYL 500 MG 5 BOX 73.426
63 RAMVIT C INJEKSI 5 BOX 235.637
64 RAMVIT-C KAPLET SALUT SELAPUT 5 BOX 26.262
65 RAMVIT VITAMIN B12 5 BOX 49.728
66 RAMVIT VITAMIN B6 5 BOX 69.619
67 RAMVIT VITAMIN D3 5 BOX 144.832
68 RANACID FORTE KAPLET KUNYAH 5 BOX 26.806
69 RANACID TABLET KUNYAH 5 BOX 18.492
70 RATRIM FORTE 5 BOX 46.231
72 RATRIM TABLET 5 BOX 27.272
73 RAVASK 10 MG 5 BOX 33.566
74 RAVASK 5 MG 5 BOX 27.412
76 RIAMYCIN KAPSUL 500 MG 5 BOX 130.302
77 RIAMYCIN DRY SYRUP 125 MG 5 BOTOL 10.544
78 SOLARIC TABLET 5 BOX 34.032
79 TAMYDERM CREAM 5 TUBE 106.837
80 TERA F 5 BOX 48.717
83 VIALOP TABLET 5 BOX 13.636
84 XICAM 10 MG TABLET 5 BOX 18.601
85 XICAM 20 MG TABLET 5 BOX 25.532
86 ZENOVASK 5 TABLET 5 BOX 22.906
87 CETAXIME 1 GR SERBUK INJEKSI 2 BOX 149.572
88 CETRIAX 1 GR INJEKSI 2 BOX 139.860
89 C-RAZON 1 GR INJEKSI 2 BOX 161.616
90 MEROZ 1 GR INJEKSI 2 BOX 1.003.800
91 ALKOHOL 5 LITER 1 JERIGEN 139.393
92 ALKOHOL 70 1 LTR 2 BOTOL 30.909
93 ALKOHOL 70 100 ML 5 BOTOL 6.324
 94 ASEPTIC LIQUID 60 ML 5 BOTOL 9.821
95 ASEPTIC LIQUID 100 ML 5 BOTOL 13.053
96 ASEPTIC LIQUID 500 ML 5 BOTOL 28.135
97 ASEPTIC LIQUID 5 LITER 2 BOTOL 160.839
98 POVIDONE IODINE 30 ML 5 BOTOL 3.496
99 POVIDONE IODINE 60 ML 5 BOTOL 4.895
100 POVIDONE IODINE 1 LITER 2 BOTOL 44.242

GENERIK

NO NAMA OBAT JUMLAH PERMINTAAN HARGA/BOX

1 ACICLOVIR CREAM @ 5 GRAM 5 TUBE 124.009
2 ALLOPURINOL 100 MG TABLET 5 BOX 23.931
3 AMBROXOL TABLET 30 MG 5 BOX 12.238
4 AMLODIPINE BESILATE 10 MG 5 BOX 21.717
5 AMLODIPINE BESILATE 5 MG 5 BOX 18.181
6 AMOXICILLIN 500 MG KAPLET 5 BOX 47.203
7 AMOXICILLIN DRY SYRUP 125 MG 5 BOTOL 4.568
8 AMPICILLIN 500 MG KAPLET 5 BOX 60.372
9 ANTASIDA DOEN TABLET 5 BOX 14.374
10 BEDAK SALISIL 5 BOTOL 3.434
11 BETAMETHASON CREAM 5 TUBE 96.969
12 CAPTOPRIL 25 MG TABLET 5 BOX 14.172
13 CEFADROXIL 125 MG DRY SYRUP 5 BOTOL 7.558
14 CEFADROXIL 250 MG DRY SYRUP 5 BOTOL 9.397
15 CEFADROXIL 500 MG KAPSUL 5 BOX 70.707
16 CETIRIZINE HYDROCLORIDE 10 MG TABLET 5 BOX 13.286
17 CITICOLIN 500 MG KAPLET 5 BOX 111.888
18 CTM TABLET 5 BOX 10.101
19 CLINDAMYCIN HCL KAPSUL 5 BOX 102.797
20 COTRIMOXAZOLE TAB 5 BOX 24.304
21 DEXAMETHASONE O.5 MG TABLET 5 BOX 11.188
22 DOMPERIDONE MALEATE 10 MG TABLET 5 BOX 18.026
23 ERYTHROMYCIN STEARAT KAPLET 5 BOX 90.909
24 ERYTHROMYCIN DRY SYRUP 200 MG 5 BOTOL 13.706
25 GENTAMICIN SULFAT CREAM 5 TUBE 86.853
26 HYOSCINE BUTYLBROMIDE TSS 5 BOX 105.672
27 IBUPROFEN 400 MG TABLET 5 BOX 26.394
28 KETOCONAZOLE KRIM 2% 5 BOX 93.783
29 LANSOPRAZOLE 30 MG KAPSUL 5 BOX 15.829
30 LORATADINE TABLET 5 BOX 14.918
31 MELOXICAM 15 MG TAB 5 BOX 33.843
32 MEFENAMIC ACID 500 MG KAPLET 5 BOX 23.310
33 METHYLPREDNISOLON 4 TABLET 5 BOX 17.094
34 METHYLPREDNISOLON 8 TABLET 5 BOX 29.370
35 METHYLPREDNISOLON 16 TABLET 5 BOX 36.674
36 METRONIDAZOLE 500 MG TABLET 5 BOX 39.627
37 ORALIT 5 BOX 37.855
38 PARACETAMOL 500 MG TABLET 5 BOX 19.580
39 PIROXICAM 10 MG TABLET 5 BOX 15.066
40 PIROXICAM 20 MG TABLET 5 BOX 20.640
41 PREDNISONE 5 MG TABLET 5 BOX 18.648
42 RANITIDIN HCL TABLET SS 150 MG 5 BOX 25.454
43 SIMVASTATIN 10 MG 5 BOX 17.482
44 TABLET TAMBAH DARAH SS 5 BOX 31.648
45 VITAMIN C 50 MG TABLET 5 BOX 7.925
46 VITAMIN C 100 MG TABLET 5 BOX 14.569
47 VITAMIN C 250 MG TABLET 5 BOX 17.404
48 CEFOPERAZONE 1 GR INJEKSI 5 BOX 127.816
49 CEFOTAXIME SODIUM 1 GR 5 BOX 87.024
50 CEFTRIAXONE SODIUM 1 GR 5 BOX 81.585
51 FUROSEMIDE 10 MG/ML INJ 5 BOX 48.174
52 KETOROLAC 30 MG/ML INJ 5 BOX 24.356
MEROPENEM TRIHYDRATE 1 GR SERBUK
53 INJEKSI 5 BOX 637.140

Bekasi, 14 Maret 2023

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